diff --git a/PL9fwy3NUQKwZHPs6l8Fr-st-8cVJxmVek/Mk2487qcZF8.srt b/PL9fwy3NUQKwZHPs6l8Fr-st-8cVJxmVek/Mk2487qcZF8.srt
new file mode 100644
index 0000000000000000000000000000000000000000..e7997a7ab290e20546b6d28a207ed4b4134cf9a0
--- /dev/null
+++ b/PL9fwy3NUQKwZHPs6l8Fr-st-8cVJxmVek/Mk2487qcZF8.srt
@@ -0,0 +1,1755 @@
+1
+00:00:21,450 --> 00:00:27,950
+Okay إذا احنا في المحاضرة الأخيرة أخذنا الـ
+
+2
+00:00:27,950 --> 00:00:33,670
+monotone convergence theorem وشوفنا
+
+3
+00:00:33,670 --> 00:00:38,970
+أنه في النظرية هذه لو في عندي sequence وال
+
+4
+00:00:38,970 --> 00:00:42,710
+sequence هذه monotone يعني increasing أو 
+
+5
+00:00:42,710 --> 00:00:48,510
+decreasing فعشان فبتكون convergent if and only if
+
+6
+00:00:48,510 --> 00:00:53,060
+it is bounded إذا الـ monotone sequence converges
+
+7
+00:00:53,060 --> 00:01:01,360
+if and only if it is bounded طيب
+
+8
+00:01:01,360 --> 00:01:04,420
+ال monotone sequence نوعين إما increasing أو
+
+9
+00:01:04,420 --> 00:01:07,360
+decreasing فلو كانت ال sequence increasing وطبعا
+
+10
+00:01:07,360 --> 00:01:10,940
+bounded فشوفنا إنها بتكون convergent حسب ال
+
+11
+00:01:10,940 --> 00:01:14,040
+statement الأول وال limit تبعتها بساوي ال
+
+12
+00:01:14,040 --> 00:01:17,280
+supremum اللي لها كـ set ولو كانت ال sequence
+
+13
+00:01:17,280 --> 00:01:22,420
+decreasing وبالطبع bounded فحسب ال statement الأول
+
+14
+00:01:22,420 --> 00:01:28,720
+تطلع convergent ونهايتها هي ال infimum تبعها كـ set
+
+15
+00:01:28,720 --> 00:01:33,040
+وشوفنا
+
+16
+00:01:33,040 --> 00:01:35,560
+برهانها مغرية في المحاضرة السابقة
+
+17
+00:01:38,060 --> 00:01:43,060
+الآن بنشوف كيف نطبق النظرية في إثبات إن certain
+
+18
+00:01:43,060 --> 00:01:47,200
+sequences are convergent أو divergent النظرية هذه
+
+19
+00:01:47,200 --> 00:01:51,180
+بالمناسبة ممكن نستخدمها في إثبات إنه monotone
+
+20
+00:01:51,180 --> 00:01:55,960
+sequence معينة إما convergent أو divergent عشان
+
+21
+00:01:55,960 --> 00:01:59,120
+أثبت إن ال monotone sequence إذا عندي أنا monotone
+
+22
+00:01:59,120 --> 00:02:02,760
+sequence عشان أثبت إنها convergent لازم أثبت إنها
+
+23
+00:02:02,760 --> 00:02:08,980
+bounded العكس لو في عندي monotone sequence وبدي
+
+24
+00:02:08,980 --> 00:02:14,640
+أثبت انها divergent يكفي أن أثبت انها unbounded
+
+25
+00:02:14,640 --> 00:02:21,840
+not bounded فهي أن ال sequence xn بساوي واحد على n
+
+26
+00:02:21,840 --> 00:02:27,240
+هاد ال sequence معروف إنه ال limit إن ها convergent
+
+27
+00:02:27,240 --> 00:02:34,630
+و its limit is zero زيها زي ال sequence واحد على n و
+
+28
+00:02:34,630 --> 00:02:38,270
+ممكن تبرهن أن الـ sequence هذه convergent و
+
+29
+00:02:38,270 --> 00:02:42,030
+نهايتها بالساعة وسفر باستخدام تعريف epsilon
+
+30
+00:02:42,030 --> 00:02:49,070
+capital N لل limit بالظبط زي ما عملنا في برهان ال
+
+31
+00:02:49,070 --> 00:02:52,830
+limit أن ال limit لل sequence واحد على N بالساعة و
+
+32
+00:02:52,830 --> 00:02:57,810
+سفر باستخدام ال archimedean property فهذا برهان
+
+33
+00:02:57,810 --> 00:03:04,810
+ممكن أي واحدة فيكم تكتبه اللي هو باستخدام تعريف
+
+34
+00:03:04,810 --> 00:03:08,110
+epsilon capital N زائد ال archimedean property
+
+35
+00:03:08,110 --> 00:03:13,290
+بالظبط زي ما أثبتنا limit 1 على N بساوية 0 اليوم
+
+36
+00:03:13,290 --> 00:03:16,550
+هنشوف برهان تاني باستخدام ال monotone convergence
+
+37
+00:03:16,550 --> 00:03:16,990
+theorem
+
+38
+00:03:20,740 --> 00:03:25,460
+السيكوانس هي بالحد العام ال n term تبعها xn one
+
+39
+00:03:25,460 --> 00:03:28,960
+over square root of n طبعا square root of n أصغر
+
+40
+00:03:28,960 --> 00:03:32,720
+من square root of n+1 لأي عدد طبيعي وبالتالي
+
+41
+00:03:32,720 --> 00:03:37,680
+مقلوب لكبير أصغر من مقلوب لصغير هذا xn زائد واحد
+
+42
+00:03:37,680 --> 00:03:44,240
+وهذا xn أنا عندي sequence is such that xn زائد واحد
+
+43
+00:03:44,240 --> 00:03:48,560
+أصغر من xn هذا معناه أن ال sequence is increasing
+
+44
+00:03:49,820 --> 00:03:54,740
+كذلك ال sequence هذه is bounded لأنه هي فيه عدد
+
+45
+00:03:54,740 --> 00:03:59,700
+موجب M بساوي واحد عدد موجب بحيث أنه absolute xn
+
+46
+00:03:59,700 --> 00:04:04,780
+أصغر من أو يساوي M لكل N لأن أنا فيها ال sequence
+
+47
+00:04:04,780 --> 00:04:12,000
+increasing و bounded إذا by monotone
+
+48
+00:04:12,000 --> 00:04:16,620
+convergence theorem ال sequence هذه هتكون
+
+49
+00:04:16,620 --> 00:04:23,220
+convergent وال limit تبعتها بساوي ال infimum طيب
+
+50
+00:04:23,220 --> 00:04:27,740
+ال infimum للمجموعة هذه بتساوي صفر
+
+51
+00:04:30,570 --> 00:04:35,710
+وبرهان ذلك شبيه ببرهان ال infimum لل sequence 1
+
+52
+00:04:35,710 --> 00:04:40,310
+على n بالساوي 0 باستخدام ال Archimedean property
+
+53
+00:04:40,310 --> 00:04:44,350
+راجعوا برهان أن ال infimum لل sequence 1 على n
+
+54
+00:04:44,350 --> 00:04:48,610
+وهذا ثمتناه في المحاضرات السابقة راجعوا البرهان
+
+55
+00:04:48,610 --> 00:04:54,800
+وكتبوا برهان مشابه له بنفس الطريقة نثبت ان الانثرام
+
+56
+00:04:54,800 --> 00:04:58,660
+لسيكوانس هادى أو الست هادى صفر إذا حسب ال
+
+57
+00:04:58,660 --> 00:05:01,400
+monotone convergence theorem ال sequence واحد على
+
+58
+00:05:01,400 --> 00:05:05,700
+جذر n is convergent وال limit تبعتها بساوي
+
+59
+00:05:05,700 --> 00:05:10,240
+الانثرام تبعها اللي هو صفر إذا هي مثال على تطبيق
+
+60
+00:05:10,240 --> 00:05:15,570
+ال monotone convergence theorem كذلك ممكن برضه زي
+
+61
+00:05:15,570 --> 00:05:18,810
+ما قلتلكم نستخدم ال monotone convergence theorem
+
+62
+00:05:18,810 --> 00:05:26,750
+في إثبات أن سيكوانس زي هذه is divergent نشوف
+
+63
+00:05:26,750 --> 00:05:30,870
+مع بعض كيف .. إذا هنا هاي سيكوانس الحد العام تبعها
+
+64
+00:05:30,870 --> 00:05:37,490
+xn هذا ال nth partial sum بالمناسبة هذا ال nth
+
+65
+00:05:37,490 --> 00:05:43,330
+partial sum في ال harmonic series سيجما من K بساوي
+
+66
+00:05:43,330 --> 00:05:50,210
+واحد to infinity لواحد على K وهدا
+
+67
+00:05:50,210 --> 00:05:53,110
+ال harmonic series is divergent معروف في calculus
+
+68
+00:05:53,110 --> 00:06:00,190
+بقى ال series هدا is divergent وهدا الحد العام في ال
+
+69
+00:06:00,190 --> 00:06:04,730
+sequence of partial sums وفي calculus بقى درسنا
+
+70
+00:06:04,730 --> 00:06:10,330
+إذا بتذكروا إذا فاكرين حاجة من الموضوع هذا إنه a
+
+71
+00:06:10,330 --> 00:06:13,970
+series converges if and only if ال sequence of
+
+72
+00:06:13,970 --> 00:06:18,130
+partial sums is convergent فلو ال series is
+
+73
+00:06:18,130 --> 00:06:21,130
+divergent ال sequence of partial sums is divergent
+
+74
+00:06:21,130 --> 00:06:24,830
+هذه هي ال sequence of partial sums هدا بتنها
+
+75
+00:06:24,830 --> 00:06:31,150
+divergent بس مش باستخدام calculus بقى باستخدام ال
+
+76
+00:06:31,150 --> 00:06:37,300
+monotone convergence theorem طيب ال sequence هي
+
+77
+00:06:37,300 --> 00:06:43,920
+الحد العام xn إذا الحد رقم n زائد واحد هي بنضيف
+
+78
+00:06:43,920 --> 00:06:49,400
+زائد واحد على n زائد واحد للمجموع هذا اللي هو xn
+
+79
+00:06:49,400 --> 00:06:54,320
+صح؟ وبالتالي زي ما أنتو شايفين الحد xn زائد واحد
+
+80
+00:06:54,320 --> 00:07:00,560
+هو الحد xn زائد حد موجب وبالتالي هذا أكبر من xn
+
+81
+00:07:02,310 --> 00:07:06,670
+الكلام هذا صحيح لكل n إذاً هذا معناه إن ال
+
+82
+00:07:06,670 --> 00:07:14,690
+sequence xn is increasing، متزايدة، الآن أنا في
+
+83
+00:07:14,690 --> 00:07:19,410
+عندي sequence xn، هذه الحد الآن تبعها، وال
+
+84
+00:07:19,410 --> 00:07:25,600
+sequence هذه increasing، monotone يعني الآن ال
+
+85
+00:07:25,600 --> 00:07:30,700
+monotone convergence بتقول لي عشان أثبت أن ال
+
+86
+00:07:30,700 --> 00:07:34,260
+sequence هذي convergent لازم أثبت إنها bounded
+
+87
+00:07:34,260 --> 00:07:39,860
+وعشان أثبت إنها divergent لازم أثبت إنها unbounded
+
+88
+00:07:39,860 --> 00:07:44,520
+فتعالوا نفحص هل هي bounded ولا لأ إذا طلعت bounded
+
+89
+00:07:44,520 --> 00:07:48,640
+بتكون convergent إذا طلعت unbounded بتكون
+
+90
+00:07:48,640 --> 00:07:49,360
+divergent
+
+91
+00:07:52,580 --> 00:07:57,960
+تعالوا نشوف الحد العام يعني هنا في حاخد ال
+
+92
+00:07:57,960 --> 00:08:04,200
+sequence بدل x in  x اللي الحد العام تبعها two to n
+
+93
+00:08:04,200 --> 00:08:09,640
+هذه عبارة عن subsequence فهذه subsequence من ال
+
+94
+00:08:09,640 --> 00:08:10,820
+sequence x in
+
+95
+00:08:16,700 --> 00:08:21,480
+يعني هذه جزء من ال sequence هذه هذه أول حد فيها x
+
+96
+00:08:21,480 --> 00:08:27,400
+رقم مؤشر تبعه اتنين صح؟ يعني هذه حدود ال sequence
+
+97
+00:08:27,400 --> 00:08:32,620
+هذه x اتنين لما n بساوي واحد بعدين اللي بعده x
+
+98
+00:08:32,620 --> 00:08:40,100
+أربع بعدين x تمام يعني وهكذا طبعا هذه الحدود هذه
+
+99
+00:08:40,100 --> 00:08:44,980
+كلها موجودة هنا صح؟ فهذه بنسميها subsequence من ال
+
+100
+00:08:44,980 --> 00:08:49,090
+sequence الأصلي الآن أنا بدي اخذ الحد العام لل sub
+
+101
+00:08:49,090 --> 00:08:56,750
+sequence دي اللي المؤشر تبعه 2 أس n بدل n طيب
+
+102
+00:08:56,750 --> 00:09:01,170
+أنا عند xn بساوي المجموعة هذا واحد زائد نص زائد تلت
+
+103
+00:09:01,170 --> 00:09:06,290
+آخر حد واحد على n طب لما بدي ال n بـ 2 أس n هيطلع
+
+104
+00:09:06,290 --> 00:09:10,650
+عندي المجموعة واحد زائد نص زائد تلت إلى آخر حد واحد
+
+105
+00:09:10,650 --> 00:09:16,620
+على 2 أس n صح؟ هذا من تعريف ال sequence الآن الحدود
+
+106
+00:09:16,620 --> 00:09:25,340
+هذه تبع المجموع هعملها blocks، بلوكات فواحد لوحده
+
+107
+00:09:25,340 --> 00:09:31,320
+في block، نص لوحده، هاخد التلت والربع مع بعض،
+
+108
+00:09:31,320 --> 00:09:38,080
+بعدين ال block الرابع هتكون خمس وسدس وسبعة وثمان، أربع حدود مع بعض، اجمعهم مع بعض وهكذا إلى ال
+
+109
+00:09:38,080 --> 00:09:44,840
+block الأخيرة اللي هي 1 على 2 أس N سالب 1 زائد 1
+
+110
+00:09:44,840 --> 00:09:51,220
+إلى 1 على 2 أس N طيب
+
+111
+00:09:51,220 --> 00:09:56,660
+هاي ال 1 نزل النص، الآن التلت هذا، التلت أكبر من
+
+112
+00:09:56,660 --> 00:10:02,080
+ربع إن علامة التساوي هذه صارت أكبر، يعني بدلت
+
+113
+00:10:02,080 --> 00:10:06,820
+التلت بربع، والتلت أكبر من ربع فصار مجموع ربعين
+
+114
+00:10:06,820 --> 00:10:12,650
+الآن في ال block اللي بعديها في عندي خمس وسُدس و
+
+115
+00:10:12,650 --> 00:10:16,090
+سبعة تمن كل واحد منهم أكبر من أو يساوي التمن فعشان
+
+116
+00:10:16,090 --> 00:10:22,110
+يصير في عندي هنا تمن زي تمن زي تمن أربع مرات اللي
+
+117
+00:10:22,110 --> 00:10:27,450
+هو بطلع نص أربعة أتمان نص وهنا ربعين نص صح؟ وهنا
+
+118
+00:10:27,450 --> 00:10:34,390
+هذا الحد اللي هنا هذا أكبر من واحد على اتنين أس n
+
+119
+00:10:34,390 --> 00:10:39,910
+لأنه 2 أس n أكبر من 2 أس n سالب 1 زائد
+
+120
+00:10:39,910 --> 00:10:44,450
+واحد لكل n إذاً هذا أكبر من واحد على 2 أس n
+
+121
+00:10:44,450 --> 00:10:49,050
+والبعد أكبر من واحد على 2 أس n وهكذا إذاً هنا
+
+122
+00:10:49,050 --> 00:10:53,410
+عندي واحد على 2 أس n مجموعة على نفسه 2
+
+123
+00:10:53,410 --> 00:10:57,550
+أس n سالب 1 من المرات مجموعهم بيساوي مجموع دول
+
+124
+00:11:03,890 --> 00:11:07,030
+بيساوي 2 أس n سالب 1 في 1 على 2 أس n
+
+125
+00:11:07,030 --> 00:11:11,650
+بيطلع نص إذا هذا المجموعة نص وهذا نص واللي بعده
+
+126
+00:11:11,650 --> 00:11:16,990
+نص كلهم نصارى ما عدا أول حد إذا واحد وهي نص وهذا نص
+
+127
+00:11:16,990 --> 00:11:23,670
+اللي بعده نص وآخر واحد نص طب كم حد في هنا هاي حد
+
+128
+00:11:23,670 --> 00:11:29,950
+ودول عددهم n من الحدود وهذا عدد هاي n زائد واحد
+
+129
+00:11:29,950 --> 00:11:34,870
+من الحدود طب هدول عددهم n لما أجمع عدد على نفسه
+
+130
+00:11:34,870 --> 00:11:38,810
+n من المرات بيطلع n في نص اللي هو n على 2 زائد
+
+131
+00:11:38,810 --> 00:11:42,770
+واحد طيب لما n تقول لـ infinity n على 2 يقول لـ
+
+132
+00:11:42,770 --> 00:11:46,570
+infinity وبالتالي 1 زائد n على 2 بيروح لـ
+
+133
+00:11:46,570 --> 00:11:50,410
+infinity تمام؟
+
+134
+00:11:50,410 --> 00:11:54,690
+إذا أنا عندي الحد العام لل sequence هذه أو ال
+
+135
+00:11:54,690 --> 00:12:02,730
+subsequence طولها أكبر من مقدار يقول لـ infinity هو
+
+136
+00:12:02,730 --> 00:12:14,510
+بالتالي إذا
+
+137
+00:12:14,510 --> 00:12:21,510
+أنا عندي x to 2 to n tends to infinity as n
+
+138
+00:12:21,510 --> 00:12:29,270
+tends to infinity وبالتالي هذا معناه أن x 2 to n
+
+139
+00:12:29,270 --> 00:12:38,330
+أكبر من M لكل M عدد موجب ما معناه أن ال limit
+
+141
+00:12:38,330 --> 00:12:42,730
+لحد
+
+142
+00:12:42,730 --> 00:12:47,650
+هذا أو الـ sequence X المؤشرات تبقى 2 نص M تقول
+
+143
+00:12:47,650 --> 00:12:52,750
+infinity معناته هذا الحد العام لها أكبر من أي عدد
+
+144
+00:12:52,750 --> 00:12:58,800
+موجب، بالتالي إذا الـ subsequence هذه اللي هي الحد
+
+145
+00:12:58,800 --> 00:13:06,980
+العام تبعها X plus 2N is unbounded وبالتالي
+
+146
+00:13:06,980 --> 00:13:15,560
+فهذا بيؤدي إن الـ sequence XN نفسها is unbounded
+
+147
+00:13:15,560 --> 00:13:21,300
+لأنه لو كانت الـ sequence bounded فأي sub-sequence 
+
+148
+00:13:21,300 --> 00:13:25,420
+منها اللي هي جزء منها هتكون bounded صح؟ هذا واضح
+
+149
+00:13:25,420 --> 00:13:30,740
+تمام، الآن by monotone convergence theorem الـ
+
+150
+00:13:30,740 --> 00:13:37,340
+sequence XN is unbounded وبالتالي it is divergent
+
+151
+00:13:37,340 --> 00:13:45,000
+لأن لو كانت convergent فلازم تكون bounded، okay، إذا
+
+152
+00:13:45,000 --> 00:13:49,600
+هاي استخدمنا الـ monotone convergence theorem لإثبات
+
+153
+00:13:49,600 --> 00:13:52,140
+أن سيكوانس معينة 
+
+154
+00:13:52,140 --> 00:13:52,840
+مُعينة
+
+155
+00:13:52,840 --> 00:13:56,680
+مُعينة 
+
+156
+00:13:56,680 --> 00:13:59,900
+مُعينة
+
+157
+00:13:59,900 --> 00:14:00,660
+مُعينة
+
+158
+00:14:00,660 --> 00:14:05,360
+مُعينة
+
+159
+00:14:05,360 --> 00:14:11,900
+مُعينة
+
+160
+00:14:11,900 --> 00:14:12,220
+مُعينة
+
+161
+00:14:16,610 --> 00:14:21,230
+المثال الثالث برضه هنستخدم .. هنطبق عليه اللي هو
+
+162
+00:14:21,230 --> 00:14:23,790
+الـ monotone convergence theorem
+
+163
+00:14:34,440 --> 00:14:40,520
+بس هذا المثال مختلف عن المثالين السابقين، الآن أنا 
+
+164
+00:14:40,520 --> 00:14:44,820
+بدي أعرف الـ sequence XN inductively بطريقة 
+
+165
+00:14:44,820 --> 00:14:52,860
+استقرائية، شفنا
+
+166
+00:14:52,860 --> 00:14:56,460
+إحنا لما بدينا الـ chapter هذا إن الـ sequences can
+
+167
+00:14:56,460 --> 00:15:01,740
+be defined in two ways، إما explicitly زي مثلا الـ
+
+168
+00:15:01,740 --> 00:15:06,900
+sequence XN بالساوي 1 على N أو recursively أو 
+
+169
+00:15:06,900 --> 00:15:11,520
+inductively بطريقة استقرائية بأن أنا آخذ قيمة للحد
+
+170
+00:15:11,520 --> 00:15:16,440
+الأول أو أول حدين أعطيهم قيم محددة، وبعدين أعرف
+
+171
+00:15:16,440 --> 00:15:22,510
+الحد العام بدالة الحدود اللي قبله، فهي اندي الحد 
+
+172
+00:15:22,510 --> 00:15:28,110
+الأول نفرض إنه بيساوي 1، الآن بنعرف XN زيادة 1
+
+173
+00:15:28,110 --> 00:15:31,870
+عليه إنّه square root لـ 2 ضرب الحد اللي جبناه 
+
+174
+00:15:31,870 --> 00:15:35,970
+وهذا لكل N، لأن بالطريقة هذه ممكن أعرف إن هذا
+
+175
+00:15:35,970 --> 00:15:39,610
+بيعطينا sequence، الآن هذه الـ sequence عايزين نثبت
+
+176
+00:15:39,610 --> 00:15:44,610
+إنها convergent بالإضافة إلى إن الـ limit تبعها بيساوي
+
+177
+00:15:44,610 --> 00:15:45,350
+لعدد 2
+
+178
+00:15:48,640 --> 00:15:52,540
+لبُرهان ذلك سنستخدم الـ monotone convergence
+
+179
+00:15:52,540 --> 00:15:57,940
+theorem عشان 
+
+180
+00:15:57,940 --> 00:16:01,680
+أقدر أستخدم الـ monotone convergence theorem، ففي 
+
+181
+00:16:01,680 --> 00:16:07,300
+عندي الـ claim الأول، يعني بدي أثبت في الادعاء الأول
+
+182
+00:16:07,300 --> 00:16:14,260
+هذا إن الـ sequence XN is increasing and bounded by
+
+183
+00:16:14,260 --> 00:16:14,640
+2
+
+184
+00:16:18,060 --> 00:16:24,180
+فلبرهان ذلك بنلاحظ 
+
+185
+00:16:24,180 --> 00:16:31,920
+إنّ X1 من التعريف تبع الـ sequence X1 بيساوي 1 و X2
+
+186
+00:16:31,920 --> 00:16:34,660
+ممكن أجيبها من الـ recursive formula أو الـ 
+
+187
+00:16:34,660 --> 00:16:39,500
+inductive formula إنّ أنا آخذ N بيساوي 1 فبيطلع X2
+
+188
+00:16:39,500 --> 00:16:49,840
+بيساوي جذر 2 لـ X1 و X1 = 1، إذاً X2 بيطلع جذر 2 وبالتالي
+
+189
+00:16:49,840 --> 00:16:54,160
+من الحسابات هذه بيطلع إندي هاي X1 X1 
+
+190
+00:16:54,160 --> 00:16:59,080
+بيساوي 1 وبالتالي أكبر منها بيساوي 1 وأصغر
+
+191
+00:16:59,080 --> 00:17:04,420
+من X2 لأن X2 جذر 2، الواحد أصغر من 
+
+192
+00:17:04,420 --> 00:17:08,620
+جذر 2، و
+
+193
+00:17:08,620 --> 00:17:12,960
+X2 اللي هو جذر 2 أصغر من الـ 2، لأن كل
+
+194
+00:17:12,960 --> 00:17:13,760
+هذا صحيح
+
+195
+00:17:19,580 --> 00:17:25,920
+تمام؟ لسه ما خلصناهش، لسه ما خلصناهش، إحنا ما فرضنا
+
+196
+00:17:25,920 --> 00:17:30,580
+إنّه صحيح، إحنا أثبتناه لسه
+
+197
+00:17:30,580 --> 00:17:35,220
+ما أثبتناش هذا الـ claim، لسه ما أثبتناه، إحنا لسه ده 
+
+198
+00:17:35,220 --> 00:17:41,110
+بداية البرهان، البرهان لـ claim بدأنا بما لاحظنا إنّ 
+
+199
+00:17:41,110 --> 00:17:47,150
+X1 من التعريف طلع بيساوي 1 و X2 حسبناها منها 
+
+200
+00:17:47,150 --> 00:17:51,630
+بيساوي جذر 2 لـ X1 اللي هو جذر 2 وبالتالي
+
+201
+00:17:51,630 --> 00:17:58,270
+بيطلع إندي هيك هاي X1 أكبر من أو يساوي 1 وأصغر
+
+202
+00:17:58,270 --> 00:18:03,850
+من جذر 2 اللي هو X2، و X2 اللي هي جذر 2
+
+203
+00:18:03,850 --> 00:18:09,210
+أصغر من 2، ليش إحنا عملنا هذا الكلام؟ لأن هيبين
+
+204
+00:18:09,210 --> 00:18:16,170
+الآن now الآن بدي أثبت، بدي أستخدم الـ induction we
+
+205
+00:18:16,170 --> 00:18:28,150
+use induction لإثبات العبارة هذه، وهي إنّ XN أصغر من 
+
+206
+00:18:28,150 --> 00:18:32,970
+XN زائد 1، وهذا أصغر من 2، وهذا أكبر من أو يساوي
+
+207
+00:18:32,970 --> 00:18:41,020
+الـ 1 لكل N،  للبُرهان صحة العبارة هذه by induction 
+
+208
+00:18:41,020 --> 00:18:47,240
+طيب الحالة اللي فيها آخذ N بيساوي 1، الحالة اللي
+
+209
+00:18:47,240 --> 00:18:53,300
+فيها N بيساوي 1 هي هاي X1 أكبر من أو يساوي
+
+210
+00:18:53,300 --> 00:19:01,340
+1 هذا هو، وأصغر من X2 هذا هو، X2 أصغر من 2
+
+211
+00:19:01,340 --> 00:19:05,280
+إذاً العبارة هذه صحيحة لما N بيساوي 1، لأنه هنا
+
+212
+00:19:05,280 --> 00:19:10,280
+أثبتناها الآن
+
+213
+00:19:10,280 --> 00:19:18,920
+افرضي .. افرضي أن العبارة صحيحة عند N بيساوي K يعني 
+
+214
+00:19:18,920 --> 00:19:27,820
+عندك هنا XK أكبر من أو يساوي 1 أصغر من X K زائد
+
+215
+00:19:27,820 --> 00:19:34,100
+1 أصغر من 2، هنا فرضنا هذا الـ induction hypothesis
+
+216
+00:19:34,100 --> 00:19:41,920
+وعايزين نثبت إن هذا بيؤدي إن العبارة
+
+217
+00:19:41,920 --> 00:19:48,980
+صحيحة عند N بيساوي K زائد 1، يعني بدي أثبت هذه
+
+218
+00:19:48,980 --> 00:19:50,660
+المتباينة
+
+219
+00:19:55,390 --> 00:20:02,590
+بدي أثبت المتباينة هذه، طبعًا، فتعالوا نشوف كيف نثبت
+
+220
+00:20:02,590 --> 00:20:21,690
+المتباينة هذه، طيب
+
+221
+00:20:21,690 --> 00:20:29,980
+أنا عندي، هي عندي المتباينة هذه إحنا 
+
+222
+00:20:29,980 --> 00:20:49,600
+فرضنا إن المتباينة هذه صحيحة، إحنا
+
+223
+00:20:49,600 --> 00:20:52,640
+فرضنا من induction hypothesis إن هذه المتباينة
+
+224
+00:20:52,640 --> 00:20:58,910
+صحيحة، أضرب المتباينة هذه في 2 هي أضرب كل 
+
+225
+00:20:58,910 --> 00:21:02,710
+الأطراف في 2، فبيصير 2 أصغر من 2XK أصغر
+
+226
+00:21:02,710 --> 00:21:09,290
+من 2XK زائد 1 أصغر من 4، وهذا بيؤدي إنّ
+
+227
+00:21:09,290 --> 00:21:11,570
+1 أصغر من جذر 2
+
+228
+00:21:15,730 --> 00:21:21,830
+وإذا أنا الآن بأخذ الجذر التربيعي لكل الأطراف هذه
+
+229
+00:21:21,830 --> 00:21:26,750
+آخذ الجذر التربيعي، فهي جذر 2 طبعًا أكبر من 1
+
+230
+00:21:26,750 --> 00:21:34,350
+أصغر منه يساوي جذر 2XK اللي هو XK زائد 1
+
+231
+00:21:34,350 --> 00:21:37,770
+هذا طبعًا من التعريف تبع الـ sequence من الـ
+
+232
+00:21:37,770 --> 00:21:43,130
+inductive formula، جذر 2XK حسب التعريف بيساوي
+
+233
+00:21:43,130 --> 00:21:50,440
+XK زائد 1، وهذا أصغر من هنا، جذر 2XK أصغر من
+
+234
+00:21:50,440 --> 00:21:56,840
+جذر 2XK زائد 1، وهذا أصغر من جذر الـ 4
+
+235
+00:21:56,840 --> 00:22:01,180
+اللي هو الـ 2، إذاً هاي بيطلع عندي 1 أصغر من أو
+
+236
+00:22:01,180 --> 00:22:06,580
+يساوي XK زائد 1، وهذا برضه من الـ inductive
+
+237
+00:22:06,580 --> 00:22:15,940
+formula، الجذر التربيعي هذا بيساوي XK زائد 2، إذاً 
+
+238
+00:22:15,940 --> 00:22:21,620
+هي 1 أصغر من أو يساوي XK زائد 1 أصغر من XK زائد 2
+
+239
+00:22:21,620 --> 00:22:28,100
+أصغر من 2، وبالتالي إذا أثبتنا إحنا صحة العبارة هذه
+
+240
+00:22:28,100 --> 00:22:34,700
+عن K زائد 1، وبالتالي هيك بنكون كملنا الـ induction
+
+241
+00:22:34,700 --> 00:22:43,060
+okay، طبعًا إذا الـ claim تعالوا نشوف الآن ليش الـ
+
+242
+00:22:43,060 --> 00:22:48,470
+sequence، اه ليه الـ sequence تبعنا بتطلع bounded
+
+243
+00:22:48,470 --> 00:22:55,530
+و increasing، فاكرين إحنا أثبتنا by induction إنّ X
+
+244
+00:22:55,530 --> 00:23:01,810
+N أصغر من XN زائد 1 أصغر من 2 أكبر من 
+
+245
+00:23:01,810 --> 00:23:10,150
+أو يساوي 1 لكل N من الجزء هذا نستنتج
+
+246
+00:23:10,150 --> 00:23:14,460
+إنّ الـ sequence is increasing صح؟ لأن هي عندي XN 
+
+247
+00:23:14,460 --> 00:23:21,640
+أصغر من XN زائد 1 لكل N ومن المتباينة كلها يعني
+
+248
+00:23:21,640 --> 00:23:28,200
+اللي هي XN أصغر من 2 أكبر من أو يساوي 1 لكل N 
+
+249
+00:23:28,200 --> 00:23:32,080
+هذا معناه الـ sequence bounded هي محصورة بين 1
+
+250
+00:23:32,080 --> 00:23:37,160
+و 2 و bounded above by 2، لذلك هذا يكمل
+
+251
+00:23:37,160 --> 00:23:42,800
+برهان الـ claim الأول يعني، وهو إنّه sequence XN 
+
+252
+00:23:42,800 --> 00:23:47,240
+increasing و bounded الآن، by monotone convergence 
+
+253
+00:23:47,240 --> 00:23:53,140
+theorem الـ sequence XN هتكون convergent، دعينا
+
+254
+00:23:53,140 --> 00:23:56,840
+نسمي الـ limit تبعها X وطبعًا حسب الـ monotone 
+
+255
+00:23:56,840 --> 00:23:59,480
+convergence theorem بما إنّ sequence increasing
+
+256
+00:23:59,480 --> 00:24:05,960
+إذاً الـ limit تبعها بيساوي الـ supremum لها كـ set، إذاً
+
+257
+00:24:05,960 --> 00:24:09,600
+أنا في عندي الآن الـ sequence تبعيتي convergent هي
+
+258
+00:24:09,600 --> 00:24:17,620
+عندي limit XN convergent بيساوي X اللي هي طبعًا 
+
+259
+00:24:17,620 --> 00:24:21,580
+حسب النظرية بيساوي الـ supremum، الآن بدي أجيب قيمة 
+
+260
+00:24:21,580 --> 00:24:25,460
+الـ X هذا طبعًا 
+
+261
+00:24:25,460 --> 00:24:30,560
+مش سهل إنّ أجيب الـ supremum لـ الـ sequence فبجيبها 
+
+262
+00:24:30,560 --> 00:24:35,600
+بطريقة ثانية، إذاً 
+
+263
+00:24:35,600 --> 00:24:38,560
+الـ claim الثاني بدي أثبت إنّ الـ X الـ limit لـ الـ
+
+264
+00:24:38,560 --> 00:24:40,720
+sequence اللي هي X بيساوي 2
+
+265
+00:24:43,730 --> 00:24:47,450
+طيب أنا عندي من تعريف الـ sequence، أنا عندي XN زائد 
+
+266
+00:24:47,450 --> 00:24:53,070
+1 بيساوي جذر 2XN، وهذا الكلام صحيح for 
+
+267
+00:24:53,070 --> 00:24:57,870
+every N، نأخذ الـ limit للطرفين لما N تؤول لـ
+
+268
+00:24:57,870 --> 00:25:02,050
+infinity، بتطلع limit XN زائد 1 بيساوي limit جذر 
+
+269
+00:25:02,050 --> 00:25:08,390
+2 ثابت في limit جذر الـ XN، مظبوط؟ 
+
+270
+00:25:09,940 --> 00:25:15,160
+طيب إحنا فرضنا أو إحنا استنتجنا، إحنا لسه مستنتجين
+
+271
+00:25:15,160 --> 00:25:19,340
+من الـ monotone convergence إنّ limit XN بيساوي X
+
+272
+00:25:19,340 --> 00:25:25,400
+وبالتالي limit XN زائد 1 برضه بتساوي X وهي 
+
+273
+00:25:25,400 --> 00:25:31,220
+بيساوي جذر 2 و limit جذر XN بيساوي جذر الـ X
+
+274
+00:25:31,220 --> 00:25:36,980
+حسب نظرية سابقة، إذا الـ limit هذه، إذا هي X وجذر
+
+275
+00:25:36,980 --> 00:25:40,820
+2 في الـ limit هذه بتطلع جذر الـ X، إذاً أصبح عندي الآن
+
+276
+00:25:40,820 --> 00:25:46,380
+دي معادلة في مجهول واحد X ممكن أحلها، وذلك بتربيع
+
+277
+00:25:46,380 --> 00:25:53,740
+الطرفين فالمعادلة هذه بعد مربعها تصير هيك، وهذه في 
+
+278
+00:25:53,740 --> 00:25:59,340
+إلها حالين إما X بيطلع بيساوي 0 أو X بيساوي 2
+
+279
+00:25:59,340 --> 00:26:04,940
+إحنا عايزين الـ X نأخذ X بيساوي 2 ونرفض X بيساوي
+
+280
+00:26:04,940 --> 00:26:10,700
+0، طب ليه نرفض X بيساوي 0؟ لأن أثبتنا هنا by
+
+281
+00:26:10,700 --> 00:26:20,340
+induction أن xn أكبر من أو يساوي واحد وأصغر من الاثنين
+
+282
+00:26:20,340 --> 00:26:25,960
+وأثبتنا أن هذه المتتالية convergent، إذا حسب
+
+283
+00:26:25,960 --> 00:26:27,200
+نظرية سابقة
+
+284
+00:26:30,490 --> 00:26:38,230
+إذن حدّ المتتالية xn سيقع بين 2 و 1
+
+285
+00:26:38,230 --> 00:26:42,650
+بين 1 و 2. خدمة نظرية بتقول لو كانت المتتالية xn 
+
+286
+00:26:42,650 --> 00:26:48,610
+convergent و xn أكبر من أو يساوي a وأصغر من أو يساوي
+
+287
+00:26:48,610 --> 00:26:53,570
+b لكل n فحدّ المتتالية xn سيقع أيضا بين
+
+288
+00:26:53,570 --> 00:26:59,560
+a و b، يعني طب هيدي هي الـ X. فرضنا أن حدّ المتتالية هيدي
+
+289
+00:26:59,560 --> 00:27:04,060
+X إذا بيطلع أنا عندي X أكبر من أو يساوي 1 وأصغر من 
+
+290
+00:27:04,060 --> 00:27:07,920
+الاثنين وبالتالي مستحيل الـ X اللي هي محصورة بين
+
+291
+00:27:07,920 --> 00:27:15,420
+1 و 2 مستحيل تساوي صفر، مش ممكن تساوي صفر
+
+292
+00:27:15,420 --> 00:27:19,820
+إذا لازم تساوي 2، وأنا عندي صفر أو 2 إذا لازم
+
+293
+00:27:19,820 --> 00:27:25,570
+تساوي 2، Okay. إذا هيني هيك استخدمنا الـ monotone
+
+294
+00:27:25,570 --> 00:27:31,030
+convergence. بالمثل في عندك تمارين زي هيك المتتاليات
+
+295
+00:27:31,030 --> 00:27:36,290
+بتُعرف inductively و هتثبتوا أنها convergent و
+
+296
+00:27:36,290 --> 00:27:40,750
+بتجيبوا قيمة الحدّ بنفس الطريقة و بنفس الأسلوب
+
+297
+00:27:40,750 --> 00:27:46,250
+فحاولوا تستفيدوا من حل المثال الأخير هذا في حل مثل
+
+298
+00:27:46,250 --> 00:27:52,770
+هذه التمارين، Okay تمام. واضح؟ إذن هنا أخدنا تطبيقات
+
+299
+00:27:52,770 --> 00:27:56,230
+متنوعة على الـ monotone convergence theorem وهي
+
+300
+00:27:56,230 --> 00:28:03,570
+التمارين لـ section 3.3 نبدأ
+
+301
+00:28:03,570 --> 00:28:09,230
+section 4 أو 3.4 نعم بيقول إنه ممكن
+
+302
+00:28:09,230 --> 00:28:13,790
+نحلّ بطريقة ثانية ونثبت أن الاثنين يوصلوا لـ X
+
+303
+00:28:13,790 --> 00:28:17,770
+مظبوط، صحيح، الاثنين بيتحركوا على طريق الـ limit اللي هي
+
+304
+00:28:17,770 --> 00:28:18,610
+الـ X
+
+305
+00:28:21,690 --> 00:28:28,990
+والله أنت فاكر فيه وبعدين قولي لي هي
+
+306
+00:28:28,990 --> 00:28:34,050
+عندك المتتالية حدودها معروفة معرفة، ممكن تكتب أول
+
+307
+00:28:34,050 --> 00:28:40,010
+أربع خمس حدود وتحاول تستنتجي إيه هي قيمة الـ
+
+308
+00:28:40,010 --> 00:28:44,930
+supreme وتبرهنها طبعا، فهذا متروك إليك
+
+309
+00:28:47,810 --> 00:28:52,030
+هذا يعني حل آخر، فأنا قلت أن الـ suprem مش سهل أن
+
+310
+00:28:52,030 --> 00:28:56,070
+احنا نجيبه لمتتاليات زي هيك أو للمجموعات
+
+311
+00:28:56,070 --> 00:28:59,230
+وبالتالي الـ monotone convergence في الفيلم كان
+
+312
+00:28:59,230 --> 00:29:03,390
+ممكن يكون أسهل، لأن ها الكلام التاني هذا الأخير
+
+313
+00:29:03,390 --> 00:29:07,270
+ماأخذش وقت، يعني أخذنا الـ inductive formula
+
+314
+00:29:07,270 --> 00:29:11,570
+formula وأخذنا حدّ الطرفين وحلّينا معادلة في 
+
+315
+00:29:11,570 --> 00:29:16,800
+X وادركنا أن الـ X مش لازم تساوي صفر من هنا لأن X
+
+316
+00:29:16,800 --> 00:29:20,820
+محصورة بين 1 و 2. هذا أسهل من أن أنا أجيب الـ
+
+317
+00:29:20,820 --> 00:29:26,940
+supreme لكن هذا ما يمنعش أن ممكن حد معين يثبت أن الـ
+
+318
+00:29:26,940 --> 00:29:33,060
+supreme هو 2 إذا كان سهل فكان يعني نستخدمه، مش
+
+319
+00:29:33,060 --> 00:29:35,240
+سهل نستخدم الـ monotone convergence
+
+320
+00:29:49,630 --> 00:29:56,070
+الـ sub-sequences and Bolzano-Weierstrass theorem،
+
+321
+00:29:56,070 --> 00:29:59,350
+الـ sub-sequences شفنا قبل شوية sub-sequence
+
+322
+00:30:11,180 --> 00:30:15,400
+شفنا قبل لحظات في المثال الثاني إنه في عنده
+
+323
+00:30:15,400 --> 00:30:26,540
+متتالية هي، عنده متتالية xn حدودها x1, x2, x3, x4
+
+324
+00:30:26,540 --> 00:30:34,160
+وهكذا وفي كانت متتالية ثانية، حدودها 2
+
+325
+00:30:34,160 --> 00:30:52,420
+أُس n، الحدود هذي هتكون X2 X4 X8 وهكذا، صح؟ لو سمينا 
+
+326
+00:30:52,420 --> 00:31:01,340
+الـ 2 هذي R1 والـ 4 هذي سميناها R2 والـ 8 R3
+
+327
+00:31:04,820 --> 00:31:10,940
+فبنلاحظ أن R1 أكبر من أو يساوي 1، عدد طبيعي أكبر
+
+328
+00:31:10,940 --> 00:31:19,320
+من أو يساوي 1، وR2 أكبر من R1، اللي هو 4 أكبر
+
+329
+00:31:19,320 --> 00:31:29,050
+من 2، وR3 اللي هو 8 أكبر من R2 وهكذا، إذا
+
+330
+00:31:29,050 --> 00:31:34,810
+الـ sub sequence المؤشرات تبعها أو الـ indices أنا
+
+331
+00:31:34,810 --> 00:31:40,330
+باسميه index، مجموعة index indices الـ indices أو
+
+332
+00:31:40,330 --> 00:31:44,710
+المؤشرات للـ sub sequence هي أعداد طبيعية، هذا هي
+
+333
+00:31:44,710 --> 00:31:49,890
+2، 4، 8، هي أعداد طبيعية، والاعداد الطبيعية
+
+334
+00:31:49,890 --> 00:31:55,170
+هذه بتشكل متتالية، هذه عبارة عن متتالية من
+
+335
+00:31:55,170 --> 00:32:01,880
+الأعداد الطبيعية، صح؟ والمتتالية هذه is strictly
+
+336
+00:32:01,880 --> 00:32:08,200
+.. strictly increasing
+
+337
+00:32:08,200 --> 00:32:14,580
+.. strictly increasing، يعني متزايدة زيادة صحيحة
+
+338
+00:32:14,580 --> 00:32:18,860
+يعني R1 أصغر من R2 مش أصغر من أو يساوي R2
+
+339
+00:32:18,860 --> 00:32:23,280
+وR2 أصغر من R3 ولا تساوي R3 وهكذا
+
+340
+00:32:23,280 --> 00:32:25,780
+مظبوط؟ صح؟
+
+341
+00:32:29,030 --> 00:32:33,430
+إذا الـ subsequence الـ subsequence من أي متتالية هي
+
+342
+00:32:33,430 --> 00:32:39,350
+مجموعة جزئية منها، صح؟ لأن حدودها هي حدود حدود الـ
+
+343
+00:32:39,350 --> 00:32:46,130
+subsequence هي عناصر أو حدود من المتتالية الأصلية لكن
+
+344
+00:32:46,130 --> 00:32:52,170
+مش أي حدود لازم تكون مرتبة بحيث أن المؤشرات تبعها
+
+345
+00:32:52,170 --> 00:32:56,890
+بتشكل strictly increasing sequence of natural
+
+346
+00:32:56,890 --> 00:33:03,480
+numbers، تمام؟ زي هيك إذاً
+
+347
+00:33:03,480 --> 00:33:06,900
+هذا هو تعريف الـ subsequence إذا لو في أنا عندي
+
+348
+00:33:06,900 --> 00:33:12,060
+متتالية XN وأخذت strictly increasing sequence of
+
+349
+00:33:12,060 --> 00:33:17,620
+natural numbers فالـ sequence اللي المؤشرات تبعها
+
+350
+00:33:17,620 --> 00:33:24,060
+هي الـ sequence RN اللي هي هذه، عناصرها بنسميها
+
+351
+00:33:24,060 --> 00:33:30,640
+subsequence من الـ sequence XN، وها أمثلة هتبين هذه
+
+352
+00:33:30,640 --> 00:33:33,900
+الـ sequence x in الـ sequence of natural numbers
+
+353
+00:33:33,900 --> 00:33:40,860
+فهذه subsequence منها، 2 in الـ sequence of
+
+354
+00:33:40,860 --> 00:33:44,940
+even numbers أو even natural numbers ده هي على
+
+355
+00:33:44,940 --> 00:33:54,800
+سرعة 2، 4، 6 وهكذا وهذه عبارة عن متتالية
+
+356
+00:33:56,170 --> 00:34:03,930
+من الأعداد الفردية، 1، 3، 5 وهكذا
+
+357
+00:34:03,930 --> 00:34:11,550
+ وحدود المتتالية هذه هي XR1 هذا X2 هذا
+
+358
+00:34:11,550 --> 00:34:18,430
+رقمه هذا رقم 2، يعني R1 بيساوي 2 طيب XR
+
+359
+00:34:18,430 --> 00:34:25,450
+2، 4، XR2، R2 هذا حد رقم 4، R2 بيساوي
+
+360
+00:34:25,450 --> 00:34:31,610
+4 وR1 بيساوي 2 و2 أصغر من 4، XR
+
+361
+00:34:31,610 --> 00:34:39,130
+3، 6، R3 بيساوي 6 نفس الحاجة يعني هذه
+
+362
+00:34:39,130 --> 00:34:44,020
+subsequence وهذه subsequence من المتتالية X لأن
+
+363
+00:34:44,020 --> 00:34:48,280
+مؤشراتها كلها بشكل strictly increasing sequences
+
+364
+00:34:48,280 --> 00:34:53,000
+of natural numbers. بالمثل المتتالية 1 على 2 n
+
+365
+00:34:53,000 --> 00:35:03,540
+سالب 1 والمتتالية 1 على n factorial هدول
+
+366
+00:35:03,540 --> 00:35:07,840
+برضه أيضا sub sequences من المتتالية 1 على n
+
+367
+00:35:11,850 --> 00:35:16,490
+لكن المتتالية اللي حدودها 1
+
+368
+00:35:16,490 --> 00:35:24,370
+على 1، 0، 3، 0، 5، 0 وهكذا هذه ليست 
+
+369
+00:35:24,370 --> 00:35:32,450
+subsequence من المتتالية 1 على n لأن الصفر
+
+370
+00:35:32,450 --> 00:35:37,150
+هذا هي اللي، مش موجودة، ليست 3 اللي للـ sequence
+
+371
+00:35:37,150 --> 00:35:43,480
+هذه ومؤشرات الحدود، يعني لا تشكل strictly increasing
+
+372
+00:35:43,480 --> 00:35:47,640
+sequence. طيب
+
+373
+00:35:47,640 --> 00:35:52,780
+لو أخذت أي tail، أي M tail حيث M عدد طبيعي ثابت 
+
+374
+00:35:52,780 --> 00:35:58,740
+number فـ XM tail ده، M tail of any sequence Xn 
+
+375
+00:35:58,740 --> 00:36:03,640
+طبعا الـ M tail ده حدوده عبارة عن متتالية، الحد
+
+376
+00:36:03,640 --> 00:36:10,190
+الأول تبعها x capital M زائد 1، الحد الثاني x
+
+377
+00:36:10,190 --> 00:36:16,870
+capital M زائد 2، الثالث x capital M زائد 3 وهكذا، فطبعا
+
+378
+00:36:16,870 --> 00:36:21,170
+هذه عبارة عن sub sequence من المتتالية الأم لأن 
+
+379
+00:36:21,170 --> 00:36:26,510
+كل عنصر في الـ sub sequence هذه هي موجودة هنا، صح؟
+
+380
+00:36:26,510 --> 00:36:32,430
+والمؤشرات تبعات الـ sub-sequence هي M زائد 1 أصغر
+
+381
+00:36:33,790 --> 00:36:39,710
+من R2 اللي هو M زائد 2، وR2 أصغر من R
+
+382
+00:36:39,710 --> 00:36:45,830
+3 اللي هو M زائد 3 وكده، هذا sub-sequence 
+
+383
+00:36:45,830 --> 00:36:50,130
+ولا مش sub-sequence؟ لو أخذت أي متتالية Xn فأي
+
+384
+00:36:50,130 --> 00:36:54,950
+M tail هو sub-sequence منها. كذلك لو أخدت أي متتالية
+
+385
+00:36:54,950 --> 00:37:02,220
+xn فالـ sequence x اللي حدّها اللي مؤشر
+
+386
+00:37:02,220 --> 00:37:09,400
+تبعه 2 أس n هذي برضه subsequence زي ما شفنا، وx2n
+
+387
+00:37:09,400 --> 00:37:16,020
+الحدود الزوجية، لو أخذت الحدود الزوجية فقط فهذا
+
+388
+00:37:16,020 --> 00:37:21,340
+بعطيني subsequence ولو أخذت الحدود الفردية تعطيني
+
+389
+00:37:21,340 --> 00:37:25,840
+subsequence ثانية، ولا كده؟ الآن سؤال
+
+390
+00:37:25,840 --> 00:37:38,470
+اللي بهمنا احنا ما هي العلاقة بين المتتالية بالـ
+
+391
+00:37:38,470 --> 00:37:42,190
+subsequence من حيث الـ convergence و الـ divergence؟
+
+392
+00:37:42,190 --> 00:37:46,990
+يعني لو كانت المتتالية convergent لو في عندي
+
+393
+00:37:54,410 --> 00:37:56,950
+يعني لو كانت المتتالية convergent، لو في عندي 
+
+394
+00:37:56,950 --> 00:38:01,250
+متتالية xn convergent لـ x وأخذت أي sub sequence
+
+395
+00:38:01,250 --> 00:38:07,490
+منها هل هذه المتتالية لازم تكون convergent زيها
+
+396
+00:38:07,490 --> 00:38:11,890
+ولا divergent؟ لازم تكون convergent وحدّها
+
+397
+00:38:11,890 --> 00:38:22,770
+نفس حدّ المتتالية الأصلية، وله نفس الـ limit ماشي
+
+398
+00:38:22,770 --> 00:38:23,170
+لحظة
+
+399
+00:38:29,060 --> 00:38:29,860
+كثير من الناس
+
+400
+00:38:39,930 --> 00:38:46,370
+إذا كمان مرة بهمنا أنا أنه لو في عندي متتالية
+
+401
+00:38:46,370 --> 00:38:51,030
+نظرية هذه بتقول لو في عندي متتالية xn of real
+
+402
+00:38:51,030 --> 00:38:56,350
+numbers وكانت هذه المتتالية convergent لـ x فأي
+
+403
+00:38:56,350 --> 00:39:00,170
+subsequence منها بتكون convergent وحدّها
+
+404
+00:39:00,170 --> 00:39:05,330
+هو نفس حدّ المتتالية xn
+
+405
+00:39:08,450 --> 00:39:15,870
+وهذا يعني ممكن أن احنا نثبته بسهولة، عشان اثبت أن
+
+406
+00:39:15,870 --> 00:39:22,590
+الـ subsequence XRN converge لـ X فبستخدم تعريف الـ
+
+407
+00:39:22,590 --> 00:39:27,930
+capital N، فلو أخذت أي Y أكبر من الصفر أنا عندي المتتالية
+
+408
+00:39:27,930 --> 00:39:32,560
+الأصلية هي convergent لـ X، وبالتالي من
+
+409
+00:39:32,560 --> 00:39:36,720
+تعريف الـ convergence لما XM converged لـ X إذا
+
+410
+00:39:36,720 --> 00:39:39,940
+يوجد عدد طبيعي يعتمد على إبسلون بحيث أن المسافة
+
+411
+00:39:39,940 --> 00:39:45,700
+بين XM و X أصغر من إبسلون لكل M أكبر من أو يساوي
+
+412
+00:39:45,700 --> 00:39:52,980
+capital M طيب أنا عندي المؤشرات 
+
+413
+00:39:52,980 --> 00:39:58,160
+تبع الـ subsequence بتشكل increasing
+
+414
+00:39:58,160 --> 00:40:03,420
+sequence، وأول واحد.. أول عدد فيها طبعا هذا عدد
+
+415
+00:40:03,420 --> 00:40:09,800
+طبيعي وبالتالي أكبر من أو يساوي 1 فبالتالي الـ 
+
+416
+00:40:09,800 --> 00:40:15,160
+Rn، هدول الـ Rn ممكن إثبات باستخدام الـ induction أن
+
+417
+00:40:15,160 --> 00:40:22,220
+Rn أكبر من أو يساوي n لكل n وبالتالي
+
+418
+00:40:22,220 --> 00:40:28,970
+لو أخدت n أكبر من أو يساوي capital N فعندي أنا Rn من
+
+419
+00:40:28,970 --> 00:40:34,590
+هنا أكبر من أو يساوي n، والـ n أنا ماخده أكبر
+
+420
+00:40:34,590 --> 00:40:38,750
+من أو يساوي capital N إذا بيطلع عندي RN هاي بيطلع 
+
+421
+00:40:38,750 --> 00:40:43,150
+عندي RN أكبر من أو يساوي capital N وبالتالي من ال
+
+422
+00:40:43,150 --> 00:40:48,810
+implication 13، ال implication 13 بتقول لي لأي عدد 
+
+423
+00:40:49,980 --> 00:40:55,300
+أكبر من أو يساوي capital N، المسافة بين X للعدد هذا
+
+424
+00:40:55,300 --> 00:41:02,090
+للمؤشر هذا، سالب X أصغر من Y، إذا أنا هيك أثبتت ..
+
+425
+00:41:02,090 --> 00:41:07,550
+أنا هيك أثبتت أنه الـ .. لأي epsilon أكبر من الصفر
+
+426
+00:41:07,550 --> 00:41:12,190
+في capital N يعتمد على epsilon، بحيث لكل N أكبر منه
+
+427
+00:41:12,190 --> 00:41:16,830
+أو يساوي capital N، المسافة بين XRN و X أصغر من epsilon
+
+428
+00:41:16,830 --> 00:41:21,320
+وبالتالي من تعريف epsilon capital N للنهاية، أنا هيك
+
+429
+00:41:21,320 --> 00:41:27,640
+بكون أثبتت أنه limit xr n لما n تؤول لـ infinity
+
+430
+00:41:27,640 --> 00:41:35,720
+بيساوى x، وهذا هو المطلوب طبعًا
+
+431
+00:41:35,720 --> 00:41:40,780
+في هنا أمثلة، باقي شوية أمثلة، فهذه الأمثلة يعني
+
+432
+00:41:40,780 --> 00:41:46,000
+حاولوا أنكم تقرؤوها، في مثلن كيف نطبق النظرية هذه
+
+433
+00:41:46,000 --> 00:41:50,660
+أو نوجد العلاقة بين، كيف نثبت ال convergence للـ
+
+434
+00:41:50,660 --> 00:41:55,900
+sequence من خلال إثبات
+
+435
+00:41:55,900 --> 00:42:00,290
+ال convergence للـ subsequences أو العكس، فحاولوا
+
+436
+00:42:00,290 --> 00:42:04,490
+تقرؤوها، وهيك نكون يعني تقريبا .. هنكمل إن شاء
+
+437
+00:42:04,490 --> 00:42:10,290
+الله المرة الجاية و .. هن .. هنوقف استخدام الـ
+
+438
+00:42:10,290 --> 00:42:14,290
+powerpoint ابتداءً من المحاضرة الجاية، وهنشره على 
+
+439
+00:42:14,290 --> 00:42:19,850
+النت okay، انتهت المحاضرة نشوفكم إن شاء الله يوم
+
+440
+00:42:19,850 --> 00:42:20,250
+اثنين 
diff --git a/PL9fwy3NUQKwZHPs6l8Fr-st-8cVJxmVek/YiGM8L9BEY0_raw.json b/PL9fwy3NUQKwZHPs6l8Fr-st-8cVJxmVek/YiGM8L9BEY0_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..d3d080e705b0dcddab6e615851fdfa085f8657a5
--- /dev/null
+++ b/PL9fwy3NUQKwZHPs6l8Fr-st-8cVJxmVek/YiGM8L9BEY0_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 3638, "start": 20.92, "end": 36.38, "text": "بسم الله الرحمن الرحيم اليوم هناخد أخر لقاء في ال course وهو تكملة section خمسة أربعة في الكتاب المقرر اللي بتكلم عن ال uniform continuity", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 45595, 20498, 8032, 1863, 47283, 3215, 5551, 34740, 5296, 4587, 16606, 8978, 2423, 1164, 37037, 2407, 6055, 24793, 37977, 3541, 16490, 2304, 3794, 3660, 5551, 25513, 27884, 8978, 33251, 2655, 16758, 9673, 4587, 2288, 2288, 13672, 1829, 39894, 4117, 19528, 18871, 2423, 9452, 23807], "avg_logprob": -0.10995370259991398, "compression_ratio": 1.414012738853503, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 20.92, "end": 21.28, "word": "بسم", "probability": 0.913330078125}, {"start": 21.28, "end": 21.46, "word": " الله", "probability": 0.96923828125}, {"start": 21.46, "end": 21.88, "word": " الرحمن", "probability": 0.9763997395833334}, {"start": 21.88, "end": 22.6, "word": " الرحيم", 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نفس الفترة وبالتالي الاتصال العادي لا يؤدي للاتصال المنطم", "tokens": [5172, 9778, 3215, 8315, 50113, 6027, 15844, 11778, 6027, 3660, 2445, 11778, 6027, 3660, 36764, 24401, 15844, 1783, 13412, 5172, 8315, 14739, 11296, 44650, 36520, 3660, 10957, 15844, 27188, 2655, 25720, 9673, 5172, 2655, 2407, 5016, 3660, 9154, 8608, 5172, 2288, 30731, 3714, 15040, 8717, 11296, 10632, 457, 309, 390, 406, 48806, 10957, 15844, 8717, 36178, 27188, 2655, 25720, 46599, 6027, 2655, 6027, 1829, 2423, 9307, 9381, 6027, 18863, 995, 16254, 20193, 7251, 33604, 16254, 24976, 9307, 9381, 6027, 9673, 1863, 9566, 2304], "avg_logprob": -0.20052083989694006, "compression_ratio": 1.7179487179487178, "no_speech_prob": 0.0, "words": [{"start": 112.64000000000001, "end": 113.76, "word": "فخدنا", "probability": 0.70501708984375}, {"start": 113.76, "end": 114.4, "word": " مثال", "probability": 0.975341796875}, {"start": 114.4, "end": 116.06, "word": " على", "probability": 0.7705078125}, {"start": 116.06, "end": 117.02, 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"probability": 0.9208984375}, {"start": 130.26, "end": 130.58, "word": " نفس", "probability": 0.997314453125}, {"start": 130.58, "end": 131.14, "word": " الفترة", "probability": 0.9925130208333334}, {"start": 131.14, "end": 133.3, "word": " وبالتالي", "probability": 0.94130859375}, {"start": 133.3, "end": 134.58, "word": " الاتصال", "probability": 0.896484375}, {"start": 134.58, "end": 135.08, "word": " العادي", "probability": 0.8430989583333334}, {"start": 135.08, "end": 135.3, "word": " لا", "probability": 0.9384765625}, {"start": 135.3, "end": 135.78, "word": " يؤدي", "probability": 0.9230143229166666}, {"start": 135.78, "end": 136.66, "word": " للاتصال", "probability": 0.9195556640625}, {"start": 136.66, "end": 137.32, "word": " المنطم", "probability": 0.67144775390625}], "temperature": 1.0}, {"id": 6, "seek": 16474, "start": 138.66, "end": 164.74, "text": "اليوم هنتعرف على نوع جديد من ال functions وهو لبسش functions و ال functions هدول هتكونوا دائما كلهم uniformly continuous فنعرف 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"start": 821.54, "end": 847.64, "text": "على الفترة I إذاً هي مثال على function uniform ل continuous على المجال تبعها هنشوف الآن إن هذه ال function ما هياش لبسش على نفس الفترة إذا ال claim", "tokens": [3615, 23942, 27188, 2655, 25720, 286, 11933, 15730, 14111, 39896, 50113, 6027, 15844, 2445, 9452, 5296, 10957, 15844, 9673, 7435, 6027, 6055, 3555, 3615, 11296, 8032, 1863, 8592, 38688, 6024, 48506, 36145, 29538, 2423, 2445, 19446, 39896, 33599, 5296, 3555, 3794, 8592, 15844, 8717, 36178, 27188, 2655, 25720, 11933, 15730, 2423, 3932], "avg_logprob": -0.26901532569021547, "compression_ratio": 1.4645161290322581, "no_speech_prob": 0.0, "words": [{"start": 821.54, "end": 822.12, "word": "على", "probability": 0.825927734375}, {"start": 822.12, "end": 823.0, "word": " الفترة", "probability": 0.9773763020833334}, {"start": 823.0, "end": 823.4, "word": " I", "probability": 0.45849609375}, {"start": 823.4, "end": 825.32, "word": " إذاً", "probability": 0.4336344401041667}, {"start": 825.32, 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"word": " إن", "probability": 0.57177734375}, {"start": 832.32, "end": 832.72, "word": " هذه", "probability": 0.5966796875}, {"start": 832.72, "end": 832.88, "word": " ال", "probability": 0.97705078125}, {"start": 832.88, "end": 833.28, "word": " function", "probability": 0.87060546875}, {"start": 833.28, "end": 833.56, "word": " ما", "probability": 0.9111328125}, {"start": 833.56, "end": 834.28, "word": " هياش", "probability": 0.63037109375}, {"start": 834.28, "end": 835.32, "word": " لبسش", "probability": 0.8748779296875}, {"start": 835.32, "end": 835.52, "word": " على", "probability": 0.7880859375}, {"start": 835.52, "end": 835.72, "word": " نفس", "probability": 0.99169921875}, {"start": 835.72, "end": 836.32, "word": " الفترة", "probability": 0.9931640625}, {"start": 836.32, "end": 847.06, "word": " إذا", "probability": 0.7490234375}, {"start": 847.06, "end": 847.3, "word": " ال", "probability": 0.276123046875}, {"start": 847.3, "end": 847.64, "word": " claim", "probability": 0.9208984375}], "temperature": 1.0}, {"id": 31, "seek": 87867, "start": 853.37, "end": 878.67, "text": "if is not .. if is not لبسش على الفترة I فلبرحان ذلك assume on contrary", "tokens": [351, 307, 406, 4386, 498, 307, 406, 5296, 3555, 3794, 8592, 15844, 27188, 2655, 25720, 286, 6156, 46152, 2288, 5016, 7649, 29910, 23275, 6552, 322, 19506], "avg_logprob": -0.10662615519982797, "compression_ratio": 1.032967032967033, "no_speech_prob": 0.0, "words": [{"start": 853.37, "end": 853.93, "word": "if", "probability": 0.78955078125}, {"start": 853.93, "end": 854.57, "word": " is", "probability": 0.947265625}, {"start": 854.57, "end": 855.11, "word": " not", "probability": 0.9716796875}, {"start": 855.11, "end": 855.65, "word": " ..", "probability": 0.70703125}, {"start": 855.65, "end": 856.85, "word": " if", "probability": 0.935546875}, {"start": 856.85, "end": 857.23, "word": " is", "probability": 0.9697265625}, {"start": 857.23, "end": 857.53, "word": " not", "probability": 0.9677734375}, {"start": 857.53, "end": 859.15, "word": " لبسش", "probability": 0.9600830078125}, {"start": 859.15, "end": 863.65, "word": " على", "probability": 0.84912109375}, {"start": 863.65, "end": 864.81, "word": " الفترة", "probability": 0.9736328125}, {"start": 864.81, "end": 865.39, "word": " I", "probability": 0.71435546875}, {"start": 865.39, "end": 868.59, "word": " فلبرحان", "probability": 0.823046875}, {"start": 868.59, "end": 869.21, "word": " ذلك", "probability": 0.9755859375}, {"start": 869.21, "end": 873.99, "word": " assume", "probability": 0.916015625}, {"start": 873.99, "end": 877.95, "word": " on", "probability": 0.95263671875}, {"start": 877.95, "end": 878.67, "word": " contrary", "probability": 0.8720703125}], "temperature": 1.0}, {"id": 32, "seek": 90409, "start": 883.19, "end": 904.09, "text": "assume on contrary that if is لبسش on I then", "tokens": [640, 2540, 322, 19506, 300, 498, 307, 5296, 3555, 3794, 8592, 322, 286, 550], "avg_logprob": -0.18359375198682149, "compression_ratio": 0.9056603773584906, "no_speech_prob": 0.0, "words": [{"start": 883.19, "end": 883.99, "word": "assume", "probability": 0.820068359375}, {"start": 883.99, "end": 884.41, "word": " on", "probability": 0.939453125}, {"start": 884.41, "end": 885.35, "word": " contrary", "probability": 0.91015625}, {"start": 885.35, "end": 888.55, "word": " that", "probability": 0.93798828125}, {"start": 888.55, "end": 890.93, "word": " if", "probability": 0.4296875}, {"start": 890.93, "end": 891.47, "word": " is", "probability": 0.8125}, {"start": 891.47, "end": 892.21, "word": " لبسش", "probability": 0.958984375}, {"start": 892.21, "end": 901.65, "word": " on", "probability": 0.88134765625}, {"start": 901.65, "end": 902.23, "word": " I", "probability": 0.8818359375}, {"start": 902.23, "end": 904.09, "word": " then", "probability": 0.76416015625}], "temperature": 1.0}, {"id": 33, "seek": 93037, "start": 906.57, "end": 930.37, "text": "there exists k أكبر من السفر بحيث أنه absolute f of x minus f of u أصغر منها ساوي k في absolute x minus u لكل x", "tokens": [15456, 8198, 350, 5551, 4117, 26890, 9154, 21136, 5172, 2288, 4724, 5016, 1829, 12984, 14739, 3224, 8236, 283, 295, 2031, 3175, 283, 295, 344, 5551, 9381, 17082, 2288, 9154, 11296, 8608, 995, 45865, 350, 8978, 8236, 2031, 3175, 344, 5296, 28820, 2031], "avg_logprob": -0.23037790143212608, "compression_ratio": 1.2066115702479339, "no_speech_prob": 0.0, "words": [{"start": 906.57, "end": 907.03, "word": "there", "probability": 0.08740234375}, {"start": 907.03, "end": 907.65, "word": " exists", "probability": 0.65234375}, {"start": 907.65, "end": 908.25, "word": " k", "probability": 0.5625}, {"start": 908.25, "end": 909.07, "word": " أكبر", "probability": 0.9239908854166666}, {"start": 909.07, "end": 909.29, "word": " من", "probability": 0.9931640625}, {"start": 909.29, "end": 909.95, "word": " السفر", "probability": 0.8238932291666666}, {"start": 909.95, "end": 911.33, "word": " بحيث", "probability": 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"end": 926.33, "word": " k", "probability": 0.8251953125}, {"start": 926.33, "end": 927.47, "word": " في", "probability": 0.4384765625}, {"start": 927.47, "end": 928.01, "word": " absolute", "probability": 0.95654296875}, {"start": 928.01, "end": 928.61, "word": " x", "probability": 0.8681640625}, {"start": 928.61, "end": 929.03, "word": " minus", "probability": 0.9833984375}, {"start": 929.03, "end": 929.39, "word": " u", "probability": 0.97998046875}, {"start": 929.39, "end": 929.91, "word": " لكل", "probability": 0.9765625}, {"start": 929.91, "end": 930.37, "word": " x", "probability": 0.96923828125}], "temperature": 1.0}, {"id": 34, "seek": 93997, "start": 931.63, "end": 939.97, "text": "هو you تنتمي للفترة I اللى هى الفترة المغلطة من سفر لاتنين", "tokens": [3224, 2407, 291, 6055, 29399, 2304, 1829, 24976, 5172, 2655, 25720, 286, 13672, 7578, 8032, 7578, 27188, 2655, 25720, 9673, 17082, 1211, 9566, 3660, 9154, 8608, 5172, 2288, 5296, 9307, 1863, 9957], "avg_logprob": 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عندي N أصغر من أو ساوي K for all N في N وهذا بتناقض مع ال Archimedean property which contradicts", "tokens": [1211, 28820, 426, 8978, 426, 1975, 11242, 25513, 9673, 2655, 3215, 9957, 3660, 29538, 8978, 426, 6055, 25513, 10632, 6156, 3555, 9566, 1211, 3615, 18871, 16254, 426, 5551, 9381, 17082, 2288, 9154, 34051, 8608, 995, 45865, 591, 337, 439, 426, 8978, 426, 37037, 15730, 39894, 8315, 4587, 11242, 20449, 2423, 10984, 332, 4858, 282, 4707, 597, 28900, 82], "avg_logprob": -0.2711864396677179, "compression_ratio": 1.2560975609756098, "no_speech_prob": 0.0, "words": [{"start": 1116.68, "end": 1117.6, "word": "لكل", "probability": 0.5875244140625}, {"start": 1117.6, "end": 1118.02, "word": " N", "probability": 0.151123046875}, {"start": 1118.02, "end": 1118.38, "word": " في", "probability": 0.92138671875}, {"start": 1118.38, "end": 1118.9, "word": " N", "probability": 0.89892578125}, {"start": 1118.9, "end": 1123.52, "word": " اضرب", "probability": 0.73193359375}, {"start": 1123.52, 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"end": 1132.2, "word": " K", "probability": 0.6103515625}, {"start": 1132.2, "end": 1133.4, "word": " for", "probability": 0.89501953125}, {"start": 1133.4, "end": 1134.02, "word": " all", "probability": 0.91162109375}, {"start": 1134.02, "end": 1134.44, "word": " N", "probability": 0.87060546875}, {"start": 1134.44, "end": 1134.9, "word": " في", "probability": 0.97119140625}, {"start": 1134.9, "end": 1135.44, "word": " N", "probability": 0.8828125}, {"start": 1135.44, "end": 1138.18, "word": " وهذا", "probability": 0.925048828125}, {"start": 1138.18, "end": 1138.92, "word": " بتناقض", "probability": 0.81146240234375}, {"start": 1138.92, "end": 1139.16, "word": " مع", "probability": 0.8349609375}, {"start": 1139.16, "end": 1139.32, "word": " ال", "probability": 0.90576171875}, {"start": 1139.32, "end": 1140.36, "word": " Archimedean", "probability": 0.746124267578125}, {"start": 1140.36, "end": 1141.06, "word": " property", "probability": 0.75927734375}, {"start": 1141.06, "end": 1142.54, "word": " which", "probability": 0.7578125}, {"start": 1142.54, "end": 1146.04, "word": " contradicts", "probability": 0.826904296875}], "temperature": 1.0}, {"id": 42, "seek": 115925, "start": 1147.33, "end": 1159.25, "text": "التي تتناقض مع مين؟ التي تتناقض مع الـ Archimedean property", "tokens": [6027, 31371, 6055, 2655, 8315, 4587, 11242, 20449, 3714, 9957, 22807, 2423, 31371, 6055, 2655, 8315, 4587, 11242, 20449, 2423, 39184, 10984, 332, 4858, 282, 4707], "avg_logprob": -0.4678819356141267, "compression_ratio": 1.2857142857142858, "no_speech_prob": 0.0, "words": [{"start": 1147.33, "end": 1147.83, "word": "التي", "probability": 0.45843505859375}, {"start": 1147.83, "end": 1151.13, "word": " تتناقض", "probability": 0.87275390625}, {"start": 1151.13, "end": 1151.39, "word": " مع", "probability": 0.64990234375}, {"start": 1151.39, "end": 1152.47, "word": " مين؟", "probability": 0.4612630208333333}, {"start": 1152.47, "end": 1153.39, "word": " التي", "probability": 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"word": " continuous", "probability": 0.8720703125}, {"start": 1239.3, "end": 1240.76, "word": " على", "probability": 0.916015625}, {"start": 1240.76, "end": 1241.98, "word": " set", "probability": 0.98046875}, {"start": 1241.98, "end": 1242.66, "word": " معينة", "probability": 0.98193359375}], "temperature": 1.0}, {"id": 46, "seek": 125877, "start": 1243.03, "end": 1258.77, "text": "لكنها ليست لبسش لكن أثبتنا قبل ايه ان كل لبسش function is always uniformly continuous ناخد بعض الأمثلة", "tokens": [1211, 19452, 11296, 32239, 14851, 5296, 3555, 3794, 8592, 44381, 5551, 12984, 3555, 2655, 8315, 12174, 36150, 1975, 1829, 3224, 16472, 28242, 5296, 3555, 3794, 8592, 2445, 307, 1009, 48806, 10957, 8717, 47283, 3215, 45030, 11242, 16247, 2304, 12984, 37977], "avg_logprob": -0.2612423896789551, "compression_ratio": 1.1968503937007875, "no_speech_prob": 0.0, "words": [{"start": 1243.03, "end": 1243.75, "word": "لكنها", "probability": 0.7493489583333334}, {"start": 1243.75, "end": 1244.23, "word": " ليست", "probability": 0.931396484375}, {"start": 1244.23, "end": 1244.81, "word": " لبسش", "probability": 0.78875732421875}, {"start": 1244.81, "end": 1245.89, "word": " لكن", "probability": 0.41259765625}, {"start": 1245.89, "end": 1246.47, "word": " أثبتنا", "probability": 0.930078125}, {"start": 1246.47, "end": 1246.73, "word": " قبل", "probability": 0.6455078125}, {"start": 1246.73, "end": 1246.89, "word": " ايه", "probability": 0.61474609375}, {"start": 1246.89, "end": 1247.05, "word": " ان", "probability": 0.52880859375}, {"start": 1247.05, "end": 1247.39, "word": " كل", "probability": 0.85302734375}, {"start": 1247.39, "end": 1247.81, "word": " لبسش", "probability": 0.8408203125}, {"start": 1247.81, "end": 1248.29, "word": " function", "probability": 0.6416015625}, {"start": 1248.29, "end": 1248.87, "word": " is", "probability": 0.67431640625}, {"start": 1248.87, "end": 1250.45, "word": " always", "probability": 0.8212890625}, {"start": 1250.45, "end": 1251.19, "word": " uniformly", "probability": 0.94384765625}, {"start": 1251.19, "end": 1252.39, "word": " continuous", "probability": 0.91650390625}, {"start": 1252.39, "end": 1257.75, "word": " ناخد", "probability": 0.742431640625}, {"start": 1257.75, "end": 1258.13, "word": " بعض", "probability": 0.9765625}, {"start": 1258.13, "end": 1258.77, "word": " الأمثلة", "probability": 0.9755859375}], "temperature": 1.0}, {"id": 47, "seek": 130772, "start": 1286.12, "end": 1307.72, "text": "example led f of x بساوي x تربية و x ينتمي للمجموعة a اللي هي الفترة المغلقة من سفر إلى بي حيث بي أي عدد موجب بي أي عدد موجب", "tokens": [3121, 335, 781, 4684, 283, 295, 2031, 4724, 3794, 995, 45865, 2031, 6055, 25513, 10632, 4032, 2031, 7251, 29399, 2304, 1829, 5296, 19528, 7435, 2304, 2407, 27884, 257, 13672, 1829, 39896, 27188, 2655, 25720, 9673, 17082, 1211, 28671, 9154, 8608, 5172, 2288, 30731, 4724, 1829, 11331, 1829, 12984, 4724, 1829, 36632, 6225, 3215, 3215, 3714, 29245, 3555, 4724, 1829, 36632, 6225, 3215, 3215, 3714, 29245, 3555], "avg_logprob": -0.17583954601145502, "compression_ratio": 1.4962962962962962, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1286.12, "end": 1287.32, "word": "example", "probability": 0.7457682291666666}, {"start": 1287.32, "end": 1288.52, "word": " led", "probability": 0.69580078125}, {"start": 1288.52, "end": 1288.9, "word": " f", "probability": 0.5390625}, {"start": 1288.9, "end": 1289.18, "word": " of", "probability": 0.61474609375}, {"start": 1289.18, "end": 1289.6, "word": " x", "probability": 0.91259765625}, {"start": 1289.6, "end": 1290.76, "word": " بساوي", "probability": 0.7744140625}, {"start": 1290.76, "end": 1291.24, "word": " x", "probability": 0.8779296875}, {"start": 1291.24, "end": 1292.06, "word": " تربية", "probability": 0.768310546875}, {"start": 1292.06, "end": 1293.52, "word": " و", "probability": 0.70068359375}, {"start": 1293.52, "end": 1294.26, "word": " x", "probability": 0.7041015625}, {"start": 1294.26, "end": 1295.22, "word": " ينتمي", "probability": 0.963623046875}, {"start": 1295.22, "end": 1296.52, "word": " للمجموعة", "probability": 0.897705078125}, {"start": 1296.52, "end": 1296.92, "word": " a", "probability": 0.7216796875}, {"start": 1296.92, "end": 1298.14, "word": " اللي", "probability": 0.8212890625}, {"start": 1298.14, "end": 1298.4, "word": " هي", "probability": 0.83544921875}, {"start": 1298.4, "end": 1299.16, "word": " الفترة", "probability": 0.9894205729166666}, {"start": 1299.16, "end": 1300.04, "word": " المغلقة", "probability": 0.968994140625}, {"start": 1300.04, "end": 1300.42, "word": " من", "probability": 0.99072265625}, {"start": 1300.42, "end": 1301.06, "word": " سفر", "probability": 0.7889811197916666}, {"start": 1301.06, "end": 1301.38, "word": " إلى", "probability": 0.81982421875}, {"start": 1301.38, "end": 1301.8, "word": " بي", "probability": 0.605224609375}, {"start": 1301.8, "end": 1303.12, "word": " حيث", "probability": 0.83349609375}, {"start": 1303.12, "end": 1303.66, "word": " بي", "probability": 0.94140625}, {"start": 1303.66, "end": 1303.96, "word": " أي", "probability": 0.62841796875}, {"start": 1303.96, "end": 1304.44, "word": " عدد", "probability": 0.99072265625}, {"start": 1304.44, "end": 1304.9, "word": " موجب", "probability": 0.779296875}, {"start": 1304.9, "end": 1305.5, "word": " بي", "probability": 0.845458984375}, {"start": 1305.5, "end": 1306.6, "word": " أي", "probability": 0.80615234375}, {"start": 1306.6, "end": 1307.12, "word": " عدد", "probability": 0.9957682291666666}, {"start": 1307.12, "end": 1307.72, "word": " موجب", "probability": 0.98583984375}], "temperature": 1.0}, {"id": 48, "seek": 133551, "start": 1309.23, "end": 1335.51, "text": "بنأثبت أن الـ function هذه تطلع uniformly continuous show that show أن f is uniformly continuous on a ففيه برهنين", "tokens": [3555, 1863, 10721, 12984, 3555, 2655, 14739, 2423, 39184, 2445, 29538, 6055, 9566, 1211, 3615, 48806, 10957, 855, 300, 855, 14739, 283, 307, 48806, 10957, 322, 257, 6156, 41185, 3224, 4724, 2288, 3224, 1863, 9957], "avg_logprob": -0.3159722106324302, "compression_ratio": 1.2327586206896552, "no_speech_prob": 0.0, "words": [{"start": 1309.23, "end": 1310.07, "word": "بنأثبت", "probability": 0.7078653971354166}, {"start": 1310.07, "end": 1310.25, "word": " أن", "probability": 0.440673828125}, {"start": 1310.25, "end": 1310.41, "word": " الـ", "probability": 0.816162109375}, {"start": 1310.41, "end": 1310.75, "word": " function", "probability": 0.8212890625}, {"start": 1310.75, "end": 1311.31, "word": " هذه", "probability": 0.6845703125}, {"start": 1311.31, "end": 1312.57, "word": " تطلع", "probability": 0.9112548828125}, {"start": 1312.57, "end": 1313.05, "word": " uniformly", "probability": 0.63232421875}, {"start": 1313.05, "end": 1314.41, "word": " continuous", "probability": 0.783203125}, {"start": 1314.41, "end": 1319.95, "word": " show", "probability": 0.79248046875}, {"start": 1319.95, "end": 1320.55, "word": " that", "probability": 0.93603515625}, {"start": 1320.55, "end": 1325.95, "word": " show", "probability": 0.409423828125}, {"start": 1325.95, "end": 1326.29, "word": " أن", "probability": 0.5458984375}, {"start": 1326.29, "end": 1326.69, "word": " f", "probability": 0.3310546875}, {"start": 1326.69, "end": 1327.25, "word": " is", "probability": 0.91748046875}, {"start": 1327.25, "end": 1328.37, "word": " uniformly", "probability": 0.9736328125}, {"start": 1328.37, "end": 1331.67, "word": " continuous", "probability": 0.89208984375}, {"start": 1331.67, "end": 1332.41, "word": " on", "probability": 0.90380859375}, {"start": 1332.41, "end": 1332.91, "word": " a", "probability": 0.70703125}, {"start": 1332.91, "end": 1334.87, "word": " ففيه", "probability": 0.7156575520833334}, {"start": 1334.87, "end": 1335.51, "word": " برهنين", "probability": 0.83740234375}], "temperature": 1.0}, {"id": 49, "seek": 135944, "start": 1337.38, "end": 1359.44, "text": "او حالين proof one حال الأول since if is continuous on a being a polynomial", "tokens": [995, 2407, 11331, 6027, 9957, 8177, 472, 11331, 6027, 16247, 12610, 1670, 498, 307, 10957, 322, 257, 885, 257, 26110], "avg_logprob": -0.25930058388482957, "compression_ratio": 1.0227272727272727, "no_speech_prob": 0.0, "words": [{"start": 1337.38, "end": 1337.76, "word": "او", "probability": 0.74853515625}, {"start": 1337.76, "end": 1338.38, "word": " حالين", "probability": 0.85888671875}, {"start": 1338.38, "end": 1338.84, "word": " proof", "probability": 0.469970703125}, {"start": 1338.84, "end": 1339.78, "word": " one", "probability": 0.79638671875}, {"start": 1339.78, "end": 1341.0, "word": " حال", "probability": 0.685791015625}, {"start": 1341.0, "end": 1341.54, "word": " الأول", "probability": 0.854248046875}, {"start": 1341.54, "end": 1343.72, "word": " since", "probability": 0.72998046875}, {"start": 1343.72, "end": 1348.4, "word": " if", "probability": 0.7607421875}, {"start": 1348.4, "end": 1349.14, "word": " is", "probability": 0.931640625}, {"start": 1349.14, "end": 1351.64, "word": " continuous", "probability": 0.88330078125}, {"start": 1351.64, "end": 1353.68, "word": " on", "probability": 0.95458984375}, {"start": 1353.68, "end": 1354.36, "word": " a", "probability": 0.7021484375}, {"start": 1354.36, "end": 1357.4, "word": " being", "probability": 0.6015625}, {"start": 1357.4, "end": 1358.88, "word": " a", "probability": 0.72509765625}, {"start": 1358.88, "end": 1359.44, "word": " polynomial", "probability": 0.87744140625}], "temperature": 1.0}, {"id": 50, "seek": 139408, "start": 1364.78, "end": 1394.08, "text": "لأنها polynomial و احنا قلنا كل polynomial function متصل على R وبالتالي على أي مجموعة جزئية من R زي المجموعة A اللي هي الفترة المغلقة من سفر إلى الـ B ف if is continuous على A كونها polynomial and بما انه and since", "tokens": [1211, 33456, 11296, 26110, 4032, 1975, 5016, 8315, 12174, 1211, 8315, 28242, 26110, 2445, 44650, 36520, 15844, 497, 46599, 6027, 2655, 6027, 1829, 15844, 36632, 3714, 7435, 2304, 2407, 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0.927734375}, {"start": 1372.84, "end": 1374.36, "word": " المجموعة", "probability": 0.95654296875}, {"start": 1374.36, "end": 1374.68, "word": " A", "probability": 0.76513671875}, {"start": 1374.68, "end": 1374.88, "word": " اللي", "probability": 0.77587890625}, {"start": 1374.88, "end": 1375.14, "word": " هي", "probability": 0.94140625}, {"start": 1375.14, "end": 1375.72, "word": " الفترة", "probability": 0.98828125}, {"start": 1375.72, "end": 1376.52, "word": " المغلقة", "probability": 0.9237060546875}, {"start": 1376.52, "end": 1379.0, "word": " من", "probability": 0.94482421875}, {"start": 1379.0, "end": 1379.76, "word": " سفر", "probability": 0.69580078125}, {"start": 1379.76, "end": 1380.32, "word": " إلى", "probability": 0.8955078125}, {"start": 1380.32, "end": 1381.4, "word": " الـ", "probability": 0.591796875}, {"start": 1381.4, "end": 1381.62, "word": " B", "probability": 0.435791015625}, {"start": 1381.62, "end": 1385.62, "word": " ف", "probability": 0.94482421875}, {"start": 1385.62, "end": 1385.94, "word": " if", "probability": 0.361083984375}, {"start": 1385.94, "end": 1386.2, "word": " is", "probability": 0.8271484375}, {"start": 1386.2, "end": 1386.76, "word": " continuous", "probability": 0.9169921875}, {"start": 1386.76, "end": 1387.14, "word": " على", "probability": 0.84619140625}, {"start": 1387.14, "end": 1387.36, "word": " A", "probability": 0.908203125}, {"start": 1387.36, "end": 1387.88, "word": " كونها", "probability": 0.9410807291666666}, {"start": 1387.88, "end": 1388.4, "word": " polynomial", "probability": 0.91357421875}, {"start": 1388.4, "end": 1390.4, "word": " and", "probability": 0.88330078125}, {"start": 1390.4, "end": 1390.92, "word": " بما", "probability": 0.973876953125}, {"start": 1390.92, "end": 1391.4, "word": " انه", "probability": 0.753173828125}, {"start": 1391.4, "end": 1393.46, "word": " and", "probability": 0.8505859375}, {"start": 1393.46, "end": 1394.08, "word": " since", "probability": 0.900390625}], "temperature": 1.0}, {"id": 51, "seek": 142498, "start": 1395.88, "end": 1424.98, "text": "الـ set A هذه اللي هي عبارة عن الفترة المغلقة من سفر لـ B is closed and bounded and bounded interval then by uniform continuity theorem", "tokens": [6027, 39184, 992, 316, 29538, 13672, 1829, 39896, 6225, 3555, 9640, 3660, 18871, 27188, 2655, 25720, 9673, 17082, 1211, 28671, 9154, 8608, 5172, 2288, 5296, 39184, 363, 307, 5395, 293, 37498, 293, 37498, 15035, 550, 538, 9452, 23807, 20904], "avg_logprob": -0.2259765576571226, "compression_ratio": 1.27007299270073, "no_speech_prob": 0.0, "words": [{"start": 1395.88, "end": 1396.4, "word": "الـ", "probability": 0.6517333984375}, {"start": 1396.4, "end": 1396.72, "word": " set", "probability": 0.568359375}, {"start": 1396.72, "end": 1397.08, "word": " A", "probability": 0.60400390625}, {"start": 1397.08, "end": 1397.64, "word": " هذه", "probability": 0.5966796875}, {"start": 1397.64, "end": 1397.84, "word": " اللي", "probability": 0.841064453125}, 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1607.92, "word": " المغلفة", "probability": 0.884033203125}, {"start": 1607.92, "end": 1608.58, "word": " من", "probability": 0.94482421875}, {"start": 1608.58, "end": 1609.04, "word": " سفر", "probability": 0.81298828125}, {"start": 1609.04, "end": 1609.26, "word": " إلى", "probability": 0.8876953125}, {"start": 1609.26, "end": 1610.68, "word": " بي", "probability": 0.9033203125}, {"start": 1610.68, "end": 1612.12, "word": " طبعا", "probability": 0.93896484375}, {"start": 1612.12, "end": 1612.52, "word": " هذا", "probability": 0.85595703125}, {"start": 1612.52, "end": 1613.42, "word": " بساوي", "probability": 0.907958984375}], "temperature": 1.0}, {"id": 59, "seek": 164180, "start": 1614.18, "end": 1641.8, "text": "اتنين بي في absolute x minus u for all x و u تنتمي الى a اذا هاي شرط لبسيش اتحقق with k بيساو اتنين بيعدد موجب اذا هنا take k بيساو اتنين بيعدد موجب", "tokens": [995, 2655, 1863, 9957, 4724, 1829, 8978, 8236, 2031, 3175, 344, 337, 439, 2031, 4032, 344, 6055, 29399, 2304, 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1618.04, "word": " u", "probability": 0.8564453125}, {"start": 1618.04, "end": 1619.56, "word": " for", "probability": 0.8701171875}, {"start": 1619.56, "end": 1620.22, "word": " all", "probability": 0.9482421875}, {"start": 1620.22, "end": 1620.74, "word": " x", "probability": 0.97705078125}, {"start": 1620.74, "end": 1621.12, "word": " و", "probability": 0.5537109375}, {"start": 1621.12, "end": 1621.66, "word": " u", "probability": 0.51025390625}, {"start": 1621.66, "end": 1622.78, "word": " تنتمي", "probability": 0.77178955078125}, {"start": 1622.78, "end": 1623.18, "word": " الى", "probability": 0.7174072265625}, {"start": 1623.18, "end": 1623.48, "word": " a", "probability": 0.77392578125}, {"start": 1623.48, "end": 1625.06, "word": " اذا", "probability": 0.5889892578125}, {"start": 1625.06, "end": 1625.28, "word": " هاي", "probability": 0.5211181640625}, {"start": 1625.28, "end": 1625.72, "word": " شرط", "probability": 0.8976236979166666}, {"start": 1625.72, "end": 1626.34, "word": " لبسيش", "probability": 0.71728515625}, {"start": 1626.34, "end": 1627.18, "word": " اتحقق", "probability": 0.94091796875}, {"start": 1627.18, "end": 1628.04, "word": " with", "probability": 0.71484375}, {"start": 1628.04, "end": 1628.36, "word": " k", "probability": 0.79931640625}, {"start": 1628.36, "end": 1628.82, "word": " بيساو", "probability": 0.755322265625}, {"start": 1628.82, "end": 1629.2, "word": " اتنين", "probability": 0.930908203125}, {"start": 1629.2, "end": 1629.72, "word": " بيعدد", "probability": 0.87939453125}, {"start": 1629.72, "end": 1630.2, "word": " موجب", "probability": 0.9391276041666666}, {"start": 1630.2, "end": 1631.72, "word": " اذا", "probability": 0.734130859375}, {"start": 1631.72, "end": 1631.94, "word": " هنا", "probability": 0.68505859375}, {"start": 1631.94, "end": 1632.54, "word": " take", "probability": 0.212890625}, {"start": 1632.54, "end": 1637.34, "word": " k", "probability": 0.427001953125}, {"start": 1637.34, "end": 1638.48, "word": " بيساو", "probability": 0.9580078125}, {"start": 1638.48, "end": 1640.44, "word": " اتنين", "probability": 0.98681640625}, {"start": 1640.44, "end": 1641.18, "word": " بيعدد", "probability": 0.9727783203125}, {"start": 1641.18, "end": 1641.8, "word": " موجب", "probability": 0.9925130208333334}], "temperature": 1.0}, {"id": 60, "seek": 165851, "start": 1656.69, "end": 1658.51, "text": "Okay طبعا", "tokens": [8297, 23032, 3555, 3615, 995], "avg_logprob": -0.5572916567325592, "compression_ratio": 0.5909090909090909, "no_speech_prob": 0.0, "words": [{"start": 1656.6899999999998, "end": 1658.09, "word": "Okay", "probability": 0.2413330078125}, {"start": 1658.09, "end": 1658.51, "word": " طبعا", "probability": 0.72998046875}], "temperature": 1.0}, {"id": 61, "seek": 170218, "start": 1674.18, "end": 1702.18, "text": "واضح البران في اي سؤال او استفسار في عندي نظرية تتعلق بال uniform الها علاقة بال uniform continuity وهي النظرية التالية", "tokens": [2407, 46958, 5016, 29739, 23557, 1863, 8978, 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"word": " النظرية", "probability": 0.9666748046875}, {"start": 1701.38, "end": 1702.18, "word": " التالية", "probability": 0.9923502604166666}], "temperature": 1.0}, {"id": 62, "seek": 174078, "start": 1718.26, "end": 1740.78, "text": "فيرم if if from a to r is uniformly is uniformly continuous on a then", "tokens": [5172, 13546, 2304, 498, 498, 490, 257, 281, 367, 307, 48806, 307, 48806, 10957, 322, 257, 550], "avg_logprob": -0.4661458416117562, "compression_ratio": 1.123076923076923, "no_speech_prob": 0.0, "words": [{"start": 1718.2599999999998, "end": 1719.6599999999999, "word": "فيرم", "probability": 0.4401143391927083}, {"start": 1719.6599999999999, "end": 1721.06, "word": " if", "probability": 0.432861328125}, {"start": 1721.06, "end": 1721.68, "word": " if", "probability": 0.2373046875}, {"start": 1721.68, "end": 1723.24, "word": " from", "probability": 0.8779296875}, {"start": 1723.24, "end": 1723.78, "word": " a", "probability": 0.58837890625}, {"start": 1723.78, "end": 1724.1, "word": " to", "probability": 0.96728515625}, {"start": 1724.1, "end": 1724.68, "word": " r", "probability": 0.8642578125}, {"start": 1724.68, "end": 1726.8, "word": " is", "probability": 0.9462890625}, {"start": 1726.8, "end": 1727.78, "word": " uniformly", "probability": 0.96728515625}, {"start": 1727.78, "end": 1728.34, "word": " is", "probability": 0.41162109375}, {"start": 1728.34, "end": 1729.44, "word": " uniformly", "probability": 0.9755859375}, {"start": 1729.44, "end": 1732.54, "word": " continuous", "probability": 0.90283203125}, {"start": 1732.54, "end": 1735.4, "word": " on", "probability": 0.9423828125}, {"start": 1735.4, "end": 1736.46, "word": " a", "probability": 0.93017578125}, {"start": 1736.46, "end": 1740.78, "word": " then", "probability": 0.83642578125}], "temperature": 1.0}, {"id": 63, "seek": 177158, "start": 1743.0, "end": 1771.58, "text": "For any Cauchy Sequence xn contained in A The sequence f of xn اللي هي ال image لسيقونس xn is Cauchy", "tokens": [12587, 604, 7544, 625, 88, 46859, 655, 2031, 77, 16212, 294, 316, 440, 8310, 283, 295, 2031, 77, 13672, 1829, 39896, 2423, 3256, 5296, 3794, 1829, 4587, 11536, 3794, 2031, 77, 307, 7544, 625, 88], "avg_logprob": -0.4025607638888889, "compression_ratio": 1.1057692307692308, "no_speech_prob": 0.0, "words": [{"start": 1743.0, "end": 1743.56, "word": "For", "probability": 0.077880859375}, {"start": 1743.56, "end": 1744.24, "word": " any", "probability": 0.6416015625}, {"start": 1744.24, "end": 1746.2, "word": " Cauchy", "probability": 0.8546549479166666}, {"start": 1746.2, "end": 1749.64, "word": " Sequence", "probability": 0.77978515625}, {"start": 1749.64, "end": 1752.14, "word": " xn", "probability": 0.436279296875}, {"start": 1752.14, "end": 1753.28, "word": " contained", "probability": 0.63427734375}, {"start": 1753.28, "end": 1754.72, "word": " in", "probability": 0.94873046875}, {"start": 1754.72, "end": 1755.3, "word": " A", "probability": 0.6474609375}, {"start": 1755.3, "end": 1758.78, "word": " The", "probability": 0.252197265625}, {"start": 1758.78, "end": 1759.52, "word": " sequence", "probability": 0.85888671875}, {"start": 1759.52, "end": 1762.7, "word": " f", "probability": 0.748046875}, {"start": 1762.7, "end": 1763.06, "word": " of", "probability": 0.3759765625}, {"start": 1763.06, "end": 1764.12, "word": " xn", "probability": 0.80224609375}, {"start": 1764.12, "end": 1765.0, "word": " اللي", "probability": 0.734619140625}, {"start": 1765.0, "end": 1765.2, "word": " هي", "probability": 0.8662109375}, {"start": 1765.2, "end": 1765.32, "word": " ال", "probability": 0.93701171875}, {"start": 1765.32, "end": 1765.78, "word": " image", "probability": 0.4560546875}, {"start": 1765.78, "end": 1767.22, "word": " لسيقونس", "probability": 0.6578776041666666}, {"start": 1767.22, "end": 1767.94, "word": " xn", "probability": 0.888427734375}, {"start": 1767.94, "end": 1768.54, "word": " is", "probability": 0.76416015625}, {"start": 1768.54, "end": 1771.58, "word": " Cauchy", "probability": 0.8675130208333334}], "temperature": 1.0}, {"id": 64, "seek": 180109, "start": 1773.11, "end": 1801.09, "text": "in R that is that is هذا يعني هذا يعني هذا يعني انه uniformly uniformly continuous", "tokens": [259, 497, 300, 307, 300, 307, 23758, 37495, 22653, 23758, 37495, 22653, 23758, 37495, 22653, 16472, 3224, 48806, 48806, 10957], "avg_logprob": -0.2416294529324486, "compression_ratio": 1.606060606060606, "no_speech_prob": 0.0, "words": [{"start": 1773.11, "end": 1773.51, "word": "in", "probability": 0.259765625}, {"start": 1773.51, "end": 1774.05, "word": " R", "probability": 0.57861328125}, {"start": 1774.05, "end": 1780.09, "word": " that", "probability": 0.83740234375}, {"start": 1780.09, "end": 1780.57, "word": " is", "probability": 0.974609375}, {"start": 1780.57, "end": 1785.95, "word": " that", "probability": 0.429931640625}, {"start": 1785.95, "end": 1787.39, "word": " is", "probability": 0.966796875}, {"start": 1787.39, "end": 1787.79, "word": " هذا", "probability": 0.73876953125}, {"start": 1787.79, "end": 1788.31, "word": " يعني", "probability": 0.975830078125}, {"start": 1788.31, "end": 1789.55, "word": " هذا", "probability": 0.8642578125}, {"start": 1789.55, "end": 1790.05, "word": " يعني", "probability": 0.984130859375}, {"start": 1790.05, "end": 1792.03, "word": " هذا", "probability": 0.9091796875}, {"start": 1792.03, "end": 1792.55, "word": " يعني", "probability": 0.988037109375}, {"start": 1792.55, "end": 1793.99, "word": " انه", "probability": 0.74658203125}, {"start": 1793.99, "end": 1796.03, "word": " uniformly", "probability": 0.9775390625}, {"start": 1796.03, "end": 1798.89, "word": " uniformly", "probability": 0.51416015625}, {"start": 1798.89, "end": 1801.09, "word": " continuous", "probability": 0.94091796875}], "temperature": 1.0}, {"id": 65, "seek": 182246, "start": 1804.96, "end": 1822.46, "text": "functions preserve كوشي sequences", "tokens": [15930, 3916, 15665, 9122, 2407, 8592, 1829, 22978], "avg_logprob": -0.5598958333333334, "compression_ratio": 0.8222222222222222, "no_speech_prob": 0.0, "words": [{"start": 1804.9599999999998, "end": 1806.36, "word": "functions", "probability": 0.502166748046875}, {"start": 1806.36, "end": 1807.76, "word": " preserve", "probability": 0.6494140625}, {"start": 1807.76, "end": 1818.04, "word": " كوشي", "probability": 0.789947509765625}, {"start": 1818.04, "end": 1822.46, "word": " sequences", "probability": 0.7890625}], "temperature": 1.0}, {"id": 66, "seek": 185208, "start": 1827.96, "end": 1852.08, "text": "يعني الدوال اللي بتكون متصل اتصال منتظم بتحافظ على cushy sequences بمعنى انه لو كانت xn cushy sequence في المجال تبع الدالة A فصورتها هتطلع cushy sequence في المجال المقابل R والبرهان سهل", "tokens": [40228, 22653, 32748, 2407, 6027, 13672, 1829, 39894, 30544, 44650, 36520, 1975, 2655, 9381, 6027, 9154, 2655, 19913, 2304, 39894, 5016, 31845, 19913, 15844, 18422, 88, 22978, 4724, 2304, 3615, 1863, 7578, 16472, 3224, 45164, 25961, 2655, 2031, 77, 18422, 88, 8310, 8978, 9673, 7435, 6027, 6055, 3555, 3615, 32748, 6027, 3660, 316, 6156, 9381, 13063, 2655, 11296, 8032, 2655, 9566, 1211, 3615, 18422, 88, 8310, 8978, 9673, 7435, 6027, 9673, 4587, 16758, 1211, 497, 16070, 26890, 3224, 7649, 8608, 3224, 1211], "avg_logprob": -0.14288403973521957, "compression_ratio": 1.6741573033707866, "no_speech_prob": 0.0, "words": [{"start": 1827.9600000000003, "end": 1829.0800000000002, "word": "يعني", "probability": 0.86767578125}, {"start": 1829.0800000000002, "end": 1830.2, "word": " الدوال", "probability": 0.77001953125}, {"start": 1830.2, "end": 1830.46, "word": " اللي", "probability": 0.72998046875}, {"start": 1830.46, "end": 1831.0, "word": " بتكون", "probability": 0.968505859375}, {"start": 1831.0, "end": 1831.54, "word": " متصل", "probability": 0.7099609375}, {"start": 1831.54, "end": 1832.08, "word": " اتصال", "probability": 0.8839111328125}, {"start": 1832.08, "end": 1832.7, "word": " منتظم", "probability": 0.904541015625}, {"start": 1832.7, "end": 1834.14, "word": " بتحافظ", "probability": 0.9630126953125}, {"start": 1834.14, "end": 1834.42, "word": " على", "probability": 0.84619140625}, {"start": 1834.42, "end": 1834.8, "word": " cushy", "probability": 0.536407470703125}, {"start": 1834.8, "end": 1835.46, "word": " sequences", "probability": 0.87646484375}, {"start": 1835.46, "end": 1836.86, "word": " بمعنى", "probability": 0.96474609375}, {"start": 1836.86, "end": 1837.9, "word": " انه", "probability": 0.7353515625}, {"start": 1837.9, "end": 1838.08, "word": " لو", "probability": 0.98095703125}, {"start": 1838.08, "end": 1838.72, "word": " كانت", "probability": 0.97705078125}, {"start": 1838.72, "end": 1839.42, "word": " xn", "probability": 0.425537109375}, {"start": 1839.42, "end": 1839.96, "word": " cushy", "probability": 0.811279296875}, {"start": 1839.96, "end": 1840.54, "word": " sequence", "probability": 0.94482421875}, {"start": 1840.54, "end": 1841.26, "word": " في", "probability": 0.798828125}, {"start": 1841.26, "end": 1841.82, "word": " المجال", "probability": 0.9549153645833334}, {"start": 1841.82, "end": 1842.18, "word": " تبع", "probability": 0.9407552083333334}, {"start": 1842.18, "end": 1842.92, "word": " الدالة", "probability": 0.9690755208333334}, {"start": 1842.92, "end": 1843.38, "word": " A", "probability": 0.499755859375}, {"start": 1843.38, "end": 1845.08, "word": " فصورتها", "probability": 0.98330078125}, {"start": 1845.08, "end": 1846.26, "word": " هتطلع", "probability": 0.97255859375}, {"start": 1846.26, "end": 1846.7, "word": " cushy", "probability": 0.912353515625}, {"start": 1846.7, "end": 1847.26, "word": " sequence", "probability": 0.96044921875}, {"start": 1847.26, "end": 1848.0, "word": " في", "probability": 0.93896484375}, {"start": 1848.0, "end": 1848.46, "word": " المجال", "probability": 0.99609375}, {"start": 1848.46, "end": 1849.14, "word": " المقابل", "probability": 0.9849853515625}, {"start": 1849.14, "end": 1849.66, "word": " R", "probability": 0.8447265625}, {"start": 1849.66, "end": 1851.6, "word": " والبرهان", "probability": 0.8905029296875}, {"start": 1851.6, "end": 1852.08, "word": " سهل", "probability": 0.9972330729166666}], "temperature": 1.0}, {"id": 67, "seek": 188177, "start": 1853.21, "end": 1881.77, "text": "طبعا هذا بس صحيح لل uniform ل continuous functions أما لو كانت ال function بس continuous فمش شرط اتحافظ على كوشي sequences والبرهان سهل بسيط prove let if from A to R", "tokens": [9566, 3555, 3615, 995, 23758, 4724, 3794, 20328, 5016, 1829, 5016, 24976, 9452, 5296, 10957, 6828, 5551, 15042, 45164, 25961, 2655, 2423, 2445, 4724, 3794, 10957, 6156, 2304, 8592, 13412, 2288, 9566, 1975, 2655, 5016, 31845, 19913, 15844, 9122, 2407, 8592, 1829, 22978, 16070, 26890, 3224, 7649, 8608, 3224, 1211, 4724, 3794, 1829, 9566, 7081, 718, 498, 490, 316, 281, 497], "avg_logprob": -0.16922883232755045, "compression_ratio": 1.3333333333333333, "no_speech_prob": 0.0, "words": [{"start": 1853.21, "end": 1853.59, "word": "طبعا", "probability": 0.96923828125}, {"start": 1853.59, "end": 1853.81, "word": " هذا", "probability": 0.66748046875}, {"start": 1853.81, "end": 1854.33, "word": " بس", "probability": 0.80712890625}, {"start": 1854.33, "end": 1855.47, "word": " صحيح", "probability": 0.9942626953125}, {"start": 1855.47, "end": 1855.69, "word": " لل", "probability": 0.65087890625}, {"start": 1855.69, "end": 1856.21, "word": " uniform", "probability": 0.260009765625}, {"start": 1856.21, "end": 1856.39, "word": " ل", "probability": 0.6748046875}, {"start": 1856.39, "end": 1856.79, "word": " continuous", "probability": 0.82958984375}, {"start": 1856.79, "end": 1857.39, "word": " functions", "probability": 0.8662109375}, {"start": 1857.39, "end": 1857.79, "word": " أما", "probability": 0.88525390625}, {"start": 1857.79, "end": 1858.65, "word": " لو", "probability": 0.947265625}, {"start": 1858.65, "end": 1858.97, "word": " كانت", "probability": 0.972900390625}, {"start": 1858.97, "end": 1859.09, "word": " ال", "probability": 0.97900390625}, {"start": 1859.09, "end": 1859.47, "word": " function", "probability": 0.9365234375}, {"start": 1859.47, "end": 1859.91, "word": " بس", "probability": 0.990966796875}, {"start": 1859.91, "end": 1860.71, "word": " continuous", "probability": 0.96533203125}, {"start": 1860.71, "end": 1861.87, "word": " فمش", "probability": 0.9640299479166666}, {"start": 1861.87, "end": 1862.35, "word": " شرط", "probability": 0.9794921875}, {"start": 1862.35, "end": 1863.31, "word": " اتحافظ", "probability": 0.93271484375}, {"start": 1863.31, "end": 1863.51, "word": " على", "probability": 0.8173828125}, {"start": 1863.51, "end": 1863.91, "word": " كوشي", "probability": 0.729736328125}, {"start": 1863.91, "end": 1864.41, "word": " sequences", "probability": 0.5966796875}, {"start": 1864.41, "end": 1867.51, "word": " والبرهان", "probability": 0.79901123046875}, {"start": 1867.51, "end": 1868.57, "word": " سهل", "probability": 0.9967447916666666}, {"start": 1868.57, "end": 1869.45, "word": " بسيط", "probability": 0.90869140625}, {"start": 1869.45, "end": 1872.19, "word": " prove", "probability": 0.595703125}, {"start": 1872.19, "end": 1878.67, "word": " let", "probability": 0.87890625}, {"start": 1878.67, "end": 1879.23, "word": " if", "probability": 0.4140625}, {"start": 1879.23, "end": 1880.61, "word": " from", "probability": 0.908203125}, {"start": 1880.61, "end": 1881.05, "word": " A", "probability": 0.48583984375}, {"start": 1881.05, "end": 1881.29, "word": " to", "probability": 0.98388671875}, {"start": 1881.29, "end": 1881.77, "word": " R", "probability": 0.99462890625}], "temperature": 1.0}, {"id": 68, "seek": 191148, "start": 1882.84, "end": 1911.48, "text": "ب uniformly continuous on a and let x in contained in a,b كوشي كوشي sequence و بدنا نثبت ان ال image لل sequence x in بتطلع كوشي طيب", "tokens": [3555, 48806, 10957, 322, 257, 293, 718, 2031, 294, 16212, 294, 257, 11, 65, 9122, 2407, 8592, 1829, 9122, 2407, 8592, 1829, 8310, 4032, 47525, 8315, 8717, 12984, 3555, 2655, 16472, 2423, 3256, 24976, 8310, 2031, 294, 39894, 9566, 1211, 3615, 9122, 2407, 8592, 1829, 23032, 1829, 3555], "avg_logprob": -0.2932079081632653, "compression_ratio": 1.282442748091603, "no_speech_prob": 0.0, "words": [{"start": 1882.84, "end": 1883.26, "word": "ب", "probability": 0.322265625}, {"start": 1883.26, "end": 1884.54, "word": " uniformly", "probability": 0.0926513671875}, {"start": 1884.54, "end": 1885.54, "word": " continuous", "probability": 0.806640625}, {"start": 1885.54, "end": 1889.88, "word": " on", "probability": 0.78759765625}, {"start": 1889.88, "end": 1890.44, "word": " a", "probability": 0.6328125}, {"start": 1890.44, "end": 1892.4, "word": " and", "probability": 0.7861328125}, {"start": 1892.4, "end": 1895.32, "word": " let", "probability": 0.87255859375}, {"start": 1895.32, "end": 1898.12, "word": " x", "probability": 0.8564453125}, {"start": 1898.12, "end": 1898.52, "word": " in", "probability": 0.61083984375}, {"start": 1898.52, "end": 1899.32, "word": " contained", "probability": 0.68017578125}, {"start": 1899.32, "end": 1899.6, "word": " in", "probability": 0.89306640625}, {"start": 1899.6, "end": 1899.94, "word": " a", "probability": 0.9296875}, {"start": 1899.94, "end": 1900.3, "word": ",b", "probability": 0.4217529296875}, {"start": 1900.3, "end": 1901.06, "word": " كوشي", "probability": 0.8096923828125}, {"start": 1901.06, "end": 1903.66, "word": " كوشي", "probability": 0.85711669921875}, {"start": 1903.66, "end": 1904.24, "word": " sequence", "probability": 0.89208984375}, {"start": 1904.24, "end": 1906.54, "word": " و", "probability": 0.5810546875}, {"start": 1906.54, "end": 1906.88, "word": " بدنا", "probability": 0.741943359375}, {"start": 1906.88, "end": 1907.26, "word": " نثبت", "probability": 0.990478515625}, {"start": 1907.26, "end": 1907.38, "word": " ان", "probability": 0.443115234375}, {"start": 1907.38, "end": 1907.54, "word": " ال", "probability": 0.9365234375}, {"start": 1907.54, "end": 1907.9, "word": " image", "probability": 0.8564453125}, {"start": 1907.9, "end": 1908.16, "word": " لل", "probability": 0.2880859375}, {"start": 1908.16, "end": 1908.56, "word": " sequence", "probability": 0.96533203125}, {"start": 1908.56, "end": 1908.96, "word": " x", "probability": 0.92724609375}, {"start": 1908.96, "end": 1909.36, "word": " in", "probability": 0.85693359375}, {"start": 1909.36, "end": 1910.42, "word": " بتطلع", "probability": 0.9259033203125}, {"start": 1910.42, "end": 1910.92, "word": " كوشي", "probability": 0.9888916015625}, {"start": 1910.92, "end": 1911.48, "word": " طيب", "probability": 0.9441731770833334}], "temperature": 1.0}, {"id": 69, "seek": 193970, "start": 1912.54, "end": 1939.7, "text": "to show ان ال image لسيكوينس XN is Cauchy لبرهان ان ال sequence هذه ال image لسيكوينس XN is Cauchy نحاول نطبق تعريف Cauchy", "tokens": [1353, 855, 16472, 2423, 3256, 5296, 3794, 1829, 4117, 2407, 9957, 3794, 1783, 45, 307, 7544, 625, 88, 5296, 26890, 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{"start": 2096.92, "end": 2098.16, "word": " star", "probability": 0.544921875}, {"start": 2098.16, "end": 2100.02, "word": " and", "probability": 0.82763671875}, {"start": 2100.02, "end": 2100.42, "word": " double", "probability": 0.93359375}, {"start": 2100.42, "end": 2101.06, "word": " star", "probability": 0.95458984375}, {"start": 2101.06, "end": 2103.44, "word": " بيقدّوا", "probability": 0.69794921875}, {"start": 2103.44, "end": 2106.36, "word": " أنه", "probability": 0.5775146484375}, {"start": 2106.36, "end": 2107.66, "word": " يوجد", "probability": 0.9837239583333334}, {"start": 2107.66, "end": 2109.34, "word": " capital", "probability": 0.79833984375}, {"start": 2109.34, "end": 2109.8, "word": " N", "probability": 0.728515625}, {"start": 2109.8, "end": 2110.62, "word": " يعتمد", "probability": 0.96484375}, {"start": 2110.62, "end": 2111.0, "word": " على", "probability": 0.8916015625}, {"start": 2111.0, "end": 2111.58, "word": " epsilon", "probability": 0.472900390625}, 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"end": 2160.71, "word": " فالمسافة", "probability": 0.99169921875}, {"start": 2160.71, "end": 2161.03, "word": " بين", "probability": 0.98486328125}, {"start": 2161.03, "end": 2161.83, "word": " صورهم", "probability": 0.9396158854166666}, {"start": 2161.83, "end": 2162.11, "word": " اللي", "probability": 0.864990234375}, {"start": 2162.11, "end": 2162.33, "word": " هي", "probability": 0.58740234375}, {"start": 2162.33, "end": 2163.09, "word": " xn", "probability": 0.904052734375}, {"start": 2163.09, "end": 2163.37, "word": " هنا", "probability": 0.958984375}, {"start": 2163.37, "end": 2165.91, "word": " وصورة", "probability": 0.938720703125}, {"start": 2165.91, "end": 2166.09, "word": " ال", "probability": 0.9326171875}, {"start": 2166.09, "end": 2166.87, "word": " xm", "probability": 0.91796875}, {"start": 2166.87, "end": 2167.57, "word": " تطلع", "probability": 0.8150634765625}, {"start": 2167.57, "end": 2168.19, "word": " أصغر", "probability": 0.989013671875}, {"start": 2168.19, 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"word": " X", "probability": 0.96826171875}, {"start": 2185.29, "end": 2185.51, "word": " M", "probability": 0.3173828125}, {"start": 2185.51, "end": 2185.61, "word": " و", "probability": 0.845703125}, {"start": 2185.61, "end": 2185.77, "word": " F", "probability": 0.55908203125}, {"start": 2185.77, "end": 2185.91, "word": " of", "probability": 0.9267578125}, {"start": 2185.91, "end": 2186.15, "word": " X", "probability": 0.99072265625}, {"start": 2186.15, "end": 2186.35, "word": " M", "probability": 0.76220703125}, {"start": 2186.35, "end": 2186.83, "word": " أصغر", "probability": 0.989501953125}, {"start": 2186.83, "end": 2186.99, "word": " من", "probability": 0.9912109375}, {"start": 2186.99, "end": 2187.47, "word": " إبسلون", "probability": 0.97255859375}, {"start": 2187.47, "end": 2188.33, "word": " إذا", "probability": 0.566650390625}, {"start": 2188.33, "end": 2188.95, "word": " بما", "probability": 0.942626953125}, {"start": 2188.95, "end": 2189.35, "word": " أنه", "probability": 0.61767578125}, {"start": 2189.35, "end": 2189.89, "word": " since", "probability": 0.724609375}, {"start": 2189.89, "end": 2191.65, "word": " إبسلون", "probability": 0.90205078125}, {"start": 2191.65, "end": 2192.09, "word": " أكبر", "probability": 0.98193359375}, {"start": 2192.09, "end": 2192.31, "word": " من", "probability": 0.9970703125}, {"start": 2192.31, "end": 2192.89, "word": " السفر", "probability": 0.9777018229166666}, {"start": 2192.89, "end": 2193.65, "word": " was", "probability": 0.93408203125}, {"start": 2193.65, "end": 2194.65, "word": " arbitrary", "probability": 0.78662109375}], "temperature": 1.0}, {"id": 80, "seek": 222423, "start": 2196.2, "end": 2224.24, "text": "إذا الـ sequence f of x in is Cauchy تطلع الـ sequence هذه Cauchy وهو المطلوب okay تمام ممكن نستخدم النظرية هذه ممكن نستخدم النظرية هذه في ال .. ان نثبت ان function معينة ليست", "tokens": [28814, 15730, 2423, 39184, 8310, 283, 295, 2031, 294, 307, 7544, 625, 88, 6055, 9566, 1211, 3615, 2423, 39184, 8310, 29538, 7544, 625, 88, 37037, 2407, 9673, 9566, 1211, 37746, 1392, 46811, 10943, 3714, 43020, 8717, 14851, 9778, 40448, 28239, 19913, 2288, 10632, 29538, 3714, 43020, 8717, 14851, 9778, 40448, 28239, 19913, 2288, 10632, 29538, 8978, 2423, 4386, 16472, 8717, 12984, 3555, 2655, 16472, 2445, 20449, 9957, 3660, 32239, 14851], "avg_logprob": -0.24317781480265335, "compression_ratio": 1.6319018404907975, "no_speech_prob": 0.0, "words": [{"start": 2196.2, "end": 2196.68, "word": "إذا", "probability": 0.44073486328125}, {"start": 2196.68, "end": 2197.02, "word": " الـ", "probability": 0.4830322265625}, {"start": 2197.02, "end": 2197.72, "word": " sequence", "probability": 0.8125}, {"start": 2197.72, "end": 2198.28, "word": " f", "probability": 0.6181640625}, {"start": 2198.28, "end": 2198.62, "word": " of", "probability": 0.58642578125}, {"start": 2198.62, "end": 2199.1, "word": " x", "probability": 0.9091796875}, {"start": 2199.1, "end": 2199.78, "word": " in", "probability": 0.8095703125}, {"start": 2199.78, "end": 2201.24, "word": " is", "probability": 0.6982421875}, {"start": 2201.24, "end": 2201.84, "word": " Cauchy", "probability": 0.7569173177083334}, {"start": 2201.84, "end": 2202.56, "word": " تطلع", "probability": 0.77410888671875}, {"start": 2202.56, "end": 2202.74, "word": " الـ", "probability": 0.768798828125}, {"start": 2202.74, "end": 2203.12, "word": " sequence", "probability": 0.97119140625}, {"start": 2203.12, "end": 2203.5, "word": " هذه", "probability": 0.492431640625}, {"start": 2203.5, "end": 2204.44, "word": " Cauchy", "probability": 0.9246419270833334}, {"start": 2204.44, "end": 2205.12, "word": " وهو", "probability": 0.779052734375}, {"start": 2205.12, "end": 2205.86, "word": " المطلوب", "probability": 0.9866943359375}, {"start": 2205.86, "end": 2207.24, "word": " okay", "probability": 0.14892578125}, {"start": 2207.24, "end": 2207.8, "word": " تمام", "probability": 0.909423828125}, {"start": 2207.8, "end": 2210.62, "word": " ممكن", "probability": 0.863525390625}, {"start": 2210.62, "end": 2211.24, "word": " نستخدم", "probability": 0.9935302734375}, {"start": 2211.24, "end": 2211.86, "word": " النظرية", "probability": 0.96435546875}, {"start": 2211.86, "end": 2212.36, "word": " هذه", "probability": 0.947265625}, {"start": 2212.36, "end": 2214.08, "word": " ممكن", "probability": 0.872314453125}, {"start": 2214.08, "end": 2214.62, "word": " نستخدم", "probability": 0.9962158203125}, {"start": 2214.62, "end": 2215.14, "word": " النظرية", "probability": 0.980712890625}, {"start": 2215.14, "end": 2215.6, "word": " هذه", "probability": 0.96533203125}, {"start": 2215.6, "end": 2216.0, "word": " في", "probability": 0.79638671875}, {"start": 2216.0, "end": 2217.04, "word": " ال", "probability": 0.71728515625}, {"start": 2217.04, "end": 2221.4, "word": " ..", "probability": 0.42431640625}, {"start": 2221.4, "end": 2222.0, "word": " ان", "probability": 0.450927734375}, {"start": 2222.0, "end": 2222.48, "word": " نثبت", "probability": 0.9725341796875}, {"start": 2222.48, "end": 2222.62, "word": " ان", "probability": 0.64990234375}, {"start": 2222.62, "end": 2223.04, "word": " function", "probability": 0.2587890625}, {"start": 2223.04, "end": 2223.7, "word": " معينة", "probability": 0.9803059895833334}, {"start": 2223.7, "end": 2224.24, "word": " ليست", "probability": 0.9521484375}], "temperature": 1.0}, {"id": 81, "seek": 225228, "start": 2225.54, "end": 2252.28, "text": "uniform and continuous هاي example use above theorem to show ال function f of x بالسعر واحد على x is not", "tokens": [409, 8629, 293, 10957, 8032, 47302, 1365, 764, 3673, 20904, 281, 855, 2423, 2445, 283, 295, 2031, 20666, 3794, 3615, 2288, 36764, 24401, 15844, 2031, 307, 406], "avg_logprob": -0.3200334683060646, "compression_ratio": 1.0701754385964912, "no_speech_prob": 0.0, "words": [{"start": 2225.54, "end": 2226.16, "word": "uniform", "probability": 0.58087158203125}, {"start": 2226.16, "end": 2226.32, "word": " and", "probability": 0.52392578125}, {"start": 2226.32, "end": 2227.0, "word": " continuous", "probability": 0.85205078125}, {"start": 2227.0, "end": 2227.82, "word": " هاي", "probability": 0.5531005859375}, {"start": 2227.82, "end": 2228.54, "word": " example", "probability": 0.85400390625}, {"start": 2228.54, "end": 2236.2, "word": " use", "probability": 0.72998046875}, {"start": 2236.2, "end": 2236.9, "word": " above", "probability": 0.91455078125}, {"start": 2236.9, "end": 2240.1, "word": " theorem", "probability": 0.8798828125}, {"start": 2240.1, "end": 2242.78, "word": " to", "probability": 0.95263671875}, {"start": 2242.78, "end": 2243.3, "word": " show", "probability": 0.96435546875}, {"start": 2243.3, "end": 2245.02, "word": " ال", "probability": 0.71337890625}, {"start": 2245.02, "end": 2245.6, "word": " function", "probability": 0.88427734375}, {"start": 2245.6, "end": 2247.36, "word": " f", "probability": 0.81982421875}, {"start": 2247.36, "end": 2247.6, "word": " of", "probability": 0.73681640625}, {"start": 2247.6, "end": 2248.06, "word": " x", "probability": 0.95458984375}, {"start": 2248.06, "end": 2249.58, "word": " بالسعر", "probability": 0.60845947265625}, {"start": 2249.58, "end": 2250.06, "word": " واحد", "probability": 0.976806640625}, {"start": 2250.06, "end": 2250.22, "word": " على", "probability": 0.484619140625}, {"start": 2250.22, "end": 2250.64, "word": " x", "probability": 0.62646484375}, {"start": 2250.64, "end": 2251.86, "word": " is", "probability": 0.9560546875}, {"start": 2251.86, "end": 2252.28, "word": " not", "probability": 0.96630859375}], "temperature": 1.0}, {"id": 82, "seek": 226467, "start": 2255.48, "end": 2264.68, "text": "uniformly continuous on a بساوي الفترة المفتوحة من صفر إلى ملا نهار", "tokens": [409, 8629, 356, 10957, 322, 257, 4724, 3794, 995, 45865, 27188, 2655, 25720, 9673, 5172, 2655, 2407, 5016, 3660, 9154, 20328, 5172, 2288, 30731, 3714, 15040, 8717, 3224, 9640], "avg_logprob": -0.2565104295810064, "compression_ratio": 1.063157894736842, "no_speech_prob": 0.0, "words": [{"start": 2255.4800000000005, "end": 2256.6200000000003, "word": "uniformly", "probability": 0.7395833333333334}, {"start": 2256.6200000000003, "end": 2257.76, "word": " continuous", "probability": 0.6640625}, {"start": 2257.76, "end": 2258.42, "word": " on", "probability": 0.88623046875}, {"start": 2258.42, "end": 2260.3, "word": " a", "probability": 0.54931640625}, {"start": 2260.3, "end": 2261.76, "word": " بساوي", "probability": 0.62249755859375}, {"start": 2261.76, "end": 2262.24, "word": " الفترة", "probability": 0.982421875}, {"start": 2262.24, "end": 2263.02, "word": " المفتوحة", "probability": 0.9795735677083334}, {"start": 2263.02, "end": 2263.22, "word": " من", "probability": 0.98388671875}, {"start": 2263.22, "end": 2263.7, "word": " صفر", "probability": 0.8042805989583334}, {"start": 2263.7, "end": 2263.9, "word": " إلى", "probability": 0.806640625}, {"start": 2263.9, "end": 2264.24, "word": " ملا", "probability": 0.575439453125}, {"start": 2264.24, "end": 2264.68, "word": " نهار", "probability": 0.8025716145833334}], "temperature": 1.0}, {"id": 83, "seek": 230567, "start": 2277.8, "end": 2305.68, "text": "لحظة ان النظرية دي ايش بتقول لو كانت ال function uniform ل continuous فلازم تحافظ على كوشي sequence طب لو محافظتش على كوشي sequence مش ممكن تكون uniform ل continuous صح؟ مظبوط؟ اذا هنا proof by above theorem حسب النظرية على it suffices", "tokens": [1211, 5016, 19913, 3660, 16472, 28239, 19913, 2288, 10632, 11778, 1829, 1975, 1829, 8592, 39894, 39648, 45164, 25961, 2655, 2423, 2445, 9452, 5296, 10957, 6156, 1211, 31377, 2304, 6055, 5016, 31845, 19913, 15844, 9122, 2407, 8592, 1829, 8310, 23032, 3555, 45164, 3714, 5016, 31845, 19913, 2655, 8592, 15844, 9122, 2407, 8592, 1829, 8310, 37893, 3714, 43020, 6055, 30544, 9452, 5296, 10957, 20328, 5016, 22807, 3714, 19913, 3555, 2407, 9566, 22807, 1975, 15730, 34105, 8177, 538, 3673, 20904, 11331, 35457, 28239, 19913, 2288, 10632, 15844, 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2281.54, "word": " uniform", "probability": 0.77978515625}, {"start": 2281.54, "end": 2281.74, "word": " ل", "probability": 0.7080078125}, {"start": 2281.74, "end": 2282.32, "word": " continuous", "probability": 0.88916015625}, {"start": 2282.32, "end": 2283.5, "word": " فلازم", "probability": 0.9276123046875}, {"start": 2283.5, "end": 2284.08, "word": " تحافظ", "probability": 0.9620361328125}, {"start": 2284.08, "end": 2284.24, "word": " على", "probability": 0.80322265625}, {"start": 2284.24, "end": 2284.64, "word": " كوشي", "probability": 0.8487548828125}, {"start": 2284.64, "end": 2285.14, "word": " sequence", "probability": 0.861328125}, {"start": 2285.14, "end": 2286.1, "word": " طب", "probability": 0.8447265625}, {"start": 2286.1, "end": 2286.28, "word": " لو", "probability": 0.9697265625}, {"start": 2286.28, "end": 2286.94, "word": " محافظتش", "probability": 0.856689453125}, {"start": 2286.94, "end": 2287.1, "word": " على", "probability": 0.7080078125}, {"start": 2287.1, "end": 2287.44, "word": " كوشي", "probability": 0.97412109375}, {"start": 2287.44, "end": 2287.96, "word": " sequence", "probability": 0.97314453125}, {"start": 2287.96, "end": 2288.78, "word": " مش", "probability": 0.9482421875}, {"start": 2288.78, "end": 2289.08, "word": " ممكن", "probability": 0.986328125}, {"start": 2289.08, "end": 2289.44, "word": " تكون", "probability": 0.9912109375}, {"start": 2289.44, "end": 2289.84, "word": " uniform", "probability": 0.92529296875}, {"start": 2289.84, "end": 2290.06, "word": " ل", "probability": 0.98046875}, {"start": 2290.06, "end": 2290.72, "word": " continuous", "probability": 0.9462890625}, {"start": 2290.72, "end": 2291.76, "word": " صح؟", "probability": 0.8142903645833334}, {"start": 2291.76, "end": 2293.14, "word": " مظبوط؟", "probability": 0.8007405598958334}, {"start": 2293.14, "end": 2293.26, "word": " اذا", "probability": 0.677490234375}, {"start": 2293.26, "end": 2293.68, "word": " هنا", "probability": 0.982421875}, {"start": 2293.68, "end": 2297.26, "word": " proof", "probability": 0.330810546875}, {"start": 2297.26, "end": 2298.78, "word": " by", "probability": 0.95263671875}, {"start": 2298.78, "end": 2300.68, "word": " above", "probability": 0.9306640625}, {"start": 2300.68, "end": 2301.86, "word": " theorem", "probability": 0.8486328125}, {"start": 2301.86, "end": 2302.56, "word": " حسب", "probability": 0.9404296875}, {"start": 2302.56, "end": 2303.1, "word": " النظرية", "probability": 0.987548828125}, {"start": 2303.1, "end": 2303.42, "word": " على", "probability": 0.82373046875}, {"start": 2303.42, "end": 2304.64, "word": " it", "probability": 0.93994140625}, {"start": 2304.64, "end": 2305.68, "word": " suffices", "probability": 0.936279296875}], "temperature": 1.0}, {"id": 84, "seek": 233350, "start": 2308.36, "end": 2333.5, "text": "to show يكفي اثبات ان f is .. if does not .. if does .. does not preserve .. preserve Cauchy sequences ف consider", "tokens": [1353, 855, 7251, 4117, 41185, 1975, 12984, 3555, 9307, 16472, 283, 307, 4386, 498, 775, 406, 4386, 498, 775, 4386, 775, 406, 15665, 4386, 15665, 7544, 625, 88, 22978, 6156, 1949], "avg_logprob": -0.4270019428804517, "compression_ratio": 1.2254901960784315, "no_speech_prob": 0.0, "words": [{"start": 2308.36, "end": 2308.6, "word": "to", "probability": 0.059814453125}, {"start": 2308.6, "end": 2309.16, "word": " show", "probability": 0.9580078125}, {"start": 2309.16, "end": 2309.74, "word": " يكفي", "probability": 0.8466796875}, {"start": 2309.74, "end": 2310.42, "word": " اثبات", "probability": 0.8819580078125}, {"start": 2310.42, "end": 2311.26, "word": " ان", "probability": 0.77392578125}, {"start": 2311.26, "end": 2311.74, "word": " f", "probability": 0.248291015625}, {"start": 2311.74, "end": 2312.36, "word": " is", "probability": 0.69482421875}, {"start": 2312.36, "end": 2314.16, "word": " ..", "probability": 0.34716796875}, {"start": 2314.16, "end": 2314.78, "word": " if", "probability": 0.33642578125}, {"start": 2314.78, "end": 2315.2, "word": " does", "probability": 0.85107421875}, {"start": 2315.2, "end": 2315.66, "word": " not", "probability": 0.96630859375}, {"start": 2315.66, "end": 2315.9, "word": " ..", "probability": 0.63134765625}, {"start": 2315.9, "end": 2316.22, "word": " if", "probability": 0.7822265625}, {"start": 2316.22, "end": 2316.92, "word": " does", "probability": 0.958984375}, {"start": 2316.92, "end": 2318.86, "word": " ..", "probability": 0.59375}, {"start": 2318.86, "end": 2319.36, "word": " does", "probability": 0.8759765625}, {"start": 2319.36, "end": 2319.92, "word": " not", "probability": 0.9619140625}, {"start": 2319.92, "end": 2322.42, "word": " preserve", "probability": 0.4140625}, {"start": 2322.42, "end": 2322.72, "word": " ..", "probability": 0.78173828125}, {"start": 2322.72, "end": 2324.48, "word": " preserve", "probability": 0.884765625}, {"start": 2324.48, "end": 2326.96, "word": " Cauchy", "probability": 0.7146402994791666}, {"start": 2326.96, "end": 2327.76, "word": " sequences", "probability": 0.8125}, {"start": 2327.76, "end": 2332.86, "word": " ف", "probability": 0.9443359375}, {"start": 2332.86, "end": 2333.5, "word": " consider", "probability": 0.6806640625}], "temperature": 1.0}, {"id": 85, "seek": 236513, "start": 2336.93, "end": 2365.13, "text": "consider ال sequence xn اللي هي بساوي واحد على ن ال sequence هذه converge لصفر وبالتالي اذا xn is Cauchy تمام but صورة ال xn", "tokens": [21190, 1438, 2423, 8310, 2031, 77, 13672, 1829, 39896, 4724, 3794, 995, 45865, 36764, 24401, 15844, 8717, 2423, 8310, 29538, 41881, 5296, 9381, 5172, 2288, 46599, 6027, 2655, 6027, 1829, 1975, 15730, 2031, 77, 307, 7544, 625, 88, 46811, 10943, 457, 20328, 13063, 3660, 2423, 2031, 77], "avg_logprob": -0.3434244692325592, "compression_ratio": 1.2681159420289856, "no_speech_prob": 0.0, "words": [{"start": 2336.93, "end": 2337.73, "word": "consider", "probability": 0.59210205078125}, {"start": 2337.73, "end": 2338.11, "word": " ال", "probability": 0.5966796875}, {"start": 2338.11, "end": 2338.59, "word": " sequence", "probability": 0.72802734375}, {"start": 2338.59, "end": 2339.65, "word": " xn", "probability": 0.5694580078125}, {"start": 2339.65, "end": 2340.89, "word": " اللي", "probability": 0.416015625}, {"start": 2340.89, "end": 2341.07, "word": " هي", "probability": 0.495361328125}, {"start": 2341.07, "end": 2341.99, "word": " بساوي", "probability": 0.7940673828125}, {"start": 2341.99, "end": 2342.71, "word": " واحد", "probability": 0.923095703125}, {"start": 2342.71, "end": 2342.95, "word": " على", "probability": 0.626953125}, {"start": 2342.95, "end": 2343.27, "word": " ن", "probability": 0.251708984375}, {"start": 2343.27, "end": 2345.69, "word": " ال", "probability": 0.8408203125}, {"start": 2345.69, "end": 2346.19, "word": " sequence", "probability": 0.9375}, {"start": 2346.19, "end": 2346.61, "word": " هذه", "probability": 0.338623046875}, {"start": 2346.61, "end": 2347.37, "word": " converge", "probability": 0.8916015625}, {"start": 2347.37, "end": 2348.05, "word": " لصفر", "probability": 0.83721923828125}, {"start": 2348.05, "end": 2351.47, "word": " وبالتالي", "probability": 0.865673828125}, {"start": 2351.47, "end": 2352.61, "word": " اذا", "probability": 0.6400146484375}, {"start": 2352.61, "end": 2353.73, "word": " xn", "probability": 0.756103515625}, {"start": 2353.73, "end": 2355.87, "word": " is", "probability": 0.89599609375}, {"start": 2355.87, "end": 2358.13, "word": " Cauchy", "probability": 0.7532552083333334}, {"start": 2358.13, "end": 2360.03, "word": " تمام", "probability": 0.878173828125}, {"start": 2360.03, "end": 2361.43, "word": " but", "probability": 0.5556640625}, {"start": 2361.43, "end": 2364.29, "word": " صورة", "probability": 0.9798177083333334}, {"start": 2364.29, "end": 2364.45, "word": " ال", "probability": 0.947265625}, {"start": 2364.45, "end": 2365.13, "word": " xn", "probability": 0.945556640625}], "temperature": 1.0}, {"id": 86, "seek": 239421, "start": 2368.66, "end": 2394.22, "text": "أيش بتطلع؟ صورة الواحد على ان تطلع ال sequence in صح؟ و ال sequence هذه properly divergent to infinity، اذا I'm divergent، اذا I'm not Cauchy تمام؟", "tokens": [10721, 1829, 8592, 39894, 9566, 1211, 3615, 22807, 20328, 13063, 3660, 2423, 14407, 24401, 15844, 16472, 6055, 9566, 1211, 3615, 2423, 8310, 294, 20328, 5016, 22807, 4032, 2423, 8310, 29538, 6108, 18558, 6930, 281, 13202, 12399, 1975, 15730, 286, 478, 18558, 6930, 12399, 1975, 15730, 286, 478, 406, 7544, 625, 88, 46811, 10943, 22807], "avg_logprob": -0.3125000075860457, "compression_ratio": 1.3092105263157894, "no_speech_prob": 0.0, "words": [{"start": 2368.66, "end": 2368.98, "word": "أيش", "probability": 0.625732421875}, {"start": 2368.98, "end": 2370.5, "word": " بتطلع؟", "probability": 0.88203125}, {"start": 2370.5, "end": 2372.42, "word": " صورة", "probability": 0.8702799479166666}, {"start": 2372.42, "end": 2373.06, "word": " الواحد", "probability": 0.9353841145833334}, {"start": 2373.06, "end": 2373.3, "word": " على", "probability": 0.71728515625}, {"start": 2373.3, "end": 2373.66, "word": " ان", "probability": 0.1959228515625}, {"start": 2373.66, "end": 2376.4, "word": " تطلع", "probability": 0.85247802734375}, {"start": 2376.4, "end": 2376.56, "word": " ال", "probability": 0.93603515625}, {"start": 2376.56, "end": 2377.08, "word": " sequence", "probability": 0.8798828125}, {"start": 2377.08, "end": 2377.46, "word": " in", "probability": 0.69140625}, {"start": 2377.46, "end": 2379.72, "word": " صح؟", "probability": 0.85009765625}, {"start": 2379.72, "end": 2379.88, "word": " و", "probability": 0.56884765625}, {"start": 2379.88, "end": 2380.0, "word": " ال", "probability": 0.76708984375}, {"start": 2380.0, "end": 2380.42, "word": " sequence", "probability": 0.97900390625}, {"start": 2380.42, "end": 2380.92, "word": " هذه", "probability": 0.51416015625}, {"start": 2380.92, "end": 2382.58, "word": " properly", "probability": 0.888671875}, {"start": 2382.58, "end": 2383.42, "word": " divergent", "probability": 0.8203125}, {"start": 2383.42, "end": 2383.62, "word": " to", "probability": 0.931640625}, {"start": 2383.62, "end": 2385.36, "word": " infinity،", "probability": 0.538818359375}, {"start": 2385.36, "end": 2385.52, "word": " اذا", "probability": 0.604248046875}, {"start": 2385.52, "end": 2385.68, "word": " I'm", "probability": 0.683837890625}, {"start": 2385.68, "end": 2387.22, "word": " divergent،", "probability": 0.8802083333333334}, {"start": 2387.22, "end": 2387.88, "word": " اذا", "probability": 0.884521484375}, {"start": 2387.88, "end": 2388.06, "word": " I'm", "probability": 0.976318359375}, {"start": 2388.06, "end": 2388.36, "word": " not", "probability": 0.9658203125}, {"start": 2388.36, "end": 2389.76, "word": " Cauchy", "probability": 0.7501627604166666}, {"start": 2389.76, "end": 2394.22, "word": " تمام؟", "probability": 0.8515625}], "temperature": 1.0}, {"id": 87, "seek": 241905, "start": 2397.13, "end": 2419.05, "text": "Okay؟ وبالتالي إذا هاي في عندي .. هاي في عندي .. إذا if لا تحافظ على ال koshi sequences إذا if does not preserve .. preserve koshi", "tokens": [8297, 22807, 46599, 6027, 2655, 6027, 1829, 11933, 15730, 8032, 47302, 8978, 18871, 16254, 4386, 8032, 47302, 8978, 18871, 16254, 4386, 11933, 15730, 498, 20193, 6055, 5016, 31845, 19913, 15844, 2423, 350, 17392, 22978, 11933, 15730, 498, 775, 406, 15665, 4386, 15665, 350, 17392], "avg_logprob": -0.3019097275204129, "compression_ratio": 1.424, "no_speech_prob": 0.0, "words": [{"start": 2397.13, "end": 2398.09, "word": "Okay؟", "probability": 0.373291015625}, {"start": 2398.09, "end": 2398.43, "word": " وبالتالي", "probability": 0.844189453125}, {"start": 2398.43, "end": 2398.59, "word": " إذا", "probability": 0.5555419921875}, {"start": 2398.59, "end": 2398.85, "word": " هاي", "probability": 0.6365966796875}, {"start": 2398.85, "end": 2398.93, "word": " في", "probability": 0.880859375}, {"start": 2398.93, "end": 2399.35, "word": " عندي", "probability": 0.896240234375}, {"start": 2399.35, "end": 2399.89, "word": " ..", "probability": 0.55517578125}, {"start": 2399.89, "end": 2400.67, "word": " هاي", "probability": 0.76171875}, {"start": 2400.67, "end": 2400.79, "word": " في", "probability": 0.98583984375}, {"start": 2400.79, "end": 2401.27, "word": " عندي", "probability": 0.98828125}, {"start": 2401.27, "end": 2401.45, "word": " ..", "probability": 0.521484375}, {"start": 2401.45, "end": 2401.93, "word": " إذا", "probability": 0.937744140625}, {"start": 2401.93, "end": 2402.43, "word": " if", "probability": 0.72265625}, {"start": 2402.43, "end": 2403.23, "word": " لا", "probability": 0.41845703125}, {"start": 2403.23, "end": 2403.97, "word": " تحافظ", "probability": 0.992919921875}, {"start": 2403.97, "end": 2404.13, "word": " على", "probability": 0.8408203125}, {"start": 2404.13, "end": 2404.29, "word": " ال", "probability": 0.85986328125}, {"start": 2404.29, "end": 2404.53, "word": " koshi", "probability": 0.332733154296875}, {"start": 2404.53, "end": 2405.17, "word": " sequences", "probability": 0.89990234375}, {"start": 2405.17, "end": 2406.07, "word": " إذا", "probability": 0.81982421875}, {"start": 2406.07, "end": 2406.53, "word": " if", "probability": 0.92822265625}, {"start": 2406.53, "end": 2408.79, "word": " does", "probability": 0.90087890625}, {"start": 2408.79, "end": 2409.27, "word": " not", "probability": 0.97412109375}, {"start": 2409.27, "end": 2413.21, "word": " preserve", "probability": 0.9443359375}, {"start": 2413.21, "end": 2414.29, "word": " ..", "probability": 0.853515625}, {"start": 2414.29, "end": 2416.61, "word": " preserve", "probability": 0.93994140625}, {"start": 2416.61, "end": 2419.05, "word": " koshi", "probability": 0.860107421875}], "temperature": 1.0}, {"id": 88, "seek": 245141, "start": 2426.33, "end": 2451.41, "text": "sequences وبالتالي حسب النظرية الأخيرة مابتكونش uniformly continuous لأن لو كانت uniformly continuous فالمفروض تاخد كوشي sequence زي هذه تعطينا صورتها كوشي sequence وهذا مستحيل okay تمام واضح في أي سؤال اي استفسار اذا هيك نكتفي بهذا القدر من section خمسة اربعة وزي ما حكينا سابقا", "tokens": [11834, 2667, 46599, 6027, 2655, 6027, 1829, 11331, 35457, 28239, 19913, 2288, 10632, 16247, 9778, 48923, 3714, 16758, 2655, 30544, 8592, 48806, 10957, 5296, 33456, 45164, 25961, 2655, 48806, 10957, 6156, 45340, 5172, 32887, 11242, 6055, 47283, 3215, 9122, 2407, 8592, 1829, 8310, 30767, 1829, 29538, 37279, 9566, 1829, 8315, 20328, 13063, 2655, 11296, 9122, 2407, 8592, 1829, 8310, 37037, 15730, 3714, 14851, 5016, 26895, 1392, 46811, 10943, 4032, 46958, 5016, 8978, 36632, 8608, 33604, 6027, 1975, 1829, 44713, 36178, 9640, 1975, 15730, 39896, 4117, 8717, 4117, 2655, 41185, 39627, 15730, 25062, 3215, 2288, 9154, 3541, 16490, 2304, 3794, 3660, 1975, 25513, 27884, 4032, 11622, 1829, 19446, 11331, 4117, 1829, 8315, 8608, 16758, 4587, 995], "avg_logprob": -0.1654094817309544, "compression_ratio": 1.681992337164751, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 2426.3299999999995, "end": 2427.1499999999996, "word": "sequences", "probability": 0.4925537109375}, {"start": 2427.1499999999996, "end": 2427.97, "word": " وبالتالي", "probability": 0.8931640625}, {"start": 2427.97, "end": 2428.27, "word": " حسب", "probability": 0.906494140625}, {"start": 2428.27, "end": 2428.91, "word": " النظرية", "probability": 0.9725341796875}, {"start": 2428.91, "end": 2429.69, "word": " الأخيرة", "probability": 0.9474283854166666}, {"start": 2429.69, "end": 2431.61, "word": " مابتكونش", "probability": 0.831396484375}, {"start": 2431.61, "end": 2432.27, "word": " uniformly", "probability": 0.9287109375}, {"start": 2432.27, "end": 2433.23, "word": " continuous", "probability": 0.84619140625}, {"start": 2433.23, "end": 2433.51, "word": " لأن", "probability": 0.78466796875}, {"start": 2433.51, "end": 2433.69, "word": " لو", "probability": 0.95849609375}, {"start": 2433.69, "end": 2434.09, "word": " كانت", "probability": 0.97900390625}, {"start": 2434.09, "end": 2434.63, "word": " uniformly", "probability": 0.94677734375}, {"start": 2434.63, "end": 2435.37, "word": " continuous", "probability": 0.90966796875}, {"start": 2435.37, "end": 2436.43, "word": " فالمفروض", "probability": 0.88017578125}, {"start": 2436.43, "end": 2436.83, "word": " تاخد", "probability": 0.9694010416666666}, {"start": 2436.83, "end": 2437.23, "word": " كوشي", "probability": 0.79345703125}, {"start": 2437.23, "end": 2437.65, "word": " sequence", "probability": 0.89697265625}, {"start": 2437.65, "end": 2437.97, "word": " زي", "probability": 0.96044921875}, {"start": 2437.97, "end": 2438.37, "word": " هذه", "probability": 0.8779296875}, {"start": 2438.37, "end": 2439.33, "word": " تعطينا", "probability": 0.818115234375}, {"start": 2439.33, "end": 2439.73, "word": " صورتها", "probability": 0.8692626953125}, {"start": 2439.73, "end": 2440.03, "word": " كوشي", "probability": 0.968994140625}, {"start": 2440.03, "end": 2440.39, "word": " sequence", "probability": 0.970703125}, {"start": 2440.39, "end": 2440.67, "word": " وهذا", "probability": 0.8525390625}, {"start": 2440.67, "end": 2441.27, "word": " مستحيل", "probability": 0.98486328125}, {"start": 2441.27, "end": 2442.21, "word": " okay", "probability": 0.5185546875}, {"start": 2442.21, "end": 2442.73, "word": " تمام", "probability": 0.9599609375}, {"start": 2442.73, "end": 2443.67, "word": " واضح", "probability": 0.96435546875}, {"start": 2443.67, "end": 2444.59, "word": " في", "probability": 0.5556640625}, {"start": 2444.59, "end": 2444.75, "word": " أي", "probability": 0.63623046875}, {"start": 2444.75, "end": 2445.09, "word": " سؤال", "probability": 0.9908854166666666}, {"start": 2445.09, "end": 2445.29, "word": " اي", "probability": 0.7254638671875}, {"start": 2445.29, "end": 2445.83, "word": " استفسار", "probability": 0.7311604817708334}, {"start": 2445.83, "end": 2446.79, "word": " اذا", "probability": 0.802490234375}, {"start": 2446.79, "end": 2447.23, "word": " هيك", "probability": 0.6524658203125}, {"start": 2447.23, "end": 2447.63, "word": " نكتفي", "probability": 0.9708251953125}, {"start": 2447.63, "end": 2447.97, "word": " بهذا", "probability": 0.975830078125}, {"start": 2447.97, "end": 2448.37, "word": " القدر", "probability": 0.9873046875}, {"start": 2448.37, "end": 2448.55, "word": " من", "probability": 0.97802734375}, {"start": 2448.55, "end": 2448.85, "word": " section", "probability": 0.61669921875}, {"start": 2448.85, "end": 2449.33, "word": " خمسة", "probability": 0.81280517578125}, {"start": 2449.33, "end": 2449.71, "word": " اربعة", "probability": 0.826171875}, {"start": 2449.71, "end": 2450.21, "word": " وزي", "probability": 0.9108072916666666}, {"start": 2450.21, "end": 2450.31, "word": " ما", "probability": 0.98291015625}, {"start": 2450.31, "end": 2450.69, "word": " حكينا", "probability": 0.9810791015625}, {"start": 2450.69, "end": 2451.41, "word": " سابقا", "probability": 0.9884033203125}], "temperature": 1.0}, {"id": 89, "seek": 247358, "start": 2452.02, "end": 2473.58, "text": "هذا كان آخر section هناخده في المقرر و بالتالي هيكون يعني .. يعني ان شاء الله أنهينا ال course كما هو موضح على ال syllabus فشكرا لكم و شكرا لحسن إصداركم و يعطيكم ألف عافية", "tokens": [3224, 15730, 25961, 19753, 34740, 3541, 8032, 1863, 47283, 3215, 3224, 8978, 9673, 4587, 2288, 2288, 4032, 20666, 2655, 6027, 1829, 39896, 30544, 37495, 22653, 4386, 37495, 22653, 16472, 13412, 16606, 21984, 14739, 3224, 1829, 8315, 2423, 1164, 9122, 15042, 31439, 3714, 2407, 11242, 5016, 15844, 2423, 48077, 6156, 8592, 4117, 23557, 5296, 24793, 4032, 13412, 4117, 23557, 5296, 5016, 3794, 1863, 11933, 9381, 3215, 9640, 24793, 4032, 37495, 9566, 1829, 24793, 5551, 46538, 6225, 31845, 10632], "avg_logprob": -0.12960737217695284, "compression_ratio": 1.507936507936508, "no_speech_prob": 0.0, "words": [{"start": 2452.02, "end": 2452.54, "word": "هذا", "probability": 0.945556640625}, {"start": 2452.54, "end": 2452.82, "word": " كان", "probability": 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\ No newline at end of file
diff --git a/PL9fwy3NUQKwZHPs6l8Fr-st-8cVJxmVek/ZfnDnf4RR5M_raw.json b/PL9fwy3NUQKwZHPs6l8Fr-st-8cVJxmVek/ZfnDnf4RR5M_raw.json
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index 0000000000000000000000000000000000000000..9bc61153bc8e863706b65366102e6e2b4b48947f
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@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 4913, "start": 20.67, "end": 49.13, "text": "السلام عليكم اليوم ان شاء الله هنكمل section أربعة واحد اللي عرفنا فيه ال limits و ال functions أخدنا المرة الأولى تلتة تعريف epsilon delta ل limit of function وشوفنا أن هذا بكافة تعريف في neighborhood definition لlimit of function على النقطة", "tokens": [6027, 3794, 37440, 25894, 24793, 45595, 20498, 16472, 13412, 16606, 21984, 8032, 1863, 24793, 1211, 3541, 5551, 25513, 27884, 36764, 24401, 13672, 1829, 6225, 28480, 8315, 8978, 3224, 2423, 10406, 4032, 2423, 6828, 5551, 9778, 3215, 8315, 9673, 25720, 16247, 12610, 7578, 6055, 1211, 2655, 3660, 37279, 16572, 5172, 17889, 8289, 5296, 4948, 295, 2445, 4032, 8592, 38688, 8315, 14739, 23758, 4724, 4117, 31845, 3660, 37279, 16572, 5172, 8978, 7630, 7123, 5296, 4197, 270, 295, 2445, 15844, 28239, 47432, 3660], "avg_logprob": -0.23109568489922416, "compression_ratio": 1.6527777777777777, "no_speech_prob": 0.0, "words": [{"start": 20.67, "end": 21.01, "word": 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" دلتا", "probability": 0.9625244140625}, {"start": 361.4, "end": 362.6, "word": " فهذا", "probability": 0.9889322916666666}, {"start": 362.6, "end": 363.0, "word": " بطلع", "probability": 0.7784423828125}, {"start": 363.0, "end": 363.54, "word": " أصغر", "probability": 0.9912109375}, {"start": 363.54, "end": 363.72, "word": " من", "probability": 0.99658203125}, {"start": 363.72, "end": 364.1, "word": " واحد", "probability": 0.98486328125}, {"start": 364.1, "end": 364.4, "word": " زي", "probability": 0.98779296875}, {"start": 364.4, "end": 365.1, "word": " اتنين", "probability": 0.965576171875}, {"start": 365.1, "end": 366.14, "word": " في", "probability": 0.8916015625}, {"start": 366.14, "end": 366.52, "word": " absolute", "probability": 0.89208984375}, {"start": 366.52, "end": 366.88, "word": " c", "probability": 0.71923828125}, {"start": 366.88, "end": 367.04, "word": " في", "probability": 0.85546875}, {"start": 367.04, "end": 367.34, "word": " دلتا", "probability": 0.9794921875}, {"start": 367.34, "end": 367.74, "word": " الآن", "probability": 0.5594482421875}, {"start": 367.74, "end": 368.12, "word": " متى", "probability": 0.917724609375}, {"start": 368.12, "end": 368.5, "word": " بيكون", "probability": 0.9031575520833334}, {"start": 368.5, "end": 368.8, "word": " هذا", "probability": 0.97802734375}, {"start": 368.8, "end": 369.22, "word": " أصغر", "probability": 0.9879150390625}, {"start": 369.22, "end": 369.4, "word": " من", "probability": 0.99560546875}, {"start": 369.4, "end": 369.92, "word": " إبسرن", "probability": 0.669287109375}, {"start": 369.92, "end": 372.36, "word": " لما", "probability": 0.832763671875}, {"start": 372.36, "end": 372.98, "word": " دلتا", "probability": 0.9521484375}], "temperature": 1.0}, {"id": 15, "seek": 40148, "start": 374.88, "end": 401.48, "text": "إذا كانت delta هذه أصغر من أوي ساوي epsilon على واحد زايد اتنين في absolute of c إذا هاي قيمة تانية ل delta هاي اندي delta بساوي واحد و delta أصغر من أوي ساوي epsilon على واحد زايد اتنين في absolute of c إذا باجي بقول", "tokens": [28814, 15730, 25961, 2655, 8289, 29538, 5551, 9381, 17082, 2288, 9154, 34051, 1829, 8608, 995, 45865, 17889, 15844, 36764, 24401, 30767, 995, 25708, 1975, 2655, 1863, 9957, 8978, 8236, 295, 269, 11933, 15730, 8032, 47302, 12174, 32640, 3660, 6055, 7649, 10632, 5296, 8289, 8032, 47302, 16472, 16254, 8289, 4724, 3794, 995, 45865, 36764, 24401, 4032, 8289, 5551, 9381, 17082, 2288, 9154, 34051, 1829, 8608, 995, 45865, 17889, 15844, 36764, 24401, 30767, 995, 25708, 1975, 2655, 1863, 9957, 8978, 8236, 295, 269, 11933, 15730, 4724, 26108, 1829, 4724, 39648], "avg_logprob": -0.2191011209166452, "compression_ratio": 2.0304878048780486, "no_speech_prob": 0.0, "words": [{"start": 374.88, "end": 375.26, "word": "إذا", "probability": 0.67822265625}, {"start": 375.26, "end": 375.74, "word": " كانت", "probability": 0.782958984375}, {"start": 375.74, "end": 376.04, "word": " delta", "probability": 0.34765625}, {"start": 376.04, "end": 376.64, "word": " 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{"start": 386.3, "end": 386.62, "word": " c", "probability": 0.544921875}, {"start": 386.62, "end": 388.02, "word": " إذا", "probability": 0.65283203125}, {"start": 388.02, "end": 388.28, "word": " هاي", "probability": 0.5875244140625}, {"start": 388.28, "end": 388.8, "word": " قيمة", "probability": 0.9529622395833334}, {"start": 388.8, "end": 389.1, "word": " تانية", "probability": 0.98486328125}, {"start": 389.1, "end": 389.24, "word": " ل", "probability": 0.90966796875}, {"start": 389.24, "end": 389.64, "word": " delta", "probability": 0.54150390625}, {"start": 389.64, "end": 389.96, "word": " هاي", "probability": 0.630126953125}, {"start": 389.96, "end": 390.22, "word": " اندي", "probability": 0.51556396484375}, {"start": 390.22, "end": 390.52, "word": " delta", "probability": 0.86669921875}, {"start": 390.52, "end": 391.1, "word": " بساوي", "probability": 0.8409423828125}, {"start": 391.1, "end": 391.66, "word": " واحد", "probability": 0.98681640625}, {"start": 391.66, "end": 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"probability": 0.97998046875}, {"start": 398.36, "end": 398.66, "word": " of", "probability": 0.97314453125}, {"start": 398.66, "end": 398.94, "word": " c", "probability": 0.939453125}, {"start": 398.94, "end": 399.76, "word": " إذا", "probability": 0.893798828125}, {"start": 399.76, "end": 401.06, "word": " باجي", "probability": 0.76611328125}, {"start": 401.06, "end": 401.48, "word": " بقول", "probability": 0.954345703125}], "temperature": 1.0}, {"id": 16, "seek": 43051, "start": 403.53, "end": 430.51, "text": "let epsilon أكبر من السفر be given a choose delta بتساوي ال minimum الأصغر بين القمتين واحد وepsilon على واحد زاد اتنين في absolute c ال delta هذه الآن عدد موجب ويعتمد على epsilon", "tokens": [2631, 17889, 5551, 4117, 26890, 9154, 21136, 5172, 2288, 312, 2212, 257, 2826, 8289, 39894, 3794, 995, 45865, 2423, 7285, 16247, 9381, 17082, 2288, 49374, 25062, 2304, 2655, 9957, 36764, 24401, 4032, 10653, 15754, 15844, 36764, 24401, 30767, 18513, 1975, 2655, 1863, 9957, 8978, 8236, 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" delta", "probability": 0.495361328125}, {"start": 413.05, "end": 415.33, "word": " بتساوي", "probability": 0.89111328125}, {"start": 415.33, "end": 415.47, "word": " ال", "probability": 0.84228515625}, {"start": 415.47, "end": 415.87, "word": " minimum", "probability": 0.83251953125}, {"start": 415.87, "end": 416.69, "word": " الأصغر", "probability": 0.9876708984375}, {"start": 416.69, "end": 416.99, "word": " بين", "probability": 0.97119140625}, {"start": 416.99, "end": 417.69, "word": " القمتين", "probability": 0.8077392578125}, {"start": 417.69, "end": 418.37, "word": " واحد", "probability": 0.932373046875}, {"start": 418.37, "end": 420.53, "word": " وepsilon", "probability": 0.7410481770833334}, {"start": 420.53, "end": 420.95, "word": " على", "probability": 0.7421875}, {"start": 420.95, "end": 422.35, "word": " واحد", "probability": 0.971923828125}, {"start": 422.35, "end": 422.81, "word": " زاد", "probability": 0.7861328125}, {"start": 422.81, "end": 423.33, "word": " اتنين", 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"temperature": 1.0}, {"id": 17, "seek": 46162, "start": 432.74, "end": 461.62, "text": "إذا لهذه الـ Delta لو كان X ينتمي ل R اللي هو مجال الدالة و Absolute X minus C أكبر من صفر أصغر من Delta فهذا بيؤدي طبعا ال Delta هذه هي الأصغر من العددين هذوله وبالتالي أصغر من أو يساوي واحد وأصغر من أو يساوي كسر هذا", "tokens": [28814, 15730, 46740, 24192, 2423, 39184, 18183, 45164, 25961, 1783, 7251, 29399, 2304, 1829, 5296, 497, 13672, 1829, 31439, 3714, 7435, 6027, 32748, 6027, 3660, 4032, 43965, 1169, 1783, 3175, 383, 5551, 4117, 26890, 9154, 20328, 5172, 2288, 5551, 9381, 17082, 2288, 9154, 18183, 6156, 3224, 15730, 4724, 1829, 33604, 16254, 23032, 3555, 3615, 995, 2423, 18183, 29538, 39896, 16247, 9381, 17082, 2288, 9154, 18863, 3215, 3215, 9957, 8032, 8848, 12610, 3224, 46599, 6027, 2655, 6027, 1829, 5551, 9381, 17082, 2288, 9154, 34051, 7251, 3794, 995, 45865, 36764, 24401, 36725, 9381, 17082, 2288, 9154, 34051, 7251, 3794, 995, 45865, 9122, 3794, 2288, 23758], "avg_logprob": 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هو", "probability": 0.95556640625}, {"start": 441.56, "end": 442.1, "word": " مجال", "probability": 0.9853515625}, {"start": 442.1, "end": 442.82, "word": " الدالة", "probability": 0.9571940104166666}, {"start": 442.82, "end": 444.14, "word": " و", "probability": 0.87451171875}, {"start": 444.14, "end": 445.2, "word": " Absolute", "probability": 0.762451171875}, {"start": 445.2, "end": 445.64, "word": " X", "probability": 0.9619140625}, {"start": 445.64, "end": 446.26, "word": " minus", "probability": 0.59130859375}, {"start": 446.26, "end": 446.78, "word": " C", "probability": 0.76123046875}, {"start": 446.78, "end": 447.38, "word": " أكبر", "probability": 0.9501953125}, {"start": 447.38, "end": 447.6, "word": " من", "probability": 0.99560546875}, {"start": 447.6, "end": 448.12, "word": " صفر", "probability": 0.71875}, {"start": 448.12, "end": 449.42, "word": " أصغر", "probability": 0.9031982421875}, {"start": 449.42, "end": 449.62, "word": " من", "probability": 0.99560546875}, {"start": 449.62, "end": 450.06, "word": " Delta", "probability": 0.76611328125}, {"start": 450.06, "end": 451.78, "word": " فهذا", "probability": 0.966796875}, {"start": 451.78, "end": 452.54, "word": " بيؤدي", "probability": 0.7513427734375}, {"start": 452.54, "end": 454.4, "word": " طبعا", "probability": 0.9134521484375}, {"start": 454.4, "end": 454.54, "word": " ال", "probability": 0.9443359375}, {"start": 454.54, "end": 454.82, "word": " Delta", "probability": 0.60888671875}, {"start": 454.82, "end": 455.22, "word": " هذه", "probability": 0.533203125}, {"start": 455.22, "end": 455.42, "word": " هي", "probability": 0.7958984375}, {"start": 455.42, "end": 455.86, "word": " الأصغر", "probability": 0.98828125}, {"start": 455.86, "end": 456.04, "word": " من", "probability": 0.99267578125}, {"start": 456.04, "end": 456.58, "word": " العددين", "probability": 0.947998046875}, {"start": 456.58, "end": 456.96, "word": " هذوله", "probability": 0.7967529296875}, {"start": 456.96, "end": 457.38, "word": " وبالتالي", "probability": 0.85673828125}, {"start": 457.38, "end": 457.88, "word": " أصغر", "probability": 0.978271484375}, {"start": 457.88, "end": 458.1, "word": " من", "probability": 0.986328125}, {"start": 458.1, "end": 458.26, "word": " أو", "probability": 0.7333984375}, {"start": 458.26, "end": 458.68, "word": " يساوي", "probability": 0.9217529296875}, {"start": 458.68, "end": 459.14, "word": " واحد", "probability": 0.8818359375}, {"start": 459.14, "end": 460.24, "word": " وأصغر", "probability": 0.8828125}, {"start": 460.24, "end": 460.4, "word": " من", "probability": 0.994140625}, {"start": 460.4, "end": 460.56, "word": " أو", "probability": 0.95849609375}, {"start": 460.56, "end": 460.92, "word": " يساوي", "probability": 0.988037109375}, {"start": 460.92, "end": 461.34, "word": " كسر", "probability": 0.8790690104166666}, {"start": 461.34, "end": 461.62, "word": " هذا", "probability": 0.9384765625}], "temperature": 1.0}, {"id": 18, "seek": 48088, "start": 462.58, "end": 480.88, "text": "فالـ delta أكيد أصغر من أو يساوي الواحد، لما الـ delta أصغر من أو يساوي الواحد، هذا بيقدر أن absolute X أصغر من واحد زائد absolute C", "tokens": [5172, 6027, 39184, 8289, 5551, 4117, 25708, 5551, 9381, 17082, 2288, 9154, 34051, 7251, 3794, 995, 45865, 2423, 14407, 24401, 12399, 5296, 15042, 2423, 39184, 8289, 5551, 9381, 17082, 2288, 9154, 34051, 7251, 3794, 995, 45865, 2423, 14407, 24401, 12399, 23758, 4724, 1829, 4587, 3215, 2288, 14739, 8236, 1783, 5551, 9381, 17082, 2288, 9154, 36764, 24401, 30767, 16373, 3215, 8236, 383], "avg_logprob": -0.17842742656507798, "compression_ratio": 1.6935483870967742, "no_speech_prob": 0.0, "words": [{"start": 462.58, "end": 463.36, "word": "فالـ", "probability": 0.74462890625}, {"start": 463.36, "end": 463.68, "word": " delta", "probability": 0.35693359375}, {"start": 463.68, "end": 464.54, "word": " أكيد", "probability": 0.9129231770833334}, {"start": 464.54, "end": 465.1, "word": " أصغر", "probability": 0.9859619140625}, {"start": 465.1, "end": 465.34, "word": " من", "probability": 0.9697265625}, {"start": 465.34, "end": 465.54, "word": " أو", "probability": 0.97509765625}, {"start": 465.54, "end": 465.96, "word": " يساوي", "probability": 0.9637451171875}, {"start": 465.96, "end": 466.82, "word": " الواحد،", "probability": 0.7508544921875}, {"start": 466.82, "end": 467.92, "word": " لما", "probability": 0.8984375}, {"start": 467.92, "end": 468.16, "word": " الـ", "probability": 0.70263671875}, {"start": 468.16, "end": 468.38, "word": " delta", "probability": 0.896484375}, {"start": 468.38, "end": 468.92, "word": " أصغر", "probability": 0.990966796875}, {"start": 468.92, "end": 469.14, "word": " من", "probability": 0.9951171875}, {"start": 469.14, "end": 469.36, "word": " أو", "probability": 0.98876953125}, {"start": 469.36, "end": 469.94, "word": " يساوي", "probability": 0.990966796875}, {"start": 469.94, "end": 470.88, "word": " الواحد،", "probability": 0.936279296875}, {"start": 470.88, "end": 471.1, "word": " هذا", "probability": 0.9169921875}, {"start": 471.1, "end": 472.36, "word": " بيقدر", "probability": 0.7427734375}, {"start": 472.36, "end": 472.84, "word": " أن", "probability": 0.64404296875}, {"start": 472.84, "end": 473.66, "word": " absolute", "probability": 0.20849609375}, {"start": 473.66, "end": 476.94, "word": " X", "probability": 0.58984375}, {"start": 476.94, "end": 478.26, "word": " أصغر", "probability": 0.9896240234375}, {"start": 478.26, "end": 478.58, "word": " من", "probability": 0.99658203125}, {"start": 478.58, "end": 479.16, "word": " واحد", "probability": 0.859130859375}, {"start": 479.16, "end": 479.76, "word": " زائد", "probability": 0.9085286458333334}, {"start": 479.76, "end": 480.3, "word": " absolute", "probability": 0.92041015625}, {"start": 480.3, "end": 480.88, "word": " C", "probability": 0.6318359375}], "temperature": 1.0}, {"id": 19, "seek": 51034, "start": 481.66, "end": 510.34, "text": "وكمان هذا بيقدي أنه absolute x تربية سالب c تربية أصغر من أوي ساوي absolute x زاد absolute c absolute x سالب c وبالتالي هذا أصغر من أوي ساوي واحد زاد اتنين absolute c", "tokens": [2407, 24793, 7649, 23758, 4724, 1829, 4587, 16254, 14739, 3224, 8236, 2031, 6055, 25513, 10632, 8608, 6027, 3555, 269, 6055, 25513, 10632, 5551, 9381, 17082, 2288, 9154, 34051, 1829, 8608, 995, 45865, 8236, 2031, 30767, 18513, 8236, 269, 8236, 2031, 8608, 6027, 3555, 269, 46599, 6027, 2655, 6027, 1829, 23758, 5551, 9381, 17082, 2288, 9154, 34051, 1829, 8608, 995, 45865, 36764, 24401, 30767, 18513, 1975, 2655, 1863, 9957, 8236, 269], "avg_logprob": -0.23063380743416262, "compression_ratio": 1.7872340425531914, "no_speech_prob": 0.0, "words": [{"start": 481.66, "end": 482.52, "word": "وكمان", "probability": 0.6615397135416666}, {"start": 482.52, "end": 482.88, "word": " هذا", "probability": 0.92041015625}, {"start": 482.88, "end": 483.52, "word": " بيقدي", "probability": 0.6495361328125}, {"start": 483.52, "end": 484.8, "word": " أنه", "probability": 0.42919921875}, {"start": 484.8, "end": 485.34, "word": " absolute", "probability": 0.61767578125}, {"start": 485.34, "end": 486.08, "word": " x", "probability": 0.68505859375}, {"start": 486.08, "end": 486.78, "word": " تربية", "probability": 0.7648111979166666}, {"start": 486.78, "end": 487.68, "word": " سالب", "probability": 0.7814127604166666}, {"start": 487.68, "end": 488.1, "word": " c", "probability": 0.75244140625}, {"start": 488.1, "end": 488.84, "word": " تربية", "probability": 0.9705403645833334}, {"start": 488.84, "end": 490.08, "word": " أصغر", "probability": 0.9501953125}, {"start": 490.08, "end": 490.28, "word": " من", "probability": 0.9208984375}, {"start": 490.28, "end": 490.56, "word": " أوي", "probability": 0.716064453125}, {"start": 490.56, "end": 491.0, "word": " ساوي", "probability": 0.8063151041666666}, {"start": 491.0, "end": 491.5, "word": " absolute", "probability": 0.865234375}, {"start": 491.5, "end": 492.4, "word": " x", "probability": 0.9755859375}, {"start": 492.4, "end": 493.68, "word": " زاد", "probability": 0.4869384765625}, {"start": 493.68, "end": 494.34, "word": " absolute", "probability": 0.9658203125}, {"start": 494.34, "end": 497.14, "word": " c", "probability": 0.7880859375}, {"start": 497.14, "end": 503.4, "word": " absolute", "probability": 0.105712890625}, {"start": 503.4, "end": 504.24, "word": " x", "probability": 0.99609375}, {"start": 504.24, "end": 504.64, "word": " سالب", "probability": 0.9441731770833334}, {"start": 504.64, "end": 504.9, "word": " c", "probability": 0.94580078125}, {"start": 504.9, "end": 505.5, "word": " وبالتالي", "probability": 0.865966796875}, {"start": 505.5, "end": 505.78, "word": " هذا", "probability": 0.9189453125}, {"start": 505.78, "end": 506.24, "word": " أصغر", "probability": 0.986083984375}, {"start": 506.24, "end": 506.38, "word": " من", "probability": 0.9794921875}, {"start": 506.38, "end": 506.6, "word": " أوي", "probability": 0.875244140625}, {"start": 506.6, "end": 506.96, "word": " ساوي", "probability": 0.9322916666666666}, {"start": 506.96, "end": 507.56, "word": " واحد", "probability": 0.925537109375}, {"start": 507.56, "end": 508.64, "word": " زاد", "probability": 0.87255859375}, {"start": 508.64, "end": 509.08, "word": " اتنين", "probability": 0.94140625}, {"start": 509.08, "end": 509.58, "word": " absolute", "probability": 0.8984375}, {"start": 509.58, "end": 510.34, "word": " c", "probability": 0.95703125}], "temperature": 1.0}, {"id": 20, "seek": 53860, "start": 511.78, "end": 538.6, "text": "و هذا اصغر من delta و الان ال delta هذه طبعا هذا اصغر من delta و ال delta قلنا اصغر منها و يساوي epsilon هاي واحد زي اتنين", "tokens": [2407, 23758, 1975, 9381, 17082, 2288, 9154, 8289, 4032, 2423, 7649, 2423, 8289, 29538, 23032, 3555, 3615, 995, 23758, 1975, 9381, 17082, 2288, 9154, 8289, 4032, 2423, 8289, 12174, 1211, 8315, 1975, 9381, 17082, 2288, 9154, 11296, 4032, 7251, 3794, 995, 45865, 17889, 8032, 47302, 36764, 24401, 30767, 1829, 1975, 2655, 1863, 9957], "avg_logprob": -0.21961805997071443, "compression_ratio": 1.596638655462185, "no_speech_prob": 0.0, "words": [{"start": 511.78, "end": 512.08, "word": "و", "probability": 0.86865234375}, {"start": 512.08, "end": 512.46, "word": " هذا", "probability": 0.51806640625}, {"start": 512.46, "end": 513.22, "word": " اصغر", "probability": 0.843505859375}, {"start": 513.22, "end": 513.5, "word": " من", "probability": 0.98828125}, {"start": 513.5, "end": 513.98, "word": " delta", "probability": 0.357177734375}, {"start": 513.98, "end": 519.84, "word": " و", "probability": 0.419677734375}, {"start": 519.84, "end": 520.64, "word": " الان", "probability": 0.714599609375}, {"start": 520.64, "end": 521.48, "word": " ال", "probability": 0.9208984375}, {"start": 521.48, "end": 522.38, "word": " delta", "probability": 0.88623046875}, {"start": 522.38, "end": 523.4, "word": " هذه", "probability": 0.73095703125}, {"start": 523.4, "end": 529.52, "word": " طبعا", "probability": 0.9178466796875}, {"start": 529.52, "end": 529.76, "word": " هذا", "probability": 0.84228515625}, {"start": 529.76, "end": 530.26, "word": " اصغر", "probability": 0.9715576171875}, {"start": 530.26, "end": 530.44, "word": " من", "probability": 0.99755859375}, {"start": 530.44, "end": 530.86, "word": " delta", "probability": 0.806640625}, {"start": 530.86, "end": 531.12, "word": " و", "probability": 0.70849609375}, {"start": 531.12, "end": 531.26, "word": " ال", "probability": 0.70654296875}, {"start": 531.26, "end": 531.6, "word": " delta", "probability": 0.95458984375}, {"start": 531.6, "end": 532.22, "word": " قلنا", "probability": 0.7952473958333334}, {"start": 532.22, "end": 534.94, "word": " اصغر", "probability": 0.974853515625}, {"start": 534.94, "end": 535.28, "word": " منها", "probability": 0.986572265625}, {"start": 535.28, "end": 535.42, "word": " و", "probability": 0.71826171875}, {"start": 535.42, "end": 536.06, "word": " يساوي", "probability": 0.9185791015625}, {"start": 536.06, "end": 536.7, "word": " epsilon", "probability": 0.61279296875}, {"start": 536.7, "end": 537.34, "word": " هاي", "probability": 0.5552978515625}, {"start": 537.34, "end": 537.7, "word": " واحد", "probability": 0.916259765625}, {"start": 537.7, "end": 537.98, "word": " زي", "probability": 0.6416015625}, {"start": 537.98, "end": 538.6, "word": " اتنين", "probability": 0.8594970703125}], "temperature": 1.0}, {"id": 21, "seek": 56754, "start": 559.77, "end": 567.55, "text": "بشكل صحيح بما أن ابسلون أكبر من السفر was arbitrary", "tokens": [3555, 8592, 28820, 20328, 5016, 1829, 5016, 4724, 15042, 14739, 1975, 3555, 3794, 1211, 11536, 5551, 4117, 26890, 9154, 21136, 5172, 2288, 390, 23211], "avg_logprob": -0.67875, "compression_ratio": 1.0125, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 559.77, "end": 561.01, "word": "بشكل", "probability": 0.3597615559895833}, {"start": 561.01, "end": 562.25, "word": " صحيح", "probability": 0.776885986328125}, {"start": 562.25, "end": 562.79, "word": " بما", "probability": 0.602294921875}, {"start": 562.79, "end": 563.13, "word": " أن", "probability": 0.65771484375}, {"start": 563.13, "end": 564.83, "word": " ابسلون", "probability": 0.64014892578125}, {"start": 564.83, "end": 565.23, "word": " أكبر", "probability": 0.8154296875}, {"start": 565.23, "end": 565.43, "word": " من", "probability": 0.9765625}, {"start": 565.43, "end": 565.97, "word": " السفر", "probability": 0.7117919921875}, {"start": 565.97, "end": 566.67, "word": " was", "probability": 0.1939697265625}, {"start": 566.67, "end": 567.55, "word": " arbitrary", "probability": 0.6435546875}], "temperature": 1.0}, {"id": 22, "seek": 59697, "start": 571.81, "end": 596.97, "text": "إذاً هيك بنكون أثباتنا لكل epsilon أكبر من السفر يوجد delta تعتمد على epsilon عدد موجة ب half لكل x المسافة مختلفة عن ال c والمسافة بينها وبين ال c أصغر من delta بتطلع المسافة بين f of x وc تربيه أصغر من epsilon إذاً we have", "tokens": [28814, 15730, 14111, 39896, 4117, 44945, 30544, 5551, 12984, 3555, 9307, 8315, 5296, 28820, 17889, 5551, 4117, 26890, 9154, 21136, 5172, 2288, 7251, 29245, 3215, 8289, 6055, 34268, 2304, 3215, 15844, 17889, 6225, 3215, 3215, 3714, 29245, 3660, 4724, 1922, 5296, 28820, 2031, 9673, 3794, 31845, 3660, 3714, 46456, 46538, 3660, 18871, 2423, 269, 4032, 45340, 3794, 31845, 3660, 49374, 11296, 46599, 9957, 2423, 269, 5551, 9381, 17082, 2288, 9154, 8289, 39894, 9566, 1211, 3615, 9673, 3794, 31845, 3660, 49374, 283, 295, 2031, 4032, 66, 6055, 2288, 21292, 3224, 5551, 9381, 17082, 2288, 9154, 17889, 11933, 15730, 14111, 321, 362], "avg_logprob": -0.2414913313223584, "compression_ratio": 1.7475247524752475, "no_speech_prob": 0.0, "words": [{"start": 571.81, "end": 572.27, "word": "إذاً", "probability": 0.435791015625}, {"start": 572.27, "end": 572.47, "word": " هيك", "probability": 0.57763671875}, {"start": 572.47, "end": 572.71, "word": " بنكون", "probability": 0.6895751953125}, {"start": 572.71, "end": 573.29, "word": " أثباتنا", "probability": 0.93857421875}, {"start": 573.29, "end": 573.75, "word": " لكل", "probability": 0.934814453125}, {"start": 573.75, "end": 574.23, "word": " epsilon", "probability": 0.2861328125}, {"start": 574.23, "end": 574.69, "word": " أكبر", "probability": 0.96923828125}, {"start": 574.69, "end": 574.87, "word": " من", "probability": 0.98681640625}, {"start": 574.87, "end": 575.41, "word": " السفر", "probability": 0.7567545572916666}, {"start": 575.41, "end": 576.41, "word": " يوجد", "probability": 0.9482421875}, {"start": 576.41, "end": 576.83, "word": " delta", "probability": 0.390380859375}, {"start": 576.83, "end": 577.53, "word": " تعتمد", "probability": 0.9595947265625}, {"start": 577.53, "end": 577.69, "word": " على", "probability": 0.8828125}, {"start": 577.69, "end": 578.01, "word": " epsilon", "probability": 0.861328125}, {"start": 578.01, "end": 578.43, "word": " عدد", "probability": 0.7664388020833334}, {"start": 578.43, "end": 578.91, "word": " موجة", 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"word": " سؤال", "probability": 0.9899088541666666}, {"start": 635.94, "end": 637.62, "word": " خلينا", "probability": 0.59521484375}, {"start": 637.62, "end": 637.92, "word": " ناخد", "probability": 0.9874674479166666}, {"start": 637.92, "end": 638.24, "word": " كمان", "probability": 0.81591796875}, {"start": 638.24, "end": 638.64, "word": " مثال", "probability": 0.975341796875}, {"start": 638.64, "end": 639.24, "word": " مشابه", "probability": 0.9456380208333334}, {"start": 639.24, "end": 639.8, "word": " لهذا", "probability": 0.709228515625}, {"start": 639.8, "end": 641.02, "word": " وفيه", "probability": 0.8811848958333334}, {"start": 641.02, "end": 641.06, "word": " ال", "probability": 0.38232421875}, {"start": 641.06, "end": 641.32, "word": " delta", "probability": 0.51953125}, {"start": 641.32, "end": 641.74, "word": " برضه", "probability": 0.96630859375}, {"start": 641.74, "end": 642.44, "word": " بتساوي", "probability": 0.8819580078125}, {"start": 642.44, "end": 643.34, 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موجب then absolute x minus c اصغر من delta اللى هو بساوي", "tokens": [10721, 8315, 43242, 7578, 2423, 747, 42963, 12610, 747, 1975, 8315, 43242, 7578, 2423, 269, 6225, 3215, 3215, 3714, 29245, 3555, 747, 8289, 4724, 3794, 995, 45865, 269, 15844, 1975, 2655, 1863, 9957, 23758, 6225, 3215, 3215, 3714, 29245, 3555, 550, 8236, 2031, 3175, 269, 1975, 9381, 17082, 2288, 9154, 8289, 13672, 7578, 31439, 4724, 3794, 995, 45865], "avg_logprob": -0.22801906880685838, "compression_ratio": 1.5507246376811594, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 779.37, "end": 779.99, "word": "أنا", "probability": 0.64990234375}, {"start": 779.99, "end": 780.57, "word": " عندى", "probability": 0.483154296875}, {"start": 780.57, "end": 780.81, "word": " ال", "probability": 0.79150390625}, {"start": 780.81, "end": 782.87, "word": " take", "probability": 0.444091796875}, {"start": 782.87, "end": 783.73, "word": " الاول", "probability": 0.79541015625}, {"start": 783.73, "end": 784.45, "word": " 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0.9169921875}, {"start": 811.39, "end": 811.67, "word": " ع", "probability": 0.94482421875}, {"start": 811.67, "end": 812.03, "word": " 2", "probability": 0.9453125}, {"start": 812.03, "end": 814.13, "word": " وهذا", "probability": 0.9033203125}, {"start": 814.13, "end": 814.79, "word": " بيقدي", "probability": 0.8624267578125}, {"start": 814.79, "end": 816.39, "word": " ان", "probability": 0.6572265625}, {"start": 816.39, "end": 817.09, "word": " واحد", "probability": 0.78271484375}, {"start": 817.09, "end": 817.41, "word": " على", "probability": 0.51318359375}, {"start": 817.41, "end": 818.05, "word": " X", "probability": 0.9541015625}, {"start": 818.05, "end": 819.01, "word": " في", "probability": 0.7685546875}, {"start": 819.01, "end": 819.37, "word": " C", "probability": 0.93408203125}, {"start": 819.37, "end": 821.55, "word": " أصغر", "probability": 0.96923828125}, {"start": 821.55, "end": 821.81, "word": " من", "probability": 0.99609375}, {"start": 821.81, "end": 822.55, "word": 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0.98095703125}, {"start": 833.4, "end": 834.08, "word": " أصغر", "probability": 0.97119140625}, {"start": 834.08, "end": 834.34, "word": " من", "probability": 0.9873046875}, {"start": 834.34, "end": 834.7, "word": " 2", "probability": 0.8583984375}, {"start": 834.7, "end": 834.92, "word": " على", "probability": 0.71484375}, {"start": 834.92, "end": 835.22, "word": " C", "probability": 0.93310546875}, {"start": 835.22, "end": 836.56, "word": " مقلوب", "probability": 0.9061279296875}, {"start": 836.56, "end": 836.72, "word": " ال", "probability": 0.93603515625}, {"start": 836.72, "end": 836.9, "word": " X", "probability": 0.9892578125}, {"start": 836.9, "end": 837.06, "word": " و", "probability": 0.71533203125}, {"start": 837.06, "end": 837.38, "word": " أضربها", "probability": 0.77191162109375}, {"start": 837.38, "end": 837.62, "word": " في", "probability": 0.93701171875}, {"start": 837.62, "end": 838.44, "word": " 1", "probability": 0.6240234375}, {"start": 838.44, "end": 838.7, "word": " على", "probability": 0.86962890625}, {"start": 838.7, "end": 838.92, "word": " C", "probability": 0.9677734375}, {"start": 838.92, "end": 839.28, "word": " بيطلع", "probability": 0.7779541015625}, {"start": 839.28, "end": 839.86, "word": " أصغر", "probability": 0.9853515625}, {"start": 839.86, "end": 840.8, "word": " من", "probability": 0.9775390625}, {"start": 840.8, "end": 841.22, "word": " 2", "probability": 0.95751953125}, {"start": 841.22, "end": 841.52, "word": " على", "probability": 0.849609375}, {"start": 841.52, "end": 841.9, "word": " C", "probability": 0.94287109375}, {"start": 841.9, "end": 842.58, "word": " تربيه", "probability": 0.67236328125}, {"start": 842.58, "end": 847.1, "word": " وبالتالي", "probability": 0.9150390625}, {"start": 847.1, "end": 847.44, "word": " هذا", "probability": 0.5966796875}, {"start": 847.44, "end": 848.74, "word": " العدد", "probability": 0.79248046875}, {"start": 848.74, "end": 849.32, "word": " هذا", "probability": 0.79150390625}, {"start": 849.32, "end": 849.72, "word": " هو", "probability": 0.958984375}, {"start": 849.72, "end": 850.02, "word": " ال", "probability": 0.8193359375}, {"start": 850.02, "end": 850.3, "word": " M", "probability": 0.5263671875}, {"start": 850.3, "end": 853.54, "word": " عدد", "probability": 0.78564453125}, {"start": 853.54, "end": 854.02, "word": " موجة", "probability": 0.6365559895833334}, {"start": 854.02, "end": 856.32, "word": " إذا", "probability": 0.732177734375}], "temperature": 1.0}, {"id": 33, "seek": 88529, "start": 858.67, "end": 885.29, "text": "في الحالة هذه في الحالة هذه بصير عندي هذا أصغر من اتنين على C تربية وطبعا هذا أصغر من Delta Absolute X minus C طبعا بيكون أصغر من Delta الآن عشان يكون هذا أصغر من أو ساوي Epsilon", "tokens": [41185, 21542, 6027, 3660, 29538, 8978, 21542, 6027, 3660, 29538, 4724, 9381, 13546, 18871, 16254, 23758, 5551, 9381, 17082, 2288, 9154, 1975, 2655, 1863, 9957, 15844, 383, 6055, 25513, 10632, 4032, 9566, 3555, 3615, 995, 23758, 5551, 9381, 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"probability": 0.67919921875}, {"start": 869.33, "end": 869.63, "word": " هذا", "probability": 0.92919921875}, {"start": 869.63, "end": 870.29, "word": " أصغر", "probability": 0.89990234375}, {"start": 870.29, "end": 870.61, "word": " من", "probability": 0.98681640625}, {"start": 870.61, "end": 872.23, "word": " اتنين", "probability": 0.8431396484375}, {"start": 872.23, "end": 872.55, "word": " على", "probability": 0.693359375}, {"start": 872.55, "end": 873.13, "word": " C", "probability": 0.36279296875}, {"start": 873.13, "end": 873.79, "word": " تربية", "probability": 0.8759765625}, {"start": 873.79, "end": 874.91, "word": " وطبعا", "probability": 0.8685546875}, {"start": 874.91, "end": 875.19, "word": " هذا", "probability": 0.9521484375}, {"start": 875.19, "end": 875.79, "word": " أصغر", "probability": 0.935546875}, {"start": 875.79, "end": 876.05, "word": " من", "probability": 0.99609375}, {"start": 876.05, "end": 876.53, "word": " Delta", "probability": 0.498779296875}, {"start": 876.53, "end": 878.19, "word": " Absolute", "probability": 0.685302734375}, {"start": 878.19, "end": 878.39, "word": " X", "probability": 0.73583984375}, {"start": 878.39, "end": 878.67, "word": " minus", "probability": 0.7880859375}, {"start": 878.67, "end": 878.87, "word": " C", "probability": 0.84228515625}, {"start": 878.87, "end": 879.07, "word": " طبعا", "probability": 0.928466796875}, {"start": 879.07, "end": 879.43, "word": " بيكون", "probability": 0.7880859375}, {"start": 879.43, "end": 879.77, "word": " أصغر", "probability": 0.9676513671875}, {"start": 879.77, "end": 879.95, "word": " من", "probability": 0.99462890625}, {"start": 879.95, "end": 880.35, "word": " Delta", "probability": 0.921875}, {"start": 880.35, "end": 881.47, "word": " الآن", "probability": 0.6727294921875}, {"start": 881.47, "end": 881.99, "word": " عشان", "probability": 0.98291015625}, {"start": 881.99, "end": 882.47, "word": " يكون", "probability": 0.994873046875}, {"start": 882.47, "end": 882.85, "word": " هذا", "probability": 0.98779296875}, {"start": 882.85, "end": 883.53, "word": " أصغر", "probability": 0.9722900390625}, {"start": 883.53, "end": 883.79, "word": " من", "probability": 0.9912109375}, {"start": 883.79, "end": 883.99, "word": " أو", "probability": 0.86376953125}, {"start": 883.99, "end": 884.69, "word": " ساوي", "probability": 0.7649739583333334}, {"start": 884.69, "end": 885.29, "word": " Epsilon", "probability": 0.611572265625}], "temperature": 1.0}, {"id": 34, "seek": 90944, "start": 886.22, "end": 909.44, "text": "فنختار choose الـ delta أصغر من أو ساوي حل المتباينة هذه في الـ delta فالـ delta ستصبح أصغر من أو ساوي C تربيع على 2 تلصق فهي قيمة تانية لـ delta فبأخد الـ delta ال minimum للقيمة الأولى", "tokens": [5172, 1863, 46456, 9640, 2826, 2423, 39184, 8289, 5551, 9381, 17082, 2288, 9154, 34051, 8608, 995, 45865, 11331, 1211, 9673, 2655, 3555, 995, 9957, 3660, 29538, 8978, 2423, 39184, 8289, 6156, 6027, 39184, 8289, 8608, 2655, 9381, 49628, 5551, 9381, 17082, 2288, 9154, 34051, 8608, 995, 45865, 383, 6055, 2288, 21292, 3615, 15844, 568, 6055, 1211, 9381, 4587, 6156, 3224, 1829, 12174, 32640, 3660, 6055, 7649, 10632, 5296, 39184, 8289, 6156, 3555, 10721, 9778, 3215, 2423, 39184, 8289, 2423, 7285, 24976, 4587, 32640, 3660, 16247, 12610, 7578], "avg_logprob": -0.35440342365340755, "compression_ratio": 1.6857142857142857, "no_speech_prob": 0.0, "words": [{"start": 886.22, "end": 887.08, "word": "فنختار", "probability": 0.621124267578125}, {"start": 887.08, "end": 887.8, "word": " choose", "probability": 0.339599609375}, {"start": 887.8, "end": 888.24, "word": " الـ", "probability": 0.6513671875}, {"start": 888.24, "end": 888.62, "word": " delta", "probability": 0.48291015625}, {"start": 888.62, "end": 890.32, "word": " أصغر", "probability": 0.9464111328125}, {"start": 890.32, "end": 890.54, "word": " من", "probability": 0.9736328125}, {"start": 890.54, "end": 890.78, "word": " أو", "probability": 0.9697265625}, {"start": 890.78, "end": 891.44, "word": " ساوي", "probability": 0.931640625}, {"start": 891.44, "end": 892.82, "word": " حل", "probability": 0.6385498046875}, {"start": 892.82, "end": 893.6, "word": " المتباينة", "probability": 0.7508951822916666}, {"start": 893.6, "end": 893.82, "word": " هذه", "probability": 0.271240234375}, {"start": 893.82, "end": 893.98, "word": " في", "probability": 0.7470703125}, {"start": 893.98, "end": 894.08, "word": " الـ", "probability": 0.573486328125}, {"start": 894.08, "end": 894.34, "word": " delta", "probability": 0.69140625}, {"start": 894.34, "end": 896.12, "word": " فالـ", "probability": 0.5623372395833334}, {"start": 896.12, "end": 896.32, "word": " delta", "probability": 0.92236328125}, {"start": 896.32, "end": 896.72, "word": " ستصبح", "probability": 0.69683837890625}, {"start": 896.72, "end": 897.14, "word": " أصغر", "probability": 0.9884033203125}, {"start": 897.14, "end": 897.28, "word": " من", "probability": 0.98388671875}, {"start": 897.28, "end": 897.5, "word": " أو", "probability": 0.97900390625}, {"start": 897.5, "end": 898.22, "word": " ساوي", "probability": 0.9684244791666666}, {"start": 898.22, "end": 899.4, "word": " C", "probability": 0.400146484375}, {"start": 899.4, "end": 900.3, "word": " تربيع", "probability": 0.672119140625}, {"start": 900.3, "end": 900.54, "word": " على", "probability": 0.81005859375}, {"start": 900.54, "end": 901.08, "word": " 2", "probability": 0.728515625}, {"start": 901.08, "end": 901.94, "word": " تلصق", "probability": 0.3410186767578125}, {"start": 901.94, "end": 903.4, "word": " فهي", "probability": 0.4742228190104167}, {"start": 903.4, "end": 903.92, "word": " قيمة", "probability": 0.9736328125}, {"start": 903.92, "end": 904.28, "word": " تانية", "probability": 0.9864908854166666}, {"start": 904.28, "end": 904.54, "word": " لـ", "probability": 0.781005859375}, {"start": 904.54, "end": 904.78, "word": " delta", "probability": 0.7890625}, {"start": 904.78, "end": 906.42, "word": " فبأخد", "probability": 0.672265625}, {"start": 906.42, "end": 906.54, "word": " الـ", "probability": 0.62646484375}, {"start": 906.54, "end": 906.78, "word": " delta", "probability": 0.94189453125}, {"start": 906.78, "end": 906.94, "word": " ال", "probability": 0.67138671875}, {"start": 906.94, "end": 907.42, "word": " minimum", "probability": 0.8046875}, {"start": 907.42, "end": 908.84, "word": " للقيمة", "probability": 0.9083251953125}, {"start": 908.84, "end": 909.44, "word": " الأولى", "probability": 0.9837239583333334}], "temperature": 1.0}, {"id": 35, "seek": 93716, "start": 910.56, "end": 937.16, "text": "والقيمة التانية هذا هيخلي انه لكل x المسافة بين او بين c اصغر من delta هتخلي المسافة بين f of x واحد على c اصغر من ال given epsilon نكتب الكلام هذا let epsilon be given choose delta بالساوي ال minimum نختار delta ال minimum", "tokens": [2407, 6027, 4587, 32640, 3660, 16712, 7649, 10632, 23758, 39896, 9778, 20292, 16472, 3224, 5296, 28820, 2031, 9673, 3794, 31845, 3660, 49374, 1975, 2407, 49374, 269, 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"probability": 0.99169921875}, {"start": 1413.13, "end": 1413.73, "word": " دلتا", "probability": 0.8260498046875}], "temperature": 1.0}, {"id": 55, "seek": 143376, "start": 1422.74, "end": 1433.76, "text": "أبسلون دلتا للنهايات نسمي ال implication هذه star", "tokens": [10721, 3555, 3794, 1211, 11536, 11778, 1211, 2655, 995, 24976, 1863, 11296, 1829, 9307, 8717, 38251, 1829, 2423, 37814, 29538, 3543], "avg_logprob": -0.5454545698382638, "compression_ratio": 0.95, "no_speech_prob": 0.0, "words": [{"start": 1422.74, "end": 1423.84, "word": "أبسلون", "probability": 0.506982421875}, {"start": 1423.84, "end": 1424.3, "word": " دلتا", "probability": 0.8829345703125}, {"start": 1424.3, "end": 1425.6, "word": " للنهايات", "probability": 0.7875732421875}, {"start": 1425.6, "end": 1432.08, "word": " نسمي", "probability": 0.6534830729166666}, {"start": 1432.08, "end": 1432.14, "word": " ال", "probability": 0.90234375}, {"start": 1432.14, "end": 1432.72, "word": " implication", "probability": 0.71923828125}, {"start": 1432.72, "end": 1433.24, "word": " هذه", "probability": 0.64794921875}, {"start": 1433.24, "end": 1433.76, "word": " star", "probability": 0.5322265625}], "temperature": 1.0}, {"id": 56, "seek": 145908, "start": 1441.58, "end": 1459.08, "text": "And the limit xn بالساوي سي احنا فرضين ان في انديو سيكوينس xn ونهايتها c then for the above", "tokens": [5289, 264, 4948, 2031, 77, 20666, 3794, 995, 45865, 8608, 1829, 1975, 5016, 8315, 6156, 43042, 9957, 16472, 8978, 16472, 16254, 2407, 8608, 1829, 4117, 2407, 9957, 3794, 2031, 77, 4032, 1863, 11296, 36081, 11296, 269, 550, 337, 264, 3673], "avg_logprob": -0.5415396574066906, "compression_ratio": 1.1666666666666667, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 1441.58, "end": 1442.04, "word": "And", "probability": 0.056304931640625}, {"start": 1442.04, "end": 1442.26, "word": " the", "probability": 0.264404296875}, {"start": 1442.26, "end": 1442.72, "word": " limit", "probability": 0.87548828125}, {"start": 1442.72, "end": 1444.84, "word": " xn", "probability": 0.327880859375}, {"start": 1444.84, "end": 1445.64, "word": " بالساوي", "probability": 0.609527587890625}, {"start": 1445.64, "end": 1446.02, "word": " سي", "probability": 0.49957275390625}, {"start": 1446.02, "end": 1446.24, "word": " احنا", "probability": 0.7256266276041666}, {"start": 1446.24, "end": 1446.68, "word": " فرضين", "probability": 0.8702799479166666}, {"start": 1446.68, "end": 1446.78, "word": " ان", "probability": 0.7822265625}, {"start": 1446.78, "end": 1446.94, "word": " في", "probability": 0.80908203125}, {"start": 1446.94, "end": 1447.3, "word": " انديو", "probability": 0.5768636067708334}, {"start": 1447.3, "end": 1447.98, "word": " سيكوينس", "probability": 0.7060139973958334}, {"start": 1447.98, "end": 1449.46, "word": " xn", "probability": 0.643310546875}, {"start": 1449.46, "end": 1450.46, "word": " ونهايتها", "probability": 0.87041015625}, {"start": 1450.46, "end": 1450.82, "word": " c", "probability": 0.2373046875}, {"start": 1450.82, "end": 1454.84, "word": " then", "probability": 0.463623046875}, {"start": 1454.84, "end": 1455.48, "word": " for", "probability": 0.9326171875}, {"start": 1455.48, "end": 1458.46, "word": " the", "probability": 0.796875}, {"start": 1458.46, "end": 1459.08, "word": " above", "probability": 0.95947265625}], "temperature": 1.0}, {"id": 57, "seek": 147867, "start": 1461.37, "end": 1478.67, "text": "دلتا الموجبة يوجد دلتا موجبة خدت دلتا هذه الموجبة وطبق تعريف epsilon capital N لlimit of sequence فبما ان ال sequence هذه نهايتها C إذا لأي دلتا أو epsilon عدد موجب", "tokens": [3215, 1211, 2655, 995, 9673, 29245, 49401, 7251, 29245, 3215, 11778, 1211, 2655, 995, 3714, 29245, 49401, 16490, 3215, 2655, 11778, 1211, 2655, 995, 29538, 9673, 29245, 49401, 4032, 9566, 3555, 4587, 37279, 16572, 5172, 17889, 4238, 426, 5296, 4197, 270, 295, 8310, 6156, 3555, 15042, 16472, 2423, 8310, 29538, 8717, 11296, 36081, 11296, 383, 11933, 15730, 5296, 10721, 1829, 11778, 1211, 2655, 995, 34051, 17889, 6225, 3215, 3215, 3714, 29245, 3555], "avg_logprob": -0.3529537801873194, "compression_ratio": 1.575, "no_speech_prob": 0.0, "words": [{"start": 1461.37, "end": 1462.09, "word": "دلتا", "probability": 0.6180267333984375}, {"start": 1462.09, "end": 1462.83, "word": " الموجبة", "probability": 0.9220377604166666}, {"start": 1462.83, "end": 1464.89, "word": " يوجد", "probability": 0.6710408528645834}, {"start": 1464.89, "end": 1465.27, "word": " دلتا", "probability": 0.80853271484375}, {"start": 1465.27, "end": 1465.79, "word": " موجبة", "probability": 0.9557291666666666}, {"start": 1465.79, "end": 1466.51, "word": " خدت", "probability": 0.54541015625}, {"start": 1466.51, "end": 1466.91, "word": " دلتا", "probability": 0.9537353515625}, {"start": 1466.91, "end": 1467.09, "word": " هذه", "probability": 0.1302490234375}, {"start": 1467.09, "end": 1467.67, "word": " الموجبة", "probability": 0.9873046875}, {"start": 1467.67, "end": 1469.49, "word": " وطبق", "probability": 0.8231201171875}, {"start": 1469.49, "end": 1470.01, "word": " تعريف", "probability": 0.9913736979166666}, {"start": 1470.01, "end": 1470.43, "word": " epsilon", "probability": 0.2548828125}, {"start": 1470.43, "end": 1470.91, "word": " capital", "probability": 0.2939453125}, {"start": 1470.91, "end": 1471.23, "word": " N", "probability": 0.685546875}, {"start": 1471.23, "end": 1471.77, "word": " لlimit", "probability": 0.6298828125}, {"start": 1471.77, "end": 1471.91, "word": " of", "probability": 0.94482421875}, {"start": 1471.91, "end": 1472.49, "word": " sequence", "probability": 0.91650390625}, {"start": 1472.49, "end": 1473.99, "word": " فبما", "probability": 0.71826171875}, {"start": 1473.99, "end": 1474.17, "word": " ان", "probability": 0.53076171875}, {"start": 1474.17, "end": 1474.29, "word": " ال", "probability": 0.84521484375}, {"start": 1474.29, "end": 1474.65, "word": " sequence", "probability": 0.92041015625}, {"start": 1474.65, "end": 1474.97, "word": " هذه", "probability": 0.794921875}, {"start": 1474.97, "end": 1475.57, "word": " نهايتها", "probability": 0.827392578125}, {"start": 1475.57, "end": 1475.81, "word": " C", "probability": 0.517578125}, {"start": 1475.81, "end": 1476.19, "word": " إذا", "probability": 0.43359375}, {"start": 1476.19, "end": 1476.59, "word": " لأي", "probability": 0.8831380208333334}, {"start": 1476.59, "end": 1477.09, "word": " دلتا", "probability": 0.9027099609375}, {"start": 1477.09, "end": 1477.29, "word": " أو", "probability": 0.57373046875}, {"start": 1477.29, "end": 1477.73, "word": " epsilon", "probability": 0.51904296875}, {"start": 1477.73, "end": 1478.11, "word": " عدد", "probability": 0.9583333333333334}, {"start": 1478.11, "end": 1478.67, "word": " موجب", "probability": 0.982421875}], "temperature": 1.0}, {"id": 58, "seek": 150399, "start": 1480.31, "end": 1503.99, "text": "There exists capital N يعتمد على الـ Delta طبعا الـ Delta تعتمد على إبسلون، إذا الـ N هذه يعتمد على إبسلون عدد طبيعي، بحيث أنه لكل N أكبر من أو ساوي capital N، تطلع عندي absolute X N minus C أصغر من Delta، نسمي ال implication هذه double star", "tokens": [51, 6703, 8198, 4238, 426, 7251, 34268, 2304, 3215, 15844, 2423, 39184, 18183, 23032, 3555, 3615, 995, 2423, 39184, 18183, 6055, 34268, 2304, 3215, 15844, 11933, 3555, 3794, 1211, 11536, 12399, 11933, 15730, 2423, 39184, 426, 29538, 7251, 34268, 2304, 3215, 15844, 11933, 3555, 3794, 1211, 11536, 6225, 3215, 3215, 23032, 21292, 3615, 1829, 12399, 4724, 5016, 1829, 12984, 14739, 3224, 5296, 28820, 426, 5551, 4117, 26890, 9154, 34051, 8608, 995, 2407, 1829, 4238, 426, 12399, 6055, 9566, 1211, 3615, 18871, 16254, 8236, 1783, 426, 3175, 383, 5551, 9381, 17082, 2288, 9154, 18183, 12399, 8717, 38251, 1829, 2423, 37814, 29538, 3834, 3543], "avg_logprob": -0.3041565458751419, "compression_ratio": 1.59009009009009, "no_speech_prob": 0.0, "words": [{"start": 1480.31, "end": 1480.71, "word": "There", "probability": 0.38433837890625}, {"start": 1480.71, 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1493.05, "word": " لكل", "probability": 0.97998046875}, {"start": 1493.05, "end": 1493.41, "word": " N", "probability": 0.84765625}, {"start": 1493.41, "end": 1493.97, "word": " أكبر", "probability": 0.9654947916666666}, {"start": 1493.97, "end": 1494.19, "word": " من", "probability": 0.923828125}, {"start": 1494.19, "end": 1494.41, "word": " أو", "probability": 0.939453125}, {"start": 1494.41, "end": 1494.87, "word": " ساوي", "probability": 0.7515869140625}, {"start": 1494.87, "end": 1495.29, "word": " capital", "probability": 0.61669921875}, {"start": 1495.29, "end": 1496.23, "word": " N،", "probability": 0.7724609375}, {"start": 1496.23, "end": 1496.65, "word": " تطلع", "probability": 0.65423583984375}, {"start": 1496.65, "end": 1496.93, "word": " عندي", "probability": 0.8642578125}, {"start": 1496.93, "end": 1497.41, "word": " absolute", "probability": 0.54443359375}, {"start": 1497.41, "end": 1497.99, "word": " X", "probability": 0.5947265625}, {"start": 1497.99, "end": 1498.29, "word": " N", "probability": 0.256103515625}, {"start": 1498.29, "end": 1498.81, "word": " minus", "probability": 0.81787109375}, {"start": 1498.81, "end": 1499.11, "word": " C", "probability": 0.55029296875}, {"start": 1499.11, "end": 1499.59, "word": " أصغر", "probability": 0.990478515625}, {"start": 1499.59, "end": 1499.77, "word": " من", "probability": 0.99560546875}, {"start": 1499.77, "end": 1501.49, "word": " Delta،", "probability": 0.641845703125}, {"start": 1501.49, "end": 1502.03, "word": " نسمي", "probability": 0.7428385416666666}, {"start": 1502.03, "end": 1502.13, "word": " ال", "probability": 0.96240234375}, {"start": 1502.13, "end": 1502.57, "word": " implication", "probability": 0.69091796875}, {"start": 1502.57, "end": 1503.19, "word": " هذه", "probability": 0.32421875}, {"start": 1503.19, "end": 1503.47, "word": " double", "probability": 0.476318359375}, {"start": 1503.47, "end": 1503.99, "word": " star", "probability": 0.69921875}], "temperature": 1.0}, {"id": 59, "seek": 153644, "start": 1507.58, "end": 1536.44, "text": "now star and double star بيؤدوا إلى ما يلي لو كان M أكبر من أو ساوي capital M هذا بيؤدي انه absolute XM minus C أصغر من دلتا هذا باستخدام double star صح؟", "tokens": [3785, 3543, 293, 3834, 3543, 4724, 1829, 33604, 3215, 14407, 30731, 19446, 7251, 20292, 45164, 25961, 376, 5551, 4117, 26890, 9154, 34051, 8608, 995, 45865, 4238, 376, 23758, 4724, 1829, 33604, 16254, 16472, 3224, 8236, 1783, 44, 3175, 383, 5551, 9381, 17082, 2288, 9154, 11778, 1211, 2655, 995, 23758, 4724, 995, 14851, 9778, 3215, 10943, 3834, 3543, 20328, 5016, 22807], "avg_logprob": -0.25435449647121744, "compression_ratio": 1.343558282208589, "no_speech_prob": 0.0, "words": [{"start": 1507.58, "end": 1508.02, "word": "now", "probability": 0.307373046875}, {"start": 1508.02, "end": 1508.7, "word": " star", "probability": 0.452392578125}, {"start": 1508.7, "end": 1509.22, "word": " and", "probability": 0.91650390625}, {"start": 1509.22, "end": 1509.62, "word": " double", "probability": 0.951171875}, {"start": 1509.62, "end": 1510.2, "word": " star", "probability": 0.93994140625}, {"start": 1510.2, "end": 1512.84, "word": " بيؤدوا", "probability": 0.617626953125}, {"start": 1512.84, "end": 1513.74, "word": " إلى", "probability": 0.697265625}, {"start": 1513.74, "end": 1514.1, "word": " ما", "probability": 0.95458984375}, {"start": 1514.1, "end": 1514.42, "word": " يلي", "probability": 0.864990234375}, {"start": 1514.42, "end": 1515.76, "word": " لو", "probability": 0.517578125}, {"start": 1515.76, "end": 1516.3, "word": " كان", "probability": 0.97998046875}, {"start": 1516.3, "end": 1516.66, "word": " M", "probability": 0.3828125}, {"start": 1516.66, "end": 1517.2, "word": " أكبر", "probability": 0.92724609375}, {"start": 1517.2, "end": 1517.4, "word": " من", "probability": 0.8408203125}, {"start": 1517.4, "end": 1517.6, "word": " أو", "probability": 0.79736328125}, {"start": 1517.6, "end": 1518.1, "word": " ساوي", "probability": 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{"start": 1531.12, "end": 1531.88, "word": " هذا", "probability": 0.89111328125}, {"start": 1531.88, "end": 1532.8, "word": " باستخدام", "probability": 0.9834798177083334}, {"start": 1532.8, "end": 1534.5, "word": " double", "probability": 0.876953125}, {"start": 1534.5, "end": 1535.08, "word": " star", "probability": 0.92822265625}, {"start": 1535.08, "end": 1536.44, "word": " صح؟", "probability": 0.8961588541666666}], "temperature": 1.0}, {"id": 60, "seek": 155981, "start": 1539.75, "end": 1559.81, "text": "لو كانت n أكبر من أو ساوي capital N فبطلع absolute xn minus c أصغر من delta و من ال star لو كان عندى xn طبعا xn هذا موجود في a ال xn موجود في a مختلف عن ال c", "tokens": [1211, 2407, 25961, 2655, 297, 5551, 4117, 26890, 9154, 34051, 8608, 995, 45865, 4238, 426, 6156, 3555, 9566, 1211, 3615, 8236, 2031, 77, 3175, 269, 5551, 9381, 17082, 2288, 9154, 8289, 4032, 9154, 2423, 3543, 45164, 25961, 43242, 7578, 2031, 77, 23032, 3555, 3615, 995, 2031, 77, 23758, 3714, 29245, 23328, 8978, 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"word": " فبطلع", "probability": 0.645703125}, {"start": 1543.79, "end": 1544.23, "word": " absolute", "probability": 0.71875}, {"start": 1544.23, "end": 1544.73, "word": " xn", "probability": 0.62353515625}, {"start": 1544.73, "end": 1545.15, "word": " minus", "probability": 0.6474609375}, {"start": 1545.15, "end": 1545.39, "word": " c", "probability": 0.787109375}, {"start": 1545.39, "end": 1545.77, "word": " أصغر", "probability": 0.975830078125}, {"start": 1545.77, "end": 1545.93, "word": " من", "probability": 0.994140625}, {"start": 1545.93, "end": 1546.31, "word": " delta", "probability": 0.452880859375}, {"start": 1546.31, "end": 1547.53, "word": " و", "probability": 0.775390625}, {"start": 1547.53, "end": 1548.05, "word": " من", "probability": 0.497314453125}, {"start": 1548.05, "end": 1548.45, "word": " ال", "probability": 0.57373046875}, {"start": 1548.45, "end": 1548.85, "word": " star", "probability": 0.5205078125}, {"start": 1548.85, "end": 1551.45, "word": " لو", "probability": 0.67529296875}, {"start": 1551.45, "end": 1551.71, "word": " كان", "probability": 0.98388671875}, {"start": 1551.71, "end": 1552.05, "word": " عندى", "probability": 0.5511474609375}, {"start": 1552.05, "end": 1552.57, "word": " xn", "probability": 0.930908203125}, {"start": 1552.57, "end": 1552.95, "word": " طبعا", "probability": 0.8712158203125}, {"start": 1552.95, "end": 1553.41, "word": " xn", "probability": 0.646484375}, {"start": 1553.41, "end": 1553.61, "word": " هذا", "probability": 0.611328125}, {"start": 1553.61, "end": 1554.13, "word": " موجود", "probability": 0.9798177083333334}, {"start": 1554.13, "end": 1554.37, "word": " في", "probability": 0.96337890625}, {"start": 1554.37, "end": 1554.67, "word": " a", "probability": 0.64306640625}, {"start": 1554.67, "end": 1556.27, "word": " ال", "probability": 0.374267578125}, {"start": 1556.27, "end": 1556.93, "word": " xn", "probability": 0.91015625}, {"start": 1556.93, "end": 1557.73, "word": " موجود", "probability": 0.984375}, {"start": 1557.73, "end": 1558.25, "word": " في", "probability": 0.9658203125}, {"start": 1558.25, "end": 1558.55, "word": " a", "probability": 0.97509765625}, {"start": 1558.55, "end": 1559.13, "word": " مختلف", "probability": 0.84228515625}, {"start": 1559.13, "end": 1559.33, "word": " عن", "probability": 0.95703125}, {"start": 1559.33, "end": 1559.55, "word": " ال", "probability": 0.80078125}, {"start": 1559.55, "end": 1559.81, "word": " c", "probability": 0.8994140625}], "temperature": 1.0}, {"id": 61, "seek": 158827, "start": 1562.83, "end": 1588.27, "text": "فلو كان absolute of xn minus c badly except xn أصغر من delta فحسب الstar هذا بقدر absolute of f of xn minus L أصغر من إبسلون الان بما أن هذا صحيح بما أن since إبسلون أكبر من الصفر was arbitrary", "tokens": [5172, 1211, 2407, 25961, 8236, 295, 2031, 77, 3175, 269, 13425, 3993, 2031, 77, 5551, 9381, 17082, 2288, 9154, 8289, 6156, 5016, 35457, 2423, 9710, 23758, 4724, 28543, 2288, 8236, 295, 283, 295, 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badly", "probability": 0.157470703125}, {"start": 1566.85, "end": 1567.23, "word": " except", "probability": 0.8388671875}, {"start": 1567.23, "end": 1567.75, "word": " xn", "probability": 0.885498046875}, {"start": 1567.75, "end": 1568.43, "word": " أصغر", "probability": 0.8475341796875}, {"start": 1568.43, "end": 1568.59, "word": " من", "probability": 0.9892578125}, {"start": 1568.59, "end": 1568.95, "word": " delta", "probability": 0.480224609375}, {"start": 1568.95, "end": 1570.29, "word": " فحسب", "probability": 0.8196614583333334}, {"start": 1570.29, "end": 1570.77, "word": " الstar", "probability": 0.43408203125}, {"start": 1570.77, "end": 1571.05, "word": " هذا", "probability": 0.7646484375}, {"start": 1571.05, "end": 1571.51, "word": " بقدر", "probability": 0.7884114583333334}, {"start": 1571.51, "end": 1572.45, "word": " absolute", "probability": 0.451171875}, {"start": 1572.45, "end": 1573.69, "word": " of", "probability": 0.41748046875}, {"start": 1573.69, "end": 1573.85, "word": " f", "probability": 0.59033203125}, {"start": 1573.85, "end": 1574.13, "word": " of", "probability": 0.393798828125}, {"start": 1574.13, "end": 1575.05, "word": " xn", "probability": 0.949462890625}, {"start": 1575.05, "end": 1575.83, "word": " minus", "probability": 0.96142578125}, {"start": 1575.83, "end": 1576.43, "word": " L", "probability": 0.5546875}, {"start": 1576.43, "end": 1578.33, "word": " أصغر", "probability": 0.9793701171875}, {"start": 1578.33, "end": 1578.53, "word": " من", "probability": 0.994140625}, {"start": 1578.53, "end": 1579.19, "word": " إبسلون", "probability": 0.6742919921875}, {"start": 1579.19, "end": 1581.19, "word": " الان", "probability": 0.51416015625}, {"start": 1581.19, "end": 1581.49, "word": " بما", "probability": 0.832763671875}, {"start": 1581.49, "end": 1581.61, "word": " أن", "probability": 0.75927734375}, {"start": 1581.61, "end": 1581.93, "word": " هذا", "probability": 0.9306640625}, {"start": 1581.93, "end": 1582.59, "word": " صحيح", "probability": 0.99267578125}, {"start": 1582.59, "end": 1583.59, "word": " بما", "probability": 0.77978515625}, {"start": 1583.59, "end": 1583.77, "word": " أن", "probability": 0.822265625}, {"start": 1583.77, "end": 1584.33, "word": " since", "probability": 0.327880859375}, {"start": 1584.33, "end": 1585.63, "word": " إبسلون", "probability": 0.883203125}, {"start": 1585.63, "end": 1586.07, "word": " أكبر", "probability": 0.97607421875}, {"start": 1586.07, "end": 1586.29, "word": " من", "probability": 0.9912109375}, {"start": 1586.29, "end": 1586.87, "word": " الصفر", "probability": 0.795166015625}, {"start": 1586.87, "end": 1587.47, "word": " was", "probability": 0.87841796875}, {"start": 1587.47, "end": 1588.27, "word": " arbitrary", "probability": 0.734375}], "temperature": 1.0}, {"id": 62, "seek": 160754, "start": 1590.74, "end": 1607.54, "text": "إن إحنا أثبتنا هيك لكل إبسلون يوجد capital N يعتمد على إبسلون عدد طبيعي", "tokens": [28814, 1863, 11933, 5016, 8315, 5551, 12984, 3555, 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1602.78, "end": 1603.28, "word": " N", "probability": 0.75927734375}, {"start": 1603.28, "end": 1605.4, "word": " يعتمد", "probability": 0.9285888671875}, {"start": 1605.4, "end": 1605.72, "word": " على", "probability": 0.869140625}, {"start": 1605.72, "end": 1606.54, "word": " إبسلون", "probability": 0.966015625}, {"start": 1606.54, "end": 1606.94, "word": " عدد", "probability": 0.9586588541666666}, {"start": 1606.94, "end": 1607.54, "word": " طبيعي", "probability": 0.9698486328125}], "temperature": 1.0}, {"id": 63, "seek": 163735, "start": 1608.69, "end": 1637.35, "text": "بكل n أكبر من أوي سوى capital N absolute f of xn minus L أصغر من إبسلون إذا by إبسلون capital N definition لل limit of sequence بطلع عندي limit لsequence f of xn as n tends to infinity بساوية L وبالتالي هيك بيكون إذا two holes", "tokens": [3555, 28820, 297, 5551, 4117, 26890, 9154, 34051, 1829, 8608, 2407, 7578, 4238, 426, 8236, 283, 295, 2031, 77, 3175, 441, 5551, 9381, 17082, 2288, 9154, 11933, 3555, 3794, 1211, 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"probability": 0.283447265625}, {"start": 1611.15, "end": 1611.47, "word": " N", "probability": 0.71484375}, {"start": 1611.47, "end": 1612.65, "word": " absolute", "probability": 0.495361328125}, {"start": 1612.65, "end": 1613.19, "word": " f", "probability": 0.56298828125}, {"start": 1613.19, "end": 1613.41, "word": " of", "probability": 0.53271484375}, {"start": 1613.41, "end": 1613.87, "word": " xn", "probability": 0.678955078125}, {"start": 1613.87, "end": 1614.27, "word": " minus", "probability": 0.82275390625}, {"start": 1614.27, "end": 1614.57, "word": " L", "probability": 0.5244140625}, {"start": 1614.57, "end": 1615.11, "word": " أصغر", "probability": 0.975830078125}, {"start": 1615.11, "end": 1615.31, "word": " من", "probability": 0.9931640625}, {"start": 1615.31, "end": 1615.79, "word": " إبسلون", "probability": 0.7566162109375}, {"start": 1615.79, "end": 1616.93, "word": " إذا", "probability": 0.45367431640625}, {"start": 1616.93, "end": 1617.45, "word": " by", "probability": 0.51318359375}, {"start": 1617.45, "end": 1618.03, "word": " إبسلون", "probability": 0.8265625}, {"start": 1618.03, "end": 1618.41, "word": " capital", "probability": 0.51708984375}, {"start": 1618.41, "end": 1618.73, "word": " N", "probability": 0.9228515625}, {"start": 1618.73, "end": 1619.27, "word": " definition", "probability": 0.91357421875}, {"start": 1619.27, "end": 1619.85, "word": " لل", "probability": 0.72119140625}, {"start": 1619.85, "end": 1620.15, "word": " limit", "probability": 0.6630859375}, {"start": 1620.15, "end": 1620.33, "word": " of", "probability": 0.96044921875}, {"start": 1620.33, "end": 1620.95, "word": " sequence", "probability": 0.87451171875}, {"start": 1620.95, "end": 1622.01, "word": " بطلع", "probability": 0.6400146484375}, {"start": 1622.01, "end": 1622.31, "word": " عندي", "probability": 0.820068359375}, {"start": 1622.31, "end": 1622.79, "word": " limit", "probability": 0.50341796875}, {"start": 1622.79, "end": 1626.05, "word": " لsequence", "probability": 0.611083984375}, {"start": 1626.05, "end": 1626.37, "word": " f", "probability": 0.9091796875}, {"start": 1626.37, "end": 1626.65, "word": " of", "probability": 0.86669921875}, {"start": 1626.65, "end": 1627.51, "word": " xn", "probability": 0.960205078125}, {"start": 1627.51, "end": 1628.65, "word": " as", "probability": 0.875}, {"start": 1628.65, "end": 1628.97, "word": " n", "probability": 0.5166015625}, {"start": 1628.97, "end": 1629.25, "word": " tends", "probability": 0.53076171875}, {"start": 1629.25, "end": 1629.37, "word": " to", "probability": 0.9326171875}, {"start": 1629.37, "end": 1629.91, "word": " infinity", "probability": 0.85009765625}, {"start": 1629.91, "end": 1630.73, "word": " بساوية", "probability": 0.647607421875}, {"start": 1630.73, "end": 1631.01, "word": " L", "probability": 0.348876953125}, {"start": 1631.01, "end": 1632.91, "word": " وبالتالي", "probability": 0.94990234375}, {"start": 1632.91, "end": 1633.19, "word": " هيك", 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"probability": 0.8501953125}, {"start": 1815.15, "end": 1815.37, "word": " بس", "probability": 0.991455078125}, {"start": 1815.37, "end": 1815.47, "word": " لا", "probability": 0.6337890625}, {"start": 1815.47, "end": 1815.93, "word": " تتكلم", "probability": 0.98388671875}, {"start": 1815.93, "end": 1816.17, "word": " وأنا", "probability": 0.695068359375}, {"start": 1816.17, "end": 1816.45, "word": " ضايق", "probability": 0.8377278645833334}, {"start": 1816.45, "end": 1821.85, "word": " طرابك،", "probability": 0.64521484375}, {"start": 1821.85, "end": 1822.19, "word": " يقولنا", "probability": 0.5747884114583334}, {"start": 1822.19, "end": 1822.47, "word": " الكلام", "probability": 0.9560546875}, {"start": 1822.47, "end": 1822.77, "word": " قدر", "probability": 0.7022298177083334}, {"start": 1822.77, "end": 1823.03, "word": " مئة", "probability": 0.7804361979166666}, {"start": 1823.03, "end": 1823.25, "word": " مرة", "probability": 0.94921875}, {"start": 1823.25, "end": 1823.39, "word": " في", "probability": 0.98291015625}, {"start": 1823.39, "end": 1823.87, "word": " المحاضرة،", "probability": 0.976953125}, {"start": 1823.87, "end": 1824.23, "word": " ممنوع", "probability": 0.9202473958333334}, {"start": 1824.23, "end": 1825.15, "word": " الكلام", "probability": 0.9615885416666666}, {"start": 1825.15, "end": 1825.69, "word": " الجامل", "probability": 0.5743001302083334}], "temperature": 1.0}, {"id": 71, "seek": 185912, "start": 1835.88, "end": 1859.12, "text": "تفضل يا أبو حمزي إذا الأن بدنا نكمل البرنامج بإثبات الأثنين بأد لواحد الإثبات الأثنين بأد لواحد بدنا نثبت we prove ال contrapositive we prove not واحد implies not two", "tokens": [2655, 5172, 11242, 1211, 35186, 5551, 3555, 2407, 11331, 2304, 11622, 1829, 11933, 15730, 16247, 1863, 47525, 8315, 8717, 24793, 1211, 2423, 26890, 8315, 2304, 7435, 4724, 28814, 12984, 3555, 9307, 16247, 12984, 1863, 9957, 4724, 10721, 3215, 5296, 14407, 24401, 33688, 12984, 3555, 9307, 16247, 12984, 1863, 9957, 4724, 10721, 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"probability": 0.92919921875}, {"start": 1851.48, "end": 1851.74, "word": " ال", "probability": 0.56787109375}, {"start": 1851.74, "end": 1852.76, "word": " contrapositive", "probability": 0.749267578125}, {"start": 1852.76, "end": 1853.76, "word": " we", "probability": 0.71923828125}, {"start": 1853.76, "end": 1854.36, "word": " prove", "probability": 0.94384765625}, {"start": 1854.36, "end": 1855.1, "word": " not", "probability": 0.89453125}, {"start": 1855.1, "end": 1855.98, "word": " واحد", "probability": 0.961669921875}, {"start": 1855.98, "end": 1857.72, "word": " implies", "probability": 0.7216796875}, {"start": 1857.72, "end": 1858.26, "word": " not", "probability": 0.9482421875}, {"start": 1858.26, "end": 1859.12, "word": " two", "probability": 0.85693359375}], "temperature": 1.0}, {"id": 72, "seek": 188719, "start": 1861.07, "end": 1887.19, "text": "هذا هو ال contrapositive للعبارة لل implication هذه فإذا assume .. assume not one ف not one معناته ال limit ل F of X لما X تقول ل C لا تساوي L", "tokens": [3224, 15730, 31439, 2423, 660, 4007, 329, 2187, 24976, 3615, 3555, 9640, 3660, 24976, 37814, 29538, 6156, 28814, 15730, 6552, 4386, 6552, 406, 472, 6156, 406, 472, 20449, 8315, 47395, 2423, 4948, 5296, 479, 295, 1783, 5296, 15042, 1783, 6055, 39648, 5296, 383, 20193, 6055, 3794, 995, 45865, 441], "avg_logprob": -0.2468750137090683, "compression_ratio": 1.2418300653594772, "no_speech_prob": 0.0, "words": [{"start": 1861.07, "end": 1861.45, "word": "هذا", "probability": 0.841064453125}, {"start": 1861.45, "end": 1861.63, "word": " هو", "probability": 0.947265625}, {"start": 1861.63, "end": 1861.77, "word": " ال", "probability": 0.65087890625}, {"start": 1861.77, "end": 1862.59, "word": " contrapositive", "probability": 0.750244140625}, {"start": 1862.59, "end": 1863.45, "word": " للعبارة", "probability": 0.9525390625}, {"start": 1863.45, "end": 1864.13, "word": " لل", "probability": 0.5908203125}, {"start": 1864.13, "end": 1864.73, "word": " implication", 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"probability": 0.7978515625}, {"start": 1877.99, "end": 1879.19, "word": " limit", "probability": 0.9599609375}, {"start": 1879.19, "end": 1880.81, "word": " ل", "probability": 0.923828125}, {"start": 1880.81, "end": 1881.27, "word": " F", "probability": 0.3720703125}, {"start": 1881.27, "end": 1881.53, "word": " of", "probability": 0.87890625}, {"start": 1881.53, "end": 1882.05, "word": " X", "probability": 0.951171875}, {"start": 1882.05, "end": 1884.55, "word": " لما", "probability": 0.77001953125}, {"start": 1884.55, "end": 1884.89, "word": " X", "probability": 0.96923828125}, {"start": 1884.89, "end": 1885.33, "word": " تقول", "probability": 0.794189453125}, {"start": 1885.33, "end": 1885.57, "word": " ل", "probability": 0.810546875}, {"start": 1885.57, "end": 1885.81, "word": " C", "probability": 0.68310546875}, {"start": 1885.81, "end": 1886.13, "word": " لا", "probability": 0.6025390625}, {"start": 1886.13, "end": 1886.89, "word": " تساوي", "probability": 0.946533203125}, {"start": 1886.89, "end": 1887.19, "word": " L", "probability": 0.69921875}], "temperature": 1.0}, {"id": 73, "seek": 189202, "start": 1890.2, "end": 1892.02, "text": "this means هذا يعني", "tokens": [11176, 1355, 23758, 37495, 22653], "avg_logprob": -0.1806640625, "compression_ratio": 0.7428571428571429, "no_speech_prob": 0.0, "words": [{"start": 1890.2, "end": 1890.66, "word": "this", "probability": 0.587890625}, {"start": 1890.66, "end": 1891.2, "word": " means", "probability": 0.9375}, {"start": 1891.2, "end": 1891.56, "word": " هذا", "probability": 0.77392578125}, {"start": 1891.56, "end": 1892.02, "word": " يعني", "probability": 0.9189453125}], "temperature": 1.0}, {"id": 74, "seek": 192155, "start": 1895.09, "end": 1921.55, "text": "الان نرجع لتعريف ال limit أو ال function شوفنا المرة السادسة في تعريفين في epsilon delta definition و في neighborhood definition ال neighborhood definition بيقول اذا كان عشان تكون limit ل f of x من x او ل c بالساوي عدد L هذا بيكافئ انه لكل epsilon neighborhood ل L يوجد delta neighborhood لل C بحيث لكل x في ال delta neighborhood", "tokens": [6027, 7649, 8717, 47341, 3615, 5296, 2655, 3615, 16572, 5172, 2423, 4948, 34051, 2423, 2445, 13412, 38688, 8315, 9673, 25720, 21136, 18513, 3794, 3660, 8978, 37279, 16572, 5172, 9957, 8978, 17889, 8289, 7123, 4032, 8978, 7630, 7123, 2423, 7630, 7123, 4724, 1829, 39648, 1975, 15730, 25961, 6225, 8592, 7649, 6055, 30544, 4948, 5296, 283, 295, 2031, 9154, 2031, 1975, 2407, 5296, 269, 20666, 3794, 995, 45865, 6225, 3215, 3215, 441, 23758, 4724, 1829, 4117, 31845, 19986, 16472, 3224, 5296, 28820, 17889, 7630, 5296, 441, 7251, 29245, 3215, 8289, 7630, 24976, 383, 4724, 5016, 1829, 12984, 5296, 28820, 2031, 8978, 2423, 8289, 7630], "avg_logprob": -0.28170510750372435, "compression_ratio": 1.8218623481781377, "no_speech_prob": 0.0, "words": [{"start": 1895.09, "end": 1895.51, "word": "الان", "probability": 0.721435546875}, {"start": 1895.51, "end": 1895.93, "word": " نرجع", "probability": 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ل", "probability": 0.83251953125}, {"start": 1911.45, "end": 1911.69, "word": " c", "probability": 0.87451171875}, {"start": 1911.69, "end": 1912.27, "word": " بالساوي", "probability": 0.8291015625}, {"start": 1912.27, "end": 1912.69, "word": " عدد", "probability": 0.9650065104166666}, {"start": 1912.69, "end": 1912.97, "word": " L", "probability": 0.52294921875}, {"start": 1912.97, "end": 1913.77, "word": " هذا", "probability": 0.60791015625}, {"start": 1913.77, "end": 1914.33, "word": " بيكافئ", "probability": 0.758447265625}, {"start": 1914.33, "end": 1914.63, "word": " انه", "probability": 0.5875244140625}, {"start": 1914.63, "end": 1915.01, "word": " لكل", "probability": 0.98291015625}, {"start": 1915.01, "end": 1915.45, "word": " epsilon", "probability": 0.93701171875}, {"start": 1915.45, "end": 1915.99, "word": " neighborhood", "probability": 0.8515625}, {"start": 1915.99, "end": 1916.19, "word": " ل", "probability": 0.962890625}, {"start": 1916.19, "end": 1916.45, "word": " L", 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" zero", "probability": 0.1671142578125}, {"start": 1989.62, "end": 1990.36, "word": " neighborhood", "probability": 0.53271484375}, {"start": 1990.36, "end": 1990.96, "word": " ل", "probability": 0.8310546875}, {"start": 1990.96, "end": 1991.9, "word": " LL", "probability": 0.530517578125}, {"start": 1991.9, "end": 1996.38, "word": " طيب", "probability": 0.8912760416666666}, {"start": 1996.38, "end": 1996.58, "word": " لو", "probability": 0.9345703125}, {"start": 1996.58, "end": 1997.1, "word": " أخدنا", "probability": 0.946044921875}, {"start": 1997.1, "end": 1997.56, "word": " take", "probability": 0.84326171875}, {"start": 1997.56, "end": 2000.52, "word": " لكل", "probability": 0.9443359375}, {"start": 2000.52, "end": 2001.0, "word": " N", "probability": 0.59619140625}, {"start": 2001.0, "end": 2001.3, "word": " في", "probability": 0.9580078125}, {"start": 2001.3, "end": 2001.8, "word": " N", "probability": 0.72802734375}, {"start": 2001.8, "end": 2003.62, "word": " take", 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"word": " statement", "probability": 0.96826171875}, {"start": 2280.53, "end": 2281.25, "word": " اتنين", "probability": 0.9725341796875}], "temperature": 1.0}, {"id": 88, "seek": 230980, "start": 2282.58, "end": 2309.8, "text": "بقول لكل sequence بحيث ان ال limit بتاعتها C، ال limit لل image بتاعتها بالساولة L هنا اتوصلنا ان there exist بدل for all there exist sequence نهايتها C لكن نهاية صورتها لاتساول L إذا هيك بنكون أثبتنا أنه لا إذا we proved not", "tokens": [3555, 39648, 5296, 28820, 8310, 4724, 5016, 1829, 12984, 16472, 2423, 4948, 39894, 995, 34268, 11296, 383, 12399, 2423, 4948, 24976, 3256, 39894, 995, 34268, 11296, 20666, 3794, 995, 12610, 3660, 441, 34105, 1975, 2655, 2407, 9381, 1211, 8315, 16472, 456, 2514, 47525, 1211, 337, 439, 456, 2514, 8310, 8717, 11296, 36081, 11296, 383, 44381, 8717, 11296, 10632, 20328, 13063, 2655, 11296, 5296, 9307, 3794, 995, 12610, 441, 11933, 15730, 39896, 4117, 44945, 30544, 5551, 12984, 3555, 2655, 8315, 14739, 3224, 20193, 11933, 15730, 321, 14617, 406], "avg_logprob": -0.30450995706699113, "compression_ratio": 1.6584158415841583, "no_speech_prob": 0.0, "words": [{"start": 2282.58, "end": 2283.2, "word": "بقول", "probability": 0.757568359375}, {"start": 2283.2, "end": 2283.68, "word": " لكل", "probability": 0.95068359375}, {"start": 2283.68, "end": 2284.5, "word": " sequence", "probability": 0.84033203125}, {"start": 2284.5, "end": 2286.16, "word": " بحيث", "probability": 0.9525146484375}, {"start": 2286.16, "end": 2286.32, "word": " ان", "probability": 0.61181640625}, {"start": 2286.32, "end": 2286.4, "word": " ال", "probability": 0.59375}, {"start": 2286.4, "end": 2286.6, "word": " limit", "probability": 0.8720703125}, {"start": 2286.6, "end": 2286.98, "word": " بتاعتها", "probability": 0.749603271484375}, {"start": 2286.98, "end": 2287.64, "word": " C،", "probability": 0.3363037109375}, {"start": 2287.64, "end": 2287.86, "word": " ال", "probability": 0.564453125}, {"start": 2287.86, "end": 2288.16, "word": " limit", "probability": 0.94482421875}, {"start": 2288.16, "end": 2288.4, "word": " لل", "probability": 0.81689453125}, {"start": 2288.4, "end": 2288.68, "word": " image", "probability": 0.80712890625}, {"start": 2288.68, "end": 2289.1, "word": " بتاعتها", "probability": 0.9375}, {"start": 2289.1, "end": 2289.7, "word": " بالساولة", "probability": 0.65283203125}, {"start": 2289.7, "end": 2289.82, "word": " L", "probability": 0.4052734375}, {"start": 2289.82, "end": 2290.94, "word": " هنا", "probability": 0.884765625}, {"start": 2290.94, "end": 2291.58, "word": " اتوصلنا", "probability": 0.7696533203125}, {"start": 2291.58, "end": 2291.78, "word": " ان", "probability": 0.71484375}, {"start": 2291.78, "end": 2292.08, "word": " there", "probability": 0.4619140625}, {"start": 2292.08, "end": 2292.72, "word": " exist", "probability": 0.6455078125}, {"start": 2292.72, "end": 2293.1, "word": " بدل", "probability": 0.919189453125}, {"start": 2293.1, "end": 2293.34, "word": " for", "probability": 0.86767578125}, {"start": 2293.34, "end": 2293.66, "word": " all", "probability": 0.947265625}, {"start": 2293.66, "end": 2293.88, "word": " there", "probability": 0.68212890625}, {"start": 2293.88, "end": 2294.3, "word": " exist", "probability": 0.7158203125}, {"start": 2294.3, "end": 2294.94, "word": " sequence", "probability": 0.93310546875}, {"start": 2294.94, "end": 2295.92, "word": " نهايتها", "probability": 0.9210205078125}, {"start": 2295.92, "end": 2296.26, "word": " C", "probability": 0.92626953125}, {"start": 2296.26, "end": 2297.26, "word": " لكن", "probability": 0.58935546875}, {"start": 2297.26, "end": 2297.92, "word": " نهاية", "probability": 0.89208984375}, {"start": 2297.92, "end": 2298.66, "word": " صورتها", "probability": 0.9927978515625}, {"start": 2298.66, "end": 2299.9, "word": " لاتساول", "probability": 0.82177734375}, {"start": 2299.9, "end": 2300.22, "word": " L", "probability": 0.90771484375}, {"start": 2300.22, "end": 2301.28, "word": " إذا", 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أي استفسار؟", "tokens": [2247, 472, 18779, 406, 732, 4412, 732, 18779, 472, 37037, 15730, 7251, 24793, 1211, 2423, 26890, 3224, 7649, 4032, 46958, 5016, 22807, 8978, 36632, 8608, 33604, 6027, 22807, 8978, 36632, 44713, 36178, 9640, 22807, 7251, 44510, 2407, 14739, 8315, 9122, 42213, 8315, 4724, 2288, 3224, 7649, 28239, 19913, 2288, 10632, 8978, 36632, 44713, 36178, 9640, 22807], "avg_logprob": -0.27467104426601474, "compression_ratio": 1.5815602836879432, "no_speech_prob": 0.0, "words": [{"start": 2311.13, "end": 2311.59, "word": "not", "probability": 0.60205078125}, {"start": 2311.59, "end": 2311.93, "word": " one", "probability": 0.93701171875}, {"start": 2311.93, "end": 2312.57, "word": " implies", "probability": 0.951171875}, {"start": 2312.57, "end": 2313.13, "word": " not", "probability": 0.95068359375}, {"start": 2313.13, "end": 2313.65, "word": " two", "probability": 0.953125}, {"start": 2313.65, "end": 2314.85, "word": " therefore", "probability": 0.55712890625}, {"start": 2314.85, "end": 2316.55, "word": " two", "probability": 0.92578125}, {"start": 2316.55, "end": 2318.93, "word": " implies", "probability": 0.93701171875}, {"start": 2318.93, "end": 2319.39, "word": " one", "probability": 0.95458984375}, {"start": 2319.39, "end": 2320.57, "word": " وهذا", "probability": 0.81982421875}, {"start": 2320.57, "end": 2321.25, "word": " يكمل", "probability": 0.8427734375}, {"start": 2321.25, "end": 2322.93, "word": " البرهان", "probability": 0.8912353515625}, {"start": 2322.93, "end": 2324.51, "word": " واضح؟", "probability": 0.68487548828125}, {"start": 2324.51, "end": 2324.63, "word": " في", "probability": 0.5537109375}, {"start": 2324.63, "end": 2324.73, "word": " أي", "probability": 0.62353515625}, {"start": 2324.73, "end": 2325.17, "word": " سؤال؟", "probability": 0.784912109375}, {"start": 2325.17, "end": 2325.27, "word": " في", "probability": 0.8212890625}, {"start": 2325.27, "end": 2325.41, "word": " أي", "probability": 0.68212890625}, {"start": 2325.41, "end": 2326.61, "word": " استفسار؟", "probability": 0.964111328125}, {"start": 2326.61, "end": 2326.79, "word": " يبدو", "probability": 0.4793294270833333}, {"start": 2326.79, "end": 2326.93, "word": " أننا", "probability": 0.5203857421875}, {"start": 2326.93, "end": 2329.09, "word": " كملنا", "probability": 0.7591145833333334}, {"start": 2329.09, "end": 2329.73, "word": " برهان", "probability": 0.9091796875}, {"start": 2329.73, "end": 2330.49, "word": " النظرية", "probability": 0.949951171875}, {"start": 2330.49, "end": 2332.31, "word": " في", "probability": 0.3310546875}, {"start": 2332.31, "end": 2332.53, "word": " أي", "probability": 0.87109375}, {"start": 2332.53, "end": 2333.59, "word": " استفسار؟", "probability": 0.9830322265625}], "temperature": 1.0}, {"id": 90, "seek": 235690, "start": 2335.7, "end": 2356.9, "text": "الان من النظرية هذه ينتج مباشرة نظرية مهمة لتقل عنها أهمية ويلها اسم divergence criteria", "tokens": [6027, 7649, 9154, 28239, 19913, 2288, 10632, 29538, 7251, 29399, 7435, 3714, 3555, 33599, 25720, 8717, 19913, 2288, 10632, 3714, 16095, 3660, 5296, 2655, 4587, 1211, 18871, 11296, 5551, 16095, 10632, 4032, 26895, 11296, 24525, 2304, 47387, 11101], "avg_logprob": -0.1576522374764467, "compression_ratio": 1.2203389830508475, "no_speech_prob": 0.0, "words": [{"start": 2335.7, "end": 2336.26, "word": "الان", "probability": 0.85009765625}, {"start": 2336.26, "end": 2336.5, "word": " من", "probability": 0.55908203125}, {"start": 2336.5, "end": 2337.0, "word": " النظرية", "probability": 0.813720703125}, {"start": 2337.0, "end": 2337.3, "word": " هذه", "probability": 0.763671875}, {"start": 2337.3, "end": 2337.98, "word": " ينتج", "probability": 0.9521484375}, {"start": 2337.98, "end": 2339.8, "word": " مباشرة", "probability": 0.9879150390625}, {"start": 2339.8, "end": 2341.16, "word": " نظرية", "probability": 0.969970703125}, {"start": 2341.16, "end": 2342.16, "word": " مهمة", "probability": 0.9842122395833334}, {"start": 2342.16, "end": 2343.78, "word": " لتقل", "probability": 0.82122802734375}, {"start": 2343.78, "end": 2344.1, "word": " عنها", "probability": 0.98876953125}, {"start": 2344.1, "end": 2344.84, "word": " أهمية", "probability": 0.8113606770833334}, {"start": 2344.84, "end": 2346.76, "word": " ويلها", "probability": 0.7386881510416666}, {"start": 2346.76, "end": 2347.82, "word": " اسم", "probability": 0.9296875}, {"start": 2347.82, "end": 2353.66, "word": " divergence", "probability": 0.94140625}, {"start": 2353.66, "end": 2356.9, "word": " criteria", "probability": 0.76171875}], "temperature": 1.0}, {"id": 91, "seek": 238585, "start": 2365.65, "end": 2385.85, "text": "لت if the function from A to R and see the cluster point of A then واحد", "tokens": [1211, 2655, 498, 264, 2445, 490, 316, 281, 497, 293, 536, 264, 13630, 935, 295, 316, 550, 36764, 24401], "avg_logprob": -0.515234363079071, "compression_ratio": 0.9506172839506173, "no_speech_prob": 0.0, "words": [{"start": 2365.6499999999996, "end": 2367.0499999999997, "word": "لت", "probability": 0.251068115234375}, {"start": 2367.0499999999997, "end": 2368.45, "word": " if", "probability": 0.17626953125}, {"start": 2368.45, "end": 2368.77, "word": " the", "probability": 0.395751953125}, {"start": 2368.77, "end": 2369.51, "word": " function", "probability": 0.958984375}, {"start": 2369.51, "end": 2370.11, "word": " from", "probability": 0.87158203125}, {"start": 2370.11, "end": 2370.53, "word": " A", "probability": 0.68017578125}, {"start": 2370.53, "end": 2370.75, "word": " to", "probability": 0.98095703125}, {"start": 2370.75, "end": 2371.29, "word": " R", "probability": 0.99267578125}, {"start": 2371.29, "end": 2373.49, "word": " and", "probability": 0.56298828125}, {"start": 2373.49, "end": 2375.09, "word": " see", "probability": 0.39306640625}, {"start": 2375.09, "end": 2375.69, "word": " the", "probability": 0.80224609375}, {"start": 2375.69, "end": 2376.65, "word": " cluster", "probability": 0.853515625}, {"start": 2376.65, "end": 2379.75, "word": " point", "probability": 0.94384765625}, {"start": 2379.75, "end": 2380.59, "word": " of", "probability": 0.8134765625}, {"start": 2380.59, "end": 2381.27, "word": " A", "probability": 0.96923828125}, {"start": 2381.27, "end": 2383.75, "word": " then", "probability": 0.58984375}, {"start": 2383.75, "end": 2385.85, "word": " واحد", "probability": 0.7432861328125}], "temperature": 1.0}, {"id": 92, "seek": 241126, "start": 2387.36, "end": 2411.26, "text": "الـ limit ل f of x لما x تقول ل c لا تساوي ال f and only f there exist a sequence xm contained in a حدودها مختلفة عن ال c such that limit xm بتساوي c but", "tokens": [6027, 39184, 4948, 5296, 283, 295, 2031, 5296, 15042, 2031, 6055, 39648, 5296, 269, 20193, 6055, 3794, 995, 45865, 2423, 283, 293, 787, 283, 456, 2514, 257, 8310, 2031, 76, 16212, 294, 257, 11331, 3215, 23328, 11296, 3714, 46456, 46538, 3660, 18871, 2423, 269, 1270, 300, 4948, 2031, 76, 39894, 3794, 995, 45865, 269, 457], "avg_logprob": 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2400.98, "word": " contained", "probability": 0.72412109375}, {"start": 2400.98, "end": 2401.44, "word": " in", "probability": 0.958984375}, {"start": 2401.44, "end": 2401.72, "word": " a", "probability": 0.5185546875}, {"start": 2401.72, "end": 2402.46, "word": " حدودها", "probability": 0.9915771484375}, {"start": 2402.46, "end": 2403.18, "word": " مختلفة", "probability": 0.9847412109375}, {"start": 2403.18, "end": 2403.36, "word": " عن", "probability": 0.931640625}, {"start": 2403.36, "end": 2403.56, "word": " ال", "probability": 0.671875}, {"start": 2403.56, "end": 2403.82, "word": " c", "probability": 0.6845703125}, {"start": 2403.82, "end": 2404.88, "word": " such", "probability": 0.9248046875}, {"start": 2404.88, "end": 2405.48, "word": " that", "probability": 0.95458984375}, {"start": 2405.48, "end": 2407.32, "word": " limit", "probability": 0.95556640625}, {"start": 2407.32, "end": 2409.46, "word": " xm", "probability": 0.894775390625}, {"start": 2409.46, "end": 2410.18, "word": " بتساوي", "probability": 0.87060546875}, {"start": 2410.18, "end": 2410.72, "word": " c", "probability": 0.943359375}, {"start": 2410.72, "end": 2411.26, "word": " but", "probability": 0.76708984375}], "temperature": 1.0}, {"id": 93, "seek": 243235, "start": 2413.39, "end": 2432.35, "text": "Limit f of x in لاتساوي n الكرتيريا التانية اللي هي عشان نقول limit f of x لما x تقولها c does not exist in R", "tokens": [43, 332, 270, 283, 295, 2031, 294, 5296, 9307, 3794, 995, 45865, 297, 33251, 2288, 2655, 13546, 25528, 16712, 7649, 10632, 13672, 1829, 39896, 6225, 8592, 7649, 8717, 39648, 4948, 283, 295, 2031, 5296, 15042, 2031, 6055, 39648, 11296, 269, 775, 406, 2514, 294, 497], "avg_logprob": -0.40523096595121466, "compression_ratio": 1.24, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 2413.3900000000003, "end": 2414.13, "word": "Limit", "probability": 0.6745808919270834}, {"start": 2414.13, "end": 2414.87, "word": " f", "probability": 0.61572265625}, {"start": 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{"start": 2426.43, "end": 2426.71, "word": " f", "probability": 0.85400390625}, {"start": 2426.71, "end": 2426.93, "word": " of", "probability": 0.88623046875}, {"start": 2426.93, "end": 2427.19, "word": " x", "probability": 0.9912109375}, {"start": 2427.19, "end": 2427.45, "word": " لما", "probability": 0.755615234375}, {"start": 2427.45, "end": 2427.69, "word": " x", "probability": 0.86767578125}, {"start": 2427.69, "end": 2428.23, "word": " تقولها", "probability": 0.6047770182291666}, {"start": 2428.23, "end": 2428.43, "word": " c", "probability": 0.69580078125}, {"start": 2428.43, "end": 2428.73, "word": " does", "probability": 0.2496337890625}, {"start": 2428.73, "end": 2429.13, "word": " not", "probability": 0.9677734375}, {"start": 2429.13, "end": 2431.01, "word": " exist", "probability": 0.96826171875}, {"start": 2431.01, "end": 2431.93, "word": " in", "probability": 0.9658203125}, {"start": 2431.93, "end": 2432.35, "word": " R", "probability": 0.95068359375}], "temperature": 1.0}, {"id": 94, "seek": 246267, "start": 2434.61, "end": 2462.67, "text": "هذا بكافئ أن هناك سيكوانس Xn محتوى A حدودها مختلفة عن C بحيث أن نهايتها بساوي C بط نهاية صورتها لا توجد في R", "tokens": [3224, 15730, 4724, 4117, 31845, 19986, 14739, 34105, 4117, 8608, 1829, 4117, 2407, 7649, 3794, 1783, 77, 3714, 33753, 2407, 7578, 316, 11331, 3215, 23328, 11296, 3714, 46456, 46538, 3660, 18871, 383, 4724, 5016, 1829, 12984, 14739, 8717, 11296, 36081, 11296, 4724, 3794, 995, 45865, 383, 4724, 9566, 8717, 11296, 10632, 20328, 13063, 2655, 11296, 20193, 6055, 29245, 3215, 8978, 497], "avg_logprob": -0.3109878916894236, "compression_ratio": 1.4166666666666667, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 2434.61, "end": 2435.13, "word": "هذا", "probability": 0.815185546875}, {"start": 2435.13, "end": 2435.91, "word": " بكافئ", "probability": 0.83251953125}, {"start": 2435.91, "end": 2436.29, "word": " أن", "probability": 0.24853515625}, {"start": 2436.29, "end": 2437.35, "word": " هناك", "probability": 0.848876953125}, {"start": 2437.35, "end": 2438.45, "word": " سيكوانس", "probability": 0.6960652669270834}, {"start": 2438.45, "end": 2440.77, "word": " Xn", "probability": 0.32501220703125}, {"start": 2440.77, "end": 2441.69, "word": " محتوى", "probability": 0.520965576171875}, {"start": 2441.69, "end": 2442.37, "word": " A", "probability": 0.66748046875}, {"start": 2442.37, "end": 2443.69, "word": " حدودها", "probability": 0.961181640625}, {"start": 2443.69, "end": 2444.59, "word": " مختلفة", "probability": 0.9752197265625}, {"start": 2444.59, "end": 2444.87, "word": " عن", "probability": 0.95166015625}, {"start": 2444.87, "end": 2445.39, "word": " C", "probability": 0.461669921875}, {"start": 2445.39, "end": 2446.53, "word": " بحيث", "probability": 0.88037109375}, {"start": 2446.53, "end": 2446.81, "word": " أن", "probability": 0.6748046875}, {"start": 2446.81, "end": 2447.67, "word": " نهايتها", "probability": 0.966064453125}, {"start": 2447.67, "end": 2450.87, "word": " بساوي", "probability": 0.63031005859375}, {"start": 2450.87, "end": 2451.33, "word": " C", "probability": 0.76708984375}, {"start": 2451.33, "end": 2451.93, "word": " بط", "probability": 0.693603515625}, {"start": 2451.93, "end": 2453.93, "word": " نهاية", "probability": 0.8043619791666666}, {"start": 2453.93, "end": 2455.29, "word": " صورتها", "probability": 0.986328125}, {"start": 2455.29, "end": 2460.31, "word": " لا", "probability": 0.53564453125}, {"start": 2460.31, "end": 2461.29, "word": " توجد", "probability": 0.7701009114583334}, {"start": 2461.29, "end": 2462.17, "word": " في", "probability": 0.8427734375}, {"start": 2462.17, "end": 2462.67, "word": " R", "probability": 0.876953125}], "temperature": 1.0}, {"id": 95, "seek": 249113, "start": 2476.23, "end": 2491.13, "text": "كمان النظرية هذه مرهانها ينتج مباشرة من النظرية اللي فوق مثلا هي عندي لإثبات ال band الأول عشان أثبت limit f of x مستويش L and C", "tokens": [24793, 7649, 28239, 19913, 2288, 10632, 29538, 3714, 2288, 3224, 7649, 11296, 7251, 29399, 7435, 3714, 3555, 33599, 25720, 9154, 28239, 19913, 2288, 10632, 13672, 1829, 6156, 30543, 50113, 15040, 39896, 18871, 16254, 5296, 28814, 12984, 3555, 9307, 2423, 4116, 16247, 12610, 6225, 8592, 7649, 5551, 12984, 3555, 2655, 4948, 283, 295, 2031, 3714, 14851, 45865, 8592, 441, 293, 383], "avg_logprob": -0.2256659845836827, "compression_ratio": 1.4228187919463087, "no_speech_prob": 0.0, "words": [{"start": 2476.2299999999996, "end": 2477.1099999999997, "word": "كمان", "probability": 0.519195556640625}, {"start": 2477.1099999999997, "end": 2477.99, "word": " النظرية", "probability": 0.84698486328125}, {"start": 2477.99, "end": 2478.47, "word": " هذه", "probability": 0.76318359375}, {"start": 2478.47, "end": 2479.45, "word": " مرهانها", "probability": 0.72578125}, {"start": 2479.45, "end": 2479.97, "word": " ينتج", "probability": 0.9625651041666666}, {"start": 2479.97, "end": 2480.61, "word": " مباشرة", "probability": 0.9825439453125}, {"start": 2480.61, "end": 2480.83, "word": " من", "probability": 0.97802734375}, {"start": 2480.83, "end": 2481.25, "word": " النظرية", "probability": 0.8690185546875}, {"start": 2481.25, "end": 2481.43, "word": " اللي", "probability": 0.716064453125}, {"start": 2481.43, "end": 2482.25, "word": " فوق", "probability": 0.966064453125}, {"start": 2482.25, "end": 2483.79, "word": " مثلا", "probability": 0.949462890625}, {"start": 2483.79, "end": 2484.09, "word": " هي", "probability": 0.451904296875}, {"start": 2484.09, "end": 2484.53, "word": " عندي", "probability": 0.92822265625}, {"start": 2484.53, "end": 2485.65, "word": " لإثبات", "probability": 0.90654296875}, {"start": 2485.65, "end": 2485.81, "word": " ال", "probability": 0.80859375}, {"start": 2485.81, "end": 2486.01, "word": " band", "probability": 0.50341796875}, {"start": 2486.01, "end": 2486.53, "word": " الأول", "probability": 0.95166015625}, {"start": 2486.53, "end": 2487.99, "word": " عشان", "probability": 0.9723307291666666}, {"start": 2487.99, "end": 2488.35, "word": " أثبت", "probability": 0.93994140625}, {"start": 2488.35, "end": 2488.59, "word": " limit", "probability": 0.970703125}, {"start": 2488.59, "end": 2488.83, "word": " f", "probability": 0.72607421875}, {"start": 2488.83, "end": 2489.01, "word": " of", "probability": 0.55810546875}, {"start": 2489.01, "end": 2489.31, "word": " x", "probability": 0.87890625}, {"start": 2489.31, "end": 2490.03, "word": " مستويش", "probability": 0.6844482421875}, {"start": 2490.03, "end": 2490.35, "word": " L", "probability": 0.619140625}, {"start": 2490.35, "end": 2490.81, "word": " and", "probability": 0.7919921875}, {"start": 2490.81, "end": 2491.13, "word": " C", "probability": 0.8818359375}], "temperature": 1.0}, {"id": 96, "seek": 252038, "start": 2494.38, "end": 2520.38, "text": "يعني كإني بقول نفي العبارة واحد هذا هو نفي العبارة واحد طب احنا لسه بثبتين ان واحد بكافي اتنين وبالتالي نفي العبارة واحد بكافي نفي الاتنين فنفي الاتنين هذا هو يوجد a sequence تتقارب ل C لكن صورة تلاتة تتقارب لL إذا برهان الجزء الأول نتيجة مباشرة على مضارية ال form والجزء التاني زيه بدل هنا", "tokens": [40228, 22653, 9122, 28814, 22653, 4724, 39648, 8717, 41185, 18863, 3555, 9640, 3660, 36764, 24401, 23758, 31439, 8717, 41185, 18863, 3555, 9640, 3660, 36764, 24401, 23032, 3555, 1975, 5016, 8315, 5296, 3794, 3224, 4724, 12984, 3555, 2655, 9957, 16472, 36764, 24401, 4724, 4117, 31845, 1829, 1975, 2655, 1863, 9957, 46599, 6027, 2655, 6027, 1829, 8717, 41185, 18863, 3555, 9640, 3660, 36764, 24401, 4724, 4117, 31845, 1829, 8717, 41185, 2423, 9307, 1863, 9957, 6156, 1863, 41185, 2423, 9307, 1863, 9957, 23758, 31439, 7251, 29245, 3215, 257, 8310, 6055, 2655, 4587, 9640, 3555, 5296, 383, 44381, 20328, 13063, 3660, 6055, 1211, 9307, 3660, 6055, 2655, 4587, 9640, 3555, 5296, 43, 11933, 15730, 4724, 2288, 3224, 7649, 25724, 11622, 38207, 16247, 12610, 8717, 31371, 7435, 3660, 3714, 3555, 33599, 25720, 15844, 3714, 11242, 9640, 10632, 2423, 1254, 16070, 7435, 11622, 38207, 16712, 7649, 1829, 30767, 1829, 3224, 47525, 1211, 34105], "avg_logprob": -0.16596283270297824, "compression_ratio": 2.1074380165289255, "no_speech_prob": 0.0, "words": [{"start": 2494.38, "end": 2494.82, "word": "يعني", "probability": 0.6680908203125}, {"start": 2494.82, "end": 2495.2, "word": " كإني", "probability": 0.71630859375}, {"start": 2495.2, "end": 2495.64, "word": " بقول", "probability": 0.930908203125}, {"start": 2495.64, "end": 2496.54, "word": " نفي", "probability": 0.920166015625}, {"start": 2496.54, "end": 2497.32, "word": " العبارة", "probability": 0.8134765625}, {"start": 2497.32, "end": 2497.7, "word": " واحد", "probability": 0.9375}, {"start": 2497.7, "end": 2498.08, "word": " هذا", "probability": 0.5654296875}, {"start": 2498.08, "end": 2498.26, "word": " هو", "probability": 0.947265625}, {"start": 2498.26, "end": 2498.5, "word": " نفي", "probability": 0.972900390625}, {"start": 2498.5, "end": 2498.88, "word": " العبارة", "probability": 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"probability": 0.985546875}, {"start": 2509.84, "end": 2509.96, "word": " ل", "probability": 0.94189453125}, {"start": 2509.96, "end": 2510.22, "word": " C", "probability": 0.301025390625}, {"start": 2510.22, "end": 2510.68, "word": " لكن", "probability": 0.92138671875}, {"start": 2510.68, "end": 2511.1, "word": " صورة", "probability": 0.86474609375}, {"start": 2511.1, "end": 2511.46, "word": " تلاتة", "probability": 0.7515869140625}, {"start": 2511.46, "end": 2511.96, "word": " تتقارب", "probability": 0.97919921875}, {"start": 2511.96, "end": 2512.32, "word": " لL", "probability": 0.77490234375}, {"start": 2512.32, "end": 2513.52, "word": " إذا", "probability": 0.7216796875}, {"start": 2513.52, "end": 2514.12, "word": " برهان", "probability": 0.82666015625}, {"start": 2514.12, "end": 2514.48, "word": " الجزء", "probability": 0.9386393229166666}, {"start": 2514.48, "end": 2514.98, "word": " الأول", "probability": 0.9443359375}, {"start": 2514.98, "end": 2516.18, "word": " نتيجة", 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exist يعني لو اخدت اي عدد L فال limit هنا لا تساوي L معناته انه في sequence و الكلام هذا ال limit هذه ماسويش اي L اي عدد حقيقي اذا النظرية هذه نتيجة مباشرة على النظرية sequential criterion النظرية التي سبقتها", "tokens": [3615, 8592, 7649, 1975, 39648, 16472, 2423, 4948, 29538, 775, 406, 2514, 37495, 22653, 45164, 1975, 9778, 3215, 2655, 1975, 1829, 6225, 3215, 3215, 441, 6156, 6027, 4948, 34105, 20193, 6055, 3794, 995, 45865, 441, 20449, 8315, 47395, 16472, 3224, 8978, 8310, 4032, 2423, 28820, 10943, 23758, 2423, 4948, 29538, 19446, 3794, 45865, 8592, 1975, 1829, 441, 1975, 1829, 6225, 3215, 3215, 11331, 38436, 38436, 1975, 15730, 28239, 19913, 2288, 10632, 29538, 8717, 31371, 7435, 3660, 3714, 3555, 33599, 25720, 15844, 28239, 19913, 2288, 10632, 42881, 46691, 28239, 19913, 2288, 10632, 38392, 8608, 3555, 38149, 11296], "avg_logprob": -0.22132731958762886, "compression_ratio": 1.7638888888888888, "no_speech_prob": 0.0, "words": [{"start": 2521.71, "end": 2522.13, "word": "عشان", 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"word": " إذا", "probability": 0.48504638671875}, {"start": 2632.29, "end": 2632.49, "word": " هنا", "probability": 0.94677734375}, {"start": 2632.49, "end": 2633.09, "word": " consider", "probability": 0.6484375}], "temperature": 1.0}, {"id": 101, "seek": 266370, "start": 2634.44, "end": 2663.7, "text": "الـ sequence التي تفي بهذا الغرض اللي هي xn بالساوي واحد على n لكل n في n فواضح أنه limit xn بالساوي limit واحد على n بتساوي سفر وواضح أنه xn contained in a اللي هي الفترة هذه معدى السفر صح؟", "tokens": [6027, 39184, 8310, 38392, 6055, 41185, 39627, 15730, 6024, 118, 43042, 13672, 1829, 39896, 2031, 77, 20666, 3794, 995, 45865, 36764, 24401, 15844, 297, 5296, 28820, 297, 8978, 297, 6156, 2407, 46958, 5016, 14739, 3224, 4948, 2031, 77, 20666, 3794, 995, 45865, 4948, 36764, 24401, 15844, 297, 39894, 3794, 995, 45865, 8608, 5172, 2288, 4032, 2407, 46958, 5016, 14739, 3224, 2031, 77, 16212, 294, 257, 13672, 1829, 39896, 27188, 2655, 25720, 29538, 20449, 3215, 7578, 21136, 5172, 2288, 20328, 5016, 22807], "avg_logprob": -0.25247713269256966, "compression_ratio": 1.7241379310344827, "no_speech_prob": 0.0, "words": [{"start": 2634.44, "end": 2634.78, "word": "الـ", "probability": 0.419189453125}, {"start": 2634.78, "end": 2635.26, "word": " sequence", "probability": 0.72314453125}, {"start": 2635.26, "end": 2635.72, "word": " التي", "probability": 0.6953125}, {"start": 2635.72, "end": 2636.12, "word": " تفي", "probability": 0.9365234375}, {"start": 2636.12, "end": 2637.8, "word": " بهذا", "probability": 0.79443359375}, {"start": 2637.8, "end": 2638.24, "word": " الغرض", "probability": 0.90380859375}, {"start": 2638.24, "end": 2639.3, "word": " اللي", "probability": 0.5968017578125}, {"start": 2639.3, "end": 2639.56, "word": " هي", "probability": 0.79296875}, {"start": 2639.56, "end": 2640.1, "word": " xn", "probability": 0.37255859375}, {"start": 2640.1, "end": 2640.78, "word": " بالساوي", "probability": 0.5760650634765625}, {"start": 2640.78, "end": 2641.26, "word": " واحد", "probability": 0.8076171875}, {"start": 2641.26, "end": 2641.44, "word": " على", "probability": 0.6923828125}, {"start": 2641.44, "end": 2641.74, "word": " n", "probability": 0.6357421875}, {"start": 2641.74, "end": 2642.42, "word": " لكل", "probability": 0.846435546875}, {"start": 2642.42, "end": 2642.8, "word": " n", "probability": 0.76953125}, {"start": 2642.8, "end": 2643.04, "word": " في", "probability": 0.939453125}, {"start": 2643.04, "end": 2643.4, "word": " n", "probability": 0.31494140625}, {"start": 2643.4, "end": 2645.8, "word": " فواضح", "probability": 0.9049072265625}, {"start": 2645.8, "end": 2646.08, "word": " أنه", "probability": 0.517822265625}, {"start": 2646.08, "end": 2646.4, "word": " limit", "probability": 0.96240234375}, {"start": 2646.4, "end": 2648.36, "word": " xn", "probability": 0.9384765625}, {"start": 2648.36, "end": 2650.44, "word": " بالساوي", "probability": 0.8885498046875}, {"start": 2650.44, "end": 2650.88, "word": " limit", "probability": 0.9150390625}, {"start": 2650.88, "end": 2651.96, "word": " واحد", "probability": 0.9443359375}, {"start": 2651.96, "end": 2652.14, "word": " على", "probability": 0.91943359375}, {"start": 2652.14, "end": 2652.56, "word": " n", "probability": 0.96337890625}, {"start": 2652.56, "end": 2653.68, "word": " بتساوي", "probability": 0.8863525390625}, {"start": 2653.68, "end": 2654.12, "word": " سفر", "probability": 0.8517252604166666}, {"start": 2654.12, "end": 2656.46, "word": " وواضح", "probability": 0.903564453125}, {"start": 2656.46, "end": 2656.72, "word": " أنه", "probability": 0.657958984375}, {"start": 2656.72, "end": 2657.48, "word": " xn", "probability": 0.941162109375}, {"start": 2657.48, "end": 2659.06, "word": " contained", "probability": 0.7607421875}, {"start": 2659.06, "end": 2659.48, "word": " in", "probability": 0.95458984375}, {"start": 2659.48, "end": 2659.78, "word": " a", "probability": 0.5087890625}, {"start": 2659.78, "end": 2659.98, "word": " اللي", "probability": 0.93310546875}, {"start": 2659.98, "end": 2660.1, "word": " هي", "probability": 0.77783203125}, {"start": 2660.1, "end": 2660.58, "word": " الفترة", "probability": 0.99169921875}, {"start": 2660.58, "end": 2661.08, "word": " هذه", "probability": 0.7724609375}, {"start": 2661.08, "end": 2662.24, "word": " معدى", "probability": 0.6359049479166666}, {"start": 2662.24, "end": 2662.8, "word": " السفر", "probability": 0.9327799479166666}, {"start": 2662.8, "end": 2663.7, "word": " صح؟", "probability": 0.8728841145833334}], "temperature": 1.0}, {"id": 102, "seek": 269031, "start": 2665.27, "end": 2690.31, "text": "وعندي ال limit لل image لل sequence xn بساوي ال limit ل 1 على xn لما n تقوى ل infinity بساوي ال limit ل n لما n تقوى ل infinity بساوي infinity وهذه طبعا ال infinity does not exist in R ليست عدد حقيقي", "tokens": [2407, 3615, 1863, 16254, 2423, 4948, 24976, 3256, 24976, 8310, 2031, 77, 4724, 3794, 995, 45865, 2423, 4948, 5296, 502, 15844, 2031, 77, 5296, 15042, 297, 6055, 4587, 2407, 7578, 5296, 13202, 4724, 3794, 995, 45865, 2423, 4948, 5296, 297, 5296, 15042, 297, 6055, 4587, 2407, 7578, 5296, 13202, 4724, 3794, 995, 45865, 13202, 37037, 24192, 23032, 3555, 3615, 995, 2423, 13202, 775, 406, 2514, 294, 497, 32239, 14851, 6225, 3215, 3215, 11331, 38436, 38436], "avg_logprob": -0.20775082276055687, "compression_ratio": 1.7435897435897436, "no_speech_prob": 0.0, "words": [{"start": 2665.27, "end": 2666.19, "word": "وعندي", "probability": 0.7564697265625}, {"start": 2666.19, "end": 2666.49, "word": " ال", "probability": 0.46435546875}, {"start": 2666.49, "end": 2666.89, "word": " limit", "probability": 0.89208984375}, {"start": 2666.89, "end": 2668.67, "word": " لل", "probability": 0.78564453125}, {"start": 2668.67, "end": 2669.13, "word": " image", "probability": 0.76513671875}, {"start": 2669.13, "end": 2669.39, "word": " لل", "probability": 0.6376953125}, {"start": 2669.39, "end": 2669.89, "word": " sequence", "probability": 0.931640625}, {"start": 2669.89, "end": 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infinity", "probability": 0.6494140625}, {"start": 2677.47, "end": 2678.11, "word": " بساوي", "probability": 0.9368896484375}, {"start": 2678.11, "end": 2678.25, "word": " ال", "probability": 0.673828125}, {"start": 2678.25, "end": 2678.59, "word": " limit", "probability": 0.9833984375}, {"start": 2678.59, "end": 2680.13, "word": " ل", "probability": 0.9814453125}, {"start": 2680.13, "end": 2680.43, "word": " n", "probability": 0.7041015625}, {"start": 2680.43, "end": 2680.73, "word": " لما", "probability": 0.97216796875}, {"start": 2680.73, "end": 2681.03, "word": " n", "probability": 0.83544921875}, {"start": 2681.03, "end": 2681.35, "word": " تقوى", "probability": 0.9820556640625}, {"start": 2681.35, "end": 2681.49, "word": " ل", "probability": 0.9716796875}, {"start": 2681.49, "end": 2682.01, "word": " infinity", "probability": 0.92822265625}, {"start": 2682.01, "end": 2682.77, "word": " بساوي", "probability": 0.9522705078125}, {"start": 2682.77, "end": 2683.41, "word": " infinity", "probability": 0.79833984375}, {"start": 2683.41, "end": 2684.61, "word": " وهذه", "probability": 0.64404296875}, {"start": 2684.61, "end": 2685.01, "word": " طبعا", "probability": 0.850341796875}, {"start": 2685.01, "end": 2685.13, "word": " ال", "probability": 0.9423828125}, {"start": 2685.13, "end": 2685.59, "word": " infinity", "probability": 0.92578125}, {"start": 2685.59, "end": 2686.25, "word": " does", "probability": 0.5576171875}, {"start": 2686.25, "end": 2686.63, "word": " not", "probability": 0.958984375}, {"start": 2686.63, "end": 2687.33, "word": " exist", "probability": 0.94921875}, {"start": 2687.33, "end": 2687.75, "word": " in", "probability": 0.8408203125}, {"start": 2687.75, "end": 2688.01, "word": " R", "probability": 0.9345703125}, {"start": 2688.01, "end": 2688.65, "word": " ليست", "probability": 0.8125}, {"start": 2688.65, "end": 2689.73, "word": " عدد", "probability": 0.9775390625}, {"start": 2689.73, "end": 2690.31, "word": " حقيقي", "probability": 0.98095703125}], "temperature": 1.0}, {"id": 103, "seek": 271810, "start": 2691.92, "end": 2718.1, "text": "النهاية نجحت في إيجاد sequence موجودة في A وحدودها مختلفة عن السفر ونهايتها سفر لكن نهاية صورتها مش موجودة في R وبالتالي therefore by divergence criterion limit ل F of X أو واحد على X", "tokens": [6027, 1863, 11296, 10632, 8717, 7435, 33753, 8978, 11933, 1829, 7435, 18513, 8310, 3714, 29245, 23328, 3660, 8978, 316, 4032, 24401, 23328, 11296, 3714, 46456, 46538, 3660, 18871, 21136, 5172, 2288, 4032, 1863, 11296, 36081, 11296, 8608, 5172, 2288, 44381, 8717, 11296, 10632, 20328, 13063, 2655, 11296, 37893, 3714, 29245, 23328, 3660, 8978, 497, 46599, 6027, 2655, 6027, 1829, 4412, 538, 47387, 46691, 4948, 5296, 479, 295, 1783, 34051, 36764, 24401, 15844, 1783], "avg_logprob": -0.1667018542821343, "compression_ratio": 1.46875, "no_speech_prob": 0.0, "words": [{"start": 2691.92, "end": 2692.44, "word": "النهاية", "probability": 0.72894287109375}, {"start": 2692.44, "end": 2692.98, 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"end": 2709.9, "word": " criterion", "probability": 0.96435546875}, {"start": 2709.9, "end": 2714.02, "word": " limit", "probability": 0.46337890625}, {"start": 2714.02, "end": 2715.74, "word": " ل", "probability": 0.7314453125}, {"start": 2715.74, "end": 2716.1, "word": " F", "probability": 0.296142578125}, {"start": 2716.1, "end": 2716.32, "word": " of", "probability": 0.6611328125}, {"start": 2716.32, "end": 2716.68, "word": " X", "probability": 0.93896484375}, {"start": 2716.68, "end": 2717.0, "word": " أو", "probability": 0.5419921875}, {"start": 2717.0, "end": 2717.42, "word": " واحد", "probability": 0.846435546875}, {"start": 2717.42, "end": 2717.64, "word": " على", "probability": 0.71337890625}, {"start": 2717.64, "end": 2718.1, "word": " X", "probability": 0.96728515625}], "temperature": 1.0}, {"id": 104, "seek": 274542, "start": 2719.84, "end": 2745.42, "text": "لما x سقول إلى 0 does not exist in R وفي حقيقة الأمر اثبتنا ان limit 1 على x لما x سقول إلى 0 من اليمين غير موجودة لان اخذنا المجال كل الاعداد الموجودة بالمثل ممكن اثبات ان limit ل1 على x", "tokens": [1211, 15042, 2031, 8608, 39648, 30731, 1958, 775, 406, 2514, 294, 497, 4032, 41185, 11331, 38436, 28671, 16247, 29973, 1975, 12984, 3555, 2655, 8315, 16472, 4948, 502, 15844, 2031, 5296, 15042, 2031, 8608, 39648, 30731, 1958, 9154, 2423, 32640, 9957, 32771, 13546, 3714, 29245, 23328, 3660, 5296, 7649, 1975, 9778, 8848, 8315, 9673, 7435, 6027, 28242, 42963, 22488, 18513, 9673, 29245, 23328, 3660, 20666, 2304, 12984, 1211, 3714, 43020, 1975, 12984, 3555, 9307, 16472, 4948, 5296, 16, 15844, 2031], "avg_logprob": -0.2597656320780516, "compression_ratio": 1.6483516483516483, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 2719.84, "end": 2720.28, "word": "لما", "probability": 0.650146484375}, {"start": 2720.28, "end": 2720.5, "word": " x", "probability": 0.453369140625}, {"start": 2720.5, "end": 2720.94, "word": " سقول", "probability": 0.29278564453125}, {"start": 2720.94, "end": 2721.22, 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0.849609375}, {"start": 2733.44, "end": 2733.64, "word": " لان", "probability": 0.7161865234375}, {"start": 2733.64, "end": 2734.18, "word": " اخذنا", "probability": 0.791015625}, {"start": 2734.18, "end": 2734.72, "word": " المجال", "probability": 0.97265625}, {"start": 2734.72, "end": 2735.5, "word": " كل", "probability": 0.6015625}, {"start": 2735.5, "end": 2735.92, "word": " الاعداد", "probability": 0.7578125}, {"start": 2735.92, "end": 2736.82, "word": " الموجودة", "probability": 0.9581298828125}, {"start": 2736.82, "end": 2738.52, "word": " بالمثل", "probability": 0.9801025390625}, {"start": 2738.52, "end": 2739.76, "word": " ممكن", "probability": 0.6519775390625}, {"start": 2739.76, "end": 2740.42, "word": " اثبات", "probability": 0.8935546875}, {"start": 2740.42, "end": 2742.62, "word": " ان", "probability": 0.57958984375}, {"start": 2742.62, "end": 2743.16, "word": " limit", "probability": 0.59716796875}, {"start": 2743.16, "end": 2744.72, "word": " ل1", "probability": 0.5087890625}, {"start": 2744.72, "end": 2745.02, "word": " على", "probability": 0.8310546875}, {"start": 2745.02, "end": 2745.42, "word": " x", "probability": 0.94287109375}], "temperature": 1.0}, {"id": 105, "seek": 275125, "start": 2746.71, "end": 2751.25, "text": "لمّا X تقول إلى سفر من اليسار does not exist", "tokens": [19528, 11703, 995, 1783, 6055, 39648, 30731, 8608, 5172, 2288, 9154, 45595, 3794, 9640, 775, 406, 2514], "avg_logprob": -0.18446180555555555, "compression_ratio": 0.8918918918918919, "no_speech_prob": 0.0, "words": [{"start": 2746.71, "end": 2747.19, "word": "لمّا", "probability": 0.7889811197916666}, {"start": 2747.19, "end": 2747.39, "word": " X", "probability": 0.5390625}, {"start": 2747.39, "end": 2747.81, "word": " تقول", "probability": 0.93017578125}, {"start": 2747.81, "end": 2748.09, "word": " إلى", "probability": 0.9052734375}, {"start": 2748.09, "end": 2748.61, "word": " سفر", "probability": 0.7569986979166666}, {"start": 2748.61, "end": 2748.83, "word": " من", "probability": 0.994140625}, {"start": 2748.83, "end": 2749.49, "word": " اليسار", "probability": 0.9938151041666666}, {"start": 2749.49, "end": 2750.39, "word": " does", "probability": 0.541015625}, {"start": 2750.39, "end": 2750.71, "word": " not", "probability": 0.96923828125}, {"start": 2750.71, "end": 2751.25, "word": " exist", "probability": 0.9814453125}], "temperature": 1.0}, {"id": 106, "seek": 278144, "start": 2752.6, "end": 2781.44, "text": "ان انا اخد المرة هذه ال X هنا في الدالة هذه ال domain تبعها الفترة من سالب ماله نهاية الى سفر و اقول ان ال X هنا أصغر من سفر و نفس البرهان هيطلع عندى ال limit لما X تقوله سفر من اليسار does not exist وبالتالي ال limit عند ال X من الجهتين does not exist تمام okay هذا مثال مثال تاني واضح فيه اي سفصار فيه اي سؤال", "tokens": [7649, 1975, 8315, 1975, 9778, 3215, 9673, 25720, 29538, 2423, 1783, 34105, 8978, 32748, 6027, 3660, 29538, 2423, 9274, 6055, 3555, 3615, 11296, 27188, 2655, 25720, 9154, 8608, 6027, 3555, 3714, 6027, 3224, 8717, 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أصغر", "probability": 0.72296142578125}, {"start": 2763.64, "end": 2763.8, "word": " من", "probability": 0.99365234375}, {"start": 2763.8, "end": 2764.26, "word": " سفر", "probability": 0.9638671875}, {"start": 2764.26, "end": 2764.92, "word": " و", "probability": 0.93701171875}, {"start": 2764.92, "end": 2765.14, "word": " نفس", "probability": 0.978271484375}, {"start": 2765.14, "end": 2765.72, "word": " البرهان", "probability": 0.895751953125}, {"start": 2765.72, "end": 2766.16, "word": " هيطلع", "probability": 0.8829345703125}, {"start": 2766.16, "end": 2766.62, "word": " عندى", "probability": 0.870849609375}, {"start": 2766.62, "end": 2767.3, "word": " ال", "probability": 0.623046875}, {"start": 2767.3, "end": 2767.62, "word": " limit", "probability": 0.96533203125}, {"start": 2767.62, "end": 2767.94, "word": " لما", "probability": 0.83154296875}, {"start": 2767.94, "end": 2768.2, "word": " X", "probability": 0.92138671875}, {"start": 2768.2, "end": 2768.58, "word": " تقوله", 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0.9825846354166666}, {"start": 2779.82, "end": 2780.04, "word": " فيه", "probability": 0.7998046875}, {"start": 2780.04, "end": 2780.16, "word": " اي", "probability": 0.742919921875}, {"start": 2780.16, "end": 2780.68, "word": " سفصار", "probability": 0.63177490234375}, {"start": 2780.68, "end": 2780.96, "word": " فيه", "probability": 0.5916748046875}, {"start": 2780.96, "end": 2781.08, "word": " اي", "probability": 0.904296875}, {"start": 2781.08, "end": 2781.44, "word": " سؤال", "probability": 0.9952799479166666}], "temperature": 1.0}, {"id": 107, "seek": 281245, "start": 2785.39, "end": 2812.45, "text": "ناخد مثال تاني show that limit للـ signum function signum x لما x تقول إلى سفر does not exist where حيث و ال signum function where", "tokens": [1863, 47283, 3215, 50113, 6027, 6055, 7649, 1829, 855, 300, 4948, 24976, 39184, 1465, 449, 2445, 1465, 449, 2031, 5296, 15042, 2031, 6055, 39648, 30731, 8608, 5172, 2288, 775, 406, 2514, 689, 11331, 1829, 12984, 4032, 2423, 1465, 449, 2445, 689], "avg_logprob": -0.31975447209108443, "compression_ratio": 1.2713178294573644, "no_speech_prob": 0.0, "words": [{"start": 2785.39, "end": 2785.89, "word": "ناخد", "probability": 0.7127278645833334}, {"start": 2785.89, "end": 2786.31, "word": " مثال", "probability": 0.9462890625}, {"start": 2786.31, "end": 2787.29, "word": " تاني", "probability": 0.8855794270833334}, {"start": 2787.29, "end": 2795.81, "word": " show", "probability": 0.3740234375}, {"start": 2795.81, "end": 2796.23, "word": " that", "probability": 0.9072265625}, {"start": 2796.23, "end": 2796.85, "word": " limit", "probability": 0.5810546875}, {"start": 2796.85, "end": 2799.53, "word": " للـ", "probability": 0.28485107421875}, {"start": 2799.53, "end": 2799.91, "word": " signum", "probability": 0.7568359375}, {"start": 2799.91, "end": 2800.45, "word": " function", "probability": 0.9189453125}, {"start": 2800.45, "end": 2801.09, "word": " signum", "probability": 0.785888671875}, {"start": 2801.09, "end": 2801.47, "word": " x", "probability": 0.703125}, {"start": 2801.47, "end": 2801.83, "word": " لما", "probability": 0.846923828125}, {"start": 2801.83, "end": 2802.07, "word": " x", "probability": 0.90185546875}, {"start": 2802.07, "end": 2802.59, "word": " تقول", "probability": 0.90283203125}, {"start": 2802.59, "end": 2802.93, "word": " إلى", "probability": 0.560546875}, {"start": 2802.93, "end": 2803.41, "word": " سفر", "probability": 0.750732421875}, {"start": 2803.41, "end": 2804.37, "word": " does", "probability": 0.8115234375}, {"start": 2804.37, "end": 2804.67, "word": " not", "probability": 0.96728515625}, {"start": 2804.67, "end": 2805.21, "word": " exist", "probability": 0.970703125}, {"start": 2805.21, "end": 2807.81, "word": " where", "probability": 0.8857421875}, {"start": 2807.81, "end": 2808.33, "word": " حيث", "probability": 0.9480794270833334}, {"start": 2808.33, "end": 2808.49, "word": " و", "probability": 0.30322265625}, {"start": 2808.49, "end": 2808.51, "word": " ال", 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0.99169921875}, {"start": 2826.78, "end": 2827.0, "word": " x", "probability": 0.9541015625}, {"start": 2827.0, "end": 2827.42, "word": " بساول", "probability": 0.5777587890625}, {"start": 2827.42, "end": 2827.94, "word": " سفر", "probability": 0.88720703125}, {"start": 2827.94, "end": 2828.52, "word": " سالب", "probability": 0.9230143229166666}, {"start": 2828.52, "end": 2829.06, "word": " واحد", "probability": 0.97265625}, {"start": 2829.06, "end": 2830.28, "word": " إذا", "probability": 0.910400390625}, {"start": 2830.28, "end": 2830.6, "word": " كان", "probability": 0.99462890625}, {"start": 2830.6, "end": 2830.9, "word": " x", "probability": 0.96826171875}, {"start": 2830.9, "end": 2831.38, "word": " أصغر", "probability": 0.9893798828125}, {"start": 2831.38, "end": 2831.54, "word": " من", "probability": 0.99560546875}, {"start": 2831.54, "end": 2831.98, "word": " سفر", "probability": 0.9825846354166666}, {"start": 2831.98, "end": 2832.3, "word": " وهي", "probability": 0.532958984375}, {"start": 2832.3, "end": 2832.82, "word": " الرسمة", "probability": 0.9269205729166666}, {"start": 2832.82, "end": 2833.36, "word": " تبعتها", "probability": 0.8223876953125}], "temperature": 1.0}, {"id": 109, "seek": 287212, "start": 2844.68, "end": 2872.12, "text": "فالدالة لما x أكبر من صفر بيستوي ثابت واحد عند الصفر بيستوي صفر و لما x أصغر من واحد بيستوي سالب واحد طيب note that لاحظوا أن الدالة هذه sigma of x بتساوي x على absolute x fx", "tokens": [5172, 6027, 3215, 6027, 3660, 5296, 15042, 2031, 5551, 4117, 26890, 9154, 20328, 5172, 2288, 4724, 1829, 14851, 45865, 38637, 16758, 2655, 36764, 24401, 43242, 31767, 5172, 2288, 4724, 1829, 14851, 45865, 20328, 5172, 2288, 4032, 5296, 15042, 2031, 5551, 9381, 17082, 2288, 9154, 36764, 24401, 4724, 1829, 14851, 45865, 8608, 6027, 3555, 36764, 24401, 23032, 1829, 3555, 3637, 300, 5296, 39319, 19913, 14407, 14739, 32748, 6027, 3660, 29538, 12771, 295, 2031, 39894, 3794, 995, 45865, 2031, 15844, 8236, 2031, 283, 87], "avg_logprob": -0.25922439328159197, "compression_ratio": 1.6726190476190477, "no_speech_prob": 0.0, "words": [{"start": 2844.68, "end": 2845.52, "word": "فالدالة", "probability": 0.67559814453125}, {"start": 2845.52, "end": 2845.74, "word": " لما", "probability": 0.706787109375}, {"start": 2845.74, "end": 2845.98, "word": " x", "probability": 0.480712890625}, {"start": 2845.98, "end": 2846.3, "word": " أكبر", "probability": 0.931640625}, {"start": 2846.3, "end": 2846.48, "word": " من", "probability": 0.9931640625}, {"start": 2846.48, "end": 2846.76, "word": " صفر", "probability": 0.7328287760416666}, {"start": 2846.76, "end": 2847.14, "word": " بيستوي", "probability": 0.47802734375}, {"start": 2847.14, "end": 2847.54, "word": " ثابت", "probability": 0.9847005208333334}, {"start": 2847.54, "end": 2848.0, "word": " واحد", "probability": 0.97607421875}, {"start": 2848.0, "end": 2848.92, "word": " عند", "probability": 0.88134765625}, {"start": 2848.92, "end": 2849.52, "word": " الصفر", "probability": 0.92236328125}, {"start": 2849.52, "end": 2850.18, "word": " بيستوي", "probability": 0.92431640625}, {"start": 2850.18, "end": 2850.76, "word": " صفر", "probability": 0.9212239583333334}, {"start": 2850.76, "end": 2851.8, "word": " و", "probability": 0.748046875}, {"start": 2851.8, "end": 2852.1, "word": " لما", "probability": 0.827392578125}, {"start": 2852.1, "end": 2852.34, "word": " x", "probability": 0.94970703125}, {"start": 2852.34, "end": 2852.78, "word": " أصغر", "probability": 0.979736328125}, {"start": 2852.78, "end": 2852.96, "word": " من", "probability": 0.99560546875}, {"start": 2852.96, "end": 2853.44, "word": " واحد", "probability": 0.993896484375}, {"start": 2853.44, "end": 2853.98, "word": " بيستوي", "probability": 0.9671630859375}, {"start": 2853.98, "end": 2854.4, "word": " سالب", "probability": 0.92529296875}, {"start": 2854.4, "end": 2854.78, "word": " واحد", "probability": 0.994140625}, {"start": 2854.78, "end": 2858.04, "word": " طيب", "probability": 0.93798828125}, {"start": 2858.04, "end": 2858.48, "word": " note", "probability": 0.681640625}, {"start": 2858.48, "end": 2859.04, "word": " that", "probability": 0.8779296875}, {"start": 2859.04, "end": 2860.24, "word": " لاحظوا", "probability": 0.6932373046875}, {"start": 2860.24, "end": 2862.24, "word": " أن", "probability": 0.41357421875}, {"start": 2862.24, "end": 2862.86, "word": " الدالة", "probability": 0.9853515625}, {"start": 2862.86, "end": 2863.3, "word": " هذه", "probability": 0.461669921875}, {"start": 2863.3, "end": 2863.72, "word": " sigma", "probability": 0.437255859375}, {"start": 2863.72, "end": 2863.94, "word": " of", "probability": 0.475341796875}, {"start": 2863.94, "end": 2864.34, "word": " x", "probability": 0.87744140625}, {"start": 2864.34, "end": 2868.36, "word": " بتساوي", "probability": 0.796142578125}, {"start": 2868.36, "end": 2868.82, "word": " x", "probability": 0.9501953125}, {"start": 2868.82, "end": 2869.08, "word": " على", "probability": 0.70068359375}, {"start": 2869.08, "end": 2869.6, "word": " absolute", "probability": 0.92236328125}, {"start": 2869.6, "end": 2870.38, "word": " x", "probability": 0.859375}, {"start": 2870.38, "end": 2872.12, "word": " fx", "probability": 0.33056640625}], "temperature": 1.0}, {"id": 110, "seek": 288220, "start": 2873.9, "end": 2882.2, "text": "لا تساوي سفر إذا كان x بساوي سفر فدالة sigma بها نفس x على absolute x", "tokens": [15040, 6055, 3794, 995, 45865, 8608, 5172, 2288, 11933, 15730, 25961, 2031, 4724, 3794, 995, 45865, 8608, 5172, 2288, 6156, 3215, 6027, 3660, 12771, 4724, 11296, 8717, 36178, 2031, 15844, 8236, 2031], "avg_logprob": -0.3527462121212121, "compression_ratio": 1.1382978723404256, "no_speech_prob": 0.0, "words": [{"start": 2873.9, "end": 2874.26, "word": "لا", "probability": 0.177978515625}, {"start": 2874.26, "end": 2875.12, "word": " تساوي", "probability": 0.9561767578125}, {"start": 2875.12, "end": 2875.68, "word": " سفر", "probability": 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برهان", "probability": 0.9732666015625}], "temperature": 1.0}, {"id": 112, "seek": 293141, "start": 2912.01, "end": 2931.41, "text": "accurate صحيح مية المية مافي مشكلة لكن لو بدنا نعطي برهان باستخدام ال divergence criterion فالبرهان هيكون كالتالي consider بدنا نجيب sequence xn", "tokens": [8476, 33144, 20328, 5016, 1829, 5016, 3714, 10632, 9673, 10632, 19446, 41185, 37893, 28820, 3660, 44381, 45164, 47525, 8315, 8717, 3615, 9566, 1829, 4724, 2288, 3224, 7649, 4724, 995, 14851, 9778, 3215, 10943, 2423, 47387, 46691, 6156, 6027, 26890, 3224, 7649, 39896, 30544, 9122, 6027, 2655, 6027, 1829, 1949, 47525, 8315, 8717, 7435, 1829, 3555, 8310, 2031, 77], "avg_logprob": -0.1490995798070552, "compression_ratio": 1.4076433121019107, "no_speech_prob": 0.0, "words": [{"start": 2912.01, "end": 2912.77, "word": "accurate", "probability": 0.6295166015625}, {"start": 2912.77, "end": 2913.69, "word": " صحيح", "probability": 0.947021484375}, {"start": 2913.69, "end": 2913.97, "word": " مية", 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A اللي هو R بعد السفر", "tokens": [49, 3215, 23328, 11296, 3714, 46456, 46538, 3660, 18871, 21136, 5172, 2288, 8717, 11296, 36081, 11296, 8608, 5172, 2288, 44381, 8717, 11296, 36081, 20328, 13063, 2655, 11296, 4724, 3794, 995, 45865, 8608, 5172, 2288, 6156, 1949, 2423, 8310, 13672, 1829, 39896, 1783, 77, 21542, 3215, 13672, 1829, 6225, 10943, 6055, 3555, 3615, 11296, 1783, 77, 4724, 3794, 995, 45865, 8608, 6027, 5172, 36764, 24401, 5551, 3794, 16472, 15844, 426, 5296, 28820, 426, 8978, 426, 2423, 8310, 29538, 6055, 29399, 2304, 1829, 30731, 316, 13672, 1829, 31439, 497, 39182, 21136, 5172, 2288], "avg_logprob": -0.297724191909251, "compression_ratio": 1.7382198952879582, "no_speech_prob": 0.0, "words": [{"start": 2934.5499999999997, "end": 2935.43, "word": "Rدودها", "probability": 0.3381805419921875}, {"start": 2935.43, "end": 2935.95, "word": " مختلفة", "probability": 0.969970703125}, {"start": 2935.95, "end": 2936.09, "word": " عن", "probability": 0.95068359375}, {"start": 2936.09, 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absolute", "probability": 0.81298828125}, {"start": 3067.89, "end": 3068.69, "word": " xn", "probability": 0.9658203125}, {"start": 3068.69, "end": 3069.19, "word": " absolute", "probability": 0.1231689453125}, {"start": 3069.19, "end": 3069.99, "word": " xn", "probability": 0.97509765625}, {"start": 3069.99, "end": 3070.71, "word": " بساوي", "probability": 0.859375}, {"start": 3070.71, "end": 3071.97, "word": " واحد", "probability": 0.97705078125}, {"start": 3071.97, "end": 3072.17, "word": " على", "probability": 0.8037109375}, {"start": 3072.17, "end": 3072.59, "word": " n", "probability": 0.87255859375}, {"start": 3072.59, "end": 3073.97, "word": " أصبت؟", "probability": 0.488671875}, {"start": 3073.97, "end": 3074.51, "word": " الآن", "probability": 0.6678466796875}, {"start": 3074.51, "end": 3075.13, "word": " نجسم", "probability": 0.8221028645833334}, {"start": 3075.13, "end": 3075.91, "word": " ونبسط", "probability": 0.90634765625}, {"start": 3075.91, "end": 3076.15, "word": " 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ان الـ use and sequence موجودة في المجال تبع الدالة معدى السفر نهايتها سفر لكن نهاية صورتها does not exist اذا by ال band التاني من ال divergence criterion ال limit لل signum function لما X تقول السفر does not exist غير موجودة", "tokens": [3224, 1829, 1975, 12984, 3555, 2655, 2655, 16472, 2423, 39184, 764, 293, 8310, 3714, 29245, 23328, 3660, 8978, 9673, 7435, 6027, 6055, 3555, 3615, 32748, 6027, 3660, 20449, 3215, 7578, 21136, 5172, 2288, 8717, 11296, 36081, 11296, 8608, 5172, 2288, 44381, 8717, 11296, 10632, 20328, 13063, 2655, 11296, 775, 406, 2514, 1975, 15730, 538, 2423, 4116, 16712, 7649, 1829, 9154, 2423, 47387, 46691, 2423, 4948, 24976, 1465, 449, 2445, 5296, 15042, 1783, 6055, 39648, 21136, 5172, 2288, 775, 406, 2514, 32771, 13546, 3714, 29245, 23328, 3660], "avg_logprob": -0.3293821715760505, "compression_ratio": 1.5662100456621004, "no_speech_prob": 0.0, "words": [{"start": 3110.23, "end": 3110.57, "word": "هي", "probability": 0.385498046875}, {"start": 3110.57, "end": 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"probability": 0.5361328125}, {"start": 3145.83, "end": 3146.07, "word": " اي", "probability": 0.5970458984375}, {"start": 3146.07, "end": 3146.55, "word": " استفسار", "probability": 0.9698893229166666}, {"start": 3146.55, "end": 3146.73, "word": " في", "probability": 0.81787109375}, {"start": 3146.73, "end": 3146.89, "word": " اي", "probability": 0.9052734375}, {"start": 3146.89, "end": 3147.29, "word": " سؤال", "probability": 0.9947916666666666}, {"start": 3147.29, "end": 3154.47, "word": " Okay", "probability": 0.5400390625}, {"start": 3154.47, "end": 3155.07, "word": " نوقف", "probability": 0.9197591145833334}, {"start": 3155.07, "end": 3155.39, "word": " هنا", "probability": 0.9970703125}, {"start": 3155.39, "end": 3155.81, "word": " وان", "probability": 0.758544921875}, {"start": 3155.81, "end": 3156.07, "word": " شاء", "probability": 0.9658203125}, {"start": 3156.07, "end": 3156.23, "word": " الله", "probability": 0.9404296875}, {"start": 3156.23, "end": 3158.11, "word": " بنكمل", "probability": 0.8953450520833334}, {"start": 3158.11, "end": 3158.57, "word": " المرة", "probability": 0.94580078125}, {"start": 3158.57, "end": 3158.91, "word": " الجاية", "probability": 0.9220377604166666}, {"start": 3158.91, "end": 3159.13, "word": " في", "probability": 0.79443359375}, {"start": 3159.13, "end": 3159.47, "word": " بعض", "probability": 0.5865478515625}, {"start": 3159.47, "end": 3160.27, "word": " مثالين", "probability": 0.9020182291666666}, {"start": 3160.27, "end": 3160.81, "word": " الموجودة", "probability": 0.7872314453125}, {"start": 3160.81, "end": 3160.93, "word": " في", "probability": 0.947265625}, {"start": 3160.93, "end": 3161.41, "word": " الكتاب", "probability": 0.9833984375}, {"start": 3161.41, "end": 3163.39, "word": " تحاولوا", "probability": 0.95869140625}, {"start": 3163.39, "end": 3164.09, "word": " تقرؤهم", "probability": 0.8248046875}, {"start": 3164.09, "end": 3164.79, "word": " او", "probability": 0.93017578125}, {"start": 3164.79, "end": 3165.29, "word": " مثال", "probability": 0.934814453125}], "temperature": 1.0}, {"id": 122, "seek": 317258, "start": 3166.22, "end": 3172.58, "text": "الشباب بالمثال هذا تحاولوا تقرؤوا و المرة الجاية هنبدأ section جديد", "tokens": [6027, 8592, 3555, 16758, 20666, 2304, 12984, 6027, 23758, 6055, 5016, 995, 12610, 14407, 6055, 4587, 2288, 33604, 14407, 4032, 9673, 25720, 25724, 995, 10632, 8032, 1863, 44510, 10721, 3541, 10874, 16254, 3215], "avg_logprob": -0.17520679708789377, "compression_ratio": 1.21875, "no_speech_prob": 0.0, "words": [{"start": 3166.22, "end": 3166.76, "word": "الشباب", "probability": 0.8831787109375}, {"start": 3166.76, "end": 3167.32, "word": " بالمثال", "probability": 0.868408203125}, {"start": 3167.32, "end": 3167.68, "word": " هذا", "probability": 0.96240234375}, {"start": 3167.68, "end": 3168.48, "word": " تحاولوا", "probability": 0.87412109375}, {"start": 3168.48, "end": 3169.12, "word": " تقرؤوا", "probability": 0.77177734375}, {"start": 3169.12, "end": 3169.94, "word": " و", "probability": 0.68359375}, {"start": 3169.94, "end": 3170.38, "word": " المرة", "probability": 0.930419921875}, {"start": 3170.38, "end": 3170.74, "word": " الجاية", "probability": 0.9222005208333334}, {"start": 3170.74, "end": 3171.38, "word": " هنبدأ", "probability": 0.8934326171875}, {"start": 3171.38, "end": 3171.92, "word": " section", "probability": 0.413818359375}, {"start": 3171.92, "end": 3172.58, "word": " جديد", "probability": 0.9117838541666666}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 3173.982, "duration_after_vad": 2897.9693749999888}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwZHPs6l8Fr-st-8cVJxmVek/be-bepplyPs_raw.srt b/PL9fwy3NUQKwZHPs6l8Fr-st-8cVJxmVek/be-bepplyPs_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..e527ee5421d2983280338a79c92396dff74558ff
--- /dev/null
+++ b/PL9fwy3NUQKwZHPs6l8Fr-st-8cVJxmVek/be-bepplyPs_raw.srt
@@ -0,0 +1,1268 @@
+1
+00:00:22,390 --> 00:00:27,410
+إذا نثبت أن الـ function أو الـ limit للـ function
+
+2
+00:00:27,410 --> 00:00:33,250
+هذه عن سفر من يمين does not exist حسب نظرية سابقة
+
+3
+00:00:33,250 --> 00:00:36,410
+و يكفي أن احنا نثبت أن الـ function هذه not
+
+4
+00:00:36,410 --> 00:00:41,790
+bounded عند أي right neighborhood للسفر نعمل برهان
+
+5
+00:00:41,790 --> 00:00:47,490
+بالتناقض assume أن g of x is boundedon some right
+
+6
+00:00:47,490 --> 00:00:50,810
+neighbourhood الـ some right neighbourhood هذا
+
+7
+00:00:50,810 --> 00:00:55,450
+الفترة المفتوحة من السفر ل delta zero لمن هذا
+
+8
+00:00:55,450 --> 00:01:01,190
+right neighbourhood للسفر هذا معناه
+
+9
+00:01:03,570 --> 00:01:08,150
+there exist m أكبر من السفر عدد موجب بحياتي النوبة
+
+10
+00:01:08,150 --> 00:01:13,690
+absolute g of x اللي هو بيساوي g of x بالمناسبة
+
+11
+00:01:13,690 --> 00:01:17,790
+لأنه أنا عندي ال function g of x بيساوي إيص واحد
+
+12
+00:01:17,790 --> 00:01:30,370
+على x ده قيمها موجبة أصغر من أو يساوي m لكل x في
+
+13
+00:01:30,370 --> 00:01:32,670
+الجوار
+
+14
+00:01:34,580 --> 00:01:40,860
+أو الـ delta الجوار من اليمين للصفر
+
+15
+00:01:40,860 --> 00:01:48,680
+طيب
+
+16
+00:01:48,680 --> 00:02:01,460
+by Archimedean property يوجد ان عدد طبيعي او ان
+
+17
+00:02:01,460 --> 00:02:12,700
+واحدعدد طبيعي بحيث ان ان واحد اكبر
+
+18
+00:02:12,700 --> 00:02:18,220
+من ان طيب
+
+19
+00:02:18,220 --> 00:02:22,140
+also by
+
+20
+00:02:22,140 --> 00:02:27,720
+Archimedean property انا
+
+21
+00:02:27,720 --> 00:02:32,650
+عندي delta zero هذه عدد موجةأنا عندي delta zero
+
+22
+00:02:32,650 --> 00:02:40,270
+عدد موجد بيقدّي أن يوجد عدد طبيعي M2 عدد طبيعي
+
+23
+00:02:40,270 --> 00:02:55,930
+بحيث أنه واحد على M2 أصغر من delta zero left
+
+24
+00:02:55,930 --> 00:02:56,430
+end
+
+25
+00:02:59,360 --> 00:03:07,820
+let n بساوي ال maximum الأكبر بين n واحد و n اتنين
+
+26
+00:03:07,820 --> 00:03:12,740
+واضح
+
+27
+00:03:12,740 --> 00:03:18,520
+لأن n أكبر من نهو يساوي n واحد و أكبر من نهو يساوي
+
+28
+00:03:18,520 --> 00:03:24,120
+n اتنين وبالتالي x
+
+29
+00:03:31,260 --> 00:03:40,480
+لو أخدت xn بيساوي واحد على n بيساوي
+
+30
+00:03:40,480 --> 00:03:46,080
+واحد على n فهذا
+
+31
+00:03:46,080 --> 00:03:54,800
+دفلع ينتمي إلى ال delta zero neighborhood للسفر ال
+
+32
+00:03:54,800 --> 00:04:01,150
+right neighborhood للسفر اللي هو هذاليه؟ لأنه انا
+
+33
+00:04:01,150 --> 00:04:09,930
+عندي واحد على n since واحد على n أصغر من أو ساوي
+
+34
+00:04:09,930 --> 00:04:16,470
+واحد على n اتنين أصغر من delta zero وأكبر من سفر
+
+35
+00:04:16,470 --> 00:04:21,610
+وبالتالي واحد على n ينتمي للفترة من سفر ل delta
+
+36
+00:04:21,610 --> 00:04:22,670
+zero صح؟
+
+37
+00:04:36,490 --> 00:04:44,450
+So من هال .. من
+
+38
+00:04:44,450 --> 00:04:56,350
+المتباينة هذه بطلع عندي g of x g of x رقم nهذا
+
+39
+00:04:56,350 --> 00:05:06,470
+بيطلع أصغر من أو يساوي M من هذه نسمي هذه double
+
+40
+00:05:06,470 --> 00:05:10,070
+star ونسمي
+
+41
+00:05:10,070 --> 00:05:16,010
+هذه star إذا
+
+42
+00:05:16,010 --> 00:05:25,160
+من double star ال XM هذا اللي هو واحد على Mينتمي
+
+43
+00:05:25,160 --> 00:05:31,520
+للفترة من صفر الى delta zero وبالتالي G ل X N هذا
+
+44
+00:05:31,520 --> 00:05:38,120
+أصغر من أو ساو M وال M أصغر
+
+45
+00:05:38,120 --> 00:05:39,100
+من N واحد
+
+46
+00:05:51,340 --> 00:05:58,900
+أصغر منها بيساوي M أصغر منها بيساوي M صح؟ أعملها
+
+47
+00:05:58,900 --> 00:06:10,200
+فعلا طيب هنا عندي من ال star G of X M G
+
+48
+00:06:10,200 --> 00:06:17,920
+of X M اللي هي بالساوي من
+
+49
+00:06:17,920 --> 00:06:26,660
+ال star هذا عبارة عنG of T صح؟ لأ G of واحد على T
+
+50
+00:06:26,660 --> 00:06:34,400
+G of G G of واحد على T صح؟
+
+51
+00:06:34,400 --> 00:06:42,780
+ف G of XM بتطلع
+
+52
+00:06:42,780 --> 00:06:44,040
+أكبر من
+
+53
+00:06:52,470 --> 00:06:57,470
+يعني من هنا المفروض يطلع أن الـ g of 1 على t أكبر
+
+54
+00:06:57,470 --> 00:07:06,770
+من t أن الـ g of xn أكبر من 1 على xn صح؟ 1 على xn
+
+55
+00:07:06,770 --> 00:07:10,250
+بيساوي n
+
+56
+00:07:24,110 --> 00:07:29,410
+إذا بيطلع عندي الان إذا بيطلع عندي n أصغر من n
+
+57
+00:07:29,410 --> 00:07:36,070
+contradiction تمام وبالتالي ال contradiction هذه
+
+58
+00:07:36,070 --> 00:07:41,650
+بتقول إن ال assumption تبعنا إن g of x is bounded
+
+59
+00:07:41,650 --> 00:07:46,370
+on some right neighborhood of zero كان خطأ okay
+
+60
+00:07:46,370 --> 00:07:50,990
+إذا إذا
+
+61
+00:07:55,320 --> 00:08:02,580
+لأن g of x is not bounded on
+
+62
+00:08:02,580 --> 00:08:12,080
+any right neighborhood from zero to delta of zero
+
+63
+00:08:14,120 --> 00:08:20,240
+وبالتالي إذا هذا بثبت زي ما قلنا أن ال limit ل G
+
+64
+00:08:20,240 --> 00:08:25,620
+of X لما X تقول إلى 0 من اليمين does not exist غير
+
+65
+00:08:25,620 --> 00:08:31,460
+موجودة لأن هذا برهان الجزء الأول أن limit E توعد
+
+66
+00:08:31,460 --> 00:08:39,380
+على X لما X تقول إلى 0 مش موجودة برهان
+
+67
+00:08:39,380 --> 00:08:41,140
+الجزء التاني أسهل
+
+68
+00:08:54,110 --> 00:09:01,790
+أنا عندي we have for
+
+69
+00:09:01,790 --> 00:09:10,990
+x أصغر من سفر let T بساوي سالب واحد على X أكبر من
+
+70
+00:09:10,990 --> 00:09:21,440
+سفرin star لو كانت ال X عدر سالب فاخد T بساوي سالب
+
+71
+00:09:21,440 --> 00:09:26,080
+واحد على X طبعا ال X سالبة فسالب واحد على X بطلع
+
+72
+00:09:26,080 --> 00:09:33,380
+موجب وبالتالي لأي T موجبة زي هذه take T بساوي سالب
+
+73
+00:09:33,380 --> 00:09:43,750
+واحد على X to getT هو سالب واحد على X أكبر من سفر
+
+74
+00:09:43,750 --> 00:09:49,810
+أصغر من إيقوس سالب واحد على X هذا صحيح لكل X أصغر
+
+75
+00:09:49,810 --> 00:09:56,450
+من سفر هذا بيقدي إيقوس
+
+76
+00:09:56,450 --> 00:10:06,710
+واحد على X أصغر من سالب X أكبر
+
+77
+00:10:06,710 --> 00:10:16,850
+من سفرلكل x أصغر من سفر الآن سالب x الآن الدالة
+
+78
+00:10:16,850 --> 00:10:21,190
+إيص واحد على x محصورة بين دالتين واحدة سالب x
+
+79
+00:10:21,190 --> 00:10:26,210
+والتانية ثابت سفر وهذا صحيح لكل x على يسار السفر
+
+80
+00:10:26,210 --> 00:10:33,950
+فالدالة هذه لما x تقول إلى سفر من اليسار ال limit
+
+81
+00:10:33,950 --> 00:10:39,200
+أبقاتها سفروالدالة هذه لما X أولها سفر من اليسار
+
+82
+00:10:39,200 --> 00:10:44,540
+أو اليمين ثابت نهيتها سفر اذا by squeeze theorem
+
+83
+00:10:44,540 --> 00:10:51,600
+for left limits مش
+
+84
+00:10:51,600 --> 00:10:56,220
+احنا قولنا ان كل النظريات اللي برهنها ال two sided
+
+85
+00:10:56,220 --> 00:11:00,200
+limits صحيحة ال one sided limit ممضمنها ال squeeze
+
+86
+00:11:00,200 --> 00:11:03,640
+theorem اذا by
+
+87
+00:11:08,280 --> 00:11:15,260
+Squeeze theorem for left
+
+88
+00:11:15,260 --> 00:11:20,980
+-hand limit بطلع
+
+89
+00:11:20,980 --> 00:11:26,740
+عند ال limit ل E أس واحد على X لما X تقول إذا سفر
+
+90
+00:11:26,740 --> 00:11:35,240
+من اليسار بيساوي سفر تمام؟ وهيك بتكون فرهنةالجزر
+
+91
+00:11:35,240 --> 00:11:41,100
+التاني إذا هذا مثال على function النهاية تبعتها من
+
+92
+00:11:41,100 --> 00:11:45,380
+اليمين غير موجودة بينما النهاية من اليسار على نفس
+
+93
+00:11:45,380 --> 00:11:51,620
+النقطة موجودة كذلك
+
+94
+00:11:51,620 --> 00:12:01,880
+مثال تالت لو أخدنا let H of X بسوء واحد على واحد
+
+95
+00:12:01,880 --> 00:12:11,550
+زائد E أس واحد على Xلو أخدنا الدالة هذه طبعا
+
+96
+00:12:11,550 --> 00:12:19,530
+و X هنا لا يساوي سفر فالممكن
+
+97
+00:12:19,530 --> 00:12:27,270
+اثبات ان ال limit للدالة هذه لما X تقول اللي هي
+
+98
+00:12:27,270 --> 00:12:34,630
+سفر من اليمين موجودة و بتساوي سفر
+
+99
+00:12:38,390 --> 00:12:47,610
+و ال limit لنفس الدالة لما x تقول إلى سفر من
+
+100
+00:12:47,610 --> 00:12:58,570
+اليسار أيضا موجودة لكن بالساوي واحد وبالتالي
+
+101
+00:12:58,570 --> 00:13:04,510
+هذا طبعا هذا الإمثال محلولبالتفصيل في الكتاب
+
+102
+00:13:04,510 --> 00:13:12,670
+وبرهانه أسهل بكتير من المثال اللي فات ويعتمد
+
+103
+00:13:12,670 --> 00:13:17,130
+برضه على المثال السابق اللي هو المثال رقم اتنين
+
+104
+00:13:17,130 --> 00:13:28,330
+see the text انظروا في الكتاب للتفاصيل الحالية لأن
+
+105
+00:13:28,330 --> 00:13:34,150
+هذا المثال الآخر زي ال signal functionالـ one
+
+106
+00:13:34,150 --> 00:13:38,390
+-sided limits both exist لكن مش متساويات وبالتالي
+
+107
+00:13:38,390 --> 00:13:44,430
+ال limit عند السفر للدالة هذه غير موجودة okay تمام
+
+108
+00:13:44,430 --> 00:13:54,330
+لان هذه بعض الأمثلة على ال one-sided limits خلينا
+
+109
+00:13:54,330 --> 00:13:58,710
+ننتقل إلى موضوع ال infinite limits
+
+110
+00:14:19,750 --> 00:14:26,410
+فداخل definition let
+
+111
+00:14:26,410 --> 00:14:36,890
+F be function from A to R وC be cluster point
+
+112
+00:14:36,890 --> 00:14:39,550
+of set A
+
+113
+00:14:47,050 --> 00:14:58,250
+نقول إن قيمة f of x كما أن x هو c بساوي plus
+
+114
+00:14:58,250 --> 00:15:02,070
+infinity إذا
+
+115
+00:15:02,070 --> 00:15:11,950
+تحقق الشرط التالي for any alpha
+
+116
+00:15:11,950 --> 00:15:20,870
+real numberThere exists delta تعتمد على alpha على
+
+117
+00:15:20,870 --> 00:15:29,990
+موجب يعني هذا شبه بتعريف بتعريف
+
+118
+00:15:29,990 --> 00:15:35,690
+أن ال sequence xn ال limit بتاعتها تكون plus
+
+119
+00:15:35,690 --> 00:15:43,610
+infinity فقلنا هذا معناه أن xn أكبر من أي real
+
+120
+00:15:43,610 --> 00:15:51,970
+alphaلكل n أكبر من أو ساوي capital N حيث capital N
+
+121
+00:15:51,970 --> 00:15:56,670
+عدد طبيعي يعتمد على Alpha مش هيك التعريف تقريبا
+
+122
+00:15:56,670 --> 00:16:01,650
+وهذا نفس الحاجة ما معناه ان ال limit لل function
+
+123
+00:16:01,650 --> 00:16:06,590
+نقطة لساوي infinity هذا معناه ان اخلي ال function
+
+124
+00:16:06,590 --> 00:16:12,530
+أكبر من أي given Alpha لكل
+
+125
+00:16:12,530 --> 00:16:15,150
+X قريبة من C
+
+126
+00:16:19,590 --> 00:16:24,390
+أو في جوار Delta لـ C فرقان Alpha يوجد Delta عدد
+
+127
+00:16:24,390 --> 00:16:31,090
+موجة بحيث انه لو كانت X تنتمي إلى A و X هذه في
+
+128
+00:16:31,090 --> 00:16:37,530
+جوار Delta الـ X مختلفة عن الـ C و تقع في جوار
+
+129
+00:16:37,530 --> 00:16:44,270
+Delta لـ C فلازم هذا يقدي ان ال F of X أكبر من ال
+
+130
+00:16:44,270 --> 00:16:53,020
+given Alpha اتنين و Cبالمثل ممكن اتعرف ما معناه
+
+131
+00:16:53,020 --> 00:16:57,340
+انه limit لل function f بساوي سالب infinity limit
+
+132
+00:16:57,340 --> 00:17:04,640
+f of x لما x تقول الى c بساوي negative infinity
+
+133
+00:17:04,640 --> 00:17:16,860
+هذا معناه انه for any beta real number يوجد
+
+134
+00:17:18,350 --> 00:17:27,870
+Delta تعتمد على Beta عدد موجة بحيث انه لكل X ينتمي
+
+135
+00:17:27,870 --> 00:17:35,370
+إلى A وabsolute X minus C أصغر من Delta أكبر من 0
+
+136
+00:17:35,370 --> 00:17:43,990
+هذا بتضمن ان F of X أصغر من Beta تمام؟
+
+137
+00:17:43,990 --> 00:17:46,510
+خلّينا ناخد أمثلة
+
+138
+00:17:56,170 --> 00:18:01,870
+لإثبات كيف نستخدم التعريفات لإثبات ان ال limit ل
+
+139
+00:18:01,870 --> 00:18:06,830
+function معينة نقطة معينة بالساوي infinity او
+
+140
+00:18:06,830 --> 00:18:17,250
+negative infinity فمثلا show that ان
+
+141
+00:18:17,250 --> 00:18:22,910
+ال limit لواحد
+
+142
+00:18:25,040 --> 00:18:31,380
+على x تربية as x tends to zero بساوي plus infinity
+
+143
+00:18:31,380 --> 00:18:42,280
+أنا
+
+144
+00:18:42,280 --> 00:18:49,520
+عندي let ال function تبعتي f of x بتعرف على أنها
+
+145
+00:18:49,520 --> 00:18:55,470
+مقلوب x تربيةحيث x ده تساوي سفر طبعا ده اللي هي دي
+
+146
+00:18:55,470 --> 00:18:59,610
+ال domain تبعها كل الأعداد الحقيقية مع أعداد السفر
+
+147
+00:18:59,610 --> 00:19:04,010
+let
+
+148
+00:19:04,010 --> 00:19:13,090
+alpha belong to R be given عشان انا بدي اثبت انه
+
+149
+00:19:13,090 --> 00:19:17,510
+limit ال function f of x عند السفر بالساوي
+
+150
+00:19:17,510 --> 00:19:22,460
+infinityبتثبت انه for any given alpha اذا let
+
+151
+00:19:22,460 --> 00:19:30,040
+alpha belong to R عدد حقيقي بيه given من
+
+152
+00:19:30,040 --> 00:19:34,080
+ان نرد على ال alpha هذه ب delta بتخلي ال
+
+153
+00:19:34,080 --> 00:19:39,640
+implication هذه تشتغل صح فنشوف كيف نختار ال delta
+
+154
+00:19:50,090 --> 00:19:53,390
+لو كانت ال alpha هذه عدد موجب لأختارت ال delta
+
+155
+00:19:53,390 --> 00:19:56,970
+بساوي
+
+156
+00:19:56,970 --> 00:20:06,690
+واحد على الجذر التربيهي ل alpha او
+
+157
+00:20:06,690 --> 00:20:15,890
+ممكن تقول ان انا بدي f of x أكبر من alpha فهذا
+
+158
+00:20:15,890 --> 00:20:22,330
+عبارة عن واحد على x تربيه أكبر من alphaيعني واحد
+
+159
+00:20:22,330 --> 00:20:28,650
+على ال alpha أصغر من X تقبية يعني X أكبر من واحد
+
+160
+00:20:28,650 --> 00:20:46,830
+على الجدر ال alpha وطبعا
+
+161
+00:20:46,830 --> 00:20:47,910
+أنا عند ال X هنا
+
+162
+00:20:56,290 --> 00:21:01,330
+لما يكون المسافة بين X والـ 0 أصغر من Delta فالـ
+
+163
+00:21:01,330 --> 00:21:06,430
+Delta يعني هنا هتكون واحد علي جذر ال Alpha المشكلة
+
+164
+00:21:06,430 --> 00:21:10,370
+هنا أن ال Alpha هذه ممكن ما تكونش موجبة ممكن تساوي
+
+165
+00:21:10,370 --> 00:21:18,690
+سفر فعشان أخرج من هذا الحرج فبأخد ال absolute
+
+166
+00:21:18,690 --> 00:21:23,550
+value ل Alpha عشان أبقى منها غير ثالثة فممكن تكون
+
+167
+00:21:23,550 --> 00:21:31,380
+زيادةفبضيف واحد ببطلها دقيقة ستة okay تمام اذا لأي
+
+168
+00:21:31,380 --> 00:21:38,760
+alpha belonging to R هنختار delta ات
+
+169
+00:21:38,760 --> 00:21:42,400
+choose delta
+
+170
+00:21:42,400 --> 00:21:48,660
+بساوي واحد على الجدر التربيعي ل absolute alpha زي
+
+171
+00:21:48,660 --> 00:21:51,880
+الواحد فبالتأكيد هذا عدد موجب
+
+172
+00:21:54,590 --> 00:22:02,110
+و يعتمد على Alpha دلتا تاني مرتبطة بالـ Alpha دل
+
+173
+00:22:02,110 --> 00:22:06,150
+لو كانت X تنتمي لل domain تبع الدالة اللي هو R
+
+174
+00:22:06,150 --> 00:22:13,370
+معدى سفر و X لا يساوي سفر يعني X سالب C هنا سفر
+
+175
+00:22:13,370 --> 00:22:19,230
+أكبر من السفر يعني X لا تساوي سفر وأصغر من الدلتا
+
+176
+00:22:19,230 --> 00:22:21,670
+هذه فهذا
+
+177
+00:22:25,020 --> 00:22:30,320
+بنشوف ايش حياة دينى طيب لما يكون هذا الكلام صح
+
+178
+00:22:30,320 --> 00:22:40,680
+معناه absolute x أصغر من delta و هذا معناه ان x
+
+179
+00:22:40,680 --> 00:22:48,680
+تربية أصغر من delta تربية لأن absolute x بيساوي
+
+180
+00:22:48,680 --> 00:22:49,800
+جدر x تربية
+
+181
+00:22:52,680 --> 00:23:00,220
+طب و Delta تربية حسب اختيارنا لـ Delta Delta تربية
+
+182
+00:23:00,220 --> 00:23:07,060
+بساوي واحد على Absolute Alpha زاد واحد طب ما هذا
+
+183
+00:23:07,060 --> 00:23:12,640
+بيقدي ان F of X اللي هي مقلوب X تربية طبعا هذا
+
+184
+00:23:12,640 --> 00:23:21,820
+موجب على موجب فمقلوب X تربية هيكون اكبر منمقلوب
+
+185
+00:23:21,820 --> 00:23:27,240
+الكسر هذا اللي هو absolute alpha زايد واحد طب
+
+186
+00:23:27,240 --> 00:23:31,160
+absolute alpha زايد واحد أكبر من absolute alpha
+
+187
+00:23:31,160 --> 00:23:37,460
+صح؟ طب و absolute alpha أكبر من أو ساوي alpha لأي
+
+188
+00:23:37,460 --> 00:23:41,800
+real number دا من ال absolute value لل number أكبر
+
+189
+00:23:41,800 --> 00:23:47,100
+من أو ساوي ال number إذن هي اللي أثبتت أن ال F of
+
+190
+00:23:47,100 --> 00:23:54,230
+X أكبر من ال given alphaوهذا صحيح لكل x بحيث
+
+191
+00:23:54,230 --> 00:24:00,050
+absolute x minus 0 أكبر من 0 أصغر من Delta بما أن
+
+192
+00:24:00,050 --> 00:24:04,350
+هذا صحيح لكل Alpha أو بما أن ال Alpha دي was
+
+193
+00:24:04,350 --> 00:24:12,900
+arbitrary since Alpha belong to Rwas arbitrary إذا
+
+194
+00:24:12,900 --> 00:24:17,240
+أنا أثبتتها إن لكل Alpha فيه Delta تعتمد عليها
+
+195
+00:24:17,240 --> 00:24:22,500
+بتخلي F of X أكبر من Alpha لكل X فيه جوار Delta
+
+196
+00:24:22,500 --> 00:24:29,700
+للصفر إذا by definition هذا معناه إن ال limit لل
+
+197
+00:24:29,700 --> 00:24:35,700
+function F of X لما X تقول صفر بكاري plus infinity
+
+198
+00:24:35,700 --> 00:24:38,880
+تمام؟ وهو المطلوب
+
+199
+00:24:42,370 --> 00:24:55,150
+Okay تمام؟ في
+
+200
+00:24:55,150 --> 00:25:00,230
+أي سؤال؟ طيب ناخد مثال تاني
+
+201
+00:25:13,670 --> 00:25:18,470
+لأن limit للـ function 1 على x عندما x تسوى إلى
+
+202
+00:25:18,470 --> 00:25:22,870
+صفر لا تساوي plus أو minus infinity
+
+203
+00:25:45,380 --> 00:25:53,300
+لما أقسط أقول السفر سواء
+
+204
+00:25:53,300 --> 00:26:02,360
+من اليمين أو من اليسار هذه two sided limit بقدرش
+
+205
+00:26:02,360 --> 00:26:05,980
+أقول limit 1 على x لما أقسط أقول السفر من الجهتين
+
+206
+00:26:05,980 --> 00:26:11,540
+exist وبساوي infinity أو negative infinity لكن
+
+207
+00:26:11,540 --> 00:26:12,560
+بقدر أقول
+
+208
+00:26:23,530 --> 00:26:28,830
+لكن الصحيح او الصح انه limit ال function 1 على x
+
+209
+00:26:28,830 --> 00:26:34,750
+لمب اكس تقول الى 0 من اليمين هذي بالساوية 30 و
+
+210
+00:26:34,750 --> 00:26:40,510
+limit ل1 على x لمب اكس تقول الى 0 من اليسار بساوية
+
+211
+00:26:40,510 --> 00:26:48,630
+سالب 30 ممكن اثباتالـ one sided limits من اليمين
+
+212
+00:26:48,630 --> 00:26:52,390
+infinity ال one sided limit من اليسار سارب
+
+213
+00:26:52,390 --> 00:26:59,990
+infinity لكن ال limit عند السفر غير موجودة okay
+
+214
+00:26:59,990 --> 00:27:06,590
+تمام فطيب ليش ال limit عند السفر مش موجودة لأنه لا
+
+215
+00:27:06,590 --> 00:27:10,870
+هذا التعريف بالطبق على الدالة الادى ولا التعريف
+
+216
+00:27:10,870 --> 00:27:14,230
+التاني طيب to see
+
+217
+00:27:36,300 --> 00:27:43,100
+لو أخدت أي ألف موجب هذه المرةفطبعا هنا ال alpha
+
+218
+00:27:43,100 --> 00:27:47,920
+الموجبة هنا المفروض real number يعني هذه ال alpha
+
+219
+00:27:47,920 --> 00:27:52,540
+الموجبة هي برضه real number فالمفروض لل alpha هذه
+
+220
+00:27:52,540 --> 00:27:57,260
+ألاقي delta بحيث أن F of X أكبر من ال alpha
+
+221
+00:28:16,680 --> 00:28:37,280
+أما لو أخدت x سالبة واحد
+
+222
+00:28:37,280 --> 00:28:46,830
+على x ال function تبعتي واحد علىأو F of X
+
+223
+00:28:46,830 --> 00:28:58,190
+بس واحدة لازم تطلع سالق و هذه
+
+224
+00:28:58,190 --> 00:29:01,870
+أصغر من Alpha صح؟
+
+225
+00:29:07,030 --> 00:29:12,630
+كمان مرة لو أخدت أي alpha موجبة المفروض أنه يطلع
+
+226
+00:29:12,630 --> 00:29:17,010
+عندي ال F of X أقدر أثبت أنها أكبر من ال alpha
+
+227
+00:29:17,010 --> 00:29:23,490
+عشان ال limit تبعتها يكون infinity فبلاجي أنه لكل
+
+228
+00:29:23,490 --> 00:29:28,990
+X سالبة لكل X سالبة F of X بيساوي واحد على X موجبة
+
+229
+00:29:28,990 --> 00:29:30,150
+لا سالبة
+
+230
+00:29:32,770 --> 00:29:37,730
+مقلوب عدد سالب بيبقى سالب وهذه أصغر من Alpha إذا
+
+231
+00:29:37,730 --> 00:29:46,270
+طلع F of X تطلع أصغر من Alpha لكل X أصغر من سفر
+
+232
+00:29:46,270 --> 00:29:50,270
+وبالتالي
+
+233
+00:29:50,270 --> 00:29:55,510
+لكل X فيه جوار لسفر أو جوار من الشمال لسفر
+
+234
+00:29:55,510 --> 00:30:01,290
+وبالتالي هذامش ممكن في الحالة دي اقول ان limit f
+
+235
+00:30:01,290 --> 00:30:08,910
+of x بالساوي infinity نفس الحاجة ممكن نقول ان
+
+236
+00:30:08,910 --> 00:30:17,930
+limit ل f of x بالساويش نفس
+
+237
+00:30:17,930 --> 00:30:23,930
+الحاجة ممكن نقول ان limit ل 1 على x لا تساوي سالب
+
+238
+00:30:23,930 --> 00:30:32,320
+infinity لأن for anyأو given او
+
+239
+00:30:32,320 --> 00:30:39,500
+for beta لو أخدت beta عدد موجب we
+
+240
+00:30:39,500 --> 00:30:45,160
+have انه f of x we
+
+241
+00:30:45,160 --> 00:30:52,940
+have for x أكبر من صفر f of x بصير واحد على x أكبر
+
+242
+00:30:52,940 --> 00:30:55,460
+من صفر أكبر من beta
+
+243
+00:31:00,400 --> 00:31:09,060
+لأ لأي beta أصغر من سفر لأي beta سالبة بقدر
+
+244
+00:31:09,060 --> 00:31:16,260
+أنه لكل x أكبر من سفر أجد أن f of x أكبر من ال
+
+245
+00:31:16,260 --> 00:31:22,380
+beta طبعا عشان تكون ال limit ل f of x بساوي سالب
+
+246
+00:31:22,380 --> 00:31:27,740
+infinityمفروض انه لأي beta سواء سالبة او موجبة او
+
+247
+00:31:27,740 --> 00:31:34,500
+صغر اقدر اخلي f of x اصغر من beta مش اكبر من beta
+
+248
+00:31:34,500 --> 00:31:42,260
+لكل x فيه جوار الصفر وهذا مستحيل okay تمام هذا
+
+249
+00:31:42,260 --> 00:31:46,060
+بورجي لكن
+
+250
+00:31:47,650 --> 00:31:52,410
+ممكن نثبت زي ما قولت أنه ال limit من اليمين أو من
+
+251
+00:31:52,410 --> 00:31:57,650
+اليسار بالساوي اللي بتكون موجودة واحدة بالساوي
+
+252
+00:31:57,650 --> 00:32:03,570
+infinity وواحدة سالب infinity ناخد
+
+253
+00:32:03,570 --> 00:32:07,410
+هنا نظرية زي comparison test
+
+254
+00:32:19,170 --> 00:32:30,030
+العلم يسمح لـ f و g يكونوا اتفاقين من a إلى r و c
+
+255
+00:32:30,030 --> 00:32:34,930
+يكون مجموعة اتفاقية
+
+256
+00:32:34,930 --> 00:32:38,690
+من a
+
+257
+00:32:38,690 --> 00:32:50,050
+تجعل f من x اقل او اقل جي من xfor all x تنتمي إلى
+
+258
+00:32:50,050 --> 00:33:02,590
+a و x لا تساوي ال c ففي عندي إذا
+
+259
+00:33:02,590 --> 00:33:11,910
+كانالـ limit لـ f of x لما x تقول إلى c بساوي
+
+260
+00:33:11,910 --> 00:33:18,190
+infinity فبالتأكيد limit الدالة الأكبر اللي هي g
+
+261
+00:33:18,190 --> 00:33:26,170
+of x لما x تقول إلى c بساوي infinity اتنين
+
+262
+00:33:26,170 --> 00:33:29,470
+إذا
+
+263
+00:33:29,470 --> 00:33:35,520
+كانت limitالدالة الكبيرة اللي هي g of x لما x تقول
+
+264
+00:33:35,520 --> 00:33:42,660
+ل c بساوي negative infinity بالتأكيد then limit
+
+265
+00:33:42,660 --> 00:33:51,460
+الدالة الأصغر اللي هي f of x لما x تقول إلى c
+
+266
+00:33:51,460 --> 00:33:53,380
+بساوي negative infinity
+
+267
+00:33:58,330 --> 00:34:05,290
+وبرهان النظرية هذه بسيط وسهل مش بالبرهان النظرية
+
+268
+00:34:05,290 --> 00:34:10,070
+اللي أخدناها ال direct comparison test في حالة ال
+
+269
+00:34:10,070 --> 00:34:16,990
+ال sequences proof
+
+270
+00:34:16,990 --> 00:34:22,390
+برهن الجزء الأول ف
+
+271
+00:34:22,390 --> 00:34:27,210
+assume أنه
+
+272
+00:34:27,210 --> 00:34:35,250
+ال limitلـ f of x as x tends to c بساوي infinity
+
+273
+00:34:35,250 --> 00:34:40,130
+وبدنا نفتح ان ال limit ل g of x لما x تقوى ل c
+
+274
+00:34:40,130 --> 00:34:50,150
+بساوي infinity let alpha belong to R be given
+
+275
+00:34:56,720 --> 00:35:01,200
+طيب حسب التعريف بما أن limit ال function f عن c
+
+276
+00:35:01,200 --> 00:35:07,380
+بساوي infinity إذا يوجد delta depends on epsilon
+
+277
+00:35:07,380 --> 00:35:12,540
+positive number such that لكل x ينتمي إلى a
+
+278
+00:35:12,540 --> 00:35:18,940
+absolute x minus c أصغر من delta أكبر من سفر هذا
+
+279
+00:35:18,940 --> 00:35:25,240
+بتضمن أن f of x أكبر من الألف
+
+280
+00:35:31,850 --> 00:35:38,290
+بنسمي هذا double star و هذا بفرض star
+
+281
+00:35:38,290 --> 00:35:42,650
+من
+
+282
+00:35:42,650 --> 00:35:47,890
+star
+
+283
+00:35:47,890 --> 00:35:55,890
+and double star بيقدّوا أنه لو كان x ينتمي إلى a و
+
+284
+00:35:55,890 --> 00:36:02,030
+absolute x minus c أكبر من 0 أصغر من deltaفهذا
+
+285
+00:36:02,030 --> 00:36:06,130
+بيقدّي بي
+
+286
+00:36:06,130 --> 00:36:19,990
+ستار D of X أكبر من او ساوي F of X بي ستار
+
+287
+00:36:25,720 --> 00:36:32,200
+ف of X لكل X في جوار Delta لـC بيطلع أكبر من Alpha
+
+288
+00:36:32,200 --> 00:36:40,560
+لأن هاي بيطلع عندى انه G of X أكبر من Alpha بما أن
+
+289
+00:36:40,560 --> 00:36:45,300
+هذا since Alpha
+
+290
+00:36:45,300 --> 00:36:49,760
+belonged to R was arbitrary
+
+291
+00:36:52,410 --> 00:36:59,570
+بما أن الـ α كانت أندج عشوية، إذاً هي أثبتت لكل
+
+292
+00:36:59,570 --> 00:37:08,210
+Alpha في R يوجد Delta تعتمد عليها بحيث إن لكل X في
+
+293
+00:37:08,210 --> 00:37:12,390
+جوار Delta لأ سي، بيطلع G of X أكبر من Alpha، لذلك
+
+294
+00:37:12,390 --> 00:37:17,450
+by definition هذا معناه إن limit G of X as X tends
+
+295
+00:37:17,450 --> 00:37:20,210
+to C بساوي Infinity
+
+296
+00:37:23,610 --> 00:37:32,470
+برهان الجزء التاني مشابه ال
+
+297
+00:37:32,470 --> 00:37:39,090
+proof of this part is
+
+298
+00:37:39,090 --> 00:37:43,730
+similar is
+
+299
+00:37:43,730 --> 00:37:49,350
+similar to
+
+300
+00:37:49,350 --> 00:37:50,750
+part one
+
+301
+00:38:03,350 --> 00:38:10,970
+لأن البرهان الجزء التاني مشابه للجزء الأول يعني لو
+
+302
+00:38:10,970 --> 00:38:16,290
+بدي أنا أبرهنه لو
+
+303
+00:38:16,290 --> 00:38:24,310
+بدي أبرهن الجزء التاني لو
+
+304
+00:38:24,310 --> 00:38:31,030
+بدي أبرهن الجزء التانيفهيكون عندي هنا .. هنفرض ال
+
+305
+00:38:31,030 --> 00:38:41,090
+limit g of x بساوي سالب infinity و هيكون عندي هنا
+
+306
+00:38:41,090 --> 00:38:47,650
+هد هستبدلها ب g of x أصغر من beta وهنا طبعا beta
+
+307
+00:38:54,040 --> 00:39:02,020
+هنا سنستبدل F of X أصغر من أو يساوي G of X أصغر من
+
+308
+00:39:02,020 --> 00:39:02,340
+D
+
+309
+00:39:08,310 --> 00:39:13,470
+أصغر من beta و بالتالي هذا معناه حسب التعريف انه
+
+310
+00:39:13,470 --> 00:39:19,150
+limit f of x لما x تقول يا c تساوي ثالث من beta
+
+311
+00:39:19,150 --> 00:39:22,750
+دكتور بس there is this delta تتمد على alpha مش
+
+312
+00:39:22,750 --> 00:39:30,730
+إيه؟ اه هاد المفروض يكون alpha كانت و الأن في
+
+313
+00:39:30,730 --> 00:39:35,700
+الجزء التاني هصير beta مظبوط كرامك صحيحإذا هذا
+
+314
+00:39:35,700 --> 00:39:40,780
+بيكون إيه هكذا بيكون برهان الجزء التاني المرة
+
+315
+00:39:40,780 --> 00:39:47,660
+الجاية هنشوف ناخد تطبيقات على النظرية هذه وناخد
+
+316
+00:39:47,660 --> 00:39:55,320
+مزيد من النظريات على ال infinite limits okay شكرا
+
+317
+00:39:55,320 --> 00:39:58,560
+لصراعكم ونشوفكم ان شاء الله المرة الجاية
+
diff --git a/PL9fwy3NUQKwZHPs6l8Fr-st-8cVJxmVek/u5C7kmY6Ltw_raw.json b/PL9fwy3NUQKwZHPs6l8Fr-st-8cVJxmVek/u5C7kmY6Ltw_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..dc9db730b851909c6e0d1c1f0969d955f4d845a6
--- /dev/null
+++ b/PL9fwy3NUQKwZHPs6l8Fr-st-8cVJxmVek/u5C7kmY6Ltw_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 2532, "start": 20.1, "end": 25.32, "text": "بسم الله الرحمن الرحيم ناخد اليوم", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 8717, 47283, 3215, 45595, 20498], "avg_logprob": -0.1103515605131785, "compression_ratio": 1.1296296296296295, "no_speech_prob": 0.0, "words": [{"start": 20.1, "end": 21.38, "word": "بسم", "probability": 0.88037109375}, {"start": 21.38, "end": 21.54, "word": " الله", "probability": 0.97412109375}, {"start": 21.54, "end": 21.98, "word": " الرحمن", "probability": 0.9811197916666666}, {"start": 21.98, "end": 22.72, "word": " الرحيم", "probability": 0.9951171875}, {"start": 22.72, "end": 24.78, "word": " ناخد", "probability": 0.7750651041666666}, {"start": 24.78, "end": 25.32, "word": " اليوم", "probability": 0.976806640625}], "temperature": 1.0}, {"id": 2, "seek": 5274, "start": 26.7, "end": 52.74, "text": "الجزء المتعلق بال composition of continuous functions لو كان في عندي اقترانين متصلين فهنشوف ان ال composition تبعهم بيطلع ايضا متصل على المجال الدالة الاولى وبعد هيك بعد ما نقلص هنبدأ ب section خمسة تلاتة", "tokens": [6027, 7435, 11622, 38207, 9673, 2655, 30241, 4587, 20666, 12686, 295, 10957, 6828, 45164, 25961, 8978, 18871, 16254, 1975, 38149, 2288, 7649, 9957, 44650, 36520, 9957, 6156, 3224, 1863, 8592, 38688, 16472, 2423, 12686, 6055, 3555, 3615, 16095, 4724, 1829, 9566, 1211, 3615, 1975, 1829, 11242, 995, 44650, 36520, 15844, 9673, 7435, 6027, 32748, 6027, 3660, 42963, 12610, 7578, 46599, 22488, 39896, 4117, 39182, 19446, 8717, 4587, 1211, 9381, 8032, 1863, 44510, 10721, 4724, 3541, 16490, 2304, 3794, 3660, 6055, 1211, 9307, 3660], "avg_logprob": -0.1523437485808418, "compression_ratio": 1.62, "no_speech_prob": 0.0, "words": [{"start": 26.7, "end": 27.9, "word": "الجزء", "probability": 0.941162109375}, {"start": 27.9, "end": 28.62, "word": " المتعلق", "probability": 0.969970703125}, {"start": 28.62, "end": 29.02, "word": " بال", "probability": 0.82080078125}, {"start": 29.02, 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303.8, "end": 325.2, "text": "ففي المحصلة بيطلع عند الـ function G circle F continuous تطلع continuous عند النقطة C طبعا عشان ال composition هذا يكون معرف لازم range ال F اللي هو ده هو F of A يكون subset من ال B اللي هو domain ال function G وهذا طبعا احنا فرضينه", "tokens": [5172, 41185, 9673, 5016, 36520, 3660, 4724, 1829, 9566, 1211, 3615, 43242, 2423, 39184, 2445, 460, 6329, 479, 10957, 6055, 9566, 1211, 3615, 10957, 43242, 28239, 47432, 3660, 383, 23032, 3555, 3615, 995, 6225, 8592, 7649, 2423, 12686, 23758, 7251, 30544, 20449, 28480, 5296, 31377, 2304, 3613, 2423, 479, 13672, 1829, 31439, 11778, 3224, 31439, 479, 295, 316, 7251, 30544, 25993, 9154, 2423, 363, 13672, 1829, 31439, 9274, 2423, 2445, 460, 37037, 15730, 23032, 3555, 3615, 995, 1975, 5016, 8315, 6156, 43042, 9957, 3224], "avg_logprob": -0.2409926407477435, "compression_ratio": 1.6519607843137254, "no_speech_prob": 0.0, "words": [{"start": 303.8, "end": 304.42, "word": "ففي", "probability": 0.27490234375}, {"start": 304.42, "end": 305.12, "word": " المحصلة", "probability": 0.808349609375}, {"start": 305.12, "end": 305.38, "word": " بيطلع", "probability": 0.6840576171875}, {"start": 305.38, "end": 305.6, "word": " عند", "probability": 0.8544921875}, {"start": 305.6, "end": 305.74, "word": " الـ", "probability": 0.6773681640625}, {"start": 305.74, "end": 306.04, "word": " function", "probability": 0.65234375}, {"start": 306.04, "end": 306.4, "word": " G", "probability": 0.296142578125}, {"start": 306.4, "end": 306.94, "word": " circle", "probability": 0.35107421875}, {"start": 306.94, "end": 307.22, "word": " F", "probability": 0.69580078125}, {"start": 307.22, "end": 307.88, "word": " continuous", "probability": 0.876953125}, {"start": 307.88, "end": 308.36, "word": " تطلع", "probability": 0.8858642578125}, {"start": 308.36, "end": 308.96, "word": " continuous", "probability": 0.900390625}, {"start": 308.96, "end": 309.56, "word": " عند", "probability": 0.98046875}, {"start": 309.56, "end": 310.28, "word": " النقطة", "probability": 0.9168294270833334}, {"start": 310.28, "end": 310.54, "word": " C", "probability": 0.90771484375}, {"start": 310.54, "end": 313.28, "word": " طبعا", "probability": 0.940185546875}, {"start": 313.28, "end": 313.62, "word": " عشان", "probability": 0.9449869791666666}, {"start": 313.62, "end": 313.72, "word": " ال", "probability": 0.919921875}, {"start": 313.72, "end": 314.16, "word": " composition", "probability": 0.88330078125}, {"start": 314.16, "end": 314.52, "word": " هذا", "probability": 0.472412109375}, {"start": 314.52, "end": 314.82, "word": " يكون", "probability": 0.983642578125}, {"start": 314.82, "end": 315.44, "word": " معرف", "probability": 0.911376953125}, {"start": 315.44, "end": 316.36, "word": " لازم", "probability": 0.9586588541666666}, {"start": 316.36, "end": 316.72, "word": " range", "probability": 0.7724609375}, {"start": 316.72, "end": 316.88, "word": " ال", "probability": 0.533203125}, {"start": 316.88, "end": 317.16, "word": " F", "probability": 0.814453125}, {"start": 317.16, "end": 317.4, "word": " اللي", "probability": 0.784423828125}, {"start": 317.4, "end": 317.58, "word": " هو", "probability": 0.84765625}, {"start": 317.58, "end": 317.82, "word": " ده", "probability": 0.769287109375}, {"start": 317.82, "end": 318.2, "word": " هو", "probability": 0.96728515625}, {"start": 318.2, "end": 318.84, "word": " F", "probability": 0.70166015625}, {"start": 318.84, "end": 319.04, "word": " of", "probability": 0.8427734375}, {"start": 319.04, "end": 319.34, "word": " A", "probability": 0.9521484375}, {"start": 319.34, "end": 320.16, "word": " يكون", "probability": 0.974609375}, {"start": 320.16, "end": 320.7, "word": " subset", "probability": 0.97119140625}, {"start": 320.7, "end": 321.0, "word": " من", "probability": 0.98974609375}, {"start": 321.0, "end": 321.16, "word": " ال", "probability": 0.5322265625}, {"start": 321.16, "end": 321.26, "word": " B", "probability": 0.751953125}, {"start": 321.26, "end": 321.46, "word": " اللي", "probability": 0.964111328125}, {"start": 321.46, "end": 321.66, "word": " هو", "probability": 0.99365234375}, {"start": 321.66, "end": 322.02, "word": " domain", "probability": 0.9130859375}, {"start": 322.02, "end": 322.16, "word": " ال", "probability": 0.497802734375}, {"start": 322.16, "end": 322.48, "word": " function", "probability": 0.9287109375}, {"start": 322.48, "end": 322.74, "word": " G", "probability": 0.94140625}, {"start": 322.74, "end": 323.1, "word": " وهذا", "probability": 0.862548828125}, {"start": 323.1, "end": 323.92, "word": " طبعا", "probability": 0.983154296875}, {"start": 323.92, "end": 324.44, "word": " احنا", "probability": 0.9521484375}, {"start": 324.44, "end": 325.2, "word": " فرضينه", "probability": 0.83441162109375}], "temperature": 1.0}, {"id": 13, "seek": 35474, "start": 327.38, "end": 354.74, "text": "لبرهان ذلك هنستخدم الـ neighborhood definition of continuity at a point ف let W be an epsilon neighborhood of G circle F ل C اللي هي G ل F of C", "tokens": [1211, 26890, 3224, 7649, 29910, 23275, 8032, 1863, 14851, 9778, 40448, 2423, 39184, 7630, 7123, 295, 23807, 412, 257, 935, 6156, 718, 343, 312, 364, 17889, 7630, 295, 460, 6329, 479, 5296, 383, 13672, 1829, 39896, 460, 5296, 479, 295, 383], "avg_logprob": -0.4866071442763011, "compression_ratio": 1.1958041958041958, "no_speech_prob": 0.0, "words": [{"start": 327.38, "end": 328.78, "word": "لبرهان", "probability": 0.612060546875}, {"start": 328.78, "end": 329.16, "word": " ذلك", "probability": 0.972412109375}, {"start": 329.16, "end": 329.92, "word": " هنستخدم", "probability": 0.74892578125}, {"start": 329.92, "end": 330.9, "word": " الـ", "probability": 0.343017578125}, {"start": 330.9, "end": 331.2, "word": " neighborhood", "probability": 0.431884765625}, {"start": 331.2, "end": 331.92, "word": " definition", "probability": 0.876953125}, {"start": 331.92, "end": 332.68, "word": " of", "probability": 0.92138671875}, {"start": 332.68, "end": 333.38, 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neighborhood للـC اللي هي تنتمي لـA بحيث أنه صورة ال neighborhood هذا subset من الـW neighborhood هنا تعريف ال neighborhood definition للاتصال عن النقطة طيب since", "tokens": [6027, 20292, 39896, 10874, 1829, 1975, 2407, 4724, 1829, 20328, 5016, 22807, 46599, 1863, 12984, 3555, 2655, 14739, 3224, 7251, 29245, 3215, 18183, 7630, 24976, 39184, 34, 13672, 1829, 39896, 6055, 29399, 2304, 1829, 5296, 39184, 32, 4724, 5016, 1829, 12984, 14739, 3224, 20328, 13063, 3660, 2423, 7630, 23758, 25993, 9154, 2423, 39184, 54, 7630, 34105, 37279, 16572, 5172, 2423, 7630, 7123, 24976, 9307, 9381, 6027, 18871, 28239, 47432, 3660, 23032, 1829, 3555, 1670], "avg_logprob": -0.2945833396911621, "compression_ratio": 1.568421052631579, "no_speech_prob": 0.0, "words": [{"start": 356.13, "end": 356.57, "word": "اللي", "probability": 0.48095703125}, {"start": 356.57, "end": 357.23, "word": " هي", "probability": 0.91552734375}, {"start": 357.23, "end": 360.19, "word": " جي", "probability": 0.469818115234375}, 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371.37, "end": 371.73, "word": " لـA", "probability": 0.7916666666666666}, {"start": 371.73, "end": 372.39, "word": " بحيث", "probability": 0.964599609375}, {"start": 372.39, "end": 373.19, "word": " أنه", "probability": 0.73876953125}, {"start": 373.19, "end": 374.21, "word": " صورة", "probability": 0.95458984375}, {"start": 374.21, "end": 374.37, "word": " ال", "probability": 0.94970703125}, {"start": 374.37, "end": 374.77, "word": " neighborhood", "probability": 0.328125}, {"start": 374.77, "end": 375.21, "word": " هذا", "probability": 0.6181640625}, {"start": 375.21, "end": 375.71, "word": " subset", "probability": 0.93701171875}, {"start": 375.71, "end": 375.97, "word": " من", "probability": 0.98046875}, {"start": 375.97, "end": 376.45, "word": " الـW", "probability": 0.8234049479166666}, {"start": 376.45, "end": 376.99, "word": " neighborhood", "probability": 0.92138671875}, {"start": 376.99, "end": 378.51, "word": " هنا", "probability": 0.335693359375}, {"start": 378.51, "end": 378.99, "word": " تعريف", "probability": 0.98974609375}, {"start": 378.99, "end": 379.11, "word": " ال", "probability": 0.94384765625}, {"start": 379.11, "end": 379.37, "word": " neighborhood", "probability": 0.734375}, {"start": 379.37, "end": 379.97, "word": " definition", "probability": 0.54248046875}, {"start": 379.97, "end": 381.53, "word": " للاتصال", "probability": 0.971435546875}, {"start": 381.53, "end": 381.71, "word": " عن", "probability": 0.66064453125}, {"start": 381.71, "end": 382.19, "word": " النقطة", "probability": 0.8318684895833334}, {"start": 382.19, "end": 382.73, "word": " طيب", "probability": 0.958984375}, {"start": 382.73, "end": 385.65, "word": " since", "probability": 0.7333984375}], "temperature": 1.0}, {"id": 15, "seek": 41411, "start": 388.45, "end": 414.11, "text": "الفنشن الـ g is continuous at b اللي هي بالساوي f of c تنتمي ل b وهي في عندي w neighborhood w is epsilon neighborhood ل g of b إذا من تعريف الاتصال عن النقطة يوجد", "tokens": [6027, 5172, 1863, 8592, 1863, 2423, 39184, 290, 307, 10957, 412, 272, 13672, 1829, 39896, 20666, 3794, 995, 45865, 283, 295, 269, 6055, 29399, 2304, 1829, 5296, 272, 37037, 1829, 8978, 18871, 16254, 261, 7630, 261, 307, 17889, 7630, 5296, 290, 295, 272, 11933, 15730, 9154, 37279, 16572, 5172, 2423, 9307, 9381, 6027, 18871, 28239, 47432, 3660, 7251, 29245, 3215], "avg_logprob": -0.38217213310179166, "compression_ratio": 1.396341463414634, "no_speech_prob": 0.0, "words": [{"start": 388.45000000000005, "end": 389.47, "word": "الفنشن", "probability": 0.501318359375}, {"start": 389.47, "end": 390.49, "word": " الـ", "probability": 0.46044921875}, {"start": 390.49, "end": 390.77, "word": " g", "probability": 0.345703125}, {"start": 390.77, "end": 391.37, "word": " is", "probability": 0.55859375}, {"start": 391.37, "end": 392.25, "word": " continuous", "probability": 0.8818359375}, {"start": 392.25, "end": 395.09, "word": " at", "probability": 0.66748046875}, {"start": 395.09, "end": 396.15, "word": " b", "probability": 0.48876953125}, {"start": 396.15, "end": 399.01, "word": " اللي", "probability": 0.42791748046875}, {"start": 399.01, "end": 399.23, "word": " هي", "probability": 0.646484375}, {"start": 399.23, "end": 400.09, "word": " بالساوي", "probability": 0.70477294921875}, {"start": 400.09, "end": 400.53, "word": " f", "probability": 0.61181640625}, {"start": 400.53, "end": 400.87, "word": " of", "probability": 0.845703125}, {"start": 400.87, "end": 401.29, "word": " c", "probability": 0.88232421875}, {"start": 401.29, "end": 402.37, "word": " تنتمي", "probability": 0.7918701171875}, {"start": 402.37, "end": 402.53, "word": " ل", "probability": 0.759765625}, {"start": 402.53, "end": 402.85, "word": " b", "probability": 0.435302734375}, {"start": 402.85, "end": 404.35, "word": " وهي", "probability": 0.57177734375}, {"start": 404.35, "end": 404.47, "word": " في", "probability": 0.9091796875}, {"start": 404.47, "end": 404.91, "word": " عندي", "probability": 0.759033203125}, {"start": 404.91, "end": 405.45, "word": " w", "probability": 0.7939453125}, {"start": 405.45, "end": 406.55, "word": " neighborhood", "probability": 0.623046875}, {"start": 406.55, "end": 407.09, "word": " w", "probability": 0.324951171875}, {"start": 407.09, "end": 407.43, "word": " is", "probability": 0.87744140625}, {"start": 407.43, "end": 407.83, "word": " epsilon", "probability": 0.53662109375}, {"start": 407.83, "end": 408.53, "word": " neighborhood", "probability": 0.8515625}, {"start": 408.53, "end": 409.75, "word": " ل", "probability": 0.87158203125}, {"start": 409.75, "end": 410.05, "word": " g", "probability": 0.87109375}, {"start": 410.05, "end": 410.33, "word": " of", "probability": 0.9560546875}, {"start": 410.33, "end": 410.69, "word": " b", "probability": 0.95361328125}, {"start": 410.69, "end": 411.65, "word": " إذا", "probability": 0.5086669921875}, {"start": 411.65, "end": 411.85, "word": " من", "probability": 0.7880859375}, {"start": 411.85, "end": 412.25, "word": " تعريف", 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0.917724609375}, {"start": 1329.94, "end": 1330.06, "word": " ان", "probability": 0.93017578125}, {"start": 1330.06, "end": 1330.32, "word": " f", "probability": 0.63232421875}, {"start": 1330.32, "end": 1330.5, "word": " is", "probability": 0.5390625}, {"start": 1330.5, "end": 1331.18, "word": " continuous", "probability": 0.92626953125}, {"start": 1331.18, "end": 1331.94, "word": " على", "probability": 0.73486328125}, {"start": 1331.94, "end": 1332.34, "word": " a", "probability": 0.96533203125}, {"start": 1332.34, "end": 1333.68, "word": " و", "probability": 0.474853515625}, {"start": 1333.68, "end": 1335.28, "word": " ال", "probability": 0.82080078125}, {"start": 1335.28, "end": 1335.88, "word": " function", "probability": 0.857421875}, {"start": 1335.88, "end": 1336.48, "word": " التاني", "probability": 0.86767578125}, {"start": 1336.48, "end": 1337.24, "word": " g1", "probability": 0.613525390625}, {"start": 1337.24, "end": 1340.0, "word": " g1", "probability": 0.7626953125}, {"start": 1340.0, "end": 1340.5, "word": " function", "probability": 0.91064453125}, {"start": 1340.5, "end": 1340.96, "word": " from", "probability": 0.919921875}, {"start": 1340.96, "end": 1341.4, "word": " r", "probability": 0.7177734375}, {"start": 1341.4, "end": 1341.62, "word": " to", "probability": 0.9853515625}, {"start": 1341.62, "end": 1342.06, "word": " r", "probability": 0.966796875}], "temperature": 1.0}, {"id": 48, "seek": 137056, "start": 1342.64, "end": 1370.56, "text": "أيضا أثبتنا أنها continuous فلو كانت هذه continuous من A ل B فال composition تبعهم G1 circle F اللي بيطلع absolute F تطلع continuous على A وهذه نظرية أثبتناها المرة اللي فاتت فهي برهان أخر لهذه النظرية تمام مثال تاني let G2", "tokens": [10721, 1829, 11242, 995, 5551, 12984, 3555, 2655, 8315, 14739, 11296, 10957, 6156, 1211, 2407, 25961, 2655, 29538, 10957, 9154, 316, 5296, 363, 6156, 6027, 12686, 6055, 3555, 3615, 16095, 460, 16, 6329, 479, 13672, 1829, 4724, 1829, 9566, 1211, 3615, 8236, 479, 6055, 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{"start": 1346.16, "end": 1346.62, "word": " continuous", "probability": 0.9619140625}, {"start": 1346.62, "end": 1347.02, "word": " من", "probability": 0.97998046875}, {"start": 1347.02, "end": 1347.24, "word": " A", "probability": 0.3876953125}, {"start": 1347.24, "end": 1347.38, "word": " ل", "probability": 0.67822265625}, {"start": 1347.38, "end": 1347.66, "word": " B", "probability": 0.53662109375}, {"start": 1347.66, "end": 1348.52, "word": " فال", "probability": 0.860107421875}, {"start": 1348.52, "end": 1348.98, "word": " composition", "probability": 0.83642578125}, {"start": 1348.98, "end": 1349.62, "word": " تبعهم", "probability": 0.8006591796875}, {"start": 1349.62, "end": 1350.2, "word": " G1", "probability": 0.6767578125}, {"start": 1350.2, "end": 1350.7, "word": " circle", "probability": 0.381103515625}, {"start": 1350.7, "end": 1351.08, "word": " F", "probability": 0.89453125}, {"start": 1351.08, "end": 1351.92, "word": " اللي", "probability": 0.886962890625}, {"start": 1351.92, "end": 1352.34, "word": " بيطلع", "probability": 0.7381103515625}, {"start": 1352.34, "end": 1352.84, "word": " absolute", "probability": 0.6484375}, {"start": 1352.84, "end": 1353.34, "word": " F", "probability": 0.84912109375}, {"start": 1353.34, "end": 1353.96, "word": " تطلع", "probability": 0.82659912109375}, {"start": 1353.96, "end": 1354.48, "word": " continuous", "probability": 0.95703125}, {"start": 1354.48, "end": 1354.84, "word": " على", "probability": 0.666015625}, {"start": 1354.84, "end": 1355.0, "word": " A", "probability": 0.654296875}, {"start": 1355.0, "end": 1355.58, "word": " وهذه", "probability": 0.87939453125}, {"start": 1355.58, "end": 1356.0, "word": " نظرية", "probability": 0.90673828125}, {"start": 1356.0, "end": 1356.64, "word": " أثبتناها", "probability": 0.9922688802083334}, {"start": 1356.64, "end": 1356.92, "word": " المرة", "probability": 0.891845703125}, {"start": 1356.92, "end": 1357.08, "word": " اللي", "probability": 0.8681640625}, {"start": 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"let let مثال تاني let g2 of x function بيساوي square root of x و x أكبر من أو بيساوي سفر طبعا ده اللي تجد التربيه بس معرفة للأعداد الحقيقية غير السالبة claim g2 أثبتنا احنا ملاش claim by previous exercise", "tokens": [2631, 718, 50113, 6027, 6055, 7649, 1829, 718, 290, 17, 295, 2031, 2445, 4724, 1829, 3794, 995, 45865, 3732, 5593, 295, 2031, 4032, 2031, 5551, 4117, 26890, 9154, 34051, 4724, 1829, 3794, 995, 45865, 8608, 5172, 2288, 23032, 3555, 3615, 995, 11778, 3224, 13672, 1829, 6055, 7435, 3215, 16712, 2288, 21292, 3224, 4724, 3794, 20449, 28480, 3660, 24976, 10721, 22488, 18513, 21542, 38436, 4587, 10632, 32771, 13546, 21136, 6027, 49401, 3932, 290, 17, 5551, 12984, 3555, 2655, 8315, 1975, 5016, 8315, 3714, 1211, 33599, 3932, 538, 3894, 5380], "avg_logprob": -0.24245084537548967, "compression_ratio": 1.473170731707317, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1377.4900000000002, "end": 1378.3300000000002, "word": "let", "probability": 0.205322265625}, {"start": 1378.3300000000002, "end": 1379.17, "word": " let", "probability": 0.331298828125}, {"start": 1379.17, "end": 1380.51, "word": " مثال", "probability": 0.84814453125}, {"start": 1380.51, "end": 1380.97, "word": " تاني", "probability": 0.880859375}, {"start": 1380.97, "end": 1381.23, "word": " let", "probability": 0.837890625}, {"start": 1381.23, "end": 1381.89, "word": " g2", "probability": 0.819091796875}, {"start": 1381.89, "end": 1382.23, "word": " of", "probability": 0.7099609375}, {"start": 1382.23, "end": 1382.53, "word": " x", "probability": 0.91357421875}, {"start": 1382.53, "end": 1383.19, "word": " function", "probability": 0.82177734375}, {"start": 1383.19, "end": 1384.27, "word": " بيساوي", "probability": 0.62919921875}, {"start": 1384.27, "end": 1384.55, "word": " square", "probability": 0.7216796875}, {"start": 1384.55, "end": 1384.83, "word": " root", "probability": 0.88623046875}, {"start": 1384.83, "end": 1385.03, "word": " of", "probability": 0.97265625}, {"start": 1385.03, "end": 1385.29, "word": " x", "probability": 0.9189453125}, {"start": 1385.29, "end": 1385.43, "word": " و", "probability": 0.68212890625}, {"start": 1385.43, "end": 1385.75, "word": " x", "probability": 0.59765625}, {"start": 1385.75, "end": 1386.27, "word": " أكبر", "probability": 0.85498046875}, {"start": 1386.27, "end": 1386.51, "word": " من", "probability": 0.9296875}, {"start": 1386.51, "end": 1386.73, "word": " أو", "probability": 0.77490234375}, {"start": 1386.73, "end": 1387.07, "word": " بيساوي", "probability": 0.88125}, {"start": 1387.07, "end": 1387.45, "word": " سفر", "probability": 0.8063151041666666}, {"start": 1387.45, "end": 1387.85, "word": " طبعا", "probability": 0.9315185546875}, {"start": 1387.85, "end": 1388.81, "word": " ده", "probability": 0.753173828125}, {"start": 1388.81, "end": 1388.93, "word": " اللي", "probability": 0.7003173828125}, {"start": 1388.93, "end": 1389.25, "word": " تجد", "probability": 0.7586263020833334}, {"start": 1389.25, "end": 1389.83, "word": " التربيه", "probability": 0.74609375}, {"start": 1389.83, "end": 1390.11, "word": " بس", "probability": 0.98583984375}, {"start": 1390.11, "end": 1390.61, "word": " معرفة", "probability": 0.7986653645833334}, {"start": 1390.61, "end": 1391.05, "word": " للأعداد", "probability": 0.80126953125}, {"start": 1391.05, "end": 1391.65, "word": " الحقيقية", "probability": 0.9659423828125}, {"start": 1391.65, "end": 1391.91, "word": " غير", "probability": 0.98681640625}, {"start": 1391.91, "end": 1392.51, "word": " السالبة", "probability": 0.636962890625}, {"start": 1392.51, "end": 1393.67, "word": " claim", "probability": 0.348876953125}, {"start": 1393.67, "end": 1394.69, "word": " g2", "probability": 0.9326171875}, {"start": 1394.69, "end": 1397.11, "word": " أثبتنا", "probability": 0.95283203125}, {"start": 1397.11, "end": 1397.51, "word": " احنا", "probability": 0.9265950520833334}, {"start": 1397.51, "end": 1398.69, "word": " ملاش", "probability": 0.6337076822916666}, {"start": 1398.69, "end": 1399.09, "word": " claim", "probability": 0.9111328125}, {"start": 1399.09, "end": 1399.51, "word": " by", "probability": 0.8662109375}, {"start": 1399.51, "end": 1400.21, "word": " previous", "probability": 0.8974609375}, {"start": 1400.21, "end": 1401.03, "word": " exercise", "probability": 0.93505859375}], "temperature": 1.0}, {"id": 50, "seek": 143130, "start": 1402.18, "end": 1431.3, "text": "أجيبنالكم في الامتحان حتى مثال في الامتحان by a previous exercise g2 is continuous تطلع continuous على كل فترة من السفر إلى ما نهيها هذا السؤال في الامتحان المناسب أخر سؤال في الامتحان now", "tokens": [10721, 7435, 1829, 3555, 1863, 6027, 24793, 8978, 2423, 10943, 2655, 5016, 7649, 11331, 49975, 50113, 6027, 8978, 2423, 10943, 2655, 5016, 7649, 538, 257, 3894, 5380, 290, 17, 307, 10957, 6055, 9566, 1211, 3615, 10957, 15844, 28242, 6156, 2655, 25720, 9154, 21136, 5172, 2288, 30731, 19446, 8717, 3224, 1829, 11296, 23758, 21136, 33604, 6027, 8978, 2423, 10943, 2655, 5016, 7649, 9673, 8315, 35457, 5551, 34740, 8608, 33604, 6027, 8978, 2423, 10943, 2655, 5016, 7649, 586], "avg_logprob": -0.303977260341892, "compression_ratio": 1.7470588235294118, "no_speech_prob": 0.0, "words": [{"start": 1402.18, "end": 1403.08, "word": "أجيبنالكم", "probability": 0.5708705357142857}, {"start": 1403.08, "end": 1403.24, "word": " في", "probability": 0.93310546875}, {"start": 1403.24, "end": 1403.78, "word": " الامتحان", "probability": 0.892626953125}, {"start": 1403.78, "end": 1404.18, "word": " حتى", "probability": 0.520263671875}, {"start": 1404.18, "end": 1404.66, "word": " مثال", "probability": 0.562744140625}, {"start": 1404.66, "end": 1404.8, "word": " في", "probability": 0.9052734375}, {"start": 1404.8, "end": 1405.3, "word": " الامتحان", "probability": 0.9435546875}, {"start": 1405.3, "end": 1406.7, "word": " by", "probability": 0.548828125}, {"start": 1406.7, "end": 1409.28, "word": " a", "probability": 0.8515625}, {"start": 1409.28, "end": 1409.98, "word": " previous", "probability": 0.90185546875}, {"start": 1409.98, "end": 1412.52, "word": " exercise", "probability": 0.94677734375}, {"start": 1412.52, "end": 1417.12, "word": " g2", "probability": 0.445556640625}, {"start": 1417.12, "end": 1417.5, "word": " is", "probability": 0.88818359375}, {"start": 1417.5, "end": 1418.42, "word": " continuous", "probability": 0.88916015625}, {"start": 1418.42, "end": 1419.56, "word": " تطلع", "probability": 0.82379150390625}, {"start": 1419.56, "end": 1420.28, "word": " continuous", "probability": 0.96337890625}, {"start": 1420.28, "end": 1421.56, "word": " على", "probability": 0.94091796875}, {"start": 1421.56, "end": 1421.94, "word": " كل", "probability": 0.9736328125}, {"start": 1421.94, "end": 1422.4, "word": " فترة", "probability": 0.8736979166666666}, {"start": 1422.4, "end": 1422.62, "word": " من", "probability": 0.982421875}, {"start": 1422.62, "end": 1423.02, "word": " السفر", "probability": 0.772705078125}, {"start": 1423.02, "end": 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"word": " a", "probability": 0.34521484375}, {"start": 1437.11, "end": 1437.39, "word": " إلى", "probability": 0.54833984375}, {"start": 1437.39, "end": 1437.87, "word": " r", "probability": 0.66943359375}, {"start": 1437.87, "end": 1442.57, "word": " هو", "probability": 0.350830078125}, {"start": 1442.57, "end": 1443.43, "word": " مثلًا", "probability": 0.764739990234375}, {"start": 1443.43, "end": 1444.81, "word": " إن", "probability": 0.1805419921875}, {"start": 1444.81, "end": 1445.35, "word": " f", "probability": 0.56396484375}, {"start": 1445.35, "end": 1448.89, "word": " من", "probability": 0.289306640625}, {"start": 1448.89, "end": 1449.29, "word": " x", "probability": 0.8740234375}, {"start": 1449.29, "end": 1449.81, "word": " أكبر", "probability": 0.9630533854166666}, {"start": 1449.81, "end": 1450.01, "word": " من", "probability": 0.9775390625}, {"start": 1450.01, "end": 1450.19, "word": " أو", "probability": 0.52734375}, {"start": 1450.19, "end": 1450.59, "word": " ساقو", 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316, 550, 538, 12686, 12686, 20904, 4724, 9566, 1211, 3615, 460, 281, 6329, 479, 13672, 1829, 39896, 4724, 3794, 2407, 7578, 10874, 8848, 2288, 2423, 479, 307, 10957, 15844, 9673, 7435, 2304, 2407, 27884, 316], "avg_logprob": -0.2964527027027027, "compression_ratio": 1.1612903225806452, "no_speech_prob": 0.0, "words": [{"start": 1463.23, "end": 1463.73, "word": "on", "probability": 0.45263671875}, {"start": 1463.73, "end": 1464.43, "word": " A", "probability": 0.40673828125}, {"start": 1464.43, "end": 1469.11, "word": " then", "probability": 0.5048828125}, {"start": 1469.11, "end": 1469.59, "word": " by", "probability": 0.89453125}, {"start": 1469.59, "end": 1470.53, "word": " composition", "probability": 0.9033203125}, {"start": 1470.53, "end": 1473.81, "word": " composition", "probability": 0.48046875}, {"start": 1473.81, "end": 1474.77, "word": " theorem", "probability": 0.84423828125}, {"start": 1474.77, "end": 1480.13, "word": " بطلع", "probability": 0.8056640625}, {"start": 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لكل M عدد موجب يوجد X يوجد X يعتمد على M في مجال الدولة بحيث انه نفي المتبين هذا يتحقق اللي هو absolute F of X", "tokens": [1863, 1863, 41185, 25124, 2288, 4587, 4724, 4587, 7578, 2423, 39184, 37498, 8978, 29245, 3215, 376, 6225, 3215, 3215, 3714, 29245, 3555, 5296, 28820, 4724, 1829, 9381, 13546, 5296, 28820, 376, 6225, 3215, 3215, 3714, 29245, 3555, 7251, 29245, 3215, 1783, 7251, 29245, 3215, 1783, 7251, 34268, 2304, 3215, 15844, 376, 8978, 3714, 7435, 6027, 32748, 12610, 3660, 4724, 5016, 1829, 12984, 16472, 3224, 8717, 41185, 9673, 2655, 3555, 9957, 23758, 7251, 2655, 5016, 4587, 4587, 13672, 1829, 31439, 8236, 479, 295, 1783], "avg_logprob": -0.1971726259660153, "compression_ratio": 1.576470588235294, "no_speech_prob": 0.0, "words": [{"start": 1901.36, "end": 1901.9, "word": "ننفي", "probability": 0.6630045572916666}, {"start": 1901.9, "end": 1902.42, "word": " الشرق", "probability": 0.7377115885416666}, {"start": 1902.42, "end": 1902.64, "word": " بقى", "probability": 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1945.66, "end": 1946.24, "word": " المجال", "probability": 0.9690755208333334}, {"start": 1946.24, "end": 1946.76, "word": " تبعها", "probability": 0.8736572265625}, {"start": 1946.76, "end": 1947.26, "word": " معناه", "probability": 0.796142578125}, {"start": 1947.26, "end": 1947.7, "word": " أنه", "probability": 0.6923828125}, {"start": 1947.7, "end": 1947.96, "word": " لأي", "probability": 0.9265950520833334}, {"start": 1947.96, "end": 1948.3, "word": " عدد", "probability": 0.9794921875}, {"start": 1948.3, "end": 1948.8, "word": " موجب", "probability": 0.9894205729166666}, {"start": 1948.8, "end": 1949.64, "word": " بقدر", "probability": 0.9353841145833334}, {"start": 1949.64, "end": 1949.9, "word": " ألاقي", "probability": 0.5994466145833334}, {"start": 1949.9, "end": 1950.46, "word": " عنصر", "probability": 0.9361979166666666}, {"start": 1950.46, "end": 1950.98, "word": " يعتمد", "probability": 0.968017578125}, {"start": 1950.98, "end": 1951.12, "word": " على", "probability": 0.7529296875}, {"start": 1951.12, "end": 1951.44, "word": " عدد", "probability": 0.9586588541666666}, {"start": 1951.44, "end": 1951.92, "word": " الموجب", "probability": 0.9742838541666666}, {"start": 1951.92, "end": 1952.28, "word": " هذا", "probability": 0.7353515625}, {"start": 1952.28, "end": 1952.5, "word": " في", "probability": 0.9130859375}, {"start": 1952.5, "end": 1953.22, "word": " مجال", "probability": 0.7513834635416666}, {"start": 1953.22, "end": 1953.82, "word": " الدالة", "probability": 0.9952799479166666}, {"start": 1953.82, "end": 1954.9, "word": " والقيمة", "probability": 0.798828125}, {"start": 1954.9, "end": 1955.52, "word": " المطلقة", "probability": 0.989013671875}], "temperature": 1.0}, {"id": 68, "seek": 198449, "start": 1958.33, "end": 1984.49, "text": "قيمة الدالة عند العنصر أكبر من أو يساوي ال M فمثال على ذلك هاي مثال example لو أخدت ال function f of x", "tokens": [4587, 32640, 3660, 32748, 6027, 3660, 43242, 18863, 1863, 9381, 2288, 5551, 4117, 26890, 9154, 34051, 7251, 3794, 995, 45865, 2423, 376, 6156, 2304, 12984, 6027, 15844, 29910, 23275, 8032, 47302, 50113, 6027, 1365, 45164, 5551, 9778, 3215, 2655, 2423, 2445, 283, 295, 2031], "avg_logprob": -0.1850694391462538, "compression_ratio": 1.265625, "no_speech_prob": 0.0, "words": [{"start": 1958.33, "end": 1958.83, "word": "قيمة", "probability": 0.9436848958333334}, {"start": 1958.83, "end": 1959.27, "word": " الدالة", "probability": 0.8727213541666666}, {"start": 1959.27, "end": 1959.43, "word": " عند", "probability": 0.81298828125}, {"start": 1959.43, "end": 1959.97, "word": " العنصر", "probability": 0.8280029296875}, {"start": 1959.97, "end": 1960.43, "word": " أكبر", "probability": 0.8780924479166666}, {"start": 1960.43, "end": 1960.69, "word": " من", "probability": 0.953125}, {"start": 1960.69, "end": 1960.93, "word": " أو", "probability": 0.8427734375}, {"start": 1960.93, "end": 1961.73, "word": " يساوي", "probability": 0.967041015625}, {"start": 1961.73, "end": 1962.03, "word": " ال", "probability": 0.791015625}, {"start": 1962.03, "end": 1962.31, "word": " M", "probability": 0.22216796875}, {"start": 1962.31, "end": 1964.27, "word": " فمثال", "probability": 0.937744140625}, {"start": 1964.27, "end": 1964.49, "word": " على", "probability": 0.828125}, {"start": 1964.49, "end": 1966.87, "word": " ذلك", "probability": 0.992919921875}, {"start": 1966.87, "end": 1971.01, "word": " هاي", "probability": 0.542724609375}, {"start": 1971.01, "end": 1971.57, "word": " مثال", "probability": 0.9697265625}, {"start": 1971.57, "end": 1972.93, "word": " example", "probability": 0.40283203125}, {"start": 1972.93, "end": 1980.45, "word": " لو", "probability": 0.7900390625}, {"start": 1980.45, "end": 1980.99, "word": " أخدت", "probability": 0.9798583984375}, {"start": 1980.99, "end": 1981.15, "word": " ال", "probability": 0.97705078125}, {"start": 1981.15, "end": 1981.71, "word": " function", "probability": 0.96337890625}, {"start": 1981.71, "end": 1983.89, "word": " f", "probability": 0.5927734375}, {"start": 1983.89, "end": 1984.13, "word": " of", "probability": 0.5849609375}, {"start": 1984.13, "end": 1984.49, "word": " x", "probability": 0.78564453125}], "temperature": 1.0}, {"id": 69, "seek": 201232, "start": 1986.14, "end": 2012.32, "text": "show that f of x بيساوي واحد على x و x أكبر من سفر is unbounded على المجموعة a اللي هي الفترة المفتوحة من سفر إلى مانا نهائي", "tokens": [34436, 300, 283, 295, 2031, 4724, 1829, 3794, 995, 45865, 36764, 24401, 15844, 2031, 4032, 2031, 5551, 4117, 26890, 9154, 8608, 5172, 2288, 307, 517, 18767, 292, 15844, 9673, 7435, 2304, 2407, 27884, 257, 13672, 1829, 39896, 27188, 2655, 25720, 9673, 5172, 2655, 2407, 5016, 3660, 9154, 8608, 5172, 2288, 30731, 3714, 7649, 995, 8717, 3224, 16373, 1829], "avg_logprob": -0.2451006391290891, "compression_ratio": 1.3448275862068966, "no_speech_prob": 0.0, "words": [{"start": 1986.14, "end": 1986.76, "word": "show", "probability": 0.205810546875}, {"start": 1986.76, "end": 1987.58, "word": " that", "probability": 0.86376953125}, {"start": 1987.58, "end": 1987.96, "word": " f", "probability": 0.6220703125}, {"start": 1987.96, "end": 1988.22, "word": " of", "probability": 0.471923828125}, {"start": 1988.22, "end": 1988.6, "word": " x", "probability": 0.90576171875}, {"start": 1988.6, "end": 1994.52, "word": " بيساوي", "probability": 0.664697265625}, {"start": 1994.52, "end": 1994.96, "word": " واحد", "probability": 0.906005859375}, {"start": 1994.96, "end": 1995.16, "word": " على", "probability": 0.62646484375}, {"start": 1995.16, "end": 1995.46, "word": " x", "probability": 0.58203125}, {"start": 1995.46, "end": 1995.66, "word": " و", "probability": 0.58251953125}, {"start": 1995.66, "end": 1995.9, "word": " x", "probability": 0.50341796875}, {"start": 1995.9, "end": 1996.38, "word": " أكبر", "probability": 0.87255859375}, {"start": 1996.38, "end": 1996.62, "word": " من", "probability": 0.99609375}, {"start": 1996.62, "end": 1997.16, "word": " سفر", "probability": 0.87744140625}, {"start": 1997.16, "end": 1998.5, "word": " is", "probability": 0.818359375}, {"start": 1998.5, "end": 2002.24, "word": " unbounded", "probability": 0.9563802083333334}, {"start": 2002.24, "end": 2006.5, "word": " على", "probability": 0.48486328125}, {"start": 2006.5, "end": 2007.52, "word": " المجموعة", "probability": 0.97294921875}, {"start": 2007.52, "end": 2007.9, "word": " a", "probability": 0.2247314453125}, {"start": 2007.9, "end": 2008.02, "word": " اللي", "probability": 0.70263671875}, {"start": 2008.02, "end": 2008.24, "word": " هي", "probability": 0.89111328125}, {"start": 2008.24, "end": 2008.74, "word": " الفترة", "probability": 0.9864908854166666}, {"start": 2008.74, "end": 2009.44, "word": " المفتوحة", "probability": 0.98779296875}, {"start": 2009.44, "end": 2009.66, "word": " من", "probability": 0.974609375}, {"start": 2009.66, "end": 2010.36, "word": " سفر", "probability": 0.97900390625}, {"start": 2010.36, "end": 2011.28, "word": " إلى", "probability": 0.8466796875}, {"start": 2011.28, "end": 2011.68, "word": " مانا", "probability": 0.5370279947916666}, {"start": 2011.68, "end": 2012.32, "word": " نهائي", "probability": 0.7449951171875}], "temperature": 1.0}, {"id": 70, "seek": 205623, "start": 2029.08, "end": 2056.24, "text": "proof حسب تعريف ال unboundedness بدي اخد ابدأ let m be an arbitrarily positive number بيه given بدي ارد عليه باكس اعتمد xm بحيث ان المتباين هذا تتحقق ف choose", "tokens": [1424, 29496, 11331, 35457, 37279, 16572, 5172, 2423, 517, 18767, 292, 1287, 4724, 16254, 1975, 9778, 3215, 1975, 44510, 10721, 718, 275, 312, 364, 19071, 3289, 3353, 1230, 4724, 1829, 3224, 2212, 4724, 16254, 1975, 2288, 3215, 47356, 4724, 995, 4117, 3794, 1975, 34268, 2304, 3215, 2031, 76, 4724, 5016, 1829, 12984, 16472, 9673, 2655, 3555, 995, 9957, 23758, 6055, 2655, 5016, 4587, 4587, 6156, 2826], "avg_logprob": -0.2987406582974676, "compression_ratio": 1.304093567251462, "no_speech_prob": 0.0, "words": [{"start": 2029.08, "end": 2030.32, "word": "proof", "probability": 0.50421142578125}, {"start": 2030.32, "end": 2031.56, "word": " حسب", "probability": 0.904541015625}, {"start": 2031.56, "end": 2032.14, "word": " تعريف", "probability": 0.9881184895833334}, {"start": 2032.14, "end": 2032.28, "word": " ال", "probability": 0.8642578125}, {"start": 2032.28, "end": 2033.5, "word": " unboundedness", "probability": 0.731536865234375}, {"start": 2033.5, "end": 2036.0, "word": " بدي", "probability": 0.627685546875}, {"start": 2036.0, "end": 2036.76, "word": " اخد", "probability": 0.7088216145833334}, {"start": 2036.76, "end": 2037.32, "word": " ابدأ", "probability": 0.71923828125}, {"start": 2037.32, "end": 2037.82, "word": " let", "probability": 0.75390625}, {"start": 2037.82, "end": 2040.56, "word": " m", "probability": 0.4404296875}, {"start": 2040.56, "end": 2041.1, "word": " be", "probability": 0.41748046875}, {"start": 2041.1, "end": 2041.32, "word": " an", "probability": 0.35595703125}, {"start": 2041.32, "end": 2041.84, "word": " arbitrarily", "probability": 0.776123046875}, {"start": 2041.84, "end": 2042.26, "word": " positive", "probability": 0.89697265625}, {"start": 2042.26, "end": 2042.88, "word": " number", "probability": 0.978515625}, {"start": 2042.88, "end": 2043.64, "word": " بيه", "probability": 0.6090494791666666}, {"start": 2043.64, "end": 2043.98, "word": " given", "probability": 0.6220703125}, {"start": 2043.98, "end": 2046.96, "word": " بدي", "probability": 0.871337890625}, {"start": 2046.96, "end": 2047.42, "word": " ارد", "probability": 0.9588216145833334}, {"start": 2047.42, "end": 2048.04, "word": " عليه", "probability": 0.982421875}, {"start": 2048.04, "end": 2048.9, "word": " باكس", "probability": 0.724334716796875}, {"start": 2048.9, "end": 2049.78, "word": " اعتمد", "probability": 0.8880615234375}, {"start": 2049.78, "end": 2050.54, "word": " xm", "probability": 0.61279296875}, {"start": 2050.54, "end": 2052.86, "word": " بحيث", "probability": 0.9808349609375}, {"start": 2052.86, "end": 2052.98, "word": " ان", "probability": 0.83837890625}, {"start": 2052.98, "end": 2053.52, "word": " المتباين", "probability": 0.8689453125}, {"start": 2053.52, "end": 2053.7, "word": " هذا", "probability": 0.23583984375}, {"start": 2053.7, "end": 2054.44, "word": " تتحقق", "probability": 0.976953125}, {"start": 2054.44, "end": 2055.56, "word": " ف", "probability": 0.8994140625}, {"start": 2055.56, "end": 2056.24, "word": " choose", "probability": 0.7568359375}], "temperature": 1.0}, {"id": 71, "seek": 208417, "start": 2058.02, "end": 2084.18, "text": "إذاً لهذا العدد الموجب هختار XM X يعتمد على M على إنه واحد على M زائد واحد فهذا بالتأكيد عدد موجب لأن M عدد موجب صح؟ فبالتالي هذا ينتبه للفترة المفتوحة من صفر إلى ملد يعني اللي هي ال A", "tokens": [28814, 15730, 14111, 46740, 15730, 18863, 3215, 3215, 9673, 29245, 3555, 8032, 46456, 9640, 1783, 44, 1783, 7251, 34268, 2304, 3215, 15844, 376, 15844, 36145, 3224, 36764, 24401, 15844, 376, 30767, 16373, 3215, 36764, 24401, 6156, 3224, 15730, 20666, 2655, 10721, 4117, 25708, 6225, 3215, 3215, 3714, 29245, 3555, 5296, 33456, 376, 6225, 3215, 3215, 3714, 29245, 3555, 20328, 5016, 22807, 6156, 3555, 6027, 2655, 6027, 1829, 23758, 7251, 29399, 3555, 3224, 24976, 5172, 2655, 25720, 9673, 5172, 2655, 2407, 5016, 3660, 9154, 20328, 5172, 2288, 30731, 3714, 1211, 3215, 37495, 22653, 13672, 1829, 39896, 2423, 316], "avg_logprob": -0.24410076971564973, "compression_ratio": 1.8295454545454546, "no_speech_prob": 0.0, "words": [{"start": 2058.02, "end": 2058.46, "word": "إذاً", "probability": 0.4223225911458333}, {"start": 2058.46, "end": 2058.78, "word": " لهذا", "probability": 0.946533203125}, {"start": 2058.78, "end": 2059.1, "word": " العدد", "probability": 0.9031575520833334}, {"start": 2059.1, "end": 2059.64, "word": " الموجب", "probability": 0.9695638020833334}, {"start": 2059.64, "end": 2061.12, "word": " هختار", "probability": 0.6787109375}, {"start": 2061.12, "end": 2063.18, "word": " XM", "probability": 0.2821044921875}, {"start": 2063.18, "end": 2063.6, "word": " X", "probability": 0.6279296875}, {"start": 2063.6, "end": 2064.16, "word": " يعتمد", "probability": 0.923828125}, {"start": 2064.16, "end": 2064.32, "word": " على", "probability": 0.90283203125}, {"start": 2064.32, "end": 2064.72, "word": " M", "probability": 0.90478515625}, {"start": 2064.72, "end": 2065.96, "word": " على", "probability": 0.74609375}, {"start": 2065.96, "end": 2066.62, "word": " إنه", "probability": 0.74169921875}, {"start": 2066.62, "end": 2067.34, "word": " واحد", "probability": 0.9306640625}, {"start": 2067.34, "end": 2067.68, "word": " على", "probability": 0.68310546875}, {"start": 2067.68, "end": 2068.36, "word": " M", "probability": 0.841796875}, {"start": 2068.36, "end": 2069.38, "word": " زائد", "probability": 0.8587239583333334}, {"start": 2069.38, "end": 2069.8, "word": " واحد", "probability": 0.982421875}, {"start": 2069.8, "end": 2070.94, "word": " فهذا", "probability": 0.7916666666666666}, {"start": 2070.94, "end": 2071.92, "word": " بالتأكيد", "probability": 0.990625}, {"start": 2071.92, "end": 2073.6, "word": " عدد", "probability": 0.8126627604166666}, {"start": 2073.6, "end": 2074.08, "word": " موجب", "probability": 0.9864908854166666}, {"start": 2074.08, "end": 2074.46, "word": " لأن", "probability": 0.828125}, {"start": 2074.46, "end": 2074.72, "word": " M", "probability": 0.8505859375}, {"start": 2074.72, "end": 2075.02, "word": " عدد", "probability": 0.9850260416666666}, {"start": 2075.02, "end": 2075.44, "word": " موجب", "probability": 0.9874674479166666}, {"start": 2075.44, "end": 2077.3, "word": " صح؟", "probability": 0.671630859375}, {"start": 2077.3, "end": 2078.36, "word": " فبالتالي", "probability": 0.97509765625}, {"start": 2078.36, "end": 2078.66, "word": " هذا", "probability": 0.857421875}, {"start": 2078.66, "end": 2079.44, "word": " ينتبه", "probability": 0.9178466796875}, {"start": 2079.44, "end": 2080.14, "word": " للفترة", "probability": 0.8565673828125}, {"start": 2080.14, "end": 2080.82, "word": " المفتوحة", "probability": 0.9773763020833334}, {"start": 2080.82, "end": 2081.02, "word": " من", "probability": 0.97998046875}, {"start": 2081.02, "end": 2081.44, "word": " صفر", "probability": 0.7306315104166666}, {"start": 2081.44, "end": 2081.6, "word": " إلى", "probability": 0.93701171875}, {"start": 2081.6, "end": 2081.94, "word": " ملد", "probability": 0.4217936197916667}, {"start": 2081.94, "end": 2082.38, "word": " يعني", "probability": 0.701904296875}, {"start": 2082.38, "end": 2083.56, "word": " اللي", "probability": 0.87548828125}, {"start": 2083.56, "end": 2083.8, "word": " هي", "probability": 0.94873046875}, {"start": 2083.8, "end": 2084.0, "word": " ال", "probability": 0.63916015625}, {"start": 2084.0, "end": 2084.18, "word": " A", "probability": 0.23388671875}], "temperature": 1.0}, {"id": 72, "seek": 211554, "start": 2087.86, "end": 2115.54, "text": "يعني هاي لأي عدد موجب يعني وجدت there exist xm ينتمي للمجال تبع الدالة وهذا يثبت أنه بحقق المتباين هذا then absolute f of xm بساوي absolute مقلوب", "tokens": [40228, 22653, 8032, 47302, 5296, 10721, 1829, 6225, 3215, 3215, 3714, 29245, 3555, 37495, 22653, 49610, 3215, 2655, 456, 2514, 2031, 76, 7251, 29399, 2304, 1829, 5296, 19528, 7435, 6027, 6055, 3555, 3615, 32748, 6027, 3660, 37037, 15730, 7251, 12984, 3555, 2655, 14739, 3224, 4724, 5016, 4587, 4587, 9673, 2655, 3555, 995, 9957, 23758, 550, 8236, 283, 295, 2031, 76, 4724, 3794, 995, 45865, 8236, 3714, 4587, 1211, 37746], "avg_logprob": -0.2819196454116276, "compression_ratio": 1.4394904458598725, "no_speech_prob": 0.0, "words": [{"start": 2087.86, "end": 2088.12, "word": "يعني", "probability": 0.5965576171875}, {"start": 2088.12, "end": 2088.54, "word": " هاي", "probability": 0.40972900390625}, {"start": 2088.54, "end": 2088.86, "word": " لأي", "probability": 0.8839518229166666}, {"start": 2088.86, "end": 2089.2, "word": " عدد", "probability": 0.9772135416666666}, {"start": 2089.2, "end": 2089.68, "word": " موجب", "probability": 0.89306640625}, {"start": 2089.68, "end": 2090.02, "word": " يعني", "probability": 0.50408935546875}, {"start": 2090.02, "end": 2090.96, "word": " وجدت", "probability": 0.9090169270833334}, {"start": 2090.96, "end": 2091.18, "word": " there", "probability": 0.325927734375}, {"start": 2091.18, "end": 2091.72, "word": " exist", "probability": 0.63134765625}, {"start": 2091.72, "end": 2093.38, "word": " xm", "probability": 0.5064697265625}, {"start": 2093.38, "end": 2094.82, "word": " ينتمي", "probability": 0.810302734375}, {"start": 2094.82, "end": 2095.5, "word": " للمجال", "probability": 0.8438720703125}, {"start": 2095.5, "end": 2095.84, "word": " تبع", "probability": 0.8805338541666666}, {"start": 2095.84, "end": 2096.58, "word": " الدالة", "probability": 0.8562825520833334}, {"start": 2096.58, "end": 2098.36, "word": " وهذا", "probability": 0.8544921875}, {"start": 2098.36, "end": 2099.22, "word": " يثبت", "probability": 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"probability": 0.6826171875}, {"start": 2133.59, "end": 2134.01, "word": " M", "probability": 0.47900390625}, {"start": 2134.01, "end": 2135.11, "word": " عدد", "probability": 0.8302408854166666}, {"start": 2135.11, "end": 2135.57, "word": " موجة", "probability": 0.8002115885416666}, {"start": 2135.57, "end": 2137.11, "word": " وهذا", "probability": 0.889892578125}, {"start": 2137.11, "end": 2137.49, "word": " أكبر", "probability": 0.89404296875}, {"start": 2137.49, "end": 2137.71, "word": " من", "probability": 0.9775390625}, {"start": 2137.71, "end": 2137.95, "word": " M", "probability": 0.9453125}, {"start": 2137.95, "end": 2139.25, "word": " لأن", "probability": 0.691650390625}, {"start": 2139.25, "end": 2139.45, "word": " هذه", "probability": 0.473876953125}, {"start": 2139.45, "end": 2140.09, "word": " المتباينة", "probability": 0.9122721354166666}, {"start": 2140.09, "end": 2140.91, "word": " اتحققت", "probability": 0.82890625}, {"start": 2140.91, "end": 2143.21, "word": " أكبر", "probability": 0.8844401041666666}, {"start": 2143.21, "end": 2143.45, "word": " من", "probability": 0.99462890625}, {"start": 2143.45, "end": 2143.73, "word": " M", "probability": 0.97705078125}], "temperature": 1.0}, {"id": 74, "seek": 217263, "start": 2146.33, "end": 2172.63, "text": "لأن نفي أصغر من أوي الساوي مفروض يكون أكبر وهي أثبتت لأي عدد موجة بيوجد XM في مجال الدالة وAbsolute صورة ال XM أكبر من أمي okay تمام حسب التعريف أو ال remark بنطلع ال function تبعتي unbounded على الفترة المفتوحة من صفر إلى ملا نهائي تمام", "tokens": [1211, 33456, 8717, 41185, 5551, 9381, 17082, 2288, 9154, 5551, 45865, 21136, 995, 45865, 3714, 5172, 32887, 11242, 7251, 30544, 5551, 4117, 26890, 37037, 1829, 5551, 12984, 3555, 2655, 2655, 5296, 10721, 1829, 6225, 3215, 3215, 3714, 29245, 3660, 4724, 1829, 29245, 3215, 1783, 44, 8978, 3714, 7435, 6027, 32748, 6027, 3660, 4032, 46417, 401, 1169, 20328, 13063, 3660, 2423, 1783, 44, 5551, 4117, 26890, 9154, 5551, 2304, 1829, 1392, 46811, 10943, 11331, 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{"start": 2164.29, "end": 2164.41, "word": " ال", "probability": 0.91943359375}, {"start": 2164.41, "end": 2164.85, "word": " remark", "probability": 0.93994140625}, {"start": 2164.85, "end": 2165.35, "word": " بنطلع", "probability": 0.8160400390625}, {"start": 2165.35, "end": 2165.47, "word": " ال", "probability": 0.93701171875}, {"start": 2165.47, "end": 2165.79, "word": " function", "probability": 0.93017578125}, {"start": 2165.79, "end": 2166.45, "word": " تبعتي", "probability": 0.8079833984375}, {"start": 2166.45, "end": 2168.05, "word": " unbounded", "probability": 0.8365885416666666}, {"start": 2168.05, "end": 2168.39, "word": " على", "probability": 0.884765625}, {"start": 2168.39, "end": 2169.05, "word": " الفترة", "probability": 0.986328125}, {"start": 2169.05, "end": 2169.65, "word": " المفتوحة", "probability": 0.9781087239583334}, {"start": 2169.65, "end": 2169.83, "word": " من", "probability": 0.97802734375}, {"start": 2169.83, "end": 2170.29, "word": " صفر", "probability": 0.689208984375}, {"start": 2170.29, "end": 2170.55, "word": " إلى", "probability": 0.892578125}, {"start": 2170.55, "end": 2170.83, "word": " ملا", "probability": 0.476806640625}, {"start": 2170.83, "end": 2171.45, "word": " نهائي", "probability": 0.795654296875}, {"start": 2171.45, "end": 2172.63, "word": " تمام", "probability": 0.91748046875}], "temperature": 1.0}, {"id": 75, "seek": 220121, "start": 2175.08, "end": 2201.22, "text": "الان في عندي boundedness theorem في نظرية مهمة اسمها boundedness theorem boundedness", "tokens": [6027, 7649, 8978, 18871, 16254, 37498, 1287, 20904, 8978, 8717, 19913, 2288, 10632, 3714, 16095, 3660, 24525, 2304, 11296, 37498, 1287, 20904, 37498, 1287], "avg_logprob": -0.20671875, "compression_ratio": 1.3095238095238095, "no_speech_prob": 0.0, "words": [{"start": 2175.08, "end": 2175.62, "word": "الان", "probability": 0.80322265625}, {"start": 2175.62, "end": 2175.86, "word": " في", "probability": 0.4208984375}, {"start": 2175.86, "end": 2176.38, "word": " عندي", "probability": 0.78369140625}, {"start": 2176.38, "end": 2177.6, "word": " boundedness", "probability": 0.5927734375}, {"start": 2177.6, "end": 2178.1, "word": " theorem", "probability": 0.90869140625}, {"start": 2178.1, "end": 2188.84, "word": " في", "probability": 0.54638671875}, {"start": 2188.84, "end": 2189.4, "word": " نظرية", "probability": 0.9803466796875}, {"start": 2189.4, "end": 2190.82, "word": " مهمة", "probability": 0.9811197916666666}, {"start": 2190.82, "end": 2191.64, "word": " اسمها", "probability": 0.921875}, {"start": 2191.64, "end": 2192.54, "word": " boundedness", "probability": 0.949462890625}, {"start": 2192.54, "end": 2193.48, "word": " theorem", "probability": 0.92919921875}, {"start": 2193.48, "end": 2201.22, "word": " boundedness", "probability": 0.94091796875}], "temperature": 1.0}, {"id": 76, "seek": 223650, "start": 2207.4, "end": 2236.5, "text": "bound this theorem let خلينا ناخد I let I be closed and bounded interval be closed and bounded interval", "tokens": [18767, 341, 20904, 718, 16490, 1211, 9957, 995, 8717, 47283, 3215, 286, 718, 286, 312, 5395, 293, 37498, 15035, 312, 5395, 293, 37498, 15035], "avg_logprob": -0.31390625953674317, "compression_ratio": 1.382716049382716, "no_speech_prob": 0.0, "words": [{"start": 2207.4, "end": 2207.86, "word": "bound", "probability": 0.45166015625}, {"start": 2207.86, "end": 2208.26, "word": " this", "probability": 0.1793212890625}, {"start": 2208.26, "end": 2208.78, "word": " theorem", "probability": 0.482177734375}, {"start": 2208.78, "end": 2214.56, "word": " let", "probability": 0.62646484375}, {"start": 2214.56, "end": 2216.1, "word": " خلينا", "probability": 0.6165771484375}, {"start": 2216.1, "end": 2216.74, "word": " ناخد", "probability": 0.9757486979166666}, {"start": 2216.74, "end": 2217.26, "word": " I", "probability": 0.7451171875}, {"start": 2217.26, "end": 2217.82, "word": " let", "probability": 0.7197265625}, {"start": 2217.82, "end": 2220.22, "word": " I", "probability": 0.94970703125}, {"start": 2220.22, "end": 2220.62, "word": " be", "probability": 0.83740234375}, {"start": 2220.62, "end": 2221.54, "word": " closed", "probability": 0.91357421875}, {"start": 2221.54, "end": 2223.36, "word": " and", "probability": 0.95751953125}, {"start": 2223.36, "end": 2223.88, "word": " bounded", "probability": 0.9619140625}, {"start": 2223.88, "end": 2224.58, "word": " interval", "probability": 0.98046875}, {"start": 2224.58, "end": 2225.1, "word": " be", "probability": 0.493896484375}, {"start": 2225.1, "end": 2226.04, "word": " closed", "probability": 0.92333984375}, {"start": 2226.04, "end": 2230.74, "word": " and", "probability": 0.95654296875}, {"start": 2230.74, "end": 2231.58, "word": " bounded", "probability": 0.95068359375}, {"start": 2231.58, "end": 2236.5, "word": " interval", "probability": 0.9814453125}], "temperature": 1.0}, {"id": 77, "seek": 226769, "start": 2238.72, "end": 2267.7, "text": "لو كانت F F from I to R is continuous is continuous on I then F is bounded on I لإن لو كان مجلة ده close bounded interval", "tokens": [1211, 2407, 25961, 2655, 479, 479, 490, 286, 281, 497, 307, 10957, 307, 10957, 322, 286, 550, 479, 307, 37498, 322, 286, 5296, 28814, 1863, 45164, 25961, 3714, 7435, 37977, 11778, 3224, 1998, 37498, 15035], "avg_logprob": -0.3328993047277133, "compression_ratio": 1.2589285714285714, "no_speech_prob": 0.0, "words": [{"start": 2238.72, "end": 2239.18, "word": "لو", "probability": 0.833251953125}, {"start": 2239.18, "end": 2239.94, "word": " كانت", "probability": 0.94287109375}, {"start": 2239.94, "end": 2240.3, "word": " F", "probability": 0.239013671875}, {"start": 2240.3, "end": 2240.84, "word": " F", "probability": 0.404541015625}, {"start": 2240.84, "end": 2242.38, "word": " from", "probability": 0.74462890625}, {"start": 2242.38, "end": 2242.92, "word": " I", "probability": 0.94921875}, {"start": 2242.92, "end": 2243.24, "word": " to", "probability": 0.9462890625}, {"start": 2243.24, "end": 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absolute", "probability": 0.908203125}, {"start": 2421.4, "end": 2422.34, "word": " value", "probability": 0.99365234375}, {"start": 2422.34, "end": 2424.86, "word": " اذا", "probability": 0.729736328125}, {"start": 2424.86, "end": 2425.56, "word": " يوجد", "probability": 0.8430989583333334}, {"start": 2425.56, "end": 2425.8, "word": " هيك", "probability": 0.7120361328125}, {"start": 2425.8, "end": 2426.08, "word": " بنكون", "probability": 0.786376953125}, {"start": 2426.08, "end": 2426.82, "word": " كوّننا", "probability": 0.7271484375}, {"start": 2426.82, "end": 2427.98, "word": " so", "probability": 0.341796875}, {"start": 2427.98, "end": 2428.34, "word": " there", "probability": 0.86328125}, {"start": 2428.34, "end": 2428.82, "word": " exist", "probability": 0.55078125}, {"start": 2428.82, "end": 2429.06, "word": " a", "probability": 0.9072265625}, {"start": 2429.06, "end": 2429.78, "word": " sequence", "probability": 0.97216796875}, {"start": 2429.78, "end": 2431.52, "word": " x", "probability": 0.6640625}, {"start": 2431.52, "end": 2431.96, "word": " in", "probability": 0.341552734375}, {"start": 2431.96, "end": 2432.84, "word": " contained", "probability": 0.556640625}, {"start": 2432.84, "end": 2433.1, "word": " in", "probability": 0.8359375}, {"start": 2433.1, "end": 2433.52, "word": " I", "probability": 0.86572265625}, {"start": 2433.52, "end": 2438.18, "word": " such", "probability": 0.92626953125}, {"start": 2438.18, "end": 2438.74, "word": " that", "probability": 0.95849609375}], "temperature": 1.0}, {"id": 84, "seek": 246853, "start": 2442.11, "end": 2468.53, "text": "absolute f of x in أكبر من n for all n belong to n خليني أسميها دستار طيب since ال sequence x in contained in I", "tokens": [17243, 401, 1169, 283, 295, 2031, 294, 5551, 4117, 26890, 9154, 297, 337, 439, 297, 5784, 281, 297, 16490, 1211, 9957, 1829, 5551, 38251, 1829, 11296, 11778, 14851, 9640, 23032, 1829, 3555, 1670, 2423, 8310, 2031, 294, 16212, 294, 286], "avg_logprob": -0.24657011032104492, "compression_ratio": 1.104, "no_speech_prob": 0.0, "words": [{"start": 2442.11, "end": 2443.11, "word": "absolute", "probability": 0.7967122395833334}, {"start": 2443.11, "end": 2443.45, "word": " f", "probability": 0.41845703125}, {"start": 2443.45, "end": 2443.81, "word": " of", "probability": 0.71923828125}, {"start": 2443.81, "end": 2444.29, "word": " x", "probability": 0.89892578125}, {"start": 2444.29, "end": 2444.89, "word": " in", "probability": 0.286376953125}, {"start": 2444.89, "end": 2446.03, "word": " أكبر", "probability": 0.9044596354166666}, {"start": 2446.03, "end": 2446.25, "word": " من", "probability": 0.99169921875}, {"start": 2446.25, "end": 2446.53, "word": " n", "probability": 0.71728515625}, {"start": 2446.53, "end": 2446.87, "word": " for", "probability": 0.8056640625}, {"start": 2446.87, "end": 2447.33, "word": " all", "probability": 0.955078125}, {"start": 2447.33, "end": 2447.69, "word": " n", "probability": 0.88037109375}, {"start": 2447.69, "end": 2448.05, "word": " belong", "probability": 0.446044921875}, {"start": 2448.05, "end": 2448.49, "word": " to", "probability": 0.9755859375}, {"start": 2448.49, "end": 2448.93, "word": " n", "probability": 0.57080078125}, {"start": 2448.93, "end": 2449.97, "word": " خليني", "probability": 0.7689208984375}, {"start": 2449.97, "end": 2450.69, "word": " أسميها", "probability": 0.8189697265625}, {"start": 2450.69, "end": 2451.31, "word": " دستار", "probability": 0.7142740885416666}, {"start": 2451.31, "end": 2455.69, "word": " طيب", "probability": 0.8819986979166666}, {"start": 2455.69, "end": 2456.21, "word": " since", "probability": 0.5625}, {"start": 2456.21, "end": 2458.87, "word": " ال", "probability": 0.87744140625}, {"start": 2458.87, "end": 2459.47, "word": " sequence", "probability": 0.95849609375}, {"start": 2459.47, "end": 2459.95, "word": " x", "probability": 0.96435546875}, {"start": 2459.95, "end": 2460.49, "word": " in", "probability": 0.91796875}, {"start": 2460.49, "end": 2463.77, "word": " contained", "probability": 0.82470703125}, {"start": 2463.77, "end": 2467.99, "word": " in", "probability": 0.9560546875}, {"start": 2467.99, "end": 2468.53, "word": " I", "probability": 0.78515625}], "temperature": 1.0}, {"id": 85, "seek": 249963, "start": 2471.61, "end": 2499.63, "text": "والـ I عبارة عن الفترة المغلقة من A ل B إذا X in is bounded لأن كل حدود ال sequence محصورة X in أكبر من أو ساوي A أصفر من أو ساوي B لكل M هذه ال sequence محدودة من أسفل ومحدودة من أعلى كل حدودها محصورة بين A وB إذا ال sequence هذه bounded صح؟", "tokens": [2407, 6027, 39184, 286, 6225, 3555, 9640, 3660, 18871, 27188, 2655, 25720, 9673, 17082, 1211, 28671, 9154, 316, 5296, 363, 11933, 15730, 1783, 294, 307, 37498, 5296, 33456, 28242, 11331, 3215, 23328, 2423, 8310, 3714, 5016, 9381, 13063, 3660, 1783, 294, 5551, 4117, 26890, 9154, 34051, 8608, 995, 45865, 316, 5551, 9381, 5172, 2288, 9154, 34051, 8608, 995, 45865, 363, 5296, 28820, 376, 29538, 2423, 8310, 3714, 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0.77880859375}, {"start": 2483.65, "end": 2484.65, "word": " محصورة", "probability": 0.97119140625}, {"start": 2484.65, "end": 2486.25, "word": " X", "probability": 0.1517333984375}, {"start": 2486.25, "end": 2486.69, "word": " in", "probability": 0.89306640625}, {"start": 2486.69, "end": 2487.23, "word": " أكبر", "probability": 0.9498697916666666}, {"start": 2487.23, "end": 2487.45, "word": " من", "probability": 0.78515625}, {"start": 2487.45, "end": 2487.65, "word": " أو", "probability": 0.9306640625}, {"start": 2487.65, "end": 2488.17, "word": " ساوي", "probability": 0.7644856770833334}, {"start": 2488.17, "end": 2488.41, "word": " A", "probability": 0.92138671875}, {"start": 2488.41, "end": 2488.89, "word": " أصفر", "probability": 0.79888916015625}, {"start": 2488.89, "end": 2489.01, "word": " من", "probability": 0.98291015625}, {"start": 2489.01, "end": 2489.17, "word": " أو", "probability": 0.92431640625}, {"start": 2489.17, "end": 2489.59, "word": " ساوي", "probability": 0.9765625}, {"start": 2489.59, "end": 2489.81, "word": " B", "probability": 0.98095703125}, {"start": 2489.81, "end": 2490.25, "word": " لكل", "probability": 0.988037109375}, {"start": 2490.25, "end": 2490.55, "word": " M", "probability": 0.352783203125}, {"start": 2490.55, "end": 2491.95, "word": " هذه", "probability": 0.4501953125}, {"start": 2491.95, "end": 2492.07, "word": " ال", "probability": 0.91357421875}, {"start": 2492.07, "end": 2492.39, "word": " sequence", "probability": 0.95751953125}, {"start": 2492.39, "end": 2492.97, "word": " محدودة", "probability": 0.97900390625}, {"start": 2492.97, "end": 2493.09, "word": " من", "probability": 0.9912109375}, {"start": 2493.09, "end": 2493.51, "word": " أسفل", "probability": 0.93798828125}, {"start": 2493.51, "end": 2493.95, "word": " ومحدودة", "probability": 0.93623046875}, {"start": 2493.95, "end": 2494.09, "word": " من", "probability": 0.9931640625}, {"start": 2494.09, "end": 2494.43, "word": " أعلى", "probability": 0.9405924479166666}, {"start": 2494.43, "end": 2494.77, "word": " كل", "probability": 0.79931640625}, {"start": 2494.77, "end": 2495.35, "word": " حدودها", "probability": 0.994873046875}, {"start": 2495.35, "end": 2496.39, "word": " محصورة", "probability": 0.9919921875}, {"start": 2496.39, "end": 2496.59, "word": " بين", "probability": 0.9072265625}, {"start": 2496.59, "end": 2496.77, "word": " A", "probability": 0.970703125}, {"start": 2496.77, "end": 2497.15, "word": " وB", "probability": 0.808837890625}, {"start": 2497.15, "end": 2497.81, "word": " إذا", "probability": 0.90966796875}, {"start": 2497.81, "end": 2497.99, "word": " ال", "probability": 0.82177734375}, {"start": 2497.99, "end": 2498.35, "word": " sequence", "probability": 0.96630859375}, {"start": 2498.35, "end": 2498.63, "word": " هذه", "probability": 0.6630859375}, {"start": 2498.63, "end": 2498.95, "word": " bounded", "probability": 0.9287109375}, {"start": 2498.95, "end": 2499.63, "word": " صح؟", "probability": 0.9029947916666666}], "temperature": 1.0}, {"id": 86, "seek": 252894, "start": 2500.27, "end": 2528.95, "text": "وبالتالي So by Bolzano-Weierstrass theorem نظرية Bolzano-Weierstrass بتقول كل bounded sequence has a convergent subsequence لإن هنا there exists a subsequence سمية X in R of a sequence X in", "tokens": [37746, 6027, 2655, 6027, 1829, 407, 538, 14331, 89, 3730, 12, 4360, 811, 9733, 640, 20904, 8717, 19913, 2288, 10632, 14331, 89, 3730, 12, 4360, 811, 9733, 640, 39894, 39648, 28242, 37498, 8310, 575, 257, 9652, 6930, 13924, 655, 5296, 28814, 1863, 34105, 456, 8198, 257, 13924, 655, 8608, 2304, 10632, 1783, 294, 497, 295, 257, 8310, 1783, 294], "avg_logprob": -0.34192709624767303, "compression_ratio": 1.3518518518518519, "no_speech_prob": 0.0, "words": [{"start": 2500.27, "end": 2501.57, "word": "وبالتالي", "probability": 0.92353515625}, {"start": 2501.57, "end": 2504.81, "word": " So", "probability": 0.068359375}, {"start": 2504.81, "end": 2505.59, "word": " by", "probability": 0.7353515625}, {"start": 2505.59, "end": 2507.11, "word": " Bolzano", "probability": 0.8087565104166666}, {"start": 2507.11, "end": 2509.05, "word": "-Weierstrass", "probability": 0.738037109375}, {"start": 2509.05, "end": 2509.61, "word": " theorem", "probability": 0.85400390625}, {"start": 2509.61, "end": 2511.87, "word": " نظرية", "probability": 0.8966064453125}, {"start": 2511.87, "end": 2512.47, "word": " Bolzano", "probability": 0.7577311197916666}, {"start": 2512.47, "end": 2513.21, "word": "-Weierstrass", "probability": 0.942578125}, {"start": 2513.21, "end": 2513.61, "word": " بتقول", "probability": 0.9384765625}, {"start": 2513.61, "end": 2513.93, "word": " كل", "probability": 0.5947265625}, {"start": 2513.93, "end": 2514.35, "word": " bounded", "probability": 0.238525390625}, {"start": 2514.35, "end": 2514.99, "word": " sequence", "probability": 0.95556640625}, {"start": 2514.99, "end": 2515.27, "word": " has", "probability": 0.72998046875}, {"start": 2515.27, "end": 2515.41, "word": " a", "probability": 0.974609375}, {"start": 2515.41, "end": 2515.91, "word": " convergent", "probability": 0.770263671875}, {"start": 2515.91, "end": 2517.05, "word": " subsequence", "probability": 0.984619140625}, {"start": 2517.05, "end": 2517.87, "word": " لإن", "probability": 0.4503987630208333}, {"start": 2517.87, "end": 2518.25, "word": " هنا", "probability": 0.9853515625}, {"start": 2518.25, "end": 2518.85, "word": " there", "probability": 0.58740234375}, {"start": 2518.85, "end": 2519.39, "word": " exists", "probability": 0.5234375}, {"start": 2519.39, "end": 2519.79, "word": " a", "probability": 0.96435546875}, {"start": 2519.79, "end": 2521.61, "word": " subsequence", "probability": 0.9951171875}, {"start": 2521.61, "end": 2523.33, "word": " سمية", "probability": 0.7051595052083334}, {"start": 2523.33, "end": 2523.79, "word": " X", "probability": 0.7177734375}, {"start": 2523.79, "end": 2524.29, "word": " in", "probability": 0.251220703125}, {"start": 2524.29, "end": 2524.93, "word": " R", "probability": 0.98779296875}, {"start": 2524.93, "end": 2526.83, "word": " of", "probability": 0.92919921875}, {"start": 2526.83, "end": 2527.17, "word": " a", "probability": 0.33984375}, {"start": 2527.17, "end": 2527.83, "word": " sequence", "probability": 0.9716796875}, {"start": 2527.83, "end": 2528.49, "word": " X", "probability": 0.96142578125}, {"start": 2528.49, "end": 2528.95, "word": " in", "probability": 0.89990234375}], "temperature": 1.0}, {"id": 87, "seek": 255679, "start": 2532.27, "end": 2556.79, "text": "which converges وهذه الـ subsequence converges say خلّينا نفترض إنه limit لـ subsequence x in R as R tends to infinity بساوي x تمام؟ since", "tokens": [13690, 9652, 2880, 37037, 24192, 2423, 39184, 13924, 655, 9652, 2880, 584, 16490, 1211, 11703, 9957, 995, 8717, 5172, 2655, 43042, 36145, 3224, 4948, 5296, 39184, 13924, 655, 2031, 294, 497, 382, 497, 12258, 281, 13202, 4724, 3794, 995, 45865, 2031, 46811, 10943, 22807, 1670], "avg_logprob": -0.39436140138169995, "compression_ratio": 1.2127659574468086, "no_speech_prob": 0.0, "words": [{"start": 2532.2699999999995, "end": 2533.5899999999997, "word": "which", "probability": 0.06304931640625}, {"start": 2533.5899999999997, "end": 2534.91, "word": " converges", "probability": 0.6531982421875}, {"start": 2534.91, "end": 2535.97, "word": " وهذه", "probability": 0.5712890625}, {"start": 2535.97, "end": 2536.25, "word": " الـ", "probability": 0.40625}, {"start": 2536.25, "end": 2537.11, "word": " subsequence", "probability": 0.9306640625}, {"start": 2537.11, "end": 2538.79, "word": " converges", "probability": 0.7685546875}, {"start": 2538.79, "end": 2539.59, "word": " say", "probability": 0.300048828125}, {"start": 2539.59, "end": 2541.87, "word": " خلّينا", "probability": 0.80556640625}, {"start": 2541.87, "end": 2542.35, "word": " نفترض", "probability": 0.9779052734375}, {"start": 2542.35, "end": 2542.71, "word": " إنه", "probability": 0.39599609375}, {"start": 2542.71, "end": 2543.15, "word": " limit", "probability": 0.78515625}, {"start": 2543.15, "end": 2544.67, "word": " لـ", "probability": 0.421142578125}, {"start": 2544.67, "end": 2545.49, "word": " subsequence", "probability": 0.97802734375}, {"start": 2545.49, "end": 2545.79, "word": " x", "probability": 0.57666015625}, {"start": 2545.79, "end": 2546.15, "word": " in", "probability": 0.83251953125}, {"start": 2546.15, "end": 2546.67, "word": " R", "probability": 0.9482421875}, {"start": 2546.67, "end": 2547.19, "word": " as", "probability": 0.78955078125}, {"start": 2547.19, "end": 2547.55, "word": " R", "probability": 0.93603515625}, {"start": 2547.55, "end": 2547.89, "word": " tends", "probability": 0.377685546875}, {"start": 2547.89, "end": 2548.05, "word": " to", "probability": 0.8779296875}, {"start": 2548.05, "end": 2548.73, "word": " infinity", "probability": 0.84423828125}, {"start": 2548.73, "end": 2550.79, "word": " بساوي", "probability": 0.8634033203125}, {"start": 2550.79, "end": 2551.45, "word": " x", "probability": 0.66015625}, {"start": 2551.45, "end": 2554.15, "word": " تمام؟", "probability": 0.8098958333333334}, {"start": 2554.15, "end": 2556.79, "word": " since", "probability": 0.8564453125}], "temperature": 1.0}, {"id": 88, "seek": 258031, "start": 2558.33, "end": 2580.31, "text": "الـ X in R أكبر من أو ساوي A أصغر من أو ساوي B لكل R في N الـ sequence X in contained in I وهذه subsequence منها لأن علاصتها موجودة في I بالتالي محصورة بين A وB والsequence هذه converge ل X", "tokens": [6027, 39184, 1783, 294, 497, 5551, 4117, 26890, 9154, 34051, 8608, 995, 45865, 316, 5551, 9381, 17082, 2288, 9154, 34051, 8608, 995, 45865, 363, 5296, 28820, 497, 8978, 426, 2423, 39184, 8310, 1783, 294, 16212, 294, 286, 37037, 24192, 13924, 655, 9154, 11296, 5296, 33456, 11203, 33546, 2655, 11296, 3714, 29245, 23328, 3660, 8978, 286, 20666, 2655, 6027, 1829, 3714, 5016, 9381, 13063, 3660, 49374, 316, 4032, 33, 16070, 11834, 655, 29538, 41881, 5296, 1783], "avg_logprob": 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2677.59, "end": 2677.73, "word": " اللي", "probability": 0.771728515625}, {"start": 2677.73, "end": 2677.91, "word": " هي", "probability": 0.88330078125}, {"start": 2677.91, "end": 2678.41, "word": " sequence", "probability": 0.818359375}, {"start": 2678.41, "end": 2679.27, "word": " اخرى", "probability": 0.84521484375}, {"start": 2679.27, "end": 2680.33, "word": " convergent", "probability": 0.6676025390625}, {"start": 2680.33, "end": 2681.97, "word": " وبالتالي", "probability": 0.90859375}, {"start": 2681.97, "end": 2682.33, "word": " فهي", "probability": 0.9811197916666666}, {"start": 2682.33, "end": 2682.75, "word": " bounded", "probability": 0.87060546875}, {"start": 2682.75, "end": 2683.55, "word": " okay", "probability": 0.39697265625}, {"start": 2683.55, "end": 2684.71, "word": " تمام", "probability": 0.8271484375}, {"start": 2684.71, "end": 2685.91, "word": " اذا", "probability": 0.6141357421875}, {"start": 2685.91, "end": 2687.91, "word": " it", "probability": 0.74951171875}, {"start": 2687.91, "end": 2688.53, "word": " follows", "probability": 0.8466796875}, {"start": 2688.53, "end": 2693.75, "word": " thus", "probability": 0.5869140625}, {"start": 2693.75, "end": 2696.33, "word": " the", "probability": 0.7421875}, {"start": 2696.33, "end": 2697.21, "word": " sequence", "probability": 0.982421875}], "temperature": 1.0}, {"id": 93, "seek": 272326, "start": 2700.2, "end": 2723.26, "text": "اللي هي f of x in R من R بالساوية واحدة لإنفينيتي is bounded لإن أنا convergence كل convergence sequence is bounded حسب نظرية السابقة وبالتالي so there exist", "tokens": [6027, 20292, 39896, 283, 295, 2031, 294, 497, 9154, 497, 20666, 3794, 995, 2407, 10632, 36764, 24401, 3660, 5296, 28814, 1863, 5172, 9957, 1829, 31371, 307, 37498, 5296, 28814, 1863, 41850, 32181, 28242, 32181, 8310, 307, 37498, 11331, 35457, 8717, 19913, 2288, 10632, 21136, 16758, 28671, 46599, 6027, 2655, 6027, 1829, 370, 456, 2514], "avg_logprob": -0.32045455195687034, "compression_ratio": 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لإنفينيتي", "probability": 0.6996721540178571}, {"start": 2708.66, "end": 2710.4, "word": " is", "probability": 0.436767578125}, {"start": 2710.4, "end": 2711.12, "word": " bounded", "probability": 0.93603515625}, {"start": 2711.12, "end": 2714.12, "word": " لإن", "probability": 0.6300862630208334}, {"start": 2714.12, "end": 2714.38, "word": " أنا", "probability": 0.5625}, {"start": 2714.38, "end": 2714.96, "word": " convergence", "probability": 0.35791015625}, {"start": 2714.96, "end": 2715.38, "word": " كل", "probability": 0.7666015625}, {"start": 2715.38, "end": 2715.98, "word": " convergence", "probability": 0.68994140625}, {"start": 2715.98, "end": 2716.58, "word": " sequence", "probability": 0.9150390625}, {"start": 2716.58, "end": 2716.86, "word": " is", "probability": 0.92333984375}, {"start": 2716.86, "end": 2717.3, "word": " bounded", "probability": 0.93798828125}, {"start": 2717.3, "end": 2718.22, "word": " حسب", "probability": 0.94091796875}, {"start": 2718.22, "end": 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2790.07, "word": " أو", "probability": 0.63037109375}, {"start": 2790.07, "end": 2790.39, "word": " خلّيني", "probability": 0.665283203125}, {"start": 2790.39, "end": 2790.99, "word": " أسميه", "probability": 0.813232421875}, {"start": 2790.99, "end": 2791.75, "word": " R0", "probability": 0.5670166015625}, {"start": 2791.75, "end": 2792.45, "word": " ينتمي", "probability": 0.9700927734375}, {"start": 2792.45, "end": 2792.75, "word": " إلى", "probability": 0.9541015625}, {"start": 2792.75, "end": 2793.25, "word": " N", "probability": 0.95947265625}, {"start": 2793.25, "end": 2794.45, "word": " بحيث", "probability": 0.977294921875}, {"start": 2794.45, "end": 2794.85, "word": " أنه", "probability": 0.604736328125}, {"start": 2794.85, "end": 2796.01, "word": " R0", "probability": 0.8388671875}, {"start": 2796.01, "end": 2797.41, "word": " أكبر", "probability": 0.9480794270833334}, {"start": 2797.41, "end": 2797.75, "word": " من", "probability": 0.98828125}, {"start": 2797.75, "end": 2798.11, "word": " M", "probability": 0.94091796875}, {"start": 2798.11, "end": 2801.39, "word": " صح؟", "probability": 0.8414713541666666}, {"start": 2801.39, "end": 2801.91, "word": " لأي", "probability": 0.9529622395833334}, {"start": 2801.91, "end": 2802.29, "word": " عدد", "probability": 0.9827473958333334}, {"start": 2802.29, "end": 2802.85, "word": " حقيقي", "probability": 0.9853515625}, {"start": 2802.85, "end": 2803.19, "word": " سواء", "probability": 0.9410807291666666}, {"start": 2803.19, "end": 2803.55, "word": " موجب", "probability": 0.9090169270833334}, {"start": 2803.55, "end": 2803.73, "word": " أو", "probability": 0.98486328125}, {"start": 2803.73, "end": 2804.21, "word": " سالب", "probability": 0.9765625}, {"start": 2804.21, "end": 2804.91, "word": " فيه", "probability": 0.645751953125}, {"start": 2804.91, "end": 2805.23, "word": " دائما", "probability": 0.7696940104166666}, {"start": 2805.23, "end": 2805.69, "word": " عدد", "probability": 0.9889322916666666}, {"start": 2805.69, "end": 2806.37, "word": " طبيعي", "probability": 0.985107421875}, {"start": 2806.37, "end": 2806.91, "word": " أكبر", "probability": 0.97998046875}, {"start": 2806.91, "end": 2807.73, "word": " منه", "probability": 0.981201171875}, {"start": 2807.73, "end": 2809.51, "word": " now", "probability": 0.349609375}, {"start": 2809.51, "end": 2812.09, "word": " by", "probability": 0.83544921875}, {"start": 2812.09, "end": 2812.81, "word": " star", "probability": 0.5810546875}], "temperature": 1.0}, {"id": 97, "seek": 284150, "start": 2814.14, "end": 2841.5, "text": "and double star we have لدينا انه ال M أكبر من أو يساوي absolute F of X in R0 صح؟ هاي من هنا خدي R بساوي R0 فهذا الكلام صحيح هذا من double star", "tokens": [474, 3834, 3543, 321, 362, 5296, 16254, 8315, 16472, 3224, 2423, 376, 5551, 4117, 26890, 9154, 34051, 7251, 3794, 995, 45865, 8236, 479, 295, 1783, 294, 497, 15, 20328, 5016, 22807, 8032, 47302, 9154, 34105, 16490, 16254, 497, 4724, 3794, 995, 45865, 497, 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"probability": 0.8225911458333334}, {"start": 2825.22, "end": 2825.62, "word": " من", "probability": 0.95458984375}, {"start": 2825.62, "end": 2826.02, "word": " أو", "probability": 0.5869140625}, {"start": 2826.02, "end": 2826.88, "word": " يساوي", "probability": 0.957275390625}, {"start": 2826.88, "end": 2827.6, "word": " absolute", "probability": 0.85498046875}, {"start": 2827.6, "end": 2828.58, "word": " F", "probability": 0.346435546875}, {"start": 2828.58, "end": 2829.72, "word": " of", "probability": 0.9453125}, {"start": 2829.72, "end": 2830.18, "word": " X", "probability": 0.96142578125}, {"start": 2830.18, "end": 2830.74, "word": " in", "probability": 0.87744140625}, {"start": 2830.74, "end": 2832.0, "word": " R0", "probability": 0.646484375}, {"start": 2832.0, "end": 2833.26, "word": " صح؟", "probability": 0.654541015625}, {"start": 2833.26, "end": 2833.7, "word": " هاي", "probability": 0.380126953125}, {"start": 2833.7, "end": 2833.88, "word": " من", "probability": 0.9892578125}, {"start": 2833.88, "end": 2834.18, "word": " هنا", "probability": 0.98974609375}, {"start": 2834.18, "end": 2835.44, "word": " خدي", "probability": 0.822509765625}, {"start": 2835.44, "end": 2835.76, "word": " R", "probability": 0.91650390625}, {"start": 2835.76, "end": 2836.24, "word": " بساوي", "probability": 0.855712890625}, {"start": 2836.24, "end": 2836.96, "word": " R0", "probability": 0.8359375}, {"start": 2836.96, "end": 2837.42, "word": " فهذا", "probability": 0.7378743489583334}, {"start": 2837.42, "end": 2837.78, "word": " الكلام", "probability": 0.9189453125}, {"start": 2837.78, "end": 2838.32, "word": " صحيح", "probability": 0.9676513671875}, {"start": 2838.32, "end": 2840.04, "word": " هذا", "probability": 0.587890625}, {"start": 2840.04, "end": 2840.38, "word": " من", "probability": 0.99462890625}, {"start": 2840.38, "end": 2840.94, "word": " double", "probability": 0.82763671875}, {"start": 2840.94, "end": 2841.5, "word": " star", "probability": 0.94384765625}], "temperature": 1.0}, {"id": 98, "seek": 286727, "start": 2844.01, "end": 2867.27, "text": "و من star هذا أكبر من .. إذا من star f of x in R0 أكبر من in R0 هذا صحيح لكل عناصر ال sequence x in وبالتالي صحيح لكل عناصر ال subsequence x in R", "tokens": [2407, 9154, 3543, 23758, 5551, 4117, 26890, 9154, 4386, 11933, 15730, 9154, 3543, 283, 295, 2031, 294, 497, 15, 5551, 4117, 26890, 9154, 294, 497, 15, 23758, 20328, 5016, 1829, 5016, 5296, 28820, 18871, 33546, 2288, 2423, 8310, 2031, 294, 46599, 6027, 2655, 6027, 1829, 20328, 5016, 1829, 5016, 5296, 28820, 18871, 33546, 2288, 2423, 13924, 655, 2031, 294, 497], "avg_logprob": -0.24193135441326705, "compression_ratio": 1.6299212598425197, "no_speech_prob": 0.0, "words": [{"start": 2844.01, "end": 2844.33, "word": "و", "probability": 0.26025390625}, {"start": 2844.33, "end": 2844.89, "word": " من", "probability": 0.497314453125}, {"start": 2844.89, "end": 2845.61, "word": " star", "probability": 0.377197265625}, {"start": 2845.61, "end": 2847.67, "word": " هذا", "probability": 0.37158203125}, {"start": 2847.67, "end": 2848.37, "word": " أكبر", "probability": 0.84619140625}, {"start": 2848.37, "end": 2848.67, "word": " من", "probability": 0.9736328125}, {"start": 2848.67, "end": 2848.79, "word": " ..", "probability": 0.1739501953125}, {"start": 2848.79, "end": 2848.99, "word": " إذا", "probability": 0.6043701171875}, {"start": 2848.99, "end": 2849.25, "word": " من", "probability": 0.98681640625}, {"start": 2849.25, "end": 2849.87, "word": " star", "probability": 0.53759765625}, {"start": 2849.87, "end": 2850.83, "word": " f", "probability": 0.489990234375}, {"start": 2850.83, "end": 2851.09, "word": " of", "probability": 0.396240234375}, {"start": 2851.09, "end": 2851.41, "word": " x", "probability": 0.8681640625}, {"start": 2851.41, "end": 2851.91, "word": " in", "probability": 0.306640625}, {"start": 2851.91, "end": 2852.97, "word": " R0", "probability": 0.47894287109375}, {"start": 2852.97, "end": 2854.09, "word": " أكبر", "probability": 0.9684244791666666}, {"start": 2854.09, "end": 2854.45, "word": " من", "probability": 0.99658203125}, {"start": 2854.45, "end": 2854.89, "word": " in", "probability": 0.31591796875}, {"start": 2854.89, "end": 2856.15, "word": " R0", "probability": 0.971923828125}, {"start": 2856.15, "end": 2858.77, "word": " هذا", "probability": 0.8193359375}, {"start": 2858.77, "end": 2859.31, "word": " صحيح", "probability": 0.998046875}, {"start": 2859.31, "end": 2859.75, "word": " لكل", "probability": 0.979248046875}, {"start": 2859.75, "end": 2860.23, "word": " عناصر", "probability": 0.9747721354166666}, {"start": 2860.23, "end": 2860.37, "word": " ال", "probability": 0.82763671875}, {"start": 2860.37, "end": 2860.67, "word": " sequence", "probability": 0.892578125}, {"start": 2860.67, "end": 2861.11, "word": " x", "probability": 0.92822265625}, {"start": 2861.11, "end": 2861.45, "word": " in", "probability": 0.88525390625}, {"start": 2861.45, "end": 2862.43, "word": " وبالتالي", "probability": 0.89296875}, {"start": 2862.43, "end": 2862.81, "word": " صحيح", "probability": 0.993408203125}, {"start": 2862.81, "end": 2863.17, "word": " لكل", "probability": 0.980224609375}, {"start": 2863.17, "end": 2863.79, "word": " عناصر", "probability": 0.98974609375}, {"start": 2863.79, "end": 2864.49, "word": " ال", "probability": 0.85986328125}, {"start": 2864.49, "end": 2865.43, "word": " subsequence", "probability": 0.9189453125}, {"start": 2865.43, "end": 2866.55, "word": " x", "probability": 0.93212890625}, {"start": 2866.55, "end": 2866.95, "word": " in", "probability": 0.94384765625}, {"start": 2866.95, "end": 2867.27, "word": " R", "probability": 0.9873046875}], "temperature": 1.0}, {"id": 99, "seek": 289461, "start": 2869.73, "end": 2894.61, "text": "و in R0 من تعريف الـ subsequence دائما أكبر من أو ساوي R0 و من هنا R0 أكبر من M فنحن نحصل على M أكبر من M Contradiction فالتناقض هذا يقول لي أن ال assumption تبعي ال assumption تبعنا", "tokens": [2407, 294, 497, 15, 9154, 37279, 16572, 5172, 2423, 39184, 13924, 655, 11778, 16373, 15042, 5551, 4117, 26890, 9154, 34051, 8608, 995, 45865, 497, 15, 4032, 9154, 34105, 497, 15, 5551, 4117, 26890, 9154, 376, 6156, 1863, 5016, 1863, 8717, 5016, 36520, 15844, 376, 5551, 4117, 26890, 9154, 376, 4839, 6206, 4105, 6156, 6027, 2655, 8315, 4587, 11242, 23758, 7251, 39648, 32239, 14739, 2423, 15302, 6055, 3555, 3615, 1829, 2423, 15302, 6055, 3555, 3615, 8315], "avg_logprob": -0.34457236332328695, "compression_ratio": 1.5139664804469273, "no_speech_prob": 0.0, "words": [{"start": 2869.73, "end": 2870.03, "word": "و", "probability": 0.288330078125}, {"start": 2870.03, "end": 2870.33, "word": " in", "probability": 0.0869140625}, {"start": 2870.33, "end": 2871.13, "word": " R0", "probability": 0.7041015625}, {"start": 2871.13, "end": 2871.37, "word": " من", "probability": 0.44677734375}, {"start": 2871.37, "end": 2871.79, "word": " تعريف", "probability": 0.9684244791666666}, {"start": 2871.79, "end": 2871.93, "word": " الـ", "probability": 0.5601806640625}, {"start": 2871.93, "end": 2872.59, "word": " subsequence", "probability": 0.869873046875}, {"start": 2872.59, "end": 2872.95, "word": " دائما", "probability": 0.7465006510416666}, {"start": 2872.95, "end": 2873.49, "word": " أكبر", "probability": 0.8453776041666666}, {"start": 2873.49, "end": 2873.65, "word": " من", "probability": 0.60400390625}, {"start": 2873.65, "end": 2873.85, "word": " أو", "probability": 0.931640625}, {"start": 2873.85, "end": 2874.41, "word": " ساوي", "probability": 0.9119466145833334}, {"start": 2874.41, "end": 2875.15, "word": " R0", "probability": 0.769287109375}, {"start": 2875.15, "end": 2875.73, "word": " و", "probability": 0.8466796875}, {"start": 2875.73, "end": 2875.93, "word": " من", "probability": 0.88134765625}, {"start": 2875.93, "end": 2876.21, "word": " هنا", "probability": 0.99267578125}, {"start": 2876.21, "end": 2876.97, "word": " R0", "probability": 0.8466796875}, {"start": 2876.97, "end": 2877.59, "word": " أكبر", "probability": 0.9557291666666666}, {"start": 2877.59, "end": 2877.89, "word": " من", "probability": 0.978515625}, {"start": 2877.89, "end": 2878.35, "word": " M", "probability": 0.91015625}, {"start": 2878.35, "end": 2881.57, "word": " فنحن", "probability": 0.523193359375}, {"start": 2881.57, "end": 2881.85, "word": " نحصل", "probability": 0.7965494791666666}, {"start": 2881.85, "end": 2882.37, "word": " على", "probability": 0.421142578125}, {"start": 2882.37, "end": 2883.03, "word": " M", "probability": 0.61865234375}, {"start": 2883.03, "end": 2884.21, "word": " أكبر", "probability": 0.9557291666666666}, {"start": 2884.21, "end": 2886.55, "word": " من", "probability": 0.94189453125}, {"start": 2886.55, "end": 2887.07, "word": " M", "probability": 0.95849609375}, {"start": 2887.07, "end": 2888.25, "word": " Contradiction", "probability": 0.7117513020833334}, {"start": 2888.25, "end": 2889.91, "word": " فالتناقض", "probability": 0.7177530924479166}, {"start": 2889.91, "end": 2890.21, "word": " هذا", "probability": 0.80419921875}, {"start": 2890.21, "end": 2890.57, "word": " يقول", "probability": 0.764404296875}, {"start": 2890.57, "end": 2890.79, "word": " لي", "probability": 0.47314453125}, {"start": 2890.79, "end": 2891.01, "word": " أن", "probability": 0.62158203125}, {"start": 2891.01, "end": 2891.15, "word": " ال", "probability": 0.7685546875}, {"start": 2891.15, "end": 2891.65, "word": " assumption", "probability": 0.82373046875}, {"start": 2891.65, "end": 2892.41, "word": " تبعي", "probability": 0.90869140625}, {"start": 2892.41, "end": 2893.31, "word": " ال", "probability": 0.62841796875}, {"start": 2893.31, "end": 2893.89, "word": " assumption", "probability": 0.9306640625}, {"start": 2893.89, "end": 2894.61, "word": " تبعنا", "probability": 0.9298095703125}], "temperature": 1.0}, {"id": 100, "seek": 291285, "start": 2896.81, "end": 2912.85, "text": "إن ال function if is unbounded on I كان assumption خاطئ، إذا ليس صح إن ال function تطلع bounded على I وهذا بيكمل برهان أنبضرية، okay تمام؟ واضح؟", "tokens": [28814, 1863, 2423, 2445, 498, 307, 517, 18767, 292, 322, 286, 25961, 15302, 16490, 41193, 19986, 12399, 11933, 15730, 32239, 3794, 20328, 5016, 36145, 2423, 2445, 6055, 9566, 1211, 3615, 37498, 15844, 286, 37037, 15730, 4724, 1829, 24793, 1211, 4724, 2288, 3224, 7649, 14739, 3555, 11242, 2288, 10632, 12399, 1392, 46811, 10943, 22807, 4032, 46958, 5016, 22807], "avg_logprob": -0.2706088290132325, "compression_ratio": 1.3101265822784811, "no_speech_prob": 0.0, "words": [{"start": 2896.81, "end": 2897.07, "word": "إن", "probability": 0.6005859375}, {"start": 2897.07, "end": 2897.23, "word": " ال", "probability": 0.9091796875}, {"start": 2897.23, "end": 2897.71, "word": " function", "probability": 0.70849609375}, {"start": 2897.71, "end": 2898.25, "word": " if", "probability": 0.46728515625}, {"start": 2898.25, "end": 2898.77, "word": " is", "probability": 0.87841796875}, {"start": 2898.77, "end": 2899.75, "word": " unbounded", "probability": 0.93310546875}, {"start": 2899.75, "end": 2900.01, "word": " on", "probability": 0.759765625}, {"start": 2900.01, "end": 2900.43, "word": " I", "probability": 0.85205078125}, {"start": 2900.43, "end": 2901.75, "word": " كان", "probability": 0.94091796875}, {"start": 2901.75, "end": 2902.79, "word": " assumption", "probability": 0.89306640625}, {"start": 2902.79, "end": 2903.37, "word": " خاطئ،", "probability": 0.8118896484375}, {"start": 2903.37, "end": 2903.53, "word": " إذا", "probability": 0.7138671875}, {"start": 2903.53, "end": 2903.73, "word": " ليس", "probability": 0.6373291015625}, {"start": 2903.73, "end": 2903.93, "word": " صح", "probability": 0.988525390625}, {"start": 2903.93, "end": 2904.09, "word": " إن", "probability": 0.7412109375}, {"start": 2904.09, "end": 2904.21, "word": " ال", "probability": 0.98974609375}, {"start": 2904.21, "end": 2904.57, "word": " function", "probability": 0.94921875}, {"start": 2904.57, "end": 2905.19, "word": " تطلع", "probability": 0.8743896484375}, {"start": 2905.19, "end": 2906.21, "word": " bounded", "probability": 0.919921875}, {"start": 2906.21, "end": 2906.59, "word": " على", "probability": 0.8388671875}, {"start": 2906.59, "end": 2906.87, "word": " I", "probability": 0.98779296875}, {"start": 2906.87, "end": 2907.19, "word": " وهذا", "probability": 0.753662109375}, {"start": 2907.19, "end": 2907.85, "word": " بيكمل", "probability": 0.90673828125}, {"start": 2907.85, "end": 2909.25, "word": " برهان", "probability": 0.9525146484375}, {"start": 2909.25, "end": 2910.35, "word": " أنبضرية،", "probability": 0.5751953125}, {"start": 2910.35, "end": 2910.65, "word": " okay", "probability": 0.69482421875}, {"start": 2910.65, "end": 2911.83, "word": " تمام؟", "probability": 0.6962890625}, {"start": 2911.83, "end": 2912.85, "word": " واضح؟", "probability": 0.95556640625}], "temperature": 1.0}, {"id": 101, "seek": 294165, "start": 2927.09, "end": 2941.65, "text": "طيب ناخد احنا شوية break نكتفي بهذا القدر و هناخد ان شاء الله break و نواصل في اللقاء القادم", "tokens": [9566, 1829, 3555, 8717, 47283, 3215, 1975, 5016, 8315, 13412, 2407, 10632, 1821, 8717, 4117, 2655, 41185, 39627, 15730, 25062, 3215, 2288, 4032, 8032, 1863, 47283, 3215, 16472, 13412, 16606, 21984, 1821, 4032, 8717, 2407, 33546, 1211, 8978, 13672, 4587, 16606, 25062, 18513, 2304], "avg_logprob": -0.0470052076710595, "compression_ratio": 1.4444444444444444, "no_speech_prob": 0.0, "words": [{"start": 2927.09, "end": 2927.51, "word": "طيب", "probability": 0.9913736979166666}, {"start": 2927.51, "end": 2927.97, "word": " ناخد", "probability": 0.9825846354166666}, {"start": 2927.97, "end": 2928.37, "word": " احنا", "probability": 0.97216796875}, {"start": 2928.37, "end": 2929.01, "word": " شوية", "probability": 0.9625651041666666}, {"start": 2929.01, "end": 2929.61, "word": " break", "probability": 0.99658203125}, {"start": 2929.61, "end": 2933.65, "word": " نكتفي", "probability": 0.8990478515625}, {"start": 2933.65, "end": 2934.03, "word": " بهذا", "probability": 0.969482421875}, {"start": 2934.03, "end": 2934.69, "word": " القدر", "probability": 0.99462890625}, {"start": 2934.69, "end": 2936.09, "word": " و", "probability": 0.98486328125}, {"start": 2936.09, "end": 2936.85, "word": " هناخد", "probability": 0.931884765625}, {"start": 2936.85, "end": 2937.01, "word": " ان", "probability": 0.88525390625}, {"start": 2937.01, "end": 2937.21, "word": " شاء", "probability": 0.98828125}, {"start": 2937.21, "end": 2937.35, "word": " الله", "probability": 0.96484375}, {"start": 2937.35, "end": 2938.09, "word": " break", "probability": 0.99169921875}, {"start": 2938.09, "end": 2938.89, "word": " و", "probability": 0.994140625}, {"start": 2938.89, "end": 2939.79, "word": " نواصل", "probability": 0.9056396484375}, {"start": 2939.79, "end": 2940.71, "word": " في", "probability": 0.783203125}, {"start": 2940.71, "end": 2941.15, "word": " اللقاء", "probability": 0.9938151041666666}, {"start": 2941.15, "end": 2941.65, "word": " القادم", "probability": 0.994140625}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2942.29325, "duration_after_vad": 2640.1434687499886}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/0MG_WyJdBaA_raw.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/0MG_WyJdBaA_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..145e44a4dc93f14dfde1a747e09d44f82eb9eb37
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/0MG_WyJdBaA_raw.srt
@@ -0,0 +1,1600 @@
+1
+00:00:01,430 --> 00:00:05,370
+بسم الله الرحمن الرحيم مرة تانية ان شاء الله هنبدأ
+
+2
+00:00:05,370 --> 00:00:10,610
+الآن نكمل محاضرة الـ hypertensionhigh blood
+
+3
+00:00:10,610 --> 00:00:17,210
+pressure part 2 الجزء التاني كنا اتحدثنا وحكينا عن
+
+4
+00:00:17,210 --> 00:00:21,470
+ال statistics وقلنا عن اهم definition of
+
+5
+00:00:21,470 --> 00:00:25,250
+hypertension sustained elevation of the systolic
+
+6
+00:00:25,250 --> 00:00:30,850
+blood pressure أكتر من 139 سيستوليك وديستوليك اكتر
+
+7
+00:00:30,850 --> 00:00:35,210
+من 89 وطبعا ماينفعش اجيس مرة واحدة واجول الناس انت
+
+8
+00:00:35,210 --> 00:00:41,720
+في عندك ضغط وماينفعش اجيس اتحاد الظروفوانه المريض
+
+9
+00:00:41,720 --> 00:00:47,320
+الانسان اللى بده يجيس ماخد كفائين وعمل exercise و
+
+10
+00:00:47,320 --> 00:00:51,420
+smoking في اخر تلاتين دقيقة وانه ال cuff تبع ال
+
+11
+00:00:51,420 --> 00:00:57,360
+مجياز الدغط لابد انه يكون مناسب وانجيس اكتر من مرة
+
+12
+00:00:57,360 --> 00:01:01,580
+وكنا عملنا classification اذا فاكرين لل blood
+
+13
+00:01:01,580 --> 00:01:04,980
+pressure normal pre hypertension stage one
+
+14
+00:01:04,980 --> 00:01:08,480
+hypertension و stage two hypertension قولنا ايش ال
+
+15
+00:01:08,480 --> 00:01:13,460
+pre hypertensionوإنه ما بحتجش علاج إلا في بعض
+
+16
+00:01:13,460 --> 00:01:23,760
+الحالات معينة وقلنا لـ Stage 1 و Stage 2 ماذا
+
+17
+00:01:23,760 --> 00:01:29,820
+تعني؟ وقلنا إن الـ hypertension من أهم الأمراض
+
+18
+00:01:29,820 --> 00:01:33,920
+اللي بتمثل risk factors إلى جانب risk factors أخرى
+
+19
+00:01:33,920 --> 00:01:40,790
+عند مرضى القلب والجهاز الوعائيوكنا تحددنا كمان
+
+20
+00:01:40,790 --> 00:01:44,390
+وقلنا في نوبات بتصير اسمها hypertensive crisis
+
+21
+00:01:44,390 --> 00:01:47,510
+وفرجنا الـ hypertensive crisis قلنا في منها
+
+22
+00:01:47,510 --> 00:01:52,270
+emergency وفي urgency قلنا ال hypertensive urgency
+
+23
+00:01:52,270 --> 00:01:56,510
+هو الـ no progressive target organ dysfunction
+
+24
+00:01:56,510 --> 00:01:59,450
+بنقول عنه accelerated hypertension وفي ال
+
+25
+00:01:59,450 --> 00:02:02,670
+hypertensive emergency بيصير عندنا progressive end
+
+26
+00:02:02,670 --> 00:02:07,920
+organ dysfunction زي headache زي فتائبوزي حاجات زي
+
+27
+00:02:07,920 --> 00:02:12,980
+هيك وبنسميه كمان Malignant Hypertension قولنا الـ
+
+28
+00:02:12,980 --> 00:02:18,380
+Hypertensive Emergency غالباً
+
+29
+00:02:18,380 --> 00:02:22,360
+سبب تبعه Under-controlled Hypertension والـ
+
+30
+00:02:22,360 --> 00:02:29,220
+Hypertensive Emergency في الغالب بيبقى نتيجة مشكلة
+
+31
+00:02:29,220 --> 00:02:34,040
+أكبر وقلنا إنه ممكن يسببنا مشاكل تانية زي
+
+32
+00:02:34,040 --> 00:02:38,020
+EncephalopathyLeft Ventricle Failure، Acute MI
+
+33
+00:02:38,020 --> 00:02:43,340
+وDescending Aortic Aneurysm وطلبنا من حضراتكوا إيش
+
+34
+00:02:43,340 --> 00:02:46,600
+معناه Descending Aortic Aneurysm وإيش فيه له
+
+35
+00:02:46,600 --> 00:02:52,460
+تفصيلات وقلنا إن الـHypertensive Crisis ممكن ييجي
+
+36
+00:02:52,460 --> 00:02:56,300
+كصورة Hypertensive Encephalopathy، Confusion مثلا،
+
+37
+00:02:56,300 --> 00:02:59,870
+Renal Insufficiencyأورينا الـ Failure، Heart
+
+38
+00:02:59,870 --> 00:03:03,310
+Failure، قلمونة ريئة ديما، Diaphoresis كنا طلبنا
+
+39
+00:03:03,310 --> 00:03:06,410
+يا جماعة حاولوا تعرفونا أيش معناه الـ Diaphoresis
+
+40
+00:03:06,410 --> 00:03:14,260
+ومعظمكم بعتلي التصور عن الـ Diaphoresisوتحدثنا في
+
+41
+00:03:14,260 --> 00:03:16,920
+الآخر في الآخر عن اللي هي الـ Types of
+
+42
+00:03:16,920 --> 00:03:20,120
+Hypertension قلنا فيه Hypertension Primary
+
+43
+00:03:20,120 --> 00:03:22,960
+Hypertension اللي هو الـ Disease الـ Hypertension
+
+44
+00:03:22,960 --> 00:03:27,700
+itself is the disease وده بمثل 95% من حالات الـ
+
+45
+00:03:27,700 --> 00:03:31,260
+Hypertension وفيه secondary هو less common حوالي 5
+
+46
+00:03:31,260 --> 00:03:36,230
+%وعادة بيبقى فيه سبب تاني هو اللي أدى
+
+47
+00:03:36,230 --> 00:03:40,110
+للـhypertension بيقول عنه سكندرهيبرتنشن بيقولنا
+
+48
+00:03:40,110 --> 00:03:44,270
+فيه causes وكل كو انشغلته شوية الأسبوع اللي في
+
+49
+00:03:44,270 --> 00:03:49,570
+الأيام اللي فاتته حاولته اتفصله في sleep apnea إيش
+
+50
+00:03:49,570 --> 00:03:53,450
+يعني sleep apnea أو obstructive apnea drug-induced
+
+51
+00:03:53,450 --> 00:03:55,710
+causes chronic kidney disease
+
+52
+00:03:58,540 --> 00:04:05,120
+مع كاشنغ سندروم كوركوتشن of the aorta and hyper
+
+53
+00:04:05,120 --> 00:04:09,260
+and hypothyroidism هذه من الأسباب إلى جانب أسباب
+
+54
+00:04:09,260 --> 00:04:14,520
+أخرى زي الـ hyper-aldosteronism على سبيل المثال
+
+55
+00:04:14,520 --> 00:04:21,710
+ويقولنا الأسباب الـ secondaryعلى رأسها الـ Renal
+
+56
+00:04:21,710 --> 00:04:24,690
+Parenchymal Disease أيش يعني Parenchymal Disease؟
+
+57
+00:04:24,690 --> 00:04:29,870
+يعني من الـ Kidney itself، مش من الـ Vascularity
+
+58
+00:04:29,870 --> 00:04:33,550
+تبعها، من الـ Renal، من الـ Kidney نفسها و Common
+
+59
+00:04:33,550 --> 00:04:38,130
+Cause يُعتبر بمثل حوالي 5% من أسباب secondary
+
+60
+00:04:40,580 --> 00:04:45,220
+هيبرتنشن وممكن يكون هو ناتج عن مشكلة يعني واحد
+
+61
+00:04:45,220 --> 00:04:48,040
+عنده hypertension تعمله مشاكل في الكيلة لكن مشاكل
+
+62
+00:04:48,040 --> 00:04:54,400
+الكيلة ممكن تعمل برضه hypertensionوطبعاً الأسباب
+
+63
+00:04:54,400 --> 00:04:59,360
+الكتيرة في الموضوع هذا وأسباب جذد الـ Renal
+
+64
+00:04:59,360 --> 00:05:02,540
+Disease إلها إثيولوجيا كتير زي الـ Lumeronephritis
+
+65
+00:05:02,540 --> 00:05:06,180
+زي الـ Nephrotic Syndrome زي الـ Pielonephritis،
+
+66
+00:05:06,180 --> 00:05:10,080
+التهيبات الكلة زي الـ Obstructive Stones كتير
+
+67
+00:05:10,080 --> 00:05:13,740
+حاجات ممكن تعملنا Renal Disease وهذه ممكن تعملنا
+
+68
+00:05:13,740 --> 00:05:16,940
+بالتالي Hypertension وفيه إن الـ Renovascular
+
+69
+00:05:16,940 --> 00:05:24,330
+Hypertensionوهذا يعني رينو فاسكولر رين يعني كيلية
+
+70
+00:05:24,330 --> 00:05:28,790
+فاسكولر أو عيط الكيلية الشراين والـ vein اللي
+
+71
+00:05:28,790 --> 00:05:33,990
+طالعين ودخلين على الكيلة ولمّا يصير فيه تضيقلسبب
+
+72
+00:05:33,990 --> 00:05:37,470
+من الأسباب، هنحكي أيش أسباب التضيق، هذا ممكن يعملي
+
+73
+00:05:37,470 --> 00:05:40,790
+hypertension زي أيش التضيق الـ atherosclerosis،
+
+74
+00:05:40,790 --> 00:05:44,070
+كلكم عارفين الـ atherosclerosis اللي هو تيبّس
+
+75
+00:05:44,070 --> 00:05:49,010
+الشرايين في 95% لـ 90% زي ما بنشوفه عند الـ Old
+
+76
+00:05:49,010 --> 00:05:52,470
+Ages، فينا الـ fibromuscular dysplasia وهذا بيصير
+
+77
+00:05:52,470 --> 00:05:55,910
+أجل في الـ young patient، خاصة الفيميل، 10% لـ 25
+
+78
+00:05:55,910 --> 00:06:00,950
+%، جلال يعنيوممكن طبعاً الـ Aortic Dissection أو
+
+79
+00:06:00,950 --> 00:06:04,190
+الـ Renal Dissection أو الـ Tromboembolic Emboli
+
+80
+00:06:04,190 --> 00:06:08,510
+أو الـ Post Transplantation Stenosis أو الـ Post
+
+81
+00:06:08,510 --> 00:06:13,170
+Radiation أو الـ CVD هذه
+
+82
+00:06:13,170 --> 00:06:16,810
+الأمراض كلها ممكن تديني وتعملي Renovascular
+
+83
+00:06:16,810 --> 00:06:19,970
+Hypertension أو تعملي مشكلة في الـ Renovascular
+
+84
+00:06:19,970 --> 00:06:25,150
+وبالتالي Hypertension طب وإحنا ليش خايفين من الـ
+
+85
+00:06:25,150 --> 00:06:29,240
+Hypertension؟يا سيدي وضغطه عالي ضغطه عالي هو يعني
+
+86
+00:06:29,240 --> 00:06:35,760
+إيش هيعمل مثلا سؤال كتير مهم ومحق ليش أنا بخاف من
+
+87
+00:06:35,760 --> 00:06:41,140
+ال hypertension يا جماعة ال hypertension هو لو لو
+
+88
+00:06:41,140 --> 00:06:45,340
+لو مرة واحدة ارتفعت ضغط طبعا مابقصدش عن ال
+
+89
+00:06:45,340 --> 00:06:48,700
+emergency و ال urgency لكن لمرة مش هيعمللي مشكلة
+
+90
+00:06:48,700 --> 00:06:55,740
+لكن بيكونوا تتصوروا أنهالضغط هو عبارة عن تأثير
+
+91
+00:06:55,740 --> 00:07:05,640
+مباشر شديد على الشرايين طول الوجد هذا إيش بيقدّي؟
+
+92
+00:07:05,640 --> 00:07:08,940
+بيقدّي إنه يصير عندنا changes في ال vessels
+
+93
+00:07:08,940 --> 00:07:13,740
+وطبعاً،
+
+94
+00:07:13,740 --> 00:07:17,480
+وهذا بيقدّي في الآخر لـfailure للـorgans هذا
+
+95
+00:07:17,480 --> 00:07:21,910
+المشكلة تبقى أتنا كلهاعلى سبيل المثال لو جينا
+
+96
+00:07:21,910 --> 00:07:27,050
+قولنا في الـ Retina في العين على سبيل المثال ممكن
+
+97
+00:07:27,050 --> 00:07:30,030
+تعملي مشكلة وهذا بإمكاننا نشوفه في حاجة اسمها الـ
+
+98
+00:07:30,030 --> 00:07:34,070
+Funduscope الـ blood vessels ممكن تتأثر اللي في
+
+99
+00:07:34,070 --> 00:07:39,110
+العين فأنا ممكن من خلال فحص Funduscope للعين، لقاع
+
+100
+00:07:39,110 --> 00:07:42,530
+العين أعرف إن فلان عنده hypertension ليش؟ لأن
+
+101
+00:07:42,530 --> 00:07:46,610
+الشرايين اللي في قاع العين زي ما إحنا هنشوفها
+
+102
+00:07:46,610 --> 00:07:48,710
+الـgate أتصور إنه هي الصورة
+
+103
+00:07:52,140 --> 00:07:59,840
+الرتينة أو الشبكية والشرايين اللي فيها تظهر تغيرات
+
+104
+00:07:59,840 --> 00:08:03,400
+نابعة أو نادجة عن ال hypertension فبتدلني أنه في
+
+105
+00:08:03,400 --> 00:08:06,400
+hypertension تغيرات هذه أنه ممكن أنا ألاقي
+
+106
+00:08:06,400 --> 00:08:09,620
+hemorrhages عسم المثال النقطة البيضة هي اللي
+
+107
+00:08:09,620 --> 00:08:14,580
+موجودة على العالـ Retina ممكن ألاقي Exudate وهذه
+
+108
+00:08:14,580 --> 00:08:17,980
+عبارة عن Fatted Deposits وممكن ألاقي حاجة اسمها
+
+109
+00:08:17,980 --> 00:08:23,300
+Cotton Wool يعني زي القطن زي كوام القطن Spots هذه
+
+110
+00:08:23,300 --> 00:08:28,000
+نتيجة Micro Strokes بتسير في وين؟ الصورة C عندنا
+
+111
+00:08:28,000 --> 00:08:30,100
+هنا بتسير في ال Retina
+
+112
+00:08:33,060 --> 00:08:39,100
+الشرايين في كل مكان ممكن تتأثر بارتفاع ضغط الدم من
+
+113
+00:08:39,100 --> 00:08:42,860
+الأمثلة الأخرى غير جذية الـ I أو الـ Retinopathy
+
+114
+00:08:42,860 --> 00:08:48,240
+اللي حكينا عنها اللي هو nervous systemالـ nervous
+
+115
+00:08:48,240 --> 00:08:52,200
+system أنا مش هتوسع الآن لأن المفروض أنه أنتوا
+
+116
+00:08:52,200 --> 00:08:55,320
+أخدته في موضوع ال stroke أو هتاخده في موضوع ال
+
+117
+00:08:55,320 --> 00:08:58,600
+stroke اللي هو ال hemorrhagic و ال ischemic stroke
+
+118
+00:08:58,600 --> 00:09:04,040
+فممكن نتيجة ارتفاع ضغط الدم يصير عندنا stroke و
+
+119
+00:09:04,040 --> 00:09:07,060
+يصير عندنا بعد هيك cerebral atrophy and dementia
+
+120
+00:09:09,370 --> 00:09:12,530
+وذكرنا قبل شوية إن الـ brain stroke في منه
+
+121
+00:09:12,530 --> 00:09:15,770
+hemorrhagic يعني بيصير عندنا انفجار لشريان من
+
+122
+00:09:15,770 --> 00:09:20,870
+الشراين أو ischemic بيصير عندنا thrombus أو
+
+123
+00:09:20,870 --> 00:09:23,670
+embolus وهذا بيسكتر للشريان اللي رايح على المنطقة
+
+124
+00:09:23,670 --> 00:09:28,650
+اللي فلانية في الدماغ فبيعمللي إيش؟ بيعمللي
+
+125
+00:09:28,650 --> 00:09:34,370
+ischemic stroke طبعا من الحاجات اللي بتنعمل كمان
+
+126
+00:09:34,370 --> 00:09:39,180
+إنه ال effects on the kidneysبمعنى، زي ما احنا
+
+127
+00:09:39,180 --> 00:09:41,520
+شايفين أو الـ «effects on the cardiovascular
+
+128
+00:09:41,520 --> 00:09:45,840
+system» بمعنى إن الـ hypertension بيأثرلي على
+
+129
+00:09:45,840 --> 00:09:49,160
+القلب، بيأثرلي على الـ kidney، بيأثرلي على الـ
+
+130
+00:09:49,160 --> 00:09:53,340
+nervous system، بيأثرلي على الـ eyes، بيأثرلي على
+
+131
+00:09:53,340 --> 00:09:55,980
+حاجات كتير، احنا بعض الأحيان كذلك، مش كلها كذلك،
+
+132
+00:09:55,980 --> 00:10:02,140
+بس احنا كذا كلنا، أهم أربع أعضاء بيتأثروا بارتفاع
+
+133
+00:10:02,140 --> 00:10:08,180
+ضغط الدم، heart، brain، kidney،الـ Arteries and
+
+134
+00:10:08,180 --> 00:10:13,540
+Retinopathy أو الـ Retina أو الشبكية كلها بتتأثر
+
+135
+00:10:13,540 --> 00:10:19,020
+هذه هي الـ Target Organs وطبعاً أي حد بتبع دكتور
+
+136
+00:10:19,020 --> 00:10:22,380
+الـ Hypertension لابد أنه يعمل Consultations
+
+137
+00:10:22,380 --> 00:10:26,480
+للمرضى هدول بشأن الحاجات هذه و الانتباه اللي لها
+
+138
+00:10:26,480 --> 00:10:29,480
+طيب إيه بيعمل في الـ cardiovascular؟ بتديني
+
+139
+00:10:29,480 --> 00:10:33,160
+Ventricular Hypertrophy؟ مع dysfunction؟ مع
+
+140
+00:10:33,160 --> 00:10:39,280
+failure؟ كيف يعني؟ تصوروا أن الجلب بضخ؟وبضغط ضد
+
+141
+00:10:39,280 --> 00:10:46,480
+ضغط عالي فبضطر الجلب يعمل عشان يتغلب على الضغط هذا
+
+142
+00:10:46,480 --> 00:10:50,180
+يعمل dilation في الأول وبعدين hypertrophy فبصير
+
+143
+00:10:50,180 --> 00:10:54,520
+تضخم وبعد التضخم طبعاً بيصير failure بيبطل يعني
+
+144
+00:10:54,520 --> 00:10:58,620
+ممكن يمشي شهر شهرين لكن بعدها بيقدرش الجلب يكمل
+
+145
+00:10:58,980 --> 00:11:01,780
+طبعاً نتيجته التضخم بيصير عنا حاجة اسمها
+
+146
+00:11:01,780 --> 00:11:04,540
+Arrhythmias أش يعني Arrhythmias؟ Arrhythmias
+
+147
+00:11:04,540 --> 00:11:09,280
+معناته تغير
+
+148
+00:11:09,280 --> 00:11:15,070
+في شكل النبضات وعدد النبضاتالنبضات القلب ممكن يصير
+
+149
+00:11:15,070 --> 00:11:18,610
+عندي MI هنحكي عنها الـ Ischemic heart disease بعد
+
+150
+00:11:18,610 --> 00:11:22,950
+هيك وطبعا ممكن يعمللي arterial aneurysm مع
+
+151
+00:11:22,950 --> 00:11:28,010
+dissection مع rupture وحكينا عن الكلة وحكينا عن ال
+
+152
+00:11:28,010 --> 00:11:32,670
+nervous system وحكينا عن ال eye و اللي ممكن يعملها
+
+153
+00:11:32,670 --> 00:11:36,930
+مش بس احنا كنا حكينا تو انه بيصير عندنا زي النزف
+
+154
+00:11:36,930 --> 00:11:41,210
+في ال retinaبعض الأحيان وبيعمللي impairment للـ
+
+155
+00:11:41,210 --> 00:11:45,590
+vision لكن كمان الـ vitreous العين في جلبها ميّه
+
+156
+00:11:45,590 --> 00:11:48,730
+من جوا، هذا بيقول أنا vitreous body بيعمللي
+
+157
+00:11:48,730 --> 00:11:52,270
+vitreous hemorrhage وممكن يعمللي انفصال شبكي
+
+158
+00:11:52,270 --> 00:11:56,870
+retinal detachment الموضوع مش بيظلش لحدها ممكن
+
+159
+00:11:56,870 --> 00:12:00,690
+يصير عندي neuropathy of the nerves leading to
+
+160
+00:12:00,690 --> 00:12:04,710
+extraocular muscle paralysis and dysfunction انتشت
+
+161
+00:12:04,710 --> 00:12:05,330
+الموضوع
+
+162
+00:12:08,020 --> 00:12:13,080
+طب أحنا هو أنا يعني الآن كويس ومنيح لكن أنا إيش
+
+163
+00:12:13,080 --> 00:12:18,360
+بدي من البريض
+
+164
+00:12:18,360 --> 00:12:25,740
+أجاني عنده ضبط إيش اللي بديه منه أول حاجة بدي هذا
+
+165
+00:12:25,740 --> 00:12:29,220
+اللي بنقول عنه الـobjective of the evaluation إيش
+
+166
+00:12:29,220 --> 00:12:33,490
+بدي منه؟to assess lifestyle and identify other
+
+167
+00:12:33,490 --> 00:12:36,210
+cardiovascular risk factors أدور إذا في أي برض
+
+168
+00:12:36,210 --> 00:12:41,910
+تاني عنده و أشوف الـ lifestyle تبعه that may
+
+169
+00:12:41,910 --> 00:12:45,150
+affect prognosis and guide treatment و اللي ممكن
+
+170
+00:12:45,150 --> 00:12:49,950
+تأثر على الـ prognosis و العلاج الحاجة التانية،
+
+171
+00:12:49,950 --> 00:12:54,850
+بدي أحاول أعرف و الله إذا كان السبب secondary أو
+
+172
+00:12:54,850 --> 00:12:57,210
+إذا كان الـ hypertension secondary، بدي أعرف السبب
+
+173
+00:12:57,210 --> 00:13:05,370
+مهمالأمر التالت بدي أشوف إذا كان الأعضاء اتأثرت
+
+174
+00:13:05,370 --> 00:13:08,350
+يعني أنا ما يكفي إن أنا فلاني عرفت إنه في عنده ضغط
+
+175
+00:13:08,350 --> 00:13:12,070
+بدي أشوف هل عينه فيها مشكلة بدي أبعته على دكتور
+
+176
+00:13:12,070 --> 00:13:16,310
+العيون يعمل ليه فندس فندسكوب بدي أبعته على دكتور
+
+177
+00:13:16,310 --> 00:13:21,110
+الجلب يعمللي تخطيط قلب ويشوف إذا فيه Arrhythmias
+
+178
+00:13:21,110 --> 00:13:25,030
+يعمللي echocardiography ويشوف إذا في عنده أي
+
+179
+00:13:25,030 --> 00:13:30,040
+hypertrophyأردت أن أرسله إلى دكتور الفاطنة لأرى
+
+180
+00:13:30,040 --> 00:13:34,420
+إذا كان هناك مشاكل في الكلة وهل هو مجرم؟ هذه
+
+181
+00:13:34,420 --> 00:13:41,600
+أساسياته لماذا أريد أن أصل مع العيّان هذه؟ لازم
+
+182
+00:13:41,600 --> 00:13:45,200
+أبحث عن سبب إذا كان هناك سبب أرى هل أثرت على أي
+
+183
+00:13:45,200 --> 00:13:48,780
+أعضاء عنده وأرى إذا كان عنده مشاكل أخرى، فهي تصعب
+
+184
+00:13:48,780 --> 00:13:54,080
+الأمر الـ Goals of Treatment طبعاً أنا أريد أن
+
+185
+00:13:54,080 --> 00:14:01,460
+أنزل ضغطه في الآخربنزل دغته سيستوليك ودياستوليك
+
+186
+00:14:01,460 --> 00:14:08,200
+لأجل من 140 ل 90 يعني من 139 ل 89 هذه الأساس تبع
+
+187
+00:14:08,200 --> 00:14:11,880
+الموضوع لكن في ناس تانية بدأ نزلها أجل من هيك
+
+188
+00:14:17,330 --> 00:14:20,870
+زي على سبيل المثال، الناس اللي عندها Diabetes سكري
+
+189
+00:14:20,870 --> 00:14:24,730
+أو عندها Renal Disease الـBlood Pressure Goal أقل
+
+190
+00:14:24,730 --> 00:14:31,470
+من 130 لـ 80، هنزله وطبعاً
+
+191
+00:14:31,470 --> 00:14:36,810
+أحاول جدر الإمكان أنظم أمور المريض مع مشاكل
+
+192
+00:14:36,810 --> 00:14:42,490
+الـKiller ومع مشاكل القلب طيب، ونزلنا الضغط، يعني
+
+193
+00:14:42,490 --> 00:14:48,300
+وإحنا هل بتنزلنا الضغط ممكنإنه يتحسن وضع المريض
+
+194
+00:14:48,300 --> 00:14:54,700
+ممكن؟ إيش رأيكوا أنتوا؟ أه، ما هو هذا الهدف في
+
+195
+00:14:54,700 --> 00:14:58,480
+الموضوع وبتحسنوا، لاجوا من خلال الإحصائيات والـ
+
+196
+00:14:58,480 --> 00:15:03,780
+Statistics Studies يعني، لاجوا إنه إذا أنا أديت
+
+197
+00:15:03,780 --> 00:15:08,620
+علاج وتحسن المريض Reduction in stroke incidence
+
+198
+00:15:08,620 --> 00:15:15,060
+تقريباً من 35% ل40%، هذا رقم مهول، رقم ممتازمش رقم
+
+199
+00:15:15,060 --> 00:15:20,040
+بسيط، أنا تقريباً فوق الـ Tilt نجست الـ stroke
+
+200
+00:15:20,040 --> 00:15:24,300
+incidence الإمكانية إن يحصل فيه stroke incidence
+
+201
+00:15:24,300 --> 00:15:29,340
+مش بس الـ MI الـ Myocardial Infection الجلطة
+
+202
+00:15:29,340 --> 00:15:35,740
+القلبيةتنزل إمكانية إنها تحدث عند المريض طبع الضغط
+
+203
+00:15:35,740 --> 00:15:40,540
+لو عالجته بطريقة سليمة من 20% لـ 25% رقم رهائن
+
+204
+00:15:40,540 --> 00:15:43,480
+وطبعا هذه الأرقام تتحسن مع الوجد يا جماعة يعني
+
+205
+00:15:43,480 --> 00:15:49,180
+بمعنى كل ما تطور الطب وكل ما العيان أو المريض أو
+
+206
+00:15:49,180 --> 00:15:54,550
+الإنسان الإجباليعاوز معايا أكتر كل ما اتحسنت
+
+207
+00:15:54,550 --> 00:15:59,210
+الأمور أكتر مش بس حتى الـ heart failure heart
+
+208
+00:15:59,210 --> 00:16:05,590
+failure فشل القلب بجل ليش لأنه مش مضطر يضخ ضد ضغط
+
+209
+00:16:05,590 --> 00:16:09,910
+عالي أكتر من 50% هذه ال benefits of treatment يعني
+
+210
+00:16:09,910 --> 00:16:14,550
+لأ احنا مش بس يعني مش بس يعني و هذا طبعا مش لازم
+
+211
+00:16:14,550 --> 00:16:17,110
+يكون بس بالدواء يا جماعة لأنه أنا في عندي عدة طرق
+
+212
+00:16:17,110 --> 00:16:21,880
+to manage a hypertensionهنحكي عنها بعد الآن بس
+
+213
+00:16:21,880 --> 00:16:27,140
+يعني جزدي إذا أدينا علاج بتحسن المريض بنسب معينة
+
+214
+00:16:27,140 --> 00:16:31,600
+ومش بس بخفف من إمكانية الـ Complications الـ
+
+215
+00:16:31,600 --> 00:16:35,480
+Complications اللي هي Stroke Myocardial Infection
+
+216
+00:16:35,480 --> 00:16:38,660
+Heart Failure ويمكن لو نطلع على باقى الأعضاء
+
+217
+00:16:38,660 --> 00:16:45,600
+هنلاقيها أنها بتتحسن كمان بنسب أو بأخرى طيب يمكن
+
+218
+00:16:45,600 --> 00:16:50,240
+كتير هتسمعوا مني خلال الفصلموضوع الـ lifestyle
+
+219
+00:16:50,240 --> 00:16:58,620
+modification لسبب أنه هو جزء في العلاج الطبيعي من
+
+220
+00:17:00,620 --> 00:17:05,840
+الـ Medical System بمعنى، ماقدرش واحد ييجي يقول
+
+221
+00:17:05,840 --> 00:17:10,600
+أنا بس علاج طبيعي، أنا باجي و بعمله و بدلكله و
+
+222
+00:17:10,600 --> 00:17:14,500
+بمشيه و بظبطله العضلات و بس، لأ هو جزء من الـ
+
+223
+00:17:14,500 --> 00:17:17,700
+Education للناس، بيكون فيها أخصائي العلاج الطبيعي،
+
+224
+00:17:17,700 --> 00:17:20,000
+بيكون فيها الممرض، بيكون فيها الدكتور، يعني زي ما
+
+225
+00:17:20,000 --> 00:17:23,560
+يقولوها Teamwork، و في الآخر المريض يا جماعة بقعد
+
+226
+00:17:23,560 --> 00:17:28,520
+عندكفترة أكتر من أكتر المهن اللي بقعد المريض فيها
+
+227
+00:17:28,520 --> 00:17:34,420
+مع المعالج العلاج الطبيعي أكتر المهن الطبية أقصد
+
+228
+00:17:34,420 --> 00:17:40,800
+صحيًا يعني الطبيب خمس دقايق عشر دقايق الممرض يعني
+
+229
+00:17:40,800 --> 00:17:43,540
+زي ما بقولوها زي النحلة بروح بعمل الشغل و بطلع
+
+230
+00:17:43,540 --> 00:17:46,120
+مقعدش عند العيال ولا عيال موجود عنده لكن العلاج
+
+231
+00:17:46,120 --> 00:17:51,810
+الطبيعي لأ في مما في في في فترة فالفترة هايبتكون
+
+232
+00:17:51,810 --> 00:17:54,770
+غنية في الغالب بيظل هم مش ساكتين هما اتنين تبع
+
+233
+00:17:54,770 --> 00:17:58,390
+العلاج الطبيعي و المريض بيصير المريض يبدأ يسأل
+
+234
+00:17:58,390 --> 00:18:01,530
+ماينفعش أخصائي العلاج الطبيعي يقول والله لأ مش
+
+235
+00:18:01,530 --> 00:18:05,610
+عارف مامرش عليا ماينفعش وانا مطلوب انه يجاوب غلط
+
+236
+00:18:05,610 --> 00:18:11,730
+عشان ما تفهمونيش غلط بس مطلوب انه يجاوبه صح ويدله
+
+237
+00:18:11,730 --> 00:18:16,510
+صح فرصة انه انا أستاذ القجارية أحاول أفهم الناس و
+
+238
+00:18:16,510 --> 00:18:22,450
+أشرح لهم شرح صح طبعا زي ما قلنافبنضطر نشرح، فمهم
+
+239
+00:18:22,450 --> 00:18:26,250
+تعرفوا الحاجات هاي انتوا، انه لازم أشرح للعيان عن
+
+240
+00:18:26,250 --> 00:18:29,790
+الـ Life Style Modification، هذا في كل الأمراض
+
+241
+00:18:29,790 --> 00:18:34,650
+غالبا حاليها، على رأسها الـ Weight Reduction، طبعا
+
+242
+00:18:34,650 --> 00:18:37,590
+الناس بتكره الكلمة هاي، بدك تنزل وزنك، مابتدوش
+
+243
+00:18:37,590 --> 00:18:38,210
+ينزلوا وزنك
+
+244
+00:18:41,190 --> 00:18:47,090
+أو العمر كبير، 60 أو 65 سنة ولم تكن قادرة على
+
+245
+00:18:47,090 --> 00:18:50,410
+المشي ولم تكن قادرة على الذهاب للجيم وليس هناك
+
+246
+00:18:50,410 --> 00:18:55,470
+جيم، يعني أمور كثيرة تمنع الموضوع هذا، لكن يا
+
+247
+00:18:55,470 --> 00:18:59,900
+جماعةإذا وصلت لـ Normal Body Weight Body Mass
+
+248
+00:18:59,900 --> 00:19:07,640
+Index من 18.5 إلى 24.9 كيلو جرام لكل متر مربع ممكن
+
+249
+00:19:07,640 --> 00:19:13,340
+ينزل الضغط من 5 إلى 20 كيلو
+
+250
+00:19:13,340 --> 00:19:22,420
+جرام لكل 10 كيلو جرام هذا
+
+251
+00:19:22,420 --> 00:19:29,610
+رقم كبيريعني أنا لو كان الضغط 145 على 90 ونزلها
+
+252
+00:19:29,610 --> 00:19:34,130
+لجد زي ما بنقول معناته احنا في نعمة كبيرة حينزل
+
+253
+00:19:34,130 --> 00:19:38,450
+حينزل الضغط على الطبيعي عملياً بس بال body weight
+
+254
+00:19:38,450 --> 00:19:43,610
+reduction توي حكينا عن واحدة اسمها body mass index
+
+255
+00:19:43,610 --> 00:19:48,870
+هذه طبعا هي ال homework الوحيد اللي هتعمله what is
+
+256
+00:19:48,870 --> 00:19:59,500
+body mass indexأيش بيمثل كيب من حسب والدرجات تبعته
+
+257
+00:19:59,500 --> 00:20:08,000
+درجات تبعته فيه درجات وهذا بدياه بس ايش بديش copy
+
+258
+00:20:08,000 --> 00:20:13,940
+paste بدياه مكتوب بخط اليد ومصور و تبعتولياه لما
+
+259
+00:20:13,940 --> 00:20:18,500
+ابعتلكوا الفيديو هحددلكوا على ال model لو أكتش
+
+260
+00:20:18,500 --> 00:20:25,500
+الإجابةيبقى بخط اليد جدول body mass index الشوة
+
+261
+00:20:25,500 --> 00:20:32,540
+ماذا يعني كيبن حسب والدرجات تبعته okay الحاجة
+
+262
+00:20:32,540 --> 00:20:35,460
+التانية اللي أنا عشان من ال lifestyle modification
+
+263
+00:20:35,460 --> 00:20:41,740
+بعملها هو حاجة اسمها dash eating plan هنحكي عنها
+
+264
+00:20:41,740 --> 00:20:47,090
+بعد شوية وهذه لو أنا مشيت فيهابالمناسبة هي الـ
+
+265
+00:20:47,090 --> 00:20:52,110
+«Dash High» تتناسب جداً جداً مع حياة الإنسان الصحي
+
+266
+00:20:52,110 --> 00:20:58,190
+هو اللي بنعمله الـ «Accidentally Lifestyle» اللي
+
+267
+00:20:58,190 --> 00:21:02,290
+بنشتغله اللابتوب والجوال وطول النهار عن الـ «نت»
+
+268
+00:21:02,290 --> 00:21:08,490
+والكولة جانان كبيرة ومجات قهوة وماعرفش الشاورما
+
+269
+00:21:08,490 --> 00:21:13,190
+هذه كلها أصلا مش الوضع الطبيعي هذه مش هي الوضع
+
+270
+00:21:13,190 --> 00:21:17,850
+الطبيعي الوضع الطبيعي أنه أنابأكل Fruit كفاية،
+
+271
+00:21:17,850 --> 00:21:22,270
+Vegetable كفاية اللي هي Low-fat في الغالب، بأخد
+
+272
+00:21:22,270 --> 00:21:28,070
+منتجات لبنية Low-fat كفاية، الأكل تبعي بيبقى مش
+
+273
+00:21:28,070 --> 00:21:37,990
+Full of saturated fat، هذا الأصلوبيتزا واندومي
+
+274
+00:21:37,990 --> 00:21:40,790
+وماعرفش إيش، لأ مش هو هذا الأصل، الأصل أنه أنا
+
+275
+00:21:40,790 --> 00:21:43,890
+بأكل طبيعي زي البني أدمين عادي، fruits
+
+276
+00:21:43,890 --> 00:21:48,450
+وvegetables، جطعة لحمة وفواكه وخضار وهي الأكل
+
+277
+00:21:48,450 --> 00:21:52,050
+تبعنا، هذا الأصل، هذا الموضوع لو أنا مشيت عليه
+
+278
+00:21:52,050 --> 00:21:57,610
+اللي هو ال «Dash Eating Plan» بنزل الضغط من 8 إلى
+
+279
+00:21:57,610 --> 00:21:59,590
+14 systolic
+
+280
+00:22:01,730 --> 00:22:09,310
+طبعاً كثير بنسمع عن خفف الملح في أكلك Reduce
+
+281
+00:22:09,310 --> 00:22:16,310
+Dietary Sodium Intake To No More Than حوالي احنا
+
+282
+00:22:16,310 --> 00:22:23,930
+اللي بنقوله 2.5 جرام في النهار وهذا بنزلي 2 إلى 8
+
+283
+00:22:23,930 --> 00:22:30,850
+في الضغط السيستالينيالحاجة الأخيرة اللي بنقول عنها
+
+284
+00:22:30,850 --> 00:22:33,270
+لموضوع الـ Lifestyle Modification اللي هي الـ
+
+285
+00:22:33,270 --> 00:22:38,810
+Physical Activity بنلاقي إنه كل ما مشينا بريسك
+
+286
+00:22:38,810 --> 00:22:44,370
+ووكينج يعني بهمة لتلاتين دقيقة Most days of the
+
+287
+00:22:44,370 --> 00:22:49,520
+week هذه ممكن تنزلي من أربعة لتسعة في الضغططبعاً
+
+288
+00:22:49,520 --> 00:22:52,120
+لما أنا بعمل كل ال activities هايم أنا تضغطي هينزل
+
+289
+00:22:52,120 --> 00:22:55,880
+بصورة واضحة وأنا لسه في lifestyle modification أنا
+
+290
+00:22:55,880 --> 00:23:00,780
+مادخلتش لسه على drugs في
+
+291
+00:23:00,780 --> 00:23:03,620
+ناس ميشي بيقولك طب وانت قاعد بتقولي جلل أكلك كيف
+
+292
+00:23:03,620 --> 00:23:06,280
+بدأ أجلل الأكل في هذا الوضع يا جماعة بدنا نحاول
+
+293
+00:23:06,280 --> 00:23:09,940
+جدر الإمكان نعمل dietary changes نقول عنها كيف
+
+294
+00:23:09,940 --> 00:23:15,460
+يعني؟ يعني أجلل ال portion size تبع الأكلمش بس طب
+
+295
+00:23:15,460 --> 00:23:18,900
+كيف بدأ اجلله دايما انا بنصحه لما تيجي تاكله يا
+
+296
+00:23:18,900 --> 00:23:24,180
+جماعة اكله في صحن صغير صحن صغير حطه في صحن صغير كل
+
+297
+00:23:24,180 --> 00:23:27,340
+ما كبرت الصحن عين .. تعرفوا عين البني آدم فارغة
+
+298
+00:23:27,340 --> 00:23:31,160
+بده يعبيه أكتر لأ حط في صحن صغير جد ما تحط فيه
+
+299
+00:23:31,160 --> 00:23:35,600
+بيبين كتير يعني اضحك على حالك هيك بمعنى أخر الأمر
+
+300
+00:23:35,600 --> 00:23:38,620
+التاني لما تستعمله يا بتستعمل معلجة صغيرة المعلجة
+
+301
+00:23:38,620 --> 00:23:44,020
+بتاعة الشاي في الأكل عشان تطوره وانت بتاكليا إما
+
+302
+00:23:44,020 --> 00:23:48,140
+بتستخدم الشوكة الشوكة بيضلش عليها رز و حاجات تاك
+
+303
+00:23:48,140 --> 00:23:51,600
+كتير خاصة لما يكون مقارنة و رز و كذا حاول الشوكة
+
+304
+00:23:51,600 --> 00:23:57,980
+الشوكة بتاخدش كتير فبتطول في الأكل هذه من الحاجات
+
+305
+00:23:57,980 --> 00:24:03,380
+اللي احنا ممكن نستخدمها عشان أجلل مثلا الخبز على
+
+306
+00:24:03,380 --> 00:24:07,260
+سبيل المثال دايما ماأكلش الطازة على الآخر الطريق
+
+307
+00:24:07,260 --> 00:24:10,780
+لأن هذا سهل المضغ و سهل البلع و سهل كل حاجة خد
+
+308
+00:24:10,780 --> 00:24:16,230
+دايما الناشف أو المحمرمش عشان أقل قيمة غذائية من
+
+309
+00:24:16,230 --> 00:24:19,210
+ناحية الـ Calories لأ لأنه بطول و أنا بمضغ فيه و
+
+310
+00:24:19,210 --> 00:24:22,750
+أنا باكل فيه فهذه بتخليه الأمر التالت و المهم
+
+311
+00:24:22,750 --> 00:24:27,110
+حاولوا جدر الإمكان تبعدوا عن السفرة عن جاعة السفرة
+
+312
+00:24:27,110 --> 00:24:32,610
+هذه لللمّة اللي فيها كل ما لذ و طاب حاولوا تبعدوا
+
+313
+00:24:32,610 --> 00:24:40,640
+عنها هذه بتضمنلك أن انت تاخد كمياتبسيطة من الأكل،
+
+314
+00:24:40,640 --> 00:24:43,260
+ساندوشات أنت عارف إيش اللي بدك إياه أو بتاخد على
+
+315
+00:24:43,260 --> 00:24:46,460
+الطريقة الأمريكية كله لنفسه صحن صغير على جدك
+
+316
+00:24:46,460 --> 00:24:50,140
+وبتقعد فيه وبتاكل وخلصنا أما السفرة هات إيدك وهات
+
+317
+00:24:50,140 --> 00:24:53,660
+رجلك وعبي وعبي وعبي وعبي، هذه مشكلة كبيرة، صحيح؟
+
+318
+00:24:53,660 --> 00:24:57,140
+وبتخلي الواحد يظل ياكل بلا حدود، بلا حدود، خاصة لو
+
+319
+00:24:57,140 --> 00:25:01,160
+في تسلية جباله في منافسة وهذا بياكل وهذا بتاكل
+
+320
+00:25:01,160 --> 00:25:06,510
+وهذا بياكل وهذا بتاكلهذه مشكلة طيب الأمر التاني
+
+321
+00:25:06,510 --> 00:25:12,170
+نحاول نجلّل .. نجلّل نحن لا نحرم حالنا يا جماعة
+
+322
+00:25:12,170 --> 00:25:15,750
+أنا مش طالب من حد يحرم حاله لكن reduce portion
+
+323
+00:25:15,750 --> 00:25:19,950
+size or frequency of consumption of calorie
+
+324
+00:25:19,950 --> 00:25:24,550
+containing beverages مش ممنوع ولا حرام ولا عيب
+
+325
+00:25:24,550 --> 00:25:29,170
+أشرب كولة بس ممنوع أشرب جنيتين وتلاتة أو جنية
+
+326
+00:25:29,170 --> 00:25:33,920
+كبيرة أو علبتين وتلاتة أو أربعة في النهارأو جنيه
+
+327
+00:25:33,920 --> 00:25:37,620
+لتر أو جنيتيه لتر في النهار لكن مسموح لي أشرب شوية
+
+328
+00:25:37,620 --> 00:25:42,480
+كولا مش قضية كبيرة الأمر التاني اللي هو decrease
+
+329
+00:25:42,480 --> 00:25:45,400
+time in sedentary behavior طول النهار قاعد على
+
+330
+00:25:45,400 --> 00:25:50,460
+التليفزيون وعلى ال video games وشغال online وطبعا
+
+331
+00:25:50,460 --> 00:25:56,320
+أكل أكل أكل أكل وخاصة الأمر الآخر اللي هي regular
+
+332
+00:25:56,320 --> 00:26:01,240
+physical activity avoidance of tobacco use طبعا و
+
+333
+00:26:01,240 --> 00:26:06,920
+stress managementيبقى احنا هنا مش طالبين معجزات
+
+334
+00:26:06,920 --> 00:26:15,080
+عمليًا المفروض انه الأكل الصحي هيك زي ما قلنا كمان
+
+335
+00:26:15,080 --> 00:26:20,940
+مرة اجلل ال food اشتغل exercise manage weight stop
+
+336
+00:26:20,940 --> 00:26:26,620
+smoking cut salt limit alcohol manage stress كلام
+
+337
+00:26:26,620 --> 00:26:31,630
+معقول مافيش عليه كلام كتيرطب ايش الـ Dash-Diety؟
+
+338
+00:26:31,630 --> 00:26:34,930
+الـ Dash-Diety عبارة اختصار طبعاً كلمة الـ Dash
+
+339
+00:26:34,930 --> 00:26:41,430
+الـ D عن Dietary Approach أو Approaches الـ A Stop
+
+340
+00:26:41,430 --> 00:26:47,690
+S Hypertension الـ H Diet Nutritional Therapy
+
+341
+00:26:47,690 --> 00:26:51,930
+اسمها وطبعاً اجروا عنها كتير مكتوب عليها الأساس
+
+342
+00:26:51,930 --> 00:26:59,690
+تبعها Sodium Restriction مش فسيخSodium Restriction
+
+343
+00:26:59,690 --> 00:27:04,970
+حاول نجلل الملح جذراً إمكاناً من الأساسيات هي Diet
+
+344
+00:27:04,970 --> 00:27:09,310
+Rich in Vegetable Fruit and Non-Fat Dietary
+
+345
+00:27:09,310 --> 00:27:15,850
+Products دايماً حتى لو أخدت منتجات لبنية منتجات
+
+346
+00:27:15,850 --> 00:27:20,490
+حليب لابد أن يكون كمية الفات وهنا سنتحدث بعد ذلك
+
+347
+00:27:20,490 --> 00:27:24,990
+في محاضرة كاملة ممكن أنتم تتحدثوا فيها عن أنواع
+
+348
+00:27:24,990 --> 00:27:33,030
+الفاتأو calorie restriction if overweight وقدر
+
+349
+00:27:33,030 --> 00:27:38,030
+الإمكان one medic يعني إذا اشتغلت عليها هاي زي ما
+
+350
+00:27:38,030 --> 00:27:41,750
+حكينا على الحاجات اللي جامل هيك تقريبا بتأثر تأثير
+
+351
+00:27:42,730 --> 00:27:47,950
+الدوة تلقى واحد one medication هذا بالنسبة للـ
+
+352
+00:27:47,950 --> 00:27:51,190
+Dash ياريت يكون فيه قراءة حرة عن الـ Dash يعني كل
+
+353
+00:27:51,190 --> 00:27:54,610
+واحد يحاول يشوفله حاجة يجراها عن الـ Dash لأنه
+
+354
+00:27:54,610 --> 00:27:57,370
+لابد أنه نعرف عنها أنا مش هحكي عنها تفاصيل زي ما
+
+355
+00:27:57,370 --> 00:28:04,050
+قلتلكوا لكن هي أساسياتها طبعاً فينا الآن موضوع بعد
+
+356
+00:28:04,050 --> 00:28:06,670
+ما خلصنا اللي هو العلاج
+
+357
+00:28:09,880 --> 00:28:17,540
+زي عندما خلصنا العلاج بالـ Lifestyle Modification
+
+358
+00:28:17,540 --> 00:28:23,260
+نحكي عن العلاج بالأدوية واللي دا داير طبعا الآن هو
+
+359
+00:28:23,260 --> 00:28:26,480
+الشغال زي ما أحنا عارفين أن الـBlood Pressure هو
+
+360
+00:28:26,480 --> 00:28:31,080
+عبارة عن ناتج الـCardiac Output، ماجدش الجلب بدخ،
+
+361
+00:28:31,080 --> 00:28:36,340
+ماجدش فيه مقاومة في الشرايين مقابل الدخ اللي بيصير
+
+362
+00:28:36,340 --> 00:28:40,260
+فيهاللي هو Blood Pressure يساوي Cardiac Output ضرب
+
+363
+00:28:40,260 --> 00:28:46,520
+Systemic Vascular Resistance وبنستخدم أدوية كلها
+
+364
+00:28:46,520 --> 00:28:50,840
+تخفف إما من الـ Cardiac Output أو بتخفف من الـ
+
+365
+00:28:50,840 --> 00:28:54,660
+Systemic Vascular Resistance بتجلل منه وبتزيد
+
+366
+00:28:54,660 --> 00:28:59,120
+Cardiac Output فبتجلل
+
+367
+00:28:59,120 --> 00:29:06,470
+Blood Pressure من الأدوية اللي بنستخدمهاالـ
+
+368
+00:29:06,470 --> 00:29:13,770
+Diuretics هي الأدوية التي تزيد كمية البُقى لأنها
+
+369
+00:29:13,770 --> 00:29:18,850
+بتخفف من الـ Systemic Vascular Resistance وبتخفف
+
+370
+00:29:18,850 --> 00:29:23,610
+من كمية الـ Cardiac Output الـ Beta Blockers الـ
+
+371
+00:29:23,610 --> 00:29:28,170
+Direct Vasodilators لأنها بتوسع الشرايين فالضغط
+
+372
+00:29:28,170 --> 00:29:28,670
+تخف
+
+373
+00:29:31,760 --> 00:29:36,420
+ونفس الفكرة وفيها الـ calcium channel blockers
+
+374
+00:29:38,420 --> 00:29:42,580
+أيضًا من الأدوية أو المجموعات الأدوية اللي
+
+375
+00:29:42,580 --> 00:29:48,680
+بيستخدمها ك blood pressure reducer طبعًا الآن أنا
+
+376
+00:29:48,680 --> 00:29:51,540
+مش هشرح عنهم هدول ولا احنا لازمنا حقيقة بس ده يعني
+
+377
+00:29:51,540 --> 00:29:55,180
+كويس لو نعرف المجموعات كفاية ال drugs انتوا مش
+
+378
+00:29:55,180 --> 00:29:58,980
+مطلوبة منكوا لكن يعرف احنا وين اتجاهنا في الأدوية
+
+379
+00:29:58,980 --> 00:30:05,780
+ايه رايحة هذا بالنسبة لمحاضرة ال hypertensionوزي
+
+380
+00:30:05,780 --> 00:30:08,580
+ما اتحدثنا يا جماعة موضوع الـ Hypertension موضوع
+
+381
+00:30:08,580 --> 00:30:14,040
+أضخم من هيك بكتير في عليه كتب أصلا، لكن احنا أخدنا
+
+382
+00:30:14,040 --> 00:30:18,540
+من زاوية خاصة بينا في العلاج الطبيعي بحيث أنه يكفي
+
+383
+00:30:18,540 --> 00:30:22,800
+عمليا
+
+384
+00:30:22,800 --> 00:30:27,160
+لإلنا ويكون عندنا فكرة عن الموضوع بس بدأ أذكركم في
+
+385
+00:30:27,160 --> 00:30:33,100
+سؤال أوجهناه الـ Body Mass Index ما هو؟ كيف يتم
+
+386
+00:30:33,100 --> 00:30:39,810
+حسابه؟وجدول عن الدرجات تبعته وهذا كله مكتوب بخط
+
+387
+00:30:39,810 --> 00:30:43,850
+اليد وتبعتوليها على ال model تحديد الوجب تبع ال
+
+388
+00:30:43,850 --> 00:30:49,030
+model على ال model هتلاقي الكلام هذا
+
+389
+00:30:52,220 --> 00:30:55,960
+يعني إن شاء الله تكونوا أنا عارف إنه التعليم
+
+390
+00:30:55,960 --> 00:31:00,580
+بالطريقة هذه مش هو لكن أنا هكون سعيد بكل ملاحظة
+
+391
+00:31:00,580 --> 00:31:05,760
+ممكن ملاحظة إيجابية طبعاً إنه أقدر أحسن في وصول
+
+392
+00:31:05,760 --> 00:31:13,120
+المعلومة إلكوا بأي صورة لأن الفرصة هذه مش موجودة
+
+393
+00:31:13,120 --> 00:31:19,410
+في تعليم الـالإلكتروني لكن لو كان وجاهي بقدر واحد
+
+394
+00:31:19,410 --> 00:31:24,570
+يشرح ويزيد ويعيد وكذا لكن الآن حقيقة محصور لأ أي
+
+395
+00:31:24,570 --> 00:31:28,190
+حد بده أي حاجة على الرقم اللي عندكم على الواتس أب
+
+396
+00:31:28,190 --> 00:31:32,670
+يرسلني مباشرة ماعندي مشكلة حتى يعني بدون .. بدون
+
+397
+00:31:32,670 --> 00:31:37,310
+ما اتبايلوا على فريزة ابعتولي لو في أي حاجة إيش
+
+398
+00:31:37,310 --> 00:31:42,450
+بقدر أعمل حاول .. حاول نخفف بدنا نعدي هذه الفترة
+
+399
+00:31:42,450 --> 00:31:45,570
+على خير ونشوف وشكوا على خير إن شاء الله السلام
+
+400
+00:31:45,570 --> 00:31:45,870
+عليكم
+
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/1Du05IN_hTA_postprocess.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/1Du05IN_hTA_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..34bcd6df64a33c825d2061dbf987e54aa3974e2e
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/1Du05IN_hTA_postprocess.srt
@@ -0,0 +1,1596 @@
+1
+00:00:00,960 --> 00:00:03,520
+بسم الله الرحمن الرحيم اليوم إن شاء الله محاضرة
+
+2
+00:00:03,520 --> 00:00:07,960
+جديدة اليوم طبعا تسجيل من البيت ادعوا ربنا الكرات
+
+3
+00:00:07,960 --> 00:00:12,700
+و ال هيك ما يكونوش كتيرة ع كل حال هيكوا عارفين لو
+
+4
+00:00:12,700 --> 00:00:18,760
+سمعتولكوا صوت حطب بيقوسة جزر جزاز مكسر اي حاجة ع
+
+5
+00:00:18,760 --> 00:00:21,800
+كل حال اليوم هنتحدث إن شاء الله برضه في الجهاز
+
+6
+00:00:21,800 --> 00:00:26,970
+الهطب كنا بدأنا و حكينا إذا فاكرين عنالـ
+
+7
+00:00:26,970 --> 00:00:30,090
+gastroesophageal reflux والبيبتكالثر والدودنالالثر
+
+8
+00:00:30,090 --> 00:00:33,730
+الآن بنروح للـ gallbladder إيش عن ال gallbladder
+
+9
+00:00:33,730 --> 00:00:39,210
+المرارة مرارة gallbladder disorders أمراض المرارة
+
+10
+00:00:39,210 --> 00:00:44,410
+المرارة يعني احنا زي ما كلنا عارفين هي عبارة عن
+
+11
+00:00:44,410 --> 00:00:49,990
+عضو
+
+12
+00:00:50,930 --> 00:00:53,670
+موجود في الـ right upper quadrant of the abdomen
+
+13
+00:00:53,670 --> 00:00:58,710
+right below the liver تحت ال liver على الطولة يعني
+
+14
+00:00:58,710 --> 00:01:03,610
+ال liver منه تحت ال gallbladder هي عبارة عن a part
+
+15
+00:01:03,610 --> 00:01:10,530
+of biliary system نقول عنه الجهاز البابي biliary
+
+16
+00:01:10,530 --> 00:01:16,010
+system اللي هو اللي بيصدر ال fluids من ال liver
+
+17
+00:01:16,010 --> 00:01:22,730
+للجهاز الحضنيوالـ Gold Bladder يا جماعة لازم نكون
+
+18
+00:01:22,730 --> 00:01:30,130
+كلنا عارفين إن هي بتصنعش حاجة هي بس storage
+
+19
+00:01:30,130 --> 00:01:36,670
+reservoir for the pile بس لإنها بتجمع ال pile
+
+20
+00:01:36,670 --> 00:01:42,130
+المادة الأسارة الصفراوية فيها بسإذا كمان مرة ال
+
+21
+00:01:42,130 --> 00:01:47,070
+main function is to store bile not produce which
+
+22
+00:01:47,070 --> 00:01:52,410
+helps the body digest fats طبعا ال digest fats
+
+23
+00:01:52,410 --> 00:01:57,930
+اللي هو زي ما قلنا اللي هو ال ال ال ال ال ال fluid
+
+24
+00:01:57,930 --> 00:02:05,670
+ال bile نفسه مش ال ال ال ال gold bladderالكبت
+
+25
+00:02:05,670 --> 00:02:16,210
+يكوّن الـ Pile وعن
+
+26
+00:02:16,210 --> 00:02:20,210
+طريق الممرات بيروح على الـ gallbladder لما نأكل أو
+
+27
+00:02:20,210 --> 00:02:25,410
+نشرب خاصة الحاجات اللي فيها fat ال Pile released
+
+28
+00:02:25,410 --> 00:02:30,350
+بس بيخرجfrom the gallbladder into the upper small
+
+29
+00:02:30,350 --> 00:02:34,890
+intestine في منطق دي الدودينم بتلاقوا to help
+
+30
+00:02:34,890 --> 00:02:37,950
+break down fats زي ما احنا شايفين هان اللي هو
+
+31
+00:02:37,950 --> 00:02:42,210
+الكبد ال gallbladder اللي هي الجطع الخضر هاي الممر
+
+32
+00:02:42,210 --> 00:02:48,230
+اللي طالع من ال gallbladder ورايح من خلال ال head
+
+33
+00:02:48,230 --> 00:02:54,170
+of pancreas ودخل في ال sphincter of ody دخل في
+
+34
+00:02:54,170 --> 00:02:58,920
+وين؟ في الدودينم الدودينم اللي هو ال 12الـ
+
+35
+00:02:58,920 --> 00:03:04,480
+Dowdenum اللي هو الـ 12 طبعاً بيلتجي وانا طبعاً
+
+36
+00:03:04,480 --> 00:03:09,540
+مهم الملاحظات هاي بيلتجي الـ Sphincter المخرج تبع
+
+37
+00:03:09,540 --> 00:03:14,780
+ال Common Pile Duct اللي هو اللي طالع من الـ Gold
+
+38
+00:03:14,780 --> 00:03:19,200
+Bladder بيلتجي في نفس المنطقة أو نفس الفتحة اللي
+
+39
+00:03:19,200 --> 00:03:23,460
+بيصب فيها كمان من الـ Pancreas الـ Pancreatic Duct
+
+40
+00:03:23,460 --> 00:03:28,020
+يعني الـ Pancreatic Ductبيشتمع مع الـ Common Pile
+
+41
+00:03:28,020 --> 00:03:31,900
+Duct وبيصب وين في الـ Diodinium ليش هذا الموضوع
+
+42
+00:03:31,900 --> 00:03:36,620
+مهم بالنسبة لنا؟ لأن أي مشكلة في المنطقة هذه، يعني
+
+43
+00:03:36,620 --> 00:03:40,300
+عند الفتحة هذه، ممكن تعملي كمان مشاكل في وين، في
+
+44
+00:03:40,300 --> 00:03:48,040
+الـBanker Yesممكن يكون المشكلة هي stone يعني
+
+45
+00:03:48,040 --> 00:03:56,740
+حصوة ممكن يكون tumor كمان ومسكر ليه طبعاً بيحجز
+
+46
+00:03:56,740 --> 00:04:02,900
+المادة الصفراء من دخول الدودينام لكن في نفس الوجه
+
+47
+00:04:02,900 --> 00:04:06,680
+المادة الصفراء بتنتشر في الجسم وبصير عندنا الصفار
+
+48
+00:04:06,680 --> 00:04:10,200
+الصفار اللي هو نتيجة المادة الصفراء يفجأ كمان مرة
+
+49
+00:04:11,300 --> 00:04:15,180
+في عيننا اللي هو اللي بيطلع من الـ Common bile
+
+50
+00:04:15,180 --> 00:04:18,740
+duct اللي هو الـ Common bile duct وهو نتيجة الـ
+
+51
+00:04:18,740 --> 00:04:21,320
+Common bile duct اجتماع الـ Common hepatic duct
+
+52
+00:04:21,320 --> 00:04:23,960
+والـ Cystic duct بيجتمعوا مع بعض الـ Common
+
+53
+00:04:23,960 --> 00:04:29,000
+hepatic duct جاي من اللفر والـ
+
+54
+00:04:29,000 --> 00:04:34,920
+Cystic duct جاي من الـ Common bile duct الـ Common
+
+55
+00:04:34,920 --> 00:04:39,770
+bile ductبيصب في الدودينام من نفس المكان اللي هو
+
+56
+00:04:39,770 --> 00:04:43,950
+«سفينكتر أوف أودي» أودي هذا اسم شخص اللي هو فتحة
+
+57
+00:04:43,950 --> 00:04:50,750
+أودي مع الـ pancreatic duct بيصب في الدودينام الـ
+
+58
+00:04:50,750 --> 00:04:57,550
+gallbladder diseases بس كشوية هيك معلومات و
+
+59
+00:04:57,550 --> 00:05:02,910
+تعريفات في عندنا الـ gallbladder stone والتهاب للـ
+
+60
+00:05:02,910 --> 00:05:06,880
+gallbladder هدول أهم اتنينالـ Gold Bladder Stone
+
+61
+00:05:06,880 --> 00:05:13,720
+حصوات المرارة وفيه التهاب المرارة الـ Coli
+
+62
+00:05:13,720 --> 00:05:17,640
+Lithiasis اللي هو الـ Coli اللي هي الـ Cyst هي
+
+63
+00:05:17,640 --> 00:05:20,880
+نفسها اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+64
+00:05:20,880 --> 00:05:21,220
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+65
+00:05:21,220 --> 00:05:21,680
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+66
+00:05:21,680 --> 00:05:21,700
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+67
+00:05:21,700 --> 00:05:21,760
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+68
+00:05:21,760 --> 00:05:21,940
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+69
+00:05:21,940 --> 00:05:30,320
+اللي اللي اللي اللي اللي اللي اللي
+
+70
+00:05:30,320 --> 00:05:34,540
+اللي اللwithin the gallbladder أو في الـBiliary
+
+71
+00:05:34,540 --> 00:05:39,040
+Duct System يعني هذا بقول عنه Cololithiasis أي
+
+72
+00:05:39,040 --> 00:05:42,540
+تكوين حصوات جوا الـ Gallbladder أو في الممرات
+
+73
+00:05:42,540 --> 00:05:47,540
+البابية اللي هي في الـBiliary Duct System بسميها
+
+74
+00:05:47,540 --> 00:05:51,640
+Cololithiasis حصوات المرارة أو Gallbladder Stones
+
+75
+00:05:53,190 --> 00:05:56,570
+الان كل الـ Cystitis اللي كمان مرة اللي هي الـ
+
+76
+00:05:56,570 --> 00:06:01,590
+Bladder أو الصفاء الصفراء الـ Cyst اللي هي الكيس
+
+77
+00:06:01,590 --> 00:06:05,710
+كيس الصفراء it is التهم inflammation of جوا ال
+
+78
+00:06:05,710 --> 00:06:10,770
+bladder كل الـ Cystitis طيب وكل الـ Angiitis
+
+79
+00:06:10,770 --> 00:06:14,630
+inflammation of biliary duct لحالة طبعا نادرة لكن
+
+80
+00:06:14,630 --> 00:06:19,300
+لازم نذكرها ان inflammation of the biliary ductالـ
+
+81
+00:06:19,300 --> 00:06:20,760
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+82
+00:06:20,760 --> 00:06:20,880
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+83
+00:06:20,880 --> 00:06:21,480
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+84
+00:06:21,480 --> 00:06:22,960
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+85
+00:06:22,960 --> 00:06:26,460
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+86
+00:06:26,460 --> 00:06:31,200
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+87
+00:06:31,200 --> 00:06:33,840
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+88
+00:06:33,840 --> 00:06:34,320
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+89
+00:06:34,320 --> 00:06:45,060
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+90
+00:06:45,060 --> 00:06:47,960
+الـ الـ الـStasis of the
+
+91
+00:06:47,960 --> 00:07:12,780
+biliary’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’
+
+92
+00:07:15,740 --> 00:07:20,700
+أي حد بدي يحكي عن المرارة بنسمع في غالبية الأحيان
+
+93
+00:07:20,700 --> 00:07:26,140
+غالبية الأحيان بنسمع gold stones اللي هي حصوات
+
+94
+00:07:26,140 --> 00:07:29,360
+مرارية عنده حصوات مرارية عنده ماعندش بسمع والله
+
+95
+00:07:29,360 --> 00:07:34,060
+عنده التهابات فيها أو عنده كذا لأ هو by far gold
+
+96
+00:07:34,060 --> 00:07:38,920
+bladder stones by far the most common problemفي
+
+97
+00:07:38,920 --> 00:07:43,380
+منطقة اللي هي الـ gallbladder وهي زي ما قلنا الـ
+
+98
+00:07:43,380 --> 00:07:47,700
+stones tiny stones that form from hardening bile
+
+99
+00:07:47,700 --> 00:07:52,800
+and كلسترول متكونة من عصارة صفروية متجمدة مع
+
+100
+00:07:52,800 --> 00:07:59,540
+كلسترول علشان هيك الحاجات الدهنية بتساعد على تكوين
+
+101
+00:07:59,540 --> 00:08:03,780
+الـ gallstones الكلسترول هي في حد ذاتها مافيش فيها
+
+102
+00:08:03,780 --> 00:08:05,960
+مشكلة كبيرة لكن هي لو عملت block
+
+103
+00:08:13,230 --> 00:08:19,250
+الرسم الأولاني لو أجى أي stone في أي مكان هي الرسم
+
+104
+00:08:19,250 --> 00:08:25,110
+الأولى اللي هي في العنوان هنلاحظ الـ Gold Stones
+
+105
+00:08:28,390 --> 00:08:32,770
+الـ Gold Stones لما وقفلي عند الـ Common Pile Duct
+
+106
+00:08:32,770 --> 00:08:36,270
+والبنكريات الدكت فعملي حجز ال Gold Stones لما
+
+107
+00:08:36,270 --> 00:08:40,610
+عمللي Blocking لل Common Pile Duct فعملي حجز ال
+
+108
+00:08:40,610 --> 00:08:45,730
+Gold Stones وهي في جلب ال Gold Bladder عمليا مش
+
+109
+00:08:45,730 --> 00:08:50,170
+عاملالي مشاكل عمليا مش عاملالي مشاكل يبقى أنا هنا
+
+110
+00:08:50,170 --> 00:08:56,790
+مشكلتي أنجل على الرسمة برضه اللي فوقجولستونز في
+
+111
+00:08:56,790 --> 00:09:03,210
+الجول بلادر جولستونز في الـ cystic duct جولستونز
+
+112
+00:09:03,210 --> 00:09:07,670
+في ال common bile duct وزي ما قلنا جولستونز عند
+
+113
+00:09:07,670 --> 00:09:11,930
+اللي هي الممر المشترك بين الـ pancreatic duct و
+
+114
+00:09:11,930 --> 00:09:18,210
+بين ال common bile duct تعود نرجع يبقى أنا مشكلتي
+
+115
+00:09:18,210 --> 00:09:25,840
+في الجولستونز blockageوهذا ما
+
+116
+00:09:25,840 --> 00:09:32,820
+يعمل أيه؟ طبعاً أي حاجة لأن الـ«بيل
+
+117
+00:09:32,820 --> 00:09:39,540
+داكت» هي عبارة عن ممرات الممرات هي فيها نوع من
+
+118
+00:09:39,540 --> 00:09:45,520
+الـ«بريستالتك» فهي ممكن لما يكون في حصوى ينحجز جوا
+
+119
+00:09:45,520 --> 00:09:50,670
+الـ«داكت» الحصوى فتعمل لـSevere Painطبعا غير أنه
+
+120
+00:09:50,670 --> 00:09:54,550
+الـ pile كمان بينحجز في ال .. في الـ gallbladder
+
+121
+00:09:54,550 --> 00:09:58,010
+فممكن يعملي كمان pain، severe pain particularly
+
+122
+00:09:58,010 --> 00:10:02,150
+after eating fatty أو greasy زيتي foods، joints
+
+123
+00:10:02,150 --> 00:10:05,630
+اسمه يعملي صفار طبعا yellowing of the skin and
+
+124
+00:10:05,630 --> 00:10:11,220
+eyes ليش؟ لأن الصفار بطل يروح الجهاز الهضبيفإيش
+
+125
+00:10:11,220 --> 00:10:15,840
+بيعمل ليه؟ بيطلع، بيمتص في الدم وبعد هيك بيبين
+
+126
+00:10:15,840 --> 00:10:19,920
+كصفار في الجلد، وإيش كمان؟ طبعا وجود حصوة في
+
+127
+00:10:19,920 --> 00:10:22,980
+الممرات هاي أو في الـgoal bladder ممكن يديني كل
+
+128
+00:10:22,980 --> 00:10:25,600
+الـcystitis التهيابات و irritation و inflammation
+
+129
+00:10:25,600 --> 00:10:32,180
+لإلهام كمان ممكن إيش يصير؟ نتيجة الاحتقان اللي صار
+
+130
+00:10:32,180 --> 00:10:37,720
+عند مدخل الـpancreas للـgoal للـdowdenum ممكن يصير
+
+131
+00:10:37,720 --> 00:10:43,370
+عندي pancreatitisزي ما حكينا في لما يعملوا
+
+132
+00:10:43,370 --> 00:10:47,150
+blockage للـ pancreatic ducts ممكن يصير عندى bowel
+
+133
+00:10:47,150 --> 00:10:50,950
+obstruction caused by gall stone passing into the
+
+134
+00:10:50,950 --> 00:10:54,190
+intestine and then blocking the intestine الآن
+
+135
+00:10:54,190 --> 00:10:59,210
+فرضا دخلت الحصوة على الأمعاء وفي الأمعاء ممكن تجمع
+
+136
+00:10:59,210 --> 00:11:03,170
+الحصوة حواليها كمان حاجة ممكن تعملي obstruction لل
+
+137
+00:11:03,170 --> 00:11:09,010
+bowel للأمعاءproblem like gold stones may never
+
+138
+00:11:09,010 --> 00:11:13,930
+cause any pain at all but that doesn't mean they
+
+139
+00:11:13,930 --> 00:11:16,470
+will resolve themselves هو طبعا ممكن تكون
+
+140
+00:11:16,470 --> 00:11:19,510
+asymptomatic stones يا جماعة خاصة لما تكون ال gold
+
+141
+00:11:19,510 --> 00:11:22,290
+stone موجودة في ال cyst في ال gold bladder itself
+
+142
+00:11:22,290 --> 00:11:26,670
+في المرارة نفسها ممكن ما تعملليش ولا مشكلة لكن هذا
+
+143
+00:11:26,670 --> 00:11:31,230
+لا يعني أنها هتدوب لحالها هذا مهمأنا مافيش حاجة
+
+144
+00:11:31,230 --> 00:11:33,910
+إنه أنا شوفت والله gold platter و .. و .. و خلاص
+
+145
+00:11:33,910 --> 00:11:37,210
+بتروح لوحدها okay مش عاملة مشاكل ممكن لكن لا يعني
+
+146
+00:11:37,210 --> 00:11:42,050
+إنها بتروح لوحدها ال gold stones قلنا اسمها
+
+147
+00:11:42,050 --> 00:11:43,230
+polylithiasis
+
+148
+00:11:46,570 --> 00:11:52,530
+وهو مشكلة عامة وعامة بين الناس الأكبر من عمرها
+
+149
+00:11:52,530 --> 00:11:57,310
+أربعين بعد المشروع، الـ gallbladder تتعامل بالعادة
+
+150
+00:11:57,310 --> 00:12:03,590
+تتعامل بالعادة وبتعمل إخراج للجزء إلى الانتستان
+
+151
+00:12:03,590 --> 00:12:08,470
+لإيقاف الانتجاش وزي ما قلنا، الجزء يستفيد منه في
+
+152
+00:12:08,470 --> 00:12:09,670
+انتجاش الزبدة
+
+153
+00:12:15,130 --> 00:12:18,490
+وهي حاجة من الحاجات اللي عملت أن الـPile اللي بصنع
+
+154
+00:12:18,490 --> 00:12:22,650
+الـPile زي الـWaste Product الـBelarubin أو
+
+155
+00:12:22,650 --> 00:12:23,330
+الكوليسترول
+
+156
+00:12:31,340 --> 00:12:34,300
+الـ «جولسترون» يجلس فقط في الـ «جول بلدر» و لا
+
+157
+00:12:34,300 --> 00:12:40,140
+يسبب مشاكل في العادة لكن بعض الأحيان يحفظون الخروج
+
+158
+00:12:40,140 --> 00:12:45,240
+من الـ «جول بلدر» باسم «دكت سيستيك» حكينا عنه زي
+
+159
+00:12:45,240 --> 00:12:48,640
+ما هو مبين في الصورة فعندما يحدث هذا الـ «جول
+
+160
+00:12:48,640 --> 00:12:56,510
+بلدر» يدفع إلىويصبح مصابًا ويصبح عندي كوليسيستايتس
+
+161
+00:12:56,510 --> 00:13:05,650
+ويمكن أن يتحسن لوحده أو يتحسن إلى حالة أكتر صعبة
+
+162
+00:13:05,650 --> 00:13:12,070
+مثل بكتيريا انفكشن من جول بلدة المصابة ليبقى أنا
+
+163
+00:13:12,070 --> 00:13:15,910
+مش مشكلتي بس لما يصبح عندى blockage لأي مكان في ال
+
+164
+00:13:15,910 --> 00:13:20,240
+goal systemإنه يكون عندى بس blockage إنما ممكن
+
+165
+00:13:20,240 --> 00:13:23,460
+برضه يعملى احتقان في الـ gallbladder و بعد هيك
+
+166
+00:13:23,460 --> 00:13:26,720
+يعملى inflammation و بعد هيك طبعا هذه ال
+
+167
+00:13:26,720 --> 00:13:31,500
+complications كبيرة لأ لها طب هم مين المجموعات
+
+168
+00:13:31,500 --> 00:13:37,880
+اللى ممكن يصير عندها gallbladder خاصة
+
+169
+00:13:37,880 --> 00:13:42,500
+إنه احنا زى ما احنا عارفين إنه الناس الرسكى هي ال
+
+170
+00:13:42,500 --> 00:13:45,080
+family history of gall الناس الرسكى هم الناس اللى
+
+171
+00:13:45,080 --> 00:13:48,560
+عندهم family history of gallstonesTaking
+
+172
+00:13:48,560 --> 00:13:53,100
+medication to lower cholesterol levels طبعاً
+
+173
+00:13:53,100 --> 00:13:57,480
+Having الناس اللي عندها diabetes a rapid large
+
+174
+00:13:57,480 --> 00:14:01,240
+loss of weight ليش؟ لأنه بيصير عندنا فيه كوليسترول
+
+175
+00:14:01,240 --> 00:14:05,880
+كتير Taking birth control pills or hormone
+
+176
+00:14:05,880 --> 00:14:11,140
+replacement therapy الناس اللي بتاخد حبوب من الحمل
+
+177
+00:14:11,140 --> 00:14:12,000
+عن طريق الفم
+
+178
+00:14:15,070 --> 00:14:19,270
+بينج بريجنانت، ليش؟ لأنه ضغط أو حتى الـ overweight
+
+179
+00:14:19,270 --> 00:14:26,770
+بتغطينا على الـ gall bladder من تحت، فبصير الترسيب
+
+180
+00:14:26,770 --> 00:14:32,190
+أكبر في الممرات بتتضغط،
+
+181
+00:14:32,190 --> 00:14:36,310
+الممرات اللي هو ال barrier system فبصير الترسيب
+
+182
+00:14:36,310 --> 00:14:41,490
+أكتر، eating a diet rich in fat وكلسترول طبيعي and
+
+183
+00:14:41,490 --> 00:14:43,510
+without enough fiber
+
+184
+00:14:46,980 --> 00:14:53,320
+جولستونز سيمتومز عادة زي ما قلنا ممكن مايكونش فيه
+
+185
+00:14:53,320 --> 00:14:56,960
+asymptomatic تكون و عادي رايحين نعمل فحص للبطن
+
+186
+00:14:56,960 --> 00:15:00,720
+عشان سبب من الأسباب لاجوا جولستونز okay فش إشي
+
+187
+00:15:00,720 --> 00:15:06,560
+كبير نسكت عنها و بنراجبها بس لكن في ناس جولستونز
+
+188
+00:15:06,560 --> 00:15:11,320
+can cause symptoms زي مثلا symptoms of
+
+189
+00:15:11,320 --> 00:15:16,270
+cholestastitis ممكن الدينبلياريكوليككليك يعني ياخد
+
+190
+00:15:16,270 --> 00:15:22,330
+نص ساعة ساعة وجع شديد في ال right upper part of
+
+191
+00:15:22,330 --> 00:15:30,070
+the abdomen وحتى ممكن يسمع في الظهر بين اللي هو
+
+192
+00:15:30,070 --> 00:15:36,350
+الكتفينو بسوق fever ممكن يصير wind kill يعني حرارة
+
+193
+00:15:36,350 --> 00:15:40,350
+ماقش عريرة وممكن يعملني vomiting and nausea ممكن
+
+194
+00:15:40,350 --> 00:15:44,350
+زي ما قلنا يعملنا صفار طبيعي طبعا بما أنه الآن
+
+195
+00:15:44,350 --> 00:15:48,870
+الصفار أو المادة الصفرة بطلت تروح الجهاز الهضمي
+
+196
+00:15:48,870 --> 00:15:54,640
+وعادة البراز بياخد لونه الغامج منمن المادة الصفراء
+
+197
+00:15:54,640 --> 00:16:00,040
+الان لو ما اخدش مارحش مادة صفراء او ال pile مارحش
+
+198
+00:16:00,040 --> 00:16:05,160
+فالبراز بيصير فاتح زي ال clay بيقول عنه clay color
+
+199
+00:16:05,160 --> 00:16:09,880
+فاتح لونه فاتح البراز لونه فاتح كتير كتير زي
+
+200
+00:16:09,880 --> 00:16:15,700
+الطحينية البيضة عمليا pain that strikes after
+
+201
+00:16:15,700 --> 00:16:19,880
+eating a fatty meal و بيصير عندنا غزات و bloating
+
+202
+00:16:21,650 --> 00:16:25,890
+كيف بشخصه؟ زي ما قلنا تشخيصه سهل حقيقة من أسهل
+
+203
+00:16:25,890 --> 00:16:29,550
+التشخيصات بالـ ultrasound which uses sound waves
+
+204
+00:16:29,550 --> 00:16:33,410
+to visualize the area كيف بيبين الحصوة بتبقى عمالة
+
+205
+00:16:33,410 --> 00:16:36,830
+عملالي حاجة زي shadow زي ما احنا شايفين في الصورة
+
+206
+00:16:36,830 --> 00:16:41,640
+والسهم هذه الحصوة وشايفين ال shadowهذا مثل الضل
+
+207
+00:16:41,640 --> 00:16:45,340
+بيشوفها الدكتور فبيعرف إنه في حصوات نفس الكلام
+
+208
+00:16:45,340 --> 00:16:49,440
+بينطبق على حصوات تبع الكلة في التشغيل وفي ناس ممكن
+
+209
+00:16:49,440 --> 00:16:53,620
+تدّي oral كل Instagram بس هذا لاحقا ماحدش بيعمله
+
+210
+00:16:53,620 --> 00:16:57,780
+عمليا to show the gallbladder after the patients
+
+211
+00:16:57,780 --> 00:17:03,020
+swallow pills containing dye وهذا بتبين الموضوع ال
+
+212
+00:17:03,020 --> 00:17:04,380
+gallstone therapy
+
+213
+00:17:07,200 --> 00:17:10,820
+في أكتر من option حسب ال symptoms وحسب ال severity
+
+214
+00:17:10,820 --> 00:17:17,000
+طبعا انا لو بحكي جاعد والله واحد في عنده عنده كل
+
+215
+00:17:17,000 --> 00:17:23,040
+يعني حاجة تدعي ال surgery لابد انه surgically او
+
+216
+00:17:23,040 --> 00:17:28,900
+laparoscope اعمل removal لل goalie bladder باللي
+
+217
+00:17:28,900 --> 00:17:29,180
+فيها
+
+218
+00:17:32,560 --> 00:17:36,160
+هذا طبعا في الـ severe symptoms عادة ذلك بنحاول
+
+219
+00:17:36,160 --> 00:17:39,680
+جدر الإمكان إذا مش عاملالي مشاكل low-fat diet to
+
+220
+00:17:39,680 --> 00:17:43,160
+help relieve the gall stones symptoms ممكن ندي
+
+221
+00:17:43,160 --> 00:17:47,220
+medications في بعض ال medications ممكن تساعد salts
+
+222
+00:17:47,220 --> 00:17:52,360
+تساعد to break down small gall stones to reduce
+
+223
+00:17:52,360 --> 00:17:53,420
+pain and symptoms
+
+224
+00:17:56,370 --> 00:18:02,610
+مش كل واحد ممكن تديله ال medications هاي اللي فيه
+
+225
+00:18:02,610 --> 00:18:06,890
+طبعا ال forceful sound اللي هو lithotripsy litho
+
+226
+00:18:06,890 --> 00:18:10,650
+زي ما قلنا litho هي حصوات tripsy تفتيت تفتيت
+
+227
+00:18:10,650 --> 00:18:15,130
+الحصوات are aimed directly at the gall stones to
+
+228
+00:18:15,130 --> 00:18:20,510
+break them into tinyأو tiny fragments usually
+
+229
+00:18:20,510 --> 00:18:24,210
+followed by medication to dissolve the pieces وهذه
+
+230
+00:18:24,210 --> 00:18:27,870
+تقريبا من الحاجات اللي بيستخدموها إلى جانب ال
+
+231
+00:18:27,870 --> 00:18:34,190
+surgery أنه بموجات فوق صوتية بأدى forceful sounds
+
+232
+00:18:34,190 --> 00:18:37,550
+بحاول
+
+233
+00:18:37,550 --> 00:18:42,770
+أكسر الحصوات هاي بأملح معينة أو أدوية معينة ممكن
+
+234
+00:18:42,770 --> 00:18:46,130
+تنزل وطبعا في حال لما يكون فينا pain بندى pain
+
+235
+00:18:46,130 --> 00:18:53,830
+killerوهذا بدخلنا على الحاجة التانية اللي هي what
+
+236
+00:18:53,830 --> 00:19:01,830
+is cholecystitis is a big word for the simple but
+
+237
+00:19:01,830 --> 00:19:04,550
+potentially painful problem gallbladder
+
+238
+00:19:04,550 --> 00:19:05,630
+inflammation
+
+239
+00:19:11,620 --> 00:19:15,680
+طبعاً بنجسمها الـ acute cholecystitis لـ two
+
+240
+00:19:15,680 --> 00:19:21,720
+divisions الـ acute cholecystitis مع calculus يعني
+
+241
+00:19:21,720 --> 00:19:25,940
+بحصوة يعني cholecystitis يا بيصير بحصوات يا بدون
+
+242
+00:19:25,940 --> 00:19:31,800
+حصوات الغالبية العظمة 85% بتكون بحصوات عادة 85% ل
+
+243
+00:19:31,800 --> 00:19:36,190
+90% of cases بتبقى acuteالخاصة المعروفة هي الـ
+
+244
+00:19:36,190 --> 00:19:44,010
+Calculus Cholecystitis أكيد
+
+245
+00:19:44,010 --> 00:19:49,150
+أكل كولاس اللي هو حوالي يعني بدون كالكولاس يعني
+
+246
+00:19:49,150 --> 00:19:51,270
+عشر إلى خمس عشر فرمية of cases
+
+247
+00:19:54,920 --> 00:19:57,440
+طبعاً نفس الكلام، mild fever، anorexia،
+
+248
+00:19:57,440 --> 00:20:00,900
+تاكيكارديا، sweating، nausea، vomiting وممكن برضه
+
+249
+00:20:00,900 --> 00:20:04,660
+hyperpleropenemia حسب اللي هو زيادة الصفار،
+
+250
+00:20:04,660 --> 00:20:09,040
+التهيابات، leucocytosis، زيادة في عدد القرايات
+
+251
+00:20:09,040 --> 00:20:14,420
+البيضة طبعاً
+
+252
+00:20:14,420 --> 00:20:15,740
+المنطقة
+
+253
+00:20:17,450 --> 00:20:21,990
+المنطقة الـ Colitis Cystitis المنطقة اللي فيها الـ
+
+254
+00:20:21,990 --> 00:20:26,310
+Gall Bladder بصورة عامة هي منطقة تخضع لكثير من
+
+255
+00:20:26,310 --> 00:20:28,790
+الـDifferential Diagnosis يعني أنا مش من حد ميجين
+
+256
+00:20:28,790 --> 00:20:31,910
+الأيام بعرف إنه في عنده Acute Colitis Cystitis أو
+
+257
+00:20:31,910 --> 00:20:35,450
+إنه عنده Gall Bladder، خدوا بقى الـCollage لأنه في
+
+258
+00:20:35,450 --> 00:20:38,670
+عندنا أمراض الكبد، في عندنا الـChest لفوق منه، في
+
+259
+00:20:38,670 --> 00:20:43,310
+عندنا اللي تحت منه، في عندنا الـDaudenum، في عندنا
+
+260
+00:20:43,310 --> 00:20:48,470
+الـGastricعنا الـ heart فإحنا هذه كلها المنطقة
+
+261
+00:20:48,470 --> 00:20:52,690
+أصلا بتساقب التشخيص Untreated cholecystitis can
+
+262
+00:20:52,690 --> 00:20:57,130
+lead to complications So don't brush off these
+
+263
+00:20:57,130 --> 00:21:01,710
+symptoms as just a little indigestion or stomach
+
+264
+00:21:01,710 --> 00:21:05,730
+bug يعني كمان الغلطة اللي بيعملوها كتير من الطباء
+
+265
+00:21:05,730 --> 00:21:10,150
+مثلا أو حتى من الناس حوالين المريض أنه شوية برد،
+
+266
+00:21:10,150 --> 00:21:13,370
+شوية flu، شوية ماعرفش إيش وهو بيبقى في عنده
+
+267
+00:21:13,370 --> 00:21:16,990
+cholecystitisوزي ما قلنا الـcholestrostitis ممكن
+
+268
+00:21:16,990 --> 00:21:20,510
+يكون كرونيك كمان بـresistant long standing أو long
+
+269
+00:21:20,510 --> 00:21:24,330
+lasting swelling and damage to the gallbladder و
+
+270
+00:21:24,330 --> 00:21:27,410
+acute sudden attack that cause swelling and
+
+271
+00:21:27,410 --> 00:21:30,930
+irritation of the gallbladder الأسباب تاعتها طبعا
+
+272
+00:21:30,930 --> 00:21:35,190
+على القمة الهرماللي هو الـ Gold Stones الحصوات
+
+273
+00:21:35,190 --> 00:21:40,750
+وقلنا 85، 90% من الـ Cholestastitis من التهاب
+
+274
+00:21:40,750 --> 00:21:45,770
+المرارة بيصير عن طريق الـ Gold Stones Complication
+
+275
+00:21:45,770 --> 00:21:54,050
+ممكن يكون نتيجة سكري، نتيجة HIVممكن يكون كمان
+
+276
+00:21:54,050 --> 00:21:58,350
+نتيجة بكتيريا infection نتيجة tumor in the liver
+
+277
+00:21:58,350 --> 00:22:02,470
+أو بنكرياس ال blood flow to the bladder بيبقى
+
+278
+00:22:02,470 --> 00:22:05,290
+reduced كل bladder في حاجة اسمها كل bladder
+
+279
+00:22:05,290 --> 00:22:08,610
+sludge، sludge هو زي ما بتشوفوا لما بيشتروا الزيت
+
+280
+00:22:08,610 --> 00:22:12,960
+لجديدفي الآخر الزيت الجديد بتخليه أسبوعين تلاتة
+
+281
+00:22:12,960 --> 00:22:18,460
+عشان يصفي تحت اللي هي بقايا
+
+282
+00:22:18,460 --> 00:22:22,900
+عملية التعصير في جاعي الجنية وهذا اللي بيصير في
+
+283
+00:22:22,900 --> 00:22:28,630
+الـ Goal Bladder أنه بيصير عندي substanceثيك
+
+284
+00:22:28,630 --> 00:22:38,370
+سبستانس بيبقى في السائل المراري و عامله زي و كأنه
+
+285
+00:22:38,370 --> 00:22:43,330
+و كأنه مش نظيف وهذا بترسب لا يمطس بترسب و بيعمل
+
+286
+00:22:43,330 --> 00:22:49,170
+ليه اللي هي الطبقة اللي بيقول عنها sludge و في
+
+287
+00:22:49,170 --> 00:22:52,910
+الأخر بتعمل ليه زي مش حصوات زي التكونات الفيلياري
+
+288
+00:22:52,910 --> 00:22:57,470
+sludge هو viscous pileالـ Precursor هو المقدمة
+
+289
+00:22:57,470 --> 00:23:00,870
+للحصوات الطبيعي المقدمة للحصوات
+
+290
+00:23:05,820 --> 00:23:10,960
+مشاركة بـ Prolonged TBN TBN هو Total Parental
+
+291
+00:23:10,960 --> 00:23:14,020
+Nutrition الناس اللي بيديهم تخزيه وردية and
+
+292
+00:23:14,020 --> 00:23:16,820
+fasting الناس اللي بتصوم عادة تجدها في تجارب
+
+293
+00:23:16,820 --> 00:23:19,960
+التجارب التجاربية الاسمتماطية عادة زي ما احنا
+
+294
+00:23:19,960 --> 00:23:24,100
+شايفين في الصورة هو هذا الـ sludge عبارة عن ترسبات
+
+295
+00:23:24,100 --> 00:23:29,860
+زيتية دهنية في المرارة وهذا بتبقى مقدمة لإيش للـ
+
+296
+00:23:29,860 --> 00:23:31,800
+gall stones formation
+
+297
+00:23:35,110 --> 00:23:38,850
+بالفحص، medical history، ultrasound، وممكن بعض
+
+298
+00:23:38,850 --> 00:23:41,930
+الأحيان نعمل X-ray Complication of cholecystitis
+
+299
+00:23:41,930 --> 00:23:46,110
+وهنا طبعا احنا بيصير الواحد شوية مشاكل ليش؟ لأنه
+
+300
+00:23:46,110 --> 00:23:49,370
+بطلت بتصير المشكلة مش restricted على جول الـ
+
+301
+00:23:49,370 --> 00:23:54,530
+bladder itself إنما ممكن توصلي تعملي sepsis يعني
+
+302
+00:23:54,530 --> 00:24:00,140
+bacterial super infection with cholangitisأو
+
+303
+00:24:00,140 --> 00:24:03,420
+يدّيني سبسيس Gold Bladder Perforation ممكن الـ
+
+304
+00:24:03,420 --> 00:24:06,980
+Gold Bladder هي ملتهبة، إيش تعملي؟ حواليها تعملي
+
+305
+00:24:06,980 --> 00:24:16,190
+زي أبسس مدة وتعملي زي .. و ترتبطو ترتبط مع الأمعاء
+
+306
+00:24:16,190 --> 00:24:18,570
+أو حاجة و ممكن تعملي peritonitis الاتحاب اللي في
+
+307
+00:24:18,570 --> 00:24:20,830
+الـ Gull Bladder لو بنقول زي ما بنقول احنا في
+
+308
+00:24:20,830 --> 00:24:25,430
+لغتنا لو فجعت أو أو الاتحاب تبعها انتشر ممكن تديني
+
+309
+00:24:25,430 --> 00:24:29,550
+peritonitis التهاب جدار البطن من الداخل وهذه طبعا
+
+310
+00:24:29,550 --> 00:24:34,480
+Life-threatening conditions ممكن يصير عنديبيلياري
+
+311
+00:24:34,480 --> 00:24:39,480
+انتريك فستولة زي ما قلنا تتواصل يصير فيه ممر بين
+
+312
+00:24:39,480 --> 00:24:42,220
+الـgoal bladder و بين الأمعاه وهذه مشكلة عويزة
+
+313
+00:24:42,220 --> 00:24:46,320
+طبعا حقيقة وممكن طبعا لو واحد عنده cardiac أو
+
+314
+00:24:46,320 --> 00:24:50,960
+pulmonary أو renal decompression decompensation
+
+315
+00:24:50,960 --> 00:24:55,300
+هذه تعمل aggravating لإلها يعني كل الـcystitis مع
+
+316
+00:24:55,300 --> 00:25:02,000
+واحد عنده جلب الأمر بيبقى أكبر وطبعاالـ «جولبلادر»
+
+317
+00:25:02,000 --> 00:25:09,040
+ممكن تديني حاجة اسمها «بورسيلان جولبلادر» يصير
+
+318
+00:25:09,040 --> 00:25:15,160
+نتيجة الحصوات والاتهمات المتكررة زي الحجر الكبير
+
+319
+00:25:15,160 --> 00:25:19,320
+جوا الـ «جولبلادر» وهذا تعمل
+
+320
+00:25:19,320 --> 00:25:24,140
+«increased risk of cancer» أو «of cancer» كيف
+
+321
+00:25:24,140 --> 00:25:28,480
+بنعالج الكوليستايتس؟وهو الـ Most Common Treatment
+
+322
+00:25:28,480 --> 00:25:36,060
+«خلص السيستيبتمي» الباب اللي بيجيك
+
+323
+00:25:36,060 --> 00:25:39,720
+منه الريح سده و استريح طبعا إلى جانب الـSwitching
+
+324
+00:25:39,720 --> 00:25:44,140
+to a Low-Fat Diet Medication to Manage Pain
+
+325
+00:25:44,140 --> 00:25:52,520
+Medication to Dissolve the Gold Stones ممكن نديها
+
+326
+00:25:52,520 --> 00:25:58,020
+عشان ما يكونش الواحد Gold Stonesولكن فعليتها تبقى
+
+327
+00:25:58,020 --> 00:26:02,240
+أضعف، في حالات الـMild كل الـCystitis بطيبه شوية
+
+328
+00:26:02,240 --> 00:26:06,420
+مضادات حيوية ونعمله Diet وسوائل كتير وبتمشي
+
+329
+00:26:06,420 --> 00:26:10,460
+الدنيا، لكن الـSerious كل الـCystitis طبعا بيصير
+
+330
+00:26:10,460 --> 00:26:14,880
+زي ما حكينا، بده أعالجه الـComplication تبعته،
+
+331
+00:26:14,880 --> 00:26:21,240
+Pancreatitis، الـJoints عصب المثال، أعالجها، وطبعا
+
+332
+00:26:21,240 --> 00:26:25,370
+Surgery Intervention كمانطب إيش الـ Surgery اللي
+
+333
+00:26:25,370 --> 00:26:29,170
+بنعمله عادة الـ Cholecystectomy؟ بنعمل الـ Open
+
+334
+00:26:29,170 --> 00:26:33,470
+اللي هي الصورة اللي على الشمال اللي هم الفاتحين
+
+335
+00:26:33,470 --> 00:26:41,820
+فيها البطن Open Cholecystectomy Open فمفتوحكل الـ
+
+336
+00:26:41,820 --> 00:26:44,680
+Coli زي ما اتعرفنا عليها اللي هي الصفروية ال- cyst
+
+337
+00:26:44,680 --> 00:26:52,080
+معناته الكيس أو المرارة نفسها اكتومي الباب اللي
+
+338
+00:26:52,080 --> 00:26:57,330
+بيجيك منه سد و استريح بنشيل المرارةبطريقة ال open
+
+339
+00:26:57,330 --> 00:27:01,350
+هذه طبعا كانت زمان هي المنتشرة الآن أقل من هيك
+
+340
+00:27:01,350 --> 00:27:05,610
+المعظم بيعمل حاجة اسمها laparoscopic كل سيستيكتومي
+
+341
+00:27:05,610 --> 00:27:09,890
+بدخلوا على البطن باربع بمنظر عمليا بالمنظر و
+
+342
+00:27:09,890 --> 00:27:14,290
+بشيلوها بدون أي مشاكل بأنصح مش غلط تشوفوا
+
+343
+00:27:14,290 --> 00:27:18,410
+العمليتين فرصة الواحد تشوفوا العمليتين على
+
+344
+00:27:18,410 --> 00:27:24,020
+اليوتيوب حلوين صحيح لو اتفرج عليهم الواحدو لو حد
+
+345
+00:27:24,020 --> 00:27:30,240
+بدي يتبرع يحط على الـ group سواء الشباب أو البنات
+
+346
+00:27:30,240 --> 00:27:38,760
+يحط الفيديوهات بيبقى كتير كويسة في حاجة بنقول عنها
+
+347
+00:27:38,760 --> 00:27:42,880
+وهذه يمكن تسمعوها كمان في المستشفات لابد أن أحكيها
+
+348
+00:27:42,880 --> 00:27:47,500
+حاجة اسمها الـ ERCP الـ ERCP هو عبارة عن
+
+349
+00:27:47,500 --> 00:27:52,820
+Endoscopic برضه بالمنظر Retrograde لكن خلفييعني
+
+350
+00:27:52,820 --> 00:27:59,160
+أنا بدخل للمرارة مش للمرارة للممرات المرارية
+
+351
+00:27:59,160 --> 00:28:04,280
+بطريقة عن طريق المعدة خلفي قدنا بنشوف كيف بنقول
+
+352
+00:28:04,280 --> 00:28:10,780
+endoscopic منظري retrograde رجوعا هيك معناته
+
+353
+00:28:13,400 --> 00:28:17,820
+كول اللي هو زي ما قلنا عنه القلي اللي هي المرارية
+
+354
+00:28:17,820 --> 00:28:22,800
+أنجيو الممرات المرارية البنكرياس الممرات المرارية
+
+355
+00:28:22,800 --> 00:28:29,620
+والبنكرياسية إيجرافي عملية إيش اللي هي رسم يعني
+
+356
+00:28:29,620 --> 00:28:34,230
+كلانجيو بنكرياتو إيجرافيIndoscopic Retrograde
+
+357
+00:28:34,230 --> 00:28:39,150
+Cholangiopancreatography اللي هو ERCP باختصار ERCP
+
+358
+00:28:39,150 --> 00:28:42,430
+مشهورة في المستشفيات بيسمعها عمره ما واحد بيقول
+
+359
+00:28:42,430 --> 00:28:46,130
+الاسم اللي فوق كلهم بيقولوا عنها ERCP وقت إيش
+
+360
+00:28:46,130 --> 00:28:51,070
+بعملها one or more gallstones have migrated out of
+
+361
+00:28:51,070 --> 00:28:53,270
+the gallbladder يعني أحلاها لما كانت في ال
+
+362
+00:28:53,270 --> 00:28:56,010
+gallbladder بنشيل ال gallbladder لكن بعض الأحيان
+
+363
+00:28:57,580 --> 00:29:01,100
+تبقاش في الـ gallbladder migrated out of the
+
+364
+00:29:01,100 --> 00:29:04,960
+gallbladder into the common bile duct which
+
+365
+00:29:04,960 --> 00:29:07,720
+carries bile to the small intestine to aid
+
+366
+00:29:07,720 --> 00:29:12,440
+digestion الـ ERCP، the endoscope، is guided down
+
+367
+00:29:12,440 --> 00:29:16,840
+عن طريق الـ throat into the stomach، على المعدة، و
+
+368
+00:29:16,840 --> 00:29:19,900
+بعدين بروح into the common bile duct عن طريق
+
+369
+00:29:19,900 --> 00:29:23,940
+الدودنم، الممر اللي فكرينه اللي كنا بلتجيه ال
+
+370
+00:29:23,940 --> 00:29:26,800
+common bile duct مع الberkeriatic duct في النقطة
+
+371
+00:29:26,800 --> 00:29:30,460
+هذهكبدخل عن طريقها زي ما احنا شايفين في الصورة
+
+372
+00:29:30,460 --> 00:29:35,400
+المنظر وبروح بدخل في المدخل الصغير هذا وبدخل على
+
+373
+00:29:35,400 --> 00:29:40,600
+الـ Pile Duct الآن if gold stones are present an
+
+374
+00:29:40,600 --> 00:29:44,840
+instrument can be insertedإلى الـ Endoscope
+
+375
+00:29:44,840 --> 00:29:48,580
+ويقومون بإزالتهم المريض بشكل عام يستيقظ عامًا في
+
+376
+00:29:48,580 --> 00:29:53,360
+وقت ERCP ولكن يتم إعطاءه سيداتيف لترهيزه ERCP
+
+377
+00:29:53,360 --> 00:29:58,200
+يتعامل عامًا في الاتصال مع إزالة الـ Gall Bladder
+
+378
+00:29:58,200 --> 00:30:05,240
+يعني مش بس بشوف بظبط الممرات كمان بحاول أشيل اللام
+
+379
+00:30:05,240 --> 00:30:08,200
+في كمان حاجة ممكن نعملها بعض الأحيان اللي هي في
+
+380
+00:30:08,200 --> 00:30:11,790
+الـ Gall Bladder Surgery اللي هي Drainingهذه لما
+
+381
+00:30:11,790 --> 00:30:16,210
+يكون في عنا محتقنة
+
+382
+00:30:16,210 --> 00:30:19,210
+لكن أنا مش قادر أعمله عملية لنتيجة وضع العام على
+
+383
+00:30:19,210 --> 00:30:23,710
+سبيل المثال بعملها draining cholecystectomy
+
+384
+00:30:23,710 --> 00:30:28,250
+يعني بس فتحة و بطلع الصفار اللي محتقن عاملي احتقان
+
+385
+00:30:28,250 --> 00:30:31,570
+في الـ gallbladder و بعد هيك بشوف أيش بده أعمل مع
+
+386
+00:30:31,570 --> 00:30:36,350
+الـ gallbladder هيك احنا بجهات حدتنا عن ال .. ال
+
+387
+00:30:36,350 --> 00:30:39,370
+.. ال .. ال .. ان شاء الله ماكنش طوالة هو تلاتين
+
+388
+00:30:39,370 --> 00:30:42,970
+دقيقة يعني دقيقة واحد تلاتينلكن المواضيع هى ممتعة
+
+389
+00:30:42,970 --> 00:30:48,530
+يا جماعة حاولوا زى ما قلتلكوا تشوفوا أربع فيديوهات
+
+390
+00:30:48,530 --> 00:30:52,350
+و لو حد اتبرع وجهنا وحطهم على الشيطان بيبقى كتير
+
+391
+00:30:52,350 --> 00:31:00,520
+كتير كويساللي هو ال video الأول اللي هو ال surgery
+
+392
+00:31:00,520 --> 00:31:06,520
+سواء open cholecystectomy أو لا Parascopic كمان هي
+
+393
+00:31:06,520 --> 00:31:09,740
+ال video التاني ال video التالت ERCP حلو لو شفناه
+
+394
+00:31:09,740 --> 00:31:13,500
+كيف بنعمل وطبعا أنا عارف أسألكوا أنا الكلام وفيه
+
+395
+00:31:13,500 --> 00:31:18,510
+كمان السيستيستومي أو goal bladder draining لو
+
+396
+00:31:18,510 --> 00:31:22,230
+حطينا كمان فيديو بيبقى رائع كتير كتير حتى نشوف إيش
+
+397
+00:31:22,230 --> 00:31:25,990
+اللي بيصير في الدنيا بصورة عامة مواضيع زي ما كنا
+
+398
+00:31:25,990 --> 00:31:31,190
+حلوة مواضيع مفيدة ان شاء الله تعالى وأتمنى لكوا
+
+399
+00:31:31,190 --> 00:31:32,170
+نهار سعيد
+
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/3JwIJvxqtYE.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/3JwIJvxqtYE.srt
new file mode 100644
index 0000000000000000000000000000000000000000..5cc2747257f847f2a01eae5d71d63570b98151a2
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/3JwIJvxqtYE.srt
@@ -0,0 +1,1711 @@
+1
+00:00:00,000 --> 00:00:03,320
+بسم الله الرحمن الرحيم الحمد لله رب العالمين
+
+2
+00:00:03,320 --> 00:00:05,900
+الصلاة و السلام علي سيدنا محمد و سيد المرسلين
+
+3
+00:00:05,900 --> 00:00:12,860
+أجمعين اليوم حقيقة هنحكي في موضوع غاية في الأهمية
+
+4
+00:00:12,860 --> 00:00:19,100
+كثير منتشر عند بعضكم كمان، عند أهليكم، عند الكل 
+
+5
+00:00:19,100 --> 00:00:26,260
+عملي جدا الموضوع هذا، مين عمره ما جاه أو مين عمره
+
+6
+00:00:26,260 --> 00:00:32,680
+أجاه اللي بنقول عنها الحزاز أو الحموضة يعني حاجة
+
+7
+00:00:32,680 --> 00:00:36,400
+حرقة شديدة أو قولون في ناس بيقولوا عنه عن تم المعدة
+
+8
+00:00:36,400 --> 00:00:42,700
+لفوق زي ما احنا شايفين في الصورة نار مشتعلة في
+
+9
+00:00:42,700 --> 00:00:46,540
+منطقة تم المعدة وطبعا تم المعدة موجودة في منطقة
+
+10
+00:00:46,540 --> 00:00:50,700
+الصدر يعني قريب من القلب قريب من الرئتين قريب من
+
+11
+00:00:50,700 --> 00:00:57,030
+حاجات كثيرة هذا إيش بيقولوا عنه؟ Gastro-Oesophageal
+
+12
+00:00:57,030 --> 00:01:03,130
+Reflux، مش Reflex، Reflux Disease الكل ممكن يكون
+
+13
+00:01:03,130 --> 00:01:09,630
+معاه نتيجة 
+
+14
+00:01:09,630 --> 00:01:14,610
+أكل معين، طريقة معينة في الأكل، يصير عنده Gastro
+
+15
+00:01:14,610 --> 00:01:15,310
+يعني معدي،
+
+16
+00:01:19,830 --> 00:01:25,230
+الحامض أو الأكل من المعدة إلى المريء وهو عبارة عن
+
+17
+00:01:25,230 --> 00:01:29,030
+Disease عامليا gastroesophageal reflux disease
+
+18
+00:01:29,030 --> 00:01:34,910
+اللي بنقول عنه إيش؟ GERD زي ما قلنا GERD يعني GERD اختصار
+
+19
+00:01:34,910 --> 00:01:39,250
+لـ gastroesophageal reflux disease زي ما قلنا كثير
+
+20
+00:01:39,250 --> 00:01:43,170
+من الناس بيصير معاهم مين بيصير معها أو بيصير
+
+21
+00:01:43,170 --> 00:01:48,840
+معاها زي هيك؟ حموضة أو شعاع أو حزاز زي ما نقول عنها
+
+22
+00:01:48,840 --> 00:01:53,980
+أو ارتجاع حتى في بعض الناس في نصف الليل لما بتعشى
+
+23
+00:01:53,980 --> 00:01:57,920
+متأخر ممكن يكون زي المخنوق ليش؟ لأنه صار عنده
+
+24
+00:01:57,920 --> 00:02:03,940
+ارتجاع للمادة الحامضة هاي وين طلعت من المعدة
+
+25
+00:02:03,940 --> 00:02:08,240
+للمريء ومش بس وراحت دخلت على الحنجرة راحت دخلت على
+
+26
+00:02:08,240 --> 00:02:11,320
+الـ larynx على الحنجرة وعلى الحنجرة وهذه من الحاجات
+
+27
+00:02:11,320 --> 00:02:16,690
+الصعبة اللي بحس الواحد بعض الأحيان بالليل للحديث
+
+28
+00:02:16,690 --> 00:02:20,290
+الآن عن  Gastroesophageal reflux disease
+
+29
+00:02:20,290 --> 00:02:26,520
+وبنقول عنه كمان acid reflux هو عبارة عن a chronic
+
+30
+00:02:26,520 --> 00:02:30,380
+illness that affects خمسة لسبعة في المئة of the
+
+31
+00:02:30,380 --> 00:02:35,320
+world population وأنا بأكد هذا خمسة لسبعة لكل الـ
+
+32
+00:02:35,320 --> 00:02:39,320
+world لكن في منطقة البحر الأبيض المتوسط في بلادنا
+
+33
+00:02:39,320 --> 00:02:42,700
+الناس اللي بتستخدم الشطة والفلفل في المكسيك وكذا
+
+34
+00:02:42,700 --> 00:02:46,020
+هتلاقيها أعلى بكثير and it's associated with a
+
+35
+00:02:46,020 --> 00:02:49,880
+serious medical complication if untreated قضية
+
+36
+00:02:49,880 --> 00:02:55,190
+الآن أنا مش بس بحكي عن بس حموضة ويلا وبأخد حاجة
+
+37
+00:02:55,190 --> 00:02:58,270
+وبمشي لحالة يعني بعض الأحيان بتعمل مشاكل هنتعرف
+
+38
+00:02:58,270 --> 00:03:01,090
+على الموضوع هذا من خلال المحاضرة it's a condition
+
+39
+00:03:01,090 --> 00:03:05,570
+in which the liquid content السائل الموجود في
+
+40
+00:03:05,570 --> 00:03:10,310
+المعدة of the stomach regurgitates بيصير له عملية
+
+41
+00:03:10,310 --> 00:03:16,830
+إيش؟ ارتجاع back up or reflux into the esophagus
+
+42
+00:03:16,830 --> 00:03:21,370
+the liquid can inflame هذا طبعا الـ liquid عبارة
+
+43
+00:03:21,370 --> 00:03:30,350
+عمليا عن ماء نار حامض شديد الحموضة حامض
+
+44
+00:03:30,350 --> 00:03:41,530
+الـ HCL وهذا الحامض المفروض أنه لا يهضم المعدة لأن
+
+45
+00:03:41,530 --> 00:03:46,470
+المعدة مهيئة بجدار يحميها من الحامض لكن إذا الحامض
+
+46
+00:03:46,470 --> 00:03:51,410
+هذا راح على منطقة ما فيهاش هذا الجدار زي المريء
+
+47
+00:03:51,410 --> 00:03:56,400
+الـ esophagus This occurs in a minority of patients
+
+48
+00:03:56,400 --> 00:04:01,920
+ساعتها بيصير عندي مشكلة محترمة شايفين الصورة
+
+49
+00:04:01,920 --> 00:04:06,500
+الصغيرة هان اللي فيها حمارة هذه احتقان واحمرار
+
+50
+00:04:06,500 --> 00:04:12,320
+والتهاب تم المعدة الصورة هاي شكلها تصوروا الواحد
+
+51
+00:04:12,320 --> 00:04:15,640
+لما بيكون على جلده في حاجة محمرة وكذا بيعرفش يقعد
+
+52
+00:04:15,640 --> 00:04:19,900
+منها فبالتالي لما تكون على تم المعدة مش بس بتعمل زي
+
+53
+00:04:19,900 --> 00:04:23,100
+ما قلنا حموضة وارتجاع لكن هتعمل حاجات تانية بعد
+
+54
+00:04:23,100 --> 00:04:30,300
+شوية The regurgitated liquid usually contains حامض
+
+55
+00:04:30,300 --> 00:04:36,610
+ومع الببسين بتفرزه مين؟ بتفرزه المعدة pepsin is
+
+56
+00:04:36,610 --> 00:04:41,230
+an enzyme that begins the digestion of protein in
+
+57
+00:04:41,230 --> 00:04:45,560
+the stomach هتجد الـ Reflux liquid ممكن زي ما قلنا
+
+58
+00:04:45,560 --> 00:04:48,780
+يكون فيه أيضًا إيش؟ بايل إيش؟ بايل العصارة الصفراوية
+
+59
+00:04:48,780 --> 00:04:52,860
+هذه اللي بتبقى جاية من وين؟ من الـ duodenum الـ 12 جاية
+
+60
+00:04:52,860 --> 00:04:57,960
+على المعدة لكن حقيقة هذا المحتوى تبع الحامض أو تبع
+
+61
+00:04:57,960 --> 00:05:01,880
+الـ Fluid اللي بيسير في عملية ارتجاع عبارة عن حامض
+
+62
+00:05:01,880 --> 00:05:07,420
+بيبسين وكمان فيه بايل اللي هو المادة الصفراء اللي
+
+63
+00:05:07,420 --> 00:05:13,660
+بترجع من من الـ duodenum تيجي على تيجي على المعدة لكن
+
+64
+00:05:13,660 --> 00:05:18,440
+أسوأهم أو أكثرهم serious هو اللي بيعمل لي المشكلة
+
+65
+00:05:18,440 --> 00:05:22,240
+كلها هو الحامض عشان يكونوا برضه واضحين الـ pepsin
+
+66
+00:05:22,240 --> 00:05:28,060
+و الـ Bile قد يؤذي الـ Esophagus ولكن دوره في بناء
+
+67
+00:05:28,060 --> 00:05:34,880
+Esophagus التهاب ودمج ليس واضحًا كرم الله يعني
+
+68
+00:05:34,880 --> 00:05:39,500
+صريح بلعبه دور لكن مش بالوضوح اللي بيعملوا الحامض 
+
+69
+00:05:39,500 --> 00:05:42,640
+طيب إيش الـ Symptoms اللي بتختلف عن اللي تبوّب حدثنا
+
+70
+00:05:42,640 --> 00:05:49,120
+عنه؟ طبعا الـ Disease اللي هو الـ GERD ممكن يكون
+
+71
+00:05:49,120 --> 00:05:54,660
+موجود بدون Symptoms asymptomatic وممكن يكون 
+
+72
+00:05:54,660 --> 00:06:00,500
+Symptomatic إذا الـ acid only backs up إذا الحامض
+
+73
+00:06:00,500 --> 00:06:05,680
+هذا بيرجع لحد مسافة بس الـ Maria الـ Esophagus الـ
+
+74
+00:06:05,680 --> 00:06:09,460
+GERD symptoms بتلاقيها دايما بس Heart burn Heart
+
+75
+00:06:09,460 --> 00:06:16,280
+burn يعني حموضة Heart قلب burn حرقة الحرقة القلب
+
+76
+00:06:16,280 --> 00:06:20,200
+هم زمان لما سموها Heartburn كانوا يفكروا إنه حاجة
+
+77
+00:06:20,200 --> 00:06:24,980
+إلها علاقة بالقلب وقريبة من القلب فجاء يقولوا عنها
+
+78
+00:06:24,980 --> 00:06:29,140
+Heartburn ما زال واحد بيقول عنها Heartburn حتى الآن
+
+79
+00:06:29,140 --> 00:06:34,940
+لكنها ما لهاش علاقة بالقلب if the acid إذا الحامض
+
+80
+00:06:34,940 --> 00:06:40,340
+رجع لحد الـ Larynx يعني رجع في الـ Esophagus لفوق
+
+81
+00:06:40,340 --> 00:06:47,100
+لفوق لفوق ونزل لحد منطقة الحنجرة إن هما هناك فيه
+
+82
+00:06:47,100 --> 00:06:50,280
+نقطة التقاء الـSleeper النائم والـ wake up
+
+83
+00:06:50,280 --> 00:06:54,220
+Coughing and Choking زي ما حكينا Coughing and 
+
+84
+00:06:54,220 --> 00:07:01,220
+choking sometimes GERD can cause serious
+
+85
+00:07:01,220 --> 00:07:04,000
+complications including inflammation of the
+
+86
+00:07:04,000 --> 00:07:08,300
+esophagus from stomach acid that causes bleeding
+
+87
+00:07:08,300 --> 00:07:09,520
+or ulcer
+
+88
+00:07:16,470 --> 00:07:21,170
+طيب بيبقى كمان مرة إنه sometimes GERD can cause
+
+89
+00:07:21,170 --> 00:07:25,290
+serious complications including inflammation بما
+
+90
+00:07:25,290 --> 00:07:30,810
+فيها الالتهابات للمريء لكن ممكن بعض الأحيان توصل
+
+91
+00:07:30,810 --> 00:07:37,800
+لأن الالتهابات هاي يحصل فيها Bleeding أو Ulcers يعني
+
+92
+00:07:37,800 --> 00:07:41,320
+جروح نتيجة الموضوع هذا وهذا اللي بنقول عنه احنا
+
+93
+00:07:41,320 --> 00:07:45,580
+بعد شوية اللي هو Oesophageal ulcer مش بس في بعض
+
+94
+00:07:45,580 --> 00:07:50,840
+الحالات في بعض الحالات بينشأ إن حاجة اسمها بارت
+
+95
+00:07:50,840 --> 00:07:54,420
+Oesophageal Oesophageal Oesophageal Oesophageal Oesophageal
+
+96
+00:07:56,330 --> 00:08:00,270
+هذا عبارة عن تغيير في الخلايا للحامض طول الوقت نازل
+
+97
+00:08:00,270 --> 00:08:05,470
+يغيرها بيصير عملية تغيير داخلي للخلايا تاعت الـ
+
+98
+00:08:05,470 --> 00:08:09,750
+Esophagus نتيجة زي ما قلنا ضغط الحامض عليها طول
+
+99
+00:08:09,750 --> 00:08:13,490
+الوقت وهذا ممكن يكون Brain cancer أو ممكن Lead to
+
+100
+00:08:13,490 --> 00:08:17,430
+Brain cancer يبقى أو to cancer بارت Oesophagus هو
+
+101
+00:08:17,430 --> 00:08:21,250
+عبارة عن Brain cancer condition ناتجة عن طريق عن
+
+102
+00:08:21,250 --> 00:08:25,550
+موضوع الـ GERD Most patients with GERD experience
+
+103
+00:08:32,810 --> 00:08:35,850
+أو محاولة النوم أو أول النوم، يعني بتلاقي إنهم
+
+104
+00:08:35,850 --> 00:08:40,870
+بتعبوا منها أكثر والـ Severity بتزيد أكثر، خاصة
+
+105
+00:08:40,870 --> 00:08:47,030
+لو كانوا من النوع اللي بتعشى متأخر باستمرار يبقى
+
+106
+00:08:47,030 --> 00:08:50,390
+الـ Symptoms Persistent Heartburn يعني مش من مرة
+
+107
+00:08:50,390 --> 00:08:53,530
+واحدة حموضة بقدر أقول أنا GERD أو مرتين، لا،
+
+108
+00:08:53,530 --> 00:08:57,130
+احنا بنحكي عن Chronic Condition اسمها GERD اللي
+
+109
+00:08:57,130 --> 00:09:01,310
+هو Gastro-Oesophageal Reflux الـ GERD وهذه Persistent
+
+110
+00:09:01,310 --> 00:09:08,170
+Heartburn حموضة مستمرة وبتيجي كمان مع حاجات تانية
+
+111
+00:09:08,170 --> 00:09:11,770
+زي الـ Nausea بيصير نفسه زي المايع، Coughing،
+
+112
+00:09:11,770 --> 00:09:16,410
+بيصير يكح، يعني الحامض بيوصل لحد الرئتين فبيعمل لي 
+
+113
+00:09:16,410 --> 00:09:21,570
+Coughing Sore taste in the mouth طبعا لأنه
+
+114
+00:09:21,570 --> 00:09:24,470
+هيكيت بيوصل للحامض كمان بعض الأحيان للطم الـ
+
+115
+00:09:24,470 --> 00:09:27,590
+Respiratory conditions زي الأسباب Pneumonia و
+
+116
+00:09:27,590 --> 00:09:30,930
+Chronic bronchitis كثير من الأحيان يا جماعة خليني 
+
+117
+00:09:30,930 --> 00:09:36,870
+أدخل على طب الأطفال شوي أطفال بيجينا بـ Recurrent
+
+118
+00:09:36,870 --> 00:09:42,230
+Chest infection التهابات الصدر المتكررة من أهم
+
+119
+00:09:42,230 --> 00:09:46,170
+الأسباب أو الـ Differential diagnosis تبعها الأسباب
+
+120
+00:09:46,170 --> 00:09:49,670
+اللي بتعمل Chest infection متكرر اللي هي
+
+121
+00:09:49,670 --> 00:09:55,330
+Gastroesophageal reflux disease إلى جانب أمراض
+
+122
+00:09:55,330 --> 00:10:00,830
+القلب على سبيل المثال إلى جانب ضعف الـ Immunity إلى
+
+123
+00:10:00,830 --> 00:10:06,820
+جانب وجود جسم غريب بلع جسم غريب على سبيل المثال هذه
+
+124
+00:10:06,820 --> 00:10:10,080
+أربعة Conditions حكيتها الآن أنا مش موجودة في
+
+125
+00:10:10,080 --> 00:10:14,020
+السلايدات أربعة Conditions بتعمل إيش؟ Recurrent
+
+126
+00:10:14,020 --> 00:10:20,220
+Chest infection منها كمان الخامس Cystic fibrosis
+
+127
+00:10:20,220 --> 00:10:26,600
+يبقى خمس حاجات المفروض إنه أنا لما أشوف حالة دايما
+
+128
+00:10:26,600 --> 00:10:31,020
+بيصير عندها Chronic أو بيشوف حالة بيصير عندها
+
+129
+00:10:31,020 --> 00:10:35,750
+Pneumonia Recurrent Pneumonia أو Recurrent Chest
+
+130
+00:10:35,750 --> 00:10:40,250
+Infection المفروض إنه بفكر فيهم Heart disease
+
+131
+00:10:40,250 --> 00:10:45,790
+كنتيجة الـ Heart disease Foreign body inhalation الـ
+
+132
+00:10:45,790 --> 00:10:51,910
+Immunity system defect اللي بنحكي عنه
+
+133
+00:10:51,910 --> 00:10:56,930
+Gastroesophageal reflux وحدثنا
+
+134
+00:10:56,930 --> 00:11:01,290
+عن اللي هو الـ Foreign body Cystic fibrosis أو Foreign body
+
+135
+00:11:02,570 --> 00:11:10,960
+الـ Causes تبعت الـ GERD طبعا حسبها أسباب وهي
+
+136
+00:11:10,960 --> 00:11:14,660
+نفسها محفزات الـ Age كل ما كبر الواحد كل ما صارت
+
+137
+00:11:14,660 --> 00:11:19,620
+أكثر نوعية الأكل الناس اللي بتاكل Spicy دايما اللي
+
+138
+00:11:19,620 --> 00:11:23,860
+دايما أكلها خدنا نقول بندورة معججة على سبيل المثال
+
+139
+00:11:23,860 --> 00:11:29,140
+اللي بيأكلوا دايما البيتزا الناس اللي بتاكل فلفل
+
+140
+00:11:29,140 --> 00:11:32,860
+كثير على سبيل المثال وأملاح كثيرة الناس اللي بتاكل 
+
+141
+00:11:32,860 --> 00:11:37,910
+متأخر بتاكل متأخر و أكل كتير يعني بتدب المعدة
+
+142
+00:11:37,910 --> 00:11:42,130
+الناس اللي بتاخد alcohol الناس اللي بتدخل ال
+
+143
+00:11:42,130 --> 00:11:46,760
+pregnancy ليش الـ pregnancy؟ والـ Obesity لأنه
+
+144
+00:11:46,760 --> 00:11:51,500
+بنتيجة الـ Pregnancy المعدة مضغوطة لفوق فالحامض 
+
+145
+00:11:51,500 --> 00:11:54,960
+بتجمع بصورة أكبر و بيصل للـ Esophagus بصورة أكبر
+
+146
+00:11:54,960 --> 00:11:59,040
+و الـ Obesity نفس الكلام في هناك certain foods
+
+147
+00:11:59,040 --> 00:12:03,680
+associated with reflux events طبعا مش معناته بس هم
+
+148
+00:12:03,680 --> 00:12:06,580
+هدول جماعة كل واحد فيه إلو حاجة بتعمله
+
+149
+00:12:06,580 --> 00:12:12,360
+Gastroesophageal reflux اللي ممكن يعمل لي ممكن
+
+150
+00:12:12,360 --> 00:12:17,600
+مايعملش للآخر و هيك لكن فينا تجارب عصابية مثال يمكن
+
+151
+00:12:17,600 --> 00:12:21,820
+كلكم بتستحضروا اللي بيأكلوا الجرشلة بالشاي عصابي
+
+152
+00:12:21,820 --> 00:12:25,600
+مثال عصابي مثال اللي بيأكلوا الفلافل بالشاي بيصير
+
+153
+00:12:25,600 --> 00:12:32,360
+معاهم حموضة عصابي مثال فالـ Spicy Foods الـ Garlic
+
+154
+00:12:32,360 --> 00:12:39,920
+and Onion الشدول التومة والبصل Citrus fruits طبعاً
+
+155
+00:12:39,920 --> 00:12:43,900
+لأنه احنا قاعدين نحكي عن حمضيات حوامض من اسمها
+
+156
+00:12:43,900 --> 00:12:49,120
+طبعا ممكن ما بتتعاملش عند كتير ناس لكن لو الواحد
+
+157
+00:12:49,120 --> 00:12:52,340
+liable وهو معرض أو في عنده مشاكل لو أكلها ممكن
+
+158
+00:12:52,340 --> 00:12:55,670
+تتعامل معاه مشاكل كل المشروبات أو المشروبات اللي
+
+159
+00:12:55,670 --> 00:12:59,650
+فيها كافيين نقصدش بس القهوة هان ولا بنقصد بس 
+
+160
+00:12:59,650 --> 00:13:03,390
+الكوكاكولا السوداء لكن أي مشروب فيه كافيين ممكن
+
+161
+00:13:03,390 --> 00:13:08,510
+يعملنا هيك Chocolate شوكولاتة Fatty and Fried Foods Mint
+
+162
+00:13:08,510 --> 00:13:14,850
+Flavorings اللي هي الحاجات اللي عليها الحلو اللي 
+
+163
+00:13:14,850 --> 00:13:20,430
+عليه نعنع نعنع بصورة عامة وفي حاجات الـ Tomato Paste
+
+164
+00:13:20,430 --> 00:13:23,590
+Foods زي الـ Spaghetti والشيلي والبيتزا والحاجات 
+
+165
+00:13:23,590 --> 00:13:26,810
+هذه الـ Risk Factors اتحدتنا قبل شويه وقولنا الـ
+
+166
+00:13:26,810 --> 00:13:31,530
+Obesity Pregnancy, Hepatic Ulcer الناس اللي في
+
+167
+00:13:31,530 --> 00:13:36,350
+عندها Delaying of Stomach Emptying طبعا ليش؟ لأنه
+
+168
+00:13:36,350 --> 00:13:40,290
+الـ Stomach بتصير تحبس والحمض بزيد فهذا كله يتوقش
+
+169
+00:13:40,290 --> 00:13:47,010
+بعمل ليه؟ بعمل ليه ارتفاع الحمض في المريض إلى جانب
+
+170
+00:13:47,010 --> 00:13:51,190
+زي مثلا الـ Diabetes أو الـ Ulcer أو Abnormal Nerve
+
+171
+00:13:51,190 --> 00:13:54,690
+أو Muscle Function can delay emptying of the
+
+172
+00:13:54,690 --> 00:13:58,370
+Stomach وهذا بيخلي الحامض back up into the
+
+173
+00:13:58,370 --> 00:14:05,150
+Esophagus الأزمة ليش؟ لأنه في عندنا Some Asthma
+
+174
+00:14:05,150 --> 00:14:12,540
+Medications that widen أو dilate airways ممكن أيضًا
+
+175
+00:14:12,540 --> 00:14:20,400
+أن يتراجع مخرج الإيزوفيجيا السفلي اللي مع
+
+176
+00:14:20,400 --> 00:14:30,320
+المعدة ويجعل الحامض يرجع إلى الإيزوفيجيا السفلي لأن
+
+177
+00:14:30,320 --> 00:14:33,740
+One of the many complications of Diabetes is
+
+178
+00:14:33,740 --> 00:14:38,340
+Gastroparesis يعني زي ما بيقولوها ضعف حركة المعدة
+
+179
+00:14:38,340 --> 00:14:42,900
+وهذا الموضوع يجعل الأكل و الحامض يظل فترة طويلة في
+
+180
+00:14:42,900 --> 00:14:46,920
+المعدة، لماذا؟ لأن الـ Emptying بطيء، فهذا بدي فرصة
+
+181
+00:14:46,920 --> 00:14:51,440
+للحامض أنه
+
+182
+00:14:51,440 --> 00:14:55,620
+يرجع على المريض طب كيف بنشخص الـ GERD،
+
+183
+00:14:55,620 --> 00:15:00,860
+Gastroesophageal Reflux؟ تشخيصه طبعاً فيه Different
+
+184
+00:15:00,860 --> 00:15:05,460
+Modalities بما فيها Upper Gastrointestinal
+
+185
+00:15:05,460 --> 00:15:11,370
+Endoscopy من ظهر لمنطقة المعدة والمريء من فوق ممكن
+
+186
+00:15:11,370 --> 00:15:16,130
+كمان بما أنه احنا قاعدين نقول عن Acid Activity في
+
+187
+00:15:16,130 --> 00:15:19,430
+المنطقة هذه ممكن نعمله Esophageal pH Monitoring
+
+188
+00:15:19,430 --> 00:15:25,190
+بدخل واحد زي حاجة هيك Sensor عند ثم المعدة وبيجيس
+
+189
+00:15:25,190 --> 00:15:30,250
+حموضة الحموضة
+
+190
+00:15:30,250 --> 00:15:35,920
+في المنطقة حوالين بين المعدة وبينوهذا على مدى
+
+191
+00:15:35,920 --> 00:15:41,080
+ساعات معينة 24 ساعة وفيه Software على الكمبيوتر
+
+192
+00:15:41,080 --> 00:15:46,040
+السنسور بتفرج على الكمبيوتر وبنشوف جداش النسب
+
+193
+00:15:46,040 --> 00:15:47,900
+وجداش الحموضة
+
+194
+00:15:59,550 --> 00:16:04,590
+ولا طريقة منهم تدّيك مية في المية الحل وكل واحدة
+
+195
+00:16:04,590 --> 00:16:15,270
+لها مشاكل كل واحدة لها مشاكل من طرق الاندوسكوبي
+
+196
+00:16:15,270 --> 00:16:19,670
+فقط لا يحتاج لشعور بشكل كامل الـ pH Monitoring ليس
+
+197
+00:16:19,670 --> 00:16:20,630
+دائما متوفر
+
+198
+00:16:23,320 --> 00:16:27,960
+ولكن بقولكوا إيش اللي بيصير الآن، فيش حد من حد ما
+
+199
+00:16:27,960 --> 00:16:30,480
+بيشكي من Gastro-Oesophageal Reflux Disease بيروح
+
+200
+00:16:30,480 --> 00:16:33,960
+بعمل فحوصات بالصورة اللي مكتوبة هنا، اللي هي قضية
+
+201
+00:16:33,960 --> 00:16:37,820
+إنّه منظار أو pH Monitoring أو Radiological
+
+202
+00:16:37,820 --> 00:16:42,800
+Studies، ها إيش بنعمل؟ بنعمل حاجة اسمها GERD
+
+203
+00:16:42,800 --> 00:16:46,000
+Treatment-Based Approach، يعني على الـ Clinical
+
+204
+00:16:46,000 --> 00:16:50,060
+اللي شكّيها المريض، وبما إنه منتشر كتير، فبندّي
+
+205
+00:16:50,060 --> 00:16:51,740
+علاج لهذا الموضوع
+
+206
+00:16:55,460 --> 00:17:00,180
+وبندّي أدوية وزي ما قلنا بنخفف عنه اللي هو الفحوصات
+
+207
+00:17:00,180 --> 00:17:05,460
+هاي وبترايه الآن فرضا ما تحسنش مع العلاج طبعا مع
+
+208
+00:17:05,460 --> 00:17:08,340
+الـ Diet يعني هو فيه قوله Diet ونقوله إيش يعمل في
+
+209
+00:17:08,340 --> 00:17:10,900
+قضية الأكل لإنه ما بنفعش أنا أقول والله عندي
+
+210
+00:17:10,900 --> 00:17:16,730
+Gastroesophageal Reflux Disease وبدأ أظل أشرب
+
+211
+00:17:16,730 --> 00:17:21,070
+Alcohol أو بدأ أظل أدخل أو بدأ أظل مع الـ Pregnancy
+
+212
+00:17:21,070 --> 00:17:25,130
+بنتهي الموضوع أو بدأ أظل أكل حاجات Spicy أو Tomato
+
+213
+00:17:25,130 --> 00:17:29,610
+أو Mint أو كذا، ماينفعش المفروض أنه أنا مع العلاج
+
+214
+00:17:29,610 --> 00:17:34,580
+بأعمل تحمية اللي هو Lifestyle Modification وإذا
+
+215
+00:17:34,580 --> 00:17:38,300
+ظلّ، طبعا ساعتها بدّك، بده الواحد يضطر يروح يعمل
+
+216
+00:17:38,300 --> 00:17:43,540
+فحوصات ليشوف Differential Diagnoses لأنه ممكن يكون
+
+217
+00:17:43,540 --> 00:17:49,060
+عنده Peptic Ulcer، ممكن يكون عندنا Cancer على سبيل
+
+218
+00:17:49,060 --> 00:17:52,220
+المثال و الـ Presentation تبعه بالصورة هذه،
+
+219
+00:17:52,220 --> 00:17:55,440
+فالمفروض أنه الواحد بياخد باله من الموضوع هذا لو
+
+220
+00:17:55,440 --> 00:17:59,880
+ما اتحسنش the Treatment Method to effectively treat
+
+221
+00:17:59,880 --> 00:18:04,940
+GERD range from Lifestyle Measures to the use of
+
+222
+00:18:04,940 --> 00:18:09,640
+Geared Medication أو إذا في الآخر في الآخر في
+
+223
+00:18:09,640 --> 00:18:14,740
+الآخر في مشاكل بنعمل Surgical Procedures لهد درجة
+
+224
+00:18:14,740 --> 00:18:16,900
+أه ما هو في ناس عندها مشكلة في الموضوع
+
+225
+00:18:27,770 --> 00:18:31,890
+زي ما قلنا كمان مرة مهم جدا جدا للناس اللي عندهم
+
+226
+00:18:31,890 --> 00:18:35,050
+Persistent Heartburn أو Other Chronic and
+
+227
+00:18:35,050 --> 00:18:38,190
+Recurrent Symptoms of GERD to seek an accurate
+
+228
+00:18:38,190 --> 00:18:41,930
+Diagnosis ما كان فيش إنّه أنا أظن أبلع في حاجة في
+
+229
+00:18:41,930 --> 00:18:45,930
+السوق موجودة اسمها رينيه رينيه عبارة حبوب
+
+230
+00:18:45,930 --> 00:18:49,690
+بيقولوا عنها جرش وهذه بتخفف الحموظة لأن رينيه
+
+231
+00:18:49,690 --> 00:18:53,710
+هذه عبارة عن حاجة بتعمل Neutralization تتفاعل مع
+
+232
+00:18:53,710 --> 00:18:59,400
+الحمض بتعمل Neutralization للحمض وخلاص وبرتحصل واحد
+
+233
+00:18:59,400 --> 00:19:02,660
+أو في ناس بتاخد مالوكس أو في ناس بتاكل عدس أو في
+
+234
+00:19:02,660 --> 00:19:06,020
+ناس بتشرب حليب طبعا الحليب يلو موضوع تاني لإنّه هو
+
+235
+00:19:06,020 --> 00:19:09,540
+يعتبر غلط لإنّه هو ساعتها بيعمل الـ Release ساعتها
+
+236
+00:19:09,540 --> 00:19:13,360
+ساعتها لكن بعد شوية الحموضة بتزيد أو في ناس بتاكل
+
+237
+00:19:13,360 --> 00:19:18,020
+موز أو في ناس تشرب مية المهم إنّه كل واحد إلو
+
+238
+00:19:18,020 --> 00:19:20,480
+طريقته في إنّه يعمل Release للـ Heart Pain بس مش هي
+
+239
+00:19:20,480 --> 00:19:25,180
+هذه القضية القضية إنّه إنّه ما يصيرش هذا Chronic، مش
+
+240
+00:19:25,180 --> 00:19:28,060
+كل ما أكل، كل ما أفطر، كل ما أتغدى، كل ما أتعشى،
+
+241
+00:19:28,060 --> 00:19:31,120
+بيصير معايا، هذا الموضوع بيصير كبير في الأحوال
+
+242
+00:19:31,120 --> 00:19:34,060
+اللي زي هي الـ Medications اللي إحنا بنديها في
+
+243
+00:19:34,060 --> 00:19:36,680
+الحقيقة للـ Gastroesophageal Reflux Disease، تو
+
+244
+00:19:36,680 --> 00:19:40,880
+حكيت أنا عن واحد منهم الـ Anti-acid، إيش يعني Anti
+
+245
+00:19:40,880 --> 00:19:46,250
+-acid؟ إشي مضاد للحموضة زي الـ Maalox أو زي ما يكون
+
+246
+00:19:46,250 --> 00:19:51,490
+فيه تمس في عصابي المثال الـ RNA عصابي المثال وهذا
+
+247
+00:19:51,490 --> 00:19:58,350
+إيش بيعمل ليه؟ Neutralize Stomach Acid and can
+
+248
+00:19:58,350 --> 00:20:03,210
+Provide Quick Relief بتحسن على السريع الحامض خلاص
+
+249
+00:20:03,210 --> 00:20:08,190
+متعدل راحة المشكلة Antacid alone won't heal an
+
+250
+00:20:08,190 --> 00:20:12,450
+Inflamed Esophagus damaged by Stomach Acid يعني ما
+
+251
+00:20:12,450 --> 00:20:15,070
+تتصورش إنّه لو في أنا في عندي Inflammation إنّه
+
+252
+00:20:15,070 --> 00:20:20,580
+هتروح بالحالة هو بس الحامض خف لكن الـ الـ الـ الـ
+
+253
+00:20:20,580 --> 00:20:21,060
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+254
+00:20:21,060 --> 00:20:22,940
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+255
+00:20:22,940 --> 00:20:29,340
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+256
+00:20:29,340 --> 00:20:33,020
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+257
+00:20:33,020 --> 00:20:34,880
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+258
+00:20:34,880 --> 00:20:37,280
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+259
+00:20:37,280 --> 00:20:40,340
+الـ الـ
+
+260
+00:20:41,610 --> 00:20:44,950
+اللي هي شغالة على طريقة الباب اللي بيجيك منه الريح
+
+261
+00:20:44,950 --> 00:20:50,010
+سده واستريح اللي هي الـ PPI بيقولوا عنها PPI أو
+
+262
+00:20:50,010 --> 00:20:56,150
+Proton Pump Inhibitors زي الـ Omeprazole مشهور الـ ..
+
+263
+00:20:56,150 --> 00:20:59,190
+الـ .. These Gerd Medications إيش بتعملوا؟ بتعملوا
+
+264
+00:20:59,190 --> 00:21:04,830
+Blockage of Acid Production تماما، بيبطل يطلع حامض
+
+265
+00:21:04,830 --> 00:21:12,130
+وهذه طبعا بتدي وقت فرصة لإن الـ Damaged أو Inflamed
+
+266
+00:21:12,130 --> 00:21:17,810
+Esophageal Tissue تتهيل زمان
+
+267
+00:21:17,810 --> 00:21:22,810
+كانت لازم تنكتب روشتة، الآن صارت تنكتب صارت عادة
+
+268
+00:21:22,810 --> 00:21:26,790
+تشتريها من الصيدلية، بنقول عنها OTC، إيش يعني OTC؟
+
+269
+00:21:26,790 --> 00:21:28,890
+Over The Counter، يعني بتقدر تروح الصيدلية تقولي
+
+270
+00:21:28,890 --> 00:21:31,190
+والله ديلي أمبرازول، بتديك أمبرازول، طبعا مش في
+
+271
+00:21:31,190 --> 00:21:34,310
+بلاد أنا بحكي عن برا، هنا برا بتشتري الصيدلية و
+
+272
+00:21:34,310 --> 00:21:37,350
+الصيدلي و العيلة و كل البلد، مافيش مشكلة، إيش اللي
+
+273
+00:21:37,350 --> 00:21:37,910
+بدّكيها؟
+
+274
+00:21:41,130 --> 00:21:44,890
+الآن يعني خلاص صار مش لازم ينكتب بروشيتة ممكن
+
+275
+00:21:44,890 --> 00:21:47,730
+الواحد يجيبه لحاله طبعا بس هذا خدوا بالكوا بيغشّ
+
+276
+00:21:47,730 --> 00:21:52,190
+الموضوع هذا لأنّه لأنّه لأنّه القضية ممكن ما يكونش
+
+277
+00:21:52,190 --> 00:21:53,570
+موضوع موضوع بس
+
+278
+00:21:56,130 --> 00:21:59,890
+ممكن يكون بيبتيك ألسر، ممكن يكون كانسر، ممكن يكون
+
+279
+00:21:59,890 --> 00:22:02,990
+بارت إيزوفيجيا، ممكن يكون حاجات كتير، فيبقى ياخد
+
+280
+00:22:02,990 --> 00:22:06,550
+باله الواحد إذا دلّ كرونيك الموضوع، لابد من التوجه 
+
+281
+00:22:06,550 --> 00:22:10,190
+للطبيب لمعرفة السبب اللي عملنا الموضوع هذا الـH2
+
+282
+00:22:10,190 --> 00:22:14,290
+-Receptors اللي هو الهستامين Two Receptors
+
+283
+00:22:14,290 --> 00:22:21,870
+Blockers، هذه نوعية أخرى من الـMedication زي الـ
+
+284
+00:22:21,870 --> 00:22:24,550
+Ranitidine كتير منكم بيعرفوا عنه يقولوا سنة تقريبا
+
+285
+00:22:24,550 --> 00:22:29,370
+موقف الـ Ranitidine لأنه هذا إيش بعملنا؟ بعملنا 
+
+286
+00:22:29,370 --> 00:22:33,770
+reduction of the production of acid reduction بس
+
+287
+00:22:33,770 --> 00:22:42,170
+الـ PPI عملنا blockage لل production هذا عملنا بس 
+
+288
+00:22:42,170 --> 00:22:46,230
+reduction لل production they don't act as quickly
+
+289
+00:22:46,230 --> 00:22:50,250
+as antacid ولكنها تقدر تقدر تقدر تقدر تقدر تقدر
+
+290
+00:22:50,250 --> 00:22:57,670
+تقدر تقدر تقدر تقدر تقدر تقدر تقدر
+
+291
+00:22:57,830 --> 00:23:02,550
+مين اللي بيريحنا بسرعة؟ اللي هو الـ Antacid لكن
+
+292
+00:23:02,550 --> 00:23:07,150
+هاي الـ Proton Pump Inhibitor أو الـ PPI والـ H2 
+
+293
+00:23:07,150 --> 00:23:11,470
+Receptor Blockers هذه بتديناش Release سريع لكن
+
+294
+00:23:11,470 --> 00:23:17,530
+مفعولها أكبر، ليش؟ لأنها عمليا بتخفف أو بتوقف
+
+295
+00:23:17,530 --> 00:23:21,510
+إفراز الحامض اللي أهم من هيك يا جماعة وهذا لاحظناه
+
+296
+00:23:21,510 --> 00:23:27,790
+عند ناس كتير اللي هي الـ Garden Diet الـ Gear Diet 
+
+297
+00:23:27,790 --> 00:23:34,390
+إنه أنا أحاول أمتنع عن الأكلات أو الأدوية اللي
+
+298
+00:23:34,390 --> 00:23:41,470
+بتسبب للموضوع هذا Avoid foods such as citrus،
+
+299
+00:23:41,470 --> 00:23:47,130
+tomato، coffee، هذي بتعملي directly irritation
+
+300
+00:23:47,130 --> 00:23:52,270
+للـmucosa، onion، شوكليت، peppermint، طبعا الكمية
+
+301
+00:23:52,270 --> 00:23:55,530
+كمان بتلعب دور يا بابا، إحنا الآن في عصر المجات
+
+302
+00:23:55,530 --> 00:23:59,110
+للأسف كيف يعني عصر المجات؟ صارت الناس لما بدأت تشرب 
+
+303
+00:23:59,110 --> 00:24:02,150
+زمان كنا نشرب القهوة السادة والمرة في فنجان صغير
+
+304
+00:24:02,150 --> 00:24:05,730
+نص هيك أو فنجان على أجال الفنجان القهوة التركية 
+
+305
+00:24:05,730 --> 00:24:09,710
+العادية، هذا الآن صار كله بيشرب في مجات والكمية
+
+306
+00:24:09,710 --> 00:24:13,750
+الكبيرة هيك كمان بتأثرنا على الموضوع اللي
+
+307
+00:24:13,750 --> 00:24:17,410
+الـpeppermint and any food with high fat content
+
+308
+00:24:17,410 --> 00:24:21,830
+that affects pressure in the stomach Limit or cut
+
+309
+00:24:21,830 --> 00:24:24,910
+the use of non-steroidal ناس اللي بتاخد دايكلوفين
+
+310
+00:24:24,910 --> 00:24:29,850
+و Ibuprofen that may irritate the esophagus and
+
+311
+00:24:29,850 --> 00:24:34,110
+stomach lining Individuals with GERD should avoid
+
+312
+00:24:34,110 --> 00:24:40,770
+whole milk Try to maintain a low-fat diet by
+
+313
+00:24:40,770 --> 00:24:44,670
+staying away from fatty meats and processed meats
+
+314
+00:24:44,670 --> 00:24:48,030
+called cuts اللي هي المرتدلة والحاجات هذه If you
+
+315
+00:24:48,030 --> 00:24:52,450
+must have coffee أو tea حاول تشوف الكافي اللي بدون
+
+316
+00:24:52,450 --> 00:24:55,350
+كافيين أو herbal tea، شاي، عشاب
+
+317
+00:25:00,960 --> 00:25:06,320
+Eat smaller meals Control your weight Don't smoke
+
+318
+00:25:06,320 --> 00:25:10,740
+Eliminate hot pain trigger Don't lie down after a
+
+319
+00:25:10,740 --> 00:25:16,900
+meal Raise the head of the bed وهذا بتدخلنا بعد
+
+320
+00:25:16,900 --> 00:25:21,640
+شوية في موضوع الـPeptic Ulcer
+
+321
+00:25:23,880 --> 00:25:31,020
+والـ Peptic Ulcer Disease بيو دي بيو دي فيه منه
+
+322
+00:25:31,020 --> 00:25:33,240
+gastric ulcer زي ما احنا شايفين في الصورة وفيه
+
+323
+00:25:33,240 --> 00:25:38,340
+duodenal ulcer يعني ulcer اللي هو المعدة و ulcer أو
+
+324
+00:25:38,340 --> 00:25:42,420
+قرحة المعدة و قرحة الاثني عشر الـ Peptic Ulcer
+
+325
+00:25:42,420 --> 00:25:46,640
+Disease known as Peptic Ulcer or Stomach Ulcer is
+
+326
+00:25:46,640 --> 00:25:50,770
+a prick أو breakage in the lining of the stomach،
+
+327
+00:25:50,770 --> 00:25:55,410
+first part of the small intestine أو الدودنوم زي
+
+328
+00:25:55,410 --> 00:26:00,750
+ما بنقول و occasionally the lower esophagus الـ
+
+329
+00:26:00,750 --> 00:26:04,790
+ulcer in the stomach is known as a gastric ulcer
+
+330
+00:26:04,790 --> 00:26:08,670
+في حين اللي هو في ال small أو first part of the
+
+331
+00:26:08,670 --> 00:26:15,050
+intestine بنقول عنه دودنال ulcerالخطر العملي
+
+332
+00:26:15,050 --> 00:26:20,530
+للتطور من الـ Peptic Ulcer هو حوالي 10% تقريبا،
+
+333
+00:26:20,530 --> 00:26:24,450
+طبعا أنا أعتقد أن الموضوع أكبر من هيك وأكثر من 
+
+334
+00:26:24,450 --> 00:26:28,170
+هيك، لكن ليش؟ لأن كتير من الناس بتعالج نفسها
+
+335
+00:26:28,170 --> 00:26:32,230
+بالطرق الـ Herbal العادية بدون ما تتوجه للإحصائيات،
+
+336
+00:26:32,230 --> 00:26:36,670
+في البلدان الغربية الـ Bad scent of people with
+
+337
+00:26:36,670 --> 00:26:40,410
+Helicobacter pylori، الـ Helicobacter pylori هي
+
+338
+00:26:40,410 --> 00:26:47,020
+عبارة عن عبارة عن اللي هو البكتيريا اللي الآن اتهمت
+
+339
+00:26:47,020 --> 00:26:51,080
+اتهام مباشر بأنها سبب الـ Peptic وDuodenal Ulcer
+
+340
+00:26:51,080 --> 00:26:55,160
+اللي هي البكتيريا
+
+341
+00:26:55,160 --> 00:27:00,060
+العصوية أو حاجة زي هي Helicobacter Pylori
+
+342
+00:27:00,060 --> 00:27:04,900
+Infection Roughly Match Age 20% من الناس عمرهم
+
+343
+00:27:04,900 --> 00:27:10,460
+عشرون سنة عندهم Helicobacter ثلاثين في المية من
+
+344
+00:27:10,460 --> 00:27:12,720
+عمرهم ثلاثين ثمانين في المية من عمرهم ثمانين عندهم
+
+345
+00:27:12,720 --> 00:27:14,900
+Helicobacter infection
+
+346
+00:27:17,650 --> 00:27:20,410
+وزي ما قلنا الـ ECO-FACTOR من أهم الأسباب اللي
+
+347
+00:27:20,410 --> 00:27:23,950
+بتعملنا Gastroesophageal، عفوا، Peptic Ulcer
+
+348
+00:27:23,950 --> 00:27:28,910
+Transmission is by food contaminated groundwater و
+
+349
+00:27:28,910 --> 00:27:33,190
+through human saliva زي kissing مثلا أو sharing
+
+350
+00:27:33,190 --> 00:27:38,830
+food utensils استعمال الأدوات والمعالق والشوك ورا
+
+351
+00:27:38,830 --> 00:27:42,870
+بعض من الـ Symptoms والـ Sign تبقى الـ Peptic
+
+352
+00:27:42,870 --> 00:27:47,680
+Ulcer الـ Abdominal Pain بالذات Epigastric المنطقة
+
+353
+00:27:47,680 --> 00:27:53,640
+اللي هي تحت الجلبه زي ما احنا شايفين في الصورة في
+
+354
+00:27:53,640 --> 00:27:59,280
+حالة دودنال ألسر، الشعور يظهر خلال ثلاث ساعات بعد
+
+355
+00:27:59,280 --> 00:28:03,260
+أخذ طعام، يعني في الـGastric Ulcers، ع السريع
+
+356
+00:28:03,260 --> 00:28:06,840
+الوجع، بتاكل و بتتوجع، الدودنال ألسر بعد ثلاث
+
+357
+00:28:06,840 --> 00:28:10,260
+ساعات، من ساعته لثلاث ساعات بعد الميل، Bloating،
+
+358
+00:28:10,260 --> 00:28:13,600
+بيصير إنه نفخة، أبدوم للـFullness، حاسس بطن ملان،
+
+359
+00:28:13,600 --> 00:28:17,760
+Nausea and vomiting، ممكن يكون كمان، من الـSigns
+
+360
+00:28:17,760 --> 00:28:23,050
+and Symptoms، Loss of Appetite، Weight Loss،
+
+361
+00:28:23,050 --> 00:28:30,690
+Hematemesis، Hematemesis
+
+362
+00:28:30,690 --> 00:28:34,730
+الدم، الدم
+
+363
+00:28:34,730 --> 00:28:38,570
+هو الدم اللي بنزل من المعدة لكن بدخل على الجهاز
+
+364
+00:28:38,570 --> 00:28:43,950
+الهضمي وبتفاعل مع الحامض بالـ DNA بيصيروا عملية
+
+365
+00:28:43,950 --> 00:28:48,110
+Oxidation للـ Iron اللي فيه من اللي في الـ
+
+366
+00:28:48,110 --> 00:28:53,810
+Hemoglobin وهذا عبارة عن دم بس بشكله زي الزفتة
+
+367
+00:28:53,810 --> 00:29:01,190
+الطريقة فاول Smelling Faces البراز زي الزفتة هيك
+
+368
+00:29:01,190 --> 00:29:05,650
+ريحته سيئة و بنلاقيها نزلت مع البراز هذا عبارة عن
+
+369
+00:29:05,650 --> 00:29:15,030
+دم لكن صار له عملية Oxidation الأسباب هي أهم متهم
+
+370
+00:29:15,030 --> 00:29:18,290
+major causative factor is chronic inflammation
+
+371
+00:29:18,290 --> 00:29:23,810
+بالـ Helicobacter pylori that colonize the mucosa
+
+372
+00:29:23,810 --> 00:29:30,250
+60% of gastric ulcer هي السبب 50 إلى 75% of Duodenal
+
+373
+00:29:30,250 --> 00:29:31,410
+ulcer
+
+374
+00:29:33,500 --> 00:29:37,420
+المتهم الثاني اللي هي الـ Non-steroidal أدوية Non
+
+375
+00:29:37,420 --> 00:29:41,740
+-steroidal Anti-inflammatory drugs وزي ما قلنا هي
+
+376
+00:29:41,740 --> 00:29:47,220
+المتهم الآخر، المتهم الثاني يعني
+
+377
+00:29:47,220 --> 00:29:54,820
+معلومة مشهورة عند الكل ونتيجة كثرة وانتشار استعمال
+
+378
+00:29:56,270 --> 00:29:58,790
+اللي هو الـ Non-Steroidal Anti-Inflammatory Drugs
+
+379
+00:29:58,790 --> 00:30:04,530
+الـ ميكانيزم هي موجودة عندكم مكتوبة أدت إلى أنه
+
+380
+00:30:04,530 --> 00:30:07,570
+يصير عندنا Peptic Ulcer أو Duodenal Ulcer والحاجة
+
+381
+00:30:07,570 --> 00:30:10,670
+الثالثة واللي برضه مشهورة بصورة كبيرة لـ Stress
+
+382
+00:30:10,670 --> 00:30:14,890
+due to serious health problems واحنا بنقول غالبا
+
+383
+00:30:14,890 --> 00:30:20,830
+الناس اللي بتكون في العناية المركزة لسبب آخر
+
+384
+00:30:20,830 --> 00:30:23,730
+نتيجة الـ Stress اللي صار معهم لازم تكون حاجة
+
+385
+00:30:23,730 --> 00:30:27,410
+كبيرة تعملنا الموضوع والحاجة الرابعة من الـ causes
+
+386
+00:30:27,410 --> 00:30:29,890
+اللي هو الـ Diet الشيء الوحيد هو الواقعيات البيوترية
+
+387
+00:30:29,890 --> 00:30:35,290
+مثل التدخين وتناول الكافيين والقهوة والكحول
+
+388
+00:30:35,290 --> 00:30:40,330
+أيضا مفهومًا لإسباب أو إكسسيربات آثار وطبعا 
+
+389
+00:30:40,330 --> 00:30:46,450
+النار كمان لاجت يعني بعض الـ studies لاجت فيه
+
+390
+00:30:46,450 --> 00:30:50,530
+علاقة بالموضوع الـ Diagnosis how to diagnose
+
+391
+00:30:50,530 --> 00:30:56,830
+mainly based on the characteristic symptoms
+
+392
+00:31:02,120 --> 00:31:15,880
+وهنا بيصير عندنا
+
+393
+00:31:15,880 --> 00:31:22,180
+في assignment how to diagnose غير اللي أنا كاتبه
+
+394
+00:31:22,180 --> 00:31:22,380
+هنا
+
+395
+00:31:26,110 --> 00:31:31,270
+الـ Helicobacter Infestation
+
+396
+00:31:31,270 --> 00:31:37,510
+عند المريض كيف الـ Diagnosis تبع الـ Helicobacter؟
+
+397
+00:31:37,510 --> 00:31:40,470
+ايش الفحوصات اللي بتنعمل؟ في ثلاث أربع فحوصات، إشي
+
+398
+00:31:40,470 --> 00:31:47,070
+من الدم، إشي من البراز، إشي من الـ antibody، إشي
+
+399
+00:31:47,070 --> 00:31:54,290
+من النفس، بدي الطرق، إيش أفضلها ممكن نعمل 
+
+400
+00:31:54,290 --> 00:31:59,190
+comparison بين الطرق بس جدول هيك الطرق اللي بعمل
+
+401
+00:31:59,190 --> 00:32:03,230
+فيها فحص وإيش أفضلها هذا ال assignment التبعنا
+
+402
+00:32:05,270 --> 00:32:07,450
+Gastrointestinal bleeding طبعا بدل ما أنا عندي
+
+403
+00:32:07,450 --> 00:32:10,210
+جرح ممكن يصير عندي نزيف The most common
+
+404
+00:32:10,210 --> 00:32:13,050
+complication لهذا الدرجة أه طبعا sudden large
+
+405
+00:32:13,050 --> 00:32:15,790
+bleeding can be life threatening وطبعا ال bleeding
+
+406
+00:32:15,790 --> 00:32:21,330
+ممكن يدخلنا بـHypovolemic shock زي ما الكل عارف إيش
+
+407
+00:32:21,330 --> 00:32:25,310
+كمان perforation أه ممكن يصير عندي مش بس bleeding
+
+408
+00:32:25,310 --> 00:32:28,730
+تفتح المعدة لبرا وهذه طبعا Catastrophic
+
+409
+00:32:28,730 --> 00:32:35,360
+complication ممكن نتيجة أنه بعد فترة لو كان عندي
+
+410
+00:32:35,360 --> 00:32:37,840
+على الـ gastric outlet على مخرج المعدة فيه عندي
+
+411
+00:32:37,840 --> 00:32:47,140
+هناك قرحة وصارت طابت أو راجت عملت الـ Scarring و
+
+412
+00:32:47,140 --> 00:32:51,600
+بعد الـ Scarring عملت له obstruction of the outlet
+
+413
+00:32:51,600 --> 00:32:55,860
+وطبعا اللي حكينا عنه في الـ Differential يعني لازم
+
+414
+00:32:55,860 --> 00:32:57,900
+أحطه في الـ Differential Diagnosis ما هوش بس
+
+415
+00:32:57,900 --> 00:33:03,360
+complication هو الـ Cancer وطبعا لابد من عينة
+
+416
+00:33:04,010 --> 00:33:12,070
+العلاج الحقيقة بيتمثل في أكثر من حاجة الحاجة
+
+417
+00:33:12,070 --> 00:33:15,790
+الأولى Acid Reducing Medication الحاجة الثانية لل
+
+418
+00:33:15,790 --> 00:33:19,390
+infection لازم أدي علاج Two Antibiotics يبقى بدي
+
+419
+00:33:19,390 --> 00:33:23,030
+إشي مضاد للحاجة اسمها Triple Therapy Triple يعني
+
+420
+00:33:23,030 --> 00:33:28,230
+ثلاثي Therapy اثنين مضادات حيوية واحد Antacid أو 
+
+421
+00:33:28,230 --> 00:33:33,530
+acid reducing medication زي الـ PPI معاه لما يكون
+
+422
+00:33:33,530 --> 00:33:43,790
+عندنا Peripheric Ulcer «العوامل 
+
+423
+00:33:43,790 --> 00:33:51,710
+التي تؤدي» أو «التجارب» لـ Gastric Ulcer اللي هو
+
+424
+00:33:51,710 --> 00:33:56,730
+Reduction of Drug Intake حاول أنتبه للـ
+
+425
+00:33:56,730 --> 00:34:02,050
+Helicobacter، الـ Diet، stress، smoking and alcohol
+
+426
+00:34:02,050 --> 00:34:06,730
+اللي هي تحت اسم lifestyle risk factors دائماً إذا 
+
+427
+00:34:06,730 --> 00:34:13,750
+إذا اتغلبت على المسببات بتغلب على المرض بإذن الله
+
+428
+00:34:13,750 --> 00:34:19,090
+تعالى وربنا هو الشافي وبتمنّى لكم يوم سعيد 
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/3JwIJvxqtYE_postprocess.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/3JwIJvxqtYE_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..fdec2f1356bc2c00527b2f6f22c61cee60054799
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/3JwIJvxqtYE_postprocess.srt
@@ -0,0 +1,1712 @@
+1
+00:00:00,000 --> 00:00:03,320
+بسم الله الرحمن الرحيم الحمد لله رب العالمين
+
+2
+00:00:03,320 --> 00:00:05,900
+الصلاة و السلام علي سيدنا محمد و سيد الباسلين
+
+3
+00:00:05,900 --> 00:00:12,860
+اجمعين اليوم حقيقة هنحكي في موضوع غاية في العملية
+
+4
+00:00:12,860 --> 00:00:19,100
+كتير منتشر عند بعضكم كمان، عند أهليكم، عند الكل
+
+5
+00:00:19,100 --> 00:00:26,260
+عملي جدا الموضوع هذا، مين عمره ماجهوش أو مين عمره
+
+6
+00:00:26,260 --> 00:00:32,680
+أجاه اللي بنقول عنها الحزاز أو الحمودةيعني حاجة
+
+7
+00:00:32,680 --> 00:00:36,400
+حراجة هيت أو قوله في ناس شعاع عنه عن تم المعدة
+
+8
+00:00:36,400 --> 00:00:42,700
+لفوق زي ما احنا شايفين في الصورة نار مشعللة في
+
+9
+00:00:42,700 --> 00:00:46,540
+منطقة تم المعدة وطبعا تم المعدة موجودة في منطقة
+
+10
+00:00:46,540 --> 00:00:50,700
+الصدر يعني جريب من الجلب جريب من الرقتين جريب من
+
+11
+00:00:50,700 --> 00:00:57,030
+حاجات كتير هذا ايش بيقول عنه؟Gastro-Oesophageal
+
+12
+00:00:57,030 --> 00:01:03,130
+Reflex، مش Reflex، Reflex Disease الكل ممكن يكون
+
+13
+00:01:03,130 --> 00:01:09,630
+معاه نتيجة
+
+14
+00:01:09,630 --> 00:01:14,610
+أكل معين، طريقة معينة في الأكل، يصير عنده Gastro
+
+15
+00:01:14,610 --> 00:01:15,310
+يعني معدى،
+
+16
+00:01:19,830 --> 00:01:25,230
+الحامض أو الأكل من المعدة إلى المريء وهو عبارة عن
+
+17
+00:01:25,230 --> 00:01:29,030
+disease عامليا gastroesophageal reflux disease
+
+18
+00:01:29,030 --> 00:01:34,910
+اللي بنقول عنه ايش؟ GERD زي GERD يعني GERD اختصار
+
+19
+00:01:34,910 --> 00:01:39,250
+ل gastroesophageal reflux disease زي ما قلنا كتير
+
+20
+00:01:39,250 --> 00:01:43,170
+من الناس بيصير معاهم مين بيصير معاها او بيصير
+
+21
+00:01:43,170 --> 00:01:48,840
+معاها زي هيك؟حمودة أو شعاع أو حزاز زي ما نقول عنها
+
+22
+00:01:48,840 --> 00:01:53,980
+أو ارتجاع حتى في بعض الناس في نص الليل لما بتعشى
+
+23
+00:01:53,980 --> 00:01:57,920
+متأخر ممكن يكون زي المخنوق ليش؟ لإنه صار عنده
+
+24
+00:01:57,920 --> 00:02:03,940
+ارتجاع للمادة الحامضة هاي وين طلعت من المعدة
+
+25
+00:02:03,940 --> 00:02:08,240
+للمريق ومش بس وراحت دخلت على التركيا راحت دخلت على
+
+26
+00:02:08,240 --> 00:02:11,320
+ال larynx على الحندرة وعلى التركيا وهذه من الحاجات
+
+27
+00:02:11,320 --> 00:02:16,690
+الصعبة اللي بحس الواحد بعض الاحيان بالليللتحدّث
+
+28
+00:02:16,690 --> 00:02:20,290
+الآن عن Gehrig's gastroesophageal reflux disease
+
+29
+00:02:20,290 --> 00:02:26,520
+وبنقول عنه كمان acid refluxهو عبارة عن a chronic
+
+30
+00:02:26,520 --> 00:02:30,380
+illness that affects خمسة لسبعة في المية of the
+
+31
+00:02:30,380 --> 00:02:35,320
+world population وانا بأكد هذا خمسة لسبعة لكل ال
+
+32
+00:02:35,320 --> 00:02:39,320
+world لكن في منطقة البحر الأبيض المتوسط في بلادنا
+
+33
+00:02:39,320 --> 00:02:42,700
+الناس اللي بتستخدم الشطة والفلفل في المكسيك وكذا
+
+34
+00:02:42,700 --> 00:02:46,020
+هتلاقيها أعلى بكثير and it's associated with a
+
+35
+00:02:46,020 --> 00:02:49,880
+serious medical complication if untreated قضية
+
+36
+00:02:49,880 --> 00:02:55,190
+الآن أنا مش بس بحكي عن بس حموظة ويلاوبأخد أحاجة
+
+37
+00:02:55,190 --> 00:02:58,270
+وبمشي لحالة يعني بعض الأحيان تعملي مشاكل هنتعرف
+
+38
+00:02:58,270 --> 00:03:01,090
+على الموضوع هذا من خلال المحاضرة it's a condition
+
+39
+00:03:01,090 --> 00:03:05,570
+in which the liquid content السائل الموجود في
+
+40
+00:03:05,570 --> 00:03:10,310
+المعدة of the stomach regurgitates بيصير له عملية
+
+41
+00:03:10,310 --> 00:03:16,830
+إيش ارتجاع back up or reflux into the esophagus
+
+42
+00:03:16,830 --> 00:03:21,370
+the liquid can inflame هذا طبعا ال liquid عبارة
+
+43
+00:03:21,370 --> 00:03:30,350
+عمليا عن ميه نارحامض شديد الحمودة حامض
+
+44
+00:03:30,350 --> 00:03:41,530
+الـ HCL وهذا الحامض المفروض أنه لا يهضم المعدة لأن
+
+45
+00:03:41,530 --> 00:03:46,470
+المعدة مهيئة بجدار يحميها من الحامض لكن إذا الحامض
+
+46
+00:03:46,470 --> 00:03:51,410
+هذا راح على منطقة مافيش فيها هذا الجدار زي المريء
+
+47
+00:03:51,410 --> 00:03:56,400
+الاسوفيقاThis occurs in a minority of patients
+
+48
+00:03:56,400 --> 00:04:01,920
+ساعتها بيصير عندي مشكلة محترمة شايفين الصورة
+
+49
+00:04:01,920 --> 00:04:06,500
+الصغيرة هان اللي فيها حمار هذه احتقان وحمرار
+
+50
+00:04:06,500 --> 00:04:12,320
+والتهاب تم المعدة الصورة هاي شكلها تصورواالواحد
+
+51
+00:04:12,320 --> 00:04:15,640
+لما بيكون على جلده في حاجة محمرة وكذا بيعرفش يقعد
+
+52
+00:04:15,640 --> 00:04:19,900
+منها فبانا لما تكون على تُم المعدة مش بس بتعملي زي
+
+53
+00:04:19,900 --> 00:04:23,100
+ما قلنا حموضة وارتجاع لكن هتعملي حاجات تانية بعد
+
+54
+00:04:23,100 --> 00:04:30,300
+شوية The regurgated liquid usually contains حامض
+
+55
+00:04:30,300 --> 00:04:36,610
+ومبسينالبيبسين بتفرزه مين؟ بتفرزه المعدة بيبسين is
+
+56
+00:04:36,610 --> 00:04:41,230
+an enzyme that begins the digestion of protein in
+
+57
+00:04:41,230 --> 00:04:45,560
+the stomach هتجد الـ Reflex liquidممكن زي ما قلنا
+
+58
+00:04:45,560 --> 00:04:48,780
+يكون فيه أيضًا إيش بايل إيش بايل العصارة الصفروية
+
+59
+00:04:48,780 --> 00:04:52,860
+هذه اللي بتبقى جاية من وين من الدودنام الـ12 جاية
+
+60
+00:04:52,860 --> 00:04:57,960
+على المعدد لكن حقيقة هذا المحتوى تبع الحامض أو تبع
+
+61
+00:04:57,960 --> 00:05:01,880
+الـFluid اللي بيسير في عملية ارتجاع عبارة عن حامض
+
+62
+00:05:01,880 --> 00:05:07,420
+بيبسين وكمان في بايل اللي هو المادة الصفرة اللي
+
+63
+00:05:07,420 --> 00:05:13,660
+بترجع من من الدودنام تيجي علىبتيجي على المعدة لكن
+
+64
+00:05:13,660 --> 00:05:18,440
+أسوأهم أو أكترهم serious هو اللي بيعمللي المشكلة
+
+65
+00:05:18,440 --> 00:05:22,240
+كلها هو الحامض عشان يكونوا برضه واضحينالـPepsin
+
+66
+00:05:22,240 --> 00:05:28,060
+والـPile قد يؤذي الـEsophagus ولكن رقمهم في بناء
+
+67
+00:05:28,060 --> 00:05:34,880
+Esophagus إنفلامش ودمج ليس واضحًا كرم أسد يعني
+
+68
+00:05:34,880 --> 00:05:39,500
+صريح بلعبه دور لكن مش بالوضوح اللي بيعملوا الحامل
+
+69
+00:05:39,500 --> 00:05:42,640
+طب إيش الـSymptoms اللي بتختلف عن اللي تابوت حدثنا
+
+70
+00:05:42,640 --> 00:05:49,120
+عنه؟ طبعًا الـDisease اللي هو الـGerd ممكن يكون
+
+71
+00:05:49,120 --> 00:05:54,660
+موجودبدون symptoms asymptomatic وممكن يكون
+
+72
+00:05:54,660 --> 00:06:00,500
+symptomatic إذا ال acid only backs up إذا الحامض
+
+73
+00:06:00,500 --> 00:06:05,680
+هذا بيرجع لحد مسافة بس ال maria ال esophagus ال
+
+74
+00:06:05,680 --> 00:06:09,460
+geared symptoms بتلاقيها دايما بس heart burn heart
+
+75
+00:06:09,460 --> 00:06:16,280
+burn يعني حموضة heart قلب burnحرجان الحراجان القلب
+
+76
+00:06:16,280 --> 00:06:20,200
+هم زمان لما سموها heartburn كانوا يفكروا إنه حاجة
+
+77
+00:06:20,200 --> 00:06:24,980
+إلها علاقة بالقلب وقريبة من القلب فجال يقولوا عنه
+
+78
+00:06:24,980 --> 00:06:29,140
+heartburn ما زال واحد بيقول عنه heartburn حتى الآن
+
+79
+00:06:29,140 --> 00:06:34,940
+لكنها ما لهاش علاقة بالقلب if the acid إذا الحامض
+
+80
+00:06:34,940 --> 00:06:40,340
+رجع لحد ال larynx يعني رجع في ال esophagus لفوق
+
+81
+00:06:40,340 --> 00:06:47,100
+لفوق لفوق ونزللحد منطقة الارنز أن هما هناك فيه
+
+82
+00:06:47,100 --> 00:06:50,280
+نقطة التقاء الـSleeper النائم و الـwake up
+
+83
+00:06:50,280 --> 00:06:54,220
+coughing and choking زي ما حكينا coughing and
+
+84
+00:06:54,220 --> 00:07:01,220
+choking sometimes GERD can cause serious
+
+85
+00:07:01,220 --> 00:07:04,000
+complications including inflammation of the
+
+86
+00:07:04,000 --> 00:07:08,300
+esophagus from stomach acid that causes bleeding
+
+87
+00:07:08,300 --> 00:07:09,520
+or ulcer
+
+88
+00:07:16,470 --> 00:07:21,170
+طيب بيبقى كمان مرة انه sometimes GERD can cause
+
+89
+00:07:21,170 --> 00:07:25,290
+serious complications including inflammation بما
+
+90
+00:07:25,290 --> 00:07:30,810
+فيها التهيابات للمريء لكن ممكن بعض الأحيان توصل
+
+91
+00:07:30,810 --> 00:07:37,800
+لإن الاتهابات هاي يحصل فيهاbleeding أو ulcers يعني
+
+92
+00:07:37,800 --> 00:07:41,320
+جروح نتيجة الموضوع هذا وهذا اللي بنقول عنه احنا
+
+93
+00:07:41,320 --> 00:07:45,580
+بعد شوية اللي هو apoptic ulcer مش بس في بعض
+
+94
+00:07:45,580 --> 00:07:50,840
+الحالات في بعض الحالات بينشأ ان حاجة اسمها بارت
+
+95
+00:07:50,840 --> 00:07:54,420
+إيزوفيقيا إيزوفيقيا إيزوفيقيا إيزوفيقيا إيزوفيقيا
+
+96
+00:07:56,330 --> 00:08:00,270
+هذا عبارة عن تغيير في الخلايا للحمض طول الوقت نازل
+
+97
+00:08:00,270 --> 00:08:05,470
+يغيرها بيصير عملية تغيير داخلي للخلايا تاعت الـ
+
+98
+00:08:05,470 --> 00:08:09,750
+Esophagus نتيجة زي ما قلنا ضغط الحامض عليها طول
+
+99
+00:08:09,750 --> 00:08:13,490
+الوقت وهذا ممكن يكون brain cancer أو ممكن lead to
+
+100
+00:08:13,490 --> 00:08:17,430
+brain cancer يبقى أو to cancer برت Esophagus هو
+
+101
+00:08:17,430 --> 00:08:21,250
+عبارة عن brain cancer condition ناتجة عن طريق عن
+
+102
+00:08:21,250 --> 00:08:25,550
+موضوع الـ GERD Most patients with GERD experience
+
+103
+00:08:32,810 --> 00:08:35,850
+أو محاولة النوم أو أول النوم، يعني بتلاقي أنهم
+
+104
+00:08:35,850 --> 00:08:40,870
+بتعبوا منها أكتر و الـ severity بتزيد أكتر، خاصة
+
+105
+00:08:40,870 --> 00:08:47,030
+لو كانوا من النوع اللي بتعشى متأخر باستمراريبقى
+
+106
+00:08:47,030 --> 00:08:50,390
+الـ Symptoms persistent heartburn يعني مش من مرة
+
+107
+00:08:50,390 --> 00:08:53,530
+واحدة حموضة بقدر أقول أنا Geared أو مرتين، لأ،
+
+108
+00:08:53,530 --> 00:08:57,130
+احنا بنحكي عن Chronic Condition اسمها Geared اللي
+
+109
+00:08:57,130 --> 00:09:01,310
+هو Gastro-Oesophageal Reflex الـCs وهذه persistent
+
+110
+00:09:01,310 --> 00:09:08,170
+heartburn حموضة مستمرة وبتيجي كمان مع حاجات تانية
+
+111
+00:09:08,170 --> 00:09:11,770
+زي الـ Nausea بيصير نفسه زي المايع، Coughing،
+
+112
+00:09:11,770 --> 00:09:16,410
+بيصير يكح، يعني الحامض بتقول لاالريقتين فبيعمللي
+
+113
+00:09:16,410 --> 00:09:21,570
+coughing sore taste in the mouth طبعاً لإن هو
+
+114
+00:09:21,570 --> 00:09:24,470
+هيكيت بصل حامض كمان بعض الأحيان للطم ال
+
+115
+00:09:24,470 --> 00:09:27,590
+respiratory conditions زي الأسباب pneumonia و
+
+116
+00:09:27,590 --> 00:09:30,930
+chronic bronchitis كتير من الأحيان يا جماعة خليني
+
+117
+00:09:30,930 --> 00:09:36,870
+أدخل على طب الأطفال شوي أطفال بيجينا ب recurrent
+
+118
+00:09:36,870 --> 00:09:42,230
+chest infection التهابات السدر المتكررة من أهم
+
+119
+00:09:42,230 --> 00:09:46,170
+الأسبابأو الـ differential diagnosis تبعها الأسباب
+
+120
+00:09:46,170 --> 00:09:49,670
+اللي بتعملي chest infection متكرر اللي هي
+
+121
+00:09:49,670 --> 00:09:55,330
+gastroesophageal reflux disease إلى جانب أمراض
+
+122
+00:09:55,330 --> 00:10:00,830
+القلب على سبيل المثال إلى جانب ضعف ال immunity إلى
+
+123
+00:10:00,830 --> 00:10:06,820
+جانب وجود جسم غريب بلق جسم غريب على سبيل المثالهذه
+
+124
+00:10:06,820 --> 00:10:10,080
+أربعة conditions حكيتها الآن أنا مش موجودة في
+
+125
+00:10:10,080 --> 00:10:14,020
+السلايدات أربعة conditions بتعملي إيش recurrent
+
+126
+00:10:14,020 --> 00:10:20,220
+chest infection منها كمان الخامس cystic fibrosis
+
+127
+00:10:20,220 --> 00:10:26,600
+يبقى خمس حاجات المفروض أنه أنا لما أشوف حالة دايما
+
+128
+00:10:26,600 --> 00:10:31,020
+بيصير عندها chronic أو بيشوف حالة بيصير عندها
+
+129
+00:10:31,020 --> 00:10:35,750
+pneumoniaRecurrent Pneumonia أو Recurrent Chest
+
+130
+00:10:35,750 --> 00:10:40,250
+Infection المفروض أنه بفكر فيهم heart disease
+
+131
+00:10:40,250 --> 00:10:45,790
+كنجينة ال heart disease phone body inhalation ال
+
+132
+00:10:45,790 --> 00:10:51,910
+immunity system defect اللي بنحكي عنه
+
+133
+00:10:51,910 --> 00:10:56,930
+gastroesophageal reflux واتحدتنا
+
+134
+00:10:56,930 --> 00:11:01,290
+عن اللي هو ال phone cystic fibrosis أو phone body
+
+135
+00:11:02,570 --> 00:11:10,960
+الـ Causes تبعت الـ Geared طبعاً حسبالها أسباب وهي
+
+136
+00:11:10,960 --> 00:11:14,660
+نفسها محفزات الـ Age كل ما كبر الواحد كل ما صارت
+
+137
+00:11:14,660 --> 00:11:19,620
+أكتر نوعية الأكل الناس اللي بتاكل Spicy دايما اللي
+
+138
+00:11:19,620 --> 00:11:23,860
+دايما أكلها خدنا نقول بندورة معجدة على سبيل المثال
+
+139
+00:11:23,860 --> 00:11:29,140
+اللي بيأكلوا دايما البيتزا الناس اللي بتاكل فلفل
+
+140
+00:11:29,140 --> 00:11:32,860
+كتير على سبيل المثال وأملاح كتير الناس اللي بتاكل
+
+141
+00:11:32,860 --> 00:11:37,910
+متأخرو بتاكل متأخر و أكل كتير يعني بتدب المعدة
+
+142
+00:11:37,910 --> 00:11:42,130
+الناس اللي بتاخد alcohol الناس اللي بتدخل ال
+
+143
+00:11:42,130 --> 00:11:46,760
+pregnancy ليش ال pregnancy؟والـ Obesity لأنه
+
+144
+00:11:46,760 --> 00:11:51,500
+بنتيجة الـ Pregnancy المقدة مضغوطة لفوق فالحامض
+
+145
+00:11:51,500 --> 00:11:54,960
+بتجمع بصورة أكبر و بيصل للـ Esophagias بصورة أكبر
+
+146
+00:11:54,960 --> 00:11:59,040
+و الـ Obesity نفس الكلام في هناك certain foods
+
+147
+00:11:59,040 --> 00:12:03,680
+associated with reflux events طبعا مش معناته بس هم
+
+148
+00:12:03,680 --> 00:12:06,580
+هدولة جماعة كل واحد فيه إلو حاجة بتعمله
+
+149
+00:12:06,580 --> 00:12:12,360
+Destroesophageal refluxاللي ممكن يعمل لي ممكن
+
+150
+00:12:12,360 --> 00:12:17,600
+مايعملش للآخر و هيك لكن فينا تجارب عصابي مثال يمكن
+
+151
+00:12:17,600 --> 00:12:21,820
+كلكم بتستحضروا اللي بيأكلوا الجرشلة بالشاي عصابي
+
+152
+00:12:21,820 --> 00:12:25,600
+مثال عصابي مثال اللي بيأكلوا الفلافل بالشاي بيصير
+
+153
+00:12:25,600 --> 00:12:32,360
+معاهم حموضة عصابي مثال فالـ Spicy Foods الـ Garlic
+
+154
+00:12:32,360 --> 00:12:39,920
+and Onion الشدول التومة والبصلCitrus fruits طبعاً
+
+155
+00:12:39,920 --> 00:12:43,900
+لأنه احنا قاعدين نحكي عن حمضيات حوامض من اسمها
+
+156
+00:12:43,900 --> 00:12:49,120
+طبعا ممكن ما بتتعاملش عند كتير ناس لكن لو الواحد
+
+157
+00:12:49,120 --> 00:12:52,340
+liable وهو معرض أو في عنده مشاكل لو أكلها ممكن
+
+158
+00:12:52,340 --> 00:12:55,670
+تتعامل معاه مشاكلكل المشروبات أو المشروبات اللي
+
+159
+00:12:55,670 --> 00:12:59,650
+فيها كفائين نقصدش بس الجهوة هان ولا بنقصد بس
+
+160
+00:12:59,650 --> 00:13:03,390
+الكوكاكولا السوداء لكن أي مشروب فيه كفائين ممكن
+
+161
+00:13:03,390 --> 00:13:08,510
+يعملنا هيك شوكليت شوكولاتة فاتي and فريد فودز mint
+
+162
+00:13:08,510 --> 00:13:14,850
+flavorings اللي هي الحاجات اللي عليها الحلو اللي
+
+163
+00:13:14,850 --> 00:13:20,430
+عليه نعنع نعنع بصورة عامة وفي حاجات ال tomatoباست
+
+164
+00:13:20,430 --> 00:13:23,590
+فودز زي الـ Spaghetti والشيلي والبيتزا والحاجات
+
+165
+00:13:23,590 --> 00:13:26,810
+هذه ال risk factors اتحدتنا قبل شويه وقولنا ال
+
+166
+00:13:26,810 --> 00:13:31,530
+obesity pregnancy, hepatic ulcer الناس اللي في
+
+167
+00:13:31,530 --> 00:13:36,350
+عندها delaying of stomach emptying طبعا ليش؟ لأنه
+
+168
+00:13:36,350 --> 00:13:40,290
+ال stomach بتصير تحبس والحمض بزيد فهذا كله يتوقش
+
+169
+00:13:40,290 --> 00:13:47,010
+بعمل ليه؟ بعمل ليه ارتفاع الحمض في المريض إلى جانب
+
+170
+00:13:47,010 --> 00:13:51,190
+زي مثلا ال diabetesأو الـ ulcer أو abnormal nerve
+
+171
+00:13:51,190 --> 00:13:54,690
+أو muscle function can delay emptying of the
+
+172
+00:13:54,690 --> 00:13:58,370
+stomach وهذا بيخلي الحامض back up into the
+
+173
+00:13:58,370 --> 00:14:05,150
+esophagus الأزمة ليش؟ لأنه في عندنا some asthma
+
+174
+00:14:05,150 --> 00:14:12,540
+medications that widen أو dilate airwaysممكن أيضًا
+
+175
+00:14:12,540 --> 00:14:20,400
+أن يتراجع مخرج الإيزوفيجيا السفينكتر اللي مع
+
+176
+00:14:20,400 --> 00:14:30,320
+المعدة ويجعل الحامض يرجع إلى الإيزوفيجيا السكريلأن
+
+177
+00:14:30,320 --> 00:14:33,740
+one of the many complications of diabetes is
+
+178
+00:14:33,740 --> 00:14:38,340
+gastroparesis يعني زي ما بيقولوها ضعف حركة المعدة
+
+179
+00:14:38,340 --> 00:14:42,900
+وهذا الموضوع يجعل الأكل و الحامض يظل فترة طويلة في
+
+180
+00:14:42,900 --> 00:14:46,920
+المعدة، لماذا؟ لأن الـemptying بطيء، فهذا بدي فرصة
+
+181
+00:14:46,920 --> 00:14:51,440
+للحامض أنه
+
+182
+00:14:51,440 --> 00:14:55,620
+يرجع على المريض طب كيف بنشخص الـGERD،
+
+183
+00:14:55,620 --> 00:15:00,860
+gastroesophageal reflux؟تشخيصه طبعاً فيه different
+
+184
+00:15:00,860 --> 00:15:05,460
+modalities بما فيها upper gastrointestinal
+
+185
+00:15:05,460 --> 00:15:11,370
+endoscopy من ظهر لمنطقة المعدة والمريق من فوقممكن
+
+186
+00:15:11,370 --> 00:15:16,130
+كمان بما أنه احنا قاعدين نقول عن acid activity في
+
+187
+00:15:16,130 --> 00:15:19,430
+المنطقة هذه ممكن نعمله isofisial pH monitoring
+
+188
+00:15:19,430 --> 00:15:25,190
+بدخل واحد زي حاجة هيك sensor عند ثم المعدة وبيجيس
+
+189
+00:15:25,190 --> 00:15:30,250
+حموضة الحموضة
+
+190
+00:15:30,250 --> 00:15:35,920
+في المنطقة حوالين بين المعدة و بينوهذا على مدى
+
+191
+00:15:35,920 --> 00:15:41,080
+ساعات معينة 24 ساعة وفيه software على الكمبيوتر
+
+192
+00:15:41,080 --> 00:15:46,040
+السنسور بتفرج على الكمبيوتر وبنشوف جداش النسب
+
+193
+00:15:46,040 --> 00:15:47,900
+وجداش الحمورة
+
+194
+00:15:59,550 --> 00:16:04,590
+ولا طريقة منهم تدّيك مية في المية الحل وكل واحدة
+
+195
+00:16:04,590 --> 00:16:15,270
+لها مشاكل كل واحدة لها مشاكل من الطروج الاندوسكوبي
+
+196
+00:16:15,270 --> 00:16:19,670
+فقط لا يحتاج لشعور بشكل كام الـ pH Monitoring ليس
+
+197
+00:16:19,670 --> 00:16:20,630
+دائما متوفر
+
+198
+00:16:23,320 --> 00:16:27,960
+ولكن بقولكوا إيش اللي بيصير الآن، فيش حد من حد ما
+
+199
+00:16:27,960 --> 00:16:30,480
+بيشكي من Gastro-Oesophageal Reflex Disease بروح
+
+200
+00:16:30,480 --> 00:16:33,960
+بعمل فحوصات بالصورة اللي مكتوبة هنا، اللي هي قضية
+
+201
+00:16:33,960 --> 00:16:37,820
+إنه منظار أو pH Monitoring أو Radiological
+
+202
+00:16:37,820 --> 00:16:42,800
+Studies، ها إيش بنعمل؟ بنعمل حاجة اسمها Gared
+
+203
+00:16:42,800 --> 00:16:46,000
+Treatment-Based Approach، يعني على الـ Clinical
+
+204
+00:16:46,000 --> 00:16:50,060
+اللي شكّيها المريض، وبما إنه منتشر كتير، فبندّي
+
+205
+00:16:50,060 --> 00:16:51,740
+علاج لهذا الموضوع
+
+206
+00:16:55,460 --> 00:17:00,180
+وبندى أدوية وزى ما قلنا بنخفف عنه اللى هو الفحوصات
+
+207
+00:17:00,180 --> 00:17:05,460
+هاى وبترايه الآن فرضا ماتحسنش مع العلاج طبعا مع
+
+208
+00:17:05,460 --> 00:17:08,340
+الـ diet يعنى هو فيه قوله diet ونقوله إيش يعمل في
+
+209
+00:17:08,340 --> 00:17:10,900
+قضية الأكل لإنه مابنفعش أنا أقول والله عندي
+
+210
+00:17:10,900 --> 00:17:16,730
+gastroesophageal reflux diseaseوبدأ أظل أشرب
+
+211
+00:17:16,730 --> 00:17:21,070
+Alcohol أو بدأ أظل أدخل أو بدأ أظل مع ال pregnancy
+
+212
+00:17:21,070 --> 00:17:25,130
+بنتهي الموضوع أو بدأ أظل أكل حاجات Spicy أو Tomato
+
+213
+00:17:25,130 --> 00:17:29,610
+أو Mint أو كذا، ماينفعش المفروض أنه أنا مع العلاج
+
+214
+00:17:29,610 --> 00:17:34,580
+بأعمل تحمية اللي هو lifestyle modificationوإذا
+
+215
+00:17:34,580 --> 00:17:38,300
+ضال، طبعاً ساعتها بدك، بده الواحد يضطر يروح يعمل
+
+216
+00:17:38,300 --> 00:17:43,540
+فحوصات ليشوف differential diagnoses لأنه ممكن يكون
+
+217
+00:17:43,540 --> 00:17:49,060
+عنده بيبتكالثر، ممكن يكون عندنا cancer على سبيل
+
+218
+00:17:49,060 --> 00:17:52,220
+المثال و ال presentation تبعه بالصورة هذه،
+
+219
+00:17:52,220 --> 00:17:55,440
+فالمفروض أنه الواحد بياخد باله من الموضوع هذا لو
+
+220
+00:17:55,440 --> 00:17:59,880
+ما اتحسنش ال treatment method to effectively treat
+
+221
+00:17:59,880 --> 00:18:04,940
+guard range from lifestyle measuresto the use of
+
+222
+00:18:04,940 --> 00:18:09,640
+geared medication أو إذا في الأخر في الأخر في
+
+223
+00:18:09,640 --> 00:18:14,740
+الأخر في مشاكل بنعمل surgical procedures لهد درجة
+
+224
+00:18:14,740 --> 00:18:16,900
+أه ما هو في ناس عندها مشكلة في الموضوع
+
+225
+00:18:27,770 --> 00:18:31,890
+زي ما قلنا كمان مرة مهم جدا جدا للناس اللي عندهم
+
+226
+00:18:31,890 --> 00:18:35,050
+persistent heartburn او other chronic and
+
+227
+00:18:35,050 --> 00:18:38,190
+recurrent symptoms of gout to seek an accurate
+
+228
+00:18:38,190 --> 00:18:41,930
+diagnosis ماكان فيش انه انا اظن ابلبع في حاجة في
+
+229
+00:18:41,930 --> 00:18:45,930
+السوق موجودة اسمها الرينيه الرينيه عبارة حبوب
+
+230
+00:18:45,930 --> 00:18:49,690
+بيقولوا عنها جرش وهذه بتخفف الحموظة لأن الرينيه
+
+231
+00:18:49,690 --> 00:18:53,710
+هذه عبارة عن حاجة بتعمل neutralization تتفاعل مع
+
+232
+00:18:53,710 --> 00:18:59,400
+الحمض بتعمل neutralizationللحمض وخلاص وبرتحصل واحد
+
+233
+00:18:59,400 --> 00:19:02,660
+أو في ناس بتاخد مالوكس أو في ناس بتاكل عدس أو في
+
+234
+00:19:02,660 --> 00:19:06,020
+ناس بتشرب حليب طبعا الحليب يلو موضوع تاني لإن هو
+
+235
+00:19:06,020 --> 00:19:09,540
+يعتبر غلط لإن هو ساعتها بيعمل ال release ساعتها
+
+236
+00:19:09,540 --> 00:19:13,360
+ساعتها لكن بعد شوية الحموضة بتزيد أو في ناس بتاكل
+
+237
+00:19:13,360 --> 00:19:18,020
+موز أو في ناس تشرب ميه المهم إنه كل واحد يلو
+
+238
+00:19:18,020 --> 00:19:20,480
+طريقته في إنه يعمل release لل heart pain بس مش هي
+
+239
+00:19:20,480 --> 00:19:25,180
+هذه الجضية الجضية إنه إنهمايصيرش هذا chronic، مش
+
+240
+00:19:25,180 --> 00:19:28,060
+كل ما أكل، كل ما أفطر، كل ما أتغدى، كل ما أتعشى،
+
+241
+00:19:28,060 --> 00:19:31,120
+بيصير معايا، هذا الموضوع بيصير كبير في الأحوال
+
+242
+00:19:31,120 --> 00:19:34,060
+اللي زي هي ال medications اللي إحنا بنديها في
+
+243
+00:19:34,060 --> 00:19:36,680
+الحقيقة للـ gastroesophageal reflux disease، تو
+
+244
+00:19:36,680 --> 00:19:40,880
+حكيت أنا عن واحد منهم الـ Anti-acid، إيش يعني Anti
+
+245
+00:19:40,880 --> 00:19:46,250
+-acid؟ إشي مضاد للحمودةزي الـ Malox أو زي ما يكون
+
+246
+00:19:46,250 --> 00:19:51,490
+فيه تمس في عصابي المثال الـ RNA عصابي المثال وهذا
+
+247
+00:19:51,490 --> 00:19:58,350
+ايش بيعمل ليه؟ Neutralize stomach acidand can
+
+248
+00:19:58,350 --> 00:20:03,210
+provide quick relief بتحسن على السريع الحامض خلاص
+
+249
+00:20:03,210 --> 00:20:08,190
+متعدل راحة المشكلة antacid alone won't heal an
+
+250
+00:20:08,190 --> 00:20:12,450
+inflamed esophagus damaged by stomach acid يعني ما
+
+251
+00:20:12,450 --> 00:20:15,070
+تتصورش أنه لو في أنا في عندي inflammation أنه
+
+252
+00:20:15,070 --> 00:20:20,580
+هتروح بالحالة هو بس الحامض خف لكنالـ الـ الـ الـ
+
+253
+00:20:20,580 --> 00:20:21,060
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+254
+00:20:21,060 --> 00:20:22,940
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+255
+00:20:22,940 --> 00:20:29,340
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+256
+00:20:29,340 --> 00:20:33,020
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+257
+00:20:33,020 --> 00:20:34,880
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+258
+00:20:34,880 --> 00:20:37,280
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+259
+00:20:37,280 --> 00:20:40,340
+الـ الـ
+
+260
+00:20:41,610 --> 00:20:44,950
+اللي هي شغالة على طريقة الباب اللي بيجيك منه الريح
+
+261
+00:20:44,950 --> 00:20:50,010
+سده و استريح اللي هي ال PPI بيقولوا عنها PPI أو
+
+262
+00:20:50,010 --> 00:20:56,150
+Proton Bump Inhibitors زي الومي برازول مشهور ال ..
+
+263
+00:20:56,150 --> 00:20:59,190
+ال .. these guard medications إيش بتعملوا؟ بتعملوا
+
+264
+00:20:59,190 --> 00:21:04,830
+Blockage of Acid Production تماما، بيبطل يطلع حامض
+
+265
+00:21:04,830 --> 00:21:12,130
+وهذه طبعا بتدي وقتفرصة لإن الـ Damaged أو Inflamed
+
+266
+00:21:12,130 --> 00:21:17,810
+Esophageal Tissue تهيل زمان
+
+267
+00:21:17,810 --> 00:21:22,810
+كانت لازم تنكتب روشتة، الآن صارت تنكتب صارت عادة
+
+268
+00:21:22,810 --> 00:21:26,790
+تشتريها من الصيدلية، بنقول عنها OTC، إيش يعني OTC؟
+
+269
+00:21:26,790 --> 00:21:28,890
+Over The Count، يعني بتقدر تروح الصيدلية تقولي
+
+270
+00:21:28,890 --> 00:21:31,190
+والله ديلي أم برازول، بتديك أم برازول، طبعا مش في
+
+271
+00:21:31,190 --> 00:21:34,310
+بلاد أنا بحكي عن برا، هنا برا بتشتري الصيدلية و
+
+272
+00:21:34,310 --> 00:21:37,350
+الصيدلي و العيلة و كل البلد، مافيش مشكلة، إيش اللي
+
+273
+00:21:37,350 --> 00:21:37,910
+بدكيها؟
+
+274
+00:21:41,130 --> 00:21:44,890
+الآن يعني خلاص صار مش لازم ينكتب بروشيطة ممكن
+
+275
+00:21:44,890 --> 00:21:47,730
+الواحد يجيبه لحاله طبعا بس هذا خدوا بالكوا بيغش
+
+276
+00:21:47,730 --> 00:21:52,190
+الموضوع هذا لأنه لأنه لأنه القضية ممكن مايكونش
+
+277
+00:21:52,190 --> 00:21:53,570
+موضوع موضوع بس
+
+278
+00:21:56,130 --> 00:21:59,890
+ممكن يكون بيبتيكازر، ممكن يكون كانسر، ممكن يكون
+
+279
+00:21:59,890 --> 00:22:02,990
+بارت إيزوفيجيا، ممكن يكون حاجات كتير، فيبقى ياخد
+
+280
+00:22:02,990 --> 00:22:06,550
+باله الواحد إذا دل كرونيك الموضوع، لابد من التوجه
+
+281
+00:22:06,550 --> 00:22:10,190
+للطبيب لمعرفة السبب اللي عملنا الموضوع هذا الـH2
+
+282
+00:22:10,190 --> 00:22:14,290
+-Receptors اللي هو الهستامين Two Receptors
+
+283
+00:22:14,290 --> 00:22:21,870
+Blockers، هذه نوعية أخرى من الـMedicationزي الـ
+
+284
+00:22:21,870 --> 00:22:24,550
+Ranidine كتير منكم بيعرفوا عنه يقولوا سنة تقريبا
+
+285
+00:22:24,550 --> 00:22:29,370
+موقف الـ Ranidine لأنه هذا إيش بعملنا؟ بعملنا
+
+286
+00:22:29,370 --> 00:22:33,770
+reduction of the production of acid reduction بس
+
+287
+00:22:33,770 --> 00:22:42,170
+ال PPI عملنا blockage لل production هذا عملنا بس
+
+288
+00:22:42,170 --> 00:22:46,230
+reduction لل production they don't act as quickly
+
+289
+00:22:46,230 --> 00:22:50,250
+as antacidولكنها تقدر تقدر تقدر تقدر تقدر تقدر
+
+290
+00:22:50,250 --> 00:22:57,670
+تقدر تقدر تقدر تقدر تقدر تقدر تقدر
+
+291
+00:22:57,830 --> 00:23:02,550
+مين اللي بيريحنا بسرعة؟ اللي هو الـ Antacid لكن
+
+292
+00:23:02,550 --> 00:23:07,150
+هاي الـ Proton Bomb Inhibitor أو الـ PPI والـ H2
+
+293
+00:23:07,150 --> 00:23:11,470
+Receptor Blockers هذه بتديناش Release سريع لكن
+
+294
+00:23:11,470 --> 00:23:17,530
+مفقولها أكبر، ليش؟ لأنها عمليا بتخفف أو بتوقف
+
+295
+00:23:17,530 --> 00:23:21,510
+إفراز الحامض اللي أهم من هيك يا جماعة وهذا لاحظناه
+
+296
+00:23:21,510 --> 00:23:27,790
+عند ناس كتير اللي هي الـ Garde Dietالـ Gear Diet
+
+297
+00:23:27,790 --> 00:23:34,390
+إنه أنا أحاول أمتنع عن الباكلات أو الأدوية اللي
+
+298
+00:23:34,390 --> 00:23:41,470
+بتسبب للموضوع هذا Avoid foods such as citrus،
+
+299
+00:23:41,470 --> 00:23:47,130
+tomato، coffee، هذي بتعملي directly irritation
+
+300
+00:23:47,130 --> 00:23:52,270
+للـmucosa، onion، شوكليت، peppermint، طبعا الكمية
+
+301
+00:23:52,270 --> 00:23:55,530
+كمان بتلعب دوري يا بابا، إحنا الآن في عصر المجات
+
+302
+00:23:55,530 --> 00:23:59,110
+للأسفكيف يعني عصر المجات؟ صارت الناس لما بدأت تشرب
+
+303
+00:23:59,110 --> 00:24:02,150
+زمان كنا نشرب الجهوة السادة والمرة في فنجان صغير
+
+304
+00:24:02,150 --> 00:24:05,730
+نصه هيك أو فنجان على أجال الفنجان الجهوة التركي
+
+305
+00:24:05,730 --> 00:24:09,710
+العادي، هذا الآن صار كله بيشرب في مجات والكمية
+
+306
+00:24:09,710 --> 00:24:13,750
+الكبيرة هيك كمان بتأثرنا على الموضوعاللي
+
+307
+00:24:13,750 --> 00:24:17,410
+الـpeppermint and any food with high fat content
+
+308
+00:24:17,410 --> 00:24:21,830
+that affects pressure in the stomach Limit or cut
+
+309
+00:24:21,830 --> 00:24:24,910
+the use of non-steroidal ناس اللي بتاخد دايكلوفين
+
+310
+00:24:24,910 --> 00:24:29,850
+و Ibuprofen that may irritate the esophagus and
+
+311
+00:24:29,850 --> 00:24:34,110
+stomach lining Individuals with GERD should avoid
+
+312
+00:24:34,110 --> 00:24:40,770
+whole milkTry to maintain a low-fat diet by
+
+313
+00:24:40,770 --> 00:24:44,670
+staying away from fatty meats and processed meats
+
+314
+00:24:44,670 --> 00:24:48,030
+called cuts اللي هي المرتدلة والحاجات هذه If you
+
+315
+00:24:48,030 --> 00:24:52,450
+must have coffee أو tea حاول تشوف الكافي اللي بدون
+
+316
+00:24:52,450 --> 00:24:55,350
+كفائين أو herbal tea، شاي، عشاب
+
+317
+00:25:00,960 --> 00:25:06,320
+Eat smaller meals Control your weight Don't smoke
+
+318
+00:25:06,320 --> 00:25:10,740
+Eliminate hot pain trigger Don't lie down after a
+
+319
+00:25:10,740 --> 00:25:16,900
+meal Raise the head of the bed وهذا بتدخلنا بعد
+
+320
+00:25:16,900 --> 00:25:21,640
+شوية في موضوع الـBaptic Ulcer
+
+321
+00:25:23,880 --> 00:25:31,020
+والـ Peptic Ulcer Disease بيو دي بيو دي فيه منه
+
+322
+00:25:31,020 --> 00:25:33,240
+gastric ulcer زي ما احنا شايفين في الصورة وفيه
+
+323
+00:25:33,240 --> 00:25:38,340
+دودنال ulcer يعني ulcer اللي هو المعدة و ulcer أو
+
+324
+00:25:38,340 --> 00:25:42,420
+قروحة المعدة و قروحة الأثنى عشر الـ Peptic Ulcer
+
+325
+00:25:42,420 --> 00:25:46,640
+Disease known as Peptic Ulcer or Stomach Ulcer is
+
+326
+00:25:46,640 --> 00:25:50,770
+a prickأو breakage in the lining of the stomach،
+
+327
+00:25:50,770 --> 00:25:55,410
+first part of the small intestine أو الدودنوم زي
+
+328
+00:25:55,410 --> 00:26:00,750
+ما بنقول و occasionally the lower esophagus الـ
+
+329
+00:26:00,750 --> 00:26:04,790
+ulcer in the stomach is known as a gastric ulcer
+
+330
+00:26:04,790 --> 00:26:08,670
+في حين اللي هو في ال small أو first part of the
+
+331
+00:26:08,670 --> 00:26:15,050
+intestine بنقول عنه دودنال ulcerالخطر العمري
+
+332
+00:26:15,050 --> 00:26:20,530
+للتطور من الـ Apoptic Ulcer هو حوالي 10% تقريبًا،
+
+333
+00:26:20,530 --> 00:26:24,450
+طبعًا أنا أعتقد أن الموضوع أكبر من هيك و أكتر من
+
+334
+00:26:24,450 --> 00:26:28,170
+هيك، لكن ليش؟ لأن كتير من الناس بتعالج نفسها
+
+335
+00:26:28,170 --> 00:26:32,230
+بالطرق الـ Herbal العادية بدون متوجه للإحصائيات،
+
+336
+00:26:32,230 --> 00:26:36,670
+في البلدان الغربية الـ Bad scent of people with
+
+337
+00:26:36,670 --> 00:26:40,410
+helicobacter pylori، الـ helicobacter pylori هي
+
+338
+00:26:40,410 --> 00:26:47,020
+عبارة عنعبارة عن اللي هو البكتيريا اللي الآن اتهمت
+
+339
+00:26:47,020 --> 00:26:51,080
+اتهام مباشر بإنها سبب الـ Peptic وDowdenal Ulcer
+
+340
+00:26:51,080 --> 00:26:55,160
+اللي هي البكتيريا
+
+341
+00:26:55,160 --> 00:27:00,060
+العصوية أو حاجة زي هي Helicobacter Pylori
+
+342
+00:27:00,060 --> 00:27:04,900
+Infection Roughly Match Age 20% من الناس العمرهم
+
+343
+00:27:04,900 --> 00:27:10,460
+عشرين سنة عندهم Helicobacterثلاثين في المية من
+
+344
+00:27:10,460 --> 00:27:12,720
+عمرهم ثلاثين تمانين في المية من عمرهم تمانين عندهم
+
+345
+00:27:12,720 --> 00:27:14,900
+helicopter infection
+
+346
+00:27:17,650 --> 00:27:20,410
+وزي ما قلنا الـ ECO-FACTOR من أهم الأسباب اللي
+
+347
+00:27:20,410 --> 00:27:23,950
+بتعملنا Gastroesophageal، عفوا، Peptic Ulcer
+
+348
+00:27:23,950 --> 00:27:28,910
+Transmission is by food contaminated groundwater و
+
+349
+00:27:28,910 --> 00:27:33,190
+through human saliva زي kissing مثلا أو sharing
+
+350
+00:27:33,190 --> 00:27:38,830
+food utensils استعمال الأدوات والمعالج والشوك ورا
+
+351
+00:27:38,830 --> 00:27:42,870
+بعض من الـ Symptoms والـ Sign تبقى الـ Peptic
+
+352
+00:27:42,870 --> 00:27:47,680
+Ulcer الـ Abdominal Painبالذات Epigastric المنطقة
+
+353
+00:27:47,680 --> 00:27:53,640
+اللي هي تحت الجلب زي ما احنا شايفين في الصورةفي
+
+354
+00:27:53,640 --> 00:27:59,280
+حالة دودنالألسر، الشعور يظهر خلال ثلاث ساعات بعد
+
+355
+00:27:59,280 --> 00:28:03,260
+أخذ طعام، يعني في الـGastric Ulcers، ع السريع
+
+356
+00:28:03,260 --> 00:28:06,840
+الوجع، بتاكل و بتتوجع، الدودنالألسر بعد ثلاث
+
+357
+00:28:06,840 --> 00:28:10,260
+ساعات، من ساعته لثلاث ساعات بعد الميل، Bloating،
+
+358
+00:28:10,260 --> 00:28:13,600
+بيصير إنه نفخة، أبدوم للـFullness، حاسس بطن ملان،
+
+359
+00:28:13,600 --> 00:28:17,760
+Nausea and vomiting، ممكن يكون كمان، من الـSigns
+
+360
+00:28:17,760 --> 00:28:23,050
+and Symptoms، Loss of Appetite،Weight Loss،
+
+361
+00:28:23,050 --> 00:28:30,690
+Hematemesis، Hematemesis
+
+362
+00:28:30,690 --> 00:28:34,730
+ملينا، ملينا
+
+363
+00:28:34,730 --> 00:28:38,570
+هو الدم اللي بنزل من المعدة لكن بدخل على الجهاز
+
+364
+00:28:38,570 --> 00:28:43,950
+الهضمي وبتفاعل مع الحامضبالـ DNA بيصيروا عملية
+
+365
+00:28:43,950 --> 00:28:48,110
+Oxidation للـ Iron اللي فيه من اللي في الـ
+
+366
+00:28:48,110 --> 00:28:53,810
+Hemoglobin وهذا عبارة عن دم بس بشكله زي الزفتة
+
+367
+00:28:53,810 --> 00:29:01,190
+الطريقة فاول Smelling Faces بوراز زي الزفتة هيك
+
+368
+00:29:01,190 --> 00:29:05,650
+ريحته سيئة و بنلاقيها نزلت مع البوراز هذا عبارة عن
+
+369
+00:29:05,650 --> 00:29:15,030
+دم لكن صار له عملية Oxidationالأسباب هي أهم متهم
+
+370
+00:29:15,030 --> 00:29:18,290
+major causative factor is chronic inflammation
+
+371
+00:29:18,290 --> 00:29:23,810
+بالـ Helicobacter pylori that colonize the mucosa
+
+372
+00:29:23,810 --> 00:29:30,250
+60% of gastric ulcer هي السبب 50 إلى 75% of Dowden
+
+373
+00:29:30,250 --> 00:29:31,410
+ulcer
+
+374
+00:29:33,500 --> 00:29:37,420
+المتهم التاني اللي هي الـ Non-steroidal أدوية Non
+
+375
+00:29:37,420 --> 00:29:41,740
+-steroidal Anti-inflammatory drugs وزي ما قلنا هي
+
+376
+00:29:41,740 --> 00:29:47,220
+المتهم الآخر، المتهم التاني يعني
+
+377
+00:29:47,220 --> 00:29:54,820
+معلومة مشهورة عند الكل ونتيجة كتر وانتشار استعمال
+
+378
+00:29:56,270 --> 00:29:58,790
+اللي هو الـ Non-Steroidal Anti-Inflammatory Drugs
+
+379
+00:29:58,790 --> 00:30:04,530
+الـ ميكانيزم هي موجودة عندكم مكتوبة أدت إلى إنه
+
+380
+00:30:04,530 --> 00:30:07,570
+يصير عندنا Peptic Ulcer أو Dowden Ulcer والحاجة
+
+381
+00:30:07,570 --> 00:30:10,670
+التالتة واللي برضه مشهورة بصورة كبيرة لـ Stress
+
+382
+00:30:10,670 --> 00:30:14,890
+due to serious health problems واحنا بنقول غالبا
+
+383
+00:30:14,890 --> 00:30:20,830
+الناس اللي بت dampفي العناية المركزة لسبب آخر
+
+384
+00:30:20,830 --> 00:30:23,730
+نتيجة الـ stress اللي صار معهم لازم تكون حاجة
+
+385
+00:30:23,730 --> 00:30:27,410
+كبيرة تعملنا الموضوع والحاجة الرابعة من ال causes
+
+386
+00:30:27,410 --> 00:30:29,890
+اللي هو ال dietالشيء الوحيد هو الواقعيات البيوترية
+
+387
+00:30:29,890 --> 00:30:35,290
+مثل المشروع والتناول الكفاين والكوفي والألكوهول
+
+388
+00:30:35,290 --> 00:30:40,330
+أيضًا مفهومًا لإسباب أو إكسسيربات ألثار وطبعًا
+
+389
+00:30:40,330 --> 00:30:46,450
+النار كمان لاجوا يعني بعض الـ studies لاجت فيه
+
+390
+00:30:46,450 --> 00:30:50,530
+علاقة بالموضوع الـ diagnosis how to diagnose
+
+391
+00:30:50,530 --> 00:30:56,830
+mainly based on the characteristic symptoms
+
+392
+00:31:02,120 --> 00:31:15,880
+وهنا بيصير عندنا
+
+393
+00:31:15,880 --> 00:31:22,180
+في assignment how to diagnose غير اللي أنا كاتبه
+
+394
+00:31:22,180 --> 00:31:22,380
+هنا
+
+395
+00:31:26,110 --> 00:31:31,270
+الـ Helicobacter Infestation
+
+396
+00:31:31,270 --> 00:31:37,510
+عند المريض كيف الـ diagnosis تبع الـ Helicobacter؟
+
+397
+00:31:37,510 --> 00:31:40,470
+ايش الفحوصات اللي بتنعمل؟ في تلت اربع فحوصات، اشي
+
+398
+00:31:40,470 --> 00:31:47,070
+من الدم، اشي من الاستول، اشي من الـ antibody، اشي
+
+399
+00:31:47,070 --> 00:31:54,290
+من النفس، بدي الطرقوإيش أفضلها ممكن نعمل
+
+400
+00:31:54,290 --> 00:31:59,190
+comparison بين الطرق بس جدول هيك الطرق اللي بعمل
+
+401
+00:31:59,190 --> 00:32:03,230
+فيها فحص وإيش أفضلها هذا ال assignment التبعنا
+
+402
+00:32:05,270 --> 00:32:07,450
+Gastrointestinal bleeding طبعاً بدل ما أنا عندي
+
+403
+00:32:07,450 --> 00:32:10,210
+جرح ممكن يصير عندي نزيف The most common
+
+404
+00:32:10,210 --> 00:32:13,050
+complication لهذا الدرجة أه طبعا sudden large
+
+405
+00:32:13,050 --> 00:32:15,790
+bleeding can be life threatening وطبعا ال bleeding
+
+406
+00:32:15,790 --> 00:32:21,330
+ممكن يدخلنا بhypovolemic الشك زي ما الكل عارف إيش
+
+407
+00:32:21,330 --> 00:32:25,310
+كمان perforation أه ممكن يصير عندي مش بس bleeding
+
+408
+00:32:25,310 --> 00:32:28,730
+تفتح المعدة لبرا وهذه طبعا catastrophic
+
+409
+00:32:28,730 --> 00:32:35,360
+complication ممكن نتيجة أنه بعد فترةلو كان عندي
+
+410
+00:32:35,360 --> 00:32:37,840
+على الـ gastric outlet على مخرج المعدة فيه عندي
+
+411
+00:32:37,840 --> 00:32:47,140
+هناك قرحة وصارت طابت أو راجت عملت الـ Scarring و
+
+412
+00:32:47,140 --> 00:32:51,600
+بعد الـ Scarring عملت له obstruction of the outlet
+
+413
+00:32:51,600 --> 00:32:55,860
+وطبعا اللي حكينا عنه في الـ differential يعني لازم
+
+414
+00:32:55,860 --> 00:32:57,900
+أحطه في الـ differential diagnosis ما هوش بس
+
+415
+00:32:57,900 --> 00:33:03,360
+complication هو الـ cancer وطبعا لابد من عينة
+
+416
+00:33:04,010 --> 00:33:12,070
+العلاج الحقيقة بيتمثل في أكتر من حاجة الحاجة
+
+417
+00:33:12,070 --> 00:33:15,790
+الأولى acid reducing medication الحاجة التانية لل
+
+418
+00:33:15,790 --> 00:33:19,390
+infection لازم أدي علاج two antibiotics يبقى بدي
+
+419
+00:33:19,390 --> 00:33:23,030
+إشي مضاد للحاجة اسمها triple therapy triple يعني
+
+420
+00:33:23,030 --> 00:33:28,230
+ثلاثي therapy نين مضادات حيوية واحد antacid أو
+
+421
+00:33:28,230 --> 00:33:33,530
+acid reducing medication زي ال PPI معاهملما يكون
+
+422
+00:33:33,530 --> 00:33:43,790
+عندنا Peripheric Ulcer «العوامل
+
+423
+00:33:43,790 --> 00:33:51,710
+التي تؤدي» أو «التجارب» لـ Gastric Ulcer اللي هو
+
+424
+00:33:51,710 --> 00:33:56,730
+Reduction of Drug Intake حاول أنتبه للـ
+
+425
+00:33:56,730 --> 00:34:02,050
+Helicobacter، الـ «دايت»stress smoking and alcohol
+
+426
+00:34:02,050 --> 00:34:06,730
+اللي هي تحت اسم lifestyle risk factors دايما إذا
+
+427
+00:34:06,730 --> 00:34:13,750
+إذا اتغلبت على المسببات بتغلب على المرض بإذن الله
+
+428
+00:34:13,750 --> 00:34:19,090
+تعالى وربنا هو الشافعي و بتمنالكوا يوم سعيد
+
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/3JwIJvxqtYE_raw.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/3JwIJvxqtYE_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..ac11acd7603388ed5177690af96fe648c49fac2a
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/3JwIJvxqtYE_raw.srt
@@ -0,0 +1,1724 @@
+1
+00:00:00,000 --> 00:00:03,320
+بسم الله الرحمن الرحيم الحمد لله رب العالمين
+
+2
+00:00:03,320 --> 00:00:05,900
+الصلاة و السلام علي سيدنا محمد و سيد الباسلين
+
+3
+00:00:05,900 --> 00:00:12,860
+اجمعين اليوم حقيقة هنحكي في موضوع غاية في العملية
+
+4
+00:00:12,860 --> 00:00:19,100
+كتير منتشر عند بعضكم كمان، عند أهليكم، عند الكل
+
+5
+00:00:19,100 --> 00:00:26,260
+عملي جدا الموضوع هذا، مين عمره ماجهوش أو مين عمره
+
+6
+00:00:26,260 --> 00:00:32,680
+أجاه اللي بنقول عنها الحزاز أو الحمودةيعني حاجة
+
+7
+00:00:32,680 --> 00:00:36,400
+حراجة هيت أو قوله في ناس شعاع عنه عن تم المعدة
+
+8
+00:00:36,400 --> 00:00:42,700
+لفوق زي ما احنا شايفين في الصورة نار مشعللة في
+
+9
+00:00:42,700 --> 00:00:46,540
+منطقة تم المعدة وطبعا تم المعدة موجودة في منطقة
+
+10
+00:00:46,540 --> 00:00:50,700
+الصدر يعني جريب من الجلب جريب من الرقتين جريب من
+
+11
+00:00:50,700 --> 00:00:57,030
+حاجات كتير هذا ايش بيقول عنه؟Gastro-Oesophageal
+
+12
+00:00:57,030 --> 00:01:03,130
+Reflex، مش Reflex، Reflex Disease الكل ممكن يكون
+
+13
+00:01:03,130 --> 00:01:09,630
+معاه نتيجة
+
+14
+00:01:09,630 --> 00:01:14,610
+أكل معين، طريقة معينة في الأكل، يصير عنده Gastro
+
+15
+00:01:14,610 --> 00:01:15,310
+يعني معدى،
+
+16
+00:01:19,830 --> 00:01:25,230
+الحامض أو الأكل من المعدة إلى المريء وهو عبارة عن
+
+17
+00:01:25,230 --> 00:01:29,030
+disease عامليا gastroesophageal reflux disease
+
+18
+00:01:29,030 --> 00:01:34,910
+اللي بنقول عنه ايش؟ GERD زي GERD يعني GERD اختصار
+
+19
+00:01:34,910 --> 00:01:39,250
+ل gastroesophageal reflux disease زي ما قلنا كتير
+
+20
+00:01:39,250 --> 00:01:43,170
+من الناس بيصير معاهم مين بيصير معاها او بيصير
+
+21
+00:01:43,170 --> 00:01:48,840
+معاها زي هيك؟حمودة أو شعاع أو حزاز زي ما نقول عنها
+
+22
+00:01:48,840 --> 00:01:53,980
+أو ارتجاع حتى في بعض الناس في نص الليل لما بتعشى
+
+23
+00:01:53,980 --> 00:01:57,920
+متأخر ممكن يكون زي المخنوق ليش؟ لإنه صار عنده
+
+24
+00:01:57,920 --> 00:02:03,940
+ارتجاع للمادة الحامضة هاي وين طلعت من المعدة
+
+25
+00:02:03,940 --> 00:02:08,240
+للمريق ومش بس وراحت دخلت على التركيا راحت دخلت على
+
+26
+00:02:08,240 --> 00:02:11,320
+ال larynx على الحندرة وعلى التركيا وهذه من الحاجات
+
+27
+00:02:11,320 --> 00:02:16,690
+الصعبة اللي بحس الواحد بعض الاحيان بالليللتحدّث
+
+28
+00:02:16,690 --> 00:02:20,290
+الآن عن Gehrig's gastroesophageal reflux disease
+
+29
+00:02:20,290 --> 00:02:26,520
+وبنقول عنه كمان acid refluxهو عبارة عن a chronic
+
+30
+00:02:26,520 --> 00:02:30,380
+illness that affects خمسة لسبعة في المية of the
+
+31
+00:02:30,380 --> 00:02:35,320
+world population وانا بأكد هذا خمسة لسبعة لكل ال
+
+32
+00:02:35,320 --> 00:02:39,320
+world لكن في منطقة البحر الأبيض المتوسط في بلادنا
+
+33
+00:02:39,320 --> 00:02:42,700
+الناس اللي بتستخدم الشطة والفلفل في المكسيك وكذا
+
+34
+00:02:42,700 --> 00:02:46,020
+هتلاقيها أعلى بكثير and it's associated with a
+
+35
+00:02:46,020 --> 00:02:49,880
+serious medical complication if untreated قضية
+
+36
+00:02:49,880 --> 00:02:55,190
+الآن أنا مش بس بحكي عن بس حموظة ويلاوبأخد أحاجة
+
+37
+00:02:55,190 --> 00:02:58,270
+وبمشي لحالة يعني بعض الأحيان تعملي مشاكل هنتعرف
+
+38
+00:02:58,270 --> 00:03:01,090
+على الموضوع هذا من خلال المحاضرة it's a condition
+
+39
+00:03:01,090 --> 00:03:05,570
+in which the liquid content السائل الموجود في
+
+40
+00:03:05,570 --> 00:03:10,310
+المعدة of the stomach regurgitates بيصير له عملية
+
+41
+00:03:10,310 --> 00:03:16,830
+إيش ارتجاع back up or reflux into the esophagus
+
+42
+00:03:16,830 --> 00:03:21,370
+the liquid can inflame هذا طبعا ال liquid عبارة
+
+43
+00:03:21,370 --> 00:03:30,350
+عمليا عن ميه نارحامض شديد الحمودة حامض
+
+44
+00:03:30,350 --> 00:03:41,530
+الـ HCL وهذا الحامض المفروض أنه لا يهضم المعدة لأن
+
+45
+00:03:41,530 --> 00:03:46,470
+المعدة مهيئة بجدار يحميها من الحامض لكن إذا الحامض
+
+46
+00:03:46,470 --> 00:03:51,410
+هذا راح على منطقة مافيش فيها هذا الجدار زي المريء
+
+47
+00:03:51,410 --> 00:03:56,400
+الاسوفيقاThis occurs in a minority of patients
+
+48
+00:03:56,400 --> 00:04:01,920
+ساعتها بيصير عندي مشكلة محترمة شايفين الصورة
+
+49
+00:04:01,920 --> 00:04:06,500
+الصغيرة هان اللي فيها حمار هذه احتقان وحمرار
+
+50
+00:04:06,500 --> 00:04:12,320
+والتهاب تم المعدة الصورة هاي شكلها تصورواالواحد
+
+51
+00:04:12,320 --> 00:04:15,640
+لما بيكون على جلده في حاجة محمرة وكذا بيعرفش يقعد
+
+52
+00:04:15,640 --> 00:04:19,900
+منها فبانا لما تكون على تُم المعدة مش بس بتعملي زي
+
+53
+00:04:19,900 --> 00:04:23,100
+ما قلنا حموضة وارتجاع لكن هتعملي حاجات تانية بعد
+
+54
+00:04:23,100 --> 00:04:30,300
+شوية The regurgated liquid usually contains حامض
+
+55
+00:04:30,300 --> 00:04:36,610
+ومبسينالبيبسين بتفرزه مين؟ بتفرزه المعدة بيبسين is
+
+56
+00:04:36,610 --> 00:04:41,230
+an enzyme that begins the digestion of protein in
+
+57
+00:04:41,230 --> 00:04:45,560
+the stomach هتجد الـ Reflex liquidممكن زي ما قلنا
+
+58
+00:04:45,560 --> 00:04:48,780
+يكون فيه أيضًا إيش بايل إيش بايل العصارة الصفروية
+
+59
+00:04:48,780 --> 00:04:52,860
+هذه اللي بتبقى جاية من وين من الدودنام الـ12 جاية
+
+60
+00:04:52,860 --> 00:04:57,960
+على المعدد لكن حقيقة هذا المحتوى تبع الحامض أو تبع
+
+61
+00:04:57,960 --> 00:05:01,880
+الـFluid اللي بيسير في عملية ارتجاع عبارة عن حامض
+
+62
+00:05:01,880 --> 00:05:07,420
+بيبسين وكمان في بايل اللي هو المادة الصفرة اللي
+
+63
+00:05:07,420 --> 00:05:13,660
+بترجع من من الدودنام تيجي علىبتيجي على المعدة لكن
+
+64
+00:05:13,660 --> 00:05:18,440
+أسوأهم أو أكترهم serious هو اللي بيعمللي المشكلة
+
+65
+00:05:18,440 --> 00:05:22,240
+كلها هو الحامض عشان يكونوا برضه واضحينالـPepsin
+
+66
+00:05:22,240 --> 00:05:28,060
+والـPile قد يؤذي الـEsophagus ولكن رقمهم في بناء
+
+67
+00:05:28,060 --> 00:05:34,880
+Esophagus إنفلامش ودمج ليس واضحًا كرم أسد يعني
+
+68
+00:05:34,880 --> 00:05:39,500
+صريح بلعبه دور لكن مش بالوضوح اللي بيعملوا الحامل
+
+69
+00:05:39,500 --> 00:05:42,640
+طب إيش الـSymptoms اللي بتختلف عن اللي تابوت حدثنا
+
+70
+00:05:42,640 --> 00:05:49,120
+عنه؟ طبعًا الـDisease اللي هو الـGerd ممكن يكون
+
+71
+00:05:49,120 --> 00:05:54,660
+موجودبدون symptoms asymptomatic وممكن يكون
+
+72
+00:05:54,660 --> 00:06:00,500
+symptomatic إذا ال acid only backs up إذا الحامض
+
+73
+00:06:00,500 --> 00:06:05,680
+هذا بيرجع لحد مسافة بس ال maria ال esophagus ال
+
+74
+00:06:05,680 --> 00:06:09,460
+geared symptoms بتلاقيها دايما بس heart burn heart
+
+75
+00:06:09,460 --> 00:06:16,280
+burn يعني حموضة heart قلب burnحرجان الحراجان القلب
+
+76
+00:06:16,280 --> 00:06:20,200
+هم زمان لما سموها heartburn كانوا يفكروا إنه حاجة
+
+77
+00:06:20,200 --> 00:06:24,980
+إلها علاقة بالقلب وقريبة من القلب فجال يقولوا عنه
+
+78
+00:06:24,980 --> 00:06:29,140
+heartburn ما زال واحد بيقول عنه heartburn حتى الآن
+
+79
+00:06:29,140 --> 00:06:34,940
+لكنها ما لهاش علاقة بالقلب if the acid إذا الحامض
+
+80
+00:06:34,940 --> 00:06:40,340
+رجع لحد ال larynx يعني رجع في ال esophagus لفوق
+
+81
+00:06:40,340 --> 00:06:47,100
+لفوق لفوق ونزللحد منطقة الارنز أن هما هناك فيه
+
+82
+00:06:47,100 --> 00:06:50,280
+نقطة التقاء الـSleeper النائم و الـwake up
+
+83
+00:06:50,280 --> 00:06:54,220
+coughing and choking زي ما حكينا coughing and
+
+84
+00:06:54,220 --> 00:07:01,220
+choking sometimes GERD can cause serious
+
+85
+00:07:01,220 --> 00:07:04,000
+complications including inflammation of the
+
+86
+00:07:04,000 --> 00:07:08,300
+esophagus from stomach acid that causes bleeding
+
+87
+00:07:08,300 --> 00:07:09,520
+or ulcer
+
+88
+00:07:16,470 --> 00:07:21,170
+طيب بيبقى كمان مرة انه sometimes GERD can cause
+
+89
+00:07:21,170 --> 00:07:25,290
+serious complications including inflammation بما
+
+90
+00:07:25,290 --> 00:07:30,810
+فيها التهيابات للمريء لكن ممكن بعض الأحيان توصل
+
+91
+00:07:30,810 --> 00:07:37,800
+لإن الاتهابات هاي يحصل فيهاbleeding أو ulcers يعني
+
+92
+00:07:37,800 --> 00:07:41,320
+جروح نتيجة الموضوع هذا وهذا اللي بنقول عنه احنا
+
+93
+00:07:41,320 --> 00:07:45,580
+بعد شوية اللي هو apoptic ulcer مش بس في بعض
+
+94
+00:07:45,580 --> 00:07:50,840
+الحالات في بعض الحالات بينشأ ان حاجة اسمها بارت
+
+95
+00:07:50,840 --> 00:07:54,420
+إيزوفيقيا إيزوفيقيا إيزوفيقيا إيزوفيقيا إيزوفيقيا
+
+96
+00:07:56,330 --> 00:08:00,270
+هذا عبارة عن تغيير في الخلايا للحمض طول الوقت نازل
+
+97
+00:08:00,270 --> 00:08:05,470
+يغيرها بيصير عملية تغيير داخلي للخلايا تاعت الـ
+
+98
+00:08:05,470 --> 00:08:09,750
+Esophagus نتيجة زي ما قلنا ضغط الحامض عليها طول
+
+99
+00:08:09,750 --> 00:08:13,490
+الوقت وهذا ممكن يكون brain cancer أو ممكن lead to
+
+100
+00:08:13,490 --> 00:08:17,430
+brain cancer يبقى أو to cancer برت Esophagus هو
+
+101
+00:08:17,430 --> 00:08:21,250
+عبارة عن brain cancer condition ناتجة عن طريق عن
+
+102
+00:08:21,250 --> 00:08:25,550
+موضوع الـ GERD Most patients with GERD experience
+
+103
+00:08:32,810 --> 00:08:35,850
+أو محاولة النوم أو أول النوم، يعني بتلاقي أنهم
+
+104
+00:08:35,850 --> 00:08:40,870
+بتعبوا منها أكتر و الـ severity بتزيد أكتر، خاصة
+
+105
+00:08:40,870 --> 00:08:47,030
+لو كانوا من النوع اللي بتعشى متأخر باستمراريبقى
+
+106
+00:08:47,030 --> 00:08:50,390
+الـ Symptoms persistent heartburn يعني مش من مرة
+
+107
+00:08:50,390 --> 00:08:53,530
+واحدة حموضة بقدر أقول أنا Geared أو مرتين، لأ،
+
+108
+00:08:53,530 --> 00:08:57,130
+احنا بنحكي عن Chronic Condition اسمها Geared اللي
+
+109
+00:08:57,130 --> 00:09:01,310
+هو Gastro-Oesophageal Reflex الـCs وهذه persistent
+
+110
+00:09:01,310 --> 00:09:08,170
+heartburn حموضة مستمرة وبتيجي كمان مع حاجات تانية
+
+111
+00:09:08,170 --> 00:09:11,770
+زي الـ Nausea بيصير نفسه زي المايع، Coughing،
+
+112
+00:09:11,770 --> 00:09:16,410
+بيصير يكح، يعني الحامض بتقول لاالريقتين فبيعمللي
+
+113
+00:09:16,410 --> 00:09:21,570
+coughing sore taste in the mouth طبعاً لإن هو
+
+114
+00:09:21,570 --> 00:09:24,470
+هيكيت بصل حامض كمان بعض الأحيان للطم ال
+
+115
+00:09:24,470 --> 00:09:27,590
+respiratory conditions زي الأسباب pneumonia و
+
+116
+00:09:27,590 --> 00:09:30,930
+chronic bronchitis كتير من الأحيان يا جماعة خليني
+
+117
+00:09:30,930 --> 00:09:36,870
+أدخل على طب الأطفال شوي أطفال بيجينا ب recurrent
+
+118
+00:09:36,870 --> 00:09:42,230
+chest infection التهابات السدر المتكررة من أهم
+
+119
+00:09:42,230 --> 00:09:46,170
+الأسبابأو الـ differential diagnosis تبعها الأسباب
+
+120
+00:09:46,170 --> 00:09:49,670
+اللي بتعملي chest infection متكرر اللي هي
+
+121
+00:09:49,670 --> 00:09:55,330
+gastroesophageal reflux disease إلى جانب أمراض
+
+122
+00:09:55,330 --> 00:10:00,830
+القلب على سبيل المثال إلى جانب ضعف ال immunity إلى
+
+123
+00:10:00,830 --> 00:10:06,820
+جانب وجود جسم غريب بلق جسم غريب على سبيل المثالهذه
+
+124
+00:10:06,820 --> 00:10:10,080
+أربعة conditions حكيتها الآن أنا مش موجودة في
+
+125
+00:10:10,080 --> 00:10:14,020
+السلايدات أربعة conditions بتعملي إيش recurrent
+
+126
+00:10:14,020 --> 00:10:20,220
+chest infection منها كمان الخامس cystic fibrosis
+
+127
+00:10:20,220 --> 00:10:26,600
+يبقى خمس حاجات المفروض أنه أنا لما أشوف حالة دايما
+
+128
+00:10:26,600 --> 00:10:31,020
+بيصير عندها chronic أو بيشوف حالة بيصير عندها
+
+129
+00:10:31,020 --> 00:10:35,750
+pneumoniaRecurrent Pneumonia أو Recurrent Chest
+
+130
+00:10:35,750 --> 00:10:40,250
+Infection المفروض أنه بفكر فيهم heart disease
+
+131
+00:10:40,250 --> 00:10:45,790
+كنجينة ال heart disease phone body inhalation ال
+
+132
+00:10:45,790 --> 00:10:51,910
+immunity system defect اللي بنحكي عنه
+
+133
+00:10:51,910 --> 00:10:56,930
+gastroesophageal reflux واتحدتنا
+
+134
+00:10:56,930 --> 00:11:01,290
+عن اللي هو ال phone cystic fibrosis أو phone body
+
+135
+00:11:02,570 --> 00:11:10,960
+الـ Causes تبعت الـ Geared طبعاً حسبالها أسباب وهي
+
+136
+00:11:10,960 --> 00:11:14,660
+نفسها محفزات الـ Age كل ما كبر الواحد كل ما صارت
+
+137
+00:11:14,660 --> 00:11:19,620
+أكتر نوعية الأكل الناس اللي بتاكل Spicy دايما اللي
+
+138
+00:11:19,620 --> 00:11:23,860
+دايما أكلها خدنا نقول بندورة معجدة على سبيل المثال
+
+139
+00:11:23,860 --> 00:11:29,140
+اللي بيأكلوا دايما البيتزا الناس اللي بتاكل فلفل
+
+140
+00:11:29,140 --> 00:11:32,860
+كتير على سبيل المثال وأملاح كتير الناس اللي بتاكل
+
+141
+00:11:32,860 --> 00:11:37,910
+متأخرو بتاكل متأخر و أكل كتير يعني بتدب المعدة
+
+142
+00:11:37,910 --> 00:11:42,130
+الناس اللي بتاخد alcohol الناس اللي بتدخل ال
+
+143
+00:11:42,130 --> 00:11:46,760
+pregnancy ليش ال pregnancy؟والـ Obesity لأنه
+
+144
+00:11:46,760 --> 00:11:51,500
+بنتيجة الـ Pregnancy المقدة مضغوطة لفوق فالحامض
+
+145
+00:11:51,500 --> 00:11:54,960
+بتجمع بصورة أكبر و بيصل للـ Esophagias بصورة أكبر
+
+146
+00:11:54,960 --> 00:11:59,040
+و الـ Obesity نفس الكلام في هناك certain foods
+
+147
+00:11:59,040 --> 00:12:03,680
+associated with reflux events طبعا مش معناته بس هم
+
+148
+00:12:03,680 --> 00:12:06,580
+هدولة جماعة كل واحد فيه إلو حاجة بتعمله
+
+149
+00:12:06,580 --> 00:12:12,360
+Destroesophageal refluxاللي ممكن يعمل لي ممكن
+
+150
+00:12:12,360 --> 00:12:17,600
+مايعملش للآخر و هيك لكن فينا تجارب عصابي مثال يمكن
+
+151
+00:12:17,600 --> 00:12:21,820
+كلكم بتستحضروا اللي بيأكلوا الجرشلة بالشاي عصابي
+
+152
+00:12:21,820 --> 00:12:25,600
+مثال عصابي مثال اللي بيأكلوا الفلافل بالشاي بيصير
+
+153
+00:12:25,600 --> 00:12:32,360
+معاهم حموضة عصابي مثال فالـ Spicy Foods الـ Garlic
+
+154
+00:12:32,360 --> 00:12:39,920
+and Onion الشدول التومة والبصلCitrus fruits طبعاً
+
+155
+00:12:39,920 --> 00:12:43,900
+لأنه احنا قاعدين نحكي عن حمضيات حوامض من اسمها
+
+156
+00:12:43,900 --> 00:12:49,120
+طبعا ممكن ما بتتعاملش عند كتير ناس لكن لو الواحد
+
+157
+00:12:49,120 --> 00:12:52,340
+liable وهو معرض أو في عنده مشاكل لو أكلها ممكن
+
+158
+00:12:52,340 --> 00:12:55,670
+تتعامل معاه مشاكلكل المشروبات أو المشروبات اللي
+
+159
+00:12:55,670 --> 00:12:59,650
+فيها كفائين نقصدش بس الجهوة هان ولا بنقصد بس
+
+160
+00:12:59,650 --> 00:13:03,390
+الكوكاكولا السوداء لكن أي مشروب فيه كفائين ممكن
+
+161
+00:13:03,390 --> 00:13:08,510
+يعملنا هيك شوكليت شوكولاتة فاتي and فريد فودز mint
+
+162
+00:13:08,510 --> 00:13:14,850
+flavorings اللي هي الحاجات اللي عليها الحلو اللي
+
+163
+00:13:14,850 --> 00:13:20,430
+عليه نعنع نعنع بصورة عامة وفي حاجات ال tomatoباست
+
+164
+00:13:20,430 --> 00:13:23,590
+فودز زي الـ Spaghetti والشيلي والبيتزا والحاجات
+
+165
+00:13:23,590 --> 00:13:26,810
+هذه ال risk factors اتحدتنا قبل شويه وقولنا ال
+
+166
+00:13:26,810 --> 00:13:31,530
+obesity pregnancy, hepatic ulcer الناس اللي في
+
+167
+00:13:31,530 --> 00:13:36,350
+عندها delaying of stomach emptying طبعا ليش؟ لأنه
+
+168
+00:13:36,350 --> 00:13:40,290
+ال stomach بتصير تحبس والحمض بزيد فهذا كله يتوقش
+
+169
+00:13:40,290 --> 00:13:47,010
+بعمل ليه؟ بعمل ليه ارتفاع الحمض في المريض إلى جانب
+
+170
+00:13:47,010 --> 00:13:51,190
+زي مثلا ال diabetesأو الـ ulcer أو abnormal nerve
+
+171
+00:13:51,190 --> 00:13:54,690
+أو muscle function can delay emptying of the
+
+172
+00:13:54,690 --> 00:13:58,370
+stomach وهذا بيخلي الحامض back up into the
+
+173
+00:13:58,370 --> 00:14:05,150
+esophagus الأزمة ليش؟ لأنه في عندنا some asthma
+
+174
+00:14:05,150 --> 00:14:12,540
+medications that widen أو dilate airwaysممكن أيضًا
+
+175
+00:14:12,540 --> 00:14:20,400
+أن يتراجع مخرج الإيزوفيجيا السفينكتر اللي مع
+
+176
+00:14:20,400 --> 00:14:30,320
+المعدة ويجعل الحامض يرجع إلى الإيزوفيجيا السكريلأن
+
+177
+00:14:30,320 --> 00:14:33,740
+one of the many complications of diabetes is
+
+178
+00:14:33,740 --> 00:14:38,340
+gastroparesis يعني زي ما بيقولوها ضعف حركة المعدة
+
+179
+00:14:38,340 --> 00:14:42,900
+وهذا الموضوع يجعل الأكل و الحامض يظل فترة طويلة في
+
+180
+00:14:42,900 --> 00:14:46,920
+المعدة، لماذا؟ لأن الـemptying بطيء، فهذا بدي فرصة
+
+181
+00:14:46,920 --> 00:14:51,440
+للحامض أنه
+
+182
+00:14:51,440 --> 00:14:55,620
+يرجع على المريض طب كيف بنشخص الـGERD،
+
+183
+00:14:55,620 --> 00:15:00,860
+gastroesophageal reflux؟تشخيصه طبعاً فيه different
+
+184
+00:15:00,860 --> 00:15:05,460
+modalities بما فيها upper gastrointestinal
+
+185
+00:15:05,460 --> 00:15:11,370
+endoscopy من ظهر لمنطقة المعدة والمريق من فوقممكن
+
+186
+00:15:11,370 --> 00:15:16,130
+كمان بما أنه احنا قاعدين نقول عن acid activity في
+
+187
+00:15:16,130 --> 00:15:19,430
+المنطقة هذه ممكن نعمله isofisial pH monitoring
+
+188
+00:15:19,430 --> 00:15:25,190
+بدخل واحد زي حاجة هيك sensor عند ثم المعدة وبيجيس
+
+189
+00:15:25,190 --> 00:15:30,250
+حموضة الحموضة
+
+190
+00:15:30,250 --> 00:15:35,920
+في المنطقة حوالين بين المعدة و بينوهذا على مدى
+
+191
+00:15:35,920 --> 00:15:41,080
+ساعات معينة 24 ساعة وفيه software على الكمبيوتر
+
+192
+00:15:41,080 --> 00:15:46,040
+السنسور بتفرج على الكمبيوتر وبنشوف جداش النسب
+
+193
+00:15:46,040 --> 00:15:47,900
+وجداش الحمورة
+
+194
+00:15:59,550 --> 00:16:04,590
+ولا طريقة منهم تدّيك مية في المية الحل وكل واحدة
+
+195
+00:16:04,590 --> 00:16:15,270
+لها مشاكل كل واحدة لها مشاكل من الطروج الاندوسكوبي
+
+196
+00:16:15,270 --> 00:16:19,670
+فقط لا يحتاج لشعور بشكل كام الـ pH Monitoring ليس
+
+197
+00:16:19,670 --> 00:16:20,630
+دائما متوفر
+
+198
+00:16:23,320 --> 00:16:27,960
+ولكن بقولكوا إيش اللي بيصير الآن، فيش حد من حد ما
+
+199
+00:16:27,960 --> 00:16:30,480
+بيشكي من Gastro-Oesophageal Reflex Disease بروح
+
+200
+00:16:30,480 --> 00:16:33,960
+بعمل فحوصات بالصورة اللي مكتوبة هنا، اللي هي قضية
+
+201
+00:16:33,960 --> 00:16:37,820
+إنه منظار أو pH Monitoring أو Radiological
+
+202
+00:16:37,820 --> 00:16:42,800
+Studies، ها إيش بنعمل؟ بنعمل حاجة اسمها Gared
+
+203
+00:16:42,800 --> 00:16:46,000
+Treatment-Based Approach، يعني على الـ Clinical
+
+204
+00:16:46,000 --> 00:16:50,060
+اللي شكّيها المريض، وبما إنه منتشر كتير، فبندّي
+
+205
+00:16:50,060 --> 00:16:51,740
+علاج لهذا الموضوع
+
+206
+00:16:55,460 --> 00:17:00,180
+وبندى أدوية وزى ما قلنا بنخفف عنه اللى هو الفحوصات
+
+207
+00:17:00,180 --> 00:17:05,460
+هاى وبترايه الآن فرضا ماتحسنش مع العلاج طبعا مع
+
+208
+00:17:05,460 --> 00:17:08,340
+الـ diet يعنى هو فيه قوله diet ونقوله إيش يعمل في
+
+209
+00:17:08,340 --> 00:17:10,900
+قضية الأكل لإنه مابنفعش أنا أقول والله عندي
+
+210
+00:17:10,900 --> 00:17:16,730
+gastroesophageal reflux diseaseوبدأ أظل أشرب
+
+211
+00:17:16,730 --> 00:17:21,070
+Alcohol أو بدأ أظل أدخل أو بدأ أظل مع ال pregnancy
+
+212
+00:17:21,070 --> 00:17:25,130
+بنتهي الموضوع أو بدأ أظل أكل حاجات Spicy أو Tomato
+
+213
+00:17:25,130 --> 00:17:29,610
+أو Mint أو كذا، ماينفعش المفروض أنه أنا مع العلاج
+
+214
+00:17:29,610 --> 00:17:34,580
+بأعمل تحمية اللي هو lifestyle modificationوإذا
+
+215
+00:17:34,580 --> 00:17:38,300
+ضال، طبعاً ساعتها بدك، بده الواحد يضطر يروح يعمل
+
+216
+00:17:38,300 --> 00:17:43,540
+فحوصات ليشوف differential diagnoses لأنه ممكن يكون
+
+217
+00:17:43,540 --> 00:17:49,060
+عنده بيبتكالثر، ممكن يكون عندنا cancer على سبيل
+
+218
+00:17:49,060 --> 00:17:52,220
+المثال و ال presentation تبعه بالصورة هذه،
+
+219
+00:17:52,220 --> 00:17:55,440
+فالمفروض أنه الواحد بياخد باله من الموضوع هذا لو
+
+220
+00:17:55,440 --> 00:17:59,880
+ما اتحسنش ال treatment method to effectively treat
+
+221
+00:17:59,880 --> 00:18:04,940
+guard range from lifestyle measuresto the use of
+
+222
+00:18:04,940 --> 00:18:09,640
+geared medication أو إذا في الأخر في الأخر في
+
+223
+00:18:09,640 --> 00:18:14,740
+الأخر في مشاكل بنعمل surgical procedures لهد درجة
+
+224
+00:18:14,740 --> 00:18:16,900
+أه ما هو في ناس عندها مشكلة في الموضوع
+
+225
+00:18:27,770 --> 00:18:31,890
+زي ما قلنا كمان مرة مهم جدا جدا للناس اللي عندهم
+
+226
+00:18:31,890 --> 00:18:35,050
+persistent heartburn او other chronic and
+
+227
+00:18:35,050 --> 00:18:38,190
+recurrent symptoms of gout to seek an accurate
+
+228
+00:18:38,190 --> 00:18:41,930
+diagnosis ماكان فيش انه انا اظن ابلبع في حاجة في
+
+229
+00:18:41,930 --> 00:18:45,930
+السوق موجودة اسمها الرينيه الرينيه عبارة حبوب
+
+230
+00:18:45,930 --> 00:18:49,690
+بيقولوا عنها جرش وهذه بتخفف الحموظة لأن الرينيه
+
+231
+00:18:49,690 --> 00:18:53,710
+هذه عبارة عن حاجة بتعمل neutralization تتفاعل مع
+
+232
+00:18:53,710 --> 00:18:59,400
+الحمض بتعمل neutralizationللحمض وخلاص وبرتحصل واحد
+
+233
+00:18:59,400 --> 00:19:02,660
+أو في ناس بتاخد مالوكس أو في ناس بتاكل عدس أو في
+
+234
+00:19:02,660 --> 00:19:06,020
+ناس بتشرب حليب طبعا الحليب يلو موضوع تاني لإن هو
+
+235
+00:19:06,020 --> 00:19:09,540
+يعتبر غلط لإن هو ساعتها بيعمل ال release ساعتها
+
+236
+00:19:09,540 --> 00:19:13,360
+ساعتها لكن بعد شوية الحموضة بتزيد أو في ناس بتاكل
+
+237
+00:19:13,360 --> 00:19:18,020
+موز أو في ناس تشرب ميه المهم إنه كل واحد يلو
+
+238
+00:19:18,020 --> 00:19:20,480
+طريقته في إنه يعمل release لل heart pain بس مش هي
+
+239
+00:19:20,480 --> 00:19:25,180
+هذه الجضية الجضية إنه إنهمايصيرش هذا chronic، مش
+
+240
+00:19:25,180 --> 00:19:28,060
+كل ما أكل، كل ما أفطر، كل ما أتغدى، كل ما أتعشى،
+
+241
+00:19:28,060 --> 00:19:31,120
+بيصير معايا، هذا الموضوع بيصير كبير في الأحوال
+
+242
+00:19:31,120 --> 00:19:34,060
+اللي زي هي ال medications اللي إحنا بنديها في
+
+243
+00:19:34,060 --> 00:19:36,680
+الحقيقة للـ gastroesophageal reflux disease، تو
+
+244
+00:19:36,680 --> 00:19:40,880
+حكيت أنا عن واحد منهم الـ Anti-acid، إيش يعني Anti
+
+245
+00:19:40,880 --> 00:19:46,250
+-acid؟ إشي مضاد للحمودةزي الـ Malox أو زي ما يكون
+
+246
+00:19:46,250 --> 00:19:51,490
+فيه تمس في عصابي المثال الـ RNA عصابي المثال وهذا
+
+247
+00:19:51,490 --> 00:19:58,350
+ايش بيعمل ليه؟ Neutralize stomach acidand can
+
+248
+00:19:58,350 --> 00:20:03,210
+provide quick relief بتحسن على السريع الحامض خلاص
+
+249
+00:20:03,210 --> 00:20:08,190
+متعدل راحة المشكلة antacid alone won't heal an
+
+250
+00:20:08,190 --> 00:20:12,450
+inflamed esophagus damaged by stomach acid يعني ما
+
+251
+00:20:12,450 --> 00:20:15,070
+تتصورش أنه لو في أنا في عندي inflammation أنه
+
+252
+00:20:15,070 --> 00:20:20,580
+هتروح بالحالة هو بس الحامض خف لكنالـ الـ الـ الـ
+
+253
+00:20:20,580 --> 00:20:21,060
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+254
+00:20:21,060 --> 00:20:21,060
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+255
+00:20:21,060 --> 00:20:21,060
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+256
+00:20:21,060 --> 00:20:22,940
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+257
+00:20:22,940 --> 00:20:29,340
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+258
+00:20:29,340 --> 00:20:33,020
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+259
+00:20:33,020 --> 00:20:34,880
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+260
+00:20:34,880 --> 00:20:34,880
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+261
+00:20:34,880 --> 00:20:37,280
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+262
+00:20:37,280 --> 00:20:40,340
+الـ الـ
+
+263
+00:20:41,610 --> 00:20:44,950
+اللي هي شغالة على طريقة الباب اللي بيجيك منه الريح
+
+264
+00:20:44,950 --> 00:20:50,010
+سده و استريح اللي هي ال PPI بيقولوا عنها PPI أو
+
+265
+00:20:50,010 --> 00:20:56,150
+Proton Bump Inhibitors زي الومي برازول مشهور ال ..
+
+266
+00:20:56,150 --> 00:20:59,190
+ال .. these guard medications إيش بتعملوا؟ بتعملوا
+
+267
+00:20:59,190 --> 00:21:04,830
+Blockage of Acid Production تماما، بيبطل يطلع حامض
+
+268
+00:21:04,830 --> 00:21:12,130
+وهذه طبعا بتدي وقتفرصة لإن الـ Damaged أو Inflamed
+
+269
+00:21:12,130 --> 00:21:17,810
+Esophageal Tissue تهيل زمان
+
+270
+00:21:17,810 --> 00:21:22,810
+كانت لازم تنكتب روشتة، الآن صارت تنكتب صارت عادة
+
+271
+00:21:22,810 --> 00:21:26,790
+تشتريها من الصيدلية، بنقول عنها OTC، إيش يعني OTC؟
+
+272
+00:21:26,790 --> 00:21:28,890
+Over The Count، يعني بتقدر تروح الصيدلية تقولي
+
+273
+00:21:28,890 --> 00:21:31,190
+والله ديلي أم برازول، بتديك أم برازول، طبعا مش في
+
+274
+00:21:31,190 --> 00:21:34,310
+بلاد أنا بحكي عن برا، هنا برا بتشتري الصيدلية و
+
+275
+00:21:34,310 --> 00:21:37,350
+الصيدلي و العيلة و كل البلد، مافيش مشكلة، إيش اللي
+
+276
+00:21:37,350 --> 00:21:37,910
+بدكيها؟
+
+277
+00:21:41,130 --> 00:21:44,890
+الآن يعني خلاص صار مش لازم ينكتب بروشيطة ممكن
+
+278
+00:21:44,890 --> 00:21:47,730
+الواحد يجيبه لحاله طبعا بس هذا خدوا بالكوا بيغش
+
+279
+00:21:47,730 --> 00:21:52,190
+الموضوع هذا لأنه لأنه لأنه القضية ممكن مايكونش
+
+280
+00:21:52,190 --> 00:21:53,570
+موضوع موضوع بس
+
+281
+00:21:56,130 --> 00:21:59,890
+ممكن يكون بيبتيكازر، ممكن يكون كانسر، ممكن يكون
+
+282
+00:21:59,890 --> 00:22:02,990
+بارت إيزوفيجيا، ممكن يكون حاجات كتير، فيبقى ياخد
+
+283
+00:22:02,990 --> 00:22:06,550
+باله الواحد إذا دل كرونيك الموضوع، لابد من التوجه
+
+284
+00:22:06,550 --> 00:22:10,190
+للطبيب لمعرفة السبب اللي عملنا الموضوع هذا الـH2
+
+285
+00:22:10,190 --> 00:22:14,290
+-Receptors اللي هو الهستامين Two Receptors
+
+286
+00:22:14,290 --> 00:22:21,870
+Blockers، هذه نوعية أخرى من الـMedicationزي الـ
+
+287
+00:22:21,870 --> 00:22:24,550
+Ranidine كتير منكم بيعرفوا عنه يقولوا سنة تقريبا
+
+288
+00:22:24,550 --> 00:22:29,370
+موقف الـ Ranidine لأنه هذا إيش بعملنا؟ بعملنا
+
+289
+00:22:29,370 --> 00:22:33,770
+reduction of the production of acid reduction بس
+
+290
+00:22:33,770 --> 00:22:42,170
+ال PPI عملنا blockage لل production هذا عملنا بس
+
+291
+00:22:42,170 --> 00:22:46,230
+reduction لل production they don't act as quickly
+
+292
+00:22:46,230 --> 00:22:50,250
+as antacidولكنها تقدر تقدر تقدر تقدر تقدر تقدر
+
+293
+00:22:50,250 --> 00:22:57,670
+تقدر تقدر تقدر تقدر تقدر تقدر تقدر
+
+294
+00:22:57,830 --> 00:23:02,550
+مين اللي بيريحنا بسرعة؟ اللي هو الـ Antacid لكن
+
+295
+00:23:02,550 --> 00:23:07,150
+هاي الـ Proton Bomb Inhibitor أو الـ PPI والـ H2
+
+296
+00:23:07,150 --> 00:23:11,470
+Receptor Blockers هذه بتديناش Release سريع لكن
+
+297
+00:23:11,470 --> 00:23:17,530
+مفقولها أكبر، ليش؟ لأنها عمليا بتخفف أو بتوقف
+
+298
+00:23:17,530 --> 00:23:21,510
+إفراز الحامض اللي أهم من هيك يا جماعة وهذا لاحظناه
+
+299
+00:23:21,510 --> 00:23:27,790
+عند ناس كتير اللي هي الـ Garde Dietالـ Gear Diet
+
+300
+00:23:27,790 --> 00:23:34,390
+إنه أنا أحاول أمتنع عن الباكلات أو الأدوية اللي
+
+301
+00:23:34,390 --> 00:23:41,470
+بتسبب للموضوع هذا Avoid foods such as citrus،
+
+302
+00:23:41,470 --> 00:23:47,130
+tomato، coffee، هذي بتعملي directly irritation
+
+303
+00:23:47,130 --> 00:23:52,270
+للـmucosa، onion، شوكليت، peppermint، طبعا الكمية
+
+304
+00:23:52,270 --> 00:23:55,530
+كمان بتلعب دوري يا بابا، إحنا الآن في عصر المجات
+
+305
+00:23:55,530 --> 00:23:59,110
+للأسفكيف يعني عصر المجات؟ صارت الناس لما بدأت تشرب
+
+306
+00:23:59,110 --> 00:24:02,150
+زمان كنا نشرب الجهوة السادة والمرة في فنجان صغير
+
+307
+00:24:02,150 --> 00:24:05,730
+نصه هيك أو فنجان على أجال الفنجان الجهوة التركي
+
+308
+00:24:05,730 --> 00:24:09,710
+العادي، هذا الآن صار كله بيشرب في مجات والكمية
+
+309
+00:24:09,710 --> 00:24:13,750
+الكبيرة هيك كمان بتأثرنا على الموضوعاللي
+
+310
+00:24:13,750 --> 00:24:17,410
+الـpeppermint and any food with high fat content
+
+311
+00:24:17,410 --> 00:24:21,830
+that affects pressure in the stomach Limit or cut
+
+312
+00:24:21,830 --> 00:24:24,910
+the use of non-steroidal ناس اللي بتاخد دايكلوفين
+
+313
+00:24:24,910 --> 00:24:29,850
+و Ibuprofen that may irritate the esophagus and
+
+314
+00:24:29,850 --> 00:24:34,110
+stomach lining Individuals with GERD should avoid
+
+315
+00:24:34,110 --> 00:24:40,770
+whole milkTry to maintain a low-fat diet by
+
+316
+00:24:40,770 --> 00:24:44,670
+staying away from fatty meats and processed meats
+
+317
+00:24:44,670 --> 00:24:48,030
+called cuts اللي هي المرتدلة والحاجات هذه If you
+
+318
+00:24:48,030 --> 00:24:52,450
+must have coffee أو tea حاول تشوف الكافي اللي بدون
+
+319
+00:24:52,450 --> 00:24:55,350
+كفائين أو herbal tea، شاي، عشاب
+
+320
+00:25:00,960 --> 00:25:06,320
+Eat smaller meals Control your weight Don't smoke
+
+321
+00:25:06,320 --> 00:25:10,740
+Eliminate hot pain trigger Don't lie down after a
+
+322
+00:25:10,740 --> 00:25:16,900
+meal Raise the head of the bed وهذا بتدخلنا بعد
+
+323
+00:25:16,900 --> 00:25:21,640
+شوية في موضوع الـBaptic Ulcer
+
+324
+00:25:23,880 --> 00:25:31,020
+والـ Peptic Ulcer Disease بيو دي بيو دي فيه منه
+
+325
+00:25:31,020 --> 00:25:33,240
+gastric ulcer زي ما احنا شايفين في الصورة وفيه
+
+326
+00:25:33,240 --> 00:25:38,340
+دودنال ulcer يعني ulcer اللي هو المعدة و ulcer أو
+
+327
+00:25:38,340 --> 00:25:42,420
+قروحة المعدة و قروحة الأثنى عشر الـ Peptic Ulcer
+
+328
+00:25:42,420 --> 00:25:46,640
+Disease known as Peptic Ulcer or Stomach Ulcer is
+
+329
+00:25:46,640 --> 00:25:50,770
+a prickأو breakage in the lining of the stomach،
+
+330
+00:25:50,770 --> 00:25:55,410
+first part of the small intestine أو الدودنوم زي
+
+331
+00:25:55,410 --> 00:26:00,750
+ما بنقول و occasionally the lower esophagus الـ
+
+332
+00:26:00,750 --> 00:26:04,790
+ulcer in the stomach is known as a gastric ulcer
+
+333
+00:26:04,790 --> 00:26:08,670
+في حين اللي هو في ال small أو first part of the
+
+334
+00:26:08,670 --> 00:26:15,050
+intestine بنقول عنه دودنال ulcerالخطر العمري
+
+335
+00:26:15,050 --> 00:26:20,530
+للتطور من الـ Apoptic Ulcer هو حوالي 10% تقريبًا،
+
+336
+00:26:20,530 --> 00:26:24,450
+طبعًا أنا أعتقد أن الموضوع أكبر من هيك و أكتر من
+
+337
+00:26:24,450 --> 00:26:28,170
+هيك، لكن ليش؟ لأن كتير من الناس بتعالج نفسها
+
+338
+00:26:28,170 --> 00:26:32,230
+بالطرق الـ Herbal العادية بدون متوجه للإحصائيات،
+
+339
+00:26:32,230 --> 00:26:36,670
+في البلدان الغربية الـ Bad scent of people with
+
+340
+00:26:36,670 --> 00:26:40,410
+helicobacter pylori، الـ helicobacter pylori هي
+
+341
+00:26:40,410 --> 00:26:47,020
+عبارة عنعبارة عن اللي هو البكتيريا اللي الآن اتهمت
+
+342
+00:26:47,020 --> 00:26:51,080
+اتهام مباشر بإنها سبب الـ Peptic وDowdenal Ulcer
+
+343
+00:26:51,080 --> 00:26:55,160
+اللي هي البكتيريا
+
+344
+00:26:55,160 --> 00:27:00,060
+العصوية أو حاجة زي هي Helicobacter Pylori
+
+345
+00:27:00,060 --> 00:27:04,900
+Infection Roughly Match Age 20% من الناس العمرهم
+
+346
+00:27:04,900 --> 00:27:10,460
+عشرين سنة عندهم Helicobacterثلاثين في المية من
+
+347
+00:27:10,460 --> 00:27:12,720
+عمرهم ثلاثين تمانين في المية من عمرهم تمانين عندهم
+
+348
+00:27:12,720 --> 00:27:14,900
+helicopter infection
+
+349
+00:27:17,650 --> 00:27:20,410
+وزي ما قلنا الـ ECO-FACTOR من أهم الأسباب اللي
+
+350
+00:27:20,410 --> 00:27:23,950
+بتعملنا Gastroesophageal، عفوا، Peptic Ulcer
+
+351
+00:27:23,950 --> 00:27:28,910
+Transmission is by food contaminated groundwater و
+
+352
+00:27:28,910 --> 00:27:33,190
+through human saliva زي kissing مثلا أو sharing
+
+353
+00:27:33,190 --> 00:27:38,830
+food utensils استعمال الأدوات والمعالج والشوك ورا
+
+354
+00:27:38,830 --> 00:27:42,870
+بعض من الـ Symptoms والـ Sign تبقى الـ Peptic
+
+355
+00:27:42,870 --> 00:27:47,680
+Ulcer الـ Abdominal Painبالذات Epigastric المنطقة
+
+356
+00:27:47,680 --> 00:27:53,640
+اللي هي تحت الجلب زي ما احنا شايفين في الصورةفي
+
+357
+00:27:53,640 --> 00:27:59,280
+حالة دودنالألسر، الشعور يظهر خلال ثلاث ساعات بعد
+
+358
+00:27:59,280 --> 00:28:03,260
+أخذ طعام، يعني في الـGastric Ulcers، ع السريع
+
+359
+00:28:03,260 --> 00:28:06,840
+الوجع، بتاكل و بتتوجع، الدودنالألسر بعد ثلاث
+
+360
+00:28:06,840 --> 00:28:10,260
+ساعات، من ساعته لثلاث ساعات بعد الميل، Bloating،
+
+361
+00:28:10,260 --> 00:28:13,600
+بيصير إنه نفخة، أبدوم للـFullness، حاسس بطن ملان،
+
+362
+00:28:13,600 --> 00:28:17,760
+Nausea and vomiting، ممكن يكون كمان، من الـSigns
+
+363
+00:28:17,760 --> 00:28:23,050
+and Symptoms، Loss of Appetite،Weight Loss،
+
+364
+00:28:23,050 --> 00:28:30,690
+Hematemesis، Hematemesis
+
+365
+00:28:30,690 --> 00:28:34,730
+ملينا، ملينا
+
+366
+00:28:34,730 --> 00:28:38,570
+هو الدم اللي بنزل من المعدة لكن بدخل على الجهاز
+
+367
+00:28:38,570 --> 00:28:43,950
+الهضمي وبتفاعل مع الحامضبالـ DNA بيصيروا عملية
+
+368
+00:28:43,950 --> 00:28:48,110
+Oxidation للـ Iron اللي فيه من اللي في الـ
+
+369
+00:28:48,110 --> 00:28:53,810
+Hemoglobin وهذا عبارة عن دم بس بشكله زي الزفتة
+
+370
+00:28:53,810 --> 00:29:01,190
+الطريقة فاول Smelling Faces بوراز زي الزفتة هيك
+
+371
+00:29:01,190 --> 00:29:05,650
+ريحته سيئة و بنلاقيها نزلت مع البوراز هذا عبارة عن
+
+372
+00:29:05,650 --> 00:29:15,030
+دم لكن صار له عملية Oxidationالأسباب هي أهم متهم
+
+373
+00:29:15,030 --> 00:29:18,290
+major causative factor is chronic inflammation
+
+374
+00:29:18,290 --> 00:29:23,810
+بالـ Helicobacter pylori that colonize the mucosa
+
+375
+00:29:23,810 --> 00:29:30,250
+60% of gastric ulcer هي السبب 50 إلى 75% of Dowden
+
+376
+00:29:30,250 --> 00:29:31,410
+ulcer
+
+377
+00:29:33,500 --> 00:29:37,420
+المتهم التاني اللي هي الـ Non-steroidal أدوية Non
+
+378
+00:29:37,420 --> 00:29:41,740
+-steroidal Anti-inflammatory drugs وزي ما قلنا هي
+
+379
+00:29:41,740 --> 00:29:47,220
+المتهم الآخر، المتهم التاني يعني
+
+380
+00:29:47,220 --> 00:29:54,820
+معلومة مشهورة عند الكل ونتيجة كتر وانتشار استعمال
+
+381
+00:29:56,270 --> 00:29:58,790
+اللي هو الـ Non-Steroidal Anti-Inflammatory Drugs
+
+382
+00:29:58,790 --> 00:30:04,530
+الـ ميكانيزم هي موجودة عندكم مكتوبة أدت إلى إنه
+
+383
+00:30:04,530 --> 00:30:07,570
+يصير عندنا Peptic Ulcer أو Dowden Ulcer والحاجة
+
+384
+00:30:07,570 --> 00:30:10,670
+التالتة واللي برضه مشهورة بصورة كبيرة لـ Stress
+
+385
+00:30:10,670 --> 00:30:14,890
+due to serious health problems واحنا بنقول غالبا
+
+386
+00:30:14,890 --> 00:30:20,830
+الناس اللي بت dampفي العناية المركزة لسبب آخر
+
+387
+00:30:20,830 --> 00:30:23,730
+نتيجة الـ stress اللي صار معهم لازم تكون حاجة
+
+388
+00:30:23,730 --> 00:30:27,410
+كبيرة تعملنا الموضوع والحاجة الرابعة من ال causes
+
+389
+00:30:27,410 --> 00:30:29,890
+اللي هو ال dietالشيء الوحيد هو الواقعيات البيوترية
+
+390
+00:30:29,890 --> 00:30:35,290
+مثل المشروع والتناول الكفاين والكوفي والألكوهول
+
+391
+00:30:35,290 --> 00:30:40,330
+أيضًا مفهومًا لإسباب أو إكسسيربات ألثار وطبعًا
+
+392
+00:30:40,330 --> 00:30:46,450
+النار كمان لاجوا يعني بعض الـ studies لاجت فيه
+
+393
+00:30:46,450 --> 00:30:50,530
+علاقة بالموضوع الـ diagnosis how to diagnose
+
+394
+00:30:50,530 --> 00:30:56,830
+mainly based on the characteristic symptoms
+
+395
+00:31:02,120 --> 00:31:15,880
+وهنا بيصير عندنا
+
+396
+00:31:15,880 --> 00:31:22,180
+في assignment how to diagnose غير اللي أنا كاتبه
+
+397
+00:31:22,180 --> 00:31:22,380
+هنا
+
+398
+00:31:26,110 --> 00:31:31,270
+الـ Helicobacter Infestation
+
+399
+00:31:31,270 --> 00:31:37,510
+عند المريض كيف الـ diagnosis تبع الـ Helicobacter؟
+
+400
+00:31:37,510 --> 00:31:40,470
+ايش الفحوصات اللي بتنعمل؟ في تلت اربع فحوصات، اشي
+
+401
+00:31:40,470 --> 00:31:47,070
+من الدم، اشي من الاستول، اشي من الـ antibody، اشي
+
+402
+00:31:47,070 --> 00:31:54,290
+من النفس، بدي الطرقوإيش أفضلها ممكن نعمل
+
+403
+00:31:54,290 --> 00:31:59,190
+comparison بين الطرق بس جدول هيك الطرق اللي بعمل
+
+404
+00:31:59,190 --> 00:32:03,230
+فيها فحص وإيش أفضلها هذا ال assignment التبعنا
+
+405
+00:32:05,270 --> 00:32:07,450
+Gastrointestinal bleeding طبعاً بدل ما أنا عندي
+
+406
+00:32:07,450 --> 00:32:10,210
+جرح ممكن يصير عندي نزيف The most common
+
+407
+00:32:10,210 --> 00:32:13,050
+complication لهذا الدرجة أه طبعا sudden large
+
+408
+00:32:13,050 --> 00:32:15,790
+bleeding can be life threatening وطبعا ال bleeding
+
+409
+00:32:15,790 --> 00:32:21,330
+ممكن يدخلنا بhypovolemic الشك زي ما الكل عارف إيش
+
+410
+00:32:21,330 --> 00:32:25,310
+كمان perforation أه ممكن يصير عندي مش بس bleeding
+
+411
+00:32:25,310 --> 00:32:28,730
+تفتح المعدة لبرا وهذه طبعا catastrophic
+
+412
+00:32:28,730 --> 00:32:35,360
+complication ممكن نتيجة أنه بعد فترةلو كان عندي
+
+413
+00:32:35,360 --> 00:32:37,840
+على الـ gastric outlet على مخرج المعدة فيه عندي
+
+414
+00:32:37,840 --> 00:32:47,140
+هناك قرحة وصارت طابت أو راجت عملت الـ Scarring و
+
+415
+00:32:47,140 --> 00:32:51,600
+بعد الـ Scarring عملت له obstruction of the outlet
+
+416
+00:32:51,600 --> 00:32:55,860
+وطبعا اللي حكينا عنه في الـ differential يعني لازم
+
+417
+00:32:55,860 --> 00:32:57,900
+أحطه في الـ differential diagnosis ما هوش بس
+
+418
+00:32:57,900 --> 00:33:03,360
+complication هو الـ cancer وطبعا لابد من عينة
+
+419
+00:33:04,010 --> 00:33:12,070
+العلاج الحقيقة بيتمثل في أكتر من حاجة الحاجة
+
+420
+00:33:12,070 --> 00:33:15,790
+الأولى acid reducing medication الحاجة التانية لل
+
+421
+00:33:15,790 --> 00:33:19,390
+infection لازم أدي علاج two antibiotics يبقى بدي
+
+422
+00:33:19,390 --> 00:33:23,030
+إشي مضاد للحاجة اسمها triple therapy triple يعني
+
+423
+00:33:23,030 --> 00:33:28,230
+ثلاثي therapy نين مضادات حيوية واحد antacid أو
+
+424
+00:33:28,230 --> 00:33:33,530
+acid reducing medication زي ال PPI معاهملما يكون
+
+425
+00:33:33,530 --> 00:33:43,790
+عندنا Peripheric Ulcer «العوامل
+
+426
+00:33:43,790 --> 00:33:51,710
+التي تؤدي» أو «التجارب» لـ Gastric Ulcer اللي هو
+
+427
+00:33:51,710 --> 00:33:56,730
+Reduction of Drug Intake حاول أنتبه للـ
+
+428
+00:33:56,730 --> 00:34:02,050
+Helicobacter، الـ «دايت»stress smoking and alcohol
+
+429
+00:34:02,050 --> 00:34:06,730
+اللي هي تحت اسم lifestyle risk factors دايما إذا
+
+430
+00:34:06,730 --> 00:34:13,750
+إذا اتغلبت على المسببات بتغلب على المرض بإذن الله
+
+431
+00:34:13,750 --> 00:34:19,090
+تعالى وربنا هو الشافعي و بتمنالكوا يوم سعيد
+
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/3Wq-KibOkfU_postprocess.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/3Wq-KibOkfU_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..8256f2c2e1cad2f311f3ab937dd33b323b73dbbc
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/3Wq-KibOkfU_postprocess.srt
@@ -0,0 +1,1836 @@
+1
+00:00:01,850 --> 00:00:04,970
+بسم الله الرحمن الرحيم الحمد لله رب العالمين
+
+2
+00:00:04,970 --> 00:00:07,790
+والصلاة والسلام علي سيدنا محمد وسيد المرسلين
+
+3
+00:00:07,790 --> 00:00:12,430
+أجمعين يعني احنا اليوم ان شاء الله تعالى الصوت ان
+
+4
+00:00:12,430 --> 00:00:15,470
+شاء الله واضح يا جماعة معكوا الدكتور محمد أبو ندا
+
+5
+00:00:15,470 --> 00:00:21,310
+ان شاء الله تعالى هنتحدث عن ال
+
+6
+00:00:21,310 --> 00:00:26,320
+hypertensionالـ hypertension يا جماعة يعني بمجرد
+
+7
+00:00:26,320 --> 00:00:30,760
+أنه أنا أقول hypertension معناته أنا بحكي عن الـ
+
+8
+00:00:30,760 --> 00:00:34,160
+arterial hypertension ليش هو في حاجات تانية
+
+9
+00:00:34,160 --> 00:00:39,840
+بنسميها برضه hypertension؟ أه طبعا في عندنا على
+
+10
+00:00:39,840 --> 00:00:47,600
+سبيل المثال اللي هو الـ
+
+11
+00:00:47,600 --> 00:00:50,520
+intracranial hypertension increased intracranial
+
+12
+00:00:50,520 --> 00:00:54,110
+hypertension في عندنا كمانالـ Pulmonary
+
+13
+00:00:54,110 --> 00:00:59,050
+Hypertension فى عندنا كمان الـ Portal Hypertension
+
+14
+00:00:59,050 --> 00:01:04,650
+فى عندنا كمان ال .. طبعا أنا موضحتش إيش كل واحدة
+
+15
+00:01:04,650 --> 00:01:07,950
+معناتها يعني هو مطلوب أن تحاولوا جدر الإمكان
+
+16
+00:01:07,950 --> 00:01:13,170
+تعرفوا إيش كل واحدة فى عندنا Hypertension of the
+
+17
+00:01:13,170 --> 00:01:18,330
+Pressure Intraocular اللي بيقول عنه Glaucoma عشان
+
+18
+00:01:18,330 --> 00:01:24,440
+المثال، هذه كلها صور لـ Increasedهيبرتنشن في أماكن
+
+19
+00:01:24,440 --> 00:01:27,480
+مختلفة في الجسم لكن يوم إذا ما بقول hypertension
+
+20
+00:01:27,480 --> 00:01:32,760
+هيك اللي هي في اللسان العامة عند الناس كلها بقصد
+
+21
+00:01:32,760 --> 00:01:37,140
+فيها arterial hypertension طيب يعني هو دكتور محمد
+
+22
+00:01:37,140 --> 00:01:42,670
+أنت بدأت بموضوعيعني خلّيني نقول الـ hypertension
+
+23
+00:01:42,670 --> 00:01:46,770
+إيش أهميته؟ تبدأ بيه في مادة البطنة، مع أن في
+
+24
+00:01:46,770 --> 00:01:49,370
+عندنا قلب و عندنا صدرية و عندنا أمراض تانية، إيش
+
+25
+00:01:49,370 --> 00:01:52,250
+معنى الـ hypertension؟ آه، لأن الـ hypertension
+
+26
+00:01:52,250 --> 00:01:58,970
+حقيقة هو عبارة عن، زي ما بقولوها، مرض شعبي، مرض
+
+27
+00:01:58,970 --> 00:02:03,630
+شعبي national هو الـ diabetes mellitus الـ
+
+28
+00:02:03,630 --> 00:02:07,530
+hypertension most common primary diagnosis in
+
+29
+00:02:07,530 --> 00:02:10,670
+Americaطبعاً مش بس in America احنا دايما زي ما
+
+30
+00:02:10,670 --> 00:02:14,330
+بعيدها دايما و بزيد Hypertension اللي اللي اللي
+
+31
+00:02:14,330 --> 00:02:15,150
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+32
+00:02:15,150 --> 00:02:15,250
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+33
+00:02:15,250 --> 00:02:15,710
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+34
+00:02:15,710 --> 00:02:16,510
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+35
+00:02:16,510 --> 00:02:16,550
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+36
+00:02:16,550 --> 00:02:17,690
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+37
+00:02:17,690 --> 00:02:20,390
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+38
+00:02:20,390 --> 00:02:20,750
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+39
+00:02:20,750 --> 00:02:36,430
+اللي
+
+40
+00:02:36,430 --> 00:02:46,330
+اللي اللخمسة و تلاتين مليون وفيس فيزيات خمسين
+
+41
+00:02:46,330 --> 00:02:50,630
+مليون أو أكتر عندهم high blood pressure أو
+
+42
+00:02:50,630 --> 00:02:56,510
+hypertension worldwide prevalence estimates for
+
+43
+00:02:56,510 --> 00:03:00,130
+hypertension أنه تقريبا حوالي واحد billion يعني
+
+44
+00:03:00,130 --> 00:03:09,190
+السبع البشرية عندها عندها ضغطمش بس، سبعة أو واحد
+
+45
+00:03:09,190 --> 00:03:15,370
+مليون بموتوا مباشرة بسبب الـhypertension وهذا رقم
+
+46
+00:03:15,370 --> 00:03:20,310
+مهول يا جماعة، هذا رقم مهول لو طلعنا على القاعدة
+
+47
+00:03:20,310 --> 00:03:24,530
+التلت أو واحد من تلاتة اللي هي على طول في الـslide
+
+48
+00:03:24,530 --> 00:03:32,110
+على الجامب بنلاقي أن واحد من كل تلاتة بالغين بـ
+
+49
+00:03:34,950 --> 00:03:43,490
+واحد من كل تلاتة بالغين يعاني
+
+50
+00:03:43,490 --> 00:03:44,470
+من الـ Hypertension
+
+51
+00:03:56,620 --> 00:04:01,720
+عفوًا للجطع اللي أنا عملت وضع الطيار نعود نستمر
+
+52
+00:04:01,720 --> 00:04:07,860
+لأن واحد من كل تلاتة بالغين في العالم أو حتى في في
+
+53
+00:04:07,860 --> 00:04:11,960
+أمريكا بيصير عنده hypertension هلجيت واحد من كل
+
+54
+00:04:11,960 --> 00:04:18,180
+تلاتة من البالغين اللي عندهم ضغط بيعرفوش انه عندهم
+
+55
+00:04:18,180 --> 00:04:22,760
+ضغط واحد من كل تلاتة بالغين
+
+56
+00:04:26,080 --> 00:04:30,960
+و عندهم ضغط و بيتعالجوا للضغط بيقدرش الواحد يتحكم
+
+57
+00:04:30,960 --> 00:04:34,700
+و هناك أسباب كثيرة بالضغط اللي هي مشاكل عدم التحكم
+
+58
+00:04:34,700 --> 00:04:38,580
+في الضغط يبقى أنا قاعد بحكي عن موضوع غاية في
+
+59
+00:04:38,580 --> 00:04:42,100
+الأهمية طب و أنا يعني كعلاج طبيعي انتوا جيت مخطروا
+
+60
+00:04:42,100 --> 00:04:46,480
+على بالكم و إيش دخلنا في الضغط؟ هو أنا بدأ أعمله
+
+61
+00:04:46,480 --> 00:04:49,880
+علاج طبيعي و أنا بدأ أشوف الضغط تبعه؟ لأ هو
+
+62
+00:04:49,880 --> 00:04:56,000
+كأخصائي علاج طبيعي لابد أن يكون فيهعند واحد محصلة
+
+63
+00:04:56,000 --> 00:05:01,260
+كاملة عن ارتفاع ضغط الدم عن السكري عن بعض الأمراض
+
+64
+00:05:01,260 --> 00:05:06,240
+الباطنة بل بالعكس في ال assessment بتتاخد الأمور
+
+65
+00:05:06,240 --> 00:05:12,500
+هاي في الاعتبار لاجوا ان ال hypertension بما ان
+
+66
+00:05:12,500 --> 00:05:20,130
+كتير من الزباين في العلاج الطبيعي old ageطولتين
+
+67
+00:05:20,130 --> 00:05:24,930
+طولتين الناس اللي فوق الـ 65 عندهم hypertension
+
+68
+00:05:24,930 --> 00:05:32,110
+طولتين يعني لو عندي 101 ع سبيل المثال الـ 100 هدول
+
+69
+00:05:32,110 --> 00:05:40,410
+فوق الـ 65 66 واحد عنده ضغط الجد اه معناته على
+
+70
+00:05:40,410 --> 00:05:45,580
+المضمون انا اي واحد كبير تقريباعالمضمون بقدر وفوق
+
+71
+00:05:45,580 --> 00:05:48,620
+الـ 65 أقوله والله بالشباب والأبو الخيرية في
+
+72
+00:05:48,620 --> 00:05:52,620
+الحالة هاي أنه شكله أنه أنت عندك hypertension
+
+73
+00:05:52,620 --> 00:05:57,700
+بعمله فحص ضغط بلجي عالي عنده فببقى أنا إيش زبطت
+
+74
+00:05:57,700 --> 00:06:03,300
+معايا الناس هدول أكتر ناس صعب التحكم في الضغط
+
+75
+00:06:03,300 --> 00:06:06,200
+عندهم وهنعرف ليش
+
+76
+00:06:09,270 --> 00:06:13,850
+هو علاج ارتفاع ضغط الدم حقيقية في كل واحد في
+
+77
+00:06:13,850 --> 00:06:19,970
+العالم كل واحد لكن حقيقة من المشاكل اللي بتواجه
+
+78
+00:06:19,970 --> 00:06:25,590
+بعض المجموعات من الناس في التحكم في الضغط هو الـ
+
+79
+00:06:25,590 --> 00:06:30,330
+lifestyle و الـ socioeconomic factors هذه من
+
+80
+00:06:30,330 --> 00:06:35,890
+الحاجات اللي بتعمل limitation للعلاج في حالات الـ
+
+81
+00:06:35,890 --> 00:06:41,230
+hypertensionطيب هو انا من الصبح hypertension
+
+82
+00:06:41,230 --> 00:06:43,890
+hypertension ايش بنقصده hypertension؟ ايش ال
+
+83
+00:06:43,890 --> 00:06:49,590
+definition؟ طبعا هذا موضوع غاية في الأهمية و طبعا
+
+84
+00:06:49,590 --> 00:06:52,990
+هتلاقي الأرقام هيك شوية هتقولوا طيب واش علي لو
+
+85
+00:06:52,990 --> 00:06:55,910
+زدنا واحد ولا نجسنا واحد ولا ايش لو زدنا خمسة
+
+86
+00:06:55,910 --> 00:07:01,390
+ونجسنا خمسة؟ احنا بنحكي هنا عن مرضى بالبلايين
+
+87
+00:07:01,390 --> 00:07:05,920
+بالبليون احنا بنحكي عن one billion patientفي
+
+88
+00:07:05,920 --> 00:07:10,600
+العالم عشان أنا أحرك الأرقام هذه في لحظة من
+
+89
+00:07:10,600 --> 00:07:15,860
+اللحظات الأعداد يا بتجل يا بتزيد، إيش يعني؟ طب
+
+90
+00:07:15,860 --> 00:07:20,600
+متجل وتزيد، لأ لأ، في سياسات اقتصادية عالمية
+
+91
+00:07:20,600 --> 00:07:25,340
+متعلقة بالموضوع، حياة ناس متعلقة بالموضوعبلاد
+
+92
+00:07:25,340 --> 00:07:29,960
+كاملة متعلقة بالموضوع فالموضوع ليس التأمينات
+
+93
+00:07:29,960 --> 00:07:34,240
+والمعامل التأمينات والمعاشات متعلقة بالموضوع فيبقى
+
+94
+00:07:34,240 --> 00:07:39,440
+الموضوع مدروس كويس وانحطط هذه الـ Definition بناء
+
+95
+00:07:39,440 --> 00:07:43,840
+على Statistics عالمية متعرف عليها بمعنى الـ
+
+96
+00:07:43,840 --> 00:07:46,360
+Definition اللي هحكيه الآن ما هتلاقوا أنه مثلا في
+
+97
+00:07:46,360 --> 00:07:50,520
+الصين مختلف أو في اليابان مختلف أو عند العرب مختلف
+
+98
+00:07:50,520 --> 00:07:53,850
+لأ هي نفس الـ Definitionالـ Definition هو
+
+99
+00:07:53,850 --> 00:07:58,150
+«Sustained»، إيش يعني «Sustained»؟ «Sustained»
+
+100
+00:07:58,150 --> 00:08:04,910
+يعني طول الوجد، يعني مش إنه والله إفلان خاف، ارتفع
+
+101
+00:08:04,910 --> 00:08:07,050
+ضغطه، جسدنا له الضغط، لجينا عيله، قولنا له عندك
+
+102
+00:08:07,050 --> 00:08:11,690
+ارتفاع ضغط الدم، لأ مينفعش الطريقة هاي، ها كيف،
+
+103
+00:08:11,690 --> 00:08:17,610
+أنا يعني بأديسله عدة مرات، هنحكي عن الطريقة عدة
+
+104
+00:08:17,610 --> 00:08:22,430
+مرات، في أوقات مختلفةوفي ظروف مختلفة وفي أماكن
+
+105
+00:08:22,430 --> 00:08:28,450
+مختلفة ولاجينا إنه دايما عنده الضغط مرتفع طب هو
+
+106
+00:08:28,450 --> 00:08:35,750
+أنه منهم الـ systolic blood pressure أكتر من 139 و
+
+107
+00:08:35,750 --> 00:08:42,110
+ال diastolic أكتر من 89 هيك أنا و أنا مرتاح بقول
+
+108
+00:08:42,110 --> 00:08:43,590
+is hypertension
+
+109
+00:08:50,330 --> 00:08:54,330
+وطبعا زي ما قلنا مش من أول رقم بروح بقول للناس أنت
+
+110
+00:08:54,330 --> 00:08:57,590
+عندك hypertension لابد يكون عنده أكتر من sitting
+
+111
+00:08:57,590 --> 00:09:03,070
+أو أكتر من visit عشان أقول الموضوع هذا لأن عشان
+
+112
+00:09:03,070 --> 00:09:08,830
+أجيس الضغط للناس لابد أنه أجيس صح ال equipment
+
+113
+00:09:08,830 --> 00:09:16,290
+اللي بأجيس فيها تكون معايرة وصحيحة اللي بيجيس لازم
+
+114
+00:09:16,290 --> 00:09:22,170
+يكون trained و retrainedالpatient must be properly
+
+115
+00:09:22,170 --> 00:09:27,490
+prepared and positioned and seated quietly for at
+
+116
+00:09:27,490 --> 00:09:30,530
+least خمسة minutes in a chair بمعنى أنا روحت على
+
+117
+00:09:30,530 --> 00:09:33,730
+الصيدلية بدي أجيس المفروض أنه الجهاز كويس اللي
+
+118
+00:09:33,730 --> 00:09:37,110
+عنده المفروض أنه اللي بدي أجيس للصيدلاني يعرف يجيس
+
+119
+00:09:37,110 --> 00:09:40,870
+كويس ومتدرب ومش من حد ما أجف عنده على طول يجيس لي
+
+120
+00:09:40,870 --> 00:09:44,550
+وانا واقف المفروض يجاعدني يجاعدني خمس لعشر دقايق
+
+121
+00:09:44,550 --> 00:09:52,990
+عبين مرتاح و بعدين بهدوء اجيسليوطبعا مهم يسألني
+
+122
+00:09:52,990 --> 00:09:59,890
+شربت في آخر نص ساعة جهوة، شاي، Coca Cola؟ هل عملت
+
+123
+00:09:59,890 --> 00:10:04,550
+exercise؟ مش معقول جاي والله من .. عارفش من الجندة
+
+124
+00:10:04,550 --> 00:10:08,450
+ورايح على الزتون و بعدها بدأ أجلس؟ طبعا حاجة ضغط
+
+125
+00:10:08,450 --> 00:10:14,490
+عالي المفروض مايكونش كمان smoking avoided for at
+
+126
+00:10:14,490 --> 00:10:17,790
+least 30 minutes before blood pressure
+
+127
+00:10:17,790 --> 00:10:21,700
+measurementsمهم جداً جداً أن الكف اللي أنا
+
+128
+00:10:21,700 --> 00:10:28,640
+بستعملها لجياس الضغط تكون كمان مناسبة للإيد وحجم
+
+129
+00:10:28,640 --> 00:10:34,660
+الإيد لازم أجيس زي ما قلنا مرتين على الأجال وطبعاً
+
+130
+00:10:34,660 --> 00:10:37,800
+لابد أنه أنا أقول للمريض أفهمه أن الرقم الأولاني
+
+131
+00:10:37,800 --> 00:10:41,600
+هو العالي هو الـ systolic والتاني اللي هو الواطب
+
+132
+00:10:41,600 --> 00:10:45,060
+اللي هو الdiastolic أفهم الموضوع هذا ضروري يعرف
+
+133
+00:10:45,060 --> 00:10:49,110
+الموضوع هذاطب الآن في عملولها classification blood
+
+134
+00:10:49,110 --> 00:10:55,550
+pressure الـ classification تبعها systolic and
+
+135
+00:10:55,550 --> 00:11:00,430
+diastolic الـ Normal هو أقل من 120 و أقل من 80 في
+
+136
+00:11:00,430 --> 00:11:05,570
+الدياستوليك الـ Prehypertension وحنعرف إيش يعني
+
+137
+00:11:05,570 --> 00:11:10,590
+الـ Prehypertension من 120 ل 139 في الـ systolic و
+
+138
+00:11:10,590 --> 00:11:15,900
+من 80 ل 89 في الدياستوليكوستيج وان هيبرتنشن وبعدين
+
+139
+00:11:15,900 --> 00:11:23,480
+سنعرف أيش يعني استيج وان 140 ل 159 و 90 ل 99 في
+
+140
+00:11:23,480 --> 00:11:29,180
+الدياستوليك وستيج تو هيبرتنشن أكتر من 160 أو 160
+
+141
+00:11:29,180 --> 00:11:39,980
+وأكتر في الستوليك أو أكتر من 100 أو يسوى 100 في
+
+142
+00:11:39,980 --> 00:11:40,720
+الدياستوليك
+
+143
+00:11:43,160 --> 00:11:47,000
+طبعاً ممكن الـ Prehypertension و الـ Stage 1 و الـ
+
+144
+00:11:47,000 --> 00:11:50,420
+Stage 2 يكون واحد من الاتنين عالي يعني الـ
+
+145
+00:11:50,420 --> 00:11:53,780
+Systolic لحاله ممكن و الـ Diastolic لحاله ممكن و
+
+146
+00:11:53,780 --> 00:11:57,760
+ممكن يكونوا التانين لكن ممكن أقول والله الـ
+
+147
+00:11:57,760 --> 00:12:01,700
+Prehypertension بالرغم من أنه .. أسمي المثال الـ
+
+148
+00:12:01,700 --> 00:12:06,680
+Prehypertension الـ Systolic 130 لكن الـ Diastolic
+
+149
+00:12:06,680 --> 00:12:13,480
+79 بنفعيعني هو رقم من الرقمين بكفي عشان انا اقول
+
+150
+00:12:13,480 --> 00:12:21,020
+عنه انه hypertension طب ايش الـ Pre-hypertension؟
+
+151
+00:12:21,020 --> 00:12:27,060
+الـ Pre-hypertension زي ما قلنا قبل شوية فوق الـ
+
+152
+00:12:27,060 --> 00:12:30,800
+120 ميلي
+
+153
+00:12:30,800 --> 00:12:41,460
+متر quicksilva وأقل من 190139 في الـ systolic الـ
+
+154
+00:12:41,460 --> 00:12:47,420
+diastolic من 80 وأقل من 89 الـ pre hypertension
+
+155
+00:12:47,420 --> 00:12:51,440
+كمان مرة يا جماعة is not a disease يعني بتقدرش
+
+156
+00:12:51,440 --> 00:12:54,120
+تقول لو واحد انت hypertension انت عندك ضغط دم
+
+157
+00:12:54,120 --> 00:13:04,390
+بتقدرش هو مش disease هو عبارة عن إشارة تلميحللمريض
+
+158
+00:13:04,390 --> 00:13:09,910
+أنه خد بالك أنك في حرارة عالية لتطور الـ
+
+159
+00:13:09,910 --> 00:13:13,470
+hypertension هذه
+
+160
+00:13:13,470 --> 00:13:17,450
+النقطة الأولى أن انت احتمالي كبير يحصل عند الضغط
+
+161
+00:13:17,450 --> 00:13:23,130
+خد بالك ومش بس و I'm not a candidate for drug
+
+162
+00:13:23,130 --> 00:13:26,680
+therapyولكن مش هتديله علاج، pre hypertension مش
+
+163
+00:13:26,680 --> 00:13:31,080
+هتديه علاج، لكن هذا عبارة عن تلميح، عن إشارة، عن
+
+164
+00:13:31,080 --> 00:13:35,640
+إنه خد بالك يا هذا، أنت احتمال كبير يصير عندك
+
+165
+00:13:35,640 --> 00:13:42,100
+hypertension لو ما أخدتش بالكو لازم لازم لازم تغير
+
+166
+00:13:42,100 --> 00:13:46,320
+نفسك كيف أغير نفسي lifestyle هتسمعوا كلمة
+
+167
+00:13:46,320 --> 00:13:50,480
+practicing lifestyle modification كتير في
+
+168
+00:13:50,480 --> 00:13:54,900
+محاضراتنا لأن هذا جزء كبير من ال education للعيان
+
+169
+00:13:54,900 --> 00:14:00,520
+how to change lifestyleأنا طول النهار قاعد على ال
+
+170
+00:14:00,520 --> 00:14:04,540
+laptop و لا على ال computer و أكل مع أكل مع أكل و
+
+171
+00:14:04,540 --> 00:14:11,480
+تدخين و pizza و ماعرفش إيش طبعا و باتحركش من
+
+172
+00:14:11,480 --> 00:14:16,220
+الكنباية للبطبخ و من البطبخ للكنباية طبيعي جدا جدا
+
+173
+00:14:16,220 --> 00:14:21,380
+أن هذا bad lifestyle و أنه لو صار عندي ضغط لو صار
+
+174
+00:14:21,380 --> 00:14:24,240
+عندي ضغط لابد أنه أو pre hypertension لابد أنه
+
+175
+00:14:24,240 --> 00:14:28,360
+أغير ال lifestyle لحتى أتغلب على pre hypertension
+
+176
+00:14:29,650 --> 00:14:32,890
+يبقى الـ Pre-hypertension عبارة عن تلميح للمريض
+
+177
+00:14:32,890 --> 00:14:37,750
+تلميح إنه إشارة، خد بالك، نين، not a candidate for
+
+178
+00:14:37,750 --> 00:14:44,510
+drug therapy لكن لازم نعمله advising to practice
+
+179
+00:14:44,510 --> 00:14:46,410
+lifestyle modification
+
+180
+00:14:51,410 --> 00:14:54,410
+يستثنى من الناس دول الـ Pre-hypertension الناس
+
+181
+00:14:54,410 --> 00:14:57,390
+اللي عندها ديابتس، عندها سكري أو عندها مرض كيلة
+
+182
+00:14:57,390 --> 00:15:04,010
+ممكن، ممكن، ممكن ينعطى دوة if a trial of lifestyle
+
+183
+00:15:04,010 --> 00:15:08,690
+modification fails إذا ما زبطتش معانا في قضية إن
+
+184
+00:15:08,690 --> 00:15:11,690
+الـ lifestyle وقال لك أنا مش قادر، أنا مش كذا
+
+185
+00:15:11,690 --> 00:15:16,930
+فممكن إنه fails to reduce blood pressure لـ130،
+
+186
+00:15:16,930 --> 00:15:20,030
+لـ80 أو أقل، يعني إذا لجينا إن الـ blood pressure
+
+187
+00:15:21,540 --> 00:15:25,300
+مش راضي يظبط معانا بالـ lifestyle أديه دوة أديه
+
+188
+00:15:25,300 --> 00:15:32,460
+علاج عشان أخفض الضغط تبعه من 130 من أجل من 130 ل
+
+189
+00:15:32,460 --> 00:15:38,800
+80 أو أجل احنا قلنا قبل شوية انه مش لازم عشان اقول
+
+190
+00:15:38,800 --> 00:15:43,960
+hypertension مش لازم يكون الاتنين الرقامين الستولك
+
+191
+00:15:43,960 --> 00:15:46,200
+والدياستولك لازم يكونوا عالين مش لازم
+
+192
+00:15:49,840 --> 00:15:53,820
+وأحد منهم لو كان عالي بيكفي فوق الحدود فأنا بقول
+
+193
+00:15:53,820 --> 00:15:57,800
+عنه isolated systolic hypertension أو isolated
+
+194
+00:15:57,800 --> 00:16:03,920
+diastolic hypertension طبعا هو مابختلفش في العلاج
+
+195
+00:16:03,920 --> 00:16:07,760
+كتير لكن لابد أنه ننتبه للقضية هي systolic blood
+
+196
+00:16:07,760 --> 00:16:10,300
+pressure should be primarily considered during
+
+197
+00:16:10,300 --> 00:16:14,740
+treatment and not just diagnostic blood pressure،
+
+198
+00:16:14,740 --> 00:16:15,740
+diastolic blood pressure
+
+199
+00:16:18,480 --> 00:16:22,420
+السيستوليك طبعاً هو يعتبر الأخطر برضه عشان ما نديش
+
+200
+00:16:22,420 --> 00:16:25,300
+التانية نفس القيمة سيستوليك ليش؟ لأن السيستوليك
+
+201
+00:16:25,300 --> 00:16:29,560
+بيمثل الـ Systemic Blood Pressure في كل الجسم
+
+202
+00:16:29,560 --> 00:16:33,480
+الدياستوليك له علاقة أكتر بالدياستول و بالـ
+
+203
+00:16:33,480 --> 00:16:38,080
+Pulmonary Crisis الدياستوليك Blood Pressure is
+
+204
+00:16:38,080 --> 00:16:42,160
+more important قبل عمر خمسين يبقى بعد عمر خمسين
+
+205
+00:16:42,160 --> 00:16:52,390
+الدياستوليك أهم قبل عمر خمسينطيب هو أجاني عيان و
+
+206
+00:16:52,390 --> 00:16:57,030
+جستله ضغطه مرة مرتين وجد ضغطه طبيعي، إيش أقوله؟
+
+207
+00:16:57,030 --> 00:17:01,650
+بقول الله سهل عليك ضغطك طبيعي، دير بلقى على حالك،
+
+208
+00:17:01,650 --> 00:17:06,550
+و بعد سنتين ابقى جيس كمام مارس، هذا ري تشيك، تشيك
+
+209
+00:17:06,550 --> 00:17:11,250
+كل سنتين، كل تلاتة، هذا وضع طبيعي لأي بني آدم أنه
+
+210
+00:17:11,250 --> 00:17:17,010
+يعمله فحص ضغط الدم الـ Prehypertension، أه بقوله
+
+211
+00:17:17,010 --> 00:17:23,060
+بدك تغير حياتكLifestyle modification تجلل الملح
+
+212
+00:17:23,060 --> 00:17:31,180
+تزيد الحركة بتاعتك تاكل فواكه وخضار أكترو .. و
+
+213
+00:17:31,180 --> 00:17:34,920
+بلاش قعدات ال .. ال .. ال laptop و ال computer و
+
+214
+00:17:34,920 --> 00:17:39,300
+ال .. ال pizza و .. و الحاجات هاي اتحرك أكتر لما
+
+215
+00:17:39,300 --> 00:17:42,840
+تروح على الجامع حاول تاخد طريق طويل و أنت مروح
+
+216
+00:17:42,840 --> 00:17:48,300
+برضه بلاش بالسيارة و حاول سطل الزبالة في مكتبك بدل
+
+217
+00:17:48,300 --> 00:17:52,000
+ما يكون تحت رجلك حاول تحطه بعيد عشان كل شوية تقوم
+
+218
+00:17:52,000 --> 00:17:55,620
+لسطل الزبالة و تتحركوهلو ما جرى lifestyle
+
+219
+00:17:55,620 --> 00:18:00,880
+modification لازم أغير حياتي أغير حياتي بالطريقة
+
+220
+00:18:00,880 --> 00:18:04,840
+هذه ممكن أتغلب على الـ pre hypertension لكن بدي
+
+221
+00:18:04,840 --> 00:18:09,880
+أجيس بعد شهر بعد سنة عفوا تاني ممكن قبل بس يعني
+
+222
+00:18:09,880 --> 00:18:15,960
+احنا بنحكي عن زي ما بقولوها guidelines stage one
+
+223
+00:18:15,960 --> 00:18:20,020
+hypertension إذا لجيت عنده والله شوية ريحة
+
+224
+00:18:20,020 --> 00:18:23,400
+hypertension بدي أشوفه بعد شهرين أجيس للضغط التاني
+
+225
+00:18:24,060 --> 00:18:28,400
+Stage 2 Hypertension طبعاً
+
+226
+00:18:28,400 --> 00:18:32,360
+حسب لكن في الأصل إنه ما أطولش وعود أديسله لأن هذه
+
+227
+00:18:32,360 --> 00:18:36,860
+بنعتبرها من أنواع هنحكي عنهم Emergency أو
+
+228
+00:18:36,860 --> 00:18:43,720
+Emergency Hypertension فيه
+
+229
+00:18:43,720 --> 00:18:49,680
+إننا طبعاً احنا Risk Factorsللـ Risk Factors هذه
+
+230
+00:18:49,680 --> 00:18:54,100
+لـ Cardiovascular Risk Factors على رأسها يعني أنا
+
+231
+00:18:54,100 --> 00:18:58,320
+عشان أقول والله فلان عنده أمراض قلب وأوعية دموية
+
+232
+00:18:58,320 --> 00:19:03,520
+في Risk Factor مهم جدا جدا باهتم بي اللي هو قضية
+
+233
+00:19:03,520 --> 00:19:07,240
+الضغط واللي هو رقم 1 يعني طبعا بالإضافة للتدخين و
+
+234
+00:19:07,240 --> 00:19:09,400
+ال obesity و ال physical inactivity و ال
+
+235
+00:19:09,400 --> 00:19:13,000
+dyslipidemia و ال diabetes mellitus و مشاكل الكلة
+
+236
+00:19:13,730 --> 00:19:16,950
+العمر family history هذه كلها risk factors لل
+
+237
+00:19:16,950 --> 00:19:21,630
+cardiovascular diseases يعني أي واحد باجب اكتشف
+
+238
+00:19:21,630 --> 00:19:24,690
+عنده مشكلة في القلب أول حاجة بتختار على بالي خد
+
+239
+00:19:24,690 --> 00:19:30,730
+بالك ضغطه احتمال ضغطه يكون عالي طب و احنا بنحكي
+
+240
+00:19:30,730 --> 00:19:38,270
+قلنا والله في حاجة اسمها crisis اش يعني crisis اش
+
+241
+00:19:38,270 --> 00:19:42,850
+يعني crisis crisis انه هي أزمة معناتها crisis يعني
+
+242
+00:19:42,850 --> 00:19:49,040
+أزمةهذه اللي بتصير إنها Crisis عندما يرتفع ضغط
+
+243
+00:19:49,040 --> 00:19:56,680
+الدم فوق أرقام معينة ويظهر إليها تأثير سنحكي عن
+
+244
+00:19:56,680 --> 00:20:00,440
+الموضوع هذا تأثير بطريقة أو أخرى على باقي الأعضاء
+
+245
+00:20:00,440 --> 00:20:07,560
+يبقى Crisis is a severe abruptly elevation in
+
+246
+00:20:07,560 --> 00:20:13,540
+blood pressure ارتفاع شديد مفاجئ في ضغط الدم
+
+247
+00:20:17,350 --> 00:20:20,910
+ومهم جداً هو لو واحد يقولك أنا والله عايش ضغط عالي
+
+248
+00:20:20,910 --> 00:20:26,130
+طول عمري ضغط 170 على 110 أو هيني زي الـFull صحيح،
+
+249
+00:20:26,130 --> 00:20:29,210
+احنا بنحكي عن «appropriately» حاجة سريعة، حاجة
+
+250
+00:20:29,210 --> 00:20:32,730
+فجائية بتصير الـ«rate of increase of blood
+
+251
+00:20:32,730 --> 00:20:35,930
+pressure» بلعب دور عنها إنه الإرتفاع خلال ربع
+
+252
+00:20:35,930 --> 00:20:39,950
+ساعة، خلال نص ساعة ولا ارتفاع خلال أيام أو شهور
+
+253
+00:20:39,950 --> 00:20:43,250
+فهذا مهم بالنسبة لنا في تعريف الـCrisis
+
+254
+00:20:43,250 --> 00:20:47,370
+الـHypertensive Crisisوهذه اللي بنسمعها و لا فلان
+
+255
+00:20:47,370 --> 00:20:52,650
+عنده ضغط الصحي الصبح عنده شلل نصفي أو عنده ذبح
+
+256
+00:20:52,650 --> 00:20:56,910
+صدرية أو عنده كذا نتيجة ارتفاع مفاجئ في ضغط الدم
+
+257
+00:20:56,910 --> 00:21:03,810
+لسبب أو لآخر ال patient with a history of
+
+258
+00:21:03,810 --> 00:21:07,630
+hypertension who have failed to comply with
+
+259
+00:21:07,630 --> 00:21:11,450
+medicationor who have been under-medicated الناس
+
+260
+00:21:11,450 --> 00:21:15,630
+هدول غالبًا يا إما بطل ياخد الدواء وصاهي عن
+
+261
+00:21:15,630 --> 00:21:21,310
+الموضوع أو إن الدواء اللي بياخده يعتبر جليل عمليًا
+
+262
+00:21:21,310 --> 00:21:26,930
+مش كفاية فهدول بيميلوا عند أي stress بغض النظر
+
+263
+00:21:26,930 --> 00:21:31,670
+organic ولا psychic إنه يرتفع ضغط الدم عندهم بدنا
+
+264
+00:21:31,670 --> 00:21:35,570
+نفرج هنا بين حاجتين الحاجة الأولى hypertensive
+
+265
+00:21:37,740 --> 00:21:43,000
+طبعا كله تحت crisis ال emergency أجواء وأشد ولا ال
+
+266
+00:21:43,000 --> 00:21:45,400
+emergency أجواء وأشد؟ هنقول الآن
+
+267
+00:21:48,540 --> 00:21:52,800
+الـ Hypertensive Emergency No Progressive Target
+
+268
+00:21:52,800 --> 00:21:55,980
+Organ Dysfunction بنقول عنه Accelerated
+
+269
+00:21:55,980 --> 00:22:00,520
+Hypertension يعني هو برتفع الضغط الدم لكن لا بيصير
+
+270
+00:22:00,520 --> 00:22:05,040
+مع الواحد وجع راس ولا طنة في الدان ولا بدوخ ولا
+
+271
+00:22:05,040 --> 00:22:10,180
+ولا ولا ولا لكن الـ Emergency بيصير عنده End Organ
+
+272
+00:22:10,180 --> 00:22:13,740
+Dysfunction بنقول عنه Malignant Hypertension يبدأ
+
+273
+00:22:13,740 --> 00:22:18,540
+مين الأخطر الـ Emergency ولا الـ Emergency؟الـ
+
+274
+00:22:18,540 --> 00:22:24,400
+Emergency هي الأخطر وهي اللي بتعملنا مشاكل تمام
+
+275
+00:22:24,400 --> 00:22:30,000
+مرة نرجع الـ Hypertensive Emergency Severe
+
+276
+00:22:30,000 --> 00:22:33,500
+elevated blood pressure in the upper range of
+
+277
+00:22:33,500 --> 00:22:38,740
+stage 2 hypertension without progressive end organ
+
+278
+00:22:38,740 --> 00:22:39,460
+dysfunction
+
+279
+00:22:42,590 --> 00:22:45,210
+زي ما قلنا highly elevated blood pressure without
+
+280
+00:22:45,210 --> 00:22:50,130
+severe headache shortness of breath or chest pain
+
+281
+00:22:50,130 --> 00:22:54,930
+usually في الغالب usually إيش يعني usually لما
+
+282
+00:22:54,930 --> 00:22:59,390
+نقولها 100% النسبة بتاعة usually ولا always 100%
+
+283
+00:22:59,390 --> 00:23:04,790
+always 100% usually غالبا ناتج عن under controlled
+
+284
+00:23:04,790 --> 00:23:05,990
+hypertension
+
+285
+00:23:07,930 --> 00:23:12,170
+إنه لأ غير متحكم في الضغط طيب الـ Hypertensive
+
+286
+00:23:12,170 --> 00:23:17,390
+Emergency هي Severely Elevated Blood Pressure فوق
+
+287
+00:23:17,390 --> 00:23:21,790
+الـ 180 للمائة وعشرين With Progressive Target
+
+288
+00:23:21,790 --> 00:23:27,670
+Organ Dysfunction وRequire Emergent Lowering Of
+
+289
+00:23:27,670 --> 00:23:31,250
+Blood Pressure ماقدرش أسكت عنه هداك الـ Emergency
+
+290
+00:23:31,250 --> 00:23:33,690
+أحنا سكتنا عنه لكن هذا ماقدرش نسكت عنه
+
+291
+00:23:36,760 --> 00:23:40,340
+مش ممكن يبينلي؟ ممكن يجيني الواحد بـHypertensive
+
+292
+00:23:40,340 --> 00:23:43,320
+Encephalopathy إيش يعني Encephalopathy؟
+
+293
+00:23:43,320 --> 00:23:47,320
+Encephalopathy، Encephalopathy،
+
+294
+00:23:47,320 --> 00:23:48,220
+Encephalopathy، Encephalopathy، Encephalopathy،
+
+295
+00:23:48,220 --> 00:23:48,260
+Encephalopathy، Encephalopathy، Encephalopathy،
+
+296
+00:23:48,260 --> 00:23:48,660
+Encephalopathy، Encephalopathy، Encephalopathy،
+
+297
+00:23:48,660 --> 00:23:48,840
+Encephalopathy، Encephalopathy، Encephalopathy،
+
+298
+00:23:48,840 --> 00:23:48,860
+Encephalopathy، Encephalopathy، Encephalopathy،
+
+299
+00:23:48,860 --> 00:23:49,940
+Encephalopathy، Encephalopathy، Encephalopathy،
+
+300
+00:23:49,940 --> 00:23:55,440
+Encephalopathy، Encephalopathy، Encephalopathy،
+
+301
+00:23:55,440 --> 00:24:00,160
+Encephalopathy، Encephalopathy،
+
+302
+00:24:00,160 --> 00:24:03,600
+Encephalopathy،
+
+303
+00:24:03,600 --> 00:24:08,870
+Enللقلب اليسرى لأن الـ left ventricle هو اللي بدخ
+
+304
+00:24:08,870 --> 00:24:14,630
+دم لمين؟ لباقي الجسم وباقي الجسم ضغطه عالي فلما
+
+305
+00:24:14,630 --> 00:24:19,310
+ييجي الـ left heart يدخ دم فبيصير عنده failure
+
+306
+00:24:19,310 --> 00:24:24,050
+بيقدرش ليش؟ لأنه بدخ على ضغط عالي with pulmonary
+
+307
+00:24:24,050 --> 00:24:29,840
+edema وبيصير عنده تحفيز للسوائل في الرئتينممكن
+
+308
+00:24:29,840 --> 00:24:34,260
+يصير عنا Acute MI أو Unstable Angina Vector الذبحة
+
+309
+00:24:34,260 --> 00:24:39,480
+صدرية وحنتحدث بعدين في يوم الأيام وممكن يصير عنا
+
+310
+00:24:39,480 --> 00:24:43,240
+Dissecting Aortic Aneurysm إيش يا دي Dissecting
+
+311
+00:24:43,240 --> 00:24:47,520
+Aortic Aneurysm؟
+
+312
+00:24:47,520 --> 00:24:55,280
+طبعا لأ أنا يعني لأ كله لحتى الآن اللي بتقولوه
+
+313
+00:24:55,280 --> 00:24:59,640
+بدكوا تقولوهمن خلال ايش الـ «dissecting aortic
+
+314
+00:24:59,640 --> 00:25:04,200
+aneurysm»؟ من خلال هذه رقم واحد في الـassignment
+
+315
+00:25:04,200 --> 00:25:10,100
+تبع اليوم What is dissecting aortic aneurysm؟ وهل
+
+316
+00:25:10,100 --> 00:25:14,200
+في عندنا أنواع من الـaortic aneurysm؟ طب في
+
+317
+00:25:14,200 --> 00:25:19,960
+aneurysms بتصير في أماكن تانية غير الأورطة؟ هذا
+
+318
+00:25:19,960 --> 00:25:25,150
+الجزء الأول من الـassignment تبع اليومواللي
+
+319
+00:25:25,150 --> 00:25:32,830
+هتبعتوليها على ال model كيف
+
+320
+00:25:32,830 --> 00:25:36,170
+أنا الأن كيف بدأ أعرف أي واحد عنده hypertensive
+
+321
+00:25:36,170 --> 00:25:42,170
+crisis طبعا أنا بجيسله ضغط صح كلامكم بس لكن بيبين
+
+322
+00:25:42,170 --> 00:25:48,830
+عليه المريض اللي ضغته برتفع بصورة emergency بيصير
+
+323
+00:25:48,830 --> 00:25:51,710
+عنده hypertensive encephalopathy بيصير عنده renal
+
+324
+00:25:51,710 --> 00:25:55,570
+insufficiency بيصير عنده heart failureالموناري
+
+325
+00:25:55,570 --> 00:26:00,750
+قديمة الـ Diaphoreses وهذا الجزء التاني من الـ
+
+326
+00:26:00,750 --> 00:26:06,050
+assignment إيش يعني Diaphoreses؟ وإيش في كلمات
+
+327
+00:26:06,050 --> 00:26:12,070
+بتشبهها؟ Diaphoreses وفي كلمات بتشبهها بتدي شبيه
+
+328
+00:26:12,070 --> 00:26:17,540
+المعنى تبعهابرضه هدى الجزء التانى من ال assignment
+
+329
+00:26:17,540 --> 00:26:22,600
+طب أنا كيف ال hypertensive crisis واحد الآن ضغطه
+
+330
+00:26:22,600 --> 00:26:28,060
+190 ع 120 زلمة عمره 65 ومعصب متقاتل مع ولاده مش
+
+331
+00:26:28,060 --> 00:26:32,820
+راضين يدوله مصروف او مش راضين يخلوه متجوز ولا اي
+
+332
+00:26:32,820 --> 00:26:38,700
+عاجة المهم عصب صار عنده hypertensive crisis كيف
+
+333
+00:26:38,700 --> 00:26:44,560
+بدى علاجها؟ طبعا هذا لابد من مستشفى رقم واحدالـ IV
+
+334
+00:26:44,560 --> 00:26:49,460
+Drug Therapy بيعطوه أدوية بالـ IV لازم توا حكينا
+
+335
+00:26:49,460 --> 00:26:54,200
+إذا فاكرين مع الـ hypertensive crisis بيصير عندنا
+
+336
+00:26:54,200 --> 00:26:58,280
+heart failure يعني بدي أعمله monitor لل cardiac
+
+337
+00:26:58,280 --> 00:27:03,380
+and renal function بدي أعمله عشان ال hypertensive
+
+338
+00:27:03,380 --> 00:27:08,580
+encephalopathy بدي أعمله neurologic check و بدي
+
+339
+00:27:08,580 --> 00:27:13,180
+أدور على السببالسبب ليه صار معه هيك؟ طب ليش أنا
+
+340
+00:27:13,180 --> 00:27:16,600
+بدي السبب؟ عشان مايتكررش، أنا صراحة مش هرجع لورا،
+
+341
+00:27:16,600 --> 00:27:18,060
+لكن عشان مايتكررش
+
+342
+00:27:20,150 --> 00:27:24,330
+لازم نقعد مع الناس Communication مع الناس عشان
+
+343
+00:27:24,330 --> 00:27:28,450
+أمنع to avoid future crisis لأن ال crisis زي ما
+
+344
+00:27:28,450 --> 00:27:31,690
+انتوا شايفينه يا جماعة ممكن تعمللي مشاكل كتير على
+
+345
+00:27:31,690 --> 00:27:35,350
+جميع أعضاء الجسم فموضوع الضغط ما هواش موضوع بس
+
+346
+00:27:35,350 --> 00:27:38,170
+بيعمللي شوية وجع راس وطنة في الدهن، لأ فهو ممكن
+
+347
+00:27:38,170 --> 00:27:41,750
+يأثرلي ويعملي coma ممكن يعملي encephalopathy ممكن
+
+348
+00:27:41,750 --> 00:27:46,030
+يعملي MI ممكن يعملي renal failure ممكن يعملي أمور
+
+349
+00:27:46,030 --> 00:27:51,480
+كتير زي ما حكينا قبل شويةالمهم أن ننتبه لهذا
+
+350
+00:27:51,480 --> 00:27:56,600
+الموضوع حكينا
+
+351
+00:27:56,600 --> 00:27:59,100
+عن الـ Classification قبل قليل لأننا نحكي عن الـ
+
+352
+00:27:59,100 --> 00:28:01,220
+Types of Hypertension في فرق بين الـ
+
+353
+00:28:01,220 --> 00:28:05,320
+Classification و بين الـ Types إيش الـ Types؟
+
+354
+00:28:05,320 --> 00:28:11,480
+الأنواع، في Hypertension هيك منه و فيه مالك يا
+
+355
+00:28:11,480 --> 00:28:16,000
+فلان والله قالولي عندك ضغط، من إيش؟ إيش من إيش؟ من
+
+356
+00:28:16,000 --> 00:28:19,900
+ولا إشي، هو الضغط هو المرض نفسههذا بيقول عنه
+
+357
+00:28:19,900 --> 00:28:24,700
+primary hypertension يعني مش جاي نتيجة حاجة بيقول
+
+358
+00:28:24,700 --> 00:28:30,760
+عنه essential hypertension وهذا يا جماعة بيمثل 95%
+
+359
+00:28:30,760 --> 00:28:35,080
+of cases of hypertension يعني بمعنى زي كمان مرة
+
+360
+00:28:35,080 --> 00:28:39,440
+السيناريو مالك يا فلان والله قالولي عندك ضغط من
+
+361
+00:28:39,440 --> 00:28:44,440
+إيش؟ مافيش من إيش هو هيك هو ضغط هو هو المرض اسمه
+
+362
+00:28:44,440 --> 00:28:44,800
+hypertension
+
+363
+00:28:48,310 --> 00:28:51,490
+وبنلاقيش إله سبب يا جماعة عادة مش إنه مالوش سبب
+
+364
+00:28:51,490 --> 00:28:56,330
+بنلاقيش إله سبب وإيش النوع التاني اسمه secondary
+
+365
+00:28:56,330 --> 00:28:58,650
+hypertension إيش يعني secondary هدا ال primary
+
+366
+00:28:58,650 --> 00:29:04,050
+يعني يعني هو البداية بداية رقم واحد ال secondary
+
+367
+00:29:04,050 --> 00:29:08,650
+هو ناشق عن وجود برض معين عملّي حاجة اسمها
+
+368
+00:29:08,650 --> 00:29:12,020
+secondary hypertensionطبعا انتوا لحد تلقاه
+
+369
+00:29:12,020 --> 00:29:17,400
+ماسمعتوش حد نادى بندورة ولا با نادى قخ ولا غاز ولا
+
+370
+00:29:17,400 --> 00:29:20,980
+حاجة ملاحظين؟ اه لإن أنا في منطقة معزولة عمليا في
+
+371
+00:29:20,980 --> 00:29:25,260
+المستشفى قاعد بسجل فمافيش حد يقول حاجة زيك مستقبلا
+
+372
+00:29:25,260 --> 00:29:28,840
+طبعا تتوقعوا تسمعوا حاجة زي هي لما أكون في البيت
+
+373
+00:29:28,840 --> 00:29:32,280
+هيني قلتلكوا سر وقت إيش أنا بسجل في البيت و وقت
+
+374
+00:29:32,280 --> 00:29:37,720
+إيش بسجل في المستشفىكمان مرة نعود نرجع secondary
+
+375
+00:29:37,720 --> 00:29:41,600
+hypertension less common cause of hypertension
+
+376
+00:29:41,600 --> 00:29:45,800
+خمسة في المية و هي زي ما قلنا بيبقى في عندي سبب
+
+377
+00:29:45,800 --> 00:29:49,920
+عندي مرض في الكلة فعمللي hypertension بقول عنه
+
+378
+00:29:49,920 --> 00:29:55,120
+secondary طيب إيش الأسباب اللي ممكن تعملي
+
+379
+00:29:55,120 --> 00:30:02,640
+secondary hypertension؟ و هذا
+
+380
+00:30:02,640 --> 00:30:13,860
+هو هحكيهموهذا هو السبب أو الجزء التالت من الـ
+
+381
+00:30:13,860 --> 00:30:19,440
+assignment تبعنا اللي هو الـ causes of secondary
+
+382
+00:30:19,440 --> 00:30:23,460
+hypertension أنا هحكيهم أشرح عنهم بعض الحاجات لكن
+
+383
+00:30:23,460 --> 00:30:29,570
+بدي منكم على كل واحدة ينكتبمن ثلاث لأربع أسطور
+
+384
+00:30:29,570 --> 00:30:36,730
+كتابة و برضه تبعتولياهم على
+
+385
+00:30:36,730 --> 00:30:40,230
+ال
+
+386
+00:30:40,230 --> 00:30:45,510
+model و هذا الكلام ما يطولش عن من تاريخ ما تشوفوا
+
+387
+00:30:45,510 --> 00:30:52,290
+المحاضرة من تاريخ ما أنزلها Maximum تلات أيام وبعد
+
+388
+00:30:52,290 --> 00:30:57,840
+هيك ما هتلجح حاجةلأنه لازم خلاص نتنشط، بدي أحاول
+
+389
+00:30:57,840 --> 00:31:01,380
+ألزم معاكوا وأنتوا تلتزموا معايا عشان مايتحوشش
+
+390
+00:31:01,380 --> 00:31:04,740
+عليكم المحاضرات وفي الآخر ما تلاحظوش لا أهدأ ولا
+
+391
+00:31:04,740 --> 00:31:08,080
+أهدأ ولا أهدأ، بحاول إن شاء الله أنا مع فريزة إن
+
+392
+00:31:08,080 --> 00:31:11,640
+شاء الله تعالى نحدد مواعيد وأحاول أحافظ عليها جدر
+
+393
+00:31:11,640 --> 00:31:14,580
+الإمكان، إن شاء الله تعالى، طيب إيش ال causes of
+
+394
+00:31:14,580 --> 00:31:19,620
+secondary hypertension؟ واحد sleep أبنية، إيش
+
+395
+00:31:19,620 --> 00:31:25,020
+يعني؟السليب أبنية يعني by sleep بيصير الواحد عنده
+
+396
+00:31:25,020 --> 00:31:29,180
+أبنية، إيش يعني أبنية؟ cessation of breathing،
+
+397
+00:31:29,180 --> 00:31:33,040
+يعني توقف عن النفس لمدة تزيد عن عشر ثواني، هذه
+
+398
+00:31:33,040 --> 00:31:35,700
+بقول عنها sleep أبنية، إليها أسباب كتير، في الغالب
+
+399
+00:31:35,700 --> 00:31:40,340
+obstructive، هذه بتعمل ليه؟ hypertension، drug
+
+400
+00:31:40,340 --> 00:31:44,900
+-induced، وهذه فرصة للكم عشان إيش؟ تقولوا ليه؟ بعض
+
+401
+00:31:44,900 --> 00:31:50,610
+ال drugs اللي بتعمل hypertensionChronic kidney
+
+402
+00:31:50,610 --> 00:31:56,310
+disease كرونيك
+
+403
+00:31:56,310 --> 00:31:58,530
+كيدني ديسيز كرونيك كيدني ديسيز كرونيك كيدني ديسيز
+
+404
+00:31:58,530 --> 00:31:58,610
+كرونيك كيدني ديسيز كرونيك كيدني ديسيز كرونيك كيدني
+
+405
+00:31:58,610 --> 00:32:00,670
+ديسيز كرونيك كيدني ديسيز كرونيك كيدني ديسيز كرونيك
+
+406
+00:32:00,670 --> 00:32:02,670
+كيدني ديسيز كرونيك كيدني ديسيز كرونيك كيدني ديسيز
+
+407
+00:32:02,670 --> 00:32:06,810
+كرونيك كيدني ديسيز كرونيك كيدني ديسيز كرونيك كيدني
+
+408
+00:32:06,810 --> 00:32:13,050
+ديسيز كرونيك كيدني ديسيز كرونيك كيدني ديسيز كرونيك
+
+409
+00:32:13,050 --> 00:32:19,150
+كيدني ديسيChronic Steroid Therapy and Caching
+
+410
+00:32:19,150 --> 00:32:23,110
+Syndrome فينا
+
+411
+00:32:23,110 --> 00:32:34,430
+حاجة اسمها Pheochromocytoma Pheochromocytoma
+
+412
+00:32:34,430 --> 00:32:39,870
+Pheochromocytoma Pheochromocytoma Pheochromocytoma
+
+413
+00:32:39,870 --> 00:32:43,650
+Pheochromocytoma Pheochromocytoma Pheochromocytoma
+
+414
+00:32:44,230 --> 00:32:48,710
+النوع من أنواع الورم في بعض الخلايا مش هقولكوا وين
+
+415
+00:32:48,710 --> 00:32:53,750
+لأن انتوا تجروا عنها الآن و تبعتولي وهذه بتزيد
+
+416
+00:32:53,750 --> 00:32:58,550
+إفراز هرمون معين برضه مش هقولكوا إيش الهرمون و
+
+417
+00:32:58,550 --> 00:33:04,090
+الهرمون هذا إيش بعمل؟ صح برفع ضغط الدم بصورة كبيرة
+
+418
+00:33:04,090 --> 00:33:11,530
+طب إيش العلاج تبعه؟ انتوا هتقولولي الـHyper and
+
+419
+00:33:11,530 --> 00:33:17,280
+Hypothyroidismكمان بيعملنا hypertension اتصوروا
+
+420
+00:33:17,280 --> 00:33:21,480
+أنا لسه ما قلتش كل الأسباب هذه بعض الأسباب إذا أي
+
+421
+00:33:21,480 --> 00:33:25,420
+حد بيقدر يضيف كمان أسباب secondary hypertension
+
+422
+00:33:25,420 --> 00:33:32,820
+بيبقى كتير كويس في الجواب تبعه بيبقى كتير كويسيبقى
+
+423
+00:33:32,820 --> 00:33:35,880
+كمان مرة Causes of secondary hypertension Sleep
+
+424
+00:33:35,880 --> 00:33:40,240
+apnea Drug-induced and or related causes Chronic
+
+425
+00:33:40,240 --> 00:33:44,100
+kidney disease Renovascular disease Chronic
+
+426
+00:33:44,100 --> 00:33:47,280
+steroid therapy and caching syndrome فيه
+
+427
+00:33:47,280 --> 00:33:52,560
+Chromocytoma Coercutation of the aorta Hyper and
+
+428
+00:33:52,560 --> 00:33:58,660
+hypothyroidism or hypothyroidism هنا في مشروع بعض
+
+429
+00:33:58,660 --> 00:33:59,220
+الحاجات
+
+430
+00:34:04,100 --> 00:34:07,080
+وهتوقف أنا هان على أساس أن أنا بس المحاضرة الأولى
+
+431
+00:34:07,080 --> 00:34:10,340
+ومش حابب أتجل عليكم كتير أنه في عندنا
+
+432
+00:34:10,340 --> 00:34:13,340
+complications للـ uncontrolled hypertension يعني
+
+433
+00:34:13,340 --> 00:34:17,240
+مجموعة الناس هذه اللي بتقولك لأ أنا ماعنديش ضغط
+
+434
+00:34:17,240 --> 00:34:21,160
+وأنا مابديش أدوى ضغط أو مابديش ألتزم في
+
+435
+00:34:21,160 --> 00:34:25,800
+complications بتصير ال complications هي حقيقة على
+
+436
+00:34:25,800 --> 00:34:31,020
+المدى الطويل فيها مشكلة كبيرةنتحدث عنها في المرات
+
+437
+00:34:31,020 --> 00:34:33,620
+القادمة الـ Complication تبدأ على الـ Heart، على
+
+438
+00:34:33,620 --> 00:34:37,440
+الـ Brain، على الـ Kidney، على الـ Arteries، على
+
+439
+00:34:37,440 --> 00:34:43,300
+الـ Retina، وكما قلنا عن الـ Nervous System، على
+
+440
+00:34:43,300 --> 00:34:49,380
+العيون، ممكن تعملنا مشاكلهو حنتحدث المرة الجاية عن
+
+441
+00:34:49,380 --> 00:34:53,060
+الـ Patient Evaluation Objectives إيش اللي بديها
+
+442
+00:34:53,060 --> 00:34:56,100
+في العلاج؟ لو وين بدأ أوصل في العلاج؟ إيش فايدة
+
+443
+00:34:56,100 --> 00:35:00,380
+العلاج؟ إيش ممكن يحسنلي في وضع البني آدم؟ هنتحدث
+
+444
+00:35:00,380 --> 00:35:05,980
+عن الـ Lifestyle Modification How to do it؟هنتحدث
+
+445
+00:35:05,980 --> 00:35:13,980
+كمان الأدوية مش هندخل عليها لكن بالصورة هاي تقريبا
+
+446
+00:35:13,980 --> 00:35:20,860
+بنبقى المرة الجاية ان شاء الله تعالى خلصنا محاضرة
+
+447
+00:35:20,860 --> 00:35:24,180
+الـ Hypertension واللي هي محاضرة مش طويلة لكن زي
+
+448
+00:35:24,180 --> 00:35:29,060
+ما قلنا يعني ممتدة بين مواضيع كتير من الموضوعات
+
+449
+00:35:29,340 --> 00:35:33,720
+يعني أرجو أنه أكون سهلت عليكم الموضوع جدر الإمكان
+
+450
+00:35:33,720 --> 00:35:38,140
+هحاول أبعتلكوا المادة إن شاء الله تعالى على أساس
+
+451
+00:35:38,140 --> 00:35:41,400
+اللي بده يبدأ يدرس أحنا عندنا المادة موجودة على
+
+452
+00:35:41,400 --> 00:35:44,520
+اللي هي الـPowerPoint هبعتلكوا إياها لكن المادة
+
+453
+00:35:44,520 --> 00:35:48,700
+التانية اللي هي في بعض المواضيع أنا هبعتلكوا فيها
+
+454
+00:35:48,700 --> 00:35:57,140
+Word ملف Word على أساس إنه تركزوا في الدراسة لهذا
+
+455
+00:35:57,140 --> 00:36:01,810
+الموضوع من ملف الـWord كمانتوقّلنا على الله ان شاء
+
+456
+00:36:01,810 --> 00:36:06,030
+الله نهاركوا سعيد وربنا يسر الأمور ان شاء الله
+
+457
+00:36:06,030 --> 00:36:11,250
+وتنسوش فريزة تنسيش تبعتيلي بس القائمة بال ..
+
+458
+00:36:11,250 --> 00:36:15,650
+بالمجموعات عشان نبدأ نشوف إيش بدنا نسوي السلام
+
+459
+00:36:15,650 --> 00:36:15,970
+عليكم
+
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/3Wq-KibOkfU_raw.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/3Wq-KibOkfU_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..525d6ffe8bd5d484a5dd6ae029cb725c772b1c75
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/3Wq-KibOkfU_raw.srt
@@ -0,0 +1,1840 @@
+1
+00:00:01,850 --> 00:00:04,970
+بسم الله الرحمن الرحيم الحمد لله رب العالمين
+
+2
+00:00:04,970 --> 00:00:07,790
+والصلاة والسلام علي سيدنا محمد وسيد المرسلين
+
+3
+00:00:07,790 --> 00:00:12,430
+أجمعين يعني احنا اليوم ان شاء الله تعالى الصوت ان
+
+4
+00:00:12,430 --> 00:00:15,470
+شاء الله واضح يا جماعة معكوا الدكتور محمد أبو ندا
+
+5
+00:00:15,470 --> 00:00:21,310
+ان شاء الله تعالى هنتحدث عن ال
+
+6
+00:00:21,310 --> 00:00:26,320
+hypertensionالـ hypertension يا جماعة يعني بمجرد
+
+7
+00:00:26,320 --> 00:00:30,760
+أنه أنا أقول hypertension معناته أنا بحكي عن الـ
+
+8
+00:00:30,760 --> 00:00:34,160
+arterial hypertension ليش هو في حاجات تانية
+
+9
+00:00:34,160 --> 00:00:39,840
+بنسميها برضه hypertension؟ أه طبعا في عندنا على
+
+10
+00:00:39,840 --> 00:00:47,600
+سبيل المثال اللي هو الـ
+
+11
+00:00:47,600 --> 00:00:50,520
+intracranial hypertension increased intracranial
+
+12
+00:00:50,520 --> 00:00:54,110
+hypertension في عندنا كمانالـ Pulmonary
+
+13
+00:00:54,110 --> 00:00:59,050
+Hypertension فى عندنا كمان الـ Portal Hypertension
+
+14
+00:00:59,050 --> 00:01:04,650
+فى عندنا كمان ال .. طبعا أنا موضحتش إيش كل واحدة
+
+15
+00:01:04,650 --> 00:01:07,950
+معناتها يعني هو مطلوب أن تحاولوا جدر الإمكان
+
+16
+00:01:07,950 --> 00:01:13,170
+تعرفوا إيش كل واحدة فى عندنا Hypertension of the
+
+17
+00:01:13,170 --> 00:01:18,330
+Pressure Intraocular اللي بيقول عنه Glaucoma عشان
+
+18
+00:01:18,330 --> 00:01:24,440
+المثال، هذه كلها صور لـ Increasedهيبرتنشن في أماكن
+
+19
+00:01:24,440 --> 00:01:27,480
+مختلفة في الجسم لكن يوم إذا ما بقول hypertension
+
+20
+00:01:27,480 --> 00:01:32,760
+هيك اللي هي في اللسان العامة عند الناس كلها بقصد
+
+21
+00:01:32,760 --> 00:01:37,140
+فيها arterial hypertension طيب يعني هو دكتور محمد
+
+22
+00:01:37,140 --> 00:01:42,670
+أنت بدأت بموضوعيعني خلّيني نقول الـ hypertension
+
+23
+00:01:42,670 --> 00:01:46,770
+إيش أهميته؟ تبدأ بيه في مادة البطنة، مع أن في
+
+24
+00:01:46,770 --> 00:01:49,370
+عندنا قلب و عندنا صدرية و عندنا أمراض تانية، إيش
+
+25
+00:01:49,370 --> 00:01:52,250
+معنى الـ hypertension؟ آه، لأن الـ hypertension
+
+26
+00:01:52,250 --> 00:01:58,970
+حقيقة هو عبارة عن، زي ما بقولوها، مرض شعبي، مرض
+
+27
+00:01:58,970 --> 00:02:03,630
+شعبي national هو الـ diabetes mellitus الـ
+
+28
+00:02:03,630 --> 00:02:07,530
+hypertension most common primary diagnosis in
+
+29
+00:02:07,530 --> 00:02:10,670
+Americaطبعاً مش بس in America احنا دايما زي ما
+
+30
+00:02:10,670 --> 00:02:14,330
+بعيدها دايما و بزيد Hypertension اللي اللي اللي
+
+31
+00:02:14,330 --> 00:02:15,150
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+32
+00:02:15,150 --> 00:02:15,250
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+33
+00:02:15,250 --> 00:02:15,710
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+34
+00:02:15,710 --> 00:02:16,510
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+35
+00:02:16,510 --> 00:02:16,550
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+36
+00:02:16,550 --> 00:02:17,690
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+37
+00:02:17,690 --> 00:02:17,690
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+38
+00:02:17,690 --> 00:02:20,390
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+39
+00:02:20,390 --> 00:02:20,750
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+40
+00:02:20,750 --> 00:02:36,430
+اللي
+
+41
+00:02:36,430 --> 00:02:46,330
+اللي اللخمسة و تلاتين مليون وفيس فيزيات خمسين
+
+42
+00:02:46,330 --> 00:02:50,630
+مليون أو أكتر عندهم high blood pressure أو
+
+43
+00:02:50,630 --> 00:02:56,510
+hypertension worldwide prevalence estimates for
+
+44
+00:02:56,510 --> 00:03:00,130
+hypertension أنه تقريبا حوالي واحد billion يعني
+
+45
+00:03:00,130 --> 00:03:09,190
+السبع البشرية عندها عندها ضغطمش بس، سبعة أو واحد
+
+46
+00:03:09,190 --> 00:03:15,370
+مليون بموتوا مباشرة بسبب الـhypertension وهذا رقم
+
+47
+00:03:15,370 --> 00:03:20,310
+مهول يا جماعة، هذا رقم مهول لو طلعنا على القاعدة
+
+48
+00:03:20,310 --> 00:03:24,530
+التلت أو واحد من تلاتة اللي هي على طول في الـslide
+
+49
+00:03:24,530 --> 00:03:32,110
+على الجامب بنلاقي أن واحد من كل تلاتة بالغين بـ
+
+50
+00:03:34,950 --> 00:03:43,490
+واحد من كل تلاتة بالغين يعاني
+
+51
+00:03:43,490 --> 00:03:44,470
+من الـ Hypertension
+
+52
+00:03:56,620 --> 00:04:01,720
+عفوًا للجطع اللي أنا عملت وضع الطيار نعود نستمر
+
+53
+00:04:01,720 --> 00:04:07,860
+لأن واحد من كل تلاتة بالغين في العالم أو حتى في في
+
+54
+00:04:07,860 --> 00:04:11,960
+أمريكا بيصير عنده hypertension هلجيت واحد من كل
+
+55
+00:04:11,960 --> 00:04:18,180
+تلاتة من البالغين اللي عندهم ضغط بيعرفوش انه عندهم
+
+56
+00:04:18,180 --> 00:04:22,760
+ضغط واحد من كل تلاتة بالغين
+
+57
+00:04:26,080 --> 00:04:30,960
+و عندهم ضغط و بيتعالجوا للضغط بيقدرش الواحد يتحكم
+
+58
+00:04:30,960 --> 00:04:34,700
+و هناك أسباب كثيرة بالضغط اللي هي مشاكل عدم التحكم
+
+59
+00:04:34,700 --> 00:04:38,580
+في الضغط يبقى أنا قاعد بحكي عن موضوع غاية في
+
+60
+00:04:38,580 --> 00:04:42,100
+الأهمية طب و أنا يعني كعلاج طبيعي انتوا جيت مخطروا
+
+61
+00:04:42,100 --> 00:04:46,480
+على بالكم و إيش دخلنا في الضغط؟ هو أنا بدأ أعمله
+
+62
+00:04:46,480 --> 00:04:49,880
+علاج طبيعي و أنا بدأ أشوف الضغط تبعه؟ لأ هو
+
+63
+00:04:49,880 --> 00:04:56,000
+كأخصائي علاج طبيعي لابد أن يكون فيهعند واحد محصلة
+
+64
+00:04:56,000 --> 00:05:01,260
+كاملة عن ارتفاع ضغط الدم عن السكري عن بعض الأمراض
+
+65
+00:05:01,260 --> 00:05:06,240
+الباطنة بل بالعكس في ال assessment بتتاخد الأمور
+
+66
+00:05:06,240 --> 00:05:12,500
+هاي في الاعتبار لاجوا ان ال hypertension بما ان
+
+67
+00:05:12,500 --> 00:05:20,130
+كتير من الزباين في العلاج الطبيعي old ageطولتين
+
+68
+00:05:20,130 --> 00:05:24,930
+طولتين الناس اللي فوق الـ 65 عندهم hypertension
+
+69
+00:05:24,930 --> 00:05:32,110
+طولتين يعني لو عندي 101 ع سبيل المثال الـ 100 هدول
+
+70
+00:05:32,110 --> 00:05:40,410
+فوق الـ 65 66 واحد عنده ضغط الجد اه معناته على
+
+71
+00:05:40,410 --> 00:05:45,580
+المضمون انا اي واحد كبير تقريباعالمضمون بقدر وفوق
+
+72
+00:05:45,580 --> 00:05:48,620
+الـ 65 أقوله والله بالشباب والأبو الخيرية في
+
+73
+00:05:48,620 --> 00:05:52,620
+الحالة هاي أنه شكله أنه أنت عندك hypertension
+
+74
+00:05:52,620 --> 00:05:57,700
+بعمله فحص ضغط بلجي عالي عنده فببقى أنا إيش زبطت
+
+75
+00:05:57,700 --> 00:06:03,300
+معايا الناس هدول أكتر ناس صعب التحكم في الضغط
+
+76
+00:06:03,300 --> 00:06:06,200
+عندهم وهنعرف ليش
+
+77
+00:06:09,270 --> 00:06:13,850
+هو علاج ارتفاع ضغط الدم حقيقية في كل واحد في
+
+78
+00:06:13,850 --> 00:06:19,970
+العالم كل واحد لكن حقيقة من المشاكل اللي بتواجه
+
+79
+00:06:19,970 --> 00:06:25,590
+بعض المجموعات من الناس في التحكم في الضغط هو الـ
+
+80
+00:06:25,590 --> 00:06:30,330
+lifestyle و الـ socioeconomic factors هذه من
+
+81
+00:06:30,330 --> 00:06:35,890
+الحاجات اللي بتعمل limitation للعلاج في حالات الـ
+
+82
+00:06:35,890 --> 00:06:41,230
+hypertensionطيب هو انا من الصبح hypertension
+
+83
+00:06:41,230 --> 00:06:43,890
+hypertension ايش بنقصده hypertension؟ ايش ال
+
+84
+00:06:43,890 --> 00:06:49,590
+definition؟ طبعا هذا موضوع غاية في الأهمية و طبعا
+
+85
+00:06:49,590 --> 00:06:52,990
+هتلاقي الأرقام هيك شوية هتقولوا طيب واش علي لو
+
+86
+00:06:52,990 --> 00:06:55,910
+زدنا واحد ولا نجسنا واحد ولا ايش لو زدنا خمسة
+
+87
+00:06:55,910 --> 00:07:01,390
+ونجسنا خمسة؟ احنا بنحكي هنا عن مرضى بالبلايين
+
+88
+00:07:01,390 --> 00:07:05,920
+بالبليون احنا بنحكي عن one billion patientفي
+
+89
+00:07:05,920 --> 00:07:10,600
+العالم عشان أنا أحرك الأرقام هذه في لحظة من
+
+90
+00:07:10,600 --> 00:07:15,860
+اللحظات الأعداد يا بتجل يا بتزيد، إيش يعني؟ طب
+
+91
+00:07:15,860 --> 00:07:20,600
+متجل وتزيد، لأ لأ، في سياسات اقتصادية عالمية
+
+92
+00:07:20,600 --> 00:07:25,340
+متعلقة بالموضوع، حياة ناس متعلقة بالموضوعبلاد
+
+93
+00:07:25,340 --> 00:07:29,960
+كاملة متعلقة بالموضوع فالموضوع ليس التأمينات
+
+94
+00:07:29,960 --> 00:07:34,240
+والمعامل التأمينات والمعاشات متعلقة بالموضوع فيبقى
+
+95
+00:07:34,240 --> 00:07:39,440
+الموضوع مدروس كويس وانحطط هذه الـ Definition بناء
+
+96
+00:07:39,440 --> 00:07:43,840
+على Statistics عالمية متعرف عليها بمعنى الـ
+
+97
+00:07:43,840 --> 00:07:46,360
+Definition اللي هحكيه الآن ما هتلاقوا أنه مثلا في
+
+98
+00:07:46,360 --> 00:07:50,520
+الصين مختلف أو في اليابان مختلف أو عند العرب مختلف
+
+99
+00:07:50,520 --> 00:07:53,850
+لأ هي نفس الـ Definitionالـ Definition هو
+
+100
+00:07:53,850 --> 00:07:58,150
+«Sustained»، إيش يعني «Sustained»؟ «Sustained»
+
+101
+00:07:58,150 --> 00:08:04,910
+يعني طول الوجد، يعني مش إنه والله إفلان خاف، ارتفع
+
+102
+00:08:04,910 --> 00:08:07,050
+ضغطه، جسدنا له الضغط، لجينا عيله، قولنا له عندك
+
+103
+00:08:07,050 --> 00:08:11,690
+ارتفاع ضغط الدم، لأ مينفعش الطريقة هاي، ها كيف،
+
+104
+00:08:11,690 --> 00:08:17,610
+أنا يعني بأديسله عدة مرات، هنحكي عن الطريقة عدة
+
+105
+00:08:17,610 --> 00:08:22,430
+مرات، في أوقات مختلفةوفي ظروف مختلفة وفي أماكن
+
+106
+00:08:22,430 --> 00:08:28,450
+مختلفة ولاجينا إنه دايما عنده الضغط مرتفع طب هو
+
+107
+00:08:28,450 --> 00:08:35,750
+أنه منهم الـ systolic blood pressure أكتر من 139 و
+
+108
+00:08:35,750 --> 00:08:42,110
+ال diastolic أكتر من 89 هيك أنا و أنا مرتاح بقول
+
+109
+00:08:42,110 --> 00:08:43,590
+is hypertension
+
+110
+00:08:50,330 --> 00:08:54,330
+وطبعا زي ما قلنا مش من أول رقم بروح بقول للناس أنت
+
+111
+00:08:54,330 --> 00:08:57,590
+عندك hypertension لابد يكون عنده أكتر من sitting
+
+112
+00:08:57,590 --> 00:09:03,070
+أو أكتر من visit عشان أقول الموضوع هذا لأن عشان
+
+113
+00:09:03,070 --> 00:09:08,830
+أجيس الضغط للناس لابد أنه أجيس صح ال equipment
+
+114
+00:09:08,830 --> 00:09:16,290
+اللي بأجيس فيها تكون معايرة وصحيحة اللي بيجيس لازم
+
+115
+00:09:16,290 --> 00:09:22,170
+يكون trained و retrainedالpatient must be properly
+
+116
+00:09:22,170 --> 00:09:27,490
+prepared and positioned and seated quietly for at
+
+117
+00:09:27,490 --> 00:09:30,530
+least خمسة minutes in a chair بمعنى أنا روحت على
+
+118
+00:09:30,530 --> 00:09:33,730
+الصيدلية بدي أجيس المفروض أنه الجهاز كويس اللي
+
+119
+00:09:33,730 --> 00:09:37,110
+عنده المفروض أنه اللي بدي أجيس للصيدلاني يعرف يجيس
+
+120
+00:09:37,110 --> 00:09:40,870
+كويس ومتدرب ومش من حد ما أجف عنده على طول يجيس لي
+
+121
+00:09:40,870 --> 00:09:44,550
+وانا واقف المفروض يجاعدني يجاعدني خمس لعشر دقايق
+
+122
+00:09:44,550 --> 00:09:52,990
+عبين مرتاح و بعدين بهدوء اجيسليوطبعا مهم يسألني
+
+123
+00:09:52,990 --> 00:09:59,890
+شربت في آخر نص ساعة جهوة، شاي، Coca Cola؟ هل عملت
+
+124
+00:09:59,890 --> 00:10:04,550
+exercise؟ مش معقول جاي والله من .. عارفش من الجندة
+
+125
+00:10:04,550 --> 00:10:08,450
+ورايح على الزتون و بعدها بدأ أجلس؟ طبعا حاجة ضغط
+
+126
+00:10:08,450 --> 00:10:14,490
+عالي المفروض مايكونش كمان smoking avoided for at
+
+127
+00:10:14,490 --> 00:10:17,790
+least 30 minutes before blood pressure
+
+128
+00:10:17,790 --> 00:10:21,700
+measurementsمهم جداً جداً أن الكف اللي أنا
+
+129
+00:10:21,700 --> 00:10:28,640
+بستعملها لجياس الضغط تكون كمان مناسبة للإيد وحجم
+
+130
+00:10:28,640 --> 00:10:34,660
+الإيد لازم أجيس زي ما قلنا مرتين على الأجال وطبعاً
+
+131
+00:10:34,660 --> 00:10:37,800
+لابد أنه أنا أقول للمريض أفهمه أن الرقم الأولاني
+
+132
+00:10:37,800 --> 00:10:41,600
+هو العالي هو الـ systolic والتاني اللي هو الواطب
+
+133
+00:10:41,600 --> 00:10:45,060
+اللي هو الdiastolic أفهم الموضوع هذا ضروري يعرف
+
+134
+00:10:45,060 --> 00:10:49,110
+الموضوع هذاطب الآن في عملولها classification blood
+
+135
+00:10:49,110 --> 00:10:55,550
+pressure الـ classification تبعها systolic and
+
+136
+00:10:55,550 --> 00:11:00,430
+diastolic الـ Normal هو أقل من 120 و أقل من 80 في
+
+137
+00:11:00,430 --> 00:11:05,570
+الدياستوليك الـ Prehypertension وحنعرف إيش يعني
+
+138
+00:11:05,570 --> 00:11:10,590
+الـ Prehypertension من 120 ل 139 في الـ systolic و
+
+139
+00:11:10,590 --> 00:11:15,900
+من 80 ل 89 في الدياستوليكوستيج وان هيبرتنشن وبعدين
+
+140
+00:11:15,900 --> 00:11:23,480
+سنعرف أيش يعني استيج وان 140 ل 159 و 90 ل 99 في
+
+141
+00:11:23,480 --> 00:11:29,180
+الدياستوليك وستيج تو هيبرتنشن أكتر من 160 أو 160
+
+142
+00:11:29,180 --> 00:11:39,980
+وأكتر في الستوليك أو أكتر من 100 أو يسوى 100 في
+
+143
+00:11:39,980 --> 00:11:40,720
+الدياستوليك
+
+144
+00:11:43,160 --> 00:11:47,000
+طبعاً ممكن الـ Prehypertension و الـ Stage 1 و الـ
+
+145
+00:11:47,000 --> 00:11:50,420
+Stage 2 يكون واحد من الاتنين عالي يعني الـ
+
+146
+00:11:50,420 --> 00:11:53,780
+Systolic لحاله ممكن و الـ Diastolic لحاله ممكن و
+
+147
+00:11:53,780 --> 00:11:57,760
+ممكن يكونوا التانين لكن ممكن أقول والله الـ
+
+148
+00:11:57,760 --> 00:12:01,700
+Prehypertension بالرغم من أنه .. أسمي المثال الـ
+
+149
+00:12:01,700 --> 00:12:06,680
+Prehypertension الـ Systolic 130 لكن الـ Diastolic
+
+150
+00:12:06,680 --> 00:12:13,480
+79 بنفعيعني هو رقم من الرقمين بكفي عشان انا اقول
+
+151
+00:12:13,480 --> 00:12:21,020
+عنه انه hypertension طب ايش الـ Pre-hypertension؟
+
+152
+00:12:21,020 --> 00:12:27,060
+الـ Pre-hypertension زي ما قلنا قبل شوية فوق الـ
+
+153
+00:12:27,060 --> 00:12:30,800
+120 ميلي
+
+154
+00:12:30,800 --> 00:12:41,460
+متر quicksilva وأقل من 190139 في الـ systolic الـ
+
+155
+00:12:41,460 --> 00:12:47,420
+diastolic من 80 وأقل من 89 الـ pre hypertension
+
+156
+00:12:47,420 --> 00:12:51,440
+كمان مرة يا جماعة is not a disease يعني بتقدرش
+
+157
+00:12:51,440 --> 00:12:54,120
+تقول لو واحد انت hypertension انت عندك ضغط دم
+
+158
+00:12:54,120 --> 00:13:04,390
+بتقدرش هو مش disease هو عبارة عن إشارة تلميحللمريض
+
+159
+00:13:04,390 --> 00:13:09,910
+أنه خد بالك أنك في حرارة عالية لتطور الـ
+
+160
+00:13:09,910 --> 00:13:13,470
+hypertension هذه
+
+161
+00:13:13,470 --> 00:13:17,450
+النقطة الأولى أن انت احتمالي كبير يحصل عند الضغط
+
+162
+00:13:17,450 --> 00:13:23,130
+خد بالك ومش بس و I'm not a candidate for drug
+
+163
+00:13:23,130 --> 00:13:26,680
+therapyولكن مش هتديله علاج، pre hypertension مش
+
+164
+00:13:26,680 --> 00:13:31,080
+هتديه علاج، لكن هذا عبارة عن تلميح، عن إشارة، عن
+
+165
+00:13:31,080 --> 00:13:35,640
+إنه خد بالك يا هذا، أنت احتمال كبير يصير عندك
+
+166
+00:13:35,640 --> 00:13:42,100
+hypertension لو ما أخدتش بالكو لازم لازم لازم تغير
+
+167
+00:13:42,100 --> 00:13:46,320
+نفسك كيف أغير نفسي lifestyle هتسمعوا كلمة
+
+168
+00:13:46,320 --> 00:13:50,480
+practicing lifestyle modification كتير في
+
+169
+00:13:50,480 --> 00:13:54,900
+محاضراتنا لأن هذا جزء كبير من ال education للعيان
+
+170
+00:13:54,900 --> 00:14:00,520
+how to change lifestyleأنا طول النهار قاعد على ال
+
+171
+00:14:00,520 --> 00:14:04,540
+laptop و لا على ال computer و أكل مع أكل مع أكل و
+
+172
+00:14:04,540 --> 00:14:11,480
+تدخين و pizza و ماعرفش إيش طبعا و باتحركش من
+
+173
+00:14:11,480 --> 00:14:16,220
+الكنباية للبطبخ و من البطبخ للكنباية طبيعي جدا جدا
+
+174
+00:14:16,220 --> 00:14:21,380
+أن هذا bad lifestyle و أنه لو صار عندي ضغط لو صار
+
+175
+00:14:21,380 --> 00:14:24,240
+عندي ضغط لابد أنه أو pre hypertension لابد أنه
+
+176
+00:14:24,240 --> 00:14:28,360
+أغير ال lifestyle لحتى أتغلب على pre hypertension
+
+177
+00:14:29,650 --> 00:14:32,890
+يبقى الـ Pre-hypertension عبارة عن تلميح للمريض
+
+178
+00:14:32,890 --> 00:14:37,750
+تلميح إنه إشارة، خد بالك، نين، not a candidate for
+
+179
+00:14:37,750 --> 00:14:44,510
+drug therapy لكن لازم نعمله advising to practice
+
+180
+00:14:44,510 --> 00:14:46,410
+lifestyle modification
+
+181
+00:14:51,410 --> 00:14:54,410
+يستثنى من الناس دول الـ Pre-hypertension الناس
+
+182
+00:14:54,410 --> 00:14:57,390
+اللي عندها ديابتس، عندها سكري أو عندها مرض كيلة
+
+183
+00:14:57,390 --> 00:15:04,010
+ممكن، ممكن، ممكن ينعطى دوة if a trial of lifestyle
+
+184
+00:15:04,010 --> 00:15:08,690
+modification fails إذا ما زبطتش معانا في قضية إن
+
+185
+00:15:08,690 --> 00:15:11,690
+الـ lifestyle وقال لك أنا مش قادر، أنا مش كذا
+
+186
+00:15:11,690 --> 00:15:16,930
+فممكن إنه fails to reduce blood pressure لـ130،
+
+187
+00:15:16,930 --> 00:15:20,030
+لـ80 أو أقل، يعني إذا لجينا إن الـ blood pressure
+
+188
+00:15:21,540 --> 00:15:25,300
+مش راضي يظبط معانا بالـ lifestyle أديه دوة أديه
+
+189
+00:15:25,300 --> 00:15:32,460
+علاج عشان أخفض الضغط تبعه من 130 من أجل من 130 ل
+
+190
+00:15:32,460 --> 00:15:38,800
+80 أو أجل احنا قلنا قبل شوية انه مش لازم عشان اقول
+
+191
+00:15:38,800 --> 00:15:43,960
+hypertension مش لازم يكون الاتنين الرقامين الستولك
+
+192
+00:15:43,960 --> 00:15:46,200
+والدياستولك لازم يكونوا عالين مش لازم
+
+193
+00:15:49,840 --> 00:15:53,820
+وأحد منهم لو كان عالي بيكفي فوق الحدود فأنا بقول
+
+194
+00:15:53,820 --> 00:15:57,800
+عنه isolated systolic hypertension أو isolated
+
+195
+00:15:57,800 --> 00:16:03,920
+diastolic hypertension طبعا هو مابختلفش في العلاج
+
+196
+00:16:03,920 --> 00:16:07,760
+كتير لكن لابد أنه ننتبه للقضية هي systolic blood
+
+197
+00:16:07,760 --> 00:16:10,300
+pressure should be primarily considered during
+
+198
+00:16:10,300 --> 00:16:14,740
+treatment and not just diagnostic blood pressure،
+
+199
+00:16:14,740 --> 00:16:15,740
+diastolic blood pressure
+
+200
+00:16:18,480 --> 00:16:22,420
+السيستوليك طبعاً هو يعتبر الأخطر برضه عشان ما نديش
+
+201
+00:16:22,420 --> 00:16:25,300
+التانية نفس القيمة سيستوليك ليش؟ لأن السيستوليك
+
+202
+00:16:25,300 --> 00:16:29,560
+بيمثل الـ Systemic Blood Pressure في كل الجسم
+
+203
+00:16:29,560 --> 00:16:33,480
+الدياستوليك له علاقة أكتر بالدياستول و بالـ
+
+204
+00:16:33,480 --> 00:16:38,080
+Pulmonary Crisis الدياستوليك Blood Pressure is
+
+205
+00:16:38,080 --> 00:16:42,160
+more important قبل عمر خمسين يبقى بعد عمر خمسين
+
+206
+00:16:42,160 --> 00:16:52,390
+الدياستوليك أهم قبل عمر خمسينطيب هو أجاني عيان و
+
+207
+00:16:52,390 --> 00:16:57,030
+جستله ضغطه مرة مرتين وجد ضغطه طبيعي، إيش أقوله؟
+
+208
+00:16:57,030 --> 00:17:01,650
+بقول الله سهل عليك ضغطك طبيعي، دير بلقى على حالك،
+
+209
+00:17:01,650 --> 00:17:06,550
+و بعد سنتين ابقى جيس كمام مارس، هذا ري تشيك، تشيك
+
+210
+00:17:06,550 --> 00:17:11,250
+كل سنتين، كل تلاتة، هذا وضع طبيعي لأي بني آدم أنه
+
+211
+00:17:11,250 --> 00:17:17,010
+يعمله فحص ضغط الدم الـ Prehypertension، أه بقوله
+
+212
+00:17:17,010 --> 00:17:23,060
+بدك تغير حياتكLifestyle modification تجلل الملح
+
+213
+00:17:23,060 --> 00:17:31,180
+تزيد الحركة بتاعتك تاكل فواكه وخضار أكترو .. و
+
+214
+00:17:31,180 --> 00:17:34,920
+بلاش قعدات ال .. ال .. ال laptop و ال computer و
+
+215
+00:17:34,920 --> 00:17:39,300
+ال .. ال pizza و .. و الحاجات هاي اتحرك أكتر لما
+
+216
+00:17:39,300 --> 00:17:42,840
+تروح على الجامع حاول تاخد طريق طويل و أنت مروح
+
+217
+00:17:42,840 --> 00:17:48,300
+برضه بلاش بالسيارة و حاول سطل الزبالة في مكتبك بدل
+
+218
+00:17:48,300 --> 00:17:52,000
+ما يكون تحت رجلك حاول تحطه بعيد عشان كل شوية تقوم
+
+219
+00:17:52,000 --> 00:17:55,620
+لسطل الزبالة و تتحركوهلو ما جرى lifestyle
+
+220
+00:17:55,620 --> 00:18:00,880
+modification لازم أغير حياتي أغير حياتي بالطريقة
+
+221
+00:18:00,880 --> 00:18:04,840
+هذه ممكن أتغلب على الـ pre hypertension لكن بدي
+
+222
+00:18:04,840 --> 00:18:09,880
+أجيس بعد شهر بعد سنة عفوا تاني ممكن قبل بس يعني
+
+223
+00:18:09,880 --> 00:18:15,960
+احنا بنحكي عن زي ما بقولوها guidelines stage one
+
+224
+00:18:15,960 --> 00:18:20,020
+hypertension إذا لجيت عنده والله شوية ريحة
+
+225
+00:18:20,020 --> 00:18:23,400
+hypertension بدي أشوفه بعد شهرين أجيس للضغط التاني
+
+226
+00:18:24,060 --> 00:18:28,400
+Stage 2 Hypertension طبعاً
+
+227
+00:18:28,400 --> 00:18:32,360
+حسب لكن في الأصل إنه ما أطولش وعود أديسله لأن هذه
+
+228
+00:18:32,360 --> 00:18:36,860
+بنعتبرها من أنواع هنحكي عنهم Emergency أو
+
+229
+00:18:36,860 --> 00:18:43,720
+Emergency Hypertension فيه
+
+230
+00:18:43,720 --> 00:18:49,680
+إننا طبعاً احنا Risk Factorsللـ Risk Factors هذه
+
+231
+00:18:49,680 --> 00:18:54,100
+لـ Cardiovascular Risk Factors على رأسها يعني أنا
+
+232
+00:18:54,100 --> 00:18:58,320
+عشان أقول والله فلان عنده أمراض قلب وأوعية دموية
+
+233
+00:18:58,320 --> 00:19:03,520
+في Risk Factor مهم جدا جدا باهتم بي اللي هو قضية
+
+234
+00:19:03,520 --> 00:19:07,240
+الضغط واللي هو رقم 1 يعني طبعا بالإضافة للتدخين و
+
+235
+00:19:07,240 --> 00:19:09,400
+ال obesity و ال physical inactivity و ال
+
+236
+00:19:09,400 --> 00:19:13,000
+dyslipidemia و ال diabetes mellitus و مشاكل الكلة
+
+237
+00:19:13,730 --> 00:19:16,950
+العمر family history هذه كلها risk factors لل
+
+238
+00:19:16,950 --> 00:19:21,630
+cardiovascular diseases يعني أي واحد باجب اكتشف
+
+239
+00:19:21,630 --> 00:19:24,690
+عنده مشكلة في القلب أول حاجة بتختار على بالي خد
+
+240
+00:19:24,690 --> 00:19:30,730
+بالك ضغطه احتمال ضغطه يكون عالي طب و احنا بنحكي
+
+241
+00:19:30,730 --> 00:19:38,270
+قلنا والله في حاجة اسمها crisis اش يعني crisis اش
+
+242
+00:19:38,270 --> 00:19:42,850
+يعني crisis crisis انه هي أزمة معناتها crisis يعني
+
+243
+00:19:42,850 --> 00:19:49,040
+أزمةهذه اللي بتصير إنها Crisis عندما يرتفع ضغط
+
+244
+00:19:49,040 --> 00:19:56,680
+الدم فوق أرقام معينة ويظهر إليها تأثير سنحكي عن
+
+245
+00:19:56,680 --> 00:20:00,440
+الموضوع هذا تأثير بطريقة أو أخرى على باقي الأعضاء
+
+246
+00:20:00,440 --> 00:20:07,560
+يبقى Crisis is a severe abruptly elevation in
+
+247
+00:20:07,560 --> 00:20:13,540
+blood pressure ارتفاع شديد مفاجئ في ضغط الدم
+
+248
+00:20:17,350 --> 00:20:20,910
+ومهم جداً هو لو واحد يقولك أنا والله عايش ضغط عالي
+
+249
+00:20:20,910 --> 00:20:26,130
+طول عمري ضغط 170 على 110 أو هيني زي الـFull صحيح،
+
+250
+00:20:26,130 --> 00:20:29,210
+احنا بنحكي عن «appropriately» حاجة سريعة، حاجة
+
+251
+00:20:29,210 --> 00:20:32,730
+فجائية بتصير الـ«rate of increase of blood
+
+252
+00:20:32,730 --> 00:20:35,930
+pressure» بلعب دور عنها إنه الإرتفاع خلال ربع
+
+253
+00:20:35,930 --> 00:20:39,950
+ساعة، خلال نص ساعة ولا ارتفاع خلال أيام أو شهور
+
+254
+00:20:39,950 --> 00:20:43,250
+فهذا مهم بالنسبة لنا في تعريف الـCrisis
+
+255
+00:20:43,250 --> 00:20:47,370
+الـHypertensive Crisisوهذه اللي بنسمعها و لا فلان
+
+256
+00:20:47,370 --> 00:20:52,650
+عنده ضغط الصحي الصبح عنده شلل نصفي أو عنده ذبح
+
+257
+00:20:52,650 --> 00:20:56,910
+صدرية أو عنده كذا نتيجة ارتفاع مفاجئ في ضغط الدم
+
+258
+00:20:56,910 --> 00:21:03,810
+لسبب أو لآخر ال patient with a history of
+
+259
+00:21:03,810 --> 00:21:07,630
+hypertension who have failed to comply with
+
+260
+00:21:07,630 --> 00:21:11,450
+medicationor who have been under-medicated الناس
+
+261
+00:21:11,450 --> 00:21:15,630
+هدول غالبًا يا إما بطل ياخد الدواء وصاهي عن
+
+262
+00:21:15,630 --> 00:21:21,310
+الموضوع أو إن الدواء اللي بياخده يعتبر جليل عمليًا
+
+263
+00:21:21,310 --> 00:21:26,930
+مش كفاية فهدول بيميلوا عند أي stress بغض النظر
+
+264
+00:21:26,930 --> 00:21:31,670
+organic ولا psychic إنه يرتفع ضغط الدم عندهم بدنا
+
+265
+00:21:31,670 --> 00:21:35,570
+نفرج هنا بين حاجتين الحاجة الأولى hypertensive
+
+266
+00:21:37,740 --> 00:21:43,000
+طبعا كله تحت crisis ال emergency أجواء وأشد ولا ال
+
+267
+00:21:43,000 --> 00:21:45,400
+emergency أجواء وأشد؟ هنقول الآن
+
+268
+00:21:48,540 --> 00:21:52,800
+الـ Hypertensive Emergency No Progressive Target
+
+269
+00:21:52,800 --> 00:21:55,980
+Organ Dysfunction بنقول عنه Accelerated
+
+270
+00:21:55,980 --> 00:22:00,520
+Hypertension يعني هو برتفع الضغط الدم لكن لا بيصير
+
+271
+00:22:00,520 --> 00:22:05,040
+مع الواحد وجع راس ولا طنة في الدان ولا بدوخ ولا
+
+272
+00:22:05,040 --> 00:22:10,180
+ولا ولا ولا لكن الـ Emergency بيصير عنده End Organ
+
+273
+00:22:10,180 --> 00:22:13,740
+Dysfunction بنقول عنه Malignant Hypertension يبدأ
+
+274
+00:22:13,740 --> 00:22:18,540
+مين الأخطر الـ Emergency ولا الـ Emergency؟الـ
+
+275
+00:22:18,540 --> 00:22:24,400
+Emergency هي الأخطر وهي اللي بتعملنا مشاكل تمام
+
+276
+00:22:24,400 --> 00:22:30,000
+مرة نرجع الـ Hypertensive Emergency Severe
+
+277
+00:22:30,000 --> 00:22:33,500
+elevated blood pressure in the upper range of
+
+278
+00:22:33,500 --> 00:22:38,740
+stage 2 hypertension without progressive end organ
+
+279
+00:22:38,740 --> 00:22:39,460
+dysfunction
+
+280
+00:22:42,590 --> 00:22:45,210
+زي ما قلنا highly elevated blood pressure without
+
+281
+00:22:45,210 --> 00:22:50,130
+severe headache shortness of breath or chest pain
+
+282
+00:22:50,130 --> 00:22:54,930
+usually في الغالب usually إيش يعني usually لما
+
+283
+00:22:54,930 --> 00:22:59,390
+نقولها 100% النسبة بتاعة usually ولا always 100%
+
+284
+00:22:59,390 --> 00:23:04,790
+always 100% usually غالبا ناتج عن under controlled
+
+285
+00:23:04,790 --> 00:23:05,990
+hypertension
+
+286
+00:23:07,930 --> 00:23:12,170
+إنه لأ غير متحكم في الضغط طيب الـ Hypertensive
+
+287
+00:23:12,170 --> 00:23:17,390
+Emergency هي Severely Elevated Blood Pressure فوق
+
+288
+00:23:17,390 --> 00:23:21,790
+الـ 180 للمائة وعشرين With Progressive Target
+
+289
+00:23:21,790 --> 00:23:27,670
+Organ Dysfunction وRequire Emergent Lowering Of
+
+290
+00:23:27,670 --> 00:23:31,250
+Blood Pressure ماقدرش أسكت عنه هداك الـ Emergency
+
+291
+00:23:31,250 --> 00:23:33,690
+أحنا سكتنا عنه لكن هذا ماقدرش نسكت عنه
+
+292
+00:23:36,760 --> 00:23:40,340
+مش ممكن يبينلي؟ ممكن يجيني الواحد بـHypertensive
+
+293
+00:23:40,340 --> 00:23:43,320
+Encephalopathy إيش يعني Encephalopathy؟
+
+294
+00:23:43,320 --> 00:23:47,320
+Encephalopathy، Encephalopathy،
+
+295
+00:23:47,320 --> 00:23:48,220
+Encephalopathy، Encephalopathy، Encephalopathy،
+
+296
+00:23:48,220 --> 00:23:48,260
+Encephalopathy، Encephalopathy، Encephalopathy،
+
+297
+00:23:48,260 --> 00:23:48,660
+Encephalopathy، Encephalopathy، Encephalopathy،
+
+298
+00:23:48,660 --> 00:23:48,840
+Encephalopathy، Encephalopathy، Encephalopathy،
+
+299
+00:23:48,840 --> 00:23:48,860
+Encephalopathy، Encephalopathy، Encephalopathy،
+
+300
+00:23:48,860 --> 00:23:49,940
+Encephalopathy، Encephalopathy، Encephalopathy،
+
+301
+00:23:49,940 --> 00:23:55,440
+Encephalopathy، Encephalopathy، Encephalopathy،
+
+302
+00:23:55,440 --> 00:24:00,160
+Encephalopathy، Encephalopathy،
+
+303
+00:24:00,160 --> 00:24:03,600
+Encephalopathy،
+
+304
+00:24:03,600 --> 00:24:08,870
+Enللقلب اليسرى لأن الـ left ventricle هو اللي بدخ
+
+305
+00:24:08,870 --> 00:24:14,630
+دم لمين؟ لباقي الجسم وباقي الجسم ضغطه عالي فلما
+
+306
+00:24:14,630 --> 00:24:19,310
+ييجي الـ left heart يدخ دم فبيصير عنده failure
+
+307
+00:24:19,310 --> 00:24:24,050
+بيقدرش ليش؟ لأنه بدخ على ضغط عالي with pulmonary
+
+308
+00:24:24,050 --> 00:24:29,840
+edema وبيصير عنده تحفيز للسوائل في الرئتينممكن
+
+309
+00:24:29,840 --> 00:24:34,260
+يصير عنا Acute MI أو Unstable Angina Vector الذبحة
+
+310
+00:24:34,260 --> 00:24:39,480
+صدرية وحنتحدث بعدين في يوم الأيام وممكن يصير عنا
+
+311
+00:24:39,480 --> 00:24:43,240
+Dissecting Aortic Aneurysm إيش يا دي Dissecting
+
+312
+00:24:43,240 --> 00:24:47,520
+Aortic Aneurysm؟
+
+313
+00:24:47,520 --> 00:24:55,280
+طبعا لأ أنا يعني لأ كله لحتى الآن اللي بتقولوه
+
+314
+00:24:55,280 --> 00:24:59,640
+بدكوا تقولوهمن خلال ايش الـ «dissecting aortic
+
+315
+00:24:59,640 --> 00:25:04,200
+aneurysm»؟ من خلال هذه رقم واحد في الـassignment
+
+316
+00:25:04,200 --> 00:25:10,100
+تبع اليوم What is dissecting aortic aneurysm؟ وهل
+
+317
+00:25:10,100 --> 00:25:14,200
+في عندنا أنواع من الـaortic aneurysm؟ طب في
+
+318
+00:25:14,200 --> 00:25:19,960
+aneurysms بتصير في أماكن تانية غير الأورطة؟ هذا
+
+319
+00:25:19,960 --> 00:25:25,150
+الجزء الأول من الـassignment تبع اليومواللي
+
+320
+00:25:25,150 --> 00:25:32,830
+هتبعتوليها على ال model كيف
+
+321
+00:25:32,830 --> 00:25:36,170
+أنا الأن كيف بدأ أعرف أي واحد عنده hypertensive
+
+322
+00:25:36,170 --> 00:25:42,170
+crisis طبعا أنا بجيسله ضغط صح كلامكم بس لكن بيبين
+
+323
+00:25:42,170 --> 00:25:48,830
+عليه المريض اللي ضغته برتفع بصورة emergency بيصير
+
+324
+00:25:48,830 --> 00:25:51,710
+عنده hypertensive encephalopathy بيصير عنده renal
+
+325
+00:25:51,710 --> 00:25:55,570
+insufficiency بيصير عنده heart failureالموناري
+
+326
+00:25:55,570 --> 00:26:00,750
+قديمة الـ Diaphoreses وهذا الجزء التاني من الـ
+
+327
+00:26:00,750 --> 00:26:06,050
+assignment إيش يعني Diaphoreses؟ وإيش في كلمات
+
+328
+00:26:06,050 --> 00:26:12,070
+بتشبهها؟ Diaphoreses وفي كلمات بتشبهها بتدي شبيه
+
+329
+00:26:12,070 --> 00:26:17,540
+المعنى تبعهابرضه هدى الجزء التانى من ال assignment
+
+330
+00:26:17,540 --> 00:26:22,600
+طب أنا كيف ال hypertensive crisis واحد الآن ضغطه
+
+331
+00:26:22,600 --> 00:26:28,060
+190 ع 120 زلمة عمره 65 ومعصب متقاتل مع ولاده مش
+
+332
+00:26:28,060 --> 00:26:32,820
+راضين يدوله مصروف او مش راضين يخلوه متجوز ولا اي
+
+333
+00:26:32,820 --> 00:26:38,700
+عاجة المهم عصب صار عنده hypertensive crisis كيف
+
+334
+00:26:38,700 --> 00:26:44,560
+بدى علاجها؟ طبعا هذا لابد من مستشفى رقم واحدالـ IV
+
+335
+00:26:44,560 --> 00:26:49,460
+Drug Therapy بيعطوه أدوية بالـ IV لازم توا حكينا
+
+336
+00:26:49,460 --> 00:26:54,200
+إذا فاكرين مع الـ hypertensive crisis بيصير عندنا
+
+337
+00:26:54,200 --> 00:26:58,280
+heart failure يعني بدي أعمله monitor لل cardiac
+
+338
+00:26:58,280 --> 00:27:03,380
+and renal function بدي أعمله عشان ال hypertensive
+
+339
+00:27:03,380 --> 00:27:08,580
+encephalopathy بدي أعمله neurologic check و بدي
+
+340
+00:27:08,580 --> 00:27:13,180
+أدور على السببالسبب ليه صار معه هيك؟ طب ليش أنا
+
+341
+00:27:13,180 --> 00:27:16,600
+بدي السبب؟ عشان مايتكررش، أنا صراحة مش هرجع لورا،
+
+342
+00:27:16,600 --> 00:27:18,060
+لكن عشان مايتكررش
+
+343
+00:27:20,150 --> 00:27:24,330
+لازم نقعد مع الناس Communication مع الناس عشان
+
+344
+00:27:24,330 --> 00:27:28,450
+أمنع to avoid future crisis لأن ال crisis زي ما
+
+345
+00:27:28,450 --> 00:27:31,690
+انتوا شايفينه يا جماعة ممكن تعمللي مشاكل كتير على
+
+346
+00:27:31,690 --> 00:27:35,350
+جميع أعضاء الجسم فموضوع الضغط ما هواش موضوع بس
+
+347
+00:27:35,350 --> 00:27:38,170
+بيعمللي شوية وجع راس وطنة في الدهن، لأ فهو ممكن
+
+348
+00:27:38,170 --> 00:27:41,750
+يأثرلي ويعملي coma ممكن يعملي encephalopathy ممكن
+
+349
+00:27:41,750 --> 00:27:46,030
+يعملي MI ممكن يعملي renal failure ممكن يعملي أمور
+
+350
+00:27:46,030 --> 00:27:51,480
+كتير زي ما حكينا قبل شويةالمهم أن ننتبه لهذا
+
+351
+00:27:51,480 --> 00:27:56,600
+الموضوع حكينا
+
+352
+00:27:56,600 --> 00:27:59,100
+عن الـ Classification قبل قليل لأننا نحكي عن الـ
+
+353
+00:27:59,100 --> 00:28:01,220
+Types of Hypertension في فرق بين الـ
+
+354
+00:28:01,220 --> 00:28:05,320
+Classification و بين الـ Types إيش الـ Types؟
+
+355
+00:28:05,320 --> 00:28:11,480
+الأنواع، في Hypertension هيك منه و فيه مالك يا
+
+356
+00:28:11,480 --> 00:28:16,000
+فلان والله قالولي عندك ضغط، من إيش؟ إيش من إيش؟ من
+
+357
+00:28:16,000 --> 00:28:19,900
+ولا إشي، هو الضغط هو المرض نفسههذا بيقول عنه
+
+358
+00:28:19,900 --> 00:28:24,700
+primary hypertension يعني مش جاي نتيجة حاجة بيقول
+
+359
+00:28:24,700 --> 00:28:30,760
+عنه essential hypertension وهذا يا جماعة بيمثل 95%
+
+360
+00:28:30,760 --> 00:28:35,080
+of cases of hypertension يعني بمعنى زي كمان مرة
+
+361
+00:28:35,080 --> 00:28:39,440
+السيناريو مالك يا فلان والله قالولي عندك ضغط من
+
+362
+00:28:39,440 --> 00:28:44,440
+إيش؟ مافيش من إيش هو هيك هو ضغط هو هو المرض اسمه
+
+363
+00:28:44,440 --> 00:28:44,800
+hypertension
+
+364
+00:28:48,310 --> 00:28:51,490
+وبنلاقيش إله سبب يا جماعة عادة مش إنه مالوش سبب
+
+365
+00:28:51,490 --> 00:28:56,330
+بنلاقيش إله سبب وإيش النوع التاني اسمه secondary
+
+366
+00:28:56,330 --> 00:28:58,650
+hypertension إيش يعني secondary هدا ال primary
+
+367
+00:28:58,650 --> 00:29:04,050
+يعني يعني هو البداية بداية رقم واحد ال secondary
+
+368
+00:29:04,050 --> 00:29:08,650
+هو ناشق عن وجود برض معين عملّي حاجة اسمها
+
+369
+00:29:08,650 --> 00:29:12,020
+secondary hypertensionطبعا انتوا لحد تلقاه
+
+370
+00:29:12,020 --> 00:29:17,400
+ماسمعتوش حد نادى بندورة ولا با نادى قخ ولا غاز ولا
+
+371
+00:29:17,400 --> 00:29:20,980
+حاجة ملاحظين؟ اه لإن أنا في منطقة معزولة عمليا في
+
+372
+00:29:20,980 --> 00:29:25,260
+المستشفى قاعد بسجل فمافيش حد يقول حاجة زيك مستقبلا
+
+373
+00:29:25,260 --> 00:29:28,840
+طبعا تتوقعوا تسمعوا حاجة زي هي لما أكون في البيت
+
+374
+00:29:28,840 --> 00:29:32,280
+هيني قلتلكوا سر وقت إيش أنا بسجل في البيت و وقت
+
+375
+00:29:32,280 --> 00:29:37,720
+إيش بسجل في المستشفىكمان مرة نعود نرجع secondary
+
+376
+00:29:37,720 --> 00:29:41,600
+hypertension less common cause of hypertension
+
+377
+00:29:41,600 --> 00:29:45,800
+خمسة في المية و هي زي ما قلنا بيبقى في عندي سبب
+
+378
+00:29:45,800 --> 00:29:49,920
+عندي مرض في الكلة فعمللي hypertension بقول عنه
+
+379
+00:29:49,920 --> 00:29:55,120
+secondary طيب إيش الأسباب اللي ممكن تعملي
+
+380
+00:29:55,120 --> 00:30:02,640
+secondary hypertension؟ و هذا
+
+381
+00:30:02,640 --> 00:30:13,860
+هو هحكيهموهذا هو السبب أو الجزء التالت من الـ
+
+382
+00:30:13,860 --> 00:30:19,440
+assignment تبعنا اللي هو الـ causes of secondary
+
+383
+00:30:19,440 --> 00:30:23,460
+hypertension أنا هحكيهم أشرح عنهم بعض الحاجات لكن
+
+384
+00:30:23,460 --> 00:30:29,570
+بدي منكم على كل واحدة ينكتبمن ثلاث لأربع أسطور
+
+385
+00:30:29,570 --> 00:30:36,730
+كتابة و برضه تبعتولياهم على
+
+386
+00:30:36,730 --> 00:30:40,230
+ال
+
+387
+00:30:40,230 --> 00:30:45,510
+model و هذا الكلام ما يطولش عن من تاريخ ما تشوفوا
+
+388
+00:30:45,510 --> 00:30:52,290
+المحاضرة من تاريخ ما أنزلها Maximum تلات أيام وبعد
+
+389
+00:30:52,290 --> 00:30:57,840
+هيك ما هتلجح حاجةلأنه لازم خلاص نتنشط، بدي أحاول
+
+390
+00:30:57,840 --> 00:31:01,380
+ألزم معاكوا وأنتوا تلتزموا معايا عشان مايتحوشش
+
+391
+00:31:01,380 --> 00:31:04,740
+عليكم المحاضرات وفي الآخر ما تلاحظوش لا أهدأ ولا
+
+392
+00:31:04,740 --> 00:31:08,080
+أهدأ ولا أهدأ، بحاول إن شاء الله أنا مع فريزة إن
+
+393
+00:31:08,080 --> 00:31:11,640
+شاء الله تعالى نحدد مواعيد وأحاول أحافظ عليها جدر
+
+394
+00:31:11,640 --> 00:31:14,580
+الإمكان، إن شاء الله تعالى، طيب إيش ال causes of
+
+395
+00:31:14,580 --> 00:31:19,620
+secondary hypertension؟ واحد sleep أبنية، إيش
+
+396
+00:31:19,620 --> 00:31:25,020
+يعني؟السليب أبنية يعني by sleep بيصير الواحد عنده
+
+397
+00:31:25,020 --> 00:31:29,180
+أبنية، إيش يعني أبنية؟ cessation of breathing،
+
+398
+00:31:29,180 --> 00:31:33,040
+يعني توقف عن النفس لمدة تزيد عن عشر ثواني، هذه
+
+399
+00:31:33,040 --> 00:31:35,700
+بقول عنها sleep أبنية، إليها أسباب كتير، في الغالب
+
+400
+00:31:35,700 --> 00:31:40,340
+obstructive، هذه بتعمل ليه؟ hypertension، drug
+
+401
+00:31:40,340 --> 00:31:44,900
+-induced، وهذه فرصة للكم عشان إيش؟ تقولوا ليه؟ بعض
+
+402
+00:31:44,900 --> 00:31:50,610
+ال drugs اللي بتعمل hypertensionChronic kidney
+
+403
+00:31:50,610 --> 00:31:56,310
+disease كرونيك
+
+404
+00:31:56,310 --> 00:31:58,530
+كيدني ديسيز كرونيك كيدني ديسيز كرونيك كيدني ديسيز
+
+405
+00:31:58,530 --> 00:31:58,610
+كرونيك كيدني ديسيز كرونيك كيدني ديسيز كرونيك كيدني
+
+406
+00:31:58,610 --> 00:32:00,670
+ديسيز كرونيك كيدني ديسيز كرونيك كيدني ديسيز كرونيك
+
+407
+00:32:00,670 --> 00:32:02,670
+كيدني ديسيز كرونيك كيدني ديسيز كرونيك كيدني ديسيز
+
+408
+00:32:02,670 --> 00:32:06,810
+كرونيك كيدني ديسيز كرونيك كيدني ديسيز كرونيك كيدني
+
+409
+00:32:06,810 --> 00:32:13,050
+ديسيز كرونيك كيدني ديسيز كرونيك كيدني ديسيز كرونيك
+
+410
+00:32:13,050 --> 00:32:19,150
+كيدني ديسيChronic Steroid Therapy and Caching
+
+411
+00:32:19,150 --> 00:32:23,110
+Syndrome فينا
+
+412
+00:32:23,110 --> 00:32:34,430
+حاجة اسمها Pheochromocytoma Pheochromocytoma
+
+413
+00:32:34,430 --> 00:32:39,870
+Pheochromocytoma Pheochromocytoma Pheochromocytoma
+
+414
+00:32:39,870 --> 00:32:43,650
+Pheochromocytoma Pheochromocytoma Pheochromocytoma
+
+415
+00:32:44,230 --> 00:32:48,710
+النوع من أنواع الورم في بعض الخلايا مش هقولكوا وين
+
+416
+00:32:48,710 --> 00:32:53,750
+لأن انتوا تجروا عنها الآن و تبعتولي وهذه بتزيد
+
+417
+00:32:53,750 --> 00:32:58,550
+إفراز هرمون معين برضه مش هقولكوا إيش الهرمون و
+
+418
+00:32:58,550 --> 00:33:04,090
+الهرمون هذا إيش بعمل؟ صح برفع ضغط الدم بصورة كبيرة
+
+419
+00:33:04,090 --> 00:33:11,530
+طب إيش العلاج تبعه؟ انتوا هتقولولي الـHyper and
+
+420
+00:33:11,530 --> 00:33:17,280
+Hypothyroidismكمان بيعملنا hypertension اتصوروا
+
+421
+00:33:17,280 --> 00:33:21,480
+أنا لسه ما قلتش كل الأسباب هذه بعض الأسباب إذا أي
+
+422
+00:33:21,480 --> 00:33:25,420
+حد بيقدر يضيف كمان أسباب secondary hypertension
+
+423
+00:33:25,420 --> 00:33:32,820
+بيبقى كتير كويس في الجواب تبعه بيبقى كتير كويسيبقى
+
+424
+00:33:32,820 --> 00:33:35,880
+كمان مرة Causes of secondary hypertension Sleep
+
+425
+00:33:35,880 --> 00:33:40,240
+apnea Drug-induced and or related causes Chronic
+
+426
+00:33:40,240 --> 00:33:44,100
+kidney disease Renovascular disease Chronic
+
+427
+00:33:44,100 --> 00:33:47,280
+steroid therapy and caching syndrome فيه
+
+428
+00:33:47,280 --> 00:33:52,560
+Chromocytoma Coercutation of the aorta Hyper and
+
+429
+00:33:52,560 --> 00:33:58,660
+hypothyroidism or hypothyroidism هنا في مشروع بعض
+
+430
+00:33:58,660 --> 00:33:59,220
+الحاجات
+
+431
+00:34:04,100 --> 00:34:07,080
+وهتوقف أنا هان على أساس أن أنا بس المحاضرة الأولى
+
+432
+00:34:07,080 --> 00:34:10,340
+ومش حابب أتجل عليكم كتير أنه في عندنا
+
+433
+00:34:10,340 --> 00:34:13,340
+complications للـ uncontrolled hypertension يعني
+
+434
+00:34:13,340 --> 00:34:17,240
+مجموعة الناس هذه اللي بتقولك لأ أنا ماعنديش ضغط
+
+435
+00:34:17,240 --> 00:34:21,160
+وأنا مابديش أدوى ضغط أو مابديش ألتزم في
+
+436
+00:34:21,160 --> 00:34:25,800
+complications بتصير ال complications هي حقيقة على
+
+437
+00:34:25,800 --> 00:34:31,020
+المدى الطويل فيها مشكلة كبيرةنتحدث عنها في المرات
+
+438
+00:34:31,020 --> 00:34:33,620
+القادمة الـ Complication تبدأ على الـ Heart، على
+
+439
+00:34:33,620 --> 00:34:37,440
+الـ Brain، على الـ Kidney، على الـ Arteries، على
+
+440
+00:34:37,440 --> 00:34:43,300
+الـ Retina، وكما قلنا عن الـ Nervous System، على
+
+441
+00:34:43,300 --> 00:34:49,380
+العيون، ممكن تعملنا مشاكلهو حنتحدث المرة الجاية عن
+
+442
+00:34:49,380 --> 00:34:53,060
+الـ Patient Evaluation Objectives إيش اللي بديها
+
+443
+00:34:53,060 --> 00:34:56,100
+في العلاج؟ لو وين بدأ أوصل في العلاج؟ إيش فايدة
+
+444
+00:34:56,100 --> 00:35:00,380
+العلاج؟ إيش ممكن يحسنلي في وضع البني آدم؟ هنتحدث
+
+445
+00:35:00,380 --> 00:35:05,980
+عن الـ Lifestyle Modification How to do it؟هنتحدث
+
+446
+00:35:05,980 --> 00:35:13,980
+كمان الأدوية مش هندخل عليها لكن بالصورة هاي تقريبا
+
+447
+00:35:13,980 --> 00:35:20,860
+بنبقى المرة الجاية ان شاء الله تعالى خلصنا محاضرة
+
+448
+00:35:20,860 --> 00:35:24,180
+الـ Hypertension واللي هي محاضرة مش طويلة لكن زي
+
+449
+00:35:24,180 --> 00:35:29,060
+ما قلنا يعني ممتدة بين مواضيع كتير من الموضوعات
+
+450
+00:35:29,340 --> 00:35:33,720
+يعني أرجو أنه أكون سهلت عليكم الموضوع جدر الإمكان
+
+451
+00:35:33,720 --> 00:35:38,140
+هحاول أبعتلكوا المادة إن شاء الله تعالى على أساس
+
+452
+00:35:38,140 --> 00:35:41,400
+اللي بده يبدأ يدرس أحنا عندنا المادة موجودة على
+
+453
+00:35:41,400 --> 00:35:44,520
+اللي هي الـPowerPoint هبعتلكوا إياها لكن المادة
+
+454
+00:35:44,520 --> 00:35:48,700
+التانية اللي هي في بعض المواضيع أنا هبعتلكوا فيها
+
+455
+00:35:48,700 --> 00:35:57,140
+Word ملف Word على أساس إنه تركزوا في الدراسة لهذا
+
+456
+00:35:57,140 --> 00:36:01,810
+الموضوع من ملف الـWord كمانتوقّلنا على الله ان شاء
+
+457
+00:36:01,810 --> 00:36:06,030
+الله نهاركوا سعيد وربنا يسر الأمور ان شاء الله
+
+458
+00:36:06,030 --> 00:36:11,250
+وتنسوش فريزة تنسيش تبعتيلي بس القائمة بال ..
+
+459
+00:36:11,250 --> 00:36:15,650
+بالمجموعات عشان نبدأ نشوف إيش بدنا نسوي السلام
+
+460
+00:36:15,650 --> 00:36:15,970
+عليكم
+
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/4FK6MUObdtw.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/4FK6MUObdtw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..05bf680a2a9b45e78424f5c94d84dc3c58e592b9
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/4FK6MUObdtw.srt
@@ -0,0 +1,1595 @@
+1
+00:00:00,960 --> 00:00:03,520
+بسم الله الرحمن الرحيم اليوم إن شاء الله محاضرة
+
+2
+00:00:03,520 --> 00:00:07,960
+جديدة اليوم طبعا تسجيل من البيت ادعوا ربنا الكرام
+
+3
+00:00:07,960 --> 00:00:12,700
+و إن شاء الله ما يكونوش كتيرة على كل حال هيك أنتم عارفين لو
+
+4
+00:00:12,700 --> 00:00:18,760
+سمعتوا لكوا صوت حطب بيقوص أو جزر جزاز مكسر أي حاجة على
+
+5
+00:00:18,760 --> 00:00:21,800
+كل حال اليوم هنتحدث إن شاء الله برضه في الجهاز
+
+6
+00:00:21,800 --> 00:00:26,970
+الهضمي كنا بدأنا و حكينا إذا فاكرين عن الـ
+
+7
+00:00:26,970 --> 00:00:30,090
+gastroesophageal reflux والبيبتيك ألثر والديدونال ألثر
+
+8
+00:00:30,090 --> 00:00:33,730
+الآن بنروح للـ gallbladder إيش عن ال gallbladder
+
+9
+00:00:33,730 --> 00:00:39,210
+المرارة gallbladder disorders أمراض المرارة
+
+10
+00:00:39,210 --> 00:00:44,410
+المرارة يعني احنا زي ما كلنا عارفين هي عبارة عن
+
+11
+00:00:44,410 --> 00:00:49,990
+عضو
+
+12
+00:00:50,930 --> 00:00:53,670
+موجود في الـ right upper quadrant of the abdomen
+
+13
+00:00:53,670 --> 00:00:58,710
+right below the liver تحت ال liver على اليمين يعني
+
+14
+00:00:58,710 --> 00:01:03,610
+ال liver منه تحت ال gallbladder هي عبارة عن a part
+
+15
+00:01:03,610 --> 00:01:10,530
+of the biliary system نقول عنه الجهاز البابي biliary
+
+16
+00:01:10,530 --> 00:01:16,010
+system اللي هو اللي بيصدر ال fluids من ال liver
+
+17
+00:01:16,010 --> 00:01:22,730
+للجهاز الهضمي والـ gallbladder يا جماعة لازم نكون
+
+18
+00:01:22,730 --> 00:01:30,130
+كلنا عارفين إن هي بتصنعش حاجة هي بس storage
+
+19
+00:01:30,130 --> 00:01:36,670
+reservoir for the bile بس لأنها بتجمع ال bile
+
+20
+00:01:36,670 --> 00:01:42,130
+المادة الصفراوية فيها بس إذا كمان مرة الـ
+
+21
+00:01:42,130 --> 00:01:47,070
+main function is to store bile not produce which
+
+22
+00:01:47,070 --> 00:01:52,410
+helps the body digest fats طبعا ال digest fats
+
+23
+00:01:52,410 --> 00:01:57,930
+اللي هو زي ما قلنا اللي هو الـ الـ الـ الـ الـ الـ fluid
+
+24
+00:01:57,930 --> 00:02:05,670
+ال bile نفسه مش الـ الـ الـ الـ gallbladder الكبد
+
+25
+00:02:05,670 --> 00:02:16,210
+بيكوّن الـ Bile وعن
+
+26
+00:02:16,210 --> 00:02:20,210
+طريق الممرات بيروح على الـ gallbladder لما نأكل أو
+
+27
+00:02:20,210 --> 00:02:25,410
+نشرب خاصة الحاجات اللي فيها fat ال bile released
+
+28
+00:02:25,410 --> 00:02:30,350
+بس بيخرج from the gallbladder into the upper small
+
+29
+00:02:30,350 --> 00:02:34,890
+intestine في منطقة الدودينم بتلاقوه to help
+
+30
+00:02:34,890 --> 00:02:37,950
+break down fats زي ما احنا شايفين هان اللي هو
+
+31
+00:02:37,950 --> 00:02:42,210
+الكبد ال gallbladder اللي هي الجزء الأخضر هاي الممر
+
+32
+00:02:42,210 --> 00:02:48,230
+اللي طالع من ال gallbladder ورايح من خلال ال head
+
+33
+00:02:48,230 --> 00:02:54,170
+of pancreas ودخل في ال sphincter of Oddi دخل في
+
+34
+00:02:54,170 --> 00:02:58,920
+وين؟ في الدودينم الدودينم اللي هو الـ 12 الـ
+
+35
+00:02:58,920 --> 00:03:04,480
+duodenum اللي هو الـ 12 طبعا بيلتقي وانا طبعا
+
+36
+00:03:04,480 --> 00:03:09,540
+مهم الملاحظات هاي بيلتقي الـ sphincter المخرج تبع
+
+37
+00:03:09,540 --> 00:03:14,780
+ال common bile duct اللي هو اللي طالع من الـ gallbladder
+
+38
+00:03:14,780 --> 00:03:19,200
+بيلتقي في نفس المنطقة أو نفس الفتحة اللي
+
+39
+00:03:19,200 --> 00:03:23,460
+بيصب فيها كمان من الـ pancreas الـ pancreatic duct
+
+40
+00:03:23,460 --> 00:03:28,020
+يعني الـ pancreatic duct بيشتمع مع الـ common bile
+
+41
+00:03:28,020 --> 00:03:31,900
+duct وبيصب وين في الـ duodenum ليش هذا الموضوع
+
+42
+00:03:31,900 --> 00:03:36,620
+مهم بالنسبة لنا؟ لأن أي مشكلة في المنطقة هذه، يعني
+
+43
+00:03:36,620 --> 00:03:40,300
+عند الفتحة هذه، ممكن تعملي كمان مشاكل في وين، في
+
+44
+00:03:40,300 --> 00:03:48,040
+ال pancreas ايضا ممكن تكون المشكلة هي stone يعني
+
+45
+00:03:48,040 --> 00:03:56,740
+حصوة ممكن يكون tumor كمان ومسكر ليه طبعا بيحجز
+
+46
+00:03:56,740 --> 00:04:02,900
+المادة الصفراء من دخول الدودينام لكن في نفس الوقت
+
+47
+00:04:02,900 --> 00:04:06,680
+المادة الصفراء بتنتشر في الجسم وبصير عندنا الصفار
+
+48
+00:04:06,680 --> 00:04:10,200
+الصفار اللي هو نتيجة المادة الصفراء بتنتشر كمان مرة
+
+49
+00:04:11,300 --> 00:04:15,180
+في عيننا اللي هو اللي بيطلع من الـ common bile
+
+50
+00:04:15,180 --> 00:04:18,740
+duct اللي هو الـ common bile duct وهو نتيجة الـ
+
+51
+00:04:18,740 --> 00:04:21,320
+common bile duct اجتماع الـ common hepatic duct
+
+52
+00:04:21,320 --> 00:04:23,960
+والـ cystic duct بيجتمعوا مع بعض الـ common
+
+53
+00:04:23,960 --> 00:04:29,000
+hepatic duct جاي من اللفر والـ
+
+54
+00:04:29,000 --> 00:04:34,920
+cystic duct جاي من الـ gallbladder الـ common
+
+55
+00:04:34,920 --> 00:04:39,770
+bile duct بيصب في الدودينام من نفس المكان اللي هو
+
+56
+00:04:39,770 --> 00:04:43,950
+«sphincter of Oddi» Oddi هذا اسم شخص اللي هو فتحة
+
+57
+00:04:43,950 --> 00:04:50,750
+Oddi مع الـ pancreatic duct بيصب في الدودينام الـ
+
+58
+00:04:50,750 --> 00:04:57,550
+gallbladder diseases بس كشوية هيك معلومات و
+
+59
+00:04:57,550 --> 00:05:02,910
+تعريفات في عندنا الـ gallbladder stone والتهاب للـ
+
+60
+00:05:02,910 --> 00:05:06,880
+gallbladder هدول أهم اثنين ال gallbladder stone
+
+61
+00:05:06,880 --> 00:05:13,720
+حصوات المرارة وفيه التهاب المرارة ال chole
+
+62
+00:05:13,720 --> 00:05:17,640
+lithiasis اللي هو ال chole اللي هي ال cyst هي
+
+63
+00:05:17,640 --> 00:05:20,880
+نفسها اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+64
+00:05:20,880 --> 00:05:21,220
+اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+65
+00:05:21,220 --> 00:05:21,680
+اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+66
+00:05:21,680 --> 00:05:21,700
+اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+67
+00:05:21,700 --> 00:05:21,760
+اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+68
+00:05:21,760 --> 00:05:21,940
+اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+69
+00:05:21,940 --> 00:05:30,320
+اللي اللي اللي اللي اللي اللي اللي
+
+70
+00:05:30,320 --> 00:05:34,540
+اللي اللـ within the gallbladder أو في ال biliary
+
+71
+00:05:34,540 --> 00:05:39,040
+duct system يعني هذا بقول عنه cholelithiasis أي
+
+72
+00:05:39,040 --> 00:05:42,540
+تكوين حصوات جوا ال gallbladder أو في الممرات
+
+73
+00:05:42,540 --> 00:05:47,540
+البابية اللي هي في ال biliary duct system بسميها
+
+74
+00:05:47,540 --> 00:05:51,640
+cholelithiasis حصوات المرارة أو gallbladder stones
+
+75
+00:05:53,190 --> 00:05:56,570
+الآن كل ال cystitis اللي كمان مرة اللي هي الـ
+
+76
+00:05:56,570 --> 00:06:01,590
+gallbladder أو الصفاء الصفراء ال cyst اللي هي الكيس
+
+77
+00:06:01,590 --> 00:06:05,710
+كيس الصفراء it is التهاب inflammation of جوا الـ
+
+78
+00:06:05,710 --> 00:06:10,770
+gallbladder كل ال cystitis طيب وكل ال cholangitis
+
+79
+00:06:10,770 --> 00:06:14,630
+inflammation of biliary duct حالة طبعا نادرة لكن
+
+80
+00:06:14,630 --> 00:06:19,300
+لازم نذكرها إن inflammation of the biliary duct الـ
+
+81
+00:06:19,300 --> 00:06:20,760
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+82
+00:06:20,760 --> 00:06:20,880
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+83
+00:06:20,880 --> 00:06:21,480
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+84
+00:06:21,480 --> 00:06:22,960
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+85
+00:06:22,960 --> 00:06:26,460
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+86
+00:06:26,460 --> 00:06:31,200
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+87
+00:06:31,200 --> 00:06:33,840
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+88
+00:06:33,840 --> 00:06:34,320
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+89
+00:06:34,320 --> 00:06:45,060
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+90
+00:06:45,060 --> 00:06:47,960
+الـ الـ الـ stasis of the
+
+91
+00:06:47,960 --> 00:07:12,780
+biliary’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’
+
+92
+00:07:15,740 --> 00:07:20,700
+أي حد بدي يحكي عن المرارة بنسمع في غالبية الأحيان
+
+93
+00:07:20,700 --> 00:07:26,140
+غالبية الأحيان بنسمع gall stones اللي هي حصوات
+
+94
+00:07:26,140 --> 00:07:29,360
+مرارية عنده حصوات مرارية عنده ما عنده بسمع والله
+
+95
+00:07:29,360 --> 00:07:34,060
+عنده التهابات فيها أو عنده كذا لا هو by far gall
+
+96
+00:07:34,060 --> 00:07:38,920
+bladder stones by far the most common problem في
+
+97
+00:07:38,920 --> 00:07:43,380
+منطقة اللي هي ال gallbladder وهي زي ما قلنا الـ
+
+98
+00:07:43,380 --> 00:07:47,700
+stones tiny stones that form from hardening bile
+
+99
+00:07:47,700 --> 00:07:52,800
+and cholesterol متكونة من عصارة صفراوية متجمدة مع
+
+100
+00:07:52,800 --> 00:07:59,540
+كولسترول علشان هيك الحاجات الدهنية بتساعد على تكوين
+
+101
+00:07:59,540 --> 00:08:03,780
+ال gallstones الكولسترول هي في حد ذاتها ما فيها
+
+102
+00:08:03,780 --> 00:08:05,960
+مشكلة كبيرة لكن هي لو عملت block
+
+103
+00:08:13,230 --> 00:08:19,250
+الرسم الأولاني لو اجى أي stone في أي مكان هي الرسم
+
+104
+00:08:19,250 --> 00:08:25,110
+الأولى اللي هي في العنوان هنلاحظ ال gall stones
+
+105
+00:08:28,390 --> 00:08:32,770
+ال gall stones لما وقف لي عند ال common bile duct
+
+106
+00:08:32,770 --> 00:08:36,270
+والبنكرياس الدكت فعملي حجز gall stones لما
+
+107
+00:08:36,270 --> 00:08:40,610
+عمل لي blocking لل common bile duct فعملي حجز ال
+
+108
+00:08:40,610 --> 00:08:45,730
+gall stones وهي في جلب ال gallbladder عمليا مش
+
+109
+00:08:45,730 --> 00:08:50,170
+عامل لي مشاكل عمليا مش عامل لي مشاكل يبقى أنا هنا
+
+110
+00:08:50,170 --> 00:08:56,790
+مشكلتي منجله على الرسمة برضه اللي فوق gall stones في
+
+111
+00:08:56,790 --> 00:09:03,210
+ال gall bladder gall stones في ال cystic duct gall stones
+
+112
+00:09:03,210 --> 00:09:07,670
+في ال common bile duct وزي ما قلنا gall stones عند
+
+113
+00:09:07,670 --> 00:09:11,930
+اللي هي الممر المشترك بين ال pancreatic duct و
+
+114
+00:09:11,930 --> 00:09:18,210
+بين ال common bile duct تعود نرجع يبقى أنا مشكلتي
+
+115
+00:09:18,210 --> 00:09:25,840
+في ال gall stones blockage وهذا ما
+
+116
+00:09:25,840 --> 00:09:32,820
+يعمل ايه؟ طبعا أي حاجة لأن ال bile
+
+117
+00:09:32,820 --> 00:09:39,540
+duct هي عبارة عن ممرات الممرات هي فيها نوع من
+
+118
+00:09:39,540 --> 00:09:45,520
+ال peristalsis فهي ممكن لما يكون في حصوى ينحجز جوا
+
+119
+00:09:45,520 --> 00:09:50,670
+ال duct الحصوى فتعمل ل severe pain طبعا غير أنه
+
+120
+00:09:50,670 --> 00:09:54,550
+ال bile كمان بينحجز في ال .. في ال gallbladder
+
+121
+00:09:54,550 --> 00:09:58,010
+فممكن يعملي كمان pain، severe pain particularly
+
+122
+00:09:58,010 --> 00:10:02,150
+after eating fatty أو greasy زيتي foods، joints
+
+123
+00:10:02,150 --> 00:10:05,630
+اسمه يعملي صفار طبعا yellowing of the skin and
+
+124
+00:10:05,630 --> 00:10:11,220
+eyes ليش؟ لأن الصفار بطل يروح الجهاز الهضمي فإيش
+
+125
+00:10:11,220 --> 00:10:15,840
+بيعمل ليه؟ بيطلع، بيمتص في الدم وبعد هيك بيبين
+
+126
+00:10:15,840 --> 00:10:19,920
+كصفار في الجلد، وإيش كمان؟ طبعا وجود حصوة في
+
+127
+00:10:19,920 --> 00:10:22,980
+الممرات هاي أو في ال gallbladder ممكن يديني كل
+
+128
+00:10:22,980 --> 00:10:25,600
+ال cystitis التهيابات و irritation و inflammation
+
+129
+00:10:25,600 --> 00:10:32,180
+للغشاء كمان ممكن إيش يصير؟ نتيجة الاحتقان اللي صار
+
+130
+00:10:32,180 --> 00:10:37,720
+عند مدخل ال pancreas لل gallbladder لل duodenum ممكن يصير
+
+131
+00:10:37,720 --> 00:10:43,370
+عندي pancreatitis زي ما حكينا في لما يعملوا
+
+132
+00:10:43,370 --> 00:10:47,150
+blockage لل pancreatic ducts ممكن يصير عندي bowel
+
+133
+00:10:47,150 --> 00:10:50,950
+obstruction caused by gall stone passing into the
+
+134
+00:10:50,950 --> 00:10:54,190
+intestine and then blocking the intestine الآن
+
+135
+00:10:54,190 --> 00:10:59,210
+فرضا دخلت الحصوة على الأمعاء وفي الأمعاء ممكن تجمع
+
+136
+00:10:59,210 --> 00:11:03,170
+الحصوة حواليها كمان حاجة ممكن تعملي obstruction لل
+
+137
+00:11:03,170 --> 00:11:09,010
+bowel للأمعاء problem like gall stones may never
+
+138
+00:11:09,010 --> 00:11:13,930
+cause any pain at all but that doesn’t mean they
+
+139
+00:11:13,930 --> 00:11:16,470
+will resolve themselves هو طبعا ممكن تكون
+
+140
+00:11:16,470 --> 00:11:19,510
+asymptomatic stones يا جماعة خاصة لما تكون ال gall
+
+141
+00:11:19,510 --> 00:11:22,290
+stone موجودة في الـ cyst في الـ gold bladder itself
+
+142
+00:11:22,290 --> 00:11:26,670
+في المرارة نفسها ممكن ما تعملليش ولا مشكلة لكن هذا
+
+143
+00:11:26,670 --> 00:11:31,230
+لا يعني أنها هتدوب لحالها هذا مهم، أنا ما فيش حاجة
+
+144
+00:11:31,230 --> 00:11:33,910
+إنّه أنا شوفت والله gold platter و .. و .. و خلاص
+
+145
+00:11:33,910 --> 00:11:37,210
+بتروح لوحدها okay مش عاملة مشاكل ممكن لكن لا يعني
+
+146
+00:11:37,210 --> 00:11:42,050
+إنها بتروح لوحدها الـ gold stones قلنا اسمها
+
+147
+00:11:42,050 --> 00:11:43,230
+polylithiasis
+
+148
+00:11:46,570 --> 00:11:52,530
+وهو مشكلة عامة وعامة بين الناس الأكبر من عمرها
+
+149
+00:11:52,530 --> 00:11:57,310
+أربعين بعد المشروع، الـ gallbladder تتعامل بالعادة 
+
+150
+00:11:57,310 --> 00:12:03,590
+تتعامل بالعادة وبتعمل إخراج للجزء إلى الـ intestine
+
+151
+00:12:03,590 --> 00:12:08,470
+لإيقاف الانتجاش وزي ما قلنا، الجزء يستفيد منه في
+
+152
+00:12:08,470 --> 00:12:09,670
+انتجاش الزبدة
+
+153
+00:12:15,130 --> 00:12:18,490
+وهي حاجة من الحاجات اللي عملت أن الـ Bile اللي بصنع
+
+154
+00:12:18,490 --> 00:12:22,650
+الـ Bile زي الـ Waste Product الـ Bilirubin أو
+
+155
+00:12:22,650 --> 00:12:23,330
+الكوليسترول 
+
+156
+00:12:31,340 --> 00:12:34,300
+الـ Gallstone يجلس فقط في الـ Gall Bladder و لا
+
+157
+00:12:34,300 --> 00:12:40,140
+يسبب مشاكل في العادة لكن بعض الأحيان يحفظون الخروج
+
+158
+00:12:40,140 --> 00:12:45,240
+من الـ Gall Bladder باسم Cystic Duct حكينا عنه زي
+
+159
+00:12:45,240 --> 00:12:48,640
+ما هو مبين في الصورة فعندما يحدث هذا الـ Gall
+
+160
+00:12:48,640 --> 00:12:56,510
+Bladder يدفع إلىويصبح مصابًا ويصبح عندي Cholecystitis
+
+161
+00:12:56,510 --> 00:13:05,650
+ويمكن أن يتحسن لوحده أو يتحسن إلى حالة أكثر صعبة
+
+162
+00:13:05,650 --> 00:13:12,070
+مثل Bacterial Infection من Gall Bladder المصابة ليبقى أنا
+
+163
+00:13:12,070 --> 00:13:15,910
+مش مشكلتي بس لما يصبح عندي Blockage لأي مكان في الـ
+
+164
+00:13:15,910 --> 00:13:20,240
+Bile System إنه يكون عندي بس Blockage إنما ممكن
+
+165
+00:13:20,240 --> 00:13:23,460
+برضه يعملي احتقان في الـ gallbladder وبعد هيك
+
+166
+00:13:23,460 --> 00:13:26,720
+يعملي Inflammation وبعد هيك طبعا هذه الـ
+
+167
+00:13:26,720 --> 00:13:31,500
+Complications كبيرة لها طب هم مين المجموعات
+
+168
+00:13:31,500 --> 00:13:37,880
+اللي ممكن يصير عندها Gallbladder خاصة
+
+169
+00:13:37,880 --> 00:13:42,500
+إنّه احنا زي ما احنا عارفين إنّه الناس الروس هي الـ
+
+170
+00:13:42,500 --> 00:13:45,080
+Family History of Gall الناس الروس هم الناس اللي
+
+171
+00:13:45,080 --> 00:13:48,560
+عندهم Family History of Gallstones Taking
+
+172
+00:13:48,560 --> 00:13:53,100
+Medication to lower Cholesterol Levels طبعاً
+
+173
+00:13:53,100 --> 00:13:57,480
+Having الناس اللي عندها Diabetes a rapid large
+
+174
+00:13:57,480 --> 00:14:01,240
+Loss of Weight ليش؟ لأنّه بيصير عندنا فيه كوليسترول
+
+175
+00:14:01,240 --> 00:14:05,880
+كتير Taking Birth Control Pills or Hormone
+
+176
+00:14:05,880 --> 00:14:11,140
+Replacement Therapy الناس اللي بتاخد حبوب من الحمل
+
+177
+00:14:11,140 --> 00:14:12,000
+عن طريق الفم
+
+178
+00:14:15,070 --> 00:14:19,270
+Being Pregnant، ليش؟ لأنّه ضغط أو حتى الـ Overweight
+
+179
+00:14:19,270 --> 00:14:26,770
+بتغطينا على الـ Gall Bladder من تحت، فبيصير الترسيب
+
+180
+00:14:26,770 --> 00:14:32,190
+أكبر في الممرات بتتضغط،
+
+181
+00:14:32,190 --> 00:14:36,310
+الممرات اللي هو الـ Barrier System فبيصير الترسيب
+
+182
+00:14:36,310 --> 00:14:41,490
+أكثر، Eating a Diet Rich in Fat وكلسترول طبيعي and
+
+183
+00:14:41,490 --> 00:14:43,510
+Without Enough Fiber
+
+184
+00:14:46,980 --> 00:14:53,320
+Gallstones Symptoms عادة زي ما قلنا ممكن ما يكونش فيه
+
+185
+00:14:53,320 --> 00:14:56,960
+Asymptomatic تكون وعادي رايحين نعمل فحص للبطن
+
+186
+00:14:56,960 --> 00:15:00,720
+عشان سبب من الأسباب لاجوا Gallstones okay فش إشي
+
+187
+00:15:00,720 --> 00:15:06,560
+كبير نسكت عنها وبنراقبها بس لكن في ناس Gallstones
+
+188
+00:15:06,560 --> 00:15:11,320
+Can Cause Symptoms زي مثلا Symptoms of
+
+189
+00:15:11,320 --> 00:15:16,270
+Cholecystitis ممكن الـ Biliary Colic يعني ياخد
+
+190
+00:15:16,270 --> 00:15:22,330
+نصف ساعة ساعة وجع شديد في الـ Right Upper Part of
+
+191
+00:15:22,330 --> 00:15:30,070
+the Abdomen وحتى ممكن يسمع في الظهر بين اللي هو
+
+192
+00:15:30,070 --> 00:15:36,350
+الكتفين وبسوق Fever ممكن يصير Wind Chill يعني حرارة
+
+193
+00:15:36,350 --> 00:15:40,350
+ما قش عريرة وممكن يعملني Vomiting and Nausea ممكن
+
+194
+00:15:40,350 --> 00:15:44,350
+زي ما قلنا يعملنا صفار طبيعي طبعا بما أنّه الآن
+
+195
+00:15:44,350 --> 00:15:48,870
+الصفار أو المادة الصفراء بطلت تروح الجهاز الهضمي
+
+196
+00:15:48,870 --> 00:15:54,640
+وعادة البراز بياخد لونه الغامق من المادة الصفراء
+
+197
+00:15:54,640 --> 00:16:00,040
+الآن لو ما أخدش ماراحش مادة صفراء أو الـ Bile ماراحش
+
+198
+00:16:00,040 --> 00:16:05,160
+فالبراز بيصير فاتح زي الـ Clay بيقول عنه Clay Color
+
+199
+00:16:05,160 --> 00:16:09,880
+فاتح لونه فاتح البراز لونه فاتح كتير كتير زي
+
+200
+00:16:09,880 --> 00:16:15,700
+الطحينية البيضاء عمليًا Pain That Strikes After
+
+201
+00:16:15,700 --> 00:16:19,880
+Eating a Fatty Meal وبيصير عندنا غازات و Bloating
+
+202
+00:16:21,650 --> 00:16:25,890
+كيف بشخصه؟ زي ما قلنا تشخيصه سهل حقيقة من أسهل
+
+203
+00:16:25,890 --> 00:16:29,550
+التشخيصات بالـ Ultrasound Which Uses Sound Waves
+
+204
+00:16:29,550 --> 00:16:33,410
+to Visualize the Area كيف بيبين الحصوة بتبقى عمالة
+
+205
+00:16:33,410 --> 00:16:36,830
+عملالي حاجة زي Shadow زي ما احنا شايفين في الصورة
+
+206
+00:16:36,830 --> 00:16:41,640
+والسهم هذه الحصوة وشايفين الـ Shadow هذا مثل الضل
+
+207
+00:16:41,640 --> 00:16:45,340
+بيشوفها الدكتور فبيعرف إنّه في حصوات نفس الكلام
+
+208
+00:16:45,340 --> 00:16:49,440
+بينطبق على حصوات تبع الكلى في التشغيل وفي ناس ممكن
+
+209
+00:16:49,440 --> 00:16:53,620
+تدي Oral Cholangiography بس هذا لاحقًا ما أحد بيعمله
+
+210
+00:16:53,620 --> 00:16:57,780
+عمليًا To Show the Gallbladder After the Patients
+
+211
+00:16:57,780 --> 00:17:03,020
+Swallow Pills Containing Dye وهذا بتبين الموضوع الـ
+
+212
+00:17:03,020 --> 00:17:04,380
+Gallstone Therapy
+
+213
+00:17:07,200 --> 00:17:10,820
+في أكثر من Option حسب الـ Symptoms وحسب الـ Severity
+
+214
+00:17:10,820 --> 00:17:17,000
+طبعًا أنا لو بحكي قاعد والله واحد في عنده عنده كل
+
+215
+00:17:17,000 --> 00:17:23,040
+يعني حاجة تدعي الـ Surgery لابد إنّه Surgically أو
+
+216
+00:17:23,040 --> 00:17:28,900
+Laparoscopic أعمل Removal للـ Gall Bladder باللي
+
+217
+00:17:28,900 --> 00:17:29,180
+فيها
+
+218
+00:17:32,560 --> 00:17:36,160
+هذا طبعًا في الـ Severe Symptoms عادةً ذلك بنحاول
+
+219
+00:17:36,160 --> 00:17:39,680
+قدر الإمكان إذا مش عاملالي مشاكل Low-Fat Diet To
+
+220
+00:17:39,680 --> 00:17:43,160
+Help Relieve the Gallstones Symptoms ممكن ندي
+
+221
+00:17:43,160 --> 00:17:47,220
+Medications في بعض الـ Medications ممكن تساعد Salts
+
+222
+00:17:47,220 --> 00:17:52,360
+تساعد To Break Down Small Gallstones To Reduce
+
+223
+00:17:52,360 --> 00:17:53,420
+Pain and Symptoms
+
+224
+00:17:56,370 --> 00:18:02,610
+مش كل واحد ممكن تديله الـ Medications هاي اللي فيه
+
+225
+00:18:02,610 --> 00:18:06,890
+طبعًا الـ Forceful Sound اللي هو Lithotripsy Litho
+
+226
+00:18:06,890 --> 00:18:10,650
+زي ما قلنا Litho هي حصوات Tripsy تفتيت تفتيت
+
+227
+00:18:10,650 --> 00:18:15,130
+الحصوات Are Aimed Directly at the Gallstones To
+
+228
+00:18:15,130 --> 00:18:20,510
+Break Them Into Tiny أو Tiny Fragments Usually
+
+229
+00:18:20,510 --> 00:18:24,210
+Followed by Medication to Dissolve the Pieces وهذه
+
+230
+00:18:24,210 --> 00:18:27,870
+تقريبا من الحاجات اللي بيستخدموها إلى جانب الـ
+
+231
+00:18:27,870 --> 00:18:34,190
+Surgery إنّه بموجات فوق صوتية بأدي Forceful Sounds
+
+232
+00:18:34,190 --> 00:18:37,550
+بحاول
+
+233
+00:18:37,550 --> 00:18:42,770
+أكسر الحصوات هاي بأدوية معينة أو أدوية معينة ممكن
+
+234
+00:18:42,770 --> 00:18:46,130
+تنزل وطبعًا في حال لما يكون فينا Pain بندي Pain
+
+235
+00:18:46,130 --> 00:18:53,830
+Killer وهذا بدخلنا على الحاجة التانية اللي هي What
+
+236
+00:18:53,830 --> 00:19:01,830
+Is Cholecystitis Is a Big Word for the Simple But
+
+237
+00:19:01,830 --> 00:19:04,550
+Potentially Painful Problem Gallbladder
+
+238
+00:19:04,550 --> 00:19:05,630
+Inflammation
+
+239
+00:19:11,620 --> 00:19:15,680
+طبعًا بنقسمها الـ Acute Cholecystitis لـ Two
+
+240
+00:19:15,680 --> 00:19:21,720
+Divisions الـ Acute Cholecystitis مع Calculus يعني
+
+241
+00:19:21,720 --> 00:19:25,940
+بحصوة يعني Cholecystitis يا بيصير بحصوات يا بدون
+
+242
+00:19:25,940 --> 00:19:31,800
+حصوات الغالبية العظمة 85% بتكون بحصوات عادة 85% لـ
+
+243
+00:19:31,800 --> 00:19:36,190
+90% of Cases بتبقى Acuteالخاصة المعروفة هي الـ
+
+244
+00:19:36,190 --> 00:19:44,010
+Calculus Cholecystitis أكيد
+
+245
+00:19:44,010 --> 00:19:49,150
+أقل كولاس اللي هو حوالي يعني بدون Calculus يعني
+
+246
+00:19:49,150 --> 00:19:51,270
+عشر إلى خمس عشر فرمية of Cases
+
+247
+00:19:54,920 --> 00:19:57,440
+طبعًا نفس الكلام، Mild Fever، Anorexia،
+
+248
+00:19:57,440 --> 00:20:00,900
+Tachycardia، Sweating، Nausea، Vomiting وممكن برضه
+
+249
+00:20:00,900 --> 00:20:04,660
+Hyperbilirubinemia حسب اللي هو زيادة الصفار،
+
+250
+00:20:04,660 --> 00:20:09,040
+التهيابات، Leucocytosis، زيادة في عدد القرايات
+
+251
+00:20:09,040 --> 00:20:14,420
+البيضاء طبعًا
+
+252
+00:20:14,420 --> 00:20:15,740
+المنطقة
+
+253
+00:20:17,450 --> 00:20:21,990
+المنطقة الـ Cholecystitis المنطقة اللي فيها الـ
+
+254
+00:20:21,990 --> 00:20:26,310
+Gall Bladder بصورة عامة هي منطقة تخضع لكثير من
+
+255
+00:20:26,310 --> 00:20:28,790
+الـ Differential Diagnosis يعني أنا مش من حد ميجين
+
+256
+00:20:28,790 --> 00:20:31,910
+الأيام بعرف إنّه في عنده Acute Cholecystitis أو
+
+257
+00:20:31,910 --> 00:20:35,450
+إنّه عنده Gall Bladder، خدوا بقى الـ Collage لأنّه في
+
+258
+00:20:35,450 --> 00:20:38,670
+عندنا أمراض الكبد، في عندنا الـ Chest لفوق منه، في
+
+259
+00:20:38,670 --> 00:20:43,310
+عندنا اللي تحت منه، في عندنا الـ Duodenum، في عندنا
+
+260
+00:20:43,310 --> 00:20:48,470
+الـ Gastric عندنا الـ Heart فإحنا هذه كلها المنطقة
+
+261
+00:20:48,470 --> 00:20:52,690
+أصلًا بتسابق التشخيص Untreated Cholecystitis Can
+
+262
+00:20:52,690 --> 00:20:57,130
+Lead to Complications So Don't Brush Off These
+
+263
+00:20:57,130 --> 00:21:01,710
+Symptoms As Just a Little Indigestion or Stomach
+
+264
+00:21:01,710 --> 00:21:05,730
+Bug يعني كمان الغلطة اللي بيعملوها كثير من الأطباء
+
+265
+00:21:05,730 --> 00:21:10,150
+مثلًا أو حتى من الناس حوالين المريض إنّه شوية برد،
+
+266
+00:21:10,150 --> 00:21:13,370
+شوية Flu، شوية ما أعرفش إيش وهو بيبقى في عنده
+
+267
+00:21:13,370 --> 00:21:16,990
+Cholecystitis وزي ما قلنا الـ Cholecystitis ممكن
+
+268
+00:21:16,990 --> 00:21:20,510
+يكون Chronic كمان بـ Resistant Long Standing أو Long
+
+269
+00:21:20,510 --> 00:21:24,330
+Lasting Swelling and Damage to the Gallbladder و
+
+270
+00:21:24,330 --> 00:21:27,410
+Acute Sudden Attack That Cause Swelling and
+
+271
+00:21:27,410 --> 00:21:30,930
+Irritation of the Gallbladder الأسباب تاعتها طبعًا
+
+272
+00:21:30,930 --> 00:21:35,190
+على القمة الهرماللي هو الـ Gall Stones الحصوات
+
+273
+00:21:35,190 --> 00:21:40,750
+وقلنا 85، 90% من الـ Cholecystitis من التهاب
+
+274
+00:21:40,750 --> 00:21:45,770
+المرارة بيصير عن طريق الـ Gall Stones Complications
+
+275
+00:21:45,770 --> 00:21:54,050
+ممكن يكون نتيجة سكري، نتيجة HIV ممكن يكون كمان
+
+276
+00:21:54,050 --> 00:21:58,350
+نتيجة Bacterial Infection نتيجة Tumor in the Liver
+
+277
+00:21:58,350 --> 00:22:02,470
+أو بنكرياس الـ Blood Flow to the Bladder بيبقى
+
+278
+00:22:02,470 --> 00:22:05,290
+Reduced Gall Bladder في حاجة اسمها Gall Bladder
+
+279
+00:22:05,290 --> 00:22:08,610
+Sludge، Sludge هو زي ما بتشوفوا لما بيشتروا الزيت
+
+280
+00:22:08,610 --> 00:22:12,960
+لجديد في الآخر الزيت الجديد بتخليه أسبوعين تلاتة 
+
+281
+00:22:12,960 --> 00:22:18,460
+عشان يصفي تحت اللي هي بقايا
+
+282
+00:22:18,460 --> 00:22:22,900
+عملية التعصير في جدار المرارة وهذا اللي بيصير في
+
+283
+00:22:22,900 --> 00:22:28,630
+الـ Gall Bladder أنه بيصير عندي substanceثخين
+
+284
+00:22:28,630 --> 00:22:38,370
+سبستانس بيبقى في السائل المراري وعامله زي وكأنه 
+
+285
+00:22:38,370 --> 00:22:43,330
+وكأنه مش نظيف وهذا بيترسب لا يمطس بيترسب وبيعمل
+
+286
+00:22:43,330 --> 00:22:49,170
+ليه اللي هي الطبقة اللي بيقول عنها sludge وفي
+
+287
+00:22:49,170 --> 00:22:52,910
+الأخر بتعمل ليه زي مش حصوات زي التكونات الفيليارية
+
+288
+00:22:52,910 --> 00:22:57,470
+sludge هو viscous pileالـ Precursor هو المقدمة
+
+289
+00:22:57,470 --> 00:23:00,870
+للحصوات الطبيعي المقدمة للحصوات
+
+290
+00:23:05,820 --> 00:23:10,960
+مشاركة بـ Prolonged TPN TPN هو Total Parental
+
+291
+00:23:10,960 --> 00:23:14,020
+Nutrition الناس اللي بيديهم تغذية وريدية and
+
+292
+00:23:14,020 --> 00:23:16,820
+fasting الناس اللي بتصوم عادة تجدها في تجارب
+
+293
+00:23:16,820 --> 00:23:19,960
+التجارب التجاربية الإحصائية عادة زي ما احنا
+
+294
+00:23:19,960 --> 00:23:24,100
+شايفين في الصورة هو هذا الـ sludge عبارة عن ترسبات
+
+295
+00:23:24,100 --> 00:23:29,860
+زيتية دهنية في المرارة وهذا بتبقى مقدمة لإيش للـ
+
+296
+00:23:29,860 --> 00:23:31,800
+gall stones formation
+
+297
+00:23:35,110 --> 00:23:38,850
+بالفحص، medical history، ultrasound، وممكن بعض
+
+298
+00:23:38,850 --> 00:23:41,930
+الأحيان نعمل X-ray Complications of cholecystitis
+
+299
+00:23:41,930 --> 00:23:46,110
+وهنا طبعا احنا بيصير للواحد شوية مشاكل ليش؟ لأنه
+
+300
+00:23:46,110 --> 00:23:49,370
+بطلت بتصير المشكلة مش restricted على جدار الـ
+
+301
+00:23:49,370 --> 00:23:54,530
+bladder itself إنما ممكن توصلي تعملي sepsis يعني
+
+302
+00:23:54,530 --> 00:24:00,140
+bacterial super infection with cholangitisأو
+
+303
+00:24:00,140 --> 00:24:03,420
+يدّيني سبسيس Gall Bladder Perforation ممكن الـ
+
+304
+00:24:03,420 --> 00:24:06,980
+Gall Bladder هي ملتهبة، إيش تعملي؟ حواليها تعملي
+
+305
+00:24:06,980 --> 00:24:16,190
+زي أبسس مدة وتعملي زي .. وترتبط ترتبط مع الأمعاء
+
+306
+00:24:16,190 --> 00:24:18,570
+أو حاجة وممكن تعملي peritonitis الالتهاب اللي في
+
+307
+00:24:18,570 --> 00:24:20,830
+الـ Gall Bladder لو بنقول زي ما بنقول احنا في
+
+308
+00:24:20,830 --> 00:24:25,430
+لغتنا لو فجعت أو أو الالتهاب تبعها انتشر ممكن تديني
+
+309
+00:24:25,430 --> 00:24:29,550
+peritonitis التهاب جدار البطن من الداخل وهذه طبعا
+
+310
+00:24:29,550 --> 00:24:34,480
+Life-threatening conditions ممكن يصير عندي بلياري
+
+311
+00:24:34,480 --> 00:24:39,480
+انتريك فستولة زي ما قلنا تتواصل يصير فيه ممر بين
+
+312
+00:24:39,480 --> 00:24:42,220
+الـ Gall Bladder وبين الأمعاء وهذه مشكلة عويزة
+
+313
+00:24:42,220 --> 00:24:46,320
+طبعا حقيقة وممكن طبعا لو واحد عنده cardiac أو
+
+314
+00:24:46,320 --> 00:24:50,960
+pulmonary أو renal decompensation decompensation
+
+315
+00:24:50,960 --> 00:24:55,300
+هذه تعمل aggravating لها يعني كل الـ Cholecystitis مع
+
+316
+00:24:55,300 --> 00:25:02,000
+واحد عنده جلب الأمر بيبقى أكبر وطبعا الـ «Gall Bladder»
+
+317
+00:25:02,000 --> 00:25:09,040
+ممكن تديني حاجة اسمها «Porcelain Gall Bladder» يصير
+
+318
+00:25:09,040 --> 00:25:15,160
+نتيجة الحصوات والتهابات المتكررة زي الحجر الكبير
+
+319
+00:25:15,160 --> 00:25:19,320
+جوا الـ «Gall Bladder» وهذا تعمل
+
+320
+00:25:19,320 --> 00:25:24,140
+«increased risk of cancer» أو «of gallbladder cancer» كيف
+
+321
+00:25:24,140 --> 00:25:28,480
+بنعالج الكوليستايتس؟وهو الـ Most Common Treatment
+
+322
+00:25:28,480 --> 00:25:36,060
+«خلص السيستيبتمي» الباب اللي بيجيك
+
+323
+00:25:36,060 --> 00:25:39,720
+منه الريح سده واستريح طبعا إلى جانب الـ Switching
+
+324
+00:25:39,720 --> 00:25:44,140
+to a Low-Fat Diet Medication to Manage Pain
+
+325
+00:25:44,140 --> 00:25:52,520
+Medication to Dissolve the Gall Stones ممكن نديها
+
+326
+00:25:52,520 --> 00:25:58,020
+عشان ما يكونش الواحد Gall Stonesولكن فعليتها تبقى
+
+327
+00:25:58,020 --> 00:26:02,240
+أضعف، في حالات الـ Mild كل الـ Cholecystitis بطيبه شوية
+
+328
+00:26:02,240 --> 00:26:06,420
+مضادات حيوية ونعمله Diet وسوائل كتير وبتمشي
+
+329
+00:26:06,420 --> 00:26:10,460
+الدنيا، لكن الـ Serious كل الـ Cholecystitis طبعا بيصير
+
+330
+00:26:10,460 --> 00:26:14,880
+زي ما حكينا، بده أعالجه الـ Complications تبعته،
+
+331
+00:26:14,880 --> 00:26:21,240
+Pancreatitis، الـ Jaundice عصب المثال، أعالجها، وطبعا
+
+332
+00:26:21,240 --> 00:26:25,370
+Surgery Intervention كمانطب إيش الـ Surgery اللي
+
+333
+00:26:25,370 --> 00:26:29,170
+بنعمله عادة الـ Cholecystectomy؟ بنعمل الـ Open
+
+334
+00:26:29,170 --> 00:26:33,470
+اللي هي الصورة اللي على الشمال اللي هم الفاتحين
+
+335
+00:26:33,470 --> 00:26:41,820
+فيها البطن Open Cholecystectomy Open فمفتوح كل الـ
+
+336
+00:26:41,820 --> 00:26:44,680
+Chole زي ما اتعرفنا عليها اللي هي الصفراوية ال- cyst
+
+337
+00:26:44,680 --> 00:26:52,080
+معناته الكيس أو المرارة نفسها اكتومي الباب اللي
+
+338
+00:26:52,080 --> 00:26:57,330
+بيجيك منه سد واستريح بنشيل المرارة بطريقة ال open
+
+339
+00:26:57,330 --> 00:27:01,350
+هذه طبعا كانت زمان هي المنتشرة الآن أقل من هيك
+
+340
+00:27:01,350 --> 00:27:05,610
+المعظم بيعمل حاجة اسمها Laparoscopic Cholecystectomy
+
+341
+00:27:05,610 --> 00:27:09,890
+بدخلوا على البطن باربع بمنظر عمليا بالمنظار و
+
+342
+00:27:09,890 --> 00:27:14,290
+بشيلوها بدون أي مشاكل بأنصح مش غلط تشوفوا
+
+343
+00:27:14,290 --> 00:27:18,410
+العمليتين فرصة الواحد تشوفوا العمليتين على
+
+344
+00:27:18,410 --> 00:27:24,020
+اليوتيوب حلوين صحيح لو اتفرج عليهم الواحد ولو حد
+
+345
+00:27:24,020 --> 00:27:30,240
+بدي يتبرع يحط على الـ group سواء الشباب أو البنات
+
+346
+00:27:30,240 --> 00:27:38,760
+يحط الفيديوهات بيبقى كتير كويسة في حاجة بنقول عنها
+
+347
+00:27:38,760 --> 00:27:42,880
+وهذه يمكن تسمعوها كمان في المستشفيات لابد أن أحكيها
+
+348
+00:27:42,880 --> 00:27:47,500
+حاجة اسمها الـ ERCP الـ ERCP هو عبارة عن
+
+349
+00:27:47,500 --> 00:27:52,820
+Endoscopic برضه بالمنظار Retrograde لكن خلفي يعني
+
+350
+00:27:52,820 --> 00:27:59,160
+أنا بدخل للممرات المرارية مش للمرارة للممرات المرارية
+
+351
+00:27:59,160 --> 00:28:04,280
+بطريقة عن طريق المعدة خلفي قدنا بنشوف كيف بنقول
+
+352
+00:28:04,280 --> 00:28:10,780
+endoscopic منظاري retrograde رجوعا هيك معناته
+
+353
+00:28:13,400 --> 00:28:17,820
+Cholangio اللي هو زي ما قلنا عنه القلي اللي هي المرارية
+
+354
+00:28:17,820 --> 00:28:22,800
+أنجيو الممرات المرارية البنكرياس الممرات المرارية
+
+355
+00:28:22,800 --> 00:28:29,620
+والبنكرياسية إيجرافي عملية إيش اللي هي رسم يعني
+
+356
+00:28:29,620 --> 00:28:34,230
+Cholangiopancreatography Endoscopic Retrograde
+
+357
+00:28:34,230 --> 00:28:39,150
+Cholangiopancreatography اللي هو ERCP باختصار ERCP
+
+358
+00:28:39,150 --> 00:28:42,430
+مشهورة في المستشفيات بيسمعها عمره ما واحد بيقول
+
+359
+00:28:42,430 --> 00:28:46,130
+الاسم اللي فوق كلهم بيقولوا عنها ERCP وقت إيش
+
+360
+00:28:46,130 --> 00:28:51,070
+بعملها one or more gallstones have migrated out of
+
+361
+00:28:51,070 --> 00:28:53,270
+the gallbladder يعني أحلاها لما كانت في ال
+
+362
+00:28:53,270 --> 00:28:56,010
+gallbladder بنشيل ال gallbladder لكن بعض الأحيان
+
+363
+00:28:57,580 --> 00:29:01,100
+تبقاش في الـ gallbladder migrated out of the
+
+364
+00:29:01,100 --> 00:29:04,960
+gallbladder into the common bile duct which
+
+365
+00:29:04,960 --> 00:29:07,720
+carries bile to the small intestine to aid
+
+366
+00:29:07,720 --> 00:29:12,440
+digestion الـ ERCP، the endoscope، is guided down
+
+367
+00:29:12,440 --> 00:29:16,840
+عن طريق الـ throat into the stomach، على المعدة، و
+
+368
+00:29:16,840 --> 00:29:19,900
+بعدين بروح into the common bile duct عن طريق
+
+369
+00:29:19,900 --> 00:29:23,940
+الدودنم، الممر اللي فكرينه اللي كنا بلتجيه ال
+
+370
+00:29:23,940 --> 00:29:26,800
+common bile duct مع ال pancreatic duct في النقطة
+
+371
+00:29:26,800 --> 00:29:30,460
+هذه بدخل عن طريقها زي ما احنا شايفين في الصورة
+
+372
+00:29:30,460 --> 00:29:35,400
+المنظر وبروح بدخل في المدخل الصغير هذا وبدخل على
+
+373
+00:29:35,400 --> 00:29:40,600
+الـ Bile Duct الآن if gallstones are present an
+
+374
+00:29:40,600 --> 00:29:44,840
+instrument can be inserted إلى الـ Endoscope
+
+375
+00:29:44,840 --> 00:29:48,580
+ويقومون بإزالتهم المريض بشكل عام يستيقظ عاديًا في
+
+376
+00:29:48,580 --> 00:29:53,360
+وقت ERCP ولكن يتم إعطاءه سيداتيف لترهيزه ERCP
+
+377
+00:29:53,360 --> 00:29:58,200
+يتعامل عاديًا في الاتصال مع إزالة الـ Gall Bladder
+
+378
+00:29:58,200 --> 00:30:05,240
+يعني مش بس بشوف بظبط الممرات كمان بحاول أشيل الحصوات
+
+379
+00:30:05,240 --> 00:30:08,200
+في كمان حاجة ممكن نعملها بعض الأحيان اللي هي في
+
+380
+00:30:08,200 --> 00:30:11,790
+الـ Gall Bladder Surgery اللي هي Draining هذه لما
+
+381
+00:30:11,790 --> 00:30:16,210
+يكون في عندنا احتقان
+
+382
+00:30:16,210 --> 00:30:19,210
+لكن أنا مش قادر أعمله عملية نتيجة وضع المريض العام على
+
+383
+00:30:19,210 --> 00:30:23,710
+سبيل المثال بعملها draining cholecystectomy
+
+384
+00:30:23,710 --> 00:30:28,250
+يعني بس فتحة وبطلع الصفار اللي محتقن عامل احتقان
+
+385
+00:30:28,250 --> 00:30:31,570
+في الـ Gall Bladder وبعد هيك بشوف أيش بده أعمل مع
+
+386
+00:30:31,570 --> 00:30:36,350
+الـ Gall Bladder هيك احنا بنجهز حدتنا عن ال .. ال
+
+387
+00:30:36,350 --> 00:30:39,370
+.. ال .. ال .. ان شاء الله ماكنش طويلة هو تلاتين
+
+388
+00:30:39,370 --> 00:30:42,970
+دقيقة يعني دقيقة واحدة و تلاتين لكن المواضيع هي ممتعة
+
+389
+00:30:42,970 --> 00:30:48,530
+يا جماعة حاولوا زي ما قلتلكم تشوفوا أربع فيديوهات
+
+390
+00:30:48,530 --> 00:30:52,350
+ولو حد اتبرع وجهودنا وحطهم على الـ Group بيبقى كتير
+
+391
+00:30:52,350 --> 00:31:00,520
+كتير كويس اللي هو الـ video الأول اللي هو الـ surgery
+
+392
+00:31:00,520 --> 00:31:06,520
+سواء Open Cholecystectomy أو Laparoscopic كمان هي
+
+393
+00:31:06,520 --> 00:31:09,740
+الـ video الثاني الـ video الثالث ERCP حلو لو شفناه
+
+394
+00:31:09,740 --> 00:31:13,500
+كيف بنعمل وطبعا أنا عارف أسألكم أنا الكلام وفيه
+
+395
+00:31:13,500 --> 00:31:18,510
+كمان الـ Cholecystectomy أو Gall Bladder Draining لو
+
+396
+00:31:18,510 --> 00:31:22,230
+حطينا كمان فيديو بيبقى رائع كتير كتير حتى نشوف إيش
+
+397
+00:31:22,230 --> 00:31:25,990
+اللي بيصير في الدنيا بصورة عامة مواضيع زي ما كنا
+
+398
+00:31:25,990 --> 00:31:31,190
+حلوة مواضيع مفيدة ان شاء الله تعالى واتمنى لكم
+
+399
+00:31:31,190 --> 00:31:32,170
+نهار سعيد 
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/4FK6MUObdtw_postprocess.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/4FK6MUObdtw_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..34bcd6df64a33c825d2061dbf987e54aa3974e2e
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/4FK6MUObdtw_postprocess.srt
@@ -0,0 +1,1596 @@
+1
+00:00:00,960 --> 00:00:03,520
+بسم الله الرحمن الرحيم اليوم إن شاء الله محاضرة
+
+2
+00:00:03,520 --> 00:00:07,960
+جديدة اليوم طبعا تسجيل من البيت ادعوا ربنا الكرات
+
+3
+00:00:07,960 --> 00:00:12,700
+و ال هيك ما يكونوش كتيرة ع كل حال هيكوا عارفين لو
+
+4
+00:00:12,700 --> 00:00:18,760
+سمعتولكوا صوت حطب بيقوسة جزر جزاز مكسر اي حاجة ع
+
+5
+00:00:18,760 --> 00:00:21,800
+كل حال اليوم هنتحدث إن شاء الله برضه في الجهاز
+
+6
+00:00:21,800 --> 00:00:26,970
+الهطب كنا بدأنا و حكينا إذا فاكرين عنالـ
+
+7
+00:00:26,970 --> 00:00:30,090
+gastroesophageal reflux والبيبتكالثر والدودنالالثر
+
+8
+00:00:30,090 --> 00:00:33,730
+الآن بنروح للـ gallbladder إيش عن ال gallbladder
+
+9
+00:00:33,730 --> 00:00:39,210
+المرارة مرارة gallbladder disorders أمراض المرارة
+
+10
+00:00:39,210 --> 00:00:44,410
+المرارة يعني احنا زي ما كلنا عارفين هي عبارة عن
+
+11
+00:00:44,410 --> 00:00:49,990
+عضو
+
+12
+00:00:50,930 --> 00:00:53,670
+موجود في الـ right upper quadrant of the abdomen
+
+13
+00:00:53,670 --> 00:00:58,710
+right below the liver تحت ال liver على الطولة يعني
+
+14
+00:00:58,710 --> 00:01:03,610
+ال liver منه تحت ال gallbladder هي عبارة عن a part
+
+15
+00:01:03,610 --> 00:01:10,530
+of biliary system نقول عنه الجهاز البابي biliary
+
+16
+00:01:10,530 --> 00:01:16,010
+system اللي هو اللي بيصدر ال fluids من ال liver
+
+17
+00:01:16,010 --> 00:01:22,730
+للجهاز الحضنيوالـ Gold Bladder يا جماعة لازم نكون
+
+18
+00:01:22,730 --> 00:01:30,130
+كلنا عارفين إن هي بتصنعش حاجة هي بس storage
+
+19
+00:01:30,130 --> 00:01:36,670
+reservoir for the pile بس لإنها بتجمع ال pile
+
+20
+00:01:36,670 --> 00:01:42,130
+المادة الأسارة الصفراوية فيها بسإذا كمان مرة ال
+
+21
+00:01:42,130 --> 00:01:47,070
+main function is to store bile not produce which
+
+22
+00:01:47,070 --> 00:01:52,410
+helps the body digest fats طبعا ال digest fats
+
+23
+00:01:52,410 --> 00:01:57,930
+اللي هو زي ما قلنا اللي هو ال ال ال ال ال ال fluid
+
+24
+00:01:57,930 --> 00:02:05,670
+ال bile نفسه مش ال ال ال ال gold bladderالكبت
+
+25
+00:02:05,670 --> 00:02:16,210
+يكوّن الـ Pile وعن
+
+26
+00:02:16,210 --> 00:02:20,210
+طريق الممرات بيروح على الـ gallbladder لما نأكل أو
+
+27
+00:02:20,210 --> 00:02:25,410
+نشرب خاصة الحاجات اللي فيها fat ال Pile released
+
+28
+00:02:25,410 --> 00:02:30,350
+بس بيخرجfrom the gallbladder into the upper small
+
+29
+00:02:30,350 --> 00:02:34,890
+intestine في منطق دي الدودينم بتلاقوا to help
+
+30
+00:02:34,890 --> 00:02:37,950
+break down fats زي ما احنا شايفين هان اللي هو
+
+31
+00:02:37,950 --> 00:02:42,210
+الكبد ال gallbladder اللي هي الجطع الخضر هاي الممر
+
+32
+00:02:42,210 --> 00:02:48,230
+اللي طالع من ال gallbladder ورايح من خلال ال head
+
+33
+00:02:48,230 --> 00:02:54,170
+of pancreas ودخل في ال sphincter of ody دخل في
+
+34
+00:02:54,170 --> 00:02:58,920
+وين؟ في الدودينم الدودينم اللي هو ال 12الـ
+
+35
+00:02:58,920 --> 00:03:04,480
+Dowdenum اللي هو الـ 12 طبعاً بيلتجي وانا طبعاً
+
+36
+00:03:04,480 --> 00:03:09,540
+مهم الملاحظات هاي بيلتجي الـ Sphincter المخرج تبع
+
+37
+00:03:09,540 --> 00:03:14,780
+ال Common Pile Duct اللي هو اللي طالع من الـ Gold
+
+38
+00:03:14,780 --> 00:03:19,200
+Bladder بيلتجي في نفس المنطقة أو نفس الفتحة اللي
+
+39
+00:03:19,200 --> 00:03:23,460
+بيصب فيها كمان من الـ Pancreas الـ Pancreatic Duct
+
+40
+00:03:23,460 --> 00:03:28,020
+يعني الـ Pancreatic Ductبيشتمع مع الـ Common Pile
+
+41
+00:03:28,020 --> 00:03:31,900
+Duct وبيصب وين في الـ Diodinium ليش هذا الموضوع
+
+42
+00:03:31,900 --> 00:03:36,620
+مهم بالنسبة لنا؟ لأن أي مشكلة في المنطقة هذه، يعني
+
+43
+00:03:36,620 --> 00:03:40,300
+عند الفتحة هذه، ممكن تعملي كمان مشاكل في وين، في
+
+44
+00:03:40,300 --> 00:03:48,040
+الـBanker Yesممكن يكون المشكلة هي stone يعني
+
+45
+00:03:48,040 --> 00:03:56,740
+حصوة ممكن يكون tumor كمان ومسكر ليه طبعاً بيحجز
+
+46
+00:03:56,740 --> 00:04:02,900
+المادة الصفراء من دخول الدودينام لكن في نفس الوجه
+
+47
+00:04:02,900 --> 00:04:06,680
+المادة الصفراء بتنتشر في الجسم وبصير عندنا الصفار
+
+48
+00:04:06,680 --> 00:04:10,200
+الصفار اللي هو نتيجة المادة الصفراء يفجأ كمان مرة
+
+49
+00:04:11,300 --> 00:04:15,180
+في عيننا اللي هو اللي بيطلع من الـ Common bile
+
+50
+00:04:15,180 --> 00:04:18,740
+duct اللي هو الـ Common bile duct وهو نتيجة الـ
+
+51
+00:04:18,740 --> 00:04:21,320
+Common bile duct اجتماع الـ Common hepatic duct
+
+52
+00:04:21,320 --> 00:04:23,960
+والـ Cystic duct بيجتمعوا مع بعض الـ Common
+
+53
+00:04:23,960 --> 00:04:29,000
+hepatic duct جاي من اللفر والـ
+
+54
+00:04:29,000 --> 00:04:34,920
+Cystic duct جاي من الـ Common bile duct الـ Common
+
+55
+00:04:34,920 --> 00:04:39,770
+bile ductبيصب في الدودينام من نفس المكان اللي هو
+
+56
+00:04:39,770 --> 00:04:43,950
+«سفينكتر أوف أودي» أودي هذا اسم شخص اللي هو فتحة
+
+57
+00:04:43,950 --> 00:04:50,750
+أودي مع الـ pancreatic duct بيصب في الدودينام الـ
+
+58
+00:04:50,750 --> 00:04:57,550
+gallbladder diseases بس كشوية هيك معلومات و
+
+59
+00:04:57,550 --> 00:05:02,910
+تعريفات في عندنا الـ gallbladder stone والتهاب للـ
+
+60
+00:05:02,910 --> 00:05:06,880
+gallbladder هدول أهم اتنينالـ Gold Bladder Stone
+
+61
+00:05:06,880 --> 00:05:13,720
+حصوات المرارة وفيه التهاب المرارة الـ Coli
+
+62
+00:05:13,720 --> 00:05:17,640
+Lithiasis اللي هو الـ Coli اللي هي الـ Cyst هي
+
+63
+00:05:17,640 --> 00:05:20,880
+نفسها اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+64
+00:05:20,880 --> 00:05:21,220
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+65
+00:05:21,220 --> 00:05:21,680
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+66
+00:05:21,680 --> 00:05:21,700
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+67
+00:05:21,700 --> 00:05:21,760
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+68
+00:05:21,760 --> 00:05:21,940
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+69
+00:05:21,940 --> 00:05:30,320
+اللي اللي اللي اللي اللي اللي اللي
+
+70
+00:05:30,320 --> 00:05:34,540
+اللي اللwithin the gallbladder أو في الـBiliary
+
+71
+00:05:34,540 --> 00:05:39,040
+Duct System يعني هذا بقول عنه Cololithiasis أي
+
+72
+00:05:39,040 --> 00:05:42,540
+تكوين حصوات جوا الـ Gallbladder أو في الممرات
+
+73
+00:05:42,540 --> 00:05:47,540
+البابية اللي هي في الـBiliary Duct System بسميها
+
+74
+00:05:47,540 --> 00:05:51,640
+Cololithiasis حصوات المرارة أو Gallbladder Stones
+
+75
+00:05:53,190 --> 00:05:56,570
+الان كل الـ Cystitis اللي كمان مرة اللي هي الـ
+
+76
+00:05:56,570 --> 00:06:01,590
+Bladder أو الصفاء الصفراء الـ Cyst اللي هي الكيس
+
+77
+00:06:01,590 --> 00:06:05,710
+كيس الصفراء it is التهم inflammation of جوا ال
+
+78
+00:06:05,710 --> 00:06:10,770
+bladder كل الـ Cystitis طيب وكل الـ Angiitis
+
+79
+00:06:10,770 --> 00:06:14,630
+inflammation of biliary duct لحالة طبعا نادرة لكن
+
+80
+00:06:14,630 --> 00:06:19,300
+لازم نذكرها ان inflammation of the biliary ductالـ
+
+81
+00:06:19,300 --> 00:06:20,760
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+82
+00:06:20,760 --> 00:06:20,880
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+83
+00:06:20,880 --> 00:06:21,480
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+84
+00:06:21,480 --> 00:06:22,960
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+85
+00:06:22,960 --> 00:06:26,460
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+86
+00:06:26,460 --> 00:06:31,200
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+87
+00:06:31,200 --> 00:06:33,840
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+88
+00:06:33,840 --> 00:06:34,320
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+89
+00:06:34,320 --> 00:06:45,060
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+90
+00:06:45,060 --> 00:06:47,960
+الـ الـ الـStasis of the
+
+91
+00:06:47,960 --> 00:07:12,780
+biliary’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’
+
+92
+00:07:15,740 --> 00:07:20,700
+أي حد بدي يحكي عن المرارة بنسمع في غالبية الأحيان
+
+93
+00:07:20,700 --> 00:07:26,140
+غالبية الأحيان بنسمع gold stones اللي هي حصوات
+
+94
+00:07:26,140 --> 00:07:29,360
+مرارية عنده حصوات مرارية عنده ماعندش بسمع والله
+
+95
+00:07:29,360 --> 00:07:34,060
+عنده التهابات فيها أو عنده كذا لأ هو by far gold
+
+96
+00:07:34,060 --> 00:07:38,920
+bladder stones by far the most common problemفي
+
+97
+00:07:38,920 --> 00:07:43,380
+منطقة اللي هي الـ gallbladder وهي زي ما قلنا الـ
+
+98
+00:07:43,380 --> 00:07:47,700
+stones tiny stones that form from hardening bile
+
+99
+00:07:47,700 --> 00:07:52,800
+and كلسترول متكونة من عصارة صفروية متجمدة مع
+
+100
+00:07:52,800 --> 00:07:59,540
+كلسترول علشان هيك الحاجات الدهنية بتساعد على تكوين
+
+101
+00:07:59,540 --> 00:08:03,780
+الـ gallstones الكلسترول هي في حد ذاتها مافيش فيها
+
+102
+00:08:03,780 --> 00:08:05,960
+مشكلة كبيرة لكن هي لو عملت block
+
+103
+00:08:13,230 --> 00:08:19,250
+الرسم الأولاني لو أجى أي stone في أي مكان هي الرسم
+
+104
+00:08:19,250 --> 00:08:25,110
+الأولى اللي هي في العنوان هنلاحظ الـ Gold Stones
+
+105
+00:08:28,390 --> 00:08:32,770
+الـ Gold Stones لما وقفلي عند الـ Common Pile Duct
+
+106
+00:08:32,770 --> 00:08:36,270
+والبنكريات الدكت فعملي حجز ال Gold Stones لما
+
+107
+00:08:36,270 --> 00:08:40,610
+عمللي Blocking لل Common Pile Duct فعملي حجز ال
+
+108
+00:08:40,610 --> 00:08:45,730
+Gold Stones وهي في جلب ال Gold Bladder عمليا مش
+
+109
+00:08:45,730 --> 00:08:50,170
+عاملالي مشاكل عمليا مش عاملالي مشاكل يبقى أنا هنا
+
+110
+00:08:50,170 --> 00:08:56,790
+مشكلتي أنجل على الرسمة برضه اللي فوقجولستونز في
+
+111
+00:08:56,790 --> 00:09:03,210
+الجول بلادر جولستونز في الـ cystic duct جولستونز
+
+112
+00:09:03,210 --> 00:09:07,670
+في ال common bile duct وزي ما قلنا جولستونز عند
+
+113
+00:09:07,670 --> 00:09:11,930
+اللي هي الممر المشترك بين الـ pancreatic duct و
+
+114
+00:09:11,930 --> 00:09:18,210
+بين ال common bile duct تعود نرجع يبقى أنا مشكلتي
+
+115
+00:09:18,210 --> 00:09:25,840
+في الجولستونز blockageوهذا ما
+
+116
+00:09:25,840 --> 00:09:32,820
+يعمل أيه؟ طبعاً أي حاجة لأن الـ«بيل
+
+117
+00:09:32,820 --> 00:09:39,540
+داكت» هي عبارة عن ممرات الممرات هي فيها نوع من
+
+118
+00:09:39,540 --> 00:09:45,520
+الـ«بريستالتك» فهي ممكن لما يكون في حصوى ينحجز جوا
+
+119
+00:09:45,520 --> 00:09:50,670
+الـ«داكت» الحصوى فتعمل لـSevere Painطبعا غير أنه
+
+120
+00:09:50,670 --> 00:09:54,550
+الـ pile كمان بينحجز في ال .. في الـ gallbladder
+
+121
+00:09:54,550 --> 00:09:58,010
+فممكن يعملي كمان pain، severe pain particularly
+
+122
+00:09:58,010 --> 00:10:02,150
+after eating fatty أو greasy زيتي foods، joints
+
+123
+00:10:02,150 --> 00:10:05,630
+اسمه يعملي صفار طبعا yellowing of the skin and
+
+124
+00:10:05,630 --> 00:10:11,220
+eyes ليش؟ لأن الصفار بطل يروح الجهاز الهضبيفإيش
+
+125
+00:10:11,220 --> 00:10:15,840
+بيعمل ليه؟ بيطلع، بيمتص في الدم وبعد هيك بيبين
+
+126
+00:10:15,840 --> 00:10:19,920
+كصفار في الجلد، وإيش كمان؟ طبعا وجود حصوة في
+
+127
+00:10:19,920 --> 00:10:22,980
+الممرات هاي أو في الـgoal bladder ممكن يديني كل
+
+128
+00:10:22,980 --> 00:10:25,600
+الـcystitis التهيابات و irritation و inflammation
+
+129
+00:10:25,600 --> 00:10:32,180
+لإلهام كمان ممكن إيش يصير؟ نتيجة الاحتقان اللي صار
+
+130
+00:10:32,180 --> 00:10:37,720
+عند مدخل الـpancreas للـgoal للـdowdenum ممكن يصير
+
+131
+00:10:37,720 --> 00:10:43,370
+عندي pancreatitisزي ما حكينا في لما يعملوا
+
+132
+00:10:43,370 --> 00:10:47,150
+blockage للـ pancreatic ducts ممكن يصير عندى bowel
+
+133
+00:10:47,150 --> 00:10:50,950
+obstruction caused by gall stone passing into the
+
+134
+00:10:50,950 --> 00:10:54,190
+intestine and then blocking the intestine الآن
+
+135
+00:10:54,190 --> 00:10:59,210
+فرضا دخلت الحصوة على الأمعاء وفي الأمعاء ممكن تجمع
+
+136
+00:10:59,210 --> 00:11:03,170
+الحصوة حواليها كمان حاجة ممكن تعملي obstruction لل
+
+137
+00:11:03,170 --> 00:11:09,010
+bowel للأمعاءproblem like gold stones may never
+
+138
+00:11:09,010 --> 00:11:13,930
+cause any pain at all but that doesn't mean they
+
+139
+00:11:13,930 --> 00:11:16,470
+will resolve themselves هو طبعا ممكن تكون
+
+140
+00:11:16,470 --> 00:11:19,510
+asymptomatic stones يا جماعة خاصة لما تكون ال gold
+
+141
+00:11:19,510 --> 00:11:22,290
+stone موجودة في ال cyst في ال gold bladder itself
+
+142
+00:11:22,290 --> 00:11:26,670
+في المرارة نفسها ممكن ما تعملليش ولا مشكلة لكن هذا
+
+143
+00:11:26,670 --> 00:11:31,230
+لا يعني أنها هتدوب لحالها هذا مهمأنا مافيش حاجة
+
+144
+00:11:31,230 --> 00:11:33,910
+إنه أنا شوفت والله gold platter و .. و .. و خلاص
+
+145
+00:11:33,910 --> 00:11:37,210
+بتروح لوحدها okay مش عاملة مشاكل ممكن لكن لا يعني
+
+146
+00:11:37,210 --> 00:11:42,050
+إنها بتروح لوحدها ال gold stones قلنا اسمها
+
+147
+00:11:42,050 --> 00:11:43,230
+polylithiasis
+
+148
+00:11:46,570 --> 00:11:52,530
+وهو مشكلة عامة وعامة بين الناس الأكبر من عمرها
+
+149
+00:11:52,530 --> 00:11:57,310
+أربعين بعد المشروع، الـ gallbladder تتعامل بالعادة
+
+150
+00:11:57,310 --> 00:12:03,590
+تتعامل بالعادة وبتعمل إخراج للجزء إلى الانتستان
+
+151
+00:12:03,590 --> 00:12:08,470
+لإيقاف الانتجاش وزي ما قلنا، الجزء يستفيد منه في
+
+152
+00:12:08,470 --> 00:12:09,670
+انتجاش الزبدة
+
+153
+00:12:15,130 --> 00:12:18,490
+وهي حاجة من الحاجات اللي عملت أن الـPile اللي بصنع
+
+154
+00:12:18,490 --> 00:12:22,650
+الـPile زي الـWaste Product الـBelarubin أو
+
+155
+00:12:22,650 --> 00:12:23,330
+الكوليسترول
+
+156
+00:12:31,340 --> 00:12:34,300
+الـ «جولسترون» يجلس فقط في الـ «جول بلدر» و لا
+
+157
+00:12:34,300 --> 00:12:40,140
+يسبب مشاكل في العادة لكن بعض الأحيان يحفظون الخروج
+
+158
+00:12:40,140 --> 00:12:45,240
+من الـ «جول بلدر» باسم «دكت سيستيك» حكينا عنه زي
+
+159
+00:12:45,240 --> 00:12:48,640
+ما هو مبين في الصورة فعندما يحدث هذا الـ «جول
+
+160
+00:12:48,640 --> 00:12:56,510
+بلدر» يدفع إلىويصبح مصابًا ويصبح عندي كوليسيستايتس
+
+161
+00:12:56,510 --> 00:13:05,650
+ويمكن أن يتحسن لوحده أو يتحسن إلى حالة أكتر صعبة
+
+162
+00:13:05,650 --> 00:13:12,070
+مثل بكتيريا انفكشن من جول بلدة المصابة ليبقى أنا
+
+163
+00:13:12,070 --> 00:13:15,910
+مش مشكلتي بس لما يصبح عندى blockage لأي مكان في ال
+
+164
+00:13:15,910 --> 00:13:20,240
+goal systemإنه يكون عندى بس blockage إنما ممكن
+
+165
+00:13:20,240 --> 00:13:23,460
+برضه يعملى احتقان في الـ gallbladder و بعد هيك
+
+166
+00:13:23,460 --> 00:13:26,720
+يعملى inflammation و بعد هيك طبعا هذه ال
+
+167
+00:13:26,720 --> 00:13:31,500
+complications كبيرة لأ لها طب هم مين المجموعات
+
+168
+00:13:31,500 --> 00:13:37,880
+اللى ممكن يصير عندها gallbladder خاصة
+
+169
+00:13:37,880 --> 00:13:42,500
+إنه احنا زى ما احنا عارفين إنه الناس الرسكى هي ال
+
+170
+00:13:42,500 --> 00:13:45,080
+family history of gall الناس الرسكى هم الناس اللى
+
+171
+00:13:45,080 --> 00:13:48,560
+عندهم family history of gallstonesTaking
+
+172
+00:13:48,560 --> 00:13:53,100
+medication to lower cholesterol levels طبعاً
+
+173
+00:13:53,100 --> 00:13:57,480
+Having الناس اللي عندها diabetes a rapid large
+
+174
+00:13:57,480 --> 00:14:01,240
+loss of weight ليش؟ لأنه بيصير عندنا فيه كوليسترول
+
+175
+00:14:01,240 --> 00:14:05,880
+كتير Taking birth control pills or hormone
+
+176
+00:14:05,880 --> 00:14:11,140
+replacement therapy الناس اللي بتاخد حبوب من الحمل
+
+177
+00:14:11,140 --> 00:14:12,000
+عن طريق الفم
+
+178
+00:14:15,070 --> 00:14:19,270
+بينج بريجنانت، ليش؟ لأنه ضغط أو حتى الـ overweight
+
+179
+00:14:19,270 --> 00:14:26,770
+بتغطينا على الـ gall bladder من تحت، فبصير الترسيب
+
+180
+00:14:26,770 --> 00:14:32,190
+أكبر في الممرات بتتضغط،
+
+181
+00:14:32,190 --> 00:14:36,310
+الممرات اللي هو ال barrier system فبصير الترسيب
+
+182
+00:14:36,310 --> 00:14:41,490
+أكتر، eating a diet rich in fat وكلسترول طبيعي and
+
+183
+00:14:41,490 --> 00:14:43,510
+without enough fiber
+
+184
+00:14:46,980 --> 00:14:53,320
+جولستونز سيمتومز عادة زي ما قلنا ممكن مايكونش فيه
+
+185
+00:14:53,320 --> 00:14:56,960
+asymptomatic تكون و عادي رايحين نعمل فحص للبطن
+
+186
+00:14:56,960 --> 00:15:00,720
+عشان سبب من الأسباب لاجوا جولستونز okay فش إشي
+
+187
+00:15:00,720 --> 00:15:06,560
+كبير نسكت عنها و بنراجبها بس لكن في ناس جولستونز
+
+188
+00:15:06,560 --> 00:15:11,320
+can cause symptoms زي مثلا symptoms of
+
+189
+00:15:11,320 --> 00:15:16,270
+cholestastitis ممكن الدينبلياريكوليككليك يعني ياخد
+
+190
+00:15:16,270 --> 00:15:22,330
+نص ساعة ساعة وجع شديد في ال right upper part of
+
+191
+00:15:22,330 --> 00:15:30,070
+the abdomen وحتى ممكن يسمع في الظهر بين اللي هو
+
+192
+00:15:30,070 --> 00:15:36,350
+الكتفينو بسوق fever ممكن يصير wind kill يعني حرارة
+
+193
+00:15:36,350 --> 00:15:40,350
+ماقش عريرة وممكن يعملني vomiting and nausea ممكن
+
+194
+00:15:40,350 --> 00:15:44,350
+زي ما قلنا يعملنا صفار طبيعي طبعا بما أنه الآن
+
+195
+00:15:44,350 --> 00:15:48,870
+الصفار أو المادة الصفرة بطلت تروح الجهاز الهضمي
+
+196
+00:15:48,870 --> 00:15:54,640
+وعادة البراز بياخد لونه الغامج منمن المادة الصفراء
+
+197
+00:15:54,640 --> 00:16:00,040
+الان لو ما اخدش مارحش مادة صفراء او ال pile مارحش
+
+198
+00:16:00,040 --> 00:16:05,160
+فالبراز بيصير فاتح زي ال clay بيقول عنه clay color
+
+199
+00:16:05,160 --> 00:16:09,880
+فاتح لونه فاتح البراز لونه فاتح كتير كتير زي
+
+200
+00:16:09,880 --> 00:16:15,700
+الطحينية البيضة عمليا pain that strikes after
+
+201
+00:16:15,700 --> 00:16:19,880
+eating a fatty meal و بيصير عندنا غزات و bloating
+
+202
+00:16:21,650 --> 00:16:25,890
+كيف بشخصه؟ زي ما قلنا تشخيصه سهل حقيقة من أسهل
+
+203
+00:16:25,890 --> 00:16:29,550
+التشخيصات بالـ ultrasound which uses sound waves
+
+204
+00:16:29,550 --> 00:16:33,410
+to visualize the area كيف بيبين الحصوة بتبقى عمالة
+
+205
+00:16:33,410 --> 00:16:36,830
+عملالي حاجة زي shadow زي ما احنا شايفين في الصورة
+
+206
+00:16:36,830 --> 00:16:41,640
+والسهم هذه الحصوة وشايفين ال shadowهذا مثل الضل
+
+207
+00:16:41,640 --> 00:16:45,340
+بيشوفها الدكتور فبيعرف إنه في حصوات نفس الكلام
+
+208
+00:16:45,340 --> 00:16:49,440
+بينطبق على حصوات تبع الكلة في التشغيل وفي ناس ممكن
+
+209
+00:16:49,440 --> 00:16:53,620
+تدّي oral كل Instagram بس هذا لاحقا ماحدش بيعمله
+
+210
+00:16:53,620 --> 00:16:57,780
+عمليا to show the gallbladder after the patients
+
+211
+00:16:57,780 --> 00:17:03,020
+swallow pills containing dye وهذا بتبين الموضوع ال
+
+212
+00:17:03,020 --> 00:17:04,380
+gallstone therapy
+
+213
+00:17:07,200 --> 00:17:10,820
+في أكتر من option حسب ال symptoms وحسب ال severity
+
+214
+00:17:10,820 --> 00:17:17,000
+طبعا انا لو بحكي جاعد والله واحد في عنده عنده كل
+
+215
+00:17:17,000 --> 00:17:23,040
+يعني حاجة تدعي ال surgery لابد انه surgically او
+
+216
+00:17:23,040 --> 00:17:28,900
+laparoscope اعمل removal لل goalie bladder باللي
+
+217
+00:17:28,900 --> 00:17:29,180
+فيها
+
+218
+00:17:32,560 --> 00:17:36,160
+هذا طبعا في الـ severe symptoms عادة ذلك بنحاول
+
+219
+00:17:36,160 --> 00:17:39,680
+جدر الإمكان إذا مش عاملالي مشاكل low-fat diet to
+
+220
+00:17:39,680 --> 00:17:43,160
+help relieve the gall stones symptoms ممكن ندي
+
+221
+00:17:43,160 --> 00:17:47,220
+medications في بعض ال medications ممكن تساعد salts
+
+222
+00:17:47,220 --> 00:17:52,360
+تساعد to break down small gall stones to reduce
+
+223
+00:17:52,360 --> 00:17:53,420
+pain and symptoms
+
+224
+00:17:56,370 --> 00:18:02,610
+مش كل واحد ممكن تديله ال medications هاي اللي فيه
+
+225
+00:18:02,610 --> 00:18:06,890
+طبعا ال forceful sound اللي هو lithotripsy litho
+
+226
+00:18:06,890 --> 00:18:10,650
+زي ما قلنا litho هي حصوات tripsy تفتيت تفتيت
+
+227
+00:18:10,650 --> 00:18:15,130
+الحصوات are aimed directly at the gall stones to
+
+228
+00:18:15,130 --> 00:18:20,510
+break them into tinyأو tiny fragments usually
+
+229
+00:18:20,510 --> 00:18:24,210
+followed by medication to dissolve the pieces وهذه
+
+230
+00:18:24,210 --> 00:18:27,870
+تقريبا من الحاجات اللي بيستخدموها إلى جانب ال
+
+231
+00:18:27,870 --> 00:18:34,190
+surgery أنه بموجات فوق صوتية بأدى forceful sounds
+
+232
+00:18:34,190 --> 00:18:37,550
+بحاول
+
+233
+00:18:37,550 --> 00:18:42,770
+أكسر الحصوات هاي بأملح معينة أو أدوية معينة ممكن
+
+234
+00:18:42,770 --> 00:18:46,130
+تنزل وطبعا في حال لما يكون فينا pain بندى pain
+
+235
+00:18:46,130 --> 00:18:53,830
+killerوهذا بدخلنا على الحاجة التانية اللي هي what
+
+236
+00:18:53,830 --> 00:19:01,830
+is cholecystitis is a big word for the simple but
+
+237
+00:19:01,830 --> 00:19:04,550
+potentially painful problem gallbladder
+
+238
+00:19:04,550 --> 00:19:05,630
+inflammation
+
+239
+00:19:11,620 --> 00:19:15,680
+طبعاً بنجسمها الـ acute cholecystitis لـ two
+
+240
+00:19:15,680 --> 00:19:21,720
+divisions الـ acute cholecystitis مع calculus يعني
+
+241
+00:19:21,720 --> 00:19:25,940
+بحصوة يعني cholecystitis يا بيصير بحصوات يا بدون
+
+242
+00:19:25,940 --> 00:19:31,800
+حصوات الغالبية العظمة 85% بتكون بحصوات عادة 85% ل
+
+243
+00:19:31,800 --> 00:19:36,190
+90% of cases بتبقى acuteالخاصة المعروفة هي الـ
+
+244
+00:19:36,190 --> 00:19:44,010
+Calculus Cholecystitis أكيد
+
+245
+00:19:44,010 --> 00:19:49,150
+أكل كولاس اللي هو حوالي يعني بدون كالكولاس يعني
+
+246
+00:19:49,150 --> 00:19:51,270
+عشر إلى خمس عشر فرمية of cases
+
+247
+00:19:54,920 --> 00:19:57,440
+طبعاً نفس الكلام، mild fever، anorexia،
+
+248
+00:19:57,440 --> 00:20:00,900
+تاكيكارديا، sweating، nausea، vomiting وممكن برضه
+
+249
+00:20:00,900 --> 00:20:04,660
+hyperpleropenemia حسب اللي هو زيادة الصفار،
+
+250
+00:20:04,660 --> 00:20:09,040
+التهيابات، leucocytosis، زيادة في عدد القرايات
+
+251
+00:20:09,040 --> 00:20:14,420
+البيضة طبعاً
+
+252
+00:20:14,420 --> 00:20:15,740
+المنطقة
+
+253
+00:20:17,450 --> 00:20:21,990
+المنطقة الـ Colitis Cystitis المنطقة اللي فيها الـ
+
+254
+00:20:21,990 --> 00:20:26,310
+Gall Bladder بصورة عامة هي منطقة تخضع لكثير من
+
+255
+00:20:26,310 --> 00:20:28,790
+الـDifferential Diagnosis يعني أنا مش من حد ميجين
+
+256
+00:20:28,790 --> 00:20:31,910
+الأيام بعرف إنه في عنده Acute Colitis Cystitis أو
+
+257
+00:20:31,910 --> 00:20:35,450
+إنه عنده Gall Bladder، خدوا بقى الـCollage لأنه في
+
+258
+00:20:35,450 --> 00:20:38,670
+عندنا أمراض الكبد، في عندنا الـChest لفوق منه، في
+
+259
+00:20:38,670 --> 00:20:43,310
+عندنا اللي تحت منه، في عندنا الـDaudenum، في عندنا
+
+260
+00:20:43,310 --> 00:20:48,470
+الـGastricعنا الـ heart فإحنا هذه كلها المنطقة
+
+261
+00:20:48,470 --> 00:20:52,690
+أصلا بتساقب التشخيص Untreated cholecystitis can
+
+262
+00:20:52,690 --> 00:20:57,130
+lead to complications So don't brush off these
+
+263
+00:20:57,130 --> 00:21:01,710
+symptoms as just a little indigestion or stomach
+
+264
+00:21:01,710 --> 00:21:05,730
+bug يعني كمان الغلطة اللي بيعملوها كتير من الطباء
+
+265
+00:21:05,730 --> 00:21:10,150
+مثلا أو حتى من الناس حوالين المريض أنه شوية برد،
+
+266
+00:21:10,150 --> 00:21:13,370
+شوية flu، شوية ماعرفش إيش وهو بيبقى في عنده
+
+267
+00:21:13,370 --> 00:21:16,990
+cholecystitisوزي ما قلنا الـcholestrostitis ممكن
+
+268
+00:21:16,990 --> 00:21:20,510
+يكون كرونيك كمان بـresistant long standing أو long
+
+269
+00:21:20,510 --> 00:21:24,330
+lasting swelling and damage to the gallbladder و
+
+270
+00:21:24,330 --> 00:21:27,410
+acute sudden attack that cause swelling and
+
+271
+00:21:27,410 --> 00:21:30,930
+irritation of the gallbladder الأسباب تاعتها طبعا
+
+272
+00:21:30,930 --> 00:21:35,190
+على القمة الهرماللي هو الـ Gold Stones الحصوات
+
+273
+00:21:35,190 --> 00:21:40,750
+وقلنا 85، 90% من الـ Cholestastitis من التهاب
+
+274
+00:21:40,750 --> 00:21:45,770
+المرارة بيصير عن طريق الـ Gold Stones Complication
+
+275
+00:21:45,770 --> 00:21:54,050
+ممكن يكون نتيجة سكري، نتيجة HIVممكن يكون كمان
+
+276
+00:21:54,050 --> 00:21:58,350
+نتيجة بكتيريا infection نتيجة tumor in the liver
+
+277
+00:21:58,350 --> 00:22:02,470
+أو بنكرياس ال blood flow to the bladder بيبقى
+
+278
+00:22:02,470 --> 00:22:05,290
+reduced كل bladder في حاجة اسمها كل bladder
+
+279
+00:22:05,290 --> 00:22:08,610
+sludge، sludge هو زي ما بتشوفوا لما بيشتروا الزيت
+
+280
+00:22:08,610 --> 00:22:12,960
+لجديدفي الآخر الزيت الجديد بتخليه أسبوعين تلاتة
+
+281
+00:22:12,960 --> 00:22:18,460
+عشان يصفي تحت اللي هي بقايا
+
+282
+00:22:18,460 --> 00:22:22,900
+عملية التعصير في جاعي الجنية وهذا اللي بيصير في
+
+283
+00:22:22,900 --> 00:22:28,630
+الـ Goal Bladder أنه بيصير عندي substanceثيك
+
+284
+00:22:28,630 --> 00:22:38,370
+سبستانس بيبقى في السائل المراري و عامله زي و كأنه
+
+285
+00:22:38,370 --> 00:22:43,330
+و كأنه مش نظيف وهذا بترسب لا يمطس بترسب و بيعمل
+
+286
+00:22:43,330 --> 00:22:49,170
+ليه اللي هي الطبقة اللي بيقول عنها sludge و في
+
+287
+00:22:49,170 --> 00:22:52,910
+الأخر بتعمل ليه زي مش حصوات زي التكونات الفيلياري
+
+288
+00:22:52,910 --> 00:22:57,470
+sludge هو viscous pileالـ Precursor هو المقدمة
+
+289
+00:22:57,470 --> 00:23:00,870
+للحصوات الطبيعي المقدمة للحصوات
+
+290
+00:23:05,820 --> 00:23:10,960
+مشاركة بـ Prolonged TBN TBN هو Total Parental
+
+291
+00:23:10,960 --> 00:23:14,020
+Nutrition الناس اللي بيديهم تخزيه وردية and
+
+292
+00:23:14,020 --> 00:23:16,820
+fasting الناس اللي بتصوم عادة تجدها في تجارب
+
+293
+00:23:16,820 --> 00:23:19,960
+التجارب التجاربية الاسمتماطية عادة زي ما احنا
+
+294
+00:23:19,960 --> 00:23:24,100
+شايفين في الصورة هو هذا الـ sludge عبارة عن ترسبات
+
+295
+00:23:24,100 --> 00:23:29,860
+زيتية دهنية في المرارة وهذا بتبقى مقدمة لإيش للـ
+
+296
+00:23:29,860 --> 00:23:31,800
+gall stones formation
+
+297
+00:23:35,110 --> 00:23:38,850
+بالفحص، medical history، ultrasound، وممكن بعض
+
+298
+00:23:38,850 --> 00:23:41,930
+الأحيان نعمل X-ray Complication of cholecystitis
+
+299
+00:23:41,930 --> 00:23:46,110
+وهنا طبعا احنا بيصير الواحد شوية مشاكل ليش؟ لأنه
+
+300
+00:23:46,110 --> 00:23:49,370
+بطلت بتصير المشكلة مش restricted على جول الـ
+
+301
+00:23:49,370 --> 00:23:54,530
+bladder itself إنما ممكن توصلي تعملي sepsis يعني
+
+302
+00:23:54,530 --> 00:24:00,140
+bacterial super infection with cholangitisأو
+
+303
+00:24:00,140 --> 00:24:03,420
+يدّيني سبسيس Gold Bladder Perforation ممكن الـ
+
+304
+00:24:03,420 --> 00:24:06,980
+Gold Bladder هي ملتهبة، إيش تعملي؟ حواليها تعملي
+
+305
+00:24:06,980 --> 00:24:16,190
+زي أبسس مدة وتعملي زي .. و ترتبطو ترتبط مع الأمعاء
+
+306
+00:24:16,190 --> 00:24:18,570
+أو حاجة و ممكن تعملي peritonitis الاتحاب اللي في
+
+307
+00:24:18,570 --> 00:24:20,830
+الـ Gull Bladder لو بنقول زي ما بنقول احنا في
+
+308
+00:24:20,830 --> 00:24:25,430
+لغتنا لو فجعت أو أو الاتحاب تبعها انتشر ممكن تديني
+
+309
+00:24:25,430 --> 00:24:29,550
+peritonitis التهاب جدار البطن من الداخل وهذه طبعا
+
+310
+00:24:29,550 --> 00:24:34,480
+Life-threatening conditions ممكن يصير عنديبيلياري
+
+311
+00:24:34,480 --> 00:24:39,480
+انتريك فستولة زي ما قلنا تتواصل يصير فيه ممر بين
+
+312
+00:24:39,480 --> 00:24:42,220
+الـgoal bladder و بين الأمعاه وهذه مشكلة عويزة
+
+313
+00:24:42,220 --> 00:24:46,320
+طبعا حقيقة وممكن طبعا لو واحد عنده cardiac أو
+
+314
+00:24:46,320 --> 00:24:50,960
+pulmonary أو renal decompression decompensation
+
+315
+00:24:50,960 --> 00:24:55,300
+هذه تعمل aggravating لإلها يعني كل الـcystitis مع
+
+316
+00:24:55,300 --> 00:25:02,000
+واحد عنده جلب الأمر بيبقى أكبر وطبعاالـ «جولبلادر»
+
+317
+00:25:02,000 --> 00:25:09,040
+ممكن تديني حاجة اسمها «بورسيلان جولبلادر» يصير
+
+318
+00:25:09,040 --> 00:25:15,160
+نتيجة الحصوات والاتهمات المتكررة زي الحجر الكبير
+
+319
+00:25:15,160 --> 00:25:19,320
+جوا الـ «جولبلادر» وهذا تعمل
+
+320
+00:25:19,320 --> 00:25:24,140
+«increased risk of cancer» أو «of cancer» كيف
+
+321
+00:25:24,140 --> 00:25:28,480
+بنعالج الكوليستايتس؟وهو الـ Most Common Treatment
+
+322
+00:25:28,480 --> 00:25:36,060
+«خلص السيستيبتمي» الباب اللي بيجيك
+
+323
+00:25:36,060 --> 00:25:39,720
+منه الريح سده و استريح طبعا إلى جانب الـSwitching
+
+324
+00:25:39,720 --> 00:25:44,140
+to a Low-Fat Diet Medication to Manage Pain
+
+325
+00:25:44,140 --> 00:25:52,520
+Medication to Dissolve the Gold Stones ممكن نديها
+
+326
+00:25:52,520 --> 00:25:58,020
+عشان ما يكونش الواحد Gold Stonesولكن فعليتها تبقى
+
+327
+00:25:58,020 --> 00:26:02,240
+أضعف، في حالات الـMild كل الـCystitis بطيبه شوية
+
+328
+00:26:02,240 --> 00:26:06,420
+مضادات حيوية ونعمله Diet وسوائل كتير وبتمشي
+
+329
+00:26:06,420 --> 00:26:10,460
+الدنيا، لكن الـSerious كل الـCystitis طبعا بيصير
+
+330
+00:26:10,460 --> 00:26:14,880
+زي ما حكينا، بده أعالجه الـComplication تبعته،
+
+331
+00:26:14,880 --> 00:26:21,240
+Pancreatitis، الـJoints عصب المثال، أعالجها، وطبعا
+
+332
+00:26:21,240 --> 00:26:25,370
+Surgery Intervention كمانطب إيش الـ Surgery اللي
+
+333
+00:26:25,370 --> 00:26:29,170
+بنعمله عادة الـ Cholecystectomy؟ بنعمل الـ Open
+
+334
+00:26:29,170 --> 00:26:33,470
+اللي هي الصورة اللي على الشمال اللي هم الفاتحين
+
+335
+00:26:33,470 --> 00:26:41,820
+فيها البطن Open Cholecystectomy Open فمفتوحكل الـ
+
+336
+00:26:41,820 --> 00:26:44,680
+Coli زي ما اتعرفنا عليها اللي هي الصفروية ال- cyst
+
+337
+00:26:44,680 --> 00:26:52,080
+معناته الكيس أو المرارة نفسها اكتومي الباب اللي
+
+338
+00:26:52,080 --> 00:26:57,330
+بيجيك منه سد و استريح بنشيل المرارةبطريقة ال open
+
+339
+00:26:57,330 --> 00:27:01,350
+هذه طبعا كانت زمان هي المنتشرة الآن أقل من هيك
+
+340
+00:27:01,350 --> 00:27:05,610
+المعظم بيعمل حاجة اسمها laparoscopic كل سيستيكتومي
+
+341
+00:27:05,610 --> 00:27:09,890
+بدخلوا على البطن باربع بمنظر عمليا بالمنظر و
+
+342
+00:27:09,890 --> 00:27:14,290
+بشيلوها بدون أي مشاكل بأنصح مش غلط تشوفوا
+
+343
+00:27:14,290 --> 00:27:18,410
+العمليتين فرصة الواحد تشوفوا العمليتين على
+
+344
+00:27:18,410 --> 00:27:24,020
+اليوتيوب حلوين صحيح لو اتفرج عليهم الواحدو لو حد
+
+345
+00:27:24,020 --> 00:27:30,240
+بدي يتبرع يحط على الـ group سواء الشباب أو البنات
+
+346
+00:27:30,240 --> 00:27:38,760
+يحط الفيديوهات بيبقى كتير كويسة في حاجة بنقول عنها
+
+347
+00:27:38,760 --> 00:27:42,880
+وهذه يمكن تسمعوها كمان في المستشفات لابد أن أحكيها
+
+348
+00:27:42,880 --> 00:27:47,500
+حاجة اسمها الـ ERCP الـ ERCP هو عبارة عن
+
+349
+00:27:47,500 --> 00:27:52,820
+Endoscopic برضه بالمنظر Retrograde لكن خلفييعني
+
+350
+00:27:52,820 --> 00:27:59,160
+أنا بدخل للمرارة مش للمرارة للممرات المرارية
+
+351
+00:27:59,160 --> 00:28:04,280
+بطريقة عن طريق المعدة خلفي قدنا بنشوف كيف بنقول
+
+352
+00:28:04,280 --> 00:28:10,780
+endoscopic منظري retrograde رجوعا هيك معناته
+
+353
+00:28:13,400 --> 00:28:17,820
+كول اللي هو زي ما قلنا عنه القلي اللي هي المرارية
+
+354
+00:28:17,820 --> 00:28:22,800
+أنجيو الممرات المرارية البنكرياس الممرات المرارية
+
+355
+00:28:22,800 --> 00:28:29,620
+والبنكرياسية إيجرافي عملية إيش اللي هي رسم يعني
+
+356
+00:28:29,620 --> 00:28:34,230
+كلانجيو بنكرياتو إيجرافيIndoscopic Retrograde
+
+357
+00:28:34,230 --> 00:28:39,150
+Cholangiopancreatography اللي هو ERCP باختصار ERCP
+
+358
+00:28:39,150 --> 00:28:42,430
+مشهورة في المستشفيات بيسمعها عمره ما واحد بيقول
+
+359
+00:28:42,430 --> 00:28:46,130
+الاسم اللي فوق كلهم بيقولوا عنها ERCP وقت إيش
+
+360
+00:28:46,130 --> 00:28:51,070
+بعملها one or more gallstones have migrated out of
+
+361
+00:28:51,070 --> 00:28:53,270
+the gallbladder يعني أحلاها لما كانت في ال
+
+362
+00:28:53,270 --> 00:28:56,010
+gallbladder بنشيل ال gallbladder لكن بعض الأحيان
+
+363
+00:28:57,580 --> 00:29:01,100
+تبقاش في الـ gallbladder migrated out of the
+
+364
+00:29:01,100 --> 00:29:04,960
+gallbladder into the common bile duct which
+
+365
+00:29:04,960 --> 00:29:07,720
+carries bile to the small intestine to aid
+
+366
+00:29:07,720 --> 00:29:12,440
+digestion الـ ERCP، the endoscope، is guided down
+
+367
+00:29:12,440 --> 00:29:16,840
+عن طريق الـ throat into the stomach، على المعدة، و
+
+368
+00:29:16,840 --> 00:29:19,900
+بعدين بروح into the common bile duct عن طريق
+
+369
+00:29:19,900 --> 00:29:23,940
+الدودنم، الممر اللي فكرينه اللي كنا بلتجيه ال
+
+370
+00:29:23,940 --> 00:29:26,800
+common bile duct مع الberkeriatic duct في النقطة
+
+371
+00:29:26,800 --> 00:29:30,460
+هذهكبدخل عن طريقها زي ما احنا شايفين في الصورة
+
+372
+00:29:30,460 --> 00:29:35,400
+المنظر وبروح بدخل في المدخل الصغير هذا وبدخل على
+
+373
+00:29:35,400 --> 00:29:40,600
+الـ Pile Duct الآن if gold stones are present an
+
+374
+00:29:40,600 --> 00:29:44,840
+instrument can be insertedإلى الـ Endoscope
+
+375
+00:29:44,840 --> 00:29:48,580
+ويقومون بإزالتهم المريض بشكل عام يستيقظ عامًا في
+
+376
+00:29:48,580 --> 00:29:53,360
+وقت ERCP ولكن يتم إعطاءه سيداتيف لترهيزه ERCP
+
+377
+00:29:53,360 --> 00:29:58,200
+يتعامل عامًا في الاتصال مع إزالة الـ Gall Bladder
+
+378
+00:29:58,200 --> 00:30:05,240
+يعني مش بس بشوف بظبط الممرات كمان بحاول أشيل اللام
+
+379
+00:30:05,240 --> 00:30:08,200
+في كمان حاجة ممكن نعملها بعض الأحيان اللي هي في
+
+380
+00:30:08,200 --> 00:30:11,790
+الـ Gall Bladder Surgery اللي هي Drainingهذه لما
+
+381
+00:30:11,790 --> 00:30:16,210
+يكون في عنا محتقنة
+
+382
+00:30:16,210 --> 00:30:19,210
+لكن أنا مش قادر أعمله عملية لنتيجة وضع العام على
+
+383
+00:30:19,210 --> 00:30:23,710
+سبيل المثال بعملها draining cholecystectomy
+
+384
+00:30:23,710 --> 00:30:28,250
+يعني بس فتحة و بطلع الصفار اللي محتقن عاملي احتقان
+
+385
+00:30:28,250 --> 00:30:31,570
+في الـ gallbladder و بعد هيك بشوف أيش بده أعمل مع
+
+386
+00:30:31,570 --> 00:30:36,350
+الـ gallbladder هيك احنا بجهات حدتنا عن ال .. ال
+
+387
+00:30:36,350 --> 00:30:39,370
+.. ال .. ال .. ان شاء الله ماكنش طوالة هو تلاتين
+
+388
+00:30:39,370 --> 00:30:42,970
+دقيقة يعني دقيقة واحد تلاتينلكن المواضيع هى ممتعة
+
+389
+00:30:42,970 --> 00:30:48,530
+يا جماعة حاولوا زى ما قلتلكوا تشوفوا أربع فيديوهات
+
+390
+00:30:48,530 --> 00:30:52,350
+و لو حد اتبرع وجهنا وحطهم على الشيطان بيبقى كتير
+
+391
+00:30:52,350 --> 00:31:00,520
+كتير كويساللي هو ال video الأول اللي هو ال surgery
+
+392
+00:31:00,520 --> 00:31:06,520
+سواء open cholecystectomy أو لا Parascopic كمان هي
+
+393
+00:31:06,520 --> 00:31:09,740
+ال video التاني ال video التالت ERCP حلو لو شفناه
+
+394
+00:31:09,740 --> 00:31:13,500
+كيف بنعمل وطبعا أنا عارف أسألكوا أنا الكلام وفيه
+
+395
+00:31:13,500 --> 00:31:18,510
+كمان السيستيستومي أو goal bladder draining لو
+
+396
+00:31:18,510 --> 00:31:22,230
+حطينا كمان فيديو بيبقى رائع كتير كتير حتى نشوف إيش
+
+397
+00:31:22,230 --> 00:31:25,990
+اللي بيصير في الدنيا بصورة عامة مواضيع زي ما كنا
+
+398
+00:31:25,990 --> 00:31:31,190
+حلوة مواضيع مفيدة ان شاء الله تعالى وأتمنى لكوا
+
+399
+00:31:31,190 --> 00:31:32,170
+نهار سعيد
+
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/4FK6MUObdtw_raw.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/4FK6MUObdtw_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..22744de1b34cef8dbda279245ed7dd336b1fbaed
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/4FK6MUObdtw_raw.srt
@@ -0,0 +1,1604 @@
+1
+00:00:00,960 --> 00:00:03,520
+بسم الله الرحمن الرحيم اليوم إن شاء الله محاضرة
+
+2
+00:00:03,520 --> 00:00:07,960
+جديدة اليوم طبعا تسجيل من البيت ادعوا ربنا الكرات
+
+3
+00:00:07,960 --> 00:00:12,700
+و ال هيك ما يكونوش كتيرة ع كل حال هيكوا عارفين لو
+
+4
+00:00:12,700 --> 00:00:18,760
+سمعتولكوا صوت حطب بيقوسة جزر جزاز مكسر اي حاجة ع
+
+5
+00:00:18,760 --> 00:00:21,800
+كل حال اليوم هنتحدث إن شاء الله برضه في الجهاز
+
+6
+00:00:21,800 --> 00:00:26,970
+الهطب كنا بدأنا و حكينا إذا فاكرين عنالـ
+
+7
+00:00:26,970 --> 00:00:30,090
+gastroesophageal reflux والبيبتكالثر والدودنالالثر
+
+8
+00:00:30,090 --> 00:00:33,730
+الآن بنروح للـ gallbladder إيش عن ال gallbladder
+
+9
+00:00:33,730 --> 00:00:39,210
+المرارة مرارة gallbladder disorders أمراض المرارة
+
+10
+00:00:39,210 --> 00:00:44,410
+المرارة يعني احنا زي ما كلنا عارفين هي عبارة عن
+
+11
+00:00:44,410 --> 00:00:49,990
+عضو
+
+12
+00:00:50,930 --> 00:00:53,670
+موجود في الـ right upper quadrant of the abdomen
+
+13
+00:00:53,670 --> 00:00:58,710
+right below the liver تحت ال liver على الطولة يعني
+
+14
+00:00:58,710 --> 00:01:03,610
+ال liver منه تحت ال gallbladder هي عبارة عن a part
+
+15
+00:01:03,610 --> 00:01:10,530
+of biliary system نقول عنه الجهاز البابي biliary
+
+16
+00:01:10,530 --> 00:01:16,010
+system اللي هو اللي بيصدر ال fluids من ال liver
+
+17
+00:01:16,010 --> 00:01:22,730
+للجهاز الحضنيوالـ Gold Bladder يا جماعة لازم نكون
+
+18
+00:01:22,730 --> 00:01:30,130
+كلنا عارفين إن هي بتصنعش حاجة هي بس storage
+
+19
+00:01:30,130 --> 00:01:36,670
+reservoir for the pile بس لإنها بتجمع ال pile
+
+20
+00:01:36,670 --> 00:01:42,130
+المادة الأسارة الصفراوية فيها بسإذا كمان مرة ال
+
+21
+00:01:42,130 --> 00:01:47,070
+main function is to store bile not produce which
+
+22
+00:01:47,070 --> 00:01:52,410
+helps the body digest fats طبعا ال digest fats
+
+23
+00:01:52,410 --> 00:01:57,930
+اللي هو زي ما قلنا اللي هو ال ال ال ال ال ال fluid
+
+24
+00:01:57,930 --> 00:02:05,670
+ال bile نفسه مش ال ال ال ال gold bladderالكبت
+
+25
+00:02:05,670 --> 00:02:16,210
+يكوّن الـ Pile وعن
+
+26
+00:02:16,210 --> 00:02:20,210
+طريق الممرات بيروح على الـ gallbladder لما نأكل أو
+
+27
+00:02:20,210 --> 00:02:25,410
+نشرب خاصة الحاجات اللي فيها fat ال Pile released
+
+28
+00:02:25,410 --> 00:02:30,350
+بس بيخرجfrom the gallbladder into the upper small
+
+29
+00:02:30,350 --> 00:02:34,890
+intestine في منطق دي الدودينم بتلاقوا to help
+
+30
+00:02:34,890 --> 00:02:37,950
+break down fats زي ما احنا شايفين هان اللي هو
+
+31
+00:02:37,950 --> 00:02:42,210
+الكبد ال gallbladder اللي هي الجطع الخضر هاي الممر
+
+32
+00:02:42,210 --> 00:02:48,230
+اللي طالع من ال gallbladder ورايح من خلال ال head
+
+33
+00:02:48,230 --> 00:02:54,170
+of pancreas ودخل في ال sphincter of ody دخل في
+
+34
+00:02:54,170 --> 00:02:58,920
+وين؟ في الدودينم الدودينم اللي هو ال 12الـ
+
+35
+00:02:58,920 --> 00:03:04,480
+Dowdenum اللي هو الـ 12 طبعاً بيلتجي وانا طبعاً
+
+36
+00:03:04,480 --> 00:03:09,540
+مهم الملاحظات هاي بيلتجي الـ Sphincter المخرج تبع
+
+37
+00:03:09,540 --> 00:03:14,780
+ال Common Pile Duct اللي هو اللي طالع من الـ Gold
+
+38
+00:03:14,780 --> 00:03:19,200
+Bladder بيلتجي في نفس المنطقة أو نفس الفتحة اللي
+
+39
+00:03:19,200 --> 00:03:23,460
+بيصب فيها كمان من الـ Pancreas الـ Pancreatic Duct
+
+40
+00:03:23,460 --> 00:03:28,020
+يعني الـ Pancreatic Ductبيشتمع مع الـ Common Pile
+
+41
+00:03:28,020 --> 00:03:31,900
+Duct وبيصب وين في الـ Diodinium ليش هذا الموضوع
+
+42
+00:03:31,900 --> 00:03:36,620
+مهم بالنسبة لنا؟ لأن أي مشكلة في المنطقة هذه، يعني
+
+43
+00:03:36,620 --> 00:03:40,300
+عند الفتحة هذه، ممكن تعملي كمان مشاكل في وين، في
+
+44
+00:03:40,300 --> 00:03:48,040
+الـBanker Yesممكن يكون المشكلة هي stone يعني
+
+45
+00:03:48,040 --> 00:03:56,740
+حصوة ممكن يكون tumor كمان ومسكر ليه طبعاً بيحجز
+
+46
+00:03:56,740 --> 00:04:02,900
+المادة الصفراء من دخول الدودينام لكن في نفس الوجه
+
+47
+00:04:02,900 --> 00:04:06,680
+المادة الصفراء بتنتشر في الجسم وبصير عندنا الصفار
+
+48
+00:04:06,680 --> 00:04:10,200
+الصفار اللي هو نتيجة المادة الصفراء يفجأ كمان مرة
+
+49
+00:04:11,300 --> 00:04:15,180
+في عيننا اللي هو اللي بيطلع من الـ Common bile
+
+50
+00:04:15,180 --> 00:04:18,740
+duct اللي هو الـ Common bile duct وهو نتيجة الـ
+
+51
+00:04:18,740 --> 00:04:21,320
+Common bile duct اجتماع الـ Common hepatic duct
+
+52
+00:04:21,320 --> 00:04:23,960
+والـ Cystic duct بيجتمعوا مع بعض الـ Common
+
+53
+00:04:23,960 --> 00:04:29,000
+hepatic duct جاي من اللفر والـ
+
+54
+00:04:29,000 --> 00:04:34,920
+Cystic duct جاي من الـ Common bile duct الـ Common
+
+55
+00:04:34,920 --> 00:04:39,770
+bile ductبيصب في الدودينام من نفس المكان اللي هو
+
+56
+00:04:39,770 --> 00:04:43,950
+«سفينكتر أوف أودي» أودي هذا اسم شخص اللي هو فتحة
+
+57
+00:04:43,950 --> 00:04:50,750
+أودي مع الـ pancreatic duct بيصب في الدودينام الـ
+
+58
+00:04:50,750 --> 00:04:57,550
+gallbladder diseases بس كشوية هيك معلومات و
+
+59
+00:04:57,550 --> 00:05:02,910
+تعريفات في عندنا الـ gallbladder stone والتهاب للـ
+
+60
+00:05:02,910 --> 00:05:06,880
+gallbladder هدول أهم اتنينالـ Gold Bladder Stone
+
+61
+00:05:06,880 --> 00:05:13,720
+حصوات المرارة وفيه التهاب المرارة الـ Coli
+
+62
+00:05:13,720 --> 00:05:17,640
+Lithiasis اللي هو الـ Coli اللي هي الـ Cyst هي
+
+63
+00:05:17,640 --> 00:05:20,880
+نفسها اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+64
+00:05:20,880 --> 00:05:21,220
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+65
+00:05:21,220 --> 00:05:21,680
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+66
+00:05:21,680 --> 00:05:21,700
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+67
+00:05:21,700 --> 00:05:21,760
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+68
+00:05:21,760 --> 00:05:21,940
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+69
+00:05:21,940 --> 00:05:21,940
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+70
+00:05:21,940 --> 00:05:21,940
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+71
+00:05:21,940 --> 00:05:30,320
+اللي اللي اللي اللي اللي اللي اللي
+
+72
+00:05:30,320 --> 00:05:34,540
+اللي اللwithin the gallbladder أو في الـBiliary
+
+73
+00:05:34,540 --> 00:05:39,040
+Duct System يعني هذا بقول عنه Cololithiasis أي
+
+74
+00:05:39,040 --> 00:05:42,540
+تكوين حصوات جوا الـ Gallbladder أو في الممرات
+
+75
+00:05:42,540 --> 00:05:47,540
+البابية اللي هي في الـBiliary Duct System بسميها
+
+76
+00:05:47,540 --> 00:05:51,640
+Cololithiasis حصوات المرارة أو Gallbladder Stones
+
+77
+00:05:53,190 --> 00:05:56,570
+الان كل الـ Cystitis اللي كمان مرة اللي هي الـ
+
+78
+00:05:56,570 --> 00:06:01,590
+Bladder أو الصفاء الصفراء الـ Cyst اللي هي الكيس
+
+79
+00:06:01,590 --> 00:06:05,710
+كيس الصفراء it is التهم inflammation of جوا ال
+
+80
+00:06:05,710 --> 00:06:10,770
+bladder كل الـ Cystitis طيب وكل الـ Angiitis
+
+81
+00:06:10,770 --> 00:06:14,630
+inflammation of biliary duct لحالة طبعا نادرة لكن
+
+82
+00:06:14,630 --> 00:06:19,300
+لازم نذكرها ان inflammation of the biliary ductالـ
+
+83
+00:06:19,300 --> 00:06:20,760
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+84
+00:06:20,760 --> 00:06:20,880
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+85
+00:06:20,880 --> 00:06:21,480
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+86
+00:06:21,480 --> 00:06:22,960
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+87
+00:06:22,960 --> 00:06:26,460
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+88
+00:06:26,460 --> 00:06:31,200
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+89
+00:06:31,200 --> 00:06:33,840
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+90
+00:06:33,840 --> 00:06:34,320
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+91
+00:06:34,320 --> 00:06:45,060
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+92
+00:06:45,060 --> 00:06:47,960
+الـ الـ الـStasis of the
+
+93
+00:06:47,960 --> 00:07:12,780
+biliary’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’
+
+94
+00:07:15,740 --> 00:07:20,700
+أي حد بدي يحكي عن المرارة بنسمع في غالبية الأحيان
+
+95
+00:07:20,700 --> 00:07:26,140
+غالبية الأحيان بنسمع gold stones اللي هي حصوات
+
+96
+00:07:26,140 --> 00:07:29,360
+مرارية عنده حصوات مرارية عنده ماعندش بسمع والله
+
+97
+00:07:29,360 --> 00:07:34,060
+عنده التهابات فيها أو عنده كذا لأ هو by far gold
+
+98
+00:07:34,060 --> 00:07:38,920
+bladder stones by far the most common problemفي
+
+99
+00:07:38,920 --> 00:07:43,380
+منطقة اللي هي الـ gallbladder وهي زي ما قلنا الـ
+
+100
+00:07:43,380 --> 00:07:47,700
+stones tiny stones that form from hardening bile
+
+101
+00:07:47,700 --> 00:07:52,800
+and كلسترول متكونة من عصارة صفروية متجمدة مع
+
+102
+00:07:52,800 --> 00:07:59,540
+كلسترول علشان هيك الحاجات الدهنية بتساعد على تكوين
+
+103
+00:07:59,540 --> 00:08:03,780
+الـ gallstones الكلسترول هي في حد ذاتها مافيش فيها
+
+104
+00:08:03,780 --> 00:08:05,960
+مشكلة كبيرة لكن هي لو عملت block
+
+105
+00:08:13,230 --> 00:08:19,250
+الرسم الأولاني لو أجى أي stone في أي مكان هي الرسم
+
+106
+00:08:19,250 --> 00:08:25,110
+الأولى اللي هي في العنوان هنلاحظ الـ Gold Stones
+
+107
+00:08:28,390 --> 00:08:32,770
+الـ Gold Stones لما وقفلي عند الـ Common Pile Duct
+
+108
+00:08:32,770 --> 00:08:36,270
+والبنكريات الدكت فعملي حجز ال Gold Stones لما
+
+109
+00:08:36,270 --> 00:08:40,610
+عمللي Blocking لل Common Pile Duct فعملي حجز ال
+
+110
+00:08:40,610 --> 00:08:45,730
+Gold Stones وهي في جلب ال Gold Bladder عمليا مش
+
+111
+00:08:45,730 --> 00:08:50,170
+عاملالي مشاكل عمليا مش عاملالي مشاكل يبقى أنا هنا
+
+112
+00:08:50,170 --> 00:08:56,790
+مشكلتي أنجل على الرسمة برضه اللي فوقجولستونز في
+
+113
+00:08:56,790 --> 00:09:03,210
+الجول بلادر جولستونز في الـ cystic duct جولستونز
+
+114
+00:09:03,210 --> 00:09:07,670
+في ال common bile duct وزي ما قلنا جولستونز عند
+
+115
+00:09:07,670 --> 00:09:11,930
+اللي هي الممر المشترك بين الـ pancreatic duct و
+
+116
+00:09:11,930 --> 00:09:18,210
+بين ال common bile duct تعود نرجع يبقى أنا مشكلتي
+
+117
+00:09:18,210 --> 00:09:25,840
+في الجولستونز blockageوهذا ما
+
+118
+00:09:25,840 --> 00:09:32,820
+يعمل أيه؟ طبعاً أي حاجة لأن الـ«بيل
+
+119
+00:09:32,820 --> 00:09:39,540
+داكت» هي عبارة عن ممرات الممرات هي فيها نوع من
+
+120
+00:09:39,540 --> 00:09:45,520
+الـ«بريستالتك» فهي ممكن لما يكون في حصوى ينحجز جوا
+
+121
+00:09:45,520 --> 00:09:50,670
+الـ«داكت» الحصوى فتعمل لـSevere Painطبعا غير أنه
+
+122
+00:09:50,670 --> 00:09:54,550
+الـ pile كمان بينحجز في ال .. في الـ gallbladder
+
+123
+00:09:54,550 --> 00:09:58,010
+فممكن يعملي كمان pain، severe pain particularly
+
+124
+00:09:58,010 --> 00:10:02,150
+after eating fatty أو greasy زيتي foods، joints
+
+125
+00:10:02,150 --> 00:10:05,630
+اسمه يعملي صفار طبعا yellowing of the skin and
+
+126
+00:10:05,630 --> 00:10:11,220
+eyes ليش؟ لأن الصفار بطل يروح الجهاز الهضبيفإيش
+
+127
+00:10:11,220 --> 00:10:15,840
+بيعمل ليه؟ بيطلع، بيمتص في الدم وبعد هيك بيبين
+
+128
+00:10:15,840 --> 00:10:19,920
+كصفار في الجلد، وإيش كمان؟ طبعا وجود حصوة في
+
+129
+00:10:19,920 --> 00:10:22,980
+الممرات هاي أو في الـgoal bladder ممكن يديني كل
+
+130
+00:10:22,980 --> 00:10:25,600
+الـcystitis التهيابات و irritation و inflammation
+
+131
+00:10:25,600 --> 00:10:32,180
+لإلهام كمان ممكن إيش يصير؟ نتيجة الاحتقان اللي صار
+
+132
+00:10:32,180 --> 00:10:37,720
+عند مدخل الـpancreas للـgoal للـdowdenum ممكن يصير
+
+133
+00:10:37,720 --> 00:10:43,370
+عندي pancreatitisزي ما حكينا في لما يعملوا
+
+134
+00:10:43,370 --> 00:10:47,150
+blockage للـ pancreatic ducts ممكن يصير عندى bowel
+
+135
+00:10:47,150 --> 00:10:50,950
+obstruction caused by gall stone passing into the
+
+136
+00:10:50,950 --> 00:10:54,190
+intestine and then blocking the intestine الآن
+
+137
+00:10:54,190 --> 00:10:59,210
+فرضا دخلت الحصوة على الأمعاء وفي الأمعاء ممكن تجمع
+
+138
+00:10:59,210 --> 00:11:03,170
+الحصوة حواليها كمان حاجة ممكن تعملي obstruction لل
+
+139
+00:11:03,170 --> 00:11:09,010
+bowel للأمعاءproblem like gold stones may never
+
+140
+00:11:09,010 --> 00:11:13,930
+cause any pain at all but that doesn't mean they
+
+141
+00:11:13,930 --> 00:11:16,470
+will resolve themselves هو طبعا ممكن تكون
+
+142
+00:11:16,470 --> 00:11:19,510
+asymptomatic stones يا جماعة خاصة لما تكون ال gold
+
+143
+00:11:19,510 --> 00:11:22,290
+stone موجودة في ال cyst في ال gold bladder itself
+
+144
+00:11:22,290 --> 00:11:26,670
+في المرارة نفسها ممكن ما تعملليش ولا مشكلة لكن هذا
+
+145
+00:11:26,670 --> 00:11:31,230
+لا يعني أنها هتدوب لحالها هذا مهمأنا مافيش حاجة
+
+146
+00:11:31,230 --> 00:11:33,910
+إنه أنا شوفت والله gold platter و .. و .. و خلاص
+
+147
+00:11:33,910 --> 00:11:37,210
+بتروح لوحدها okay مش عاملة مشاكل ممكن لكن لا يعني
+
+148
+00:11:37,210 --> 00:11:42,050
+إنها بتروح لوحدها ال gold stones قلنا اسمها
+
+149
+00:11:42,050 --> 00:11:43,230
+polylithiasis
+
+150
+00:11:46,570 --> 00:11:52,530
+وهو مشكلة عامة وعامة بين الناس الأكبر من عمرها
+
+151
+00:11:52,530 --> 00:11:57,310
+أربعين بعد المشروع، الـ gallbladder تتعامل بالعادة
+
+152
+00:11:57,310 --> 00:12:03,590
+تتعامل بالعادة وبتعمل إخراج للجزء إلى الانتستان
+
+153
+00:12:03,590 --> 00:12:08,470
+لإيقاف الانتجاش وزي ما قلنا، الجزء يستفيد منه في
+
+154
+00:12:08,470 --> 00:12:09,670
+انتجاش الزبدة
+
+155
+00:12:15,130 --> 00:12:18,490
+وهي حاجة من الحاجات اللي عملت أن الـPile اللي بصنع
+
+156
+00:12:18,490 --> 00:12:22,650
+الـPile زي الـWaste Product الـBelarubin أو
+
+157
+00:12:22,650 --> 00:12:23,330
+الكوليسترول
+
+158
+00:12:31,340 --> 00:12:34,300
+الـ «جولسترون» يجلس فقط في الـ «جول بلدر» و لا
+
+159
+00:12:34,300 --> 00:12:40,140
+يسبب مشاكل في العادة لكن بعض الأحيان يحفظون الخروج
+
+160
+00:12:40,140 --> 00:12:45,240
+من الـ «جول بلدر» باسم «دكت سيستيك» حكينا عنه زي
+
+161
+00:12:45,240 --> 00:12:48,640
+ما هو مبين في الصورة فعندما يحدث هذا الـ «جول
+
+162
+00:12:48,640 --> 00:12:56,510
+بلدر» يدفع إلىويصبح مصابًا ويصبح عندي كوليسيستايتس
+
+163
+00:12:56,510 --> 00:13:05,650
+ويمكن أن يتحسن لوحده أو يتحسن إلى حالة أكتر صعبة
+
+164
+00:13:05,650 --> 00:13:12,070
+مثل بكتيريا انفكشن من جول بلدة المصابة ليبقى أنا
+
+165
+00:13:12,070 --> 00:13:15,910
+مش مشكلتي بس لما يصبح عندى blockage لأي مكان في ال
+
+166
+00:13:15,910 --> 00:13:20,240
+goal systemإنه يكون عندى بس blockage إنما ممكن
+
+167
+00:13:20,240 --> 00:13:23,460
+برضه يعملى احتقان في الـ gallbladder و بعد هيك
+
+168
+00:13:23,460 --> 00:13:26,720
+يعملى inflammation و بعد هيك طبعا هذه ال
+
+169
+00:13:26,720 --> 00:13:31,500
+complications كبيرة لأ لها طب هم مين المجموعات
+
+170
+00:13:31,500 --> 00:13:37,880
+اللى ممكن يصير عندها gallbladder خاصة
+
+171
+00:13:37,880 --> 00:13:42,500
+إنه احنا زى ما احنا عارفين إنه الناس الرسكى هي ال
+
+172
+00:13:42,500 --> 00:13:45,080
+family history of gall الناس الرسكى هم الناس اللى
+
+173
+00:13:45,080 --> 00:13:48,560
+عندهم family history of gallstonesTaking
+
+174
+00:13:48,560 --> 00:13:53,100
+medication to lower cholesterol levels طبعاً
+
+175
+00:13:53,100 --> 00:13:57,480
+Having الناس اللي عندها diabetes a rapid large
+
+176
+00:13:57,480 --> 00:14:01,240
+loss of weight ليش؟ لأنه بيصير عندنا فيه كوليسترول
+
+177
+00:14:01,240 --> 00:14:05,880
+كتير Taking birth control pills or hormone
+
+178
+00:14:05,880 --> 00:14:11,140
+replacement therapy الناس اللي بتاخد حبوب من الحمل
+
+179
+00:14:11,140 --> 00:14:12,000
+عن طريق الفم
+
+180
+00:14:15,070 --> 00:14:19,270
+بينج بريجنانت، ليش؟ لأنه ضغط أو حتى الـ overweight
+
+181
+00:14:19,270 --> 00:14:26,770
+بتغطينا على الـ gall bladder من تحت، فبصير الترسيب
+
+182
+00:14:26,770 --> 00:14:32,190
+أكبر في الممرات بتتضغط،
+
+183
+00:14:32,190 --> 00:14:36,310
+الممرات اللي هو ال barrier system فبصير الترسيب
+
+184
+00:14:36,310 --> 00:14:41,490
+أكتر، eating a diet rich in fat وكلسترول طبيعي and
+
+185
+00:14:41,490 --> 00:14:43,510
+without enough fiber
+
+186
+00:14:46,980 --> 00:14:53,320
+جولستونز سيمتومز عادة زي ما قلنا ممكن مايكونش فيه
+
+187
+00:14:53,320 --> 00:14:56,960
+asymptomatic تكون و عادي رايحين نعمل فحص للبطن
+
+188
+00:14:56,960 --> 00:15:00,720
+عشان سبب من الأسباب لاجوا جولستونز okay فش إشي
+
+189
+00:15:00,720 --> 00:15:06,560
+كبير نسكت عنها و بنراجبها بس لكن في ناس جولستونز
+
+190
+00:15:06,560 --> 00:15:11,320
+can cause symptoms زي مثلا symptoms of
+
+191
+00:15:11,320 --> 00:15:16,270
+cholestastitis ممكن الدينبلياريكوليككليك يعني ياخد
+
+192
+00:15:16,270 --> 00:15:22,330
+نص ساعة ساعة وجع شديد في ال right upper part of
+
+193
+00:15:22,330 --> 00:15:30,070
+the abdomen وحتى ممكن يسمع في الظهر بين اللي هو
+
+194
+00:15:30,070 --> 00:15:36,350
+الكتفينو بسوق fever ممكن يصير wind kill يعني حرارة
+
+195
+00:15:36,350 --> 00:15:40,350
+ماقش عريرة وممكن يعملني vomiting and nausea ممكن
+
+196
+00:15:40,350 --> 00:15:44,350
+زي ما قلنا يعملنا صفار طبيعي طبعا بما أنه الآن
+
+197
+00:15:44,350 --> 00:15:48,870
+الصفار أو المادة الصفرة بطلت تروح الجهاز الهضمي
+
+198
+00:15:48,870 --> 00:15:54,640
+وعادة البراز بياخد لونه الغامج منمن المادة الصفراء
+
+199
+00:15:54,640 --> 00:16:00,040
+الان لو ما اخدش مارحش مادة صفراء او ال pile مارحش
+
+200
+00:16:00,040 --> 00:16:05,160
+فالبراز بيصير فاتح زي ال clay بيقول عنه clay color
+
+201
+00:16:05,160 --> 00:16:09,880
+فاتح لونه فاتح البراز لونه فاتح كتير كتير زي
+
+202
+00:16:09,880 --> 00:16:15,700
+الطحينية البيضة عمليا pain that strikes after
+
+203
+00:16:15,700 --> 00:16:19,880
+eating a fatty meal و بيصير عندنا غزات و bloating
+
+204
+00:16:21,650 --> 00:16:25,890
+كيف بشخصه؟ زي ما قلنا تشخيصه سهل حقيقة من أسهل
+
+205
+00:16:25,890 --> 00:16:29,550
+التشخيصات بالـ ultrasound which uses sound waves
+
+206
+00:16:29,550 --> 00:16:33,410
+to visualize the area كيف بيبين الحصوة بتبقى عمالة
+
+207
+00:16:33,410 --> 00:16:36,830
+عملالي حاجة زي shadow زي ما احنا شايفين في الصورة
+
+208
+00:16:36,830 --> 00:16:41,640
+والسهم هذه الحصوة وشايفين ال shadowهذا مثل الضل
+
+209
+00:16:41,640 --> 00:16:45,340
+بيشوفها الدكتور فبيعرف إنه في حصوات نفس الكلام
+
+210
+00:16:45,340 --> 00:16:49,440
+بينطبق على حصوات تبع الكلة في التشغيل وفي ناس ممكن
+
+211
+00:16:49,440 --> 00:16:53,620
+تدّي oral كل Instagram بس هذا لاحقا ماحدش بيعمله
+
+212
+00:16:53,620 --> 00:16:57,780
+عمليا to show the gallbladder after the patients
+
+213
+00:16:57,780 --> 00:17:03,020
+swallow pills containing dye وهذا بتبين الموضوع ال
+
+214
+00:17:03,020 --> 00:17:04,380
+gallstone therapy
+
+215
+00:17:07,200 --> 00:17:10,820
+في أكتر من option حسب ال symptoms وحسب ال severity
+
+216
+00:17:10,820 --> 00:17:17,000
+طبعا انا لو بحكي جاعد والله واحد في عنده عنده كل
+
+217
+00:17:17,000 --> 00:17:23,040
+يعني حاجة تدعي ال surgery لابد انه surgically او
+
+218
+00:17:23,040 --> 00:17:28,900
+laparoscope اعمل removal لل goalie bladder باللي
+
+219
+00:17:28,900 --> 00:17:29,180
+فيها
+
+220
+00:17:32,560 --> 00:17:36,160
+هذا طبعا في الـ severe symptoms عادة ذلك بنحاول
+
+221
+00:17:36,160 --> 00:17:39,680
+جدر الإمكان إذا مش عاملالي مشاكل low-fat diet to
+
+222
+00:17:39,680 --> 00:17:43,160
+help relieve the gall stones symptoms ممكن ندي
+
+223
+00:17:43,160 --> 00:17:47,220
+medications في بعض ال medications ممكن تساعد salts
+
+224
+00:17:47,220 --> 00:17:52,360
+تساعد to break down small gall stones to reduce
+
+225
+00:17:52,360 --> 00:17:53,420
+pain and symptoms
+
+226
+00:17:56,370 --> 00:18:02,610
+مش كل واحد ممكن تديله ال medications هاي اللي فيه
+
+227
+00:18:02,610 --> 00:18:06,890
+طبعا ال forceful sound اللي هو lithotripsy litho
+
+228
+00:18:06,890 --> 00:18:10,650
+زي ما قلنا litho هي حصوات tripsy تفتيت تفتيت
+
+229
+00:18:10,650 --> 00:18:15,130
+الحصوات are aimed directly at the gall stones to
+
+230
+00:18:15,130 --> 00:18:20,510
+break them into tinyأو tiny fragments usually
+
+231
+00:18:20,510 --> 00:18:24,210
+followed by medication to dissolve the pieces وهذه
+
+232
+00:18:24,210 --> 00:18:27,870
+تقريبا من الحاجات اللي بيستخدموها إلى جانب ال
+
+233
+00:18:27,870 --> 00:18:34,190
+surgery أنه بموجات فوق صوتية بأدى forceful sounds
+
+234
+00:18:34,190 --> 00:18:37,550
+بحاول
+
+235
+00:18:37,550 --> 00:18:42,770
+أكسر الحصوات هاي بأملح معينة أو أدوية معينة ممكن
+
+236
+00:18:42,770 --> 00:18:46,130
+تنزل وطبعا في حال لما يكون فينا pain بندى pain
+
+237
+00:18:46,130 --> 00:18:53,830
+killerوهذا بدخلنا على الحاجة التانية اللي هي what
+
+238
+00:18:53,830 --> 00:19:01,830
+is cholecystitis is a big word for the simple but
+
+239
+00:19:01,830 --> 00:19:04,550
+potentially painful problem gallbladder
+
+240
+00:19:04,550 --> 00:19:05,630
+inflammation
+
+241
+00:19:11,620 --> 00:19:15,680
+طبعاً بنجسمها الـ acute cholecystitis لـ two
+
+242
+00:19:15,680 --> 00:19:21,720
+divisions الـ acute cholecystitis مع calculus يعني
+
+243
+00:19:21,720 --> 00:19:25,940
+بحصوة يعني cholecystitis يا بيصير بحصوات يا بدون
+
+244
+00:19:25,940 --> 00:19:31,800
+حصوات الغالبية العظمة 85% بتكون بحصوات عادة 85% ل
+
+245
+00:19:31,800 --> 00:19:36,190
+90% of cases بتبقى acuteالخاصة المعروفة هي الـ
+
+246
+00:19:36,190 --> 00:19:44,010
+Calculus Cholecystitis أكيد
+
+247
+00:19:44,010 --> 00:19:49,150
+أكل كولاس اللي هو حوالي يعني بدون كالكولاس يعني
+
+248
+00:19:49,150 --> 00:19:51,270
+عشر إلى خمس عشر فرمية of cases
+
+249
+00:19:54,920 --> 00:19:57,440
+طبعاً نفس الكلام، mild fever، anorexia،
+
+250
+00:19:57,440 --> 00:20:00,900
+تاكيكارديا، sweating، nausea، vomiting وممكن برضه
+
+251
+00:20:00,900 --> 00:20:04,660
+hyperpleropenemia حسب اللي هو زيادة الصفار،
+
+252
+00:20:04,660 --> 00:20:09,040
+التهيابات، leucocytosis، زيادة في عدد القرايات
+
+253
+00:20:09,040 --> 00:20:14,420
+البيضة طبعاً
+
+254
+00:20:14,420 --> 00:20:15,740
+المنطقة
+
+255
+00:20:17,450 --> 00:20:21,990
+المنطقة الـ Colitis Cystitis المنطقة اللي فيها الـ
+
+256
+00:20:21,990 --> 00:20:26,310
+Gall Bladder بصورة عامة هي منطقة تخضع لكثير من
+
+257
+00:20:26,310 --> 00:20:28,790
+الـDifferential Diagnosis يعني أنا مش من حد ميجين
+
+258
+00:20:28,790 --> 00:20:31,910
+الأيام بعرف إنه في عنده Acute Colitis Cystitis أو
+
+259
+00:20:31,910 --> 00:20:35,450
+إنه عنده Gall Bladder، خدوا بقى الـCollage لأنه في
+
+260
+00:20:35,450 --> 00:20:38,670
+عندنا أمراض الكبد، في عندنا الـChest لفوق منه، في
+
+261
+00:20:38,670 --> 00:20:43,310
+عندنا اللي تحت منه، في عندنا الـDaudenum، في عندنا
+
+262
+00:20:43,310 --> 00:20:48,470
+الـGastricعنا الـ heart فإحنا هذه كلها المنطقة
+
+263
+00:20:48,470 --> 00:20:52,690
+أصلا بتساقب التشخيص Untreated cholecystitis can
+
+264
+00:20:52,690 --> 00:20:57,130
+lead to complications So don't brush off these
+
+265
+00:20:57,130 --> 00:21:01,710
+symptoms as just a little indigestion or stomach
+
+266
+00:21:01,710 --> 00:21:05,730
+bug يعني كمان الغلطة اللي بيعملوها كتير من الطباء
+
+267
+00:21:05,730 --> 00:21:10,150
+مثلا أو حتى من الناس حوالين المريض أنه شوية برد،
+
+268
+00:21:10,150 --> 00:21:13,370
+شوية flu، شوية ماعرفش إيش وهو بيبقى في عنده
+
+269
+00:21:13,370 --> 00:21:16,990
+cholecystitisوزي ما قلنا الـcholestrostitis ممكن
+
+270
+00:21:16,990 --> 00:21:20,510
+يكون كرونيك كمان بـresistant long standing أو long
+
+271
+00:21:20,510 --> 00:21:24,330
+lasting swelling and damage to the gallbladder و
+
+272
+00:21:24,330 --> 00:21:27,410
+acute sudden attack that cause swelling and
+
+273
+00:21:27,410 --> 00:21:30,930
+irritation of the gallbladder الأسباب تاعتها طبعا
+
+274
+00:21:30,930 --> 00:21:35,190
+على القمة الهرماللي هو الـ Gold Stones الحصوات
+
+275
+00:21:35,190 --> 00:21:40,750
+وقلنا 85، 90% من الـ Cholestastitis من التهاب
+
+276
+00:21:40,750 --> 00:21:45,770
+المرارة بيصير عن طريق الـ Gold Stones Complication
+
+277
+00:21:45,770 --> 00:21:54,050
+ممكن يكون نتيجة سكري، نتيجة HIVممكن يكون كمان
+
+278
+00:21:54,050 --> 00:21:58,350
+نتيجة بكتيريا infection نتيجة tumor in the liver
+
+279
+00:21:58,350 --> 00:22:02,470
+أو بنكرياس ال blood flow to the bladder بيبقى
+
+280
+00:22:02,470 --> 00:22:05,290
+reduced كل bladder في حاجة اسمها كل bladder
+
+281
+00:22:05,290 --> 00:22:08,610
+sludge، sludge هو زي ما بتشوفوا لما بيشتروا الزيت
+
+282
+00:22:08,610 --> 00:22:12,960
+لجديدفي الآخر الزيت الجديد بتخليه أسبوعين تلاتة
+
+283
+00:22:12,960 --> 00:22:18,460
+عشان يصفي تحت اللي هي بقايا
+
+284
+00:22:18,460 --> 00:22:22,900
+عملية التعصير في جاعي الجنية وهذا اللي بيصير في
+
+285
+00:22:22,900 --> 00:22:28,630
+الـ Goal Bladder أنه بيصير عندي substanceثيك
+
+286
+00:22:28,630 --> 00:22:38,370
+سبستانس بيبقى في السائل المراري و عامله زي و كأنه
+
+287
+00:22:38,370 --> 00:22:43,330
+و كأنه مش نظيف وهذا بترسب لا يمطس بترسب و بيعمل
+
+288
+00:22:43,330 --> 00:22:49,170
+ليه اللي هي الطبقة اللي بيقول عنها sludge و في
+
+289
+00:22:49,170 --> 00:22:52,910
+الأخر بتعمل ليه زي مش حصوات زي التكونات الفيلياري
+
+290
+00:22:52,910 --> 00:22:57,470
+sludge هو viscous pileالـ Precursor هو المقدمة
+
+291
+00:22:57,470 --> 00:23:00,870
+للحصوات الطبيعي المقدمة للحصوات
+
+292
+00:23:05,820 --> 00:23:10,960
+مشاركة بـ Prolonged TBN TBN هو Total Parental
+
+293
+00:23:10,960 --> 00:23:14,020
+Nutrition الناس اللي بيديهم تخزيه وردية and
+
+294
+00:23:14,020 --> 00:23:16,820
+fasting الناس اللي بتصوم عادة تجدها في تجارب
+
+295
+00:23:16,820 --> 00:23:19,960
+التجارب التجاربية الاسمتماطية عادة زي ما احنا
+
+296
+00:23:19,960 --> 00:23:24,100
+شايفين في الصورة هو هذا الـ sludge عبارة عن ترسبات
+
+297
+00:23:24,100 --> 00:23:29,860
+زيتية دهنية في المرارة وهذا بتبقى مقدمة لإيش للـ
+
+298
+00:23:29,860 --> 00:23:31,800
+gall stones formation
+
+299
+00:23:35,110 --> 00:23:38,850
+بالفحص، medical history، ultrasound، وممكن بعض
+
+300
+00:23:38,850 --> 00:23:41,930
+الأحيان نعمل X-ray Complication of cholecystitis
+
+301
+00:23:41,930 --> 00:23:46,110
+وهنا طبعا احنا بيصير الواحد شوية مشاكل ليش؟ لأنه
+
+302
+00:23:46,110 --> 00:23:49,370
+بطلت بتصير المشكلة مش restricted على جول الـ
+
+303
+00:23:49,370 --> 00:23:54,530
+bladder itself إنما ممكن توصلي تعملي sepsis يعني
+
+304
+00:23:54,530 --> 00:24:00,140
+bacterial super infection with cholangitisأو
+
+305
+00:24:00,140 --> 00:24:03,420
+يدّيني سبسيس Gold Bladder Perforation ممكن الـ
+
+306
+00:24:03,420 --> 00:24:06,980
+Gold Bladder هي ملتهبة، إيش تعملي؟ حواليها تعملي
+
+307
+00:24:06,980 --> 00:24:16,190
+زي أبسس مدة وتعملي زي .. و ترتبطو ترتبط مع الأمعاء
+
+308
+00:24:16,190 --> 00:24:18,570
+أو حاجة و ممكن تعملي peritonitis الاتحاب اللي في
+
+309
+00:24:18,570 --> 00:24:20,830
+الـ Gull Bladder لو بنقول زي ما بنقول احنا في
+
+310
+00:24:20,830 --> 00:24:25,430
+لغتنا لو فجعت أو أو الاتحاب تبعها انتشر ممكن تديني
+
+311
+00:24:25,430 --> 00:24:29,550
+peritonitis التهاب جدار البطن من الداخل وهذه طبعا
+
+312
+00:24:29,550 --> 00:24:34,480
+Life-threatening conditions ممكن يصير عنديبيلياري
+
+313
+00:24:34,480 --> 00:24:39,480
+انتريك فستولة زي ما قلنا تتواصل يصير فيه ممر بين
+
+314
+00:24:39,480 --> 00:24:42,220
+الـgoal bladder و بين الأمعاه وهذه مشكلة عويزة
+
+315
+00:24:42,220 --> 00:24:46,320
+طبعا حقيقة وممكن طبعا لو واحد عنده cardiac أو
+
+316
+00:24:46,320 --> 00:24:50,960
+pulmonary أو renal decompression decompensation
+
+317
+00:24:50,960 --> 00:24:55,300
+هذه تعمل aggravating لإلها يعني كل الـcystitis مع
+
+318
+00:24:55,300 --> 00:25:02,000
+واحد عنده جلب الأمر بيبقى أكبر وطبعاالـ «جولبلادر»
+
+319
+00:25:02,000 --> 00:25:09,040
+ممكن تديني حاجة اسمها «بورسيلان جولبلادر» يصير
+
+320
+00:25:09,040 --> 00:25:15,160
+نتيجة الحصوات والاتهمات المتكررة زي الحجر الكبير
+
+321
+00:25:15,160 --> 00:25:19,320
+جوا الـ «جولبلادر» وهذا تعمل
+
+322
+00:25:19,320 --> 00:25:24,140
+«increased risk of cancer» أو «of cancer» كيف
+
+323
+00:25:24,140 --> 00:25:28,480
+بنعالج الكوليستايتس؟وهو الـ Most Common Treatment
+
+324
+00:25:28,480 --> 00:25:36,060
+«خلص السيستيبتمي» الباب اللي بيجيك
+
+325
+00:25:36,060 --> 00:25:39,720
+منه الريح سده و استريح طبعا إلى جانب الـSwitching
+
+326
+00:25:39,720 --> 00:25:44,140
+to a Low-Fat Diet Medication to Manage Pain
+
+327
+00:25:44,140 --> 00:25:52,520
+Medication to Dissolve the Gold Stones ممكن نديها
+
+328
+00:25:52,520 --> 00:25:58,020
+عشان ما يكونش الواحد Gold Stonesولكن فعليتها تبقى
+
+329
+00:25:58,020 --> 00:26:02,240
+أضعف، في حالات الـMild كل الـCystitis بطيبه شوية
+
+330
+00:26:02,240 --> 00:26:06,420
+مضادات حيوية ونعمله Diet وسوائل كتير وبتمشي
+
+331
+00:26:06,420 --> 00:26:10,460
+الدنيا، لكن الـSerious كل الـCystitis طبعا بيصير
+
+332
+00:26:10,460 --> 00:26:14,880
+زي ما حكينا، بده أعالجه الـComplication تبعته،
+
+333
+00:26:14,880 --> 00:26:21,240
+Pancreatitis، الـJoints عصب المثال، أعالجها، وطبعا
+
+334
+00:26:21,240 --> 00:26:25,370
+Surgery Intervention كمانطب إيش الـ Surgery اللي
+
+335
+00:26:25,370 --> 00:26:29,170
+بنعمله عادة الـ Cholecystectomy؟ بنعمل الـ Open
+
+336
+00:26:29,170 --> 00:26:33,470
+اللي هي الصورة اللي على الشمال اللي هم الفاتحين
+
+337
+00:26:33,470 --> 00:26:41,820
+فيها البطن Open Cholecystectomy Open فمفتوحكل الـ
+
+338
+00:26:41,820 --> 00:26:44,680
+Coli زي ما اتعرفنا عليها اللي هي الصفروية ال- cyst
+
+339
+00:26:44,680 --> 00:26:52,080
+معناته الكيس أو المرارة نفسها اكتومي الباب اللي
+
+340
+00:26:52,080 --> 00:26:57,330
+بيجيك منه سد و استريح بنشيل المرارةبطريقة ال open
+
+341
+00:26:57,330 --> 00:27:01,350
+هذه طبعا كانت زمان هي المنتشرة الآن أقل من هيك
+
+342
+00:27:01,350 --> 00:27:05,610
+المعظم بيعمل حاجة اسمها laparoscopic كل سيستيكتومي
+
+343
+00:27:05,610 --> 00:27:09,890
+بدخلوا على البطن باربع بمنظر عمليا بالمنظر و
+
+344
+00:27:09,890 --> 00:27:14,290
+بشيلوها بدون أي مشاكل بأنصح مش غلط تشوفوا
+
+345
+00:27:14,290 --> 00:27:18,410
+العمليتين فرصة الواحد تشوفوا العمليتين على
+
+346
+00:27:18,410 --> 00:27:24,020
+اليوتيوب حلوين صحيح لو اتفرج عليهم الواحدو لو حد
+
+347
+00:27:24,020 --> 00:27:30,240
+بدي يتبرع يحط على الـ group سواء الشباب أو البنات
+
+348
+00:27:30,240 --> 00:27:38,760
+يحط الفيديوهات بيبقى كتير كويسة في حاجة بنقول عنها
+
+349
+00:27:38,760 --> 00:27:42,880
+وهذه يمكن تسمعوها كمان في المستشفات لابد أن أحكيها
+
+350
+00:27:42,880 --> 00:27:47,500
+حاجة اسمها الـ ERCP الـ ERCP هو عبارة عن
+
+351
+00:27:47,500 --> 00:27:52,820
+Endoscopic برضه بالمنظر Retrograde لكن خلفييعني
+
+352
+00:27:52,820 --> 00:27:59,160
+أنا بدخل للمرارة مش للمرارة للممرات المرارية
+
+353
+00:27:59,160 --> 00:28:04,280
+بطريقة عن طريق المعدة خلفي قدنا بنشوف كيف بنقول
+
+354
+00:28:04,280 --> 00:28:10,780
+endoscopic منظري retrograde رجوعا هيك معناته
+
+355
+00:28:13,400 --> 00:28:17,820
+كول اللي هو زي ما قلنا عنه القلي اللي هي المرارية
+
+356
+00:28:17,820 --> 00:28:22,800
+أنجيو الممرات المرارية البنكرياس الممرات المرارية
+
+357
+00:28:22,800 --> 00:28:29,620
+والبنكرياسية إيجرافي عملية إيش اللي هي رسم يعني
+
+358
+00:28:29,620 --> 00:28:34,230
+كلانجيو بنكرياتو إيجرافيIndoscopic Retrograde
+
+359
+00:28:34,230 --> 00:28:39,150
+Cholangiopancreatography اللي هو ERCP باختصار ERCP
+
+360
+00:28:39,150 --> 00:28:42,430
+مشهورة في المستشفيات بيسمعها عمره ما واحد بيقول
+
+361
+00:28:42,430 --> 00:28:46,130
+الاسم اللي فوق كلهم بيقولوا عنها ERCP وقت إيش
+
+362
+00:28:46,130 --> 00:28:51,070
+بعملها one or more gallstones have migrated out of
+
+363
+00:28:51,070 --> 00:28:53,270
+the gallbladder يعني أحلاها لما كانت في ال
+
+364
+00:28:53,270 --> 00:28:56,010
+gallbladder بنشيل ال gallbladder لكن بعض الأحيان
+
+365
+00:28:57,580 --> 00:29:01,100
+تبقاش في الـ gallbladder migrated out of the
+
+366
+00:29:01,100 --> 00:29:04,960
+gallbladder into the common bile duct which
+
+367
+00:29:04,960 --> 00:29:07,720
+carries bile to the small intestine to aid
+
+368
+00:29:07,720 --> 00:29:12,440
+digestion الـ ERCP، the endoscope، is guided down
+
+369
+00:29:12,440 --> 00:29:16,840
+عن طريق الـ throat into the stomach، على المعدة، و
+
+370
+00:29:16,840 --> 00:29:19,900
+بعدين بروح into the common bile duct عن طريق
+
+371
+00:29:19,900 --> 00:29:23,940
+الدودنم، الممر اللي فكرينه اللي كنا بلتجيه ال
+
+372
+00:29:23,940 --> 00:29:26,800
+common bile duct مع الberkeriatic duct في النقطة
+
+373
+00:29:26,800 --> 00:29:30,460
+هذهكبدخل عن طريقها زي ما احنا شايفين في الصورة
+
+374
+00:29:30,460 --> 00:29:35,400
+المنظر وبروح بدخل في المدخل الصغير هذا وبدخل على
+
+375
+00:29:35,400 --> 00:29:40,600
+الـ Pile Duct الآن if gold stones are present an
+
+376
+00:29:40,600 --> 00:29:44,840
+instrument can be insertedإلى الـ Endoscope
+
+377
+00:29:44,840 --> 00:29:48,580
+ويقومون بإزالتهم المريض بشكل عام يستيقظ عامًا في
+
+378
+00:29:48,580 --> 00:29:53,360
+وقت ERCP ولكن يتم إعطاءه سيداتيف لترهيزه ERCP
+
+379
+00:29:53,360 --> 00:29:58,200
+يتعامل عامًا في الاتصال مع إزالة الـ Gall Bladder
+
+380
+00:29:58,200 --> 00:30:05,240
+يعني مش بس بشوف بظبط الممرات كمان بحاول أشيل اللام
+
+381
+00:30:05,240 --> 00:30:08,200
+في كمان حاجة ممكن نعملها بعض الأحيان اللي هي في
+
+382
+00:30:08,200 --> 00:30:11,790
+الـ Gall Bladder Surgery اللي هي Drainingهذه لما
+
+383
+00:30:11,790 --> 00:30:16,210
+يكون في عنا محتقنة
+
+384
+00:30:16,210 --> 00:30:19,210
+لكن أنا مش قادر أعمله عملية لنتيجة وضع العام على
+
+385
+00:30:19,210 --> 00:30:23,710
+سبيل المثال بعملها draining cholecystectomy
+
+386
+00:30:23,710 --> 00:30:28,250
+يعني بس فتحة و بطلع الصفار اللي محتقن عاملي احتقان
+
+387
+00:30:28,250 --> 00:30:31,570
+في الـ gallbladder و بعد هيك بشوف أيش بده أعمل مع
+
+388
+00:30:31,570 --> 00:30:36,350
+الـ gallbladder هيك احنا بجهات حدتنا عن ال .. ال
+
+389
+00:30:36,350 --> 00:30:39,370
+.. ال .. ال .. ان شاء الله ماكنش طوالة هو تلاتين
+
+390
+00:30:39,370 --> 00:30:42,970
+دقيقة يعني دقيقة واحد تلاتينلكن المواضيع هى ممتعة
+
+391
+00:30:42,970 --> 00:30:48,530
+يا جماعة حاولوا زى ما قلتلكوا تشوفوا أربع فيديوهات
+
+392
+00:30:48,530 --> 00:30:52,350
+و لو حد اتبرع وجهنا وحطهم على الشيطان بيبقى كتير
+
+393
+00:30:52,350 --> 00:31:00,520
+كتير كويساللي هو ال video الأول اللي هو ال surgery
+
+394
+00:31:00,520 --> 00:31:06,520
+سواء open cholecystectomy أو لا Parascopic كمان هي
+
+395
+00:31:06,520 --> 00:31:09,740
+ال video التاني ال video التالت ERCP حلو لو شفناه
+
+396
+00:31:09,740 --> 00:31:13,500
+كيف بنعمل وطبعا أنا عارف أسألكوا أنا الكلام وفيه
+
+397
+00:31:13,500 --> 00:31:18,510
+كمان السيستيستومي أو goal bladder draining لو
+
+398
+00:31:18,510 --> 00:31:22,230
+حطينا كمان فيديو بيبقى رائع كتير كتير حتى نشوف إيش
+
+399
+00:31:22,230 --> 00:31:25,990
+اللي بيصير في الدنيا بصورة عامة مواضيع زي ما كنا
+
+400
+00:31:25,990 --> 00:31:31,190
+حلوة مواضيع مفيدة ان شاء الله تعالى وأتمنى لكوا
+
+401
+00:31:31,190 --> 00:31:32,170
+نهار سعيد
+
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/7Dh_YwaAVoc_postprocess.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/7Dh_YwaAVoc_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..29e79f8e8b14a228dd277f85a95d7be53f052486
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/7Dh_YwaAVoc_postprocess.srt
@@ -0,0 +1,1512 @@
+1
+00:00:02,010 --> 00:00:04,290
+بسم الله الرحمن الرحيم الحمد لله رب العالمين و
+
+2
+00:00:04,290 --> 00:00:08,250
+الصلاة والسلام علي سيدنا محمد وسيد البرسلين إذا ما
+
+3
+00:00:08,250 --> 00:00:11,430
+إنشاء الله تعالى اليوم هنتحدث عن infective
+
+4
+00:00:11,430 --> 00:00:18,070
+endocarditis من القسم طبعا بلاحظين نحن هنحكي عن
+
+5
+00:00:18,070 --> 00:00:23,270
+infections of the heart infections of the heart
+
+6
+00:00:25,710 --> 00:00:31,370
+وبعدها هنكمل على الـ myocardiopathies اللي هي بعض
+
+7
+00:00:31,370 --> 00:00:35,990
+أمراض عضلات القلب اللي بتأثرنا على أداء و بتأدي
+
+8
+00:00:35,990 --> 00:00:41,390
+للـ heart failure الـinfective endocarditis هو
+
+9
+00:00:41,390 --> 00:00:47,870
+تقريبا أشهر أنواع ال infection في القلب و طبعا زي
+
+10
+00:00:47,870 --> 00:00:51,900
+ما احنا شايفين أو زي ما احنا سامعينإنه
+
+11
+00:00:51,900 --> 00:00:56,540
+endocarditis، endocardium بيصيرله etis اللي هو
+
+12
+00:00:56,540 --> 00:01:00,920
+infection أو inflammation والسبب تبعه infection
+
+13
+00:01:04,800 --> 00:01:13,840
+الـ Infective Endocarditis اللي بيصير فيه أنه مش
+
+14
+00:01:13,840 --> 00:01:18,700
+زي أي التهاب في أي مكان في الجسم ممكن لكن هو بأثر
+
+15
+00:01:18,700 --> 00:01:25,280
+تأثير مباشر على بما أنه الصمامات هي امتداد للـ
+
+16
+00:01:25,280 --> 00:01:29,650
+Endocardium فهو بأثرتأثير مباشرة على الصمامات
+
+17
+00:01:29,650 --> 00:01:34,630
+تصوروا أنتم تخيلوا قدامكم كيف أن الصمامات في القلب
+
+18
+00:01:34,630 --> 00:01:38,190
+و هي من الـ endocardium و صار فيها التهابيعني فيه
+
+19
+00:01:38,190 --> 00:01:41,750
+هنا أكتر من حاجة هتصير في الغالب أنها مش هتقدر
+
+20
+00:01:41,750 --> 00:01:45,850
+تشتغل ما يتوجب عليها أنها تشتغله و بيصير عندنا
+
+21
+00:01:45,850 --> 00:01:49,490
+حاجة اسمها severe valvular insufficiency فشل في
+
+22
+00:01:49,490 --> 00:01:55,850
+عمل الصمامات بتصير تهرب وهذا طبعا تصور الصمامات
+
+23
+00:01:55,850 --> 00:02:01,870
+بتهرب و بتدخل دم أكتر لل ventriclesإيش بيصير؟ أه
+
+24
+00:02:01,870 --> 00:02:05,250
+صحيح بيصير احتقان أو congestive heart failure
+
+25
+00:02:05,250 --> 00:02:08,690
+احتقان في عضلة القلب لأنه مش قادر تبقوا بالشغل
+
+26
+00:02:08,690 --> 00:02:13,030
+بتعب دم لكن مش قادر تبقوا بالشغل ومش بس دايما
+
+27
+00:02:13,030 --> 00:02:16,330
+الالتهابات ال infective endocarditis ممكن تؤدي إلى
+
+28
+00:02:16,330 --> 00:02:22,650
+نشوء abscesses دمامل جوا القلب
+
+29
+00:02:25,410 --> 00:02:29,470
+الـ Infective Endocarditis produces a wide variety
+
+30
+00:02:29,470 --> 00:02:33,910
+of systemic signs and symptoms، مش بس أجد الجلب،
+
+31
+00:02:33,910 --> 00:02:38,570
+إنما ممكن في كل الجسم، عن طريق آليات كتير، في منهم
+
+32
+00:02:38,570 --> 00:02:42,630
+تلت أربع آليات، أحنا هنتحدث عن آليتين، كيف بأثر
+
+33
+00:02:42,630 --> 00:02:47,810
+الـ Infective Endocarditis على الجسم
+
+34
+00:02:50,320 --> 00:02:55,880
+بس قبل هيك بدأ نحكي عن الـ Theology ومقصود فيها ال
+
+35
+00:02:55,880 --> 00:02:58,940
+organisms causing major clinical forms of
+
+36
+00:02:58,940 --> 00:03:03,500
+endocarditis أننا نوعين مشهورين كبار أو نوعين من
+
+37
+00:03:03,500 --> 00:03:08,200
+البكتيريا اللي بتأدي إلى endocarditis أو infective
+
+38
+00:03:08,200 --> 00:03:12,240
+endocarditis وتقريبا كل نوع من البكتيريا هاي
+
+39
+00:03:12,810 --> 00:03:17,450
+ووصفولها نوع من الـEndocarditis اللي هو
+
+40
+00:03:17,450 --> 00:03:20,690
+الـChronicity of Endocarditis يعني هنا بنحدي احنا
+
+41
+00:03:20,690 --> 00:03:25,050
+عن Staphylococcus aureus وهذا الـBacterium أو
+
+42
+00:03:25,050 --> 00:03:29,430
+الـMicroorganism the most common cause of
+
+43
+00:03:29,430 --> 00:03:33,050
+infective endocarditis أكتر من نص الحالات are not
+
+44
+00:03:33,050 --> 00:03:36,290
+associated with underlying valvular diseases يعني
+
+45
+00:03:36,290 --> 00:03:43,620
+لما Staph aureus بدرب Endocardium أو بدربالقلب،
+
+46
+00:03:43,620 --> 00:03:49,100
+بروحش للقلب العليل والتعبان واللي عنده مشاكل، لأ
+
+47
+00:03:49,100 --> 00:03:53,260
+هو بروح على القلب السليم الـ Mortality Rate of
+
+48
+00:03:53,260 --> 00:03:58,260
+Staph Aureus Infective Endocarditis حوالي 40 ل 50%
+
+49
+00:03:58,260 --> 00:04:01,360
+بموتوا لما يصير عنده الواحد Infective Endocarditis
+
+50
+00:04:01,360 --> 00:04:07,200
+نتيجة Staph Aureus Staph Aureus عبارة عن نوع من
+
+51
+00:04:07,200 --> 00:04:10,120
+أنواع البكتيريا أخدتها في الـ Microbiology غالباً
+
+52
+00:04:11,000 --> 00:04:16,060
+وفيها النوع التاني اللي أقل الحدة واللي هو
+
+53
+00:04:16,060 --> 00:04:22,680
+Streptococcus viridans وهذا طبعاً بيأثرلي أو
+
+54
+00:04:22,680 --> 00:04:26,560
+بيديني 50 ل 60% of cases of sub acute diseases
+
+55
+00:04:26,560 --> 00:04:29,820
+إحنا هنحكي الآن ال acute diseases و ال sub acute
+
+56
+00:04:29,820 --> 00:04:33,200
+diseases ال acute endocarditis و ال sub acute
+
+57
+00:04:33,200 --> 00:04:37,120
+endocarditis ال Staph aureus هيدينا acute
+
+58
+00:04:37,120 --> 00:04:41,960
+endocarditisولكن الـ Stripped Viridans هيدينا
+
+59
+00:04:41,960 --> 00:04:47,500
+Subacute Endocarditis
+
+60
+00:04:47,500 --> 00:04:51,480
+وفيه طبعاً Other Microorganisms لكن هدول أهم
+
+61
+00:04:51,480 --> 00:04:54,400
+اتنين، الـ Stripped Viridans أو Stripped Coccus
+
+62
+00:04:54,400 --> 00:04:59,360
+Viridans بصيب القلب اللي عنده مشكلة من الأول، هاي
+
+63
+00:04:59,360 --> 00:05:03,040
+الفرق بين التانين كمان، فرق من الفروق الـ Acute
+
+64
+00:05:03,040 --> 00:05:05,940
+Endocarditis usually occurs when heart valves are
+
+65
+00:05:05,940 --> 00:05:10,170
+colonizedعن طريق البكتيريا الـ virulent in the
+
+66
+00:05:10,170 --> 00:05:14,490
+course of microbial يعني لما بيصير في عندي انتشار
+
+67
+00:05:14,490 --> 00:05:17,170
+للبكتيريا سواء الـ Staph aureus أو الـ viridans
+
+68
+00:05:17,170 --> 00:05:21,990
+بيصير عندي acute endocarditis اللي هو التهاب
+
+69
+00:05:21,990 --> 00:05:27,470
+الصمامات عندما
+
+70
+00:05:27,470 --> 00:05:33,260
+الصماماتيعشش فيها البكتيريا بتدينا كمان acute
+
+71
+00:05:33,260 --> 00:05:41,780
+endocarditis الـ Subacute
+
+72
+00:05:41,780 --> 00:05:44,840
+endocarditis الpatient with subacute endocarditis
+
+73
+00:05:44,840 --> 00:05:48,400
+usually have underlying valvular heart disease
+
+74
+00:05:48,400 --> 00:05:53,540
+يعني subacute أو الـ streptococcus viridans بصيب
+
+75
+00:05:53,540 --> 00:05:56,680
+للقلب اللي عنده مشاكل من الأول مش لازم لكن
+
+76
+00:05:56,680 --> 00:06:06,960
+الغالبيةوهي أقل حدة البكتيريا عن الـ Staph Aureus
+
+77
+00:06:06,960 --> 00:06:11,720
+كمان مرة الـ classification فيها acute
+
+78
+00:06:11,720 --> 00:06:16,260
+endocarditis و sub acute endocarditis الـ acute
+
+79
+00:06:16,260 --> 00:06:22,340
+بيصيبل normal heart valves و
+
+80
+00:06:22,340 --> 00:06:28,000
+rapidly destructiveمدمر، عشان هي كنا بموتوا 40 إلى
+
+81
+00:06:28,000 --> 00:06:33,460
+50% مازال الموضوع هذا، ومش بس بيبعتلي metastatic
+
+82
+00:06:33,460 --> 00:06:38,520
+fossae يعني بيبعتلي بكتيريا من المناطق هذه، من
+
+83
+00:06:38,520 --> 00:06:43,240
+القلب على باقي الجسم كمان، يعني ممكن نلاقي عاملة
+
+84
+00:06:43,240 --> 00:06:45,160
+في ال brain abscess، أسمي المثال
+
+85
+00:06:47,940 --> 00:06:51,220
+وcommonly الـ acute بيبقى عن طريق ال staff زي ما
+
+86
+00:06:51,220 --> 00:06:54,520
+حكينا قبل شوية ال staff ال staff له cocas aureus و
+
+87
+00:06:54,520 --> 00:06:59,000
+if not treated usually fatal within six weeks يعني
+
+88
+00:06:59,000 --> 00:07:03,920
+إذا ما ديناهوش علاج ممكن يموت خلال ست أسابيع ال
+
+89
+00:07:03,920 --> 00:07:09,520
+sub acute غالبا
+
+90
+00:07:09,520 --> 00:07:16,500
+بصيب damaged heart valvesاللي هي الصمامات اللي
+
+91
+00:07:16,500 --> 00:07:22,620
+فيها مشكلة وده not treated بياخد واجهة أكتر fatal
+
+92
+00:07:22,620 --> 00:07:27,740
+by one عادة
+
+93
+00:07:27,740 --> 00:07:34,710
+صحة الأسنان هي أهم عنصر من عناصرالـ Prevention of
+
+94
+00:07:34,710 --> 00:07:39,830
+Endocarditis لأن الـ Primary Portals هي منطقة
+
+95
+00:07:39,830 --> 00:07:49,830
+الأسنان اللي ممكن تصدرنا بكتيريا
+
+96
+00:07:49,830 --> 00:07:53,510
+على القلب عشان هيك في حاجة اسمها Endocarditis
+
+97
+00:07:53,510 --> 00:07:54,370
+Prophylaxis
+
+98
+00:07:58,100 --> 00:08:02,140
+عند ما أجي أخلع سن أو أظبط في سنان عند الناس اللي
+
+99
+00:08:02,140 --> 00:08:06,760
+عندها مشاكل في القلب طيب،
+
+100
+00:08:06,760 --> 00:08:11,940
+الاشي ال clinical قلنا احنا قبل شوي انه الـ
+
+101
+00:08:11,940 --> 00:08:16,040
+endocarditis بيضلش على جد المشكلة اللي عاملها في
+
+102
+00:08:16,040 --> 00:08:21,000
+القلب، في عنده كمان امتدادات لبرا، يعني مش بس
+
+103
+00:08:21,000 --> 00:08:25,180
+بأثرلي على القلب، إنما ممكن يأثرلي بميكانيزم معينة
+
+104
+00:08:26,570 --> 00:08:33,870
+برا القلب زي destruction of the intra-cardiac
+
+105
+00:08:33,870 --> 00:08:39,070
+valve
+
+106
+00:08:39,070 --> 00:08:46,150
+leaflets الكرديتنديني ممكن يعمل في الآخر برضه
+
+107
+00:08:46,150 --> 00:08:50,170
+valvular stenosisوفي الأخر يؤدي لـ congestive
+
+108
+00:08:50,170 --> 00:08:54,170
+heart failure يبقى أنا مشكلة الـ endocarditis مش
+
+109
+00:08:54,170 --> 00:08:58,670
+بس locally في القلب على ال valves اللي هي طبعا
+
+110
+00:08:58,670 --> 00:09:01,650
+مشكلة ممكن يعملي valve insufficient ممكن يعملي
+
+111
+00:09:01,650 --> 00:09:05,790
+valve perforation ممكن يعملي valve rupture
+
+112
+00:09:07,660 --> 00:09:12,220
+وفي الأخر يدّيني heart failure أو congestive heart
+
+113
+00:09:12,220 --> 00:09:17,660
+failure لكن في كمان حاجة تانية أنه نفس ال .. انتوا
+
+114
+00:09:17,660 --> 00:09:20,520
+.. احنا يعني يمكن ما اتكلمناش أكتر أنه إيش اللي
+
+115
+00:09:20,520 --> 00:09:24,000
+بيصير على ال valves؟ يعني هي صحيح صار فيها
+
+116
+00:09:24,000 --> 00:09:26,400
+infection، تعرفي لما يصير infection في أي مكان،
+
+117
+00:09:26,400 --> 00:09:30,920
+إيش بيصير عندنا؟ نوع من أنواع ال Pass، مدة، طبعا
+
+118
+00:09:30,920 --> 00:09:34,880
+المدة هي مع شوية calcium، مع كذا بتدينا حاجة اسمها
+
+119
+00:09:34,880 --> 00:09:39,610
+vegetations«Vegetations» مثل «Vegetabulo»
+
+120
+00:09:39,610 --> 00:09:42,770
+«Vegetations» يعني حاجة نباتية حاجة زي شكل
+
+121
+00:09:42,770 --> 00:09:48,790
+الجرنبيط بيعملي على الصمامات حاجة هيك مدة وتكوينات
+
+122
+00:09:48,790 --> 00:09:55,590
+بكتيرية هذه الـ «Vegetations» ممكن إنها يصير لها
+
+123
+00:09:55,590 --> 00:10:00,220
+«immobilization» تفك عن الـ «valve» تفكوتروح مع
+
+124
+00:10:00,220 --> 00:10:04,460
+تيار الدم وتعملي infection أو infection في
+
+125
+00:10:04,460 --> 00:10:07,640
+الـSpleen، في الـKidney، في الـMeninges، في
+
+126
+00:10:07,640 --> 00:10:10,440
+الـBrain، في الـBone، في الـPericardium، في
+
+127
+00:10:10,440 --> 00:10:15,800
+الـSynuvium، فهي ممكن تعملي مشاكل كتير، هذه من
+
+128
+00:10:15,800 --> 00:10:19,740
+جملة الأمور اللي ممكن يعملها الـEndocarditis مش
+
+129
+00:10:19,740 --> 00:10:24,920
+على جد القلبالـ Clinical Features of Infective
+
+130
+00:10:24,920 --> 00:10:28,800
+Endocarditis طبعاً fever, chills and sweets,
+
+131
+00:10:29,840 --> 00:10:34,160
+anorexia, weight loss, malaise, myalgia,
+
+132
+00:10:34,620 --> 00:10:40,000
+paraplegia, back pain, heart murmur، heart murmur
+
+133
+00:10:40,000 --> 00:10:46,000
+طبعاً ممكن يكون إشي جديدأو وارسليند ريجيورغراند
+
+134
+00:10:46,000 --> 00:10:50,200
+heart murmur أو مرمر يعني بدأ يبين في لغط في القلب
+
+135
+00:10:50,200 --> 00:10:55,520
+نتيجة إصابة الصممات أصوات في القلب غير طبيعية
+
+136
+00:10:55,520 --> 00:11:02,110
+وجديدة و بتيشيا ال بتيشيا هي عبارة عننقاط حمراء أو
+
+137
+00:11:02,110 --> 00:11:07,350
+تكونات تجميعات حمراء في الدموية في الجلد وذلك
+
+138
+00:11:07,350 --> 00:11:11,010
+نتيجة زي ما قلنا Immobilization of Vegetation of
+
+139
+00:11:11,010 --> 00:11:16,450
+Infection to the other parts of the body حلو لو
+
+140
+00:11:16,450 --> 00:11:25,210
+طلعته على شكل البيتيشيا في صور على ال Google أو
+
+141
+00:11:25,210 --> 00:11:32,460
+حاجة بتصير في عنده تصور واحد إيش ممكن يصيرمن الـ
+
+142
+00:11:32,460 --> 00:11:37,120
+Clinical Features أثار الـ arterial embolism بيصير
+
+143
+00:11:37,120 --> 00:11:42,560
+عندنا Splenomegaly إيش يعني؟ Spleen؟ طحال؟ Megaly؟
+
+144
+00:11:42,560 --> 00:11:46,960
+بيكبر الطحال؟ بيصير عندنا Clapping إيش يعني
+
+145
+00:11:46,960 --> 00:11:50,880
+Clapping؟
+
+146
+00:11:50,880 --> 00:11:55,380
+Clapping صح، زي ما قلتي، أه صح، زي ما قلتي
+
+147
+00:11:55,380 --> 00:11:57,620
+Clapping
+
+148
+00:11:59,350 --> 00:12:02,230
+أنا مش هحكي عن الـ Clapping كتير، ولكن لأن هذا الـ
+
+149
+00:12:02,230 --> 00:12:05,710
+Next Assignment تبعنا، الـ Clapping، What is
+
+150
+00:12:05,710 --> 00:12:12,290
+Clapping، درجات الـ Clapping، و الـ
+
+151
+00:12:12,290 --> 00:12:15,190
+Differential Diagnosis of Clapping، يعني خمس، ست
+
+152
+00:12:15,190 --> 00:12:18,790
+حاجات بدون ما تشرحوا عنهم إيش ممكن يعملي Clapping
+
+153
+00:12:18,790 --> 00:12:23,650
+في الجسمبعض الأحيان بيصير عنها a neurological
+
+154
+00:12:23,650 --> 00:12:27,210
+manifestation زي الـ stroke على سبيل المثال أو
+
+155
+00:12:27,210 --> 00:12:33,110
+brain abscess، a peripheral manifestation زي حاجة
+
+156
+00:12:33,110 --> 00:12:37,670
+اسمها Oslars nodes وsubangual hemorrhages
+
+157
+00:12:41,480 --> 00:12:45,940
+طبعاً فينا Lab Features of Infective Endocarditis
+
+158
+00:12:45,940 --> 00:12:50,140
+زي الأنيميا، الـ Leukocytosis، إيش عن الـ
+
+159
+00:12:50,140 --> 00:12:55,140
+Leukocytosis؟ آه، صح، زيادة في عدد القرايات البيضا
+
+160
+00:12:55,140 --> 00:13:00,840
+و Leucopenia، نقص في عدد القرايات البيضا عدد
+
+161
+00:13:00,840 --> 00:13:04,080
+القرايات البيضا عادة بيبقى من أكم لأكم، من أربع
+
+162
+00:13:04,080 --> 00:13:10,740
+تلاف لعشر تلافالآن لويكولد سيتوز هلاجيها أكتر من
+
+163
+00:13:10,740 --> 00:13:15,460
+عشر تلاف بيصير عندنا كمان microscopic hematuria
+
+164
+00:13:15,460 --> 00:13:19,780
+بالمايكروسكوب تنشف عبارة عن ما يسمى hematuria
+
+165
+00:13:19,780 --> 00:13:24,820
+عرفنا يومها إيش الـ hematuria بيصير عندنا elevated
+
+166
+00:13:24,820 --> 00:13:29,560
+erythrocyte sedimentation rate أكتر من 90% أنا بس
+
+167
+00:13:29,560 --> 00:13:32,280
+أوقف شوي بس عشان الأداء
+
+168
+00:13:37,040 --> 00:13:41,420
+طيب، إيش الـ «Elevated Erythrocyte Sedimentation
+
+169
+00:13:41,420 --> 00:13:46,640
+Rate»؟ بنقول عنه الـ ESR لما يكون عالي طبعاً هذا
+
+170
+00:13:46,640 --> 00:13:51,820
+الجزء التاني من ال assignment «What is Erythrocyte
+
+171
+00:13:51,820 --> 00:13:59,440
+Sedimentation Rate؟» على إيش بدلنا؟ وإيش يعني
+
+172
+00:13:59,440 --> 00:14:00,360
+elevated؟
+
+173
+00:14:02,790 --> 00:14:06,030
+مهم بالنسبة لنا هذا اللي بيقوله عنه سكات الترسيب
+
+174
+00:14:06,030 --> 00:14:10,830
+عندك عالي اللي هي الأهمية احنا بدنا نحاول جدر
+
+175
+00:14:10,830 --> 00:14:17,830
+الإمكان أنه نحيط إيش إيش يعني ESR إيش معناتها إيش
+
+176
+00:14:17,830 --> 00:14:22,060
+اللي بيصيربس short sentences بحاولوا ما تكتبوش
+
+177
+00:14:22,060 --> 00:14:25,920
+كتير أنا بدي عليها هاي ال retro site أو ال
+
+178
+00:14:25,920 --> 00:14:29,160
+elevated retro site sedimentation rate اللي هو
+
+179
+00:14:29,160 --> 00:14:33,360
+سرقة الترسيب توع الكوريات الحمرة بس على جد زي ما
+
+180
+00:14:33,360 --> 00:14:37,500
+قلنا إيش هو وإيش ال differential diagnosis تبعه
+
+181
+00:14:37,500 --> 00:14:42,000
+وقت إيش بيبجي عالي على أساس إنه نصير فاهمين عنه إن
+
+182
+00:14:42,000 --> 00:14:46,830
+شاء اللهمن الحاجات اللي بنشوفها، طب و أنا حكيتلكوا
+
+183
+00:14:46,830 --> 00:14:52,490
+عن أن ال بتيشيا، نحاول نشوفها على ال google، لكن
+
+184
+00:14:52,490 --> 00:14:56,330
+لا، احنا فيه أن حاجة هي زي هيك ال بتيشيا بتبقى
+
+185
+00:14:56,330 --> 00:15:00,450
+موجودة، non-cardiac manifestation، احنا قلنا مشكلة
+
+186
+00:15:00,450 --> 00:15:03,030
+ال endocarditis أنه بدينا cardiac manifestation و
+
+187
+00:15:03,030 --> 00:15:05,230
+بدينا non-cardiac manifestation، هذه انها ال
+
+188
+00:15:05,230 --> 00:15:10,320
+بتيشيااللي ممكن يعملها أو الـ vasculitis الباتيشيا
+
+189
+00:15:10,320 --> 00:15:13,300
+هي نوع من أنواع ال vasculitis أو presentation من
+
+190
+00:15:13,300 --> 00:15:16,320
+presentation ال vasculitis ال clapping
+
+191
+00:15:21,900 --> 00:15:25,780
+من الحاجات اللي بنشوفها حقيقة اللي هي أنا حكيت
+
+192
+00:15:25,780 --> 00:15:30,300
+عنها قبل شوية وقولت إنها شكلها زي شكل جطة الجرنبيط
+
+193
+00:15:30,300 --> 00:15:36,040
+بتكوينات اللي هي vegetation تكوينات من ال pass و
+
+194
+00:15:36,040 --> 00:15:39,260
+calcium وبعض الحاجات بتبجوين على ال valves وهي
+
+195
+00:15:39,260 --> 00:15:44,410
+اللي في الآخربتعملنا الـ Stenosis، بتعملنا الـ
+
+196
+00:15:44,410 --> 00:15:48,570
+Rehabilitation of the valve، بعض الأحيان بيصير لها
+
+197
+00:15:48,570 --> 00:15:53,130
+Immobilization، بتفق، و بتهاجر من القلب وبتطوح على
+
+198
+00:15:53,130 --> 00:15:56,150
+أماكن تانية، بتعملنا مشاكل. ال picture هاي اللي
+
+199
+00:15:56,150 --> 00:15:59,610
+احنا شايفينها هي عبارة عن Echocardium و ال
+
+200
+00:15:59,610 --> 00:16:04,400
+Vegetations وين الميترال Valveالـ Mitral Valve بين
+
+201
+00:16:04,400 --> 00:16:08,040
+مين ومين، أه صح، بين الـLift Atrium والـLift
+
+202
+00:16:08,040 --> 00:16:14,300
+Ventricle، وزي ما أحنا شايفين وين السهم هو هذه
+
+203
+00:16:14,300 --> 00:16:20,440
+الـVegetation Skip، بنشوفها بالـEco-cardiography،
+
+204
+00:16:20,440 --> 00:16:25,220
+نفس الكلام الـVegetationاللي هي زي ما شايفينها
+
+205
+00:16:25,220 --> 00:16:30,680
+القطع اللي بيبين السهم شايفين السهم الأسود هذه
+
+206
+00:16:30,680 --> 00:16:36,220
+عبارة عن vegetation على الصمامات على الـ mitral
+
+207
+00:16:36,220 --> 00:16:40,440
+valve نتيجة نتيجة endocarditis
+
+208
+00:16:42,730 --> 00:16:45,350
+العلاج مش مطلوب منكوا يا جماعة، لكن لازم تبقوا
+
+209
+00:16:45,350 --> 00:16:47,850
+عارفين أنه Antibiotic Treatment for Infective
+
+210
+00:16:47,850 --> 00:16:51,750
+Endocarditis مطلوب، لازم أدى Antibiotic، و لازم
+
+211
+00:16:51,750 --> 00:16:55,250
+أدى Antibiotic زي ما انتوا شايفين، كل هي تقف four
+
+212
+00:16:55,250 --> 00:16:58,250
+weeks، four weeks، two weeks، four weeks، يعني
+
+213
+00:16:58,250 --> 00:17:03,050
+القضية أنه بدي Antibiotic بصورة كبيرة و strong و
+
+214
+00:17:03,050 --> 00:17:07,650
+لفترة طويلة، يعني الغالب، الغالب في العالم بيعطوا
+
+215
+00:17:07,650 --> 00:17:08,290
+الـBenzaline
+
+216
+00:17:12,410 --> 00:17:18,150
+How to preventأو اندوكارديتس، اندوكارديتس يمكن أن
+
+217
+00:17:18,150 --> 00:17:21,150
+يتم حفظه بما أن البكتيريا تأتي من الخارج
+
+218
+00:17:21,150 --> 00:17:26,310
+للاندوكارديام، يعني أن أي عملية أعملها في الجسم
+
+219
+00:17:26,310 --> 00:17:30,710
+خاصة في منطقة الأسنان، لابد أنه أدّي مضاد حيوي،
+
+220
+00:17:30,710 --> 00:17:36,190
+بيقول عنه بري بروسيجر أنتبيوتك، وعلى أساس أنه أحمي
+
+221
+00:17:36,190 --> 00:17:39,850
+المريض اللي عنده مشكلة بالذات في القلب، من أنه
+
+222
+00:17:39,850 --> 00:17:42,430
+أدّي مضاد حيوي، بالذات الناس اللي عندها مشكلة في
+
+223
+00:17:42,430 --> 00:17:49,410
+القلبدايما أحافظ على جود oral hygiene وده الـ most
+
+224
+00:17:49,410 --> 00:17:54,690
+أو more effective in the overall prevention of
+
+225
+00:17:54,690 --> 00:18:00,670
+valvular infection، ليش؟ لأن الجنجفايتس
+
+226
+00:18:00,670 --> 00:18:07,790
+التهاب اللثة هو أكتر source للبكتيرياطبعاً ممكن
+
+227
+00:18:07,790 --> 00:18:10,910
+مايأثرش على أعضاء تانية لكن هو بيأثرلي على مين؟
+
+228
+00:18:10,910 --> 00:18:15,370
+بيأثرلي على الـ Endocardium بتديني Endocarditis
+
+229
+00:18:15,370 --> 00:18:19,950
+وكل فترة وفترة الـ American Heart Association
+
+230
+00:18:19,950 --> 00:18:24,990
+بتطلع Recommendation للـ Endocarditis Prophylaxis
+
+231
+00:18:24,990 --> 00:18:30,730
+Infective Endocarditis Prophylaxis هذا بتدخلنا على
+
+232
+00:18:30,730 --> 00:18:38,120
+موضوعأو على جزئية تانية اسمها أمراض التوسع القلب و
+
+233
+00:18:38,120 --> 00:18:40,540
+الـ myocarditis و الـ pericardial disease احنا
+
+234
+00:18:40,540 --> 00:18:44,080
+هنحكي بس كمان slide عن الموضوع هذا ما هنحكي اشي
+
+235
+00:18:44,080 --> 00:18:50,160
+كتير cardiomyopathy هذا يدل على انه في عنديفي عضلة
+
+236
+00:18:50,160 --> 00:18:53,900
+القلب في مرض مرض في عضلة القلب Myocarditis التهاب
+
+237
+00:18:53,900 --> 00:18:58,520
+عضلة القلب والبريكارديام disease اللي هو ما يصيب
+
+238
+00:18:58,520 --> 00:19:02,140
+البريكارديام ال myocarditis هو عبارة عن
+
+239
+00:19:02,140 --> 00:19:05,160
+inflammation of the myocardium احنا بس قاعدين
+
+240
+00:19:05,160 --> 00:19:08,560
+بنعرف الأمراض تعريفها بنحكي عنها جمل بسيطة يعني
+
+241
+00:19:08,560 --> 00:19:13,480
+احنا ما هذا ما موضوع موضوعبياخد أكتر من هيك في كتب
+
+242
+00:19:13,480 --> 00:19:17,680
+الباطنة لكن احنا بنحاول نعرج ونقول يعني بحيث لما
+
+243
+00:19:17,680 --> 00:19:20,180
+أسمع والله myocarditis أبقى فاهم عن إيش الموضوع
+
+244
+00:19:20,180 --> 00:19:23,740
+بيصير لما أسمع endocarditis أبقى فاهم عن إيش بنحكى
+
+245
+00:19:23,740 --> 00:19:28,180
+inflammation of the myocardium can be result of
+
+246
+00:19:28,180 --> 00:19:31,300
+systemic disorder أو infectious agent
+
+247
+00:19:35,470 --> 00:19:38,570
+الأسباب هنا بتتراوح طبعا قبل شوية في الـ
+
+248
+00:19:38,570 --> 00:19:42,430
+Endocarditis كنا الكلام تبعنا كله عن بكتيريا، لكن
+
+249
+00:19:42,430 --> 00:19:45,430
+الآن بدأنا نحكي عن viruses الـ Myocarditis ممكن
+
+250
+00:19:45,430 --> 00:19:49,490
+يكون سببها viruses زي الـ Viral Coxa KB، الـ
+
+251
+00:19:49,490 --> 00:19:51,790
+Echovirus، الـ Influenza، البرا Influenza، الـ
+
+252
+00:19:51,790 --> 00:19:56,310
+Epstein-Barr Virus و الـ HIV الـ HIV، إيش بيفكركوا
+
+253
+00:19:56,310 --> 00:20:02,800
+هذا الـ HIV؟ أه صح، هذا الـ AIDSالـ AIDS كما ممكن
+
+254
+00:20:02,800 --> 00:20:07,100
+أنواع من بعض أنواع البكتيرياممكن تعملنا
+
+255
+00:20:07,100 --> 00:20:19,740
+Myocarditis زي الـDiphtheria زي الـMycoplasma
+
+256
+00:20:19,740 --> 00:20:24,720
+Pneumonia زي الـBeta-Hemolytic Streptococci وفي
+
+257
+00:20:24,720 --> 00:20:27,780
+الغالب لما يكون في عندنا Myocarditis يبقى في عندنا
+
+258
+00:20:27,780 --> 00:20:31,340
+أيضا الـPericarditis منطقة البريكاليوم
+
+259
+00:20:31,340 --> 00:20:36,690
+الـMyocarditis clinical feature تدينافيرور،
+
+260
+00:20:36,690 --> 00:20:40,170
+تاكيكارديا، ميالجيا، headache، Kragers، chest pain
+
+261
+00:20:40,170 --> 00:20:43,910
+احنا حد تحدثنا مرة بتهيألي أو قولنا واحد من ال
+
+262
+00:20:43,910 --> 00:20:49,970
+assignments كان chest pain chest pain assignment
+
+263
+00:20:49,970 --> 00:20:54,190
+differential diagnosis severe cases may have
+
+264
+00:20:54,190 --> 00:21:00,090
+congestive heart failure symptoms كيف بشخص ال
+
+265
+00:21:00,090 --> 00:21:07,560
+myocarditis ب ECG؟ممكن يديني FA Block، ممكن يديني
+
+266
+00:21:07,560 --> 00:21:12,620
+Prolonged QRS Serration، ممكن يديني ST Elevation،
+
+267
+00:21:12,620 --> 00:21:16,400
+الـChess X-Ray بلاجيه طبيعي، الـEnzymes ممكن
+
+268
+00:21:16,400 --> 00:21:20,060
+ألاجيها عالية، الـEnzymes، وطبعا في
+
+269
+00:21:20,060 --> 00:21:22,320
+الـMyocarditis، مش هو لما واحد يصير عنده Chess
+
+270
+00:21:22,320 --> 00:21:25,140
+Spin، مش أول حاجة بفكر فيها Myocarditis، لأ، احنا
+
+271
+00:21:25,140 --> 00:21:28,610
+عندنا مشاكل بتصير في القلب، زيالإنفاكشن والـ
+
+272
+00:21:28,610 --> 00:21:32,930
+valvular diseases بتبقى more common than
+
+273
+00:21:32,930 --> 00:21:41,430
+myocarditis في إن ال acute pericarditis اللي بيصير
+
+274
+00:21:41,430 --> 00:21:47,190
+إنه بيصير إنه lose visceral pericardium and dense
+
+275
+00:21:47,190 --> 00:21:52,530
+parietal pericardium surround heart
+
+276
+00:21:54,810 --> 00:21:58,290
+الـ pericardium space may contain لحد 50 ملي
+
+277
+00:21:58,290 --> 00:22:02,490
+normally اللي هو pericardial effusion ال
+
+278
+00:22:02,490 --> 00:22:06,110
+theologies of sub acute pericarditis فيه viral،
+
+279
+00:22:06,110 --> 00:22:09,150
+bacterial، fungal، أي حاجة ممكن، بس أنا لو كان في
+
+280
+00:22:09,150 --> 00:22:14,250
+عندي pericarditis يا جماعة لابد أنه دايما أبحث عن
+
+281
+00:22:14,250 --> 00:22:18,760
+السببماينفعش أقول والله فلان عنده، ليش؟ لأنه زي ما
+
+282
+00:22:18,760 --> 00:22:23,440
+أنتوا شايفين، احنا عندنا مليون سبب وسبب عشان، وعلى
+
+283
+00:22:23,440 --> 00:22:26,600
+رأسها طبعا الأمور الـinfection والـmalignancy
+
+284
+00:22:26,600 --> 00:22:30,780
+والـdrugs، كلها بتدّي pericardial effusion، فلبد
+
+285
+00:22:30,780 --> 00:22:34,660
+إنه في الـpericardial effusion، صحيح هو ممكن يكون
+
+286
+00:22:34,660 --> 00:22:37,700
+pericarditis، لكن في أسباب تانية بتعملنا
+
+287
+00:22:37,700 --> 00:22:39,400
+pericardial effusion،
+
+288
+00:22:41,740 --> 00:22:46,680
+الـ Clinical Features Of Acute Pericarditis Most
+
+289
+00:22:46,680 --> 00:22:51,780
+Common Sudden Or Gradual Onset Of Sharp Or
+
+290
+00:22:51,780 --> 00:22:55,200
+Stabbing، Stabbing زي ما تحط سكينة في صدر واحد
+
+291
+00:22:55,200 --> 00:22:58,740
+With Radiation To Back, Neck And Left Shoulder Or
+
+292
+00:22:58,740 --> 00:23:05,880
+Arm، Pain، بيدينا pain وطبعا ممكن يوصل ال pain هذا
+
+293
+00:23:05,880 --> 00:23:11,030
+للـ Left Trapezial Ridgeالصعوبة أكتر عالية عندما
+
+294
+00:23:11,030 --> 00:23:16,710
+تلقى صحابة مقفلة ومساعدة عند المقفلكل ما جاعد
+
+295
+00:23:16,710 --> 00:23:20,390
+الواحد كل ما كان أحسن لما يتمدد بيبقى ال pain أسوأ
+
+296
+00:23:20,390 --> 00:23:23,410
+و بيبقى عندنا low grade fever dyspnea ممكن
+
+297
+00:23:23,410 --> 00:23:28,870
+dysphagia و ممكن يصير عندنا transient friction rub
+
+298
+00:23:28,870 --> 00:23:31,630
+عشان ال friction rub زي ما احنا عارفين ان ال
+
+299
+00:23:31,630 --> 00:23:35,250
+pericardium عبارة عن جتائتين عن جزئين فيه في جلبه
+
+300
+00:23:35,250 --> 00:23:40,050
+في واحد فيه التهاب و فيه fluid بينهم بيصيروا يحكوا
+
+301
+00:23:40,050 --> 00:23:45,350
+بعض فهذا دينا صوت بالسمعة اسمه friction rubبندخل
+
+302
+00:23:45,350 --> 00:23:50,250
+الآن على الـ Cardiomyopathies الـ
+
+303
+00:23:50,250 --> 00:23:54,210
+cardiac dysfunction caused by myocardial disease
+
+304
+00:23:54,210 --> 00:24:00,150
+بنقول عنه Cardiomyopathy ويعتبر
+
+305
+00:24:00,150 --> 00:24:04,770
+هو الـ third most common form of heart disease in
+
+306
+00:24:04,770 --> 00:24:10,690
+US لكن second most common cause of adolescent
+
+307
+00:24:10,690 --> 00:24:12,050
+sudden death
+
+308
+00:24:15,620 --> 00:24:18,860
+وDirectly affect cardiac structure Cardiomyopathy
+
+309
+00:24:18,860 --> 00:24:23,020
+يعني خلاص هو الجسد جسد القلب بيصير مصاب وimpairs
+
+310
+00:24:23,020 --> 00:24:28,780
+myocardial function فينا three types منه ال DCM و
+
+311
+00:24:28,780 --> 00:24:33,560
+ال HCM و restrictive cardiomyopathy dilated
+
+312
+00:24:33,560 --> 00:24:39,500
+cardiomyopathy dilated يعني متوسع يعني القلب عضلة
+
+313
+00:24:39,500 --> 00:24:46,690
+القلب متوسعة زيادة عن اللازمالـ HCM هايباتروفايد
+
+314
+00:24:46,690 --> 00:24:55,070
+كارديوبتي بالعكس متضخم القلب و restrictive زي بدنا
+
+315
+00:24:55,070 --> 00:25:01,230
+نتصور كيف يعني restrictive شفته الجلد
+
+316
+00:25:02,060 --> 00:25:07,900
+لما أعمل منه وعاء مثلا هممكن يساله خمسة لتر مثلا
+
+317
+00:25:07,900 --> 00:25:12,400
+لو عملت أنا من جلد جلد جلد وعاء الجلد غير متمدد
+
+318
+00:25:12,400 --> 00:25:16,500
+بمعنى ماقدرش أحط فيه عشرة مش زي ال nylon أو زي
+
+319
+00:25:16,500 --> 00:25:21,400
+البلون أو كذا ممكن أحط فيه أكترالجلد لا بتجاوب في
+
+320
+00:25:21,400 --> 00:25:24,820
+أحط فيه أكتر ولا أحط فيه أقل، يعني حتى ما بتصغرش،
+
+321
+00:25:24,820 --> 00:25:28,040
+مش زي البلون، بصغر، فهو restrictive، معناته لا
+
+322
+00:25:28,040 --> 00:25:31,960
+يتحرك، بيضل زي ما هو restrictive، restrictive
+
+323
+00:25:31,960 --> 00:25:33,600
+cardiomyopathy
+
+324
+00:25:37,240 --> 00:25:40,320
+بيصير فيه عندنا dilatation and compensatory
+
+325
+00:25:40,320 --> 00:25:42,860
+hypertrophy of myocardium بيصير عندنا توسع في
+
+326
+00:25:42,860 --> 00:25:45,580
+الmyocardium بيصير عندنا hypertrophy لكن
+
+327
+00:25:45,580 --> 00:25:50,060
+compensatory depressed systolic function and pump
+
+328
+00:25:50,060 --> 00:25:56,320
+failure with low cardiac output طبيعي 80% من ال
+
+329
+00:25:56,320 --> 00:26:00,120
+dialytic cardiomyopathy are idiopathic
+
+330
+00:26:03,210 --> 00:26:05,830
+غير معروفة السبب «idiopathic» يعني غير معروف
+
+331
+00:26:05,830 --> 00:26:10,030
+السبب، مش أنه مافيش سبب، غير معروف السبب، ولاجوا
+
+332
+00:26:10,030 --> 00:26:19,890
+أن الـ «أفريقان أمريكان وملابسهم» لديهم 2.5% fold
+
+333
+00:26:19,890 --> 00:26:23,710
+increased risk وmost common age of diagnosis من 20
+
+334
+00:26:23,710 --> 00:26:28,350
+إلى 50، وهذا مين؟ هذا dilated cardiomyopathy، الـ
+
+335
+00:26:28,350 --> 00:26:31,350
+hypertrophic cardiomyopathyالـ Asymmetric left
+
+336
+00:26:31,350 --> 00:26:37,490
+heart hypertrophy وممكن يكون معاها الـ right heart
+
+337
+00:26:37,490 --> 00:26:42,250
+وفي الغالب بيبقى معاهم الـ septum كمان without أي
+
+338
+00:26:42,250 --> 00:26:47,130
+نتيجة، بدون تواسع في القلب، يعني تضخمفي الـ left
+
+339
+00:26:47,130 --> 00:26:50,490
+ممكن تاخد معاها ال right و ال septum بيبقى متضخم
+
+340
+00:26:50,490 --> 00:26:55,470
+أتصور في صورة بتبريكيها 50% are hereditary بنخلق
+
+341
+00:26:55,470 --> 00:26:59,610
+فيه prevalence واحد من كل خمسمية mortality واحد في
+
+342
+00:26:59,610 --> 00:27:04,710
+المية ال mortality بتزيد في الأطفال وال adolescent
+
+343
+00:27:07,230 --> 00:27:11,070
+الـ Hypertrophic Cardiomyopathy سمتوم severity
+
+344
+00:27:11,070 --> 00:27:16,510
+progress with age ديسنيا كل ما بيكبر واحد بتعب
+
+345
+00:27:16,510 --> 00:27:19,890
+أكتر ديسنيا on exertion most common initial or
+
+346
+00:27:19,890 --> 00:27:25,310
+presenting symptoms بتعب لما سدروا بتعب، بيصير
+
+347
+00:27:25,310 --> 00:27:31,410
+عندهم ضيق نفس لما بتعب وممكن نتيجة تضخم ال cardiac
+
+348
+00:27:31,410 --> 00:27:37,740
+muscle يبطل يصل كفايةدم للـ muscles فيصير أنها
+
+349
+00:27:37,740 --> 00:27:41,300
+angina-like دايماً chest pain ممكن يصير أنها
+
+350
+00:27:41,300 --> 00:27:45,840
+palpitation لأنه برضه ال propagation of the
+
+351
+00:27:45,840 --> 00:27:52,080
+discharge of the heart بيصير
+
+352
+00:27:52,080 --> 00:27:55,800
+مش سليم فبيصير أنها palpitation وممكن يصير أنها
+
+353
+00:27:55,800 --> 00:28:01,260
+كمان Psychosis لأن الجلب مايقدرش يضخ كفاية دم
+
+354
+00:28:01,260 --> 00:28:04,870
+للدمار فبيصير أنها Psychosisالـ Restrictive
+
+355
+00:28:04,870 --> 00:28:07,730
+Cardiomyopathy one of least common
+
+356
+00:28:07,730 --> 00:28:11,650
+Cardiomyopathies يعني جليل Ventricular volume and
+
+357
+00:28:11,650 --> 00:28:17,010
+septum are normal لكن زي ما قلنا ما بتجاوبش مع
+
+358
+00:28:17,010 --> 00:28:24,130
+دخول الانبساط والستوليكوم والدياستوليكوم تبقى
+
+359
+00:28:24,130 --> 00:28:28,320
+القلب mostly idiopathicممكن بعض الأحيان يكون
+
+360
+00:28:28,320 --> 00:28:33,240
+Familiar Systemic Disorder غالبا بيبقى وراه زي الـ
+
+361
+00:28:33,240 --> 00:28:35,860
+Amyloidosis زي الـ Zarcoidosis زي الـ
+
+362
+00:28:35,860 --> 00:28:39,680
+Hemochromatosis زي الـ Scleroderma والـ Carcinoid
+
+363
+00:28:39,680 --> 00:28:46,700
+هذه عبارة عنزي ما بنقول عنها connective tissue
+
+364
+00:28:46,700 --> 00:28:52,080
+diseases وغالبا هي في جزء كبير من الأسباب
+
+365
+00:28:52,080 --> 00:28:56,740
+لـrestrictive cardiomyopathy يعني احنا هنا بس
+
+366
+00:28:56,740 --> 00:29:06,360
+حاولنا جدر الإمكان نلقي الضوء على بعض أمراضالقلب
+
+367
+00:29:06,360 --> 00:29:10,240
+زي الـ Cardiomyopathy زي الـ Myocarditis و الـ
+
+368
+00:29:10,240 --> 00:29:18,700
+Pericardial diseases وتحدثنا شوية بزيادة عن الـ
+
+369
+00:29:18,700 --> 00:29:23,100
+Infective Endocarditis على أساس هو الـ most common
+
+370
+00:29:24,750 --> 00:29:29,670
+نوعين منهم اللي هو الـ acute و ال sub acute و
+
+371
+00:29:29,670 --> 00:29:32,950
+ربطنا ال acute و ال sub acute ربط مش نهائي طبعا مش
+
+372
+00:29:32,950 --> 00:29:37,150
+100% مع ال staff aureus و ال streptococcus
+
+373
+00:29:37,150 --> 00:29:42,870
+viridans يعني شوية المادة احتمال تكون ناشفة شوية
+
+374
+00:29:42,870 --> 00:29:47,450
+لكن لابد انهم يكونوا عادين عليها بتمنى لكوا انهار
+
+375
+00:29:47,450 --> 00:29:53,250
+سعيد زي ما قلنا ال assignment كان جزئينالـ
+
+376
+00:29:53,250 --> 00:29:59,850
+Clapping و الـ Differential Diagnosis و الجزء
+
+377
+00:29:59,850 --> 00:30:05,930
+التاني كان الـ ESR تعريفه و على ماذا يدل و الـ
+
+378
+00:30:05,930 --> 00:30:07,290
+Differential Diagnosis
+
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/7Dh_YwaAVoc_raw.json b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/7Dh_YwaAVoc_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..8c0379aaa9ca9343eba6fbeaeb600ca87de6f7e7
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/7Dh_YwaAVoc_raw.json
@@ -0,0 +1 @@
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"seek": 73975, "start": 719.35, "end": 739.75, "text": "أنا مش هحكي عن الـ Clapping كتير، ولكن لأن هذا الـ Next Assignment تبعنا، الـ Clapping، What is Clapping، درجات الـ Clapping، و الـ Differential Diagnosis of Clapping، يعني خمس، ست حاجات بدون ما تشرحوا عنهم إيش ممكن يعملي Clapping في الجسم", "tokens": [10721, 8315, 37893, 8032, 5016, 4117, 1829, 18871, 2423, 39184, 12947, 3759, 9122, 2655, 13546, 12399, 35525, 19452, 5296, 33456, 23758, 2423, 39184, 3087, 6281, 41134, 6055, 3555, 3615, 8315, 12399, 2423, 39184, 12947, 3759, 12399, 708, 307, 12947, 3759, 12399, 11778, 47341, 9307, 2423, 39184, 12947, 3759, 12399, 4032, 2423, 39184, 413, 12612, 2549, 8789, 4535, 8211, 295, 12947, 3759, 12399, 37495, 22653, 16490, 2304, 3794, 12399, 8608, 2655, 11331, 26108, 9307, 47525, 11536, 19446, 6055, 46309, 5016, 14407, 18871, 16095, 11933, 1829, 8592, 3714, 43020, 7251, 25957, 20292, 12947, 3759, 8978, 25724, 38251], "avg_logprob": -0.20035806655262908, "compression_ratio": 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" على", "probability": 0.8740234375}, {"start": 1761.06, "end": 1761.4, "word": " أساس", "probability": 0.9103190104166666}, {"start": 1761.4, "end": 1761.68, "word": " هو", "probability": 0.9052734375}, {"start": 1761.68, "end": 1762.18, "word": " الـ", "probability": 0.764892578125}, {"start": 1762.18, "end": 1762.42, "word": " most", "probability": 0.336181640625}, {"start": 1762.42, "end": 1763.1, "word": " common", "probability": 0.95849609375}], "temperature": 1.0}, {"id": 78, "seek": 179241, "start": 1764.75, "end": 1792.41, "text": "نوعين منهم اللي هو الـ acute و ال sub acute و ربطنا ال acute و ال sub acute ربط مش نهائي طبعا مش 100% مع ال staff aureus و ال streptococcus viridans يعني شوية المادة احتمال تكون ناشفة شوية لكن لابد انهم يكونوا عادين عليها بتمنى لكوا انهار سعيد زي ما قلنا ال assignment كان جزئين", "tokens": [1863, 45367, 9957, 9154, 16095, 13672, 1829, 31439, 2423, 39184, 24390, 4032, 2423, 1422, 24390, 4032, 12602, 3555, 9566, 8315, 2423, 24390, 4032, 2423, 1422, 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"word": " هو", "probability": 0.919921875}, {"start": 1766.43, "end": 1766.57, "word": " الـ", "probability": 0.9228515625}, {"start": 1766.57, "end": 1766.91, "word": " acute", "probability": 0.68896484375}, {"start": 1766.91, "end": 1767.21, "word": " و", "probability": 0.3505859375}, {"start": 1767.21, "end": 1767.67, "word": " ال", "probability": 0.69189453125}, {"start": 1767.67, "end": 1767.99, "word": " sub", "probability": 0.32568359375}, {"start": 1767.99, "end": 1768.73, "word": " acute", "probability": 0.80859375}, {"start": 1768.73, "end": 1769.67, "word": " و", "probability": 0.70751953125}, {"start": 1769.67, "end": 1770.35, "word": " ربطنا", "probability": 0.86865234375}, {"start": 1770.35, "end": 1770.43, "word": " ال", "probability": 0.9814453125}, {"start": 1770.43, "end": 1770.67, "word": " acute", "probability": 0.9697265625}, {"start": 1770.67, "end": 1770.81, "word": " و", "probability": 0.8212890625}, {"start": 1770.81, "end": 1770.87, "word": " ال", "probability": 0.79638671875}, {"start": 1770.87, "end": 1771.07, "word": " sub", "probability": 0.98095703125}, {"start": 1771.07, "end": 1771.41, "word": " acute", "probability": 0.97998046875}, {"start": 1771.41, "end": 1771.73, "word": " ربط", "probability": 0.8759765625}, {"start": 1771.73, "end": 1771.91, "word": " مش", "probability": 0.974609375}, {"start": 1771.91, "end": 1772.39, "word": " نهائي", "probability": 0.887939453125}, {"start": 1772.39, "end": 1772.75, "word": " طبعا", "probability": 0.98193359375}, {"start": 1772.75, "end": 1772.95, "word": " مش", "probability": 0.82861328125}, {"start": 1772.95, "end": 1773.17, "word": " 100", "probability": 0.386962890625}, {"start": 1773.17, "end": 1773.57, "word": "%", "probability": 0.96240234375}, {"start": 1773.57, "end": 1774.17, "word": " مع", "probability": 0.94873046875}, {"start": 1774.17, "end": 1774.33, "word": " ال", "probability": 0.96484375}, {"start": 1774.33, "end": 1774.75, "word": " staff", "probability": 0.4462890625}, {"start": 1774.75, "end": 1775.47, "word": " aureus", "probability": 0.7787272135416666}, {"start": 1775.47, "end": 1775.85, "word": " و", "probability": 0.78271484375}, {"start": 1775.85, "end": 1775.95, "word": " ال", "probability": 0.8154296875}, {"start": 1775.95, "end": 1777.15, "word": " streptococcus", "probability": 0.91259765625}, {"start": 1777.15, "end": 1778.95, "word": " viridans", "probability": 0.8119303385416666}, {"start": 1778.95, "end": 1780.41, "word": " يعني", "probability": 0.91455078125}, {"start": 1780.41, "end": 1781.17, "word": " شوية", "probability": 0.66357421875}, {"start": 1781.17, "end": 1781.57, "word": " المادة", "probability": 0.9090169270833334}, {"start": 1781.57, "end": 1781.89, "word": " احتمال", "probability": 0.9156494140625}, {"start": 1781.89, "end": 1782.17, "word": " تكون", "probability": 0.96484375}, {"start": 1782.17, "end": 1782.55, "word": " ناشفة", "probability": 0.970458984375}, {"start": 1782.55, "end": 1782.87, "word": " شوية", "probability": 0.9119466145833334}, {"start": 1782.87, "end": 1783.57, "word": " لكن", "probability": 0.85693359375}, {"start": 1783.57, "end": 1783.99, "word": " لابد", "probability": 0.9510091145833334}, {"start": 1783.99, "end": 1784.27, "word": " انهم", "probability": 0.701904296875}, {"start": 1784.27, "end": 1784.45, "word": " يكونوا", "probability": 0.6952311197916666}, {"start": 1784.45, "end": 1784.83, "word": " عادين", "probability": 0.71875}, {"start": 1784.83, "end": 1785.39, "word": " عليها", "probability": 0.98486328125}, {"start": 1785.39, "end": 1786.45, "word": " بتمنى", "probability": 0.8057454427083334}, {"start": 1786.45, "end": 1786.73, "word": " لكوا", "probability": 0.8245442708333334}, {"start": 1786.73, "end": 1787.45, "word": " انهار", "probability": 0.8085123697916666}, {"start": 1787.45, "end": 1788.55, "word": " سعيد", "probability": 0.9964192708333334}, {"start": 1788.55, "end": 1789.15, "word": " زي", "probability": 0.8857421875}, {"start": 1789.15, "end": 1789.23, "word": " ما", "probability": 0.97412109375}, {"start": 1789.23, "end": 1789.41, "word": " قلنا", "probability": 0.6888020833333334}, {"start": 1789.41, "end": 1789.51, "word": " ال", "probability": 0.87353515625}, {"start": 1789.51, "end": 1789.97, "word": " assignment", "probability": 0.93701171875}, {"start": 1789.97, "end": 1790.43, "word": " كان", "probability": 0.9755859375}, {"start": 1790.43, "end": 1792.41, "word": " جزئين", "probability": 0.892333984375}], "temperature": 1.0}, {"id": 79, "seek": 180729, "start": 1792.81, "end": 1807.29, "text": "الـ Clapping و الـ Differential Diagnosis و الجزء التاني كان الـ ESR تعريفه و على ماذا يدل و الـ Differential Diagnosis", "tokens": [6027, 39184, 12947, 3759, 4032, 2423, 39184, 413, 12612, 2549, 8789, 4535, 8211, 4032, 25724, 11622, 38207, 16712, 7649, 1829, 25961, 2423, 39184, 12564, 49, 37279, 16572, 5172, 3224, 4032, 15844, 3714, 45636, 995, 7251, 3215, 1211, 4032, 2423, 39184, 413, 12612, 2549, 8789, 4535, 8211], "avg_logprob": -0.31515957954082086, "compression_ratio": 1.4224137931034482, "no_speech_prob": 5.4836273193359375e-06, "words": [{"start": 1792.81, "end": 1793.25, "word": "الـ", "probability": 0.3966064453125}, {"start": 1793.25, "end": 1793.75, "word": " Clapping", "probability": 0.6697998046875}, {"start": 1793.75, "end": 1794.17, "word": " و", "probability": 0.732421875}, {"start": 1794.17, "end": 1794.25, "word": " الـ", "probability": 0.767578125}, {"start": 1794.25, "end": 1794.65, "word": " Differential", "probability": 0.7403157552083334}, {"start": 1794.65, "end": 1795.23, "word": " Diagnosis", "probability": 0.74755859375}, {"start": 1795.23, "end": 1797.27, "word": " و", "probability": 0.15673828125}, {"start": 1797.27, "end": 1799.85, "word": " الجزء", "probability": 0.8972981770833334}, {"start": 1799.85, "end": 1800.29, "word": " التاني", "probability": 0.8767903645833334}, {"start": 1800.29, "end": 1800.69, "word": " كان", "probability": 0.908203125}, {"start": 1800.69, "end": 1802.57, "word": " الـ", "probability": 0.5447998046875}, {"start": 1802.57, "end": 1803.25, "word": " ESR", "probability": 0.87451171875}, {"start": 1803.25, "end": 1804.27, "word": " تعريفه", "probability": 0.939697265625}, {"start": 1804.27, "end": 1804.77, "word": " و", "probability": 0.86376953125}, {"start": 1804.77, "end": 1804.97, "word": " على", "probability": 0.54833984375}, {"start": 1804.97, "end": 1805.29, "word": " ماذا", "probability": 0.95849609375}, {"start": 1805.29, "end": 1805.67, "word": " يدل", "probability": 0.9890950520833334}, {"start": 1805.67, "end": 1805.83, "word": " و", "probability": 0.7138671875}, {"start": 1805.83, "end": 1805.93, "word": " الـ", "probability": 0.8671875}, {"start": 1805.93, "end": 1806.47, "word": " Differential", "probability": 0.7443033854166666}, {"start": 1806.47, "end": 1807.29, "word": " Diagnosis", "probability": 0.9239908854166666}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 1814.03575, "duration_after_vad": 1730.3181249999977}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/7Dh_YwaAVoc_raw.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/7Dh_YwaAVoc_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..29e79f8e8b14a228dd277f85a95d7be53f052486
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/7Dh_YwaAVoc_raw.srt
@@ -0,0 +1,1512 @@
+1
+00:00:02,010 --> 00:00:04,290
+بسم الله الرحمن الرحيم الحمد لله رب العالمين و
+
+2
+00:00:04,290 --> 00:00:08,250
+الصلاة والسلام علي سيدنا محمد وسيد البرسلين إذا ما
+
+3
+00:00:08,250 --> 00:00:11,430
+إنشاء الله تعالى اليوم هنتحدث عن infective
+
+4
+00:00:11,430 --> 00:00:18,070
+endocarditis من القسم طبعا بلاحظين نحن هنحكي عن
+
+5
+00:00:18,070 --> 00:00:23,270
+infections of the heart infections of the heart
+
+6
+00:00:25,710 --> 00:00:31,370
+وبعدها هنكمل على الـ myocardiopathies اللي هي بعض
+
+7
+00:00:31,370 --> 00:00:35,990
+أمراض عضلات القلب اللي بتأثرنا على أداء و بتأدي
+
+8
+00:00:35,990 --> 00:00:41,390
+للـ heart failure الـinfective endocarditis هو
+
+9
+00:00:41,390 --> 00:00:47,870
+تقريبا أشهر أنواع ال infection في القلب و طبعا زي
+
+10
+00:00:47,870 --> 00:00:51,900
+ما احنا شايفين أو زي ما احنا سامعينإنه
+
+11
+00:00:51,900 --> 00:00:56,540
+endocarditis، endocardium بيصيرله etis اللي هو
+
+12
+00:00:56,540 --> 00:01:00,920
+infection أو inflammation والسبب تبعه infection
+
+13
+00:01:04,800 --> 00:01:13,840
+الـ Infective Endocarditis اللي بيصير فيه أنه مش
+
+14
+00:01:13,840 --> 00:01:18,700
+زي أي التهاب في أي مكان في الجسم ممكن لكن هو بأثر
+
+15
+00:01:18,700 --> 00:01:25,280
+تأثير مباشر على بما أنه الصمامات هي امتداد للـ
+
+16
+00:01:25,280 --> 00:01:29,650
+Endocardium فهو بأثرتأثير مباشرة على الصمامات
+
+17
+00:01:29,650 --> 00:01:34,630
+تصوروا أنتم تخيلوا قدامكم كيف أن الصمامات في القلب
+
+18
+00:01:34,630 --> 00:01:38,190
+و هي من الـ endocardium و صار فيها التهابيعني فيه
+
+19
+00:01:38,190 --> 00:01:41,750
+هنا أكتر من حاجة هتصير في الغالب أنها مش هتقدر
+
+20
+00:01:41,750 --> 00:01:45,850
+تشتغل ما يتوجب عليها أنها تشتغله و بيصير عندنا
+
+21
+00:01:45,850 --> 00:01:49,490
+حاجة اسمها severe valvular insufficiency فشل في
+
+22
+00:01:49,490 --> 00:01:55,850
+عمل الصمامات بتصير تهرب وهذا طبعا تصور الصمامات
+
+23
+00:01:55,850 --> 00:02:01,870
+بتهرب و بتدخل دم أكتر لل ventriclesإيش بيصير؟ أه
+
+24
+00:02:01,870 --> 00:02:05,250
+صحيح بيصير احتقان أو congestive heart failure
+
+25
+00:02:05,250 --> 00:02:08,690
+احتقان في عضلة القلب لأنه مش قادر تبقوا بالشغل
+
+26
+00:02:08,690 --> 00:02:13,030
+بتعب دم لكن مش قادر تبقوا بالشغل ومش بس دايما
+
+27
+00:02:13,030 --> 00:02:16,330
+الالتهابات ال infective endocarditis ممكن تؤدي إلى
+
+28
+00:02:16,330 --> 00:02:22,650
+نشوء abscesses دمامل جوا القلب
+
+29
+00:02:25,410 --> 00:02:29,470
+الـ Infective Endocarditis produces a wide variety
+
+30
+00:02:29,470 --> 00:02:33,910
+of systemic signs and symptoms، مش بس أجد الجلب،
+
+31
+00:02:33,910 --> 00:02:38,570
+إنما ممكن في كل الجسم، عن طريق آليات كتير، في منهم
+
+32
+00:02:38,570 --> 00:02:42,630
+تلت أربع آليات، أحنا هنتحدث عن آليتين، كيف بأثر
+
+33
+00:02:42,630 --> 00:02:47,810
+الـ Infective Endocarditis على الجسم
+
+34
+00:02:50,320 --> 00:02:55,880
+بس قبل هيك بدأ نحكي عن الـ Theology ومقصود فيها ال
+
+35
+00:02:55,880 --> 00:02:58,940
+organisms causing major clinical forms of
+
+36
+00:02:58,940 --> 00:03:03,500
+endocarditis أننا نوعين مشهورين كبار أو نوعين من
+
+37
+00:03:03,500 --> 00:03:08,200
+البكتيريا اللي بتأدي إلى endocarditis أو infective
+
+38
+00:03:08,200 --> 00:03:12,240
+endocarditis وتقريبا كل نوع من البكتيريا هاي
+
+39
+00:03:12,810 --> 00:03:17,450
+ووصفولها نوع من الـEndocarditis اللي هو
+
+40
+00:03:17,450 --> 00:03:20,690
+الـChronicity of Endocarditis يعني هنا بنحدي احنا
+
+41
+00:03:20,690 --> 00:03:25,050
+عن Staphylococcus aureus وهذا الـBacterium أو
+
+42
+00:03:25,050 --> 00:03:29,430
+الـMicroorganism the most common cause of
+
+43
+00:03:29,430 --> 00:03:33,050
+infective endocarditis أكتر من نص الحالات are not
+
+44
+00:03:33,050 --> 00:03:36,290
+associated with underlying valvular diseases يعني
+
+45
+00:03:36,290 --> 00:03:43,620
+لما Staph aureus بدرب Endocardium أو بدربالقلب،
+
+46
+00:03:43,620 --> 00:03:49,100
+بروحش للقلب العليل والتعبان واللي عنده مشاكل، لأ
+
+47
+00:03:49,100 --> 00:03:53,260
+هو بروح على القلب السليم الـ Mortality Rate of
+
+48
+00:03:53,260 --> 00:03:58,260
+Staph Aureus Infective Endocarditis حوالي 40 ل 50%
+
+49
+00:03:58,260 --> 00:04:01,360
+بموتوا لما يصير عنده الواحد Infective Endocarditis
+
+50
+00:04:01,360 --> 00:04:07,200
+نتيجة Staph Aureus Staph Aureus عبارة عن نوع من
+
+51
+00:04:07,200 --> 00:04:10,120
+أنواع البكتيريا أخدتها في الـ Microbiology غالباً
+
+52
+00:04:11,000 --> 00:04:16,060
+وفيها النوع التاني اللي أقل الحدة واللي هو
+
+53
+00:04:16,060 --> 00:04:22,680
+Streptococcus viridans وهذا طبعاً بيأثرلي أو
+
+54
+00:04:22,680 --> 00:04:26,560
+بيديني 50 ل 60% of cases of sub acute diseases
+
+55
+00:04:26,560 --> 00:04:29,820
+إحنا هنحكي الآن ال acute diseases و ال sub acute
+
+56
+00:04:29,820 --> 00:04:33,200
+diseases ال acute endocarditis و ال sub acute
+
+57
+00:04:33,200 --> 00:04:37,120
+endocarditis ال Staph aureus هيدينا acute
+
+58
+00:04:37,120 --> 00:04:41,960
+endocarditisولكن الـ Stripped Viridans هيدينا
+
+59
+00:04:41,960 --> 00:04:47,500
+Subacute Endocarditis
+
+60
+00:04:47,500 --> 00:04:51,480
+وفيه طبعاً Other Microorganisms لكن هدول أهم
+
+61
+00:04:51,480 --> 00:04:54,400
+اتنين، الـ Stripped Viridans أو Stripped Coccus
+
+62
+00:04:54,400 --> 00:04:59,360
+Viridans بصيب القلب اللي عنده مشكلة من الأول، هاي
+
+63
+00:04:59,360 --> 00:05:03,040
+الفرق بين التانين كمان، فرق من الفروق الـ Acute
+
+64
+00:05:03,040 --> 00:05:05,940
+Endocarditis usually occurs when heart valves are
+
+65
+00:05:05,940 --> 00:05:10,170
+colonizedعن طريق البكتيريا الـ virulent in the
+
+66
+00:05:10,170 --> 00:05:14,490
+course of microbial يعني لما بيصير في عندي انتشار
+
+67
+00:05:14,490 --> 00:05:17,170
+للبكتيريا سواء الـ Staph aureus أو الـ viridans
+
+68
+00:05:17,170 --> 00:05:21,990
+بيصير عندي acute endocarditis اللي هو التهاب
+
+69
+00:05:21,990 --> 00:05:27,470
+الصمامات عندما
+
+70
+00:05:27,470 --> 00:05:33,260
+الصماماتيعشش فيها البكتيريا بتدينا كمان acute
+
+71
+00:05:33,260 --> 00:05:41,780
+endocarditis الـ Subacute
+
+72
+00:05:41,780 --> 00:05:44,840
+endocarditis الpatient with subacute endocarditis
+
+73
+00:05:44,840 --> 00:05:48,400
+usually have underlying valvular heart disease
+
+74
+00:05:48,400 --> 00:05:53,540
+يعني subacute أو الـ streptococcus viridans بصيب
+
+75
+00:05:53,540 --> 00:05:56,680
+للقلب اللي عنده مشاكل من الأول مش لازم لكن
+
+76
+00:05:56,680 --> 00:06:06,960
+الغالبيةوهي أقل حدة البكتيريا عن الـ Staph Aureus
+
+77
+00:06:06,960 --> 00:06:11,720
+كمان مرة الـ classification فيها acute
+
+78
+00:06:11,720 --> 00:06:16,260
+endocarditis و sub acute endocarditis الـ acute
+
+79
+00:06:16,260 --> 00:06:22,340
+بيصيبل normal heart valves و
+
+80
+00:06:22,340 --> 00:06:28,000
+rapidly destructiveمدمر، عشان هي كنا بموتوا 40 إلى
+
+81
+00:06:28,000 --> 00:06:33,460
+50% مازال الموضوع هذا، ومش بس بيبعتلي metastatic
+
+82
+00:06:33,460 --> 00:06:38,520
+fossae يعني بيبعتلي بكتيريا من المناطق هذه، من
+
+83
+00:06:38,520 --> 00:06:43,240
+القلب على باقي الجسم كمان، يعني ممكن نلاقي عاملة
+
+84
+00:06:43,240 --> 00:06:45,160
+في ال brain abscess، أسمي المثال
+
+85
+00:06:47,940 --> 00:06:51,220
+وcommonly الـ acute بيبقى عن طريق ال staff زي ما
+
+86
+00:06:51,220 --> 00:06:54,520
+حكينا قبل شوية ال staff ال staff له cocas aureus و
+
+87
+00:06:54,520 --> 00:06:59,000
+if not treated usually fatal within six weeks يعني
+
+88
+00:06:59,000 --> 00:07:03,920
+إذا ما ديناهوش علاج ممكن يموت خلال ست أسابيع ال
+
+89
+00:07:03,920 --> 00:07:09,520
+sub acute غالبا
+
+90
+00:07:09,520 --> 00:07:16,500
+بصيب damaged heart valvesاللي هي الصمامات اللي
+
+91
+00:07:16,500 --> 00:07:22,620
+فيها مشكلة وده not treated بياخد واجهة أكتر fatal
+
+92
+00:07:22,620 --> 00:07:27,740
+by one عادة
+
+93
+00:07:27,740 --> 00:07:34,710
+صحة الأسنان هي أهم عنصر من عناصرالـ Prevention of
+
+94
+00:07:34,710 --> 00:07:39,830
+Endocarditis لأن الـ Primary Portals هي منطقة
+
+95
+00:07:39,830 --> 00:07:49,830
+الأسنان اللي ممكن تصدرنا بكتيريا
+
+96
+00:07:49,830 --> 00:07:53,510
+على القلب عشان هيك في حاجة اسمها Endocarditis
+
+97
+00:07:53,510 --> 00:07:54,370
+Prophylaxis
+
+98
+00:07:58,100 --> 00:08:02,140
+عند ما أجي أخلع سن أو أظبط في سنان عند الناس اللي
+
+99
+00:08:02,140 --> 00:08:06,760
+عندها مشاكل في القلب طيب،
+
+100
+00:08:06,760 --> 00:08:11,940
+الاشي ال clinical قلنا احنا قبل شوي انه الـ
+
+101
+00:08:11,940 --> 00:08:16,040
+endocarditis بيضلش على جد المشكلة اللي عاملها في
+
+102
+00:08:16,040 --> 00:08:21,000
+القلب، في عنده كمان امتدادات لبرا، يعني مش بس
+
+103
+00:08:21,000 --> 00:08:25,180
+بأثرلي على القلب، إنما ممكن يأثرلي بميكانيزم معينة
+
+104
+00:08:26,570 --> 00:08:33,870
+برا القلب زي destruction of the intra-cardiac
+
+105
+00:08:33,870 --> 00:08:39,070
+valve
+
+106
+00:08:39,070 --> 00:08:46,150
+leaflets الكرديتنديني ممكن يعمل في الآخر برضه
+
+107
+00:08:46,150 --> 00:08:50,170
+valvular stenosisوفي الأخر يؤدي لـ congestive
+
+108
+00:08:50,170 --> 00:08:54,170
+heart failure يبقى أنا مشكلة الـ endocarditis مش
+
+109
+00:08:54,170 --> 00:08:58,670
+بس locally في القلب على ال valves اللي هي طبعا
+
+110
+00:08:58,670 --> 00:09:01,650
+مشكلة ممكن يعملي valve insufficient ممكن يعملي
+
+111
+00:09:01,650 --> 00:09:05,790
+valve perforation ممكن يعملي valve rupture
+
+112
+00:09:07,660 --> 00:09:12,220
+وفي الأخر يدّيني heart failure أو congestive heart
+
+113
+00:09:12,220 --> 00:09:17,660
+failure لكن في كمان حاجة تانية أنه نفس ال .. انتوا
+
+114
+00:09:17,660 --> 00:09:20,520
+.. احنا يعني يمكن ما اتكلمناش أكتر أنه إيش اللي
+
+115
+00:09:20,520 --> 00:09:24,000
+بيصير على ال valves؟ يعني هي صحيح صار فيها
+
+116
+00:09:24,000 --> 00:09:26,400
+infection، تعرفي لما يصير infection في أي مكان،
+
+117
+00:09:26,400 --> 00:09:30,920
+إيش بيصير عندنا؟ نوع من أنواع ال Pass، مدة، طبعا
+
+118
+00:09:30,920 --> 00:09:34,880
+المدة هي مع شوية calcium، مع كذا بتدينا حاجة اسمها
+
+119
+00:09:34,880 --> 00:09:39,610
+vegetations«Vegetations» مثل «Vegetabulo»
+
+120
+00:09:39,610 --> 00:09:42,770
+«Vegetations» يعني حاجة نباتية حاجة زي شكل
+
+121
+00:09:42,770 --> 00:09:48,790
+الجرنبيط بيعملي على الصمامات حاجة هيك مدة وتكوينات
+
+122
+00:09:48,790 --> 00:09:55,590
+بكتيرية هذه الـ «Vegetations» ممكن إنها يصير لها
+
+123
+00:09:55,590 --> 00:10:00,220
+«immobilization» تفك عن الـ «valve» تفكوتروح مع
+
+124
+00:10:00,220 --> 00:10:04,460
+تيار الدم وتعملي infection أو infection في
+
+125
+00:10:04,460 --> 00:10:07,640
+الـSpleen، في الـKidney، في الـMeninges، في
+
+126
+00:10:07,640 --> 00:10:10,440
+الـBrain، في الـBone، في الـPericardium، في
+
+127
+00:10:10,440 --> 00:10:15,800
+الـSynuvium، فهي ممكن تعملي مشاكل كتير، هذه من
+
+128
+00:10:15,800 --> 00:10:19,740
+جملة الأمور اللي ممكن يعملها الـEndocarditis مش
+
+129
+00:10:19,740 --> 00:10:24,920
+على جد القلبالـ Clinical Features of Infective
+
+130
+00:10:24,920 --> 00:10:28,800
+Endocarditis طبعاً fever, chills and sweets,
+
+131
+00:10:29,840 --> 00:10:34,160
+anorexia, weight loss, malaise, myalgia,
+
+132
+00:10:34,620 --> 00:10:40,000
+paraplegia, back pain, heart murmur، heart murmur
+
+133
+00:10:40,000 --> 00:10:46,000
+طبعاً ممكن يكون إشي جديدأو وارسليند ريجيورغراند
+
+134
+00:10:46,000 --> 00:10:50,200
+heart murmur أو مرمر يعني بدأ يبين في لغط في القلب
+
+135
+00:10:50,200 --> 00:10:55,520
+نتيجة إصابة الصممات أصوات في القلب غير طبيعية
+
+136
+00:10:55,520 --> 00:11:02,110
+وجديدة و بتيشيا ال بتيشيا هي عبارة عننقاط حمراء أو
+
+137
+00:11:02,110 --> 00:11:07,350
+تكونات تجميعات حمراء في الدموية في الجلد وذلك
+
+138
+00:11:07,350 --> 00:11:11,010
+نتيجة زي ما قلنا Immobilization of Vegetation of
+
+139
+00:11:11,010 --> 00:11:16,450
+Infection to the other parts of the body حلو لو
+
+140
+00:11:16,450 --> 00:11:25,210
+طلعته على شكل البيتيشيا في صور على ال Google أو
+
+141
+00:11:25,210 --> 00:11:32,460
+حاجة بتصير في عنده تصور واحد إيش ممكن يصيرمن الـ
+
+142
+00:11:32,460 --> 00:11:37,120
+Clinical Features أثار الـ arterial embolism بيصير
+
+143
+00:11:37,120 --> 00:11:42,560
+عندنا Splenomegaly إيش يعني؟ Spleen؟ طحال؟ Megaly؟
+
+144
+00:11:42,560 --> 00:11:46,960
+بيكبر الطحال؟ بيصير عندنا Clapping إيش يعني
+
+145
+00:11:46,960 --> 00:11:50,880
+Clapping؟
+
+146
+00:11:50,880 --> 00:11:55,380
+Clapping صح، زي ما قلتي، أه صح، زي ما قلتي
+
+147
+00:11:55,380 --> 00:11:57,620
+Clapping
+
+148
+00:11:59,350 --> 00:12:02,230
+أنا مش هحكي عن الـ Clapping كتير، ولكن لأن هذا الـ
+
+149
+00:12:02,230 --> 00:12:05,710
+Next Assignment تبعنا، الـ Clapping، What is
+
+150
+00:12:05,710 --> 00:12:12,290
+Clapping، درجات الـ Clapping، و الـ
+
+151
+00:12:12,290 --> 00:12:15,190
+Differential Diagnosis of Clapping، يعني خمس، ست
+
+152
+00:12:15,190 --> 00:12:18,790
+حاجات بدون ما تشرحوا عنهم إيش ممكن يعملي Clapping
+
+153
+00:12:18,790 --> 00:12:23,650
+في الجسمبعض الأحيان بيصير عنها a neurological
+
+154
+00:12:23,650 --> 00:12:27,210
+manifestation زي الـ stroke على سبيل المثال أو
+
+155
+00:12:27,210 --> 00:12:33,110
+brain abscess، a peripheral manifestation زي حاجة
+
+156
+00:12:33,110 --> 00:12:37,670
+اسمها Oslars nodes وsubangual hemorrhages
+
+157
+00:12:41,480 --> 00:12:45,940
+طبعاً فينا Lab Features of Infective Endocarditis
+
+158
+00:12:45,940 --> 00:12:50,140
+زي الأنيميا، الـ Leukocytosis، إيش عن الـ
+
+159
+00:12:50,140 --> 00:12:55,140
+Leukocytosis؟ آه، صح، زيادة في عدد القرايات البيضا
+
+160
+00:12:55,140 --> 00:13:00,840
+و Leucopenia، نقص في عدد القرايات البيضا عدد
+
+161
+00:13:00,840 --> 00:13:04,080
+القرايات البيضا عادة بيبقى من أكم لأكم، من أربع
+
+162
+00:13:04,080 --> 00:13:10,740
+تلاف لعشر تلافالآن لويكولد سيتوز هلاجيها أكتر من
+
+163
+00:13:10,740 --> 00:13:15,460
+عشر تلاف بيصير عندنا كمان microscopic hematuria
+
+164
+00:13:15,460 --> 00:13:19,780
+بالمايكروسكوب تنشف عبارة عن ما يسمى hematuria
+
+165
+00:13:19,780 --> 00:13:24,820
+عرفنا يومها إيش الـ hematuria بيصير عندنا elevated
+
+166
+00:13:24,820 --> 00:13:29,560
+erythrocyte sedimentation rate أكتر من 90% أنا بس
+
+167
+00:13:29,560 --> 00:13:32,280
+أوقف شوي بس عشان الأداء
+
+168
+00:13:37,040 --> 00:13:41,420
+طيب، إيش الـ «Elevated Erythrocyte Sedimentation
+
+169
+00:13:41,420 --> 00:13:46,640
+Rate»؟ بنقول عنه الـ ESR لما يكون عالي طبعاً هذا
+
+170
+00:13:46,640 --> 00:13:51,820
+الجزء التاني من ال assignment «What is Erythrocyte
+
+171
+00:13:51,820 --> 00:13:59,440
+Sedimentation Rate؟» على إيش بدلنا؟ وإيش يعني
+
+172
+00:13:59,440 --> 00:14:00,360
+elevated؟
+
+173
+00:14:02,790 --> 00:14:06,030
+مهم بالنسبة لنا هذا اللي بيقوله عنه سكات الترسيب
+
+174
+00:14:06,030 --> 00:14:10,830
+عندك عالي اللي هي الأهمية احنا بدنا نحاول جدر
+
+175
+00:14:10,830 --> 00:14:17,830
+الإمكان أنه نحيط إيش إيش يعني ESR إيش معناتها إيش
+
+176
+00:14:17,830 --> 00:14:22,060
+اللي بيصيربس short sentences بحاولوا ما تكتبوش
+
+177
+00:14:22,060 --> 00:14:25,920
+كتير أنا بدي عليها هاي ال retro site أو ال
+
+178
+00:14:25,920 --> 00:14:29,160
+elevated retro site sedimentation rate اللي هو
+
+179
+00:14:29,160 --> 00:14:33,360
+سرقة الترسيب توع الكوريات الحمرة بس على جد زي ما
+
+180
+00:14:33,360 --> 00:14:37,500
+قلنا إيش هو وإيش ال differential diagnosis تبعه
+
+181
+00:14:37,500 --> 00:14:42,000
+وقت إيش بيبجي عالي على أساس إنه نصير فاهمين عنه إن
+
+182
+00:14:42,000 --> 00:14:46,830
+شاء اللهمن الحاجات اللي بنشوفها، طب و أنا حكيتلكوا
+
+183
+00:14:46,830 --> 00:14:52,490
+عن أن ال بتيشيا، نحاول نشوفها على ال google، لكن
+
+184
+00:14:52,490 --> 00:14:56,330
+لا، احنا فيه أن حاجة هي زي هيك ال بتيشيا بتبقى
+
+185
+00:14:56,330 --> 00:15:00,450
+موجودة، non-cardiac manifestation، احنا قلنا مشكلة
+
+186
+00:15:00,450 --> 00:15:03,030
+ال endocarditis أنه بدينا cardiac manifestation و
+
+187
+00:15:03,030 --> 00:15:05,230
+بدينا non-cardiac manifestation، هذه انها ال
+
+188
+00:15:05,230 --> 00:15:10,320
+بتيشيااللي ممكن يعملها أو الـ vasculitis الباتيشيا
+
+189
+00:15:10,320 --> 00:15:13,300
+هي نوع من أنواع ال vasculitis أو presentation من
+
+190
+00:15:13,300 --> 00:15:16,320
+presentation ال vasculitis ال clapping
+
+191
+00:15:21,900 --> 00:15:25,780
+من الحاجات اللي بنشوفها حقيقة اللي هي أنا حكيت
+
+192
+00:15:25,780 --> 00:15:30,300
+عنها قبل شوية وقولت إنها شكلها زي شكل جطة الجرنبيط
+
+193
+00:15:30,300 --> 00:15:36,040
+بتكوينات اللي هي vegetation تكوينات من ال pass و
+
+194
+00:15:36,040 --> 00:15:39,260
+calcium وبعض الحاجات بتبجوين على ال valves وهي
+
+195
+00:15:39,260 --> 00:15:44,410
+اللي في الآخربتعملنا الـ Stenosis، بتعملنا الـ
+
+196
+00:15:44,410 --> 00:15:48,570
+Rehabilitation of the valve، بعض الأحيان بيصير لها
+
+197
+00:15:48,570 --> 00:15:53,130
+Immobilization، بتفق، و بتهاجر من القلب وبتطوح على
+
+198
+00:15:53,130 --> 00:15:56,150
+أماكن تانية، بتعملنا مشاكل. ال picture هاي اللي
+
+199
+00:15:56,150 --> 00:15:59,610
+احنا شايفينها هي عبارة عن Echocardium و ال
+
+200
+00:15:59,610 --> 00:16:04,400
+Vegetations وين الميترال Valveالـ Mitral Valve بين
+
+201
+00:16:04,400 --> 00:16:08,040
+مين ومين، أه صح، بين الـLift Atrium والـLift
+
+202
+00:16:08,040 --> 00:16:14,300
+Ventricle، وزي ما أحنا شايفين وين السهم هو هذه
+
+203
+00:16:14,300 --> 00:16:20,440
+الـVegetation Skip، بنشوفها بالـEco-cardiography،
+
+204
+00:16:20,440 --> 00:16:25,220
+نفس الكلام الـVegetationاللي هي زي ما شايفينها
+
+205
+00:16:25,220 --> 00:16:30,680
+القطع اللي بيبين السهم شايفين السهم الأسود هذه
+
+206
+00:16:30,680 --> 00:16:36,220
+عبارة عن vegetation على الصمامات على الـ mitral
+
+207
+00:16:36,220 --> 00:16:40,440
+valve نتيجة نتيجة endocarditis
+
+208
+00:16:42,730 --> 00:16:45,350
+العلاج مش مطلوب منكوا يا جماعة، لكن لازم تبقوا
+
+209
+00:16:45,350 --> 00:16:47,850
+عارفين أنه Antibiotic Treatment for Infective
+
+210
+00:16:47,850 --> 00:16:51,750
+Endocarditis مطلوب، لازم أدى Antibiotic، و لازم
+
+211
+00:16:51,750 --> 00:16:55,250
+أدى Antibiotic زي ما انتوا شايفين، كل هي تقف four
+
+212
+00:16:55,250 --> 00:16:58,250
+weeks، four weeks، two weeks، four weeks، يعني
+
+213
+00:16:58,250 --> 00:17:03,050
+القضية أنه بدي Antibiotic بصورة كبيرة و strong و
+
+214
+00:17:03,050 --> 00:17:07,650
+لفترة طويلة، يعني الغالب، الغالب في العالم بيعطوا
+
+215
+00:17:07,650 --> 00:17:08,290
+الـBenzaline
+
+216
+00:17:12,410 --> 00:17:18,150
+How to preventأو اندوكارديتس، اندوكارديتس يمكن أن
+
+217
+00:17:18,150 --> 00:17:21,150
+يتم حفظه بما أن البكتيريا تأتي من الخارج
+
+218
+00:17:21,150 --> 00:17:26,310
+للاندوكارديام، يعني أن أي عملية أعملها في الجسم
+
+219
+00:17:26,310 --> 00:17:30,710
+خاصة في منطقة الأسنان، لابد أنه أدّي مضاد حيوي،
+
+220
+00:17:30,710 --> 00:17:36,190
+بيقول عنه بري بروسيجر أنتبيوتك، وعلى أساس أنه أحمي
+
+221
+00:17:36,190 --> 00:17:39,850
+المريض اللي عنده مشكلة بالذات في القلب، من أنه
+
+222
+00:17:39,850 --> 00:17:42,430
+أدّي مضاد حيوي، بالذات الناس اللي عندها مشكلة في
+
+223
+00:17:42,430 --> 00:17:49,410
+القلبدايما أحافظ على جود oral hygiene وده الـ most
+
+224
+00:17:49,410 --> 00:17:54,690
+أو more effective in the overall prevention of
+
+225
+00:17:54,690 --> 00:18:00,670
+valvular infection، ليش؟ لأن الجنجفايتس
+
+226
+00:18:00,670 --> 00:18:07,790
+التهاب اللثة هو أكتر source للبكتيرياطبعاً ممكن
+
+227
+00:18:07,790 --> 00:18:10,910
+مايأثرش على أعضاء تانية لكن هو بيأثرلي على مين؟
+
+228
+00:18:10,910 --> 00:18:15,370
+بيأثرلي على الـ Endocardium بتديني Endocarditis
+
+229
+00:18:15,370 --> 00:18:19,950
+وكل فترة وفترة الـ American Heart Association
+
+230
+00:18:19,950 --> 00:18:24,990
+بتطلع Recommendation للـ Endocarditis Prophylaxis
+
+231
+00:18:24,990 --> 00:18:30,730
+Infective Endocarditis Prophylaxis هذا بتدخلنا على
+
+232
+00:18:30,730 --> 00:18:38,120
+موضوعأو على جزئية تانية اسمها أمراض التوسع القلب و
+
+233
+00:18:38,120 --> 00:18:40,540
+الـ myocarditis و الـ pericardial disease احنا
+
+234
+00:18:40,540 --> 00:18:44,080
+هنحكي بس كمان slide عن الموضوع هذا ما هنحكي اشي
+
+235
+00:18:44,080 --> 00:18:50,160
+كتير cardiomyopathy هذا يدل على انه في عنديفي عضلة
+
+236
+00:18:50,160 --> 00:18:53,900
+القلب في مرض مرض في عضلة القلب Myocarditis التهاب
+
+237
+00:18:53,900 --> 00:18:58,520
+عضلة القلب والبريكارديام disease اللي هو ما يصيب
+
+238
+00:18:58,520 --> 00:19:02,140
+البريكارديام ال myocarditis هو عبارة عن
+
+239
+00:19:02,140 --> 00:19:05,160
+inflammation of the myocardium احنا بس قاعدين
+
+240
+00:19:05,160 --> 00:19:08,560
+بنعرف الأمراض تعريفها بنحكي عنها جمل بسيطة يعني
+
+241
+00:19:08,560 --> 00:19:13,480
+احنا ما هذا ما موضوع موضوعبياخد أكتر من هيك في كتب
+
+242
+00:19:13,480 --> 00:19:17,680
+الباطنة لكن احنا بنحاول نعرج ونقول يعني بحيث لما
+
+243
+00:19:17,680 --> 00:19:20,180
+أسمع والله myocarditis أبقى فاهم عن إيش الموضوع
+
+244
+00:19:20,180 --> 00:19:23,740
+بيصير لما أسمع endocarditis أبقى فاهم عن إيش بنحكى
+
+245
+00:19:23,740 --> 00:19:28,180
+inflammation of the myocardium can be result of
+
+246
+00:19:28,180 --> 00:19:31,300
+systemic disorder أو infectious agent
+
+247
+00:19:35,470 --> 00:19:38,570
+الأسباب هنا بتتراوح طبعا قبل شوية في الـ
+
+248
+00:19:38,570 --> 00:19:42,430
+Endocarditis كنا الكلام تبعنا كله عن بكتيريا، لكن
+
+249
+00:19:42,430 --> 00:19:45,430
+الآن بدأنا نحكي عن viruses الـ Myocarditis ممكن
+
+250
+00:19:45,430 --> 00:19:49,490
+يكون سببها viruses زي الـ Viral Coxa KB، الـ
+
+251
+00:19:49,490 --> 00:19:51,790
+Echovirus، الـ Influenza، البرا Influenza، الـ
+
+252
+00:19:51,790 --> 00:19:56,310
+Epstein-Barr Virus و الـ HIV الـ HIV، إيش بيفكركوا
+
+253
+00:19:56,310 --> 00:20:02,800
+هذا الـ HIV؟ أه صح، هذا الـ AIDSالـ AIDS كما ممكن
+
+254
+00:20:02,800 --> 00:20:07,100
+أنواع من بعض أنواع البكتيرياممكن تعملنا
+
+255
+00:20:07,100 --> 00:20:19,740
+Myocarditis زي الـDiphtheria زي الـMycoplasma
+
+256
+00:20:19,740 --> 00:20:24,720
+Pneumonia زي الـBeta-Hemolytic Streptococci وفي
+
+257
+00:20:24,720 --> 00:20:27,780
+الغالب لما يكون في عندنا Myocarditis يبقى في عندنا
+
+258
+00:20:27,780 --> 00:20:31,340
+أيضا الـPericarditis منطقة البريكاليوم
+
+259
+00:20:31,340 --> 00:20:36,690
+الـMyocarditis clinical feature تدينافيرور،
+
+260
+00:20:36,690 --> 00:20:40,170
+تاكيكارديا، ميالجيا، headache، Kragers، chest pain
+
+261
+00:20:40,170 --> 00:20:43,910
+احنا حد تحدثنا مرة بتهيألي أو قولنا واحد من ال
+
+262
+00:20:43,910 --> 00:20:49,970
+assignments كان chest pain chest pain assignment
+
+263
+00:20:49,970 --> 00:20:54,190
+differential diagnosis severe cases may have
+
+264
+00:20:54,190 --> 00:21:00,090
+congestive heart failure symptoms كيف بشخص ال
+
+265
+00:21:00,090 --> 00:21:07,560
+myocarditis ب ECG؟ممكن يديني FA Block، ممكن يديني
+
+266
+00:21:07,560 --> 00:21:12,620
+Prolonged QRS Serration، ممكن يديني ST Elevation،
+
+267
+00:21:12,620 --> 00:21:16,400
+الـChess X-Ray بلاجيه طبيعي، الـEnzymes ممكن
+
+268
+00:21:16,400 --> 00:21:20,060
+ألاجيها عالية، الـEnzymes، وطبعا في
+
+269
+00:21:20,060 --> 00:21:22,320
+الـMyocarditis، مش هو لما واحد يصير عنده Chess
+
+270
+00:21:22,320 --> 00:21:25,140
+Spin، مش أول حاجة بفكر فيها Myocarditis، لأ، احنا
+
+271
+00:21:25,140 --> 00:21:28,610
+عندنا مشاكل بتصير في القلب، زيالإنفاكشن والـ
+
+272
+00:21:28,610 --> 00:21:32,930
+valvular diseases بتبقى more common than
+
+273
+00:21:32,930 --> 00:21:41,430
+myocarditis في إن ال acute pericarditis اللي بيصير
+
+274
+00:21:41,430 --> 00:21:47,190
+إنه بيصير إنه lose visceral pericardium and dense
+
+275
+00:21:47,190 --> 00:21:52,530
+parietal pericardium surround heart
+
+276
+00:21:54,810 --> 00:21:58,290
+الـ pericardium space may contain لحد 50 ملي
+
+277
+00:21:58,290 --> 00:22:02,490
+normally اللي هو pericardial effusion ال
+
+278
+00:22:02,490 --> 00:22:06,110
+theologies of sub acute pericarditis فيه viral،
+
+279
+00:22:06,110 --> 00:22:09,150
+bacterial، fungal، أي حاجة ممكن، بس أنا لو كان في
+
+280
+00:22:09,150 --> 00:22:14,250
+عندي pericarditis يا جماعة لابد أنه دايما أبحث عن
+
+281
+00:22:14,250 --> 00:22:18,760
+السببماينفعش أقول والله فلان عنده، ليش؟ لأنه زي ما
+
+282
+00:22:18,760 --> 00:22:23,440
+أنتوا شايفين، احنا عندنا مليون سبب وسبب عشان، وعلى
+
+283
+00:22:23,440 --> 00:22:26,600
+رأسها طبعا الأمور الـinfection والـmalignancy
+
+284
+00:22:26,600 --> 00:22:30,780
+والـdrugs، كلها بتدّي pericardial effusion، فلبد
+
+285
+00:22:30,780 --> 00:22:34,660
+إنه في الـpericardial effusion، صحيح هو ممكن يكون
+
+286
+00:22:34,660 --> 00:22:37,700
+pericarditis، لكن في أسباب تانية بتعملنا
+
+287
+00:22:37,700 --> 00:22:39,400
+pericardial effusion،
+
+288
+00:22:41,740 --> 00:22:46,680
+الـ Clinical Features Of Acute Pericarditis Most
+
+289
+00:22:46,680 --> 00:22:51,780
+Common Sudden Or Gradual Onset Of Sharp Or
+
+290
+00:22:51,780 --> 00:22:55,200
+Stabbing، Stabbing زي ما تحط سكينة في صدر واحد
+
+291
+00:22:55,200 --> 00:22:58,740
+With Radiation To Back, Neck And Left Shoulder Or
+
+292
+00:22:58,740 --> 00:23:05,880
+Arm، Pain، بيدينا pain وطبعا ممكن يوصل ال pain هذا
+
+293
+00:23:05,880 --> 00:23:11,030
+للـ Left Trapezial Ridgeالصعوبة أكتر عالية عندما
+
+294
+00:23:11,030 --> 00:23:16,710
+تلقى صحابة مقفلة ومساعدة عند المقفلكل ما جاعد
+
+295
+00:23:16,710 --> 00:23:20,390
+الواحد كل ما كان أحسن لما يتمدد بيبقى ال pain أسوأ
+
+296
+00:23:20,390 --> 00:23:23,410
+و بيبقى عندنا low grade fever dyspnea ممكن
+
+297
+00:23:23,410 --> 00:23:28,870
+dysphagia و ممكن يصير عندنا transient friction rub
+
+298
+00:23:28,870 --> 00:23:31,630
+عشان ال friction rub زي ما احنا عارفين ان ال
+
+299
+00:23:31,630 --> 00:23:35,250
+pericardium عبارة عن جتائتين عن جزئين فيه في جلبه
+
+300
+00:23:35,250 --> 00:23:40,050
+في واحد فيه التهاب و فيه fluid بينهم بيصيروا يحكوا
+
+301
+00:23:40,050 --> 00:23:45,350
+بعض فهذا دينا صوت بالسمعة اسمه friction rubبندخل
+
+302
+00:23:45,350 --> 00:23:50,250
+الآن على الـ Cardiomyopathies الـ
+
+303
+00:23:50,250 --> 00:23:54,210
+cardiac dysfunction caused by myocardial disease
+
+304
+00:23:54,210 --> 00:24:00,150
+بنقول عنه Cardiomyopathy ويعتبر
+
+305
+00:24:00,150 --> 00:24:04,770
+هو الـ third most common form of heart disease in
+
+306
+00:24:04,770 --> 00:24:10,690
+US لكن second most common cause of adolescent
+
+307
+00:24:10,690 --> 00:24:12,050
+sudden death
+
+308
+00:24:15,620 --> 00:24:18,860
+وDirectly affect cardiac structure Cardiomyopathy
+
+309
+00:24:18,860 --> 00:24:23,020
+يعني خلاص هو الجسد جسد القلب بيصير مصاب وimpairs
+
+310
+00:24:23,020 --> 00:24:28,780
+myocardial function فينا three types منه ال DCM و
+
+311
+00:24:28,780 --> 00:24:33,560
+ال HCM و restrictive cardiomyopathy dilated
+
+312
+00:24:33,560 --> 00:24:39,500
+cardiomyopathy dilated يعني متوسع يعني القلب عضلة
+
+313
+00:24:39,500 --> 00:24:46,690
+القلب متوسعة زيادة عن اللازمالـ HCM هايباتروفايد
+
+314
+00:24:46,690 --> 00:24:55,070
+كارديوبتي بالعكس متضخم القلب و restrictive زي بدنا
+
+315
+00:24:55,070 --> 00:25:01,230
+نتصور كيف يعني restrictive شفته الجلد
+
+316
+00:25:02,060 --> 00:25:07,900
+لما أعمل منه وعاء مثلا هممكن يساله خمسة لتر مثلا
+
+317
+00:25:07,900 --> 00:25:12,400
+لو عملت أنا من جلد جلد جلد وعاء الجلد غير متمدد
+
+318
+00:25:12,400 --> 00:25:16,500
+بمعنى ماقدرش أحط فيه عشرة مش زي ال nylon أو زي
+
+319
+00:25:16,500 --> 00:25:21,400
+البلون أو كذا ممكن أحط فيه أكترالجلد لا بتجاوب في
+
+320
+00:25:21,400 --> 00:25:24,820
+أحط فيه أكتر ولا أحط فيه أقل، يعني حتى ما بتصغرش،
+
+321
+00:25:24,820 --> 00:25:28,040
+مش زي البلون، بصغر، فهو restrictive، معناته لا
+
+322
+00:25:28,040 --> 00:25:31,960
+يتحرك، بيضل زي ما هو restrictive، restrictive
+
+323
+00:25:31,960 --> 00:25:33,600
+cardiomyopathy
+
+324
+00:25:37,240 --> 00:25:40,320
+بيصير فيه عندنا dilatation and compensatory
+
+325
+00:25:40,320 --> 00:25:42,860
+hypertrophy of myocardium بيصير عندنا توسع في
+
+326
+00:25:42,860 --> 00:25:45,580
+الmyocardium بيصير عندنا hypertrophy لكن
+
+327
+00:25:45,580 --> 00:25:50,060
+compensatory depressed systolic function and pump
+
+328
+00:25:50,060 --> 00:25:56,320
+failure with low cardiac output طبيعي 80% من ال
+
+329
+00:25:56,320 --> 00:26:00,120
+dialytic cardiomyopathy are idiopathic
+
+330
+00:26:03,210 --> 00:26:05,830
+غير معروفة السبب «idiopathic» يعني غير معروف
+
+331
+00:26:05,830 --> 00:26:10,030
+السبب، مش أنه مافيش سبب، غير معروف السبب، ولاجوا
+
+332
+00:26:10,030 --> 00:26:19,890
+أن الـ «أفريقان أمريكان وملابسهم» لديهم 2.5% fold
+
+333
+00:26:19,890 --> 00:26:23,710
+increased risk وmost common age of diagnosis من 20
+
+334
+00:26:23,710 --> 00:26:28,350
+إلى 50، وهذا مين؟ هذا dilated cardiomyopathy، الـ
+
+335
+00:26:28,350 --> 00:26:31,350
+hypertrophic cardiomyopathyالـ Asymmetric left
+
+336
+00:26:31,350 --> 00:26:37,490
+heart hypertrophy وممكن يكون معاها الـ right heart
+
+337
+00:26:37,490 --> 00:26:42,250
+وفي الغالب بيبقى معاهم الـ septum كمان without أي
+
+338
+00:26:42,250 --> 00:26:47,130
+نتيجة، بدون تواسع في القلب، يعني تضخمفي الـ left
+
+339
+00:26:47,130 --> 00:26:50,490
+ممكن تاخد معاها ال right و ال septum بيبقى متضخم
+
+340
+00:26:50,490 --> 00:26:55,470
+أتصور في صورة بتبريكيها 50% are hereditary بنخلق
+
+341
+00:26:55,470 --> 00:26:59,610
+فيه prevalence واحد من كل خمسمية mortality واحد في
+
+342
+00:26:59,610 --> 00:27:04,710
+المية ال mortality بتزيد في الأطفال وال adolescent
+
+343
+00:27:07,230 --> 00:27:11,070
+الـ Hypertrophic Cardiomyopathy سمتوم severity
+
+344
+00:27:11,070 --> 00:27:16,510
+progress with age ديسنيا كل ما بيكبر واحد بتعب
+
+345
+00:27:16,510 --> 00:27:19,890
+أكتر ديسنيا on exertion most common initial or
+
+346
+00:27:19,890 --> 00:27:25,310
+presenting symptoms بتعب لما سدروا بتعب، بيصير
+
+347
+00:27:25,310 --> 00:27:31,410
+عندهم ضيق نفس لما بتعب وممكن نتيجة تضخم ال cardiac
+
+348
+00:27:31,410 --> 00:27:37,740
+muscle يبطل يصل كفايةدم للـ muscles فيصير أنها
+
+349
+00:27:37,740 --> 00:27:41,300
+angina-like دايماً chest pain ممكن يصير أنها
+
+350
+00:27:41,300 --> 00:27:45,840
+palpitation لأنه برضه ال propagation of the
+
+351
+00:27:45,840 --> 00:27:52,080
+discharge of the heart بيصير
+
+352
+00:27:52,080 --> 00:27:55,800
+مش سليم فبيصير أنها palpitation وممكن يصير أنها
+
+353
+00:27:55,800 --> 00:28:01,260
+كمان Psychosis لأن الجلب مايقدرش يضخ كفاية دم
+
+354
+00:28:01,260 --> 00:28:04,870
+للدمار فبيصير أنها Psychosisالـ Restrictive
+
+355
+00:28:04,870 --> 00:28:07,730
+Cardiomyopathy one of least common
+
+356
+00:28:07,730 --> 00:28:11,650
+Cardiomyopathies يعني جليل Ventricular volume and
+
+357
+00:28:11,650 --> 00:28:17,010
+septum are normal لكن زي ما قلنا ما بتجاوبش مع
+
+358
+00:28:17,010 --> 00:28:24,130
+دخول الانبساط والستوليكوم والدياستوليكوم تبقى
+
+359
+00:28:24,130 --> 00:28:28,320
+القلب mostly idiopathicممكن بعض الأحيان يكون
+
+360
+00:28:28,320 --> 00:28:33,240
+Familiar Systemic Disorder غالبا بيبقى وراه زي الـ
+
+361
+00:28:33,240 --> 00:28:35,860
+Amyloidosis زي الـ Zarcoidosis زي الـ
+
+362
+00:28:35,860 --> 00:28:39,680
+Hemochromatosis زي الـ Scleroderma والـ Carcinoid
+
+363
+00:28:39,680 --> 00:28:46,700
+هذه عبارة عنزي ما بنقول عنها connective tissue
+
+364
+00:28:46,700 --> 00:28:52,080
+diseases وغالبا هي في جزء كبير من الأسباب
+
+365
+00:28:52,080 --> 00:28:56,740
+لـrestrictive cardiomyopathy يعني احنا هنا بس
+
+366
+00:28:56,740 --> 00:29:06,360
+حاولنا جدر الإمكان نلقي الضوء على بعض أمراضالقلب
+
+367
+00:29:06,360 --> 00:29:10,240
+زي الـ Cardiomyopathy زي الـ Myocarditis و الـ
+
+368
+00:29:10,240 --> 00:29:18,700
+Pericardial diseases وتحدثنا شوية بزيادة عن الـ
+
+369
+00:29:18,700 --> 00:29:23,100
+Infective Endocarditis على أساس هو الـ most common
+
+370
+00:29:24,750 --> 00:29:29,670
+نوعين منهم اللي هو الـ acute و ال sub acute و
+
+371
+00:29:29,670 --> 00:29:32,950
+ربطنا ال acute و ال sub acute ربط مش نهائي طبعا مش
+
+372
+00:29:32,950 --> 00:29:37,150
+100% مع ال staff aureus و ال streptococcus
+
+373
+00:29:37,150 --> 00:29:42,870
+viridans يعني شوية المادة احتمال تكون ناشفة شوية
+
+374
+00:29:42,870 --> 00:29:47,450
+لكن لابد انهم يكونوا عادين عليها بتمنى لكوا انهار
+
+375
+00:29:47,450 --> 00:29:53,250
+سعيد زي ما قلنا ال assignment كان جزئينالـ
+
+376
+00:29:53,250 --> 00:29:59,850
+Clapping و الـ Differential Diagnosis و الجزء
+
+377
+00:29:59,850 --> 00:30:05,930
+التاني كان الـ ESR تعريفه و على ماذا يدل و الـ
+
+378
+00:30:05,930 --> 00:30:07,290
+Differential Diagnosis
+
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/EDmMWZTraVE_raw.json b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/EDmMWZTraVE_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..a41a39bc26049625ffaa88e75adab35c349cad7e
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/EDmMWZTraVE_raw.json
@@ -0,0 +1 @@
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بالنسبة جليلة و ال Hepatitis A عمره بيصير chronic عمره بيصير chronic يبقى احنا الآن حكينا مجموعة حقائق عن ال Hepatitis A بداية من طريقة العدوى قلنا فيكوا Oral", "tokens": [12610, 19452, 23758, 2432, 4770, 399, 34051, 8738, 2382, 278, 30578, 267, 16074, 37495, 22653, 3714, 43020, 13672, 1829, 5551, 7435, 6027, 3224, 30578, 267, 16074, 316, 7251, 7435, 26895, 3224, 9122, 2304, 7649, 3714, 25720, 8717, 25957, 44381, 20666, 1863, 35457, 3660, 10874, 20292, 37977, 20666, 1863, 35457, 3660, 10874, 20292, 37977, 4032, 2423, 30578, 267, 16074, 316, 6225, 29973, 3224, 4724, 1829, 9381, 13546, 14493, 6225, 29973, 3224, 4724, 1829, 9381, 13546, 14493, 7251, 3555, 4587, 7578, 1975, 5016, 8315, 6024, 48506, 11331, 4117, 1829, 8315, 3714, 7435, 2304, 2407, 27884, 11331, 4587, 16373, 4587, 18871, 2423, 30578, 267, 16074, 316, 4724, 28259, 10632, 9154, 23032, 16572, 28671, 18863, 3215, 2407, 7578, 12174, 1211, 8315, 8978, 4117, 14407, 1610, 304], "avg_logprob": -0.18051321235129503, 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"نعم لكن نادر كتير كتير كتير كتير هو بنتجل عادة close personal contact", "tokens": [1863, 25957, 44381, 8717, 18513, 2288, 9122, 2655, 13546, 9122, 2655, 13546, 9122, 2655, 13546, 9122, 2655, 13546, 31439, 4724, 29399, 7435, 1211, 6225, 18513, 3660, 1998, 2973, 3385], "avg_logprob": -0.18580729613701502, "compression_ratio": 1.2771084337349397, "no_speech_prob": 0.0, "words": [{"start": 848.09, "end": 848.57, "word": "نعم", "probability": 0.7257080078125}, {"start": 848.57, "end": 848.83, "word": " لكن", "probability": 0.60791015625}, {"start": 848.83, "end": 849.21, "word": " نادر", "probability": 0.9523111979166666}, {"start": 849.21, "end": 849.47, "word": " كتير", "probability": 0.9306640625}, {"start": 849.47, "end": 849.77, "word": " كتير", "probability": 0.9451497395833334}, {"start": 849.77, "end": 850.03, "word": " كتير", "probability": 0.935546875}, {"start": 850.03, "end": 850.37, "word": " كتير", "probability": 0.8748372395833334}, {"start": 850.37, "end": 850.67, "word": " 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new file mode 100644
index 0000000000000000000000000000000000000000..de126713d950e42a26d5cd518f716c50a0480f77
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/EDmMWZTraVE_raw.srt
@@ -0,0 +1,1684 @@
+1
+00:00:01,500 --> 00:00:03,900
+بسم الله الرحمن الرحيم الحمد لله ورحمة الله وسلام
+
+2
+00:00:03,900 --> 00:00:07,940
+علي سيدنا محمد وسيد المسيحين اليوم هنتحدث إن شاء
+
+3
+00:00:07,940 --> 00:00:11,720
+الله في عضو آخر من أعضاء الجهاز التنفسي اللي هو
+
+4
+00:00:11,720 --> 00:00:16,080
+liver و هنحكي عن ال hepatic disorders بقصد هنا
+
+5
+00:00:16,080 --> 00:00:20,020
+طبعا أنا ال hepatitis طبعا في liver cirrhosis اللي
+
+6
+00:00:20,020 --> 00:00:28,120
+هو عملية التشمع بتاعة الكبد مش هنحكي عنها لكن كتير
+
+7
+00:00:28,120 --> 00:00:31,280
+من الحاجات اللي هنحكيها بتروح على liver cirrhosis
+
+8
+00:00:32,050 --> 00:00:34,930
+الـ Hepatic Disorders اللي هنحكي عنه الآن اللي هو
+
+9
+00:00:34,930 --> 00:00:39,210
+الـ Hepatitis بنا ناخد بالنا جماعة لما نحكي
+
+10
+00:00:39,210 --> 00:00:43,590
+Hepatitis Hepat اللي هو كبد إتس معناته
+
+11
+00:00:43,590 --> 00:00:47,730
+inflammation و ال Hepatitis إيه له أسباب كتير
+
+12
+00:00:48,530 --> 00:00:53,890
+أكترها أو خلّيني أقول أشهرها في البلاد غير أوروبا
+
+13
+00:00:53,890 --> 00:00:57,890
+وأمريكا اللي هو ال infection لكن في أوروبا وأمريكا
+
+14
+00:00:57,890 --> 00:01:04,330
+الأسباب أكتر الألكحول هو السبب الأساسي يبقى كمان
+
+15
+00:01:04,330 --> 00:01:07,310
+مرة ال hepatic disorders hepatitis هنحكي عن
+
+16
+00:01:07,310 --> 00:01:13,130
+hepatitis liver صورة عامة بس هيكي نتحدث حاجة خفيفة
+
+17
+00:01:14,150 --> 00:01:17,590
+is located in the upper right quadrant of the
+
+18
+00:01:17,590 --> 00:01:20,730
+abdomen وطبعا هذا المكان اتعرفنا عليه قبل هيك
+
+19
+00:01:20,730 --> 00:01:25,510
+وقتاش لما حكينا عن ال goal bladder صح؟ في ال right
+
+20
+00:01:25,510 --> 00:01:30,050
+في ال upper right quadrant او ال right upper
+
+21
+00:01:30,050 --> 00:01:34,890
+quadrant الكبد شغلته ايش؟ الكبد تخدوا بالكم من اهم
+
+22
+00:01:34,890 --> 00:01:41,940
+الاعضاء في الجسمهو بيعملنا cleaning للـ blood،
+
+23
+00:01:41,940 --> 00:01:45,640
+regulate hormones، helps with blood clotting، اللي
+
+24
+00:01:45,640 --> 00:01:49,640
+عملية التخفة والتجلط، من عنده بتبدأ، هو اللي بيفرز
+
+25
+00:01:49,640 --> 00:01:57,000
+الـ bile، هو اللي بيصنع الـ bile، وهو طبعا أهم
+
+26
+00:01:57,000 --> 00:02:02,200
+صانع لبروتينز، maintaining blood sugar level،
+
+27
+00:02:02,200 --> 00:02:07,860
+وكتير حاجات تانية، مافيش داعي لأذكرها الآن،الـ
+
+28
+00:02:07,860 --> 00:02:12,300
+liver is essential for life بدون liver ما بنقدر
+
+29
+00:02:12,300 --> 00:02:18,660
+نعيش ال anatomy بتاعة ال liver زي ما قلنا هو في ال
+
+30
+00:02:18,660 --> 00:02:23,840
+right upper quadrant في الاتجاه الآخر للمعدة يعني
+
+31
+00:02:23,840 --> 00:02:27,020
+المعدة على جهة هو على جهة وفي تحت منه ال
+
+32
+00:02:27,020 --> 00:02:31,940
+gallbladder بيطلع من ال liver
+
+33
+00:02:31,940 --> 00:02:36,580
+زي ما قلنا ال common bile ductوبدخل لإله الـ
+
+34
+00:02:36,580 --> 00:02:43,520
+portal vein و الـ hepatic artery what is
+
+35
+00:02:43,520 --> 00:02:48,100
+hepatitis؟ hepatitis means inflammation ماحدش
+
+36
+00:02:48,100 --> 00:02:52,160
+يقوللي infection ال infection معناته في عندي micro
+
+37
+00:02:52,160 --> 00:02:56,640
+organism هو العملية عمللي inflammation لكن ال
+
+38
+00:02:56,640 --> 00:02:58,920
+inflammation ممكن يكون هو
+
+39
+00:03:02,320 --> 00:03:06,700
+Inflammation بشيء تاني غير الفيروس أو البكتيريا أو
+
+40
+00:03:06,700 --> 00:03:10,740
+ال micro organism ممكن يكون زي ما قلنا نتيجة مشاكل
+
+41
+00:03:10,740 --> 00:03:15,980
+مشاكل هنحكي عن ال causes بعد شوية زي الألكوهول عسب
+
+42
+00:03:15,980 --> 00:03:21,430
+المثاليبقى viral hepatitis means there is a
+
+43
+00:03:21,430 --> 00:03:24,390
+specific virus that is causing the liver to
+
+44
+00:03:24,390 --> 00:03:27,950
+inflame طبعا inflammation بياخد كل صفات ال
+
+45
+00:03:27,950 --> 00:03:33,150
+inflammation swelling or become larger than normal
+
+46
+00:03:33,150 --> 00:03:40,530
+ال causes of hepatitis reactions
+
+47
+00:03:40,530 --> 00:03:47,760
+to chemical agents drugs and toxinsحلو لو انا في
+
+48
+00:03:47,760 --> 00:03:54,080
+الواحد ايش chemicals agent او chemical agents ايش
+
+49
+00:03:54,080 --> 00:03:58,380
+drugs ايش toxins ممكن تديني تعملي hepatitis او
+
+50
+00:03:58,380 --> 00:04:04,480
+autoimmune disease و viruses هذه هي الأسباب ال
+
+51
+00:04:04,480 --> 00:04:11,350
+virusesViral Hepatitis دينا Hepatitis A وB وC وD
+
+52
+00:04:11,350 --> 00:04:15,890
+وE على أيامنا بالمناسبة لما أنا درست كان عندنا A
+
+53
+00:04:15,890 --> 00:04:21,970
+وB وفي الآخر في واحد اللي جوا واكتشفوا اللي هو C
+
+54
+00:04:21,970 --> 00:04:26,750
+بس ماسموهوش C كانوا يقولوا none A none Bلا A ولا B
+
+55
+00:04:26,750 --> 00:04:31,890
+يعني حاجة تانية C ولكن هي مع الوجه الآن صار إنها C
+
+56
+00:04:31,890 --> 00:04:36,870
+وD وE واحتمال في السنوات الجاية يكون في اكتشاف لا
+
+57
+00:04:36,870 --> 00:04:43,610
+فيروسات تانية الـ Hepatitis A and E الـ A and E
+
+58
+00:04:43,610 --> 00:04:46,590
+بدأ نبدأ يا جماعة من الآن نفرج بين الخمس أنواع
+
+59
+00:04:46,590 --> 00:04:49,610
+لأنه
+
+60
+00:04:49,610 --> 00:04:55,650
+فعلا بختلفوا عن بعض الـ A and Eالذين يتسببون
+
+61
+00:04:55,650 --> 00:04:59,690
+بالإنجاش من الطعام المخطط أو الماء
+
+62
+00:05:02,840 --> 00:05:08,400
+الطريق تبقى الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+63
+00:05:08,400 --> 00:05:08,860
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+64
+00:05:08,860 --> 00:05:09,500
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+65
+00:05:09,500 --> 00:05:09,700
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+66
+00:05:09,700 --> 00:05:11,040
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+67
+00:05:11,040 --> 00:05:12,900
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+68
+00:05:12,900 --> 00:05:17,220
+الـ الـ الـ الـ الـ الـ
+
+69
+00:05:17,220 --> 00:05:20,480
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+70
+00:05:20,480 --> 00:05:20,940
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+71
+00:05:20,940 --> 00:05:32,780
+الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+72
+00:05:32,910 --> 00:05:39,350
+الـ B والـ C والـ D عادةً
+
+73
+00:05:39,350 --> 00:05:42,970
+caused أو typically caused by contact with
+
+74
+00:05:42,970 --> 00:05:48,390
+contaminated blood or blood fluids blood or blood
+
+75
+00:05:48,390 --> 00:05:51,770
+fluids نقصد فيها طبعا أي fluid بيبقى فيها الـ
+
+76
+00:05:51,770 --> 00:05:54,190
+semen أسباب مثال بيبقى فيها ال blood
+
+77
+00:06:01,840 --> 00:06:05,420
+يبقى هذه عملية الانتقال تبعتهم A وB وC وD وE
+
+78
+00:06:05,420 --> 00:06:08,700
+بالخصوص
+
+79
+00:06:08,700 --> 00:06:14,180
+الـ Hepatitis type B وC بوصلوني إلى chronic
+
+80
+00:06:14,180 --> 00:06:21,060
+disease في مئات الملايين من الناس وهم the most
+
+81
+00:06:21,060 --> 00:06:24,840
+common cause of liver cirrhosis and cancer مع بعض
+
+82
+00:06:24,840 --> 00:06:26,160
+التانين مع بعض الـB وC
+
+83
+00:06:36,270 --> 00:06:40,410
+يبقى الـ POC كمان مرة، lead to chronic disease in
+
+84
+00:06:40,410 --> 00:06:44,910
+hundreds of millions of people and together are
+
+85
+00:06:44,910 --> 00:06:48,250
+the most common cause of liver cirrhosis and
+
+86
+00:06:48,250 --> 00:06:54,670
+cancer واحد مليون die each year from causes
+
+87
+00:06:54,670 --> 00:07:00,430
+related to viral hepatitisالأن كمان مرة الـ type
+
+88
+00:07:00,430 --> 00:07:05,310
+of hepatitis A و B و C و D الان ال source of virus
+
+89
+00:07:05,310 --> 00:07:10,510
+ال A قلنا و ال E ال faces بوراز فيكو oral بينجل من
+
+90
+00:07:10,510 --> 00:07:15,350
+ال faces ال بوراز إلى ال oral و B و C و D عن طريق
+
+91
+00:07:15,350 --> 00:07:22,540
+ال blood و ال blood derived و ال body fluidsالـ
+
+92
+00:07:22,540 --> 00:07:27,640
+Root of Transmission A فيكو أورال مش Orophical
+
+93
+00:07:27,640 --> 00:07:32,620
+فيكو أورال والـ A فيكو أورال لكن الـ B و الـ C و
+
+94
+00:07:32,620 --> 00:07:38,700
+الـ D عادة عن طريق الـ Mucosa Percutaneous ميوكوزا
+
+95
+00:07:43,720 --> 00:07:48,180
+chronic infection الـ E والـ E الـ A والـ E فيش
+
+96
+00:07:48,180 --> 00:07:52,060
+chronic infection لكن الـ B والـ C والـ D نعم ال
+
+97
+00:07:52,060 --> 00:07:55,200
+prevention وهذا طبعا مهم بالنسبة لنا ال prevention
+
+98
+00:07:55,200 --> 00:08:00,620
+أنه ال A حاجة منقول عنها pre and post exposure
+
+99
+00:08:00,620 --> 00:08:08,140
+immunization فيه قلوطات طيب ال B برضه فيه قلوطات
+
+100
+00:08:08,140 --> 00:08:11,560
+طيب C
+
+101
+00:08:12,980 --> 00:08:18,280
+مافيش إله تطعيم الـD إله جثة تانية، هنحكيها بعد
+
+102
+00:08:18,280 --> 00:08:23,520
+شوية هو إله تطعيم بس من خلال تطعيم الـB والـE
+
+103
+00:08:23,520 --> 00:08:26,360
+مالوش تطعيم، يبقى اللي مالهم مش أكيد تطعيم الـC
+
+104
+00:08:26,360 --> 00:08:33,490
+والـE الـA والـB والـD اللي هم تطعيملكن الـ D مش
+
+105
+00:08:33,490 --> 00:08:37,450
+تطعيم خصوصي بيه، إنما أنا من خلال تطعيمي للـ B
+
+106
+00:08:37,450 --> 00:08:43,110
+بأثر على الـ D بالصورة هذه، هنحكي الآن عن كل واحد،
+
+107
+00:08:43,110 --> 00:08:46,270
+إيش
+
+108
+00:08:46,270 --> 00:08:48,330
+ال signs و ال symptoms اللي بنشوفها في الناس اللي
+
+109
+00:08:48,330 --> 00:08:56,490
+عندهم Hepatitis، بيبقوا tired، nausea، muscle or
+
+110
+00:08:56,490 --> 00:08:59,810
+joint pain، ملاحظين أن هذه الحاجات اللي بنسمعها في
+
+111
+00:08:59,810 --> 00:09:03,910
+كتير من ال viral infectionTrouble sleeping Loss of
+
+112
+00:09:03,910 --> 00:09:10,990
+appetite Light stools Weight loss Abdominal pain
+
+113
+00:09:10,990 --> 00:09:16,530
+Itchiness من الصفار بيصير في حكة Depression Dark
+
+114
+00:09:16,530 --> 00:09:22,250
+urine والبول بيبقى غامق والبراص بيبقى فاتح
+
+115
+00:09:26,760 --> 00:09:31,340
+من أهم ال symptoms اللي احنا بنشوفها اللي هو
+
+116
+00:09:31,340 --> 00:09:35,600
+joinedess ال joinedess يعني سفار يولوينج of skin
+
+117
+00:09:35,600 --> 00:09:43,370
+or eyes طبعا or and eyes ممكنSkin or Eyes
+
+118
+00:09:43,370 --> 00:09:50,270
+Yellowing بيسمي إيش Jointess وإيش كمعاملة الـ
+
+119
+00:09:50,270 --> 00:09:52,730
+Symptoms؟ بتلاقي في عنده Pale Stool اللي قلنا قبل
+
+120
+00:09:52,730 --> 00:09:56,390
+شوية عنه Light Stool بتلاقي إنه البراز إذا فكرين
+
+121
+00:09:56,390 --> 00:09:59,910
+المرة اللي فات تحدتنا بيبقى شكله زي طحانية بيضة
+
+122
+00:09:59,910 --> 00:10:07,420
+Pale Pale ال Hepatitis Aمن أهم الأنواع الـ
+
+123
+00:10:07,420 --> 00:10:12,080
+Hepatitis واللي هو معظمنا عملها، أخدها، وإحنا
+
+124
+00:10:12,080 --> 00:10:15,560
+صغار، لأن هو الـ Hepatitis اللي بنقول عنه اللي هو
+
+125
+00:10:15,560 --> 00:10:20,740
+التهاب الكبد الوبائي، الـA بالذات، التهاب الكبد
+
+126
+00:10:20,740 --> 00:10:24,740
+الوبائي هو طبعا الكلمة كبيرة، لكن هو الأمر أسهل
+
+127
+00:10:24,740 --> 00:10:27,460
+وكافي، بيصير في الأطفال الـHepatitis A، ممكن يكون
+
+128
+00:10:27,460 --> 00:10:32,040
+في الأكبر، لكن هو is a pediatric is a child
+
+129
+00:10:32,040 --> 00:10:38,610
+diseaseمعظمنا أخدوا وعدّى عليه يوم أو يومين وكأنه
+
+130
+00:10:38,610 --> 00:10:42,590
+انفلونزا وكأنه رشح وكأنه كذا شوية صفار وانتهت
+
+131
+00:10:42,590 --> 00:10:48,790
+الأمور هنحكي في الفيروسات الآن أنه لكل فيروس فيه
+
+132
+00:10:48,790 --> 00:10:49,770
+إيقاع
+
+133
+00:10:52,300 --> 00:10:57,680
+الـ Incubation Period بنتفق أنه أنه أنا هحكي مش
+
+134
+00:10:57,680 --> 00:11:01,800
+Range هحكي Average عشان أسهل لإلكوا وانتوا خدوا
+
+135
+00:11:01,800 --> 00:11:06,160
+بالكم الـ Average الـ Incubation اللي هو الفترة
+
+136
+00:11:06,160 --> 00:11:11,740
+التي تمر بينما أنه الطفل ياخد العدوى وبينما تظهر
+
+137
+00:11:11,740 --> 00:11:20,790
+الأعراض حوالي 30 يوم ال Age Groupاللي أقل من 6
+
+138
+00:11:20,790 --> 00:11:28,490
+سنين بتصير معاهم أقل من 10% 6 إلى 14 سنة ربعيه لـ
+
+139
+00:11:28,490 --> 00:11:33,370
+50% أكتر من 14 سنة بيصير عندهم Jaundice يعني الآن
+
+140
+00:11:33,370 --> 00:11:41,430
+هنلاقي أنه اللي أقل من 6 سنين يعني عملياً أقل من
+
+141
+00:11:41,430 --> 00:11:44,690
+10% من الأطفال أقل من 6 سنين بيصير معاهم Jaundice
+
+142
+00:11:44,690 --> 00:11:49,580
+يعني كتير منهم بمر عليه بياخد الفيروسبدون ما يصير
+
+143
+00:11:49,580 --> 00:11:55,540
+عنده jaundice كل ما كبر الواحد كل ما الصفار بيّن
+
+144
+00:11:55,540 --> 00:11:58,600
+عنده يعني الناس اللي بين ست سنين واربعتاشر سنة في
+
+145
+00:11:58,600 --> 00:12:02,160
+العمر لأ اربعين لخمسين في المية منهم يعني من كل
+
+146
+00:12:02,160 --> 00:12:05,700
+اتنين واحد بيبين عنده صفار قولنا الأقل من ست سنين
+
+147
+00:12:05,700 --> 00:12:08,580
+تقريبا معظمهم بيبينش يعني أقل من عشر في المية
+
+148
+00:12:08,580 --> 00:12:11,980
+بيبين عندهم صفار لأن فجر اربعتاشر في المية
+
+149
+00:12:11,980 --> 00:12:19,030
+اربعتاشر سنة الأكبار لو صار عنده hepatitis A70 ل
+
+150
+00:12:19,030 --> 00:12:26,450
+80% بيبين عنده صفار أمراض الأطفال يا جماعة اللي هي
+
+151
+00:12:26,450 --> 00:12:30,590
+specific للأطفال لو صارت عند الكبار تتعبهم جدا في
+
+152
+00:12:30,590 --> 00:12:35,130
+حين أن الطفل مابتعبش منها كتير لكن الكبار بتعبوا
+
+153
+00:12:35,130 --> 00:12:37,510
+منها جدا وهذا اللي بنلاحظه الآن على سبيل المثال في
+
+154
+00:12:37,510 --> 00:12:41,230
+الكورونا أن الأطفال مابتعب من فيروس الكورونا كتير
+
+155
+00:12:41,230 --> 00:12:45,900
+okay في مجموعة لكن الغالبالـ Hepatitis نفس الكلام
+
+156
+00:12:45,900 --> 00:12:49,740
+فينا لـ Chickenpox اللي هو الجدير الماء برضه إذا
+
+157
+00:12:49,740 --> 00:12:53,840
+أخذوا طفوله الواحد و هو طفل ولا في مشاكل لكن إذا
+
+158
+00:12:53,840 --> 00:12:57,520
+هو كبير أخذه بيتعب ممكن يحتاج مستشفيات كمان، نوع
+
+159
+00:12:57,520 --> 00:13:02,380
+مستشفي أهم complication للـ Hepatitis A اللي هو
+
+160
+00:13:02,380 --> 00:13:05,400
+الـ Fulminating Hepatitis إيش يعني Fulminating؟ ده
+
+161
+00:13:05,400 --> 00:13:10,840
+اللي يصير إن التهاب حاد شديد للكبد و طبعا ممكن
+
+162
+00:13:10,840 --> 00:13:17,490
+يروح فيها الواحدولكن هذا Complication أو Relapsing
+
+163
+00:13:17,490 --> 00:13:22,670
+Hepatitis يعني ممكن اللي أجاله Hepatitis A يجيله
+
+164
+00:13:22,670 --> 00:13:28,890
+كمان مرة نعم لكن بالنسبة جليلة بالنسبة جليلة و ال
+
+165
+00:13:28,890 --> 00:13:32,370
+Hepatitis A عمره بيصير chronic عمره بيصير chronic
+
+166
+00:13:32,370 --> 00:13:36,550
+يبقى احنا الآن حكينا مجموعة حقائق عن ال Hepatitis
+
+167
+00:13:36,550 --> 00:13:44,220
+A بداية من طريقة العدوى قلنا فيكوا Oralقلنا إن الـ
+
+168
+00:13:44,220 --> 00:13:48,240
+Incubation تبعه حوالي تلاتين يوم الناس كل ما كبر
+
+169
+00:13:48,240 --> 00:13:51,660
+الواحد الـ jaundice بيبين عنده أكتر وقلنا النسب ال
+
+170
+00:13:51,660 --> 00:13:54,960
+complications of fulminant hepatitis وrelapsing
+
+171
+00:13:54,960 --> 00:13:58,180
+hepatitis الـ relapsing يعني بروحه بيجي و الـ no
+
+172
+00:13:58,180 --> 00:14:05,960
+chronic sequelae طيب
+
+173
+00:14:05,960 --> 00:14:09,770
+هو ممكن يندجل عن طريق الدم؟نعم لكن نادر كتير كتير
+
+174
+00:14:09,770 --> 00:14:14,700
+كتير كتير هو بنتجل عادة close personal contactزي
+
+175
+00:14:14,700 --> 00:14:20,640
+الرودات والحضانات وقلنا كمان أنه بنتجل عن طريق الـ
+
+176
+00:14:20,640 --> 00:14:24,860
+contaminated food و ال water الناس البائعين
+
+177
+00:14:24,860 --> 00:14:29,240
+الجوالين الناس اللي بتبيع و بتحافظش بتحافظش على
+
+178
+00:14:29,240 --> 00:14:32,880
+الناس اللي بيأكلوا السمك نهي الناس البائعين
+
+179
+00:14:32,880 --> 00:14:40,360
+الجوالين اللي على الكارات اللي يعني عمليا نسبة
+
+180
+00:14:40,360 --> 00:14:45,660
+النضافة بتبقى عندهم zeroطبعاً هدول واحد بيخاف منهم
+
+181
+00:14:45,660 --> 00:14:48,480
+أنهم يعملوا و blood exposure in very rare
+
+182
+00:14:48,480 --> 00:14:52,680
+Transmission
+
+183
+00:14:52,680 --> 00:14:59,060
+الـ Hepatitis B هو طبعاً مختلف لأنه احنا قولنا الـ
+
+184
+00:14:59,060 --> 00:15:02,940
+Hepatitis B بنجل عن طريق blood و blood products و
+
+185
+00:15:02,940 --> 00:15:07,340
+عن طريق fluids of the body ال incubation تبعه
+
+186
+00:15:07,340 --> 00:15:12,980
+حوالي من شهرية لتلتة شهر ال averageنحكي عن الـ
+
+187
+00:15:12,980 --> 00:15:19,440
+Average الـ Clinical Illness بالنسبة
+
+188
+00:15:19,440 --> 00:15:25,180
+للصفار أقل من 5 سنين أقل من 10% لكن 5 سنين وفوق من
+
+189
+00:15:25,180 --> 00:15:30,960
+30 ل 50% يعني النص يبين عندهم صفار يعني ممكن واحد
+
+190
+00:15:30,960 --> 00:15:35,520
+ياخد عدوة Hepatitis وما يبينش عنده أه ممكن طبعا
+
+191
+00:15:36,190 --> 00:15:39,870
+الخطر هو أن أجالي من خمس سنين تلاتي لتسعين في
+
+192
+00:15:39,870 --> 00:15:44,830
+المائية بيصير عندهم chronicity لكن خمس سنين وفوق
+
+193
+00:15:44,830 --> 00:15:47,970
+من اتنين لعشرة في المائية بيصير عندهم chronicity
+
+194
+00:15:47,970 --> 00:15:52,130
+وممكن طبعا الواحد لأنه احنا قلنا بيصير chronic
+
+195
+00:15:52,130 --> 00:15:55,790
+disease من خمستاشر لخمسة وعشرين في المائية ممكن
+
+196
+00:15:55,790 --> 00:15:59,010
+يموتوا premature mortality من chronic liver
+
+197
+00:15:59,010 --> 00:16:05,770
+diseaseالـ Hepatitis B إيه بعض الحاجات اللي لازم
+
+198
+00:16:05,770 --> 00:16:09,250
+ننتبه عليها اللي هو الـ Transmission Mode of
+
+199
+00:16:09,250 --> 00:16:18,910
+Hepatitis B الأول حاجة اللي هو الـ Perinatal لأن
+
+200
+00:16:18,910 --> 00:16:23,410
+في عندنا الـ Perinatal Transmissionبينجل الـ
+
+201
+00:16:23,410 --> 00:16:30,870
+«فايروس» من الأم الحامل للطفل 90% من الأطفال
+
+202
+00:16:30,870 --> 00:16:34,870
+المصابين بيصبحوا مصابين بشكل كرونيكي
+
+203
+00:16:34,870 --> 00:16:37,890
+والمامي
+
+204
+00:16:37,890 --> 00:16:41,790
+اللي مصابة بشكل كرونيكي هي أكتر ممكن تتعامل مع
+
+205
+00:16:41,790 --> 00:16:47,870
+أطفالها للطفل ليش؟ لأن هو بياخد الدم يعني عن طريق
+
+206
+00:16:47,870 --> 00:16:48,210
+الـ
+
+207
+00:16:50,900 --> 00:16:54,580
+بياخد الدم، بياخد عن طريق الدم، طبيعي، وفيه طبعا
+
+208
+00:16:54,580 --> 00:16:59,880
+الـ Sexual كمان غير طبعا عن طريق الدم، هذه طريقة
+
+209
+00:16:59,880 --> 00:17:02,940
+modes of transmission of Hepatitis B الـ Sex
+
+210
+00:17:02,940 --> 00:17:07,900
+worker and homosexuals are particular at risk زي
+
+211
+00:17:07,900 --> 00:17:14,840
+الـ HIV، نفس الكلام بيندجل اللي هو الـ Hepatitis
+
+212
+00:17:14,840 --> 00:17:16,000
+عن طريق
+
+213
+00:17:20,010 --> 00:17:26,370
+عن طريق اللي هو الـ sexual contacts طبعا سواء كانت
+
+214
+00:17:26,370 --> 00:17:30,150
+في إطار القانون أو في إطار خارج القانون ال health
+
+215
+00:17:30,150 --> 00:17:32,810
+care worker ممكن ينتجلهم child to child ممكن
+
+216
+00:17:32,810 --> 00:17:36,710
+ينتجلهم زي ما قلنا ال contaminated needles الناس
+
+217
+00:17:36,710 --> 00:17:42,070
+اللي بتاخد مخدرات وبياخدوا needles من بعض هدول
+
+218
+00:17:42,070 --> 00:17:46,130
+كمان ممكن ينتجلهم ال blood transfusion عشان هيكهذا
+
+219
+00:17:46,130 --> 00:17:48,650
+بنقول عنه «Horizontal Transmission» اللي هو الـ
+
+220
+00:17:48,650 --> 00:17:52,370
+«host to other» «Recipient» لكن من الـ «mother»
+
+221
+00:17:52,370 --> 00:17:57,170
+للـ «infant» بنقول عنه «perinatal» أو «vertical»
+
+222
+00:17:57,170 --> 00:18:01,730
+Transmission عشان أشخص أنا الـ Hepatitis B في
+
+223
+00:18:01,730 --> 00:18:06,610
+مجموعة من الـ «serological tests» بتنعمل مش لعيلة
+
+224
+00:18:06,610 --> 00:18:11,550
+ذكرة أو متابعتها لأن هذه حاجة تقصصية للـ «acute»
+
+225
+00:18:11,550 --> 00:18:14,070
+والـ «chronic» Hepatitis B طب كيف بنعالج الـ
+
+226
+00:18:14,070 --> 00:18:14,750
+Hepatitis؟
+
+227
+00:18:18,540 --> 00:18:22,720
+بالـ interferon من 30 ل 40% الـ response rate يعني
+
+228
+00:18:22,720 --> 00:18:25,720
+ضعيف عامليا مش كتير successful response to
+
+229
+00:18:25,720 --> 00:18:29,280
+treatment و result in the disappearance of
+
+230
+00:18:29,280 --> 00:18:34,200
+hepatitis B antigen المهم حقيقة في موضوعنا في ال
+
+231
+00:18:34,200 --> 00:18:37,400
+hepatitis B هو ال prevention و ركزوا في موضوع ال
+
+232
+00:18:37,400 --> 00:18:39,920
+hepatitis مش على ال treatment على ال prevention
+
+233
+00:18:39,920 --> 00:18:47,340
+vaccinationوطبعاً هذا الكل بياخده في برنامج
+
+234
+00:18:47,340 --> 00:18:51,800
+التطعيمات العالمي ودي موجود عندنا في القطاع من
+
+235
+00:18:51,800 --> 00:18:56,340
+واحد هو طفل بياخده Highly effective recombinant
+
+236
+00:18:56,340 --> 00:19:00,780
+vaccine are now available Vaccine can be given to
+
+237
+00:19:00,780 --> 00:19:04,100
+those who are at increased risk of Hepatitis B
+
+238
+00:19:04,100 --> 00:19:07,460
+virus infection زي الـHealth Care Worker، يعني لو
+
+239
+00:19:07,460 --> 00:19:11,030
+واحد بده يروح يتوظففي الحكومة بيعملوله بيشوف ال
+
+240
+00:19:11,030 --> 00:19:13,110
+antibody عنده لو لقوا عنده عنده مشكلة في ال
+
+241
+00:19:13,110 --> 00:19:16,450
+antibodies بيطعموه كمان بيعملوله vaccination it is
+
+242
+00:19:16,450 --> 00:19:20,270
+also given routinely to neonates as a universal
+
+243
+00:19:20,270 --> 00:19:24,710
+vaccination in many countries Hepatitis B طيب واحد
+
+244
+00:19:24,710 --> 00:19:28,710
+الآن ولد وامه عنده Hepatitis B بينعطى
+
+245
+00:19:32,690 --> 00:19:39,090
+اللي هو Hemoglobin بـ Hepatitis B immunoglobulin
+
+246
+00:19:39,480 --> 00:19:42,760
+ممكن يتم استخدامها لحماية الشخصين اللي اتفاقوا بـ
+
+247
+00:19:42,760 --> 00:19:50,360
+Hepatitis B وزي ما قلنا انها تحدث في 48
+
+248
+00:19:50,360 --> 00:19:54,280
+ساعة من الحادثة هنا طبعا بنحكي احنا الفرق بين
+
+249
+00:19:54,280 --> 00:19:58,080
+اللقاح و الـ muscle الvaccination هو اللقاح ال
+
+250
+00:19:58,080 --> 00:20:01,500
+muscle اللي هو ال immunoglobulin اللي بنعطيه الآن
+
+251
+00:20:01,500 --> 00:20:05,300
+على أساس انه يدينا effect ال vaccination بياخد وقت
+
+252
+00:20:05,300 --> 00:20:09,950
+عبارة من ما بيجيبولكن الـ muscle بيساعد على طول في
+
+253
+00:20:09,950 --> 00:20:16,170
+إنه يديني أكون efficient it may also be given to
+
+254
+00:20:16,170 --> 00:20:20,650
+neonate who are at increased risk of contracting
+
+255
+00:20:20,650 --> 00:20:24,970
+hepatitis B ممكن يكون أخر مجارات أخرى Screening of
+
+256
+00:20:24,970 --> 00:20:29,490
+blood donors blood and blood fluid precautions
+
+257
+00:20:29,490 --> 00:20:30,850
+طبعاً
+
+258
+00:20:33,380 --> 00:20:37,940
+في العلاقات على سبيل المثال سواء الزوجية أو غير
+
+259
+00:20:37,940 --> 00:20:40,620
+الزوجية على أساس إنه بنتجيل كمان sexual من واحد
+
+260
+00:20:40,620 --> 00:20:46,240
+positive لواحد مش positive أو للطرف الآخر مش لابد
+
+261
+00:20:46,240 --> 00:20:51,320
+من أخد سبل الوقاية في هذا الموضوع إنقل الدم في
+
+262
+00:20:51,320 --> 00:20:54,640
+المستشفيات يتم الانتباه لهذا الموضوع بنفحص الدم
+
+263
+00:20:54,640 --> 00:21:01,320
+المتبرع على hepatitis B مش بس على hepatitis C كمان
+
+264
+00:21:01,320 --> 00:21:07,450
+و بنفحص علىالـ HIV اللي هو الـ AIDS وهذا بنجيلنا
+
+265
+00:21:07,450 --> 00:21:11,490
+لموضوع الـ Hepatitis C هو طبعا الـ Hepatitis C بدأ
+
+266
+00:21:11,490 --> 00:21:15,250
+ينتشر بصورة مهولة خاصة في دول زي جيراننا في مصر
+
+267
+00:21:15,250 --> 00:21:19,030
+الـ Incubation period الـ average ستة لسبع أسابيع
+
+268
+00:21:20,360 --> 00:21:24,080
+أحفظوا الـ Average يا جماعة الـ Jaundice 30% لـ 40
+
+269
+00:21:24,080 --> 00:21:28,160
+% ممكن تشوفوا عند الناس اللي بيصير معهم يعني مش كل
+
+270
+00:21:28,160 --> 00:21:30,660
+واحد بيصير عنده Hepatitis بيصير عنده Jaundice
+
+271
+00:21:30,660 --> 00:21:35,600
+Chronicity كبيرة 70% Persistent infection بيظل
+
+272
+00:21:35,600 --> 00:21:40,760
+الفيروس موجود في الكبد وال Immunity مافيش أنه
+
+273
+00:21:40,760 --> 00:21:46,420
+Protective Antibody Response Identified لحد تلقاه
+
+274
+00:21:46,420 --> 00:21:51,480
+مافيش حد تطيب لإلهالـ Hepatitis C تأثير على كل شخص
+
+275
+00:21:51,480 --> 00:21:54,920
+بشكل مختلف في الآخر ما صار المرض عند كل واحد مختلف
+
+276
+00:21:54,920 --> 00:21:57,620
+لا يوجد مصادر مصادر مصادر مصادر مصادر مصادر مصادر
+
+277
+00:21:57,620 --> 00:21:57,680
+مصادر مصادر مصادر مصادر مصادر مصادر مصادر مصادر
+
+278
+00:21:57,680 --> 00:22:00,440
+مصادر مصادر مصادر مصادر مصادر مصادر مصادر مصادر
+
+279
+00:22:00,440 --> 00:22:02,340
+مصادر مصادر مصادر مصادر مصادر مصادر مصادر مصادر
+
+280
+00:22:02,340 --> 00:22:03,900
+مصادر مصادر مصادر مصادر مصادر مصادر مصادر مصادر
+
+281
+00:22:03,900 --> 00:22:18,080
+مصادر مصادر مصادر مصادر مصادر مصادر مصاد
+
+282
+00:22:19,720 --> 00:22:23,440
+إنه لما يصير عندى acute infection بالـ Hepatitis
+
+283
+00:22:23,440 --> 00:22:26,720
+C، only 20 will show symptoms initially، زي ما
+
+284
+00:22:26,720 --> 00:22:30,740
+اتفرجنا، يعني مش بالضرورة كله يبينلي أي symptoms،
+
+285
+00:22:30,740 --> 00:22:33,860
+وبدخل في إيش؟ في chronicity، شايفين احنا ال curve؟
+
+286
+00:22:33,860 --> 00:22:37,060
+بدخل في chronic infection، بعد ال chronic الجسم
+
+287
+00:22:37,060 --> 00:22:42,880
+بتغلب في 20% على الفيروس، لكن في عندنا 80% بيظل هم
+
+288
+00:22:42,880 --> 00:22:47,990
+موجودين،في الكبد وبيعملولنا liver damage وبعدين
+
+289
+00:22:47,990 --> 00:22:51,950
+بدخلوا في chronicity زي ما حكينا chronic hematitis
+
+290
+00:22:51,950 --> 00:22:56,430
+وبعدين 20 ل 30% منهم بدخلوا على liver cirrhosis
+
+291
+00:22:56,430 --> 00:23:02,830
+وفي منهم بيصير عنده liver cancer من 1 ل 4% لكل سنة
+
+292
+00:23:02,830 --> 00:23:05,750
+most symptoms begin to show only when liver is
+
+293
+00:23:05,750 --> 00:23:08,850
+more severely damaged يعني لما تبدأ تبين ال
+
+294
+00:23:08,850 --> 00:23:14,180
+symptoms عادة بيبقى في عنا مشكلة كبيرة فيهنا مشكلة
+
+295
+00:23:14,180 --> 00:23:21,280
+كبيرة في الكبد Risk
+
+296
+00:23:21,280 --> 00:23:24,720
+factors associated with transmission of hepatitis
+
+297
+00:23:24,720 --> 00:23:31,270
+C virus زي ما قلنا Transfusionأو transplant من
+
+298
+00:23:31,270 --> 00:23:36,010
+واحد infected donor أو استخدام نفس الـ lineات نفس
+
+299
+00:23:36,010 --> 00:23:40,350
+الكانيولات من واحد معدي عنده hepatitis C لواحد ما
+
+300
+00:23:40,350 --> 00:23:44,230
+عندهوش injecting drug a use الناس اللي بيعملوا
+
+301
+00:23:44,230 --> 00:23:49,160
+غسيل كدهaccidental injury with needle or sharps
+
+302
+00:23:49,160 --> 00:23:53,540
+الإبار وكذا في المستشفيات sexual أو household
+
+303
+00:23:53,540 --> 00:23:57,360
+exposure to antihepatitis C virus positive
+
+304
+00:23:57,360 --> 00:24:03,860
+contacts multiple sexual partners فاهمين birth to
+
+305
+00:24:03,860 --> 00:24:08,480
+hepatitis C virus infected mothers كمان وطبعا
+
+306
+00:24:08,480 --> 00:24:13,760
+التشخيص يحصل من خلال surgical tests treatment
+
+307
+00:24:16,820 --> 00:24:24,580
+متافرون وrebutherينيعني ممكن لوحده الـ «انتافيرون»
+
+308
+00:24:24,580 --> 00:24:30,760
+يدّينا نسبة 50% response مع الـ«ريبافيرين» تتحسن
+
+309
+00:24:30,760 --> 00:24:34,880
+النسبة المهم كمان مرة مش العلاج، okay بنعرف إن
+
+310
+00:24:34,880 --> 00:24:40,840
+الـ«ريبافيرين» و«انتافيرون» كويسين لكن أهم حاجة
+
+311
+00:24:40,840 --> 00:24:44,620
+لـprevention screening of blood organ and tissue
+
+312
+00:24:44,620 --> 00:24:48,340
+donors high risk behavior modification blood and
+
+313
+00:24:48,340 --> 00:24:52,060
+body fluid precautionsطبعاً لازم نبقى فاهمين بعض
+
+314
+00:24:52,060 --> 00:24:55,700
+الحاجات أنه الـ Hepatitis C لا تتم تفريغها
+
+315
+00:24:55,700 --> 00:25:02,580
+بـHugging، Kissing اللي هو الـCasual Contacts،
+
+316
+00:25:02,580 --> 00:25:07,020
+الـHugging، يعني الحضن Sharing, Eating, Utensils,
+
+317
+00:25:07,580 --> 00:25:13,520
+Drinking, Glasses، العطس، Scuffing، Shaking Hands،
+
+318
+00:25:13,520 --> 00:25:17,140
+Sitting on a Toilet Seat، يعني هذه ما بتعملي عملية
+
+319
+00:25:17,140 --> 00:25:24,080
+نقل للفيروسالأن زي ما عرفنا الـ Current Vaccine
+
+320
+00:25:24,080 --> 00:25:27,440
+حكيناها احنا قبل شوي قولنا الـ Hepatitis A والـ B
+
+321
+00:25:27,440 --> 00:25:35,540
+والـ C في اللهم تطعيم عفواً الـ A والـ B والـ D
+
+322
+00:25:35,540 --> 00:25:38,780
+اللهم تطعيم الـ D indirect حنحكي بعد شوي والـ C
+
+323
+00:25:38,780 --> 00:25:43,720
+مالوش طبعا للأسفالـ Hepatitis D بنقول عنه Delta
+
+324
+00:25:43,720 --> 00:25:49,780
+Virus هو عبارة عن بيجي إما كـ Co-infection، severe
+
+325
+00:25:49,780 --> 00:25:53,560
+acute disease، low risk of chronic infection أو
+
+326
+00:25:53,560 --> 00:25:58,120
+super infection، يعني إما بيجي مع الـB مع بعض أو
+
+327
+00:25:58,990 --> 00:26:02,370
+بيجي usually develop chronic hepatitis D virus
+
+328
+00:26:02,370 --> 00:26:05,690
+infection high risk to severe chronic liver
+
+329
+00:26:05,690 --> 00:26:09,870
+disease may present as an acute hepatitis بيجي بعد
+
+330
+00:26:09,870 --> 00:26:13,750
+الـB ما ييجي يعني مش بيجي مع الـB بيجي بعد الـB
+
+331
+00:26:17,420 --> 00:26:21,460
+وطبعاً ممكن ييجي عن طريق الـPercutaneous Exposure
+
+332
+00:26:21,460 --> 00:26:24,880
+زي الـInjecting Drug Used أو عن طريق الـPer
+
+333
+00:26:24,880 --> 00:26:29,380
+-Mucosal Exposure اللي هو الـSexual Contacts
+
+334
+00:26:29,380 --> 00:26:36,910
+Prevention الـHepatitis B Virusمع الـ Hepatitis D
+
+335
+00:26:36,910 --> 00:26:40,650
+Virus Co-infection لما يجوا مع بعض بينفعنا مين لـ
+
+336
+00:26:40,650 --> 00:26:44,730
+Pre- أو Post-Exposure Prophylaxis لتمنع الـ
+
+337
+00:26:44,730 --> 00:26:53,230
+Hepatitis B Virus لكن لما يكون Super Infection
+
+338
+00:26:53,230 --> 00:27:01,240
+بصرا بفتش كتير التطعيم، ليش؟ لأنه هو أجابعد الـB،
+
+339
+00:27:01,240 --> 00:27:05,080
+يعني صار في عندنا اتهاب B فبينفجر الـEducation to
+
+340
+00:27:05,080 --> 00:27:08,500
+reduce risk behavior among persons with chronic
+
+341
+00:27:08,500 --> 00:27:12,980
+hepatitis B virus ما هيفيد التطعيم في الأحوال
+
+342
+00:27:12,980 --> 00:27:16,880
+زيكي، بقى التطعيم بيجي في الـHepatitis D لما
+
+343
+00:27:16,880 --> 00:27:20,840
+بيستفيد منه مريض الـHepatitis D لما يكون Co
+
+344
+00:27:20,840 --> 00:27:25,640
+-infection، يعني Co معاه جاي، مش Super، Super يعني
+
+345
+00:27:25,640 --> 00:27:30,170
+موجود الـHepatitis Bوأجعله الـD فوق منه
+
+346
+00:27:30,170 --> 00:27:33,710
+الـHepatitis E قولنا هو عبارة عن الـAverage تبعه
+
+347
+00:27:33,710 --> 00:27:37,870
+حوالي 40 Days والـCase
+
+348
+00:27:37,870 --> 00:27:42,250
+Fatality Rate حوالي 1% لـ3% طبعاً pregnant woman
+
+349
+00:27:42,250 --> 00:27:47,710
+بالذات إن السيفيريتي increased with age وإنه مافيش
+
+350
+00:27:47,710 --> 00:27:53,310
+Chronic Sequel في العادة وهذا بنلاقي عادة في
+
+351
+00:27:53,310 --> 00:27:57,940
+الـFacially Contaminated DrinkingWater المجاري
+
+352
+00:27:57,940 --> 00:28:03,960
+بتطف على المية العادية Prevention تبع الـ E هو زي
+
+353
+00:28:03,960 --> 00:28:09,280
+ما قلنا Avoid drinking water Uncooked
+
+354
+00:28:09,280 --> 00:28:12,720
+shell-filled fish Uncooked fruits and vegetables
+
+355
+00:28:12,720 --> 00:28:19,760
+Not peeled or prepared by travelersوممكن ياخد
+
+356
+00:28:19,760 --> 00:28:25,260
+الواحد immunoglobulin بس
+
+357
+00:28:25,260 --> 00:28:31,030
+يعني في الآخر مفيدش كتير للتطبيقالـ Diagnostic
+
+358
+00:28:31,030 --> 00:28:33,950
+طبعاً كل الـ Hepatitis أنا بعمل حاجة اسمها
+
+359
+00:28:33,950 --> 00:28:40,310
+بالفحوصات «Liver Function Test» «Alkaline
+
+360
+00:28:40,310 --> 00:28:43,430
+Phosphatase» «Serum Bilirubin» «Liver Biopsy»
+
+361
+00:28:43,430 --> 00:28:47,210
+«Antigen Specific» «Specific» حقيقة يعني ملزمكوش
+
+362
+00:28:47,210 --> 00:28:50,590
+كتير الموضوع هذا لكن اللي ملزمنا أكتر الـ
+
+363
+00:28:50,590 --> 00:28:55,410
+Prevention وTreatment الـ «Treatment Diet» «High
+
+364
+00:28:55,410 --> 00:28:58,590
+Calories Protein Low Fat» على أساس أريح الكبد
+
+365
+00:29:00,270 --> 00:29:06,530
+الفيتامين زي الـ B و الـ K الـ Stop Alcohol Drugs
+
+366
+00:29:06,530 --> 00:29:11,770
+الفيتامين B و K يا جماعة هما بنقول عنهم الـ Edica
+
+367
+00:29:11,770 --> 00:29:16,810
+الـ E و الـ D و الـ K و الـ A هدول الفيتامينات
+
+368
+00:29:16,810 --> 00:29:22,470
+اللي هي بنقول عنها تذوب في الفات تذوب في الفات و
+
+369
+00:29:22,470 --> 00:29:26,150
+طبعا احنا هنا بيبقى انه انا عندي مشكلةفي الكبد
+
+370
+00:29:26,150 --> 00:29:31,390
+فهدولة الذوبان تبعهم بيبقى جالين فأنا بديهم خارجي
+
+371
+00:29:31,390 --> 00:29:35,330
+في العادة ليش؟ لأن الكبد لا يستطيع أنه يتعامل
+
+372
+00:29:35,330 --> 00:29:38,310
+معاهم stop alcohol and drugs fluid management bed
+
+373
+00:29:38,310 --> 00:29:41,350
+rest وطبعا drug therapy زي ال interferon
+
+374
+00:29:41,350 --> 00:29:44,930
+والميفودين والrimavirin والحاجات هاي و prevention
+
+375
+00:29:44,930 --> 00:29:51,390
+للهيباطايتس A والهيباطايتس B الآن في ال prevention
+
+376
+00:29:53,710 --> 00:29:59,310
+Never Share Drug Equipment ممنوع النيدل، السرنجات،
+
+377
+00:29:59,310 --> 00:30:02,450
+الـwater، الـfilter، الـcooker، الـpipes، هذا كله
+
+378
+00:30:02,450 --> 00:30:05,230
+الـstraws، الـpills، كله ممنوع نستخدمه مع بعض
+
+379
+00:30:05,230 --> 00:30:10,030
+Never Share Toothbrushes، فراش السنان، الماكنات
+
+380
+00:30:10,030 --> 00:30:13,630
+الإحلاقية اللي هي الشوفر، ليش؟ لأن هذا ممكن في
+
+381
+00:30:13,630 --> 00:30:18,590
+لحظة من لحظة تنجل عدوات Prevention بصورة عامة،
+
+382
+00:30:18,590 --> 00:30:23,310
+خدوا بالكم يا جماعةalways make sure a new and
+
+383
+00:30:23,310 --> 00:30:27,210
+sterilized equipment is being used for tattooing
+
+384
+00:30:27,210 --> 00:30:29,850
+and piercing يمكن ماعناش احنا كتير هيك لكن
+
+385
+00:30:29,850 --> 00:30:32,830
+tattooing اللي هو الوشم و ال piercing لما بيحطوا
+
+386
+00:30:32,830 --> 00:30:36,450
+جطع في المناخير و في الدان هيك الحلوج و كذا فهذه
+
+387
+00:30:36,450 --> 00:30:42,210
+طبعا بتنجل عدوات مش بس حتى الحبر اللي بيعمله منه
+
+388
+00:30:42,210 --> 00:30:48,250
+ال tattooing اللي هو عملية الوشمكمان ممكن يكون فيه
+
+389
+00:30:48,250 --> 00:30:53,190
+Hepatitis نوع من الأنواع اللي بتنتقل عن طريق الجلد
+
+390
+00:30:53,190 --> 00:30:56,750
+«Don't touch dirty needles» الإبر في المستشفيات
+
+391
+00:30:56,750 --> 00:30:59,630
+«without proper equipment» أو «following proper
+
+392
+00:30:59,630 --> 00:31:02,830
+procedures» «Main prevention measures for
+
+393
+00:31:02,830 --> 00:31:05,730
+Hepatitis B and C» وهذا من المناطق المهمة جدا
+
+394
+00:31:05,730 --> 00:31:08,930
+عندنا في الامتحانات «Promote vaccination against
+
+395
+00:31:08,930 --> 00:31:12,490
+Hepatitis B» «Ensure needles and syringe program
+
+396
+00:31:12,490 --> 00:31:17,580
+to avoid sharing injectingالتجارب التجاربية تحفظ
+
+397
+00:31:17,580 --> 00:31:21,100
+الهواتف تحفظ الـ Safe Sex تحفظ التجارب التجاربية
+
+398
+00:31:21,100 --> 00:31:23,940
+التحفظ الهواتف التحفظ الهواتف التحفظ الهواتف
+
+399
+00:31:23,940 --> 00:31:24,460
+التحفظ الهواتف التحفظ الهواتف التحفظ الهواتف
+
+400
+00:31:24,460 --> 00:31:24,940
+التحفظ الهواتف التحفظ الهواتف التحفظ الهواتف
+
+401
+00:31:24,940 --> 00:31:26,600
+التحفظ الهواتف التحفظ الهواتف التحفظ الهواتف
+
+402
+00:31:26,600 --> 00:31:26,760
+التحفظ الهواتف التحفظ الهواتف التحفظ الهواتف
+
+403
+00:31:26,760 --> 00:31:29,940
+التحفظ الهواتف التحفظ الهواتف التحفظ الهواتف
+
+404
+00:31:29,940 --> 00:31:34,630
+التحفظ الهواتف التحفظ الهواتف التحفظكـ population.
+
+405
+00:31:34,930 --> 00:31:38,830
+Dirty needles، إيش عامل فيها؟ Handle only if you
+
+406
+00:31:38,830 --> 00:31:42,930
+have proper equipment. Place needles in puncture
+
+407
+00:31:42,930 --> 00:31:46,630
+proof containers. في containers بنحط فيه ال
+
+408
+00:31:46,630 --> 00:31:52,710
+needles هاي. Can dispose containers in garbage but
+
+409
+00:31:52,710 --> 00:31:57,010
+better if it is taken to health clinic or needle
+
+410
+00:31:57,010 --> 00:32:01,510
+exchange زي المحارج وكذا. إذا إذا إذا أصلا عندك
+
+411
+00:32:01,510 --> 00:32:02,150
+needle break
+
+412
+00:32:05,460 --> 00:32:08,980
+انغزيت بإبرة، بغض النظر فيها أو ما فيها، don't
+
+413
+00:32:08,980 --> 00:32:13,140
+milk brick side، ما تقعدش تعصص عليها عشان بدك تطلع
+
+414
+00:32:13,140 --> 00:32:16,680
+دم منها، wash the area with soap and water، go to
+
+415
+00:32:16,680 --> 00:32:19,600
+nearest emergency department for assessment and
+
+416
+00:32:19,830 --> 00:32:23,930
+Treatment، بهيك احنا بنبقى عملنا محاضرة الـ
+
+417
+00:32:23,930 --> 00:32:27,090
+Hepatitis، أنا كنت أتوقع حقيقة تاخد وقت أكتر من
+
+418
+00:32:27,090 --> 00:32:31,390
+هيك، بس ربنا يسر ومشيته الأمور، بتمنى لكوا انهار
+
+419
+00:32:31,390 --> 00:32:35,830
+سعيد، واهتموا في موضوع الـ Hepatitis، مهم كتير
+
+420
+00:32:35,830 --> 00:32:39,590
+بالنسبالنا، خاصة في الامتحانات، مكان مهم للأسئلة
+
+421
+00:32:39,590 --> 00:32:40,490
+لكتير
+
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/FR-vBag9siY_raw.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/FR-vBag9siY_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..a18513961b78e3b8b9e825ad53e9dbd52ef8049e
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/FR-vBag9siY_raw.srt
@@ -0,0 +1,836 @@
+1
+00:00:01,350 --> 00:00:03,470
+بسم الله الرحمن الرحيم الحمد لله رب العالمين
+
+2
+00:00:03,470 --> 00:00:07,530
+والصلاة والسلام علي سيدنا محمد سيد المرسلين أجمعين
+
+3
+00:00:07,530 --> 00:00:13,950
+يعني اليوم ان شاء الله نحاول نتحدث عن الاخر محاضرة
+
+4
+00:00:13,950 --> 00:00:19,470
+هي في الصدرية عملياطبعا ممكن في الآخر يطلع معنا
+
+5
+00:00:19,470 --> 00:00:23,910
+كمان محاضرة اسمها الـ Core Pulmonale لكن الآن COPD
+
+6
+00:00:23,910 --> 00:00:27,490
+Chronic Obstructive Pulmonary Disease حسب كيف
+
+7
+00:00:27,490 --> 00:00:30,030
+بيكفل وجد بالنسبة لموضوع الـ Core Pulmonale ممكن
+
+8
+00:00:30,030 --> 00:00:34,030
+نعملها محاضرة ممكن ننسيبها حسب إيش بيصير معنا لكن
+
+9
+00:00:34,030 --> 00:00:41,470
+الـCOPDهي اختصار COPD هذه الكلمة هتسمعوها كتير في
+
+10
+00:00:41,470 --> 00:00:46,510
+أجسام الباطنة أو في المستشفيات COPD فيش هتقول
+
+11
+00:00:46,510 --> 00:00:51,590
+chronic obstructive pulmonary disease COPD اختصار
+
+12
+00:00:51,590 --> 00:00:55,130
+ل chronic obstructive pulmonary disease في طبعا
+
+13
+00:00:55,130 --> 00:01:03,360
+اختصارات تانية للـ COPDزي chronic obstructive lung
+
+14
+00:01:03,360 --> 00:01:07,500
+disease نفس الفكرة أو chronic lower respiratory
+
+15
+00:01:07,500 --> 00:01:12,680
+disease CLRD ماعرفش إذا في حد بيستخدمها لكن هي من
+
+16
+00:01:12,680 --> 00:01:16,560
+الإختصارات المتعارف عليها لكن أشهر اختصار اللي هو
+
+17
+00:01:16,560 --> 00:01:23,320
+CBD عالمياوهو COPD مش مرض عمليًا هو umbrella term
+
+18
+00:01:23,320 --> 00:01:27,080
+used to describe progressive lung disease
+
+19
+00:01:27,080 --> 00:01:30,560
+progressive lung obstructive disease من الإسم
+
+20
+00:01:30,560 --> 00:01:34,920
+chronic obstructive pulmonary disease الحاجات اللي
+
+21
+00:01:34,920 --> 00:01:38,300
+بتيجي تحت اللي درسناها ذهبت نذاكر مع بعض إيش
+
+22
+00:01:38,300 --> 00:01:43,900
+الحاجات اللي كانت chronic obstructive diseases
+
+23
+00:01:43,900 --> 00:01:49,610
+lung diseases صح انفيزيمة صحيح ميالميةChronic
+
+24
+00:01:49,610 --> 00:01:55,260
+Bronchitisأزمة، بس مش الأزمة العادية طبعا، اللي هي
+
+25
+00:01:55,260 --> 00:01:58,340
+الـirreversible أو الـrefractory، اللي هي لا
+
+26
+00:01:58,340 --> 00:02:05,040
+تتجاوب ولا تستجيب للأدوية المعهودة، وsevere
+
+27
+00:02:05,040 --> 00:02:08,820
+bronchiectasis كمان، يبقى هي عبارة عن umbrella
+
+28
+00:02:08,820 --> 00:02:13,080
+term used to describe progressive lung disease
+
+29
+00:02:13,080 --> 00:02:16,900
+which include emphysema 1, chronic bronchitis 2,
+
+30
+00:02:17,440 --> 00:02:20,500
+refractory irreversible asthma 3, severe
+
+31
+00:02:20,500 --> 00:02:28,350
+bronchiectasisرقم أربع طيب جداش يعني الـ COPD
+
+32
+00:02:28,350 --> 00:02:32,850
+عاملينها محاضرة لحالها وكذا و هي عبارة عن زي ما
+
+33
+00:02:32,850 --> 00:02:37,670
+قلنا umbrella term جداش حجمها في العالم كتير حجمها
+
+34
+00:02:37,670 --> 00:02:40,110
+في العالم في ال national heart and lung blood
+
+35
+00:02:40,110 --> 00:02:43,970
+institute في أمريكا قال إنه في عنده في أمريكا
+
+36
+00:02:43,970 --> 00:02:47,690
+اتناشر مليون adult عندهم COPD اتناشر مليون adult
+
+37
+00:02:47,690 --> 00:02:52,120
+طب هو كام جداش عدد سكان أمريكا تقريبا 300 مليونهذه
+
+38
+00:02:52,120 --> 00:02:56,320
+نسبة كويسة وفي 12 مليون تانيات Undiagnosed أو
+
+39
+00:02:56,320 --> 00:02:59,020
+Developing COPD جاعدين بيعملوا Developing COPD
+
+40
+00:02:59,020 --> 00:03:03,680
+يعني أنتوا أنا بحكي عن 25 مليون 25 مليون لو كنا
+
+41
+00:03:03,680 --> 00:03:10,510
+250 مليون إحنا بنحكي عن 10%يبقى طيب 10% وهذا بتشكل
+
+42
+00:03:10,510 --> 00:03:15,610
+ثقة المهول على الاقتصاد في أي بلد لما يكون في عندي
+
+43
+00:03:15,610 --> 00:03:20,150
+10% من الناس في عندهم مشكلة في الـ Lung في الـ
+
+44
+00:03:20,150 --> 00:03:26,130
+Economy في الـ USA Economy بيكلف الـ COPD تقريبا
+
+45
+00:03:26,130 --> 00:03:32,650
+32 مليون دولار بليون دولار يعني في direct أو
+
+46
+00:03:32,650 --> 00:03:37,220
+indirect cost في سنة 2002 كان هذا الموضوعأحنا
+
+47
+00:03:37,220 --> 00:03:40,460
+مابنحكيش قاعدين عن مرض بسيط عشرة نفار أو عشرين
+
+48
+00:03:40,460 --> 00:03:43,560
+نفار أو خمسين نفار، لا، احنا بحكي عن اقتصاد بلد
+
+49
+00:03:45,330 --> 00:03:51,550
+مصانع تعمل لهذا الموضوع، مصانع الأسباب أو المسببات
+
+50
+00:03:51,550 --> 00:03:56,430
+للموضوع هذا، جداش بتكسب و جداش بدخل جيوبها من هذا
+
+51
+00:03:56,430 --> 00:04:00,550
+الموضوع، اللي هي مصانع الدخان، a person with سؤب
+
+52
+00:04:00,550 --> 00:04:05,590
+دي dies every four minutes in the U.S. في أمريكا
+
+53
+00:04:05,590 --> 00:04:20,370
+واحد من سؤب دي بيموت كل أربع دقايقSOPD will be
+
+54
+00:04:20,370 --> 00:04:26,010
+the third leading cause of death in the US by 2020
+
+55
+00:04:32,610 --> 00:04:37,390
+that over حوالي 210 مليون people هذا طبعا إذا
+
+56
+00:04:37,390 --> 00:04:42,650
+حسبناها worldwide have COPD الأرقام مش ضرورية كتير
+
+57
+00:04:42,650 --> 00:04:46,170
+يا جماعة لكن أنا بال statistics بتاع الـCOPD بحاول
+
+58
+00:04:46,170 --> 00:04:52,290
+أقولكوا أنه قداش الـCOPD موجود في العالم وإيه له
+
+59
+00:04:52,290 --> 00:04:57,490
+مشاكله مش موضوع بسيط وسهل لأ وطبعا هذا ما فعلته اي
+
+60
+00:04:57,490 --> 00:05:06,020
+دينا مرة تانية يعنيالـ COPD هو الـ lung is a lung
+
+61
+00:05:06,020 --> 00:05:09,100
+alignment that is characterized by a persistent
+
+62
+00:05:09,100 --> 00:05:17,940
+blockage of airflow from the lungs طبعاً اسم المرض
+
+63
+00:05:17,940 --> 00:05:21,220
+Obstructive فالـ COPD Obstructive فتصبح عندي
+
+64
+00:05:21,220 --> 00:05:25,140
+Obstruction وهي اللي بتعمل ليه المشكلة it is under
+
+65
+00:05:25,140 --> 00:05:28,690
+diagnosedlife-threatening lung disease that
+
+66
+00:05:28,690 --> 00:05:32,230
+interferes with normal breathing and is not fully
+
+67
+00:05:32,230 --> 00:05:35,850
+reversible يعني ممكن واحد تلاقيه متنفس عادي لكن هو
+
+68
+00:05:35,850 --> 00:05:40,470
+عنده COPD ممكن يكون وضعه كويس وهو عنده COPD فهو
+
+69
+00:05:40,470 --> 00:05:44,230
+عشان هيك بنقول عنه under diagnosed يعني مش كل واحد
+
+70
+00:05:44,230 --> 00:05:51,630
+بنقدر نعرف أو هو وما بشكيش بنقدر نقول عنه COPD ال
+
+71
+00:05:51,630 --> 00:05:57,900
+most cases of COPD بتيجي كخدوا بالكوا result of
+
+72
+00:05:57,900 --> 00:06:05,380
+long term exposure to lung irritants أي lung
+
+73
+00:06:05,380 --> 00:06:08,140
+irritants، بغض النظر الشيية الآن، هحنا هنحكي عن
+
+74
+00:06:08,140 --> 00:06:11,840
+التدخين وعن كذا، لكن لو واحد بيشتغل في مصنع بترول
+
+75
+00:06:11,840 --> 00:06:17,480
+أو واحد بيشتغل في مصانع الفحم أو واحد بيشتغل في
+
+76
+00:06:17,480 --> 00:06:23,170
+منجرة، في مناجر الخشباللي بتدخل على أو واحد بيشتغل
+
+77
+00:06:23,170 --> 00:06:26,810
+فيه مصانع ما نعرف الـ Parfum، الرواي حي الـ
+
+78
+00:06:26,810 --> 00:06:31,150
+Irritants اللي فيها اللي بتدخل في الصناعات، بتعملي
+
+79
+00:06:31,150 --> 00:06:35,250
+Irritation للـ Lung، بتعملي Damaging للـ Lung،
+
+80
+00:06:35,250 --> 00:06:39,210
+ممكن تعملي Soapy D، ده الـ Most Common، لكن هي الـ
+
+81
+00:06:39,210 --> 00:06:42,530
+Most Common Irritants that causes Soapy D،
+
+82
+00:06:42,530 --> 00:06:45,570
+cigarette smoke، طبعاً هنا cigarette smoke لأن هو
+
+83
+00:06:45,570 --> 00:06:48,390
+هذا الغالبية، لكن احنا عندنا الأن أنواع أخرى من ال
+
+84
+00:06:48,390 --> 00:06:55,710
+smokingايوة ايوة
+
+85
+00:06:55,710 --> 00:07:01,270
+ايوة ايوة ايوة ايوة ايوة ايوة ايوة ايوة ايوة ايوة
+
+86
+00:07:01,270 --> 00:07:06,570
+ايوة ايوة ايوة ايوة ايوة ايوة ايوة ايوة ايوة ايوة
+
+87
+00:07:06,570 --> 00:07:09,390
+ايوة ايوة ايوة ايوة ايوة ايوة ايوة ايوةPassive
+
+88
+00:07:09,390 --> 00:07:12,590
+smoking او secondhand smoking ايش هي secondhand
+
+89
+00:07:12,590 --> 00:07:16,170
+smoking؟ طبعا في حاجات تانية كتير لـ smoking لكن
+
+90
+00:07:16,170 --> 00:07:19,470
+ايش ال secondhand smoking او ال passive smoking؟
+
+91
+00:07:19,470 --> 00:07:24,270
+اه انه .. انه .. انه الطرف التاني او الآخر اللي مع
+
+92
+00:07:24,270 --> 00:07:29,140
+المدخنعمليًا هو بيقول عنه second أو passive smoker
+
+93
+00:07:29,140 --> 00:07:33,060
+هو مابدخنش في الحقيقة لكن بياخد موضوع التدخين
+
+94
+00:07:33,060 --> 00:07:38,660
+يتضرر من موضوع التدخين من المدخن الحقيقي في rare
+
+95
+00:07:38,660 --> 00:07:41,720
+cases طبعًا COPD حكينا عنها قبل هيك جون a genetic
+
+96
+00:07:41,720 --> 00:07:45,200
+condition called Alpha-1-antitrypsin deficiency
+
+97
+00:07:45,200 --> 00:07:48,720
+ممكن يعمل إيه؟ يقول لها بيعمل emphysema إذا فاكرين
+
+98
+00:07:48,720 --> 00:07:52,840
+فهو بيبقى إن ال emphysema واحد من ال من ال من ال
+
+99
+00:07:52,840 --> 00:08:01,100
+COPD فهو causing COPDمين هم أكتر ناس مين هم أكتر
+
+100
+00:08:01,100 --> 00:08:05,640
+ناس أكتر
+
+101
+00:08:05,640 --> 00:08:11,480
+ناس at risk هم الناس people who smoke or are
+
+102
+00:08:11,480 --> 00:08:16,020
+exposed to smoke name people who have a family
+
+103
+00:08:16,020 --> 00:08:19,800
+history of COPD are more likely to develop the
+
+104
+00:08:19,800 --> 00:08:24,390
+disease if they smokeوالتخلص من تجارب طفولة طويلة
+
+105
+00:08:24,390 --> 00:08:30,920
+للغاية على الرغم من أنها فاكتورة خطر لـ COPDالناس
+
+106
+00:08:30,920 --> 00:08:34,900
+اللي بتشتغل في مصانع زي ما قلنا القار والأسفل مثلا
+
+107
+00:08:34,900 --> 00:08:42,260
+مصانع الفحم، مصانع الصناعات اللي فيها long
+
+108
+00:08:42,260 --> 00:08:47,340
+irritants هدول كلهم ناس liable المناجر، liable أن
+
+109
+00:08:47,340 --> 00:08:51,300
+يصير عندهم سوق طبعا مش يوم يشتغل أو لا يومين، لازم
+
+110
+00:08:51,300 --> 00:08:56,310
+يكون long term exposureحوالي 90% of COPD deaths
+
+111
+00:08:56,310 --> 00:09:00,910
+occur in low and middle income countries where
+
+112
+00:09:00,910 --> 00:09:04,870
+effective strategies for prevention and control
+
+113
+00:09:04,870 --> 00:09:09,930
+are not always implemented or accessible طبعا هو
+
+114
+00:09:09,930 --> 00:09:13,550
+ممكن واحد يقولك يعني نوقف صناعة الفحم، نوقف صناعة
+
+115
+00:09:13,550 --> 00:09:17,130
+الأسفر تلقار، لأ احنا مانوقفش، لكن لابد ان يكون
+
+116
+00:09:17,130 --> 00:09:23,160
+هناكقوانين تحمي العامل من الاستنشاق المستمر أو
+
+117
+00:09:23,160 --> 00:09:27,080
+أجهزة تحمي العامل من الاستنشاق المستمر بما فيها
+
+118
+00:09:27,080 --> 00:09:32,880
+الكمامات، الطرق المعهودة لحماية العامل من تنفس هذه
+
+119
+00:09:32,880 --> 00:09:38,460
+المواداللي هي المضرة للجهاز التنفسي لكن إنك توقف
+
+120
+00:09:38,460 --> 00:09:42,060
+الصناعات طبعاً مش واري توقف الصناعات لكن حماية
+
+121
+00:09:42,060 --> 00:09:47,880
+العمال سواء في الوقت أو في الأدوات للتخفيف من أثر
+
+122
+00:09:47,880 --> 00:09:53,910
+هذه الـIrritants على الجسمالـ Symptoms اللي
+
+123
+00:09:53,910 --> 00:09:56,090
+بيلاقيها نفس اللي شفناها في الـ Obstructive
+
+124
+00:09:56,090 --> 00:10:03,150
+Bronchitis وفي الانفيزيمة وفي الأزمة اللي هو
+
+125
+00:10:03,150 --> 00:10:08,190
+Breathlessnessيعني بينقطع نفسه abnormal sputum
+
+126
+00:10:08,190 --> 00:10:12,730
+بطلع بالغم كتير يعني mix of saliva and mucus in
+
+127
+00:10:12,730 --> 00:10:18,970
+the airway كحة مستمرة كحة زي ما بقولوها مزمنة
+
+128
+00:10:18,970 --> 00:10:23,220
+daily activities can become very difficultas the
+
+129
+00:10:23,220 --> 00:10:28,480
+condition gradually worsens بصير طبعا صعب بعد هيك
+
+130
+00:10:28,480 --> 00:10:33,180
+على المريض اللي عنده سؤوبة دي يقدر يجوم بالأعمال
+
+131
+00:10:33,180 --> 00:10:37,580
+اليومية even انه يطلع بس للجامع أو كذا بيصير يضايق
+
+132
+00:10:37,580 --> 00:10:41,820
+ومايقدرش يتنفس من الحاجات اللي
+
+133
+00:10:45,050 --> 00:10:48,890
+الـ COPD قولنا هو Chronic Air Flow Limitation
+
+134
+00:10:48,890 --> 00:10:53,370
+انفيزيمة وChronic Bronchitis على سبيل المثال ويكون
+
+135
+00:10:53,370 --> 00:10:58,150
+فيها المريض easily fatigued frequent respiratory
+
+136
+00:10:58,150 --> 00:11:03,910
+infection use of accessory muscles to breathe
+
+137
+00:11:03,910 --> 00:11:08,110
+أورتبنك كورب المنالي ممكن يصير
+
+138
+00:11:12,100 --> 00:11:17,680
+ممكن طبعا يضعف، ممكن يصير عندنا wheezes، ممكن يصير
+
+139
+00:11:17,680 --> 00:11:21,160
+عندنا chronic cough، ممكن يكون عندنا parallel
+
+140
+00:11:21,160 --> 00:11:26,660
+chest dyspnea، ممكن يكون عندنا الـexpiratory time
+
+141
+00:11:26,660 --> 00:11:33,740
+prolong، نتيجة الـobstruction، بيصير عملية إخراج
+
+142
+00:11:33,740 --> 00:11:39,160
+النفس أصعب كمانوممكن طبعاً حاجة أخدناها قبل هيك
+
+143
+00:11:39,160 --> 00:11:43,120
+يدخل المريض في نتيجة الهيبوكسيا في Digital
+
+144
+00:11:43,120 --> 00:11:46,140
+Clapping، إيش يعني Digital Clapping؟ اللي هو
+
+145
+00:11:46,140 --> 00:11:51,840
+Clapping of the fingers، nails of the fingers كيف
+
+146
+00:11:51,840 --> 00:11:56,000
+بنشخصه؟ ال simple diagnostic test بنقول عنه
+
+147
+00:11:56,000 --> 00:12:00,360
+Spirometry حكينا عنه measures how much airالشخص
+
+148
+00:12:00,360 --> 00:12:06,540
+يستطيع انهاء وانهاء ويستطيع انهاء وانهاء ويستطيع
+
+149
+00:12:06,540 --> 00:12:06,560
+انهاء ويستطيع انهاء ويستطيع انهاء ويستطيع انهاء
+
+150
+00:12:06,560 --> 00:12:07,660
+ويستطيع انهاء ويستطيع انهاء ويستطيع انهاء ويستطيع
+
+151
+00:12:07,660 --> 00:12:08,440
+انهاء ويستطيع انهاء ويستطيع انهاء ويستطيع انهاء
+
+152
+00:12:08,440 --> 00:12:08,440
+ويستطيع انهاء ويستطيع انهاء ويستطيع انهاء ويستطيع
+
+153
+00:12:08,440 --> 00:12:08,640
+انهاء ويستطيع انهاء ويستطيع انهاء ويستطيع انهاء
+
+154
+00:12:08,640 --> 00:12:13,120
+ويستطيع انهاء ويستطيع انهاء ويستطيع انهاء ويستطيع
+
+155
+00:12:13,120 --> 00:12:16,440
+انهاء ويستطيع
+
+156
+00:12:16,440 --> 00:12:28,400
+انهاء ويستطيع انهاء ويستطيع
+
+157
+00:12:29,080 --> 00:12:33,740
+no cure الحل
+
+158
+00:12:33,740 --> 00:12:37,600
+اول اش الباب اللي بيجيك منه الريح سد و استريح
+
+159
+00:12:37,600 --> 00:12:44,540
+quitting smoking وقف التدخين مش تخفي في التدخين
+
+160
+00:12:44,540 --> 00:12:49,240
+وقف التدخين التدخين the most important stepan
+
+161
+00:12:49,240 --> 00:12:52,660
+individual can take to treats OBD هذا رقم واحد إذا
+
+162
+00:12:52,660 --> 00:12:55,860
+في تدخين يجب أن يقف التدخين ماوفيش تدخين معناته
+
+163
+00:12:55,860 --> 00:13:00,880
+إحنا قاعدين بنروح اتجاه الهوية الأمور التانية طبعا
+
+164
+00:13:00,880 --> 00:13:05,120
+كلهيتها include vaccination طبعا عشان أحميه من أنه
+
+165
+00:13:05,120 --> 00:13:07,900
+يصير عنده pneumonia ويصير عنده مشاكل زي ال
+
+166
+00:13:07,900 --> 00:13:11,380
+pulmonary rehabilitation للصدر oxygen therapy
+
+167
+00:13:11,380 --> 00:13:16,370
+surgery ممكن يحتاج أنهيصير عندى في منطقة معينة الـ
+
+168
+00:13:16,370 --> 00:13:20,030
+lung emphysema أو كذا، يصير بدها removal أو حاجة،
+
+169
+00:13:20,030 --> 00:13:25,170
+هذه العلاجات بعض الأحيان زى على سبيل المثال الـ
+
+170
+00:13:25,170 --> 00:13:29,490
+antibiotic في بعض الأحيان للناس اللى بيصير عندهم
+
+171
+00:13:29,490 --> 00:13:34,430
+infection و هيك، سوء بديه symptoms usually slowly
+
+172
+00:13:34,430 --> 00:13:38,170
+worsens over time، بسوقه، انا جيت لو صار عنده رش
+
+173
+00:13:38,170 --> 00:13:44,710
+حم في الونزاأو infection بيديني symptoms أشد وأكتر
+
+174
+00:13:44,710 --> 00:13:52,500
+نحاول جدر الإمكان avoid lung irritantsget ongoing
+
+175
+00:13:52,500 --> 00:13:55,840
+care manage the disease and its symptoms prepare
+
+176
+00:13:55,840 --> 00:13:59,700
+for emergencies وتكون جاهز ومعروف للمستشفى اللي
+
+177
+00:13:59,700 --> 00:14:03,420
+حاول الواحد أنه هذا دايما بيجي يسوقه بالدين وبندي
+
+178
+00:14:03,420 --> 00:14:07,100
+بعض الأحيان مضادات حيوية بزيادة ليش؟ لأن هدول
+
+179
+00:14:07,100 --> 00:14:14,880
+الناس liable يدخلوا في chest infectionوبندى كمان
+
+180
+00:14:14,880 --> 00:14:21,140
+مواصعات للشعب الهوائية وبعضها أحياناً كورتازونات
+
+181
+00:14:21,140 --> 00:14:24,600
+على أساس تخفف من الـ inflammation اللى موجود وهذا
+
+182
+00:14:24,600 --> 00:14:32,220
+بحسن وضع الـ breathing يبقى احنا هان بنحكى عن
+
+183
+00:14:32,220 --> 00:14:37,800
+الـCOPD اللى هو umbrella
+
+184
+00:14:38,530 --> 00:14:42,710
+التي تسمى كـ progressive lung disease زي
+
+185
+00:14:42,710 --> 00:14:45,130
+الانفزيامة، chronic bronchitis، refractory أو
+
+186
+00:14:45,130 --> 00:14:50,030
+irreversible أزمة وsevere bronchectasis وقلنا إن
+
+187
+00:14:50,030 --> 00:14:54,770
+الـCOPD هو عبارة عن obstructive pulmonary disease
+
+188
+00:14:54,770 --> 00:14:58,390
+if the lung alignment that is characterized by a
+
+189
+00:14:58,390 --> 00:15:03,550
+persistent blockage of airway from the lung وكتير
+
+190
+00:15:03,550 --> 00:15:06,980
+من الناس يبقى في عنده symptomsبيبقى ماعندوش
+
+191
+00:15:06,980 --> 00:15:11,620
+symptoms لكن هو عنده COPD. The most common
+
+192
+00:15:11,620 --> 00:15:14,820
+irritants that cause COPD، سيجارة smoking، لكن في
+
+193
+00:15:14,820 --> 00:15:19,760
+حاجات تانية كمان مهم نعرفها، الناس اللي أترسك أكتر
+
+194
+00:15:19,760 --> 00:15:25,300
+هم الناس الـ Smoker و الـ exposed to smoke، الناس
+
+195
+00:15:25,300 --> 00:15:29,760
+اللي عند family hustle و في COPD و بدخنه، الناس
+
+196
+00:15:29,760 --> 00:15:34,250
+الـ long term exposureto other lung irritants زي
+
+197
+00:15:34,250 --> 00:15:40,470
+مثلًا ما قلنا مصانع الفحم وتسعين في المية من
+
+198
+00:15:40,470 --> 00:15:44,850
+الـdeaths بتصير في الناس اللي هي مستوى الاقتصادي
+
+199
+00:15:44,850 --> 00:15:49,950
+تبعها سيء واللي لا تحافظ على صحتها بصورة عامة
+
+200
+00:15:49,950 --> 00:15:54,510
+الـdiagnosis بالـSpirometer والتريتمنت COPD has no
+
+201
+00:15:54,510 --> 00:15:58,850
+cureأفضل حاجة، الناس اللي بتدخن، توقف التدخين،
+
+202
+00:15:58,850 --> 00:16:01,550
+وبدها بعد هيك Oxygen Therapy، Pulmonary
+
+203
+00:16:01,550 --> 00:16:06,490
+Rehabilitation، Vaccine، وزي ما قلنا، بعض الأحيان
+
+204
+00:16:06,490 --> 00:16:11,110
+بندّي مضادات حيوية لحماية المريض من التهيابات،
+
+205
+00:16:11,110 --> 00:16:17,570
+ممكن إنها تسويق حالته أكتر وأكترويعطيكم العافية
+
+206
+00:16:17,570 --> 00:16:24,330
+ويعني هي محاضرة قصيرة لشك لكن مبدأيًا هي بتضم كتير
+
+207
+00:16:24,330 --> 00:16:28,570
+من المواضيع اللي حكيناها بهيك إحنا بنبقى خلصنا
+
+208
+00:16:28,570 --> 00:16:33,370
+اللي هو موضوع ال respiratory system وحننجل بعد هيك
+
+209
+00:16:33,370 --> 00:16:35,510
+لموضوع آخر إن شاء الله تعالى
+
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/G--MWAi7z5k.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/G--MWAi7z5k.srt
new file mode 100644
index 0000000000000000000000000000000000000000..d15bf1a220114a6963eaafd3557d1f991262ac29
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/G--MWAi7z5k.srt
@@ -0,0 +1,1479 @@
+1
+00:00:01,430 --> 00:00:03,110
+بسم الله الرحمن الرحيم الحمد لله والصلاة والسلام على سيدنا محمد وعلى آله وصحبه أجمعين
+
+2
+00:00:03,110 --> 00:00:05,210
+الصلاة والسلام على سيدنا محمد وسيد المرسلين
+
+3
+00:00:05,210 --> 00:00:09,050
+والأجمعين اليوم إن شاء الله بنحكي في الجزء الثالث
+
+4
+00:00:09,050 --> 00:00:14,470
+من محاضرة الـ Infective and Obstructive and
+
+5
+00:00:14,470 --> 00:00:18,590
+Restrictive Pulmonary Disorders اللي الآن هنحكي 
+
+6
+00:00:18,590 --> 00:00:21,690
+عنها Restrictive Pulmonary Disorders كنا حكينا 
+
+7
+00:00:21,690 --> 00:00:25,410
+طبعًا احنا عن Infections جزئيًا حكينا عن الـ
+
+8
+00:00:25,410 --> 00:00:29,480
+Obstructive حكينا عن اللي هو الـ Emphysema أو
+
+9
+00:00:29,480 --> 00:00:32,960
+الـ Chronic Bronchitis الـ Acute Bronchitis حكينا
+
+10
+00:00:32,960 --> 00:00:35,460
+عن الـ Bronchial Asthma الآن بنحكي عن Restrictive
+
+11
+00:00:35,460 --> 00:00:39,860
+Pulmonary Disorders وعلى رأسها حاجة بنسمعها كثيرًا 
+
+12
+00:00:39,860 --> 00:00:43,940
+موجودة في المستشفيات اللي هي الـ Pneumothorax
+
+13
+00:00:43,940 --> 00:00:49,620
+Pneumothorax يعني صدر، Pneumo معناته زي الهواء يعني
+
+14
+00:00:49,620 --> 00:00:56,100
+Pneumothorax Pneumothorax
+
+15
+00:00:56,100 --> 00:01:00,100
+هو عبارة عن Entry of air into the pleural cavity
+
+16
+00:01:00,100 --> 00:01:03,380
+احنا فاكرين في الـ Anatomy لما حكينا أنه فينا
+
+17
+00:01:03,380 --> 00:01:09,080
+Pleural cavity حوالين الـ Lung وكل Pleural cavity
+
+18
+00:01:09,080 --> 00:01:14,580
+لكل Lung لوحدها بتسكر على الـ Lung لوحدها in which
+
+19
+00:01:14,580 --> 00:01:17,820
+the Lung resides يبقى بنوع Pneumothorax هو عبارة عن
+
+20
+00:01:17,820 --> 00:01:23,330
+دخول هواء إلى الـ Pleural cavity in which the Lung
+
+21
+00:01:23,330 --> 00:01:26,470
+resides طيب ليش هو؟ يعني إيش فيه في الـ Pleural
+
+22
+00:01:26,470 --> 00:01:29,310
+cavity؟ الـ Pleural cavity عبارة عن Cavity فيها
+
+23
+00:01:29,310 --> 00:01:33,350
+Fluid عادةً وفيه Negative Pressure كيف يعني
+
+24
+00:01:33,350 --> 00:01:36,310
+Negative Pressure؟ Negative Pressure يعني عندنا الـ
+
+25
+00:01:36,310 --> 00:01:42,970
+Atmosphere برة اللي هو الجو في الـ Pleural cavity
+
+26
+00:01:42,970 --> 00:01:45,230
+في عندنا Negative Pressure وفي الـ Lung في عندنا
+
+27
+00:01:45,230 --> 00:01:48,530
+Positive Pressure الآن لو دخل هواء بأي طريقة من
+
+28
+00:01:48,530 --> 00:01:53,500
+الطرق إلى الـ Pleural cavity إيش اللي بيصير؟
+
+29
+00:01:53,500 --> 00:01:57,720
+بيعلى الـ Pressure في الـ Pleural cavity فالـ Lung
+
+30
+00:01:57,720 --> 00:02:01,940
+بتعمل لنا Collapsing خلاص ليش؟ لأنه بيزيد الضغط جوة
+
+31
+00:02:01,940 --> 00:02:07,600
+الـ Pleural cavity عن الضغط في جوة الـ Lung فبتنسحب 
+
+32
+00:02:07,600 --> 00:02:13,220
+الـ Lung وبتعمل لنا Pneumothorax يبقى احنا بصورة عامة
+
+33
+00:02:13,220 --> 00:02:17,020
+عشان الـ Lung تقدر تعمل Expansion في التنفس، رايح
+
+34
+00:02:17,020 --> 00:02:19,700
+جاي، لازم يكون Negative Pressure كما قلنا في الـ
+
+35
+00:02:19,700 --> 00:02:24,060
+Pleural cavity مقارنة بالإيش؟ بالأتموسفير، بالجو
+
+36
+00:02:24,060 --> 00:02:28,360
+البراني، الـ Inside of the Pleural cavity is
+
+37
+00:02:28,360 --> 00:02:32,580
+essentially a Vacuum عادةً، Vacuum يعني فراغ، مش 
+
+38
+00:02:32,580 --> 00:02:37,910
+إشي، هو Fluid، لكن فراغ، ضغط، قلنا Negative، and
+
+39
+00:02:37,910 --> 00:02:40,830
+when air enters the Pleural cavity the Negative
+
+40
+00:02:40,830 --> 00:02:44,030
+Pressure is lost بيروح الـ Negative Pressure and
+
+41
+00:02:44,030 --> 00:02:47,850
+Lungs collapse طبيعي زي البالون يعني بيبقى كأنك
+
+42
+00:02:47,850 --> 00:02:53,700
+نفخت البالون بعد ما نفخته وزي ما قلنا كلها قاعدة
+
+43
+00:02:53,700 --> 00:02:56,460
+لوحدها في Cavity فلما بيصير عندنا Pneumothorax في
+
+44
+00:02:56,460 --> 00:03:01,080
+العادة إذا ما كان الـ Cause على الجهتين فهو بيعمل لنا
+
+45
+00:03:01,080 --> 00:03:04,640
+على جهة واحدة في الغالب، الـ Pneumothorax فيه ثلاثة
+
+46
+00:03:04,640 --> 00:03:07,200
+Types متعرفة ثلاثة من الـ Types
+
+47
+00:03:10,150 --> 00:03:15,330
+الأول الـ Open or Communicating Pneumothorax Open
+
+48
+00:03:15,330 --> 00:03:17,630
+أو Communicating Communicating يعني متواصل مع
+
+49
+00:03:17,630 --> 00:03:21,190
+الخارج هيك معناته متواصل مع الخارج Usually
+
+50
+00:03:21,190 --> 00:03:25,270
+involves a traumatic chest wound سكين في صدر واحد
+
+51
+00:03:25,870 --> 00:03:29,510
+الهواء بدخل إلى الـ Pleural cavity من برة من 
+
+52
+00:03:29,510 --> 00:03:36,030
+الأتموسفير، الـ Lung بتقول للـ Cavity يا ستة يا هيني
+
+53
+00:03:36,030 --> 00:03:39,790
+تركتك لوحدك وأنا هيني ساهبة حالي أقوم بسحبة وعملت
+
+54
+00:03:39,790 --> 00:03:47,190
+Lung collapse ليش؟ لأنه صار الـ Pleural cavity
+
+55
+00:03:47,190 --> 00:03:51,220
+Pressure عالي، بتصير الـ Lung مش قادرة تقاتل ضد
+
+56
+00:03:51,220 --> 00:03:55,300
+الأخر فبتنسحب، في أن الحاجة الثانية يبقى الـ Open و
+
+57
+00:03:55,300 --> 00:03:58,220
+الـ Communicating بيبقى الـ Opening اللي صارت في الـ
+
+58
+00:03:58,220 --> 00:04:04,680
+Chest مع الخارج مع الخارج، Okay هذا الـ Open Pneumothorax
+
+59
+00:04:04,680 --> 00:04:08,140
+أو Communicating Pneumothorax تشوف الصورة
+
+60
+00:04:08,140 --> 00:04:13,730
+اللي موجودة طبعًا الهواء بيروح وبيجي في الأحوال زي
+
+61
+00:04:13,730 --> 00:04:19,090
+هيك يعني مش بيثبتش زي ما هنشوف في نوع من الأنواع
+
+62
+00:04:19,090 --> 00:04:22,650
+في الـ Tension Pneumothorax الـ Closed أو
+
+63
+00:04:22,650 --> 00:04:27,830
+Spontaneous Pneumothorax بيصير لما الـ Lung يصير
+
+64
+00:04:27,830 --> 00:04:32,470
+فيها Leaks يصير فيها Leakage يصير فيها ثقب لسبب من
+
+65
+00:04:32,470 --> 00:04:37,750
+الأسباب ويصير الهواء ييجي من الـ Lung عوين على الـ
+
+66
+00:04:37,750 --> 00:04:44,660
+Cavity يبقى Occurs when air هو Leaks from the Lung
+
+67
+00:04:44,660 --> 00:04:48,500
+into the Pleural cavity من إيش طيب هذا ممكن يصير؟
+
+68
+00:04:48,500 --> 00:04:52,120
+آه هذا حاجة داخلية معناته Lung Cancer Rupture
+
+69
+00:04:52,120 --> 00:04:57,760
+Pulmonary Disease Pulmonary
+
+70
+00:04:57,760 --> 00:04:58,240
+Disease
+
+71
+00:05:05,540 --> 00:05:10,180
+يبقى كمان مرة لـ Closed بيبقى Occurs when air
+
+72
+00:05:10,180 --> 00:05:13,340
+Leaks from the Lungs into the Pleural cavity ممكن
+
+73
+00:05:13,340 --> 00:05:18,420
+يكون داخل السبب لأن المشكلة في الـ Lung Lung Cancer
+
+74
+00:05:18,420 --> 00:05:21,780
+ربشة Pulmonary Disease where the increased Pleural
+
+75
+00:05:21,780 --> 00:05:25,800
+Pressure prevents Lung expansion طبيعي كل ما زاد
+
+76
+00:05:25,800 --> 00:05:30,460
+الضغط جوة الـ Cavity بمنع أن الـ Lung تحاول تعمل
+
+77
+00:05:30,460 --> 00:05:37,740
+Expansion تعمل تمدد في أثناء أخذ الشحيق فبتظلها
+
+78
+00:05:37,740 --> 00:05:43,620
+Collapsed، النوع الثالث واللي هو أخطرهم طبعًا اللي 
+
+79
+00:05:43,620 --> 00:05:46,860
+هو الـ Tension Pneumothorax طب وين الخطر تبعه الـ
+
+80
+00:05:46,860 --> 00:05:50,560
+Tension يا جماعة زي الـ Open بس اللامة in الـ Open
+
+81
+00:05:50,560 --> 00:05:55,840
+بدخله بيطلع هواء لكن في الـ Tension Pneumothorax الـ
+
+82
+00:05:55,840 --> 00:06:01,490
+Condition if there is a one way movement of air but
+
+83
+00:06:01,490 --> 00:06:05,130
+not out of the Pleural cavity يعني بدخل هواء على 
+
+84
+00:06:05,130 --> 00:06:09,570
+الـ Pleural cavity وما بيطلعش هواء، One-valve
+
+85
+00:06:09,570 --> 00:06:12,150
+Mechanism يعني زي الـ Valve Mechanism يعني في
+
+86
+00:06:12,150 --> 00:06:15,990
+اتجاه واحد، طب وده إيش بيعمل؟ آه طبعًا خدوا بالكوا 
+
+87
+00:06:15,990 --> 00:06:19,590
+كل ما أخذنا نفس بدخل هواء وما بيطلعش، بدخل هواء
+
+88
+00:06:19,590 --> 00:06:23,930
+وما بيطلعش، بدخل هواء وما بيطلعش في الآخر بيصير A severe
+
+89
+00:06:23,930 --> 00:06:27,610
+Life
+
+90
+00:06:27,610 --> 00:06:32,200
+Threatening Condition ليش؟ لأن الـ Pressure في الـ
+
+91
+00:06:32,200 --> 00:06:36,520
+Pleural cavity Continuous to increase may result
+
+92
+00:06:36,520 --> 00:06:41,940
+in further Lung Compression، Compression of the
+
+93
+00:06:41,940 --> 00:06:46,780
+Large blood vessels والـ Heart، كل إشي بنضغط، 
+
+94
+00:06:46,780 --> 00:06:49,660
+القضية مش قضية بس الآن أنه ينضغط، شوف الصورة اللي 
+
+95
+00:06:49,660 --> 00:06:55,460
+عندنا، أنه بس ينضغط، بس ينضغط الـ Lung، لأ، بتنضغط
+
+96
+00:06:55,460 --> 00:06:59,570
+كل Chest Organs، هذا المشكلة يبقى احنا فيه عندنا
+
+97
+00:06:59,570 --> 00:07:02,270
+Open or Communicating Pneumothorax، عندنا Closed
+
+98
+00:07:02,270 --> 00:07:05,130
+or Spontaneous Pneumothorax، وفيه عندنا Tension
+
+99
+00:07:05,130 --> 00:07:08,210
+Headache، Tension عفوا Headache، Tension Pneumothorax
+
+100
+00:07:08,210 --> 00:07:14,510
+اللي هو أخطرهم وMost Severe كيف طيب
+
+101
+00:07:14,510 --> 00:07:19,950
+بنعرفه؟ الـ Pneumothorax، تكيبنية، دسنية، Chest Pain
+
+102
+00:07:19,950 --> 00:07:24,210
+طبعًا لو أنا في عندي واحد محطوط صدر في صدره سكين 
+
+103
+00:07:24,210 --> 00:07:27,650
+بأعرف أنه غالبًا هيصير معاه Pneumothorax لكن نايم
+
+104
+00:07:27,650 --> 00:07:30,530
+عندي مثلًا واحد في العناية المركزة على سبيل المثال ومرة
+
+105
+00:07:30,530 --> 00:07:34,110
+واحدة صار عنده لسبب من الأسباب دسنية، تكيبنية،
+
+106
+00:07:34,110 --> 00:07:38,170
+Chest Pain طبعًا ممكن على طول أفكر في Pneumothorax
+
+107
+00:07:38,170 --> 00:07:41,270
+كيف بعرفها؟ بأعرفها طبعًا من الـ Chest X-Ray، واضح 
+
+108
+00:07:41,270 --> 00:07:46,320
+الـ Treatment of Pneumothorax كيف نعالج Pneumothorax
+
+109
+00:07:46,320 --> 00:07:50,560
+وهذه سأتركها كلها في الجزء الأول من 
+
+110
+00:07:50,560 --> 00:07:54,640
+الـ Assignment اللي هو How to treat Pneumothorax
+
+111
+00:07:54,640 --> 00:07:59,760
+وبرضه ما تزيدوش يا جماعة عن 6-7 أسطر في الكتابة و
+
+112
+00:07:59,760 --> 00:08:02,920
+How to treat Pneumothorax
+
+113
+00:08:05,260 --> 00:08:09,640
+وطبعًا زي ما قلنا يا جماعة مرة ثانية أي Homework أي 
+
+114
+00:08:09,640 --> 00:08:14,360
+Assignment بطلبه هو يعتبر عمليًا منهج، بسأل فيه في
+
+115
+00:08:14,360 --> 00:08:17,940
+الـ Course ذاته في الامتحانات وفي كل مكان حتى لو في 
+
+116
+00:08:17,940 --> 00:08:22,360
+أسئلة مقالة هيسأل عنها كمان فخدوا بالكوا هذا مش 
+
+117
+00:08:22,360 --> 00:08:27,420
+خارج المنهج، صحيح احنا بدنا نوسع المدارك بالمطالعة
+
+118
+00:08:27,420 --> 00:08:33,080
+لكن هذا هو عبارة عن منهج، طيب من الـ Restrictive
+
+119
+00:08:33,080 --> 00:08:37,600
+Pulmonary Disorders إلى Atelectasis الـ Atelectasis
+
+120
+00:08:37,600 --> 00:08:42,800
+is a Condition in which there is incomplete
+
+121
+00:08:42,800 --> 00:08:47,920
+Expansion of Lung tissues incomplete Expansion
+
+122
+00:08:47,920 --> 00:08:50,060
+يعني الـ Lung 
+
+123
+00:08:53,870 --> 00:08:57,430
+ما بتفتحش زي ما بدنا، ليش؟ لأنه فيه Blockage of the
+
+124
+00:08:57,430 --> 00:09:02,240
+Airways أو Compression على الـ Alveolar Sacs منها
+
+125
+00:09:02,240 --> 00:09:05,380
+الـ Types زي Absorption of Lactases تصير عندما 
+
+126
+00:09:05,380 --> 00:09:10,040
+يكون شخص عنده على سبيل المثال Bronchial Passages تكون
+
+127
+00:09:10,040 --> 00:09:15,460
+Blocked with a Mucous Tumor أو ورم وطبعًا هذه
+
+128
+00:09:15,460 --> 00:09:17,680
+بنشوفها كثيرًا في Chronic Bronchitis الناس اللي
+
+129
+00:09:17,680 --> 00:09:20,780
+عندهم بلغم كثير Chronic Bronchitis فاكرين؟ أو
+
+130
+00:09:20,780 --> 00:09:25,540
+Cystic Fibrosis إيش الـ Cystic Fibrosis؟ تعرفوه
+
+131
+00:09:25,540 --> 00:09:28,960
+سمعتوا عنه؟ طبعًا الـ Cystic Fibrosis من الحاجات يا 
+
+132
+00:09:28,960 --> 00:09:32,080
+جماعة اللي هيشتغلوا في الأطفال هيشتغلوا معاهم
+
+133
+00:09:32,080 --> 00:09:37,180
+بالضرورة لأن هدول يزد أساسي من علاجهم اللي هو الـ 
+
+134
+00:09:37,180 --> 00:09:41,100
+Mucus Removal
+
+135
+00:09:41,100 --> 00:09:45,900
+عن طريق الـ Chest Physiotherapy وSevere حقيقة فبرضه
+
+136
+00:09:45,900 --> 00:09:49,860
+الـ Cystic Fibrosis هتكتبولي عن ما هو Cystic
+
+137
+00:09:49,860 --> 00:09:55,260
+Fibrosis إيش الأسباب التبعته؟ How to manage فيه
+
+138
+00:09:55,260 --> 00:10:01,360
+على قدر صفحة يعني بس على جد صفحة واحدة مش ورقة
+
+139
+00:10:01,360 --> 00:10:05,060
+صفحة واحدة تكتبولي عن الـ Cystic Fibrosis الحاجات
+
+140
+00:10:05,060 --> 00:10:09,620
+المهمة الـ Cystic Fibrosis الحاجة الثانية اللي هي
+
+141
+00:10:09,620 --> 00:10:11,560
+في الاتلكتازيس النوع الثاني اللي هو compression
+
+142
+00:10:11,560 --> 00:10:17,520
+هو يكون أنه الـ lung tissue compressed externally
+
+143
+00:10:17,520 --> 00:10:22,900
+by air blood fluid أو الـ tumor كيف الـ
+
+144
+00:10:22,900 --> 00:10:26,360
+«manifestation»؟ «Dyspnea» كاف نفس الكلام طبيعي
+
+145
+00:10:26,360 --> 00:10:30,900
+لما أنا يكون عندي جزء من الـ Lung Expand ومش قادر 
+
+146
+00:10:30,900 --> 00:10:34,020
+يعمل
+
+147
+00:10:34,020 --> 00:10:38,840
+عملية تبادل للغازات
+
+148
+00:10:38,840 --> 00:10:42,280
+أنه يكون عندي Reduce Gas Exchange طبعاً بيصير
+
+149
+00:10:42,280 --> 00:10:44,400
+عندنا حاجة اسمها إذا فكريني لما حكينا عن
+
+150
+00:10:44,400 --> 00:10:49,960
+الـ Ventilation Perfusion Coupling بيصير طبيعي أن
+
+151
+00:10:49,960 --> 00:10:55,920
+الدم اللي كان رايح المفروض يروح لمنطقة اللي فيها
+
+152
+00:10:55,920 --> 00:10:58,760
+أتلكتازس بيبطل يروح عليها وبيصير يروح لمناطق
+
+153
+00:10:58,760 --> 00:11:03,300
+قادرة تعمل Gas exchange العلاج تبعها الباب اللي
+
+154
+00:11:03,300 --> 00:11:07,500
+بيجيك منه الريح سد واستريح removal of airway
+
+155
+00:11:07,500 --> 00:11:13,020
+blockage اللي عامل السبب لازم أشيله طبعا سواء كان
+
+156
+00:11:13,360 --> 00:11:19,120
+Blood, Fluids, Tumor زي ما بيقولوها ميوكاس لازم
+
+157
+00:11:19,120 --> 00:11:26,500
+ينشال كمان مرة عندما أقول إن في حد عنده أتلكتازيس
+
+158
+00:11:26,500 --> 00:11:32,480
+معناته Lung collapse with loss of internal air فش
+
+159
+00:11:32,480 --> 00:11:36,740
+هواء جواته وهذا ممكن يصيب لأ sub unit of the lung
+
+160
+00:11:36,740 --> 00:11:40,800
+بنقول أنه sub segmental أتلكتازيس ممكن للوب كله
+
+161
+00:11:41,830 --> 00:11:44,430
+فاكرين أنتو كام لوب احنا قلنا فيه في الـ Right
+
+162
+00:11:44,430 --> 00:11:49,730
+Lung و Left Lung فاكرين؟ لوب كامل أو يكون الـ whole
+
+163
+00:11:49,730 --> 00:11:52,990
+Lung ات الاكتزاز لكن الـ common كتير كتير اللي هو
+
+164
+00:11:52,990 --> 00:11:59,190
+sub-segmental الأسباب حكينا عنها قبل شوية مش 
+
+165
+00:11:59,190 --> 00:12:02,430
+محتاجين أن نحكي عنها مرة تانية طيب أنا فيه في الـ X
+
+166
+00:12:02,430 --> 00:12:05,350
+-ray أنتو برضه في العلاج الطبيعي بتمسوا كل X-ray و
+
+167
+00:12:05,350 --> 00:12:09,070
+لازم تشوفوا خاصة بتكون تعرفوا أين بتعملوا علاج
+
+168
+00:12:09,070 --> 00:12:14,940
+طبيعي على منطقة الصدر أو Whole Lung Atelectasis
+
+169
+00:12:14,940 --> 00:12:20,260
+بلاقي إبسي لاترال يعني
+
+170
+00:12:20,260 --> 00:12:26,620
+في نفس الجهة بلاقي أن التريكيا انزاحت لنفس الجهة زي
+
+171
+00:12:26,620 --> 00:12:30,440
+ما احنا شايفين في الصورة اللي تحت أنه في عند الـ
+
+172
+00:12:30,440 --> 00:12:37,600
+Lung collapse على الـ Left side والتريكياوين الأسهم
+
+173
+00:12:37,600 --> 00:12:41,180
+الحمراء اللي فوق ميلة أو زيها عندها Ipsilateral
+
+174
+00:12:41,180 --> 00:12:46,120
+Tracheal displacement بيصير عندي Increased density
+
+175
+00:12:46,120 --> 00:12:51,660
+of collapsed Lung tissue بيصير عندي Ipsilateral
+
+176
+00:12:51,660 --> 00:12:57,400
+Mediastinal shift شايفين كل الأعضاء، التريكيا وقلب
+
+177
+00:12:57,400 --> 00:13:04,460
+كله رايح على الجهة المصابة Elevation of the Diaphragm
+
+178
+00:13:05,890 --> 00:13:13,670
+وهي ارتفاع الديافراجم بيصير عالي وهرنياشن وطبعا الـ
+
+179
+00:13:13,670 --> 00:13:17,730
+Lung التانية لاجت واسع فبتروح هي التانية زايحة
+
+180
+00:13:17,730 --> 00:13:23,150
+وداخلة عبر الـ Midline تبع الـ Lung الأخرى بتعتدي
+
+181
+00:13:23,150 --> 00:13:27,710
+على حرومات الآخرين ليش؟ لاجتها ضعيفة فهي ايش؟
+
+182
+00:13:27,710 --> 00:13:29,650
+بتستجو الـ Lung التانية فبتفرد
+
+183
+00:13:33,050 --> 00:13:40,350
+زي ما حكينا الـ Collapse بيبين في الـ X-Ray
+
+184
+00:13:40,350 --> 00:13:43,370
+الرسمات
+
+185
+00:13:43,370 --> 00:13:46,950
+هي بس للخبرة بعد هيك كيف الـ Collapse بيبين هنا من
+
+186
+00:13:46,950 --> 00:13:48,930
+أهم الصور اللي بنشوفها في الـ Collapse على سبيل
+
+187
+00:13:48,930 --> 00:13:52,010
+المثال في الـ Foreign Body Inhalation بلاقي على
+
+188
+00:13:52,010 --> 00:13:57,810
+الجهة اليمن Right Upper Lobe Collapse في الـ
+
+189
+00:13:57,810 --> 00:14:00,330
+Foreign Body Inhalation الأطفال اللي بيتشردقوا
+
+190
+00:14:00,880 --> 00:14:04,520
+البذرة بكذا بنلاقي أنه بتروح في المنطقة هذه اللي
+
+191
+00:14:04,520 --> 00:14:10,240
+هي البذرة وتعمل نبس في المنطقة هذه في عندنا حاجة
+
+192
+00:14:10,240 --> 00:14:13,680
+اسمها Bronchiectasis Bronchiectasis يعني احنا بس
+
+193
+00:14:13,680 --> 00:14:16,780
+هنحكي Slide واحد عنها عشان نكون سمعانين فيها لأنه
+
+194
+00:14:16,780 --> 00:14:19,590
+برضه هي بتعملنا Accumulation of Mucus is a
+
+195
+00:14:19,590 --> 00:14:22,810
+Condition that results from prolonged injury or
+
+196
+00:14:22,810 --> 00:14:25,810
+inflammation of Respiratory Airways and
+
+197
+00:14:25,810 --> 00:14:29,330
+Bronchioles يعني بعد فترة من إصابة الـ Respiratory
+
+198
+00:14:29,330 --> 00:14:31,890
+Airways أو الـ Bronchioles بـ Inflammation أو
+
+199
+00:14:31,890 --> 00:14:35,750
+Infection أو أي Injury بيصير عندنا إيش؟ Condition
+
+200
+00:14:35,750 --> 00:14:41,110
+بيقول عنها Bronchiectasis إيش هي؟ Dilatation of the
+
+201
+00:14:41,110 --> 00:14:43,830
+Bronchus and or Bronchi بتتوسع
+
+202
+00:15:10,290 --> 00:15:24,120
+وهذا بدخلنا على موضوعهم بنسمع فيه دايماً الآن
+
+203
+00:15:24,120 --> 00:15:28,040
+هنحكي عن حاجة اسمها الـ ARDS الحقيقة الآن الـ ARDS
+
+204
+00:15:28,040 --> 00:15:31,440
+بنشوفها في كتير من الأحوال
+
+205
+00:15:35,870 --> 00:15:38,570
+اللي هي الـ Adult Respiratory Distress Syndrome
+
+206
+00:15:38,570 --> 00:15:42,190
+بتشوفها في العناية المركزة الناس اللي بيصير
+
+207
+00:15:42,190 --> 00:15:44,890
+عندها Pneumoia نتيجة الـ Corona بيصير عندهم حاجة
+
+208
+00:15:44,890 --> 00:15:49,250
+اسمها ARDS Adult Respiratory Distress Syndrome
+
+209
+00:15:49,250 --> 00:15:54,260
+احفظوا الاختصار يا جماعة ARDS في الخارج، لن تجد أحد
+
+210
+00:15:54,260 --> 00:15:56,880
+في مستشفى أوروبي أو في الشفاء يقول لك «أدلت
+
+211
+00:15:56,880 --> 00:15:59,740
+راسبيراتوري ديسترست سندروم» مع طول بيقولوها «ARDS»
+
+212
+00:15:59,740 --> 00:16:02,840
+«ARDS» يعني عبر عن سندروم Associated with
+
+213
+00:16:02,840 --> 00:16:08,120
+Destruction of Alveolar Membranes ومش بس والـ
+
+214
+00:16:08,120 --> 00:16:10,780
+«كابيلاريز» اللي Related لإلها يعني الـ
+
+215
+00:16:10,780 --> 00:16:13,440
+«كابيلاريز» والـ «كابيلاريز» يعني تدمير عمليًا
+
+216
+00:16:13,440 --> 00:16:17,540
+تدمير للـ Tissue of the Lung it may occur as a
+
+217
+00:16:17,540 --> 00:16:22,950
+result of direct injury to the Lungs مثل Pneumoia أو
+
+218
+00:16:22,950 --> 00:16:27,970
+كورونا Pneumoia أو as a result of dramatic decrease
+
+219
+00:16:27,970 --> 00:16:30,450
+in blood flow of the Lungs دائما نقول عنها Shock
+
+220
+00:16:30,450 --> 00:16:39,630
+Lung يعني صار مافيش دم يروح على الـ Lungs لسبب من
+
+221
+00:16:39,630 --> 00:16:43,910
+الأسباب زي ما مافيش دم يروح على الكلة أو مافيش دم
+
+222
+00:16:43,910 --> 00:16:46,870
+يروح على الجلب إيش بيصير؟ إنه Shock Kidney أو
+
+223
+00:16:46,870 --> 00:16:52,320
+Shock Heart Shock Lung نقول عنها وهذه بتعملنا
+
+224
+00:16:52,320 --> 00:16:58,720
+Damage في الـ Alveolar Membranes و الـ Related
+
+225
+00:16:58,720 --> 00:17:01,680
+Capillaries طبعا إذا الـ Membranes راحت الـ Alveolar
+
+226
+00:17:01,680 --> 00:17:05,600
+Membranes طب مين بده يعمل Blood Exchange، Gas
+
+227
+00:17:05,600 --> 00:17:10,840
+Exchange؟ مين؟ الأسباب اللي بتعملي ARDS مش كلها
+
+228
+00:17:10,840 --> 00:17:16,200
+Lung، Sepsis يوريميا ارتفاع اليوريا يعني الكلة ما
+
+229
+00:17:16,200 --> 00:17:20,960
+تشتغلش فاليوريا بترتفع ولما ترتفع اليوريا بتعمل
+
+230
+00:17:20,960 --> 00:17:25,040
+مشاكل في الرئتين هيك كمان اه طبعا Trauma Near
+
+231
+00:17:25,040 --> 00:17:30,220
+Drowning أشياء Near Drowning غرق بس ماتش Drowning
+
+232
+00:17:30,220 --> 00:17:36,420
+معناته غرق ومات Near Drowning يعني
+
+233
+00:17:36,660 --> 00:17:40,340
+جرى بيموت من الغرق لكن ما ماتش Inhalation of
+
+234
+00:17:40,340 --> 00:17:44,300
+Toxic Gases or Agents الناس اللي بتتنفس غازات
+
+235
+00:17:44,300 --> 00:17:49,140
+حارقة و Irritative يعني حاجات بتعمل Irritation
+
+236
+00:17:49,140 --> 00:17:54,840
+Aspiration of Gastric Continents إيش هاي؟ اه الناس
+
+237
+00:17:54,840 --> 00:17:57,520
+اللي بتتشردق بالحمض زي الأطفال على سبيل المثال
+
+238
+00:17:57,520 --> 00:18:01,060
+ممكن Widespread Pneumonia Pneumonia نفسها Drug
+
+239
+00:18:01,060 --> 00:18:05,240
+Overdose Systemic شوك أي شيء بيعمل لي شوك في الجسم
+
+240
+00:18:05,240 --> 00:18:10,680
+ممكن يديني ARDS الـ Manifestation تبقيتها Dyspnea تاكبنيا
+
+241
+00:18:10,680 --> 00:18:15,080
+Hypoxemia طبعا CO2 بيصير عالي في الدم الأكسجين
+
+242
+00:18:15,080 --> 00:18:18,850
+بيقل في الدم Infiltration of Lung Tissue with
+
+243
+00:18:18,850 --> 00:18:21,730
+Immune Cells that Release Inflammatory Mediators
+
+244
+00:18:21,730 --> 00:18:24,290
+بيصير بعد ذلك Accumulation of Fluids في
+
+245
+00:18:24,290 --> 00:18:27,950
+الـ Alveoli، Around الـ Alveoli وبيصير Change في
+
+246
+00:18:27,950 --> 00:18:32,630
+الـ Blood pH اللي هو حموضة الدم وكمية الـ CO2 في
+
+247
+00:18:32,630 --> 00:18:36,150
+الـ Pulmonary Fibrosis في الآخر، حتى الجدر تبع
+
+248
+00:18:36,150 --> 00:18:40,810
+الـ Lung بيصير عملية Fibrosis وبعدها طبعا بدخل في
+
+249
+00:18:40,810 --> 00:18:43,650
+Respiratory Failure إيش يعني Respiratory Failure؟
+
+250
+00:18:44,130 --> 00:18:48,490
+يعني الـ Lungs لا تستطيع أن تقوم بشغلها اللي هو
+
+251
+00:18:48,490 --> 00:18:52,130
+اسمه Gas Exchange، Respiratory Failure، هنحكي عنها
+
+252
+00:18:52,130 --> 00:18:56,250
+بعد شوية أكمل الـ Slide كيف أعالج الـ ARDS؟ طبعا،
+
+253
+00:18:56,250 --> 00:19:00,070
+بدأ أشيل السبب، وبدي أكسجين، Anti-inflammatory
+
+254
+00:19:00,070 --> 00:19:04,670
+Drugs، Diuretics، عشان لو فيه أديمة أخففها، وأصلح
+
+255
+00:19:04,670 --> 00:19:07,630
+الـ Acid Base Balance، وأصلح طبعا الـ Condition
+
+256
+00:19:07,630 --> 00:19:13,890
+الأساسي الـ Respiratory Failure هي مصالح تنتج عندما
+
+257
+00:19:13,890 --> 00:19:16,990
+لا يستطيع الحصان الحصان الحصان الحصان الحصان
+
+258
+00:19:16,990 --> 00:19:17,650
+الحصان الحصان الحصان الحصان الحصان الحصان الحصان
+
+259
+00:19:17,650 --> 00:19:20,890
+الحصان الحصان الحصان الحصان الحصان الحصان الحصان
+
+260
+00:19:20,890 --> 00:19:25,930
+الحصان الحصان الحصان الحصان الحصان الحصان الحصان
+
+261
+00:19:25,930 --> 00:19:29,630
+الحصان الحصان الحصان الحصان الحصان الحصان الحصان
+
+262
+00:19:29,630 --> 00:19:30,290
+الحصان الحصان الحصان الحصان الحصان الحصان الحصان
+
+263
+00:19:30,290 --> 00:19:30,810
+الحصان الحصان الحصان الحصان الحصان الحصان الحصان
+
+264
+00:19:30,810 --> 00:19:30,930
+الحصان الحصان الحصان الحصان الحصان الحصان الحصان
+
+265
+00:19:30,930 --> 00:19:32,170
+الحصان الحصان الحصان الحصان الحصان الحصان الحصان
+
+266
+00:19:32,170 --> 00:19:37,070
+الحصان
+
+267
+00:19:37,070 --> 00:19:37,590
+الـ
+
+268
+00:19:42,810 --> 00:19:46,390
+والعادة يدخل فيه الـ Respiratory Failure في أخرها
+
+269
+00:19:46,390 --> 00:19:52,490
+كنهاية أو قد يكون هذا حدث مضحك يتسبب بالفكتورات
+
+270
+00:19:52,490 --> 00:19:57,190
+مثل Pneumothorax أو Drug Overdose من الناس اللي
+
+271
+00:19:57,190 --> 00:20:00,270
+بتاخد المخدرات هدول أو صار عنده Pneumothorax ممكن
+
+272
+00:20:00,270 --> 00:20:03,130
+يعمل Respiratory Failure يبقى Respiratory Failure
+
+273
+00:20:03,130 --> 00:20:07,930
+ممكن يكون Due to Chronic Condition وممكن يكون Due
+
+274
+00:20:07,930 --> 00:20:12,170
+to Acute Condition مبناش يصعب الدنيا لكن الـ
+
+275
+00:20:12,170 --> 00:20:14,970
+Respiratory Failure is a Condition that results
+
+276
+00:20:14,970 --> 00:20:18,590
+when the Lungs are no longer able to Oxygenate the
+
+277
+00:20:18,590 --> 00:20:22,850
+Blood Sufficiently or to Remove CO2 from it مهم
+
+278
+00:20:22,850 --> 00:20:29,370
+بالنسبة لي يا جماعة هذا التعريف بالذات وإيش الـ
+
+279
+00:20:29,370 --> 00:20:33,580
+Manifestation اللي بنشوفه كيف أنا بعرف أن فلان دخل
+
+280
+00:20:33,580 --> 00:20:36,160
+في الـ Respiratory Failure فشل في التنفس، 
+
+281
+00:20:36,160 --> 00:20:41,220
+هيبوكسيميا، هيبوكسيميا، طب كيف أنا بعرف الـ
+
+282
+00:20:41,220 --> 00:20:46,900
+هيبوكسيميا؟ بحط الشخص 
+
+283
+00:20:46,900 --> 00:20:51,960
+أو المريض على Pulse Oximeter أو Monitor وبيقيس لي
+
+284
+00:20:51,960 --> 00:20:57,890
+كمية الأكسجين في الدم. هايبركابنيا نفس الكلام بيقيس لي 
+
+285
+00:20:57,890 --> 00:21:01,710
+كمية ثاني أكسيد الكربون في الدم أو بأخذ حاجة
+
+286
+00:21:01,710 --> 00:21:05,090
+اسمها Blood Gases، Arterial Blood Gases، إيش هذا ال
+
+287
+00:21:05,090 --> 00:21:08,490
+Arterial Blood Gases؟ وعبارة عن فحص بأخده من ال
+
+288
+00:21:08,490 --> 00:21:15,130
+Capillaries أو حتى من ال Artery وبأفحص اللي هي
+
+289
+00:21:15,130 --> 00:21:22,550
+كميات الأكسجين، Partial Pressure of Oxygen، في الفحص
+
+290
+00:21:22,550 --> 00:21:27,140
+بأفحص الـ Partial Pressure of CO2، بنقول عنه Arterial
+
+291
+00:21:27,140 --> 00:21:32,800
+Blood Gases وبشوف فيه كمية الحموضة، الـ pH، قداش 
+
+292
+00:21:32,800 --> 00:21:39,120
+وقداش فيه زيادة في الـ Base Excess في القواعد في ال
+
+293
+00:21:39,120 --> 00:21:42,360
+Blood Gases. هذا بس باختصار عشان تكونوا سمعتوا إيش 
+
+294
+00:21:42,360 --> 00:21:45,220
+الـ Arterial Blood Gases. في نفس الوقت بقدر من ال
+
+295
+00:21:45,220 --> 00:21:52,170
+Monitor أحطه بس أحطه على الأصبع اللي هو زي Gas هو
+
+296
+00:21:52,170 --> 00:21:55,050
+بتطلع لي على الـ Monitor بس بتطلع لي كمية الـ
+
+297
+00:21:55,050 --> 00:21:59,990
+Partial Pressure of Oxygen، واللي هي طبعاً لا يصح 
+
+298
+00:21:59,990 --> 00:22:06,910
+أنها تجي عن رقم معين 95% بدون أكسجين. إيش كمان 
+
+299
+00:22:06,910 --> 00:22:11,520
+ممكن Manifestation of Respiratory Disorder؟ لكن ليس 
+
+300
+00:22:11,520 --> 00:22:15,020
+بضرورة. يجب أن يكون في ذراعك بعد ذلك الـ
+
+301
+00:22:15,020 --> 00:22:16,840
+Respiratory Failure يعني أنه تبطّل، يروح فيه 
+
+302
+00:22:16,840 --> 00:22:20,240
+أكسجين وين؟ على الدماغ، على المخ، فيصير يعني CNS
+
+303
+00:22:20,240 --> 00:22:26,390
+Symptoms، CNS Symptoms زي Confusion، الـ Slurred 
+
+304
+00:22:26,390 --> 00:22:29,470
+Speech بيصير عندنا Impaired Motor Function بيصير
+
+305
+00:22:29,470 --> 00:22:31,590
+عندنا زي ما قلنا توفر الـ Blood لما شرحنا عن ال
+
+306
+00:22:31,590 --> 00:22:36,870
+Blood Gases، Altered Blood pH، بتغير الـ pH Initially
+
+307
+00:22:36,870 --> 00:22:40,650
+في الأول، في الأول الجسم بيحاول يكيف مع الموضوع 
+
+308
+00:22:40,650 --> 00:22:44,350
+هذا بيعمل تيكارديا، بيعمل Increase Cardiac Output 
+
+309
+00:22:44,350 --> 00:22:49,660
+لكن بعد هيك ما بيقدرش يكمل الجسم أو ما بيقدرش يكمل الـ
+
+310
+00:22:49,660 --> 00:22:53,120
+Heart بيصير عندها Bradycardia and Decreased Cardiac 
+
+311
+00:22:53,120 --> 00:22:57,980
+Output، وهنا إيش الخطورة، نعمل بس مقارنة بين
+
+312
+00:22:57,980 --> 00:23:01,700
+الأسباب بتاعة الـ Respiratory Failure، أسباب Acute 
+
+313
+00:23:01,700 --> 00:23:04,840
+وأسباب Chronic، الأكيو زي Pneumothorax، Drug 
+
+314
+00:23:04,840 --> 00:23:09,440
+Overdose، Pleural Effusion، Airway Obstruction، 
+
+315
+00:23:09,440 --> 00:23:13,480
+Status Asthmaticus، Inhalation of Toxins أو نكسيات
+
+316
+00:23:13,480 --> 00:23:18,100
+غازية. كرونية زي الانفزيامة، Interstitial Lung Disease
+
+317
+00:23:18,100 --> 00:23:20,720
+Cystic Fibrosis، Spinal Cord أو Brain Injury
+
+318
+00:23:20,720 --> 00:23:23,260
+Congestive Heart Failure، Neuromuscular Disorder 
+
+319
+00:23:23,260 --> 00:23:27,980
+Pulmonary Embolism، Diffused Pneumonia، Pulmonary Edema
+
+320
+00:23:27,980 --> 00:23:33,000
+يا جماعة إذا احنا في جامعة الآن يعني مش مدرسة كمان 
+
+321
+00:23:33,000 --> 00:23:38,380
+مرة اللي بيلاقي بعض الحاجات مش فاهمها مش بالضرورة
+
+322
+00:23:38,380 --> 00:23:44,210
+دايماً يشرحها المدرس. يروح يكشف عنها، يجرى أكتر، يشوف 
+
+323
+00:23:44,210 --> 00:23:49,180
+الآن كل كلمة من هدول كلنا مسؤولين عنها، وانتوا 
+
+324
+00:23:49,180 --> 00:23:52,560
+مسؤولين عنها، يعني في الآخر ممكن أنا أسأل عن هذه
+
+325
+00:23:52,560 --> 00:23:56,040
+إيش هي؟ إيش هي؟ مش لازم أكون شرحتها، انتوا لازم 
+
+326
+00:23:56,040 --> 00:23:59,540
+ترجعوا، في عندكم كتب وفي مراجع وفي الـ Internet 
+
+327
+00:23:59,540 --> 00:24:05,640
+بالصلاة وعن النبي، يعني بسهولة جداً ممكن أجي أقول 
+
+328
+00:24:05,640 --> 00:24:09,820
+والله Pleural Effusion إيش هي؟ طب هات نشوف فيديو طيب 
+
+329
+00:24:09,820 --> 00:24:14,440
+كيف بيشيلوا الـ Effusion؟ مثلًا، حلو لو واحد يعرف 
+
+330
+00:24:14,440 --> 00:24:19,540
+الحاجات هاي. طيب الـ Airways Obstruction، إيش يعني؟ 
+
+331
+00:24:19,540 --> 00:24:23,960
+إيش ممكن اسمها Status Asthmaticus؟ طب Inhalation
+
+332
+00:24:23,960 --> 00:24:28,320
+of Toxins or Noxious Gases؟ إيش الـ Toxins هاي؟
+
+333
+00:24:28,320 --> 00:24:31,360
+إيش الـ Noxious Gases هاي؟ هذا انتوا لازم لوحدكم 
+
+334
+00:24:31,360 --> 00:24:35,600
+تحاولوا تكشفوا عنها، طبعاً ما حدش يقول كتير عنها 
+
+335
+00:24:35,600 --> 00:24:40,260
+وعنا شغل كثير وعنا دراسة كثيرة وعنا يعني هيك حال 
+
+336
+00:24:40,260 --> 00:24:43,690
+الدنيا يعني في الآخر الـ Respiratory Failure 
+
+337
+00:24:43,690 --> 00:24:50,930
+Treatment تبعه كيف بيعالجه؟ طبعاً مرة ثانية لازم 
+
+338
+00:24:50,930 --> 00:24:52,550
+أصلح السبب في الموضوع 
+
+339
+00:24:56,360 --> 00:24:59,260
+طبعاً مش لازم أصلحه وما أعملش حاجة، لأ أنا ببدأ أصلح
+
+340
+00:24:59,260 --> 00:25:01,640
+السبب لكن في عندي حاجات في الأول ببدأ أعملها 
+
+341
+00:25:01,640 --> 00:25:05,360
+Bronchodilators، موسيعات الشعب الهوائية، Correction
+
+342
+00:25:05,360 --> 00:25:10,380
+of Blood Gases، الـ pH لازم أصلح الغازات الدم، لازم 
+
+343
+00:25:10,380 --> 00:25:12,920
+أدّيه أكسجين، وممكن في الآخر الأكسجين العادي
+
+344
+00:25:12,920 --> 00:25:15,840
+ما يجيبش، أضطر أعمله حاجة اسمها Mechanical 
+
+345
+00:25:15,840 --> 00:25:22,160
+Ventilation، Mechanical Ventilation بحط له 
+
+346
+00:25:22,160 --> 00:25:23,660
+تيوب، عملية زي
+
+347
+00:25:26,650 --> 00:25:31,470
+من الأنف أو من الفم وبحطه على جهاز وفيه مجسات
+
+348
+00:25:31,470 --> 00:25:35,970
+معينة بيصير الجهاز يصلي 
+
+349
+00:25:35,970 --> 00:25:40,890
+يّديني أكسجين ويأخذ ثاني أكسيد الكربون. عمليًا طبعاً 
+
+350
+00:25:40,890 --> 00:25:43,570
+قضية الـ Mechanical Ventilation هي في حالتها تجسيسة 
+
+351
+00:25:43,990 --> 00:25:46,330
+ما بنقدرش أنا في محاضرة أقعد أحكي عن الـ Mechanical 
+
+352
+00:25:46,330 --> 00:25:49,270
+Ventilation أنتوا، لكن ممكن يروح يجرى عنها، ممكن 
+
+353
+00:25:49,270 --> 00:25:53,050
+يشوف له فيديو كيف بيصير عملية الـ Mechanical 
+
+354
+00:25:53,050 --> 00:25:55,370
+Ventilation، Functions of Mechanical Ventilation 
+
+355
+00:25:55,370 --> 00:25:58,750
+يعني المفروض أنه زي ما قلت لكوا تحاولوا جداً لإمكان 
+
+356
+00:25:58,750 --> 00:26:03,550
+فرصة أنه نتعرف على الطب عن قرب عندكوا لما تتخرجوا 
+
+357
+00:26:03,550 --> 00:26:06,730
+إن شاء الله تعالى هتلاقوا حالكوا في الآخر منغمسين
+
+358
+00:26:06,730 --> 00:26:10,370
+بس في إيش؟ في المادة تبعاتكوا في التخصص تبعكوا
+
+359
+00:26:11,310 --> 00:26:15,370
+وهتبعدوا شوية عن مواد الطب اللي هي .. يعني احنا ..
+
+360
+00:26:15,370 --> 00:26:18,470
+يعني إيش بيقولوها Team واحد في الآخر، يعني لازم 
+
+361
+00:26:18,470 --> 00:26:22,110
+الممرض، لازم أخصائي العلاج الطبيعي، أخصائي الـ
+
+362
+00:26:22,110 --> 00:26:24,390
+Occupational Therapy والطبيب يكونوا تقريباً
+
+363
+00:26:24,390 --> 00:26:27,590
+مستوعبين كثير بالحاجات دي، ممكن مش بنفس القدر، لكن
+
+364
+00:26:27,590 --> 00:26:32,610
+في الآخر لازم يكون في لغة تفاهم واضحة بينهم اللي
+
+365
+00:26:32,610 --> 00:26:39,200
+هي لغة الطب قبل كل شيء. بأتمنى لكوا إنّهاار سعيد و ..
+
+366
+00:26:39,200 --> 00:26:44,980
+و .. يعني إن شاء الله من هلّأ نهاية الأسبوع بنعمل 
+
+367
+00:26:44,980 --> 00:26:49,800
+محاضرة الثانية اللي هي COPD، آخر محاضرة فيه اللي هو
+
+368
+00:26:49,800 --> 00:26:55,020
+موضوع الـ Respiratory System، بذكركوا بالـ 
+
+369
+00:26:55,020 --> 00:26:59,520
+Assignment كان عبارة عن جزئين بتلاقوهم جوا
+
+370
+00:26:59,520 --> 00:27:00,880
+المحاضرة، يعطيكوا العافية
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/JILdV7Ktl10_postprocess.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/JILdV7Ktl10_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..4d09e9a32924ec4f7b3906fe307784c3984fb741
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/JILdV7Ktl10_postprocess.srt
@@ -0,0 +1,1496 @@
+1
+00:00:04,710 --> 00:00:06,890
+بسم الله الرحمن الرحيم و الحمد لله على العالمين و
+
+2
+00:00:06,890 --> 00:00:10,250
+الصلاة والسلام علي سيدنا محمد وسيد المرسلين
+
+3
+00:00:10,250 --> 00:00:17,150
+الجمعين يعني الأن ان شاء الله تعالى هحاول في ال ..
+
+4
+00:00:17,150 --> 00:00:20,310
+في النص الساعة اللي جاية ان شاء الله تعالى أتحدث
+
+5
+00:00:20,310 --> 00:00:23,950
+عن أنواع الـ Diabetes كنا بدأنا احنا في الجزء
+
+6
+00:00:23,950 --> 00:00:29,210
+الأول من الـ Diabetes Militas وكنا حكيناياريت
+
+7
+00:00:29,210 --> 00:00:33,990
+نحاول نعرف إيش الفرق بين الـDiabetes Miletus
+
+8
+00:00:33,990 --> 00:00:40,390
+وDiabetes Insipidus وقلنا إنه في عندنا الـDiabetes
+
+9
+00:00:40,390 --> 00:00:43,850
+Miletus اللي هو السكري وكانوا زمان يقولوا عنه
+
+10
+00:00:43,850 --> 00:00:51,090
+البول السكري في منه أنواع أهم أنواعين مشهورين اللي
+
+11
+00:00:51,090 --> 00:00:55,450
+هو الـType 1اللي يقال أنه الـ Juvenile type of
+
+12
+00:00:55,450 --> 00:00:59,630
+diabetes و اللي ممكن يصير لحد تلاتين سنة و اللي
+
+13
+00:00:59,630 --> 00:01:07,280
+بنقول عنه Insulin إذا فاكرينالـ Dependent Diabetes
+
+14
+00:01:07,280 --> 00:01:11,660
+و الـ Type 2 اللي نبدأ به الآن هو عبارة عن الـ
+
+15
+00:01:11,660 --> 00:01:16,360
+Diabetes المشهور اللي بيمثل حوالي 95% ل 95% من
+
+16
+00:01:16,360 --> 00:01:22,400
+حالات الـ Diabetes و اللي هو بيكون المشكلة تبعته
+
+17
+00:01:22,400 --> 00:01:27,580
+مش أن الـ beta cells are destructed أو مافيش عنها
+
+18
+00:01:27,580 --> 00:01:28,160
+انسلين
+
+19
+00:01:31,040 --> 00:01:34,100
+الخلايا لا تستجيب الانسولين والخلايا لا تستجيب
+
+20
+00:01:34,100 --> 00:01:46,500
+الانسولين والخلايا لا تستجيب الانسولين والخلايا
+
+21
+00:01:46,500 --> 00:01:46,700
+لا تستجيب الانسولين والخلايا لا تستجيب الانسولين
+
+22
+00:01:46,700 --> 00:01:46,780
+والخلايا لا تستجيب الانسولين والخلايا لا تستجيب
+
+23
+00:01:46,780 --> 00:01:47,500
+تستجيب الانسولين والخلايا لا تستجيب الانسولين
+
+24
+00:01:47,500 --> 00:01:48,100
+والخلايا لا تستجيب الانسولين والخلايا لا تستجيب
+
+25
+00:01:48,100 --> 00:01:51,180
+الانسولين والخلايا لا تستجيب الانسولين والخلايا لا
+
+26
+00:01:51,180 --> 00:01:58,650
+تستجيب الانسولين والخلايا لا تستجيب الانسولوقلنا
+
+27
+00:01:58,650 --> 00:02:03,590
+إن المشكلة في الجسم أو في خلايا الجسم إنها not
+
+28
+00:02:03,590 --> 00:02:10,210
+responsive to insulin طبعا في الغالب الـ receptor
+
+29
+00:02:10,210 --> 00:02:17,090
+أو الجفل اللي بنحط فيه المفتاح الجفل هو اللي مش
+
+30
+00:02:17,090 --> 00:02:22,050
+راضي يستجيب وقلنا كمان إن الـ diabetes 2 is the
+
+31
+00:02:22,050 --> 00:02:26,540
+most common type حوالي 90% of patientsوفي الغالب
+
+32
+00:02:26,540 --> 00:02:29,460
+بيجي عند الناس الأعمار الأكبر أربعين لا يعني أنه
+
+33
+00:02:29,460 --> 00:02:32,740
+مابيجيش للي أصغر حنشوف في الأنواع الجاية لأ هو لكن
+
+34
+00:02:32,740 --> 00:02:37,460
+للناس اللي فوق الأربعين mainly و mainly وأكتر
+
+35
+00:02:37,460 --> 00:02:40,340
+وأكتر عند الناس اللي عندها overweight لا يعني أنه
+
+36
+00:02:40,340 --> 00:02:45,600
+برضه مابيجيش للناس اللي normal weight لأ إنما بيجي
+
+37
+00:02:45,600 --> 00:02:50,200
+لهم لكن الغالبية بتيجي للناس ال overweight وقولنا
+
+38
+00:02:50,200 --> 00:02:54,070
+كمان يا بدولي المرة اللي فاتتإنه الـ Type 2
+
+39
+00:02:54,070 --> 00:02:58,890
+Diabetes is
+
+40
+00:02:58,890 --> 00:03:04,290
+due primarily to lifestyle factors and genetics،
+
+41
+00:03:04,290 --> 00:03:11,330
+بمعنى هو موجود، بيبقى inherited، لكن بده trigger،
+
+42
+00:03:11,330 --> 00:03:14,450
+الـ trigger اللي هي في الغالب تبقى lifestyle
+
+43
+00:03:14,450 --> 00:03:15,690
+factor
+
+44
+00:03:18,940 --> 00:03:24,040
+و من ال factors هاي كنا ال obesity و كنا حكينا
+
+45
+00:03:24,040 --> 00:03:28,240
+المرة اللي فاتت ال obesity كيف تنجس هليا تنجس بال
+
+46
+00:03:28,240 --> 00:03:34,540
+body mass index واللي هنا في فوق التلاتين مش عارف
+
+47
+00:03:34,540 --> 00:03:37,080
+إذا إنتوا لسه فاكرين المفروض إن هو كان في ال
+
+48
+00:03:37,080 --> 00:03:40,720
+assignment التجسيمة تبع ال body mass index كيب
+
+49
+00:03:40,720 --> 00:03:47,020
+انجاز أصلا واحدة فيكوا تحكي الآن أيوة تذكرbody
+
+50
+00:03:47,020 --> 00:03:57,880
+mass index بالكيلو على square of the height مربع
+
+51
+00:03:57,880 --> 00:04:07,300
+الهيت مربع الهيت مربع الهيت مربع الهيت مربع الهيت
+
+52
+00:04:15,230 --> 00:04:19,370
+defined by a body mass index of greater than 30
+
+53
+00:04:19,370 --> 00:04:24,250
+وكنا استرجعنا مع بعض كيف حسبتها وclassification
+
+54
+00:04:24,250 --> 00:04:29,050
+اللي أخدوا بين واحد وزنه جليل كتير كتير ومين اللي
+
+55
+00:04:29,050 --> 00:04:35,730
+عنده severe obesity
+
+56
+00:04:35,730 --> 00:04:40,350
+lack of physical activity وردية stress في مبلنة
+
+57
+00:04:40,350 --> 00:04:46,230
+الآنوكل الأمور هيجتمعت إلى جانب في بعض الناس الـ
+
+58
+00:04:46,230 --> 00:04:52,030
+genetics طبعاً
+
+59
+00:04:52,030 --> 00:04:58,710
+زي ما قلناالمرة اللي فاتت، انه هذه الـ Factors مش
+
+60
+00:04:58,710 --> 00:05:03,230
+هي اللي بتخلي واحد عنده سكر، إنما هي Trigger
+
+61
+00:05:03,230 --> 00:05:08,670
+للموضوع هذا، على رأس أسامي مثال الاستهلاك المهول،
+
+62
+00:05:08,670 --> 00:05:12,390
+Consumption of Sugar-Sweetened Drinks
+
+63
+00:05:18,050 --> 00:05:21,550
+الكميات الكبيرة لجميع اللترين اللي بتنجعد عليها و
+
+64
+00:05:21,550 --> 00:05:25,590
+بتتشرب نفس واحد أو أربع أو خمس علب في نهار على
+
+65
+00:05:25,590 --> 00:05:26,230
+سبيل المثال
+
+66
+00:05:29,210 --> 00:05:33,130
+وهو أيضًا مهم بالنسبة لـ Saturated Fats و Trans
+
+67
+00:05:33,130 --> 00:05:37,850
+-Fatty Acids يزيدون الرغم من أن الـ Poly
+
+68
+00:05:37,850 --> 00:05:42,450
+-unsaturated والـ Monounsaturated يتقللون الرغم من
+
+69
+00:05:48,940 --> 00:05:53,520
+الدهون الجيدة والسيئة أو اللي هي saturated
+
+70
+00:05:53,520 --> 00:05:57,520
+وunsaturated وtrans fats ونعمل مقارنة بينهم eating
+
+71
+00:05:57,520 --> 00:06:02,000
+lots of white rice appears to play a role in
+
+72
+00:06:02,000 --> 00:06:04,900
+increasing risk a lack of exercise believed to
+
+73
+00:06:04,900 --> 00:06:12,060
+cause 7% of caseزي ما حكينا إنه مشكلتنا أو الـ
+
+74
+00:06:12,060 --> 00:06:15,840
+pathophysiology of type 2 diabetes mellitus هو
+
+75
+00:06:15,840 --> 00:06:21,520
+عبارة عن insulin resistance of body tissues don't
+
+76
+00:06:21,520 --> 00:06:25,080
+respond to insulin، هذا إيش بعملنا؟ بعملنا
+
+77
+00:06:25,080 --> 00:06:28,240
+hyperglycemia، طبعا الشكر حيضل كله في الدم، فبصير
+
+78
+00:06:28,240 --> 00:06:33,220
+عندي hyperglycemia،
+
+79
+00:06:33,220 --> 00:06:39,310
+طبعا بعد هيك، automatic، نتيجةفي نتيجة أن
+
+80
+00:06:39,310 --> 00:06:44,770
+الإنسولين يستجدي كمية أكبر من الإنسولين لفترة
+
+81
+00:06:44,770 --> 00:06:48,350
+معينة لحد بالـBeta-cells تقول أنا مش قادرة، فبيصير
+
+82
+00:06:48,350 --> 00:06:53,230
+في عنا decrease، reduction أو production of
+
+83
+00:06:53,230 --> 00:06:59,770
+إنسولين بيمتاز الـType 2 Diabetes gradual onset في
+
+84
+00:06:59,770 --> 00:07:02,770
+حين لمّا حكينا عن الـDiabetes 1، قلنا إنه لأ هو
+
+85
+00:07:02,770 --> 00:07:08,020
+فيه نوع منبسرعة أو emergency person may go many
+
+86
+00:07:08,020 --> 00:07:12,180
+years with undetected hyperglycemia مين يعرف فينا
+
+87
+00:07:12,180 --> 00:07:15,300
+مين عنده hyperglycemia أو لا وماعملش فحص وماعندهوش
+
+88
+00:07:15,300 --> 00:07:21,460
+symptoms وماعملش فحص عشان هيك عدد كبير من الناس
+
+89
+00:07:21,460 --> 00:07:25,100
+وشوفنا الإحصائية إذا فاكرينها لما قلنا عشرة مليون
+
+90
+00:07:25,100 --> 00:07:28,800
+عندهم type 2 وواحد مليون عندهم type 1 ولكن في عندي
+
+91
+00:07:28,800 --> 00:07:32,680
+خمسة مليون undetected مش معروفين يعني هم رقم أسود
+
+92
+00:07:32,680 --> 00:07:39,200
+ليش؟ لأنه لا فحصوولا عنده symptoms فهو دال
+
+93
+00:07:39,200 --> 00:07:44,380
+undetected لكن هو عنده hyperglycemia زي ما قلنا
+
+94
+00:07:44,380 --> 00:07:50,220
+الـ Marked hyperglycemia عادة بتبقى فوق الـ 200 أو
+
+95
+00:07:50,220 --> 00:07:55,100
+أكتر وهذه بالmillimole لكن اضربها في 17 بتصير
+
+96
+00:07:55,100 --> 00:07:58,680
+بالmilligram بالتسيليتر اللي هو المجاسي اللي
+
+97
+00:07:58,680 --> 00:08:02,380
+بنعمله عندنا في البلد Clinical manifestation of
+
+98
+00:08:02,380 --> 00:08:03,380
+diabetes mellitus
+
+99
+00:08:16,430 --> 00:08:21,190
+وهي عادي جدا جدا والـ 3B's اللي حكينا عنها الـ
+
+100
+00:08:21,190 --> 00:08:25,670
+Polyuria و الـ Polytypsia اللي حكينا عنهم قبل هيك
+
+101
+00:08:25,670 --> 00:08:29,910
+في بعد هيك عندنا الـ Gestational Diabetes وهذا
+
+102
+00:08:29,910 --> 00:08:35,310
+عبارة عن ديابتس هو type 2بشبه الـ Type 2، لكن
+
+103
+00:08:35,310 --> 00:08:41,170
+بيأتي في فترة الحمل، وهذا يجعلنا نقول حمل خطر
+
+104
+00:08:48,860 --> 00:08:53,880
+طبعاً أنه مافيه كمية إنسولين كفاية لكن برضه الـ
+
+105
+00:08:53,880 --> 00:08:59,880
+Unresponsiveness of cells to insulin الجهتين
+
+106
+00:08:59,880 --> 00:09:05,000
+وغالباً بيكتشف في الأسبوع الـ 24 و 28 weeks of
+
+107
+00:09:05,000 --> 00:09:12,240
+gestation كده بالمناسبة كده مدة الحمل في العادة
+
+108
+00:09:12,240 --> 00:09:18,950
+غير 9 أشهر أنا بسأل بصورة عامة كم أسبوعأحنا هنا
+
+109
+00:09:18,950 --> 00:09:26,330
+بنحكي بأسابيع، طيب، هيك بس على ال whats، هذا مش
+
+110
+00:09:26,330 --> 00:09:30,630
+assignment ولا حاجة، بس على ال whats، كل حد عارف،
+
+111
+00:09:30,630 --> 00:09:35,990
+يقول لي كام أسبوع، عدد أسابيع الحمل الطبيعي عند
+
+112
+00:09:35,990 --> 00:09:42,840
+الستاتوزي ما قلنا بيجي عند حوالي 2 ل 10% of all
+
+113
+00:09:42,840 --> 00:09:47,120
+pregnancies، يعني كام كبير يعتبر، وبيتحسن في
+
+114
+00:09:47,120 --> 00:09:53,840
+الغالب، ممكن يتحسن بعد الولادة، لكن مش شرط
+
+115
+00:09:59,580 --> 00:10:04,760
+بعد الابتكار حوالي 5 إلى 10% بيظلهم مش متحسنين
+
+116
+00:10:04,760 --> 00:10:10,760
+بيصير عندهم type 2 of diabetes mellitus الـ
+
+117
+00:10:10,760 --> 00:10:13,840
+gestational diabetes is fully treatable but
+
+118
+00:10:13,840 --> 00:10:17,560
+require careful medical supervision throughout the
+
+119
+00:10:17,560 --> 00:10:22,360
+pregnancyبينعطوا عدوية نعم management may include
+
+120
+00:10:22,360 --> 00:10:25,640
+dietary changes blood glucose monitoring and in
+
+121
+00:10:25,640 --> 00:10:29,940
+some cases insulin may be required ممكن نعطي
+
+122
+00:10:29,940 --> 00:10:36,100
+insulin طيب
+
+123
+00:10:36,100 --> 00:10:39,660
+وفرض معالج نهوش كتير ناس ممكن ست مراحتش طول فترة
+
+124
+00:10:39,660 --> 00:10:43,460
+الحمل مراحتش على الدكتور ولا فحصة سكر ولا فحصة ضغط
+
+125
+00:10:43,460 --> 00:10:49,490
+و عندها سكري untreated gestationalالذي يسمى الـ
+
+126
+00:10:49,490 --> 00:10:55,230
+Diabetes Mellitus يمكن أن يدمر صحة الفتاة أو الأم
+
+127
+00:11:01,450 --> 00:11:06,290
+عند الولادة أو قبل الولادة بشويه أو وفيات الأجنة
+
+128
+00:11:06,290 --> 00:11:11,730
+سواء قبل الولادة أو أثناء الولادة وطبعا مرتبط جزء
+
+129
+00:11:11,730 --> 00:11:14,850
+منه كبير بمشاكل الأم العادية اللي هي زي الـ
+
+130
+00:11:14,850 --> 00:11:18,490
+hypertension و الـ diabetes هاي لو انحلت جزء كبير
+
+131
+00:11:18,490 --> 00:11:25,770
+من المشاكل بنحله عشان هيك الآن حتى اللي هي نسبة
+
+132
+00:11:25,770 --> 00:11:29,870
+وفاة الأمهات عند الولادة قلت عن زمان كتير كتير
+
+133
+00:11:34,220 --> 00:11:38,680
+ولاقوا انه الـ Gestational Diabetes Miletus
+
+134
+00:11:38,680 --> 00:11:42,400
+associated with increased risk of caesarean
+
+135
+00:11:42,400 --> 00:11:46,400
+delivery, perinatal death and neonatal
+
+136
+00:11:46,400 --> 00:11:51,890
+complicationsبالنسبة للطفل بيطلع طفل كبير
+
+137
+00:11:51,890 --> 00:11:56,070
+مكروسوميا high birth weight يعني فوق الخمسة كيلو
+
+138
+00:11:56,070 --> 00:11:59,550
+تصوروا .. شوفوا الصورة انتوا الصورة اللي فوق ال ..
+
+139
+00:11:59,550 --> 00:12:02,490
+ال .. ال .. الوليد الجديد و الوليد ال .. ال ..
+
+140
+00:12:02,490 --> 00:12:08,810
+الوليد الطبيعي و الوليد اللي أمه سكري يعني جدبه
+
+141
+00:12:08,810 --> 00:12:13,850
+عمليا جان بعض هذا بيبقى تلاتة كيلو معدل وهذا فوق
+
+142
+00:12:13,850 --> 00:12:17,800
+الخمسة كيلوممكن ترتبط الـ Gestational Diabetes
+
+143
+00:12:17,800 --> 00:12:21,520
+Untreated With Congenital Cardiac Diseases عند
+
+144
+00:12:21,520 --> 00:12:25,040
+الطفل، CNS Anomalies كمان، Skeletal Muscle
+
+145
+00:12:25,040 --> 00:12:28,440
+Malformation يبقى القضية مش قضية إن والله دم الأم
+
+146
+00:12:28,440 --> 00:12:33,660
+و هي حامل حلو و بس، لأ، إنما لما يكون عندها سكري،
+
+147
+00:12:33,660 --> 00:12:39,180
+هذا له مضار على الطفل Treated أو Untreated،
+
+148
+00:12:39,180 --> 00:12:42,260
+Untreated هيك هيكولكن حتى لو كنا نتعامل معها، ممكن
+
+149
+00:12:42,260 --> 00:12:46,360
+تجينا بعض المشاكل أهم، كما قلنا، ما يحصل عندنا هو
+
+150
+00:12:46,360 --> 00:12:51,660
+الـMacrosomia «ماكروسوميا» يعني كبر في حجم الجسم
+
+151
+00:12:51,660 --> 00:12:56,720
+بنجي الآن بعد التلت أنواع اللي ذكرناهم، النوع
+
+152
+00:12:56,720 --> 00:12:58,700
+الأول والنوع التاني والـGestational
+
+153
+00:13:01,420 --> 00:13:07,160
+بندخل ع حاجة اسمها secondary diabetes نتيجة أنه
+
+154
+00:13:07,160 --> 00:13:10,340
+أنا مش هو ال primary المشكلة مش هو المشكلة المشكلة
+
+155
+00:13:10,340 --> 00:13:16,000
+نتيجة برض آخر from another medical condition or
+
+156
+00:13:16,000 --> 00:13:18,800
+due to the treatment of a medical condition that
+
+157
+00:13:18,800 --> 00:13:22,880
+causes abnormal blood glucose مثلًا كاشنغ سندروم
+
+158
+00:13:22,880 --> 00:13:26,540
+كاشنغ سندروم فاكرين أين شوفناها؟
+
+159
+00:13:30,580 --> 00:13:36,500
+هيبرتنجين وقلنا هو عبارة عن إزالة بنسبة من الهيدرو
+
+160
+00:13:36,500 --> 00:13:39,940
+كورتازون أو كورتازون، هذا لو كان سكندري، لو كان
+
+161
+00:13:39,940 --> 00:13:46,160
+براي ماري، كاشينك سندروم، hyperthyroidism،
+
+162
+00:13:46,160 --> 00:13:50,180
+parental nutrition، أيش يعني parental nutrition؟
+
+163
+00:13:51,460 --> 00:13:54,520
+فالانترال معناته تخزيه وردية في تخزيه عن طريق
+
+164
+00:13:54,520 --> 00:13:58,080
+المعدة وفي تخزيه وردية هذه كلها ممكن تعمل ليه؟
+
+165
+00:13:58,080 --> 00:14:06,240
+تعمل ليه secondary diabetes يظل في أن أنواع واحد
+
+166
+00:14:06,240 --> 00:14:10,680
+منهم اسمه LADA أو latent أو تقنون diabetes of
+
+167
+00:14:10,680 --> 00:14:16,840
+adults من الإسم بيصير للـ adult لكن هو adult لكن
+
+168
+00:14:16,840 --> 00:14:22,310
+هو بشبه type 1أخدين بالكم عشان هيك احنا لما حكينا
+
+169
+00:14:22,310 --> 00:14:27,370
+وقلنا type 1 مش بس بصيب الأطفال أو الأصغار أو الـ
+
+170
+00:14:27,370 --> 00:14:30,570
+juvenile انما بصيب الأكبار كمان خدوا بالكم من
+
+171
+00:14:30,570 --> 00:14:35,530
+الجملة هذه is a condition in which type 1 diabetes
+
+172
+00:14:35,530 --> 00:14:40,570
+mellitus develops in adult adults with LADA اسمها
+
+173
+00:14:40,570 --> 00:14:45,700
+LADA latent autoimmune diabetes of adultsالذين
+
+174
+00:14:45,700 --> 00:14:52,860
+يكونوا مستيقظين بشكل عام بشكل عام بشكل عام بشكل
+
+175
+00:14:52,860 --> 00:14:54,040
+عام بشكل عام بشكل عام بشكل عام بشكل عام بشكل عام
+
+176
+00:14:54,040 --> 00:14:54,100
+بشكل عام بشكل عام بشكل عام بشكل عام بشكل عام بشكل
+
+177
+00:14:54,100 --> 00:14:54,380
+عام بشكل عام بشكل عام بشكل عام بشكل عام بشكل عام
+
+178
+00:14:54,380 --> 00:14:57,320
+بشكل عام بشكل عام بشكل عام بشكل عام بشكل عام بشكل
+
+179
+00:14:57,320 --> 00:14:57,860
+عام بشكل عام بشكل عام بشكل عام بشكل عام بشكل عام
+
+180
+00:14:57,860 --> 00:15:02,440
+بشكل عام بشكل عام بشكل عام بشكل عام بشكل عام بشكل
+
+181
+00:15:02,440 --> 00:15:10,780
+عام بشكل عام بشكل عام بشكل عام بشكل عام بشكل عام
+
+182
+00:15:10,780 --> 00:15:14,300
+بش
+
+183
+00:15:14,670 --> 00:15:22,190
+تاني كمان may lead to diabetes وهذا تابع أكتر منه
+
+184
+00:15:22,190 --> 00:15:27,030
+لـ secondary الـ slide اللي جابله الجملة هاي may
+
+185
+00:15:27,030 --> 00:15:30,270
+lead to diabetes for example chronic pancreatitis
+
+186
+00:15:30,270 --> 00:15:34,290
+أو cystic fibrosis الجملة هاي يا جماعة مش تابعة لل
+
+187
+00:15:34,290 --> 00:15:38,670
+slide هذا تابعة لل slide تبع اللي هو secondary
+
+188
+00:15:38,670 --> 00:15:43,270
+diabetes المفروض إنها تحت حد أضبطها ويشبه ماشي ان
+
+189
+00:15:43,270 --> 00:15:48,460
+شاء اللهفي عندنا كمان اسمه مودي شايفين احنا كمان
+
+190
+00:15:48,460 --> 00:15:52,020
+حتى الـ Diabetes بندلعه بنقوله مودي مودي ولادة
+
+191
+00:15:52,020 --> 00:15:57,900
+يعني maturity onset diabetes of the young يعني هو
+
+192
+00:15:57,900 --> 00:16:03,620
+بيصير عند ال young لكن هو type 2 عكس ولادة الآن
+
+193
+00:16:04,170 --> 00:16:09,870
+مودي هو شكل غير معين للديابتس وهو مختلف عن كلاهما
+
+194
+00:16:09,870 --> 00:16:14,350
+الـType 1 وType 2 الديابتس والتي تعمل بشكل قوي في
+
+195
+00:16:14,350 --> 00:16:14,910
+العائلات
+
+196
+00:16:18,800 --> 00:16:20,860
+وهو عبارة عن الـ «تغيير في الجين» ‏caused by
+
+197
+00:16:20,860 --> 00:16:26,920
+mutation ‏إذا واحد من الأبوين ‏had this gene
+
+198
+00:16:26,920 --> 00:16:31,860
+mutation ‏any child they have ‏has خمسين في المئة
+
+199
+00:16:31,860 --> 00:16:36,160
+chance ‏of inheriting it from them ‏يعني هيورثه لو
+
+200
+00:16:36,160 --> 00:16:40,040
+واحد من الأبوين عنده الجين هذا ‏هيورثه لخمسين في
+
+201
+00:16:40,040 --> 00:16:42,660
+المية ‏من ولاده وبناته اللي بيجوا بعده
+
+202
+00:16:47,720 --> 00:16:52,660
+إذا الطفل لم يتم تطبيق التطبيقات ولم يتم تطبيق
+
+203
+00:16:52,660 --> 00:16:54,720
+التطبيقات ولم يتم تطبيق التطبيقات ولم يتم تطبيق
+
+204
+00:16:54,720 --> 00:16:56,860
+التطبيقات ولم يتم تطبيق التطبيقات ولم يتم تطبيق
+
+205
+00:16:56,860 --> 00:16:59,940
+التطبيقات ولم يتم تطبيق التطبيقات ولم يتم تطبيق
+
+206
+00:16:59,940 --> 00:17:00,280
+التطبيقات ولم يتم تطبيق التطبيقات ولم يتم تطبيق
+
+207
+00:17:00,280 --> 00:17:00,320
+التطبيقات ولم يتم تطبيق التطبيقات ولم يتم تطبيق
+
+208
+00:17:00,320 --> 00:17:02,600
+التطبيقات ولم يتم تطبيق التطبيقات ولم يتم تطبيق
+
+209
+00:17:02,600 --> 00:17:07,060
+التطبيقاتوهو بيشبه زي ما قلنا الـ Diabetes أطول
+
+210
+00:17:07,060 --> 00:17:13,640
+يبقى احنا الحكينا عن الـ Type 1 و Type 2 حكينا عن
+
+211
+00:17:13,640 --> 00:17:19,320
+الـ Secondary Gestational Diabetes حكينا عن الـ
+
+212
+00:17:19,320 --> 00:17:22,080
+Secondary Diabetes وقلنا الـ Cushing و الـ
+
+213
+00:17:22,080 --> 00:17:25,300
+Hypothyroidism و الـ Parental Nutrition و الجملة
+
+214
+00:17:25,300 --> 00:17:28,020
+الأخيرة اللي قلناها هان اللي هي Due to
+
+215
+00:17:28,020 --> 00:17:31,680
+pancreatitis and cystic fibrosis عسمين مثلا وفي
+
+216
+00:17:31,680 --> 00:17:37,010
+عندناالـ Lada وفي عندنا الـ Modi أنا بحكي عن كام
+
+217
+00:17:37,010 --> 00:17:48,850
+كبير من الأنواع ومن الأنواع الـ Diabetes كيف
+
+218
+00:17:48,850 --> 00:17:53,310
+بشخص أنا الـ Diabetes طيب؟ هل أنا من شوية symptoms
+
+219
+00:17:53,310 --> 00:17:57,560
+بروح الحمام كتير؟وبيجيب بول كتير، بقول عنه
+
+220
+00:17:57,560 --> 00:18:01,360
+diabetes؟ لأ، يعني هو حتى الناس اللي بتروح الحمام
+
+221
+00:18:01,360 --> 00:18:04,340
+كتير، بتتبول كتير، ممكن يكون التهابات في البول،
+
+222
+00:18:04,340 --> 00:18:08,360
+ممكن يكون diabetes insipidus، ممكن يكون شارب كتير،
+
+223
+00:18:08,360 --> 00:18:15,480
+لأ، لأ، لازم أفحص، لازم أفحص، كيف الفحص بيصير؟
+
+224
+00:18:15,480 --> 00:18:21,570
+fasting plasma glucose level يكونأكتر من سبعة ملي
+
+225
+00:18:21,570 --> 00:18:26,710
+مول طبعا قلنا احنا عشان احول ملي مول في الليتر
+
+226
+00:18:26,710 --> 00:18:30,950
+لملي جرام بالديتسليتر اضربه في .. انا قلت لك قبلك
+
+227
+00:18:30,950 --> 00:18:38,930
+17 لأ هي 18 اضربها في 18 هلاجي انه ال fasting ايش
+
+228
+00:18:38,930 --> 00:18:43,670
+يعني fasting بصحى الصبح بعمل فحص للسكر فحص من الدم
+
+229
+00:18:43,670 --> 00:18:49,600
+للسكر المفروض مايزيدش عنأكتر من 7 مليون لو زاد عن
+
+230
+00:18:49,600 --> 00:18:55,380
+7 مليون مولا لليتر وكنا بنضربها في 18 ميناته إحنا
+
+231
+00:18:55,380 --> 00:18:59,540
+بنحكي عن مبدأيا مبدأيا Diabetes لكن لازم أعيد
+
+232
+00:18:59,540 --> 00:19:04,340
+الفحص مرة و تانية و تالتة في بعض الأحيان ماقدرش هو
+
+233
+00:19:04,340 --> 00:19:07,740
+صايم بروح بعمله Random plasma glucose level كيف
+
+234
+00:19:07,740 --> 00:19:12,540
+يعني Random؟ Random عادي ممكن زي ما قلنا خلال
+
+235
+00:19:12,540 --> 00:19:18,330
+النهار تعالي فحصلك وشوف لو كان أكتر من 110.1 ملي
+
+236
+00:19:18,330 --> 00:19:24,150
+مول بالليتر حوالي 200 ملي جرام بالديسليتر 200 مع
+
+237
+00:19:24,150 --> 00:19:28,750
+symptoms بقول عنه سكري مع symptoms لكن ممكن برضه
+
+238
+00:19:28,750 --> 00:19:32,970
+انا اخده بعد ما ياكل بسعتين اعمله فحص هدول كله
+
+239
+00:19:32,970 --> 00:19:36,970
+بتسمعوه منه من الحجات و الكذا و المستوصفات كان
+
+240
+00:19:36,970 --> 00:19:40,130
+جالك والله عمله السكر و هو صايم او عمله بعد ما أكل
+
+241
+00:19:40,130 --> 00:19:45,700
+بسعتين هيك يعني لكن ممكن برضه زي ما قلنايكون أكتر
+
+242
+00:19:45,700 --> 00:19:49,200
+من الأفكار تبعتنا يبقى fasting plasma glucose و
+
+243
+00:19:49,200 --> 00:19:52,220
+random plasma glucose وفيه impaired glucose
+
+244
+00:19:52,220 --> 00:19:56,220
+tolerance test patient if challenged with glucose
+
+245
+00:19:56,220 --> 00:19:59,720
+load patient should be able to maintain blood
+
+246
+00:19:59,720 --> 00:20:05,020
+normal blood sugar diabetes لو كان السكر عنده أكتر
+
+247
+00:20:05,020 --> 00:20:08,920
+من برضه 200 بعد الأكل بسعتين أو بعد شرب سكر بسعتين
+
+248
+00:20:10,640 --> 00:20:18,640
+لو كان 200 أكتر من 200 بعد ساعتين من الفحص في فحص
+
+249
+00:20:18,640 --> 00:20:22,120
+تاني وهذا يمكن الـ assignment الوحيد اللي حبسه حتى
+
+250
+00:20:22,120 --> 00:20:26,640
+كتبولي عليه خمس أسطور اللي هو hemoglobin A1C test
+
+251
+00:20:26,640 --> 00:20:32,860
+glycosylated hemoglobin بنعمل في المختبر وهذا له
+
+252
+00:20:32,860 --> 00:20:37,960
+أكتر من مظيفة hemoglobin A1C
+
+253
+00:20:40,400 --> 00:20:43,200
+و هتكتبولي عنه خمس تسطر مش هحكي الجمل تاني لبعده
+
+254
+00:20:43,200 --> 00:20:50,300
+انتوا هو بيشخص هو بيعملي control هدول هتكتبولياهم
+
+255
+00:20:50,300 --> 00:20:54,560
+زي ما اتعودنا كتابة و تصوير و تبعتولياهم بعد ما
+
+256
+00:20:54,560 --> 00:21:00,340
+نزلكوا المحاضرة على الموديل و بحددلكوا الوجد بعدها
+
+257
+00:21:00,340 --> 00:21:07,160
+جدش يعني كالعادة يومين تلاتة يعني طيب هو انا الآن
+
+258
+00:21:10,020 --> 00:21:15,160
+أيش اللي بديها من عيان السكري؟ ايش اللي بديها من
+
+259
+00:21:15,160 --> 00:21:22,540
+عيان السكر؟ goals of diabetes management بدي أجلل
+
+260
+00:21:22,540 --> 00:21:28,180
+له ال symptoms ال symptoms اللي حكينا عنها بدي
+
+261
+00:21:28,180 --> 00:21:30,740
+أصير كويس well being
+
+262
+00:21:33,690 --> 00:21:38,770
+بدي أحميه وهذا مهم جدًا جدًا جدًا جدًا بدي أحميه
+
+263
+00:21:38,770 --> 00:21:44,090
+من الـ complications لأن الـ diabetes قلنا في
+
+264
+00:21:44,090 --> 00:21:47,110
+الأول في الأول is a multisystem disease زي الـ
+
+265
+00:21:47,110 --> 00:21:51,430
+hypertension بأثرلي على كل حاجة كمان الـ diabetes
+
+266
+00:21:51,430 --> 00:21:58,290
+بأثرلي على كتير organs على رأسها الـ killer الـ
+
+267
+00:21:58,290 --> 00:22:03,620
+eye ال nerves، هنحكي بسهولةالأمر التالت اللي
+
+268
+00:22:03,620 --> 00:22:07,860
+بدّيها الـ goals delay, onset and progression of
+
+269
+00:22:07,860 --> 00:22:11,380
+long-term complications يعني إن كان و لابد بدا
+
+270
+00:22:11,380 --> 00:22:14,180
+تجيني الـ complications هاي فبدي أعملها delaying
+
+271
+00:22:14,180 --> 00:22:18,020
+جدر ما أقدر كيف بعملها delaying؟ adjustment of
+
+272
+00:22:18,020 --> 00:22:24,000
+blood sugar كيف طب أصلها الحاجات هاي؟ كيف بوصلها؟
+
+273
+00:22:24,000 --> 00:22:28,130
+آه patient teachingيعني زي ما نقول احنا Patient
+
+274
+00:22:28,130 --> 00:22:32,650
+School بفتحله مدرسة، بفتحله صفر، لازم أقعد أعلمه
+
+275
+00:22:32,650 --> 00:22:37,430
+كيف كل كمية أكل ياخدها، كمية السعرات الحرارية، إيش
+
+276
+00:22:37,430 --> 00:22:40,950
+الحاجة المهمة وإيش الحاجات المش مهمة، إيش الحاجات
+
+277
+00:22:40,950 --> 00:22:44,230
+اللي يسمح له ياكلها، إيش الحاجات اللي ممنوع
+
+278
+00:22:44,230 --> 00:22:48,850
+ياكلها، وهلما جرّا، Nutritional Therapy طبعا في
+
+279
+00:22:48,850 --> 00:22:54,010
+إطار التعليمهو يريد علاج غذائي يريد دياتيشيا يكون
+
+280
+00:22:54,010 --> 00:23:00,530
+معاه لحتى يحدد له نوعيات الأكل كميات الأكل كميات
+
+281
+00:23:00,530 --> 00:23:05,410
+السعرات الحرارية اللي بياخدها drug therapy طبعا
+
+282
+00:23:05,410 --> 00:23:10,610
+ممكن يحتاج أدوية سواء oral أو subcutaneous
+
+283
+00:23:10,610 --> 00:23:17,220
+الإنسولين يريد إجراء يريد حركةبدّه أعلمه كمان يهو
+
+284
+00:23:17,220 --> 00:23:21,080
+يدير باله على نفسه لأن مش كل ما ضرب الكوز في الجرب
+
+285
+00:23:21,080 --> 00:23:25,340
+يجيب حصل سكر هو لازم يكون عنده جهاز ويعمل self
+
+286
+00:23:25,340 --> 00:23:28,100
+-monitoring في كتير من المرضى اللي بياخدوا Insulin
+
+287
+00:23:28,100 --> 00:23:32,640
+بالعكس هو بيجيز تلت اربع مرات في النهار لازم يتعلم
+
+288
+00:23:32,640 --> 00:23:40,380
+هو كيف يجيز يبقى treatment of type 2 diabetes
+
+289
+00:23:40,380 --> 00:23:46,510
+diagnosis بتشخصبقى أوجهله أنه بدي therapeutic
+
+290
+00:23:46,510 --> 00:23:52,890
+lifestyle change ما زبطش بدي monotherapy ما زبطش
+
+291
+00:23:52,890 --> 00:23:57,390
+بدي combination therapy ما زبطش بدي combination
+
+292
+00:23:57,390 --> 00:24:03,730
+therapy oral drug مع insulin فكله بالتدريج بيصير
+
+293
+00:24:03,730 --> 00:24:08,930
+احنا بنحكي عن type 2 لأنه type 1 مافيش إمكانية
+
+294
+00:24:08,930 --> 00:24:16,990
+أديله oral therapy لازم أديهسحبكوتينيا انسلين type
+
+295
+00:24:16,990 --> 00:24:22,310
+1 ليش هو ال oral لما بنعطيه بنعطيه عشان يعمل
+
+296
+00:24:22,310 --> 00:24:28,370
+triggering وتحفيز لل beta cells لإفراز انسلين لكن
+
+297
+00:24:28,370 --> 00:24:33,630
+في type 1 أصلا ماعنديش beta cells أصلا كيف أنا بدي
+
+298
+00:24:33,630 --> 00:24:38,570
+أدي حاجة تحفز يعني إش ميت مش هقعد أصحفيه الأن ب
+
+299
+00:24:38,570 --> 00:24:42,550
+oral مش هجيب معايا لازم أديه أنسلين من نهاية الخط
+
+300
+00:24:42,550 --> 00:24:48,340
+يبقىالـ «type 2» هو اللي بنحكي عنه اللي إحنا
+
+301
+00:24:48,340 --> 00:24:53,960
+بنديله «oral therapy» في الأول و بعدين ممكن نعمل
+
+302
+00:24:53,960 --> 00:24:57,880
+«combination» أو ممكن ندي إنسولين لوحده طبعا إحنا
+
+303
+00:24:57,880 --> 00:25:04,500
+الإنسولين زي ما كتير عارفين إنه الـ «exogenous
+
+304
+00:25:04,500 --> 00:25:07,740
+insulin» اللي هو الخارجي الإنسولين كل مرضى الـ
+
+305
+00:25:07,740 --> 00:25:13,160
+«type 1» بدهم إنسولين نقطة جملة «all patients»
+
+306
+00:25:17,010 --> 00:25:20,510
+ولكن بالنسبة لـ Type 2 بس للناس اللي مش عارفين
+
+307
+00:25:20,510 --> 00:25:26,590
+نظبط السكر تبعهم Type 2 أو بسبب الأسباب بياخدش
+
+308
+00:25:26,590 --> 00:25:32,650
+Orally وعادة بيعطوه لنفسهم بـ Subcutaneous
+
+309
+00:25:32,650 --> 00:25:39,270
+Injection SQ يعني Subcutaneous يعني تحت الجلد طبعا
+
+310
+00:25:39,270 --> 00:25:43,630
+احنا اللي بنستخدم إنسولين فيه منه أكتر من نوع لكن
+
+311
+00:25:43,630 --> 00:25:48,440
+اللي بنستخدمه الـ Human Insulinهو الـ Most Used
+
+312
+00:25:48,440 --> 00:25:52,500
+Type Of Insulin Cost Effective لكن طبعاً في عنده
+
+313
+00:25:52,500 --> 00:25:56,200
+مشكلة أنه ممكن يعمل Allergy بعض الأحيان وين ال
+
+314
+00:25:56,200 --> 00:25:59,280
+injection site؟ أه زي ما انتوا شايفين في الصور
+
+315
+00:25:59,280 --> 00:26:06,080
+عندنا بني آدم بظهره و بني آدم بوجهه من الظهر بنده
+
+316
+00:26:06,080 --> 00:26:11,570
+في الإتين من ورا وفي الـ gluteal area من وراومن
+
+317
+00:26:11,570 --> 00:26:15,030
+الأمام بدي في منطقة ما حول الصرة شايفين المربعات
+
+318
+00:26:15,030 --> 00:26:18,950
+ما أوسعها بحاول دايما أختار مناطق مختلفة مش دايما
+
+319
+00:26:18,950 --> 00:26:26,350
+نفس الزاوية وفي الفخدين من جدام على الجهتين هذه هي
+
+320
+00:26:26,350 --> 00:26:29,950
+المناطق يفضل دايما يعمل فيها الواحة زي نوع من
+
+321
+00:26:29,950 --> 00:26:35,250
+أنواع الدائرة يعني كل فترة بنتجل على منطقة كل فترة
+
+322
+00:26:35,250 --> 00:26:38,290
+بنتجل على منطقة لكن هي هذه المناطق المسموحة اللي
+
+323
+00:26:38,290 --> 00:26:39,930
+قد فيها injections
+
+324
+00:26:42,230 --> 00:26:45,190
+طبعاً أنا مش هحكي كتير عن الـ Insulin Preparations
+
+325
+00:26:45,190 --> 00:26:49,250
+لأنها حقيقة هي خارج إطار أنه لازم نعرف عنها حاجات
+
+326
+00:26:49,250 --> 00:26:53,070
+كتير، الـ Drug بيظل في الآخر، لكن الـ Insulin
+
+327
+00:26:53,070 --> 00:26:56,790
+بيختلف كله عن بعض، الـ Insulin differ in regards
+
+328
+00:26:56,790 --> 00:27:02,780
+of onset, peak of action, durationحسب طويل الأمد
+
+329
+00:27:02,780 --> 00:27:07,360
+أو متوسط الأمد أو قصير الأمد بيعملوا تكاثرة السكر
+
+330
+00:27:07,360 --> 00:27:12,120
+دايما combination من الـ Insulin Preparations وزي
+
+331
+00:27:12,120 --> 00:27:14,940
+ما قلنا لك نعطيه عن طريق الـ Subcutaneous وفي طبعا
+
+332
+00:27:14,940 --> 00:27:20,480
+طرق تانية اللي هو Insulin Pin Injectionبتحدد
+
+333
+00:27:20,480 --> 00:27:24,360
+الكمية على الـ pen على زي الجلم هيك وده بتغز
+
+334
+00:27:24,360 --> 00:27:30,580
+الإبرة بتبقى فيها الانسولين أو في الأهن اللي هو ال
+
+335
+00:27:30,580 --> 00:27:34,840
+insulin pump وهدي بيبقى فيها continuous basal
+
+336
+00:27:34,840 --> 00:27:40,310
+infusion at mealtimeمن طبعًا Programmed برنامج
+
+337
+00:27:40,310 --> 00:27:47,310
+عشان يدّي Policies of Infusion أو Of إنسولين حسب
+
+338
+00:27:47,310 --> 00:27:51,370
+كمية الـ Carbohydrate اللي بيأكلها الطفل أو
+
+339
+00:27:51,370 --> 00:27:58,930
+الإنسان، المريض الإنسولين حقيقة إيه مشاكله؟ من أهم
+
+340
+00:27:58,930 --> 00:28:03,730
+مشاكل الإنسولين ويعني أنا بدي أحكي ممكن الـ Slide،
+
+341
+00:28:03,730 --> 00:28:09,490
+الـ Slideين وبعد هيكإن نكمل المرة اللي جاي من
+
+342
+00:28:09,490 --> 00:28:15,690
+مشاكله الإنسولين أنه ممكن يدخلي البني آدم في
+
+343
+00:28:15,690 --> 00:28:22,270
+hypoglycemia ينزلني سكره أجل من ستين أو أجل من
+
+344
+00:28:22,270 --> 00:28:26,530
+سبعين، ليش؟ لأنه أدينا إنسولين بزيادة أو أنه
+
+345
+00:28:26,530 --> 00:28:30,350
+ماأكلش الواحد، يعني أخد إنسولين وماأكلش ممكن
+
+346
+00:28:30,350 --> 00:28:33,150
+الإنسولين أيش يعمل ليه كمان غير الـ hypoglycemia؟
+
+347
+00:28:33,150 --> 00:28:36,380
+هاي ال problems بتاعته، allergic reactionممكن
+
+348
+00:28:36,380 --> 00:28:38,960
+يعملني حاجة اسمها «Local Inflammatory Reaction»
+
+349
+00:28:38,960 --> 00:28:42,180
+الاتهابات في المنطقة اللي أنا بغز فيها وممكن
+
+350
+00:28:42,180 --> 00:28:44,680
+يعملني حاجة زي ما انتوا شايفين في الصورة
+
+351
+00:28:44,680 --> 00:28:49,550
+«Lipodystrophy»العيبودستروفية عبارة عن عبارة عن
+
+352
+00:28:49,550 --> 00:28:50,030
+عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة
+
+353
+00:28:50,030 --> 00:28:51,650
+عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن
+
+354
+00:28:51,650 --> 00:28:54,950
+عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة
+
+355
+00:28:54,950 --> 00:28:56,610
+عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن
+
+356
+00:28:56,610 --> 00:28:57,450
+عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة
+
+357
+00:28:57,450 --> 00:28:58,050
+عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن
+
+358
+00:28:58,050 --> 00:29:05,850
+عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة
+
+359
+00:29:05,850 --> 00:29:12,230
+عن عبارة عن عبارة
+
+360
+00:29:12,230 --> 00:29:23,280
+عنلأن أجل نتيجة استخدام الإنسولينات اللي هي تبعها
+
+361
+00:29:23,280 --> 00:29:27,400
+الإنسان فبدت تجل المشاكل
+
+362
+00:29:31,870 --> 00:29:36,250
+بصورة عامة اللي هو بعض الأمور عن الـ
+
+363
+00:29:36,250 --> 00:29:40,390
+classification of diabetes، حكينا أنواعها، وبعد
+
+364
+00:29:40,390 --> 00:29:44,290
+هيك how to deal with it، ال goals of treatment،
+
+365
+00:29:44,290 --> 00:29:47,650
+ليش أنا بعالج، والآن حكينا عن ال problems with
+
+366
+00:29:47,650 --> 00:29:52,420
+insulin therapy، hypoglycemiaأو الـ Allergic
+
+367
+00:29:52,420 --> 00:29:56,060
+Reaction أو الـ Local Inflammatory Reaction أو
+
+368
+00:29:56,060 --> 00:30:00,240
+الليبو ديستروفي اللي قلنا عنها هي الـ hypertrophy
+
+369
+00:30:00,240 --> 00:30:03,960
+أو atrophy of subcutaneous tissue نتيجة اللي هو
+
+370
+00:30:03,960 --> 00:30:08,080
+frequent use of the same injection site في البطن
+
+371
+00:30:08,080 --> 00:30:10,940
+أو في أي مكان تاني إن شاء الله المحاضرة اللي جاي
+
+372
+00:30:10,940 --> 00:30:20,670
+بنكملبقيت ال part 3 من ال diabetes و .. يعني اتمنى
+
+373
+00:30:20,670 --> 00:30:25,650
+لكوا وقت سعيد و ربنا يكرمكم ان شاء الله تعالى
+
+374
+00:30:25,650 --> 00:30:26,330
+السلام عليكم
+
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/JILdV7Ktl10_raw.json b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/JILdV7Ktl10_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..8369bb7f831dc4ce809e1bcf2aa7e8366d569a05
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/JILdV7Ktl10_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 2821, "start": 4.71, "end": 28.21, "text": "بسم الله الرحمن الرحيم و الحمد لله على العالمين و الصلاة والسلام علي سيدنا محمد وسيد المرسلين الجمعين يعني الأن ان شاء الله تعالى هحاول في ال .. في النص الساعة اللي جاية ان شاء الله تعالى أتحدث عن أنواع الـ Diabetes كنا بدأنا احنا في الجزء الأول من الـ Diabetes Militas وكنا حكينا", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 4032, 21542, 2304, 3215, 24976, 3224, 15844, 18863, 45340, 9957, 4032, 31767, 15040, 3660, 16070, 3794, 37440, 25894, 8608, 25708, 8315, 3714, 35571, 3215, 46952, 25708, 9673, 2288, 3794, 1211, 9957, 25724, 2304, 3615, 9957, 37495, 22653, 16247, 1863, 16472, 13412, 16606, 21984, 37279, 6027, 7578, 8032, 5016, 995, 12610, 8978, 2423, 4386, 8978, 28239, 9381, 21136, 995, 27884, 13672, 1829, 10874, 995, 10632, 16472, 13412, 16606, 21984, 37279, 6027, 7578, 5551, 2655, 24401, 12984, 18871, 14739, 14407, 3615, 2423, 39184, 8789, 12632, 9122, 8315, 47525, 10721, 8315, 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1829, 3555, 2407, 11778, 1829, 14851, 32887, 41185, 13672, 1829, 12174, 1211, 8315, 18871, 11296, 39896, 2423, 39184, 37488, 40826, 34051, 412, 40826, 295, 1422, 6672, 15447, 12404, 8717, 31371, 7435, 3660, 13672, 1829, 31439, 18004, 764, 295, 264, 912, 22873, 3621, 8978, 29739, 9566, 1863, 34051, 8978, 36632, 3714, 41361, 6055, 7649, 1829, 36145, 13412, 16606, 21984, 9673, 5016, 46958, 25720, 13672, 1829, 10874, 47302, 44945, 24793, 1211], "avg_logprob": -0.30116759486250827, "compression_ratio": 1.5811965811965811, "no_speech_prob": 3.6954879760742188e-06, "words": [{"start": 1791.68, "end": 1792.08, "word": "أو", "probability": 0.323577880859375}, {"start": 1792.08, "end": 1792.08, "word": " الـ", "probability": 0.5601806640625}, {"start": 1792.08, "end": 1792.42, "word": " Allergic", "probability": 0.7135416666666666}, {"start": 1792.42, "end": 1792.96, "word": " Reaction", "probability": 0.64990234375}, {"start": 1792.96, "end": 1793.44, "word": " أو", "probability": 0.44775390625}, {"start": 1793.44, "end": 1793.44, "word": " الـ", "probability": 0.793212890625}, {"start": 1793.44, "end": 1793.68, "word": " Local", "probability": 0.6357421875}, {"start": 1793.68, "end": 1794.5, "word": " Inflammatory", "probability": 0.8616943359375}, {"start": 1794.5, "end": 1795.4, "word": " Reaction", "probability": 0.9248046875}, {"start": 1795.4, "end": 1796.06, "word": " أو", "probability": 0.62158203125}, {"start": 1796.06, "end": 1796.68, "word": " الليبو", "probability": 0.6060791015625}, {"start": 1796.68, "end": 1798.52, "word": " ديستروفي", "probability": 0.677490234375}, {"start": 1798.52, "end": 1798.86, "word": " اللي", "probability": 0.6688232421875}, {"start": 1798.86, "end": 1799.06, "word": " قلنا", "probability": 0.7970377604166666}, {"start": 1799.06, "end": 1799.3, "word": " عنها", "probability": 0.96044921875}, {"start": 1799.3, "end": 1799.5, "word": " هي", "probability": 0.86669921875}, {"start": 1799.5, "end": 1799.7, "word": " الـ", "probability": 0.895751953125}, {"start": 1799.7, "end": 1800.24, "word": " hypertrophy", "probability": 0.51776123046875}, {"start": 1800.24, "end": 1800.6, "word": " أو", "probability": 0.9365234375}, {"start": 1800.6, "end": 1801.1, "word": " atrophy", "probability": 0.71435546875}, {"start": 1801.1, "end": 1801.26, "word": " of", "probability": 0.82373046875}, {"start": 1801.26, "end": 1801.96, "word": " subcutaneous", "probability": 0.93212890625}, {"start": 1801.96, "end": 1802.5, "word": " tissue", "probability": 0.85107421875}, {"start": 1802.5, "end": 1803.2, "word": " نتيجة", "probability": 0.8936767578125}, {"start": 1803.2, "end": 1803.74, "word": " اللي", "probability": 0.6593017578125}, {"start": 1803.74, "end": 1803.96, "word": " هو", "probability": 0.96533203125}, {"start": 1803.96, "end": 1804.34, "word": " frequent", "probability": 0.78173828125}, {"start": 1804.34, "end": 1804.8, "word": " use", "probability": 0.8564453125}, {"start": 1804.8, "end": 1804.98, "word": " of", "probability": 0.93505859375}, {"start": 1804.98, "end": 1805.1, "word": " the", "probability": 0.8544921875}, {"start": 1805.1, "end": 1805.44, "word": " same", "probability": 0.8603515625}, {"start": 1805.44, "end": 1805.92, "word": " injection", "probability": 0.935546875}, {"start": 1805.92, "end": 1806.52, "word": " site", "probability": 0.853515625}, {"start": 1806.52, "end": 1807.42, "word": " في", "probability": 0.83251953125}, {"start": 1807.42, "end": 1808.08, "word": " البطن", "probability": 0.9879557291666666}, {"start": 1808.08, "end": 1808.2, "word": " أو", "probability": 0.953125}, {"start": 1808.2, "end": 1808.34, "word": " في", "probability": 0.955078125}, {"start": 1808.34, "end": 1808.46, "word": " أي", "probability": 0.8828125}, {"start": 1808.46, "end": 1808.76, "word": " مكان", "probability": 0.9921875}, {"start": 1808.76, "end": 1809.44, "word": " تاني", "probability": 0.806640625}, {"start": 1809.44, "end": 1809.76, "word": " إن", "probability": 0.3583984375}, {"start": 1809.76, "end": 1809.94, "word": " شاء", "probability": 0.9609375}, {"start": 1809.94, "end": 1810.06, "word": " الله", "probability": 0.95703125}, {"start": 1810.06, "end": 1810.58, "word": " المحاضرة", "probability": 0.9622802734375}, {"start": 1810.58, "end": 1810.72, "word": " اللي", "probability": 0.6346435546875}, {"start": 1810.72, "end": 1810.94, "word": " جاي", "probability": 0.88525390625}, {"start": 1810.94, "end": 1811.64, "word": " بنكمل", "probability": 0.88623046875}], "temperature": 1.0}, {"id": 75, "seek": 182633, "start": 1813.93, "end": 1826.33, "text": "بقيت ال part 3 من ال diabetes و .. يعني اتمنى لكوا وقت سعيد و ربنا يكرمكم ان شاء الله تعالى السلام عليكم", "tokens": [3555, 4587, 36081, 2423, 644, 805, 9154, 2423, 13881, 4032, 4386, 37495, 22653, 1975, 2655, 27842, 7578, 5296, 4117, 14407, 4032, 38149, 8608, 3615, 25708, 4032, 12602, 3555, 8315, 7251, 37983, 2304, 24793, 16472, 13412, 16606, 21984, 37279, 6027, 7578, 21136, 37440, 25894, 24793], "avg_logprob": -0.28090278307596844, "compression_ratio": 1.2954545454545454, "no_speech_prob": 5.364418029785156e-07, "words": [{"start": 1813.93, "end": 1814.35, "word": "بقيت", "probability": 0.4969889322916667}, {"start": 1814.35, "end": 1814.69, "word": " ال", "probability": 0.72265625}, {"start": 1814.69, "end": 1815.09, "word": " part", "probability": 0.87646484375}, {"start": 1815.09, "end": 1815.75, "word": " 3", "probability": 0.60498046875}, {"start": 1815.75, "end": 1816.11, "word": " من", "probability": 0.9404296875}, {"start": 1816.11, "end": 1816.23, "word": " ال", "probability": 0.95263671875}, {"start": 1816.23, "end": 1816.75, "word": " diabetes", "probability": 0.57666015625}, {"start": 1816.75, "end": 1817.87, "word": " و", "probability": 0.457763671875}, {"start": 1817.87, "end": 1818.13, "word": " ..", "probability": 0.328857421875}, {"start": 1818.13, "end": 1819.77, "word": " يعني", "probability": 0.9267578125}, {"start": 1819.77, "end": 1820.67, "word": " اتمنى", "probability": 0.80023193359375}, {"start": 1820.67, "end": 1821.15, "word": " لكوا", "probability": 0.6797688802083334}, {"start": 1821.15, "end": 1821.55, "word": " وقت", "probability": 0.973876953125}, {"start": 1821.55, "end": 1822.05, "word": " سعيد", "probability": 0.9943033854166666}, {"start": 1822.05, "end": 1823.07, "word": " و", "probability": 0.9169921875}, {"start": 1823.07, "end": 1823.83, "word": " ربنا", "probability": 0.94873046875}, {"start": 1823.83, "end": 1824.87, "word": " يكرمكم", "probability": 0.887451171875}, {"start": 1824.87, "end": 1825.01, "word": " ان", "probability": 0.54345703125}, {"start": 1825.01, "end": 1825.13, "word": " شاء", "probability": 0.884521484375}, {"start": 1825.13, "end": 1825.23, "word": " الله", "probability": 0.921875}, {"start": 1825.23, "end": 1825.65, "word": " تعالى", "probability": 0.9469401041666666}, {"start": 1825.65, "end": 1826.03, "word": " السلام", "probability": 0.7010498046875}, {"start": 1826.03, "end": 1826.33, "word": " عليكم", "probability": 0.924072265625}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 1830.1271875, "duration_after_vad": 1756.946874999996}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/KitY0z_MKw8.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/KitY0z_MKw8.srt
new file mode 100644
index 0000000000000000000000000000000000000000..da5bb7a87a3233f26547dae73596486d7a0a2547
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/KitY0z_MKw8.srt
@@ -0,0 +1,1539 @@
+1
+00:00:04,150 --> 00:00:07,790
+طيب بسم الله الرحمن الرحيم اليوم يا جماعة بنكمل
+
+2
+00:00:07,790 --> 00:00:12,990
+محاضرة الـ diabetes mellitus اللي هي نوعا ما طويلة 
+
+3
+00:00:12,990 --> 00:00:19,270
+صبح عليكم شر الله تعالى و كنا تحدثنا طبعا عن حاجات
+
+4
+00:00:19,270 --> 00:00:23,870
+كتير عن الـ diabetes mellitus type 1 
+
+5
+00:00:23,870 --> 00:00:28,230
+gestational diabetes و secondary diabetes و الـ
+
+6
+00:00:28,230 --> 00:00:33,670
+LADA و الـ MODY كل هذه الحاجات تحدثنا عنها وبدأنا
+
+7
+00:00:33,670 --> 00:00:37,990
+نحكي عن treatment أو management of diabetes
+
+8
+00:00:37,990 --> 00:00:43,400
+mellitus ووصلنا في لحظة من اللحظات اللي هي الـ
+
+9
+00:00:43,400 --> 00:00:49,700
+subcutaneous treatment اللي هو الإنسولين، فاكرين؟
+
+10
+00:00:49,700 --> 00:00:53,840
+وكنا في المرة اللي فاتت حكينا بدنا على الـ WhatsApp
+
+11
+00:00:53,840 --> 00:00:59,380
+للناس اللي لسه ما عملتش تبعتلي، 
+
+12
+00:00:59,380 --> 00:01:03,740
+مديش أقول تفصيل، لكن سطرين، ثلاثة عن بعض الحاجات،
+
+13
+00:01:03,740 --> 00:01:08,790
+بس بذكركم فيهم، الناس اللي معاملة الـ share rate على
+
+14
+00:01:08,790 --> 00:01:12,830
+الـ whatsapp مش على الـ model تحدثنا عن الـ insulin
+
+15
+00:01:12,830 --> 00:01:18,770
+أو طرق إعطاء الـ insulin وقولنا إن الـ insulin احنا
+
+16
+00:01:18,770 --> 00:01:25,370
+عادة بنعطي للسكري S1 كل سكري S1 بياخد type 1
+
+17
+00:01:25,760 --> 00:01:30,040
+بياخد انسولين الـ diabetes 2 نبدأ معاه بـ
+
+18
+00:01:30,040 --> 00:01:33,760
+lifestyle modification
+
+19
+00:01:33,760 --> 00:01:43,170
+ممكن بعد هيك نديله oral antidiabetic وإذا ما ضبطش
+
+20
+00:01:43,170 --> 00:01:47,530
+ندّي combination انسولين مع oral antidiabetic
+
+21
+00:01:47,530 --> 00:01:53,650
+treatment طبعا مع exercise بالنسبة
+
+22
+00:01:53,650 --> 00:02:00,630
+للـ ... وقولنا طبعا من مشاكل الإنسولين هيبوغليسيميا
+
+23
+00:02:00,630 --> 00:02:09,530
+الهيبوغليسيميا
+
+24
+00:02:09,530 --> 00:02:12,050
+الهيبوغليسيميا الهيبوغليسيميا الهيبوغليسيميا
+
+25
+00:02:12,050 --> 00:02:12,730
+الهيبوغليسيميا الهيبوغليسيميا الهيبوغليسيميا
+
+26
+00:02:12,730 --> 00:02:12,930
+الهيبوغليسيميا الهيبوغليسيميا الهيبوغليسيميا
+
+27
+00:02:12,930 --> 00:02:13,070
+الهيبوغليسيميا الهيبوغليسيميا الهيبوغليسيميا
+
+28
+00:02:13,070 --> 00:02:13,810
+الهيبوغليسيميا الهيبوغليسيميا الهيبوغليسيميا
+
+29
+00:02:13,810 --> 00:02:18,290
+الهيبوغليسيميا الهيبوغليسيميا الهيبو... وأحنا كنا
+
+30
+00:02:18,290 --> 00:02:22,990
+نوردكم على صورة كيف أن البني آدم ممكن بطريقة
+
+31
+00:02:22,990 --> 00:02:30,730
+دورانية أنه نعمل الـ injection في أماكن مختلفة خلال
+
+32
+00:02:30,730 --> 00:02:37,070
+الأوقات، حتى لا يحصل أي مشاكل، هذه الصور كانت
+
+33
+00:02:37,070 --> 00:02:41,850
+للـ lipodystrophy وبدأنا نتحدث عن الـ drug therapy
+
+34
+00:02:41,850 --> 00:02:46,090
+اللي هي الـ oral agents، diabetes mellitus oral
+
+35
+00:02:46,090 --> 00:02:49,990
+agents وهو طبعا مش انسولين على كل حالة، طبعا لم
+
+36
+00:02:49,990 --> 00:02:55,320
+يستطيع الإنسان الحالي أو الطب الحالي أنه يصنع
+
+37
+00:02:55,320 --> 00:03:01,320
+Insulin عن طريق الفم، ليش؟ لأنه هو أصلا يعني عملية
+
+38
+00:03:01,320 --> 00:03:08,200
+الهدم تبعه لا تتم أو تتم في المعدة
+
+39
+00:03:08,200 --> 00:03:11,880
+بصورة كبيرة ولذلك لم يستطيعوا، يحاول الآن يعملوا
+
+40
+00:03:11,880 --> 00:03:16,640
+منه بخاخ، لسه ما زالت الأمور في الطريق للحل، أنا
+
+41
+00:03:16,640 --> 00:03:22,380
+واثق إن في يوم من الأيام سيحدث انسولين غير أورالي
+
+42
+00:03:22,380 --> 00:03:28,120
+سبكوتينياس ممكن يكون أورالي ممكن يكون نازل على
+
+43
+00:03:28,120 --> 00:03:34,300
+سبيل المثال بخاخ أو حاجة كل شيء ممكن يصير الـ drug
+
+44
+00:03:34,300 --> 00:03:38,940
+therapy وهو بيحسّس الـ mechanism in which insulin and
+
+45
+00:03:38,940 --> 00:03:42,300
+glucose are produced and used by the body يعني هو
+
+46
+00:03:42,300 --> 00:03:48,420
+بيعمل عملية تحفيز لإفراز الإنسولين هي هذه الحاجة
+
+47
+00:03:48,420 --> 00:03:56,420
+الأساسية عنده إنه بيحاول يحفز إفراز الإنسولين، هذه
+
+48
+00:03:56,420 --> 00:03:57,440
+شغلته الأساسية
+
+49
+00:04:03,690 --> 00:04:08,530
+وزي ما قلنا، في الـ pancreas، وبعمل reduction، الـ
+
+50
+00:04:08,530 --> 00:04:12,530
+glucose reduction، by liver، وبيزيد، زي ما قلنا،
+
+51
+00:04:12,530 --> 00:04:16,890
+حساسية الإنسولين أو الجسم أو خلايا الجسم
+
+52
+00:04:16,890 --> 00:04:22,030
+للإنسولين، تقريبا هذه أهم الحاجات اللي بيعملها 
+
+53
+00:04:22,030 --> 00:04:25,890
+الـ oral anti-diabetic طبعا ليس بعيدا اللي هو
+
+54
+00:04:25,890 --> 00:04:29,130
+الـ nutritional therapy، nutritional therapy
+
+55
+00:04:32,130 --> 00:04:38,950
+هو حاجة نطلبها يعني هي نفس الـ healthy eating plan
+
+56
+00:04:38,950 --> 00:04:44,890
+مش مش بس مريض أو عيان الـ diabetes إنما حتى الإنسان
+
+57
+00:04:44,890 --> 00:04:52,090
+الطبيعي لابد إنه ياكل أكل، ياكل أكل healthy أصلا 
+
+58
+00:04:55,020 --> 00:04:59,060
+وطيب احنا إيش بنعمل؟ إيش بدنا منها؟ إيش الـ goal تبع
+
+59
+00:04:59,060 --> 00:05:04,900
+الـ nutritional therapy؟ assist
+
+60
+00:05:04,900 --> 00:05:08,320
+people to make changes in nutrition and exercise
+
+61
+00:05:08,320 --> 00:05:11,860
+لأنه زي ما قلنا كثير من الناس دول أصلا كانت
+
+62
+00:05:11,860 --> 00:05:16,500
+ممارساتهم الغذائية سيئة كثير على وعلى الـ genetic
+
+63
+00:05:16,500 --> 00:05:23,380
+factors فهو الممارسة الغذائية كانت سيئة فاحنا 
+
+64
+00:05:23,380 --> 00:05:28,080
+بنحاول نغير الـ habits تبعتهم ونغير الـ exercise
+
+65
+00:05:28,080 --> 00:05:31,140
+habits that will lead to improved metabolic
+
+66
+00:05:31,140 --> 00:05:36,240
+control من
+
+67
+00:05:36,240 --> 00:05:40,100
+الإجراءات اللي بيعملها ناخد composition اللي هو 
+
+68
+00:05:40,100 --> 00:05:43,900
+المحتويات، بدل ما أنا معظم أكلي سكر أو معظم أكلي 
+
+69
+00:05:43,900 --> 00:05:47,900
+دهون أو معظم أكلي كذا، بحاول أعمل اللي هي الـ mix
+
+70
+00:05:47,900 --> 00:05:52,540
+الطبيعي للـ food، meal plan developed with
+
+71
+00:05:52,540 --> 00:05:55,500
+dietician، يفضل حقيقة، خاصة لما يكون السكر من
+
+72
+00:05:55,500 --> 00:05:59,220
+النوع الـ uncontrolled ويكون طبعا زي ما قلنا 
+
+73
+00:05:59,220 --> 00:06:00,460
+balanced،
+
+74
+00:06:02,490 --> 00:06:07,990
+ومش ممنوع، هذه القاعدة اللي بنكررها دائما، مش ممنوع
+
+75
+00:06:07,990 --> 00:06:15,930
+أي أكل عن أي مريض سكر، لكن خير الأمور الوسط ودائما 
+
+76
+00:06:15,930 --> 00:06:20,470
+بالاتفاق مع الـ دياتيشين وممكن واحد يأكل بعض
+
+77
+00:06:20,470 --> 00:06:24,750
+الحاجات الـ Exercise هو essential part of diabetes
+
+78
+00:06:24,750 --> 00:06:28,890
+management الـ exercise مش مقصود فيه يا جماعة ألبس 
+
+79
+00:06:28,890 --> 00:06:34,750
+الـ jogging suit و الـ boat و أروح أجري على البحر، 
+
+80
+00:06:34,750 --> 00:06:41,950
+إنما الـ exercise جزء منه المشي
+
+81
+00:06:43,330 --> 00:06:48,150
+خطوات كثيرة خلال النهار هذا المقصود في الموضوع
+
+82
+00:06:48,150 --> 00:06:53,230
+طبعا لو صحيح في بعض نوعيات الرياضات لما نمنع من ذلك 
+
+83
+00:06:53,230 --> 00:06:57,770
+لكن حتى لا نثقل على الناس ولازم كل يوم تنزل تجري
+
+84
+00:06:57,770 --> 00:07:01,990
+لإنما الحركة العادية ولكن بصورة أكبر وبصورة تكون
+
+85
+00:07:01,990 --> 00:07:06,850
+فعالة يبدو كويسة وإيش بيعمل الـ exercise increase
+
+86
+00:07:06,850 --> 00:07:12,480
+insulin sensitivity بنزل السكر وبنزل اللي هو الـ
+
+87
+00:07:12,480 --> 00:07:17,620
+insulin resistance توكسيمول carbohydrate snacks كل
+
+88
+00:07:17,620 --> 00:07:21,240
+30 Minutes During Exercise To Prevent Hypoglycemia
+
+89
+00:07:21,240 --> 00:07:24,700
+لما احنا عارفين إن رياضة تستهلك الطاقة تستهلك
+
+90
+00:07:24,700 --> 00:07:30,270
+السكر، فأنا ما أقدرش أدخل العيان في Hypoglycemia فهو
+
+91
+00:07:30,270 --> 00:07:34,650
+ممكن ياكله أي حاجة خفيفة وهو ماشي طبعا مش واجبة،
+
+92
+00:07:34,650 --> 00:07:40,310
+snacks يعني حاجة سريعة بحيث أن السكر يظل محافظ
+
+93
+00:07:42,090 --> 00:07:46,430
+ممكن نعمل اكسرسايز بعد الميال، اكسرسايز should be
+
+94
+00:07:46,430 --> 00:07:54,010
+individualized كل بني آدم حسب وضعه، مريض السكر
+
+95
+00:07:54,010 --> 00:07:58,650
+وعنده مشاكل مفاصل تختلف اكسرسايزه عن مريض السكر
+
+96
+00:07:58,650 --> 00:08:02,390
+واللي عنده ضغط وهكذا، monitor blood glucose level
+
+97
+00:08:02,390 --> 00:08:06,090
+before during and after اكسرسايز ضروري طبعا من
+
+98
+00:08:06,090 --> 00:08:11,660
+الاكسرسايز المحبوبة جدا جدا غير المشي اللي هي موضوع 
+
+99
+00:08:11,660 --> 00:08:18,320
+السباحة swimming من 
+
+100
+00:08:18,320 --> 00:08:23,060
+الأساسيات بتاعة الـ diabetes mellitus اللي هو الـ
+
+101
+00:08:23,060 --> 00:08:25,900
+monitoring blood glucose اللي احنا بنقول عنها الـ
+
+102
+00:08:25,900 --> 00:08:30,120
+self monitoring blood glucose وهذا من الأساسيات الـ
+
+103
+00:08:30,120 --> 00:08:36,000
+schooling أو تعليم هؤلاء المرضى لازم أعلمه من بدرى
+
+104
+00:08:36,000 --> 00:08:40,200
+يعمل «self-monitoring» يفحص لنفسه ليش؟ لأنه هو
+
+105
+00:08:40,200 --> 00:08:44,460
+بيصير بعد ذلك مش معقول كل شوية بدي اخذ decision من
+
+106
+00:08:44,460 --> 00:08:47,240
+اللي بيتصل في الطبيب أو في الـ Dietician لأ إنما هو
+
+107
+00:08:47,240 --> 00:08:52,660
+بتعلم بعلمه عن طريق بعين القوائم لما يكون سكرك كذا
+
+108
+00:08:52,660 --> 00:08:57,640
+خذ كذا واعطي كذا وهيك يعني فـself monitoring of
+
+109
+00:08:57,640 --> 00:09:02,260
+blood glucose SMBG allows self management decision
+
+110
+00:09:02,260 --> 00:09:06,060
+regarding diet exercise and medication important
+
+111
+00:09:06,060 --> 00:09:11,210
+for detecting episodic hyperglycemia وهيبوغليسيميا
+
+112
+00:09:11,210 --> 00:09:15,050
+و patient education زي ما قلنا is crucial ما فيش
+
+113
+00:09:15,050 --> 00:09:19,410
+مجال لازم يتعلم لأنه في أحد اللحظات لازم يتمد على
+
+114
+00:09:19,410 --> 00:09:23,830
+نفسه حتى لو كان طفل صغير احنا أنا بعرف أطفال سبعة
+
+115
+00:09:23,830 --> 00:09:29,130
+وثمان سنين اتعلموا كيف يعملوا self-monitoring أمر سهل
+
+116
+00:09:29,130 --> 00:09:35,700
+وبسيط، من الحاجات اللي تقريبا الآن بيحاول العلم أو
+
+117
+00:09:35,700 --> 00:09:39,660
+الطب يوجدها اللي هي بما أنه أنا في type one على
+
+118
+00:09:39,660 --> 00:09:44,440
+سبيل المثال عندي بانكرياس islet cells أو beta cells
+
+119
+00:09:44,440 --> 00:09:51,020
+destructed اللي هو موضوع pancreas transplantation
+
+120
+00:09:53,750 --> 00:09:57,130
+وطبعا هذا بنعمله حقيقة في الـ Diabetes 1 ويكون 
+
+121
+00:09:57,130 --> 00:10:02,510
+معاه اللي هو End-stage Renal Disease ويكون لديه أو
+
+122
+00:10:02,510 --> 00:10:07,170
+مخطط لديه ترانسبلانت كلية، تخلص من الحاجة من
+
+123
+00:10:07,170 --> 00:10:10,110
+الإنسولين الإكسيجيناسي بعد هيك، محتاج انسولين
+
+124
+00:10:10,110 --> 00:10:13,750
+براني، ويمكن أيضا يتخلص من الـ hypoglycemia 
+
+125
+00:10:13,750 --> 00:10:17,160
+و الـ hyperglycemia، بالمناسبة بس لأنه أجاني سؤال
+
+126
+00:10:17,160 --> 00:10:23,080
+الـ Gestational Diabetes احنا اعتبرناه نوع من 
+
+127
+00:10:23,080 --> 00:10:27,990
+أنواع الـ Type 2 والـ Type 2 بنقدر ندّي علاج أي oral 
+
+128
+00:10:27,990 --> 00:10:32,990
+مثلا ديابتكا لكن لا الـ gestational بندّي انسولين
+
+129
+00:10:32,990 --> 00:10:37,690
+فكان السؤال ليش طيب بندّي انسولين و ما ندّيش oral anti
+
+130
+00:10:37,690 --> 00:10:41,790
+diabetic هو عشان الـ side effects تبع العلاج إن
+
+131
+00:10:41,790 --> 00:10:46,710
+الانسولين ليس side effects على الجنين لكن الـ oral 
+
+132
+00:10:46,710 --> 00:10:53,770
+antidiabetic فيها side effects ففضلنا موضوع الـ
+
+133
+00:10:55,000 --> 00:11:05,980
+الإنسولين من الـ complication بتاعة الـ Diabetes من
+
+134
+00:11:05,980 --> 00:11:11,080
+الـ complications فينا طبعا Acute complications احنا
+
+135
+00:11:11,080 --> 00:11:18,360
+دلوقت دخلنا على موضوع غير في الأهمية ليش؟
+
+136
+00:11:18,360 --> 00:11:23,690
+لأنه خلاص الواحد ممكن يعيش ويتعايش طبعا يتعايش الآن
+
+137
+00:11:23,690 --> 00:11:30,250
+هذه كلمة صرعت العصر الحالي التعايش ممكن واحد
+
+138
+00:11:30,250 --> 00:11:35,290
+يتعايش مع الـ diabetes لكن يريد أن ياخد باله من
+
+139
+00:11:35,290 --> 00:11:42,250
+الـ acute and chronic complications إيش الـ acute
+
+140
+00:11:42,250 --> 00:11:47,150
+complications؟ على رأسها الـ hypoglycemia وحاجة 
+
+141
+00:11:47,150 --> 00:11:52,220
+ثانية الـ hyperglycemiaالـ hypoglycemia إنه أنا
+
+142
+00:11:52,220 --> 00:11:57,740
+أدي too much insulin أو oral agents يعني، بغض
+
+143
+00:11:57,740 --> 00:12:05,100
+النظر، إنما أدي بزيادة، وما كانش باخد سكر، يعني
+
+144
+00:12:05,100 --> 00:12:09,840
+بمعنى مثلا، أنا باخد قبل 1.25 ساعة الإنسولين
+
+145
+00:12:12,400 --> 00:12:16,220
+على أساس إنه شوي يلا بدأ أفطر أو بدأ أتغدى أو كذا
+
+146
+00:12:16,220 --> 00:12:21,840
+وبيجي بعد ما أخدت الإنسولين حاجة بتخليني أنسى أكل
+
+147
+00:12:21,840 --> 00:12:25,840
+أو أطلع مشوار أو استدعوني هنا أو كذا، بشتغل
+
+148
+00:12:25,840 --> 00:12:29,680
+الإنسولين، بنزل السكر، بدخل في hypoglycemia، سلامة
+
+149
+00:12:29,680 --> 00:12:33,540
+سلمك وتعيش مشكلة كبيرة، hypoglycemia ممكن تأثرلي
+
+150
+00:12:33,540 --> 00:12:38,700
+وتعمل لي brain damage يبقى لازم يكون in relationship
+
+151
+00:12:38,700 --> 00:12:43,460
+to glucose availability لازم أدي الإنسولين، بمعنى
+
+152
+00:12:43,460 --> 00:12:52,440
+لازم أعطي الإنسولين وأكل على طول، مش أخد يعني كمية
+
+153
+00:12:52,440 --> 00:12:57,950
+الأكل اللي أنا محتاجها كيف تظهر الـ Hypoglycemia؟
+
+154
+00:12:57,950 --> 00:13:03,270
+Symptoms and Signs Confusion Irritability Anxiety
+
+155
+00:13:03,270 --> 00:13:10,520
+Tachycardia Diaphoresis تعرق Tremor رجة بيصير واحد
+
+156
+00:13:10,520 --> 00:13:15,240
+زي الجعان، weakness تعب، visual disturbance، مش
+
+157
+00:13:15,240 --> 00:13:19,720
+شايف زي الناس، if untreated، بيصير إنه loss of
+
+158
+00:13:19,720 --> 00:13:23,320
+consciousness، coma، loss of consciousness،
+
+159
+00:13:23,320 --> 00:13:28,660
+seizure، كومة، وممكن death طب العلاقة الآن يا
+
+160
+00:13:28,660 --> 00:13:34,900
+جماعة، لو أنا، لو أنا في حد، بعرف إنه سكري، لكن
+
+161
+00:13:34,900 --> 00:13:40,660
+أغيب، وأنا مش عارف هل اللي صار معاه hypoglycemia
+
+162
+00:13:40,660 --> 00:13:45,500
+ولا hyperglycemia؟ أكل بزيادة ولا ماكلش؟ كيف
+
+163
+00:13:45,500 --> 00:13:54,020
+أتعامل معاه؟ أه، إيش رأيك؟ إيش رأيك؟ أتعامل معاه
+
+164
+00:13:54,020 --> 00:14:04,180
+hypoglycemia ولا hyperglycemia؟ صح، برضه صح أه،
+
+165
+00:14:04,180 --> 00:14:07,540
+بتعامل معاه إنه hypoglycemia، ليش؟
+
+166
+00:14:10,450 --> 00:14:15,530
+لأنه هي الأخطر فأنا باأخد بمبدأ الحيطة أكثر طب إيش
+
+167
+00:14:15,530 --> 00:14:23,070
+بعمل؟ بدي سكر طب افرض هو ما فقد هو hyperglycemia وديت
+
+168
+00:14:23,070 --> 00:14:27,850
+السكر ممكن مش هيضره كثير لكن لو ما أديتوش سكر هينضر
+
+169
+00:14:27,850 --> 00:14:32,510
+جداً يبقى دائماً بتعامل في حالات ال coma في مرضى
+
+170
+00:14:33,160 --> 00:14:37,460
+الديابتس على أساس إنه hypoglycemia لما يكون عنده
+
+171
+00:14:37,460 --> 00:14:40,260
+acute loss of consciousness على أساس إنه
+
+172
+00:14:40,260 --> 00:14:44,900
+hypoglycemia مش hyperglycemia لأن الـ hypoglycemia
+
+173
+00:14:44,900 --> 00:14:50,780
+أخطر من الـ hyperglycemia في النتائج تبعتها يبقى
+
+174
+00:14:50,780 --> 00:14:54,460
+من أهم الـ acute complications of diabetes mellitus
+
+175
+00:14:54,460 --> 00:15:00,260
+اللي هي الـ hypoglycemia طب إيش يعمل لو صار عنده
+
+176
+00:15:00,260 --> 00:15:06,280
+hypoglycemia هو طبعاً إذا كان ولاّ لسه by
+
+177
+00:15:06,280 --> 00:15:12,880
+consciousness صح صح بس الله يقنّن tremor و hunger و
+
+178
+00:15:12,880 --> 00:15:16,160
+weakness و visual disturbance تاكد كارديا confused
+
+179
+00:15:16,160 --> 00:15:19,480
+بدي حاجة fruit juice
+
+180
+00:15:22,280 --> 00:15:29,680
+عشان حاجة simple carbohydrate أو إذا موجود برا فيه
+
+181
+00:15:29,680 --> 00:15:37,920
+أقراص سكر موجودة برا ممكن يعطيها الواحد، طبعاً مش
+
+182
+00:15:37,920 --> 00:15:44,500
+أروح أدي قطعة بيتزا، مينفعش، ليش؟ لأن هذا complex
+
+183
+00:15:44,500 --> 00:15:48,460
+carbohydrate، بدي أنا حاجة simple على طول، بمجرد
+
+184
+00:15:48,460 --> 00:15:54,640
+ما أشربها تكون متوسطة وغيرت وضع الـ hypoglycemia
+
+185
+00:15:54,640 --> 00:15:58,860
+avoid sweets with fat لأن عملية الـ absorption تبقى
+
+186
+00:15:58,860 --> 00:16:04,500
+أصعب وممكن كل 15 دقيقة أعملها لحد ما يصير السكر
+
+187
+00:16:04,500 --> 00:16:09,780
+تبعه فوق الـ 70 تقريباً وبعدين يأكل طبعاً هذه حاجة
+
+188
+00:16:09,780 --> 00:16:13,640
+بتصير يومياً أن يصير عنده symptoms and signs of
+
+189
+00:16:13,640 --> 00:16:18,190
+hypoglycemia لسه مش أنا ما بحكيش كلها الـ loss of
+
+190
+00:16:18,190 --> 00:16:20,550
+consciousness و seizure و coma و death لأ مش هذا
+
+191
+00:16:20,550 --> 00:16:25,270
+الموضوع لأ إنما هذه عوارض طبيعية فممكن هو ياخدلها
+
+192
+00:16:25,270 --> 00:16:31,610
+ياخدلها سكر سمبل سكر الآن في لكن حاجة ثانية بتصير
+
+193
+00:16:31,610 --> 00:16:35,310
+لو أنا عندي واحد coma مثلاً أو seizure بدي حاجة
+
+194
+00:16:35,310 --> 00:16:36,330
+اسمها glucagon
+
+195
+00:16:40,210 --> 00:16:45,890
+هو بدي إما IM أو بدي subcutaneous عبارة عن إبرة
+
+196
+00:16:45,890 --> 00:16:52,630
+pen، زي قلم، بغزها في جسمه، وهذا إيش بيعمل؟ هو
+
+197
+00:16:52,630 --> 00:16:57,890
+عبارة عن الـ counter player تبع من؟ تبع الإنسولين،
+
+198
+00:16:57,890 --> 00:17:02,770
+هو دائماً على تضاد من الإنسولين، الإنسولين بنزل
+
+199
+00:17:02,770 --> 00:17:04,890
+السكر، وهذا برفع السكر
+
+200
+00:17:07,440 --> 00:17:12,580
+وكمان ممكن ينعطق بنفس الصورة من المشاكل والـ acute
+
+201
+00:17:12,580 --> 00:17:15,460
+complications اللي بتصير في الـ diabetes طبعاً في
+
+202
+00:17:15,460 --> 00:17:20,020
+حاجات أكثر بس أنا هنا حاكي عنها اللي هي الـ
+
+203
+00:17:20,020 --> 00:17:23,780
+diabetic ketoacetosis اللي احنا بيقولوا عنها إيش؟
+
+204
+00:17:23,780 --> 00:17:24,300
+DKA
+
+205
+00:17:28,020 --> 00:17:33,780
+Diabetic ketoacidosis يعني سكري كيتو من كيتونز لأن
+
+206
+00:17:33,780 --> 00:17:38,400
+مشكلتي هي مشكلة كيتونز و Acidosis حموضة حموضة
+
+207
+00:17:38,400 --> 00:17:42,920
+الكيتونز اللي بتصير وهذه عبارة عن life-threatening
+
+208
+00:17:42,920 --> 00:17:48,860
+complication of type 1 ممكن تجي في type 2 لكن هي
+
+209
+00:17:48,860 --> 00:17:51,820
+mainly في type 1 في كثير والأحيان تبقى الـ fast
+
+210
+00:17:51,820 --> 00:17:56,740
+presentation عند الأطفال أو عند الصغار في الـ type
+
+211
+00:17:56,740 --> 00:18:02,180
+1 اللي هي بيبقى عنده سكري هو لكن بيجي infection
+
+212
+00:18:02,180 --> 00:18:07,620
+بتيجي أي stressors زي psychological stressors أو
+
+213
+00:18:07,620 --> 00:18:12,820
+واحد بياخد انسولين وما خدش الانسولين تبعه نسي، ضاع،
+
+214
+00:18:12,820 --> 00:18:17,600
+ما عرفش إيش بدو يشِ أُخذ الإنسولين in compliance، عدم
+
+215
+00:18:17,600 --> 00:18:21,960
+تعاون، وما أخدش الإنسولين بأي صورة من الصور، ممكن
+
+216
+00:18:21,960 --> 00:18:26,560
+يقلل السكر إلى درجات 400، 500، 600، 700، ويدخل في
+
+217
+00:18:26,560 --> 00:18:31,400
+DKA، يمجد الـDKA هو عبارة عن hyperglycemia
+
+218
+00:18:31,400 --> 00:18:36,780
+وtypical symptoms تبعته أو طبعاً في الـ Undiagnosed
+
+219
+00:18:36,780 --> 00:18:39,740
+Diabetes، واحد مش معروف إنه Diabetes، اتعرض ل
+
+220
+00:18:39,740 --> 00:18:43,280
+infection، لجينا عنده إيش، صار decay، من
+
+221
+00:18:43,280 --> 00:18:45,840
+الـ Typical Symptoms، vomiting, dehydration,
+
+222
+00:18:47,280 --> 00:18:50,220
+gasping, breathing, confusion and occasionally
+
+223
+00:18:50,220 --> 00:18:58,230
+coma حقيقة صورة عنيفة من الـ Hyperglycemia والعلاج
+
+224
+00:18:58,230 --> 00:19:02,330
+تبعها بسيط جداً، بس أهم شيء يكون الـ index of
+
+225
+00:19:02,330 --> 00:19:08,510
+suspicion عند الواحد عالي وكبير، IV fluid، ليش؟
+
+226
+00:19:08,510 --> 00:19:12,390
+لأن هدول المرضى بدخلوا في dehydration، لازم أدي
+
+227
+00:19:12,390 --> 00:19:16,490
+انسولين، ليش؟ عشان suppress the production of
+
+228
+00:19:16,490 --> 00:19:22,100
+ketones in the body وأشوف إيش الـ underlying cause،
+
+229
+00:19:22,100 --> 00:19:26,660
+إيش اللي عمل لي المشكلة، والله إذا كان زي ما
+
+230
+00:19:26,660 --> 00:19:30,600
+بيقولوها infection، هعالج الـ infection، إذا مزعلة
+
+231
+00:19:30,600 --> 00:19:36,360
+مع زوجها، مرضيها، إذا بدأت تثلج، غير الوضع المهم
+
+232
+00:19:36,360 --> 00:19:40,080
+يعني بدنا نشوف حل في الموضوع لازم أحل الموضوع
+
+233
+00:19:40,080 --> 00:19:43,320
+close observation to prevent and identify
+
+234
+00:19:43,320 --> 00:19:46,100
+complications و بالمناسبة الـ diabetic
+
+235
+00:19:46,100 --> 00:19:51,080
+ketoacidoses غالبيتهم 90% بدخلوا عناية مركزة ليش؟
+
+236
+00:19:51,080 --> 00:19:54,080
+لأنه زي ما قلنا is a vigorous condition of
+
+237
+00:19:54,080 --> 00:19:58,920
+hyperglycemia ممكن تعملي مشاكل كبيرة وهيك احنا
+
+238
+00:19:58,920 --> 00:20:03,600
+بننجل لمين؟ بننجل لل chronic complication of
+
+239
+00:20:03,600 --> 00:20:08,200
+diabetes الـ Chronic Complication كرونك يعني يعني
+
+240
+00:20:08,200 --> 00:20:10,880
+يعني بدي سنوات عشان تصير الـ Complication هاي ممكن
+
+241
+00:20:10,880 --> 00:20:16,980
+توصل عشر سنوات خمسة عشر سنة بعد ما اكتشف اللي هو
+
+242
+00:20:16,980 --> 00:20:25,400
+الـ الـ diabetes من الـ chronic الـ chronic
+
+243
+00:20:25,400 --> 00:20:28,780
+complications 
+
+244
+00:20:28,780 --> 00:20:33,510
+of diabetes mellitus عندنا حاجات بنقول عنها
+
+245
+00:20:33,510 --> 00:20:38,570
+macrovascular وهذا طبعاً أنا بحكي عنها معظمها بتكون
+
+246
+00:20:38,570 --> 00:20:48,610
+تأثيرها على الشرايين أو الشعيرات الدموية وهي
+
+247
+00:20:48,610 --> 00:20:53,270
+بالتالي بتأثر لي على العضو المقصود يعني شغلها
+
+248
+00:20:53,270 --> 00:20:59,650
+مشكلتها في الشرايين أو طبعاً بتأثر لي على الأعصاب
+
+249
+00:20:59,650 --> 00:21:04,010
+الطرفية مباشرة أو الشرايين اللي بتغذيها هيك تقريباً
+
+250
+00:21:04,010 --> 00:21:11,590
+الفكرة يعني بمعنى بتعملي حاجة اسمها Angiopathy مرض
+
+251
+00:21:11,590 --> 00:21:17,230
+أنجيو اللي هو الوعائي الدموي blood vessel disease
+
+252
+00:21:17,230 --> 00:21:22,970
+من خلال تأثيرها على blood vessel بيصير عملية
+
+253
+00:21:22,970 --> 00:21:28,950
+المشاكل في العضو المكسور ماكروفاسكولر معناته بتصيب
+
+254
+00:21:28,950 --> 00:21:34,490
+للـ large and mid-sized vessel وطبعاً هذا إليه
+
+255
+00:21:34,490 --> 00:21:39,830
+علاقة حقيقة بالـ lipid و metabolism of diabetes to
+
+256
+00:21:39,830 --> 00:21:42,550
+altered lipid يعني علاقة بين الـ lipid metabolism
+
+257
+00:21:42,550 --> 00:21:48,290
+مع الـ diabetes طبعاً بنتصور الأماكن اللي الشرايين
+
+258
+00:21:48,290 --> 00:21:55,490
+فيها بتتأثر بارتفاع السكر شرايين الدماغ شرايين القلب
+
+259
+00:21:57,600 --> 00:22:03,180
+الشرايين الطرفية طب هو ضايل حاجة مثلاً مش ضايل حاجة
+
+260
+00:22:03,180 --> 00:22:07,460
+صحيح كلامه هو هدول هو أي بني آدم زي ما يقولوها
+
+261
+00:22:07,460 --> 00:22:13,700
+مخه قلبه وشرايين طرفية و micro vascular وهدى
+
+262
+00:22:13,700 --> 00:22:17,920
+بنشوفها due to thickening of a small vessel
+
+263
+00:22:17,920 --> 00:22:23,160
+membrane هنجي لها بعد شوية طيب هو الـ Epidemic
+
+264
+00:22:23,160 --> 00:22:30,800
+of Chronic Diabetic Complications بتصيب كثير يعني
+
+265
+00:22:30,800 --> 00:22:36,100
+كثير كثير؟ أه يعني متوقع إنه من الأرقام اللي
+
+266
+00:22:36,100 --> 00:22:45,680
+حكيناها إن حوالي في 2025 كان 380 مليون إنسان
+
+267
+00:22:47,110 --> 00:22:53,170
+أُصيب بمشاكل في الـ Chronic Complications وزي ما
+
+268
+00:22:53,170 --> 00:22:59,990
+احنا شايفين على في الصورة إنه Retinopathy اللي هي
+
+269
+00:22:59,990 --> 00:23:07,510
+شبكية العين وبالتالي بتعمل Blindness in people of
+
+270
+00:23:07,510 --> 00:23:11,770
+working age يعني مش بس Blindness لو واحد عمره 70
+
+271
+00:23:11,770 --> 00:23:17,000
+ولا 80 سنة لأ لو واحد بشتغل يعني لسه منتج
+
+272
+00:23:17,000 --> 00:23:21,840
+retinopathy 
+
+273
+00:23:21,840 --> 00:23:29,720
+retinopathy شبكية باثي مرض شبكية nephropathy نفرو
+
+274
+00:23:29,720 --> 00:23:33,620
+باثي في الكلى بيصير عندك مشاكل 16% of new
+
+275
+00:23:33,620 --> 00:23:39,060
+patients needing renal replacement therapy ناس
+
+276
+00:23:39,060 --> 00:23:46,420
+بتحتاج زرع كلى بسبب السكري إيش كمان؟ في عندنا كمان
+
+277
+00:23:46,420 --> 00:23:50,540
+macrovascular and cerebrovascular disease اتنين
+
+278
+00:23:50,540 --> 00:23:55,840
+لثلاث مرات إمكانية الإصابة أو الـ risk of coronary
+
+279
+00:23:55,840 --> 00:24:03,020
+heart disease and stroke food problems 15% of
+
+280
+00:24:03,020 --> 00:24:09,800
+people with diabetes develop foot ulcers 5-15% of 
+
+281
+00:24:09,800 --> 00:24:13,680
+People with diabetic foot ulcers need amputation
+
+282
+00:24:13,680 --> 00:24:21,580
+Erectile dysfunction 50% من الرجال ممكن يؤثر علي
+
+283
+00:24:21,610 --> 00:24:25,990
+with long-standing diabetes يكون عندهم erectile
+
+284
+00:24:25,990 --> 00:24:31,270
+dysfunction هو طبعا ما أعرفش إذا الكل فاهمها لكن على
+
+285
+00:24:31,270 --> 00:24:37,430
+أي حال هو عبارة عن ضعف في الانتصاب عند الرجال الـ
+
+286
+00:24:37,430 --> 00:24:42,410
+50% اللي عنده سكري يصاب بمشكلة زي هيك يعني أنا
+
+287
+00:24:42,410 --> 00:24:48,890
+بحكي قاعدة عن مشاكل بتأثر على الحياة مباشرة سواء في
+
+288
+00:24:48,890 --> 00:24:52,710
+الـ Retina، سواء في الكلى، سواء في القلب، سواء في
+
+289
+00:24:52,710 --> 00:24:57,590
+الـ Sexual Life، هذه كلها بتتأثر بصورة أو بأخرى
+
+290
+00:24:57,590 --> 00:25:03,930
+بموضوع اللي هو Diabetes Mellitus
+
+291
+00:25:06,260 --> 00:25:10,060
+الـ Microvascular كمان مرة نعود نعيد Microvascular
+
+292
+00:25:10,060 --> 00:25:14,360
+زي الـ Retinopathy، leading cause of new
+
+293
+00:25:14,360 --> 00:25:18,940
+blindness، واحد ما عندهوش بردو في العين ولكن صار
+
+294
+00:25:18,940 --> 00:25:23,440
+عنده سكري من الأسباب الأساسية للـblindness فيها
+
+295
+00:25:23,440 --> 00:25:26,580
+وفي مرضى السكر اللي بيصير عنده hemorrhage بيصير
+
+296
+00:25:26,580 --> 00:25:31,060
+retinal detachment انفصال شبكي، nephropathy بيؤدي 
+
+297
+00:25:31,060 --> 00:25:36,160
+لإنه يكون في عندي damage للشرايين اللي رايحة على
+
+298
+00:25:36,160 --> 00:25:41,380
+الوحدات التصفية الـglomeruli، وحدات التصفية في
+
+299
+00:25:41,380 --> 00:25:50,750
+الكلى وبتدى الى ESRD فكروا
+
+300
+00:25:50,750 --> 00:25:59,710
+معايا لأ مش هنعملها assignment ولا حاجة المرة دي 
+
+301
+00:25:59,710 --> 00:26:05,640
+بدون assignment إن شاء الله تعالى، إيش الـ ESRD؟
+
+302
+00:26:05,640 --> 00:26:10,940
+اللي هو End Stage Renal Disease أو Failure End
+
+303
+00:26:10,940 --> 00:26:14,500
+Stage Renal Disease End Stage Renal Disease يعني
+
+304
+00:26:14,500 --> 00:26:20,040
+مرض كلى في نهايته End Stage Renal Disease من
+
+305
+00:26:20,040 --> 00:26:24,740
+الأسباب الأساسية السكري وطبعا حكينا نسبة 18% بسيطة
+
+306
+00:26:24,740 --> 00:26:28,080
+الـ Neuropathy آه، هنا، هنا، هنا عندنا حاجة
+
+307
+00:26:28,080 --> 00:26:35,750
+بنشوفها باستمرار إنه إن الـ neuropathy مرض في العصب
+
+308
+00:26:35,750 --> 00:26:39,710
+sensory neuropathy الـ sensation يصير له loss
+
+309
+00:26:39,710 --> 00:26:44,070
+abnormal sensation مش بس loss إنما كمان abnormal
+
+310
+00:26:44,070 --> 00:26:49,050
+pain of hands or foot can progress to partial أو
+
+311
+00:26:49,050 --> 00:26:51,490
+complete loss of sensitivity to touch أو
+
+312
+00:26:51,490 --> 00:26:57,250
+temperature high risk of injury without pain في إن
+
+313
+00:26:57,250 --> 00:27:01,120
+الـ autonomic neuropathy الـ Sensory يعني فيها
+
+314
+00:27:01,120 --> 00:27:04,580
+sensation الـ Autonomic اللي هي الأعضاء اللي
+
+315
+00:27:04,580 --> 00:27:12,360
+بتشتغل بدون الإحساس لكن بتشتغل من نفسها زي بيصير
+
+316
+00:27:12,360 --> 00:27:17,900
+إن حاجة اسمها «hypoglycemic unawareness» تصوروا إن
+
+317
+00:27:17,900 --> 00:27:26,230
+هدول المرضى في الآخر نتيجة الـ Autonomic Neuropathy
+
+318
+00:27:26,230 --> 00:27:30,090
+بيبطل يحس إنه صار عنده Hypoglycemia شوفت الـ
+
+319
+00:27:30,090 --> 00:27:34,670
+Symptoms اللي اتحدثنا عنها قبل شوية إنه يحس إنه
+
+320
+00:27:34,670 --> 00:27:41,150
+عنده confusion، إنه عنده جعان، إنه tremor، هذا كله
+
+321
+00:27:41,150 --> 00:27:44,990
+بيبطل يحصل Hypoglycemic Unawareness
+
+322
+00:27:47,240 --> 00:27:53,340
+بيقدرش يستوعب جسمه إنه دخل في hypoglycemia إيش
+
+323
+00:27:53,340 --> 00:27:58,820
+كمان؟ silent MI إيش يعني؟ myocardial infarction
+
+324
+00:27:58,820 --> 00:28:05,260
+silent بيصير تجيله MI وما
+
+325
+00:28:05,260 --> 00:28:11,780
+يحسش فيها يعني بمعنى آخر بموت بهدوء بدون ما يحس
+
+326
+00:28:11,780 --> 00:28:18,340
+بوجع، عادة هو الوجع اللي بيصير نتيجة autonomic
+
+327
+00:28:18,340 --> 00:28:24,660
+nerves و nerves طبعا بيحس الواحد بالpain، بدي
+
+328
+00:28:24,660 --> 00:28:30,880
+إشارة لدماغ، الدماغ، وهيك، لكن في حالة السكري
+
+329
+00:28:30,880 --> 00:28:35,260
+بيصير عندي silent MI، erectile dysfunction و
+
+330
+00:28:35,260 --> 00:28:39,110
+decreased libido والـ Neurogenic Bladder ممكن يصير
+
+331
+00:28:39,110 --> 00:28:42,030
+عندنا مشكلة في الـ what؟ في الـ urine retention
+
+332
+00:28:42,030 --> 00:28:47,610
+هذه من الحاجات اللي بتصير في Neuropathy لكن الـ
+
+333
+00:28:47,610 --> 00:28:49,830
+Neuropathy بتلعب دور مش بس في الـ Sensory and
+
+334
+00:28:49,830 --> 00:28:54,430
+Autonomic Neuropathy إنما بتلعب دور كمان في الـ
+
+335
+00:28:54,430 --> 00:29:01,020
+Diabetic Foot لأن احنا حكينا قبل شوية المشكلة هي أن
+
+336
+00:29:01,020 --> 00:29:06,860
+المشكلة المكروفسكولارية بيعملني peripheral vein
+
+337
+00:29:06,860 --> 00:29:11,640
+disease بيعملني 
+
+338
+00:29:11,640 --> 00:29:16,920
+peripheral artery disease وهذا بيقللني supply of
+
+339
+00:29:16,920 --> 00:29:21,140
+oxygen و ال white disease و ال nutrition فبيعملني
+
+340
+00:29:21,140 --> 00:29:28,070
+مشكلة في الـ foot بيجي زيادة عليها sensory
+
+341
+00:29:28,070 --> 00:29:31,750
+neuropathy بنجرح طلعوا لا في تغذية زي الناس لل
+
+342
+00:29:31,750 --> 00:29:37,770
+foot وبيجي جرح عليها ففي الآخر بيصير عنده
+
+343
+00:29:37,770 --> 00:29:44,290
+diabetic foot مهم جدا جدا مريض السكري يتعلم كيف
+
+344
+00:29:44,290 --> 00:29:49,330
+يجس أضافره ينتبه من الصدمات للرجل لأنه أي جرح
+
+345
+00:29:49,330 --> 00:29:54,070
+ممكن لأنه شريانه اللي نازلة عن الرجل اللي هو ال
+
+346
+00:29:54,070 --> 00:29:58,870
+peripheral vascular disease اللي عنده أصلا مش واصل
+
+347
+00:29:58,870 --> 00:30:05,540
+دم كفاية و ال sensory neuropathy شغالة على بودنه
+
+348
+00:30:05,540 --> 00:30:10,540
+فأنا عندي عاملين اثنين بيمنعوا إنه أي جرح يطيب
+
+349
+00:30:10,540 --> 00:30:15,120
+بسهولة أو ببساطة فأنا لازم انتبه للقضية هذه لازم
+
+350
+00:30:15,120 --> 00:30:19,200
+أعلمه teach prevention of ulceration and injury
+
+351
+00:30:19,200 --> 00:30:25,040
+و هذا الـ diabetic foot من الحاجات الأساسية اللي ممكن
+
+352
+00:30:25,040 --> 00:30:32,280
+تؤدي ل non-traumatic non-traumatic amputation
+
+353
+00:30:33,320 --> 00:30:35,620
+«نانتراوماتيك» يعني مش بحاجة السيارة أو لحاجة إنم
+
+354
+00:30:35,620 --> 00:30:38,420
+السكري، يبقى أهم سبب في الـ«نانتراوماتيك
+
+355
+00:30:38,420 --> 00:30:42,460
+أمبيوتاشن» هو الـDiabetes mellitus، من الحاجات
+
+356
+00:30:42,460 --> 00:30:47,360
+اللي كمان بتأثر هو بيصير هدول الناس يبقى اللي
+
+357
+00:30:47,360 --> 00:30:51,460
+يصير عندهم infection، نتيجة immune deficiency،
+
+358
+00:30:51,460 --> 00:30:57,600
+وأصلا أي واحد بمرض، نتيجة الـsensory neuropathy
+
+359
+00:30:57,600 --> 00:31:01,540
+اللي حكينا عنها قبل شوية، بتصير صعوبة جدا إنك 
+
+360
+00:31:01,540 --> 00:31:06,480
+تنتبه لها وزي ما قلنا الـ decreased circulation
+
+361
+00:31:06,480 --> 00:31:11,160
+delay or prevent immune response هذا ال infection
+
+362
+00:31:11,160 --> 00:31:16,820
+بخصوص اللي هو الـ diabetic foot هذه عوامل الـ
+
+363
+00:31:16,820 --> 00:31:19,960
+immune deficiency delay detection due to sensory
+
+364
+00:31:19,960 --> 00:31:23,100
+neuropathy decreased circulation هذه كلها بتقدر
+
+365
+00:31:23,100 --> 00:31:28,020
+لإيش الـ diabetic foot يعني زي ما قلت لكم موضوعنا
+
+366
+00:31:28,020 --> 00:31:35,030
+موضوع مش المفروض أنه بده خلينا نقول ممكن محاضرتين،
+
+367
+00:31:35,030 --> 00:31:38,610
+لأ، ثلاث محاضرات، ساعة و نص، ساعة و نص، ساعة و نص،
+
+368
+00:31:38,610 --> 00:31:42,630
+ساعة و نص، ساعة و نص، ساعة و نص، ساعة و نص، ساعة و
+
+369
+00:31:42,630 --> 00:31:42,790
+نص، ساعة و نص، ساعة و نص، ساعة و نص، ساعة و نص،
+
+370
+00:31:42,790 --> 00:31:42,850
+ساعة و نص، ساعة و نص، ساعة و نص، ساعة و نص، ساعة و
+
+371
+00:31:42,850 --> 00:31:44,490
+نص، ساعة و نص، ساعة و نص، ساعة و نص، ساعة و نص،
+
+372
+00:31:44,490 --> 00:31:52,560
+نص، ساعة و نص، لكن هذا اللي طالع معانا الآن، إن شاء
+
+373
+00:31:52,560 --> 00:31:55,980
+الله، حتى نعدي هذه الفترة على خير، بالنسبة لموضوع
+
+374
+00:31:55,980 --> 00:31:58,760
+الـDiabetes، من أهم الموضوعات على الإطلاق، وأنا
+
+375
+00:31:58,760 --> 00:32:02,880
+الآن بأقول لكم قاعده، إن الموضوع هذا هو موضوع
+
+376
+00:32:02,880 --> 00:32:07,140
+الـHypertension، على الأجل من أي امتحان هتدخلوا
+
+377
+00:32:07,140 --> 00:32:12,540
+معايا في الباطنة، هيكونوا بيمثلوا من 10% لـ20% من
+
+378
+00:32:12,540 --> 00:32:16,520
+الامتحان، في الغالب، أي امتحان النهائي أو حتى
+
+379
+00:32:16,520 --> 00:32:19,930
+الـ… ماشي، إن شاء الله تعالى، موضوعين مهمين غير
+
+380
+00:32:19,930 --> 00:32:23,210
+الامتحان إنهم هما موضوعين، موضوعين من مواضيع
+
+381
+00:32:23,210 --> 00:32:28,690
+الحياة المهمة اللي لازم أي حد بيشتغل في الحياة
+
+382
+00:32:28,690 --> 00:32:33,210
+العامة تبع الصحية الطبية سواء دكتور، سواء ممرض،
+
+383
+00:32:33,210 --> 00:32:36,450
+سواء علاج طبيعي، سواء مختبر، لازم يكون نوعا ما
+
+384
+00:32:36,450 --> 00:32:40,410
+بيفهم في الموضوعين هدول، الله يصبحكم بالخير
+
+385
+00:32:40,410 --> 00:32:41,830
+ويعطيكم العافية إن شاء الله السلامة
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/KitY0z_MKw8_raw.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/KitY0z_MKw8_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..1ebefef0489467c316fcea1de0195673c5de8b3f
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/KitY0z_MKw8_raw.srt
@@ -0,0 +1,1548 @@
+1
+00:00:04,150 --> 00:00:07,790
+طيب بسم الله الرحمن الرحيم اليوم يا جماعة بنكمل
+
+2
+00:00:07,790 --> 00:00:12,990
+محاضرة ال diabetes mellitus اللي هي نوعا ما طويلة
+
+3
+00:00:12,990 --> 00:00:19,270
+صبح عليكم شر الله تعالى و كنا اتحدثنا طبعا حاجات
+
+4
+00:00:19,270 --> 00:00:23,870
+كتير عن ال diabetes mellitus type 1 to 1 to
+
+5
+00:00:23,870 --> 00:00:28,230
+gestational diabetes و secondary diabetes و ال
+
+6
+00:00:28,230 --> 00:00:33,670
+LADA و المودي كل هذه الحاجات اتحدثنا عنهاوبدأنا
+
+7
+00:00:33,670 --> 00:00:37,990
+نحكي عن treatment أو management of diabetes
+
+8
+00:00:37,990 --> 00:00:43,400
+mellitus ووصلنا في لحظة من اللحظاتاللي هي ال
+
+9
+00:00:43,400 --> 00:00:49,700
+subcutaneous treatment اللي هو الإنسولين، فاكرين؟
+
+10
+00:00:49,700 --> 00:00:53,840
+وكنا في المرة اللي فاتت حكينا بدنا على ال WhatsApp
+
+11
+00:00:53,840 --> 00:00:59,380
+للناس اللي لسه ما عملت تبعتلي،
+
+12
+00:00:59,380 --> 00:01:03,740
+مديش أقول تفصيل، لكن سطرين، تلاتة عن بعض الحاجات،
+
+13
+00:01:03,740 --> 00:01:08,790
+بس بذكركوا فيهمالناس اللي معاملة ال share rate على
+
+14
+00:01:08,790 --> 00:01:12,830
+ال whatsapp مش على ال model اتحدثنا عن ال insulin
+
+15
+00:01:12,830 --> 00:01:18,770
+او طرق اعطاء ال insulin وقولنا ان ال insulin احنا
+
+16
+00:01:18,770 --> 00:01:25,370
+عادة بنعطي للديابة S1 كل ديابة S1 بياخد type 1
+
+17
+00:01:25,760 --> 00:01:30,040
+بياخد انسولين الـ diabetes too نبدأ معاه ب
+
+18
+00:01:30,040 --> 00:01:33,760
+lifestyle modification
+
+19
+00:01:33,760 --> 00:01:43,170
+ممكن بعد هيك نديله oral antidiabeticوإذا ما زبطش
+
+20
+00:01:43,170 --> 00:01:47,530
+ندّي combination انسولين مع oral antidiabetic
+
+21
+00:01:47,530 --> 00:01:53,650
+treatment طبعا مع exercise بالنسبة
+
+22
+00:01:53,650 --> 00:02:00,630
+لل .. وقولنا طبعا من مشاكل الانسولينهيبوغليسيميا
+
+23
+00:02:00,630 --> 00:02:09,530
+الهيبوغليسيميا
+
+24
+00:02:09,530 --> 00:02:12,050
+الهيبوغليسيميا الهيبوغليسيميا الهيبوغليسيميا
+
+25
+00:02:12,050 --> 00:02:12,730
+الهيبوغليسيميا الهيبوغليسيميا الهيبوغليسيميا
+
+26
+00:02:12,730 --> 00:02:12,730
+الهيبوغليسيميا الهيبوغليسيميا الهيبوغليسيميا
+
+27
+00:02:12,730 --> 00:02:12,930
+الهيبوغليسيميا الهيبوغليسيميا الهيبوغليسيميا
+
+28
+00:02:12,930 --> 00:02:13,070
+الهيبوغليسيميا الهيبوغليسيميا الهيبوغليسيميا
+
+29
+00:02:13,070 --> 00:02:13,810
+الهيبوغليسيميا الهيبوغليسيميا الهيبوغليسيميا
+
+30
+00:02:13,810 --> 00:02:18,290
+الهيبوغليسيميا الهيبوغليسيميا الهيبووأحنا كنا
+
+31
+00:02:18,290 --> 00:02:22,990
+نتوردكم على صورة كيف أن البني آدم ممكن بطريقة
+
+32
+00:02:22,990 --> 00:02:30,730
+دورانية أنه نعمل ال injection في أماكن مختلفة خلال
+
+33
+00:02:30,730 --> 00:02:37,070
+الأوقات، حتى لا يحصل أي مشاكل، هذه الصور كانت
+
+34
+00:02:37,070 --> 00:02:41,850
+لـLibodystrophyوبدأنا نتحدث عن ال drug therapy
+
+35
+00:02:41,850 --> 00:02:46,090
+اللي هي ال oral agents، diabetes mellitus oral
+
+36
+00:02:46,090 --> 00:02:49,990
+agents وهو طبعا مش انسلين على كل حالة، طبعا لم
+
+37
+00:02:49,990 --> 00:02:55,320
+يستطيع الإنسان الحاليأو الطب الحالي أنه يصنع
+
+38
+00:02:55,320 --> 00:03:01,320
+Insulin عن طريق الفم، ليش؟ لأنه هو أصلا يعني عملية
+
+39
+00:03:01,320 --> 00:03:08,200
+الهدم تبعه لا تتم أو تتم في الماعدة
+
+40
+00:03:08,200 --> 00:03:11,880
+بصورة كبيرة ولذلك لم يستطيعوا، بحاول الآن يعملوا
+
+41
+00:03:11,880 --> 00:03:16,640
+منه بخاخ، لسه ما زالت الأمور في الطريق للحل، أنا
+
+42
+00:03:16,640 --> 00:03:22,380
+واثقلأن في يوم من الأيام سيحدث أنسلين غير أورالي
+
+43
+00:03:22,380 --> 00:03:28,120
+سبكوتينياس ممكن يكون أورالي ممكن يكون نازل على
+
+44
+00:03:28,120 --> 00:03:34,300
+سبيل المثال بخاخ أو حاجة كل شيء ممكن يصير ال drug
+
+45
+00:03:34,300 --> 00:03:38,940
+therapyوهو بيحس الـ mechanism in which insulin and
+
+46
+00:03:38,940 --> 00:03:42,300
+glucose are produced and used by the body يعني هو
+
+47
+00:03:42,300 --> 00:03:48,420
+بيعمل عملية تحفيز لإفراز الإنسلين هي هذه الحاجة
+
+48
+00:03:48,420 --> 00:03:56,420
+الأساسية عنده إنه بيحاول يحفز إفراز الإنسلين، هذه
+
+49
+00:03:56,420 --> 00:03:57,440
+شغلته الأساسية
+
+50
+00:04:03,690 --> 00:04:08,530
+وزي ما قلنا، في الـ pancreas، وبعمل reduction، الـ
+
+51
+00:04:08,530 --> 00:04:12,530
+glucose reduction، by liver، وبيزيد، زي ما قلنا،
+
+52
+00:04:12,530 --> 00:04:16,890
+حساسية الإنسولين أو الجسم أو خلايا الجسم
+
+53
+00:04:16,890 --> 00:04:22,030
+للإنسولين، تقريبا، هذه أهم الحاجات اللي بيعملها
+
+54
+00:04:22,030 --> 00:04:25,890
+الـ oral anti-diabetic طبعا، ليس بعيدا، اللي هو
+
+55
+00:04:25,890 --> 00:04:29,130
+الـ nutritional therapy، nutritional therapy
+
+56
+00:04:32,130 --> 00:04:38,950
+هو حاجة نطلبها يعني هي نفس ال healthy eating plan
+
+57
+00:04:38,950 --> 00:04:44,890
+مش مش بس مريض أو عيان ال diabetes إنما حتى الإنسان
+
+58
+00:04:44,890 --> 00:04:52,090
+الطبيعي لابد إنه ياكل أكل ياكل أكل healthy أصلا
+
+59
+00:04:55,020 --> 00:04:59,060
+وطب احنا ايش بنوم؟ ايش بدنا منها؟ ايش ال goal تبع
+
+60
+00:04:59,060 --> 00:05:04,900
+ال nutritional therapy؟ assist
+
+61
+00:05:04,900 --> 00:05:08,320
+people to make changes in nutrition and exercise
+
+62
+00:05:08,320 --> 00:05:11,860
+لأنه زي ما قلنا كتير من الناس دول أصلا كانت
+
+63
+00:05:11,860 --> 00:05:16,500
+ممارساتهم التخذوية سيئة كتير على وعلى ال genetic
+
+64
+00:05:16,500 --> 00:05:23,380
+factors فهو الممارسة التخذوية كانت سيئةفاحنا
+
+65
+00:05:23,380 --> 00:05:28,080
+بنحاول نغير ال habits تبعتهم ونغير ال exercise
+
+66
+00:05:28,080 --> 00:05:31,140
+habits that will lead to improved metabolic
+
+67
+00:05:31,140 --> 00:05:36,240
+control من
+
+68
+00:05:36,240 --> 00:05:40,100
+الإجراءات اللي بعملها ناخد compositionاللي هو
+
+69
+00:05:40,100 --> 00:05:43,900
+المحتويات، بدل ما أنا معظم أكل سكر أو معظم أكل
+
+70
+00:05:43,900 --> 00:05:47,900
+دهون أو معظم أكل كذا، بحاول أعمل اللي هي الـmix
+
+71
+00:05:47,900 --> 00:05:52,540
+الطبيعي للـfood، meal plan developed with
+
+72
+00:05:52,540 --> 00:05:55,500
+dietician، يفضل حقيقة، خاصة لما يكون السكر من
+
+73
+00:05:55,500 --> 00:05:59,220
+النوع الـuncontrolled، ويكون طبعا زي ما قلنا
+
+74
+00:05:59,220 --> 00:06:00,460
+balanced،
+
+75
+00:06:02,490 --> 00:06:07,990
+ومش ممنوع، هذا القناة اللي بنكررها دايما، مش ممنوع
+
+76
+00:06:07,990 --> 00:06:15,930
+أي أكل عن أي مريض سكر، لكن خير الأمور الوسط ودايما
+
+77
+00:06:15,930 --> 00:06:20,470
+بالاتفاق مع الـ«دياتيشين» وممكن واحد يأكل بعض
+
+78
+00:06:20,470 --> 00:06:24,750
+الحاجات الـExercise هو essential part of diabetes
+
+79
+00:06:24,750 --> 00:06:28,890
+managementالـ exercise مش مقصود فيه يا جماعة ألبس
+
+80
+00:06:28,890 --> 00:06:34,750
+ال joking suit و ال boat و أروح أجري على البحر،
+
+81
+00:06:34,750 --> 00:06:41,950
+انما ال exercise جزء منه المشي
+
+82
+00:06:43,330 --> 00:06:48,150
+خطوات كثيرة خلال النهار هذا المقصود في الموضوع
+
+83
+00:06:48,150 --> 00:06:53,230
+طبعا لو صحيح في بعض نوعيات الرياضات لمانع من ذلك
+
+84
+00:06:53,230 --> 00:06:57,770
+لكن حتى لا نثقل على الناس و لازم كل يوم تنزل تجري
+
+85
+00:06:57,770 --> 00:07:01,990
+لإنما الحركة العادية ولكن بصورة أكبر و بصورة تكون
+
+86
+00:07:01,990 --> 00:07:06,850
+فعالة يبدو كويسة وإيش بيعمل ال exercise increase
+
+87
+00:07:06,850 --> 00:07:12,480
+insulin sensitivityبنزل السكر وبنزل اللي هو الـ
+
+88
+00:07:12,480 --> 00:07:17,620
+Insulin Resistance توكسمول Carbohydrate Snakes كل
+
+89
+00:07:17,620 --> 00:07:21,240
+30 Minutes During Exercise To Prevent Hypoglycemia
+
+90
+00:07:21,240 --> 00:07:24,700
+لما احنا عارفين ان رياضة تستهلك الطاقة، تستهلك
+
+91
+00:07:24,700 --> 00:07:30,270
+السكر، فانا ماقدش ادخل العيان في Hypoglycemiaفهو
+
+92
+00:07:30,270 --> 00:07:34,650
+ممكن ياكله أي حاجة خفيفة و هو ماشي طبعا مش واجبة،
+
+93
+00:07:34,650 --> 00:07:40,310
+snakes، يعني حاجة سريعة بحيث أن السكر يظل محافظ
+
+94
+00:07:42,090 --> 00:07:46,430
+ممكن نعمل أكسرسايز بعد الميال أكسرسايز should be
+
+95
+00:07:46,430 --> 00:07:54,010
+individualized كل بني آدم حسب وضعه مريض السكر
+
+96
+00:07:54,010 --> 00:07:58,650
+وعنده مشاكل مفاصل تختلف أكسرسايزه عن مريض السكر
+
+97
+00:07:58,650 --> 00:08:02,390
+واللي عنده ضغط وهكذا monitor blood glucose level
+
+98
+00:08:02,390 --> 00:08:06,090
+before during and after أكسرسايز ضروري طبعا من
+
+99
+00:08:06,090 --> 00:08:11,660
+الأكسرسايز المحبوبة جدا جدا غير المشياللي هي موضوع
+
+100
+00:08:11,660 --> 00:08:18,320
+السباحة swimming من
+
+101
+00:08:18,320 --> 00:08:23,060
+الأساسيات بتاعة الـ diabetes mellitus اللي هو الـ
+
+102
+00:08:23,060 --> 00:08:25,900
+monitoring blood glucose اللي احنا بيقول عنها الـ
+
+103
+00:08:25,900 --> 00:08:30,120
+self monitoring blood glucose وهذا من الأساسيات ال
+
+104
+00:08:30,120 --> 00:08:36,000
+schooling أو التعليمهؤلاء المرضى لازم أعلمه من بدر
+
+105
+00:08:36,000 --> 00:08:40,200
+يعمل «self-monitoring» يفحص لنفسه، ليش؟ لأن هو
+
+106
+00:08:40,200 --> 00:08:44,460
+بيصير بعد ذلك مش معقول كل شويه بدي أخد decisionمن
+
+107
+00:08:44,460 --> 00:08:47,240
+اللي بتصل في الطبيب أو في الـDietician لأ إنما هو
+
+108
+00:08:47,240 --> 00:08:52,660
+بتعلم بعلمه عن طريق بعين القوائم لما يكون سكرك كذا
+
+109
+00:08:52,660 --> 00:08:57,640
+أخد كذا و أعطي كذا و هيك يعني فـself monitoring of
+
+110
+00:08:57,640 --> 00:09:02,260
+blood glucose SMBG allows self management decision
+
+111
+00:09:02,260 --> 00:09:06,060
+regarding diet exercise and medication important
+
+112
+00:09:06,060 --> 00:09:11,210
+for detecting episodic hyperglycemiaوهيبوغلايسيميا
+
+113
+00:09:11,210 --> 00:09:15,050
+وpatient education زي ما قلنا is crucial مافيش
+
+114
+00:09:15,050 --> 00:09:19,410
+مجال لازم يتعلم لأنه في أحضن اللحظات لازم يتمد على
+
+115
+00:09:19,410 --> 00:09:23,830
+نفسه حتى لو كان طفل صغير احنا أنا بعرف أطفال سبعة
+
+116
+00:09:23,830 --> 00:09:29,130
+و تمان سنين اتعلم كيف يعمل self-monitoring أمر سهل
+
+117
+00:09:29,130 --> 00:09:35,700
+وبسيط من الحاجات اللي تقريبا الآنبحاول العلم أو
+
+118
+00:09:35,700 --> 00:09:39,660
+الطب يوجدها اللي هي بما أنه أنا في type one على
+
+119
+00:09:39,660 --> 00:09:44,440
+سبيل المثال عندي بانكرياس Ilet cells أو beta cells
+
+120
+00:09:44,440 --> 00:09:51,020
+destructed اللي هو موضوع بانكرياس transplantation
+
+121
+00:09:53,750 --> 00:09:57,130
+وطبعاً هذا بنعمله حقيقة في الـDiabetes I ويكون
+
+122
+00:09:57,130 --> 00:10:02,510
+معاه اللي هو End-stage Renal Disease ويكون لديه أو
+
+123
+00:10:02,510 --> 00:10:07,170
+مخطط لديه ترانسبلانت كيدنيا تخلص من الحاجة من
+
+124
+00:10:07,170 --> 00:10:10,110
+الإنسولين الإكسيجيناسي بعد هيك، محتاج إنسولين
+
+125
+00:10:10,110 --> 00:10:13,750
+براني، ويمكن أيضا تخلص من الـhypoglycemia
+
+126
+00:10:13,750 --> 00:10:17,160
+والـhyperglycemiaبالمناسبة بس لأنه أجاني سؤال
+
+127
+00:10:17,160 --> 00:10:23,080
+الـ«Gestational Diabetes» أحنا أعتبرناه نوع من
+
+128
+00:10:23,080 --> 00:10:27,990
+أنواع الـType 2والـ Type 2 بنقدر ندّي علاج أي oral
+
+129
+00:10:27,990 --> 00:10:32,990
+مثلا ديابتكا لكن لأ ال gestational بندّي انسولين
+
+130
+00:10:32,990 --> 00:10:37,690
+فكان السؤال ليش طيب ندّي انسولين وندّيهوش oral انت
+
+131
+00:10:37,690 --> 00:10:41,790
+ديابتكا هو عشان ال side effects تبعت اللي علاجه أن
+
+132
+00:10:41,790 --> 00:10:46,710
+الانسولين ليس side effects على الجنين لكن ال oral
+
+133
+00:10:46,710 --> 00:10:53,770
+antidiabetic فيلها side effects ففضلنا موضوع ال
+
+134
+00:10:55,000 --> 00:11:05,980
+الإنسلين من الـ Complication بتاعة الـ Diabetes من
+
+135
+00:11:05,980 --> 00:11:11,080
+الـ Complication فينا طبعا Acute Complications حنا
+
+136
+00:11:11,080 --> 00:11:18,360
+دلوقت دخلنا على موضوع غير في الأهمية ليش؟
+
+137
+00:11:18,360 --> 00:11:23,690
+لأنه خلاص الواحد ممكن يعيشويتعايش طبعا يتعايش الآن
+
+138
+00:11:23,690 --> 00:11:30,250
+هذه كلمة صرعت العصر الحالي التعايش ممكن واحد
+
+139
+00:11:30,250 --> 00:11:35,290
+يتعايش مع الـ diabetes لكن يريد أن ياخد باله من
+
+140
+00:11:35,290 --> 00:11:42,250
+الـ acute and chronic complications إيش ال acute
+
+141
+00:11:42,250 --> 00:11:47,150
+complications؟ على رأسها الـ hypoglycemia وحاجة
+
+142
+00:11:47,150 --> 00:11:52,220
+تانية الـ hyperglycemiaالـ hypoglycemia إنه أنا
+
+143
+00:11:52,220 --> 00:11:57,740
+أدي too much insulin أو oral agents يعني، بغض
+
+144
+00:11:57,740 --> 00:12:05,100
+النظر، إنما أدي بزيادة، وماكنش باخد سكر، يعني
+
+145
+00:12:05,100 --> 00:12:09,840
+بمعنى مثلا، أنا باخد قبل 1.25 ساعة الإنسولين
+
+146
+00:12:12,400 --> 00:12:16,220
+على أساس إنه شوي يلا بدأ أفطر أو بدأ أتغدى أو كذا
+
+147
+00:12:16,220 --> 00:12:21,840
+وبيجي بعد ما أخدت الإنسولين حاجة بتخليني أنسى أكل
+
+148
+00:12:21,840 --> 00:12:25,840
+أو أطلع مشوار أو استدعوني هان أو كذا، بشتغل
+
+149
+00:12:25,840 --> 00:12:29,680
+الإنسولين، بنزل السكر، بدخل في hypoglycemia، سلامة
+
+150
+00:12:29,680 --> 00:12:33,540
+سلمك وتعيش مشكلة كبيرة، hypoglycemia ممكن تأثرلي
+
+151
+00:12:33,540 --> 00:12:38,700
+وتعمللي brain damageيبقى لازم يكون in relationship
+
+152
+00:12:38,700 --> 00:12:43,460
+to glucose availability لازم أدي الإنسولين، بمعنى
+
+153
+00:12:43,460 --> 00:12:52,440
+لازم أعطي الإنسولين وأكل على طول، مش أخد يعني كمية
+
+154
+00:12:52,440 --> 00:12:57,950
+الأكل اللي أنا محتاجهاكيف تظهر الـ Hypoglycemia؟
+
+155
+00:12:57,950 --> 00:13:03,270
+Symptoms and Signs Confusion Irritability Anxiety
+
+156
+00:13:03,270 --> 00:13:10,520
+Tachycardia Diaphoresis تعرق Tremor رجةبصير واحد
+
+157
+00:13:10,520 --> 00:13:15,240
+زي الجعان، weakness تعب، visual disturbance، مش
+
+158
+00:13:15,240 --> 00:13:19,720
+شايف زي الناس، if untreated، بيصير انه loss of
+
+159
+00:13:19,720 --> 00:13:23,320
+consciousness، lock، loss of consciousness،
+
+160
+00:13:23,320 --> 00:13:28,660
+seizure، كومة، وممكن death طب العلاقة الآن يا
+
+161
+00:13:28,660 --> 00:13:34,900
+جماعة، لو انا، لو انا في حد، بعرف انه سكري، لكن
+
+162
+00:13:34,900 --> 00:13:40,660
+اغيب، وانا مش عارفهل اللي صار معاه hypoglycemia
+
+163
+00:13:40,660 --> 00:13:45,500
+ولا hyperglycemia؟ أكل بزيادة ولا ماكلش؟ كيف
+
+164
+00:13:45,500 --> 00:13:54,020
+أتعامل معاه؟ أه، إيش رايك؟ إيش رايك؟ أتعامل معاه
+
+165
+00:13:54,020 --> 00:14:04,180
+hypoglycemia ولا hyperglycemia؟ صح، برضه صح أه،
+
+166
+00:14:04,180 --> 00:14:07,540
+بتعامل معاه أنه hypoglycemia، ليش؟
+
+167
+00:14:10,450 --> 00:14:15,530
+لأنه هي الأخطر فانا باقد بمبدأ الحيطة أكتر طب إيش
+
+168
+00:14:15,530 --> 00:14:23,070
+بعمل؟ بدي سكر طب افرض هو مافد هو hyperglycemia ودت
+
+169
+00:14:23,070 --> 00:14:27,850
+السكر ممكن مش هيضره كتير لكن لو مادتوش سكر هينضر
+
+170
+00:14:27,850 --> 00:14:32,510
+جدا يبقى دائما بتعامل في حالات ال coma في مرضى
+
+171
+00:14:33,160 --> 00:14:37,460
+الديابتس على أساس إنه hypoglycemia لما يكون عنده
+
+172
+00:14:37,460 --> 00:14:40,260
+acute loss of consciousness على أساس إنه
+
+173
+00:14:40,260 --> 00:14:44,900
+hypoglycemia مش hyperglycemia لأن الـ hypoglycemia
+
+174
+00:14:44,900 --> 00:14:50,780
+أخطر من الـ hyperglycemia في النتائج تبعتها يبقى
+
+175
+00:14:50,780 --> 00:14:54,460
+من أهم ال acute complications of diabetes mellitus
+
+176
+00:14:54,460 --> 00:15:00,260
+اللي هي الـ hypoglycemia طب إيش يعمل لو صار عنده
+
+177
+00:15:00,260 --> 00:15:06,280
+hypoglycemiaهو طبعا إذا كان ولّا لسه by
+
+178
+00:15:06,280 --> 00:15:12,880
+consciousness صح صح بس الله مقن tremor و hunger و
+
+179
+00:15:12,880 --> 00:15:16,160
+weakness و visual disturbance تاكد كارديا confused
+
+180
+00:15:16,160 --> 00:15:19,480
+بدي حاجة fruit choice
+
+181
+00:15:22,280 --> 00:15:29,680
+عشان حاجة simple carbohydrate أو إذا موجود برا فيه
+
+182
+00:15:29,680 --> 00:15:37,920
+أقراس سكر موجودة برا ممكن يعطيها الواحد، طبعا مش
+
+183
+00:15:37,920 --> 00:15:44,500
+أروح أدي جطعة بيتزا، مينفعش، ليش؟ لأن هذا complex
+
+184
+00:15:44,500 --> 00:15:48,460
+carbohydrate، بدي أنا حاجة simple على طول، بمجرد
+
+185
+00:15:48,460 --> 00:15:54,640
+ما اشربهاتكون متوسطة وغيرت وضع الـhypoglycemia
+
+186
+00:15:54,640 --> 00:15:58,860
+avoid sweets with fat لأن عملية الabsorption تبقى
+
+187
+00:15:58,860 --> 00:16:04,500
+أصعب وممكن كل 15 دقيقة أعملها لحد ما يصير السكر
+
+188
+00:16:04,500 --> 00:16:09,780
+تبعه فوق السبعين تقريبا و بعدين يأكل طبعا هذه حاجة
+
+189
+00:16:09,780 --> 00:16:13,640
+بتصير يوميا أن يصير عنده symptoms and signs of
+
+190
+00:16:13,640 --> 00:16:18,190
+hypoglycemiaلسة مش انا مابحكيش كلها الـ loss of
+
+191
+00:16:18,190 --> 00:16:20,550
+consciousness و seizure و coma و death لأ مش هذا
+
+192
+00:16:20,550 --> 00:16:25,270
+الموضوع لأ إنما هذه عوارض طبيعية فممكن هو ياخدلها
+
+193
+00:16:25,270 --> 00:16:31,610
+ياخدلها سكر سمبل سكر الآن في لكن حاجة تانية بتصير
+
+194
+00:16:31,610 --> 00:16:35,310
+لو أنا عندي واحد coma مثلا أو seizure بدي حاجة
+
+195
+00:16:35,310 --> 00:16:36,330
+اسمها glucagon
+
+196
+00:16:40,210 --> 00:16:45,890
+هو بدي إما IM أو بدي subcutaneous عبارة عن إبرة
+
+197
+00:16:45,890 --> 00:16:52,630
+pen، زي الجلم، بغزها في جسمه، وهذا إيش بيعمل؟ هو
+
+198
+00:16:52,630 --> 00:16:57,890
+عبارة عن الـ counter player تبع من؟ تبع الإنسولين،
+
+199
+00:16:57,890 --> 00:17:02,770
+هو دائما على تضاد من الإنسولين، الإنسولين بنزل
+
+200
+00:17:02,770 --> 00:17:04,890
+السكر، وهذا برفع السكر
+
+201
+00:17:07,440 --> 00:17:12,580
+وكمان ممكن ينعطق بنفس الصورة من المشاكل والـ acute
+
+202
+00:17:12,580 --> 00:17:15,460
+complications اللي بتسير في الـ diabetes طبعا في
+
+203
+00:17:15,460 --> 00:17:20,020
+حاجات أكتر بس أنا هنا حاكي عنها اللي هي الـ
+
+204
+00:17:20,020 --> 00:17:23,780
+diabetic ketoacetosis اللي احنا بيقول عنها ايش؟
+
+205
+00:17:23,780 --> 00:17:24,300
+DKA
+
+206
+00:17:28,020 --> 00:17:33,780
+Diabetic ketoacidosis يعني سكري كيتو من كيتونز لأن
+
+207
+00:17:33,780 --> 00:17:38,400
+مشكلتي هي مشكلة كيتونز و Acidosis حموضة حموضة
+
+208
+00:17:38,400 --> 00:17:42,920
+الكيتونز اللي بتصير وهذه عبارة عن life-threatening
+
+209
+00:17:42,920 --> 00:17:48,860
+complication of type 1ممكن تجي في type 2 لكن هي
+
+210
+00:17:48,860 --> 00:17:51,820
+mainly في type 1 في كتير والأحيان تبقى ال fast
+
+211
+00:17:51,820 --> 00:17:56,740
+presentation عند الأطفال أو عند الأصغار في ال type
+
+212
+00:17:56,740 --> 00:18:02,180
+1 اللي هي بيبقى عنده سكري هو لكن بيجي infection
+
+213
+00:18:02,180 --> 00:18:07,620
+بتيجي أي stressors زي psychological stressors أو
+
+214
+00:18:07,620 --> 00:18:12,820
+واحد بياخد انسلين وما خدش الانسلين تبعه نسي، ضاع،
+
+215
+00:18:12,820 --> 00:18:17,600
+ماعرفش إيش بدوشيأخذ الإنسولين in compliance، عدم
+
+216
+00:18:17,600 --> 00:18:21,960
+تعاون، وما أخدش الإنسولين بأي صورة من الصور، ممكن
+
+217
+00:18:21,960 --> 00:18:26,560
+يقلل السكر إلى درجات 400، 500، 600، 700، ويدخل في
+
+218
+00:18:26,560 --> 00:18:31,400
+DKA، يمجد الـDKA هو عبارة عن hyperglycemia
+
+219
+00:18:31,400 --> 00:18:36,780
+وtypical symptoms تبعتهأو طبعا في الـ Undiagnosed
+
+220
+00:18:36,780 --> 00:18:39,740
+Diabetes، واحد مش معروف انه Diabetes، اتعرض ل
+
+221
+00:18:39,740 --> 00:18:43,280
+-infection، لجينا عنده إيش، صار decay، من
+
+222
+00:18:43,280 --> 00:18:45,840
+الـTypical Symptoms، vomiting, dehydration,
+
+223
+00:18:47,280 --> 00:18:50,220
+gasping, breathing, confusion and occasionally
+
+224
+00:18:50,220 --> 00:18:58,230
+comaحقيقة صورة عنيفة من الـ Hyperglycemia والعلاج
+
+225
+00:18:58,230 --> 00:19:02,330
+تبعها بسيط جدا، بس أهم شيء يكون الـ index of
+
+226
+00:19:02,330 --> 00:19:08,510
+suspicion عند الواحد عالي وكبير، IV fluid، ليش؟
+
+227
+00:19:08,510 --> 00:19:12,390
+لأن هدول المرضى بدخلوا في dehydration، لازم أدي
+
+228
+00:19:12,390 --> 00:19:16,490
+إنسولين، ليش؟ عشان suppress the production of
+
+229
+00:19:16,490 --> 00:19:22,100
+ketones in the bodyوأشوف إيش ال underlying cause،
+
+230
+00:19:22,100 --> 00:19:26,660
+إيش اللي عملني المشكلة، والله إذا كان زي ما
+
+231
+00:19:26,660 --> 00:19:30,600
+بقولوها infection، هعالج ال infection، إذا مزعلة
+
+232
+00:19:30,600 --> 00:19:36,360
+مع جوزها، مرضيها، إذا بدأت طلج،غير الوضع المهم
+
+233
+00:19:36,360 --> 00:19:40,080
+يعني بدنا نشوف حل في الموضوع لازم أحل الموضوع
+
+234
+00:19:40,080 --> 00:19:43,320
+close observation to prevent and identify
+
+235
+00:19:43,320 --> 00:19:46,100
+complications و بالمناسبة الـ diabetic
+
+236
+00:19:46,100 --> 00:19:51,080
+ketoacidoses غالبيتهم 90% بدخلوا عناية مركزة ليش؟
+
+237
+00:19:51,080 --> 00:19:54,080
+لأنه زي ما قلنا is a vigorous condition of
+
+238
+00:19:54,080 --> 00:19:58,920
+hyperglycemia ممكن تعملي مشاكل كبيرة و هيك احنا
+
+239
+00:19:58,920 --> 00:20:03,600
+بننجل لمين؟ بننجل لل chronic complication of
+
+240
+00:20:03,600 --> 00:20:08,200
+diabetesالـ Chronic Complication كرونك يعني يعني
+
+241
+00:20:08,200 --> 00:20:10,880
+يعني بدي سنوات عشان تصير الـ Complication هاي ممكن
+
+242
+00:20:10,880 --> 00:20:16,980
+توصل عشر سنوات خمسة عشر سنة بعد ما اكتشف اللي هو
+
+243
+00:20:16,980 --> 00:20:25,400
+ال ال diabetes من ال chronic ال chronic
+
+244
+00:20:25,400 --> 00:20:28,780
+complications
+
+245
+00:20:28,780 --> 00:20:33,510
+of diabetes mellitusعنا حاجات بنقول عنها
+
+246
+00:20:33,510 --> 00:20:38,570
+macrovascular وهذا طبعا أنا بحكي عنها معظمها بتكون
+
+247
+00:20:38,570 --> 00:20:48,610
+تأثيرها على الشراين أو الشعيرات الدموية وهي
+
+248
+00:20:48,610 --> 00:20:53,270
+بالتالي بتأثرلي على العضو المقصود يعني شغلها
+
+249
+00:20:53,270 --> 00:20:59,650
+مشكلتها في الشراينأو طبعاً بتأثرلي على الأعصاب
+
+250
+00:20:59,650 --> 00:21:04,010
+الطرفية مباشرة أو الشراين اللي بتغذيها هيك تقريبا
+
+251
+00:21:04,010 --> 00:21:11,590
+الفكرة يعني بمعنى بتعملي حاجة اسمها Angiopathy مرض
+
+252
+00:21:11,590 --> 00:21:17,230
+أنجيو اللي هو الواعي الدموي blood vessel disease
+
+253
+00:21:17,230 --> 00:21:22,970
+من خلال تأثيرها على blood vessel بيصير عملية
+
+254
+00:21:22,970 --> 00:21:28,950
+المشاكل في العضو المكسورماكروفاسكولر معناته بتصيب
+
+255
+00:21:28,950 --> 00:21:34,490
+للـ large and mid-sized vessel وطبعاً هذا إليه
+
+256
+00:21:34,490 --> 00:21:39,830
+علاقة حقيقة بالـ lipid و metabolism of diabetes to
+
+257
+00:21:39,830 --> 00:21:42,550
+altered lipid يعني علاقة بين ال lipid metabolism
+
+258
+00:21:42,550 --> 00:21:48,290
+مع ال diabetes طبعا بنتصور الأماكن اللي الشرايين
+
+259
+00:21:48,290 --> 00:21:55,490
+فيها بتتأثر بارتفاع السكر شراين الدماغ شراين القلب
+
+260
+00:21:57,600 --> 00:22:03,180
+الشرايين الطرفية طب هو ضايل حاجة مثلا مش ضايل حاجة
+
+261
+00:22:03,180 --> 00:22:07,460
+صحيح كلامه هو هدوله هو أي البني آدم زي ما يقولوها
+
+262
+00:22:07,460 --> 00:22:13,700
+مخه قلبه وشرايين طرفية و micro vascular وهدى
+
+263
+00:22:13,700 --> 00:22:17,920
+بنشوفها due to thickening of a small vessel
+
+264
+00:22:17,920 --> 00:22:23,160
+membrane هنجي لايلها بعد شوية طيب هوالـ Epidemic
+
+265
+00:22:23,160 --> 00:22:30,800
+of Chronic Diabetic Complications بتصيب كتير يعني
+
+266
+00:22:30,800 --> 00:22:36,100
+كتير كتير؟ أه يعني متوقع إنه من الأرقام اللي
+
+267
+00:22:36,100 --> 00:22:45,680
+حكيناها إن حوالي في 2025 كان 380 مليون إنسان
+
+268
+00:22:47,110 --> 00:22:53,170
+انصاب بمشاكل في الـ Chronic Complications وزي ما
+
+269
+00:22:53,170 --> 00:22:59,990
+احنا شايفين على في الصورة انه Retinopathy اللي هي
+
+270
+00:22:59,990 --> 00:23:07,510
+شبكية العين وبالتالي بتعمل Blindness in people of
+
+271
+00:23:07,510 --> 00:23:11,770
+working age يعني مش بس Blindness لو واحد عمره 70
+
+272
+00:23:11,770 --> 00:23:17,000
+ولا 80 سنة لأ لو واحد بشتغل يعني لسه منتجريتينو
+
+273
+00:23:17,000 --> 00:23:21,840
+باثي ريتينو
+
+274
+00:23:21,840 --> 00:23:29,720
+باثي ريتينو شبكية باثي مرض شبكية نفرو كيلة نفرو
+
+275
+00:23:29,720 --> 00:23:33,620
+باثي في الكيلة بيصير عندك مشاكل 16% of new
+
+276
+00:23:33,620 --> 00:23:39,060
+patients needing renal replacement therapy ناس
+
+277
+00:23:39,060 --> 00:23:46,420
+بتحتاج زرع كيلة بسبب السكريأيش كمان؟ في عندنا كمان
+
+278
+00:23:46,420 --> 00:23:50,540
+macrovascular and cerebrovascular disease اتنين
+
+279
+00:23:50,540 --> 00:23:55,840
+لتلات مرات إمكانية الإصابة أو ال risk of coronary
+
+280
+00:23:55,840 --> 00:24:03,020
+heart disease and stroke food problems 15% of
+
+281
+00:24:03,020 --> 00:24:09,800
+people with diabetes developFood Ulcers 5-15% of
+
+282
+00:24:09,800 --> 00:24:13,680
+people with diabetic food ulcers need amputation
+
+283
+00:24:13,680 --> 00:24:21,580
+Ergtyral dysfunction 50% من الرجال ممكن يؤثر علي
+
+284
+00:24:21,610 --> 00:24:25,990
+with long-standing diabetes يكون عندهم erectile
+
+285
+00:24:25,990 --> 00:24:31,270
+dysfunction هو طبعا ماعرفش إذا الكل فاهمها لكن على
+
+286
+00:24:31,270 --> 00:24:37,430
+أي حال هو عبارة عن ضعف في الانقصاب عند الرجالالـ
+
+287
+00:24:37,430 --> 00:24:42,410
+50% اللي عنده سكري يصاب بمشكلة زي هيك يعني أنا
+
+288
+00:24:42,410 --> 00:24:48,890
+بحكي جاعد عن مشاكل بتأثر على الحياة مباشرة سواء في
+
+289
+00:24:48,890 --> 00:24:52,710
+الـ Retina، سواء في الكلة، سواء في القلب، سواء في
+
+290
+00:24:52,710 --> 00:24:57,590
+الـ Sexual Life، هذه كلها بتتأثر بصورة أو بأخرى
+
+291
+00:24:57,590 --> 00:25:03,930
+بموضوع اللي هو Diabetes Militas
+
+292
+00:25:06,260 --> 00:25:10,060
+الـ Microvascular كمان مرة نعود نعيد Microvascular
+
+293
+00:25:10,060 --> 00:25:14,360
+زي الـ Retinopathy، leading cause of new
+
+294
+00:25:14,360 --> 00:25:18,940
+blindness، واحد ما عندهوش برض في العينولكن صار
+
+295
+00:25:18,940 --> 00:25:23,440
+عنده سكري من الأسباب الأساسية للـblindness فيها
+
+296
+00:25:23,440 --> 00:25:26,580
+وفي مرضى السكر اللي بيصير عنده hemorrhage بيصير
+
+297
+00:25:26,580 --> 00:25:31,060
+retinal detachment انفصال شبكي، nephropathy بيؤدي
+
+298
+00:25:31,060 --> 00:25:36,160
+لإنه يكون في عندي damage للشرايين اللي رايحة على
+
+299
+00:25:36,160 --> 00:25:41,380
+الوحدات التصفية الـglomeruli، وحدات التصفية في
+
+300
+00:25:41,380 --> 00:25:50,750
+الكلةو فبتدى الى ESRD فكروا
+
+301
+00:25:50,750 --> 00:25:59,710
+معاى لأ مش هنعملها assignment ولا حاجة المرة هى
+
+302
+00:25:59,710 --> 00:26:05,640
+بدون assignment ان شاء الله تعالىإيش الـ ESRD؟
+
+303
+00:26:05,640 --> 00:26:10,940
+اللي هو End Stage Renal Disease أو Failure End
+
+304
+00:26:10,940 --> 00:26:14,500
+Stage Renal Disease End Stage Renal Disease يعني
+
+305
+00:26:14,500 --> 00:26:20,040
+مرض كلا في نهايته End Stage Renal Disease من
+
+306
+00:26:20,040 --> 00:26:24,740
+الأسباب الأساسية السكري وطبعا حكينا نسبة 18% بسيطة
+
+307
+00:26:24,740 --> 00:26:28,080
+الـ Neuropathy آه، هنا، هنا، هنا عندنا حاجة
+
+308
+00:26:28,080 --> 00:26:35,750
+بنشوفها باستمرارإنه أن الـ neuropathy مرض في العصب
+
+309
+00:26:35,750 --> 00:26:39,710
+sensory neuropathy الـ sensation يصير لـ loss
+
+310
+00:26:39,710 --> 00:26:44,070
+abnormal sensation مش بس loss إنما كمان abnormal
+
+311
+00:26:44,070 --> 00:26:49,050
+pain of hands or foot can progress to partial أو
+
+312
+00:26:49,050 --> 00:26:51,490
+complete loss of sensitivity to touch أو
+
+313
+00:26:51,490 --> 00:26:57,250
+temperature high risk of injury without pain في إن
+
+314
+00:26:57,250 --> 00:27:01,120
+الـ autonomic neuropathyالـ Sensory يعني فيها
+
+315
+00:27:01,120 --> 00:27:04,580
+sensation الـ Autonomic اللي هي الأعضاء اللي
+
+316
+00:27:04,580 --> 00:27:12,360
+بتشتغل بدون الإحساس لكن بتشتغل من نفسها زي بيصير
+
+317
+00:27:12,360 --> 00:27:17,900
+إن حاجة اسمها «hypoglycemic unawareness» تصوروا إن
+
+318
+00:27:17,900 --> 00:27:26,230
+هدول المرضىفي الآخر نتيجة الـ Autonomic Neuropathy
+
+319
+00:27:26,230 --> 00:27:30,090
+بيبطل يحس إنه صار عنده Hypoglycemia شوفت الـ
+
+320
+00:27:30,090 --> 00:27:34,670
+Symptoms اللي اتحدثنا عنها قبل شوية إنه يحس إنه
+
+321
+00:27:34,670 --> 00:27:41,150
+عنده confusion، إنه عنده جعان، إنه tremor، هذا كله
+
+322
+00:27:41,150 --> 00:27:44,990
+بيبطل يحصل Hypoglycemic Unawareness
+
+323
+00:27:47,240 --> 00:27:53,340
+بيقدرش يستوعب جسمه إنه دخل في hypoglycemia إيش
+
+324
+00:27:53,340 --> 00:27:58,820
+كمان؟ silent MI إيش يعني؟ myocardial infection
+
+325
+00:27:58,820 --> 00:28:05,260
+silent بيصير تجيله MI وما
+
+326
+00:28:05,260 --> 00:28:11,780
+يحسش فيها يعني بمعنى أخر بموت بهدوءبدون ما يحس
+
+327
+00:28:11,780 --> 00:28:18,340
+بوجع، عادة هو الوجع اللي بيصير نتيجة autonomic
+
+328
+00:28:18,340 --> 00:28:24,660
+nerves و nerves طبعا بيحس الواحد بالpain، بدي
+
+329
+00:28:24,660 --> 00:28:30,880
+إشارة لدماغ، الدماغ، و هيك، لكن في حالة السكر
+
+330
+00:28:30,880 --> 00:28:35,260
+بيصير عندي silent MI، rectile dysfunction و
+
+331
+00:28:35,260 --> 00:28:39,110
+decreased libidoوالـ Neurogenic Bladder ممكن يصير
+
+332
+00:28:39,110 --> 00:28:42,030
+عندنا مشكلة في الـ what؟ في الـ urine retention
+
+333
+00:28:42,030 --> 00:28:47,610
+هذه من الحاجات اللي بتصير في Neuropathy لكن الـ
+
+334
+00:28:47,610 --> 00:28:49,830
+Neuropathy بتلعب دور مش بس في الـ Sensory and
+
+335
+00:28:49,830 --> 00:28:54,430
+Autonomic Neuropathy إنما بتلعب دور كمان في الـ
+
+336
+00:28:54,430 --> 00:29:01,020
+Diabetic Food لأن احنا حكينا قبل شويةالمشكلة هي أن
+
+337
+00:29:01,020 --> 00:29:06,860
+المشكلة المكروفسكولارية بيعملني peripheral vein
+
+338
+00:29:06,860 --> 00:29:11,640
+disease بيعملني
+
+339
+00:29:11,640 --> 00:29:16,920
+peripheral artery disease وهذا بيقللني supply of
+
+340
+00:29:16,920 --> 00:29:21,140
+oxygen و ال white disease و ال nutrition فبيعملني
+
+341
+00:29:21,140 --> 00:29:28,070
+مشكلة في الفي الـ food بيجي زيادة عليها sensory
+
+342
+00:29:28,070 --> 00:29:31,750
+neuropathy بنجرح طلعوا لا في تغذية زي الناس لل
+
+343
+00:29:31,750 --> 00:29:37,770
+food و بيجي جرح عليها ففي الآخر بيصير عنده
+
+344
+00:29:37,770 --> 00:29:44,290
+diabetic foodمهم جدا جدا مريض السكري يتعلم كيف
+
+345
+00:29:44,290 --> 00:29:49,330
+يجسج أضافره ينتبه من الصدمات للرجل لأنه أي جرح
+
+346
+00:29:49,330 --> 00:29:54,070
+ممكن لأنه شريينه اللي نازلة عن الرجل اللي هو ال
+
+347
+00:29:54,070 --> 00:29:58,870
+peripheral vascular disease اللي عنده أصلا مش واصل
+
+348
+00:29:58,870 --> 00:30:05,540
+دم كفاية و ال sensoryنيرو باتي شغالة على بودنه
+
+349
+00:30:05,540 --> 00:30:10,540
+فانا عندي عاملين اتنين بيمنعوا انه اي جرح يطيب
+
+350
+00:30:10,540 --> 00:30:15,120
+بسهولة او ببساطة فانا لازم انتبه للقضية هذه لازم
+
+351
+00:30:15,120 --> 00:30:19,200
+اعلمه teach prevention of ulceration and injury
+
+352
+00:30:19,200 --> 00:30:25,040
+وهذا الديابتك فوت من الحاجات الأساسية اللي ممكن
+
+353
+00:30:25,040 --> 00:30:32,280
+تؤدي ل non-traumatic non-traumatic amputation
+
+354
+00:30:33,320 --> 00:30:35,620
+«نانتراوماتيك» يعني مش بحاجة السيارة أو لحاجة أنم
+
+355
+00:30:35,620 --> 00:30:38,420
+السكري، يبقى أهم سبب في الـ«نانتراوماتيك
+
+356
+00:30:38,420 --> 00:30:42,460
+أمبيوتاشن» هو الـDiabetes mellitus، من الحاجات
+
+357
+00:30:42,460 --> 00:30:47,360
+اللي كمان بتأثر هو بيصير هدول الناس ليبقى اللي
+
+358
+00:30:47,360 --> 00:30:51,460
+يصير عندهم infection، نتيجة immune deficiency،
+
+359
+00:30:51,460 --> 00:30:57,600
+وأصلا أي واحد بمرض، نتيجة الـsensory neuropathy
+
+360
+00:30:57,600 --> 00:31:01,540
+اللي حكينا عنها قبل شوية، بتصير صعوبة جدا أنك
+
+361
+00:31:01,540 --> 00:31:06,480
+تنتبهلهاوزي ما قلنا الـ decreased circulation
+
+362
+00:31:06,480 --> 00:31:11,160
+delay or prevent immune response هذا ال infection
+
+363
+00:31:11,160 --> 00:31:16,820
+بخصوص اللي هو الـ diabetic foot هذه عوامل الـ
+
+364
+00:31:16,820 --> 00:31:19,960
+immune deficiency delay detection due to sensory
+
+365
+00:31:19,960 --> 00:31:23,100
+neuropathy decreased circulation هذه كلها بتقدر
+
+366
+00:31:23,100 --> 00:31:28,020
+لإيش الـ diabetic foot يعني زي ما قلتلكوا موضوعنا
+
+367
+00:31:28,020 --> 00:31:35,030
+موضوعمش المفروض أنه بده خلينا نقول ممكن محاضرتين،
+
+368
+00:31:35,030 --> 00:31:38,610
+لأ، تلت محاضرات، ساعة و نص، ساعة و نص، ساعة و نص،
+
+369
+00:31:38,610 --> 00:31:42,630
+ساعة و نص، ساعة و نص، ساعة و نص، ساعة و نص، ساعة و
+
+370
+00:31:42,630 --> 00:31:42,790
+نص، ساعة و نص، ساعة و نص، ساعة و نص، ساعة و نص،
+
+371
+00:31:42,790 --> 00:31:42,850
+ساعة و نص، ساعة و نص، ساعة و نص، ساعة و نص، ساعة و
+
+372
+00:31:42,850 --> 00:31:42,850
+نص، ساعة و نص، ساعة و نص، ساعة و نص، ساعة و نص،
+
+373
+00:31:42,850 --> 00:31:44,490
+ساعة و نص، ساعة و نص، ساعة و نص، ساعة و نص، ساعة و
+
+374
+00:31:44,490 --> 00:31:52,560
+نص، ساعة و نص،لكن هذا اللي طالع معانا الآن، إن شاء
+
+375
+00:31:52,560 --> 00:31:55,980
+الله، حتى نعدي هذه الفترة على خير، بالنسبة لموضوع
+
+376
+00:31:55,980 --> 00:31:58,760
+الـDiabetes، من أهم الموضوعات على الإطلاق، وانا
+
+377
+00:31:58,760 --> 00:32:02,880
+الآن بقولكوا جاعد، إن الموضوع هذا هو موضوع
+
+378
+00:32:02,880 --> 00:32:07,140
+الـHypertension، على الأجل من أي امتحان هتدخلوا
+
+379
+00:32:07,140 --> 00:32:12,540
+معايا في الباطنة، هيكونوا بمثل من 10% لـ20% من
+
+380
+00:32:12,540 --> 00:32:16,520
+الامتحان، في الغالب، أي امتحان النهائي أو حتى
+
+381
+00:32:16,520 --> 00:32:19,930
+الـ…ماشي، إن شاء الله تعالى،موضوعين مهمين غير
+
+382
+00:32:19,930 --> 00:32:23,210
+الامتحان إنهم هما موضوعين، موضوعين من مواضيع
+
+383
+00:32:23,210 --> 00:32:28,690
+الحياة المهمة اللي لازم أي حد بيشتغل في الحياة
+
+384
+00:32:28,690 --> 00:32:33,210
+العامة تبع الصحية الطبية سواء دكتور، سواء ممرض،
+
+385
+00:32:33,210 --> 00:32:36,450
+سواء علاج طبيعي، سواء مختبر، لازم يكون نوعا ما
+
+386
+00:32:36,450 --> 00:32:40,410
+بيفهم في الموضوعين هدول، الله يصبحكم بالخير
+
+387
+00:32:40,410 --> 00:32:41,830
+ويعطيكم العافية إن شاء الله السلامة
+
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/Pm6glBUJbFE_postprocess.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/Pm6glBUJbFE_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..fdec2f1356bc2c00527b2f6f22c61cee60054799
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/Pm6glBUJbFE_postprocess.srt
@@ -0,0 +1,1712 @@
+1
+00:00:00,000 --> 00:00:03,320
+بسم الله الرحمن الرحيم الحمد لله رب العالمين
+
+2
+00:00:03,320 --> 00:00:05,900
+الصلاة و السلام علي سيدنا محمد و سيد الباسلين
+
+3
+00:00:05,900 --> 00:00:12,860
+اجمعين اليوم حقيقة هنحكي في موضوع غاية في العملية
+
+4
+00:00:12,860 --> 00:00:19,100
+كتير منتشر عند بعضكم كمان، عند أهليكم، عند الكل
+
+5
+00:00:19,100 --> 00:00:26,260
+عملي جدا الموضوع هذا، مين عمره ماجهوش أو مين عمره
+
+6
+00:00:26,260 --> 00:00:32,680
+أجاه اللي بنقول عنها الحزاز أو الحمودةيعني حاجة
+
+7
+00:00:32,680 --> 00:00:36,400
+حراجة هيت أو قوله في ناس شعاع عنه عن تم المعدة
+
+8
+00:00:36,400 --> 00:00:42,700
+لفوق زي ما احنا شايفين في الصورة نار مشعللة في
+
+9
+00:00:42,700 --> 00:00:46,540
+منطقة تم المعدة وطبعا تم المعدة موجودة في منطقة
+
+10
+00:00:46,540 --> 00:00:50,700
+الصدر يعني جريب من الجلب جريب من الرقتين جريب من
+
+11
+00:00:50,700 --> 00:00:57,030
+حاجات كتير هذا ايش بيقول عنه؟Gastro-Oesophageal
+
+12
+00:00:57,030 --> 00:01:03,130
+Reflex، مش Reflex، Reflex Disease الكل ممكن يكون
+
+13
+00:01:03,130 --> 00:01:09,630
+معاه نتيجة
+
+14
+00:01:09,630 --> 00:01:14,610
+أكل معين، طريقة معينة في الأكل، يصير عنده Gastro
+
+15
+00:01:14,610 --> 00:01:15,310
+يعني معدى،
+
+16
+00:01:19,830 --> 00:01:25,230
+الحامض أو الأكل من المعدة إلى المريء وهو عبارة عن
+
+17
+00:01:25,230 --> 00:01:29,030
+disease عامليا gastroesophageal reflux disease
+
+18
+00:01:29,030 --> 00:01:34,910
+اللي بنقول عنه ايش؟ GERD زي GERD يعني GERD اختصار
+
+19
+00:01:34,910 --> 00:01:39,250
+ل gastroesophageal reflux disease زي ما قلنا كتير
+
+20
+00:01:39,250 --> 00:01:43,170
+من الناس بيصير معاهم مين بيصير معاها او بيصير
+
+21
+00:01:43,170 --> 00:01:48,840
+معاها زي هيك؟حمودة أو شعاع أو حزاز زي ما نقول عنها
+
+22
+00:01:48,840 --> 00:01:53,980
+أو ارتجاع حتى في بعض الناس في نص الليل لما بتعشى
+
+23
+00:01:53,980 --> 00:01:57,920
+متأخر ممكن يكون زي المخنوق ليش؟ لإنه صار عنده
+
+24
+00:01:57,920 --> 00:02:03,940
+ارتجاع للمادة الحامضة هاي وين طلعت من المعدة
+
+25
+00:02:03,940 --> 00:02:08,240
+للمريق ومش بس وراحت دخلت على التركيا راحت دخلت على
+
+26
+00:02:08,240 --> 00:02:11,320
+ال larynx على الحندرة وعلى التركيا وهذه من الحاجات
+
+27
+00:02:11,320 --> 00:02:16,690
+الصعبة اللي بحس الواحد بعض الاحيان بالليللتحدّث
+
+28
+00:02:16,690 --> 00:02:20,290
+الآن عن Gehrig's gastroesophageal reflux disease
+
+29
+00:02:20,290 --> 00:02:26,520
+وبنقول عنه كمان acid refluxهو عبارة عن a chronic
+
+30
+00:02:26,520 --> 00:02:30,380
+illness that affects خمسة لسبعة في المية of the
+
+31
+00:02:30,380 --> 00:02:35,320
+world population وانا بأكد هذا خمسة لسبعة لكل ال
+
+32
+00:02:35,320 --> 00:02:39,320
+world لكن في منطقة البحر الأبيض المتوسط في بلادنا
+
+33
+00:02:39,320 --> 00:02:42,700
+الناس اللي بتستخدم الشطة والفلفل في المكسيك وكذا
+
+34
+00:02:42,700 --> 00:02:46,020
+هتلاقيها أعلى بكثير and it's associated with a
+
+35
+00:02:46,020 --> 00:02:49,880
+serious medical complication if untreated قضية
+
+36
+00:02:49,880 --> 00:02:55,190
+الآن أنا مش بس بحكي عن بس حموظة ويلاوبأخد أحاجة
+
+37
+00:02:55,190 --> 00:02:58,270
+وبمشي لحالة يعني بعض الأحيان تعملي مشاكل هنتعرف
+
+38
+00:02:58,270 --> 00:03:01,090
+على الموضوع هذا من خلال المحاضرة it's a condition
+
+39
+00:03:01,090 --> 00:03:05,570
+in which the liquid content السائل الموجود في
+
+40
+00:03:05,570 --> 00:03:10,310
+المعدة of the stomach regurgitates بيصير له عملية
+
+41
+00:03:10,310 --> 00:03:16,830
+إيش ارتجاع back up or reflux into the esophagus
+
+42
+00:03:16,830 --> 00:03:21,370
+the liquid can inflame هذا طبعا ال liquid عبارة
+
+43
+00:03:21,370 --> 00:03:30,350
+عمليا عن ميه نارحامض شديد الحمودة حامض
+
+44
+00:03:30,350 --> 00:03:41,530
+الـ HCL وهذا الحامض المفروض أنه لا يهضم المعدة لأن
+
+45
+00:03:41,530 --> 00:03:46,470
+المعدة مهيئة بجدار يحميها من الحامض لكن إذا الحامض
+
+46
+00:03:46,470 --> 00:03:51,410
+هذا راح على منطقة مافيش فيها هذا الجدار زي المريء
+
+47
+00:03:51,410 --> 00:03:56,400
+الاسوفيقاThis occurs in a minority of patients
+
+48
+00:03:56,400 --> 00:04:01,920
+ساعتها بيصير عندي مشكلة محترمة شايفين الصورة
+
+49
+00:04:01,920 --> 00:04:06,500
+الصغيرة هان اللي فيها حمار هذه احتقان وحمرار
+
+50
+00:04:06,500 --> 00:04:12,320
+والتهاب تم المعدة الصورة هاي شكلها تصورواالواحد
+
+51
+00:04:12,320 --> 00:04:15,640
+لما بيكون على جلده في حاجة محمرة وكذا بيعرفش يقعد
+
+52
+00:04:15,640 --> 00:04:19,900
+منها فبانا لما تكون على تُم المعدة مش بس بتعملي زي
+
+53
+00:04:19,900 --> 00:04:23,100
+ما قلنا حموضة وارتجاع لكن هتعملي حاجات تانية بعد
+
+54
+00:04:23,100 --> 00:04:30,300
+شوية The regurgated liquid usually contains حامض
+
+55
+00:04:30,300 --> 00:04:36,610
+ومبسينالبيبسين بتفرزه مين؟ بتفرزه المعدة بيبسين is
+
+56
+00:04:36,610 --> 00:04:41,230
+an enzyme that begins the digestion of protein in
+
+57
+00:04:41,230 --> 00:04:45,560
+the stomach هتجد الـ Reflex liquidممكن زي ما قلنا
+
+58
+00:04:45,560 --> 00:04:48,780
+يكون فيه أيضًا إيش بايل إيش بايل العصارة الصفروية
+
+59
+00:04:48,780 --> 00:04:52,860
+هذه اللي بتبقى جاية من وين من الدودنام الـ12 جاية
+
+60
+00:04:52,860 --> 00:04:57,960
+على المعدد لكن حقيقة هذا المحتوى تبع الحامض أو تبع
+
+61
+00:04:57,960 --> 00:05:01,880
+الـFluid اللي بيسير في عملية ارتجاع عبارة عن حامض
+
+62
+00:05:01,880 --> 00:05:07,420
+بيبسين وكمان في بايل اللي هو المادة الصفرة اللي
+
+63
+00:05:07,420 --> 00:05:13,660
+بترجع من من الدودنام تيجي علىبتيجي على المعدة لكن
+
+64
+00:05:13,660 --> 00:05:18,440
+أسوأهم أو أكترهم serious هو اللي بيعمللي المشكلة
+
+65
+00:05:18,440 --> 00:05:22,240
+كلها هو الحامض عشان يكونوا برضه واضحينالـPepsin
+
+66
+00:05:22,240 --> 00:05:28,060
+والـPile قد يؤذي الـEsophagus ولكن رقمهم في بناء
+
+67
+00:05:28,060 --> 00:05:34,880
+Esophagus إنفلامش ودمج ليس واضحًا كرم أسد يعني
+
+68
+00:05:34,880 --> 00:05:39,500
+صريح بلعبه دور لكن مش بالوضوح اللي بيعملوا الحامل
+
+69
+00:05:39,500 --> 00:05:42,640
+طب إيش الـSymptoms اللي بتختلف عن اللي تابوت حدثنا
+
+70
+00:05:42,640 --> 00:05:49,120
+عنه؟ طبعًا الـDisease اللي هو الـGerd ممكن يكون
+
+71
+00:05:49,120 --> 00:05:54,660
+موجودبدون symptoms asymptomatic وممكن يكون
+
+72
+00:05:54,660 --> 00:06:00,500
+symptomatic إذا ال acid only backs up إذا الحامض
+
+73
+00:06:00,500 --> 00:06:05,680
+هذا بيرجع لحد مسافة بس ال maria ال esophagus ال
+
+74
+00:06:05,680 --> 00:06:09,460
+geared symptoms بتلاقيها دايما بس heart burn heart
+
+75
+00:06:09,460 --> 00:06:16,280
+burn يعني حموضة heart قلب burnحرجان الحراجان القلب
+
+76
+00:06:16,280 --> 00:06:20,200
+هم زمان لما سموها heartburn كانوا يفكروا إنه حاجة
+
+77
+00:06:20,200 --> 00:06:24,980
+إلها علاقة بالقلب وقريبة من القلب فجال يقولوا عنه
+
+78
+00:06:24,980 --> 00:06:29,140
+heartburn ما زال واحد بيقول عنه heartburn حتى الآن
+
+79
+00:06:29,140 --> 00:06:34,940
+لكنها ما لهاش علاقة بالقلب if the acid إذا الحامض
+
+80
+00:06:34,940 --> 00:06:40,340
+رجع لحد ال larynx يعني رجع في ال esophagus لفوق
+
+81
+00:06:40,340 --> 00:06:47,100
+لفوق لفوق ونزللحد منطقة الارنز أن هما هناك فيه
+
+82
+00:06:47,100 --> 00:06:50,280
+نقطة التقاء الـSleeper النائم و الـwake up
+
+83
+00:06:50,280 --> 00:06:54,220
+coughing and choking زي ما حكينا coughing and
+
+84
+00:06:54,220 --> 00:07:01,220
+choking sometimes GERD can cause serious
+
+85
+00:07:01,220 --> 00:07:04,000
+complications including inflammation of the
+
+86
+00:07:04,000 --> 00:07:08,300
+esophagus from stomach acid that causes bleeding
+
+87
+00:07:08,300 --> 00:07:09,520
+or ulcer
+
+88
+00:07:16,470 --> 00:07:21,170
+طيب بيبقى كمان مرة انه sometimes GERD can cause
+
+89
+00:07:21,170 --> 00:07:25,290
+serious complications including inflammation بما
+
+90
+00:07:25,290 --> 00:07:30,810
+فيها التهيابات للمريء لكن ممكن بعض الأحيان توصل
+
+91
+00:07:30,810 --> 00:07:37,800
+لإن الاتهابات هاي يحصل فيهاbleeding أو ulcers يعني
+
+92
+00:07:37,800 --> 00:07:41,320
+جروح نتيجة الموضوع هذا وهذا اللي بنقول عنه احنا
+
+93
+00:07:41,320 --> 00:07:45,580
+بعد شوية اللي هو apoptic ulcer مش بس في بعض
+
+94
+00:07:45,580 --> 00:07:50,840
+الحالات في بعض الحالات بينشأ ان حاجة اسمها بارت
+
+95
+00:07:50,840 --> 00:07:54,420
+إيزوفيقيا إيزوفيقيا إيزوفيقيا إيزوفيقيا إيزوفيقيا
+
+96
+00:07:56,330 --> 00:08:00,270
+هذا عبارة عن تغيير في الخلايا للحمض طول الوقت نازل
+
+97
+00:08:00,270 --> 00:08:05,470
+يغيرها بيصير عملية تغيير داخلي للخلايا تاعت الـ
+
+98
+00:08:05,470 --> 00:08:09,750
+Esophagus نتيجة زي ما قلنا ضغط الحامض عليها طول
+
+99
+00:08:09,750 --> 00:08:13,490
+الوقت وهذا ممكن يكون brain cancer أو ممكن lead to
+
+100
+00:08:13,490 --> 00:08:17,430
+brain cancer يبقى أو to cancer برت Esophagus هو
+
+101
+00:08:17,430 --> 00:08:21,250
+عبارة عن brain cancer condition ناتجة عن طريق عن
+
+102
+00:08:21,250 --> 00:08:25,550
+موضوع الـ GERD Most patients with GERD experience
+
+103
+00:08:32,810 --> 00:08:35,850
+أو محاولة النوم أو أول النوم، يعني بتلاقي أنهم
+
+104
+00:08:35,850 --> 00:08:40,870
+بتعبوا منها أكتر و الـ severity بتزيد أكتر، خاصة
+
+105
+00:08:40,870 --> 00:08:47,030
+لو كانوا من النوع اللي بتعشى متأخر باستمراريبقى
+
+106
+00:08:47,030 --> 00:08:50,390
+الـ Symptoms persistent heartburn يعني مش من مرة
+
+107
+00:08:50,390 --> 00:08:53,530
+واحدة حموضة بقدر أقول أنا Geared أو مرتين، لأ،
+
+108
+00:08:53,530 --> 00:08:57,130
+احنا بنحكي عن Chronic Condition اسمها Geared اللي
+
+109
+00:08:57,130 --> 00:09:01,310
+هو Gastro-Oesophageal Reflex الـCs وهذه persistent
+
+110
+00:09:01,310 --> 00:09:08,170
+heartburn حموضة مستمرة وبتيجي كمان مع حاجات تانية
+
+111
+00:09:08,170 --> 00:09:11,770
+زي الـ Nausea بيصير نفسه زي المايع، Coughing،
+
+112
+00:09:11,770 --> 00:09:16,410
+بيصير يكح، يعني الحامض بتقول لاالريقتين فبيعمللي
+
+113
+00:09:16,410 --> 00:09:21,570
+coughing sore taste in the mouth طبعاً لإن هو
+
+114
+00:09:21,570 --> 00:09:24,470
+هيكيت بصل حامض كمان بعض الأحيان للطم ال
+
+115
+00:09:24,470 --> 00:09:27,590
+respiratory conditions زي الأسباب pneumonia و
+
+116
+00:09:27,590 --> 00:09:30,930
+chronic bronchitis كتير من الأحيان يا جماعة خليني
+
+117
+00:09:30,930 --> 00:09:36,870
+أدخل على طب الأطفال شوي أطفال بيجينا ب recurrent
+
+118
+00:09:36,870 --> 00:09:42,230
+chest infection التهابات السدر المتكررة من أهم
+
+119
+00:09:42,230 --> 00:09:46,170
+الأسبابأو الـ differential diagnosis تبعها الأسباب
+
+120
+00:09:46,170 --> 00:09:49,670
+اللي بتعملي chest infection متكرر اللي هي
+
+121
+00:09:49,670 --> 00:09:55,330
+gastroesophageal reflux disease إلى جانب أمراض
+
+122
+00:09:55,330 --> 00:10:00,830
+القلب على سبيل المثال إلى جانب ضعف ال immunity إلى
+
+123
+00:10:00,830 --> 00:10:06,820
+جانب وجود جسم غريب بلق جسم غريب على سبيل المثالهذه
+
+124
+00:10:06,820 --> 00:10:10,080
+أربعة conditions حكيتها الآن أنا مش موجودة في
+
+125
+00:10:10,080 --> 00:10:14,020
+السلايدات أربعة conditions بتعملي إيش recurrent
+
+126
+00:10:14,020 --> 00:10:20,220
+chest infection منها كمان الخامس cystic fibrosis
+
+127
+00:10:20,220 --> 00:10:26,600
+يبقى خمس حاجات المفروض أنه أنا لما أشوف حالة دايما
+
+128
+00:10:26,600 --> 00:10:31,020
+بيصير عندها chronic أو بيشوف حالة بيصير عندها
+
+129
+00:10:31,020 --> 00:10:35,750
+pneumoniaRecurrent Pneumonia أو Recurrent Chest
+
+130
+00:10:35,750 --> 00:10:40,250
+Infection المفروض أنه بفكر فيهم heart disease
+
+131
+00:10:40,250 --> 00:10:45,790
+كنجينة ال heart disease phone body inhalation ال
+
+132
+00:10:45,790 --> 00:10:51,910
+immunity system defect اللي بنحكي عنه
+
+133
+00:10:51,910 --> 00:10:56,930
+gastroesophageal reflux واتحدتنا
+
+134
+00:10:56,930 --> 00:11:01,290
+عن اللي هو ال phone cystic fibrosis أو phone body
+
+135
+00:11:02,570 --> 00:11:10,960
+الـ Causes تبعت الـ Geared طبعاً حسبالها أسباب وهي
+
+136
+00:11:10,960 --> 00:11:14,660
+نفسها محفزات الـ Age كل ما كبر الواحد كل ما صارت
+
+137
+00:11:14,660 --> 00:11:19,620
+أكتر نوعية الأكل الناس اللي بتاكل Spicy دايما اللي
+
+138
+00:11:19,620 --> 00:11:23,860
+دايما أكلها خدنا نقول بندورة معجدة على سبيل المثال
+
+139
+00:11:23,860 --> 00:11:29,140
+اللي بيأكلوا دايما البيتزا الناس اللي بتاكل فلفل
+
+140
+00:11:29,140 --> 00:11:32,860
+كتير على سبيل المثال وأملاح كتير الناس اللي بتاكل
+
+141
+00:11:32,860 --> 00:11:37,910
+متأخرو بتاكل متأخر و أكل كتير يعني بتدب المعدة
+
+142
+00:11:37,910 --> 00:11:42,130
+الناس اللي بتاخد alcohol الناس اللي بتدخل ال
+
+143
+00:11:42,130 --> 00:11:46,760
+pregnancy ليش ال pregnancy؟والـ Obesity لأنه
+
+144
+00:11:46,760 --> 00:11:51,500
+بنتيجة الـ Pregnancy المقدة مضغوطة لفوق فالحامض
+
+145
+00:11:51,500 --> 00:11:54,960
+بتجمع بصورة أكبر و بيصل للـ Esophagias بصورة أكبر
+
+146
+00:11:54,960 --> 00:11:59,040
+و الـ Obesity نفس الكلام في هناك certain foods
+
+147
+00:11:59,040 --> 00:12:03,680
+associated with reflux events طبعا مش معناته بس هم
+
+148
+00:12:03,680 --> 00:12:06,580
+هدولة جماعة كل واحد فيه إلو حاجة بتعمله
+
+149
+00:12:06,580 --> 00:12:12,360
+Destroesophageal refluxاللي ممكن يعمل لي ممكن
+
+150
+00:12:12,360 --> 00:12:17,600
+مايعملش للآخر و هيك لكن فينا تجارب عصابي مثال يمكن
+
+151
+00:12:17,600 --> 00:12:21,820
+كلكم بتستحضروا اللي بيأكلوا الجرشلة بالشاي عصابي
+
+152
+00:12:21,820 --> 00:12:25,600
+مثال عصابي مثال اللي بيأكلوا الفلافل بالشاي بيصير
+
+153
+00:12:25,600 --> 00:12:32,360
+معاهم حموضة عصابي مثال فالـ Spicy Foods الـ Garlic
+
+154
+00:12:32,360 --> 00:12:39,920
+and Onion الشدول التومة والبصلCitrus fruits طبعاً
+
+155
+00:12:39,920 --> 00:12:43,900
+لأنه احنا قاعدين نحكي عن حمضيات حوامض من اسمها
+
+156
+00:12:43,900 --> 00:12:49,120
+طبعا ممكن ما بتتعاملش عند كتير ناس لكن لو الواحد
+
+157
+00:12:49,120 --> 00:12:52,340
+liable وهو معرض أو في عنده مشاكل لو أكلها ممكن
+
+158
+00:12:52,340 --> 00:12:55,670
+تتعامل معاه مشاكلكل المشروبات أو المشروبات اللي
+
+159
+00:12:55,670 --> 00:12:59,650
+فيها كفائين نقصدش بس الجهوة هان ولا بنقصد بس
+
+160
+00:12:59,650 --> 00:13:03,390
+الكوكاكولا السوداء لكن أي مشروب فيه كفائين ممكن
+
+161
+00:13:03,390 --> 00:13:08,510
+يعملنا هيك شوكليت شوكولاتة فاتي and فريد فودز mint
+
+162
+00:13:08,510 --> 00:13:14,850
+flavorings اللي هي الحاجات اللي عليها الحلو اللي
+
+163
+00:13:14,850 --> 00:13:20,430
+عليه نعنع نعنع بصورة عامة وفي حاجات ال tomatoباست
+
+164
+00:13:20,430 --> 00:13:23,590
+فودز زي الـ Spaghetti والشيلي والبيتزا والحاجات
+
+165
+00:13:23,590 --> 00:13:26,810
+هذه ال risk factors اتحدتنا قبل شويه وقولنا ال
+
+166
+00:13:26,810 --> 00:13:31,530
+obesity pregnancy, hepatic ulcer الناس اللي في
+
+167
+00:13:31,530 --> 00:13:36,350
+عندها delaying of stomach emptying طبعا ليش؟ لأنه
+
+168
+00:13:36,350 --> 00:13:40,290
+ال stomach بتصير تحبس والحمض بزيد فهذا كله يتوقش
+
+169
+00:13:40,290 --> 00:13:47,010
+بعمل ليه؟ بعمل ليه ارتفاع الحمض في المريض إلى جانب
+
+170
+00:13:47,010 --> 00:13:51,190
+زي مثلا ال diabetesأو الـ ulcer أو abnormal nerve
+
+171
+00:13:51,190 --> 00:13:54,690
+أو muscle function can delay emptying of the
+
+172
+00:13:54,690 --> 00:13:58,370
+stomach وهذا بيخلي الحامض back up into the
+
+173
+00:13:58,370 --> 00:14:05,150
+esophagus الأزمة ليش؟ لأنه في عندنا some asthma
+
+174
+00:14:05,150 --> 00:14:12,540
+medications that widen أو dilate airwaysممكن أيضًا
+
+175
+00:14:12,540 --> 00:14:20,400
+أن يتراجع مخرج الإيزوفيجيا السفينكتر اللي مع
+
+176
+00:14:20,400 --> 00:14:30,320
+المعدة ويجعل الحامض يرجع إلى الإيزوفيجيا السكريلأن
+
+177
+00:14:30,320 --> 00:14:33,740
+one of the many complications of diabetes is
+
+178
+00:14:33,740 --> 00:14:38,340
+gastroparesis يعني زي ما بيقولوها ضعف حركة المعدة
+
+179
+00:14:38,340 --> 00:14:42,900
+وهذا الموضوع يجعل الأكل و الحامض يظل فترة طويلة في
+
+180
+00:14:42,900 --> 00:14:46,920
+المعدة، لماذا؟ لأن الـemptying بطيء، فهذا بدي فرصة
+
+181
+00:14:46,920 --> 00:14:51,440
+للحامض أنه
+
+182
+00:14:51,440 --> 00:14:55,620
+يرجع على المريض طب كيف بنشخص الـGERD،
+
+183
+00:14:55,620 --> 00:15:00,860
+gastroesophageal reflux؟تشخيصه طبعاً فيه different
+
+184
+00:15:00,860 --> 00:15:05,460
+modalities بما فيها upper gastrointestinal
+
+185
+00:15:05,460 --> 00:15:11,370
+endoscopy من ظهر لمنطقة المعدة والمريق من فوقممكن
+
+186
+00:15:11,370 --> 00:15:16,130
+كمان بما أنه احنا قاعدين نقول عن acid activity في
+
+187
+00:15:16,130 --> 00:15:19,430
+المنطقة هذه ممكن نعمله isofisial pH monitoring
+
+188
+00:15:19,430 --> 00:15:25,190
+بدخل واحد زي حاجة هيك sensor عند ثم المعدة وبيجيس
+
+189
+00:15:25,190 --> 00:15:30,250
+حموضة الحموضة
+
+190
+00:15:30,250 --> 00:15:35,920
+في المنطقة حوالين بين المعدة و بينوهذا على مدى
+
+191
+00:15:35,920 --> 00:15:41,080
+ساعات معينة 24 ساعة وفيه software على الكمبيوتر
+
+192
+00:15:41,080 --> 00:15:46,040
+السنسور بتفرج على الكمبيوتر وبنشوف جداش النسب
+
+193
+00:15:46,040 --> 00:15:47,900
+وجداش الحمورة
+
+194
+00:15:59,550 --> 00:16:04,590
+ولا طريقة منهم تدّيك مية في المية الحل وكل واحدة
+
+195
+00:16:04,590 --> 00:16:15,270
+لها مشاكل كل واحدة لها مشاكل من الطروج الاندوسكوبي
+
+196
+00:16:15,270 --> 00:16:19,670
+فقط لا يحتاج لشعور بشكل كام الـ pH Monitoring ليس
+
+197
+00:16:19,670 --> 00:16:20,630
+دائما متوفر
+
+198
+00:16:23,320 --> 00:16:27,960
+ولكن بقولكوا إيش اللي بيصير الآن، فيش حد من حد ما
+
+199
+00:16:27,960 --> 00:16:30,480
+بيشكي من Gastro-Oesophageal Reflex Disease بروح
+
+200
+00:16:30,480 --> 00:16:33,960
+بعمل فحوصات بالصورة اللي مكتوبة هنا، اللي هي قضية
+
+201
+00:16:33,960 --> 00:16:37,820
+إنه منظار أو pH Monitoring أو Radiological
+
+202
+00:16:37,820 --> 00:16:42,800
+Studies، ها إيش بنعمل؟ بنعمل حاجة اسمها Gared
+
+203
+00:16:42,800 --> 00:16:46,000
+Treatment-Based Approach، يعني على الـ Clinical
+
+204
+00:16:46,000 --> 00:16:50,060
+اللي شكّيها المريض، وبما إنه منتشر كتير، فبندّي
+
+205
+00:16:50,060 --> 00:16:51,740
+علاج لهذا الموضوع
+
+206
+00:16:55,460 --> 00:17:00,180
+وبندى أدوية وزى ما قلنا بنخفف عنه اللى هو الفحوصات
+
+207
+00:17:00,180 --> 00:17:05,460
+هاى وبترايه الآن فرضا ماتحسنش مع العلاج طبعا مع
+
+208
+00:17:05,460 --> 00:17:08,340
+الـ diet يعنى هو فيه قوله diet ونقوله إيش يعمل في
+
+209
+00:17:08,340 --> 00:17:10,900
+قضية الأكل لإنه مابنفعش أنا أقول والله عندي
+
+210
+00:17:10,900 --> 00:17:16,730
+gastroesophageal reflux diseaseوبدأ أظل أشرب
+
+211
+00:17:16,730 --> 00:17:21,070
+Alcohol أو بدأ أظل أدخل أو بدأ أظل مع ال pregnancy
+
+212
+00:17:21,070 --> 00:17:25,130
+بنتهي الموضوع أو بدأ أظل أكل حاجات Spicy أو Tomato
+
+213
+00:17:25,130 --> 00:17:29,610
+أو Mint أو كذا، ماينفعش المفروض أنه أنا مع العلاج
+
+214
+00:17:29,610 --> 00:17:34,580
+بأعمل تحمية اللي هو lifestyle modificationوإذا
+
+215
+00:17:34,580 --> 00:17:38,300
+ضال، طبعاً ساعتها بدك، بده الواحد يضطر يروح يعمل
+
+216
+00:17:38,300 --> 00:17:43,540
+فحوصات ليشوف differential diagnoses لأنه ممكن يكون
+
+217
+00:17:43,540 --> 00:17:49,060
+عنده بيبتكالثر، ممكن يكون عندنا cancer على سبيل
+
+218
+00:17:49,060 --> 00:17:52,220
+المثال و ال presentation تبعه بالصورة هذه،
+
+219
+00:17:52,220 --> 00:17:55,440
+فالمفروض أنه الواحد بياخد باله من الموضوع هذا لو
+
+220
+00:17:55,440 --> 00:17:59,880
+ما اتحسنش ال treatment method to effectively treat
+
+221
+00:17:59,880 --> 00:18:04,940
+guard range from lifestyle measuresto the use of
+
+222
+00:18:04,940 --> 00:18:09,640
+geared medication أو إذا في الأخر في الأخر في
+
+223
+00:18:09,640 --> 00:18:14,740
+الأخر في مشاكل بنعمل surgical procedures لهد درجة
+
+224
+00:18:14,740 --> 00:18:16,900
+أه ما هو في ناس عندها مشكلة في الموضوع
+
+225
+00:18:27,770 --> 00:18:31,890
+زي ما قلنا كمان مرة مهم جدا جدا للناس اللي عندهم
+
+226
+00:18:31,890 --> 00:18:35,050
+persistent heartburn او other chronic and
+
+227
+00:18:35,050 --> 00:18:38,190
+recurrent symptoms of gout to seek an accurate
+
+228
+00:18:38,190 --> 00:18:41,930
+diagnosis ماكان فيش انه انا اظن ابلبع في حاجة في
+
+229
+00:18:41,930 --> 00:18:45,930
+السوق موجودة اسمها الرينيه الرينيه عبارة حبوب
+
+230
+00:18:45,930 --> 00:18:49,690
+بيقولوا عنها جرش وهذه بتخفف الحموظة لأن الرينيه
+
+231
+00:18:49,690 --> 00:18:53,710
+هذه عبارة عن حاجة بتعمل neutralization تتفاعل مع
+
+232
+00:18:53,710 --> 00:18:59,400
+الحمض بتعمل neutralizationللحمض وخلاص وبرتحصل واحد
+
+233
+00:18:59,400 --> 00:19:02,660
+أو في ناس بتاخد مالوكس أو في ناس بتاكل عدس أو في
+
+234
+00:19:02,660 --> 00:19:06,020
+ناس بتشرب حليب طبعا الحليب يلو موضوع تاني لإن هو
+
+235
+00:19:06,020 --> 00:19:09,540
+يعتبر غلط لإن هو ساعتها بيعمل ال release ساعتها
+
+236
+00:19:09,540 --> 00:19:13,360
+ساعتها لكن بعد شوية الحموضة بتزيد أو في ناس بتاكل
+
+237
+00:19:13,360 --> 00:19:18,020
+موز أو في ناس تشرب ميه المهم إنه كل واحد يلو
+
+238
+00:19:18,020 --> 00:19:20,480
+طريقته في إنه يعمل release لل heart pain بس مش هي
+
+239
+00:19:20,480 --> 00:19:25,180
+هذه الجضية الجضية إنه إنهمايصيرش هذا chronic، مش
+
+240
+00:19:25,180 --> 00:19:28,060
+كل ما أكل، كل ما أفطر، كل ما أتغدى، كل ما أتعشى،
+
+241
+00:19:28,060 --> 00:19:31,120
+بيصير معايا، هذا الموضوع بيصير كبير في الأحوال
+
+242
+00:19:31,120 --> 00:19:34,060
+اللي زي هي ال medications اللي إحنا بنديها في
+
+243
+00:19:34,060 --> 00:19:36,680
+الحقيقة للـ gastroesophageal reflux disease، تو
+
+244
+00:19:36,680 --> 00:19:40,880
+حكيت أنا عن واحد منهم الـ Anti-acid، إيش يعني Anti
+
+245
+00:19:40,880 --> 00:19:46,250
+-acid؟ إشي مضاد للحمودةزي الـ Malox أو زي ما يكون
+
+246
+00:19:46,250 --> 00:19:51,490
+فيه تمس في عصابي المثال الـ RNA عصابي المثال وهذا
+
+247
+00:19:51,490 --> 00:19:58,350
+ايش بيعمل ليه؟ Neutralize stomach acidand can
+
+248
+00:19:58,350 --> 00:20:03,210
+provide quick relief بتحسن على السريع الحامض خلاص
+
+249
+00:20:03,210 --> 00:20:08,190
+متعدل راحة المشكلة antacid alone won't heal an
+
+250
+00:20:08,190 --> 00:20:12,450
+inflamed esophagus damaged by stomach acid يعني ما
+
+251
+00:20:12,450 --> 00:20:15,070
+تتصورش أنه لو في أنا في عندي inflammation أنه
+
+252
+00:20:15,070 --> 00:20:20,580
+هتروح بالحالة هو بس الحامض خف لكنالـ الـ الـ الـ
+
+253
+00:20:20,580 --> 00:20:21,060
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+254
+00:20:21,060 --> 00:20:22,940
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+255
+00:20:22,940 --> 00:20:29,340
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+256
+00:20:29,340 --> 00:20:33,020
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+257
+00:20:33,020 --> 00:20:34,880
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+258
+00:20:34,880 --> 00:20:37,280
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+259
+00:20:37,280 --> 00:20:40,340
+الـ الـ
+
+260
+00:20:41,610 --> 00:20:44,950
+اللي هي شغالة على طريقة الباب اللي بيجيك منه الريح
+
+261
+00:20:44,950 --> 00:20:50,010
+سده و استريح اللي هي ال PPI بيقولوا عنها PPI أو
+
+262
+00:20:50,010 --> 00:20:56,150
+Proton Bump Inhibitors زي الومي برازول مشهور ال ..
+
+263
+00:20:56,150 --> 00:20:59,190
+ال .. these guard medications إيش بتعملوا؟ بتعملوا
+
+264
+00:20:59,190 --> 00:21:04,830
+Blockage of Acid Production تماما، بيبطل يطلع حامض
+
+265
+00:21:04,830 --> 00:21:12,130
+وهذه طبعا بتدي وقتفرصة لإن الـ Damaged أو Inflamed
+
+266
+00:21:12,130 --> 00:21:17,810
+Esophageal Tissue تهيل زمان
+
+267
+00:21:17,810 --> 00:21:22,810
+كانت لازم تنكتب روشتة، الآن صارت تنكتب صارت عادة
+
+268
+00:21:22,810 --> 00:21:26,790
+تشتريها من الصيدلية، بنقول عنها OTC، إيش يعني OTC؟
+
+269
+00:21:26,790 --> 00:21:28,890
+Over The Count، يعني بتقدر تروح الصيدلية تقولي
+
+270
+00:21:28,890 --> 00:21:31,190
+والله ديلي أم برازول، بتديك أم برازول، طبعا مش في
+
+271
+00:21:31,190 --> 00:21:34,310
+بلاد أنا بحكي عن برا، هنا برا بتشتري الصيدلية و
+
+272
+00:21:34,310 --> 00:21:37,350
+الصيدلي و العيلة و كل البلد، مافيش مشكلة، إيش اللي
+
+273
+00:21:37,350 --> 00:21:37,910
+بدكيها؟
+
+274
+00:21:41,130 --> 00:21:44,890
+الآن يعني خلاص صار مش لازم ينكتب بروشيطة ممكن
+
+275
+00:21:44,890 --> 00:21:47,730
+الواحد يجيبه لحاله طبعا بس هذا خدوا بالكوا بيغش
+
+276
+00:21:47,730 --> 00:21:52,190
+الموضوع هذا لأنه لأنه لأنه القضية ممكن مايكونش
+
+277
+00:21:52,190 --> 00:21:53,570
+موضوع موضوع بس
+
+278
+00:21:56,130 --> 00:21:59,890
+ممكن يكون بيبتيكازر، ممكن يكون كانسر، ممكن يكون
+
+279
+00:21:59,890 --> 00:22:02,990
+بارت إيزوفيجيا، ممكن يكون حاجات كتير، فيبقى ياخد
+
+280
+00:22:02,990 --> 00:22:06,550
+باله الواحد إذا دل كرونيك الموضوع، لابد من التوجه
+
+281
+00:22:06,550 --> 00:22:10,190
+للطبيب لمعرفة السبب اللي عملنا الموضوع هذا الـH2
+
+282
+00:22:10,190 --> 00:22:14,290
+-Receptors اللي هو الهستامين Two Receptors
+
+283
+00:22:14,290 --> 00:22:21,870
+Blockers، هذه نوعية أخرى من الـMedicationزي الـ
+
+284
+00:22:21,870 --> 00:22:24,550
+Ranidine كتير منكم بيعرفوا عنه يقولوا سنة تقريبا
+
+285
+00:22:24,550 --> 00:22:29,370
+موقف الـ Ranidine لأنه هذا إيش بعملنا؟ بعملنا
+
+286
+00:22:29,370 --> 00:22:33,770
+reduction of the production of acid reduction بس
+
+287
+00:22:33,770 --> 00:22:42,170
+ال PPI عملنا blockage لل production هذا عملنا بس
+
+288
+00:22:42,170 --> 00:22:46,230
+reduction لل production they don't act as quickly
+
+289
+00:22:46,230 --> 00:22:50,250
+as antacidولكنها تقدر تقدر تقدر تقدر تقدر تقدر
+
+290
+00:22:50,250 --> 00:22:57,670
+تقدر تقدر تقدر تقدر تقدر تقدر تقدر
+
+291
+00:22:57,830 --> 00:23:02,550
+مين اللي بيريحنا بسرعة؟ اللي هو الـ Antacid لكن
+
+292
+00:23:02,550 --> 00:23:07,150
+هاي الـ Proton Bomb Inhibitor أو الـ PPI والـ H2
+
+293
+00:23:07,150 --> 00:23:11,470
+Receptor Blockers هذه بتديناش Release سريع لكن
+
+294
+00:23:11,470 --> 00:23:17,530
+مفقولها أكبر، ليش؟ لأنها عمليا بتخفف أو بتوقف
+
+295
+00:23:17,530 --> 00:23:21,510
+إفراز الحامض اللي أهم من هيك يا جماعة وهذا لاحظناه
+
+296
+00:23:21,510 --> 00:23:27,790
+عند ناس كتير اللي هي الـ Garde Dietالـ Gear Diet
+
+297
+00:23:27,790 --> 00:23:34,390
+إنه أنا أحاول أمتنع عن الباكلات أو الأدوية اللي
+
+298
+00:23:34,390 --> 00:23:41,470
+بتسبب للموضوع هذا Avoid foods such as citrus،
+
+299
+00:23:41,470 --> 00:23:47,130
+tomato، coffee، هذي بتعملي directly irritation
+
+300
+00:23:47,130 --> 00:23:52,270
+للـmucosa، onion، شوكليت، peppermint، طبعا الكمية
+
+301
+00:23:52,270 --> 00:23:55,530
+كمان بتلعب دوري يا بابا، إحنا الآن في عصر المجات
+
+302
+00:23:55,530 --> 00:23:59,110
+للأسفكيف يعني عصر المجات؟ صارت الناس لما بدأت تشرب
+
+303
+00:23:59,110 --> 00:24:02,150
+زمان كنا نشرب الجهوة السادة والمرة في فنجان صغير
+
+304
+00:24:02,150 --> 00:24:05,730
+نصه هيك أو فنجان على أجال الفنجان الجهوة التركي
+
+305
+00:24:05,730 --> 00:24:09,710
+العادي، هذا الآن صار كله بيشرب في مجات والكمية
+
+306
+00:24:09,710 --> 00:24:13,750
+الكبيرة هيك كمان بتأثرنا على الموضوعاللي
+
+307
+00:24:13,750 --> 00:24:17,410
+الـpeppermint and any food with high fat content
+
+308
+00:24:17,410 --> 00:24:21,830
+that affects pressure in the stomach Limit or cut
+
+309
+00:24:21,830 --> 00:24:24,910
+the use of non-steroidal ناس اللي بتاخد دايكلوفين
+
+310
+00:24:24,910 --> 00:24:29,850
+و Ibuprofen that may irritate the esophagus and
+
+311
+00:24:29,850 --> 00:24:34,110
+stomach lining Individuals with GERD should avoid
+
+312
+00:24:34,110 --> 00:24:40,770
+whole milkTry to maintain a low-fat diet by
+
+313
+00:24:40,770 --> 00:24:44,670
+staying away from fatty meats and processed meats
+
+314
+00:24:44,670 --> 00:24:48,030
+called cuts اللي هي المرتدلة والحاجات هذه If you
+
+315
+00:24:48,030 --> 00:24:52,450
+must have coffee أو tea حاول تشوف الكافي اللي بدون
+
+316
+00:24:52,450 --> 00:24:55,350
+كفائين أو herbal tea، شاي، عشاب
+
+317
+00:25:00,960 --> 00:25:06,320
+Eat smaller meals Control your weight Don't smoke
+
+318
+00:25:06,320 --> 00:25:10,740
+Eliminate hot pain trigger Don't lie down after a
+
+319
+00:25:10,740 --> 00:25:16,900
+meal Raise the head of the bed وهذا بتدخلنا بعد
+
+320
+00:25:16,900 --> 00:25:21,640
+شوية في موضوع الـBaptic Ulcer
+
+321
+00:25:23,880 --> 00:25:31,020
+والـ Peptic Ulcer Disease بيو دي بيو دي فيه منه
+
+322
+00:25:31,020 --> 00:25:33,240
+gastric ulcer زي ما احنا شايفين في الصورة وفيه
+
+323
+00:25:33,240 --> 00:25:38,340
+دودنال ulcer يعني ulcer اللي هو المعدة و ulcer أو
+
+324
+00:25:38,340 --> 00:25:42,420
+قروحة المعدة و قروحة الأثنى عشر الـ Peptic Ulcer
+
+325
+00:25:42,420 --> 00:25:46,640
+Disease known as Peptic Ulcer or Stomach Ulcer is
+
+326
+00:25:46,640 --> 00:25:50,770
+a prickأو breakage in the lining of the stomach،
+
+327
+00:25:50,770 --> 00:25:55,410
+first part of the small intestine أو الدودنوم زي
+
+328
+00:25:55,410 --> 00:26:00,750
+ما بنقول و occasionally the lower esophagus الـ
+
+329
+00:26:00,750 --> 00:26:04,790
+ulcer in the stomach is known as a gastric ulcer
+
+330
+00:26:04,790 --> 00:26:08,670
+في حين اللي هو في ال small أو first part of the
+
+331
+00:26:08,670 --> 00:26:15,050
+intestine بنقول عنه دودنال ulcerالخطر العمري
+
+332
+00:26:15,050 --> 00:26:20,530
+للتطور من الـ Apoptic Ulcer هو حوالي 10% تقريبًا،
+
+333
+00:26:20,530 --> 00:26:24,450
+طبعًا أنا أعتقد أن الموضوع أكبر من هيك و أكتر من
+
+334
+00:26:24,450 --> 00:26:28,170
+هيك، لكن ليش؟ لأن كتير من الناس بتعالج نفسها
+
+335
+00:26:28,170 --> 00:26:32,230
+بالطرق الـ Herbal العادية بدون متوجه للإحصائيات،
+
+336
+00:26:32,230 --> 00:26:36,670
+في البلدان الغربية الـ Bad scent of people with
+
+337
+00:26:36,670 --> 00:26:40,410
+helicobacter pylori، الـ helicobacter pylori هي
+
+338
+00:26:40,410 --> 00:26:47,020
+عبارة عنعبارة عن اللي هو البكتيريا اللي الآن اتهمت
+
+339
+00:26:47,020 --> 00:26:51,080
+اتهام مباشر بإنها سبب الـ Peptic وDowdenal Ulcer
+
+340
+00:26:51,080 --> 00:26:55,160
+اللي هي البكتيريا
+
+341
+00:26:55,160 --> 00:27:00,060
+العصوية أو حاجة زي هي Helicobacter Pylori
+
+342
+00:27:00,060 --> 00:27:04,900
+Infection Roughly Match Age 20% من الناس العمرهم
+
+343
+00:27:04,900 --> 00:27:10,460
+عشرين سنة عندهم Helicobacterثلاثين في المية من
+
+344
+00:27:10,460 --> 00:27:12,720
+عمرهم ثلاثين تمانين في المية من عمرهم تمانين عندهم
+
+345
+00:27:12,720 --> 00:27:14,900
+helicopter infection
+
+346
+00:27:17,650 --> 00:27:20,410
+وزي ما قلنا الـ ECO-FACTOR من أهم الأسباب اللي
+
+347
+00:27:20,410 --> 00:27:23,950
+بتعملنا Gastroesophageal، عفوا، Peptic Ulcer
+
+348
+00:27:23,950 --> 00:27:28,910
+Transmission is by food contaminated groundwater و
+
+349
+00:27:28,910 --> 00:27:33,190
+through human saliva زي kissing مثلا أو sharing
+
+350
+00:27:33,190 --> 00:27:38,830
+food utensils استعمال الأدوات والمعالج والشوك ورا
+
+351
+00:27:38,830 --> 00:27:42,870
+بعض من الـ Symptoms والـ Sign تبقى الـ Peptic
+
+352
+00:27:42,870 --> 00:27:47,680
+Ulcer الـ Abdominal Painبالذات Epigastric المنطقة
+
+353
+00:27:47,680 --> 00:27:53,640
+اللي هي تحت الجلب زي ما احنا شايفين في الصورةفي
+
+354
+00:27:53,640 --> 00:27:59,280
+حالة دودنالألسر، الشعور يظهر خلال ثلاث ساعات بعد
+
+355
+00:27:59,280 --> 00:28:03,260
+أخذ طعام، يعني في الـGastric Ulcers، ع السريع
+
+356
+00:28:03,260 --> 00:28:06,840
+الوجع، بتاكل و بتتوجع، الدودنالألسر بعد ثلاث
+
+357
+00:28:06,840 --> 00:28:10,260
+ساعات، من ساعته لثلاث ساعات بعد الميل، Bloating،
+
+358
+00:28:10,260 --> 00:28:13,600
+بيصير إنه نفخة، أبدوم للـFullness، حاسس بطن ملان،
+
+359
+00:28:13,600 --> 00:28:17,760
+Nausea and vomiting، ممكن يكون كمان، من الـSigns
+
+360
+00:28:17,760 --> 00:28:23,050
+and Symptoms، Loss of Appetite،Weight Loss،
+
+361
+00:28:23,050 --> 00:28:30,690
+Hematemesis، Hematemesis
+
+362
+00:28:30,690 --> 00:28:34,730
+ملينا، ملينا
+
+363
+00:28:34,730 --> 00:28:38,570
+هو الدم اللي بنزل من المعدة لكن بدخل على الجهاز
+
+364
+00:28:38,570 --> 00:28:43,950
+الهضمي وبتفاعل مع الحامضبالـ DNA بيصيروا عملية
+
+365
+00:28:43,950 --> 00:28:48,110
+Oxidation للـ Iron اللي فيه من اللي في الـ
+
+366
+00:28:48,110 --> 00:28:53,810
+Hemoglobin وهذا عبارة عن دم بس بشكله زي الزفتة
+
+367
+00:28:53,810 --> 00:29:01,190
+الطريقة فاول Smelling Faces بوراز زي الزفتة هيك
+
+368
+00:29:01,190 --> 00:29:05,650
+ريحته سيئة و بنلاقيها نزلت مع البوراز هذا عبارة عن
+
+369
+00:29:05,650 --> 00:29:15,030
+دم لكن صار له عملية Oxidationالأسباب هي أهم متهم
+
+370
+00:29:15,030 --> 00:29:18,290
+major causative factor is chronic inflammation
+
+371
+00:29:18,290 --> 00:29:23,810
+بالـ Helicobacter pylori that colonize the mucosa
+
+372
+00:29:23,810 --> 00:29:30,250
+60% of gastric ulcer هي السبب 50 إلى 75% of Dowden
+
+373
+00:29:30,250 --> 00:29:31,410
+ulcer
+
+374
+00:29:33,500 --> 00:29:37,420
+المتهم التاني اللي هي الـ Non-steroidal أدوية Non
+
+375
+00:29:37,420 --> 00:29:41,740
+-steroidal Anti-inflammatory drugs وزي ما قلنا هي
+
+376
+00:29:41,740 --> 00:29:47,220
+المتهم الآخر، المتهم التاني يعني
+
+377
+00:29:47,220 --> 00:29:54,820
+معلومة مشهورة عند الكل ونتيجة كتر وانتشار استعمال
+
+378
+00:29:56,270 --> 00:29:58,790
+اللي هو الـ Non-Steroidal Anti-Inflammatory Drugs
+
+379
+00:29:58,790 --> 00:30:04,530
+الـ ميكانيزم هي موجودة عندكم مكتوبة أدت إلى إنه
+
+380
+00:30:04,530 --> 00:30:07,570
+يصير عندنا Peptic Ulcer أو Dowden Ulcer والحاجة
+
+381
+00:30:07,570 --> 00:30:10,670
+التالتة واللي برضه مشهورة بصورة كبيرة لـ Stress
+
+382
+00:30:10,670 --> 00:30:14,890
+due to serious health problems واحنا بنقول غالبا
+
+383
+00:30:14,890 --> 00:30:20,830
+الناس اللي بت dampفي العناية المركزة لسبب آخر
+
+384
+00:30:20,830 --> 00:30:23,730
+نتيجة الـ stress اللي صار معهم لازم تكون حاجة
+
+385
+00:30:23,730 --> 00:30:27,410
+كبيرة تعملنا الموضوع والحاجة الرابعة من ال causes
+
+386
+00:30:27,410 --> 00:30:29,890
+اللي هو ال dietالشيء الوحيد هو الواقعيات البيوترية
+
+387
+00:30:29,890 --> 00:30:35,290
+مثل المشروع والتناول الكفاين والكوفي والألكوهول
+
+388
+00:30:35,290 --> 00:30:40,330
+أيضًا مفهومًا لإسباب أو إكسسيربات ألثار وطبعًا
+
+389
+00:30:40,330 --> 00:30:46,450
+النار كمان لاجوا يعني بعض الـ studies لاجت فيه
+
+390
+00:30:46,450 --> 00:30:50,530
+علاقة بالموضوع الـ diagnosis how to diagnose
+
+391
+00:30:50,530 --> 00:30:56,830
+mainly based on the characteristic symptoms
+
+392
+00:31:02,120 --> 00:31:15,880
+وهنا بيصير عندنا
+
+393
+00:31:15,880 --> 00:31:22,180
+في assignment how to diagnose غير اللي أنا كاتبه
+
+394
+00:31:22,180 --> 00:31:22,380
+هنا
+
+395
+00:31:26,110 --> 00:31:31,270
+الـ Helicobacter Infestation
+
+396
+00:31:31,270 --> 00:31:37,510
+عند المريض كيف الـ diagnosis تبع الـ Helicobacter؟
+
+397
+00:31:37,510 --> 00:31:40,470
+ايش الفحوصات اللي بتنعمل؟ في تلت اربع فحوصات، اشي
+
+398
+00:31:40,470 --> 00:31:47,070
+من الدم، اشي من الاستول، اشي من الـ antibody، اشي
+
+399
+00:31:47,070 --> 00:31:54,290
+من النفس، بدي الطرقوإيش أفضلها ممكن نعمل
+
+400
+00:31:54,290 --> 00:31:59,190
+comparison بين الطرق بس جدول هيك الطرق اللي بعمل
+
+401
+00:31:59,190 --> 00:32:03,230
+فيها فحص وإيش أفضلها هذا ال assignment التبعنا
+
+402
+00:32:05,270 --> 00:32:07,450
+Gastrointestinal bleeding طبعاً بدل ما أنا عندي
+
+403
+00:32:07,450 --> 00:32:10,210
+جرح ممكن يصير عندي نزيف The most common
+
+404
+00:32:10,210 --> 00:32:13,050
+complication لهذا الدرجة أه طبعا sudden large
+
+405
+00:32:13,050 --> 00:32:15,790
+bleeding can be life threatening وطبعا ال bleeding
+
+406
+00:32:15,790 --> 00:32:21,330
+ممكن يدخلنا بhypovolemic الشك زي ما الكل عارف إيش
+
+407
+00:32:21,330 --> 00:32:25,310
+كمان perforation أه ممكن يصير عندي مش بس bleeding
+
+408
+00:32:25,310 --> 00:32:28,730
+تفتح المعدة لبرا وهذه طبعا catastrophic
+
+409
+00:32:28,730 --> 00:32:35,360
+complication ممكن نتيجة أنه بعد فترةلو كان عندي
+
+410
+00:32:35,360 --> 00:32:37,840
+على الـ gastric outlet على مخرج المعدة فيه عندي
+
+411
+00:32:37,840 --> 00:32:47,140
+هناك قرحة وصارت طابت أو راجت عملت الـ Scarring و
+
+412
+00:32:47,140 --> 00:32:51,600
+بعد الـ Scarring عملت له obstruction of the outlet
+
+413
+00:32:51,600 --> 00:32:55,860
+وطبعا اللي حكينا عنه في الـ differential يعني لازم
+
+414
+00:32:55,860 --> 00:32:57,900
+أحطه في الـ differential diagnosis ما هوش بس
+
+415
+00:32:57,900 --> 00:33:03,360
+complication هو الـ cancer وطبعا لابد من عينة
+
+416
+00:33:04,010 --> 00:33:12,070
+العلاج الحقيقة بيتمثل في أكتر من حاجة الحاجة
+
+417
+00:33:12,070 --> 00:33:15,790
+الأولى acid reducing medication الحاجة التانية لل
+
+418
+00:33:15,790 --> 00:33:19,390
+infection لازم أدي علاج two antibiotics يبقى بدي
+
+419
+00:33:19,390 --> 00:33:23,030
+إشي مضاد للحاجة اسمها triple therapy triple يعني
+
+420
+00:33:23,030 --> 00:33:28,230
+ثلاثي therapy نين مضادات حيوية واحد antacid أو
+
+421
+00:33:28,230 --> 00:33:33,530
+acid reducing medication زي ال PPI معاهملما يكون
+
+422
+00:33:33,530 --> 00:33:43,790
+عندنا Peripheric Ulcer «العوامل
+
+423
+00:33:43,790 --> 00:33:51,710
+التي تؤدي» أو «التجارب» لـ Gastric Ulcer اللي هو
+
+424
+00:33:51,710 --> 00:33:56,730
+Reduction of Drug Intake حاول أنتبه للـ
+
+425
+00:33:56,730 --> 00:34:02,050
+Helicobacter، الـ «دايت»stress smoking and alcohol
+
+426
+00:34:02,050 --> 00:34:06,730
+اللي هي تحت اسم lifestyle risk factors دايما إذا
+
+427
+00:34:06,730 --> 00:34:13,750
+إذا اتغلبت على المسببات بتغلب على المرض بإذن الله
+
+428
+00:34:13,750 --> 00:34:19,090
+تعالى وربنا هو الشافعي و بتمنالكوا يوم سعيد
+
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/TvX3vXGCsd4.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/TvX3vXGCsd4.srt
new file mode 100644
index 0000000000000000000000000000000000000000..9b222315a346164e7377cbbe6546a32edbdd9ee9
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/TvX3vXGCsd4.srt
@@ -0,0 +1,1399 @@
+1
+00:00:01,400 --> 00:00:03,420
+بسم الله الرحمن الرحيم والحمد لله الرحمن الرحيم والصلاة
+
+2
+00:00:03,420 --> 00:00:06,980
+والسلام على سيدنا محمد وسيد المرسلين أجمعين طبعا
+
+3
+00:00:06,980 --> 00:00:13,100
+ريحناكم أول امبارح السبت وننطلق مرة ثانية إن شاء
+
+4
+00:00:13,100 --> 00:00:19,240
+الله تعالى في بداية الـ cardiovascular system الآن
+
+5
+00:00:19,240 --> 00:00:23,920
+هنتحدث عن الـ heart هنحكي شوية anatomy  وشوية
+
+6
+00:00:23,920 --> 00:00:26,820
+physiology بس عشان أسهل عليكم الموضوع بعد هيك بس
+
+7
+00:00:26,820 --> 00:00:31,120
+يعني إنما هو يعني الـ heart عشان أحكي في الـ anatomy
+
+8
+00:00:31,120 --> 00:00:34,500
+تبعه والـ physiology يعني ممكن يحتاج الواحد فصول
+
+9
+00:00:34,500 --> 00:00:38,040
+أو فصل للموضوع عادة لكن احنا بنحاول نتعرف على الـ
+
+10
+00:00:38,040 --> 00:00:42,690
+heart بصورة كبيرة حتى نفهم الـ Diseases اللي بتنشأ 
+
+11
+00:00:42,690 --> 00:00:49,150
+نتيجة مشكلة الـ Heart الـ Heart Anatomy حقيقة يعني
+
+12
+00:00:49,150 --> 00:00:54,290
+هو عبارة عن بقدر القبضة، قبضة الإيد، يعني Size of 
+
+13
+00:00:54,290 --> 00:00:58,970
+your fist تقريبا، وبيحد الـ Heart
+
+14
+00:01:05,400 --> 00:01:11,240
+وهو خلف الـ sternum،
+
+15
+00:01:11,240 --> 00:01:16,110
+أمام الـ vertebral column بشوية شمال من الـ midline
+
+16
+00:01:16,110 --> 00:01:21,030
+وهو يعلو الـ diaphragm هاي المقصود في الموضوع يبقى 
+
+17
+00:01:21,030 --> 00:01:27,690
+مهم نعرف مكان القلب طيب هو احنا قلنا left to the 
+
+18
+00:01:27,690 --> 00:01:36,230
+midline هو فيه right to the midline يعني left to 
+
+19
+00:01:36,230 --> 00:01:39,350
+the midline الوضع الطبيعي بيقول عنه «situs through
+
+20
+00:01:39,350 --> 00:01:43,270
+cardiac» طيب right to the midline هذا إذا في إيش
+
+21
+00:01:43,270 --> 00:01:49,990
+بقول عنه دكسترو cardiac دكسترو يمين cardiac قلب
+
+22
+00:01:49,990 --> 00:01:52,870
+قلب على اليمين في منه الكلام هذا وبيجي في إطار
+
+23
+00:01:52,870 --> 00:01:57,730
+abnormality  و و syndromes يعني متلازمة في الغالب و
+
+24
+00:01:57,730 --> 00:02:02,090
+بيبقى كل أعضاء الجسم بالطريقة هذه لافة اللي على
+
+25
+00:02:02,090 --> 00:02:04,250
+الشمال موجود على اليمين واللي على اليمين موجود على 
+
+26
+00:02:04,250 --> 00:02:09,060
+الشمال طيب، إيش الـ Coverings of the Heart؟ إيش
+
+27
+00:02:09,060 --> 00:02:15,260
+الحاجات اللي هي محيطة بالقلب؟ رقم واحد، بدنا نحكي
+
+28
+00:02:15,260 --> 00:02:19,860
+عن البريكارديوم البريكارديوم هو حاجة برنية، دعوني
+
+29
+00:02:19,860 --> 00:02:23,840
+أشوف الصورة اللي بعدها البريكارديوم هو إشي من برة
+
+30
+00:02:23,840 --> 00:02:29,040
+البريكارديوم هذا بتكون من Double
+
+31
+00:02:29,040 --> 00:02:33,680
+-Walled sack around the heart وهو الـ Double-walled
+
+32
+00:02:33,680 --> 00:02:39,400
+sack كيس حوالين دبل وولد اللي له جدارين هنعرف إن
+
+33
+00:02:39,400 --> 00:02:44,600
+هما الجدارين sack around a heart وبيتكون من حاجة
+
+34
+00:02:44,600 --> 00:02:47,950
+superficial وحاجة deep في الـ superficial بيبقى 
+
+35
+00:02:47,950 --> 00:02:50,710
+Fibrous Pericardium بنقول عنه زي ما احنا شايفينه 
+
+36
+00:02:50,710 --> 00:02:53,770
+في الرسمة Fibrous Pericardium وفي عندنا الـ Deep
+
+37
+00:02:53,770 --> 00:02:57,510
+اللي هو الـ Two Layer Serous Pericardium بيبقى 
+
+38
+00:02:57,510 --> 00:03:00,610
+عندنا Fibrous Pericardium و Serous Pericardium
+
+39
+00:03:00,610 --> 00:03:03,810
+Serous Pericardium لجوة من القلب أو على القلب
+
+40
+00:03:03,810 --> 00:03:07,470
+وبيبقى بتكون من Two Layers الـ Two Layers واحدة
+
+41
+00:03:07,470 --> 00:03:13,850
+اسمها Parietal Layer وهدا Lines The Internal
+
+42
+00:03:13,850 --> 00:03:18,400
+Surface Of The Fibrous البريكارديوم وفي الـ visceral 
+
+43
+00:03:18,400 --> 00:03:25,840
+layer أو ابيكارديوم بنسمي الـ visceral layer للسرس
+
+44
+00:03:25,840 --> 00:03:29,420
+بريكارديوم بنقول عنه ابيكارديوم lines the surface
+
+45
+00:03:29,420 --> 00:03:36,160
+of the heart وبيبقى بينهم هدول الـ two layers اللي 
+
+46
+00:03:36,160 --> 00:03:40,160
+هو ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+47
+00:03:40,160 --> 00:03:40,520
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+48
+00:03:40,520 --> 00:03:41,360
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+49
+00:03:41,360 --> 00:03:42,100
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+50
+00:03:42,100 --> 00:03:42,140
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+51
+00:03:42,140 --> 00:03:44,840
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+52
+00:03:44,840 --> 00:03:49,460
+الـ بين الـ two layers يبقى أحدى الآن كمان مرة الـ
+
+53
+00:03:49,460 --> 00:03:53,360
+pericardium يتكون من two أو double walled sack
+
+54
+00:03:53,360 --> 00:03:57,180
+around the heart اللي من برة superficial fibrous
+
+55
+00:03:57,180 --> 00:04:00,160
+pericardium من جوة أديب two layer serous
+
+56
+00:04:00,160 --> 00:04:05,140
+pericardium اللي على طول على حدود الـ superficial
+
+57
+00:04:05,140 --> 00:04:10,120
+fibrous pericardium اسمه parietal layer واللي جوة
+
+58
+00:04:10,120 --> 00:04:12,800
+بنسميه visceral layer طلعوا على الرسمة عشان
+
+59
+00:04:12,800 --> 00:04:18,500
+تساعدكم في التصور الـ visceral layer أو الـ 
+
+60
+00:04:18,500 --> 00:04:21,740
+Epicardium لعنوان الـ surface of the heart وبين
+
+61
+00:04:21,740 --> 00:04:24,700
+الـ two layers اللي هي البرايتال والـ visceral في
+
+62
+00:04:24,700 --> 00:04:28,120
+عندنا fluid-filled cavity بيقولوا هنا pericardial 
+
+63
+00:04:28,120 --> 00:04:35,030
+cavity هي الصورة اللي هو الـ Fibrous Pericardium 
+
+64
+00:04:35,030 --> 00:04:38,230
+وبعدين بندخل على الـ Two Layers اللي هي الـ
+
+65
+00:04:38,230 --> 00:04:41,110
+Visceral Layer والبرايتال Layer بينهم Pericardial
+
+66
+00:04:41,110 --> 00:04:44,870
+Cavity والـ Visceral Layer اللي قولنا عنها 
+
+67
+00:04:44,870 --> 00:04:48,330
+Epicardium على طول بيجي على مين؟ على الـ
+
+68
+00:04:48,330 --> 00:04:53,110
+Myocardium ما هنشوف بعد شوية طيب هي إيش شغلة 
+
+69
+00:04:53,110 --> 00:04:58,440
+البريكارديوم؟ واضح إن هو مربط القلب عمليا protect
+
+70
+00:04:58,440 --> 00:05:01,960
+وتحمي القلب and anchor the heart prevent over
+
+71
+00:05:01,960 --> 00:05:05,800
+filling لو القلب بده يتعب بزيادة هذه بتيجي الـ wall
+
+72
+00:05:05,800 --> 00:05:13,360
+الـ elastic wall هاي بتمنعه من أنه يتمدد و allows
+
+73
+00:05:13,360 --> 00:05:17,460
+the heart to work in a relatively friction-free 
+
+74
+00:05:17,460 --> 00:05:21,380
+environment مايخلوش يحق يظل يحق في الأعضاء ما حوله
+
+75
+00:05:21,920 --> 00:05:26,680
+يبقى احنا حكينا قبل شوية عن مين، كمان مرة، ايوا 
+
+76
+00:05:26,680 --> 00:05:30,700
+صحيح عن البريكارديوم، وقولنا البريكارديوم في عنده
+
+77
+00:05:30,700 --> 00:05:39,000
+double wall الـ wall براني، إيش اسمه؟ fibrous
+
+78
+00:05:39,000 --> 00:05:44,880
+pericardium، والجواني، ايوا، serous pericardium، 
+
+79
+00:05:44,880 --> 00:05:50,240
+الـ serous pericardium في منه البرايتل وفي منه الـ 
+
+80
+00:05:50,240 --> 00:05:53,420
+Visceral الـ Visceral بيقول عنه Epicardium وبينهم 
+
+81
+00:05:53,420 --> 00:05:57,720
+فيه اللي هو Cavity والـ Cavity هي Fluid Filled
+
+82
+00:05:57,720 --> 00:06:07,820
+Pericardial Fluid وبيقول عنه Pericardial 
+
+83
+00:06:07,820 --> 00:06:13,280
+Cavity بعدين بيجي لتحت من الـ Epicardium مين؟
+
+84
+00:06:13,280 --> 00:06:16,820
+شايفين أنتو العضل هذا العضلة العضلة؟ هذه الـ 
+
+85
+00:06:16,820 --> 00:06:21,990
+Myocardium وهذا هو عبارة عن muscle layer forming 
+
+86
+00:06:21,990 --> 00:06:27,070
+the bulk of the heart هذه العضلة القلبية الـ 
+
+87
+00:06:27,070 --> 00:06:32,750
+myocardium هي المادة الـ bulk تبع القلب وبعدين
+
+88
+00:06:32,750 --> 00:06:35,510
+بيجي عندنا حاجة زي fibrous skeleton
+
+89
+00:06:39,120 --> 00:06:43,420
+وهي كما بيقولوها layer زي connective tissue وبعدين
+
+90
+00:06:43,420 --> 00:06:45,960
+بيجي عندنا الـ endocardium واللي بنسمع عنه كتير واللي
+
+91
+00:06:45,960 --> 00:06:49,040
+اللي بيصير فيه كتير endocarditis التهابات اللي هو 
+
+92
+00:06:49,040 --> 00:06:53,020
+الـ endocardium من جوة على الدم عدل يعني الدم هو
+
+93
+00:06:53,020 --> 00:06:55,840
+على طول في قلب القلب مضرب في مين؟ في الـ
+
+94
+00:06:55,840 --> 00:06:59,820
+endocardium يبقى Epicardium, Myocardium and وهنا
+
+95
+00:06:59,820 --> 00:07:01,820
+يوجد أيضًا Endocardium، Epicardium، Myocardium
+
+96
+00:07:01,820 --> 00:07:05,260
+و Endocardium وفي بينهم Fibrous Skeleton أو
+
+97
+00:07:05,260 --> 00:07:10,680
+Connective Tissue هذا بالنسبة للـ Wall of the
+
+98
+00:07:10,680 --> 00:07:15,040
+Heart كيف اتكون، الآن نتحدث إيش المحتويات تاعة
+
+99
+00:07:15,040 --> 00:07:19,600
+القلب لو أنا طلعت له من قدامي، يعني فتحت صدر حد
+
+100
+00:07:20,450 --> 00:07:24,370
+وفتحت الـ sternum وطلعت على القلب هشوف المنظر
+
+101
+00:07:24,370 --> 00:07:26,750
+اللي أنا شايفه الآن اللي هو الـ External heart
+
+102
+00:07:26,750 --> 00:07:31,150
+vessels that supply أو drain their heart زي ما
+
+103
+00:07:31,150 --> 00:07:34,610
+احنا شايفين شايفين احنا الـ left ventricle طبعا
+
+104
+00:07:34,610 --> 00:07:37,690
+للأسف مش قادر أشيرلكوا لأن حتى البرنامج مش بسمحش
+
+105
+00:07:37,690 --> 00:07:40,510
+بهيك لكن تبعوا معايا أنا مش هحكي كتير في الموضوع
+
+106
+00:07:40,510 --> 00:07:44,730
+هذا أنتو حاولوا تشوفوا إيش الحاجات وإن الـ left
+
+107
+00:07:44,730 --> 00:07:47,590
+ventricle أو الـ right ventricle والـ left
+
+108
+00:07:47,590 --> 00:07:52,480
+ventricle على جهة هاي وبعدين في عندنا الأورطة اللي 
+
+109
+00:07:52,480 --> 00:07:57,120
+بالأحمر طالع وفي عندنا طبعا الـ apex اللي تحت تحت
+
+110
+00:07:57,120 --> 00:08:02,980
+على الآخر قمة القلب وبعدين في عندنا من الـ right
+
+111
+00:08:02,980 --> 00:08:06,260
+ventricle طالع اللي هو pulmonary artery أو 
+
+112
+00:08:06,260 --> 00:08:11,980
+pulmonary trunk وهذا جنب على طول الـ .. في حاجة
+
+113
+00:08:11,980 --> 00:08:15,700
+اسمها ligamentum arteriosum موجودة بين pulmonary
+
+114
+00:08:15,700 --> 00:08:19,700
+artery وبين الأورطة وفي الـ Venacava Superior
+
+115
+00:08:19,700 --> 00:08:22,580
+و Venacava Inferior هدول داخلين على وين؟ على
+
+116
+00:08:22,580 --> 00:08:29,600
+الـ Right Atrium لكن
+
+117
+00:08:29,600 --> 00:08:35,100
+لما أجي أطلع على الـ Heart من الخلف بيختلف المنظر
+
+118
+00:08:35,100 --> 00:08:39,940
+هلاقي أنه أنا بحكي الـ Pulmonary Veins الأربعة هدول 
+
+119
+00:08:39,940 --> 00:08:44,620
+جايين داخلين على الـ Left Atrium
+
+120
+00:08:47,460 --> 00:08:51,760
+وهشوف إن الـ Left Ventricle كتير بشوف منه جزء والـ
+
+121
+00:08:51,760 --> 00:08:55,140
+Right Ventricle كمان وفي طبعا أكتر حاجة 
+
+122
+00:08:55,140 --> 00:08:58,740
+شايفها اللون الأزرق هدول اللي هما Left Pulmonary
+
+123
+00:08:58,740 --> 00:09:02,220
+Artery و Right Pulmonary Artery لكن برضه ما ننساش
+
+124
+00:09:02,220 --> 00:09:05,120
+إن الـ Vena Cava Superior و Vena Cava Inferior من 
+
+125
+00:09:05,120 --> 00:09:09,760
+الخلف باينين كتير وفي إن الـ Coronary Sinus كمان في
+
+126
+00:09:09,760 --> 00:09:15,700
+نص الـ Heart بياخد دم من القلب وبيصب على الـ Heart
+
+127
+00:09:17,850 --> 00:09:20,630
+طيب لو جينا تطلعنا على الـ gross anatomy of the
+
+128
+00:09:20,630 --> 00:09:29,670
+heart هنلاقي إنه عندنا هذا قطع طولي من الـ heart
+
+129
+00:09:29,670 --> 00:09:34,590
+هنلاقي خلينا نمشي vena cava inferior and superior
+
+130
+00:09:34,590 --> 00:09:38,290
+وين بيدخل بيجي الدم بيدخل منهم الـ vena cava
+
+131
+00:09:38,290 --> 00:09:43,840
+inferior بجيب لي دم من الـ lower limbs والـ superior
+
+132
+00:09:43,840 --> 00:09:50,680
+بجيب لي من الـ upper trunk والـ head وبيدخل الدم
+
+133
+00:09:50,680 --> 00:09:56,460
+لوين بيروح على الـ right atrium من الـ right atrium
+
+134
+00:09:56,460 --> 00:10:00,440
+بيدخل الدم على الـ right ventricle وزي ما شايفين 
+
+135
+00:10:00,440 --> 00:10:04,340
+الـ right ventricle الجدار تبعه ضعيف كتير كتير
+
+136
+00:10:08,130 --> 00:10:14,130
+بعد ما يدخل الدم على الـ right ventricle نتيجة الـ 
+
+137
+00:10:14,130 --> 00:10:17,470
+contraction أو الـ «سستوليكوم» اللي بيصير بيدخلنا 
+
+138
+00:10:17,470 --> 00:10:23,230
+الدم على الـ pulmonary artery والـ pulmonary
+
+139
+00:10:23,230 --> 00:10:31,800
+arteries بتودي على الـ lungs في نفس الوقت وبيبقى برضه
+
+140
+00:10:31,800 --> 00:10:36,540
+على الجهة الثانية شغال إنه دخل عندنا دم من الـ 
+
+141
+00:10:36,540 --> 00:10:41,120
+Pulmonary Veins على الـ Left Atrium ومن الـ Left
+
+142
+00:10:41,120 --> 00:10:45,360
+Atrium على الـ Left Ventricle وعندما يصير نفس
+
+143
+00:10:45,360 --> 00:10:48,020
+الستوليكم اللي صار قبل شوية هو نفس الستوليكم
+
+144
+00:10:48,020 --> 00:10:53,690
+بيدخلي في الأورطة والأورطة بيودي على الـ وبعد ذلك
+
+145
+00:10:53,690 --> 00:10:57,790
+يدفع على الـ brain ويدفع على الأبدوميل الأورطة
+
+146
+00:10:57,790 --> 00:11:06,910
+ويدفع دم على whole the body يبقى طب في زي اللي
+
+147
+00:11:06,910 --> 00:11:09,390
+إحنا شايفينهم حاجة زي اللي هي
+
+148
+00:11:12,130 --> 00:11:17,770
+الـ valves موجودة بين الـ right atrium و الـ right
+
+149
+00:11:17,770 --> 00:11:24,190
+ventricle في عندنا الـ tricuspid valve و
+
+150
+00:11:24,190 --> 00:11:28,250
+بين الـ left atrium و ال left ventricle في عندنا
+
+151
+00:11:28,250 --> 00:11:31,830
+الـ bicuspid valve اللي يسمونها الـ mitral valve
+
+152
+00:11:32,970 --> 00:11:35,930
+ولكن في نفس الوقت في عندي لو أنا شايف من الأورطة
+
+153
+00:11:35,930 --> 00:11:40,310
+مش مبين من الأورطة لكن البولمونري البولمونري
+
+154
+00:11:40,310 --> 00:11:45,070
+artery في عندنا اللي هي اللي احنا شايفينها حاجة
+
+155
+00:11:45,070 --> 00:11:52,690
+اسمها semilunar valve زي الهلال هيك valve طالع من
+
+156
+00:11:52,690 --> 00:11:56,750
+ال right ventricle
+
+157
+00:11:56,750 --> 00:11:57,870
+to the lungs
+
+158
+00:12:00,540 --> 00:12:03,920
+طبعا ما في شيء أصعب من أنه تحكي عن الـ anatomy
+
+159
+00:12:03,920 --> 00:12:09,800
+وأنت بس يعني مش .. مش قادر توضح أكثر بالرسم أو
+
+160
+00:12:09,800 --> 00:12:12,460
+بالكذا أو بالألوان أو بالحاجات هذه لكن anyway
+
+161
+00:12:12,460 --> 00:12:17,920
+الموضوع سهل ممكن تفتحوه يا جماعة على أي حد على
+
+162
+00:12:17,920 --> 00:12:23,900
+اليوتيوب بيشرح .. بيشرح اللي هو الـ .. ال anatomy
+
+163
+00:12:23,900 --> 00:12:29,620
+of the heart الـ Anatomy of the heart والفيسيولوجيا
+
+164
+00:12:29,620 --> 00:12:33,700
+of the heart قصيرة يكون بس ويحاول يشوفوها ويُشرح
+
+165
+00:12:33,700 --> 00:12:39,320
+بطريقة ممكن الرسم أو كذا ممكن يساعدكم كثير شيء
+
+166
+00:12:39,320 --> 00:12:44,730
+كثير إن شاء الله الآن الـ Atrium حقيقة هي receiving
+
+167
+00:12:44,730 --> 00:12:47,910
+chambers of the heart هي يعني الـ left atrium و ال
+
+168
+00:12:47,910 --> 00:12:51,970
+right atrium هم اللي بيستلموا الدم وكل atrium في
+
+169
+00:12:51,970 --> 00:12:54,390
+عنده حاجة اللي بنقول أنا protruding auricle زي
+
+170
+00:12:54,390 --> 00:12:59,430
+أُذين صغير معها ال blood بدخل ال right atria from
+
+171
+00:12:59,430 --> 00:13:03,670
+superior and inferior vena cava و coronary sinus
+
+172
+00:13:03,670 --> 00:13:08,790
+برضه بيودي فيها blood enters the left atria from
+
+173
+00:13:08,790 --> 00:13:12,260
+pulmonary veins Ventricles are the discharging
+
+174
+00:13:12,260 --> 00:13:15,520
+chambers of the heart يعني هم بيستلموا الدم من الـ
+
+175
+00:13:15,520 --> 00:13:19,520
+atrium، both atrium وبعدين هم اللي بيطلعوا الدم ل
+
+176
+00:13:19,520 --> 00:13:23,060
+further
+
+177
+00:13:23,060 --> 00:13:27,320
+parts of the body Right ventricle pumps blood into
+
+178
+00:13:27,320 --> 00:13:30,500
+the pulmonary trunk Left ventricle pumps blood
+
+179
+00:13:30,500 --> 00:13:36,890
+into the aorta طيب، الآن بس نوضح بعض الحقائق أنه
+
+180
+00:13:36,890 --> 00:13:40,170
+احنا الـmyocardial thickness بيختلف في القلب، مش
+
+181
+00:13:40,170 --> 00:13:43,070
+كل القلب واحد، يعني عندنا الـleft ventricle زي ما
+
+182
+00:13:43,070 --> 00:13:49,310
+احنا شايفين ونلاحظ، لكن الـleft ventricle wall is
+
+183
+00:13:49,310 --> 00:13:53,150
+the thickest to supply systemic circulation، ليش؟
+
+184
+00:13:53,150 --> 00:13:55,670
+الـleft ventricle، لأن الـleft ventricle بيمب،
+
+185
+00:13:55,670 --> 00:13:59,830
+blood،to the whole body يعني هو جاي بيحارب ضد الـ
+
+186
+00:13:59,830 --> 00:14:02,930
+high blood pressure أو الـ systemic blood pressure
+
+187
+00:14:02,930 --> 00:14:06,750
+of the body كل الجسم فحين أنه الـ left ventricle ال
+
+188
+00:14:06,750 --> 00:14:12,150
+right ventricle بس بيودي الـ pulmonary وطبعا هذا ال
+
+189
+00:14:12,150 --> 00:14:17,680
+flow resistance جليل عنده يبقى هذه السبب ليش عندنا
+
+190
+00:14:17,680 --> 00:14:26,020
+الـ «Left ventricle thicker than the
+
+191
+00:14:26,020 --> 00:14:28,940
+right ventricle» طلعوا الرسمة هنا، هذه عبارة عن
+
+192
+00:14:28,940 --> 00:14:33,140
+قطع في القلب، قطع عرضي، بنلاقي أن الـ «Left
+
+193
+00:14:33,140 --> 00:14:37,960
+ventricle» فعلا الـ «wall» very thick في حين أن
+
+194
+00:14:37,960 --> 00:14:46,330
+الـ «right ventricle» very thin أو thinner ال
+
+195
+00:14:46,330 --> 00:14:48,930
+pathway of the blood through the heart and lungs
+
+196
+00:14:48,930 --> 00:14:55,270
+الأمر سهل وبسيط ال right atrium عن طريق ال
+
+197
+00:14:55,270 --> 00:14:58,570
+tricuspid valve بيودي الـ right ventricle ال right
+
+198
+00:14:58,570 --> 00:15:01,570
+ventricle عن طريق ال pulmonary semilunar valve في
+
+199
+00:15:01,570 --> 00:15:04,750
+ال systolic في ال systolicum بيودي ال pulmonary
+
+200
+00:15:04,750 --> 00:15:09,050
+artery وهذا بيودي على ال lungs ال lungs بترجع الدم
+
+201
+00:15:09,050 --> 00:15:12,180
+pulmonary veins بتوديها على ال left atrium ال
+
+202
+00:15:12,180 --> 00:15:16,400
+Left Atrium بيودينا على الـ Bicuspid عن طريق الـ
+
+203
+00:15:16,400 --> 00:15:18,720
+Bicuspid Valve بيودينا على الـ Left Ventricle
+
+204
+00:15:18,720 --> 00:15:21,440
+وLeft Ventricle عن طريق الـ Aortic Semilunar Valve
+
+205
+00:15:21,440 --> 00:15:23,360
+بيودينا على الأورطة والأورطة على الـ Systemic
+
+206
+00:15:23,360 --> 00:15:26,880
+Circulation يا جماعة، لما احنا بنحكي مش إنه هذه
+
+207
+00:15:26,880 --> 00:15:31,800
+دائرة وقاعدة بتدور هي بتدور في نفس الوقت، بمعنى أنا
+
+208
+00:15:31,800 --> 00:15:35,400
+لما يكون عندي سيستوليكوم الـ Right Ventricle بيضخ
+
+209
+00:15:35,400 --> 00:15:40,490
+والـ Left Ventricle بيضخ الـ right ventricle يدخل
+
+210
+00:15:40,490 --> 00:15:44,910
+الـ pulmonary والـ left ventricle يدخل الـ body في
+
+211
+00:15:44,910 --> 00:15:49,290
+نفس اللحظة عندما يصير عنده diastolicum بنفس القدر
+
+212
+00:15:49,290 --> 00:15:54,790
+بيدخل دم على الـ Atrium و الـ Atrium في نفس اللحظة
+
+213
+00:15:54,790 --> 00:16:00,730
+بيدخل دم على الـ Ventricles فهي كلها مش إن والله
+
+214
+00:16:00,730 --> 00:16:04,050
+هذا بيفضي وهذا بملأ وهذا بيفضي وهذا بملأ لأ كله
+
+215
+00:16:04,050 --> 00:16:06,830
+في نفس اللحظة بيصير و الـ Heart هذا اللي احنا
+
+216
+00:16:06,830 --> 00:16:11,090
+مستغربين فيه ومش هذا بيخدم سبعين وثمانين وتسعين
+
+217
+00:16:11,090 --> 00:16:18,250
+سنة قاعد بدون ما يقول أخصّ عليك واحنا بنظل نقاش بس
+
+218
+00:16:18,250 --> 00:16:22,450
+نعكس عليه حياته بالـ stress و بالأكل و بالزيوت و
+
+219
+00:16:22,450 --> 00:16:30,210
+بالسكر و بالمشاكل هذه لكن لو مرة جال أخ تبدأ
+
+220
+00:16:30,210 --> 00:16:36,090
+مشاكلنا في الغالب طيب pathway of blood through the
+
+221
+00:16:36,090 --> 00:16:40,190
+heart and lung حكينا عنها في نفس الصورة هذه طبعا
+
+222
+00:16:40,190 --> 00:16:44,130
+بنبقى عارفين أن الدم اللي طالع من القلب بيبقى
+
+223
+00:16:44,130 --> 00:16:48,210
+oxygenated لو طالع من left ventricle وطالع لل body
+
+224
+00:16:48,210 --> 00:16:51,370
+بيبقى oxygenated لو طالع من ال right ventricle
+
+225
+00:16:51,370 --> 00:16:58,970
+بيبقى مش oxygenated ورايح لل oxygenation يارب أكون
+
+226
+00:16:58,970 --> 00:17:02,170
+قلتُها صح كمان مرة لو طالع من ال left ventricle
+
+227
+00:17:02,170 --> 00:17:05,490
+بيبقى oxygenated ورايح لل body و لو طالع من ال
+
+228
+00:17:05,490 --> 00:17:09,640
+right ventricle بيبقى deoxygenated، ما فيه أكسجين
+
+229
+00:17:09,640 --> 00:17:13,040
+بيوديه على الـ lung عشان يصير له عملية إيش؟
+
+230
+00:17:13,040 --> 00:17:17,760
+Oxygenation عشان يفرج الـ CO2 اللي معاه ويعبي
+
+231
+00:17:17,760 --> 00:17:24,320
+أكسجين ويرجع للقلب عشان يضخه على الجسم في حاجة
+
+232
+00:17:24,320 --> 00:17:28,540
+اسمها غير اللي هي الـ Whole Body Circulation فينا
+
+233
+00:17:28,540 --> 00:17:33,600
+حاجة اسمها Coronary Circulation الـ Coronary
+
+234
+00:17:33,600 --> 00:17:38,910
+Circulation هاي شغلتها إيش؟ طبيعي هو صحيح القلب
+
+235
+00:17:38,910 --> 00:17:42,090
+بيخدم كل الجسم لكن هو نفسه كمان بده الـ circulation
+
+236
+00:17:42,090 --> 00:17:48,850
+خاص بيه لتغذية to supply blood to the heart muscle
+
+237
+00:17:50,380 --> 00:17:53,200
+وطبعا زي ما بنقول دائما coronary circulation
+
+238
+00:17:53,200 --> 00:17:56,000
+هو الأساس لكن برضه في عندنا حاجة اسمها collateral
+
+239
+00:17:56,000 --> 00:17:59,940
+roots اللي هو الشوارع الفرعية للشوارع الأساسية
+
+240
+00:17:59,940 --> 00:18:02,260
+يعني أنا عند الشارع الأساسي شارع عمرو بن العاص
+
+241
+00:18:02,260 --> 00:18:06,140
+والتلاتيني والوحدة بيكفيش للبلد لحالهم بدي شوارع
+
+242
+00:18:06,140 --> 00:18:10,890
+جانبية عشان تخفف من الضغط اللي بيصير هذه اسمها
+
+243
+00:18:10,890 --> 00:18:16,650
+collateral roots وطبعا بنفس القدر لكن بأقل أهمية
+
+244
+00:18:16,650 --> 00:18:19,970
+يمكن الـVenous supply of the heart وبرضه بيقول
+
+245
+00:18:19,970 --> 00:18:25,590
+عنها coronary venous supply من الأجزاء الأساسية
+
+246
+00:18:25,590 --> 00:18:29,170
+واللي إحنا هنحكيها بعد ذلك في محاضرة اللي هي الـ
+
+247
+00:18:29,170 --> 00:18:32,470
+Heart Valves الـ Heart Valves هذه طبعا بتعملنا
+
+248
+00:18:32,470 --> 00:18:36,970
+مشاكل كثير زي أي Valve في الجسم الـ Valves تبعت
+
+249
+00:18:36,970 --> 00:18:42,410
+الـ Heart بتبقى شغلتها شغلتها
+
+250
+00:18:42,410 --> 00:18:49,860
+هي Unidirectional Blood Flow Through the heart يعني
+
+251
+00:18:49,860 --> 00:18:56,120
+هذا الأساس تبع الـ heart valves دائما تحافظ على دم
+
+252
+00:18:56,120 --> 00:19:02,180
+في اتجاه واحد داخل القلب وطبعا تمنع الـ «backflow
+
+253
+00:19:02,180 --> 00:19:05,100
+into the atrium when ventricle contracts» يعني
+
+254
+00:19:05,100 --> 00:19:08,780
+احنا زي ما بيقولوها الـ atrioventricular كل valve
+
+255
+00:19:08,780 --> 00:19:11,240
+بين الـ atrium و الـ ventricle بيقول atrioventricular
+
+256
+00:19:11,240 --> 00:19:14,940
+عنها وقلنا هدول اللي هم مين الـ tricusp و الـ
+
+257
+00:19:14,940 --> 00:19:19,190
+mitral ولكن في عندنا حاجة اسمها غير الـ
+
+258
+00:19:19,190 --> 00:19:25,150
+atrioventricular أنها الـ semilunar valves وهذه
+
+259
+00:19:25,150 --> 00:19:29,390
+عبارة عن الـ valves اللي عند الأورطة وعند
+
+260
+00:19:29,390 --> 00:19:33,440
+البلمونيري موجودة يبقى الـ Atrium Ventricular
+
+261
+00:19:33,440 --> 00:19:36,400
+Valves موجودة بين الـ Atrium والـ Ventricle
+
+262
+00:19:36,400 --> 00:19:41,780
+وشغلتها تمنع الـ Backflow، الدم ما يرجعش لما يصير
+
+263
+00:19:41,780 --> 00:19:45,620
+عندي الـ Diastolicum ما يرجعش الدم من الـ Atrium to
+
+264
+00:19:45,620 --> 00:19:50,200
+the Ventricle لأنه لو رجع، بيعمل Overload عوين على
+
+265
+00:19:50,200 --> 00:19:54,160
+الـ Ventricles لأنه عبّى فيه دم بزيادة، دم مش لازم
+
+266
+00:19:54,160 --> 00:19:58,440
+يتعبّى هناك في عندنا حاجة اسمها كردة تندنى وهذه
+
+267
+00:19:58,440 --> 00:20:02,240
+تبقى زي الـ .. زي ما بقولوا شفتوا الخيبة وببقى زي
+
+268
+00:20:02,240 --> 00:20:06,020
+خيطان ماسكاها من هنا ومن هنا هذه الكردة تندنى تبقى
+
+269
+00:20:06,020 --> 00:20:11,240
+زي .. زي الـ .. الـ .. الجام تبع الإحصان بحرك رأس
+
+270
+00:20:11,240 --> 00:20:14,560
+الإحصان وين بيروح وهذه رابطة على وين على حاجة اسمها
+
+271
+00:20:14,560 --> 00:20:18,300
+papillary muscles ويلها علاقة في عملية الفتح
+
+272
+00:20:18,300 --> 00:20:19,560
+والتسكير للـ valves
+
+273
+00:20:22,650 --> 00:20:26,810
+زي ما قلنا الـ Heart valves اللي هي الـ
+
+274
+00:20:26,810 --> 00:20:30,770
+Atrioventricular valves بتمنع الـ Backflow of
+
+275
+00:20:30,770 --> 00:20:34,810
+blood to the ventricles الآن الـ Seminolar اللي
+
+276
+00:20:34,810 --> 00:20:40,230
+هم الموجودات عند الـ Pulmonary وعند الأورتة
+
+277
+00:20:40,230 --> 00:20:44,650
+بيمنعوا الـ Backflow of blood into the ventricles
+
+278
+00:20:47,010 --> 00:20:49,370
+هذه الفكرة تاعت الموضوع يعني جماعة طول ما احنا
+
+279
+00:20:49,370 --> 00:20:52,750
+بنحكي في المحاضرة أو elsewhere حاولوا قدر الإمكان
+
+280
+00:20:52,750 --> 00:20:57,330
+تتصوروا ميكانيكية ميكانيكية آلية عمل القلب عشان 
+
+281
+00:20:57,330 --> 00:21:00,210
+تتصوروا الـ text هذا اللي مكتوب كيف بيصير ما عنديش
+
+282
+00:21:00,210 --> 00:21:04,510
+نحفظ الموضوع، موضوع القلب، موضوع بينفهم مش بنحفظ
+
+283
+00:21:07,020 --> 00:21:09,800
+طب الـ aortic semilunar وين موجود؟ موجود بين الـ left
+
+284
+00:21:09,800 --> 00:21:12,940
+ventricle and الأورطة و الـ pulmonary موجود بين الـ right
+
+285
+00:21:12,940 --> 00:21:16,700
+ventricle و الـ pulmonary trunk طبعا التصور يا
+
+286
+00:21:16,700 --> 00:21:20,160
+جماعة اللي بدي يكون مش أنه كل valve موجود في level
+
+287
+00:21:20,160 --> 00:21:24,340
+لوحده هم موجودين في القلب هو كل القلب جد الإيد فهم
+
+288
+00:21:24,340 --> 00:21:26,880
+موجودين كل هيتهم في level واحد تقريبا زي ما إحنا 
+
+289
+00:21:26,880 --> 00:21:31,080
+شايفينهم في القطع اللي موجود في الصورة A أو B مثلا
+
+290
+00:21:31,080 --> 00:21:34,840
+كلهم في نفس الـ level موجودين
+
+291
+00:21:44,350 --> 00:21:51,420
+كمان مرة وبسرعة الـ Anatomy of the heart على أساس
+
+292
+00:21:51,420 --> 00:21:57,600
+أنه فعلا يعني ركز معانا أنه عبارة قلنا تقريبا
+
+293
+00:21:57,600 --> 00:22:03,880
+about your fist في منه superior surface of the
+
+294
+00:22:03,880 --> 00:22:07,140
+diaphragm القلب left to the midline anterior to the
+
+295
+00:22:07,140 --> 00:22:11,780
+vertebral column و posterior to the sternum وقلنا 
+
+296
+00:22:11,780 --> 00:22:15,620
+coverings of the heart البريكارديوم البريكارديوم
+
+297
+00:22:15,620 --> 00:22:20,340
+بتكون من double wall sack و الـ Superficial Fibrous
+
+298
+00:22:20,340 --> 00:22:23,280
+Pericardium وفيه Deep Two-Layer Serous
+
+299
+00:22:23,280 --> 00:22:26,080
+Pericardium وهذا بتكون من Two-Layer, Parietal
+
+300
+00:22:26,080 --> 00:22:30,040
+Layer و Internal Surface of the Fibrous Pericardium
+
+301
+00:22:30,040 --> 00:22:35,170
+و Visceral Layer أو بيقول عنه Epicardium هو عبارة
+
+302
+00:22:35,170 --> 00:22:40,830
+«داخل لجوا القلب» يعني «lines the surface of the
+
+303
+00:22:40,830 --> 00:22:45,870
+heart» و «separated» هدول بـ «fluid filled
+
+304
+00:22:45,870 --> 00:22:49,670
+pericardium» وقلنا إن شغلة البريكارديوم «protect
+
+305
+00:22:49,670 --> 00:22:53,210
+and anchor the heart» «prevent the overfilling»
+
+306
+00:22:53,210 --> 00:22:59,290
+وبيسمح للقلب يشتغل في «friction-free environment»
+
+307
+00:22:59,290 --> 00:23:03,880
+وقلنا بعد الـ «epicardium» في عندنا أو الـ
+
+308
+00:23:03,880 --> 00:23:07,420
+pericardium في عندنا الـ myocardium وبعدين الـ
+
+309
+00:23:07,420 --> 00:23:10,800
+endocardium الـ myocardium بيمثل الـ cardiac muscle
+
+310
+00:23:10,800 --> 00:23:16,540
+layer forming bulk وقلنا الـ heart من برا بنشوف
+
+311
+00:23:16,540 --> 00:23:21,460
+فيه الـ mainly الـ right ventricle و left ventricle
+
+312
+00:23:21,460 --> 00:23:25,520
+مع الـ coronary arteries و الـ auricles و بنشوف الـ
+
+313
+00:23:25,520 --> 00:23:29,400
+pulmonary artery و الـ Pulmonary Trunk و بنشوف
+
+314
+00:23:29,400 --> 00:23:33,300
+الأورطة من الخلف لكن من خلف القلب بنشوف حاجات كتير
+
+315
+00:23:33,300 --> 00:23:37,920
+تانية زي اللي هي الـ Pulmonary Veins و الـ Vena
+
+316
+00:23:37,920 --> 00:23:41,040
+Cava Superior و Vena Cava Inferior و mainly الـ
+
+317
+00:23:41,040 --> 00:23:48,740
+Left Ventricle و لو فتحنا القلب بقطع طولي هنشوف إنه
+
+318
+00:23:48,740 --> 00:23:56,380
+فيه هنا Right ventricle فاتح على .. عفوا Right
+
+319
+00:23:56,380 --> 00:24:01,630
+atrium فاتح عن طريق الـ Tricuspid ده الـ Valve على
+
+320
+00:24:01,630 --> 00:24:06,030
+الـ right ventricle و الـ right ventricle بضخ الدم
+
+321
+00:24:06,030 --> 00:24:09,610
+في الـ systolicum عن طريق الـ pulmonary trunk عن طريق 
+
+322
+00:24:09,610 --> 00:24:15,250
+الـ pulmonary semilunar valve to the lungs و بالعكس في
+
+323
+00:24:15,250 --> 00:24:21,590
+استرجاع الدم عن طريق الـ left من الـ left atrium
+
+324
+00:24:21,590 --> 00:24:24,350
+إلى الـ right إلى الـ left ventricle و الـ left
+
+325
+00:24:24,350 --> 00:24:31,150
+ventricle عن طريق الأورطة بدخ على الجسم كمرة قلنا
+
+326
+00:24:31,150 --> 00:24:34,110
+إن الـ left ventricle wall is the thickest to
+
+327
+00:24:34,110 --> 00:24:40,120
+supply systemic circulation ثم الـ Right Myocardium
+
+328
+00:24:40,120 --> 00:24:44,580
+وقلنا إن مصار الدم و الـ Flow هذا مهم كلنا نعرفه
+
+329
+00:24:44,580 --> 00:24:47,680
+Right Atrium عن طريق الـ Tricuspidal Valve على الـ
+
+330
+00:24:47,680 --> 00:24:49,480
+Right Ventricle الـ Right Ventricle عن طريق الـ
+
+331
+00:24:49,480 --> 00:24:52,240
+Pulmonary Semilunar Valve بيروح على الـ Pulmonary
+
+332
+00:24:52,240 --> 00:24:54,700
+Arteries وهذا على الـ Lung بيعملوا Blood Exchange
+
+333
+00:24:54,700 --> 00:24:58,400
+أو Gas Exchange بيرجع الدم عن طريق الـ Pulmonary
+
+334
+00:24:58,400 --> 00:25:01,000
+veins to the left atrium من الـ left atrium to
+
+335
+00:25:01,000 --> 00:25:05,600
+bicusp valve وبعدين to left ventricle و الـ left
+
+336
+00:25:05,600 --> 00:25:08,340
+ventricle بيبقوا بباقي الشغل عن طريق الأورطة 
+
+337
+00:25:08,340 --> 00:25:11,740
+بودّيلي على الـ systemic circulation في عندنا طبعا
+
+338
+00:25:11,740 --> 00:25:15,900
+زي ما قلنا الـ coronary circulation و هنحكي في الـ
+
+339
+00:25:15,900 --> 00:25:19,460
+MI أو الـ ischemic heart disease عن الـ coronary
+
+340
+00:25:19,460 --> 00:25:23,700
+arteries و في طبعا collateral roots و كذلك في
+
+341
+00:25:23,700 --> 00:25:29,410
+عندنا الـ veins أقل أهمية في الموضوع تبعنا لكن بصورة
+
+342
+00:25:29,410 --> 00:25:35,090
+عامة الـ Heart valves غاية في الأهمية أتريا و الـ
+
+343
+00:25:35,090 --> 00:25:37,830
+ventricular valves بتربط بين الأتريا و الـ
+
+344
+00:25:37,830 --> 00:25:42,650
+ventricle وفي عندنا الـ semilunar valves بتربط بين
+
+345
+00:25:42,650 --> 00:25:47,190
+الـ ventricles and the aorta and pulmonary trunk
+
+346
+00:25:50,020 --> 00:25:53,560
+of the blood into the ventricles وإن شاء الله
+
+347
+00:25:53,560 --> 00:25:58,580
+تعالى في محاضرة قريبة أنا مش حابب أطول كتير بس
+
+348
+00:25:58,580 --> 00:26:01,680
+عشان تستوعبوا الموضوع هذا و بنحكي كمان عشرة slides
+
+349
+00:26:01,680 --> 00:26:06,060
+عن الـ physiology إن شاء الله تعالى و يعطيكم ألف
+
+350
+00:26:06,060 --> 00:26:06,760
+عافية 
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/TvX3vXGCsd4_postprocess.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/TvX3vXGCsd4_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..081fed00ab034fa2a339aef55eb9b2c3189d310a
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/TvX3vXGCsd4_postprocess.srt
@@ -0,0 +1,1400 @@
+1
+00:00:01,400 --> 00:00:03,420
+بسم الله الرحمن الرحيم والحمد للرحمن الرحيم الصلاة
+
+2
+00:00:03,420 --> 00:00:06,980
+والسلام علي سيدنا محمد وسيد المرسلين اجمعين طبعا
+
+3
+00:00:06,980 --> 00:00:13,100
+ريحناكم اول انبارح السبت وننطلق مرة تانية ان شاء
+
+4
+00:00:13,100 --> 00:00:19,240
+الله تعالى في بداية ال cardiovascular systemالان
+
+5
+00:00:19,240 --> 00:00:23,920
+هنتحدث عن ال heart هنحكي شوية anatomy و شوية
+
+6
+00:00:23,920 --> 00:00:26,820
+physiology بس عشان أسهل عليكم الموضوع بعد هيك بس
+
+7
+00:00:26,820 --> 00:00:31,120
+يعني انما هو يعني ال heart عشان أحكي في ال anatomy
+
+8
+00:00:31,120 --> 00:00:34,500
+تبعه و ال physiology يعني ممكن يحتاج الواحد فصول
+
+9
+00:00:34,500 --> 00:00:38,040
+أو فصل للموضوع عادة لكن احنا بنحاول نتعرف على ال
+
+10
+00:00:38,040 --> 00:00:42,690
+heart بصورة كبيرةحتى نفهم الـ Diseases اللي بتنشأ
+
+11
+00:00:42,690 --> 00:00:49,150
+نتيجة مشكلة الـ Heart الـ Heart Anatomy حقيقة يعني
+
+12
+00:00:49,150 --> 00:00:54,290
+هو عبارة عن بقدر القبضة، قبضة الإيد، يعني Size of
+
+13
+00:00:54,290 --> 00:00:58,970
+your fist تقريبا، وبيحد الـ Heart
+
+14
+00:01:05,400 --> 00:01:11,240
+وهو خلف الـsternum،
+
+15
+00:01:11,240 --> 00:01:16,110
+أمام الـvertebral columnبشويه شمال من الـ midline
+
+16
+00:01:16,110 --> 00:01:21,030
+وهو يعلو الـ diaphragm هاي المقصود في الموضوع يبقى
+
+17
+00:01:21,030 --> 00:01:27,690
+مهم نعرف مكان القلب طيب هو احنا قلنا left to the
+
+18
+00:01:27,690 --> 00:01:36,230
+midline هو فيه right to the midline يعني left to
+
+19
+00:01:36,230 --> 00:01:39,350
+the midline الوضع الطبيعي بيقول عنه «sense through
+
+20
+00:01:39,350 --> 00:01:43,270
+cardiac»طيب write to the midline هذا إذا في إيش
+
+21
+00:01:43,270 --> 00:01:49,990
+بقول عنه دكسترا cardiac دكسترا يمين cardiac قلب
+
+22
+00:01:49,990 --> 00:01:52,870
+قلب عاليمين في منه الكلام هذا وبيجي في إطار
+
+23
+00:01:52,870 --> 00:01:57,730
+abnormality و و syndromes يعني متلازمة في الغالب و
+
+24
+00:01:57,730 --> 00:02:02,090
+بيبقى كل أعضاء الجسم بالطريقة هذه لافة اللي ع
+
+25
+00:02:02,090 --> 00:02:04,250
+الشمال موجود ع اليمين و اللي ع اليمين موجود ع
+
+26
+00:02:04,250 --> 00:02:09,060
+الشمالطيب، إيش الـ Coverings of the Heart؟ إيش
+
+27
+00:02:09,060 --> 00:02:15,260
+الحاجات اللي هي محيطة بالقلب؟ رقم واحد، بدنا نحكي
+
+28
+00:02:15,260 --> 00:02:19,860
+عن البريكارديوم البريكارديوم هو حاجة برنية، دعوني
+
+29
+00:02:19,860 --> 00:02:23,840
+أشوف الصورة اللي بعدها البريكارديوم هو إشي من برا
+
+30
+00:02:23,840 --> 00:02:29,040
+البريكارديوم هذا بتكون من Double
+
+31
+00:02:29,040 --> 00:02:33,680
+-Walled sack around the heartوهو الـ Double-walled
+
+32
+00:02:33,680 --> 00:02:39,400
+sack كيس حوالين دبل وولد اللي له جدارين حنعرف إن
+
+33
+00:02:39,400 --> 00:02:44,600
+هما الجدارين sack around a heart وبيتكون من حاجة
+
+34
+00:02:44,600 --> 00:02:47,950
+superficial وحاجة deepفى الـ Subficial بيبقى
+
+35
+00:02:47,950 --> 00:02:50,710
+Fibrous Pericardium بنقول عنه زى ما احنا شايفينه
+
+36
+00:02:50,710 --> 00:02:53,770
+فى الرسمة Fibrous Pericardium وفى عندنا الـ Deep
+
+37
+00:02:53,770 --> 00:02:57,510
+اللى هو الـ Two Layer Serous Pericardium بيبقى
+
+38
+00:02:57,510 --> 00:03:00,610
+عندنا Fibrous Pericardium وSerous Pericardium
+
+39
+00:03:00,610 --> 00:03:03,810
+Serous Pericardium لجوا من الجلب أو على الجلب
+
+40
+00:03:03,810 --> 00:03:07,470
+وبيبقى بتكون من Two Layers الـ Two Layers واحدة
+
+41
+00:03:07,470 --> 00:03:13,850
+اسمها Parietal Layer وهدى Lines The Internal
+
+42
+00:03:13,850 --> 00:03:18,400
+Surface Of The Fibrousبريكارديوم وفيه الـ visceral
+
+43
+00:03:18,400 --> 00:03:25,840
+layer or ابيكارديوم بنسمي الـ visceral layer للسرس
+
+44
+00:03:25,840 --> 00:03:29,420
+بريكارديوم بنقول عنه ابيكارديوم lines the surface
+
+45
+00:03:29,420 --> 00:03:36,160
+of the heart وبيبقى بينهم هدول ال two layers اللي
+
+46
+00:03:36,160 --> 00:03:40,160
+هو ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+47
+00:03:40,160 --> 00:03:40,520
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+48
+00:03:40,520 --> 00:03:41,360
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+49
+00:03:41,360 --> 00:03:42,100
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+50
+00:03:42,100 --> 00:03:42,140
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+51
+00:03:42,140 --> 00:03:44,840
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+52
+00:03:44,840 --> 00:03:49,460
+البين الـ two layers يبقى أحدى الآن كمان مرة الـ
+
+53
+00:03:49,460 --> 00:03:53,360
+pericardium يتكون من two أو double walled sack
+
+54
+00:03:53,360 --> 00:03:57,180
+around the heart اللي من برا superficial fibrous
+
+55
+00:03:57,180 --> 00:04:00,160
+pericardium من جوا أديب two layer cerous
+
+56
+00:04:00,160 --> 00:04:05,140
+pericardium اللي على طول على حدود ال superficial
+
+57
+00:04:05,140 --> 00:04:10,120
+fibrous pericardium اسمه parietal layer واللي جوا
+
+58
+00:04:10,120 --> 00:04:12,800
+بنسميه visceral layer طلعوا على الرسمة عشان
+
+59
+00:04:12,800 --> 00:04:18,500
+تساعدكمفي التصور الـ visceral layer أو الـ
+
+60
+00:04:18,500 --> 00:04:21,740
+Epicardium لعنوان الـ service of the heart وبين
+
+61
+00:04:21,740 --> 00:04:24,700
+الـ two layers اللي هي البريطال و الvisceral في
+
+62
+00:04:24,700 --> 00:04:28,120
+عندنا fluid-filled cavity بيقولوا هنا pericardial
+
+63
+00:04:28,120 --> 00:04:35,030
+cavity هي الصورةاللي هو الـ Fibrous Pericardium
+
+64
+00:04:35,030 --> 00:04:38,230
+وبعدين بندخل على الـ Two Layers اللي هي الـ
+
+65
+00:04:38,230 --> 00:04:41,110
+Visceral Layer و البريطال Layer بينهم Pericardial
+
+66
+00:04:41,110 --> 00:04:44,870
+Cavity و الـ Visceral Layer اللي قولنا عنها
+
+67
+00:04:44,870 --> 00:04:48,330
+Epicardium على طول بيجي على مين؟ على الـ
+
+68
+00:04:48,330 --> 00:04:53,110
+Myocardium ماحنشوف بعد شوية طيب هي إيش شغلة
+
+69
+00:04:53,110 --> 00:04:58,440
+البريكارديوم؟ واضح إن هيمربطة الجلب عمليًا protect
+
+70
+00:04:58,440 --> 00:05:01,960
+وتحمي القلب and anchor the heart prevent over
+
+71
+00:05:01,960 --> 00:05:05,800
+filling لو الجلب بده يتعب بزيادة هذه بتيجي ال wall
+
+72
+00:05:05,800 --> 00:05:13,360
+ال elastic wall هاي بتمنعه من أنه يتمدد و allows
+
+73
+00:05:13,360 --> 00:05:17,460
+the heart to work in a relatively friction-free
+
+74
+00:05:17,460 --> 00:05:21,380
+environment مايخلوش يحق يظل يحق في الأعضاء ما حوله
+
+75
+00:05:21,920 --> 00:05:26,680
+يبقى احنا حكينا قبل شوية عن مين، كمان مرة، ايوة
+
+76
+00:05:26,680 --> 00:05:30,700
+صحيح عن البريكارديوم، وقولنا البريكارديوم في عنده
+
+77
+00:05:30,700 --> 00:05:39,000
+double wall ال wall براني، اش اسمه؟ fibrous
+
+78
+00:05:39,000 --> 00:05:44,880
+pericardium، و الجواني، ايوة, cerous pericardium،
+
+79
+00:05:44,880 --> 00:05:50,240
+الcerous pericardium في منه البرايتلوفيه منه الـ
+
+80
+00:05:50,240 --> 00:05:53,420
+Vesceral الـ Vesceral بيقول عنه Epicardium و بينهم
+
+81
+00:05:53,420 --> 00:05:57,720
+فيه اللي هو Cavity و ال Cavity هي Fluid Filled
+
+82
+00:05:57,720 --> 00:06:07,820
+Pericardial Fluid و بيقول عنه Pericardial
+
+83
+00:06:07,820 --> 00:06:13,280
+Cavity بعدين بيجي لتحت من ال Epicardium مين؟
+
+84
+00:06:13,280 --> 00:06:16,820
+شايفين انتوا العضل هذا العضلة العضلة؟ هذه ال
+
+85
+00:06:16,820 --> 00:06:21,990
+Myocardiumوهذا هو عبارة عن muscle layer forming
+
+86
+00:06:21,990 --> 00:06:27,070
+the bulk of the heart هذه العضلة القلبية الـ
+
+87
+00:06:27,070 --> 00:06:32,750
+myocardium هي المادة الـ bulk تبع القلب وبعدين
+
+88
+00:06:32,750 --> 00:06:35,510
+بيجي عنا حاجة زي fibrous skeleton
+
+89
+00:06:39,120 --> 00:06:43,420
+وهي كما بيقولوها layer زي connective tissue وبعدين
+
+90
+00:06:43,420 --> 00:06:45,960
+بيجي عنا الـ endocardium و اللي بنسمع عنه كتير و
+
+91
+00:06:45,960 --> 00:06:49,040
+اللي بيصير فيه كتير endocarditis التهابات اللي هو
+
+92
+00:06:49,040 --> 00:06:53,020
+الـ endocardium من جوا على الدم عدل يعني الدم هو
+
+93
+00:06:53,020 --> 00:06:55,840
+على طول في جلب الجلب مضرب في مين؟ في ال
+
+94
+00:06:55,840 --> 00:06:59,820
+endocardium يبقى Epicardium, Myocardium andوهنا
+
+95
+00:06:59,820 --> 00:07:01,820
+يوجد أيضًا Endocardium، Epicardium، Myocardium
+
+96
+00:07:01,820 --> 00:07:05,260
+وEndocardium وفي بينهم Fibrous Skeleton أو
+
+97
+00:07:05,260 --> 00:07:10,680
+Connective Tissue هذا بالنسبة للـ Wall of the
+
+98
+00:07:10,680 --> 00:07:15,040
+Heart كيف اتكون، الآن نتحدث أيش المحتويات تاعة
+
+99
+00:07:15,040 --> 00:07:19,600
+القلب لو أنا طلعتله من قدامي، يعني فتحت صدر حد
+
+100
+00:07:20,450 --> 00:07:24,370
+وفتحت الـ sternum و طلعت على القلب هشوف المنظر
+
+101
+00:07:24,370 --> 00:07:26,750
+اللي أنا شايفه الآن اللي هو الـ External heart
+
+102
+00:07:26,750 --> 00:07:31,150
+vessels that supply أو drain their heart زي ما
+
+103
+00:07:31,150 --> 00:07:34,610
+احنا شايفين شايفين احنا الـ left ventricle طبعا
+
+104
+00:07:34,610 --> 00:07:37,690
+للأسف مش قادر أشيرلكوا لأن حتى البرنامج مش بسمحش
+
+105
+00:07:37,690 --> 00:07:40,510
+بهيك لكن تبعوا معايا أنا مش هحك كتير في الموضوع
+
+106
+00:07:40,510 --> 00:07:44,730
+هذا انتوا حاولوا تشوفوا إيش الحاجات وإن الـ left
+
+107
+00:07:44,730 --> 00:07:47,590
+ventricle أو ال right ventricle و ال left
+
+108
+00:07:47,590 --> 00:07:52,480
+ventricleعلى جهة هاي و بعدين في عندنا الأورطة اللي
+
+109
+00:07:52,480 --> 00:07:57,120
+بالأحمر طالع و في عندنا طبعا ال apex اللي تحت تحت
+
+110
+00:07:57,120 --> 00:08:02,980
+على الآخر قمة القلب و بعدين في عندنا من ال right
+
+111
+00:08:02,980 --> 00:08:06,260
+ventricle طالع اللي هو pulmonary artery أو
+
+112
+00:08:06,260 --> 00:08:11,980
+pulmonary trunk و هذا جنب على طول ال .. في حاجة
+
+113
+00:08:11,980 --> 00:08:15,700
+اسمها ligamentum arteriosum موجودة بين pulmonary
+
+114
+00:08:15,700 --> 00:08:19,700
+artery و بين الأورطةوفي الـVenacava Superior
+
+115
+00:08:19,700 --> 00:08:22,580
+وVenacava Inferior هدول دخلين على وين؟ على
+
+116
+00:08:22,580 --> 00:08:29,600
+الـRight Atrium لكن
+
+117
+00:08:29,600 --> 00:08:35,100
+لما أتيت أطلع على الـHeart من الخلف بيختلف المنظر
+
+118
+00:08:35,100 --> 00:08:39,940
+هلاقي أنه أنا بحكي الـPulmonary Veins الأربعة هدول
+
+119
+00:08:39,940 --> 00:08:44,620
+جايين دخلين على الـLeft Atrium
+
+120
+00:08:47,460 --> 00:08:51,760
+وحشوف إن الـ Left Ventricle كتير بشوف منه جزء و
+
+121
+00:08:51,760 --> 00:08:55,140
+الـ Right Ventricle كمان وفيه طبعا أكتر حاجة
+
+122
+00:08:55,140 --> 00:08:58,740
+شايفها اللون الأزرق هدول اللي هما Left Pulmonary
+
+123
+00:08:58,740 --> 00:09:02,220
+Artery وRight Pulmonary Artery لكن برضه ما ننساش
+
+124
+00:09:02,220 --> 00:09:05,120
+إن الـVena Cava Superior وVena Cava Inferior من
+
+125
+00:09:05,120 --> 00:09:09,760
+الخلف بيانين كتير وفي إن الـCoronary Sinus كمان في
+
+126
+00:09:09,760 --> 00:09:15,700
+نص الـHeart بياخد دم من القلب وبيصب على الـHeart
+
+127
+00:09:17,850 --> 00:09:20,630
+طيب لو جينا تطلعنا على ال gross anatomy of the
+
+128
+00:09:20,630 --> 00:09:29,670
+heart هنلاقي إنه عندنا هذا قطع طولي من ال heart
+
+129
+00:09:29,670 --> 00:09:34,590
+هنلاقي خلينا نمشي vena cava inferior and superior
+
+130
+00:09:34,590 --> 00:09:38,290
+وين بيدخل بيجي الدم بدخل منهم ال vena cava
+
+131
+00:09:38,290 --> 00:09:43,840
+inferiorبجيبلي دم من ال lower limbs و ال superior
+
+132
+00:09:43,840 --> 00:09:50,680
+بجيبلي من ال upper trunk و ال head و بدخل الدم
+
+133
+00:09:50,680 --> 00:09:56,460
+لوين بروح على ال right atrium من ال right atrium
+
+134
+00:09:56,460 --> 00:10:00,440
+بدخل الدم على ال right ventricle و زي ما نشايفين
+
+135
+00:10:00,440 --> 00:10:04,340
+ال right ventricle الجدار دبعه ضعيف كتير كتير
+
+136
+00:10:08,130 --> 00:10:14,130
+بعد ما يدخل الدم على الـ right ventricle نتيجة الـ
+
+137
+00:10:14,130 --> 00:10:17,470
+contraction أو الـ «سوستوليكوم» اللي بيصير بيدخلنا
+
+138
+00:10:17,470 --> 00:10:23,230
+الدم على الـ pulmonary artery والـ pulmonary
+
+139
+00:10:23,230 --> 00:10:31,800
+arteries بتودي على ال lungs في نفس الوجدوببقى برضه
+
+140
+00:10:31,800 --> 00:10:36,540
+على الجهة التانية شغال أنه دخل عنا دم من الـ
+
+141
+00:10:36,540 --> 00:10:41,120
+Pulmonary Veins على الـ Left Atrium ومن الـ Left
+
+142
+00:10:41,120 --> 00:10:45,360
+Atrium على الـ Left Ventricle وعند ما يصير نفس
+
+143
+00:10:45,360 --> 00:10:48,020
+الستوليكم اللي صار قبل شوية هو نفس الستوليكم
+
+144
+00:10:48,020 --> 00:10:53,690
+بيدخلي في الأورطة والأورطة بيودي على الـوبعد ذلك
+
+145
+00:10:53,690 --> 00:10:57,790
+يدفع على الـ brain ويدفع على الأبدوميل الأورطة
+
+146
+00:10:57,790 --> 00:11:06,910
+ويدفع دم على whole the body يبقى طب في زي اللي
+
+147
+00:11:06,910 --> 00:11:09,390
+إحنا شايفينهم حاجة زي اللي هي
+
+148
+00:11:12,130 --> 00:11:17,770
+الـ valves موجودة بين الـ right atrium و الـ right
+
+149
+00:11:17,770 --> 00:11:24,190
+ventricle في عندنا الـ tricuspid valve و
+
+150
+00:11:24,190 --> 00:11:28,250
+بين الـ left atrium و ال left ventricle في عندنا
+
+151
+00:11:28,250 --> 00:11:31,830
+الـ bicuspid valve اللي يسمونها الـ neutral valve
+
+152
+00:11:32,970 --> 00:11:35,930
+ولكن في نفس الوقت في عندى لو أنا شايف من الأورطة
+
+153
+00:11:35,930 --> 00:11:40,310
+مش مبين من الأورطة لكن البولمونري البولمونري
+
+154
+00:11:40,310 --> 00:11:45,070
+artery في عندنا اللى هى اللى احنا شايفينها حاجة
+
+155
+00:11:45,070 --> 00:11:52,690
+اسمها semilunar valve زى الهلال هيك valve طالع من
+
+156
+00:11:52,690 --> 00:11:56,750
+ال right ventricle
+
+157
+00:11:56,750 --> 00:11:57,870
+to the lungs
+
+158
+00:12:00,540 --> 00:12:03,920
+طبعا مافيش شيء أصعب من أنه تحكي عن الـ anatomy
+
+159
+00:12:03,920 --> 00:12:09,800
+وانت بس يعني مش .. مش قادر توضح أكتر بالرسم أو
+
+160
+00:12:09,800 --> 00:12:12,460
+بالكذا أو بالألوان أو بالحاجات هذه لكن anyway
+
+161
+00:12:12,460 --> 00:12:17,920
+الموضوع سهل ممكن تفتحه يا جماعة على أي حد على
+
+162
+00:12:17,920 --> 00:12:23,900
+اليوتيوب بيشرح .. بيشرح اللي هو ال .. ال anatomy
+
+163
+00:12:23,900 --> 00:12:29,620
+of the heartالـ Anatomy of the heart والفيسيولوجيا
+
+164
+00:12:29,620 --> 00:12:33,700
+of the heart قصيرة يكون بس ويحاول يشوفوه ويشرح
+
+165
+00:12:33,700 --> 00:12:39,320
+بطريقة ممكن الرسم أو كذا ممكن يساعدكم كتير اشي
+
+166
+00:12:39,320 --> 00:12:44,730
+كتير ان شاء اللهالأن الـ Atrium حقيقة هي receiving
+
+167
+00:12:44,730 --> 00:12:47,910
+chambers of the heart هي يعني الـ left atrium و ال
+
+168
+00:12:47,910 --> 00:12:51,970
+right atrium هم اللي بيستلموا الدم و كل atrium في
+
+169
+00:12:51,970 --> 00:12:54,390
+عنده حاجة اللي بنقول أنا protruding auricle زي
+
+170
+00:12:54,390 --> 00:12:59,430
+أذين صغير معها ال blood بدخل ال right atria from
+
+171
+00:12:59,430 --> 00:13:03,670
+superior and inferior vena cava و coronary sinus
+
+172
+00:13:03,670 --> 00:13:08,790
+برضه بيودّي فيها blood enters the left atria from
+
+173
+00:13:08,790 --> 00:13:12,260
+pulmonary veinsVentricles are the discharging
+
+174
+00:13:12,260 --> 00:13:15,520
+chambers of the heart يعني هم بيستلموا الدم من الـ
+
+175
+00:13:15,520 --> 00:13:19,520
+atrium، both atrium و بعدين هم اللي بيطلعوا الدم ل
+
+176
+00:13:19,520 --> 00:13:23,060
+further
+
+177
+00:13:23,060 --> 00:13:27,320
+parts of the body Right ventricle bumps blood into
+
+178
+00:13:27,320 --> 00:13:30,500
+the pulmonary trunk Left ventricle bumps blood
+
+179
+00:13:30,500 --> 00:13:36,890
+into the aortaطيب، الآن بس نوضح بعض الحقائق أنه
+
+180
+00:13:36,890 --> 00:13:40,170
+احنا الـmyocardial thickness بيختلف في القلب، مش
+
+181
+00:13:40,170 --> 00:13:43,070
+كل القلب واحد، يعني عندنا الـleft ventricle زي ما
+
+182
+00:13:43,070 --> 00:13:49,310
+احنا شايفين ونلأسهم، لكن الـleft ventricle wall is
+
+183
+00:13:49,310 --> 00:13:53,150
+the thickest to supply systemic circulation، ليش؟
+
+184
+00:13:53,150 --> 00:13:55,670
+الـleft ventricle، لأن الـleft ventricle بمب،
+
+185
+00:13:55,670 --> 00:13:59,830
+blood،to the whole body يعني هو جاعت بيحارب ضد الـ
+
+186
+00:13:59,830 --> 00:14:02,930
+high blood pressure أو الـ systemic blood pressure
+
+187
+00:14:02,930 --> 00:14:06,750
+of the body كل الجسم فحين أنه ال left ventricle ال
+
+188
+00:14:06,750 --> 00:14:12,150
+right ventricle بس بودع ال pulmonary وطبعا هذا ال
+
+189
+00:14:12,150 --> 00:14:17,680
+flow resistance جليل عندهيبقى هذه السبب ليش عندنا
+
+190
+00:14:17,680 --> 00:14:26,020
+الـ «Left ventricle thicker than the
+
+191
+00:14:26,020 --> 00:14:28,940
+right ventricle» طلعوا الرسمة هنا، هذه عبارة عن
+
+192
+00:14:28,940 --> 00:14:33,140
+قطع في القلب، قطع عرضي، بنلاقي أن الـ «Left
+
+193
+00:14:33,140 --> 00:14:37,960
+ventricle» فعلا الـ «wall» very thick في حين أن
+
+194
+00:14:37,960 --> 00:14:46,330
+الـ «right ventricle» very thinأو thinner ال
+
+195
+00:14:46,330 --> 00:14:48,930
+pathway of the blood through the heart and lungs
+
+196
+00:14:48,930 --> 00:14:55,270
+الأمر سهل وبسيط ال right atrium عن طريق ال
+
+197
+00:14:55,270 --> 00:14:58,570
+tricuspidal valve بودع ال right ventricle ال right
+
+198
+00:14:58,570 --> 00:15:01,570
+ventricle عن طريق ال pulmonary semilunar valve في
+
+199
+00:15:01,570 --> 00:15:04,750
+ال systolic في ال systolicum بودع ال pulmonary
+
+200
+00:15:04,750 --> 00:15:09,050
+artery وهذا بودع على ال lungs ال lungs بترجع الدم
+
+201
+00:15:09,050 --> 00:15:12,180
+pulmonary veins بتوديها على ال left ventricleالـ
+
+202
+00:15:12,180 --> 00:15:16,400
+Left Atrium بودّينا على الـ Bicuspid عن طريق الـ
+
+203
+00:15:16,400 --> 00:15:18,720
+Bicuspid Valve بودّينا على الـ Left Ventricle
+
+204
+00:15:18,720 --> 00:15:21,440
+وLeft Ventricle عن طريق الـ Aortic Semilunar Valve
+
+205
+00:15:21,440 --> 00:15:23,360
+بودّينا على الأورطة والأورطة على الـ Systemic
+
+206
+00:15:23,360 --> 00:15:26,880
+Circulation يا جماعة، لما احنا بنحكي مش إنه هذه
+
+207
+00:15:26,880 --> 00:15:31,800
+دائرة وقعدة بتدور هي بتدور في نفس الوقت، بمعنى أنا
+
+208
+00:15:31,800 --> 00:15:35,400
+لما يكون عندي سيستوليكوم الـ Right Ventricle بدوخ
+
+209
+00:15:35,400 --> 00:15:40,490
+والـ Left Ventricle بدوخالـ right ventricle يدخل
+
+210
+00:15:40,490 --> 00:15:44,910
+الـ pulmonary والـ left ventricle يدخل الـ body في
+
+211
+00:15:44,910 --> 00:15:49,290
+نفس اللحظة عندما يصير عنده diastolicumبنفس القدر
+
+212
+00:15:49,290 --> 00:15:54,790
+بدخل دم على الـ Atrium و الـ Atrium في نفس اللحظة
+
+213
+00:15:54,790 --> 00:16:00,730
+بدخل دم على الـ Ventricles فهي كلها مش إن والله
+
+214
+00:16:00,730 --> 00:16:04,050
+هذا بفضي و هذا بملق و هذا بفضي و هذا بملق لأ كله
+
+215
+00:16:04,050 --> 00:16:06,830
+في نفس اللحظة بيصير و الـ Heart هذا اللي احنا
+
+216
+00:16:06,830 --> 00:16:11,090
+مستجلين فيه و مش هذا بخدم سبعين و تمانين و تسعين
+
+217
+00:16:11,090 --> 00:16:18,250
+سنة جاعد بدون ما يقول أخصحك و احنا بنظل نقاش بس
+
+218
+00:16:18,250 --> 00:16:22,450
+نعكس عليه حياته بالـ stress و بالأكل و بالزيوت و
+
+219
+00:16:22,450 --> 00:16:30,210
+بالسكر و بالمشاكل هذه لكن لو مرة جال أخ تبدأ
+
+220
+00:16:30,210 --> 00:16:36,090
+مشاكلنا في الغالب طيب pathway of blood through the
+
+221
+00:16:36,090 --> 00:16:40,190
+heart and lung حكينا عنها في نفس الصورة هذه طبعا
+
+222
+00:16:40,190 --> 00:16:44,130
+بنبقى عارفين أن الدماللي طالع من القلب بيبقى
+
+223
+00:16:44,130 --> 00:16:48,210
+oxygenated لو طالع من left ventricle وطالع لل body
+
+224
+00:16:48,210 --> 00:16:51,370
+بيبقى oxygenated لو طالع من ال right ventricle
+
+225
+00:16:51,370 --> 00:16:58,970
+بيبقى مش oxygenated ورايح لل oxygenation يارب أكون
+
+226
+00:16:58,970 --> 00:17:02,170
+قولتها صح كمان مرة لو طالع من ال left ventricle
+
+227
+00:17:02,170 --> 00:17:05,490
+بيبقى oxygenated ورايح لل body و لو طالع من ال
+
+228
+00:17:05,490 --> 00:17:09,640
+right ventricle بيبقىدي أكسجينيتش، مافي أكسجين
+
+229
+00:17:09,640 --> 00:17:13,040
+بيوديه على الـ lung عشان يصير له عملية إيش؟
+
+230
+00:17:13,040 --> 00:17:17,760
+Oxygenation عشان يفرج الـ CO2 اللي معاه ويعبي
+
+231
+00:17:17,760 --> 00:17:24,320
+أكسجين ويرجع للجلب عشان يضخه على الجسم في حاجة
+
+232
+00:17:24,320 --> 00:17:28,540
+اسمها غير اللي هي الـ Whole Body Circulation فينا
+
+233
+00:17:28,540 --> 00:17:33,600
+حاجة اسمها Coronary Circulation الـ Coronary
+
+234
+00:17:33,600 --> 00:17:38,910
+Circulation هاي شغلتها إيش؟طبيعي هو صحيح القلب
+
+235
+00:17:38,910 --> 00:17:42,090
+بدعم كل الجسم لكن هو نفسه كمان بده الـ circulation
+
+236
+00:17:42,090 --> 00:17:48,850
+خاص بيه لتغذية to supply blood to the heart muscle
+
+237
+00:17:50,380 --> 00:17:53,200
+وطبعاً زي ما بنقول دايماً coronavirus circulation
+
+238
+00:17:53,200 --> 00:17:56,000
+هو الأساس لكن برضه في عندنا حاجة اسمها collateral
+
+239
+00:17:56,000 --> 00:17:59,940
+roots اللي هو الشوارع الفرعية للشوارع الأساسية
+
+240
+00:17:59,940 --> 00:18:02,260
+يعني أنا عند الشارع الأساسي شارع عمرو مقتار
+
+241
+00:18:02,260 --> 00:18:06,140
+والتلاتيني والوحدة بكفيش للبلد لحالهم بدي شوارع
+
+242
+00:18:06,140 --> 00:18:10,890
+جانبية عشان تخفف من الضغطاللي بيصير هذه اسمها
+
+243
+00:18:10,890 --> 00:18:16,650
+collateral roots وطبعا بنفس القدر لكن بأقل أهمية
+
+244
+00:18:16,650 --> 00:18:19,970
+يمكن الـVenous supply of the heart وبرضه بيقول
+
+245
+00:18:19,970 --> 00:18:25,590
+عنها coronary venous supplyمن الأجزاء الأساسية
+
+246
+00:18:25,590 --> 00:18:29,170
+واللي إحنا هنحكيها بعد ذلك في محاضرة اللي هي الـ
+
+247
+00:18:29,170 --> 00:18:32,470
+Heart Valves الـ Heart Valves هذه طبعاً بتعملنا
+
+248
+00:18:32,470 --> 00:18:36,970
+مشاكل كتير زي أي Valve في الجسم الـ Valves تبعت
+
+249
+00:18:36,970 --> 00:18:42,410
+الـ Heart بتبقى شغلتها شغلتها
+
+250
+00:18:42,410 --> 00:18:49,860
+هي Unidirectional Blood FlowThrough the heart يعني
+
+251
+00:18:49,860 --> 00:18:56,120
+هذا الأساس تبع الـ heart valves دايما تحافظ على دم
+
+252
+00:18:56,120 --> 00:19:02,180
+في اتجاه واحد داخل القلب وطبعا تمنع ال «backflow
+
+253
+00:19:02,180 --> 00:19:05,100
+into the atrium when ventricle contracts» يعني
+
+254
+00:19:05,100 --> 00:19:08,780
+احنا زي ما بيقولوها الـ atrioventricular كل valve
+
+255
+00:19:08,780 --> 00:19:11,240
+بين الـ atrium و الـ valve بيقول atrioventricular
+
+256
+00:19:11,240 --> 00:19:14,940
+عنها وقولنا هدول اللي هم مين الـ tricusp و الـ
+
+257
+00:19:14,940 --> 00:19:19,190
+mitralولكن في عندنا حاجة اسمها غير الـ
+
+258
+00:19:19,190 --> 00:19:25,150
+atrioventricular أنها الـ semilunar valves وهذه
+
+259
+00:19:25,150 --> 00:19:29,390
+عبارة عن الـ valves اللي عند الأورطة وعند
+
+260
+00:19:29,390 --> 00:19:33,440
+البلمونيري موجودةيبقى الـ Atrium Ventricular
+
+261
+00:19:33,440 --> 00:19:36,400
+Valves موجودة بين الـ Atrium والـ Ventricle
+
+262
+00:19:36,400 --> 00:19:41,780
+وشغلتها تمنع الـ Backflow، الدم مايرجعش لما يصير
+
+263
+00:19:41,780 --> 00:19:45,620
+عندي الـ Diastolicum مايرجعش الدم من الـ Atrium to
+
+264
+00:19:45,620 --> 00:19:50,200
+the Ventricle لأنه لو رجع، بعملي Overload عوين على
+
+265
+00:19:50,200 --> 00:19:54,160
+الـ Ventricles لأنه عبّى فيه دم بزيادة، دم مش لازم
+
+266
+00:19:54,160 --> 00:19:58,440
+يتعبّى هناكفي عندنا حاجة اسمها كردة تندنى وهذه
+
+267
+00:19:58,440 --> 00:20:02,240
+تبقى زي ال .. زي ما بقولوا شفتوا الخيبة و ببقى زي
+
+268
+00:20:02,240 --> 00:20:06,020
+خطان مسكاها من هنا و من هنا هذه الكردة تندنى تبقى
+
+269
+00:20:06,020 --> 00:20:11,240
+زي .. زي ال .. ال .. الجام تبع الإحصان بحرك رأس
+
+270
+00:20:11,240 --> 00:20:14,560
+الإحصان وين بروح وهذه رابطة على وين على حاجة اسمها
+
+271
+00:20:14,560 --> 00:20:18,300
+popularity muscles ويلها علاقة في عملية الفتح
+
+272
+00:20:18,300 --> 00:20:19,560
+والتسكير للـ valves
+
+273
+00:20:22,650 --> 00:20:26,810
+زي ما قلنا الـ Heart valves اللي هي الـ
+
+274
+00:20:26,810 --> 00:20:30,770
+Atrioventricular valves بتمنع الـ Backflow of
+
+275
+00:20:30,770 --> 00:20:34,810
+blood to the ventricles الآن الـ Seminolar اللي
+
+276
+00:20:34,810 --> 00:20:40,230
+هما الموجودات عند الـ Pulmonary وعند الأورتك
+
+277
+00:20:40,230 --> 00:20:44,650
+بيمنعوا الـ Backflow of blood into the ventricles
+
+278
+00:20:47,010 --> 00:20:49,370
+هذه الفكرة تاعت الموضوع يعني جماعة طول ما احنا
+
+279
+00:20:49,370 --> 00:20:52,750
+بنحكي في المحاضرة أو elsewhere حاولوا جدر الإمكان
+
+280
+00:20:52,750 --> 00:20:57,330
+تتصوروا ميكانية ميكانيكية وقالية عمل القلب عشان
+
+281
+00:20:57,330 --> 00:21:00,210
+تتصوروا ال text هذا اللي مكتوب كيف بيصير ماعنديش
+
+282
+00:21:00,210 --> 00:21:04,510
+نحفظ الموضوع، موضوع القلب، موضوع بينفهم مش بنحفظ
+
+283
+00:21:07,020 --> 00:21:09,800
+طب الأوردكسميونر وين موجود؟ موجود بين الـ left
+
+284
+00:21:09,800 --> 00:21:12,940
+ventricle and أورطة والبلمونري موجود بين الـ right
+
+285
+00:21:12,940 --> 00:21:16,700
+ventricle و الـ pulmonary trunk طبعا التصور يا
+
+286
+00:21:16,700 --> 00:21:20,160
+جماعة اللي بدي يكون مش أنه كل valve موجود في level
+
+287
+00:21:20,160 --> 00:21:24,340
+لوحده هم موجودين في القلب هو كل القلب جد الإيد فهم
+
+288
+00:21:24,340 --> 00:21:26,880
+موجودين كل هيتهم في level واحد تقريبا زي ما أحنا
+
+289
+00:21:26,880 --> 00:21:31,080
+شايفينهم في القطع اللي موجود في الصورة A أو B مثلا
+
+290
+00:21:31,080 --> 00:21:34,840
+كلهم في نفس الـ level موجودين
+
+291
+00:21:44,350 --> 00:21:51,420
+كمان مرة وبسرعة الـ Anatomy of the heartعلى أساس
+
+292
+00:21:51,420 --> 00:21:57,600
+أنه فعلا يعني ركز معانا أنه عبارة قلنا تقريبا
+
+293
+00:21:57,600 --> 00:22:03,880
+about your fist في منه superior surface of the
+
+294
+00:22:03,880 --> 00:22:07,140
+ديافرام القلب left to the midline anterior to the
+
+295
+00:22:07,140 --> 00:22:11,780
+vertebral column و posterior to the sternum وقلنا
+
+296
+00:22:11,780 --> 00:22:15,620
+coverings of the heart البريكارديوم البريكارديوم
+
+297
+00:22:15,620 --> 00:22:20,340
+بتكون من double wall sackوالـ Subficial Fibrous
+
+298
+00:22:20,340 --> 00:22:23,280
+Pericardium وفيه Deep Two-Layer Serrous
+
+299
+00:22:23,280 --> 00:22:26,080
+Pericardium وهذا بتكون من Two-Layer, Parietal
+
+300
+00:22:26,080 --> 00:22:30,040
+Layer وInternal Surface of the Fibrous Pericardium
+
+301
+00:22:30,040 --> 00:22:35,170
+وVisceral Layer أو بيقول عنه Epicardiumهو عبارة
+
+302
+00:22:35,170 --> 00:22:40,830
+«داخل لجوا القلب» يعني «lines the surface of the
+
+303
+00:22:40,830 --> 00:22:45,870
+heart» و «separated» هدول بـ «fluid filled
+
+304
+00:22:45,870 --> 00:22:49,670
+pericardium» وقلنا إن شغلة البريكارديوم «protect
+
+305
+00:22:49,670 --> 00:22:53,210
+and anchor the heart» «prevent the overfilling»
+
+306
+00:22:53,210 --> 00:22:59,290
+وبيسمح للقلب يشتغل في «friction-free environment»
+
+307
+00:22:59,290 --> 00:23:03,880
+وقلنا بعد الـ «epicardium»في عندنا أو الـ
+
+308
+00:23:03,880 --> 00:23:07,420
+pericardium في عندنا الـ myocardium و بعدين ال
+
+309
+00:23:07,420 --> 00:23:10,800
+endocardium ال myocardium بيمثل ال cardiac muscle
+
+310
+00:23:10,800 --> 00:23:16,540
+layer forming bulk وقولنا ال heart من برا بنشوف
+
+311
+00:23:16,540 --> 00:23:21,460
+فيه ال mainly ال right ventricle و left ventricle
+
+312
+00:23:21,460 --> 00:23:25,520
+مع ال coronary arteries و ال auricles و بنشوف ال
+
+313
+00:23:25,520 --> 00:23:29,400
+pulmonary arteryوالـ Pulmonary Trunk وبنشوف
+
+314
+00:23:29,400 --> 00:23:33,300
+الأورطة من الخلف لكن من خلف القلب بنشوف حاجات كتير
+
+315
+00:23:33,300 --> 00:23:37,920
+تانية زي اللي هي الـ Pulmonary Veins و الـ Vena
+
+316
+00:23:37,920 --> 00:23:41,040
+Cava Superior و Vena Cava Inferior و mainly الـ
+
+317
+00:23:41,040 --> 00:23:48,740
+Left Ventricleولو فتحنا الجلب بقطع طولي هنشوف إنه
+
+318
+00:23:48,740 --> 00:23:56,380
+فيه هنا Right ventricle فاتح على .. عفوا Right
+
+319
+00:23:56,380 --> 00:24:01,630
+atrium فاتح عن طريق الـ Tricusp ده الـ Valveعلى
+
+320
+00:24:01,630 --> 00:24:06,030
+الـ right ventricle والـ right ventricle بضخ الدم
+
+321
+00:24:06,030 --> 00:24:09,610
+في الـ systolicum عن طريق البلمونary trunk عن طريق
+
+322
+00:24:09,610 --> 00:24:15,250
+البلمونary semilunar valve to the lungs وبالعكس في
+
+323
+00:24:15,250 --> 00:24:21,590
+استرجاع الدم عن طريق الـ liftمن الـ left atrium
+
+324
+00:24:21,590 --> 00:24:24,350
+إلى الـ right إلى الـ left ventricle والـ left
+
+325
+00:24:24,350 --> 00:24:31,150
+ventricle عن طريق الأورطة بدخ على الجسم كمرة قلنا
+
+326
+00:24:31,150 --> 00:24:34,110
+إن الـ left ventricle wall is the thickest to
+
+327
+00:24:34,110 --> 00:24:40,120
+supply systemic circulationثم الـ Right Myocardium
+
+328
+00:24:40,120 --> 00:24:44,580
+وقلنا إن مصار الدم و الـ Flow هذا مهم كلنا نعرفه
+
+329
+00:24:44,580 --> 00:24:47,680
+Right Atrium عن طريق الـ Tricuspidal Valve على الـ
+
+330
+00:24:47,680 --> 00:24:49,480
+Right Ventricle الـ Right Ventricle عن طريق الـ
+
+331
+00:24:49,480 --> 00:24:52,240
+Pulmonary Semilunar Valve بروح على الـ Pulmonary
+
+332
+00:24:52,240 --> 00:24:54,700
+Arteries وهذا على الـ Lung بيعملوا Blood Exchange
+
+333
+00:24:54,700 --> 00:24:58,400
+أو Gas Exchangeبرجع للدم عن طريق الـ Pulmonary
+
+334
+00:24:58,400 --> 00:25:01,000
+veins to the left atrium من الـ left atrium to
+
+335
+00:25:01,000 --> 00:25:05,600
+bicusp valve و بعدين to left ventricle و الـ left
+
+336
+00:25:05,600 --> 00:25:08,340
+ventricle بيبقوا بباقي الشغل عن طريق الأورطة
+
+337
+00:25:08,340 --> 00:25:11,740
+بودّيلي على الـ systemic circulation في عندنا طبعا
+
+338
+00:25:11,740 --> 00:25:15,900
+زي ما قلنا الـ coronary circulation و هنحكي في الـ
+
+339
+00:25:15,900 --> 00:25:19,460
+MI أو الـ ischemic heart disease عن الـ coronary
+
+340
+00:25:19,460 --> 00:25:23,700
+arteries و في طبعا collateral roots و كذلك في
+
+341
+00:25:23,700 --> 00:25:29,410
+عندنا ال veinsأقل أهمية في الموضوع تبعنا لكن بصورة
+
+342
+00:25:29,410 --> 00:25:35,090
+عامة الـ Heart valves غاية في الأهمية أتريا و الـ
+
+343
+00:25:35,090 --> 00:25:37,830
+ventricular valves بتربط بين الأتريا و الـ
+
+344
+00:25:37,830 --> 00:25:42,650
+ventricle وفي عندنا الـ semilunar valves بتربط بين
+
+345
+00:25:42,650 --> 00:25:47,190
+الـ ventricles and the aorta and pulmonary trunk
+
+346
+00:25:50,020 --> 00:25:53,560
+of the blood into the ventricles وإن شاء الله
+
+347
+00:25:53,560 --> 00:25:58,580
+تعالى في محاضرة قريبة أنا مش حابب أطول كتير بس
+
+348
+00:25:58,580 --> 00:26:01,680
+عشان تستوعبوا الموضوع هذا وبنحكي كمان عشرة slides
+
+349
+00:26:01,680 --> 00:26:06,060
+عن ال physiology إن شاء الله تعالى ويعطيكوا ألف
+
+350
+00:26:06,060 --> 00:26:06,760
+عافية
+
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/WG1Po24zCVc.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/WG1Po24zCVc.srt
new file mode 100644
index 0000000000000000000000000000000000000000..d492e27352e69b4021a77eb3c8e2f5e4f56c3528
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/WG1Po24zCVc.srt
@@ -0,0 +1,1419 @@
+1
+00:00:01,150 --> 00:00:03,190
+بسم الله الرحمن الرحيم والحمد لله رب العالمين
+
+2
+00:00:03,190 --> 00:00:06,950
+والصلاة والسلام على سيدنا محمد  الأجمعين يعني الآن
+
+3
+00:00:06,950 --> 00:00:11,110
+إن شاء الله نتحدث عن الجزء الثاني من محاضرة الـ
+
+4
+00:00:11,110 --> 00:00:14,610
+Infective and Obstructive Respiratory Disorders
+
+5
+00:00:14,610 --> 00:00:20,930
+كنا بدأنا بالـ Bronchial Asthma وتحدثنا عن الـ
+
+6
+00:00:20,930 --> 00:00:23,310
+Bronchial Asthma وقلنا أن الأزمة هي اللي بيقولها 
+
+7
+00:00:23,310 --> 00:00:28,550
+الأزمة أو الربو 
+
+8
+00:00:28,550 --> 00:00:33,110
+أو الحساسية أو الناس بتقول عنه بنهج تقريبا هي نفس
+
+9
+00:00:33,110 --> 00:00:36,330
+الفكرة اللي موجودة على الله ما أن الأزمة is a
+
+10
+00:00:36,330 --> 00:00:42,310
+chronic condition وهي حالة تسمى بـ Reversible
+
+11
+00:00:42,310 --> 00:00:48,150
+Bronchospasm وخلطة الهواء الهوائي وقلنا إن هذه
+
+12
+00:00:48,150 --> 00:00:54,530
+بتزيد جاعة الأزمة مع الـ الوجد الموضوع فيها الـ
+
+13
+00:00:54,530 --> 00:00:59,710
+genetic predisposition ولكن الـ environmental life
+
+14
+00:00:59,710 --> 00:01:04,010
+كمان تلعب دور الـ key component of Asthma appears to
+
+15
+00:01:04,010 --> 00:01:10,160
+be airway hyper reactivity وقلنا إن الـ Immuno
+
+16
+00:01:10,160 --> 00:01:14,860
+-globulin-E بيلعب دور اللي بتفرزه الـ muscles that
+
+17
+00:01:14,860 --> 00:01:18,820
+attached to the muscles اللي موجودة في many
+
+18
+00:01:18,820 --> 00:01:22,620
+tissues الـ exposure to a trigger زي الـ pollen
+
+19
+00:01:22,620 --> 00:01:28,480
+على سبيل المثال بتعمل عملية إثارة وقلنا إنه في
+
+20
+00:01:30,950 --> 00:01:34,270
+Triggers للموضوع هذا is a potential asthma
+
+21
+00:01:34,270 --> 00:01:39,430
+triggers زي الألرجين cold air pollution السيجارات
+
+22
+00:01:39,430 --> 00:01:42,970
+موقف strong emotion طبعا emotions ممكن يكون زعل
+
+23
+00:01:42,970 --> 00:01:47,490
+شديد لكن ممكن يكون فرحة شديدة كمان exercise
+
+24
+00:01:47,490 --> 00:01:52,130
+respiratory tract infection يعني فرحة شديدة يعني
+
+25
+00:01:52,130 --> 00:01:58,600
+كمان كتير ناس متنتظرهاش لكن هي في منه الكلمة اللي
+
+26
+00:01:58,600 --> 00:02:01,440
+زي ما احنا شايفينه في الصورة هان كيف الـ Airway
+
+27
+00:02:01,440 --> 00:02:05,360
+بتبقى موجودة الـ Bronchial Airway لما يكون عند الـ
+
+28
+00:02:05,360 --> 00:02:08,720
+Bronchial Asthma على الجهة اليمين كيف بيبقى في عنا
+
+29
+00:02:08,720 --> 00:02:14,280
+نتيجة ال .. نتيجة ال .. ال Bronchial Asthma ال
+
+30
+00:02:14,280 --> 00:02:16,060
+passages بتبقى 
+
+31
+00:02:18,390 --> 00:02:22,510
+Obstructed ومش بس كمان بيصيرها inflammation ومش
+
+32
+00:02:22,510 --> 00:02:26,270
+بس كمان بتصير تفرز لكن على الجهة الشمال زي ما احنا
+
+33
+00:02:26,270 --> 00:02:29,350
+شايفين الـairway بتبقى free ومافيش أي مشاكل فيها
+
+34
+00:02:29,350 --> 00:02:31,670
+إنها طبعا أكثر من classification لازم ناخد بالنا
+
+35
+00:02:31,670 --> 00:02:36,830
+ونفرّق بينهم أول إشي ال bronchial asthma اللي هو ال
+
+36
+00:02:36,830 --> 00:02:39,750
+clinical classification of bronchial asthma واحد
+
+37
+00:02:39,750 --> 00:02:43,330
+عنده bronchial asthma وأنا بدأ أحطه في category هل
+
+38
+00:02:43,330 --> 00:02:46,650
+هو ال bronchial asthma أصلا تبعته هي ال chronic هل
+
+39
+00:02:46,650 --> 00:02:54,410
+هي بسيطة؟ بسيطة ولا هي بسيطة لكن بتيجي كتير ولا هي
+
+40
+00:02:54,410 --> 00:02:59,090
+متوسطة لكن بتيجي كتير مستمرة ولا شديدة وبتيجي
+
+41
+00:02:59,090 --> 00:03:03,940
+كتير فال classification هذا Mild-Intermittent أتاك
+
+42
+00:03:03,940 --> 00:03:06,600
+أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك
+
+43
+00:03:06,600 --> 00:03:10,960
+أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك
+
+44
+00:03:10,960 --> 00:03:14,560
+أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك
+
+45
+00:03:14,560 --> 00:03:20,960
+أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك
+
+46
+00:03:20,960 --> 00:03:27,920
+أتاك أتاك
+
+47
+00:03:27,920 --> 00:03:29,140
+أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك
+
+48
+00:03:29,140 --> 00:03:36,220
+أتاك أتاك أتاك وفي مقارنة بينهم وحتى كل
+
+49
+00:03:36,220 --> 00:03:40,380
+واحدة بيصير فيها Hormonal أو Inflammatory response
+
+50
+00:03:40,380 --> 00:03:45,100
+مختلف عن الثاني وطبعاً هذا بلعب دور في عملية
+
+51
+00:03:45,100 --> 00:03:51,840
+العلاج ال Manifestation of asthma كيبجينةبيجينا بـ
+
+52
+00:03:51,840 --> 00:03:55,240
+Coughing و Wheezing، إيش يعني Wheezing؟ Wheezing يعني
+
+53
+00:03:55,240 --> 00:03:59,400
+صفير، سدرة صفير، Difficulty Breathing, Rapid
+
+54
+00:03:59,400 --> 00:04:01,480
+Shallow Breathing, Increased respiratory rate,
+
+55
+00:04:01,920 --> 00:04:05,580
+Excess mucous production and Significant Anxiety،
+
+56
+00:04:05,580 --> 00:04:09,770
+بتبقى تعبان كمان في اللي هو أجاني واحد وعنده الآن
+
+57
+00:04:09,770 --> 00:04:13,610
+أزمة نوبة هذه النوبة لابد أن أعرف الشيء برضه
+
+58
+00:04:13,610 --> 00:04:17,590
+Stage 1 Mild Stage 2 Moderate Stage 3 Severe Stage
+
+59
+00:04:17,590 --> 00:04:21,310
+4 Respiratory Failure طبعا كل واحدة بتتطلب نوع من
+
+60
+00:04:21,310 --> 00:04:25,680
+التدخل لو بدأنا من الآخر من الـ Stage IV Respiratory
+
+61
+00:04:25,680 --> 00:04:30,360
+Failure معناته أنا رايح على التنفس
+
+62
+00:04:30,360 --> 00:04:34,440
+الصناعي Mechanical Ventilation يعني بعمله عملية
+
+63
+00:04:34,440 --> 00:04:38,300
+بيقول أنا Intubation يعني بيحطوله تيوب بالعربي
+
+64
+00:04:38,300 --> 00:04:41,820
+الناس في المستشفيات بتقول طيب حطيت له تيوب و
+
+65
+00:04:41,820 --> 00:04:46,590
+Ventilته يعني حطيته على Mechanical Ventilation ستاج
+
+66
+00:04:46,590 --> 00:04:50,270
+ثلاثة اللي أجابل منها لو كانت أخاف بيبقى في عندي
+
+67
+00:04:50,270 --> 00:04:54,730
+Respiratory distress يا نوزز وويزز أو حتى بيبقى من
+
+68
+00:04:54,730 --> 00:04:57,990
+كتر ما هم ديجة الشعيبات الهوائية مافيش صوت لما بحط
+
+69
+00:04:57,990 --> 00:05:01,870
+السماعة ما بسمعش صوت هذا استاج ثلاثة طبعا بيبقى هذا
+
+70
+00:05:01,870 --> 00:05:04,350
+Impending Respiratory Failure إيش يعني Impending
+
+71
+00:05:04,350 --> 00:05:06,850
+يعني رايح على Respiratory Failure لسه مش
+
+72
+00:05:06,850 --> 00:05:10,390
+Respiratory Failure ممكن بعض العلاجات يتحسنولكن
+
+73
+00:05:10,390 --> 00:05:14,010
+أموره صعبة Stage 2 Moderate Respiratory distress
+
+74
+00:05:14,010 --> 00:05:17,250
+at rest هو قاعد نفسه مش مرتاح بالمرة و Mark
+
+75
+00:05:17,250 --> 00:05:20,810
+Tweezes واضح مسموع من بعيد و Mild اللي هو Stage 1
+
+76
+00:05:20,810 --> 00:05:26,710
+Dyspnea و Difficult with inadequate air exchange
+
+77
+00:05:26,710 --> 00:05:30,430
+لكن بياخد نفس وبيطلع كويسة وقلنا من الحاجات ال
+
+78
+00:05:30,430 --> 00:05:33,210
+Complications ليش أنا بحب هاش البروكيا الأزمة لإن
+
+79
+00:05:33,210 --> 00:05:38,630
+هي فيها لغير أن هي بتعملي مشاكل في التنفس واللي
+
+80
+00:05:38,630 --> 00:05:43,270
+شفناها قبل شوية، لكن كمان ممكن تعمل «Acute Asthma
+
+81
+00:05:43,270 --> 00:05:48,670
+Attack» نوبة شديدة من الأزمة Status، يعني
+
+82
+00:05:48,670 --> 00:05:56,120
+مستمرة، وهذا طبعا Life-threatening condition وطبعا
+
+83
+00:05:56,120 --> 00:05:59,080
+تستجيبش للعلاج وممكن تحتاج لإيش؟ مش ممكن، هي
+
+84
+00:05:59,080 --> 00:06:02,360
+بتحتاج لـ Mechanical Ventilation نومو توراكس،
+
+85
+00:06:02,360 --> 00:06:07,100
+هنحكي عنه بعد شوية وهو Consequence of Lung
+
+86
+00:06:07,100 --> 00:06:10,740
+Pressure Increasing فزي ما أقول، بتنبعط الـ Lung،
+
+87
+00:06:10,740 --> 00:06:14,420
+باختصار Respiratory Failure اللي هو فشل التنفس
+
+88
+00:06:14,420 --> 00:06:19,150
+الصناعي للـ Bronchial Asthma وإحنا ابتدينا إلى هنا
+
+89
+00:06:19,150 --> 00:06:23,650
+وصلنا والله العليم ال Treatment of Asthma موضوع
+
+90
+00:06:23,650 --> 00:06:26,590
+الأزمة يا جماعة كتير مهم بالنسبة لكم ال
+
+91
+00:06:26,590 --> 00:06:30,070
+Respiratory system مهم كتير كمان كعلاج طبيعي لأنه
+
+92
+00:06:30,070 --> 00:06:35,450
+جزء كبير من شغلكم اللي هو ال Respiratory system
+
+93
+00:06:38,330 --> 00:06:41,190
+والـ Chest Physiotherapy وغيرها The appropriate
+
+94
+00:06:41,190 --> 00:06:44,030
+drug treatment regime for asthma is based on the
+
+95
+00:06:44,030 --> 00:06:46,730
+frequency and severity أنا عشان أحدد له إيش الدوة
+
+96
+00:06:46,730 --> 00:06:50,230
+اللي بدهيها، بده أشوف هو كل شهرين أو ثلاثة لما
+
+97
+00:06:50,230 --> 00:06:52,990
+تيجي له نوبة مثلا أنا محتاجش أديه حاجة على المدى
+
+98
+00:06:52,990 --> 00:07:00,990
+الطويل لكن اللي حكينا عنهم قبل شوية اللي هي ال
+
+99
+00:07:00,990 --> 00:07:04,850
+classification clinical اللي حطيناهم إذا فاكرين مع
+
+100
+00:07:04,850 --> 00:07:05,350
+بعضها
+
+101
+00:07:08,050 --> 00:07:11,070
+الـMild-Intermittent ولا الـMild-Persistent ولا
+
+102
+00:07:11,070 --> 00:07:12,910
+الـModerate-Persistent ولا الـSevere-Persistent
+
+103
+00:07:12,910 --> 00:07:17,990
+هذه بتقول لي قداش الـ severity تبع الصورة العامة
+
+104
+00:07:21,570 --> 00:07:26,590
+بقى اتصرف ودي علاج طبعا إلى اختصاصها إما دكاترة
+
+105
+00:07:26,590 --> 00:07:31,090
+الصدرية في البدل دكاترة الأطفال في الـ Pediatrics
+
+106
+00:07:31,090 --> 00:07:34,030
+لكن هو موضوع عام يعني كتير ناس من الدكاترة
+
+107
+00:07:34,030 --> 00:07:37,250
+بتعاملوا مع حالة الـ Bronchial Asthma العادية لكن
+
+108
+00:07:37,250 --> 00:07:40,270
+لما تصبح difficult to control أو فيها مشاكل في
+
+109
+00:07:40,270 --> 00:07:47,040
+الغالب بيحولوها لدكاترة الصدرية أول حاجة القاعدة
+
+110
+00:07:47,040 --> 00:07:49,940
+الأولى في كتير من الأمراض الباب اللي بيجيك منه
+
+111
+00:07:49,940 --> 00:07:55,320
+الريح إيش سده واستريح إذا أنا في عندي trigger
+
+112
+00:07:55,320 --> 00:07:59,260
+عارف حالي والله أنا طول ما فيش عينة بسّة في البيت
+
+113
+00:08:01,460 --> 00:08:04,440
+برضه بتقولوا عنها بسّة مش هيك بسّة في البيت و
+
+114
+00:08:04,440 --> 00:08:07,660
+بتعرفوا شعر البساس ممكن يعمل حساسية طول ما احنا
+
+115
+00:08:07,660 --> 00:08:12,040
+ماقناش بسّة أو سجاد عشان العتة تحت السجاد وماقناش
+
+116
+00:08:12,040 --> 00:08:16,640
+حرامات جديدة وكذا أو بعض أنواع الأطعمة طول ما
+
+117
+00:08:16,640 --> 00:08:20,540
+أنا بس أعملهاش ومحدد شيء وأنا وضعي كويس أو وضع
+
+118
+00:08:20,540 --> 00:08:25,350
+طفلي كويس أو وضع ابني كويس لكن لما بيجي في بسّة في
+
+119
+00:08:25,350 --> 00:08:27,990
+البيت بيصير عنده أو بروح عن دار عمته في عندهم بسّة
+
+120
+00:08:27,990 --> 00:08:31,630
+بيصير عنده فـ Avoidance of Triggers أساس من
+
+121
+00:08:31,630 --> 00:08:36,510
+أساسيات العلاج في معظم أو في كل أنواع الحساسيات
+
+122
+00:08:36,510 --> 00:08:40,110
+حتى حساسية الجلد بأكل بيض بصير عندي حساسية يعني
+
+123
+00:08:40,110 --> 00:08:43,870
+بلاش بيض بلاش بيض خليها بتنجان مش مشكلة كبيرة بس
+
+124
+00:08:43,870 --> 00:08:47,910
+المهم أنه أي حاجة أنا بتحسس منها وعلى رأسهم
+
+125
+00:08:47,910 --> 00:08:52,830
+الفراولة والشوكولاتة أي حاجة أنا بتحسس منها لابد
+
+126
+00:08:52,830 --> 00:08:57,130
+أن أبعدها رقم واحد مش أاخد علاج أبعدها avoidance
+
+127
+00:08:57,130 --> 00:09:01,870
+of trigger and allergies وطبعا
+
+128
+00:09:01,870 --> 00:09:07,030
+هذا بتطلب مني إذا كان حسبمش السبب؟ في ناس الـ
+
+129
+00:09:07,030 --> 00:09:12,030
+Condition في ناس الخنقة والتنفس في ناس زي ما قلنا
+
+130
+00:09:12,030 --> 00:09:16,290
+بعض أنواع الاستجاد وعدم تهوية الغرف و و و و الأمر
+
+131
+00:09:16,290 --> 00:09:20,450
+الثاني من الإسم Bronchodilators دي موسعات للشعب
+
+132
+00:09:20,450 --> 00:09:26,050
+الهوائي موسعات هي Short Acting Beta Adrenergic
+
+133
+00:09:26,050 --> 00:09:30,550
+Receptor Activator وهذه بتعمل عملية توسيع للـ
+
+134
+00:09:30,550 --> 00:09:34,610
+Bronchioles
+
+135
+00:09:36,670 --> 00:09:40,430
+الموسيعات هي يا جماعة بس شغلتها توسع لكن هي بتمنعش
+
+136
+00:09:40,430 --> 00:09:43,710
+ال inflammation فهي اللي هي علاقة في موضوع ال
+
+137
+00:09:43,710 --> 00:09:47,470
+obstruction وتوسيعه لكن ال inflammation بيظل حاصر
+
+138
+00:09:47,470 --> 00:09:52,630
+ال inflammation بده دواء ثانية عشان هيك ممكن ندي
+
+139
+00:09:52,630 --> 00:09:55,950
+أدوية ثانية لل inflammation النوع الثالث من
+
+140
+00:09:55,950 --> 00:09:58,850
+الأدوية اللي ممكن نديها أو الإجراءات اللي ممكن 
+
+141
+00:09:58,850 --> 00:10:02,450
+نعملها الـ Xanthine drugs زي الـ «تيوفيلين» وهذا
+
+142
+00:10:02,450 --> 00:10:07,190
+بيعمل برضه bronchodilatation وبمنع الـ Late phase
+
+143
+00:10:07,190 --> 00:10:11,150
+of asthma مش مطلوب منكم أدوية يا جماعة لكن لما
+
+144
+00:10:11,150 --> 00:10:16,210
+نقول كيف الـ Bronchodilators بشتغلوا تقولي والله
+
+145
+00:10:16,210 --> 00:10:20,110
+هذا الـ Bronchodilators بعمل block للـ
+
+146
+00:10:20,110 --> 00:10:25,130
+Bronchoconstriction لكن don't prevent the
+
+147
+00:10:25,130 --> 00:10:28,250
+inflammatory response أنا ممكن أقولك مثلا في
+
+148
+00:10:28,250 --> 00:10:32,730
+السؤال MCQ's Bronchodilators block
+
+149
+00:10:39,450 --> 00:10:45,510
+الجزء الأول صح لكن الجزء الثاني غلط مثلًا إكسانثين
+
+150
+00:10:51,110 --> 00:10:55,090
+و«يُنْهِي الـ Late Phase of Asthma» تقولي صح طب لو
+
+151
+00:10:55,090 --> 00:10:59,310
+قولت والله «يُنْهِي» «Don't inhibit the late
+
+152
+00:10:59,310 --> 00:11:03,430
+asthma» بيصير فيه فإذا كل واحد فيه إلو كل drug إلو 
+
+153
+00:11:03,430 --> 00:11:08,470
+item كيف هو بيشتغل بغض النظر عن نوعية الدواء أنا
+
+154
+00:11:08,470 --> 00:11:14,950
+بس بدي تعرفه ي «grow» وإيش بيعمل أكثر من هيك لأ في
+
+155
+00:11:14,950 --> 00:11:20,770
+المجموعة الرابعة «Chromoline Sodium» هو عبارة عن
+
+156
+00:11:20,770 --> 00:11:21,610
+مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات
+
+157
+00:11:21,610 --> 00:11:24,330
+مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات
+
+158
+00:11:24,330 --> 00:11:25,710
+مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات
+
+159
+00:11:25,710 --> 00:11:27,830
+مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات
+
+160
+00:11:27,830 --> 00:11:30,810
+مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات
+
+161
+00:11:30,810 --> 00:11:36,330
+مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات
+
+162
+00:11:36,330 --> 00:11:41,590
+مخدرات مخ
+
+163
+00:11:42,230 --> 00:11:46,590
+both early and late phase of asthma الخامس اللي هو
+
+164
+00:11:46,590 --> 00:11:49,410
+من اسمه Anti-inflammatory الـ Cortisone used
+
+165
+00:11:49,410 --> 00:11:54,130
+orally أو حتى by inhalation أو حتى ممكن ينعطق بالـ
+
+166
+00:11:54,130 --> 00:11:59,790
+IV The most significant unwanted effect وهذا لكل
+
+167
+00:11:59,790 --> 00:12:03,370
+الـ Cortisone long term oral use may include immune
+
+168
+00:12:03,370 --> 00:12:05,870
+suppression, increased susceptibility to
+
+169
+00:12:05,870 --> 00:12:10,350
+infection, osteoporosis وهنا أنا طبعا بنصح بدون ما
+
+170
+00:12:10,350 --> 00:12:14,250
+يكون واجبكمان مرة يا جماعة اللي بننصح فيه أو
+
+171
+00:12:14,250 --> 00:12:19,150
+بنديه assignment هو في المنهج ما تقولوليش الكتاب
+
+172
+00:12:19,150 --> 00:12:21,730
+مافيش حاجة اسمها الكتاب احنا في جامعة مش فيه
+
+173
+00:12:21,730 --> 00:12:24,970
+المفروض أنه بدون ما أقول لكم بمجرد ما تشوف والله
+
+174
+00:12:24,970 --> 00:12:28,950
+unwanted أو side effects of cortisone تروح لحالك
+
+175
+00:12:28,950 --> 00:12:32,130
+تكشف عنها إيش الـ side effects of cortisone اللي
+
+176
+00:12:32,130 --> 00:12:35,590
+ما كانت للعلم فهي للـ experience اللي ما كانت للـ
+
+177
+00:12:35,590 --> 00:12:40,470
+experience فهي لتوسيع المدارك هذه حاجات بديهيات
+
+178
+00:12:40,470 --> 00:12:43,590
+عندنا في الطبالمجموعة السادسة اللي هو الـ
+
+179
+00:12:43,590 --> 00:12:48,030
+Leukotrienes Modifier زي هذا أجدد حاجة في السوق
+
+180
+00:12:48,030 --> 00:12:49,970
+الآن «جمهور جمهور جمهور جمهور جمهور» «جمهور جمهور
+
+181
+00:12:49,970 --> 00:12:51,810
+«جمهور جمهور جمهور جمهور» «جمهور جمهور جمهور
+
+182
+00:12:51,810 --> 00:12:53,290
+جمهور» «جمهور جمهور جمهور جمهور» «جمهور جمهور
+
+183
+00:12:53,290 --> 00:12:53,690
+جمهور جمهور» «جمهور جمهور جمهور جمهور» «جمهور
+
+184
+00:12:53,690 --> 00:13:02,550
+جمهور جمهور جمهور» «جمهور
+
+185
+00:13:02,550 --> 00:13:11,050
+جمهور جمهور جمهور»
+
+186
+00:13:12,230 --> 00:13:16,790
+that may occur in both acute and chronic forms في
+
+187
+00:13:16,790 --> 00:13:19,110
+عندنا طبعا acute bronchitis وفي عندنا chronic
+
+188
+00:13:19,110 --> 00:13:22,610
+bronchitis acute bronchitis inflammation of the
+
+189
+00:13:22,610 --> 00:13:26,990
+bronchial passages most commonly caused by
+
+190
+00:13:26,990 --> 00:13:30,970
+infection with بكتيريا أو فيروس acute bronchitis
+
+191
+00:13:30,970 --> 00:13:35,670
+كان عنده التهيأب في الحلق وزي ما بقولوا الستات
+
+192
+00:13:35,670 --> 00:13:41,640
+نزل على صدره ونزل على اللي هو الـ .. الـ ..التركيبة
+
+193
+00:13:41,640 --> 00:13:46,200
+ونزل على الـ bronchi فبعملي bronchitis هذا acute
+
+194
+00:13:46,200 --> 00:13:49,020
+بكتيريا أو فيروس acute bronchitis is a generally
+
+195
+00:13:49,020 --> 00:13:52,360
+self-limited condition in healthy individuals، في
+
+196
+00:13:52,360 --> 00:13:56,420
+الناس العاديين، much more severe بيبقى في الناس
+
+197
+00:13:56,420 --> 00:13:59,380
+اللي عندها مشاكل العضلات أو immune-compromised،
+
+198
+00:13:59,380 --> 00:14:02,200
+إيش يعني immune-compromised؟ بياخدوا مثلا أدوية
+
+199
+00:14:02,200 --> 00:14:06,350
+مثبتة للمناعة أو كورتيزون Symptoms of acute
+
+200
+00:14:06,350 --> 00:14:09,410
+bronchitis productive cough تلاقي بيطلع بالبلغم
+
+201
+00:14:09,410 --> 00:14:12,170
+كثير كثير كثير، dyspnea، ضيق في النفس، possible
+
+202
+00:14:12,170 --> 00:14:15,230
+fever لكن في أنا جاية الـ chronic bronchitis و
+
+203
+00:14:15,230 --> 00:14:20,170
+بتختلف الـ chronic عن الـ acute، ليش؟ لأنها هي الـ
+
+204
+00:14:20,170 --> 00:14:24,790
+chronic بتيجي دايما مع المدخنين في 90% من الحالات
+
+205
+00:14:25,670 --> 00:14:30,290
+بتيجي مع المدخنين يعني بيصير عملية الإثارة للـ
+
+206
+00:14:30,290 --> 00:14:37,510
+Bronchi نتيجة نتيجة اللي هي التدخين نتيجة الـ
+
+207
+00:14:37,510 --> 00:14:41,550
+Irritation of التدخين مع وجود of the smoking مع
+
+208
+00:14:41,550 --> 00:14:47,890
+وجود لـ Epithelium cells اللي موجودة على جدر الـ
+
+209
+00:14:47,890 --> 00:14:51,250
+Bronchi فهذه بتعملنا chronic bronchitis عشان هيك
+
+210
+00:14:51,350 --> 00:14:57,330
+الناس اللي بتدخن بتجدهم صباحًا صدرها مملوء بلغم مغلق
+
+211
+00:14:57,330 --> 00:15:01,790
+دايما عيانين في موضوع النفس وهذا بعد هيك بدخلنا في
+
+212
+00:15:01,790 --> 00:15:06,250
+حاجة اسمها COPD CCOPD
+
+213
+00:15:06,250 --> 00:15:09,950
+هنحكي عنها chronic bronchitis may also be caused
+
+214
+00:15:09,950 --> 00:15:13,150
+by prolonged exposure to inhaled particulates such
+
+215
+00:15:13,150 --> 00:15:18,780
+as Coal dust and other pollutants يعني مش بس الـ
+
+216
+00:15:18,780 --> 00:15:22,820
+Smoking 90% Smoking لأن هذا الدرج عند الناس لكن
+
+217
+00:15:22,820 --> 00:15:27,160
+كمان الناس اللي بتشتغل في المصانع اللي فيها مواد
+
+218
+00:15:27,160 --> 00:15:33,640
+تخرج من تكرير الفحم والبترول والحاجات هذه ممكن
+
+219
+00:15:33,640 --> 00:15:37,380
+تعملنا نفس الكلام The disease characterized by
+
+220
+00:15:37,380 --> 00:15:40,900
+excess mucus هذا الأساس تبعه ميوكاس كثير كثير كثير
+
+221
+00:15:42,110 --> 00:15:44,370
+في اللي هو الـ Respiratory Tract، الـ «ميوكاس» الـ
+
+222
+00:15:44,370 --> 00:15:46,750
+Accumulation، الـ «Impaired» الـ Function of
+
+223
+00:15:46,750 --> 00:15:49,870
+Celiated Epithelium طبعاً كتر الـ Chronic
+
+224
+00:15:49,870 --> 00:15:53,610
+Infection السيليا اللي موجودة في البرونكاي كمان
+
+225
+00:15:53,610 --> 00:15:59,690
+بيصير لها عملية Damage وفبصير مايعرفش الجهاز
+
+226
+00:15:59,690 --> 00:16:03,590
+التنفسي يطلع البلغم اللي بتجمع بصورة كبيرة فرقتين
+
+227
+00:16:03,590 --> 00:16:10,480
+فبصير عندنا زي ما بقولنا Excess ميوكاس وبصير طبعا
+
+228
+00:16:10,480 --> 00:16:15,080
+بعد فترة الـ Excess ميوكاس مع وجود مع التدخين
+
+229
+00:16:15,080 --> 00:16:20,000
+المستمر هذا بيديني بيئة محترمة لإنه يصير عندي
+
+230
+00:16:20,000 --> 00:16:22,520
+Respiratory Infection Acute Respiratory Infection
+
+231
+00:16:22,520 --> 00:16:28,030
+التهابات عشان هيك المدخنين مشاكل صدرهم أكثر من غير
+
+232
+00:16:28,030 --> 00:16:32,230
+المدخنين البروكايتس الـ manifestation أو الـ
+
+233
+00:16:32,230 --> 00:16:35,530
+symptoms productive cough productive يعني كمية يعني
+
+234
+00:16:35,530 --> 00:16:38,530
+بينتج بلغم
+
+235
+00:16:40,080 --> 00:16:42,860
+الـ Productive ترجع إلى الـ Sputum يعني بتطلع لي
+
+236
+00:16:42,860 --> 00:16:47,200
+بلغم Productive Chronic Cough Production of
+
+237
+00:16:47,200 --> 00:16:51,200
+Purulent Sputum يعني لونه مايل على الصفرة خضار زي
+
+238
+00:16:51,200 --> 00:16:54,860
+الملتهب Frequent Acute Respiratory Infection
+
+239
+00:16:54,860 --> 00:17:00,000
+Dyspnea Hypoxia ممكن توصل في لحظة من اللحظات لـ
+
+240
+00:17:00,000 --> 00:17:04,580
+Cyanosis لـ Hypoxia وممكن تديني Symptoms of
+
+241
+00:17:04,580 --> 00:17:09,340
+Cor pulmonale هنشوف بعد هيك إيش الـ Cor pulmonale إنه
+
+242
+00:17:09,340 --> 00:17:14,820
+يتأثر القلب نتيجة التهابات الصدر وطبعا يديني في الـ
+
+243
+00:17:14,820 --> 00:17:17,760
+late stages اللي هي زي ما بنشوفه في دي ويديني الـ
+
+244
+00:17:17,760 --> 00:17:23,640
+fluid accumulation in late stages treatment طبعا
+
+245
+00:17:23,640 --> 00:17:27,360
+كمان مرة الباب اللي بيجيك منه الريح صدق تريح
+
+246
+00:17:27,360 --> 00:17:29,960
+smoking تسعين في المئة من الأسباب بده أوقف الـ
+
+247
+00:17:29,960 --> 00:17:36,630
+smoking وإذا بشتغل في مصنع فيه والله أبخرة وcoal
+
+248
+00:17:36,630 --> 00:17:42,470
+dust أو أي مبيدات أو أي حاجة بتطلع حاجات مثيرة
+
+249
+00:17:42,470 --> 00:17:47,550
+للجهاز التنفسي لازم أعملها cessation cessation
+
+250
+00:17:47,550 --> 00:17:51,910
+يعني إما التوقف مش في اليوم ثلاث سجاير لأ بالمرة
+
+251
+00:17:51,910 --> 00:17:57,010
+لازم نوقف Bronchodilators موسعات للشعيبات الهوائية
+
+252
+00:17:57,010 --> 00:18:03,080
+Expectorants مقشعات مقشعة Expectorants لتحل
+
+253
+00:18:03,080 --> 00:18:07,680
+البلغم وعندما أكح أطلع البلغم هذا بالإضافة
+
+254
+00:18:07,680 --> 00:18:11,320
+لجلسة فيزيو ثيرابي Chest Physiotherapy Anti
+
+255
+00:18:11,320 --> 00:18:14,520
+-inflammatory to relieve airway inflammation and
+
+256
+00:18:14,520 --> 00:18:17,520
+reduce mucus secretion prophylactic antibiotic إذا
+
+257
+00:18:17,520 --> 00:18:21,440
+صار عنده Infection و Oxygen لو لزم المريض Oxygen
+
+258
+00:18:21,440 --> 00:18:25,840
+هذا الآن بدخلنا على الموضوع اللي بعده
+
+259
+00:18:30,610 --> 00:18:36,430
+طيب، الـ Emphysema Emphysema is a respiratory
+
+260
+00:18:36,430 --> 00:18:40,870
+disease that characterized by، خذوا بالكم، شفتوا
+
+261
+00:18:40,870 --> 00:18:46,050
+الـ Alveoli اللي بتنتهي بيها الشجرة تحت الرئتين،
+
+262
+00:18:46,050 --> 00:18:51,750
+في الرئة، مع الـ respiratory bronchioles، هذه الـ
+
+263
+00:18:51,750 --> 00:18:57,010
+Alveoli في بينها زي الـ septum يعني كل فقاعة بينها
+
+264
+00:18:57,010 --> 00:19:01,090
+وبين الفقاعة اللي جنبها زي حيط بين الغرف يعني هذه الـ
+
+265
+00:19:01,090 --> 00:19:05,650
+Septum كلها بيصير لها عملية Destruction
+
+266
+00:19:05,650 --> 00:19:08,750
+Destruction and permanent وإيش بيصير؟ بيفتحوا
+
+267
+00:19:08,750 --> 00:19:12,240
+الغرف على بعض فالـ Enlargement of terminal
+
+268
+00:19:12,240 --> 00:19:17,180
+bronchioles and alveolar air sac تتوسع تصوروا إنه
+
+269
+00:19:17,180 --> 00:19:23,400
+صار عندي توسعات أول حاجة بجل الجدار اللي يجب أن
+
+270
+00:19:23,400 --> 00:19:26,580
+يكون لعملية تبادل الأكسجين وثاني أكسيد الكربون
+
+271
+00:19:27,070 --> 00:19:30,730
+بيصغر، دي واحد، اثنين بيصير يتجمع لي بلغم كثير في
+
+272
+00:19:30,730 --> 00:19:35,570
+المناطق هذه، Sputum كثير، فالإنفزيمة هي حاجة زي
+
+273
+00:19:35,570 --> 00:19:38,530
+ما قلنا Obstructive Respiratory Disorders وبتيجي
+
+274
+00:19:38,530 --> 00:19:45,770
+في 95% من المرضى عند الـ Smokers، الـ Chronic
+
+275
+00:19:45,770 --> 00:19:51,370
+Smokers اللي بيصير بالضبط ماحدش عارف إيش اللي بيصير
+
+276
+00:19:51,370 --> 00:19:54,910
+لكن اللي معروف أنه بيصير عندي زي Chronic
+
+277
+00:19:54,910 --> 00:19:58,610
+inflammation of the alveolar airways وهذه بتدينا
+
+278
+00:19:58,610 --> 00:20:02,810
+infiltration of lymphocytes and macrophages وكمان
+
+279
+00:20:02,810 --> 00:20:08,790
+لاحظوا أن أي زيادة في release of protease enzymes
+
+280
+00:20:08,790 --> 00:20:14,500
+وهو عبارة عن الـ Trypsin هو عبارة عن إنزيم المفروض 
+
+281
+00:20:14,500 --> 00:20:19,080
+إنه بيحافظ لي على زيادة فيه from lung tissue and
+
+282
+00:20:19,080 --> 00:20:25,720
+leukocytes بيعمل digest، بيعمل عملية أكل والتهام و
+
+283
+00:20:25,720 --> 00:20:29,620
+damage للـelastic walls of the alveoli طب هو هذا
+
+284
+00:20:29,620 --> 00:20:34,540
+وقتاش بيزيد التربسين أصلًا بيزيد نتيجة Inflammation
+
+285
+00:20:34,540 --> 00:20:37,980
+وInfection زي ما قلنا لكن ممكن يكون نتيجة Genetic
+
+286
+00:20:37,980 --> 00:20:44,400
+Lack of Alpha-1-Antitrypsin يعني هذا عبارة عن 
+
+287
+00:20:44,400 --> 00:20:50,800
+Steady State Phase أي إنزيم في الجسم موجود لابد 
+
+288
+00:20:50,800 --> 00:20:56,980
+من آلية لهدمه، الإنزيم هذا يعني إنزيم موجود بكمية
+
+289
+00:20:56,980 --> 00:21:02,500
+خمسين، عند ما يصير بده يصير 60، 70، 80 بيجي اللي هو
+
+290
+00:21:02,500 --> 00:21:06,260
+Enzyme تاني أو ميكانيكية تانية عشان تهدم الـ
+
+291
+00:21:06,260 --> 00:21:09,900
+Enzyme هذا لأن لو الميكانيكية هيوقفت معناته الـ
+
+292
+00:21:09,900 --> 00:21:13,660
+Enzyme هذا هيزيد كميته كتير كتير ويشتغل شغل مش 
+
+293
+00:21:13,660 --> 00:21:17,920
+شغله فهمتوا عليه كيف؟ فلبوت من آلية تهدم وهذا
+
+294
+00:21:17,920 --> 00:21:21,400
+بتصير بعض الأحيان في بعض الناس اللي عندهم Genetic
+
+295
+00:21:21,400 --> 00:21:25,760
+lack of Alpha-1 Antitrypsin بيصير عندهم Congenital
+
+296
+00:21:25,760 --> 00:21:31,510
+Emphysema وما لهاش علاقة بالتدخين يبقى ممكن انفزيما
+
+297
+00:21:31,510 --> 00:21:35,070
+تكون نتيجة عن جد chronic cigarette smoking لكن
+
+298
+00:21:35,070 --> 00:21:41,790
+ممكن تكون نتيجة اللي هي نتيجة rare disease أو rare
+
+299
+00:21:41,790 --> 00:21:46,170
+form of emphysema بتيجي عند الناس اللي عندها
+
+300
+00:21:46,170 --> 00:21:49,470
+genetic lack of alpha-1-antitrypsin واللي هو زي ما
+
+301
+00:21:49,470 --> 00:21:56,360
+قلنا مثبت للتريبسين وإذا توقف المثبت هذا التربسيم
+
+302
+00:21:56,360 --> 00:22:00,940
+بيشتغل شغل زيادة عن اللازم فبروح إيش بيعمل لي كل الـ
+
+303
+00:22:00,940 --> 00:22:04,300
+septum اللي موجودة جوا ال lungs فبتعبلي ال lungs و
+
+304
+00:22:04,300 --> 00:22:09,320
+بعملي حاجة اسمها emphysema طيب mainly caused by زي
+
+305
+00:22:09,320 --> 00:22:12,460
+ما قلنا loss of alveolar lung elasticity and
+
+306
+00:22:12,460 --> 00:22:15,820
+decrease of the overall surface وهذه المشكلة أنه
+
+307
+00:22:15,820 --> 00:22:20,200
+الـoverall surface لما يصير عندي emphysema بيبطل
+
+308
+00:22:20,200 --> 00:22:27,440
+قادرة تعمل إتشينج وهو هذه شغلتها بصورة عامة طب إيه 
+
+309
+00:22:27,440 --> 00:22:31,980
+الـManifestation؟ تكيبنيا، النفس بيزيد، تكيبنيا 
+
+310
+00:22:32,660 --> 00:22:35,720
+Increase respiratory rate هي التكبني يعني Because
+
+311
+00:22:35,720 --> 00:22:39,340
+that is effective in maintaining arterial blood
+
+312
+00:22:39,340 --> 00:22:43,280
+gas one does not usually see hypoxia or cyanosis
+
+313
+00:22:43,280 --> 00:22:47,820
+until the end stage طبعاً هذه نقطة مهمة أنه في
+
+314
+00:22:47,820 --> 00:22:51,580
+الانفيزيمة بتطول عميما أشوف cyanosis أو hypoxia
+
+315
+00:22:51,580 --> 00:22:54,500
+ليش؟ لأنه في عنقليات جانبية الجسم اللي هي زي
+
+316
+00:22:54,500 --> 00:22:59,060
+التكبني النفس السريع Barrel chest أي prolonged
+
+317
+00:22:59,060 --> 00:23:03,950
+expiration يعني عملية الإخراج تبع الهواء بتطول
+
+318
+00:23:03,950 --> 00:23:06,950
+بيصير عندي Barrel chest Parallel يعني زي البرميل
+
+319
+00:23:06,950 --> 00:23:10,470
+Lack of Purulent Sputum مافيش عندي Sputum طبعاً
+
+320
+00:23:10,470 --> 00:23:14,130
+لأنه أنا مافيش عندي إفراز أصلا أنا عندي قاعدة
+
+321
+00:23:14,130 --> 00:23:17,770
+بتتدمر الرئتين Possible Long Term Consequences زي
+
+322
+00:23:17,770 --> 00:23:19,750
+الـCor pulmonale زي ما حكينا في الـ Chronic
+
+323
+00:23:19,750 --> 00:23:23,990
+Bronchitis وممكن يعمل ليه Respiratory Failure في 
+
+324
+00:23:23,990 --> 00:23:25,290
+مقارنة بسيطة بين
+
+325
+00:23:28,770 --> 00:23:34,230
+بين الـ Chronic Bronchitis و الـ Emphysema و هذه 
+
+326
+00:23:34,230 --> 00:23:38,030
+مهمة Chronic Bronchitis بيبقى mild سُعال الـ 
+
+327
+00:23:38,030 --> 00:23:43,150
+emphysema بيبقى ممكن تكون severe productive cough
+
+328
+00:23:43,150 --> 00:23:45,090
+في ال chronic bronchitis و احنا قولنا في الـ 
+
+329
+00:23:45,090 --> 00:23:51,770
+emphysema العملية مافيش كف أو بتبقى dry كف ناشفة 
+
+330
+00:23:51,770 --> 00:23:55,230
+Cyanosis common في ال chronic bronchitis Cyanosis 
+
+331
+00:23:55,230 --> 00:23:59,200
+rare في الانفيزيمة بِزْرَاقِش ولو بزراجش في الـ late
+
+332
+00:23:59,200 --> 00:24:02,760
+stages Respiratory infection common في الـ chronic
+
+333
+00:24:02,760 --> 00:24:06,520
+bronchitis في الانفيزيمة infrequent infection لأنه
+
+334
+00:24:06,520 --> 00:24:10,140
+احنا قلنا الـ chronic bronchitis بتخلي فيه بلغم
+
+335
+00:24:10,140 --> 00:24:13,020
+كتير و البلغم هذا بيئة لل infection طب أنا مافيش
+
+336
+00:24:13,020 --> 00:24:17,520
+عندي أصلا بلغم ف infrequent infections Onset
+
+337
+00:24:17,520 --> 00:24:20,780
+usually after 40 years of chronic bronchitis أو 
+
+338
+00:24:20,780 --> 00:24:24,120
+المدخنين بدري Onset usually after 50 years of age
+
+339
+00:24:24,120 --> 00:24:29,110
+History of cigarette smoking نفس الكلام في
+
+340
+00:24:29,110 --> 00:24:31,830
+الانفيزيمة Cor pulmonale common في الـ chronic
+
+341
+00:24:31,830 --> 00:24:36,650
+bronchitis الـ Cor pulmonale طبعاً الـ Cor
+
+342
+00:24:36,650 --> 00:24:40,570
+pulmonale لابد هي حطوها شوية بدي بعينك الله كـ
+
+343
+00:24:40,570 --> 00:24:47,850
+assignment بقولكوا وقتيش تسلموه على الـ model in
+
+344
+00:24:47,850 --> 00:24:49,250
+terminal stages
+
+345
+00:24:52,290 --> 00:24:57,190
+فهذا الـ assignment الوحيد اللي هي Cor pulmonary، 
+
+346
+00:24:57,190 --> 00:25:04,090
+what is it؟ والأسباب تبعته، فيه خمس لسبع أسطر
+
+347
+00:25:04,090 --> 00:25:12,480
+الشوة، الأسباب تبعته، والـ complications تبعته هذا 
+
+348
+00:25:12,480 --> 00:25:16,660
+بالنسبة للـ Inflammation عفوا للـ Infection
+
+349
+00:25:16,660 --> 00:25:19,840
+عملناها والـ Obstructive عملناها الآن في عندنا
+
+350
+00:25:19,840 --> 00:25:26,740
+اللي هي الـ Restrictive Pulmonary Disorders وإن 
+
+351
+00:25:26,740 --> 00:25:30,200
+شاء الله هدف المحاضرة الجاية عشان ما تدخلش الأمور
+
+352
+00:25:30,200 --> 00:25:34,460
+عندكم على بعض إن شاء الله تعالى يبقى احنا عندنا
+
+353
+00:25:34,460 --> 00:25:35,620
+Assignment كان هنا
+
+354
+00:25:38,660 --> 00:25:43,360
+لابد منه ويتبع 
+
+355
+00:25:43,360 --> 00:25:46,820
+في part تلاتة من اللي هو الـ Infective 
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/WG1Po24zCVc_postprocess.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/WG1Po24zCVc_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..461526c237580610952112f7ae0a8c18e3fb9536
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/WG1Po24zCVc_postprocess.srt
@@ -0,0 +1,1420 @@
+1
+00:00:01,150 --> 00:00:03,190
+بسم الله الرحمن الرحيم و الحمد لله رب العالمين
+
+2
+00:00:03,190 --> 00:00:06,950
+والصلاة والسلام على سيدنا موسى الأجمعين يعني الآن
+
+3
+00:00:06,950 --> 00:00:11,110
+إن شاء الله نتحدث عن الجزء التاني من محاضرة الـ
+
+4
+00:00:11,110 --> 00:00:14,610
+Infective and Obstructive Respiratory Disorders
+
+5
+00:00:14,610 --> 00:00:20,930
+كنا بدأنا بالـ Bronchial أزمةوتحدثنا عن الـ
+
+6
+00:00:20,930 --> 00:00:23,310
+Bronchial أزمة وقلنا أن الأزمة هي اللي بيقولها
+
+7
+00:00:23,310 --> 00:00:28,550
+الأزمة أو الربو
+
+8
+00:00:28,550 --> 00:00:33,110
+أو الحساسية أو الناس بتقول عنه بنهج تقريبا هي نفس
+
+9
+00:00:33,110 --> 00:00:36,330
+الفكرة اللي موجودة على الله ما أن الأزمة is a
+
+10
+00:00:36,330 --> 00:00:42,310
+chronic conditionوهي حالة تسمى بـ Reversible
+
+11
+00:00:42,310 --> 00:00:48,150
+Bronchospasm وخلطة الهواء الهوائي وقلنا إن هذه
+
+12
+00:00:48,150 --> 00:00:54,530
+بتزيد جاعة الأزمة مع الـ الوجد الموضوع فيها الـ
+
+13
+00:00:54,530 --> 00:00:59,710
+genetic predisposition ولكن الـ environmental life
+
+14
+00:00:59,710 --> 00:01:04,010
+كمان تلعب دور الـ key component of أزمة appears to
+
+15
+00:01:04,010 --> 00:01:10,160
+be airway hyper reactivity وقلنا إنالـ Immuno
+
+16
+00:01:10,160 --> 00:01:14,860
+-globulin-E بيلعب دور اللي بتفرزه الـ muscles that
+
+17
+00:01:14,860 --> 00:01:18,820
+attached to the muscles اللي موجودة في many
+
+18
+00:01:18,820 --> 00:01:22,620
+tissues الـ exposure to a trigger زي الـ pollen
+
+19
+00:01:22,620 --> 00:01:28,480
+على سبيل المثال بتعمل عملية إثارة وقلنا إنه في
+
+20
+00:01:30,950 --> 00:01:34,270
+Triggers للموضوع هذا is a potential asthma
+
+21
+00:01:34,270 --> 00:01:39,430
+triggers زي الألرجين cold air bullions السيجارات
+
+22
+00:01:39,430 --> 00:01:42,970
+موقن strong emotion طبعا emotions ممكن يكون زعل
+
+23
+00:01:42,970 --> 00:01:47,490
+شديد لكن ممكن يكون فرحة شديدة كمان exercise
+
+24
+00:01:47,490 --> 00:01:52,130
+respiratory tract infection يعني فرحة شديدة يعني
+
+25
+00:01:52,130 --> 00:01:58,600
+كمان كتير ناس متنتظرهاش لكن هي في منه الكلمةاللي
+
+26
+00:01:58,600 --> 00:02:01,440
+زي ما احنا شايفينه في الصورة هان كيف الـ Airway
+
+27
+00:02:01,440 --> 00:02:05,360
+بتبقى موجودة الـ Pronchial Airway لما يكون عند الـ
+
+28
+00:02:05,360 --> 00:02:08,720
+Pronchial أسبة على الجهة اليمين كيف بيبقى في عنا
+
+29
+00:02:08,720 --> 00:02:14,280
+نتيجة ال .. نتيجة ال .. ال Pronchial أسبة ال
+
+30
+00:02:14,280 --> 00:02:16,060
+passages بتبقى
+
+31
+00:02:18,390 --> 00:02:22,510
+أوbstracted ومش بس كمان بيصيرها inflammation ومش
+
+32
+00:02:22,510 --> 00:02:26,270
+بس كمان بتصير تفرز لكن على الجهة الشمال زي ما حنا
+
+33
+00:02:26,270 --> 00:02:29,350
+شايفين الـairway بتبقى free ومافيش أي مشاكل فيها
+
+34
+00:02:29,350 --> 00:02:31,670
+إنها طبعا أكتر من classification لازم ناخد بالنا
+
+35
+00:02:31,670 --> 00:02:36,830
+ونفرج بينهم أول إشي ال bronchial asthma اللي هو ال
+
+36
+00:02:36,830 --> 00:02:39,750
+clinical classification of bronchial asthma واحد
+
+37
+00:02:39,750 --> 00:02:43,330
+عنده bronchial asthma وانا بدأ أحطه في category هل
+
+38
+00:02:43,330 --> 00:02:46,650
+هو ال bronchial asthma أصلا تبعته هي ال chronic هل
+
+39
+00:02:46,650 --> 00:02:54,410
+هي بسيطة؟بسيطة ولا هي بسيطة لكن بتيجي كتير ولا هي
+
+40
+00:02:54,410 --> 00:02:59,090
+متوسطة لكن بتيجي كتير مستمرة ولا شديدة و بتيجي
+
+41
+00:02:59,090 --> 00:03:03,940
+كتير فال classification هذا mild-intermittentأتاك
+
+42
+00:03:03,940 --> 00:03:06,600
+أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك
+
+43
+00:03:06,600 --> 00:03:10,960
+أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك
+
+44
+00:03:10,960 --> 00:03:14,560
+أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك
+
+45
+00:03:14,560 --> 00:03:20,960
+أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك
+
+46
+00:03:20,960 --> 00:03:27,920
+أتاك أتاك
+
+47
+00:03:27,920 --> 00:03:29,140
+أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك
+
+48
+00:03:29,140 --> 00:03:36,220
+أتاك أتاك أتاكوفيه مقارنة بينهم وحتى كل
+
+49
+00:03:36,220 --> 00:03:40,380
+واحدة بيصير فيها hormonal أو inflammatory response
+
+50
+00:03:40,380 --> 00:03:45,100
+مختلف عن التاني وطبعاً هذا بلعب دور في عملية
+
+51
+00:03:45,100 --> 00:03:51,840
+العلاج ال manifestation of asthma كيبجينةبيجينا بـ
+
+52
+00:03:51,840 --> 00:03:55,240
+Coughing و Weezing، إيش يعني Weezing؟ Weezing يعني
+
+53
+00:03:55,240 --> 00:03:59,400
+بيسفر، سدره بيسفر، Difficulty Breathing, Rapid
+
+54
+00:03:59,400 --> 00:04:01,480
+Shallow Breathing, Increased respiratory rate,
+
+55
+00:04:01,920 --> 00:04:05,580
+Excess mucous production and Significant Anxiety،
+
+56
+00:04:05,580 --> 00:04:09,770
+بتبقى تعبان كمانفي اللي هو أجاني واحد وعنده الأن
+
+57
+00:04:09,770 --> 00:04:13,610
+أزمة نوبة هذه النوبة لابد أنه أعرف الشيء برضه
+
+58
+00:04:13,610 --> 00:04:17,590
+Stage 1 Mild Stage 2 Moderate Stage 3 Severe Stage
+
+59
+00:04:17,590 --> 00:04:21,310
+4 Respiratory Failure طبعا كل واحدة بتتطلب نوع من
+
+60
+00:04:21,310 --> 00:04:25,680
+التدخللو بدأنا من الآخر من الـ Stage IV Spiratory
+
+61
+00:04:25,680 --> 00:04:30,360
+Failure معناته أنا رايح على التنفس
+
+62
+00:04:30,360 --> 00:04:34,440
+الصناعي Mechanical Ventilation يعني بعمله عملية
+
+63
+00:04:34,440 --> 00:04:38,300
+بيقول أنا Intubation يعني بيحطوله تيوب بالعربي
+
+64
+00:04:38,300 --> 00:04:41,820
+الناس في المستشفيات بتقول طيبته حطيتله تيوب و
+
+65
+00:04:41,820 --> 00:04:46,590
+Ventilته يعني حطيته على Mechanical Ventilationستاج
+
+66
+00:04:46,590 --> 00:04:50,270
+تلاتة اللي أجابل منها لو كانت أخاف بيبقى في عندي
+
+67
+00:04:50,270 --> 00:04:54,730
+Respiratory distress يا نوزز وويزز أو حتى بيبقى من
+
+68
+00:04:54,730 --> 00:04:57,990
+كتر ما هم ديجة الشعيبات الهوائية مافيش صوت لما بحط
+
+69
+00:04:57,990 --> 00:05:01,870
+السماعة مابسمعش صوت هذا استاج تلاتة طبعا بيبقى هذا
+
+70
+00:05:01,870 --> 00:05:04,350
+Embending Respiratory Failure إيش يعني Embending
+
+71
+00:05:04,350 --> 00:05:06,850
+يعني رايح على Respiratory Failure لسه مش
+
+72
+00:05:06,850 --> 00:05:10,390
+Respiratory Failure ممكن بعض العلاجات يتحسنولكن
+
+73
+00:05:10,390 --> 00:05:14,010
+أموره صعبة Stage 2 Moderate Respiratory distress
+
+74
+00:05:14,010 --> 00:05:17,250
+at rest هو قاعد نفسه مش مرتاح بالمرة و Mark
+
+75
+00:05:17,250 --> 00:05:20,810
+Tweezes واضح مسموع من بعيد و Mild اللي هو Stage 1
+
+76
+00:05:20,810 --> 00:05:26,710
+Dyspnea و Difficult with inadequate air exchange
+
+77
+00:05:26,710 --> 00:05:30,430
+لكن بياخد نفس و بطلع كويسة وقلنا من الحاجات ال
+
+78
+00:05:30,430 --> 00:05:33,210
+complications ليش أنا بحب هاش البروكيا الأزمة لإن
+
+79
+00:05:33,210 --> 00:05:38,630
+هي فيها لغير أن هي بتعملي مشاكل في التنفسواللي
+
+80
+00:05:38,630 --> 00:05:43,270
+شفناها قبل شوية، لكن كمان ممكن تعمل «أكيوت أزمة
+
+81
+00:05:43,270 --> 00:05:48,670
+أسماتكاس» نوبة شديدة من الأزمة Status، يعني
+
+82
+00:05:48,670 --> 00:05:56,120
+مستمرة، وهذا طبعا Life-threatening conditionوطبعاً
+
+83
+00:05:56,120 --> 00:05:59,080
+تستجيبش للعلاج وممكن تحتاج لإيش؟ مش ممكن، هي
+
+84
+00:05:59,080 --> 00:06:02,360
+بتحتاج لـ Mechanical Ventilation نومو توراكس،
+
+85
+00:06:02,360 --> 00:06:07,100
+هنحكي عنه بعد شوية وهو Consequence of Lung
+
+86
+00:06:07,100 --> 00:06:10,740
+Pressure Increasing فزي ما أقول، بتنبعط الـ Lung،
+
+87
+00:06:10,740 --> 00:06:14,420
+باختصار Respiratory Failure اللي هو فشل التنفس
+
+88
+00:06:14,420 --> 00:06:19,150
+صناعيللـ Bronchial Asthma وإحنا أبتديا إلى هنا
+
+89
+00:06:19,150 --> 00:06:23,650
+وصلنا والله العليم ال treatment of asthma موضوع
+
+90
+00:06:23,650 --> 00:06:26,590
+الأزمة يا جماعة كتير مهم بالنسبة لكم ال
+
+91
+00:06:26,590 --> 00:06:30,070
+respiratory system مهم كتير كمان كعلاج طبيعي لأنه
+
+92
+00:06:30,070 --> 00:06:35,450
+جزء كبير من شغلكم اللي هو ال respiratory system
+
+93
+00:06:38,330 --> 00:06:41,190
+والـ Chest Physiotherapy وغيرها The appropriate
+
+94
+00:06:41,190 --> 00:06:44,030
+drug treatment regime for asthma is based on the
+
+95
+00:06:44,030 --> 00:06:46,730
+frequency and severity أنا عشان أحددله إيش الدوة
+
+96
+00:06:46,730 --> 00:06:50,230
+اللي بدهيها، بده أشوف هو كل شهرين أو تلاتة لما
+
+97
+00:06:50,230 --> 00:06:52,990
+تيجي له نوبة مثلا أنا محتاجش أديه حاجة على المدى
+
+98
+00:06:52,990 --> 00:07:00,990
+الطويل لكن اللي حكينا عنهم قبل شوية اللي هي ال
+
+99
+00:07:00,990 --> 00:07:04,850
+classification clinical اللي حطيناهم إذا فاكرين مع
+
+100
+00:07:04,850 --> 00:07:05,350
+بعضها
+
+101
+00:07:08,050 --> 00:07:11,070
+الـMild-Intermittent ولا الـMild-Persistent ولا
+
+102
+00:07:11,070 --> 00:07:12,910
+الـModerate-Persistent ولا الـSevere-Persistent
+
+103
+00:07:12,910 --> 00:07:17,990
+هذه بتقوللي قداش الـ severity تبع السورة العامة
+
+104
+00:07:21,570 --> 00:07:26,590
+بقى اتصرف ودي علاج طبعا إلى خصائيها إما دكاترة
+
+105
+00:07:26,590 --> 00:07:31,090
+الصدرية في الأدل دكاترة الأطفال في الـ Pediatrics
+
+106
+00:07:31,090 --> 00:07:34,030
+لكن هو موضوع عام يعني كتير ناس من الدكاترة
+
+107
+00:07:34,030 --> 00:07:37,250
+بتعاملوا مع حالة الـ Bronchial أزمة العادية لكن
+
+108
+00:07:37,250 --> 00:07:40,270
+لما أصبح difficult to control أو فيها مشاكل في
+
+109
+00:07:40,270 --> 00:07:47,040
+الغالب بيحولوها لدكاترة الصدرية أول حاجةالقاعدة
+
+110
+00:07:47,040 --> 00:07:49,940
+الأولى في كتير من الأمراض الباب اللي بيجيك منه
+
+111
+00:07:49,940 --> 00:07:55,320
+الريح إيش سده و استريح إذا أنا في عندي trigger
+
+112
+00:07:55,320 --> 00:07:59,260
+عارف حالي والله أنا طولة مافيش عينة بسة في البيت
+
+113
+00:08:01,460 --> 00:08:04,440
+برضه بتقولوا عنها بسة مش هيك بسة في البيت و
+
+114
+00:08:04,440 --> 00:08:07,660
+بتعرفوا شعر البساس ممكن يعمل حساسيا طولة ما احنا
+
+115
+00:08:07,660 --> 00:08:12,040
+ماقناش بسة أو سجاد عشان العتة تحت السجاد و ماقناش
+
+116
+00:08:12,040 --> 00:08:16,640
+حرامات جديدة و كذا أو بعض أنواع الأطعمة طولة ما
+
+117
+00:08:16,640 --> 00:08:20,540
+أنا بس أعملهاش و محددة شيء و أنا وضعي كويس أو وضع
+
+118
+00:08:20,540 --> 00:08:25,350
+طفلي كويس أو وضع ابني كويسلكن لما بيجي في بساس في
+
+119
+00:08:25,350 --> 00:08:27,990
+البيت بيصير عنده أو بروح عن دار عمته في عندهم بساس
+
+120
+00:08:27,990 --> 00:08:31,630
+بيصير عنده فـ Avoidance of Triggers أساس من
+
+121
+00:08:31,630 --> 00:08:36,510
+أساسيات العلاج في معظم أو في كل أنواع الحساسيات
+
+122
+00:08:36,510 --> 00:08:40,110
+حتى حساسية الجلدبأكل بيض بصير عندي حساسية يعني
+
+123
+00:08:40,110 --> 00:08:43,870
+بلاش بيض بلاش بيض خليها بتنجان مش مشكلة كبيرة بس
+
+124
+00:08:43,870 --> 00:08:47,910
+المهم أنه أي حاجة أنا بتحسس منها وعلى رأسهم
+
+125
+00:08:47,910 --> 00:08:52,830
+الفراولة والشوكولاتة أي حاجة أنا بتحسس منها لابد
+
+126
+00:08:52,830 --> 00:08:57,130
+أنه أبعدها رقم واحد مش أاخد علاج أبعدها avoidance
+
+127
+00:08:57,130 --> 00:09:01,870
+of trigger and allergies وطبعاً
+
+128
+00:09:01,870 --> 00:09:07,030
+هذا بتطلب مني إذا كان حسبمش السبب؟ في ناس الـ
+
+129
+00:09:07,030 --> 00:09:12,030
+Condition في ناس الخنجة والتنفس في ناس زي ما قلنا
+
+130
+00:09:12,030 --> 00:09:16,290
+بعض أنواع الاستجاد وعدم تهوية الغرف و و و و الأمر
+
+131
+00:09:16,290 --> 00:09:20,450
+التاني من الإسم Bronchodilators دي موسيعات للشعب
+
+132
+00:09:20,450 --> 00:09:26,050
+الهوائي موسيعات هي Short Acting Beta Adrenergic
+
+133
+00:09:26,050 --> 00:09:30,550
+Receptor Activator وهذه بتعمل عملية توسيع للـ
+
+134
+00:09:30,550 --> 00:09:34,610
+Broncules
+
+135
+00:09:36,670 --> 00:09:40,430
+الموسيعات هي يا جماعة بس شغلتها توسع لكن هي بتمنعش
+
+136
+00:09:40,430 --> 00:09:43,710
+ال inflammation فهي اللي هي علاقة في موضوع ال
+
+137
+00:09:43,710 --> 00:09:47,470
+obstruction وتوسيعه لكن ال inflammation بيظل حاصر
+
+138
+00:09:47,470 --> 00:09:52,630
+ال inflammation بده دوة تانية عشان هيك ممكن ندي
+
+139
+00:09:52,630 --> 00:09:55,950
+أدوية تانية لل inflammation النوع التالت من
+
+140
+00:09:55,950 --> 00:09:58,850
+الأدوية اللي ممكن نديها أو الإجراءات اللي ممكن
+
+141
+00:09:58,850 --> 00:10:02,450
+نعملها ال Xanthine drugs زي ال «تيوفيلين» وهذا
+
+142
+00:10:02,450 --> 00:10:07,190
+بيعمل برضه bronchodilatationوبمنع الـ Late phase
+
+143
+00:10:07,190 --> 00:10:11,150
+of asthma مش مطلوب منكوا أدوية يا جماعة لكن لما
+
+144
+00:10:11,150 --> 00:10:16,210
+نقول كيف الـ Bronchodilators بشتغلتك تقولي والله
+
+145
+00:10:16,210 --> 00:10:20,110
+هذا الـ Bronchodilators بعمل block للـ
+
+146
+00:10:20,110 --> 00:10:25,130
+Bronchoconstriction لكن don't prevent the
+
+147
+00:10:25,130 --> 00:10:28,250
+inflammatory response أنا ممكن أقولك مثلا في
+
+148
+00:10:28,250 --> 00:10:32,730
+السؤال MCQ's Bronchodilators block
+
+149
+00:10:39,450 --> 00:10:45,510
+الجزء الأول صح لكن الجزء التاني غلط مثلًا إكسانثين
+
+150
+00:10:51,110 --> 00:10:55,090
+و«انهيبت الـ Late Phase of Asthma» تقولي صح طب لو
+
+151
+00:10:55,090 --> 00:10:59,310
+قولت والله «انهيبت» «Don't inhibit the late
+
+152
+00:10:59,310 --> 00:11:03,430
+asthma» بيصير فيه فإذا كل واحد فيه إلو كل drug إلو
+
+153
+00:11:03,430 --> 00:11:08,470
+item كيف هو بيشتغل بغض النظر عن نوعية الدواء أنا
+
+154
+00:11:08,470 --> 00:11:14,950
+بس بدي تعرفه ي «grow» وإيش بيعمل أكتر من هيك لأ في
+
+155
+00:11:14,950 --> 00:11:20,770
+المجموعة الرابعة «Chromoline Sodium»هو عبارة عن
+
+156
+00:11:20,770 --> 00:11:21,610
+مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات
+
+157
+00:11:21,610 --> 00:11:24,330
+مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات
+
+158
+00:11:24,330 --> 00:11:25,710
+مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات
+
+159
+00:11:25,710 --> 00:11:27,830
+مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات
+
+160
+00:11:27,830 --> 00:11:30,810
+مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات
+
+161
+00:11:30,810 --> 00:11:36,330
+مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات
+
+162
+00:11:36,330 --> 00:11:41,590
+مخدرات مخ
+
+163
+00:11:42,230 --> 00:11:46,590
+both early and late phase of asthma الخامس اللي هو
+
+164
+00:11:46,590 --> 00:11:49,410
+من اسمه Anti-inflammatory الـ Cortisone used
+
+165
+00:11:49,410 --> 00:11:54,130
+orally أو حتى by inhalation أو حتى ممكن ينعطق بالـ
+
+166
+00:11:54,130 --> 00:11:59,790
+IV The most significant unwanted effect وهذا لكل
+
+167
+00:11:59,790 --> 00:12:03,370
+ال Cortisone long term oral use may include immune
+
+168
+00:12:03,370 --> 00:12:05,870
+suppression, increased susceptibility to
+
+169
+00:12:05,870 --> 00:12:10,350
+infection, osteoporosis وهنا أنا طبعا بنصح بدون ما
+
+170
+00:12:10,350 --> 00:12:14,250
+يكون واجبوكمان مرة يا جماعة اللي بننصح فيه أو
+
+171
+00:12:14,250 --> 00:12:19,150
+بنديه assignment هو في المنهج ما تقولوليش الكتاب
+
+172
+00:12:19,150 --> 00:12:21,730
+مافيش حاجة اسمها الكتاب احنا في جامعة مش فيه
+
+173
+00:12:21,730 --> 00:12:24,970
+المفروض انه بدون ما اقولكوا بمجرد ما تشوف والله
+
+174
+00:12:24,970 --> 00:12:28,950
+unwanted او side effects of cortisone تروح لحالك
+
+175
+00:12:28,950 --> 00:12:32,130
+تكشف عنها ايش ال side effects of cortisone اللي
+
+176
+00:12:32,130 --> 00:12:35,590
+ماكنتش للعلم فهي لل experience اللي ماكنتش لل
+
+177
+00:12:35,590 --> 00:12:40,470
+experience فهي لتوسيع المدارك هذه حاجات بديهيات
+
+178
+00:12:40,470 --> 00:12:43,590
+عندنا في الطبالمجموعة السادسة اللي هو الـ
+
+179
+00:12:43,590 --> 00:12:48,030
+Loicotrenes Modifier زي هذا أجدد حاجة في السوق
+
+180
+00:12:48,030 --> 00:12:49,970
+الآن «جمهور جمهور جمهور جمهور جمهور» «جمهور جمهور
+
+181
+00:12:49,970 --> 00:12:51,810
+«جمهور جمهور جمهور جمهور» «جمهور جمهور جمهور
+
+182
+00:12:51,810 --> 00:12:53,290
+جمهور» «جمهور جمهور جمهور جمهور» «جمهور جمهور
+
+183
+00:12:53,290 --> 00:12:53,690
+جمهور جمهور» «جمهور جمهور جمهور جمهور» «جمهور
+
+184
+00:12:53,690 --> 00:13:02,550
+جمهور جمهور جمهور» «جمهور
+
+185
+00:13:02,550 --> 00:13:11,050
+جمهور جمهور جمهور»
+
+186
+00:13:12,230 --> 00:13:16,790
+that may occur in both acute and chronic forms في
+
+187
+00:13:16,790 --> 00:13:19,110
+عندنا طبعا acute bronchitis و في عندنا chronic
+
+188
+00:13:19,110 --> 00:13:22,610
+bronchitis acute bronchitis inflammation of the
+
+189
+00:13:22,610 --> 00:13:26,990
+bronchial passages most commonly caused by
+
+190
+00:13:26,990 --> 00:13:30,970
+infection with بكتيريا أو فيروس acute bronchitis
+
+191
+00:13:30,970 --> 00:13:35,670
+كان عنده التهيأب في الحلق و زي ما بقولوا الستات
+
+192
+00:13:35,670 --> 00:13:41,640
+نزل على صدره و نزل على اللي هو ال .. ال ..التركية
+
+193
+00:13:41,640 --> 00:13:46,200
+ونزل على الـ bronchi فبعملي bronchitis هذا acute
+
+194
+00:13:46,200 --> 00:13:49,020
+بكتيريا أو فيروس acute bronchitis is a generally
+
+195
+00:13:49,020 --> 00:13:52,360
+self-limited condition in healthy individuals، في
+
+196
+00:13:52,360 --> 00:13:56,420
+الناس العاديين، much more severe بيبقى في الناس
+
+197
+00:13:56,420 --> 00:13:59,380
+اللي عندها مشاكل العضلات أو immune-compromised،
+
+198
+00:13:59,380 --> 00:14:02,200
+إيش يعني immune-compromised؟ بياخدوا مثلا أدوية
+
+199
+00:14:02,200 --> 00:14:06,350
+مثبتة للمناعأو كورتازون Symptoms of acute
+
+200
+00:14:06,350 --> 00:14:09,410
+bronchitis productive cough تلاقي بيطلع بالغام
+
+201
+00:14:09,410 --> 00:14:12,170
+كتير كتير كتير، dyspnea، ديك في النفس، possible
+
+202
+00:14:12,170 --> 00:14:15,230
+fever لكن في أنا جونها ال chronic bronchitis و
+
+203
+00:14:15,230 --> 00:14:20,170
+بتختلف ال chronic عن ال acute، ليش؟ لأنها هي ال
+
+204
+00:14:20,170 --> 00:14:24,790
+chronic بتيجي دايما مع المدخنين في 90% من الحالات
+
+205
+00:14:25,670 --> 00:14:30,290
+بتيجي مع المدخنين يعني بيصير عملية الإثارة للـ
+
+206
+00:14:30,290 --> 00:14:37,510
+Bronchi نتيجة نتيجة اللي هي التدخين نتيجة الـ
+
+207
+00:14:37,510 --> 00:14:41,550
+Irritation of التدخين مع الوجد of the smoking مع
+
+208
+00:14:41,550 --> 00:14:47,890
+الوجد لـ Epithelium cells اللي موجودة على جدر الـ
+
+209
+00:14:47,890 --> 00:14:51,250
+Bronchi فهذه بتعملنا chronic bronchitis عشان هيك
+
+210
+00:14:51,350 --> 00:14:57,330
+الناس اللي بتدخن بتجوم الصبح صدرها ملام بلغم مغلق
+
+211
+00:14:57,330 --> 00:15:01,790
+دايما عيانين في موضوع النفس وهذا بعد هيك بدخلنا في
+
+212
+00:15:01,790 --> 00:15:06,250
+حاجة اسمها COPD CCOPD
+
+213
+00:15:06,250 --> 00:15:09,950
+هنحكي عنها chronic bronchitis may also be caused
+
+214
+00:15:09,950 --> 00:15:13,150
+by prolonged exposure to inhaled particulates such
+
+215
+00:15:13,150 --> 00:15:18,780
+asCold dust and other pollutants يعني مش بس الـ
+
+216
+00:15:18,780 --> 00:15:22,820
+Smoking 90% Smoking لأن هذا الدرج عند الناس لكن
+
+217
+00:15:22,820 --> 00:15:27,160
+كمان الناس اللي بتشتغل في المصانع اللي فيها مواد
+
+218
+00:15:27,160 --> 00:15:33,640
+تخرج من تكرير الفحم و البترول و الحاجات هذه ممكن
+
+219
+00:15:33,640 --> 00:15:37,380
+تعملنا نفس الكلام The disease characterized by
+
+220
+00:15:37,380 --> 00:15:40,900
+excess mucus هذا الأساس تبعه ميوكاس كتير كتير كتير
+
+221
+00:15:42,110 --> 00:15:44,370
+في اللي هو الـ Respiratory Tract، الـ «ميوكاس» الـ
+
+222
+00:15:44,370 --> 00:15:46,750
+Accumulation، الـ «كان إمبير» الـ Function of
+
+223
+00:15:46,750 --> 00:15:49,870
+Celiated Epithelium طبعاً كتر الـ Chronic
+
+224
+00:15:49,870 --> 00:15:53,610
+Infection السيليا اللي موجودة في البرونكاي كمان
+
+225
+00:15:53,610 --> 00:15:59,690
+بيصير لها عملية Damage وفبصير مايعرفش الجهاز
+
+226
+00:15:59,690 --> 00:16:03,590
+التنفسي يطلع البلغم اللي بتجمع بصورة كبيرة فرقتين
+
+227
+00:16:03,590 --> 00:16:10,480
+فبصير عندنا زي ما بقولنا Excess ميوكاسوبيصير طبعا
+
+228
+00:16:10,480 --> 00:16:15,080
+بعد فترة الـ Excess ميوكاس مع الوجد مع التدخين
+
+229
+00:16:15,080 --> 00:16:20,000
+المستمر هذا بيديني بيئة محترمة لإنه يصير عندى
+
+230
+00:16:20,000 --> 00:16:22,520
+Respiratory Infection Acute Respiratory Infection
+
+231
+00:16:22,520 --> 00:16:28,030
+التهاباتعشان هيك المدخنين مشاكل صدرهم أكتر من غير
+
+232
+00:16:28,030 --> 00:16:32,230
+المدخنين البروكايتس ال manifestation أو ال
+
+233
+00:16:32,230 --> 00:16:35,530
+symptoms productive calf productive يعني كمية يعني
+
+234
+00:16:35,530 --> 00:16:38,530
+بينتج بلغم
+
+235
+00:16:40,080 --> 00:16:42,860
+الـ Productive ترجع إلى الـ Sputum يعني بتطلعلي
+
+236
+00:16:42,860 --> 00:16:47,200
+بالغم Productive Chronic Cough Production of
+
+237
+00:16:47,200 --> 00:16:51,200
+Purulent Sputum يعني لونه مدى على سفاره خضار زي
+
+238
+00:16:51,200 --> 00:16:54,860
+الملتهب Frequent Acute Respiratory Infection
+
+239
+00:16:54,860 --> 00:17:00,000
+Dyspnea Hypoxia ممكن توصل في لحظة من اللحظات لـ
+
+240
+00:17:00,000 --> 00:17:04,580
+Cyanosis لـ Hypoxia وممكن تديني Symptoms of
+
+241
+00:17:04,580 --> 00:17:09,340
+Corpulmonale هنشوف بعد هيك إيش الـ Corpulmonaleإنه
+
+242
+00:17:09,340 --> 00:17:14,820
+يتأثر القلب نتيجة التهابات السدر وطبعا يديني في ال
+
+243
+00:17:14,820 --> 00:17:17,760
+late stages اللي هي زي ما نسوقه في دي ويديني ال
+
+244
+00:17:17,760 --> 00:17:23,640
+fluid accumulation in late stages treatment طبعا
+
+245
+00:17:23,640 --> 00:17:27,360
+كمان مرة الباب اللي بيجيك منه الريح صدوس تريح
+
+246
+00:17:27,360 --> 00:17:29,960
+smoking تسعين فالمية من الأسباب بده أوقف ال
+
+247
+00:17:29,960 --> 00:17:36,630
+smokingوإذا بشتغل في مصنع فيه والله أبخرة وcoal
+
+248
+00:17:36,630 --> 00:17:42,470
+dust أو أي مبيدات أو أي حاجة بتطلع حاجات مثيرة
+
+249
+00:17:42,470 --> 00:17:47,550
+للجهاز التنفسي لازم أعملها cessation cessation
+
+250
+00:17:47,550 --> 00:17:51,910
+يعني إما التوقيف مش في اليوم تلت سجاير لأ بالمرة
+
+251
+00:17:51,910 --> 00:17:57,010
+لازم نوقف crocodilators موسعات للشعيبات الهوائية
+
+252
+00:17:57,010 --> 00:18:03,080
+expectorants مقشعاتمقشعة expectorants لتحل
+
+253
+00:18:03,080 --> 00:18:07,680
+الميوكاس وعندما أكح أطلع الميوكاس هذا بالإضافة
+
+254
+00:18:07,680 --> 00:18:11,320
+لجذية فيزيو ثيرابي تشيست فيزيو ثيرابي Anti
+
+255
+00:18:11,320 --> 00:18:14,520
+-inflammatory to relieve airway inflammation and
+
+256
+00:18:14,520 --> 00:18:17,520
+reduce mucus secretion prophylactic antibiotic إذا
+
+257
+00:18:17,520 --> 00:18:21,440
+صار عنده infection و Oxygen لو لزم المريض Oxygen
+
+258
+00:18:21,440 --> 00:18:25,840
+هذا الآن بدخلنا على الموضوع اللي بعده
+
+259
+00:18:30,610 --> 00:18:36,430
+طيب، الـ Enphysema Enphysema is a respiratory
+
+260
+00:18:36,430 --> 00:18:40,870
+disease that characterized by، خدوا بالكوا، شفتوا
+
+261
+00:18:40,870 --> 00:18:46,050
+الـ alveoles اللي بتنتهي بيها الشجرة تحت الرئتين،
+
+262
+00:18:46,050 --> 00:18:51,750
+في الرئة، مع ال respiratory bronchioles، هذه الـ
+
+263
+00:18:51,750 --> 00:18:57,010
+alveoles في بينها زي الـ septumيعني كل فقاعة بينها
+
+264
+00:18:57,010 --> 00:19:01,090
+وبين الفقاعة لجنبها زي حيطة بين الغرف يعني هذه الـ
+
+265
+00:19:01,090 --> 00:19:05,650
+Symptoms كلها بيصيرليها عملية Destruction
+
+266
+00:19:05,650 --> 00:19:08,750
+Destruction and permanent وإيش بيصير؟ بيفتحوا
+
+267
+00:19:08,750 --> 00:19:12,240
+الغرف على بعضفالـ Enlargement of terminal
+
+268
+00:19:12,240 --> 00:19:17,180
+bronchioles and alveolar air sac تتوسع تصوروا إنه
+
+269
+00:19:17,180 --> 00:19:23,400
+صار عندى توسعات أول حاجة بجل الجدار اللي يجب أن
+
+270
+00:19:23,400 --> 00:19:26,580
+يكون لعملية تبادل الأكسجين وثاني أكسيد الكربون
+
+271
+00:19:27,070 --> 00:19:30,730
+بصغر، دي واحد، اتنين بيصير يتجمعلي بلغم كتير في
+
+272
+00:19:30,730 --> 00:19:35,570
+المناطق هذه، Sputum كتير، فالإنفيزيمة هي حاجة زي
+
+273
+00:19:35,570 --> 00:19:38,530
+ما قلنا Obstructive Respiratory Disorders وبتيجي
+
+274
+00:19:38,530 --> 00:19:45,770
+في 95% من المرضى عند الـ Smokers، الـ Chronic
+
+275
+00:19:45,770 --> 00:19:51,370
+Smokersاللي بيصير بالظبط ماحدش عارف ايش اللي بيصير
+
+276
+00:19:51,370 --> 00:19:54,910
+لكن اللي المعروف أنه بيصير عندي زي chronic
+
+277
+00:19:54,910 --> 00:19:58,610
+inflammation of the alveolar airways وهذه بتدينا
+
+278
+00:19:58,610 --> 00:20:02,810
+infiltration of lymphocytes and macrophages وكمان
+
+279
+00:20:02,810 --> 00:20:08,790
+لاحظوا أن أي زيادة في release of protease enzymes
+
+280
+00:20:08,790 --> 00:20:14,500
+وهو عبارة عن الـTrypsin هو عبارة عن أنزيمالمفروض
+
+281
+00:20:14,500 --> 00:20:19,080
+إنه بيحافظلي أي زيادة فيه from lung tissue and
+
+282
+00:20:19,080 --> 00:20:25,720
+leukocytes بيعمل digest، بيعمل عملية أكل والتهام و
+
+283
+00:20:25,720 --> 00:20:29,620
+damage للـelastic walls of the alveoli طب هو هذا
+
+284
+00:20:29,620 --> 00:20:34,540
+وقتاش بيزيد التربسين أصلابزيد نتيجة Inflammation
+
+285
+00:20:34,540 --> 00:20:37,980
+وInfection زي ما قلنا لكن ممكن يكون نتيجة Genetic
+
+286
+00:20:37,980 --> 00:20:44,400
+Lack of Alpha-1-Antitrypsin يعني هذا عبارة عبارة
+
+287
+00:20:44,400 --> 00:20:50,800
+عن Steady State Phase أي إنزيم في الجسم موجود لابد
+
+288
+00:20:50,800 --> 00:20:56,980
+من آلية لهدمه الإنزيم هذا يعني إنزيم موجود بكمية
+
+289
+00:20:56,980 --> 00:21:02,500
+خمسينعند ما يصير بده يصير 60، 70، 80 بيجي اللي هو
+
+290
+00:21:02,500 --> 00:21:06,260
+Enzyme تاني أو ميكانيكية تانية عشان تهدم الـ
+
+291
+00:21:06,260 --> 00:21:09,900
+Enzyme هذا لأن لو الميكانيكية هيوقفت معناته الـ
+
+292
+00:21:09,900 --> 00:21:13,660
+Enzyme هذا هيزيد كميته كتير كتير ويشتغل شغل مش
+
+293
+00:21:13,660 --> 00:21:17,920
+شغله فهمتوا عليه كيف؟ فلبوت من آلية تهدم وهذا
+
+294
+00:21:17,920 --> 00:21:21,400
+بتصير بعض الأحيان في بعض الناس اللي عندهم Genetic
+
+295
+00:21:21,400 --> 00:21:25,760
+lack of Alpha-1 Antitrypsin بيصير عندهم Congenital
+
+296
+00:21:25,760 --> 00:21:31,510
+Emphysemaوما لهاش علاقة بالتدخين يبقى ممكن انفزيما
+
+297
+00:21:31,510 --> 00:21:35,070
+تكون نتيجة عن جد chronic cigarette smoking لكن
+
+298
+00:21:35,070 --> 00:21:41,790
+ممكن تكون نتيجة اللي هي نتيجة rare disease أو rare
+
+299
+00:21:41,790 --> 00:21:46,170
+form of emphysema بتيجي عند الناس اللي عندها
+
+300
+00:21:46,170 --> 00:21:49,470
+genetic lack of alpha-1-antitrypsin واللي هو زي ما
+
+301
+00:21:49,470 --> 00:21:56,360
+قلنا مثبت للتريبسين وإذاوتوقف المثبت هذا التربسيم
+
+302
+00:21:56,360 --> 00:22:00,940
+بيشتغل شغل أزيادة عن اللازم فبروح إيش نجرلي كل الـ
+
+303
+00:22:00,940 --> 00:22:04,300
+septum اللي موجودة جوا ال lungs فبتعبلي ال lungs و
+
+304
+00:22:04,300 --> 00:22:09,320
+بعملي حاجة اسمها emphysema طيب mainly caused by زي
+
+305
+00:22:09,320 --> 00:22:12,460
+ما قلنا loss of alveolar lung elasticity and
+
+306
+00:22:12,460 --> 00:22:15,820
+decrease of the overall service وهذه المشكلة أنه
+
+307
+00:22:15,820 --> 00:22:20,200
+ال overall service لما يصير عندي emphysemaبيبطل
+
+308
+00:22:20,200 --> 00:22:27,440
+جادة تعمل إتشينج وهو هذه شغلتها بصورة عامة طب إيه
+
+309
+00:22:27,440 --> 00:22:31,980
+الـ Manifestation؟ تكيبنيا، النفس بزيد، تكيبنيا
+
+310
+00:22:32,660 --> 00:22:35,720
+Increase respiratory rate هي التكبني يعني Because
+
+311
+00:22:35,720 --> 00:22:39,340
+that is effective in maintaining arterial blood
+
+312
+00:22:39,340 --> 00:22:43,280
+gas one does not usually see hypoxia or cyanosis
+
+313
+00:22:43,280 --> 00:22:47,820
+until the end stage طبعاً هذه نقطة مهمة أنه في
+
+314
+00:22:47,820 --> 00:22:51,580
+الانفيزيمة بتطول عميما أشوف cyanosis أو hypoxia
+
+315
+00:22:51,580 --> 00:22:54,500
+ليش؟ لأنه في عنقليات جنبيها الجسم اللي هي زي
+
+316
+00:22:54,500 --> 00:22:59,060
+التكبني النفس السريع Paral chest أي prolonged
+
+317
+00:22:59,060 --> 00:23:03,950
+expirationيعني عملية الإخراج تبع الهواء بتطول
+
+318
+00:23:03,950 --> 00:23:06,950
+بيصير عندي Parallel Chess Parallel يعني زي البرميل
+
+319
+00:23:06,950 --> 00:23:10,470
+Lack of Purulent Sputum مافيش عندي Sputum طبعاً
+
+320
+00:23:10,470 --> 00:23:14,130
+لأنه أنا مافيش عندي إفراز أصلا أنا عندي قاعدة
+
+321
+00:23:14,130 --> 00:23:17,770
+بتتدمر الرقى Possible Long Term Consequences زي
+
+322
+00:23:17,770 --> 00:23:19,750
+الـ Core بلمونات زي ما حكينا في الـ Chronic
+
+323
+00:23:19,750 --> 00:23:23,990
+Bronchitis وممكن يعمل ليه Respiratory Failure في
+
+324
+00:23:23,990 --> 00:23:25,290
+مقارنة بسيطة بين
+
+325
+00:23:28,770 --> 00:23:34,230
+بين الـ Chronic Bronchitis و الـ Emphysema و هذه
+
+326
+00:23:34,230 --> 00:23:38,030
+مهمة Chronic Bronchitis بيبقى mild سنية ال
+
+327
+00:23:38,030 --> 00:23:43,150
+emphysema بيبقى ممكن تكون severe productive cough
+
+328
+00:23:43,150 --> 00:23:45,090
+في ال chronic bronchitis و احنا قولنا في ال
+
+329
+00:23:45,090 --> 00:23:51,770
+emphysema العملية مافيش كف أو بتبقى dry كف ناشفة
+
+330
+00:23:51,770 --> 00:23:55,230
+سيانواز common في ال chronic bronchitis سيانواز
+
+331
+00:23:55,230 --> 00:23:59,200
+rareفي الانفيزيمة بزراجش ولو بزراجش في الـ late
+
+332
+00:23:59,200 --> 00:24:02,760
+stages Respiratory infection common في الـ chronic
+
+333
+00:24:02,760 --> 00:24:06,520
+bronchitis في الانفيزيمة infrequent infection لأنه
+
+334
+00:24:06,520 --> 00:24:10,140
+احنا قلنا الـ chronic bronchitis بتخلي فيه بلغم
+
+335
+00:24:10,140 --> 00:24:13,020
+كتير و البلغم هذا بيئة لل infection طب أنا مافيش
+
+336
+00:24:13,020 --> 00:24:17,520
+عندى أصلا بلغم ف infrequent infectionsOnset
+
+337
+00:24:17,520 --> 00:24:20,780
+usually after 40 years of chronic bronchitis أو
+
+338
+00:24:20,780 --> 00:24:24,120
+المدخنين بدري Onset usually after 50 years of age
+
+339
+00:24:24,120 --> 00:24:29,110
+History of cigarette smokingنفس الكلام في
+
+340
+00:24:29,110 --> 00:24:31,830
+الانفيزيمة core pulmonale common في الـ chronic
+
+341
+00:24:31,830 --> 00:24:36,650
+bronchitis الـ core pulmonale طبعاً الـ core
+
+342
+00:24:36,650 --> 00:24:40,570
+pulmonale لابد هي تحطوها شوية بدي بعينك الله ك
+
+343
+00:24:40,570 --> 00:24:47,850
+assignment بقولكوا وقتيش تسلموه على الـ model in
+
+344
+00:24:47,850 --> 00:24:49,250
+terminal stages
+
+345
+00:24:52,290 --> 00:24:57,190
+فهذا الـ assignment الوحيد اللي هي core pulmonary،
+
+346
+00:24:57,190 --> 00:25:04,090
+what is it؟ والأسباب تبعته، فيه خمس لسبع أسطر
+
+347
+00:25:04,090 --> 00:25:12,480
+الشوة، الأسباب تبعته، والـ complications تبعتههذا
+
+348
+00:25:12,480 --> 00:25:16,660
+بالنسبة للـ Inflammation عفوا للـ Infection
+
+349
+00:25:16,660 --> 00:25:19,840
+عملناها والـ Obstructive عملناها الآن في عندنا
+
+350
+00:25:19,840 --> 00:25:26,740
+اللي هي الـ Restrictive Pulmonary Disorders وإن
+
+351
+00:25:26,740 --> 00:25:30,200
+شاء الله هدف المحاضرة الجاية عشان ما تدخلش الأمور
+
+352
+00:25:30,200 --> 00:25:34,460
+عندكم على بعض إن شاء الله تعالى يبقى احنا عندنا
+
+353
+00:25:34,460 --> 00:25:35,620
+Assignment كان هنا
+
+354
+00:25:38,660 --> 00:25:43,360
+لابد منه ويتبع
+
+355
+00:25:43,360 --> 00:25:46,820
+في part تلاتة من اللي هو الـ Infective
+
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/WG1Po24zCVc_raw.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/WG1Po24zCVc_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..47e49d320aad830be937ab476c22d8101962e877
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/WG1Po24zCVc_raw.srt
@@ -0,0 +1,1424 @@
+1
+00:00:01,150 --> 00:00:03,190
+بسم الله الرحمن الرحيم و الحمد لله رب العالمين
+
+2
+00:00:03,190 --> 00:00:06,950
+والصلاة والسلام على سيدنا موسى الأجمعين يعني الآن
+
+3
+00:00:06,950 --> 00:00:11,110
+إن شاء الله نتحدث عن الجزء التاني من محاضرة الـ
+
+4
+00:00:11,110 --> 00:00:14,610
+Infective and Obstructive Respiratory Disorders
+
+5
+00:00:14,610 --> 00:00:20,930
+كنا بدأنا بالـ Bronchial أزمةوتحدثنا عن الـ
+
+6
+00:00:20,930 --> 00:00:23,310
+Bronchial أزمة وقلنا أن الأزمة هي اللي بيقولها
+
+7
+00:00:23,310 --> 00:00:28,550
+الأزمة أو الربو
+
+8
+00:00:28,550 --> 00:00:33,110
+أو الحساسية أو الناس بتقول عنه بنهج تقريبا هي نفس
+
+9
+00:00:33,110 --> 00:00:36,330
+الفكرة اللي موجودة على الله ما أن الأزمة is a
+
+10
+00:00:36,330 --> 00:00:42,310
+chronic conditionوهي حالة تسمى بـ Reversible
+
+11
+00:00:42,310 --> 00:00:48,150
+Bronchospasm وخلطة الهواء الهوائي وقلنا إن هذه
+
+12
+00:00:48,150 --> 00:00:54,530
+بتزيد جاعة الأزمة مع الـ الوجد الموضوع فيها الـ
+
+13
+00:00:54,530 --> 00:00:59,710
+genetic predisposition ولكن الـ environmental life
+
+14
+00:00:59,710 --> 00:01:04,010
+كمان تلعب دور الـ key component of أزمة appears to
+
+15
+00:01:04,010 --> 00:01:10,160
+be airway hyper reactivity وقلنا إنالـ Immuno
+
+16
+00:01:10,160 --> 00:01:14,860
+-globulin-E بيلعب دور اللي بتفرزه الـ muscles that
+
+17
+00:01:14,860 --> 00:01:18,820
+attached to the muscles اللي موجودة في many
+
+18
+00:01:18,820 --> 00:01:22,620
+tissues الـ exposure to a trigger زي الـ pollen
+
+19
+00:01:22,620 --> 00:01:28,480
+على سبيل المثال بتعمل عملية إثارة وقلنا إنه في
+
+20
+00:01:30,950 --> 00:01:34,270
+Triggers للموضوع هذا is a potential asthma
+
+21
+00:01:34,270 --> 00:01:39,430
+triggers زي الألرجين cold air bullions السيجارات
+
+22
+00:01:39,430 --> 00:01:42,970
+موقن strong emotion طبعا emotions ممكن يكون زعل
+
+23
+00:01:42,970 --> 00:01:47,490
+شديد لكن ممكن يكون فرحة شديدة كمان exercise
+
+24
+00:01:47,490 --> 00:01:52,130
+respiratory tract infection يعني فرحة شديدة يعني
+
+25
+00:01:52,130 --> 00:01:58,600
+كمان كتير ناس متنتظرهاش لكن هي في منه الكلمةاللي
+
+26
+00:01:58,600 --> 00:02:01,440
+زي ما احنا شايفينه في الصورة هان كيف الـ Airway
+
+27
+00:02:01,440 --> 00:02:05,360
+بتبقى موجودة الـ Pronchial Airway لما يكون عند الـ
+
+28
+00:02:05,360 --> 00:02:08,720
+Pronchial أسبة على الجهة اليمين كيف بيبقى في عنا
+
+29
+00:02:08,720 --> 00:02:14,280
+نتيجة ال .. نتيجة ال .. ال Pronchial أسبة ال
+
+30
+00:02:14,280 --> 00:02:16,060
+passages بتبقى
+
+31
+00:02:18,390 --> 00:02:22,510
+أوbstracted ومش بس كمان بيصيرها inflammation ومش
+
+32
+00:02:22,510 --> 00:02:26,270
+بس كمان بتصير تفرز لكن على الجهة الشمال زي ما حنا
+
+33
+00:02:26,270 --> 00:02:29,350
+شايفين الـairway بتبقى free ومافيش أي مشاكل فيها
+
+34
+00:02:29,350 --> 00:02:31,670
+إنها طبعا أكتر من classification لازم ناخد بالنا
+
+35
+00:02:31,670 --> 00:02:36,830
+ونفرج بينهم أول إشي ال bronchial asthma اللي هو ال
+
+36
+00:02:36,830 --> 00:02:39,750
+clinical classification of bronchial asthma واحد
+
+37
+00:02:39,750 --> 00:02:43,330
+عنده bronchial asthma وانا بدأ أحطه في category هل
+
+38
+00:02:43,330 --> 00:02:46,650
+هو ال bronchial asthma أصلا تبعته هي ال chronic هل
+
+39
+00:02:46,650 --> 00:02:54,410
+هي بسيطة؟بسيطة ولا هي بسيطة لكن بتيجي كتير ولا هي
+
+40
+00:02:54,410 --> 00:02:59,090
+متوسطة لكن بتيجي كتير مستمرة ولا شديدة و بتيجي
+
+41
+00:02:59,090 --> 00:03:03,940
+كتير فال classification هذا mild-intermittentأتاك
+
+42
+00:03:03,940 --> 00:03:06,600
+أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك
+
+43
+00:03:06,600 --> 00:03:10,960
+أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك
+
+44
+00:03:10,960 --> 00:03:14,560
+أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك
+
+45
+00:03:14,560 --> 00:03:20,960
+أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك
+
+46
+00:03:20,960 --> 00:03:27,920
+أتاك أتاك
+
+47
+00:03:27,920 --> 00:03:29,140
+أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك أتاك
+
+48
+00:03:29,140 --> 00:03:36,220
+أتاك أتاك أتاكوفيه مقارنة بينهم وحتى كل
+
+49
+00:03:36,220 --> 00:03:40,380
+واحدة بيصير فيها hormonal أو inflammatory response
+
+50
+00:03:40,380 --> 00:03:45,100
+مختلف عن التاني وطبعاً هذا بلعب دور في عملية
+
+51
+00:03:45,100 --> 00:03:51,840
+العلاج ال manifestation of asthma كيبجينةبيجينا بـ
+
+52
+00:03:51,840 --> 00:03:55,240
+Coughing و Weezing، إيش يعني Weezing؟ Weezing يعني
+
+53
+00:03:55,240 --> 00:03:59,400
+بيسفر، سدره بيسفر، Difficulty Breathing, Rapid
+
+54
+00:03:59,400 --> 00:04:01,480
+Shallow Breathing, Increased respiratory rate,
+
+55
+00:04:01,920 --> 00:04:05,580
+Excess mucous production and Significant Anxiety،
+
+56
+00:04:05,580 --> 00:04:09,770
+بتبقى تعبان كمانفي اللي هو أجاني واحد وعنده الأن
+
+57
+00:04:09,770 --> 00:04:13,610
+أزمة نوبة هذه النوبة لابد أنه أعرف الشيء برضه
+
+58
+00:04:13,610 --> 00:04:17,590
+Stage 1 Mild Stage 2 Moderate Stage 3 Severe Stage
+
+59
+00:04:17,590 --> 00:04:21,310
+4 Respiratory Failure طبعا كل واحدة بتتطلب نوع من
+
+60
+00:04:21,310 --> 00:04:25,680
+التدخللو بدأنا من الآخر من الـ Stage IV Spiratory
+
+61
+00:04:25,680 --> 00:04:30,360
+Failure معناته أنا رايح على التنفس
+
+62
+00:04:30,360 --> 00:04:34,440
+الصناعي Mechanical Ventilation يعني بعمله عملية
+
+63
+00:04:34,440 --> 00:04:38,300
+بيقول أنا Intubation يعني بيحطوله تيوب بالعربي
+
+64
+00:04:38,300 --> 00:04:41,820
+الناس في المستشفيات بتقول طيبته حطيتله تيوب و
+
+65
+00:04:41,820 --> 00:04:46,590
+Ventilته يعني حطيته على Mechanical Ventilationستاج
+
+66
+00:04:46,590 --> 00:04:50,270
+تلاتة اللي أجابل منها لو كانت أخاف بيبقى في عندي
+
+67
+00:04:50,270 --> 00:04:54,730
+Respiratory distress يا نوزز وويزز أو حتى بيبقى من
+
+68
+00:04:54,730 --> 00:04:57,990
+كتر ما هم ديجة الشعيبات الهوائية مافيش صوت لما بحط
+
+69
+00:04:57,990 --> 00:05:01,870
+السماعة مابسمعش صوت هذا استاج تلاتة طبعا بيبقى هذا
+
+70
+00:05:01,870 --> 00:05:04,350
+Embending Respiratory Failure إيش يعني Embending
+
+71
+00:05:04,350 --> 00:05:06,850
+يعني رايح على Respiratory Failure لسه مش
+
+72
+00:05:06,850 --> 00:05:10,390
+Respiratory Failure ممكن بعض العلاجات يتحسنولكن
+
+73
+00:05:10,390 --> 00:05:14,010
+أموره صعبة Stage 2 Moderate Respiratory distress
+
+74
+00:05:14,010 --> 00:05:17,250
+at rest هو قاعد نفسه مش مرتاح بالمرة و Mark
+
+75
+00:05:17,250 --> 00:05:20,810
+Tweezes واضح مسموع من بعيد و Mild اللي هو Stage 1
+
+76
+00:05:20,810 --> 00:05:26,710
+Dyspnea و Difficult with inadequate air exchange
+
+77
+00:05:26,710 --> 00:05:30,430
+لكن بياخد نفس و بطلع كويسة وقلنا من الحاجات ال
+
+78
+00:05:30,430 --> 00:05:33,210
+complications ليش أنا بحب هاش البروكيا الأزمة لإن
+
+79
+00:05:33,210 --> 00:05:38,630
+هي فيها لغير أن هي بتعملي مشاكل في التنفسواللي
+
+80
+00:05:38,630 --> 00:05:43,270
+شفناها قبل شوية، لكن كمان ممكن تعمل «أكيوت أزمة
+
+81
+00:05:43,270 --> 00:05:48,670
+أسماتكاس» نوبة شديدة من الأزمة Status، يعني
+
+82
+00:05:48,670 --> 00:05:56,120
+مستمرة، وهذا طبعا Life-threatening conditionوطبعاً
+
+83
+00:05:56,120 --> 00:05:59,080
+تستجيبش للعلاج وممكن تحتاج لإيش؟ مش ممكن، هي
+
+84
+00:05:59,080 --> 00:06:02,360
+بتحتاج لـ Mechanical Ventilation نومو توراكس،
+
+85
+00:06:02,360 --> 00:06:07,100
+هنحكي عنه بعد شوية وهو Consequence of Lung
+
+86
+00:06:07,100 --> 00:06:10,740
+Pressure Increasing فزي ما أقول، بتنبعط الـ Lung،
+
+87
+00:06:10,740 --> 00:06:14,420
+باختصار Respiratory Failure اللي هو فشل التنفس
+
+88
+00:06:14,420 --> 00:06:19,150
+صناعيللـ Bronchial Asthma وإحنا أبتديا إلى هنا
+
+89
+00:06:19,150 --> 00:06:23,650
+وصلنا والله العليم ال treatment of asthma موضوع
+
+90
+00:06:23,650 --> 00:06:26,590
+الأزمة يا جماعة كتير مهم بالنسبة لكم ال
+
+91
+00:06:26,590 --> 00:06:30,070
+respiratory system مهم كتير كمان كعلاج طبيعي لأنه
+
+92
+00:06:30,070 --> 00:06:35,450
+جزء كبير من شغلكم اللي هو ال respiratory system
+
+93
+00:06:38,330 --> 00:06:41,190
+والـ Chest Physiotherapy وغيرها The appropriate
+
+94
+00:06:41,190 --> 00:06:44,030
+drug treatment regime for asthma is based on the
+
+95
+00:06:44,030 --> 00:06:46,730
+frequency and severity أنا عشان أحددله إيش الدوة
+
+96
+00:06:46,730 --> 00:06:50,230
+اللي بدهيها، بده أشوف هو كل شهرين أو تلاتة لما
+
+97
+00:06:50,230 --> 00:06:52,990
+تيجي له نوبة مثلا أنا محتاجش أديه حاجة على المدى
+
+98
+00:06:52,990 --> 00:07:00,990
+الطويل لكن اللي حكينا عنهم قبل شوية اللي هي ال
+
+99
+00:07:00,990 --> 00:07:04,850
+classification clinical اللي حطيناهم إذا فاكرين مع
+
+100
+00:07:04,850 --> 00:07:05,350
+بعضها
+
+101
+00:07:08,050 --> 00:07:11,070
+الـMild-Intermittent ولا الـMild-Persistent ولا
+
+102
+00:07:11,070 --> 00:07:12,910
+الـModerate-Persistent ولا الـSevere-Persistent
+
+103
+00:07:12,910 --> 00:07:17,990
+هذه بتقوللي قداش الـ severity تبع السورة العامة
+
+104
+00:07:21,570 --> 00:07:26,590
+بقى اتصرف ودي علاج طبعا إلى خصائيها إما دكاترة
+
+105
+00:07:26,590 --> 00:07:31,090
+الصدرية في الأدل دكاترة الأطفال في الـ Pediatrics
+
+106
+00:07:31,090 --> 00:07:34,030
+لكن هو موضوع عام يعني كتير ناس من الدكاترة
+
+107
+00:07:34,030 --> 00:07:37,250
+بتعاملوا مع حالة الـ Bronchial أزمة العادية لكن
+
+108
+00:07:37,250 --> 00:07:40,270
+لما أصبح difficult to control أو فيها مشاكل في
+
+109
+00:07:40,270 --> 00:07:47,040
+الغالب بيحولوها لدكاترة الصدرية أول حاجةالقاعدة
+
+110
+00:07:47,040 --> 00:07:49,940
+الأولى في كتير من الأمراض الباب اللي بيجيك منه
+
+111
+00:07:49,940 --> 00:07:55,320
+الريح إيش سده و استريح إذا أنا في عندي trigger
+
+112
+00:07:55,320 --> 00:07:59,260
+عارف حالي والله أنا طولة مافيش عينة بسة في البيت
+
+113
+00:08:01,460 --> 00:08:04,440
+برضه بتقولوا عنها بسة مش هيك بسة في البيت و
+
+114
+00:08:04,440 --> 00:08:07,660
+بتعرفوا شعر البساس ممكن يعمل حساسيا طولة ما احنا
+
+115
+00:08:07,660 --> 00:08:12,040
+ماقناش بسة أو سجاد عشان العتة تحت السجاد و ماقناش
+
+116
+00:08:12,040 --> 00:08:16,640
+حرامات جديدة و كذا أو بعض أنواع الأطعمة طولة ما
+
+117
+00:08:16,640 --> 00:08:20,540
+أنا بس أعملهاش و محددة شيء و أنا وضعي كويس أو وضع
+
+118
+00:08:20,540 --> 00:08:25,350
+طفلي كويس أو وضع ابني كويسلكن لما بيجي في بساس في
+
+119
+00:08:25,350 --> 00:08:27,990
+البيت بيصير عنده أو بروح عن دار عمته في عندهم بساس
+
+120
+00:08:27,990 --> 00:08:31,630
+بيصير عنده فـ Avoidance of Triggers أساس من
+
+121
+00:08:31,630 --> 00:08:36,510
+أساسيات العلاج في معظم أو في كل أنواع الحساسيات
+
+122
+00:08:36,510 --> 00:08:40,110
+حتى حساسية الجلدبأكل بيض بصير عندي حساسية يعني
+
+123
+00:08:40,110 --> 00:08:43,870
+بلاش بيض بلاش بيض خليها بتنجان مش مشكلة كبيرة بس
+
+124
+00:08:43,870 --> 00:08:47,910
+المهم أنه أي حاجة أنا بتحسس منها وعلى رأسهم
+
+125
+00:08:47,910 --> 00:08:52,830
+الفراولة والشوكولاتة أي حاجة أنا بتحسس منها لابد
+
+126
+00:08:52,830 --> 00:08:57,130
+أنه أبعدها رقم واحد مش أاخد علاج أبعدها avoidance
+
+127
+00:08:57,130 --> 00:09:01,870
+of trigger and allergies وطبعاً
+
+128
+00:09:01,870 --> 00:09:07,030
+هذا بتطلب مني إذا كان حسبمش السبب؟ في ناس الـ
+
+129
+00:09:07,030 --> 00:09:12,030
+Condition في ناس الخنجة والتنفس في ناس زي ما قلنا
+
+130
+00:09:12,030 --> 00:09:16,290
+بعض أنواع الاستجاد وعدم تهوية الغرف و و و و الأمر
+
+131
+00:09:16,290 --> 00:09:20,450
+التاني من الإسم Bronchodilators دي موسيعات للشعب
+
+132
+00:09:20,450 --> 00:09:26,050
+الهوائي موسيعات هي Short Acting Beta Adrenergic
+
+133
+00:09:26,050 --> 00:09:30,550
+Receptor Activator وهذه بتعمل عملية توسيع للـ
+
+134
+00:09:30,550 --> 00:09:34,610
+Broncules
+
+135
+00:09:36,670 --> 00:09:40,430
+الموسيعات هي يا جماعة بس شغلتها توسع لكن هي بتمنعش
+
+136
+00:09:40,430 --> 00:09:43,710
+ال inflammation فهي اللي هي علاقة في موضوع ال
+
+137
+00:09:43,710 --> 00:09:47,470
+obstruction وتوسيعه لكن ال inflammation بيظل حاصر
+
+138
+00:09:47,470 --> 00:09:52,630
+ال inflammation بده دوة تانية عشان هيك ممكن ندي
+
+139
+00:09:52,630 --> 00:09:55,950
+أدوية تانية لل inflammation النوع التالت من
+
+140
+00:09:55,950 --> 00:09:58,850
+الأدوية اللي ممكن نديها أو الإجراءات اللي ممكن
+
+141
+00:09:58,850 --> 00:10:02,450
+نعملها ال Xanthine drugs زي ال «تيوفيلين» وهذا
+
+142
+00:10:02,450 --> 00:10:07,190
+بيعمل برضه bronchodilatationوبمنع الـ Late phase
+
+143
+00:10:07,190 --> 00:10:11,150
+of asthma مش مطلوب منكوا أدوية يا جماعة لكن لما
+
+144
+00:10:11,150 --> 00:10:16,210
+نقول كيف الـ Bronchodilators بشتغلتك تقولي والله
+
+145
+00:10:16,210 --> 00:10:20,110
+هذا الـ Bronchodilators بعمل block للـ
+
+146
+00:10:20,110 --> 00:10:25,130
+Bronchoconstriction لكن don't prevent the
+
+147
+00:10:25,130 --> 00:10:28,250
+inflammatory response أنا ممكن أقولك مثلا في
+
+148
+00:10:28,250 --> 00:10:32,730
+السؤال MCQ's Bronchodilators block
+
+149
+00:10:39,450 --> 00:10:45,510
+الجزء الأول صح لكن الجزء التاني غلط مثلًا إكسانثين
+
+150
+00:10:51,110 --> 00:10:55,090
+و«انهيبت الـ Late Phase of Asthma» تقولي صح طب لو
+
+151
+00:10:55,090 --> 00:10:59,310
+قولت والله «انهيبت» «Don't inhibit the late
+
+152
+00:10:59,310 --> 00:11:03,430
+asthma» بيصير فيه فإذا كل واحد فيه إلو كل drug إلو
+
+153
+00:11:03,430 --> 00:11:08,470
+item كيف هو بيشتغل بغض النظر عن نوعية الدواء أنا
+
+154
+00:11:08,470 --> 00:11:14,950
+بس بدي تعرفه ي «grow» وإيش بيعمل أكتر من هيك لأ في
+
+155
+00:11:14,950 --> 00:11:20,770
+المجموعة الرابعة «Chromoline Sodium»هو عبارة عن
+
+156
+00:11:20,770 --> 00:11:21,610
+مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات
+
+157
+00:11:21,610 --> 00:11:24,330
+مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات
+
+158
+00:11:24,330 --> 00:11:25,710
+مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات
+
+159
+00:11:25,710 --> 00:11:27,830
+مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات
+
+160
+00:11:27,830 --> 00:11:30,810
+مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات
+
+161
+00:11:30,810 --> 00:11:36,330
+مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات
+
+162
+00:11:36,330 --> 00:11:41,590
+مخدرات مخ
+
+163
+00:11:42,230 --> 00:11:46,590
+both early and late phase of asthma الخامس اللي هو
+
+164
+00:11:46,590 --> 00:11:49,410
+من اسمه Anti-inflammatory الـ Cortisone used
+
+165
+00:11:49,410 --> 00:11:54,130
+orally أو حتى by inhalation أو حتى ممكن ينعطق بالـ
+
+166
+00:11:54,130 --> 00:11:59,790
+IV The most significant unwanted effect وهذا لكل
+
+167
+00:11:59,790 --> 00:12:03,370
+ال Cortisone long term oral use may include immune
+
+168
+00:12:03,370 --> 00:12:05,870
+suppression, increased susceptibility to
+
+169
+00:12:05,870 --> 00:12:10,350
+infection, osteoporosis وهنا أنا طبعا بنصح بدون ما
+
+170
+00:12:10,350 --> 00:12:14,250
+يكون واجبوكمان مرة يا جماعة اللي بننصح فيه أو
+
+171
+00:12:14,250 --> 00:12:19,150
+بنديه assignment هو في المنهج ما تقولوليش الكتاب
+
+172
+00:12:19,150 --> 00:12:21,730
+مافيش حاجة اسمها الكتاب احنا في جامعة مش فيه
+
+173
+00:12:21,730 --> 00:12:24,970
+المفروض انه بدون ما اقولكوا بمجرد ما تشوف والله
+
+174
+00:12:24,970 --> 00:12:28,950
+unwanted او side effects of cortisone تروح لحالك
+
+175
+00:12:28,950 --> 00:12:32,130
+تكشف عنها ايش ال side effects of cortisone اللي
+
+176
+00:12:32,130 --> 00:12:35,590
+ماكنتش للعلم فهي لل experience اللي ماكنتش لل
+
+177
+00:12:35,590 --> 00:12:40,470
+experience فهي لتوسيع المدارك هذه حاجات بديهيات
+
+178
+00:12:40,470 --> 00:12:43,590
+عندنا في الطبالمجموعة السادسة اللي هو الـ
+
+179
+00:12:43,590 --> 00:12:48,030
+Loicotrenes Modifier زي هذا أجدد حاجة في السوق
+
+180
+00:12:48,030 --> 00:12:49,970
+الآن «جمهور جمهور جمهور جمهور جمهور» «جمهور جمهور
+
+181
+00:12:49,970 --> 00:12:49,970
+جمهور جمهور جمهور» «جمهور جمهور جمهور جمهور»
+
+182
+00:12:49,970 --> 00:12:51,810
+«جمهور جمهور جمهور جمهور» «جمهور جمهور جمهور
+
+183
+00:12:51,810 --> 00:12:53,290
+جمهور» «جمهور جمهور جمهور جمهور» «جمهور جمهور
+
+184
+00:12:53,290 --> 00:12:53,690
+جمهور جمهور» «جمهور جمهور جمهور جمهور» «جمهور
+
+185
+00:12:53,690 --> 00:13:02,550
+جمهور جمهور جمهور» «جمهور
+
+186
+00:13:02,550 --> 00:13:11,050
+جمهور جمهور جمهور»
+
+187
+00:13:12,230 --> 00:13:16,790
+that may occur in both acute and chronic forms في
+
+188
+00:13:16,790 --> 00:13:19,110
+عندنا طبعا acute bronchitis و في عندنا chronic
+
+189
+00:13:19,110 --> 00:13:22,610
+bronchitis acute bronchitis inflammation of the
+
+190
+00:13:22,610 --> 00:13:26,990
+bronchial passages most commonly caused by
+
+191
+00:13:26,990 --> 00:13:30,970
+infection with بكتيريا أو فيروس acute bronchitis
+
+192
+00:13:30,970 --> 00:13:35,670
+كان عنده التهيأب في الحلق و زي ما بقولوا الستات
+
+193
+00:13:35,670 --> 00:13:41,640
+نزل على صدره و نزل على اللي هو ال .. ال ..التركية
+
+194
+00:13:41,640 --> 00:13:46,200
+ونزل على الـ bronchi فبعملي bronchitis هذا acute
+
+195
+00:13:46,200 --> 00:13:49,020
+بكتيريا أو فيروس acute bronchitis is a generally
+
+196
+00:13:49,020 --> 00:13:52,360
+self-limited condition in healthy individuals، في
+
+197
+00:13:52,360 --> 00:13:56,420
+الناس العاديين، much more severe بيبقى في الناس
+
+198
+00:13:56,420 --> 00:13:59,380
+اللي عندها مشاكل العضلات أو immune-compromised،
+
+199
+00:13:59,380 --> 00:14:02,200
+إيش يعني immune-compromised؟ بياخدوا مثلا أدوية
+
+200
+00:14:02,200 --> 00:14:06,350
+مثبتة للمناعأو كورتازون Symptoms of acute
+
+201
+00:14:06,350 --> 00:14:09,410
+bronchitis productive cough تلاقي بيطلع بالغام
+
+202
+00:14:09,410 --> 00:14:12,170
+كتير كتير كتير، dyspnea، ديك في النفس، possible
+
+203
+00:14:12,170 --> 00:14:15,230
+fever لكن في أنا جونها ال chronic bronchitis و
+
+204
+00:14:15,230 --> 00:14:20,170
+بتختلف ال chronic عن ال acute، ليش؟ لأنها هي ال
+
+205
+00:14:20,170 --> 00:14:24,790
+chronic بتيجي دايما مع المدخنين في 90% من الحالات
+
+206
+00:14:25,670 --> 00:14:30,290
+بتيجي مع المدخنين يعني بيصير عملية الإثارة للـ
+
+207
+00:14:30,290 --> 00:14:37,510
+Bronchi نتيجة نتيجة اللي هي التدخين نتيجة الـ
+
+208
+00:14:37,510 --> 00:14:41,550
+Irritation of التدخين مع الوجد of the smoking مع
+
+209
+00:14:41,550 --> 00:14:47,890
+الوجد لـ Epithelium cells اللي موجودة على جدر الـ
+
+210
+00:14:47,890 --> 00:14:51,250
+Bronchi فهذه بتعملنا chronic bronchitis عشان هيك
+
+211
+00:14:51,350 --> 00:14:57,330
+الناس اللي بتدخن بتجوم الصبح صدرها ملام بلغم مغلق
+
+212
+00:14:57,330 --> 00:15:01,790
+دايما عيانين في موضوع النفس وهذا بعد هيك بدخلنا في
+
+213
+00:15:01,790 --> 00:15:06,250
+حاجة اسمها COPD CCOPD
+
+214
+00:15:06,250 --> 00:15:09,950
+هنحكي عنها chronic bronchitis may also be caused
+
+215
+00:15:09,950 --> 00:15:13,150
+by prolonged exposure to inhaled particulates such
+
+216
+00:15:13,150 --> 00:15:18,780
+asCold dust and other pollutants يعني مش بس الـ
+
+217
+00:15:18,780 --> 00:15:22,820
+Smoking 90% Smoking لأن هذا الدرج عند الناس لكن
+
+218
+00:15:22,820 --> 00:15:27,160
+كمان الناس اللي بتشتغل في المصانع اللي فيها مواد
+
+219
+00:15:27,160 --> 00:15:33,640
+تخرج من تكرير الفحم و البترول و الحاجات هذه ممكن
+
+220
+00:15:33,640 --> 00:15:37,380
+تعملنا نفس الكلام The disease characterized by
+
+221
+00:15:37,380 --> 00:15:40,900
+excess mucus هذا الأساس تبعه ميوكاس كتير كتير كتير
+
+222
+00:15:42,110 --> 00:15:44,370
+في اللي هو الـ Respiratory Tract، الـ «ميوكاس» الـ
+
+223
+00:15:44,370 --> 00:15:46,750
+Accumulation، الـ «كان إمبير» الـ Function of
+
+224
+00:15:46,750 --> 00:15:49,870
+Celiated Epithelium طبعاً كتر الـ Chronic
+
+225
+00:15:49,870 --> 00:15:53,610
+Infection السيليا اللي موجودة في البرونكاي كمان
+
+226
+00:15:53,610 --> 00:15:59,690
+بيصير لها عملية Damage وفبصير مايعرفش الجهاز
+
+227
+00:15:59,690 --> 00:16:03,590
+التنفسي يطلع البلغم اللي بتجمع بصورة كبيرة فرقتين
+
+228
+00:16:03,590 --> 00:16:10,480
+فبصير عندنا زي ما بقولنا Excess ميوكاسوبيصير طبعا
+
+229
+00:16:10,480 --> 00:16:15,080
+بعد فترة الـ Excess ميوكاس مع الوجد مع التدخين
+
+230
+00:16:15,080 --> 00:16:20,000
+المستمر هذا بيديني بيئة محترمة لإنه يصير عندى
+
+231
+00:16:20,000 --> 00:16:22,520
+Respiratory Infection Acute Respiratory Infection
+
+232
+00:16:22,520 --> 00:16:28,030
+التهاباتعشان هيك المدخنين مشاكل صدرهم أكتر من غير
+
+233
+00:16:28,030 --> 00:16:32,230
+المدخنين البروكايتس ال manifestation أو ال
+
+234
+00:16:32,230 --> 00:16:35,530
+symptoms productive calf productive يعني كمية يعني
+
+235
+00:16:35,530 --> 00:16:38,530
+بينتج بلغم
+
+236
+00:16:40,080 --> 00:16:42,860
+الـ Productive ترجع إلى الـ Sputum يعني بتطلعلي
+
+237
+00:16:42,860 --> 00:16:47,200
+بالغم Productive Chronic Cough Production of
+
+238
+00:16:47,200 --> 00:16:51,200
+Purulent Sputum يعني لونه مدى على سفاره خضار زي
+
+239
+00:16:51,200 --> 00:16:54,860
+الملتهب Frequent Acute Respiratory Infection
+
+240
+00:16:54,860 --> 00:17:00,000
+Dyspnea Hypoxia ممكن توصل في لحظة من اللحظات لـ
+
+241
+00:17:00,000 --> 00:17:04,580
+Cyanosis لـ Hypoxia وممكن تديني Symptoms of
+
+242
+00:17:04,580 --> 00:17:09,340
+Corpulmonale هنشوف بعد هيك إيش الـ Corpulmonaleإنه
+
+243
+00:17:09,340 --> 00:17:14,820
+يتأثر القلب نتيجة التهابات السدر وطبعا يديني في ال
+
+244
+00:17:14,820 --> 00:17:17,760
+late stages اللي هي زي ما نسوقه في دي ويديني ال
+
+245
+00:17:17,760 --> 00:17:23,640
+fluid accumulation in late stages treatment طبعا
+
+246
+00:17:23,640 --> 00:17:27,360
+كمان مرة الباب اللي بيجيك منه الريح صدوس تريح
+
+247
+00:17:27,360 --> 00:17:29,960
+smoking تسعين فالمية من الأسباب بده أوقف ال
+
+248
+00:17:29,960 --> 00:17:36,630
+smokingوإذا بشتغل في مصنع فيه والله أبخرة وcoal
+
+249
+00:17:36,630 --> 00:17:42,470
+dust أو أي مبيدات أو أي حاجة بتطلع حاجات مثيرة
+
+250
+00:17:42,470 --> 00:17:47,550
+للجهاز التنفسي لازم أعملها cessation cessation
+
+251
+00:17:47,550 --> 00:17:51,910
+يعني إما التوقيف مش في اليوم تلت سجاير لأ بالمرة
+
+252
+00:17:51,910 --> 00:17:57,010
+لازم نوقف crocodilators موسعات للشعيبات الهوائية
+
+253
+00:17:57,010 --> 00:18:03,080
+expectorants مقشعاتمقشعة expectorants لتحل
+
+254
+00:18:03,080 --> 00:18:07,680
+الميوكاس وعندما أكح أطلع الميوكاس هذا بالإضافة
+
+255
+00:18:07,680 --> 00:18:11,320
+لجذية فيزيو ثيرابي تشيست فيزيو ثيرابي Anti
+
+256
+00:18:11,320 --> 00:18:14,520
+-inflammatory to relieve airway inflammation and
+
+257
+00:18:14,520 --> 00:18:17,520
+reduce mucus secretion prophylactic antibiotic إذا
+
+258
+00:18:17,520 --> 00:18:21,440
+صار عنده infection و Oxygen لو لزم المريض Oxygen
+
+259
+00:18:21,440 --> 00:18:25,840
+هذا الآن بدخلنا على الموضوع اللي بعده
+
+260
+00:18:30,610 --> 00:18:36,430
+طيب، الـ Enphysema Enphysema is a respiratory
+
+261
+00:18:36,430 --> 00:18:40,870
+disease that characterized by، خدوا بالكوا، شفتوا
+
+262
+00:18:40,870 --> 00:18:46,050
+الـ alveoles اللي بتنتهي بيها الشجرة تحت الرئتين،
+
+263
+00:18:46,050 --> 00:18:51,750
+في الرئة، مع ال respiratory bronchioles، هذه الـ
+
+264
+00:18:51,750 --> 00:18:57,010
+alveoles في بينها زي الـ septumيعني كل فقاعة بينها
+
+265
+00:18:57,010 --> 00:19:01,090
+وبين الفقاعة لجنبها زي حيطة بين الغرف يعني هذه الـ
+
+266
+00:19:01,090 --> 00:19:05,650
+Symptoms كلها بيصيرليها عملية Destruction
+
+267
+00:19:05,650 --> 00:19:08,750
+Destruction and permanent وإيش بيصير؟ بيفتحوا
+
+268
+00:19:08,750 --> 00:19:12,240
+الغرف على بعضفالـ Enlargement of terminal
+
+269
+00:19:12,240 --> 00:19:17,180
+bronchioles and alveolar air sac تتوسع تصوروا إنه
+
+270
+00:19:17,180 --> 00:19:23,400
+صار عندى توسعات أول حاجة بجل الجدار اللي يجب أن
+
+271
+00:19:23,400 --> 00:19:26,580
+يكون لعملية تبادل الأكسجين وثاني أكسيد الكربون
+
+272
+00:19:27,070 --> 00:19:30,730
+بصغر، دي واحد، اتنين بيصير يتجمعلي بلغم كتير في
+
+273
+00:19:30,730 --> 00:19:35,570
+المناطق هذه، Sputum كتير، فالإنفيزيمة هي حاجة زي
+
+274
+00:19:35,570 --> 00:19:38,530
+ما قلنا Obstructive Respiratory Disorders وبتيجي
+
+275
+00:19:38,530 --> 00:19:45,770
+في 95% من المرضى عند الـ Smokers، الـ Chronic
+
+276
+00:19:45,770 --> 00:19:51,370
+Smokersاللي بيصير بالظبط ماحدش عارف ايش اللي بيصير
+
+277
+00:19:51,370 --> 00:19:54,910
+لكن اللي المعروف أنه بيصير عندي زي chronic
+
+278
+00:19:54,910 --> 00:19:58,610
+inflammation of the alveolar airways وهذه بتدينا
+
+279
+00:19:58,610 --> 00:20:02,810
+infiltration of lymphocytes and macrophages وكمان
+
+280
+00:20:02,810 --> 00:20:08,790
+لاحظوا أن أي زيادة في release of protease enzymes
+
+281
+00:20:08,790 --> 00:20:14,500
+وهو عبارة عن الـTrypsin هو عبارة عن أنزيمالمفروض
+
+282
+00:20:14,500 --> 00:20:19,080
+إنه بيحافظلي أي زيادة فيه from lung tissue and
+
+283
+00:20:19,080 --> 00:20:25,720
+leukocytes بيعمل digest، بيعمل عملية أكل والتهام و
+
+284
+00:20:25,720 --> 00:20:29,620
+damage للـelastic walls of the alveoli طب هو هذا
+
+285
+00:20:29,620 --> 00:20:34,540
+وقتاش بيزيد التربسين أصلابزيد نتيجة Inflammation
+
+286
+00:20:34,540 --> 00:20:37,980
+وInfection زي ما قلنا لكن ممكن يكون نتيجة Genetic
+
+287
+00:20:37,980 --> 00:20:44,400
+Lack of Alpha-1-Antitrypsin يعني هذا عبارة عبارة
+
+288
+00:20:44,400 --> 00:20:50,800
+عن Steady State Phase أي إنزيم في الجسم موجود لابد
+
+289
+00:20:50,800 --> 00:20:56,980
+من آلية لهدمه الإنزيم هذا يعني إنزيم موجود بكمية
+
+290
+00:20:56,980 --> 00:21:02,500
+خمسينعند ما يصير بده يصير 60، 70، 80 بيجي اللي هو
+
+291
+00:21:02,500 --> 00:21:06,260
+Enzyme تاني أو ميكانيكية تانية عشان تهدم الـ
+
+292
+00:21:06,260 --> 00:21:09,900
+Enzyme هذا لأن لو الميكانيكية هيوقفت معناته الـ
+
+293
+00:21:09,900 --> 00:21:13,660
+Enzyme هذا هيزيد كميته كتير كتير ويشتغل شغل مش
+
+294
+00:21:13,660 --> 00:21:17,920
+شغله فهمتوا عليه كيف؟ فلبوت من آلية تهدم وهذا
+
+295
+00:21:17,920 --> 00:21:21,400
+بتصير بعض الأحيان في بعض الناس اللي عندهم Genetic
+
+296
+00:21:21,400 --> 00:21:25,760
+lack of Alpha-1 Antitrypsin بيصير عندهم Congenital
+
+297
+00:21:25,760 --> 00:21:31,510
+Emphysemaوما لهاش علاقة بالتدخين يبقى ممكن انفزيما
+
+298
+00:21:31,510 --> 00:21:35,070
+تكون نتيجة عن جد chronic cigarette smoking لكن
+
+299
+00:21:35,070 --> 00:21:41,790
+ممكن تكون نتيجة اللي هي نتيجة rare disease أو rare
+
+300
+00:21:41,790 --> 00:21:46,170
+form of emphysema بتيجي عند الناس اللي عندها
+
+301
+00:21:46,170 --> 00:21:49,470
+genetic lack of alpha-1-antitrypsin واللي هو زي ما
+
+302
+00:21:49,470 --> 00:21:56,360
+قلنا مثبت للتريبسين وإذاوتوقف المثبت هذا التربسيم
+
+303
+00:21:56,360 --> 00:22:00,940
+بيشتغل شغل أزيادة عن اللازم فبروح إيش نجرلي كل الـ
+
+304
+00:22:00,940 --> 00:22:04,300
+septum اللي موجودة جوا ال lungs فبتعبلي ال lungs و
+
+305
+00:22:04,300 --> 00:22:09,320
+بعملي حاجة اسمها emphysema طيب mainly caused by زي
+
+306
+00:22:09,320 --> 00:22:12,460
+ما قلنا loss of alveolar lung elasticity and
+
+307
+00:22:12,460 --> 00:22:15,820
+decrease of the overall service وهذه المشكلة أنه
+
+308
+00:22:15,820 --> 00:22:20,200
+ال overall service لما يصير عندي emphysemaبيبطل
+
+309
+00:22:20,200 --> 00:22:27,440
+جادة تعمل إتشينج وهو هذه شغلتها بصورة عامة طب إيه
+
+310
+00:22:27,440 --> 00:22:31,980
+الـ Manifestation؟ تكيبنيا، النفس بزيد، تكيبنيا
+
+311
+00:22:32,660 --> 00:22:35,720
+Increase respiratory rate هي التكبني يعني Because
+
+312
+00:22:35,720 --> 00:22:39,340
+that is effective in maintaining arterial blood
+
+313
+00:22:39,340 --> 00:22:43,280
+gas one does not usually see hypoxia or cyanosis
+
+314
+00:22:43,280 --> 00:22:47,820
+until the end stage طبعاً هذه نقطة مهمة أنه في
+
+315
+00:22:47,820 --> 00:22:51,580
+الانفيزيمة بتطول عميما أشوف cyanosis أو hypoxia
+
+316
+00:22:51,580 --> 00:22:54,500
+ليش؟ لأنه في عنقليات جنبيها الجسم اللي هي زي
+
+317
+00:22:54,500 --> 00:22:59,060
+التكبني النفس السريع Paral chest أي prolonged
+
+318
+00:22:59,060 --> 00:23:03,950
+expirationيعني عملية الإخراج تبع الهواء بتطول
+
+319
+00:23:03,950 --> 00:23:06,950
+بيصير عندي Parallel Chess Parallel يعني زي البرميل
+
+320
+00:23:06,950 --> 00:23:10,470
+Lack of Purulent Sputum مافيش عندي Sputum طبعاً
+
+321
+00:23:10,470 --> 00:23:14,130
+لأنه أنا مافيش عندي إفراز أصلا أنا عندي قاعدة
+
+322
+00:23:14,130 --> 00:23:17,770
+بتتدمر الرقى Possible Long Term Consequences زي
+
+323
+00:23:17,770 --> 00:23:19,750
+الـ Core بلمونات زي ما حكينا في الـ Chronic
+
+324
+00:23:19,750 --> 00:23:23,990
+Bronchitis وممكن يعمل ليه Respiratory Failure في
+
+325
+00:23:23,990 --> 00:23:25,290
+مقارنة بسيطة بين
+
+326
+00:23:28,770 --> 00:23:34,230
+بين الـ Chronic Bronchitis و الـ Emphysema و هذه
+
+327
+00:23:34,230 --> 00:23:38,030
+مهمة Chronic Bronchitis بيبقى mild سنية ال
+
+328
+00:23:38,030 --> 00:23:43,150
+emphysema بيبقى ممكن تكون severe productive cough
+
+329
+00:23:43,150 --> 00:23:45,090
+في ال chronic bronchitis و احنا قولنا في ال
+
+330
+00:23:45,090 --> 00:23:51,770
+emphysema العملية مافيش كف أو بتبقى dry كف ناشفة
+
+331
+00:23:51,770 --> 00:23:55,230
+سيانواز common في ال chronic bronchitis سيانواز
+
+332
+00:23:55,230 --> 00:23:59,200
+rareفي الانفيزيمة بزراجش ولو بزراجش في الـ late
+
+333
+00:23:59,200 --> 00:24:02,760
+stages Respiratory infection common في الـ chronic
+
+334
+00:24:02,760 --> 00:24:06,520
+bronchitis في الانفيزيمة infrequent infection لأنه
+
+335
+00:24:06,520 --> 00:24:10,140
+احنا قلنا الـ chronic bronchitis بتخلي فيه بلغم
+
+336
+00:24:10,140 --> 00:24:13,020
+كتير و البلغم هذا بيئة لل infection طب أنا مافيش
+
+337
+00:24:13,020 --> 00:24:17,520
+عندى أصلا بلغم ف infrequent infectionsOnset
+
+338
+00:24:17,520 --> 00:24:20,780
+usually after 40 years of chronic bronchitis أو
+
+339
+00:24:20,780 --> 00:24:24,120
+المدخنين بدري Onset usually after 50 years of age
+
+340
+00:24:24,120 --> 00:24:29,110
+History of cigarette smokingنفس الكلام في
+
+341
+00:24:29,110 --> 00:24:31,830
+الانفيزيمة core pulmonale common في الـ chronic
+
+342
+00:24:31,830 --> 00:24:36,650
+bronchitis الـ core pulmonale طبعاً الـ core
+
+343
+00:24:36,650 --> 00:24:40,570
+pulmonale لابد هي تحطوها شوية بدي بعينك الله ك
+
+344
+00:24:40,570 --> 00:24:47,850
+assignment بقولكوا وقتيش تسلموه على الـ model in
+
+345
+00:24:47,850 --> 00:24:49,250
+terminal stages
+
+346
+00:24:52,290 --> 00:24:57,190
+فهذا الـ assignment الوحيد اللي هي core pulmonary،
+
+347
+00:24:57,190 --> 00:25:04,090
+what is it؟ والأسباب تبعته، فيه خمس لسبع أسطر
+
+348
+00:25:04,090 --> 00:25:12,480
+الشوة، الأسباب تبعته، والـ complications تبعتههذا
+
+349
+00:25:12,480 --> 00:25:16,660
+بالنسبة للـ Inflammation عفوا للـ Infection
+
+350
+00:25:16,660 --> 00:25:19,840
+عملناها والـ Obstructive عملناها الآن في عندنا
+
+351
+00:25:19,840 --> 00:25:26,740
+اللي هي الـ Restrictive Pulmonary Disorders وإن
+
+352
+00:25:26,740 --> 00:25:30,200
+شاء الله هدف المحاضرة الجاية عشان ما تدخلش الأمور
+
+353
+00:25:30,200 --> 00:25:34,460
+عندكم على بعض إن شاء الله تعالى يبقى احنا عندنا
+
+354
+00:25:34,460 --> 00:25:35,620
+Assignment كان هنا
+
+355
+00:25:38,660 --> 00:25:43,360
+لابد منه ويتبع
+
+356
+00:25:43,360 --> 00:25:46,820
+في part تلاتة من اللي هو الـ Infective
+
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/_Q5kQ1JQWrE_postprocess.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/_Q5kQ1JQWrE_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..69fb4534c115df27a4380a612518eee4e1155e26
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/_Q5kQ1JQWrE_postprocess.srt
@@ -0,0 +1,2024 @@
+1
+00:00:01,040 --> 00:00:03,020
+بسم الله الرحمن الرحيم الحمد لله رب العالمين
+
+2
+00:00:03,020 --> 00:00:06,800
+والصلاة والسلام علي سيدنا محمد سيد المرسلين أجمعين
+
+3
+00:00:06,800 --> 00:00:09,760
+يعني اللي نلتقى اليوم ان شاء الله تعالى في محاضرة
+
+4
+00:00:09,760 --> 00:00:13,400
+جديدة وحنتحدث عن ال congenital heart disease المرة
+
+5
+00:00:13,400 --> 00:00:17,360
+اللي فاتة حكينا عن ال valvular heart disease طبعاً
+
+6
+00:00:17,360 --> 00:00:20,740
+هي بتتقاطع مع ال congenital لأن بعض أنواع ال
+
+7
+00:00:20,740 --> 00:00:24,770
+valvular كانت إيش؟ كانتأو الـ congenital إذا
+
+8
+00:00:24,770 --> 00:00:28,650
+فاكرين، زي الـ pulmonary artery stenosis على سبيل
+
+9
+00:00:28,650 --> 00:00:32,970
+المثال أو الـ aortic stenosis، هذا كلها valvular
+
+10
+00:00:32,970 --> 00:00:37,290
+عمليا، لكن هي أيضا congenital heart disease في بعض
+
+11
+00:00:37,290 --> 00:00:40,130
+الأحيان في الأطفالالحقيقة موضوع الـ Congenital
+
+12
+00:00:40,130 --> 00:00:45,070
+Heart Disease مهم بالنسبة للعلاج الطبيعي للناس
+
+13
+00:00:45,070 --> 00:00:47,930
+اللي بتشتغل مع الأطفال لإن كتير من الأطفال هدول
+
+14
+00:00:47,930 --> 00:00:51,270
+اللي بيبقى عندهم Complex Heart Disease أو Complex
+
+15
+00:00:51,270 --> 00:00:53,890
+Congenital Heart Disease لإن فينا simple و فينا
+
+16
+00:00:53,890 --> 00:00:59,310
+complex هدول الناس بيصير عندهم مشاكل في الموتور
+
+17
+00:00:59,310 --> 00:01:03,850
+على سبيل المثال و هم ممكن يحتاجوا كمان علاج طبيعي
+
+18
+00:01:04,120 --> 00:01:08,420
+الـ congenital heart disease common pediatric
+
+19
+00:01:08,420 --> 00:01:13,840
+problem و ال general incidence كل ألف مولود ستة
+
+20
+00:01:13,840 --> 00:01:16,720
+بيبقى عندهم يعني احنا قولنا مرة ايه ممكن او ماعرفش
+
+21
+00:01:16,720 --> 00:01:21,560
+اذا ماقولناش انه قطاع غزة فيه كام مولود في السنة
+
+22
+00:01:21,560 --> 00:01:28,180
+في القطاع صحخمس آلاف في الشهر تقريبا، ستين ألف في
+
+23
+00:01:28,180 --> 00:01:32,420
+السنة، ضافيهم بركة، مش هيك؟ أه، ستين ألف في السنة،
+
+24
+00:01:32,420 --> 00:01:37,080
+فأنا لما أجي بحكي عن ست ستة في الألف، من أننا
+
+25
+00:01:37,080 --> 00:01:39,860
+بنحكي عن حوالي أربعمية حالة أو تلاتمية أو ستين
+
+26
+00:01:39,860 --> 00:01:43,820
+حالة، طبعا كل أنواع ال congenital heart disease في
+
+27
+00:01:43,820 --> 00:01:47,150
+السنةودا أحس بهيك بسيطة ولاجوا إنه في الـ
+
+28
+00:01:47,150 --> 00:01:50,890
+Statistics إن الـ males and females are equally
+
+29
+00:01:50,890 --> 00:01:56,110
+affected وفي كتير بالأحيان بيبقى في جزء من الأسباب
+
+30
+00:01:56,110 --> 00:01:59,630
+genetic لكن ممكن يكون multifactorial inheritance
+
+31
+00:01:59,630 --> 00:02:03,670
+زي على سبيل المثال ممارسات جديدة اللي بتصير عند
+
+32
+00:02:03,670 --> 00:02:07,910
+بعض الأمهات إلى جانب طبعا زي التدخين على سبيل
+
+33
+00:02:07,910 --> 00:02:11,770
+المثال أو السمنة أو حاجة زي هي30% of cases
+
+34
+00:02:11,770 --> 00:02:18,270
+associated with syndromes يعني مشكلة
+
+35
+00:02:18,270 --> 00:02:20,710
+القلب الـ congenital heart disease جزء من
+
+36
+00:02:20,710 --> 00:02:24,790
+المتلازمة فيه حاجات تانية زي cleft palate زي
+
+37
+00:02:24,790 --> 00:02:28,570
+hydrocephalus حاجات تانية لكن هم الـ congenital
+
+38
+00:02:28,570 --> 00:02:34,350
+heart disease بيبقى جزء منالسيندروم في 30% و 10%
+
+39
+00:02:34,350 --> 00:02:38,430
+with extra cardiac malformation Commonly divided
+
+40
+00:02:38,430 --> 00:02:42,850
+into non-cyanotic and cyanotic يعني إحنا لما نقول
+
+41
+00:02:42,850 --> 00:02:48,030
+عن واحد congenital heart بدي أقول هل هو cyanotic
+
+42
+00:02:48,030 --> 00:02:52,410
+ولا non-cyanotic يعني إيش يعني cyanotic؟
+
+43
+00:02:52,410 --> 00:02:55,270
+والـcyanosis اللي بنقصدها hence central cyanosis
+
+44
+00:02:56,460 --> 00:02:58,620
+فيه فرق بين الـ central؟ في حاجة تانية غير الـ
+
+45
+00:02:58,620 --> 00:03:01,760
+central؟ آه فيه peripheral لكن احنا احنا بنحكي هنا
+
+46
+00:03:01,760 --> 00:03:05,960
+عن central cyanosis واحنا بنحكي عن slide مهم الآن
+
+47
+00:03:05,960 --> 00:03:08,820
+is the bluish discoloration of the lips, tongue
+
+48
+00:03:08,820 --> 00:03:11,540
+and mucous membrane of the oral cavity and
+
+49
+00:03:11,540 --> 00:03:16,700
+fingernailsالمواضح للتعريف ال degree of cyanosis
+
+50
+00:03:16,700 --> 00:03:20,820
+في أنها mild or early cases و بيبقى mainly
+
+51
+00:03:20,820 --> 00:03:25,060
+exertional بس لما بعيط الطفل أو لما بيرضع بسرعة أو
+
+52
+00:03:25,060 --> 00:03:28,060
+كذا and appears only during crying, sucking or
+
+53
+00:03:28,060 --> 00:03:32,700
+exertion في أن established casesأو الدرجة التانية
+
+54
+00:03:32,700 --> 00:03:40,340
+دائما عنده زراج دائما ولكن بيزرج أكتر وأكتر بيغمج
+
+55
+00:03:40,340 --> 00:03:44,660
+أكتر وأكتر on accession وفي long standing cases
+
+56
+00:03:44,660 --> 00:03:48,740
+هدول الناس اللي بيقعد usually above ست شهر growth
+
+57
+00:03:48,740 --> 00:03:52,700
+failure clapping of the fingers occurs clapping of
+
+58
+00:03:52,700 --> 00:03:56,600
+the fingers هذا بيذكرنا في حاجة وين مرت علينا
+
+59
+00:03:56,600 --> 00:03:59,520
+clapping of the fingers ولا ما مرتش علينا احنا مع
+
+60
+00:03:59,520 --> 00:04:06,540
+بعض لسهطيب، بدناش نعمل منها الآن موضوع «clapping
+
+61
+00:04:06,540 --> 00:04:09,080
+of the finger» كل واحد يكشف لوحده، لإله، يعني في
+
+62
+00:04:09,080 --> 00:04:10,860
+الموضوع «clapping of the finger» «differential
+
+63
+00:04:10,860 --> 00:04:14,020
+diagnosis» «clapping of the finger» زي ما أجيها
+
+64
+00:04:14,020 --> 00:04:17,540
+عند الأطفال، إيش يعني؟ ماذا تعني؟ وين لازم أفكر؟
+
+65
+00:04:17,540 --> 00:04:21,780
+هل بس في «congenital heart disease»؟ ولا في «else
+
+66
+00:04:21,780 --> 00:04:26,220
+other diagnosis»؟ آه، طبعاً، في حاجات تانية، كويسة
+
+67
+00:04:26,220 --> 00:04:29,200
+أقول معلومة هذهالـ Clapping of the fingers
+
+68
+00:04:29,200 --> 00:04:33,120
+differential diagnosis مش همور كده يلقوا أنتوا
+
+69
+00:04:33,120 --> 00:04:38,240
+اللي بديوا يطلع يطلع ال
+
+70
+00:04:38,240 --> 00:04:42,200
+etiology is a small percentage of congenital heart
+
+71
+00:04:42,200 --> 00:04:44,620
+disease are related زي ما قلنا قبل شوي
+
+72
+00:04:44,620 --> 00:04:48,100
+لchromosomal abnormalities زي ال «Trisomy» أو
+
+73
+00:04:48,100 --> 00:04:53,280
+«Down Syndrome» «Trisomy 21» حوالي 50%قائمة أكبر
+
+74
+00:04:53,280 --> 00:04:55,720
+من المصابين بالقلق من قلق قلق قلق قلق قلق قلق قلق
+
+75
+00:04:55,720 --> 00:04:58,340
+قلق قلق قلق قلق قلق قلق قلق قلق قلق قلق قلق قلق
+
+76
+00:04:58,340 --> 00:05:04,040
+قلق قلق قلق قلق قلق قلق قلق قلق قلق قلق قلق قلق
+
+77
+00:05:04,040 --> 00:05:06,240
+قلق قلق قلق قلق قلق قلق قلق قلق قلق قلق قلق قلق
+
+78
+00:05:06,240 --> 00:05:06,300
+قلق قلق قلق قلق قلق قلق قلق قلق قلق قلق قلق قلق
+
+79
+00:05:06,300 --> 00:05:09,040
+قلق قلق قلق قلق قلق قلق قلق قلق قلق قلق قلق قلق
+
+80
+00:05:09,040 --> 00:05:16,820
+قلق قلق ق
+
+81
+00:05:20,100 --> 00:05:24,760
+Infection اللي بنقول عنه إيش؟ Torch Infection
+
+82
+00:05:24,760 --> 00:05:28,820
+بعرفش إذا عمرو كنت سمعته في الـ Torch Infection
+
+83
+00:05:28,820 --> 00:05:35,700
+الـ T معناته دي عبارة عن بدايات أحرف لكلمات أحرف
+
+84
+00:05:35,700 --> 00:05:42,100
+بدايات لكلمة ال Torch T تكسب لزموزز O Others هنحكي
+
+85
+00:05:42,100 --> 00:05:48,920
+إيش يعني؟ R Rubella اللي هي الحصبة الألمانيةC
+
+86
+00:05:48,920 --> 00:05:55,300
+.Cytomegalovirus H.Herpesvirus
+
+87
+00:05:55,300 --> 00:06:00,400
+O.أي حاجة بتعملي Infection Intrauterine Other
+
+88
+00:06:00,400 --> 00:06:06,980
+virusesحرف الـ O في other أي فيروس ممكن يعمل أو
+
+89
+00:06:06,980 --> 00:06:09,500
+كتير من الفيروسات ممكن تعمل Intrauterine infection
+
+90
+00:06:09,500 --> 00:06:13,300
+وبالتالي تعمل مشاكل بالإضافة لأمور تانية في الجسم
+
+91
+00:06:13,300 --> 00:06:17,140
+اللي هي المشاكل القلبية ويلاحظوا انه No racial
+
+92
+00:06:17,140 --> 00:06:20,220
+differences in the occurrence of a congenital
+
+93
+00:06:20,220 --> 00:06:25,400
+heart disease as a whole has been noted طيب هو
+
+94
+00:06:25,400 --> 00:06:28,860
+خدوا بالكوا احنا قبل يمكن نتحدث عن
+
+95
+00:06:31,770 --> 00:06:38,050
+عن الـ Genital Heart Disease لابد أنه نعرف اللي هي
+
+96
+00:06:38,050 --> 00:06:44,930
+الـ Fetal Circulation لأنه مهم بالنسبة لنا الـ
+
+97
+00:06:44,930 --> 00:06:51,610
+Fetal Circulation أنا هحاول الآن أمشي فيديو تشوفوه
+
+98
+00:06:51,610 --> 00:06:55,170
+عن الـ Fetal Circulation حوالي عشر دقائق أو أقل
+
+99
+00:07:03,920 --> 00:07:05,940
+Hello، in this video we're going to talk about
+
+100
+00:07:05,940 --> 00:07:12,000
+fetal circulation The fetus is you when you were
+
+101
+00:07:12,000 --> 00:07:16,500
+inside your mother's womb, the uterus Now, the
+
+102
+00:07:16,500 --> 00:07:20,780
+fetal circulation is actually very complicated and
+
+103
+00:07:20,780 --> 00:07:24,020
+different to the circulation of a baby which is
+
+104
+00:07:24,020 --> 00:07:27,590
+essentially the circulation of an adultفي هذا
+
+105
+00:07:27,590 --> 00:07:32,890
+الفيديو، يعتمد على أن المشاهد، أنت، سيحصل على فهم
+
+106
+00:07:32,890 --> 00:07:35,850
+عام لشخص طبيعي بشكل عام لشخص طبيعي بشكل عام لشخص
+
+107
+00:07:35,850 --> 00:07:37,050
+طبيعي بشكل عام لشخص طبيعي بشكل عام لشخص طبيعي بشخص
+
+108
+00:07:37,050 --> 00:07:38,230
+طبيعي بشخص طبيعي بشخص طبيعي بشخص طبيعي بشخص طبيعي
+
+109
+00:07:38,230 --> 00:07:39,150
+بشخص طبيعي بشخص طبيعي بشخص طبيعي بشخص طبيعي بشخص
+
+110
+00:07:39,150 --> 00:07:42,330
+طبيعي بشخص طبيعي بشخص طبيعي بشخص طبيعي بشخص طبيعي
+
+111
+00:07:42,330 --> 00:07:49,310
+بشخص طبيعي بشخص طبيعي
+
+112
+00:07:49,310 --> 00:07:54,590
+بشخص
+
+113
+00:07:54,590 --> 00:07:59,540
+طبيالجزء الآخر من القلب يسئول أن يدفع الدم إلى
+
+114
+00:07:59,540 --> 00:08:05,760
+الحلقات الدم يعود للقلب، إلى الجزء الآخر، من خلال
+
+115
+00:08:05,760 --> 00:08:09,380
+الحلقات الموجودة هنا في اللون الأزرق ويدخل الهيئة
+
+116
+00:08:09,380 --> 00:08:10,960
+الأيطانية الأيطانية الأيطانية الأيطانية الأيطانية
+
+117
+00:08:10,960 --> 00:08:11,520
+الأيطانية الأيطانية الأيطانية الأيطانية الأيطانية
+
+118
+00:08:11,520 --> 00:08:13,960
+الأيطانية الأيطانية الأيطانية الأيطانية الأيطانية
+
+119
+00:08:13,960 --> 00:08:15,000
+الأيطانية الأيطانية الأيطانية الأيطانية الأيطانية
+
+120
+00:08:15,000 --> 00:08:15,660
+الأيطانية الأيطانية الأيطانية الأيطانية الأيطانية
+
+121
+00:08:15,660 --> 00:08:16,100
+الأيطانية الأيطانية الأيطانية الأيطانية الأيطانية
+
+122
+00:08:16,100 --> 00:08:21,170
+الأولكن في المتجر الحيواني، هناك فتحة عملية عملية
+
+123
+00:08:21,170 --> 00:08:22,390
+عملية عملية عملية عملية عملية عملية عملية عملية
+
+124
+00:08:22,390 --> 00:08:24,470
+عملية عملية عملية عملية عملية عملية عملية عملية
+
+125
+00:08:24,470 --> 00:08:28,710
+عملية عملية عملية عملية عملية عملية عملية عملية
+
+126
+00:08:28,710 --> 00:08:29,410
+عملية عملية عملية عملية عملية عملية عملية عملية
+
+127
+00:08:29,410 --> 00:08:34,270
+عملية عملية عملية عملية عملية عملية عملية عملية
+
+128
+00:08:34,270 --> 00:08:40,350
+عملية ع
+
+129
+00:08:42,750 --> 00:08:46,450
+الجهة الأسفة من القلعب تحتوي على الـ left atrium و
+
+130
+00:08:46,450 --> 00:08:50,310
+left ventricle الجهة الأسفة من القلعب مسؤولة عن
+
+131
+00:08:50,310 --> 00:08:52,830
+مدفع الدم للجميع من جسم الفيتول
+
+132
+00:08:57,350 --> 00:09:00,970
+بالرغم من الهول الاناطوميكي، الـ patent foramen
+
+133
+00:09:00,970 --> 00:09:07,190
+ovale هناك اتصال مهم جدًا أو هول اسمه الـ patent
+
+134
+00:09:07,190 --> 00:09:12,510
+ductus arteriosus الـ patent ductus arteriosus هو
+
+135
+00:09:12,510 --> 00:09:19,130
+الاتصال بين الارتريا الحلوية والأيورتا وذلك في
+
+136
+00:09:19,130 --> 00:09:23,450
+المتطورة الفيطالية، الدم يتم تحميله إلى بقية الدم
+
+137
+00:09:23,450 --> 00:09:30,010
+الفيطاليالدم يمكن أن يتجاوز الجلد لأن هناك الكثير
+
+138
+00:09:30,010 --> 00:09:34,570
+من الضرر في الجلد الفيطالي، لذلك الدم لا يمكن أن
+
+139
+00:09:34,570 --> 00:09:41,330
+يتمسك بسهولة في الـAorta الـPatent Foramen Ovale
+
+140
+00:09:41,330 --> 00:09:45,830
+وPatent Ductus Arteriosus يسمحوا بـRight to Left
+
+141
+00:09:45,830 --> 00:09:50,830
+Shuntوهذا يعني أن الدم يدخل في الجانحة اليسرى من
+
+142
+00:09:50,830 --> 00:09:54,110
+القلب بسهولة أن يكون شنطا إلى الجانحة اليسرى من
+
+143
+00:09:54,110 --> 00:09:58,610
+القلب، ويغيّر الحلوانات في تجارب الحيوانات، لا
+
+144
+00:09:58,610 --> 00:10:02,090
+يوجد حاجة لدم يدخل في الحلوانات لأن الحيوانات لا
+
+145
+00:10:02,090 --> 00:10:05,830
+تتنفس في الهواء على أية حالة، بل الحيوانات تعتمد
+
+146
+00:10:05,830 --> 00:10:09,710
+على الأكسجين اللذي تم إعطائه التجاربية في
+
+147
+00:10:09,710 --> 00:10:15,520
+الـPlacentaرأيك، الـPlacenta هي الاتصال المهم بين
+
+148
+00:10:15,520 --> 00:10:19,320
+الأم والـFetus الـPlacenta تمنح الحيوانات والعيون
+
+149
+00:10:19,320 --> 00:10:21,960
+للـGrowing Fetus من خلال الـCord الأمبليكالي
+
+150
+00:10:21,960 --> 00:10:26,800
+الـCord الأمبليكالي يوصل الـFetus إلى الـPlacenta
+
+151
+00:10:26,800 --> 00:10:31,020
+الـCord الأمبليكالي ليس فقط قطة، إنه يحتوي على
+
+152
+00:10:31,020 --> 00:10:35,540
+عضلات وعضلات عضلات أمبليكية الـVein الموجودة هنا
+
+153
+00:10:35,540 --> 00:10:40,770
+في الأرجل يتجه من الـPlacenta إلى الـLiverهنا،
+
+154
+00:10:40,770 --> 00:10:44,570
+هناك واحدة من الحلوى العضلية، وهي مرسومة هنا في
+
+155
+00:10:44,570 --> 00:10:48,490
+الحلوى الأحمر، لأنها محفوظة، وهي محتوية من الدم
+
+156
+00:10:48,490 --> 00:10:53,130
+المحفوظة اللي تم إعطائها من الأمهات، اسمها حلوى
+
+157
+00:10:53,130 --> 00:11:00,050
+عضلية لأن الحلوى يعود إلى قلبيمرة أخرى، الـVein
+
+158
+00:11:00,050 --> 00:11:00,930
+الوحيد الوحيد الوحيد الوحيد الوحيد الوحيد الوحيد
+
+159
+00:11:00,930 --> 00:11:01,090
+الوحيد الوحيد الوحيد الوحيد الوحيد الوحيد الوحيد
+
+160
+00:11:01,090 --> 00:11:02,830
+الوحيد الوحيد الوحيد الوحيد الوحيد الوحيد الوحيد
+
+161
+00:11:02,830 --> 00:11:19,830
+الوحيد الوحيد الوحيد الوحيد الوحيد الوحيد
+
+162
+00:11:21,120 --> 00:11:24,780
+الـ Inferior Vena Cava التي ستدخل جزء من جزء من
+
+163
+00:11:24,780 --> 00:11:30,580
+جزء من جزء من جزء من جزء من جزء من جزء من جزء من
+
+164
+00:11:30,580 --> 00:11:31,020
+جزء من جزء من جزء من جزء من جزء من جزء من جزء من
+
+165
+00:11:31,020 --> 00:11:31,100
+جزء من جزء من جزء من جزء من جزء من جزء من جزء من
+
+166
+00:11:31,100 --> 00:11:34,020
+جزء من جزء من جزء من جزء من جزء من جزء من جزء من
+
+167
+00:11:34,020 --> 00:11:44,680
+جزء من
+
+168
+00:11:44,680 --> 00:11:50,170
+جومن ثم يدخل في الجلد اليسرى، ومن ثم سيكون الدم
+
+169
+00:11:50,170 --> 00:11:56,470
+مدفع إلى الـAorta وإلى المتحركات الدم
+
+170
+00:11:56,470 --> 00:12:00,890
+المدفع من الجلد اليسرى، يمكن أيضًا أن يدخل في
+
+171
+00:12:00,890 --> 00:12:03,090
+الجلد اليسرى، ومن ثم يدخل في الجلد اليسرى، ومن ثم
+
+172
+00:12:03,090 --> 00:12:06,350
+يدخل في الجلد اليسرى، ومن ثم يدخل في الجلد اليسرى،
+
+173
+00:12:06,350 --> 00:12:08,550
+ومن ثم يدخل في الجلد اليسرى، ومن ثم يدخل في الجلد
+
+174
+00:12:08,550 --> 00:12:11,510
+اليسرى، ومن ثم يدخل في الجلد اليسرى، ومن ثم يدخل
+
+175
+00:12:11,510 --> 00:12:15,730
+ثم يدخل في الجOkay, so now you have partly
+
+176
+00:12:15,730 --> 00:12:20,330
+oxygenated blood in the aorta where it will now be
+
+177
+00:12:20,330 --> 00:12:24,450
+delivered to the fetal tissue. The fetus needs
+
+178
+00:12:24,450 --> 00:12:28,570
+oxygenated blood. Once the oxygenated blood is
+
+179
+00:12:28,570 --> 00:12:31,510
+used by the tissue, blood will then normally
+
+180
+00:12:31,510 --> 00:12:35,350
+return back to the heart via the veins. So here
+
+181
+00:12:35,350 --> 00:12:38,170
+the veins are in blue which indicates deoxygenated
+
+182
+00:12:38,170 --> 00:12:42,740
+blood.ولكن في تجارب الحيوانات، يوجد بالفعل عضلات
+
+183
+00:12:42,740 --> 00:12:44,160
+عضلات عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة
+
+184
+00:12:44,160 --> 00:12:47,280
+عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة
+
+185
+00:12:47,280 --> 00:12:48,640
+عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة
+
+186
+00:12:48,640 --> 00:13:04,300
+عضلة عضلة عضلة عضلة
+
+187
+00:13:16,180 --> 00:13:19,160
+نرجع للمحمضرة أحنا شوفنا كيف الـ «فيتال
+
+188
+00:13:19,160 --> 00:13:22,520
+تسيركوليشن» بيصير كان مهم أنه نتعرف على الـ «فيتال
+
+189
+00:13:22,520 --> 00:13:25,680
+تسيركوليشن» طبعا هو الأصل أنه أنا هذا بشرحه في
+
+190
+00:13:25,680 --> 00:13:29,520
+العادة على اللوح بالألوان حتى نعرف كيف الـ
+
+191
+00:13:29,520 --> 00:13:32,800
+«أكسجينيتد» و «دي أكسجينيتد» blood delivered to
+
+192
+00:13:32,800 --> 00:13:35,720
+the fetus وكيف يخرج من الـ «فيتس» وكيف الـ
+
+193
+00:13:35,720 --> 00:13:38,860
+«سيركوليشن» جوا القلب زي ما لاحظنا أنه في تلاتة
+
+194
+00:13:38,860 --> 00:13:42,800
+changes موجودة في الـ «فيتال تسيركوليشن» مش موجودة
+
+195
+00:13:42,800 --> 00:13:46,330
+عند الـ Adult ولو دلت موجودة بتعملي مشكلةيعني لما
+
+196
+00:13:46,330 --> 00:13:49,810
+بيناولد الطفل إذا ضلت الأماكن التلاتة اللي اتحدثت
+
+197
+00:13:49,810 --> 00:13:52,870
+عنهم في الفيديو إذا ضلت هذه بتعمللي مشكلة زي ال
+
+198
+00:13:52,870 --> 00:13:57,150
+patent أو ال foramen ovale patent معناته ضل patent
+
+199
+00:13:57,150 --> 00:14:00,770
+foramen ovale إذا ضل الفاتح بعد الولادة بيصير ان
+
+200
+00:14:00,770 --> 00:14:05,190
+دي مشكلة الأمر التاني اللي هو ductus arteriosus أو
+
+201
+00:14:05,190 --> 00:14:11,650
+Botelie هذا اللي بربط عبارة عن فتحة أو معبر بين
+
+202
+00:14:11,650 --> 00:14:17,420
+الأورطة و بين ال pulmonary arteryلو ضال بعد
+
+203
+00:14:17,420 --> 00:14:23,640
+الولادة هذا بيعمل دكتوس أرتريوزوس بوتالي أو بيتان
+
+204
+00:14:23,640 --> 00:14:27,340
+دكتوس أرتريوزوس معناته مفتوح وهذا بده شغل وفي
+
+205
+00:14:27,340 --> 00:14:33,900
+عندنا الأقل أهمية دكتوس فينوزوس عادة ما بيعملنا أي
+
+206
+00:14:34,310 --> 00:14:38,630
+مشاكل لكن برضه بينتهي دوره بمجرد إنه ينولد الطفل
+
+207
+00:14:38,630 --> 00:14:41,770
+طيب هو إيش اللي بأثر لما أنا بطلع الطفل و بيصير
+
+208
+00:14:41,770 --> 00:14:47,670
+inflating لل lungs فبزيد الضغوط بتزيد في ال left
+
+209
+00:14:47,670 --> 00:14:53,690
+في ال left side of the heart بزيد الضغط فتتسكر
+
+210
+00:14:53,690 --> 00:15:00,920
+معظم الفتحات هذه اللي موجودة طيب احنا الآنالمنظر
+
+211
+00:15:00,920 --> 00:15:04,960
+القلب هذا طبعا تعودنا عليه من الأمام وإيش المشاكل
+
+212
+00:15:04,960 --> 00:15:09,940
+اللي ممكن تتصيرالـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+213
+00:15:09,940 --> 00:15:10,740
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+214
+00:15:10,740 --> 00:15:13,020
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+215
+00:15:13,020 --> 00:15:13,440
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+216
+00:15:13,440 --> 00:15:14,980
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+217
+00:15:14,980 --> 00:15:21,120
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+218
+00:15:21,120 --> 00:15:23,160
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+219
+00:15:23,160 --> 00:15:26,060
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+220
+00:15:26,060 --> 00:15:29,800
+الـ الـ الـ الـ الـ الـ
+
+221
+00:15:29,800 --> 00:15:34,520
+الـ
+
+222
+00:15:34,720 --> 00:15:39,100
+الـ two ventricles صار عندى defect في فتحة بنقول
+
+223
+00:15:39,100 --> 00:15:45,740
+عنها VSD Ventricular Symptom Defect بتمثل 25 إلى
+
+224
+00:15:45,740 --> 00:15:49,940
+30% من حالات القلب اللى بتسير يعني انا لو عندى
+
+225
+00:15:49,940 --> 00:15:53,020
+congenital heart disease بيتحالة هذه بتمثل من 25
+
+226
+00:15:53,020 --> 00:15:58,760
+إلى 30% يعني ال most common defect أو Legion في ال
+
+227
+00:15:58,760 --> 00:16:01,780
+congenital heart disease هي الventricular symptom
+
+228
+00:16:01,780 --> 00:16:05,250
+defectفي الحاجات التانية اللي بتيجي بعدها اللي هي
+
+229
+00:16:05,250 --> 00:16:10,790
+«atrial septum defect» بتمثل من 6 لـ8% وبيبقى
+
+230
+00:16:10,790 --> 00:16:14,370
+الـforamen ovale اللي احنا شفناها قبل شوية أو
+
+231
+00:16:14,370 --> 00:16:19,260
+الثقب اللي بين الأذينين ضال فاتحبعدين في عندنا الـ
+
+232
+00:16:19,260 --> 00:16:22,540
+patent ductus arteriosus الـ ductus arteriosus هذا
+
+233
+00:16:22,540 --> 00:16:27,700
+الربطة أو الوصلة الشريانية بيقول عنها بين الأورطة
+
+234
+00:16:27,700 --> 00:16:31,220
+وبين البلمونري أرض البلمونري أرض دلت فاتحة فقلنا
+
+235
+00:16:31,220 --> 00:16:35,360
+عنها patent ductus arteriosus في عندنا حاجة تانية
+
+236
+00:16:35,360 --> 00:16:38,100
+ال quotation of أورطة وين مرت علينا هي يا جماعة
+
+237
+00:16:38,100 --> 00:16:41,340
+فاكرين انتوا؟ في ال secondary causes of
+
+238
+00:16:41,340 --> 00:16:47,940
+hypertension في عندناكمان التترالوجي of Fallot
+
+239
+00:16:47,940 --> 00:16:52,280
+Fallot ده اسم عالم تترالوجي رباعية رباعية Fallot
+
+240
+00:16:52,280 --> 00:16:56,800
+خمسة لسبعة فالمية في عنا بولموناري valve stenosis
+
+241
+00:16:56,800 --> 00:17:00,860
+مرت علينا في الvalvular heart diseases خمسة لسبعة
+
+242
+00:17:00,860 --> 00:17:04,200
+فالمية aortic valve stenosis أربع لسبعة فالمية وفي
+
+243
+00:17:04,200 --> 00:17:09,160
+حاجة بعدك أنا هوقف بعد هاين لان Transposition of
+
+244
+00:17:09,160 --> 00:17:14,180
+Great Arteryتصوروا أن الأورطة ينتج المحل
+
+245
+00:17:14,180 --> 00:17:17,320
+البولمونري R3 والبولمونري R3 ينتج المحل
+
+246
+00:17:20,000 --> 00:17:24,720
+الأورطة وورطة كبيرة ومشكلة كبيرة وفيه مجموعة أقل
+
+247
+00:17:24,720 --> 00:17:31,060
+بتصير لكن هم هدول الـ most common legions بتصير في
+
+248
+00:17:31,060 --> 00:17:34,860
+الـ heart طبعا التقسيمة الأهم اللي هي cyanotic and
+
+249
+00:17:34,860 --> 00:17:37,940
+non-cyanotic non-cyanotic congenital heart disease
+
+250
+00:17:37,940 --> 00:17:43,020
+حوالي 80% من ال cases يعني رحمة من ربنا هي non
+
+251
+00:17:43,020 --> 00:17:47,370
+-cyanotic فشيه cyanosis بكشفها بس بالسبعةومش
+
+252
+00:17:47,370 --> 00:17:51,290
+عاملالي مشاكل كبيرة، لكن بيدها متابع منسيا نوتك
+
+253
+00:17:51,290 --> 00:17:53,910
+congenital heart disease حوالي 80% of cases
+
+254
+00:17:53,910 --> 00:17:57,510
+ventricular septum defect 25% is by far the most
+
+255
+00:17:57,510 --> 00:18:02,990
+common lesion followed by ASD, BDA، الآن بدنا نقول
+
+256
+00:18:02,990 --> 00:18:05,890
+اختصارات، يا جماعة، كده بقالكوا، ventricular
+
+257
+00:18:05,890 --> 00:18:09,610
+septum defect VSD, atrial septum defect ASD
+
+258
+00:18:11,240 --> 00:18:16,920
+بيتاندكتاس أرتريوزوس BDA والموراريستينوزيس BS أو
+
+259
+00:18:16,920 --> 00:18:22,380
+أورتكستينوزيس AS Transposition
+
+260
+00:18:22,380 --> 00:18:28,880
+of Great Arteries TGA فلوت أو تترالجة of فلوت TOF
+
+261
+00:18:28,880 --> 00:18:37,260
+هذه اختصارات مشهورة المجموعة هذه اللي هي الـ Non
+
+262
+00:18:37,260 --> 00:18:40,520
+-cyanoticالـ Clinical diagnosis can be made
+
+263
+00:18:40,520 --> 00:18:44,660
+confirmed by simple investigations إيكو مثلا، إيكو
+
+264
+00:18:44,660 --> 00:18:49,420
+كارديوغرافي، Prognosis في العادة good حتى لو
+
+265
+00:18:49,420 --> 00:18:52,380
+محتاجش يعني في كتير من الأحيان مابحتاجش corrective
+
+266
+00:18:52,380 --> 00:18:55,660
+surgery، مابحتاجش جراحات، إنما ممكن بعض التدخلات
+
+267
+00:18:55,660 --> 00:19:00,400
+أو just waiting مع المتابعة الـ Non-cyanotic زي ما
+
+268
+00:19:00,400 --> 00:19:07,940
+قلنا ASD، VSD، BDAوالحاجات اللي بيصير فيها اللي هو
+
+269
+00:19:07,940 --> 00:19:11,480
+BS و AS أو أورتكستينوزي أمبربونرستينوزي هذا
+
+270
+00:19:11,480 --> 00:19:14,720
+بنسميها obstruction of blood to blood flow يعني
+
+271
+00:19:14,720 --> 00:19:20,900
+عند ما ييجي يطلع الدم من القلب هذا اسمه flow وفيه
+
+272
+00:19:20,900 --> 00:19:26,260
+بيبقى obstruction هناكالأن حقيقة يعني بديش أدق
+
+273
+00:19:26,260 --> 00:19:30,540
+كتير كتير لكن بدي أشرح بس عن الـ ASD بعض الحاجات
+
+274
+00:19:30,540 --> 00:19:33,780
+يعني هذه من الحاجات common هتسمعوها أنه في والله
+
+275
+00:19:33,780 --> 00:19:38,080
+فتحة بين الأذينين الـ ASD هي abnormal opening
+
+276
+00:19:38,080 --> 00:19:42,720
+between the two atria allowing blood to shift from
+
+277
+00:19:42,720 --> 00:19:48,300
+left to right atriumهذه هي مشكلتنا أن الدم بدل ما
+
+278
+00:19:48,300 --> 00:19:52,100
+ينزل على الـRight ventricle كالوضع الطبيعي و
+
+279
+00:19:52,100 --> 00:19:54,240
+الـRight ventricle يودع على الـPulmonary لأ بيصير
+
+280
+00:19:54,240 --> 00:20:00,080
+الدم يدخل من الـLeft atrium to
+
+281
+00:20:00,080 --> 00:20:05,170
+Right atrium causing the atrium to hypertrophyلأن
+
+282
+00:20:05,170 --> 00:20:09,550
+الضغط في الـ Left Atrium أعلى من الـ Right Atrium
+
+283
+00:20:09,550 --> 00:20:15,950
+فبصير الدم يدخل للـ Right Atrium وإذا دخل للـ
+
+284
+00:20:15,950 --> 00:20:18,930
+Right Atrium بيصير عنده Hypertrophy للـ Right
+
+285
+00:20:18,930 --> 00:20:23,050
+Atrium ومش بس ينزل الآن الدم وين؟ على الـ Right
+
+286
+00:20:23,050 --> 00:20:25,270
+Ventricle الـ Right Ventricle بيصير له Hypertrophy
+
+287
+00:20:25,270 --> 00:20:30,890
+كمان وطبعاً في الآخر بيعمللي Right Ventricle
+
+288
+00:20:30,890 --> 00:20:31,910
+Failure
+
+289
+00:20:34,320 --> 00:20:40,740
+الوضع الطبيعي مافيش مشاكل لكن لو صار فيه منه مشاكل
+
+290
+00:20:40,740 --> 00:20:45,280
+يعني الوضع الطبيعي الـ symptomatic لكن لو صار فيه
+
+291
+00:20:45,280 --> 00:20:50,350
+مشاكل بيعملنا اللي حكيناها قبل شويةعادةً مافيش
+
+292
+00:20:50,350 --> 00:20:54,510
+symptoms كتير أنا إلو لأنه asymptomatic اللهم إن
+
+293
+00:20:54,510 --> 00:20:57,870
+إحنا في السماعة بنسمع حاجة اسمها systolic murmur
+
+294
+00:20:57,870 --> 00:21:03,250
+وممكن في الـ X-ray يبين لي في عندي في الـ X-ray
+
+295
+00:21:03,250 --> 00:21:07,330
+enlargement of the cardiac shadow ليش؟ لأن الـ
+
+296
+00:21:07,330 --> 00:21:09,110
+right ventricle اتضخم
+
+297
+00:21:11,610 --> 00:21:15,810
+والتشخيص عادةً بنعمل إما بالـ echocardiography أو
+
+298
+00:21:15,810 --> 00:21:23,070
+حتى بال cardiac catheter بالقسطرة القلبية ال
+
+299
+00:21:23,070 --> 00:21:25,930
+treatment أحنا زي ما قلتلكم مش هانحكي كتير في
+
+300
+00:21:25,930 --> 00:21:29,110
+الأمراض لكن كمثل هنحكي عن ال ASD
+
+301
+00:21:32,120 --> 00:21:35,720
+كانوا زمان يدخلوا فيه open heart وكذا لكن الآن
+
+302
+00:21:35,720 --> 00:21:38,880
+طبعا ماحدش بدخل الكل بدخل في حاجة اسمها cardiac
+
+303
+00:21:38,880 --> 00:21:41,960
+catheter هذا لو كان interventional cardiac
+
+304
+00:21:41,960 --> 00:21:46,440
+catheter هذا لو كان الـ defect كبير مش كل defect
+
+305
+00:21:46,440 --> 00:21:49,520
+بيندخله لو كان الـdefect كبير هنحكي الآن على
+
+306
+00:21:49,520 --> 00:21:53,680
+الـVSD ونشوف جداش حتى في المساحة يعني في مجسات
+
+307
+00:21:53,680 --> 00:21:58,860
+بنحكي عنها to repair the defectوعن طريق القسطرة
+
+308
+00:21:58,860 --> 00:22:02,640
+القلبية بدخله زي حاجة هيك device شايفينه أنتوا في
+
+309
+00:22:02,640 --> 00:22:07,420
+الصورة وبدخل بين الـ two atrium وبدخلها لهناك
+
+310
+00:22:07,420 --> 00:22:13,520
+وبيعمل عملية زي بلون لكن إيش بيسكرلي الفتحة
+
+311
+00:22:13,520 --> 00:22:18,120
+وبتنتهي المشكلة لهذا الـ Atrial Symptom Defect الـ
+
+312
+00:22:18,120 --> 00:22:21,480
+ASD detect in term infant may close continuously
+
+313
+00:22:21,480 --> 00:22:26,750
+في الغالبالـ ASD بيسكر في الأطفال بالذات اللي خلص
+
+314
+00:22:26,750 --> 00:22:30,170
+أربعين أسبوع وانولد كامل The results after
+
+315
+00:22:30,170 --> 00:22:33,150
+surgical or device closure in children with
+
+316
+00:22:33,150 --> 00:22:36,770
+moderate to large shunt are excellentEarly and
+
+317
+00:22:36,770 --> 00:22:40,170
+midterm results with device closure are excellent
+
+318
+00:22:40,170 --> 00:22:43,950
+يعني حتى اللي بنضطر نحطله الـ device هذا في الـ
+
+319
+00:22:43,950 --> 00:22:48,410
+septum defect أصلا النتائج تبعته بتبقى رائعة وزي
+
+320
+00:22:48,410 --> 00:22:50,970
+ما قلنا جزء كبير من الناس دول بتنتهي مشكلتهم
+
+321
+00:22:50,970 --> 00:22:59,520
+spontaneously بتسكر خلال تقريبا سنةبسكر الـ ASD
+
+322
+00:22:59,520 --> 00:23:02,400
+بالنسبة للـ VSD قلنا احنا قبل شوية أنه الـ most
+
+323
+00:23:02,400 --> 00:23:09,000
+common congenital heart disease وبيمثل حوالي 35%
+
+324
+00:23:09,000 --> 00:23:14,920
+of all congenital heart disease الـ VSD الـ three
+
+325
+00:23:14,920 --> 00:23:18,960
+major types فيه الـ small و هذا بيمثل 85% أقل من 3
+
+326
+00:23:18,960 --> 00:23:23,890
+ملي تصوروا 3 مليفي الغالب الـ Small هذا
+
+327
+00:23:23,890 --> 00:23:27,850
+Hemodynamic Insignificant يعني مش عاملى مشاكل All
+
+328
+00:23:27,850 --> 00:23:33,090
+Closed Spontaneously ممكن لحد School Years يكون
+
+329
+00:23:33,090 --> 00:23:38,030
+سكر لوحده ال Small هذا اللي أقل من تلاتة مليون
+
+330
+00:23:38,030 --> 00:23:40,750
+عشان هيك المتابعات بتسير في المستشفيات عشان يشوفوا
+
+331
+00:23:40,750 --> 00:23:45,370
+حجمالـ VSD بيصغر و لا بيكبر و لا بيظل زي ما هو
+
+332
+00:23:45,370 --> 00:23:48,070
+بدهوا تدخل و لا بدهوش تدخل في أن الـ Moderate VSD
+
+333
+00:23:48,070 --> 00:23:51,830
+من 3 إلى 5 ملي في الـ Diameter و هو الـ least
+
+334
+00:23:51,830 --> 00:23:55,850
+common group of children 3 إلى 5% without evidence
+
+335
+00:23:55,850 --> 00:23:58,890
+of congenital of congestive heart بدون احتقان في
+
+336
+00:23:58,890 --> 00:24:01,190
+القلب أو برمونية hypertension may be followed
+
+337
+00:24:01,190 --> 00:24:04,650
+until spontaneous closure حتى هذا أه حتى هذا في أن
+
+338
+00:24:04,650 --> 00:24:07,150
+الـ Large هم اللي بيبقوا عامليننا مشكلة من 6 إلى
+
+339
+00:24:07,150 --> 00:24:11,530
+10 ملي في الـ Diameter usuallyمحتاج تدخل جراحي
+
+340
+00:24:11,530 --> 00:24:15,250
+وإذا ما اتدفلش الواحد جراحيا بيعملنا مشاكل
+
+341
+00:24:15,250 --> 00:24:18,690
+congestive heart failure وfailure to thrive FTT
+
+342
+00:24:18,690 --> 00:24:26,110
+يعني FTT failure to thrive يعني فشل في النمو CHF
+
+343
+00:24:26,110 --> 00:24:32,510
+congestive heart failure يعني فشل قلبي احتقاني هيك
+
+344
+00:24:32,510 --> 00:24:38,160
+يعني ال VSD عادة بنشوفه احنا في ال .. في ال ..في
+
+345
+00:24:38,160 --> 00:24:42,100
+الـ ECO وزي ما قلنا ممكن يعملنا fatigue،
+
+346
+00:24:42,100 --> 00:24:45,980
+diaphoresis، feeding and poor growth عشان هيك يدخل
+
+347
+00:24:45,980 --> 00:24:49,920
+عيّن في FTT والعلاج تبعه ببقى a significant
+
+348
+00:24:49,920 --> 00:24:53,200
+number، 30 ل 50% of small defects close
+
+349
+00:24:53,200 --> 00:24:58,140
+spontaneously before the age of أربع سنوات،
+
+350
+00:24:58,140 --> 00:25:02,380
+ملاحظين انتوا؟ يعني جزء كبير بتحصل لوحده some long
+
+351
+00:25:02,380 --> 00:25:07,040
+term studies of adult with unoperated small VSD
+
+352
+00:25:07,040 --> 00:25:11,870
+shockوالتحقيق في الـ Arrhythmia والتعامل والتعامل
+
+353
+00:25:11,870 --> 00:25:15,450
+والتعامل والتعامل والتعامل والتعامل والتعامل
+
+354
+00:25:15,450 --> 00:25:21,770
+والتعامل والتعامل والتعامل والتعامل والتعامل
+
+355
+00:25:21,770 --> 00:25:21,870
+والتعامل والتعامل والتعامل والتعامل والتعامل
+
+356
+00:25:21,870 --> 00:25:23,190
+والتعامل والتعامل والتعامل والتعامل والتعامل
+
+357
+00:25:23,190 --> 00:25:31,110
+والتعامل والتعامل والتعامل
+
+358
+00:25:31,110 --> 00:25:36,150
+و
+
+359
+00:25:38,230 --> 00:25:41,270
+indicated للـ VSD associated with congestive heart
+
+360
+00:25:41,270 --> 00:25:44,090
+failure FTT or Pulmonary hypertension ارتفاع في
+
+361
+00:25:44,090 --> 00:25:48,290
+الضغط الرئوي والناس اللي عندها poor growth الناس
+
+362
+00:25:48,290 --> 00:25:50,630
+اللي عندها poor exercise tolerance الناس اللي
+
+363
+00:25:50,630 --> 00:25:54,010
+بيصير عندها cardiomyopathy تحتاج أنه نعملها repair
+
+364
+00:25:54,010 --> 00:26:00,490
+surgical repair والمفروض أنه ال results of primary
+
+365
+00:26:00,490 --> 00:26:04,090
+surgical repair excellent وفيش مشاكل leading to
+
+366
+00:26:04,090 --> 00:26:11,370
+long term problemأو الـ Rare Problems دكتس
+
+367
+00:26:11,370 --> 00:26:15,650
+أرتريوزوس أو الـ BDA بيتان دكتس أرتريوزوس أو دكتس
+
+368
+00:26:15,650 --> 00:26:19,430
+بوتالي اسمه في بعض الأحيان هو بـ resistance of
+
+369
+00:26:19,430 --> 00:26:23,270
+normal fatal vessel joining the pulmonary artery
+
+370
+00:26:23,270 --> 00:26:26,970
+and the aorta أو to the aorta وكلوة spontaneously
+
+371
+00:26:26,970 --> 00:26:31,570
+ال term الموجود 40 أسبوع على اليوم التالت لليوم
+
+372
+00:26:31,570 --> 00:26:36,500
+الخامس بسكرحوالي 10% بيمثل من الـ Congenital heart
+
+373
+00:26:36,500 --> 00:26:40,080
+disease و Most common in female، ليش؟ ماحدش عارف،
+
+374
+00:26:40,080 --> 00:26:43,880
+في الصورة اللي بعدها شايفين إنه ال treatment بيصير
+
+375
+00:26:43,880 --> 00:26:51,020
+إنه لو ضال وعمللي مشاكل، بنحتاج إله، خاصة لما يكون
+
+376
+00:26:51,020 --> 00:26:54,880
+البدأ large، بنحتاج a surgical intervention يعني
+
+377
+00:26:54,880 --> 00:26:58,020
+عملية رابط لإله، عن طريق ال catheter أو trans
+
+378
+00:26:58,020 --> 00:27:02,720
+catheter closure of small defects، وتنتهي القضية
+
+379
+00:27:05,500 --> 00:27:11,630
+وهكذا ندخل على الـ cyanotic heart diseaseاللي هي
+
+380
+00:27:11,630 --> 00:27:18,990
+for 20% of cases على رأسها طبعا الـ most common في
+
+381
+00:27:18,990 --> 00:27:22,570
+الـ cyanotic الـ most common في الـ cyanotic اللي
+
+382
+00:27:22,570 --> 00:27:27,990
+هي الـ tough بتمثل 10% and transposition of great
+
+383
+00:27:27,990 --> 00:27:31,530
+artery بتمثل 5% are the most common من الـ
+
+384
+00:27:31,530 --> 00:27:34,550
+congenital heart disease لكن هي الـ cyanotic بتمثل
+
+385
+00:27:34,550 --> 00:27:37,610
+فقط 20% والـ cyanotic يا جماعة مش بس هدول التانين
+
+386
+00:27:37,610 --> 00:27:42,040
+في حاجات تانية لكن هدول ال most commonالـ Cardiac
+
+387
+00:27:42,040 --> 00:27:48,180
+catheter ضروري ينعمل للتشخيص واحد اتنين لل
+
+388
+00:27:48,180 --> 00:27:50,720
+corrective surgery إذا بدى عمله corrective surgery
+
+389
+00:27:50,720 --> 00:27:55,520
+لابد من قسطرة قلبية الـ Prognosis is generally bad
+
+390
+00:27:55,520 --> 00:27:58,780
+unless a corrective surgery is performed early
+
+391
+00:27:58,780 --> 00:28:03,220
+يعني الأمور مش بالسهولة اللي بنتصورها الـ Main
+
+392
+00:28:03,220 --> 00:28:07,720
+presentation في الناس هدول اللي هي إيش؟التي هي الـ
+
+393
+00:28:07,720 --> 00:28:12,300
+Central Cyanosis طبعاً في الـ TGA الـ
+
+394
+00:28:12,300 --> 00:28:15,860
+Transposition of Great Arteries بنلاقيها later
+
+395
+00:28:15,860 --> 00:28:19,300
+بتيجي الـ Cyanosis لكن في الـ TOF تيجي yearly
+
+396
+00:28:19,300 --> 00:28:22,640
+Clinical evaluation is useful to put some
+
+397
+00:28:22,640 --> 00:28:25,840
+possibilities forward but it can never provide an
+
+398
+00:28:25,840 --> 00:28:30,010
+accurate diagnosisيعني ماينفعش أقول بالسمعة هذا
+
+399
+00:28:30,010 --> 00:28:35,930
+Fallot وهذا TGA، لأ، إنما لازم أعمله Echo، وممكن
+
+400
+00:28:35,930 --> 00:28:38,570
+زي ما قلنا نحتاج إله Echo-cardiography، نحتاج إله
+
+401
+00:28:38,570 --> 00:28:41,450
+اللي هو نحتاج إله
+
+402
+00:29:00,980 --> 00:29:06,840
+التترالوجي والتترالوجي والتترالوجي والتترالوجي
+
+403
+00:29:06,840 --> 00:29:07,740
+والتترالوجي والتترالوجي والتترالوجي والتترالوجي
+
+404
+00:29:07,740 --> 00:29:08,120
+والتترالوجي والتترالوجي والتترالوجي والتترالوجي
+
+405
+00:29:08,320 --> 00:29:18,420
+فور كمبونات ربعية، فور كمبونات ربعية،
+
+406
+00:29:18,420 --> 00:29:22,540
+فور كمبونات ربعية، فور كمبونات ربعية، فور كمبونات
+
+407
+00:29:22,540 --> 00:29:26,240
+ربعية، فور كمبونات ربعية، فور كمبونات ربعية، فور
+
+408
+00:29:26,240 --> 00:29:26,340
+كمبونات ربعية، فور كمبونات ربعية، فور كمبونات
+
+409
+00:29:26,340 --> 00:29:34,460
+ربعية، فور كمبونات ربعية، فور كمبونات ربعية، فور ك
+
+410
+00:29:34,510 --> 00:29:37,790
+وفي عندنا كمان بيصير pulmonary stenosis وهو هذا
+
+411
+00:29:37,790 --> 00:29:41,950
+اللي عن جد بعجدنا الأمور كتير، ليش؟ لأن ال right
+
+412
+00:29:41,950 --> 00:29:45,270
+ventricle على عكس المنتظر لاجينا فيه إيش؟
+
+413
+00:29:45,270 --> 00:29:47,470
+hypertrophy، فيه thickness، يبقى أربع حاجات
+
+414
+00:29:47,470 --> 00:29:51,070
+overriding أوورطة، pulmonary stenosis، ventricular
+
+415
+00:29:51,070 --> 00:29:54,460
+septum defect، right ventricular hypertrophyكل هذا
+
+416
+00:29:54,460 --> 00:29:58,000
+طب احنا كنا نحكي عن حاجة واحدة VSD و ASD و Doctors
+
+417
+00:29:58,000 --> 00:30:03,340
+Arteriosis و مش خالصين، الآن أربع حاجات في قلب
+
+418
+00:30:03,340 --> 00:30:10,140
+الطفل وهذا اللي بيسويق الـ Prognosis أنه أنا بحكيش
+
+419
+00:30:10,140 --> 00:30:14,700
+عن يعني بمعنى آخر، الجلب معجج يعني، مافيش إشي راكم
+
+420
+00:30:14,700 --> 00:30:18,320
+على بعضه زي الناس وهذه مشكلة «طوف» is a common
+
+421
+00:30:18,320 --> 00:30:23,450
+cyanotic congenital heart diseaseحوالي 10% من كل
+
+422
+00:30:23,450 --> 00:30:25,890
+الـ Congenital Heart Disease لكن من الـ cyanotic
+
+423
+00:30:25,890 --> 00:30:30,650
+هو بمثل 50% خدوا بالكوا للنسبة و التنقص 10% من الـ
+
+424
+00:30:30,650 --> 00:30:34,330
+Congenital Heart Disease كلها لكن 50% من مين؟ من
+
+425
+00:30:34,330 --> 00:30:39,590
+الـ cyanotic groupمعظم المريضين هم مريضين عشان شهر
+
+426
+00:30:39,590 --> 00:30:44,830
+أو شهرين من عمرهم، وهي عادية تتزيد، وبتدخل في حاجة
+
+427
+00:30:44,830 --> 00:30:49,910
+اسمها Hypoxemic Spills أو Tet Spills، واحدة من
+
+428
+00:30:49,910 --> 00:30:55,030
+أعصاب التترالوجية السيفيرةالـ typical features
+
+429
+00:30:55,030 --> 00:30:59,130
+بنلاقي بعض الأحيان عندهم cyanosis after the
+
+430
+00:30:59,130 --> 00:31:02,830
+neonatal period، hypoxemic spells ممكن يحصل أثناء
+
+431
+00:31:02,830 --> 00:31:06,310
+الـ infancy، إيش يعني hypoxemic spells؟ بتلاقي
+
+432
+00:31:06,310 --> 00:31:12,510
+بدخل في نوبات ذرجان ونقص أكسيجين، right-sided
+
+433
+00:31:12,510 --> 00:31:17,070
+aortic arch في 25% of all patients، مش إنه بروح
+
+434
+00:31:17,070 --> 00:31:19,130
+على الـ left زي ما احنا بنعرف، لأ بروح على ال
+
+435
+00:31:19,130 --> 00:31:22,430
+right اللي هو ال .. ال .. ال .. ال .. ال .. ال ..
+
+436
+00:31:22,430 --> 00:31:22,690
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+437
+00:31:22,690 --> 00:31:22,850
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+438
+00:31:22,850 --> 00:31:27,020
+.. ال .. ال .. ال ..الـ «جنة تو» اللي هي موضوع الـ
+
+439
+00:31:27,020 --> 00:31:32,880
+«tit spells» أن الطفل بيزرج فإيش بروح بيعمل الطفل
+
+440
+00:31:32,880 --> 00:31:37,280
+بيقعد الجادة هاية القرفصاء أو لو نايم على بطنه
+
+441
+00:31:37,280 --> 00:31:41,500
+بنعمله أهله بيعملوله الجادة هاية وكأنه هو نايم على
+
+442
+00:31:41,500 --> 00:31:48,040
+بطنه لكن بنضغط الرجلتين على البطن، ليش؟لأن الموضوع
+
+443
+00:31:48,040 --> 00:31:54,080
+هذا بزيد لـ Systemic Ventricular Resistance ‏in
+
+444
+00:31:54,080 --> 00:31:57,260
+the lower extremities فبتحسن الـCyanosis ‏بنقول
+
+445
+00:31:57,260 --> 00:32:02,200
+عنه، هي عبارة عن الـHypercyanotic Spills أو الـTet
+
+446
+00:32:02,200 --> 00:32:06,960
+Spillsبدخل المريض في knee chest position عشان يحسن
+
+447
+00:32:06,960 --> 00:32:11,920
+وضعه بطريقة لا إرادية بعملها يا جماعة بطريقة لا
+
+448
+00:32:11,920 --> 00:32:16,320
+إرادية to relieve cyanotic spells بروح بقعد
+
+449
+00:32:16,320 --> 00:32:21,070
+الجعدهيةالـ Tetralogy of Fallot بنعمل ع Stage
+
+450
+00:32:21,070 --> 00:32:25,290
+العملية الجراحية طبعته طبعا جراحة Staged or
+
+451
+00:32:25,290 --> 00:32:27,430
+Complete في ناس بتعملها مرة واحدة في ناس بتعملها ع
+
+452
+00:32:27,430 --> 00:32:33,070
+Staging Total repair is done by 6 months if
+
+453
+00:32:33,070 --> 00:32:35,370
+cyanotic spills Surgery is not necessarily
+
+454
+00:32:35,370 --> 00:32:39,890
+curative يعني مش بيظل الجلب فيه مشكلة But most
+
+455
+00:32:39,890 --> 00:32:42,970
+have improved quality of life and improved
+
+456
+00:32:42,970 --> 00:32:44,370
+longevity
+
+457
+00:32:47,240 --> 00:32:50,540
+الـ Transposition of Great Arteries – TGA – is the
+
+458
+00:32:50,540 --> 00:32:52,800
+second most common cyanotic congenital heart
+
+459
+00:32:52,800 --> 00:32:58,660
+disease وهو بيمثل 5% من كل الـ cyanotic heart
+
+460
+00:32:58,660 --> 00:33:02,820
+disease اللي بيصير إن الأورطة arises from the
+
+461
+00:33:02,820 --> 00:33:05,500
+right ventricle والبلمونري أرتري بيطلع من الـ left
+
+462
+00:33:05,500 --> 00:33:07,980
+ventricle طبعاً في نوعيات إلو يا جماعة، بس أنا بدي
+
+463
+00:33:07,980 --> 00:33:12,040
+أديكوا hint بس يعني إنه في هنا حاجة اسمها TGA مش
+
+464
+00:33:12,040 --> 00:33:14,600
+شرط النوعيات تبعته، طبعا النوعيات تبعته لما يصير
+
+465
+00:33:14,600 --> 00:33:18,390
+له subclasses بصير أسوأالـ Results بيصير عندى Two
+
+466
+00:33:18,390 --> 00:33:24,070
+Independent Circuits Which Cannot Maintain Life مش
+
+467
+00:33:24,070 --> 00:33:27,070
+هيظبط لما يصير عندى أنا دورة دموية بتروح ال lungs
+
+468
+00:33:27,070 --> 00:33:31,150
+لحالها ودورة دموية للجسم لوحده طيب وين العملية ال
+
+469
+00:33:31,150 --> 00:33:36,330
+Oxygenation و ال Deoxygenation؟ مش هيظبط كتير فهذه
+
+470
+00:33:36,330 --> 00:33:41,170
+مش ماشية مع الحياة عشان هيك سبحان الله سبحان الله
+
+471
+00:33:41,170 --> 00:33:48,250
+العظيم أن ربنا بترك أمور عشان الدورتين يخلطواهنا
+
+472
+00:33:48,250 --> 00:33:54,290
+بيجي دور من الفرام القفالي اللي كنا بنطالب يسكر و
+
+473
+00:33:54,290 --> 00:33:59,550
+PDA اللي كنا بنطالب يسكر و لو لاجينا اي منهم لو
+
+474
+00:33:59,550 --> 00:34:02,670
+واحد منهم بيكفي لكن طب لو لاجينا هم سكرين التانين
+
+475
+00:34:02,670 --> 00:34:07,390
+لازم نعمل اجراءات عشان بمجرد انه يولد الطفل لأنه
+
+476
+00:34:07,390 --> 00:34:10,990
+هيموت لازم نفتح فتح اما الفرام القفالي بنعمله
+
+477
+00:34:10,990 --> 00:34:17,400
+عملية تفجير فتحلو سكر و الـ BDA لو سكر بدي أدوية
+
+478
+00:34:17,400 --> 00:34:24,300
+عشان يظل maintained عشان يظل فاتح الـ Central
+
+479
+00:34:24,300 --> 00:34:28,220
+cyanosis and tachypnea appear at birth or during
+
+480
+00:34:28,220 --> 00:34:31,400
+the first few days cardiac examination usually
+
+481
+00:34:31,400 --> 00:34:35,720
+reveal no murmur chest x-ray reveal حاجة اسمها egg
+
+482
+00:34:35,720 --> 00:34:39,870
+shapeالـ Heart شكله بيبقى على صورة الأشعة زي صورة
+
+483
+00:34:39,870 --> 00:34:44,530
+البيضة urgent diagnosis لابد انه يتشخص بصورة طارقة
+
+484
+00:34:44,530 --> 00:34:49,870
+essential urgent management include اللي بنعمله
+
+485
+00:34:49,870 --> 00:34:55,010
+عشان نخلط الدم تبع الدورة الدموية الرئوية والدورة
+
+486
+00:34:55,010 --> 00:34:58,670
+الدموية تحت الجسم فبندى حاجة اسمها Prostaglandin E
+
+487
+00:34:58,670 --> 00:35:08,350
+Infusion وهذاوالدكتاز البيتانتي يجعله فاتح على
+
+488
+00:35:08,350 --> 00:35:13,050
+أساس يخلط دم وبمنع إغلاق الدكتاز وممكن نعمل حاجة
+
+489
+00:35:13,050 --> 00:35:17,040
+تانيةالـBallon، واحد منهم يعني الـBallon Atrial
+
+490
+00:35:17,040 --> 00:35:20,880
+Septostomy تفجير سبتستومي، فتح الـSeptum بين
+
+491
+00:35:20,880 --> 00:35:23,980
+الـTwo Atrium اللي هو الفرامين أوفالي، لو كان مسكر
+
+492
+00:35:23,980 --> 00:35:28,340
+وهذا بيسمح للـMixture of Blood وطبعاً بعدين بنعمل
+
+493
+00:35:28,340 --> 00:35:31,920
+حاجة اسمها Switch Operation إيش يعني Switch؟ بجلب
+
+494
+00:35:31,920 --> 00:35:36,920
+الأورطة مرة تانية على مكانه والـPulmonary على
+
+495
+00:35:36,920 --> 00:35:42,160
+مكانه وهذا يفضل إنه ينعمل بسرعة يعني بسرعة، بسرعة،
+
+496
+00:35:42,160 --> 00:35:46,270
+بسرعة، هيك بنبقىتحدثنا عن الـ .. الـ .. الـ ..
+
+497
+00:35:46,270 --> 00:35:50,950
+طبعاً بيظل ال quotation of .. of the أوورتا و اللي
+
+498
+00:35:50,950 --> 00:35:54,470
+عملنا secondary hypertension رجاء إلكوا يمكن تجري
+
+499
+00:35:54,470 --> 00:35:59,550
+.. تجروها أنا مش .. مش هتحدث عنها هان و مش هطلبها
+
+500
+00:35:59,550 --> 00:36:02,790
+في assignment المرة هاي يعني أنا ما طلبتش
+
+501
+00:36:02,790 --> 00:36:06,670
+assignment المرة هاي لكن اجروها و اجروا النقطة
+
+502
+00:36:06,670 --> 00:36:09,930
+اللي قلتلكوا عنها قبل هيك واعتبروهم من المادة يعني
+
+503
+00:36:09,930 --> 00:36:14,410
+اجروهم واعتبروهم من المادةاللي هي quotation of the
+
+504
+00:36:14,410 --> 00:36:18,790
+awarta وش التانية كانت فاكرين اللي تبقوا معانا
+
+505
+00:36:18,790 --> 00:36:24,730
+فاكرين اكيد ماشي ان شاء الله وانهاركوا سعيد ان شاء
+
+506
+00:36:24,730 --> 00:36:26,730
+الله يعطيكوا العافية السلام عليكم
+
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/_Q5kQ1JQWrE_raw.json b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/_Q5kQ1JQWrE_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..f5b5baaf6e570325a0f9044263b8893545873277
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/_Q5kQ1JQWrE_raw.json
@@ -0,0 +1 @@
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\ No newline at end of file
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/_Q5kQ1JQWrE_raw.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/_Q5kQ1JQWrE_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..eb5a303fc5c1f400064ed4a87dc669bbc4aeab61
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/_Q5kQ1JQWrE_raw.srt
@@ -0,0 +1,2092 @@
+1
+00:00:01,040 --> 00:00:03,020
+بسم الله الرحمن الرحيم الحمد لله رب العالمين
+
+2
+00:00:03,020 --> 00:00:06,800
+والصلاة والسلام علي سيدنا محمد سيد المرسلين أجمعين
+
+3
+00:00:06,800 --> 00:00:09,760
+يعني اللي نلتقى اليوم ان شاء الله تعالى في محاضرة
+
+4
+00:00:09,760 --> 00:00:13,400
+جديدة وحنتحدث عن ال congenital heart disease المرة
+
+5
+00:00:13,400 --> 00:00:17,360
+اللي فاتة حكينا عن ال valvular heart disease طبعاً
+
+6
+00:00:17,360 --> 00:00:20,740
+هي بتتقاطع مع ال congenital لأن بعض أنواع ال
+
+7
+00:00:20,740 --> 00:00:24,770
+valvular كانت إيش؟ كانتأو الـ congenital إذا
+
+8
+00:00:24,770 --> 00:00:28,650
+فاكرين، زي الـ pulmonary artery stenosis على سبيل
+
+9
+00:00:28,650 --> 00:00:32,970
+المثال أو الـ aortic stenosis، هذا كلها valvular
+
+10
+00:00:32,970 --> 00:00:37,290
+عمليا، لكن هي أيضا congenital heart disease في بعض
+
+11
+00:00:37,290 --> 00:00:40,130
+الأحيان في الأطفالالحقيقة موضوع الـ Congenital
+
+12
+00:00:40,130 --> 00:00:45,070
+Heart Disease مهم بالنسبة للعلاج الطبيعي للناس
+
+13
+00:00:45,070 --> 00:00:47,930
+اللي بتشتغل مع الأطفال لإن كتير من الأطفال هدول
+
+14
+00:00:47,930 --> 00:00:51,270
+اللي بيبقى عندهم Complex Heart Disease أو Complex
+
+15
+00:00:51,270 --> 00:00:53,890
+Congenital Heart Disease لإن فينا simple و فينا
+
+16
+00:00:53,890 --> 00:00:59,310
+complex هدول الناس بيصير عندهم مشاكل في الموتور
+
+17
+00:00:59,310 --> 00:01:03,850
+على سبيل المثال و هم ممكن يحتاجوا كمان علاج طبيعي
+
+18
+00:01:04,120 --> 00:01:08,420
+الـ congenital heart disease common pediatric
+
+19
+00:01:08,420 --> 00:01:13,840
+problem و ال general incidence كل ألف مولود ستة
+
+20
+00:01:13,840 --> 00:01:16,720
+بيبقى عندهم يعني احنا قولنا مرة ايه ممكن او ماعرفش
+
+21
+00:01:16,720 --> 00:01:21,560
+اذا ماقولناش انه قطاع غزة فيه كام مولود في السنة
+
+22
+00:01:21,560 --> 00:01:28,180
+في القطاع صحخمس آلاف في الشهر تقريبا، ستين ألف في
+
+23
+00:01:28,180 --> 00:01:32,420
+السنة، ضافيهم بركة، مش هيك؟ أه، ستين ألف في السنة،
+
+24
+00:01:32,420 --> 00:01:37,080
+فأنا لما أجي بحكي عن ست ستة في الألف، من أننا
+
+25
+00:01:37,080 --> 00:01:39,860
+بنحكي عن حوالي أربعمية حالة أو تلاتمية أو ستين
+
+26
+00:01:39,860 --> 00:01:43,820
+حالة، طبعا كل أنواع ال congenital heart disease في
+
+27
+00:01:43,820 --> 00:01:47,150
+السنةودا أحس بهيك بسيطة ولاجوا إنه في الـ
+
+28
+00:01:47,150 --> 00:01:50,890
+Statistics إن الـ males and females are equally
+
+29
+00:01:50,890 --> 00:01:56,110
+affected وفي كتير بالأحيان بيبقى في جزء من الأسباب
+
+30
+00:01:56,110 --> 00:01:59,630
+genetic لكن ممكن يكون multifactorial inheritance
+
+31
+00:01:59,630 --> 00:02:03,670
+زي على سبيل المثال ممارسات جديدة اللي بتصير عند
+
+32
+00:02:03,670 --> 00:02:07,910
+بعض الأمهات إلى جانب طبعا زي التدخين على سبيل
+
+33
+00:02:07,910 --> 00:02:11,770
+المثال أو السمنة أو حاجة زي هي30% of cases
+
+34
+00:02:11,770 --> 00:02:18,270
+associated with syndromes يعني مشكلة
+
+35
+00:02:18,270 --> 00:02:20,710
+القلب الـ congenital heart disease جزء من
+
+36
+00:02:20,710 --> 00:02:24,790
+المتلازمة فيه حاجات تانية زي cleft palate زي
+
+37
+00:02:24,790 --> 00:02:28,570
+hydrocephalus حاجات تانية لكن هم الـ congenital
+
+38
+00:02:28,570 --> 00:02:34,350
+heart disease بيبقى جزء منالسيندروم في 30% و 10%
+
+39
+00:02:34,350 --> 00:02:38,430
+with extra cardiac malformation Commonly divided
+
+40
+00:02:38,430 --> 00:02:42,850
+into non-cyanotic and cyanotic يعني إحنا لما نقول
+
+41
+00:02:42,850 --> 00:02:48,030
+عن واحد congenital heart بدي أقول هل هو cyanotic
+
+42
+00:02:48,030 --> 00:02:52,410
+ولا non-cyanotic يعني إيش يعني cyanotic؟
+
+43
+00:02:52,410 --> 00:02:55,270
+والـcyanosis اللي بنقصدها hence central cyanosis
+
+44
+00:02:56,460 --> 00:02:58,620
+فيه فرق بين الـ central؟ في حاجة تانية غير الـ
+
+45
+00:02:58,620 --> 00:03:01,760
+central؟ آه فيه peripheral لكن احنا احنا بنحكي هنا
+
+46
+00:03:01,760 --> 00:03:05,960
+عن central cyanosis واحنا بنحكي عن slide مهم الآن
+
+47
+00:03:05,960 --> 00:03:08,820
+is the bluish discoloration of the lips, tongue
+
+48
+00:03:08,820 --> 00:03:11,540
+and mucous membrane of the oral cavity and
+
+49
+00:03:11,540 --> 00:03:16,700
+fingernailsالمواضح للتعريف ال degree of cyanosis
+
+50
+00:03:16,700 --> 00:03:20,820
+في أنها mild or early cases و بيبقى mainly
+
+51
+00:03:20,820 --> 00:03:25,060
+exertional بس لما بعيط الطفل أو لما بيرضع بسرعة أو
+
+52
+00:03:25,060 --> 00:03:28,060
+كذا and appears only during crying, sucking or
+
+53
+00:03:28,060 --> 00:03:32,700
+exertion في أن established casesأو الدرجة التانية
+
+54
+00:03:32,700 --> 00:03:40,340
+دائما عنده زراج دائما ولكن بيزرج أكتر وأكتر بيغمج
+
+55
+00:03:40,340 --> 00:03:44,660
+أكتر وأكتر on accession وفي long standing cases
+
+56
+00:03:44,660 --> 00:03:48,740
+هدول الناس اللي بيقعد usually above ست شهر growth
+
+57
+00:03:48,740 --> 00:03:52,700
+failure clapping of the fingers occurs clapping of
+
+58
+00:03:52,700 --> 00:03:56,600
+the fingers هذا بيذكرنا في حاجة وين مرت علينا
+
+59
+00:03:56,600 --> 00:03:59,520
+clapping of the fingers ولا ما مرتش علينا احنا مع
+
+60
+00:03:59,520 --> 00:04:06,540
+بعض لسهطيب، بدناش نعمل منها الآن موضوع «clapping
+
+61
+00:04:06,540 --> 00:04:09,080
+of the finger» كل واحد يكشف لوحده، لإله، يعني في
+
+62
+00:04:09,080 --> 00:04:10,860
+الموضوع «clapping of the finger» «differential
+
+63
+00:04:10,860 --> 00:04:14,020
+diagnosis» «clapping of the finger» زي ما أجيها
+
+64
+00:04:14,020 --> 00:04:17,540
+عند الأطفال، إيش يعني؟ ماذا تعني؟ وين لازم أفكر؟
+
+65
+00:04:17,540 --> 00:04:21,780
+هل بس في «congenital heart disease»؟ ولا في «else
+
+66
+00:04:21,780 --> 00:04:26,220
+other diagnosis»؟ آه، طبعاً، في حاجات تانية، كويسة
+
+67
+00:04:26,220 --> 00:04:29,200
+أقول معلومة هذهالـ Clapping of the fingers
+
+68
+00:04:29,200 --> 00:04:33,120
+differential diagnosis مش همور كده يلقوا أنتوا
+
+69
+00:04:33,120 --> 00:04:38,240
+اللي بديوا يطلع يطلع ال
+
+70
+00:04:38,240 --> 00:04:42,200
+etiology is a small percentage of congenital heart
+
+71
+00:04:42,200 --> 00:04:44,620
+disease are related زي ما قلنا قبل شوي
+
+72
+00:04:44,620 --> 00:04:48,100
+لchromosomal abnormalities زي ال «Trisomy» أو
+
+73
+00:04:48,100 --> 00:04:53,280
+«Down Syndrome» «Trisomy 21» حوالي 50%قائمة أكبر
+
+74
+00:04:53,280 --> 00:04:55,720
+من المصابين بالقلق من قلق قلق قلق قلق قلق قلق قلق
+
+75
+00:04:55,720 --> 00:04:58,340
+قلق قلق قلق قلق قلق قلق قلق قلق قلق قلق قلق قلق
+
+76
+00:04:58,340 --> 00:05:04,040
+قلق قلق قلق قلق قلق قلق قلق قلق قلق قلق قلق قلق
+
+77
+00:05:04,040 --> 00:05:06,240
+قلق قلق قلق قلق قلق قلق قلق قلق قلق قلق قلق قلق
+
+78
+00:05:06,240 --> 00:05:06,300
+قلق قلق قلق قلق قلق قلق قلق قلق قلق قلق قلق قلق
+
+79
+00:05:06,300 --> 00:05:09,040
+قلق قلق قلق قلق قلق قلق قلق قلق قلق قلق قلق قلق
+
+80
+00:05:09,040 --> 00:05:16,820
+قلق قلق ق
+
+81
+00:05:20,100 --> 00:05:24,760
+Infection اللي بنقول عنه إيش؟ Torch Infection
+
+82
+00:05:24,760 --> 00:05:28,820
+بعرفش إذا عمرو كنت سمعته في الـ Torch Infection
+
+83
+00:05:28,820 --> 00:05:35,700
+الـ T معناته دي عبارة عن بدايات أحرف لكلمات أحرف
+
+84
+00:05:35,700 --> 00:05:42,100
+بدايات لكلمة ال Torch T تكسب لزموزز O Others هنحكي
+
+85
+00:05:42,100 --> 00:05:48,920
+إيش يعني؟ R Rubella اللي هي الحصبة الألمانيةC
+
+86
+00:05:48,920 --> 00:05:55,300
+.Cytomegalovirus H.Herpesvirus
+
+87
+00:05:55,300 --> 00:06:00,400
+O.أي حاجة بتعملي Infection Intrauterine Other
+
+88
+00:06:00,400 --> 00:06:06,980
+virusesحرف الـ O في other أي فيروس ممكن يعمل أو
+
+89
+00:06:06,980 --> 00:06:09,500
+كتير من الفيروسات ممكن تعمل Intrauterine infection
+
+90
+00:06:09,500 --> 00:06:13,300
+وبالتالي تعمل مشاكل بالإضافة لأمور تانية في الجسم
+
+91
+00:06:13,300 --> 00:06:17,140
+اللي هي المشاكل القلبية ويلاحظوا انه No racial
+
+92
+00:06:17,140 --> 00:06:20,220
+differences in the occurrence of a congenital
+
+93
+00:06:20,220 --> 00:06:25,400
+heart disease as a whole has been noted طيب هو
+
+94
+00:06:25,400 --> 00:06:28,860
+خدوا بالكوا احنا قبل يمكن نتحدث عن
+
+95
+00:06:31,770 --> 00:06:38,050
+عن الـ Genital Heart Disease لابد أنه نعرف اللي هي
+
+96
+00:06:38,050 --> 00:06:44,930
+الـ Fetal Circulation لأنه مهم بالنسبة لنا الـ
+
+97
+00:06:44,930 --> 00:06:51,610
+Fetal Circulation أنا هحاول الآن أمشي فيديو تشوفوه
+
+98
+00:06:51,610 --> 00:06:55,170
+عن الـ Fetal Circulation حوالي عشر دقائق أو أقل
+
+99
+00:07:03,920 --> 00:07:05,940
+Hello، in this video we're going to talk about
+
+100
+00:07:05,940 --> 00:07:12,000
+fetal circulation The fetus is you when you were
+
+101
+00:07:12,000 --> 00:07:16,500
+inside your mother's womb, the uterus Now, the
+
+102
+00:07:16,500 --> 00:07:20,780
+fetal circulation is actually very complicated and
+
+103
+00:07:20,780 --> 00:07:24,020
+different to the circulation of a baby which is
+
+104
+00:07:24,020 --> 00:07:27,590
+essentially the circulation of an adultفي هذا
+
+105
+00:07:27,590 --> 00:07:32,890
+الفيديو، يعتمد على أن المشاهد، أنت، سيحصل على فهم
+
+106
+00:07:32,890 --> 00:07:35,850
+عام لشخص طبيعي بشكل عام لشخص طبيعي بشكل عام لشخص
+
+107
+00:07:35,850 --> 00:07:37,050
+طبيعي بشكل عام لشخص طبيعي بشكل عام لشخص طبيعي بشخص
+
+108
+00:07:37,050 --> 00:07:38,230
+طبيعي بشخص طبيعي بشخص طبيعي بشخص طبيعي بشخص طبيعي
+
+109
+00:07:38,230 --> 00:07:39,150
+بشخص طبيعي بشخص طبيعي بشخص طبيعي بشخص طبيعي بشخص
+
+110
+00:07:39,150 --> 00:07:42,330
+طبيعي بشخص طبيعي بشخص طبيعي بشخص طبيعي بشخص طبيعي
+
+111
+00:07:42,330 --> 00:07:49,310
+بشخص طبيعي بشخص طبيعي
+
+112
+00:07:49,310 --> 00:07:54,590
+بشخص
+
+113
+00:07:54,590 --> 00:07:59,540
+طبيالجزء الآخر من القلب يسئول أن يدفع الدم إلى
+
+114
+00:07:59,540 --> 00:08:05,760
+الحلقات الدم يعود للقلب، إلى الجزء الآخر، من خلال
+
+115
+00:08:05,760 --> 00:08:09,380
+الحلقات الموجودة هنا في اللون الأزرق ويدخل الهيئة
+
+116
+00:08:09,380 --> 00:08:10,960
+الأيطانية الأيطانية الأيطانية الأيطانية الأيطانية
+
+117
+00:08:10,960 --> 00:08:11,520
+الأيطانية الأيطانية الأيطانية الأيطانية الأيطانية
+
+118
+00:08:11,520 --> 00:08:13,960
+الأيطانية الأيطانية الأيطانية الأيطانية الأيطانية
+
+119
+00:08:13,960 --> 00:08:15,000
+الأيطانية الأيطانية الأيطانية الأيطانية الأيطانية
+
+120
+00:08:15,000 --> 00:08:15,660
+الأيطانية الأيطانية الأيطانية الأيطانية الأيطانية
+
+121
+00:08:15,660 --> 00:08:16,100
+الأيطانية الأيطانية الأيطانية الأيطانية الأيطانية
+
+122
+00:08:16,100 --> 00:08:21,170
+الأولكن في المتجر الحيواني، هناك فتحة عملية عملية
+
+123
+00:08:21,170 --> 00:08:22,390
+عملية عملية عملية عملية عملية عملية عملية عملية
+
+124
+00:08:22,390 --> 00:08:24,470
+عملية عملية عملية عملية عملية عملية عملية عملية
+
+125
+00:08:24,470 --> 00:08:28,710
+عملية عملية عملية عملية عملية عملية عملية عملية
+
+126
+00:08:28,710 --> 00:08:29,410
+عملية عملية عملية عملية عملية عملية عملية عملية
+
+127
+00:08:29,410 --> 00:08:29,410
+عملية عملية عملية عملية عملية عملية عملية عملية
+
+128
+00:08:29,410 --> 00:08:34,270
+عملية عملية عملية عملية عملية عملية عملية عملية
+
+129
+00:08:34,270 --> 00:08:40,350
+عملية ع
+
+130
+00:08:42,750 --> 00:08:46,450
+الجهة الأسفة من القلعب تحتوي على الـ left atrium و
+
+131
+00:08:46,450 --> 00:08:50,310
+left ventricle الجهة الأسفة من القلعب مسؤولة عن
+
+132
+00:08:50,310 --> 00:08:52,830
+مدفع الدم للجميع من جسم الفيتول
+
+133
+00:08:57,350 --> 00:09:00,970
+بالرغم من الهول الاناطوميكي، الـ patent foramen
+
+134
+00:09:00,970 --> 00:09:07,190
+ovale هناك اتصال مهم جدًا أو هول اسمه الـ patent
+
+135
+00:09:07,190 --> 00:09:12,510
+ductus arteriosus الـ patent ductus arteriosus هو
+
+136
+00:09:12,510 --> 00:09:19,130
+الاتصال بين الارتريا الحلوية والأيورتا وذلك في
+
+137
+00:09:19,130 --> 00:09:23,450
+المتطورة الفيطالية، الدم يتم تحميله إلى بقية الدم
+
+138
+00:09:23,450 --> 00:09:30,010
+الفيطاليالدم يمكن أن يتجاوز الجلد لأن هناك الكثير
+
+139
+00:09:30,010 --> 00:09:34,570
+من الضرر في الجلد الفيطالي، لذلك الدم لا يمكن أن
+
+140
+00:09:34,570 --> 00:09:41,330
+يتمسك بسهولة في الـAorta الـPatent Foramen Ovale
+
+141
+00:09:41,330 --> 00:09:45,830
+وPatent Ductus Arteriosus يسمحوا بـRight to Left
+
+142
+00:09:45,830 --> 00:09:50,830
+Shuntوهذا يعني أن الدم يدخل في الجانحة اليسرى من
+
+143
+00:09:50,830 --> 00:09:54,110
+القلب بسهولة أن يكون شنطا إلى الجانحة اليسرى من
+
+144
+00:09:54,110 --> 00:09:58,610
+القلب، ويغيّر الحلوانات في تجارب الحيوانات، لا
+
+145
+00:09:58,610 --> 00:10:02,090
+يوجد حاجة لدم يدخل في الحلوانات لأن الحيوانات لا
+
+146
+00:10:02,090 --> 00:10:05,830
+تتنفس في الهواء على أية حالة، بل الحيوانات تعتمد
+
+147
+00:10:05,830 --> 00:10:09,710
+على الأكسجين اللذي تم إعطائه التجاربية في
+
+148
+00:10:09,710 --> 00:10:15,520
+الـPlacentaرأيك، الـPlacenta هي الاتصال المهم بين
+
+149
+00:10:15,520 --> 00:10:19,320
+الأم والـFetus الـPlacenta تمنح الحيوانات والعيون
+
+150
+00:10:19,320 --> 00:10:21,960
+للـGrowing Fetus من خلال الـCord الأمبليكالي
+
+151
+00:10:21,960 --> 00:10:26,800
+الـCord الأمبليكالي يوصل الـFetus إلى الـPlacenta
+
+152
+00:10:26,800 --> 00:10:31,020
+الـCord الأمبليكالي ليس فقط قطة، إنه يحتوي على
+
+153
+00:10:31,020 --> 00:10:35,540
+عضلات وعضلات عضلات أمبليكية الـVein الموجودة هنا
+
+154
+00:10:35,540 --> 00:10:40,770
+في الأرجل يتجه من الـPlacenta إلى الـLiverهنا،
+
+155
+00:10:40,770 --> 00:10:44,570
+هناك واحدة من الحلوى العضلية، وهي مرسومة هنا في
+
+156
+00:10:44,570 --> 00:10:48,490
+الحلوى الأحمر، لأنها محفوظة، وهي محتوية من الدم
+
+157
+00:10:48,490 --> 00:10:53,130
+المحفوظة اللي تم إعطائها من الأمهات، اسمها حلوى
+
+158
+00:10:53,130 --> 00:11:00,050
+عضلية لأن الحلوى يعود إلى قلبيمرة أخرى، الـVein
+
+159
+00:11:00,050 --> 00:11:00,930
+الوحيد الوحيد الوحيد الوحيد الوحيد الوحيد الوحيد
+
+160
+00:11:00,930 --> 00:11:01,090
+الوحيد الوحيد الوحيد الوحيد الوحيد الوحيد الوحيد
+
+161
+00:11:01,090 --> 00:11:02,830
+الوحيد الوحيد الوحيد الوحيد الوحيد الوحيد الوحيد
+
+162
+00:11:02,830 --> 00:11:19,830
+الوحيد الوحيد الوحيد الوحيد الوحيد الوحيد
+
+163
+00:11:21,120 --> 00:11:24,780
+الـ Inferior Vena Cava التي ستدخل جزء من جزء من
+
+164
+00:11:24,780 --> 00:11:30,580
+جزء من جزء من جزء من جزء من جزء من جزء من جزء من
+
+165
+00:11:30,580 --> 00:11:30,580
+جزء من جزء من جزء من جزء من جزء من جزء من جزء من
+
+166
+00:11:30,580 --> 00:11:30,580
+جزء من جزء من جزء من جزء من جزء من جزء من جزء من
+
+167
+00:11:30,580 --> 00:11:30,580
+جزء من جزء من جزء من جزء من جزء من جزء من جزء من
+
+168
+00:11:30,580 --> 00:11:31,020
+جزء من جزء من جزء من جزء من جزء من جزء من جزء من
+
+169
+00:11:31,020 --> 00:11:31,100
+جزء من جزء من جزء من جزء من جزء من جزء من جزء من
+
+170
+00:11:31,100 --> 00:11:34,020
+جزء من جزء من جزء من جزء من جزء من جزء من جزء من
+
+171
+00:11:34,020 --> 00:11:44,680
+جزء من
+
+172
+00:11:44,680 --> 00:11:50,170
+جومن ثم يدخل في الجلد اليسرى، ومن ثم سيكون الدم
+
+173
+00:11:50,170 --> 00:11:56,470
+مدفع إلى الـAorta وإلى المتحركات الدم
+
+174
+00:11:56,470 --> 00:12:00,890
+المدفع من الجلد اليسرى، يمكن أيضًا أن يدخل في
+
+175
+00:12:00,890 --> 00:12:03,090
+الجلد اليسرى، ومن ثم يدخل في الجلد اليسرى، ومن ثم
+
+176
+00:12:03,090 --> 00:12:06,350
+يدخل في الجلد اليسرى، ومن ثم يدخل في الجلد اليسرى،
+
+177
+00:12:06,350 --> 00:12:08,550
+ومن ثم يدخل في الجلد اليسرى، ومن ثم يدخل في الجلد
+
+178
+00:12:08,550 --> 00:12:11,510
+اليسرى، ومن ثم يدخل في الجلد اليسرى، ومن ثم يدخل
+
+179
+00:12:11,510 --> 00:12:11,510
+في الجلد اليسرى، ومن ثم يدخل في الجلد اليسرى، ومن
+
+180
+00:12:11,510 --> 00:12:15,730
+ثم يدخل في الجOkay, so now you have partly
+
+181
+00:12:15,730 --> 00:12:20,330
+oxygenated blood in the aorta where it will now be
+
+182
+00:12:20,330 --> 00:12:24,450
+delivered to the fetal tissue. The fetus needs
+
+183
+00:12:24,450 --> 00:12:28,570
+oxygenated blood. Once the oxygenated blood is
+
+184
+00:12:28,570 --> 00:12:31,510
+used by the tissue, blood will then normally
+
+185
+00:12:31,510 --> 00:12:35,350
+return back to the heart via the veins. So here
+
+186
+00:12:35,350 --> 00:12:38,170
+the veins are in blue which indicates deoxygenated
+
+187
+00:12:38,170 --> 00:12:42,740
+blood.ولكن في تجارب الحيوانات، يوجد بالفعل عضلات
+
+188
+00:12:42,740 --> 00:12:44,160
+عضلات عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة
+
+189
+00:12:44,160 --> 00:12:47,280
+عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة
+
+190
+00:12:47,280 --> 00:12:48,640
+عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة
+
+191
+00:12:48,640 --> 00:13:04,300
+عضلة عضلة عضلة عضلة
+
+192
+00:13:16,180 --> 00:13:19,160
+نرجع للمحمضرة أحنا شوفنا كيف الـ «فيتال
+
+193
+00:13:19,160 --> 00:13:22,520
+تسيركوليشن» بيصير كان مهم أنه نتعرف على الـ «فيتال
+
+194
+00:13:22,520 --> 00:13:25,680
+تسيركوليشن» طبعا هو الأصل أنه أنا هذا بشرحه في
+
+195
+00:13:25,680 --> 00:13:29,520
+العادة على اللوح بالألوان حتى نعرف كيف الـ
+
+196
+00:13:29,520 --> 00:13:32,800
+«أكسجينيتد» و «دي أكسجينيتد» blood delivered to
+
+197
+00:13:32,800 --> 00:13:35,720
+the fetus وكيف يخرج من الـ «فيتس» وكيف الـ
+
+198
+00:13:35,720 --> 00:13:38,860
+«سيركوليشن» جوا القلب زي ما لاحظنا أنه في تلاتة
+
+199
+00:13:38,860 --> 00:13:42,800
+changes موجودة في الـ «فيتال تسيركوليشن» مش موجودة
+
+200
+00:13:42,800 --> 00:13:46,330
+عند الـ Adult ولو دلت موجودة بتعملي مشكلةيعني لما
+
+201
+00:13:46,330 --> 00:13:49,810
+بيناولد الطفل إذا ضلت الأماكن التلاتة اللي اتحدثت
+
+202
+00:13:49,810 --> 00:13:52,870
+عنهم في الفيديو إذا ضلت هذه بتعمللي مشكلة زي ال
+
+203
+00:13:52,870 --> 00:13:57,150
+patent أو ال foramen ovale patent معناته ضل patent
+
+204
+00:13:57,150 --> 00:14:00,770
+foramen ovale إذا ضل الفاتح بعد الولادة بيصير ان
+
+205
+00:14:00,770 --> 00:14:05,190
+دي مشكلة الأمر التاني اللي هو ductus arteriosus أو
+
+206
+00:14:05,190 --> 00:14:11,650
+Botelie هذا اللي بربط عبارة عن فتحة أو معبر بين
+
+207
+00:14:11,650 --> 00:14:17,420
+الأورطة و بين ال pulmonary arteryلو ضال بعد
+
+208
+00:14:17,420 --> 00:14:23,640
+الولادة هذا بيعمل دكتوس أرتريوزوس بوتالي أو بيتان
+
+209
+00:14:23,640 --> 00:14:27,340
+دكتوس أرتريوزوس معناته مفتوح وهذا بده شغل وفي
+
+210
+00:14:27,340 --> 00:14:33,900
+عندنا الأقل أهمية دكتوس فينوزوس عادة ما بيعملنا أي
+
+211
+00:14:34,310 --> 00:14:38,630
+مشاكل لكن برضه بينتهي دوره بمجرد إنه ينولد الطفل
+
+212
+00:14:38,630 --> 00:14:41,770
+طيب هو إيش اللي بأثر لما أنا بطلع الطفل و بيصير
+
+213
+00:14:41,770 --> 00:14:47,670
+inflating لل lungs فبزيد الضغوط بتزيد في ال left
+
+214
+00:14:47,670 --> 00:14:53,690
+في ال left side of the heart بزيد الضغط فتتسكر
+
+215
+00:14:53,690 --> 00:15:00,920
+معظم الفتحات هذه اللي موجودة طيب احنا الآنالمنظر
+
+216
+00:15:00,920 --> 00:15:04,960
+القلب هذا طبعا تعودنا عليه من الأمام وإيش المشاكل
+
+217
+00:15:04,960 --> 00:15:09,940
+اللي ممكن تتصيرالـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+218
+00:15:09,940 --> 00:15:10,740
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+219
+00:15:10,740 --> 00:15:13,020
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+220
+00:15:13,020 --> 00:15:13,440
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+221
+00:15:13,440 --> 00:15:14,980
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+222
+00:15:14,980 --> 00:15:21,120
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+223
+00:15:21,120 --> 00:15:23,160
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+224
+00:15:23,160 --> 00:15:26,060
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+225
+00:15:26,060 --> 00:15:26,060
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+226
+00:15:26,060 --> 00:15:29,800
+الـ الـ الـ الـ الـ الـ
+
+227
+00:15:29,800 --> 00:15:34,520
+الـ
+
+228
+00:15:34,720 --> 00:15:39,100
+الـ two ventricles صار عندى defect في فتحة بنقول
+
+229
+00:15:39,100 --> 00:15:45,740
+عنها VSD Ventricular Symptom Defect بتمثل 25 إلى
+
+230
+00:15:45,740 --> 00:15:49,940
+30% من حالات القلب اللى بتسير يعني انا لو عندى
+
+231
+00:15:49,940 --> 00:15:53,020
+congenital heart disease بيتحالة هذه بتمثل من 25
+
+232
+00:15:53,020 --> 00:15:58,760
+إلى 30% يعني ال most common defect أو Legion في ال
+
+233
+00:15:58,760 --> 00:16:01,780
+congenital heart disease هي الventricular symptom
+
+234
+00:16:01,780 --> 00:16:05,250
+defectفي الحاجات التانية اللي بتيجي بعدها اللي هي
+
+235
+00:16:05,250 --> 00:16:10,790
+«atrial septum defect» بتمثل من 6 لـ8% وبيبقى
+
+236
+00:16:10,790 --> 00:16:14,370
+الـforamen ovale اللي احنا شفناها قبل شوية أو
+
+237
+00:16:14,370 --> 00:16:19,260
+الثقب اللي بين الأذينين ضال فاتحبعدين في عندنا الـ
+
+238
+00:16:19,260 --> 00:16:22,540
+patent ductus arteriosus الـ ductus arteriosus هذا
+
+239
+00:16:22,540 --> 00:16:27,700
+الربطة أو الوصلة الشريانية بيقول عنها بين الأورطة
+
+240
+00:16:27,700 --> 00:16:31,220
+وبين البلمونري أرض البلمونري أرض دلت فاتحة فقلنا
+
+241
+00:16:31,220 --> 00:16:35,360
+عنها patent ductus arteriosus في عندنا حاجة تانية
+
+242
+00:16:35,360 --> 00:16:38,100
+ال quotation of أورطة وين مرت علينا هي يا جماعة
+
+243
+00:16:38,100 --> 00:16:41,340
+فاكرين انتوا؟ في ال secondary causes of
+
+244
+00:16:41,340 --> 00:16:47,940
+hypertension في عندناكمان التترالوجي of Fallot
+
+245
+00:16:47,940 --> 00:16:52,280
+Fallot ده اسم عالم تترالوجي رباعية رباعية Fallot
+
+246
+00:16:52,280 --> 00:16:56,800
+خمسة لسبعة فالمية في عنا بولموناري valve stenosis
+
+247
+00:16:56,800 --> 00:17:00,860
+مرت علينا في الvalvular heart diseases خمسة لسبعة
+
+248
+00:17:00,860 --> 00:17:04,200
+فالمية aortic valve stenosis أربع لسبعة فالمية وفي
+
+249
+00:17:04,200 --> 00:17:09,160
+حاجة بعدك أنا هوقف بعد هاين لان Transposition of
+
+250
+00:17:09,160 --> 00:17:14,180
+Great Arteryتصوروا أن الأورطة ينتج المحل
+
+251
+00:17:14,180 --> 00:17:17,320
+البولمونري R3 والبولمونري R3 ينتج المحل
+
+252
+00:17:20,000 --> 00:17:24,720
+الأورطة وورطة كبيرة ومشكلة كبيرة وفيه مجموعة أقل
+
+253
+00:17:24,720 --> 00:17:31,060
+بتصير لكن هم هدول الـ most common legions بتصير في
+
+254
+00:17:31,060 --> 00:17:34,860
+الـ heart طبعا التقسيمة الأهم اللي هي cyanotic and
+
+255
+00:17:34,860 --> 00:17:37,940
+non-cyanotic non-cyanotic congenital heart disease
+
+256
+00:17:37,940 --> 00:17:43,020
+حوالي 80% من ال cases يعني رحمة من ربنا هي non
+
+257
+00:17:43,020 --> 00:17:47,370
+-cyanotic فشيه cyanosis بكشفها بس بالسبعةومش
+
+258
+00:17:47,370 --> 00:17:51,290
+عاملالي مشاكل كبيرة، لكن بيدها متابع منسيا نوتك
+
+259
+00:17:51,290 --> 00:17:53,910
+congenital heart disease حوالي 80% of cases
+
+260
+00:17:53,910 --> 00:17:57,510
+ventricular septum defect 25% is by far the most
+
+261
+00:17:57,510 --> 00:18:02,990
+common lesion followed by ASD, BDA، الآن بدنا نقول
+
+262
+00:18:02,990 --> 00:18:05,890
+اختصارات، يا جماعة، كده بقالكوا، ventricular
+
+263
+00:18:05,890 --> 00:18:09,610
+septum defect VSD, atrial septum defect ASD
+
+264
+00:18:11,240 --> 00:18:16,920
+بيتاندكتاس أرتريوزوس BDA والموراريستينوزيس BS أو
+
+265
+00:18:16,920 --> 00:18:22,380
+أورتكستينوزيس AS Transposition
+
+266
+00:18:22,380 --> 00:18:28,880
+of Great Arteries TGA فلوت أو تترالجة of فلوت TOF
+
+267
+00:18:28,880 --> 00:18:37,260
+هذه اختصارات مشهورة المجموعة هذه اللي هي الـ Non
+
+268
+00:18:37,260 --> 00:18:40,520
+-cyanoticالـ Clinical diagnosis can be made
+
+269
+00:18:40,520 --> 00:18:44,660
+confirmed by simple investigations إيكو مثلا، إيكو
+
+270
+00:18:44,660 --> 00:18:49,420
+كارديوغرافي، Prognosis في العادة good حتى لو
+
+271
+00:18:49,420 --> 00:18:52,380
+محتاجش يعني في كتير من الأحيان مابحتاجش corrective
+
+272
+00:18:52,380 --> 00:18:55,660
+surgery، مابحتاجش جراحات، إنما ممكن بعض التدخلات
+
+273
+00:18:55,660 --> 00:19:00,400
+أو just waiting مع المتابعة الـ Non-cyanotic زي ما
+
+274
+00:19:00,400 --> 00:19:07,940
+قلنا ASD، VSD، BDAوالحاجات اللي بيصير فيها اللي هو
+
+275
+00:19:07,940 --> 00:19:11,480
+BS و AS أو أورتكستينوزي أمبربونرستينوزي هذا
+
+276
+00:19:11,480 --> 00:19:14,720
+بنسميها obstruction of blood to blood flow يعني
+
+277
+00:19:14,720 --> 00:19:20,900
+عند ما ييجي يطلع الدم من القلب هذا اسمه flow وفيه
+
+278
+00:19:20,900 --> 00:19:26,260
+بيبقى obstruction هناكالأن حقيقة يعني بديش أدق
+
+279
+00:19:26,260 --> 00:19:30,540
+كتير كتير لكن بدي أشرح بس عن الـ ASD بعض الحاجات
+
+280
+00:19:30,540 --> 00:19:33,780
+يعني هذه من الحاجات common هتسمعوها أنه في والله
+
+281
+00:19:33,780 --> 00:19:38,080
+فتحة بين الأذينين الـ ASD هي abnormal opening
+
+282
+00:19:38,080 --> 00:19:42,720
+between the two atria allowing blood to shift from
+
+283
+00:19:42,720 --> 00:19:48,300
+left to right atriumهذه هي مشكلتنا أن الدم بدل ما
+
+284
+00:19:48,300 --> 00:19:52,100
+ينزل على الـRight ventricle كالوضع الطبيعي و
+
+285
+00:19:52,100 --> 00:19:54,240
+الـRight ventricle يودع على الـPulmonary لأ بيصير
+
+286
+00:19:54,240 --> 00:20:00,080
+الدم يدخل من الـLeft atrium to
+
+287
+00:20:00,080 --> 00:20:05,170
+Right atrium causing the atrium to hypertrophyلأن
+
+288
+00:20:05,170 --> 00:20:09,550
+الضغط في الـ Left Atrium أعلى من الـ Right Atrium
+
+289
+00:20:09,550 --> 00:20:15,950
+فبصير الدم يدخل للـ Right Atrium وإذا دخل للـ
+
+290
+00:20:15,950 --> 00:20:18,930
+Right Atrium بيصير عنده Hypertrophy للـ Right
+
+291
+00:20:18,930 --> 00:20:23,050
+Atrium ومش بس ينزل الآن الدم وين؟ على الـ Right
+
+292
+00:20:23,050 --> 00:20:25,270
+Ventricle الـ Right Ventricle بيصير له Hypertrophy
+
+293
+00:20:25,270 --> 00:20:30,890
+كمان وطبعاً في الآخر بيعمللي Right Ventricle
+
+294
+00:20:30,890 --> 00:20:31,910
+Failure
+
+295
+00:20:34,320 --> 00:20:40,740
+الوضع الطبيعي مافيش مشاكل لكن لو صار فيه منه مشاكل
+
+296
+00:20:40,740 --> 00:20:45,280
+يعني الوضع الطبيعي الـ symptomatic لكن لو صار فيه
+
+297
+00:20:45,280 --> 00:20:50,350
+مشاكل بيعملنا اللي حكيناها قبل شويةعادةً مافيش
+
+298
+00:20:50,350 --> 00:20:54,510
+symptoms كتير أنا إلو لأنه asymptomatic اللهم إن
+
+299
+00:20:54,510 --> 00:20:57,870
+إحنا في السماعة بنسمع حاجة اسمها systolic murmur
+
+300
+00:20:57,870 --> 00:21:03,250
+وممكن في الـ X-ray يبين لي في عندي في الـ X-ray
+
+301
+00:21:03,250 --> 00:21:07,330
+enlargement of the cardiac shadow ليش؟ لأن الـ
+
+302
+00:21:07,330 --> 00:21:09,110
+right ventricle اتضخم
+
+303
+00:21:11,610 --> 00:21:15,810
+والتشخيص عادةً بنعمل إما بالـ echocardiography أو
+
+304
+00:21:15,810 --> 00:21:23,070
+حتى بال cardiac catheter بالقسطرة القلبية ال
+
+305
+00:21:23,070 --> 00:21:25,930
+treatment أحنا زي ما قلتلكم مش هانحكي كتير في
+
+306
+00:21:25,930 --> 00:21:29,110
+الأمراض لكن كمثل هنحكي عن ال ASD
+
+307
+00:21:32,120 --> 00:21:35,720
+كانوا زمان يدخلوا فيه open heart وكذا لكن الآن
+
+308
+00:21:35,720 --> 00:21:38,880
+طبعا ماحدش بدخل الكل بدخل في حاجة اسمها cardiac
+
+309
+00:21:38,880 --> 00:21:41,960
+catheter هذا لو كان interventional cardiac
+
+310
+00:21:41,960 --> 00:21:46,440
+catheter هذا لو كان الـ defect كبير مش كل defect
+
+311
+00:21:46,440 --> 00:21:49,520
+بيندخله لو كان الـdefect كبير هنحكي الآن على
+
+312
+00:21:49,520 --> 00:21:53,680
+الـVSD ونشوف جداش حتى في المساحة يعني في مجسات
+
+313
+00:21:53,680 --> 00:21:58,860
+بنحكي عنها to repair the defectوعن طريق القسطرة
+
+314
+00:21:58,860 --> 00:22:02,640
+القلبية بدخله زي حاجة هيك device شايفينه أنتوا في
+
+315
+00:22:02,640 --> 00:22:07,420
+الصورة وبدخل بين الـ two atrium وبدخلها لهناك
+
+316
+00:22:07,420 --> 00:22:13,520
+وبيعمل عملية زي بلون لكن إيش بيسكرلي الفتحة
+
+317
+00:22:13,520 --> 00:22:18,120
+وبتنتهي المشكلة لهذا الـ Atrial Symptom Defect الـ
+
+318
+00:22:18,120 --> 00:22:21,480
+ASD detect in term infant may close continuously
+
+319
+00:22:21,480 --> 00:22:26,750
+في الغالبالـ ASD بيسكر في الأطفال بالذات اللي خلص
+
+320
+00:22:26,750 --> 00:22:30,170
+أربعين أسبوع وانولد كامل The results after
+
+321
+00:22:30,170 --> 00:22:33,150
+surgical or device closure in children with
+
+322
+00:22:33,150 --> 00:22:36,770
+moderate to large shunt are excellentEarly and
+
+323
+00:22:36,770 --> 00:22:40,170
+midterm results with device closure are excellent
+
+324
+00:22:40,170 --> 00:22:43,950
+يعني حتى اللي بنضطر نحطله الـ device هذا في الـ
+
+325
+00:22:43,950 --> 00:22:48,410
+septum defect أصلا النتائج تبعته بتبقى رائعة وزي
+
+326
+00:22:48,410 --> 00:22:50,970
+ما قلنا جزء كبير من الناس دول بتنتهي مشكلتهم
+
+327
+00:22:50,970 --> 00:22:59,520
+spontaneously بتسكر خلال تقريبا سنةبسكر الـ ASD
+
+328
+00:22:59,520 --> 00:23:02,400
+بالنسبة للـ VSD قلنا احنا قبل شوية أنه الـ most
+
+329
+00:23:02,400 --> 00:23:09,000
+common congenital heart disease وبيمثل حوالي 35%
+
+330
+00:23:09,000 --> 00:23:14,920
+of all congenital heart disease الـ VSD الـ three
+
+331
+00:23:14,920 --> 00:23:18,960
+major types فيه الـ small و هذا بيمثل 85% أقل من 3
+
+332
+00:23:18,960 --> 00:23:23,890
+ملي تصوروا 3 مليفي الغالب الـ Small هذا
+
+333
+00:23:23,890 --> 00:23:27,850
+Hemodynamic Insignificant يعني مش عاملى مشاكل All
+
+334
+00:23:27,850 --> 00:23:33,090
+Closed Spontaneously ممكن لحد School Years يكون
+
+335
+00:23:33,090 --> 00:23:38,030
+سكر لوحده ال Small هذا اللي أقل من تلاتة مليون
+
+336
+00:23:38,030 --> 00:23:40,750
+عشان هيك المتابعات بتسير في المستشفيات عشان يشوفوا
+
+337
+00:23:40,750 --> 00:23:45,370
+حجمالـ VSD بيصغر و لا بيكبر و لا بيظل زي ما هو
+
+338
+00:23:45,370 --> 00:23:48,070
+بدهوا تدخل و لا بدهوش تدخل في أن الـ Moderate VSD
+
+339
+00:23:48,070 --> 00:23:51,830
+من 3 إلى 5 ملي في الـ Diameter و هو الـ least
+
+340
+00:23:51,830 --> 00:23:55,850
+common group of children 3 إلى 5% without evidence
+
+341
+00:23:55,850 --> 00:23:58,890
+of congenital of congestive heart بدون احتقان في
+
+342
+00:23:58,890 --> 00:24:01,190
+القلب أو برمونية hypertension may be followed
+
+343
+00:24:01,190 --> 00:24:04,650
+until spontaneous closure حتى هذا أه حتى هذا في أن
+
+344
+00:24:04,650 --> 00:24:07,150
+الـ Large هم اللي بيبقوا عامليننا مشكلة من 6 إلى
+
+345
+00:24:07,150 --> 00:24:11,530
+10 ملي في الـ Diameter usuallyمحتاج تدخل جراحي
+
+346
+00:24:11,530 --> 00:24:15,250
+وإذا ما اتدفلش الواحد جراحيا بيعملنا مشاكل
+
+347
+00:24:15,250 --> 00:24:18,690
+congestive heart failure وfailure to thrive FTT
+
+348
+00:24:18,690 --> 00:24:26,110
+يعني FTT failure to thrive يعني فشل في النمو CHF
+
+349
+00:24:26,110 --> 00:24:32,510
+congestive heart failure يعني فشل قلبي احتقاني هيك
+
+350
+00:24:32,510 --> 00:24:38,160
+يعني ال VSD عادة بنشوفه احنا في ال .. في ال ..في
+
+351
+00:24:38,160 --> 00:24:42,100
+الـ ECO وزي ما قلنا ممكن يعملنا fatigue،
+
+352
+00:24:42,100 --> 00:24:45,980
+diaphoresis، feeding and poor growth عشان هيك يدخل
+
+353
+00:24:45,980 --> 00:24:49,920
+عيّن في FTT والعلاج تبعه ببقى a significant
+
+354
+00:24:49,920 --> 00:24:53,200
+number، 30 ل 50% of small defects close
+
+355
+00:24:53,200 --> 00:24:58,140
+spontaneously before the age of أربع سنوات،
+
+356
+00:24:58,140 --> 00:25:02,380
+ملاحظين انتوا؟ يعني جزء كبير بتحصل لوحده some long
+
+357
+00:25:02,380 --> 00:25:07,040
+term studies of adult with unoperated small VSD
+
+358
+00:25:07,040 --> 00:25:11,870
+shockوالتحقيق في الـ Arrhythmia والتعامل والتعامل
+
+359
+00:25:11,870 --> 00:25:15,450
+والتعامل والتعامل والتعامل والتعامل والتعامل
+
+360
+00:25:15,450 --> 00:25:21,770
+والتعامل والتعامل والتعامل والتعامل والتعامل
+
+361
+00:25:21,770 --> 00:25:21,870
+والتعامل والتعامل والتعامل والتعامل والتعامل
+
+362
+00:25:21,870 --> 00:25:21,870
+والتعامل والتعامل والتعامل والتعامل والتعامل
+
+363
+00:25:21,870 --> 00:25:21,870
+والتعامل والتعامل والتعامل والتعامل والتعامل
+
+364
+00:25:21,870 --> 00:25:23,190
+والتعامل والتعامل والتعامل والتعامل والتعامل
+
+365
+00:25:23,190 --> 00:25:31,110
+والتعامل والتعامل والتعامل
+
+366
+00:25:31,110 --> 00:25:36,150
+و
+
+367
+00:25:38,230 --> 00:25:41,270
+indicated للـ VSD associated with congestive heart
+
+368
+00:25:41,270 --> 00:25:44,090
+failure FTT or Pulmonary hypertension ارتفاع في
+
+369
+00:25:44,090 --> 00:25:48,290
+الضغط الرئوي والناس اللي عندها poor growth الناس
+
+370
+00:25:48,290 --> 00:25:50,630
+اللي عندها poor exercise tolerance الناس اللي
+
+371
+00:25:50,630 --> 00:25:54,010
+بيصير عندها cardiomyopathy تحتاج أنه نعملها repair
+
+372
+00:25:54,010 --> 00:26:00,490
+surgical repair والمفروض أنه ال results of primary
+
+373
+00:26:00,490 --> 00:26:04,090
+surgical repair excellent وفيش مشاكل leading to
+
+374
+00:26:04,090 --> 00:26:11,370
+long term problemأو الـ Rare Problems دكتس
+
+375
+00:26:11,370 --> 00:26:15,650
+أرتريوزوس أو الـ BDA بيتان دكتس أرتريوزوس أو دكتس
+
+376
+00:26:15,650 --> 00:26:19,430
+بوتالي اسمه في بعض الأحيان هو بـ resistance of
+
+377
+00:26:19,430 --> 00:26:23,270
+normal fatal vessel joining the pulmonary artery
+
+378
+00:26:23,270 --> 00:26:26,970
+and the aorta أو to the aorta وكلوة spontaneously
+
+379
+00:26:26,970 --> 00:26:31,570
+ال term الموجود 40 أسبوع على اليوم التالت لليوم
+
+380
+00:26:31,570 --> 00:26:36,500
+الخامس بسكرحوالي 10% بيمثل من الـ Congenital heart
+
+381
+00:26:36,500 --> 00:26:40,080
+disease و Most common in female، ليش؟ ماحدش عارف،
+
+382
+00:26:40,080 --> 00:26:43,880
+في الصورة اللي بعدها شايفين إنه ال treatment بيصير
+
+383
+00:26:43,880 --> 00:26:51,020
+إنه لو ضال وعمللي مشاكل، بنحتاج إله، خاصة لما يكون
+
+384
+00:26:51,020 --> 00:26:54,880
+البدأ large، بنحتاج a surgical intervention يعني
+
+385
+00:26:54,880 --> 00:26:58,020
+عملية رابط لإله، عن طريق ال catheter أو trans
+
+386
+00:26:58,020 --> 00:27:02,720
+catheter closure of small defects، وتنتهي القضية
+
+387
+00:27:05,500 --> 00:27:11,630
+وهكذا ندخل على الـ cyanotic heart diseaseاللي هي
+
+388
+00:27:11,630 --> 00:27:18,990
+for 20% of cases على رأسها طبعا الـ most common في
+
+389
+00:27:18,990 --> 00:27:22,570
+الـ cyanotic الـ most common في الـ cyanotic اللي
+
+390
+00:27:22,570 --> 00:27:27,990
+هي الـ tough بتمثل 10% and transposition of great
+
+391
+00:27:27,990 --> 00:27:31,530
+artery بتمثل 5% are the most common من الـ
+
+392
+00:27:31,530 --> 00:27:34,550
+congenital heart disease لكن هي الـ cyanotic بتمثل
+
+393
+00:27:34,550 --> 00:27:37,610
+فقط 20% والـ cyanotic يا جماعة مش بس هدول التانين
+
+394
+00:27:37,610 --> 00:27:42,040
+في حاجات تانية لكن هدول ال most commonالـ Cardiac
+
+395
+00:27:42,040 --> 00:27:48,180
+catheter ضروري ينعمل للتشخيص واحد اتنين لل
+
+396
+00:27:48,180 --> 00:27:50,720
+corrective surgery إذا بدى عمله corrective surgery
+
+397
+00:27:50,720 --> 00:27:55,520
+لابد من قسطرة قلبية الـ Prognosis is generally bad
+
+398
+00:27:55,520 --> 00:27:58,780
+unless a corrective surgery is performed early
+
+399
+00:27:58,780 --> 00:28:03,220
+يعني الأمور مش بالسهولة اللي بنتصورها الـ Main
+
+400
+00:28:03,220 --> 00:28:07,720
+presentation في الناس هدول اللي هي إيش؟التي هي الـ
+
+401
+00:28:07,720 --> 00:28:12,300
+Central Cyanosis طبعاً في الـ TGA الـ
+
+402
+00:28:12,300 --> 00:28:15,860
+Transposition of Great Arteries بنلاقيها later
+
+403
+00:28:15,860 --> 00:28:19,300
+بتيجي الـ Cyanosis لكن في الـ TOF تيجي yearly
+
+404
+00:28:19,300 --> 00:28:22,640
+Clinical evaluation is useful to put some
+
+405
+00:28:22,640 --> 00:28:25,840
+possibilities forward but it can never provide an
+
+406
+00:28:25,840 --> 00:28:30,010
+accurate diagnosisيعني ماينفعش أقول بالسمعة هذا
+
+407
+00:28:30,010 --> 00:28:35,930
+Fallot وهذا TGA، لأ، إنما لازم أعمله Echo، وممكن
+
+408
+00:28:35,930 --> 00:28:38,570
+زي ما قلنا نحتاج إله Echo-cardiography، نحتاج إله
+
+409
+00:28:38,570 --> 00:28:41,450
+اللي هو نحتاج إله
+
+410
+00:29:00,980 --> 00:29:06,840
+التترالوجي والتترالوجي والتترالوجي والتترالوجي
+
+411
+00:29:06,840 --> 00:29:07,740
+والتترالوجي والتترالوجي والتترالوجي والتترالوجي
+
+412
+00:29:07,740 --> 00:29:08,120
+والتترالوجي والتترالوجي والتترالوجي والتترالوجي
+
+413
+00:29:08,120 --> 00:29:08,120
+والتترالوجي والتترالوجي والتترالوجي والتترالوجي
+
+414
+00:29:08,120 --> 00:29:08,120
+والتترالوجي والتترالوجي والتترالوجي والتترالوجي
+
+415
+00:29:08,120 --> 00:29:08,120
+والتترالوجي والتترالوجي والتترالوجي والتترالوجي
+
+416
+00:29:08,120 --> 00:29:08,120
+والتترالوجي والتترالوجي والتترالوجي والتترالوجي و
+
+417
+00:29:08,320 --> 00:29:18,420
+فور كمبونات ربعية، فور كمبونات ربعية،
+
+418
+00:29:18,420 --> 00:29:22,540
+فور كمبونات ربعية، فور كمبونات ربعية، فور كمبونات
+
+419
+00:29:22,540 --> 00:29:26,240
+ربعية، فور كمبونات ربعية، فور كمبونات ربعية، فور
+
+420
+00:29:26,240 --> 00:29:26,240
+كمبونات ربعية، فور كمبونات ربعية، فور كمبونات
+
+421
+00:29:26,240 --> 00:29:26,240
+ربعية، فور كمبونات ربعية، فور كمبونات ربعية، فور
+
+422
+00:29:26,240 --> 00:29:26,340
+كمبونات ربعية، فور كمبونات ربعية، فور كمبونات
+
+423
+00:29:26,340 --> 00:29:34,460
+ربعية، فور كمبونات ربعية، فور كمبونات ربعية، فور ك
+
+424
+00:29:34,510 --> 00:29:37,790
+وفي عندنا كمان بيصير pulmonary stenosis وهو هذا
+
+425
+00:29:37,790 --> 00:29:41,950
+اللي عن جد بعجدنا الأمور كتير، ليش؟ لأن ال right
+
+426
+00:29:41,950 --> 00:29:45,270
+ventricle على عكس المنتظر لاجينا فيه إيش؟
+
+427
+00:29:45,270 --> 00:29:47,470
+hypertrophy، فيه thickness، يبقى أربع حاجات
+
+428
+00:29:47,470 --> 00:29:51,070
+overriding أوورطة، pulmonary stenosis، ventricular
+
+429
+00:29:51,070 --> 00:29:54,460
+septum defect، right ventricular hypertrophyكل هذا
+
+430
+00:29:54,460 --> 00:29:58,000
+طب احنا كنا نحكي عن حاجة واحدة VSD و ASD و Doctors
+
+431
+00:29:58,000 --> 00:30:03,340
+Arteriosis و مش خالصين، الآن أربع حاجات في قلب
+
+432
+00:30:03,340 --> 00:30:10,140
+الطفل وهذا اللي بيسويق الـ Prognosis أنه أنا بحكيش
+
+433
+00:30:10,140 --> 00:30:14,700
+عن يعني بمعنى آخر، الجلب معجج يعني، مافيش إشي راكم
+
+434
+00:30:14,700 --> 00:30:18,320
+على بعضه زي الناس وهذه مشكلة «طوف» is a common
+
+435
+00:30:18,320 --> 00:30:23,450
+cyanotic congenital heart diseaseحوالي 10% من كل
+
+436
+00:30:23,450 --> 00:30:25,890
+الـ Congenital Heart Disease لكن من الـ cyanotic
+
+437
+00:30:25,890 --> 00:30:30,650
+هو بمثل 50% خدوا بالكوا للنسبة و التنقص 10% من الـ
+
+438
+00:30:30,650 --> 00:30:34,330
+Congenital Heart Disease كلها لكن 50% من مين؟ من
+
+439
+00:30:34,330 --> 00:30:39,590
+الـ cyanotic groupمعظم المريضين هم مريضين عشان شهر
+
+440
+00:30:39,590 --> 00:30:44,830
+أو شهرين من عمرهم، وهي عادية تتزيد، وبتدخل في حاجة
+
+441
+00:30:44,830 --> 00:30:49,910
+اسمها Hypoxemic Spills أو Tet Spills، واحدة من
+
+442
+00:30:49,910 --> 00:30:55,030
+أعصاب التترالوجية السيفيرةالـ typical features
+
+443
+00:30:55,030 --> 00:30:59,130
+بنلاقي بعض الأحيان عندهم cyanosis after the
+
+444
+00:30:59,130 --> 00:31:02,830
+neonatal period، hypoxemic spells ممكن يحصل أثناء
+
+445
+00:31:02,830 --> 00:31:06,310
+الـ infancy، إيش يعني hypoxemic spells؟ بتلاقي
+
+446
+00:31:06,310 --> 00:31:12,510
+بدخل في نوبات ذرجان ونقص أكسيجين، right-sided
+
+447
+00:31:12,510 --> 00:31:17,070
+aortic arch في 25% of all patients، مش إنه بروح
+
+448
+00:31:17,070 --> 00:31:19,130
+على الـ left زي ما احنا بنعرف، لأ بروح على ال
+
+449
+00:31:19,130 --> 00:31:22,430
+right اللي هو ال .. ال .. ال .. ال .. ال .. ال ..
+
+450
+00:31:22,430 --> 00:31:22,690
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+451
+00:31:22,690 --> 00:31:22,850
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+452
+00:31:22,850 --> 00:31:22,850
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+453
+00:31:22,850 --> 00:31:22,850
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+454
+00:31:22,850 --> 00:31:22,850
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+455
+00:31:22,850 --> 00:31:27,020
+.. ال .. ال .. ال ..الـ «جنة تو» اللي هي موضوع الـ
+
+456
+00:31:27,020 --> 00:31:32,880
+«tit spells» أن الطفل بيزرج فإيش بروح بيعمل الطفل
+
+457
+00:31:32,880 --> 00:31:37,280
+بيقعد الجادة هاية القرفصاء أو لو نايم على بطنه
+
+458
+00:31:37,280 --> 00:31:41,500
+بنعمله أهله بيعملوله الجادة هاية وكأنه هو نايم على
+
+459
+00:31:41,500 --> 00:31:48,040
+بطنه لكن بنضغط الرجلتين على البطن، ليش؟لأن الموضوع
+
+460
+00:31:48,040 --> 00:31:54,080
+هذا بزيد لـ Systemic Ventricular Resistance ‏in
+
+461
+00:31:54,080 --> 00:31:57,260
+the lower extremities فبتحسن الـCyanosis ‏بنقول
+
+462
+00:31:57,260 --> 00:32:02,200
+عنه، هي عبارة عن الـHypercyanotic Spills أو الـTet
+
+463
+00:32:02,200 --> 00:32:06,960
+Spillsبدخل المريض في knee chest position عشان يحسن
+
+464
+00:32:06,960 --> 00:32:11,920
+وضعه بطريقة لا إرادية بعملها يا جماعة بطريقة لا
+
+465
+00:32:11,920 --> 00:32:16,320
+إرادية to relieve cyanotic spells بروح بقعد
+
+466
+00:32:16,320 --> 00:32:21,070
+الجعدهيةالـ Tetralogy of Fallot بنعمل ع Stage
+
+467
+00:32:21,070 --> 00:32:25,290
+العملية الجراحية طبعته طبعا جراحة Staged or
+
+468
+00:32:25,290 --> 00:32:27,430
+Complete في ناس بتعملها مرة واحدة في ناس بتعملها ع
+
+469
+00:32:27,430 --> 00:32:33,070
+Staging Total repair is done by 6 months if
+
+470
+00:32:33,070 --> 00:32:35,370
+cyanotic spills Surgery is not necessarily
+
+471
+00:32:35,370 --> 00:32:39,890
+curative يعني مش بيظل الجلب فيه مشكلة But most
+
+472
+00:32:39,890 --> 00:32:42,970
+have improved quality of life and improved
+
+473
+00:32:42,970 --> 00:32:44,370
+longevity
+
+474
+00:32:47,240 --> 00:32:50,540
+الـ Transposition of Great Arteries – TGA – is the
+
+475
+00:32:50,540 --> 00:32:52,800
+second most common cyanotic congenital heart
+
+476
+00:32:52,800 --> 00:32:58,660
+disease وهو بيمثل 5% من كل الـ cyanotic heart
+
+477
+00:32:58,660 --> 00:33:02,820
+disease اللي بيصير إن الأورطة arises from the
+
+478
+00:33:02,820 --> 00:33:05,500
+right ventricle والبلمونري أرتري بيطلع من الـ left
+
+479
+00:33:05,500 --> 00:33:07,980
+ventricle طبعاً في نوعيات إلو يا جماعة، بس أنا بدي
+
+480
+00:33:07,980 --> 00:33:12,040
+أديكوا hint بس يعني إنه في هنا حاجة اسمها TGA مش
+
+481
+00:33:12,040 --> 00:33:14,600
+شرط النوعيات تبعته، طبعا النوعيات تبعته لما يصير
+
+482
+00:33:14,600 --> 00:33:18,390
+له subclasses بصير أسوأالـ Results بيصير عندى Two
+
+483
+00:33:18,390 --> 00:33:24,070
+Independent Circuits Which Cannot Maintain Life مش
+
+484
+00:33:24,070 --> 00:33:27,070
+هيظبط لما يصير عندى أنا دورة دموية بتروح ال lungs
+
+485
+00:33:27,070 --> 00:33:31,150
+لحالها ودورة دموية للجسم لوحده طيب وين العملية ال
+
+486
+00:33:31,150 --> 00:33:36,330
+Oxygenation و ال Deoxygenation؟ مش هيظبط كتير فهذه
+
+487
+00:33:36,330 --> 00:33:41,170
+مش ماشية مع الحياة عشان هيك سبحان الله سبحان الله
+
+488
+00:33:41,170 --> 00:33:48,250
+العظيم أن ربنا بترك أمور عشان الدورتين يخلطواهنا
+
+489
+00:33:48,250 --> 00:33:54,290
+بيجي دور من الفرام القفالي اللي كنا بنطالب يسكر و
+
+490
+00:33:54,290 --> 00:33:59,550
+PDA اللي كنا بنطالب يسكر و لو لاجينا اي منهم لو
+
+491
+00:33:59,550 --> 00:34:02,670
+واحد منهم بيكفي لكن طب لو لاجينا هم سكرين التانين
+
+492
+00:34:02,670 --> 00:34:07,390
+لازم نعمل اجراءات عشان بمجرد انه يولد الطفل لأنه
+
+493
+00:34:07,390 --> 00:34:10,990
+هيموت لازم نفتح فتح اما الفرام القفالي بنعمله
+
+494
+00:34:10,990 --> 00:34:17,400
+عملية تفجير فتحلو سكر و الـ BDA لو سكر بدي أدوية
+
+495
+00:34:17,400 --> 00:34:24,300
+عشان يظل maintained عشان يظل فاتح الـ Central
+
+496
+00:34:24,300 --> 00:34:28,220
+cyanosis and tachypnea appear at birth or during
+
+497
+00:34:28,220 --> 00:34:31,400
+the first few days cardiac examination usually
+
+498
+00:34:31,400 --> 00:34:35,720
+reveal no murmur chest x-ray reveal حاجة اسمها egg
+
+499
+00:34:35,720 --> 00:34:39,870
+shapeالـ Heart شكله بيبقى على صورة الأشعة زي صورة
+
+500
+00:34:39,870 --> 00:34:44,530
+البيضة urgent diagnosis لابد انه يتشخص بصورة طارقة
+
+501
+00:34:44,530 --> 00:34:49,870
+essential urgent management include اللي بنعمله
+
+502
+00:34:49,870 --> 00:34:55,010
+عشان نخلط الدم تبع الدورة الدموية الرئوية والدورة
+
+503
+00:34:55,010 --> 00:34:58,670
+الدموية تحت الجسم فبندى حاجة اسمها Prostaglandin E
+
+504
+00:34:58,670 --> 00:35:08,350
+Infusion وهذاوالدكتاز البيتانتي يجعله فاتح على
+
+505
+00:35:08,350 --> 00:35:13,050
+أساس يخلط دم وبمنع إغلاق الدكتاز وممكن نعمل حاجة
+
+506
+00:35:13,050 --> 00:35:17,040
+تانيةالـBallon، واحد منهم يعني الـBallon Atrial
+
+507
+00:35:17,040 --> 00:35:20,880
+Septostomy تفجير سبتستومي، فتح الـSeptum بين
+
+508
+00:35:20,880 --> 00:35:23,980
+الـTwo Atrium اللي هو الفرامين أوفالي، لو كان مسكر
+
+509
+00:35:23,980 --> 00:35:28,340
+وهذا بيسمح للـMixture of Blood وطبعاً بعدين بنعمل
+
+510
+00:35:28,340 --> 00:35:31,920
+حاجة اسمها Switch Operation إيش يعني Switch؟ بجلب
+
+511
+00:35:31,920 --> 00:35:36,920
+الأورطة مرة تانية على مكانه والـPulmonary على
+
+512
+00:35:36,920 --> 00:35:42,160
+مكانه وهذا يفضل إنه ينعمل بسرعة يعني بسرعة، بسرعة،
+
+513
+00:35:42,160 --> 00:35:46,270
+بسرعة، هيك بنبقىتحدثنا عن الـ .. الـ .. الـ ..
+
+514
+00:35:46,270 --> 00:35:50,950
+طبعاً بيظل ال quotation of .. of the أوورتا و اللي
+
+515
+00:35:50,950 --> 00:35:54,470
+عملنا secondary hypertension رجاء إلكوا يمكن تجري
+
+516
+00:35:54,470 --> 00:35:59,550
+.. تجروها أنا مش .. مش هتحدث عنها هان و مش هطلبها
+
+517
+00:35:59,550 --> 00:36:02,790
+في assignment المرة هاي يعني أنا ما طلبتش
+
+518
+00:36:02,790 --> 00:36:06,670
+assignment المرة هاي لكن اجروها و اجروا النقطة
+
+519
+00:36:06,670 --> 00:36:09,930
+اللي قلتلكوا عنها قبل هيك واعتبروهم من المادة يعني
+
+520
+00:36:09,930 --> 00:36:14,410
+اجروهم واعتبروهم من المادةاللي هي quotation of the
+
+521
+00:36:14,410 --> 00:36:18,790
+awarta وش التانية كانت فاكرين اللي تبقوا معانا
+
+522
+00:36:18,790 --> 00:36:24,730
+فاكرين اكيد ماشي ان شاء الله وانهاركوا سعيد ان شاء
+
+523
+00:36:24,730 --> 00:36:26,730
+الله يعطيكوا العافية السلام عليكم
+
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/ajehxymKNRU.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/ajehxymKNRU.srt
new file mode 100644
index 0000000000000000000000000000000000000000..0b7e30b2786c616411501286ded2ea1b742f1367
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/ajehxymKNRU.srt
@@ -0,0 +1,1559 @@
+1
+00:00:02,160 --> 00:00:04,400
+بسم الله الرحمن الرحيم الحمد لله رب العالمين و
+
+2
+00:00:04,400 --> 00:00:08,200
+الصلاة والسلام على سيدنا محمد سيد المرسلين أجمعين
+
+3
+00:00:08,200 --> 00:00:13,580
+إن شاء الله تعالى اليوم هنكمل محاضراتنا و هنتحدث 
+
+4
+00:00:13,580 --> 00:00:17,880
+بإذن الله تعالى عن الـ valvular heart disease إيش 
+
+5
+00:00:17,880 --> 00:00:24,870
+يعني؟ يعني الأمراض الناتجة عن مشاكل في الـ valves و
+
+6
+00:00:24,870 --> 00:00:31,110
+احنا كنا اتحدثنا المرة اللي فاتت و قولنا أنه إذا 
+
+7
+00:00:31,110 --> 00:00:38,670
+فاكرين احنا نوعين من الـ valves جوا الـ heart النوع
+
+8
+00:00:38,670 --> 00:00:45,830
+الأول اللي هو بيربط الـ ventricles بالأتريا والنوع
+
+9
+00:00:45,830 --> 00:00:50,150
+الثاني اللي هو بيربط الـ ventricles بالـ pulmonary
+
+10
+00:00:50,150 --> 00:00:52,870
+artery و بالأبورتا 
+
+11
+00:00:54,200 --> 00:01:00,440
+وتحدثنا عن الفرق بينهم لما تحدثنا في محاضرة اللي 
+
+12
+00:01:00,440 --> 00:01:09,000
+هو الـ Heart Anatomy وقلنا إن بين الـRight Atrium 
+
+13
+00:01:09,000 --> 00:01:13,180
+وRight Ventricle موجود عندنا Atrioventricular 
+
+14
+00:01:13,180 --> 00:01:20,250
+Valve أو بنقول عنها Tricuspidal Valve، Tricuspidal 
+
+15
+00:01:20,250 --> 00:01:24,610
+يعني إلها زي .. زي الخيمة، إلها تلت أجنحة و بين
+
+16
+00:01:24,610 --> 00:01:29,550
+الـ Left Atrium و الـ Left Ventricle فينا Valve
+
+17
+00:01:29,550 --> 00:01:37,130
+اسمه Mitral Valve، Mitral Valve و بين الـ Left ..
+
+18
+00:01:37,130 --> 00:01:42,210
+بين الـ Right Ventricle و بين الـ Pulmonary Artery
+
+19
+00:01:42,210 --> 00:01:47,920
+فينا Semilunar Pulmonary Valve و بين طبعا الـ Left
+
+20
+00:01:47,920 --> 00:01:54,420
+ventricle و الـ aorta فينا الـ aortic valve و برضه 
+
+21
+00:01:54,420 --> 00:01:59,100
+semi lunar زي ما احنا شايفين في المقطع اللي في 
+
+22
+00:01:59,100 --> 00:02:04,340
+الصورة في هذه الصورة المقطع اللي على اليمين تحت
+
+23
+00:02:04,340 --> 00:02:09,780
+بنلاقي إن الـ tricusp تلت قطع تلت خيام تلت
+
+24
+00:02:09,780 --> 00:02:18,060
+والميترال اثنتين في حين إن الـ aortic valve و الـ
+
+25
+00:02:18,060 --> 00:02:23,800
+Pulmonary Valve بيربطوا بين الـ Ventricles و
+
+26
+00:02:23,800 --> 00:02:29,220
+Pulmonary و الـ Aortic Pulmonary 
+
+27
+00:02:29,220 --> 00:02:32,880
+و الـ Aortic و شغلهم 
+
+28
+00:02:32,880 --> 00:02:36,060
+الـ Valve زي ما اتحدثنا قبل هيك يقولنا Maintain
+
+29
+00:02:36,060 --> 00:02:41,000
+Forward Flow and Prevent Reversal of Flow يعني هم
+
+30
+00:02:41,000 --> 00:02:46,650
+بيخلوا الدنيا تمشي في اتجاه واحد اتجاه واحد مش 
+
+31
+00:02:46,650 --> 00:02:50,170
+اتجاهين هي شغلة الـ Valve حتى في الـ veins في الـ
+
+32
+00:02:50,170 --> 00:02:54,470
+legs حتى في الـ arteries في الـ legs دائما الـ Valve 
+
+33
+00:02:54,470 --> 00:03:00,250
+ليسمح بتوجه الـ fluids في اتجاه واحد وعدم السماح
+
+34
+00:03:00,250 --> 00:03:04,310
+له بالرجوع الآن لو سمح له بالرجوع بنقول عنه 
+
+35
+00:03:04,310 --> 00:03:08,770
+insufficient أنه مش شغال زي الناس لو سمح له 
+
+36
+00:03:08,770 --> 00:03:12,910
+بالرجوع ممنوع يسمح له بالرجوع طب وقتاش بيصير عندنا 
+
+37
+00:03:12,910 --> 00:03:18,490
+سمح له بالرجوع لما يكون في عنده weakness وما تسكرش
+
+38
+00:03:18,490 --> 00:03:22,470
+الـ valves زي الناس فبتلاقي إن الـ fluid بعود برجع
+
+39
+00:03:25,540 --> 00:03:29,560
+Open and close in response to pressure difference
+
+40
+00:03:29,560 --> 00:03:33,200
+هذه جملة أساسية مهمة جدا جدا إن الـ valves هاي
+
+41
+00:03:33,200 --> 00:03:37,840
+بتفتح و بتسكر نتيجة اختلاف الضغوط الـ gradients
+
+42
+00:03:37,840 --> 00:03:41,000
+اللي هو اختلاف الضغوط between cardiac chambers 
+
+43
+00:03:41,000 --> 00:03:46,880
+يعني بدخل الدم من جهة لجهة لحد ما يوصل من يعني
+
+44
+00:03:46,880 --> 00:03:51,580
+خليني أقول خليني أقول الآن من الـ right atrium to
+
+45
+00:03:51,580 --> 00:03:57,270
+the right ventricle في الـ Diastolic لحد ما يصير 
+
+46
+00:03:57,270 --> 00:04:04,490
+الضغط جوا الـ Ventricle الأعلى بيسكر الـ Valve طيب،
+
+47
+00:04:04,490 --> 00:04:09,830
+إيش الحاجات اللي ممكن تصير في أي Valve عندنا؟ إيش
+
+48
+00:04:09,830 --> 00:04:12,850
+المشاكل اللي ممكن تصير؟ هي يعني أحد المشاكل
+
+49
+00:04:12,850 --> 00:04:16,770
+الأساسية مشكلتين كبيرتين المشكلة الأولى إنه يصير
+
+50
+00:04:16,770 --> 00:04:21,570
+فيه Obstruction اللي احنا بنقول عنه Stenosis تضيق
+
+51
+00:04:22,390 --> 00:04:25,310
+المشكلة الثانية عكسها إنه يصير في عنده
+
+52
+00:04:25,310 --> 00:04:33,350
+insufficient أو regurgitation ارتخاء فيصير عنده
+
+53
+00:04:33,350 --> 00:04:40,370
+ارتجاع للدم من مكان إلى مكان ارتجاع للدم يبقى 
+
+54
+00:04:40,370 --> 00:04:46,970
+stenosis أو insufficient طبعا مش كل الـ valves
+
+55
+00:04:46,970 --> 00:04:51,410
+بيصير عندها بنفس القدر stenosis 
+
+56
+00:04:52,760 --> 00:04:58,620
+وزي ما بنقول دائما اللي بيشتغل أكثر بيتعب أكثر هنا
+
+57
+00:04:58,620 --> 00:05:04,780
+بالنسبة لنا فاحنا بنلاقي إن الـ Mitral Valve و
+
+58
+00:05:04,780 --> 00:05:08,780
+الـ Aortic Valve هما أكثر الـ valves اللي affected 
+
+59
+00:05:08,780 --> 00:05:14,360
+ليش؟ لأنهم بيشتغلوا أكثر ناس طب ليش بيشتغلوا أكثر 
+
+60
+00:05:14,360 --> 00:05:21,980
+ناس؟ لأن هم اللي بيودوا الدم لأجزاء 
+
+61
+00:05:22,230 --> 00:05:28,230
+the body أو whole the body فهم عندهم الـ most work
+
+62
+00:05:28,230 --> 00:05:32,230
+تقريبا في الـ heart عشان هيك بنلاقي المشاكل معظمها 
+
+63
+00:05:32,230 --> 00:05:36,670
+بتتركز في اللي هي ال .. ال .. ال .. الـ mitral
+
+64
+00:05:36,670 --> 00:05:42,510
+valve و الـ aortic valve valvular stenosis when a
+
+65
+00:05:42,510 --> 00:05:49,810
+valve opening is smaller than normal فيه إلى أسباب 
+
+66
+00:05:52,080 --> 00:05:55,100
+ولكن الـ valvular insufficiency أو الـ
+
+67
+00:05:55,100 --> 00:06:02,660
+regurgitation بيسكر 
+
+68
+00:06:02,660 --> 00:06:05,080
+الحافة على الحافة على الآخر 
+
+69
+00:06:08,080 --> 00:06:12,240
+بيخلي فيه زي الرخاوة في الـ «فولف» و «ذاف» وهذا 
+
+70
+00:06:12,240 --> 00:06:17,880
+يسمح بإدخال الدم من الخلف يتسحول
+
+71
+00:06:17,880 --> 00:06:21,860
+ويدخل داخل الـ «فولف» وداخل الـ «فنترك» نتيجة
+
+72
+00:06:21,860 --> 00:06:25,440
+الضعف اللي في الـ «فولف» زي ما قلنا، الـ
+
+73
+00:06:25,440 --> 00:06:31,380
+«فولفولار» يمكن أن يتعامل مع كل 4 «فولف» لكن بنسبة
+
+74
+00:06:31,380 --> 00:06:36,410
+مختلفة أو أكثر من ذلك من الحاجات اللي احنا ممكن 
+
+75
+00:06:36,410 --> 00:06:41,150
+نبدأ نتحدث فيها الـ Mitral Stenosis Mitral
+
+76
+00:06:41,150 --> 00:06:47,110
+Regurgitation ارتجاع الميترال وتضيق الميترال أو
+
+77
+00:06:47,110 --> 00:06:54,370
+أورتيكستينوزس أو أورتيكرجورغيتيشن لأن الـ Tricusp
+
+78
+00:06:54,370 --> 00:06:57,730
+Valve اللي هو الـ Atrioventricular Valve is 
+
+79
+00:06:57,730 --> 00:07:03,530
+affected infrequentlyTricuspid Stenosis بيعملنا 
+
+80
+00:07:03,530 --> 00:07:08,210
+Right Heart Failure وTricuspid Regurgitation الـ
+
+81
+00:07:08,210 --> 00:07:10,810
+causes of valvular diseases ليش طيب بيصير عندنا 
+
+82
+00:07:10,810 --> 00:07:17,610
+valvular diseases؟ أول حاجة يكون congenital، مخلوق 
+
+83
+00:07:17,610 --> 00:07:21,830
+فيه، فيه عنده abnormality في الـ valves زي أي مكان
+
+84
+00:07:21,830 --> 00:07:28,610
+في الجسم، congenital mostly affect the aortic or
+
+85
+00:07:28,610 --> 00:07:36,680
+pulmonic Valve هذا الـ congenital الـ acquired يعني
+
+86
+00:07:36,680 --> 00:07:42,180
+حاجة صارت over the time عملت لي
+
+87
+00:07:42,180 --> 00:07:45,980
+Valvular disease زي مين؟ زي الـ rheumatic fever إيش
+
+88
+00:07:45,980 --> 00:07:51,060
+الـ rheumatic fever؟ مين فاكر حاجة عن الـ rheumatic
+
+89
+00:07:51,060 --> 00:07:53,320
+fever؟ طب إيش سببها بالعربي؟ 
+
+90
+00:07:56,080 --> 00:08:01,660
+الحمى الروماتيزمية، هذه كانت زمان مشهورة ومنتشرة،
+
+91
+00:08:01,660 --> 00:08:06,560
+إيش الحمى الروماتيزمية؟ هنحكيها في الـ slide اللي 
+
+92
+00:08:06,560 --> 00:08:11,460
+بعده، إيش كمان بيعمل لي Valvular Disease؟ Infective
+
+93
+00:08:11,460 --> 00:08:15,560
+Endocarditis، إحنا عارفين إن الـ valves امتداد
+
+94
+00:08:15,560 --> 00:08:21,620
+لمين؟ امتداد للـ endocardium لأن لما بيصير عندي
+
+95
+00:08:21,620 --> 00:08:24,220
+infection في الـ endocardium انفعكت في الـ 
+
+96
+00:08:24,220 --> 00:08:29,040
+endocarditis فالـ valves برضه بتلتهب طيب الآن 
+
+97
+00:08:29,040 --> 00:08:33,000
+تخيلوا قدامك و هيك أي شيء الحاجات اللي بتلتهب خاصة
+
+98
+00:08:33,000 --> 00:08:38,900
+لما تكون حاجات هيك ناعمة زي الـ valves لما بتلتهب 
+
+99
+00:08:38,900 --> 00:08:44,540
+إيش بيصير؟ يا إما يضيق الـ valve يا إما الـ valve
+
+100
+00:08:44,540 --> 00:08:51,980
+بيصير فيه رخاوة و بيصير عندنا الـ coronary artery
+
+101
+00:08:51,980 --> 00:08:55,460
+disease لماذا؟ لأنه لا يصل إلى الـ valves تخدية
+
+102
+00:08:55,460 --> 00:09:01,660
+كيف هي؟ آه، الـ cardiomyopathy إنه يكون الـ heart 
+
+103
+00:09:01,660 --> 00:09:07,460
+muscle صار فيه عنده disease وهذا إيش بيعمل لنا
+
+104
+00:09:07,460 --> 00:09:12,160
+cardiomyopathy؟ بيعمل لنا cardiomegaly تخيلوا إنه
+
+105
+00:09:12,160 --> 00:09:18,280
+القلب بالـ valves تبعته كما هي كويس لكن لما يكبر
+
+106
+00:09:18,280 --> 00:09:26,980
+قلبه يتوسع بتتوسع الـ Valve فبتبعد الـ Caps اللي 
+
+107
+00:09:26,980 --> 00:09:30,860
+هي تبعت الـ Valves عن بعض فبيصير عندنا Re-Orgitation
+
+108
+00:09:30,860 --> 00:09:34,920
+الـ Hypertension، الـ Aortic Aneurysm، الـ
+
+109
+00:09:34,920 --> 00:09:37,940
+Connective Tissue Disease هذه كلها من الأسباب اللي 
+
+110
+00:09:37,940 --> 00:09:45,500
+بتعمل لنا Valvular Diseases طب نعرج على بعض الـ الـ
+
+111
+00:09:45,500 --> 00:09:49,080
+Diseases بس من باب الشرح الـ Rheumatic Heart
+
+112
+00:09:49,080 --> 00:09:54,980
+Disease إيش بنقصد فيه؟ هو عبارة عن باختصار جدا الـ
+
+113
+00:09:54,980 --> 00:09:59,100
+Rheumatic Heart Disease هو عبارة عن post
+
+114
+00:09:59,100 --> 00:10:02,760
+-infectious disease كيف يعني post-infectious؟ يعني 
+
+115
+00:10:02,760 --> 00:10:06,540
+بيصير infectious بعد بأسبوع أو أسبوعين بيصير في 
+
+116
+00:10:06,540 --> 00:10:12,300
+عندنا ردة فعل autoimmune ضد 
+
+117
+00:10:12,300 --> 00:10:17,120
+خلايا الـ valves أو القلب وهذا هنشوفه في عدة أمراض 
+
+118
+00:10:17,120 --> 00:10:21,940
+مثل «جولين باري سندروم» مثلًا مثلًا مثلًا مثلًا 
+
+119
+00:10:21,940 --> 00:10:26,240
+مثلًا
+
+120
+00:10:26,240 --> 00:10:29,260
+مثلًا
+
+121
+00:10:29,260 --> 00:10:29,920
+مثلًا مثلًا مثلًا مثلًا مثلًا مثلًا مثلًا مثلًا 
+
+122
+00:10:29,920 --> 00:10:31,640
+مثلًا مثلًا مثلًا مثلًا مثلًا مثلًا مثلًا مثلًا 
+
+123
+00:10:31,640 --> 00:10:35,260
+مثلًا مثلًا مثلًا مثلًا مثلًا مثلًا مثلًا مثلًا
+
+124
+00:10:35,260 --> 00:10:35,780
+مثلًا مثلًا مثلًا مثلًا مثلًا مثلًا مثلًا مثلًا
+
+125
+00:10:35,780 --> 00:10:35,800
+مثلًا مثلًا مثلًا مثلًا مثلًا مثلًا مثلًا مثلًا 
+
+126
+00:10:35,800 --> 00:10:39,280
+مثلًا مثلًا مثلًا 
+
+127
+00:10:43,020 --> 00:10:48,540
+زي الصواريخ ضد المفروض ضد البكتيريا اللي عملت
+
+128
+00:10:48,540 --> 00:10:53,920
+الالتهاب وبما أن البروتين تبع البكتيريا بيشبه لبعض
+
+129
+00:10:53,920 --> 00:10:58,280
+خلايا الجسم فبتخربط الجهاز المناعي بدل ما يضرب 
+
+130
+00:10:58,280 --> 00:11:03,720
+البكتيريا بروح بيضرب إيش بيضرب نفسه بيضرب اللي هو
+
+131
+00:11:03,720 --> 00:11:07,160
+خلايا الجسم وهذا اللي بيصير في القلب أو في الـ
+
+132
+00:11:07,160 --> 00:11:12,880
+valves أنه أنه تهاجم الـ valves من الجهاز المناعي
+
+133
+00:11:12,880 --> 00:11:17,200
+تبع بني آدم نفسه ليش؟ لأنه ما عرفش يفرق الجهاز
+
+134
+00:11:17,200 --> 00:11:22,410
+المناعي بين البكتيريا اللي عملاله التهاب وبين اللي
+
+135
+00:11:22,410 --> 00:11:27,310
+هي خلايا الـ valves فبيهاجمها بصورة واضحة فبيصير
+
+136
+00:11:27,310 --> 00:11:31,170
+عندنا ما نسميه بـ heart أو rheumatic heart disease
+
+137
+00:11:31,170 --> 00:11:34,010
+inflammatory process that may affect the 
+
+138
+00:11:34,010 --> 00:11:38,910
+myocardium pericardium and or endocardium وهذا
+
+139
+00:11:38,910 --> 00:11:43,090
+بيصير بيعمل ليه إيش؟ distortion و scarring of the
+
+140
+00:11:43,090 --> 00:11:46,150
+valve أي التهاب في أي valve بيعمل scarring و
+
+141
+00:11:46,150 --> 00:11:51,260
+distortion لإلهذا بيصير نتيجة «Type II
+
+142
+00:11:51,260 --> 00:11:55,260
+Inflammatory Reaction» of inflammatory reaction هذا 
+
+143
+00:11:55,260 --> 00:11:59,560
+type 2 secondary to sore throat نتيجة التهاب 
+
+144
+00:11:59,560 --> 00:12:03,120
+اللوز عشان هي أنا بنركز يا جماعة لما بيصير التهاب
+
+145
+00:12:03,120 --> 00:12:05,820
+لوز بكتيري عن طريق اللي هو الـ streptococcus
+
+146
+00:12:05,820 --> 00:12:12,100
+biogenes أو كوكاي streptococci beta-haemolytic
+
+147
+00:12:12,100 --> 00:12:15,400
+streptococci بنقول للناس لابد إنه نعالج ببنسلين
+
+148
+00:12:15,400 --> 00:12:19,160
+لأنه لو تركنا موضوعه ممكن هذا الأمر يترك لي أثر
+
+149
+00:12:19,160 --> 00:12:24,890
+على القلب ويعمل لي rheumatic heart على الـ kidney
+
+150
+00:12:24,890 --> 00:12:33,570
+ويعملّي glomerulonephritis على الـ joints ويعملّي 
+
+151
+00:12:33,570 --> 00:12:39,970
+arthritis، rheumatic arthritis يبقى أنا لما بعالج
+
+152
+00:12:39,970 --> 00:12:45,070
+اللوز، التهاب اللوز البكتيري لما بعالجه، بعالجه مش 
+
+153
+00:12:45,070 --> 00:12:48,730
+عشان التهاب اللوز itself ولو إنه مهم، لكن بعالجه
+
+154
+00:12:48,730 --> 00:12:56,620
+حتى إنه ما يعجب، ما يترك أثر عدم العلاج على vital
+
+155
+00:12:56,620 --> 00:13:02,060
+organs زي القلب زي الـ Heart زي الـ Kidneys زي الـ 
+
+156
+00:13:02,060 --> 00:13:06,620
+Joints هد هو إيش الـ Rheumatic Heart Disease زي ما 
+
+157
+00:13:06,620 --> 00:13:10,260
+بيقول دايما هو عبارة عن Autoimmune Disease
+
+158
+00:13:10,260 --> 00:13:14,300
+Autoimmune Disease يعني نيران صديقة الجسم بيهاجم 
+
+159
+00:13:14,300 --> 00:13:17,600
+نفسه بيفكر حاله بيهاجم عدو
+
+160
+00:13:19,960 --> 00:13:24,100
+الـ Infective Endocarditis أي Infection زي القلب
+
+161
+00:13:24,100 --> 00:13:31,050
+زيه زي أي مكان بالعكس هومن أكثر الأعضاء لأنهم 
+
+162
+00:13:31,050 --> 00:13:35,250
+يمروا عليها كل الدم عمليًا في الجسم فأي بكتيريا 
+
+163
+00:13:35,250 --> 00:13:38,950
+مضرة ممكن في الآخر تعملي طبعًا في أنواع ما نحكي
+
+164
+00:13:38,950 --> 00:13:45,250
+أحنا عن الـinfective heart diseases بعد هيك ممكن
+
+165
+00:13:45,250 --> 00:13:48,350
+يعملي infection على heart valve commonly بكتيريا
+
+166
+00:13:48,350 --> 00:13:52,470
+result in damage to valve structure giving rise to
+
+167
+00:13:52,470 --> 00:13:53,670
+stenosis أو regurgitation
+
+168
+00:13:57,290 --> 00:14:02,390
+هذه من بعض الأسباب اللي
+
+169
+00:14:02,390 --> 00:14:12,730
+ممكن تعملنا الـ Valve Disease يعني احنا من باب 
+
+170
+00:14:12,730 --> 00:14:18,310
+الآن الذكر طيب هو صار عندى الـ Stenosis في الـ 
+
+171
+00:14:18,310 --> 00:14:23,550
+Mitral عسم المثال هو إيش يعني هيصير؟ بتفكروا يا
+
+172
+00:14:23,550 --> 00:14:27,030
+جماعة و تتصوروا الـ «circulation» اللي اتحدثنا
+
+173
+00:14:27,030 --> 00:14:31,370
+عليه في الأول تبع الدم «mitral stenosis» يعني وين
+
+174
+00:14:31,370 --> 00:14:35,230
+بتكون المشكلة؟ بتكون في الـ «mitral valve»
+
+175
+00:14:35,230 --> 00:14:38,290
+والمشكلة في الغالب في الـ «stenosis» في الـ 
+
+176
+00:14:38,290 --> 00:14:45,430
+«systolicum» لما يضخ الجلب لما
+
+177
+00:14:45,430 --> 00:14:48,470
+في الـ «diastolicum» لما ينبسط القلب، وين المشكلة
+
+178
+00:14:48,470 --> 00:14:49,030
+بتصير؟
+
+179
+00:14:51,960 --> 00:14:57,040
+الميترال شغله في الـ diastolicum لما الـ left
+
+180
+00:14:57,040 --> 00:15:03,060
+atrium بده يدخل الدم على الـ left ventricle كمان
+
+181
+00:15:03,060 --> 00:15:08,480
+مرة، diastolicum بده يدخل الدم من الـ left atrium
+
+182
+00:15:08,480 --> 00:15:13,580
+to the left ventricle الاستينوزز هنا بتلعب دور، 
+
+183
+00:15:13,580 --> 00:15:18,290
+ليش؟لأنه بيصير الـ Left Atrium مش جادر يدخل كل
+
+184
+00:15:18,290 --> 00:15:21,770
+الدم اللي وصله من الـ Lung للـ Left Ventricle
+
+185
+00:15:21,770 --> 00:15:27,110
+وبالتالي الـ Left Ventricle مقدرش يدقق دم كتير على 
+
+186
+00:15:27,110 --> 00:15:35,270
+الجسم يبقى الاستينوزز بيتركلي أثر زيادة تحميل على 
+
+187
+00:15:35,270 --> 00:15:43,830
+الـ Left Atrium ونقص تحميل على الـ Left Ventricle
+
+188
+00:15:47,260 --> 00:15:50,000
+طيب، وإذا أنا في عندي زيادة التحميل على الـ left
+
+189
+00:15:50,000 --> 00:15:54,420
+atrium، إيش بيصير؟ لأنه مش قادر يدخل كل الدم نتيجة
+
+190
+00:15:54,420 --> 00:15:58,520
+الـ stenosis، نتيجة الدضايق، مش قادر يدخل كل الدم
+
+191
+00:15:58,520 --> 00:16:02,960
+على الـ left ventricles، إيش بيصير؟ آه، بيجي الـ 
+
+192
+00:16:02,960 --> 00:16:11,730
+left ventricle بيقول للـ pulmonary veins اللي جايبة
+
+193
+00:16:11,730 --> 00:16:16,770
+دم من الـ lungs لأ بيكفي انا مش جادر اخد دم منك يا
+
+194
+00:16:16,770 --> 00:16:21,130
+lung كفاية كتير ليش؟ لأنه انا مش جادر اديه للـ 
+
+195
+00:16:21,130 --> 00:16:25,570
+left ventricle فبيصير عندي إيش احتقان في ال lungs
+
+196
+00:16:25,570 --> 00:16:30,110
+إذا صار في عندي احتقان في ال lungs بيجي ال right
+
+197
+00:16:30,110 --> 00:16:33,210
+ventricle الآن مش عن ال left الجدا بيجي ال right
+
+198
+00:16:33,210 --> 00:16:38,350
+ventricle مش جادر يضخ دم في ال lungs ليش؟ لأن ال
+
+199
+00:16:38,350 --> 00:16:46,120
+lungs ملانة دم طيب فبصير في عندنا حاجة اسمها Right
+
+200
+00:16:46,120 --> 00:16:52,100
+-sided heart failure symptoms إذا الـ Right heart
+
+201
+00:16:52,100 --> 00:16:57,340
+أو الـ Right ventricle و الـ Right heart صار في
+
+202
+00:16:57,340 --> 00:17:05,130
+عنده ملان دم و محتقن لن يأخذ دم من وين من الجسم من 
+
+203
+00:17:05,130 --> 00:17:10,050
+الـVenacava Superior والـVenacava Inferior فبيصير
+
+204
+00:17:10,050 --> 00:17:21,090
+عندنا Symptoms في الجسم ناتجة عن احتقان أعضاء
+
+205
+00:17:21,090 --> 00:17:25,890
+الجسم لأنها مش قادرة على طريق الـ Venacava Superior
+
+206
+00:17:25,890 --> 00:17:29,410
+و Inferior تدّي الـ Right Atrium و الـ Right
+
+207
+00:17:29,410 --> 00:17:32,930
+Atrium مش قادر يدّي الـ Right Ventricle ليش؟ لأن
+
+208
+00:17:32,930 --> 00:17:35,810
+الـ Right Ventricle مش قادر ياخد من الـ Lung لأن
+
+209
+00:17:35,810 --> 00:17:39,450
+الـ Lung مش قادرة تدّي الـ Left Atrium ليش؟ نتيجة
+
+210
+00:17:39,450 --> 00:17:46,430
+التضيق في الـ «ميترال فالف»، كل هذا ما هي المشكلة
+
+211
+00:17:46,430 --> 00:17:50,530
+وإحنا ليش بنبكي لما يكون في عندنا Stenosis في الـ 
+
+212
+00:17:50,530 --> 00:17:54,350
+«ميترال فالف»؟ ليش؟ لأنه تأثيره تأثير غير مباشر
+
+213
+00:17:54,350 --> 00:17:57,070
+على معظم أعضاء الجسم، ولو أنه تضيق بس في الـ 
+
+214
+00:17:57,070 --> 00:18:02,450
+«ميترال فالف»، عرفتوا؟ كل إشي هيك بده يتفسر يا 
+
+215
+00:18:02,450 --> 00:18:04,990
+جماعة، كل إشي هيك بده يتفسر، ليش الـ «فالفولار
+
+216
+00:18:04,990 --> 00:18:09,940
+ديزيزيز» اللي هي التأثير الكبير طيب، هل هناك حلول؟
+
+217
+00:18:09,940 --> 00:18:14,400
+نعم، هذه القضية أني لدي حلول للمواضيع هذه طب
+
+218
+00:18:14,400 --> 00:18:19,220
+الـميترافالف، من أيش بيصير في العادة؟ طبعا، يمكن
+
+219
+00:18:19,220 --> 00:18:23,600
+أني فرضت الآن الشرح للـmitral valve لأهميته ولأنه
+
+220
+00:18:23,600 --> 00:18:28,620
+بس obvious وواضح ويعني الواحد بيقدر يتصور الموضوع
+
+221
+00:18:28,620 --> 00:18:33,040
+usually result from rheumatic carditis وإيش اللي
+
+222
+00:18:33,040 --> 00:18:35,760
+بيصير؟ بيصير عندي thickening by fibrosis
+
+223
+00:18:35,760 --> 00:18:39,340
+وcalcification نتيجة الـ Rheumatic Carditis
+
+224
+00:18:39,340 --> 00:18:44,260
+thickening by fibrosis and calcification طبعاً 
+
+225
+00:18:44,260 --> 00:18:47,600
+ممكن يكون نتيجة tumor أو thrombus لكن الأساس إنه 
+
+226
+00:18:47,600 --> 00:18:52,300
+Rheumatic Carditis إيش اللي بيصير؟ نتيجة الاتهابات
+
+227
+00:18:52,300 --> 00:18:55,480
+الـ leaflets of the valves اللي هي الفروع بتاعة
+
+228
+00:18:55,480 --> 00:19:02,140
+الـ valves fuse تتلتحم مع بعض و بصير عندى narrowing
+
+229
+00:19:02,140 --> 00:19:08,320
+of the opening وهذا بمنع normal blood flow from
+
+230
+00:19:08,320 --> 00:19:12,320
+left atrium to the left ventricle left atrium
+
+231
+00:19:12,320 --> 00:19:20,260
+pressure بزيد ال left atrium dilates البلمونة
+
+232
+00:19:20,260 --> 00:19:26,800
+الارتريه pressure بزيد فإيش بيصير عندى بالتالي
+
+233
+00:19:26,800 --> 00:19:31,400
+right ventricle hypertrophy زي ما قلنا الـ 
+
+234
+00:19:31,400 --> 00:19:34,620
+Pulmonary congestion احتقان القلب الـ Pulmonary
+
+235
+00:19:34,620 --> 00:19:39,120
+الاريعتين بيعملولي Right-sided heart failures
+
+236
+00:19:39,120 --> 00:19:45,200
+وطبعاً بعكرلي كل الموضوع الـ Mitral Stenosis في
+
+237
+00:19:45,200 --> 00:19:48,140
+منها طبعاً مش كل الـ Mitral Stenosis مش كل تضيق هو
+
+238
+00:19:48,140 --> 00:19:52,680
+يعتبر تضيق مهم في كتير ناس عندها تضيق لكن الأمور
+
+239
+00:19:52,680 --> 00:19:57,240
+compensated في حالات الـ mild و بتبقى asymptomatic
+
+240
+00:19:58,760 --> 00:20:02,120
+لكن بعض الأحيان بنلاقي انه with progression بتزيد
+
+241
+00:20:02,120 --> 00:20:04,860
+مع الوقت بتزيد وإحنا مابنحكيش عن acute هنا يا
+
+242
+00:20:04,860 --> 00:20:08,900
+جماعة لإن السبب مش .. مش .. مش thrombus مثلا أو ..
+
+243
+00:20:08,900 --> 00:20:12,140
+أو حاجة إنما إحنا بنحكي عن حاجة chronic over the
+
+244
+00:20:12,140 --> 00:20:19,880
+time بتصير with progression بصير dyspnea، أرتبنية،
+
+245
+00:20:19,880 --> 00:20:23,640
+dry cough، hemoptysis، إيش عن hemoptysis؟
+
+246
+00:20:27,540 --> 00:20:34,720
+وإيش معناة hematemesis طب
+
+247
+00:20:34,720 --> 00:20:41,700
+hematuria طب التلت كلمات هدول بدي عن كل واحدة سطرة
+
+248
+00:20:41,700 --> 00:20:47,180
+تكتبولي إيش يعني hemoptysis إيش يعني hematuria إيش 
+
+249
+00:20:47,180 --> 00:20:52,560
+يعني hematemesis and pulmonary edema may appear
+
+250
+00:20:52,560 --> 00:20:58,700
+يبدأ ال assignment الجزء تبعه الأولاني بدنا الفرق
+
+251
+00:20:58,700 --> 00:21:03,000
+بين الـ hemoptysis الـ hematuria and الـ
+
+252
+00:21:03,000 --> 00:21:07,860
+hematemesis right-sided heart failure symptoms
+
+253
+00:21:07,860 --> 00:21:11,360
+occur later وبعدين بيصير عندي atrial fibrillation
+
+254
+00:21:11,360 --> 00:21:15,260
+وممكن يصير عندي ميرمر كمان في القلب مش مهم جدا
+
+255
+00:21:15,260 --> 00:21:23,820
+بالنسبة لك هل الـ aortic stenosis اللي بيصير بيصير 
+
+256
+00:21:23,820 --> 00:21:29,400
+تضيق الأورطة بيصير بنفس الصورة وبيعمللي مشاكل نعم
+
+257
+00:21:29,400 --> 00:21:34,660
+هو بنفس الفكرة بالمناسبة إنه ال right ال left
+
+258
+00:21:34,660 --> 00:21:39,080
+ventricle اللي هو عن طريق الأورتك بيبعد دم للجسم
+
+259
+00:21:39,080 --> 00:21:45,560
+مقدرش يبعد كل الدم لأنه عنده stenosis هلجيت الجسم
+
+260
+00:21:45,560 --> 00:21:50,000
+بيصلوش دم كفاية وهذا بيعمللي مشاكل تصوروا الدماغ
+
+261
+00:21:50,000 --> 00:21:59,190
+مايصلوش دم بيصير عندى Psycho خاصة لما فيه exertion، 
+
+262
+00:21:59,190 --> 00:22:07,170
+فيه تعب، فيه حركة، لما القلب وشرين القلب مايصلهاش
+
+263
+00:22:07,170 --> 00:22:12,930
+دم كفاية، بيصير عندنا Angina، ليش؟ لأن ال supply
+
+264
+00:22:12,930 --> 00:22:22,650
+جال تبع الدم لل heart muscles، بيصير عندنا dyspnea
+
+265
+00:22:24,590 --> 00:22:29,670
+بسبب نفسي الـ Heart Failure بسبب
+
+266
+00:22:29,670 --> 00:22:32,230
+نفسي الـ Heart Failure بسبب نفسي الـ Heart Failure
+
+267
+00:22:32,230 --> 00:22:36,170
+بسبب نفسي الـ Heart Failure بسبب نفسي الـ Heart Failure
+
+268
+00:22:36,170 --> 00:22:37,890
+بسبب نفسي الـ Heart Failure بسبب نفسي الـ Heart Failure
+
+269
+00:22:37,890 --> 00:22:38,070
+بسبب نفسي الـ Heart Failure بسبب نفسي الـ
+
+270
+00:22:38,070 --> 00:22:40,650
+نفسي الـ Heart Failure بسبب نفسي الـ Heart Failure
+
+271
+00:22:40,650 --> 00:22:45,630
+بسبب نفسي الـ Heart Failure بسبب نفسي الـ Heart
+
+272
+00:22:45,630 --> 00:22:52,400
+Failure بسبب نفسي الـ Heart Failure بسبب نالان
+
+273
+00:22:52,400 --> 00:22:55,760
+بعيدا عن ايش بتصير في الـ heart باقي الجسم مش
+
+274
+00:22:55,760 --> 00:23:00,300
+هيصله دم فبصير ان المشاكل هذه الأعضاء الـ vital
+
+275
+00:23:00,300 --> 00:23:04,160
+organs بيصير فيها مشاكل ليش؟ لأنه ماوصلهاش
+
+276
+00:23:04,160 --> 00:23:07,800
+perfusion كفاية طيب من ايش بيصير الـ aortic
+
+277
+00:23:07,800 --> 00:23:15,980
+stenosis؟ commonly نتيجة age related progressive
+
+278
+00:23:15,980 --> 00:23:21,790
+calcification وبرضه rheumatic aortic stenosis الـ
+
+279
+00:23:21,790 --> 00:23:24,570
+Rheumatic-Aortic Stenosis Clinical Representation
+
+280
+00:23:24,570 --> 00:23:30,070
+مهم نعرفه «سينكوب» في الـ Exertional Stage خاصة
+
+281
+00:23:30,070 --> 00:23:37,810
+عند الـ Angina، Dyspnea، and Sudden Death الـ
+
+282
+00:23:37,810 --> 00:23:42,730
+Aortic Regurgitation أو الـ Insufficiency هو عبارة
+
+283
+00:23:42,730 --> 00:23:48,500
+عن leaking of the aortic valve of the heart that causes
+
+284
+00:23:48,500 --> 00:23:52,160
+blood to flow in the reverse direction during
+
+285
+00:23:52,160 --> 00:23:57,260
+ventricular diastole بيجي القلب ع سلامته بيعمل
+
+286
+00:23:57,260 --> 00:24:01,640
+diastolicum المفروض أن الدم بيجي كل هيته من وين؟
+
+287
+00:24:01,640 --> 00:24:06,240
+من الـ mitral valve و من الـ tricuspidal valve فإذا
+
+288
+00:24:06,240 --> 00:24:09,600
+به بيجيله دم كمان من الـ aortic valve و من
+
+289
+00:24:09,600 --> 00:24:13,320
+الـ pulmonary valve إيش بيصير هيك؟ بيصير عنا overload
+
+290
+00:24:14,440 --> 00:24:20,520
+الـ Left ventricle بيدخله كمان دم من الـ aortic
+
+291
+00:24:20,520 --> 00:24:25,620
+غير اللي دخله من في
+
+292
+00:24:25,620 --> 00:24:28,560
+الـ diastolic غير اللي دخله من اللي هو الـ left
+
+293
+00:24:28,560 --> 00:24:34,560
+atrium أسباب
+
+294
+00:24:34,560 --> 00:24:38,300
+الـ regurgitation ممكن يكون Infective endocarditis
+
+295
+00:24:38,300 --> 00:24:45,900
+روماتيك، disease ممكن، trauma في عندنا بعض الأمراض
+
+296
+00:24:45,900 --> 00:24:50,160
+زي الـ Marfan Syndrome و الـ Syphilis هذه
+
+297
+00:24:50,160 --> 00:24:53,820
+بتديني Aortic Dilatation يبقى أنا بحكي عنها كمان
+
+298
+00:24:53,820 --> 00:24:57,440
+وهذا الـ Assignment الثاني عفواً الجزء الثاني من
+
+299
+00:24:57,440 --> 00:25:01,260
+الـ Assignment اللي هو بدي تلت تسطر عن الـ Marfan
+
+300
+00:25:01,260 --> 00:25:05,540
+Syndrome و تلت تسطر عن الـ Syphilis تلت تسطر بس
+
+301
+00:25:05,540 --> 00:25:09,860
+ثلاثة ثلاثة واتفجنا في الجبل شوية عن
+
+302
+00:25:16,660 --> 00:25:20,380
+في الجزء الأول من الـ Assignment نكتب الفرق بين
+
+303
+00:25:20,380 --> 00:25:26,060
+الهيماتوريا والـ hematemesis والـ hemoptysis هدول
+
+304
+00:25:26,060 --> 00:25:29,980
+الـ Assignment اللي هو جزءين وما يزدش أي حاجة
+
+305
+00:25:29,980 --> 00:25:33,060
+بتنكتب عن تلت تستر عن أي حاجة في الموضوع هذا
+
+306
+00:25:33,060 --> 00:25:37,200
+بالذات اليوم في حين الـ mitral regurgitation بنفس
+
+307
+00:25:37,200 --> 00:25:40,640
+الصورة occurs when the mitral valve does not close
+
+308
+00:25:40,640 --> 00:25:48,250
+properly في حين heart pumps out blood نفس الفكرة
+
+309
+00:25:48,250 --> 00:25:53,690
+ممكن تترك لي آثار كبيرة الـ diagnosis كيف أنا بشخص
+
+310
+00:25:53,690 --> 00:25:59,610
+الـ valvular diseases رقم واحد الـ
+
+311
+00:25:59,610 --> 00:26:02,930
+echocardiography واحنا اتحدثنا أيامها الفرق بين
+
+312
+00:26:02,930 --> 00:26:06,930
+الـ ECG و الـ echo إذا فاكرين و الـ catheter وقلنا
+
+313
+00:26:06,930 --> 00:26:12,930
+إن الـ echocardiography هو اللي يكشف لي مشاكل الـ
+
+314
+00:26:12,930 --> 00:26:16,640
+muscles ومشاكل الـ Valves
+
+315
+00:26:19,150 --> 00:26:22,550
+وممكن طبعاً بعض الأحيان تبقى الـ Echocardiography
+
+316
+00:26:22,550 --> 00:26:32,450
+لأنها Trans-thoracic من خلال الصدر من برا نعملها
+
+317
+00:26:32,450 --> 00:26:35,990
+Echocardiography بيبين ليش بعض الحاجات فبنضطر ندخل
+
+318
+00:26:35,990 --> 00:26:40,110
+بجهاز الـ Echo لكن عن طريق الـ Esophagus عن طريق
+
+319
+00:26:40,110 --> 00:26:44,490
+المريء نقول عنها Transesophageal Echocardiography
+
+320
+00:26:44,490 --> 00:26:50,390
+إذا عرفنا إنه في حاجة وبدها تشخيص أكتر وأكثر بتحتاج
+
+321
+00:26:50,390 --> 00:26:53,750
+خاصة لو بدها intervention بنحتاج إليها cardiac
+
+322
+00:26:53,750 --> 00:26:59,310
+catheter بنقول عنه أنجيوغرام بدها أنجيوغرام طبعاً
+
+323
+00:26:59,310 --> 00:27:03,030
+في الصورة واضح عندنا اللي هو حاجة بنقول عنها الـ
+
+324
+00:27:03,030 --> 00:27:09,220
+four valve أو four chamber view طبعاً هذه بدها
+
+325
+00:27:09,220 --> 00:27:12,440
+أخصائي القلب هو اللي بيقوم بيها الشغل هاي وبيشوف
+
+326
+00:27:12,440 --> 00:27:17,260
+مدى كيف الـ .. الـ .. الـ .. الـ valves وضعها و كيف
+
+327
+00:27:17,260 --> 00:27:21,980
+مرور الدم من خلالها بمجسات معينة بيجيسوها على
+
+328
+00:27:21,980 --> 00:27:24,620
+الجهاز فبيعرفوا إنه في مشكلة أو لأ وطبعاً ممكن
+
+329
+00:27:24,620 --> 00:27:31,180
+نضطر نروح على الـ MRI هذا طبعاً اللي هو الـ .. الـ ..
+
+330
+00:27:31,180 --> 00:27:37,810
+الـ .. الـ Angiogram هنحكي في ساعته طب كيف أتعالج
+
+331
+00:27:37,810 --> 00:27:42,990
+الـ «valvular diseases»؟ هو لو الـ «valvular
+
+332
+00:27:42,990 --> 00:27:47,130
+diseases» عملتلي مشاكل في الـ «myocardium» وفي
+
+333
+00:27:47,130 --> 00:27:54,070
+القلب ممكن أحتاج drugs حتى أخفف الضغط عنها لكن
+
+334
+00:27:54,070 --> 00:27:58,090
+الأصل أنه أنا بعمل للـ «valves» هاي إما repair أو
+
+335
+00:27:58,090 --> 00:28:04,550
+replacement إما repair أو replacement والتحقيق
+
+336
+00:28:04,550 --> 00:28:09,890
+بإصلاحها بإستخدام مُجهزة ممكنة للتحقيق بإستخدام
+
+337
+00:28:09,890 --> 00:28:16,290
+مُجهزة ممكنة للتحقيق بإستخدام
+
+338
+00:28:16,290 --> 00:28:16,810
+مُجهزة
+
+339
+00:28:19,550 --> 00:28:23,490
+ممكن أدى Diuretics، ممكن أدى Beta Blockers، بغض
+
+340
+00:28:23,490 --> 00:28:27,650
+النظر عن وظيفة كل واحد، مع حالة كبيرة طريقتنا من
+
+341
+00:28:27,650 --> 00:28:31,050
+الأول، زي ما اتفقنا، Diuretics، هذه كلها بتخفف
+
+342
+00:28:31,050 --> 00:28:35,710
+الوضع أو الضغط عن القلب، Beta Blockers، Digoxin،
+
+343
+00:28:35,710 --> 00:28:39,070
+O2، Oxygen، Vasodilators، Prophylactic Antibiotic،
+
+344
+00:28:39,070 --> 00:28:45,150
+ممكن أدى وإذا كان هناك إتريال أو فايبرليشن، يمكن أن
+
+345
+00:28:45,150 --> 00:28:48,650
+أعمله إتريال أو فايبرليشن إذا كان ممكن أو يمكن أن
+
+346
+00:28:48,650 --> 00:28:55,750
+نعمل استخدام لـ Anticoagulation الـ Surgical
+
+347
+00:28:55,750 --> 00:29:00,740
+Management يحدث كما قلنا كل Valve إله طريقة معينة
+
+348
+00:29:00,740 --> 00:29:05,340
+بتنعمل فيه، مش كله زي بعض وهذه إلها ناس أخصائيين
+
+349
+00:29:05,340 --> 00:29:08,480
+فيها لكن إحنا بنحكي عن الأساسيات تبع الموضوع
+
+350
+00:29:08,480 --> 00:29:12,080
+«ميترال فالف» ممكن أعمله replacement أو «فالفولو
+
+351
+00:29:12,080 --> 00:29:15,680
+بلاستي» بلون «فالفولو بلاستي» عمل التوزيع بالبالون
+
+352
+00:29:15,680 --> 00:29:20,600
+أو «أورتيك فالف» replacement في حالات لما يكون
+
+353
+00:29:20,600 --> 00:29:29,190
+عندي problem هذه صور من الموضوع الـ «Valves» وموضوع
+
+354
+00:29:29,190 --> 00:29:36,070
+كبير، موضوع مهم أخد على مدى التاريخ كتير تجارب
+
+355
+00:29:36,070 --> 00:29:43,500
+لحتى وصلوا لموضوع الـ «Valves» سواء الـ Repair أو
+
+356
+00:29:43,500 --> 00:29:48,300
+الـ Replacement بنحس إنه عبر التاريخ كان في عندنا
+
+357
+00:29:48,300 --> 00:29:53,820
+أنواع من الـ Valves سواء mechanical أو حتى tissue
+
+358
+00:29:53,820 --> 00:30:02,700
+valves مخودة من مكان آخر، biological valves بنقول
+
+359
+00:30:02,700 --> 00:30:11,590
+عنها الـ advantages of surgical repair طبعاً بتخفف
+
+360
+00:30:11,590 --> 00:30:15,290
+ليه موضوع أن الـ heart failure فشل القلب لأنه
+
+361
+00:30:15,290 --> 00:30:19,230
+القلب بعد فترة بقدرش يكمل وبيصير عنا better
+
+362
+00:30:19,230 --> 00:30:23,710
+functional outcome الـ disadvantages طبعاً الـ valve
+
+363
+00:30:23,710 --> 00:30:28,230
+برضه في الآخر خاصة لما أحطه لطفل حضر بعد هيك لو
+
+364
+00:30:28,230 --> 00:30:31,570
+ربنا أداه العمر أعود أحطله valve تاني لأنه ما حي
+
+365
+00:30:31,570 --> 00:30:34,750
+يقعد معاه سبعين تمانين سنة أكيد فيصير عندي valve
+
+366
+00:30:34,750 --> 00:30:40,490
+failure وطبعاً في بعض الـ valves أنواع منها بتحتاج
+
+367
+00:30:40,490 --> 00:30:43,610
+Life-Long Anticoagulation لأنها أجسام غريبة فممكن
+
+368
+00:30:43,610 --> 00:30:46,530
+تعمل الـ Coagulation تعمل الـ Thrombus Building
+
+369
+00:30:46,530 --> 00:30:51,750
+فبدها Anticoagulation الحقيقة
+
+370
+00:30:51,750 --> 00:30:56,710
+يعني حكينا في الـ Valvular Diseases بصورة عملية
+
+371
+00:30:56,710 --> 00:31:01,650
+مختصرة جداً جداً يعني بس عرفنا تعريف عنها في حوالي
+
+372
+00:31:01,650 --> 00:31:06,050
+22 slide في نص ساعة أو أكتر من نص ساعة لكن زي ما
+
+373
+00:31:06,050 --> 00:31:11,740
+قلنا الموضوع أكبر من هيك هو أنا بالمناسبة خلال
+
+374
+00:31:11,740 --> 00:31:15,220
+اليومين اللي جايين هابعت لكل مجموعة من المجموعات
+
+375
+00:31:15,220 --> 00:31:19,600
+اللي اتكونناها موضوع بدا تبدأ تحضره الموضوع هذا
+
+376
+00:31:19,600 --> 00:31:27,000
+وتعمل فيه زي بحث البحث هذا طبعاً
+
+377
+00:31:27,000 --> 00:31:30,220
+إله علاقة بالمنهج لكن مش من مواد المنهج لكن إله
+
+378
+00:31:30,220 --> 00:31:34,340
+علاقة بالمنهج تبعنا البحث هذا هتنعمله في عشر صفحات
+
+379
+00:31:34,340 --> 00:31:40,580
+Word مع الـ References سأبدأ بالكتابة عليه وبعد ذلك
+
+380
+00:31:40,580 --> 00:31:48,220
+ينعمل على شكل PowerPoint وتلقوه كل مجموعة تلقي بإذا
+
+381
+00:31:48,220 --> 00:31:52,540
+صار في تعليم وجاهي بنعمله في الجامعة إذا ما صارش
+
+382
+00:31:52,540 --> 00:31:57,520
+بحدد النقطة النقطة للبدأ إن شاء الله تعالى على
+
+383
+00:31:57,520 --> 00:32:00,580
+أساس تعملوه بنفس الطريقة اللي أنا قاعد بعمل فيها
+
+384
+00:32:00,580 --> 00:32:06,200
+المحاضرة وتبعتوليها وممكن المحاضرة الأفضل أو أفضل
+
+385
+00:32:06,200 --> 00:32:12,890
+محاضرتين أن نحطهم على صفحة الجامعة أو على للجميع
+
+386
+00:32:12,890 --> 00:32:16,610
+حتى يشوفوها إن شاء الله تعالى طبعاً غير إنه إنه هذه
+
+387
+00:32:16,610 --> 00:32:21,570
+جزء من النشاط اللي ممكن يجيب للواحد علامات
+
+388
+00:32:21,570 --> 00:32:23,790
+للمهتمين بالموضوع هذا إن شاء الله لكن هو طبعاً
+
+389
+00:32:23,790 --> 00:32:27,210
+هيكون واجب مهم بالنسبالنا يعطيكوا العافية
+
+390
+00:32:27,210 --> 00:32:30,050
+وإن شاء الله تكونوا سعيدين إن شاء الله تعالى
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/ajehxymKNRU_raw.json b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/ajehxymKNRU_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..bf3da31bc81ca5d9cf22fb40dfe2757f75735cdf
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/ajehxymKNRU_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 2298, "start": 2.16, "end": 22.98, "text": "بسم الله الرحمن الرحيم الحمد لله رب العالمين و الصلاة والسلام عزيزينا المحمد سيد الوصلين أجمعين ان شاء الله تعالى اليوم هنكمل محاضراتنا و هنتحدث بإذن الله تعالى عن ال valvular heart disease إيش يعني؟ يعني الأمراض الناتجة عن مشاكل في ال valves", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 21542, 2304, 3215, 24976, 3224, 12602, 3555, 18863, 45340, 9957, 4032, 31767, 15040, 3660, 16070, 3794, 37440, 6225, 11622, 1829, 11622, 1829, 8315, 9673, 35571, 3215, 8608, 25708, 2423, 2407, 36520, 9957, 5551, 7435, 2304, 3615, 9957, 16472, 13412, 16606, 21984, 37279, 6027, 7578, 45595, 20498, 8032, 1863, 24793, 1211, 3714, 5016, 46958, 2288, 9307, 8315, 4032, 8032, 29399, 24401, 12984, 4724, 28814, 8848, 1863, 21984, 37279, 6027, 7578, 18871, 2423, 1323, 85, 1040, 1917, 4752, 11933, 1829, 8592, 37495, 22653, 22807, 37495, 22653, 16247, 29973, 46958, 28239, 9307, 7435, 3660, 18871, 37893, 995, 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"probability": 0.8806966145833334}, {"start": 5.02, "end": 5.64, "word": " عزيزينا", "probability": 0.7189534505208334}, {"start": 5.64, "end": 6.2, "word": " المحمد", "probability": 0.7664388020833334}, {"start": 6.2, "end": 7.14, "word": " سيد", "probability": 0.735595703125}, {"start": 7.14, "end": 7.66, "word": " الوصلين", "probability": 0.61907958984375}, {"start": 7.66, "end": 8.2, "word": " أجمعين", "probability": 0.7966796875}, {"start": 8.2, "end": 8.9, "word": " ان", "probability": 0.56982421875}, {"start": 8.9, "end": 9.12, "word": " شاء", "probability": 0.963134765625}, {"start": 9.12, "end": 9.22, "word": " الله", "probability": 0.91015625}, {"start": 9.22, "end": 9.48, "word": " تعالى", "probability": 0.8494466145833334}, {"start": 9.48, "end": 9.76, "word": " اليوم", "probability": 0.9287109375}, {"start": 9.76, "end": 10.48, "word": " هنكمل", "probability": 0.94775390625}, {"start": 10.48, "end": 11.8, "word": " محاضراتنا", "probability": 0.962646484375}, {"start": 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إذا", "probability": 0.86474609375}, {"start": 1911.88, "end": 1912.04, "word": " ما", "probability": 0.89501953125}, {"start": 1912.04, "end": 1912.54, "word": " صارش", "probability": 0.9132486979166666}, {"start": 1912.54, "end": 1913.34, "word": " بحدد", "probability": 0.9070638020833334}, {"start": 1913.34, "end": 1914.5, "word": " النقطة", "probability": 0.9640299479166666}, {"start": 1914.5, "end": 1915.26, "word": " النقطة", "probability": 0.803955078125}, {"start": 1915.26, "end": 1916.12, "word": " للبدأ", "probability": 0.689453125}, {"start": 1916.12, "end": 1916.3, "word": " إن", "probability": 0.383056640625}, {"start": 1916.3, "end": 1916.48, "word": " شاء", "probability": 0.971923828125}, {"start": 1916.48, "end": 1916.56, "word": " الله", "probability": 0.9423828125}, {"start": 1916.56, "end": 1916.94, "word": " تعالى", "probability": 0.79052734375}, {"start": 1916.94, "end": 1917.52, "word": " على", "probability": 0.84619140625}, {"start": 1917.52, "end": 1917.98, "word": " أساس", "probability": 0.9847005208333334}, {"start": 1917.98, "end": 1918.98, "word": " تعملوه", "probability": 0.8416015625}, {"start": 1918.98, "end": 1919.24, "word": " بنفس", "probability": 0.940185546875}, {"start": 1919.24, "end": 1919.6, "word": " الطريقة", "probability": 0.9934895833333334}, {"start": 1919.6, "end": 1919.74, "word": " اللي", "probability": 0.91455078125}, {"start": 1919.74, "end": 1919.86, "word": " أنا", "probability": 0.93798828125}, {"start": 1919.86, "end": 1920.1, "word": " قاعد", "probability": 0.7871907552083334}, {"start": 1920.1, "end": 1920.4, "word": " بعمل", "probability": 0.9518229166666666}, {"start": 1920.4, "end": 1920.58, "word": " فيها", "probability": 0.981201171875}, {"start": 1920.58, "end": 1921.02, "word": " المحاضرة", "probability": 0.9742431640625}, {"start": 1921.02, "end": 1921.88, "word": " وتبعتوليها", "probability": 0.7864176432291666}, {"start": 1921.88, "end": 1922.88, "word": " وممكن", "probability": 0.94189453125}, {"start": 1922.88, "end": 1924.34, "word": " المحاضرة", "probability": 0.989013671875}, {"start": 1924.34, "end": 1925.3, "word": " الأفضل", "probability": 0.9984130859375}, {"start": 1925.3, "end": 1925.56, "word": " أو", "probability": 0.94775390625}, {"start": 1925.56, "end": 1926.2, "word": " أفضل", "probability": 0.9727783203125}, {"start": 1926.2, "end": 1926.9, "word": " محاضرتين", "probability": 0.9390625}, {"start": 1926.9, "end": 1927.56, "word": " أن", "probability": 0.473388671875}, {"start": 1927.56, "end": 1928.26, "word": " نحطهم", "probability": 0.91748046875}, {"start": 1928.26, "end": 1928.86, "word": " على", "probability": 0.94189453125}, {"start": 1928.86, "end": 1930.36, "word": " صفحة", "probability": 0.9869384765625}, {"start": 1930.36, "end": 1930.9, "word": " الجامعة", "probability": 0.9928385416666666}, {"start": 1930.9, "end": 1931.14, "word": " أو", "probability": 0.9375}, {"start": 1931.14, "end": 1931.38, "word": " على", "probability": 0.91259765625}], "temperature": 1.0}, {"id": 77, "seek": 195005, "start": 1932.07, "end": 1950.05, "text": "للجميع حتى يشوفوها إن شاء الله تعالى طبعا غير إنه إنه هذه جزء من النشاط اللي ممكن يجيب للواحد علامات للمهتمين بالموضوع هذا إن شاء الله لكن هو طبعا هيكون واجب مهم بالنسبالنا يعطيكوا العافية وانهاركوا سعيد إن شاء الله تعالى", "tokens": [1211, 1211, 7435, 2304, 40228, 11331, 49975, 7251, 8592, 38688, 2407, 11296, 36145, 13412, 16606, 21984, 37279, 6027, 7578, 23032, 3555, 3615, 995, 32771, 13546, 36145, 3224, 36145, 3224, 29538, 10874, 11622, 38207, 9154, 28239, 8592, 41193, 13672, 1829, 3714, 43020, 7251, 7435, 1829, 3555, 24976, 14407, 24401, 11203, 10943, 9307, 5296, 19528, 3224, 39237, 9957, 20666, 2304, 2407, 11242, 45367, 23758, 36145, 13412, 16606, 21984, 44381, 31439, 23032, 3555, 3615, 995, 39896, 30544, 4032, 26108, 3555, 3714, 16095, 20666, 1863, 35457, 6027, 8315, 37495, 9566, 1829, 4117, 14407, 18863, 31845, 10632, 4032, 7649, 3224, 9640, 4117, 14407, 8608, 3615, 25708, 36145, 13412, 16606, 21984, 37279, 6027, 7578], "avg_logprob": -0.10966169970844863, "compression_ratio": 2.0406091370558377, "no_speech_prob": 0.0001709461212158203, "words": [{"start": 1932.07, "end": 1932.89, "word": "للجميع", "probability": 0.8880859375}, {"start": 1932.89, "end": 1933.15, "word": " حتى", "probability": 0.870849609375}, {"start": 1933.15, "end": 1933.61, "word": " يشوفوها", "probability": 0.88212890625}, {"start": 1933.61, "end": 1933.75, "word": " إن", "probability": 0.57373046875}, {"start": 1933.75, "end": 1933.85, "word": " شاء", "probability": 0.97265625}, {"start": 1933.85, "end": 1933.99, "word": " الله", "probability": 0.94677734375}, {"start": 1933.99, "end": 1934.39, "word": " تعالى", "probability": 0.9026692708333334}, {"start": 1934.39, "end": 1934.89, "word": " طبعا", "probability": 0.871337890625}, {"start": 1934.89, "end": 1935.15, "word": " غير", "probability": 0.92529296875}, {"start": 1935.15, "end": 1935.65, "word": " إنه", "probability": 0.818115234375}, {"start": 1935.65, "end": 1936.41, "word": " إنه", "probability": 0.72265625}, {"start": 1936.41, "end": 1936.61, "word": " هذه", "probability": 0.368896484375}, {"start": 1936.61, "end": 1937.29, "word": " جزء", "probability": 0.9925130208333334}, {"start": 1937.29, "end": 1937.47, "word": " من", "probability": 0.98681640625}, {"start": 1937.47, "end": 1938.13, "word": " النشاط", "probability": 0.962890625}, {"start": 1938.13, "end": 1938.59, "word": " اللي", "probability": 0.9638671875}, {"start": 1938.59, "end": 1939.03, "word": " ممكن", "probability": 0.98095703125}, {"start": 1939.03, "end": 1940.31, "word": " يجيب", "probability": 0.989990234375}, {"start": 1940.31, "end": 1940.83, "word": " للواحد", "probability": 0.9835611979166666}, {"start": 1940.83, "end": 1941.57, "word": " علامات", "probability": 0.9606119791666666}, {"start": 1941.57, "end": 1942.19, "word": " للمهتمين", "probability": 0.941015625}, {"start": 1942.19, "end": 1942.63, "word": " بالموضوع", "probability": 0.9681640625}, {"start": 1942.63, "end": 1942.89, "word": " هذا", "probability": 0.689453125}, {"start": 1942.89, "end": 1943.03, "word": " إن", "probability": 0.77587890625}, {"start": 1943.03, "end": 1943.13, "word": " شاء", "probability": 0.968017578125}, {"start": 1943.13, "end": 1943.21, "word": " الله", "probability": 0.953125}, {"start": 1943.21, "end": 1943.39, "word": " لكن", "probability": 0.84716796875}, {"start": 1943.39, "end": 1943.57, "word": " هو", "probability": 0.97412109375}, {"start": 1943.57, "end": 1943.79, "word": " طبعا", "probability": 0.988525390625}, {"start": 1943.79, "end": 1944.23, "word": " هيكون", "probability": 0.91943359375}, {"start": 1944.23, "end": 1945.13, "word": " واجب", "probability": 0.9788411458333334}, {"start": 1945.13, "end": 1945.39, "word": " مهم", "probability": 0.982666015625}, {"start": 1945.39, "end": 1946.09, "word": " بالنسبالنا", "probability": 0.92119140625}, {"start": 1946.09, "end": 1946.75, "word": " يعطيكوا", "probability": 0.8658203125}, {"start": 1946.75, "end": 1947.21, "word": " العافية", "probability": 0.9615885416666666}, {"start": 1947.21, "end": 1948.69, "word": " وانهاركوا", "probability": 0.8978678385416666}, {"start": 1948.69, "end": 1949.39, "word": " سعيد", "probability": 0.6438802083333334}, {"start": 1949.39, "end": 1949.55, "word": " إن", "probability": 0.89990234375}, {"start": 1949.55, "end": 1949.67, "word": " شاء", "probability": 0.986328125}, {"start": 1949.67, "end": 1949.77, "word": " الله", "probability": 0.95751953125}, {"start": 1949.77, "end": 1950.05, "word": " تعالى", "probability": 0.9856770833333334}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 1951.6371875, "duration_after_vad": 1873.4718749999959}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/bBU74brkUFs_postprocess.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/bBU74brkUFs_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..e3bbbb96d5231a82185772db6391b0eb82b41234
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/bBU74brkUFs_postprocess.srt
@@ -0,0 +1,1528 @@
+1
+00:00:02,160 --> 00:00:04,300
+بسم الله الرحمن الرحيم الحمد لله رب العالمين
+
+2
+00:00:04,300 --> 00:00:06,700
+والصلاة والسلام علي سيدنا محمد وسيد المرسلين
+
+3
+00:00:06,700 --> 00:00:10,980
+الأجمعين يعني اليوم إن شاء الله تعالى بنكمل لكن
+
+4
+00:00:10,980 --> 00:00:16,720
+بنكمل محاضرات البطن والقلب والصدرية لكن هنبدأ
+
+5
+00:00:16,720 --> 00:00:21,520
+بأولى خليني أقول chapter محاضرات chapter اللي هو
+
+6
+00:00:21,520 --> 00:00:26,760
+respiratory systemهنحاول زي ما عملنا في القلب حتى
+
+7
+00:00:26,760 --> 00:00:29,820
+في الـ Anatomy و الـ Physiology نحاول ناخد من كل
+
+8
+00:00:29,820 --> 00:00:33,900
+بستان زهرة يعني ما هنقول والله منهج متكامل لأنه مش
+
+9
+00:00:33,900 --> 00:00:38,080
+حقيقي في الموضوع لكن هنحكي الأمور المهمة التي قد
+
+10
+00:00:38,080 --> 00:00:42,280
+في لحظة من اللحظات اتساعدنا في فهم طبيعة الأمراض
+
+11
+00:00:42,280 --> 00:00:47,700
+للـ Respiratory System والـ Respiratory System زي
+
+12
+00:00:47,700 --> 00:00:53,600
+ما احنا عارفين يعني واضح أنه أهم حاجة عندهالعملية
+
+13
+00:00:53,600 --> 00:01:01,100
+الرئيسية هي الهواء أو الهواء وطبعا معروف أن عملية
+
+14
+00:01:01,100 --> 00:01:06,680
+الهواء أو الهواء بتتم على أساس أنه تمنح أكسجين
+
+15
+00:01:06,680 --> 00:01:12,940
+لبطانيا وأنه يزيل كربون ديوكسيد CO2 من بطانيا عن
+
+16
+00:01:12,940 --> 00:01:18,800
+طريق طبعا اللغةExternal Respiration Exchange of
+
+17
+00:01:18,800 --> 00:01:22,240
+Oxygen and Carbon Dioxide هذا الـ External
+
+18
+00:01:22,240 --> 00:01:25,860
+Respiration إذا في External Respiration معناته في
+
+19
+00:01:25,860 --> 00:01:31,260
+Internal Respiration وهذه فرصة لوحدكوا لإلكوا
+
+20
+00:01:31,260 --> 00:01:35,120
+تتطلعوا ما هو ال Internal Respiration بما أن ال
+
+21
+00:01:35,120 --> 00:01:38,740
+External Respiration هو عبارة عن Exchange of
+
+22
+00:01:38,740 --> 00:01:41,680
+Oxygen and Carbon Dioxide ما هو ال Internal
+
+23
+00:01:41,680 --> 00:01:47,640
+Respirationأقضاء اللي طبعا اللي حكينا بالنسبة
+
+24
+00:01:47,640 --> 00:01:51,860
+للـinternal respiration مش assignment لكل واحد
+
+25
+00:01:51,860 --> 00:01:57,460
+الحرية يكشف كما يريدالـ organs of the respiratory
+
+26
+00:01:57,460 --> 00:02:01,240
+system زي ما احنا عارفين بتبدأ بالـ nose، بالـ
+
+27
+00:02:01,240 --> 00:02:03,240
+pharynx، الـ pharynx اللي هو البلعوم، الـ larynx
+
+28
+00:02:03,240 --> 00:02:06,520
+الحنجرة، تراكية القصبة الهوائية، bronchial tree
+
+29
+00:02:06,520 --> 00:02:13,140
+شجرة القصبة الهوائية، و الرئتين ال lungs ال organs
+
+30
+00:02:13,140 --> 00:02:17,580
+هي بس باختصار جدا إيه وظيفة كل عضو
+
+31
+00:02:20,360 --> 00:02:26,940
+النازل كافيتى في الأول نبدأ من الناس من الناس نازل
+
+32
+00:02:26,940 --> 00:02:31,560
+سبتم دفع النازل كافيتى إلى الجزء اليسار والجزء
+
+33
+00:02:31,560 --> 00:02:39,620
+اليسار نازل كونشي يستمع النازل نازل كافيتىالعملية
+
+34
+00:02:39,620 --> 00:02:43,920
+الـ moistening والـ warmness of the air بصورة أحسن
+
+35
+00:02:43,920 --> 00:02:49,100
+ميوكاس منبرين warms and moistens the air and سيليا
+
+36
+00:02:49,100 --> 00:02:51,740
+helps eliminate particles في أن الـ Paranasal
+
+37
+00:02:51,740 --> 00:02:56,340
+sinus واللي احنا بنسمع دايما عنها افلان في عنده
+
+38
+00:02:56,340 --> 00:03:01,140
+جيوب هي ال Paranasal sinuses هي الجيوب اللي احنا
+
+39
+00:03:01,140 --> 00:03:08,600
+بنقصدها دايما وهذه عبارة عنأماكن أو spaces within
+
+40
+00:03:08,600 --> 00:03:14,620
+the skull bone في جلب الـ bone«أيرفيلد» فيها هوا
+
+41
+00:03:14,620 --> 00:03:22,300
+وهي طبعاً الـ «أسكال» لو نتصورها عضم صبة جامد كان
+
+42
+00:03:22,300 --> 00:03:25,600
+على جهها أدقل من هي كتير وهذا تقل على أيش؟ على
+
+43
+00:03:25,600 --> 00:03:31,920
+الجسم وحتى لما ينخبط الواحد في رأسه أو يجعب لو
+
+44
+00:03:31,920 --> 00:03:37,000
+كانت عضم بحت ممكن تأثر تأثيرات كبيرة لكن لما تكون
+
+45
+00:03:37,000 --> 00:03:38,180
+«أيرفيلد»
+
+46
+00:03:40,370 --> 00:03:47,510
+بتخلّي حجم أو وزن الـ skull لجل وبتدّي كمان مش بس
+
+47
+00:03:47,510 --> 00:03:52,010
+بما أن في عندنا غرف هوائية بتخلّي الـ voice له حدة
+
+48
+00:03:52,010 --> 00:03:59,270
+معينة أيضًا طول معين الـ skull bones withالصينيات
+
+49
+00:03:59,270 --> 00:04:01,570
+تحتوي على الصينيات الصحيحة الصحيحة الصحيحة الصحيحة
+
+50
+00:04:01,570 --> 00:04:02,070
+الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة
+
+51
+00:04:02,070 --> 00:04:04,910
+الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة
+
+52
+00:04:04,910 --> 00:04:07,910
+الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة
+
+53
+00:04:07,910 --> 00:04:09,030
+الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة
+
+54
+00:04:09,030 --> 00:04:13,750
+الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة
+
+55
+00:04:13,750 --> 00:04:18,610
+الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة
+
+56
+00:04:18,610 --> 00:04:24,510
+الصحيحة الصحيحة
+
+57
+00:04:24,510 --> 00:04:31,970
+الصعنا طبعا مدخل الأنف بالـInferior Turbinate
+
+58
+00:04:31,970 --> 00:04:38,150
+والـMiddle وSuperior Turbinate والأن بنشوفه في
+
+59
+00:04:38,150 --> 00:04:41,330
+صورة تانية الـSinus Cavities أحنا قولنا كام كام
+
+60
+00:04:41,330 --> 00:04:47,330
+Sinus فيه عندنا Frontal Sinus أثمويدل Sinus
+
+61
+00:04:47,330 --> 00:04:51,510
+frontal فوق العين على طول فوق الحاجب أثمويدل بين
+
+62
+00:04:51,510 --> 00:04:56,890
+الإنتين منطقة بين الإنتينفي عندنا الـ maxillary
+
+63
+00:04:56,890 --> 00:05:01,590
+sinus وفي الـ maxillary sinus طبعا جنب الأنف وفي
+
+64
+00:05:01,590 --> 00:05:05,110
+الـ sphenoidal اللي هو من الصورة من الأمام بنشوفوش
+
+65
+00:05:05,110 --> 00:05:09,010
+لكن ممكن من ال to the sides sphenoidal sinus نشوف
+
+66
+00:05:09,010 --> 00:05:16,950
+هذه صورة X-rayللـ sinuses دي اللي ماببعت انا اي حد
+
+67
+00:05:16,950 --> 00:05:20,530
+يعمل صورة sinus بيعمله الصورة هاي زي ما احنا
+
+68
+00:05:20,530 --> 00:05:24,210
+شايفين رقم واحد ال nasal septum رقم اتنين frontal
+
+69
+00:05:24,210 --> 00:05:29,830
+sinus فوق رقم تلاتة ال maxillary sinus ethmoidal
+
+70
+00:05:29,830 --> 00:05:35,170
+sinus رقم اربعة اللي هو بين ال ال ال two eyes
+
+71
+00:05:36,590 --> 00:05:40,970
+الـ Nose وفي عندنا خمسة اللي هو الـ Inferior
+
+72
+00:05:40,970 --> 00:05:45,750
+Turbinate اللي بيبين أنها لفوق منه في اللي اللي هو
+
+73
+00:05:45,750 --> 00:05:51,790
+ال middle وستة في عندنا ال Odontoid Process اللي
+
+74
+00:05:51,790 --> 00:05:57,110
+هو منطقة الأسدان هنا صورة جديدة الصورة هذه بتقولي
+
+75
+00:05:57,110 --> 00:06:01,110
+على الجهة الخضراء على الجهة اليمين Healthy Sinuses
+
+76
+00:06:01,110 --> 00:06:05,510
+شايفين أن الـ Sinuses Free عاملياً برضه كمان مرة
+
+77
+00:06:05,510 --> 00:06:11,270
+frontalSphenoidal, ethmoidal and maxillary sinus
+
+78
+00:06:11,270 --> 00:06:16,450
+لكن على الجهة التانية Inflamed sinus lining وسبب
+
+79
+00:06:16,450 --> 00:06:19,070
+ال inflammation في الغالب في الغالب بيبقى
+
+80
+00:06:19,070 --> 00:06:22,350
+infection لكن برضه بعض الأحيان ممكن يكون allergy
+
+81
+00:06:22,350 --> 00:06:29,990
+أو fluid filled أو ميوكس يبقى موجود وهذه بتعملنا
+
+82
+00:06:29,990 --> 00:06:34,110
+التجول والتهابات في الجيوب الأنفية خاصة بعد
+
+83
+00:06:34,110 --> 00:06:38,430
+الإصابة بال influenzaمن الـ organs of the
+
+84
+00:06:38,430 --> 00:06:41,390
+respiratory system اللي هو الـ pharynx البلعوم
+
+85
+00:06:41,390 --> 00:06:47,290
+وطبعا البلعوم هو منطقة مشتركة بين ال digestive
+
+86
+00:06:47,290 --> 00:06:54,480
+system and respiratory systemLarynx Voice Box هو
+
+87
+00:06:54,480 --> 00:06:59,240
+صندوق الصوت زي ما بيقولوها حبة الصوت زي ما بيقول
+
+88
+00:06:59,240 --> 00:07:04,520
+في الحاجات التانية Larynx Voice Box moves air in
+
+89
+00:07:04,520 --> 00:07:11,160
+and out of the trachea هو المدخل و المخرج نتيجة
+
+90
+00:07:11,160 --> 00:07:16,500
+دخول و فروج الهواءبيصير عينها vice وبتكون ال
+
+91
+00:07:16,500 --> 00:07:21,760
+larynx من تلت أمور من تلت cartilage اللي هي ال
+
+92
+00:07:21,760 --> 00:07:26,660
+cartilage الغضروف من تلت غضاريف thyroid cartilage
+
+93
+00:07:26,660 --> 00:07:33,120
+ال epiglottic cartilage و ال cricoid cartilage زي
+
+94
+00:07:33,120 --> 00:07:35,820
+ما احنا شايفين في الصورة
+
+95
+00:07:38,020 --> 00:07:43,180
+من مساوية هذا التعليم إن الواحد ما بيقدرش يأشر على
+
+96
+00:07:43,180 --> 00:07:48,280
+الحاجات لكن أجرهم و أتبعوا بالظبط ال vocal cord
+
+97
+00:07:48,280 --> 00:07:52,160
+ننزل على الأحبال الصوتية هي عبارة عن cords من
+
+98
+00:07:52,160 --> 00:07:57,380
+اسمها أحبال stretched between ممدودة بين thyroid
+
+99
+00:07:57,380 --> 00:08:01,960
+cartilage and the cracoid cartilage بين الثيرويد
+
+100
+00:08:01,960 --> 00:08:06,940
+والكريكويدالـ Upper vocal cords are false cords
+
+101
+00:08:06,940 --> 00:08:10,520
+and lower are true vocal cords اللي هي الأصلية
+
+102
+00:08:10,520 --> 00:08:11,880
+اللي احنا شايفينها في الصورة
+
+103
+00:08:15,200 --> 00:08:18,820
+الـ Glottis is the opening between the vocal cords
+
+104
+00:08:18,820 --> 00:08:22,140
+لما يفتح ال vocal cords عن بعض، بيبين قدامنا أش
+
+105
+00:08:22,140 --> 00:08:26,160
+للـ Glottis The major vocal cords are stretched
+
+106
+00:08:26,160 --> 00:08:32,920
+the more عفواً كل ما شدت ال cords كل ما كان الصوت
+
+107
+00:08:32,920 --> 00:08:40,990
+high pitchedأو higher the voice pitch بيصير حاد
+
+108
+00:08:40,990 --> 00:08:47,390
+بالصوت هذا بيصير بعدين
+
+109
+00:08:47,390 --> 00:08:50,690
+بيجينا لتركيا و لبرونكاي و لبرونكيولز زي ما احنا
+
+110
+00:08:50,690 --> 00:08:53,470
+شايفين الترتيب تركيا هو القصارى الهوائية
+
+111
+00:08:53,470 --> 00:08:57,670
+البرونكيولز هي عبارة عن القصايبات و البرونكيولز
+
+112
+00:08:57,670 --> 00:09:01,350
+البرونكاي هي عبارة عن القصايبات و البرونكيولز
+
+113
+00:09:01,350 --> 00:09:06,100
+عبارة عن الشعيبات الهوائيةوالتركية زي ما احنا
+
+114
+00:09:06,100 --> 00:09:13,920
+بنعرفه إله اسم باللغة الإنجليزية اسمه windpipe وهو
+
+115
+00:09:13,920 --> 00:09:18,320
+عبارة عن tubular organ made of rings عبارة عن
+
+116
+00:09:18,320 --> 00:09:24,380
+حلقاتمن الـ cartilage و smooth muscles عبارة عن
+
+117
+00:09:24,380 --> 00:09:29,040
+عضلات و cartilage و جواته في حاجة جوة التركية
+
+118
+00:09:29,040 --> 00:09:38,960
+السيلية اللي هي الهديبات التنفسية و التركية
+
+119
+00:09:38,960 --> 00:09:43,700
+بيمتد من الـ larynx حتى الـ bronchi السيلية أو
+
+120
+00:09:43,700 --> 00:09:49,780
+الهديبات هاي بتحركنا البلغموتطلعوا من عن طريق
+
+121
+00:09:49,780 --> 00:09:55,360
+الحلق وطبعا هذا اللي بعد هيك احنا اما بيصير يعني
+
+122
+00:09:55,360 --> 00:10:00,680
+بيكحوا الواحد أو بتفو أو كذا ما هان أول مشاكل
+
+123
+00:10:00,680 --> 00:10:06,650
+الأولى مشاكلالـ Smoking اللي هو Destroy السيليا
+
+124
+00:10:06,650 --> 00:10:11,730
+عشان هيك بنلاقي إن المدخنين الصبح دايما بيطلعوا
+
+125
+00:10:11,730 --> 00:10:15,870
+كميات مهولة من البلغم اللي اتجمعت نتيجة التدخين
+
+126
+00:10:15,870 --> 00:10:19,830
+ونتيجة ال environment ونتيجة ولم تخرج في ساعتها
+
+127
+00:10:19,830 --> 00:10:23,610
+يعني ما قامتش السيلياس بإخراجها تتجمع في السدر
+
+128
+00:10:23,610 --> 00:10:28,830
+وتاني يوم الصبح بيحاول يطلعها اللي هو المدخن
+
+129
+00:10:30,550 --> 00:10:33,090
+الـ lungs طبعا زي ما احنا كلنا عارفين هي عبارة عن
+
+130
+00:10:33,090 --> 00:10:36,670
+cone-shaped organs right lung has three lobes
+
+131
+00:10:36,670 --> 00:10:42,530
+loops and left lung has two loops ال left عنده
+
+132
+00:10:42,530 --> 00:10:45,470
+تنتيل و ال right عنده تلاتة the membrane
+
+133
+00:10:45,470 --> 00:10:53,170
+surrounding the lungs is called pleura ال
+
+134
+00:10:53,170 --> 00:10:56,070
+lung contains connective tissue, bronchial tree,
+
+135
+00:10:56,250 --> 00:10:59,430
+nerves, lymphatic vessels and blood vessels
+
+136
+00:10:59,430 --> 00:11:03,680
+باختصارطيب هو إيش اللي بيصير بالظبط الـ mechanism
+
+137
+00:11:03,680 --> 00:11:07,080
+of breathing؟ بيصير عندنا inspiration and
+
+138
+00:11:07,080 --> 00:11:14,360
+expiration inspiration هو عبارة عن عملية الشهيق
+
+139
+00:11:14,360 --> 00:11:22,740
+and auto rich air هو محمل بالأكسجين يدخل الناس من
+
+140
+00:11:22,740 --> 00:11:26,700
+الجو الديافرام إيش بيصير في الديافرام اللي هو
+
+141
+00:11:26,700 --> 00:11:36,350
+الحجاب الحاجز؟ contractsor flattens يعني هو يتسطح
+
+142
+00:11:36,350 --> 00:11:42,410
+هو contracts ويتسطح the intercostal muscle raise
+
+143
+00:11:42,410 --> 00:11:50,150
+the ribs اللي هو القفص الصدري بالعضلات يكبر ويرتفع
+
+144
+00:11:50,980 --> 00:11:54,060
+الـ Breathing أو الـ Oral Pulmonary Ventilation
+
+145
+00:11:54,060 --> 00:11:57,220
+Consists of Inspiration, Inhalation and Expiration
+
+146
+00:11:57,220 --> 00:12:01,140
+اللي هو الـ Exhalation و اللي بتحكم فيه زي ما قلنا
+
+147
+00:12:01,140 --> 00:12:07,580
+طبعا الـ Expiration هو عبارة عن خروج CO2
+
+148
+00:12:07,580 --> 00:12:12,680
+Rich Air من الـ Lung الديافرام بالعكس طبعا زي ال
+
+149
+00:12:12,680 --> 00:12:15,640
+Inspiration بيصيروا عملية Relaxation والـ
+
+150
+00:12:15,640 --> 00:12:20,030
+Intercostal طبعا Relaxation معناته هيرتفعوالـ
+
+151
+00:12:20,030 --> 00:12:27,890
+Intercostal muscles lower the ribs اللي بتحكم في
+
+152
+00:12:27,890 --> 00:12:31,690
+عملية الـ Ventilation الـ Breathing هو الميدالة
+
+153
+00:12:31,690 --> 00:12:35,290
+Oblongate هنحكي عنها بزيادة شوي بعد شوي Control
+
+154
+00:12:35,290 --> 00:12:39,730
+the rhythm and depth of the breathing الـ Pons
+
+155
+00:12:39,730 --> 00:12:46,500
+اللي هو تحته للميدالة Oblongateالجزء من الدماغ
+
+156
+00:12:46,500 --> 00:12:52,060
+يتحكم عفوا فوقه للمدلة أبلونجيت يتحكم على رتب
+
+157
+00:12:52,060 --> 00:12:57,400
+الهواء يبقى الـ Depth وRhythm يتحكم عليها المدلة
+
+158
+00:12:57,400 --> 00:13:01,380
+أبلونجيت والـ Bones يتحكم عليها رتب الهواء، سنشوف
+
+159
+00:13:01,380 --> 00:13:01,720
+كيف
+
+160
+00:13:10,630 --> 00:13:16,570
+واضح إنه لابد إنه يرتبط الأكسجين بالدم ويدّينا
+
+161
+00:13:16,570 --> 00:13:22,510
+أكسو-هوميقلوبين في حين إن الـCarbon Dioxide بيدخل
+
+162
+00:13:22,510 --> 00:13:28,250
+Bloodstream كـBicarbonate وبعد
+
+163
+00:13:28,250 --> 00:13:29,570
+ما يدخل بالصورة هذه
+
+164
+00:13:32,380 --> 00:13:38,140
+بيتحلل مرة تانية وجزء منه اللي هو سانيوكسيد
+
+165
+00:13:38,140 --> 00:13:42,260
+الكربون بيرتبط على الـ hemoglobin وجزء منه بيتحلل
+
+166
+00:13:42,260 --> 00:13:45,380
+إلى carbon dioxide and water بيصير له عملية
+
+167
+00:13:45,380 --> 00:13:51,330
+expiration أو exhalation والwater كبخار مالفينا
+
+168
+00:13:51,330 --> 00:13:55,230
+حاجة اسمها كيف أنا أجيس اللي هو الـ Pulmonary
+
+169
+00:13:55,230 --> 00:13:58,490
+Function Test يعني أحنا فحوصات الـ Lung مش كتيرة
+
+170
+00:13:58,490 --> 00:14:03,810
+حقيقة، اللي هي بعض الفحوصات، لكن أهمها ومشهور عنها
+
+171
+00:14:03,810 --> 00:14:10,790
+اللي هو Pulmonary Function Test، Lung Function
+
+172
+00:14:10,790 --> 00:14:15,990
+Test اللي هو بنقول عنه باسم آخر Spirometer، جهاز
+
+173
+00:14:15,990 --> 00:14:20,680
+Spirometer زي هيكهدف الجهاز هذا بيحاول إن الـ
+
+174
+00:14:20,680 --> 00:14:25,000
+Instrument consisting of a hollow inverted over
+
+175
+00:14:25,000 --> 00:14:29,860
+water used to evaluate respiratory function للـ
+
+176
+00:14:29,860 --> 00:14:34,120
+functions، Spirometer إيش بيعمل؟ بيفرج لبين، هل
+
+177
+00:14:34,120 --> 00:14:36,440
+اللي أنا بحكي عنه، المرض اللي بحكي عنه
+
+178
+00:14:36,440 --> 00:14:43,290
+obstructive، و هنعرف الفرق، pulmonary diseaseكل ما
+
+179
+00:14:43,290 --> 00:14:46,030
+كان فيه عنوان Obstruction كل ما كان الـ Resistance
+
+180
+00:14:46,030 --> 00:14:52,770
+أعلى تبع الـ Airway و لا Restrictive الـ
+
+181
+00:14:52,770 --> 00:14:56,830
+Restrictive بيعمل Restriction للـ Lung Volume الـ
+
+182
+00:14:56,830 --> 00:15:01,290
+Capacity of the lung بتقل نتيجة مشاكل في الـ
+
+183
+00:15:01,290 --> 00:15:06,040
+Structure أو الـ Functional Lung Changesهذا شغلت
+
+184
+00:15:06,040 --> 00:15:08,360
+الـ Spirometer اللي يبقى Spirometer أو الـ
+
+185
+00:15:08,360 --> 00:15:12,460
+Pulmonary lung function أو test function test lung
+
+186
+00:15:12,460 --> 00:15:18,900
+test بيفرقلي بين الـ Obstructive Pulmonary Disease
+
+187
+00:15:18,900 --> 00:15:23,160
+والـ Restrictive Pulmonary Disease وقلنا الفرق بين
+
+188
+00:15:23,160 --> 00:15:25,620
+الأتنين الـ Obstructive Pulmonary Disease بيبقى
+
+189
+00:15:25,620 --> 00:15:28,580
+عندنا increased airway resistance يعني الهواء
+
+190
+00:15:28,580 --> 00:15:32,290
+نتيجة الـ Obstructionما بتخلش بالصورة اللي بدنا
+
+191
+00:15:32,290 --> 00:15:35,270
+إيها restrictive معناته فيها reduction في الـ
+
+192
+00:15:35,270 --> 00:15:40,710
+total lung capacity نتيجة مشكلة في الـ structure
+
+193
+00:15:40,710 --> 00:15:47,390
+أو الـ function of the lung ال
+
+194
+00:15:47,390 --> 00:15:51,810
+respiratory volumes اللي أنا بشوفها مسجلة عندى أو
+
+195
+00:15:51,810 --> 00:15:58,400
+عن طريق رسمة في الصورة هايبتديني بعض الـ hints
+
+196
+00:15:58,400 --> 00:16:03,500
+يمكن نتعرف عليها من باب اللي بروح lung
+
+197
+00:16:03,500 --> 00:16:07,300
+rehabilitation على سبيل المثال أو حاجة أو
+
+198
+00:16:07,300 --> 00:16:10,300
+respiratory rehabilitation مستقبلاً لابد أن يكون
+
+199
+00:16:10,300 --> 00:16:11,400
+سامع بالموضوع
+
+200
+00:16:14,330 --> 00:16:17,610
+ان يكون الواحد عارف عن الموضوع Respirator volumes
+
+201
+00:16:17,610 --> 00:16:23,810
+اللي بيجيس الجهاز حاجة اسمها tidal volume وإيش هذا
+
+202
+00:16:23,810 --> 00:16:28,390
+tidal volume؟ هذا عبارة عن amount of air كمية
+
+203
+00:16:28,390 --> 00:16:34,410
+الهواء that moves in or out the lung during a
+
+204
+00:16:34,410 --> 00:16:38,870
+normal breath حوالي 500 ملي يعني أنا و أنا بتنفس
+
+205
+00:16:38,870 --> 00:16:42,310
+عادي، نفس عادي، بطلع و بنزل هذا بقول عنه tidal
+
+206
+00:16:42,310 --> 00:16:47,020
+volume حوالي 500 مليreflects the amount of air
+
+207
+00:16:47,020 --> 00:16:51,300
+that moves in or out of the lungs during a normal
+
+208
+00:16:51,300 --> 00:16:56,200
+breath في عندنا بعد ذلك حاجة تانية اللي هي الـ
+
+209
+00:16:56,200 --> 00:17:00,400
+inspiratory reserve volume والـ expiratory reserve
+
+210
+00:17:00,400 --> 00:17:04,760
+volume من اسمها reserve، reserve معناته طبقةهو
+
+211
+00:17:04,760 --> 00:17:10,020
+عبارة عن كمية الهواء اللي can be forcefully
+
+212
+00:17:10,020 --> 00:17:13,500
+inhaled بعد normal inhalation يعني صار واحد عنده
+
+213
+00:17:13,500 --> 00:17:22,540
+normal inhalation عادي جداً جداً جداً لكن وأطلع
+
+214
+00:17:22,540 --> 00:17:27,540
+كمية الهواء جد ما يستطيع أكتر حاجة مقدر يطلعها هذه
+
+215
+00:17:27,540 --> 00:17:32,400
+بقول أنا inspiratory reserve volumeهي حوالي 2 لتر
+
+216
+00:17:32,400 --> 00:17:38,360
+لـ 3 لتر، 2100 لـ 3200 ملي، كمية كبيرة طب الـ
+
+217
+00:17:38,360 --> 00:17:42,340
+expiratory reserve volume هي عبارة عن كمية الـ air
+
+218
+00:17:42,340 --> 00:17:46,180
+that can be forcefully exhaled following a normal
+
+219
+00:17:46,180 --> 00:17:51,340
+exhalation يعني أنا عملت normal exhalation، تنفس،
+
+220
+00:17:51,340 --> 00:17:59,110
+زفير طبيعي وروحت طلعت كام هوة كمان بالقوةفوق اللي
+
+221
+00:17:59,110 --> 00:18:05,470
+أخرجته طبيعي بأطلع حوالي ألف لألف و متين مليون دول
+
+222
+00:18:05,470 --> 00:18:08,170
+بتلاقيهم في ال curve اللي موجودة تحت بالمناسبة
+
+223
+00:18:08,170 --> 00:18:13,790
+بتقدر تطلع على long function test على اليوتيوب في
+
+224
+00:18:13,790 --> 00:18:17,830
+ناس بتشرحها بالورجة أو الجلم بصورة رائعة وأنصح
+
+225
+00:18:17,830 --> 00:18:21,510
+بالموضوعالـ Reserve Volume هي عبارة عن كمية الـ
+
+226
+00:18:21,510 --> 00:18:24,690
+Volume of Air That Always Remains اللي بيضل دايماً
+
+227
+00:18:24,690 --> 00:18:30,050
+في الـ Lung حتى بعد ما أطلق كمية الهواء الكاملة
+
+228
+00:18:30,050 --> 00:18:34,810
+بيضل كمية صغيرة 1200 يعني مافيش Lung بيصيرلها Zero
+
+229
+00:18:34,810 --> 00:18:38,870
+يعني مافيش Lung بتطلع كل الهواء اللي فيها وخلاص
+
+230
+00:18:38,870 --> 00:18:41,870
+وتصير Zero فالكمية اللي بتضل في ال Lung بعد
+
+231
+00:18:41,870 --> 00:18:48,980
+Forcefully Exhalationيعني إذا فير بآخر ما أستطيع
+
+232
+00:18:48,980 --> 00:18:53,060
+اللي بيضال في ال lung بقول عنه residual volume فيه
+
+233
+00:18:53,060 --> 00:18:57,220
+إن ال vital capacity وهو عبارة عن حسبة هي كمية
+
+234
+00:18:57,220 --> 00:19:01,720
+الدواء الهواء اللي can be forcefully exhaled after
+
+235
+00:19:01,720 --> 00:19:08,360
+the deepest inhalation يعني أنا بعد ما أخد نفس
+
+236
+00:19:08,360 --> 00:19:14,320
+deep على الآخر كمية الهواء اللي بطلع بطلعها اللي
+
+237
+00:19:14,320 --> 00:19:19,960
+هي عبارة عن total volumeعبارة عن Inspiratory
+
+238
+00:19:19,960 --> 00:19:23,320
+Reserve Volume وExpiratory Reserve Volume هي عبارة
+
+239
+00:19:23,320 --> 00:19:26,480
+عن الـ Vital Capacity وفيه عنا الـ Total Lung
+
+240
+00:19:26,480 --> 00:19:33,100
+Capacity وهو عبارة عن حسبة
+
+241
+00:19:33,100 --> 00:19:38,700
+الـ Total Amount Of Air Of The Lung Can Be Hold هو
+
+242
+00:19:38,700 --> 00:19:42,740
+أكتر كمية من الهواء ممكن تدخل الـ Lungs بأي صورة
+
+243
+00:19:42,740 --> 00:19:46,740
+من الصورة وهي عبارة عن 6 لترالـ Pulmonary Function
+
+244
+00:19:46,740 --> 00:19:51,640
+Test في له حسبات تانية حقيقية غير هدول اللي إحنا
+
+245
+00:19:51,640 --> 00:19:56,060
+بنعتبرهم وفي بعض الأمراض بيعتبروهم تشخصيين يعني هم
+
+246
+00:19:56,060 --> 00:20:00,680
+بشخصهم عملياً زي الـ Total Ventilation وهي حسبة
+
+247
+00:20:00,680 --> 00:20:04,940
+عبارة عن Total Amount of Gas Flow in to or out of
+
+248
+00:20:04,940 --> 00:20:08,260
+the respiratory tract in one minute يعني كمية
+
+249
+00:20:08,260 --> 00:20:14,200
+الهواء بتروح وبتيجي في الrespiratory tract في one
+
+250
+00:20:14,200 --> 00:20:19,670
+minuteأو في إن الـForced Vital Capacity عبارة عن
+
+251
+00:20:19,670 --> 00:20:24,550
+جاز Forcibly expelled after taking a deep
+
+252
+00:20:24,550 --> 00:20:30,310
+breathing وهذا اللي قلنا عنه قبل شوية هو الـVital
+
+253
+00:20:30,310 --> 00:20:33,930
+Capacity أو في إن الـForced Expiratory Volume هو
+
+254
+00:20:33,930 --> 00:20:37,430
+عبارة عن كمية الجاز expelled during specific time
+
+255
+00:20:37,430 --> 00:20:45,270
+intervals of the Forced Vital Capacityهلال الرسم
+
+256
+00:20:45,270 --> 00:20:50,810
+عنا موجودة؟ بنلاحظ إنه الـTidal Volume، بعدين غير
+
+257
+00:20:50,810 --> 00:20:53,650
+الـTidal Volume، في عنا الـInspiratory Reserve
+
+258
+00:20:53,650 --> 00:20:56,590
+Volume، عنا الـExpiratory Reserve Volume، وفي عنا
+
+259
+00:20:56,590 --> 00:20:58,690
+الـResidual، لأن لما نجمع الـInspiratory Reserve
+
+260
+00:20:58,690 --> 00:21:01,230
+Volume والـTidal Volume والـExpiratory Reserve
+
+261
+00:21:01,230 --> 00:21:04,730
+Volume والـResidual Volume، إيش بدينا؟ صحيح، بدينا
+
+262
+00:21:04,730 --> 00:21:09,800
+Total Land Capacityالـ Vital Capacity بتجمع بين
+
+263
+00:21:09,800 --> 00:21:12,320
+الـ Inspiratory Reserve Volume مع الـ Tidal Volume
+
+264
+00:21:12,320 --> 00:21:16,200
+والـ Inspiratory Reserve Volume والـ Total Lung
+
+265
+00:21:16,200 --> 00:21:21,260
+Capacity هي عبارة عن كل 6 لتر كل الهواء اللي
+
+266
+00:21:21,260 --> 00:21:25,860
+يستطيع أن تحتويه الـ Lung كمان مرة بنصح بإنه على
+
+267
+00:21:25,860 --> 00:21:30,490
+اليوتيوبوهي حاجة بيشرحها بالإيد، بالرسم، بيبقى
+
+268
+00:21:30,490 --> 00:21:36,130
+كتير رائع، وبيفهمها الواحد بصورة أكبر، وهي simple،
+
+269
+00:21:36,130 --> 00:21:40,090
+مافيش فيها، بس يفهم إيش الواحد ال background تبعه
+
+270
+00:21:43,270 --> 00:21:45,970
+respiratory air moves احنا كنا نحكي inspiration و
+
+271
+00:21:45,970 --> 00:21:50,510
+expiration لكن ال movements للهوى فيه حاجة non
+
+272
+00:21:50,510 --> 00:21:53,950
+-respiratory حاجات أنا بدخل هوى و بطلع هوى لكن مش
+
+273
+00:21:53,950 --> 00:21:58,870
+عشان التنفس هي عبارة عن reflex action زي على سبيل
+
+274
+00:21:58,870 --> 00:22:03,480
+المثال الكحة لما بكح بطلع هوىوباخد هوايا،
+
+275
+00:22:03,480 --> 00:22:07,340
+sneezing، العطس، crying، laughing، hiccuping، and
+
+276
+00:22:07,340 --> 00:22:14,360
+yawning هذه الحاجات كلها
+
+277
+00:22:14,360 --> 00:22:19,930
+non-respiratory air movementفي إن حاجة برضه زي ما
+
+278
+00:22:19,930 --> 00:22:23,810
+قلنا كمان مرة أحنا بنحاول جدر الإمكان نلقي نظرة
+
+279
+00:22:23,810 --> 00:22:28,150
+على كل حاجة ممكن تفيدنا في المحاضرات بعد هيك
+
+280
+00:22:28,150 --> 00:22:31,350
+نشرحها في الأول وممكن بعد هيك نسيب فيها في
+
+281
+00:22:31,350 --> 00:22:35,210
+المحاضرات زي الـ Ventilation-Perfusion Coupling
+
+282
+00:22:35,210 --> 00:22:40,650
+الـ Ventilation is the amount of gas reaching the
+
+283
+00:22:40,650 --> 00:22:43,270
+alveoli والـ Perfusion is the blood flow reaching
+
+284
+00:22:43,270 --> 00:22:46,230
+the alveoli، بس للتعريفالـ Ventilation هو كمية
+
+285
+00:22:46,230 --> 00:22:50,790
+الهواء اللي بدخل على الـ Alveoli الـ Perfusion
+
+286
+00:22:50,790 --> 00:22:55,610
+كمية الدم اللي بتروح على الـ Alveoli لازم يكون فيه
+
+287
+00:22:55,610 --> 00:23:01,390
+تناغم بين الـ Ventilation مع الـ Perfusion لأن لو
+
+288
+00:23:01,390 --> 00:23:05,210
+أنا عندي تسكير في الشرايين والـ Veins يعني الـ
+
+289
+00:23:05,210 --> 00:23:11,350
+Perfusion حيصير عندي مشكلة فيه، صح؟طيب لما يكون
+
+290
+00:23:11,350 --> 00:23:14,430
+عنده الـ Perfusion فيه مشكلة لكن الهواء رايح جاي
+
+291
+00:23:14,430 --> 00:23:18,330
+بفيد؟ مفيدش كتير فهو لازم يكون فيه تناغم
+
+292
+00:23:18,330 --> 00:23:21,730
+ventilation and perfusion must be tightly
+
+293
+00:23:21,730 --> 00:23:26,550
+regulated for efficient gas exchange مش عشان
+
+294
+00:23:26,550 --> 00:23:32,030
+براعوا خواطر بعض لأ لأنه واحد بدون التاني ال
+
+295
+00:23:32,030 --> 00:23:33,930
+ventilation بدون ال perfusion بقدرش يشتغل ال
+
+296
+00:23:33,930 --> 00:23:36,130
+perfusion بدون ال ventilation بقدرش يشتغل حتى لو
+
+297
+00:23:36,130 --> 00:23:38,770
+كان في عندي perfusion كويس لكن مافيش ventilation
+
+298
+00:23:38,770 --> 00:23:43,540
+واتجبتفمهم يكونوا التانيين ventilation and
+
+299
+00:23:43,540 --> 00:23:50,280
+perfusion coupled أو متزامنين مين بتحكم أكتر واحد
+
+300
+00:23:50,280 --> 00:23:55,500
+في الموضوع هذا؟ الـCO2، changes in PCO2 اللي هو
+
+301
+00:23:55,500 --> 00:23:58,500
+الـpartial pressure P، هذه الـpartial pressure
+
+302
+00:23:58,500 --> 00:24:03,100
+عبارة عن الضغط، ضغط الـCO2 in the alveolicus،
+
+303
+00:24:03,100 --> 00:24:08,890
+changes in the diameter of bronchiolesوبنلاقي الـ
+
+304
+00:24:08,890 --> 00:24:13,970
+Passageways Serving Areas Where Alveolar Carbon
+
+305
+00:24:13,970 --> 00:24:18,330
+Dioxide Is High Dilate يعني كل ما زاد كمية ثاني
+
+306
+00:24:18,330 --> 00:24:21,490
+أكسيد الكربون في مكان بيصير عندى dilatation في وين
+
+307
+00:24:21,490 --> 00:24:26,590
+في الـ alveolar في ال .. في ال .. كل ما زاد ثاني
+
+308
+00:24:26,590 --> 00:24:29,930
+أكسيد الكربون كل ما زاد اللي هو في الارتريويل ال
+
+309
+00:24:29,930 --> 00:24:35,010
+dilatation وكل ما جال ال carbon dioxide في ال
+
+310
+00:24:35,010 --> 00:24:43,280
+alveolsكلما جال، بيصير عندي تضيق في الـ… في الـ…
+
+311
+00:24:43,280 --> 00:24:45,560
+في الـ… في الـ… في الـ… في الـ… في الـ… في الـ… في
+
+312
+00:24:45,560 --> 00:24:47,420
+الـ… في الـ… في الـ… في الـ… في الـ… في الـ… في
+
+313
+00:24:47,420 --> 00:24:47,560
+الـ… في الـ… في الـ… في الـ… في الـ… في الـ… في
+
+314
+00:24:47,560 --> 00:24:52,200
+الـ… في الـ… في الـ… في الـ… في الـ… في الـ… في
+
+315
+00:24:52,200 --> 00:24:52,860
+الـ… في الـ… في الـ… في الـ… في الـ… في الـ… في
+
+316
+00:24:52,860 --> 00:24:55,560
+الـ… في الـ… في الـ… في الـ… في الـ… في الـ… في
+
+317
+00:24:55,560 --> 00:25:02,580
+الـ… في الـ… في
+
+318
+00:25:04,730 --> 00:25:09,490
+لما كان عندى reduce alveolar ventilation فاش هوا
+
+319
+00:25:09,490 --> 00:25:14,210
+كتير شايفين انتوا الفقاعة اللى هى الصفرة الفقاعة
+
+320
+00:25:14,210 --> 00:25:18,770
+جال ال alveolar ventilation طبعا لما يجي ال
+
+321
+00:25:18,770 --> 00:25:21,710
+alveolar ventilation ايش بيصير؟ بيزيد ال CO2 طبعا
+
+322
+00:25:21,710 --> 00:25:24,530
+لأنه مافيش عملية تبادل oxygen و ثانو oxygen
+
+323
+00:25:24,530 --> 00:25:27,130
+الكربون فبيزيد ثانو oxygen الكربون و بيبقى فيه
+
+324
+00:25:27,130 --> 00:25:30,190
+عندنا excessive perfusion ايش بروح بيصير؟ لما يزيد
+
+325
+00:25:30,190 --> 00:25:33,290
+ثانو oxygen الكربون على طول بتضيق البولبنري
+
+326
+00:25:33,290 --> 00:25:40,190
+artulesأرتيويل بيصيروا تضيق والأرتيويل اللي بروح
+
+327
+00:25:40,190 --> 00:25:43,010
+على الالفيول هاي بيصيروا تضيق ولمّا يصيروا تضيق
+
+328
+00:25:43,010 --> 00:25:48,730
+على طول بيصير عندنا reduced perfusion بمعنى أنا
+
+329
+00:25:48,730 --> 00:25:52,230
+لما جيت لما يزيد سانو اكسيد الكربون في الالفيول
+
+330
+00:25:52,230 --> 00:25:59,080
+والبرفيوجين لسه شغال زي الناسبيأخد Action الجسم
+
+331
+00:25:59,080 --> 00:26:05,120
+وبيخلّي الـ «أرتيويل» يـ Constrict نتيجة ارتفاع
+
+332
+00:26:05,120 --> 00:26:08,820
+ثاني أكسيد الكربون فبيجيل كمية الدم اللي بتروح
+
+333
+00:26:08,820 --> 00:26:14,240
+هناك بالصورة هاي يعني مش عملية عكسية عملية بيرتبوا
+
+334
+00:26:14,240 --> 00:26:19,000
+وشغلوا مع بعض والله جال الهواء اللي بيروح وبيجي
+
+335
+00:26:19,000 --> 00:26:22,700
+فبيزيد ثاني أكسيد الكربون وبيضيق الـ «أرتيويل»
+
+336
+00:26:22,700 --> 00:26:29,740
+الآن بالعكسزاد الـ Alveolar Ventilation فجال الـ
+
+337
+00:26:29,740 --> 00:26:32,180
+Alveolar Ventilation زاد معناته سينيوكسيد الكربون
+
+338
+00:26:32,180 --> 00:26:35,180
+بيصير ينطرد كتير لما ينطرد كتير معناته بيجيل في
+
+339
+00:26:35,180 --> 00:26:41,820
+الـ Alveolar Ventilation فأنا إيش بعمل؟ لما يجيل
+
+340
+00:26:41,820 --> 00:26:45,260
+سينيوكسيد الكربون بيتوسع الارتريول لما يتوسع
+
+341
+00:26:45,260 --> 00:26:52,230
+الارتريول بيزيد اللي هو الـ Perfusionبشتغل مع
+
+342
+00:26:52,230 --> 00:26:55,990
+التاني هذه اسمها ventilation-perfusion coupling
+
+343
+00:26:55,990 --> 00:27:01,090
+ممكن نسمعها في المحاضرات بعدها ال service area and
+
+344
+00:27:01,090 --> 00:27:04,410
+thickness برضه وردة جديدة يعني زي ما قلنا مواضيع
+
+345
+00:27:04,410 --> 00:27:08,310
+مختلفة بندخل من حاجة بندخل في حاجة لكن أنا للتوضيح
+
+346
+00:27:08,310 --> 00:27:15,480
+يعني وهذه آخر slide للمحاضرة اليوماللي هو سبحانك
+
+347
+00:27:15,480 --> 00:27:19,900
+ربي يعني عملية الـ Gas Exchange اللي بتسير في الـ
+
+348
+00:27:19,900 --> 00:27:29,120
+Lungs بتسير فيه جدر جدر كتير fine فبنلاقي إنه الـ
+
+349
+00:27:29,120 --> 00:27:33,780
+Respiratory Membranesحوالي نص لواحد Micro-Thick
+
+350
+00:27:33,780 --> 00:27:37,160
+Allowing for Efficient Gas Exchange عشان يصير
+
+351
+00:27:37,160 --> 00:27:42,140
+عملية يعني إيش أكتر حاجة بتتصوروا إنها أرجيجة
+
+352
+00:27:42,140 --> 00:27:46,780
+ونعمة هادي أجل منها يدوب مبينة عمليًا يدوب مبينة
+
+353
+00:27:46,780 --> 00:27:52,280
+عمليًا من 0.5 نص لواحد Micro-Meter Thick Allowing
+
+354
+00:27:52,280 --> 00:27:55,720
+Efficient Gas Exchange لو تيجي تجمع في الـLungs
+
+355
+00:27:55,720 --> 00:27:58,620
+عند الرجال ع سبيل المثال بتلاقي إنه حوالي 60 متر
+
+356
+00:27:58,620 --> 00:28:05,640
+مربعهذه جد أربعين مرة That one's skin جد الجلد لما
+
+357
+00:28:05,640 --> 00:28:09,360
+تجمع Total Surface Area في الـMills ويقال إنها
+
+358
+00:28:09,360 --> 00:28:19,340
+تساوي مساحة ملعب كرة التنس لأن لو صار في عندي
+
+359
+00:28:19,340 --> 00:28:25,170
+أديمةبالموناري إديمة إيش بيصير في الـ .. في الـ
+
+360
+00:28:25,170 --> 00:28:30,370
+membranes هاي بيصير thick أكتر وأكتر طبعاً لما كل
+
+361
+00:28:30,370 --> 00:28:34,270
+ما زاد ال thickness تبعها بيصير ال gas exchange
+
+362
+00:28:34,270 --> 00:28:38,230
+inadequate و بيصير عندنا نقص أكسجين بيصير عندنا
+
+363
+00:28:38,230 --> 00:28:42,470
+gas deprivation ليش؟ لأن ال lung هذه اللي فيها
+
+364
+00:28:42,470 --> 00:28:47,200
+edematous walls جواتهامش قادرة تعمل gas exchange
+
+365
+00:28:47,200 --> 00:28:51,400
+زي الناس فبصير عندى hypo ventilation أو بيصير عندى
+
+366
+00:28:51,400 --> 00:28:56,080
+oxygen أو asphyxia معنى آخر لأن كل ما جل ال
+
+367
+00:28:56,080 --> 00:29:02,890
+surfaceزي في الـ Enphysema ‏when walls of alveoli
+
+368
+00:29:02,890 --> 00:29:07,350
+break through يعني بتقل الـ service وبرضه بتقل
+
+369
+00:29:07,350 --> 00:29:13,450
+عملية الـ oxygen exchange نتيجة وجود Enphysema،
+
+370
+00:29:13,450 --> 00:29:18,390
+ليش؟ لأن الـ service أصلا اتدهورفبالصورة هذه بيصير
+
+371
+00:29:18,390 --> 00:29:23,910
+عندنا نفس الـ Effect إنه بدخل عند العيّان في
+
+372
+00:29:23,910 --> 00:29:28,990
+أسفكسيا بطريقة أو بأخرى وهاكذا معظم الـ Mechanisms
+
+373
+00:29:28,990 --> 00:29:35,890
+يعني أنا عارف إنه الممكن فيه شويه ناشفة المعلومات
+
+374
+00:29:35,890 --> 00:29:40,550
+لأنه مش practical كتير لكن هي زي ما قلنا عبارة عن
+
+375
+00:29:40,550 --> 00:29:43,410
+بعض الإضاءات
+
+376
+00:29:44,020 --> 00:29:47,120
+في الـ Anatomy and Physiology of Respiratory
+
+377
+00:29:47,120 --> 00:29:52,780
+System وبنحاول في المحاضرات الأمراض أنه نرجع لل
+
+378
+00:29:52,780 --> 00:29:56,720
+basics هاي هي مهمة كتير حقيقة وحتى يعني احنا
+
+379
+00:29:56,720 --> 00:29:59,840
+بنستهدفها في الامتحانات كتير على أساس أنه ال
+
+380
+00:29:59,840 --> 00:30:03,320
+basics لازم الواحد يكون فاهمه قدر الممكن أنا
+
+381
+00:30:03,320 --> 00:30:09,920
+بشكرلكم حسن الاستماع ويعطيكم الف عافية السلام
+
+382
+00:30:09,920 --> 00:30:10,300
+عليكم
+
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/bBU74brkUFs_raw.json b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/bBU74brkUFs_raw.json
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الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الصحيحة الص", "tokens": [6027, 9381, 9957, 1829, 9307, 6055, 33753, 45865, 15844, 31767, 9957, 1829, 9307, 31767, 5016, 1829, 5016, 3660, 31767, 5016, 1829, 5016, 3660, 31767, 5016, 1829, 5016, 3660, 31767, 5016, 1829, 5016, 3660, 31767, 5016, 1829, 5016, 3660, 31767, 5016, 1829, 5016, 3660, 31767, 5016, 1829, 5016, 3660, 31767, 5016, 1829, 5016, 3660, 31767, 5016, 1829, 5016, 3660, 31767, 5016, 1829, 5016, 3660, 31767, 5016, 1829, 5016, 3660, 31767, 5016, 1829, 5016, 3660, 31767, 5016, 1829, 5016, 3660, 31767, 5016, 1829, 5016, 3660, 31767, 5016, 1829, 5016, 3660, 31767, 5016, 1829, 5016, 3660, 31767, 5016, 1829, 5016, 3660, 31767, 5016, 1829, 5016, 3660, 31767, 5016, 1829, 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الصحيحة", "probability": 0.979296875}, {"start": 247.91, "end": 247.93, "word": " الصحيحة", "probability": 0.98125}, {"start": 247.93, "end": 248.99, "word": " الصحيحة", "probability": 0.98251953125}, {"start": 248.99, "end": 248.99, "word": " الصحيحة", "probability": 0.98388671875}, {"start": 248.99, "end": 248.99, "word": " الصحيحة", "probability": 0.98466796875}, {"start": 248.99, "end": 248.99, "word": " الصحيحة", "probability": 0.98515625}, {"start": 248.99, "end": 249.03, "word": " الصحيحة", "probability": 0.98564453125}, {"start": 249.03, "end": 249.05, "word": " الصحيحة", "probability": 0.9857421875}, {"start": 249.05, "end": 249.05, "word": " الصحيحة", "probability": 0.9859375}, {"start": 249.05, "end": 249.67, "word": " الصحيحة", "probability": 0.9861328125}, {"start": 249.67, "end": 251.21, "word": " الصحيحة", "probability": 0.986328125}, {"start": 251.21, "end": 253.01, "word": " الصحيحة", "probability": 0.98662109375}, {"start": 253.01, "end": 253.75, "word": " الصحيحة", 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Sinus فيه عندنا Frontal Sinus أثمويدل Sinus frontal فوق العين على طول فوق الحاجب أثمويدل بين الإنتين منطقة بين الإنتين", "tokens": [3615, 8315, 23032, 3555, 3615, 995, 3714, 3215, 9778, 1211, 16247, 1863, 5172, 20666, 39184, 4575, 612, 1973, 5712, 13496, 473, 16070, 39184, 44, 327, 2285, 4032, 30152, 1973, 5712, 13496, 473, 4032, 6027, 33456, 44945, 8592, 38688, 3224, 8978, 20328, 13063, 3660, 6055, 7649, 10632, 2423, 39184, 50, 259, 301, 28066, 1088, 5551, 5016, 8315, 12174, 12610, 8315, 9122, 10943, 9122, 10943, 11187, 301, 8978, 3224, 43242, 8315, 17348, 304, 11187, 301, 5551, 12984, 2304, 2407, 25708, 1211, 11187, 301, 34647, 6156, 30543, 18863, 9957, 15844, 23032, 12610, 6156, 30543, 21542, 26108, 3555, 5551, 12984, 2304, 2407, 25708, 1211, 49374, 33688, 29399, 9957, 9154, 9566, 28671, 49374, 33688, 29399, 9957], "avg_logprob": -0.2769252261412995, "compression_ratio": 1.6853448275862069, "no_speech_prob": 2.384185791015625e-07, "words": [{"start": 267.33, "end": 267.83, "word": 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"end": 278.45, "word": " صورة", "probability": 0.9840494791666666}, {"start": 278.45, "end": 278.75, "word": " تانية", "probability": 0.9899088541666666}, {"start": 278.75, "end": 279.27, "word": " الـSinus", "probability": 0.7423828125}, {"start": 279.27, "end": 279.79, "word": " Cavities", "probability": 0.760986328125}, {"start": 279.79, "end": 280.23, "word": " أحنا", "probability": 0.7283935546875}, {"start": 280.23, "end": 280.51, "word": " قولنا", "probability": 0.8209635416666666}, {"start": 280.51, "end": 280.81, "word": " كام", "probability": 0.797607421875}, {"start": 280.81, "end": 281.33, "word": " كام", "probability": 0.60791015625}, {"start": 281.33, "end": 283.17, "word": " Sinus", "probability": 0.707763671875}, {"start": 283.17, "end": 283.35, "word": " فيه", "probability": 0.630859375}, {"start": 283.35, "end": 284.23, "word": " عندنا", "probability": 0.827880859375}, {"start": 284.23, "end": 284.97, "word": " Frontal", "probability": 0.6649169921875}, {"start": 284.97, "end": 285.87, "word": " Sinus", "probability": 0.947998046875}, {"start": 285.87, "end": 286.91, "word": " أثمويدل", "probability": 0.6882120768229166}, {"start": 286.91, "end": 287.33, "word": " Sinus", "probability": 0.7105712890625}, {"start": 287.33, "end": 287.65, "word": " frontal", "probability": 0.287109375}, {"start": 287.65, "end": 287.97, "word": " فوق", "probability": 0.986083984375}, {"start": 287.97, "end": 288.27, "word": " العين", "probability": 0.982666015625}, {"start": 288.27, "end": 288.45, "word": " على", "probability": 0.84326171875}, {"start": 288.45, "end": 288.67, "word": " طول", "probability": 0.989501953125}, {"start": 288.67, "end": 288.89, "word": " فوق", "probability": 0.938720703125}, {"start": 288.89, "end": 289.61, "word": " الحاجب", "probability": 0.9879557291666666}, {"start": 289.61, "end": 290.83, "word": " أثمويدل", "probability": 0.9796549479166666}, {"start": 290.83, "end": 291.51, "word": " بين", "probability": 0.93310546875}, {"start": 291.51, "end": 292.07, "word": " الإنتين", "probability": 0.8062337239583334}, {"start": 292.07, "end": 292.81, "word": " منطقة", "probability": 0.90673828125}, {"start": 292.81, "end": 293.21, "word": " بين", "probability": 0.98681640625}, {"start": 293.21, "end": 293.75, "word": " الإنتين", "probability": 0.98974609375}], "temperature": 1.0}, {"id": 14, "seek": 31099, "start": 294.57, "end": 310.99, "text": "في عندنا الـ maxillary sinus وفي الـ maxillary sinus طبعا جنب الأنف وفي الـ sphenoidal اللي هو من الصورة من الأمام بنشوفوش لكن ممكن من ال to the sides sphenoidal sinus نشوف هذه صورة X-ray", "tokens": [41185, 43242, 8315, 2423, 39184, 11469, 46367, 41503, 4032, 41185, 2423, 39184, 11469, 46367, 41503, 23032, 3555, 3615, 995, 10874, 1863, 3555, 16247, 1863, 5172, 4032, 41185, 2423, 39184, 637, 2932, 17079, 304, 13672, 1829, 31439, 9154, 31767, 13063, 3660, 9154, 16247, 2304, 10943, 4724, 1863, 8592, 38688, 2407, 8592, 44381, 3714, 43020, 9154, 2423, 281, 264, 4881, 637, 2932, 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"probability": 0.839599609375}, {"start": 850.39, "end": 850.79, "word": " Function", "probability": 0.964111328125}, {"start": 850.79, "end": 851.39, "word": " Test", "probability": 0.93896484375}, {"start": 851.39, "end": 852.79, "word": " اللي", "probability": 0.983154296875}, {"start": 852.79, "end": 852.97, "word": " هو", "probability": 0.978515625}, {"start": 852.97, "end": 853.25, "word": " بنقول", "probability": 0.852294921875}, {"start": 853.25, "end": 853.51, "word": " عنه", "probability": 0.987548828125}, {"start": 853.51, "end": 853.91, "word": " باسم", "probability": 0.9879557291666666}, {"start": 853.91, "end": 854.33, "word": " آخر", "probability": 0.884765625}, {"start": 854.33, "end": 855.67, "word": " Spirometer،", "probability": 0.728271484375}, {"start": 855.67, "end": 855.99, "word": " جهاز", "probability": 0.9895833333333334}, {"start": 855.99, "end": 856.71, "word": " Spirometer", "probability": 0.9020182291666666}, {"start": 856.71, "end": 857.59, "word": " زي", "probability": 0.7646484375}, {"start": 857.59, "end": 857.95, "word": " هيك", "probability": 0.970947265625}], "temperature": 1.0}, {"id": 38, "seek": 88112, "start": 858.7, "end": 881.12, "text": "هدف الجهاز هذا بيحاول إن الـ Instrument consisting of a hollow inverted over water used to evaluate respiratory function للـ functions، Spirometer إيش بيعمل؟ بيفرج لبين، هل اللي أنا بحكي عنه، المرض اللي بحكي عنه obstructive، و هنعرف الفرق، pulmonary disease", "tokens": [3224, 3215, 5172, 25724, 3224, 31377, 23758, 4724, 1829, 5016, 995, 12610, 36145, 2423, 39184, 39785, 2206, 33921, 295, 257, 23972, 38969, 670, 1281, 1143, 281, 13059, 27038, 2445, 24976, 39184, 6828, 12399, 1738, 347, 13606, 11933, 1829, 8592, 4724, 1829, 25957, 1211, 22807, 4724, 33911, 47341, 5296, 3555, 9957, 12399, 8032, 1211, 13672, 1829, 41850, 4724, 5016, 4117, 1829, 18871, 3224, 12399, 9673, 43042, 13672, 1829, 4724, 5016, 4117, 1829, 18871, 3224, 9579, 21673, 12399, 4032, 8032, 1863, 3615, 28480, 27188, 2288, 4587, 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"end": 862.58, "word": " hollow", "probability": 0.951171875}, {"start": 862.58, "end": 864.58, "word": " inverted", "probability": 0.3115234375}, {"start": 864.58, "end": 865.0, "word": " over", "probability": 0.9150390625}, {"start": 865.0, "end": 865.48, "word": " water", "probability": 0.8447265625}, {"start": 865.48, "end": 867.16, "word": " used", "probability": 0.65869140625}, {"start": 867.16, "end": 867.46, "word": " to", "probability": 0.955078125}, {"start": 867.46, "end": 868.1, "word": " evaluate", "probability": 0.927734375}, {"start": 868.1, "end": 868.62, "word": " respiratory", "probability": 0.86865234375}, {"start": 868.62, "end": 869.3, "word": " function", "probability": 0.7421875}, {"start": 869.3, "end": 869.86, "word": " للـ", "probability": 0.38165283203125}, {"start": 869.86, "end": 870.76, "word": " functions،", "probability": 0.450927734375}, {"start": 870.76, "end": 871.66, "word": " Spirometer", "probability": 0.685791015625}, {"start": 871.66, "end": 872.1, "word": " إيش", "probability": 0.7892252604166666}, {"start": 872.1, "end": 872.66, "word": " بيعمل؟", "probability": 0.926171875}, {"start": 872.66, "end": 873.02, "word": " بيفرج", "probability": 0.7486979166666666}, {"start": 873.02, "end": 873.86, "word": " لبين،", "probability": 0.84912109375}, {"start": 873.86, "end": 874.12, "word": " هل", "probability": 0.943603515625}, {"start": 874.12, "end": 874.24, "word": " اللي", "probability": 0.9208984375}, {"start": 874.24, "end": 874.46, "word": " أنا", "probability": 0.75439453125}, {"start": 874.46, "end": 874.84, "word": " بحكي", "probability": 0.9866943359375}, {"start": 874.84, "end": 875.34, "word": " عنه،", "probability": 0.94140625}, {"start": 875.34, "end": 875.68, "word": " المرض", "probability": 0.972900390625}, {"start": 875.68, "end": 875.82, "word": " اللي", "probability": 0.99609375}, {"start": 875.82, "end": 876.12, "word": " بحكي", "probability": 0.989013671875}, {"start": 876.12, "end": 876.44, "word": " عنه", "probability": 0.994140625}, {"start": 876.44, "end": 878.68, "word": " obstructive،", "probability": 0.5568033854166666}, {"start": 878.68, "end": 878.78, "word": " و", "probability": 0.51904296875}, {"start": 878.78, "end": 879.08, "word": " هنعرف", "probability": 0.913330078125}, {"start": 879.08, "end": 880.16, "word": " الفرق،", "probability": 0.7379150390625}, {"start": 880.16, "end": 880.58, "word": " pulmonary", "probability": 0.771240234375}, {"start": 880.58, "end": 881.12, "word": " disease", "probability": 0.943359375}], "temperature": 1.0}, {"id": 39, "seek": 90391, "start": 882.81, "end": 903.91, "text": "كل ما كان فيه عنوان Obstruction كل ما كان الـ Resistance أعلى تبع الـ Airway و لا Restrictive الـ Restrictive بيعمل Restriction للـ Lung Volume الـ Capacity of the lung بتقل نتيجة مشاكل في الـ Structure أو الـ Functional Lung Changes", "tokens": [28820, 19446, 25961, 8978, 3224, 18871, 2407, 7649, 4075, 372, 3826, 28242, 19446, 25961, 2423, 39184, 45647, 5551, 3615, 23942, 6055, 3555, 3615, 2423, 39184, 5774, 676, 4032, 20193, 13094, 3740, 488, 2423, 39184, 13094, 3740, 488, 4724, 1829, 25957, 1211, 13094, 3740, 313, 24976, 39184, 441, 1063, 38448, 2423, 39184, 8363, 19008, 295, 264, 16730, 39894, 4587, 1211, 8717, 31371, 7435, 3660, 37893, 995, 28820, 8978, 2423, 39184, 745, 2885, 34051, 2423, 39184, 11166, 41048, 441, 1063, 761, 10350], "avg_logprob": -0.2635030981935101, "compression_ratio": 1.5147058823529411, "no_speech_prob": 0.0, "words": [{"start": 882.81, "end": 883.09, "word": "كل", "probability": 0.449462890625}, {"start": 883.09, "end": 883.29, "word": " ما", "probability": 0.83544921875}, {"start": 883.29, "end": 883.47, "word": " كان", "probability": 0.97412109375}, {"start": 883.47, "end": 883.69, "word": " فيه", "probability": 0.719482421875}, {"start": 883.69, "end": 883.89, "word": " عنوان", "probability": 0.6146647135416666}, {"start": 883.89, "end": 884.57, "word": " Obstruction", "probability": 0.6770426432291666}, {"start": 884.57, "end": 884.81, "word": " كل", "probability": 0.69189453125}, {"start": 884.81, "end": 884.99, "word": " ما", "probability": 0.96240234375}, {"start": 884.99, "end": 885.17, "word": " كان", "probability": 0.99365234375}, {"start": 885.17, "end": 885.31, "word": " الـ", "probability": 0.825927734375}, {"start": 885.31, "end": 886.03, "word": " Resistance", "probability": 0.55419921875}, {"start": 886.03, "end": 887.01, "word": " أعلى", "probability": 0.9532877604166666}, {"start": 887.01, "end": 887.85, "word": " تبع", "probability": 0.7801106770833334}, {"start": 887.85, "end": 888.41, "word": " الـ", "probability": 0.892822265625}, {"start": 888.41, "end": 888.83, "word": " Airway", "probability": 0.76904296875}, {"start": 888.83, "end": 890.35, "word": " و", "probability": 0.339111328125}, {"start": 890.35, "end": 890.55, "word": " لا", "probability": 0.8291015625}, {"start": 890.55, "end": 891.39, "word": " Restrictive", "probability": 0.7989095052083334}, {"start": 891.39, "end": 892.77, "word": " الـ", "probability": 0.68359375}, {"start": 892.77, "end": 893.31, "word": " Restrictive", "probability": 0.8899739583333334}, {"start": 893.31, "end": 893.55, "word": " بيعمل", "probability": 0.5611572265625}, {"start": 893.55, "end": 894.35, "word": " Restriction", "probability": 0.86474609375}, {"start": 894.35, "end": 894.73, "word": " للـ", "probability": 0.8759765625}, {"start": 894.73, "end": 895.01, "word": " Lung", "probability": 0.786865234375}, {"start": 895.01, "end": 895.63, "word": " Volume", "probability": 0.86767578125}, {"start": 895.63, "end": 896.83, "word": " الـ", "probability": 0.712890625}, {"start": 896.83, "end": 897.33, "word": " Capacity", "probability": 0.911865234375}, {"start": 897.33, "end": 897.59, "word": " of", "probability": 0.9150390625}, {"start": 897.59, "end": 897.79, "word": " the", "probability": 0.82568359375}, {"start": 897.79, "end": 898.11, "word": " lung", "probability": 0.6845703125}, {"start": 898.11, "end": 899.05, "word": " بتقل", "probability": 0.7960611979166666}, {"start": 899.05, "end": 900.17, "word": " نتيجة", "probability": 0.987548828125}, {"start": 900.17, "end": 900.89, "word": " مشاكل", "probability": 0.9894205729166666}, {"start": 900.89, "end": 901.11, "word": " في", "probability": 0.939453125}, {"start": 901.11, "end": 901.29, "word": " الـ", "probability": 0.8037109375}, {"start": 901.29, "end": 901.73, "word": " Structure", "probability": 0.852294921875}, {"start": 901.73, "end": 901.99, "word": " أو", "probability": 0.95361328125}, {"start": 901.99, "end": 902.13, "word": " الـ", "probability": 0.890380859375}, {"start": 902.13, "end": 902.71, "word": " Functional", "probability": 0.751953125}, {"start": 902.71, "end": 903.31, "word": " Lung", "probability": 0.8125}, {"start": 903.31, "end": 903.91, "word": " Changes", "probability": 0.941162109375}], "temperature": 1.0}, {"id": 40, "seek": 93012, "start": 904.7, "end": 930.12, "text": "هذا شغلت الـ Spirometer اللي يبقى Spirometer أو الـ Pulmonary lung function أو test function test lung test بيفرقلي بين الـ Obstructive Pulmonary Disease والـ Restrictive Pulmonary Disease وقلنا الفرق بين الأتنين الـ Obstructive Pulmonary Disease بيبقى عندنا increased airway resistance يعني الهواء نتيجة الـ Obstruction", "tokens": [3224, 15730, 13412, 17082, 1211, 2655, 2423, 39184, 1738, 347, 13606, 13672, 1829, 7251, 3555, 4587, 7578, 1738, 347, 13606, 34051, 2423, 39184, 35568, 46386, 16730, 2445, 34051, 1500, 2445, 1500, 16730, 1500, 4724, 33911, 2288, 4587, 20292, 49374, 2423, 39184, 4075, 372, 21673, 35568, 46386, 35360, 16070, 39184, 13094, 3740, 488, 35568, 46386, 35360, 4032, 4587, 1211, 8315, 27188, 2288, 4587, 49374, 16247, 2655, 1863, 9957, 2423, 39184, 4075, 372, 21673, 35568, 46386, 35360, 4724, 1829, 3555, 4587, 7578, 43242, 8315, 6505, 1988, 676, 7335, 37495, 22653, 2423, 3224, 2407, 16606, 8717, 31371, 7435, 3660, 2423, 39184, 4075, 372, 3826], "avg_logprob": -0.2823222963248982, "compression_ratio": 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"word": " function", "probability": 0.70947265625}, {"start": 910.08, "end": 910.26, "word": " أو", "probability": 0.935546875}, {"start": 910.26, "end": 910.48, "word": " test", "probability": 0.60986328125}, {"start": 910.48, "end": 910.98, "word": " function", "probability": 0.87744140625}, {"start": 910.98, "end": 911.66, "word": " test", "probability": 0.347412109375}, {"start": 911.66, "end": 912.46, "word": " lung", "probability": 0.8212890625}, {"start": 912.46, "end": 913.2, "word": " test", "probability": 0.5810546875}, {"start": 913.2, "end": 915.48, "word": " بيفرقلي", "probability": 0.67626953125}, {"start": 915.48, "end": 916.92, "word": " بين", "probability": 0.98046875}, {"start": 916.92, "end": 917.62, "word": " الـ", "probability": 0.748046875}, {"start": 917.62, "end": 917.98, "word": " Obstructive", "probability": 0.8824869791666666}, {"start": 917.98, "end": 918.38, "word": " Pulmonary", "probability": 0.85107421875}, {"start": 918.38, "end": 918.9, "word": " 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{"start": 1201.08, "end": 1201.26, "word": " عن", "probability": 0.97998046875}, {"start": 1201.26, "end": 1201.48, "word": " Total", "probability": 0.67333984375}, {"start": 1201.48, "end": 1201.92, "word": " Amount", "probability": 0.83447265625}, {"start": 1201.92, "end": 1202.12, "word": " of", "probability": 0.76416015625}, {"start": 1202.12, "end": 1202.5, "word": " Gas", "probability": 0.9111328125}, {"start": 1202.5, "end": 1203.12, "word": " Flow", "probability": 0.73583984375}, {"start": 1203.12, "end": 1203.48, "word": " in", "probability": 0.29931640625}, {"start": 1203.48, "end": 1203.64, "word": " to", "probability": 0.4052734375}, {"start": 1203.64, "end": 1204.36, "word": " or", "probability": 0.400146484375}, {"start": 1204.36, "end": 1204.74, "word": " out", "probability": 0.81103515625}, {"start": 1204.74, "end": 1204.94, "word": " of", "probability": 0.94580078125}, {"start": 1204.94, "end": 1205.1, "word": " the", "probability": 0.7763671875}, {"start": 1205.1, "end": 1205.44, "word": " respiratory", "probability": 0.54931640625}, {"start": 1205.44, "end": 1206.04, "word": " tract", "probability": 0.92626953125}, {"start": 1206.04, "end": 1206.6, "word": " in", "probability": 0.87109375}, {"start": 1206.6, "end": 1206.8, "word": " one", "probability": 0.82958984375}, {"start": 1206.8, "end": 1207.18, "word": " minute", "probability": 0.923828125}, {"start": 1207.18, "end": 1207.92, "word": " يعني", "probability": 0.860595703125}, {"start": 1207.92, "end": 1208.26, "word": " كمية", "probability": 0.9923502604166666}, {"start": 1208.26, "end": 1209.0, "word": " الهواء", "probability": 0.8741455078125}, {"start": 1209.0, "end": 1210.96, "word": " بتروح", "probability": 0.9173177083333334}, {"start": 1210.96, "end": 1212.14, "word": " وبتيجي", "probability": 0.82626953125}, {"start": 1212.14, "end": 1212.56, "word": " في", "probability": 0.9755859375}, {"start": 1212.56, "end": 1213.1, "word": " الrespiratory", "probability": 0.7581787109375}, {"start": 1213.1, "end": 1213.42, "word": " tract", "probability": 0.9638671875}, {"start": 1213.42, "end": 1213.58, "word": " في", "probability": 0.96923828125}, {"start": 1213.58, "end": 1214.2, "word": " one", "probability": 0.9248046875}, {"start": 1214.2, "end": 1214.58, "word": " minute", "probability": 0.9453125}], "temperature": 1.0}, {"id": 52, "seek": 124291, "start": 1215.79, "end": 1242.91, "text": "أو في إن الـForced Vital Capacity عبارة عن جاز Forcibly expelled after taking a deep breathing وهذا اللي قلنا عنه قبل شوية هو الـVital Capacity أو في إن الـForced Expiratory Volume هو عبارة عن كمية الجاز expelled during specific time intervals of the Forced Vital Capacity", "tokens": [10721, 2407, 8978, 36145, 2423, 39184, 12587, 1232, 48307, 8363, 19008, 6225, 3555, 9640, 3660, 18871, 10874, 31377, 1171, 537, 25021, 44368, 934, 1940, 257, 2452, 9570, 37037, 15730, 13672, 1829, 12174, 1211, 8315, 18871, 3224, 12174, 36150, 13412, 2407, 10632, 31439, 2423, 39184, 53, 1686, 8363, 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{"start": 1793.34, "end": 1793.82, "word": " هاي", "probability": 0.594482421875}, {"start": 1793.82, "end": 1794.24, "word": " هي", "probability": 0.75439453125}, {"start": 1794.24, "end": 1794.7, "word": " مهمة", "probability": 0.9635416666666666}, {"start": 1794.7, "end": 1794.9, "word": " كتير", "probability": 0.86767578125}, {"start": 1794.9, "end": 1795.38, "word": " حقيقة", "probability": 0.9744466145833334}, {"start": 1795.38, "end": 1796.32, "word": " وحتى", "probability": 0.9103190104166666}, {"start": 1796.32, "end": 1796.54, "word": " يعني", "probability": 0.79345703125}, {"start": 1796.54, "end": 1796.72, "word": " احنا", "probability": 0.8323567708333334}, {"start": 1796.72, "end": 1797.32, "word": " بنستهدفها", "probability": 0.9271647135416666}, {"start": 1797.32, "end": 1797.42, "word": " في", "probability": 0.9501953125}, {"start": 1797.42, "end": 1797.94, "word": " الامتحانات", "probability": 0.9628092447916666}, {"start": 1797.94, "end": 1798.26, "word": " كتير", "probability": 0.9783528645833334}, {"start": 1798.26, "end": 1798.98, "word": " على", "probability": 0.92236328125}, {"start": 1798.98, "end": 1799.34, "word": " أساس", "probability": 0.9324544270833334}, {"start": 1799.34, "end": 1799.7, "word": " أنه", "probability": 0.6533203125}, {"start": 1799.7, "end": 1799.84, "word": " ال", "probability": 0.9677734375}, {"start": 1799.84, "end": 1800.12, "word": " basics", "probability": 0.94140625}, {"start": 1800.12, "end": 1800.42, "word": " لازم", "probability": 0.9856770833333334}, {"start": 1800.42, "end": 1800.68, "word": " الواحد", "probability": 0.9454752604166666}, {"start": 1800.68, "end": 1801.04, "word": " يكون", "probability": 0.99560546875}, {"start": 1801.04, "end": 1801.74, "word": " فاهمه", "probability": 0.93115234375}, {"start": 1801.74, "end": 1802.06, "word": " قدر", "probability": 0.769775390625}, {"start": 1802.06, "end": 1802.46, "word": " الممكن", "probability": 0.8076171875}, {"start": 1802.46, "end": 1803.32, "word": " أنا", "probability": 0.7783203125}, {"start": 1803.32, "end": 1804.8, "word": " بشكرلكم", "probability": 0.83564453125}, {"start": 1804.8, "end": 1805.18, "word": " حسن", "probability": 0.7587890625}, {"start": 1805.18, "end": 1806.8, "word": " الاستماع", "probability": 0.90185546875}, {"start": 1806.8, "end": 1808.24, "word": " ويعطيكم", "probability": 0.7524065290178571}, {"start": 1808.24, "end": 1808.7, "word": " الف", "probability": 0.51123046875}, {"start": 1808.7, "end": 1809.5, "word": " عافية", "probability": 0.9552408854166666}, {"start": 1809.5, "end": 1809.92, "word": " السلام", "probability": 0.78125}, {"start": 1809.92, "end": 1810.3, "word": " عليكم", "probability": 0.952392578125}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 1814.709125, "duration_after_vad": 1760.2124999999958}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/bWJL4CfrdXk.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/bWJL4CfrdXk.srt
new file mode 100644
index 0000000000000000000000000000000000000000..087a522405cd2b412b77bd5463855b490584d48b
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/bWJL4CfrdXk.srt
@@ -0,0 +1,1487 @@
+1
+00:00:01,670 --> 00:00:04,930
+بسم الله الرحمن الرحيم الحمد لله رب العالمين بدنا
+
+2
+00:00:04,930 --> 00:00:09,450
+يا جماعة نقترب من النهاية اليوم هنتحدث.. ممكن
+
+3
+00:00:09,450 --> 00:00:13,550
+ما حدش حتى الآن خلال دراستكوا تحدث عن الـ cancer
+
+4
+00:00:13,550 --> 00:00:18,150
+طبعا احنا مش هنروح بتوسع لكن بدنا نكون عارفين بعض
+
+5
+00:00:18,150 --> 00:00:22,810
+الـ terminology بعض المبادئ الأساسية في الـ cancer
+
+6
+00:00:22,810 --> 00:00:26,710
+هو أن انتوا في يوم من الأيام في لحظة من اللحظات
+
+7
+00:00:26,710 --> 00:00:34,740
+هتكون عندكوا شغل مع مرضى الـ Cancer من خلال فرق الـ
+
+8
+00:00:34,740 --> 00:00:36,940
+Palliative أو من خلال الناس اللي بتحتاج إيداش
+
+9
+00:00:36,940 --> 00:00:39,820
+طبيعي أو الناس اللي عندها breast cancer و اللي
+
+10
+00:00:39,820 --> 00:00:48,020
+بنعملها طبعاً lymph drainage فـ what is cancer؟
+
+11
+00:00:48,020 --> 00:00:52,280
+cancer begins when cells in a part of the body
+
+12
+00:00:52,280 --> 00:00:57,140
+become abnormal لما تتحول خلايا لخلايا غير طبيعية
+
+13
+00:00:59,430 --> 00:01:02,710
+مش اللي بيصير more abnormal cells forming a mass
+
+14
+00:01:02,710 --> 00:01:11,090
+of tissue called growth or cancerous tumor يعني الـ
+
+15
+00:01:11,090 --> 00:01:15,390
+tumor هو عبارة عن ورم، مش شرط يكون ورم، ورم خبيث،
+
+16
+00:01:15,390 --> 00:01:19,150
+ورم ممكن يكون الدم اللي بعمل ورم، فهذا ما نقول عنه
+
+17
+00:01:19,150 --> 00:01:22,150
+space-occupying lesion
+
+18
+00:01:29,250 --> 00:01:34,210
+ليجن مش شرط يكون ماليجنان ممكن يكون tumor أبسس
+
+19
+00:01:34,210 --> 00:01:40,550
+نسيج نسيج lipoma ممكن يكون أكتر من حاجة لكن هو
+
+20
+00:01:40,550 --> 00:01:46,350
+بيظل ورم فالورم مش اللي احنا هنقص ضهان مش اللي
+
+21
+00:01:46,350 --> 00:01:50,230
+دارج على الإنسان العام الناس اللي بتحكي أن ورم
+
+22
+00:01:50,230 --> 00:01:57,560
+معناته خلاص cancer وهيموت وكذا لأ ورم هو عبارة عن
+
+23
+00:01:57,560 --> 00:02:03,360
+mass of tissue بنقول عنها growth أو tumor وهذا
+
+24
+00:02:03,360 --> 00:02:07,860
+ممكن يكون cancerous يعني حاجة سرطانية malignant
+
+25
+00:02:07,860 --> 00:02:15,060
+cancer cells can break away and spread وهذه
+
+26
+00:02:15,060 --> 00:02:21,010
+خطورتها أن بعض الـ cancers بتعمل «Mets» أو
+
+27
+00:02:21,010 --> 00:02:24,810
+«Metastases» «Mets» المختصر تبعها «Metastatic
+
+28
+00:02:24,810 --> 00:02:30,410
+Cancer» بتنتقل من مكان إلى مكان في الجسم مش كل
+
+29
+00:02:30,410 --> 00:02:34,730
+خدوا بالكم الجملة هاي «Tumors are cancerous» مش كل
+
+30
+00:02:34,730 --> 00:02:42,070
+ورم معناته cancer «Benign tumors don't spread to
+
+31
+00:02:42,070 --> 00:02:44,990
+other parts of the body» وهذه القاعدة وهذه من
+
+32
+00:02:44,990 --> 00:02:49,500
+الحاجات اللي بتفرج بين الـ «Benign» وبين الـ
+
+33
+00:02:49,500 --> 00:02:57,100
+Malignant عكس Benign حميد Malignant خبيث Cancer
+
+34
+00:02:57,100 --> 00:03:01,080
+usually start in one part of the body ولكن إذا أصبح
+
+35
+00:03:01,080 --> 00:03:04,740
+عضو الحرارة أكبر، فهو يمكن أن يؤذي، وليس فقط
+
+36
+00:03:04,740 --> 00:03:07,800
+بندقل، لكن هو ممكن يضغط على حاجات حواليه زي
+
+37
+00:03:07,800 --> 00:03:11,140
+الـcancer of brain عسم المثال، ممكن يسكرلي أي
+
+38
+00:03:11,140 --> 00:03:15,560
+فرامن ويعمللي hydrocephalus مثلا أو يخرّبني
+
+39
+00:03:15,560 --> 00:03:18,960
+النسيجي لجنبه، وإذا وجدت عضو الحرارة قريبًا،
+
+40
+00:03:18,960 --> 00:03:23,650
+فالتعامل هو أكثر ممكن أن يعمل اللي هو بيعتمد عليه
+
+41
+00:03:23,650 --> 00:03:28,750
+الموضوع الـ Screening إنه كل ما اكتشفت الـ Cancer
+
+42
+00:03:28,750 --> 00:03:36,330
+بدري كل ما كانت إمكانية أنه أعالجه كل ما كانت أفضل
+
+43
+00:03:36,330 --> 00:03:39,690
+وهذا طبعاً بتمشي إلا بالـ Screening اللي هي عملية
+
+44
+00:03:39,690 --> 00:03:42,970
+الافتشاف
+
+45
+00:03:42,970 --> 00:03:48,870
+مبكر Early Treatment وكل ما علجناه بدري، هذا can
+
+46
+00:03:48,870 --> 00:03:52,510
+shrink or destroy the cancer tumor and stop it
+
+47
+00:03:52,510 --> 00:03:56,310
+from growing and spreading كل ما علجناه بدري، كل
+
+48
+00:03:56,310 --> 00:03:59,770
+ما سيطرنا عليه بدري، كل ما جدرش الـ cancer هذا إيش
+
+49
+00:03:59,770 --> 00:04:01,670
+ينتقل إلى أماكن أخرى
+
+50
+00:04:04,090 --> 00:04:11,590
+عندما تحصل على شكب عادي وكيفية معرفة شكب عادي وشكب
+
+51
+00:04:11,590 --> 00:04:14,630
+عادي
+
+52
+00:04:14,630 --> 00:04:16,390
+وشكب عادي وشكب عادي وشكب عادي وشكب عادي وشكب عادي
+
+53
+00:04:16,390 --> 00:04:17,750
+وشكب عادي وشكب عادي وشكب عادي وشكب عادي وشكب عادي
+
+54
+00:04:17,750 --> 00:04:19,310
+وشكب عادي وشكب عادي وشكب عادي وشكب عادي وشكب عادي
+
+55
+00:04:19,310 --> 00:04:19,350
+وشكب عادي وشكب عادي وشكب عادي وشكب عادي وشكب عادي
+
+56
+00:04:19,350 --> 00:04:23,050
+وشكب عادي وشكب عادي وشكب عادي وشكب عادي وشكب عادي
+
+57
+00:04:23,050 --> 00:04:32,960
+وشكب عادي وشكب عادي وشاللي فوق الخمسين سنة على
+
+58
+00:04:32,960 --> 00:04:36,980
+سبيل المثال اللي هي في موضوع الـ Prostate هذه أمور
+
+59
+00:04:36,980 --> 00:04:41,640
+يعني بيقدر الواحد من بدري يكتشفها لو دار باله
+
+60
+00:04:41,640 --> 00:04:46,660
+أحاله مجموعة من مئات مخلوقات مختلفة موجودة يعني
+
+61
+00:04:46,660 --> 00:04:53,220
+حواليها Cancer are a large family of diseases that
+
+62
+00:04:53,220 --> 00:04:56,960
+involve abnormal cell growth with the potential to
+
+63
+00:04:56,960 --> 00:05:02,410
+invade or spread to other parts of the body وهي
+
+64
+00:05:02,410 --> 00:05:06,230
+بتمثل نوع من أنواع الـ Neoplasm نفس القضية هي
+
+65
+00:05:06,230 --> 00:05:10,050
+نفسها نيوبلازم ممكن تكون cancer a neoplasm or
+
+66
+00:05:10,050 --> 00:05:13,230
+tumor is a group of cells that have undergone
+
+67
+00:05:13,230 --> 00:05:19,610
+unregulated growth and will often form a mass or
+
+68
+00:05:19,610 --> 00:05:23,710
+lump بيعمل زي كتلة أو lump برضه كتلة but maybe
+
+69
+00:05:23,710 --> 00:05:28,530
+distributed diffusely وهذه مشكلة الـ Neoplasm
+
+70
+00:05:28,530 --> 00:05:33,030
+بصورة عامة الـ Classification وهذا يمكن المهم اللي
+
+71
+00:05:33,030 --> 00:05:38,410
+بدنا يهيأه الآن أنه Classified by the type of
+
+72
+00:05:38,410 --> 00:05:43,150
+cells that the tumor cells resemble and is
+
+73
+00:05:43,150 --> 00:05:47,910
+therefore presumed to be the origin of the tumor
+
+74
+00:05:47,910 --> 00:05:53,950
+الـ Type هاي Carcinoma رقم واحد، ما بنقول هو اكتشف
+
+75
+00:05:53,950 --> 00:05:55,850
+وما بنقول Carcinoma
+
+76
+00:05:58,040 --> 00:06:01,960
+طبعاً لما أقول Carcinoma معناته أنا بحكي عن Benign
+
+77
+00:06:01,960 --> 00:06:07,080
+ولا Malignant؟ Malignant هي عبارة عن الـCancers
+
+78
+00:06:07,080 --> 00:06:11,200
+اللي بتيجي من الـepithelial cells يعني المصدر
+
+79
+00:06:11,200 --> 00:06:14,420
+تبعها، المخرج تبعها الـepithelial cells
+
+80
+00:06:22,660 --> 00:06:26,060
+وهذه بتمثّل many of the most common cancers
+
+81
+00:06:26,060 --> 00:06:30,300
+particularly in the aged and include nearly all
+
+82
+00:06:30,300 --> 00:06:34,300
+those developing in the breast, prostate, lung,
+
+83
+00:06:34,760 --> 00:06:40,080
+pancreas and colon نقول عنها Carcinoma وزي ما قلنا
+
+84
+00:06:40,080 --> 00:06:42,500
+بتطلع من وين خدوا بالكوا من هالكلمات هاي
+
+85
+00:06:42,500 --> 00:06:48,840
+Epithelial cells وفي أن الساركومة هذه cancers
+
+86
+00:06:48,840 --> 00:06:51,860
+بتطلع من الـ connective tissues إيش يعني connective
+
+87
+00:06:51,860 --> 00:06:58,700
+tissue؟ الـ bone cartilage الـ fat الـ nerves وهذه
+
+88
+00:06:58,700 --> 00:07:03,400
+طبعا بتطلع من الـ originating in the mesenchymal
+
+89
+00:07:03,400 --> 00:07:06,240
+cells outside the bone marrow، مش من الـ bone
+
+90
+00:07:06,240 --> 00:07:10,060
+marrow، من فرع من الـ mesenchymal itself، نقول
+
+91
+00:07:10,060 --> 00:07:16,380
+عنها Sarcoma، من أسوأ أنواع الـ cancer كمل، في
+
+92
+00:07:16,380 --> 00:07:21,310
+عندنا الـ lymphoma and leukemia أو في الـ cancers
+
+93
+00:07:21,310 --> 00:07:24,710
+هنحكي عن اللوكيميا بعد شوية أو في المحاضرة اللي
+
+94
+00:07:24,710 --> 00:07:27,250
+جاي these two classes of cancer arise from
+
+95
+00:07:27,250 --> 00:07:31,410
+hematopoietic blood-forming cells يعني هما بيطلعوا
+
+96
+00:07:31,410 --> 00:07:37,210
+من الأماكن اللي بتصلي عليها اللي هي خلايا الدم الأسس
+
+97
+00:07:37,210 --> 00:07:42,330
+تبع خلايا الدم blood-forming cells that leave the
+
+98
+00:07:42,330 --> 00:07:45,130
+marrow من الـ bone marrow يعني and tend to mature
+
+99
+00:07:45,130 --> 00:07:49,250
+in the lymph node and blood اللوكيميا هي الـmost
+
+100
+00:07:49,250 --> 00:07:53,530
+common type of cancer في الأطفال تعتمد على حوالي
+
+101
+00:07:53,530 --> 00:07:58,150
+30% في الأطفال، اللوكيميا، بس طبعا الإشارة الحلوة
+
+102
+00:07:58,150 --> 00:08:03,090
+فيها أن كتير منهم بيصير له healing لكن في بعضهم
+
+103
+00:08:03,090 --> 00:08:06,410
+ما بيصيروش، يمكن اللينفومة اللوكيميا هي عبارة عن
+
+104
+00:08:06,410 --> 00:08:10,830
+cancer بيطلع من الـhematopoietic، hematoderm
+
+105
+00:08:10,830 --> 00:08:17,820
+poietic معناته يصنع، blood forming أو مكوّن cells
+
+106
+00:08:17,820 --> 00:08:22,100
+that leave the marrow وبتروح على الدم أو على الـ
+
+107
+00:08:22,100 --> 00:08:27,310
+lymph node وهناك بيصير لها عملية cancer فيه جرم
+
+108
+00:08:27,310 --> 00:08:31,250
+cell tumor هي عبارة عن cancers derived من
+
+109
+00:08:31,250 --> 00:08:36,810
+pluripotent cells عبارة بتتخرج يعني بتطلع لي من
+
+110
+00:08:36,810 --> 00:08:41,270
+المناطق اللي مخلوطة الخلايا زي عندنا على سبيل المثال
+
+111
+00:08:41,270 --> 00:08:45,970
+اللي موجودة في الـ testicles أو الـ ovary testicles
+
+112
+00:08:45,970 --> 00:08:52,590
+اللي هي الخصيتين الـ ovary المبيضين بنقول عنها
+
+113
+00:08:52,590 --> 00:08:55,350
+seminoma أو dysgerminoma
+
+114
+00:08:57,050 --> 00:09:01,030
+وفينا الـ Plastoma هي عبارة عن Cancer بتطلع من الـ
+
+115
+00:09:01,030 --> 00:09:07,190
+Immature precursor cells أو الـ Embryonic tissue
+
+116
+00:09:07,190 --> 00:09:10,930
+لسه الخلايا ما كبرتتش، بيقول عنها إيش؟ Plastoma
+
+117
+00:09:10,930 --> 00:09:18,850
+وهذه common في الأطفال أكتر منه في الـ Adult الـ
+
+118
+00:09:18,850 --> 00:09:21,830
+Cancer عادة ماحدش بيجي ويقول مثلاً والله عنده
+
+119
+00:09:21,830 --> 00:09:25,750
+liver، carcinoma، لأ، فيه إلها اسم هذا بتتكون
+
+120
+00:09:25,750 --> 00:09:29,850
+عادةً، فهذه تكميلة الـ classification تتكون من
+
+121
+00:09:29,850 --> 00:09:33,410
+كلمة مثلاً كارسينوما، ساركوما، بلاستوما، اللي
+
+122
+00:09:33,410 --> 00:09:38,750
+قررناه متى وبنحط في الأول اسم العضو أو اسم الـ
+
+123
+00:09:38,750 --> 00:09:46,330
+tissue اللي طالع منه الـ cancer كيف يعني؟ هجيت
+
+124
+00:09:46,330 --> 00:09:49,510
+عندنا cancer of the liver parenchyma الـ liver
+
+125
+00:09:49,510 --> 00:09:54,360
+parenchyma بنقول عنها وهي طالعة من الـ Epithelial
+
+126
+00:09:54,360 --> 00:10:00,340
+cells وكبد
+
+127
+00:10:00,340 --> 00:10:01,760
+Hepato
+
+128
+00:10:09,740 --> 00:10:13,800
+طيب لو نفس الكلام هو طالع من الكبد لكن طالع من
+
+129
+00:10:13,800 --> 00:10:18,040
+الـPrimitive Liver Precursor Cells وهي
+
+130
+00:10:18,040 --> 00:10:21,360
+Hepatoplastoma احنا قلنا أن Plastoma هي عبارة
+
+131
+00:10:21,360 --> 00:10:24,940
+عن الـImmature Precursor Cells أو الـEmbryonic
+
+132
+00:10:24,940 --> 00:10:31,840
+Cells A cancer arising from fat cells، بيقول عنه
+
+133
+00:10:31,840 --> 00:10:38,200
+برضه fat الفات قبل قليل صار كومة رقم اتنين صار كومة
+
+134
+00:10:38,200 --> 00:10:42,820
+من الفات لأنه connective tissue صار كومة وهي fat
+
+135
+00:10:42,820 --> 00:10:47,220
+cells بيقول عنها Lipo Lipo-Sarcoma فيه طبعا الـ
+
+136
+00:10:47,220 --> 00:10:51,240
+Benign tumors وهذه ليس كانسر
+
+137
+00:10:57,760 --> 00:11:05,900
+بنفس الكلام عادةً لما يكون بنائي مثلاً لو في شيء
+
+138
+00:11:05,900 --> 00:11:11,920
+طالع من خلايا العضلات العادية نقول عنها Lymyoma
+
+139
+00:11:12,430 --> 00:11:18,570
+أو ما اللي هي أن بيناين ليما يوما معناته الاسم
+
+140
+00:11:18,570 --> 00:11:21,830
+العام للأشخاص اللي يحدث بشكل عام بيناين تمور في 
+
+141
+00:11:21,830 --> 00:11:26,050
+الجلد هي الفيبرويد هذه مشهورة عند الفيميل خاصة
+
+142
+00:11:26,050 --> 00:11:29,670
+الأصغار في العمر بيصير عندهم فيبرويد يوتراس وهذا
+
+143
+00:11:29,670 --> 00:11:34,790
+بنقول عنه ليما يوما هذه مش كانسر لكن بيناين تمور
+
+144
+00:11:34,790 --> 00:11:41,280
+بعض الأحيان من الكانسر يسمونها مرة ثانية for the size
+
+145
+00:11:41,280 --> 00:11:45,540
+and shape of the cells حسب ما هي مبينة في ال
+
+146
+00:11:45,540 --> 00:11:48,860
+microscope زي اللي بنقولها giant cell carcinoma أو
+
+147
+00:11:48,860 --> 00:11:52,360
+spindle cell carcinoma أو small cell carcinoma هذه
+
+148
+00:11:52,360 --> 00:11:56,560
+الأسماء برضه واردة إنها تكون موجودة كمان مرة
+
+149
+00:11:56,560 --> 00:12:02,280
+naming اللي هو الـ prefix اللي هو المقدمة تبعته لو
+
+150
+00:12:02,280 --> 00:12:05,640
+كان أنا بحكي عن gland طلع الصورة يا جماعة لو بحكي
+
+151
+00:12:05,640 --> 00:12:10,280
+عن gland بقول adeno cartilage chondro red blood
+
+152
+00:12:10,280 --> 00:12:16,920
+cells erythro blood vessels hemangio liver hepato
+
+153
+00:12:16,920 --> 00:12:22,570
+fat lipo lymphocyte lympho Big Men Cells Milano
+
+154
+00:12:22,570 --> 00:12:29,730
+Bone Marrow Myelo Muscle Myoc Bone Osteo حسب فبقول
+
+155
+00:12:29,730 --> 00:12:36,030
+Osteo Sarcoma Myo Myoma هيك طب أيش أسباب الـ
+
+156
+00:12:36,030 --> 00:12:45,710
+Cancer حقيقة أنه في أسباب كتيرة في
+
+157
+00:12:45,710 --> 00:12:52,410
+جزئية منها تتعلق بالـ Genetic وهذا يتمثل 5 إلى 10%
+
+158
+00:12:52,410 --> 00:12:57,030
+من الحالات وإن الواحد يكون لاياب اللي يصير عنده
+
+159
+00:12:57,030 --> 00:13:03,190
+وال environment تمثل 90 إلى 95% يعني هذا ما صنعناه
+
+160
+00:13:03,190 --> 00:13:09,410
+أنفسنا إحنا اللي جيبناه لنفسنا ال environment
+
+161
+00:13:09,410 --> 00:13:15,070
+الجزء الكبير تمثل ال tobacco التدخين وال diet
+
+162
+00:13:15,070 --> 00:13:21,630
+والأكل اللي بناكله الناس اللي بتاخد الكحول الناس
+
+163
+00:13:21,630 --> 00:13:24,250
+الـ obesity ليبل يكون أكتر من غيرها ال infections
+
+164
+00:13:24,250 --> 00:13:28,690
+وحنا حكينا مثلا على سبيل المثال الهيباطيتس C صحيح؟
+
+165
+00:13:28,690 --> 00:13:31,270
+كنا بيصير cancer، الهيباطيتس B بيصير cancer،
+
+166
+00:13:31,270 --> 00:13:35,930
+tobacco، الدخان حكينا عنه، هذه اللي هي ال
+
+167
+00:13:35,930 --> 00:13:38,630
+environmental causes of cancer
+
+168
+00:13:48,850 --> 00:13:52,750
+Tobacco use is the cause of about 22% of cancer
+
+169
+00:13:52,750 --> 00:13:58,350
+deaths رقم كتير مهم 22% من حالات الوفيات بتاعة ال
+
+170
+00:13:58,350 --> 00:14:03,290
+cancer بمثلها التدخين The incidence of lung cancer
+
+171
+00:14:03,290 --> 00:14:06,970
+is highly correlated with smoking كتير من الأحيان
+
+172
+00:14:06,970 --> 00:14:11,130
+حتى لو كان الناس اللي حضرت عن smoking and cancer
+
+173
+00:14:11,130 --> 00:14:16,150
+حتى لو كان passive smoker ايش يعني passive smoker؟
+
+174
+00:14:17,600 --> 00:14:21,960
+يعني هو مش هو اللي بدخن نفسه اللي بدخن .. اللي
+
+175
+00:14:21,960 --> 00:14:28,240
+بدخن حد تاني بس هو بشمعه عشرة في المية ناتج عن
+
+176
+00:14:28,240 --> 00:14:32,020
+طريق الـ obesity بردو طريقة الأكل المستسلمة lack
+
+177
+00:14:32,020 --> 00:14:36,380
+of physical activity consumption of alcohol other
+
+178
+00:14:36,380 --> 00:14:40,620
+factors include certain infections ionizing
+
+179
+00:14:40,620 --> 00:14:43,940
+radiation environmental pollutants
+
+180
+00:14:46,270 --> 00:14:53,030
+التي هي الحاجات للبيئة
+
+181
+00:14:53,030 --> 00:14:56,090
+في التطور
+
+182
+00:15:01,910 --> 00:15:07,710
+والعالم التالت 20% نتيجة انفكشن على رأسها
+
+183
+00:15:07,710 --> 00:15:13,810
+الهيباطايتس بي وهيباطايتس سي وهيومان بابيلوما
+
+184
+00:15:13,810 --> 00:15:14,570
+فيروس
+
+185
+00:15:18,640 --> 00:15:25,820
+تعمل لـ Cancer في العالم التالت وممكن أكتر من الـ
+
+186
+00:15:25,820 --> 00:15:29,400
+Smoking لكن بدأنا نلحقهم وهنا بدنا نفوتهم
+
+187
+00:15:29,400 --> 00:15:33,560
+للأوروبيين These factors act at least partly by
+
+188
+00:15:33,560 --> 00:15:36,960
+changing the genes of cells يعني ممكن مايكونش هو
+
+189
+00:15:36,960 --> 00:15:41,480
+السبب الأساسي لكن على الأقل بيلعب دور Genetic
+
+190
+00:15:41,480 --> 00:15:46,430
+changes are acquired before cancer develops خمسة
+
+191
+00:15:46,430 --> 00:15:48,790
+لعشرة في المية of cancers are due to genetic
+
+192
+00:15:48,790 --> 00:15:54,850
+defects inherited from a person's parents وهذه
+
+193
+00:15:54,850 --> 00:15:59,310
+كلها بنعرف جثة الممثلة اللي شالت لبريست نتيجة أن
+
+194
+00:15:59,310 --> 00:16:03,430
+أمها وستها واختها كان عندهم عاملة فحص جيني لاجت أن
+
+195
+00:16:03,430 --> 00:16:07,440
+هي liable يصير عندها يصير عندها breast cancer فقبل
+
+196
+00:16:07,440 --> 00:16:10,820
+ما يصير عندها breast cancer راحت شالت ال breast
+
+197
+00:16:10,820 --> 00:16:13,660
+طبعا أنا مش بدأ أقول إن هذا صح أو غلط، لأ إنما
+
+198
+00:16:13,660 --> 00:16:18,860
+الموضوع هذا بلعب دور ويبدو إنه في المستقبل هياخد
+
+199
+00:16:18,860 --> 00:16:27,500
+دور أكبر، طيب إيه ال incidence of cancer؟ طبعا عند
+
+200
+00:16:27,500 --> 00:16:31,340
+رجال العدد تقريبًا مشابه إحنا بنحكي عن أمريكا في
+
+201
+00:16:31,340 --> 00:16:36,500
+2015 أمريكا في 2015 تقريبًا 848 مليون صار عندهم
+
+202
+00:16:36,500 --> 00:16:42,680
+cancer ال woman الرجال 848 و ال woman 810 يعني
+
+203
+00:16:42,680 --> 00:16:47,720
+قريبين من بعض مش بعاد لكن مثلت لبروستيت 26% عند ال
+
+204
+00:16:47,720 --> 00:16:52,550
+men ل breast 29% عند ال woman ال lung بالصلاة وعن
+
+205
+00:16:52,550 --> 00:16:56,930
+النبي عند الرجال 14% وعند الستات بدوا يلحقونا
+
+206
+00:16:56,930 --> 00:17:02,710
+ويقعدهم ويوصلونا 13% ليش؟ لأن بدوا الستات برضه
+
+207
+00:17:02,710 --> 00:17:07,470
+يكونوا مدخنين وشيشة وهيك ال colon عند الرجال
+
+208
+00:17:07,470 --> 00:17:13,030
+والستات 8 8 وبعد هيك بيصير فيه خصوصية لموضوع ال
+
+209
+00:17:13,030 --> 00:17:16,880
+cancer أو بيبطل فيه خصوصية عفوًا لموضوع الـ Cancer
+
+210
+00:17:16,880 --> 00:17:19,760
+بيصير قريبين من بعض لكن هي المشكلة كلها الـ
+
+211
+00:17:19,760 --> 00:17:23,480
+Prostate والـ Breast اللي فيهم الخلاف والباقي كله
+
+212
+00:17:23,480 --> 00:17:25,180
+قريبين من بعض
+
+213
+00:17:35,720 --> 00:17:40,800
+وهو مجموع الرجال والستات اللي شوفناهم في الـ
+
+214
+00:17:40,800 --> 00:17:48,240
+«سلايد» هذا 800 و 800 تقريباً مليون و ستمية new
+
+215
+00:17:48,240 --> 00:17:52,700
+cases كانت برستيت أكثر شيوعًا عامة بين الرجال، 26
+
+216
+00:17:52,700 --> 00:17:56,860
+%، ثم  الـLung، ثم الـColon and Rectum، في
+
+217
+00:17:56,860 --> 00:18:00,240
+الفتاة 29% برست أكثر شيوعًا، ثم الـLung، ثم الـColon and
+
+218
+00:18:00,240 --> 00:18:05,560
+Rectum، كانت أكثر شيوعًا عامة بين الرجال، الـColon
+
+219
+00:18:05,560 --> 00:18:08,500
+and Rectum كانت أكثر شيوعًا عامة بين الرجال، الـColon
+
+220
+00:18:08,500 --> 00:18:09,440
+and Rectum كانت أكثر شيوعًا عامة بين الرجال، الـColon
+
+221
+00:18:09,440 --> 00:18:09,680
+and Rectum كانت أكثر شيوعًا عامة بين الرجال، الـColon
+
+222
+00:18:09,680 --> 00:18:09,880
+and Rectum كانت أكثر شيوعًا عامة بين الرجال، الـColon
+
+223
+00:18:09,880 --> 00:18:10,220
+and Rectum كانت أكثر شيوعًا عامة بين الرجال، 
+
+224
+00:18:17,910 --> 00:18:22,150
+بتحسن الأمور كل ما نكشف الـ cancer بدري، بتعالج
+
+225
+00:18:22,150 --> 00:18:26,610
+بدري، بينحط له حد بدري، for example due to
+
+226
+00:18:26,610 --> 00:18:29,890
+improvement of treatment the five year relative
+
+227
+00:18:29,890 --> 00:18:35,390
+survival rate for leukemia has increased من 34% في
+
+228
+00:18:35,390 --> 00:18:40,190
+السبعينات لـ 60% لتاريخ كتابة هذه المحاضرة والآن
+
+229
+00:18:40,190 --> 00:18:43,150
+يمكن يوصل لـ 70% أو 80% بالنسبة للـ Leukemia في
+
+230
+00:18:43,150 --> 00:18:46,410
+الأطفال، إيش يعني الـ Five Year Relative Survivor
+
+231
+00:18:46,410 --> 00:18:52,730
+Rate؟ في الأورام لا نقول إنه سيعيش عمر طويل، دائما
+
+232
+00:18:52,730 --> 00:18:56,950
+نحكم على خمس سنين، حسبوها حسبة جداش نسبة من الناس
+
+233
+00:18:56,950 --> 00:19:01,550
+بتعيش خمس سنين، تصوروا؟ هيك بتنحسب، اللي هي Five
+
+234
+00:19:01,550 --> 00:19:03,530
+Year Survivor Rate
+
+235
+00:19:06,890 --> 00:19:10,470
+الـ 2012 كان فيه 14 مليون new case of cancer
+
+236
+00:19:10,470 --> 00:19:14,110
+occurred globally بدون طبعا ال skin cancer اللي هي
+
+237
+00:19:14,110 --> 00:19:19,150
+بدون ال skin cancers العادية ما عدا ال melanoma it
+
+238
+00:19:19,150 --> 00:19:26,810
+caused about 8.2 مليون death or 14.6% of all human
+
+239
+00:19:26,810 --> 00:19:33,060
+death ال symptoms اللي بنشوفها حسب عشان هيك مقدرش
+
+240
+00:19:33,060 --> 00:19:38,200
+الواحد الآن يقول والله حسب العضو يعني أنت ممكن أي
+
+241
+00:19:38,200 --> 00:19:42,400
+symptom يصير صحيح يكون simple لكن ممكن يكون وراه
+
+242
+00:19:42,400 --> 00:19:48,060
+حاجة كبيرة زي مثلا أجا
+
+243
+00:19:48,060 --> 00:19:51,680
+واحد شاف كتلة في ال breast ست شافت كتلة في ال
+
+244
+00:19:51,680 --> 00:19:55,360
+breast maybe a sign of breast cancer ممكن مايكونش
+
+245
+00:19:55,360 --> 00:20:01,820
+ممكن دمل ممكن lipoma لكن وجود a thickening أو lump
+
+246
+00:20:02,110 --> 00:20:06,710
+في جسم، في أي مكان، وخاصة لما يكون في الـ breast
+
+247
+00:20:06,710 --> 00:20:12,970
+بتفكر في أنه يكون tumor واحد بدون سبب نزل وزنه من
+
+248
+00:20:12,970 --> 00:20:18,510
+تسعين كيلو صار ستين، لا عنده سكري ولا بلعب رياضة
+
+249
+00:20:18,510 --> 00:20:23,590
+ولا عنده اكتئاب وعادي، unexplained weight loss
+
+250
+00:20:23,590 --> 00:20:27,870
+feeling weak or very tired، دائما تعبان، دائما
+
+251
+00:20:27,870 --> 00:20:33,420
+هلكان، unusual bleeding or discharge الستات، بنزل
+
+252
+00:20:33,420 --> 00:20:37,040
+دايما عندها، وفي الأخر بتقول استحاضة مثلا، لأ،
+
+253
+00:20:37,040 --> 00:20:40,500
+بدها تاخد بالها، بدها تفحص، خاصة كل أو discharge
+
+254
+00:20:40,500 --> 00:20:45,980
+أو سوائل، خاصة كل ما كبرت في العمر، a sore that
+
+255
+00:20:45,980 --> 00:20:49,380
+does not heal، جرح ومش راضي يطيب، ممكن يكون سكري،
+
+256
+00:20:49,380 --> 00:20:54,460
+أه، بس ممكن يكون برضه حاجة تانية، hoarseness، بحة
+
+257
+00:20:54,460 --> 00:20:58,060
+أو cough that does not go away، مش راضي تحسن الكحة
+
+258
+00:21:00,460 --> 00:21:02,000
+التغييرات في الـ bowel أو العبادات الدمية
+
+259
+00:21:05,300 --> 00:21:09,020
+discomfort after eating دائما بعد الأكل تعبان ومش
+
+260
+00:21:09,020 --> 00:21:11,800
+مرتاح a hard time swallowing يا جماعة هذه الـ
+
+261
+00:21:11,800 --> 00:21:13,880
+symptoms ممكن تكون symptoms لحاجة تانية زي بيبتك
+
+262
+00:21:13,880 --> 00:21:17,960
+ألصر زي كذا لكن مش شرط أنه يكون cancer لكن لازم
+
+263
+00:21:17,960 --> 00:21:21,360
+أحط الموضوع في بالي most often these symptoms are
+
+264
+00:21:21,360 --> 00:21:24,380
+not due to cancer they may be caused by non
+
+265
+00:21:24,380 --> 00:21:27,660
+cancers or benign tumors or other problems بس بدنا
+
+266
+00:21:27,660 --> 00:21:32,820
+ناخد بالنا منهم ال cancer يا جماعة أو ال mass إله
+
+267
+00:21:32,820 --> 00:21:37,520
+أكتر من تأثير يعني هو مش بس ع جد مشبوك في حاله
+
+268
+00:21:37,520 --> 00:21:44,370
+إنما هو بعملي مشاكل Locally بعملي Mass Effect زي
+
+269
+00:21:44,370 --> 00:21:47,150
+الـ Lung Cancer بيعملي Blockage of the Bronchus
+
+270
+00:21:47,150 --> 00:21:51,110
+Resulting in Cough أو Pneumonia يعني هو بتغطلي على
+
+271
+00:21:51,110 --> 00:21:54,550
+أماكن تانية Esophageal Cancer can cause Narrowing
+
+272
+00:21:54,550 --> 00:21:58,390
+of the Esophagus Making difficult or painful to
+
+273
+00:21:58,390 --> 00:22:01,650
+swallow هذا المشكلة Correctal Cancer ممكن يعملي
+
+274
+00:22:01,650 --> 00:22:09,240
+Narrowing أو Blockage of the bowel مثلما يبين على
+
+275
+00:22:09,240 --> 00:22:13,880
+طول فيه جروح ونزيف دم عشان هيك لو ما بنلاقي دم
+
+276
+00:22:13,880 --> 00:22:18,380
+لازم ناخد بالنا if the lung will lead to a coughing
+
+277
+00:22:18,380 --> 00:22:23,280
+of blood الـ hemoptysis in the bowel بيصير
+
+278
+00:22:23,280 --> 00:22:26,160
+أنيميا و rectal bleeding in the bladder blood
+
+279
+00:22:26,160 --> 00:22:29,580
+in the urine hematuria in the uterus بديني vaginal
+
+280
+00:22:29,580 --> 00:22:42,150
+bleeding و في الأخر بطلع ورا حاجة كبيرة أي ورم 
+
+281
+00:22:42,150 --> 00:22:53,750
+بيجعَل بيخوّف أكثر من اللي بيجعقريب من قاعدة بعض
+
+282
+00:22:53,750 --> 00:22:57,230
+الأنواع الـ Cancers بتعمل إيه؟ اللي هو زي Ascites
+
+283
+00:22:57,230 --> 00:22:59,990
+اللي هو Fluid in the Abdomen أو Pleural Effusion
+
+284
+00:22:59,990 --> 00:23:05,500
+زي in the Pleural Cavity يكون فيه عنده Fluid طبعاً
+
+285
+00:23:05,500 --> 00:23:08,720
+إلّه إلّه الـ Cancer إحنا بنحكي حاجات قاعدين
+
+286
+00:23:08,720 --> 00:23:11,600
+generalize يا جماعة General، معلومات عامة اللي
+
+287
+00:23:11,600 --> 00:23:14,880
+بنحكيها General Symptoms occur due to Distant
+
+288
+00:23:14,880 --> 00:23:18,140
+Effects of the Cancer that are not Related to
+
+289
+00:23:18,140 --> 00:23:23,180
+Direct or Metastatic Spread يعني الـ General
+
+290
+00:23:23,180 --> 00:23:26,480
+Systemic Symptoms اللي هو أنا يكون عندي Weakness
+
+291
+00:23:26,480 --> 00:23:31,000
+على سبيل المثال أو Headache أو زي ما قلنا ينزل
+
+292
+00:23:31,000 --> 00:23:35,120
+وزني أو عندي Fever بدون ما يكون فيه Metastasis هذه
+
+293
+00:23:35,120 --> 00:23:40,800
+ما بيقولها أنا Systemic Symptoms بجنبها وبدنا
+
+294
+00:23:40,800 --> 00:23:44,620
+ناخد بالنا لو أجاني حد بـ Persistent Unknown Cause
+
+295
+00:23:44,620 --> 00:23:50,780
+of Fever ممكن يكون وراها يكون وراها Leukemia أو
+
+296
+00:23:50,780 --> 00:23:53,880
+Cancer of the Liver أو Kidney ده ناخد بالنا من قبل
+
+297
+00:23:53,880 --> 00:24:03,240
+يعني الـ Metastases أو الـ Mets هي عبارة Can
+
+298
+00:24:03,240 --> 00:24:08,370
+Spread its Original Side بالـ Local Spread يعني هي
+
+299
+00:24:08,370 --> 00:24:12,870
+بتعمل الـ Mets أو الـ Metastases أو البنات أو
+
+300
+00:24:12,870 --> 00:24:16,410
+الأخوات هدول اللي بنتشروا من الـ Cancer لباقية
+
+301
+00:24:16,410 --> 00:24:20,050
+الجسم بعدة طرق إما Local Spread بتغطي على اللي
+
+302
+00:24:20,050 --> 00:24:23,470
+جنبه أو Lymphatic Spread عن طريق الـ Lymph Nodes
+
+303
+00:24:23,470 --> 00:24:31,530
+أو Hematogenous Spread اللي هو عن طريق الدم وبروحه
+
+304
+00:24:31,530 --> 00:24:36,760
+على Two Distant Sites أماكن بعيدة يعني بلاقي عصب
+
+305
+00:24:36,760 --> 00:24:40,380
+المثال من الكبد بروح أدماغ أو من الـ Lung بروح
+
+306
+00:24:40,380 --> 00:24:45,480
+أدماغ وهذه بنقول عنها Metastases أو Metes the New
+
+307
+00:24:45,480 --> 00:24:50,420
+Tumor are called Metastatic Tumors اللي بيصير جديد
+
+308
+00:24:50,420 --> 00:24:55,260
+لكن ال Original is Called a Primary Tumor يعني ال
+
+309
+00:24:55,260 --> 00:25:00,860
+Primary Tumor هو الأصل واللي راحله بنقول عنه
+
+310
+00:25:00,860 --> 00:25:03,900
+Metastatic Tumor Almost All Cancers Can
+
+311
+00:25:03,900 --> 00:25:08,080
+Metastasize Most Cancer Deaths are Due to Cancer
+
+312
+00:25:08,080 --> 00:25:11,340
+that has Spread from its Primary Site to Other
+
+313
+00:25:11,340 --> 00:25:14,560
+Organs يعني معظم الحالات اللي بتتوفى وبيصير عندها
+
+314
+00:25:14,560 --> 00:25:17,960
+مشاكل نتيجة الـ Metastases الـ Mets Different
+
+315
+00:25:17,960 --> 00:25:22,060
+Types of Cancer Tend to Metastasize to Particular
+
+316
+00:25:22,060 --> 00:25:25,560
+Organs طبعا معروف عند الأطباء والله إذا كان عندي
+
+317
+00:25:25,560 --> 00:25:29,140
+Tumor في المكان اللي فلاني الأماكن المحببة اللي
+
+318
+00:25:29,140 --> 00:25:34,060
+بيبعت عليها Mets هي كذا وكذا وكذا وكذا Most Common
+
+319
+00:25:34,060 --> 00:25:38,580
+Places وهذه الأماكن اللي بيروحلها لـLung,
+
+320
+00:25:38,680 --> 00:25:48,600
+Liver, Brain and Bone عندما
+
+321
+00:25:48,600 --> 00:25:52,540
+يتفرق الحرارة بطريقة هيموتوجينية، يتفرق بشكل عام
+
+322
+00:25:52,540 --> 00:25:59,560
+للجميع على جسم ممكن يصير عندي إنلاج Lymph Node، ممكن
+
+323
+00:25:59,560 --> 00:26:02,200
+يكون عندي إنلاج Liver، ممكن يكون عندي إنلاج
+
+324
+00:26:02,200 --> 00:26:07,440
+Spleen، ممكن يصير عندي نتيجة متس هاي Pain أو
+
+325
+00:26:07,440 --> 00:26:10,500
+Fracture في ال Bone، ممكن يكون عندي لو راق على ال
+
+326
+00:26:10,500 --> 00:26:15,360
+Brain يعملني Neurological Symptoms كيف بشخص؟ Chest
+
+327
+00:26:15,360 --> 00:26:18,420
+X-Ray، Showing Lung Cancer
+
+328
+00:26:20,980 --> 00:26:24,080
+عشان المثال، أكثر المصابين بالنسبة لي هم المصابين
+
+329
+00:26:24,080 --> 00:26:29,540
+بسبب وجود إشارات أو إشارات أو من خلال الـ
+
+330
+00:26:29,540 --> 00:26:34,800
+Screening طبعاً بدنا ندّي دائماً، ندّي دائماً نعمل
+
+331
+00:26:34,800 --> 00:26:38,860
+صور حسب وين الشكوى، يعني واحد بيشكي من Severe
+
+332
+00:26:38,860 --> 00:26:42,020
+Headache و Recurrent و Projectile Vomiting، بده يشك
+
+333
+00:26:42,020 --> 00:26:44,720
+في Brain Tumor، بده يعمله CT مثلا
+
+334
+00:26:52,010 --> 00:26:56,790
+إذا أي واحد من هؤلاء لم يصبح لديه نتيجة تقريباً 
+
+335
+00:26:56,790 --> 00:26:57,890
+لديه نتيجة تقريباً لديه نتيجة تقريباً لديه نتيجة
+
+336
+00:26:57,890 --> 00:27:00,130
+تقريبًا لديه نتيجة تقريباً لديه نتيجة تقريباً لديه
+
+337
+00:27:00,130 --> 00:27:00,530
+نتيجة تقريبًا لديه نتيجة تقريباً لديه نتيجة
+
+338
+00:27:00,530 --> 00:27:00,710
+تقريبًا لديه نتيجة تقريبًا لديه نتيجة تقريباً لديه
+
+339
+00:27:00,710 --> 00:27:01,350
+نتيجة تقريبًا لديه نتيجة تقريباً لديه نتيجة
+
+340
+00:27:01,350 --> 00:27:04,650
+تقريبًا لديه نتيجة تقريبًا لديه نتيجة تقريباً لدي
+
+341
+00:27:07,380 --> 00:27:11,460
+والذين يشبهوا القنصر يتم تحقيقهم بمجال مجال مجال
+
+342
+00:27:11,460 --> 00:27:12,420
+مجال مجال مجال مجال مجال مجال مجال مجال مجال مجال
+
+343
+00:27:12,420 --> 00:27:16,840
+مجال مجال مجال مجال مجال مجال مجال مجال مجال مجال
+
+344
+00:27:16,840 --> 00:27:17,260
+مجال مجال مجال مجال مجال مجال مجال مجال مجال مجال
+
+345
+00:27:17,260 --> 00:27:17,540
+مجال مجال مجال مجال مجال مجال مجال مجال مجال مجال
+
+346
+00:27:17,540 --> 00:27:18,180
+مجال مجال مجال مجال مجال مجال مجال مجال مجال مجال
+
+347
+00:27:18,180 --> 00:27:33,680
+مجال مجال مجال مجال مج
+
+348
+00:27:35,000 --> 00:27:38,350
+لو فيه Symptoms مش Screening بيصير Diagnosis يعني
+
+349
+00:27:38,350 --> 00:27:41,590
+واحد ماعندهوش ولا حاجة صار عمره مثلا ست صار عمرها
+
+350
+00:27:41,590 --> 00:27:45,090
+خمسة وعشرين أو تلاتين الـ Screening تبعها إنها
+
+351
+00:27:45,090 --> 00:27:48,930
+تعمل التحسيس لحالها أو الدكتورة تشوفيها تحت القفات
+
+352
+00:27:48,930 --> 00:27:52,410
+وكذا وهيك هذا بقول عنه Screening لكن والله أجد
+
+353
+00:27:52,410 --> 00:27:54,890
+الست تقول والله يا دكتورة أنا حاسة زي كتلة اندي في
+
+354
+00:27:54,890 --> 00:27:57,930
+صدري وفحصة الدكتورة هذا ما اسمهش Screening هذا
+
+355
+00:27:57,930 --> 00:28:01,130
+اسمه Diagnosis بيصير خلاص Screening May Involve
+
+356
+00:28:01,130 --> 00:28:05,050
+Physical Examination Lab Test or Test to Look at
+
+357
+00:28:05,050 --> 00:28:12,730
+Internal Organs How is Cancer Treated؟ في كتير
+
+358
+00:28:12,730 --> 00:28:16,690
+علاجات، Surgery, Radiation Therapy, Chemotherapy،
+
+359
+00:28:16,690 --> 00:28:21,710
+Anticancer Drugs and Palliative for Some Cancers
+
+360
+00:28:29,990 --> 00:28:34,290
+Okay يعني أنا هوقف عند الـ Slide هاي وإن شاء الله
+
+361
+00:28:34,290 --> 00:28:38,370
+تعالى آخر محاضرة هنعملها على ال Weekend هبعتلكوا
+
+362
+00:28:38,370 --> 00:28:40,870
+إياها إن شاء الله تعالى اللي هي هنحكي عن ال
+
+363
+00:28:40,870 --> 00:28:46,950
+Leukemia خمسة عشر Slide يمكن بالنسبة للمحاضرة هي
+
+364
+00:28:46,950 --> 00:28:49,110
+يا جماعة إحنا لما أديتكوا إياها أديتكوا إياها
+
+365
+00:28:49,110 --> 00:28:52,770
+كاملة بس إحنا هنضلنا بس ماشيين لحد Slide تلاتة
+
+366
+00:28:52,770 --> 00:29:00,620
+وتلاتين بس ل Slide تلاتة وتلاتين ومش هدخل على
+
+367
+00:29:00,620 --> 00:29:06,100
+التفاصيل بس هنوقف لحد Slide تلاتة و تلاتين في هذه
+
+368
+00:29:06,100 --> 00:29:11,400
+وبيفهم بدي أكمل على الـ Leukemia برضه عشر، خمسة
+
+369
+00:29:11,400 --> 00:29:14,660
+أشهر Slide وبعدين هيك بيبجنتها إن شاء الله تعالى
+
+370
+00:29:14,660 --> 00:29:20,680
+المنهج بإذن الله تعالى يعني أشكركم على حسن
+
+371
+00:29:20,680 --> 00:29:24,900
+الاستماع في الفترة الجاي هديكوا شوية تفاصيل كيف
+
+372
+00:29:24,900 --> 00:29:30,980
+الامتحان ومن وين هيكون وهيك إن شاء الله انتظرونا
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/bWJL4CfrdXk_raw.json b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/bWJL4CfrdXk_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..73799aed19986ec34f74db763e7e3d65c9ef1fe1
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/bWJL4CfrdXk_raw.json
@@ -0,0 +1 @@
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effusion زي in the pleural cavity يكون فيه عنده fluid", "tokens": [4587, 16572, 3555, 9154, 12174, 995, 22488, 3660, 45030, 11242, 16247, 1863, 14407, 3615, 2423, 39184, 31063, 39894, 25957, 1211, 11933, 1829, 3224, 22807, 13672, 1829, 31439, 30767, 1829, 15526, 3324, 13672, 1829, 31439, 9113, 294, 264, 36494, 34051, 3362, 1807, 1244, 5704, 30767, 1829, 294, 264, 3362, 1807, 32425, 7251, 30544, 8978, 3224, 43242, 3224, 9113], "avg_logprob": -0.32058190374538814, "compression_ratio": 1.3515151515151516, "no_speech_prob": 1.7881393432617188e-07, "words": [{"start": 1366.55, "end": 1367.27, "word": "قريب", "probability": 0.759765625}, {"start": 1367.27, "end": 1367.41, "word": " من", "probability": 0.91748046875}, {"start": 1367.41, "end": 1368.01, "word": " قاعدة", "probability": 0.9686279296875}, {"start": 1368.01, "end": 1373.75, "word": " بعض", "probability": 0.58087158203125}, {"start": 1373.75, "end": 1374.11, "word": " الأنواع", "probability": 0.919189453125}, {"start": 1374.11, 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"probability": 0.650390625}, {"start": 1710.81, "end": 1711.37, "word": " هوقف", "probability": 0.87939453125}, {"start": 1711.37, "end": 1711.63, "word": " عند", "probability": 0.9853515625}, {"start": 1711.63, "end": 1712.59, "word": " الـ", "probability": 0.823486328125}, {"start": 1712.59, "end": 1712.93, "word": " slide", "probability": 0.32763671875}, {"start": 1712.93, "end": 1713.25, "word": " هاي", "probability": 0.835205078125}, {"start": 1713.25, "end": 1714.01, "word": " وإن", "probability": 0.8562825520833334}, {"start": 1714.01, "end": 1714.15, "word": " شاء", "probability": 0.98974609375}, {"start": 1714.15, "end": 1714.29, "word": " الله", "probability": 0.9560546875}, {"start": 1714.29, "end": 1714.69, "word": " تعالى", "probability": 0.93994140625}, {"start": 1714.69, "end": 1715.19, "word": " آخر", "probability": 0.765625}, {"start": 1715.19, "end": 1715.69, "word": " محاضرة", "probability": 0.9788818359375}, {"start": 1715.69, "end": 1716.49, "word": " هنعملها", "probability": 0.89267578125}, {"start": 1716.49, "end": 1717.01, "word": " على", "probability": 0.80810546875}, {"start": 1717.01, "end": 1717.33, "word": " ال", "probability": 0.8408203125}, {"start": 1717.33, "end": 1717.67, "word": " weekend", "probability": 0.53466796875}, {"start": 1717.67, "end": 1718.37, "word": " هبعتلكوا", "probability": 0.685205078125}, {"start": 1718.37, "end": 1718.53, "word": " إياها", "probability": 0.7635091145833334}, {"start": 1718.53, "end": 1718.63, "word": " إن", "probability": 0.9189453125}, {"start": 1718.63, "end": 1718.73, "word": " شاء", "probability": 0.9892578125}, {"start": 1718.73, "end": 1718.83, "word": " الله", "probability": 0.958984375}, {"start": 1718.83, "end": 1719.21, "word": " تعالى", "probability": 0.9925130208333334}, {"start": 1719.21, "end": 1719.89, "word": " اللي", "probability": 0.934326171875}, {"start": 1719.89, "end": 1720.09, "word": " هي", "probability": 0.87255859375}, {"start": 1720.09, "end": 1720.55, "word": " هنحكي", "probability": 0.957421875}, {"start": 1720.55, "end": 1720.73, "word": " عن", "probability": 0.99072265625}, {"start": 1720.73, "end": 1720.87, "word": " ال", "probability": 0.56640625}, {"start": 1720.87, "end": 1721.39, "word": " leukemia", "probability": 0.6522216796875}, {"start": 1721.39, "end": 1722.39, "word": " خمس", "probability": 0.8304036458333334}, {"start": 1722.39, "end": 1722.71, "word": " تاشر", "probability": 0.6161702473958334}, {"start": 1722.71, "end": 1723.03, "word": " slide", "probability": 0.76220703125}, {"start": 1723.03, "end": 1723.39, "word": " يمكن", "probability": 0.974365234375}, {"start": 1723.39, "end": 1726.17, "word": " بالنسبة", "probability": 0.941650390625}, {"start": 1726.17, "end": 1726.77, "word": " للمحاضرة", "probability": 0.9552734375}, {"start": 1726.77, "end": 1726.95, "word": " هي", "probability": 0.4296875}, {"start": 1726.95, "end": 1727.09, "word": " يا", "probability": 0.76220703125}, {"start": 1727.09, "end": 1727.47, "word": " جماعة", "probability": 0.99609375}, {"start": 1727.47, "end": 1727.89, "word": " إحنا", "probability": 0.8113606770833334}, {"start": 1727.89, "end": 1728.11, "word": " لما", "probability": 0.953125}, {"start": 1728.11, "end": 1728.47, "word": " أديتكوا", "probability": 0.7822265625}, {"start": 1728.47, "end": 1728.59, "word": " إياها", "probability": 0.9391276041666666}, {"start": 1728.59, "end": 1728.93, "word": " أديتكوا", "probability": 0.93916015625}, {"start": 1728.93, "end": 1729.11, "word": " إياها", "probability": 0.9676106770833334}, {"start": 1729.11, "end": 1729.55, "word": " كاملة", "probability": 0.9905598958333334}, {"start": 1729.55, "end": 1729.75, "word": " بس", "probability": 0.968505859375}, {"start": 1729.75, "end": 1729.99, "word": " إحنا", "probability": 0.8893229166666666}, {"start": 1729.99, "end": 1730.51, "word": " هنضلنا", "probability": 0.866796875}, {"start": 1730.51, "end": 1730.67, "word": " بس", "probability": 0.965576171875}, {"start": 1730.67, "end": 1731.27, "word": " ماشيين", "probability": 0.9466552734375}, {"start": 1731.27, "end": 1731.97, "word": " لحد", "probability": 0.97900390625}, {"start": 1731.97, "end": 1732.37, "word": " slide", "probability": 0.89501953125}, {"start": 1732.37, "end": 1732.77, "word": " تلاتة", "probability": 0.90185546875}, {"start": 1732.77, "end": 1733.31, "word": " وتلاتين", "probability": 0.80255126953125}, {"start": 1733.31, "end": 1735.03, "word": " بس", "probability": 0.968017578125}, {"start": 1735.03, "end": 1736.35, "word": " ل", "probability": 0.67578125}, {"start": 1736.35, "end": 1736.61, "word": " slide", "probability": 0.8095703125}, {"start": 1736.61, "end": 1736.93, "word": " تلاتة", "probability": 0.985107421875}, {"start": 1736.93, "end": 1737.45, "word": " وتلاتين", "probability": 0.9381103515625}], "temperature": 1.0}, {"id": 74, "seek": 176546, "start": 1739.28, "end": 1765.46, "text": "ومش هدخل على التفاصيل بس هنوقف لحد slide تلاتة و تلاتين في هذه وبيفهم بدي أكمل على الـ Leukemia برضه عشر، خمسة أشهر slide وبعدين هيك بيبجنتها إن شاء الله تعالى المنهج بإذن الله تعالى يعني أشكركم على حسن الاستماع في الفترة الجاي هديكوا شوية تفاصيل كيف الامتحان", "tokens": [20498, 8592, 8032, 3215, 9778, 1211, 15844, 16712, 5172, 33546, 26895, 4724, 3794, 8032, 1863, 30543, 5172, 5296, 24401, 4137, 6055, 1211, 9307, 3660, 4032, 6055, 1211, 9307, 9957, 8978, 29538, 4032, 21292, 5172, 16095, 4724, 16254, 5551, 24793, 1211, 15844, 2423, 39184, 1456, 15420, 29958, 4724, 43042, 3224, 6225, 46309, 12399, 16490, 2304, 3794, 3660, 5551, 8592, 3224, 2288, 4137, 4032, 3555, 22488, 9957, 39896, 4117, 4724, 1829, 3555, 7435, 29399, 11296, 36145, 13412, 16606, 21984, 37279, 6027, 7578, 9673, 1863, 3224, 7435, 4724, 28814, 8848, 1863, 21984, 37279, 6027, 7578, 37495, 22653, 5551, 8592, 37983, 24793, 15844, 11331, 3794, 1863, 42963, 14851, 15042, 3615, 8978, 27188, 2655, 25720, 25724, 47302, 8032, 16254, 4117, 14407, 13412, 2407, 10632, 6055, 5172, 33546, 26895, 9122, 33911, 2423, 10943, 2655, 5016, 7649], "avg_logprob": -0.20145515221675844, "compression_ratio": 1.749034749034749, "no_speech_prob": 8.344650268554688e-07, "words": [{"start": 1739.28, "end": 1740.18, "word": "ومش", "probability": 0.539794921875}, {"start": 1740.18, "end": 1740.52, "word": " هدخل", "probability": 0.9178466796875}, {"start": 1740.52, "end": 1740.62, "word": " على", "probability": 0.69677734375}, {"start": 1740.62, "end": 1741.2, "word": " التفاصيل", "probability": 0.983642578125}, {"start": 1741.2, "end": 1741.9, "word": " بس", "probability": 0.756103515625}, {"start": 1741.9, "end": 1742.38, "word": " هنوقف", "probability": 0.9234619140625}, {"start": 1742.38, "end": 1742.9, "word": " لحد", "probability": 0.961181640625}, {"start": 1742.9, "end": 1743.84, "word": " slide", "probability": 0.466552734375}, {"start": 1743.84, "end": 1745.02, "word": " تلاتة", "probability": 0.80419921875}, {"start": 1745.02, "end": 1745.1, "word": " و", "probability": 0.58203125}, {"start": 1745.1, "end": 1745.56, "word": " تلاتين", "probability": 0.9454345703125}, {"start": 1745.56, "end": 1745.86, "word": " في", "probability": 0.84228515625}, {"start": 1745.86, "end": 1746.1, "word": " هذه", "probability": 0.35888671875}, {"start": 1746.1, "end": 1748.28, "word": " وبيفهم", "probability": 0.61407470703125}, {"start": 1748.28, "end": 1748.56, "word": " بدي", "probability": 0.494873046875}, {"start": 1748.56, "end": 1749.04, "word": " أكمل", "probability": 0.9607747395833334}, {"start": 1749.04, "end": 1749.26, "word": " على", "probability": 0.8935546875}, {"start": 1749.26, "end": 1749.38, "word": " الـ", "probability": 0.557373046875}, {"start": 1749.38, "end": 1749.88, "word": " Leukemia", "probability": 0.79443359375}, {"start": 1749.88, "end": 1750.8, "word": " برضه", "probability": 0.9269205729166666}, {"start": 1750.8, "end": 1751.16, "word": " عشر،", "probability": 0.70751953125}, {"start": 1751.16, "end": 1751.4, "word": " خمسة", "probability": 0.73797607421875}, {"start": 1751.4, "end": 1751.62, "word": " أشهر", "probability": 0.7467041015625}, {"start": 1751.62, "end": 1751.98, "word": " slide", "probability": 0.75048828125}, {"start": 1751.98, "end": 1752.76, "word": " وبعدين", "probability": 0.73870849609375}, {"start": 1752.76, "end": 1753.1, "word": " هيك", "probability": 0.94970703125}, {"start": 1753.1, "end": 1753.74, "word": " بيبجنتها", "probability": 0.850830078125}, {"start": 1753.74, "end": 1753.92, "word": " إن", "probability": 0.71533203125}, {"start": 1753.92, "end": 1754.06, "word": " شاء", "probability": 0.972900390625}, {"start": 1754.06, "end": 1754.22, "word": " الله", "probability": 0.95947265625}, {"start": 1754.22, "end": 1754.66, "word": " تعالى", "probability": 0.974609375}, {"start": 1754.66, "end": 1755.72, "word": " المنهج", "probability": 0.8731689453125}, {"start": 1755.72, "end": 1756.1, "word": " بإذن", "probability": 0.949951171875}, {"start": 1756.1, "end": 1756.24, "word": " الله", "probability": 0.958984375}, {"start": 1756.24, "end": 1756.7, "word": " تعالى", "probability": 0.9479166666666666}, {"start": 1756.7, "end": 1758.28, "word": " يعني", "probability": 0.896728515625}, {"start": 1758.28, "end": 1759.88, "word": " أشكركم", "probability": 0.95849609375}, {"start": 1759.88, "end": 1760.16, "word": " على", "probability": 0.97216796875}, {"start": 1760.16, "end": 1760.68, "word": " حسن", "probability": 0.96337890625}, {"start": 1760.68, "end": 1761.62, "word": " الاستماع", "probability": 0.889892578125}, {"start": 1761.62, "end": 1762.64, "word": " في", "probability": 0.82373046875}, {"start": 1762.64, "end": 1763.0, "word": " الفترة", "probability": 0.9930013020833334}, {"start": 1763.0, "end": 1763.36, "word": " الجاي", "probability": 0.6552734375}, {"start": 1763.36, "end": 1763.94, "word": " هديكوا", "probability": 0.8843994140625}, {"start": 1763.94, "end": 1764.16, "word": " شوية", "probability": 0.8269856770833334}, {"start": 1764.16, "end": 1764.64, "word": " تفاصيل", "probability": 0.99267578125}, {"start": 1764.64, "end": 1764.9, "word": " كيف", "probability": 0.969970703125}, {"start": 1764.9, "end": 1765.46, "word": " الامتحان", "probability": 0.93447265625}], "temperature": 1.0}, {"id": 75, "seek": 177098, "start": 1767.52, "end": 1770.98, "text": "ومن وين هيكون و هيك ان شاء الله انتظرونا", "tokens": [20498, 1863, 4032, 9957, 39896, 30544, 4032, 39896, 4117, 16472, 13412, 16606, 21984, 16472, 2655, 19913, 32887, 8315], "avg_logprob": -0.34786184210526316, "compression_ratio": 1.2, "no_speech_prob": 0.0, "words": [{"start": 1767.52, "end": 1767.94, "word": "ومن", "probability": 0.707275390625}, {"start": 1767.94, "end": 1768.12, "word": " وين", "probability": 0.79052734375}, {"start": 1768.12, "end": 1768.6, "word": " هيكون", "probability": 0.7213134765625}, {"start": 1768.6, "end": 1768.66, "word": " و", "probability": 0.6640625}, {"start": 1768.66, "end": 1769.16, "word": " هيك", "probability": 0.5792236328125}, {"start": 1769.16, "end": 1769.5, "word": " ان", "probability": 0.4248046875}, {"start": 1769.5, "end": 1769.72, "word": " شاء", "probability": 0.86865234375}, {"start": 1769.72, "end": 1769.82, "word": " الله", "probability": 0.9013671875}, {"start": 1769.82, "end": 1770.98, "word": " انتظرونا", "probability": 0.846875}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 1774.6546875, "duration_after_vad": 1703.841249999996}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/e2BPn_M30ww_postprocess.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/e2BPn_M30ww_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..19e8c55d20772f8745204797053c942378ce959b
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/e2BPn_M30ww_postprocess.srt
@@ -0,0 +1,1672 @@
+1
+00:00:00,000 --> 00:00:03,660
+بسم الله الرحمن الرحيم والحمد للرحمن الرحيم الصلاة
+
+2
+00:00:03,660 --> 00:00:07,480
+والسلام علي سيدنا محمد يوم جديد وسعيد ان شاء الله
+
+3
+00:00:07,480 --> 00:00:11,840
+اتمنى اليكم اليوم هنتحدث ان شاء الله عن ال urinary
+
+4
+00:00:11,840 --> 00:00:18,960
+tract system طبعا احنا في خمسين slide الآن او في
+
+5
+00:00:18,960 --> 00:00:25,680
+ساعة من المحاضرة سيب المثالمش هنلم بكل الموضوع زي
+
+6
+00:00:25,680 --> 00:00:29,240
+ما انتوا عارفين موضوع طويل لكن احنا حبينا زي ما
+
+7
+00:00:29,240 --> 00:00:33,200
+قولنا في ال gastrointestinal tract عصب المثل أو في
+
+8
+00:00:33,200 --> 00:00:37,880
+ال pulmonary أو في ال cancer أو في ال urinary
+
+9
+00:00:37,880 --> 00:00:42,180
+tract انه نلقي بعض الضوء على بعض الأمراض بحيث انه
+
+10
+00:00:42,180 --> 00:00:46,400
+أخصائي العلاج الطبيعي يكون عنده فكرة عن كل حاجة
+
+11
+00:00:46,400 --> 00:00:50,660
+وفكرة مش جليلة يعني فكرة كويسة عن كل حاجة لكن طبعا
+
+12
+00:00:50,660 --> 00:00:55,840
+هو بيضلإنه التخصص تبعه الأساس هو العلاج الطبيعي
+
+13
+00:00:55,840 --> 00:00:59,760
+بالعلاقة مع الأمراض البطنية الجراحية والعصابية على
+
+14
+00:00:59,760 --> 00:01:03,500
+سبيل المثال فإحنا هنلقي بعض الضوء هنحكي في الأول
+
+15
+00:01:03,500 --> 00:01:09,400
+عن الـ Urinary Tract Anatomy
+
+16
+00:01:09,400 --> 00:01:12,780
+بمعنى فيسيولوجيا حاجة خفيفة جداً جداً كمان slide
+
+17
+00:01:12,780 --> 00:01:16,640
+بتوضح بعض الأمور وبعد هيك ندخل على بعض الـ
+
+18
+00:01:16,640 --> 00:01:21,840
+Diseasesالـ Renal Stones أو الـ Urinary Tract
+
+19
+00:01:21,840 --> 00:01:25,760
+Infection وحنحكي عن الـ Acute Renal Failure وعن
+
+20
+00:01:25,760 --> 00:01:30,980
+الـ Chronic Renal Failure وهيك بنبقى تقريبا غطينا
+
+21
+00:01:30,980 --> 00:01:39,980
+جزء محترم من الـ Urinary Tract Infection الـ
+
+22
+00:01:39,980 --> 00:01:43,780
+Urinary System هو عبارة عن زي ما أحنا شايفين في
+
+23
+00:01:43,780 --> 00:01:49,660
+الصورة قدامنا الـ Kidneysرقم واحد وهدولة موجودات
+
+24
+00:01:49,660 --> 00:01:54,640
+في الـ posterior wall of the abdominal cavity يعني
+
+25
+00:01:54,640 --> 00:01:58,800
+مش في الأمام أنا لما أجي أفحص الكلة مافحصهم من
+
+26
+00:01:58,800 --> 00:02:03,340
+الخسرة من ورا مش من قدام لأن قدام موجود عندى زى ما
+
+27
+00:02:03,340 --> 00:02:07,680
+احنا عارفين ال .. ال .. ال .. الكبد مع المرارة
+
+28
+00:02:07,680 --> 00:02:12,900
+وعالجهة التانية موجود عند المعدة مع ال ..مع الطحال
+
+29
+00:02:12,900 --> 00:02:16,760
+فهم وراهم في الـ cavity مش وراهم لزجين فيهم في
+
+30
+00:02:16,760 --> 00:02:21,420
+بينهم طبعا هدلاكة في الـ anterior abdomen و ال
+
+31
+00:02:21,420 --> 00:02:26,660
+kidneys في ال posterior abdomen في منطقة بيقول
+
+32
+00:02:26,660 --> 00:02:31,860
+عنها retro-peritoneal يعني الـ peritoneal space
+
+33
+00:02:31,860 --> 00:02:37,020
+اللي هو محطوط في كل الأعضاء زي الـ intestineوالكبد
+
+34
+00:02:37,020 --> 00:02:42,180
+و الكذا لكن ال kidneys في ال retro peritoneum
+
+35
+00:02:42,180 --> 00:02:48,140
+retro يعني خلف خلف ال peritoneum طبعا محاط ب
+
+36
+00:02:48,140 --> 00:02:53,770
+connective tissueوهذه اللي بتمسك ال kidneys in
+
+37
+00:02:53,770 --> 00:03:01,610
+place وطبعا في ايضا ادبوز تشو كاشن ال kidneys فهذه
+
+38
+00:03:01,610 --> 00:03:09,650
+ال capsule ماسكة الكلتين ال connective tissue وفي
+
+39
+00:03:09,650 --> 00:03:14,800
+طبعا لو حنشوف ادنا بعد شوي صورة ان ال lower ribالـ
+
+40
+00:03:14,800 --> 00:03:19,560
+Cage partially includes the kidneys and protect
+
+41
+00:03:19,560 --> 00:03:23,380
+them يعني حماية سبحان الله العظيم الدهون و ال
+
+42
+00:03:23,380 --> 00:03:27,480
+capsule و بعدين ال lower ribs هدول كلهم بيحموا
+
+43
+00:03:27,480 --> 00:03:34,900
+الكلاب kidneys هم طبعا تنتين ممكن يكون اكتر اه
+
+44
+00:03:34,900 --> 00:03:37,740
+طبعا ممكن يكون اكتر و ممكن يكون بس اقل واحدة كمان
+
+45
+00:03:38,060 --> 00:03:43,740
+ممكن يكون اكتر اكتر انه طبعا بتبقى واحدة منهم
+
+46
+00:03:43,740 --> 00:03:47,280
+دخيلة
+
+47
+00:03:47,280 --> 00:03:51,040
+على الموضوع فيه اتنين Ureter ايش ال Ureter؟ ال
+
+48
+00:03:51,040 --> 00:03:55,220
+Ureter اللي هو الحالباللي هو البرفيش اللي زي ما
+
+49
+00:03:55,220 --> 00:04:00,000
+نشاهدناه نازل من حوض الكلة نازل عوين على المثانا
+
+50
+00:04:00,000 --> 00:04:05,920
+بعدين لدينا blooder المثانا وفي الوريثرة الوريثرة
+
+51
+00:04:05,920 --> 00:04:13,440
+اللي هو حسب إذا كان male ولا female في ال
+
+52
+00:04:13,440 --> 00:04:16,660
+female اللي هو ال vagina وفي ال male بيبقى ال
+
+53
+00:04:16,660 --> 00:04:22,280
+penisوبعدين في عندنا الـ Nephron من ضمن الآن هذه
+
+54
+00:04:22,280 --> 00:04:26,460
+الجهاز الـ Urinary System بصورة عامة، الآن في
+
+55
+00:04:26,460 --> 00:04:29,440
+عندنا حاجة اسمها الـ Nephron Unit، الـ Nephron الـ
+
+56
+00:04:29,440 --> 00:04:34,200
+Nephron هو عبارة عن وحدات، Unit، وحدات، هذه الوحدة
+
+57
+00:04:34,200 --> 00:04:38,420
+موجودة، الوحدات هي موجودة جوا الكلة، وفي من كل كلة
+
+58
+00:04:38,420 --> 00:04:42,260
+في عندها حوالي مليون Nephron، مليون Nephron، حاجات
+
+59
+00:04:42,260 --> 00:04:47,020
+حنشوف تركيبة الـ Nephron، مليون Nephron كل كل كلة
+
+60
+00:04:48,620 --> 00:04:54,780
+وشغلتها أن هي اللي بتكوننا ال ball وطبعا متكونة من
+
+61
+00:04:54,780 --> 00:04:59,680
+أنابيب وشراين وأورده هذا ال nephron اللي فيه منه
+
+62
+00:04:59,680 --> 00:05:03,660
+مليون طبعا وهي زي ما بنقول عنها ال functional unit
+
+63
+00:05:03,660 --> 00:05:06,800
+of the kidneys كمان مرة صورة هنا
+
+64
+00:05:12,250 --> 00:05:16,290
+الـ Kidneys اللي شايفينه مكتوب كدني و بعدين الـ
+
+65
+00:05:16,290 --> 00:05:23,040
+Ureter بالأصفروبعد ذلك يوجد الـ Urinary Bladder
+
+66
+00:05:23,040 --> 00:05:29,260
+داخل الحالب وبعد ذلك يوجد الـ Urethra في ميل هان
+
+67
+00:05:29,260 --> 00:05:37,940
+الخارجة من البلدر تقريبا هو هكذا في الموضوع يدخل
+
+68
+00:05:37,940 --> 00:05:41,740
+الموضوع اللي عندنا هنا اللي هو الرحم والـ ovaries
+
+69
+00:05:41,740 --> 00:05:45,640
+وفيه عندنا طبعا فوق ال kidneys حاجة اسمها adrenal
+
+70
+00:05:45,640 --> 00:05:52,120
+glandsوكل هيتو زي ما قلنا retro-peritoneal موجودة
+
+71
+00:05:52,120 --> 00:05:57,400
+هذا
+
+72
+00:05:57,400 --> 00:06:02,180
+من الخلف الآن قطعة
+
+73
+00:06:02,180 --> 00:06:08,040
+من الخلف طبعا مايبينش بالصورة هي لكن للتصور وين
+
+74
+00:06:08,040 --> 00:06:12,920
+بتبجي الكيلتين عمليا في حدود الكيلتين بتبجي في
+
+75
+00:06:12,920 --> 00:06:21,490
+حدود ال .. ال ..الـ 11th و الـ 12th ribs هم هدول
+
+76
+00:06:21,490 --> 00:06:26,970
+مغطيين على الكلة بحيث يحموها بحيث يحموها ال left
+
+77
+00:06:26,970 --> 00:06:33,870
+kidney و ال right kidney و
+
+78
+00:06:33,870 --> 00:06:38,250
+طبعا هم موجودين في حدود علي تقريبا الكلتين في علي
+
+79
+00:06:38,250 --> 00:06:40,330
+ال one ال one
+
+80
+00:06:45,000 --> 00:06:53,940
+الـ Kidney Structure لو قطعناها قطع طولي مثل حبة
+
+81
+00:06:53,940 --> 00:07:00,140
+الفصوليا مثلًا، لو قطعناها قطع طولي، فمن جوا الـ
+
+82
+00:07:00,140 --> 00:07:01,480
+Kidney Reddish Brown
+
+83
+00:07:04,470 --> 00:07:10,370
+بني مدي على حمار زي البين وحوالي عشرة صنط في خمسة
+
+84
+00:07:10,370 --> 00:07:14,450
+صنط، خمسة صنط عرض في عشرة صنط، مش إيش مش كبير، لما
+
+85
+00:07:14,450 --> 00:07:17,850
+نقارن الناس اللي بتروح بتغسل كيلة بدها مكينة ومي
+
+86
+00:07:17,850 --> 00:07:24,240
+وموظفين وكذا، بتيجي جطعةبتدخل كيلوة خمسة في عشرة
+
+87
+00:07:24,240 --> 00:07:28,900
+صنطي وبتقول ليه بالشغل هذا طبعا سبحان الله العظيم
+
+88
+00:07:28,900 --> 00:07:33,240
+وبعدين فيها الهيلس الهيلس اللي هو المخرج من الكيلة
+
+89
+00:07:33,240 --> 00:07:37,300
+where blood vessels and structures enter or exit
+
+90
+00:07:37,300 --> 00:07:44,700
+the kidneys كل حاجة بتدخل الكيلة وبتطلع من هناك من
+
+91
+00:07:44,700 --> 00:07:51,130
+الهيلساسمها الهيلس الان ال kidney مكوّنة
+
+92
+00:07:51,130 --> 00:07:56,390
+لو جطعناها جطع طولي من تلت regions
+
+93
+00:07:56,390 --> 00:08:01,930
+ال region الأولاني اللي هو ال cortex مكبر شوية ال
+
+94
+00:08:01,930 --> 00:08:06,810
+renal cortex طبعا فيه في الأول fibrous capsule هو
+
+95
+00:08:06,810 --> 00:08:08,890
+اللي يماسك أو ال renal capsule هو اللي يماسك
+
+96
+00:08:08,890 --> 00:08:12,170
+الكلاب بعدين عندنا ال renal cortex بعدين بيجي
+
+97
+00:08:12,170 --> 00:08:18,620
+عندنا لتحت منه ال renal medullaوبعدين في عندنا الـ
+
+98
+00:08:18,620 --> 00:08:24,160
+Renal Pelvis اللي هو الحوض تبع الكلاب، حوض الكلاب،
+
+99
+00:08:24,160 --> 00:08:28,780
+هي تقريبا التلت regions اللي موجودة Renal Cortex،
+
+100
+00:08:28,780 --> 00:08:34,210
+Renal Medulla، and Renal Pelvisطبعاً في عندنا بعض
+
+101
+00:08:34,210 --> 00:08:38,730
+الحاجات كمان هذا يقولنا coronal section coronal
+
+102
+00:08:38,730 --> 00:08:42,090
+section بنشوف في الموضوع ده طبعاً في عندنا بعض
+
+103
+00:08:42,090 --> 00:08:45,490
+الحاجات التانية اللي ممكن نشوفها في الصورة لكن زي
+
+104
+00:08:45,490 --> 00:08:49,270
+ما قلتلكوا أنا ما بدنا الآن ندخل deep في طبعا و
+
+105
+00:08:49,270 --> 00:08:52,870
+هاي زي ما احنا شايفينه رينالد بيلفز بيطلع في ال
+
+106
+00:08:52,870 --> 00:08:56,890
+«Ureter» بيطلع عن طريق ال «Ureter» بدلاش ندخل deep
+
+107
+00:08:56,890 --> 00:09:00,390
+في ال «Anatomy» و ال «Physiology» احنا بنحاول جدر
+
+108
+00:09:00,390 --> 00:09:00,790
+الممكن
+
+109
+00:09:03,470 --> 00:09:08,690
+نتعرف على القطع
+
+110
+00:09:08,690 --> 00:09:14,610
+الأساسية تبع الكيلة وبها تقريبًا ممكن يكفينا وخلال
+
+111
+00:09:14,610 --> 00:09:17,790
+المحاضرة ممكن نلقي الضوء على بعض الحاجات التالية
+
+112
+00:09:17,790 --> 00:09:21,650
+زي ما قلنا «فايبراس كابسول» «رينال كورتيكس» «رينال
+
+113
+00:09:21,650 --> 00:09:26,670
+ميدالا» «رينال بيلفس» وطالع من الـ «رينال بيلفس»
+
+114
+00:09:26,670 --> 00:09:29,730
+بطلع بعد ما بتجمع الـ «بول» في الحوت تبع الكيلة
+
+115
+00:09:30,140 --> 00:09:37,080
+بيطلع عن طريق اللي هو الـ ureter للمثالة
+
+116
+00:09:37,080 --> 00:09:41,180
+الآن
+
+117
+00:09:41,180 --> 00:09:45,200
+اللي احنا شايفينها في الصورة الصغيرة هاي خليني
+
+118
+00:09:45,200 --> 00:09:56,240
+اجربها عن وحدة النفرون وحدة النفرون اللي هي
+
+119
+00:09:59,690 --> 00:10:08,210
+الـ functional unit of the kidney هلجيت
+
+120
+00:10:08,210 --> 00:10:11,470
+الـ nephron هاي فيه منها في كل كيلة زي ما قلنا
+
+121
+00:10:11,470 --> 00:10:19,610
+مليون بتتكون من الـ
+
+122
+00:10:19,610 --> 00:10:23,650
+glomerulus
+
+123
+00:10:23,650 --> 00:10:27,470
+اللي هو احنا شايفينه الدوائر الحمره هاي في الصورة
+
+124
+00:10:27,470 --> 00:10:36,590
+هايالدواء الحمرا Glomerulus هو عبارة عن شريان صغير
+
+125
+00:10:36,590 --> 00:10:44,570
+داخل وشريان وريد خارج وطبعا الدم يدخل ويتصفى ثم
+
+126
+00:10:44,570 --> 00:10:49,710
+يطلع عن طريق الوريد والبول اللي يتصفى يدخل على
+
+127
+00:10:49,710 --> 00:10:57,340
+اللي هوعلى الـ Tubules والـ Tubules بتعمل للبول
+
+128
+00:10:57,340 --> 00:11:01,040
+هذا Collecting طبعا مش كل اللي بتصفها بتاخدوا
+
+129
+00:11:01,040 --> 00:11:06,460
+الكلا لسه في عندنا Process بيصير بحيث انه ترجع
+
+130
+00:11:06,460 --> 00:11:10,640
+كثير من المواد اللي بتصفها ترجعها للجسم و بصف
+
+131
+00:11:10,640 --> 00:11:15,700
+البول على اللي احنا بنعرفه 2 لتر في النهار فعملية
+
+132
+00:11:15,700 --> 00:11:20,540
+مش بس تصفية انما كمان عملية تركيز عملية التركيز
+
+133
+00:11:24,600 --> 00:11:27,700
+مش هندخل على إيش اللي بيصير بالظبط، إنما .. و هذه
+
+134
+00:11:27,700 --> 00:11:31,180
+فكرة ال .. ال .. ال .. ال .. الـ Nephron و كيف
+
+135
+00:11:31,180 --> 00:11:38,920
+بيشتغل طيب، كيف تشتغل الـ kidney؟ نحتاج لـ blood
+
+136
+00:11:38,920 --> 00:11:41,740
+supply طبيعي، brought to the kidney، via renal
+
+137
+00:11:41,740 --> 00:11:45,600
+artery، بدخل عن طريق ال .. ال .. ال .. الrenal
+
+138
+00:11:45,600 --> 00:11:49,020
+artery، الrenal artery stems from the abdominal
+
+139
+00:11:49,020 --> 00:11:52,280
+aorta، زي ما شوفنا الـ abdominal aorta، الrenal
+
+140
+00:11:52,280 --> 00:11:52,980
+artery،
+
+141
+00:11:55,520 --> 00:11:58,580
+الـrenal artery زي ما احنا شايفينه هان جايينها من
+
+142
+00:11:58,580 --> 00:12:04,580
+وين؟ جايينها من الأبدو من الأورطة، بعدين 20 ل 25%
+
+143
+00:12:04,580 --> 00:12:09,500
+of cardiac output goes to the kidneys، بروح على
+
+144
+00:12:09,500 --> 00:12:13,460
+الكلاب Smaller arteries supply blood to the
+
+145
+00:12:13,460 --> 00:12:17,040
+nephron unit Blood leaves the kidney via renal
+
+146
+00:12:17,040 --> 00:12:21,440
+veins والرينالفينز بتروح، بتصب وين؟ في الـVena
+
+147
+00:12:21,440 --> 00:12:26,780
+Cava، في الـVena Cava، inferiorطب الـ kidney إيش
+
+148
+00:12:26,780 --> 00:12:34,880
+بتساوي؟ الـ kidney هي طبعا أهم حاجة عندها اللي هو
+
+149
+00:12:34,880 --> 00:12:39,200
+السموم بتاعة الجسم السموم مابيقصدش السم اللي هو
+
+150
+00:12:39,200 --> 00:12:43,340
+الخارج أنما السموم الناتجة حتى عن التغذية كمان زي
+
+151
+00:12:43,340 --> 00:12:46,780
+ال ammonia و ال creatinine و الurea أو ال waste
+
+152
+00:12:46,780 --> 00:12:51,000
+nitrogenous waste بتعملها excretion بتخرجها من
+
+153
+00:12:51,000 --> 00:12:56,940
+الجسم هذا واحد، تاني regulate blood volume طبعاهي
+
+154
+00:12:56,940 --> 00:13:02,840
+نتيجة أننا نشرب سوائل و نأكل في الآخر في عيننا الـ
+
+155
+00:13:02,840 --> 00:13:06,880
+blood volume بزيد هي بتعود بترجع لوضعه الطبيعي كما
+
+156
+00:13:06,880 --> 00:13:11,700
+يجب و ينبغي مش بس حتى الأملاح حتى الأحماط تحت
+
+157
+00:13:11,700 --> 00:13:16,620
+الجسم هي regulation ال acid base balance ومش بس
+
+158
+00:13:16,620 --> 00:13:19,800
+حتى في ال blood pressure لها دور و كمان في ال red
+
+159
+00:13:19,800 --> 00:13:21,740
+cells production هنشوف كيف
+
+160
+00:13:33,660 --> 00:13:37,320
+يبقى الـ Formation of urine وهي أهم وظيفة من وظائف
+
+161
+00:13:37,320 --> 00:13:40,560
+الكلة Formation of urine of each kidney Contains
+
+162
+00:13:40,560 --> 00:13:44,280
+about one million nephron unit The number does not
+
+163
+00:13:44,280 --> 00:13:48,520
+increase after birth يعني باقتصار بمعنى آخر
+
+164
+00:13:48,520 --> 00:13:55,240
+النفرون اللي بيخرب سلامة سلمك وتعيش بيزدش يعني لو
+
+165
+00:13:55,240 --> 00:13:59,160
+واحد ولدانولد عنده مليون هان و مليون مليون في
+
+166
+00:13:59,160 --> 00:14:02,760
+الكلاهي و مليون في الكلاهي الآن و صار ياخد من عارف
+
+167
+00:14:02,760 --> 00:14:06,120
+أدوية و مسكنات و ماعرفش ايش و هذه كلها بتعمل
+
+168
+00:14:06,120 --> 00:14:11,260
+damage للنفرنز صار عنده 200 ألف هان و 150 ألف هان
+
+169
+00:14:11,260 --> 00:14:16,410
+مثلاوهدول يدول بيكفوا لأن كأرقام ما تدقوش عليها بس
+
+170
+00:14:16,410 --> 00:14:20,630
+أنا بقصد كمثل مش بتجددوا أو بيأكل أنواع أكل بتحسن
+
+171
+00:14:20,630 --> 00:14:24,610
+لعدد الـ Nephrons لأ لأ سلامت سلمك وتعيش فيش
+
+172
+00:14:24,610 --> 00:14:28,570
+نفرونز جديدة بتنبنى زي مشكلة الأعصاب الخلية اللي
+
+173
+00:14:28,570 --> 00:14:34,390
+بتموت مافيش حاجة تسد عنها ها إيش صحيح الكلة بتشتغل
+
+174
+00:14:34,390 --> 00:14:37,670
+أكتر لكن في يوم من الأيام بتعود و بتهلك فعشان هيك
+
+175
+00:14:37,670 --> 00:14:41,350
+لازم الواحد يدير باله على الكلتينمن ناحية
+
+176
+00:14:41,350 --> 00:14:46,870
+المأكلات، السموم، الأدوية، الـdrugs، الـinfections
+
+177
+00:14:46,870 --> 00:14:52,730
+على سبيل المثال They cannot be replaced if damaged
+
+178
+00:14:52,730 --> 00:15:00,310
+الكلام واضح وسهل الجتنفرون هذا بتكون من two parts
+
+179
+00:15:00,310 --> 00:15:05,530
+أو components الأولى رينال تبيول والثانية vascular
+
+180
+00:15:05,530 --> 00:15:08,570
+تبيول زي ما احنا شايفين هنا الرسم اللي فوق
+
+181
+00:15:13,680 --> 00:15:18,980
+ودخل الشريان الشريان طبعاً الصغيرة دخلت على الـ
+
+182
+00:15:18,980 --> 00:15:21,360
+Glomerulus الـ Glomerulus هي الوحدة اللي فيها
+
+183
+00:15:21,360 --> 00:15:26,540
+عملية تجميع على الشريان و الأوردة و بتصير عملية
+
+184
+00:15:26,540 --> 00:15:33,000
+الـ Bowman Capsule فيها و الـ Glomerulus و بتبدأ
+
+185
+00:15:33,000 --> 00:15:39,710
+عملية التصفيةخلال اللي هو الـ Tubular System يعني
+
+186
+00:15:39,710 --> 00:15:43,130
+في الأول الـ Vascular و بعدين الـ Tubular System
+
+187
+00:15:43,130 --> 00:15:48,970
+في الـ Tubular System بتجمع الـ Ball بعد ما يتصفى
+
+188
+00:15:48,970 --> 00:15:52,390
+في حاجة اسمها Collecting Duct و الـ Collecting
+
+189
+00:15:52,390 --> 00:15:56,210
+Duct بتجمع بتجمع في الآخر بتروح عندنا على الـ
+
+190
+00:15:56,210 --> 00:16:01,570
+Renal Pelvis و بيصير عملية تخرج للـ Ball من هناك
+
+191
+00:16:06,820 --> 00:16:13,740
+الورن يصبح في نفرون ويبقى استرال، مايعني استرال؟
+
+192
+00:16:13,740 --> 00:16:17,700
+يعني نظيف، معقّم، ولا ورن، لكن هو معقّم، معقّم،
+
+193
+00:16:17,700 --> 00:16:22,480
+مايعني معقّم؟ مايعني ليس فيه بكتيريا، 95% منه ماء
+
+194
+00:16:22,480 --> 00:16:26,630
+والباقي وستالباقي يوريا أمونيا كرياتينين اللي هي
+
+195
+00:16:26,630 --> 00:16:31,170
+نتروجيناس containing waste نتيجة هضم البروتين وهضم
+
+196
+00:16:31,170 --> 00:16:35,750
+الفات وهضم الأكل والسموم وكذا كلها بتبقى موجودة في
+
+197
+00:16:35,750 --> 00:16:38,650
+ال ball وبرضه ال ball فيه electrolytes فيه أملاح
+
+198
+00:16:38,650 --> 00:16:43,790
+اللي بيصير يا جماعة برضه باختصار جدا جدا في تلاتة
+
+199
+00:16:43,790 --> 00:16:46,810
+process في عملية تكوين ال ball تلت حاجات بتصير
+
+200
+00:16:46,810 --> 00:16:51,560
+الأولىاللي هو الـ Glomerular Filtration اللي عملية
+
+201
+00:16:51,560 --> 00:16:55,000
+التصفية اللي بتصير في الـ Glomerulus اللي هي
+
+202
+00:16:55,000 --> 00:16:59,280
+الجزئية الحمرة اللي هي الـ Glomerulus الجزئية
+
+203
+00:16:59,280 --> 00:17:03,490
+الحمرة هذه اللي احنا شايفينها زي الشبكة جواهذه
+
+204
+00:17:03,490 --> 00:17:07,430
+اسمها Glomerular Filtration عملية تصفية تصفية
+
+205
+00:17:07,430 --> 00:17:11,150
+filtration حاجة تانية اللي بتصير Tubular
+
+206
+00:17:11,150 --> 00:17:15,730
+Reabsorption راح البول طبعا كمية كبيرة بيصيرها
+
+207
+00:17:15,730 --> 00:17:20,890
+عملية تصفية بتروح على الـ Tubular وبيصير عملية
+
+208
+00:17:20,890 --> 00:17:25,710
+إعادة امتصاص لبعض الحاجات اللي صفاها اللي هو
+
+209
+00:17:25,710 --> 00:17:29,530
+Glomerulus وبعد هيك اللي بيصير أنه بيصير عندنا
+
+210
+00:17:31,600 --> 00:17:34,840
+سيكريشن لبعض الحاجات اللي اكتشف الجسم انه بدوش
+
+211
+00:17:34,840 --> 00:17:38,780
+هيها بعملها عملية سيكريشن يبقى تلاتة مراحل بتسير
+
+212
+00:17:38,780 --> 00:17:44,220
+في عملية تبوين الـBall تلاتة Global Re-filtration,
+
+213
+00:17:44,640 --> 00:17:49,400
+Tubular Re-absorption وTubular Secretionأحنا طبعا
+
+214
+00:17:49,400 --> 00:17:53,640
+كما تشايفين بنحكي من كل جستان زهرة عمليا يعني
+
+215
+00:17:53,640 --> 00:17:56,520
+بندخل من حاجة بنطلع في حاجة بس عشان ألقى الضوء
+
+216
+00:17:56,520 --> 00:17:59,080
+عشان لما نحكي بعد هيك بتبقى أنتوا إيش في الأمراض
+
+217
+00:17:59,080 --> 00:18:01,620
+بتبقى عندكوا فكرة عن إيش بنحكي ال urine testing
+
+218
+00:18:01,620 --> 00:18:04,900
+الفحص تبع ال ball كتير من الناس بييجي ويقولك والله
+
+219
+00:18:04,900 --> 00:18:07,640
+أنا عندي حرجان في ال ball بتقوله روح اعمل فحص ball
+
+220
+00:18:08,180 --> 00:18:11,720
+فى فحص الـ Ball بتلاقي ورقة الـ Ball فىها جزءين
+
+221
+00:18:11,720 --> 00:18:15,800
+جزء مكتوب عليه Microscopic Examination وجزء مكتوب
+
+222
+00:18:15,800 --> 00:18:22,260
+عليه اللى هو ال urine dipstick اللى هو بفحص ال
+
+223
+00:18:22,260 --> 00:18:27,580
+ball بشريط شريط عليه ست، سبعة، تمان، تسعة حاجات
+
+224
+00:18:27,580 --> 00:18:33,480
+حسب قداش ايش الشريط هذا عندهم وبشوف ال .. ال ..
+
+225
+00:18:34,790 --> 00:18:42,030
+الالتهابات مبدئيا مبدئيا بتدي مفتاك السكر حموضة
+
+226
+00:18:42,030 --> 00:18:49,880
+قاعديةبشوف كل الحاجات هذه لكن الاصل أنه هو ممكن
+
+227
+00:18:49,880 --> 00:18:53,200
+يطلع كمان تحت ال microscope microscopic
+
+228
+00:18:53,200 --> 00:18:56,960
+examination هو فحص بول و بحطه تحت ال microscope و
+
+229
+00:18:56,960 --> 00:19:02,480
+بشوف إذا في أي حاجات دم كمان بشوفها طبعا ممكن
+
+230
+00:19:02,480 --> 00:19:05,460
+أعمله culture and sensitivity بنزرع ال بول في
+
+231
+00:19:05,460 --> 00:19:09,100
+culture في مزرعة و بعدين culture and sensitivity
+
+232
+00:19:09,100 --> 00:19:12,880
+بنشوف بال sensitivityإذا طلع في عندي بكتيريا أنه
+
+233
+00:19:12,880 --> 00:19:17,140
+أحسن الـ Antibiotic أو الـ Antibiotics وإستجابته
+
+234
+00:19:17,140 --> 00:19:20,360
+أو إستجابة البكتيريا هذه للـ Antibiotics وممكن بعض
+
+235
+00:19:20,360 --> 00:19:24,500
+الأحيان أعمل أربع وعشرين hours urine testing على
+
+236
+00:19:24,500 --> 00:19:27,820
+أساس أشوف بعد تجميع أربع وعشرين ساعة بعض الحاجات
+
+237
+00:19:27,820 --> 00:19:32,680
+زي البروتين والكالسيوم والحاجات هذه بعدين بعد ال
+
+238
+00:19:32,680 --> 00:19:32,960
+kidney
+
+239
+00:19:36,250 --> 00:19:38,910
+الـUreters والـUrinary Bladder والـUrethra
+
+240
+00:19:38,910 --> 00:19:44,730
+الـUreters شغلتها بس Transport urine هي عبارة عن
+
+241
+00:19:44,730 --> 00:19:48,670
+حاجة عضلية لأن الأنابيب هذه الـUreters عبارة عن
+
+242
+00:19:48,670 --> 00:19:55,190
+حاجة عضلية يعني عشان هيك لما حصوة بتجي في جلب
+
+243
+00:19:55,190 --> 00:20:02,750
+الـUreters بتعملنا وجع فظيع عادة والبول بتحرك فيها
+
+244
+00:20:03,290 --> 00:20:12,010
+كانت نتيجة لـGravity لأنه من فوق لتحت وهذا
+
+245
+00:20:12,010 --> 00:20:15,310
+الجزئية الأولى والجزئية التانية نتيجة أنه جُنّا
+
+246
+00:20:15,310 --> 00:20:17,670
+Muscles والـMuscles انتوا عارفين بيصير عملية
+
+247
+00:20:17,670 --> 00:20:23,910
+Peristalticفي الـ Ureters وزي ما قلنا عشان هيك لما
+
+248
+00:20:23,910 --> 00:20:28,830
+يكون في حصوى عادة و الـ Ureter يصير يعمل
+
+249
+00:20:28,830 --> 00:20:33,190
+peristaltic أو contraction على الحصوة هيبدينا وجع
+
+250
+00:20:33,190 --> 00:20:37,710
+مهول متعد وفي بعد هيك بنزل وين؟ في ال bladder ال
+
+251
+00:20:37,710 --> 00:20:42,370
+bladder إيه شغلتها؟ stores urine temporarily until
+
+252
+00:20:42,370 --> 00:20:46,550
+elimination لحد ما يصير عملية التبول هي بس بتعمل
+
+253
+00:20:46,550 --> 00:20:52,610
+storing لل urineويم موجودة في اللي هي located
+
+254
+00:20:52,610 --> 00:20:57,550
+behind the symphysis pupus و a distended bladder
+
+255
+00:20:57,550 --> 00:21:00,730
+أو full bladder can be palpated above the
+
+256
+00:21:00,730 --> 00:21:03,090
+symphysis in the abdominal cavity اللي الواحد لو
+
+257
+00:21:03,090 --> 00:21:06,350
+عنده المثانة ملانة ممكن تحسها عند أي طفل أو عند أي
+
+258
+00:21:06,350 --> 00:21:09,370
+واحد كبير فوق منطقة اللي هي العانة
+
+259
+00:21:14,040 --> 00:21:18,880
+فيقول عنها عملية التبول ميكتوريشن أو urineation
+
+260
+00:21:18,880 --> 00:21:24,740
+ميكتوريشن أو urineation وهي عبارة عن expelling
+
+261
+00:21:24,740 --> 00:21:29,500
+urine from the bladder عملية إخراج البول من اسمها
+
+262
+00:21:29,500 --> 00:21:34,840
+urineation واكتشاف يبدأ الواحد يحس إنه بده يروح
+
+263
+00:21:34,840 --> 00:21:39,360
+الحمام عند ما يصير فيه في ال bladder 200 ملي كدهش
+
+264
+00:21:39,360 --> 00:21:42,540
+أنا الـ200 ملي؟ شوفت قلبة الكولة على سبيل المثال؟
+
+265
+00:21:43,240 --> 00:21:46,720
+تلتين علبة الكولة، العلبة الكولة اللي هي 333
+
+266
+00:21:46,720 --> 00:21:52,160
+طولتينها تقريبا، هذه عبارة عن 200 ملي، لو صار في
+
+267
+00:21:52,160 --> 00:21:55,960
+إنه جد علبة الكولة لي 300 ملي في ال bladder، بيصير
+
+268
+00:21:55,960 --> 00:21:59,200
+الواحد مش مرتاح، بيصير خلاص، يعني أنا لازم أروح
+
+269
+00:21:59,200 --> 00:22:07,540
+الحمام، مش مرتاح، الآن وقتش بقول والله المثانة
+
+270
+00:22:07,540 --> 00:22:14,380
+تقريبا ملانة لما يكون عندي نص لتر، 500 ملي،و over
+
+271
+00:22:14,380 --> 00:22:19,300
+-extended تبقى لما تكون ملي ألف ملي يعني لتر
+
+272
+00:22:19,300 --> 00:22:23,200
+تصوروا لتر في جلب المثانة وهي بتعمل وجع فظيع ليش؟
+
+273
+00:22:23,200 --> 00:22:27,580
+لأن المثانة هي زي البلون في الآخر البلون بفتح معاك
+
+274
+00:22:27,580 --> 00:22:32,540
+البلون لما تنفخه بتديه بتديه لكن إلى حد معين بعدين
+
+275
+00:22:32,540 --> 00:22:37,730
+بنبطلكن المثانة هي عبارة عن أرجاني عضو وفيه أعصاب
+
+276
+00:22:37,730 --> 00:22:42,590
+فانت كل ما عملتله extension أكتر بيصير له
+
+277
+00:22:42,590 --> 00:22:45,330
+distinction أكتر و ال distinction بيعملنا pain
+
+278
+00:22:45,330 --> 00:22:51,210
+pain و احنا بنعبي في المثانة و pain كمان عند منفض
+
+279
+00:22:51,210 --> 00:22:55,810
+المثانة كتير مننا بعد ما يكون فعلا كان لازم يروح
+
+280
+00:22:55,810 --> 00:23:00,720
+الحمام كتير ballبنلاقي إنه بعد ما بيروح الحمام
+
+281
+00:23:00,720 --> 00:23:03,720
+برضه بيظل فيه وجع، ليش؟ لأن المثانة بدأت ترجع
+
+282
+00:23:03,720 --> 00:23:07,380
+لوضعها الطبيعي، وعشان ترجع لوضعها الطبيعي بتعمللي
+
+283
+00:23:07,380 --> 00:23:08,300
+pain بعض الأحيان
+
+284
+00:23:12,290 --> 00:23:15,790
+باكتيريا في دماغك مرتفعة كل أربع ساعت عشان هيك
+
+285
+00:23:15,790 --> 00:23:19,150
+احنا بنقول واحد مش لازم يحبس البول ليش؟ لأنه كل ما
+
+286
+00:23:19,150 --> 00:23:22,090
+حبسنا البول وهو مشكلة الأولاد والبنات في المدارس
+
+287
+00:23:22,090 --> 00:23:26,430
+اللي بيجرفوا يروحوا على الحمامات أنه بيحبس البول
+
+288
+00:23:26,430 --> 00:23:29,530
+أربع، خمس، ست ساعات طبعا هذا بيخلي عند الطفل
+
+289
+00:23:29,530 --> 00:23:34,310
+liable أنه يصير فيه عنده urinary tract infection
+
+290
+00:23:34,310 --> 00:23:38,450
+التهيبات في البولزي ما قلنا الـ Stimulated اللي هو
+
+291
+00:23:38,450 --> 00:23:41,910
+عملية الـ Urination By Stretch Receptors يعني كل
+
+292
+00:23:41,910 --> 00:23:48,550
+ما الحجم كمية الـ Bowl اللي موجودة هي اللي بتديني
+
+293
+00:23:48,550 --> 00:23:52,070
+Reflex
+
+294
+00:23:52,070 --> 00:23:59,090
+بتعمل Stimulation للـ Stretch Receptors بتعمل
+
+295
+00:23:59,090 --> 00:24:04,130
+Stimulation وبتدى إشارة للمخ والمخ يطلب عملية الـ
+
+296
+00:24:04,130 --> 00:24:09,080
+Mixture أو التفريرفي حاجتين لازم نعرفهم الـ
+
+297
+00:24:09,080 --> 00:24:12,740
+Retention هو عبارة عن inability to fight عدم
+
+298
+00:24:12,740 --> 00:24:20,220
+القدرة على التبول وهذا مختلف يا جماعة عن ال
+
+299
+00:24:20,220 --> 00:24:23,760
+suppression ال retention موجود بول لكن مش قادر
+
+300
+00:24:23,760 --> 00:24:29,120
+أطلعه في ال suppression مابيصيرش عملية تكوين بول
+
+301
+00:24:29,120 --> 00:24:33,710
+من الأصل كدوا بالكوا الفرق بين الأتنينوهذه تصبح
+
+302
+00:24:33,710 --> 00:24:36,550
+الـ suppression نتيجة kidney dysfunction كدني مش
+
+303
+00:24:36,550 --> 00:24:41,250
+شغالة بتفلترش بول لكن ال retention أنا فيه بول لكن
+
+304
+00:24:41,250 --> 00:24:44,310
+مش قادر أطلعه وهذه نتيجة بعض الأحيان الانستيزيا
+
+305
+00:24:44,310 --> 00:24:47,130
+post-operative أو مشكلة في البلد
+
+306
+00:24:54,110 --> 00:24:58,210
+أز وي أيش كل ما نكبر بإيش تمانين تمانين في المية
+
+307
+00:24:58,210 --> 00:25:01,890
+reduction of in nephron units لعمره تمانين سنة
+
+308
+00:25:01,890 --> 00:25:06,210
+بتلاقي عدد ال nephrons إذا مافيش أمراض وفيش كذا
+
+309
+00:25:06,210 --> 00:25:11,010
+بالوضع الطبيعي بتجيل نتيجة الأمر وطبعا decreased
+
+310
+00:25:11,010 --> 00:25:15,730
+ability to concentrate urineمش بس حتى الـ urine
+
+311
+00:25:15,730 --> 00:25:18,930
+bladder شرنج عشان هيك بتلاقي الاختيارية والكبار في
+
+312
+00:25:18,930 --> 00:25:22,090
+العمر كل شويه بيروح الحمام غير بالنسبة للرجال عشان
+
+313
+00:25:22,090 --> 00:25:28,750
+موضوع البرستاتا لكن في موضوع ال urine bladder تصغر
+
+314
+00:25:28,750 --> 00:25:37,250
+عند كل ما كبر الواحدلست قادرة على التفكير وتتسكّر
+
+315
+00:25:37,250 --> 00:25:43,190
+البلدر مثل الناس الصغيرة، لذلك يجب أن يتجاوز الناس
+
+316
+00:25:43,190 --> 00:25:46,050
+الأكبر بشكل عام في الحمام بشكل عام وفي الليلة اللي
+
+317
+00:25:46,050 --> 00:25:47,470
+بيصحى بشكل عام بشكل عام بشكل عام بشكل عام بشكل عام
+
+318
+00:25:47,470 --> 00:25:51,710
+بشكل عام بشكل عام بشكل عام بشكل عام بشكل عام بشكل
+
+319
+00:25:51,710 --> 00:25:52,230
+عام بشكل عام بشكل عام بشكل عام بشكل عام بشكل عام
+
+320
+00:25:52,230 --> 00:25:57,490
+بشكل عام بشكل عام بشكل عوطبعاً نتيجة الـ weakening
+
+321
+00:25:57,490 --> 00:26:01,590
+الـ weakened muscles ممكن يصير increase in bladder
+
+322
+00:26:01,590 --> 00:26:07,820
+incontinence اللي هو التبول عند الكباربالنسبة للـ
+
+323
+00:26:07,820 --> 00:26:13,100
+Disorders of the Urinary System الآن هنحكي عن حاجة
+
+324
+00:26:13,100 --> 00:26:17,660
+واحدة في المحاضرة هذه وبكرا أو خلال الأسبوع أو
+
+325
+00:26:17,660 --> 00:26:21,660
+بداية الأسبوع هنحكي عن باقي الأمراض هحكي الآن عن
+
+326
+00:26:21,660 --> 00:26:24,840
+الـ Kidney Stones احنا كنا الـ Stones اتعرفنا
+
+327
+00:26:24,840 --> 00:26:32,980
+عليها في وين؟ صحيح، اللي هو في الـ Gall Bladder
+
+328
+00:26:32,980 --> 00:26:33,520
+Stones
+
+329
+00:26:36,180 --> 00:26:40,740
+الأن نحن نقول الـ kidney stones نفرو ليثيازز
+
+330
+00:26:40,740 --> 00:26:44,140
+kidney stones اللي بيقولون عن كالكولاي برضه are
+
+331
+00:26:44,140 --> 00:26:48,140
+hardening mineral deposits that form in the
+
+332
+00:26:48,140 --> 00:26:56,140
+kidneys هي عبارة عن حاجات ملحية بتتجمع
+
+333
+00:26:56,140 --> 00:27:04,640
+و بتتيبس وبتكون نفسها في ال kidneysوطبعاً معروف
+
+334
+00:27:04,640 --> 00:27:09,960
+إنه كل إنه هذي بتترسب ترسب when waste materials in
+
+335
+00:27:09,960 --> 00:27:13,900
+the urine don't dissolve completely crystals and
+
+336
+00:27:13,900 --> 00:27:17,680
+kidney stones are a likely to form small stones
+
+337
+00:27:17,680 --> 00:27:24,760
+can cause some disconformوهي تنتقل من جسمها كل ما
+
+338
+00:27:24,760 --> 00:27:28,820
+زغرت ممكن تطلع لواحدة الحصوة لكن في بعض الأحيان ما
+
+339
+00:27:28,820 --> 00:27:31,280
+تطلع لواحدة الحصوة يعني زي ما احنا شايفين في
+
+340
+00:27:31,280 --> 00:27:36,080
+الصورة هاي اللي في الحوض تبع الحوض الكيلة وعبارة
+
+341
+00:27:36,080 --> 00:27:41,100
+عن stone ماخد كل الحوض
+
+342
+00:27:41,100 --> 00:27:44,560
+تبع الكيلة زي ما احنا شايفينها تحت في الصورة
+
+343
+00:27:49,120 --> 00:27:58,020
+بغض النظر عن حجم الـ stone الـ stones may pass out
+
+344
+00:27:58,020 --> 00:28:00,540
+of the kidneys and become lodged in the ureter هذه
+
+345
+00:28:00,540 --> 00:28:04,140
+المصيبة الكبيرة أن الحصوة الصغيرة كما نرى في
+
+346
+00:28:04,140 --> 00:28:09,220
+الصورة هنا تكونت في الحوض ولسبب الأسباب راحت وعملت
+
+347
+00:28:09,220 --> 00:28:14,970
+ليه lodging أو حجزت ليه الـ ureterلما تحجز
+
+348
+00:28:14,970 --> 00:28:19,170
+الـUreter، ما يحصل؟ الـBall يتكوّن في الكلة ويجب
+
+349
+00:28:19,170 --> 00:28:24,130
+أن يطلع و لا يجد ممر فأين نحجز الـBall كله؟ في حوض
+
+350
+00:28:24,130 --> 00:28:29,130
+الكلة وبتصير الكلة تكبر تكبر تكبر بما نقول عنه
+
+351
+00:28:29,130 --> 00:28:35,570
+بعمل لي نفرو الـUreter
+
+352
+00:28:35,570 --> 00:28:38,650
+to the bladder and cause severe pain مش بس
+
+353
+00:29:03,250 --> 00:29:04,650
+بالدينة اللي هو
+
+354
+00:29:11,370 --> 00:29:16,590
+بتدينا Hydronephrosis زي Hydrocephalus لما الراس
+
+355
+00:29:16,590 --> 00:29:20,010
+صار فيها ميه كتير نتيجة تضيق هذه بيصير عنها
+
+356
+00:29:20,010 --> 00:29:23,070
+Hydronephrosis
+
+357
+00:29:23,070 --> 00:29:28,090
+الأنواع تبعت الـ Stones زي ما أحنا شايفين الـ
+
+358
+00:29:28,090 --> 00:29:32,870
+Tiles تبعها الـ Calcium Stones وهذا الـ Most
+
+359
+00:29:32,870 --> 00:29:36,070
+Common Calcium Stones الـ Uric Acid الناس اللي
+
+360
+00:29:36,070 --> 00:29:43,260
+بتاكل لحمة كتيرTrevite Stones وSistine Stones،
+
+361
+00:29:43,260 --> 00:29:47,720
+أجل، أنواعها لكن هو الـMost Common اللي هي
+
+362
+00:29:47,720 --> 00:29:51,480
+الـCalcium
+
+363
+00:29:51,480 --> 00:29:54,600
+Stones According to the، هذه بس الإحصائيات عشان
+
+364
+00:29:54,600 --> 00:29:58,520
+تعرف كيف الدنيا، كيف الموضوع، لكن هي غير مهمة
+
+365
+00:29:58,520 --> 00:30:02,440
+كأرقام، لكن عشان تعرفوا أنه كثير بتيجي قضية
+
+366
+00:30:02,440 --> 00:30:05,220
+الـStones According to the U.S. National
+
+367
+00:30:05,220 --> 00:30:09,430
+Institutes of Health، one person في عشرةمن كل
+
+368
+00:30:09,430 --> 00:30:14,830
+عشرة، واحد تطور كدنيا صغيرة خلال زمان حياته والـ
+
+369
+00:30:14,830 --> 00:30:20,390
+«رينالد ستونزي سي» تعتبر حوالي سبعة لعشرة من كل
+
+370
+00:30:20,390 --> 00:30:25,730
+ألف مدرسات المستشفى، تصوروا؟ يعني مش سهل الموضوع،
+
+371
+00:30:25,730 --> 00:30:28,990
+الـ kidney stones are most prevalent in patients
+
+372
+00:30:28,990 --> 00:30:33,370
+between age تلاتين وخمسة واربعين وبعد اللي هو
+
+373
+00:30:33,370 --> 00:30:40,330
+العمر الخمسين، بيصير له declineالـ Causes and Risk
+
+374
+00:30:40,330 --> 00:30:45,610
+Factors، عدم
+
+375
+00:30:45,610 --> 00:30:47,830
+أخذ سوائل كثير، الناس اللي بتشربش، الـ
+
+376
+00:30:47,830 --> 00:30:50,750
+dehydration، الجفاف اللي بيصير، reduce urinary
+
+377
+00:30:50,750 --> 00:30:55,430
+flow and volume، بعض ال .. ال .. ال .. ال ..
+
+378
+00:30:55,430 --> 00:30:58,230
+certain chemicals levels in the urine that are too
+
+379
+00:30:58,230 --> 00:31:00,690
+high زي الـ Calcium و الـ Oxalate و الـ Uric Acid
+
+380
+00:31:00,690 --> 00:31:06,060
+أو too low زي الـ Citrateأو أي شيء يقوم بتحطيم أو
+
+381
+00:31:06,060 --> 00:31:09,340
+تقوم بتحطيم مستوى الروحانية أو الروحانية تقوم
+
+382
+00:31:09,340 --> 00:31:13,280
+بتحطيم الروحانية أو الروحانية تقوم بتحطيم
+
+383
+00:31:13,280 --> 00:31:16,560
+الروحانية أو الروحانيةما هي الـ Symptoms and
+
+384
+00:31:16,560 --> 00:31:19,600
+Signs؟ بيلاقي Hematuria إيش قولنا احنا يومها
+
+385
+00:31:19,600 --> 00:31:22,880
+Hematuria؟ قولنا Blood in Urine و Hematuria لإيش؟
+
+386
+00:31:22,880 --> 00:31:27,060
+لأنه هذه حصوة حصوة إلا حفاف ممكن تجرح تجرح يعني
+
+387
+00:31:27,060 --> 00:31:30,580
+سيية للدم دم يعني نزل في البول وهذه Hematuria
+
+388
+00:31:30,580 --> 00:31:34,860
+نوزيا Vomiting ردة فعل Pain during urination
+
+389
+00:31:34,860 --> 00:31:39,360
+Burning بيصير عملية Burning أو Dysuria Tenderness
+
+390
+00:31:43,670 --> 00:31:47,630
+هي حوالين الحصوات هي هذا الجسم غريب ممكن يتكون
+
+391
+00:31:47,630 --> 00:31:51,350
+بكتيريا والبكتيريا هي التي تعملنا infection
+
+392
+00:31:53,990 --> 00:31:58,530
+كدنيا فانكشن تيست زي blood urea and creatinine فحص
+
+393
+00:31:58,530 --> 00:32:02,670
+بول وممكن نعمل ultrasound للأبضمن أو للكدنى زي ما
+
+394
+00:32:02,670 --> 00:32:06,650
+نشاهد في الـ ultrasound الفكرة اللي هي الحصوة الـ
+
+395
+00:32:06,650 --> 00:32:10,790
+calculus والشدوينج اللي هو الضل تبعها اللي بنشوفه
+
+396
+00:32:10,790 --> 00:32:11,310
+في الـ ultrasound
+
+397
+00:32:16,630 --> 00:32:22,990
+بنعمل صورة أشياء في الـ kidney stones مثلًا في
+
+398
+00:32:22,990 --> 00:32:27,670
+الدوائر بتبين في الـ X-ray
+
+399
+00:32:30,560 --> 00:32:33,880
+العلاج حقيقية Acute Treatment of Urinary Calculi
+
+400
+00:32:33,880 --> 00:32:36,480
+Consists of Hydration سوائل كثير كثير كثير and
+
+401
+00:32:36,480 --> 00:32:39,740
+Analgesia هذا ساعة ما تصبح المشكلة ساعة ما ايش
+
+402
+00:32:39,740 --> 00:32:43,940
+بتصبح المشكلة يعني هذي acute The treatment that
+
+403
+00:32:43,940 --> 00:32:47,120
+applies to all metabolic stones conditions دي
+
+404
+00:32:47,120 --> 00:32:49,780
+Obstructive abnormality that require repair الآن
+
+405
+00:32:49,780 --> 00:32:53,880
+إذا والله واحد عنده مشكلة في الحالب أصلا هذا طبعا
+
+406
+00:32:53,880 --> 00:32:58,380
+بده بده حل مشكلة الحالب بصورة عامةوهو ممكن طبعاً
+
+407
+00:32:58,380 --> 00:33:03,180
+دايما قلنا نعمل lithotripsy عملية تروح
+
+408
+00:33:03,180 --> 00:33:08,040
+اليورولوجيست على طبيب مثالك وممكن نعمل lithotripsy
+
+409
+00:33:08,040 --> 00:33:12,460
+قلنا هو عبارة عن عملية تفتيت وطبعا accordingly حسب
+
+410
+00:33:12,460 --> 00:33:15,720
+إذا في عندي obstruction، عندي مشاكل، ممكن ينعمل
+
+411
+00:33:15,720 --> 00:33:22,230
+surgical repairوهيك بنبقى أتحدثنا كمان عن الـ
+
+412
+00:33:22,230 --> 00:33:26,090
+Prolithiasis إن شاء الله تعالى الجزء التاني هنتحدث
+
+413
+00:33:26,090 --> 00:33:32,110
+عن الـ Urinary Tract Infection وهنتحدث عن Acute
+
+414
+00:33:32,110 --> 00:33:39,930
+Renal Failure هنتحدث عن Chronic Renal Failure
+
+415
+00:33:41,300 --> 00:33:47,120
+وبعد هيك هنتحدث عن بعض الـ Hemodialysis كيف بالعمل
+
+416
+00:33:47,120 --> 00:33:49,760
+و بنبقى المرة اللي جاية ان شاء الله بنخلص الجزء
+
+417
+00:33:49,760 --> 00:33:52,820
+التالي بإذن الله تعالى اتمنى لكوا يوم سعيد ان شاء
+
+418
+00:33:52,820 --> 00:33:53,300
+الله تعالى
+
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/e2BPn_M30ww_raw.json b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/e2BPn_M30ww_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..d6addbe5faf882e3d841969326764e648088e544
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/e2BPn_M30ww_raw.json
@@ -0,0 +1 @@
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يعني أنا لازم أروح الحمام، مش مرتاح، الآن وقتش بقول والله المثانة تقريبا ملانة لما يكون عندي نص لتر، 500 ملي،", "tokens": [2655, 1211, 2655, 9957, 11203, 49401, 33251, 12610, 3660, 12399, 18863, 46152, 3660, 33251, 12610, 3660, 13672, 1829, 39896, 805, 10191, 23032, 12610, 2655, 9957, 11296, 6055, 4587, 16572, 3555, 995, 12399, 29538, 6225, 3555, 9640, 3660, 18871, 2331, 3714, 20292, 12399, 45164, 20328, 9640, 8978, 36145, 3224, 10874, 3215, 11203, 49401, 33251, 12610, 3660, 32239, 6641, 3714, 20292, 8978, 2423, 37032, 12399, 4724, 1829, 9381, 13546, 2423, 14407, 24401, 37893, 3714, 43500, 39319, 12399, 4724, 1829, 9381, 13546, 16490, 1211, 33546, 12399, 37495, 22653, 41850, 5296, 31377, 2304, 5551, 32887, 5016, 21542, 2304, 10943, 12399, 37893, 3714, 43500, 39319, 12399, 6024, 48506, 4032, 38149, 8592, 4724, 39648, 16070, 43761, 9673, 12984, 7649, 3660, 6055, 4587, 16572, 3555, 995, 3714, 1211, 7649, 3660, 5296, 15042, 7251, 30544, 18871, 16254, 8717, 9381, 5296, 2655, 2288, 12399, 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{"start": 1313.38, "end": 1313.48, "word": " لي", "probability": 0.391845703125}, {"start": 1313.48, "end": 1313.86, "word": " 300", "probability": 0.68115234375}, {"start": 1313.86, "end": 1314.32, "word": " ملي", "probability": 0.966552734375}, {"start": 1314.32, "end": 1314.5, "word": " في", "probability": 0.90478515625}, {"start": 1314.5, "end": 1314.58, "word": " ال", "probability": 0.74072265625}, {"start": 1314.58, "end": 1315.66, "word": " bladder،", "probability": 0.489013671875}, {"start": 1315.66, "end": 1315.96, "word": " بيصير", "probability": 0.9476318359375}, {"start": 1315.96, "end": 1316.22, "word": " الواحد", "probability": 0.9861653645833334}, {"start": 1316.22, "end": 1316.4, "word": " مش", "probability": 0.99462890625}, {"start": 1316.4, "end": 1316.96, "word": " مرتاح،", "probability": 0.9825439453125}, {"start": 1316.96, "end": 1317.2, "word": " بيصير", "probability": 0.9749755859375}, {"start": 1317.2, "end": 1317.68, "word": " خلاص،", "probability": 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"probability": 0.658447265625}, {"start": 1327.54, "end": 1329.24, "word": " تقريبا", "probability": 0.98740234375}, {"start": 1329.24, "end": 1329.7, "word": " ملانة", "probability": 0.950927734375}, {"start": 1329.7, "end": 1330.08, "word": " لما", "probability": 0.796875}, {"start": 1330.08, "end": 1330.32, "word": " يكون", "probability": 0.98486328125}, {"start": 1330.32, "end": 1330.52, "word": " عندي", "probability": 0.6549072265625}, {"start": 1330.52, "end": 1330.72, "word": " نص", "probability": 0.965087890625}, {"start": 1330.72, "end": 1331.06, "word": " لتر،", "probability": 0.8651123046875}, {"start": 1331.06, "end": 1331.36, "word": " 500", "probability": 0.8935546875}, {"start": 1331.36, "end": 1331.84, "word": " ملي،", "probability": 0.9290364583333334}], "temperature": 1.0}, {"id": 55, "seek": 135298, "start": 1333.48, "end": 1352.98, "text": "و over-extended تبقى لما تكون ملي ألف ملي يعني لتر تصوروا لتر في جلب المثانة وهي بتعمل وجع فظيع ليش؟ لأن المثانة هي زي البلون في الآخر البلون بفتح معاك البلون لما تنفخه بتديه بتديه لكن إلى حد معين بعدين بنبط", "tokens": [2407, 670, 12, 3828, 3502, 6055, 3555, 4587, 7578, 5296, 15042, 6055, 30544, 3714, 20292, 5551, 46538, 3714, 20292, 37495, 22653, 5296, 2655, 2288, 6055, 9381, 13063, 14407, 5296, 2655, 2288, 8978, 10874, 46152, 9673, 12984, 7649, 3660, 37037, 1829, 39894, 25957, 1211, 49610, 3615, 6156, 19913, 40228, 32239, 8592, 22807, 5296, 33456, 9673, 12984, 7649, 3660, 39896, 30767, 1829, 29739, 1211, 11536, 8978, 6024, 95, 34740, 29739, 1211, 11536, 4724, 5172, 2655, 5016, 20449, 995, 4117, 29739, 1211, 11536, 5296, 15042, 6055, 1863, 5172, 9778, 3224, 39894, 16254, 3224, 39894, 16254, 3224, 44381, 30731, 11331, 3215, 20449, 9957, 39182, 9957, 44945, 3555, 9566], "avg_logprob": -0.24866072563897995, "compression_ratio": 1.805, "no_speech_prob": 4.172325134277344e-07, "words": [{"start": 1333.48, "end": 1333.78, "word": "و", "probability": 0.603515625}, {"start": 1333.78, "end": 1334.38, "word": " 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liable أنه يصير فيه عنده urinary tract infection التهيبات في البول", "tokens": [3555, 995, 4117, 2655, 13546, 25528, 8978, 11778, 2304, 5718, 118, 4117, 3714, 43500, 5172, 27884, 28242, 5551, 25513, 3615, 8608, 995, 34268, 6225, 8592, 7649, 39896, 4117, 1975, 5016, 8315, 44945, 39648, 36764, 24401, 37893, 5296, 31377, 2304, 7251, 5016, 3555, 3794, 29739, 12610, 32239, 8592, 22807, 5296, 33456, 3224, 28242, 19446, 11331, 3555, 3794, 8315, 29739, 12610, 37037, 2407, 37893, 28820, 3660, 16247, 12610, 18513, 16070, 3555, 8315, 2655, 8978, 9673, 3215, 9640, 3794, 13672, 1829, 4724, 1829, 7435, 28480, 14407, 7251, 32887, 5016, 14407, 15844, 21542, 2304, 10943, 9307, 14739, 3224, 4724, 1829, 5016, 3555, 3794, 29739, 12610, 5551, 25513, 3615, 12399, 16490, 2304, 3794, 12399, 8608, 2655, 8608, 45761, 9307, 23032, 3555, 3615, 995, 23758, 4724, 1829, 9778, 20292, 43242, 41950, 5172, 1211, 375, 712, 14739, 3224, 7251, 9381, 13546, 8978, 3224, 43242, 3224, 4038, 4066, 24207, 11764, 16712, 3224, 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الجزء التاني هنتحدث عن الـ Urinary Tract Infection وهنتحدث عن Acute Renal Failure هنتحدث عن Chronic Renal Failure", "tokens": [2407, 3224, 1829, 4117, 44945, 3555, 4587, 7578, 5551, 2655, 24401, 12984, 8315, 9122, 2304, 7649, 18871, 2423, 39184, 1705, 75, 355, 4609, 271, 36145, 13412, 16606, 21984, 37279, 6027, 7578, 25724, 11622, 38207, 16712, 7649, 1829, 8032, 29399, 24401, 12984, 18871, 2423, 39184, 9533, 4066, 1765, 578, 682, 1836, 313, 4032, 3224, 29399, 24401, 12984, 18871, 5097, 1169, 12883, 304, 39094, 540, 8032, 29399, 24401, 12984, 18871, 1721, 11630, 12883, 304, 39094, 540], "avg_logprob": -0.22020833532015482, "compression_ratio": 1.4709302325581395, "no_speech_prob": 7.152557373046875e-07, "words": [{"start": 1998.93, "end": 1999.31, "word": "وهيك", "probability": 0.542144775390625}, {"start": 1999.31, "end": 1999.85, "word": " بنبقى", "probability": 0.71966552734375}, {"start": 1999.85, "end": 2000.61, "word": " أتحدثنا", "probability": 0.8759765625}, {"start": 2000.61, "end": 2000.93, "word": " كمان", "probability": 0.8409830729166666}, {"start": 2000.93, "end": 2001.35, "word": " عن", "probability": 0.98779296875}, {"start": 2001.35, "end": 2002.23, "word": " الـ", "probability": 0.7978515625}, {"start": 2002.23, "end": 2003.19, "word": " Prolithiasis", "probability": 0.6613525390625}, {"start": 2003.19, "end": 2003.83, "word": " إن", "probability": 0.6630859375}, {"start": 2003.83, "end": 2004.01, "word": " شاء", "probability": 0.956787109375}, {"start": 2004.01, "end": 2004.13, "word": " الله", "probability": 0.9482421875}, {"start": 2004.13, "end": 2004.59, "word": " تعالى", "probability": 0.9357096354166666}, {"start": 2004.59, "end": 2005.11, "word": " الجزء", "probability": 0.9803059895833334}, {"start": 2005.11, "end": 2005.51, "word": " التاني", "probability": 0.9422200520833334}, {"start": 2005.51, "end": 2006.09, "word": " هنتحدث", "probability": 0.9097900390625}, {"start": 2006.09, "end": 2006.27, "word": " عن", "probability": 0.99072265625}, {"start": 2006.27, "end": 2006.39, "word": " الـ", "probability": 0.757080078125}, {"start": 2006.39, "end": 2006.79, "word": " Urinary", "probability": 0.851806640625}, {"start": 2006.79, "end": 2007.17, "word": " Tract", "probability": 0.6839599609375}, {"start": 2007.17, "end": 2008.41, "word": " Infection", "probability": 0.916015625}, {"start": 2008.41, "end": 2010.11, "word": " وهنتحدث", "probability": 0.81513671875}, {"start": 2010.11, "end": 2010.59, "word": " عن", "probability": 0.99169921875}, {"start": 2010.59, "end": 2012.11, "word": " Acute", "probability": 0.827880859375}, {"start": 2012.11, "end": 2012.41, "word": " Renal", "probability": 0.934814453125}, {"start": 2012.41, "end": 2013.17, "word": " Failure", "probability": 0.957275390625}, {"start": 2013.17, "end": 2015.35, "word": " هنتحدث", "probability": 0.840576171875}, {"start": 2015.35, "end": 2015.95, "word": " عن", "probability": 0.99169921875}, {"start": 2015.95, "end": 2017.53, "word": " Chronic", "probability": 0.879150390625}, {"start": 2017.53, "end": 2017.93, "word": " Renal", "probability": 0.89453125}, {"start": 2017.93, "end": 2019.93, "word": " Failure", "probability": 0.954833984375}], "temperature": 1.0}, {"id": 85, "seek": 203330, "start": 2021.3, "end": 2033.3, "text": "وبعد هيك هنتحدث عن بعض الـ Hemodialysis كيف بالعمل و بنبقى المرة اللي جاية ان شاء الله بنخلص الجزء التالي بإذن الله تعالى اتمنى لكوا يوم سعيد ان شاء الله تعالى", "tokens": [37746, 22488, 39896, 4117, 8032, 29399, 24401, 12984, 18871, 45030, 11242, 2423, 39184, 18568, 378, 831, 4642, 9122, 33911, 20666, 25957, 1211, 4032, 44945, 3555, 4587, 7578, 9673, 25720, 13672, 1829, 10874, 995, 10632, 16472, 13412, 16606, 21984, 44945, 9778, 1211, 9381, 25724, 11622, 38207, 16712, 6027, 1829, 4724, 28814, 8848, 1863, 21984, 37279, 6027, 7578, 1975, 2655, 27842, 7578, 5296, 4117, 14407, 7251, 20498, 8608, 3615, 25708, 16472, 13412, 16606, 21984, 37279, 6027, 7578], "avg_logprob": -0.2489720520220305, "compression_ratio": 1.6235294117647059, "no_speech_prob": 2.4437904357910156e-06, "words": [{"start": 2021.3, "end": 2021.76, "word": "وبعد", "probability": 0.765625}, {"start": 2021.76, "end": 2022.2, "word": " هيك", "probability": 0.499267578125}, {"start": 2022.2, "end": 2023.12, "word": " هنتحدث", "probability": 0.8375244140625}, {"start": 2023.12, "end": 2023.5, "word": " عن", "probability": 0.42431640625}, {"start": 2023.5, "end": 2024.18, "word": " بعض", "probability": 0.859130859375}, {"start": 2024.18, "end": 2025.14, "word": " الـ", "probability": 0.6624755859375}, {"start": 2025.14, "end": 2026.38, "word": " Hemodialysis", "probability": 0.606201171875}, {"start": 2026.38, "end": 2026.62, "word": " كيف", "probability": 0.78173828125}, {"start": 2026.62, "end": 2027.12, "word": " بالعمل", "probability": 0.8033040364583334}, {"start": 2027.12, "end": 2027.46, "word": " و", "probability": 0.480224609375}, {"start": 2027.46, "end": 2028.1, "word": " بنبقى", "probability": 0.79974365234375}, {"start": 2028.1, "end": 2028.44, "word": " المرة", "probability": 0.91015625}, {"start": 2028.44, "end": 2028.6, "word": " اللي", "probability": 0.783935546875}, {"start": 2028.6, "end": 2028.78, "word": " جاية", "probability": 0.763671875}, {"start": 2028.78, "end": 2028.86, "word": " ان", "probability": 0.67919921875}, {"start": 2028.86, "end": 2029.0, "word": " شاء", "probability": 0.944091796875}, {"start": 2029.0, "end": 2029.02, "word": " الله", "probability": 0.94189453125}, {"start": 2029.02, "end": 2029.42, "word": " بنخلص", "probability": 0.9210205078125}, {"start": 2029.42, "end": 2029.76, "word": " الجزء", "probability": 0.9775390625}, {"start": 2029.76, "end": 2030.1, "word": " التالي", "probability": 0.9500325520833334}, {"start": 2030.1, "end": 2030.32, "word": " بإذن", "probability": 0.886474609375}, {"start": 2030.32, "end": 2030.46, "word": " الله", "probability": 0.94091796875}, {"start": 2030.46, "end": 2030.9, "word": " تعالى", "probability": 0.8751627604166666}, {"start": 2030.9, "end": 2031.58, "word": " اتمنى", "probability": 0.742919921875}, {"start": 2031.58, "end": 2031.88, "word": " لكوا", "probability": 0.7491861979166666}, {"start": 2031.88, "end": 2032.14, "word": " يوم", "probability": 0.990478515625}, {"start": 2032.14, "end": 2032.52, "word": " سعيد", "probability": 0.99365234375}, {"start": 2032.52, "end": 2032.64, "word": " ان", "probability": 0.63134765625}, {"start": 2032.64, "end": 2032.82, "word": " شاء", "probability": 0.989990234375}, {"start": 2032.82, "end": 2032.9, "word": " الله", "probability": 0.94775390625}, {"start": 2032.9, "end": 2033.3, "word": " تعالى", "probability": 0.98046875}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2035.2755, "duration_after_vad": 1958.238468749996}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/e2BPn_M30ww_raw.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/e2BPn_M30ww_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..ecef98a536bbc442528f2ac584639988a3735dbf
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/e2BPn_M30ww_raw.srt
@@ -0,0 +1,1680 @@
+1
+00:00:00,000 --> 00:00:03,660
+بسم الله الرحمن الرحيم والحمد للرحمن الرحيم الصلاة
+
+2
+00:00:03,660 --> 00:00:07,480
+والسلام علي سيدنا محمد يوم جديد وسعيد ان شاء الله
+
+3
+00:00:07,480 --> 00:00:11,840
+اتمنى اليكم اليوم هنتحدث ان شاء الله عن ال urinary
+
+4
+00:00:11,840 --> 00:00:18,960
+tract system طبعا احنا في خمسين slide الآن او في
+
+5
+00:00:18,960 --> 00:00:25,680
+ساعة من المحاضرة سيب المثالمش هنلم بكل الموضوع زي
+
+6
+00:00:25,680 --> 00:00:29,240
+ما انتوا عارفين موضوع طويل لكن احنا حبينا زي ما
+
+7
+00:00:29,240 --> 00:00:33,200
+قولنا في ال gastrointestinal tract عصب المثل أو في
+
+8
+00:00:33,200 --> 00:00:37,880
+ال pulmonary أو في ال cancer أو في ال urinary
+
+9
+00:00:37,880 --> 00:00:42,180
+tract انه نلقي بعض الضوء على بعض الأمراض بحيث انه
+
+10
+00:00:42,180 --> 00:00:46,400
+أخصائي العلاج الطبيعي يكون عنده فكرة عن كل حاجة
+
+11
+00:00:46,400 --> 00:00:50,660
+وفكرة مش جليلة يعني فكرة كويسة عن كل حاجة لكن طبعا
+
+12
+00:00:50,660 --> 00:00:55,840
+هو بيضلإنه التخصص تبعه الأساس هو العلاج الطبيعي
+
+13
+00:00:55,840 --> 00:00:59,760
+بالعلاقة مع الأمراض البطنية الجراحية والعصابية على
+
+14
+00:00:59,760 --> 00:01:03,500
+سبيل المثال فإحنا هنلقي بعض الضوء هنحكي في الأول
+
+15
+00:01:03,500 --> 00:01:09,400
+عن الـ Urinary Tract Anatomy
+
+16
+00:01:09,400 --> 00:01:12,780
+بمعنى فيسيولوجيا حاجة خفيفة جداً جداً كمان slide
+
+17
+00:01:12,780 --> 00:01:16,640
+بتوضح بعض الأمور وبعد هيك ندخل على بعض الـ
+
+18
+00:01:16,640 --> 00:01:21,840
+Diseasesالـ Renal Stones أو الـ Urinary Tract
+
+19
+00:01:21,840 --> 00:01:25,760
+Infection وحنحكي عن الـ Acute Renal Failure وعن
+
+20
+00:01:25,760 --> 00:01:30,980
+الـ Chronic Renal Failure وهيك بنبقى تقريبا غطينا
+
+21
+00:01:30,980 --> 00:01:39,980
+جزء محترم من الـ Urinary Tract Infection الـ
+
+22
+00:01:39,980 --> 00:01:43,780
+Urinary System هو عبارة عن زي ما أحنا شايفين في
+
+23
+00:01:43,780 --> 00:01:49,660
+الصورة قدامنا الـ Kidneysرقم واحد وهدولة موجودات
+
+24
+00:01:49,660 --> 00:01:54,640
+في الـ posterior wall of the abdominal cavity يعني
+
+25
+00:01:54,640 --> 00:01:58,800
+مش في الأمام أنا لما أجي أفحص الكلة مافحصهم من
+
+26
+00:01:58,800 --> 00:02:03,340
+الخسرة من ورا مش من قدام لأن قدام موجود عندى زى ما
+
+27
+00:02:03,340 --> 00:02:07,680
+احنا عارفين ال .. ال .. ال .. الكبد مع المرارة
+
+28
+00:02:07,680 --> 00:02:12,900
+وعالجهة التانية موجود عند المعدة مع ال ..مع الطحال
+
+29
+00:02:12,900 --> 00:02:16,760
+فهم وراهم في الـ cavity مش وراهم لزجين فيهم في
+
+30
+00:02:16,760 --> 00:02:21,420
+بينهم طبعا هدلاكة في الـ anterior abdomen و ال
+
+31
+00:02:21,420 --> 00:02:26,660
+kidneys في ال posterior abdomen في منطقة بيقول
+
+32
+00:02:26,660 --> 00:02:31,860
+عنها retro-peritoneal يعني الـ peritoneal space
+
+33
+00:02:31,860 --> 00:02:37,020
+اللي هو محطوط في كل الأعضاء زي الـ intestineوالكبد
+
+34
+00:02:37,020 --> 00:02:42,180
+و الكذا لكن ال kidneys في ال retro peritoneum
+
+35
+00:02:42,180 --> 00:02:48,140
+retro يعني خلف خلف ال peritoneum طبعا محاط ب
+
+36
+00:02:48,140 --> 00:02:53,770
+connective tissueوهذه اللي بتمسك ال kidneys in
+
+37
+00:02:53,770 --> 00:03:01,610
+place وطبعا في ايضا ادبوز تشو كاشن ال kidneys فهذه
+
+38
+00:03:01,610 --> 00:03:09,650
+ال capsule ماسكة الكلتين ال connective tissue وفي
+
+39
+00:03:09,650 --> 00:03:14,800
+طبعا لو حنشوف ادنا بعد شوي صورة ان ال lower ribالـ
+
+40
+00:03:14,800 --> 00:03:19,560
+Cage partially includes the kidneys and protect
+
+41
+00:03:19,560 --> 00:03:23,380
+them يعني حماية سبحان الله العظيم الدهون و ال
+
+42
+00:03:23,380 --> 00:03:27,480
+capsule و بعدين ال lower ribs هدول كلهم بيحموا
+
+43
+00:03:27,480 --> 00:03:34,900
+الكلاب kidneys هم طبعا تنتين ممكن يكون اكتر اه
+
+44
+00:03:34,900 --> 00:03:37,740
+طبعا ممكن يكون اكتر و ممكن يكون بس اقل واحدة كمان
+
+45
+00:03:38,060 --> 00:03:43,740
+ممكن يكون اكتر اكتر انه طبعا بتبقى واحدة منهم
+
+46
+00:03:43,740 --> 00:03:47,280
+دخيلة
+
+47
+00:03:47,280 --> 00:03:51,040
+على الموضوع فيه اتنين Ureter ايش ال Ureter؟ ال
+
+48
+00:03:51,040 --> 00:03:55,220
+Ureter اللي هو الحالباللي هو البرفيش اللي زي ما
+
+49
+00:03:55,220 --> 00:04:00,000
+نشاهدناه نازل من حوض الكلة نازل عوين على المثانا
+
+50
+00:04:00,000 --> 00:04:05,920
+بعدين لدينا blooder المثانا وفي الوريثرة الوريثرة
+
+51
+00:04:05,920 --> 00:04:13,440
+اللي هو حسب إذا كان male ولا female في ال
+
+52
+00:04:13,440 --> 00:04:16,660
+female اللي هو ال vagina وفي ال male بيبقى ال
+
+53
+00:04:16,660 --> 00:04:22,280
+penisوبعدين في عندنا الـ Nephron من ضمن الآن هذه
+
+54
+00:04:22,280 --> 00:04:26,460
+الجهاز الـ Urinary System بصورة عامة، الآن في
+
+55
+00:04:26,460 --> 00:04:29,440
+عندنا حاجة اسمها الـ Nephron Unit، الـ Nephron الـ
+
+56
+00:04:29,440 --> 00:04:34,200
+Nephron هو عبارة عن وحدات، Unit، وحدات، هذه الوحدة
+
+57
+00:04:34,200 --> 00:04:38,420
+موجودة، الوحدات هي موجودة جوا الكلة، وفي من كل كلة
+
+58
+00:04:38,420 --> 00:04:42,260
+في عندها حوالي مليون Nephron، مليون Nephron، حاجات
+
+59
+00:04:42,260 --> 00:04:47,020
+حنشوف تركيبة الـ Nephron، مليون Nephron كل كل كلة
+
+60
+00:04:48,620 --> 00:04:54,780
+وشغلتها أن هي اللي بتكوننا ال ball وطبعا متكونة من
+
+61
+00:04:54,780 --> 00:04:59,680
+أنابيب وشراين وأورده هذا ال nephron اللي فيه منه
+
+62
+00:04:59,680 --> 00:05:03,660
+مليون طبعا وهي زي ما بنقول عنها ال functional unit
+
+63
+00:05:03,660 --> 00:05:06,800
+of the kidneys كمان مرة صورة هنا
+
+64
+00:05:12,250 --> 00:05:16,290
+الـ Kidneys اللي شايفينه مكتوب كدني و بعدين الـ
+
+65
+00:05:16,290 --> 00:05:23,040
+Ureter بالأصفروبعد ذلك يوجد الـ Urinary Bladder
+
+66
+00:05:23,040 --> 00:05:29,260
+داخل الحالب وبعد ذلك يوجد الـ Urethra في ميل هان
+
+67
+00:05:29,260 --> 00:05:37,940
+الخارجة من البلدر تقريبا هو هكذا في الموضوع يدخل
+
+68
+00:05:37,940 --> 00:05:41,740
+الموضوع اللي عندنا هنا اللي هو الرحم والـ ovaries
+
+69
+00:05:41,740 --> 00:05:45,640
+وفيه عندنا طبعا فوق ال kidneys حاجة اسمها adrenal
+
+70
+00:05:45,640 --> 00:05:52,120
+glandsوكل هيتو زي ما قلنا retro-peritoneal موجودة
+
+71
+00:05:52,120 --> 00:05:57,400
+هذا
+
+72
+00:05:57,400 --> 00:06:02,180
+من الخلف الآن قطعة
+
+73
+00:06:02,180 --> 00:06:08,040
+من الخلف طبعا مايبينش بالصورة هي لكن للتصور وين
+
+74
+00:06:08,040 --> 00:06:12,920
+بتبجي الكيلتين عمليا في حدود الكيلتين بتبجي في
+
+75
+00:06:12,920 --> 00:06:21,490
+حدود ال .. ال ..الـ 11th و الـ 12th ribs هم هدول
+
+76
+00:06:21,490 --> 00:06:26,970
+مغطيين على الكلة بحيث يحموها بحيث يحموها ال left
+
+77
+00:06:26,970 --> 00:06:33,870
+kidney و ال right kidney و
+
+78
+00:06:33,870 --> 00:06:38,250
+طبعا هم موجودين في حدود علي تقريبا الكلتين في علي
+
+79
+00:06:38,250 --> 00:06:40,330
+ال one ال one
+
+80
+00:06:45,000 --> 00:06:53,940
+الـ Kidney Structure لو قطعناها قطع طولي مثل حبة
+
+81
+00:06:53,940 --> 00:07:00,140
+الفصوليا مثلًا، لو قطعناها قطع طولي، فمن جوا الـ
+
+82
+00:07:00,140 --> 00:07:01,480
+Kidney Reddish Brown
+
+83
+00:07:04,470 --> 00:07:10,370
+بني مدي على حمار زي البين وحوالي عشرة صنط في خمسة
+
+84
+00:07:10,370 --> 00:07:14,450
+صنط، خمسة صنط عرض في عشرة صنط، مش إيش مش كبير، لما
+
+85
+00:07:14,450 --> 00:07:17,850
+نقارن الناس اللي بتروح بتغسل كيلة بدها مكينة ومي
+
+86
+00:07:17,850 --> 00:07:24,240
+وموظفين وكذا، بتيجي جطعةبتدخل كيلوة خمسة في عشرة
+
+87
+00:07:24,240 --> 00:07:28,900
+صنطي وبتقول ليه بالشغل هذا طبعا سبحان الله العظيم
+
+88
+00:07:28,900 --> 00:07:33,240
+وبعدين فيها الهيلس الهيلس اللي هو المخرج من الكيلة
+
+89
+00:07:33,240 --> 00:07:37,300
+where blood vessels and structures enter or exit
+
+90
+00:07:37,300 --> 00:07:44,700
+the kidneys كل حاجة بتدخل الكيلة وبتطلع من هناك من
+
+91
+00:07:44,700 --> 00:07:51,130
+الهيلساسمها الهيلس الان ال kidney مكوّنة
+
+92
+00:07:51,130 --> 00:07:56,390
+لو جطعناها جطع طولي من تلت regions
+
+93
+00:07:56,390 --> 00:08:01,930
+ال region الأولاني اللي هو ال cortex مكبر شوية ال
+
+94
+00:08:01,930 --> 00:08:06,810
+renal cortex طبعا فيه في الأول fibrous capsule هو
+
+95
+00:08:06,810 --> 00:08:08,890
+اللي يماسك أو ال renal capsule هو اللي يماسك
+
+96
+00:08:08,890 --> 00:08:12,170
+الكلاب بعدين عندنا ال renal cortex بعدين بيجي
+
+97
+00:08:12,170 --> 00:08:18,620
+عندنا لتحت منه ال renal medullaوبعدين في عندنا الـ
+
+98
+00:08:18,620 --> 00:08:24,160
+Renal Pelvis اللي هو الحوض تبع الكلاب، حوض الكلاب،
+
+99
+00:08:24,160 --> 00:08:28,780
+هي تقريبا التلت regions اللي موجودة Renal Cortex،
+
+100
+00:08:28,780 --> 00:08:34,210
+Renal Medulla، and Renal Pelvisطبعاً في عندنا بعض
+
+101
+00:08:34,210 --> 00:08:38,730
+الحاجات كمان هذا يقولنا coronal section coronal
+
+102
+00:08:38,730 --> 00:08:42,090
+section بنشوف في الموضوع ده طبعاً في عندنا بعض
+
+103
+00:08:42,090 --> 00:08:45,490
+الحاجات التانية اللي ممكن نشوفها في الصورة لكن زي
+
+104
+00:08:45,490 --> 00:08:49,270
+ما قلتلكوا أنا ما بدنا الآن ندخل deep في طبعا و
+
+105
+00:08:49,270 --> 00:08:52,870
+هاي زي ما احنا شايفينه رينالد بيلفز بيطلع في ال
+
+106
+00:08:52,870 --> 00:08:56,890
+«Ureter» بيطلع عن طريق ال «Ureter» بدلاش ندخل deep
+
+107
+00:08:56,890 --> 00:09:00,390
+في ال «Anatomy» و ال «Physiology» احنا بنحاول جدر
+
+108
+00:09:00,390 --> 00:09:00,790
+الممكن
+
+109
+00:09:03,470 --> 00:09:08,690
+نتعرف على القطع
+
+110
+00:09:08,690 --> 00:09:14,610
+الأساسية تبع الكيلة وبها تقريبًا ممكن يكفينا وخلال
+
+111
+00:09:14,610 --> 00:09:17,790
+المحاضرة ممكن نلقي الضوء على بعض الحاجات التالية
+
+112
+00:09:17,790 --> 00:09:21,650
+زي ما قلنا «فايبراس كابسول» «رينال كورتيكس» «رينال
+
+113
+00:09:21,650 --> 00:09:26,670
+ميدالا» «رينال بيلفس» وطالع من الـ «رينال بيلفس»
+
+114
+00:09:26,670 --> 00:09:29,730
+بطلع بعد ما بتجمع الـ «بول» في الحوت تبع الكيلة
+
+115
+00:09:30,140 --> 00:09:37,080
+بيطلع عن طريق اللي هو الـ ureter للمثالة
+
+116
+00:09:37,080 --> 00:09:41,180
+الآن
+
+117
+00:09:41,180 --> 00:09:45,200
+اللي احنا شايفينها في الصورة الصغيرة هاي خليني
+
+118
+00:09:45,200 --> 00:09:56,240
+اجربها عن وحدة النفرون وحدة النفرون اللي هي
+
+119
+00:09:59,690 --> 00:10:08,210
+الـ functional unit of the kidney هلجيت
+
+120
+00:10:08,210 --> 00:10:11,470
+الـ nephron هاي فيه منها في كل كيلة زي ما قلنا
+
+121
+00:10:11,470 --> 00:10:19,610
+مليون بتتكون من الـ
+
+122
+00:10:19,610 --> 00:10:23,650
+glomerulus
+
+123
+00:10:23,650 --> 00:10:27,470
+اللي هو احنا شايفينه الدوائر الحمره هاي في الصورة
+
+124
+00:10:27,470 --> 00:10:36,590
+هايالدواء الحمرا Glomerulus هو عبارة عن شريان صغير
+
+125
+00:10:36,590 --> 00:10:44,570
+داخل وشريان وريد خارج وطبعا الدم يدخل ويتصفى ثم
+
+126
+00:10:44,570 --> 00:10:49,710
+يطلع عن طريق الوريد والبول اللي يتصفى يدخل على
+
+127
+00:10:49,710 --> 00:10:57,340
+اللي هوعلى الـ Tubules والـ Tubules بتعمل للبول
+
+128
+00:10:57,340 --> 00:11:01,040
+هذا Collecting طبعا مش كل اللي بتصفها بتاخدوا
+
+129
+00:11:01,040 --> 00:11:06,460
+الكلا لسه في عندنا Process بيصير بحيث انه ترجع
+
+130
+00:11:06,460 --> 00:11:10,640
+كثير من المواد اللي بتصفها ترجعها للجسم و بصف
+
+131
+00:11:10,640 --> 00:11:15,700
+البول على اللي احنا بنعرفه 2 لتر في النهار فعملية
+
+132
+00:11:15,700 --> 00:11:20,540
+مش بس تصفية انما كمان عملية تركيز عملية التركيز
+
+133
+00:11:24,600 --> 00:11:27,700
+مش هندخل على إيش اللي بيصير بالظبط، إنما .. و هذه
+
+134
+00:11:27,700 --> 00:11:31,180
+فكرة ال .. ال .. ال .. ال .. الـ Nephron و كيف
+
+135
+00:11:31,180 --> 00:11:38,920
+بيشتغل طيب، كيف تشتغل الـ kidney؟ نحتاج لـ blood
+
+136
+00:11:38,920 --> 00:11:41,740
+supply طبيعي، brought to the kidney، via renal
+
+137
+00:11:41,740 --> 00:11:45,600
+artery، بدخل عن طريق ال .. ال .. ال .. الrenal
+
+138
+00:11:45,600 --> 00:11:49,020
+artery، الrenal artery stems from the abdominal
+
+139
+00:11:49,020 --> 00:11:52,280
+aorta، زي ما شوفنا الـ abdominal aorta، الrenal
+
+140
+00:11:52,280 --> 00:11:52,980
+artery،
+
+141
+00:11:55,520 --> 00:11:58,580
+الـrenal artery زي ما احنا شايفينه هان جايينها من
+
+142
+00:11:58,580 --> 00:12:04,580
+وين؟ جايينها من الأبدو من الأورطة، بعدين 20 ل 25%
+
+143
+00:12:04,580 --> 00:12:09,500
+of cardiac output goes to the kidneys، بروح على
+
+144
+00:12:09,500 --> 00:12:13,460
+الكلاب Smaller arteries supply blood to the
+
+145
+00:12:13,460 --> 00:12:17,040
+nephron unit Blood leaves the kidney via renal
+
+146
+00:12:17,040 --> 00:12:21,440
+veins والرينالفينز بتروح، بتصب وين؟ في الـVena
+
+147
+00:12:21,440 --> 00:12:26,780
+Cava، في الـVena Cava، inferiorطب الـ kidney إيش
+
+148
+00:12:26,780 --> 00:12:34,880
+بتساوي؟ الـ kidney هي طبعا أهم حاجة عندها اللي هو
+
+149
+00:12:34,880 --> 00:12:39,200
+السموم بتاعة الجسم السموم مابيقصدش السم اللي هو
+
+150
+00:12:39,200 --> 00:12:43,340
+الخارج أنما السموم الناتجة حتى عن التغذية كمان زي
+
+151
+00:12:43,340 --> 00:12:46,780
+ال ammonia و ال creatinine و الurea أو ال waste
+
+152
+00:12:46,780 --> 00:12:51,000
+nitrogenous waste بتعملها excretion بتخرجها من
+
+153
+00:12:51,000 --> 00:12:56,940
+الجسم هذا واحد، تاني regulate blood volume طبعاهي
+
+154
+00:12:56,940 --> 00:13:02,840
+نتيجة أننا نشرب سوائل و نأكل في الآخر في عيننا الـ
+
+155
+00:13:02,840 --> 00:13:06,880
+blood volume بزيد هي بتعود بترجع لوضعه الطبيعي كما
+
+156
+00:13:06,880 --> 00:13:11,700
+يجب و ينبغي مش بس حتى الأملاح حتى الأحماط تحت
+
+157
+00:13:11,700 --> 00:13:16,620
+الجسم هي regulation ال acid base balance ومش بس
+
+158
+00:13:16,620 --> 00:13:19,800
+حتى في ال blood pressure لها دور و كمان في ال red
+
+159
+00:13:19,800 --> 00:13:21,740
+cells production هنشوف كيف
+
+160
+00:13:33,660 --> 00:13:37,320
+يبقى الـ Formation of urine وهي أهم وظيفة من وظائف
+
+161
+00:13:37,320 --> 00:13:40,560
+الكلة Formation of urine of each kidney Contains
+
+162
+00:13:40,560 --> 00:13:44,280
+about one million nephron unit The number does not
+
+163
+00:13:44,280 --> 00:13:48,520
+increase after birth يعني باقتصار بمعنى آخر
+
+164
+00:13:48,520 --> 00:13:55,240
+النفرون اللي بيخرب سلامة سلمك وتعيش بيزدش يعني لو
+
+165
+00:13:55,240 --> 00:13:59,160
+واحد ولدانولد عنده مليون هان و مليون مليون في
+
+166
+00:13:59,160 --> 00:14:02,760
+الكلاهي و مليون في الكلاهي الآن و صار ياخد من عارف
+
+167
+00:14:02,760 --> 00:14:06,120
+أدوية و مسكنات و ماعرفش ايش و هذه كلها بتعمل
+
+168
+00:14:06,120 --> 00:14:11,260
+damage للنفرنز صار عنده 200 ألف هان و 150 ألف هان
+
+169
+00:14:11,260 --> 00:14:16,410
+مثلاوهدول يدول بيكفوا لأن كأرقام ما تدقوش عليها بس
+
+170
+00:14:16,410 --> 00:14:20,630
+أنا بقصد كمثل مش بتجددوا أو بيأكل أنواع أكل بتحسن
+
+171
+00:14:20,630 --> 00:14:24,610
+لعدد الـ Nephrons لأ لأ سلامت سلمك وتعيش فيش
+
+172
+00:14:24,610 --> 00:14:28,570
+نفرونز جديدة بتنبنى زي مشكلة الأعصاب الخلية اللي
+
+173
+00:14:28,570 --> 00:14:34,390
+بتموت مافيش حاجة تسد عنها ها إيش صحيح الكلة بتشتغل
+
+174
+00:14:34,390 --> 00:14:37,670
+أكتر لكن في يوم من الأيام بتعود و بتهلك فعشان هيك
+
+175
+00:14:37,670 --> 00:14:41,350
+لازم الواحد يدير باله على الكلتينمن ناحية
+
+176
+00:14:41,350 --> 00:14:46,870
+المأكلات، السموم، الأدوية، الـdrugs، الـinfections
+
+177
+00:14:46,870 --> 00:14:52,730
+على سبيل المثال They cannot be replaced if damaged
+
+178
+00:14:52,730 --> 00:15:00,310
+الكلام واضح وسهل الجتنفرون هذا بتكون من two parts
+
+179
+00:15:00,310 --> 00:15:05,530
+أو components الأولى رينال تبيول والثانية vascular
+
+180
+00:15:05,530 --> 00:15:08,570
+تبيول زي ما احنا شايفين هنا الرسم اللي فوق
+
+181
+00:15:13,680 --> 00:15:18,980
+ودخل الشريان الشريان طبعاً الصغيرة دخلت على الـ
+
+182
+00:15:18,980 --> 00:15:21,360
+Glomerulus الـ Glomerulus هي الوحدة اللي فيها
+
+183
+00:15:21,360 --> 00:15:26,540
+عملية تجميع على الشريان و الأوردة و بتصير عملية
+
+184
+00:15:26,540 --> 00:15:33,000
+الـ Bowman Capsule فيها و الـ Glomerulus و بتبدأ
+
+185
+00:15:33,000 --> 00:15:39,710
+عملية التصفيةخلال اللي هو الـ Tubular System يعني
+
+186
+00:15:39,710 --> 00:15:43,130
+في الأول الـ Vascular و بعدين الـ Tubular System
+
+187
+00:15:43,130 --> 00:15:48,970
+في الـ Tubular System بتجمع الـ Ball بعد ما يتصفى
+
+188
+00:15:48,970 --> 00:15:52,390
+في حاجة اسمها Collecting Duct و الـ Collecting
+
+189
+00:15:52,390 --> 00:15:56,210
+Duct بتجمع بتجمع في الآخر بتروح عندنا على الـ
+
+190
+00:15:56,210 --> 00:16:01,570
+Renal Pelvis و بيصير عملية تخرج للـ Ball من هناك
+
+191
+00:16:06,820 --> 00:16:13,740
+الورن يصبح في نفرون ويبقى استرال، مايعني استرال؟
+
+192
+00:16:13,740 --> 00:16:17,700
+يعني نظيف، معقّم، ولا ورن، لكن هو معقّم، معقّم،
+
+193
+00:16:17,700 --> 00:16:22,480
+مايعني معقّم؟ مايعني ليس فيه بكتيريا، 95% منه ماء
+
+194
+00:16:22,480 --> 00:16:26,630
+والباقي وستالباقي يوريا أمونيا كرياتينين اللي هي
+
+195
+00:16:26,630 --> 00:16:31,170
+نتروجيناس containing waste نتيجة هضم البروتين وهضم
+
+196
+00:16:31,170 --> 00:16:35,750
+الفات وهضم الأكل والسموم وكذا كلها بتبقى موجودة في
+
+197
+00:16:35,750 --> 00:16:38,650
+ال ball وبرضه ال ball فيه electrolytes فيه أملاح
+
+198
+00:16:38,650 --> 00:16:43,790
+اللي بيصير يا جماعة برضه باختصار جدا جدا في تلاتة
+
+199
+00:16:43,790 --> 00:16:46,810
+process في عملية تكوين ال ball تلت حاجات بتصير
+
+200
+00:16:46,810 --> 00:16:51,560
+الأولىاللي هو الـ Glomerular Filtration اللي عملية
+
+201
+00:16:51,560 --> 00:16:55,000
+التصفية اللي بتصير في الـ Glomerulus اللي هي
+
+202
+00:16:55,000 --> 00:16:59,280
+الجزئية الحمرة اللي هي الـ Glomerulus الجزئية
+
+203
+00:16:59,280 --> 00:17:03,490
+الحمرة هذه اللي احنا شايفينها زي الشبكة جواهذه
+
+204
+00:17:03,490 --> 00:17:07,430
+اسمها Glomerular Filtration عملية تصفية تصفية
+
+205
+00:17:07,430 --> 00:17:11,150
+filtration حاجة تانية اللي بتصير Tubular
+
+206
+00:17:11,150 --> 00:17:15,730
+Reabsorption راح البول طبعا كمية كبيرة بيصيرها
+
+207
+00:17:15,730 --> 00:17:20,890
+عملية تصفية بتروح على الـ Tubular وبيصير عملية
+
+208
+00:17:20,890 --> 00:17:25,710
+إعادة امتصاص لبعض الحاجات اللي صفاها اللي هو
+
+209
+00:17:25,710 --> 00:17:29,530
+Glomerulus وبعد هيك اللي بيصير أنه بيصير عندنا
+
+210
+00:17:31,600 --> 00:17:34,840
+سيكريشن لبعض الحاجات اللي اكتشف الجسم انه بدوش
+
+211
+00:17:34,840 --> 00:17:38,780
+هيها بعملها عملية سيكريشن يبقى تلاتة مراحل بتسير
+
+212
+00:17:38,780 --> 00:17:44,220
+في عملية تبوين الـBall تلاتة Global Re-filtration,
+
+213
+00:17:44,640 --> 00:17:49,400
+Tubular Re-absorption وTubular Secretionأحنا طبعا
+
+214
+00:17:49,400 --> 00:17:53,640
+كما تشايفين بنحكي من كل جستان زهرة عمليا يعني
+
+215
+00:17:53,640 --> 00:17:56,520
+بندخل من حاجة بنطلع في حاجة بس عشان ألقى الضوء
+
+216
+00:17:56,520 --> 00:17:59,080
+عشان لما نحكي بعد هيك بتبقى أنتوا إيش في الأمراض
+
+217
+00:17:59,080 --> 00:18:01,620
+بتبقى عندكوا فكرة عن إيش بنحكي ال urine testing
+
+218
+00:18:01,620 --> 00:18:04,900
+الفحص تبع ال ball كتير من الناس بييجي ويقولك والله
+
+219
+00:18:04,900 --> 00:18:07,640
+أنا عندي حرجان في ال ball بتقوله روح اعمل فحص ball
+
+220
+00:18:08,180 --> 00:18:11,720
+فى فحص الـ Ball بتلاقي ورقة الـ Ball فىها جزءين
+
+221
+00:18:11,720 --> 00:18:15,800
+جزء مكتوب عليه Microscopic Examination وجزء مكتوب
+
+222
+00:18:15,800 --> 00:18:22,260
+عليه اللى هو ال urine dipstick اللى هو بفحص ال
+
+223
+00:18:22,260 --> 00:18:27,580
+ball بشريط شريط عليه ست، سبعة، تمان، تسعة حاجات
+
+224
+00:18:27,580 --> 00:18:33,480
+حسب قداش ايش الشريط هذا عندهم وبشوف ال .. ال ..
+
+225
+00:18:34,790 --> 00:18:42,030
+الالتهابات مبدئيا مبدئيا بتدي مفتاك السكر حموضة
+
+226
+00:18:42,030 --> 00:18:49,880
+قاعديةبشوف كل الحاجات هذه لكن الاصل أنه هو ممكن
+
+227
+00:18:49,880 --> 00:18:53,200
+يطلع كمان تحت ال microscope microscopic
+
+228
+00:18:53,200 --> 00:18:56,960
+examination هو فحص بول و بحطه تحت ال microscope و
+
+229
+00:18:56,960 --> 00:19:02,480
+بشوف إذا في أي حاجات دم كمان بشوفها طبعا ممكن
+
+230
+00:19:02,480 --> 00:19:05,460
+أعمله culture and sensitivity بنزرع ال بول في
+
+231
+00:19:05,460 --> 00:19:09,100
+culture في مزرعة و بعدين culture and sensitivity
+
+232
+00:19:09,100 --> 00:19:12,880
+بنشوف بال sensitivityإذا طلع في عندي بكتيريا أنه
+
+233
+00:19:12,880 --> 00:19:17,140
+أحسن الـ Antibiotic أو الـ Antibiotics وإستجابته
+
+234
+00:19:17,140 --> 00:19:20,360
+أو إستجابة البكتيريا هذه للـ Antibiotics وممكن بعض
+
+235
+00:19:20,360 --> 00:19:24,500
+الأحيان أعمل أربع وعشرين hours urine testing على
+
+236
+00:19:24,500 --> 00:19:27,820
+أساس أشوف بعد تجميع أربع وعشرين ساعة بعض الحاجات
+
+237
+00:19:27,820 --> 00:19:32,680
+زي البروتين والكالسيوم والحاجات هذه بعدين بعد ال
+
+238
+00:19:32,680 --> 00:19:32,960
+kidney
+
+239
+00:19:36,250 --> 00:19:38,910
+الـUreters والـUrinary Bladder والـUrethra
+
+240
+00:19:38,910 --> 00:19:44,730
+الـUreters شغلتها بس Transport urine هي عبارة عن
+
+241
+00:19:44,730 --> 00:19:48,670
+حاجة عضلية لأن الأنابيب هذه الـUreters عبارة عن
+
+242
+00:19:48,670 --> 00:19:55,190
+حاجة عضلية يعني عشان هيك لما حصوة بتجي في جلب
+
+243
+00:19:55,190 --> 00:20:02,750
+الـUreters بتعملنا وجع فظيع عادة والبول بتحرك فيها
+
+244
+00:20:03,290 --> 00:20:12,010
+كانت نتيجة لـGravity لأنه من فوق لتحت وهذا
+
+245
+00:20:12,010 --> 00:20:15,310
+الجزئية الأولى والجزئية التانية نتيجة أنه جُنّا
+
+246
+00:20:15,310 --> 00:20:17,670
+Muscles والـMuscles انتوا عارفين بيصير عملية
+
+247
+00:20:17,670 --> 00:20:23,910
+Peristalticفي الـ Ureters وزي ما قلنا عشان هيك لما
+
+248
+00:20:23,910 --> 00:20:28,830
+يكون في حصوى عادة و الـ Ureter يصير يعمل
+
+249
+00:20:28,830 --> 00:20:33,190
+peristaltic أو contraction على الحصوة هيبدينا وجع
+
+250
+00:20:33,190 --> 00:20:37,710
+مهول متعد وفي بعد هيك بنزل وين؟ في ال bladder ال
+
+251
+00:20:37,710 --> 00:20:42,370
+bladder إيه شغلتها؟ stores urine temporarily until
+
+252
+00:20:42,370 --> 00:20:46,550
+elimination لحد ما يصير عملية التبول هي بس بتعمل
+
+253
+00:20:46,550 --> 00:20:52,610
+storing لل urineويم موجودة في اللي هي located
+
+254
+00:20:52,610 --> 00:20:57,550
+behind the symphysis pupus و a distended bladder
+
+255
+00:20:57,550 --> 00:21:00,730
+أو full bladder can be palpated above the
+
+256
+00:21:00,730 --> 00:21:03,090
+symphysis in the abdominal cavity اللي الواحد لو
+
+257
+00:21:03,090 --> 00:21:06,350
+عنده المثانة ملانة ممكن تحسها عند أي طفل أو عند أي
+
+258
+00:21:06,350 --> 00:21:09,370
+واحد كبير فوق منطقة اللي هي العانة
+
+259
+00:21:14,040 --> 00:21:18,880
+فيقول عنها عملية التبول ميكتوريشن أو urineation
+
+260
+00:21:18,880 --> 00:21:24,740
+ميكتوريشن أو urineation وهي عبارة عن expelling
+
+261
+00:21:24,740 --> 00:21:29,500
+urine from the bladder عملية إخراج البول من اسمها
+
+262
+00:21:29,500 --> 00:21:34,840
+urineation واكتشاف يبدأ الواحد يحس إنه بده يروح
+
+263
+00:21:34,840 --> 00:21:39,360
+الحمام عند ما يصير فيه في ال bladder 200 ملي كدهش
+
+264
+00:21:39,360 --> 00:21:42,540
+أنا الـ200 ملي؟ شوفت قلبة الكولة على سبيل المثال؟
+
+265
+00:21:43,240 --> 00:21:46,720
+تلتين علبة الكولة، العلبة الكولة اللي هي 333
+
+266
+00:21:46,720 --> 00:21:52,160
+طولتينها تقريبا، هذه عبارة عن 200 ملي، لو صار في
+
+267
+00:21:52,160 --> 00:21:55,960
+إنه جد علبة الكولة لي 300 ملي في ال bladder، بيصير
+
+268
+00:21:55,960 --> 00:21:59,200
+الواحد مش مرتاح، بيصير خلاص، يعني أنا لازم أروح
+
+269
+00:21:59,200 --> 00:22:07,540
+الحمام، مش مرتاح، الآن وقتش بقول والله المثانة
+
+270
+00:22:07,540 --> 00:22:14,380
+تقريبا ملانة لما يكون عندي نص لتر، 500 ملي،و over
+
+271
+00:22:14,380 --> 00:22:19,300
+-extended تبقى لما تكون ملي ألف ملي يعني لتر
+
+272
+00:22:19,300 --> 00:22:23,200
+تصوروا لتر في جلب المثانة وهي بتعمل وجع فظيع ليش؟
+
+273
+00:22:23,200 --> 00:22:27,580
+لأن المثانة هي زي البلون في الآخر البلون بفتح معاك
+
+274
+00:22:27,580 --> 00:22:32,540
+البلون لما تنفخه بتديه بتديه لكن إلى حد معين بعدين
+
+275
+00:22:32,540 --> 00:22:37,730
+بنبطلكن المثانة هي عبارة عن أرجاني عضو وفيه أعصاب
+
+276
+00:22:37,730 --> 00:22:42,590
+فانت كل ما عملتله extension أكتر بيصير له
+
+277
+00:22:42,590 --> 00:22:45,330
+distinction أكتر و ال distinction بيعملنا pain
+
+278
+00:22:45,330 --> 00:22:51,210
+pain و احنا بنعبي في المثانة و pain كمان عند منفض
+
+279
+00:22:51,210 --> 00:22:55,810
+المثانة كتير مننا بعد ما يكون فعلا كان لازم يروح
+
+280
+00:22:55,810 --> 00:23:00,720
+الحمام كتير ballبنلاقي إنه بعد ما بيروح الحمام
+
+281
+00:23:00,720 --> 00:23:03,720
+برضه بيظل فيه وجع، ليش؟ لأن المثانة بدأت ترجع
+
+282
+00:23:03,720 --> 00:23:07,380
+لوضعها الطبيعي، وعشان ترجع لوضعها الطبيعي بتعمللي
+
+283
+00:23:07,380 --> 00:23:08,300
+pain بعض الأحيان
+
+284
+00:23:12,290 --> 00:23:15,790
+باكتيريا في دماغك مرتفعة كل أربع ساعت عشان هيك
+
+285
+00:23:15,790 --> 00:23:19,150
+احنا بنقول واحد مش لازم يحبس البول ليش؟ لأنه كل ما
+
+286
+00:23:19,150 --> 00:23:22,090
+حبسنا البول وهو مشكلة الأولاد والبنات في المدارس
+
+287
+00:23:22,090 --> 00:23:26,430
+اللي بيجرفوا يروحوا على الحمامات أنه بيحبس البول
+
+288
+00:23:26,430 --> 00:23:29,530
+أربع، خمس، ست ساعات طبعا هذا بيخلي عند الطفل
+
+289
+00:23:29,530 --> 00:23:34,310
+liable أنه يصير فيه عنده urinary tract infection
+
+290
+00:23:34,310 --> 00:23:38,450
+التهيبات في البولزي ما قلنا الـ Stimulated اللي هو
+
+291
+00:23:38,450 --> 00:23:41,910
+عملية الـ Urination By Stretch Receptors يعني كل
+
+292
+00:23:41,910 --> 00:23:48,550
+ما الحجم كمية الـ Bowl اللي موجودة هي اللي بتديني
+
+293
+00:23:48,550 --> 00:23:52,070
+Reflex
+
+294
+00:23:52,070 --> 00:23:59,090
+بتعمل Stimulation للـ Stretch Receptors بتعمل
+
+295
+00:23:59,090 --> 00:24:04,130
+Stimulation وبتدى إشارة للمخ والمخ يطلب عملية الـ
+
+296
+00:24:04,130 --> 00:24:09,080
+Mixture أو التفريرفي حاجتين لازم نعرفهم الـ
+
+297
+00:24:09,080 --> 00:24:12,740
+Retention هو عبارة عن inability to fight عدم
+
+298
+00:24:12,740 --> 00:24:20,220
+القدرة على التبول وهذا مختلف يا جماعة عن ال
+
+299
+00:24:20,220 --> 00:24:23,760
+suppression ال retention موجود بول لكن مش قادر
+
+300
+00:24:23,760 --> 00:24:29,120
+أطلعه في ال suppression مابيصيرش عملية تكوين بول
+
+301
+00:24:29,120 --> 00:24:33,710
+من الأصل كدوا بالكوا الفرق بين الأتنينوهذه تصبح
+
+302
+00:24:33,710 --> 00:24:36,550
+الـ suppression نتيجة kidney dysfunction كدني مش
+
+303
+00:24:36,550 --> 00:24:41,250
+شغالة بتفلترش بول لكن ال retention أنا فيه بول لكن
+
+304
+00:24:41,250 --> 00:24:44,310
+مش قادر أطلعه وهذه نتيجة بعض الأحيان الانستيزيا
+
+305
+00:24:44,310 --> 00:24:47,130
+post-operative أو مشكلة في البلد
+
+306
+00:24:54,110 --> 00:24:58,210
+أز وي أيش كل ما نكبر بإيش تمانين تمانين في المية
+
+307
+00:24:58,210 --> 00:25:01,890
+reduction of in nephron units لعمره تمانين سنة
+
+308
+00:25:01,890 --> 00:25:06,210
+بتلاقي عدد ال nephrons إذا مافيش أمراض وفيش كذا
+
+309
+00:25:06,210 --> 00:25:11,010
+بالوضع الطبيعي بتجيل نتيجة الأمر وطبعا decreased
+
+310
+00:25:11,010 --> 00:25:15,730
+ability to concentrate urineمش بس حتى الـ urine
+
+311
+00:25:15,730 --> 00:25:18,930
+bladder شرنج عشان هيك بتلاقي الاختيارية والكبار في
+
+312
+00:25:18,930 --> 00:25:22,090
+العمر كل شويه بيروح الحمام غير بالنسبة للرجال عشان
+
+313
+00:25:22,090 --> 00:25:28,750
+موضوع البرستاتا لكن في موضوع ال urine bladder تصغر
+
+314
+00:25:28,750 --> 00:25:37,250
+عند كل ما كبر الواحدلست قادرة على التفكير وتتسكّر
+
+315
+00:25:37,250 --> 00:25:43,190
+البلدر مثل الناس الصغيرة، لذلك يجب أن يتجاوز الناس
+
+316
+00:25:43,190 --> 00:25:46,050
+الأكبر بشكل عام في الحمام بشكل عام وفي الليلة اللي
+
+317
+00:25:46,050 --> 00:25:47,470
+بيصحى بشكل عام بشكل عام بشكل عام بشكل عام بشكل عام
+
+318
+00:25:47,470 --> 00:25:51,710
+بشكل عام بشكل عام بشكل عام بشكل عام بشكل عام بشكل
+
+319
+00:25:51,710 --> 00:25:52,230
+عام بشكل عام بشكل عام بشكل عام بشكل عام بشكل عام
+
+320
+00:25:52,230 --> 00:25:52,230
+بشكل عام بشكل عام بشكل عام بشكل عام بشكل عام بشكل
+
+321
+00:25:52,230 --> 00:25:52,230
+عام بشكل عام بشكل عام بشكل عام بشكل عام بشكل عام
+
+322
+00:25:52,230 --> 00:25:57,490
+بشكل عام بشكل عام بشكل عوطبعاً نتيجة الـ weakening
+
+323
+00:25:57,490 --> 00:26:01,590
+الـ weakened muscles ممكن يصير increase in bladder
+
+324
+00:26:01,590 --> 00:26:07,820
+incontinence اللي هو التبول عند الكباربالنسبة للـ
+
+325
+00:26:07,820 --> 00:26:13,100
+Disorders of the Urinary System الآن هنحكي عن حاجة
+
+326
+00:26:13,100 --> 00:26:17,660
+واحدة في المحاضرة هذه وبكرا أو خلال الأسبوع أو
+
+327
+00:26:17,660 --> 00:26:21,660
+بداية الأسبوع هنحكي عن باقي الأمراض هحكي الآن عن
+
+328
+00:26:21,660 --> 00:26:24,840
+الـ Kidney Stones احنا كنا الـ Stones اتعرفنا
+
+329
+00:26:24,840 --> 00:26:32,980
+عليها في وين؟ صحيح، اللي هو في الـ Gall Bladder
+
+330
+00:26:32,980 --> 00:26:33,520
+Stones
+
+331
+00:26:36,180 --> 00:26:40,740
+الأن نحن نقول الـ kidney stones نفرو ليثيازز
+
+332
+00:26:40,740 --> 00:26:44,140
+kidney stones اللي بيقولون عن كالكولاي برضه are
+
+333
+00:26:44,140 --> 00:26:48,140
+hardening mineral deposits that form in the
+
+334
+00:26:48,140 --> 00:26:56,140
+kidneys هي عبارة عن حاجات ملحية بتتجمع
+
+335
+00:26:56,140 --> 00:27:04,640
+و بتتيبس وبتكون نفسها في ال kidneysوطبعاً معروف
+
+336
+00:27:04,640 --> 00:27:09,960
+إنه كل إنه هذي بتترسب ترسب when waste materials in
+
+337
+00:27:09,960 --> 00:27:13,900
+the urine don't dissolve completely crystals and
+
+338
+00:27:13,900 --> 00:27:17,680
+kidney stones are a likely to form small stones
+
+339
+00:27:17,680 --> 00:27:24,760
+can cause some disconformوهي تنتقل من جسمها كل ما
+
+340
+00:27:24,760 --> 00:27:28,820
+زغرت ممكن تطلع لواحدة الحصوة لكن في بعض الأحيان ما
+
+341
+00:27:28,820 --> 00:27:31,280
+تطلع لواحدة الحصوة يعني زي ما احنا شايفين في
+
+342
+00:27:31,280 --> 00:27:36,080
+الصورة هاي اللي في الحوض تبع الحوض الكيلة وعبارة
+
+343
+00:27:36,080 --> 00:27:41,100
+عن stone ماخد كل الحوض
+
+344
+00:27:41,100 --> 00:27:44,560
+تبع الكيلة زي ما احنا شايفينها تحت في الصورة
+
+345
+00:27:49,120 --> 00:27:58,020
+بغض النظر عن حجم الـ stone الـ stones may pass out
+
+346
+00:27:58,020 --> 00:28:00,540
+of the kidneys and become lodged in the ureter هذه
+
+347
+00:28:00,540 --> 00:28:04,140
+المصيبة الكبيرة أن الحصوة الصغيرة كما نرى في
+
+348
+00:28:04,140 --> 00:28:09,220
+الصورة هنا تكونت في الحوض ولسبب الأسباب راحت وعملت
+
+349
+00:28:09,220 --> 00:28:14,970
+ليه lodging أو حجزت ليه الـ ureterلما تحجز
+
+350
+00:28:14,970 --> 00:28:19,170
+الـUreter، ما يحصل؟ الـBall يتكوّن في الكلة ويجب
+
+351
+00:28:19,170 --> 00:28:24,130
+أن يطلع و لا يجد ممر فأين نحجز الـBall كله؟ في حوض
+
+352
+00:28:24,130 --> 00:28:29,130
+الكلة وبتصير الكلة تكبر تكبر تكبر بما نقول عنه
+
+353
+00:28:29,130 --> 00:28:35,570
+بعمل لي نفرو الـUreter
+
+354
+00:28:35,570 --> 00:28:38,650
+to the bladder and cause severe pain مش بس
+
+355
+00:29:03,250 --> 00:29:04,650
+بالدينة اللي هو
+
+356
+00:29:11,370 --> 00:29:16,590
+بتدينا Hydronephrosis زي Hydrocephalus لما الراس
+
+357
+00:29:16,590 --> 00:29:20,010
+صار فيها ميه كتير نتيجة تضيق هذه بيصير عنها
+
+358
+00:29:20,010 --> 00:29:23,070
+Hydronephrosis
+
+359
+00:29:23,070 --> 00:29:28,090
+الأنواع تبعت الـ Stones زي ما أحنا شايفين الـ
+
+360
+00:29:28,090 --> 00:29:32,870
+Tiles تبعها الـ Calcium Stones وهذا الـ Most
+
+361
+00:29:32,870 --> 00:29:36,070
+Common Calcium Stones الـ Uric Acid الناس اللي
+
+362
+00:29:36,070 --> 00:29:43,260
+بتاكل لحمة كتيرTrevite Stones وSistine Stones،
+
+363
+00:29:43,260 --> 00:29:47,720
+أجل، أنواعها لكن هو الـMost Common اللي هي
+
+364
+00:29:47,720 --> 00:29:51,480
+الـCalcium
+
+365
+00:29:51,480 --> 00:29:54,600
+Stones According to the، هذه بس الإحصائيات عشان
+
+366
+00:29:54,600 --> 00:29:58,520
+تعرف كيف الدنيا، كيف الموضوع، لكن هي غير مهمة
+
+367
+00:29:58,520 --> 00:30:02,440
+كأرقام، لكن عشان تعرفوا أنه كثير بتيجي قضية
+
+368
+00:30:02,440 --> 00:30:05,220
+الـStones According to the U.S. National
+
+369
+00:30:05,220 --> 00:30:09,430
+Institutes of Health، one person في عشرةمن كل
+
+370
+00:30:09,430 --> 00:30:14,830
+عشرة، واحد تطور كدنيا صغيرة خلال زمان حياته والـ
+
+371
+00:30:14,830 --> 00:30:20,390
+«رينالد ستونزي سي» تعتبر حوالي سبعة لعشرة من كل
+
+372
+00:30:20,390 --> 00:30:25,730
+ألف مدرسات المستشفى، تصوروا؟ يعني مش سهل الموضوع،
+
+373
+00:30:25,730 --> 00:30:28,990
+الـ kidney stones are most prevalent in patients
+
+374
+00:30:28,990 --> 00:30:33,370
+between age تلاتين وخمسة واربعين وبعد اللي هو
+
+375
+00:30:33,370 --> 00:30:40,330
+العمر الخمسين، بيصير له declineالـ Causes and Risk
+
+376
+00:30:40,330 --> 00:30:45,610
+Factors، عدم
+
+377
+00:30:45,610 --> 00:30:47,830
+أخذ سوائل كثير، الناس اللي بتشربش، الـ
+
+378
+00:30:47,830 --> 00:30:50,750
+dehydration، الجفاف اللي بيصير، reduce urinary
+
+379
+00:30:50,750 --> 00:30:55,430
+flow and volume، بعض ال .. ال .. ال .. ال ..
+
+380
+00:30:55,430 --> 00:30:58,230
+certain chemicals levels in the urine that are too
+
+381
+00:30:58,230 --> 00:31:00,690
+high زي الـ Calcium و الـ Oxalate و الـ Uric Acid
+
+382
+00:31:00,690 --> 00:31:06,060
+أو too low زي الـ Citrateأو أي شيء يقوم بتحطيم أو
+
+383
+00:31:06,060 --> 00:31:09,340
+تقوم بتحطيم مستوى الروحانية أو الروحانية تقوم
+
+384
+00:31:09,340 --> 00:31:13,280
+بتحطيم الروحانية أو الروحانية تقوم بتحطيم
+
+385
+00:31:13,280 --> 00:31:16,560
+الروحانية أو الروحانيةما هي الـ Symptoms and
+
+386
+00:31:16,560 --> 00:31:19,600
+Signs؟ بيلاقي Hematuria إيش قولنا احنا يومها
+
+387
+00:31:19,600 --> 00:31:22,880
+Hematuria؟ قولنا Blood in Urine و Hematuria لإيش؟
+
+388
+00:31:22,880 --> 00:31:27,060
+لأنه هذه حصوة حصوة إلا حفاف ممكن تجرح تجرح يعني
+
+389
+00:31:27,060 --> 00:31:30,580
+سيية للدم دم يعني نزل في البول وهذه Hematuria
+
+390
+00:31:30,580 --> 00:31:34,860
+نوزيا Vomiting ردة فعل Pain during urination
+
+391
+00:31:34,860 --> 00:31:39,360
+Burning بيصير عملية Burning أو Dysuria Tenderness
+
+392
+00:31:43,670 --> 00:31:47,630
+هي حوالين الحصوات هي هذا الجسم غريب ممكن يتكون
+
+393
+00:31:47,630 --> 00:31:51,350
+بكتيريا والبكتيريا هي التي تعملنا infection
+
+394
+00:31:53,990 --> 00:31:58,530
+كدنيا فانكشن تيست زي blood urea and creatinine فحص
+
+395
+00:31:58,530 --> 00:32:02,670
+بول وممكن نعمل ultrasound للأبضمن أو للكدنى زي ما
+
+396
+00:32:02,670 --> 00:32:06,650
+نشاهد في الـ ultrasound الفكرة اللي هي الحصوة الـ
+
+397
+00:32:06,650 --> 00:32:10,790
+calculus والشدوينج اللي هو الضل تبعها اللي بنشوفه
+
+398
+00:32:10,790 --> 00:32:11,310
+في الـ ultrasound
+
+399
+00:32:16,630 --> 00:32:22,990
+بنعمل صورة أشياء في الـ kidney stones مثلًا في
+
+400
+00:32:22,990 --> 00:32:27,670
+الدوائر بتبين في الـ X-ray
+
+401
+00:32:30,560 --> 00:32:33,880
+العلاج حقيقية Acute Treatment of Urinary Calculi
+
+402
+00:32:33,880 --> 00:32:36,480
+Consists of Hydration سوائل كثير كثير كثير and
+
+403
+00:32:36,480 --> 00:32:39,740
+Analgesia هذا ساعة ما تصبح المشكلة ساعة ما ايش
+
+404
+00:32:39,740 --> 00:32:43,940
+بتصبح المشكلة يعني هذي acute The treatment that
+
+405
+00:32:43,940 --> 00:32:47,120
+applies to all metabolic stones conditions دي
+
+406
+00:32:47,120 --> 00:32:49,780
+Obstructive abnormality that require repair الآن
+
+407
+00:32:49,780 --> 00:32:53,880
+إذا والله واحد عنده مشكلة في الحالب أصلا هذا طبعا
+
+408
+00:32:53,880 --> 00:32:58,380
+بده بده حل مشكلة الحالب بصورة عامةوهو ممكن طبعاً
+
+409
+00:32:58,380 --> 00:33:03,180
+دايما قلنا نعمل lithotripsy عملية تروح
+
+410
+00:33:03,180 --> 00:33:08,040
+اليورولوجيست على طبيب مثالك وممكن نعمل lithotripsy
+
+411
+00:33:08,040 --> 00:33:12,460
+قلنا هو عبارة عن عملية تفتيت وطبعا accordingly حسب
+
+412
+00:33:12,460 --> 00:33:15,720
+إذا في عندي obstruction، عندي مشاكل، ممكن ينعمل
+
+413
+00:33:15,720 --> 00:33:22,230
+surgical repairوهيك بنبقى أتحدثنا كمان عن الـ
+
+414
+00:33:22,230 --> 00:33:26,090
+Prolithiasis إن شاء الله تعالى الجزء التاني هنتحدث
+
+415
+00:33:26,090 --> 00:33:32,110
+عن الـ Urinary Tract Infection وهنتحدث عن Acute
+
+416
+00:33:32,110 --> 00:33:39,930
+Renal Failure هنتحدث عن Chronic Renal Failure
+
+417
+00:33:41,300 --> 00:33:47,120
+وبعد هيك هنتحدث عن بعض الـ Hemodialysis كيف بالعمل
+
+418
+00:33:47,120 --> 00:33:49,760
+و بنبقى المرة اللي جاية ان شاء الله بنخلص الجزء
+
+419
+00:33:49,760 --> 00:33:52,820
+التالي بإذن الله تعالى اتمنى لكوا يوم سعيد ان شاء
+
+420
+00:33:52,820 --> 00:33:53,300
+الله تعالى
+
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/k3Qo7kbb3Cc.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/k3Qo7kbb3Cc.srt
new file mode 100644
index 0000000000000000000000000000000000000000..c1aeff33186afdaa2886cc4d3560394a817e3192
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/k3Qo7kbb3Cc.srt
@@ -0,0 +1,1531 @@
+1
+00:00:01,400 --> 00:00:03,860
+بسم الله الرحمن الرحيم الحمد لله وعليه وسلامه على
+
+2
+00:00:03,860 --> 00:00:08,400
+سيدنا محمد اليوم إن شاء الله تعالى هحاول نخلص اللي 
+
+3
+00:00:08,400 --> 00:00:15,120
+هو الـ urinary tract وعلى أساس إنه ننتقل للمرحلة
+
+4
+00:00:15,120 --> 00:00:19,580
+النهائية من المحاضرات اللي هو موضوع الـ cancer والـ
+
+5
+00:00:19,580 --> 00:00:23,370
+leukemia إن شاء الله تعالى، لأنّا كنا اتحدثنا طبعًا عن
+
+6
+00:00:23,370 --> 00:00:27,750
+الـ physiology ببساطة والـ anatomy واتحدثنا عن الـ
+
+7
+00:00:27,750 --> 00:00:31,930
+nephrolithiasis الآن هنتحدث عن الـ urinary tract 
+
+8
+00:00:31,930 --> 00:00:38,400
+infections والإختصارها إيش؟ زي ما بتنجح الـ 
+
+9
+00:00:38,400 --> 00:00:43,560
+Urinary بناخد الـ U Tract بناخد الـ T Infections
+
+10
+00:00:43,560 --> 00:00:48,920
+بناخد الـ I UTI، UTI يعني ما تش هتسمع أحد في
+
+11
+00:00:48,920 --> 00:00:51,220
+المستشفات بيقول والله فلان عنده Urinary Tract
+
+12
+00:00:51,220 --> 00:00:54,680
+Infection، الناس بتقول UTI، عشان هيك المختصر هذا
+
+13
+00:00:54,680 --> 00:01:00,400
+مختصر عالمي مشهور طبعًا بيعني منه الـ Urinary Tract 
+
+14
+00:01:00,400 --> 00:01:03,940
+Infection، معظم أنواع البشر، الأطفال والكبار
+
+15
+00:01:08,690 --> 00:01:13,750
+الصغار والبنات والرجال نفس القضية طبعًا فيه
+
+16
+00:01:13,750 --> 00:01:19,630
+خصوصيات لكل نوع، الـ urinary tract infection أو
+
+17
+00:01:19,630 --> 00:01:24,510
+symptoms، عادة بنلاقي إنه فيها إيش فيها frequent 
+
+18
+00:01:24,510 --> 00:01:28,130
+urination، إيش يعني frequent urination؟ يعني بيروح
+
+19
+00:01:28,130 --> 00:01:33,180
+على الحمام كثير، frequent urination، ومش بس، وبروح 
+
+20
+00:01:33,180 --> 00:01:37,320
+الحمام وبروح بنجط أو بنزل بول قليل، but very
+
+21
+00:01:37,320 --> 00:01:42,980
+little urine may come out، واش كمان مش بس كمان burn
+
+22
+00:01:42,980 --> 00:01:48,360
+full burning sensation، وحرجان يبقى حرجان في الـ
+
+23
+00:01:48,360 --> 00:01:55,660
+bowel أثناء التبول، قبل التبول، ممكن بعد التبول، بعض
+
+24
+00:01:55,660 --> 00:01:59,660
+الأحيان في بعض الـ urinary tract infections يصير
+
+25
+00:01:59,660 --> 00:02:04,080
+عندنا دم، urinating plant اللي قلنا عنها إيش فاكرين
+
+26
+00:02:04,080 --> 00:02:09,600
+الـ hematuria صحيح، وبعض الأحيان بيحس حاله يجري على
+
+27
+00:02:09,600 --> 00:02:16,550
+الحمام، وإنه مش قادر يتحمل، مش قادر يمسك الـ ball
+
+28
+00:02:16,550 --> 00:02:23,030
+، وممكن إنه يهرب ball كمان بيصير الـ ball اللي بيجي
+
+29
+00:02:23,030 --> 00:02:26,110
+فيه الالتهابات البولية أو الالتهابات المسالك البولية
+
+30
+00:02:26,110 --> 00:02:30,690
+في العادة بيبقى cloudy لو طلعنا عليه بلاجوش صافي
+
+31
+00:02:30,690 --> 00:02:36,370
+مش ماء صافٍ، و foul smelling urine ويله ريحة في
+
+32
+00:02:36,370 --> 00:02:41,890
+الغالِب، طبعًا لأنه بيأثر على الجسم كله فبنلاقي إنه
+
+33
+00:02:41,890 --> 00:02:47,390
+«malaise» to the general body وبيبقى الواحد حاسس
+
+34
+00:02:47,390 --> 00:02:51,110
+حاله مش مرتاح، «severe pain in the lower abdomen»
+
+35
+00:02:51,110 --> 00:02:55,210
+وممكن يكون في عنا شوية حرارة يعني يدوب إيش مكان
+
+36
+00:02:55,210 --> 00:03:03,390
+حرارة الـ UTI، حقيقة بدنا نجسمها لثلاث أماكن، المكان
+
+37
+00:03:03,390 --> 00:03:12,360
+الأول اللي هو بيبدأ من الكليتين وبعدين المثانة
+
+38
+00:03:12,360 --> 00:03:17,820
+وبعدين اليوريثرا، الالتهاب لما يصيب الكليتين بيقول
+
+39
+00:03:17,820 --> 00:03:24,760
+عنه pyelonephritis، pyelo هي حوض الكلى، nephritis كلى، it 
+
+40
+00:03:24,760 --> 00:03:30,540
+is التهاب حوض الكلى، بيقول عنه kidney infection، وفي
+
+41
+00:03:30,540 --> 00:03:37,620
+احنا زي ما قلنا cystitis اللي هي الـ urine bladder 
+
+42
+00:03:37,620 --> 00:03:45,460
+اسمها cystitis التهاب الـ urine bladder وطبعًا مين
+
+43
+00:03:45,460 --> 00:03:50,300
+أصعب ومين أخطر؟ الطبيعي الأخطر اللي بيصيب الكلى،
+
+44
+00:03:50,300 --> 00:03:53,920
+صحيح؟ طيب، هو إيش الـ symptoms بيلاقيها في
+
+45
+00:03:53,920 --> 00:03:58,540
+التهابات الكلى؟ في الـ pyelonephritis؟ flank pain،
+
+46
+00:03:58,540 --> 00:04:02,270
+الوجع بيبقى في الخواصر، الحين أنه في الـCystitis
+
+47
+00:04:02,270 --> 00:04:08,290
+بيبقى تحت في منطقة البطن من تحت من النصف فوق منطقة 
+
+48
+00:04:08,290 --> 00:04:14,430
+العانة، الـPelonephritis بيبقى high fever عشان هيك
+
+49
+00:04:14,430 --> 00:04:18,510
+بتأثر على الجسم تأثير مباشر لأن الكلية مش سهل
+
+50
+00:04:18,510 --> 00:04:23,350
+التهابها، بيلاقي البني آدم صار malaise وبيلاقي إنه في
+
+51
+00:04:23,350 --> 00:04:29,350
+كريات بيضاء وبكتيريا في الـ ball والـ symptoms 
+
+52
+00:04:29,350 --> 00:04:32,270
+طبعًا ممكن تكون متشابهة مع مين؟ متشابهة مع الـ
+
+53
+00:04:32,270 --> 00:04:38,450
+cystitis، إيش بنعالج؟ بنعالج في حاجة احنا هنا بندل
+
+54
+00:04:38,450 --> 00:04:41,150
+طبعًا Ceftriaxone، أنتم مش مطلوب انكم تعرفوا الأدوية 
+
+55
+00:04:41,150 --> 00:04:48,690
+كما تعودنا وكما تعودنا طب في الـ cystitis ولا
+
+56
+00:04:48,690 --> 00:04:53,090
+bladder infection؟ طبعًا مش severe زيها بنلاقي إنه
+
+57
+00:04:53,090 --> 00:04:57,890
+الواحد لما يكون عنده cystitis بيروح الحمام كثير
+
+58
+00:04:57,890 --> 00:05:03,550
+بيروح جري بيصير حرجان، وزي ما قلنا pain above the 
+
+59
+00:05:03,550 --> 00:05:07,710
+pubic region، القراءات بيضاء برضه بتكون بكتيريا في 
+
+60
+00:05:07,710 --> 00:05:12,250
+البول وممكن يكون في عندنا دم في البول، وأكثر بيجي
+
+61
+00:05:12,250 --> 00:05:19,550
+في الستات، in woman، احنا عارفين إنه كثير عندنا مشكلة 
+
+62
+00:05:19,550 --> 00:05:25,930
+في عملية الالتهابات
+
+63
+00:05:25,930 --> 00:05:29,470
+في المثانة بتيجي في الستات أكثر وفي أسباب طبعًا
+
+64
+00:05:29,470 --> 00:05:33,810
+للموضوع هذا أنّ
+
+65
+00:05:33,810 --> 00:05:40,170
+الـ urethra عند الرجل طويل اللي هو العضو، لكن عند
+
+66
+00:05:40,170 --> 00:05:45,270
+الست الـ urethra قصيرة والمسافة بين الـ vagina والـ
+
+67
+00:05:45,270 --> 00:05:49,500
+bladder مسافة صغيرة فلو كان فيه سوء في عملية 
+
+68
+00:05:49,500 --> 00:05:57,750
+التنظيف مع الـ stool ممكن الـ stool ينتقل من الخلف
+
+69
+00:05:57,750 --> 00:06:02,170
+إلى الأمام ويصير فيها التهابات في المسالك البولية 
+
+70
+00:06:02,170 --> 00:06:06,730
+عشان ذلك نوصل للستات لأمهات الأجداد أنه دائمًا لما 
+
+71
+00:06:06,730 --> 00:06:13,030
+تنظف لطفلتها للبنت طبعًا تنظف من أمام لخلف وليس
+
+72
+00:06:13,030 --> 00:06:16,890
+العكس عشان ما تجيبش البراز لقدام على منطقة
+
+73
+00:06:16,890 --> 00:06:21,120
+الفرج ويصير فيها التهابات، مهم إنه نعرف يا جماعة
+
+74
+00:06:21,120 --> 00:06:26,240
+أنواع البكتيريا، اثنين أو ثلاثة منهم اللي بتصيبنا
+
+75
+00:06:26,240 --> 00:06:30,320
+اللي هو الـPielonephritis الكلى زي الـEcoli، إيش 
+
+76
+00:06:30,320 --> 00:06:36,080
+الـEcoli هاي؟ الـEcoli هي عبارة عن بكتيريا البراز،
+
+77
+00:06:36,080 --> 00:06:41,640
+75% لـ 95%، هي مش بالصدفة هي أكثر نوع بيجي في التهاب
+
+78
+00:06:41,640 --> 00:06:45,670
+المسالك البولية، الـ Proteus والـ Klebsiella
+
+79
+00:06:45,670 --> 00:06:52,410
+تقريبًا هدول الثلاث اللي هما الأشهر، حكينا احنا
+
+80
+00:06:52,410 --> 00:06:57,110
+قبل شوية عن الـ Cystitis وقلنا بصورة عامة إيش الـ
+
+81
+00:06:57,110 --> 00:07:02,050
+symptoms اللي قابلتنا نحكي عنه فيها أنواع بسيطة في
+
+82
+00:07:02,050 --> 00:07:05,070
+الـ «uncomplicated cystitis» أو بنقول عنها «simple 
+
+83
+00:07:05,070 --> 00:07:11,880
+cystitis» وهذه وفي طبعًا complicated cystitis وفي
+
+84
+00:07:11,880 --> 00:07:17,500
+recurrent cystitis، الـuncomplicated cystitis هي
+
+85
+00:07:17,500 --> 00:07:23,060
+عبارة عن التهاب للمثانة بيجي في الـhealthy adult
+
+86
+00:07:23,060 --> 00:07:29,540
+woman، age أكثر من 12 وما تكونش pregnant، ومافيش
+
+87
+00:07:29,540 --> 00:07:32,660
+حرارة ولا غثيان ولا vomiting ولا flank pain اللهم
+
+88
+00:07:32,660 --> 00:07:38,680
+إنّ فيه شوية التهابات في المثانة، لو عملت الـ
+
+89
+00:07:38,680 --> 00:07:41,740
+dipstick اللي هو العود اللي قلنا بنحطه في الـ bowl
+
+90
+00:07:41,740 --> 00:07:45,940
+فبديني إشارة إنه فيه التهابات، بديها antibiotic
+
+91
+00:07:45,940 --> 00:07:51,020
+لمدة ثلاث أيام وأطوس، يا رحمكم الله بنخلص هيك فيها
+
+92
+00:07:51,020 --> 00:07:56,920
+هي حاجة سهلة بتصير كثير عند الستات خاصة المتزوجات
+
+93
+00:07:58,350 --> 00:08:02,930
+اللي فيها الـ Complicated Cystitis، وهذا يحدث عادة
+
+94
+00:08:02,930 --> 00:08:08,010
+في الفتيات اللي عندها مشاكل أخرى، مشاكل مشاكل مشاكل
+
+95
+00:08:08,010 --> 00:08:08,830
+مشاكل مشاكل مشاكل مشاكل مشاكل مشاكل مشاكل مشاكل
+
+96
+00:08:08,830 --> 00:08:12,010
+مشاكل مشاكل مشاكل مشاكل مشاكل مشاكل مشاكل مشاكل
+
+97
+00:08:12,010 --> 00:08:12,310
+مشاكل مشاكل مشاكل مشاكل مشاكل مشاكل مشاكل مشاكل
+
+98
+00:08:12,310 --> 00:08:14,870
+مشاكل مشاكل مشاكل مشاكل مشاكل مشاكل مشاكل مشاكل
+
+99
+00:08:14,870 --> 00:08:27,890
+مشاكل مشاكل مشاكل مشاكل مص
+
+100
+00:08:29,720 --> 00:08:33,640
+الـ Folley catheter هو عبارة عن القسطرة البولية، كويس
+
+101
+00:08:33,640 --> 00:08:37,520
+لو شوفته على يوتيوب كيف تنحط القسطرة البولية عند
+
+102
+00:08:37,520 --> 00:08:40,440
+الـ female أو عند الـ male لأن هذا هتشوفوه كثير في
+
+103
+00:08:40,440 --> 00:08:44,480
+شغلكم خاصة لما تشتغلوا في الـ rehabilitation الناس
+
+104
+00:08:44,480 --> 00:08:46,940
+اللي عندها urosepsis، عند تسممهم في المسالك
+
+105
+00:08:46,940 --> 00:08:50,500
+البولية أو نايمة في المستشفيات وصار عنده cystitis
+
+106
+00:08:50,500 --> 00:08:53,730
+منقول عنه complicated cystitis، تبقى هي هذه
+
+107
+00:08:53,730 --> 00:08:57,350
+الـconditions اللي بيبقى في عند لو صار عند واحد
+
+108
+00:08:57,350 --> 00:09:00,290
+cystitis بيقول عنه complicated، طب وإيش بتفرق عن
+
+109
+00:09:00,290 --> 00:09:04,650
+الـsimple؟ آه، طريقة العلاج، طريقة الفحوصات، في
+
+110
+00:09:04,650 --> 00:09:07,530
+حين إنه الـUncomplicated Simple cystitis بيعالجه
+
+111
+00:09:07,530 --> 00:09:11,670
+ثلاث أيام وخلص، بعالج الـComplicated Cystitis سبع
+
+112
+00:09:11,670 --> 00:09:15,390
+أيام لـ 14 يوم وممكن في لحظة من اللحظات يكون في
+
+113
+00:09:15,390 --> 00:09:22,230
+المستشفى لكن احنا بنعالجه من أسبوع لأسبوعين of 
+
+114
+00:09:22,230 --> 00:09:25,690
+treatment حسب الـ severity، بعمله urine analysis
+
+115
+00:09:25,690 --> 00:09:30,530
+بعمله urine culture، فأفرق
+
+116
+00:09:30,530 --> 00:09:33,470
+معانا في الـ complicated اللي هي الـ simple
+
+117
+00:09:36,580 --> 00:09:38,720
+الـ Uncomplicated اللي هي الـ simple عن الـ
+
+118
+00:09:38,720 --> 00:09:42,420
+complicated، أفرق معناه، وزي ما اتحدّثنا عن الـ
+
+119
+00:09:42,420 --> 00:09:45,280
+pyelonephritis بيقول إنه عبارة عن infection of the 
+
+120
+00:09:45,280 --> 00:09:48,380
+kidney، أنا جعت بعيد، ماخدين بقال كنتوا كيف؟ أنا 
+
+121
+00:09:48,380 --> 00:09:52,460
+بعيد، جعت، infection of the kidney associated with
+
+122
+00:09:52,460 --> 00:09:56,690
+fever, nausea, vomiting, headache، طبعًا هذه كلها in
+
+123
+00:09:56,690 --> 00:09:59,930
+-specific symptoms، أي التهاب في الجسم ممكن يعمل لي
+
+124
+00:09:59,930 --> 00:10:02,650
+الـsymptoms هاي، fever, nausea, vomiting, headache،
+
+125
+00:10:02,650 --> 00:10:06,010
+الـdiagnosis، التشخيص من شخص عن طريق فحص البول
+
+126
+00:10:06,010 --> 00:10:10,350
+ومزرعة بول وممكن أحتاج أعمل الـCBC وأعمل حاجة 
+
+127
+00:10:10,350 --> 00:10:15,030
+اسمها kidney function test لليوريا وللكرياتينين وفي
+
+128
+00:10:15,030 --> 00:10:19,450
+الـpyelonephritis بعالجه أسبوعين بمضاد حيوي وممكن أضطر
+
+129
+00:10:19,450 --> 00:10:25,890
+أدخل المريض لو كان تعبان أدخله إيش المستشفى، طب هو
+
+130
+00:10:25,890 --> 00:10:29,270
+إيش الـ Complication تبع الـ Pyelonephritis؟ آه،
+
+131
+00:10:29,270 --> 00:10:32,830
+ممكن الالتهاب اللي في جدار الكلى يطلع حوالين الكلى
+
+132
+00:10:32,830 --> 00:10:41,070
+ويعمل لي Perinephric Abscess أو جوا الكلى يعمل لي
+
+133
+00:10:41,070 --> 00:10:45,370
+زي الدُّبّة الـ Abscess، هدول طبعًا وقتش أنا بشك فيهم
+
+134
+00:10:45,370 --> 00:10:48,750
+أنه أنا بدي مضادات حيوية ووجع ما بتحسنش وطبعًا هذا
+
+135
+00:10:48,750 --> 00:10:53,810
+ممكن يحتاج surgical drainage، قاعدة يا جماعة أي
+
+136
+00:10:53,810 --> 00:10:58,470
+abscess في الجسم أفضل علاج له لو صار بتكون وفيه
+
+137
+00:10:58,470 --> 00:11:01,630
+abscess وفيه يُقال ممدة، أفضل علاج له هو الـ
+
+138
+00:11:01,630 --> 00:11:06,120
+drainage، إنه أفضّيه بعدين بدي أدّي مضاد بدّي أدّي، لكن هو
+
+139
+00:11:06,120 --> 00:11:10,620
+الأفضل إنه أفضّيه، لأنه لأن عمر المضاد الحيوي ما 
+
+140
+00:11:10,620 --> 00:11:15,760
+بيقضي على الـ abscess اللي هو الـ fluid أو الـ pus
+
+141
+00:11:15,760 --> 00:11:18,660
+اللي جوا الـ abscess لازم أفض الـ pus و الـ pus 
+
+142
+00:11:18,660 --> 00:11:23,940
+بيبقى في كثير من الأحيان هو سبب الـ fever و المشاكل
+
+143
+00:11:25,430 --> 00:11:28,630
+طبعاً من الـ Complication تبعته «نفروليتيازيس» مع
+
+144
+00:11:28,630 --> 00:11:35,530
+«UTI» وهذه طبعاً ممكن تحتاج consultation يورولوجية
+
+145
+00:11:35,530 --> 00:11:41,210
+هذا بيأخذنا بسرعة بسرعة على الـ Acute Renal
+
+146
+00:11:41,210 --> 00:11:49,250
+Failure إيش يعني Acute Renal Failure؟ صحيح؟ صح هو
+
+147
+00:11:49,250 --> 00:11:55,430
+عبارة عن بالعامية فشل الكلية إنها تقوم بشغلها لكن 
+
+148
+00:11:55,430 --> 00:11:59,990
+acute حاجة مش متوقعة عن أن صارت لسبب من الأسباب طبعاً
+
+149
+00:11:59,990 --> 00:12:04,550
+تختلف أسبابها عن أسباب chronic renal failure الـ
+
+150
+00:12:04,550 --> 00:12:08,570
+acute renal failure هي عبارة عن rapid breakdown of
+
+151
+00:12:08,570 --> 00:12:13,050
+renal function that occurs when high levels of
+
+152
+00:12:13,050 --> 00:12:19,230
+uremic toxin accumulate in the blood مش قادرة
+
+153
+00:12:19,230 --> 00:12:24,480
+الكلية تنظف الـ blood من الـ toxins الـ toxins اللي
+
+154
+00:12:24,480 --> 00:12:28,500
+هي جاية من إيش؟ من الـ metabolism اللي بيصير في
+
+155
+00:12:28,500 --> 00:12:32,120
+الجسم اللي بيبقى الـ acute renal failure بيجي
+
+156
+00:12:33,840 --> 00:12:38,080
+عندما تكون الكلية unable to excrete the daily load
+
+157
+00:12:38,080 --> 00:12:41,600
+of toxin in the urine طول ما الكلية مش قادرة تطلع
+
+158
+00:12:41,600 --> 00:12:45,880
+كمية تتصفى كمية السموم الموجودة في الجسم أنا بقول
+
+159
+00:12:45,880 --> 00:12:52,080
+عنه إيش acute renal failure وحسب طبعاً ممكن أقول
+
+160
+00:12:52,080 --> 00:12:56,840
+والله فلان عنده Acute Renal Failure أو Non
+
+161
+00:12:56,840 --> 00:13:01,080
+-Oligouric في الكبار طبعاً يا حميد أحكي حسب كمية
+
+162
+00:13:01,080 --> 00:13:06,400
+الـ Urine اللي بتيجي خلال 24 ساعة بقول إما
+
+163
+00:13:06,400 --> 00:13:11,030
+Oligouric هذا لما يكون الـ patient بيجيب بول أقل من
+
+164
+00:13:11,030 --> 00:13:14,830
+500 ملي في اليوم طبعاً ولا حاجة 500 ملي يعني نص لتر
+
+165
+00:13:14,830 --> 00:13:19,730
+بس هذا بقول عنه oligurek renal failure وفي Non
+
+166
+00:13:19,730 --> 00:13:23,650
+-oligurek وإيه أسبابه اللي بيجيب أكتر من 500 ملي
+
+167
+00:13:23,650 --> 00:13:29,710
+في النهار الـ incidence of acute renal failure
+
+168
+00:13:32,280 --> 00:13:37,100
+طبعاً هو لما أبدأ أشوف أنه الوقت اللي بني آدم بطل
+
+169
+00:13:37,100 --> 00:13:43,340
+أو فيه عنده Renal Failure معناته الواحد
+
+170
+00:13:43,340 --> 00:13:47,660
+في كلية واحدة عادة بيقدر يمشي حاله لكن لما أبدأ
+
+171
+00:13:47,660 --> 00:13:51,080
+أشوف إشارات أنه فيه Renal Failure معناته الكليتين
+
+172
+00:13:51,080 --> 00:13:56,860
+صار فيهم مشكلة Both kidneys are failing عندما يحدث
+
+173
+00:13:56,860 --> 00:14:00,180
+خسارة عقلية عقلية عقلية عقلية عقلية عقلية عقلية
+
+174
+00:14:00,180 --> 00:14:00,580
+عقلية عقلية عقلية عقلية عقلية عقلية عقلية عقلية
+
+175
+00:14:00,580 --> 00:14:08,320
+عقلية عقلية عقلية عقلية عقلية عقلية
+
+176
+00:14:08,320 --> 00:14:16,780
+عقلية
+
+177
+00:14:17,150 --> 00:14:20,270
+blood filtering لأنه كل واحدة بتقدر تقوم بالشغل
+
+178
+00:14:20,270 --> 00:14:23,590
+acute renal failure في 1% بييجي inpatient on
+
+179
+00:14:23,590 --> 00:14:31,310
+admission to the hospital وهم موجودين
+
+180
+00:14:31,310 --> 00:14:34,310
+في المستشفى 2 ل 5% بيصير عندهم أثناء وجودهم في
+
+181
+00:14:34,310 --> 00:14:37,770
+المستشفى يعني هو موجود في المستشفى مثلاً لمشكلة قلب
+
+182
+00:14:37,770 --> 00:14:41,850
+لمشكلة ما أنا عارف جهاز هضمي لمشكلة دماغ كذا بدخل
+
+183
+00:14:41,850 --> 00:14:50,320
+في renal failure و4 ل 15% من الناس بتصير بعد عملية
+
+184
+00:14:50,320 --> 00:14:56,060
+القلب بيصير عندهم acute renal failure الـ causes
+
+185
+00:14:56,060 --> 00:14:59,160
+يا جماعة، وهذه تركزوا في التلات أربع سلايدات اللي
+
+186
+00:14:59,160 --> 00:15:05,560
+جاي لأنه لا أخفيكم يعني بيجوا كثير في الامتحان الـ
+
+187
+00:15:05,560 --> 00:15:12,600
+causes بتتراوح بين حاجة جسمناها لسهولة التعاطي بين
+
+188
+00:15:12,600 --> 00:15:17,040
+pre-renal يعني
+
+189
+00:15:17,040 --> 00:15:23,180
+ما قبل الكلية ما قبل الكلية عادة بيجي اللي هو الـ
+
+190
+00:15:23,180 --> 00:15:30,600
+system الـ cardiovascular system الـ cardiovascular
+
+191
+00:15:30,600 --> 00:15:35,320
+system كله ما قبل الكلية وبعدين الـ renal الكلية
+
+192
+00:15:35,320 --> 00:15:41,830
+itself و Postrenal ما بعد الكلية يعني الحالب بعد
+
+193
+00:15:41,830 --> 00:15:46,710
+الكلية الحالب و الـ urine bladder و ما شايف هاي
+
+194
+00:15:46,710 --> 00:15:50,970
+التجسيمة فهمته فهمته كمان مرة قليني أعيد الـ renal
+
+195
+00:15:50,970 --> 00:15:57,030
+معناته الكلية هي المصابة prerenal الأسباب تقع في الـ
+
+196
+00:15:57,030 --> 00:16:01,850
+blood supply اللي هو في الـ vascular system الـ
+
+197
+00:16:01,850 --> 00:16:07,610
+postrenal هو عبارة عن أسباب كلها تتجه إلى الـ
+
+198
+00:16:07,610 --> 00:16:10,650
+Urinary Tract System أسباب عادية تتجه إلى أسباب
+
+199
+00:16:10,650 --> 00:16:12,110
+عادية تتجه إلى أسباب عادية تتجه إلى أسباب عادية
+
+200
+00:16:12,110 --> 00:16:14,230
+تتجه إلى أسباب عادية تتجه إلى أسباب عادية تتجه إلى
+
+201
+00:16:14,230 --> 00:16:17,210
+أسباب عادية تتجه إلى أسباب عادية تتجه إلى أسباب
+
+202
+00:16:17,210 --> 00:16:20,650
+عادية تتجه إلى أسباب عادية تتجه إلى أسباب عادية
+
+203
+00:16:20,650 --> 00:16:23,590
+تتجه إلى أسباب عادية تتجه إلى أسباب عادية تتجه إلى
+
+204
+00:16:23,590 --> 00:16:24,970
+أسباب عادية تتجه إلى أسباب عادية تتجه إلى أسباب
+
+205
+00:16:24,970 --> 00:16:28,850
+عادية تتجه إلى أسباب عادية تتجه إلى أسباب عادية
+
+206
+00:16:28,850 --> 00:16:34,360
+تتجه إلى أسباب عادية تتجل أي سبب من الأسباب يدخلنا
+
+207
+00:16:34,360 --> 00:16:42,180
+في الـ Prerenal Failure ‏Hepatorenal Syndrome اللي
+
+208
+00:16:42,180 --> 00:16:46,720
+لما يصير عندي مشكلة في الكبد ممكن تأثرلي على الـ
+
+209
+00:16:46,720 --> 00:16:51,660
+System وهذا بيأثر على الـ Renal Perfusion
+
+210
+00:16:51,660 --> 00:16:55,140
+‏Vascular
+
+211
+00:16:55,140 --> 00:17:00,460
+Problem سواء الـ Renal Vein أو Trombosis Infection
+
+212
+00:17:00,460 --> 00:17:06,080
+أو Sepsis في الجسم، هذا كله بـ Renal Causes الـ
+
+213
+00:17:06,080 --> 00:17:09,220
+Renal Causes، الـ Damage بيصير في الـ Kidney
+
+214
+00:17:09,220 --> 00:17:17,060
+itself زي Toxins أو Medication غسيل كلية عصبي
+
+215
+00:17:17,060 --> 00:17:21,440
+المثال اللي بيصير أحياناً في بعض أمراض الكلية كل
+
+216
+00:17:21,440 --> 00:17:27,260
+مرض بصيب الكلية نفسها بديني Renal Failure الـ
+
+217
+00:17:27,260 --> 00:17:34,260
+postrenal هو كل شيء بيجي بعد الـ kidney postrenal
+
+218
+00:17:34,260 --> 00:17:37,980
+obstructive causes إيش اللي بيجي بعد الكلى؟ الحالب
+
+219
+00:17:37,980 --> 00:17:42,800
+و المثانة و الـ ... و الـ ... و الـ prostate و الـ
+
+220
+00:17:42,800 --> 00:17:47,120
+urethra صحيح؟ يبقى benign prostatic hypertrophy أو
+
+221
+00:17:47,120 --> 00:17:51,390
+prostate cancer الـ Kidney stones الـ Kidney stones
+
+222
+00:17:51,390 --> 00:17:55,030
+بعتبرها post-renal وأي أبدومينال ماليجنانسي
+
+223
+00:17:55,030 --> 00:18:00,590
+كولوريكتل كانسر أوفريان كانسر اللي هي السرطان
+
+224
+00:18:00,590 --> 00:18:08,850
+المبيض أو سرطان الأمعاء وهذه بتتغطي على الـ
+
+225
+00:18:08,850 --> 00:18:14,810
+urinary tract فبتعملي post-renal failure الـ signs
+
+226
+00:18:14,810 --> 00:18:18,640
+and symptoms في الـ Acute Renal Failure ‏does not
+
+227
+00:18:18,640 --> 00:18:21,940
+produce ‏a classic set of symptoms عادةً ‏the most
+
+228
+00:18:21,940 --> 00:18:26,620
+common symptom أنه بلاقي البول قليل ‏وهذا بيحصل في
+
+229
+00:18:26,620 --> 00:18:31,840
+70% من المرضى أن البول قليل ‏وسهل طبعاً تشخيص الـ
+
+230
+00:18:31,840 --> 00:18:34,920
+Acute Renal Failure ‏بنعمل الـ urea و الكرياتين ‏اللي
+
+231
+00:18:34,920 --> 00:18:38,460
+هي Kidney function test ‏اليوريا و الكرياتين في الدم
+
+232
+00:18:38,460 --> 00:18:42,400
+فحص دم عادي ‏وبلاقيهم عالين فبقول أن البني آدم
+
+233
+00:18:42,400 --> 00:18:46,740
+‏دخل في Renal Failure ‏العلاج عادةً
+
+234
+00:18:51,510 --> 00:18:55,870
+بأدي drugs زي لازكس ودوبامين ممكن أدّي أعمل غسيل
+
+235
+00:18:55,870 --> 00:19:00,450
+كلية لمرحلة معينة ممكن بعد ذلك أدخل على غسيل كلية
+
+236
+00:19:00,450 --> 00:19:07,570
+مستمر لو دخل البني آدم في chronic renal failure أو
+
+237
+00:19:07,570 --> 00:19:10,750
+peritoneal dialysis اللي هو سنتعرف عليه بعد شوية
+
+238
+00:19:10,750 --> 00:19:15,150
+في آخر المحاضرة Prognosis before the development
+
+239
+00:19:15,150 --> 00:19:19,640
+of renal replacement therapy قبل ما صار قضية اللي
+
+240
+00:19:19,640 --> 00:19:25,860
+هي غسيل الكلية ونقل الكلية زراعة الكلية كثير من
+
+241
+00:19:25,860 --> 00:19:28,720
+الناس اللي كان يكون عنده Acute Renal Failure ولو
+
+242
+00:19:28,720 --> 00:19:32,880
+لسبب بسيط كان يموتوا يموتوا بـ Hyperkalemia و
+
+243
+00:19:32,880 --> 00:19:36,900
+Acidosis حموضة و Hyperkalemia زيادة في البوتاسيوم
+
+244
+00:19:36,900 --> 00:19:41,460
+أو من نفس الـ Toxin يوريميكي Patients with acute
+
+245
+00:19:41,460 --> 00:19:44,300
+renal failure are at risk for numerous
+
+246
+00:19:44,300 --> 00:19:48,500
+complications that may lead to death such as طبعاً
+
+247
+00:19:48,500 --> 00:19:50,880
+اللي بيصير عنده acute renal failure ممكن يدخل في
+
+248
+00:19:50,880 --> 00:19:54,820
+seizures في bleeding في coma ليش؟ لأن الكلية مش
+
+249
+00:19:54,820 --> 00:19:58,900
+شغالة باختصار فاللبد أنه أحطه على الجهاز أغسله حتى
+
+250
+00:19:58,900 --> 00:20:05,290
+ولو لفترة بسيطة و لأن الـ Dialysis effectively treats
+
+251
+00:20:05,290 --> 00:20:09,430
+the life-threatening complications of acute renal
+
+252
+00:20:09,430 --> 00:20:12,930
+failure advanced age and underlying diseases are
+
+253
+00:20:12,930 --> 00:20:16,510
+more likely to determine the risk of a patient's
+
+254
+00:20:16,510 --> 00:20:19,290
+dying from acute renal failure بطل acute renal
+
+255
+00:20:19,290 --> 00:20:23,190
+failure itself يموت الناس صار المرض الأساسي اللي
+
+256
+00:20:23,190 --> 00:20:27,450
+دخل عشانه الواحد المستشفيات هو اللي ممكن يموت
+
+257
+00:20:27,450 --> 00:20:31,930
+البني آدمه هذا بيدخلنا على الـ Chronic Renal
+
+258
+00:20:31,930 --> 00:20:39,720
+Failure الفشل الكلوي المزمن هو عبارة عن فقدان
+
+259
+00:20:39,720 --> 00:20:47,480
+وظائف الـ kidney باستمرار لحد ما تصبح الكلية
+
+260
+00:20:47,480 --> 00:20:51,240
+مشغولة بالمرة الـ Kidneys attempt to compensate
+
+261
+00:20:51,240 --> 00:20:54,620
+عادةً لما يصير عندنا مشاكل لأن سبب من الأسباب في
+
+262
+00:20:54,620 --> 00:21:00,090
+الكليتين بتحاول خلايا الكلية تعمل عملية تعويض للـ
+
+263
+00:21:00,090 --> 00:21:07,260
+«نيفرونز» اللي Damaged كيف تعمل hyper filtration في
+
+264
+00:21:07,260 --> 00:21:10,000
+الـ «نيفرونز» اللي موجودة يعني أنا عندي مليون في
+
+265
+00:21:10,000 --> 00:21:13,920
+الكلية ومليون في الكلية أجوا والله صار Damage
+
+266
+00:21:13,920 --> 00:21:17,700
+نتيجة أدوية نتيجة أي سبب من الأسباب 800 ألفان و800
+
+267
+00:21:17,700 --> 00:21:21,340
+ألفان دان عندي 200 ألف 200 ألف هدول الـ 200 ألف
+
+268
+00:21:21,340 --> 00:21:25,460
+بيشتغلوا شغل المليون بيعملوا Hyperfiltration
+
+269
+00:21:25,460 --> 00:21:31,060
+Excessive straining of the blood بيصفوا الدم تصفية
+
+270
+00:21:31,060 --> 00:21:34,940
+تامة within the remaining functional nephrons اللي
+
+271
+00:21:34,940 --> 00:21:42,380
+ضايلين هم بيشتغلوا شغل اللي راحوا لكن بالواجهة الـ
+
+272
+00:21:42,380 --> 00:21:46,500
+200 ألف دول اللي قاعدين يشتغلوا لو كان مقدر لهم
+
+273
+00:21:46,500 --> 00:21:51,900
+يقعدوا سنة عشان يشتغلوا بزيادة بيروحوا إيش بيصير
+
+274
+00:21:51,900 --> 00:21:55,500
+لهم damaging في فترة أقل يعني بدل ما يقعدوا كمان
+
+275
+00:21:55,500 --> 00:21:58,480
+سنة بيقعدوا كمان تلت أربعه الشهور بس ليه؟ وهذا
+
+276
+00:21:58,480 --> 00:22:02,320
+اللي بنقول عنه hyperfiltration causes further loss
+
+277
+00:22:02,320 --> 00:22:05,900
+of function chronic loss of function causes
+
+278
+00:22:05,900 --> 00:22:09,280
+generalized wasting الكلى تدمر progressive
+
+279
+00:22:09,280 --> 00:22:12,660
+scarring ويصير لها عملية scarring بتصير وكأنها
+
+280
+00:22:12,660 --> 00:22:17,820
+خلايا جلدية ما بتبطل تشتغل إذا 70% of normal
+
+281
+00:22:17,820 --> 00:22:23,530
+combined function of both kidneys is lost 70% راحوا
+
+282
+00:22:23,530 --> 00:22:27,550
+وظيفة الكلى من الكليتين the most patients begin to
+
+283
+00:22:27,550 --> 00:22:30,890
+experience symptoms of kidney failure ببدأ 
+
+284
+00:22:30,890 --> 00:22:34,670
+المريض يصير عنده فشل كلوي the most common causes
+
+285
+00:22:34,670 --> 00:22:37,390
+of chronic renal failure ببدأ نرجع للدرسين
+
+286
+00:22:37,390 --> 00:22:44,070
+الأولانيات، تفتكروا؟ السكري والضغط هم أكبر سببين 
+
+287
+00:22:44,070 --> 00:22:50,470
+بيعملوا لنا chronic renal failure الـ Chronic Renal
+
+288
+00:22:50,470 --> 00:22:56,170
+Failure الحقيقية أنه فيه له symptoms، neurological
+
+289
+00:22:56,170 --> 00:22:59,810
+system، gastrointestinal system، على الـ blood
+
+290
+00:22:59,810 --> 00:23:04,630
+-forming system، يعني هذا بس غيض من فيض، هذا بس
+
+291
+00:23:04,630 --> 00:23:07,350
+بسيط اللي احنا بنحكي فيه، حاجات أكثر من هيك عادة
+
+292
+00:23:08,270 --> 00:23:10,770
+اللي نيرولوجيكال أنه بلاقي صار عندهم cognitive
+
+293
+00:23:10,770 --> 00:23:15,390
+impairment فإنت سهل جدا يجيني طبعا عشان الكلوي
+
+294
+00:23:15,390 --> 00:23:19,430
+الأهلي يقولك والله ابني يا دكتور حاسه مش ذكي طبعا
+
+295
+00:23:19,430 --> 00:23:23,010
+هو عنده chronic renal failure أو بيحكيش زي الناس
+
+296
+00:23:23,010 --> 00:23:25,570
+أو كلامه كذا personality changes
+
+297
+00:23:29,020 --> 00:23:33,200
+الاسترسز اللي هي عبارة عن رجة في الإيد تصير 
+
+298
+00:23:33,200 --> 00:23:37,380
+seizures تشنجات بيلاقي عندهم nausea بيلاقي عندهم
+
+299
+00:23:37,380 --> 00:23:41,280
+vomiting بيلاقي عندهم هدول الناس بيحسوا طعم الأكل
+
+300
+00:23:41,280 --> 00:23:44,640
+طعم معدني في blood forming system أه دي من 
+
+301
+00:23:44,640 --> 00:23:47,540
+الحاجات الأساسية جدا إنه كثير من اللي عنده chronic
+
+302
+00:23:47,540 --> 00:23:51,160
+renal failure بيدخلوا في أنيميا والسبب إيش حاجة 
+
+303
+00:23:51,160 --> 00:23:54,420
+اسمها erythropoietin deficiency نقص في
+
+304
+00:23:54,420 --> 00:23:58,380
+الـ erythropoietin وهذا الـ erythropoietin يفرز في
+
+305
+00:23:58,380 --> 00:24:03,950
+الكلى وهو مهم للـ Blood Forming System ونقصه
+
+306
+00:24:03,950 --> 00:24:08,510
+بيعمل لي Anemia وهدول الناس بيصير عندهم Easy
+
+307
+00:24:08,510 --> 00:24:13,030
+Bruising بيصير عندهم زي البجع الزرق بسهولة وبيصير
+
+308
+00:24:13,030 --> 00:24:16,670
+عندهم نزيف نتيجة وجود Abnormal Platelets صفائح
+
+309
+00:24:16,670 --> 00:24:21,210
+الدموية بيصير شكلها نتيجة الـ Urea اللي موجودة
+
+310
+00:24:21,210 --> 00:24:28,260
+والـ Toxins بتغير شكلها فبيعمل لنا مشاكل الـ Bleeding
+
+311
+00:24:28,260 --> 00:24:32,840
+كيف بنشخص الـ Chronic Renal Failure؟ خذوا بالكم أن 
+
+312
+00:24:32,840 --> 00:24:36,280
+هذه الجاذبية Diagnosed by the observation of the
+
+313
+00:24:36,280 --> 00:24:39,400
+combination of symptoms وبلاقي اليوريا والكرياتينين 
+
+314
+00:24:39,400 --> 00:24:44,680
+عالين بلاقي بيصير عندهم هدول Anemia بيصير عندهم 
+
+315
+00:24:44,680 --> 00:24:49,960
+hypocalcemia، بيصير عندهم hyperphosphatemia، و
+
+316
+00:24:49,960 --> 00:24:53,800
+بيصير عندهم hyperkalemia، إيش يعني hyperkalemia؟
+
+317
+00:24:53,800 --> 00:24:56,540
+blood level of potassium بيبقى عالي، بيصير عندهم
+
+318
+00:24:56,540 --> 00:25:01,320
+hyponatremia، بينقص ال sodium تبعهم، و طبعا low
+
+319
+00:25:01,320 --> 00:25:07,080
+level of bicarbonate، و low plasma pH، يعني ال
+
+320
+00:25:07,080 --> 00:25:12,480
+acidity بتكون عالية حموضة يعني بيصير في الدم العلاج
+
+321
+00:25:12,480 --> 00:25:14,420
+آه العلاج
+
+322
+00:25:18,000 --> 00:25:22,420
+وعندما يتم التجارب الروتينية، يتم التجارب الروتينية 
+
+323
+00:25:22,420 --> 00:25:27,260
+تحاول تحقيق السبب، وإذا كان ممكن، تخطيط تجارب
+
+324
+00:25:27,260 --> 00:25:34,580
+محددة وطبعاً فيه تجارب غير محددة، يبدأ الواحد يدّي
+
+325
+00:25:34,580 --> 00:25:41,940
+بعض الأدوية وكذا، عشان تخطيط خطوة تخطيط الكبد أو 
+
+326
+00:25:41,940 --> 00:25:47,760
+يعملوا delaying زي مثلا لو السبب hypertension بيعمل 
+
+327
+00:25:47,760 --> 00:25:51,440
+control للـ hypertension بيخفف من ال dietary
+
+328
+00:25:51,440 --> 00:25:57,080
+protein بيخفف ال protein يعني زي ما بقولها مرحلة
+
+329
+00:25:57,080 --> 00:26:01,220
+ما قبل ال end stage renal failure يعني آخر مرحلة 
+
+330
+00:26:01,220 --> 00:26:04,660
+من مراحل الفشل الكلوي المرحلة اللي قبلها بيحاول
+
+331
+00:26:04,660 --> 00:26:09,840
+إيش يتحكم فيها لكن ضبط الموضوع بنأخر شوية في الآخر
+
+332
+00:26:09,840 --> 00:26:14,890
+بنلاقي أن المريض هيحتاج منها هي حاجة اسمها RRT 
+
+333
+00:26:14,890 --> 00:26:18,830
+Renal Replacement Therapy Renal Replacement Therapy
+
+334
+00:26:18,830 --> 00:26:19,190
+Renal Replacement Therapy Renal Replacement Therapy
+
+335
+00:26:19,190 --> 00:26:21,350
+Renal Replacement Therapy Renal Replacement Therapy
+
+336
+00:26:21,350 --> 00:26:21,970
+Renal Replacement Therapy Renal Replacement Therapy
+
+337
+00:26:21,970 --> 00:26:24,470
+Renal Replacement Therapy Renal Replacement Therapy
+
+338
+00:26:24,470 --> 00:26:26,170
+Renal Replacement Therapy Renal Replacement Therapy
+
+339
+00:26:26,170 --> 00:26:28,350
+Renal Replacement Therapy Renal Replacement Therapy رينا
+
+340
+00:26:28,390 --> 00:26:31,870
+وممكن يحتاج في بعض الأحيان لـ kidney مش في بعض 
+
+341
+00:26:31,870 --> 00:26:38,510
+الأحيان هو الهدف من الأمر كله إنه مع الوقت يستطيع 
+
+342
+00:26:38,510 --> 00:26:41,890
+ياخذ kidney transplantation وإلا إيش الفائدة مش 
+
+343
+00:26:41,890 --> 00:26:47,910
+هيقع ألف سنة وإحنا نغسله إن ما كانش فيه أمل لأنه 
+
+344
+00:26:47,910 --> 00:26:50,930
+في يوم من الأيام يصير له kidney transplantation الأمور 
+
+345
+00:26:50,930 --> 00:26:53,110
+بتبقى بغض النظر عن طريقة الـ kidney
+
+346
+00:26:53,110 --> 00:26:57,150
+transplantation الأمر بيبقى أصعب الـ prognosis
+
+347
+00:27:04,770 --> 00:27:09,410
+يبقى كمان مرة الـ chronic renal failure is often
+
+348
+00:27:09,410 --> 00:27:13,490
+insidious in its onset and progression. The rate
+
+349
+00:27:13,490 --> 00:27:16,330
+of progression is variable but usually renal
+
+350
+00:27:16,330 --> 00:27:20,490
+function steadily decline resulting أدى نهاية 
+
+351
+00:27:20,490 --> 00:27:26,370
+الأمور بـ End-Stage Renal Failure نعود نرجع بالنسبة 
+
+352
+00:27:26,370 --> 00:27:30,090
+للـ RRT أو الـ Renal Replacement Therapy فيه ثلاث 
+
+353
+00:27:30,090 --> 00:27:32,890
+أنواع من الـ Dialysis احنا بهمنا الـ Hemodialysis
+
+354
+00:27:32,890 --> 00:27:37,510
+Dialysis of soluble substances المواد المذابة and 
+
+355
+00:27:37,510 --> 00:27:41,090
+water والدم والمياه from the body by diffusion
+
+356
+00:27:41,090 --> 00:27:45,390
+through semi-permeable membrane سبحان الله العظيم 
+
+357
+00:27:45,390 --> 00:27:50,220
+احنا الكلى يدوبها خمسة في عشرة سنتيمتر بتجوب كل هالشغل
+
+358
+00:27:50,220 --> 00:27:54,480
+وتعال وشوفه في الغسيل الكلى بتلاقي حالك بتحكي عن 
+
+359
+00:27:54,480 --> 00:28:00,820
+مكينة بأدواتها بـ UPS بما أعرف إيش وواحد بيقعدلها
+
+360
+00:28:00,820 --> 00:28:07,040
+وتغيير الدم وطبعا أمر غاية في الصعوبة غاية في 
+
+361
+00:28:07,040 --> 00:28:09,780
+الصعوبة وإحنا مش حاسين بنعمل اللي احنا فيه الـ
+
+362
+00:28:09,780 --> 00:28:13,640
+Hemodialysis يا ريت تشوفوا فيديو على كيف بيشتغل الـ
+
+363
+00:28:13,640 --> 00:28:17,440
+Hemodialysis على اليوتيوب الحجة التانية الـ
+
+364
+00:28:17,440 --> 00:28:20,740
+peritoneal dialysis اللي هو removal from the body
+
+365
+00:28:20,740 --> 00:28:24,620
+of soluble substances and water by transfer across
+
+366
+00:28:24,620 --> 00:28:27,640
+the peritoneum زي ما احنا شايفين في الصورة أنه 
+
+367
+00:28:27,640 --> 00:28:31,640
+اللي بيشتغل شغل المكينة البريتونيوم من جوا بيصير 
+
+368
+00:28:31,640 --> 00:28:33,580
+عملية transfer of 
+
+369
+00:28:42,700 --> 00:28:47,000
+وهي تعمل عملية 
+
+370
+00:28:47,000 --> 00:28:49,980
+البريتونيال ديالوز بس طبعا هي بدها بعض الأحيان 
+
+371
+00:28:49,980 --> 00:28:53,740
+بيحطلها واحد جهاز لكن هي يدوية وبيستطيعوا الأهالي
+
+372
+00:28:53,740 --> 00:29:00,100
+في بيوتهم يشتغلوها ولكن ممكن تعمل مشاكل وبعد ذلك،
+
+373
+00:29:00,100 --> 00:29:03,400
+يوجد الـ Hemofiltration، عملية مشابهة إلى الـ
+
+374
+00:29:03,400 --> 00:29:07,860
+Hemodialysis بما يتم دياليزة الدم باستخدام عملية
+
+375
+00:29:07,860 --> 00:29:14,380
+Ultra-filtration وعادةً لإزالة نوع من الأدوية
+
+376
+00:29:14,380 --> 00:29:19,060
+والحاجات طبعا في الآخر بيظل الحل اللي هو الـ 
+
+377
+00:29:19,060 --> 00:29:24,240
+Kidney Transplantation لمعظم هؤلاء المرضى زي ما 
+
+378
+00:29:24,240 --> 00:29:26,840
+قلت لكوا حاولوا برضه تشوفوا فيديو عن Kidney
+
+379
+00:29:26,840 --> 00:29:29,940
+Transplantation حاجة سهلة وبسيطة المهم يكون فيه 
+
+380
+00:29:29,940 --> 00:29:35,120
+متبرع لهؤلاء أشكركم على حسن الاستماع إن شاء الله
+
+381
+00:29:35,120 --> 00:29:39,620
+هنحاول خلال الأسبوع هذا أبعث لكم كمان محاضرتين عشان 
+
+382
+00:29:39,620 --> 00:29:44,200
+إيش نحاول ننهي المنهج إن شاء الله تعالى ويعطيكم
+
+383
+00:29:44,200 --> 00:29:44,600
+العافية
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/k3Qo7kbb3Cc_raw.json b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/k3Qo7kbb3Cc_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..fe6c20f522c69631eed6c3f819ee63a531b015bd
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/k3Qo7kbb3Cc_raw.json
@@ -0,0 +1 @@
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full burning sensation وحرجان يبقى حرجان في ال bowl أثناء التبول قبل التبول ممكن بعد التبول", "tokens": [2407, 37893, 4724, 3794, 4032, 4724, 32887, 5016, 21542, 2304, 10943, 4032, 4724, 32887, 5016, 44945, 7435, 9566, 34051, 44945, 11622, 1211, 4724, 12610, 10874, 20292, 1211, 457, 588, 707, 27638, 815, 808, 484, 4032, 33599, 9122, 2304, 7649, 37893, 4724, 3794, 9122, 2304, 7649, 5064, 1577, 9488, 20069, 4032, 5016, 47341, 7649, 7251, 3555, 4587, 7578, 11331, 47341, 7649, 8978, 2423, 6571, 5551, 12984, 1863, 16606, 16712, 3555, 12610, 12174, 36150, 16712, 3555, 12610, 3714, 43020, 39182, 16712, 3555, 12610], "avg_logprob": -0.19950457753204717, "compression_ratio": 1.6073298429319371, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 91.78, "end": 92.08, "word": "و", "probability": 0.478515625}, {"start": 92.08, "end": 92.48, "word": " مش", "probability": 0.6328125}, {"start": 92.48, "end": 92.82, "word": " بس", "probability": 0.986572265625}, {"start": 92.82, "end": 92.94, 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إشارة إنه فيه التهيبات بديها antibiotic لمدة تلت أيام واطوس يا رحمكم الله بنخلص هيك فيها هي حاجة سهلة بتصير كتير عند الستات خاصة المتزوجات", "tokens": [2407, 15042, 41185, 8592, 11331, 2288, 9640, 3660, 49429, 8717, 2407, 11622, 25528, 49429, 46234, 49429, 36318, 1822, 13672, 16095, 36145, 8978, 3224, 13412, 2407, 10632, 16712, 3224, 1829, 3555, 9307, 8978, 9673, 12984, 7649, 3660, 45164, 6225, 42213, 2655, 2423, 10460, 11881, 13672, 1829, 31439, 18863, 23328, 13672, 1829, 12174, 1211, 8315, 44945, 5016, 9566, 3224, 8978, 2423, 6571, 6156, 3555, 16254, 22653, 11933, 8592, 9640, 3660, 36145, 3224, 8978, 3224, 16712, 3224, 1829, 3555, 9307, 4724, 16254, 11296, 37828, 32767, 41891, 6055, 1211, 2655, 36632, 10943, 4032, 41193, 41779, 35186, 12602, 35571, 24793, 21984, 44945, 9778, 1211, 9381, 39896, 4117, 8978, 11296, 39896, 11331, 26108, 3660, 8608, 3224, 37977, 39894, 9381, 13546, 9122, 2655, 13546, 43242, 21136, 2655, 9307, 16490, 33546, 3660, 9673, 2655, 11622, 29245, 9307], 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1740.54, "end": 1742.14, "word": " Hemofiltration،", "probability": 0.615185546875}, {"start": 1742.14, "end": 1742.54, "word": " عملية", "probability": 0.58441162109375}, {"start": 1742.54, "end": 1743.14, "word": " مشابهة", "probability": 0.57666015625}, {"start": 1743.14, "end": 1743.28, "word": " إلى", "probability": 0.3447265625}, {"start": 1743.28, "end": 1743.4, "word": " الـ", "probability": 0.477294921875}, {"start": 1743.4, "end": 1744.26, "word": " Hemodialysis", "probability": 0.64990234375}, {"start": 1744.26, "end": 1745.18, "word": " بما", "probability": 0.26910400390625}, {"start": 1745.18, "end": 1745.7, "word": " يتم", "probability": 0.3084716796875}, {"start": 1745.7, "end": 1746.9, "word": " دياليزة", "probability": 0.5696818033854166}, {"start": 1746.9, "end": 1746.9, "word": " الدم", "probability": 0.6663818359375}, {"start": 1746.9, "end": 1747.5, "word": " باستخدام", "probability": 0.818359375}, {"start": 1747.5, "end": 1747.86, "word": " عملية", "probability": 0.5398966471354166}, {"start": 1747.86, "end": 1748.18, "word": " Ultra", "probability": 0.09161376953125}, {"start": 1748.18, "end": 1748.8, "word": "-filtration", "probability": 0.806640625}, {"start": 1748.8, "end": 1749.7, "word": " وعادةً", "probability": 0.6674560546875}, {"start": 1749.7, "end": 1750.2, "word": " لإزالة", "probability": 0.728466796875}, {"start": 1750.2, "end": 1750.28, "word": " نوع", "probability": 0.4281005859375}, {"start": 1750.28, "end": 1751.0, "word": " من", "probability": 0.55322265625}, {"start": 1751.0, "end": 1754.38, "word": " الأدوية", "probability": 0.611907958984375}, {"start": 1754.38, "end": 1754.96, "word": " والحاجات", "probability": 0.7119140625}], "temperature": 1.0}, {"id": 77, "seek": 178460, "start": 1756.26, "end": 1784.6, "text": "طبعاً في الآخر بيظل الحل اللي هو الـ Kidney Transplantation لمعظم هؤلاء المرضى زي ما قلتلكوا حاولوا برضه تشوفوا فيديو عن Kidney Transplantation حاجة سهلة وبسيطة المهم يكون فيه متبرع لهؤلاء أشكركم على حسن الاستماع إن شاء الله هنحاول خلال الأسبوع هذا أبعتلكم كمان محاضرتين عشان إيش نحاول ننهي المنهج إن شاء الله تعالى ويعطيكم العافية", "tokens": [9566, 3555, 3615, 995, 14111, 8978, 6024, 95, 34740, 4724, 1829, 19913, 1211, 21542, 1211, 13672, 1829, 31439, 2423, 39184, 18978, 2397, 6531, 13067, 399, 5296, 2304, 3615, 19913, 2304, 8032, 33604, 1211, 16606, 9673, 43042, 7578, 30767, 1829, 19446, 12174, 1211, 2655, 23275, 14407, 11331, 995, 12610, 14407, 4724, 43042, 3224, 6055, 8592, 38688, 14407, 8978, 16254, 2407, 18871, 18978, 2397, 6531, 13067, 399, 11331, 26108, 3660, 8608, 3224, 37977, 4032, 3555, 3794, 1829, 9566, 3660, 9673, 16095, 7251, 30544, 8978, 3224, 44650, 26890, 3615, 46740, 33604, 1211, 16606, 5551, 8592, 37983, 24793, 15844, 11331, 3794, 1863, 42963, 14851, 15042, 3615, 36145, 13412, 16606, 21984, 8032, 1863, 5016, 995, 12610, 16490, 1211, 6027, 16247, 35457, 45367, 23758, 5551, 3555, 34268, 23275, 2304, 9122, 2304, 7649, 3714, 5016, 46958, 43500, 9957, 6225, 8592, 7649, 11933, 1829, 8592, 8717, 5016, 995, 12610, 8717, 1863, 3224, 1829, 9673, 1863, 3224, 7435, 36145, 13412, 16606, 21984, 37279, 6027, 7578, 4032, 40228, 9566, 1829, 24793, 18863, 31845, 10632], "avg_logprob": -0.1005681821794221, "compression_ratio": 1.84640522875817, "no_speech_prob": 2.5212764739990234e-05, "words": [{"start": 1756.26, "end": 1756.58, "word": "طبعاً", "probability": 0.787646484375}, {"start": 1756.58, "end": 1756.66, "word": " في", "probability": 0.91552734375}, {"start": 1756.66, "end": 1757.1, "word": " الآخر", "probability": 0.9573567708333334}, {"start": 1757.1, "end": 1757.88, "word": " بيظل", "probability": 0.8394775390625}, {"start": 1757.88, "end": 1758.48, "word": " الحل", "probability": 0.98193359375}, {"start": 1758.48, "end": 1758.74, "word": " اللي", "probability": 0.96142578125}, {"start": 1758.74, "end": 1758.88, "word": " هو", "probability": 0.98486328125}, {"start": 1758.88, "end": 1759.06, "word": " الـ", "probability": 0.90283203125}, {"start": 1759.06, "end": 1759.4, "word": " Kidney", "probability": 0.81103515625}, {"start": 1759.4, "end": 1760.54, "word": " Transplantation", "probability": 0.92919921875}, {"start": 1760.54, "end": 1761.72, "word": " لمعظم", "probability": 0.880615234375}, {"start": 1761.72, "end": 1762.44, "word": " هؤلاء", "probability": 0.88818359375}, {"start": 1762.44, "end": 1763.26, "word": " المرضى", "probability": 0.9886067708333334}, {"start": 1763.26, "end": 1764.18, "word": " زي", "probability": 0.78662109375}, {"start": 1764.18, "end": 1764.24, "word": " ما", "probability": 0.99072265625}, {"start": 1764.24, "end": 1764.74, "word": " قلتلكوا", "probability": 0.9208984375}, {"start": 1764.74, "end": 1765.28, "word": " حاولوا", "probability": 0.9765625}, {"start": 1765.28, "end": 1765.78, "word": " برضه", "probability": 0.927734375}, {"start": 1765.78, "end": 1766.1, "word": " تشوفوا", "probability": 0.9940185546875}, {"start": 1766.1, "end": 1766.38, "word": " فيديو", "probability": 0.9283854166666666}, {"start": 1766.38, "end": 1766.54, "word": " عن", "probability": 0.3544921875}, {"start": 1766.54, "end": 1766.84, "word": " Kidney", "probability": 0.820556640625}, {"start": 1766.84, "end": 1767.52, "word": " Transplantation", "probability": 0.9724934895833334}, {"start": 1767.52, "end": 1767.86, "word": " حاجة", "probability": 0.9698893229166666}, {"start": 1767.86, "end": 1768.1, "word": " سهلة", "probability": 0.9850260416666666}, {"start": 1768.1, "end": 1768.66, "word": " وبسيطة", "probability": 0.8958333333333334}, {"start": 1768.66, "end": 1769.18, "word": " المهم", "probability": 0.94287109375}, {"start": 1769.18, "end": 1769.5, "word": " يكون", "probability": 0.97265625}, {"start": 1769.5, "end": 1769.94, "word": " فيه", "probability": 0.805908203125}, {"start": 1769.94, "end": 1770.8, "word": " متبرع", "probability": 0.9684244791666666}, {"start": 1770.8, "end": 1771.62, "word": " لهؤلاء", "probability": 0.9317626953125}, {"start": 1771.62, "end": 1773.28, "word": " أشكركم", "probability": 0.9154052734375}, {"start": 1773.28, "end": 1773.72, "word": " على", "probability": 0.984375}, {"start": 1773.72, "end": 1773.96, "word": " حسن", "probability": 0.9322916666666666}, {"start": 1773.96, "end": 1774.54, "word": " الاستماع", "probability": 0.9010009765625}, {"start": 1774.54, "end": 1774.96, "word": " إن", "probability": 0.454833984375}, {"start": 1774.96, "end": 1775.1, "word": " شاء", "probability": 0.969970703125}, {"start": 1775.1, "end": 1775.12, "word": " الله", "probability": 0.958984375}, {"start": 1775.12, "end": 1775.5, "word": " هنحاول", "probability": 0.89658203125}, {"start": 1775.5, "end": 1775.8, "word": " خلال", "probability": 0.9908854166666666}, {"start": 1775.8, "end": 1776.1, "word": " الأسبوع", "probability": 0.8616536458333334}, {"start": 1776.1, "end": 1776.44, "word": " هذا", "probability": 0.91552734375}, {"start": 1776.44, "end": 1778.28, "word": " أبعتلكم", "probability": 0.8501953125}, {"start": 1778.28, "end": 1778.56, "word": " كمان", "probability": 0.9501953125}, {"start": 1778.56, "end": 1779.24, "word": " محاضرتين", "probability": 0.9705078125}, {"start": 1779.24, "end": 1779.62, "word": " عشان", "probability": 0.9749348958333334}, {"start": 1779.62, "end": 1779.94, "word": " إيش", "probability": 0.8824869791666666}, {"start": 1779.94, "end": 1780.56, "word": " نحاول", "probability": 0.9844970703125}, {"start": 1780.56, "end": 1781.62, "word": " ننهي", "probability": 0.986572265625}, {"start": 1781.62, "end": 1782.44, "word": " المنهج", "probability": 0.946044921875}, {"start": 1782.44, "end": 1782.58, "word": " إن", "probability": 0.82763671875}, {"start": 1782.58, "end": 1782.7, "word": " شاء", "probability": 0.987548828125}, {"start": 1782.7, "end": 1782.82, "word": " الله", "probability": 0.94921875}, {"start": 1782.82, "end": 1783.28, "word": " تعالى", "probability": 0.9378255208333334}, {"start": 1783.28, "end": 1784.2, "word": " ويعطيكم", "probability": 0.8404296875}, {"start": 1784.2, "end": 1784.6, "word": " العافية", "probability": 0.95556640625}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 1785.939625, "duration_after_vad": 1732.399999999997}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/k3Qo7kbb3Cc_raw.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/k3Qo7kbb3Cc_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..fb8e189e9d8303b71166fcb41ab01524b7886e4b
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/k3Qo7kbb3Cc_raw.srt
@@ -0,0 +1,1536 @@
+1
+00:00:01,400 --> 00:00:03,860
+بسم الله الرحمن الرحيم الحمد لله وعلا وسلامه على
+
+2
+00:00:03,860 --> 00:00:08,400
+سيدنا محمد اليوم إن شاء الله تعالى هحاول نخلص اللي
+
+3
+00:00:08,400 --> 00:00:15,120
+هو ال urinary tract وعلى أساس إنه ننتقل للمرحلة
+
+4
+00:00:15,120 --> 00:00:19,580
+النهائية من المحاضرات اللي هو موضوع ال cancer و ال
+
+5
+00:00:19,580 --> 00:00:23,370
+leukemia إن شاء الله تعالىلأ كنا اتحدثنا طبعا عن
+
+6
+00:00:23,370 --> 00:00:27,750
+ال physiology ببساطة و ال anatomy و اتحدثنا عن ال
+
+7
+00:00:27,750 --> 00:00:31,930
+nephrolithiasis الآن هنتحدث عن ال urinary tract
+
+8
+00:00:31,930 --> 00:00:38,400
+infections و الإختصارها إيش؟زي ما بتنجح الـ
+
+9
+00:00:38,400 --> 00:00:43,560
+Urinary بناخد الـ U Tract بناخد الـ T Infections
+
+10
+00:00:43,560 --> 00:00:48,920
+بناخد الـ I UTI UTI يعني ماتش هتسمع أحد في
+
+11
+00:00:48,920 --> 00:00:51,220
+المستشفات بيقول والله فلان عنده Urinary Tract
+
+12
+00:00:51,220 --> 00:00:54,680
+Infection الناس بتقول UTI عشان هيك المقتصر هذا
+
+13
+00:00:54,680 --> 00:01:00,400
+مقتصر عالمي مشهور طبعا بيعني منه الـ Urinary Tract
+
+14
+00:01:00,400 --> 00:01:03,940
+Infection معظم أنواع البشر الأطفال والكبار
+
+15
+00:01:08,690 --> 00:01:13,750
+الصغار والبنات والرجال نفس القضية طبعاً فيه
+
+16
+00:01:13,750 --> 00:01:19,630
+خصوصيات لكل نوع ال regenerative tract infection أو
+
+17
+00:01:19,630 --> 00:01:24,510
+symptoms عادة بنلاقي إنه فيها إيش فيها frequent
+
+18
+00:01:24,510 --> 00:01:28,130
+urination إيش يعني frequent urination يعني بيروح
+
+19
+00:01:28,130 --> 00:01:33,180
+على الحمام كتير frequent urinationو مش بس و بروح
+
+20
+00:01:33,180 --> 00:01:37,320
+الحمام و بروح بنجط أو بنزل بول جليل but very
+
+21
+00:01:37,320 --> 00:01:42,980
+little urine may come out واش كمان مش بس كمان burn
+
+22
+00:01:42,980 --> 00:01:48,360
+full burning sensation وحرجان يبقى حرجان في ال
+
+23
+00:01:48,360 --> 00:01:55,660
+bowl أثناء التبول قبل التبول ممكن بعد التبولبعض
+
+24
+00:01:55,660 --> 00:01:59,660
+الأحيان في بعض الـ urinary tract infections يصير
+
+25
+00:01:59,660 --> 00:02:04,080
+عندنا دم urinating plant اللي قلنا عنها إيش فاكرين
+
+26
+00:02:04,080 --> 00:02:09,600
+الـ hematuria صحيح وبعض الأحيان بيحس حاله يجري على
+
+27
+00:02:09,600 --> 00:02:16,550
+الحماموانه مش قادر يتحمل مش قادر يمسك ال ball
+
+28
+00:02:16,550 --> 00:02:23,030
+وفممكن انه يهرب ball كمان بيصير ال ball اللي بيجي
+
+29
+00:02:23,030 --> 00:02:26,110
+فيه الاتهابات البولية او الاتهابات المسالك البولية
+
+30
+00:02:26,110 --> 00:02:30,690
+في العادة بيبقى cloudy لو طلعنا عليه بلاجوش صافي
+
+31
+00:02:30,690 --> 00:02:36,370
+مش ميه صافر و foul smelling urine ويله ريحة في
+
+32
+00:02:36,370 --> 00:02:41,890
+الغالبطبعاً لأنه بيأثر على الجسم كله فبنلاقي أنه
+
+33
+00:02:41,890 --> 00:02:47,390
+«malaise» to the general body وبيبقى الواحد حاسس
+
+34
+00:02:47,390 --> 00:02:51,110
+حاله مش برتاح «severe pain in the lower abdomen»
+
+35
+00:02:51,110 --> 00:02:55,210
+وممكن يكون في عنا شوية حرارة يعني يدوب أيش مكان
+
+36
+00:02:55,210 --> 00:03:03,390
+حرارة الـ UTI حقيقة بدنا نجسمها لتلت أماكن المكان
+
+37
+00:03:03,390 --> 00:03:12,360
+الأول اللي هوبيبدأ من الكليتين وبعدين الميثانا
+
+38
+00:03:12,360 --> 00:03:17,820
+وبعدين اليوريثم الإتهاب لما يصيب الكليتين بيقول
+
+39
+00:03:17,820 --> 00:03:24,760
+عنه بيالو نفريتس بيالو هي حوض الكلا نفريتس كلا it
+
+40
+00:03:24,760 --> 00:03:30,540
+is إتهاب حوض الكلا بيقول عنه kidney infection وفي
+
+41
+00:03:30,540 --> 00:03:37,620
+احنا زي ما قلنا cystitis اللي هيالـ urine bladder
+
+42
+00:03:37,620 --> 00:03:45,460
+اسمها cystitis التهاب الـ urine bladder وطبعاً مين
+
+43
+00:03:45,460 --> 00:03:50,300
+أصعب ومين أخطر؟ الطبيعي الأخطر اللي بصيب الكلة،
+
+44
+00:03:50,300 --> 00:03:53,920
+صحيح؟ طيب، هو إيش الـ symptoms بيلاقيها في
+
+45
+00:03:53,920 --> 00:03:58,540
+التهابات الكلة؟ في الـ pyelonephritis؟ flank pain،
+
+46
+00:03:58,540 --> 00:04:02,270
+الوجع بيبقى في الخواصرالحين أنه في الـCystitis
+
+47
+00:04:02,270 --> 00:04:08,290
+بيبقى تحت في منطقة البطن من تحت من النصف فوق منطقة
+
+48
+00:04:08,290 --> 00:04:14,430
+العانة الـPelonephritis بيبقى high fever عشان هيك
+
+49
+00:04:14,430 --> 00:04:18,510
+بتأثر على الجسم تأثير مباشر لأن الكيليا مش سهل
+
+50
+00:04:18,510 --> 00:04:23,350
+التهابها بيلاقي البني آدم صار ماليز وبيلاقي أنه في
+
+51
+00:04:23,350 --> 00:04:29,350
+كوريات بيضةو بكتيريا في الـ ball و ال symptoms
+
+52
+00:04:29,350 --> 00:04:32,270
+طبعا ممكن تكون متشابهة مع مين؟ متشابهة مع ال
+
+53
+00:04:32,270 --> 00:04:38,450
+cystitis ايش بنعالج؟ بنعالج في حاجة احنا هنا بندل
+
+54
+00:04:38,450 --> 00:04:41,150
+طبعا Ceptriaxol انتم مش مطلوب انكم تعرفوا الأدوية
+
+55
+00:04:41,150 --> 00:04:48,690
+كما تعودنا و كما تعودنا طب في ال cystitis ولا
+
+56
+00:04:48,690 --> 00:04:53,090
+bladder infection؟طبعا مش severe زيها بنلاقي انه
+
+57
+00:04:53,090 --> 00:04:57,890
+الواحد لما يكون عنده cystitis بروح الحمام كتير
+
+58
+00:04:57,890 --> 00:05:03,550
+بروح جراي بيصير حرجان وزي ما قلنا pain above the
+
+59
+00:05:03,550 --> 00:05:07,710
+pupic region القرايات بيضا برضه بتكون بكتيريا في
+
+60
+00:05:07,710 --> 00:05:12,250
+البول وممكن يكون في عندنا دم في البول وأكتر بيجي
+
+61
+00:05:12,250 --> 00:05:19,550
+في الستات in womanأحنا عارفين إنه كتير عندنا مشكلة
+
+62
+00:05:19,550 --> 00:05:25,930
+في عملية الاتهابات
+
+63
+00:05:25,930 --> 00:05:29,470
+في المثانا بتيجي في الستات أكتر وفي أسباب طبعاً
+
+64
+00:05:29,470 --> 00:05:33,810
+للموضوع هذا أن
+
+65
+00:05:33,810 --> 00:05:40,170
+الـ urethra عند الراجل طويل اللي هو العضو لكن عند
+
+66
+00:05:40,170 --> 00:05:45,270
+الست الـ urethra جسيرة والمسافة بين ال vagina و ال
+
+67
+00:05:45,270 --> 00:05:49,500
+bladderمسافة صغيرة فلو كان فيه سوق في عملية
+
+68
+00:05:49,500 --> 00:05:57,750
+التنظيفمع الـ stool ممكن الـ stool ينتجل من الخلف
+
+69
+00:05:57,750 --> 00:06:02,170
+إلى الأمام ويصير فيها إلتهابات في المسالك البولية
+
+70
+00:06:02,170 --> 00:06:06,730
+عشان ذلك نوصل الستات لأمهات الأجداد أنه دايما لما
+
+71
+00:06:06,730 --> 00:06:13,030
+تنظف لطفلتها للبنت طبعا تنظف من جدام لورق وليس
+
+72
+00:06:13,030 --> 00:06:16,890
+العكس عشان ما تجيبش البراز لجدام على منطقة
+
+73
+00:06:16,890 --> 00:06:21,120
+الفاجاينة ويصير فيها إلتهاباتمهم إنه نعرف يا جماعة
+
+74
+00:06:21,120 --> 00:06:26,240
+أنواع البكتيريا، اتنين أو تلاتة منهم اللي بتصيبنا
+
+75
+00:06:26,240 --> 00:06:30,320
+اللي هو الـPielonephritis الكدنى زي الـEcoli، إيش
+
+76
+00:06:30,320 --> 00:06:36,080
+الـEcoli هاي؟ الـEcoli هي عبارة عن بكتيريا المراز،
+
+77
+00:06:36,080 --> 00:06:41,640
+75% ل95%، هي مش بالصدفة هي أكتر نوع بيجي في التهاب
+
+78
+00:06:41,640 --> 00:06:45,670
+المسالك البوليةالـ Protease والـ Klebsiella
+
+79
+00:06:45,670 --> 00:06:52,410
+تقريباً هدول التلاتة اللي هما الأشهر حكينا احنا
+
+80
+00:06:52,410 --> 00:06:57,110
+قبل شوية عن الـ Cystitis وقلنا بصورة عامة إيش ال
+
+81
+00:06:57,110 --> 00:07:02,050
+symptoms اللي قابنا نحكي عنه فيها أنواع بسيطة في
+
+82
+00:07:02,050 --> 00:07:05,070
+ال «uncomplicated cystitis» أو بنقول عنها «simple
+
+83
+00:07:05,070 --> 00:07:11,880
+cystitis»وهذه وفي طبعا complicated cystitis وفي
+
+84
+00:07:11,880 --> 00:07:17,500
+recurrent cystitis الـuncomplicated cystitis هي
+
+85
+00:07:17,500 --> 00:07:23,060
+عبارة عن التهاب للمثارة بيجي في الـhealthy adult
+
+86
+00:07:23,060 --> 00:07:29,540
+woman age أكتر من 12 وما تكونش pregnantومافيش
+
+87
+00:07:29,540 --> 00:07:32,660
+حرارة ولا نوزيا ولا vomiting ولا flank pain اللهم
+
+88
+00:07:32,660 --> 00:07:38,680
+إن فيه شوية التهيبات في المثانة لو عملت ال
+
+89
+00:07:38,680 --> 00:07:41,740
+dipstick اللي هو العود اللي قلنا بنحطه في ال bowl
+
+90
+00:07:41,740 --> 00:07:45,940
+فبديني إشارة إنه فيه التهيبات بديها antibiotic
+
+91
+00:07:45,940 --> 00:07:51,020
+لمدة تلت أيام واطوس يا رحمكم الله بنخلص هيك فيها
+
+92
+00:07:51,020 --> 00:07:56,920
+هي حاجة سهلة بتصير كتير عند الستات خاصة المتزوجات
+
+93
+00:07:58,350 --> 00:08:02,930
+اللي فيها الـ Complicated Cystitis وهذا يحدث عادة
+
+94
+00:08:02,930 --> 00:08:08,010
+في الفتيات اللي عندها مصالح أخرى مصالح مصالح مصالح
+
+95
+00:08:08,010 --> 00:08:08,830
+مصالح مصالح مصالح مصالح مصالح مصالح مصالح مصالح
+
+96
+00:08:08,830 --> 00:08:12,010
+مصالح مصالح مصالح مصالح مصالح مصالح مصالح مصالح
+
+97
+00:08:12,010 --> 00:08:12,310
+مصالح مصالح مصالح مصالح مصالح مصالح مصالح مصالح
+
+98
+00:08:12,310 --> 00:08:12,310
+مصالح مصالح مصالح مصالح مصالح مصالح مصالح مصالح
+
+99
+00:08:12,310 --> 00:08:14,870
+مصالح مصالح مصالح مصالح مصالح مصالح مصالح مصالح
+
+100
+00:08:14,870 --> 00:08:27,890
+مصالح مصالح مصالح مصالح مص
+
+101
+00:08:29,720 --> 00:08:33,640
+الـ Follicatheter هو عبارة عن القسطرة البولية كويس
+
+102
+00:08:33,640 --> 00:08:37,520
+لو شوفته على يوتيوب كيف تنحط القسطرة البولية عند
+
+103
+00:08:37,520 --> 00:08:40,440
+ال female أو عند ال male لأن هذا هتشوفوه كتير في
+
+104
+00:08:40,440 --> 00:08:44,480
+شغلكم خاصة لما تشتغلوا في ال rehabilitation الناس
+
+105
+00:08:44,480 --> 00:08:46,940
+اللي عندها Eurosepsis عند تساممهم في المسالك
+
+106
+00:08:46,940 --> 00:08:50,500
+البولية أو نايمة في المستشفيات وصار عنده cystitis
+
+107
+00:08:50,500 --> 00:08:53,730
+منقول عنه complicated cystitisتبقى هي هذه
+
+108
+00:08:53,730 --> 00:08:57,350
+الـConditions اللي بيبقى في عند لو صار عند واحد
+
+109
+00:08:57,350 --> 00:09:00,290
+سيستايتس بيقول عنه complicated طب واش بتفرج عن
+
+110
+00:09:00,290 --> 00:09:04,650
+الـSimple؟ آه، طريقة العلاج، طريقة الفحوصات، في
+
+111
+00:09:04,650 --> 00:09:07,530
+حين إنه الـUncomplicated Simple سيستايتس بيعلجه
+
+112
+00:09:07,530 --> 00:09:11,670
+تلت أيام وخلص، بعالج الـComplicated Sistitis سبع
+
+113
+00:09:11,670 --> 00:09:15,390
+أيام لـ14 يوم وممكن في لحظة من اللحظات يكون في
+
+114
+00:09:15,390 --> 00:09:22,230
+المستشفىلكن احنا بنعالجه من أسبوع لأسبوعين of
+
+115
+00:09:22,230 --> 00:09:25,690
+treatment حسب ال severity بعمله urine analysis
+
+116
+00:09:25,690 --> 00:09:30,530
+بعمله urine culture فأفرجت
+
+117
+00:09:30,530 --> 00:09:33,470
+معانا في ال complicated اللي هي ال simple
+
+118
+00:09:36,580 --> 00:09:38,720
+الـ Uncomplicated اللي هي الـ simple عن الـ
+
+119
+00:09:38,720 --> 00:09:42,420
+complicated أفرجت معناه وزي ما اتحدتنا عن الـ
+
+120
+00:09:42,420 --> 00:09:45,280
+pyelonephritis يقول إنه عبارة عن infection of the
+
+121
+00:09:45,280 --> 00:09:48,380
+kidney أنا جاعت بعيد، ماخدين بقال كنتوا كيف؟ أنا
+
+122
+00:09:48,380 --> 00:09:52,460
+بعيد جاعت infection of the kidney associated with
+
+123
+00:09:52,460 --> 00:09:56,690
+fever, nausea, vomiting, headacheطبعاً هذه كلها in
+
+124
+00:09:56,690 --> 00:09:59,930
+-specific symptoms أي التهاب في الجسم ممكن يعملني
+
+125
+00:09:59,930 --> 00:10:02,650
+الـsymptoms هاي fever, nausea, vomiting, headache
+
+126
+00:10:02,650 --> 00:10:06,010
+الـdiagnosis، التشخيص من شخص عن طريق فحص البول
+
+127
+00:10:06,010 --> 00:10:10,350
+ومزرعة بول وممكن أحتاج أعمل الـCDC وأعمل حاجة
+
+128
+00:10:10,350 --> 00:10:15,030
+اسمها kidney function test لليوريا ولكريانة وفي
+
+129
+00:10:15,030 --> 00:10:19,450
+البيولونفريتس بعالج أسبوعين بمضاد حيوي وممكن أضطر
+
+130
+00:10:19,450 --> 00:10:25,890
+أدخل العيان لو كان تعبان أدخله إيش المستشفىطب هو
+
+131
+00:10:25,890 --> 00:10:29,270
+إيش الـ Complication تبع الـ Perinephritis؟ آه،
+
+132
+00:10:29,270 --> 00:10:32,830
+ممكن الإلتهاب اللي في جلب الكلة يطلع حوالين الكلة
+
+133
+00:10:32,830 --> 00:10:41,070
+ويعملّي Perinephritic Abscess أو جوا الكلة يعملّي
+
+134
+00:10:41,070 --> 00:10:45,370
+زي الدبّة الـ Abscessهدول طبعا وقتش أنا بشك فيهم
+
+135
+00:10:45,370 --> 00:10:48,750
+أنه أنا بدي مضادات حيوية وجاعة مابتحسنش وطبعا هذا
+
+136
+00:10:48,750 --> 00:10:53,810
+ممكن يحتاج surgical drainage قاعدة يا جماعة أي
+
+137
+00:10:53,810 --> 00:10:58,470
+abscess في الجسم أفضل علاج له لو صار بتكون وفيه
+
+138
+00:10:58,470 --> 00:11:01,630
+abscess وفيه فيقال ممدة أفضل علاج له هو ال
+
+139
+00:11:01,630 --> 00:11:06,120
+drainageإنه أفضّيه بعدين بدي أدى مضاد بأدى لكن هو
+
+140
+00:11:06,120 --> 00:11:10,620
+الأفضل إنه أفضّيه لأنه لأن عمره المضاد الحيوي ما
+
+141
+00:11:10,620 --> 00:11:15,760
+بيجضي على ال abscess اللي هو ال fluid أو ال pass
+
+142
+00:11:15,760 --> 00:11:18,660
+اللي جوا ال abscess لازم أفض ال pass و ال pass
+
+143
+00:11:18,660 --> 00:11:23,940
+بيبقى في كتير من الأحيان هو سبب ال fever و المشاكل
+
+144
+00:11:25,430 --> 00:11:28,630
+طبعاً من الـ Complication تبعته «نفروليتيازيس» مع
+
+145
+00:11:28,630 --> 00:11:35,530
+«UTI» وهذه طبعاً ممكن تحتاج consultation يورولوجية
+
+146
+00:11:35,530 --> 00:11:41,210
+هذا بينجلنا بسرعة بسرعة على الـ Acute Renal
+
+147
+00:11:41,210 --> 00:11:49,250
+Failure إيش يعني Acute Renal Failure؟ صحيح؟ صح هو
+
+148
+00:11:49,250 --> 00:11:55,430
+عبارة عنبالعربي فشل الكيلة إنها تقوم بشغلها لكن
+
+149
+00:11:55,430 --> 00:11:59,990
+acute حاجة مش توقع عن أن صارت لسبب بالأسباب طبعا
+
+150
+00:11:59,990 --> 00:12:04,550
+تختلف أسبابها عن أسباب chronic renal failure الـ
+
+151
+00:12:04,550 --> 00:12:08,570
+acute renal failure هي عبارة عن rapid breakdown of
+
+152
+00:12:08,570 --> 00:12:13,050
+renal function that occurs when high levels of
+
+153
+00:12:13,050 --> 00:12:19,230
+uremic toxin accumulate in the blood مش جادرة
+
+154
+00:12:19,230 --> 00:12:24,480
+الكيلةأتنظف لـ blood من الـ toxins الـ toxins اللي
+
+155
+00:12:24,480 --> 00:12:28,500
+هي جاية من أيش؟ من الـ metabolism اللي بيصير في
+
+156
+00:12:28,500 --> 00:12:32,120
+الجسم اللي بيبقى الـ acute renal failure بيجي
+
+157
+00:12:33,840 --> 00:12:38,080
+عندما تكون الكيلة unable to excrete the daily load
+
+158
+00:12:38,080 --> 00:12:41,600
+of toxin in the urine طولة ما الكيلة مش قادرة تطلع
+
+159
+00:12:41,600 --> 00:12:45,880
+كمية تتصفى كمية السموم الموجودة في الجسم أنا بقول
+
+160
+00:12:45,880 --> 00:12:52,080
+عنه إيش acute renal failure وحسب طبعاممكن أقول
+
+161
+00:12:52,080 --> 00:12:56,840
+والله فلان عنده Acute Renal Failure أو Non
+
+162
+00:12:56,840 --> 00:13:01,080
+-Oligouric في الكبار طبعا يا حميد أحكي حسب كمية
+
+163
+00:13:01,080 --> 00:13:06,400
+الـ Bowl اللي بتيجي خلال 24 ساعة بقول إما
+
+164
+00:13:06,400 --> 00:13:11,030
+Oligouric هذا لما يكون ال patientبجيب بول أقل من
+
+165
+00:13:11,030 --> 00:13:14,830
+500 ملي في اليوم طبعا ولا حاجة 500 ملي يعني نص لتر
+
+166
+00:13:14,830 --> 00:13:19,730
+بس هذا بقول عنه oligurek renal failure وفي non
+
+167
+00:13:19,730 --> 00:13:23,650
+-oligurek وإيه أسبابه اللي بيجيب أكتر من 500 ملي
+
+168
+00:13:23,650 --> 00:13:29,710
+في النهار ال incidence of acute renal failure
+
+169
+00:13:32,280 --> 00:13:37,100
+طبعاً هو لما أبدأ أشوف أنه الوقت اللي بني آدم بطل
+
+170
+00:13:37,100 --> 00:13:43,340
+أو فيه عنده Renal Failure معناته الواحد
+
+171
+00:13:43,340 --> 00:13:47,660
+في كيلة واحدة عادة بيقدر يمشي حاله لكن لما أبدأ
+
+172
+00:13:47,660 --> 00:13:51,080
+أشوف إشارات أنه فيه Renal Failure معناته الكيلتين
+
+173
+00:13:51,080 --> 00:13:56,860
+صار فيهم مشكلة Both kidneys are failingعندما يحدث
+
+174
+00:13:56,860 --> 00:14:00,180
+خسارة عقلية عقلية عقلية عقلية عقلية عقلية عقلية
+
+175
+00:14:00,180 --> 00:14:00,580
+عقلية عقلية عقلية عقلية عقلية عقلية عقلية عقلية
+
+176
+00:14:00,580 --> 00:14:08,320
+عقلية عقلية عقلية عقلية عقلية عقلية
+
+177
+00:14:08,320 --> 00:14:16,780
+عقلية
+
+178
+00:14:17,150 --> 00:14:20,270
+بلاد filtering لأنه كلها واحدة بتقدر تقوم بالشغل
+
+179
+00:14:20,270 --> 00:14:23,590
+acute renal failure في 1% بييجي inpatient on
+
+180
+00:14:23,590 --> 00:14:31,310
+admission to the hospital وهم موجودين
+
+181
+00:14:31,310 --> 00:14:34,310
+في المستشفى 2 ل 5% بيصير عندهم أثناء وجودهم في
+
+182
+00:14:34,310 --> 00:14:37,770
+المستشفى يعني هو موجود في المستشفى مثلا لمشكلة قلب
+
+183
+00:14:37,770 --> 00:14:41,850
+لمشكلة ما أنا عارف جهاز هضمي لمشكلة دماغ كذا بدخل
+
+184
+00:14:41,850 --> 00:14:50,320
+في renal failureو4 ل 15% من الناس بتصير بعد عملية
+
+185
+00:14:50,320 --> 00:14:56,060
+القلب بيصير عندهم acute renal failure الـ causes
+
+186
+00:14:56,060 --> 00:14:59,160
+يا جماعة، وهذه تركزوا في التلات أربع سلازات اللي
+
+187
+00:14:59,160 --> 00:15:05,560
+جاي لأنه لا أخفيكم يعني بيجوا كتير في الامتحان الـ
+
+188
+00:15:05,560 --> 00:15:12,600
+causesبتتراوح بين حاجة جسموها لسهولة التعاطي بين
+
+189
+00:15:12,600 --> 00:15:17,040
+pre-renal يعني
+
+190
+00:15:17,040 --> 00:15:23,180
+ما قبل الكلة ما قبل الكلة عادة بيجي اللي هو ال
+
+191
+00:15:23,180 --> 00:15:30,600
+system ال cardiovascular system ال cardiovascular
+
+192
+00:15:30,600 --> 00:15:35,320
+system كله ما قبل الكلة وبعدين الrenal الكلة
+
+193
+00:15:35,320 --> 00:15:41,830
+itselfو Postrenal ما بعد الكلة يعني الحالب بعد
+
+194
+00:15:41,830 --> 00:15:46,710
+الكلة الحالب و ال urine bladder و ما شايف هاي
+
+195
+00:15:46,710 --> 00:15:50,970
+التجسيمة فهمته فهمته كمان مرة قليني أعيد الrenal
+
+196
+00:15:50,970 --> 00:15:57,030
+معناته الكلة هي المصابة prerenal الأسباب تقع في ال
+
+197
+00:15:57,030 --> 00:16:01,850
+blood supply اللي هو في ال vascular system ال
+
+198
+00:16:01,850 --> 00:16:07,610
+postrenal هو عبارة عنأسباب كلها تتجه إلى الـ
+
+199
+00:16:07,610 --> 00:16:10,650
+Urinary Tract System أسباب عادية تتجه إلى أسباب
+
+200
+00:16:10,650 --> 00:16:12,110
+عادية تتجه إلى أسباب عادية تتجه إلى أسباب عادية
+
+201
+00:16:12,110 --> 00:16:14,230
+تتجه إلى أسباب عادية تتجه إلى أسباب عادية تتجه إلى
+
+202
+00:16:14,230 --> 00:16:17,210
+أسباب عادية تتجه إلى أسباب عادية تتجه إلى أسباب
+
+203
+00:16:17,210 --> 00:16:20,650
+عادية تتجه إلى أسباب عادية تتجه إلى أسباب عادية
+
+204
+00:16:20,650 --> 00:16:23,590
+تتجه إلى أسباب عادية تتجه إلى أسباب عادية تتجه إلى
+
+205
+00:16:23,590 --> 00:16:24,970
+أسباب عادية تتجه إلى أسباب عادية تتجه إلى أسباب
+
+206
+00:16:24,970 --> 00:16:28,850
+عادية تتجه إلى أسباب عادية تتجه إلى أسباب عادية
+
+207
+00:16:28,850 --> 00:16:34,360
+تتجه إلى أسباب عادية تتجلأي سبب من الأسباب يدخلنا
+
+208
+00:16:34,360 --> 00:16:42,180
+في الـ Prerenal Failure ‏Hepatorenal Syndrome اللي
+
+209
+00:16:42,180 --> 00:16:46,720
+لما يصير أندي مشكلة في الكلة ممكن تأثرلي على الـ
+
+210
+00:16:46,720 --> 00:16:51,660
+System وهذا بيأثر على الـ Renal Perfusion
+
+211
+00:16:51,660 --> 00:16:55,140
+‏Vascular
+
+212
+00:16:55,140 --> 00:17:00,460
+Problemسواء الـ Renal Vein أو Trombosis Infection
+
+213
+00:17:00,460 --> 00:17:06,080
+أو Sepsis في الجسم، هذا كله بـ Renal Causes الـ
+
+214
+00:17:06,080 --> 00:17:09,220
+Renal Causes، الـ Damage بيصير في الـ Kidney
+
+215
+00:17:09,220 --> 00:17:17,060
+itself زي Toxins أو Pedication، غسيل كيلة عصبي
+
+216
+00:17:17,060 --> 00:17:21,440
+المثال اللي بيصير أحيان في بعض أمراض الكيلة، كل
+
+217
+00:17:21,440 --> 00:17:27,260
+مرض بصيب الكيلة نفسها، بديني Renal Failureالـ
+
+218
+00:17:27,260 --> 00:17:34,260
+postrenal هو كل شيء بيجي بعد الـ kidney postrenal
+
+219
+00:17:34,260 --> 00:17:37,980
+obstructive causes إيش اللي بيجي بعد الكدن؟ الحالب
+
+220
+00:17:37,980 --> 00:17:42,800
+و المثانا و ال .. و ال .. و ال prostate و ال
+
+221
+00:17:42,800 --> 00:17:47,120
+urethra صحيح؟ يبقى benign prostatic hypertrophy أو
+
+222
+00:17:47,120 --> 00:17:51,390
+prostate cancer ال kidney stonesالـ Kidney stones
+
+223
+00:17:51,390 --> 00:17:55,030
+بعتبرها post-renal وأي أبدومينال ماليجنانسي
+
+224
+00:17:55,030 --> 00:18:00,590
+كولوريكتل كانسر أوفريان كانسر اللي هي السرطان
+
+225
+00:18:00,590 --> 00:18:08,850
+المبايد أو سرطان الأمعاء وهذه بتتغطي على الـ
+
+226
+00:18:08,850 --> 00:18:14,810
+urinary tract فبتعملي post-renal failure الـ signs
+
+227
+00:18:14,810 --> 00:18:18,640
+and symptomsفي الـ Acute Renal Failure ‏does not
+
+228
+00:18:18,640 --> 00:18:21,940
+produce ‏a classic set of symptoms عادةً ‏the most
+
+229
+00:18:21,940 --> 00:18:26,620
+common symptom أنه بلاقي البول جل ‏وهذا بيحصل في
+
+230
+00:18:26,620 --> 00:18:31,840
+70% من المرضى أن البول بجل ‏وسهل طبعا تشخيص الـ
+
+231
+00:18:31,840 --> 00:18:34,920
+Acute Renal Failure ‏بنعمل الـ urea و الكرية ‏اللي
+
+232
+00:18:34,920 --> 00:18:38,460
+هي kidney function test ‏اليوريا و الكرية في الدم
+
+233
+00:18:38,460 --> 00:18:42,400
+فحص دم عادي ‏وبلاقيهم عالجين فبقول أن البني آدم
+
+234
+00:18:42,400 --> 00:18:46,740
+‏دخل في Renal Failure ‏العلاج عادةً
+
+235
+00:18:51,510 --> 00:18:55,870
+بأدّي drugs زي لازكس ودوبامين ممكن أدّي أعمل غسيل
+
+236
+00:18:55,870 --> 00:19:00,450
+كيلة لمرحلة معينة ممكن بعد ذلك أدخل على غسيل كيلة
+
+237
+00:19:00,450 --> 00:19:07,570
+مستمر لو دخل البني آدم في chronic renal failure أو
+
+238
+00:19:07,570 --> 00:19:10,750
+peritoneal dialysis اللي هو سنتعرف عليه بعد شوية
+
+239
+00:19:10,750 --> 00:19:15,150
+في آخر المحاضرة Prognosis before the development
+
+240
+00:19:15,150 --> 00:19:19,640
+of renal replacement therapyقبل ما صار قضية اللي
+
+241
+00:19:19,640 --> 00:19:25,860
+هي غسيل الكيلة ونقل الكيلة زراعة الكيلة كتير من
+
+242
+00:19:25,860 --> 00:19:28,720
+الناس اللي كان يكون عنده Acute Renal Failure ولو
+
+243
+00:19:28,720 --> 00:19:32,880
+لسبب بسيط كان يموتوا يموتوا بـ Hyperkalemia و
+
+244
+00:19:32,880 --> 00:19:36,900
+Acidosis حموضة و Hyperkalemia زيادة في البوتاسيوم
+
+245
+00:19:36,900 --> 00:19:41,460
+أو من نفسهم تكسين يوريميكي Patients with acute
+
+246
+00:19:41,460 --> 00:19:44,300
+renal failure are at riskfor numerous
+
+247
+00:19:44,300 --> 00:19:48,500
+complications that may lead to death such as طبعا
+
+248
+00:19:48,500 --> 00:19:50,880
+اللي بيصير عنده acute renal failure ممكن يدخل في
+
+249
+00:19:50,880 --> 00:19:54,820
+seizures في bleeding في coma ليش؟ لأن الكيلة مش
+
+250
+00:19:54,820 --> 00:19:58,900
+شغالة باختصار فاللبد أنه أحطه على الجهاز أغسله حتى
+
+251
+00:19:58,900 --> 00:20:05,290
+لو لفترة بسيطةولأن الـ Dialysis effectively treats
+
+252
+00:20:05,290 --> 00:20:09,430
+the life-threatening complications of acute renal
+
+253
+00:20:09,430 --> 00:20:12,930
+failure advanced age and underlying diseases are
+
+254
+00:20:12,930 --> 00:20:16,510
+more likely to determine the risk of a patient's
+
+255
+00:20:16,510 --> 00:20:19,290
+dying from acute renal failure بطل acute renal
+
+256
+00:20:19,290 --> 00:20:23,190
+failure itself يموت الناس صار المرض الأساسي اللي
+
+257
+00:20:23,190 --> 00:20:27,450
+دخل عشانه الواحد المستشفيات هو اللي ممكن يموت
+
+258
+00:20:27,450 --> 00:20:31,930
+البناء أدمينهذا بيدخلنا على الـ Chronic Renal
+
+259
+00:20:31,930 --> 00:20:39,720
+Failure الفشل الكلوي المزمنهو عبارة عن فقدان
+
+260
+00:20:39,720 --> 00:20:47,480
+وظائف الـ kidney باستمرار لحد ما تصبح الكيلة
+
+261
+00:20:47,480 --> 00:20:51,240
+مشغولة بالمرة الـ kidneys attempt to compensate
+
+262
+00:20:51,240 --> 00:20:54,620
+عادةً لما يصير عندنا مشاكل لأن سبب من الأسباب في
+
+263
+00:20:54,620 --> 00:21:00,090
+الكيلتين بتحاول خلايا الكيلة تعمل عملية تعويضللـ
+
+264
+00:21:00,090 --> 00:21:07,260
+«نيفرونز» اللي damaged كيف تعمل hyper filtrationفي
+
+265
+00:21:07,260 --> 00:21:10,000
+الـ «نفرونز» اللي موجودة يعني أنا عندي مليون في
+
+266
+00:21:10,000 --> 00:21:13,920
+الكلاهي ومليون في الكلاهي أجوا والله صار damage
+
+267
+00:21:13,920 --> 00:21:17,700
+نتيجة أدوية نتيجة أي سبب من الأسباب 800 ألفان و800
+
+268
+00:21:17,700 --> 00:21:21,340
+ألفان دان عندي 200 ألف 200 ألف هدول الـ 200 ألف
+
+269
+00:21:21,340 --> 00:21:25,460
+بيشتغلوا شغل المليون بيعملوا Hyperfiltration
+
+270
+00:21:25,460 --> 00:21:31,060
+Excessive straining of the blood بيصفوا الدم تصفية
+
+271
+00:21:31,060 --> 00:21:34,940
+تامة within the remaining functional nephrons اللي
+
+272
+00:21:34,940 --> 00:21:42,380
+ضايلين هم بيشتغلوا شغلاللي راحوا لكن بالواجهة الـ
+
+273
+00:21:42,380 --> 00:21:46,500
+200 ألف دول اللي جاعدين يشتغلوا لو كان مقدرالهم
+
+274
+00:21:46,500 --> 00:21:51,900
+يقعدوا سنة عشان اشتغلوا بزيادة بيروحوا إيشبيصير
+
+275
+00:21:51,900 --> 00:21:55,500
+لهم damaging في فترة أقل يعني بدل ما يقعدوا كمان
+
+276
+00:21:55,500 --> 00:21:58,480
+سنة بيقعدوا كمان تلت اربعته الشهور بس ليه؟ وهذا
+
+277
+00:21:58,480 --> 00:22:02,320
+اللي بنقول عنه hyperfiltration causes further loss
+
+278
+00:22:02,320 --> 00:22:05,900
+of function chronic loss of function causes
+
+279
+00:22:05,900 --> 00:22:09,280
+generalized wasting الكلاب تدمر progressive
+
+280
+00:22:09,280 --> 00:22:12,660
+scarring ويصير لها عملية scarring بتصير وكأنها
+
+281
+00:22:12,660 --> 00:22:17,820
+خلايا جلدية ماتبطل تشتغل إذا 70% of normal
+
+282
+00:22:17,820 --> 00:22:23,530
+combined function of both kidneys is lost70% راحوا
+
+283
+00:22:23,530 --> 00:22:27,550
+وظيفة الكلة من الكلتين ‏the most patient begin to
+
+284
+00:22:27,550 --> 00:22:30,890
+experience ‏symptoms of kidney failure ‏ببدأ
+
+285
+00:22:30,890 --> 00:22:34,670
+المريض يصير عنده فشل اكلوي ‏the most common causes
+
+286
+00:22:34,670 --> 00:22:37,390
+of chronic renal failure ‏بدأ نرجع للدرسين
+
+287
+00:22:37,390 --> 00:22:44,070
+الأولانيات، تفكرينهم؟ السكري والضغط ‏هم أكبر سببين
+
+288
+00:22:44,070 --> 00:22:50,470
+بيعملونا chronic renal failureالـ Chronic Renal
+
+289
+00:22:50,470 --> 00:22:56,170
+Failure الحقيقية أنه فيه له symptoms، neurological
+
+290
+00:22:56,170 --> 00:22:59,810
+system، gastrointestinal system، على الـ blood
+
+291
+00:22:59,810 --> 00:23:04,630
+-forming system، يعني هذا بس غيض من فايدة، هذا بس
+
+292
+00:23:04,630 --> 00:23:07,350
+بسيط اللي احنا بنحكي فيه، حاجات أكتر من هيك عادة
+
+293
+00:23:08,270 --> 00:23:10,770
+اللي نيرولوجيكال أنه بلاقي صار عندهم cognitive
+
+294
+00:23:10,770 --> 00:23:15,390
+impairment فانت سهل جدا يجيني طبعا عشان الكلوي
+
+295
+00:23:15,390 --> 00:23:19,430
+الأهلي يقولك والله ابني يا دكتور حسه مش ذكي طبعا
+
+296
+00:23:19,430 --> 00:23:23,010
+هو عنده chronic renal failure أو بيحكيش زي الناس
+
+297
+00:23:23,010 --> 00:23:25,570
+أو كلامه كذا personality changes
+
+298
+00:23:29,020 --> 00:23:33,200
+الأستاركسز اللي هي عبارة عن رجة في الإيد تصير
+
+299
+00:23:33,200 --> 00:23:37,380
+seizures تشنجات بيلاقي عندهم nausea بيلاقي عندهم
+
+300
+00:23:37,380 --> 00:23:41,280
+vomiting بيلاقي عندهم هدول الناس بيحسوا طعم الأكل
+
+301
+00:23:41,280 --> 00:23:44,640
+plant metallic في تمهبلاد فورمت سيستم أه دي من
+
+302
+00:23:44,640 --> 00:23:47,540
+الحاجات الأساسية جدا إنه كتير من اللي عنده chronic
+
+303
+00:23:47,540 --> 00:23:51,160
+renal failure بدخلوا في أنيميا والسبب إيش حاجة
+
+304
+00:23:51,160 --> 00:23:54,420
+اسمها erythropoietin deficiency نقص في
+
+305
+00:23:54,420 --> 00:23:58,380
+الـerythropoietin وهذا الـerythropoietin يفرز في
+
+306
+00:23:58,380 --> 00:24:03,950
+الكلةوهو مهم للـ Blood Forming System ونقصه
+
+307
+00:24:03,950 --> 00:24:08,510
+بيعملّي Anemia وهدول الناس بيصير عندهم Easy
+
+308
+00:24:08,510 --> 00:24:13,030
+Bruising بيصير عندهم زي البجع الزرق بسهولة وبيصير
+
+309
+00:24:13,030 --> 00:24:16,670
+عندهم نزيف نتيجة وجود Abnormal Plateless صفايح
+
+310
+00:24:16,670 --> 00:24:21,210
+الدموية بيصير شكلها نتيجة الـUrea اللي موجودة
+
+311
+00:24:21,210 --> 00:24:28,260
+والـToxins بتغير شكلها فبيعملنامشاكل الـ Bleeding
+
+312
+00:24:28,260 --> 00:24:32,840
+كيف بنشخص الـ Chronic Renal Failure؟ خدوا بالكم أن
+
+313
+00:24:32,840 --> 00:24:36,280
+هذه الجاذبية Diagnosed by the observation of the
+
+314
+00:24:36,280 --> 00:24:39,400
+combination of symptoms وبلاجي اليوريا والكريا
+
+315
+00:24:39,400 --> 00:24:44,680
+عالين بلاجي بيصير عندهم هدول Anemiaبيصير عندهم
+
+316
+00:24:44,680 --> 00:24:49,960
+hypocalcemia، بيصير عندهم hyperphosphatemia، و
+
+317
+00:24:49,960 --> 00:24:53,800
+بيصير عندهم hyperkalemia، إيش يعني hyperkalemia؟
+
+318
+00:24:53,800 --> 00:24:56,540
+blood level of potassium بيبقى عالي، بيصير عندهم
+
+319
+00:24:56,540 --> 00:25:01,320
+hyponatremia، بينجسد ال sodium تبعهم، و طبعا low
+
+320
+00:25:01,320 --> 00:25:07,080
+level of bicarbonate، و low plasma pH، يعني ال
+
+321
+00:25:07,080 --> 00:25:12,480
+acidity بتكون عاليةحمودة يعني بيصير في الدم العلاج
+
+322
+00:25:12,480 --> 00:25:14,420
+اه العلاج
+
+323
+00:25:18,000 --> 00:25:22,420
+وعندما يتم التجارب الروحية، يتم التجارب الروحية
+
+324
+00:25:22,420 --> 00:25:27,260
+تحاول تحقيق السبب، وإذا كان ممكن، تخطيط تجارب
+
+325
+00:25:27,260 --> 00:25:34,580
+محددة وطبعاً فيه تجارب غير محددة، يبدأ الواحد يدّي
+
+326
+00:25:34,580 --> 00:25:41,940
+بعض الأدوية وكذا، عشان تخطيط خطوة تخطيط الكدن أو
+
+327
+00:25:41,940 --> 00:25:47,760
+يعملوا delayingزي مثلا لو السبب hypertension بيعمل
+
+328
+00:25:47,760 --> 00:25:51,440
+control للـ hypertension بيخفف من ال dietary
+
+329
+00:25:51,440 --> 00:25:57,080
+protein بيخفف ال protein يعني زي ما بقولها مرحلة
+
+330
+00:25:57,080 --> 00:26:01,220
+ما قبل ال end stage renal failure يعني آخر مرحلة
+
+331
+00:26:01,220 --> 00:26:04,660
+من مراحل الفشل الكلوي المرحلة اللي جابلها بيحاول
+
+332
+00:26:04,660 --> 00:26:09,840
+أيش يتحكم فيها لكن زبط الموضوع بنأخر شوية في الآخر
+
+333
+00:26:09,840 --> 00:26:14,890
+بنلاقي أن المريض هيحتاج منهاهي حاجة اسمها RRT
+
+334
+00:26:14,890 --> 00:26:18,830
+رينال ريبليزمنت تيرابي رينال ريبليزمنت تيرابي
+
+335
+00:26:18,830 --> 00:26:19,190
+رينال ريبليزمنت تيرابي رينال ريبليزمنت تيرابي
+
+336
+00:26:19,190 --> 00:26:21,350
+رينال ريبليزمنت تيرابي رينال ريبليزمنت تيرابي
+
+337
+00:26:21,350 --> 00:26:21,970
+رينال ريبليزمنت تيرابي رينال ريبليزمنت تيرابي
+
+338
+00:26:21,970 --> 00:26:24,470
+رينال ريبليزمنت تيرابي رينال ريبليزمنت تيرابي
+
+339
+00:26:24,470 --> 00:26:26,170
+رينال ريبليزمنت تيرابي رينال ريبليزمنت تيرابي
+
+340
+00:26:26,170 --> 00:26:28,350
+رينال ريبليزمنت تيرابي رينال ريبليزمنت تيرابي رينا
+
+341
+00:26:28,390 --> 00:26:31,870
+وممكن يحتاج في بعض الأحيان لـ kidney مش في بعض
+
+342
+00:26:31,870 --> 00:26:38,510
+الأحيان هو الهدف من الأمر كله إنه مع الوقت يستطيع
+
+343
+00:26:38,510 --> 00:26:41,890
+ياخد kidney transplantation وإلا إيش الفايدة مش
+
+344
+00:26:41,890 --> 00:26:47,910
+هيقعد ألف سنة وإحنا نغسله إن ماكانش فيه أمل لأنه
+
+345
+00:26:47,910 --> 00:26:50,930
+في يوم الأيام يصيرله kidney transplantation الأمور
+
+346
+00:26:50,930 --> 00:26:53,110
+بتبقى بغض النظر عن طريقة الـ kidney
+
+347
+00:26:53,110 --> 00:26:57,150
+transplantation الأمر بيبقى أصعب الـ prognosis
+
+348
+00:27:04,770 --> 00:27:09,410
+يبقى كمان مرة الـ chronic renal failure is often
+
+349
+00:27:09,410 --> 00:27:13,490
+insidious in its onset and progression. The rate
+
+350
+00:27:13,490 --> 00:27:16,330
+of progression is variable but usually renal
+
+351
+00:27:16,330 --> 00:27:20,490
+function steadily decline resulting أدى نهاية
+
+352
+00:27:20,490 --> 00:27:26,370
+الأموربـEnd-Stage Renal Failure نعود نرجع بالنسبة
+
+353
+00:27:26,370 --> 00:27:30,090
+للـRRT أو الـRenal Replacement Therapy فيه تلت
+
+354
+00:27:30,090 --> 00:27:32,890
+أنواع من الـDialysis احنا بهمنا الـHemodialysis
+
+355
+00:27:32,890 --> 00:27:37,510
+Dialysis of soluble substances المواد المذابة and
+
+356
+00:27:37,510 --> 00:27:41,090
+water والدم والميه from the body by diffusion
+
+357
+00:27:41,090 --> 00:27:45,390
+through semi-permeable membrane سبحان الله العظيم
+
+358
+00:27:45,390 --> 00:27:50,220
+احنا الكلة يدوبها خمسة في عشرة صنطةبتجوب كل هالشغل
+
+359
+00:27:50,220 --> 00:27:54,480
+وتعالى وشوفه في الغسيل الكلة بتلاقي حالك بتحكي عن
+
+360
+00:27:54,480 --> 00:28:00,820
+مكينة بأدواتها بـ UPS بماعرفش إيش وواحد بيقعدلها
+
+361
+00:28:00,820 --> 00:28:07,040
+وتغيير الدم وطبعا أمر غاية في الصعوبة غاية في
+
+362
+00:28:07,040 --> 00:28:09,780
+الصعوبة وإحنا مش حاسين بنعمل اللي إحنا فيها الـ
+
+363
+00:28:09,780 --> 00:28:13,640
+Hemodialysis ياريت تشوفوا فيديو على كيف بيشتغل الـ
+
+364
+00:28:13,640 --> 00:28:17,440
+Hemodialysis على اليوتيوبالحجة التانية الـ
+
+365
+00:28:17,440 --> 00:28:20,740
+peritoneal dialysis اللي هو removal from the body
+
+366
+00:28:20,740 --> 00:28:24,620
+of syllable substance and water by transfer across
+
+367
+00:28:24,620 --> 00:28:27,640
+the peritoneum زي ما احنا شايفين في الصورة انه
+
+368
+00:28:27,640 --> 00:28:31,640
+اللي بيشتغل شغل المكينة البروتونيوم من جوا بيصير
+
+369
+00:28:31,640 --> 00:28:33,580
+عملية transfer of
+
+370
+00:28:42,700 --> 00:28:47,000
+وهي تعمل عملية
+
+371
+00:28:47,000 --> 00:28:49,980
+البريتونيال ديالوز بس طبعا هي بدها بعض الأحيان
+
+372
+00:28:49,980 --> 00:28:53,740
+بيحطلها واحد جهاز لكن هي يدوية وبيستطيعوا الأهالي
+
+373
+00:28:53,740 --> 00:29:00,100
+في بيوتهم يشتغلوها ولكن ممكن تعمل مشاكلوبعد ذلك،
+
+374
+00:29:00,100 --> 00:29:03,400
+يوجد الـ Hemofiltration، عملية مشابهة إلى الـ
+
+375
+00:29:03,400 --> 00:29:07,860
+Hemodialysis بما يتم دياليزة الدم باستخدام عملية
+
+376
+00:29:07,860 --> 00:29:14,380
+Ultra-filtration وعادةً لإزالة نوع من الأدوية
+
+377
+00:29:14,380 --> 00:29:19,060
+والحاجاتطبعاً في الآخر بيظل الحل اللي هو الـ
+
+378
+00:29:19,060 --> 00:29:24,240
+Kidney Transplantation لمعظم هؤلاء المرضى زي ما
+
+379
+00:29:24,240 --> 00:29:26,840
+قلتلكوا حاولوا برضه تشوفوا فيديو عن Kidney
+
+380
+00:29:26,840 --> 00:29:29,940
+Transplantation حاجة سهلة وبسيطة المهم يكون فيه
+
+381
+00:29:29,940 --> 00:29:35,120
+متبرع لهؤلاء أشكركم على حسن الاستماع إن شاء الله
+
+382
+00:29:35,120 --> 00:29:39,620
+هنحاول خلال الأسبوع هذا أبعتلكم كمان محاضرتين عشان
+
+383
+00:29:39,620 --> 00:29:44,200
+إيش نحاول ننهي المنهج إن شاء الله تعالى ويعطيكم
+
+384
+00:29:44,200 --> 00:29:44,600
+العافية
+
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/kYZ19Phl55w_raw.json b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/kYZ19Phl55w_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..5707e1b8220eafd7a06a68334dee81ee377bee1b
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/kYZ19Phl55w_raw.json
@@ -0,0 +1 @@
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"temperature": 1.0}, {"id": 62, "seek": 145553, "start": 1428.91, "end": 1455.53, "text": "وهو simple test records any abnormal findings in the heart electrical impulse وبيصير عن طريق electrodes زي ما احنا شايفين في الصورة ويمكن شفتوها في المستشفيات عن طريق electrodes بتبتحط على السدر وعلى الإدلين والرجلين ال echo مختلف ال echo it may be ordered if your doctor suspects a problem in the heart muscle إذا في عندي مشكلة في ال muscle أو في ال valves", "tokens": [2407, 3224, 2407, 2199, 1500, 7724, 604, 32847, 16483, 294, 264, 1917, 12147, 26857, 4032, 21292, 9381, 13546, 18871, 23032, 16572, 4587, 47824, 30767, 1829, 19446, 1975, 5016, 8315, 13412, 995, 33911, 9957, 8978, 31767, 13063, 3660, 4032, 32640, 19452, 13412, 5172, 2655, 2407, 11296, 8978, 9673, 14851, 8592, 41185, 9307, 18871, 23032, 16572, 4587, 47824, 39894, 3555, 2655, 5016, 9566, 15844, 21136, 3215, 2288, 4032, 3615, 23942, 33688, 3215, 1211, 9957, 16070, 47341, 1211, 9957, 2423, 14300, 3714, 46456, 46538, 2423, 14300, 309, 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أثناء الجهد Stress Test أثناء الجهد ECG أثناء الجهد يعني لو ببينش", "tokens": [3224, 24192, 27188, 2288, 4587, 49374, 2423, 39184, 19081, 38, 4032, 2423, 39184, 31887, 38258, 9279, 23758, 18871, 23032, 16572, 4587, 2423, 39184, 46374, 34051, 2423, 39184, 5380, 14739, 3224, 41850, 4724, 25957, 43761, 19081, 38, 5551, 12984, 1863, 16606, 4724, 8592, 38688, 4032, 11242, 3615, 25062, 46152, 5551, 12984, 1863, 16606, 2423, 39184, 4001, 31941, 313, 5551, 12984, 1863, 16606, 25724, 3224, 3215, 38258, 9279, 5551, 12984, 1863, 16606, 25724, 3224, 3215, 19081, 38, 5551, 12984, 1863, 16606, 25724, 3224, 3215, 37495, 22653, 45164, 4724, 21292, 1863, 8592], "avg_logprob": -0.20954861640930175, "compression_ratio": 1.7513227513227514, "no_speech_prob": 1.7881393432617188e-06, "words": [{"start": 1457.95, "end": 1458.77, "word": "هذه", "probability": 0.38702392578125}, {"start": 1458.77, "end": 1459.07, "word": " الفرق", "probability": 0.9122721354166666}, {"start": 1459.07, "end": 1459.33, "word": " 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"word": " الجاية", "probability": 0.8763020833333334}, {"start": 1891.91, "end": 1892.39, "word": " يتحول", "probability": 0.9864501953125}, {"start": 1892.39, "end": 1892.75, "word": " التعليم", "probability": 0.9556884765625}, {"start": 1892.75, "end": 1893.17, "word": " للتعليم", "probability": 0.86728515625}, {"start": 1893.17, "end": 1893.73, "word": " وجاهي", "probability": 0.7661946614583334}, {"start": 1893.73, "end": 1894.17, "word": " يبقى", "probability": 0.842529296875}, {"start": 1894.17, "end": 1894.31, "word": " في", "probability": 0.81494140625}, {"start": 1894.31, "end": 1894.63, "word": " فرصة", "probability": 0.931640625}, {"start": 1894.63, "end": 1895.01, "word": " أكبر", "probability": 0.9500325520833334}, {"start": 1895.01, "end": 1895.25, "word": " أن", "probability": 0.6181640625}, {"start": 1895.25, "end": 1895.71, "word": " الواحد", "probability": 0.9567057291666666}, {"start": 1895.71, "end": 1896.51, "word": " يشرح", "probability": 0.9777018229166666}, {"start": 1896.51, "end": 1896.87, "word": " أكتر", "probability": 0.9744873046875}, {"start": 1896.87, "end": 1897.25, "word": " يعني", "probability": 0.798583984375}, {"start": 1897.25, "end": 1897.93, "word": " أتمنى", "probability": 0.91650390625}, {"start": 1897.93, "end": 1898.23, "word": " أن", "probability": 0.84521484375}, {"start": 1898.23, "end": 1898.59, "word": " تكونوا", "probability": 0.78857421875}, {"start": 1898.59, "end": 1899.03, "word": " الفكرة", "probability": 0.9874674479166666}, {"start": 1899.03, "end": 1899.51, "word": " وصلتكم", "probability": 0.875}, {"start": 1899.51, "end": 1899.65, "word": " في", "probability": 0.92822265625}, {"start": 1899.65, "end": 1899.97, "word": " قضية", "probability": 0.816162109375}, {"start": 1899.97, "end": 1900.65, "word": " الـCoronary", "probability": 0.58310546875}, {"start": 1900.65, "end": 1900.79, "word": " Heart", "probability": 0.5791015625}, {"start": 1900.79, "end": 1901.09, "word": " Disease", "probability": 0.890625}, {"start": 1901.09, "end": 1901.23, "word": " أو", "probability": 0.93212890625}, {"start": 1901.23, "end": 1901.63, "word": " الـChemical", "probability": 0.598583984375}, {"start": 1901.63, "end": 1901.79, "word": " Heart", "probability": 0.9453125}, {"start": 1901.79, "end": 1902.11, "word": " Disease", "probability": 0.9228515625}, {"start": 1902.11, "end": 1903.09, "word": " نصيختي", "probability": 0.840380859375}, {"start": 1903.09, "end": 1903.39, "word": " الحاجات", "probability": 0.9293619791666666}, {"start": 1903.39, "end": 1903.49, "word": " اللي", "probability": 0.885009765625}, {"start": 1903.49, "end": 1903.81, "word": " حكينا", "probability": 0.9578857421875}, {"start": 1903.81, "end": 1904.17, "word": " عنها", "probability": 0.995361328125}, {"start": 1904.17, "end": 1905.27, "word": " الـCabbage", "probability": 0.78017578125}], "temperature": 1.0}, {"id": 83, "seek": 193287, "start": 1906.47, "end": 1932.87, "text": "الـ Angioplasty مع الـ Ballooning مع وضع 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"avg_logprob": -0.14269111077647564, "compression_ratio": 1.7740585774058577, "no_speech_prob": 9.715557098388672e-06, "words": [{"start": 1906.47, "end": 1906.77, "word": "الـ", "probability": 0.770263671875}, {"start": 1906.77, "end": 1907.51, "word": " Angioplasty", "probability": 0.81805419921875}, {"start": 1907.51, "end": 1908.03, "word": " مع", "probability": 0.66162109375}, {"start": 1908.03, "end": 1908.21, "word": " الـ", "probability": 0.93408203125}, {"start": 1908.21, "end": 1908.89, "word": " Ballooning", "probability": 0.73828125}, {"start": 1908.89, "end": 1909.37, "word": " مع", "probability": 0.6533203125}, {"start": 1909.37, "end": 1909.69, "word": " وضع", "probability": 0.9923502604166666}, {"start": 1909.69, "end": 1909.85, "word": " الـ", "probability": 0.879150390625}, {"start": 1909.85, "end": 1910.33, "word": " Stent", "probability": 0.911865234375}, {"start": 1910.33, "end": 1910.95, "word": " مع", "probability": 0.384033203125}, {"start": 1910.95, "end": 1911.31, "word": " كيف", "probability": 0.8623046875}, {"start": 1911.31, "end": 1911.93, "word": " بنعمل", "probability": 0.9479166666666666}, {"start": 1911.93, "end": 1913.75, "word": " الـ", "probability": 0.706298828125}, {"start": 1913.75, "end": 1914.69, "word": " ECG", "probability": 0.9912109375}, {"start": 1914.69, "end": 1915.73, "word": " كيف", "probability": 0.797607421875}, {"start": 1915.73, "end": 1916.39, "word": " بنعمل", "probability": 0.9855143229166666}, {"start": 1916.39, "end": 1917.77, "word": " الـ", "probability": 0.91943359375}, {"start": 1917.77, "end": 1918.15, "word": " ECO", "probability": 0.51953125}, {"start": 1918.15, "end": 1918.83, "word": " كيف", "probability": 0.921142578125}, {"start": 1918.83, "end": 1919.39, "word": " بنعمل", "probability": 0.9915364583333334}, {"start": 1919.39, "end": 1919.85, "word": " الـ", "probability": 0.93017578125}, {"start": 1919.85, "end": 1920.29, "word": " Stress", "probability": 0.865234375}, {"start": 1920.29, "end": 1920.73, "word": " Test", "probability": 0.876953125}, {"start": 1920.73, "end": 1921.41, "word": " حاولوا", "probability": 0.9632568359375}, {"start": 1921.41, "end": 1921.75, "word": " على", "probability": 0.50439453125}, {"start": 1921.75, "end": 1922.89, "word": " فيديوهات", "probability": 0.97255859375}, {"start": 1922.89, "end": 1923.11, "word": " على", "probability": 0.8857421875}, {"start": 1923.11, "end": 1923.53, "word": " اليوتيوب", "probability": 0.8629150390625}, {"start": 1923.53, "end": 1923.75, "word": " وهذا", "probability": 0.761474609375}, {"start": 1923.75, "end": 1924.05, "word": " سهل", "probability": 0.9148763020833334}, {"start": 1924.05, "end": 1926.01, "word": " وموجودة", "probability": 0.87158203125}, {"start": 1926.01, "end": 1926.55, "word": " تحاولوا", "probability": 0.969921875}, {"start": 1926.55, "end": 1926.83, "word": " تشوفوا", "probability": 0.9957275390625}, {"start": 1926.83, "end": 1927.03, "word": " كيف", "probability": 0.955810546875}, {"start": 1927.03, "end": 1927.55, "word": " بنعمل", "probability": 0.9777018229166666}, {"start": 1927.55, "end": 1928.19, "word": " وهذا", "probability": 0.912841796875}, {"start": 1928.19, "end": 1928.69, "word": " كتير", "probability": 0.8478190104166666}, {"start": 1928.69, "end": 1929.01, "word": " مهم", "probability": 0.99072265625}, {"start": 1929.01, "end": 1929.39, "word": " بالنسبة", "probability": 0.9906005859375}, {"start": 1929.39, "end": 1929.69, "word": " لنا", "probability": 0.8408203125}, {"start": 1929.69, "end": 1929.89, "word": " ال", "probability": 0.87353515625}, {"start": 1929.89, "end": 1930.27, "word": " assignment", "probability": 0.5048828125}, {"start": 1930.27, "end": 1930.77, "word": " تبعنا", "probability": 0.889892578125}, {"start": 1930.77, "end": 1931.71, "word": " فاكرينه", "probability": 0.9212890625}, {"start": 1931.71, "end": 1931.95, "word": " ولا", "probability": 0.515625}, {"start": 1931.95, "end": 1932.55, "word": " أفكركوا", "probability": 0.861328125}, {"start": 1932.55, "end": 1932.87, "word": " فيه؟", "probability": 0.9734700520833334}], "temperature": 1.0}, {"id": 84, "seek": 193951, "start": 1933.69, "end": 1939.51, "text": "أكيد فاكرينه يطيكوا العافية للمحاضرة اللي جاي ان شاء الله تعالى وانهاركوا سعيد", "tokens": [10721, 4117, 25708, 6156, 995, 37983, 9957, 3224, 7251, 9566, 1829, 4117, 14407, 18863, 31845, 10632, 5296, 19528, 5016, 46958, 25720, 13672, 1829, 10874, 47302, 16472, 13412, 16606, 21984, 37279, 6027, 7578, 4032, 7649, 3224, 9640, 4117, 14407, 8608, 3615, 25708], "avg_logprob": -0.14639136762846083, "compression_ratio": 1.411764705882353, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1933.69, "end": 1934.07, "word": "أكيد", "probability": 0.9718424479166666}, {"start": 1934.07, "end": 1934.77, "word": " فاكرينه", "probability": 0.90283203125}, {"start": 1934.77, "end": 1935.49, "word": " يطيكوا", "probability": 0.71982421875}, {"start": 1935.49, "end": 1935.93, "word": " العافية", "probability": 0.94091796875}, {"start": 1935.93, "end": 1936.51, "word": " للمحاضرة", "probability": 0.95478515625}, {"start": 1936.51, "end": 1936.63, "word": " اللي", "probability": 0.812744140625}, {"start": 1936.63, "end": 1936.79, "word": " جاي", "probability": 0.816162109375}, {"start": 1936.79, "end": 1936.89, "word": " ان", "probability": 0.470458984375}, {"start": 1936.89, "end": 1937.05, "word": " شاء", "probability": 0.979736328125}, {"start": 1937.05, "end": 1937.17, "word": " الله", "probability": 0.94287109375}, {"start": 1937.17, "end": 1937.63, "word": " تعالى", "probability": 0.9441731770833334}, {"start": 1937.63, "end": 1938.83, "word": " وانهاركوا", "probability": 0.8504638671875}, {"start": 1938.83, "end": 1939.51, "word": " سعيد", "probability": 0.9908854166666666}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 1944.0675, "duration_after_vad": 1876.8987499999948}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/lMeQfR9pIbs_postprocess.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/lMeQfR9pIbs_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..5a145993fb20bf5b8acffa4dd0b7537b97bed034
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/lMeQfR9pIbs_postprocess.srt
@@ -0,0 +1,1332 @@
+1
+00:00:01,110 --> 00:00:04,230
+بسم الله الرحمن الرحيم إن شاء الله اليوم هنبدأ
+
+2
+00:00:04,230 --> 00:00:12,490
+بأخر محاضرة في المساق، يعني احنا كنا الأخر محاضرة
+
+3
+00:00:12,490 --> 00:00:16,990
+كانت المرة اللي فاتت كانت عن ال cancer، تحدثنا عن
+
+4
+00:00:16,990 --> 00:00:23,660
+ال classification و بعض ال terminologyووصلنا لحد
+
+5
+00:00:23,660 --> 00:00:27,420
+ال screening وقلنا screening إذا فاكرين إنه طبعا
+
+6
+00:00:27,420 --> 00:00:32,500
+هكمل أنا جزء من المحاضرة هذه لحد slide 33 مش هكمل
+
+7
+00:00:32,500 --> 00:00:39,280
+بعدها وأنجل على leukemia وكمان حوالي 10-15 slide
+
+8
+00:00:39,280 --> 00:00:44,870
+طولوا روحكم معايا شويةالـ Screening هو checking
+
+9
+00:00:44,870 --> 00:00:49,730
+for cancer when there is no symptoms، it's called
+
+10
+00:00:49,730 --> 00:00:52,970
+screening، مش أنه أنا والله حاسس عندي مشكلة معينة،
+
+11
+00:00:52,970 --> 00:00:56,050
+روحت عملت فحص، بقول عنه Screening، لأ Screening
+
+12
+00:00:56,050 --> 00:01:02,870
+لما أنا أروح للفحص أو lab test أو أي test ده
+
+13
+00:01:02,870 --> 00:01:06,990
+أعملها و أنا رايح لمجرد ال screening، مش لوجود
+
+14
+00:01:06,990 --> 00:01:13,040
+symptoms،طيب ندخل شوية على كيف يتعالج الـ cancer
+
+15
+00:01:13,040 --> 00:01:19,100
+طبعاً في number of cancer treatment surgeryردياشم
+
+16
+00:01:19,100 --> 00:01:24,040
+الإشعاع كيموثيرابي اللي كنا بنعرفه and palliative
+
+17
+00:01:24,040 --> 00:01:27,480
+for some cancers وحنحكي عن بعض الحاجات كمان
+
+18
+00:01:27,480 --> 00:01:32,160
+الكيموثيرابي زي ما احنا عارفين one o بنعالج عادة
+
+19
+00:01:32,160 --> 00:01:37,640
+بcycle يعني مش ممكن دوة واحد اللي هو anticancer أو
+
+20
+00:01:37,640 --> 00:01:42,580
+antineoplastic drug دوة واحد كيموثيرابي وممكن يكون
+
+21
+00:01:42,580 --> 00:01:49,440
+cycle مكون من عدة أدويةوطبعا الموضوع مش جاي على
+
+22
+00:01:49,440 --> 00:01:52,780
+باله الدكتور يعمل هيك، إنما اللي بيمشوا الدكاترة
+
+23
+00:01:52,780 --> 00:01:57,320
+عادة على standard، الريجيم standard أو guideline،
+
+24
+00:01:57,320 --> 00:02:00,340
+وفيه مدارس عادة، المدرسة الفرنسية، البريطانية،
+
+25
+00:02:00,340 --> 00:02:05,940
+الأمريكية، المصرية، الهندية، يعني كل .. في مدارس
+
+26
+00:02:05,940 --> 00:02:09,760
+لا ال guidelines هاي ولا الريجيم هاي، أما مش هيجي
+
+27
+00:02:09,760 --> 00:02:12,580
+على باله الدكتور مرة يحط الدواء هذا مع الدواء هذا،
+
+28
+00:02:12,580 --> 00:02:16,380
+ويشيل هذا ويحط هذا، لأإنما بيحددوا وبيعملوا في
+
+29
+00:02:16,380 --> 00:02:21,720
+الأول Grading للـCancer أي درجة من الدرجات وبعدين
+
+30
+00:02:21,720 --> 00:02:26,600
+بيتطلع في كتب أو في الـLiterature أو عن الـNet على
+
+31
+00:02:26,600 --> 00:02:31,980
+الريجيم تبع الإلاج الـChemotherapy Agents act by
+
+32
+00:02:31,980 --> 00:02:35,740
+killing cells that divide rapidly one of the main
+
+33
+00:02:35,740 --> 00:02:39,500
+properties for most cancer cells ده طبعا
+
+34
+00:02:39,500 --> 00:02:44,680
+الـChemotherapy مايعرفش يفرق بالخلايابدخل على
+
+35
+00:02:44,680 --> 00:02:48,000
+الجسم بيقضي على خلاية الـ tumor ولكن كمان على
+
+36
+00:02:48,000 --> 00:02:52,260
+الخلايا الطبيعية وهذا بيفرج عن علاج بنقول عنه ال
+
+37
+00:02:52,260 --> 00:02:55,940
+immunotherapy ال immunotherapy بتروح على خلايا ال
+
+38
+00:02:55,940 --> 00:03:02,860
+cancer بالذات قصوصي لإلها ال efficacy of cancer of
+
+39
+00:03:05,470 --> 00:03:10,750
+حسب طبعاً الـ Stage و الـ Type of Cancer ممكن يكون
+
+40
+00:03:10,750 --> 00:03:13,990
+في Combination مع Surgery مع Radiation على سبيل
+
+41
+00:03:13,990 --> 00:03:17,510
+المثال و زي ما في موجود هذا الكلام في الـ Breast
+
+42
+00:03:17,510 --> 00:03:20,810
+Cancer كله Rectal Cancer، Pancreatic Cancer أو
+
+43
+00:03:20,810 --> 00:03:25,990
+Varian Cancer أو في بعض أنواع الـ Lung Cancer الـ
+
+44
+00:03:25,990 --> 00:03:29,830
+Overall Effectiveness Range from Being Curative
+
+45
+00:03:29,830 --> 00:03:34,570
+ممكن يشفي شفاء تاماً for some cancer زي الـ
+
+46
+00:03:34,570 --> 00:03:38,850
+Leukemiato being ineffective زي الـ brain tumors
+
+47
+00:03:38,850 --> 00:03:44,190
+كيموثيرابي بيعملش حاجة فيها وممكن يوصل لإنه being
+
+48
+00:03:44,190 --> 00:03:48,950
+needless in others like most non-melanoma skin إنه
+
+49
+00:03:48,950 --> 00:03:54,710
+محتاجوش لإلها الحقيقة من الحاجات اللي بتخوفنا كتير
+
+50
+00:03:54,710 --> 00:03:57,030
+وما بنحبش إلها الكيموثيرابي اللي هي الـ side
+
+51
+00:03:57,030 --> 00:04:00,870
+effects لأنه زي ما قلنا الكيموثيرابي مش بس بروح
+
+52
+00:04:00,870 --> 00:04:07,080
+للخلايااللي فيها cancer إنما بيروح للخلايا السليمة
+
+53
+00:04:07,080 --> 00:04:10,140
+وبيبدأ أول ما بندى ال chemotherapy في الأيام
+
+54
+00:04:10,140 --> 00:04:16,900
+الأولى بيبدأ البني آدم يحس ب fatigue تعب عامطبعاً
+
+55
+00:04:16,900 --> 00:04:22,120
+لأن الخلايا جاعدين احنا بنحارب الخلايا بكيموثيرابي
+
+56
+00:04:22,120 --> 00:04:28,060
+ببدأ كمان ابنوزيا و vomiting موعت نفس و ناتج اربع
+
+57
+00:04:28,060 --> 00:04:31,580
+خمس ست ايام بعدين بتبدأ يتبين اللي هو حاجة اسمة
+
+58
+00:04:31,580 --> 00:04:37,520
+mouth source زي احتقانات في الفم وجروح في الفم
+
+59
+00:04:37,520 --> 00:04:41,320
+بعدين بيبقى على اليوم العاشر احداشر اتناشر طبعا
+
+60
+00:04:41,320 --> 00:04:45,680
+وبينزل بتبدأ المناعة الجل تبعته نتيجة نتيجة ال
+
+61
+00:04:45,680 --> 00:04:49,690
+chemotherapyبصير عندنا Nitropenia وبعدين بيصير
+
+62
+00:04:49,690 --> 00:04:54,370
+عندنا hair loss فقدان للشعر المنظر المعروف عند ناس
+
+63
+00:04:54,370 --> 00:04:59,710
+كتير من اللي بياخدوا chemotherapy طريقة العلاج
+
+64
+00:04:59,710 --> 00:05:03,140
+التانية ال radiationالإشعاع، العلاج بالإشعاع
+
+65
+00:05:03,140 --> 00:05:07,540
+Radiation involves the use of ionizing radiation
+
+66
+00:05:07,540 --> 00:05:11,320
+in an attempt to either cure أو improve the
+
+67
+00:05:11,320 --> 00:05:14,160
+symptoms يعني بعض الأحيان إحنا بس بدنا نخفف ال
+
+68
+00:05:14,160 --> 00:05:18,120
+symptoms نزغر ال cancer بال radiation أو طبعا ممكن
+
+69
+00:05:18,120 --> 00:05:22,300
+بعض الأنواع يعملوا curing، يعملوا شفاء it works by
+
+70
+00:05:22,300 --> 00:05:26,800
+damaging the DNA of cancerous tissue leading to
+
+71
+00:05:26,800 --> 00:05:32,990
+cellular death هاي الطريقة damaging of DNAلخلايا
+
+72
+00:05:32,990 --> 00:05:36,130
+الـ Cancer As with chemotherapy different cancers
+
+73
+00:05:36,130 --> 00:05:40,690
+respond differently to radiation therapy بمعنى أنا
+
+74
+00:05:40,690 --> 00:05:43,870
+مش كل واحد بنفع أديه chemotherapy مش كل واحد بنفع
+
+75
+00:05:43,870 --> 00:05:46,530
+أديله radiation
+
+76
+00:05:50,860 --> 00:05:53,780
+والرادياشن طبعاً بتنفعش لكل حوالي نص الحالات
+
+77
+00:05:53,780 --> 00:05:57,240
+بنفعلها رادياشن Typically used in addition to
+
+78
+00:05:57,240 --> 00:06:00,740
+surgery and chemotherapy but for certain types of
+
+79
+00:06:00,740 --> 00:06:05,620
+cancer زي yearly head أو neck cancer maybe used
+
+80
+00:06:05,620 --> 00:06:10,100
+alone ممكن الرادياشن يكون كفايةلو كان عندي Brain
+
+81
+00:06:10,100 --> 00:06:16,660
+tumor أو Neck tumors السيرجيري من اسمها دايماً
+
+82
+00:06:16,660 --> 00:06:20,380
+نقول الباب اللي بيجيك منه ريح صدوص تريح Primary
+
+83
+00:06:20,380 --> 00:06:25,140
+method of treatment of most isolated solid cancer
+
+84
+00:06:25,140 --> 00:06:30,600
+إيش يعني solid cancer؟ يعني cancer محط بأخشية مع
+
+85
+00:06:30,600 --> 00:06:36,660
+بعض كله ممكن أشيله كاملوهي أهم جزء من إجراء الـ
+
+86
+00:06:36,660 --> 00:06:40,720
+Definitive Diagnosis مش بس الجراحة بس عشان أشيل
+
+87
+00:06:40,720 --> 00:06:44,760
+الـ tumor إنما أيضا عشان أخد عينة و أعمله عملية
+
+88
+00:06:44,760 --> 00:06:53,840
+staging يعني بروح أفحص خلايا السلطان والـ tumor في
+
+89
+00:06:53,840 --> 00:06:57,840
+الـ biopsyوبشوف لأي stage واصلة في التطور تبع الـ
+
+90
+00:06:57,840 --> 00:07:00,960
+tumor الـ localized cancer surgery تبعًا يحاول
+
+91
+00:07:00,960 --> 00:07:05,440
+إزالة جميع المجموعات ومعها في بعض الحالات الـ
+
+92
+00:07:05,440 --> 00:07:08,580
+lymph nodes في المنطقة، مش بس مثلًا أنا ال breast
+
+93
+00:07:08,580 --> 00:07:16,140
+cancerوباخد كثير من الـ breast وبدأ يبعت عن الـ
+
+94
+00:07:16,140 --> 00:07:20,160
+lymph nodes اللي حوالي ال breast يبعت يبعت mets أو
+
+95
+00:07:20,160 --> 00:07:23,180
+metastases ساعتها بدأ أضطر أشيل كمان ال lymph
+
+96
+00:07:23,180 --> 00:07:26,240
+nodes اللي حوالين الـ cancer في إن ال
+
+97
+00:07:26,240 --> 00:07:29,760
+immunotherapy حكيت عنها أنا قبل شوي وقلت هي عبارة
+
+98
+00:07:29,760 --> 00:07:33,760
+عن stimulating or helping the immune system to
+
+99
+00:07:33,760 --> 00:07:40,350
+fight cancerقاموا بإستعمالها من سنة 97 وكانت هذه
+
+100
+00:07:40,350 --> 00:07:45,070
+المنطقة مجتمعًا مستعملًا للبحث والحال يعني شغالين
+
+101
+00:07:45,070 --> 00:07:49,470
+عليها وزي ما قلنا هي بتحارب الخلايا مباشرة خلاياً
+
+102
+00:07:49,980 --> 00:07:53,340
+فينا طبعاً بعض الحاجات اللي هي متداولة في مناطق
+
+103
+00:07:53,340 --> 00:07:56,540
+مختلفة من العالم الـAlternative Medicine أو الطب
+
+104
+00:07:56,540 --> 00:08:00,820
+اللي بنقول عنه بديل في ناس بنقول عنه الطب البديل
+
+105
+00:08:00,820 --> 00:08:06,000
+الـAlternative Medicine وهذا جملة غير موفقة الجملة
+
+106
+00:08:06,000 --> 00:08:09,140
+الموفقة أنه احنا بيقول عنها complementary medicine
+
+107
+00:08:09,140 --> 00:08:13,080
+اللي هو الطب المكمل طب المكمل methods and
+
+108
+00:08:13,080 --> 00:08:16,440
+substances used along with conventional medicine
+
+109
+00:08:16,440 --> 00:08:21,030
+يعني اللي هو الطب المدرسي العاديبأدى معاها بعض
+
+110
+00:08:21,030 --> 00:08:26,630
+الحاجات تكون مكملة، لكن البديل «انستد اف
+
+111
+00:08:26,630 --> 00:08:30,150
+كونفينشينال ميديسن» هذه الفرق بين اتنين، البديل
+
+112
+00:08:30,150 --> 00:08:35,710
+بيدعي أنه هو الأفضل وإنه يستطيع لوحده أو طبعا هذا
+
+113
+00:08:35,710 --> 00:08:40,230
+أمر غير منطقي على الإطلاق، alternative medicine مش
+
+114
+00:08:40,230 --> 00:08:42,730
+هو المطلوب، المطلوب اللي هو الـComplementary
+
+115
+00:08:42,730 --> 00:08:44,310
+Medicine اللي هو الطب المكمل
+
+116
+00:08:48,240 --> 00:08:50,940
+مشكلة الـ «Complementary» والـ «Alternative
+
+117
+00:08:50,940 --> 00:08:55,640
+Medicine» ‏for cancer ‏have not been rigorously
+
+118
+00:08:55,640 --> 00:08:59,480
+studied or tested ‏هذه مشكلة طب الأعشاب، الطب
+
+119
+00:08:59,480 --> 00:09:03,080
+المديل، الطب المكمل ‏إنه مافيش studies ‏يعني احنا
+
+120
+00:09:03,080 --> 00:09:06,500
+هنا بنسمع على سبيل المثال الآن عن الكورونا ‏مافيش
+
+121
+00:09:06,500 --> 00:09:11,040
+دوة أو خليني أقول ‏حتى معظم الأدوية التي تتداول
+
+122
+00:09:11,040 --> 00:09:17,520
+أدوية هي تجربية ‏ليش؟ لأن مافيش studiesفيش studies
+
+123
+00:09:17,520 --> 00:09:22,860
+تدعم استخدامها ونفس الكلام في موضوع الـAlternative
+
+124
+00:09:22,860 --> 00:09:27,460
+Medicine هي كلها معظمها تجربية لكن مافي studies
+
+125
+00:09:27,460 --> 00:09:34,140
+تدعم الاستخدام في إن حاجة اسمها وانتوا عملتوها مع
+
+126
+00:09:34,140 --> 00:09:37,340
+المس عالية بتهيألي اللي هو Palliative Care
+
+127
+00:09:37,340 --> 00:09:40,660
+Palliative Care refers to treatment that attempts
+
+128
+00:09:40,660 --> 00:09:45,550
+to make the person feel bettermay or may not be
+
+129
+00:09:45,550 --> 00:09:48,810
+combined with an attempt to treat the cancer يعني
+
+130
+00:09:48,810 --> 00:09:53,630
+القضية مش قضية حياة وموت في الـ Palliative
+
+131
+00:09:53,630 --> 00:09:57,830
+Treatment إنما هو بمجرد إنه يشخص أي واحد بـChronic
+
+132
+00:09:57,830 --> 00:10:01,710
+Disease طبعا و Cancer Disease جامل كل شيء لابد إنه
+
+133
+00:10:01,710 --> 00:10:07,850
+أشتغل معاه Palliative Care عشان أحسن وضع هذا
+
+134
+00:10:07,850 --> 00:10:15,510
+الإنسانبغض النظر عن علاج القنصر، إنما حتى يكون
+
+135
+00:10:15,510 --> 00:10:18,230
+وضعه أحسن يتقبل المرض بصورة أكبر
+
+136
+00:10:23,430 --> 00:10:27,730
+وأحنا في مستشفى الرنتيزي فينا فريق اسمه palliative
+
+137
+00:10:27,730 --> 00:10:32,690
+care team وهذا بيشتغل على palliative care include
+
+138
+00:10:32,690 --> 00:10:36,530
+action to reduce the physical emotional spiritual
+
+139
+00:10:36,530 --> 00:10:40,490
+and psychosocial distress experienced by people
+
+140
+00:10:40,490 --> 00:10:44,770
+with cancer unlike treatment that is aimed at
+
+141
+00:10:44,770 --> 00:10:48,530
+directing killing cancer cells the primary goal of
+
+142
+00:10:48,530 --> 00:10:52,410
+palliativeالتحسين هو تحسين جودة الحياة الشخصية
+
+143
+00:10:52,410 --> 00:10:57,890
+يعني هو مش زي العلاج الكيماوي وكذا إنما هي بس
+
+144
+00:10:57,890 --> 00:11:03,030
+لتحسين وضع المريض ال quality of life تاعت المريض
+
+145
+00:11:03,030 --> 00:11:06,590
+الناس
+
+146
+00:11:06,590 --> 00:11:10,050
+في جميع مراتج الحرارة التعامل معها يجب أن يكون لها
+
+147
+00:11:10,050 --> 00:11:15,130
+بعض الاحتياطات الحيوانية للتعامل معها لتحفظها هل
+
+148
+00:11:15,130 --> 00:11:19,920
+يمكن أن يتم حفظ الحرارة؟سؤال وجيه، don't use
+
+149
+00:11:19,920 --> 00:11:23,580
+tobacco نعم في بعض الحاجات ممكن إلا إنه طبعا ممكن
+
+150
+00:11:23,580 --> 00:11:27,580
+كل الحاجات هذه اللي بنحكي عنها نعملها إلا إنه برضه
+
+151
+00:11:27,580 --> 00:11:31,540
+ينصاب الواحد بال cancer لكن هناك بعض الحاجات اللي
+
+152
+00:11:31,540 --> 00:11:34,940
+احنا بنعرفها اللي هي ممكن تعملنا زي ما كلنا عارفين
+
+153
+00:11:34,940 --> 00:11:39,060
+زي ال tobacco products اللي هو التدخينزي الـ
+
+154
+00:11:39,060 --> 00:11:42,500
+Sunburn اللي هو الناس اللي بتقعد تحت الشمس فترات
+
+155
+00:11:42,500 --> 00:11:47,120
+طويلة أو الـ Ultraviolet Radiation زي في أوروبا
+
+156
+00:11:47,120 --> 00:11:51,300
+الناس اللي بدها تعمل جلدها بني بتقعد تحت Sun Lamps
+
+157
+00:11:51,300 --> 00:11:57,900
+أضواء بتعمل high damage لل skin وممكن تأثر تعملي
+
+158
+00:11:57,900 --> 00:12:03,730
+cancer«أكل بشكل صحيح، أبقى عملاقًا، ابقى مهتمًا،
+
+159
+00:12:03,730 --> 00:12:10,530
+لا تشرب الكحول، اتبع حركة العمل والأمان» مثال
+
+160
+00:12:10,530 --> 00:12:15,010
+لبروغنوزيز بتاع الكنسر، about half of people
+
+161
+00:12:15,010 --> 00:12:19,670
+receiving treatment for invasive cancer die from
+
+162
+00:12:19,670 --> 00:12:22,530
+cancer or its treatment، خمسين في المية بموتوا
+
+163
+00:12:24,470 --> 00:12:30,150
+العيش هو أسوأ في البلدان التطورية في العالم التالت
+
+164
+00:12:30,150 --> 00:12:38,230
+طبعا الإمكانية إنهي الواحد يعيش مرة أخرى بشكل عام
+
+165
+00:12:38,230 --> 00:12:39,450
+بشكل عام بشكل عام بشكل عام بشكل عام بشكل عام بشكل
+
+166
+00:12:39,450 --> 00:12:40,450
+عام بشكل عام بشكل عام بشكل عام بشكل عام بشكل عام
+
+167
+00:12:40,450 --> 00:12:41,950
+بشكل عام بشكل عام بشكل عام بشكل عام بشكل عام بشكل
+
+168
+00:12:41,950 --> 00:12:43,890
+عام بشكل عام بشكل عام بشكل عام بشكل عام بشكل عام
+
+169
+00:12:43,890 --> 00:12:43,910
+بشكل عام بشكل عام بشكل عام بشكل عام بشكل عام بشكل
+
+170
+00:12:43,910 --> 00:12:48,250
+عام بشكل عام بشكل عام بشكل عام بشكل عام بشكل عام
+
+171
+00:12:48,250 --> 00:12:50,110
+بشكل عام بش
+
+172
+00:12:53,090 --> 00:12:59,430
+مشكلتها كانت مشكلة مشكلة lifestyle أكتر وهذه
+
+173
+00:12:59,430 --> 00:13:04,090
+السرطانات اللي عندهم إمكانية علاجها أحسن من اللي
+
+174
+00:13:04,090 --> 00:13:08,610
+موجود في العالم التالت واللي هو الـtype تبعه
+
+175
+00:13:08,610 --> 00:13:12,310
+الـtype في جزء منه الـgenetic the survival rates
+
+176
+00:13:12,310 --> 00:13:17,190
+vary dramatically by type of cancer and by the
+
+177
+00:13:17,190 --> 00:13:22,460
+stageمهم جدًا جدًا وهذا اتحدثنا عنه في الـ
+
+178
+00:13:22,460 --> 00:13:26,960
+Screening أو في الـ Early Detection أنه كل ما
+
+179
+00:13:26,960 --> 00:13:31,660
+كشفنا السرطان بدري كل ما كان إمكانية أنه يعالجه
+
+180
+00:13:31,660 --> 00:13:34,460
+وإمكاني أن يكون الـ Good Prognosis يكون أفضل، الـ
+
+181
+00:13:34,460 --> 00:13:37,400
+Range Running from the great majority of people
+
+182
+00:13:37,400 --> 00:13:42,920
+survivingتقريبًا لا أحد يعيش لفترة من خمس سنة بعد
+
+183
+00:13:42,920 --> 00:13:49,100
+الوصول للتقنية، وعندما يتجاوز الحرارة أو يتفرق
+
+184
+00:13:49,100 --> 00:13:53,400
+خارج الجانب الأصلي، التقنية عادة تضعف وتصبح أسوأ
+
+185
+00:13:53,400 --> 00:13:59,420
+بكثير. هذا بالنسبة لهذه أخر صفحة في هذه المحاضرة،
+
+186
+00:13:59,420 --> 00:14:05,270
+أنا هنأتجي الآن انتقال سريعلأ الـ definition of
+
+187
+00:14:05,270 --> 00:14:10,770
+leukemia و هيك بنبجأ احنا آخر definition of
+
+188
+00:14:10,770 --> 00:14:14,710
+leukemia leukemia is a type of cancer of blood أو
+
+189
+00:14:14,710 --> 00:14:17,190
+bone marrow مش بس ال blood كمان ال bone marrow ال
+
+190
+00:14:17,190 --> 00:14:19,640
+bone marrow زي ما احنا كلنا عارفينإن هو اللي بيصنع
+
+191
+00:14:19,640 --> 00:14:23,700
+عليه الـBlood و الـBlood Components وcharacterized
+
+192
+00:14:23,700 --> 00:14:27,880
+by an abnormal increase of immature white cells
+
+193
+00:14:27,880 --> 00:14:31,940
+called Plasts لما نحط عين الدم تحت الميكروسكوب
+
+194
+00:14:31,940 --> 00:14:35,820
+نلاقي فيه عنده Plast كتيرة Leukemia is a broad
+
+195
+00:14:35,820 --> 00:14:39,940
+term covering a spectrum of disease «لويكا»
+
+196
+00:14:39,940 --> 00:14:43,520
+معناتها white، «إيميا» معناتها blood معناته اللي
+
+197
+00:14:43,520 --> 00:14:48,970
+هو الدم الأبيضلوكيميا، ماذا هي الوكيميا؟ في
+
+198
+00:14:48,970 --> 00:14:52,830
+الوكيميا، أبنرمال بلد سلسلة تنتج في الـ bone
+
+199
+00:14:52,830 --> 00:14:58,750
+marrow عادةً، الوكيميا تتعلق بالتصنيع من أبنرمال
+
+200
+00:14:58,750 --> 00:15:02,730
+بلد سلسلة أبيض وهذه طبعاً اللي احنا عارفين أنها
+
+201
+00:15:02,730 --> 00:15:08,110
+الـ fight from infection فلما تكون الأبنرمال بلد
+
+202
+00:15:08,110 --> 00:15:12,700
+سلسلة أبيض، الناس يقدروا تدافع وتحاربالتي لا تعمل
+
+203
+00:15:12,700 --> 00:15:15,640
+بنفس الطريقة التي تعملها الكوريات البيضاء عشان هيك
+
+204
+00:15:15,640 --> 00:15:18,340
+أنا ممكن ألاقي الكوريات بيضاء بدل ..احنا الطبيعي
+
+205
+00:15:18,340 --> 00:15:21,320
+عنا من أربع تلاف لعشر تلاف، ألاقي عندي مائة ألف
+
+206
+00:15:21,320 --> 00:15:26,460
+لكن جيش فاسد، عالفاضي، ولا بيعمل ولا أي حاجة، ليش؟
+
+207
+00:15:26,460 --> 00:15:30,080
+لأنه abnormal، لأنه اتربى تربية سيئة، لأنه كبر
+
+208
+00:15:30,080 --> 00:15:36,960
+بطريقة غير طبيعيةالكيميا تستمر في تنمية وخلالها
+
+209
+00:15:36,960 --> 00:15:41,260
+تتجمد ومش بس يعني جيش أبو ميت ألف أنا لو عندي عشر
+
+210
+00:15:41,260 --> 00:15:44,300
+قلاف زي الناس مقدر أحارب فيهم بس يكونوا normal لو
+
+211
+00:15:44,300 --> 00:15:49,740
+عندي ميت ألف مقدروش يحاربوا ولا ينتصروا ليش؟ لأنهم
+
+212
+00:15:49,740 --> 00:15:53,710
+up normal ومش بس عامليني زحمةبدهم أكل وبدهم شرب
+
+213
+00:15:53,710 --> 00:15:58,170
+وعملين ليه زحمة crowd out of the normal blood
+
+214
+00:15:58,170 --> 00:16:03,830
+cells the end result is that it becomes difficult
+
+215
+00:16:03,830 --> 00:16:07,170
+for body to fight infection control bleeding and
+
+216
+00:16:07,170 --> 00:16:10,450
+transport oxygen مين هدول التلاتة اللي قولنا fight
+
+217
+00:16:10,450 --> 00:16:14,640
+infection؟Control bleeding and transport oxygen
+
+218
+00:16:14,640 --> 00:16:19,060
+هدول يا جماعة هما التلاتة lines of cells ايش ال
+
+219
+00:16:19,060 --> 00:16:22,560
+lines of cells يعني انا عندي لما تيجي تتطور خلية
+
+220
+00:16:22,560 --> 00:16:25,420
+من ال bone marrow في عندي تلاتة lines بتصير ال
+
+221
+00:16:25,420 --> 00:16:28,780
+line الأول القرايات البيضا ال white cells ال line
+
+222
+00:16:28,780 --> 00:16:33,600
+التاني ال RBCs ال red cells وال line التالت اللي
+
+223
+00:16:33,600 --> 00:16:38,920
+هي الصفايح دموية اللي هي Blateletsالـ Fight
+
+224
+00:16:38,920 --> 00:16:41,320
+Infection بيقوم بيها الـ White PCs Control
+
+225
+00:16:41,320 --> 00:16:44,280
+Bleeding بيقوم بيها الـ Blatelets and Transport
+
+226
+00:16:44,280 --> 00:16:49,160
+Oxygen بيقوم بيها مين؟ المجلبين أو الـ RBCs كريات
+
+227
+00:16:49,160 --> 00:16:55,900
+الحمرة فتصوروا أن هذه الوظائف الدم مش هيقدر يقوم
+
+228
+00:16:55,900 --> 00:16:58,680
+بيها إيش دل في ال .. في ال .. في ال .. لا الدم ولا
+
+229
+00:16:58,680 --> 00:17:05,830
+حاجة في عندنا حوالي 54 ألف cases of leukemiaكل عام
+
+230
+00:17:05,830 --> 00:17:10,810
+في أمريكا وكانت أربع وعشرين ماتة بسبب الليوكيميا
+
+231
+00:17:10,810 --> 00:17:14,650
+في أمريكا هذا الكلام الليوكيميا تجعل حوالي تلاتة
+
+232
+00:17:14,650 --> 00:17:17,710
+في المائة من جميع القنصارات الجديدة وبهيك
+
+233
+00:17:17,710 --> 00:17:23,510
+الليوكيميا هي أكبر أكتر نوع من أنواع السرطان
+
+234
+00:17:23,510 --> 00:17:28,350
+الموجودة بصورة عامة هناك مختلفات من الليوكيميا
+
+235
+00:17:28,350 --> 00:17:35,240
+وهذه طبعا كلها لها علاقة بكيف تتطورزي ما أحنا
+
+236
+00:17:35,240 --> 00:17:37,560
+شايفينه في الـ slide Normal blood cells
+
+237
+00:17:37,560 --> 00:17:41,780
+development Normal blood cells develop from stem
+
+238
+00:17:41,780 --> 00:17:47,960
+cells الـ stem cells هاي بتت بعد هيك بتنقسم
+
+239
+00:17:47,960 --> 00:17:54,480
+لmyeloid stem cells أو لمفاتيح stem cells الميلويد
+
+240
+00:17:54,480 --> 00:17:58,910
+بدين بعد هيك myeloid blastوالـ Myeloid Blast بيصبح
+
+241
+00:17:58,910 --> 00:18:03,890
+أكتر مادية لتصبح أيضًا بلاتلت وممكن تصبح بلاتلت
+
+242
+00:18:03,890 --> 00:18:04,710
+وممكن تصبح بلاتلت وممكن تصبح بلاتلت وممكن تصبح
+
+243
+00:18:04,710 --> 00:18:07,290
+white بسيط لكن الـ Lymphoid بتروح بس على الـ
+
+244
+00:18:07,290 --> 00:18:13,790
+Lymphoid Blast وبتديني Lymphocytes الأن الكيميا كل
+
+245
+00:18:13,790 --> 00:18:17,610
+الكيميا اللي بتصير من الخلايا اللي جاية من الـ
+
+246
+00:18:17,610 --> 00:18:23,170
+Myeloid Cells الـ Lymphoid
+
+247
+00:18:23,170 --> 00:18:27,110
+Leukemia بتجي من الـ Lymphoid Cells أمر سهل وبسيط
+
+248
+00:18:28,130 --> 00:18:32,850
+العرفة أن جميع الجلدات المشغولة في الليوكيميا مهمة
+
+249
+00:18:32,850 --> 00:18:37,990
+في اختيار التعامل المناسب، اهم أنواع الليوكيميا
+
+250
+00:18:37,990 --> 00:18:40,370
+اللي هو الـ Acute leukemia اللي هو سرطان الدم
+
+251
+00:18:40,370 --> 00:18:44,890
+الأحمر الأبيض عفواًacute leukemia if developed
+
+252
+00:18:44,890 --> 00:18:50,090
+rapidly إذا بسرعة في أيام صارحة الجضية أو أسابيع
+
+253
+00:18:50,090 --> 00:18:53,490
+Large numbers of leukemia cells accumulate very
+
+254
+00:18:53,490 --> 00:18:56,170
+quickly in the blood and bone marrow leading to
+
+255
+00:18:56,170 --> 00:19:00,030
+symptoms زي tiredness, easy bruising,
+
+256
+00:19:00,570 --> 00:19:03,010
+susceptibility to infection هدول التلت حاجات اللي
+
+257
+00:19:03,010 --> 00:19:06,980
+حكينا عنهم قبل شويه«الليوكيميا المضادة تحتاج إلى
+
+258
+00:19:06,980 --> 00:19:11,900
+تجارب بسرعة ومضادة» «الليوكيميا المضادة تحتاج إلى
+
+259
+00:19:11,900 --> 00:19:14,020
+تجارب بسرعة ومضادة» «الليوكيميا المضادة تحتاج إلى
+
+260
+00:19:14,020 --> 00:19:14,440
+تجارب بسرعة ومضادة» «الليوكيميا المضادة تحتاج إلى
+
+261
+00:19:14,440 --> 00:19:15,440
+تجارب بسرعة ومضادة» «الليوكيميا المضادة تحتاج إلى
+
+262
+00:19:15,440 --> 00:19:17,080
+تجارب بسرعة ومضادة» «الليوكيميا المضادة تحتاج إلى
+
+263
+00:19:17,080 --> 00:19:20,400
+تجارب بسرعة ومضادة» «الليوكيميا المضادة تحتاج إلى
+
+264
+00:19:20,400 --> 00:19:28,560
+تجارب بسرعة ومضادة» «الليوكيميا
+
+265
+00:19:28,560 --> 00:19:30,000
+المضادة تحتاج إلى تجارب ب
+
+266
+00:19:33,320 --> 00:19:37,420
+Leukemia AML Chronic Lymphocytic Lymphoblastic
+
+267
+00:19:37,420 --> 00:19:42,640
+Leukemia CLL وChronic Myeloid Leukemia CML طبعاً
+
+268
+00:19:42,640 --> 00:19:47,560
+كل واحد إيه وصفاته كل واحد إيه وصفاته الـ ALL most
+
+269
+00:19:47,560 --> 00:19:50,700
+common type of leukemia in children ممكن طبعا ييجي
+
+270
+00:19:50,700 --> 00:19:54,280
+في ال adults لكن هو إشي بيجي دايما لل children في
+
+271
+00:19:54,280 --> 00:19:58,660
+أن ال AML برضه acute و cares in both children and
+
+272
+00:19:58,660 --> 00:20:05,760
+adultsالـ LL اللي هو lymphocytic leukemia بيجي عند
+
+273
+00:20:05,760 --> 00:20:13,080
+ال people over 55 و ال chronic ML myelogenous
+
+274
+00:20:13,080 --> 00:20:18,120
+leukemia mainly affect adults و كل واحد إله صفاته
+
+275
+00:20:18,120 --> 00:20:23,340
+في أعمار بيجي فيها ال acute ALLالـ Acute
+
+276
+00:20:23,340 --> 00:20:27,060
+Lymphocytic Leukemia بيقول عنها الـ Most Common
+
+277
+00:20:27,060 --> 00:20:30,180
+Type Of Leukemia In Children But It Can Also
+
+278
+00:20:30,180 --> 00:20:32,800
+Affect Adults In This Type Leukemia In Mature
+
+279
+00:20:32,800 --> 00:20:36,240
+Lymphoid Cells Grow Rapidly In The Blood حوالي
+
+280
+00:20:36,240 --> 00:20:43,600
+6000 حالة في أمريكا كل سنة الـ AML هو أكتر خطورة
+
+281
+00:20:43,600 --> 00:20:47,740
+بيقول عنها الـ Myelogenous Leukemia
+
+282
+00:20:50,350 --> 00:20:54,830
+والسيلز يحدث في كافة الشباب والطفل وحوالي 18 ألف
+
+283
+00:20:54,830 --> 00:20:57,810
+شخص في كل عام في الولايات المتحدة
+
+284
+00:21:05,000 --> 00:21:08,940
+اللوكيميا الروحية تتطور بسرعة خلال الوقت، ولكن هذه
+
+285
+00:21:08,940 --> 00:21:13,780
+اللوكيميا لا تسبب في إشعارات محددة في البداية من
+
+286
+00:21:13,780 --> 00:21:18,040
+دراساتها، لكن إذا انتركت غير مدعومة، فالسلسل قد
+
+287
+00:21:18,040 --> 00:21:22,960
+تنمو إلى عدد عالي، كما يحدث في اللوكيميا الروحية
+
+288
+00:21:22,960 --> 00:21:25,160
+التي تسبب في إشعارات مشابهة، اللوكيميا مستخدمة
+
+289
+00:21:25,160 --> 00:21:29,940
+أكتر، مثل ميلويد أو لنفويد، حسب الـtype تبعها
+
+290
+00:21:29,940 --> 00:21:30,260
+السلسل
+
+291
+00:21:35,510 --> 00:21:40,670
+لمفنود، فیفر، نیت سویتز، نوز بليد، severe
+
+292
+00:21:40,670 --> 00:21:44,070
+infection، weight loss، red spots in the skin،
+
+293
+00:21:44,070 --> 00:21:47,510
+bone pain و bleeding easily
+
+294
+00:21:51,430 --> 00:21:54,730
+بنفحص حقيقة في حاجة اسمها bone marrow aspiration
+
+295
+00:21:54,730 --> 00:22:00,390
+بناخد إما من عضمة الحوض أو من عضمة الـ sternum
+
+296
+00:22:00,390 --> 00:22:05,630
+بناخد عينة و بنفحصها في blood test بنعمل، بنعمل
+
+297
+00:22:05,630 --> 00:22:09,030
+biopsy من ال blood أو من ال bone marrow عفوا من ال
+
+298
+00:22:09,030 --> 00:22:13,370
+bone marrow و imaging طبعا من ال blood test بناخد
+
+299
+00:22:13,370 --> 00:22:18,850
+كمان إيشبناخد blood film يبقى blood film، biopsy
+
+300
+00:22:18,850 --> 00:22:23,850
+وفي بعض الأحيان بنضطر نعمل imaging tests treatment
+
+301
+00:22:23,850 --> 00:22:28,070
+of leukemia treatment
+
+302
+00:22:28,070 --> 00:22:31,130
+options are available for leukemia طبعا
+
+303
+00:22:31,130 --> 00:22:33,770
+chemotherapy, radiation and bone marrow
+
+304
+00:22:33,770 --> 00:22:38,430
+transplantation في بعض الأحيان هي الحل لهؤلاء
+
+305
+00:22:38,430 --> 00:22:48,320
+المرضىأحنا هيك بنبقى عمليًا خلصنا محاضرات المساق
+
+306
+00:22:48,320 --> 00:22:51,720
+وطبعًا
+
+307
+00:22:51,720 --> 00:22:57,740
+مطلوب منها كل حاجة أنا حكيتها في المحاضرات مطلوبة
+
+308
+00:22:57,740 --> 00:23:00,440
+على كل أحوال حكيتها هموجودة في الـ slides هذه
+
+309
+00:23:00,440 --> 00:23:04,300
+الحاجة الأولى الحاجة التانية مطلوبة كمان الحاجات
+
+310
+00:23:04,300 --> 00:23:07,260
+اللي عملتوها كلها في اللي أنا طلبتها في
+
+311
+00:23:07,260 --> 00:23:13,400
+assignments كمان مطلوبةللأهمية الـ assignment ما
+
+312
+00:23:13,400 --> 00:23:17,780
+كان لمجرد أنه نتسلق لأنهم عشان تتبحروا أكتر في
+
+313
+00:23:17,780 --> 00:23:22,740
+الإجراء عن المواضيع الأمر التالت والمهم أنه احنا
+
+314
+00:23:22,740 --> 00:23:27,930
+هيكون الامتحان ان شاء الله تعالى في MCQ«multiple
+
+315
+00:23:27,930 --> 00:23:34,390
+choice» يعني وحتكون في المواضيع اللي ما خدناهاش في
+
+316
+00:23:34,390 --> 00:23:40,110
+النصفة يعني في عنا مواضيع أخدناها في النصفة الآن
+
+317
+00:23:40,110 --> 00:23:44,890
+كل شيء ما دخلش في النصفة بنبدأ منه لحد الآخر هيكون
+
+318
+00:23:44,890 --> 00:23:50,030
+داخل الامتحان وزي ما عرفته انتوا أن الجامعة بدهش
+
+319
+00:23:50,030 --> 00:23:55,130
+يعني لن يكون هناك إمكانية للامتحان الوجاهي هيكون
+
+320
+00:23:55,130 --> 00:24:00,260
+امتحانعن طريق اللي هو الـ Model إن شاء الله تعالى
+
+321
+00:24:00,260 --> 00:24:05,460
+يعني أنا بتمنى لكوا كل نجاح حاولوا جدر الإمكان
+
+322
+00:24:05,460 --> 00:24:10,640
+تخلصوا اللي عليكم في موضوع اللي هو البحث جزء ال
+
+323
+00:24:10,640 --> 00:24:17,200
+word وبعدين ال PowerPointوبعدين اللي هو الفيديو زي
+
+324
+00:24:17,200 --> 00:24:21,340
+ما اتفاجنا في كل مرة ورجاء مسئولين أو مسئولات
+
+325
+00:24:21,340 --> 00:24:25,840
+المجموعات تحاول جدر الإمكان إنها تزودني في
+
+326
+00:24:25,840 --> 00:24:30,920
+مجموعتها مين إيش عمل عشان عملية التقييم لأنه مش
+
+327
+00:24:30,920 --> 00:24:34,100
+معقول واحد ماعملش حاجة ياخد نفس التقييم زي اللي
+
+328
+00:24:34,100 --> 00:24:36,940
+اشتغل نص الشغل أو كل الشغل وهذا أنتم فاهمينه أكيد
+
+329
+00:24:37,640 --> 00:24:42,540
+راجع تزويدي بقائمة على الـ WhatsApp يعني رئيسة
+
+330
+00:24:42,540 --> 00:24:47,800
+مجموعة تديني أيش كل واحد عمل حتى نقيم الشغل يعني
+
+331
+00:24:47,800 --> 00:24:54,740
+ربنا يسر أمور لو وجهتك أي مشاكل أي مسائل أي أسئلة
+
+332
+00:24:54,740 --> 00:24:58,020
+أي استفسارات على الـ WhatsApp ممكن تتواصلوا معايا
+
+333
+00:24:58,020 --> 00:25:02,300
+على أساس أنه أجاوبكوا إياهم ونهاركوا سعيد
+
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/lMeQfR9pIbs_raw.json b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/lMeQfR9pIbs_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..9d636a3698e405a7b17fdab1f136a0cde5d85e54
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/lMeQfR9pIbs_raw.json
@@ -0,0 +1 @@
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"راجع", "probability": 0.5168863932291666}, {"start": 1478.52, "end": 1479.04, "word": " تزويدي", "probability": 0.91748046875}, {"start": 1479.04, "end": 1479.98, "word": " بقائمة", "probability": 0.95361328125}, {"start": 1479.98, "end": 1480.52, "word": " على", "probability": 0.80224609375}, {"start": 1480.52, "end": 1480.68, "word": " الـ", "probability": 0.94677734375}, {"start": 1480.68, "end": 1480.94, "word": " WhatsApp", "probability": 0.56591796875}, {"start": 1480.94, "end": 1481.4, "word": " يعني", "probability": 0.858154296875}, {"start": 1481.4, "end": 1482.54, "word": " رئيسة", "probability": 0.7470703125}, {"start": 1482.54, "end": 1483.04, "word": " مجموعة", "probability": 0.85966796875}, {"start": 1483.04, "end": 1483.66, "word": " تديني", "probability": 0.885498046875}, {"start": 1483.66, "end": 1484.24, "word": " أيش", "probability": 0.649169921875}, {"start": 1484.24, "end": 1484.44, "word": " كل", "probability": 0.9599609375}, {"start": 1484.44, "end": 1484.66, "word": " واحد", "probability": 0.99365234375}, {"start": 1484.66, "end": 1484.98, "word": " عمل", "probability": 0.9951171875}, {"start": 1484.98, "end": 1485.48, "word": " حتى", "probability": 0.867919921875}, {"start": 1485.48, "end": 1485.96, "word": " نقيم", "probability": 0.8723958333333334}, {"start": 1485.96, "end": 1487.14, "word": " الشغل", "probability": 0.9889322916666666}, {"start": 1487.14, "end": 1487.8, "word": " يعني", "probability": 0.789306640625}, {"start": 1487.8, "end": 1489.26, "word": " ربنا", "probability": 0.9466145833333334}, {"start": 1489.26, "end": 1489.6, "word": " يسر", "probability": 0.8504231770833334}, {"start": 1489.6, "end": 1490.06, "word": " أمور", "probability": 0.97705078125}, {"start": 1490.06, "end": 1491.18, "word": " لو", "probability": 0.89306640625}, {"start": 1491.18, "end": 1492.16, "word": " وجهتك", "probability": 0.8424072265625}, {"start": 1492.16, "end": 1492.42, "word": " أي", "probability": 0.6630859375}, {"start": 1492.42, "end": 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"end": 1498.02, "word": " معايا", "probability": 0.9661458333333334}, {"start": 1498.02, "end": 1498.5, "word": " على", "probability": 0.9287109375}, {"start": 1498.5, "end": 1498.92, "word": " أساس", "probability": 0.9796549479166666}, {"start": 1498.92, "end": 1499.48, "word": " أنه", "probability": 0.8427734375}, {"start": 1499.48, "end": 1500.38, "word": " أجاوبكوا", "probability": 0.8671875}, {"start": 1500.38, "end": 1501.0, "word": " إياهم", "probability": 0.7301432291666666}, {"start": 1501.0, "end": 1501.98, "word": " ونهاركوا", "probability": 0.7665812174479166}, {"start": 1501.98, "end": 1502.3, "word": " سعيد", "probability": 0.994140625}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 1505.7444375, "duration_after_vad": 1456.8293749999987}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/lMeQfR9pIbs_raw.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/lMeQfR9pIbs_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..5a145993fb20bf5b8acffa4dd0b7537b97bed034
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+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/lMeQfR9pIbs_raw.srt
@@ -0,0 +1,1332 @@
+1
+00:00:01,110 --> 00:00:04,230
+بسم الله الرحمن الرحيم إن شاء الله اليوم هنبدأ
+
+2
+00:00:04,230 --> 00:00:12,490
+بأخر محاضرة في المساق، يعني احنا كنا الأخر محاضرة
+
+3
+00:00:12,490 --> 00:00:16,990
+كانت المرة اللي فاتت كانت عن ال cancer، تحدثنا عن
+
+4
+00:00:16,990 --> 00:00:23,660
+ال classification و بعض ال terminologyووصلنا لحد
+
+5
+00:00:23,660 --> 00:00:27,420
+ال screening وقلنا screening إذا فاكرين إنه طبعا
+
+6
+00:00:27,420 --> 00:00:32,500
+هكمل أنا جزء من المحاضرة هذه لحد slide 33 مش هكمل
+
+7
+00:00:32,500 --> 00:00:39,280
+بعدها وأنجل على leukemia وكمان حوالي 10-15 slide
+
+8
+00:00:39,280 --> 00:00:44,870
+طولوا روحكم معايا شويةالـ Screening هو checking
+
+9
+00:00:44,870 --> 00:00:49,730
+for cancer when there is no symptoms، it's called
+
+10
+00:00:49,730 --> 00:00:52,970
+screening، مش أنه أنا والله حاسس عندي مشكلة معينة،
+
+11
+00:00:52,970 --> 00:00:56,050
+روحت عملت فحص، بقول عنه Screening، لأ Screening
+
+12
+00:00:56,050 --> 00:01:02,870
+لما أنا أروح للفحص أو lab test أو أي test ده
+
+13
+00:01:02,870 --> 00:01:06,990
+أعملها و أنا رايح لمجرد ال screening، مش لوجود
+
+14
+00:01:06,990 --> 00:01:13,040
+symptoms،طيب ندخل شوية على كيف يتعالج الـ cancer
+
+15
+00:01:13,040 --> 00:01:19,100
+طبعاً في number of cancer treatment surgeryردياشم
+
+16
+00:01:19,100 --> 00:01:24,040
+الإشعاع كيموثيرابي اللي كنا بنعرفه and palliative
+
+17
+00:01:24,040 --> 00:01:27,480
+for some cancers وحنحكي عن بعض الحاجات كمان
+
+18
+00:01:27,480 --> 00:01:32,160
+الكيموثيرابي زي ما احنا عارفين one o بنعالج عادة
+
+19
+00:01:32,160 --> 00:01:37,640
+بcycle يعني مش ممكن دوة واحد اللي هو anticancer أو
+
+20
+00:01:37,640 --> 00:01:42,580
+antineoplastic drug دوة واحد كيموثيرابي وممكن يكون
+
+21
+00:01:42,580 --> 00:01:49,440
+cycle مكون من عدة أدويةوطبعا الموضوع مش جاي على
+
+22
+00:01:49,440 --> 00:01:52,780
+باله الدكتور يعمل هيك، إنما اللي بيمشوا الدكاترة
+
+23
+00:01:52,780 --> 00:01:57,320
+عادة على standard، الريجيم standard أو guideline،
+
+24
+00:01:57,320 --> 00:02:00,340
+وفيه مدارس عادة، المدرسة الفرنسية، البريطانية،
+
+25
+00:02:00,340 --> 00:02:05,940
+الأمريكية، المصرية، الهندية، يعني كل .. في مدارس
+
+26
+00:02:05,940 --> 00:02:09,760
+لا ال guidelines هاي ولا الريجيم هاي، أما مش هيجي
+
+27
+00:02:09,760 --> 00:02:12,580
+على باله الدكتور مرة يحط الدواء هذا مع الدواء هذا،
+
+28
+00:02:12,580 --> 00:02:16,380
+ويشيل هذا ويحط هذا، لأإنما بيحددوا وبيعملوا في
+
+29
+00:02:16,380 --> 00:02:21,720
+الأول Grading للـCancer أي درجة من الدرجات وبعدين
+
+30
+00:02:21,720 --> 00:02:26,600
+بيتطلع في كتب أو في الـLiterature أو عن الـNet على
+
+31
+00:02:26,600 --> 00:02:31,980
+الريجيم تبع الإلاج الـChemotherapy Agents act by
+
+32
+00:02:31,980 --> 00:02:35,740
+killing cells that divide rapidly one of the main
+
+33
+00:02:35,740 --> 00:02:39,500
+properties for most cancer cells ده طبعا
+
+34
+00:02:39,500 --> 00:02:44,680
+الـChemotherapy مايعرفش يفرق بالخلايابدخل على
+
+35
+00:02:44,680 --> 00:02:48,000
+الجسم بيقضي على خلاية الـ tumor ولكن كمان على
+
+36
+00:02:48,000 --> 00:02:52,260
+الخلايا الطبيعية وهذا بيفرج عن علاج بنقول عنه ال
+
+37
+00:02:52,260 --> 00:02:55,940
+immunotherapy ال immunotherapy بتروح على خلايا ال
+
+38
+00:02:55,940 --> 00:03:02,860
+cancer بالذات قصوصي لإلها ال efficacy of cancer of
+
+39
+00:03:05,470 --> 00:03:10,750
+حسب طبعاً الـ Stage و الـ Type of Cancer ممكن يكون
+
+40
+00:03:10,750 --> 00:03:13,990
+في Combination مع Surgery مع Radiation على سبيل
+
+41
+00:03:13,990 --> 00:03:17,510
+المثال و زي ما في موجود هذا الكلام في الـ Breast
+
+42
+00:03:17,510 --> 00:03:20,810
+Cancer كله Rectal Cancer، Pancreatic Cancer أو
+
+43
+00:03:20,810 --> 00:03:25,990
+Varian Cancer أو في بعض أنواع الـ Lung Cancer الـ
+
+44
+00:03:25,990 --> 00:03:29,830
+Overall Effectiveness Range from Being Curative
+
+45
+00:03:29,830 --> 00:03:34,570
+ممكن يشفي شفاء تاماً for some cancer زي الـ
+
+46
+00:03:34,570 --> 00:03:38,850
+Leukemiato being ineffective زي الـ brain tumors
+
+47
+00:03:38,850 --> 00:03:44,190
+كيموثيرابي بيعملش حاجة فيها وممكن يوصل لإنه being
+
+48
+00:03:44,190 --> 00:03:48,950
+needless in others like most non-melanoma skin إنه
+
+49
+00:03:48,950 --> 00:03:54,710
+محتاجوش لإلها الحقيقة من الحاجات اللي بتخوفنا كتير
+
+50
+00:03:54,710 --> 00:03:57,030
+وما بنحبش إلها الكيموثيرابي اللي هي الـ side
+
+51
+00:03:57,030 --> 00:04:00,870
+effects لأنه زي ما قلنا الكيموثيرابي مش بس بروح
+
+52
+00:04:00,870 --> 00:04:07,080
+للخلايااللي فيها cancer إنما بيروح للخلايا السليمة
+
+53
+00:04:07,080 --> 00:04:10,140
+وبيبدأ أول ما بندى ال chemotherapy في الأيام
+
+54
+00:04:10,140 --> 00:04:16,900
+الأولى بيبدأ البني آدم يحس ب fatigue تعب عامطبعاً
+
+55
+00:04:16,900 --> 00:04:22,120
+لأن الخلايا جاعدين احنا بنحارب الخلايا بكيموثيرابي
+
+56
+00:04:22,120 --> 00:04:28,060
+ببدأ كمان ابنوزيا و vomiting موعت نفس و ناتج اربع
+
+57
+00:04:28,060 --> 00:04:31,580
+خمس ست ايام بعدين بتبدأ يتبين اللي هو حاجة اسمة
+
+58
+00:04:31,580 --> 00:04:37,520
+mouth source زي احتقانات في الفم وجروح في الفم
+
+59
+00:04:37,520 --> 00:04:41,320
+بعدين بيبقى على اليوم العاشر احداشر اتناشر طبعا
+
+60
+00:04:41,320 --> 00:04:45,680
+وبينزل بتبدأ المناعة الجل تبعته نتيجة نتيجة ال
+
+61
+00:04:45,680 --> 00:04:49,690
+chemotherapyبصير عندنا Nitropenia وبعدين بيصير
+
+62
+00:04:49,690 --> 00:04:54,370
+عندنا hair loss فقدان للشعر المنظر المعروف عند ناس
+
+63
+00:04:54,370 --> 00:04:59,710
+كتير من اللي بياخدوا chemotherapy طريقة العلاج
+
+64
+00:04:59,710 --> 00:05:03,140
+التانية ال radiationالإشعاع، العلاج بالإشعاع
+
+65
+00:05:03,140 --> 00:05:07,540
+Radiation involves the use of ionizing radiation
+
+66
+00:05:07,540 --> 00:05:11,320
+in an attempt to either cure أو improve the
+
+67
+00:05:11,320 --> 00:05:14,160
+symptoms يعني بعض الأحيان إحنا بس بدنا نخفف ال
+
+68
+00:05:14,160 --> 00:05:18,120
+symptoms نزغر ال cancer بال radiation أو طبعا ممكن
+
+69
+00:05:18,120 --> 00:05:22,300
+بعض الأنواع يعملوا curing، يعملوا شفاء it works by
+
+70
+00:05:22,300 --> 00:05:26,800
+damaging the DNA of cancerous tissue leading to
+
+71
+00:05:26,800 --> 00:05:32,990
+cellular death هاي الطريقة damaging of DNAلخلايا
+
+72
+00:05:32,990 --> 00:05:36,130
+الـ Cancer As with chemotherapy different cancers
+
+73
+00:05:36,130 --> 00:05:40,690
+respond differently to radiation therapy بمعنى أنا
+
+74
+00:05:40,690 --> 00:05:43,870
+مش كل واحد بنفع أديه chemotherapy مش كل واحد بنفع
+
+75
+00:05:43,870 --> 00:05:46,530
+أديله radiation
+
+76
+00:05:50,860 --> 00:05:53,780
+والرادياشن طبعاً بتنفعش لكل حوالي نص الحالات
+
+77
+00:05:53,780 --> 00:05:57,240
+بنفعلها رادياشن Typically used in addition to
+
+78
+00:05:57,240 --> 00:06:00,740
+surgery and chemotherapy but for certain types of
+
+79
+00:06:00,740 --> 00:06:05,620
+cancer زي yearly head أو neck cancer maybe used
+
+80
+00:06:05,620 --> 00:06:10,100
+alone ممكن الرادياشن يكون كفايةلو كان عندي Brain
+
+81
+00:06:10,100 --> 00:06:16,660
+tumor أو Neck tumors السيرجيري من اسمها دايماً
+
+82
+00:06:16,660 --> 00:06:20,380
+نقول الباب اللي بيجيك منه ريح صدوص تريح Primary
+
+83
+00:06:20,380 --> 00:06:25,140
+method of treatment of most isolated solid cancer
+
+84
+00:06:25,140 --> 00:06:30,600
+إيش يعني solid cancer؟ يعني cancer محط بأخشية مع
+
+85
+00:06:30,600 --> 00:06:36,660
+بعض كله ممكن أشيله كاملوهي أهم جزء من إجراء الـ
+
+86
+00:06:36,660 --> 00:06:40,720
+Definitive Diagnosis مش بس الجراحة بس عشان أشيل
+
+87
+00:06:40,720 --> 00:06:44,760
+الـ tumor إنما أيضا عشان أخد عينة و أعمله عملية
+
+88
+00:06:44,760 --> 00:06:53,840
+staging يعني بروح أفحص خلايا السلطان والـ tumor في
+
+89
+00:06:53,840 --> 00:06:57,840
+الـ biopsyوبشوف لأي stage واصلة في التطور تبع الـ
+
+90
+00:06:57,840 --> 00:07:00,960
+tumor الـ localized cancer surgery تبعًا يحاول
+
+91
+00:07:00,960 --> 00:07:05,440
+إزالة جميع المجموعات ومعها في بعض الحالات الـ
+
+92
+00:07:05,440 --> 00:07:08,580
+lymph nodes في المنطقة، مش بس مثلًا أنا ال breast
+
+93
+00:07:08,580 --> 00:07:16,140
+cancerوباخد كثير من الـ breast وبدأ يبعت عن الـ
+
+94
+00:07:16,140 --> 00:07:20,160
+lymph nodes اللي حوالي ال breast يبعت يبعت mets أو
+
+95
+00:07:20,160 --> 00:07:23,180
+metastases ساعتها بدأ أضطر أشيل كمان ال lymph
+
+96
+00:07:23,180 --> 00:07:26,240
+nodes اللي حوالين الـ cancer في إن ال
+
+97
+00:07:26,240 --> 00:07:29,760
+immunotherapy حكيت عنها أنا قبل شوي وقلت هي عبارة
+
+98
+00:07:29,760 --> 00:07:33,760
+عن stimulating or helping the immune system to
+
+99
+00:07:33,760 --> 00:07:40,350
+fight cancerقاموا بإستعمالها من سنة 97 وكانت هذه
+
+100
+00:07:40,350 --> 00:07:45,070
+المنطقة مجتمعًا مستعملًا للبحث والحال يعني شغالين
+
+101
+00:07:45,070 --> 00:07:49,470
+عليها وزي ما قلنا هي بتحارب الخلايا مباشرة خلاياً
+
+102
+00:07:49,980 --> 00:07:53,340
+فينا طبعاً بعض الحاجات اللي هي متداولة في مناطق
+
+103
+00:07:53,340 --> 00:07:56,540
+مختلفة من العالم الـAlternative Medicine أو الطب
+
+104
+00:07:56,540 --> 00:08:00,820
+اللي بنقول عنه بديل في ناس بنقول عنه الطب البديل
+
+105
+00:08:00,820 --> 00:08:06,000
+الـAlternative Medicine وهذا جملة غير موفقة الجملة
+
+106
+00:08:06,000 --> 00:08:09,140
+الموفقة أنه احنا بيقول عنها complementary medicine
+
+107
+00:08:09,140 --> 00:08:13,080
+اللي هو الطب المكمل طب المكمل methods and
+
+108
+00:08:13,080 --> 00:08:16,440
+substances used along with conventional medicine
+
+109
+00:08:16,440 --> 00:08:21,030
+يعني اللي هو الطب المدرسي العاديبأدى معاها بعض
+
+110
+00:08:21,030 --> 00:08:26,630
+الحاجات تكون مكملة، لكن البديل «انستد اف
+
+111
+00:08:26,630 --> 00:08:30,150
+كونفينشينال ميديسن» هذه الفرق بين اتنين، البديل
+
+112
+00:08:30,150 --> 00:08:35,710
+بيدعي أنه هو الأفضل وإنه يستطيع لوحده أو طبعا هذا
+
+113
+00:08:35,710 --> 00:08:40,230
+أمر غير منطقي على الإطلاق، alternative medicine مش
+
+114
+00:08:40,230 --> 00:08:42,730
+هو المطلوب، المطلوب اللي هو الـComplementary
+
+115
+00:08:42,730 --> 00:08:44,310
+Medicine اللي هو الطب المكمل
+
+116
+00:08:48,240 --> 00:08:50,940
+مشكلة الـ «Complementary» والـ «Alternative
+
+117
+00:08:50,940 --> 00:08:55,640
+Medicine» ‏for cancer ‏have not been rigorously
+
+118
+00:08:55,640 --> 00:08:59,480
+studied or tested ‏هذه مشكلة طب الأعشاب، الطب
+
+119
+00:08:59,480 --> 00:09:03,080
+المديل، الطب المكمل ‏إنه مافيش studies ‏يعني احنا
+
+120
+00:09:03,080 --> 00:09:06,500
+هنا بنسمع على سبيل المثال الآن عن الكورونا ‏مافيش
+
+121
+00:09:06,500 --> 00:09:11,040
+دوة أو خليني أقول ‏حتى معظم الأدوية التي تتداول
+
+122
+00:09:11,040 --> 00:09:17,520
+أدوية هي تجربية ‏ليش؟ لأن مافيش studiesفيش studies
+
+123
+00:09:17,520 --> 00:09:22,860
+تدعم استخدامها ونفس الكلام في موضوع الـAlternative
+
+124
+00:09:22,860 --> 00:09:27,460
+Medicine هي كلها معظمها تجربية لكن مافي studies
+
+125
+00:09:27,460 --> 00:09:34,140
+تدعم الاستخدام في إن حاجة اسمها وانتوا عملتوها مع
+
+126
+00:09:34,140 --> 00:09:37,340
+المس عالية بتهيألي اللي هو Palliative Care
+
+127
+00:09:37,340 --> 00:09:40,660
+Palliative Care refers to treatment that attempts
+
+128
+00:09:40,660 --> 00:09:45,550
+to make the person feel bettermay or may not be
+
+129
+00:09:45,550 --> 00:09:48,810
+combined with an attempt to treat the cancer يعني
+
+130
+00:09:48,810 --> 00:09:53,630
+القضية مش قضية حياة وموت في الـ Palliative
+
+131
+00:09:53,630 --> 00:09:57,830
+Treatment إنما هو بمجرد إنه يشخص أي واحد بـChronic
+
+132
+00:09:57,830 --> 00:10:01,710
+Disease طبعا و Cancer Disease جامل كل شيء لابد إنه
+
+133
+00:10:01,710 --> 00:10:07,850
+أشتغل معاه Palliative Care عشان أحسن وضع هذا
+
+134
+00:10:07,850 --> 00:10:15,510
+الإنسانبغض النظر عن علاج القنصر، إنما حتى يكون
+
+135
+00:10:15,510 --> 00:10:18,230
+وضعه أحسن يتقبل المرض بصورة أكبر
+
+136
+00:10:23,430 --> 00:10:27,730
+وأحنا في مستشفى الرنتيزي فينا فريق اسمه palliative
+
+137
+00:10:27,730 --> 00:10:32,690
+care team وهذا بيشتغل على palliative care include
+
+138
+00:10:32,690 --> 00:10:36,530
+action to reduce the physical emotional spiritual
+
+139
+00:10:36,530 --> 00:10:40,490
+and psychosocial distress experienced by people
+
+140
+00:10:40,490 --> 00:10:44,770
+with cancer unlike treatment that is aimed at
+
+141
+00:10:44,770 --> 00:10:48,530
+directing killing cancer cells the primary goal of
+
+142
+00:10:48,530 --> 00:10:52,410
+palliativeالتحسين هو تحسين جودة الحياة الشخصية
+
+143
+00:10:52,410 --> 00:10:57,890
+يعني هو مش زي العلاج الكيماوي وكذا إنما هي بس
+
+144
+00:10:57,890 --> 00:11:03,030
+لتحسين وضع المريض ال quality of life تاعت المريض
+
+145
+00:11:03,030 --> 00:11:06,590
+الناس
+
+146
+00:11:06,590 --> 00:11:10,050
+في جميع مراتج الحرارة التعامل معها يجب أن يكون لها
+
+147
+00:11:10,050 --> 00:11:15,130
+بعض الاحتياطات الحيوانية للتعامل معها لتحفظها هل
+
+148
+00:11:15,130 --> 00:11:19,920
+يمكن أن يتم حفظ الحرارة؟سؤال وجيه، don't use
+
+149
+00:11:19,920 --> 00:11:23,580
+tobacco نعم في بعض الحاجات ممكن إلا إنه طبعا ممكن
+
+150
+00:11:23,580 --> 00:11:27,580
+كل الحاجات هذه اللي بنحكي عنها نعملها إلا إنه برضه
+
+151
+00:11:27,580 --> 00:11:31,540
+ينصاب الواحد بال cancer لكن هناك بعض الحاجات اللي
+
+152
+00:11:31,540 --> 00:11:34,940
+احنا بنعرفها اللي هي ممكن تعملنا زي ما كلنا عارفين
+
+153
+00:11:34,940 --> 00:11:39,060
+زي ال tobacco products اللي هو التدخينزي الـ
+
+154
+00:11:39,060 --> 00:11:42,500
+Sunburn اللي هو الناس اللي بتقعد تحت الشمس فترات
+
+155
+00:11:42,500 --> 00:11:47,120
+طويلة أو الـ Ultraviolet Radiation زي في أوروبا
+
+156
+00:11:47,120 --> 00:11:51,300
+الناس اللي بدها تعمل جلدها بني بتقعد تحت Sun Lamps
+
+157
+00:11:51,300 --> 00:11:57,900
+أضواء بتعمل high damage لل skin وممكن تأثر تعملي
+
+158
+00:11:57,900 --> 00:12:03,730
+cancer«أكل بشكل صحيح، أبقى عملاقًا، ابقى مهتمًا،
+
+159
+00:12:03,730 --> 00:12:10,530
+لا تشرب الكحول، اتبع حركة العمل والأمان» مثال
+
+160
+00:12:10,530 --> 00:12:15,010
+لبروغنوزيز بتاع الكنسر، about half of people
+
+161
+00:12:15,010 --> 00:12:19,670
+receiving treatment for invasive cancer die from
+
+162
+00:12:19,670 --> 00:12:22,530
+cancer or its treatment، خمسين في المية بموتوا
+
+163
+00:12:24,470 --> 00:12:30,150
+العيش هو أسوأ في البلدان التطورية في العالم التالت
+
+164
+00:12:30,150 --> 00:12:38,230
+طبعا الإمكانية إنهي الواحد يعيش مرة أخرى بشكل عام
+
+165
+00:12:38,230 --> 00:12:39,450
+بشكل عام بشكل عام بشكل عام بشكل عام بشكل عام بشكل
+
+166
+00:12:39,450 --> 00:12:40,450
+عام بشكل عام بشكل عام بشكل عام بشكل عام بشكل عام
+
+167
+00:12:40,450 --> 00:12:41,950
+بشكل عام بشكل عام بشكل عام بشكل عام بشكل عام بشكل
+
+168
+00:12:41,950 --> 00:12:43,890
+عام بشكل عام بشكل عام بشكل عام بشكل عام بشكل عام
+
+169
+00:12:43,890 --> 00:12:43,910
+بشكل عام بشكل عام بشكل عام بشكل عام بشكل عام بشكل
+
+170
+00:12:43,910 --> 00:12:48,250
+عام بشكل عام بشكل عام بشكل عام بشكل عام بشكل عام
+
+171
+00:12:48,250 --> 00:12:50,110
+بشكل عام بش
+
+172
+00:12:53,090 --> 00:12:59,430
+مشكلتها كانت مشكلة مشكلة lifestyle أكتر وهذه
+
+173
+00:12:59,430 --> 00:13:04,090
+السرطانات اللي عندهم إمكانية علاجها أحسن من اللي
+
+174
+00:13:04,090 --> 00:13:08,610
+موجود في العالم التالت واللي هو الـtype تبعه
+
+175
+00:13:08,610 --> 00:13:12,310
+الـtype في جزء منه الـgenetic the survival rates
+
+176
+00:13:12,310 --> 00:13:17,190
+vary dramatically by type of cancer and by the
+
+177
+00:13:17,190 --> 00:13:22,460
+stageمهم جدًا جدًا وهذا اتحدثنا عنه في الـ
+
+178
+00:13:22,460 --> 00:13:26,960
+Screening أو في الـ Early Detection أنه كل ما
+
+179
+00:13:26,960 --> 00:13:31,660
+كشفنا السرطان بدري كل ما كان إمكانية أنه يعالجه
+
+180
+00:13:31,660 --> 00:13:34,460
+وإمكاني أن يكون الـ Good Prognosis يكون أفضل، الـ
+
+181
+00:13:34,460 --> 00:13:37,400
+Range Running from the great majority of people
+
+182
+00:13:37,400 --> 00:13:42,920
+survivingتقريبًا لا أحد يعيش لفترة من خمس سنة بعد
+
+183
+00:13:42,920 --> 00:13:49,100
+الوصول للتقنية، وعندما يتجاوز الحرارة أو يتفرق
+
+184
+00:13:49,100 --> 00:13:53,400
+خارج الجانب الأصلي، التقنية عادة تضعف وتصبح أسوأ
+
+185
+00:13:53,400 --> 00:13:59,420
+بكثير. هذا بالنسبة لهذه أخر صفحة في هذه المحاضرة،
+
+186
+00:13:59,420 --> 00:14:05,270
+أنا هنأتجي الآن انتقال سريعلأ الـ definition of
+
+187
+00:14:05,270 --> 00:14:10,770
+leukemia و هيك بنبجأ احنا آخر definition of
+
+188
+00:14:10,770 --> 00:14:14,710
+leukemia leukemia is a type of cancer of blood أو
+
+189
+00:14:14,710 --> 00:14:17,190
+bone marrow مش بس ال blood كمان ال bone marrow ال
+
+190
+00:14:17,190 --> 00:14:19,640
+bone marrow زي ما احنا كلنا عارفينإن هو اللي بيصنع
+
+191
+00:14:19,640 --> 00:14:23,700
+عليه الـBlood و الـBlood Components وcharacterized
+
+192
+00:14:23,700 --> 00:14:27,880
+by an abnormal increase of immature white cells
+
+193
+00:14:27,880 --> 00:14:31,940
+called Plasts لما نحط عين الدم تحت الميكروسكوب
+
+194
+00:14:31,940 --> 00:14:35,820
+نلاقي فيه عنده Plast كتيرة Leukemia is a broad
+
+195
+00:14:35,820 --> 00:14:39,940
+term covering a spectrum of disease «لويكا»
+
+196
+00:14:39,940 --> 00:14:43,520
+معناتها white، «إيميا» معناتها blood معناته اللي
+
+197
+00:14:43,520 --> 00:14:48,970
+هو الدم الأبيضلوكيميا، ماذا هي الوكيميا؟ في
+
+198
+00:14:48,970 --> 00:14:52,830
+الوكيميا، أبنرمال بلد سلسلة تنتج في الـ bone
+
+199
+00:14:52,830 --> 00:14:58,750
+marrow عادةً، الوكيميا تتعلق بالتصنيع من أبنرمال
+
+200
+00:14:58,750 --> 00:15:02,730
+بلد سلسلة أبيض وهذه طبعاً اللي احنا عارفين أنها
+
+201
+00:15:02,730 --> 00:15:08,110
+الـ fight from infection فلما تكون الأبنرمال بلد
+
+202
+00:15:08,110 --> 00:15:12,700
+سلسلة أبيض، الناس يقدروا تدافع وتحاربالتي لا تعمل
+
+203
+00:15:12,700 --> 00:15:15,640
+بنفس الطريقة التي تعملها الكوريات البيضاء عشان هيك
+
+204
+00:15:15,640 --> 00:15:18,340
+أنا ممكن ألاقي الكوريات بيضاء بدل ..احنا الطبيعي
+
+205
+00:15:18,340 --> 00:15:21,320
+عنا من أربع تلاف لعشر تلاف، ألاقي عندي مائة ألف
+
+206
+00:15:21,320 --> 00:15:26,460
+لكن جيش فاسد، عالفاضي، ولا بيعمل ولا أي حاجة، ليش؟
+
+207
+00:15:26,460 --> 00:15:30,080
+لأنه abnormal، لأنه اتربى تربية سيئة، لأنه كبر
+
+208
+00:15:30,080 --> 00:15:36,960
+بطريقة غير طبيعيةالكيميا تستمر في تنمية وخلالها
+
+209
+00:15:36,960 --> 00:15:41,260
+تتجمد ومش بس يعني جيش أبو ميت ألف أنا لو عندي عشر
+
+210
+00:15:41,260 --> 00:15:44,300
+قلاف زي الناس مقدر أحارب فيهم بس يكونوا normal لو
+
+211
+00:15:44,300 --> 00:15:49,740
+عندي ميت ألف مقدروش يحاربوا ولا ينتصروا ليش؟ لأنهم
+
+212
+00:15:49,740 --> 00:15:53,710
+up normal ومش بس عامليني زحمةبدهم أكل وبدهم شرب
+
+213
+00:15:53,710 --> 00:15:58,170
+وعملين ليه زحمة crowd out of the normal blood
+
+214
+00:15:58,170 --> 00:16:03,830
+cells the end result is that it becomes difficult
+
+215
+00:16:03,830 --> 00:16:07,170
+for body to fight infection control bleeding and
+
+216
+00:16:07,170 --> 00:16:10,450
+transport oxygen مين هدول التلاتة اللي قولنا fight
+
+217
+00:16:10,450 --> 00:16:14,640
+infection؟Control bleeding and transport oxygen
+
+218
+00:16:14,640 --> 00:16:19,060
+هدول يا جماعة هما التلاتة lines of cells ايش ال
+
+219
+00:16:19,060 --> 00:16:22,560
+lines of cells يعني انا عندي لما تيجي تتطور خلية
+
+220
+00:16:22,560 --> 00:16:25,420
+من ال bone marrow في عندي تلاتة lines بتصير ال
+
+221
+00:16:25,420 --> 00:16:28,780
+line الأول القرايات البيضا ال white cells ال line
+
+222
+00:16:28,780 --> 00:16:33,600
+التاني ال RBCs ال red cells وال line التالت اللي
+
+223
+00:16:33,600 --> 00:16:38,920
+هي الصفايح دموية اللي هي Blateletsالـ Fight
+
+224
+00:16:38,920 --> 00:16:41,320
+Infection بيقوم بيها الـ White PCs Control
+
+225
+00:16:41,320 --> 00:16:44,280
+Bleeding بيقوم بيها الـ Blatelets and Transport
+
+226
+00:16:44,280 --> 00:16:49,160
+Oxygen بيقوم بيها مين؟ المجلبين أو الـ RBCs كريات
+
+227
+00:16:49,160 --> 00:16:55,900
+الحمرة فتصوروا أن هذه الوظائف الدم مش هيقدر يقوم
+
+228
+00:16:55,900 --> 00:16:58,680
+بيها إيش دل في ال .. في ال .. في ال .. لا الدم ولا
+
+229
+00:16:58,680 --> 00:17:05,830
+حاجة في عندنا حوالي 54 ألف cases of leukemiaكل عام
+
+230
+00:17:05,830 --> 00:17:10,810
+في أمريكا وكانت أربع وعشرين ماتة بسبب الليوكيميا
+
+231
+00:17:10,810 --> 00:17:14,650
+في أمريكا هذا الكلام الليوكيميا تجعل حوالي تلاتة
+
+232
+00:17:14,650 --> 00:17:17,710
+في المائة من جميع القنصارات الجديدة وبهيك
+
+233
+00:17:17,710 --> 00:17:23,510
+الليوكيميا هي أكبر أكتر نوع من أنواع السرطان
+
+234
+00:17:23,510 --> 00:17:28,350
+الموجودة بصورة عامة هناك مختلفات من الليوكيميا
+
+235
+00:17:28,350 --> 00:17:35,240
+وهذه طبعا كلها لها علاقة بكيف تتطورزي ما أحنا
+
+236
+00:17:35,240 --> 00:17:37,560
+شايفينه في الـ slide Normal blood cells
+
+237
+00:17:37,560 --> 00:17:41,780
+development Normal blood cells develop from stem
+
+238
+00:17:41,780 --> 00:17:47,960
+cells الـ stem cells هاي بتت بعد هيك بتنقسم
+
+239
+00:17:47,960 --> 00:17:54,480
+لmyeloid stem cells أو لمفاتيح stem cells الميلويد
+
+240
+00:17:54,480 --> 00:17:58,910
+بدين بعد هيك myeloid blastوالـ Myeloid Blast بيصبح
+
+241
+00:17:58,910 --> 00:18:03,890
+أكتر مادية لتصبح أيضًا بلاتلت وممكن تصبح بلاتلت
+
+242
+00:18:03,890 --> 00:18:04,710
+وممكن تصبح بلاتلت وممكن تصبح بلاتلت وممكن تصبح
+
+243
+00:18:04,710 --> 00:18:07,290
+white بسيط لكن الـ Lymphoid بتروح بس على الـ
+
+244
+00:18:07,290 --> 00:18:13,790
+Lymphoid Blast وبتديني Lymphocytes الأن الكيميا كل
+
+245
+00:18:13,790 --> 00:18:17,610
+الكيميا اللي بتصير من الخلايا اللي جاية من الـ
+
+246
+00:18:17,610 --> 00:18:23,170
+Myeloid Cells الـ Lymphoid
+
+247
+00:18:23,170 --> 00:18:27,110
+Leukemia بتجي من الـ Lymphoid Cells أمر سهل وبسيط
+
+248
+00:18:28,130 --> 00:18:32,850
+العرفة أن جميع الجلدات المشغولة في الليوكيميا مهمة
+
+249
+00:18:32,850 --> 00:18:37,990
+في اختيار التعامل المناسب، اهم أنواع الليوكيميا
+
+250
+00:18:37,990 --> 00:18:40,370
+اللي هو الـ Acute leukemia اللي هو سرطان الدم
+
+251
+00:18:40,370 --> 00:18:44,890
+الأحمر الأبيض عفواًacute leukemia if developed
+
+252
+00:18:44,890 --> 00:18:50,090
+rapidly إذا بسرعة في أيام صارحة الجضية أو أسابيع
+
+253
+00:18:50,090 --> 00:18:53,490
+Large numbers of leukemia cells accumulate very
+
+254
+00:18:53,490 --> 00:18:56,170
+quickly in the blood and bone marrow leading to
+
+255
+00:18:56,170 --> 00:19:00,030
+symptoms زي tiredness, easy bruising,
+
+256
+00:19:00,570 --> 00:19:03,010
+susceptibility to infection هدول التلت حاجات اللي
+
+257
+00:19:03,010 --> 00:19:06,980
+حكينا عنهم قبل شويه«الليوكيميا المضادة تحتاج إلى
+
+258
+00:19:06,980 --> 00:19:11,900
+تجارب بسرعة ومضادة» «الليوكيميا المضادة تحتاج إلى
+
+259
+00:19:11,900 --> 00:19:14,020
+تجارب بسرعة ومضادة» «الليوكيميا المضادة تحتاج إلى
+
+260
+00:19:14,020 --> 00:19:14,440
+تجارب بسرعة ومضادة» «الليوكيميا المضادة تحتاج إلى
+
+261
+00:19:14,440 --> 00:19:15,440
+تجارب بسرعة ومضادة» «الليوكيميا المضادة تحتاج إلى
+
+262
+00:19:15,440 --> 00:19:17,080
+تجارب بسرعة ومضادة» «الليوكيميا المضادة تحتاج إلى
+
+263
+00:19:17,080 --> 00:19:20,400
+تجارب بسرعة ومضادة» «الليوكيميا المضادة تحتاج إلى
+
+264
+00:19:20,400 --> 00:19:28,560
+تجارب بسرعة ومضادة» «الليوكيميا
+
+265
+00:19:28,560 --> 00:19:30,000
+المضادة تحتاج إلى تجارب ب
+
+266
+00:19:33,320 --> 00:19:37,420
+Leukemia AML Chronic Lymphocytic Lymphoblastic
+
+267
+00:19:37,420 --> 00:19:42,640
+Leukemia CLL وChronic Myeloid Leukemia CML طبعاً
+
+268
+00:19:42,640 --> 00:19:47,560
+كل واحد إيه وصفاته كل واحد إيه وصفاته الـ ALL most
+
+269
+00:19:47,560 --> 00:19:50,700
+common type of leukemia in children ممكن طبعا ييجي
+
+270
+00:19:50,700 --> 00:19:54,280
+في ال adults لكن هو إشي بيجي دايما لل children في
+
+271
+00:19:54,280 --> 00:19:58,660
+أن ال AML برضه acute و cares in both children and
+
+272
+00:19:58,660 --> 00:20:05,760
+adultsالـ LL اللي هو lymphocytic leukemia بيجي عند
+
+273
+00:20:05,760 --> 00:20:13,080
+ال people over 55 و ال chronic ML myelogenous
+
+274
+00:20:13,080 --> 00:20:18,120
+leukemia mainly affect adults و كل واحد إله صفاته
+
+275
+00:20:18,120 --> 00:20:23,340
+في أعمار بيجي فيها ال acute ALLالـ Acute
+
+276
+00:20:23,340 --> 00:20:27,060
+Lymphocytic Leukemia بيقول عنها الـ Most Common
+
+277
+00:20:27,060 --> 00:20:30,180
+Type Of Leukemia In Children But It Can Also
+
+278
+00:20:30,180 --> 00:20:32,800
+Affect Adults In This Type Leukemia In Mature
+
+279
+00:20:32,800 --> 00:20:36,240
+Lymphoid Cells Grow Rapidly In The Blood حوالي
+
+280
+00:20:36,240 --> 00:20:43,600
+6000 حالة في أمريكا كل سنة الـ AML هو أكتر خطورة
+
+281
+00:20:43,600 --> 00:20:47,740
+بيقول عنها الـ Myelogenous Leukemia
+
+282
+00:20:50,350 --> 00:20:54,830
+والسيلز يحدث في كافة الشباب والطفل وحوالي 18 ألف
+
+283
+00:20:54,830 --> 00:20:57,810
+شخص في كل عام في الولايات المتحدة
+
+284
+00:21:05,000 --> 00:21:08,940
+اللوكيميا الروحية تتطور بسرعة خلال الوقت، ولكن هذه
+
+285
+00:21:08,940 --> 00:21:13,780
+اللوكيميا لا تسبب في إشعارات محددة في البداية من
+
+286
+00:21:13,780 --> 00:21:18,040
+دراساتها، لكن إذا انتركت غير مدعومة، فالسلسل قد
+
+287
+00:21:18,040 --> 00:21:22,960
+تنمو إلى عدد عالي، كما يحدث في اللوكيميا الروحية
+
+288
+00:21:22,960 --> 00:21:25,160
+التي تسبب في إشعارات مشابهة، اللوكيميا مستخدمة
+
+289
+00:21:25,160 --> 00:21:29,940
+أكتر، مثل ميلويد أو لنفويد، حسب الـtype تبعها
+
+290
+00:21:29,940 --> 00:21:30,260
+السلسل
+
+291
+00:21:35,510 --> 00:21:40,670
+لمفنود، فیفر، نیت سویتز، نوز بليد، severe
+
+292
+00:21:40,670 --> 00:21:44,070
+infection، weight loss، red spots in the skin،
+
+293
+00:21:44,070 --> 00:21:47,510
+bone pain و bleeding easily
+
+294
+00:21:51,430 --> 00:21:54,730
+بنفحص حقيقة في حاجة اسمها bone marrow aspiration
+
+295
+00:21:54,730 --> 00:22:00,390
+بناخد إما من عضمة الحوض أو من عضمة الـ sternum
+
+296
+00:22:00,390 --> 00:22:05,630
+بناخد عينة و بنفحصها في blood test بنعمل، بنعمل
+
+297
+00:22:05,630 --> 00:22:09,030
+biopsy من ال blood أو من ال bone marrow عفوا من ال
+
+298
+00:22:09,030 --> 00:22:13,370
+bone marrow و imaging طبعا من ال blood test بناخد
+
+299
+00:22:13,370 --> 00:22:18,850
+كمان إيشبناخد blood film يبقى blood film، biopsy
+
+300
+00:22:18,850 --> 00:22:23,850
+وفي بعض الأحيان بنضطر نعمل imaging tests treatment
+
+301
+00:22:23,850 --> 00:22:28,070
+of leukemia treatment
+
+302
+00:22:28,070 --> 00:22:31,130
+options are available for leukemia طبعا
+
+303
+00:22:31,130 --> 00:22:33,770
+chemotherapy, radiation and bone marrow
+
+304
+00:22:33,770 --> 00:22:38,430
+transplantation في بعض الأحيان هي الحل لهؤلاء
+
+305
+00:22:38,430 --> 00:22:48,320
+المرضىأحنا هيك بنبقى عمليًا خلصنا محاضرات المساق
+
+306
+00:22:48,320 --> 00:22:51,720
+وطبعًا
+
+307
+00:22:51,720 --> 00:22:57,740
+مطلوب منها كل حاجة أنا حكيتها في المحاضرات مطلوبة
+
+308
+00:22:57,740 --> 00:23:00,440
+على كل أحوال حكيتها هموجودة في الـ slides هذه
+
+309
+00:23:00,440 --> 00:23:04,300
+الحاجة الأولى الحاجة التانية مطلوبة كمان الحاجات
+
+310
+00:23:04,300 --> 00:23:07,260
+اللي عملتوها كلها في اللي أنا طلبتها في
+
+311
+00:23:07,260 --> 00:23:13,400
+assignments كمان مطلوبةللأهمية الـ assignment ما
+
+312
+00:23:13,400 --> 00:23:17,780
+كان لمجرد أنه نتسلق لأنهم عشان تتبحروا أكتر في
+
+313
+00:23:17,780 --> 00:23:22,740
+الإجراء عن المواضيع الأمر التالت والمهم أنه احنا
+
+314
+00:23:22,740 --> 00:23:27,930
+هيكون الامتحان ان شاء الله تعالى في MCQ«multiple
+
+315
+00:23:27,930 --> 00:23:34,390
+choice» يعني وحتكون في المواضيع اللي ما خدناهاش في
+
+316
+00:23:34,390 --> 00:23:40,110
+النصفة يعني في عنا مواضيع أخدناها في النصفة الآن
+
+317
+00:23:40,110 --> 00:23:44,890
+كل شيء ما دخلش في النصفة بنبدأ منه لحد الآخر هيكون
+
+318
+00:23:44,890 --> 00:23:50,030
+داخل الامتحان وزي ما عرفته انتوا أن الجامعة بدهش
+
+319
+00:23:50,030 --> 00:23:55,130
+يعني لن يكون هناك إمكانية للامتحان الوجاهي هيكون
+
+320
+00:23:55,130 --> 00:24:00,260
+امتحانعن طريق اللي هو الـ Model إن شاء الله تعالى
+
+321
+00:24:00,260 --> 00:24:05,460
+يعني أنا بتمنى لكوا كل نجاح حاولوا جدر الإمكان
+
+322
+00:24:05,460 --> 00:24:10,640
+تخلصوا اللي عليكم في موضوع اللي هو البحث جزء ال
+
+323
+00:24:10,640 --> 00:24:17,200
+word وبعدين ال PowerPointوبعدين اللي هو الفيديو زي
+
+324
+00:24:17,200 --> 00:24:21,340
+ما اتفاجنا في كل مرة ورجاء مسئولين أو مسئولات
+
+325
+00:24:21,340 --> 00:24:25,840
+المجموعات تحاول جدر الإمكان إنها تزودني في
+
+326
+00:24:25,840 --> 00:24:30,920
+مجموعتها مين إيش عمل عشان عملية التقييم لأنه مش
+
+327
+00:24:30,920 --> 00:24:34,100
+معقول واحد ماعملش حاجة ياخد نفس التقييم زي اللي
+
+328
+00:24:34,100 --> 00:24:36,940
+اشتغل نص الشغل أو كل الشغل وهذا أنتم فاهمينه أكيد
+
+329
+00:24:37,640 --> 00:24:42,540
+راجع تزويدي بقائمة على الـ WhatsApp يعني رئيسة
+
+330
+00:24:42,540 --> 00:24:47,800
+مجموعة تديني أيش كل واحد عمل حتى نقيم الشغل يعني
+
+331
+00:24:47,800 --> 00:24:54,740
+ربنا يسر أمور لو وجهتك أي مشاكل أي مسائل أي أسئلة
+
+332
+00:24:54,740 --> 00:24:58,020
+أي استفسارات على الـ WhatsApp ممكن تتواصلوا معايا
+
+333
+00:24:58,020 --> 00:25:02,300
+على أساس أنه أجاوبكوا إياهم ونهاركوا سعيد
+
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/sWNMS4pVTgw_postprocess.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/sWNMS4pVTgw_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..95e2053a6dcfa2b94ca2dd6f497a64de2260de95
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/sWNMS4pVTgw_postprocess.srt
@@ -0,0 +1,1084 @@
+1
+00:00:01,580 --> 00:00:07,300
+بسم الله الرحمن الرحيم احنا هنتحدث
+
+2
+00:00:07,300 --> 00:00:11,140
+عن كمل ال anatomy and physiology of the
+
+3
+00:00:11,140 --> 00:00:14,500
+respiratory system وكنا قلنا ان ال major function
+
+4
+00:00:14,500 --> 00:00:17,340
+of the respiratory system is ventilation او
+
+5
+00:00:17,340 --> 00:00:24,360
+breathing بحيث ان هذا ال system بيدخلنا اكسجين و
+
+6
+00:00:24,360 --> 00:00:27,500
+بطلّحنا سنة كتير الكربون من الدم و قلنا الأعضاء
+
+7
+00:00:27,500 --> 00:00:31,100
+nose and larynxفارنستراكية bronchial tree and
+
+8
+00:00:31,100 --> 00:00:35,100
+lungs واتحدثنا عن ال nasal cavity و ال paranasal
+
+9
+00:00:35,100 --> 00:00:41,740
+sinuses اللي بيصير فيها sinusitis و فارجيناكوا على
+
+10
+00:00:41,740 --> 00:00:46,460
+الصورة اللي هي بنشوفها عادة لو في sinusitis عند أي
+
+11
+00:00:46,460 --> 00:00:55,090
+مريضو الـ pharynx و الـ larynx و أتحدثنا عن تركيبة
+
+12
+00:00:55,090 --> 00:01:00,450
+الحنجرة أو الـ larynx و قلنا إن ال vocal cord
+
+13
+00:01:00,450 --> 00:01:04,370
+stretched between the thyroid cartilage and the
+
+14
+00:01:04,370 --> 00:01:09,440
+cricoid cartilageو بعدين اتحدثنا عن الاتراكية و
+
+15
+00:01:09,440 --> 00:01:14,380
+قولنا هي بنقول عنها إيش ال wind pipe يعني زي .. زي
+
+16
+00:01:14,380 --> 00:01:18,720
+ما يقول أنبوبة الهوى زي ما يقال باللغة العامية و
+
+17
+00:01:18,720 --> 00:01:23,140
+قولنا إنه في حاجة مهمة في ال .. في الاتراكية اللي
+
+18
+00:01:23,140 --> 00:01:29,480
+هي السيليا و شغلتها إنها تطرد الغريب خارج .. خارج
+
+19
+00:01:29,480 --> 00:01:34,710
+الاتراكيةالسيليا هاي في عدة أمراض بتصيبها لكن أهم
+
+20
+00:01:34,710 --> 00:01:38,210
+حاجة بتصيبها هو ال damage اللي بيصيرلها نتيجة ال
+
+21
+00:01:38,210 --> 00:01:43,010
+smoking بيقولها destroying فبصير المدخن حتى ما
+
+22
+00:01:43,010 --> 00:01:46,810
+يطلعش البلغم عنده و بيصير الصبح دايما يطلع البلغم
+
+23
+00:01:46,810 --> 00:01:50,470
+بكميات كبيرة ال lungs كلها عبارة عن cone-shaped
+
+24
+00:01:50,470 --> 00:01:57,640
+organs و في membranes بتحيطها اسمها ال pleuraوقلنا
+
+25
+00:01:57,640 --> 00:02:00,900
+في Inspiration وExpiration في الـ Inspiration بدخل
+
+26
+00:02:00,900 --> 00:02:04,420
+أكسيجيل للـ lungs من ال атмосفير ال diaphragm
+
+27
+00:02:04,420 --> 00:02:09,870
+contract or flattenوالـ Intercostal muscle rise
+
+28
+00:02:09,870 --> 00:02:13,750
+the ribs الـ Expiration، الـ Oxygen، سانوكسيد
+
+29
+00:02:13,750 --> 00:02:17,090
+الكربون بيطلع من الـ Lungs الـ Diaphragm relaxed و
+
+30
+00:02:17,090 --> 00:02:22,510
+Intercostal muscles lower the ribs وقلنا أهم إنه
+
+31
+00:02:22,510 --> 00:02:26,670
+اللي بتحكم بالإضافة إلى ميكانيكيات تانية لكن اللي
+
+32
+00:02:26,670 --> 00:02:31,330
+بتحكم في عملية الـ Respiration اللي هي الـ
+
+33
+00:02:31,330 --> 00:02:35,230
+Breathing أو الـ Pulmonary Ventilationبتحكم فيه
+
+34
+00:02:35,230 --> 00:02:37,310
+الـ Medulla أو الـ Plongate وبتعمل Control
+
+35
+00:02:37,310 --> 00:02:40,790
+لـRhythm and Depth of the Breathing لكن الـBones
+
+36
+00:02:40,790 --> 00:02:45,190
+اللي هو عنصر
+
+37
+00:02:45,190 --> 00:02:49,790
+آخر في عملية
+
+38
+00:02:49,790 --> 00:02:55,910
+التحكم، الـBones بيعملنا تحكم في الـRateوتحدثنا عن
+
+39
+00:02:55,910 --> 00:02:58,790
+الـ Pulmonary Function Test اللي هو الـ Spirometer
+
+40
+00:02:58,790 --> 00:03:02,370
+وكيف بنعمل وقلنا الـ tidal volume أيش و ال
+
+41
+00:03:02,370 --> 00:03:06,450
+respiratory volume أيش و ال respiratory volume أيش
+
+42
+00:03:06,450 --> 00:03:11,110
+ال residual volume و ال vital capacity اللي بتضم
+
+43
+00:03:11,110 --> 00:03:17,330
+ال tidal volumeوالـ Inspiratory Reserve Volume
+
+44
+00:03:17,330 --> 00:03:20,150
+والـ Expiratory Reserve Volume والـ Total Lung
+
+45
+00:03:20,150 --> 00:03:24,110
+Capacity اللي حوالي 6000 ملي حوالي 6 لتر اللي هو
+
+46
+00:03:24,110 --> 00:03:30,150
+كل الحاجات اللي حكينا عنها وقلنا نستعيد بهذه
+
+47
+00:03:30,150 --> 00:03:35,710
+الصورة عشان نفهم الفرق بين كل volume وقلنا فيه
+
+48
+00:03:35,710 --> 00:03:39,690
+Lung Respiratory Air Movement الـ Most Result from
+
+49
+00:03:39,690 --> 00:03:43,970
+Reflex Action زي الكافينج
+
+50
+00:03:49,100 --> 00:03:53,320
+وقلنا لابد برضه إنه نفهم اللي هي الـ Coupling
+
+51
+00:03:53,320 --> 00:03:55,800
+Mechanism الموجود اللي هي Ventilation and
+
+52
+00:03:55,800 --> 00:04:00,260
+Perfusion وإنه إذا منطق مافيش فيها Perfusion إذا
+
+53
+00:04:00,260 --> 00:04:05,180
+لا داعي إنه يروح إليها Perfusion أو بالعكس وهو
+
+54
+00:04:05,180 --> 00:04:11,070
+أساس الموضوعوبعدين حكينا Service Area and
+
+55
+00:04:11,070 --> 00:04:17,450
+Thickness of Respiratory Membrane يدوب نص مايكرون
+
+56
+00:04:17,450 --> 00:04:21,910
+لمايكرون وهذا بيخلي عملية الـ Gas Exchange بصورة
+
+57
+00:04:21,910 --> 00:04:26,630
+جيدة في حالة الأمراض تختلف ال thicknessتبقى إما
+
+58
+00:04:26,630 --> 00:04:30,970
+بروح الـ wall ده تماما أو بيصير edematous و thick
+
+59
+00:04:30,970 --> 00:04:35,950
+فبتصير عملية التبادل الغازات غير سالمة و بدأنا
+
+60
+00:04:35,950 --> 00:04:40,600
+يعني ندخل في موضوع ال control of respirationحكينا
+
+61
+00:04:40,600 --> 00:04:43,860
+عن الـ DRG «Dorsal Respiratory Group» أو «Dorsal
+
+62
+00:04:43,860 --> 00:04:46,680
+Respiratory Center» وقلنا إنه هذا Located near the
+
+63
+00:04:46,680 --> 00:04:53,320
+root of a cranial nerve تسعة وهو اللي بدي بيس
+
+64
+00:04:53,320 --> 00:04:57,520
+Setting للـ Respiratory Center وبيدينا عادة
+
+65
+00:04:57,520 --> 00:05:01,180
+Inspiratory muscle and set hypnea من 12 إلى 15
+
+66
+00:05:01,180 --> 00:05:05,200
+breath per minute وطبعا في ال Inspiration مالوش
+
+67
+00:05:05,200 --> 00:05:08,080
+شغل هو بس في ال Inspiration DRG بيشتغل Dorsal
+
+68
+00:05:08,080 --> 00:05:11,220
+Respiratory Groupوفي أن الـ Ventral Respiratory
+
+69
+00:05:11,220 --> 00:05:17,200
+Group is involvedكمان و بعدين فينا اللي هي الحاجة
+
+70
+00:05:17,200 --> 00:05:21,800
+اللي هي أعلى من الأول خلينا ال control of the of
+
+71
+00:05:21,800 --> 00:05:24,760
+respiration بتلعب دور اللي هي ال bonds respiratory
+
+72
+00:05:24,760 --> 00:05:28,080
+center وهي ال bonds centers influence and modify
+
+73
+00:05:28,080 --> 00:05:31,940
+activity of the medullary center هي اللي بتتحكم في
+
+74
+00:05:31,940 --> 00:05:37,200
+ال medullary centers ال DRG و ال VRG و ال pontine
+
+75
+00:05:37,200 --> 00:05:40,340
+respiratory group continuously inhibits the
+
+76
+00:05:40,340 --> 00:05:47,520
+inspiratory centerوهي دبث ورحلة الهواء قرر بمعرفة
+
+77
+00:05:47,520 --> 00:05:52,740
+كيفية استملاح مركز الهواء الهوائي مركز الهواء
+
+78
+00:05:52,740 --> 00:05:57,400
+الهوائي في البنز وميدالا مستشعر بمعرفة كيفية
+
+79
+00:05:57,400 --> 00:06:00,120
+استملاح مركز الهواء الهوائي ومستشعر بمعرفة كيفية
+
+80
+00:06:00,120 --> 00:06:00,660
+استملاح
+
+81
+00:06:03,200 --> 00:06:07,280
+زي الـ Irritant Receptors الموجودة في الـ Lungs زي
+
+82
+00:06:07,280 --> 00:06:10,260
+الـ Stretch Receptors الموجودة برضه في الـ Lungs
+
+83
+00:06:10,260 --> 00:06:17,680
+تتحكم فيها مش بس الـ Muscle and Joint Activity الـ
+
+84
+00:06:17,680 --> 00:06:22,800
+Central Chemoreceptors
+
+85
+00:06:23,720 --> 00:06:27,180
+والـ Peripheral Chemoreceptors اللي بتتحكم في الـ
+
+86
+00:06:27,180 --> 00:06:32,680
+O2 و الـ CO2 و الـ H أو الهيدروجين و الـ Central
+
+87
+00:06:32,680 --> 00:06:39,120
+اللي هي فقط فيها الـ CO2 و الهيدروجين
+
+88
+00:06:41,590 --> 00:06:45,870
+زي ما قلنا طبيعي جدا أن يكون في عنا لو الواحد
+
+89
+00:06:45,870 --> 00:06:53,050
+اتحقق اتعرض ل irritation ريحة سيئة ريحة irritants
+
+90
+00:06:53,050 --> 00:06:58,330
+حريق دخان أي حاجة أنه بلمونة يصير عنا حاجة اسمها
+
+91
+00:06:58,330 --> 00:07:03,230
+pulmonary irritant reflexes لازم ال lung تدافع عن
+
+92
+00:07:03,230 --> 00:07:08,440
+نفسهاوبتعملنا حادثًا لما يصير عندنا مثلًا غازات
+
+93
+00:07:08,440 --> 00:07:13,460
+مميتة أو غازات قاتلة أو غازات irritants مثيرة زي
+
+94
+00:07:13,460 --> 00:07:19,940
+الـChlor زي التنر زاحي، بيصير عندنا reflexive
+
+95
+00:07:19,940 --> 00:07:25,540
+construction of the air passagesكمان في عنا
+
+96
+00:07:25,540 --> 00:07:30,200
+stretch reflex أو inflation reflection بيقول عنه
+
+97
+00:07:30,200 --> 00:07:33,280
+hearing broiler stretch reflex in the lungs are
+
+98
+00:07:33,280 --> 00:07:39,160
+stimulated by lung inflation ال lung مش مسوحلها
+
+99
+00:07:39,160 --> 00:07:43,220
+إنها تعمل inflation وتنتفخ إلى ما لنها يعني يبدأ
+
+100
+00:07:43,220 --> 00:07:46,900
+إذا وصلت مرحلة من مراحل ال inflation خلاص في عنا
+
+101
+00:07:46,900 --> 00:07:50,420
+reflex بيصير بيمنعها من ال inflation
+
+102
+00:07:57,930 --> 00:08:01,090
+مش بس اللي حكينا عنهم اللي هو الـ Pons Center
+
+103
+00:08:01,090 --> 00:08:06,550
+وMedullary Center هي اللي بتتحكم بالـBreathing أو
+
+104
+00:08:06,550 --> 00:08:09,150
+بالـ Ventilation إنما في عنا كمان Higher Brain
+
+105
+00:08:09,150 --> 00:08:13,250
+Center في الـHypotalamus بعملنا Control عن طريق
+
+106
+00:08:13,250 --> 00:08:15,910
+الـLimbic System to modify rate and depth of
+
+107
+00:08:15,910 --> 00:08:20,510
+respirationزي عصابي المثال لما بتشوفوا طفل من كتر
+
+108
+00:08:20,510 --> 00:08:24,550
+العياط والزعل كان بيصير عنده حبس نفس عصابي المثال
+
+109
+00:08:24,550 --> 00:08:29,310
+فهو بتحكم أيضا ارتفاع درجة الحرارة كمان بيزيد ل
+
+110
+00:08:29,310 --> 00:08:33,330
+respiratory center لما بيجيني اي طفل سخن أو حتى
+
+111
+00:08:33,330 --> 00:08:37,730
+كبير واحد سخن نفسه بيجا عالي respiratory rate
+
+112
+00:08:37,730 --> 00:08:44,180
+بيزيد العددفينا كمان اللي لابد أنه نعرف أن الـ
+
+113
+00:08:44,180 --> 00:08:49,920
+Cortical controls are direct signal from the
+
+114
+00:08:49,920 --> 00:08:53,500
+cerebral motor Cortex that bypass medullary
+
+115
+00:08:53,500 --> 00:08:57,700
+control يعني في بعض ال .. زي مثلا زي ما قلنا ال
+
+116
+00:08:57,700 --> 00:09:01,860
+breath holding، ال deep breath أنا الأن بدأ أخد
+
+117
+00:09:01,860 --> 00:09:08,080
+نفس عنيك، مافيش عندي أي حاجةمافيش عندي أي حاجة
+
+118
+00:09:08,080 --> 00:09:12,660
+تخليني عن طريق اللي هو الـ Bones وعن طريق الـ
+
+119
+00:09:12,660 --> 00:09:16,080
+Medullary وعن طريق الـ Hypotalamus تخليني أخد نفس
+
+120
+00:09:16,080 --> 00:09:19,440
+عنيك، مين اللي بتحكم فيها؟ اللي هي الـ Cortical
+
+121
+00:09:19,440 --> 00:09:26,460
+Control Centers من الحاجات اللي بتتحكمنها بصورة
+
+122
+00:09:26,460 --> 00:09:32,710
+واضحة جداً جداًالتي هي التغيير في الـ CO2 في الـ
+
+123
+00:09:32,710 --> 00:09:39,930
+Partial Pressure of the CO2 وهذه طبعاً فيه سينسورز
+
+124
+00:09:39,930 --> 00:09:46,490
+مجسد في الجسم بتشوف كمية ثاني أكسيد الكربون في الـ
+
+125
+00:09:46,490 --> 00:09:52,750
+Partial Pressure في الجسم وهذه الـ
+
+126
+00:09:55,670 --> 00:10:01,330
+بصورة عامة تقدر بعدها تدّي orders إن والله ثاني
+
+127
+00:10:01,330 --> 00:10:07,110
+أكسيد الكربون ارتفع يلا يا mechanisms activate the
+
+128
+00:10:07,110 --> 00:10:13,650
+ventilation عشان أعمل washing أطلع ثاني أكسيد
+
+129
+00:10:13,650 --> 00:10:18,060
+الكربون من الجسموإيش؟ وأدخل أكسجين هذه ميكانيكية
+
+130
+00:10:18,060 --> 00:10:21,300
+بتلعمل carbon dioxide in the blood diffuses into
+
+131
+00:10:21,300 --> 00:10:25,660
+the CSF where it is hydrated resulting carbonic
+
+132
+00:10:25,660 --> 00:10:29,600
+acid dissociate releasing hydrogen ions ال level
+
+133
+00:10:29,600 --> 00:10:33,900
+of pCO2 rise بيصير أنه hypercapnia resulting in
+
+134
+00:10:33,900 --> 00:10:36,860
+increased depth and rate of breathingيبقى لما يزيد
+
+135
+00:10:36,860 --> 00:10:40,480
+سانيوكسيد الكربون في سوائل الجسم، بدخل من الدم
+
+136
+00:10:40,480 --> 00:10:45,520
+لـCSF ويبدأ إشارة للدماغ، يا دماغ، يا centers،
+
+137
+00:10:45,520 --> 00:10:50,160
+اشتغلوا عشان نطلع سانيوكسيد الكربون ونقلل نسبته في
+
+138
+00:10:50,160 --> 00:10:56,610
+الدم وندخل أكسيجينهذه الرصبة اللي احنا شايفينها و
+
+139
+00:10:56,610 --> 00:11:02,290
+اللي هي نتيجة response of response to PCO2 لما
+
+140
+00:11:02,290 --> 00:11:09,790
+يزيد increase arterial PCO2 بيصير عندنا قليتين
+
+141
+00:11:09,790 --> 00:11:18,030
+القليل الأولى إنه في الـCSF بزيد الـCO2 وبزيد بجل
+
+142
+00:11:18,030 --> 00:11:19,390
+الـ
+
+143
+00:11:21,920 --> 00:11:26,360
+وبعمل الـ activation للـ central chemoreceptors في
+
+144
+00:11:26,360 --> 00:11:31,100
+الميدالة وهذه في 70% بتديني response ع الميدالة
+
+145
+00:11:31,100 --> 00:11:34,600
+respiratory center بعدين ال respiratory muscle
+
+146
+00:11:34,600 --> 00:11:38,400
+بتشتغل بعدين increased ventilation بدخل أكسيجين
+
+147
+00:11:38,400 --> 00:11:43,730
+وبطلع ثاني أكسيد الكربون وبتتحسن حموضة الدمالـ
+
+148
+00:11:43,730 --> 00:11:46,550
+Increase في الـ Arterial CO2 وهذه الألية الأولى
+
+149
+00:11:46,550 --> 00:11:48,310
+الألية التانية أنه عن طريق الـ Peripheral
+
+150
+00:11:48,310 --> 00:11:52,550
+Chemoreceptors وهذه تتمثل فقط 30% من الـ Mediate
+
+151
+00:11:52,550 --> 00:11:59,320
+of the responseالموجودة وين موجودة الـ Peripheral
+
+152
+00:11:59,320 --> 00:12:02,080
+Chemoreceptors موجودة في الـ Carotid and Aortic
+
+153
+00:12:02,080 --> 00:12:05,840
+Bodies وبرضه بتدينا نفس الـ Activity فإحنا فيه
+
+154
+00:12:05,840 --> 00:12:09,740
+عندما زيد ثانو أكسيد الكربون Two Mechanisms واحدة
+
+155
+00:12:09,740 --> 00:12:16,140
+عن طريق CSF و Central Chemoreceptors وبتمثل 70% من
+
+156
+00:12:16,140 --> 00:12:18,240
+الآليات و 30% عن طريق الـ Peripheral
+
+157
+00:12:18,240 --> 00:12:20,980
+Chemoreceptors والـ Chemoreceptors موجودة في الـ
+
+158
+00:12:20,980 --> 00:12:27,120
+Carotid andوهي بتعملنا activation لعملية ال
+
+159
+00:12:27,120 --> 00:12:31,320
+ventilation وهذا
+
+160
+00:12:31,320 --> 00:12:34,600
+اللي هو اسمه بلغة تانية لما صار عندي activation ال
+
+161
+00:12:34,600 --> 00:12:38,220
+ventilation صار عندي hyperventilation ال
+
+162
+00:12:38,220 --> 00:12:42,140
+hyperventilation increase depth and rate of
+
+163
+00:12:42,140 --> 00:12:45,520
+breathing وهذا ايش بيعمل؟ Flushes carbon dioxide
+
+164
+00:12:45,520 --> 00:12:51,420
+from the bloodبعملوا washing بيطردوا من الدم وبيجي
+
+165
+00:12:51,420 --> 00:12:54,700
+الـ hyperventilation عادة كالية بتيجي نتيجة وجود
+
+166
+00:12:54,700 --> 00:12:58,040
+الـ hypercapnia أيش الـ hypercapnia؟ زيادة ثاني
+
+167
+00:12:58,040 --> 00:13:03,160
+أكسيد الكربون في الدم زيادة ثاني أكسيد الكربون في
+
+168
+00:13:03,160 --> 00:13:11,420
+الدم فإذن rise of SO2 acts as original stimulus
+
+169
+00:13:11,420 --> 00:13:15,820
+خدوا بالكم من هذه الجملة بالأحمرالـ «CO2» يعمل كـ
+
+170
+00:13:15,820 --> 00:13:20,220
+«استمالة الأصلية» التحكم في الهواء في النار يتم
+
+171
+00:13:20,220 --> 00:13:25,000
+تحكمه بمعالجة المعالجة الهيدروجينية في العقل نتيجة
+
+172
+00:13:25,000 --> 00:13:32,280
+أن ساني أكسيد الكربون تم إذابته في الـCSF الـ
+
+173
+00:13:32,280 --> 00:13:37,500
+«هيبوفنترياش» هو الهواء اللازم وخفيف لماذا؟ عندما
+
+174
+00:13:37,500 --> 00:13:41,420
+يكون لدي عدد كبير من الـ «CO2» برضه لا يمكن أن
+
+175
+00:13:41,420 --> 00:13:46,410
+يكون عدد كبير عادلفبيهدّي النفس شوي على أساس يصير
+
+176
+00:13:46,410 --> 00:13:52,570
+في عنا عملية توازن بين الكربون والأكسجين في الدم
+
+177
+00:13:52,570 --> 00:13:57,670
+كما يجب و ينبغي طب إيش الأبنية؟ هذه بعض التعريفات
+
+178
+00:13:57,670 --> 00:14:03,790
+الأبنية هي عبارة عن breathing cessation وقف التنفس
+
+179
+00:14:05,990 --> 00:14:10,330
+أبنيها حوالي أكتر من عشر ثواني نقول عنها أبنية لحد
+
+180
+00:14:10,330 --> 00:14:14,350
+ما سانيوإكسيد الكربون نفسي على وهذا برضه من بعض
+
+181
+00:14:14,350 --> 00:14:17,770
+يعني
+
+182
+00:14:17,770 --> 00:14:20,890
+نوع من أنواع الـ Hypoventilation لكن بنوقف، بنقف
+
+183
+00:14:20,890 --> 00:14:27,130
+التنفس وبزيد سانيوإكسيد الكربون في الدم وبترجع
+
+184
+00:14:27,130 --> 00:14:30,430
+القالية أو الميكانيكية بصورة سليمة كما كان
+
+185
+00:14:36,170 --> 00:14:41,190
+بالنسبة للـ «أكسيجين» الـ «أكسيجين الأرضي» يتم
+
+186
+00:14:41,190 --> 00:14:45,510
+مراقبة من جسم الـ «أورتيك» والـ «كاروتد» حكينا
+
+187
+00:14:45,510 --> 00:14:50,950
+عنها قبل شوية وأي drop ولكن يجب أن يكون drop واضح
+
+188
+00:14:50,950 --> 00:14:59,610
+في كمية الـ «أكسيجين» في الجسم يقل عن 60 في الـ
+
+189
+00:14:59,610 --> 00:15:07,060
+partial pressure of O2جابل هيك ما بتشتغلش الـ
+
+190
+00:15:07,060 --> 00:15:10,080
+Major Stimulus for increasing the ventilation يعني
+
+191
+00:15:10,080 --> 00:15:15,080
+عشان مش نتفت نقص Oxygen على طول القاليات بتاعت
+
+192
+00:15:15,080 --> 00:15:19,720
+الجسم بتشتغل لأ إنما الـ Major Stimulus كنا CO2
+
+193
+00:15:19,720 --> 00:15:24,540
+increasing الجزء التاني لأ لازم يكون في عندي Drop
+
+194
+00:15:24,540 --> 00:15:30,600
+نقص واضح في الـ Oxygen عشان اللي هو الجسم يشتغل بـ
+
+195
+00:15:30,600 --> 00:15:31,720
+Hyperventilation
+
+196
+00:15:38,230 --> 00:15:41,370
+في بس ملاحظة اللي نقولها إنه if carbon dioxide if
+
+197
+00:15:41,370 --> 00:15:43,610
+not removed إذا ما طلّش ثاني أكسيد الكربون من
+
+198
+00:15:43,610 --> 00:15:48,490
+الجسم زي في الـ emphysema أو في الـ bronchitis الـ
+
+199
+00:15:48,490 --> 00:15:52,130
+chemoreceptors become unresponsive to PCO2
+
+200
+00:15:52,130 --> 00:15:56,870
+chemical stimuli طبعاً هذه مشكلة كبيرة الـ
+
+201
+00:15:56,870 --> 00:16:01,770
+peripheral receptors كيموريسبترز زي ما قلنا قبل
+
+202
+00:16:01,770 --> 00:16:03,270
+شوية عبارة عن
+
+203
+00:16:07,790 --> 00:16:15,530
+أو مجسات موجودة عند الـ aortic bodies وموجودة عند
+
+204
+00:16:15,530 --> 00:16:27,450
+الـ carotid bodies وهذه بنقول عنها بريفرال
+
+205
+00:16:27,450 --> 00:16:36,540
+كيمو ريسبتورز وقلنا إنها تشتغل 30% منعملية الـ
+
+206
+00:16:36,540 --> 00:16:43,120
+Stimulation للـ Ventilation
+
+207
+00:16:43,120 --> 00:16:46,540
+في
+
+208
+00:16:46,540 --> 00:16:48,660
+الـ Respiratory Adjustment في الـ Exercise يجينا
+
+209
+00:16:48,660 --> 00:16:56,380
+نلعبنا رياضة لابد أنه الجهاز التنفسي يتجاوب
+
+210
+00:16:56,380 --> 00:17:03,000
+مع عملية الـ Exercise اللي بتشيطوالجسم قادر على
+
+211
+00:17:03,000 --> 00:17:05,560
+ذلك، هذا ليس مرض، نحن نتكلم عن وضع طبيعي
+
+212
+00:17:13,070 --> 00:17:17,190
+عشرين مرة التنفس بزيد ممكن الـ Breathing becomes
+
+213
+00:17:17,190 --> 00:17:20,570
+deeper and more vigorous by respiratory rate may
+
+214
+00:17:20,570 --> 00:17:24,050
+not be significantly changed يعني حتى أنا لما بزيد
+
+215
+00:17:24,050 --> 00:17:27,670
+لكن لا يعني أنه أنا حلاقي أنه ثاني أكسيد الكربونزة
+
+216
+00:17:27,670 --> 00:17:32,830
+لأ بيظل عندنا نوع من أنواع التوازن في عملية نوع من
+
+217
+00:17:32,830 --> 00:17:37,470
+أنواع التوازن في عملية اللي هو الـ Oxygen و ثاني
+
+218
+00:17:37,470 --> 00:17:42,470
+أكسيد الكربونزةالتجارب المستمرة في التجارب ليست
+
+219
+00:17:42,470 --> 00:17:48,970
+مفاجئة من زيادة الـCO2 أو الـO2 أو حتى الـPH هذه
+
+220
+00:17:48,970 --> 00:17:53,170
+المرتبطات تبقى مستمرة في تجارب التجارب ماخدين
+
+221
+00:17:53,170 --> 00:17:55,570
+بالكم يا جماعة؟ يبقى في التجارب، صحيح أنا بيصير
+
+222
+00:17:55,570 --> 00:18:00,850
+عندي hyper hyperepnea بيصير التنفق السريع لكن نسب
+
+223
+00:18:00,850 --> 00:18:05,090
+ثاني أكسيد الكربون والأكسيجين والحموضة الـPH بتظل
+
+224
+00:18:05,090 --> 00:18:08,070
+متناسبة
+
+225
+00:18:08,450 --> 00:18:12,930
+العمل يبدأ عندما تزداد الهواء بشكل مناسب ويقع ببطء
+
+226
+00:18:12,930 --> 00:18:17,070
+ويصل إلى حالة مستمرة وبعد ذلك تثبت بعدما يبدأ
+
+227
+00:18:17,070 --> 00:18:20,810
+العمل يعني لو واحد راح يجري على البحر نفسه بعلى
+
+228
+00:18:20,810 --> 00:18:24,830
+بعلى بعلى وبعدين بثبت على العالي ولكن الوكسيجين
+
+229
+00:18:24,830 --> 00:18:29,890
+وثمكسيكربون بيضارهم تبتين إذا العمل يتوقف فالهواء
+
+230
+00:18:29,890 --> 00:18:39,790
+بيقل مرة واحدة وبعدين تتقل إلى عملة عاديةطبعاً من
+
+231
+00:18:39,790 --> 00:18:44,850
+الحاجات اللي برضه neural factors bring about the
+
+232
+00:18:44,850 --> 00:18:48,450
+above changes تدّينا نفس الكلام psychic stimuli
+
+233
+00:18:48,450 --> 00:18:52,530
+واحد عصب واحد زعل برضه بنفس صورة الـ exercise
+
+234
+00:18:52,530 --> 00:18:57,630
+بيصير وهذه بتصير عن طريق cortical motor activation
+
+235
+00:18:57,630 --> 00:19:02,910
+وعن طريق الـ excitatory impulses from proprio
+
+236
+00:19:02,910 --> 00:19:05,870
+-receptors اللي قلنا عنهم قبل شوي اللي عند الأورطة
+
+237
+00:19:05,870 --> 00:19:11,800
+وعند الكاروتدفبتعلينا نتيجة Psychic Stimuli
+
+238
+00:19:11,800 --> 00:19:17,380
+بتعلينا Respiration أو Ventilationفي طبعًا حاجة
+
+239
+00:19:17,380 --> 00:19:21,660
+بتصير معانا في الـ «high altitude» في الجبال
+
+240
+00:19:21,660 --> 00:19:25,420
+والأعالي الـ body responds to quick movement to
+
+241
+00:19:25,420 --> 00:19:31,860
+high altitude above حوالي 8000 feet with symptoms
+
+242
+00:19:31,860 --> 00:19:34,820
+of acute mountain sickness بنقول عنه acute
+
+243
+00:19:34,820 --> 00:19:38,820
+mountain sickness يعني أنا لو الآن مرة واحدة طلعت
+
+244
+00:19:38,820 --> 00:19:45,860
+وفجأة على الـمرة واحدة وفجأة على جبل بيصير اندي
+
+245
+00:19:45,860 --> 00:19:51,200
+acute mountain sickness مرض العالي الجبال الحاد
+
+246
+00:19:51,200 --> 00:19:56,820
+ليش؟ لأنه اتغير على الجسم جميع أموره headache
+
+247
+00:19:56,820 --> 00:20:04,580
+shortness of prognosis and dizziness هذه
+
+248
+00:20:04,580 --> 00:20:08,000
+يا جماعة يعني زي ما قلنا احنا اتحدثنا بس من باب
+
+249
+00:20:08,000 --> 00:20:12,910
+انه ذكرنا بعض هذه الأمور من كل بستان زهرةمرة منها
+
+250
+00:20:12,910 --> 00:20:15,050
+و مرة منها و مرة منها لأن الـ anatomy و ال
+
+251
+00:20:15,050 --> 00:20:20,690
+physiology of respiratory system موضوع حقيقي كبير
+
+252
+00:20:20,690 --> 00:20:26,730
+و ممتد في حين أنه مش لازم ناكل لهيتهبنحاول جدر
+
+253
+00:20:26,730 --> 00:20:29,850
+الإمكان إن شاء الله تعالى في أثناء ما نحكي عن
+
+254
+00:20:29,850 --> 00:20:34,130
+الأمراض في المحاضرة القادمة أنه نحكي بعض الحاجات
+
+255
+00:20:34,130 --> 00:20:39,590
+جدر الإمكان بتمنالكوا يوم سعيد بالمناسبة في قضية
+
+256
+00:20:39,590 --> 00:20:42,590
+Anatomy and Physiology لو حسيتوا أي مشكلة ممكن
+
+257
+00:20:42,590 --> 00:20:46,350
+طبعا ترسلوني لكن ممكن كمان تتطلعوا على Anatomy and
+
+258
+00:20:46,350 --> 00:20:49,720
+Physiologyأو الـ Respiratory System كمان على
+
+259
+00:20:49,720 --> 00:20:52,960
+اليوتيوب بساعد كتير ان شوف بعض الفيديوهات حقيقة
+
+260
+00:20:52,960 --> 00:20:59,600
+رائعة خاصة انه فيه إمكانية انه يلون ويرسم ويعمل زي
+
+261
+00:20:59,600 --> 00:21:04,340
+ما حكينا هننجل بعد شوية لموضوع اللي هو ال
+
+262
+00:21:04,340 --> 00:21:09,580
+Respiratory System Diseases المشهورة يعني هنروح
+
+263
+00:21:09,580 --> 00:21:14,880
+على ال Upper Respiratory System Diseases زي الرشح
+
+264
+00:21:14,880 --> 00:21:18,870
+و الانفلونزا و ال bronchitis و الحاجات هذهوبعدين
+
+265
+00:21:18,870 --> 00:21:23,410
+هروح على الـ Lower اللي هو الـ Pneumonia بالذات
+
+266
+00:21:23,410 --> 00:21:26,570
+وبعدين هروح على الأمراض الـ Obstructive زي الـ
+
+267
+00:21:26,570 --> 00:21:32,270
+Bronchial أزمة و زي الـ Bronchitis و الـ Emphysema
+
+268
+00:21:32,270 --> 00:21:39,030
+وبعدين هروح على ال Restrictive Diseases و بيمكن
+
+269
+00:21:39,030 --> 00:21:42,730
+هيك غطينا جزء كبير من ال respiratory system
+
+270
+00:21:42,730 --> 00:21:46,590
+diseases المشهورة المعروفة ان شاء الله تعالى
+
+271
+00:21:46,590 --> 00:21:47,550
+يعطيكوا العافية
+
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/sWNMS4pVTgw_raw.json b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/sWNMS4pVTgw_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..50a6ae5efc505c3a898c8121ae2b85a1d7da7ce1
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/sWNMS4pVTgw_raw.json
@@ -0,0 +1 @@
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143.61, "word": " بتحكم", "probability": 0.966796875}, {"start": 143.61, "end": 144.53, "word": " بالإضافة", "probability": 0.971484375}, {"start": 144.53, "end": 144.75, "word": " إلى", "probability": 0.791015625}, {"start": 144.75, "end": 145.61, "word": " ميكانيكيات", "probability": 0.8978794642857143}, {"start": 145.61, "end": 146.03, "word": " تانية", "probability": 0.98974609375}, {"start": 146.03, "end": 146.53, "word": " لكن", "probability": 0.81201171875}, {"start": 146.53, "end": 146.67, "word": " اللي", "probability": 0.9736328125}, {"start": 146.67, "end": 147.27, "word": " بتحكم", "probability": 0.9768880208333334}, {"start": 147.27, "end": 147.99, "word": " في", "probability": 0.98388671875}, {"start": 147.99, "end": 148.83, "word": " عملية", "probability": 0.8795572916666666}, {"start": 148.83, "end": 148.97, "word": " الـ", "probability": 0.60595703125}, {"start": 148.97, "end": 149.65, "word": " Respiration", "probability": 0.901123046875}, {"start": 149.65, "end": 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258.63, "end": 259.71, "word": " وهذا", "probability": 0.828369140625}, {"start": 259.71, "end": 260.23, "word": " بيخلي", "probability": 0.777099609375}, {"start": 260.23, "end": 260.69, "word": " عملية", "probability": 0.98828125}, {"start": 260.69, "end": 260.85, "word": " الـ", "probability": 0.72998046875}, {"start": 260.85, "end": 260.97, "word": " Gas", "probability": 0.322509765625}, {"start": 260.97, "end": 261.45, "word": " Exchange", "probability": 0.87890625}, {"start": 261.45, "end": 261.91, "word": " بصورة", "probability": 0.9810791015625}, {"start": 261.91, "end": 262.75, "word": " جيدة", "probability": 0.9775390625}, {"start": 262.75, "end": 263.79, "word": " في", "probability": 0.496826171875}, {"start": 263.79, "end": 264.15, "word": " حالة", "probability": 0.9954427083333334}, {"start": 264.15, "end": 264.63, "word": " الأمراض", "probability": 0.9855143229166666}, {"start": 264.63, "end": 265.13, "word": " تختلف", "probability": 0.9573567708333334}, {"start": 265.13, 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"probability": 0.896875}, {"start": 271.43, "end": 271.95, "word": " عملية", "probability": 0.9778645833333334}, {"start": 271.95, "end": 273.61, "word": " التبادل", "probability": 0.8934326171875}, {"start": 273.61, "end": 274.05, "word": " الغازات", "probability": 0.7513427734375}, {"start": 274.05, "end": 274.41, "word": " غير", "probability": 0.991943359375}, {"start": 274.41, "end": 275.11, "word": " سالمة", "probability": 0.6929931640625}, {"start": 275.11, "end": 275.39, "word": " و", "probability": 0.5361328125}, {"start": 275.39, "end": 275.95, "word": " بدأنا", "probability": 0.80517578125}, {"start": 275.95, "end": 276.35, "word": " يعني", "probability": 0.6590576171875}, {"start": 276.35, "end": 276.75, "word": " ندخل", "probability": 0.9422607421875}, {"start": 276.75, "end": 276.87, "word": " في", "probability": 0.90625}, {"start": 276.87, "end": 277.35, "word": " موضوع", "probability": 0.97509765625}, {"start": 277.35, "end": 277.81, "word": " ال", "probability": 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{"start": 300.94, "end": 301.18, "word": " 15", "probability": 0.98095703125}, {"start": 301.18, "end": 301.76, "word": " breath", "probability": 0.3828125}, {"start": 301.76, "end": 302.86, "word": " per", "probability": 0.85546875}, {"start": 302.86, "end": 303.22, "word": " minute", "probability": 0.92529296875}, {"start": 303.22, "end": 304.16, "word": " وطبعا", "probability": 0.932421875}, {"start": 304.16, "end": 304.28, "word": " في", "probability": 0.73779296875}, {"start": 304.28, "end": 304.36, "word": " ال", "probability": 0.9677734375}, {"start": 304.36, "end": 304.82, "word": " Inspiration", "probability": 0.6055908203125}, {"start": 304.82, "end": 305.2, "word": " مالوش", "probability": 0.7451171875}, {"start": 305.2, "end": 305.42, "word": " شغل", "probability": 0.9031575520833334}, {"start": 305.42, "end": 305.58, "word": " هو", "probability": 0.623046875}, {"start": 305.58, "end": 305.84, "word": " بس", "probability": 0.943359375}, {"start": 305.84, "end": 305.96, 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"end": 737.84, "word": " الـ", "probability": 0.701416015625}, {"start": 737.84, "end": 738.24, "word": " Peripheral", "probability": 0.96240234375}, {"start": 738.24, "end": 739.08, "word": " Chemoreceptors", "probability": 0.9814453125}, {"start": 739.08, "end": 739.64, "word": " والـ", "probability": 0.5164794921875}, {"start": 739.64, "end": 740.24, "word": " Chemoreceptors", "probability": 0.93408203125}, {"start": 740.24, "end": 740.66, "word": " موجودة", "probability": 0.972900390625}, {"start": 740.66, "end": 740.8, "word": " في", "probability": 0.97509765625}, {"start": 740.8, "end": 740.98, "word": " الـ", "probability": 0.708740234375}, {"start": 740.98, "end": 741.52, "word": " Carotid", "probability": 0.9728190104166666}, {"start": 741.52, "end": 742.32, "word": " and", "probability": 0.85107421875}], "temperature": 1.0}, {"id": 35, "seek": 76632, "start": 744.5, "end": 766.32, "text": "وهي بتعملنا activation لعملية ال ventilation وهذا اللي هو اسمه بلغة تانية لما صار عندي activation ال ventilation صار عندي hyperventilation ال hyperventilation increase depth and rate of breathing وهذا ايش بيعمل؟ Flushes carbon dioxide from the blood", "tokens": [2407, 3224, 1829, 39894, 25957, 1211, 8315, 24433, 5296, 25957, 1211, 10632, 2423, 29553, 37037, 15730, 13672, 1829, 31439, 24525, 2304, 3224, 4724, 1211, 17082, 3660, 6055, 7649, 10632, 5296, 15042, 20328, 9640, 18871, 16254, 24433, 2423, 29553, 20328, 9640, 18871, 16254, 9848, 2475, 16067, 2423, 9848, 2475, 16067, 3488, 7161, 293, 3314, 295, 9570, 37037, 15730, 1975, 1829, 8592, 4724, 1829, 25957, 1211, 22807, 3235, 1498, 279, 5954, 19590, 490, 264, 3390], "avg_logprob": -0.26224662081615346, "compression_ratio": 1.6701030927835052, "no_speech_prob": 5.364418029785156e-07, "words": [{"start": 744.5, "end": 745.3, "word": "وهي", "probability": 0.5440266927083334}, {"start": 745.3, "end": 745.76, "word": " بتعملنا", "probability": 0.695709228515625}, {"start": 745.76, "end": 746.26, "word": " activation", 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"text": "بعملوا washing بيطردوا من الدم وبيجي الـ hyperventilation عادة كالية بتيجي نتيجة وجود الـ hypercapnia أيش الـ hypercapnia؟ زيادة ثاني أكسيد الكربون في الدم زيادة ثاني أكسيد الكربون في الدم فإذن rise of SO2 acts as original stimulus خدوا بالكم من هذه الجملة بالأحمر", "tokens": [3555, 25957, 1211, 14407, 13836, 4724, 1829, 9566, 2288, 3215, 14407, 9154, 32748, 2304, 4032, 21292, 7435, 1829, 2423, 39184, 9848, 2475, 16067, 6225, 18513, 3660, 9122, 6027, 10632, 39894, 1829, 7435, 1829, 8717, 31371, 7435, 3660, 49610, 23328, 2423, 39184, 9848, 9485, 12679, 36632, 8592, 2423, 39184, 9848, 9485, 12679, 22807, 30767, 1829, 18513, 3660, 38637, 7649, 1829, 5551, 4117, 3794, 25708, 33251, 25513, 11536, 8978, 32748, 2304, 30767, 1829, 18513, 3660, 38637, 7649, 1829, 5551, 4117, 3794, 25708, 33251, 25513, 11536, 8978, 32748, 2304, 6156, 28814, 8848, 1863, 6272, 295, 10621, 17, 10672, 382, 3380, 21366, 16490, 3215, 14407, 20666, 24793, 9154, 29538, 25724, 2304, 37977, 20666, 10721, 5016, 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"probability": 0.7499651227678571}, {"start": 1275.66, "end": 1275.96, "word": " و", "probability": 0.9775390625}, {"start": 1275.96, "end": 1276.32, "word": " ال", "probability": 0.96728515625}, {"start": 1276.32, "end": 1277.08, "word": " bronchitis", "probability": 0.7180989583333334}, {"start": 1277.08, "end": 1277.24, "word": " و", "probability": 0.9453125}, {"start": 1277.24, "end": 1277.56, "word": " الحاجات", "probability": 0.9889322916666666}, {"start": 1277.56, "end": 1277.78, "word": " هذه", "probability": 0.58740234375}], "temperature": 1.0}, {"id": 56, "seek": 130755, "start": 1278.11, "end": 1307.55, "text": "وبعدين هروح على الـ Lower اللي هو الـ Pneumonia بالذات وبعدين هروح على الأمراض الـ Obstructive زي الـ Bronchial أزمة و زي الـ Bronchitis و الـ Emphysema وبعدين هروح على ال Restrictive Diseases و بيمكن هيك غطينا جزء كبير من ال respiratory system diseases المشهورة المعروفة ان شاء الله تعالى يعطيكوا العافية", "tokens": [37746, 22488, 9957, 8032, 32887, 5016, 15844, 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\ No newline at end of file
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/sWNMS4pVTgw_raw.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/sWNMS4pVTgw_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..95e2053a6dcfa2b94ca2dd6f497a64de2260de95
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/sWNMS4pVTgw_raw.srt
@@ -0,0 +1,1084 @@
+1
+00:00:01,580 --> 00:00:07,300
+بسم الله الرحمن الرحيم احنا هنتحدث
+
+2
+00:00:07,300 --> 00:00:11,140
+عن كمل ال anatomy and physiology of the
+
+3
+00:00:11,140 --> 00:00:14,500
+respiratory system وكنا قلنا ان ال major function
+
+4
+00:00:14,500 --> 00:00:17,340
+of the respiratory system is ventilation او
+
+5
+00:00:17,340 --> 00:00:24,360
+breathing بحيث ان هذا ال system بيدخلنا اكسجين و
+
+6
+00:00:24,360 --> 00:00:27,500
+بطلّحنا سنة كتير الكربون من الدم و قلنا الأعضاء
+
+7
+00:00:27,500 --> 00:00:31,100
+nose and larynxفارنستراكية bronchial tree and
+
+8
+00:00:31,100 --> 00:00:35,100
+lungs واتحدثنا عن ال nasal cavity و ال paranasal
+
+9
+00:00:35,100 --> 00:00:41,740
+sinuses اللي بيصير فيها sinusitis و فارجيناكوا على
+
+10
+00:00:41,740 --> 00:00:46,460
+الصورة اللي هي بنشوفها عادة لو في sinusitis عند أي
+
+11
+00:00:46,460 --> 00:00:55,090
+مريضو الـ pharynx و الـ larynx و أتحدثنا عن تركيبة
+
+12
+00:00:55,090 --> 00:01:00,450
+الحنجرة أو الـ larynx و قلنا إن ال vocal cord
+
+13
+00:01:00,450 --> 00:01:04,370
+stretched between the thyroid cartilage and the
+
+14
+00:01:04,370 --> 00:01:09,440
+cricoid cartilageو بعدين اتحدثنا عن الاتراكية و
+
+15
+00:01:09,440 --> 00:01:14,380
+قولنا هي بنقول عنها إيش ال wind pipe يعني زي .. زي
+
+16
+00:01:14,380 --> 00:01:18,720
+ما يقول أنبوبة الهوى زي ما يقال باللغة العامية و
+
+17
+00:01:18,720 --> 00:01:23,140
+قولنا إنه في حاجة مهمة في ال .. في الاتراكية اللي
+
+18
+00:01:23,140 --> 00:01:29,480
+هي السيليا و شغلتها إنها تطرد الغريب خارج .. خارج
+
+19
+00:01:29,480 --> 00:01:34,710
+الاتراكيةالسيليا هاي في عدة أمراض بتصيبها لكن أهم
+
+20
+00:01:34,710 --> 00:01:38,210
+حاجة بتصيبها هو ال damage اللي بيصيرلها نتيجة ال
+
+21
+00:01:38,210 --> 00:01:43,010
+smoking بيقولها destroying فبصير المدخن حتى ما
+
+22
+00:01:43,010 --> 00:01:46,810
+يطلعش البلغم عنده و بيصير الصبح دايما يطلع البلغم
+
+23
+00:01:46,810 --> 00:01:50,470
+بكميات كبيرة ال lungs كلها عبارة عن cone-shaped
+
+24
+00:01:50,470 --> 00:01:57,640
+organs و في membranes بتحيطها اسمها ال pleuraوقلنا
+
+25
+00:01:57,640 --> 00:02:00,900
+في Inspiration وExpiration في الـ Inspiration بدخل
+
+26
+00:02:00,900 --> 00:02:04,420
+أكسيجيل للـ lungs من ال атмосفير ال diaphragm
+
+27
+00:02:04,420 --> 00:02:09,870
+contract or flattenوالـ Intercostal muscle rise
+
+28
+00:02:09,870 --> 00:02:13,750
+the ribs الـ Expiration، الـ Oxygen، سانوكسيد
+
+29
+00:02:13,750 --> 00:02:17,090
+الكربون بيطلع من الـ Lungs الـ Diaphragm relaxed و
+
+30
+00:02:17,090 --> 00:02:22,510
+Intercostal muscles lower the ribs وقلنا أهم إنه
+
+31
+00:02:22,510 --> 00:02:26,670
+اللي بتحكم بالإضافة إلى ميكانيكيات تانية لكن اللي
+
+32
+00:02:26,670 --> 00:02:31,330
+بتحكم في عملية الـ Respiration اللي هي الـ
+
+33
+00:02:31,330 --> 00:02:35,230
+Breathing أو الـ Pulmonary Ventilationبتحكم فيه
+
+34
+00:02:35,230 --> 00:02:37,310
+الـ Medulla أو الـ Plongate وبتعمل Control
+
+35
+00:02:37,310 --> 00:02:40,790
+لـRhythm and Depth of the Breathing لكن الـBones
+
+36
+00:02:40,790 --> 00:02:45,190
+اللي هو عنصر
+
+37
+00:02:45,190 --> 00:02:49,790
+آخر في عملية
+
+38
+00:02:49,790 --> 00:02:55,910
+التحكم، الـBones بيعملنا تحكم في الـRateوتحدثنا عن
+
+39
+00:02:55,910 --> 00:02:58,790
+الـ Pulmonary Function Test اللي هو الـ Spirometer
+
+40
+00:02:58,790 --> 00:03:02,370
+وكيف بنعمل وقلنا الـ tidal volume أيش و ال
+
+41
+00:03:02,370 --> 00:03:06,450
+respiratory volume أيش و ال respiratory volume أيش
+
+42
+00:03:06,450 --> 00:03:11,110
+ال residual volume و ال vital capacity اللي بتضم
+
+43
+00:03:11,110 --> 00:03:17,330
+ال tidal volumeوالـ Inspiratory Reserve Volume
+
+44
+00:03:17,330 --> 00:03:20,150
+والـ Expiratory Reserve Volume والـ Total Lung
+
+45
+00:03:20,150 --> 00:03:24,110
+Capacity اللي حوالي 6000 ملي حوالي 6 لتر اللي هو
+
+46
+00:03:24,110 --> 00:03:30,150
+كل الحاجات اللي حكينا عنها وقلنا نستعيد بهذه
+
+47
+00:03:30,150 --> 00:03:35,710
+الصورة عشان نفهم الفرق بين كل volume وقلنا فيه
+
+48
+00:03:35,710 --> 00:03:39,690
+Lung Respiratory Air Movement الـ Most Result from
+
+49
+00:03:39,690 --> 00:03:43,970
+Reflex Action زي الكافينج
+
+50
+00:03:49,100 --> 00:03:53,320
+وقلنا لابد برضه إنه نفهم اللي هي الـ Coupling
+
+51
+00:03:53,320 --> 00:03:55,800
+Mechanism الموجود اللي هي Ventilation and
+
+52
+00:03:55,800 --> 00:04:00,260
+Perfusion وإنه إذا منطق مافيش فيها Perfusion إذا
+
+53
+00:04:00,260 --> 00:04:05,180
+لا داعي إنه يروح إليها Perfusion أو بالعكس وهو
+
+54
+00:04:05,180 --> 00:04:11,070
+أساس الموضوعوبعدين حكينا Service Area and
+
+55
+00:04:11,070 --> 00:04:17,450
+Thickness of Respiratory Membrane يدوب نص مايكرون
+
+56
+00:04:17,450 --> 00:04:21,910
+لمايكرون وهذا بيخلي عملية الـ Gas Exchange بصورة
+
+57
+00:04:21,910 --> 00:04:26,630
+جيدة في حالة الأمراض تختلف ال thicknessتبقى إما
+
+58
+00:04:26,630 --> 00:04:30,970
+بروح الـ wall ده تماما أو بيصير edematous و thick
+
+59
+00:04:30,970 --> 00:04:35,950
+فبتصير عملية التبادل الغازات غير سالمة و بدأنا
+
+60
+00:04:35,950 --> 00:04:40,600
+يعني ندخل في موضوع ال control of respirationحكينا
+
+61
+00:04:40,600 --> 00:04:43,860
+عن الـ DRG «Dorsal Respiratory Group» أو «Dorsal
+
+62
+00:04:43,860 --> 00:04:46,680
+Respiratory Center» وقلنا إنه هذا Located near the
+
+63
+00:04:46,680 --> 00:04:53,320
+root of a cranial nerve تسعة وهو اللي بدي بيس
+
+64
+00:04:53,320 --> 00:04:57,520
+Setting للـ Respiratory Center وبيدينا عادة
+
+65
+00:04:57,520 --> 00:05:01,180
+Inspiratory muscle and set hypnea من 12 إلى 15
+
+66
+00:05:01,180 --> 00:05:05,200
+breath per minute وطبعا في ال Inspiration مالوش
+
+67
+00:05:05,200 --> 00:05:08,080
+شغل هو بس في ال Inspiration DRG بيشتغل Dorsal
+
+68
+00:05:08,080 --> 00:05:11,220
+Respiratory Groupوفي أن الـ Ventral Respiratory
+
+69
+00:05:11,220 --> 00:05:17,200
+Group is involvedكمان و بعدين فينا اللي هي الحاجة
+
+70
+00:05:17,200 --> 00:05:21,800
+اللي هي أعلى من الأول خلينا ال control of the of
+
+71
+00:05:21,800 --> 00:05:24,760
+respiration بتلعب دور اللي هي ال bonds respiratory
+
+72
+00:05:24,760 --> 00:05:28,080
+center وهي ال bonds centers influence and modify
+
+73
+00:05:28,080 --> 00:05:31,940
+activity of the medullary center هي اللي بتتحكم في
+
+74
+00:05:31,940 --> 00:05:37,200
+ال medullary centers ال DRG و ال VRG و ال pontine
+
+75
+00:05:37,200 --> 00:05:40,340
+respiratory group continuously inhibits the
+
+76
+00:05:40,340 --> 00:05:47,520
+inspiratory centerوهي دبث ورحلة الهواء قرر بمعرفة
+
+77
+00:05:47,520 --> 00:05:52,740
+كيفية استملاح مركز الهواء الهوائي مركز الهواء
+
+78
+00:05:52,740 --> 00:05:57,400
+الهوائي في البنز وميدالا مستشعر بمعرفة كيفية
+
+79
+00:05:57,400 --> 00:06:00,120
+استملاح مركز الهواء الهوائي ومستشعر بمعرفة كيفية
+
+80
+00:06:00,120 --> 00:06:00,660
+استملاح
+
+81
+00:06:03,200 --> 00:06:07,280
+زي الـ Irritant Receptors الموجودة في الـ Lungs زي
+
+82
+00:06:07,280 --> 00:06:10,260
+الـ Stretch Receptors الموجودة برضه في الـ Lungs
+
+83
+00:06:10,260 --> 00:06:17,680
+تتحكم فيها مش بس الـ Muscle and Joint Activity الـ
+
+84
+00:06:17,680 --> 00:06:22,800
+Central Chemoreceptors
+
+85
+00:06:23,720 --> 00:06:27,180
+والـ Peripheral Chemoreceptors اللي بتتحكم في الـ
+
+86
+00:06:27,180 --> 00:06:32,680
+O2 و الـ CO2 و الـ H أو الهيدروجين و الـ Central
+
+87
+00:06:32,680 --> 00:06:39,120
+اللي هي فقط فيها الـ CO2 و الهيدروجين
+
+88
+00:06:41,590 --> 00:06:45,870
+زي ما قلنا طبيعي جدا أن يكون في عنا لو الواحد
+
+89
+00:06:45,870 --> 00:06:53,050
+اتحقق اتعرض ل irritation ريحة سيئة ريحة irritants
+
+90
+00:06:53,050 --> 00:06:58,330
+حريق دخان أي حاجة أنه بلمونة يصير عنا حاجة اسمها
+
+91
+00:06:58,330 --> 00:07:03,230
+pulmonary irritant reflexes لازم ال lung تدافع عن
+
+92
+00:07:03,230 --> 00:07:08,440
+نفسهاوبتعملنا حادثًا لما يصير عندنا مثلًا غازات
+
+93
+00:07:08,440 --> 00:07:13,460
+مميتة أو غازات قاتلة أو غازات irritants مثيرة زي
+
+94
+00:07:13,460 --> 00:07:19,940
+الـChlor زي التنر زاحي، بيصير عندنا reflexive
+
+95
+00:07:19,940 --> 00:07:25,540
+construction of the air passagesكمان في عنا
+
+96
+00:07:25,540 --> 00:07:30,200
+stretch reflex أو inflation reflection بيقول عنه
+
+97
+00:07:30,200 --> 00:07:33,280
+hearing broiler stretch reflex in the lungs are
+
+98
+00:07:33,280 --> 00:07:39,160
+stimulated by lung inflation ال lung مش مسوحلها
+
+99
+00:07:39,160 --> 00:07:43,220
+إنها تعمل inflation وتنتفخ إلى ما لنها يعني يبدأ
+
+100
+00:07:43,220 --> 00:07:46,900
+إذا وصلت مرحلة من مراحل ال inflation خلاص في عنا
+
+101
+00:07:46,900 --> 00:07:50,420
+reflex بيصير بيمنعها من ال inflation
+
+102
+00:07:57,930 --> 00:08:01,090
+مش بس اللي حكينا عنهم اللي هو الـ Pons Center
+
+103
+00:08:01,090 --> 00:08:06,550
+وMedullary Center هي اللي بتتحكم بالـBreathing أو
+
+104
+00:08:06,550 --> 00:08:09,150
+بالـ Ventilation إنما في عنا كمان Higher Brain
+
+105
+00:08:09,150 --> 00:08:13,250
+Center في الـHypotalamus بعملنا Control عن طريق
+
+106
+00:08:13,250 --> 00:08:15,910
+الـLimbic System to modify rate and depth of
+
+107
+00:08:15,910 --> 00:08:20,510
+respirationزي عصابي المثال لما بتشوفوا طفل من كتر
+
+108
+00:08:20,510 --> 00:08:24,550
+العياط والزعل كان بيصير عنده حبس نفس عصابي المثال
+
+109
+00:08:24,550 --> 00:08:29,310
+فهو بتحكم أيضا ارتفاع درجة الحرارة كمان بيزيد ل
+
+110
+00:08:29,310 --> 00:08:33,330
+respiratory center لما بيجيني اي طفل سخن أو حتى
+
+111
+00:08:33,330 --> 00:08:37,730
+كبير واحد سخن نفسه بيجا عالي respiratory rate
+
+112
+00:08:37,730 --> 00:08:44,180
+بيزيد العددفينا كمان اللي لابد أنه نعرف أن الـ
+
+113
+00:08:44,180 --> 00:08:49,920
+Cortical controls are direct signal from the
+
+114
+00:08:49,920 --> 00:08:53,500
+cerebral motor Cortex that bypass medullary
+
+115
+00:08:53,500 --> 00:08:57,700
+control يعني في بعض ال .. زي مثلا زي ما قلنا ال
+
+116
+00:08:57,700 --> 00:09:01,860
+breath holding، ال deep breath أنا الأن بدأ أخد
+
+117
+00:09:01,860 --> 00:09:08,080
+نفس عنيك، مافيش عندي أي حاجةمافيش عندي أي حاجة
+
+118
+00:09:08,080 --> 00:09:12,660
+تخليني عن طريق اللي هو الـ Bones وعن طريق الـ
+
+119
+00:09:12,660 --> 00:09:16,080
+Medullary وعن طريق الـ Hypotalamus تخليني أخد نفس
+
+120
+00:09:16,080 --> 00:09:19,440
+عنيك، مين اللي بتحكم فيها؟ اللي هي الـ Cortical
+
+121
+00:09:19,440 --> 00:09:26,460
+Control Centers من الحاجات اللي بتتحكمنها بصورة
+
+122
+00:09:26,460 --> 00:09:32,710
+واضحة جداً جداًالتي هي التغيير في الـ CO2 في الـ
+
+123
+00:09:32,710 --> 00:09:39,930
+Partial Pressure of the CO2 وهذه طبعاً فيه سينسورز
+
+124
+00:09:39,930 --> 00:09:46,490
+مجسد في الجسم بتشوف كمية ثاني أكسيد الكربون في الـ
+
+125
+00:09:46,490 --> 00:09:52,750
+Partial Pressure في الجسم وهذه الـ
+
+126
+00:09:55,670 --> 00:10:01,330
+بصورة عامة تقدر بعدها تدّي orders إن والله ثاني
+
+127
+00:10:01,330 --> 00:10:07,110
+أكسيد الكربون ارتفع يلا يا mechanisms activate the
+
+128
+00:10:07,110 --> 00:10:13,650
+ventilation عشان أعمل washing أطلع ثاني أكسيد
+
+129
+00:10:13,650 --> 00:10:18,060
+الكربون من الجسموإيش؟ وأدخل أكسجين هذه ميكانيكية
+
+130
+00:10:18,060 --> 00:10:21,300
+بتلعمل carbon dioxide in the blood diffuses into
+
+131
+00:10:21,300 --> 00:10:25,660
+the CSF where it is hydrated resulting carbonic
+
+132
+00:10:25,660 --> 00:10:29,600
+acid dissociate releasing hydrogen ions ال level
+
+133
+00:10:29,600 --> 00:10:33,900
+of pCO2 rise بيصير أنه hypercapnia resulting in
+
+134
+00:10:33,900 --> 00:10:36,860
+increased depth and rate of breathingيبقى لما يزيد
+
+135
+00:10:36,860 --> 00:10:40,480
+سانيوكسيد الكربون في سوائل الجسم، بدخل من الدم
+
+136
+00:10:40,480 --> 00:10:45,520
+لـCSF ويبدأ إشارة للدماغ، يا دماغ، يا centers،
+
+137
+00:10:45,520 --> 00:10:50,160
+اشتغلوا عشان نطلع سانيوكسيد الكربون ونقلل نسبته في
+
+138
+00:10:50,160 --> 00:10:56,610
+الدم وندخل أكسيجينهذه الرصبة اللي احنا شايفينها و
+
+139
+00:10:56,610 --> 00:11:02,290
+اللي هي نتيجة response of response to PCO2 لما
+
+140
+00:11:02,290 --> 00:11:09,790
+يزيد increase arterial PCO2 بيصير عندنا قليتين
+
+141
+00:11:09,790 --> 00:11:18,030
+القليل الأولى إنه في الـCSF بزيد الـCO2 وبزيد بجل
+
+142
+00:11:18,030 --> 00:11:19,390
+الـ
+
+143
+00:11:21,920 --> 00:11:26,360
+وبعمل الـ activation للـ central chemoreceptors في
+
+144
+00:11:26,360 --> 00:11:31,100
+الميدالة وهذه في 70% بتديني response ع الميدالة
+
+145
+00:11:31,100 --> 00:11:34,600
+respiratory center بعدين ال respiratory muscle
+
+146
+00:11:34,600 --> 00:11:38,400
+بتشتغل بعدين increased ventilation بدخل أكسيجين
+
+147
+00:11:38,400 --> 00:11:43,730
+وبطلع ثاني أكسيد الكربون وبتتحسن حموضة الدمالـ
+
+148
+00:11:43,730 --> 00:11:46,550
+Increase في الـ Arterial CO2 وهذه الألية الأولى
+
+149
+00:11:46,550 --> 00:11:48,310
+الألية التانية أنه عن طريق الـ Peripheral
+
+150
+00:11:48,310 --> 00:11:52,550
+Chemoreceptors وهذه تتمثل فقط 30% من الـ Mediate
+
+151
+00:11:52,550 --> 00:11:59,320
+of the responseالموجودة وين موجودة الـ Peripheral
+
+152
+00:11:59,320 --> 00:12:02,080
+Chemoreceptors موجودة في الـ Carotid and Aortic
+
+153
+00:12:02,080 --> 00:12:05,840
+Bodies وبرضه بتدينا نفس الـ Activity فإحنا فيه
+
+154
+00:12:05,840 --> 00:12:09,740
+عندما زيد ثانو أكسيد الكربون Two Mechanisms واحدة
+
+155
+00:12:09,740 --> 00:12:16,140
+عن طريق CSF و Central Chemoreceptors وبتمثل 70% من
+
+156
+00:12:16,140 --> 00:12:18,240
+الآليات و 30% عن طريق الـ Peripheral
+
+157
+00:12:18,240 --> 00:12:20,980
+Chemoreceptors والـ Chemoreceptors موجودة في الـ
+
+158
+00:12:20,980 --> 00:12:27,120
+Carotid andوهي بتعملنا activation لعملية ال
+
+159
+00:12:27,120 --> 00:12:31,320
+ventilation وهذا
+
+160
+00:12:31,320 --> 00:12:34,600
+اللي هو اسمه بلغة تانية لما صار عندي activation ال
+
+161
+00:12:34,600 --> 00:12:38,220
+ventilation صار عندي hyperventilation ال
+
+162
+00:12:38,220 --> 00:12:42,140
+hyperventilation increase depth and rate of
+
+163
+00:12:42,140 --> 00:12:45,520
+breathing وهذا ايش بيعمل؟ Flushes carbon dioxide
+
+164
+00:12:45,520 --> 00:12:51,420
+from the bloodبعملوا washing بيطردوا من الدم وبيجي
+
+165
+00:12:51,420 --> 00:12:54,700
+الـ hyperventilation عادة كالية بتيجي نتيجة وجود
+
+166
+00:12:54,700 --> 00:12:58,040
+الـ hypercapnia أيش الـ hypercapnia؟ زيادة ثاني
+
+167
+00:12:58,040 --> 00:13:03,160
+أكسيد الكربون في الدم زيادة ثاني أكسيد الكربون في
+
+168
+00:13:03,160 --> 00:13:11,420
+الدم فإذن rise of SO2 acts as original stimulus
+
+169
+00:13:11,420 --> 00:13:15,820
+خدوا بالكم من هذه الجملة بالأحمرالـ «CO2» يعمل كـ
+
+170
+00:13:15,820 --> 00:13:20,220
+«استمالة الأصلية» التحكم في الهواء في النار يتم
+
+171
+00:13:20,220 --> 00:13:25,000
+تحكمه بمعالجة المعالجة الهيدروجينية في العقل نتيجة
+
+172
+00:13:25,000 --> 00:13:32,280
+أن ساني أكسيد الكربون تم إذابته في الـCSF الـ
+
+173
+00:13:32,280 --> 00:13:37,500
+«هيبوفنترياش» هو الهواء اللازم وخفيف لماذا؟ عندما
+
+174
+00:13:37,500 --> 00:13:41,420
+يكون لدي عدد كبير من الـ «CO2» برضه لا يمكن أن
+
+175
+00:13:41,420 --> 00:13:46,410
+يكون عدد كبير عادلفبيهدّي النفس شوي على أساس يصير
+
+176
+00:13:46,410 --> 00:13:52,570
+في عنا عملية توازن بين الكربون والأكسجين في الدم
+
+177
+00:13:52,570 --> 00:13:57,670
+كما يجب و ينبغي طب إيش الأبنية؟ هذه بعض التعريفات
+
+178
+00:13:57,670 --> 00:14:03,790
+الأبنية هي عبارة عن breathing cessation وقف التنفس
+
+179
+00:14:05,990 --> 00:14:10,330
+أبنيها حوالي أكتر من عشر ثواني نقول عنها أبنية لحد
+
+180
+00:14:10,330 --> 00:14:14,350
+ما سانيوإكسيد الكربون نفسي على وهذا برضه من بعض
+
+181
+00:14:14,350 --> 00:14:17,770
+يعني
+
+182
+00:14:17,770 --> 00:14:20,890
+نوع من أنواع الـ Hypoventilation لكن بنوقف، بنقف
+
+183
+00:14:20,890 --> 00:14:27,130
+التنفس وبزيد سانيوإكسيد الكربون في الدم وبترجع
+
+184
+00:14:27,130 --> 00:14:30,430
+القالية أو الميكانيكية بصورة سليمة كما كان
+
+185
+00:14:36,170 --> 00:14:41,190
+بالنسبة للـ «أكسيجين» الـ «أكسيجين الأرضي» يتم
+
+186
+00:14:41,190 --> 00:14:45,510
+مراقبة من جسم الـ «أورتيك» والـ «كاروتد» حكينا
+
+187
+00:14:45,510 --> 00:14:50,950
+عنها قبل شوية وأي drop ولكن يجب أن يكون drop واضح
+
+188
+00:14:50,950 --> 00:14:59,610
+في كمية الـ «أكسيجين» في الجسم يقل عن 60 في الـ
+
+189
+00:14:59,610 --> 00:15:07,060
+partial pressure of O2جابل هيك ما بتشتغلش الـ
+
+190
+00:15:07,060 --> 00:15:10,080
+Major Stimulus for increasing the ventilation يعني
+
+191
+00:15:10,080 --> 00:15:15,080
+عشان مش نتفت نقص Oxygen على طول القاليات بتاعت
+
+192
+00:15:15,080 --> 00:15:19,720
+الجسم بتشتغل لأ إنما الـ Major Stimulus كنا CO2
+
+193
+00:15:19,720 --> 00:15:24,540
+increasing الجزء التاني لأ لازم يكون في عندي Drop
+
+194
+00:15:24,540 --> 00:15:30,600
+نقص واضح في الـ Oxygen عشان اللي هو الجسم يشتغل بـ
+
+195
+00:15:30,600 --> 00:15:31,720
+Hyperventilation
+
+196
+00:15:38,230 --> 00:15:41,370
+في بس ملاحظة اللي نقولها إنه if carbon dioxide if
+
+197
+00:15:41,370 --> 00:15:43,610
+not removed إذا ما طلّش ثاني أكسيد الكربون من
+
+198
+00:15:43,610 --> 00:15:48,490
+الجسم زي في الـ emphysema أو في الـ bronchitis الـ
+
+199
+00:15:48,490 --> 00:15:52,130
+chemoreceptors become unresponsive to PCO2
+
+200
+00:15:52,130 --> 00:15:56,870
+chemical stimuli طبعاً هذه مشكلة كبيرة الـ
+
+201
+00:15:56,870 --> 00:16:01,770
+peripheral receptors كيموريسبترز زي ما قلنا قبل
+
+202
+00:16:01,770 --> 00:16:03,270
+شوية عبارة عن
+
+203
+00:16:07,790 --> 00:16:15,530
+أو مجسات موجودة عند الـ aortic bodies وموجودة عند
+
+204
+00:16:15,530 --> 00:16:27,450
+الـ carotid bodies وهذه بنقول عنها بريفرال
+
+205
+00:16:27,450 --> 00:16:36,540
+كيمو ريسبتورز وقلنا إنها تشتغل 30% منعملية الـ
+
+206
+00:16:36,540 --> 00:16:43,120
+Stimulation للـ Ventilation
+
+207
+00:16:43,120 --> 00:16:46,540
+في
+
+208
+00:16:46,540 --> 00:16:48,660
+الـ Respiratory Adjustment في الـ Exercise يجينا
+
+209
+00:16:48,660 --> 00:16:56,380
+نلعبنا رياضة لابد أنه الجهاز التنفسي يتجاوب
+
+210
+00:16:56,380 --> 00:17:03,000
+مع عملية الـ Exercise اللي بتشيطوالجسم قادر على
+
+211
+00:17:03,000 --> 00:17:05,560
+ذلك، هذا ليس مرض، نحن نتكلم عن وضع طبيعي
+
+212
+00:17:13,070 --> 00:17:17,190
+عشرين مرة التنفس بزيد ممكن الـ Breathing becomes
+
+213
+00:17:17,190 --> 00:17:20,570
+deeper and more vigorous by respiratory rate may
+
+214
+00:17:20,570 --> 00:17:24,050
+not be significantly changed يعني حتى أنا لما بزيد
+
+215
+00:17:24,050 --> 00:17:27,670
+لكن لا يعني أنه أنا حلاقي أنه ثاني أكسيد الكربونزة
+
+216
+00:17:27,670 --> 00:17:32,830
+لأ بيظل عندنا نوع من أنواع التوازن في عملية نوع من
+
+217
+00:17:32,830 --> 00:17:37,470
+أنواع التوازن في عملية اللي هو الـ Oxygen و ثاني
+
+218
+00:17:37,470 --> 00:17:42,470
+أكسيد الكربونزةالتجارب المستمرة في التجارب ليست
+
+219
+00:17:42,470 --> 00:17:48,970
+مفاجئة من زيادة الـCO2 أو الـO2 أو حتى الـPH هذه
+
+220
+00:17:48,970 --> 00:17:53,170
+المرتبطات تبقى مستمرة في تجارب التجارب ماخدين
+
+221
+00:17:53,170 --> 00:17:55,570
+بالكم يا جماعة؟ يبقى في التجارب، صحيح أنا بيصير
+
+222
+00:17:55,570 --> 00:18:00,850
+عندي hyper hyperepnea بيصير التنفق السريع لكن نسب
+
+223
+00:18:00,850 --> 00:18:05,090
+ثاني أكسيد الكربون والأكسيجين والحموضة الـPH بتظل
+
+224
+00:18:05,090 --> 00:18:08,070
+متناسبة
+
+225
+00:18:08,450 --> 00:18:12,930
+العمل يبدأ عندما تزداد الهواء بشكل مناسب ويقع ببطء
+
+226
+00:18:12,930 --> 00:18:17,070
+ويصل إلى حالة مستمرة وبعد ذلك تثبت بعدما يبدأ
+
+227
+00:18:17,070 --> 00:18:20,810
+العمل يعني لو واحد راح يجري على البحر نفسه بعلى
+
+228
+00:18:20,810 --> 00:18:24,830
+بعلى بعلى وبعدين بثبت على العالي ولكن الوكسيجين
+
+229
+00:18:24,830 --> 00:18:29,890
+وثمكسيكربون بيضارهم تبتين إذا العمل يتوقف فالهواء
+
+230
+00:18:29,890 --> 00:18:39,790
+بيقل مرة واحدة وبعدين تتقل إلى عملة عاديةطبعاً من
+
+231
+00:18:39,790 --> 00:18:44,850
+الحاجات اللي برضه neural factors bring about the
+
+232
+00:18:44,850 --> 00:18:48,450
+above changes تدّينا نفس الكلام psychic stimuli
+
+233
+00:18:48,450 --> 00:18:52,530
+واحد عصب واحد زعل برضه بنفس صورة الـ exercise
+
+234
+00:18:52,530 --> 00:18:57,630
+بيصير وهذه بتصير عن طريق cortical motor activation
+
+235
+00:18:57,630 --> 00:19:02,910
+وعن طريق الـ excitatory impulses from proprio
+
+236
+00:19:02,910 --> 00:19:05,870
+-receptors اللي قلنا عنهم قبل شوي اللي عند الأورطة
+
+237
+00:19:05,870 --> 00:19:11,800
+وعند الكاروتدفبتعلينا نتيجة Psychic Stimuli
+
+238
+00:19:11,800 --> 00:19:17,380
+بتعلينا Respiration أو Ventilationفي طبعًا حاجة
+
+239
+00:19:17,380 --> 00:19:21,660
+بتصير معانا في الـ «high altitude» في الجبال
+
+240
+00:19:21,660 --> 00:19:25,420
+والأعالي الـ body responds to quick movement to
+
+241
+00:19:25,420 --> 00:19:31,860
+high altitude above حوالي 8000 feet with symptoms
+
+242
+00:19:31,860 --> 00:19:34,820
+of acute mountain sickness بنقول عنه acute
+
+243
+00:19:34,820 --> 00:19:38,820
+mountain sickness يعني أنا لو الآن مرة واحدة طلعت
+
+244
+00:19:38,820 --> 00:19:45,860
+وفجأة على الـمرة واحدة وفجأة على جبل بيصير اندي
+
+245
+00:19:45,860 --> 00:19:51,200
+acute mountain sickness مرض العالي الجبال الحاد
+
+246
+00:19:51,200 --> 00:19:56,820
+ليش؟ لأنه اتغير على الجسم جميع أموره headache
+
+247
+00:19:56,820 --> 00:20:04,580
+shortness of prognosis and dizziness هذه
+
+248
+00:20:04,580 --> 00:20:08,000
+يا جماعة يعني زي ما قلنا احنا اتحدثنا بس من باب
+
+249
+00:20:08,000 --> 00:20:12,910
+انه ذكرنا بعض هذه الأمور من كل بستان زهرةمرة منها
+
+250
+00:20:12,910 --> 00:20:15,050
+و مرة منها و مرة منها لأن الـ anatomy و ال
+
+251
+00:20:15,050 --> 00:20:20,690
+physiology of respiratory system موضوع حقيقي كبير
+
+252
+00:20:20,690 --> 00:20:26,730
+و ممتد في حين أنه مش لازم ناكل لهيتهبنحاول جدر
+
+253
+00:20:26,730 --> 00:20:29,850
+الإمكان إن شاء الله تعالى في أثناء ما نحكي عن
+
+254
+00:20:29,850 --> 00:20:34,130
+الأمراض في المحاضرة القادمة أنه نحكي بعض الحاجات
+
+255
+00:20:34,130 --> 00:20:39,590
+جدر الإمكان بتمنالكوا يوم سعيد بالمناسبة في قضية
+
+256
+00:20:39,590 --> 00:20:42,590
+Anatomy and Physiology لو حسيتوا أي مشكلة ممكن
+
+257
+00:20:42,590 --> 00:20:46,350
+طبعا ترسلوني لكن ممكن كمان تتطلعوا على Anatomy and
+
+258
+00:20:46,350 --> 00:20:49,720
+Physiologyأو الـ Respiratory System كمان على
+
+259
+00:20:49,720 --> 00:20:52,960
+اليوتيوب بساعد كتير ان شوف بعض الفيديوهات حقيقة
+
+260
+00:20:52,960 --> 00:20:59,600
+رائعة خاصة انه فيه إمكانية انه يلون ويرسم ويعمل زي
+
+261
+00:20:59,600 --> 00:21:04,340
+ما حكينا هننجل بعد شوية لموضوع اللي هو ال
+
+262
+00:21:04,340 --> 00:21:09,580
+Respiratory System Diseases المشهورة يعني هنروح
+
+263
+00:21:09,580 --> 00:21:14,880
+على ال Upper Respiratory System Diseases زي الرشح
+
+264
+00:21:14,880 --> 00:21:18,870
+و الانفلونزا و ال bronchitis و الحاجات هذهوبعدين
+
+265
+00:21:18,870 --> 00:21:23,410
+هروح على الـ Lower اللي هو الـ Pneumonia بالذات
+
+266
+00:21:23,410 --> 00:21:26,570
+وبعدين هروح على الأمراض الـ Obstructive زي الـ
+
+267
+00:21:26,570 --> 00:21:32,270
+Bronchial أزمة و زي الـ Bronchitis و الـ Emphysema
+
+268
+00:21:32,270 --> 00:21:39,030
+وبعدين هروح على ال Restrictive Diseases و بيمكن
+
+269
+00:21:39,030 --> 00:21:42,730
+هيك غطينا جزء كبير من ال respiratory system
+
+270
+00:21:42,730 --> 00:21:46,590
+diseases المشهورة المعروفة ان شاء الله تعالى
+
+271
+00:21:46,590 --> 00:21:47,550
+يعطيكوا العافية
+
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/wIJdyXlauDk.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/wIJdyXlauDk.srt
new file mode 100644
index 0000000000000000000000000000000000000000..dac13eacbb5373aac3db6631f8855744048a441a
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/wIJdyXlauDk.srt
@@ -0,0 +1,1358 @@
+1
+00:00:00,960 --> 00:00:03,660
+بسم الله الرحمن الرحيم الحمد لله رب العالمين إحنا
+
+2
+00:00:03,660 --> 00:00:07,040
+الآن إن شاء الله تعالى هنشرح .. خلّيني أقول جزء من 
+
+3
+00:00:07,040 --> 00:00:10,720
+الـ physiology وزي ما قلنا المرات اللي فاتت إنه
+
+4
+00:00:10,720 --> 00:00:13,680
+يعني إحنا بنشرح أشياء دي رتوش بس من الـ Anatomy و
+
+5
+00:00:13,680 --> 00:00:16,820
+الـ physiology وممكن بعض الأمور تعود تمر معانا في
+
+6
+00:00:16,820 --> 00:00:21,500
+خلال محاضرات والحديث عن الـ diseases اللي بتصيب الـ
+
+7
+00:00:21,500 --> 00:00:26,330
+cardiovascular disease الـ .. كنا نتحدث عن الـ
+
+8
+00:00:26,330 --> 00:00:29,710
+anatomy of the heart، اليوم هنتحدث short،
+
+9
+00:00:29,710 --> 00:00:33,410
+وأبعتلكوا كمان فيديو، ممكن أحاول أحطه على البرنامج
+
+10
+00:00:33,410 --> 00:00:36,910
+هان، مش عارف يظبط ولا لأ، لكن خلّينا نجرب، أو
+
+11
+00:00:36,910 --> 00:00:41,090
+ببعتلكوا إياه على الـWhatsApp، فيديو animation،
+
+12
+00:00:41,090 --> 00:00:47,360
+لكيف بيصير الـ cardiac functionالـ Cardiac Muscle 
+
+13
+00:00:47,360 --> 00:00:51,520
+Contraction زي ما إحنا عارفين أن الـ "هارد" الـ
+
+14
+00:00:51,520 --> 00:00:53,660
+"هارد" الـ "هارد" الـ "هارد" الـ "هارد" الـ "هارد"
+
+15
+00:00:53,660 --> 00:00:55,400
+الـ "هارد" الـ "هارد" الـ "هارد" الـ "هارد" الـ
+
+16
+00:00:55,400 --> 00:00:57,320
+"هارد" الـ "هارد" الـ "هارد" الـ "هارد" الـ "هارد"
+
+17
+00:00:57,320 --> 00:01:00,400
+الـ "هارد" الـ "هارد" الـ "هارد" الـ "هارد" الـ
+
+18
+00:01:00,400 --> 00:01:02,160
+"هارد" الـ "هارد" الـ "هارد" الـ "هارد" الـ "هارد"
+
+19
+00:01:02,160 --> 00:01:09,680
+الـ "هارد" الـ "هارد" الـ "هارد" الـ "هارد"
+
+20
+00:01:09,680 --> 00:01:12,280
+الـ "هارد" الـ
+
+21
+00:01:15,780 --> 00:01:19,040
+الذي يسمّى Cardiac muscle Contract as a Unit
+
+22
+00:01:19,040 --> 00:01:21,540
+contraction is similar to skeletal muscle
+
+23
+00:01:21,540 --> 00:01:27,000
+contraction طبعاً
+
+24
+00:01:27,000 --> 00:01:30,900
+الـ Heart physiology sequence of excitation بيبدأ
+
+25
+00:01:30,900 --> 00:01:35,570
+عندنا الموضوع اللي هو الـ "self-automatically" أو
+
+26
+00:01:35,570 --> 00:01:38,990
+"automatism" بتبدأ من حاجة اسمها اللي هي النقطة
+
+27
+00:01:38,990 --> 00:01:42,170
+البيضاء النقطة الصفراء اللي موجودة في الـ "right
+
+28
+00:01:42,170 --> 00:01:47,370
+atrium" اللي هي "SA node" أو "sino-atrial node"
+
+29
+00:01:47,370 --> 00:01:50,250
+وهذه بنقول عنها الـ "pace maker" هي اللي بتدي الـ
+
+30
+00:01:50,250 --> 00:01:54,850
+"pace" هي اللي بتدي البداية وبعد هيك بيبدأ يتحرك
+
+31
+00:01:54,850 --> 00:02:00,470
+الـ "discharge" أو الـ Excitation زي ما هنشوف عندنا
+
+32
+00:02:00,470 --> 00:02:05,950
+في الرسمات في اتجاه الـ muscles اللي هي الـ
+
+33
+00:02:05,950 --> 00:02:09,750
+muscles of the right atrium to the left atrium
+
+34
+00:02:09,750 --> 00:02:13,830
+وبعدين بدخل كمان على من خلال حاجة اسمها الـ
+
+35
+00:02:13,830 --> 00:02:18,210
+internodal pathway بدخل للـ atrioventricular node
+
+36
+00:02:18,210 --> 00:02:24,230
+اللي هي رقم 2 بعد الـ sinoatrial sinusSinus أو
+37
+00:02:24,230 --> 00:02:25,690
+Sino-Atrial Node
+
+38
+00:02:30,970 --> 00:02:36,130
+هذا ما رأيناه في الـ SA نود بدأ ينتشر الـ
+
+39
+00:02:36,130 --> 00:02:39,450
+Discharge، ينشر الـ Impulses، يبدأ الـ Atrial
+
+40
+00:02:39,450 --> 00:02:45,010
+Excitation، وينتشر إلى أين يذهب الـ Impulse إلى
+
+41
+00:02:45,010 --> 00:02:49,090
+الـ AV نود، الـ Atrioventricular نود، ويذهب إلى
+
+42
+00:02:49,090 --> 00:02:53,410
+الـ Atrium في نفسه، وهذا طبعا في مدة مهولة، مدة
+
+43
+00:02:53,410 --> 00:02:57,870
+كبيرة بيصير الموضوع الآن لو بدنا نمثل اللي صار في
+
+44
+00:02:57,870 --> 00:03:02,490
+الـ ECG الـ ECG اللي هو Electrocardiogram هنلاقي إنه
+
+45
+00:03:02,490 --> 00:03:06,090
+هذا بيمثل الجزئية اللي هي الـ P wave اللي هي اللي
+
+46
+00:03:06,090 --> 00:03:11,450
+إحنا شايفينها بدت في الصورة الـ heart التانية أخدت
+
+47
+00:03:11,450 --> 00:03:16,210
+الـ 2 أتريام وعملت ليه الـ P wave كاملة يبقى الـ P
+
+48
+00:03:16,210 --> 00:03:24,550
+wave بيمثل الـ Atrial Excitation أو Depolarization
+
+49
+00:03:26,770 --> 00:03:34,150
+ببدأ من الـ Sinus Atrium Node بينتشر في الـ Right
+
+50
+00:03:34,150 --> 00:03:38,370
+Atrium والـ Left Atrium وبعدين بدّي اللي هو الـ
+
+51
+00:03:38,370 --> 00:03:41,690
+Discharge عالمياً للـ AV Node الـ Atrioventricular
+
+52
+00:03:41,690 --> 00:03:46,180
+Node من الـ Atrioventricular Node بيطلع من عنا حاجة
+
+53
+00:03:46,180 --> 00:03:49,420
+اسمها "Atrioventricular Bundle" "AV Bundle" أو
+
+54
+00:03:49,420 --> 00:03:52,960
+بنقول "His Bundle" أو "Bundle of His" وين بيروح
+
+55
+00:03:52,960 --> 00:03:57,200
+هذا؟ هذا بيروح، بدخل على اللي هي الـ
+
+56
+00:03:57,200 --> 00:04:01,960
+"Interventricular
+
+57
+00:04:01,960 --> 00:04:05,200
+Septum" اللي هو الـ "Septum" اللي بين الـ "Right
+
+58
+00:04:05,200 --> 00:04:08,760
+Ventricle" والـ "Right Ventricle" والـ "Left
+
+59
+00:04:08,760 --> 00:04:12,350
+Ventricle" بعد ما يشير عيني الأطرا في الـ
+
+60
+00:04:12,350 --> 00:04:17,930
+ventricular node بيتفرع إلى الـ bundle branches
+
+61
+00:04:17,930 --> 00:04:23,010
+والـ bundle branches بتظل ماشية في الـ septum
+
+62
+00:04:23,010 --> 00:04:28,030
+وبعدين عند الـ apex في نهاية القلب تحت بتتفرع إلى
+
+63
+00:04:28,030 --> 00:04:29,730
+الـ Purkinje fibers
+
+64
+00:04:33,610 --> 00:04:41,010
+وهذه الـ "Purkinje fibers" بتروح للـ "ventricle
+
+65
+00:04:41,010 --> 00:04:45,470
+wall" في الـ "لفت" وفي الـ "رايت" طيب كيف هي
+
+66
+00:04:45,470 --> 00:04:50,270
+related to ECG بتصير؟ قلنا قبل شوية إن الـ
+
+67
+00:04:50,270 --> 00:04:54,290
+Excitation بدأ بالـ Sinus أتريام نوت وبدأ ينتشر
+
+68
+00:04:54,290 --> 00:04:59,210
+في الـ Right و Left أتريام وبعدين أدى كهربط لمن؟
+
+69
+00:04:59,210 --> 00:05:03,290
+للـ AV نوت هذه بيمثلها قلنا من الـ P Wave هذه اللي
+
+70
+00:05:03,290 --> 00:05:08,690
+شفناها الصغيرة أول الـ ECG بعد هيك بيبدأ يدخل الـ
+
+71
+00:05:08,690 --> 00:05:14,930
+Excitation في الـ Atrioventricular node وبعد هيك
+
+72
+00:05:14,930 --> 00:05:18,990
+بدخل على الـ Atrioventricular bundle أو bundle of
+
+73
+00:05:18,990 --> 00:05:22,950
+His وبعدين هذا نفسه بنزل في الـ bundle of branches
+
+74
+00:05:22,950 --> 00:05:28,990
+وهذا بيدينا لسه لحد الآن بيدينا الـ Q الـ Q اللي
+
+75
+00:05:28,990 --> 00:05:35,130
+هي هيك اللي لتحت هي زي الدنبل الصغيرة لتحت Q يبقى
+
+76
+00:05:36,110 --> 00:05:40,630
+الـ Q بتمثلها الـ Excitation في الـ AV وفي الـ
+
+77
+00:05:40,630 --> 00:05:44,650
+Interventricular أو الـ bundle of branches لحد ما
+
+78
+00:05:44,650 --> 00:05:49,810
+توصل الـ Purkinje branches بعد هيك الـ Excitation بتدخل
+
+79
+00:05:49,810 --> 00:05:54,390
+على الـ muscles الـ Right والـ Left ventricle فبدينا
+
+80
+00:05:55,500 --> 00:05:59,000
+الـ R اللي إحنا شايفينها اللي هي زي الشوكة عاملة
+
+81
+00:05:59,000 --> 00:06:04,080
+لفوق هيك Q R وبعد هيك بيبدأ ينسحب الكهربا مرة
+
+82
+00:06:04,080 --> 00:06:10,860
+تانية بالديني بعد هيك اللي هي الـ T Wave يبقى الـ
+
+83
+00:06:10,860 --> 00:06:14,960
+Excitation of Atrial Atrial Excitation في الـ P
+
+84
+00:06:14,960 --> 00:06:22,440
+الـ Q بيديني الـ Excitation في الـ AV Bundle مع
+
+85
+00:06:22,440 --> 00:06:29,470
+الـ Bundle of Branches بتدينا الـ Q والـ R تدينا
+
+86
+00:06:29,470 --> 00:06:36,030
+الـ Purkinje fiber مع الـ right and left ventricle و
+
+87
+00:06:36,030 --> 00:06:41,110
+الـ T بعدين بتيجي هذه عمارة عن اللي هو التفريغ
+
+88
+00:06:41,110 --> 00:06:44,830
+الكهربي تبع الـ ventricles اللي هو بنقول عنه الـ T
+
+89
+00:06:44,830 --> 00:06:48,310
+أو الـ repolarization اللي بيصير في مين؟ في الـ
+
+90
+00:06:48,310 --> 00:06:52,010
+right and left ventricle كمان مرة
+
+91
+00:06:56,430 --> 00:07:02,150
+الآن يا جماعة وأنا هأديكوا اللي هو الـ Cardiac
+
+92
+00:07:02,150 --> 00:07:09,630
+Circle نفهم إنه كل اللي بيصير هذا سواء الـ
+
+93
+00:07:09,630 --> 00:07:15,050
+Excitation مع الـ Repolarization مع عملية الـ
+
+94
+00:07:15,050 --> 00:07:19,310
+Systolic والـ Diastolic لا تحصل كلها كل واحدة
+
+95
+00:07:19,310 --> 00:07:24,430
+بمعزل عن الآخر لا تحصل كل واحدة بمعزل عن الآخر
+
+96
+00:07:24,430 --> 00:07:29,490
+بمعنى كلها بتتم في نفس الوقت بطريقة regular دون
+
+97
+00:07:29,490 --> 00:07:38,090
+حدوث أي مشاكل وأوريكم الفيديو بعد شوية يبقى هذا
+
+98
+00:07:38,090 --> 00:07:41,310
+بالنسبة للـ "Internal Innovation of the Heart" لكن
+
+99
+00:07:41,310 --> 00:07:46,130
+برضه إحنا فيها حاجات تانية بتأثر على الـ "Heart"
+
+100
+00:07:46,130 --> 00:07:52,190
+زي الـ "Extrinsic Innovation" وهو عبارة عن أنه
+
+101
+00:07:52,190 --> 00:07:58,190
+يتحكم في القلب كمان بعض الأمور، سواء الـ Stimulation
+
+102
+00:07:58,190 --> 00:08:00,590
+أو الـ Inhibition اللي هو الـ Sympathetic
+
+103
+00:08:00,590 --> 00:08:06,330
+والـ Parasympathetic والـ Parasympathetic أو
+
+104
+00:08:06,330 --> 00:08:09,670
+الـ Sympathetic بيبقى موجود في اللي هو الـ Spinal
+
+105
+00:08:09,670 --> 00:08:13,400
+Cord، الـ Thoracic Spinal Cord في الـ Sympathetic
+
+106
+00:08:13,400 --> 00:08:18,160
+Trunk وهذا بيمثل Stimulation أما الـ Cardio
+
+107
+00:08:18,160 --> 00:08:21,800
+-Inhibitory
+
+108
+00:08:21,800 --> 00:08:27,620
+Center موجود، الـ Parasympathetic موجود في الـ
+
+109
+00:08:27,620 --> 00:08:31,720
+Vagus أو بوصل الكهربا عن طريق الـ Vagus nerves للـ
+
+110
+00:08:31,720 --> 00:08:37,480
+Sinus Atrial Node
+
+111
+00:08:37,480 --> 00:08:39,080
+وللـ AV Node
+
+112
+00:08:41,760 --> 00:08:46,580
+يبقى كمان مرة الـ electrical activity recorded
+
+113
+00:08:46,580 --> 00:08:50,880
+بالـ ECG الـ P wave correspond اللي هو الـ
+
+114
+00:08:50,880 --> 00:08:54,860
+excitation أو الـ depolarization of SA node الـ
+
+115
+00:08:54,860 --> 00:08:59,740
+QRS complex أي ما إحنا شايفينها في الرسمة بتمثل
+
+116
+00:08:59,740 --> 00:09:04,180
+أو correspond to ventricular depolarization والـ T
+
+117
+00:09:04,180 --> 00:09:07,420
+wave والتفريغ هو عملية تفريغ الـ Ventricular
+
+118
+00:09:07,420 --> 00:09:13,860
+Repolarization طيب و ليش ما صارش للـ Atrium تفريغ؟
+
+119
+00:09:13,860 --> 00:09:19,480
+لأ، هو صار تفريغ ولكن كبر الـ QRS غطالي على
+
+120
+00:09:19,480 --> 00:09:29,620
+الكهربا البسيطة اللي طالعة من الـ Atrium وطبعا
+
+121
+00:09:29,620 --> 00:09:34,750
+الـ ECG هي جماعة بيشخصنا الـ Electricity مش بس الـ
+
+122
+00:09:34,750 --> 00:09:40,770
+Discharge أو الـ Excitation أو الـ Rhythm of the
+
+123
+00:09:40,770 --> 00:09:45,930
+Heart إنما كمان ممكن يشخصلي الـ Thickness of the
+
+124
+00:09:45,930 --> 00:09:48,170
+Muscles كمان، ممكن يديني إشارة
+
+125
+00:09:51,300 --> 00:09:57,080
+فالـ ECG الشغلته زي الـ EEG في الدماغ لما أنا بدأ
+
+126
+00:09:57,080 --> 00:10:00,520
+أشوف الـ Epilepsy بنفس الصورة، في أننا طبعا حاجة
+
+127
+00:10:00,520 --> 00:10:04,340
+تانية بنشوف ونسمعها زي ما قلنا بناخد من كل بستان
+
+128
+00:10:04,340 --> 00:10:09,800
+زهرة تقريبا اللي هي الـ hard sound الـ heart sounds
+
+129
+00:10:09,800 --> 00:10:14,000
+اللي هي لب دب are associated with closing of the
+
+130
+00:10:14,000 --> 00:10:18,520
+heart valves يعني لما تيجي الـ valves اتسكر بسمع
+
+131
+00:10:18,520 --> 00:10:22,180
+اللي هو اللب دب اللي بسمعها الـ heart sound في
+
+132
+00:10:22,180 --> 00:10:29,160
+القلب والـ first sound occurs as AV valve close
+
+133
+00:10:30,480 --> 00:10:35,040
+وبتدلني الـ first sound لما بسمعها بتقول لي أن الـ
+
+134
+00:10:35,040 --> 00:10:39,000
+atrioventricular valve سكر لكن برضه بتقول لي خد
+
+135
+00:10:39,000 --> 00:10:42,080
+بالك هنا بدينا الـ beginning of the systole
+
+136
+00:10:42,080 --> 00:10:46,400
+اللي هو الـ contraction second sound لما الـ
+
+137
+00:10:46,400 --> 00:10:51,840
+semilunar valves اللي هو الـ pulmonary الـ aortic
+
+138
+00:10:51,840 --> 00:10:57,140
+valve بيسكروا نفس الكلام وبتقول لي خد بالك الآن
+
+139
+00:10:57,140 --> 00:11:01,120
+هيو بدأ إيش beginning of the ventricular diastole
+
+140
+00:11:01,120 --> 00:11:09,460
+الـ regulation of the heart rate بيقوم بيها الـ 
+
+141
+00:11:09,460 --> 00:11:10,700
+sympathetic والبارا sympathetic
+
+142
+00:11:13,770 --> 00:11:17,070
+والـ Parasympathetic  نظام الـ Autonomic
+
+143
+00:11:17,070 --> 00:11:21,170
+Stimulation وبيعمل لي slowing heart rate and causes
+
+144
+00:11:21,170 --> 00:11:25,930
+vagal tone لكن الـ Sympathetic stimulation is
+
+145
+00:11:25,930 --> 00:11:28,850
+activated by stress and anxiety excitement،
+
+146
+00:11:28,850 --> 00:11:31,450
+exercise، هذه الحاجات كلها بتسريع لي فهي بتعمل
+
+147
+00:11:31,450 --> 00:11:34,310
+excitement، بتعمل activation اللي هو الـ
+
+148
+00:11:34,310 --> 00:11:37,230
+Sympathetic وفيه طبعًا عندنا بعض الهرمونات كمان 
+
+149
+00:11:37,530 --> 00:11:41,710
+بتأثر وبتدينا، بتعملنا، بتأثرني عن الـregulation
+
+150
+00:11:41,710 --> 00:11:47,230
+of the heart زي الـ Hormones، الـ Adrenaline
+
+151
+00:11:47,230 --> 00:11:50,450
+والتيروكسين وممكن طبعًا نفس الكلام الـ Intra and
+
+152
+00:11:50,450 --> 00:11:56,010
+Extracellular Ion Concentration زي البوتاسيوم على 
+
+153
+00:11:56,010 --> 00:12:01,970
+سبيل المثال، بيأثر لي وبيعمل لي مشاكل في الـ heart
+
+154
+00:12:01,970 --> 00:12:19,890
+rate سنعود الآن ببطء للفيديو 
+
+155
+00:12:19,890 --> 00:12:20,230
+الأول
+
+156
+00:12:24,030 --> 00:12:27,330
+النظام التّجاري أيضًا يحتوي على نظام اللّيمفاوي 
+
+157
+00:12:27,330 --> 00:12:30,810
+اللي بيتحرك فيه الليمف، ولكن كلمتي نظام التّجاري
+
+158
+00:12:30,810 --> 00:12:34,630
+والنظام الكارديوفاسكي مستخدمتين عامًا  لتعامل مع
+
+159
+00:12:34,630 --> 00:12:38,950
+بعضها لتعامل مع تجارة الدم. نظام الكارديوفاسكي
+
+160
+00:12:38,950 --> 00:12:43,490
+يحتوي على قلب، دم، ومخادع الدم. القلب هو أساسًا
+
+161
+00:12:43,490 --> 00:12:45,730
+محطة تتحرك الدم من خلال المخادع.
+
+162
+00:12:50,380 --> 00:12:54,760
+العمل الأفضل المعروف لنظام التّجاري هو ربما تحميل
+
+163
+00:12:54,760 --> 00:13:01,020
+الهواء الهوائي من الجلد إلى عضلات الجسم وإزالة
+
+164
+00:13:01,020 --> 00:13:04,460
+الهواء الكربوني في الاتّجاه العكسي لإنهاء
+
+165
+00:13:04,460 --> 00:13:15,580
+الهواء ببساطة، ببساطة، ببساطة، ببساطة، ببساطة،
+
+166
+00:13:15,580 --> 00:13:16,120
+ببساطة، ببساطة، ببساطة، ببساطة، ببساطة، ببساطة،
+
+167
+00:13:16,120 --> 00:13:17,040
+ببساطة، ببساطة، ببساطة، ببساطة، ببساطة، ببساطة،
+
+168
+00:13:17,040 --> 00:13:18,910
+ببساطة، ببساطة، ببساطة، بسيط الدم الكثير من الأكسجين
+
+169
+00:13:18,910 --> 00:13:22,850
+يرجع إلى الجانب الأيسر من القلب هذا الجزء من
+
+170
+00:13:22,850 --> 00:13:26,730
+النظام يدعى الـ Pulmonary Circuit الجانب الأيسر
+
+171
+00:13:26,730 --> 00:13:30,770
+من القلب يدفع الدم الكثير من الأكسجين لجسم الجسم حيث
+
+172
+00:13:30,770 --> 00:13:32,010
+يدفع الدم الكثير من الأكسجين يدفع الدم الكثير من
+
+173
+00:13:32,010 --> 00:13:33,870
+الأكسجين يدفع الدم الكثير من الأكسجين يدفع الدم الكثير
+
+174
+00:13:33,870 --> 00:13:36,690
+من الأكسجين يدفع الدم الكثير من الأكسجين يدفع الدم
+
+175
+00:13:36,690 --> 00:13:39,230
+الكثير من الأكسجين يدفع الدم الكثير من الأكسجين يدفع
+
+176
+00:13:39,230 --> 00:13:39,310
+الدم الكثير من الأكسجين يدفع الدم الكثير من الأكسجين
+
+177
+00:13:39,310 --> 00:13:40,350
+يدفع الدم الكثير من الأكسجين يدفع الدم الكثير من
+
+178
+00:13:40,350 --> 00:13:46,000
+الأكسجين يدفع الدم الكثير بسبب أن جدار الجهة اليسرى يجب
+
+179
+00:13:46,000 --> 00:13:48,880
+أن يدفع الدم إلى جسمه تمامًا، فهو يحتوي على عضلة
+
+180
+00:13:48,880 --> 00:13:53,520
+أكبر من عضلة الجهة اليسرى. يوجد أربع عضلات التي تساعد
+
+181
+00:13:53,520 --> 00:13:56,140
+في تأكيد  نطاق الدم من طريق واحدة من خلال الجسم.
+
+182
+00:13:57,000 --> 00:13:59,480
+الدم المؤكسج السليموني يدفع من  غرف الغرف
+
+183
+00:13:59,480 --> 00:14:01,620
+اليمنى إلى غرف البطين اليمنى إلى غرف
+
+184
+00:14:01,620 --> 00:14:03,840
+البطين البطين، بينما الدم المؤكسج السليموني
+
+185
+00:14:03,840 --> 00:14:07,900
+يدفع من غرف  اليمنى إلى غرف البطين اليمنى إلى
+
+186
+00:14:07,900 --> 00:14:11,740
+غرف البطين الأيورة.القلب مغلق في مصدر ضخّ ضخّ
+
+187
+00:14:11,740 --> 00:14:12,680
+ضخّ ضخّ ضخّ ضخّ ضخّ ضخّ ضخّ ضخّ ضخّ 
+
+188
+00:14:12,680 --> 00:14:19,500
+ضخّ
+
+189
+00:14:19,500 --> 00:14:24,760
+ضخّ ضخّ ضخّ ضخّ ضخّ ضخّ ضخّ ضخّ ضخّ 
+
+190
+00:14:24,760 --> 00:14:24,880
+ضخّ ضخّ ضخّ ضخّ ضخّ ضخّ ضخّ ضخّ ضخّ
+
+191
+00:14:35,300 --> 00:14:39,300
+وهي مرتبطة بالخزانات والخزانات والخزانات والخزانات
+
+192
+00:14:39,300 --> 00:14:45,000
+والخزانات والخزانات 
+
+193
+00:14:45,000 --> 00:14:57,680
+والخزانات والخزانات 
+
+194
+00:14:57,680 --> 00:15:00,520
+والخزانات والخزانات والخزانات والخزانات والخزانات 
+
+195
+00:15:00,520 --> 00:15:05,980
+والخزانات والخزانات والخزانات الإنفجارات تبدأ من 
+
+196
+00:15:05,980 --> 00:15:08,420
+قطعة صغيرة من الخلايا تدعى خلايا الـ Pacemaker 
+
+197
+00:15:08,420 --> 00:15:13,300
+التي تكون جزء من نظام التّوصيل القلبي التّوصيل 
+
+198
+00:15:13,300 --> 00:15:17,000
+الرئيسي للـ Pacemaker هو الـSA Node إنه يؤدي إلى 
+
+199
+00:15:17,000 --> 00:15:21,660
+جميع الانقباضات ويحكم حرية القلب خارقة من تحميل
+
+200
+00:15:21,660 --> 00:15:25,040
+غازات، الدم أيضًا يدفع جدار الجسم إلى جزء من
+
+201
+00:15:25,040 --> 00:15:29,380
+الأنسجة مع مغذيات ويقوم بإزالة غازات نفايات تحصل 
+
+202
+00:15:29,380 --> 00:15:30,960
+على نتائج من نظام الإنتاج اللي يسمى الـ Digestive
+
+203
+00:15:30,960 --> 00:15:33,640
+System اللي يسمى الـ Digestive System اللي يسمى
+
+204
+00:15:33,640 --> 00:15:36,560
+الإنتاج اللي يسمى الإنتاج اللي يسمى الإنتاج اللي
+
+205
+00:15:36,560 --> 00:15:37,660
+يسمى الإنتاج اللي يسمى الإنتاج اللي يسمى الإنتاج
+
+206
+00:15:37,660 --> 00:15:38,280
+اللي يسمى الإنتاج اللي يسمى الإنتاج اللي يسمى
+
+207
+00:15:38,280 --> 00:15:40,960
+الإنتاج اللي يسمى الإنتاج اللي يسمى الإنتاج اللي
+
+208
+00:15:40,960 --> 00:15:48,500
+يسمى الإنتاج 
+
+209
+00:15:48,500 --> 00:15:53,220
+اللي
+
+210
+00:15:53,220 --> 00:15:57,620
+يسمى الـ الدم أيضًا يتحمل هرمونات من غدد
+
+211
+00:15:57,620 --> 00:16:01,500
+الاندوكرين لأعضاء مختلفة ويمكنها أن تلعب دورًا مهمًا
+
+212
+00:16:01,500 --> 00:16:04,980
+في  حماية حماية الجسم الحيواني الدم يحتوي على
+
+213
+00:16:04,980 --> 00:16:09,580
+مكونات أساسية أساسية أساسية أساسية  مسمى Plasma 
+
+214
+00:16:09,580 --> 00:16:15,220
+ومجموعة أساسية أساسية أساسية أساسية أساسية أساسية
+
+215
+00:16:15,220 --> 00:16:15,260
+أساسية أساسية أساسية أساسية أساسية أساسية أساسية
+
+216
+00:16:15,260 --> 00:16:15,360
+أساسية أساسية أساسية أساسية أساسية أساسية أساسية
+
+217
+00:16:15,360 --> 00:16:19,300
+أساسية أساسية 
+
+218
+00:16:19,300 --> 00:16:24,380
+أساسية خلايا الدم البيضاء تتعامل في ميزات حماية
+
+219
+00:16:24,380 --> 00:16:27,900
+مختلفة ضد أنشطة مُعدية للجسم، بينما الـ Platelets
+
+220
+00:16:27,900 --> 00:16:31,960
+هم المسؤولين عن خلايا الدم لتقديم مخاطر الدم خلال
+
+221
+00:16:31,960 --> 00:16:36,380
+مُصابة مُصابة مُصابة مُصابة مُصابة مُصابة مُصابة مُصابة
+
+222
+00:16:36,380 --> 00:16:39,160
+مُصابة مُصابة مُصابة مُصابة مُصابة مُصابة مُصابة مُصابة
+
+223
+00:16:39,160 --> 00:16:39,420
+مُصابة مُصابة مُصابة مُصابة مُصابة مُصابة مُصابة مُصابة
+
+224
+00:16:39,420 --> 00:16:47,120
+مُصابة مُصابة مُصابة مُصابة 
+
+225
+00:16:47,120 --> 00:16:51,220
+أوعية تتحرك الدم بعيدًا من القلب يسمونها شرايين
+
+226
+00:16:51,220 --> 00:16:54,500
+بينما أوعية تتحرك الدم بعيدًا من القلب يسمونها
+
+227
+00:16:54,500 --> 00:16:58,360
+أوردة أوعية تتحرك الدم بعيدًا من القلب تتحرك الدم
+
+228
+00:16:58,360 --> 00:16:59,720
+بعيدًا من القلب تتحرك الدم بعيدًا من القلب تتحرك
+
+229
+00:16:59,720 --> 00:17:00,920
+الدم بعيدًا من القلب تتحرك الدم بعيدًا من القلب
+
+230
+00:17:00,920 --> 00:17:01,700
+تتحرك الدم بعيدًا من القلب تتحرك الدم بعيدًا من
+
+231
+00:17:01,700 --> 00:17:03,860
+القلب تتحرك الدم بعيدًا من القلب تتحرك الدم
+
+232
+00:17:03,860 --> 00:17:10,320
+بعيدًا من القلب تتحرك الدم بعيدًا من القلب تتحرك
+
+233
+00:17:10,320 --> 00:17:14,100
+الدم بعيدًا من الق
+
+234
+00:17:17,370 --> 00:17:21,370
+ثم أصغر أوعية الدم يسمونه الـ Capillaries حيث يحدث
+
+235
+00:17:21,370 --> 00:17:26,530
+تبادل المواد الدم ثم يجمع الدم إلى أوردة صغيرة
+
+236
+00:17:26,530 --> 00:17:31,510
+يسمونه الـ Venules ثم إلى أوردة أكبر وعن طريق قلبي
+
+237
+00:17:31,510 --> 00:17:35,850
+عضلات وأوردة أساسية يساعدون في تجارب الدم مجتمعة
+
+238
+00:17:35,850 --> 00:17:38,630
+مجتمعة مجتمعة مجتمعة مجتمعة مجتمعة مجتمعة
+
+239
+00:17:38,630 --> 00:17:38,810
+مجتمعة مجتمعة مجتمعة مجتمعة مجتمعة مجتمعة
+
+240
+00:17:38,810 --> 00:17:44,170
+مجتمعة مجتمعة مجتمعة مجتمعة مجتمعة
+
+241
+00:17:45,000 --> 00:17:49,540
+مجزرة أساسية عضوية ومتسلسلة تسمح للجسم بإستجابة أو
+
+242
+00:17:49,540 --> 00:17:54,740
+تدخل تحرير نمو الدم ومجزرة أساسية عضوية ومتسلسلة
+
+243
+00:17:54,740 --> 00:17:56,820
+تسمح للجسم بإستجابة أو تدخل تحرير نمو الدم
+
+244
+00:17:56,820 --> 00:18:00,520
+ومتسلسلة تسمح للجسم بإستجابة أو تدخل تحرير نمو
+
+245
+00:18:00,520 --> 00:18:04,760
+الدم ومتسلسلة تسمح للجسم بإستجابة أو تدخل تحرير
+
+246
+00:18:04,760 --> 00:18:06,540
+نمو الدم ومتسلسلة تسمح للجسم بإستجابة أو تدخل
+
+247
+00:18:06,540 --> 00:18:08,980
+تحرير نمو الدم ومتسلسلة تسمح للجسم بإستجابة أو
+
+248
+00:18:08,980 --> 00:18:14,680
+تدخل تحرير نمو الدم و ويجب أن يتحمل ضغوطات أعلى
+
+249
+00:18:14,680 --> 00:18:20,600
+التي تم إجراؤها من قبل القلب. عبارة عن عبارة عن
+
+250
+00:18:20,600 --> 00:18:22,320
+عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة
+
+251
+00:18:22,320 --> 00:18:22,660
+عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن
+
+252
+00:18:22,660 --> 00:18:22,680
+عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة
+
+253
+00:18:22,680 --> 00:18:22,980
+عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن
+
+254
+00:18:22,980 --> 00:18:23,640
+عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة
+
+255
+00:18:23,640 --> 00:18:24,080
+عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن
+
+256
+00:18:24,080 --> 00:18:33,280
+عبارة عن عبارة عن عبارة
+
+257
+00:18:33,280 --> 00:18:33,500
+عن عب
+
+258
+00:18:51,320 --> 00:18:54,680
+الدورة القلبيّة تتعلق بتجارب الأحداث التي
+
+259
+00:18:54,680 --> 00:18:59,280
+تحدث و تتكرر مع كل نبضة يمكن أن يكون مقطعًا إلى
+
+260
+00:18:59,280 --> 00:19:03,860
+مُقطعين مُهمين سيستولي و ديستولي كل واحدة منها
+
+261
+00:19:03,860 --> 00:19:09,020
+تتفرع إلى مُقطعين أصغر وأصغر سيستولي و ديستولي
+
+262
+00:19:09,020 --> 00:19:12,120
+عندما لا يتم تصميمها بشكل غير مُحدد تتعلق بالتوصيل
+
+263
+00:19:12,120 --> 00:19:14,360
+والتّوصيل والتّوصيل والتّوصيل والتّوصيل والتّوصيل والتّوصيل
+
+264
+00:19:14,360 --> 00:19:15,200
+والتّوصيل والتّوصيل والتّوصيل والتّوصيل والتّوصيل والتّوصيل
+
+265
+00:19:15,200 --> 00:19:16,920
+والتّوصيل والتّوصيل والتّوصيل والتّوصيل والتّوصيل والتّوصيل
+
+266
+00:19:16,920 --> 00:19:20,880
+وال
+
+267
+00:19:21,590 --> 00:19:27,090
+الصمامات تزيد الضّغط في البطينات بينما تتّسع  الصّمامات
+
+268
+00:19:27,090 --> 00:19:30,470
+الضّغط في البطينات تفتح صمامات الـ AV عندما الضّغط
+
+269
+00:19:30,470 --> 00:19:34,830
+الضّغط في البطينات أعلى من الضّغط  الصّمامات والتّغير
+
+270
+00:19:34,830 --> 00:19:39,710
+عندما تتّغير الضّغط صمامات تفتح صمامات الـ semilunar
+
+271
+00:19:39,710 --> 00:19:44,470
+عندما الضّغط صمامات الضّغط أعلى من الضّغط صمامات
+
+272
+00:19:44,470 --> 00:19:52,100
+والتّغير عندما تتّغير الدّورة تبدأ مع إطلاق الـSA Node 
+
+273
+00:19:52,100 --> 00:19:57,280
+الذي يُشغّل الأذينين لنقل هذا موضوع موضوع الـP
+
+274
+00:19:57,280 --> 00:20:01,800
+-wave على الـECG الانقباض البطيني يبدأ قليلًا بعد أن 
+
+275
+00:20:01,800 --> 00:20:06,720
+تبدأ الـP-wave وتسبب الضّغط داخل البطينات لنقل،
+
+276
+00:20:06,720 --> 00:20:11,490
+ويجعل الدم يدخل إلى الشّريان مع ذلك، فإن عبارة عن
+
+277
+00:20:11,490 --> 00:20:16,330
+مجزرة من المدخل المدخلي تدخل عبارة عن مجزرة من
+
+278
+00:20:16,330 --> 00:20:16,390
+المدخل المدخلي تدخل عبارة عن مجزرة من المدخل
+
+279
+00:20:16,390 --> 00:20:18,070
+المدخلي تدخل عبارة عن مجزرة من المدخل المدخلي تدخل
+
+280
+00:20:18,070 --> 00:20:19,770
+عبارة عن مجزرة من المدخل المدخلي تدخل عبارة عن 
+
+281
+00:20:19,770 --> 00:20:20,410
+مجزرة من المدخل المدخلي تدخل عبارة عن مجزرة من
+
+282
+00:20:20,410 --> 00:20:22,430
+المدخل المدخلي تدخل عبارة عن مجزرة من المدخل 
+
+283
+00:20:22,430 --> 00:20:29,330
+المدخلي تدخل عبارة
+
+284
+00:20:29,330 --> 00:20:34,470
+عن مجزرة من المدخل المدخلي تدخل عبارة عن مجزرة
+
+285
+00:20:38,620 --> 00:20:43,140
+وهي البداية لـ Systole في هذا النقطة،  الانتجار
+
+286
+00:20:43,140 --> 00:20:45,880
+الانتجار الانتجار الانتجار الانتجار الانتجار
+
+287
+00:20:45,880 --> 00:20:46,800
+الانتجار الانتجار الانتجار الانتجار الانتجار
+
+288
+00:20:46,800 --> 00:20:49,940
+الانتجار الانتجار الانتجار الانتجار الانتجار
+
+289
+00:20:49,940 --> 00:20:51,320
+الانتجار الانتجار الانتجار الانتجار الانتجار
+
+290
+00:20:51,320 --> 00:20:51,500
+الانتجار الانتجار الانتجار الانتجار الانتجار
+
+291
+00:20:51,500 --> 00:20:55,280
+الانتجار الانتجار الانتجار الانتجار الانتجار
+
+292
+00:20:55,280 --> 00:21:07,600
+الانتجار الانتجار الانتجار الانتجار الانتجار الان
+
+293
+00:21:07,720 --> 00:21:11,180
+because no blood is ejected and ventricular volume
+
+294
+00:21:11,180 --> 00:21:15,700
+is unchanged. Ventricular ejection starts when
+
+295
+00:21:15,700 --> 00:21:18,800
+ventricular pressures exceed the pressures within
+
+296
+00:21:18,800 --> 00:21:22,280
+the aorta and pulmonary artery. The aortic and
+
+297
+00:21:22,280 --> 00:21:26,220
+pulmonic valves open and blood is ejected out of
+
+298
+00:21:26,220 --> 00:21:30,630
+the ventricles. This is the rapid ejection phase. عند
+
+299
+00:21:30,630 --> 00:21:34,070
+إعادة الانتقال الفلسفية المشهودة من تجارب الـ T
+
+300
+00:21:34,070 --> 00:21:38,850
+-Wave. تبدأ الضغط الفلسفي يبدأ بالتسلق وفرصة
+
+301
+00:21:38,850 --> 00:21:43,710
+الانتقال تتخلص عندما تسلق الضغط الفلسفي تتسلق تحت
+
+302
+00:21:43,710 --> 00:21:46,390
+الضغط الأيورتيكي والبومانيريي، تغلق الشبكات
+
+303
+00:21:46,390 --> 00:21:51,470
+الميولوناريةماركة نهاية السيستالي وبداية
+
+304
+00:21:51,470 --> 00:21:55,510
+الدياستالي. إغلاق المحطات السيولونية تنتج صوت قلب
+
+305
+00:21:55,510 --> 00:22:01,130
+الثاني S2. الجزء الأول من الدياستالي هو مرة أخرى
+
+306
+00:22:01,130 --> 00:22:05,030
+ايسو-وليومتريكي بسبب تهيأة المحطات بإغلاق جميع
+
+307
+00:22:05,030 --> 00:22:09,690
+المحطات. مفتوحة الضغط الفلسفية تتسلق بسرعة ولكن
+
+308
+00:22:09,690 --> 00:22:15,570
+مقاومتها لا تتغير. مع ذلك، الـ atria يتم ملحقه
+
+309
+00:22:15,570 --> 00:22:20,530
+بطموح، وحرارة الحرارة تنزل بسرعة، ومباركة الحرارة
+
+310
+00:22:20,530 --> 00:22:23,830
+تبدأ عندما تنزل حرارة الحرارة تنزل تحت حرارة
+
+311
+00:22:23,830 --> 00:22:24,830
+الحرارة تنزل تحت حرارة الحرارة تنزل تحت حرارة
+
+312
+00:22:24,830 --> 00:22:25,790
+الحرارة تنزل تحت حرارة الحرارة تنزل تحت حرارة
+
+313
+00:22:25,790 --> 00:22:27,050
+الحرارة تنزل تحت حرارة الحرارة تنزل تحت حرارة
+
+314
+00:22:27,050 --> 00:22:29,550
+الحرارة تنزل تحت حرارة الحرارة تنزل تحت حرارة
+
+315
+00:22:29,550 --> 00:22:37,710
+الحرارة تنزل تحت حرارة الحرارة تنزل تحت
+
+316
+00:22:45,560 --> 00:22:48,360
+Thank you for watching. Please feel free to
+
+317
+00:22:48,360 --> 00:22:51,260
+suggest a topic you want us to cover by leaving a
+
+318
+00:22:51,260 --> 00:22:56,290
+comment below. وبعد ما تشوفنا الفيديو هنا احنا الآن
+
+319
+00:22:56,290 --> 00:23:01,470
+هنبدأ في اللي هي الأمراض الأمراض القلب و هنبدأ
+
+320
+00:23:01,470 --> 00:23:04,070
+بحاجة اسمها ال coronary artery disease أو ال
+
+321
+00:23:04,070 --> 00:23:09,110
+ischemic heart disease. الـ ischemic اختصارها I S I
+
+322
+00:23:09,110 --> 00:23:16,870
+H D أو coronary artery disease بنفس الصورة. وهنتحدث
+
+323
+00:23:16,870 --> 00:23:19,790
+إيش يعني الـ Coronary Artery Disease إن هو عبارة
+
+324
+00:23:19,790 --> 00:23:23,330
+عن narrowing of the coronary arteries. وحنحكي عن ال
+
+325
+00:23:23,330 --> 00:23:27,970
+statistics وقداش منتشر هذا المرض بصورة عامة. ال
+
+326
+00:23:27,970 --> 00:23:33,410
+risk factors اللي هنسمعها باستمرار و ال
+
+327
+00:23:33,410 --> 00:23:38,170
+pathophysiology هتستغرب وقداش أنه إحنا البشر السبب
+
+328
+00:23:38,170 --> 00:23:43,150
+في هذا الموضوع وزي ما بنقول دايما. الـ Ischemic
+
+329
+00:23:43,150 --> 00:23:46,070
+Heart Disease ممكن نصيب أي حد فينا، لصغير و لكبير
+
+330
+00:23:46,070 --> 00:23:52,450
+ممكن نصيب أهالينا، ميتنا، أبواتنا وإنه فينا طبعا
+
+331
+00:23:52,450 --> 00:23:55,950
+أنواع من الـ Ischemic Heart Disease هنتحدث عنه في
+
+332
+00:23:55,950 --> 00:24:01,570
+وقته وكيف الـ Symptoms بتبعتها وإيش الفرق بين
+
+333
+00:24:01,570 --> 00:24:06,230
+الـMI و بين الـAngina Bacteris و بين الـStable
+
+334
+00:24:06,230 --> 00:24:13,010
+Angina Bacteris و الـUnstable Angina Bacteris. هدف
+
+335
+00:24:13,010 --> 00:24:15,530
+المحاضرة اللي جاية إن شاء الله تعالى يعني حاولوا
+
+336
+00:24:15,530 --> 00:24:18,550
+تركزوا شويه في موضوع اللي .. اللي اتحدثنا عنه
+
+337
+00:24:18,550 --> 00:24:22,850
+لموضوع ال .. الموضوع ال anatomy و ال .. واستعينوا
+
+338
+00:24:22,850 --> 00:24:25,750
+طبعا و ال physiology. استعينوا بطلق بعض الفيديوهات
+
+339
+00:24:25,750 --> 00:24:30,510
+اللي هي بتعمل animation و ممكن تسهل عليكم إشي كتير
+
+340
+00:24:30,510 --> 00:24:33,530
+إن شاء الله تعالى، نهاركوا سعيدة
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/wIJdyXlauDk_postprocess.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/wIJdyXlauDk_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..8f0eae6f25d30f702d227a98b14cc348b713b4db
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/wIJdyXlauDk_postprocess.srt
@@ -0,0 +1,1360 @@
+1
+00:00:00,960 --> 00:00:03,660
+بسم الله الرحمن الرحيم الحمد لله رب العالمين إحنا
+
+2
+00:00:03,660 --> 00:00:07,040
+الآن إن شاء الله تعالى هنشرح .. خلّيني أقول جزء من
+
+3
+00:00:07,040 --> 00:00:10,720
+ال physiology وزي ما قلنا المرات اللي فاتت إنه
+
+4
+00:00:10,720 --> 00:00:13,680
+يعني إحنا بنشرح أشياء دي رتوش بس من ال Anatomy و
+
+5
+00:00:13,680 --> 00:00:16,820
+ال physiology و ممكن بعض الأمور تعود تمر معانا في
+
+6
+00:00:16,820 --> 00:00:21,500
+خلال محاضرات و الحديث عن ال diseases اللي بتصيب ال
+
+7
+00:00:21,500 --> 00:00:26,330
+cardiovascular diseaseالـ .. كنا نتحدث عن الـ
+
+8
+00:00:26,330 --> 00:00:29,710
+anatomy of the heart، اليوم هنتحدث short،
+
+9
+00:00:29,710 --> 00:00:33,410
+وأبعتلكوا كمان فيديو، ممكن أحاول أحطه على البرنامج
+
+10
+00:00:33,410 --> 00:00:36,910
+هان، مش عارف يظبط ولا لأ، لكن خلّينا نجرب، أو
+
+11
+00:00:36,910 --> 00:00:41,090
+ببعتلكوا إياه على الـWhatsApp، فيديو animation،
+
+12
+00:00:41,090 --> 00:00:47,360
+لكيف بيصير ال cardiac functionالـ Cardiac Muscle
+
+13
+00:00:47,360 --> 00:00:51,520
+Contraction زي ما أحنا عارفين أن الـ «هارد» الـ
+
+14
+00:00:51,520 --> 00:00:53,660
+«هارد» الـ «هارد» الـ «هارد» الـ «هارد» الـ «هارد»
+
+15
+00:00:53,660 --> 00:00:55,400
+الـ «هارد» الـ «هارد» الـ «هارد» الـ «هارد» الـ
+
+16
+00:00:55,400 --> 00:00:57,320
+«هارد» الـ «هارد» الـ «هارد» الـ «هارد» الـ «هارد»
+
+17
+00:00:57,320 --> 00:01:00,400
+الـ «هارد» الـ «هارد» الـ «هارد» الـ «هارد» الـ
+
+18
+00:01:00,400 --> 00:01:02,160
+«هارد» الـ «هارد» الـ «هارد» الـ «هارد» الـ «هارد»
+
+19
+00:01:02,160 --> 00:01:09,680
+الـ «هارد» الـ «هارد» الـ «هارد» الـ «هارد»
+
+20
+00:01:09,680 --> 00:01:12,280
+الـ «هارد» الـ
+
+21
+00:01:15,780 --> 00:01:19,040
+الذي يسمّى Contract as a Unit Cardiac muscle
+
+22
+00:01:19,040 --> 00:01:21,540
+contraction is similar to skeletal muscle
+
+23
+00:01:21,540 --> 00:01:27,000
+contraction طبعاً
+
+24
+00:01:27,000 --> 00:01:30,900
+الـ Heart physiology sequence of excitation بيبدأ
+
+25
+00:01:30,900 --> 00:01:35,570
+عندنا الموضوع اللي هوالـ «self-automatically» أو
+
+26
+00:01:35,570 --> 00:01:38,990
+«automatism» بتبدأ من حاجة اسمها اللي هي النقطة
+
+27
+00:01:38,990 --> 00:01:42,170
+البيضاء النقطة الصفراء اللي موجودة في الـ «right
+
+28
+00:01:42,170 --> 00:01:47,370
+atrium» اللي هي «SA node» أو «sino-atrial node»
+
+29
+00:01:47,370 --> 00:01:50,250
+وهذه بنقول عنها الـ «pace maker» هي اللي بتدي الـ
+
+30
+00:01:50,250 --> 00:01:54,850
+«pace» هي اللي بتدي البداية وبعد هيك بيبدأ يتحرك
+
+31
+00:01:54,850 --> 00:02:00,470
+الـ «discharge»أو الـ Excitation زي ما هنشوف عندنا
+
+32
+00:02:00,470 --> 00:02:05,950
+في الرسمات في اتجاه الـ muscles اللي هي الـ
+
+33
+00:02:05,950 --> 00:02:09,750
+muscles of the right atrium to the left atrium
+
+34
+00:02:09,750 --> 00:02:13,830
+وبعدين بدخل كمان على من خلال حاجة اسمها الـ
+
+35
+00:02:13,830 --> 00:02:18,210
+internodal pathway بدخل للـ atrioventricular node
+
+36
+00:02:18,210 --> 00:02:24,230
+اللي هي رقم 2 بعد الـ sinoatrial sinusSinus أو
+
+37
+00:02:24,230 --> 00:02:25,690
+Sino-Atrial Node
+
+38
+00:02:30,970 --> 00:02:36,130
+هذا ما رأيناه في الـ SA نود بدأ ينتشر الـ
+
+39
+00:02:36,130 --> 00:02:39,450
+Discharge، ينشر الـ Impulses، يبدأ الـ Atrial
+
+40
+00:02:39,450 --> 00:02:45,010
+Excitation، وينتشر إلى أين يذهب الـ Impulse إلى
+
+41
+00:02:45,010 --> 00:02:49,090
+الـ AV نود، الـ Atrioventricular نود، ويذهب إلى
+
+42
+00:02:49,090 --> 00:02:53,410
+الـ Atrium في نفسه، وهذا طبعا في مدة مهولة، مدة
+
+43
+00:02:53,410 --> 00:02:57,870
+كبيرة بيصير الموضوعالآن لو بدنا نمثل اللي صار في
+
+44
+00:02:57,870 --> 00:03:02,490
+ECG الـ ECG اللي هو Electrocardiogram هنلاقي إنه
+
+45
+00:03:02,490 --> 00:03:06,090
+هذا بيمثل الجزئية اللي هي الـ P wave اللي هي اللي
+
+46
+00:03:06,090 --> 00:03:11,450
+أحنا شايفينها بدت في الصورة الـ heart التانية أخدت
+
+47
+00:03:11,450 --> 00:03:16,210
+الـ 2 أتريام وعملت ليه الـ P wave كاملة يبقى الـ P
+
+48
+00:03:16,210 --> 00:03:24,550
+wave بيمثل الـ Atrial Excitation أو Depolarization
+
+49
+00:03:26,770 --> 00:03:34,150
+ببدأ من الـ Sinus Atrium Node بينتشر في الـ Right
+
+50
+00:03:34,150 --> 00:03:38,370
+Atrium والـ Left Atrium وبعدين بدّي اللي هو الـ
+
+51
+00:03:38,370 --> 00:03:41,690
+Discharge عالمياً للـ AV Node الـ Atrioventricular
+
+52
+00:03:41,690 --> 00:03:46,180
+Node من الـ Atrioventricular Nodeبيطلع من عنا حاجة
+
+53
+00:03:46,180 --> 00:03:49,420
+اسمها «Atrioventricular Bundle» «AV Bundle» أو
+
+54
+00:03:49,420 --> 00:03:52,960
+بنقول «His Bundle» أو «Bundle of His» وين بيروح
+
+55
+00:03:52,960 --> 00:03:57,200
+هذا؟ هذا بيروح، بدخل على اللي هي الـ
+
+56
+00:03:57,200 --> 00:04:01,960
+«Interventricular
+
+57
+00:04:01,960 --> 00:04:05,200
+Septum» اللي هو الـ «Septum» اللي بين الـ «Right
+
+58
+00:04:05,200 --> 00:04:08,760
+Ventricle» والـ «Right Ventricle» والـ «Left
+
+59
+00:04:08,760 --> 00:04:12,350
+Ventricle»بعد ما يشير عيني الأطرا في الـ
+
+60
+00:04:12,350 --> 00:04:17,930
+ventricular node بيتفرع إلى الـ bundle branches
+
+61
+00:04:17,930 --> 00:04:23,010
+والـ bundle branches بتظل ماشية في الـ septum
+
+62
+00:04:23,010 --> 00:04:28,030
+وبعدين عند الـ apex في نهاية القلب تحت بتتفرع إلى
+
+63
+00:04:28,030 --> 00:04:29,730
+البركنجي fibers
+
+64
+00:04:33,610 --> 00:04:41,010
+وهذه الـ «بركنجي فايبرز» بتروح للـ «ventricle
+
+65
+00:04:41,010 --> 00:04:45,470
+wall» في الـ «لفت» وفي الـ «رايت» طيب كيف هي
+
+66
+00:04:45,470 --> 00:04:50,270
+related to ECG بتصير؟قلنا قبل شوية إن الـ
+
+67
+00:04:50,270 --> 00:04:54,290
+Excitation بدأ بالـ Sinus أتريام نوت و بدأ ينتشر
+
+68
+00:04:54,290 --> 00:04:59,210
+في الـ Right و Left أتريام و بعدين أدى كهربط لمن؟
+
+69
+00:04:59,210 --> 00:05:03,290
+للـ AV نوت هذه بيمثلها قلنا من الـ P Wave هذه اللي
+
+70
+00:05:03,290 --> 00:05:08,690
+شفناها الصغيرة أول الـ ECGبعد هيك بيبدأ يدخل الـ
+
+71
+00:05:08,690 --> 00:05:14,930
+Excitation في الـ Atrioventricular node وبعد هيك
+
+72
+00:05:14,930 --> 00:05:18,990
+بدخل على الـ Atrioventricular bundle أو bundle of
+
+73
+00:05:18,990 --> 00:05:22,950
+his وبعدين هذا نفسه بنزل في ال bundle of branches
+
+74
+00:05:22,950 --> 00:05:28,990
+وهذا بيدينا لسه لحد الآن بيدينا الـ Q الـ Q اللي
+
+75
+00:05:28,990 --> 00:05:35,130
+هي هيك اللي لتحت هي زي الدنبل الصغيرة لتحت Q يبقى
+
+76
+00:05:36,110 --> 00:05:40,630
+الـ Q بتمثلها الـ Excitation في الـ AV وفي الـ
+
+77
+00:05:40,630 --> 00:05:44,650
+Interventricular أو الـ bundle of branches لحد ما
+
+78
+00:05:44,650 --> 00:05:49,810
+توصل البركنجي branches بعد هيك ال Excitation بتدخل
+
+79
+00:05:49,810 --> 00:05:54,390
+على ال muscles ال right و ال left ventricle فبدينا
+
+80
+00:05:55,500 --> 00:05:59,000
+الـ R اللي احنا شايفينها اللي هي زي الشوكة عاملة
+
+81
+00:05:59,000 --> 00:06:04,080
+لفوق هيك Q R و بعد هيك بيبدأ ينسحب الكهرب مرة
+
+82
+00:06:04,080 --> 00:06:10,860
+تانية بالديني بعد هيك اللي هي الـ T Wave يبقى الـ
+
+83
+00:06:10,860 --> 00:06:14,960
+Excitation of Atrial Atrial Excitation في الـ P
+
+84
+00:06:14,960 --> 00:06:22,440
+الـ Q بيديني الـ Excitation في الـ AV Bundle مع
+
+85
+00:06:22,440 --> 00:06:29,470
+الـ Bundle of Branchesبتدينا الـ Q و الـ R تدينا
+
+86
+00:06:29,470 --> 00:06:36,030
+البركنجي fiber مع الـ right and left ventricle و
+
+87
+00:06:36,030 --> 00:06:41,110
+الـ T بعدين بتيجي هذه عمارة عن اللي هو التفريغ
+
+88
+00:06:41,110 --> 00:06:44,830
+الكهربي تبع ال ventricles اللي هو بنقول عنه الـ T
+
+89
+00:06:44,830 --> 00:06:48,310
+أو الـ repolarization اللي بيصير في مين؟ في ال
+
+90
+00:06:48,310 --> 00:06:52,010
+right and left ventricle كمان مرة
+
+91
+00:06:56,430 --> 00:07:02,150
+الآن يا جماعة وأنا هأديكوا اللي هو الـ Cardiac
+
+92
+00:07:02,150 --> 00:07:09,630
+Circle نفهم إنه كل اللي بيصير هذا سواء الـ
+
+93
+00:07:09,630 --> 00:07:15,050
+Excitation مع الـ Repolarization مع عملية الـ
+
+94
+00:07:15,050 --> 00:07:19,310
+Systolic و الـ Diastolic لا تحصل كلها كل واحدة
+
+95
+00:07:19,310 --> 00:07:24,430
+بمعزل عن الآخرلا تحصل كل واحدة بمعزل عن الآخر
+
+96
+00:07:24,430 --> 00:07:29,490
+بمعنى كلها بتتم في نفس الوقت بطريقة regular دون
+
+97
+00:07:29,490 --> 00:07:38,090
+حدوث أي مشاكل وأوريكم الفيديو بعد شوية يبقىهذا
+
+98
+00:07:38,090 --> 00:07:41,310
+بالنسبة للـ «Internal Innovation of the Heart» لكن
+
+99
+00:07:41,310 --> 00:07:46,130
+برضه احنا فيها حاجات تانية بتأثر على الـ «Heart»
+
+100
+00:07:46,130 --> 00:07:52,190
+زي الـ «Extrinsic Innovation» وهو عبارة عن أنه
+
+101
+00:07:52,190 --> 00:07:58,190
+يتحكمفي القلب كمان بعض الأمور، سواء الـStimulation
+
+102
+00:07:58,190 --> 00:08:00,590
+أو الـInhibition اللي هو الـSympathetic
+
+103
+00:08:00,590 --> 00:08:06,330
+والـParasympathetic والـParasympathetic أو
+
+104
+00:08:06,330 --> 00:08:09,670
+الـSympathetic بيبقى موجود في اللي هو الـSpinal
+
+105
+00:08:09,670 --> 00:08:13,400
+Cord، الـToracic Spinal Cordفي الـ Sympathetic
+
+106
+00:08:13,400 --> 00:08:18,160
+Trunk وهذا بيمثل Stimulation أما الـ Cardio
+
+107
+00:08:18,160 --> 00:08:21,800
+-Inhibitory
+
+108
+00:08:21,800 --> 00:08:27,620
+Center موجود، الـ Parasympathetic موجود في الـ
+
+109
+00:08:27,620 --> 00:08:31,720
+Vegas أو بوصل الكهربا عن طريق الـ Vegas nerves للـ
+
+110
+00:08:31,720 --> 00:08:37,480
+Sinus Atrial Node
+
+111
+00:08:37,480 --> 00:08:39,080
+و للـ AV Node
+
+112
+00:08:41,760 --> 00:08:46,580
+يبقى كمان مرة الـ electrical activity recorded
+
+113
+00:08:46,580 --> 00:08:50,880
+بالـ ECG الـ P wave correspond اللي هو الـ
+
+114
+00:08:50,880 --> 00:08:54,860
+excitation أو الـ depolarization of SE node الـ
+
+115
+00:08:54,860 --> 00:08:59,740
+QRS complex أي ما أحنا شايفينها في الرسمها بتمثل
+
+116
+00:08:59,740 --> 00:09:04,180
+أو correspond to ventricular depolarization والـ T
+
+117
+00:09:04,180 --> 00:09:07,420
+waveوالتفريغ هو عملية تفريغ الـ Ventricular
+
+118
+00:09:07,420 --> 00:09:13,860
+Repolarization طيب و ليش ما صارش للـ Atrium تفريغ؟
+
+119
+00:09:13,860 --> 00:09:19,480
+لأ، هو صار تفريغ ولكن كبر الـ QRS غطالي على
+
+120
+00:09:19,480 --> 00:09:29,620
+الكهربا البسيطة اللي طالعة من الـ Atrium وطبعا
+
+121
+00:09:29,620 --> 00:09:34,750
+الـ EC هي جماعة بيشخصنا الـ Electricityمش بس الـ
+
+122
+00:09:34,750 --> 00:09:40,770
+Discharge أو الـ Excitation أو الـ Rhythm of the
+
+123
+00:09:40,770 --> 00:09:45,930
+Heart إنما كمان ممكن يشخصلي الـ Thickness of the
+
+124
+00:09:45,930 --> 00:09:48,170
+Muscles كمان، ممكن يديني إشارة
+
+125
+00:09:51,300 --> 00:09:57,080
+فالـ ECG الشغلته زي الـ EEG في الدماغ لما أنا بدأ
+
+126
+00:09:57,080 --> 00:10:00,520
+أشوف الـ Epilepsy بنفس الصورة، في أننا طبعا حاجة
+
+127
+00:10:00,520 --> 00:10:04,340
+تانية بنشوف ونسمعها زي ما قلنا بناخد من كل بستان
+
+128
+00:10:04,340 --> 00:10:09,800
+زهرة تقريبا اللي هي الـ hard soundالـ heart sounds
+
+129
+00:10:09,800 --> 00:10:14,000
+اللي هي لب دب are associated with closing of the
+
+130
+00:10:14,000 --> 00:10:18,520
+heart valves يعني لما تيجي ال valves اتسكر بسمع
+
+131
+00:10:18,520 --> 00:10:22,180
+اللي هو اللب دب اللي بسمعها ال heart sound في
+
+132
+00:10:22,180 --> 00:10:29,160
+القلب و ال first sound occurs as AV valve close
+
+133
+00:10:30,480 --> 00:10:35,040
+وبتدلني الـ Fast Sound لما بسمعها بتقوللي أن الـ
+
+134
+00:10:35,040 --> 00:10:39,000
+atrioventricular valve سكر لكن برضه بتقوللي خد
+
+135
+00:10:39,000 --> 00:10:42,080
+بالك هينا بدينا ال beginning of the systolicum
+
+136
+00:10:42,080 --> 00:10:46,400
+اللي هو ال contraction second sound لما ال
+
+137
+00:10:46,400 --> 00:10:51,840
+simulator valves اللي هو ال pulmonaryالـ aortic
+
+138
+00:10:51,840 --> 00:10:57,140
+valve بيسكروا نفس الكلام وبتقول لي خد بالك الآن
+
+139
+00:10:57,140 --> 00:11:01,120
+هيو بدأ إيش beginning of the ventricular diastole
+
+140
+00:11:01,120 --> 00:11:09,460
+ال regulation of the heart rate بيقوم بيها ال
+
+141
+00:11:09,460 --> 00:11:10,700
+sympathetic والبرا sympathetic
+
+142
+00:11:13,770 --> 00:11:17,070
+والـ Parasympathetic دمونيز الـ Autonomic
+
+143
+00:11:17,070 --> 00:11:21,170
+Stimulation وبيعملي slowing heart rate and caused
+
+144
+00:11:21,170 --> 00:11:25,930
+vagal tone لكن الـ Sympathetic stimulation is
+
+145
+00:11:25,930 --> 00:11:28,850
+activated by stress and anxiety excitement،
+
+146
+00:11:28,850 --> 00:11:31,450
+exercise، هذه الحاجات كلها بتسريعلي فهي بتعمل
+
+147
+00:11:31,450 --> 00:11:34,310
+excitement، بتعمل activation اللي هو الـ
+
+148
+00:11:34,310 --> 00:11:37,230
+Sympathetic وفيه طبعا عندنا بعض الهرمونات كمان
+
+149
+00:11:37,530 --> 00:11:41,710
+بتأثر وبتدّينا، بتعملنا، بتأثرني عن الـregulation
+
+150
+00:11:41,710 --> 00:11:47,230
+of the heart زي الـHormones، الـAdrenaline
+
+151
+00:11:47,230 --> 00:11:50,450
+والتيروكسين وممكن طبعاً نفس الكلام الـIntra and
+
+152
+00:11:50,450 --> 00:11:56,010
+Extracellular Ion Concentration زي البوتاسيوم على
+
+153
+00:11:56,010 --> 00:12:01,970
+سبيل المثال، بيأثرلي وبيعملي مشاكل في الـheart
+
+154
+00:12:01,970 --> 00:12:19,890
+rateسنعود الآن ببطء للفيديو
+
+155
+00:12:19,890 --> 00:12:20,230
+الأول
+
+156
+00:12:24,030 --> 00:12:27,330
+النظام التجاري أيضًا يحتوي على نظام الليمفاتيكي
+
+157
+00:12:27,330 --> 00:12:30,810
+اللي يتجارب الليمف، ولكن كلمات نظام التجاري
+
+158
+00:12:30,810 --> 00:12:34,630
+والنظام الكارديوفاسكي مستخدمة عامًا تتعامل مع
+
+159
+00:12:34,630 --> 00:12:38,950
+بعضها لتعامل مع تجارة الدم.نظام الكارديوفاسكي
+
+160
+00:12:38,950 --> 00:12:43,490
+يحتوي على قلب، دم، ومخدرات الدم. القلب هو أساسًا
+
+161
+00:12:43,490 --> 00:12:45,730
+محطة تتحرك دم من خلال المخدرات.
+
+162
+00:12:50,380 --> 00:12:54,760
+العمل الأفضل المعروف من نظام التجارب هو ربما تحميل
+
+163
+00:12:54,760 --> 00:13:01,020
+الهواء الهوائي من الجلد إلى عضلات الجسم وإزالة
+
+164
+00:13:01,020 --> 00:13:04,460
+الهواء الكربونيكسي في الاتجاه التعريفي لإنهاء
+
+165
+00:13:04,460 --> 00:13:15,580
+الهواء بسيطًا، بسيطًا، بسيطًا، بسيطًا، بسيطًا،
+
+166
+00:13:15,580 --> 00:13:16,120
+بسيطًا، بسيطًا، بسيطًا، بسيطًا، بسيطًا، بسيطًا،
+
+167
+00:13:16,120 --> 00:13:17,040
+بسيطًا، بسيطًا، بسيطًا، بسيطًا، بسيطًا، بسيطًا،
+
+168
+00:13:17,040 --> 00:13:18,910
+بسيطًا، بسيطًا، بسيطًا، بسيالدم الكثير من الحمض
+
+169
+00:13:18,910 --> 00:13:22,850
+يرجع إلى الجانب اليساري من القلب هذا الجزء من
+
+170
+00:13:22,850 --> 00:13:26,730
+النظام يدعى الـ Pulmonary Circuit الجانب اليساري
+
+171
+00:13:26,730 --> 00:13:30,770
+من القلب يدفع الدم الكثير من الحمض لجسام الجسم حيث
+
+172
+00:13:30,770 --> 00:13:32,010
+يدفع الدم الكثير من الحمض يدفع الدم الكثير من
+
+173
+00:13:32,010 --> 00:13:33,870
+الحمض يدفع الدم الكثير من الحمض يدفع الدم الكثير
+
+174
+00:13:33,870 --> 00:13:36,690
+من الحمض يدفع الدم الكثير من الحمض يدفع الدم
+
+175
+00:13:36,690 --> 00:13:39,230
+الكثير من الحمض يدفع الدم الكثير من الحمض يدفع
+
+176
+00:13:39,230 --> 00:13:39,310
+الدم الكثير من الحمض يدفع الدم الكثير من الحمض
+
+177
+00:13:39,310 --> 00:13:40,350
+يدفع الدم الكثير من الحمض يدفع الدم الكثير من
+
+178
+00:13:40,350 --> 00:13:46,000
+الحمض يدفع الدم الكثيربسبب أن جسد الجسد اليسار يجب
+
+179
+00:13:46,000 --> 00:13:48,880
+أن يدفع الدم إلى جسمه تمامًا، فهو يحتوي على عضو
+
+180
+00:13:48,880 --> 00:13:53,520
+أكبر من الجسد اليسار. يوجد أربع عضوات التي تساعد
+
+181
+00:13:53,520 --> 00:13:56,140
+في تأكيد نطاقة الدم من طريق واحدة من خلال الجسد.
+
+182
+00:13:57,000 --> 00:13:59,480
+الدم المدخن السليموني يدفع من أعضاء الأعضاء
+
+183
+00:13:59,480 --> 00:14:01,620
+الأيمين إلى أعضاء الفترة الأيمين إلى أعضاء
+
+184
+00:14:01,620 --> 00:14:03,840
+الحلوانات الحلوانية، بينما الدم المدخن السليموني
+
+185
+00:14:03,840 --> 00:14:07,900
+يدفع من أعضاء الأيمين إلى أعضاء الفترة الأيمين إلى
+
+186
+00:14:07,900 --> 00:14:11,740
+أعضاء الفترة الأيور.القلب مغلق في مصدر مدفع مدفع
+
+187
+00:14:11,740 --> 00:14:12,680
+مدفع مدفع مدفع مدفع مدفع مدفع مدفع مدفع مدفع مدفع
+
+188
+00:14:12,680 --> 00:14:19,500
+مدفع
+
+189
+00:14:19,500 --> 00:14:24,760
+مدفع مدفع مدفع مدفع مدفع مدفع مدفع مدفع مدفع مدفع
+
+190
+00:14:24,760 --> 00:14:24,880
+مدفع مدفع مدفع مدفع مدفع مدفع مدفع مدفع مدفع
+
+191
+00:14:35,300 --> 00:14:39,300
+وهي مرتبطة بالخزانات والخزانات والخزانات والخزانات
+
+192
+00:14:39,300 --> 00:14:45,000
+والخزانات والخزانات
+
+193
+00:14:45,000 --> 00:14:57,680
+والخزانات والخزانات
+
+194
+00:14:57,680 --> 00:15:00,520
+والخزانات والخزانات والخزانات والخزانات والخزانات
+
+195
+00:15:00,520 --> 00:15:05,980
+والخزانات والخزانات والخزاناتالإنفعارات تبدأ من
+
+196
+00:15:05,980 --> 00:15:08,420
+قطعة صغيرة من الجلدات تدعى جلدات الـ Pacemaker
+
+197
+00:15:08,420 --> 00:15:13,300
+التي تكون جزء من نظام التدخل الكاردياكي التدخل
+
+198
+00:15:13,300 --> 00:15:17,000
+الرئيسي لـ Pacemaker هو الـSA نود إنه يؤدي إلى
+
+199
+00:15:17,000 --> 00:15:21,660
+جميع الحربيات ويحكم حرية القلوب خارقة من تحميل
+
+200
+00:15:21,660 --> 00:15:25,040
+غيزات، الدم أيضًا يدفع جسد الجسد إلى جزء من
+
+201
+00:15:25,040 --> 00:15:29,380
+الحيوانات مع ميزات ويقوم بإزالة غيزات متابعيةتحصل
+
+202
+00:15:29,380 --> 00:15:30,960
+على نتائج من نظام الانتاج اللي يسمى الـ Digestive
+
+203
+00:15:30,960 --> 00:15:33,640
+System اللي يسمى الـ Digestive System اللي يسمى
+
+204
+00:15:33,640 --> 00:15:36,560
+الانتاج اللي يسمى الانتاج اللي يسمى الانتاج اللي
+
+205
+00:15:36,560 --> 00:15:37,660
+يسمى الانتاج اللي يسمى الانتاج اللي يسمى الانتاج
+
+206
+00:15:37,660 --> 00:15:38,280
+اللي يسمى الانتاج اللي يسمى الانتاج اللي يسمى
+
+207
+00:15:38,280 --> 00:15:40,960
+الانتاج اللي يسمى الانتاج اللي يسمى الانتاج اللي
+
+208
+00:15:40,960 --> 00:15:48,500
+يسمى الانتاج
+
+209
+00:15:48,500 --> 00:15:53,220
+اللي
+
+210
+00:15:53,220 --> 00:15:57,620
+يسمى الالدم أيضًا يتحمل حرمونات من جذعين
+
+211
+00:15:57,620 --> 00:16:01,500
+الاندوكرين لجهات عضوية ويمكنها أن تلعب رولة مهمة
+
+212
+00:16:01,500 --> 00:16:04,980
+في حفرة حفرة الحيوانات الجسمية الدم يحتوي على
+
+213
+00:16:04,980 --> 00:16:09,580
+اتجارات أساسية أساسية أساسية أساسية مسمى Plasma
+
+214
+00:16:09,580 --> 00:16:15,220
+ومجموعة أساسية أساسية أساسية أساسية أساسية أساسية
+
+215
+00:16:15,220 --> 00:16:15,260
+أساسية أساسية أساسية أساسية أساسية أساسية أساسية
+
+216
+00:16:15,260 --> 00:16:15,360
+أساسية أساسية أساسية أساسية أساسية أساسية أساسية
+
+217
+00:16:15,360 --> 00:16:19,300
+أساسية أساسية
+
+218
+00:16:19,300 --> 00:16:24,380
+أساسمخلوقات الدم البيضاء تتعمل في ميزات محافظة
+
+219
+00:16:24,380 --> 00:16:27,900
+مختلفة ضد أنشطة تهيأم العضلات، بينما الـ Platelets
+
+220
+00:16:27,900 --> 00:16:31,960
+هم المسؤولين عن مخلوق الدم لتقديم مخاطر الدم خلال
+
+221
+00:16:31,960 --> 00:16:36,380
+مصابة مصابة مصابة مصابة مصابة مصابة مصابة مصابة
+
+222
+00:16:36,380 --> 00:16:39,160
+مصابة مصابة مصابة مصابة مصابة مصابة مصابة مصابة
+
+223
+00:16:39,160 --> 00:16:39,420
+مصابة مصابة مصابة مصابة مصابة مصابة مصابة مصابة
+
+224
+00:16:39,420 --> 00:16:47,120
+مصابة مصابة مصابة مصابة
+
+225
+00:16:47,120 --> 00:16:51,220
+مأشجار تتحرك الدم بعيدًا من القلب يسمونها أشجار
+
+226
+00:16:51,220 --> 00:16:54,500
+بينما أشجار تتحرك الدم بعيدًا من القلب يسمونها
+
+227
+00:16:54,500 --> 00:16:58,360
+أشجار أشجار تتحرك الدم بعيدًا من القلب تتحرك الدم
+
+228
+00:16:58,360 --> 00:16:59,720
+بعيدًا من القلب تتحرك الدم بعيدًا من القلب تتحرك
+
+229
+00:16:59,720 --> 00:17:00,920
+الدم بعيدًا من القلب تتحرك الدم بعيدًا من القلب
+
+230
+00:17:00,920 --> 00:17:01,700
+تتحرك الدم بعيدًا من القلب تتحرك الدم بعيدًا من
+
+231
+00:17:01,700 --> 00:17:03,860
+من القلب تتحرك الدم بعيدًا من القلب تتحرك الدم
+
+232
+00:17:03,860 --> 00:17:10,320
+بعيدًا من القلب تتحرك الدم بعيدًا من القلب تتحرك
+
+233
+00:17:10,320 --> 00:17:14,100
+الدم بعيدًا من الق
+
+234
+00:17:17,370 --> 00:17:21,370
+ثم أصغر جسد الدم يسمونه الـ Capillaries حيث يحدث
+
+235
+00:17:21,370 --> 00:17:26,530
+تغيير المادة الدم ثم يجمع الدم إلى صفرين صغيرين
+
+236
+00:17:26,530 --> 00:17:31,510
+يسمونه الـ Venules ثم إلى صفرين أكبر وعن طريق قلبي
+
+237
+00:17:31,510 --> 00:17:35,850
+عضلات وصفرين أساسيا يساعدون في تجارب الدم مجتمعها
+
+238
+00:17:35,850 --> 00:17:38,630
+مجتمعها مجتمعها مجتمعها مجتمعها مجتمعها مجتمعها
+
+239
+00:17:38,630 --> 00:17:38,810
+مجتمعها مجتمعها مجتمعها مجتمعها مجتمعها مجتمعها
+
+240
+00:17:38,810 --> 00:17:44,170
+مجتمعها مجتمعها مجتمعها مجتمعها مجتمعها
+
+241
+00:17:45,000 --> 00:17:49,540
+مجزرة أساسية عضوية ومتسلسلة تسمح للجسم بإستجابة أو
+
+242
+00:17:49,540 --> 00:17:54,740
+تدخل تحرير نمو الدم ومجزرة أساسية عضوية ومتسلسلة
+
+243
+00:17:54,740 --> 00:17:56,820
+تسمح للجسم بإستجابة أو تدخل تحرير نمو الدم
+
+244
+00:17:56,820 --> 00:18:00,520
+ومتسلسلة تسمح للجسم بإستجابة أو تدخل تحرير نمو
+
+245
+00:18:00,520 --> 00:18:04,760
+الدم ومتسلسلة تسمح للجسم بإستجابة أو تدخل تحرير
+
+246
+00:18:04,760 --> 00:18:06,540
+نمو الدم ومتسلسلة تسمح للجسم بإستجابة أو تدخل
+
+247
+00:18:06,540 --> 00:18:08,980
+تحرير نمو الدم ومتسلسلة تسمح للجسم بإستجابة أو
+
+248
+00:18:08,980 --> 00:18:14,680
+تدخل تحرير نمو الدم وويجب أن يتحمل أضغطات أعلى
+
+249
+00:18:14,680 --> 00:18:20,600
+التي تم إجراءها من حرق القلوب. عبارة عن عبارة عن
+
+250
+00:18:20,600 --> 00:18:22,320
+عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة
+
+251
+00:18:22,320 --> 00:18:22,660
+عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن
+
+252
+00:18:22,660 --> 00:18:22,680
+عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة
+
+253
+00:18:22,680 --> 00:18:22,980
+عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن
+
+254
+00:18:22,980 --> 00:18:23,640
+عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة
+
+255
+00:18:23,640 --> 00:18:24,080
+عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن
+
+256
+00:18:24,080 --> 00:18:33,280
+عبارة عن عبارة عن عبارة
+
+257
+00:18:33,280 --> 00:18:33,500
+عن عب
+
+258
+00:18:51,320 --> 00:18:54,680
+السيكول الكاردياكي يتعلق بالتجارة من الأحداث التي
+
+259
+00:18:54,680 --> 00:18:59,280
+تحدث و تتكرر مع كل حربي يمكن أن يكون مقاطعا إلى
+
+260
+00:18:59,280 --> 00:19:03,860
+أتصالين مهمة سيستالي و ديستالي كل واحدة منها
+
+261
+00:19:03,860 --> 00:19:09,020
+تتقاطع إلى أتصالين أصغر و أصغر سيستالي و ديستالي
+
+262
+00:19:09,020 --> 00:19:12,120
+عندما لا يتم تصميمها بشكل غير محدد يتعلق بالتدخل
+
+263
+00:19:12,120 --> 00:19:14,360
+والتدخل والتدخل والتدخل والتدخل والتدخل والتدخل
+
+264
+00:19:14,360 --> 00:19:15,200
+والتدخل والتدخل والتدخل والتدخل والتدخل والتدخل
+
+265
+00:19:15,200 --> 00:19:16,920
+والتدخل والتدخل والتدخل والتدخل والتدخل والتدخل
+
+266
+00:19:16,920 --> 00:19:20,880
+وال
+
+267
+00:19:21,590 --> 00:19:27,090
+التسلق يزيد الضرر في مصالحها بينما تتسلق تسلق
+
+268
+00:19:27,090 --> 00:19:30,470
+الضرر في مصالحها تفتح مصالح الـ AV عندما تسلق
+
+269
+00:19:30,470 --> 00:19:34,830
+الضرر في مصالحها أعلى من مصالحها التسلق والتغير
+
+270
+00:19:34,830 --> 00:19:39,710
+عندما تغير مصالحها تسلق تفتح مصالح الـ semilunar
+
+271
+00:19:39,710 --> 00:19:44,470
+عندما تسلق مصالحها التسلق أعلى من مصالحها التسلق
+
+272
+00:19:44,470 --> 00:19:52,100
+والتغير عندما تغيرالسيكلة تبدأ مع إطلاق الـSA نوت
+
+273
+00:19:52,100 --> 00:19:57,280
+الذي يشغّل الـatria لتنقل هذا موضوع موضوع الـP
+
+274
+00:19:57,280 --> 00:20:01,800
+-wave على الـECG التنقل الهوائي يبدأ قليلًا بعد أن
+
+275
+00:20:01,800 --> 00:20:06,720
+تبدأ الـP-wave وتسبب الضغط داخل الهوائي لتنقل،
+
+276
+00:20:06,720 --> 00:20:11,490
+ويجعل الدم يدخل إلى الجلدمع ذلك، فإن عبارة عن
+
+277
+00:20:11,490 --> 00:20:16,330
+مجزرة من المدخل المدخلي تدخل عبارة عن مجزرة من
+
+278
+00:20:16,330 --> 00:20:16,390
+المدخل المدخلي تدخل عبارة عن مجزرة من المدخل
+
+279
+00:20:16,390 --> 00:20:18,070
+المدخلي تدخل عبارة عن مجزرة من المدخل المدخلي تدخل
+
+280
+00:20:18,070 --> 00:20:19,770
+عبارة عن مجزرة من المدخل المدخلي تدخل عبارة عن
+
+281
+00:20:19,770 --> 00:20:20,410
+مجزرة من المدخل المدخلي تدخل عبارة عن مجزرة من
+
+282
+00:20:20,410 --> 00:20:22,430
+المدخل المدخلي تدخل عبارة عن مجزرة من المدخل
+
+283
+00:20:22,430 --> 00:20:29,330
+المدخلي تدخل عبارة
+
+284
+00:20:29,330 --> 00:20:34,470
+عن مجزرة من المدخل المدخلي تدخل عبارة عن مجزرة
+
+285
+00:20:38,620 --> 00:20:43,140
+وهي البداية لـSystole في هذا النقطة، الانتجار
+
+286
+00:20:43,140 --> 00:20:45,880
+الانتجار الانتجار الانتجار الانتجار الانتجار
+
+287
+00:20:45,880 --> 00:20:46,800
+الانتجار الانتجار الانتجار الانتجار الانتجار
+
+288
+00:20:46,800 --> 00:20:49,940
+الانتجار الانتجار الانتجار الانتجار الانتجار
+
+289
+00:20:49,940 --> 00:20:51,320
+الانتجار الانتجار الانتجار الانتجار الانتجار
+
+290
+00:20:51,320 --> 00:20:51,500
+الانتجار الانتجار الانتجار الانتجار الانتجار
+
+291
+00:20:51,500 --> 00:20:55,280
+الانتجار الانتجار الانتجار الانتجار الانتجار
+
+292
+00:20:55,280 --> 00:21:07,600
+الانتجار الانتجار الانتجار الانتجار الانتجار الان
+
+293
+00:21:07,720 --> 00:21:11,180
+because no blood is ejected and ventricular volume
+
+294
+00:21:11,180 --> 00:21:15,700
+is unchangedventricular ejection starts when
+
+295
+00:21:15,700 --> 00:21:18,800
+ventricular pressures exceed the pressures within
+
+296
+00:21:18,800 --> 00:21:22,280
+the aorta and pulmonary artery the aortic and
+
+297
+00:21:22,280 --> 00:21:26,220
+pulmonic valves open and blood is ejected out of
+
+298
+00:21:26,220 --> 00:21:30,630
+the ventricles this is the rapid ejection phaseعند
+
+299
+00:21:30,630 --> 00:21:34,070
+إعادة الانتقال الفلسفية المشهودة من تجارب الـ T
+
+300
+00:21:34,070 --> 00:21:38,850
+-Wave تبدأ الضغط الفلسفي يبدأ بالتسلق وفرصة
+
+301
+00:21:38,850 --> 00:21:43,710
+الانتقال تتخلص عندما تسلق الضغط الفلسفي تتسلق تحت
+
+302
+00:21:43,710 --> 00:21:46,390
+الضغط الأيورتيكي والبومانيريي، تغلق الشبكات
+
+303
+00:21:46,390 --> 00:21:51,470
+الميولوناريةماركة نهاية السيستالي وبداية
+
+304
+00:21:51,470 --> 00:21:55,510
+الدياستالي إغلاق المحطات السيولونية تنتج صوت قلب
+
+305
+00:21:55,510 --> 00:22:01,130
+الثاني S2 الجزء الأول من الدياستالي هو مرة أخرى
+
+306
+00:22:01,130 --> 00:22:05,030
+ايسو-وليومتريكي بسبب تهيأة المحطات بإغلاق جميع
+
+307
+00:22:05,030 --> 00:22:09,690
+المحطات مفتوحة الضغط الفلسفية تتسلق بسرعة ولكن
+
+308
+00:22:09,690 --> 00:22:15,570
+مقاومتها لا تتغيرمع ذلك، الـ atria يتم ملحقه
+
+309
+00:22:15,570 --> 00:22:20,530
+بطموح، وحرارة الحرارة تنزل بسرعة، ومباركة الحرارة
+
+310
+00:22:20,530 --> 00:22:23,830
+تبدأ عندما تنزل حرارة الحرارة تنزل تحت حرارة
+
+311
+00:22:23,830 --> 00:22:24,830
+الحرارة تنزل تحت حرارة الحرارة تنزل تحت حرارة
+
+312
+00:22:24,830 --> 00:22:25,790
+الحرارة تنزل تحت حرارة الحرارة تنزل تحت حرارة
+
+313
+00:22:25,790 --> 00:22:27,050
+الحرارة تنزل تحت حرارة الحرارة تنزل تحت حرارة
+
+314
+00:22:27,050 --> 00:22:29,550
+الحرارة تنزل تحت حرارة الحرارة تنزل تحت حرارة
+
+315
+00:22:29,550 --> 00:22:37,710
+الحرارة تنزل تحت حرارة الحرارة تنزل تحت
+
+316
+00:22:45,560 --> 00:22:48,360
+Thank you for watching. Please feel free to
+
+317
+00:22:48,360 --> 00:22:51,260
+suggest a topic you want us to cover by leaving a
+
+318
+00:22:51,260 --> 00:22:56,290
+comment belowوبعد ما تشوفنا الفيديو هنا احنا الآن
+
+319
+00:22:56,290 --> 00:23:01,470
+هنبدأ في اللي هي الأمراض الأمراض القلب و هنبدأ
+
+320
+00:23:01,470 --> 00:23:04,070
+بحاجة اسمها ال coronary artery disease أو ال
+
+321
+00:23:04,070 --> 00:23:09,110
+ischemic heart disease ال ischemic اختصارها I S I
+
+322
+00:23:09,110 --> 00:23:16,870
+H D او coronary artery disease بنفس الصورةوهنتحدث
+
+323
+00:23:16,870 --> 00:23:19,790
+إيش يعني الـ Coronary Artery Disease إن هو عبارة
+
+324
+00:23:19,790 --> 00:23:23,330
+عن narrowing of the coronary arteries وحنحكي عن ال
+
+325
+00:23:23,330 --> 00:23:27,970
+statistics وقداش منتشر هذا المرض بصورة عامة ال
+
+326
+00:23:27,970 --> 00:23:33,410
+risk factors اللي هنسمعها باستمرار و ال
+
+327
+00:23:33,410 --> 00:23:38,170
+pathophysiology هتستغرب وقداش أنه إحنا البشر السبب
+
+328
+00:23:38,170 --> 00:23:43,150
+في هذا الموضوع وزي ما بنقول دايماالـ Ischemic
+
+329
+00:23:43,150 --> 00:23:46,070
+Heart Disease ممكن نصيب أي حد فينا، لصغير و لكبير
+
+330
+00:23:46,070 --> 00:23:52,450
+ممكن نصيب أهالينا، ميتنا، أبواتنا وإنه فينا طبعا
+
+331
+00:23:52,450 --> 00:23:55,950
+أنواع من الـ Ischemic Heart Disease هنتحدث عنه في
+
+332
+00:23:55,950 --> 00:24:01,570
+وقته وكيف الـ Symptoms بتبعتها وإيش الفرق بين
+
+333
+00:24:01,570 --> 00:24:06,230
+الـMI و بين الـAngina Bacteris و بين الـStable
+
+334
+00:24:06,230 --> 00:24:13,010
+Angina Bacteris و الـUnstable Angina Bacterisهدف
+
+335
+00:24:13,010 --> 00:24:15,530
+المحاضرة اللي جاية إن شاء الله تعالى يعني حاولوا
+
+336
+00:24:15,530 --> 00:24:18,550
+تركزوا شويه في موضوع اللي .. اللي اتحدثنا عنه
+
+337
+00:24:18,550 --> 00:24:22,850
+لموضوع ال .. الموضوع ال anatomy و ال .. واستعينوا
+
+338
+00:24:22,850 --> 00:24:25,750
+طبعا و ال physiology استعينوا بطلق بعض الفيديوهات
+
+339
+00:24:25,750 --> 00:24:30,510
+اللي هي بتعمل animation و ممكن تسهل عليكم إشي كتير
+
+340
+00:24:30,510 --> 00:24:33,530
+إن شاء الله تعالى، نهاركوا سعيدة
+
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/wIJdyXlauDk_raw.json b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/wIJdyXlauDk_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..9b7afa57cc1b43a1eee94f1b261aeedf4eb8b8ae
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/wIJdyXlauDk_raw.json
@@ -0,0 +1 @@
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wall» في الـ «لفت» وفي الـ «رايت» طيب كيف هي related to ECG بتصير؟", "tokens": [2407, 3224, 24192, 2423, 39184, 4657, 26890, 19452, 7435, 1829, 6156, 47302, 26890, 11622, 5933, 39894, 32887, 5016, 24976, 39184, 4657, 2475, 1341, 306, 2929, 5933, 8978, 2423, 39184, 4657, 1211, 5172, 2655, 5933, 4032, 41185, 2423, 39184, 4657, 23557, 36081, 5933, 23032, 1829, 3555, 9122, 33911, 39896, 4077, 281, 19081, 38, 39894, 9381, 13546, 22807], "avg_logprob": -0.29797150377641646, "compression_ratio": 1.2971014492753623, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 273.60999999999996, "end": 274.53, "word": "وهذه", "probability": 0.73388671875}, {"start": 274.53, "end": 274.63, "word": " الـ", "probability": 0.886962890625}, {"start": 274.63, "end": 275.09, "word": " «بركنجي", "probability": 0.7454833984375}, {"start": 275.09, "end": 275.65, "word": " فايبرز»", "probability": 0.772265625}, {"start": 275.65, "end": 276.27, "word": " بتروح", "probability": 0.8595377604166666}, 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Please feel free to suggest a topic you want us to cover by leaving a comment below", "tokens": [51, 1641, 77, 74, 291, 337, 1976, 13, 2555, 841, 1737, 281, 3402, 257, 4829, 291, 528, 505, 281, 2060, 538, 5012, 257, 2871, 2507], "avg_logprob": -0.2071814898114938, "compression_ratio": 1.1630434782608696, "no_speech_prob": 0.00011551380157470703, "words": [{"start": 1365.56, "end": 1365.94, "word": "Thank", "probability": 0.691131591796875}, {"start": 1365.94, "end": 1366.08, "word": " you", "probability": 0.919921875}, {"start": 1366.08, "end": 1366.26, "word": " for", "probability": 0.97119140625}, {"start": 1366.26, "end": 1366.76, "word": " watching.", "probability": 0.79833984375}, {"start": 1367.16, "end": 1367.5, "word": " Please", "probability": 0.712890625}, {"start": 1367.5, "end": 1367.76, "word": " feel", "probability": 0.92822265625}, {"start": 1367.76, "end": 1368.08, "word": " free", "probability": 0.93701171875}, {"start": 1368.08, "end": 1368.36, "word": " to", 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0.9122721354166666}, {"start": 1453.01, "end": 1453.51, "word": " المحاضرة", "probability": 0.963623046875}, {"start": 1453.51, "end": 1453.65, "word": " اللي", "probability": 0.66845703125}, {"start": 1453.65, "end": 1453.85, "word": " جاية", "probability": 0.6873372395833334}, {"start": 1453.85, "end": 1453.99, "word": " إن", "probability": 0.378173828125}, {"start": 1453.99, "end": 1454.09, "word": " شاء", "probability": 0.9423828125}, {"start": 1454.09, "end": 1454.21, "word": " الله", "probability": 0.96044921875}, {"start": 1454.21, "end": 1454.61, "word": " تعالى", "probability": 0.982421875}, {"start": 1454.61, "end": 1455.21, "word": " يعني", "probability": 0.821044921875}, {"start": 1455.21, "end": 1455.53, "word": " حاولوا", "probability": 0.8172607421875}, {"start": 1455.53, "end": 1455.91, "word": " تركزوا", "probability": 0.98046875}, {"start": 1455.91, "end": 1456.21, "word": " شويه", "probability": 0.8567708333333334}, {"start": 1456.21, "end": 1456.31, "word": " في", "probability": 0.890625}, {"start": 1456.31, "end": 1456.77, "word": " موضوع", "probability": 0.9541015625}, {"start": 1456.77, "end": 1457.01, "word": " اللي", "probability": 0.937744140625}, {"start": 1457.01, "end": 1457.35, "word": " ..", "probability": 0.328125}, {"start": 1457.35, "end": 1457.79, "word": " اللي", "probability": 0.95361328125}, {"start": 1457.79, "end": 1458.29, "word": " اتحدثنا", "probability": 0.9154296875}, {"start": 1458.29, "end": 1458.55, "word": " عنه", "probability": 0.99560546875}, {"start": 1458.55, "end": 1459.03, "word": " لموضوع", "probability": 0.799957275390625}, {"start": 1459.03, "end": 1459.31, "word": " ال", "probability": 0.9287109375}, {"start": 1459.31, "end": 1459.95, "word": " ..", "probability": 0.84423828125}, {"start": 1459.95, "end": 1460.63, "word": " الموضوع", "probability": 0.96337890625}, {"start": 1460.63, "end": 1460.87, "word": " ال", "probability": 0.958984375}, {"start": 1460.87, "end": 1461.53, "word": " anatomy", "probability": 0.345458984375}, {"start": 1461.53, "end": 1461.97, "word": " و", "probability": 0.65380859375}, {"start": 1461.97, "end": 1462.17, "word": " ال", "probability": 0.48046875}, {"start": 1462.17, "end": 1462.39, "word": " ..", "probability": 0.89892578125}, {"start": 1462.39, "end": 1462.85, "word": " واستعينوا", "probability": 0.89326171875}, {"start": 1462.85, "end": 1463.11, "word": " طبعا", "probability": 0.9691162109375}, {"start": 1463.11, "end": 1463.21, "word": " و", "probability": 0.66357421875}, {"start": 1463.21, "end": 1463.27, "word": " ال", "probability": 0.79833984375}, {"start": 1463.27, "end": 1463.71, "word": " physiology", "probability": 0.95947265625}, {"start": 1463.71, "end": 1464.43, "word": " استعينوا", "probability": 0.978271484375}, {"start": 1464.43, "end": 1464.83, "word": " بطلق", "probability": 0.6248779296875}, {"start": 1464.83, "end": 1465.13, "word": " بعض", "probability": 0.796142578125}, {"start": 1465.13, "end": 1465.75, "word": " 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" شاء", "probability": 0.9931640625}, {"start": 1470.85, "end": 1470.97, "word": " الله", "probability": 0.9736328125}, {"start": 1470.97, "end": 1472.27, "word": " تعالى،", "probability": 0.8724365234375}, {"start": 1472.27, "end": 1473.15, "word": " نهاركوا", "probability": 0.89716796875}, {"start": 1473.15, "end": 1473.53, "word": " سعيدة", "probability": 0.9774169921875}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 1475.3030625, "duration_after_vad": 1418.8143749999977}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/wKbEPHOGwtg.srt b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/wKbEPHOGwtg.srt
new file mode 100644
index 0000000000000000000000000000000000000000..89a96b67a144b2c5ec33bcfa593a5fcea9016d48
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/wKbEPHOGwtg.srt
@@ -0,0 +1,1891 @@
+1
+00:00:01,250 --> 00:00:03,270
+بسم الله الرحمن الرحيم والحمد لله رب العالمين
+
+2
+00:00:03,270 --> 00:00:06,770
+والصلاة والسلام على سيدنا محمد وعلى آله أجمعين اليوم
+
+3
+00:00:06,770 --> 00:00:09,530
+إن شاء الله تعالى سنتحدث عن الـ disorders of
+
+4
+00:00:09,530 --> 00:00:17,010
+respiratory system لكن قبل ما نبدأ هنحاول هذه
+
+5
+00:00:17,010 --> 00:00:23,830
+المحاضرة ستكون على two parts هنحكي في الأول عن شوية
+
+6
+00:00:23,830 --> 00:00:29,290
+general symptoms of respiratory disease زي على
+
+7
+00:00:29,290 --> 00:00:32,750
+سبيل المثال، إيش الـhypoxia؟ تعريف الـhypoxia
+
+8
+00:00:32,750 --> 00:00:39,050
+تعريف الـhypoxia هي decrease level of oxygen in
+
+9
+00:00:39,050 --> 00:00:44,510
+the tissue، مش في blood الـhypoxemia هو decrease
+
+10
+00:00:44,510 --> 00:00:49,560
+level of oxygen in arterial blood. الـhypercapnia 
+
+11
+00:00:49,560 --> 00:00:53,560
+increased level of CO2 in the blood والتَّسْنُّيَةُ 
+
+12
+00:00:53,560 --> 00:00:59,140
+difficult breathing. التَّكَيُّبُنية rapid rate of
+
+13
+00:00:59,140 --> 00:01:03,740
+breathing. سيانوزز حكينا عنها قبل هيك بلوش 
+
+14
+00:01:03,740 --> 00:01:07,860
+discoloration of the skin and mucous membranes due
+
+15
+00:01:07,860 --> 00:01:11,860
+to poor oxygenation of the blood. وhemoptysis كنا
+
+16
+00:01:11,860 --> 00:01:17,900
+حكينا الفرق بين hemoptysis و ash و hematemesis و
+
+17
+00:01:17,900 --> 00:01:21,200
+hematuria. hemoptysis هو إبانة عن blood in the
+
+18
+00:01:21,200 --> 00:01:24,990
+sputum. هذه التعريفات بسيطة، يجب أن نكون عارفينها
+
+19
+00:01:24,990 --> 00:01:28,910
+ونحكي عن الـ Disorders أو Diseases of the
+
+20
+00:01:28,910 --> 00:01:32,890
+Respiratory System. هنتحدث في الأول عن تجسيمة
+
+21
+00:01:32,890 --> 00:01:37,880
+Respiratory Infection. الإنفكشن في الـ Respiratory
+
+22
+00:01:37,880 --> 00:01:41,020
+Tract يمكن أن يحدث في الـ Upper Respiratory Tract
+
+23
+00:01:41,020 --> 00:01:48,020
+Infection. اختصارها URTI 
+
+24
+00:01:48,020 --> 00:01:51,080
+أو Upper Respiratory Tract Infection وفيه Lower
+
+25
+00:01:51,080 --> 00:01:54,200
+Respiratory Tract Infection وممكن يكونوا مخصصين مع
+
+26
+00:01:54,200 --> 00:02:01,340
+بعض. الـ الـ الـ organisms اللي بتعملنا infections
+
+27
+00:02:01,340 --> 00:02:06,480
+في الـ respiratory system طبعًا الـ الـ الـ الـ الـ 
+
+28
+00:02:06,480 --> 00:02:11,540
+bacteria الـ viruses و الـ fungi. لابد من الانتباه أن
+
+29
+00:02:11,540 --> 00:02:14,820
+the majority of upper respiratory tract infections
+
+30
+00:02:14,820 --> 00:02:16,380
+are caused by viruses.
+
+31
+00:02:18,980 --> 00:02:21,840
+الرينوفيروس والبرانفلونزافيروس والبرانفلونزافيروس
+
+32
+00:02:21,840 --> 00:02:24,860
+علشان هيك بتسمعونا كتير بنقول in the upper
+
+33
+00:02:24,860 --> 00:02:29,560
+respiratory tract infection there is no need for
+
+34
+00:02:29,560 --> 00:02:33,500
+antibiotic. لإيش؟ لأن الـ Antibiotic للبكتيريا بما
+
+35
+00:02:33,500 --> 00:02:37,880
+أن الـ Upper Respiratory Tract Infection معظم سبب
+
+36
+00:02:37,880 --> 00:02:46,140
+الإنفكشن فيروس فإنه No Need وحسب الـ organism و الـ
+
+37
+00:02:46,140 --> 00:02:49,320
+extent of infection the manifestation can range
+
+38
+00:02:49,320 --> 00:02:53,800
+from mild to severe and even life threatening. حسب
+
+39
+00:02:53,800 --> 00:02:58,190
+الـ organism و حسب الـ extent of infection. بدنا نبدأ
+
+40
+00:02:58,190 --> 00:03:00,590
+في الأول في الـ Common Cold اللي احنا بنقول عنه
+
+41
+00:03:00,590 --> 00:03:03,810
+بلغتنا العامية الرشح. الـ Most Common Viral
+
+42
+00:03:03,810 --> 00:03:07,230
+Pathogen للـ Common Cold are Rhinovirus,
+
+43
+00:03:07,390 --> 00:03:10,990
+Parainfluenza Virus, Respiratory Syncytial Virus,
+
+44
+00:03:11,110 --> 00:03:15,810
+Adenovirus and Coronavirus. طبعاً هذه المحاضرة
+
+45
+00:03:15,810 --> 00:03:20,790
+معمولة قبل ما يحصل الكورونا يعني هذه من أربع أو
+
+46
+00:03:20,790 --> 00:03:23,870
+خمس سنين المحاضرة وكنا ذاكرين فيها الـ Coronavirus
+
+47
+00:03:25,470 --> 00:03:41,750
+وهذه الفيروسات تتراوح في أوقات السنة وبتدخل
+
+48
+00:03:41,750 --> 00:03:48,110
+عن طريق الـ nasal mucosa
+
+49
+00:03:48,110 --> 00:03:52,940
+و surfaces of the eyes. وهذا اللي طول النهار بيحكي
+
+50
+00:03:52,940 --> 00:03:56,600
+فيه يا جماعة تحكيش في وجهك اللي بديه يعتص أو بديه
+
+51
+00:03:56,600 --> 00:04:00,520
+يكح ميكحش في وجه التانين ودايماً غسل اليدين عشان
+
+52
+00:04:00,520 --> 00:04:03,820
+لو ايدك أخدت شوية فيروسات وجيت حكيت في منخيرك أو
+
+53
+00:04:03,820 --> 00:04:08,880
+في عينك أو في كذا ممكن ينتجل فيروس. They are
+
+54
+00:04:08,880 --> 00:04:12,260
+readily spread from person to person via
+
+55
+00:04:12,260 --> 00:04:17,180
+respiratory secretions. Manifestations of the common
+
+56
+00:04:17,180 --> 00:04:20,760
+cold ممكن يكون rhinitis, inflammation of the nasal
+
+57
+00:04:20,760 --> 00:04:25,620
+mucosa. Rhinitis inflammation of the nasal mucosa
+
+58
+00:04:25,620 --> 00:04:29,840
+sinusitis, inflammation of the sinus mucosa. واحنا
+
+59
+00:04:29,840 --> 00:04:34,800
+اتعرفنا على الـ sinuses وقلنا أنه في عندنا كام نوع
+
+60
+00:04:34,800 --> 00:04:40,380
+من الـ sinuses في الوجه صح ايش وايه وايه؟ ايوة
+
+61
+00:04:40,380 --> 00:04:43,020
+صحيح
+
+62
+00:04:44,800 --> 00:04:51,340
+مَكْسَرِيٌّ صحيح، اثْمُوئِيٌّ صحيح، سَفِنُوئِيٌّ صحيح، frontal
+
+63
+00:04:51,340 --> 00:04:55,860
+صحيح نعم. في إننا كمان الـ pharyngitis اللي هو
+
+64
+00:04:55,860 --> 00:05:00,020
+التهاب الحلق pharynx and throat ممكن يعملنا
+
+65
+00:05:00,020 --> 00:05:03,400
+headache كمان و nasal discharge and congestion
+
+66
+00:05:03,400 --> 00:05:10,600
+احتقان. هذا بالنسبة للـ common cold وهذا أسهل أنواع
+
+67
+00:05:10,600 --> 00:05:11,980
+الالتهابات
+
+68
+00:05:13,840 --> 00:05:17,420
+التنفسية العليا اللي هو الـ Common Cold الرشح أو
+
+69
+00:05:17,420 --> 00:05:23,400
+بما نقول عنه الزكام. طيب الـ Influenza واللي هي
+
+70
+00:05:23,400 --> 00:05:27,600
+برضه بتيجي بصورة كبيرة كمان. Influenza واللي هي
+
+71
+00:05:27,600 --> 00:05:32,860
+الآن منتشرة وبتعملنا بتخربطنا في موضوع هل اللي
+
+72
+00:05:32,860 --> 00:05:38,390
+جبالي أنا مفلوز ولا عنده كورونا ولا مكرون لأن
+
+73
+00:05:38,390 --> 00:05:44,390
+الانفلوانزا الموسمية مشهورة أنه بداية الخريف دخول
+
+74
+00:05:44,390 --> 00:05:48,950
+الشتاء تنتشر بصورة كبيرة. Influenza is a viral
+
+75
+00:05:48,950 --> 00:05:52,030
+infection كمان مرة اه viral infection. Influenza
+
+76
+00:05:52,030 --> 00:05:56,370
+هذا اللي بنبلع و بند الأطفال مضادات حيوية عشانها
+
+77
+00:05:56,370 --> 00:05:59,570
+أنها هي viral infection. To affect upper respiratory
+
+78
+00:05:59,570 --> 00:06:03,290
+tract infection, upper respiratory tract and or
+
+79
+00:06:03,290 --> 00:06:10,220
+lower respiratory tract. في عنده تلت أنواع من الـ
+
+80
+00:06:10,220 --> 00:06:13,440
+forms of influenza virus أو strains بتقول عنها
+
+81
+00:06:21,620 --> 00:06:25,920
+أشهر واحد في التلاتة لو الـType-A هو الـMost
+
+82
+00:06:25,920 --> 00:06:30,520
+Common ويسبب فيه الموضوع أكتر من المرضين الـType-A.
+
+83
+00:06:30,520 --> 00:06:38,980
+الـ Influenza Virus هو بينتقل
+
+84
+00:06:38,980 --> 00:06:50,390
+بسهولة جدًا جدًا بسبب وجود تطعيم
+
+85
+00:06:50,390 --> 00:06:54,130
+انفلونزاوي مختلف عن السنة السابقة لأنهم بيحطوا
+
+86
+00:06:54,130 --> 00:06:58,810
+قطعتين تلاتة أو أربعة قطعان داخل التطعيم هذا. ولكن
+
+87
+00:06:58,810 --> 00:07:02,390
+بضطرين لأن نفس الفيروس تبقى السنة اللي فاتت مش هو
+
+88
+00:07:02,390 --> 00:07:05,290
+اللي بيبقى المرة هاي. ليش؟ لأنه بيغير المادة
+
+89
+00:07:05,290 --> 00:07:08,990
+الوراثية تبعته وهذا الكلام اللي بيقعدين بنقول أنه
+
+90
+00:07:08,990 --> 00:07:13,940
+عنده تطعيم مختلف. Genetic mutation يعني بيغير مادته
+
+91
+00:07:13,940 --> 00:07:20,400
+الوراثية وبعملي نسخة جديدة من هذا الفيروس وبتصيب
+
+92
+00:07:20,400 --> 00:07:30,060
+بطريقة أخرى وطبعًا حسب الأماكن اللي بيصيب فيها عشان
+
+93
+00:07:30,060 --> 00:07:32,940
+هيك بيصير عندنا متذكرين أنتوا انفلونزة الطيور
+
+94
+00:07:32,940 --> 00:07:38,310
+وانفلونزة الخنازير. وهي الآن بدأنا ندخل في أنواع
+
+95
+00:07:38,310 --> 00:07:41,650
+ثانية غير الـ Influenza في الـ Corona في حاجة
+
+96
+00:07:41,650 --> 00:07:45,110
+اسمها Pandemics. الـ Pandemics هو Spreading of
+
+97
+00:07:45,110 --> 00:07:48,250
+Infection Across a Large Region. يعني في منطقة
+
+98
+00:07:48,250 --> 00:07:53,050
+كبيرة Of Influenza. أرسين كل تمام لعشر سنين بيصير
+
+99
+00:07:53,050 --> 00:07:58,200
+عندنا بنديميا أو بنقول عنها endemic أو pandemic
+
+100
+00:07:58,200 --> 00:08:03,600
+وبتبقى serious. وهذه نتيجة أنه بيغير هذا الـ virus
+
+101
+00:08:03,600 --> 00:08:07,220
+اللي هو الـ influenza virus بيغير المادة الجينية
+
+102
+00:08:07,220 --> 00:08:12,260
+تبعته فيعجز الجسم عن محاربته وبتنتشر هذا الفيروس
+
+103
+00:08:12,260 --> 00:08:19,200
+بنتشر بصورة كبيرة بين الناس. وهنا شايفين أخوه للـ
+
+104
+00:08:19,200 --> 00:08:22,520
+influenza virus اللي هو الـ coronavirus إيش عامل في
+
+105
+00:08:22,520 --> 00:08:25,790
+العالم؟ إيش عامل في العالم؟ Symptoms of influenza
+
+106
+00:08:25,790 --> 00:08:29,430
+infection headache طبعًا احنا شوفنا تو في الـ common
+
+107
+00:08:29,430 --> 00:08:33,350
+cold ماكانش فيه headache يعني احنا بنحس إن إن الـ
+
+108
+00:08:33,350 --> 00:08:37,110
+influenza تأثير تبعها systemic أكتر يعني على الجسم
+
+109
+00:08:37,110 --> 00:08:41,190
+أكتر مع الـ upper respiratory لكن كمان بيأثرلي على
+
+110
+00:08:41,190 --> 00:08:43,770
+الجسم. إن حنشوف في الـ symptoms لكن الـ common cold
+
+111
+00:08:43,770 --> 00:08:48,870
+أو الذكام يعني زي ما بقولها restricted الالتهاب في
+
+112
+00:08:48,870 --> 00:08:52,930
+منطقة المناخية ومنطقة الحلق وهيك يعني. الـ Symptoms
+
+113
+00:08:52,930 --> 00:08:56,370
+of Influenza Infection: Headache, Fever, Chills،
+
+114
+00:08:56,370 --> 00:09:00,350
+إيش يعني Chills؟ بيصير عنده نتيجة الحرارة اللي هي
+
+115
+00:09:00,350 --> 00:09:04,630
+الـ ... إيش بيقولوها؟ قشعريرة، بيصير عنده muscle
+
+116
+00:09:04,630 --> 00:09:08,310
+aches، بيصير عنده وجع في العضلات، nasal discharge,
+
+117
+00:09:08,470 --> 00:09:11,790
+unproductive cough, un-thor, un-sore throat
+
+118
+00:09:14,450 --> 00:09:17,610
+الإنفلوانزا الانفكار يمكن أن يسبب التهاب الهوائي
+
+119
+00:09:17,610 --> 00:09:18,470
+الهوائي الهوائي الهوائي الهوائي الهوائي الهوائي
+
+120
+00:09:18,470 --> 00:09:18,730
+الهوائي الهوائي الهوائي الهوائي الهوائي الهوائي
+
+121
+00:09:18,730 --> 00:09:22,170
+الهوائي الهوائي الهوائي الهوائي الهوائي الهوائي
+
+122
+00:09:22,170 --> 00:09:22,650
+الهوائي الهوائي الهوائي الهوائي الهوائي الهوائي
+
+123
+00:09:22,650 --> 00:09:23,970
+الهوائي الهوائي الهوائي الهوائي الهوائي الهوائي
+
+124
+00:09:23,970 --> 00:09:27,850
+الهوائي الهوائي الهوائي الهوائي الهوائي الهوائي
+
+125
+00:09:27,850 --> 00:09:32,280
+الهوائي الهوائي الهوائي Infection may lead to co-
+
+126
+00:09:32,280 --> 00:09:35,440
+infection of the respiratory passages with
+
+127
+00:09:35,440 --> 00:09:38,500
+bacteria. هذا أحنا مشكلتنا وعشان هي كتير بتلاقي
+
+128
+00:09:38,500 --> 00:09:41,020
+بتحججوا ناس في الـ Influenza أنا بدي مضاد حيوي
+
+129
+00:09:41,020 --> 00:09:44,440
+لحمايته من أنه يصير عنده co-infection أو التهاب
+
+130
+00:09:44,440 --> 00:09:48,400
+بكتيري super infection أو co-infection. طبعًا يا
+
+131
+00:09:48,400 --> 00:09:53,520
+جماعة يعني في مغلطة كبيرة هنا ما لازم احنا أدي أنا
+
+132
+00:09:53,520 --> 00:09:58,340
+مضاد حيوي مقدمًا الآن. لو حصل أنه شوفت أنه في إشارات
+
+133
+00:09:58,340 --> 00:10:04,510
+لـ bacterial infection. طبعًا Co-infection مع
+
+134
+00:10:04,510 --> 00:10:08,290
+الـ Viral ساعتها بأدى Antibiotic لكن أن أدى
+
+135
+00:10:08,290 --> 00:10:11,570
+الـ Viral انفكشن Antibiotic هذه غلطة كبيرة. It's
+
+136
+00:10:11,570 --> 00:10:14,830
+also possible for influenza virus to infect the
+
+137
+00:10:14,830 --> 00:10:19,330
+tissues of the lung itself and cause viral
+
+138
+00:10:19,330 --> 00:10:23,820
+pneumonia. يعني ممكن تنزل فعلاً التهاب
+
+139
+00:10:23,820 --> 00:10:26,980
+الفيروسي ينزل وينزل ع الرئتين ويعمل ايه؟ التهاب
+
+140
+00:10:26,980 --> 00:10:33,320
+الفيروسي. الـ treatment of influenza طبعًا بدرس راحة 
+
+141
+00:10:33,320 --> 00:10:38,260
+fluids سوائل دفع and إذا في يعني زي مثلا في 
+
+142
+00:10:38,260 --> 00:10:43,670
+الكورونا الآن في محاولات ال antiviral drugs وطبعاً
+
+143
+00:10:43,670 --> 00:10:48,430
+إحنا بندّي حقيقة اللي هو الـ Influenza Vaccine
+
+144
+00:10:48,430 --> 00:10:51,210
+سنوي في شهر 10 وشهر 11
+
+145
+00:10:53,950 --> 00:11:00,570
+مقارنة بـ A وB مخلوقات الفلوانزا التي تتوقع أن تكون
+
+146
+00:11:00,570 --> 00:11:05,090
+مميزة في عام محدد، الفلوانزا يجب أن يتم تحرير
+
+147
+00:11:05,090 --> 00:11:08,490
+وإدارة الـ Influenza في عام محدد، الفلوانزا لكي تكون
+
+148
+00:11:08,490 --> 00:11:09,170
+مفيدا
+
+149
+00:11:17,530 --> 00:11:22,070
+ولكنه لا يعطي حماية كاملة من الـ Influenza فيه
+
+150
+00:11:22,070 --> 00:11:25,890
+strains في الـ Influenza غير محتوطة في التطعيم هذه
+
+151
+00:11:25,890 --> 00:11:28,150
+طبعاً تقدر تصيب الواحد بالـ Influenza وفي منها
+
+152
+00:11:28,150 --> 00:11:32,510
+عشرات دون الالتفات للـ Vaccine اللي صار يعني الـ 
+
+153
+00:11:32,510 --> 00:11:38,370
+Vaccine بس بيحمي من الفيروسات اللي موجودة في الـ
+
+154
+00:11:38,370 --> 00:11:42,560
+Strains اللي موجودة في التطعيم، الفاكسينة
+
+155
+00:11:42,560 --> 00:11:48,920
+الانفلوانزا تشير بشكل خاص للناس الأكبر من 6 أشهر 
+
+156
+00:11:48,920 --> 00:11:50,900
+من العمر للناس الأكبر من 6 أشهر من العمر للناس
+
+157
+00:11:50,900 --> 00:11:52,560
+الأكبر من 6 أشهر من العمر للناس الأكبر من 6 أشهر
+
+158
+00:11:52,560 --> 00:11:54,520
+من العمر للناس الأكبر من 6 أشهر من العمر للناس
+
+159
+00:11:54,520 --> 00:11:55,160
+الأكبر من 6 أشهر من العمر للناس الأكبر من 6 أشهر
+
+160
+00:11:55,160 --> 00:11:55,300
+من العمر للناس الأكبر من 6 أشهر من العمر للناس
+
+161
+00:11:55,300 --> 00:11:57,340
+الأكبر من 6 أشهر من العمر للناس الأكبر من 6 أشهر
+
+162
+00:11:57,340 --> 00:12:00,660
+من 
+
+163
+00:12:00,660 --> 00:12:02,480
+العمر للناس الأكبر
+
+164
+00:12:12,950 --> 00:12:20,210
+وحقيقة أن الـ Respiratory Tract عادةً لا يكون من السهل أن
+
+165
+00:12:20,210 --> 00:12:24,750
+الواحد ممكن ينصاب بالـ Lower Respiratory Tract
+
+166
+00:12:24,750 --> 00:12:27,450
+Infection يعني نصير عنده التهاب في الرئة، لابد أن
+
+167
+00:12:27,450 --> 00:12:32,640
+يكون فيه هناك عوامل أضعفت الجسم، أضعفت الجسم اللي
+
+168
+00:12:32,640 --> 00:12:39,500
+هو الوضع المناعي تبع البني آدم وهي أثرت أنهُ انصاب
+
+169
+00:12:39,500 --> 00:12:44,800
+بالتهاب بكتيري أو التهاب فيروسي للـ Lower
+
+170
+00:12:44,800 --> 00:12:50,820
+Respiratory Tract Infection، طيب، ليش؟ لأنه أصلاً
+
+171
+00:12:50,820 --> 00:12:57,040
+هناك آليات Defense Mechanisms آليات حماية للجسم
+
+172
+00:12:58,900 --> 00:13:04,760
+وحماية من؟ الـ Lungs بالذات، عشان البكتيريا هذه أو
+
+173
+00:13:04,760 --> 00:13:07,220
+الفيروس هذه ما تصل الرئتين
+
+174
+00:13:12,720 --> 00:13:17,180
+طبعاً هناك عوامل أخرى، مدى شدة البكتيريا نفسها
+
+175
+00:13:17,180 --> 00:13:22,080
+البكتيريا تكون Virulent تكون هي نفسها متعبة كمان
+
+176
+00:13:22,080 --> 00:13:26,740
+بالعضو، يبقى من الـ Host Defence Barriers بس بي ..
+
+177
+00:13:26,740 --> 00:13:33,160
+بنحكي عنها اللي بتضعفها اللي هي Cigarette Smoking
+
+178
+00:13:33,160 --> 00:13:40,340
+التدخين من الحاجات اللي بتضعف الجهاز المناعي و
+
+179
+00:13:40,340 --> 00:13:46,980
+بتعمل Weakening للـ Respiratory Defence Barriers زي
+
+180
+00:13:46,980 --> 00:13:51,900
+ما قلنا ليش؟ لأنها بتعمل Paralysing للـ Cilia
+
+181
+00:13:51,900 --> 00:13:55,780
+فاكرين الأهداف اللي حكينا عنها؟ بتعملها Paralysing
+
+182
+00:13:55,780 --> 00:14:00,160
+و بتعملها Damaging، وهذه الـ Cilia هي كانت المسؤولة
+
+183
+00:14:00,160 --> 00:14:04,200
+في لحظة من اللحظات إن نتيجة حركتها إلى فوق
+
+184
+00:14:04,200 --> 00:14:11,650
+الشعيرات هذه أو الأهداف هذه إنها تخرج كلما يسبب
+
+185
+00:14:11,650 --> 00:14:17,570
+بلغم أو يسبب Secretions أو يسبب Particles أو Micro
+
+186
+00:14:17,570 --> 00:14:21,490
+Organism هي بترضه، فلمّا أجت سيجارة Smoking على
+
+187
+00:14:21,490 --> 00:14:25,950
+المدى الطويل عملت Damaging للـ Cilia هاي بطلت
+
+188
+00:14:25,950 --> 00:14:29,650
+تشتغل، بتصير الـ Particles زي البكتيريا والحاجات
+
+189
+00:14:29,650 --> 00:14:36,430
+هاي تنزل دون حماية لمين؟ للرئتين، طبعاً لابد أنه كما
+
+190
+00:14:36,430 --> 00:14:43,230
+قلنا الـ Virulence اللي هي شدة الـ شدة البكتيريا
+
+191
+00:14:43,230 --> 00:14:47,890
+هاي وقوتها بتلعب دور، ومش بس الأجواء المحيطة
+
+192
+00:14:47,890 --> 00:14:52,270
+بتلعب دور زي الـ Cold Weather عسب اللي تعرف من
+
+193
+00:14:52,270 --> 00:14:57,010
+برضه الـ Defence Mechanisms اللي هو
+
+194
+00:15:00,630 --> 00:15:05,590
+الـ Surface كلها بدأت من الأنف والحلق كلها Moist وعليها
+
+195
+00:15:05,590 --> 00:15:12,450
+زي نوع من الـ Mucous وهذه تتلقط الـ Organism
+
+196
+00:15:12,450 --> 00:15:15,970
+والـ Particles فيه، إن الـ Lysosomes والـ Cell
+
+197
+00:15:15,970 --> 00:15:19,750
+Surface IgA فيه، إن زي ما حكينا قبل شوية الـ
+
+198
+00:15:19,750 --> 00:15:23,210
+Ciliated Epithelium، عنا كمان حاجة ربنا أدانا إياها
+
+199
+00:15:23,210 --> 00:15:28,040
+هي الكحة اليّة أو ميكانيكية الكحة أو ردة فعل
+
+200
+00:15:28,040 --> 00:15:30,500
+الكحة، كل ما ييجي يدخل إشي يعني زي الواحد اللي
+
+201
+00:15:30,500 --> 00:15:34,020
+بيجي تشردق يدخل إشي على الرئتين على طول واحد بكح
+
+202
+00:15:34,020 --> 00:15:37,980
+فبطلعها، هذه نعمة من ربنا، الكحة نعمة من ربنا
+
+203
+00:15:37,980 --> 00:15:43,400
+الدنياها to prevent Aspiration، شردقة of Particles
+
+204
+00:15:43,400 --> 00:15:48,700
+and Irritants into the Lower Airways، وفيه طبعاً أن
+
+205
+00:15:48,700 --> 00:15:54,290
+أنواع زي اللي هو الـ Pulmonary Macrophage، الـ
+
+206
+00:15:54,290 --> 00:16:00,710
+Macrophage الكبير اللي بتحاول تعمل فجوط، صيتز الـ 
+
+207
+00:16:00,710 --> 00:16:06,210
+Foreign Particles أو الـ Organisms، طبعاً
+
+208
+00:16:06,210 --> 00:16:09,470
+لما أنا بقول Lung Tissue Infection بقصد فيها
+
+209
+00:16:09,470 --> 00:16:15,250
+Pneumonia، Pneumonia، الـ P ممكن أنه ما ألفزهاش لفظ
+
+210
+00:16:15,250 --> 00:16:18,410
+كامل، Pneumonia في ناس بتقول عن ابنومونيا لكن هي
+
+211
+00:16:18,410 --> 00:16:23,160
+Pneumonia، Pneumonia is a condition that التي تتعلق
+
+212
+00:16:23,160 --> 00:16:27,340
+بالإنفلام من الـ Lower Lung Structures مثل الـ 
+
+213
+00:16:27,340 --> 00:16:32,700
+Alveoli والـ Interstitial Spaces يعني كل ال .. ال
+
+214
+00:16:32,700 --> 00:16:35,060
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+215
+00:16:35,060 --> 00:16:35,760
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+216
+00:16:35,760 --> 00:16:35,860
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+217
+00:16:35,860 --> 00:16:36,220
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+218
+00:16:36,220 --> 00:16:36,380
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+219
+00:16:36,380 --> 00:16:36,480
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+220
+00:16:36,480 --> 00:16:37,160
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+221
+00:16:37,160 --> 00:16:37,200
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+222
+00:16:37,200 --> 00:16:37,440
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+223
+00:16:37,440 --> 00:16:43,140
+.. ال .. ال .. ال .. ال .. ال ..
+
+224
+00:16:43,140 --> 00:16:44,360
+ال
+
+225
+00:16:53,800 --> 00:16:56,560
+طبعاً الـ Pneumonia الـ Prevalence تبعها والـ
+
+226
+00:16:56,560 --> 00:16:59,660
+Severity of Pneumonia have been heightened in
+
+227
+00:16:59,660 --> 00:17:05,220
+recent years due to the emergence of HIV فاكرين
+
+228
+00:17:05,220 --> 00:17:09,940
+إيش الـ HIV؟ صحيح، الـ AIDS as well as Antibiotic
+
+229
+00:17:09,940 --> 00:17:17,000
+Resistance نتيجة إنه صار فيه كتير HIV وهذا اسمه
+
+230
+00:17:17,000 --> 00:17:24,410
+ضعف المناعة المكتسبة نتيجة إنه صار في عندنا تكون
+
+231
+00:17:24,410 --> 00:17:29,750
+مقاومة للمضادات الحيوية نتيجة استعمال غير الرشيد
+
+232
+00:17:29,750 --> 00:17:34,650
+للمضادات الحيوية، فزادت الـ Severity والـ 
+
+233
+00:17:34,650 --> 00:17:39,210
+Prevalence of Pneumonia، والـ Classification تبع
+
+234
+00:17:39,210 --> 00:17:42,170
+الـ Pneumonia حسب ممكن نقولها حسب الـ Pathogen حسب
+
+235
+00:17:42,170 --> 00:17:45,430
+المادة اللي عملت التهاب يعني Viral Pneumonia أو
+
+236
+00:17:45,430 --> 00:17:51,210
+Bacterial Pneumonia، وممكن لكن نقول عنها كمان
+
+237
+00:17:51,210 --> 00:17:56,570
+التفريق الثاني أقول عنها Hospital أو Community
+
+238
+00:17:56,570 --> 00:18:02,670
+Pneumonia أو Hospital Nosocomial Pneumonia، الـ
+
+239
+00:18:02,670 --> 00:18:07,330
+Individuals most at risk of Pneumonia، الـ Elderly
+
+240
+00:18:07,330 --> 00:18:11,870
+الناس اللي عندها Viral Infection، الـ Chronic Ill، الـ
+
+241
+00:18:11,870 --> 00:18:15,690
+HIV أو الـ AIDS والـ Immune Suppressant Patient
+
+242
+00:18:15,690 --> 00:18:21,330
+Smokers بشيء مثل الـ Bronchial Asthma بشيء ممكن
+
+243
+00:18:21,330 --> 00:18:26,330
+كمان مرة في عندنا نمونيا اسمها Community Acquired
+
+244
+00:18:26,330 --> 00:18:30,250
+Community Acquired يعني من المجتمع وفي عندنا
+
+245
+00:18:30,250 --> 00:18:34,410
+Aspiration Pneumonia، الشردقة، ينزل حاجة على الرئتين
+
+246
+00:18:34,410 --> 00:18:38,730
+وفي عندنا الـ Hospital Acquired فرجوها قالوا في
+
+247
+00:18:38,730 --> 00:18:42,620
+Hospital Acquired Pneumonia وفي Ventilator، بنتليتر
+
+248
+00:18:42,620 --> 00:18:46,180
+جهاز التنفس الصناعي Associated Pneumonia وفي 
+
+249
+00:18:46,180 --> 00:18:49,320
+Health Care Associated Pneumonia زي ما هنحكي بعد
+
+250
+00:18:49,320 --> 00:18:55,040
+شوية الـ
+
+251
+00:18:55,040 --> 00:18:59,680
+Potential Pathogens اللي إحنا بنعرفه يعني خلنا
+
+252
+00:18:59,680 --> 00:19:05,230
+نقول ممكن نتعرف على اثنين ثلاث من كل واحد وهي الـ
+
+253
+00:19:05,230 --> 00:19:06,850
+Atypical Pneumonia، الـ Atypical Pneumonia هي
+
+254
+00:19:06,850 --> 00:19:10,310
+النمونيا العادية المتوقعة زي الـ Streptococcus
+
+255
+00:19:10,310 --> 00:19:13,770
+Pneumonia والـ Haemophilus Influenza والـ
+
+256
+00:19:13,770 --> 00:19:15,790
+Klebsiella Pneumonia والـ Mycobacterium
+
+257
+00:19:15,790 --> 00:19:18,350
+Catarrhalis والـ Atypical زي الـ Chlamydia
+
+258
+00:19:18,350 --> 00:19:22,670
+Pneumonia و Legionella Pneumonia و Mycoplasma
+
+259
+00:19:22,670 --> 00:19:30,190
+Pneumonia هذه الصورة بتوضح لنا أن بعض الأنواع
+
+260
+00:19:32,690 --> 00:19:39,850
+والـ Classification للـ Pneumonia هنرجعلها
+
+261
+00:19:39,850 --> 00:19:47,710
+بنحكي الآن عن الـ Typical والـ Atypical، إيش بنقصد
+
+262
+00:19:47,710 --> 00:19:54,090
+فيهم؟ كالـ Pneumonia حسب
+
+263
+00:19:56,930 --> 00:20:01,990
+حسب اللي هو قلنا فيه Typical و Atypical حسب
+
+264
+00:20:01,990 --> 00:20:06,090
+Specific Structure لأصابة في الـ Lung، الـ Typical
+
+265
+00:20:06,090 --> 00:20:12,470
+عادة بتبقى Bacteria in Origin و Organisms Replicate
+
+266
+00:20:12,470 --> 00:20:17,090
+يعني عملية توالد أو تجدد الـ Organisms بتصير كلها
+
+267
+00:20:17,090 --> 00:20:21,210
+في الـ Alveoli، الـ Manifestation تبعها يبقى
+
+268
+00:20:21,210 --> 00:20:25,410
+Inflammation of and Fluid Accumulation are seen in
+
+269
+00:20:25,410 --> 00:20:29,680
+the Alveoli وبالتالي White Cell Infiltration and
+
+270
+00:20:29,680 --> 00:20:33,380
+Exudation Can Be Seen On Chest Radiograph لو عملنا
+
+271
+00:20:33,380 --> 00:20:39,700
+X-Ray بنلاقي إنه في عندنا Infiltration بنلاقي High
+
+272
+00:20:39,700 --> 00:20:43,940
+Fever، Chest Pain، Chills، Malaise، تعب، Malise
+
+273
+00:20:44,680 --> 00:20:55,180
+Virulent Virulent Virulent Virulent Virulent Virulent
+
+274
+00:20:55,180 --> 00:20:56,100
+Virulent Virulent Virulent Virulent Virulent Virulent
+
+275
+00:20:56,100 --> 00:20:57,340
+Virulent Virulent Virulent Virulent Virulent Virulent
+
+276
+00:20:57,340 --> 00:21:03,360
+Virulent Virulent Virulent Virulent Virulent Virulent
+
+277
+00:21:03,360 --> 00:21:03,380
+Virulent Virulent Virulent Virulent Virulent Virulent
+
+278
+00:21:03,380 --> 00:21:04,200
+Virulent Virulent Virulent Virulent Virulent Virulent
+
+279
+00:21:04,200 --> 00:21:07,380
+Virulent
+
+280
+00:21:07,380 --> 00:21:13,520
+Virulent، والعضلات تتعادل في المقاطع حول الـ Alveoli 
+
+281
+00:21:13,520 --> 00:21:18,240
+قبل قليل كانت في المقاطع حول الـ alveoli داخل الـ 
+
+282
+00:21:18,240 --> 00:21:22,520
+alveoli لكن هنا حوالين الـ alveoli بنلاقي إن الـ
+
+283
+00:21:22,520 --> 00:21:25,520
+atypical أو الـ viral هي mild
+
+284
+00:21:29,250 --> 00:21:32,570
+وبنلاقيش في الـ alveoli infiltration زي ما احنا 
+
+285
+00:21:32,570 --> 00:21:36,550
+بنشوفها و lack of fluid accumulation in the
+
+286
+00:21:36,550 --> 00:21:40,730
+alveoli not usually evident on radiographs ممكن
+
+287
+00:21:40,730 --> 00:21:44,650
+أعمل X-ray وما ألاقيهاش، ما أشوفهاش و may make the
+
+288
+00:21:44,650 --> 00:21:48,390
+patient susceptible to bacterial pneumonia نبقى
+
+289
+00:21:48,390 --> 00:21:51,270
+هنا احنا حكينا عن واحد من أنواع الـ classification
+
+290
+00:21:51,270 --> 00:21:56,500
+الـtypical و الـatypical pneumonia في عندنا كمان
+
+291
+00:21:56,500 --> 00:21:59,720
+حاجة احنا بنعرفها اللي هي الـ opportunistic
+
+292
+00:21:59,720 --> 00:22:05,080
+organisms يعني احنا كنا bacterial و viral لأننا
+
+293
+00:22:05,080 --> 00:22:08,920
+ندخل على opportunistic organisms وهي عبارة عن
+
+294
+00:22:08,920 --> 00:22:11,460
+number of organisms not commonly associated with
+
+295
+00:22:11,460 --> 00:22:15,460
+respiratory illness in otherwise healthy
+
+296
+00:22:15,460 --> 00:22:18,540
+individuals can cause severe Respiratory
+
+297
+00:22:18,540 --> 00:22:23,540
+Infection باختصار هدولة نوع من أنواع الـ Organism
+
+298
+00:22:23,540 --> 00:22:27,800
+زي الـ Histoplasma و الـ Pneumocystis carinii يعني
+
+299
+00:22:27,800 --> 00:22:30,760
+الـ Fungal Infection مع الـ Protozoa اللي هو
+
+300
+00:22:30,760 --> 00:22:34,280
+Pneumocystis carinii و الـ Mycobacteria في الوضع
+
+301
+00:22:34,280 --> 00:22:39,220
+الطبيعي في الـ Healthy Body بيعملوش حاجة ها بتجد
+
+302
+00:22:39,220 --> 00:22:44,640
+عنهم لما بدعف الجسم عشان هيك بنقول عنهم المستنفعين
+
+303
+00:22:44,640 --> 00:22:49,290
+opportunistic organisms مستنفعين، these organisms
+
+304
+00:22:49,290 --> 00:22:53,750
+include زي ما قلنا Mycobacteria أو fungus زي
+
+305
+00:22:53,750 --> 00:22:57,090
+الهيستو بلازما أو Protozoa زي الـ Pneumocystis carinii
+
+306
+00:22:57,090 --> 00:23:00,590
+treatment of these organisms require specific drug
+
+307
+00:23:00,590 --> 00:23:06,510
+therapy and in case of Protozoa بنحتاجه طبعاً
+
+308
+00:23:06,510 --> 00:23:10,470
+بتبقى صعبة علاجها لأن هي بتبقى توحشت نتيجة إن
+
+309
+00:23:10,470 --> 00:23:14,670
+الimmune نتيجة إن الـ immune system ضعيف عند ال
+
+310
+00:23:14,670 --> 00:23:18,560
+patient هذه ما بيقولها opportunistic organisms
+
+311
+00:23:18,560 --> 00:23:22,620
+حكينا
+
+312
+00:23:22,620 --> 00:23:24,960
+عن infection، هندخل على الـ Obstructive
+
+313
+00:23:24,960 --> 00:23:28,080
+Respiratory Disorders إيش يعني Obstructive؟ فيه
+
+314
+00:23:28,080 --> 00:23:31,900
+تضيق Respiratory Disorders الأمراض المرتبطة
+
+315
+00:23:31,900 --> 00:23:37,580
+بالتضيق طبعا
+
+316
+00:23:37,580 --> 00:23:44,110
+أهمها لـ Bronchial Asthma اللي بنقول عنها احنا اللي
+
+317
+00:23:44,110 --> 00:23:47,310
+هي حساسية الصدر في ناس بتقول عنها النهجة في ناس
+
+318
+00:23:47,310 --> 00:23:52,070
+بتقول عنها الأزمة في ناس بتقول عنها الربو أزمة is
+
+319
+00:23:52,070 --> 00:23:54,650
+a condition characterized by reversible
+
+320
+00:23:54,650 --> 00:23:58,310
+bronchospasm reversible يعني بيروحوا بي .. ممكن
+
+321
+00:23:58,310 --> 00:24:03,350
+يروحوا ييجي bronchospasm تضيق في البرونكيولز and
+
+322
+00:24:03,350 --> 00:24:07,290
+chronic inflammation of airway passages وكمان مش
+
+323
+00:24:07,290 --> 00:24:13,120
+بسبتدينا inflammation مش infection inflammation of
+
+324
+00:24:13,120 --> 00:24:16,980
+airway passages the incidence of asthma has been
+
+325
+00:24:16,980 --> 00:24:20,400
+steadily increasing in the recent years فعلا بتزيد
+
+326
+00:24:20,400 --> 00:24:27,320
+نتيجة ال environmental pollution although the
+
+327
+00:24:27,320 --> 00:24:31,800
+extent the exact etiology is still uncertain there
+
+328
+00:24:31,800 --> 00:24:36,440
+appears to be a definite genetic predisposition to
+
+329
+00:24:36,440 --> 00:24:38,020
+the development of asthma
+
+330
+00:24:41,660 --> 00:24:45,520
+لكن كمان في عندنا الـ Genetic Predisposition
+
+331
+00:24:49,030 --> 00:24:53,330
+ووراثياً جينياً إنها يصير عندها اكي كومبوننط of
+
+332
+00:24:53,330 --> 00:24:57,770
+أزمة appears to be airway hyper reactivity اللي هي
+
+333
+00:24:57,770 --> 00:25:02,530
+زيادة حساسية اللي هو ال .. ال .. ال .. ال airway
+
+334
+00:25:02,530 --> 00:25:06,890
+اللي هي المسالك التنفسية in affected individuals
+
+335
+00:25:06,890 --> 00:25:11,110
+exposure to certain triggers can include marked
+
+336
+00:25:11,110 --> 00:25:15,670
+bronchospasm and airway inflammation
+
+337
+00:25:15,670 --> 00:25:15,870
+مستخدم 
+
+338
+00:25:15,870 --> 00:25:18,210
+مستخدم
+
+339
+00:25:18,210 --> 00:25:18,470
+مستخدم 
+
+340
+00:25:18,470 --> 00:25:21,930
+مستخدم 
+
+341
+00:25:21,930 --> 00:25:27,570
+مستخدم 
+
+342
+00:25:27,570 --> 00:25:30,310
+مستخدم 
+
+343
+00:25:38,690 --> 00:25:41,310
+فبصير عندنا صورة اللي هي الـ bronchial asthma
+
+344
+00:25:41,310 --> 00:25:45,110
+Individuals with asthma appear to produce large
+
+345
+00:25:45,110 --> 00:25:51,970
+amounts of antibody IgE that attach to the mast
+
+346
+00:25:51,970 --> 00:25:57,790
+cells present in many tissues  عند ال exposure to
+
+347
+00:25:57,790 --> 00:26:02,210
+a trigger such as pollen اللي هي الحاجات اللي
+
+348
+00:26:02,210 --> 00:26:05,880
+بتطلع من الشجر والرزولت في الـ Allergy-Binding
+
+349
+00:26:05,880 --> 00:26:10,740
+Muscles-Pound IgE اللي يسبب في إطلاق إطلاق مكونات 
+
+350
+00:26:10,740 --> 00:26:14,200
+التهاب مثل الهستامين والليكوترين
+
+351
+00:26:14,200 --> 00:26:19,100
+والأيزوفينيكيكيموتاكتك فاكتور الاتجاه للطبيعي مع
+
+352
+00:26:19,100 --> 00:26:23,620
+الأزمة لتلك التغييرات ممكن أقول عنه في منه early
+
+353
+00:26:23,620 --> 00:26:28,570
+phase و في late phase من الـ triggers اللي لازم
+
+354
+00:26:28,570 --> 00:26:36,110
+طبعا ابحثوا عن بعضهم ممكن تبحثوا تجروا الألراجين
+
+355
+00:26:36,110 --> 00:26:40,810
+زي الـ pollen، الpit، الdander، الفنجاي، ال dust
+
+356
+00:26:40,810 --> 00:26:46,250
+bites، cold air، pollutants، cigarette smoking،
+
+357
+00:26:46,250 --> 00:26:49,490
+strong emotion، exercise، respiratory tract
+
+358
+00:26:49,490 --> 00:26:53,520
+infection، كل هاي برنكا الأزمة أو potential trigger
+
+359
+00:26:53,520 --> 00:26:56,220
+طبعاً لا يعني أنه ما فيش اللي هي ممكن كل واحد إله
+
+360
+00:26:56,220 --> 00:27:00,660
+ال triggers تبعته اللي ممكن تعمله الموضوع هذا why
+
+361
+00:27:00,660 --> 00:27:04,680
+asthma makes it hard to breathe طبعاً زي ما احنا
+
+362
+00:27:04,680 --> 00:27:11,640
+شايفين هي ال two bronchial tube الجهة اللي فيها
+
+363
+00:27:11,640 --> 00:27:17,920
+صار عندنا affection نتيجة ألرجي معين عملتنا
+
+364
+00:27:17,920 --> 00:27:22,800
+inflamed bronchial tube والـ Obstruction مع
+
+365
+00:27:22,800 --> 00:27:25,400
+Inflammation في الجهة التانية Normal Bronchial
+
+366
+00:27:25,400 --> 00:27:31,200
+Tube واسع وبقدر واحد يتنفس زي الناس فيه طبعا عندنا
+
+367
+00:27:31,200 --> 00:27:37,500
+حكينا عن الـ Early Phase و الـ Late Phase خلّيني
+
+368
+00:27:37,500 --> 00:27:39,360
+أحكيه ما وجهته وبعدين نرجع لـ Clinical
+
+369
+00:27:39,360 --> 00:27:44,060
+Classification Early Phase of Asthma characterized
+
+370
+00:27:44,060 --> 00:27:46,820
+by mild
+
+371
+00:27:49,530 --> 00:27:53,950
+أو marked constriction of bronchial airways بيصير
+
+372
+00:27:53,950 --> 00:28:00,090
+إديمة in the airway وفي عندنا production of excess
+
+373
+00:28:00,090 --> 00:28:03,630
+mucus يبقى marked constriction of bronchial
+
+374
+00:28:03,630 --> 00:28:06,530
+airways bronchospasm إديمة in the airway
+
+375
+00:28:06,530 --> 00:28:11,890
+وproduction of excess mucus
+
+376
+00:28:13,910 --> 00:28:17,950
+وطبعاً الـ Bronchospasm جاء نتيجة أول حاجة Direct
+
+377
+00:28:17,950 --> 00:28:23,050
+نتيجة الـ inflammation لكن كمان نتيجة اللي هو الـ
+
+378
+00:28:23,050 --> 00:28:28,210
+الـ الـ الـ الـ mucous building الـ Late phase
+
+379
+00:28:28,210 --> 00:28:32,990
+طبعا
+
+380
+00:28:32,990 --> 00:28:35,230
+الـ Mediators الأساسية كانت في الـ Early phase
+
+381
+00:28:35,230 --> 00:28:40,470
+اللي هي Histamine, Prostaglandin and Leukotriene في
+
+382
+00:28:40,470 --> 00:28:45,620
+الـ Early في ال Late phase هذا بيجي طبعا بعد بضع
+
+383
+00:28:45,620 --> 00:28:49,240
+ساعات after the initial onset of symptoms and
+
+384
+00:28:49,240 --> 00:28:53,440
+manifests mainly as inflammatory response خدوا
+
+385
+00:28:53,440 --> 00:28:57,380
+بالكم الأولاني كان Bronchospasm ما inflammation،
+
+386
+00:28:57,380 --> 00:29:01,680
+الآن بس inflammatory response وهذا الفكرة بتفيدنا
+
+387
+00:29:01,680 --> 00:29:06,080
+في قضية العلاج بصورة عامة The primary mediators of
+
+388
+00:29:06,080 --> 00:29:10,440
+inflammation during the asthmatic response are the
+
+389
+00:29:10,440 --> 00:29:15,140
+white blood cells اللي هي الـEosinophils يبقى في الـ
+
+390
+00:29:15,140 --> 00:29:19,260
+Late Phase of Asthma الـ eosinophils لعبت دور كبير
+
+391
+00:29:19,260 --> 00:29:23,400
+في الموضوع وsubsequent infiltration of the airway
+
+392
+00:29:23,400 --> 00:29:27,260
+tissue with white blood cells such as neutrophils
+
+393
+00:29:27,260 --> 00:29:29,800
+و الـ lymphocytes also contribute to the overall
+
+394
+00:29:29,800 --> 00:29:34,020
+inflammatory response of the Late Phase of Asthma
+
+395
+00:29:34,020 --> 00:29:37,220
+يبقى بدنا نفرج بين إيش بيصير في الـ Early Phase
+
+396
+00:29:37,220 --> 00:29:46,150
+وإيش بيصير في ال Late Phase في عنا طبعاً symptoms،
+
+397
+00:29:46,150 --> 00:29:49,110
+manifestation الـ symptoms اللي بتصير عنا في الـ
+
+398
+00:29:49,110 --> 00:29:52,630
+bronchial asthma اللي هي coughing، wheezing، إيش
+
+399
+00:29:52,630 --> 00:29:55,670
+يعني wheezing؟ بيصير يسفر الصدر، يزمر، difficulty
+
+400
+00:29:55,670 --> 00:29:59,810
+breathing, rapid and shallow breathing, increased
+
+401
+00:29:59,810 --> 00:30:02,470
+respiratory rate, excess mucus production and
+
+402
+00:30:02,470 --> 00:30:05,430
+significant anxiety، ما فيش حرارة، خدوا بالكم، هاد
+
+403
+00:30:05,430 --> 00:30:11,510
+هو ال manifestation of bronchial asthma في عنا طبعا
+
+404
+00:30:11,510 --> 00:30:17,090
+حاجة اسمها staging of
+
+405
+00:30:17,090 --> 00:30:23,100
+acute asthma attack أو حد على المستشفى مجرد ما
+
+406
+00:30:23,100 --> 00:30:26,200
+شوفته أنا عرفت أن الـ bronchial asthma بدأ أقيمه هو
+
+407
+00:30:26,200 --> 00:30:30,200
+stage one ولا two ولا three ولا four طب إيش one؟
+
+408
+00:30:30,200 --> 00:30:35,300
+one mild، two moderate، three severe، and four
+
+409
+00:30:35,300 --> 00:30:38,420
+respiratory failure يعني بده عناية مركزة عمليًا هو
+
+410
+00:30:38,420 --> 00:30:41,900
+والثلاثة ممكن يحتاجوا عناية مركزة stage ثلاثة وال
+
+411
+00:30:41,900 --> 00:30:45,650
+respiratory failure stage أربعة طب إيش بيصير في الـ
+
+412
+00:30:45,650 --> 00:30:49,310
+Mild بيصير ضيق نفس خفيف diffuse wheezing يعني في
+
+413
+00:30:49,310 --> 00:30:56,390
+صفير عنده ولكن نفسه كويس لو حطيته على جهاز ال
+
+414
+00:30:56,390 --> 00:31:00,310
+monitor بلاقي الـ oxygen كويس stage two moderate
+
+415
+00:31:01,460 --> 00:31:05,280
+متوسط يعني Respiratory distress وهو جالس لأ نفسه
+
+416
+00:31:05,280 --> 00:31:12,980
+تعبان وصورة واضحة صورة الصوت الصفير في جسمه في
+
+417
+00:31:12,980 --> 00:31:17,100
+صدره واضح Stage 3 Severe Marked Respiratory
+
+418
+00:31:17,100 --> 00:31:21,130
+distress بدأ يصير أزرق الآن يعني مش بس صار عنده
+
+419
+00:31:21,130 --> 00:31:27,150
+ضيق في النفس أزرق وحتى بدون يعني بشوف إنه فيه
+
+420
+00:31:27,150 --> 00:31:31,910
+صفير واضح أو إنه كتم صدره من الكترب وهم سكر صدره، 
+
+421
+00:31:31,910 --> 00:31:35,690
+سكر صدره بالظبط، absence of breath sounds يعني أنا 
+
+422
+00:31:35,690 --> 00:31:39,110
+ماحط السماعة بسمعش ولا حاجة، ليش؟ لأنه اتسكرت
+
+423
+00:31:39,110 --> 00:31:42,070
+الطرق obstructed لإن احنا برنكيل الأزمة قلنا إيش
+
+424
+00:31:42,070 --> 00:31:44,370
+اللي بيصير؟ بيصير يعني obstruction of bronchioles
+
+425
+00:31:44,370 --> 00:31:48,210
+فهو سكر الـ Stage IV  الـ Respiratory Failure هو
+
+426
+00:31:48,210 --> 00:31:51,450
+عبارة عن Severe Respiratory Stress، Lethargy، بدأ
+
+427
+00:31:51,450 --> 00:31:54,650
+يتأثر، Confusion، بطل يصل الدم للدماغ، فصار يصير
+
+428
+00:31:54,650 --> 00:31:58,270
+عنده Confusion، Prominent Pulses Paradoxical، هذه
+
+429
+00:31:58,270 --> 00:32:02,750
+اللي هي لما يجيني واحد كده أقيمه في الـ Acute
+
+430
+00:32:02,750 --> 00:32:07,070
+Attack، ساعة ما بيجيني الـ Severe، الـ Severity،
+
+431
+00:32:07,070 --> 00:32:09,550
+Staging of the Severity، خدوا بالكم من العنوان،
+
+432
+00:32:09,550 --> 00:32:13,050
+Staging of the Severity of the Acute Asthma
+
+433
+00:32:13,050 --> 00:32:17,940
+Attack، لكن في عنا حاجة تانية احنا كنا فطناها قبل
+
+434
+00:32:17,940 --> 00:32:21,640
+شوية اللي هي Classification من الأزمة هذا بصورة
+
+435
+00:32:21,640 --> 00:32:25,980
+عامة مش الـ Acute أي واحد عنده أزمة وبيجيني هو
+
+436
+00:32:25,980 --> 00:32:30,660
+هيكون واحد من أربع Clinical Classification
+
+437
+00:32:30,660 --> 00:32:35,360
+Classification الـMild Intermittent وMild 
+
+438
+00:32:35,360 --> 00:32:38,540
+Persistent، Moderate Persistent وSevere Persistent
+
+439
+00:32:40,550 --> 00:32:44,610
+الـ Mild Intermittent أنه بتجيله نوبات مرتين في
+
+440
+00:32:44,610 --> 00:32:49,990
+الأسبوع أو أقل النوبة اللي حكينا عنها قبل شوية الـ
+
+441
+00:32:49,990 --> 00:32:53,050
+Mild Persistent attacks occur more than two times
+
+442
+00:32:53,050 --> 00:32:57,330
+per week هذا Mild Persistent أكتر من تنتين الـ
+
+443
+00:32:57,330 --> 00:33:02,350
+Moderate Persistent هو attacks occur daily or
+
+444
+00:33:02,350 --> 00:33:08,110
+almost daily يوميا أو تقريبا يوميا and are severe
+
+445
+00:33:08,110 --> 00:33:13,210
+enough to affect activity مجعدا، رميا، تعبا، يوميا
+
+446
+00:33:13,210 --> 00:33:17,110
+و الـ Severe Persistent attacks are very frequent
+
+447
+00:33:17,110 --> 00:33:20,750
+and persistent for a long period of time attacks
+
+448
+00:33:20,750 --> 00:33:24,570
+severely limit activity يبقى هذه اسمها clinical
+
+449
+00:33:24,570 --> 00:33:28,770
+classification of asthma كم نوبة بتيجي عنده خلال
+
+450
+00:33:28,770 --> 00:33:34,690
+الأسبوع أو بصورة عامة اللي حكيناه قبلها اللي هو الـ
+
+451
+00:33:34,690 --> 00:33:38,350
+Staging هذه للـ Acute Attack كيف بقى أقيم كل Acute
+
+452
+00:33:38,350 --> 00:33:41,450
+Attack؟
+
+453
+00:33:41,450 --> 00:33:46,210
+نكمل
+
+454
+00:33:46,210 --> 00:33:48,430
+بس لأنه ضايق سلايدين بس في الـ Bronchial Asthma
+
+455
+00:33:48,430 --> 00:33:53,690
+possible complications of asthma can include طبعاً
+
+456
+00:33:53,690 --> 00:33:56,790
+status asthmaticus اللي بيقول severe acute أزمة
+
+457
+00:33:56,790 --> 00:33:59,910
+وهذا is a life-threatening condition زي status
+
+458
+00:33:59,910 --> 00:34:06,190
+epilepticus النوبة الصرع الكبرى هذه نوبة الأزمة
+
+459
+00:34:06,190 --> 00:34:11,000
+الكبرى واللي بيحتاج prolonged البرونكوسبازم هو
+
+460
+00:34:11,000 --> 00:34:14,920
+البرونكوسبازم اللي عادةً لا يتراجع للدواء العلاجي
+
+461
+00:34:14,920 --> 00:34:18,500
+كمان بتدي دواء مفيدش كتير، في الآخر بده ايش؟ بده
+
+462
+00:34:18,500 --> 00:34:22,440
+تنفس صناعي، ايش كمان ممكن يحصل؟ بنوعي Motorax،
+
+463
+00:34:22,440 --> 00:34:25,700
+هنحكي عن بنوعي Motorax هي عبارة عن possible
+
+464
+00:34:25,700 --> 00:34:32,800
+consequence of lung pressure increases يمكن أن
+
+465
+00:34:32,800 --> 00:34:36,300
+ينتهي من الصعوبة التنفسية المرتبطة في الانتفاخ
+
+466
+00:34:36,300 --> 00:34:41,380
+خلال تكرار أزمة مستمرة، فإن فشل الهيبوكسميا
+
+467
+00:34:41,380 --> 00:34:49,100
+والأيسودوزية قد يحدث تعقيد
+
+468
+00:34:49,100 --> 00:34:54,170
+الأزمة حقيقة يعني احنا زي ما قلنا برضه مش لازمنا
+
+469
+00:34:54,170 --> 00:34:59,510
+كتير الأدوية لكن لابد انه نتعرف على الحاجات
+
+470
+00:34:59,510 --> 00:35:04,330
+الأساسية تبع الـ treatment of asthma وهذا بنتركه لل
+
+471
+00:35:04,330 --> 00:35:07,570
+slide اللي جاي عشان مايصيرش كتير عليكم، يعطيكوا
+
+472
+00:35:07,570 --> 00:35:11,170
+العافية وإيقاع القطاع، إن شاء الله هنكمل الـ
+
+473
+00:35:11,170 --> 00:35:17,790
+obstructive respiratory tract disorders 
diff --git a/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/xJGkNKjINVE_raw.json b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/xJGkNKjINVE_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..d7525b3d880756ab44c402c5e9fa8f8453033cd0
--- /dev/null
+++ b/PL9fwy3NUQKwaf4aPlmtIQXiASpDxVLEnO/xJGkNKjINVE_raw.json
@@ -0,0 +1 @@
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"text": "بنقوله juvenile onset or insulin dependent diabetes جوفينايل لأنه لاحظوا أنه الغالبية خدوا باركم كلمة الغالبية بتصير عند الأطفال مفهوم باركم تقول الغالبية لكن مش مية في المية عند الأطفال ممكن type one يجي عند ناس غير الأطفال عشان هيك قالوا زمان juvenile", "tokens": [3555, 1863, 39648, 3224, 38486, 34948, 420, 21587, 12334, 13881, 10874, 38688, 9957, 995, 26895, 5296, 33456, 3224, 20193, 5016, 19913, 14407, 14739, 3224, 6024, 118, 6027, 3555, 10632, 16490, 3215, 14407, 4724, 9640, 24793, 9122, 19528, 3660, 6024, 118, 6027, 3555, 10632, 39894, 9381, 13546, 43242, 16247, 9566, 5172, 6027, 3714, 5172, 3224, 20498, 4724, 9640, 24793, 6055, 39648, 6024, 118, 6027, 3555, 10632, 44381, 37893, 3714, 10632, 8978, 9673, 10632, 43242, 16247, 9566, 5172, 6027, 3714, 43020, 2010, 472, 7251, 7435, 1829, 43242, 8717, 32277, 32771, 13546, 16247, 9566, 5172, 6027, 6225, 8592, 7649, 39896, 4117, 50239, 14407, 30767, 2304, 7649, 38486], "avg_logprob": -0.23898809183211553, "compression_ratio": 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diff --git a/PL9fwy3NUQKwbRqiyGIGaMMN6wI9A06Vao/-pe4pHHzmbI_raw.json b/PL9fwy3NUQKwbRqiyGIGaMMN6wI9A06Vao/-pe4pHHzmbI_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..a8b8641502112e41df2ca96bc2e5ef78c9e18a27
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@@ -0,0 +1 @@
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{"id": 21, "seek": 55142, "start": 522.93, "end": 551.43, "text": "given 6x19 monitor steel معطيل ال SCU الو 2.40 أولشان ل 6 فى 19 يعني حابب مكانه من 6 جدائل كل جدائل فيه 19 أرسلك ال SCU لل wires يستوى 2.40 كيلو pound لكل إنش مربع", "tokens": [70, 5709, 1386, 87, 3405, 6002, 8269, 20449, 9566, 26895, 2423, 9028, 52, 2423, 2407, 568, 13, 5254, 5551, 12610, 8592, 7649, 5296, 1386, 6156, 7578, 1294, 37495, 22653, 11331, 16758, 3555, 3714, 41361, 3224, 9154, 1386, 10874, 3215, 16373, 1211, 28242, 10874, 3215, 16373, 1211, 8978, 3224, 1294, 5551, 2288, 3794, 23275, 2423, 9028, 52, 24976, 15537, 7251, 14851, 2407, 7578, 568, 13, 5254, 9122, 26895, 2407, 12013, 5296, 28820, 36145, 8592, 3714, 25513, 3615], "avg_logprob": -0.37682628786409056, "compression_ratio": 1.2972972972972974, "no_speech_prob": 0.0, "words": [{"start": 522.93, "end": 523.89, "word": "given", "probability": 0.69677734375}, {"start": 523.89, "end": 524.85, "word": " 6x19", "probability": 0.6907552083333334}, {"start": 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"developed expressions for rope tension FT, fatigue tension FF و FF و equivalent bending load FB", "tokens": [35464, 292, 15277, 337, 13540, 8980, 46675, 11, 20574, 8980, 479, 37, 4032, 479, 37, 4032, 10344, 22487, 3677, 479, 33], "avg_logprob": -0.38458808037367737, "compression_ratio": 1.1149425287356323, "no_speech_prob": 0.0, "words": [{"start": 557.28, "end": 557.96, "word": "developed", "probability": 0.4124755859375}, {"start": 557.96, "end": 558.58, "word": " expressions", "probability": 0.947265625}, {"start": 558.58, "end": 559.44, "word": " for", "probability": 0.9697265625}, {"start": 559.44, "end": 559.76, "word": " rope", "probability": 0.79443359375}, {"start": 559.76, "end": 560.32, "word": " tension", "probability": 0.84423828125}, {"start": 560.32, "end": 560.84, "word": " FT,", "probability": 0.44140625}, {"start": 561.72, "end": 563.26, "word": " fatigue", "probability": 0.84130859375}, {"start": 563.26, "end": 564.0, "word": " tension", "probability": 0.80078125}, 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14", "probability": 0.1268310546875}, {"start": 2539.36, "end": 2542.2, "word": " و", "probability": 0.8876953125}, {"start": 2542.2, "end": 2543.46, "word": " اواخر", "probability": 0.810546875}, {"start": 2543.46, "end": 2544.98, "word": " chapter", "probability": 0.92333984375}, {"start": 2544.98, "end": 2545.46, "word": " 7", "probability": 0.96044921875}, {"start": 2545.46, "end": 2545.74, "word": " على", "probability": 0.1610107421875}, {"start": 2545.74, "end": 2546.4, "word": " الفتس", "probability": 0.7801106770833334}, {"start": 2546.4, "end": 2548.9, "word": " و", "probability": 0.97900390625}, {"start": 2548.9, "end": 2549.28, "word": " chapter", "probability": 0.91455078125}, {"start": 2549.28, "end": 2549.76, "word": " 20", "probability": 0.9111328125}], "temperature": 1.0}, {"id": 89, "seek": 256560, "start": 2551.62, "end": 2565.6, "text": "يعني section واحد اربعتاش و اواخر chapter سبع اللي هو ال clearance و ال fits لل .. لل shaft و ال whole system و chapter عشرين بالكامل، تفضل عفوا", "tokens": [40228, 22653, 3541, 36764, 24401, 1975, 25513, 34268, 33599, 4032, 1975, 2407, 47283, 2288, 7187, 8608, 3555, 3615, 13672, 1829, 31439, 2423, 27218, 4032, 2423, 9001, 24976, 4386, 24976, 18467, 4032, 2423, 1379, 1185, 4032, 7187, 6225, 46309, 9957, 20666, 4117, 10943, 1211, 12399, 6055, 5172, 11242, 1211, 6225, 5172, 14407], "avg_logprob": -0.260667065015206, "compression_ratio": 1.3594771241830066, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 2551.62, "end": 2551.98, "word": "يعني", "probability": 0.960693359375}, {"start": 2551.98, "end": 2552.4, "word": " section", "probability": 0.39794921875}, {"start": 2552.4, "end": 2552.74, "word": " واحد", "probability": 0.76953125}, {"start": 2552.74, "end": 2553.4, "word": " اربعتاش", "probability": 0.72100830078125}, {"start": 2553.4, "end": 2555.3, "word": " و", "probability": 0.8505859375}, {"start": 2555.3, "end": 2555.86, "word": " اواخر", "probability": 0.76416015625}, {"start": 2555.86, "end": 2556.2, "word": " chapter", "probability": 0.830078125}, {"start": 2556.2, "end": 2556.84, "word": " سبع", "probability": 0.8146158854166666}, {"start": 2556.84, "end": 2556.96, "word": " اللي", "probability": 0.92236328125}, {"start": 2556.96, "end": 2557.12, "word": " هو", "probability": 0.9853515625}, {"start": 2557.12, "end": 2557.46, "word": " ال", "probability": 0.9794921875}, {"start": 2557.46, "end": 2557.82, "word": " clearance", "probability": 0.9560546875}, {"start": 2557.82, "end": 2558.12, "word": " و", "probability": 0.783203125}, {"start": 2558.12, "end": 2558.2, "word": " ال", "probability": 0.91845703125}, {"start": 2558.2, "end": 2558.58, "word": " fits", "probability": 0.7646484375}, {"start": 2558.58, "end": 2559.04, "word": " لل", "probability": 0.6484375}, {"start": 2559.04, "end": 2559.06, "word": " ..", "probability": 0.78955078125}, {"start": 2559.06, "end": 2559.74, "word": " لل", "probability": 0.89208984375}, {"start": 2559.74, "end": 2560.42, "word": " shaft", "probability": 0.59326171875}, {"start": 2560.42, "end": 2560.92, "word": " و", "probability": 0.8642578125}, {"start": 2560.92, "end": 2561.0, "word": " ال", "probability": 0.94970703125}, {"start": 2561.0, "end": 2561.18, "word": " whole", "probability": 0.92822265625}, {"start": 2561.18, "end": 2561.66, "word": " system", "probability": 0.98291015625}, {"start": 2561.66, "end": 2563.1, "word": " و", "probability": 0.97265625}, {"start": 2563.1, "end": 2563.44, "word": " chapter", "probability": 0.90234375}, {"start": 2563.44, "end": 2563.9, "word": " عشرين", "probability": 0.89111328125}, {"start": 2563.9, "end": 2564.94, "word": " بالكامل،", "probability": 0.8560546875}, {"start": 2564.94, "end": 2565.3, "word": " تفضل", "probability": 0.61199951171875}, {"start": 2565.3, "end": 2565.6, "word": " عفوا", "probability": 0.6322428385416666}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2566.0371875, "duration_after_vad": 2264.711249999995}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwbRqiyGIGaMMN6wI9A06Vao/0ecK-O_MPOE_raw.srt b/PL9fwy3NUQKwbRqiyGIGaMMN6wI9A06Vao/0ecK-O_MPOE_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..4b7cc7747eb7024fad657aee2ff1fd570d1b0f5b
--- /dev/null
+++ b/PL9fwy3NUQKwbRqiyGIGaMMN6wI9A06Vao/0ecK-O_MPOE_raw.srt
@@ -0,0 +1,1452 @@
+1
+00:00:05,470 --> 00:00:08,310
+بسم الله الرحمن الرحيم السلام عليكم و رحمة الله و
+
+2
+00:00:08,310 --> 00:00:11,970
+بركاته، اليوم هنكمل في مادة تصميم الألات اتنين،
+
+3
+00:00:11,970 --> 00:00:15,650
+المحاضرات السابقة غطينا ال .. ال design of
+
+4
+00:00:15,650 --> 00:00:19,450
+flexible mechanical elements غطينا لحد اللحظة اللي
+
+5
+00:00:19,450 --> 00:00:25,300
+هو ال .. ال .. ال builds بأنواعهاو ال bills and
+
+6
+00:00:25,300 --> 00:00:31,380
+police و ال chain و ال sprockets بكل حساباتها و
+
+7
+00:00:31,380 --> 00:00:35,720
+حالينا examples اليوم هنكمل في ال wire rope اللي
+
+8
+00:00:35,720 --> 00:00:41,520
+هي الإحبال الإحبال المعدنية طبعا يعني بنبدأ نحكي
+
+9
+00:00:41,520 --> 00:00:45,560
+في هذه الإحبال بنشوف التسميات للحبل أو مكونات
+
+10
+00:00:45,560 --> 00:00:52,450
+الحبلالحيل طبعا مكون من جدائل هد جديلة أو strand
+
+11
+00:00:52,450 --> 00:00:57,450
+تسمى هد جديلة أو strand كل جديلة مكون من عدد من
+
+12
+00:00:57,450 --> 00:01:02,010
+الأسلاك، يعني هد جديلة فيها عدد أسلاكو ال robe
+
+13
+00:01:02,010 --> 00:01:05,550
+مكوّن من مجموعة من الجدائل، يعني عندي مثلا .. عندي
+
+14
+00:01:05,550 --> 00:01:08,730
+واحد، اتنين، تلاتة، اربع، خمس، ستة وفيه core، وفيه
+
+15
+00:01:08,730 --> 00:01:12,930
+ايش؟ core في النص، يعني فيه جدائل محيطية وفيه core
+
+16
+00:01:12,930 --> 00:01:19,130
+في النص، ال core ممكن تكون جديلة بأشكال مختلفة أو
+
+17
+00:01:19,130 --> 00:01:22,050
+ممكن تكون سلك اخميل مصمط
+
+18
+00:01:27,280 --> 00:01:30,940
+ال wire rope is made with two types of winding
+
+19
+00:01:30,940 --> 00:01:35,840
+اللف نوعيا في regular lay و في long way خلّيني
+
+20
+00:01:35,840 --> 00:01:39,440
+نطلع الشكل هذا طبعا ال regular سواء كان regular
+
+21
+00:01:39,440 --> 00:01:43,580
+ولا long في right hand و في left hand نطلع ال
+
+22
+00:01:43,580 --> 00:01:48,240
+right hand الآن ال right hand عند هذه الأسلاك
+
+23
+00:01:48,240 --> 00:01:54,980
+أسلاك يعني هو بيكون يعمل one less silk و يلف
+
+24
+00:01:54,980 --> 00:01:59,440
+باتجاه معاكسالان لاحظوا السلك الخارجي .. السلك
+
+25
+00:01:59,440 --> 00:02:04,360
+الخارجي تقريبا .. السلك الخارجي هذا موازي لمحور ..
+
+26
+00:02:04,360 --> 00:02:11,420
+موازي لمحور الحبل هذا اللي هو regular ال lang لأ
+
+27
+00:02:11,420 --> 00:02:18,120
+مش موازي في crossفي cross طبعا هذا right لتحت يعني
+
+28
+00:02:18,120 --> 00:02:23,920
+right عجك اليمين هذا lift عكسه وهذا lift عكسه
+
+29
+00:02:23,920 --> 00:02:27,580
+لاحظوا في الحالة ال lang بيكون اتجاه أسلاك
+
+30
+00:02:27,580 --> 00:02:32,820
+الخارجية عامل يعني مايل مع محور الحبلة
+
+31
+00:02:35,350 --> 00:02:41,550
+هذا مقطع لل .. لل .. مقطع مستعرض طبعا دي هنا يبين
+
+32
+00:02:41,550 --> 00:02:45,730
+6 جدائل 1,2,3,4,5,6 و هذي ايش ال core يعني اللي
+
+33
+00:02:45,730 --> 00:02:50,490
+بيبين في الحالة هذي بيبين خيوط .. خيوط اللي هي ال
+
+34
+00:02:50,490 --> 00:02:56,470
+core طبعا
+
+35
+00:02:56,470 --> 00:03:04,750
+هحكي على الميزة الرئيسيةال regular lay wire rope
+
+36
+00:03:04,750 --> 00:03:11,470
+هو ال accepted standard and do not kink or
+
+37
+00:03:11,470 --> 00:03:15,370
+untwist، كينك يعني شايفين كيف بيصير الترخية هذه،
+
+38
+00:03:15,370 --> 00:03:20,470
+هذه ال kink، هذا regular بصير واش بصيش حالة هذه في
+
+39
+00:03:20,470 --> 00:03:24,630
+ال .. في ال .. في ال regular lay، لكن بتصير في
+
+40
+00:03:24,630 --> 00:03:30,960
+الحالة اللي هي ال long .. ال long layممكن يصير ال
+
+41
+00:03:30,960 --> 00:03:35,500
+defect هاد في الحبل اللي هي ال kinking بفرط على
+
+42
+00:03:35,500 --> 00:03:51,640
+البعض ال
+
+43
+00:03:51,640 --> 00:03:57,300
+stun drops are made with a hem core يعنيعندي تطلع
+
+44
+00:03:57,300 --> 00:04:03,640
+هنا عندي هاي جديدة تنتين تلاتة أربعة خمسة ستة واضح
+
+45
+00:04:03,640 --> 00:04:06,880
+اللي
+
+46
+00:04:06,880 --> 00:04:13,080
+أنا شايفه هذا regular ليه؟ regular ليه؟ الآن في في
+
+47
+00:04:13,080 --> 00:04:16,560
+النص عبارة عن خيوط في ال .. ال hemp core يعني
+
+48
+00:04:16,560 --> 00:04:19,740
+بيكون كذا سلك يعني بيكون مجموعة أسلاك مع بعض هذه
+
+49
+00:04:19,740 --> 00:04:23,420
+ال hemp core في اللي هي ممكن تكون solid core يعني
+
+50
+00:04:23,420 --> 00:04:32,110
+يكونحبل مصمت داخلي أحباء المصمت باستخدام في حالة
+
+51
+00:04:32,110 --> 00:04:35,110
+when rope is subjected to heat متعرض لحرارة
+
+52
+00:04:35,110 --> 00:04:47,890
+باستخدم اللي هو ال core بيكون مصمت الان
+
+53
+00:04:47,890 --> 00:04:51,850
+ال wire rope designation تسميات باين عندى هنا من
+
+54
+00:04:51,850 --> 00:04:59,800
+خلال ال exampleعندي واحد مكتوب واحد اتمن انش ستة
+
+55
+00:04:59,800 --> 00:05:02,720
+في سبعة هولجروب ال first figure الرقم الأولاني
+
+56
+00:05:02,720 --> 00:05:09,100
+اللي هو واحد اتمن بيمثل قطر كل الحبل الستة عدد
+
+57
+00:05:09,100 --> 00:05:16,520
+الجدائل السبعة عدد الجدائل سبعة عدد الأسلاك في
+
+58
+00:05:16,520 --> 00:05:21,200
+الجديل الواحدة يعني عندي ست جدائل ست جدائل في كل
+
+59
+00:05:21,200 --> 00:05:23,820
+جديلة في سبعة أسلاك أسلاك رفيعة
+
+60
+00:05:27,900 --> 00:05:33,680
+table 7 24 طلع ال table 7 24 معطيني اله wire rope
+
+61
+00:05:33,680 --> 00:05:39,640
+data الان معطيني كذا designation عندى 6 في 7 6 في
+
+62
+00:05:39,640 --> 00:05:47,260
+19 6 في 37 8 في 19 7 في 7 7 في 9 19 6 في 7 يعني 6
+
+63
+00:05:47,260 --> 00:05:54,980
+جدائل و الجديلة فيه 7 أسلاك 6 في 19ست جدائل كل
+
+64
+00:05:54,980 --> 00:05:58,420
+جديلة فيها تسعتاشر سلك يعني ستة في سبعة و تلاتين
+
+65
+00:05:58,420 --> 00:06:04,160
+ست جدائل كل جديلة فيها سبعة و تلاتين سلك تمانى
+
+66
+00:06:04,160 --> 00:06:06,980
+تسعتاشر تمانى جدائل تسعتاشر سلك في الجديلة الآن في
+
+67
+00:06:06,980 --> 00:06:11,120
+العمود التانى ال weight per foot اللي عندنا بس
+
+68
+00:06:11,120 --> 00:06:15,520
+واحد point تسعة D square ال D اللي هي قطر الحبل
+
+69
+00:06:15,520 --> 00:06:20,650
+قطر الحبلالـ minimum sheath diameter يعني في
+
+70
+00:06:20,650 --> 00:06:24,810
+sheath diameter مش لازم يكون اللي هو قطر البكرة مش
+
+71
+00:06:24,810 --> 00:06:27,110
+لازم ينزل عن حد معين اللي هو إلا بيصير too much
+
+72
+00:06:27,110 --> 00:06:30,430
+bending بيصير too much bending ممكن يصير يفرط يفك
+
+73
+00:06:30,430 --> 00:06:34,410
+يفرط معايا الحبل بيكون ال minimum sheath diameter
+
+74
+00:06:34,410 --> 00:06:38,770
+بيساوي اتنين واربعين دي عادة انا في جدول بعدين
+
+75
+00:06:38,770 --> 00:06:43,910
+هتشوفوه عملت حسبة تقريبا عشان يكون safe بضب ال
+
+76
+00:06:43,910 --> 00:06:49,610
+minimum تقريبا one point sixيعني ال minimum ..
+
+77
+00:06:49,610 --> 00:06:52,830
+يعني في ال minimum اللي هو انت .. يعني لو زنجت
+
+78
+00:06:52,830 --> 00:06:56,150
+الدنيا معاك هذا ماكنت تستخدمه الوضع الطبيعي تستخدم
+
+79
+00:06:56,150 --> 00:06:58,070
+.. لو حكيت اتنين واربين، اتنين واربين تروحها في
+
+80
+00:06:58,070 --> 00:06:59,790
+one point ستة، تقولي والله اتنين واربين في one
+
+81
+00:06:59,790 --> 00:07:08,550
+point ستة، يعني هم بتطلع اكم؟
+
+82
+00:07:08,550 --> 00:07:14,850
+سبعة ستين اتنين سبعة ستين يعني سبعة ستين Ash Dال
+
+83
+00:07:14,850 --> 00:07:20,450
+standard sizes يتروح من ربع انش لواحد و نص انش ال
+
+84
+00:07:20,450 --> 00:07:22,890
+material فيه كذا material هد أسماء material
+
+85
+00:07:22,890 --> 00:07:28,690
+monitor steel, blow steel, mild blow steel ال size
+
+86
+00:07:28,690 --> 00:07:33,250
+of outer wires أكتر الأسلاك المكون اللي جدايل D
+
+87
+00:07:33,250 --> 00:07:38,570
+على 9 D على 9 D على 9 ال modulus of elasticity لكل
+
+88
+00:07:38,570 --> 00:07:43,190
+ال rope طبعا عشان في مصطرحين في rope و في wire
+
+89
+00:07:44,770 --> 00:07:48,350
+الwire أسلاك المكونة لل rope، ال strand متكون
+
+90
+00:07:48,350 --> 00:07:53,010
+مجموعة من أياش؟ من ال wire، الجدائل كلها مع بعضها
+
+91
+00:07:53,010 --> 00:07:59,510
+تسمى أياش؟ rope، ال strength اللي هي kilo pound
+
+92
+00:07:59,510 --> 00:08:01,210
+per square inch معطينيها
+
+93
+00:08:05,270 --> 00:08:08,490
+الان ال area of metal in standard hosting and
+
+94
+00:08:08,490 --> 00:08:11,450
+haulage rope ال AM بيساوي point تلاتة اللي هي
+
+95
+00:08:11,450 --> 00:08:16,510
+المقطع point تلاتة MD square point تلاتة MD square
+
+96
+00:08:16,510 --> 00:08:22,790
+طيب
+
+97
+00:08:22,790 --> 00:08:28,670
+الان
+
+98
+00:08:28,670 --> 00:08:34,310
+الحبل هو على البكرةالبكرة مدورة هو أساس الحب يكون
+
+99
+00:08:34,310 --> 00:08:39,350
+إيش؟ عدل فهيكون إيش؟ bend حوالين البكرة .. bend
+
+100
+00:08:39,350 --> 00:08:45,230
+حوالين البكرة لأن نتيجة ال bending .. لأن نتيجة ال
+
+101
+00:08:45,230 --> 00:08:53,570
+bend بيصير إيش؟ stress بيصير إيش؟ stress الجزء
+
+102
+00:08:53,570 --> 00:08:57,270
+هيكون .. الجزء العلوي هيكون tensile والصفر هيكون
+
+103
+00:08:57,270 --> 00:09:02,030
+compressionال equivalent bending load افضل هو ال
+
+104
+00:09:02,030 --> 00:09:07,930
+wire rod tension giving the same tensile stress as
+
+105
+00:09:07,930 --> 00:09:13,350
+the sheave bending يعني انا
+
+106
+00:09:13,350 --> 00:09:19,110
+ها عندي sheave انا
+
+107
+00:09:19,110 --> 00:09:25,930
+مليف حاسيلي فيهاش bending هين بروح bending يعني
+
+108
+00:09:25,930 --> 00:09:29,740
+هين هكون تقريبا ال maximum bendingلنتيجة ال
+
+109
+00:09:29,740 --> 00:09:35,300
+bending بيصير sigma بيصير اندي stress اخدت المقطع
+
+110
+00:09:35,300 --> 00:09:50,340
+يعني هصير الحبل هصير
+
+111
+00:09:50,340 --> 00:09:55,360
+stress sigma صح ال FB ال equivalent bending load
+
+112
+00:09:55,360 --> 00:09:57,380
+FB wire rope tension
+
+113
+00:09:59,710 --> 00:10:03,810
+giving the same tensile stress as the sheave
+
+114
+00:10:03,810 --> 00:10:09,370
+bending يعني based in this stress بفترض أن هذه
+
+115
+00:10:09,370 --> 00:10:19,170
+الحبل موجود ومتعرض لف ب يصير
+
+116
+00:10:19,170 --> 00:10:26,070
+هنديش stress صح؟ سيجما مستوى ف ب على مساحة المقطع
+
+117
+00:10:27,170 --> 00:10:34,410
+اللي هو هذا واضح معناته ال equivalent bending load
+
+118
+00:10:34,410 --> 00:10:38,230
+FD اللي هي ال wire rope tension wire rope tension
+
+119
+00:10:38,230 --> 00:10:42,190
+giving the same tensile stress as the sheave
+
+120
+00:10:42,190 --> 00:10:47,170
+bending ومعطوم العلاقة اللي انت شايفينها بالساوية
+
+121
+00:10:47,170 --> 00:10:54,900
+ER في D لل wireفي ال AM على ال D capital AR هي ال
+
+122
+00:10:54,900 --> 00:10:59,160
+modulus of elasticity للروب ال D .. ال D اللي هي
+
+123
+00:10:59,160 --> 00:11:05,040
+القطر ال wire مش ال rope قطر ال wire و ال AM اللي
+
+124
+00:11:05,040 --> 00:11:08,600
+هي ال .. ال مقطة مساحة .. مقطة ال effective ..
+
+125
+00:11:08,600 --> 00:11:14,340
+مساحة مقطع ال rope و ال D capital قطر إيش البقرة
+
+126
+00:11:14,340 --> 00:11:18,160
+سواء كان ال .. ال .. ال rope مقفوف كله على البقرة
+
+127
+00:11:18,160 --> 00:11:19,120
+أو سواء جزء منه
+
+128
+00:11:21,880 --> 00:11:24,800
+أه طبعا، يعني ممكن يكون تسعين درجة، ممكن يكون مثلا
+
+129
+00:11:24,800 --> 00:11:30,720
+مئة و اتونين درجة، اه
+
+130
+00:11:30,720 --> 00:11:34,620
+طلع، لأ طلع، ما هو بيخش و بيطلع، يعني بيند .. بيند
+
+131
+00:11:34,620 --> 00:11:39,340
+و بيعدل، بيند و بيعدل، بيند و بيعدل، صح؟ هذا ال
+
+132
+00:11:39,340 --> 00:11:45,630
+FD، الآن لما نيجي نختار ropeour first
+
+133
+00:11:45,630 --> 00:11:47,970
+consideration in selecting a wire rope is to
+
+134
+00:11:47,970 --> 00:11:51,690
+determine the static load أول خطوة عشان to select
+
+135
+00:11:51,690 --> 00:11:57,430
+a rope بحسب ال static load ال
+
+136
+00:11:57,430 --> 00:12:00,410
+static load مكوّن من ال dead weight الوزن اللي
+
+137
+00:12:00,410 --> 00:12:06,170
+شاره الحبل زائد addition load caused by sudden
+
+138
+00:12:06,170 --> 00:12:09,450
+stop start اللي أنا مثلا ممكن ماشي على موتور و
+
+139
+00:12:09,450 --> 00:12:15,090
+فجأه أعملته start كبسة أو start and startبيعمل
+
+140
+00:12:15,090 --> 00:12:18,090
+اكسلاريشن و ال stop بيعمل ايش اكسلاريشن ال
+
+141
+00:12:18,090 --> 00:12:23,130
+اكسلاريشن بتزودي الحمل صح يعني اول ما اشتغل انا
+
+142
+00:12:23,130 --> 00:12:29,250
+اشتغل الشد هذي اكسلاريشن هذي بتعطي ال load اضافي
+
+143
+00:12:29,250 --> 00:12:34,300
+على الال weight الحقيقي ال shock load زي فيه shock
+
+144
+00:12:34,300 --> 00:12:38,900
+load زاد ال sheave bearing friction فيه friction
+
+145
+00:12:38,900 --> 00:12:44,080
+بين الحبل و البكرة يعني ال total load static load
+
+146
+00:12:44,080 --> 00:12:50,080
+مكون من الوزن المحمول ال load due to acceleration
+
+147
+00:12:50,080 --> 00:12:55,300
+او deceleration as top start وزي فيه shock load و
+
+148
+00:12:55,300 --> 00:12:58,500
+sheave bearing friction و ال friction بين الحبل و
+
+149
+00:12:58,500 --> 00:12:59,600
+البكرة
+
+150
+00:13:03,810 --> 00:13:07,750
+طيب هذا كله load و أكيد حكم في friction فانا
+
+151
+00:13:07,750 --> 00:13:10,990
+بحكيلك ال total load بشمل مكوّمن اللي هو الوزن
+
+152
+00:13:10,990 --> 00:13:14,610
+المحمول و ال load due to stop start و ال shock
+
+153
+00:13:14,610 --> 00:13:20,370
+loss و ال friction some
+
+154
+00:13:20,370 --> 00:13:22,630
+of these loss مجموعة هذه ال loss اللي هي ال total
+
+155
+00:13:22,630 --> 00:13:26,610
+static load is compared with ultimate strength of
+
+156
+00:13:26,610 --> 00:13:30,610
+the rope بأقارن ال ultimate .. ال .. ال .. هذه ال
+
+157
+00:13:30,610 --> 00:13:32,990
+total loss مع ال ultra strength و منه by factor of
+
+158
+00:13:32,990 --> 00:13:40,920
+safetyالان نتيجة ان الحبل بمور على بكرة بيصير فيه
+
+159
+00:13:40,920 --> 00:13:45,420
+bending، بيصير فيه bending، معناته بيصير somehow
+
+160
+00:13:45,420 --> 00:13:48,200
+بيصير عندي loss في ال strength، بيصير loss في ال
+
+161
+00:13:48,200 --> 00:13:52,540
+strengthكل ما كان قطر البكرة كبير كل ما كان ال
+
+162
+00:13:52,540 --> 00:13:57,200
+loss أكتر ولا أقل أتوقعوا؟ أقل كل ما أصغر قطر ال
+
+163
+00:13:57,200 --> 00:14:00,080
+rope بيصير التاني أكتر بيصير ال loss of strength
+
+164
+00:14:00,080 --> 00:14:04,960
+أكتر فقبل ما أقارن some of these loads مع ال ultra
+
+165
+00:14:04,960 --> 00:14:09,360
+strength بدي أعمل .. بدي أعمل reduction لل
+
+166
+00:14:09,360 --> 00:14:15,160
+strength due to bending نتيجة مرور الحبل على
+
+167
+00:14:15,160 --> 00:14:17,580
+البكرة لأن figure سبعتاشر عشرين
+
+168
+00:14:20,830 --> 00:14:27,170
+معطيني ال D capital على ال D small على المحور X ال
+
+169
+00:14:27,170 --> 00:14:33,690
+D capital هي قطر إيش البكرة و ال D small قطر ال
+
+170
+00:14:33,690 --> 00:14:38,170
+روب كل ما زادت ال ratio هذي كل ما كان اللص كل ما
+
+171
+00:14:38,170 --> 00:14:44,930
+كان اللص إيش أقل، مظبوط؟فانا عندي على المحور الأفق
+
+172
+00:14:44,930 --> 00:14:48,310
+اللي هو ال D على D capital على D small ratio
+
+173
+00:14:48,310 --> 00:14:51,450
+وعندهين ال percent reduction يعني لو كانت ال D
+
+174
+00:14:51,450 --> 00:14:58,190
+capital على D small بالساوية وعندهين ستة
+
+175
+00:14:58,190 --> 00:15:02,070
+معناته هخصر في ال strength عشرين في المية يعني لو
+
+176
+00:15:02,070 --> 00:15:05,950
+كانت ميت kilo pound per square inch هتصير أكمل
+
+177
+00:15:05,950 --> 00:15:10,470
+الحقيقية تمانين لو كانت مثلا ال ratio
+
+178
+00:15:15,780 --> 00:15:20,220
+أربعة هخسر حوالي خمسة و عشرين في المية لو كانت ال
+
+179
+00:15:20,220 --> 00:15:25,160
+ratio تلاتين
+
+180
+00:15:25,160 --> 00:15:28,000
+اتنين و تلاتين اربعة و تلاتين ستة و تلاتين في
+
+181
+00:15:28,000 --> 00:15:32,840
+المية هخسر أكمل خمسة في المية لو كانت ال ratio
+
+182
+00:15:32,840 --> 00:15:39,320
+تقري عندي هين اتناش اربعتاش خمستاش هخسر عشرة في
+
+183
+00:15:39,320 --> 00:15:39,600
+المية
+
+184
+00:15:44,950 --> 00:15:48,610
+بعد الاربعين يعني بيكون قطر كبير almost ال bending
+
+185
+00:15:48,610 --> 00:15:56,250
+مهمل مافيش loss ال
+
+186
+00:15:56,250 --> 00:16:01,650
+factor of Ct لان بالساوية F U على F T
+
+187
+00:16:07,850 --> 00:16:13,130
+ال F U تمثل ايش؟ strength وال F T بالساوية اللي هو
+
+188
+00:16:13,130 --> 00:16:17,750
+ال force ال actual ال static load ال actual يعني
+
+189
+00:16:17,750 --> 00:16:21,990
+ال F U ال ultimate wire load اللي ممكن يشتري الحبل
+
+190
+00:16:21,990 --> 00:16:26,350
+من نتيجة ال strength تبعته هذا ال F U وال F T اللي
+
+191
+00:16:26,350 --> 00:16:35,230
+هي ال largest working tension الآن
+
+192
+00:16:38,090 --> 00:16:41,290
+Table سبعتاشر خمسة و عشرين معطيني minimum factor
+
+193
+00:16:41,290 --> 00:16:44,470
+of sales for wire rows يعني هذه كلها ل different
+
+194
+00:16:44,470 --> 00:16:50,890
+applications هذه أرقام نحكي استرشدية تسترشد فيها
+
+195
+00:16:50,890 --> 00:16:54,690
+لل factor of sales المستخدمة طبعا هذه ال minimum
+
+196
+00:16:54,690 --> 00:16:59,730
+لازم تكون أعلى منها يعني مثلا في حالة ال mine ال
+
+197
+00:16:59,730 --> 00:17:02,210
+.. ال .. ال .. ال hoisting الإحبال اللي بتشيل في
+
+198
+00:17:02,210 --> 00:17:06,620
+المباني مثلا ال minimum خمسةفي حالة مثلا ال .. ال
+
+199
+00:17:06,620 --> 00:17:13,200
+.. ال hand elevators، المصاعد اليدوية، خمسة، في
+
+200
+00:17:13,200 --> 00:17:16,620
+حالة ال private elevators السكنية، سنة تكون سبعة و
+
+201
+00:17:16,620 --> 00:17:20,620
+نص، ال grain اللي هو الحصمة، ال elevator السبعة و
+
+202
+00:17:20,620 --> 00:17:27,090
+نص، passenger elevators، بحسب الصرعةاللي هو مصاعد
+
+203
+00:17:27,090 --> 00:17:32,610
+تاعة ال .. ال .. ال .. الناس أو الركاب بحسب إيش؟
+
+204
+00:17:32,610 --> 00:17:37,070
+الصراع إذا كانت الصراع خمسين foot per minute بدك
+
+205
+00:17:37,070 --> 00:17:42,090
+تسخد تحكي سبعة point ستة إذا كانت ألف و خمسمية
+
+206
+00:17:42,090 --> 00:17:44,850
+foot per minute بدك تحكي حداشر point تسعة لأنه
+
+207
+00:17:44,850 --> 00:17:48,070
+ليش؟ في بداية التشغيل بيكون عندك acceleration عالي
+
+208
+00:17:48,070 --> 00:17:52,170
+كتير عشان يصل للصراع هذي فبدك factor of safety
+
+209
+00:17:52,170 --> 00:17:52,830
+عالي
+
+210
+00:17:55,190 --> 00:18:01,770
+في ال fried elevators اللي بتشيل البضائع 6.65 طبعا
+
+211
+00:18:01,770 --> 00:18:06,590
+بيحسب .. بيحسب اياش؟ الصراع .. بحسب الصراع بزيدي
+
+212
+00:18:06,590 --> 00:18:08,890
+ال factor of safety طبعا هذه هي ال minimum factor
+
+213
+00:18:08,890 --> 00:18:12,010
+of safety وهذه استرشدية بدي تكون ال factor of
+
+214
+00:18:12,010 --> 00:18:13,990
+safety المختار اللي عندك اكتر منها
+
+215
+00:18:19,340 --> 00:18:23,160
+once you select a rope based upon static strength
+
+216
+00:18:23,160 --> 00:18:26,800
+انت الخطوة اللى كانت اختيار ال rope بناء على ال
+
+217
+00:18:26,800 --> 00:18:32,180
+static strength ensure that the wire life of the
+
+218
+00:18:32,180 --> 00:18:34,320
+rope and the sheave meets certain requirements
+
+219
+00:18:34,320 --> 00:18:38,000
+الان في عندى ال fatigue life مظبوط احنا عملنا
+
+220
+00:18:38,000 --> 00:18:42,180
+static analysis ننتقل الخطوة اللى هي ال fatigue
+
+221
+00:18:42,180 --> 00:18:48,520
+life due to wear wear اللى هو عند الحبل بيكونعليه
+
+222
+00:18:48,520 --> 00:18:53,480
+load و لاطف فبكون نتيجة load بصير tensioning بشد
+
+223
+00:18:53,480 --> 00:19:01,140
+.. بشد و بضغط على البكرة زى ما حكينا لما ال .. ال
+
+224
+00:19:01,140 --> 00:19:05,180
+.. ال loaded rope ال .. ال rope بكون حامل وزن و
+
+225
+00:19:05,180 --> 00:19:11,770
+ملفوف متن على البكرة الحبل طبعا هيشدلما نشتت بيصير
+
+226
+00:19:11,770 --> 00:19:17,490
+يضغط عوين على البكرة و طبعا ضغط فيه normal force و
+
+227
+00:19:17,490 --> 00:19:22,150
+فيه sliding معناته هصير إيه؟ احتكاك، في احتكاك
+
+228
+00:19:22,150 --> 00:19:28,230
+هصير الهو wear سواء كان في الحبل أو كان في البكرة
+
+229
+00:19:28,230 --> 00:19:33,910
+نفسها amount of wear كمية ال wear بتعتمد على ال
+
+230
+00:19:33,910 --> 00:19:39,070
+pressure اللي جاي من ال rope من الحبل على البكرة
+
+231
+00:19:40,610 --> 00:19:43,270
+this pressure is called the bearing pressure هذا
+
+232
+00:19:43,270 --> 00:19:46,910
+الضغط اللى جاى من الحبل على البكر مسمى ال bearing
+
+233
+00:19:46,910 --> 00:19:52,210
+pressure ومعطو العلاقة بسوء اتنين F على D small D
+
+234
+00:19:52,210 --> 00:19:57,730
+capital الان
+
+235
+00:19:57,730 --> 00:20:02,530
+ال table سبعتاش ستة و عشرينTable 17-26 معطيني
+
+236
+00:20:02,530 --> 00:20:05,530
+maximum allowable bearing pressures of ropes on
+
+237
+00:20:05,530 --> 00:20:09,630
+sheaves طبعا هنا معطيني ال standard في عندي
+
+238
+00:20:09,630 --> 00:20:12,090
+regular ray و عندي long ray مثلا لو حكيت ستة في
+
+239
+00:20:12,090 --> 00:20:15,690
+سبعة، الستة حكينا دي عدد الجدال، الستة عدد الأسلاك
+
+240
+00:20:15,690 --> 00:20:19,110
+في الجديلة الواحدة، الآن ال sheave ممكن يكون خشب،
+
+241
+00:20:19,110 --> 00:20:22,730
+ممكن يكون cast iron، ممكن يكون cast steel، ممكن
+
+242
+00:20:22,730 --> 00:20:26,170
+تكون chilled cast iron أو manganese steel، حسب نوع
+
+243
+00:20:26,170 --> 00:20:30,970
+إيش البكرةالمعطيني ال maximum ال allowable bearing
+
+244
+00:20:30,970 --> 00:20:34,830
+pressure في حاجات مثلا حبل ستة في سبعة على بكرة
+
+245
+00:20:34,830 --> 00:20:39,410
+خشب أكتر pressure ممكن يكون مية و خمسين ستة في
+
+246
+00:20:39,410 --> 00:20:44,250
+سبعة مع .. مع .. مع cast iron تلات مية ستة في سبعة
+
+247
+00:20:44,250 --> 00:20:47,290
+مع cast steel خمس مية و خمسة فيه فرق بين ال steel
+
+248
+00:20:47,290 --> 00:20:52,310
+و ال cast iron طبعا ف ال tables سبعتاشر و تعشير
+
+249
+00:20:52,310 --> 00:20:54,350
+معطيني ال maximum allowable bearing pressure of
+
+250
+00:20:54,350 --> 00:20:56,910
+ropes on sheaves of different materials
+
+251
+00:21:01,610 --> 00:21:05,010
+figure seventeen واحد وعشرين اللي هو هذا figure
+
+252
+00:21:05,010 --> 00:21:09,670
+seventeen واحد وعشرين figure
+
+253
+00:21:09,670 --> 00:21:12,650
+seventeen واحد وعشرين ماعطيني ال .. ال .. ال .. ال
+
+254
+00:21:12,650 --> 00:21:18,690
+ratio ال ratio بين ال bearing pressure وال
+
+255
+00:21:18,690 --> 00:21:25,550
+strength اللي هي pressure على strength ratio as a
+
+256
+00:21:25,550 --> 00:21:28,130
+function of number of pins to failure لإن الحبل
+
+257
+00:21:28,130 --> 00:21:35,560
+بيمر حوالين البكرةفي طول حياتهالكثير من المرات
+
+258
+00:21:35,560 --> 00:21:40,340
+نحكي ممكن مئات ألوف أو ملايين المرات فال .. ال ..
+
+259
+00:21:40,340 --> 00:21:44,140
+ال .. الدوران هذا يمثل number of bins يعني أنا
+
+260
+00:21:44,140 --> 00:21:48,260
+بطعج واسم في حياتي واسم مائة ألف مرة مائة ألف طعجة
+
+261
+00:21:48,260 --> 00:21:53,040
+أو مليون طعجة فعالمحور هي المحور الأفقي number of
+
+262
+00:21:53,040 --> 00:21:58,100
+bins to failure وعالمحور الرئيسي ال pressure ال
+
+263
+00:21:58,100 --> 00:22:02,280
+strength ratio هنا طبعا هذا الرقم مضروف في ألف
+
+264
+00:22:02,280 --> 00:22:06,640
+مضروف في ألفالرقم مضروف في الف يعني انت هتكون هذه
+
+265
+00:22:06,640 --> 00:22:09,380
+واحد على الف هذه اتنين على الف تلاتة على الف اربع
+
+266
+00:22:09,380 --> 00:22:12,100
+على الف خمس على الف ستة على الف واحد كذا طبعا هين
+
+267
+00:22:12,100 --> 00:22:15,940
+four different rope standards يعني هين ستة في سبعة
+
+268
+00:22:15,940 --> 00:22:20,020
+تلاتين يعني ست جدائل في سبعة تلاتين سلك ستة في
+
+269
+00:22:20,020 --> 00:22:22,720
+اربع عشرين ست جدائل في اربع عشرين سلك ستة في
+
+270
+00:22:22,720 --> 00:22:25,060
+تسعتاش وستة في اتماشر
+
+271
+00:22:27,700 --> 00:22:30,540
+زي ما حكينا ال YX تمثل pressure strength ratio P
+
+272
+00:22:30,540 --> 00:22:34,820
+على SU ال SU ال ultimate tensile strength of wire
+
+273
+00:22:34,820 --> 00:22:38,680
+not the rope انتبهوا في الحالة هذه ال SU تمثل
+
+274
+00:22:38,680 --> 00:22:43,820
+ultimate tensile strength لسلك نفسه مش ال rope ال
+
+275
+00:22:43,820 --> 00:22:47,120
+rope مكوّن من مجموعة من الأسلاك أو ال rope مكوّن
+
+276
+00:22:47,120 --> 00:22:51,300
+من مجموعة من الجدائل وكل جدائل مكوّن من مجموعة من
+
+277
+00:22:51,300 --> 00:22:53,920
+الأسلاك معناه ال SU هي ال ultimate tensile
+
+278
+00:22:53,920 --> 00:22:59,240
+strength of the wire not the ropeالـ wire rope
+
+279
+00:22:59,240 --> 00:23:04,440
+will eventually fail in fatigue or wear a graph
+
+280
+00:23:04,440 --> 00:23:08,120
+shows that the rope will have a long life if the
+
+281
+00:23:08,120 --> 00:23:12,820
+ratio P على C أقل من point 001 نطلع أقل من point
+
+282
+00:23:12,820 --> 00:23:17,680
+001 يعني إيه؟ واحد، حكينا رقم واحد مقسم على ألف
+
+283
+00:23:17,680 --> 00:23:22,640
+لإن هين ضاروا في إيه؟ هين ضاروا بال ratio في ألف،
+
+284
+00:23:22,640 --> 00:23:25,880
+معناته هذه واحد على ألفإذا كانت ال ratio أقل من
+
+285
+00:23:25,880 --> 00:23:29,500
+واحدة لألف معناته بعمر كتير يعني .. يعني واضح
+
+286
+00:23:29,500 --> 00:23:32,680
+كأنها .. كأنها endurance كأنها إيش؟ كأنها
+
+287
+00:23:32,680 --> 00:23:37,660
+endurance limit ف
+
+288
+00:23:37,660 --> 00:23:42,720
+.. احنا ب .. نحكي ال .. ال rope هتكون هعيش حياة
+
+289
+00:23:42,720 --> 00:23:45,640
+طويلة جدا إذا كانت ال ratio P على Su أقل من point
+
+290
+00:23:45,640 --> 00:23:51,150
+O أو واحد نفترض ال wire بدو يعيش infinite lifeو
+
+291
+00:23:51,150 --> 00:23:57,730
+عوضنا في المعادلة السابقة اللي هي هذه عوضنا حكيان
+
+292
+00:23:57,730 --> 00:24:07,910
+ال P بالسواء point O O O واحد ال SU بيصير
+
+293
+00:24:07,910 --> 00:24:12,990
+ال SU و ضربنا الطرف الف في الف بيصير ال SU بالسواء
+
+294
+00:24:12,990 --> 00:24:17,770
+اش الفين F على D small D capital
+
+295
+00:24:22,890 --> 00:24:27,710
+الان divide both sides of equations by SU وحل for
+
+296
+00:24:27,710 --> 00:24:33,010
+F بيعطينا F F بالثورة ال ratio اللي هي P على SU ال
+
+297
+00:24:33,010 --> 00:24:35,170
+P على SU اللي أنا باخده باخدها من figure سبعتاش و
+
+298
+00:24:35,170 --> 00:24:38,350
+عشرون و عشرين في ال SU ال SU اللي هي ال ultimate
+
+299
+00:24:38,350 --> 00:24:42,430
+strength لل wire not the rope ف دي small دي
+
+300
+00:24:42,430 --> 00:24:45,850
+capital على اتنين ال F F اللي هي ال allowable
+
+301
+00:24:45,850 --> 00:24:50,970
+fatigue tensionas the wire is flexed number of
+
+302
+00:24:50,970 --> 00:24:56,870
+times corresponding to P على SU figure 17 و 21 for
+
+303
+00:24:56,870 --> 00:25:00,570
+a particular rope and life expectancy ال F معناته
+
+304
+00:25:00,570 --> 00:25:06,110
+ال F F هو ال allow fatigue tension
+
+305
+00:25:09,470 --> 00:25:15,370
+ال factor of safety NF بيستوى FF minus FB على FT
+
+306
+00:25:15,370 --> 00:25:19,490
+FF احنا هي اللي هو ال allow fatigue tension و ال
+
+307
+00:25:19,490 --> 00:25:25,070
+FB اللي هو ال equivalent load لأن ال load نتيجة ال
+
+308
+00:25:25,070 --> 00:25:28,470
+bending النتيجة ان الحبل بيلف على البكرة بيصيرله
+
+309
+00:25:28,470 --> 00:25:32,830
+bending نتيجة ال bending بيصير إيش stress ال
+
+310
+00:25:32,830 --> 00:25:36,070
+stress هذا اللي احورته كأنه حبل مشدود شد بشكل
+
+311
+00:25:36,070 --> 00:25:44,290
+طبيعيبيعطيني ash load اللي هي ال FD ال FD اللي هو
+
+312
+00:25:44,290 --> 00:25:47,110
+tension at the place where the rope is flexed وين
+
+313
+00:25:47,110 --> 00:25:52,590
+بدأ يعمل flexing هو ال tension عندهالعني ال
+
+314
+00:25:52,590 --> 00:25:55,450
+designers المصنعين ال designers often has vendor
+
+315
+00:25:55,450 --> 00:25:58,030
+information اللي كان مزودين اللي ببيع الأحبال
+
+316
+00:25:58,030 --> 00:26:02,830
+بيكون معطيلك معلومات او جداول الجداول هتبقى الجدول
+
+317
+00:26:02,830 --> 00:26:06,790
+ال ultimate rope tension بيعطي ال tension ك force
+
+318
+00:26:06,790 --> 00:26:11,270
+ultimate rope tension وبيعطيش ال ultimate strength
+
+319
+00:26:11,270 --> 00:26:15,990
+للwire بيعطيش ال SU بيعطيش
+
+320
+00:26:15,990 --> 00:26:21,140
+ال SU بيعطي ال ultimaterope tension لأن في ك
+
+321
+00:26:21,140 --> 00:26:24,020
+guidance استرشدية some guidance in strength of
+
+322
+00:26:24,020 --> 00:26:28,750
+individual wiresمعطيل بيحكيله اذا كان نوع ال steel
+
+323
+00:26:28,750 --> 00:26:34,250
+improved بلو ستيل monitor بتكون ال .. ال .. ال ..
+
+324
+00:26:34,250 --> 00:26:38,250
+ال ultimate tensile strength لل wire مش لل rope
+
+325
+00:26:38,250 --> 00:26:40,490
+بتتراح بين مائة و اربعين و مائة و اتانين اذا في
+
+326
+00:26:40,490 --> 00:26:43,150
+حالة ال blow steel بتكون ال ultimate tensile
+
+327
+00:26:43,150 --> 00:26:46,090
+strength لل wire بتتراح بين مائة و عشر و مائة و
+
+328
+00:26:46,090 --> 00:26:49,910
+اربعين في حالة mild blow steel ال ultimate tensile
+
+329
+00:26:49,910 --> 00:26:52,310
+strength لل wire not the rope بتتراح بين مائة و
+
+330
+00:26:52,310 --> 00:26:56,960
+اتانين و مائة و عشرة kilo pound per square inchال
+
+331
+00:26:56,960 --> 00:26:59,680
+string بتاعة ال rope دي ال summation بتاع ال
+
+332
+00:26:59,680 --> 00:27:06,160
+string بتاع ال rope لأ طبعا لأ بسبب بسيط ان انا
+
+333
+00:27:06,160 --> 00:27:09,780
+عندى ال .. ال .. ال .. ال .. الان لما تيجي تعمل
+
+334
+00:27:09,780 --> 00:27:13,300
+tensile test لل .. لل .. لل rope فيه بدخل الموضوع
+
+335
+00:27:13,300 --> 00:27:16,860
+ال friction بينهم يعني انت لو كنت شد انت بقاومكاش
+
+336
+00:27:16,860 --> 00:27:20,220
+بس ال string بتاعة ال وير فيه ال friction بينهم
+
+337
+00:27:20,220 --> 00:27:26,490
+فمش نفسه لأ okay ممكن تحسن تسأل عن tensile testهو
+
+338
+00:27:26,490 --> 00:27:29,550
+معطيلك إياها guidance إذا أنت حابب .. يعني ممكن ..
+
+339
+00:27:29,550 --> 00:27:32,510
+يعني هذه الشرحات ممكن تنعمل empirical أن تجيب
+
+340
+00:27:32,510 --> 00:27:36,510
+مجموعة من الأحبال و تعمل tensile test لل rope و
+
+341
+00:27:36,510 --> 00:27:41,530
+تعمل tensile test لل wire و تعمل correlation ممكن
+
+342
+00:27:41,530 --> 00:27:45,970
+تعملها experimentally و تجيب معادلة لأن واضح ..
+
+343
+00:27:45,970 --> 00:27:52,930
+واضح أن هو يعني معطيل معلومات استرشدية بناء على
+
+344
+00:27:52,930 --> 00:27:54,070
+تجارب معينة
+
+345
+00:27:58,230 --> 00:28:04,770
+ال factor of safety against static loading حكيها
+
+346
+00:28:04,770 --> 00:28:09,750
+بستوى F U minus F B على F T ال F B حكيها ال rope
+
+347
+00:28:09,750 --> 00:28:12,630
+tension that would induce the same outer outer
+
+348
+00:28:12,630 --> 00:28:16,870
+wire stress as that given by equation اللي هي C
+
+349
+00:28:16,870 --> 00:28:23,210
+طيب شكل سبعتاشر اتنين و عشرين معطيني relative
+
+350
+00:28:23,210 --> 00:28:28,590
+service lifeas a function of D على D capital على D
+
+351
+00:28:28,590 --> 00:28:34,610
+small D capital هي قطر البكرة و D small قطر الرب
+
+352
+00:28:34,610 --> 00:28:42,370
+هذا ال service life curve based الآن
+
+353
+00:28:42,370 --> 00:28:46,690
+لو حكيت مية في المية واضح مية في المية انه هعيش
+
+354
+00:28:46,690 --> 00:28:50,850
+مثلا هذا .. هذا issue هذا curve نسمي طبعا لاحظ ال
+
+355
+00:28:50,850 --> 00:28:54,690
+life corresponding to D على D 48 يعني تقريبا ..
+
+356
+00:28:54,690 --> 00:29:00,280
+تقريبا هناخد D على D تلاتة وتلاتين، يعني تقريبا
+
+357
+00:29:00,280 --> 00:29:08,820
+هنا، تقريبا ال life بتكون عند .. ضعيفلما كانت ال
+
+358
+00:29:08,820 --> 00:29:13,280
+ratio D على D تمانية و أربعين بال life أصبح ضعف
+
+359
+00:29:13,280 --> 00:29:16,680
+لما ال ratio تكون D على D سوى تلات تلات تلاتين
+
+360
+00:29:16,680 --> 00:29:19,880
+معناته يعني ال .. ال .. ال .. الخلاص في الموضوع
+
+361
+00:29:19,880 --> 00:29:26,220
+هذا عشان أزود ال life expectancy لل .. لل روب لازم
+
+362
+00:29:26,220 --> 00:29:31,180
+أزود ال D كوتي على D small ratio ال .. ال ..
+
+363
+00:29:31,180 --> 00:29:36,700
+المحاضرة الجاية بن .. بنكمل اعطيكوا العافية
+
diff --git a/PL9fwy3NUQKwbRqiyGIGaMMN6wI9A06Vao/Sva-PdfkIMI_postprocess.srt b/PL9fwy3NUQKwbRqiyGIGaMMN6wI9A06Vao/Sva-PdfkIMI_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..a405c0c2a145c1b8e628fd092b38cd3f768b6ea8
--- /dev/null
+++ b/PL9fwy3NUQKwbRqiyGIGaMMN6wI9A06Vao/Sva-PdfkIMI_postprocess.srt
@@ -0,0 +1,2012 @@
+1
+00:00:05,210 --> 00:00:07,830
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:07,830 --> 00:00:13,190
+وبركاته هنكمل في مادة تصميم الألات، المحاضرات
+
+3
+00:00:13,190 --> 00:00:15,510
+السابقة كنا نحكي عن geometric dimensioning and
+
+4
+00:00:15,510 --> 00:00:20,710
+tolerancing لكن احنا بشكل عام الهدف من geometric
+
+5
+00:00:20,710 --> 00:00:24,970
+dimensioning and tolerancing هو لغة تفاهم بين
+
+6
+00:00:24,970 --> 00:00:26,130
+المصممين
+
+7
+00:00:27,990 --> 00:00:32,850
+و المصنعين سواء مصنع او مصنع .. مصمم مع مصنع او
+
+8
+00:00:32,850 --> 00:00:37,930
+مصمم مع مصمم فهذه لغات تفاهم عالمية بحيث ماكنش فيه
+
+9
+00:00:37,930 --> 00:00:41,390
+مجال الخطأ بال .. بالفهم يعني ماكنتش .. اللغة
+
+10
+00:00:41,390 --> 00:00:46,760
+إيهاش سواء بقولك لغة رمزيةالهدف برضه من ال
+
+11
+00:00:46,760 --> 00:00:53,080
+geometry dimensioning و untolerancing انه اطلع ال
+
+12
+00:00:53,080 --> 00:01:00,200
+parts طبقا لمواصفات جودة محددة من ناحية المقاسات
+
+13
+00:01:00,200 --> 00:01:03,640
+ال size او ال form او ال location او ال
+
+14
+00:01:03,640 --> 00:01:04,080
+orientation
+
+15
+00:01:06,890 --> 00:01:11,250
+لحتى اللحظة هغطينا كيف نعمل tolerancing لل size
+
+16
+00:01:11,250 --> 00:01:15,870
+feature، كيف to define ال datums، ال datum ال
+
+17
+00:01:15,870 --> 00:01:20,750
+primary وال secondary وال tertiary datumsكيف ت
+
+18
+00:01:20,750 --> 00:01:23,970
+define ال .. ال .. ال form features, flatness,
+
+19
+00:01:24,930 --> 00:01:28,090
+straightness, concentricity, cylindricity, ال
+
+20
+00:01:28,090 --> 00:01:31,670
+orientation, ال .. التعمد, التوازي, الت ..
+
+21
+00:01:31,670 --> 00:01:36,730
+الزوايا, ال .. ال position او ال .. نحكي ال .. ال
+
+22
+00:01:36,730 --> 00:01:41,270
+location و
+
+23
+00:01:41,270 --> 00:01:44,350
+ال .. ال location و طبعا حاكي انا في الآخر ع ال
+
+24
+00:01:44,350 --> 00:01:50,550
+run outال run out و حاليا مجموعة من الأمثلة برضه
+
+25
+00:01:50,550 --> 00:01:53,590
+حكينا عن ال material condition modifiers ال max
+
+26
+00:01:53,590 --> 00:01:57,570
+material condition و ال least material condition و
+
+27
+00:01:57,570 --> 00:02:00,230
+إيش ال definition بتاعتها و اللي هي بتاعتها و كيف
+
+28
+00:02:00,230 --> 00:02:06,170
+بنستخدمها طبعا بشكل مختصر لما ن apply على ال
+
+29
+00:02:06,170 --> 00:02:10,740
+tolerance zone max material conditionأنا بحكي ال
+
+30
+00:02:10,740 --> 00:02:13,920
+tolerance zone هذه it's only applicable at the
+
+31
+00:02:13,920 --> 00:02:18,100
+maximum material condition معناته هذا بيحكي أنه ال
+
+32
+00:02:18,100 --> 00:02:22,880
+tolerance متغير إذا كان ال size مختلف عن ال
+
+33
+00:02:22,880 --> 00:02:29,360
+maximum material condition طلعنا
+
+34
+00:02:29,360 --> 00:02:30,060
+على example
+
+35
+00:02:36,990 --> 00:02:41,310
+اليوم هنشوف كيف التطبيق العملي لل .. لل GDT how to
+
+36
+00:02:41,310 --> 00:02:42,170
+apply ال GDT
+
+37
+00:02:47,670 --> 00:02:50,810
+طبعا ال basic concept of GDT is to define the
+
+38
+00:02:50,810 --> 00:02:56,030
+ideal part انت في الأول لما تعمل design ترسم ال
+
+39
+00:02:56,030 --> 00:03:00,250
+part طبقا لل nominal dimension ال parts يعني بتحكي
+
+40
+00:03:00,250 --> 00:03:03,410
+والله هذا طوله عشرة هذا تفعل خمس تاشر ما بتحطه على
+
+41
+00:03:03,410 --> 00:03:08,390
+نفسك و بترسم باستخدام ال nominal dimension
+
+42
+00:03:11,500 --> 00:03:14,880
+بعد هيك you specify amount of variation سواء كانت
+
+43
+00:03:14,880 --> 00:03:18,480
+variation في ال size او في ال form او في ال
+
+44
+00:03:18,480 --> 00:03:23,660
+location او في ال orientation ال
+
+45
+00:03:23,660 --> 00:03:28,560
+size و feature of size بعملها dimensioning ان
+
+46
+00:03:28,560 --> 00:03:33,060
+بحطلها tolerance plus or minus او بحطل limits مثلا
+
+47
+00:03:33,060 --> 00:03:40,820
+مية plus zero minus واحد او مية plus or minus واحد
+
+48
+00:03:46,310 --> 00:03:51,660
+طيبالان في طبعا ال surface ال surface feature الان
+
+49
+00:03:51,660 --> 00:03:54,720
+في ال surface ممكن يكون انا بده يكون flat enough
+
+50
+00:03:54,720 --> 00:04:00,460
+او بده ال surface معين يكون عمودي على surface تاني
+
+51
+00:04:00,460 --> 00:04:04,480
+او surface موازي ل surface تاني او عند ثقوب بده
+
+52
+00:04:04,480 --> 00:04:10,060
+يكون متمركز مع محور معين او سيلندر محور معين محور
+
+53
+00:04:10,060 --> 00:04:14,500
+معين او شكل شكل الاستدارة ال form بتاعة الدائرة
+
+54
+00:04:14,500 --> 00:04:18,520
+لها يعني هتكون مستديرةو within limits point هذه
+
+55
+00:04:18,520 --> 00:04:27,340
+كلها بحددها في مرحلة وضع ال GDT ال
+
+56
+00:04:27,340 --> 00:04:31,800
+general framework الإطار العام لتطبيق ال GDT أولا
+
+57
+00:04:31,800 --> 00:04:38,370
+select datum features بختار ال datum featuresبعدين
+
+58
+00:04:38,370 --> 00:04:42,070
+بعمل عليهم control المستوات اللى اخترتها control
+
+59
+00:04:42,070 --> 00:04:45,990
+data and features بعدين locate features اذا عندى
+
+60
+00:04:45,990 --> 00:04:50,930
+ثقوب او اسطح بعملها ايهاش location بعدين size and
+
+61
+00:04:50,930 --> 00:04:57,270
+locate features of size refine orientation and
+
+62
+00:04:57,270 --> 00:05:01,150
+form features if needed هدى الخطوات الخمسة خنشوف
+
+63
+00:05:01,150 --> 00:05:02,330
+كل خطوة على حده
+
+64
+00:05:06,090 --> 00:05:10,690
+selected datum features اولش ال datum features
+
+65
+00:05:10,690 --> 00:05:14,050
+should be selected based on functional use of the
+
+66
+00:05:14,050 --> 00:05:16,550
+part first rather than on anticipated
+
+67
+00:05:16,550 --> 00:05:21,670
+manufacturing method او process اولوي الاختيار
+
+68
+00:05:21,670 --> 00:05:28,430
+datum features على الوظيفة بتاعة ال service هذا هل
+
+69
+00:05:28,430 --> 00:05:33,920
+هو هيكون يعني reference هيكون علىانا رفع صحيح انه
+
+70
+00:05:33,920 --> 00:05:37,340
+قياس و لا هو مثلا mating with another surface و
+
+71
+00:05:37,340 --> 00:05:41,020
+another part فانا بتطلع ليش على ال function بتاعته
+
+72
+00:05:41,020 --> 00:05:44,160
+مش على طريقة التصنيع طبعا بتطلع على طريقة التصنيع
+
+73
+00:05:44,160 --> 00:05:51,720
+بس اولا و يلاقياش لل function بعدين طريقة التصنيع
+
+74
+00:05:51,720 --> 00:05:56,220
+primary datum is usually the most critical to the
+
+75
+00:05:56,220 --> 00:06:00,040
+part function اللي هو يعني ال primary plane او ال
+
+76
+00:06:00,040 --> 00:06:05,450
+primary datumهو يعني لازم يتم اختياره بحيث هو
+
+77
+00:06:05,450 --> 00:06:10,970
+هيكون most critical للوظيفة بتاعة ال part لازم
+
+78
+00:06:10,970 --> 00:06:14,590
+يكون مساحة صحيه له كبيرة نسبيا sufficient surface
+
+79
+00:06:14,590 --> 00:06:19,230
+size يعني مثلا جوالها ده لو بده too many بده اعمله
+
+80
+00:06:19,230 --> 00:06:23,160
+GDTيعني منطقي إن أنا أخلي ال surface اللي هو إيش
+
+81
+00:06:23,160 --> 00:06:27,580
+ال primary، مش منطقي أخلي هذا primary، ببساطة لأن
+
+82
+00:06:27,580 --> 00:06:31,060
+تقريبا كل features معرفة لل surface هذا، هي واحد،
+
+83
+00:06:31,060 --> 00:06:34,840
+اتنين ال surface flat enough و كبير، و التالي
+
+84
+00:06:34,840 --> 00:06:41,650
+منطقي أخلي primary data من featureI want to assure
+
+85
+00:06:41,650 --> 00:06:44,730
+stair setup for establishing the remaining details
+
+86
+00:06:44,730 --> 00:06:49,630
+يعني لو يكون سطح كبير بيكون مستقر بشكل كه بحيث
+
+87
+00:06:49,630 --> 00:06:52,830
+ممكن أعرف ال other features بالنسبة لهذا ال
+
+88
+00:06:52,830 --> 00:06:57,750
+surface for
+
+89
+00:06:57,750 --> 00:07:02,490
+mating partscorresponding interfacing features are
+
+90
+00:07:02,490 --> 00:07:05,610
+usually selected as datum features إذا عندى part
+
+91
+00:07:05,610 --> 00:07:10,790
+meet with another part الأسطح المتوقعبلة عادة ممكن
+
+92
+00:07:10,790 --> 00:07:19,030
+أختارها ك datum feature ك datum feature though
+
+93
+00:07:19,030 --> 00:07:22,350
+it is not unusual for every feature of a part to
+
+94
+00:07:22,350 --> 00:07:25,150
+reference the same set of datums it does not a
+
+95
+00:07:25,150 --> 00:07:33,180
+record that they do so هقرحه بطريقة تانيةthough it
+
+96
+00:07:33,180 --> 00:07:39,540
+is usual for every feature of a part to reference
+
+97
+00:07:39,540 --> 00:07:43,520
+the same set of datums, it is not a recurrent that
+
+98
+00:07:43,520 --> 00:07:47,680
+they disobey يعني من المعتاد أن انت تعمل reference
+
+99
+00:07:47,680 --> 00:07:51,820
+لنفس المجموعة من ال datumsلكن مش بالضرورة دايما
+
+100
+00:07:51,820 --> 00:07:54,460
+على طول تعملها يعني ممكن انا feature معين اعمل
+
+101
+00:07:54,460 --> 00:07:57,980
+reference بالنسبة ل a و b و c feature تاني بس ل a
+
+102
+00:07:57,980 --> 00:08:01,020
+feature تارت بالنسبة ل a و b feature رابعة بالنسبة
+
+103
+00:08:01,020 --> 00:08:07,140
+ل c واضح؟ معناته
+
+104
+00:08:07,140 --> 00:08:11,180
+رقم واحد احنا مش حاكيناه selected data from
+
+105
+00:08:11,180 --> 00:08:15,980
+features رقم اتنينيعمل control على ال data
+
+106
+00:08:15,980 --> 00:08:18,720
+features، ال control يعني مثلا السطح هذا السفل
+
+107
+00:08:18,720 --> 00:08:23,280
+هيكون ال primary data، المناطق لازم يكون ال
+
+108
+00:08:23,280 --> 00:08:26,700
+flatness تاعته مرتفعةيعني يكون لازم يكون flat
+
+109
+00:08:26,700 --> 00:08:31,400
+enough عشان ال measurement و كل الشي بيحكو بالنسبة
+
+110
+00:08:31,400 --> 00:08:36,720
+لهذا السطح فلازم أعمل control عليه flatness و
+
+111
+00:08:36,720 --> 00:08:41,860
+straightness لأنه كل ما كان ال flatness مثلا فيه
+
+112
+00:08:41,860 --> 00:08:47,440
+منخفضة معناته هيأثر على ال other features and
+
+113
+00:08:47,440 --> 00:08:48,460
+other sizes
+
+114
+00:08:55,460 --> 00:08:58,900
+طبعا إذا اخترت ال primary feature و متوقع ال
+
+115
+00:08:58,900 --> 00:09:03,700
+primary feature اركز فيها علشان ال flatness ال
+
+116
+00:09:03,700 --> 00:09:08,060
+secondary datum I will apply مثلا تعامد مع ال
+
+117
+00:09:08,060 --> 00:09:14,600
+primary feature و ال tertiary datum I will control
+
+118
+00:09:14,600 --> 00:09:19,280
+بحيث يكون متعمد على a و متعمد على b فلازم أحط
+
+119
+00:09:19,280 --> 00:09:22,140
+control على ال datum features
+
+120
+00:09:26,090 --> 00:09:30,370
+رقم تلاتة Locate
+
+121
+00:09:30,370 --> 00:09:37,130
+Features All features
+
+122
+00:09:37,130 --> 00:09:41,450
+have surfaces that need to be located with respect
+
+123
+00:09:41,450 --> 00:09:44,030
+to the appropriate datums كل ال features في أي
+
+124
+00:09:44,030 --> 00:09:49,570
+part مكون من مجموعة كبيرة من ال features لازم
+
+125
+00:09:49,570 --> 00:09:52,050
+أعملها referencing بالنسبة لل reference frame تبع
+
+126
+00:09:52,050 --> 00:09:57,230
+اللي هو ال data reference frameأحسن استراتيجية ان
+
+127
+00:09:57,230 --> 00:10:01,270
+استخدم basic dimensions to locate true position
+
+128
+00:10:01,270 --> 00:10:05,950
+بعد ما استخدم basic dimension بعمل control من خلال
+
+129
+00:10:05,950 --> 00:10:11,950
+.. بعمل frame control او feature control frame في
+
+130
+00:10:11,950 --> 00:10:13,930
+feature control frame بعمل control مثلا على ال
+
+131
+00:10:13,930 --> 00:10:17,250
+position على التعامل او اي اشي تاني فانا بحط basic
+
+132
+00:10:17,250 --> 00:10:22,530
+dimensions بعدين عليها I apply اللي هو tolerance
+
+133
+00:10:22,530 --> 00:10:23,130
+control
+
+134
+00:10:27,100 --> 00:10:32,280
+or a default surface profile control can be
+
+135
+00:10:32,280 --> 00:10:34,700
+established with a general note يعني ممكن احكي
+
+136
+00:10:34,700 --> 00:10:39,240
+unless otherwise specified had general note من ال
+
+137
+00:10:39,240 --> 00:10:43,100
+general notes اللي ممكن احطها مثلا في أي لوحة
+
+138
+00:10:43,100 --> 00:10:48,160
+notes مثلا
+
+139
+00:10:48,160 --> 00:10:51,220
+واحد all dimensions
+
+140
+00:10:58,630 --> 00:11:04,950
+أو ممكن أحكي unless ببعض أحيان ممكن أحط مثلا لوها
+
+141
+00:11:04,950 --> 00:11:08,050
+metric و أحط عليها English خصوصا مثلا في ال pipes
+
+142
+00:11:08,050 --> 00:11:12,630
+او لازم أستخدم مثلا pipe أو برغي معين ممكن أستخدم
+
+143
+00:11:12,630 --> 00:11:18,390
+شغلات English مع شغلات metric مثلا unless
+
+144
+00:11:18,390 --> 00:11:23,710
+otherwise
+
+145
+00:11:23,710 --> 00:11:26,550
+specified
+
+146
+00:11:30,510 --> 00:11:38,750
+مثلا واحد all dimensions
+
+147
+00:11:38,750 --> 00:11:47,870
+ا مثلا in millimeter all
+
+148
+00:11:47,870 --> 00:11:52,890
+fillets are
+
+149
+00:11:52,890 --> 00:11:56,190
+ا مثلا تن
+
+150
+00:12:11,400 --> 00:12:18,260
+تلاتة اذا مش حاط عليها مثلا انها R Rish مش حاط
+
+151
+00:12:18,260 --> 00:12:21,420
+عليها مفترض انها تبقى النوتها اللي بتغطيها
+
+152
+00:12:39,340 --> 00:12:43,940
+مثلا انا بحكي هنا صرف form service هذا general
+
+153
+00:12:43,940 --> 00:12:48,100
+mode يعني ال service مش حاط عليه هذا ال control
+
+154
+00:12:48,100 --> 00:12:53,770
+هذا ال control بغطيهفا default series profile
+
+155
+00:12:53,770 --> 00:12:56,950
+control can be established with a general note
+
+156
+00:12:56,950 --> 00:13:05,210
+أربعة
+
+157
+00:13:05,210 --> 00:13:10,210
+size and locate features features of size need of
+
+158
+00:13:10,210 --> 00:13:14,290
+size need to be size as well as located
+
+159
+00:13:16,260 --> 00:13:19,640
+انا محتاج احط قيمتها size يعني how big it is او
+
+160
+00:13:19,640 --> 00:13:24,880
+how small it is وحايز احط كمان ال location بتاعها
+
+161
+00:13:24,880 --> 00:13:29,780
+the following three steps are typical locate the
+
+162
+00:13:29,780 --> 00:13:32,320
+true position of the center axis or center plane
+
+163
+00:13:32,320 --> 00:13:36,520
+of each feature of side with basic dimensions يعني
+
+164
+00:13:36,520 --> 00:13:42,420
+عندي مثلا هاي التطابق اول الشيء
+
+165
+00:13:46,380 --> 00:13:53,080
+سنها دي عشرين هي ال basic dimension و
+
+166
+00:13:53,080 --> 00:14:01,240
+التلاتين هي أول خطوة direct dimensions feature ال
+
+167
+00:14:01,240 --> 00:14:07,240
+size five
+
+168
+00:14:07,240 --> 00:14:10,840
+سنة عشرة
+
+169
+00:14:36,430 --> 00:14:40,150
+attach a position control تحط position control و
+
+170
+00:14:40,150 --> 00:14:40,670
+بتكمل
+
+171
+00:14:49,490 --> 00:14:57,730
+طيب رقم خمسة refine orientation of features if
+
+172
+00:14:57,730 --> 00:15:01,670
+needed إذا محتاج other features run out,
+
+173
+00:15:01,870 --> 00:15:08,310
+cylindricity, surface profile تعامد، توازي، حطها
+
+174
+00:15:08,310 --> 00:15:13,670
+كل ما دا عاد الحاجة طيب
+
+175
+00:15:13,670 --> 00:15:15,350
+نشوف مثال نفصله
+
+176
+00:15:23,670 --> 00:15:31,850
+عندي part نعمله GDT و بدنا نعمل تفسير و تحليل واضح
+
+177
+00:15:31,850 --> 00:15:37,570
+ال part هذا revolve part يعني هذا ممكن .. يعني هذا
+
+178
+00:15:37,570 --> 00:15:39,550
+surface of revolution .. surface of revolution ..
+
+179
+00:15:39,550 --> 00:15:44,800
+كله surface of revolutionفى تقوب فى النص و فى هذا
+
+180
+00:15:44,800 --> 00:15:49,720
+الـ cylindrical surface و فى أربع تقوب اللى هما
+
+181
+00:15:49,720 --> 00:15:54,180
+واحد اتنين و اتنين او واحد و فى اتنين مش بعينية
+
+182
+00:15:54,180 --> 00:16:03,300
+عشان ال section و فى واحد يعنى يعني اربع تقوب اولش
+
+183
+00:16:03,300 --> 00:16:06,380
+هو هيختار ال datum features اللى منها هيختار ال
+
+184
+00:16:06,380 --> 00:16:12,600
+datum reference planesأولش بيختار a .. بيختار a ..
+
+185
+00:16:12,600 --> 00:16:18,560
+هاي a ال surface هذا .. ليش بيختار ال surface هذا؟
+
+186
+00:16:18,560 --> 00:16:21,600
+ممكن تختار ال surface .. بس هذا واضح ان it is
+
+187
+00:16:21,600 --> 00:16:26,080
+mating with another part ال surface هذا في mating
+
+188
+00:16:26,080 --> 00:16:29,360
+with another part لما تعمل assembly هكون في part
+
+189
+00:16:29,360 --> 00:16:37,300
+هنا فعشان يختار هذا ال surface على ال part هذا as
+
+190
+00:16:37,300 --> 00:16:37,600
+data
+
+191
+00:16:42,190 --> 00:16:49,290
+الأبقى هو لأنه مش لحاله مش لحاله هو هو مش في عالم
+
+192
+00:16:49,290 --> 00:16:56,770
+منفصل لحاله طبعا لو اخترت هذا مش غلط بس نحكياش
+
+193
+00:16:56,770 --> 00:17:11,830
+أفضليات فالان ال data feature ايه الان مركز
+
+194
+00:17:13,730 --> 00:17:19,730
+السطوانة هذه اعتبر ال data feature بيه ال data
+
+195
+00:17:19,730 --> 00:17:24,910
+feature بيه ال data feature بيه ال data feature
+
+196
+00:17:24,910 --> 00:17:28,530
+بيه ال data feature بيه ال data feature بيه ال
+
+197
+00:17:28,530 --> 00:17:31,170
+data feature بيه ال data feature بيه ال data
+
+198
+00:17:31,170 --> 00:17:31,830
+feature بيه ال data feature بيه ال data feature
+
+199
+00:17:31,830 --> 00:17:31,910
+بيه ال data feature بيه ال data feature بيه ال
+
+200
+00:17:31,910 --> 00:17:31,930
+feature بيه ال data feature بيه ال data feature
+
+201
+00:17:31,930 --> 00:17:38,290
+data feature بيه ال data feature بفي حالة access و
+
+202
+00:17:38,290 --> 00:17:43,590
+مستوى بيكفي ايش؟ two datums اللي هو access و
+
+203
+00:17:43,590 --> 00:17:47,770
+surface لأن once you define access and surface you
+
+204
+00:17:47,770 --> 00:17:54,250
+define مركز الجهداتيات صح؟ طبعا هو مجزق عشان انا
+
+205
+00:17:54,250 --> 00:18:01,590
+لازم اجزق ل note note one note two note three note
+
+206
+00:18:01,590 --> 00:18:14,680
+four note five note ستةتشوف note واحد note
+
+207
+00:18:14,680 --> 00:18:19,980
+واحد اولش هو اعتبر هذا ال surface ال primary plan
+
+208
+00:18:19,980 --> 00:18:27,200
+A primary plan A و هنا كان ليش مختار هذا هنا كان
+
+209
+00:18:27,200 --> 00:18:29,300
+واضح ان هذا ال surface is meeting with another
+
+210
+00:18:29,300 --> 00:18:34,040
+surface بعدين عمل control عليها
+
+211
+00:18:37,010 --> 00:18:40,890
+الـ flatness control حكاية انه هتصبح ازود ان توب
+
+212
+00:18:40,890 --> 00:18:44,470
+ورا ال surface المسافية اللي هو يعنيش point O خمسة
+
+213
+00:18:44,470 --> 00:18:46,750
+مانع تواضح انه لازم يعمل control على ال surface
+
+214
+00:18:46,750 --> 00:18:53,070
+هذا يعني ي establish ال
+
+215
+00:18:53,070 --> 00:18:57,430
+primary feature وعمل عليه control عمل عليه control
+
+216
+00:19:04,340 --> 00:19:07,600
+طبعا flattest control is common for series that is
+
+217
+00:19:07,600 --> 00:19:11,940
+a primary data لأن هو أهم مستوى ل primary .. ل
+
+218
+00:19:11,940 --> 00:19:22,260
+primary data note 2 دعنا نشوف وين جاية note 2 هاي
+
+219
+00:19:22,260 --> 00:19:25,900
+note 2 على
+
+220
+00:19:25,900 --> 00:19:26,880
+الاستوانة هذه
+
+221
+00:19:31,970 --> 00:19:36,590
+أول شي اعتبر ال axis لان هو حط .. حط .. حط ال size
+
+222
+00:19:36,590 --> 00:19:39,950
+بعدين
+
+223
+00:19:39,950 --> 00:19:46,570
+عمل control يعني هذا ال size plus or minus بعدين
+
+224
+00:19:46,570 --> 00:19:53,070
+عمل control عليه حكاية تعامد point five point oh
+
+225
+00:19:53,070 --> 00:19:56,550
+five بالنسبة لإيه؟ يعني ال axis هذا ال P
+
+226
+00:19:59,440 --> 00:20:04,820
+عمودي على a within a cylinder قطرهاش point oh five
+
+227
+00:20:04,820 --> 00:20:11,540
+معناته بالرقم اتنين يعني ضرب عصفر من الحجر اختار
+
+228
+00:20:11,540 --> 00:20:19,440
+ال reference axis B وحط ال variation على ال size
+
+229
+00:20:19,440 --> 00:20:25,280
+وحط controlعلى ال axis بتاع الأسطوانة هتحكى ال
+
+230
+00:20:25,280 --> 00:20:28,640
+axis هو هيكون عمودي على a within this cylindrical
+
+231
+00:20:28,640 --> 00:20:33,580
+tolerance ممكن
+
+232
+00:20:33,580 --> 00:20:36,460
+تحط مقام ال material condition عشان تعمل ال
+
+233
+00:20:36,460 --> 00:20:42,060
+tolerance variable ممكن تحط هنا مقام مثلا max
+
+234
+00:20:42,060 --> 00:20:47,340
+material condition طيب الآن
+
+235
+00:20:53,330 --> 00:20:59,810
+هل بحكي بشكل مطلق هل مركز الاستوانة هذه بيكون نفس
+
+236
+00:20:59,810 --> 00:21:10,210
+مركز الثقوب لأ طبعا بشكل مطلق لان احنا كل شغلنا في
+
+237
+00:21:10,210 --> 00:21:16,450
+الدنيا مش مش مطلق نسبي فهو
+
+238
+00:21:16,450 --> 00:21:17,670
+بيحكي انه
+
+239
+00:21:21,300 --> 00:21:24,820
+و ليش هاخد ال surface هذا؟ لأنه على الأغلب هيمسكه
+
+240
+00:21:24,820 --> 00:21:31,400
+هيمسك ال part من ال surface هذا هيمسك ال part إذا
+
+241
+00:21:31,400 --> 00:21:36,520
+هيمسكه في مخرطات هيمسكه من جزء من هذه الجهة صح؟
+
+242
+00:21:36,520 --> 00:21:42,060
+على ال chuck بالظبط فال axis بتاع هذا هيكون ال
+
+243
+00:21:42,060 --> 00:21:46,760
+axis بتاعه بال chuck هذه
+
+244
+00:21:46,760 --> 00:21:48,620
+النقطة التانية
+
+245
+00:21:51,560 --> 00:21:56,700
+النقطة التالتة القطر
+
+246
+00:21:56,700 --> 00:22:02,980
+الخارجي هذا القطر اعتبره basic basic كتب عليه في
+
+247
+00:22:02,980 --> 00:22:12,720
+تسعين في تسعين بس ماحطش عليه اي control لكن
+
+248
+00:22:12,720 --> 00:22:20,920
+طلعوا تحت unless otherwise specifiedحط surface
+
+249
+00:22:20,920 --> 00:22:27,160
+control point two بالنسبة ل a و بالنسبة ل b معناته
+
+250
+00:22:27,160 --> 00:22:33,800
+هذا حيكون عليه control في حياتي 92 في حياتي 92
+
+251
+00:22:33,800 --> 00:22:38,900
+اللي هو ايش basic size او basic dimension اعمل ليه
+
+252
+00:22:38,900 --> 00:22:44,740
+control surface profile يعني هذه ال cylinder هتكون
+
+253
+00:22:45,470 --> 00:22:50,530
+واقع بين two concentric circles هذا القطر المسافة
+
+254
+00:22:50,530 --> 00:22:54,510
+بينهم point two مقنعة ال surface هذا أخذ فيها
+
+255
+00:22:54,510 --> 00:23:01,910
+الاتبار الشكل ال form وإيش ال orientation كمان
+
+256
+00:23:01,910 --> 00:23:12,930
+التعامل مع مع السطح a لأن هو حكى أنه هذا هكون
+
+257
+00:23:14,360 --> 00:23:19,020
+و then concentric between two circles صح المسافة
+
+258
+00:23:19,020 --> 00:23:23,220
+بينه وياش point two point two مقنعة أخد ال form
+
+259
+00:23:23,220 --> 00:23:29,080
+أخد ال straightness أخد ال cylindricity صح او أخد
+
+260
+00:23:29,080 --> 00:23:36,100
+ال form و ال cylindricity طبعا
+
+261
+00:23:36,100 --> 00:23:40,780
+في ال cylindricity بتاخد شغلتين بالظبط
+
+262
+00:23:40,780 --> 00:23:45,960
+cylindricity وياش و ال straightnessطيب هاد ال note
+
+263
+00:23:45,960 --> 00:23:53,100
+التالتة ال note الرابع أجى لإيش للثقوب الأربعة
+
+264
+00:23:53,100 --> 00:23:57,080
+واحد اتنين تلاتة أربعة حكي أولا أربعة عشان احكي عن
+
+265
+00:23:57,080 --> 00:24:03,720
+إيش أربعة ثقوب أربعة في في عشرة كل واحد كتر عشرة
+
+266
+00:24:03,720 --> 00:24:09,300
+plus zero plus point one minus zero معناته عمل
+
+267
+00:24:09,300 --> 00:24:12,720
+plus or minus tolerance size tolerance على الثقوب
+
+268
+00:24:20,360 --> 00:24:27,360
+بعدين لأن حكى ال control position فاي
+
+269
+00:24:27,360 --> 00:24:33,840
+zero at maximum material condition بالنسبة ل a و b
+
+270
+00:24:33,840 --> 00:24:38,100
+at maximum material boundary لاحظ حط هنا ال trans
+
+271
+00:24:38,100 --> 00:24:43,320
+zero لكن هل هو حقيقة زيرو
+
+272
+00:24:48,340 --> 00:24:50,580
+أيوة في .. هذا عند ال maximum انتي ماكنتش ما هي
+
+273
+00:24:50,580 --> 00:24:55,100
+العشرة هذه يعني عشرة ال maximum انتي ماكنتش تعدها
+
+274
+00:24:55,100 --> 00:24:58,580
+كام؟ هتكون .. هذا ثقب هذا صح؟ العشرة هتكون ال
+
+275
+00:24:58,580 --> 00:25:03,900
+maximum اللي ماكنتش مظبوط عشرة point
+
+276
+00:25:03,900 --> 00:25:07,820
+O بس
+
+277
+00:25:07,820 --> 00:25:15,160
+O واحدة بعدين هذا ال maximummaterial condition و
+
+278
+00:25:15,160 --> 00:25:19,500
+هنطرح منه هو ال .. ال .. ال .. و ال least material
+
+279
+00:25:19,500 --> 00:25:28,020
+condition اللي هو هيكون عشرة point one هنا
+
+280
+00:25:28,020 --> 00:25:36,860
+ال bonus tolerance zero هنا point one و ال
+
+281
+00:25:36,860 --> 00:25:42,720
+indicated tolerancezero zero معناه ال total
+
+282
+00:25:42,720 --> 00:25:56,520
+tolerance zero point one لأ
+
+283
+00:25:56,520 --> 00:26:03,360
+لأ لأ معناته الآن
+
+284
+00:26:03,360 --> 00:26:06,540
+ال hole لما نكون ال maximum condition لل hole ايش
+
+285
+00:26:06,540 --> 00:26:13,810
+اصغر holeو ال maximum air condition للشافت أكبر
+
+286
+00:26:13,810 --> 00:26:19,450
+شافت إذا كان الشافت أكبرش ممكن أعدل عليه صح؟ لكن
+
+287
+00:26:19,450 --> 00:26:23,570
+إذا كان حجمه أصغر من اللازم .. أصغر .. مقدرش أعدل
+
+288
+00:26:23,570 --> 00:26:28,350
+عليه فهذه فيها ميزة طيب
+
+289
+00:26:28,350 --> 00:26:38,240
+بعدين هذه ال .. ال .. ال .. ال .. سموها ال ..طيب
+
+290
+00:26:38,240 --> 00:26:43,540
+هذه حاطة الدائرة اللى بمر فيها الثقوب اللى هي five
+
+291
+00:26:43,540 --> 00:26:56,180
+ستين وعمل عليها basic dimension basic dimension لأ
+
+292
+00:26:56,180 --> 00:27:01,100
+هذه اللى انت مش شايفها دائرة تخيولية دائرة إيش
+
+293
+00:27:01,100 --> 00:27:05,020
+تخيولية فهو واضح عامع ال control
+
+294
+00:27:09,310 --> 00:27:12,250
+بالظبط لان انا بحكي عن position بتاعة ال hole هذى
+
+295
+00:27:12,250 --> 00:27:15,650
+ال position بتاعة ال hole هذى كيف انا احاسبها من
+
+296
+00:27:15,650 --> 00:27:20,050
+بتاعة ال hole هذى مثلا تقاطع المحور هذا مع تقاطع
+
+297
+00:27:20,050 --> 00:27:26,390
+ايش الدائرة هذه فمعمول
+
+298
+00:27:26,390 --> 00:27:32,350
+حسابه هذا ال note الرابع ال note الخامسة بيحكي على
+
+299
+00:27:32,350 --> 00:27:34,990
+.. يعني ال control بتتعرف على ايش الملموس او ايش
+
+300
+00:27:34,990 --> 00:27:35,470
+المادى
+
+301
+00:27:38,810 --> 00:27:43,410
+أيوة فهو هنا هنا هعمل حسابه يعني انا بحكيله هنا
+
+302
+00:27:43,410 --> 00:27:47,170
+بده
+
+303
+00:27:47,170 --> 00:27:49,890
+ارسم ال tolerance zone بس انسى انت قمت بتعمل هذا
+
+304
+00:27:49,890 --> 00:27:55,630
+ال tolerance zone قطر هم يعطيني اها اكام عند ال
+
+305
+00:27:55,630 --> 00:27:58,030
+maximum telecondition zero خلنا نحط رقم يعني في
+
+306
+00:27:58,030 --> 00:28:03,870
+عندى دائرة معينة at any size هيكون
+
+307
+00:28:03,870 --> 00:28:10,120
+المركز موجود anywhereمعناته I take care of this
+
+308
+00:28:10,120 --> 00:28:17,020
+طيب
+
+309
+00:28:17,020 --> 00:28:30,440
+النقطة الخامسة بيحكي عن ثقوب هذا ثقوب a
+
+310
+00:28:30,440 --> 00:28:42,490
+اللي هو عندك bب هاي المحور اللي هو عمود على a الآن
+
+311
+00:28:42,490 --> 00:28:48,170
+ال boundary بتاعة ال axis هذه هي ال maximum
+
+312
+00:28:48,170 --> 00:28:54,690
+boundary تلعب هنا هاي بي يعني ال boundary بتاعة
+
+313
+00:28:54,690 --> 00:28:58,750
+هتكون within ال limits بتاعة التعامد هاي ال
+
+314
+00:28:58,750 --> 00:29:02,790
+boundary بتاعة المحور الموجود في المنطقة هذه
+
+315
+00:29:02,790 --> 00:29:05,470
+واضحات؟
+
+316
+00:29:09,480 --> 00:29:14,740
+طبعا ال maximum material boundary
+
+317
+00:29:14,740 --> 00:29:21,920
+لل axis بي
+
+318
+00:29:21,920 --> 00:29:31,100
+.. وين هيكون؟ هيكون في النص ال least boundary حد
+
+319
+00:29:31,100 --> 00:29:31,980
+بعيد عن المركز
+
+320
+00:29:36,010 --> 00:29:39,990
+هذه معناته في حالة ان انا استخدم ال M او ال L مع
+
+321
+00:29:39,990 --> 00:29:46,570
+ال A و ال B ايش
+
+322
+00:29:46,570 --> 00:29:51,750
+هيأثر
+
+323
+00:29:51,750 --> 00:29:56,510
+على ال position تاع ال center line؟ هيأثر طبعا لان
+
+324
+00:29:56,510 --> 00:30:03,990
+B معرف بالنسبة ل A و ال Phi معرف
+
+325
+00:30:05,500 --> 00:30:10,640
+الهدي اكتر بالنسبة له دي اكتر منه له ايه اكتر له
+
+326
+00:30:10,640 --> 00:30:14,740
+بيه بالنسبة له ايه له ايه فبيأثر يعني لو انا بدي
+
+327
+00:30:14,740 --> 00:30:19,040
+احطها انا مابحطهاش هدي لانه انا بحكي built in في
+
+328
+00:30:19,040 --> 00:30:24,120
+هدي واضح؟
+
+329
+00:30:24,120 --> 00:30:29,760
+هو محطيلك options عشان تفسر بس لو انا حقيقة مشمولة
+
+330
+00:30:29,760 --> 00:30:29,960
+هنا
+
+331
+00:30:33,430 --> 00:30:41,850
+ملاش لازمة الان النقطة الخامسة الثقوب هذا حاطط
+
+332
+00:30:41,850 --> 00:30:46,050
+اللي هو ال size feature في الشي plus و minus point
+
+333
+00:30:46,050 --> 00:30:51,890
+او five هذا بيحكي على ال variation في ال size عمل
+
+334
+00:30:51,890 --> 00:30:55,770
+control على ال position بتاعه control على ال
+
+335
+00:30:55,770 --> 00:31:05,080
+position بتاعه هيكون مركز الثقوب هذاwithin a
+
+336
+00:31:05,080 --> 00:31:09,800
+cylindrical trans of point three بالنسبة ل a و
+
+337
+00:31:09,800 --> 00:31:17,740
+بالنسبة ل b يعني المركز هذا هكون واقعا و المسافة
+
+338
+00:31:17,740 --> 00:31:21,360
+هذه point three
+
+339
+00:31:33,540 --> 00:31:39,320
+الملاحظة السادسة هنا
+
+340
+00:31:39,320 --> 00:31:42,860
+ماخد
+
+341
+00:31:42,860 --> 00:31:47,340
+ال size هذا اللي
+
+342
+00:31:47,340 --> 00:31:53,340
+هو المسافة عشرين basic size او basic dimension
+
+343
+00:31:53,340 --> 00:31:57,160
+بعدين
+
+344
+00:31:57,160 --> 00:32:00,000
+ماخد surface profile ال surface هذا
+
+345
+00:32:02,940 --> 00:32:09,640
+حكي لي point one بالنسبة لإيه يعني هذا ال surface
+
+346
+00:32:09,640 --> 00:32:18,000
+هيكون wave يعني
+
+347
+00:32:18,000 --> 00:32:24,720
+هذا بيحكي على ال form بتاعة ال surface هذا و
+
+348
+00:32:24,720 --> 00:32:28,660
+التوازي ال surface هذا مع ال data
+
+349
+00:32:33,450 --> 00:32:37,830
+طبعا واضح انه حكى عن ال flatness و ال parallelism
+
+350
+00:32:37,830 --> 00:32:42,990
+لان هو بيحكيلي ان السير السادة فيه تموج 3D مسموح
+
+351
+00:32:42,990 --> 00:32:47,830
+لتموج بين طبقتين اللي هي المسافرين هو ايش point
+
+352
+00:32:47,830 --> 00:32:52,530
+واحد فعلا انا فعلا اخد الاعتبار الاستواء ال
+
+353
+00:32:52,530 --> 00:32:59,490
+flatness و التوازي مع المستوى او ال data ايه
+
+354
+00:33:03,890 --> 00:33:06,390
+طب ال 30 هذا بتقرر برضه ال control على ال profile
+
+355
+00:33:06,390 --> 00:33:09,830
+التحت اللي ايش ال basic dimension اللي بتاعك هذه
+
+356
+00:33:09,830 --> 00:33:15,150
+اه ال 20 ايش معلها ال control على التحت يعني هذا
+
+357
+00:33:15,150 --> 00:33:20,070
+يظهر لك ال note اللي تحت الاخر باصلا لأ لأ انا
+
+358
+00:33:20,070 --> 00:33:25,730
+محدد على ال surface هذا هذي هذي does not apply لإن
+
+359
+00:33:25,730 --> 00:33:29,770
+انا هذه specifically ال surface هذا ف ال general
+
+360
+00:33:29,770 --> 00:33:34,320
+note اللي هنامايلهاش اي effect على هذه ايه اللي
+
+361
+00:33:34,320 --> 00:33:50,740
+اذا شيلتها دي اذا شيلتها دي بيصيرها ايه ايش تأثير؟
+
+362
+00:33:50,740 --> 00:34:00,280
+بتأثر بس على خمسة بتأثر ع كمسة بس ايش خمسة؟فاي تاع
+
+363
+00:34:00,280 --> 00:34:10,400
+الخارج تاع ال .. برا هذه خمسة صح فاي تسعين هذه
+
+364
+00:34:10,400 --> 00:34:13,840
+خمسة فاي تسعين لأ هذه بيحكي على الثقوب فاي تسعين
+
+365
+00:34:13,840 --> 00:34:18,500
+اللي ببقى من ال .. ايه ما هذي لأ لأ لأ لأ فاي
+
+366
+00:34:18,500 --> 00:34:23,040
+تسعين بيحكي على هذا ال surface ال surface
+
+367
+00:34:23,040 --> 00:34:27,080
+الاستوانييعني بس هاذي .. هذه يعني مثلا ال feature
+
+368
+00:34:27,080 --> 00:34:29,220
+هاذ control هاذ بس بيأثر على ال basic dimension
+
+369
+00:34:29,220 --> 00:34:32,920
+فاي تسعين؟ هذه .. بس ده اللي بتأثر .. هاذ النوع ..
+
+370
+00:34:32,920 --> 00:34:38,560
+هاذ بتأثر at any other surface at any other ..
+
+371
+00:34:38,560 --> 00:34:42,200
+عشان ايه ماحطاش cylindrical لأ مش هاذ ال .. فاي
+
+372
+00:34:42,200 --> 00:34:45,520
+تسعين ايه اللي مش عليا feature لأ هي هذه .. هي
+
+373
+00:34:45,520 --> 00:34:50,300
+عندك هذه في عليها .. هاذ صوت عليه .. هاذ صوت عليه
+
+374
+00:34:51,520 --> 00:34:55,400
+هذا عليه .. هذا عليه ال flat نفسيا موجودة خلاص ال
+
+375
+00:34:55,400 --> 00:35:01,120
+a لكن هذا مافيش عليه form مافيش عليه profile هذا
+
+376
+00:35:01,120 --> 00:35:04,060
+في .. هذا في عليه .. لا مافيش عليه اللي هو إيش ال
+
+377
+00:35:04,060 --> 00:35:15,400
+five تسعين افترجت
+
+378
+00:35:15,400 --> 00:35:17,900
+أعمل الليغة
+
+379
+00:35:24,420 --> 00:35:28,940
+طيب خليني معناته نرجع الموضوع بتاعنا الأساسي هنخش
+
+380
+00:35:28,940 --> 00:35:38,080
+موضوع جديد how to select fits between mating parts
+
+381
+00:35:38,080 --> 00:35:43,020
+طبعا ال fits بين mating parts ممكن تكون clearance
+
+382
+00:35:43,020 --> 00:35:49,900
+fit او interference او في clearance في transition
+
+383
+00:35:49,900 --> 00:35:50,500
+وفي interference
+
+384
+00:35:53,550 --> 00:35:56,990
+الان هنحكي على ال standard الان a clearance لما ..
+
+385
+00:35:56,990 --> 00:35:59,370
+فى شكل عام ال clearance لما يكون فى relative
+
+386
+00:35:59,370 --> 00:36:02,750
+motion between two metric parts يعني عندي shaft و
+
+387
+00:36:02,750 --> 00:36:06,990
+hole فى بينهم rotation انا بتقول لازم تعمل ايه؟
+
+388
+00:36:06,990 --> 00:36:11,990
+clearance او sliding او sliding يعني فى .. ما انا
+
+389
+00:36:11,990 --> 00:36:16,870
+حكيت relative motion الان هل ممكن تكون rotation او
+
+390
+00:36:16,870 --> 00:36:20,050
+translation او التنين rotation و translation
+
+391
+00:36:51,460 --> 00:36:54,600
+طيب خلّيني أحكي على ال .. ال .. أنا في الأول ..
+
+392
+00:36:54,600 --> 00:36:57,060
+يعني أنا بدي أحكي على ال .. ال .. الهدف في
+
+393
+00:36:57,060 --> 00:37:01,620
+المحاضرة .. الجزء تاني المحاضرة نحكي عن ال fits
+
+394
+00:37:01,620 --> 00:37:07,600
+بين mating parts بس لما نحكي على ال fits بدنا نشوف
+
+395
+00:37:07,600 --> 00:37:11,680
+بعض ال definitions مش عندى nominal size nominal هو
+
+396
+00:37:13,130 --> 00:37:16,950
+appropriate size لو انا ال size بابدا منه مافيش
+
+397
+00:37:16,950 --> 00:37:21,670
+عليه اي tolerance يعني مثلا عندي ثقب وهول هاي عندي
+
+398
+00:37:21,670 --> 00:37:26,550
+shaft وفي
+
+399
+00:37:26,550 --> 00:37:31,930
+ثقب هذا
+
+400
+00:37:31,930 --> 00:37:43,100
+عشرين وهذا عشرين هذا nominal size لسهماحكيتش عن
+
+401
+00:37:43,100 --> 00:37:45,960
+طبيعة ال fit بينهم هل هو clearance ولا
+
+402
+00:37:45,960 --> 00:37:49,860
+interference مثلا وإذا clearance how .. how much
+
+403
+00:37:49,860 --> 00:37:56,700
+وإذا interference how much معناته هذا nominal size
+
+404
+00:37:56,700 --> 00:37:59,600
+هذا اللي ببدأ منه أبدأ أرسم أرسم .. أبدأ أرسم ال
+
+405
+00:37:59,600 --> 00:38:02,860
+parts بتاعتي يعني أنا برسم ال parts طبقا لل
+
+406
+00:38:02,860 --> 00:38:08,310
+nominal و بعدين ببدأ أعمل عليهم إيشبحط ال fits بعد
+
+407
+00:38:08,310 --> 00:38:16,350
+بحط ال fits بعمل ال GDT بحط ال fits بعدين GDT يعني
+
+408
+00:38:16,350 --> 00:38:19,910
+ال shaft دمج تاعة واحد و نص plus or minus point oh
+
+409
+00:38:19,910 --> 00:38:27,490
+three النمو ده اللي تعويش واحد و نص a
+
+410
+00:38:27,490 --> 00:38:29,730
+dimension of واحد و نص
+
+411
+00:38:32,920 --> 00:38:38,740
+الـ plus واحد minus point O O
+
+412
+00:38:38,740 --> 00:38:42,080
+O five is still said to have a null dimension of
+
+413
+00:38:42,080 --> 00:38:47,180
+one and a half هذا واضح هذا واحد من الف مش واحد
+
+414
+00:38:47,180 --> 00:38:50,580
+فانا
+
+415
+00:38:50,580 --> 00:38:53,240
+still هذا هو ال nominal size بغض النظر ال
+
+416
+00:38:53,240 --> 00:38:58,780
+tolerance ل plus بتستوى ال minus او بتستوى ال hash
+
+417
+00:39:03,450 --> 00:39:07,330
+الان خلينا نتعرف عندي على ال basic التسميات
+
+418
+00:39:07,330 --> 00:39:13,950
+الأساسية في عندي هاي .. هاي عندي قطع فيها hole و
+
+419
+00:39:13,950 --> 00:39:23,330
+في عندي ايش؟ ال shaft طيب
+
+420
+00:39:23,330 --> 00:39:27,770
+يعني
+
+421
+00:39:27,770 --> 00:39:31,190
+انا مختلف معاه هو في التسمي يسمي basic .. ده يسمي
+
+422
+00:39:31,190 --> 00:39:35,630
+nominal size مش basic sizenominal غير ال basic
+
+423
+00:39:35,630 --> 00:39:43,490
+تسميه nominal size فى common size بين ال shaft و
+
+424
+00:39:43,490 --> 00:39:47,670
+ال hole فى عندي لل shaft خلنا نركز على ال shaft
+
+425
+00:39:47,670 --> 00:39:52,570
+عندي ال minimum size لل shaft يعني ال shaft قطر
+
+426
+00:39:52,570 --> 00:39:57,290
+ممكن يكون هذا أقل يشيله و فى ال maximum size لل
+
+427
+00:39:57,290 --> 00:40:00,930
+shaft فعندي minimum size لل shaft و فعندي maximum
+
+428
+00:40:00,930 --> 00:40:06,020
+size لل shaft و نفس الأشياء عنديminimum size لل
+
+429
+00:40:06,020 --> 00:40:16,700
+whole و maximum size لل whole الآن الاختلاف او
+
+430
+00:40:16,700 --> 00:40:27,080
+البعد بين any size بين ال minimum و ال maximum عن
+
+431
+00:40:27,080 --> 00:40:33,790
+ال nominal بسميه deviation البعد او الانحرافof any
+
+432
+00:40:33,790 --> 00:40:36,890
+size بين ال minimum و ال maximum عن ال nominal
+
+433
+00:40:36,890 --> 00:40:42,070
+بسميه ash deviation بغض النظر هو ال minimum
+
+434
+00:40:42,070 --> 00:40:47,130
+deviation او ال maximum deviation الان في حالة ال
+
+435
+00:40:47,130 --> 00:40:51,150
+shaft الفرق
+
+436
+00:40:51,150 --> 00:40:55,410
+بين ال nominal size و ال maximum size بسميه ال
+
+437
+00:40:55,410 --> 00:40:57,910
+upper deviation ال upper deviation ال upper
+
+438
+00:40:57,910 --> 00:41:04,320
+deviation الان المسافة بينال nominal size و ال
+
+439
+00:41:04,320 --> 00:41:13,440
+minimum size بسميها ال lower deviation طيب
+
+440
+00:41:13,440 --> 00:41:22,940
+نيجي ليش لل whole ال whole المسافة
+
+441
+00:41:22,940 --> 00:41:28,140
+لاحظوا المسافة بين ال nominal sizeو ال minimum
+
+442
+00:41:28,140 --> 00:41:32,760
+hole باسمها ال lower deviation و المسافة بين ال
+
+443
+00:41:32,760 --> 00:41:37,300
+nominal size و ال maximum hole برضه باسمها ال
+
+444
+00:41:37,300 --> 00:41:40,980
+upper deviation معناته دائما ال lower deviation هي
+
+445
+00:41:40,980 --> 00:41:45,380
+الفرق بين ال nominal و ال minimum size بغض النظر
+
+446
+00:41:45,380 --> 00:41:53,160
+هل هو shaft او hole بخضع نفس التسمية
+
+447
+00:41:58,120 --> 00:42:03,220
+الان الفرق هى ال minimum و هى ال maximum الفرق بين
+
+448
+00:42:03,220 --> 00:42:07,160
+ال maximum و ال minimum بسميه ال international
+
+449
+00:42:07,160 --> 00:42:13,720
+tolerance grade IT number الفرق بين ال maximum و
+
+450
+00:42:13,720 --> 00:42:16,660
+ال minimum هذه المسافة بسميه ال international
+
+451
+00:42:16,660 --> 00:42:20,340
+tolerance grade IT number لا
+
+452
+00:42:26,570 --> 00:42:28,910
+أنا بحكي الفرق بين ال maximum و ال minimum ال
+
+453
+00:42:28,910 --> 00:42:33,170
+lower deviation هي الفرق بين ال minimum size و ال
+
+454
+00:42:33,170 --> 00:42:36,650
+nominal size
+
+455
+00:42:36,650 --> 00:42:40,110
+هذا
+
+456
+00:42:40,110 --> 00:42:42,930
+بحكي عن ال tolerance zone في ال size ال tolerance
+
+457
+00:42:42,930 --> 00:42:46,350
+zone في ال size الفرق بين ال maximum و ال minimum
+
+458
+00:42:46,350 --> 00:42:51,330
+هي ال international tolerance grade delta D ال IT
+
+459
+00:42:51,330 --> 00:42:56,850
+number لحظة في ال chat برز برز الرمز D smallو ال
+
+460
+00:42:56,850 --> 00:43:01,370
+hole دي capital عند ال international international
+
+461
+00:43:01,370 --> 00:43:04,450
+grade في حالة ال hole هو الفرق بين ال maximum hole
+
+462
+00:43:04,450 --> 00:43:12,690
+و ال minimum hole اللي هي delta D capital قصبور
+
+463
+00:43:12,690 --> 00:43:20,450
+شوية قصبور شوية لسه ما خلصناش طيب في حالة ال shaft
+
+464
+00:43:24,230 --> 00:43:27,930
+الـ fundamental deviation بيستوى ال upper
+
+465
+00:43:27,930 --> 00:43:30,090
+deviation ال fundamental deviation في حالة ال
+
+466
+00:43:30,090 --> 00:43:36,370
+shaft هو ال upper deviation في حالة ال hole ال
+
+467
+00:43:36,370 --> 00:43:39,690
+lower deviation هو ال fundamental deviation ال
+
+468
+00:43:39,690 --> 00:43:43,570
+lower deviation هو ال fundamental deviation معناته
+
+469
+00:43:43,570 --> 00:43:47,730
+في ال shaft غير ال hole في ال shaft ال upper
+
+470
+00:43:47,730 --> 00:43:51,750
+deviation هو ال fundamental deviationفي حالة ال
+
+471
+00:43:51,750 --> 00:43:55,610
+whole ال fundamental deviation هو ال lower
+
+472
+00:43:55,610 --> 00:43:58,670
+deviation و احنا عرفنا ايش ال lower deviation و
+
+473
+00:43:58,670 --> 00:44:00,370
+ايش هو ال max deviation ال lower deviation هو
+
+474
+00:44:00,370 --> 00:44:05,130
+الفرق بين ال nominal و ال minimum size بغض النظر
+
+475
+00:44:05,130 --> 00:44:07,930
+هو shaft او whole و ال upper deviation هو الفرق
+
+476
+00:44:07,930 --> 00:44:13,950
+برضه بين ال maximum size و ال nominal size
+
+477
+00:44:19,080 --> 00:44:23,800
+زي ما حكينا اللي .. اللي بنستخدم لل whole أحروف
+
+478
+00:44:23,800 --> 00:44:29,380
+capital letter بالنسبة للشرفت بنستخدم ال small ..
+
+479
+00:44:29,380 --> 00:44:36,280
+ال small letter أنا
+
+480
+00:44:36,280 --> 00:44:39,120
+هغيرها، هاد هسميها nominal size لإن ال basic غير
+
+481
+00:44:39,120 --> 00:44:45,230
+ال nominal عشان ما نخبطش مع ال GDTnominal size هو
+
+482
+00:44:45,230 --> 00:44:49,830
+common diameter بين ال shaft و بين ال hole ال
+
+483
+00:44:49,830 --> 00:44:52,210
+tolerance اللي هو difference between maximum and
+
+484
+00:44:52,210 --> 00:44:57,530
+minimum size هذا ال tolerance ال deviation ال
+
+485
+00:44:57,530 --> 00:45:00,950
+deviation between a size and the nominal size
+
+486
+00:45:00,950 --> 00:45:06,770
+deviation between a size and the nominal size بغض
+
+487
+00:45:06,770 --> 00:45:10,920
+ان اطلع لمعناه ال upper deviationو ال lower
+
+488
+00:45:10,920 --> 00:45:17,820
+deviation ايش؟ حالة خاصة من ال deviation ال
+
+489
+00:45:17,820 --> 00:45:20,680
+upper deviation هو ال maximum limit minus ال باقى
+
+490
+00:45:20,680 --> 00:45:24,380
+ال nominal size و ال lower deviation ال minimum
+
+491
+00:45:24,380 --> 00:45:30,460
+limit minus ال nominal size ال fundamental
+
+492
+00:45:30,460 --> 00:45:34,960
+deviation هو either the upper or the lower
+
+493
+00:45:34,960 --> 00:45:40,070
+deviationdepending in which is closer to the
+
+494
+00:45:40,070 --> 00:45:46,570
+nominal size هو بيكون يا ال upper يا ال lower فى
+
+495
+00:45:46,570 --> 00:45:52,010
+حال ال shaft بيكون ال upper deviation فى حال ال
+
+496
+00:45:52,010 --> 00:45:55,330
+hole بيكون ال lower deviation مين أقرب لل nominal
+
+497
+00:45:55,330 --> 00:46:00,070
+size فى
+
+498
+00:46:00,070 --> 00:46:05,930
+عندى ال fits two system ال hole basis وال shaft
+
+499
+00:46:05,930 --> 00:46:10,140
+basisHole is a system of fits corresponding to a
+
+500
+00:46:10,140 --> 00:46:14,860
+nominal hole size الفندمتال الديفيهشن بيسمي H
+
+501
+00:46:14,860 --> 00:46:20,140
+كبيتال and shaft is a system of fits based on
+
+502
+00:46:20,140 --> 00:46:27,540
+nominal shaft size الفندمتال الديفيهشن is H صغير
+
+503
+00:46:27,540 --> 00:46:31,560
+حضر الجائر نكمل تاكوا العفو
+
diff --git a/PL9fwy3NUQKwbRqiyGIGaMMN6wI9A06Vao/cdUkHGHSVH0_postprocess.srt b/PL9fwy3NUQKwbRqiyGIGaMMN6wI9A06Vao/cdUkHGHSVH0_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..8c56ccfc65c8adb30dd4aee2bff945622e79af21
--- /dev/null
+++ b/PL9fwy3NUQKwbRqiyGIGaMMN6wI9A06Vao/cdUkHGHSVH0_postprocess.srt
@@ -0,0 +1,1784 @@
+1
+00:00:05,260 --> 00:00:09,320
+السلام عليكم و رحمة الله و بركاته هنكمل في مادة
+
+2
+00:00:09,320 --> 00:00:15,160
+تصميم الألات اتنين و هنكمل design flexible
+
+3
+00:00:15,160 --> 00:00:18,960
+mechanical elements المحاضرة الفاتة كانت المحاضرة
+
+4
+00:00:18,960 --> 00:00:23,500
+الأولى هنعمل مراجعة سريعة بحكي ان ال builds ممكن
+
+5
+00:00:23,500 --> 00:00:27,120
+تيجي على يعني انها flat builds, round builds بحكي
+
+6
+00:00:27,120 --> 00:00:32,380
+على المقطع انا او المقطع بيكون V built او timing
+
+7
+00:00:32,380 --> 00:00:34,600
+built بتكون built مسننة
+
+8
+00:00:37,630 --> 00:00:41,190
+طلعنا على ال geometric parameters لل flat open
+
+9
+00:00:41,190 --> 00:00:45,650
+built شوفنا ال center distance شوفنا ال contact
+
+10
+00:00:45,650 --> 00:00:50,870
+included angle عند ال pinion و ال contact included
+
+11
+00:00:50,870 --> 00:00:59,430
+angle عند ال driven و شوفنا كيف ممكن يتم حساب طول
+
+12
+00:00:59,430 --> 00:01:03,650
+ال built نفسها نفس الشي سونا في حالة ال crossed
+
+13
+00:01:03,650 --> 00:01:09,010
+builtهكذا ال build ممكن تكون non-reversing يعني
+
+14
+00:01:09,010 --> 00:01:15,130
+اتجاه دوران ال driver هو نفس اتجاه دوران ال driven
+
+15
+00:01:15,130 --> 00:01:18,830
+زي الحالة اللي احنا شايفينها تسمى non-reversing
+
+16
+00:01:18,830 --> 00:01:24,410
+open build ممكن تكون reversing يعني اتجاه دوران ال
+
+17
+00:01:24,410 --> 00:01:29,270
+driver عكس اتجاه دوران ال driven زي حالة ال
+
+18
+00:01:29,270 --> 00:01:34,450
+crossed build configurationأو ممكن نعمل reversing
+
+19
+00:01:34,450 --> 00:01:38,210
+open built drive system زي ما انتوا شايفينه عشان
+
+20
+00:01:38,210 --> 00:01:43,850
+اعكس اتجاه دوران ال driver عند ال driven اضفت
+
+21
+00:01:43,850 --> 00:01:45,770
+بكرتين على الشمال
+
+22
+00:01:48,890 --> 00:01:56,210
+طبعا مش ضرور يكون المحاور ال poly متوازية الحالة
+
+23
+00:01:56,210 --> 00:02:00,590
+اللى انتوا شايفينها عندى المحورين متعمدين فممكن
+
+24
+00:02:00,590 --> 00:02:04,110
+يكون طبعا بيصير في شفاية ال twist فمش ضرور يكون
+
+25
+00:02:04,110 --> 00:02:10,330
+عندى المحاور متوازية ممكن تكون ال poly variable
+
+26
+00:02:10,330 --> 00:02:17,150
+speed built drive طيب
+
+27
+00:02:20,790 --> 00:02:25,170
+عملنا derivation لل
+
+28
+00:02:25,170 --> 00:02:29,550
+forces اللى بتأثر على ال build احنا اخدنا
+
+29
+00:02:29,550 --> 00:02:32,430
+infinitesimal element بيأثر عليها centrifugal
+
+30
+00:02:32,430 --> 00:02:36,730
+force DS capital و normal force DN و frictional
+
+31
+00:02:36,730 --> 00:02:43,160
+force FDNفي عندى ال force من بداية ال element
+
+32
+00:02:43,160 --> 00:02:50,540
+لنهاته متغيرة في عندى F تتغير ل F زائد DF أخدنا
+
+33
+00:02:50,540 --> 00:02:52,980
+summation force تجاه ال radial direction وحصلنا
+
+34
+00:02:52,980 --> 00:02:58,080
+على DN بالساوية FDθ minus DS واخدنا بتجاه ال
+
+35
+00:02:58,080 --> 00:03:02,300
+tangential direction كانت DF بالساوية FDN طبعا
+
+36
+00:03:02,300 --> 00:03:05,500
+استخدمت المعادلتين ال summation force بتجاه ال
+
+37
+00:03:05,500 --> 00:03:17,210
+radial و ال tangentialأعططي معادلة
+
+38
+00:03:17,210 --> 00:03:18,990
+تفاضلية
+
+39
+00:03:20,590 --> 00:03:26,130
+خطية من الدرجة الأولى غير متجنسة non linear non
+
+40
+00:03:26,130 --> 00:03:29,050
+homogeneous differential equation الحل بتاعها
+
+41
+00:03:29,050 --> 00:03:32,050
+هيكون F بالساوية جزءين جزء اللي هو ال homogeneous
+
+42
+00:03:32,050 --> 00:03:34,630
+solution و ال particular solution ال F بالساوية A
+
+43
+00:03:34,630 --> 00:03:39,190
+exponential ال F θ زاد M R square Omega square
+
+44
+00:03:39,190 --> 00:03:43,910
+عشان نحسب قيمة ال A شوفنا ال boundary conditionsفي
+
+45
+00:03:43,910 --> 00:03:47,490
+بداية لما كانت theta كانت تستوى صفر كانت ال force
+
+46
+00:03:47,490 --> 00:03:51,570
+يعني بيستوى F2 ال force ال F2 هي ال force عند ال
+
+47
+00:03:51,570 --> 00:03:54,370
+lose side من ال build في عند ال build اللي لها ال
+
+48
+00:03:54,370 --> 00:03:59,150
+tight side و في lose side و من ال boundary
+
+49
+00:03:59,150 --> 00:04:03,090
+condition هذه حسبة قيمة ال A تطلع F2 minus Mr
+
+50
+00:04:03,090 --> 00:04:06,150
+Square Omega Square ال second boundary condition
+
+51
+00:04:06,150 --> 00:04:11,490
+لما تة تكون تستوى في بتكون ال force تستوى F1 هاي
+
+52
+00:04:11,490 --> 00:04:12,470
+another equation
+
+53
+00:04:17,540 --> 00:04:22,080
+حلت ال equation مع بعض عملت تسهيلات جابرية صار
+
+54
+00:04:22,080 --> 00:04:27,300
+عندى المعادلات F1-MR2 Omega Square على F2-MR2
+
+55
+00:04:27,300 --> 00:04:33,080
+Omega Square بالساوية exponential لل F Phiأول
+
+56
+00:04:33,080 --> 00:04:39,720
+معادلة البعدة f1-f2 بيستوى f1-fc في exponential ل
+
+57
+00:04:39,720 --> 00:04:45,700
+f phi-1 في exponential ل f phi ال V هي السرعة
+
+58
+00:04:45,700 --> 00:04:49,620
+المحيطية بواحدة ال feet per minute بيستوى pi Dn
+
+59
+00:04:49,620 --> 00:04:56,090
+على اتناشر ال D هي قطرال driver poly و ال N هي
+
+60
+00:04:56,090 --> 00:05:01,970
+سرعة ال driver poly بوحدة ال RPM حسبنا ال
+
+61
+00:05:01,970 --> 00:05:06,850
+centrifugal force FC بساوية W على G في V على 60
+
+62
+00:05:06,850 --> 00:05:08,010
+لكل تربيع
+
+63
+00:05:12,470 --> 00:05:16,050
+بعدين احنا عارفين ان ال F1 دي ال tight اكتر من ال
+
+64
+00:05:16,050 --> 00:05:20,490
+F2 F1 بيستوى Fi زي Fc زي delta F على 2 و F2 بيستوى
+
+65
+00:05:20,490 --> 00:05:22,490
+Fi زي Fc من ال delta F على 2
+
+66
+00:05:25,710 --> 00:05:29,990
+المعادلة اللى هى F يعني جمعنا المعادلتين و طرحناها
+
+67
+00:05:29,990 --> 00:05:33,630
+من بعض حصنا على معادلتين اللى هى F1-F2 زي 2 T على
+
+68
+00:05:33,630 --> 00:05:40,850
+D و F1 زي F2 زي 2 Fi زي 2 Fc عملنا solution لل Fi
+
+69
+00:05:40,850 --> 00:05:45,510
+طلعت Fi بالساوية T exponential F5 زي 1 على D
+
+70
+00:05:45,510 --> 00:05:48,430
+exponential F5 minus 1
+
+71
+00:05:51,740 --> 00:05:58,800
+و برضه حسبنا عملنا معادل ل F1 و F2 بعدين عملنا
+
+72
+00:05:58,800 --> 00:06:05,100
+plot ل F1 و F2 مع ال tension ال initial tension
+
+73
+00:06:05,100 --> 00:06:10,980
+بال build Fi طبعا لما مايكونش في initial tension
+
+74
+00:06:10,980 --> 00:06:15,720
+Fi بتكون ال F1 و F2 بستوى Fc يعني بس بكون عندك ال
+
+75
+00:06:15,720 --> 00:06:21,190
+parts due to centrifugal effectطبعا كل ما زود ال
+
+76
+00:06:21,190 --> 00:06:25,790
+FI كل ما الفرق بين F1 و F2 بزيد و الفرق بين F1 و
+
+77
+00:06:25,790 --> 00:06:29,870
+F2 هو المسئول عن ال torque اللي بيصير في ال drive
+
+78
+00:06:29,870 --> 00:06:33,990
+system لحد
+
+79
+00:06:33,990 --> 00:06:39,390
+هنا وصلنا طيب مصنعي
+
+80
+00:06:39,390 --> 00:06:48,420
+او مصنعو البكرات و ال buildsبيعطوا specification
+
+81
+00:06:48,420 --> 00:06:52,880
+لل builds بتاعتهم على النحو التالي اولش باطيلك
+
+82
+00:06:52,880 --> 00:07:00,620
+اللي قاله ال tension FA لكل وحدة width بعدين built
+
+83
+00:07:00,620 --> 00:07:05,490
+life بتكون عادة عدة سنواتبعدين بيعطيني correction
+
+84
+00:07:05,490 --> 00:07:10,430
+عند اللي هو نتيجة ال flexing انه عند ال .. ال ..
+
+85
+00:07:10,430 --> 00:07:14,130
+ال .. ال poly بيصير flexing .. flexing لل .. لل
+
+86
+00:07:14,130 --> 00:07:18,410
+built لما تطلع بيصير العكس بتاعديل flex اعدل flex
+
+87
+00:07:18,410 --> 00:07:22,070
+اعدل فهذا اللي لازم اعمل correction factor طبعا كل
+
+88
+00:07:22,070 --> 00:07:26,150
+ما زادت قطر ال poly كل ما كان ال flexing effect
+
+89
+00:07:26,150 --> 00:07:30,710
+اقل وبالتالي انا لازم اني poly correction factor
+
+90
+00:07:30,710 --> 00:07:31,830
+CP
+
+91
+00:07:38,710 --> 00:07:43,910
+Speed in axis of 600 feet per minute سرعات أكتر من
+
+92
+00:07:43,910 --> 00:07:50,590
+ستمائة قدم في الدقيقة بنعملها تصحيح باستخدام
+
+93
+00:07:50,590 --> 00:07:55,190
+ballistic correction factor CV لل build المصنع من
+
+94
+00:07:55,190 --> 00:08:01,590
+مادة ال polyamide أو اليوريثين بنستخدم CV واحد for
+
+95
+00:08:01,590 --> 00:08:06,330
+leather builds بنستخدم شكل سبعتاش تسعة هنشوفه بعد
+
+96
+00:08:06,330 --> 00:08:10,910
+شويةa service factor ks is used for excursions of
+
+97
+00:08:10,910 --> 00:08:14,310
+load from nominal يعني ممكن أندي load يزيد عن ال
+
+98
+00:08:14,310 --> 00:08:18,830
+nominal بشكل مفاجئة أو بشكل غير المتوقع في الحالة
+
+99
+00:08:18,830 --> 00:08:25,330
+ده ال design power بالساوية ال nominal power في في
+
+100
+00:08:25,330 --> 00:08:28,610
+في factor اللي هو service factor ks في design
+
+101
+00:08:28,610 --> 00:08:35,430
+factor ND الان
+
+102
+00:08:35,430 --> 00:08:36,370
+these effects
+
+103
+00:08:39,530 --> 00:08:43,970
+طبعا هذه باخدها من وين من الكتالوجي ال F A بيسميها
+
+104
+00:08:43,970 --> 00:08:50,750
+F 1 A انا باهم من ال tight side F 1 A بيسميها B F
+
+105
+00:08:50,750 --> 00:08:58,210
+A C P C V ال B هي لان هذه واحدة تاياشة pound لكل
+
+106
+00:08:58,210 --> 00:09:02,730
+واحدة width ال C P ال correction factor for ال
+
+107
+00:09:02,730 --> 00:09:08,430
+flexing للبولي اللي هو هذه ال table سبعتاش أربعةو
+
+108
+00:09:08,430 --> 00:09:13,170
+CV Velocity Correction Factor ال F1 ايه اللي يسمح
+
+109
+00:09:13,170 --> 00:09:20,450
+بالكثير من التنسين بواحدة ال pound force الان
+
+110
+00:09:20,450 --> 00:09:24,090
+في steps خطوات عشان نعمل analysis ل flat built
+
+111
+00:09:24,090 --> 00:09:30,950
+drive هو تسعة تسعة تسعة
+
+112
+00:09:30,950 --> 00:10:02,340
+خطوات على فكرة انا مغير عليهاامحدث عليها انا امحدث
+
+113
+00:10:02,340 --> 00:10:17,470
+عليهاطيب ماشي هذه قديمة شوية انا
+
+114
+00:10:17,470 --> 00:10:21,190
+مغير انا حاطط ال tables و ال figures في مكانها
+
+115
+00:10:21,190 --> 00:10:29,270
+مباشرة طيب على اي حال عندي
+
+116
+00:10:29,270 --> 00:10:37,360
+تسعة steps اول stepFind Exponential of FI from
+
+117
+00:10:37,360 --> 00:10:45,820
+Built Drive Geometry بحسب
+
+118
+00:10:45,820 --> 00:10:51,180
+الـ FI D Small و FI D Capital و من الـ Table 7-2
+
+119
+00:10:51,180 --> 00:10:56,500
+هاي الـ Table 7-2 الـ
+
+120
+00:10:56,500 --> 00:11:00,100
+Table 6-2 و 7-2 معطيني ال material بتاعة ال build
+
+121
+00:11:00,100 --> 00:11:04,930
+و يكون leather, polyamide, urethaneهين معطيلي ال
+
+122
+00:11:04,930 --> 00:11:11,230
+size inch ال thickness بتاع ال build ومعطيني ال
+
+123
+00:11:11,230 --> 00:11:16,570
+minimum poly diameter يعني ال poly diameter بيكون
+
+124
+00:11:16,570 --> 00:11:20,950
+الرقم هذا او اكتر هذا مش لازم تنزع على الرقم هذا
+
+125
+00:11:20,950 --> 00:11:27,250
+ومعطيني ال fa allowable tension per unit width at
+
+126
+00:11:27,250 --> 00:11:32,350
+600 feet per minuteيعني بنات اللي باخدها المصنع
+
+127
+00:11:32,350 --> 00:11:35,790
+عند سرعة 68 قدم في الدقيقة عشان يكمل زمن ال CV
+
+128
+00:11:35,790 --> 00:11:42,050
+معطين specific weight اللي هي pound force لكل inch
+
+129
+00:11:42,050 --> 00:11:46,090
+تكيب ومعطينه معامل احتكاك coefficient بنات من
+
+130
+00:11:46,090 --> 00:11:55,530
+table 7-2 يعني واحد table 7-2 بحثوا عن المعلومات
+
+131
+00:11:55,530 --> 00:11:56,010
+التالية
+
+132
+00:12:01,320 --> 00:12:06,960
+لأ هذه ال minimum بكون عارفها بحط أي قطر تاني أكبر
+
+133
+00:12:06,960 --> 00:12:17,020
+من هذا القطر فانا عندي الأهمش فانا عندي FA وال
+
+134
+00:12:17,020 --> 00:12:23,040
+specific weight وال
+
+135
+00:12:23,040 --> 00:12:25,120
+coefficient of friction F
+
+136
+00:12:31,510 --> 00:12:35,810
+هذه تفاصيل جوا بيكون عادة بيكونش rubber لحاله او
+
+137
+00:12:35,810 --> 00:12:39,550
+يعني ممكن يكون فيه silic مثلا او فيه جدلات يعني
+
+138
+00:12:39,550 --> 00:12:42,990
+جدلة واحدة او جدلتين one ply two ply هذه نظام
+
+139
+00:12:42,990 --> 00:12:47,410
+ترقيم خاص F0 هو حاطط هنا حاطط end note اذا كنت
+
+140
+00:12:47,410 --> 00:12:51,650
+تطلع تفاصيل اذا ما انصحكوا تفتحوا تخشوا على اي
+
+141
+00:12:51,650 --> 00:12:57,290
+مصنع في الكتاب افكار الذاكر كذا مصنع مصنع لل
+
+142
+00:12:57,290 --> 00:13:00,730
+builds built drives وشوفوا التفاصيل اكتر
+
+143
+00:13:11,260 --> 00:13:13,920
+عشان تكونوا في الصورة على الأغلب هم بيكونوا حاطين
+
+144
+00:13:13,920 --> 00:13:19,120
+زي calculation program هم بيعملك selection و كل شي
+
+145
+00:13:19,120 --> 00:13:22,720
+طيب
+
+146
+00:13:22,720 --> 00:13:27,960
+معناته الخطوة الأولى بعدين بتحسب ال exponential
+
+147
+00:13:27,960 --> 00:13:30,840
+منها
+
+148
+00:13:31,640 --> 00:13:44,440
+بحسب exponential لل F Phi من المعادلة خلاص
+
+149
+00:13:44,440 --> 00:13:51,980
+طبعا ال Phi بحسبها
+
+150
+00:13:51,980 --> 00:13:54,540
+من وين؟ من ال Geometry
+
+151
+00:14:02,160 --> 00:14:06,100
+اللي هي في حالة open built طبعا انا بكون شغال
+
+152
+00:14:06,100 --> 00:14:10,880
+علياش على البكرة الصغيرة على البكرة الصغيرة
+
+153
+00:14:10,880 --> 00:14:15,820
+بيستخدم by minus 2 sin inverse d capital minus d
+
+154
+00:14:15,820 --> 00:14:18,580
+small على 2C هذا في حالة open في حالة cross built
+
+155
+00:14:18,580 --> 00:14:23,800
+بستخدم ده الملعب الصغير و ده ال drive اللي بيكون
+
+156
+00:14:23,800 --> 00:14:27,560
+عشان تشوفه يعني ممكن أحيانا راح أشبط المطار اللي
+
+157
+00:14:27,560 --> 00:14:30,760
+كبيرمامكن تشوفك عليها كبيرة بس مين بيكون فيها
+
+158
+00:14:30,760 --> 00:14:34,620
+flexing أكتر
+
+159
+00:14:34,620 --> 00:14:40,840
+عادة
+
+160
+00:14:40,840 --> 00:14:43,620
+عشان تكون مش بدرور ال driver هو يكون الأصغر ممكن
+
+161
+00:14:43,620 --> 00:14:47,440
+تكون ال driver هو أياش الأكبر أنا عادة مداش عال
+
+162
+00:14:47,440 --> 00:14:49,060
+عادة أن ال driver هي الأصغر
+
+163
+00:14:52,240 --> 00:14:55,920
+لأنه بيكون هنا هتكون هذا يعني جربه مرة اتنين هتلقى
+
+164
+00:14:55,920 --> 00:14:58,280
+انه هذا more critical اكتر اللي صغير اكتر من اللي
+
+165
+00:14:58,280 --> 00:15:02,140
+كبير صحيح
+
+166
+00:15:02,140 --> 00:15:04,920
+بس ال flexing effect اكتر اللي هتكون ال question
+
+167
+00:15:04,920 --> 00:15:11,620
+هذي سبعة اتنين اظن انه لأ هذي اللي هي figure
+
+168
+00:15:11,620 --> 00:15:16,060
+figure سبعتاش
+
+169
+00:15:24,600 --> 00:15:40,340
+أول خطوة من المعادلة هذه
+
+170
+00:15:40,340 --> 00:15:47,420
+الخطوة الأولى من ال Geometry الشكل 17 1بحصل على ..
+
+171
+00:15:47,420 --> 00:15:51,260
+بكون عارف ال D small و D capital و C capital بحسب
+
+172
+00:15:51,260 --> 00:15:55,580
+الفاية و ال other .. ال material characteristics
+
+173
+00:15:55,580 --> 00:16:01,220
+من حتة ساعة و سبعتاش اتنين بحصل FA و Gamma و F و
+
+174
+00:16:01,220 --> 00:16:13,720
+منها بحسب ال exponential لل F فاية from
+
+175
+00:16:13,720 --> 00:16:14,760
+built geometry
+
+176
+00:16:18,820 --> 00:16:21,800
+و ال material اللي انا حصلت عليها من ال table
+
+177
+00:16:21,800 --> 00:16:29,160
+سبعتاشر اتنين و ال speed عرفها بحسب ال Fc Fc اللي
+
+178
+00:16:29,160 --> 00:16:33,560
+هي هذه المعادلة خليني
+
+179
+00:16:33,560 --> 00:16:38,580
+اكتبها اتنين هذه
+
+180
+00:16:38,580 --> 00:16:45,980
+المعادلة Fc بالساول W
+
+181
+00:16:50,100 --> 00:17:05,620
+على جى فيه ال V على ستين كل تربيع أو مباشرة طبعا
+
+182
+00:17:05,620 --> 00:17:14,260
+ال W وحدتها ياشهر هنشتغل pound
+
+183
+00:17:19,410 --> 00:17:26,410
+ال .. ال .. عندك ال V ال V واحدة تعيش فوت على من
+
+184
+00:17:26,410 --> 00:17:30,610
+التربيع يعني هنحكي .. هبدأ أركز على واحدة تانية
+
+185
+00:17:30,610 --> 00:17:40,350
+فوت تربيع و ال weight هنا اندي هنا فوت per second
+
+186
+00:17:40,350 --> 00:17:46,110
+square و هنا هتكون اللي
+
+187
+00:17:46,110 --> 00:17:46,950
+هو يطلع عندك pound
+
+188
+00:17:53,360 --> 00:18:02,760
+يعني هتكون pound لكل foot أو pound لكل انش يعني
+
+189
+00:18:02,760 --> 00:18:09,860
+هتكون وزن لكل واحدة طول طيب
+
+190
+00:18:09,860 --> 00:18:14,200
+بحسب ال FC من هذه المعادلة هذا step two
+
+191
+00:18:19,790 --> 00:18:28,910
+طبعا ال V ايش هو الساوية او
+
+192
+00:18:28,910 --> 00:18:37,050
+ال V ساوية by D N على اتناش دي هي ال quarter H
+
+193
+00:18:37,050 --> 00:18:44,110
+البكرة للزيرة هذا الخطوة التانية الخطوة التالتة
+
+194
+00:18:49,880 --> 00:18:52,420
+Use equation تلاتة نوع اللي هي المعادلة هذه
+
+195
+00:18:52,420 --> 00:18:55,580
+فاكرينها اللي هي ال torque ساوة تلاتة ألف و خمس و
+
+196
+00:18:55,580 --> 00:19:06,760
+عشرين في ال power بظبط هنحسب ال H D H
+
+197
+00:19:06,760 --> 00:19:13,780
+Design بتساوة ال H nominal في
+
+198
+00:19:13,780 --> 00:19:18,240
+KS في ND
+
+199
+00:19:21,790 --> 00:19:28,750
+هذه ال H D و
+
+200
+00:19:28,750 --> 00:19:35,770
+منها بحسب ال torque بساوة تلاتة و ستين ألف و خمسة
+
+201
+00:19:35,770 --> 00:19:44,810
+و عشرين H D على ال N ال N هي ال speed في ال RVM
+
+202
+00:19:44,810 --> 00:19:49,390
+هذه اللي هي H D
+
+203
+00:19:57,190 --> 00:20:04,310
+أربعة بحسب F1A minus
+
+204
+00:20:04,310 --> 00:20:10,630
+F2 بساوة اتنين T على D اللي هي جاء من هنا من
+
+205
+00:20:10,630 --> 00:20:21,950
+المعادلة هذه اللي
+
+206
+00:20:21,950 --> 00:20:33,280
+هي هذهسيكون F1A طيب
+
+207
+00:20:33,280 --> 00:20:38,440
+خمسة اللي
+
+208
+00:20:38,440 --> 00:20:45,760
+هو ال allowed ال allowed tight tension side بعد
+
+209
+00:20:45,760 --> 00:20:51,200
+التعديلات بعد ال corrections خمسة
+
+210
+00:20:55,010 --> 00:21:00,430
+from table seventeen اتنين و سبعتاش أربعة from
+
+211
+00:21:00,430 --> 00:21:01,290
+table seventeen اتنين و سبعتاش أربعة from table
+
+212
+00:21:01,290 --> 00:21:02,550
+seventeen اتنين و سبعتاش أربعة from table
+
+213
+00:21:02,550 --> 00:21:03,430
+seventeen اتنين و سبعتاش أربعة from table
+
+214
+00:21:03,430 --> 00:21:04,910
+seventeen اتنين و سبعتاش أربعة from table
+
+215
+00:21:04,910 --> 00:21:06,090
+seventeen اتنين و سبعتاش أربعة from table
+
+216
+00:21:06,090 --> 00:21:08,530
+seventeen اتنين و سبعتاش أربعة from table
+
+217
+00:21:08,530 --> 00:21:14,970
+seventeen اتنين و سبعتاش أربعة from
+
+218
+00:21:14,970 --> 00:21:18,310
+table seventeen اتنين و سبعتاش أربعة from table
+
+219
+00:21:18,310 --> 00:21:27,110
+seventeen اتنين و سبعتاش أربهن معطيني ال small
+
+220
+00:21:27,110 --> 00:21:33,410
+poly diameter اذا كان القطر من واحد سنتين عشرة
+
+221
+00:21:33,410 --> 00:21:36,810
+لاربع انش او اربع و خمس ل تمانية انش تسعة لاتناشر
+
+222
+00:21:36,810 --> 00:21:42,030
+و نص وهن معطيني ال material مثلا هن جلد leather هن
+
+223
+00:21:42,030 --> 00:21:47,470
+polyimide F0 F1 F2 E2 E3 E4 E5 حسب المادة و حسب
+
+224
+00:21:47,470 --> 00:21:54,360
+القطر بختار ال CP هذا ال table سبعتاش اربعةالقانون
+
+225
+00:21:54,360 --> 00:22:04,180
+ال F1N هو P بقف A في C بي C بي ال P إيش؟ ال P الود
+
+226
+00:22:04,180 --> 00:22:11,380
+بالظبط طلع على أول تابل تابل 17.1 بتعرف إيش هي ال
+
+227
+00:22:11,380 --> 00:22:17,280
+P طيب هذا رقم خمسة هحلنا نخلق example في التفصيل
+
+228
+00:22:17,280 --> 00:22:18,260
+حاليا خمسة
+
+229
+00:22:20,890 --> 00:22:34,630
+و equation 1712 determine F1A equation 1712 يعني
+
+230
+00:22:34,630 --> 00:22:40,350
+انها تحسب هنا F1A
+
+231
+00:22:40,350 --> 00:22:49,590
+اللي هي هذه من اللي هي B في
+
+232
+00:22:49,590 --> 00:22:50,310
+ال FA
+
+233
+00:22:53,930 --> 00:23:01,870
+في ال CV ال CV ال correction لل flexing effect و
+
+234
+00:23:01,870 --> 00:23:07,610
+ال CV اذا كانت صلعة مختلفة عن 600 feet per minute
+
+235
+00:23:07,610 --> 00:23:15,670
+و ال B ال width بتاعة ال pulley طيب
+
+236
+00:23:15,670 --> 00:23:20,050
+ال design power
+
+237
+00:23:26,860 --> 00:23:35,520
+رقم ستة لان صار عندي معروف انا بدي احسب F2 رقم ستة
+
+238
+00:23:35,520 --> 00:23:43,900
+بدي احسب F2 لان في عندي معادلة صار عندي F1A
+
+239
+00:23:43,900 --> 00:23:51,100
+-F2 صارت معروفة صح؟
+
+240
+00:23:51,100 --> 00:23:52,620
+وعندي F1A
+
+241
+00:23:55,540 --> 00:24:04,340
+معروفة يعني F2 هتكون تساوي F1A-F1A
+
+242
+00:24:04,340 --> 00:24:20,480
+-F2 كله كثير بعرف ال F2 بعدين سبعة find ال initial
+
+243
+00:24:20,480 --> 00:24:22,440
+tension FI هتكون تساوي
+
+244
+00:24:36,290 --> 00:24:51,170
+F1 زاد F2 على 2-H9 بالظبط هذه هتكون F1A زاد
+
+245
+00:24:51,170 --> 00:24:59,850
+F2 على 2 minus FC
+
+246
+00:25:04,130 --> 00:25:08,490
+بصير بس هو ماشي على standard procedure احنا ما
+
+247
+00:25:08,490 --> 00:25:19,950
+نوصلنا سبعة تمانية ده بتحسب ال F prime اللي
+
+248
+00:25:19,950 --> 00:25:26,930
+بتساوي واحد على فاي ال rodify حسبناها صح لن ال F
+
+249
+00:25:26,930 --> 00:25:33,610
+واحد a minus ال Fc على
+
+250
+00:25:37,040 --> 00:25:43,120
+f2-fc كل هذين محسبين بحسب ال f prime و بشوف check
+
+251
+00:25:43,120 --> 00:25:48,440
+اذا كانت f prime اقل من ال f اذا اقل ال f مافيش
+
+252
+00:25:48,440 --> 00:25:52,320
+sliding معناه امور تمام اذا كانت اكبر مانا اتحكم
+
+253
+00:25:52,320 --> 00:25:55,960
+ان في يدي sliding بدك تعديل ال design تبعك بعدين
+
+254
+00:25:55,960 --> 00:26:02,950
+بحسب ال factor of safety تسعة اللي هو ال Nfactor
+
+255
+00:26:02,950 --> 00:26:12,410
+of safety بتستوى ال H actual على ال H nominal في
+
+256
+00:26:12,410 --> 00:26:18,770
+ال service factor KS هذه الخطوات ال standard عشان
+
+257
+00:26:18,770 --> 00:26:23,570
+تعمل design ل flat build طيب
+
+258
+00:26:23,570 --> 00:26:25,550
+خلينا نشوف example
+
+259
+00:26:41,230 --> 00:26:46,590
+طبعا في ملاحظات ان القيم المعطاة في جدول 17-2 عن
+
+260
+00:26:46,590 --> 00:26:52,310
+سرعة ستمية قدم في الدقيقة إذا كانت السرعة أعلى من
+
+261
+00:26:52,310 --> 00:26:58,990
+ستمية قدم على الدقيقة تطلع شكل تسعة اللي هو هذا
+
+262
+00:26:58,990 --> 00:27:04,330
+عشان تحصل على ال CV من شكل تسعة تحصل على ال CV for
+
+263
+00:27:04,330 --> 00:27:09,930
+valuesمختلفة عن ستمية قدم في الدقيقة طبعا هذه
+
+264
+00:27:09,930 --> 00:27:14,210
+مضروبة في مية يعني هذه مية ميتين تلت مية اربع مية
+
+265
+00:27:14,210 --> 00:27:19,070
+خمس مية او في او في الف مضروبة في الف هذه مقصودة
+
+266
+00:27:19,070 --> 00:27:25,030
+على الف يعني هذه الف الفين تلت تلف اربع تلف خمس
+
+267
+00:27:25,030 --> 00:27:28,930
+تلف ست تلف يعني لو نكون احنا ستمية تقريبا احنا هنا
+
+268
+00:27:28,930 --> 00:27:34,030
+يعني بنحكي عن واحد CV طيب
+
+269
+00:27:38,760 --> 00:27:43,920
+for polyamide urethane builds استخدم ال CB بستوي
+
+270
+00:27:43,920 --> 00:27:48,640
+واحد ال
+
+271
+00:27:48,640 --> 00:27:54,900
+service factor KS بدي استخدم ال ال ال ال service
+
+272
+00:27:54,900 --> 00:27:57,920
+factor المعطى لل V builds لسه ما درسلناش لحتى لأن
+
+273
+00:27:57,920 --> 00:28:02,120
+هي table 17.5 بيعطيني ال service factor ال service
+
+274
+00:28:02,120 --> 00:28:05,020
+factor KS زي اللي في ال gears احنا كنا نحكي عن KO
+
+275
+00:28:07,280 --> 00:28:11,840
+فاكرين؟ بيعتمد على إيش فيه عند الشوكش .. شوكس أو
+
+276
+00:28:11,840 --> 00:28:16,360
+vibrations في ال input أو في ال output شبيهة بال
+
+277
+00:28:16,360 --> 00:28:23,840
+KO في حالة ال gears هتكون ال table 17-15 وحكيها
+
+278
+00:28:23,840 --> 00:28:27,020
+ان ال table 17-4 بيعطينا ال CP اللي هو بيعطينا ال
+
+279
+00:28:27,020 --> 00:28:32,880
+effect .. ال flexing effect for urethane builds CP
+
+280
+00:28:32,880 --> 00:28:34,880
+استخدمها بالساوية واحد
+
+281
+00:28:40,930 --> 00:28:48,450
+الان ال flat built او ال poly بيكون فيها crowning
+
+282
+00:28:48,450 --> 00:28:53,550
+بتكون مش عادلة زي هيك crowning يعني يوم بتكون فيه
+
+283
+00:28:53,550 --> 00:28:57,410
+تحديب فيها عشان تظلها ماسكة حالة ما تروح الشميل او
+
+284
+00:28:57,410 --> 00:29:05,690
+شمال فيه تحديب او تقاعر او في جزء straight اوفقي
+
+285
+00:29:05,690 --> 00:29:11,760
+straight مائلأو straight بالشكل هذا فيه ميلان ففيه
+
+286
+00:29:11,760 --> 00:29:14,560
+crowning هذا اللي بيسموه ال crown ال crown height
+
+287
+00:29:14,560 --> 00:29:19,260
+هذا ال crown height ال crown height فلازم يكون فيه
+
+288
+00:29:19,260 --> 00:29:26,680
+ال crowning if one pulley is crowned اذا هنعمل
+
+289
+00:29:26,680 --> 00:29:31,860
+crowning ل pulley it should be the larger one لازم
+
+290
+00:29:31,860 --> 00:29:34,380
+ال crowning نعمله على البكرة الكبيرة
+
+291
+00:29:37,680 --> 00:29:40,720
+both pulleys must be crowned whenever the pulley
+
+292
+00:29:40,720 --> 00:29:46,140
+axis are not in horizontal position لازم تنتين
+
+293
+00:29:46,140 --> 00:29:51,900
+اعملهم crown ل البكرتين الان تابل سبعتاش خمسة
+
+294
+00:29:51,900 --> 00:29:55,300
+ماطيني ل crown height
+
+295
+00:29:58,770 --> 00:30:01,430
+for different poly diameters يعني هم مقاطين في
+
+296
+00:30:01,430 --> 00:30:04,070
+حالة لو انا كنت قطر واحد ستة و عشر او اش اتنين او
+
+297
+00:30:04,070 --> 00:30:07,490
+اتنين و نصف بيكون ال crown height point O واحد
+
+298
+00:30:07,490 --> 00:30:11,050
+اتنين و ضربها في الخمسة و عشرين تطلع حوالي تلاتة و
+
+299
+00:30:11,050 --> 00:30:13,450
+عشر عمل ليه مش كتير يعني
+
+300
+00:30:17,470 --> 00:30:22,910
+ف ال crown height بنحصل عليه من شكل سبعتاش خمسة
+
+301
+00:30:22,910 --> 00:30:26,350
+كتير هنا في الورش لو اني جامب البكرات يادوي بيكون
+
+302
+00:30:26,350 --> 00:30:29,570
+عاملها ادل فلما تحطها على ال system تاعه ممكن
+
+303
+00:30:29,570 --> 00:30:36,750
+تستطيع تروح و تجيب الشكل هذا شوف
+
+304
+00:30:36,750 --> 00:30:40,850
+table سبعتاش example سبعتاش واحد
+
+305
+00:30:55,540 --> 00:31:05,240
+A polyamide A3 flat built هو إيش ال material؟
+
+306
+00:31:05,240 --> 00:31:06,440
+خلّيني ألخص المسألة
+
+307
+00:31:38,220 --> 00:31:46,940
+طيب اوش ال material polyamide A3 هي
+
+308
+00:31:46,940 --> 00:32:02,100
+flat built flat built هنطلع فور ال B 6 انش 6
+
+309
+00:32:02,100 --> 00:32:02,540
+انش
+
+310
+00:32:11,380 --> 00:32:17,620
+is used to transmit 15 horsepower اتش nominal هذه
+
+311
+00:32:17,620 --> 00:32:24,900
+اتش nominal خمستاشر
+
+312
+00:32:24,900 --> 00:32:32,080
+احصان under light shock conditions يعني دي بحكي
+
+313
+00:32:32,080 --> 00:32:39,900
+هنا light shock conditions ومعطيني ال KS
+
+314
+00:32:49,140 --> 00:33:01,700
+الـ factor of safety ان D بالساوية 1.1 او
+
+315
+00:33:01,700 --> 00:33:15,980
+اكبر او يساوي من 1.1 Poly
+
+316
+00:33:15,980 --> 00:33:17,580
+rotational axis are parallel
+
+317
+00:33:20,990 --> 00:33:25,370
+هو قيّن في الـ horizontal plane
+
+318
+00:33:25,370 --> 00:33:37,610
+المعطين
+
+319
+00:33:37,610 --> 00:33:41,670
+بعدين ال center distance C بستوى تمانية قدم
+
+320
+00:33:52,100 --> 00:34:06,760
+الـ D خلّيني أحطها وراها عشان الوسع D بالساوية ستة
+
+321
+00:34:06,760 --> 00:34:15,260
+انش و ال N بتاعتها بتساوية ألف سبعمائة و خمسين RPM
+
+322
+00:34:21,990 --> 00:34:25,290
+in such a way that the loose side is on top loose
+
+323
+00:34:25,290 --> 00:34:42,250
+side على ال top و ال tight side تحت ال
+
+324
+00:34:42,250 --> 00:34:47,810
+driven pulley دي capital بسوة تمانتاشر انش
+
+325
+00:34:56,670 --> 00:35:02,490
+هيك لخاصة مثلا هنا ماشي
+
+326
+00:35:02,490 --> 00:35:06,630
+معناته
+
+327
+00:35:06,630 --> 00:35:12,110
+ماعطيني polyamide a3 flat built ال width بتاعها ست
+
+328
+00:35:12,110 --> 00:35:18,710
+انش ال nominal power خمس عشر احصان under light
+
+329
+00:35:18,710 --> 00:35:21,210
+shock conditions ال Ks بيساوي واحد point اتنين
+
+330
+00:35:21,210 --> 00:35:25,790
+وخمسة ال ND واحد point واحدPoly rotation axis are
+
+331
+00:35:25,790 --> 00:35:28,270
+parallel and in horizontal plane ال center
+
+332
+00:35:28,270 --> 00:35:32,830
+distance تمانية قدم و ال diameter لل driver اللي
+
+333
+00:35:32,830 --> 00:35:38,190
+هي 6 انش و ال speed لل driver 1750 rpm ال loose
+
+334
+00:35:38,190 --> 00:35:43,930
+side on top و القطر تاع البكر
+
+335
+00:35:43,930 --> 00:35:47,530
+الكبير 18 انش المطلوب
+
+336
+00:35:50,940 --> 00:35:54,220
+Estimate the centrifugal force Fc والتورق بدو Fc
+
+337
+00:35:54,220 --> 00:35:59,680
+والتورق Estimate the allowable F1 و F2 و FI و ال
+
+338
+00:35:59,680 --> 00:36:03,760
+allowable power Ha و Estimate the factor of safety
+
+339
+00:36:03,760 --> 00:36:07,920
+as its satisfactor لأن هنحسب كل شي فيها الآن هنشوف
+
+340
+00:36:07,920 --> 00:36:15,240
+الخطوات بتاعتنا الخطوة
+
+341
+00:36:15,240 --> 00:36:19,470
+الأولى من ال Geometry هنحسبالجيومتري و ال table
+
+342
+00:36:19,470 --> 00:36:25,330
+سبعتاشر اتنين يعني واحد
+
+343
+00:36:25,330 --> 00:36:28,710
+table
+
+344
+00:36:28,710 --> 00:36:36,510
+سبعتاشر اتنين بيعطينا التالت هم
+
+345
+00:36:36,510 --> 00:36:41,930
+هاكيلي المادة polyamide ولا .. ولا .. بوليميد اتري
+
+346
+00:36:47,820 --> 00:36:58,080
+Table Polaroid A3 Polaroid
+
+347
+00:36:58,080 --> 00:37:06,980
+A3 يعني هذه اللي
+
+348
+00:37:06,980 --> 00:37:11,740
+اللي هو ال tension الف مية FA
+
+349
+00:37:16,560 --> 00:37:26,500
+meet pound per inch friction factor 0.8 specific
+
+350
+00:37:26,500 --> 00:37:31,260
+weight 0
+
+351
+00:37:31,260 --> 00:37:39,760
+.042
+
+352
+00:37:39,760 --> 00:37:43,320
+pound لكل إنش تكييف
+
+353
+00:37:55,830 --> 00:38:00,070
+طيب هالمتار السبتاشر اتنين هنحسب ال .. ال .. ال ..
+
+354
+00:38:00,070 --> 00:38:07,470
+هي الفاي بعدين الفاي
+
+355
+00:38:07,470 --> 00:38:12,670
+دي
+
+356
+00:38:12,670 --> 00:38:16,470
+بالساوية اللي هي باي
+
+357
+00:38:25,030 --> 00:38:31,170
+d capital minus d small على اتنين c يعني هتكون by
+
+358
+00:38:31,170 --> 00:38:38,570
+minus اتنين sin inverse ال d capital اكم تمانتاش
+
+359
+00:38:38,570 --> 00:38:46,170
+ناقص ستة على اتنين ال c بالقدم تمانية في اتناش ستة
+
+360
+00:38:46,170 --> 00:38:46,550
+و اتسان
+
+361
+00:38:49,950 --> 00:38:56,290
+بتطلع عندى الفاى تلاتة point هو واحد سنتة خمسة
+
+362
+00:38:56,290 --> 00:39:05,810
+radians تلاتة point هو واحد سنتة خمسة radians
+
+363
+00:39:05,810 --> 00:39:08,870
+هذا
+
+364
+00:39:08,870 --> 00:39:18,830
+الفاى نحسس ال exponential ال exponential ال
+
+365
+00:39:18,830 --> 00:39:19,190
+F
+
+366
+00:39:24,420 --> 00:39:31,360
+5 سبوها exponential ل point eight في تلاتة point
+
+367
+00:39:31,360 --> 00:39:39,460
+او واحد ستة خمسة dash point
+
+368
+00:39:39,460 --> 00:39:45,720
+17 اتنين بدنا
+
+369
+00:39:45,720 --> 00:39:46,300
+نحسب ال FC
+
+370
+00:39:50,060 --> 00:39:56,560
+FC في معادة علاقة بين الـ W و الجامعة طبعا لياها
+
+371
+00:39:56,560 --> 00:40:00,200
+اول
+
+372
+00:40:00,200 --> 00:40:06,160
+شي عندك نحكي فنحكي ال FC اشو يستوي W
+
+373
+00:40:06,160 --> 00:40:14,520
+على G V على 60 الكل تربيع ال W اشو يستوي
+
+374
+00:40:19,620 --> 00:40:29,820
+تناش جاما بي تي يعني هتكون اتناش في point oh اربعة
+
+375
+00:40:29,820 --> 00:40:35,820
+اتنين في بي
+
+376
+00:40:35,820 --> 00:40:44,780
+اكتر ما اعطينا بي هو ست انش و ال thickness من اين
+
+377
+00:40:44,780 --> 00:40:47,540
+اخدنا جدول سبعتاش اتنين
+
+378
+00:40:59,460 --> 00:41:07,080
+بون تلتاشر صحيح
+
+379
+00:41:07,080 --> 00:41:13,160
+طيب سيبوها
+
+380
+00:41:13,160 --> 00:41:20,940
+فاصلة تلاتة فاصلة تلاتة تلاتة pound
+
+381
+00:41:24,690 --> 00:41:30,550
+per foot اكدوا لو حد قلت طيب ال FC هتكون و ال V
+
+382
+00:41:30,550 --> 00:41:43,970
+سواء by D N على اتناش by في ستة في الف سبعمائة و
+
+383
+00:41:43,970 --> 00:41:51,530
+خمسين على اتناش الفين
+
+384
+00:41:55,910 --> 00:42:02,090
+Foot per minute يعني ال Fc هتكون اللي هي point
+
+385
+00:42:02,090 --> 00:42:06,970
+تلاتة تسعة تلاتة على اتنين و تلاتين point واحد
+
+386
+00:42:06,970 --> 00:42:15,670
+سبعة ال V الفين و سبعة عمية و التسعة و اربعين على
+
+387
+00:42:15,670 --> 00:42:20,910
+ستين لكل تربيع خمس عشرين
+
+388
+00:42:30,780 --> 00:42:36,520
+pound تلاتة نحسب اللي هو F واحد ايه نحسب F واحد
+
+389
+00:42:36,520 --> 00:42:44,520
+ايه ال torque نحسب
+
+390
+00:42:44,520 --> 00:42:47,480
+ال H دي في الأول طبعا و بعدين نحسب ال torque ال H
+
+391
+00:42:47,480 --> 00:42:51,440
+دي
+
+392
+00:42:51,440 --> 00:42:54,640
+بالساوية
+
+393
+00:42:56,170 --> 00:43:02,290
+معطيني ال nominal power صح؟ خمستاش بساوي H nominal
+
+394
+00:43:02,290 --> 00:43:06,230
+في
+
+395
+00:43:06,230 --> 00:43:14,970
+KS في ND يعني هتكون خمستاش واحد point واحد كياسة
+
+396
+00:43:14,970 --> 00:43:21,530
+كام؟ واحد point واحد ولا واحد point اتنين؟ في
+
+397
+00:43:21,530 --> 00:43:29,910
+ال ND واحد point واحداكم تطلع ومنها
+
+398
+00:43:29,910 --> 00:43:36,870
+ال torque بساوي تلات ستين ألف و خمسة و عشرين في ال
+
+399
+00:43:36,870 --> 00:43:45,090
+HD اكم بساوي
+
+400
+00:43:45,090 --> 00:43:54,990
+HD على N يعني هتكون تلات ستين ألف و خمسة و عشرينفي
+
+401
+00:43:54,990 --> 00:44:03,430
+عشرين point ستة تلاتة الان اللي هي الف و سبعمية
+
+402
+00:44:03,430 --> 00:44:08,590
+اكم
+
+403
+00:44:08,590 --> 00:44:13,970
+بيطلع pound
+
+404
+00:44:13,970 --> 00:44:18,350
+inch
+
+405
+00:44:18,350 --> 00:44:23,070
+عدد torque رقم اربعة
+
+406
+00:44:25,860 --> 00:44:41,920
+بدي احسب F1A-F2TDF2F7436
+
+407
+00:44:41,920 --> 00:44:52,860
+يعني هيطلع عندى F1A-F2F742
+
+408
+00:44:58,990 --> 00:45:05,070
+Found رقم خمسة بدنا
+
+409
+00:45:05,070 --> 00:45:13,170
+نحسب F1A بسوة
+
+410
+00:45:13,170 --> 00:45:23,970
+B في F A C B C D صح ال B معطنيها ستة انش
+
+411
+00:45:27,790 --> 00:45:40,250
+و ال F A طلعناها مية و ال CP من table ال ..
+
+412
+00:45:40,250 --> 00:45:48,370
+السبعتاش أربعة ايه فيه النقص بيطول طيب .. table
+
+413
+00:45:48,370 --> 00:45:51,530
+السبعتاش أربعة ..
+
+414
+00:45:58,530 --> 00:46:20,070
+طيب بس ثوانه ثوانه الآن احنا
+
+415
+00:46:20,070 --> 00:46:25,890
+هنكون هنا صح احنا a3 تطلع ال cp bond 7
+
+416
+00:46:31,120 --> 00:46:35,500
+طب ال CV ال
+
+417
+00:46:35,500 --> 00:46:43,460
+CV يعطينا معلومة هو هنا for
+
+418
+00:46:43,460 --> 00:46:47,820
+polyamide and urethane builds use CV بالستة واحد
+
+419
+00:46:47,820 --> 00:46:54,020
+صح؟ أنا
+
+420
+00:46:54,020 --> 00:46:57,460
+بحسب ال F1 ايه؟ اكم تطلع؟
+
+421
+00:47:02,730 --> 00:47:12,870
+420 صح؟ مالدين هحسب إيش؟ F2 هتكون تساوي F1A minus
+
+422
+00:47:12,870 --> 00:47:17,850
+F1A
+
+423
+00:47:17,850 --> 00:47:29,890
+minus F2 هتكون تساوي 420 minus 248 أكم تطلع؟مية و
+
+424
+00:47:29,890 --> 00:47:44,970
+اتنين و سبعين pound سبعة نحسب
+
+425
+00:47:44,970 --> 00:47:58,610
+ال F I ال F I بالسواء F واحد A زاد F اتنينعلى
+
+426
+00:47:58,610 --> 00:48:08,610
+اتنين minus FC F1A اللي هي أربعمية عشرين زائد مية
+
+427
+00:48:08,610 --> 00:48:18,890
+واتنين وسبعين على اتنين ال FC خمس عشرين point ستة
+
+428
+00:48:18,890 --> 00:48:23,730
+كم؟
+
+429
+00:48:28,400 --> 00:48:36,080
+يعني في شد مش بسيط طيب رقم
+
+430
+00:48:36,080 --> 00:48:44,040
+تمانية دي نحسب ال F prime F
+
+431
+00:48:44,040 --> 00:48:48,340
+prime بيساوي واحد على في واحد على في احنا ايش
+
+432
+00:48:48,340 --> 00:48:54,700
+حسبناها تلاتة point او واحد ستة خمسة
+
+433
+00:49:00,160 --> 00:49:05,980
+F1A-FCF1A 420
+
+434
+00:49:05,980 --> 00:49:10,940
+-FC
+
+435
+00:49:10,940 --> 00:49:23,180
+25.6 على F2 172 أكم
+
+436
+00:49:23,180 --> 00:49:24,960
+تطلع point
+
+437
+00:49:29,360 --> 00:49:41,260
+أقل من تمانية و عشرة no sliding بعدها
+
+438
+00:49:41,260 --> 00:49:44,240
+هتحسب الانقفاص ما احنا قريبا حاطينه انقفاص حاطه
+
+439
+00:49:44,240 --> 00:49:52,280
+هتطلع h a على h number كده هتطلع one point one هذه
+
+440
+00:49:52,280 --> 00:49:56,120
+الحسابات هى
+
+441
+00:49:56,120 --> 00:49:58,040
+ال h a ال actual اللى حسبناها
+
+442
+00:50:04,920 --> 00:50:11,460
+لأ ال KS تاخدها من ال table سبعتاش خمستاش KS حسب
+
+443
+00:50:11,460 --> 00:50:16,920
+ال input يعني ال input و ال load conditions هل ..
+
+444
+00:50:16,920 --> 00:50:20,900
+هل عندي shock او vibration هل ال shock light ولا
+
+445
+00:50:20,900 --> 00:50:26,360
+heavy ولا medium يعني اطلع ال table سبعتاش خمستاش
+
+446
+00:50:26,360 --> 00:50:28,160
+في الكتاب المرة الجاية بنكمل
+
diff --git a/PL9fwy3NUQKwbRqiyGIGaMMN6wI9A06Vao/eH5Ge2qfVZo_raw.json b/PL9fwy3NUQKwbRqiyGIGaMMN6wI9A06Vao/eH5Ge2qfVZo_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..e516f0c1b4954a74fa40787c1719ad3438b77c7c
--- /dev/null
+++ b/PL9fwy3NUQKwbRqiyGIGaMMN6wI9A06Vao/eH5Ge2qfVZo_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 3538, "start": 5.4, "end": 35.38, "text": "بسم الله الرحمن الرحيم السلام عليكم ورحمة الله وبركاته اليوم هنكمل في مادة تصميم الألات اتنين احنا بدأنا chapter اللي هو design of flexible mechanical elements لحتى اللحظة درسنا كيفية تصميم ال flat builds و ال metal flat builds و ال V builds اليوم هنكمل في اللي هو roller chain اللي هو البكرة و الجنزير تصميم البكرات و الجنزير", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 21136, 37440, 25894, 24793, 4032, 2288, 35571, 3660, 21984, 4032, 26890, 4117, 9307, 3224, 45595, 20498, 8032, 1863, 24793, 1211, 8978, 3714, 18513, 3660, 6055, 9381, 2304, 32640, 16247, 1211, 9307, 1975, 2655, 1863, 9957, 1975, 5016, 8315, 47525, 10721, 8315, 7187, 13672, 1829, 31439, 1715, 295, 11358, 12070, 4959, 5296, 33753, 7578, 13672, 5016, 19913, 3660, 11778, 2288, 3794, 8315, 9122, 33911, 10632, 6055, 9381, 2304, 32640, 2423, 4962, 15182, 4032, 2423, 5760, 4962, 15182, 4032, 2423, 691, 15182, 45595, 20498, 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"الاحسابات", "probability": 0.858544921875}, {"start": 840.08, "end": 840.3, "word": " مبنية", "probability": 0.878173828125}, {"start": 840.3, "end": 840.46, "word": " على", "probability": 0.80029296875}, {"start": 840.46, "end": 840.92, "word": " single", "probability": 0.6455078125}, {"start": 840.92, "end": 841.82, "word": " strand", "probability": 0.85107421875}, {"start": 841.82, "end": 843.14, "word": " يعني", "probability": 0.689697265625}, {"start": 843.14, "end": 843.54, "word": " جنزير", "probability": 0.9610595703125}, {"start": 843.54, "end": 844.04, "word": " مفرد", "probability": 0.9813232421875}, {"start": 844.04, "end": 845.84, "word": " ال", "probability": 0.76708984375}, {"start": 845.84, "end": 846.14, "word": " answer", "probability": 0.666015625}, {"start": 846.14, "end": 846.74, "word": " proportions", "probability": 0.74755859375}, {"start": 846.74, "end": 847.0, "word": " اللي", "probability": 0.699462890625}, {"start": 847.0, "end": 847.12, "word": " هي", "probability": 0.369873046875}, {"start": 847.12, "end": 847.38, "word": " موجودة", "probability": 0.938232421875}, {"start": 847.38, "end": 847.52, "word": " في", "probability": 0.90380859375}, {"start": 847.52, "end": 847.6, "word": " ال", "probability": 0.90625}, {"start": 847.6, "end": 847.94, "word": " tables", "probability": 0.5830078125}, {"start": 847.94, "end": 850.16, "word": " اللي", "probability": 0.853759765625}, {"start": 850.16, "end": 850.58, "word": " راحت", "probability": 0.7786458333333334}, {"start": 850.58, "end": 850.68, "word": " و", "probability": 0.82666015625}, {"start": 850.68, "end": 850.78, "word": " اللي", "probability": 0.9375}, {"start": 850.78, "end": 851.38, "word": " هتيجي", "probability": 0.92333984375}, {"start": 851.38, "end": 852.38, "word": " و", "probability": 0.71533203125}, {"start": 852.38, "end": 852.7, "word": " service", "probability": 0.22802734375}, {"start": 852.7, "end": 853.2, "word": " factor", "probability": 0.87060546875}, {"start": 853.2, "end": 853.46, "word": " of", "probability": 0.9736328125}, {"start": 853.46, "end": 853.9, "word": " unity", "probability": 0.947265625}, {"start": 853.9, "end": 856.24, "word": " one", "probability": 0.57080078125}, {"start": 856.24, "end": 856.78, "word": " hundred", "probability": 0.91552734375}, {"start": 856.78, "end": 857.32, "word": " pitches", "probability": 0.93017578125}, {"start": 857.32, "end": 857.66, "word": " in", "probability": 0.9169921875}, {"start": 857.66, "end": 857.94, "word": " length", "probability": 0.83837890625}, {"start": 857.94, "end": 858.3, "word": " بيكون", "probability": 0.759033203125}, {"start": 858.3, "end": 858.54, "word": " طول", "probability": 0.99658203125}, {"start": 858.54, "end": 859.1, "word": " الجنزير", "probability": 0.96142578125}, {"start": 859.1, "end": 860.14, "word": " مية", "probability": 0.6005859375}, {"start": 860.14, "end": 860.88, "word": " خطوة", "probability": 0.9901123046875}], "temperature": 1.0}, {"id": 32, "seek": 88958, "start": 864.12, "end": 889.58, "text": "و ال recommended laparocation التزييد الموصى بيه من المصنع و maximum elongation تلاتة في المية و ال sharks are horizontal و ال driver و ال driven sprockets له نفس العدد اثنان و سبعتاشر سن يعني الاحسابات او ال tables", "tokens": [2407, 2423, 9628, 13214, 289, 27943, 16712, 11622, 1829, 25708, 9673, 2407, 9381, 7578, 4724, 1829, 3224, 9154, 9673, 9381, 1863, 3615, 4032, 6674, 40786, 399, 6055, 1211, 9307, 3660, 8978, 9673, 10632, 4032, 2423, 26312, 366, 12750, 4032, 2423, 6787, 4032, 2423, 9555, 637, 340, 11984, 46740, 8717, 36178, 18863, 3215, 3215, 1975, 12984, 1863, 7649, 4032, 8608, 3555, 34268, 33599, 2288, 8608, 1863, 37495, 22653, 42963, 5016, 3794, 16758, 9307, 1975, 2407, 2423, 8020], "avg_logprob": -0.3258928494019942, "compression_ratio": 1.5376884422110553, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 864.12, "end": 864.32, "word": "و", "probability": 0.703125}, {"start": 864.32, "end": 864.4, "word": " ال", "probability": 0.296875}, {"start": 864.4, "end": 864.76, "word": " recommended", "probability": 0.26123046875}, {"start": 864.76, "end": 866.04, "word": " laparocation", "probability": 0.4381510416666667}, {"start": 866.04, "end": 866.92, "word": " التزييد", "probability": 0.67449951171875}, {"start": 866.92, "end": 867.76, "word": " الموصى", "probability": 0.884033203125}, {"start": 867.76, "end": 868.02, "word": " بيه", "probability": 0.8844401041666666}, {"start": 868.02, "end": 868.26, "word": " من", "probability": 0.9384765625}, {"start": 868.26, "end": 869.04, "word": " المصنع", "probability": 0.83209228515625}, {"start": 869.04, "end": 870.96, "word": " و", "probability": 0.8544921875}, {"start": 870.96, "end": 871.36, "word": " maximum", "probability": 0.69384765625}, {"start": 871.36, "end": 872.02, "word": " elongation", "probability": 0.994140625}, {"start": 872.02, "end": 872.68, "word": " تلاتة", "probability": 0.79150390625}, {"start": 872.68, "end": 872.8, "word": " في", "probability": 0.68505859375}, {"start": 872.8, "end": 873.2, "word": " المية", "probability": 0.81640625}, {"start": 873.2, "end": 875.04, "word": " و", "probability": 0.77294921875}, {"start": 875.04, "end": 875.2, "word": " ال", "probability": 0.457763671875}, {"start": 875.2, "end": 875.48, "word": " sharks", "probability": 0.2271728515625}, {"start": 875.48, "end": 875.82, "word": " are", "probability": 0.837890625}, {"start": 875.82, "end": 876.48, "word": " horizontal", "probability": 0.78369140625}, {"start": 876.48, "end": 879.1, "word": " و", "probability": 0.86962890625}, {"start": 879.1, "end": 879.7, "word": " ال", "probability": 0.59765625}, {"start": 879.7, "end": 880.08, "word": " driver", "probability": 0.9423828125}, {"start": 880.08, "end": 880.26, "word": " و", "probability": 0.90673828125}, {"start": 880.26, "end": 880.32, "word": " ال", "probability": 0.865234375}, {"start": 880.32, "end": 880.76, "word": " driven", "probability": 0.8818359375}, {"start": 880.76, "end": 882.94, "word": " sprockets", "probability": 0.6509602864583334}, {"start": 882.94, "end": 883.32, "word": " له", "probability": 0.360595703125}, {"start": 883.32, "end": 883.6, "word": " نفس", "probability": 0.96826171875}, {"start": 883.6, "end": 883.98, "word": " العدد", "probability": 0.9148763020833334}, {"start": 883.98, "end": 884.44, "word": " اثنان", "probability": 0.633941650390625}, {"start": 884.44, "end": 885.34, "word": " و", "probability": 0.99072265625}, {"start": 885.34, "end": 885.94, "word": " سبعتاشر", "probability": 0.9037109375}, {"start": 885.94, "end": 886.24, "word": " سن", "probability": 0.980224609375}, {"start": 886.24, "end": 888.32, "word": " يعني", "probability": 0.72509765625}, {"start": 888.32, "end": 888.94, "word": " الاحسابات", "probability": 0.85009765625}, {"start": 888.94, "end": 889.1, "word": " او", "probability": 0.755859375}, {"start": 889.1, "end": 889.24, "word": " ال", "probability": 0.7705078125}, {"start": 889.24, "end": 889.58, "word": " tables", "probability": 0.798828125}], "temperature": 1.0}, {"id": 33, "seek": 91868, "start": 890.76, "end": 918.68, "text": "هذا الأساس عمر خمساشر ألف ساعة جنزير مفرد answer proportions كأس بساوة واحد ميت خطوة في طول الجنزير recommended lubrications ال maximum elongation تلاتة في المية horizontal shots وعند ال driver driven سبعتاشر سن معناته إذا إشي اختلف عن هيك محتاج أعمل إيش تعديلات", "tokens": [3224, 15730, 16247, 3794, 32277, 6225, 29973, 16490, 2304, 3794, 33599, 2288, 5551, 46538, 8608, 995, 27884, 10874, 1863, 11622, 13546, 3714, 5172, 2288, 3215, 1867, 32482, 9122, 10721, 3794, 4724, 3794, 995, 2407, 3660, 36764, 24401, 3714, 36081, 16490, 9566, 2407, 3660, 8978, 23032, 12610, 25724, 1863, 11622, 13546, 9628, 31116, 763, 2423, 6674, 40786, 399, 6055, 1211, 9307, 3660, 8978, 9673, 10632, 12750, 8305, 4032, 3615, 41260, 2423, 6787, 9555, 8608, 3555, 34268, 33599, 2288, 8608, 1863, 20449, 8315, 47395, 11933, 15730, 11933, 8592, 1829, 1975, 46456, 46538, 18871, 39896, 4117, 3714, 33753, 26108, 5551, 25957, 1211, 11933, 1829, 8592, 37279, 16254, 1211, 9307], "avg_logprob": -0.21728972101880012, "compression_ratio": 1.5568627450980392, "no_speech_prob": 0.0, "words": [{"start": 890.76, "end": 891.2, "word": "هذا", "probability": 0.645751953125}, {"start": 891.2, "end": 891.76, "word": " الأساس", "probability": 0.89599609375}, {"start": 891.76, "end": 892.46, "word": " عمر", "probability": 0.93701171875}, {"start": 892.46, "end": 893.02, "word": " خمساشر", "probability": 0.7443359375}, {"start": 893.02, "end": 893.22, "word": " ألف", "probability": 0.812744140625}, {"start": 893.22, "end": 893.66, "word": " ساعة", "probability": 0.8819986979166666}, {"start": 893.66, "end": 895.08, "word": " جنزير", "probability": 0.822021484375}, {"start": 895.08, "end": 895.68, "word": " مفرد", "probability": 0.95654296875}, {"start": 895.68, "end": 896.58, "word": " answer", "probability": 0.2210693359375}, {"start": 896.58, "end": 897.3, "word": " proportions", "probability": 0.7568359375}, {"start": 897.3, "end": 898.26, "word": " كأس", "probability": 0.665771484375}, {"start": 898.26, "end": 898.76, "word": " بساوة", "probability": 0.757421875}, {"start": 898.76, "end": 899.38, "word": " واحد", "probability": 0.94873046875}, {"start": 899.38, "end": 900.24, "word": " ميت", "probability": 0.6416015625}, {"start": 900.24, "end": 900.86, "word": " خطوة", "probability": 0.988037109375}, {"start": 900.86, "end": 901.06, "word": " في", "probability": 0.82177734375}, {"start": 901.06, "end": 901.42, "word": " طول", "probability": 0.995849609375}, {"start": 901.42, "end": 902.62, "word": " الجنزير", "probability": 0.9664306640625}, {"start": 902.62, "end": 903.54, "word": " recommended", "probability": 0.48388671875}, {"start": 903.54, "end": 904.24, "word": " lubrications", "probability": 0.703857421875}, {"start": 904.24, "end": 904.48, "word": " ال", "probability": 0.58203125}, {"start": 904.48, "end": 904.8, "word": " maximum", "probability": 0.93017578125}, {"start": 904.8, "end": 905.38, "word": " elongation", "probability": 0.990478515625}, {"start": 905.38, "end": 905.78, "word": " تلاتة", "probability": 0.95654296875}, {"start": 905.78, "end": 905.88, "word": " في", "probability": 0.60400390625}, {"start": 905.88, "end": 906.3, "word": " المية", "probability": 0.918701171875}, {"start": 906.3, "end": 907.56, "word": " horizontal", "probability": 0.603515625}, {"start": 907.56, "end": 908.44, "word": " shots", "probability": 0.141845703125}, {"start": 908.44, "end": 909.34, "word": " وعند", "probability": 0.70166015625}, {"start": 909.34, "end": 909.46, "word": " ال", "probability": 0.818359375}, {"start": 909.46, "end": 909.8, "word": " driver", "probability": 0.94580078125}, {"start": 909.8, "end": 910.16, "word": " driven", "probability": 0.274658203125}, {"start": 910.16, "end": 910.92, "word": " سبعتاشر", "probability": 0.9078125}, {"start": 910.92, "end": 911.3, "word": " سن", "probability": 0.98681640625}, {"start": 911.3, "end": 911.88, "word": " معناته", "probability": 0.8642578125}, {"start": 911.88, "end": 912.98, "word": " إذا", "probability": 0.86962890625}, {"start": 912.98, "end": 915.1, "word": " إشي", "probability": 0.7482096354166666}, {"start": 915.1, "end": 915.5, "word": " اختلف", "probability": 0.9166666666666666}, {"start": 915.5, "end": 915.7, "word": " عن", "probability": 0.97802734375}, {"start": 915.7, "end": 916.14, "word": " هيك", "probability": 0.979736328125}, {"start": 916.14, "end": 917.36, "word": " محتاج", "probability": 0.9876302083333334}, {"start": 917.36, "end": 917.7, "word": " أعمل", "probability": 0.88427734375}, {"start": 917.7, "end": 917.94, "word": " إيش", "probability": 0.8391927083333334}, {"start": 917.94, "end": 918.68, "word": " تعديلات", "probability": 0.936279296875}], "temperature": 1.0}, {"id": 34, "seek": 94646, "start": 919.8, "end": 946.46, "text": "معناته محتاج أستخدم factors إذا اختلف عن ال life أفضل ألف أو اختلف عن السنة عن سبت عشر سنة مثلا محتاج أعمل corrections على الإختيارات بتاعته for single stranded chain the nominal power", "tokens": [2304, 3615, 8315, 47395, 3714, 33753, 26108, 5551, 14851, 9778, 40448, 6771, 11933, 15730, 1975, 46456, 46538, 18871, 2423, 993, 5551, 5172, 11242, 1211, 5551, 46538, 34051, 1975, 46456, 46538, 18871, 21136, 1863, 3660, 18871, 8608, 3555, 2655, 6225, 46309, 8608, 1863, 3660, 50113, 15040, 3714, 33753, 26108, 5551, 25957, 1211, 36406, 15844, 33688, 9778, 31371, 9640, 9307, 39894, 995, 34268, 3224, 337, 2167, 44394, 5021, 264, 41641, 1347], "avg_logprob": -0.2917410569531577, "compression_ratio": 1.489247311827957, "no_speech_prob": 0.0, "words": [{"start": 919.8, "end": 920.52, "word": "معناته", "probability": 0.7490234375}, {"start": 920.52, "end": 920.9, "word": " محتاج", "probability": 0.94580078125}, {"start": 920.9, "end": 921.48, "word": " أستخدم", "probability": 0.80426025390625}, {"start": 921.48, "end": 922.2, "word": " factors", "probability": 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2328.56, "word": " هأريكم", "probability": 0.60601806640625}, {"start": 2328.56, "end": 2328.78, "word": " كيف", "probability": 0.888427734375}, {"start": 2328.78, "end": 2329.22, "word": " ترسموا", "probability": 0.88671875}, {"start": 2329.22, "end": 2329.58, "word": " السن", "probability": 0.5931396484375}, {"start": 2329.58, "end": 2329.8, "word": " كيف", "probability": 0.896728515625}, {"start": 2329.8, "end": 2330.56, "word": " ترسموه", "probability": 0.9419921875}, {"start": 2330.56, "end": 2331.14, "word": " السن", "probability": 0.905029296875}, {"start": 2331.14, "end": 2331.46, "word": " بتاع", "probability": 0.7900390625}, {"start": 2331.46, "end": 2331.74, "word": " ال", "probability": 0.982421875}, {"start": 2331.74, "end": 2331.88, "word": " ..", "probability": 0.55810546875}, {"start": 2331.88, "end": 2332.4, "word": " ال", "probability": 0.91162109375}, {"start": 2332.4, "end": 2332.88, "word": " sprocket", "probability": 0.58984375}, {"start": 2332.88, "end": 2334.22, 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2351.58, "word": " جزء", "probability": 0.99365234375}, {"start": 2351.58, "end": 2352.26, "word": " مستقيم", "probability": 0.964111328125}, {"start": 2352.26, "end": 2353.42, "word": " و", "probability": 0.9794921875}, {"start": 2353.42, "end": 2353.56, "word": " في", "probability": 0.60400390625}, {"start": 2353.56, "end": 2353.78, "word": " جزء", "probability": 0.9938151041666666}, {"start": 2353.78, "end": 2354.22, "word": " curve", "probability": 0.62548828125}, {"start": 2354.22, "end": 2355.38, "word": " يعني", "probability": 0.910400390625}, {"start": 2355.38, "end": 2355.72, "word": " عندها", "probability": 0.4149169921875}, {"start": 2355.72, "end": 2356.34, "word": " جزء", "probability": 0.9318033854166666}, {"start": 2356.34, "end": 2356.46, "word": " من", "probability": 0.986328125}, {"start": 2356.46, "end": 2356.58, "word": " هنا", "probability": 0.91064453125}, {"start": 2356.58, "end": 2356.74, "word": " الى", "probability": 0.6854248046875}, {"start": 2356.74, "end": 2357.02, "word": " هنا", "probability": 0.923828125}, {"start": 2357.02, "end": 2361.34, "word": " تلت", "probability": 0.78662109375}, {"start": 2361.34, "end": 2361.86, "word": " أجزاء", "probability": 0.972900390625}, {"start": 2361.86, "end": 2367.2, "word": " هنشوف", "probability": 0.8935546875}, {"start": 2367.2, "end": 2367.36, "word": " كيف", "probability": 0.945556640625}, {"start": 2367.36, "end": 2367.76, "word": " قالية", "probability": 0.6300455729166666}, {"start": 2367.76, "end": 2368.42, "word": " رسمه", "probability": 0.9765625}, {"start": 2368.42, "end": 2369.4, "word": " قالية", "probability": 0.7469889322916666}, {"start": 2369.4, "end": 2369.92, "word": " رسمه", "probability": 0.9905598958333334}, {"start": 2369.92, "end": 2370.32, "word": " مش", "probability": 0.98779296875}, {"start": 2370.32, "end": 2370.68, "word": " موجودة", "probability": 0.9720458984375}, {"start": 2370.68, "end": 2370.76, "word": " في", "probability": 0.88818359375}, {"start": 2370.76, "end": 2371.28, "word": " الكتاب", "probability": 0.9845377604166666}, {"start": 2371.28, "end": 2372.2, "word": " في", "probability": 0.796875}, {"start": 2372.2, "end": 2372.9, "word": " handbook", "probability": 0.8994140625}], "temperature": 1.0}, {"id": 85, "seek": 238126, "start": 2379.26, "end": 2381.26, "text": "المحاضرة الجاية مارجيكويا تاكلوا العافية", "tokens": [45340, 5016, 46958, 25720, 25724, 995, 10632, 3714, 9640, 7435, 1829, 4117, 2407, 25528, 6055, 995, 28820, 14407, 18863, 31845, 10632], "avg_logprob": -0.37109375677325507, "compression_ratio": 1.1176470588235294, "no_speech_prob": 0.0, "words": [{"start": 2379.26, "end": 2379.82, "word": "المحاضرة", "probability": 0.906494140625}, {"start": 2379.82, "end": 2380.06, "word": " الجاية", "probability": 0.7600911458333334}, {"start": 2380.06, "end": 2380.58, "word": " مارجيكويا", "probability": 0.5687779017857143}, {"start": 2380.58, "end": 2380.98, "word": " تاكلوا", "probability": 0.7353515625}, {"start": 2380.98, "end": 2381.26, "word": " العافية", "probability": 0.8935546875}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2381.206375, "duration_after_vad": 2197.9118749999925}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwbRqiyGIGaMMN6wI9A06Vao/eH5Ge2qfVZo_raw.srt b/PL9fwy3NUQKwbRqiyGIGaMMN6wI9A06Vao/eH5Ge2qfVZo_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..6f1935017c7dd8bbd4c29dd271d78ee392ec0514
--- /dev/null
+++ b/PL9fwy3NUQKwbRqiyGIGaMMN6wI9A06Vao/eH5Ge2qfVZo_raw.srt
@@ -0,0 +1,1772 @@
+1
+00:00:05,400 --> 00:00:08,740
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:08,740 --> 00:00:13,480
+وبركاته اليوم هنكمل في مادة تصميم الألات اتنين
+
+3
+00:00:13,480 --> 00:00:16,980
+احنا بدأنا chapter اللي هو design of flexible
+
+4
+00:00:16,980 --> 00:00:22,660
+mechanical elements لحتى اللحظة درسنا كيفية تصميم
+
+5
+00:00:22,660 --> 00:00:27,900
+ال flat builds و ال metal flat builds و ال V
+
+6
+00:00:27,900 --> 00:00:32,220
+builds اليوم هنكمل في اللي هو roller chain اللي هو
+
+7
+00:00:32,220 --> 00:00:37,910
+البكرة و الجنزير تصميم البكرات و الجنزيرطبعا ما
+
+8
+00:00:37,910 --> 00:00:43,070
+تتميز في اللي هي أنظمة نقل الحركة باستخدام roller
+
+9
+00:00:43,070 --> 00:00:46,850
+chain drives انه دايما تعطينا ال constant
+
+10
+00:00:46,850 --> 00:00:51,650
+polyester ratio بين ال driver و ال driven مافيش
+
+11
+00:00:51,650 --> 00:00:57,490
+انزلاق يعني بتظل ال terrace ال driver او ال driven
+
+12
+00:00:57,490 --> 00:01:03,010
+بدور بدون اي حالات انزلاق ولا اي حالات تمدد في
+
+13
+00:01:03,010 --> 00:01:09,760
+الجنزير نفسهبيعمل كتير ال chain drive بيعمل كتير
+
+14
+00:01:09,760 --> 00:01:15,120
+برضه في مجال ان انا اشغل اكتر من shaft على نفس
+
+15
+00:01:15,120 --> 00:01:21,920
+مصدر الطاقة على نفس ال motor ممكن اطلع جنزير
+
+16
+00:01:21,920 --> 00:01:25,520
+جنزيرين تلات جنزير كل واحد بيشغل shaft مختلف
+
+17
+00:01:25,520 --> 00:01:32,440
+وبالتالي ممكن اشغل اكتر من اشي في نفس اللحظة اللي
+
+18
+00:01:32,440 --> 00:01:34,440
+اعنى التسميات لل chain
+
+19
+00:01:37,180 --> 00:01:42,340
+طبعا هاد .. هاد جنزير مزدوج او double .. double
+
+20
+00:01:42,340 --> 00:01:50,900
+chain double ال chain لان في عندى rollers عندى
+
+21
+00:01:50,900 --> 00:01:56,320
+جواه ال rollers اللى هو إيش المسامير ال pins لان
+
+22
+00:01:56,320 --> 00:01:58,940
+المسافة بين ال center و center ل roller بتسمى
+
+23
+00:01:58,940 --> 00:02:07,060
+الخطوة ال pitchعرض ال roller اللى هو ال width وهذا
+
+24
+00:02:07,060 --> 00:02:13,640
+ال roller ديامتر roller ديامتر وهذه تسمى lengths
+
+25
+00:02:13,640 --> 00:02:16,820
+أو
+
+26
+00:02:16,820 --> 00:02:17,380
+plates
+
+27
+00:02:21,280 --> 00:02:25,820
+طبعا هذا المنظر من ال .. من ال side view عندي هاي
+
+28
+00:02:25,820 --> 00:02:31,080
+link .. هاي link .. link .. يعني ال link هذه هي
+
+29
+00:02:31,080 --> 00:02:36,660
+هذه و ال link هذه هي ال link هذه و ال link هذه
+
+30
+00:02:36,660 --> 00:02:40,660
+اللي هي هذه و بعدين تيجي ال link هذه اللي هي هذه
+
+31
+00:02:40,660 --> 00:02:45,860
+طبعا المصمار .. في عندى مصمار فيه له راس و مسكر
+
+32
+00:02:45,860 --> 00:02:47,580
+بكوب شاية من الطرف التاني
+
+33
+00:02:55,130 --> 00:03:01,050
+ال table سبعتاش .. تسعتاش طبعا ال .. ال .. النظام
+
+34
+00:03:01,050 --> 00:03:04,610
+الترقيم أو النظام الجنازير بيبدأ باللي هو ما يسمى
+
+35
+00:03:04,610 --> 00:03:09,250
+ال chain number في عند الأرقام للجنازير خمس ..
+
+36
+00:03:09,250 --> 00:03:12,690
+بتبدأ من خمس و عشرين، خمس و ثلاثين، واحد و أربعين،
+
+37
+00:03:12,690 --> 00:03:16,910
+أربعين، خمسين، ستين، تمانين، مية، مية و عشرين، لحد
+
+38
+00:03:16,910 --> 00:03:22,690
+موصل متين و أربعينعندي هين مية مية وعشرين مية
+
+39
+00:03:22,690 --> 00:03:26,450
+واربعين مية وستين مية واتمانين متين متين واربعين
+
+40
+00:03:26,450 --> 00:03:29,530
+الان
+
+41
+00:03:29,530 --> 00:03:36,090
+لو أخدنا مثلا الانس مثلا تمانين الخطوة بتكون واحد
+
+42
+00:03:36,090 --> 00:03:40,430
+انش مسافة بين ال center و ال center لرولر واحد انش
+
+43
+00:03:40,430 --> 00:03:45,570
+ال width تاع ال roller بتكون bone ستة اتنين خمسة
+
+44
+00:03:45,570 --> 00:03:51,480
+انشال minimum tensile strength لل .. لل .. لل ..
+
+45
+00:03:51,480 --> 00:03:58,040
+لل chain أتماشر ألف و خمسمية pound ال average
+
+46
+00:03:58,040 --> 00:04:01,580
+weight اللي هى pound four per inch كل واحد قدم من
+
+47
+00:04:01,580 --> 00:04:06,500
+الجنزير بوزن واحد بقون سبعة واحد pound رولدراميتر
+
+48
+00:04:06,500 --> 00:04:12,820
+بسبعة بون ست اتنين خمسة اذا multiple strand اذا
+
+49
+00:04:12,820 --> 00:04:18,680
+بيكون اكتر من يعني double او triple او رباعياللي
+
+50
+00:04:18,680 --> 00:04:22,160
+هو من ال center ل ال center و يسمى ال strand
+
+51
+00:04:22,160 --> 00:04:28,880
+spacing ال strand spacing بيكون
+
+52
+00:04:28,880 --> 00:04:32,780
+واحد point واحد خمس تلاتة يعني لاحظوا هنا في حالة
+
+53
+00:04:32,780 --> 00:04:37,440
+ال chain number تمانين الخطوة تكون واحدة خلينا
+
+54
+00:04:37,440 --> 00:04:41,080
+نشوف ال chain number مثلا مائتين و أربعين مائتين و
+
+55
+00:04:41,080 --> 00:04:44,000
+أربعين بيكون عندي الخطوة كام تلاتة انش يعني هذا
+
+56
+00:04:44,000 --> 00:04:48,750
+جنزير أكبر تلاتة انشال width بيكون واحد point
+
+57
+00:04:48,750 --> 00:04:54,250
+تمانية سبعة خمسة inch طبعا بتحمل tensile strength
+
+58
+00:04:54,250 --> 00:05:00,110
+أعلى مية و اتناشر الف pound ال average weight
+
+59
+00:05:00,110 --> 00:05:03,370
+بتتلاحظوا ستاش point أربعة وزنه ثقيل ستاش point
+
+60
+00:05:03,370 --> 00:05:08,750
+أربعة pound لكل واحد قدم يعني حوالي تمانية كيلو
+
+61
+00:05:08,750 --> 00:05:17,060
+لكل .. يعني .. يعني في المتريعني ستاشر pound لكل
+
+62
+00:05:17,060 --> 00:05:23,320
+قدم هو حاطط للوزن اربع و عشرين نيوتن متر يعني
+
+63
+00:05:23,320 --> 00:05:27,340
+حوالي اربع و عشرين كيلو في المتر وزنه اربع و عشرين
+
+64
+00:05:27,340 --> 00:05:33,280
+كيلو في المتر roll
+
+65
+00:05:33,280 --> 00:05:36,740
+ال diameter نحكي عن واحد point تمانية سبعة خمسة ال
+
+66
+00:05:36,740 --> 00:05:39,840
+multiple strand spacing تلاتة point اربعة خمسة
+
+67
+00:05:39,840 --> 00:05:40,220
+تمانية
+
+68
+00:05:45,920 --> 00:05:51,580
+عندي هذه ال basic geometry لل chain عندي ال
+
+69
+00:05:51,580 --> 00:05:57,820
+sprocket بتدور بهذا الاتجاه بعكس عقارب الساعة طبعا
+
+70
+00:05:57,820 --> 00:06:01,020
+هكون عندي الجزء العلوي هو الجزء المشدود وهو الجزء
+
+71
+00:06:01,020 --> 00:06:02,460
+ايش المرتخق
+
+72
+00:06:05,430 --> 00:06:08,770
+الان هاد ال gamma ما تسمى ال pitch angle هي
+
+73
+00:06:08,770 --> 00:06:14,490
+المسافة بين ال center و center لل chain طبعا في
+
+74
+00:06:14,490 --> 00:06:18,790
+عندى ال pitch circle اللى هى بتمر في مراكز في مركز
+
+75
+00:06:18,790 --> 00:06:23,650
+ال chain هاد ال pitch circle الان لو وصلت ال
+
+76
+00:06:23,650 --> 00:06:29,230
+center هذا مع ال center هذا و في عند القوة بتاع
+
+77
+00:06:29,230 --> 00:06:36,400
+الدائرة بيكون فيه ايشمسافة وهي H E وانها اللي هي
+
+78
+00:06:36,400 --> 00:06:43,960
+الخطوة P وهذه
+
+79
+00:06:43,960 --> 00:06:55,420
+الزاوية الجامعة طبعا لو نزلت عمودي عليها
+
+80
+00:06:55,420 --> 00:07:02,160
+هذا مُثلث متساوى ساقين صح؟يعني هذا مُثلَق
+
+81
+00:07:02,160 --> 00:07:06,660
+والساقين، يعني هذه هتكون من المصدر، هذه الزاوية
+
+82
+00:07:06,660 --> 00:07:15,540
+هتكون اكام؟ جامعة اتنين وهذا
+
+83
+00:07:15,540 --> 00:07:20,400
+الخط tangent لل pitch circle، هذا الخط tangent
+
+84
+00:07:20,400 --> 00:07:25,540
+عماس لل pitch circle
+
+85
+00:07:34,160 --> 00:07:40,160
+الان هذه المسافة ال pitch هذه المسافة ايش هتكون ال
+
+86
+00:07:40,160 --> 00:07:44,140
+P على اتنين صح معناه ان المثلثة ده لو طلعته برا
+
+87
+00:07:44,140 --> 00:07:51,360
+هذه المسافة P على اتنين وهذه ال D ال D على اتنين
+
+88
+00:07:51,360 --> 00:07:55,500
+ال R وهذه جامعة على اتنين الان ال sign جامعة على
+
+89
+00:07:55,500 --> 00:07:59,960
+اتنين ايش يساوي هذه المسافة على الوطن ال sign
+
+90
+00:07:59,960 --> 00:08:03,260
+جامعة على اتنين يساويفيها اتنين على دي على اتنين
+
+91
+00:08:03,260 --> 00:08:07,240
+اتنين بتروح مع اتنين بيصير sign gamma على اتنين
+
+92
+00:08:07,240 --> 00:08:11,160
+بيستوى ال pitch على ال diameter ومنها ال diameter
+
+93
+00:08:11,160 --> 00:08:13,660
+ال pitch diameter بيستوى ال pitch على sign gamma
+
+94
+00:08:13,660 --> 00:08:18,800
+على اتنين طبعا
+
+95
+00:08:18,800 --> 00:08:23,200
+ال gamma هذه تقسمتها حسب عدد الاسنان هتكون ال
+
+96
+00:08:23,200 --> 00:08:28,340
+gamma تستوى تلت مية وستين على
+
+97
+00:08:28,340 --> 00:08:33,000
+عدد الاسنانيعني جامعة اتنين هتكون مية و تمانين على
+
+98
+00:08:33,000 --> 00:08:37,520
+عدد الاسنان معناه دي بيستوى ال pitch على الصين مية
+
+99
+00:08:37,520 --> 00:08:48,720
+و تمانين على ان طبعا
+
+100
+00:08:48,720 --> 00:08:55,720
+شكل السن هنجيله مش نفس شكل سن ترس الجيرهذا
+
+101
+00:08:55,720 --> 00:08:58,940
+sprocket و هذا .. و ال .. ال gear اشي تاني هداك
+
+102
+00:08:58,940 --> 00:09:03,060
+involute هدا مش involute هنشوف كيف ب .. ب .. برتسن
+
+103
+00:09:03,060 --> 00:09:07,880
+عدد السنان متحدد حسب المسافة بين كل chain و التاني
+
+104
+00:09:07,880 --> 00:09:12,300
+صح؟ بالظبط و حسب القطر بدك عدد السنان أكتر و لنفس
+
+105
+00:09:12,300 --> 00:09:16,180
+ال pitch بزاوية عدد السنان صح؟ بس في minimum
+
+106
+00:09:16,180 --> 00:09:21,660
+number لعدد السنان الآن
+
+107
+00:09:25,110 --> 00:09:31,090
+الجنزير اللينكات محدد البلت العادية بتكون مطاطية
+
+108
+00:09:31,090 --> 00:09:35,950
+بتلف يعني بتلف يعني بيكونش في عندك .. يعني عندك
+
+109
+00:09:35,950 --> 00:09:38,470
+هنا ال link جاية ال link عدل هنا اللي هو هاي ال
+
+110
+00:09:38,470 --> 00:09:45,750
+link تمثلها صح؟ لكن لو بلت عادية بيكون ماشية مع
+
+111
+00:09:45,750 --> 00:09:52,220
+اياش مع ال curveمعناته هتكون ال .. و هو يلف بتكون
+
+112
+00:09:52,220 --> 00:09:57,620
+لو اتركت تصور كاميرا سريعة بيكون يطلع و ينزل نتيجة
+
+113
+00:09:57,620 --> 00:10:02,900
+انه .. انه عدل فبيكون في variation .. variation لل
+
+114
+00:10:02,900 --> 00:10:07,500
+speed variation لل speed مش هنخش تفاصيلش تقرأكوا
+
+115
+00:10:07,500 --> 00:10:11,880
+بس اللي هو ال .. ال .. ال .. ال chordal variation
+
+116
+00:10:11,880 --> 00:10:16,260
+اللي هي delta V على Vبيستوى ال maximum speed minus
+
+117
+00:10:16,260 --> 00:10:19,520
+maximum speed على اتنى على a على v تقطع اللقاء دي
+
+118
+00:10:19,520 --> 00:10:23,780
+by على n في واحد على sign مية و اتنى على n ناقص
+
+119
+00:10:23,780 --> 00:10:28,120
+واحد على ten مية و اتنى على n هذه ال variation of
+
+120
+00:10:28,120 --> 00:10:34,940
+ال speed طبعا كل ما قللت عدد الإسنان كل ما ال
+
+121
+00:10:34,940 --> 00:10:37,940
+offset distance كل ما قطعت الإسنان كل ما المسافة
+
+122
+00:10:37,940 --> 00:10:41,720
+هذي E بتزيغ بتكبر معناه ال variation of ال speed
+
+123
+00:10:41,720 --> 00:10:49,110
+ايش معناه؟هتزيد، بمعنى إذا بدك يعني حركة أنعم بدك
+
+124
+00:10:49,110 --> 00:10:52,750
+يعني يكون عدد الصناع أكتر، يعني كل ما يزيد عدد
+
+125
+00:10:52,750 --> 00:10:59,350
+الصناع ال variation في ال speed بيكون أقل، بقى هنا
+
+126
+00:10:59,350 --> 00:11:01,850
+عامله percentage، عشرة في المية، عشرين في المية
+
+127
+00:11:04,670 --> 00:11:08,890
+واضح ان ال variable speed بيعتمد على عدد الإسنان
+
+128
+00:11:08,890 --> 00:11:14,030
+لو n approaches infinity كله بيصير ايش؟ zero
+
+129
+00:11:14,030 --> 00:11:17,310
+فمنطقي
+
+130
+00:11:17,310 --> 00:11:24,070
+طبعا ال driving sprocket أقل شي لازم يكون في عدد
+
+131
+00:11:24,070 --> 00:11:32,130
+الإسنان 17 ويفضل يكون فردي في ال drivingسبعتاش ..
+
+132
+00:11:32,130 --> 00:11:34,570
+تسعتاش .. واحد و عشرين .. تلات و عشرين .. خمس و
+
+133
+00:11:34,570 --> 00:11:40,170
+عشرين بالنسبة لل chain نفسها ال chain ما هي عبارة
+
+134
+00:11:40,170 --> 00:11:48,050
+عن زرادات يفضل يكون عدد زرادات زوجي لأنه عشان تسكر
+
+135
+00:11:48,050 --> 00:11:54,410
+في الآخر توصل اذا كان العدد فردي بدك link خاص عشان
+
+136
+00:11:54,410 --> 00:11:58,210
+توصلهم لكن اذا كان عدد زوجي واصله بكون سهل كتير
+
+137
+00:12:05,080 --> 00:12:08,780
+عادة الـ driven sprockets اللي هي الـ sprocket
+
+138
+00:12:08,780 --> 00:12:13,340
+الكبيرة بتنعملش
+
+139
+00:12:13,340 --> 00:12:20,840
+بعدد سنان أكتر من عشرين سن ال most successful
+
+140
+00:12:20,840 --> 00:12:24,640
+drives توصل velocity ratio لست أضعف
+
+141
+00:12:28,000 --> 00:12:31,680
+يعني ماتزيدش تجنبك انك تكون ال velocity ratio ال
+
+142
+00:12:31,680 --> 00:12:35,820
+reduction .. ال velocity ratio انها زيادة عن ستة
+
+143
+00:12:35,820 --> 00:12:42,760
+بدك زيادة عن ستة اروح .. اروح على ال gears لكن
+
+144
+00:12:42,760 --> 00:12:46,520
+ممكن ازود عن ستة لكن هذا بيأثر على عمر ال chain
+
+145
+00:12:46,520 --> 00:12:51,260
+بيخلي عمرها أقصر بكتير نعم
+
+146
+00:12:58,860 --> 00:13:01,680
+التنتين هو ال .. ال .. ال .. ال exchange drives
+
+147
+00:13:01,680 --> 00:13:05,840
+يعني أرخص و .. و .. و أسهل في ال .. في ال .. في
+
+148
+00:13:05,840 --> 00:13:08,580
+الشغل بس أنا في ال gears ممكن أعمل العزم اللي بدي
+
+149
+00:13:08,580 --> 00:13:11,660
+هي و في ال chains عندي عزم مفتوح لأن إذا بتتطلع
+
+150
+00:13:11,660 --> 00:13:16,800
+بعد شوية هنورجيك ال .. ال .. ال .. ال power rating
+
+151
+00:13:16,800 --> 00:13:22,220
+capacity عشان الماكس متواصلة طبعا
+
+152
+00:13:22,220 --> 00:13:28,350
+ال .. ال chain صعب تتحكم بال .. بالtorqueيعني
+
+153
+00:13:28,350 --> 00:13:31,930
+اتغير .. يعني اكون اش .. اش اكون متغير اه طبعا
+
+154
+00:13:31,930 --> 00:13:36,070
+ايوه انا بحكي اذا عملت .. بدك تعمل fixed ratio اما
+
+155
+00:13:36,070 --> 00:13:39,270
+if variable ratio بدك تعمل تغيير غيرات ال gears
+
+156
+00:13:39,270 --> 00:13:45,290
+احسن اللي انا بنختار ال chains .. ال .. ال chains
+
+157
+00:13:45,290 --> 00:13:50,550
+ال capacities او الحسابات بتاعة مبنية على التالي
+
+158
+00:13:50,550 --> 00:13:54,410
+ال
+
+159
+00:13:54,410 --> 00:14:00,080
+life تكون خمساشر الف ساعات full loadالاحسابات
+
+160
+00:14:00,080 --> 00:14:06,140
+مبنية على single strand يعني جنزير مفرد ال answer
+
+161
+00:14:06,140 --> 00:14:10,580
+proportions اللي هي موجودة في ال tables اللي راحت
+
+162
+00:14:10,580 --> 00:14:16,780
+و اللي هتيجي و service factor of unity one hundred
+
+163
+00:14:16,780 --> 00:14:20,880
+pitches in length بيكون طول الجنزير مية خطوة
+
+164
+00:14:24,120 --> 00:14:28,020
+و ال recommended laparocation التزييد الموصى بيه
+
+165
+00:14:28,020 --> 00:14:35,200
+من المصنع و maximum elongation تلاتة في المية و ال
+
+166
+00:14:35,200 --> 00:14:40,760
+sharks are horizontal و ال driver و ال driven
+
+167
+00:14:40,760 --> 00:14:48,320
+sprockets له نفس العدد اثنان و سبعتاشر سن يعني
+
+168
+00:14:48,320 --> 00:14:53,220
+الاحسابات او ال tablesهذا الأساس عمر خمساشر ألف
+
+169
+00:14:53,220 --> 00:14:59,380
+ساعة جنزير مفرد answer proportions كأس بساوة واحد
+
+170
+00:14:59,380 --> 00:15:04,240
+ميت خطوة في طول الجنزير recommended lubrications
+
+171
+00:15:04,240 --> 00:15:07,560
+ال maximum elongation تلاتة في المية horizontal
+
+172
+00:15:07,560 --> 00:15:12,980
+shots وعند ال driver driven سبعتاشر سن معناته إذا
+
+173
+00:15:12,980 --> 00:15:20,520
+إشي اختلف عن هيك محتاج أعمل إيش تعديلاتمعناته
+
+174
+00:15:20,520 --> 00:15:24,760
+محتاج أستخدم factors إذا اختلف عن ال life أفضل ألف
+
+175
+00:15:24,760 --> 00:15:28,200
+أو اختلف عن السنة عن سبت عشر سنة مثلا محتاج أعمل
+
+176
+00:15:28,200 --> 00:15:42,460
+corrections على الإختيارات بتاعته for
+
+177
+00:15:42,460 --> 00:15:48,470
+single stranded chain the nominal powerlink plate
+
+178
+00:15:48,470 --> 00:15:51,350
+limited ايش يعني link plate limited؟ انا الجنزير
+
+179
+00:15:51,350 --> 00:15:57,590
+فيه بلتيات وفيه بينهم pins و rollers فممكن تصير
+
+180
+00:15:57,590 --> 00:16:03,190
+failure في ال link نفسها، مظبوط؟ ممكن تصير by اللي
+
+181
+00:16:03,190 --> 00:16:08,210
+هو fatigue او contact stress تصير failure في
+
+182
+00:16:08,210 --> 00:16:13,410
+roller نفسها، مظبوط؟انا بحكي على ال chain او في ال
+
+183
+00:16:13,410 --> 00:16:18,410
+sprocket ممكن تصير failure لل sin بتاع ال sprocket
+
+184
+00:16:18,410 --> 00:16:22,070
+نفسها سواء due to bending او due to contact stress
+
+185
+00:16:22,070 --> 00:16:25,890
+انا حاليا بحكي على ال chain ال failure ممكن تصير
+
+186
+00:16:25,890 --> 00:16:32,170
+انه في ال linket نفسها هاي one mode of failure
+
+187
+00:16:32,170 --> 00:16:35,890
+another mode of failure انه ال contact stress على
+
+188
+00:16:35,890 --> 00:16:42,780
+ال roller نفسهمعناته إذا بدى أحسب ال power based
+
+189
+00:16:42,780 --> 00:16:47,280
+على ال link يعني ال link هي اللي حكمي عليه بتكون
+
+190
+00:16:47,280 --> 00:16:51,460
+ال power موطنة بالعلاقة هذه بيستوى point 004 في n
+
+191
+00:16:51,460 --> 00:16:55,480
+واحد اص one point oh eight في n small واحد اص
+
+192
+00:16:55,480 --> 00:17:00,200
+point nine في ال pitch اص تلاتة minus point oh
+
+193
+00:17:00,200 --> 00:17:08,410
+سبعة في ال pitch ال n واحدهي عدد الإثنان على ال
+
+194
+00:17:08,410 --> 00:17:14,590
+driver ال N واحد كابيتال وال N واحد small هي سرعة
+
+195
+00:17:14,590 --> 00:17:20,670
+ال driver او ال sprocket الصغيرة اذا بدى احسب ال
+
+196
+00:17:20,670 --> 00:17:25,190
+power و ال limiting factor عند ال roller اللى هو
+
+197
+00:17:25,190 --> 00:17:28,910
+ال contact stress على ال roller بتكون ال power
+
+198
+00:17:28,910 --> 00:17:34,300
+ممطلة لأ قد اقعدش اتنين بساوي الف KRفي n واحد اص
+
+199
+00:17:34,300 --> 00:17:38,000
+واحد و نص في ال pitch اص واحد و تمانية على n واحد
+
+200
+00:17:38,000 --> 00:17:43,340
+small اص واحد و نص ال n واحد حكينا العدد السنان في
+
+201
+00:17:43,340 --> 00:17:46,460
+البكرة
+
+202
+00:17:46,460 --> 00:17:50,260
+الصغيرة او ال terrace الصغير ال n واحد small اللي
+
+203
+00:17:50,260 --> 00:17:56,860
+هو سرعة ال sprocket في ال RBM ال P هي الخطوة بال
+
+204
+00:17:56,860 --> 00:18:04,780
+انش ال KRأحنا حكينا الترقيم بتاع ال .. ال .. ال ..
+
+205
+00:18:04,780 --> 00:18:07,040
+ال chains ببدأ من خمسة و عشرين، تلاتين، خمسة و
+
+206
+00:18:07,040 --> 00:18:10,940
+تلاتين، لحد مصر، المتين و أربعين فال KR بتعتمد على
+
+207
+00:18:10,940 --> 00:18:15,260
+إيش؟ على ال chain ال KR بتساوي تسعة و عشرين for ال
+
+208
+00:18:15,260 --> 00:18:19,260
+chain numbers خمسة و عشرين و خمسة و تلاتين و ال KR
+
+209
+00:18:19,260 --> 00:18:22,740
+بتساوي تلاتة point أربعة for ال chain رقم واحد و
+
+210
+00:18:22,740 --> 00:18:28,540
+أربعين و بتساوي سبعتاش لل other chains من أربعين
+
+211
+00:18:28,540 --> 00:18:36,140
+لمتين و أربعيننرجع على ال table عند
+
+212
+00:18:36,140 --> 00:18:40,000
+ال chain numbers عند خمسة و عشرين خمسة و تلاتين و
+
+213
+00:18:40,000 --> 00:18:46,460
+احد و اربعين اربعين خمسين ستين تمانين لحد متين و
+
+214
+00:18:46,460 --> 00:18:51,260
+اربعين احنا
+
+215
+00:18:51,260 --> 00:18:55,620
+حكينا ال KR تسعة و عشرين for the chain numbers
+
+216
+00:18:55,620 --> 00:19:00,190
+خمسة و عشرين و خمسة و تلاتينتلات شبون تقرا فورت
+
+217
+00:19:00,190 --> 00:19:04,650
+شين نمبر واحد واربعين وتستوى سبعتاش فورت شين من
+
+218
+00:19:04,650 --> 00:19:16,550
+اربعين لامتين واربعين الان
+
+219
+00:19:16,550 --> 00:19:22,930
+جدول سبعتاش عشرين معطين ال rated horsepower
+
+220
+00:19:22,930 --> 00:19:28,910
+capacity for single strandsingle pitch roller
+
+221
+00:19:28,910 --> 00:19:32,990
+chain for a seventeen tooth sprocket يعني الجدولة
+
+222
+00:19:32,990 --> 00:19:36,210
+ده ماتعطين ال horse rate capacity ال horse power
+
+223
+00:19:36,210 --> 00:19:45,770
+capacity ال sprocket عدد سنانها سبعتاش الجنزير
+
+224
+00:19:45,770 --> 00:19:52,010
+مفرد العمود الأول ماتعطين ال sprocket speed بال
+
+225
+00:19:52,010 --> 00:19:58,570
+RPMالصف هذا او العمدان هذه حسب ميعطيني ال answer
+
+226
+00:19:58,570 --> 00:20:01,490
+chain number هي اللي عندي خمسة و عشرين خمسة تلاتين
+
+227
+00:20:01,490 --> 00:20:06,330
+اربعين و احد اربعين خمسين ستين تمانين مية و هكذا
+
+228
+00:20:06,330 --> 00:20:12,270
+الان مثلا لو حكيت انا عندي ال answer .. ال answer
+
+229
+00:20:12,270 --> 00:20:18,250
+chain number اربعين و
+
+230
+00:20:18,250 --> 00:20:24,530
+ال speed خمسمية اربعين و انا تحمشي بهذا الاتجاهو
+
+231
+00:20:24,530 --> 00:20:32,610
+همشي هذا الاتجاه تطلع ال rated horsepower capacity
+
+232
+00:20:32,610 --> 00:20:40,150
+ل chain number اربعين عند سرعة خمسمية rpm وعدد سنة
+
+233
+00:20:40,150 --> 00:20:45,170
+اللي سفركت سبعتاش وجنزير مفرد تطلع هذه بتشيل بس
+
+234
+00:20:45,170 --> 00:20:49,270
+اتنين point تسعة واحد horsepower اتنين point تسعة
+
+235
+00:20:49,270 --> 00:20:55,840
+تلاتة horsepower معناتهال rated horsepower for a
+
+236
+00:20:55,840 --> 00:21:02,780
+single strand of seventeen teeth sprocket at five
+
+237
+00:21:02,780 --> 00:21:07,240
+hundred rpm هتكون اتنين point تسعة تلاتة لو حكيت
+
+238
+00:21:07,240 --> 00:21:15,820
+انا عندي ستين ال answer chain number ستين و ال rpm
+
+239
+00:21:15,820 --> 00:21:22,800
+الف يعني معناته همشي هذا الاتجاه و
+
+240
+00:21:22,800 --> 00:21:32,590
+هنا همشيهتكون اكم 18.3 مانعته جنزير رقم ستين العد
+
+241
+00:21:32,590 --> 00:21:37,270
+السنان سبعتاشر سن والجنزير مفرد والسرعة الف ار بي
+
+242
+00:21:37,270 --> 00:21:46,710
+ام ال rated horsepower بتكون 18.3 علينا
+
+243
+00:21:46,710 --> 00:21:53,350
+لما نتيجي نحسب H واحد وH
+
+244
+00:21:53,350 --> 00:21:59,880
+اتنينالقيم في الجدول هذه بتكون ال minimum of H1
+
+245
+00:21:59,880 --> 00:22:05,800
+and H2 هنشوف من خلال المثال القيم الجدول هذه هي ال
+
+246
+00:22:05,800 --> 00:22:10,020
+minimum of H1 and H2 القيم الأصغر من H1 وH2
+
+247
+00:22:27,430 --> 00:22:38,510
+طيب table 17 و 21 table 17 و 21 مورجيني
+
+248
+00:22:38,510 --> 00:22:46,570
+عدد الأسنان المتاحة في الأسواق لجنزير مفرد جنزير
+
+249
+00:22:46,570 --> 00:22:50,990
+مفرد يعني متاح لو كان رقم 25 متاح عدد الأسنان من 8
+
+250
+00:22:50,990 --> 00:22:58,310
+ل 30 و 32 و 34 و 35 و 36 و 40 و هكذالو كان عندي ال
+
+251
+00:22:58,310 --> 00:23:02,530
+chain number 240 عدد الأسنان بيكون متاح من تسعة
+
+252
+00:23:02,530 --> 00:23:04,850
+على التلاتين بعدين تسعة و تلاتين، خمسة و تلاتين،
+
+253
+00:23:04,850 --> 00:23:10,930
+ستة و تلاتين، لحد ستين لحظة أكتر أشي بزدوش على مية
+
+254
+00:23:10,930 --> 00:23:15,130
+و عشرين سن عندي هي المية و عشرين، مية و عشرين، مية
+
+255
+00:23:15,130 --> 00:23:17,670
+و عشرين، مية و عشرين، مية و عشرين، مية و عشرين،
+
+256
+00:23:17,670 --> 00:23:21,330
+مية و عشرين يعني زي ما حكي أنا ال recommendation
+
+257
+00:23:21,330 --> 00:23:25,770
+مافيش .. ماتعملش أكتر من مية و عشرين سن
+
+258
+00:23:31,660 --> 00:23:35,880
+إذا زاد عدسانها لـ 120 سنة بيزود احتمالات انه يصير
+
+259
+00:23:35,880 --> 00:23:41,120
+.. لأن اللي بيصير إذا فيه نسبة error أو تمدد بتجمع
+
+260
+00:23:41,120 --> 00:23:48,920
+لو عندي مثلا .. عندي مثلا 200 سنة .. 200 سنة و صار
+
+261
+00:23:48,920 --> 00:23:55,540
+تمدد في كل واحدة عشر ملي 200 في عشر أكمل .. 20 ملي
+
+262
+00:23:55,540 --> 00:24:02,490
+.. 2 سنةده صامت كتير فاللي هستير انه الجنزير هيطلع
+
+263
+00:24:02,490 --> 00:24:06,870
+عن الاسنان هتسلقه ويفلط اذا عدد الاسنان زاد عن ال
+
+264
+00:24:06,870 --> 00:24:13,670
+120 equation
+
+265
+00:24:13,670 --> 00:24:19,650
+1732 هي هذه ال
+
+266
+00:24:19,650 --> 00:24:26,430
+constant bond 004 في حالة أنسي
+
+267
+00:24:27,740 --> 00:24:32,740
+انس تشين واحد واربعين استبدل constant point 004
+
+268
+00:24:32,740 --> 00:24:41,000
+يعني هذه تعمل لكل عدد تشين معدى تشين نمبر واحد
+
+269
+00:24:41,000 --> 00:24:49,460
+واربعين باستبدل constant point 004 point 0022 ال
+
+270
+00:24:49,460 --> 00:24:55,540
+nominal horsepower in table سبعتاش عشرين اللي هو
+
+271
+00:24:55,540 --> 00:25:03,300
+ال table هذا زي ما حكيتهي ال minimum of H1 و H2
+
+272
+00:25:03,300 --> 00:25:11,960
+الـ
+
+273
+00:25:11,960 --> 00:25:16,380
+H1
+
+274
+00:25:16,380 --> 00:25:23,260
+هي ال horse power للحسبة based على ال failure لل
+
+275
+00:25:23,260 --> 00:25:30,600
+link ال H2 هي ال horse power للحسبة based علىال
+
+276
+00:25:30,600 --> 00:25:39,860
+roller due to contact stress زي
+
+277
+00:25:39,860 --> 00:25:42,860
+ما حكينا من الفضل ان يكون عدد الأسنان على ال
+
+278
+00:25:42,860 --> 00:25:49,360
+driving sprocket مفرد وعدد الخطوات في ال chain
+
+279
+00:25:49,360 --> 00:25:58,590
+مزوج او مزدوجالان طول ال chain لكل خطوة يعني هذه
+
+280
+00:25:58,590 --> 00:26:03,830
+number of pitches number of pitches ال length of
+
+281
+00:26:03,830 --> 00:26:08,050
+the chain in pitches بيكون سوى اتنين C على P ال C
+
+282
+00:26:08,050 --> 00:26:12,590
+هي ال center distance و ال P هي الخطوة زاد N واحد
+
+283
+00:26:12,590 --> 00:26:15,410
+زادين اتنين على اتنين N واحد هو عدد أسنان ل
+
+284
+00:26:15,410 --> 00:26:21,070
+driver's pocketوN2 عدسنا ل driven sprocket زاد N2
+
+285
+00:26:21,070 --> 00:26:25,550
+minus N1 لكل تربيع على أربع by square في ال C على
+
+286
+00:26:25,550 --> 00:26:30,590
+ال pitch هذا ال approximate length of the chain in
+
+287
+00:26:30,590 --> 00:26:34,970
+pitches طبعا
+
+288
+00:26:34,970 --> 00:26:38,030
+لما انت بتحسب الرقم هذا بيطلع بيطلعش مية في المية
+
+289
+00:26:38,030 --> 00:26:43,270
+بيطلع فيه كسر مثلا طلع مثلا مية point خمسة
+
+290
+00:26:49,740 --> 00:26:53,120
+معناته في الحالة دي حاسسيه هختار الرقم بعده، الرقم
+
+291
+00:26:53,120 --> 00:26:59,400
+بعده إيش هقول؟ 101، ال 101 رقم مفرد، أنا يفضلي
+
+292
+00:26:59,400 --> 00:27:05,920
+أحكي الرقم يكون إيش؟ معناته هختار 102، يعني لو كان
+
+293
+00:27:05,920 --> 00:27:12,080
+99 و 3 من 10، هحكي 100، خلاص، خلصنا بعد ما أثبت
+
+294
+00:27:12,080 --> 00:27:16,280
+اللي هو ال .. ال .. ال .. ال .. ال length of the
+
+295
+00:27:16,280 --> 00:27:20,410
+chain، بحسب ال center distanceيعني ماكن أعرف ال
+
+296
+00:27:20,410 --> 00:27:23,650
+center distance لأن .. يعني لما حسبت هنا كانت
+
+297
+00:27:23,650 --> 00:27:28,630
+بالكسور بالكسور based على ال center distance كانت
+
+298
+00:27:28,630 --> 00:27:30,590
+بالكسور based على ال center distance الآن لما
+
+299
+00:27:30,590 --> 00:27:34,850
+اخترت مااخترتش الرقم اللي هنا مثلا كان تسعة و
+
+300
+00:27:34,850 --> 00:27:37,610
+تسعين اتنين و اتنين و عشرة صار مية معناته المعادل
+
+301
+00:27:37,610 --> 00:27:45,430
+هذه ماتصبتش صح؟ معناته هحسب هعدل
+
+302
+00:27:45,430 --> 00:27:50,280
+ال center distanceبستوى ال pitch على أربع ناقص a
+
+303
+00:27:50,280 --> 00:27:52,480
+زي جزي تربيه على a تربيه و ناقص ثوانية في n اتنين
+
+304
+00:27:52,480 --> 00:27:57,100
+minus n واحد على اتنين by الكل تربيع و ال a بستوى
+
+305
+00:27:57,100 --> 00:28:00,800
+n واحد زي n اتنين على اتنين minus L على D هو فعليا
+
+306
+00:28:00,800 --> 00:28:03,860
+استخدم المعادلة السابقة بس بدل ما كانت أذافة يعني
+
+307
+00:28:03,860 --> 00:28:08,510
+كان ال .. كان ال .. ال ..ال independent variable
+
+308
+00:28:08,510 --> 00:28:12,970
+كان C هي انصار العكس ال independent variable اللي
+
+309
+00:28:12,970 --> 00:28:20,370
+هو طول ال .. ال .. الجنزيرة بنفع أغير ال C المضطر؟
+
+310
+00:28:20,370 --> 00:28:24,890
+بنفع أنت المصمم لو كان في الأول مثلا بدي أينف مثلا
+
+311
+00:28:24,890 --> 00:28:29,470
+شافتين عملهم حسابات كاملة زي مثلا ماشي و بنتي
+
+312
+00:28:29,470 --> 00:28:35,330
+عليها أجى أدخل مواقع إفريقل الحسابات اللي جابتماشي
+
+313
+00:28:35,330 --> 00:28:37,410
+انت .. انت .. انت الان اذا اخترت ال center
+
+314
+00:28:37,410 --> 00:28:42,410
+distance و حسبت طلعت .. حسبت هذه هذه طبعا مستحيل
+
+315
+00:28:42,410 --> 00:28:48,710
+تطلع رقم 100% هتطلع فيه كسب هتعدل هتضطر ليش ترجع
+
+316
+00:28:48,710 --> 00:28:59,910
+تعدل ال center distance كمان مرة الان
+
+317
+00:28:59,910 --> 00:29:02,030
+ال allowable power ال allowable power
+
+318
+00:29:06,700 --> 00:29:12,680
+احنا حكينا الجدول سبعتاشر عشرين based على جنزير
+
+319
+00:29:12,680 --> 00:29:16,600
+مفرد وعدسنان ال .. ال .. ال .. ال .. ال .. ال ..
+
+320
+00:29:16,600 --> 00:29:16,600
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+321
+00:29:16,600 --> 00:29:17,400
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+322
+00:29:17,400 --> 00:29:18,160
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+323
+00:29:18,160 --> 00:29:19,920
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+324
+00:29:19,920 --> 00:29:19,940
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+325
+00:29:19,940 --> 00:29:20,000
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+326
+00:29:20,000 --> 00:29:22,340
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+327
+00:29:22,340 --> 00:29:22,380
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+328
+00:29:22,380 --> 00:29:22,380
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+329
+00:29:22,380 --> 00:29:24,140
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+330
+00:29:24,140 --> 00:29:27,760
+ال .. ال .. ال .. ال .. ال ..
+
+331
+00:29:34,100 --> 00:29:37,100
+الكيوة had correction factor for tooth number
+
+332
+00:29:37,100 --> 00:29:40,340
+other than seventeen اذا اختلف عدسنا عن سبعتاش
+
+333
+00:29:40,340 --> 00:29:44,280
+محتاج اعمل correction اللي هو ال table سبعتاش
+
+334
+00:29:44,280 --> 00:29:49,660
+اتنين و عشرين هنا
+
+335
+00:29:49,660 --> 00:29:51,800
+ال tooth correction factor number of teeth on
+
+336
+00:29:51,800 --> 00:29:55,060
+driving sprocket اذا بتلاحظوا سبعتاش عدسنا ليس
+
+337
+00:29:55,060 --> 00:29:57,400
+correction واحد
+
+338
+00:30:05,170 --> 00:30:08,970
+ال K2 strand correction factor احنا حكينا K بس و
+
+339
+00:30:08,970 --> 00:30:13,030
+أتاشرين based على جنزير مفرد لكن لو اختلف عن جنزير
+
+340
+00:30:13,030 --> 00:30:19,750
+مفرد احنا ال K في حالة مفرد هكون واحد K اتنين لو
+
+341
+00:30:19,750 --> 00:30:24,230
+كان عند ال number of strands اتنين بيصير one point
+
+342
+00:30:24,230 --> 00:30:32,230
+seven يعني مضاعفة الجنزير بضعفش ال horsepowerone
+
+343
+00:30:32,230 --> 00:30:35,790
+يعني رفعها ال horse و الوركبات رفعها ال 70%
+
+344
+00:30:35,790 --> 00:30:42,890
+التلاتة بيخلهاش تلاتة ضاعف 250% رفعها أربعة مش
+
+345
+00:30:42,890 --> 00:30:47,910
+أربعة ضاعف و هكذا
+
+346
+00:30:47,910 --> 00:30:51,230
+مانا توفيه عندي two correction factors واحد for
+
+347
+00:30:51,230 --> 00:30:57,730
+عدد الإسنان و واحد لعدد الجنازير هل هو مفرد مزدوج
+
+348
+00:30:57,730 --> 00:30:58,450
+أو ثلاثة
+
+349
+00:31:03,120 --> 00:31:05,960
+ال horse power that must be transmitted is given
+
+350
+00:31:05,960 --> 00:31:10,600
+by .. انا بحكي ال drive system هذا based على عشر
+
+351
+00:31:10,600 --> 00:31:14,520
+أحصان، مطور عشر أحصان، انا بحكي ال H design بتكون
+
+352
+00:31:14,520 --> 00:31:18,920
+ال nominal power في ال series factor، في design
+
+353
+00:31:18,920 --> 00:31:21,620
+factor، انا بحطه .. بحطه واحد و نص، واحد و اتنين،
+
+354
+00:31:21,620 --> 00:31:23,460
+اتنين، حسب انا بقرر كم مصمم
+
+355
+00:31:34,840 --> 00:31:37,300
+الان احنا في معادل تانى اللى هى معادلة سبعتاش
+
+356
+00:31:37,300 --> 00:31:45,260
+اتنين و تلاتين اذا فاكرينها اللى هى هدى هدى سبعتاش
+
+357
+00:31:45,260 --> 00:31:51,500
+اتنين و تلاتين و هدى سبعتاش تلات و تلاتين هدى
+
+358
+00:31:51,500 --> 00:31:58,040
+based على ايش ال failure لل linkات نفسهم صح و هدى
+
+359
+00:31:58,040 --> 00:32:00,240
+based على ال failure ل roller due to contact
+
+360
+00:32:00,240 --> 00:32:02,640
+stress معناه ال equation سبعة اتنين و تلاتين
+
+361
+00:32:03,410 --> 00:32:07,530
+derived based على ال failure لل link تلت و تلتين
+
+362
+00:32:07,530 --> 00:32:13,850
+derived based على ال failure لل roller نفسها هدول
+
+363
+00:32:13,850 --> 00:32:17,650
+المعادلتين equation سبعة اتنين و تلتين is the
+
+364
+00:32:17,650 --> 00:32:20,750
+basis of the pre extreme power entries ال vertical
+
+365
+00:32:20,750 --> 00:32:26,850
+entries of table سبعتاش عشرين and the chain power
+
+366
+00:32:26,850 --> 00:32:30,820
+is limited by link plate fatigueهذا الكلام يعني
+
+367
+00:32:30,820 --> 00:32:35,680
+حكيته بس عيده equation سبعة و تلاتين هي الأساس
+
+368
+00:32:35,680 --> 00:32:41,080
+يعني أساسها كان مبني على ال fatigue failure لل
+
+369
+00:32:41,080 --> 00:32:48,680
+links نفسها equation سبعة و تلاتين is the base for
+
+370
+00:32:48,680 --> 00:32:52,240
+post extreme power entries of these tables and the
+
+371
+00:32:52,240 --> 00:32:54,420
+chain power performance is limited by impact
+
+372
+00:32:54,420 --> 00:32:55,420
+fatigue لل rollers
+
+373
+00:33:02,860 --> 00:33:08,360
+ال entries اللي في table 1720 اللي هو احنا بتختار
+
+374
+00:33:08,360 --> 00:33:14,420
+منه ال rated horsepower كانت مبنية على اساس عند
+
+375
+00:33:14,420 --> 00:33:19,440
+طول الجنزير مائة خطوة وعدد سنة ل ال sprocket
+
+376
+00:33:19,440 --> 00:33:27,400
+سبعتاش and
+
+377
+00:33:27,400 --> 00:33:32,410
+for a deviation from thisيعني احنا الاحسابات
+
+378
+00:33:32,410 --> 00:33:40,190
+بتاعتنا كانت على ال chain طولها مية خطوة for a
+
+379
+00:33:40,190 --> 00:33:42,650
+deviation from this احنا هكينا deviation في إيش؟
+
+380
+00:33:42,650 --> 00:33:47,150
+هو this، this اللي هو عندى مية خطوة، هاي واحد عدس
+
+381
+00:33:47,150 --> 00:33:57,270
+لان سبعتاش، هحسب ال H2 بسهولة الف في KRفي n واحد
+
+382
+00:33:57,270 --> 00:33:59,770
+capital ل n واحد small اص واحد و نصف في ال pitch
+
+383
+00:33:59,770 --> 00:34:04,130
+اص point تمانية في الفيه على مية اص في point four
+
+384
+00:34:04,130 --> 00:34:08,190
+في خمساشة الف على h في point four لحظة ال life
+
+385
+00:34:08,190 --> 00:34:10,970
+كانت احنا الحسابات مبنية على خمساشة الف ساعة حط ال
+
+386
+00:34:10,970 --> 00:34:14,970
+life هنا any number of hours ال h اللي هي ال life
+
+387
+00:34:14,970 --> 00:34:18,590
+الحقيقية اللي مش بضرورة تكون خمساشة الف ممكن تكون
+
+388
+00:34:18,590 --> 00:34:25,800
+اكتر او اقل او حط هناال length in pitches احنا
+
+389
+00:34:25,800 --> 00:34:29,400
+الحسابات كانت مبنية على مية هنا صارت هنا ألف يعلى
+
+390
+00:34:29,400 --> 00:34:35,260
+مية يعني
+
+391
+00:34:35,260 --> 00:34:41,440
+هنا عملنا correction ل length other than اللي هو
+
+392
+00:34:41,440 --> 00:34:45,980
+مية pitch و ل life other than fifteen thousand
+
+393
+00:34:45,980 --> 00:34:46,960
+hour
+
+394
+00:34:53,390 --> 00:34:59,310
+إذا بتلاحظوا هو اللي غيره اللي غيره اللي لعب فيه
+
+395
+00:34:59,310 --> 00:35:10,150
+اللي هو ال H و ال L P و ال N واحد capital ال N
+
+396
+00:35:10,150 --> 00:35:13,650
+واحد small يعني لنفس السرعة مالعب نفس السرعة لأن
+
+397
+00:35:13,650 --> 00:35:19,710
+السرعة already we take care of الان
+
+398
+00:35:19,710 --> 00:35:25,270
+لو ضربيعني خلّى أعمل هذه أس اتنين و نص لو كان
+
+399
+00:35:25,270 --> 00:35:30,390
+تربيهة ايش بيستوي بتربيعها صح؟ لو عملها أس اتنين و
+
+400
+00:35:30,390 --> 00:35:36,050
+نص و عمل خلطة رجع عمل يعني شغل جبر و ترتيب لل
+
+401
+00:35:36,050 --> 00:35:41,030
+variables هتصير المعادلة .. المعادلة هتكتبها
+
+402
+00:35:41,030 --> 00:35:46,010
+بالصيغة هذه هتصير H2 أس اتنين و نص طلع صينة عشان
+
+403
+00:35:46,010 --> 00:35:51,440
+تصير هذه واحد point four في اتنين و نصبيصير واحد
+
+404
+00:35:51,440 --> 00:35:57,700
+فستحصل هنا H على ال P H لحظة point four point four
+
+405
+00:35:57,700 --> 00:36:02,560
+H على ال P و الميات و الخصوص هذه كلها constant هذي
+
+406
+00:36:02,560 --> 00:36:10,360
+H على ال P و H two است اتنين و نص و N واحد هذ واحد
+
+407
+00:36:10,360 --> 00:36:12,520
+و نص و ضربها في اتنين و نص اكم واحد و نص في اتنين
+
+408
+00:36:12,520 --> 00:36:20,350
+و نص واحد و نص في اتنينتلاتة تلاتة و نص الواحد و
+
+409
+00:36:20,350 --> 00:36:27,050
+نص يبقى سبعة و خمسة تلاتة و نص سبعة و خمسة تلاتة
+
+410
+00:36:27,050 --> 00:36:30,230
+و نص سبعة و خمسة تلاتة و نص سبعة و خمسة تلاتة و نص
+
+411
+00:36:30,230 --> 00:36:30,390
+سبعة و خمسة تلاتة و نص سبعة و خمسة تلاتة و نص سبعة
+
+412
+00:36:30,390 --> 00:36:34,850
+و خمسة تلاتة و نص سبعة و خمسة تلاتة و نص سبعة و
+
+413
+00:36:34,850 --> 00:36:34,970
+خمسة تلاتة و نص سبعة و خمسة تلاتة و نص سبعة و خمسة
+
+414
+00:36:34,970 --> 00:36:38,870
+تلاتة و خمسة تلاتة و خمسة تلاتة و خمسة تلاتة و
+
+415
+00:36:38,870 --> 00:36:45,730
+خمسة تلاتة و خمسةis used احنا احنا عملنا
+
+416
+00:36:45,730 --> 00:36:48,470
+correction ل number of number of teeth on the
+
+417
+00:36:48,470 --> 00:36:52,570
+sprocket اللي هو سمناها K1 اذا انا حطيت في الحسبة
+
+418
+00:36:52,570 --> 00:36:59,390
+بتاعتي ال K1 معناته مافيش داعي هادي تظهر لان انا I
+
+419
+00:36:59,390 --> 00:37:01,830
+already make correction for number of teeth
+
+420
+00:37:01,830 --> 00:37:08,930
+وبالتالي بيصير عنده المعادلة H2 اصلا اتنين و نص في
+
+421
+00:37:08,930 --> 00:37:11,530
+H على ال P بساوي constant
+
+422
+00:37:18,970 --> 00:37:23,910
+ال maximum speed for a chain drive is limited by
+
+423
+00:37:23,910 --> 00:37:30,110
+galling between the pin and the pushing الان في
+
+424
+00:37:30,110 --> 00:37:35,350
+عندى ال roller و في ال pin طبعا بتكون ال roller
+
+425
+00:37:35,350 --> 00:37:39,850
+تلف و تضغط تلف و تضغط اللف مع الضغط هسموه galling
+
+426
+00:37:39,850 --> 00:37:42,550
+اللف مع الضغط هسموه galling
+
+427
+00:37:48,930 --> 00:37:53,410
+السبيد لل drivers bracket لازم يكون أقل أوي ساوي
+
+428
+00:37:53,410 --> 00:38:05,130
+الف في افتح القص 2.5 على 7.95 قص P في 1.0278 قص N1
+
+429
+00:38:05,130 --> 00:38:12,770
+في 1.2323 قص F على 1000 كله قص 1 على 1.59 log P زي
+
+430
+00:38:12,770 --> 00:38:20,670
+1.873ال F is the chain tension in pound force فانا
+
+431
+00:38:20,670 --> 00:38:27,130
+منها بحسب ال maximum speed لل chain drive هذا
+
+432
+00:38:27,130 --> 00:38:30,430
+البكرة الصغيرة هذا البكرة الكبيرة أكيد صورتها
+
+433
+00:38:30,430 --> 00:38:31,490
+هتكون أقل من هذه
+
+434
+00:38:39,500 --> 00:38:44,340
+المحاضرة جابة نحل ال example سبعتاشر أربعة نعمل
+
+435
+00:38:44,340 --> 00:38:49,220
+excel sheet كاملة للإحسابات برضه هأريكم كيف ترسموا
+
+436
+00:38:49,220 --> 00:38:54,220
+السن كيف ترسموه السن بتاع ال .. ال sprocket السن
+
+437
+00:38:54,220 --> 00:39:03,900
+مكون مكون
+
+438
+00:39:03,900 --> 00:39:12,260
+من .. من كذا جزءفي جزء مدور و بعدين في جزء مستقيم
+
+439
+00:39:12,260 --> 00:39:21,340
+و في جزء curve يعني عندها جزء من هنا الى هنا تلت
+
+440
+00:39:21,340 --> 00:39:27,200
+أجزاء هنشوف
+
+441
+00:39:27,200 --> 00:39:32,200
+كيف قالية رسمه قالية رسمه مش موجودة في الكتاب في
+
+442
+00:39:32,200 --> 00:39:32,900
+handbook
+
+443
+00:39:39,260 --> 00:39:41,260
+المحاضرة الجاية مارجيكويا تاكلوا العافية
+
diff --git a/PL9fwy3NUQKwbRqiyGIGaMMN6wI9A06Vao/pTvkZpFt6Ow_raw.json b/PL9fwy3NUQKwbRqiyGIGaMMN6wI9A06Vao/pTvkZpFt6Ow_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..fd151e84459bb7158d74c5744d931ea0519d5c15
--- /dev/null
+++ b/PL9fwy3NUQKwbRqiyGIGaMMN6wI9A06Vao/pTvkZpFt6Ow_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 2609, "start": 5.57, "end": 26.09, "text": "السلام عليكم و رحمة الله و بركاته اليوم هنكمل في chapter 11 selection of roller bearings المحاضرة الفاترة حكينا على ال tapered roller bearings خلنا نعمل مراجعة سريعة و بعدين نكمل طبعا حكينا ال tapered roller bearings بتتكوّم تلقى من", "tokens": [6027, 3794, 37440, 25894, 24793, 4032, 12602, 35571, 3660, 21984, 4032, 4724, 31747, 9307, 3224, 45595, 20498, 8032, 1863, 24793, 1211, 8978, 7187, 2975, 9450, 295, 15948, 36297, 9673, 5016, 46958, 25720, 27188, 9307, 25720, 11331, 4117, 1829, 8315, 15844, 2423, 36277, 292, 15948, 36297, 16490, 1211, 8315, 8717, 25957, 1211, 3714, 2288, 26108, 27884, 8608, 16572, 3615, 3660, 4032, 39182, 9957, 8717, 24793, 1211, 23032, 3555, 3615, 995, 11331, 4117, 1829, 8315, 2423, 36277, 292, 15948, 36297, 39894, 2655, 4117, 2407, 11703, 2304, 6055, 1211, 4587, 7578, 9154], "avg_logprob": -0.18402777810891469, "compression_ratio": 1.6859903381642511, "no_speech_prob": 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selection", "probability": 0.82470703125}, {"start": 10.83, "end": 11.47, "word": " of", "probability": 0.98095703125}, {"start": 11.47, "end": 12.41, "word": " roller", "probability": 0.6494140625}, {"start": 12.41, "end": 12.93, "word": " bearings", "probability": 0.9833984375}, {"start": 12.93, "end": 14.47, "word": " المحاضرة", "probability": 0.9677734375}, {"start": 14.47, "end": 14.81, "word": " الفاترة", "probability": 0.7978515625}, {"start": 14.81, "end": 15.29, "word": " حكينا", "probability": 0.9827880859375}, {"start": 15.29, "end": 15.51, "word": " على", "probability": 0.422119140625}, {"start": 15.51, "end": 15.75, "word": " ال", "probability": 0.8271484375}, {"start": 15.75, "end": 16.57, "word": " tapered", "probability": 0.896484375}, {"start": 16.57, "end": 16.79, "word": " roller", "probability": 0.92822265625}, {"start": 16.79, "end": 17.45, "word": " bearings", "probability": 0.94140625}, {"start": 17.45, "end": 18.25, "word": " خلنا", "probability": 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{"start": 180.56, "end": 180.96, "word": " zone", "probability": 0.57177734375}, {"start": 180.96, "end": 181.74, "word": " بتعمل", "probability": 0.98828125}, {"start": 181.74, "end": 182.1, "word": " حوالي", "probability": 0.9366455078125}, {"start": 182.1, "end": 182.68, "word": " تقريبا", "probability": 0.99609375}, {"start": 182.68, "end": 183.6, "word": " مية", "probability": 0.966064453125}, {"start": 183.6, "end": 183.78, "word": " و", "probability": 0.96630859375}, {"start": 183.78, "end": 184.26, "word": " تمانين", "probability": 0.98046875}, {"start": 184.26, "end": 184.66, "word": " درجة", "probability": 0.9983723958333334}], "temperature": 1.0}, {"id": 8, "seek": 21378, "start": 185.66, "end": 213.78, "text": "الـ Induced Thrust Load الشركة تمكن اقترحة معادلة فهي FI بسبب 147 FR على K الـ FI هي ال Induced Thrust Load ال FR Radial Load و ال K Geometric Constant أو Geometric Specific هو النسب بين Radial Load Rating", "tokens": [6027, 39184, 2333, 41209, 334, 22326, 48408, 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{"start": 191.9, "end": 192.5, "word": " اقترحة", "probability": 0.769287109375}, {"start": 192.5, "end": 193.1, "word": " معادلة", "probability": 0.9921875}, {"start": 193.1, "end": 193.6, "word": " فهي", "probability": 0.471923828125}, {"start": 193.6, "end": 194.36, "word": " FI", "probability": 0.5545654296875}, {"start": 194.36, "end": 195.26, "word": " بسبب", "probability": 0.6973876953125}, {"start": 195.26, "end": 196.4, "word": " 147", "probability": 0.6494140625}, {"start": 196.4, "end": 197.38, "word": " FR", "probability": 0.264892578125}, {"start": 197.38, "end": 197.68, "word": " على", "probability": 0.36474609375}, {"start": 197.68, "end": 198.42, "word": " K", "probability": 0.9423828125}, {"start": 198.42, "end": 199.34, "word": " الـ", "probability": 0.59375}, {"start": 199.34, "end": 199.56, "word": " FI", "probability": 0.7802734375}, {"start": 199.56, "end": 199.68, "word": " هي", "probability": 0.74658203125}, {"start": 199.68, "end": 199.82, "word": " ال", "probability": 0.5048828125}, {"start": 199.82, "end": 200.16, "word": " Induced", "probability": 0.7255859375}, {"start": 200.16, "end": 200.54, "word": " Thrust", "probability": 0.896240234375}, {"start": 200.54, "end": 200.96, "word": " Load", "probability": 0.9296875}, {"start": 200.96, "end": 202.06, "word": " ال", "probability": 0.8154296875}, {"start": 202.06, "end": 202.54, "word": " FR", "probability": 0.48974609375}, {"start": 202.54, "end": 203.1, "word": " Radial", "probability": 0.77978515625}, {"start": 203.1, "end": 203.48, "word": " Load", "probability": 0.9365234375}, {"start": 203.48, "end": 204.6, "word": " و", "probability": 0.826171875}, {"start": 204.6, "end": 205.2, "word": " ال", "probability": 0.37939453125}, {"start": 205.2, "end": 205.52, "word": " K", "probability": 0.97021484375}, {"start": 205.52, "end": 206.66, "word": " Geometric", "probability": 0.9365234375}, {"start": 206.66, "end": 207.96, "word": " Constant", "probability": 0.7568359375}, {"start": 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ال K في البداية لما اختار انا bearing بكونش عارف ال bearing", "tokens": [2407, 2423, 24030, 3677, 10990, 1975, 15730, 44945, 47341, 3615, 15844, 33251, 2655, 16758, 3660, 6055, 995, 34268, 6055, 43020, 8978, 43242, 2423, 38783, 3677, 10990, 4032, 2423, 24030, 3677, 10990, 4032, 8978, 43242, 2423, 591, 2423, 591, 45164, 12174, 38251, 2655, 2423, 38783, 3677, 10990, 15844, 2423, 24030, 3677, 10990, 39894, 3615, 9566, 9957, 1829, 2423, 591, 8978, 29739, 28259, 10632, 5296, 15042, 1975, 46456, 9640, 1975, 8315, 17350, 4724, 30544, 8592, 6225, 9640, 5172, 2423, 17350], "avg_logprob": -0.2723496925981739, "compression_ratio": 1.9395604395604396, "no_speech_prob": 2.384185791015625e-07, "words": [{"start": 214.31, "end": 214.57, "word": "و", "probability": 0.77783203125}, {"start": 214.57, "end": 214.69, "word": " ال", "probability": 0.403076171875}, {"start": 214.69, "end": 215.05, "word": " thrust", "probability": 0.456787109375}, {"start": 215.05, "end": 215.51, "word": " load", 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FIA أقل من ال FA External و ال FIB External معناته المعادلة الأولى هتلزمني هتكون ال A هي اللى بتحسب ال equivalent F بيقدر انه عندي F equivalent F equivalent عند A", "tokens": [10721, 8315, 4724, 1211, 11622, 2304, 22653, 2423, 1401, 4724, 3794, 8032, 3215, 2407, 7578, 4724, 1211, 11622, 2304, 22653, 23032, 1829, 3555, 2423, 479, 6914, 5551, 4587, 1211, 9154, 2423, 479, 32, 48277, 4032, 2423, 479, 39081, 48277, 20449, 8315, 47395, 9673, 3615, 18513, 37977, 16247, 12610, 7578, 8032, 2655, 1211, 11622, 2304, 22653, 8032, 2655, 30544, 2423, 316, 39896, 13672, 7578, 39894, 5016, 35457, 2423, 10344, 479, 4724, 1829, 28543, 2288, 16472, 3224, 18871, 16254, 479, 10344, 479, 10344, 43242, 316], "avg_logprob": -0.24683780418265433, "compression_ratio": 1.7118644067796611, "no_speech_prob": 2.980232238769531e-07, "words": [{"start": 2246.9, "end": 2247.2, "word": "أنا", "probability": 0.6934814453125}, {"start": 2247.2, "end": 2247.72, "word": " بلزمني", "probability": 0.727490234375}, {"start": 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diff --git a/PL9fwy3NUQKwbRqiyGIGaMMN6wI9A06Vao/qA5V1cHCvTk_raw.json b/PL9fwy3NUQKwbRqiyGIGaMMN6wI9A06Vao/qA5V1cHCvTk_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..9b821b24ad4e7801ab24410b772832faae46bde9
--- /dev/null
+++ b/PL9fwy3NUQKwbRqiyGIGaMMN6wI9A06Vao/qA5V1cHCvTk_raw.json
@@ -0,0 +1 @@
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84.15, "text": "طبعا هذا ال pressure line هذا ال pressure line وهذا line tangent at the common point between the two gears at the pitch circle هذا ال pressure angle فيه طبعا إذا ترس ال pinion بتدور باتجاه عقارس منته بعمل", "tokens": [9566, 3555, 3615, 995, 23758, 2423, 3321, 1622, 23758, 2423, 3321, 1622, 37037, 15730, 1622, 27747, 412, 264, 2689, 935, 1296, 264, 732, 20915, 412, 264, 7293, 6329, 23758, 2423, 3321, 5802, 8978, 3224, 23032, 3555, 3615, 995, 11933, 15730, 6055, 2288, 3794, 2423, 5447, 313, 39894, 3215, 13063, 4724, 9307, 7435, 40294, 6225, 4587, 9640, 3794, 9154, 47395, 4724, 25957, 1211], "avg_logprob": -0.25297618385345216, "compression_ratio": 1.6319018404907975, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 58.47, "end": 58.93, "word": "طبعا", "probability": 0.9547119140625}, {"start": 58.93, "end": 59.67, "word": " هذا", "probability": 0.71044921875}, {"start": 59.67, "end": 59.89, "word": " ال", "probability": 0.87548828125}, {"start": 59.89, "end": 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diagram للجير هكون عندي هذا الجير فعندي F من اتنين لتلتة اتنين اللي هو ال pinion و تلتة هو الجير طبعا ال F اتنين تلتة", "tokens": [5156, 4724, 9307, 7435, 40294, 2423, 3321, 1622, 39627, 15730, 2423, 9307, 7435, 40294, 15844, 25724, 13546, 1975, 15730, 4724, 25957, 1211, 3464, 1975, 2407, 1737, 1772, 10686, 24976, 7435, 13546, 8032, 30544, 18871, 16254, 23758, 25724, 13546, 6156, 3615, 1863, 16254, 479, 9154, 1975, 2655, 1863, 9957, 5296, 2655, 1211, 2655, 3660, 1975, 2655, 1863, 9957, 13672, 1829, 31439, 2423, 5447, 313, 4032, 6055, 1211, 2655, 3660, 31439, 25724, 13546, 23032, 3555, 3615, 995, 2423, 479, 1975, 2655, 1863, 9957, 6055, 1211, 2655, 3660], "avg_logprob": -0.1924055182310038, "compression_ratio": 1.782857142857143, "no_speech_prob": 3.5762786865234375e-07, "words": [{"start": 86.28000000000002, "end": 87.10000000000001, "word": "force", "probability": 0.65771484375}, {"start": 87.10000000000001, "end": 87.92, "word": " باتجاه", "probability": 0.82086181640625}, {"start": 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{"id": 7, "seek": 20544, "start": 177.64, "end": 205.44, "text": "radial طبعا ال tangential component هي اللي بتعمل torque ال radial component ما بتعمل torque انا اخدت واحد من الترسين اخدت ال pinion gear اخدته لحاله في عليه F32 F32", "tokens": [6206, 831, 23032, 3555, 3615, 995, 2423, 10266, 2549, 6542, 39896, 13672, 1829, 39894, 25957, 1211, 16437, 2423, 38783, 6542, 19446, 39894, 25957, 1211, 16437, 1975, 8315, 1975, 9778, 3215, 2655, 36764, 24401, 9154, 16712, 2288, 3794, 9957, 1975, 9778, 3215, 2655, 2423, 5447, 313, 7394, 1975, 9778, 3215, 47395, 5296, 5016, 6027, 3224, 8978, 47356, 479, 11440, 479, 11440], "avg_logprob": -0.2325819652588641, "compression_ratio": 1.522875816993464, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 177.64, "end": 178.28, "word": "radial", "probability": 0.829345703125}, {"start": 178.28, "end": 179.66, "word": " طبعا", "probability": 0.9322509765625}, {"start": 179.66, "end": 179.76, "word": " ال", "probability": 0.8447265625}, 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"word": " عليه", "probability": 0.85205078125}, {"start": 198.28, "end": 199.1, "word": " F32", "probability": 0.61572265625}, {"start": 199.1, "end": 205.44, "word": " F32", "probability": 0.902099609375}], "temperature": 1.0}, {"id": 8, "seek": 23625, "start": 207.71, "end": 236.25, "text": "هلاقتها مركبة tangential F32 tangential ومركبة F32 radial هعكس رد الفعل عند المحور تاع ال shaft FA2", "tokens": [3224, 15040, 4587, 2655, 11296, 3714, 2288, 4117, 49401, 10266, 2549, 479, 11440, 10266, 2549, 4032, 29973, 4117, 49401, 479, 11440, 38783, 8032, 3615, 4117, 3794, 12602, 3215, 27188, 30241, 43242, 9673, 5016, 13063, 6055, 45761, 2423, 18467, 479, 32, 17], "avg_logprob": -0.36960564411821817, "compression_ratio": 1.2241379310344827, "no_speech_prob": 0.0, "words": [{"start": 207.71, "end": 208.41, "word": "هلاقتها", "probability": 0.39287109375}, {"start": 208.41, "end": 208.81, "word": " مركبة", "probability": 0.769195556640625}, {"start": 208.81, "end": 209.55, "word": " tangential", 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"probability": 0.9534505208333334}, {"start": 589.43, "end": 589.81, "word": " تلاتة", "probability": 0.8253173828125}, {"start": 589.81, "end": 590.13, "word": " هدور", "probability": 0.8087565104166666}, {"start": 590.13, "end": 590.77, "word": " بتجمع", "probability": 0.895263671875}, {"start": 590.77, "end": 591.15, "word": " اقارب", "probability": 0.991943359375}, {"start": 591.15, "end": 591.85, "word": " السيارة", "probability": 0.9774169921875}, {"start": 591.85, "end": 595.77, "word": " معناته", "probability": 0.9703776041666666}, {"start": 595.77, "end": 596.49, "word": " التلاتة", "probability": 0.94189453125}], "temperature": 1.0}, {"id": 22, "seek": 62265, "start": 597.53, "end": 622.65, "text": "هعمل force على أربعة في هذا الاتجاه معناته أربعة هعمل force معاكسة يعني هتكون F F أربعة تلاتة tangential وال radial force دايما في اتجاه المركز F أربعة تلاتة radial", "tokens": [3224, 25957, 1211, 3464, 15844, 5551, 25513, 27884, 8978, 23758, 2423, 9307, 7435, 40294, 20449, 8315, 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"end": 1089.81, "text": "بكون ال total load يعني طبيعة three dimensional يعني له تلاتة component لجه ال X و Y و Z هاي عندي ال ترس خلنا نعرف المحاور هذا ال X axis وهذا ال Y axis وهذا ال Z axis", "tokens": [3555, 30544, 2423, 3217, 3677, 37495, 22653, 23032, 21292, 27884, 1045, 18795, 37495, 22653, 46740, 6055, 1211, 9307, 3660, 6542, 5296, 7435, 3224, 2423, 1783, 4032, 398, 4032, 1176, 8032, 47302, 18871, 16254, 2423, 6055, 2288, 3794, 16490, 1211, 8315, 8717, 3615, 28480, 9673, 5016, 995, 13063, 23758, 2423, 1783, 10298, 37037, 15730, 2423, 398, 10298, 37037, 15730, 2423, 1176, 10298], "avg_logprob": -0.3326613042623766, "compression_ratio": 1.5, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1061.67, "end": 1062.15, "word": "بكون", "probability": 0.61181640625}, {"start": 1062.15, "end": 1062.29, "word": " ال", "probability": 0.896484375}, {"start": 1062.29, "end": 1062.55, "word": " total", "probability": 0.5078125}, {"start": 1062.55, "end": 1063.25, "word": " load", 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"probability": 0.89404296875}, {"start": 1075.09, "end": 1075.31, "word": " X", "probability": 0.94189453125}, {"start": 1075.31, "end": 1075.95, "word": " axis", "probability": 0.65087890625}, {"start": 1075.95, "end": 1083.73, "word": " وهذا", "probability": 0.6036376953125}, {"start": 1083.73, "end": 1083.85, "word": " ال", "probability": 0.88818359375}, {"start": 1083.85, "end": 1084.03, "word": " Y", "probability": 0.974609375}, {"start": 1084.03, "end": 1084.71, "word": " axis", "probability": 0.90283203125}, {"start": 1084.71, "end": 1088.95, "word": " وهذا", "probability": 0.927978515625}, {"start": 1088.95, "end": 1089.07, "word": " ال", "probability": 0.759765625}, {"start": 1089.07, "end": 1089.25, "word": " Z", "probability": 0.9619140625}, {"start": 1089.25, "end": 1089.81, "word": " axis", "probability": 0.919921875}], "temperature": 1.0}, {"id": 39, "seek": 110132, "start": 1099.46, "end": 1101.32, "text": "طبعا هذا ال total load", "tokens": [9566, 3555, 3615, 995, 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tangential بستو ال T على ال R average هاي ال R average مش مطرف لأ ماتكش مطرف لأ انت بنعمل المش بتاع كيف يعني مسموحك ب clearance معين مانفعش مش ع كيفك بيصيرش بيصيرش المش صح", "tokens": [40228, 22653, 16472, 2655, 4587, 1211, 9154, 16490, 1211, 6027, 2423, 343, 10266, 2549, 20449, 8315, 47395, 343, 10266, 2549, 4724, 14851, 2407, 2423, 314, 15844, 2423, 497, 4274, 8032, 47302, 2423, 497, 4274, 37893, 3714, 9566, 28480, 5296, 10721, 3714, 9307, 4117, 8592, 3714, 9566, 28480, 5296, 10721, 16472, 2655, 44945, 25957, 1211, 9673, 8592, 39894, 45761, 9122, 33911, 37495, 22653, 3714, 38251, 2407, 5016, 4117, 4724, 27218, 20449, 9957, 3714, 7649, 5172, 3615, 8592, 37893, 6225, 9122, 33911, 4117, 4724, 1829, 9381, 13546, 8592, 4724, 1829, 9381, 13546, 8592, 9673, 8592, 20328, 5016], "avg_logprob": -0.3483072901144624, "compression_ratio": 1.7789473684210526, "no_speech_prob": 0.0, "words": [{"start": 1193.15, "end": 1193.39, "word": "يعني", "probability": 0.690185546875}, {"start": 1193.39, 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"end": 2302.51, "word": " W", "probability": 0.93994140625}, {"start": 2302.51, "end": 2303.23, "word": " Axel", "probability": 0.910888671875}, {"start": 2303.23, "end": 2303.81, "word": " ع", "probability": 0.47802734375}, {"start": 2303.81, "end": 2305.45, "word": " الجير", "probability": 0.954345703125}, {"start": 2305.45, "end": 2308.73, "word": " أو", "probability": 0.546875}, {"start": 2308.73, "end": 2309.05, "word": " W", "probability": 0.5869140625}, {"start": 2309.05, "end": 2309.65, "word": " Axel", "probability": 0.98095703125}, {"start": 2309.65, "end": 2311.57, "word": " ع", "probability": 0.89892578125}, {"start": 2311.57, "end": 2311.67, "word": " ال", "probability": 0.71142578125}, {"start": 2311.67, "end": 2312.09, "word": " pinion", "probability": 0.918701171875}, {"start": 2312.09, "end": 2312.65, "word": " هي", "probability": 0.87060546875}, {"start": 2312.65, "end": 2313.01, "word": " W", "probability": 0.96826171875}, {"start": 2313.01, "end": 2313.49, "word": " Radial", "probability": 0.948974609375}, {"start": 2313.49, "end": 2313.67, "word": " ع", "probability": 0.59130859375}, {"start": 2313.67, "end": 2314.19, "word": " الجير", "probability": 0.974609375}], "temperature": 1.0}, {"id": 80, "seek": 233521, "start": 2315.97, "end": 2335.21, "text": "هذه هتساوي هذه penion هذه penion هذه penion هذه هتساوي W radial ع الجير اللي هي هذه", "tokens": [3224, 24192, 8032, 2655, 3794, 995, 45865, 8032, 8848, 3224, 3435, 313, 8032, 8848, 3224, 3435, 313, 8032, 8848, 3224, 3435, 313, 8032, 8848, 3224, 8032, 2655, 3794, 995, 45865, 343, 38783, 6225, 25724, 13546, 13672, 1829, 39896, 29538], "avg_logprob": -0.32792967930436134, "compression_ratio": 1.7605633802816902, "no_speech_prob": 0.0, "words": [{"start": 2315.97, "end": 2316.49, "word": "هذه", "probability": 0.73828125}, {"start": 2316.49, "end": 2320.65, "word": " هتساوي", "probability": 0.8875}, {"start": 2320.65, "end": 2322.21, "word": " هذه", "probability": 0.4042561848958333}, {"start": 2322.21, "end": 2322.65, "word": " penion", "probability": 0.4666748046875}, {"start": 2322.65, "end": 2324.55, "word": " هذه", "probability": 0.8087565104166666}, {"start": 2324.55, "end": 2325.05, "word": " penion", "probability": 0.810302734375}, {"start": 2325.05, "end": 2326.17, "word": " هذه", "probability": 0.90771484375}, {"start": 2326.17, "end": 2326.69, "word": " penion", "probability": 0.88818359375}, {"start": 2326.69, "end": 2328.09, "word": " هذه", "probability": 0.8688151041666666}, {"start": 2328.09, "end": 2328.71, "word": " هتساوي", "probability": 0.91708984375}, {"start": 2328.71, "end": 2331.63, "word": " W", "probability": 0.6376953125}, {"start": 2331.63, "end": 2333.05, "word": " radial", "probability": 0.626953125}, {"start": 2333.05, "end": 2334.35, "word": " ع", "probability": 0.254638671875}, {"start": 2334.35, "end": 2334.59, "word": " الجير", "probability": 0.862548828125}, {"start": 2334.59, "end": 2334.73, "word": " اللي", "probability": 0.821044921875}, {"start": 2334.73, "end": 2334.89, "word": " هي", "probability": 0.720703125}, {"start": 2334.89, "end": 2335.21, "word": " هذه", "probability": 0.556640625}], "temperature": 1.0}, {"id": 81, "seek": 237285, "start": 2345.05, "end": 2372.85, "text": "و هذه هتكون w axial على الجير اللي هي جاوية برضه في ال negative y زي ما حكينا في ال negative اللي هي w axial على الجير", "tokens": [2407, 29538, 8032, 2655, 30544, 261, 46851, 15844, 25724, 13546, 13672, 1829, 39896, 10874, 995, 2407, 10632, 4724, 43042, 3224, 8978, 2423, 3671, 288, 30767, 1829, 19446, 11331, 4117, 1829, 8315, 8978, 2423, 3671, 13672, 1829, 39896, 261, 46851, 15844, 25724, 13546], "avg_logprob": -0.2320130841676579, "compression_ratio": 1.5338983050847457, "no_speech_prob": 0.0, "words": [{"start": 2345.05, "end": 2345.25, "word": "و", "probability": 0.95068359375}, {"start": 2345.25, "end": 2345.63, "word": " هذه", "probability": 0.4990234375}, {"start": 2345.63, "end": 2346.67, "word": " هتكون", "probability": 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أربعين point six بتجاه ال J واحدة في ال positive z زاد اربع مية و ستة بتجاه ال K", "tokens": [14407, 24401, 3660, 8978, 2423, 39184, 3671, 2031, 10298, 13672, 1829, 39896, 8717, 995, 4587, 9381, 3714, 10632, 4032, 5551, 25513, 3615, 9957, 4724, 9307, 7435, 40294, 2423, 286, 36764, 24401, 3660, 8978, 2423, 3671, 288, 8717, 995, 4587, 9381, 8608, 2655, 3660, 4032, 5551, 25513, 3615, 9957, 935, 2309, 39894, 7435, 40294, 2423, 508, 36764, 24401, 3660, 8978, 2423, 3353, 710, 30767, 18513, 1975, 25513, 3615, 3714, 10632, 4032, 8608, 2655, 3660, 39894, 7435, 40294, 2423, 591], "avg_logprob": -0.22606803231601474, "compression_ratio": 1.8116883116883118, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 2405.31, "end": 2405.75, "word": "واحدة", "probability": 0.7416178385416666}, {"start": 2405.75, "end": 2405.85, "word": " في", "probability": 0.9443359375}, {"start": 2405.85, "end": 2405.97, "word": " الـ", "probability": 0.553955078125}, {"start": 2405.97, "end": 2406.21, "word": 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حاولنا أن نحصل على 140 negative x axis هاي بال I نقصت 46 و هاد في Y نقصت 406 و هاد في إيش في تجاه ال Z 406 إيش المشكلة؟ طيب هاخد summation لل moments حوالي D", "tokens": [10721, 5016, 8315, 11331, 995, 12610, 8315, 14739, 8717, 5016, 36520, 15844, 21548, 3671, 2031, 10298, 8032, 47302, 20666, 286, 8717, 4587, 9381, 2655, 17835, 4032, 8032, 18513, 8978, 398, 8717, 4587, 9381, 2655, 3356, 21, 4032, 8032, 18513, 8978, 11933, 1829, 8592, 8978, 6055, 7435, 40294, 2423, 1176, 3356, 21, 11933, 1829, 8592, 9673, 8592, 28820, 3660, 22807, 23032, 1829, 3555, 8032, 47283, 3215, 28811, 24976, 6065, 11331, 2407, 6027, 1829, 413], "avg_logprob": -0.6013513505458832, "compression_ratio": 1.4046242774566473, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 2557.27, "end": 2558.23, "word": "أحنا", "probability": 0.5948079427083334}, {"start": 2558.23, "end": 2558.49, "word": " حاولنا", "probability": 0.6932373046875}, {"start": 2558.49, "end": 2558.75, "word": " أن", "probability": 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"end": 2608.63, "text": "بس بدى أعرف ال position vectors بالأول هعرف RC حدث ساوى هتكون المسافة هذه اللي هي اتنين و نص زائد تلاتة و خمس ع تمانية باتجاه ال negative Y صح؟ هتكون ناقص اجمعه لاتنين و نص زائد تلاتة و خمس ع تمانية", "tokens": [3555, 3794, 47525, 7578, 5551, 3615, 28480, 2423, 2535, 18875, 20666, 10721, 12610, 8032, 3615, 28480, 28987, 11331, 3215, 12984, 8608, 995, 2407, 7578, 8032, 2655, 30544, 9673, 3794, 31845, 3660, 29538, 13672, 1829, 39896, 1975, 2655, 1863, 9957, 4032, 8717, 9381, 30767, 16373, 3215, 6055, 1211, 9307, 3660, 4032, 16490, 2304, 3794, 6225, 46811, 7649, 10632, 4724, 9307, 7435, 40294, 2423, 3671, 398, 20328, 5016, 22807, 8032, 2655, 30544, 8717, 995, 4587, 9381, 1975, 7435, 2304, 3615, 3224, 5296, 9307, 1863, 9957, 4032, 8717, 9381, 30767, 16373, 3215, 6055, 1211, 9307, 3660, 4032, 16490, 2304, 3794, 6225, 46811, 7649, 10632], "avg_logprob": -0.19102328548244402, "compression_ratio": 1.731578947368421, "no_speech_prob": 5.960464477539063e-08, "words": 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"probability": 0.86248779296875}, {"start": 2853.54, "end": 2854.66, "word": " ال", "probability": 0.8642578125}, {"start": 2854.66, "end": 2855.0, "word": " Y", "probability": 0.408447265625}, {"start": 2855.0, "end": 2856.4, "word": " بيستوى", "probability": 0.59140625}, {"start": 2856.4, "end": 2856.82, "word": " Zero", "probability": 0.41162109375}, {"start": 2856.82, "end": 2857.8, "word": " ومنها", "probability": 0.7698567708333334}, {"start": 2857.8, "end": 2858.4, "word": " بتحسب", "probability": 0.92919921875}, {"start": 2858.4, "end": 2859.98, "word": " قيمة", "probability": 0.9816080729166666}, {"start": 2859.98, "end": 2861.88, "word": " ال", "probability": 0.59912109375}, {"start": 2861.88, "end": 2862.94, "word": " CY", "probability": 0.668701171875}, {"start": 2862.94, "end": 2866.64, "word": " بالتالي", "probability": 0.728363037109375}, {"start": 2866.64, "end": 2866.9, "word": " هذه", "probability": 0.43359375}, {"start": 2866.9, "end": 2867.34, "word": " بتحسب", "probability": 0.9676106770833334}, {"start": 2867.34, "end": 2867.58, "word": " ال", "probability": 0.87255859375}, {"start": 2867.58, "end": 2868.46, "word": " CX", "probability": 0.95361328125}, {"start": 2868.46, "end": 2869.28, "word": " والCZ", "probability": 0.7459309895833334}, {"start": 2869.28, "end": 2870.06, "word": " CX", "probability": 0.6219482421875}, {"start": 2870.06, "end": 2873.3, "word": " والCZ", "probability": 0.8606770833333334}, {"start": 2873.3, "end": 2875.96, "word": " هي", "probability": 0.86181640625}, {"start": 2875.96, "end": 2876.12, "word": " كانوا", "probability": 0.5599365234375}, {"start": 2876.12, "end": 2876.24, "word": " انا", "probability": 0.5745849609375}, {"start": 2876.24, "end": 2876.54, "word": " force", "probability": 0.54443359375}, {"start": 2876.54, "end": 2877.02, "word": " analysis", "probability": 0.82763671875}, {"start": 2877.02, "end": 2877.32, "word": " ل", "probability": 0.8935546875}, {"start": 2877.32, "end": 2878.02, "word": " bevel", "probability": 0.494476318359375}, {"start": 2878.02, "end": 2878.92, "word": " gear", "probability": 0.5859375}], "temperature": 1.0}, {"id": 99, "seek": 288436, "start": 2881.84, "end": 2884.36, "text": "بهيك بيكون خلصت محاضرة اليوم طيب والعافية", "tokens": [3555, 3224, 1829, 4117, 4724, 1829, 30544, 16490, 1211, 9381, 2655, 3714, 5016, 46958, 25720, 45595, 20498, 23032, 1829, 3555, 16070, 3615, 31845, 10632], "avg_logprob": -0.2157812547683716, "compression_ratio": 1.0704225352112675, "no_speech_prob": 0.0, "words": [{"start": 2881.84, "end": 2882.34, "word": "بهيك", "probability": 0.7774658203125}, {"start": 2882.34, "end": 2882.58, "word": " بيكون", "probability": 0.7354329427083334}, {"start": 2882.58, "end": 2883.04, "word": " خلصت", "probability": 0.943359375}, {"start": 2883.04, "end": 2883.46, "word": " محاضرة", "probability": 0.9510498046875}, {"start": 2883.46, "end": 2883.78, "word": " اليوم", "probability": 0.812255859375}, {"start": 2883.78, "end": 2883.98, "word": " طيب", "probability": 0.742919921875}, {"start": 2883.98, "end": 2884.36, "word": " والعافية", "probability": 0.849853515625}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2884.4524375, "duration_after_vad": 2623.569374999991}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwbRqiyGIGaMMN6wI9A06Vao/qLK-3vCtKek_postprocess.srt b/PL9fwy3NUQKwbRqiyGIGaMMN6wI9A06Vao/qLK-3vCtKek_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..b63a2daea750e2843de96a3aed3c10c579f0ee15
--- /dev/null
+++ b/PL9fwy3NUQKwbRqiyGIGaMMN6wI9A06Vao/qLK-3vCtKek_postprocess.srt
@@ -0,0 +1,1820 @@
+1
+00:00:04,930 --> 00:00:07,270
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:07,270 --> 00:00:12,310
+وبركاته هنكمل هنا دي تصميم الأدات اتنين المحاضرات
+
+3
+00:00:12,310 --> 00:00:15,290
+الفاترة كنا نحكي عن ال geometric dimension and
+
+4
+00:00:15,290 --> 00:00:19,990
+tolerancing بدأنا نحكي على ال .. حكينا عن ال form
+
+5
+00:00:19,990 --> 00:00:23,190
+controls فال form controls يعني ال straightness و
+
+6
+00:00:23,190 --> 00:00:26,030
+ال flatness و ال circularity و ال cylindricity
+
+7
+00:00:26,030 --> 00:00:29,310
+شرحنا كل نوع و أعطينا examples
+
+8
+00:00:33,560 --> 00:00:36,480
+بعدين حكينا عن orientation controls، في عندي تلاتة
+
+9
+00:00:36,480 --> 00:00:38,640
+orientation controls، في عندي angularity و في عندي
+
+10
+00:00:38,640 --> 00:00:42,700
+perpendicularity و في عندي parallelism و أعطينا
+
+11
+00:00:42,700 --> 00:00:49,680
+أمثلة على كل نوع بعدين
+
+12
+00:00:49,680 --> 00:00:55,100
+حكينا عن ال profile controlاللي عندنا نوعين من ال
+
+13
+00:00:55,100 --> 00:00:57,700
+geometry characteristics اللي هي ال profile of a
+
+14
+00:00:57,700 --> 00:01:02,640
+lion و ال profile of a surface اعطينا مجموعة من
+
+15
+00:01:02,640 --> 00:01:07,080
+الأمثلة مثلا هنا عندي profile surface على one
+
+16
+00:01:07,080 --> 00:01:15,140
+surfaceand here بين نقطة G و H شفنا الفرق وضعية
+
+17
+00:01:15,140 --> 00:01:22,900
+السهم مكانه بتغير المعنى شفنا all around profile
+
+18
+00:01:22,900 --> 00:01:31,560
+surface و all over profile surface بعدين
+
+19
+00:01:31,560 --> 00:01:35,360
+حكينا عن location control و وصلنا حكينا عن ال
+
+20
+00:01:35,360 --> 00:01:35,760
+position
+
+21
+00:01:42,550 --> 00:01:52,130
+بعدين لحد هنا وصلنا ال concentricity يعني هي
+
+22
+00:01:52,130 --> 00:02:00,430
+التمركز يعني انا بحاول اقيس تمركز some service
+
+23
+00:02:00,430 --> 00:02:05,910
+revolution او feature ناجح عن دوران حوالين محور او
+
+24
+00:02:05,910 --> 00:02:08,550
+محور حوالين
+
+25
+00:02:11,150 --> 00:02:16,230
+some datum axis يعني عندي .. مثلا عندي أنا بحط
+
+26
+00:02:16,230 --> 00:02:21,310
+قطعة على المخرطة، هل محور القطعة ندوره جاي نفس
+
+27
+00:02:21,310 --> 00:02:25,670
+محور المخرطة؟ هذا بيحكي عن إيش؟ ال concentricity
+
+28
+00:02:25,670 --> 00:02:32,470
+يعني أنا بدي أشوف مدى .. مدى توافق محور surface of
+
+29
+00:02:32,470 --> 00:02:36,230
+revolution أو feature of revolution مع reference
+
+30
+00:02:36,230 --> 00:02:38,190
+axis أو datum axis
+
+31
+00:02:45,150 --> 00:02:50,430
+طيب طبعا قياس ال concentricity انا مش شايف ال
+
+32
+00:02:50,430 --> 00:02:57,800
+center فقياسه هكون صعب كتيرهو بالتالي يعني بشكل
+
+33
+00:02:57,800 --> 00:03:01,340
+عام بيستخدم مش ال concentricity characteristic
+
+34
+00:03:01,340 --> 00:03:05,320
+بتستخدم بدل ما يسمى ال run out ال run out هنشوفها
+
+35
+00:03:05,320 --> 00:03:09,260
+بعد شوية طريقة أكثر دقة يعني نفس .. بتعطيل نفس ال
+
+36
+00:03:09,260 --> 00:03:13,720
+.. نفس المعلومات و قياسة سهل كتير
+
+37
+00:03:18,160 --> 00:03:22,020
+ال location control التالت ايه ال symmetry ال
+
+38
+00:03:22,020 --> 00:03:25,640
+symmetry عندي
+
+39
+00:03:25,640 --> 00:03:30,400
+some feature لو أخدت ال mouse some feature فيه
+
+40
+00:03:30,400 --> 00:03:35,220
+بيكون عندي مستوى تماثل يعني المستوى التماثل يمثل
+
+41
+00:03:35,220 --> 00:03:38,100
+الإمرايا ل some feature لو طلعت الإمرايا بتشوفها
+
+42
+00:03:38,100 --> 00:03:42,240
+على جهة التانية برضه في ال symmetry حواجه
+
+43
+00:03:42,240 --> 00:03:48,560
+difficulty حواجه صعوبة في قياسالـ symmetry لأن
+
+44
+00:03:48,560 --> 00:03:52,680
+برضه المستوى انا مش شايفه او مش مااسكه صح؟ يعني
+
+45
+00:03:52,680 --> 00:03:58,320
+مثل الماوس فيه symmetry حول المحور هذا صح؟ لكن
+
+46
+00:03:58,320 --> 00:04:03,180
+المحور هذا انا يادر احدده physically صعب تحديد
+
+47
+00:04:03,180 --> 00:04:14,520
+مستوى التماثل فلنجي
+
+48
+00:04:14,520 --> 00:04:15,780
+لل run out controls
+
+49
+00:04:19,280 --> 00:04:22,440
+الـ run out controls surface variation on a
+
+50
+00:04:22,440 --> 00:04:25,280
+feature as it rotates around a datum axis يعني
+
+51
+00:04:25,280 --> 00:04:32,560
+هعندي قطعة بتدور حول ال datum axis بحط dial gauge
+
+52
+00:04:32,560 --> 00:04:38,080
+في البداية بقى سفره بيكون مسفر علياش وضعيه معين و
+
+53
+00:04:38,080 --> 00:04:38,880
+بعدين ببدأ ألف
+
+54
+00:04:42,870 --> 00:04:46,990
+لأن إذا في مشكلة التمركز أو عدم استدارة حيث يصبح
+
+55
+00:04:46,990 --> 00:04:53,630
+ال dial يطلع و يدخل لجوه فمعناته run out بقيس
+
+56
+00:04:53,630 --> 00:04:58,830
+شغلتين في نفس الوقت بقيس الاستدارة و التمركز في
+
+57
+00:04:58,830 --> 00:05:02,270
+نفس اللحظة بطريقة سهلة و سلسة
+
+58
+00:05:08,560 --> 00:05:12,560
+عندي two run out controls عندي ال circle run out
+
+59
+00:05:12,560 --> 00:05:18,660
+وال total run out ال circle run out ان انا عند كل
+
+60
+00:05:18,660 --> 00:05:27,040
+section عندي هاي مثال عندي
+
+61
+00:05:27,040 --> 00:05:32,080
+هاي القطعة عندي
+
+62
+00:05:32,080 --> 00:05:35,900
+ال reference data
+
+63
+00:05:35,900 --> 00:05:41,990
+ماي جاي معايشمع خط ال dimension line تاع ال size
+
+64
+00:05:41,990 --> 00:05:48,730
+feature معناته دي هتعمل مثل ايه؟ مثل ال axis صح؟
+
+65
+00:05:48,730 --> 00:05:49,550
+عندها دي a
+
+66
+00:06:04,890 --> 00:06:12,110
+هذه الفاية عشرين زيادة وناقص point one هتطلع هنا
+
+67
+00:06:12,110 --> 00:06:15,870
+control run
+
+68
+00:06:15,870 --> 00:06:29,250
+out control بالنسبة
+
+69
+00:06:29,250 --> 00:06:30,670
+ل data a
+
+70
+00:06:34,520 --> 00:06:46,740
+وحطت هنا total run out تحت هذي
+
+71
+00:06:46,740 --> 00:06:53,760
+فاي خمستاش زاد او ناقص point اتنين وحطت ال frame
+
+72
+00:07:13,900 --> 00:07:18,380
+الحالة الأولى هو حط dial gauge يعني انا عندي هذه
+
+73
+00:07:18,380 --> 00:07:22,900
+المحور حط dial gauge هنا وشوف ال prop بتاع ال dial
+
+74
+00:07:22,900 --> 00:07:27,740
+كدهش بتحرك ال total distance in one revolution انا
+
+75
+00:07:27,740 --> 00:07:32,000
+كاتبله point one ما انتوا مسموحله يتحرك عشان يكون
+
+76
+00:07:32,000 --> 00:07:36,780
+مطابق له المواصفاتالـ Range هكون Total
+
+77
+00:07:36,780 --> 00:07:43,180
+Transparency 01 Total Transparency 01 هذا .. هذا
+
+78
+00:07:43,180 --> 00:07:47,780
+ال section معناه ان انا بقيس ال linear run out عند
+
+79
+00:07:47,780 --> 00:07:52,120
+one section حبيت اقيصه عند section تاني بقى اقل ده
+
+80
+00:07:52,120 --> 00:07:58,600
+ال gauge و بقى اصفره و ببدأ ألف ال chart فاندي هنا
+
+81
+00:07:58,600 --> 00:08:02,420
+ال total run out Total run out باخد في عين
+
+82
+00:08:02,420 --> 00:08:02,980
+الاعتبار
+
+83
+00:08:06,690 --> 00:08:11,250
+لاستدارة التمركز وال straightness اللي بحكي عن ال
+
+84
+00:08:11,250 --> 00:08:15,270
+cylinder فباخد قراءات على طول ال cylinder at
+
+85
+00:08:15,270 --> 00:08:18,610
+different sections باخد قراءات بالظبط يعني بضبط في
+
+86
+00:08:18,610 --> 00:08:22,230
+صيني واحد و واحدة تنتين تلاتة اربعة باخد خمسة ستة
+
+87
+00:08:22,230 --> 00:08:26,010
+sections و عند كل section بشوف يعني عند كل section
+
+88
+00:08:26,010 --> 00:08:29,770
+بقيس ال linear run out لكن هو في الآخر انا بديش
+
+89
+00:08:29,770 --> 00:08:33,630
+ادي section بدي ال total يعني باختلاف ال section
+
+90
+00:08:33,630 --> 00:08:38,310
+مش لازمال run out يزيد عن point .. عن point zero
+
+91
+00:08:38,310 --> 00:08:42,670
+two هاي الطريقة سهلة و بقيس فيها كذا شغلة في نفس
+
+92
+00:08:42,670 --> 00:08:46,750
+اللحظة يعني ممكن حتى انا بقيس حتى cylindricity
+
+93
+00:08:46,750 --> 00:08:52,210
+يعني بضيف ال .. بقيس ال .. ال .. الاستدارة و
+
+94
+00:08:52,210 --> 00:08:56,970
+الاستوانية و التمركز نفس الطريقة ممكن نعمل الكون
+
+95
+00:08:56,970 --> 00:09:02,410
+هذا اللي بنفعه الكون بنفعه بس linear run outليش؟
+
+96
+00:09:02,410 --> 00:09:05,830
+لأن هو مش أسطوانة، معناته أنا لما بدي أاخده، كنت
+
+97
+00:09:05,830 --> 00:09:08,210
+عارف، بينفعش، لازم ال .. ال total، بس في حالة
+
+98
+00:09:08,210 --> 00:09:11,990
+الأشكال الأسطوانية، لكن في حالة ال .. ال .. ال ..
+
+99
+00:09:11,990 --> 00:09:16,710
+المخروط، بدي أاخد، يعني باخد linear run out يعني
+
+100
+00:09:16,710 --> 00:09:19,650
+مابتعشي حركه على ال .. على الوضع؟ ما أنت فيه عندك
+
+101
+00:09:19,650 --> 00:09:26,210
+.. كيف هتحركه؟ هنزل و نطلع مظلوط؟ لأن فيه زاوية،
+
+102
+00:09:26,210 --> 00:09:31,180
+لكن ال cylinder معروف إن انت هتحركه هيكفيش
+
+103
+00:09:31,180 --> 00:09:35,580
+variation في هذا الاتجار فبنفعش انت ت run out في
+
+104
+00:09:35,580 --> 00:09:41,040
+حالة الكون المخروطة
+
+105
+00:09:41,040 --> 00:09:45,500
+طبعا
+
+106
+00:09:45,500 --> 00:09:49,340
+ممكن اعمل اقيس ال run out عندي disk بس انا بدور
+
+107
+00:09:49,340 --> 00:09:51,880
+عندي disk
+
+108
+00:10:00,240 --> 00:10:07,420
+أحط ال prop هان أحط
+
+109
+00:10:07,420 --> 00:10:10,380
+ال prop هان أشوف هل في تلويح ولا مافيش فيه تلويح
+
+110
+00:10:10,380 --> 00:10:16,320
+ال run out بهدى الاتجاه إذا
+
+111
+00:10:16,320 --> 00:10:22,120
+يكون فيه تلويح بيصير ياش مظبوط تطلع عليه و هو يلف
+
+112
+00:10:22,120 --> 00:10:25,700
+بيكون رايح الجاية زي هيك طب مش هيك بتصير one fact
+
+113
+00:10:25,700 --> 00:10:26,020
+ناس
+
+114
+00:10:29,270 --> 00:10:34,950
+الطهد يسمى run out في ال X run out انا هاخده عند
+
+115
+00:10:34,950 --> 00:10:39,710
+نقاط مختلفة اذا باخده ب .. بغير باخد surface
+
+116
+00:10:39,710 --> 00:10:43,130
+feature برضه هاي ميستر run out باخد surface
+
+117
+00:10:43,130 --> 00:10:47,130
+feature بس هو ال .. ال .. ال .. ال .. ال .. ال
+
+118
+00:10:47,130 --> 00:10:52,730
+flatness المفروض مش هتكون يعني انت زي run out اذا
+
+119
+00:10:52,730 --> 00:10:56,710
+في خطأ في ال machining يعني بتكون يعني انت
+
+120
+00:10:56,710 --> 00:11:02,490
+بتشوفهاش حتى بالعينال flatness لكن إذا في خطأ في
+
+121
+00:11:02,490 --> 00:11:07,910
+التصنيع في القطع أكتر من منطقة معينة بيكون فعلا
+
+122
+00:11:07,910 --> 00:11:13,490
+فيه واضحة فهي بين ال good case ال flatness الخشنة
+
+123
+00:11:28,790 --> 00:11:35,350
+هذا كله حكيته نجعل
+
+124
+00:11:35,350 --> 00:11:40,350
+ما يسمى ال maximum ال material condition modifiers
+
+125
+00:11:40,350 --> 00:11:45,270
+مارينا مصطلحين ال maximum material condition و ال
+
+126
+00:11:45,270 --> 00:11:49,090
+least material condition لأن ال maximum material
+
+127
+00:11:49,090 --> 00:11:52,120
+condition و ال least material conditioncan be
+
+128
+00:11:52,120 --> 00:11:55,020
+applied as modifiers to most of geometry controls
+
+129
+00:11:55,020 --> 00:11:57,440
+that deal with features of size كل ال features
+
+130
+00:11:57,440 --> 00:12:01,060
+اللي بتتعلق بال size لما بحكي ال size بحكي how
+
+131
+00:12:01,060 --> 00:12:04,060
+much how big is the part or how small is the part
+
+132
+00:12:04,060 --> 00:12:08,020
+لما بحكي عن ال size بستخدم
+
+133
+00:12:08,020 --> 00:12:10,280
+الرموز symbols اللي هي ل maximum material
+
+134
+00:12:10,280 --> 00:12:13,180
+condition M و least material condition لستخدم
+
+135
+00:12:13,180 --> 00:12:17,460
+الرمز L الرموز
+
+136
+00:12:17,460 --> 00:12:20,870
+M هو اللي ممكن استخدمه مباشرةبعد Geometric
+
+137
+00:12:20,870 --> 00:12:26,130
+Tolerance Value بعد Geometric Tolerance Value او
+
+138
+00:12:26,130 --> 00:12:30,750
+مباشرة بعد Data and Reference مثلا بعد C او A او A
+
+139
+00:12:30,750 --> 00:12:35,450
+او B when
+
+140
+00:12:35,450 --> 00:12:41,570
+a geometric tolerance is modified with maximum
+
+141
+00:12:41,570 --> 00:12:48,630
+material condition modifier المهم هناit indicates
+
+142
+00:12:48,630 --> 00:12:54,310
+that the stated tolerance value applies when the
+
+143
+00:12:54,310 --> 00:12:56,910
+feature is reproduced at its maximum material
+
+144
+00:12:56,910 --> 00:13:03,990
+condition لما بحكي أنه مثلا
+
+145
+00:13:16,970 --> 00:13:22,250
+أو خلنا نحكي run out zero
+
+146
+00:13:22,250 --> 00:13:30,050
+point two at maximum material condition هذا بتحكي
+
+147
+00:13:30,050 --> 00:13:33,590
+عن ال tolerance it indicates that ال state of
+
+148
+00:13:33,590 --> 00:13:37,410
+tolerance هذا هو ال state of tolerance applies
+
+149
+00:13:37,410 --> 00:13:41,230
+when the feature is reproduced at its maximum
+
+150
+00:13:41,230 --> 00:13:56,840
+condition يعني عندي shaftالـ diameter بتاعه فاى
+
+151
+00:13:56,840 --> 00:14:01,180
+فاى
+
+152
+00:14:01,180 --> 00:14:10,660
+مية زاد او ناقص واحد ايش ال max سمتي ال condition
+
+153
+00:14:10,660 --> 00:14:11,520
+لل shaft؟
+
+154
+00:14:14,190 --> 00:14:17,630
+101 maximum material condition هتكون يعني بتروح
+
+155
+00:14:17,630 --> 00:14:24,850
+بين 101 و 99 هذه هي ال maximum material condition
+
+156
+00:14:24,850 --> 00:14:33,890
+وهذه هي ال least material condition الآن لما
+
+157
+00:14:33,890 --> 00:14:41,330
+نحكي ال run out هنا is خلينا نخليها رقم سهل one
+
+158
+00:14:41,330 --> 00:14:42,850
+point oh
+
+159
+00:14:47,150 --> 00:14:53,350
+هذه قيصة .. هذه قيصة إذا ال part produced at
+
+160
+00:14:53,350 --> 00:14:58,030
+maximum material condition يعني مسموح ليه يكون
+
+161
+00:14:58,030 --> 00:15:01,630
+عندي run out .. run out عندي ال maximum material
+
+162
+00:15:01,630 --> 00:15:05,050
+condition اللي هو هيكون واحد
+
+163
+00:15:08,230 --> 00:15:11,090
+التويتر run out عند ال maximum condition يكون ايش؟
+
+164
+00:15:11,090 --> 00:15:12,010
+واحد .. التويتر run out عند ال maximum condition
+
+165
+00:15:12,010 --> 00:15:12,030
+condition يكون ايش؟ واحد .. التويتر run out عند ال
+
+166
+00:15:12,030 --> 00:15:13,930
+maximum condition يكون ايش؟ واحد .. التويتر run
+
+167
+00:15:13,930 --> 00:15:14,410
+out عند ال maximum condition يكون ايش؟ واحد ..
+
+168
+00:15:14,410 --> 00:15:14,890
+التويتر run out عند ال maximum condition يكون ايش؟
+
+169
+00:15:14,890 --> 00:15:17,670
+out عند ال maximum condition يكون ايش؟ واحد ..
+
+170
+00:15:17,670 --> 00:15:20,370
+التويتر run out عند ال maximum condition يكون ايش؟
+
+171
+00:15:20,370 --> 00:15:29,890
+واحد .. التويتر run out
+
+172
+00:15:29,890 --> 00:15:33,480
+عند ال maximum condition يكون ايلأن هذه الـ
+
+173
+00:15:33,480 --> 00:15:37,160
+indicator value قيصت بالنسبة لـ maximum material
+
+174
+00:15:37,160 --> 00:15:40,540
+condition طبعا ال maximum material condition ال
+
+175
+00:15:40,540 --> 00:15:44,240
+modifiers هذه بتوفر يعني إذا بيعمل .. بيعمل
+
+176
+00:15:44,240 --> 00:15:50,720
+testing ل part إذا عند الشافت بيخليه أكبر .. أكبر
+
+177
+00:15:50,720 --> 00:15:57,090
+ما يمكنببدأ اعدل اذا هو مثلا بيعمل prototyping و
+
+178
+00:15:57,090 --> 00:15:59,970
+ال transfer مش واضحة له فممكن يبدأ عند ال maximum
+
+179
+00:15:59,970 --> 00:16:03,190
+material condition عند ال maximum material
+
+180
+00:16:03,190 --> 00:16:07,810
+condition اذا مش حاط الموديفير مش حاط الموديفير
+
+181
+00:16:07,810 --> 00:16:12,730
+يعني هادي زي هيك بدون موديفير معنى ال total run
+
+182
+00:16:12,730 --> 00:16:16,250
+out واحد
+
+183
+00:16:16,250 --> 00:16:21,340
+regardless of feature sizeهل هي at maximum
+
+184
+00:16:21,340 --> 00:16:25,060
+material condition او least material condition او
+
+185
+00:16:25,060 --> 00:16:32,700
+any value in between regardless of feature size
+
+186
+00:16:45,850 --> 00:16:49,990
+لأ واحد هذا بيحكي عن ال total دايما هنا في ال ..
+
+187
+00:16:49,990 --> 00:16:55,030
+في ال .. في ال features بيحكي عن إيش total مش ال
+
+188
+00:16:55,030 --> 00:17:00,090
+plus و ال minus هذه خلينا
+
+189
+00:17:00,090 --> 00:17:05,630
+.. خلينا نورجكوا example تاني if
+
+190
+00:17:05,630 --> 00:17:12,290
+the feature is produced at a size with less than
+
+191
+00:17:13,960 --> 00:17:16,460
+with less material than its maximum material
+
+192
+00:17:16,460 --> 00:17:19,820
+condition المعنى هو that the deviation from the
+
+193
+00:17:19,820 --> 00:17:22,440
+maximum material condition is added to the allowed
+
+194
+00:17:22,440 --> 00:17:30,460
+geometric tolerance value الآن هاد القيصة from
+
+195
+00:17:30,460 --> 00:17:33,080
+the maximum material condition للشفت ال tolerance
+
+196
+00:17:33,080 --> 00:17:40,160
+هنا اذا كان الشفت اقل من ال maximum material
+
+197
+00:17:40,160 --> 00:17:45,670
+condition المعنى هو تحصل عنده اللي هوعندي bonus
+
+198
+00:17:45,670 --> 00:17:52,910
+نسموه bonus tolerance ال bonus مثلا كانت مية بيكون
+
+199
+00:17:52,910 --> 00:17:56,730
+واضحة نصف الحالة هذي ايش واحد معناته ال total
+
+200
+00:17:56,730 --> 00:18:03,530
+tolerance هكون
+
+201
+00:18:03,530 --> 00:18:09,310
+ال indicated tolerance زاد ال bonus tolerance يعني
+
+202
+00:18:09,310 --> 00:18:15,940
+هكون اللي هو واحد زاد واحدساوة اتنين يعني عند مية
+
+203
+00:18:15,940 --> 00:18:19,720
+واحد فاني اتولد انا مسوا واحد انا اتولد اكبر لأ هو
+
+204
+00:18:19,720 --> 00:18:23,300
+.. هو .. هو ميعطيلك معلومة هو ميعطيك .. بيحكيلك
+
+205
+00:18:23,300 --> 00:18:29,920
+انك ال run out الواحد هذه هي واحد اذا كان ال shaft
+
+206
+00:18:29,920 --> 00:18:35,820
+at its maximum material condition هو هنا بيعطيلك
+
+207
+00:18:35,820 --> 00:18:38,340
+variation للتلر slide الميزة بيعطيلك variation
+
+208
+00:18:38,340 --> 00:18:43,560
+بيعطيلك انه .. انه ال .. يعنيال minimum clearance
+
+209
+00:18:43,560 --> 00:18:48,200
+هذا ال minimum clearance فده فيها ميزة انه في ال
+
+210
+00:18:48,200 --> 00:18:52,700
+machining انه انا مثلا بدي اجرب يعني في حالة ال
+
+211
+00:18:52,700 --> 00:18:56,620
+shaft مين حصل اعمل ال shaft اعمله اكبر مايمكن ولا
+
+212
+00:18:56,620 --> 00:19:01,020
+اصغر مايمكن اذا كان صغير مش هقدر اكبره صح؟ و ال
+
+213
+00:19:01,020 --> 00:19:04,500
+hole بيكون at its maximum condition بيكون اصغر
+
+214
+00:19:04,500 --> 00:19:08,540
+مايمكن ماقدر ايش اكبره اكبره لكن كان ال hole يبقى
+
+215
+00:19:08,540 --> 00:19:09,660
+ماقدرش اصغره صح؟
+
+216
+00:19:12,540 --> 00:19:29,420
+فهذا بيعطينا حرية حركة للمصنع ال run
+
+217
+00:19:29,420 --> 00:19:30,320
+out
+
+218
+00:19:43,780 --> 00:19:49,160
+هذه انا هرسم هذه
+
+219
+00:19:49,160 --> 00:19:54,040
+دائرة و
+
+220
+00:19:54,040 --> 00:20:02,920
+في واسم حطيت داية ال gauge يعني ده نقطة هذه صفرته
+
+221
+00:20:02,920 --> 00:20:12,270
+عادى و هاي المحور و لفيته دورةكاملة لفته دورة
+
+222
+00:20:12,270 --> 00:20:19,070
+كاملة معناته هتكون فيه يعني كان هاد افترض جدلا ان
+
+223
+00:20:19,070 --> 00:20:23,490
+هذا اوطة نقطة ان هاد ال lowest point معناته لما
+
+224
+00:20:23,490 --> 00:20:29,130
+نلف هيصل هذا هسينا في مرحلة ما هتكون touching
+
+225
+00:20:29,130 --> 00:20:29,970
+maximum point
+
+226
+00:20:36,460 --> 00:20:43,700
+هذا هو إيش؟ ال run out مش
+
+227
+00:20:43,700 --> 00:20:48,320
+معناه .. مش معناه من ال maximum .. يعني أنا بحكي
+
+228
+00:20:48,320 --> 00:20:52,180
+عن ال range بين minimum و بين maximum، هاي معناه
+
+229
+00:20:52,180 --> 00:20:57,800
+ال run out اللي احنا سبق و حكينا ان ال maximum
+
+230
+00:20:57,800 --> 00:21:00,560
+اللي بنتجه ال maximum material condition بيكون
+
+231
+00:21:00,560 --> 00:21:03,880
+المفروض almost perfect، مافيش اش perfect طبعا
+
+232
+00:21:07,490 --> 00:21:10,830
+طيب زي ما حكيت if the feature is produced at a
+
+233
+00:21:10,830 --> 00:21:13,610
+size less than material with less material than
+
+234
+00:21:13,610 --> 00:21:16,730
+its maximum material condition the deviation from
+
+235
+00:21:16,730 --> 00:21:20,030
+maximum material condition is added to the allowed
+
+236
+00:21:20,030 --> 00:21:22,010
+geometric tolerance يعني ال deviation هذا ايه بمثل
+
+237
+00:21:22,010 --> 00:21:27,850
+بسمى ال bonus tolerance the
+
+238
+00:21:27,850 --> 00:21:32,150
+implication is that اش the value of the geometric
+
+239
+00:21:32,150 --> 00:21:38,200
+tolerance is not constant is notconstant لكن لو
+
+240
+00:21:38,200 --> 00:21:43,700
+شيلت ال M شيلت من ال box ال M معناته ال geometric
+
+241
+00:21:43,700 --> 00:21:48,960
+tolerance is constant regardless of feature size
+
+242
+00:21:48,960 --> 00:21:52,600
+ايش يعني regardless of feature size؟ ممكن تكون ال
+
+243
+00:21:52,600 --> 00:21:57,140
+feature عند ال maximum material condition او عند
+
+244
+00:21:57,140 --> 00:22:00,160
+ال least material condition او اي قيمة بين التنتين
+
+245
+00:22:01,630 --> 00:22:05,290
+بغض النظر عن قيمة الـ Size Feature دائما بيكون
+
+246
+00:22:05,290 --> 00:22:09,670
+Duty and Tolerance H بيكون ثابت إذا مافيش رمز M
+
+247
+00:22:09,670 --> 00:22:14,310
+إذا حطيت الرمز M معناته ال tolerance is not
+
+248
+00:22:14,310 --> 00:22:18,170
+constant ال tolerance بيكون at its least value
+
+249
+00:22:18,170 --> 00:22:22,250
+بيكون أقل قيمة له عند ال maximum material
+
+250
+00:22:22,250 --> 00:22:23,290
+condition
+
+251
+00:22:34,120 --> 00:22:40,280
+خلّيني أشوف الرسم هذا لدي
+
+252
+00:22:40,280 --> 00:22:49,320
+part لدي هنا cylinder لدي هنا hall خلّيني أولا
+
+253
+00:22:49,320 --> 00:22:55,960
+تتعرفوا هنا على ال datums لدي datum A جاية أساطر
+
+254
+00:22:55,960 --> 00:23:01,520
+الخلفية اللي انا اختار ال datums مهم كتير لا
+
+255
+00:23:01,520 --> 00:23:07,090
+يمكنني أن اختار ال datum هنامش مناسب، صح؟ هنا أكتر
+
+256
+00:23:07,090 --> 00:23:10,510
+مناسب لأن هنا سطح أكبر بيكون مرتكز يعني هتبط عليه
+
+257
+00:23:10,510 --> 00:23:15,950
+اتعتبط على الطاولة هذا ال data A ال data B هذا ال
+
+258
+00:23:15,950 --> 00:23:23,170
+data B هذا ال data C ماعطينا
+
+259
+00:23:23,170 --> 00:23:27,070
+هنا السماكة خمسين plus or minus point one سبعين
+
+260
+00:23:27,070 --> 00:23:33,120
+plus or minus point oneالارتفاع القطع هنا
+
+261
+00:23:33,120 --> 00:23:37,780
+ماعطينيها 200 plus or minus 0.8 هى 150 plus or
+
+262
+00:23:37,780 --> 00:23:45,380
+minus 0.8 عندى هين هذا المية basic dimension ال
+
+263
+00:23:45,380 --> 00:23:47,600
+basic dimension يعني ماعنى control عليه في ال
+
+264
+00:23:47,600 --> 00:23:54,040
+tolerance من خلال ال geometric feature صح عندى ال
+
+265
+00:23:54,040 --> 00:23:58,900
+170 is basic dimension و الخمسين هذا is basic
+
+266
+00:23:58,900 --> 00:24:00,200
+dimension
+
+267
+00:24:03,620 --> 00:24:10,780
+الـ shaft الـ shaft فايل
+
+268
+00:24:10,780 --> 00:24:15,200
+كتر تاعتها بين خمسين point او لخمسين point تلاتة
+
+269
+00:24:15,200 --> 00:24:20,340
+بعدين عندي feature control ال frame هين control
+
+270
+00:24:20,340 --> 00:24:29,540
+ايش control ال position الان ال frame جاى تحت ال
+
+271
+00:24:29,540 --> 00:24:34,540
+size feature معناته انا control ال position لإيشلل
+
+272
+00:24:34,540 --> 00:24:39,340
+center بتاع الاستوانة هذه الان هذي في معناته و
+
+273
+00:24:39,340 --> 00:24:45,840
+بعدين طبيعة ال tolerance zone cylindrical
+
+274
+00:24:45,840 --> 00:24:49,920
+معناته حط اشارة ايش ال phi و هذي tolerance zone
+
+275
+00:24:49,920 --> 00:24:54,080
+point two و حطت هنا modifier اللي هي maximum
+
+276
+00:24:54,080 --> 00:24:59,060
+material condition ABC ABC
+
+277
+00:25:06,000 --> 00:25:13,760
+مش فاهم لأ
+
+278
+00:25:13,760 --> 00:25:21,240
+هو طالع عادة لو تحكي عن position بدك مرجع ماشي
+
+279
+00:25:21,240 --> 00:25:24,560
+ال B و ال C مضرش تحط ال A لأن ال B و ال C اذا
+
+280
+00:25:24,560 --> 00:25:31,080
+استخدم عرفيه نسبال A ماشي فإذا عادة تحط ال
+
+281
+00:25:31,080 --> 00:25:33,600
+position إذا تحط position حط ال complete reference
+
+282
+00:25:33,600 --> 00:25:33,960
+في ال frame
+
+283
+00:25:39,160 --> 00:25:43,260
+الان ال shaft بيكون at its maximum material
+
+284
+00:25:43,260 --> 00:25:48,880
+condition عند ال 50.3 صح؟ هذه maximum material
+
+285
+00:25:48,880 --> 00:25:55,480
+condition هذه least material condition لو حكيت عند
+
+286
+00:25:55,480 --> 00:25:56,500
+هنا ال shaft ده 100
+
+287
+00:26:06,790 --> 00:26:10,970
+عند الخمسين point تلاتة اللي هي ال maximum
+
+288
+00:26:10,970 --> 00:26:16,710
+material condition لما
+
+289
+00:26:16,710 --> 00:26:19,330
+نحط ال modifier هذه حكاية معناته tolerance هذا
+
+290
+00:26:19,330 --> 00:26:25,570
+point two مقاس لما كان القطر خمسين point تلاتة
+
+291
+00:26:25,570 --> 00:26:28,910
+معناته ال deviation هنا ال deviation او بتسميه ال
+
+292
+00:26:28,910 --> 00:26:32,630
+bonus tolerance
+
+293
+00:26:32,630 --> 00:26:34,810
+ايش بيساوي zero
+
+294
+00:26:37,770 --> 00:26:43,410
+بحكي عن ال bonus tolerance ال indicated tolerance
+
+295
+00:26:43,410 --> 00:26:48,930
+ال indicated tolerance اللي هو هنا point two
+
+296
+00:26:48,930 --> 00:26:55,550
+معناته ال total tolerance هيكون zero زي point two
+
+297
+00:26:55,550 --> 00:27:04,950
+point اتنين بس
+
+298
+00:27:06,410 --> 00:27:11,350
+لأ هين مستخدمش dial gauge يعني هين ايش position
+
+299
+00:27:11,350 --> 00:27:13,910
+لها طريقة تانية الان عشان تكون في الصورة الان
+
+300
+00:27:13,910 --> 00:27:17,890
+بنحكي عن ال geometric dimension and tolerance الان
+
+301
+00:27:17,890 --> 00:27:20,630
+how to measure these geometric features هذا موضوع
+
+302
+00:27:20,630 --> 00:27:25,470
+تاني physically انتوا حاليين بتعرفوا ال run out
+
+303
+00:27:25,470 --> 00:27:32,050
+واضح طيب
+
+304
+00:27:32,050 --> 00:27:35,310
+لو كان القطر خمسين point اتنين
+
+305
+00:27:39,170 --> 00:27:45,570
+انا الان ال bonus tolerance انا صار ايش point واحد
+
+306
+00:27:45,570 --> 00:27:47,150
+point واحد point واحد point واحد point واحد point
+
+307
+00:27:47,150 --> 00:27:47,510
+واحد point واحد point واحد point واحد point واحد
+
+308
+00:27:47,510 --> 00:27:50,210
+point واحد point واحد point واحد point واحد point
+
+309
+00:27:50,210 --> 00:27:50,710
+واحد point واحد point واحد point واحد point واحد
+
+310
+00:27:50,710 --> 00:27:53,070
+point واحد point واحد point واحد point واحد point
+
+311
+00:27:53,070 --> 00:27:53,110
+واحد point واحد point واحد point واحد point واحد
+
+312
+00:27:53,110 --> 00:27:53,130
+point واحد point واحد point واحد point واحد point
+
+313
+00:27:53,130 --> 00:27:55,270
+واحد point واحد point واحد point واحد point واحد
+
+314
+00:27:55,270 --> 00:27:59,670
+point واحد point واحد point واحد point واحد point
+
+315
+00:27:59,670 --> 00:27:59,730
+واحد point واحد point واحد point واحد point واحد
+
+316
+00:27:59,730 --> 00:28:00,410
+point واحد point واحد point واحد point واحد point
+
+317
+00:28:11,620 --> 00:28:16,080
+point خمسة معناته
+
+318
+00:28:16,080 --> 00:28:24,180
+واضح انه لما احطت modifier هنا ال tolerance في ال
+
+319
+00:28:24,180 --> 00:28:31,120
+position مش ثابت بعتمد على ال actual size بعتمد
+
+320
+00:28:31,120 --> 00:28:35,380
+على ال ايش ال actual size و القراءة دلوقتي point
+
+321
+00:28:35,380 --> 00:28:40,020
+مقاسة عند ال maximum condition مقاسة او عند ال
+
+322
+00:28:40,020 --> 00:28:48,860
+maximum conditionلو كانت هذه مش موجودة معناته
+
+323
+00:28:48,860 --> 00:28:59,140
+انا سامح موقع ال hall يتغير بمقدار point two بغض
+
+324
+00:28:59,140 --> 00:29:05,060
+النظر عن ال size لو كان خمسين point تلاتة، خمسين
+
+325
+00:29:05,060 --> 00:29:08,200
+point اتنين، خمسين point واحد، نفس الاشي بغض النظر
+
+326
+00:29:08,200 --> 00:29:13,400
+عن حجم ال hallعند ال maximum material condition ال
+
+327
+00:29:13,400 --> 00:29:17,120
+50 و 3 ال position هيكون بالنسبة لل basic
+
+328
+00:29:17,120 --> 00:29:21,680
+dimension 100 هذا هتكون 102 مثلا عند 100 ال basic
+
+329
+00:29:21,680 --> 00:29:25,680
+dimension هذا بالنسبة لل 50 و 3 ده meter بتاع
+
+330
+00:29:25,680 --> 00:29:30,880
+الشارع هتكون 102 مثلا 103 يعني الخمسين أنا مسبوح
+
+331
+00:29:30,880 --> 00:29:32,460
+لأتغير أتتحرك
+
+332
+00:29:35,110 --> 00:29:41,810
+كويس ضمن دائرة قطرها خمسين point تلاتة point اتنين
+
+333
+00:29:41,810 --> 00:29:46,290
+عند
+
+334
+00:29:46,290 --> 00:29:53,170
+الخمسين مسموح
+
+335
+00:29:53,170 --> 00:29:59,490
+لاتحرك ضمن دائرة قطرها point خمسة
+
+336
+00:30:03,310 --> 00:30:07,730
+يعني اذا كان مية و خمسة او اذا كان مية و نص يعني
+
+337
+00:30:07,730 --> 00:30:10,530
+او كان زي الخمسة او تسعة و تسعة و نص ممكن هذا
+
+338
+00:30:10,530 --> 00:30:16,270
+مسموح في الراجال عند الخمسين اه يعني عندك عند
+
+339
+00:30:16,270 --> 00:30:19,150
+الخمسين ناخد خمسين و تلاتة عند الخمسين و تلاتة
+
+340
+00:30:19,150 --> 00:30:27,030
+عندك مثلا هتوصل مثلا ال مية ممكن توصل مية هتضيف
+
+341
+00:30:27,030 --> 00:30:32,350
+عليها point واحد مية point واحدعند الخمسين point
+
+342
+00:30:32,350 --> 00:30:35,830
+ثلاثة انا بحكي عن قطر هدى ترنزون point two عند
+
+343
+00:30:35,830 --> 00:30:41,850
+الخمسين point ثلاثة ممكن توصل هدى ايه؟ مية point
+
+344
+00:30:41,850 --> 00:30:55,150
+واحد عند الخمسين ممكن توصل مية ربع هو
+
+345
+00:30:55,150 --> 00:31:01,710
+منطقيلأن انا عندى allowed to vary بين minimum بين
+
+346
+00:31:01,710 --> 00:31:08,390
+اياش maximum كل ما انا اقترب من ال minimum value
+
+347
+00:31:08,390 --> 00:31:14,590
+معناته فى عندى سماحية اكتر صح؟ مظبوط؟ عندى سماحية
+
+348
+00:31:14,590 --> 00:31:19,730
+اتحرك اكتر، مظبوط؟
+
+349
+00:31:19,730 --> 00:31:23,530
+الان
+
+350
+00:31:23,530 --> 00:31:25,950
+شوفوا الثقب هذا ال hall هذا
+
+351
+00:31:30,840 --> 00:31:36,600
+الهولة ده مسموح تتغير بين تلاتين
+
+352
+00:31:36,600 --> 00:31:45,180
+و تلاتين point تلاتة هذه ايش تمثل هذه ال least
+
+353
+00:31:45,180 --> 00:31:49,420
+material condition هذه ال maximum material
+
+354
+00:31:49,420 --> 00:31:55,680
+condition برضه
+
+355
+00:31:55,680 --> 00:31:59,560
+هنا بيحكي عن ال position five point two عند هنا
+
+356
+00:31:59,560 --> 00:32:03,900
+ايشmodifier maximum material condition يعني هذه
+
+357
+00:32:03,900 --> 00:32:07,780
+قيصة لما كان ال hole at its maximum material
+
+358
+00:32:07,780 --> 00:32:16,020
+condition يعني لو خدت ال hole ال
+
+359
+00:32:16,020 --> 00:32:25,600
+hole size لما
+
+360
+00:32:25,600 --> 00:32:27,920
+كان ال maximum material condition كان اكم تلاتين
+
+361
+00:32:33,400 --> 00:32:43,540
+تلاتين at its maximum material condition ال
+
+362
+00:32:43,540 --> 00:32:52,240
+bonus بناحكي بي بي تي اسم بيه ال bonus tolerance
+
+363
+00:32:52,240 --> 00:33:03,610
+is zeroو ال indicated tolerance point اتنين و ال
+
+364
+00:33:03,610 --> 00:33:11,370
+total tolerance هذا زيادة point اتنين عندي نحكي
+
+365
+00:33:11,370 --> 00:33:20,570
+تلاتين point واحد تلاتين point اتنين تلاتين point
+
+366
+00:33:20,570 --> 00:33:23,750
+تلاتة هذا هو ال least material condition
+
+367
+00:33:27,400 --> 00:33:33,640
+حين ال bonus terms هكون اكم point one point two
+
+368
+00:33:33,640 --> 00:33:42,660
+point three و كلهم هنا طبعا indicated point two
+
+369
+00:33:42,660 --> 00:33:45,760
+point two point two معناه total terms هكون point
+
+370
+00:33:45,760 --> 00:33:52,640
+تلاتة point اربعة point خمسة
+
+371
+00:34:06,530 --> 00:34:10,310
+لأن واضح كل ما يكبر ال hole كل ما كانت السماحية
+
+372
+00:34:10,310 --> 00:34:15,190
+أعلى، صح؟ كل ما يكبر ال hole كل ما كانت السماحية
+
+373
+00:34:15,190 --> 00:34:22,410
+إيش؟ أعلى أو التسامح أعلى وكل ما يصغر ال shaft كل
+
+374
+00:34:22,410 --> 00:34:27,050
+ما كنت تسامح أعلى في حالة حطيت انا ال modifier لكن
+
+375
+00:34:27,050 --> 00:34:29,330
+لما ماحطش ال modifier بيعني بيصير regardless of
+
+376
+00:34:29,330 --> 00:34:32,510
+feature size بحكي عن constant tolerance لما حطيت
+
+377
+00:34:32,510 --> 00:34:34,690
+ال modifier صار إيش؟ variable tolerance
+
+378
+00:34:40,370 --> 00:34:45,510
+هذا الكلام حاكيناه هو
+
+379
+00:34:45,510 --> 00:34:51,270
+بدل العكس انا فضل تبدو زي ما عملت انا عشان
+
+380
+00:34:51,270 --> 00:34:55,930
+اتفكر بنفس المنطقه، هين كأنه مش .. كأنه حاط رجليه
+
+381
+00:34:55,930 --> 00:35:01,310
+.. رأس مافيهينه رجليه يعني لو كنت اتنين من عشرة
+
+382
+00:35:01,310 --> 00:35:04,830
+تصور بدون الأمن؟ لو كنت اتنين من عشرة بدون الأمن؟
+
+383
+00:35:04,830 --> 00:35:08,140
+الاش؟ بدون الأمن لو كنت اتنين من عشرةبالنسبة
+
+384
+00:35:08,140 --> 00:35:11,700
+للموديفير، هل ستلاحظ أن الدرجات كلها 2 من 10 في كل
+
+385
+00:35:11,700 --> 00:35:18,160
+موقع؟ regardless of size أنا بحكمه أكتر، بحكي له
+
+386
+00:35:18,160 --> 00:35:20,980
+بغض النظر كان ال size هل هو كان تلاتين و تلاتين من
+
+387
+00:35:20,980 --> 00:35:22,940
+العشرة و لا تلاتين و لا تلاتين point one و لا
+
+388
+00:35:22,940 --> 00:35:28,340
+تلاتين point two دايما ال axis مسموح تتغير، تتحرك
+
+389
+00:35:28,340 --> 00:35:33,320
+في ال range دائرة قطرها 2 من عشرة ما كان مجرد
+
+390
+00:35:33,320 --> 00:35:42,480
+موديفير متحكم في الشغل أكتر؟لأ لأ بت قيد حالك اكتر
+
+391
+00:35:42,480 --> 00:35:50,440
+انا بعطي حرية اكتر لما اعطي modifier للمصنع
+
+392
+00:35:50,440 --> 00:35:55,900
+هو طلع لما يكون عندى بشكل عام مش دايما لو يكون
+
+393
+00:35:55,900 --> 00:36:00,820
+عندى hole و shaft ال hole بيكون حيكون معاه ايش
+
+394
+00:36:00,820 --> 00:36:04,340
+shaft او ال shaft بيكون معاه ايش hole ليه بتتفكر
+
+395
+00:36:04,340 --> 00:36:11,090
+انت لما يكون عندى shaft مع holeكل ما أزغر ال shaft
+
+396
+00:36:11,090 --> 00:36:15,750
+كل ما بيصير فيه إمكانية أتحرك أكتر، مظبوط؟ و نفس
+
+397
+00:36:15,750 --> 00:36:17,810
+الشيء كل ما بيكبر ال hole كل ما بيكون عندي سماحية
+
+398
+00:36:17,810 --> 00:36:22,070
+أكتر كل
+
+399
+00:36:22,070 --> 00:36:27,610
+ما بيزغر ال shaft عندي سماحية لتغيير موقع ال shaft
+
+400
+00:36:27,610 --> 00:36:33,710
+أكتر أو و كل ما بيكبر ال hole بيصير عندي سماحية
+
+401
+00:36:33,710 --> 00:36:34,110
+أكتر
+
+402
+00:36:37,600 --> 00:36:42,660
+يعني هاي عندي حالة بحكي عن ال position انا مابحكيش
+
+403
+00:36:42,660 --> 00:36:47,720
+عن ال .. بحكي عن ال position and هاي حالة هاي hall
+
+404
+00:36:47,720 --> 00:36:57,360
+و هاي shaft و ده ثبت ال hall و هاي hall و هاي
+
+405
+00:36:57,360 --> 00:37:04,240
+shaft مين
+
+406
+00:37:04,240 --> 00:37:08,320
+سمح لي اكتر اتحرك في موقع ال .. الموقعالحالة هاد
+
+407
+00:37:08,320 --> 00:37:11,820
+اكتر او
+
+408
+00:37:11,820 --> 00:37:22,840
+لو سببت ال shaft هاي سببتنا ال shaft هاي
+
+409
+00:37:22,840 --> 00:37:26,880
+الحالة هسبت
+
+410
+00:37:26,880 --> 00:37:33,400
+ال shaft لما
+
+411
+00:37:33,400 --> 00:37:39,040
+كبرت ال horn برضه صالين السماحيةلتغيير موقع الثقب
+
+412
+00:37:39,040 --> 00:37:48,200
+اكتر صح؟ ع الشفت يعني ان ثبت الشفت ما هي العلاقة و
+
+413
+00:37:48,200 --> 00:38:01,680
+او و او هذا
+
+414
+00:38:01,680 --> 00:38:06,540
+كله تقريبا هي الحكام كله حكيت و اناطبعا إيه علاقة
+
+415
+00:38:06,540 --> 00:38:14,500
+بال cost؟ انا كل ما حط .. احنا حكينا ال .. ال
+
+416
+00:38:14,500 --> 00:38:16,600
+purpose من ال .. ال .. ال .. ال geometric
+
+417
+00:38:16,600 --> 00:38:20,400
+dimension دي ال transfer اللي هو أنا فيه شغل تاني،
+
+418
+00:38:20,400 --> 00:38:26,180
+فيه تقييد و فيه إيش؟ حرية، أنا بعمل balance بين
+
+419
+00:38:26,180 --> 00:38:30,280
+التانين، بقيدوا .. بقيدوا بال .. بال .. بال ..
+
+420
+00:38:30,280 --> 00:38:35,380
+بالقدر المطلوبو بعطيله حرية بحيث برضه ماصعبش
+
+421
+00:38:35,380 --> 00:38:40,460
+الدنيا واضح فبعمل تناوض ت .. ت .. ت .. شو اسمه؟
+
+422
+00:38:40,460 --> 00:38:44,780
+توازن بين التقييد و الحرية للمصنع و ان في مجال
+
+423
+00:38:44,780 --> 00:38:47,980
+اعطيله حرية اعطيله حرية لإن برضه التقييد بيعطي
+
+424
+00:38:47,980 --> 00:38:55,860
+تكلف عليك اكتر هذا
+
+425
+00:38:55,860 --> 00:39:02,410
+احكي هنا طيب هذا كله؟ اههد حاكينا اللي هى RFS
+
+426
+00:39:02,410 --> 00:39:10,230
+regardless of feature size بتعني انه ال trans zone
+
+427
+00:39:10,230 --> 00:39:17,630
+اللى حاطيتها قيمتها ثابتة بغض النظر عن ال feature
+
+428
+00:39:17,630 --> 00:39:21,910
+size بغض ان كان الثقوب مثلا قطره تلاتين point
+
+429
+00:39:21,910 --> 00:39:24,790
+تلاتة تلاتين تلاتين point واحد تلاتين point اتنين
+
+430
+00:39:24,790 --> 00:39:28,650
+هد معنى regardless of feature size
+
+431
+00:39:37,620 --> 00:39:42,500
+طيب ال .. ال .. ال maximum ال .. ال .. ال symbols
+
+432
+00:39:42,500 --> 00:39:46,900
+اللي هي maximum material condition و ال least
+
+433
+00:39:46,900 --> 00:39:49,900
+material condition can also be applied immediately
+
+434
+00:39:49,900 --> 00:39:53,640
+following a datum reference frame اللي في ال
+
+435
+00:39:53,640 --> 00:39:58,640
+feature control frame in particular when the datum
+
+436
+00:39:58,640 --> 00:40:02,760
+is based on a feature of size
+
+437
+00:40:05,410 --> 00:40:08,270
+when applied to a datum, symbols are referred to
+
+438
+00:40:08,270 --> 00:40:11,330
+as لما انا احطها بعد ال data بيبطئ ليها maximum
+
+439
+00:40:11,330 --> 00:40:15,190
+material condition بيصير maximum material boundary
+
+440
+00:40:15,190 --> 00:40:24,170
+او least material boundary يعني معناه تو موقع احنا
+
+441
+00:40:24,170 --> 00:40:29,130
+لما احنا كنا نحدد نحدد
+
+442
+00:40:29,130 --> 00:40:33,350
+ال frame معين كنت ابدأ من ايه اش؟ من ال datum
+
+443
+00:40:33,350 --> 00:40:37,040
+featureبعدين انا احش اروح على ال data feature
+
+444
+00:40:37,040 --> 00:40:42,320
+simulator لان المستوى الواقعي بين ال data feature
+
+445
+00:40:42,320 --> 00:40:47,260
+و data feature simulator هو ال data whyاش ال data
+
+446
+00:40:47,260 --> 00:40:50,240
+معناته اذا ال surface اللي انا اخده ك data feature
+
+447
+00:40:50,240 --> 00:40:55,980
+is at its maximum boundary بيختلف اذا كان at its
+
+448
+00:40:55,980 --> 00:41:00,740
+least at least boundary واضح؟
+
+449
+00:41:02,750 --> 00:41:06,710
+بشكل عام .. بشكل عام في ال .. في ال reference
+
+450
+00:41:06,710 --> 00:41:14,150
+phrase ممكن أجنب أحط اللي هي ال M أو ال L طيب
+
+451
+00:41:14,150 --> 00:41:20,550
+المحاضرة
+
+452
+00:41:20,550 --> 00:41:26,590
+الجاي بنكمل لإن انا هاخش في تفاصيل تانية يعني هحط
+
+453
+00:41:26,590 --> 00:41:32,440
+استراتيجية كيف انك تحطgeometric dimensioning and
+
+454
+00:41:32,440 --> 00:41:36,420
+tolerancing خطوات عملية هو الحل ليهاش example
+
+455
+00:41:36,420 --> 00:41:38,760
+تاكلوا عافية
+
diff --git a/PL9fwy3NUQKwbRqiyGIGaMMN6wI9A06Vao/zc32X5doY0A.srt b/PL9fwy3NUQKwbRqiyGIGaMMN6wI9A06Vao/zc32X5doY0A.srt
new file mode 100644
index 0000000000000000000000000000000000000000..f37963b460a77edbea4dc746bebe6a8d5f280a26
--- /dev/null
+++ b/PL9fwy3NUQKwbRqiyGIGaMMN6wI9A06Vao/zc32X5doY0A.srt
@@ -0,0 +1,1783 @@
+1
+00:00:05,460 --> 00:00:08,620
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله و 
+
+2
+00:00:08,620 --> 00:00:13,700
+بركاته اليوم هنكمل chapter 11 اللي هو selection of
+
+3
+00:00:13,700 --> 00:00:18,460
+roller bearings لحتى اللحظة عرفنا كيف نختار ball
+
+4
+00:00:18,460 --> 00:00:25,560
+bearings و كيف نختار tapered roller bearings يعني
+
+5
+00:00:25,560 --> 00:00:29,120
+مرة عملنا الخيار كانت ال bearing معرضة ل radial
+
+6
+00:00:29,120 --> 00:00:32,960
+load و مرة كانت معرضة ل combined أو combination
+
+7
+00:00:32,960 --> 00:00:37,670
+بين radial load و axial load اليوم هنكمل هنحكي على
+
+8
+00:00:37,670 --> 00:00:42,550
+ال lubrication و ال layout لل bearings على الشافت
+
+9
+00:00:42,550 --> 00:00:49,230
+طبعا ال lubricant الزيوت المستخدم في ال bearings
+
+10
+00:00:49,230 --> 00:00:57,090
+أنا عندي rolling elements أو rolling elements أنا 
+
+11
+00:00:57,090 --> 00:01:01,650
+عند ال inner race و
+
+12
+00:01:01,650 --> 00:01:03,050
+عند هنا rolling elements
+
+13
+00:01:07,360 --> 00:01:15,740
+و عند ال outer race و
+
+14
+00:01:15,740 --> 00:01:24,360
+عند الزيوت هتيجي الزيت هيكون موجود الزيت هين و
+
+15
+00:01:24,360 --> 00:01:31,060
+ال rollers أو ال balls roll على ال inner race و ال
+
+16
+00:01:31,060 --> 00:01:34,380
+outer race فلاخدت في بمطقة هين
+
+17
+00:01:38,230 --> 00:01:44,630
+أخدت one roller وهي
+
+18
+00:01:44,630 --> 00:01:49,790
+عندي roller إنفترض بتلف بالنسبة لها ده الاتجاه
+
+19
+00:01:49,790 --> 00:01:54,370
+وفيه زيت زيت
+
+20
+00:01:54,370 --> 00:02:05,050
+ايش هيسير فيه حينحشر بين ال roller و ال inner و ال
+
+21
+00:02:05,050 --> 00:02:15,880
+outer race نتيجة أنه بيساوي roll أو ال roller على
+
+22
+00:02:15,880 --> 00:02:21,040
+ال inner race و outer race الضغط في الزيت بيرتفع
+
+23
+00:02:21,040 --> 00:02:26,540
+شكل كبير بسبب اندي ارتفاع كبير في ضغط الزيت طبعا
+
+24
+00:02:26,540 --> 00:02:34,480
+الضغط بيأثر على لزوجة الزيت ال viscosity بتتناسب
+
+25
+00:02:34,480 --> 00:02:40,700
+exponentially مع ال pressure النتيجة الضغط بيصير
+
+26
+00:02:40,700 --> 00:02:46,880
+ارتفاع في ال viscosity نتيجة انحشار ال liquid بين
+
+27
+00:02:46,880 --> 00:02:50,080
+rolling elements بترتفع الضغط بترتفع ايش ال
+
+28
+00:02:50,080 --> 00:02:55,760
+viscosity الآن ايش الهدف من ال lubricant في ال
+
+29
+00:02:55,760 --> 00:03:00,180
+bearings أولا ال lubricant بيعمل زي طبقة رقيقة
+
+30
+00:03:00,180 --> 00:03:04,960
+فيلم بين الزيت بين ال sliding و rolling elements
+
+31
+00:03:05,790 --> 00:03:09,550
+وجود الطبقة الزيتية دي بتخفف من الفواكد في
+
+32
+00:03:09,550 --> 00:03:13,510
+الاحتكاك اثنين
+
+33
+00:03:13,510 --> 00:03:19,330
+وجود الزيت بيساعد في توزيع وتشتيت الحرارة لأن في
+
+34
+00:03:19,330 --> 00:03:24,370
+عندك motion بيحتكك بتتولد حرارة وجود الزيت بنشرها
+
+35
+00:03:24,370 --> 00:03:30,470
+بوزعها وبشتتها ثلاثة وجود زيت مغطى طبق ال rolls
+
+36
+00:03:30,470 --> 00:03:35,710
+rolling elements بيعمل طبقة بتحمي ال rolling
+
+37
+00:03:35,710 --> 00:03:44,130
+elements من الصدأ أو التآكل برضه وجود الزيت بيحمي
+
+38
+00:03:44,130 --> 00:03:47,810
+من المواد الغريبة داخلة رمل أو أو أو الزيت
+
+39
+00:03:47,810 --> 00:03:51,790
+بيستوعبها بيعمل حماية لل bearings من ال foreign
+
+40
+00:03:51,790 --> 00:03:57,350
+elements لأن في بعض الأحيان بنستخدم في التزييت
+
+41
+00:03:57,350 --> 00:04:02,630
+باستخدام زيت أو شحوم شحمة أما أنت تستخدم الزيوت
+
+42
+00:04:02,630 --> 00:04:07,170
+وأنت تستخدم الشحمة في حال كان للاش حرار مخفضة أقل من
+
+43
+00:04:07,170 --> 00:04:12,410
+93 درجة بنستخدم .. ممكن نستخدم الشحمة في حال حرار
+
+44
+00:04:12,410 --> 00:04:17,110
+مرتفع بنستخدم الزيوت في حالة الصراعات المخفضة
+
+45
+00:04:17,110 --> 00:04:21,790
+بنستخدم الشحمة في حالة الصراعات المرتفعة بنستخدم
+
+46
+00:04:21,790 --> 00:04:25,490
+الزيوت طبعا هتضحك احنا بشكل عام هذه التعليمات
+
+47
+00:04:28,480 --> 00:04:33,380
+في حالة أنا استخدمت شحمة محتاج ال .. أن يكون في
+
+48
+00:04:33,380 --> 00:04:37,320
+حماية للشحمة بحيث تكون sealing بحيث أمنع دخول
+
+49
+00:04:37,320 --> 00:04:41,860
+القطربة و الرمال عشان إذا شحمة صار داخل القطربة
+
+50
+00:04:41,860 --> 00:04:47,580
+بتنشف و بيصير يعني مؤذية أكثر يعني الآن في حالة ال
+
+51
+00:04:47,580 --> 00:04:51,980
+... ال oil في sealed bearings ...
+
+52
+00:04:51,980 --> 00:04:54,260
+يعني المعمولة في السابق هنا completely sealed
+
+53
+00:04:57,930 --> 00:05:02,350
+الشحمة ممكن تشغل لفترات طويلة بدون ما بدها مراقبة
+
+54
+00:05:02,350 --> 00:05:07,790
+وملاحظة كثير لكن الزيوت يعني ممكن أنا أحل المشكلة
+
+55
+00:05:07,790 --> 00:05:17,610
+أن أعمل central supply أن أعمل تزويد مركزي
+
+56
+00:05:17,610 --> 00:05:23,290
+للزيت بحيث يعني أعوض دائما الفاقد في الزيت
+
+57
+00:05:27,590 --> 00:05:32,750
+الآن كيف بنركب ال bearing على ال shaft في كذا
+
+58
+00:05:32,750 --> 00:05:38,430
+طريقة لتركيب ال bearing على ال shaft أول شيء
+
+59
+00:05:38,430 --> 00:05:43,390
+المقاسات لل bore ال bore اللي هي في ال housing و
+
+60
+00:05:43,390 --> 00:05:50,070
+القطر الخارجي لل shaft لازم تنعمل ل closed limits
+
+61
+00:05:55,050 --> 00:05:58,910
+في كثير من الأحيان بيكون واحدة من ال bearing اللي
+
+62
+00:05:58,910 --> 00:06:00,690
+هدف منها أن أنا أعمل positioning بتعمل 
+
+63
+00:06:00,690 --> 00:06:03,410
+positioning لل shaft يعني بيكون عندي bearing هاي
+
+64
+00:06:03,410 --> 00:06:08,650
+ال shaft وعندي
+
+65
+00:06:08,650 --> 00:06:13,070
+كمان bearing على الجهة الثانية غالبا ممكن تكون
+
+66
+00:06:13,070 --> 00:06:15,690
+bearing شايلة كل ال load بس ال bearing الثانية
+
+67
+00:06:15,690 --> 00:06:18,130
+بتعمل له positioning عشان ما يصير فيه deflection
+
+68
+00:06:18,130 --> 00:06:22,470
+فبتعمل added effect of axial positioning
+
+69
+00:06:25,240 --> 00:06:31,080
+الشكل إحداث عشرين موجينة تجميعة ل bearing هاندي ال
+
+70
+00:06:31,080 --> 00:06:38,460
+shaft وهذا ال body هذا ال bore اللي في ال ... في ال
+
+71
+00:06:38,460 --> 00:06:46,140
+housing وهذا قطر ال shaft وفي لحظة هنا في كتف ال
+
+72
+00:06:46,140 --> 00:06:49,660
+... ال outer race لل bearing مرتكزة على الكتف في ال
+
+73
+00:06:49,660 --> 00:06:56,050
+housing ال inner race مركز على كتف الشافت نفس الشيء
+
+74
+00:06:56,050 --> 00:06:59,330
+هنا في كتف على الشافت لكن ال bearing هنا is
+
+75
+00:06:59,330 --> 00:07:02,690
+floating وفي some support هنا في ممكن يكون عندي
+
+76
+00:07:02,690 --> 00:07:06,870
+cover plate شيء زي هيك
+
+77
+00:07:24,080 --> 00:07:28,620
+بنحكي فيه براغي على المحيط والكهربلات تضغط ال
+
+78
+00:07:28,620 --> 00:07:35,340
+outer race على الكتف تاع ال housing اللحظة ال
+
+79
+00:07:35,340 --> 00:07:42,220
+bearing الثانية ال outer race is floating يعني
+
+80
+00:07:42,220 --> 00:07:47,180
+معناته هذه تسمح تعملي سمحية إنه
+
+81
+00:07:50,320 --> 00:07:54,340
+لو المنطقة دي كانت مغلقة فالدفاع ده هتصبح تمد ده
+
+82
+00:07:54,340 --> 00:08:00,240
+بتسمح له إنه يمد ما يصيرش فيه deflection للشافت هذا
+
+83
+00:08:00,240 --> 00:08:06,120
+نظام تركيب طبعا
+
+84
+00:08:06,120 --> 00:08:09,520
+احنا
+
+85
+00:08:09,520 --> 00:08:14,660
+الهدف من ال shoulder اللي ع الشافت لاحظوا فيه على
+
+86
+00:08:14,660 --> 00:08:19,420
+الشافت فيه كتف الهدف من الكتف إنه ترتكز عليه ال
+
+87
+00:08:19,420 --> 00:08:23,950
+inner race مظبوط ال shaft هذا ممكن أنا أستبدله
+
+88
+00:08:23,950 --> 00:08:28,010
+الكتف ممكن أستبدله بأكثر من شغلة ممكن أستبدله ب
+
+89
+00:08:28,010 --> 00:08:31,950
+retaining ring زي هذه ... هذه retaining ring يكون
+
+90
+00:08:31,950 --> 00:08:39,650
+دي ال shaft يعني كأنه موجود عنده groove
+
+91
+00:08:39,650 --> 00:08:48,030
+هنا و
+
+92
+00:08:48,030 --> 00:08:48,530
+أحط ring
+
+93
+00:08:52,340 --> 00:08:59,180
+هذه أحد الطرق لاستغناء عن الـ shaft هذه
+
+94
+00:08:59,180 --> 00:09:07,780
+اسمها stick clip أو ring stick clip أو ring أو
+
+95
+00:09:07,780 --> 00:09:12,460
+hub of a gear أو pulley هنبقى اندي هنا pulley بكرة
+
+96
+00:09:12,460 --> 00:09:21,560
+هذه ال hub فلو كان عندي أنا راكب يعني ... ممكن
+
+97
+00:09:21,560 --> 00:09:27,120
+يكون دي ... يعني يكون ... هاي ... هاي pulley مثلا و هاي
+
+98
+00:09:27,120 --> 00:09:36,940
+ال hub بتاعتها ممكن
+
+99
+00:09:36,940 --> 00:09:41,840
+ال bearing مباشرة تركز على ال hub هذا ال hub ال
+
+100
+00:09:41,840 --> 00:09:43,220
+hub بتاعة ال pulley
+
+101
+00:09:47,480 --> 00:09:51,780
+أو كنا نستخدم spacing tubes هاي ال tube يكون
+
+102
+00:09:51,780 --> 00:10:01,260
+shaft عنده و
+
+103
+00:10:01,260 --> 00:10:05,160
+أحط هاي ال shaft عنده و أحط spacing tube
+
+104
+00:10:22,890 --> 00:10:30,650
+يعني أنبوب تفصل بين ال two bearings بتعمل فاصل و
+
+105
+00:10:30,650 --> 00:10:39,870
+بتعمل كتف ارتكاز لل inner race ال
+
+106
+00:10:39,870 --> 00:10:46,810
+nuts لاحظوا فيه عندها صمولة يعني عندها سنين و
+
+107
+00:10:46,810 --> 00:10:48,750
+شاددة لأن في كتف
+
+108
+00:10:51,420 --> 00:10:54,620
+وبدي أضغط ال inner race على الكتف فأنا محتاج
+
+109
+00:10:54,620 --> 00:10:58,400
+صمولة شد عليها اللي هي هذه الصمولة ممكن أستبدل
+
+110
+00:10:58,400 --> 00:11:04,620
+الصمولة بالشغلات التالية اللي هو أنك ال ring أحط
+
+111
+00:11:04,620 --> 00:11:11,760
+ring هنا كأن شخص زي هي وأعمل ring هنا أو circle
+
+112
+00:11:11,760 --> 00:11:19,840
+بها خيار خيار ثاني ال cutter ال cutters اللي هي زي
+
+113
+00:11:19,840 --> 00:11:20,040
+هذه
+
+114
+00:11:26,410 --> 00:11:32,090
+يعني يكون فيه ثقوب في ال shaft وهي ال cutter pin
+
+115
+00:11:32,090 --> 00:11:41,770
+أو
+
+116
+00:11:41,770 --> 00:11:47,930
+حتى ال taper pins بيكون عندك مسامير هذا مسمار فيه
+
+117
+00:11:47,930 --> 00:11:54,850
+زاوية خفيفة وبيكون فيه ثقوب في ال shaft ثقوب
+
+118
+00:11:54,850 --> 00:11:55,370
+في ال shaft
+
+119
+00:12:00,800 --> 00:12:08,960
+و ال pin بتيجي بالشكل هذا تحشر
+
+120
+00:12:08,960 --> 00:12:20,680
+بالشكل هذا أو
+
+121
+00:12:20,680 --> 00:12:27,680
+حتى washers مثبتة إبراري washer بتيجي راندلة خفيفة
+
+122
+00:12:27,680 --> 00:12:28,740
+زي هذه
+
+123
+00:12:33,590 --> 00:12:39,050
+وبيجي ايش برغي هنا برغي
+
+124
+00:12:39,050 --> 00:12:55,270
+غاطس يعني في عندك خيارات كثير لتثبيت ال bearing ال
+
+125
+00:12:55,270 --> 00:12:59,950
+housing shoulder أنا 
+
+126
+00:12:59,950 --> 00:13:02,790
+عندي كتف هنا ممكن أستبدله
+
+127
+00:13:08,210 --> 00:13:13,870
+برينج رينج داخلية زي
+
+128
+00:13:13,870 --> 00:13:18,610
+النظام هذا اللي شفتوها external circlip هذه
+
+129
+00:13:18,610 --> 00:13:25,530
+internal circlip أو
+
+130
+00:13:25,530 --> 00:13:29,370
+كنت أستخدم زي ما عملت أنا هنا أقول إن دي cover
+
+131
+00:13:29,370 --> 00:13:29,830
+plate
+
+132
+00:13:40,650 --> 00:13:59,450
+بنضغط على ال bearing طيب
+
+133
+00:13:59,450 --> 00:14:07,730
+الآن شكل إحداث 21 بيورّجيني تجميع ثانية طريقة
+
+134
+00:14:07,730 --> 00:14:15,040
+التجميع الثانية هاندي هاي ال shaft هاي في كتف هنا و
+
+135
+00:14:15,040 --> 00:14:19,240
+في كتف على جهة الثانية ال inner race راكز على
+
+136
+00:14:19,240 --> 00:14:23,680
+الكتف وهنا inner race راكز على الكتف وفي some
+
+137
+00:14:23,680 --> 00:14:30,940
+support ممكن أحط plate هنا و
+
+138
+00:14:30,940 --> 00:14:36,440
+في عندي هنا مثلا برغي ضغط
+
+139
+00:14:36,440 --> 00:14:45,250
+على outer race من الجهة الثانية نفس الشيء
+
+140
+00:14:45,250 --> 00:14:55,150
+طبعا 
+
+141
+00:14:55,150 --> 00:14:58,690
+هذه فيها عيب أو فيها مشكلة إذا كان الحرارة ارتفعت
+
+142
+00:14:58,690 --> 00:15:03,990
+يعني ارتفعت هيصير deflection مش هحاول الشرف تتمدد
+
+143
+00:15:03,990 --> 00:15:10,010
+صح الـ support هنا وهنا هحاول يمنعه وبالتالي ممكن
+
+144
+00:15:10,010 --> 00:15:15,150
+تصير إن فيه deflection
+
+145
+00:15:15,150 --> 00:15:19,630
+الـ
+
+146
+00:15:19,630 --> 00:15:20,270
+retaining ring
+
+147
+00:15:27,350 --> 00:15:31,290
+لأ لأ لأ يا ذاك .. يا ذاك هادئ لأ لأ مش هتدروا لأ
+
+148
+00:15:31,290 --> 00:15:38,990
+لأ لأ خش على شركة اسمها
+
+149
+00:15:38,990 --> 00:15:46,130
+Associated 
+
+150
+00:15:46,130 --> 00:15:53,390
+Spring Associated Spring بيكون حاططلك المواصفات
+
+151
+00:15:53,390 --> 00:16:00,950
+الـ ringأه بالظبط عشانك بحكيله خش على شركة زي هذه
+
+152
+00:16:00,950 --> 00:16:05,830
+بيكون .. بيكون عاملك زي sketch طرف الـ shaft إذا 
+
+153
+00:16:05,830 --> 00:16:10,310
+خارجية أنا
+
+154
+00:16:10,310 --> 00:16:15,670
+باخد نص الـ shaft طبعا و
+
+155
+00:16:15,670 --> 00:16:18,270
+بتيجي عندي الـ ring
+
+156
+00:16:28,540 --> 00:16:33,240
+بيكون معطيلك التفاصيل هذه الميسات يداش عمق الحفر
+
+157
+00:16:33,240 --> 00:16:39,000
+يداش عمق هذه و المسافة كل مسافات اللي معطيلك هي
+
+158
+00:16:39,000 --> 00:16:43,700
+مصنعة وبتعمل
+
+159
+00:16:43,700 --> 00:16:46,700
+الـ groove ده ببناء تناسى وحتى معطيلك أدق التفاصيل
+
+160
+00:16:46,700 --> 00:16:51,840
+معطيلك الـ fillets هنا معطيلك إياها و الـ fillets هنا و
+
+161
+00:16:51,840 --> 00:16:58,840
+الـ corner على كل دمانشت معطيلك إياها طبعا عشان يظبط إذا
+
+162
+00:16:58,840 --> 00:17:04,260
+أنا عندي .. خليني أكمل .. إذا بدي أحط .. إذا بدي
+
+163
+00:17:04,260 --> 00:17:10,120
+أحط مشان bearing هنا أنا .. بدي أحط bearing ..
+
+164
+00:17:10,120 --> 00:17:12,220
+إذا بدي أحط bearing
+
+165
+00:17:28,970 --> 00:17:33,650
+بدي أحط الـ bearing الـ
+
+166
+00:17:33,650 --> 00:17:37,630
+bearing تكون فيه شوية صغيرة تدخل شوية على هذه هي
+
+167
+00:17:37,630 --> 00:17:41,910
+الـ bearing
+
+168
+00:17:41,910 --> 00:17:46,270
+عشان
+
+169
+00:17:46,270 --> 00:17:53,570
+إيه تضغط بحط بعدين الـ ring هذه طب بتحكي هذه شوية
+
+170
+00:17:53,570 --> 00:17:58,610
+زينة كتير هذه، بس كافية إنها تحكمها، تحشرها، الـ
+
+171
+00:17:58,610 --> 00:18:11,350
+ring اسم
+
+172
+00:18:11,350 --> 00:18:16,070
+الشركة؟ associated spring
+
+173
+00:18:28,750 --> 00:18:37,590
+عندي جزء من الـ machine إن بين فيها shaft خامس أرسم 
+
+174
+00:18:37,590 --> 00:18:47,050
+الـ shaft دي
+
+175
+00:18:47,050 --> 00:18:50,870
+بقى فيه انكسرة خفيفة يعني يعني شوية مثلا عشر ملي
+
+176
+00:18:50,870 --> 00:18:51,230
+مثلا
+
+177
+00:19:04,020 --> 00:19:09,700
+هذا الـ shaft و فين دي bearing هين الـ bearing هين
+
+178
+00:19:09,700 --> 00:19:15,440
+اللحظة الـ bearing هين طبعا معمولين عكس بعض عشان
+
+179
+00:19:15,440 --> 00:19:18,380
+يشيلوا الـ thrust يعني لو كان تجه الـ thrust بهذا
+
+180
+00:19:18,380 --> 00:19:24,220
+الاتجاه أو هذا الاتجاه ينشل في كل الحالتين الآن
+
+181
+00:19:24,220 --> 00:19:29,300
+لأن الـ race هين راجزة راجزة على الكتف
+
+182
+00:19:49,080 --> 00:19:54,260
+حاطط هنا واشر اندي الـ inner race للـ bearing
+
+183
+00:19:54,260 --> 00:20:11,640
+التانية في
+
+184
+00:20:11,640 --> 00:20:15,060
+جاي واشر عندي واشر جاي هنا
+
+185
+00:20:29,930 --> 00:20:34,430
+Randela مشوار عاجل مفيش ضغط على الـ washer خلنا نعمل
+
+186
+00:20:34,430 --> 00:20:39,250
+الـ washer هي شكلها يعني مضغوط من الجهة هذه في force
+
+187
+00:20:39,250 --> 00:20:40,550
+من الجهة هذه
+
+188
+00:20:45,470 --> 00:20:49,030
+لحظوا هنا في كتف .. هنا في كتف .. هذا الـ housing
+
+189
+00:20:49,030 --> 00:20:54,170
+.. هذا الـ housing
+
+190
+00:20:54,170 --> 00:21:03,150
+و
+
+191
+00:21:03,150 --> 00:21:07,150
+في عندي cover plate cover plate يعني
+
+192
+00:21:19,920 --> 00:21:26,040
+و الـ cover plate ممسوك أياش ببرغة
+
+193
+00:21:26,040 --> 00:21:35,380
+لو الـ cover plate ضغط
+
+194
+00:21:35,380 --> 00:21:41,980
+على أوطة الرس أو لأ مش ضغط لأ
+
+195
+00:21:41,980 --> 00:21:45,700
+الآن عندي
+
+196
+00:21:49,520 --> 00:21:54,500
+هتقول عكس بعض لأن أنا حاسسها لما اضغط لما أشد هنا
+
+197
+00:21:54,500 --> 00:22:00,380
+أشد هنا بحاول أسحب الـ shaft على هذه الجهة واضح؟ في
+
+198
+00:22:00,380 --> 00:22:06,060
+كتف و في bearing هنا في كتف هنا في كتف لما أشد هنا
+
+199
+00:22:06,060 --> 00:22:14,600
+بحاول إيش أعمل tension على الـ shaft فبصير هذه مضبوطة
+
+200
+00:22:14,600 --> 00:22:16,220
+على هذه و هذه مضبوطة على هذه
+
+201
+00:22:24,800 --> 00:22:31,700
+وأضغط الكجميعة طبعا
+
+202
+00:22:31,700 --> 00:22:36,020
+بعد شو هنحكي عنها هذه بيسمى الكسراتة لبرانث لبرانث
+
+203
+00:22:36,020 --> 00:22:41,620
+seal بتعمل sealing تمنع خروج الزيت من الـ housing
+
+204
+00:22:41,620 --> 00:22:46,180
+هذه
+
+205
+00:22:46,180 --> 00:22:49,320
+اختلفت شوية عن السابقة
+
+206
+00:22:53,830 --> 00:23:00,130
+لحظة في الأولى هنشوف
+
+207
+00:23:00,130 --> 00:23:11,730
+أشي المختلف هنا هذه الأولى لأ ماختلفتش نفس الأشي
+
+208
+00:23:11,730 --> 00:23:15,790
+تقريبا بس اختلف طريقة التثبيت هنا اختلف طريقة
+
+209
+00:23:15,790 --> 00:23:20,790
+التثبيت هنا وحط بس هنا زود حط seal على الطرف الثاني
+
+210
+00:23:20,790 --> 00:23:24,050
+حط seal على الطرف الثاني هنا الكنز فيه في seal
+
+211
+00:23:24,050 --> 00:23:30,890
+واحد صار عندي two seals هذا
+
+212
+00:23:30,890 --> 00:23:36,710
+الـ mounting for bearings في غسالة عند هذا الـ body
+
+213
+00:23:36,710 --> 00:23:43,270
+بتاع الغسالة واضح إنه الـ shaft vertical في عندي
+
+214
+00:23:45,360 --> 00:24:03,560
+bearing هنا يعني عند الـ .. الـ .. الـ cup مرتكز
+
+215
+00:24:03,560 --> 00:24:05,040
+على كتف الـ shaft من تحت
+
+216
+00:24:14,050 --> 00:24:23,490
+و في كتف أو هذا الـ cone و في كتف الـ cub مرتكز فيه
+
+217
+00:24:23,490 --> 00:24:27,870
+على إياش الـ housing، هي هذا كتف
+
+218
+00:24:46,870 --> 00:24:51,750
+والكاب على الطرف الثاني مركز على كتف الـ housing
+
+219
+00:24:51,750 --> 00:25:04,190
+على الجهتين
+
+220
+00:25:18,500 --> 00:25:23,080
+لحظوا الـ bearings عكس بعض فبغض النظر أنتاج الـ
+
+221
+00:25:23,080 --> 00:25:27,780
+trust مشيول في كل الاحتمالات يبدو برميل الغسالة
+
+222
+00:25:27,780 --> 00:25:41,840
+مشيول عادي مثبت مع الـ shaft هذا برميل الغسالة طبعا
+
+223
+00:25:41,840 --> 00:25:50,790
+هنا عندي واشر عندي هنا هو عشان طبعا كتير في حالة زي
+
+224
+00:25:50,790 --> 00:25:54,710
+كالاستخدام motion نتيجة أخطاء في التصنيع فهو عشان
+
+225
+00:25:54,710 --> 00:26:06,070
+عملية ببطء ببطء لاعياش ارتفاع اللي هو البرميل عند
+
+226
+00:26:06,070 --> 00:26:09,030
+الـ inner أو الـ cone
+
+227
+00:26:31,240 --> 00:26:34,300
+لحظوا الـ cup في الـ .. في بين الـ .. يعني عندي هنا
+
+228
+00:26:34,300 --> 00:26:39,480
+cup و cup فيه هنا كتف على الـ housing و فيه هنا كتف
+
+229
+00:26:39,480 --> 00:26:48,740
+لأن شدت هذه على الشرط بتسحب .. بتشبط كل الشرط
+
+230
+00:26:48,740 --> 00:26:53,720
+بتصير منسوق كعلى بصير يضغط هنا فبتتمسك كل الـ
+
+231
+00:26:53,720 --> 00:26:58,080
+assembly يعني هذه أحد الطرق يعني في .. اللي غسالة
+
+232
+00:27:06,990 --> 00:27:12,390
+طيب بعض الأحيان ممكن أستخدم أكثر من bearings جانب
+
+233
+00:27:12,390 --> 00:27:15,250
+بعض يعني أستخدم two bearings أو تلاتة bearings
+
+234
+00:27:15,250 --> 00:27:20,170
+عادة بيستخدم two bearings جانب بعض لما .. يعني طبعا
+
+235
+00:27:20,170 --> 00:27:22,990
+.. لما بدي أستخدم أكثر bearing بحتاج الـ stiffness
+
+236
+00:27:22,990 --> 00:27:28,050
+بدي أرفع الـ stiffness بزي عندي والله shaft و ..
+
+237
+00:27:28,050 --> 00:27:31,890
+بدي أحكي ممسوك من طرف و fat من طرف ثانية كويس إنه
+
+238
+00:27:31,890 --> 00:27:35,410
+أعمل الـ .. الـ thickness أو الـ width يكون كبير في
+
+239
+00:27:35,410 --> 00:27:39,130
+الحالة دي if I wish اندي bearing عريضة ممكن أحط
+
+240
+00:27:39,130 --> 00:27:46,650
+أكثر bearing جانب بعض اللي هاد بسموها duplexing الـ
+
+241
+00:27:46,650 --> 00:27:50,820
+duplexing بجي تلت تلت تلت تلت تلت تلت تلت تلت تلت
+
+242
+00:27:50,820 --> 00:27:51,420
+تلت تلت تلت تلت تلت تلت تلت تلت تلت تلت تلت تلت
+
+243
+00:27:51,420 --> 00:27:59,040
+تلت تلت تلت تلت تلت
+
+244
+00:27:59,040 --> 00:28:06,140
+تلت تلت تلت تلت تلت تلت تلت تلت تلت تلت تلت تلت
+
+245
+00:28:06,140 --> 00:28:18,500
+تلت تلت تلت تلت تلت تلت تلت تلت تلت تلت تلت تل
+
+246
+00:28:21,460 --> 00:28:25,640
+بشيل heavy radial loads و thrust برضه في كل
+
+247
+00:28:25,640 --> 00:28:28,080
+اتجاهين يعني إذا كان الـ thrust بهذا الاتجاه
+
+248
+00:28:28,080 --> 00:28:31,120
+بتشيلوا هذا الـ bearing إذا كانت الجهة المعكس
+
+249
+00:28:31,120 --> 00:28:35,060
+بتشيلوا هذا الـ bearing الـ
+
+250
+00:28:35,060 --> 00:28:40,820
+back to back duplexing نفس الشيء بشيل heavy radial
+
+251
+00:28:40,820 --> 00:28:44,780
+load و بشيل الـ trust في أي .. في سواء إذا في هذا
+
+252
+00:28:44,780 --> 00:28:48,600
+الاتجاه بتشيله هذه و هذا الاتجاه أو بتاع ليه بشيل
+
+253
+00:28:48,600 --> 00:28:53,120
+الـ thrust في كلا الاتجاهين بتميز عن الـ face to face
+
+254
+00:28:53,120 --> 00:29:01,740
+.. face to face duplexing إنه الـ back to back أفضل
+
+255
+00:29:01,740 --> 00:29:04,160
+في .. إذا في عندي مشكلة misalignment إذا عندي
+
+256
+00:29:04,160 --> 00:29:08,100
+misalignment بعمليش back to back duplexing
+
+257
+00:29:10,660 --> 00:29:14,400
+طبعا هذا عشان يشتغل صح بيكونوا هدول الـ surface علي
+
+258
+00:29:14,400 --> 00:29:19,820
+البار بيكون فيه some offset عشان يضغط يضغط جامد
+
+259
+00:29:19,820 --> 00:29:25,860
+خشوا الـ SKF أو
+
+260
+00:29:25,860 --> 00:29:32,440
+الـ NSK أو تمكن وشوفوا
+
+261
+00:29:32,440 --> 00:29:36,100
+انجل الـ contact bearing الـ details بتاعتها وحطوا
+
+262
+00:29:36,100 --> 00:29:39,960
+تنتين جانب بعض هحطوا تنتين جانب بعض مرة double
+
+263
+00:29:39,960 --> 00:29:45,280
+xing face to face مرة double xing back to back مرة
+
+264
+00:29:45,280 --> 00:29:51,580
+double xing tandem double xing هتنتبهوا لتفاصيل الـ
+
+265
+00:29:51,580 --> 00:29:59,450
+offsets الموجودة واضح فأي شركة تجيبوا أقدر الـ
+
+266
+00:29:59,450 --> 00:30:02,610
+contact pairing و أعمله الـ duplexing بالتلات طرق و
+
+267
+00:30:02,610 --> 00:30:07,430
+أشوف الـ offset بدون الـ offset مش هتظبط التجميع
+
+268
+00:30:07,430 --> 00:30:11,010
+التعامل
+
+269
+00:30:11,010 --> 00:30:17,210
+الـ duplexing لما أنا بدي أشيل radial load عالي و
+
+270
+00:30:17,210 --> 00:30:19,430
+الـ thrust معروف اتجاهه في اتجاه واحد
+
+271
+00:30:27,980 --> 00:30:32,260
+الـ bearings بشكل عام بتتركب with the rotating ring
+
+272
+00:30:32,260 --> 00:30:38,060
+press fit في press fit و في push fit press fit
+
+273
+00:30:38,060 --> 00:30:43,880
+يعني محتاج بدك قوة كبيرة نسبيا فالـ shaft بدخل حشر
+
+274
+00:30:43,880 --> 00:30:50,500
+press fit الـ outer ring push fit يعني ضربة شكوش
+
+275
+00:30:50,500 --> 00:30:51,900
+خشب خفيف بتدخلها
+
+276
+00:30:58,370 --> 00:31:02,850
+أي bearing محتاجة إن تنعملها pre-loading ما يسمى
+
+277
+00:31:02,850 --> 00:31:06,520
+pre-loading لأن الـ bearing وهي مفكوكة بيكون فيه
+
+278
+00:31:06,520 --> 00:31:12,680
+clearance في فرارة عشان أخلص أخلص من الـ clearance
+
+279
+00:31:12,680 --> 00:31:15,580
+في التركيب هي لازم تكون عياشة press fit الـ press
+
+280
+00:31:15,580 --> 00:31:20,100
+fit بيعمل فيها strain فعياشة بتوسع فبتخفف من الـ 
+
+281
+00:31:20,100 --> 00:31:25,000
+clearance طبعًا يفضل أنه ما يكونش كده ال zero
+
+282
+00:31:25,000 --> 00:31:30,080
+clearance بحيث أنه rolling element عامل تلوث بين
+
+283
+00:31:30,080 --> 00:31:34,960
+ال inner ring و ال outer ring عشان أضمن دائما يكون
+
+284
+00:31:34,960 --> 00:31:39,080
+عندي rolling motion rolling على ال inner و ال
+
+285
+00:31:39,080 --> 00:31:43,720
+outer في نفس اللحظة عدم وجود clearance بيزيد ال
+
+286
+00:31:43,720 --> 00:31:47,720
+fatigue life لأن ال load التحميل بيصير على منطقتين
+
+287
+00:31:47,720 --> 00:31:51,220
+أو
+
+288
+00:31:51,220 --> 00:31:53,600
+decrease shaft slope at the bearing إذا في
+
+289
+00:31:53,600 --> 00:31:57,380
+clearance يعني في فراغ ممكن يصير عندي 
+
+290
+00:31:57,380 --> 00:32:00,860
+misalignment لكن إذا ما فيش clearance محكوم بمنع ال
+
+291
+00:32:00,860 --> 00:32:01,320
+misalignment
+
+292
+00:32:10,470 --> 00:32:15,270
+الآن طرق الـ .. الـ .. الـ pre-loading في طرق مختلفة
+
+293
+00:32:15,270 --> 00:32:19,090
+اتفرجوا
+
+294
+00:32:19,090 --> 00:32:28,590
+على اليوتيوب، روحوا على اليوتيوب اكتبوا
+
+295
+00:32:28,590 --> 00:32:33,470
+مثلًا pre-loading straight roller bearing هتشوف كيف
+
+296
+00:32:33,470 --> 00:32:40,710
+بيعملها pre-loading بشكل عام بيحطها على ال shaft
+
+297
+00:32:40,710 --> 00:32:47,670
+بيكون فيه ميلان خفيف فيه زاوية خفيفة ال shaft أنا 
+
+298
+00:32:47,670 --> 00:32:53,690
+مكبر الميلان بتشوفوه وليه المجرة ده هو بيبدأ يدخل
+
+299
+00:32:53,690 --> 00:32:54,070
+ال bearing
+
+300
+00:33:00,140 --> 00:33:05,720
+فكل ما دخلها ال inner ring بيصير فيها بتفتح أكثر
+
+301
+00:33:05,720 --> 00:33:11,040
+فبتخفف الـ .. بتصير expand لبرا فبتقلل الـ .. الـ ..
+
+302
+00:33:11,040 --> 00:33:18,080
+ال clearance أو أنك تشتري bearing محطوطة في housing
+
+303
+00:33:18,080 --> 00:33:22,260
+وجاهزة تشتري bearing محطوطة في housing وجاهزة
+
+304
+00:33:22,260 --> 00:33:25,220
+وبالتالي أنت مش مضطر أنك تعمل ال pre-loading لها
+
+305
+00:33:25,220 --> 00:33:29,220
+برضه خش على الشركات SKF, FAG هتشوفوا أن ممكن
+
+306
+00:33:29,220 --> 00:33:32,560
+يبيعك bearing منفردة أو bearing موجودة في ال
+
+307
+00:33:32,560 --> 00:33:36,240
+housing ال housing فيه كذا نوع وكذا شكل لها
+
+308
+00:33:49,030 --> 00:33:55,210
+طيب ال alignment أنا 
+
+309
+00:33:55,210 --> 00:33:58,050
+عندي طبعًا مسموح أن يكون هناك some misalignment
+
+310
+00:33:58,050 --> 00:34:03,810
+مسموح بس مش لازم تتخطى حدود معينة قيمة ال
+
+311
+00:34:03,810 --> 00:34:08,270
+misalignment المسموحة بتعتمد على نوع ال bearing
+
+312
+00:34:08,270 --> 00:34:14,450
+مثلًا spherical bearing غير عن ball bearing غير عن 
+
+313
+00:34:14,450 --> 00:34:19,820
+cylindrical bearing مثلًا spherical يعني .. يعني يكون
+
+314
+00:34:19,820 --> 00:34:23,560
+عندي misalignment كبير نسبيًا فبتعتمد على نوع ال
+
+315
+00:34:23,560 --> 00:34:27,340
+bearing بتعتمد على ال geometric and material
+
+316
+00:34:27,340 --> 00:34:30,080
+properties of a specific bearing اللي احنا عرفنا
+
+317
+00:34:30,080 --> 00:34:32,760
+نوع ال bearing برضه بتعتمد على المادة بتاعتها هل
+
+318
+00:34:32,760 --> 00:34:37,840
+هي مثلًا steel steel هل هي plastic مظبوط فهذه بتأثر
+
+319
+00:34:37,840 --> 00:34:40,340
+على قيمة ال misalignment اللي بسموها
+
+320
+00:34:44,200 --> 00:34:47,600
+Cylindrical and tapered roller bearings require
+
+321
+00:34:47,600 --> 00:34:51,920
+alignments that are closer than deep groove ball
+
+322
+00:34:51,920 --> 00:34:54,380
+bearings يعني في حالة cylindrical and tapered
+
+323
+00:34:54,380 --> 00:34:57,800
+roller bearings ما بيأتيش إمكانية أو ما بيأتيش
+
+324
+00:34:57,800 --> 00:35:01,980
+سماحية عالية في ال misalignment زي الـ .. الـ .. الـ
+
+325
+00:35:01,980 --> 00:35:07,400
+ball bearings أو ال angular أو ال deep groove طب أنا
+
+326
+00:35:07,400 --> 00:35:10,280
+حاكي أن الـ spherical ball bearings و الـ self
+
+327
+00:35:10,280 --> 00:35:13,240
+-aligning bearings are the most forgiving يعني 
+
+328
+00:35:13,240 --> 00:35:16,120
+المتساهلين بيعطوني misalignment أكبر ما يمكن
+
+329
+00:35:16,120 --> 00:35:19,760
+الجدول
+
+330
+00:35:19,760 --> 00:35:23,680
+هذا بيعطيني ال typical max rings for slopes أنا 
+
+331
+00:35:23,680 --> 00:35:28,320
+عندي هاي shaft هاي bearing هاي shaft بدي أرسم ال
+
+332
+00:35:28,320 --> 00:35:32,520
+axis بتاع الشافت و أفترض أن في عليه loading يعني
+
+333
+00:35:32,520 --> 00:35:39,250
+أحكي الشافت جاي زي هيك مكبر كثير طبعًا نتيجة ال
+
+334
+00:35:39,250 --> 00:35:44,610
+loading وهي ال bearing وهذا 
+
+335
+00:35:44,610 --> 00:35:50,330
+ال angle هنا فيه
+
+336
+00:35:50,330 --> 00:35:54,550
+some slope عندي نتيجة ال loading هاي بمسك من هنا
+
+337
+00:35:54,550 --> 00:35:58,850
+بس في load فبيصير slope عن طرف ال bearing ال slope
+
+338
+00:35:58,850 --> 00:36:02,550
+ده في حالة ال tapered rolling bearings بسموها حلق
+
+339
+00:36:02,550 --> 00:36:06,210
+من point O O O خمسة ل point O O واحد اتنين radians
+
+340
+00:36:08,060 --> 00:36:14,720
+في حالة مثلًا self-aligned bearing واضح تعطينا
+
+341
+00:36:14,720 --> 00:36:22,360
+سماحية أعلى من point O6 ل point O5 2 radians طبعًا
+
+342
+00:36:22,360 --> 00:36:26,180
+ال life of bearing decreases بتقل بشكل كبير أو
+
+343
+00:36:26,180 --> 00:36:31,760
+بشكل ملحوظ لما ال misalignment تتجاوز المسموح فيه
+
+344
+00:36:31,760 --> 00:36:35,320
+إذا تتجاوز المسموح فيه بتنزل عمر ال bearing تخرج
+
+345
+00:36:35,320 --> 00:36:48,940
+بسرعة عندك اه في سؤال أسئلة طيب
+
+346
+00:36:48,940 --> 00:36:54,180
+الإغلاق أو ال enclosure بتاع ال bearing أو ال
+
+347
+00:36:54,180 --> 00:36:59,380
+sealing طبعًا ال sealing الهدف منه أنه يحافظ على
+
+348
+00:36:59,380 --> 00:37:05,210
+الزيت اللي موجود جوه و يمنع دخول إيش الأوساخ أنا 
+
+349
+00:37:05,210 --> 00:37:08,950
+أحيانًا مستعرض تلت طرق لل sealing اللي هي felt seal
+
+350
+00:37:08,950 --> 00:37:13,810
+و ال commercial seal و ال labyrinth seal ال felt
+
+351
+00:37:13,810 --> 00:37:20,270
+seal بتكون هي عبارة عن جلد عبارة عن جلد هذه جلدة
+
+352
+00:37:20,270 --> 00:37:28,850
+rubber طبعًا
+
+353
+00:37:28,850 --> 00:37:34,680
+هذه بتكون لفة على ال shaft مدورة وتكون محطوطة في
+
+354
+00:37:34,680 --> 00:37:41,040
+plate هذا .. هذا بيكون معدن، هذا معدن و plate و
+
+355
+00:37:41,040 --> 00:37:43,820
+فيه some clearance ال clearance اللي ما أسمع فيه
+
+356
+00:37:43,820 --> 00:37:52,060
+بيكون صغير نسبيًا شكل أنا ماسك و بيكون small
+
+357
+00:37:52,060 --> 00:37:58,910
+clearance لأن الزيت بيكون في منطقة هذه وهذا بيكون 
+
+358
+00:37:58,910 --> 00:38:02,870
+إيش دور وفيه تقريبًا أنت بتشوف فيه كأنه فيه
+
+359
+00:38:02,870 --> 00:38:06,490
+contact بس هو ما يكونش فيه contact فبتمنع خروج
+
+360
+00:38:06,490 --> 00:38:14,390
+الزيت و بتمنع دخول الأوساخ و الأتربة يعني 
+
+361
+00:38:14,390 --> 00:38:20,790
+هذه metal و هذه بتكون مطاطة
+
+362
+00:38:20,790 --> 00:38:23,150
+في عند ال commercial seal
+
+363
+00:38:26,020 --> 00:38:28,720
+هذا الـ Bearing الـ Commercial Seal هذا هو كله هذا
+
+364
+00:38:28,720 --> 00:38:34,300
+هو الـ Commercial Seal طبعًا هذا شكل دوار شكل دوار
+
+365
+00:38:34,300 --> 00:38:42,160
+مكون بشكل رئيسي هذا هذا الكتلة هذا
+
+366
+00:38:42,160 --> 00:38:45,100
+ال revolve ممكن تعملها revolving حوالي المحور
+
+367
+00:38:45,100 --> 00:38:50,140
+الشافت هذا هذا بيبقى عن مطاط هذا مطاط
+
+368
+00:39:04,460 --> 00:39:10,800
+طبعًا في الـ hub عشان نشيلها هذا sheet metal هذا
+
+369
+00:39:10,800 --> 00:39:16,340
+هذا
+
+370
+00:39:16,340 --> 00:39:17,280
+metal housing
+
+371
+00:39:38,770 --> 00:39:44,690
+و هنا في ring و
+
+372
+00:39:44,690 --> 00:39:48,150
+هنا
+
+373
+00:39:48,150 --> 00:39:55,010
+في زنبرك ماسكها
+
+374
+00:39:55,010 --> 00:40:00,870
+حشرة زي هاته و هذا ال ring فيه عنده اثنين كمان sheet
+
+375
+00:40:00,870 --> 00:40:01,290
+metal
+
+376
+00:40:15,280 --> 00:40:18,960
+ضغط على ال ring يعني المطاطة مضغوطة هنا بهذا
+
+377
+00:40:18,960 --> 00:40:26,220
+الاتجاه وهذا الاتجاه هاتسمها commercial seal يعني
+
+378
+00:40:26,220 --> 00:40:33,060
+عبارة عن أكام parts واحد اثنين ثلاثة أربعة خمسة
+
+379
+00:40:33,060 --> 00:40:38,440
+parts خمسة parts أنا محاولكو بأرسم الخمسة parts
+
+380
+00:40:38,440 --> 00:40:40,840
+يعني مش ضروري أن أضغط على ال mentions بس الشكل هي
+
+381
+00:40:40,840 --> 00:40:43,480
+جاندي صح؟ وشوف كيف الاسم بتاعتها
+
+382
+00:40:46,940 --> 00:40:53,780
+هذا commercial seal اسمه طبعًا
+
+383
+00:40:53,780 --> 00:40:59,820
+بنعمل by press fit عندي هذه بفحرها بفحرها أنا بعمل 
+
+384
+00:40:59,820 --> 00:41:04,580
+bore في ال cover بتاع ال housing هذا cover بعمل 
+
+385
+00:41:04,580 --> 00:41:11,720
+bore و بعمله press fit يعني بدخله محشور not to be
+
+386
+00:41:11,720 --> 00:41:14,900
+used هذا عادة بستخدمه في حالة السرعات العالية
+
+387
+00:41:16,490 --> 00:41:22,150
+النوع الثالث اللي هو labyrinth seal بيستخدم
+
+388
+00:41:22,150 --> 00:41:26,570
+في حالة السرعات العالية ال labyrinth seal بيكون هنا
+
+389
+00:41:26,570 --> 00:41:30,550
+cover plate و بيكون فيه grooves يا إما على ال
+
+390
+00:41:30,550 --> 00:41:35,170
+plate نفسه أو على الشافت اللي بيصير عندك زيت لما
+
+391
+00:41:35,170 --> 00:41:40,410
+تكون الشافت اللي لفه بسرعة بيصير الزيت بيحاول يطلع
+
+392
+00:41:40,410 --> 00:41:41,670
+فحاسه لعندك
+
+393
+00:41:45,210 --> 00:41:48,690
+بسبب ال turbulent flow بسبب الـ turbulence في المنطقة
+
+394
+00:41:48,690 --> 00:41:55,010
+هذه الـ turbulence في المنطقة هذه بتعملي
+
+395
+00:41:55,010 --> 00:42:01,990
+يعني seal محكم محكم جدًا ما بيطلعش الـ .. الـ .. الزيت
+
+396
+00:42:01,990 --> 00:42:09,290
+بالمرة ما هو الشرط يكون يلف أنت أخذت heat
+
+397
+00:42:09,290 --> 00:42:15,670
+transfer نظرت أو بتاخدوهالو حطيته plate أنت plate
+
+398
+00:42:15,670 --> 00:42:23,390
+ومشيت عليه flow هأضغط لأن في حكومة دا اللي أولش
+
+399
+00:42:23,390 --> 00:42:29,070
+بيكون laminar بعدين ستير ترانزيان بعدين turbulent
+
+400
+00:42:29,070 --> 00:42:37,210
+نتيجة الاحتكاك فطبعًا
+
+401
+00:42:37,210 --> 00:42:41,250
+ال rim number اللي هو عايش بيساوي Ro
+
+402
+00:42:44,960 --> 00:42:51,740
+D على Mu يعني
+
+403
+00:42:51,740 --> 00:42:59,800
+واضح طبعًا ال number هو index بيستخدم لقياس هل هو
+
+404
+00:42:59,800 --> 00:43:03,860
+laminar ولا هو turbulent هو ratio between two
+
+405
+00:43:03,860 --> 00:43:11,380
+forces inertia forces و viscous forces من شكل 
+
+406
+00:43:11,380 --> 00:43:14,500
+المعادلة انديهان سرعة بمعناه أنت بحكي عن inertia
+
+407
+00:43:14,500 --> 00:43:23,940
+وانديهان ايش باسكتش بحكي عن friction فواضح
+
+408
+00:43:23,940 --> 00:43:28,220
+أن مادة الهيش بيتمد علياش على ال material بتاعة ال
+
+409
+00:43:28,220 --> 00:43:33,680
+liquid صح الرأو ال view
+
+410
+00:43:36,960 --> 00:43:39,920
+و بعتمد على السرعة كل ما زادت السرعة كل ما صار
+
+411
+00:43:39,920 --> 00:43:42,980
+عندي احتمالات تسريع ال turbulence بيكون أكثر و
+
+412
+00:43:42,980 --> 00:43:46,020
+بعتمد على دي يعني في حالة أن أنا بيبقى هو القطر
+
+413
+00:43:46,020 --> 00:43:50,620
+الأنبوب أو ال dimension ف أنا عندي هنا ال
+
+414
+00:43:50,620 --> 00:43:53,780
+tangential speed اللي هي السرعة اللي محطيه بتكون
+
+415
+00:43:53,780 --> 00:44:01,300
+جاية tangential بيحاول يخش فكأنه هذا كأنه اعتبره
+
+416
+00:44:01,300 --> 00:44:10,930
+اعتبره أنه الـ Plate و فرطه حاطينه كأنه Plate و
+
+417
+00:44:10,930 --> 00:44:21,510
+فرطه هصير عنده طوله by في D صح بمحيط و فيه هكون 
+
+418
+00:44:21,510 --> 00:44:28,230
+ماشي على fluid V V بيساوي اللي هو D على 2 في
+
+419
+00:44:28,230 --> 00:44:29,370
+السرعة الزاوية لل shaft
+
+420
+00:44:33,070 --> 00:44:36,110
+فهن بيصير نتيجة سرعة عالية بيصير ال turbulent بيخش 
+
+421
+00:44:36,110 --> 00:44:38,190
+في ال turbulent region بيصير ال turbulent flow
+
+422
+00:44:38,190 --> 00:44:43,550
+بيصير flow مخربش كتير من الشغلات اللي فيها fluids
+
+423
+00:44:43,550 --> 00:44:46,770
+سوائل و غازات الأنابيب بيصير فيها turbulence إيش
+
+424
+00:44:46,770 --> 00:44:53,930
+بيصير فيها الأنابيب؟ بتسدد بتسدد ال turbulence 
+
+425
+00:44:53,930 --> 00:44:57,770
+بيسدد إيش الأنابيب بنفس المنطقة و بنفس ال logic
+
+426
+00:44:57,770 --> 00:45:01,170
+أنا يعني بعمل تسديد للمنطقة هذه
+
+427
+00:45:04,370 --> 00:45:12,970
+لا؟ بتتأكل كمان؟ إيش بتتأكل؟ زيت زيت طبعا ما فيش 
+
+428
+00:45:12,970 --> 00:45:17,170
+leakage zero في المياه بس أنت بيكون ال leakage أقل
+
+429
+00:45:17,170 --> 00:45:23,910
+بيمكن الفرق هذا ال clearance يتراوح بين point oh
+
+430
+00:45:23,910 --> 00:45:26,850
+one ل point oh four inch point oh one يعني تقريباً
+
+431
+00:45:26,850 --> 00:45:30,250
+في خمسة وعشرين ملي يعني ربع ملي من ربع ملي
+
+432
+00:45:33,580 --> 00:45:40,440
+لواحد من قيمة
+
+433
+00:45:40,440 --> 00:45:51,680
+ال clearance طبعاً بيتمد على السرعة ودرجة الحرارة
+
+434
+00:45:51,680 --> 00:45:55,440
+بتوقع كلما زادت درجة الحرارة هيتبقى أقل ال clearance
+
+435
+00:45:55,440 --> 00:45:56,240
+ولا بيزوده
+
+436
+00:46:01,240 --> 00:46:05,560
+لأ مفروض أقل ال clearance إذا كنت ترفع الحرارة أقل
+
+437
+00:46:05,560 --> 00:46:13,840
+ال clearance لأن ال viscosity لزوجتها بتقل فبيصير
+
+438
+00:46:13,840 --> 00:46:18,440
+ممكن إنه التدفق اللي ال liquid بيصير أسهل
+
+439
+00:46:24,360 --> 00:46:29,340
+كل ما أزود السرعة بيطينا أرحي أكثر ممكن أزود ال
+
+440
+00:46:29,340 --> 00:46:33,920
+clearance إذا السرعة عالية تعتمد كتير على ال
+
+441
+00:46:33,920 --> 00:46:39,580
+turbulence عادة يعني ..يعني بتكون هذه خاطئة
+
+442
+00:46:39,580 --> 00:46:42,220
+..خاطئة على ال modeling ممكن تعملها ال CFD في
+
+443
+00:46:42,220 --> 00:46:47,520
+المنطقة هذه و تشوف إيش يصير معاك طبعاً بعد ما تعمل 
+
+444
+00:46:47,520 --> 00:46:52,180
+ال CFD بتعمل prototype و بتفحص إن الموضوع ال same
+
+445
+00:46:52,180 --> 00:46:53,260
+الموضوع ال same موضوع كبير
+
+446
+00:46:58,230 --> 00:47:01,970
+في أي سؤال تقول أعلى 
diff --git a/PL9fwy3NUQKwbvMSfUJhi-cxpo3gq_SISD/2-d6w9A56-A_raw.json b/PL9fwy3NUQKwbvMSfUJhi-cxpo3gq_SISD/2-d6w9A56-A_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..267611f7f06032c7f583c61a6b9d6de4b73d4719
--- /dev/null
+++ b/PL9fwy3NUQKwbvMSfUJhi-cxpo3gq_SISD/2-d6w9A56-A_raw.json
@@ -0,0 +1 @@
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371.34, "text": "الـ Losses اللي كنا بنعمل عنهم بمين؟ بـ Phi Index عشان يقولّي directly runoff to the rainfall excess بمعنى أن الـ rainfall excess اللي هي ال .. ال .. ال .. ال .. ال rainfall اللي بيصيلها runoff مقارنة كده بتعطيني هذه جريان سطحي فجريان السطحي اللي بيقوله هو فقط اللي جاي من مين؟ من الـ rain و أنا لما بقول ال depth one centimeter I mean ال effective rain I don't mean", "tokens": [6027, 39184, 441, 772, 279, 13672, 1829, 9122, 8315, 44945, 25957, 1211, 18871, 16095, 4724, 2304, 9957, 22807, 4724, 39184, 41435, 33552, 6225, 8592, 7649, 7251, 39648, 11703, 1829, 3838, 1190, 4506, 281, 264, 29382, 9310, 4724, 2304, 3615, 1863, 7578, 14739, 2423, 39184, 29382, 9310, 13672, 1829, 39896, 2423, 4386, 2423, 4386, 2423, 4386, 2423, 4386, 2423, 29382, 13672, 1829, 4724, 1829, 9381, 1829, 1211, 11296, 1190, 4506, 3714, 4587, 9640, 1863, 3660, 9122, 3215, 3224, 39894, 3615, 9566, 1829, 22653, 29538, 10874, 16572, 7649, 8608, 9566, 5016, 1829, 6156, 7435, 16572, 7649, 21136, 9566, 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جاي من ال excess rain only يعني هذا مفصول منه ال base flow", "tokens": [874, 34061, 4985, 5796, 6675, 2662, 337, 2309, 2496, 16365, 5296, 5016, 19913, 3660, 23032, 3555, 3615, 995, 4724, 44510, 10721, 4724, 28543, 33599, 4724, 4587, 32640, 3660, 4018, 4032, 21292, 29399, 3224, 1829, 4724, 4018, 32239, 8592, 22807, 5296, 33456, 31439, 6225, 3555, 9640, 3660, 18871, 2423, 3095, 13672, 1829, 10874, 47302, 9154, 2423, 9310, 4830, 787, 37495, 22653, 23758, 3714, 5172, 9381, 12610, 9154, 3224, 2423, 3096, 3095], "avg_logprob": -0.3017165501352767, "compression_ratio": 1.3435897435897435, "no_speech_prob": 0.0, "words": [{"start": 527.57, "end": 528.37, "word": "typical", "probability": 0.55517578125}, {"start": 528.37, "end": 529.17, "word": " unit", "probability": 0.92236328125}, {"start": 529.17, "end": 530.03, "word": " hydrograph", "probability": 0.9187825520833334}, {"start": 530.03, "end": 530.85, "word": " for", "probability": 0.90234375}, {"start": 530.85, "end": 531.23, "word": " 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لنا", "probability": 0.61962890625}, {"start": 1356.74, "end": 1357.4, "word": " بمثله", "probability": 0.810791015625}, {"start": 1357.4, "end": 1358.06, "word": " أساس", "probability": 0.9069010416666666}, {"start": 1358.06, "end": 1358.9, "word": " كيف", "probability": 0.984130859375}, {"start": 1358.9, "end": 1359.46, "word": " نشتق", "probability": 0.96142578125}, {"start": 1359.46, "end": 1359.62, "word": " ال", "probability": 0.8134765625}, {"start": 1359.62, "end": 1359.88, "word": " unit", "probability": 0.970703125}, {"start": 1359.88, "end": 1360.88, "word": " هيدروغراف", "probability": 0.6974400111607143}, {"start": 1360.88, "end": 1361.42, "word": " من", "probability": 0.96533203125}, {"start": 1361.42, "end": 1361.72, "word": " أي", "probability": 0.9208984375}, {"start": 1361.72, "end": 1362.52, "word": " هيدروغراف", "probability": 0.9363141741071429}, {"start": 1362.52, "end": 1363.08, "word": " موجود", "probability": 0.9886067708333334}, {"start": 1363.08, "end": 1364.04, "word": " وكيف", "probability": 0.9161783854166666}, {"start": 1364.04, "end": 1364.4, "word": " ممكن", "probability": 0.986083984375}, {"start": 1364.4, "end": 1365.14, "word": " نشتقه", "probability": 0.97783203125}, {"start": 1365.14, "end": 1365.3, "word": " ل", "probability": 0.9423828125}, {"start": 1365.3, "end": 1366.06, "word": " another", "probability": 0.6513671875}, {"start": 1366.06, "end": 1366.7, "word": " storm", "probability": 0.927734375}, {"start": 1366.7, "end": 1367.34, "word": " ب", "probability": 0.90771484375}, {"start": 1367.34, "end": 1367.66, "word": " another", "probability": 0.85400390625}, {"start": 1367.66, "end": 1368.36, "word": " intensity", "probability": 0.953125}, {"start": 1368.36, "end": 1369.06, "word": " ب", "probability": 0.8896484375}, {"start": 1369.06, "end": 1369.6, "word": " another", "probability": 0.783203125}, {"start": 1369.6, "end": 1371.28, "word": " duration", "probability": 0.92626953125}], "temperature": 1.0}, {"id": 51, "seek": 140537, "start": 1378.67, "end": 1405.37, "text": "خلّيني أشوف مثال عندنا و نشوف كيف ممكن نطبّق الحكايات اللي عمّا ده بناحكي بقوللي انه given below are the ordinates of six hour unit hydrograph for a catchment area ال excess rain كان عليها بسوء تلاتة و نص ال excess rain بسوء تلاتة و نص centimeter", "tokens": [9778, 1211, 11703, 9957, 1829, 5551, 8592, 38688, 50113, 6027, 43242, 8315, 4032, 8717, 8592, 38688, 9122, 33911, 3714, 43020, 8717, 9566, 3555, 11703, 4587, 21542, 4117, 47302, 9307, 13672, 1829, 6225, 2304, 11703, 995, 11778, 3224, 4724, 8315, 5016, 4117, 1829, 4724, 39648, 20292, 16472, 3224, 2212, 2507, 366, 264, 25376, 1024, 295, 2309, 1773, 4985, 5796, 6675, 2662, 337, 257, 3745, 518, 1859, 2423, 9310, 4830, 25961, 25894, 11296, 4724, 3794, 2407, 38207, 6055, 1211, 9307, 3660, 4032, 8717, 9381, 2423, 9310, 4830, 4724, 3794, 2407, 38207, 6055, 1211, 9307, 3660, 4032, 8717, 9381, 31914], "avg_logprob": -0.3148915791998104, "compression_ratio": 1.5394736842105263, "no_speech_prob": 0.0, "words": [{"start": 1378.67, "end": 1378.99, "word": "خلّيني", "probability": 0.87939453125}, {"start": 1378.99, "end": 1379.17, "word": " أشوف", "probability": 0.85107421875}, {"start": 1379.17, "end": 1379.51, "word": " مثال", "probability": 0.60986328125}, {"start": 1379.51, "end": 1380.53, "word": " عندنا", "probability": 0.6094970703125}, {"start": 1380.53, "end": 1381.29, "word": " و", "probability": 0.1162109375}, {"start": 1381.29, "end": 1381.43, "word": " نشوف", "probability": 0.7521158854166666}, {"start": 1381.43, "end": 1381.61, "word": " كيف", "probability": 0.959228515625}, {"start": 1381.61, "end": 1381.81, "word": " ممكن", "probability": 0.8369140625}, {"start": 1381.81, "end": 1382.23, "word": " نطبّق", "probability": 0.734130859375}, {"start": 1382.23, "end": 1382.77, "word": " الحكايات", "probability": 0.74871826171875}, {"start": 1382.77, "end": 1382.97, "word": " اللي", "probability": 0.5740966796875}, {"start": 1382.97, "end": 1383.33, "word": " عمّا", "probability": 0.446319580078125}, {"start": 1383.33, "end": 1383.45, "word": " ده", "probability": 0.706787109375}, {"start": 1383.45, "end": 1383.97, "word": " بناحكي", "probability": 0.6591796875}, {"start": 1383.97, "end": 1385.49, "word": " بقوللي", "probability": 0.593994140625}, {"start": 1385.49, "end": 1386.75, "word": " انه", "probability": 0.3123779296875}, {"start": 1386.75, "end": 1386.95, "word": " given", "probability": 0.55908203125}, {"start": 1386.95, "end": 1387.43, "word": " below", "probability": 0.86572265625}, {"start": 1387.43, "end": 1387.77, "word": " are", "probability": 0.9169921875}, {"start": 1387.77, "end": 1387.91, "word": " the", "probability": 0.841796875}, {"start": 1387.91, "end": 1388.51, "word": " ordinates", "probability": 0.873779296875}, {"start": 1388.51, "end": 1388.73, "word": " of", "probability": 0.96337890625}, {"start": 1388.73, "end": 1389.01, "word": " six", "probability": 0.338134765625}, {"start": 1389.01, "end": 1389.29, "word": " hour", "probability": 0.80078125}, {"start": 1389.29, "end": 1389.53, "word": " unit", "probability": 0.83642578125}, {"start": 1389.53, "end": 1390.27, "word": " hydrograph", "probability": 0.9488932291666666}, {"start": 1390.27, "end": 1391.19, "word": " for", "probability": 0.927734375}, {"start": 1391.19, "end": 1391.47, "word": " a", "probability": 0.90234375}, {"start": 1391.47, "end": 1392.31, "word": " catchment", "probability": 0.932373046875}, {"start": 1392.31, "end": 1395.57, "word": " area", "probability": 0.88232421875}, {"start": 1395.57, "end": 1397.03, "word": " ال", "probability": 0.71484375}, {"start": 1397.03, "end": 1397.45, "word": " excess", "probability": 0.78076171875}, {"start": 1397.45, "end": 1397.77, "word": " rain", "probability": 0.93310546875}, {"start": 1397.77, "end": 1398.01, "word": " كان", "probability": 0.99560546875}, {"start": 1398.01, "end": 1398.33, "word": " عليها", "probability": 0.980712890625}, {"start": 1398.33, "end": 1399.01, "word": " بسوء", "probability": 0.7313232421875}, {"start": 1399.01, "end": 1400.45, "word": " تلاتة", "probability": 0.822509765625}, {"start": 1400.45, "end": 1400.51, "word": " و", "probability": 0.99560546875}, {"start": 1400.51, "end": 1400.77, "word": " نص", "probability": 0.980712890625}, {"start": 1400.77, "end": 1401.77, "word": " ال", "probability": 0.599609375}, {"start": 1401.77, "end": 1402.07, "word": " excess", "probability": 0.94677734375}, {"start": 1402.07, "end": 1402.31, "word": " rain", "probability": 0.939453125}, {"start": 1402.31, "end": 1402.91, "word": " بسوء", "probability": 0.9532470703125}, {"start": 1402.91, "end": 1403.93, "word": " تلاتة", "probability": 0.9827880859375}, {"start": 1403.93, "end": 1404.05, "word": " و", "probability": 0.998046875}, {"start": 1404.05, "end": 1404.43, "word": " نص", "probability": 0.991943359375}, {"start": 1404.43, "end": 1405.37, "word": " centimeter", "probability": 0.32568359375}], "temperature": 1.0}, {"id": 52, "seek": 143919, "start": 1411.25, "end": 1439.19, "text": "طبعا اللي موجود عندي تحت عبارة عن مين ال data في ال table هاي عبارة عن مين عن ال unit الدبس للستار مقداش ال unit هيدروغراف الدبس مقداش مادام بقوللي unit هيدروغراف إذا الدبس مقداش واحد صنطي اللي طالبوا مني أشتري", "tokens": [9566, 3555, 3615, 995, 13672, 1829, 3714, 29245, 23328, 18871, 16254, 6055, 33753, 6225, 3555, 9640, 3660, 18871, 3714, 9957, 2423, 1412, 8978, 2423, 3199, 8032, 47302, 6225, 3555, 9640, 3660, 18871, 3714, 9957, 18871, 2423, 4985, 32748, 3555, 3794, 24976, 14851, 9640, 3714, 28543, 33599, 2423, 4985, 8032, 25708, 2288, 2407, 17082, 23557, 5172, 32748, 3555, 3794, 3714, 28543, 33599, 3714, 18513, 10943, 4724, 39648, 20292, 4985, 8032, 25708, 2288, 2407, 17082, 23557, 5172, 11933, 15730, 32748, 3555, 3794, 3714, 28543, 33599, 36764, 24401, 20328, 1863, 9566, 1829, 13672, 1829, 23032, 6027, 3555, 14407, 9154, 1829, 5551, 8592, 2655, 16572], "avg_logprob": -0.24463847849298925, "compression_ratio": 1.9405405405405405, "no_speech_prob": 0.0, "words": [{"start": 1411.25, "end": 1411.61, "word": "طبعا", "probability": 0.855712890625}, {"start": 1411.61, "end": 1411.79, "word": " اللي", "probability": 0.644287109375}, {"start": 1411.79, "end": 1412.11, "word": " موجود", "probability": 0.96044921875}, {"start": 1412.11, "end": 1412.33, "word": " عندي", "probability": 0.77978515625}, {"start": 1412.33, "end": 1412.63, "word": " تحت", "probability": 0.9677734375}, {"start": 1412.63, "end": 1412.93, "word": " عبارة", "probability": 0.978759765625}, {"start": 1412.93, "end": 1413.11, "word": " عن", "probability": 0.990234375}, {"start": 1413.11, "end": 1413.45, "word": " مين", "probability": 0.93701171875}, {"start": 1413.45, "end": 1414.41, "word": " ال", "probability": 0.7421875}, {"start": 1414.41, "end": 1414.81, "word": " data", "probability": 0.8896484375}, {"start": 1414.81, "end": 1414.97, "word": " في", "probability": 0.85546875}, {"start": 1414.97, "end": 1415.09, "word": " ال", "probability": 0.94384765625}, {"start": 1415.09, "end": 1415.47, "word": " table", "probability": 0.87353515625}, {"start": 1415.47, "end": 1415.97, "word": " هاي", "probability": 0.61181640625}, {"start": 1415.97, "end": 1416.27, "word": " عبارة", "probability": 0.9871826171875}, {"start": 1416.27, "end": 1416.45, "word": " عن", "probability": 0.99072265625}, {"start": 1416.45, "end": 1416.79, "word": " مين", "probability": 0.938232421875}, {"start": 1416.79, "end": 1417.53, "word": " عن", "probability": 0.78173828125}, {"start": 1417.53, "end": 1417.71, "word": " ال", "probability": 0.978515625}, {"start": 1417.71, "end": 1418.03, "word": " unit", "probability": 0.974609375}, {"start": 1418.03, "end": 1419.71, "word": " الدبس", "probability": 0.670654296875}, {"start": 1419.71, "end": 1420.17, "word": " للستار", "probability": 0.376220703125}, {"start": 1420.17, "end": 1420.85, "word": " مقداش", "probability": 0.7272135416666666}, {"start": 1420.85, "end": 1422.85, "word": " ال", "probability": 0.73291015625}, {"start": 1422.85, "end": 1423.13, "word": " unit", "probability": 0.982421875}, {"start": 1423.13, "end": 1423.83, "word": " هيدروغراف", "probability": 0.7365373883928571}, {"start": 1423.83, "end": 1424.25, "word": " الدبس", "probability": 0.9783528645833334}, {"start": 1424.25, "end": 1424.85, "word": " مقداش", "probability": 0.89697265625}, {"start": 1424.85, "end": 1427.21, "word": " مادام", "probability": 0.7552083333333334}, {"start": 1427.21, "end": 1427.87, "word": " بقوللي", "probability": 0.7389322916666666}, {"start": 1427.87, "end": 1428.99, "word": " unit", "probability": 0.89697265625}, {"start": 1428.99, "end": 1430.27, "word": " هيدروغراف", "probability": 0.9286411830357143}, {"start": 1430.27, "end": 1431.25, "word": " إذا", "probability": 0.72314453125}, {"start": 1431.25, "end": 1431.75, "word": " الدبس", "probability": 0.9192708333333334}, {"start": 1431.75, "end": 1432.35, "word": " مقداش", "probability": 0.9627278645833334}, {"start": 1432.35, "end": 1433.09, "word": " واحد", "probability": 0.860595703125}, {"start": 1433.09, "end": 1433.79, "word": " صنطي", "probability": 0.706298828125}, {"start": 1433.79, "end": 1435.39, "word": " اللي", "probability": 0.942626953125}, {"start": 1435.39, "end": 1436.45, "word": " طالبوا", "probability": 0.8515625}, {"start": 1436.45, "end": 1437.41, "word": " مني", "probability": 0.82568359375}, {"start": 1437.41, "end": 1439.19, "word": " أشتري", "probability": 0.5146484375}], "temperature": 1.0}, {"id": 53, "seek": 145580, "start": 1439.32, "end": 1455.8, "text": "طاقة الهيدروغراف لفترة الديورية التي قدمت لها تلاتة و نص سانتي و الديوريش كم؟ ستة أشهر، ستة أشهر، ستة أشهر، ستة أشهر، ستة أشهر", "tokens": [9566, 995, 28671, 2423, 3224, 25708, 2288, 2407, 17082, 23557, 5172, 5296, 5172, 2655, 25720, 2423, 16254, 13063, 10632, 38392, 12174, 40448, 2655, 5296, 11296, 6055, 1211, 9307, 3660, 4032, 8717, 9381, 8608, 7649, 31371, 4032, 2423, 16254, 13063, 1829, 8592, 9122, 2304, 22807, 8608, 2655, 3660, 5551, 8592, 3224, 2288, 12399, 8608, 2655, 3660, 5551, 8592, 3224, 2288, 12399, 8608, 2655, 3660, 5551, 8592, 3224, 2288, 12399, 8608, 2655, 3660, 5551, 8592, 3224, 2288, 12399, 8608, 2655, 3660, 5551, 8592, 3224, 2288], "avg_logprob": -0.5011160870393118, "compression_ratio": 2.0265486725663715, "no_speech_prob": 0.0, "words": [{"start": 1439.32, "end": 1440.06, "word": "طاقة", "probability": 0.4222208658854167}, {"start": 1440.06, "end": 1442.4, "word": " الهيدروغراف", "probability": 0.7118072509765625}, {"start": 1442.4, "end": 1445.58, "word": " لفترة", "probability": 0.50689697265625}, {"start": 1445.58, "end": 1447.34, "word": " الديورية", "probability": 0.480926513671875}, {"start": 1447.34, "end": 1447.66, "word": " التي", "probability": 0.25537109375}, {"start": 1447.66, "end": 1448.04, "word": " قدمت", "probability": 0.7059733072916666}, {"start": 1448.04, "end": 1448.58, "word": " لها", "probability": 0.5185546875}, {"start": 1448.58, "end": 1450.12, 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مسألتي، لو جالي يعملي ال unit Hydrograph في المسألة هذه ل storm مدتها ساعة و نص يعني كان ساعة و نص ساعة و نص", "tokens": [40228, 22653, 9154, 8608, 995, 27884, 12399, 8608, 995, 34268, 9957, 12399, 6055, 1211, 2655, 8608, 45761, 9307, 12399, 5551, 25513, 3615, 8608, 45761, 9307, 12399, 9154, 8608, 995, 34268, 9957, 12399, 5551, 25513, 3615, 8608, 45761, 9307, 12399, 8608, 2655, 8608, 45761, 9307, 12399, 46811, 7649, 8608, 45761, 9307, 4032, 41193, 5172, 2288, 2423, 13749, 19446, 3615, 1863, 16254, 8592, 37893, 28820, 3660, 12399, 3714, 19913, 3555, 2407, 9566, 22807, 23032, 1829, 3555, 12399, 6055, 1829, 7435, 1829, 47524, 10721, 1211, 31371, 12399, 45164, 10874, 6027, 1829, 7251, 25957, 20292, 2423, 4985, 24231, 6675, 2662, 8978, 9673, 3794, 10721, 37977, 29538, 5296, 7679, 3714, 3215, 2655, 11296, 8608, 995, 27884, 4032, 8717, 9381, 37495, 22653, 25961, 8608, 995, 27884, 4032, 8717, 9381, 8608, 995, 27884, 4032, 8717, 9381], "avg_logprob": -0.19002403295957127, "compression_ratio": 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"end": 2387.49, "word": " بغض", "probability": 0.8258463541666666}, {"start": 2387.49, "end": 2387.69, "word": " النظر", "probability": 0.8828125}, {"start": 2387.69, "end": 2387.87, "word": " على", "probability": 0.8720703125}, {"start": 2387.87, "end": 2387.99, "word": " ال", "probability": 0.97802734375}, {"start": 2387.99, "end": 2388.35, "word": " intensity", "probability": 0.98486328125}], "temperature": 1.0}, {"id": 86, "seek": 241159, "start": 2389.75, "end": 2411.59, "text": "من ساعة و نص نحسبه تلاتة نحسبه أربعة و نص نحسبه ستة فش مشكلة لكن يعني بمعنى أنه من short duration ل long duration we know that طيب من long duration ل short duration نعرفش تخلي المحاضرة الجاية", "tokens": [27842, 8608, 995, 27884, 4032, 8717, 9381, 8717, 5016, 35457, 3224, 6055, 1211, 9307, 3660, 8717, 5016, 35457, 3224, 5551, 25513, 27884, 4032, 8717, 9381, 8717, 5016, 35457, 3224, 8608, 2655, 3660, 6156, 8592, 37893, 28820, 3660, 44381, 37495, 22653, 4724, 2304, 3615, 1863, 7578, 14739, 3224, 9154, 2099, 16365, 5296, 938, 16365, 321, 458, 300, 23032, 1829, 3555, 9154, 938, 16365, 5296, 2099, 16365, 8717, 3615, 28480, 8592, 6055, 9778, 20292, 9673, 5016, 46958, 25720, 25724, 995, 10632], "avg_logprob": -0.18183593656867741, "compression_ratio": 1.6764705882352942, "no_speech_prob": 0.0, "words": [{"start": 2389.75, "end": 2390.07, "word": "من", "probability": 0.88720703125}, {"start": 2390.07, "end": 2390.43, "word": " ساعة", "probability": 0.9733072916666666}, {"start": 2390.43, "end": 2390.57, "word": " و", "probability": 0.99072265625}, {"start": 2390.57, "end": 2390.79, "word": " نص", "probability": 0.91064453125}, {"start": 2390.79, "end": 2391.29, "word": " نحسبه", "probability": 0.825927734375}, {"start": 2391.29, "end": 2391.65, "word": " تلاتة", "probability": 0.79901123046875}, {"start": 2391.65, "end": 2391.99, "word": " نحسبه", "probability": 0.83892822265625}, {"start": 2391.99, "end": 2392.21, "word": " أربعة", "probability": 0.83154296875}, {"start": 2392.21, "end": 2392.35, "word": " و", "probability": 0.9921875}, {"start": 2392.35, "end": 2392.51, "word": " نص", "probability": 0.979736328125}, {"start": 2392.51, "end": 2392.95, "word": " نحسبه", "probability": 0.9781494140625}, {"start": 2392.95, "end": 2393.47, "word": " ستة", "probability": 0.9811197916666666}, {"start": 2393.47, "end": 2393.93, "word": " فش", "probability": 0.394775390625}, {"start": 2393.93, "end": 2394.51, "word": " مشكلة", "probability": 0.9757486979166666}, {"start": 2394.51, "end": 2395.43, "word": " لكن", "probability": 0.261962890625}, {"start": 2395.43, "end": 2395.81, "word": " يعني", "probability": 0.889404296875}, {"start": 2395.81, "end": 2396.19, "word": " بمعنى", "probability": 0.97744140625}, {"start": 2396.19, "end": 2396.41, "word": " أنه", "probability": 0.7054443359375}, {"start": 2396.41, "end": 2396.53, "word": " من", "probability": 0.9912109375}, {"start": 2396.53, "end": 2396.81, "word": " short", "probability": 0.8505859375}, {"start": 2396.81, "end": 2397.47, "word": " duration", "probability": 0.98095703125}, {"start": 2397.47, "end": 2398.11, "word": " ل", "probability": 0.95751953125}, {"start": 2398.11, "end": 2398.43, "word": " long", "probability": 0.84912109375}, {"start": 2398.43, "end": 2399.17, "word": " duration", "probability": 0.98486328125}, {"start": 2399.17, "end": 2400.63, "word": " we", "probability": 0.409912109375}, {"start": 2400.63, "end": 2400.85, "word": " know", "probability": 0.91845703125}, {"start": 2400.85, "end": 2401.33, "word": " that", "probability": 0.93212890625}, {"start": 2401.33, "end": 2402.33, "word": " طيب", "probability": 0.8907877604166666}, {"start": 2402.33, "end": 2403.15, "word": " من", "probability": 0.8681640625}, {"start": 2403.15, "end": 2403.55, "word": " long", "probability": 0.97021484375}, {"start": 2403.55, "end": 2404.27, "word": " duration", "probability": 0.98779296875}, {"start": 2404.27, "end": 2406.47, "word": " ل", "probability": 0.9873046875}, {"start": 2406.47, "end": 2406.81, "word": " short", "probability": 0.98046875}, {"start": 2406.81, "end": 2407.43, "word": " duration", "probability": 0.98681640625}, {"start": 2407.43, "end": 2409.75, "word": " نعرفش", "probability": 0.962646484375}, {"start": 2409.75, "end": 2410.83, "word": " تخلي", "probability": 0.7900390625}, {"start": 2410.83, "end": 2411.17, "word": " المحاضرة", "probability": 0.8414306640625}, {"start": 2411.17, "end": 2411.59, "word": " الجاية", "probability": 0.6748860677083334}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2416.5935, "duration_after_vad": 2243.1874999999895}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwbvMSfUJhi-cxpo3gq_SISD/PT1UE6gurzA_postprocess.srt b/PL9fwy3NUQKwbvMSfUJhi-cxpo3gq_SISD/PT1UE6gurzA_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..fe018ba9fff2f18558f240ddb9301576629d2e30
--- /dev/null
+++ b/PL9fwy3NUQKwbvMSfUJhi-cxpo3gq_SISD/PT1UE6gurzA_postprocess.srt
@@ -0,0 +1,2076 @@
+1
+00:00:06,230 --> 00:00:09,330
+طيب الله مساعد سيدنا محمد يمكن المحاضرة الماضية
+
+2
+00:00:09,330 --> 00:00:13,370
+احنا .. او المحاضرات الماضية كنا بنستكمل chapter
+
+3
+00:00:13,370 --> 00:00:17,150
+ال abstraction from precipitation و كنا بنحكي على
+
+4
+00:00:17,150 --> 00:00:21,430
+ال evaporation و ال transpiration بشكل أساسي اليوم
+
+5
+00:00:21,430 --> 00:00:26,110
+راح نحكي على بعض component من ال abstraction اللي
+
+6
+00:00:26,110 --> 00:00:30,370
+بعض منهم اللي احنا بنسميه ال interception شو هو ال
+
+7
+00:00:30,370 --> 00:00:36,540
+interception؟ال interception هو الجزء من ال storm
+
+8
+00:00:36,540 --> 00:00:41,620
+اللى بنزل على النباتات و بيضل على النباتات ممكن
+
+9
+00:00:41,620 --> 00:00:46,400
+احنا حكينا سابقا انه بالنسبة لإن النباتات لما بنزل
+
+10
+00:00:46,400 --> 00:00:50,320
+عليها المطر جزء منه بيضل على مين؟ على ال .. على
+
+11
+00:00:50,320 --> 00:00:53,800
+النبات هذا و لاحقا شو راح يصلله؟ راح يصلله
+
+12
+00:00:53,800 --> 00:00:57,580
+evaporation إذا ما نزلش على الأرض بيحصله
+
+13
+00:00:57,580 --> 00:01:03,650
+evaporation عشان هيك بنقول ال interceptionit is
+
+14
+00:01:03,650 --> 00:01:06,250
+the segment of precipitation that is prevented to
+
+15
+00:01:06,250 --> 00:01:09,290
+reach the ground by vegetation and subsequently
+
+16
+00:01:09,290 --> 00:01:14,190
+evaporates هو طبعا مش كل اللي بنزل ع الشجرة بس
+
+17
+00:01:14,190 --> 00:01:17,470
+اللي بنزل و بضل ع الشجرة لإن في جنودين اللي بنزل ع
+
+18
+00:01:17,470 --> 00:01:20,670
+الشجرة بقعد بنزل ع الأرض وهذا اللي احنا بنسميه
+
+19
+00:01:20,670 --> 00:01:27,090
+بنقسمه إلى قسمين قسم بنسميه throphil و قسم بنسميه
+
+20
+00:01:27,090 --> 00:01:32,420
+stem flowفالinterception هو كمية ال rainfall اللى
+
+21
+00:01:32,420 --> 00:01:37,780
+بتنزل ناقص ال stem flow ومفروض ان ال stem flow هو
+
+22
+00:01:37,780 --> 00:01:43,980
+الكمية اللى بتمشي مع ساق النباتة بتنزل على الأرض و
+
+23
+00:01:43,980 --> 00:01:46,600
+ال ethophil هي الكمية اللى بتنزل من الورق على
+
+24
+00:01:46,600 --> 00:01:51,000
+الأرض مباشرة فبنقول
+
+25
+00:01:51,000 --> 00:01:54,640
+ان ال interception هو بيسوي ال rainfall minus ال
+
+26
+00:01:54,640 --> 00:01:59,690
+stem flow minus ال ethophilعلى أساس أن الـ
+
+27
+00:01:59,690 --> 00:02:02,830
+Interception أدركت هي الكمية اللى بتنزل ع الشجر
+
+28
+00:02:02,830 --> 00:02:06,530
+وما بتنزلش بأي شكل أشجار بتصلش للأرض بأي شكل أشجار
+
+29
+00:02:06,530 --> 00:02:12,550
+فمصيلها ال evaporation ال
+
+30
+00:02:12,550 --> 00:02:16,730
+stem flow هي الكمية اللى بتنزل ع الشجر بعدين بتمشي
+
+31
+00:02:16,730 --> 00:02:22,290
+مع الغصون مع الطاق و بتصل للأرض ال thophil هي اللى
+
+32
+00:02:22,290 --> 00:02:27,570
+بتنزل من الوعق مباشرة يعني لو طلعنا فرصمةهي هو
+
+33
+00:02:27,570 --> 00:02:33,950
+لطافل لاحظتي من وين بنزل؟ مباشرة يعني لو كنت انا
+
+34
+00:02:33,950 --> 00:02:38,930
+جاعت تحت الشجرة بصي بنزل على رأسي هذا هو لطافل في
+
+35
+00:02:38,930 --> 00:02:44,710
+حين ان ال stem flow هو بتعمل كأنه الغصان كان زي
+
+36
+00:02:44,710 --> 00:02:51,850
+قنوات بسبح محة و بعدين مع الساق و بثلغة هذا هوال
+
+37
+00:02:51,850 --> 00:02:54,870
+stem flow عشان هيك ال stem flow و ال flow fail في
+
+38
+00:02:54,870 --> 00:02:58,550
+الآخر هو something من اللي بيصل للأرض اما بيصله
+
+39
+00:02:58,550 --> 00:03:02,790
+infiltration اما بيصله run off لكن ال interception
+
+40
+00:03:02,790 --> 00:03:10,690
+بيطلع الورق إلى حد ما يتبخر طبعا هذه الكميات يعني
+
+41
+00:03:10,690 --> 00:03:13,150
+حد بيسأل طب شو .. شو بدنا بحلق الصحة دي يعني
+
+42
+00:03:13,150 --> 00:03:18,210
+تعرفوا بهمنا ان هذه الكميات جديش لإن في الآخر انا
+
+43
+00:03:18,210 --> 00:03:22,670
+إذا بكتشف ان هذه بتشكل نسبة كبيرةمن then fail
+
+44
+00:03:22,670 --> 00:03:25,430
+معناته انا ماقدرش اقول ان هالكمية استفدت منها
+
+45
+00:03:25,430 --> 00:03:28,690
+بالاخر لان بيصل ال evaporation بتنسب ان عبارة عن
+
+46
+00:03:28,690 --> 00:03:33,290
+losses نعم فال intersection بتنسب ان هو شكل أساسي
+
+47
+00:03:33,290 --> 00:03:41,530
+من أشكال من أشكال ال losses طبعا
+
+48
+00:03:41,530 --> 00:03:49,590
+القصة طبعا كيف بتأثر على النتح انه لما تذهد المياه
+
+49
+00:03:49,590 --> 00:03:54,350
+على الورقبتعمل جو saturation حوالين النبات و لا مش
+
+50
+00:03:54,350 --> 00:03:58,310
+هيك فبالتأكيد احنا طبعا عادة لما بيصير رينفيه في
+
+51
+00:03:58,310 --> 00:04:03,130
+شغلتين انه بيصير كمية بخار الماء كبيرة الشغلتان
+
+52
+00:04:03,130 --> 00:04:06,450
+بيكون ال temperature واطية فعشانك عادة انا في فصل
+
+53
+00:04:06,450 --> 00:04:12,010
+الشتاء بتحدثش على transpiration و لا مش هيك لكن ال
+
+54
+00:04:12,010 --> 00:04:14,390
+transpiration مش هيك الاساسي امتى انا بعتنضه او
+
+55
+00:04:14,390 --> 00:04:17,430
+بتعامل معاه في فترة .. فترة الصيف اينا
+
+56
+00:04:21,560 --> 00:04:26,660
+طبعا هنا زي ما حكيت انه الinterception lose rain
+
+57
+00:04:26,660 --> 00:04:30,040
+water return by the vegetation as surface storage
+
+58
+00:04:30,040 --> 00:04:35,420
+ومن ثم evaporate لثوفة ال rain water can drip off
+
+59
+00:04:35,420 --> 00:04:38,440
+the plant leaves to join the ground surface or the
+
+60
+00:04:38,440 --> 00:04:39,160
+surface floor
+
+61
+00:04:42,620 --> 00:04:45,360
+the rain water may run along the leaves and
+
+62
+00:04:45,360 --> 00:04:52,400
+branches and down to the stem branches sorry and
+
+63
+00:04:52,400 --> 00:04:56,380
+down the stem to reach the ground surface هذا اللي
+
+64
+00:04:56,380 --> 00:05:01,880
+عملنا بينا تحدث فيه فلو بكرا سألنا في الامتحان شو
+
+65
+00:05:01,880 --> 00:05:05,860
+هدولك ثلاثة بقيت أخد منطق أنكوا يعرفوا اللي بضدكم
+
+66
+00:05:05,860 --> 00:05:09,760
+يعني لما تسعى بتحفظ الكلمات
+
+67
+00:05:11,340 --> 00:05:15,080
+لكن لازم أكون أعرف وضعت مين و لا مش هيك هاي
+
+68
+00:05:15,080 --> 00:05:18,300
+مفهومنا بالنظري لما بتسأل .. يعني لإنه كتير نسأل
+
+69
+00:05:18,300 --> 00:05:23,080
+في نظري وفيش نظري بس أنا بعطي example على .. على
+
+70
+00:05:23,080 --> 00:05:28,540
+نظري إذا بدنا نعرف يعني مفهوم النظري طبعا شو ال
+
+71
+00:05:28,540 --> 00:05:32,920
+factors اللي بتحكم كمية ال interception ال factors
+
+72
+00:05:32,920 --> 00:05:35,660
+اللي بتحكم كمية ال interception لstorm
+
+73
+00:05:35,660 --> 00:05:39,440
+characteristics بمعنى
+
+74
+00:05:40,250 --> 00:05:46,410
+لو جيت اشوف جديش ال interception بشكل من الستور كل
+
+75
+00:05:46,410 --> 00:05:50,410
+ما كانت ال intensity للستور أعلى و ال duration
+
+76
+00:05:50,410 --> 00:05:54,270
+أطول بتكون نثبت بضال ال interception أكبر ولا أصغر
+
+77
+00:05:54,270 --> 00:05:59,470
+كل
+
+78
+00:05:59,470 --> 00:06:03,010
+ما كانت ال intensity أعلى و ال duration للستور
+
+79
+00:06:03,010 --> 00:06:07,770
+أطولنسبة ال interception بالنسبة للرين اقل او
+
+80
+00:06:07,770 --> 00:06:12,770
+اكتر؟ اقل .. اقل .. اقل .. اقل .. اقل .. اقل ..
+
+81
+00:06:12,770 --> 00:06:14,510
+اقل .. اقل .. اقل .. اقل .. اقل .. اقل .. اقل ..
+
+82
+00:06:14,510 --> 00:06:17,910
+اقل .. اقل .. اقل .. اقل .. اقل .. اقل .. اقل ..
+
+83
+00:06:17,910 --> 00:06:18,350
+اقل .. اقل .. اقل .. اقل .. اقل .. اقل .. اقل ..
+
+84
+00:06:18,350 --> 00:06:18,750
+اقل .. اقل .. اقل .. اقل .. اقل .. اقل .. اقل ..
+
+85
+00:06:18,750 --> 00:06:18,770
+اقل .. اقل .. اقل .. اقل .. اقل .. اقل .. اقل ..
+
+86
+00:06:18,770 --> 00:06:29,570
+اقل .. اقل .. اقل .. اقل .. اقل .. اقل .. اقل
+
+87
+00:06:29,570 --> 00:06:34,900
+.. اقل .. اقل .. اكل ما تكون نسبة اللى بتصل ال
+
+88
+00:06:34,900 --> 00:06:41,060
+interception بالنسبة للي بنزل بتكون أقل طبعا عشان
+
+89
+00:06:41,060 --> 00:06:43,220
+هيك اللى بحكمها ال start characteristics زى ال
+
+90
+00:06:43,220 --> 00:06:46,280
+rain intensity و ال duration و ال wind و ما شابه
+
+91
+00:06:46,280 --> 00:06:51,700
+ال vegetation، species، age، density of a plant
+
+92
+00:06:51,700 --> 00:06:56,520
+and treesاللي بحكمها على المنطقة انا بحكي على ..
+
+93
+00:06:56,520 --> 00:07:00,600
+انا بحكي النبات هنا شجر و بتعرفوا الشجر ايش ميزته
+
+94
+00:07:00,600 --> 00:07:08,760
+عن العشب؟ العشب طبقة الشجر طبقات الورق و لا مش هيك
+
+95
+00:07:08,760 --> 00:07:12,440
+يعني الورق ما هو جاي طبعا في أنواع من لبنان في
+
+96
+00:07:12,440 --> 00:07:15,800
+لبنان يمكن يكون الورق بمستوى واحد لكن لو انا جيت ل
+
+97
+00:07:15,800 --> 00:07:20,520
+.. مثلا زي النخل إلى حد معين قريب من بعض انه مستوى
+
+98
+00:07:20,520 --> 00:07:22,660
+.. لكن لو جيت لشجر زي الحمضيات
+
+99
+00:07:25,190 --> 00:07:29,690
+بناجح إن الورق طبجات ولا مش هيك فعمليا طبعا ال ..
+
+100
+00:07:29,690 --> 00:07:32,750
+ال .. المي اللي تنزل عند الورق اللي فوق ممكن تلجح
+
+101
+00:07:32,750 --> 00:07:35,130
+اللي من و تحت أو اللي من و تحت أو اللي من و تحت
+
+102
+00:07:35,130 --> 00:07:40,450
+فبدأنا بصف ال .. ال age طبعا ال age بمعنى إنه ..
+
+103
+00:07:40,450 --> 00:07:44,610
+إن عمر النبات لإن عمر النبات بحكم المجموع الخضري
+
+104
+00:07:44,610 --> 00:07:49,340
+.. الخضري للنباتنعم كميتها انا بلاجي النبات اللي
+
+105
+00:07:49,340 --> 00:07:53,700
+.. اللي ليانا مليانة الورق الأخضر النبات ال .. ال
+
+106
+00:07:53,700 --> 00:07:59,180
+.. ال .. ال over age ال .. ال .. ال .. نعم بلاجي
+
+107
+00:07:59,180 --> 00:08:04,640
+أنه كمية المجموعة الخضرية إليه قليلة ال density of
+
+108
+00:08:04,640 --> 00:08:08,600
+a plant هل أنا بحكي على نباتات كثيفة زي الغابات
+
+109
+00:08:08,600 --> 00:08:13,080
+ولا بحكي على نباتات .. واسعة .. نعم يعني متباعدة
+
+110
+00:08:13,080 --> 00:08:18,030
+عن بعضها ال season of yearطبعا time of a plant
+
+111
+00:08:18,030 --> 00:08:21,210
+growing عساسا ان انت ممكن تقول إذا كنا بنحكي في
+
+112
+00:08:21,210 --> 00:08:25,230
+الشتاء بكون أغلب الورق نازل، إذا كنا بنحكي في
+
+113
+00:08:25,230 --> 00:08:27,790
+الصيف طبعا هذا بتقولي طب ما هي المطار بتنزل
+
+114
+00:08:27,790 --> 00:08:31,730
+بالشتاء، هي تنزل بالشتاء عندنا، بس انا بحكي in
+
+115
+00:08:31,730 --> 00:08:37,930
+general ممكن تكون المطار بتنزل في فتقات الصيف،
+
+116
+00:08:37,930 --> 00:08:42,060
+طبعا هنا بقولي it is estimated of thatof the total
+
+117
+00:08:42,060 --> 00:08:45,420
+rainfall in an area during plant growing season,
+
+118
+00:08:45,900 --> 00:08:49,560
+the interception loss is 10 to 20 percent. طبعا
+
+119
+00:08:49,560 --> 00:08:53,840
+هذا estimation اللي بيحكي بناء على ما عنده، يعني
+
+120
+00:08:53,840 --> 00:08:59,610
+احنا ممكن يعني تنعمل بعض دراسات في قطع غزةتحسب
+
+121
+00:08:59,610 --> 00:09:03,610
+قداش ممكن تشكل بس دي دراسات طويلة لأمد و بدها شغل
+
+122
+00:09:03,610 --> 00:09:06,910
+مش بال .. لكن anyhow مدام انت بتحكي انه يعني
+
+123
+00:09:06,910 --> 00:09:10,270
+تقريبا عشرة في المية من كمية المطعم اللي بنزل من
+
+124
+00:09:10,270 --> 00:09:12,890
+عشرة لعشرين في المية منه بروح losses ..
+
+125
+00:09:12,890 --> 00:09:15,510
+interception مش .. مش .. مش .. ال .. ال .. ال
+
+126
+00:09:15,510 --> 00:09:18,310
+losses أكتر منيك .. هذا جزء من ال losses طبعا هذه
+
+127
+00:09:18,310 --> 00:09:23,750
+كمية ماهياش بسيطة يعني انا بحكي في قطاع غزة ..
+
+128
+00:09:23,750 --> 00:09:28,490
+قطاع غزة بنزل سنوياتقريبا مية و أربعين مليون متر
+
+129
+00:09:28,490 --> 00:09:34,050
+مكعب أمطار عشرة في الميل انهم جديش بتشكل اربعة
+
+130
+00:09:34,050 --> 00:09:38,820
+اتاشر مليون متر مكعباحسب ال 14 مليون كام إنسان
+
+131
+00:09:38,820 --> 00:09:42,360
+ممكن يخد منه ثانويًا، راح تلاقي ع مستوى ال
+
+132
+00:09:42,360 --> 00:09:47,940
+domestic يمكن بغطن 30% من حاجة السكان لو حسبتي 120
+
+133
+00:09:47,940 --> 00:09:51,800
+في السنة، كام متر مكعب بده؟ جسمي ال 14 مليون على
+
+134
+00:09:51,800 --> 00:09:54,720
+.. تحسب ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+135
+00:09:54,720 --> 00:09:55,120
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+136
+00:09:55,120 --> 00:09:55,240
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+137
+00:09:55,240 --> 00:09:56,060
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+138
+00:09:56,060 --> 00:09:56,680
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+139
+00:09:56,680 --> 00:09:56,800
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+140
+00:09:56,800 --> 00:09:58,060
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+141
+00:09:58,060 --> 00:10:02,060
+.. ال .. ال ..ما هو طبعا بدك تخلي .. بدك تعملي
+
+142
+00:10:02,060 --> 00:10:06,000
+management، بدك تخليلي الشجرة، و هاد طبعا قضية
+
+143
+00:10:06,000 --> 00:10:09,680
+أخرى .. ما .. احنا .. احنا دائما بنتحدث .. و احنا
+
+144
+00:10:09,680 --> 00:10:12,660
+بنعمل توازن من إلى .. و احنا بنتحدث إنه فيش شغل
+
+145
+00:10:12,660 --> 00:10:15,680
+بتيجي .. ما احنا بنقول في غزة .. غزة اليوم، في
+
+146
+00:10:15,680 --> 00:10:20,940
+عندنا شتنج فيلميةانه عندنا الناس بتستهلك تقريبا
+
+147
+00:10:20,940 --> 00:10:25,300
+ستين مليون متر مكعب حاجة الناس وحاجة النبات تمانين
+
+148
+00:10:25,300 --> 00:10:28,540
+مليون متر مكعب ال total بتنا مية و أربعين مليون
+
+149
+00:10:28,540 --> 00:10:33,280
+متر مكعب في قطاع غزر او اكتر هسه ايه ده .. اذا انا
+
+150
+00:10:33,280 --> 00:10:37,800
+بقول انه عشان جل الكيميا هادى ما نزرعش بنوفر
+
+151
+00:10:37,800 --> 00:10:41,380
+تمانين نستورج الحاجات .. ما .. حين بتيجي النقطة
+
+152
+00:10:41,380 --> 00:10:45,050
+نزرع ولا ما نزرعش ما هي مش .. مش .. ما ..مش حل،
+
+153
+00:10:45,050 --> 00:10:47,410
+ايه نعم، يعني ماتيجيش هي القرار و مانزلعش معاك و
+
+154
+00:10:47,410 --> 00:10:59,690
+اتوفرت الميه طب
+
+155
+00:10:59,690 --> 00:11:05,790
+و الموضوع طب إيه؟ بدنا نحط شغل فوق الشجر تتمرأ
+
+156
+00:11:05,790 --> 00:11:11,030
+الميه عنها ماشي بس فيكي تيجي على ال .. على
+
+157
+00:11:11,030 --> 00:11:15,670
+البياراتو تفضي فجوان حاجات عشان تجمع الميه عنهم
+
+158
+00:11:15,670 --> 00:11:18,730
+عشان ما ينزلش على الشجرة؟ بكلف ال cost كثيرة لأ لأ
+
+159
+00:11:18,730 --> 00:11:22,210
+مالوش معنى مابصحش مش معنى .. لإن الشجرة هيك انت
+
+160
+00:11:22,210 --> 00:11:26,850
+راح تقتليها لو انت حجستي عنه ال .. عدوة البيئة لأ
+
+161
+00:11:26,850 --> 00:11:27,870
+هي بقى اقترح
+
+162
+00:11:31,810 --> 00:11:35,330
+طب انا اللى عمالى اللى اتاو بحكى عنهم العلاقة بين
+
+163
+00:11:35,330 --> 00:11:38,790
+الانتصاب اللوز as percent من ال rain و ال rainfall
+
+164
+00:11:38,790 --> 00:11:42,070
+فلاحظوا كل ما كان ال rainfall عالى كل ما كان ال
+
+165
+00:11:42,070 --> 00:11:51,790
+percent .. كل ما كان ال percent اقل طبعا
+
+166
+00:11:51,790 --> 00:11:54,750
+بيقوللى for heavy rains during individual storm
+
+167
+00:11:54,750 --> 00:11:57,950
+events, interception is neglected يعني لما كل ال
+
+168
+00:11:57,950 --> 00:12:02,050
+storms intensiveأه فإيش بدو يشكل منها ال
+
+169
+00:12:02,050 --> 00:12:07,490
+interception؟ لكن المشكلة وين؟ لما كل storm ال
+
+170
+00:12:07,490 --> 00:12:11,130
+intensity إلها قليلة فبتلاقي المي بتنزل ع الشجر
+
+171
+00:12:11,130 --> 00:12:15,570
+وكمية اللي بتبخر بساوي اللي بنزل فبلاقي و كأنه
+
+172
+00:12:15,570 --> 00:12:21,850
+الشجر أول بأول بيكون سبع بإنه بطير المي اللي بتنزل
+
+173
+00:12:21,850 --> 00:12:27,350
+عنا طبعا كيف نحن نعمل estimation of interception؟
+
+174
+00:12:27,410 --> 00:12:32,850
+في أكتر من معادلة بتحكم كيف نحسب نعمل estimation ل
+
+175
+00:12:32,850 --> 00:12:36,990
+ال interception most interception loss developed
+
+176
+00:12:36,990 --> 00:12:39,790
+during the initial storm period and the rate of
+
+177
+00:12:39,790 --> 00:12:44,250
+interception rapidly approaches to zero بقول لي ل
+
+178
+00:12:44,250 --> 00:12:49,950
+I بيصوي S I plus K في E T طبعا
+
+179
+00:12:49,950 --> 00:12:53,920
+هنا ل Iحسب hotton واحد اسمه hotton بقول بيصوى
+
+180
+00:12:53,920 --> 00:12:56,640
+point o one five plus point two three B اللي هي B
+
+181
+00:12:56,640 --> 00:13:01,400
+precipitation لل ash trees وال L I بيصوى point o
+
+182
+00:13:01,400 --> 00:13:04,160
+three plus point two two B لل oak trees طبعا اللي
+
+183
+00:13:04,160 --> 00:13:10,540
+هدولة يعني المصطلحات بمعنى طبيعة أنواع الشجر عساس
+
+184
+00:13:10,540 --> 00:13:15,190
+انه كدهش الشجر مجموع خضري وطبقات الورق الليموجودة
+
+185
+00:13:15,190 --> 00:13:19,730
+.. موجودين فيه لكن اللي هو لو طلعنا بالحالتين
+
+186
+00:13:19,730 --> 00:13:22,810
+بلاقيش القضية بتختلف بشكل كبير يعني هذه بتشكل
+
+187
+00:13:22,810 --> 00:13:26,290
+point two two B و هذه بتشكل point two three B لو
+
+188
+00:13:26,290 --> 00:13:30,860
+ضفتي لها point oh one ولا point oh threeمش ال ..
+
+189
+00:13:30,860 --> 00:13:33,920
+نعم طب أستاذنا سمحت إيش القاشو .. إيش الطبيعة ..
+
+190
+00:13:33,920 --> 00:13:36,460
+هدول .. يعني الشجر هدول .. قاشو و القاكو هذي؟
+
+191
+00:13:36,460 --> 00:13:42,920
+بتقصد أنه .. يعني طبعا هذي .. طب الشجر اللي بتكون
+
+192
+00:13:42,920 --> 00:13:48,780
+عنده كثافة عالي جدا ب .. بعطيه المعادلة رقم واحد،
+
+193
+00:13:48,780 --> 00:13:52,680
+هذاك اللي بتكون الشجرأخاف يعني هي الفكرة في هنا
+
+194
+00:13:52,680 --> 00:13:56,160
+التقسيمة مش تقسيمة نوع .. يعني ال .. ال .. ال ..
+
+195
+00:13:56,160 --> 00:13:59,720
+ال .. النباتات بتقسيمتها أشكال مختلفة جد ما أنه
+
+196
+00:13:59,720 --> 00:14:04,120
+بالنسبة لي عيلي قديش المجموع الخضر الورق بشكل مش
+
+197
+00:14:04,120 --> 00:14:09,920
+طبعا بشكل كعدد و بشكل ك position تبتلاقي ورق شجر
+
+198
+00:14:09,920 --> 00:14:16,920
+horizontal في ورق شجر بلجية يعني ال client طبعا ال
+
+199
+00:14:16,920 --> 00:14:20,330
+client هذا شو بعمل؟بنزل .. بنزل لإن ما ينزل عليه
+
+200
+00:14:20,330 --> 00:14:24,830
+بنزل لكن اللي بكون horizontal نعم في ورق شجر
+
+201
+00:14:24,830 --> 00:14:29,750
+بلاجيه طبيعته flat في ورق شجر بلاجيه طبيعته عامل
+
+202
+00:14:29,750 --> 00:14:34,450
+زي ال channel هت فمن هنا عملية يعني إيه التقسيمة
+
+203
+00:14:34,450 --> 00:14:37,290
+هذه بس لو رجعنا راح نلاقي تفسير أوسع على المفهوم
+
+204
+00:14:37,970 --> 00:14:42,450
+الاش تريز والأوكي تريز طبعا هنا ال LI بقصد فيه
+
+205
+00:14:42,450 --> 00:14:45,910
+volume of water of water intercepted SI the
+
+206
+00:14:45,910 --> 00:14:49,570
+inception storage whose values varies from 0.25 to
+
+207
+00:14:49,570 --> 00:14:53,190
+1.5 depending on the nature of the vegetation KI
+
+208
+00:14:53,190 --> 00:14:56,290
+rotation of vegetation surface to its projected
+
+209
+00:14:56,290 --> 00:15:02,270
+area بمعنى أنه لو أنا النبات هذا اعملت كيف مش
+
+210
+00:15:02,270 --> 00:15:05,610
+بتقولي الورق inclinedجديش ال projection area
+
+211
+00:15:05,610 --> 00:15:09,650
+بتاعته لإن هو اللي بيهمني مين ال projected area من
+
+212
+00:15:09,650 --> 00:15:14,070
+ال .. من ال .. من ورق النبات ال إيه evaporation
+
+213
+00:15:14,070 --> 00:15:17,750
+rate during precipitation طبعا هو كيف بيحسب ال
+
+214
+00:15:17,750 --> 00:15:22,290
+interception بمعنى إنه جديش اللي بدي يصله
+
+215
+00:15:22,290 --> 00:15:27,630
+evaporation طبعا أنا بتعامل على إنه كإنه سطح ورق
+
+216
+00:15:27,630 --> 00:15:33,450
+النبات لو أنا فردته بس فردته كيف ك projectionمش ك
+
+217
+00:15:33,450 --> 00:15:37,910
+يعني exact area ك projected area هذه المساحة لما
+
+218
+00:15:37,910 --> 00:15:41,810
+بتنزل هذه ال storm جديش بتعطي كمية evaporation
+
+219
+00:15:41,810 --> 00:15:44,850
+طبعا إذا أنا قلت evaporation rate مليميتر per hour
+
+220
+00:15:44,850 --> 00:15:48,310
+بيهمني ال duration للrainfall عساس أنه هذا بدي تم
+
+221
+00:15:48,310 --> 00:15:54,490
+خلال فترة ال storm و من ثم أعمل estimation لكمية
+
+222
+00:15:54,490 --> 00:15:56,010
+ال interception
+
+223
+00:16:00,150 --> 00:16:03,950
+الموضوع المهم من أنواع ال losses اللى بيصير عنها
+
+224
+00:16:03,950 --> 00:16:09,250
+هي طبعا هي ما هي .. كمصطلح مثلا ما هي ال losses بس
+
+225
+00:16:09,250 --> 00:16:13,350
+هي your .. أول ما بتنزل مي على الأرض، شو بيصير
+
+226
+00:16:13,350 --> 00:16:17,530
+فيها؟
+
+227
+00:16:17,530 --> 00:16:24,210
+انتوا بتعرفوا ان ال soil فيها voids ولا مشيات
+
+228
+00:16:25,530 --> 00:16:29,550
+فراغات، هسا أول المي مابتنزل شو بتعمل؟ بتعبي ال
+
+229
+00:16:29,550 --> 00:16:32,870
+voice فهذا اللي احنا بنسميه depression storage
+
+230
+00:16:32,870 --> 00:16:38,810
+بصيرش عندى هل ممكن يصير عندنا run of قبل ما يصير
+
+231
+00:16:38,810 --> 00:16:43,570
+depression storage هذا الفراغات تتعبى؟ لأ لازم
+
+232
+00:16:43,570 --> 00:16:46,310
+أعبي الفراغات بالأول، بعدين لما صير الفراغات
+
+233
+00:16:46,310 --> 00:16:50,650
+مليانة نعم، طب الفراغات في التربة، من أول للتربة
+
+234
+00:16:50,650 --> 00:16:55,390
+لأخرهاهل لما بتنزل مي راح تعبي كل فرغات التربة؟ لأ
+
+235
+00:16:55,390 --> 00:16:59,790
+فى جزء من التربة بتعرفه بتعبق الطبقة الأولانية
+
+236
+00:16:59,790 --> 00:17:03,170
+بعدين بيصير مي صعوب تنزل للطبقات اللى اتحت لكن
+
+237
+00:17:03,170 --> 00:17:06,370
+بيضل اللى فوق معله مليانين فبتعطى ماجياله المي
+
+238
+00:17:06,370 --> 00:17:10,510
+انها تمشي as runoff عشان هيك بنقول when the
+
+239
+00:17:10,510 --> 00:17:13,450
+precipitation of a storm reaches the ground it
+
+240
+00:17:13,450 --> 00:17:16,350
+must fill up all depressions before it can flow
+
+241
+00:17:16,350 --> 00:17:19,930
+over the surface وهذا اللى احنا بنسميه depression
+
+242
+00:17:19,930 --> 00:17:24,610
+storageالمقاومة في هذه الدبريشنات تسمى دبريشن
+
+243
+00:17:24,610 --> 00:17:33,930
+استوراج دبريشن
+
+244
+00:17:33,930 --> 00:17:38,730
+استوراج دبريشن
+
+245
+00:17:38,730 --> 00:17:48,770
+استوراج دبريشن
+
+246
+00:17:48,770 --> 00:17:50,790
+استوراج
+
+247
+00:17:51,780 --> 00:17:56,920
+لو كانت sand ليش؟ لأن ال voice أعلى فعشان هيك
+
+248
+00:17:56,920 --> 00:18:01,880
+بنلاقي أنه ال depression ال depth لإله في ال sand
+
+249
+00:18:01,880 --> 00:18:05,820
+بوصل point five centimeter for sand point two five
+
+250
+00:18:05,820 --> 00:18:11,620
+centimeter for the clay طبعا لو كان gravel أسفل
+
+251
+00:18:11,620 --> 00:18:15,780
+أقل لسه راح ياخد depth أكتر the condition of the
+
+252
+00:18:15,780 --> 00:18:20,040
+surface حالة السطح the amount
+
+253
+00:18:22,490 --> 00:18:30,990
+and nature of depression بمعنى انه طبيعة السطح هل
+
+254
+00:18:30,990 --> 00:18:37,610
+السطح horizontal ولا السطح متعرض لان بتعرف كل
+
+255
+00:18:37,610 --> 00:18:41,410
+السطح مكان متعرض شو بيعمل بيحجز المي بيخليه يهتج
+
+256
+00:18:41,410 --> 00:18:45,650
+في المناطق هذه فبتعطي فرصة لمين نعم the slope of
+
+257
+00:18:45,650 --> 00:18:51,090
+catchment مش التعرض السطح انحدار السطحكل ما كان
+
+258
+00:18:51,090 --> 00:18:54,730
+السطح في داره أصلا أعلى ال depression في السطح
+
+259
+00:18:54,730 --> 00:19:01,410
+بيكون أقل لإن المي أسهل إيش أنها تجري من أنها نعم
+
+260
+00:19:01,410 --> 00:19:04,290
+لإنه لاحظوا أن أنا كأني بتحدث على حركة مي باتجاهين
+
+261
+00:19:04,290 --> 00:19:08,610
+horizontal و vertical ال horizontal باتجاه ال run
+
+262
+00:19:08,610 --> 00:19:14,990
+off و ال vertical باتجاه ال depression the soil
+
+263
+00:19:14,990 --> 00:19:18,830
+moisture المحتوى المائي لل soil إذا بجت ال soil
+
+264
+00:19:18,830 --> 00:19:23,720
+بالأساسانبلى لميه saturated مش حاسس ان فيه
+
+265
+00:19:23,720 --> 00:19:27,280
+depression ولا مش هيك كل ما كانت الطرق بالـDF
+
+266
+00:19:27,280 --> 00:19:30,960
+معناته ان فيها اندي نسبة points اعلى معناته فيه
+
+267
+00:19:30,960 --> 00:19:36,180
+إمكانيات لإيه ال depression طيب هل هذا ال
+
+268
+00:19:36,180 --> 00:19:46,420
+depression هو ال infiltration لسه
+
+269
+00:19:46,420 --> 00:19:47,700
+ماحكيناش عن مياه جوفية احنا
+
+270
+00:19:50,550 --> 00:19:55,230
+هل ال depression هو ال infiltration؟
+
+271
+00:19:55,230 --> 00:20:01,310
+يعني لو حد فينا جابله كمية ميه و صار يديرها على
+
+272
+00:20:01,310 --> 00:20:04,670
+سطح الرمل، بتلاقي في الأول الميه اللي بتديرها جد
+
+273
+00:20:04,670 --> 00:20:11,160
+ما تكون إيش، تنزل بالصق نعم، بعد شوية شو بيصير؟نعم
+
+274
+00:20:11,160 --> 00:20:15,800
+لما أصل إلى حالة saturation معينة بصير مي تمشي due
+
+275
+00:20:15,800 --> 00:20:19,400
+to infiltration الجزء الأول كان عبارة عن storage
+
+276
+00:20:19,400 --> 00:20:24,720
+لإنه كانت كميات بتتخزن فيه طبقات ال soil بعد هيك
+
+277
+00:20:24,720 --> 00:20:29,320
+بتبدأ عندي مرحلة ال infiltration فمن هنا لاحظوا
+
+278
+00:20:29,320 --> 00:20:32,540
+انه ال storage ايه ال depression storage ايش و ال
+
+279
+00:20:32,540 --> 00:20:37,360
+infiltration اشي تاني عشان هيك انا بعتبر ان ال
+
+280
+00:20:37,360 --> 00:20:41,450
+infiltration مرحلة بتبدأ مابعدمع بعض ال production
+
+281
+00:20:41,450 --> 00:20:45,010
+storage عشان اقول ال infiltration is the process
+
+282
+00:20:45,010 --> 00:20:47,390
+by which precipitation moves down through the
+
+283
+00:20:47,390 --> 00:20:51,390
+surface of the air and replenishes soil which
+
+284
+00:20:51,390 --> 00:20:54,910
+recharge aquifers and ultimately support tons of
+
+285
+00:20:54,910 --> 00:21:01,030
+equantities فمن هنا لو جينا نقسم على مستوى سطح
+
+286
+00:21:01,030 --> 00:21:03,810
+التربة في عندي منطقة اللي احنا بنسميها ال
+
+287
+00:21:03,810 --> 00:21:07,510
+unsaturated zone ال unsaturated zone هي المنطقة
+
+288
+00:21:08,390 --> 00:21:12,410
+اللي لو احنا جينا فحرنا فيها مابنصلش ل water table
+
+289
+00:21:12,410 --> 00:21:18,410
+هذه منطقة مش ممكن بيكون بيصلها مين ال water table
+
+290
+00:21:18,410 --> 00:21:24,290
+بس هذه المنطقة احنا بيجي عليها مي نتيجة رين بيصير
+
+291
+00:21:24,290 --> 00:21:27,110
+فيها depression storage و منها بتبدأ تنقل المي
+
+292
+00:21:27,110 --> 00:21:31,670
+للطبقات مين؟ للطبقات اللي اتحاد عند المنطقة
+
+293
+00:21:31,670 --> 00:21:34,550
+التانية المتوسطة هي المنطقة اللي نسميها
+
+294
+00:21:34,550 --> 00:21:39,840
+transmission zoneطبعا هذه بتكون المنطقة تتذبذب بين
+
+295
+00:21:39,840 --> 00:21:42,700
+الفترات ممكن تصير saturated ممكن تكون semi
+
+296
+00:21:42,700 --> 00:21:49,600
+saturated المنطقة اللي تحت هي منطقة ال ground
+
+297
+00:21:49,600 --> 00:21:54,080
+water saturation بمعنى ان منطقة مين؟ الخزان
+
+298
+00:21:54,080 --> 00:21:56,740
+الجافى، بداية الخزان الجافى يعني لو كل ما نزلت
+
+299
+00:21:56,740 --> 00:22:01,000
+فيها تحت أنا نزلت وين؟ في الخزان الجافى سطحها،
+
+300
+00:22:01,000 --> 00:22:04,060
+منصوب المي على سطح هو اللي احنا بنسميه ال water
+
+301
+00:22:04,060 --> 00:22:11,770
+table بنسميه ال water tableطبعا احيانا انا باجى فى
+
+302
+00:22:11,770 --> 00:22:17,750
+الطربة بفحر لما بنزلت الأعماق شوية ب .. ب .. بفحر
+
+303
+00:22:17,750 --> 00:22:21,990
+بناجى ميه بس عشان هو ده ال water table لما بنزل
+
+304
+00:22:21,990 --> 00:22:27,330
+شوية بناجى الميه نرجعت لمنصوب أوطى تحت شوية هذه
+
+305
+00:22:27,330 --> 00:22:32,350
+المنطقة هذه ال capability يعنى بتكون الميه طالع
+
+306
+00:22:32,350 --> 00:22:36,720
+هنا مش اذا water tableبس mean عشان ال capability
+
+307
+00:22:36,720 --> 00:22:39,300
+اللي هي الخاصية الشعرية هذه وين بنلاقيها أكتر في
+
+308
+00:22:39,300 --> 00:22:43,300
+ال sand ولا في ال clay؟
+
+309
+00:22:43,300 --> 00:22:48,600
+لإن كل ما كانت ال diameter .. لإن بتعرفوا هذه
+
+310
+00:22:48,600 --> 00:22:53,680
+بتتبط بمين؟ بتتبط بال diameter لل .. لل .. لل pipe
+
+311
+00:22:53,680 --> 00:22:56,220
+اعتبار انه .. ان المسمات اللي بين ال .. بين ال
+
+312
+00:22:56,220 --> 00:22:58,980
+soil عبارة عن pipes طبعا اعتبرت انه في ال clay
+
+313
+00:22:58,980 --> 00:23:08,380
+المسمات أصغرفبتكون كأنه ال vibes ايش أرفع فبتكون
+
+314
+00:23:08,380 --> 00:23:13,380
+ال surface tension أعلى فعشان هيك لما يكون ال
+
+315
+00:23:13,380 --> 00:23:17,460
+surface tension أعلى بيقدر يحمل عمود أطول فهذا
+
+316
+00:23:17,460 --> 00:23:19,760
+الحكي دايما .. طبعا هذا الحكي ال .. ال .. ال
+
+317
+00:23:19,760 --> 00:23:22,820
+capability zone بشكل أساسي دايما بيلاقيها في ال
+
+318
+00:23:22,820 --> 00:23:26,180
+clay soil لكن عادة في ال .. في ال .. في ال gravel
+
+319
+00:23:26,180 --> 00:23:30,310
+و في ال sand بيلاقيها مش محصوصةلأن بالنسبة للـ
+
+320
+00:23:30,310 --> 00:23:34,330
+voice بلاقيها لا تمثل جذعي لكن بشكل عام بهمنا
+
+321
+00:23:34,330 --> 00:23:39,730
+نفتوعب النقاط هذه هسة ابتيجي how we can calculate
+
+322
+00:23:39,730 --> 00:23:45,350
+ال infiltration rate يعني لو دينا نتابع المي بتنزل
+
+323
+00:23:45,350 --> 00:23:49,970
+على الأرض كيف الأرض قاعدة بتفتوع بها هل بتبتد بكون
+
+324
+00:23:49,970 --> 00:23:54,850
+instant rate في البداية بتكون إيش؟ عالية لإنها
+
+325
+00:23:54,850 --> 00:23:56,870
+بتكون عبارة عن depression storage يعني أنا أتبعت
+
+326
+00:23:56,870 --> 00:24:00,580
+أن العملية هذه continuousولا مش هيك فبتلاقي
+
+327
+00:24:00,580 --> 00:24:04,780
+الكيميات .. الكيميات كل اللي بنزل ماله بتاخده ال
+
+328
+00:24:04,780 --> 00:24:06,940
+storm بقى as depression as soil بعدين بتبدأ عملية
+
+329
+00:24:06,940 --> 00:24:11,400
+ال infiltration بعد هيك لو استمرت ال storm بصي ال
+
+330
+00:24:11,400 --> 00:24:14,040
+infiltration عبارة عن rate constant و الباقى كله
+
+331
+00:24:14,040 --> 00:24:19,820
+بمشي as .. as enough طيب ال infiltration capacity
+
+332
+00:24:19,820 --> 00:24:24,640
+شو العوامل اللي بتحكمها إذا أنا بقول إن ال soil أي
+
+333
+00:24:24,640 --> 00:24:28,160
+soil بناء على طبيعة ال soil إلها infiltration rate
+
+334
+00:24:28,710 --> 00:24:35,750
+ولا مش هيك؟ هسة إذا كانت مش ال infiltration rate
+
+335
+00:24:35,750 --> 00:24:40,910
+عبارة عن dip in period of time يعني هذه بتشحح
+
+336
+00:24:40,910 --> 00:24:44,690
+الميه أو بتفلترها بمعدلها الجدري centimeter per
+
+337
+00:24:44,690 --> 00:24:49,590
+hour ولا مش هيك؟ مش هذه نفس ال unit لل storm
+
+338
+00:24:49,590 --> 00:24:56,990
+intensity ولا لأ؟ هسة إذا كانت .. إذا كانت ال
+
+339
+00:24:56,990 --> 00:25:04,220
+storm intensityالـ storm intensity أقل من الـ
+
+340
+00:25:04,220 --> 00:25:08,320
+infiltration rate الكباسيتي للـ soil بتكون كل
+
+341
+00:25:08,320 --> 00:25:17,140
+الميئون بتوح تاني إذا بنقول أن الـ soil عند قدرة
+
+342
+00:25:17,140 --> 00:25:23,100
+تعمل infiltration بمعدل 5 cm per hour ال storm
+
+343
+00:25:23,100 --> 00:25:28,410
+اللي نزل ال intensity اللي لها 3 mm per hourمعناته
+
+344
+00:25:28,410 --> 00:25:32,370
+كل الماء اللى تنزل شو بيحصلها؟ infiltration ساعات
+
+345
+00:25:32,370 --> 00:25:37,650
+الطرب بتبقى تشح ب 3 ولا ب 5؟ 3 لإن هو لوصلها تلاتة
+
+346
+00:25:37,650 --> 00:25:41,630
+يعني عنده capacity لخمسة لكن لوصلها مين؟ تلاتة هل
+
+347
+00:25:41,630 --> 00:25:47,130
+في الحالة هذه أي كمية run off؟ لا طب إذا كانت ال
+
+348
+00:25:47,130 --> 00:25:52,230
+storm اللى نزل بمعدل خمسة بتكون ال infiltration
+
+349
+00:25:52,230 --> 00:25:58,590
+بمعدل خمسة ولا مش هيك؟ وال run off؟ zeroاذا كان ال
+
+350
+00:25:58,590 --> 00:26:03,530
+infiltrate .. ال storm intensity سبعة ال soil
+
+351
+00:26:03,530 --> 00:26:10,330
+بتتشحف خمسة و اتنين بروحوا run off فهنا انا بهمني
+
+352
+00:26:10,330 --> 00:26:14,670
+اعرف ال intensity لل soil ال infiltration rate لل
+
+353
+00:26:14,670 --> 00:26:19,950
+soil و هذه اللي بتحكم عندنا انه جديش من الميه يصير
+
+354
+00:26:19,950 --> 00:26:24,030
+.. يصير لها infiltration و جديش من الميه يصير لها
+
+355
+00:26:24,030 --> 00:26:29,450
+run offطبعا العوامل هدى بتحكمها مين إذا دينا نحكم؟
+
+356
+00:26:29,450 --> 00:26:33,910
+بحكمها ال soil و بحكمها ال storm intensity ولا مش
+
+357
+00:26:33,910 --> 00:26:37,450
+شئ عشان هيك احنا دائما لما بنشوف المي بتنزل خفيفة
+
+358
+00:26:37,450 --> 00:26:40,550
+ال storm بتنزل خفيفة بنحسش ان في مي كتير بترجع على
+
+359
+00:26:40,550 --> 00:26:45,050
+الأرض ولا لأ لكن لما تكون المي جاي ب intensity
+
+360
+00:26:45,050 --> 00:26:50,750
+عاليةبيحسها وديان على الأرض لإنه ال soil ماعندهاش
+
+361
+00:26:50,750 --> 00:26:53,050
+قدرة انها تعمل infiltration كمياتها دي فغالبية
+
+362
+00:26:53,050 --> 00:26:58,310
+الشيء بسيط فيها بترجع على السطح من هان فيه لل soil
+
+363
+00:26:58,310 --> 00:27:00,670
+إذا جيتوا تبطلعوا يعني هذه الأشكال اللي بتتم عنها
+
+364
+00:27:00,670 --> 00:27:04,610
+يعني إذا كانت low intensity terrain بتلاقي المي
+
+365
+00:27:04,610 --> 00:27:10,130
+بتنزل هنا بتعبي في منطقات ال unsaturated zone
+
+366
+00:27:10,130 --> 00:27:18,800
+مافيش إش راح يصلح حتى للخزان الجافى نعمنعم طبعا لو
+
+367
+00:27:18,800 --> 00:27:23,300
+هاد ال depression ممكن يكون مصيره ايش او انه
+
+368
+00:27:23,300 --> 00:27:27,120
+النبات ياخده يعمله transpiration ولا مش هيك احنا
+
+369
+00:27:27,120 --> 00:27:31,280
+انت بتيجي المطر خفيفة بتتطب الأرض شوية الأرض شو
+
+370
+00:27:31,280 --> 00:27:35,840
+بيصير فيها؟ تنشك طبعا المي وين راحت؟ بأرض مين؟
+
+371
+00:27:35,840 --> 00:27:42,140
+اتبخرت لكن لو كانت ال high intensity راح يصير عندي
+
+372
+00:27:42,140 --> 00:27:46,240
+safe sun offالمي راح تنزل من الـ unsaturated zone
+
+373
+00:27:46,240 --> 00:27:53,020
+و تصل و تكون contribute لمن؟ لـ groundwater و هذا
+
+374
+00:27:53,020 --> 00:27:55,520
+الحكي كله قضية بتمنع لنا فيها لإننا نعرف المطر
+
+375
+00:27:55,520 --> 00:28:00,100
+اللي بنزل هذا و بالآخر وين بصفه عشان أقول انه لإن
+
+376
+00:28:00,100 --> 00:28:04,860
+ال .. وين بتخزن عندي معناته أنا بجد أستفيد منه إذا
+
+377
+00:28:04,860 --> 00:28:08,620
+ماتخزنش عندي في أي مكان أنا بلزمني معناته بتستفيد
+
+378
+00:28:08,620 --> 00:28:16,310
+عبارة عن wasted راح منا في عندناأجهزة لقياس ال
+
+379
+00:28:16,310 --> 00:28:18,630
+infiltration rate لل soil انت خدتوا soil
+
+380
+00:28:18,630 --> 00:28:22,530
+mechanics؟ معاكم
+
+381
+00:28:22,530 --> 00:28:26,810
+تاخدوا فيها طيب بتعرفوا كيف نعمل نحسب ال
+
+382
+00:28:26,810 --> 00:28:33,350
+infiltration rate لل soil؟ بنجيب two
+
+383
+00:28:33,350 --> 00:28:38,450
+cylinders ال cylinders هدولة مفتوحين يعني ال
+
+384
+00:28:38,450 --> 00:28:42,700
+cylinder مالهم مش وجهه غطىطبعا واحد منهم اكبر من
+
+385
+00:28:42,700 --> 00:28:47,240
+التاني عشان يكونوا الصغيرة جوات الكبيرة بنحط دق و
+
+386
+00:28:47,240 --> 00:28:49,800
+بننزلهم في الأرض يعني بنشيل الطبقة لو انا بدي اشيل
+
+387
+00:28:49,800 --> 00:28:52,960
+ال infiltration rate لأي طبقة بشيل الطبقة اللي
+
+388
+00:28:52,960 --> 00:28:58,240
+منها و فوق و بنزل الصحنين هدول في جلبها بديب ..
+
+389
+00:28:58,240 --> 00:29:01,800
+بعبيهم .. بصيحى أدير فيهم ميه بداية المي اللي
+
+390
+00:29:01,800 --> 00:29:06,960
+بنديها شو بصير فيها تنزل أول بأول بعدها بصيحى أدير
+
+391
+00:29:06,960 --> 00:29:11,850
+المي و بلاقيها تنزلبكون افتنطيت بصير انا ال .. ال
+
+392
+00:29:11,850 --> 00:29:16,050
+.. ال .. كل المي اللي بتخص بحط بدالها طبعا المي
+
+393
+00:29:16,050 --> 00:29:18,590
+هذه مش infiltrated على المساحة اللي انا ماشتغلها
+
+394
+00:29:18,590 --> 00:29:22,950
+طب قداش انا بدير ميه مش بعرف خلال الزمن قداش ال
+
+395
+00:29:22,950 --> 00:29:26,230
+volume اللي انا ضدته؟ اذا جسمت ال volume اللي انا
+
+396
+00:29:26,230 --> 00:29:31,190
+ضدته على المساحة شو بعطيني؟ ضبط على مين؟ على time
+
+397
+00:29:31,190 --> 00:29:37,370
+مش volumevolume per time مش انا بقول جداش انا ضفت
+
+398
+00:29:37,370 --> 00:29:43,110
+volume بتثبت للزمان جسمته على ال area نعم فبعطيني
+
+399
+00:29:43,110 --> 00:29:46,970
+مين depth per time اللي هو عبارة عن ال
+
+400
+00:29:46,970 --> 00:29:52,250
+infiltration rate بيجي حد بيسأل طب ليش بتعمل
+
+401
+00:29:52,250 --> 00:29:56,870
+استوانتين مش استوانة؟ وهل الاستوانتين رح يكون بنزل
+
+402
+00:29:56,870 --> 00:30:01,260
+من هنا الميه بنفس ال rate؟طب مين بنزل منها ال ..
+
+403
+00:30:01,260 --> 00:30:07,340
+ال .. اعلى اكتر؟ طيب
+
+404
+00:30:07,340 --> 00:30:12,580
+احكي .. شوفوا شغلة ليش بنعمل استوان كام؟ احنا
+
+405
+00:30:12,580 --> 00:30:16,620
+بنستخدم .. بنجيس ال .. ال .. ال filtration rate من
+
+406
+00:30:16,620 --> 00:30:20,080
+الاستوان الداخلية هي اللي بنعتبرها .. هي اللي
+
+407
+00:30:20,080 --> 00:30:22,740
+بنجيس منها ال filtration rate طب ليش حطيه الاستوان
+
+408
+00:30:22,740 --> 00:30:27,430
+الخارجية؟الاسطوان الخارجى لأ عساس ان بتعرفوا الميه
+
+409
+00:30:27,430 --> 00:30:31,170
+مابتمشيش فقط vertical الميه راح تمشي vertical and
+
+410
+00:30:31,170 --> 00:30:34,210
+horizontal بس انا لما بقول بدي اجيس infiltration
+
+411
+00:30:34,210 --> 00:30:38,410
+بدي اجيس مين؟ ال vertical فعشان انا الميه اللى انا
+
+412
+00:30:38,410 --> 00:30:41,530
+بديرها اللى يمشي منه horizontal هو اللى جاي من
+
+413
+00:30:41,530 --> 00:30:46,390
+الاسطوان البرنية فالاسطوان اللى من جوا ماتدخش ميه
+
+414
+00:30:46,390 --> 00:30:50,130
+horizontal كل ميه تبقى ماشي وين؟ vertical لما
+
+415
+00:30:50,130 --> 00:30:53,650
+حاطزش انا الاسطوان الخارجىبصير جزء من الميه اللى
+
+416
+00:30:53,650 --> 00:30:58,070
+بدخن معاها بتمشي horizontal فاحنا الاستوان الخارجى
+
+417
+00:30:58,070 --> 00:31:02,230
+بنحطها بالاساس مش عشان ننجز من خلالها عشان تعمل
+
+418
+00:31:02,230 --> 00:31:05,750
+saturation حوالي الاستوان الخارجية حوالي الاستوان
+
+419
+00:31:05,750 --> 00:31:09,310
+الداخلية عشان هيك بنلاقي لو انتوا .. لو بتديله ميه
+
+420
+00:31:09,310 --> 00:31:12,890
+بتلاقيوا الخارجية بتنزل فيها الميه بسرعة أكتر من
+
+421
+00:31:12,890 --> 00:31:17,510
+الداخلية لإن جزء من الميه بينتشش بس على مستوى
+
+422
+00:31:17,510 --> 00:31:19,910
+المساحة تعيطة ال .. ال .. ال .. the vertical
+
+423
+00:31:19,910 --> 00:31:27,370
+منتشرة على المساحةال horizontal لأ
+
+424
+00:31:27,370 --> 00:31:32,990
+أنا الأكبر بس بستخدمها عشان المي اللي بتمشي
+
+425
+00:31:32,990 --> 00:31:36,270
+horizontal تمشي منها و الاستوان الداخلي ايه المي
+
+426
+00:31:36,270 --> 00:31:40,110
+بس ميتها و اين تمشي؟ تمشي vertical عشان هيك بجيبس
+
+427
+00:31:40,110 --> 00:31:42,330
+أنا كمية ال volume اللي انا بحطه في الاستوان
+
+428
+00:31:42,330 --> 00:31:45,850
+الداخلية و بجسمه على مساحة الاستوان الداخلية
+
+429
+00:32:07,540 --> 00:32:14,340
+الفكرة بشكل تالي إذا أنا جبت هاي الصوانة ماشية و
+
+430
+00:32:14,340 --> 00:32:16,620
+جيت حاطيتها في ال soil تبع الخشية في ال soil
+
+431
+00:32:16,620 --> 00:32:20,610
+بالشكل هايإذا أنا جيت دفع عليها ميّه، الميّه راح
+
+432
+00:32:20,610 --> 00:32:23,110
+تمشي في الاستوانة هاي، وبعدين تصيب تطلع هيك و تطلع
+
+433
+00:32:23,110 --> 00:32:29,190
+هيك و تمشي ليه؟ هسة، طب أنا هالميّه مشت خلال
+
+434
+00:32:29,190 --> 00:32:32,590
+المقطع هذا فقط ولا ساعة ماشي في مقطع أكبر؟ ساعة
+
+435
+00:32:32,590 --> 00:32:36,510
+ماشيشي في مقطع أكبر، فبقدر سايت أقسم ال flow هذا
+
+436
+00:32:36,510 --> 00:32:40,010
+على المقطع هذا، لإن الميّه ماخدش المقطع هذا، الحلم
+
+437
+00:32:40,010 --> 00:32:43,330
+أنا باجي أعمل استوان خارجي و بتكون هيك، وانا لأ
+
+438
+00:32:44,110 --> 00:32:46,570
+الصحارى أنا بدير فيها و بشوف الميه بأي معادلة
+
+439
+00:32:46,570 --> 00:32:49,930
+بتنزل و بعوض أي كمية بتنزل و هد بديت فيها هد شو رح
+
+440
+00:32:49,930 --> 00:32:54,210
+تصير تعمل؟ رح تصير الميه تمشي هيك و ده تمشي هيك و
+
+441
+00:32:54,210 --> 00:32:57,750
+ده تمشي هيك و لا لأ؟ لكن لإنه فيه flow جاي من هنا،
+
+442
+00:32:57,750 --> 00:33:01,590
+بخليش الميه هادي وين؟ نعم، فبصير كأنه ميت هادي
+
+443
+00:33:01,590 --> 00:33:06,850
+ماشي هيك وماشي هيك و لا لأ؟ وميت الصوان الداخلية؟
+
+444
+00:33:06,850 --> 00:33:13,060
+فبكون كل الهدف من هذه الخارجين هيش؟إنها تخلّي
+
+445
+00:33:13,060 --> 00:33:17,420
+الاستوانة الداخلية بس ميّتها تمشي vertically عشانك
+
+446
+00:33:17,420 --> 00:33:21,220
+أنا مابهمني جديشي مي اندرت هنا أنا بس بهمني أني
+
+447
+00:33:21,220 --> 00:33:25,240
+أحافظ على head معين هان عشان أقوض الكميات اللي
+
+448
+00:33:25,240 --> 00:33:28,980
+بتوح أنا بهمني إنه خلال الزمن جديش كمية المي اللي
+
+449
+00:33:28,980 --> 00:33:33,560
+أنا أضفتها و بأي ريتم طبعا المديفة دي وقت
+
+450
+00:33:33,560 --> 00:33:36,420
+الاستوانة و من خلال الاستوانة بتمشي على التربة
+
+451
+00:33:54,470 --> 00:33:59,830
+ما هي وقت إيش بيصير saturation؟ مع الزمن بيصير تخف
+
+452
+00:33:59,830 --> 00:34:04,110
+ال rate بس هذا بمنعش أنه مع الزمن لما بيصير فيها
+
+453
+00:34:04,110 --> 00:34:08,710
+rate بيظل الوية تمشي بالاتجاه هذا و تمشي بالاتجاه
+
+454
+00:34:08,710 --> 00:34:15,370
+هذافرح تظل المي مياخد مقطع اكبر من المقطع الحقيقي
+
+455
+00:34:15,370 --> 00:34:19,910
+للإستوانة لكن مع الزمن بتظل الإستوانة الداخلية
+
+456
+00:34:19,910 --> 00:34:24,270
+ميتها بس ماشي وين؟ ماشي vertical فعشان هيك رح
+
+457
+00:34:24,270 --> 00:34:27,930
+تلاقي بالنسبة للمقطع لفلورية على الإستوانة
+
+458
+00:34:27,930 --> 00:34:32,870
+الخارجية أعلى منه لفلورية على الإستوانة الخارجية
+
+459
+00:34:32,870 --> 00:34:37,390
+والسبب لأن جزء من المي رح يمشي بالاتجاه ال
+
+460
+00:34:37,390 --> 00:34:37,790
+horizontal
+
+461
+00:34:48,010 --> 00:34:53,290
+معادلات من خلالها يعني hotton equation اللي طبعا
+
+462
+00:34:53,290 --> 00:34:57,050
+قررناها في كمال hotton equation بتتعلق بكيف أعمل
+
+463
+00:34:57,050 --> 00:35:00,500
+infiltration modelطبعا ال infiltration model بمعنى
+
+464
+00:35:00,500 --> 00:35:03,900
+ان هاي المعادلة اللي بيقوللي ان fct اللي هي ال
+
+465
+00:35:03,900 --> 00:35:06,720
+infiltration rate at any time t بالنسبة لل soil
+
+466
+00:35:06,720 --> 00:35:12,020
+بيسوي fc final اللي هو يعني لما انا بصلي لحالة ال
+
+467
+00:35:12,020 --> 00:35:16,420
+city state plus fco اللي هي ال infiltration
+
+468
+00:35:16,420 --> 00:35:21,120
+initial minus ال infiltration final في e to the
+
+469
+00:35:21,120 --> 00:35:27,210
+minus khtعلى أساس أن T تقع ما بين 0 و Td اللي هي
+
+470
+00:35:27,210 --> 00:35:31,770
+ال duration لل storm لأن هذه المعادلة خلال فترة ال
+
+471
+00:35:31,770 --> 00:35:34,890
+storm على أساس أن Fct بتسوي ال infiltration
+
+472
+00:35:34,890 --> 00:35:42,890
+capacity at any time T Fcf اللي هي a final
+
+473
+00:35:42,890 --> 00:35:46,770
+equilibrium capacity اللي هي في حالة ال steady
+
+474
+00:35:46,770 --> 00:35:51,970
+stateو FCO The Initial Infiltration Capacity K H
+
+475
+00:35:51,970 --> 00:35:56,890
+عبارة عن constant و T D لهي duration of a storm
+
+476
+00:35:56,890 --> 00:36:02,350
+طبعا بدنا نعرف انه هذه الأرقام في بعض منهم لازم
+
+477
+00:36:02,350 --> 00:36:07,550
+أعرفها من خلال طبيعة ال soil لإنه انا F C final
+
+478
+00:36:07,550 --> 00:36:10,730
+انه انا لو عملت التجربة اللي طبعا حكيناها طب مع
+
+479
+00:36:10,730 --> 00:36:15,860
+الزمن انا جعلت دير ميةمع الزمن جديش بقعد لحد اصل
+
+480
+00:36:15,860 --> 00:36:18,580
+لحالة steady state ان اصلي كمية الميه اللى انفلتت
+
+481
+00:36:18,580 --> 00:36:22,540
+مع الزمن ثابتة بكون انا هنا بصل ال steady state مش
+
+482
+00:36:22,540 --> 00:36:25,200
+ان ال infiltration بيجف ال infiltration will
+
+483
+00:36:25,200 --> 00:36:30,200
+continue بس بيش ب steady state طيب fco اول ما بلشت
+
+484
+00:36:30,200 --> 00:36:34,220
+دى الميه جديش كان معدى الميه بتاخد و من ثم بقدر
+
+485
+00:36:34,220 --> 00:36:38,340
+اطلع على التربة fcf و بقدر اطلع على التربة fco
+
+486
+00:36:47,220 --> 00:36:50,780
+طبعا انت هنا بتبلش .. اي نعم انت بتبلش اول ما
+
+487
+00:36:50,780 --> 00:36:54,940
+بتديه الميه ت .. ت .. تتنسي كلشي انت بتقوليش هنا
+
+488
+00:36:54,940 --> 00:36:58,160
+depression تتعامل مع الموضوع لإنه infiltration
+
+489
+00:36:58,160 --> 00:37:02,780
+بجيب هالجهاز و بنزله و ببدأ أديه الميه طبعا انا
+
+490
+00:37:02,780 --> 00:37:04,940
+ببدأ أديه الميه بحيث اني بدأ حافظ على إنه ضل
+
+491
+00:37:04,940 --> 00:37:10,180
+الفطوع على سطحها من فوق fullأي كمية بتخص إيش بحط
+
+492
+00:37:10,180 --> 00:37:13,180
+بدالها طبعا بتظلي كل فترة أنت مثلا بتاخد القرار
+
+493
+00:37:13,180 --> 00:37:18,640
+تقول خمس minutes كأنه infiltration طبعا عشان هيك
+
+494
+00:37:18,640 --> 00:37:23,060
+لاحظي أنه أنا بهمني في حالة ال city-state judicial
+
+495
+00:37:23,060 --> 00:37:27,220
+infiltration لكن بداية ال curve FCO اللي كانت
+
+496
+00:37:27,220 --> 00:37:31,700
+initial infiltration عبارة عن معدل اللي كان بيروح
+
+497
+00:37:31,700 --> 00:37:34,200
+.. بسبب مين كان المعدل العالي لإنه كان بيروح عبارة
+
+498
+00:37:34,200 --> 00:37:42,060
+عن depression I knowلأ راح يكون أقل ما هو انا في
+
+499
+00:37:42,060 --> 00:37:45,880
+الآخر بقول التربة initially جداش بتشح الميه
+
+500
+00:37:45,880 --> 00:37:50,240
+finally جداش بتشح الميه لكن لو جيت تمشي هنا لو
+
+501
+00:37:50,240 --> 00:37:53,520
+طلعت على ال curve هذا لحظة بدايته إيش ال
+
+502
+00:37:53,520 --> 00:37:58,580
+resultation rate ماله؟ عالي بعديها بنزل بصير إيش؟
+
+503
+00:37:58,580 --> 00:38:02,420
+constant الفترة هذه لحد ما تصير constant هي فترة
+
+504
+00:38:02,420 --> 00:38:07,970
+كمين؟الـ depression لأ ال FCO مش ثابتة يعني ال FCO
+
+505
+00:38:07,970 --> 00:38:10,430
+انه لما بصير ال depression مش خلال فترة ال
+
+506
+00:38:10,430 --> 00:38:14,810
+depression مقدرة ذات ثابتة كل ما عبت شوية كل ما
+
+507
+00:38:14,810 --> 00:38:20,350
+جلت ال infiltration ذات لحد ما تصير fully بصير ال
+
+508
+00:38:20,350 --> 00:38:24,810
+infiltration كونستانت لحد ما تبلش ال infiltration
+
+509
+00:38:24,810 --> 00:38:27,410
+كونستانت معناته الفترة الأولى كانت فترة ال
+
+510
+00:38:27,410 --> 00:38:33,930
+depression بعد هيك لو ال storm افتمرترح المي تنزل
+
+511
+00:38:33,930 --> 00:38:41,510
+بكون stent بكون stent rate المرحلة
+
+512
+00:38:41,510 --> 00:38:47,870
+بين fco و fcf هي مرحلة ال depression بس ماهي fcf
+
+513
+00:38:47,870 --> 00:38:52,630
+ماذا تعني fcf؟ من بداية ما يبدأ يصير كون stent
+
+514
+00:38:52,630 --> 00:38:57,970
+يعني نعم بصير ان المنطقة عندى فعالة saturated و
+
+515
+00:38:57,970 --> 00:39:01,510
+بصير اللي اللي مانتش يمشي بكون stent بكون stent
+
+516
+00:39:01,510 --> 00:39:10,420
+rateفي عندنا للتربة factor بنسميه five index ده
+
+517
+00:39:10,420 --> 00:39:17,380
+أيه المعنى وقت؟ طيب لإنه هذا الموضوع بده شرح يعني
+
+518
+00:39:17,380 --> 00:39:23,880
+مفصل المحاضرة الجاية بنحكي فيه ال five index ماشي
+
+519
+00:39:23,880 --> 00:39:24,400
+الحال؟
+
diff --git a/PL9fwy3NUQKwbvMSfUJhi-cxpo3gq_SISD/bX2zEPP97G0.srt b/PL9fwy3NUQKwbvMSfUJhi-cxpo3gq_SISD/bX2zEPP97G0.srt
new file mode 100644
index 0000000000000000000000000000000000000000..db0e7afdfd97e171949b2564550531ab3f42d414
--- /dev/null
+++ b/PL9fwy3NUQKwbvMSfUJhi-cxpo3gq_SISD/bX2zEPP97G0.srt
@@ -0,0 +1,1207 @@
+1
+00:00:05,200 --> 00:00:10,120
+طيب بسم الله الرحمن الرحيم أعتقد ممكن المحاضرة
+
+2
+00:00:10,120 --> 00:00:14,640
+الماضية إحنا كنا نحكي في العلاقة ما بين ال flow
+
+3
+00:00:14,640 --> 00:00:18,280
+rate و ال stage ونوهت لنا نقطة أنه أنا في
+
+4
+00:00:18,280 --> 00:00:20,760
+اللحظات اللي بكونش عندي ال flow فيها steady flow
+
+5
+00:00:20,760 --> 00:00:25,880
+بكون عندي شكل المستوى المقمش شكل straight ومن هنا
+
+6
+00:00:25,880 --> 00:00:31,600
+ممكن تكون ال flow اللي أنا باخده ما هوش يعني بقدرش
+
+7
+00:00:31,600 --> 00:00:34,700
+آخده من خلال ال rating curve والفكرة هنا لو جيت
+
+8
+00:00:34,700 --> 00:00:38,140
+آخدها بشكل تاني لو طلعت في الفكرة اللي عندي لاحظوا
+
+9
+00:00:38,140 --> 00:00:42,720
+النقاط هذه بتعبر عن العلاقة ما بين ال discharge و
+
+10
+00:00:42,720 --> 00:00:47,040
+ال flow لما أنجزت فإنا بتطلع في كتير من هذه النقاط
+
+11
+00:00:47,040 --> 00:00:53,880
+يعني هنا مثلاً لو جيت أطلع في نقاط زي هان بلاقي أنه 
+
+12
+00:00:53,880 --> 00:00:59,830
+عند نفس ال discharge لكن كانت أكثر من إيش من عند ..
+
+13
+00:00:59,830 --> 00:01:02,970
+نعم يعني عند المنصوب كان فيه أكثر من قيمة لكن فيه 
+
+14
+00:01:02,970 --> 00:01:09,590
+فتحات مختلفة وهذا الفكرة فيها أو السبب فيها هو أنه
+
+15
+00:01:09,590 --> 00:01:12,650
+لما إحنا بنيجي نعمل ال flow بكونش ال flow عندي في
+
+16
+00:01:12,650 --> 00:01:16,010
+هذا الحال steady ومفروض أنه بكونش steady أن ال 
+
+17
+00:01:16,010 --> 00:01:20,430
+flow بتغير مع الزمن وهذا حادثا بيصير في اللحظات
+
+18
+00:01:20,430 --> 00:01:26,170
+اللي بيكون فيها ال floods من هنا لو جيت أخد وأقسم 
+
+19
+00:01:26,170 --> 00:01:29,730
+هذه العلاقة لاحظوا أنها إحنا لو دينا في ال figure
+
+20
+00:01:29,730 --> 00:01:33,370
+اللي السابق بنا نصم بنلاقي حالنا مش لها نصم line
+
+21
+00:01:33,370 --> 00:01:40,810
+جد ما أنه نصم care جد ما أنه نصم care أي نعم و ال
+
+22
+00:01:40,810 --> 00:01:43,950
+care فعلاً كإننا جواته بنعمل ال fitting line أو
+
+23
+00:01:43,950 --> 00:01:49,090
+أبسط أو أفضل خطة عندي ومن هنا طبعاً لو أنا دي أصلاً 
+
+24
+00:01:49,090 --> 00:01:52,410
+طب لاحظوا هنا في الخطوات لو جوا أنت عندي أي نقطة
+
+25
+00:01:52,410 --> 00:02:00,640
+عند نفس ال stage بلاقي أكثر من قيمة لد الشاطر ومن 
+
+26
+00:02:00,640 --> 00:02:01,060
+هنا
+
+27
+00:02:08,480 --> 00:02:12,640
+ع نفس ال .. بس في أكثر من نقطة يعني أنا اليوم جريت 
+
+28
+00:02:12,640 --> 00:02:16,980
+ال stage كان ستين ال discharge خمسمية بعد كام يوم
+
+29
+00:02:16,980 --> 00:02:20,000
+جيت جريت ال stage ستين بس ال discharge خمسمية ..
+
+30
+00:02:20,000 --> 00:02:23,140
+ستمية وخمسة أو ستمية وعشرة أو ستمية وخمسة عشر
+
+31
+00:02:23,140 --> 00:02:26,900
+رغم أن ال stage كانت the same لأن ال discharge كان
+
+32
+00:02:26,900 --> 00:02:31,560
+.. كان مختلف والسبب هنا زي ما بنحكي أنه اللي بيصير
+
+33
+00:02:31,560 --> 00:02:37,140
+عندي هنا أن نتيجة أنه بكون منصوب سطح الماء ما هوش
+
+34
+00:02:37,140 --> 00:02:40,760
+straight بمعنى طبعاً أن خط مستقيم موازي لعضية ال
+
+35
+00:02:40,760 --> 00:02:43,620
+channel بكون عندي ال flow في الحالة دي إحنا بنسميه
+
+36
+00:02:43,620 --> 00:02:48,620
+unsteady flow من هنا طبعاً بالذبدة طب لو أنا لحظة
+
+37
+00:02:48,620 --> 00:02:53,920
+ال unsteady flow روحت قصة ال stage قداش ال actual
+
+38
+00:02:53,920 --> 00:02:57,660
+flow أنا راح أجي على ال curve ال curve شو بعطيني
+
+39
+00:02:57,660 --> 00:03:04,250
+بعطيني ال steady state flowلأنه أنا باعطيني ال
+
+40
+00:03:04,250 --> 00:03:06,990
+flow لما يكون المنصوب إيه الارضية ال channel
+
+41
+00:03:06,990 --> 00:03:15,090
+straight هنا في عندنا معادلة بتقول لي 
+
+42
+00:03:15,090 --> 00:03:21,510
+أنه ال QM ال QM طبعاً ال measuring discharge أو
+
+43
+00:03:21,510 --> 00:03:25,290
+خليني أسمي ال actual discharge لأن وأنا ال
+
+44
+00:03:25,290 --> 00:03:32,410
+measuring it is actual ولا مش هي أكتر الدشارش قد
+
+45
+00:03:32,410 --> 00:03:35,730
+إسبور نقطة ميجة في ال stage MN اللي هي أنا باخدها
+
+46
+00:03:35,730 --> 00:03:40,470
+من مين؟ من ال rating care يعني لو أنا جست من ال
+
+47
+00:03:40,470 --> 00:03:46,010
+rating care و ال Q كانت QN، ال Q مجدش بيساوي طبعاً
+
+48
+00:03:46,010 --> 00:03:50,630
+بالنسبالي مع بعض بيساوي جزر ال واحد plus واحد على
+
+49
+00:03:50,630 --> 00:03:58,190
+VW والآن هبوضح النقطة هذه في SO في DH على DT
+
+50
+00:03:58,190 --> 00:04:04,320
+المعادلة هذه من وين جاية؟ المعادلة هاي جاية بالشكل
+
+51
+00:04:04,320 --> 00:04:08,780
+التالي إحنا
+
+52
+00:04:08,780 --> 00:04:13,380
+بنعرف أنه في ال open channel أو في ال flow في ال 
+
+53
+00:04:13,380 --> 00:04:17,700
+open channel هي اضيط الفلوس وهذه ال flow بداية
+
+54
+00:04:17,700 --> 00:04:23,100
+اللي خليني اسميه ال as off في حالة ال steady flow
+
+55
+00:04:23,100 --> 00:04:33,260
+بكون عندي منصور فتح الماء مواظر قضية ال channel و
+
+56
+00:04:33,260 --> 00:04:40,080
+لا مش هيك هسه لما بكون ال flow عندي ما هواش steady
+
+57
+00:04:40,080 --> 00:04:50,300
+flow بلاقي أنه ال flow ماخد الشكل 
+
+58
+00:04:50,300 --> 00:04:59,310
+التالي ماخد شكل منحني هسه لاحظوا شكله إذا أنا جيت 
+
+59
+00:04:59,310 --> 00:05:05,490
+هنا في 
+
+60
+00:05:05,490 --> 00:05:11,590
+لحظة بحسب سطح ال channel أو المي على السطح ماشي
+
+61
+00:05:11,590 --> 00:05:20,670
+بسرعة معينة وهذه سرعة الموجة وخليني أسميها VW
+
+62
+00:05:20,670 --> 00:05:29,390
+هذه عبارة عن مين؟ عن سرعة الموجة هذا لو أنا جيت
+
+63
+00:05:29,390 --> 00:05:38,310
+خلال زمن معين ما بين فترتين هي أنا عندي منصوب المي
+
+64
+00:05:38,310 --> 00:05:46,750
+هنا H ولا لأ ومنصوب المي هنا H plus Delta H عكس
+
+65
+00:05:46,750 --> 00:05:52,770
+النهاردة عبارة عن Delta H اللي هي التغير في منصوب
+
+66
+00:05:52,770 --> 00:05:59,750
+الماء خلال زمن مقداره Delta T خلال زمن مقداره دلتا
+
+67
+00:05:59,750 --> 00:06:20,330
+T دلتا T دلتا
+
+68
+00:06:20,330 --> 00:06:24,810
+T دلتا T دلتا T دلتا T دلتا T دلتا T دلتا T دلتا T
+
+69
+00:06:24,810 --> 00:06:24,850
+دلتا T دلتا T دلتا T دلتا T دلتا T دلتا T دلتا T
+
+70
+00:06:24,850 --> 00:06:25,010
+دلتا T دلتا T دلتا T دلتا T دلتا T
+
+71
+00:06:28,620 --> 00:06:35,360
+تتناسب مع جذر الـ S طيب
+
+72
+00:06:35,360 --> 00:06:42,460
+لما أنا S عندي variable إذا أنا طبعت هذه خلينا
+
+73
+00:06:42,460 --> 00:06:49,180
+نسميها هذه عبارة عن Q تتناسب مع جذر ال S مش Q
+
+74
+00:06:49,180 --> 00:06:53,100
+المجد تتناسب 
+
+75
+00:06:53,590 --> 00:06:58,750
+مع جرد ال S بلصد delta S اللي هو التغير في مين؟ في 
+
+76
+00:06:58,750 --> 00:07:06,370
+ال slope لأن ال slope ليس أثرت في حالة ال study في
+
+77
+00:07:06,370 --> 00:07:13,390
+حالة الآن ال study في قيمة لمين؟ ل delta S هزا لو
+
+78
+00:07:13,390 --> 00:07:18,770
+جيت خلال فترة من الزمن بتقول لي أنه لما المنصوب
+
+79
+00:07:18,770 --> 00:07:24,500
+تغير من H إلى delta H الـ Level بتغير من H إلى ΔH
+
+80
+00:07:24,500 --> 00:07:32,240
+إذا كانت سطح الماء ماشي بسرعة VW بتكون قطعت مسافة
+
+81
+00:07:32,240 --> 00:07:39,220
+قدر ما خلال زمن مقدره Delta T مش كون قطعت VW في
+
+82
+00:07:39,220 --> 00:07:47,920
+Delta T خلال زمن مقدره دلتا T خلال زمن مقدره delta 
+
+83
+00:07:47,920 --> 00:07:52,340
+T مش يمشي بسرعة مقدرها VW إذا نجداش المسافة اللي
+
+84
+00:07:52,340 --> 00:07:58,820
+جتعتها VW في delta T ولا مش هيك طيب إذا المعدل
+
+85
+00:07:58,820 --> 00:08:09,840
+التغير في الاثنون delta S شو بيساوي مش 
+
+86
+00:08:09,840 --> 00:08:19,740
+بيساوي delta H على VWDelta T ولا لأ إذا أنا بدي 
+
+87
+00:08:19,740 --> 00:08:24,280
+أتأمل اخذ ال limit لهاي لما تكون Delta T 
+
+88
+00:08:24,280 --> 00:08:29,300
+approaching Zero مش هيك إحنا بتصور هذا إيش متصور
+
+89
+00:08:29,300 --> 00:08:38,400
+مش متصور أحد على VW في DH على DT مظبوط إذا أنا
+
+90
+00:08:38,400 --> 00:08:40,400
+بقول أن QN
+
+91
+00:08:44,440 --> 00:08:52,600
+أنا بقول إن الـ QM تتنافس مع جذر الـ S الـ major
+
+92
+00:08:52,600 --> 00:08:59,800
+تتنافس مع جذر الـ S بنفس Delta S بمعنى إن الـ QM
+
+93
+00:08:59,800 --> 00:09:07,520
+على الـ QN إيش بتساوي؟
+
+94
+00:09:07,520 --> 00:09:11,200
+مش هذه بتساوي ثابت في جذر الـ S وهذه ثابت في جذر
+
+95
+00:09:11,200 --> 00:09:19,210
+الـ S بتساوي جذرالـ S plus Delta S على S مايكونها 
+
+96
+00:09:19,210 --> 00:09:27,570
+تحت الجذر صحيح؟ وهذه ماذا تساوي؟ جذر الواحد plus
+
+97
+00:09:27,570 --> 00:09:35,250
+Delta S على S وهذه شو ماذا تساوي؟ جذر الواحد plus
+
+98
+00:09:35,250 --> 00:09:44,660
+Delta S كنا إيش بتساوي؟ بتساوي DH على DT1 على V
+
+99
+00:09:44,660 --> 00:09:57,320
+درجة V في V و 1 على S Delta
+
+100
+00:09:57,320 --> 00:10:02,800
+S بتساوي D H على D T في V W طبعاً أنا عشان أحولها
+
+101
+00:10:02,800 --> 00:10:06,060
+من Delta إلى D عزاز أنه أنا مش اللي عبارة عن ال
+
+102
+00:10:06,060 --> 00:10:11,300
+limit لما Delta T approaching Zero ولا مش هيك هنا 
+
+103
+00:10:11,300 --> 00:10:17,260
+طبعاً بقول لي عادة تقريباً S إبارة اللي إحنا أخدناها
+
+104
+00:10:17,260 --> 00:10:21,100
+هنا هي إبارة عن ال flow of channel ولا لأ لأن هي
+
+105
+00:10:21,100 --> 00:10:26,900
+slope ال flow في حالة lift دي اللي هو نفس مين نفس 
+
+106
+00:10:26,900 --> 00:10:32,620
+slope ال channel ولا مش شيء Delta H على Delta T هو 
+
+107
+00:10:32,620 --> 00:10:37,540
+عبارة أنه معدل تغير المنصوب مع الزمن إذا أنا لو
+
+108
+00:10:37,540 --> 00:10:42,540
+روحت أعمل flow measurement أقفت lift stage واستنيت
+
+109
+00:10:42,540 --> 00:10:48,940
+شوية وجيت ال stage كمان مرة مش أنا جيته خلال زمن 
+
+110
+00:10:48,940 --> 00:10:53,220
+مقداره delta T ولا لأ التغير فيه كان عبارة عن
+
+111
+00:10:53,220 --> 00:10:58,140
+delta H delta H على delta T تاني لمعدل التغير في 
+
+112
+00:10:58,140 --> 00:11:00,720
+ال .. في ال .. في ال .. في ال channel stage خلال
+
+113
+00:11:00,720 --> 00:11:07,120
+زمن مقداره delta T طبعاً لو ماكنش عندي تغير إذا
+
+114
+00:11:07,120 --> 00:11:12,720
+اللي اثنو إيش steady ولا لأ إذا بقدر أحسب قيمة
+
+115
+00:11:12,720 --> 00:11:14,900
+delta H على delta T في ال slum أثناء ال
+
+116
+00:11:14,900 --> 00:11:18,120
+measurement ولا مقدرش بقدر أعملها فمن هنا اللي
+
+117
+00:11:18,120 --> 00:11:24,260
+إحنا بنسويه مش بس بنجري ال stage وبستنى شوية و
+
+118
+00:11:24,260 --> 00:11:29,220
+بجرها كمان مرة إذا طبعاً مش بستنى ساعة ولا ساعتين
+
+119
+00:11:29,220 --> 00:11:34,340
+أنا لازم أقرأ التغير خلال delta T approaching zero
+
+120
+00:11:34,340 --> 00:11:39,660
+إذا أنا بحكي على زمن قليل جداً إذا أنا خلال الزمن
+
+121
+00:11:39,660 --> 00:11:43,140
+غضب، دلت constant، معنى أن دلت اش على دلت اتي 
+
+122
+00:11:43,140 --> 00:11:47,840
+بتساوي؟ Zero إذا النفلوع عندي؟ Steady إذا دلت اش 
+
+123
+00:11:47,840 --> 00:11:48,580
+على دلت اتي ما
+
+124
+00:11:48,580 --> 00:11:58,900
+بيساويزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزيزي
+
+125
+00:12:05,240 --> 00:12:10,020
+وهذه تقريباً بتساوي واحد وأربعة من عشرة من ال 
+
+126
+00:12:10,020 --> 00:12:13,680
+normal velocity طبعاً ال normal velocity كيف بتساوي؟
+
+127
+00:12:13,680 --> 00:12:19,460
+إيش بتساوي؟ بتساوي ال Q على المقطع ولا مش هيك إذا
+
+128
+00:12:19,460 --> 00:12:24,460
+أنا جسد ال Q هالجدي بقسم على المقطع بوجد V اللي هي
+
+129
+00:12:24,460 --> 00:12:29,850
+سرعة المتوسط سرعة المقطع طبعاً سرعة ال wave أعلى من
+
+130
+00:12:29,850 --> 00:12:34,050
+صورة المقطع لأنه لاحظوا أن الميه لما بتمشي بتمشي
+
+131
+00:12:34,050 --> 00:12:38,790
+المسافة هادي لكن ال wave في نفس الزمن بتمشي 
+
+132
+00:12:38,790 --> 00:12:45,530
+المسافة high عشان هيك أنا باخد أنه VW بيصوي تقريباً
+
+133
+00:12:45,530 --> 00:12:50,390
+1.4 من V طبعاً في بعض المراجع بتقول بيصوي 1.3 من V 
+
+134
+00:12:50,390 --> 00:12:55,170
+مش هي الموضوع المهم أنه هي أعلى 30% أو 40% من ال
+
+135
+00:12:55,170 --> 00:13:01,930
+normal velocity بالطريقة high إذا أنا كنت بعمل flow
+
+136
+00:13:01,930 --> 00:13:06,010
+measurement أنا بعمل flow measurement ال flow
+
+137
+00:13:06,010 --> 00:13:12,810
+measurement بتعطيني قيم Qm ولا Qn بتعطيني Qm ولا
+
+138
+00:13:12,810 --> 00:13:17,470
+مش هيك لكن لو أنا روحت على rate and curve بعطيني 
+
+139
+00:13:17,470 --> 00:13:23,330
+Qn واضح النقطة هنا؟ طبعاً إحنا الأول ما بنضغط
+
+140
+00:13:23,330 --> 00:13:27,810
+مفضلهم Qm لكن أنا بنعمل rate and curve على إن هذا 
+
+141
+00:13:27,810 --> 00:13:31,250
+هو في حالة الـ study ما تلاحظوا الشروط شو اللي كنا 
+
+142
+00:13:31,250 --> 00:13:35,890
+نسوينه في الرسماتنا القيم كانت شيء فوق ال curve
+
+143
+00:13:35,890 --> 00:13:40,550
+مشي تحت ال curve لإن هو ممكن يكون ال flow Qn أكبر 
+
+144
+00:13:40,550 --> 00:13:46,710
+من Qm ممكن تكون Qn أقل من Qm اللي أنت بتقول لي إنه
+
+145
+00:13:46,710 --> 00:13:53,410
+دلتا دي أس is it always positive؟ أه؟ لأ لإن أنت
+
+146
+00:13:53,410 --> 00:13:55,610
+لو كنت بعقد بين النقطة high و النقطة high
+
+147
+00:13:59,210 --> 00:14:02,130
+بالـ negative إذا ممكن تكون delta S positive ممكن 
+
+148
+00:14:02,130 --> 00:14:04,870
+تكون delta S negative عشان هيك ممكن تكون ال
+
+149
+00:14:04,870 --> 00:14:07,890
+component high بال positive ممكن تكون ال component
+
+150
+00:14:07,890 --> 00:14:11,910
+high بال negative طبعاً لما تكون بال positive أو
+
+151
+00:14:11,910 --> 00:14:14,850
+بال negative معروف أن QM ممكن تكون أكبر من QN أو 
+
+152
+00:14:14,850 --> 00:14:19,390
+العكس تكون QN أكبر من QM إلا في حالة steady state
+
+153
+00:14:19,390 --> 00:14:19,950
+high
+
+154
+00:14:23,140 --> 00:14:26,940
+مش أنا بقول delta S بصوي delta H على delta T في V
+
+155
+00:14:26,940 --> 00:14:32,160
+ضرب V هذه معروفة قيمة velocity لكن delta H على
+
+156
+00:14:32,160 --> 00:14:39,600
+delta T is it always positive؟
+
+157
+00:14:39,600 --> 00:14:46,200
+طبعاً
+
+158
+00:14:46,200 --> 00:14:52,620
+هنا معي أنا عندي هنا QM على QN بتساوي جذر الواحد
+
+159
+00:14:52,620 --> 00:14:57,220
+plus القيمة هذه إذا كانت القيمة هاي بال negative
+
+160
+00:14:57,220 --> 00:15:04,920
+بال negative بصير عندي الجذر أقل من واحد مش هيك
+
+161
+00:15:04,920 --> 00:15:07,660
+لما بتطلع عندي القيمة هاي q1 على q1 بتساوي point
+
+162
+00:15:07,660 --> 00:15:12,100
+nine ماشي 
+
+163
+00:15:12,100 --> 00:15:18,310
+أقل منها طب لو كانت بال positive بصير عند هنا جذر 
+
+164
+00:15:18,310 --> 00:15:22,710
+أكبر من الواحد و لا مش هيك يعني ممكن تكون أنا 
+
+165
+00:15:22,710 --> 00:15:25,410
+القصد في النهاية إنه مادام هذه ممكن تكون positive 
+
+166
+00:15:25,410 --> 00:15:36,630
+ممكن تكون negative كيه؟
+
+167
+00:15:36,630 --> 00:15:42,030
+كقيمة؟ نعم طبعاً أنت خلي بالك من هنا ما أنت تطلع 
+
+168
+00:15:42,030 --> 00:15:45,150
+عليها من المعادلة بالأساس أنا بقول one plus delta
+
+169
+00:15:45,150 --> 00:15:51,300
+S على S معادلة التغير لـ S بالنسبة لـ S نفسها إذا بده
+
+170
+00:15:51,300 --> 00:15:57,920
+يكون معادلة التغير أكبر منها what does it mean؟ ال
+
+171
+00:15:57,920 --> 00:16:04,120
+slope ماشي .. ال slope ماشي هيك إذا بده يكون
+
+172
+00:16:04,120 --> 00:16:09,980
+التغير عكسي و أعلى منها، ما تبدأ يصير المي ماشي هيك
+
+173
+00:16:09,980 --> 00:16:13,120
+هيك بده يبقى معناتك .. بدك تكون عندي أكبر من واحد
+
+174
+00:16:13,120 --> 00:16:17,300
+ولا مش هيك؟ و هذا يعني حكي نظري يعني أنا ال flood
+
+175
+00:16:17,300 --> 00:16:20,440
+بمشي بس باتجاه ال flow ب .. ب .. ب .. بنركز؟ إذا 
+
+176
+00:16:20,440 --> 00:16:26,920
+اتجاه ال flow .. ماشي الحال؟ هاي هي فكرة إنه لما 
+
+177
+00:16:26,920 --> 00:16:31,920
+أنا طبعاً هنا لما أنا بروح بجيء ال stage بعدين أنا
+
+178
+00:16:31,920 --> 00:16:35,720
+رسمت ال rating here و ال rating here فعلاً زي ما
+
+179
+00:16:35,720 --> 00:16:41,080
+حكينا ب .. بعطيني حالة ال stage stage اللي هو QI
+
+180
+00:16:42,040 --> 00:16:49,280
+هذا أنا بروح على ال field بجيء H و بجيء delta H
+
+181
+00:16:49,280 --> 00:16:56,260
+على delta T و باجي هنا بطلع على ال curve باخد منه 
+
+182
+00:16:56,260 --> 00:17:03,680
+QM و إذا أنا بتعرف ال actual flow QM بستخدم مين؟
+
+183
+00:17:03,680 --> 00:17:07,800
+المعادلة هذه طبعاً عشان تستخدم المعادلة هذه 
+
+184
+00:17:07,800 --> 00:17:12,280
+المعادلة لازم تكون عارف أنت دائماً قيمة VW طبعاً ال
+
+185
+00:17:12,280 --> 00:17:17,020
+VW كيف بجيء بعرفها؟ مش أنا عندي من .. من ال curve 
+
+186
+00:17:17,020 --> 00:17:21,020
+أوجدت قيمة QN المقطع الميه عندي معروف ولا مش 
+
+187
+00:17:21,020 --> 00:17:24,860
+معروف؟ المقطع الميه عندي معروف إذا لو جسمت ال Q 
+
+188
+00:17:24,860 --> 00:17:29,780
+على مقطع الميه بعطيني مين؟ بعطيني V فانتظرك واحد و
+
+189
+00:17:29,780 --> 00:17:34,260
+one point four بعطيني VW إذا أنا بقدر أعمل 
+
+190
+00:17:34,260 --> 00:17:36,540
+adjustment و أقول إن ال actually flow اللي ماشي في
+
+191
+00:17:36,540 --> 00:17:40,000
+المقطع المائي هو هذا ال team مش ال team الموجودة 
+
+192
+00:17:40,000 --> 00:17:46,790
+في .. إزاي تنكر؟ لأ
+
+193
+00:17:46,790 --> 00:17:52,830
+ما أنت بتكونش عندك M أنت M .. طبعاً هنا النقطة بتقول
+
+194
+00:17:52,830 --> 00:17:57,850
+طب هو الأصل إنه يقسم مين؟ M .. QM ولا QN؟ هو الأصل
+
+195
+00:17:57,850 --> 00:18:02,210
+إنك تجسم QM لكن ال QM مش موجودة لكن أنا بتقول على 
+
+196
+00:18:02,210 --> 00:18:06,250
+عملية بنعمل adjustment لل care مش إنه يعني القيم 
+
+197
+00:18:06,250 --> 00:18:09,290
+يعني لو أنا دي تحكي .. و احنا حنحاول نشوف example
+
+198
+00:18:09,890 --> 00:18:13,370
+ونشوف الاسم اللي تغير ماذا يعني يعني قداش ال base
+
+199
+00:18:13,370 --> 00:18:17,710
+-cent اللي عملنا بيتحدث فيها بيقولي arrival of the 
+
+200
+00:18:17,710 --> 00:18:21,330
+shot measurement made during a flood indicate يعني
+
+201
+00:18:21,330 --> 00:18:26,930
+احنا عملنا flow measurement فكانت هنا ال Q وانا
+
+202
+00:18:26,930 --> 00:18:32,950
+هتبع هنا ال QW وهي عملياً عبارة عن ال Q M بصوي 
+
+203
+00:18:32,950 --> 00:18:38,740
+تلات تلاف ومية وستين متر مكعب بيسا كانت هذه عبارة 
+
+204
+00:18:38,740 --> 00:18:44,240
+عن الـ actual during the measurement which took
+
+205
+00:18:44,240 --> 00:18:48,380
+two hours يعني عملنا ال measurement خلال ساعتين 
+
+206
+00:18:48,380 --> 00:18:53,300
+the gauge height increased from 50.4 to 50.52
+
+207
+00:18:53,300 --> 00:18:59,800
+Delta H على Delta T level readings taken at water
+
+208
+00:18:59,800 --> 00:19:04,240
+surface 400 متر upstream of the observation site
+
+209
+00:19:04,240 --> 00:19:08,950
+different by 100 millimeter يعني أنا .. وين أنا 
+
+210
+00:19:08,950 --> 00:19:14,430
+وقفت؟ كنت أنا أشوف ال streams على .. على مسافة 400
+
+211
+00:19:14,430 --> 00:19:19,310
+متر upstream و 300 متر downstream كان الفرق في ال
+
+212
+00:19:19,310 --> 00:19:23,910
+level 100 ملي متر هذه إيش بتعطيني؟ Delta S ..
+
+213
+00:19:23,910 --> 00:19:26,030
+Delta S .. Delta S .. Delta S .. Delta S .. Delta
+
+214
+00:19:26,030 --> 00:19:27,710
+S .. Delta S .. Delta S .. Delta S .. Delta S ..
+
+215
+00:19:27,710 --> 00:19:29,110
+Delta S .. Delta S .. Delta S .. Delta S .. Delta
+
+216
+00:19:29,110 --> 00:19:29,950
+S .. Delta S .. Delta S .. Delta S .. Delta S ..
+
+217
+00:19:29,950 --> 00:19:31,010
+Delta S .. Delta S .. Delta S .. Delta S .. Delta
+
+218
+00:19:31,010 --> 00:19:31,850
+S .. Delta S .. Delta S .. Delta S .. Delta S أنت
+
+219
+00:19:31,850 --> 00:19:36,190
+بتضطري تشتغلي خلينا نحكي مساحياً واقف هنا روحت خدت 
+
+220
+00:19:36,190 --> 00:19:40,190
+ال level هنا على بعد 400 متر upstream وخدت ال
+
+221
+00:19:40,190 --> 00:19:44,810
+level هنا على بعد 300 متر downstream خلال النقطتين
+
+222
+00:19:44,810 --> 00:19:51,470
+هدولة كان الفرق 10 centimeter مظبوط؟ 
+
+223
+00:19:51,470 --> 00:19:57,210
+إذا أنا 10 centimeter على مسافة جديش؟ 700 متر إذا 
+
+224
+00:19:57,210 --> 00:19:59,850
+هذي بتعطيني ميل؟ بتعطيني أس
+
+225
+00:20:03,290 --> 00:20:07,590
+طب أنا بقول لي the river was 600 meter wide عدّ
+
+226
+00:20:07,590 --> 00:20:11,450
+المقطع المائي as of 500 متر with an average depth
+
+227
+00:20:11,450 --> 00:20:16,630
+of 4 meter واتفاعه أربع متر at the time of
+
+228
+00:20:16,630 --> 00:20:23,870
+measurement خلال فترة القياس at what coordinate
+
+229
+00:20:23,870 --> 00:20:26,230
+should the measurement be plotted in the rating
+
+230
+00:20:26,230 --> 00:20:34,640
+here نعم يعني بدو قيمة و أقول إنه عند ال gauge
+
+231
+00:20:34,640 --> 00:20:40,520
+هذي بتعلم على هاي النقطة طبعاً عشان أشتغل أول شغل
+
+232
+00:20:40,520 --> 00:20:44,000
+أنا بحسب ال cross section area ال cross section
+
+233
+00:20:44,000 --> 00:20:50,900
+area 800 متر في 4 متر و هذي بتساوي 2000 متر مربع 
+
+234
+00:20:50,900 --> 00:20:55,620
+مش هي طبعاً ال average water velocity اكيو على ال 
+
+235
+00:20:55,620 --> 00:21:02,140
+area عشان أحصل vw one point four في one point five 
+
+236
+00:21:02,140 --> 00:21:06,340
+بقيت بيصوي اتنين point اتنين واحد اتنين meter per
+
+237
+00:21:06,340 --> 00:21:12,060
+second Delta H على Delta T هي أنا كده هنا اتناشر
+
+238
+00:21:12,060 --> 00:21:24,040
+صنطي ولا عشرة صنطي السؤال نعم
+
+239
+00:21:24,040 --> 00:21:28,300
+Delta H على Delta T أنا من خمسين point four الى
+
+240
+00:21:28,300 --> 00:21:33,990
+خمسين point خمس اتنين 12 خلال .. خلال two عوض اللي
+
+241
+00:21:33,990 --> 00:21:40,550
+هي 7200 second فقداش بيساوي delta H على delta T SO
+
+242
+00:21:40,550 --> 00:21:45,570
+قولنا عبارة عن إنه فرق ال slope point one على
+
+243
+00:21:45,570 --> 00:21:49,810
+سبعمية فبتطلع القيمة هاي هلسة ممكن أعوض في 
+
+244
+00:21:49,810 --> 00:21:54,630
+المعادلة هاي عشان نتعوجد قيمة QN مباشرة من
+
+245
+00:21:54,630 --> 00:21:59,330
+المعادلة هاي QN مباشرة تطلع عندي بتساوي QM في مين؟ 
+
+246
+00:22:00,700 --> 00:22:06,960
+في .. أو على .. على الجذر ايه نعم تطلع تساوي تلت .. 
+
+247
+00:22:06,960 --> 00:22:12,920
+تلت .. تلتلاف و تمانين هي جديش كانت actual تلتلاف
+
+248
+00:22:12,920 --> 00:22:17,780
+و مية و ستين يعني فرق هنا بحدود تمانين مثل مقعد في 
+
+249
+00:22:17,780 --> 00:22:22,600
+جديش في تلتلاف لا بحكي في .. يعني جديش ال .. ال ..
+
+250
+00:22:22,600 --> 00:22:25,960
+ال .. القطع أو يعني الفرق ما بين ال actual و ما 
+
+251
+00:22:25,960 --> 00:22:28,680
+بين ال real يعني عشان هيك ما نعش نتوقع إنه أنا بحكي
+
+252
+00:22:28,680 --> 00:22:32,280
+الفرق مكون ستين، سبعين، تسعين في المية بس طبعاً هنا
+
+253
+00:22:32,280 --> 00:22:35,920
+في الفلوس بهمنا في الأخير المظبوط بتحكي هنا تلت 
+
+254
+00:22:35,920 --> 00:22:39,580
+تلاف و تمانين و هنا تلت تلاف و مية و ستين لكن 
+
+255
+00:22:39,580 --> 00:22:45,080
+تمانين متر مكعب في السكن اضبها في الساعة جديش
+
+256
+00:22:45,080 --> 00:22:50,960
+اضبها في اليوم جديش ده نستعنيه الكميات لا يُستهان
+
+257
+00:22:50,960 --> 00:22:55,760
+إبها بهمنا أن نحسبها إلى أقصى ما يمكن من .. من
+
+258
+00:22:55,760 --> 00:23:00,520
+الدقة وبهيك أنا بقول بهذه الطريقة أنا بقدر أني
+
+259
+00:23:00,520 --> 00:23:08,540
+أستفيد و أربط علاقة ما بين ال .. ال q n و ال q m 
+
+260
+00:23:08,540 --> 00:23:11,380
+أو على أقل إنه لما أنا بروح بعمل measurement أني
+
+261
+00:23:11,380 --> 00:23:18,310
+أحسب كده قيم ال qn و من ثم أعرف قيم ال qm أحياناً شو 
+
+262
+00:23:18,310 --> 00:23:28,430
+بنعمل؟ عشان ما أعملش estimation لموضوع VW عشان 
+
+263
+00:23:28,430 --> 00:23:33,830
+ما أعملش estimation لموضوع VW شو بنيجي بنعمل؟ بتقول لي
+
+264
+00:23:33,830 --> 00:23:38,090
+المعادلة اللي عندنا ارجع لإلها شوي المعادلة هاي
+
+265
+00:23:38,090 --> 00:23:44,110
+بتقول لي QM على QN بتساوي جزر واحد plus واحد على VWS
+
+266
+00:23:44,110 --> 00:23:49,860
+of Delta H على Delta T شو بيروحوا بيعملوا؟ لما احنا 
+
+267
+00:23:49,860 --> 00:23:53,060
+بنعمل flow measurement لما أنا عشان أظهرهم ال 
+
+268
+00:23:53,060 --> 00:23:56,800
+rating curve عشان أظهرهم ال rating curve مش أنا
+
+269
+00:23:56,800 --> 00:24:01,140
+بروح بعمل flow measurement qm ولا مش ايه؟ و بعديها 
+
+270
+00:24:01,140 --> 00:24:04,980
+بروح بظهرهم ال rating curve طيب عند نفس ال stage
+
+271
+00:24:04,980 --> 00:24:10,880
+مش أنا من ال rating curve بطلع قيمة qn ولا لا؟ بنفس 
+
+272
+00:24:10,880 --> 00:24:15,560
+اللحظة بكون أنا لما كنت بعمل ال flow measurement 
+
+273
+00:24:15,560 --> 00:24:19,960
+بجيء التغير في ال stage delta H على delta T لما
+
+274
+00:24:19,960 --> 00:24:25,820
+بجيء delta H على delta T و QM عندي و QN عندي ال QM
+
+275
+00:24:25,820 --> 00:24:29,660
+من ال flow measurement و QN من ال rating curve لما 
+
+276
+00:24:29,660 --> 00:24:34,640
+طلعتها برضه هطلع .. هطلع قيمة one على VWS هو اللي 
+
+277
+00:24:34,640 --> 00:24:39,990
+برضه عشان هطلحها برضه هطلحها و بضبطها مع مين؟ مع ال 
+
+278
+00:24:39,990 --> 00:24:46,990
+stage مع ال stage بربطها مع ال stage فبكون بجانب 
+
+279
+00:24:46,990 --> 00:24:50,730
+ال curve هذا اللي أنا راسمه اللي بربط ال stage مع
+
+280
+00:24:50,730 --> 00:24:55,850
+قد الشاطر عامل كمركزي ربط ال stage مع مين؟ مع واحد 
+
+281
+00:24:55,850 --> 00:25:02,970
+على الـ VW في الـ SO ببطل ساعتها بالذمن نحو الـ stage باجي
+
+282
+00:25:02,970 --> 00:25:07,010
+على الـ curve هذا بجي في الـ QN وعلى الـ curve الثاني
+
+283
+00:25:07,630 --> 00:25:12,070
+بجيب واحد .. بحسب قيمة واحد على VW في SO Delta H
+
+284
+00:25:12,070 --> 00:25:16,250
+على Delta T أنا عملتها لما .. لما روحتها ألاحظ
+
+285
+00:25:16,250 --> 00:25:24,930
+بشوف واحد التغيير فيها اتماسك بتطلع قيمة الـ T1 بدل
+
+286
+00:25:24,930 --> 00:25:31,550
+ذلك يعتمد على كيف إنه يطلع القيمة الـ VW لأ أنا
+
+287
+00:25:31,550 --> 00:25:35,580
+بتطلعها من خلال مباشرة بجانب الـ care فهذا بكون رسم
+
+288
+00:25:35,580 --> 00:25:40,940
+كمان care V بطلاقة ما بين الـ stage و ما بين الـ one
+
+289
+00:25:40,940 --> 00:25:45,260
+.. هذي .. هي هذي اللي تجه للـ chart care ما بين الـ
+
+290
+00:25:45,260 --> 00:25:50,640
+stage و واحد على VW فاسقه و هذا كله بعمله one time
+
+291
+00:25:50,640 --> 00:25:56,140
+أثناء لما بنكون نحاول نصمم الـ rating care بالطريقة
+
+292
+00:25:56,140 --> 00:26:00,280
+هاي أنا بكون عملت كل الـ adjustment اللي أنا بديهم
+
+293
+00:26:00,280 --> 00:26:02,940
+أنا بقدر إنه بس كل ما .. كل اللي بالضمن بعد هيك
+
+294
+00:26:02,940 --> 00:26:06,080
+إني أروح على الـ .. على الصعي أجيس الـ flow و أستنى
+
+295
+00:26:06,080 --> 00:26:10,140
+شوية أجيس الـ stage أسف أجيس الـ stage و بعد شوية
+
+296
+00:26:10,140 --> 00:26:14,100
+أستنى كمان مرة أجيس الـ stage إذا the same انتهى و
+
+297
+00:26:14,100 --> 00:26:16,780
+الـ flow عندي till the city إذا not the same إذا الـ
+
+298
+00:26:16,780 --> 00:26:19,920
+flow عندي not the city و من هنا بحدد قيمة Delta H
+
+299
+00:26:19,920 --> 00:26:23,760
+على Delta T اوتوماتيك من المعادلة بتطلع قيمة الـ Q1
+
+300
+00:26:23,760 --> 00:26:26,860
+اللي هي الـ actual الـ flow اللي ماشي في المجال
+
+301
+00:26:26,860 --> 00:26:31,170
+معايا واضح هاي النقطة؟ في حد فيكم عنده سؤال في
+
+302
+00:26:31,170 --> 00:26:32,490
+الجزئية هاي؟ 
diff --git a/PL9fwy3NUQKwbvMSfUJhi-cxpo3gq_SISD/be1DIsQqEJg.srt b/PL9fwy3NUQKwbvMSfUJhi-cxpo3gq_SISD/be1DIsQqEJg.srt
new file mode 100644
index 0000000000000000000000000000000000000000..59ee146dd39e3301cbb39a0526f2cc976335b0cd
--- /dev/null
+++ b/PL9fwy3NUQKwbvMSfUJhi-cxpo3gq_SISD/be1DIsQqEJg.srt
@@ -0,0 +1,1335 @@
+1
+00:00:05,100 --> 00:00:10,420
+المحاضرة الماضية بلشنا نحكي في another method أنه
+
+2
+00:00:10,420 --> 00:00:13,740
+كيف نشتق الهيدروغراف وكانت الطريقة هذه من خلال
+
+3
+00:00:13,740 --> 00:00:17,560
+استخدام الـ S-Curve وقلنا الـ S-Curve هو طريقة
+
+4
+00:00:17,560 --> 00:00:20,980
+بتساعدنا أنه نشتق الهيدروغراف سواء من short
+
+5
+00:00:20,980 --> 00:00:23,660
+duration إلى long duration أو من long duration إلى
+
+6
+00:00:23,660 --> 00:00:28,060
+short duration يعني على كل الطرق بتظبط trick الـ S
+
+7
+00:00:28,060 --> 00:00:33,380
+-Curve أنه أنا إذا كان عندي الـ hydrograph لـ storm
+
+8
+00:00:33,380 --> 00:00:39,060
+بـ duration معينة أنا بعمل من خلالها multi-storms
+
+9
+00:00:39,060 --> 00:00:41,700
+with the same duration with the same intensities
+
+10
+00:00:41,700 --> 00:00:45,000
+بشكل consequent يعني بتخلص واحدة بتبدأ ثانية، بتخلص
+
+11
+00:00:45,000 --> 00:00:47,760
+ثانية، بتبدأ ثالثة وهكذا، ولما بعمل 
+
+12
+00:00:47,760 --> 00:00:51,660
+superposition لإلهم بجمعهم هدول مع بعض بعطوني
+
+13
+00:00:51,660 --> 00:00:57,250
+أنه ماذا يحدث لعند ما أصل للـ peak مدام الـ storm
+
+14
+00:00:57,250 --> 00:01:02,690
+مستمر لما بعد الـ peak إذا الـ peak بيبقى continuous
+
+15
+00:01:02,690 --> 00:01:10,830
+إذا أنا فرضت أي storm بـ shift معين عن هاي الـ storm
+
+16
+00:01:10,830 --> 00:01:16,370
+راح تأخذ نفس شكل الـ S-Curve ولكن بـ shift بالقيم
+
+17
+00:01:16,370 --> 00:01:21,370
+اللي أنا عملت فيها هاي الـ shift إذا طرحت الـ storm
+
+18
+00:01:21,370 --> 00:01:25,460
+الثانية من الـ storm الأولى معناته هو الهيدروغراف للـ
+
+19
+00:01:25,460 --> 00:01:28,860
+storm اللي الـ duration لها هو الـ shift اللي أنا
+
+20
+00:01:28,860 --> 00:01:35,380
+عملته هذا الحكي كان كأنه بالشكل التالي أنه أنا إذا 
+
+21
+00:01:35,380 --> 00:01:38,480
+فرضت أن كنت أنا يوصل storm بادئًا من time zero
+
+22
+00:01:38,480 --> 00:01:43,580
+معناته راح تأخذ هذا الـ curve اللي بلش من time zero
+
+23
+00:01:43,580 --> 00:01:48,520
+إذا فرضت another storm B with the same intensity
+
+24
+00:01:48,520 --> 00:01:54,260
+لكن بلشت بعد time T من الاستورم هذه راح تأخذ نفس
+
+25
+00:01:54,260 --> 00:02:00,160
+الـ S-Curve لكن بـ shift مقداره T حسناً ممكن أعتبر أن
+
+26
+00:02:00,160 --> 00:02:03,940
+الاستورم الأولى هي عبارة عن two storms واحد storm
+
+27
+00:02:03,940 --> 00:02:10,320
+duration T وواحد storm duration infinity تبدأ
+
+28
+00:02:10,320 --> 00:02:16,570
+مباشرة بعد مين؟ بعد الـ T عشان إذا طرحت الـ storm B
+
+29
+00:02:16,570 --> 00:02:20,570
+من الـ storm A أو الـ hydrograph لـ الـ storm B من الـ
+
+30
+00:02:20,570 --> 00:02:24,830
+storm A وكأنه عبارة عن الـ hydrograph لمن؟ للـ storm
+
+31
+00:02:24,830 --> 00:02:29,550
+الـ duration اللي لها بيساوي T وهذا هو المبدأ اللي
+
+32
+00:02:29,550 --> 00:02:33,090
+احنا بنحسب عليه عشان أنا T بحددها بناء على الـ
+
+33
+00:02:33,090 --> 00:02:38,690
+hydrograph لأي duration ساعة نص ساعة ساعتين خمس
+
+34
+00:02:38,690 --> 00:02:45,110
+ساعات عشر ساعات whatever ما عنديش فيه أي مشكلة لكن
+
+35
+00:02:45,110 --> 00:02:51,490
+صارت نقطة أنه أنا بقول أنه إذا كنت بدي أنا الـ unit
+
+36
+00:02:51,490 --> 00:02:59,710
+hydrograph بمعنى أنه إذا كنت أنا بدي أحسب جدّاش
+
+37
+00:02:59,710 --> 00:03:05,430
+قيمة الـ intensity أو يكون الـ depth عندك ساعة one
+
+38
+00:03:05,430 --> 00:03:09,230
+centimeter الواصل إذا كانت عند الـ catchment area
+
+39
+00:03:09,230 --> 00:03:14,330
+للمنطقة احنا بنقول إنه الـ catchment area ده المنطقة
+
+40
+00:03:14,330 --> 00:03:18,850
+مساحتها في واحد centimeter بتعطينا الـ volume للـ
+
+41
+00:03:18,850 --> 00:03:21,250
+storm ولا مش هيك؟ للـ volume للـ excess runoff
+
+42
+00:03:21,250 --> 00:03:24,950
+نفس الحكي لازم تكون الـ area اللي تحت الـ hydrograph
+
+43
+00:03:24,950 --> 00:03:29,050
+بيساوي هذا الـ volume إذا كانت الـ area اللي تحت الـ
+
+44
+00:03:29,050 --> 00:03:31,690
+hydrograph أكثر من هيك ماذا أنا بدي أعمل
+
+45
+00:03:31,690 --> 00:03:35,090
+adaptation بـ factor بحيث أن تكون الـ area اللي تحت
+
+46
+00:03:35,090 --> 00:03:38,990
+الـ hydrograph بتساوي الـ catchment area مضروبة في
+
+47
+00:03:38,990 --> 00:03:47,150
+depth بيساوي one centimeter هذه فكرة الأفكار نشوف
+
+48
+00:03:47,150 --> 00:03:53,010
+اليوم إيش
+
+49
+00:03:53,010 --> 00:04:03,550
+area فيهم طبعاً
+
+50
+00:04:03,550 --> 00:04:07,990
+في أكثر من طريقة لإنك تحددها إذا كانت بالنسبة لي
+
+51
+00:04:07,990 --> 00:04:14,270
+بنرسمها على مثلًا زي AutoCAD ماهي الـ area اللي بقوله
+
+52
+00:04:14,270 --> 00:04:17,590
+أعطيني الـ area اللي المحصورة يعني إذا أنا كنت
+
+53
+00:04:17,590 --> 00:04:23,670
+أقسمها يدويًا خليني أحكي هي هالساحات الـ area برضه
+
+54
+00:04:23,670 --> 00:04:28,770
+أنا أقسمها segments ولا مش segments وكل segment من
+
+55
+00:04:28,770 --> 00:04:35,000
+عندها Q<sub>i</sub> وQ<sub>i+1</sub> لأ أنا مش عاوزة كيف .. كيف أحسب
+
+56
+00:04:35,000 --> 00:04:38,860
+الـ area يعني دول إيش؟ قادرين بدي أحدد إن هي دي area؟
+
+57
+00:04:38,860 --> 00:04:41,900
+من هنا لهنا من بداية الـ hydrograph لنهاية الـ
+
+58
+00:04:41,900 --> 00:04:49,340
+hydrograph اه
+
+59
+00:04:49,340 --> 00:04:56,720
+مش احنا عندنا الـ
+
+60
+00:04:56,720 --> 00:05:01,380
+storm أو الـ hydrograph الأول هو بالشكل التالي، و
+
+61
+00:05:01,380 --> 00:05:04,040
+الهيدروغراف الثاني بالشكل التالي هذا رح يتخيلوا في
+
+62
+00:05:04,040 --> 00:05:08,540
+الأخر somewhere مظبوط؟ أنا باجي ببلش أنا الهيدرو
+
+63
+00:05:08,540 --> 00:05:14,200
+عبارة عن الـ times ولا لا؟ عند أي time هنا مثلًا هي
+
+64
+00:05:14,200 --> 00:05:21,960
+عبارة عن الـ Q<sub>1</sub> و Q<sub>2</sub> قدّيش بتساوي؟ سفر هل هذه فيها لا
+
+65
+00:05:21,960 --> 00:05:26,160
+فيها مقابل هنا؟ لأ رح تكون مقابل الطول هذا الـ Q
+
+66
+00:05:26,160 --> 00:05:29,480
+هو عبارة عن الـ Q تاعة الهيدروغراف الأولاني لأ لكن
+
+67
+00:05:29,480 --> 00:05:38,040
+لو جيت الـ time هنا هذه الـ Q<sub>1</sub> وهذه الـ Q<sub>2</sub> وأنا Q<sub>1</sub>
+
+68
+00:05:38,040 --> 00:05:46,120
+ناقص الـ Q<sub>2</sub> ستستمر لحد وين؟ لحد ما نصل هنا ستكون
+
+69
+00:05:46,120 --> 00:05:51,620
+الـ Q<sub>1</sub> ناقص الـ Q<sub>2</sub> قدر ما يتساوي فكرة الهيدروغراف يعني
+
+70
+00:05:51,620 --> 00:05:56,000
+بدش هنا تجيبش بصفة قلتها هنا
+
+71
+00:06:00,800 --> 00:06:05,860
+لما هي قلت لما تأخذ الـ Qs تأخذ مع الـ time مع الـ
+
+72
+00:06:05,860 --> 00:06:12,900
+Q لما ترسميهم هم هذا نعم بعدين لما ترسميهم أنتِ
+
+73
+00:06:12,900 --> 00:06:17,980
+بتجي تعملي المساحة بتحسبوا المساحة من هنا بتجي تأخذ
+
+74
+00:06:17,980 --> 00:06:22,460
+مثلًا هنا كان من صفر لساعة هنا كان من ساعة لساعتين
+
+75
+00:06:22,460 --> 00:06:25,880
+يعني مش كنت تقولي الـ time ساعة ساعتين ثلاثة أنتِ
+
+76
+00:06:25,880 --> 00:06:30,410
+بتحسي إن نهاية إيش؟ الفقه ولا لأ؟ فإذا بقولي هذه
+
+77
+00:06:30,410 --> 00:06:36,730
+كانت time 0 وهذه كانت time 1 بتقولي هذه الـ Q<sub>0</sub> زائد
+
+78
+00:06:36,730 --> 00:06:44,810
+الـ Q<sub>1</sub> على 2 الـ volume بتساوي هذه القيمة خليني أقول
+
+79
+00:06:44,810 --> 00:06:48,090
+هذه لحالها جابلي الـ Q بعدين قلت فيهم الـ Q<sub>0</sub> زائد
+
+80
+00:06:48,090 --> 00:06:52,420
+الـ Q<sub>1</sub> على 2 الـ volume إيش بدي أفعل؟ نعم طبعاً إذا
+
+81
+00:06:52,420 --> 00:06:55,800
+قسمت الـ time ساعة ساعة بتظهر القيمة هنا في one
+
+82
+00:06:55,800 --> 00:07:00,360
+hour بتعطيك الـ volume الـ volume الأول نفس حاجة الـ
+
+83
+00:07:00,360 --> 00:07:02,060
+volume الثاني نفس حاجة الـ volume الثاني تتراكم على
+
+84
+00:07:02,060 --> 00:07:06,700
+الخان بس لاحظت ما تتسكر معاي هنا هاي هي الفكرة
+
+85
+00:07:06,700 --> 00:07:12,680
+اللي احنا ممكن أن نكون بنشتغل عليها هسا احنا فيه
+
+86
+00:07:12,680 --> 00:07:20,000
+عندنا example الـ example شو معطيني؟ الـ example
+
+87
+00:07:20,000 --> 00:07:27,300
+معطيني الـ unit hydrograph لـ four hour duration
+
+88
+00:07:27,300 --> 00:07:32,000
+يعني four hour unit hydrograph معطيني الـ time و
+
+89
+00:07:32,000 --> 00:07:35,760
+معطيني مين؟ الـ Q اللي هو الـ ordinates of four
+
+90
+00:07:35,760 --> 00:07:41,640
+hour unit hydrograph متر مكعب per second اللي
+
+91
+00:07:41,640 --> 00:07:44,960
+طلبوا مني هنا أن أنا أحسب مين؟
+
+92
+00:07:48,420 --> 00:07:55,080
+الـ Unit Hydrograph لـ Twelve hour duration طب على
+
+93
+00:07:55,080 --> 00:07:57,200
+الـ Twelve hour duration أنا كان ممكن أستخدم
+
+94
+00:07:57,200 --> 00:08:01,100
+الطريقة السابقة لإن أحط ثلاثة storms كل واحدة مدتها
+
+95
+00:08:01,100 --> 00:08:06,240
+أربع ساعات أربع ساعات أربع ساعات شو بتعطيني؟ Last
+
+96
+00:08:06,240 --> 00:08:09,520
+storm duration اتناشر ساعة ممكن أستخدم الـ S-Curve
+
+97
+00:08:09,520 --> 00:08:14,160
+طب أنا كيف بأستخدم الـ S-Curve بالمناسبة؟ أنا بحط
+
+98
+00:08:14,160 --> 00:08:17,220
+storm وراء الثانية وبس كل واحد مشفت عن اللي قبلها
+
+99
+00:08:17,220 --> 00:08:22,660
+أربع ساعات طبعًا أنا ممكن أحط هيك storms خمسة سبعة
+
+100
+00:08:22,660 --> 00:08:26,840
+ثمانية خمسة عشر عشرين بحيث أنه إيش؟ يعني امتى أنا
+
+101
+00:08:26,840 --> 00:08:30,060
+بقول أنه it's enough لما تصير القيم اللي عندي
+
+102
+00:08:30,060 --> 00:08:36,500
+تستمر فترة أنه اه يعني بصحش مثلًا أوصل لهنا من هذا
+
+103
+00:08:36,500 --> 00:08:44,500
+الـ storm لازم تضل تمتد لإيش؟ إلى ما بعد أن نصل للـ
+
+104
+00:08:44,500 --> 00:08:50,500
+لسه قيمها دي high لحد ما الـ peak تستمر فترة من
+
+105
+00:08:50,500 --> 00:08:54,400
+الزمن طبعاً
+
+106
+00:08:54,400 --> 00:08:59,320
+هنا في طريقة أنه ممكن تكون بحد معين ببساطة في
+
+107
+00:08:59,320 --> 00:09:03,320
+العملية هذه أنا ممكن على الـ Excel أجي أعمل إن هاي
+
+108
+00:09:03,320 --> 00:09:07,370
+الـ storm الأولى كانت الـ Q صفر عشرين ثمانين مئة وثلاثين طبعًا
+
+109
+00:09:07,370 --> 00:09:10,330
+كل أربع ساعات بعدين بحط جنبها كمان
+
+110
+00:09:10,330 --> 00:09:15,270
+storm بس بتكون صفر صفر عشرين ثمانين مئة وثلاثين
+
+111
+00:09:15,270 --> 00:09:19,690
+بعدين كمان جنبها واحد صفر صفر صفر عشرين ثمانين مئة و
+
+112
+00:09:19,690 --> 00:09:23,870
+ثلاثين وهكذا بعدين لما بصير أجمع راح ألاقي
+
+113
+00:09:23,870 --> 00:09:27,470
+حالي في الآخر أنه بتصل عند القيم هنا طبعًا لاحظوا
+
+114
+00:09:27,470 --> 00:09:27,970
+شو عمل
+
+115
+00:09:33,930 --> 00:09:37,330
+أنا .. أنا بقولك الأصل الحين هو في المثال كيف ممكن
+
+116
+00:09:37,330 --> 00:09:41,310
+أختصر رياضياً أني أضغط .. ما أحطش عشرة خمسة عشر كلها
+
+117
+00:09:41,310 --> 00:09:44,190
+من جانب بعض وأجمعهم هو اللي عامل في الـ example
+
+118
+00:09:44,190 --> 00:09:47,610
+يعني أنه نعم أنا بقول الأصل عشان أنا أفهم الـ
+
+119
+00:09:47,610 --> 00:09:51,230
+example بالأول لأن الأصل هو عبارة عن أنا بصفت عشرة
+
+120
+00:09:51,230 --> 00:09:54,150
+اثنا عشر خمسة عشر ستورم من جانب بعض كل واحد بـ shift
+
+121
+00:09:54,150 --> 00:09:56,790
+عن الثاني هنا في الـ example هذا أربع ساعات لأن هنا
+
+122
+00:09:56,790 --> 00:10:02,310
+الاستورم هذه مدتها أربعة بعدين بجمع هفروض الحين إذا
+
+123
+00:10:02,310 --> 00:10:06,510
+كنت هذا الحكيم هذا الأصل الحين رياضياً كيف يمكن
+
+124
+00:10:06,510 --> 00:10:12,430
+له أن يتغلب على هذه العملية؟ لحظة شو مسوي؟ أجي هنا
+
+125
+00:10:12,430 --> 00:10:21,170
+في كولوم ثلاثة أجي آخذ أول واحد كانت قدّيش؟ صفر نعم
+
+126
+00:10:21,170 --> 00:10:25,470
+مظبوط؟ لأ خليني أحكي قلصي بعد أربع ساعات أجي آخذ
+
+127
+00:10:25,470 --> 00:10:28,570
+أول قيمة هنا اللي كانت مين؟ أولاش عامل shift يعني
+
+128
+00:10:28,570 --> 00:10:34,390
+رياضياً عامل shift بعدين أجي آخذ أول واحدة صفر أجي
+
+129
+00:10:34,390 --> 00:10:39,210
+آخذ الثانية اللي تحتيها بتكون مش عشرين بتكون
+
+130
+00:10:39,210 --> 00:10:44,110
+العشرين هذه زائد اللي منها وفوق طبعًا اللي منها و
+
+131
+00:10:44,110 --> 00:10:49,070
+فوق كان قدّيش؟ صفر أجي آخذ الثالثة هذه المئة هذه
+
+132
+00:10:49,070 --> 00:10:54,430
+عبارة عن مين؟ عبارة عن الثمانين .. الثمانين زائد
+
+133
+00:10:54,430 --> 00:11:01,610
+مين؟ زائد العشرين هذه آخذ الـ .. الـ .. الـ مئة و
+
+134
+00:11:01,610 --> 00:11:06,270
+ثلاثين هذه .. المئة وثلاثين هذه منين أتيت؟ المئة
+
+135
+00:11:06,270 --> 00:11:12,110
+وثلاثين زائد .. زائد المئة المئتين وثمانين عبارة
+
+136
+00:11:12,110 --> 00:11:17,980
+عن مين؟ المئة وخمسين زائد المئتين والثلاثين وهكذا
+
+137
+00:11:17,980 --> 00:11:23,280
+مجرة هذا كلهم هدول عبارة عن مين؟ كانوا عبارة عن الـ
+
+138
+00:11:23,280 --> 00:11:29,380
+accumulation من الـ storm الثانية وامشي هدول عبارة
+
+139
+00:11:29,380 --> 00:11:32,200
+عن الـ accumulation من الـ storm الثانية وامشي الآن
+
+140
+00:11:32,200 --> 00:11:37,960
+عشان أعمل الـ S-Curve عشان أعمل الـ S-Curve بجمع 
+
+141
+00:11:37,960 --> 00:11:41,900
+هذه الثلاث مع اثنين عشان اثنين كانت بس رقم ..
+
+142
+00:11:41,900 --> 00:11:46,380
+كلهم رقم اثنين كان بس عبارة عن الـ storm الأولى كل
+
+143
+00:11:46,380 --> 00:11:51,120
+رقم ثلاثة كان عبارة عن الـ accumulation للـ storm
+
+144
+00:11:51,120 --> 00:11:55,680
+الثاني والثالث والرابع والخامس إلى ما بدك فهو
+
+145
+00:11:55,680 --> 00:11:58,780
+الفكرة أنه بس هذه رياضياً أنا ممكن أعمل هذه نفس الـ
+
+146
+00:11:58,780 --> 00:12:03,670
+concept الأولاني بس عشان ما أقعدش أصفر Columns جنب
+
+147
+00:12:03,670 --> 00:12:07,870
+بعض بعدين ريزي اتجمع اثنين مع ثلاثة صفر عشرين مع
+
+148
+00:12:07,870 --> 00:12:10,470
+صفر عشرين ثمانين وعشرين مئة مئة وثلاثين مئة
+
+149
+00:12:10,470 --> 00:12:13,170
+وميتين وثلاثين مئة ومئة وخمسين وميتين وثلاثين
+
+150
+00:12:13,170 --> 00:12:19,550
+ثلاثمئة وثمانين وهلُّمّ جرّى واستمر في إيش نعم طلع
+
+151
+00:12:19,550 --> 00:12:24,390
+هذا الـ cad لو رسمناه لاحظوا احنا وصلنا ستمئة ستمئة
+
+152
+00:12:24,390 --> 00:12:29,090
+وخمسين ستمئة وثمانين ستمئة وتسعين سبعمئة سبعمئة
+
+153
+00:12:29,090 --> 00:12:30,370
+سبعمئة سبعمئة
+
+154
+00:12:34,140 --> 00:12:38,940
+نعم بصير عند الـ peak إيش continuous يعني ما تغير الـ
+
+155
+00:12:38,940 --> 00:12:45,620
+time الـ peak إيش ثابت واضحة النقطة هي؟ الحين طبعاً
+
+156
+00:12:45,620 --> 00:12:49,780
+أنا بدي أزيّ هذي طبعاً كان عبارة كلهم أربعة هو عن
+
+157
+00:12:49,780 --> 00:12:53,220
+الـ asker ذا الـ storm الأولى اللي بلشت من time zero
+
+158
+00:12:53,220 --> 00:12:58,180
+الحين إذا أنا بدي الـ storm يدورش ليلة اثنا عشر الساعة
+
+159
+00:12:59,320 --> 00:13:04,220
+بدي أعمل shift للقيم هذه 12 ساعة فبلش من هنا كله
+
+160
+00:13:04,220 --> 00:13:08,760
+مقام خمسة واحد اثنين ثلاثة طبعاً لإن الـ interval كل
+
+161
+00:13:08,760 --> 00:13:12,460
+أربع ساعات ثلاثة intervals كل interval أربع ساعات
+
+162
+00:13:12,460 --> 00:13:17,780
+إذا اثنا عشر الساعة بعدين بلش إيش يحرص يكتب نفس
+
+163
+00:13:17,780 --> 00:13:21,800
+القيم الـ asker في هذه صفر عشرين مئة ميتين ثلاثين
+
+164
+00:13:21,800 --> 00:13:22,540
+ثلاثين ثلاثين ثلاثين ثلاثين ثلاثين ثلاثين ثلاثين
+
+165
+00:13:22,540 --> 00:13:22,660
+ثلاثين ثلاثين ثلاثين ثلاثين ثلاثين
+
+166
+00:13:26,930 --> 00:13:32,850
+ماذا سأفعل؟ هذا يبقى curve رقم 2 curve بي بتضطح curve
+
+167
+00:13:32,850 --> 00:13:40,110
+بي من curve يعني كلهم رقم ستة و عبارة عن كلهم رقم
+
+168
+00:13:40,110 --> 00:13:45,090
+أربعة ناقص كلهم رقم خمسة، مظبوط؟ صفر، صفر، عشرين،
+
+169
+00:13:45,090 --> 00:13:48,390
+عشرين، مئة، مئة، ميتين وثلاثين، ميتين وثلاثين،
+
+170
+00:13:48,390 --> 00:13:51,350
+ثلاث مئة وثمانين، ناقص عشرين، ثلاث مئة وستين،
+
+171
+00:13:51,350 --> 00:13:53,250
+خمسماية وعشرة، ناقص مئة، أربعماية وعشرة، عشرة و
+
+172
+00:13:53,250 --> 00:13:56,370
+ستمانين، ناقص ميتين وثلاثين، ثلاث مئة وسبعين و
+
+173
+00:13:56,370 --> 00:14:01,550
+هلُّمّ جرّى في الآخر، إيش بال .. باللاحظ هنا؟ أنه صرنا
+
+174
+00:14:01,550 --> 00:14:05,370
+zero فعشان هيك لو أنا جيت على سبيل المثال في الـ
+
+175
+00:14:05,370 --> 00:14:10,890
+example ورحت أنا واقفت هنا راح ألاقي أنه في
+
+176
+00:14:10,890 --> 00:14:14,650
+الـ data اللي عندي لسه ما فكرتش عن سفر لازم أبتدى
+
+177
+00:14:14,650 --> 00:14:19,070
+يعني هنا هو ماخذ لحد اثنين وخمسين ساعة لأن اثنين
+
+178
+00:14:19,070 --> 00:14:24,870
+وخمسين ساعة هنا عملياً عندي بعبرة عن كذا store
+
+179
+00:14:24,870 --> 00:14:31,540
+بعبرة عن كذا story، حاسة أنا إذا وجدت حالي أن مساك
+
+180
+00:14:31,540 --> 00:14:35,980
+كانش عندي، في لحظات معناته لازم إيش؟ أزيد في الـ
+
+181
+00:14:35,980 --> 00:14:40,190
+data هذا عشان أمد في الـ .. في مين؟ في الـ asker في
+
+182
+00:14:40,190 --> 00:14:43,710
+الآخر وجد عنده أنه الصفر عشرين مئة ميتين وثلاثين
+
+183
+00:14:43,710 --> 00:14:45,790
+ثلاث مئة وستين أربع مئة وأربعين ثلاث مئة وسبعين
+
+184
+00:14:45,790 --> 00:14:47,810
+ميتين وثلاث مئة وسبعين ميتين وثلاث مئة وستين و
+
+185
+00:14:47,810 --> 00:14:48,610
+ثلاث مئة وستين وثلاث مئة وستين وثلاث مئة و
+
+186
+00:14:48,610 --> 00:14:49,970
+ستين وثلاث مئة وستين وثلاث مئة وستين و ثلاث
+
+187
+00:14:49,970 --> 00:14:50,390
+مية وستين وثلاث مئة وستين وثلاث مئة وستين و
+
+188
+00:14:50,390 --> 00:14:50,990
+ثلاث مئة وستين وثلاث مئة وستين وثلاث مئة و
+
+189
+00:14:50,990 --> 00:14:53,050
+ستين وثلاث مئة وستين وثلاث مئة وستين و ثلاث
+
+190
+00:14:53,050 --> 00:15:06,310
+مية وستين و
+
+191
+00:15:07,060 --> 00:15:12,920
+12 ساعة مظبوط أنا الـ hydrograph الأصلي كان عندي كان
+
+192
+00:15:12,920 --> 00:15:17,080
+للـ storm جديش مدتها أربع ساعات طبعاً كان unit
+
+193
+00:15:17,080 --> 00:15:22,980
+hydrograph مش هيك جديش الـ depth كان لإله واحد سم لكن
+
+194
+00:15:22,980 --> 00:15:30,380
+لما أنا وجدت الـ 12 ساعة لأ كانت كل أربع ساعات واحد
+
+195
+00:15:30,380 --> 00:15:38,190
+سم معناته أنه كل رقم ستة بعبّر عن إيش بعبّر عن
+
+196
+00:15:38,190 --> 00:15:44,390
+Hydrograph لـ Storm مدتها 12 ساعة والـ depth
+
+197
+00:15:44,390 --> 00:15:49,290
+إليها 3 سم هي عبارة عن مكانها combination لـ 3
+
+198
+00:15:49,290 --> 00:15:54,710
+storms كل واحد الـ depth لإله 1 سم إذا القيم هذه
+
+199
+00:15:54,710 --> 00:16:00,950
+عشان أحوّل القيم هذه من 3 سم الـ depth إلى 1 سم
+
+200
+00:16:00,950 --> 00:16:04,210
+الـ depth عشان تصير unit Hydrograph بتدرسم القيم
+
+201
+00:16:04,210 --> 00:16:13,090
+على مين؟ على 3 على ثلاثة اثنا عشر
+
+202
+00:16:13,090 --> 00:16:19,110
+على الـ أربع جديش بكل بساطة نعم الفكرة طبعاً أنت ممكن
+
+203
+00:16:19,110 --> 00:16:23,390
+تقسم الـ duration للجديد على الـ duration للقديم أو
+
+204
+00:16:23,390 --> 00:16:26,410
+أنه كان الـ depth للأصل الـ one hydrograph one
+
+205
+00:16:26,410 --> 00:16:28,870
+centimeter هذي كانت لما كانت اثنا عشر ساعة الـ depth
+
+206
+00:16:28,870 --> 00:16:32,230
+لإلها ثلاثة centimeter بدك تقسم على ثلاثة عشان أحولها
+
+207
+00:16:32,230 --> 00:16:36,950
+إلى unit hydrograph بـ depth one centimeter
+
+208
+00:16:39,860 --> 00:16:49,980
+واضحة النقطة؟ فضل ليش
+
+209
+00:16:49,980 --> 00:16:52,420
+بحط الـ tones ولا بعض؟
+
+210
+00:16:56,560 --> 00:17:00,520
+مظبوط هذا لو كان الـ example عندك أو السؤال أنا
+
+211
+00:17:00,520 --> 00:17:05,460
+ممكن أحلّه بالطريقتين لكن لو الـ example هي طلب
+
+212
+00:17:05,460 --> 00:17:08,940
+مني .. طلب مني أن أوجد الـ asker أو آسف الـ
+
+213
+00:17:08,940 --> 00:17:14,840
+hydrograph لـ ستورم مدتها two hours مش اثنا عشر ساعة
+
+214
+00:17:14,840 --> 00:17:17,240
+من أربع على اثنين
+
+215
+00:17:22,200 --> 00:17:24,800
+هذا الـ example لأنه كان ممكن أحلّه بالطريقة الأولى
+
+216
+00:17:24,800 --> 00:17:28,900
+بـ superposition ثلاثة جنبات مظبوط لكن أنا لو طلب
+
+217
+00:17:28,900 --> 00:17:33,460
+مني الـ example هذا مش لـ 12 ساعة طلبه لـ two hours
+
+218
+00:17:33,460 --> 00:17:40,120
+كيف بدي أحلّه؟ بدي أقسم الـ asker في هذا بعدين أقسم
+
+219
+00:17:40,120 --> 00:17:44,060
+الـ asker رقم اثنين بـ shift قد إيش أربع اثنا عشر اثنا عشر
+
+220
+00:17:44,060 --> 00:17:47,400
+اثنا عشر اثنا عشر اثنا عشر اثنا عشر اثنا عشر اثنا عشر اثنا عشر
+
+221
+00:17:47,400 --> 00:17:52,670
+اثنا عشر اثنا عشر مدهن بيده الـ two hour duration إذا
+
+222
+00:17:52,670 --> 00:17:58,710
+بعمل الـ fifth قد إيش ساعتين اه إيش ممكن تعملي هنا
+
+223
+00:17:58,710 --> 00:18:04,070
+أنا بدل الـ interval اللي موجود 048 بعمله 024 نعم
+
+224
+00:18:04,070 --> 00:18:07,070
+وبقول القيمة مثلاً عند 2 بعمل interpolation ما بين
+
+225
+00:18:07,070 --> 00:18:13,060
+0 و 20 عشرة طبعاً معناته أنا هنا ما عطاني interval كل أربع
+
+226
+00:18:13,060 --> 00:18:17,300
+ساعات لأن الـ example الـ 12 ساعة ما عنديش مشكلة بس
+
+227
+00:18:17,300 --> 00:18:21,720
+لو كان طلب مني لساعتين معناته الـ interval هادي كل
+
+228
+00:18:21,720 --> 00:18:24,180
+أربع ساعات ما تظبطش معايا لو بدي أعمل shift من
+
+229
+00:18:24,180 --> 00:18:27,180
+ساعتين بده تيجي في نص المسافة أنا هنا مدام الـ
+
+230
+00:18:27,180 --> 00:18:30,240
+data دي موجود بدل ما يجزّوا وياخدوا interval كل
+
+231
+00:18:30,240 --> 00:18:33,180
+أربع ساعات بقوا بياخدوا interval كل ساعتين لو طلب
+
+232
+00:18:33,180 --> 00:18:35,780
+مني لثلاث ساعات duration
+
+233
+00:18:43,990 --> 00:18:48,130
+لأ رح تيجي هي أو ليش الـ unit hydrograph نفسه ممكن
+
+234
+00:18:48,130 --> 00:18:52,270
+أقسمه ساعة ساعة يعني صفر واحد اثنين ثلاثة أربعة خمس
+
+235
+00:18:52,270 --> 00:18:56,150
+ستة سبعة ثمانية طبعاً موجود عندي أنا صفر أربع بس
+
+236
+00:18:56,150 --> 00:19:00,630
+بين الصفر والأربعة بتوجد للواحد واثنين والثلاثة و
+
+237
+00:19:00,630 --> 00:19:03,910
+بين الأربعة والثمانية بتوجد للخمس والست والسبعة
+
+238
+00:19:03,910 --> 00:19:07,370
+بدلاً أن صار عندي ساعة ساعة ساعة لو بدي أعمل shift
+
+239
+00:19:07,370 --> 00:19:13,550
+ثلاث ساعات ما فيش مشكلة مظبوط
+
+240
+00:19:13,550 --> 00:19:18,550
+أنت كله لـ اثنين وخمسين بس في الـ interval يعني القيم
+
+241
+00:19:18,550 --> 00:19:22,850
+عندك ثلاث عشرة قيمة هنا أنا عشان أصير .. بدي أشتغل
+
+242
+00:19:22,850 --> 00:19:26,670
+لساعتين، بدي أجزّئ مش لعربة لكل interval لعربة،
+
+243
+00:19:26,670 --> 00:19:29,390
+interval كل ساعتين، بدي فعلاً عندي صفر، اثنين،
+
+244
+00:19:29,390 --> 00:19:32,390
+أربعة، ستة، ثمانية، عشرة، اثنا عشر، بضل اثنين و
+
+245
+00:19:32,390 --> 00:19:36,210
+خمسين في النهاية accumulator بس أنا الـ intervals
+
+246
+00:19:36,210 --> 00:19:39,250
+عندي مش موجوده كل أربع ساعات، موجوده كل
+
+247
+00:19:49,400 --> 00:19:54,880
+ساعتين أنا ما بحكيش على الساعتين بقول عشان أنا بدي
+
+248
+00:19:54,880 --> 00:19:58,480
+أوجد لـ two hours duration عشان أعمل shift ما بين
+
+249
+00:19:58,480 --> 00:20:02,700
+column رقم أربعة و column رقم خمس بـ two hours لو
+
+250
+00:20:02,700 --> 00:20:05,220
+أنا على القيم هذه بقدر أعمل shift بـ two hours
+
+251
+00:20:05,220 --> 00:20:10,690
+بالضبط هي اللي احنا بنحكي لهادي الجزئية إذا لو أنا
+
+252
+00:20:10,690 --> 00:20:16,590
+طلب مني بده three hour unit hydrograph هنا بتيجي
+
+253
+00:20:16,590 --> 00:20:23,710
+نقطة practically إذا أنا عندي قيم 4, 8, 12 أنا عشان
+
+254
+00:20:23,710 --> 00:20:26,890
+أجزّئ لثلاثة ساعات لو كان ساعة ساعة ما عنديش مشكلة
+
+255
+00:20:26,890 --> 00:20:30,590
+فبروح أجزّئ الـ interval كل إيش؟ كل ساعة عشان أظل
+
+256
+00:20:30,590 --> 00:20:33,910
+عندي قيم الأربعة والثمانية والاثنا عشر موجودين بس لو
+
+257
+00:20:33,910 --> 00:20:38,130
+جيسيس جزّئي صفر ثلاثة، ستة، تسعة، اثنا عشر، راح تروحش
+
+258
+00:20:38,130 --> 00:20:42,200
+دي قيم من هدول؟ يعني استخدمت الـ interpolated و
+
+259
+00:20:42,200 --> 00:20:48,240
+لغيت القيم الأصلية اللي كانت مقاسة في الأصل أن
+
+260
+00:20:48,240 --> 00:20:53,120
+الساعة تجزّئ كل جد إيش كل ساعة ساعة لو طلب مني بده
+
+261
+00:20:53,120 --> 00:20:57,420
+.. راح أتجيك لو طلب مني بده duration أو unit
+
+262
+00:20:57,420 --> 00:21:00,660
+hydrograph لـ one point five hour نعم
+
+263
+00:21:07,600 --> 00:21:11,480
+بالنهاية القضية هنا في جدول زي هذه إذا بدي أشتغل
+
+264
+00:21:11,480 --> 00:21:14,940
+practical على الـ excel بعملهم بكل بساطة ما فيش
+
+265
+00:21:14,940 --> 00:21:19,240
+مشكلة بس أنا بقصد الـ concept اللي عندنا الحين
+
+266
+00:21:19,240 --> 00:21:23,480
+الأصل أنه أنا أفهم شو بنقصد بالـ asker كيف ممكن
+
+267
+00:21:23,480 --> 00:21:28,330
+أقسم الـ asker من أي unit هيدروغراف بعدها أنا لأي
+
+268
+00:21:28,330 --> 00:21:34,030
+duration بديها بعمل shift لـ asker ثاني بـ shift اللي
+
+269
+00:21:34,030 --> 00:21:38,710
+أنا بديها بطلع الثاني من الأول وبعدها بعمل
+
+270
+00:21:38,710 --> 00:21:47,370
+adaptation للـ store بحيث أني بدي أقيم في مين في الـ
+
+271
+00:21:47,370 --> 00:21:53,610
+duration للأول على الـ duration للثاني عشان هيك لو
+
+272
+00:21:53,610 --> 00:21:57,920
+كان بده لساعتين معناته القيم اللي طلعت عندي شو بعمل
+
+273
+00:21:57,920 --> 00:22:01,280
+فيهم؟
+
+274
+00:22:01,280 --> 00:22:08,880
+نعم يعني بضرب في اثنين لما كان لـ 12 ساعة جزّأت لثلاثة
+
+275
+00:22:08,880 --> 00:22:13,480
+لأن عبارة عن أربع على اثنا عشر يعني كان في الثلاثة ضربت
+
+276
+00:22:13,480 --> 00:22:19,680
+في ثلاثة لو كان لـ ساعتين أربع على اثنين يعني بيعني
+
+277
+00:22:19,680 --> 00:22:24,980
+أني بضرب في اثنين لو كان لـ ساعتين لو كان لـ ثلاث
+
+278
+00:22:24,980 --> 00:22:34,300
+ساعات أضرب بضرب أربع على ثلاثة لو كان لخمس ساعات أربع
+
+279
+00:22:34,300 --> 00:22:42,200
+على خمس مظبوط أيضاً لما أنا أتوجّه كان بدي أعمل
+
+280
+00:22:42,200 --> 00:22:45,300
+adaptation للقيم هذه عشان يكون الـ depth one
+
+281
+00:22:45,300 --> 00:22:49,740
+ضربنا القيام هذه في أربعة على اثنا عشر أو
+
+282
+00:22:49,740 --> 00:22:54,580
+بالأخر جسمنا على ثلاثة مظبوط لو أنا كنت بحسب ل two 
+
+283
+00:22:54,580 --> 00:22:58,980
+معناة القيام هذه راح تنضرب في our unit hydrograph
+
+284
+00:22:58,980 --> 00:23:09,440
+إيش؟ في أربعة على اثنين أو إني كأني بضرب في اثنين لو
+
+285
+00:23:09,440 --> 00:23:15,100
+كانت القيام هذه ل three hour unit هاي تضرب في أربعة
+
+286
+00:23:15,100 --> 00:23:21,740
+على ثلاثة مش هتولي ما كانت لـ اثنا عشر ساعة ضربنا
+
+287
+00:23:21,740 --> 00:23:28,590
+القيام هذه في أربعة على اثنا عشر لو كانت لساعتين بدي
+
+288
+00:23:28,590 --> 00:23:35,850
+أضرب لو كانت لثلاث ساعات لو 
+
+289
+00:23:35,850 --> 00:23:44,150
+كانت لست ساعات لأن هذه القيم تضرب لو كنت بدي أجسم
+
+290
+00:23:44,150 --> 00:23:47,370
+كل 
+
+291
+00:23:47,370 --> 00:23:53,470
+أربع ساعات أما لو كانت الهيدروغراف اللي موجود عندي
+
+292
+00:23:53,470 --> 00:23:56,510
+لساعتين بيكونوا شدوا الأربعة أحد ولا بيكونوا اثنين
+
+293
+00:23:57,310 --> 00:24:01,210
+على مين؟ على ال duration اللي أنا بدي أشتق له هو
+
+294
+00:24:01,210 --> 00:24:06,210
+هذا طبعا اسمع تضرب ضرب إذا بدي أجسم، بتكون العكس
+
+295
+00:24:06,210 --> 00:24:09,890
+هنا طبعا هو مش عامل، مستخدم لإنه قسم، طبعا عشان 
+
+296
+00:24:09,890 --> 00:24:14,430
+ذلك أعطاك 12 على 4 كأنه ضرب 4 على 3، بس عشان تكون
+
+297
+00:24:14,430 --> 00:24:19,630
+الصورة بالنسبة لإنها واضحة بشكل جالي ماشي الحال، 
+
+298
+00:24:19,630 --> 00:24:24,650
+واضحة فكرة الأسكر بحيث طبعا أنا بطريقة ال asker
+
+299
+00:24:24,650 --> 00:24:29,530
+إذا أنا عند ال unit hydrograph لأي duration ل
+
+300
+00:24:29,530 --> 00:24:33,430
+document area معينة بقدر أطلع ال hydrograph لأي 
+
+301
+00:24:33,430 --> 00:24:40,790
+duration أنا بديها سواء كان أكبر أو كان أصغر طبعا 
+
+302
+00:24:40,790 --> 00:24:42,550
+هو هذا النقطة اللي بتساعدنا في عيطها إن احنا 
+
+303
+00:24:42,550 --> 00:24:48,090
+بنستطيع مدين أنا طلعت ال hydrograph إن أي تصميمات
+
+304
+00:24:48,090 --> 00:24:53,390
+أنا بدي أعملها للمنطقة صار معروف أندي طبيعة ال run
+
+305
+00:24:53,390 --> 00:24:55,990
+of خلال الزمن كيف رح تكون بناء على هذه الأسئلة
+
+306
+00:24:55,990 --> 00:25:00,850
+فضلوا
+
+307
+00:25:00,850 --> 00:25:12,730
+لـ
+
+308
+00:25:12,730 --> 00:25:16,790
+هذه الأرقام عشان تأخذيها صح
+
+309
+00:25:31,510 --> 00:25:35,870
+أنت هاي .. هاي لو جيت رسمتيها رسمتيها العلاقة بين
+
+310
+00:25:35,870 --> 00:25:40,750
+واحد واثنين ما بين ال time و ال queue راح تقولي
+
+311
+00:25:40,750 --> 00:25:45,090
+ارسمي عنك بشكل تالي اه اه مظبوط هذي كانت at zero
+
+312
+00:25:45,090 --> 00:25:48,530
+هنا كانت zero عند أربع ساعات إذا كنت بحكي الأدبال
+
+313
+00:25:48,530 --> 00:25:54,410
+هنا أربعة ثمانية اثنا عشر واتبعت كانت هنا ال queue
+
+314
+00:25:54,410 --> 00:25:59,670
+عندها كانت عشرين أنا لو جيتها خد قمت ساعتين هنا
+
+315
+00:25:59,670 --> 00:26:04,040
+بتكون أكثر رح تكون ما بين الصفر والعشرين مش اللي
+
+316
+00:26:04,040 --> 00:26:08,780
+باخذ العشرين بجسمها هنا وهنا لو كانت .. كانت عند
+
+317
+00:26:08,780 --> 00:26:15,240
+الثمانية كانت ثمانية لو ده كانت عند الستة مش اللي
+
+318
+00:26:15,240 --> 00:26:19,900
+باخذ هدول بجسمهم أنا بس أنا ودي عملت يعني تصغيرة
+
+319
+00:26:19,900 --> 00:26:22,880
+ال interval اللي بشتر عليهم وليست إنه أنا هذا ال
+
+320
+00:26:22,880 --> 00:26:24,680
+flow قاعد بجسمه على ساعات أطول
+
+321
+00:26:30,290 --> 00:26:34,250
+طبعا، لأنه أفضل لإيه؟ لإن هذه القيم أصلا حقيقية،
+
+322
+00:26:34,250 --> 00:26:38,050
+احنا هنا اعتمدنا مبدأ، إنه أنا اللي هلاقي الخط
+
+323
+00:26:38,050 --> 00:26:41,740
+ما بين الأربع ساعات والثمان ساعات linear وعملت
+
+324
+00:26:41,740 --> 00:26:44,880
+interpolation لو أنا رسمتها رسم وعملت لها
+
+325
+00:26:44,880 --> 00:26:48,540
+curvature أنا كنت أكون أكثر دقة فمجرد أن أترخب 
+
+326
+00:26:48,540 --> 00:26:53,560
+القيم هذه اللي interpolated والغمين القيم هذه هي
+
+327
+00:26:53,560 --> 00:26:57,060
+بطلت تجسم ال interval عندي كل ثلاث ساعات زي أنا
+
+328
+00:26:57,060 --> 00:27:00,400
+الأولى في إن أجسم ال interval كل ساعة فبتبقى هذه 
+
+329
+00:27:00,400 --> 00:27:05,380
+القيم موجودين عندي في القراءات بس مش أكثر ماشي
+
+330
+00:27:05,380 --> 00:27:09,340
+الحال؟ في حد عنده أي سؤال في الأسكير؟ في ال
+
+331
+00:27:09,340 --> 00:27:13,390
+hydrograph؟ كيف نشتق الهيدروغراف من أي duration لأي
+
+332
+00:27:13,390 --> 00:27:20,290
+duration سواء بال long أو بال short ماشي الحال؟
+
+333
+00:27:20,290 --> 00:27:27,030
+طيب آخر إشي هاي هم أثرت إن هم بردوا على chapter 6 
+
+334
+00:27:27,030 --> 00:27:30,090
+يعطيكم العافية
diff --git a/PL9fwy3NUQKwbvMSfUJhi-cxpo3gq_SISD/ocY5MrfixVc_raw.srt b/PL9fwy3NUQKwbvMSfUJhi-cxpo3gq_SISD/ocY5MrfixVc_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..4245e2aa689e3bb0d420fc342b57531d7e6e7203
--- /dev/null
+++ b/PL9fwy3NUQKwbvMSfUJhi-cxpo3gq_SISD/ocY5MrfixVc_raw.srt
@@ -0,0 +1,1812 @@
+1
+00:00:07,020 --> 00:00:11,180
+بعد محاضراتنا السابقة في موضوع الـ Hydrograph
+
+2
+00:00:11,180 --> 00:00:15,860
+اليوم سنحاول أن نتطلق إلى الـ Hydrograph بشكل عام
+
+3
+00:00:15,860 --> 00:00:19,760
+ومن ثم نتحدث على آخر portion منه بشكل أساسي اللي
+
+4
+00:00:19,760 --> 00:00:22,560
+هو ال research in limb ونشوف ال research in limb
+
+5
+00:00:22,560 --> 00:00:27,060
+هي شوه مصاده وكيف ممكن أن نتعامل مع بعض من ال
+
+6
+00:00:27,060 --> 00:00:31,740
+components بتاعهأحنا المحاضرة الماضية كنا حكينا أن
+
+7
+00:00:31,740 --> 00:00:35,100
+الهيدرغرا بتشكل بشكل أساسي من ال three components
+
+8
+00:00:35,100 --> 00:00:38,880
+ال component الأول اللي هو rising limb و بعدين ال
+
+9
+00:00:38,880 --> 00:00:42,800
+crest segment و من ثم ال depletion أو ال recession
+
+10
+00:00:42,800 --> 00:00:49,840
+limb و قولنا أن اللي بفصل ما بين ال crest segment
+
+11
+00:00:49,840 --> 00:00:53,080
+و ما بين ال rising limb هي نقطة inflection point
+
+12
+00:00:53,460 --> 00:00:56,860
+ومن ثم another inflection point ما بين الـ crisp
+
+13
+00:00:56,860 --> 00:01:00,740
+segment وما بين ال refreshing limb أو اللي احنا
+
+14
+00:01:00,740 --> 00:01:07,120
+ممكن نسميه ال failing limb كمان شغل انه انا بتطلع
+
+15
+00:01:07,120 --> 00:01:11,020
+هنا انه انا الهيدروغلاع بشكل عندي بشكل أساسي من ال
+
+16
+00:01:11,020 --> 00:01:15,610
+direct train و من ال base floorعشان ذلك احنا
+
+17
+00:01:15,610 --> 00:01:19,210
+تحدثنا انه راح نيجي نشوف كيف راح نفصل او كيف نحدد
+
+18
+00:01:19,210 --> 00:01:23,890
+الكميات ال basic law وكميات ال direct rainfall
+
+19
+00:01:23,890 --> 00:01:29,590
+بشكل مختلف بس يعني عشان نحكي بشكل سريع عن التلات
+
+20
+00:01:29,590 --> 00:01:32,470
+ال components ادول او ال three portions ادول بتوع
+
+21
+00:01:32,470 --> 00:01:37,000
+ال hydrographلما احنا بنحكي ال research limb أو او
+
+22
+00:01:37,000 --> 00:01:40,760
+اسف ال rising limb ال rising limb of hydrograph او
+
+23
+00:01:40,760 --> 00:01:43,760
+اللي احنا بنسميه كمان concentration curve لأنه
+
+24
+00:01:43,760 --> 00:01:46,480
+الفترة اللي ال concentration بصير تتجمع فيها
+
+25
+00:01:46,480 --> 00:01:51,220
+المياه represent the increase in discharge due to
+
+26
+00:01:51,220 --> 00:01:54,220
+gradual building up of storage in canals and over
+
+27
+00:01:54,220 --> 00:01:57,260
+the catchment surface تعرف ان هذه الفترة اللي بصير
+
+28
+00:01:57,260 --> 00:02:01,240
+ال area شوي شوي contributing لحد ما نصل للبيك اللي
+
+29
+00:02:01,240 --> 00:02:04,910
+قلنا بتكون كل ال area عنهابتعمل هاي ال
+
+30
+00:02:04,910 --> 00:02:08,410
+contribution as the storm continues more and more
+
+31
+00:02:08,410 --> 00:02:12,770
+flow from distance paths reach the basin outlet at
+
+32
+00:02:12,770 --> 00:02:14,730
+the same time the infiltration losses also
+
+33
+00:02:14,730 --> 00:02:17,950
+decreases with time بتعرفوا كمان انه احنا اول ما
+
+34
+00:02:17,950 --> 00:02:21,970
+بتنزل ال storm ببلش عندى depression storage فى ال
+
+35
+00:02:21,970 --> 00:02:27,010
+catchment area انه كميات من الميه بتعبي وين فى
+
+36
+00:02:27,010 --> 00:02:33,670
+فرغات التربة طبعا بعدها ببلش عندى ال run offعشانك
+
+37
+00:02:33,670 --> 00:02:36,890
+مع ال time طبعا هذه الكميات اللى بيصلها depression
+
+38
+00:02:36,890 --> 00:02:40,950
+خلاص لإنه مجرد انه تلت الفرقات بيصير عندي عملية ال
+
+39
+00:02:40,950 --> 00:02:44,430
+infiltration بس بيصير في التربة تاخدوا ال
+
+40
+00:02:44,430 --> 00:02:49,490
+infiltration ومعادل ال infiltration مع ال time
+
+41
+00:02:49,490 --> 00:02:53,770
+بيبدأ يقل لإنه كل ما صارت مسامات التربة معبرة بشكل
+
+42
+00:02:53,770 --> 00:03:01,470
+أكبر كل ما كان .. كل ما كان استيعاب التربة رح يكون
+
+43
+00:03:01,470 --> 00:03:09,500
+أقلعشان هيك بنلاقي ان كميات ال runoff بتزداد
+
+44
+00:03:09,500 --> 00:03:14,820
+لكريست ال segment the peak flow occurs when the
+
+45
+00:03:14,820 --> 00:03:17,940
+runoff volume varies parts of the catchment at the
+
+46
+00:03:17,940 --> 00:03:20,220
+same time contribute to the maximum amount of a
+
+47
+00:03:20,220 --> 00:03:23,700
+flow at the basin outlet يعني انا هنا بتحدد ان انت
+
+48
+00:03:23,700 --> 00:03:27,180
+مثلا لحالة ال peak flow لما تصير كل ال catchment
+
+49
+00:03:27,180 --> 00:03:32,220
+عندي بشكل عام او يعني كل المصادر اللي بتوصل بتدى
+
+50
+00:03:32,220 --> 00:03:37,580
+ال جران الميب في هذابتكون في حالة ال maximum
+
+51
+00:03:37,580 --> 00:03:41,440
+لقيلها generally for large catchment the peak of
+
+52
+00:03:41,440 --> 00:03:45,220
+the orchard is after the end of the rain دائما كل
+
+53
+00:03:45,220 --> 00:03:49,680
+ما كانت ال catchment أكبر راح أصل لحالة ال peak
+
+54
+00:03:49,680 --> 00:03:54,160
+بعد ما تخلص .. لا بعد ما تخلص ال rain لأن تعرفوا
+
+55
+00:03:54,160 --> 00:04:00,420
+دائما فترة ال rain صغيرة بتكون مساحة كبيرة بتكون
+
+56
+00:04:00,420 --> 00:04:05,320
+المناطق البعيدةبتصل بداوقت لسه أطول من .. بتخلص ال
+
+57
+00:04:05,320 --> 00:04:08,420
+store من لسه مناطق لبعيدها، ماعملتش contribution
+
+58
+00:04:08,420 --> 00:04:13,400
+فلسه ماوصلتش لحالة .. لحالة ال big و هذا الحكي
+
+59
+00:04:13,400 --> 00:04:17,340
+اللي كتير بيل تمسوه في مناطق .. ان ممكن ال store
+
+60
+00:04:17,340 --> 00:04:20,220
+ما تخلص منها يومين تلاتة و في منطقة في ال
+
+61
+00:04:20,220 --> 00:04:25,960
+downstream يصير floodيعني ال storm خلصت مش معناته
+
+62
+00:04:25,960 --> 00:04:29,600
+انه احتمالية ال flood راحت لإنه لسه مرحلة ال peak
+
+63
+00:04:29,600 --> 00:04:33,680
+ممكن تيجي في مرحلة متأخرة و اللي ممكن تسبب ال
+
+64
+00:04:33,680 --> 00:04:37,180
+flood هايالوقت المتوقع من مركز الهيدرغراف
+
+65
+00:04:37,180 --> 00:04:38,300
+الهيدرغراف الهيدرغراف الهيدرغراف الهيدرغراف
+
+66
+00:04:38,300 --> 00:04:48,980
+الهيدرغراف الهيدرغراف الهيدرغراف
+
+67
+00:04:48,980 --> 00:04:51,080
+الهيدرغراف الهيدرغراف الهيدرغراف الهيدرغراف
+
+68
+00:04:51,080 --> 00:04:51,220
+الهيدرغراف الهيدرغراف الهيدرغراف الهيدرغراف
+
+69
+00:04:51,220 --> 00:04:51,420
+الهيدرغراف الهيدرغراف الهيدرغراف الهيدرغراف
+
+70
+00:04:51,420 --> 00:04:51,420
+الهيدرغراف الهيدرغراف الهيدرغراف الهيدرغراف
+
+71
+00:04:51,420 --> 00:04:52,900
+الهيدرغراف الهيدرغراف الهيدرغراف الهيدرغراف
+
+72
+00:04:52,900 --> 00:05:04,580
+الهيدرغراف الهيدرغراف الهيد
+
+73
+00:05:08,350 --> 00:05:12,770
+أقل ال research limb اللي هي ال research الأخير من
+
+74
+00:05:12,770 --> 00:05:16,430
+أو ال depletion curve من ال hydrograph it extends
+
+75
+00:05:16,430 --> 00:05:19,090
+from the point of inflection اللي نقطة ال
+
+76
+00:05:19,090 --> 00:05:22,410
+inflection ما بين ال crest و ما بين ال research
+
+77
+00:05:22,410 --> 00:05:25,390
+limb at the end of the crest segment to the start
+
+78
+00:05:25,390 --> 00:05:28,530
+of natural ground flow يعني هذه ال research limb
+
+79
+00:05:28,530 --> 00:05:33,190
+بستمر لحد أنه يصير ال flow بس only base flow يعني
+
+80
+00:05:33,190 --> 00:05:39,260
+بمعنى أنه ينتهي أثرالصوم اللى صارت بزنزي و دولة
+
+81
+00:05:39,260 --> 00:05:43,180
+مياه من الهيدروجرام اللى بيلت اب في البزنزي دولة
+
+82
+00:05:43,180 --> 00:05:48,660
+الهيدروجرام طبعا احيانا الميه و كده انا حكيت في
+
+83
+00:05:48,660 --> 00:05:51,720
+المحاضرات السابقة انه بصير منصوب الميه في المجهة
+
+84
+00:05:51,720 --> 00:05:55,220
+المائية اتفق بمعنى ان الميه بصير تتخزن في المجهة
+
+85
+00:05:55,220 --> 00:05:58,340
+المائية لما بتخلص الصوم بصير الكميات هذه مالها
+
+86
+00:05:58,340 --> 00:06:03,240
+بصير نعم هذه مرحلة depletion فممكن يكون جزء من ال
+
+87
+00:06:03,240 --> 00:06:08,570
+depletion هو الكمياتاللي تخزنت خلال فترات العالي
+
+88
+00:06:08,570 --> 00:06:12,310
+لـ run-off The starting point of the recession
+
+89
+00:06:12,310 --> 00:06:14,510
+limb, the point of the recession, represents the
+
+90
+00:06:14,510 --> 00:06:18,730
+addition of maximum storage عند هذه اللحظة اللي
+
+91
+00:06:18,730 --> 00:06:21,870
+بيبدأ فيه ال depression، بتكون أنا عندي ال storage
+
+92
+00:06:21,870 --> 00:06:23,970
+في المجلة اللي معايا، في حالة ال maximum ولا في
+
+93
+00:06:23,970 --> 00:06:28,750
+حالة ال minimum؟ في حالة ال maximumلأن مرحلة الـ
+
+94
+00:06:28,750 --> 00:06:32,170
+crisp معناته أنا لسه الكميات عندي بتتخزن لما دي
+
+95
+00:06:32,170 --> 00:06:34,230
+مرحلة ال depression معناته مرحلة ال depression إيش
+
+96
+00:06:34,230 --> 00:06:38,270
+معناته بدي صير لو أنا خلط بين two sections بدي صير
+
+97
+00:06:38,270 --> 00:06:42,130
+ال output أعلى من ال input إذا هذه هي بتكون عندي
+
+98
+00:06:42,130 --> 00:06:46,330
+في اللحظة هذه بتكون ال storage عندي هو ال maximum
+
+99
+00:06:46,330 --> 00:06:50,850
+في هذه الحالة since the depletion of storage takes
+
+100
+00:06:50,850 --> 00:06:54,090
+place after the end of the rainfall the shape of
+
+101
+00:06:54,090 --> 00:06:57,540
+this part of the hydrograph is independentof storm
+
+102
+00:06:57,540 --> 00:07:00,360
+characteristics and depends entirely on the basin
+
+103
+00:07:00,360 --> 00:07:05,780
+characteristics كونه لاحظوا هنا لما احنا حكينا في
+
+104
+00:07:05,780 --> 00:07:09,060
+ال figures الأولى كانت ال rainfall اللي لها أثر
+
+105
+00:07:09,060 --> 00:07:14,240
+كمواصفات ال rainfall بس كونه ال depression بتتم في
+
+106
+00:07:14,240 --> 00:07:18,820
+مرحلة ما بعد ما تنتهي ال storm فمعناته كل مواصفاته
+
+107
+00:07:18,820 --> 00:07:24,440
+ليست متعلقة بمواصفات ال storm متعلقةبطبيعة الـ
+
+108
+00:07:24,440 --> 00:07:28,900
+catchment area و ال basal characteristics و الآن
+
+109
+00:07:28,900 --> 00:07:33,420
+سوف نحاول أن نظهر بعض من هذه النقاط حسنا، الآن
+
+110
+00:07:33,420 --> 00:07:39,200
+كميات الماء في حالة الريفة شلم، ماهي مصادرها؟
+
+111
+00:07:39,200 --> 00:07:44,300
+مصادرها أنها ثلاث مصادر surface storage which
+
+112
+00:07:44,300 --> 00:07:46,800
+includes both surface detention and channel
+
+113
+00:07:46,800 --> 00:07:52,500
+storage interflow storage و groundwater storage
+
+114
+00:07:53,710 --> 00:07:58,970
+طبعا ال storage اللى جاي من وين من ال surface فيه
+
+115
+00:07:58,970 --> 00:08:05,750
+أحيانا لو جيه تاخد المقطع بالشكل التالي لو حكيره
+
+116
+00:08:05,750 --> 00:08:09,670
+هى المقطع المجرى المائى عندي انا عندي هى منصوب ال
+
+117
+00:08:09,670 --> 00:08:14,230
+water table قبل حالة ال storm وهى المنصوب المائى
+
+118
+00:08:14,230 --> 00:08:16,950
+في المجرى المائى في الحالة هذه والكمية اللى تجيه
+
+119
+00:08:16,950 --> 00:08:22,310
+هذه هي عبارة عن base flow حسة لما بصير عندي
+
+120
+00:08:22,310 --> 00:08:27,090
+rainingعلى كل المنطقة بيصير كميات من المي تيجي هنا
+
+121
+00:08:27,090 --> 00:08:32,110
+ممكن في لحظة يصير منصوب ال water table هنا راح
+
+122
+00:08:32,110 --> 00:08:36,590
+ألاقي هذه الكمية من المي استوط بس هل استوط في
+
+123
+00:08:36,590 --> 00:08:39,830
+المجهة المائية لأ هذه كميات صارت infiltration
+
+124
+00:08:39,830 --> 00:08:43,930
+واتفع منصوب ال water table نتيجة ال infiltration
+
+125
+00:08:43,930 --> 00:08:47,290
+هسة و يمكن أصير في الحالة هذه ممكن أسأل المرحلة أن
+
+126
+00:08:47,290 --> 00:08:49,150
+هى يصير منصوب ال water table في المجهة المائية
+
+127
+00:08:49,150 --> 00:08:54,000
+منصوب المي في المجهة المائيةلما ببدأ مرحلة الـ
+
+128
+00:08:54,000 --> 00:08:58,160
+Depletion المنصوب هذا شوفوا يصير فيها، بصير ينزل،
+
+129
+00:08:58,160 --> 00:09:01,680
+طب لما المنصوب هذا بصير ينزل، راح أصير هذه منادخ
+
+130
+00:09:01,680 --> 00:09:04,760
+شوف كامل، هذه بصير تعمل contribution لإن بصير
+
+131
+00:09:04,760 --> 00:09:08,060
+منصوبها أعلى من منصوب المجال معاه، فby gravity
+
+132
+00:09:08,060 --> 00:09:12,120
+بدها تمشي، بس هال هذي هي جاي من ال direct turn
+
+133
+00:09:12,120 --> 00:09:16,020
+off، هذي مش جاي من ال direct turn offالجزء التاني
+
+134
+00:09:16,020 --> 00:09:19,520
+اللى جاي من هنا اللى هو جاي من لـ groundwater لأن
+
+135
+00:09:19,520 --> 00:09:22,180
+هذه المنطقة أنا ما بعتبرها جزء من الخزان الجافى
+
+136
+00:09:22,180 --> 00:09:26,880
+لأن هذه الكميات اتخزنت temporarily نتيجة ان ال
+
+137
+00:09:26,880 --> 00:09:30,700
+storm بشكل سريع رفعت منصوب المي حوالين المجرم
+
+138
+00:09:30,700 --> 00:09:34,350
+المائىعشان هيك انا بقول ان انا عندي ال surface
+
+139
+00:09:34,350 --> 00:09:37,510
+storage اللي هو من هنا اللي جاي من السطح مباشرة
+
+140
+00:09:37,510 --> 00:09:41,650
+عندي ال interflow اللي جاي من هنا و في عندي ال
+
+141
+00:09:41,650 --> 00:09:47,850
+ground floor هدولة التلت كميات اللي بتسبب او التلت
+
+142
+00:09:47,850 --> 00:09:54,070
+مصادر في مرحلة ال depression هل التلت مصادر هدولة
+
+143
+00:09:54,070 --> 00:09:59,930
+ال characteristics لإلهم the same؟ لاطبعا ليش؟ لأن
+
+144
+00:09:59,930 --> 00:10:04,970
+البجي على السطح اللي بيحكمه طبيعة المجة المائية و
+
+145
+00:10:04,970 --> 00:10:10,470
+الثوب للمجة المائية و لا مش هيك لكن اللي بيطلع من
+
+146
+00:10:10,470 --> 00:10:17,330
+المناطق هان بتحكم طبيعة التربة فعشان هيك كيف ..
+
+147
+00:10:17,330 --> 00:10:19,790
+يعني قديش الزمن عشان تطلع المي من هنا و لا المي
+
+148
+00:10:19,790 --> 00:10:24,290
+تجي في المجة المائية؟بتختلف من هنا بنلاقي حالة ان
+
+149
+00:10:24,290 --> 00:10:29,750
+مرحلة ال depression عندي تتشكل من تلت مصادر طبعا
+
+150
+00:10:29,750 --> 00:10:33,730
+بشكل أخصة مش شرط تكونوا عندي تلت مصادر بس يعني هده
+
+151
+00:10:33,730 --> 00:10:38,070
+هما أخصة ما يمكن يشكلوا ال depression curve عنها
+
+152
+00:10:38,070 --> 00:10:42,510
+من هنا احنا بنحاول ان نشوف كل واحد من هدولة how we
+
+153
+00:10:42,510 --> 00:10:42,910
+can
+
+154
+00:10:50,230 --> 00:10:53,790
+لما بقول هى اللى هى ده باقن دى مرحلة ال depletion
+
+155
+00:10:53,790 --> 00:10:59,210
+كده بتبتد من هنا اللى من نقطة ال inflection لو جيت
+
+156
+00:10:59,210 --> 00:11:08,450
+اخد هنا وقتك اللى هو تحتيه equal 0 اللى هو طبعا
+
+157
+00:11:08,450 --> 00:11:19,210
+equal 0 لهنا ال depletion مهيزة equal 0 للهيتو دعف
+
+158
+00:11:20,500 --> 00:11:24,520
+يعني باعتبار اللي هو هذه خطة depression ببدأ من
+
+159
+00:11:24,520 --> 00:11:29,220
+وين من هنا يعني اذا حط ال access على وين من هنا
+
+160
+00:11:29,220 --> 00:11:35,520
+هسا بقوللي في الحالة هذه بتكون هذه عبارة عن ال QO
+
+161
+00:11:35,520 --> 00:11:41,460
+بمعنى هي ال flow ال initially في لحظة ما يبدأ ال
+
+162
+00:11:41,460 --> 00:11:45,780
+depression line المعاملة اللي بتقوللي انه ال QT
+
+163
+00:11:45,780 --> 00:11:54,010
+يعني ال Q أتانى قائم Tبعد هذه النقطة بتسوي QO في
+
+164
+00:11:54,010 --> 00:12:00,810
+KR to the power T نعم
+
+165
+00:12:00,810 --> 00:12:06,370
+طبعا الـKR هاي it is constant where يعني بقول لإنه
+
+166
+00:12:06,370 --> 00:12:10,110
+الـQO is the initial discharge طبعا ال initial
+
+167
+00:12:10,110 --> 00:12:14,790
+discharge مش ببداية الهيدرغراف ببداية ال depletion
+
+168
+00:12:14,790 --> 00:12:20,480
+hereQT are the charges at a time interval of T
+
+169
+00:12:20,480 --> 00:12:24,280
+days لأ at any point من هنا يعني لو بدي بعد يوم
+
+170
+00:12:24,280 --> 00:12:30,300
+بعد يومين بعد تلاتة بعد أربعة من هنا من هنا K is a
+
+171
+00:12:30,300 --> 00:12:35,160
+research constant of values less than unity يعني
+
+172
+00:12:35,160 --> 00:12:41,100
+هذوله قيمتهم أقل من واحد يعني كونستان قيمته أقل من
+
+173
+00:12:41,100 --> 00:12:46,100
+واحدهذه المعادلة الأولى بقول لي ممكن نترجمها
+
+174
+00:12:46,100 --> 00:12:53,700
+بالشكل التالي ان qt اتساوي q o e to the minus a t
+
+175
+00:12:53,700 --> 00:12:59,840
+طبعا الresearch الكنستان k كان بي consider to be
+
+176
+00:12:59,840 --> 00:13:04,520
+made up of three components ال k هذه ما هي محصلات
+
+177
+00:13:04,520 --> 00:13:07,880
+التلت مصادر اللي حكينا عنهم عشان ايه بقول لي ممكن
+
+178
+00:13:07,880 --> 00:13:18,330
+نعتبر k هي حاصل ضربفي KRI في KRP على أساس ان KRS
+
+179
+00:13:18,330 --> 00:13:23,150
+يعبر عن الـ recession constant for surface storage
+
+180
+00:13:23,150 --> 00:13:27,190
+KRI
+
+181
+00:13:27,190 --> 00:13:33,350
+ال recession constant for interflow وKRP recession
+
+182
+00:13:33,350 --> 00:13:38,810
+constant for base flow وهدول قيمهم كلهم بولا قيمة
+
+183
+00:13:38,810 --> 00:13:42,790
+منهم بالزيادة عنعن الواحد و لو ضربتم في بعض
+
+184
+00:13:42,790 --> 00:13:50,330
+بيزيدوا عن الواحد لأ بالظبط فعشانكما حصلتهم كلهم
+
+185
+00:13:50,330 --> 00:13:54,210
+مع بعض اللي هي k less than one بس k هذه عبارة عن
+
+186
+00:13:54,210 --> 00:14:01,350
+حصل تلت بمعنى انه انا هدول التلات او هذا ال care
+
+187
+00:14:01,350 --> 00:14:06,450
+اللي موجود عندى هنا عبارة عن مجموعة تلات care مع
+
+188
+00:14:06,450 --> 00:14:11,700
+بعضلكن هدولة ال cares اللي كانت صندوقهم مختلف كام،
+
+189
+00:14:11,700 --> 00:14:18,420
+لكن كلهم شكلهم نعم، depression أي نعم على شكل
+
+190
+00:14:18,420 --> 00:14:24,280
+logarithmic، لأن هذه معادلة لغراثمية، مش هيك؟ لكن
+
+191
+00:14:24,280 --> 00:14:29,000
+ما هماش نفس الطبيعة، بمعنى أن كائلهم the same
+
+192
+00:14:33,520 --> 00:14:37,840
+لأ إذا أنا بدأ أخد .. لو أنا بدأ أخد المعادلة للكل
+
+193
+00:14:37,840 --> 00:14:42,660
+مع بعض، بدأ وجد K، K بدأ تكون عبارة عن مين؟ حصل
+
+194
+00:14:42,660 --> 00:14:49,980
+ضعف الأول في التاني في التالت بصبوط،
+
+195
+00:14:49,980 --> 00:14:53,680
+احنا بنحكي إذا واحد منهم مش موجود، بنعتبر K لإلها
+
+196
+00:14:53,680 --> 00:14:59,700
+واحدنعم يعني مثلا إذا كانت الـ interest ليه مش
+
+197
+00:14:59,700 --> 00:15:06,320
+موجودة فبقول kri بتساوي واحد فهي نعم يعني كانها
+
+198
+00:15:06,320 --> 00:15:09,380
+واحد بتساوي واحد فهي بتطلع من المش موجودة مش هقول
+
+199
+00:15:09,380 --> 00:15:14,780
+أحطها صفر لإن صفر معناته كله صفر ايه نعم طيب نشوف
+
+200
+00:15:14,780 --> 00:15:20,440
+example من خلاله كيف بنقدر نحسب القيم التلاتة هدول
+
+201
+00:15:20,440 --> 00:15:25,320
+ال example شو بقولي بقولي احنا
+
+202
+00:15:28,360 --> 00:15:35,200
+من بداية الـ peak يعني ماعطينا ال hydrograph من
+
+203
+00:15:35,200 --> 00:15:46,180
+هنا من ال peak يعني مش من بداية ال rising شسمه و
+
+204
+00:15:46,180 --> 00:15:51,860
+لا من بداية ال segment high هي من وين من ال peak
+
+205
+00:15:51,860 --> 00:15:55,440
+بقول لي قداش كانت at times و ال times بال day قداش
+
+206
+00:15:55,440 --> 00:16:01,210
+كانت ال queueيعني عند time zero بمعنى time zero
+
+207
+00:16:01,210 --> 00:16:07,630
+يعني الـ Q إيش الـ QB مش الـ QO الـ QB كانت بيصوي
+
+208
+00:16:07,630 --> 00:16:15,570
+90 بعد نص يوم كانت الـ Q بيصوي 66 2.8 3 2.6 2.2 1
+
+209
+00:16:15,570 --> 00:16:23,650
+.8 1.6 1.5 نعم المطلوب أن يحسب من خلال ال curve
+
+210
+00:16:23,650 --> 00:16:35,460
+هذاقيم الـKRS والـKRI والـKRP الفكرة
+
+211
+00:16:35,460 --> 00:16:43,180
+عشان احسب القيم هاي لو انا رجعت للمعادلة المعادلة
+
+212
+00:16:43,180 --> 00:16:50,060
+logarithmic المعادلة logarithmicطبعا المعادلة الـ
+
+213
+00:16:50,060 --> 00:16:54,740
+logarithmic إذا جيت انت تصمها أو جيت تصمها على
+
+214
+00:16:54,740 --> 00:17:00,660
+semi log paper مابين الـ discharge مع مين؟ مع الـ
+
+215
+00:17:00,660 --> 00:17:05,440
+time يعني هذه المعادلة اللي هي زي هنا مثلا اللي
+
+216
+00:17:05,440 --> 00:17:10,760
+عبارة عن كانت الـ QT بتسوي QO K R K R K to the
+
+217
+00:17:10,760 --> 00:17:15,000
+power T انسوا KRP أو أي واحد منهم نعم هذا أخدتها
+
+218
+00:17:15,000 --> 00:17:21,550
+أخدت بال logarithmic scaleأو سيمي لوج سيمي لوج نعم
+
+219
+00:17:21,550 --> 00:17:26,950
+بيطلع عندي العلاقة بتعطيني space line من هنا لما
+
+220
+00:17:26,950 --> 00:17:31,750
+جينا رسمنا رسمنا طبعا هنا اعتبرنا من هنا ان ال
+
+221
+00:17:31,750 --> 00:17:37,590
+time zero هو حالة مين حالة ال بيك على سيمي لوج
+
+222
+00:17:37,590 --> 00:17:44,190
+بيبر اللي بيصير معنى كالتالي لو انا جي تحكي هدولة
+
+223
+00:17:44,190 --> 00:17:49,070
+التلاتة componentsالتلاتي components أخر واحد منهم
+
+224
+00:17:49,070 --> 00:17:55,850
+هل هدول التلاتة بخلصوا مع بعض ولا مين أول ما بيخلص
+
+225
+00:17:55,850 --> 00:18:04,870
+اللي هو ال surface storage و بعدين ال interflow مش
+
+226
+00:18:04,870 --> 00:18:09,230
+ببدأ بخلص بعد فمن هنا لما نيجي نرسم العلاقة زي ما
+
+227
+00:18:09,230 --> 00:18:13,890
+انت شايفين هنا على semi log paperما بين ال
+
+228
+00:18:13,890 --> 00:18:18,030
+discharge وما بين ال time لاحظوا ان القلاقة في
+
+229
+00:18:18,030 --> 00:18:21,250
+أغلبها عبارة عن خطوط مستقيمة لكن مش بنفس ال flow
+
+230
+00:18:21,250 --> 00:18:24,710
+طبعا
+
+231
+00:18:24,710 --> 00:18:30,490
+ليش مش بنفس ال flow؟
+
+232
+00:18:30,490 --> 00:18:38,770
+لأنه في المرفع الغادي التلاتة مش كلهم مع بعض ماشية
+
+233
+00:18:39,690 --> 00:18:48,530
+في مرحلة كانت بس T عبارة عن TRD في مرحلة قبلها
+
+234
+00:18:48,530 --> 00:19:02,470
+كانت عبارة عن TRD مع TR .. مع TRI في مرحلة أولى
+
+235
+00:19:02,470 --> 00:19:12,000
+كانت عبارة عنTRI في TRF في TRP عشان هيك ملاجئ
+
+236
+00:19:12,000 --> 00:19:19,180
+الصورة الخط ماله مختلف احنا شي بنيجي بنعمل بنقول
+
+237
+00:19:19,180 --> 00:19:25,240
+بنمسك الخط من نهايته نمسك الخط من وين؟ من نهايته
+
+238
+00:19:25,240 --> 00:19:29,630
+طبعا انا عندي نهايته عبارة عن نقطة ميننقطة A و لا
+
+239
+00:19:29,630 --> 00:19:34,390
+لأ حسب المعلومات اللي انا رسمت هنا يعني هذا الخط
+
+240
+00:19:34,390 --> 00:19:40,470
+اللي هو خلينا نسميه BBA و عبارة عن ال table اللي
+
+241
+00:19:40,470 --> 00:19:46,270
+انا توريته بس على semi-log paper هز لو جيت اتطلع
+
+242
+00:19:46,270 --> 00:19:55,330
+بين النقطة A و B تقريبا خط مستقيم تقريبا
+
+243
+00:19:56,440 --> 00:20:01,700
+بداية أو نهاية ال research عبارة عن خط مستقيم هذا
+
+244
+00:20:01,700 --> 00:20:06,980
+الخط بحاول أمده على استقامته بحاول أمده على
+
+245
+00:20:06,980 --> 00:20:14,880
+استقامته بكون الخط في هذه الحالة بعبر عن مين؟ بعبر
+
+246
+00:20:14,880 --> 00:20:20,640
+عن ال base flow نعم فإذا أنا بدأ أحط معدلته معدلته
+
+247
+00:20:20,640 --> 00:20:29,770
+بقول أن ال Qt لل base flowبتصوّي QO للـ phase flow
+
+248
+00:20:29,770 --> 00:20:34,250
+في KR P to the power T يعني المعادلة اللي عندي
+
+249
+00:20:34,250 --> 00:20:44,030
+للثلاثة components كانت عبارة عن QT بتصوّي QO في K
+
+250
+00:20:44,030 --> 00:20:50,260
+to the power T أو خلّيني أسميها KRهذا بيعبر عنه
+
+251
+00:20:50,260 --> 00:20:54,760
+مين؟ ال curve الأصلي اللي بيشمل كله لإن علاقته هنا
+
+252
+00:20:54,760 --> 00:21:00,460
+لو ديتها مجها بتكون بتعبر عن فقط عن ال base flow
+
+253
+00:21:00,460 --> 00:21:08,320
+فبتكون KT لل base flow بالزاوية ال QO
+
+254
+00:21:16,710 --> 00:21:21,870
+تجيب موقفي ماشي؟
+
+255
+00:21:21,870 --> 00:21:30,830
+حسا الـ QO كنا نبقى عن مين؟ عبارة عن الـ Q عند الـ
+
+256
+00:21:30,830 --> 00:21:36,130
+inflection point، مظبوط؟ حسا، لما أنا قاعد يستطيع
+
+257
+00:21:36,130 --> 00:21:36,950
+أستطيع أستطيع أستطيع أستطيع أستطيع أستطيع أستطيع
+
+258
+00:21:36,950 --> 00:21:38,310
+أستطيع أستطيع أستطيع أستطيع أستطيع أستطيع أستطيع
+
+259
+00:21:38,310 --> 00:21:39,470
+أستطيع أستطيع أستطيع أستطيع أستطيع أستطيع أستطيع
+
+260
+00:21:39,470 --> 00:21:40,110
+أستطيع أستطيع أستطيع أستطيع أستطيع أستطيع أستطيع
+
+261
+00:21:40,110 --> 00:21:40,870
+أستطيع أستطيع أستطيع أستطيع أستطيع أستطيع أستطيع
+
+262
+00:21:40,870 --> 00:21:41,310
+أستطيع أستطيع أستطيع أستطيع أستطيع
+
+263
+00:21:46,760 --> 00:21:52,920
+الـ inflection point تقريبا بعد ال peak بقداش؟ و
+
+264
+00:21:52,920 --> 00:21:56,580
+لا لأ؟ يعني لو جيتنا نطلع هنا على ال curve لحظة ال
+
+265
+00:21:56,580 --> 00:22:01,180
+curve تقريبا النقطة هذه هي نقطة مين؟ ال inflection
+
+266
+00:22:01,180 --> 00:22:05,680
+point و لا لأ؟ هي نقطة ال inflection point و هذه
+
+267
+00:22:05,680 --> 00:22:11,120
+بلشت تقريبا قداش؟ يعني تقريبا نص يوم او اكتر من نص
+
+268
+00:22:11,120 --> 00:22:20,960
+يوممن لحظة ال peak إذا لو حسبت q للخط هذا عند بعد
+
+269
+00:22:20,960 --> 00:22:28,000
+one day بتكون عبارة عن إيش؟ بتكون q o لمن؟ لل base
+
+270
+00:22:28,000 --> 00:22:37,290
+flow صحيح؟ عشان أوجد krbبدي اجي اخد بعد النقطة هذه
+
+271
+00:22:37,290 --> 00:22:41,690
+لان هذه هي عبارة عن QO بعدها بدي اخد مثلا بعد يوم
+
+272
+00:22:41,690 --> 00:22:45,910
+او يومين بمعنى ان اخد T مثلا one or two days واخد
+
+273
+00:22:45,910 --> 00:22:54,410
+QT اذا طلعت QT و T عندى بطلع KRP ولا بطلعوش بطلع
+
+274
+00:22:54,410 --> 00:22:59,350
+KRP فالفكرة ان عشان اطلع ال KRP انا باجي بشوف وين
+
+275
+00:22:59,350 --> 00:23:06,430
+نقطة ال inflection و هذه بتكون عندها T عبارة عنTO
+
+276
+00:23:06,430 --> 00:23:10,470
+لـ Research Limit قداش الـ QO عندها، طبعا الـ QO
+
+277
+00:23:10,470 --> 00:23:14,610
+عندها مش على الـ Research Limit على ال case اللي
+
+278
+00:23:14,610 --> 00:23:19,310
+خاص بالـ Bayes Flow لأن أنا بتحسب أنا KRP اللي فقط
+
+279
+00:23:19,310 --> 00:23:25,090
+لمن؟ لل Bayes Flow من
+
+280
+00:23:25,090 --> 00:23:28,630
+هنا لو جينا نطلع بقول أنا ان ال Bayes Flow
+
+281
+00:23:28,630 --> 00:23:39,720
+Research is shown by line ABM ولا لأ؟على اساس انه
+
+282
+00:23:39,720 --> 00:23:47,120
+عبارة عن الـ QO وهذه قداش بتساوي .. لحظة و اين
+
+283
+00:23:47,120 --> 00:23:53,530
+اتيت؟ بمشي من هنا .. Vertical لحد وين؟لحد الخط هذا
+
+284
+00:23:53,530 --> 00:23:57,530
+طبعا هذه q o زي ما حكيت ماهياش ال q كلها اللي ماشي
+
+285
+00:23:57,530 --> 00:24:02,210
+في المرجع المائي هذه بس جزئية ال base flow وهذه
+
+286
+00:24:02,210 --> 00:24:07,370
+كانت بيصوي 6.6 مثلا متر مقعبية second بعد time
+
+287
+00:24:07,370 --> 00:24:10,650
+interval يعني بدي اجي على الخط هذا بعد time
+
+288
+00:24:10,650 --> 00:24:14,670
+interval ممكن اخد بعد two days طبعا بعد two days
+
+289
+00:24:14,670 --> 00:24:22,770
+من مين؟ من بدايةنعم على الرسم هذا راح أكون بعد تلت
+
+290
+00:24:22,770 --> 00:24:26,330
+أيام من ال بيك اللي بعد يومين من بداية ال research
+
+291
+00:24:26,330 --> 00:24:32,470
+اللام و أشوف قداش ال flow راح تكون هادي بعد تلت
+
+292
+00:24:32,470 --> 00:24:42,830
+أيام باجي هنا بحسب قداش ال queue طبعا نعم
+
+293
+00:24:42,830 --> 00:24:48,190
+طبعا كان ال queue هنا أربعة متر مقعبة، مش أربعين
+
+294
+00:24:48,190 --> 00:24:52,460
+أنا أحط النقطة هنابس عشان ماحدش يقولك كيف صارت
+
+295
+00:24:52,460 --> 00:24:56,580
+اربعين، ماشي الحال؟
+
+296
+00:24:56,580 --> 00:25:09,780
+نعم،
+
+297
+00:25:09,780 --> 00:25:14,360
+انا legit مافكت اخر portion منه لان انا بقول اخر
+
+298
+00:25:14,360 --> 00:25:19,230
+portion مش راح يكون الا basic flowفإذا كانت أخر
+
+299
+00:25:19,230 --> 00:25:24,730
+proportion يعني الخط المستقيم أخر خط مستقيم في ال
+
+300
+00:25:24,730 --> 00:25:27,490
+research اللي بيعبر عن كل flows ولا بس عن ال base
+
+301
+00:25:27,490 --> 00:25:34,870
+flow بالظبط هو كيف بيعبر عنهم إذا كانوا أخر ما
+
+302
+00:25:34,870 --> 00:25:40,670
+بيخلص ال base flow يعني
+
+303
+00:25:40,670 --> 00:25:43,310
+إذا بدهم يضلوا بيكونوا عبارة عن السنتين و أنا في
+
+304
+00:25:43,310 --> 00:25:46,270
+السنتين ضايقين ورا الحكي
+
+305
+00:25:49,310 --> 00:25:53,750
+هو طبعا انت في البداية بستبقى معايا هنا انا بقولش
+
+306
+00:25:53,750 --> 00:25:57,330
+ال clues بتبدأ واحد ورا التانية ال clues مستمر
+
+307
+00:25:57,330 --> 00:26:00,750
+يعني حتى بعد ما تخلص ال storm ال busy flow ماله
+
+308
+00:26:00,750 --> 00:26:05,510
+مستمر عشان هيك انا لما بطلع في ال curve هنا هذا ال
+
+309
+00:26:05,510 --> 00:26:10,530
+flow راح يظل ماله continuous و راح يستمر كخط
+
+310
+00:26:10,530 --> 00:26:16,930
+مستقيم على انه busy flow يا ملتقا
+
+311
+00:26:18,470 --> 00:26:25,430
+بقى عندها منحدر الخط او لصولها خط يختلف بمعنى من
+
+312
+00:26:25,430 --> 00:26:31,090
+بيه و جابل عندي more than one component بس من بيه
+
+313
+00:26:31,090 --> 00:26:36,150
+و بعد one component لأنه إذا بدهم يضلوا مع بعض
+
+314
+00:26:36,150 --> 00:26:41,050
+معناته لازم بعد نقطة معينة يصير عندي يعني انحراف
+
+315
+00:26:41,050 --> 00:26:44,630
+في الخطعشان ذلك انا بشتغل عليه مادام اخر portion
+
+316
+00:26:44,630 --> 00:26:47,990
+باخده ال state line من اخر portion بكون بالنسبة لي
+
+317
+00:26:47,990 --> 00:26:53,650
+هو عبارة عن ال base flow من هنا لما جي تحسبها تطلع
+
+318
+00:26:53,650 --> 00:26:59,890
+عند ال krb بتصويت على T log ال Qt على QO اللي هي 4
+
+319
+00:26:59,890 --> 00:27:05,110
+على 6 و 6 من 10 بتكون بالنسبة لي krb بتصوي point
+
+320
+00:27:05,110 --> 00:27:13,790
+778 طيب هيك انا حسبت مين؟لأن اعتبرنا انه مافيش
+
+321
+00:27:13,790 --> 00:27:18,390
+interflow معناته كلهم عبارة عن مين؟ surface و base
+
+322
+00:27:18,390 --> 00:27:25,550
+flow طب انا ال base flow حددته اذا طرحته عند any
+
+323
+00:27:25,550 --> 00:27:32,530
+time طرحت كمية ال base flow من ال total flow بتبقى
+
+324
+00:27:32,530 --> 00:27:40,430
+ال flow عبارة عن مين؟ عن ال surface طبعا
+
+325
+00:27:41,510 --> 00:27:47,650
+هذه العلاقة تبدأ من أين؟
+
+326
+00:27:47,650 --> 00:27:59,570
+من بداية الـ Refresh Limit لحد النقطة B ولا لا؟
+
+327
+00:27:59,570 --> 00:28:10,040
+لأن من عند النقطة B الفرق اللي أبعد عنهعن درجة
+
+328
+00:28:10,040 --> 00:28:19,940
+flow جديش اقول قيمة ال surface Zero قيمة surface
+
+329
+00:28:19,940 --> 00:28:29,000
+ال flow مش ال K نعم هسه هو
+
+330
+00:28:29,000 --> 00:28:34,360
+في ال example هنالأن نعم نعم هو في ال example هنا
+
+331
+00:28:34,360 --> 00:28:37,920
+بقول انه لأنه لو بده .. بده يحسب ان انت ال floor
+
+332
+00:28:37,920 --> 00:28:42,890
+بده يعطيني بعض معلومات خاصةفي الترب عشان اقدر
+
+333
+00:28:42,890 --> 00:28:46,910
+افصلهم عمّد بالمعلومات المتوفرة ماجددش افصل ال ال
+
+334
+00:28:46,910 --> 00:28:47,870
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+335
+00:28:47,870 --> 00:28:48,590
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+336
+00:28:48,590 --> 00:28:50,450
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+337
+00:28:50,450 --> 00:28:51,990
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+338
+00:28:51,990 --> 00:28:52,230
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+339
+00:28:52,230 --> 00:28:55,250
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+340
+00:28:55,250 --> 00:29:00,430
+ال
+
+341
+00:29:00,430 --> 00:29:00,430
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+342
+00:29:00,430 --> 00:29:00,430
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+343
+00:29:00,430 --> 00:29:00,430
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+344
+00:29:00,430 --> 00:29:00,430
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+345
+00:29:00,430 --> 00:29:00,610
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+346
+00:29:09,130 --> 00:29:13,070
+الـ total flow بتعطينا .. نعم لما نطحن مع بعض و
+
+347
+00:29:13,070 --> 00:29:19,970
+نرسم العلاقة بتعطينا علاقة إيش؟ مستقيمة لازم تطلع
+
+348
+00:29:19,970 --> 00:29:23,510
+علاقة set line وهذه أنا رسم العلاقة لما أنا .. أنا
+
+349
+00:29:23,510 --> 00:29:26,770
+رسم علاقة بين الـ Q و ال .. و ال time بس على
+
+350
+00:29:26,770 --> 00:29:30,610
+similar scale كمان هذه لما تطلح قيمة ال .. ال ..
+
+351
+00:29:30,610 --> 00:29:33,410
+ال base flow من ال total و ترسم الخط كمان لازم
+
+352
+00:29:33,410 --> 00:29:40,700
+الخط إيش يكون؟ يجب كمان الخط تكونالـ straight line
+
+353
+00:29:40,700 --> 00:29:47,500
+دي أنا كنت بصم عليها في ملوك بيبر هسا رسمت الخط
+
+354
+00:29:47,500 --> 00:29:54,120
+هذا بقدر أحسب هنا طبعا هذا القيمة بتعطيني مين؟
+
+355
+00:29:54,120 --> 00:30:04,540
+بتعطيني قيمة الـ QO لل surface هذه
+
+356
+00:30:04,540 --> 00:30:05,000
+النقطة
+
+357
+00:30:08,170 --> 00:30:14,690
+أه ما هو لاحظه شغلة لأننا بنحكي بنحكي semi log
+
+358
+00:30:14,690 --> 00:30:18,730
+احنا قلنا عند ال .. عند ال inflection ال total
+
+359
+00:30:18,730 --> 00:30:26,590
+flow تقريبا قداش بحدود سبعين ولا لأ تقريبا سبعين
+
+360
+00:30:26,590 --> 00:30:32,670
+انا كان عندى هنا لو جيت هنا طب عند هذه النقطة عند
+
+361
+00:30:32,670 --> 00:30:38,720
+هذه النقطة قداش كانت قيمة ال ..البيز فلو لأكتر من
+
+362
+00:30:38,720 --> 00:30:42,260
+ستة ستة كانت عند الواحد ايا انت قريبا ستة لو
+
+363
+00:30:42,260 --> 00:30:47,320
+خصمتها بيظل عندها تقريبا بحدود الستين او اكتر شوية
+
+364
+00:30:47,320 --> 00:30:52,820
+يعني هي العملية طرح بس ما بين القمتين هنا هلأ لو
+
+365
+00:30:52,820 --> 00:30:57,260
+جيت انا by taking a Q في الماشي مع الرسمة بتكون ال
+
+366
+00:30:57,260 --> 00:31:00,340
+Q تقريبا اتنين point اتنين خمسة
+
+367
+00:31:12,120 --> 00:31:18,480
+5 day كان 66 جداش كانت قيمة ال .. ال .. ال base
+
+368
+00:31:18,480 --> 00:31:21,560
+flow بطح منها و من ثم بصم الخط التاني
+
+369
+00:31:33,290 --> 00:31:40,750
+طب أنا لما مدتوش مش أنا الـQO هي عند النقطة هذه
+
+370
+00:31:40,750 --> 00:31:51,450
+أنا الخط كان طي الجذع الموجود من اللي عندي
+
+371
+00:31:51,450 --> 00:31:57,770
+عشان
+
+372
+00:31:57,770 --> 00:32:04,290
+احنا اعطاه فرصة تكلة لإن أنا بقول QOلأن ال بيرز
+
+373
+00:32:04,290 --> 00:32:11,970
+فلور ويه جديش ال بيرز فلور في اللحظات اللحظة في ال
+
+374
+00:32:11,970 --> 00:32:20,690
+infection point فلازم أدعى من هناك بس بقى دي
+
+375
+00:32:20,690 --> 00:32:27,270
+الجديش تختاري أيام ماعنديش مشكلة لإن اللي اختاري
+
+376
+00:32:27,270 --> 00:32:32,650
+طلعييعني احنا هنا اشتغلنا بعد يومين قداش كان ال
+
+377
+00:32:32,650 --> 00:32:37,990
+flow واخدنا T two days واخدنا Q after two days لو
+
+378
+00:32:37,990 --> 00:32:42,250
+خدت Q after three days او four days لا مشكلة سواء
+
+379
+00:32:42,250 --> 00:32:48,750
+ال base flow ولا ال surface flow تطلع عندي من
+
+380
+00:32:48,750 --> 00:32:55,590
+القيم هذه تطلع عندي KRS بتسوي point اتنين تسعة
+
+381
+00:32:58,000 --> 00:33:04,700
+كقيمة نعم اللي بدى تلاحظه شغلة الكيرفين هدول اللي
+
+382
+00:33:04,700 --> 00:33:07,200
+صنع رسمينهم اللي هو هذا الخط أو خلينا نسميهم عبارة
+
+383
+00:33:07,200 --> 00:33:10,460
+عن على شكل state line في حالة semi log scale
+
+384
+00:33:10,460 --> 00:33:19,060
+بتلاحظوا ان ال safe sign off معدل تغيره عالي جدا
+
+385
+00:33:19,060 --> 00:33:27,330
+بحين انه ال base flow بطيق منطق ولا مش منطق؟منطق
+
+386
+00:33:27,330 --> 00:33:32,010
+ليش؟ لأن المي بتجه هنا فيش مابريقها بس من ال bath
+
+387
+00:33:32,010 --> 00:33:36,510
+floor المي بتطلع من وين؟ من التربة و لا لأ فالمي
+
+388
+00:33:36,510 --> 00:33:41,490
+مش راح تطلع من التربة بسهولة المي تمشي وين؟ بالظبط
+
+389
+00:33:41,490 --> 00:33:47,150
+عشان الكون هذا خلال الفترة و اجهزة بخلص ال care
+
+390
+00:33:47,150 --> 00:33:49,130
+اللي فوق كان بعملي عبارة عن ال combination
+
+391
+00:33:49,130 --> 00:33:53,270
+للحالتين هدولةلما انا بمسك كل حالة منهم معناته انا
+
+392
+00:33:53,270 --> 00:33:56,550
+بعبّر عن واضحة لما بصومها semi-log بتكون على شكل
+
+393
+00:33:56,550 --> 00:34:02,970
+street line بصينا على ايه بصومها بال semi-log of
+
+394
+00:34:02,970 --> 00:34:07,370
+care وانا بصومها بال semi-log of care عشان اقدر
+
+395
+00:34:07,370 --> 00:34:11,530
+اعملها extension لان اذا بتخليها على شكل care
+
+396
+00:34:11,530 --> 00:34:19,250
+مابقدرش ان يعملها اي نوع من ال extension ماشي
+
+397
+00:34:19,250 --> 00:34:24,150
+الحال؟طيب هنا طبعا بتيجي نقطة لو انا جيت اقول على
+
+398
+00:34:24,150 --> 00:34:28,310
+ال curve هذا امتى
+
+399
+00:34:28,310 --> 00:34:35,490
+بينتهي عندي قيمة ال run off اللي جاي من الرين؟ مين
+
+400
+00:34:35,490 --> 00:34:44,190
+النقطة بتتعبر عنها؟ B ولا لا؟مش هذه النقطة بيه هو
+
+401
+00:34:44,190 --> 00:34:47,950
+ان بصير ال flow بس عبارة عن بيه ال flow اذا ان انا
+
+402
+00:34:47,950 --> 00:34:50,450
+بدأ احكي على ال hydrograph اللي خاص بال runoff
+
+403
+00:34:50,450 --> 00:34:56,350
+بينتهي عند النقطة under النقطة بيه ماشي الحال واضح
+
+404
+00:34:56,350 --> 00:35:01,930
+ال example هذا المحاضرة اللي جاي نشوفمش النقطة من
+
+405
+00:35:01,930 --> 00:35:06,030
+بي و بعدها من بي لإيه كل flow عبارة عن be the flow
+
+406
+00:35:06,030 --> 00:35:09,870
+من النقطة بي و قبل مش ال flow عبارة عن be the flow
+
+407
+00:35:09,870 --> 00:35:13,250
+ذات surface storage إذا ال surface storage جاي من
+
+408
+00:35:13,250 --> 00:35:18,450
+مين؟ من الرين إذا النقطة بي مش متعبر عن اتين راح
+
+409
+00:35:18,450 --> 00:35:22,470
+تكون خاتين ولا لأ؟ معناته خات منهم بيعبر عن اتنين
+
+410
+00:35:22,470 --> 00:35:27,430
+و خات منهم بيعبر عن واحد ولا لأ؟ سألتها بنفس
+
+411
+00:35:27,430 --> 00:35:29,210
+الطريقة بقى
+
+412
+00:35:44,390 --> 00:35:51,650
+بنفكر في هذه السؤال تبقى
+
+413
+00:35:51,650 --> 00:36:03,330
+يعني لو كان أنا عندي إصلاح مش فقط من مصداوين من
+
+414
+00:36:03,330 --> 00:36:10,230
+تلت مصادر طيب أنا هو المصادر
+
+415
+00:36:13,040 --> 00:36:30,300
+دي اتراف الـ 69 مليون مفتوح Extinction كان الوين
+
+416
+00:36:30,300 --> 00:36:37,780
+ميصي مدينة مدينة طاقمي وخليني اقول ايه مفتوح ال
+
+417
+00:36:37,780 --> 00:36:45,990
+Extinction؟ مدينة مدينة طاقممعظم المعظم المعظم
+
+418
+00:36:45,990 --> 00:36:50,970
+المعظم المعظم المعظم المعظم المعظم المعظم المعظم
+
+419
+00:36:50,970 --> 00:36:53,190
+المعظم المعظم المعظم المعظم المعظم المعظم المعظم
+
+420
+00:36:53,190 --> 00:36:53,310
+المعظم المعظم المعظم المعظم المعظم المعظم المعظم
+
+421
+00:36:53,310 --> 00:36:53,350
+المعظم المعظم المعظم المعظم المعظم المعظم المعظم
+
+422
+00:36:53,350 --> 00:36:53,350
+المعظم المعظم المعظم المعظم المعظم المعظم المعظم
+
+423
+00:36:53,350 --> 00:36:53,350
+المعظم المعظم المعظم المعظم المعظم المعظم المعظم
+
+424
+00:36:53,350 --> 00:36:57,670
+المعظم المعظم المعظم المعظم المعظم المعظم المعظم
+
+425
+00:36:57,670 --> 00:37:07,390
+المعظم المعظم المعظم المعظم
+
+426
+00:37:11,830 --> 00:37:22,810
+كل حاجة رح
+
+427
+00:37:22,810 --> 00:37:29,050
+يكون ال flow حاضع من هنا لهنا عبارة عن إيش؟ عبارة
+
+428
+00:37:29,050 --> 00:37:38,370
+عن انت ال flow أو بالمعنى ال flow حاضع رح يكون
+
+429
+00:37:38,370 --> 00:37:43,990
+عبارة عن مين؟انت ال flow base لو دراست ال base منه
+
+430
+00:37:43,990 --> 00:37:53,850
+بتطفي لمين؟ لك تلاتة لو دراست التركيه الأولانيات
+
+431
+00:37:53,850 --> 00:37:58,310
+منه بتطفي لمين؟ لل surface فهنا لما أنا بطلح ال
+
+432
+00:37:58,310 --> 00:38:02,790
+base flow بطلق ال base flow بصم العلاقة إذا كانت
+
+433
+00:38:02,790 --> 00:38:07,550
+العلاقة عن خط واحد معناته عبارة عن مين؟ عن مصدر
+
+434
+00:38:07,550 --> 00:38:11,400
+واحد اللي هو surface storageلو كانت .. يعني طبعا
+
+435
+00:38:11,400 --> 00:38:14,560
+كيف كانت خاتين؟ انه لو جيته .. مابقدرش اللي هو
+
+436
+00:38:14,560 --> 00:38:18,100
+أعمله خات واحد، راح أداجي الهدوء اليابان عن مين؟
+
+437
+00:38:18,100 --> 00:38:24,320
+عن خاتين، ولا مش شئت؟ صريت انا شو بدي بعمل؟ خاتين
+
+438
+00:38:24,320 --> 00:38:27,640
+مع أن .. كأنه انا اتجهت للحالة هذه، بس كأنه كتور
+
+439
+00:38:27,640 --> 00:38:34,560
+كومبونة باخد هذه لحمة بطلة حمار بطلة ات اشتغل،
+
+440
+00:38:34,560 --> 00:38:35,480
+اتبسلي
+
+441
+00:38:39,740 --> 00:38:43,060
+أه ما هو بيصير ال component .. الخط هذا بيعبر عن
+
+442
+00:38:43,060 --> 00:38:49,720
+ال base flow الخط هذا بيعبر عن ال base flow ال
+
+443
+00:38:49,720 --> 00:38:53,240
+base flow و ال interflow مادام انعقدت ال base flow
+
+444
+00:38:53,240 --> 00:38:57,620
+بطل عن ال interflow الخط هذا بيعبر عن مين؟ عن
+
+445
+00:38:57,620 --> 00:39:02,420
+التلاتر بطل .. بطح .. بطح التتل او الانيات بطل
+
+446
+00:39:02,420 --> 00:39:08,300
+عبارة عن ال surface مافيش مشكلة هنا واضحة؟
+
+447
+00:39:09,890 --> 00:39:13,250
+طيب هاي بالنسبة ان كيف احنا لل research ال limb
+
+448
+00:39:13,250 --> 00:39:17,230
+نقدر نحدد ال three components separately او ال two
+
+449
+00:39:17,230 --> 00:39:19,810
+components separately اذا كنا بنحكي على two
+
+450
+00:39:19,810 --> 00:39:24,110
+components المحاضرة الجاية نشوف في فترة ال
+
+451
+00:39:24,110 --> 00:39:27,130
+hydrograph كيف نفصل .. شو الطرق اللي بنستخدمها
+
+452
+00:39:27,130 --> 00:39:31,590
+عشان نفصل ال base flow عن ال direct runner يعطيكم
+
+453
+00:39:31,590 --> 00:39:31,950
+العافية
+
diff --git a/PL9fwy3NUQKwbvMSfUJhi-cxpo3gq_SISD/uqY2UFnqo1E_raw.srt b/PL9fwy3NUQKwbvMSfUJhi-cxpo3gq_SISD/uqY2UFnqo1E_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..1b0d30db279a198bdb3864e7ff3022abbe9a5b58
--- /dev/null
+++ b/PL9fwy3NUQKwbvMSfUJhi-cxpo3gq_SISD/uqY2UFnqo1E_raw.srt
@@ -0,0 +1,1832 @@
+1
+00:00:06,410 --> 00:00:09,610
+طبعا اليوم ان شاء الله راح نبدأ بموضوع جديد أو
+
+2
+00:00:09,610 --> 00:00:14,190
+بشبتر جديد من engineering hydrology طبعا عنوانه
+
+3
+00:00:14,190 --> 00:00:20,190
+stream flow measurement أو بمعنى انه احنا بنعرف او
+
+4
+00:00:20,190 --> 00:00:24,210
+احنا لما بلشنا في ال water cycle بقولنا انه الجزء
+
+5
+00:00:24,210 --> 00:00:27,310
+الأساسي او الجزء الكبير او ال component الأساسي
+
+6
+00:00:27,310 --> 00:00:31,970
+منه هو ال runoff و ال runoff هاي لما بيجري احنا
+
+7
+00:00:31,970 --> 00:00:36,480
+كنا بنعرف انه بمشي due to gravity ولا مش شيخولمّا
+
+8
+00:00:36,480 --> 00:00:40,500
+بيمشي due to gravity بالنسبة لإن المجلة اللي هو
+
+9
+00:00:40,500 --> 00:00:45,120
+ماشي فيها عبارة عن إيش؟ as hydraulic structure إذا
+
+10
+00:00:45,120 --> 00:00:48,190
+أنتم أخدتمهم ال hydraulicsعبارة عن open channel
+
+11
+00:00:48,190 --> 00:00:52,870
+بأي شكل كان يعني شكلها مش regular واطفر لكن هي
+
+12
+00:00:52,870 --> 00:00:55,970
+عبارة عن الشارع لما الميه تبقى ماشية فيها عبارة عن
+
+13
+00:00:55,970 --> 00:01:01,310
+open channel مقطعه مقطع الشارع ال word open
+
+14
+00:01:01,310 --> 00:01:07,310
+channel مقطعه بشكل معين مش ثابت على جميع المقطع
+
+15
+00:01:07,310 --> 00:01:12,410
+لكن عبارة عن open flow هسا بهمنا أنه نعرف كيف نقيس
+
+16
+00:01:12,410 --> 00:01:18,330
+ال flow خلال هاي المجرى المائياللي ماهواش منتظم
+
+17
+00:01:18,330 --> 00:01:23,330
+ولا هو close ولا ال flow في كل instant مع الزمن
+
+18
+00:01:23,330 --> 00:01:31,230
+ولا مش هيكمن هنا ليش احنا عادة بهمنا ان نحدد و
+
+19
+00:01:31,230 --> 00:01:35,070
+نقيص ال steam flow اللي عبارة عن كميات ال runoff
+
+20
+00:01:35,070 --> 00:01:39,510
+اللي بتتجمع في اي مجرة مائية بغض النظر عن حجم و
+
+21
+00:01:39,510 --> 00:01:43,750
+طبيعة هذا المجرة يعني الشارع بالنسبة لنا مجرة بيت
+
+22
+00:01:43,750 --> 00:01:47,950
+المطر في ال pipes مجرة مائية الواد مجرة مائية
+
+23
+00:01:47,950 --> 00:01:51,890
+الدهر مجرة مائية القنوات اللي متفرعة من الأنهار أو
+
+24
+00:01:51,890 --> 00:01:56,200
+بتجمع الأنهار ما كلهم مجاري مائيةبقول الـ Surface
+
+25
+00:01:56,200 --> 00:01:58,900
+water hydrology deals with the movement of water
+
+26
+00:01:58,900 --> 00:02:01,380
+along earth's surface as a result of precipitation
+
+27
+00:02:01,380 --> 00:02:05,160
+and snow melt لأنه احنا نعرف ان المي راح تجري اما
+
+28
+00:02:05,160 --> 00:02:08,740
+نتيجة انه في precipitation اذا رين بنزل واما انه
+
+29
+00:02:08,740 --> 00:02:14,480
+في ثلوج اللي نزلت as snow ومن ثم بذوب بعد فترة و
+
+30
+00:02:14,480 --> 00:02:19,620
+بتعمل عندي الجريان هذيالعرفة على كمية والقوة في
+
+31
+00:02:19,620 --> 00:02:23,500
+مجلة الماء هي مطالبة من مؤسسات مؤسسات مؤسسات
+
+32
+00:02:23,500 --> 00:02:24,580
+مؤسسات مؤسسات مؤسسات مؤسسات مؤسسات مؤسسات مؤسسات
+
+33
+00:02:24,580 --> 00:02:25,740
+مؤسسات مؤسسات مؤسسات مؤسسات مؤسسات مؤسسات مؤسسات
+
+34
+00:02:25,740 --> 00:02:26,580
+مؤسسات مؤسسات مؤسسات مؤسسات مؤسسات مؤسسات مؤسسات
+
+35
+00:02:26,580 --> 00:02:34,880
+مؤسسات مؤسسات مؤسسات مؤسسات
+
+36
+00:02:34,880 --> 00:02:40,440
+مؤسسات مؤسسات مؤسسات
+
+37
+00:02:40,460 --> 00:02:43,680
+معناته جديش الرزوار بده يكون حجبه، جديش منصوب
+
+38
+00:02:43,680 --> 00:02:46,720
+الميه بده تصل في هذا الرزوار، بده يمشي في مجلة
+
+39
+00:02:46,720 --> 00:02:50,100
+نهار، ماحنا بدنا نعرف جديش المنصوب بدي يصل، لإن
+
+40
+00:02:50,100 --> 00:02:54,780
+هذا يعني الكميات يعني ال floods معينين، عشان هيك،
+
+41
+00:02:54,780 --> 00:02:59,080
+ع مستوى البلديات بهمنا نعرف، ع مستوى الصناعة بهمنا
+
+42
+00:02:59,080 --> 00:03:02,800
+نعرف ماهو هذا المجلة الميه ممكن يكون مستخدم كحركة
+
+43
+00:03:02,800 --> 00:03:09,480
+نقل، و لا مش هيك، ع مستوى ال agriculture بالزم
+
+44
+00:03:10,870 --> 00:03:15,350
+ع مستوى أي water supply project بالظبط نعرف هذه
+
+45
+00:03:15,350 --> 00:03:19,850
+الكميات طبعا لما احنا بنجيس ال water flow في ال
+
+46
+00:03:19,850 --> 00:03:23,990
+streams دايما احنا بنجيسهم as volumes per unit
+
+47
+00:03:23,990 --> 00:03:30,210
+time يعني انا بقول flow I means volumetric flow
+
+48
+00:03:30,210 --> 00:03:35,250
+متر مكعب per second per minute per day whatever
+
+49
+00:03:35,250 --> 00:03:42,350
+لكن هي وحدة flow طيبhow we measure the stream
+
+50
+00:03:42,350 --> 00:03:50,110
+flows في عندنا حد الطرق ممكن نستخدمها لقياس ال
+
+51
+00:03:50,110 --> 00:03:55,390
+flow في من هذه الطرق direct flow measurement وفي
+
+52
+00:03:55,390 --> 00:04:02,810
+منها indirect من هذه ال direct method في عندنا
+
+53
+00:04:02,810 --> 00:04:10,250
+طريقة اللي احنا بنسميها area velocity methodراح بس
+
+54
+00:04:10,250 --> 00:04:15,090
+أعطي عنها فكرة بسيطة لإنه لاحقا راح ناخدها
+
+55
+00:04:15,090 --> 00:04:21,370
+بالتفصيل الفكرة عندنا بالشكل التالي وهذه منبثقة من
+
+56
+00:04:21,370 --> 00:04:28,110
+ال hydraulics أنه لو كان عندي أي مجرم مائي وانا
+
+57
+00:04:28,110 --> 00:04:31,750
+برسم مقطع مش regular ماحنا مش regular في شكله إذا
+
+58
+00:04:31,750 --> 00:04:37,480
+كانت منصوب المي عند أي level فياإحنا بنعرف إنه من
+
+59
+00:04:37,480 --> 00:04:40,960
+الcontinuity equation اللي إنتوا ماخدتوها سابقا
+
+60
+00:04:40,960 --> 00:04:48,920
+إنه Q بيصوّي V في A و لا مش A ال A هي عبارة عن ال
+
+61
+00:04:48,920 --> 00:04:53,540
+area المقطع المائي إذا عرفت أنا معدل السرعة في
+
+62
+00:04:53,540 --> 00:05:00,740
+المقطع المائي نعم لكن خلال المقطع هل السرعة
+
+63
+00:05:00,740 --> 00:05:06,180
+constant؟حسب الشكل، يعني أنا ماشي هي الشكل، بقول
+
+64
+00:05:06,180 --> 00:05:09,560
+لو أنا جيت أجيب صوية المي هنا ولا أجيب صوية المي
+
+65
+00:05:09,560 --> 00:05:12,940
+هنا ولا أجيب صوية المي هنا، is it the same؟
+
+66
+00:05:23,440 --> 00:05:27,100
+انا بحكي ال Q، ال Q هي معدل متوسط الصلعة في ال
+
+67
+00:05:27,100 --> 00:05:31,240
+area لكن هل الصلعة هنا زي الصلعة هنا زي الصلعة هنا
+
+68
+00:05:31,240 --> 00:05:37,280
+زي الصلعة هنا في نفس اللحظة؟ لأ ليش؟
+
+69
+00:05:37,280 --> 00:05:43,320
+طيب مش منتظر، طب لو كان المقطع هيك، هي منتظر؟
+
+70
+00:05:43,320 --> 00:05:47,870
+الصلعة هنا، لو الميه هي منصوبهاالسرعة هنا نفس
+
+71
+00:05:47,870 --> 00:05:53,810
+قيمتها هنا؟ لأ بالظبط
+
+72
+00:05:53,810 --> 00:05:58,050
+احنا بنعرف انه انا هال بتذكر فيها انه انا عندي ال
+
+73
+00:05:58,050 --> 00:06:02,210
+flow بمشي ال layers و due to the shear force ما
+
+74
+00:06:02,210 --> 00:06:05,170
+بين ال layers فهذه concept في ال fluid و لا مش
+
+75
+00:06:05,170 --> 00:06:09,090
+shear هسة لما انا بجهند ال layer هذه اللي هي على
+
+76
+00:06:09,090 --> 00:06:13,490
+ال bottom هذه ال layer مش متحركة فرح تكون هنا
+
+77
+00:06:13,490 --> 00:06:18,050
+السرعة zero يعني لو جيت أقسم علاقةما بين الاطفال و
+
+78
+00:06:18,050 --> 00:06:21,170
+ما بين السرعة اللي هرجع something like this هنا
+
+79
+00:06:21,170 --> 00:06:28,790
+السرعة zero و هنا السرعة max على ال surface السرعة
+
+80
+00:06:28,790 --> 00:06:33,910
+max عشان هيك انا بدي بالزمن لما انا بحكي في مقطع
+
+81
+00:06:33,910 --> 00:06:38,150
+مائي يمكن يكون المقطع المائي هذا طوله او ال cross
+
+82
+00:06:38,150 --> 00:06:42,860
+section له بالامتار نهر عضه عشرين تلاتين مترعمقه
+
+83
+00:06:42,860 --> 00:06:46,420
+تلاتة اربعة خمس سبعة متر معناته لما بقول المقطع
+
+84
+00:06:46,420 --> 00:06:49,280
+عشان احدد السرع معناته السرع ماتتحددش من خلال نقطة
+
+85
+00:06:49,280 --> 00:06:54,240
+واحدة راح نيجي نشوف كيف ممكن انحدد متوسط السرع على
+
+86
+00:06:54,240 --> 00:07:00,540
+هذا المقطع المائي في انا كمان طرق زي ال dilution
+
+87
+00:07:00,540 --> 00:07:05,940
+technique وهذه راح نشوف كمان مفهوم ال dilution
+
+88
+00:07:05,940 --> 00:07:12,150
+technique انه لو انا جيت على مجرى مائي معينوحطيت
+
+89
+00:07:12,150 --> 00:07:15,810
+اي concentration لأي component هذا ال
+
+90
+00:07:15,810 --> 00:07:19,330
+concentration رح يختلط مع ال flow اللي ماشي لو جيت
+
+91
+00:07:19,330 --> 00:07:24,910
+بعد نقطة تانية اجيب جداش صار ال concentration رح
+
+92
+00:07:24,910 --> 00:07:27,970
+يعطينا indication و رح نقدر نضبطه انه ال
+
+93
+00:07:27,970 --> 00:07:31,050
+concentration الجديد بعبر معناته جداش ال flow اللي
+
+94
+00:07:31,050 --> 00:07:35,180
+كان موجود عشان .. لإن كل ما كان ال flow أكترفي
+
+95
+00:07:35,180 --> 00:07:38,900
+المكان الـ concentration نزل لإنه اختلف بكميات
+
+96
+00:07:38,900 --> 00:07:43,020
+أكبر من خلالها ممكن نحسب كمية الـflow فيهم
+
+97
+00:07:43,020 --> 00:07:48,760
+الـelectromagnetic methods طرق نعم وهذه راح كمان
+
+98
+00:07:48,760 --> 00:07:54,380
+نشوفها الـultrasonic methods طرق باستخدام الاشعات
+
+99
+00:07:54,380 --> 00:07:57,800
+أو باللحظة باستخدام الموجات لإن بتعرفوا ان المي ما
+
+100
+00:07:57,800 --> 00:08:01,580
+احنا عارفين احنا كمان بنعرف ان المي و هي ماشية بأي
+
+101
+00:08:01,580 --> 00:08:08,270
+gravity بتكون الـflowوالـ flow ماخد تموج معين من
+
+102
+00:08:08,270 --> 00:08:13,270
+خلال هذا ممكن أنا أجيس بين نقطتين معينين فرق
+
+103
+00:08:13,270 --> 00:08:16,610
+السرعة معناته أو هذا الحاجة اللي راح نيجي فيها في
+
+104
+00:08:16,610 --> 00:08:21,730
+بعض indirect measurement method زي بعض الهيدروكيز
+
+105
+00:08:21,730 --> 00:08:26,180
+structuresزي الـ weird الـ flumes الـ gate
+
+106
+00:08:26,180 --> 00:08:32,720
+structures وهذه ممكن مرّت معاكم بالهاتفلوت نعم في
+
+107
+00:08:32,720 --> 00:08:37,660
+طريقة تانية هي slope area method هذوله طرق
+
+108
+00:08:37,660 --> 00:08:44,340
+indirect method اللي من خلالهم بنقدر نحسب قداش
+
+109
+00:08:44,340 --> 00:08:51,420
+قيمة ال flow اللي ماشي خلال ال channel اللي موجود
+
+110
+00:08:51,420 --> 00:08:51,820
+عندى
+
+111
+00:08:54,560 --> 00:08:59,000
+انت بتقوللي انه
+
+112
+00:08:59,000 --> 00:09:05,660
+بدنا نقيس ال flow طيب لو دينا نتطلع بشكل عام انه
+
+113
+00:09:05,660 --> 00:09:10,920
+دايما ال flow عندنا متبط بمنسوب المي في ال channel
+
+114
+00:09:10,920 --> 00:09:16,130
+اذا انا اعتبرت انه المقطع channel واطفةهذا أنا
+
+115
+00:09:16,130 --> 00:09:20,650
+دائما بدي أظل طول عمري أجي كل يوم عشان أجيس ال
+
+116
+00:09:20,650 --> 00:09:23,210
+flow و أجيس ال velocity و أعمل و أسوي كل الشغلات
+
+117
+00:09:23,210 --> 00:09:27,930
+هذه هذه طريقة مرهقة جدا و مكلفة جدا فعشان هي دائما
+
+118
+00:09:27,930 --> 00:09:34,750
+نشوف نحاول نعمل نحاول نوجد علاقة للمقطع المعين
+
+119
+00:09:34,750 --> 00:09:41,510
+تربط ما بين منثوب المي في المقطع و سرعته أو ال
+
+120
+00:09:41,510 --> 00:09:47,160
+flow اللي ماشي فيهو من هنا إذا أنا وجدت هذه
+
+121
+00:09:47,160 --> 00:09:52,980
+العلاقة بعد هيك لو أنا جيت في أي لحظة بقدر أعرف و
+
+122
+00:09:52,980 --> 00:09:57,660
+حس أراح أرضيكم بقدر أعرف قديش منصوب المي في المقطع
+
+123
+00:09:57,660 --> 00:10:01,960
+إذا أنا عرفت منصوب المي في المقطع من العلاقة هذه
+
+124
+00:10:01,960 --> 00:10:08,700
+بجيب ال flow و هذه العلاقة إحنا بنسميها rating
+
+125
+00:10:08,700 --> 00:10:15,530
+curverating care ال rating care هاي هو عبارة عن
+
+126
+00:10:15,530 --> 00:10:21,670
+علاقة أنا بعملها عند المقطع في منطقة معينة تربط ما
+
+127
+00:10:21,670 --> 00:10:25,170
+بين مستوى المي في المقطع وهذه اللي احنا بنسميها ال
+
+128
+00:10:25,170 --> 00:10:30,470
+stage هذه بنسميها ال stage اللي هي بمعنى منصوب
+
+129
+00:10:30,470 --> 00:10:35,450
+المي في المقطع مع مين؟ مع ال flow اللي ماشي في
+
+130
+00:10:35,450 --> 00:10:42,430
+المقطع وهذه بنوجدها لمرة واحدةللمقطع معناه أنا
+
+131
+00:10:42,430 --> 00:10:47,130
+دايما بجيس ال flow عند مقطع معين وبعدين هبصير أجيس
+
+132
+00:10:47,130 --> 00:10:52,110
+ال stage يعني ليش بنسوب المي الحيني إذا هاي ال
+
+133
+00:10:52,110 --> 00:10:54,850
+flow اللي مفروض بيكون موجود فيها فاحنا بنقسم ال
+
+134
+00:10:54,850 --> 00:10:58,650
+rating من خلال ال data بنعملها و راح نشوف كيف
+
+135
+00:10:58,650 --> 00:11:02,290
+بنعمل هاي ال data و من ثم بعد هيك بيصير في عندي
+
+136
+00:11:02,290 --> 00:11:06,950
+للمجلة هذا في علاقة اللي هي ال rating هي اللي
+
+137
+00:11:06,950 --> 00:11:12,140
+بتربط ما بين ال discharge و ما بينالـ Stage وهذه
+
+138
+00:11:12,140 --> 00:11:23,740
+تسمى Stage Discharge Relationship او Rating K انا
+
+139
+00:11:23,740 --> 00:11:26,460
+في الآخره باهمني انه بغض النظر ال flow ماشي فيه
+
+140
+00:11:26,460 --> 00:11:30,220
+هذا من وين جاي هو جاي من الأمطار بس انا باهمني على
+
+141
+00:11:30,220 --> 00:11:35,000
+المقطع هذاإن لو أنا جيت الميه مصوبة هنا جديش ال
+
+142
+00:11:35,000 --> 00:11:38,160
+floor اللي ماشي، هذي ميه جاية من مطعة جاية من
+
+143
+00:11:38,160 --> 00:11:40,880
+waterfall بس دايما بالنسبة إن ال surface water
+
+144
+00:11:40,880 --> 00:11:44,360
+جاية من وين؟ بالأساط جاية من المصبتش ولا من اللي
+
+145
+00:11:44,360 --> 00:11:51,800
+بدي يجي عنده surface water هسة هذا شكل من أشكال ال
+
+146
+00:11:51,800 --> 00:11:58,460
+stage ال stage عشان أحطكم بالصورة تماما زي الصفة
+
+147
+00:11:58,460 --> 00:11:59,200
+على المساحة
+
+148
+00:12:01,640 --> 00:12:08,440
+الشخص هذا بتاع المساحة نعم مش ال .. ال .. الأوتاد
+
+149
+00:12:08,440 --> 00:12:11,440
+اللي بتحط .. اللي بتستخدم في ال pseudo light و ال
+
+150
+00:12:11,440 --> 00:12:20,400
+.. و ال level ايش بتسموه انتوا؟ مصطرة؟ لأ المصطرة
+
+151
+00:12:20,400 --> 00:12:27,840
+هذه ايش بت .. ماشي طيب
+
+152
+00:12:29,510 --> 00:12:33,790
+هايش المسطرة أو ال stuff اللي بنحكي عنه لما أنا
+
+153
+00:12:33,790 --> 00:12:38,110
+بحطه في ال .. في ال .. البكان معناته انا بتعرف انه
+
+154
+00:12:38,110 --> 00:12:40,650
+دايما الميه في المتجهة المائية في الوضع الطبيعى
+
+155
+00:12:40,650 --> 00:12:47,070
+السطح بتاعها واحد و لا مش هيك طبعا لاحظوا شغل هنا
+
+156
+00:12:47,070 --> 00:12:54,730
+اما اني بحط ال stuff high بحطه one unit يعني واحدة
+
+157
+00:12:55,350 --> 00:12:59,770
+من الأول للآخر او لو كان المقطع المائي عندي متدرج
+
+158
+00:12:59,770 --> 00:13:04,110
+زي ما احنا شايفين هنا لو انا بداجي احط ال stuff
+
+159
+00:13:04,110 --> 00:13:08,630
+هنا عشان اجيس من أوطان نقاط جديش راح اكون بعيد عن
+
+160
+00:13:08,630 --> 00:13:13,230
+الجنب مسافة طويلة طب لو انا حاطه في نص المتجر
+
+161
+00:13:13,230 --> 00:13:17,990
+المائي ساعتها معناته اللي بديجي يقراه بده يركبله
+
+162
+00:13:17,990 --> 00:13:22,390
+عشان يقراه و هذا ال stuff لإنه بديكون ثابت لإن
+
+163
+00:13:22,390 --> 00:13:25,620
+احنا بنحطه في المتجر المائي بنثبتهطب لو هذا المجرى
+
+164
+00:13:25,620 --> 00:13:29,060
+المائي فيه شغل متحركة فيه صفنة لغرارته بتقدرها
+
+165
+00:13:29,060 --> 00:13:33,860
+تضافيه كل يوم و تكسره فشوفوا كيف بنعمله بنعمله
+
+166
+00:13:33,860 --> 00:13:41,920
+مستويات طبعا بحيث أن المستويات تتقاطع طبعا ماشيين
+
+167
+00:13:41,920 --> 00:13:45,080
+على نفس ال level يعني هنا لما بتتقاطع إذا كانت هذه
+
+168
+00:13:45,080 --> 00:13:49,680
+مستوى خمس اللي جبالة هنا مستوى خمس و ببدأ أعد و من
+
+169
+00:13:49,680 --> 00:13:54,720
+ثم بكمل هنا يعني هي بس شكل لو كان عنديالمقطع ما
+
+170
+00:13:54,720 --> 00:14:01,940
+هواش regular وهذه دايما ال unit بنحطها و بنثبتها و
+
+171
+00:14:01,940 --> 00:14:06,280
+بنضبطها يعني انا ممكن ابدأها ب benchmark عشان تكون
+
+172
+00:14:06,280 --> 00:14:10,960
+متطابطة مع نقاط .. مع ال benchmarks الموجودين في
+
+173
+00:14:10,960 --> 00:14:14,160
+البلد فمعناته انت بتقوللي ان منصوب المي اليوم في
+
+174
+00:14:14,160 --> 00:14:17,920
+المجرى المائي 30 متر above sea level طبعا above
+
+175
+00:14:17,920 --> 00:14:21,460
+sea level دايما معناته ان اطفاء المي 30 مترأحنا
+
+176
+00:14:21,460 --> 00:14:24,860
+عارفين قداش ال data للمجهة المائية above sea level
+
+177
+00:14:24,860 --> 00:14:29,680
+قداش الانتفاع الجاذبي للمجهة المائية إذا أنا عامل
+
+178
+00:14:29,680 --> 00:14:36,260
+ال rating curve بقدر أحدد قيمة ال flow direct أو
+
+179
+00:14:36,260 --> 00:14:40,500
+أعمل estimation لل flow direct هذا هو ال stage
+
+180
+00:14:40,500 --> 00:14:46,960
+اللي بنسميه ال stage طبعا إذا أنا جيت مع الزمنهل
+
+181
+00:14:46,960 --> 00:14:50,420
+بلاقي منصوب الميه على المتجر المائي constant؟ لا
+
+182
+00:14:50,420 --> 00:14:56,960
+فأنا ممكن شو أعمل أقسم علاقة ما بين ال stage طبعا
+
+183
+00:14:56,960 --> 00:14:59,060
+هنا ال stage اللي هو منصوب الميه على ال stage مش
+
+184
+00:14:59,060 --> 00:15:03,220
+ما بين ال stage نفسه ال stage واقصد منصوب الميه
+
+185
+00:15:03,220 --> 00:15:10,220
+على ال stage و مع الزمن راح نلاقي فترات فترات ممكن
+
+186
+00:15:10,220 --> 00:15:14,720
+يكون نازل فترات ممكن يكون عالي و بالذات أنكم
+
+187
+00:15:14,720 --> 00:15:19,370
+بتعرفواو راح نيجي بعد فترة نوضحها ان عندي بعض
+
+188
+00:15:19,370 --> 00:15:24,390
+مجاري مائية بيستمر ال flow فيها على مدار السنة
+
+189
+00:15:24,390 --> 00:15:30,950
+يعني مثلا نهر زي نهر النيل مش مجرم هاي؟ هل بنزل
+
+190
+00:15:30,950 --> 00:15:36,250
+أمطار على نهر النيل طول السنة؟ لأ لكن المي في نهر
+
+191
+00:15:36,250 --> 00:15:40,290
+النيل تجه على طول السنة لكن هل ثابتة if the flow
+
+192
+00:15:40,290 --> 00:15:50,320
+constant؟ variable لو جيناعلى وقت زي وقت غزة انسوا
+
+193
+00:15:50,320 --> 00:15:55,600
+الوضع الحالي للوقت بس بقصد قوة ديان بنلاقي انه كل
+
+194
+00:15:55,600 --> 00:16:01,240
+ما نزلت أسطور بتمشي فيه الميه وبتجدلها يوم يومين
+
+195
+00:16:01,240 --> 00:16:04,660
+وما بعد الأسطور ومابعدين إيش تنشأ بترجع ال flow
+
+196
+00:16:04,660 --> 00:16:12,520
+إيش؟ Zero فلو جينا نجيص في مدرع زي نخل النيل راح
+
+197
+00:16:12,520 --> 00:16:17,140
+ألاقي العلاقةماخد الشكل التالي، بتطلع و بتنزل، لكن
+
+198
+00:16:17,140 --> 00:16:23,560
+ع مدار السنة فيه flow لو جيت على مجرة زي .. مجرة
+
+199
+00:16:23,560 --> 00:16:27,680
+زي واد غزة، راح ألاقي ال flow هيك، بعد فترة خلصت
+
+200
+00:16:27,680 --> 00:16:31,860
+ال storm، نرجع في الشيزة أجت ال storm أصغر، بعد
+
+201
+00:16:31,860 --> 00:16:37,860
+فترة نعم، ولا مش هيك؟ في عندنا بعض مجاري مائية
+
+202
+00:16:39,020 --> 00:16:44,000
+بلاجي انه بصير المجرى المائي هذا على مدار فترة
+
+203
+00:16:44,000 --> 00:16:50,560
+الشتاء و لما تخلص الشتاء بعد فترة ايش بينقطع لحد
+
+204
+00:16:50,560 --> 00:16:55,540
+ايش .. نعم يعني خلال ما بين ال storm و ال storm
+
+205
+00:16:55,540 --> 00:17:00,840
+مابيعتلش يعني ماتنضفش المياه فشو بلاجيه؟ بلاجيه
+
+206
+00:17:00,840 --> 00:17:04,360
+يمكن احنا لو انا بده ابلش احسبله من خلينا نقول من
+
+207
+00:17:04,360 --> 00:17:10,770
+شهر ستة لشهر ستة السنة اللي بعدهاراح نلاقي انه في
+
+208
+00:17:10,770 --> 00:17:15,310
+الفتة شهر ست و سبعة و تمانية مافيش إشي بعدين فتة
+
+209
+00:17:15,310 --> 00:17:22,070
+تسعة بلش و عشرة أخد و عشرة كبر و نزل لشهر لشهر
+
+210
+00:17:22,070 --> 00:17:26,890
+تلات أو لشهر أربعة ففتة ال storm هذه او فتة ال
+
+211
+00:17:26,890 --> 00:17:31,910
+flow في المجهة هذه فتة واحدة على مدار فتة معينة من
+
+212
+00:17:31,910 --> 00:17:36,850
+السنة فاحنا بنلاقي ال flow إما هذا الشكل و إما هذا
+
+213
+00:17:36,850 --> 00:17:52,070
+الشكل و إماهذه الشكل في المجاري المائية ده
+
+214
+00:17:52,070 --> 00:17:56,290
+خدها إنه أنا بالنسبة لإلي ال zero level للمجاري
+
+215
+00:17:56,290 --> 00:18:01,690
+المائي تعني بالنسبة لإلي إن المنصوب اللي عنده بكل
+
+216
+00:18:01,690 --> 00:18:08,670
+flow zero المنصوب اللي في له عنده zeroهذا هل
+
+217
+00:18:08,670 --> 00:18:12,750
+المنصوب لازم يكون هو قضية المجرى المائي ولا أعلى
+
+218
+00:18:12,750 --> 00:18:17,130
+شوية؟ لأ ممكن يكون أعلى شوية ليش؟ لأن يمكن يكون لو
+
+219
+00:18:17,130 --> 00:18:21,150
+أنا جيت أعمل مش cross section لو جيت أعمل
+
+220
+00:18:21,150 --> 00:18:24,790
+longitudinal profile في المجرى المائي ألاقي إن
+
+221
+00:18:24,790 --> 00:18:27,030
+المجرى المائي طبعا أحنا بيعرف أنه بينحدر المجرى
+
+222
+00:18:27,030 --> 00:18:33,090
+المائي لكن بينحدرش مش ماشي هيك ففي
+
+223
+00:18:33,090 --> 00:18:38,010
+لحظة معينة أنه لو كانت المنصوب لهي هناالمياه اللي
+
+224
+00:18:38,010 --> 00:18:41,290
+كنا نصيبها هنا في المجال المائي ال flow zero إذا
+
+225
+00:18:41,290 --> 00:18:44,730
+بحسب ال data من أين؟ من هند النقطة هذه وهذا راح
+
+226
+00:18:44,730 --> 00:18:49,550
+نشوف لاحقا كيف أحدد ال zero level في المجال المائي
+
+227
+00:18:49,550 --> 00:18:54,130
+اللي هي بمعنى ال level اللي عنده ال flow بيسوي
+
+228
+00:18:54,130 --> 00:18:56,530
+zero أنا عندي بعض الشغلات ال flow بيسوي zero
+
+229
+00:18:56,530 --> 00:19:00,730
+بالظبط على قضية ال zero level للمجال المائي في
+
+230
+00:19:00,730 --> 00:19:04,270
+بعضها عند level معين في مياه لكن المياه دي مالها
+
+231
+00:19:04,270 --> 00:19:11,040
+fish flowهذا هو ال zero level هذا راح نشوفه لاحقا
+
+232
+00:19:11,040 --> 00:19:14,620
+how we can estimate it ال flow صدف له zero مش
+
+233
+00:19:14,620 --> 00:19:18,300
+constant هو
+
+234
+00:19:18,300 --> 00:19:24,220
+zero zero flow مش constant لأ لأ لأ مافيش عندي ايش
+
+235
+00:19:24,220 --> 00:19:28,020
+يسمو constant لأن ال flow constant ماشي المعنى ان
+
+236
+00:19:28,020 --> 00:19:33,980
+ال level هنا لكن بكرا اجت افطاربترفع ل .. انا بقول
+
+237
+00:19:33,980 --> 00:19:38,640
+zero what it means انه zero flow not constant flow
+
+238
+00:19:38,640 --> 00:19:47,960
+طيب احيانا بتقوللي انت بتجيث ال H من خلال ال stage
+
+239
+00:19:47,960 --> 00:19:55,280
+حاطط ايش مصر مصر في عنا أشكال تانية لان كيف اجيث
+
+240
+00:19:55,280 --> 00:20:00,160
+ال H من هاي الأشكال الشكل التالي اللي حنا بنسميه
+
+241
+00:20:00,160 --> 00:20:05,090
+bubble gaugeمش ال stuff gauge، bubble gauge، شو ..
+
+242
+00:20:05,090 --> 00:20:09,230
+شو فلسفة؟ ال bubble gauge، لاحظوا أن ال bubble
+
+243
+00:20:09,230 --> 00:20:13,830
+gauge عبارة عن structure، vibe محتوطة وفتحتها في
+
+244
+00:20:13,830 --> 00:20:23,490
+قرع المجرى المائي أنا من فوق بدخ هوا، بتعرفوا أن
+
+245
+00:20:23,490 --> 00:20:28,370
+الدغط اللي بدنا إياه متبط بدغط عمود الميه، ولا مش
+
+246
+00:20:28,370 --> 00:20:33,110
+هيك؟يعني هاي ال pubs اللي تحت إقفاء عمود المي
+
+247
+00:20:33,110 --> 00:20:37,450
+عليهم، ما هو عامل ضغط عليهم، ألا مش هيك؟ كل ما كان
+
+248
+00:20:37,450 --> 00:20:42,610
+ال level أعلى، كل ما كان الضغط إيش؟ أعلى، و احنا
+
+249
+00:20:42,610 --> 00:20:48,390
+بنعرف إنه الضغط شو بيسوي؟ رو في جي فاتش، مش هيك؟
+
+250
+00:20:48,390 --> 00:20:54,180
+رو للمي بنعرفها، و جي للمي بنعرفهاإذا حددنا قداش
+
+251
+00:20:54,180 --> 00:20:59,720
+ال pressure عندنا هنا فهنا
+
+252
+00:20:59,720 --> 00:21:03,680
+بدل من أني أحط stages ب levels مختلفين و يمكن هذه
+
+253
+00:21:03,680 --> 00:21:10,440
+ال stage تتعطل و يمكن واحد يروح و يضربها انا حاطط
+
+254
+00:21:10,440 --> 00:21:15,160
+هنا جهاز مثبت و محطوط في مكان protected عشان أعرف
+
+255
+00:21:15,160 --> 00:21:20,850
+ال Hعشان اعرف ال H كل اللي انا بجي بسوي شو بعمل
+
+256
+00:21:20,850 --> 00:21:26,850
+بضغ ايش شوية bubbles و من ثم بشوف الضغط اللي عليهم
+
+257
+00:21:26,850 --> 00:21:33,410
+و من ثم بعمل ال calculation لمين نعم
+
+258
+00:21:33,410 --> 00:21:37,350
+ال bubbles هذول عشان يطلعون مش بدك تطلعيهم بضغط
+
+259
+00:21:37,350 --> 00:21:41,590
+لازم يسوي على الأقل ضغط عشان يقدر يطلعوا فوق ولو
+
+260
+00:21:41,590 --> 00:21:45,230
+لو كان الضغط انا بده اضغطهم في ال pipe ضغط اقل شو
+
+261
+00:21:45,230 --> 00:21:49,870
+بده يطلحهمنعم فطبعا الدغط اللي انا بعمله بعطيني
+
+262
+00:21:49,870 --> 00:21:56,010
+فكرة انه جداش اتفاع عمود الميه وهذا بالذات ان ال
+
+263
+00:21:56,010 --> 00:22:00,410
+system بالشكل هاي انا ممكن اضبطه بشكل automatic
+
+264
+00:22:00,410 --> 00:22:05,990
+مابعتش واحد يجي يجرى ان هذا ال unit اللي جوا هاي
+
+265
+00:22:05,990 --> 00:22:08,650
+اللي بالغرفة هاي اللي احنا شايفينها اللي فوق احنا
+
+266
+00:22:08,650 --> 00:22:12,050
+ممكن كل خمس دقائق ولا كل ساعة ولا كل نص ساعة واطبة
+
+267
+00:22:12,050 --> 00:22:16,930
+نعطيه يعني اي ادار اتوماتيكي ضخمن ال bubbles هدول
+
+268
+00:22:16,930 --> 00:22:20,890
+و يعطي record فحتى لو كنت انا ب remote sensing في
+
+269
+00:22:20,890 --> 00:22:25,730
+مكان بعيد كل وقت بقدر يعطيني خلال النهار كيف منصوب
+
+270
+00:22:25,730 --> 00:22:30,710
+ال flow ماشي و هذا بالذات ال systems هدول وين
+
+271
+00:22:30,710 --> 00:22:35,410
+بيستخدموهم بتعرفوا لما بيعملوا عملية controlling
+
+272
+00:22:35,410 --> 00:22:40,510
+على ال dam في حالات ال floods انتوا بتعرفوا ان ال
+
+273
+00:22:40,510 --> 00:22:45,520
+dam في النهاية فيهم gates ولا لأطبعا لازم نكون ..
+
+274
+00:22:45,520 --> 00:22:48,760
+لأن المياه راح تطلع من gates .. هسا احنا بدنا نخزن
+
+275
+00:22:48,760 --> 00:22:52,840
+المياه .. لكن احنا بدنا ناخد قرار في لحظة أن
+
+276
+00:22:52,840 --> 00:22:55,740
+المسطوب المياه عالي كتير بدنا نفتح gates أكتر عشان
+
+277
+00:22:55,740 --> 00:23:00,560
+ماصلاش فيه ضغط ورث قدامي خربه .. هسا بصحش أن نوقف
+
+278
+00:23:00,560 --> 00:23:08,460
+واحد صيف شتاءبرد، حر، و لا يجب بس يجعلنا القراءة،
+
+279
+00:23:08,460 --> 00:23:11,660
+ولا مش هيك؟ فممكن الشغل هذه كلها تصبح عندي system
+
+280
+00:23:11,660 --> 00:23:16,000
+كامل، بحيث أنه بصير ال gate هذه متطبط أو عند ال
+
+281
+00:23:16,000 --> 00:23:19,860
+edge هذه، إذا الميه وصلت عند edge معينة، automatic
+
+282
+00:23:19,860 --> 00:23:24,600
+بتعطي اوضة ل gate معينة تفتح أو تسكر، فانا بضايقها
+
+283
+00:23:24,600 --> 00:23:28,720
+دي شو بعمل؟بقدر اعمل management مش بس اني بجيث ال
+
+284
+00:23:28,720 --> 00:23:31,840
+flow في المجال معاه، بقدر اعمل management و مش
+
+285
+00:23:31,840 --> 00:23:35,440
+management والله ذكرنا ولا ماذكرناش، فروحنا فاتحنا
+
+286
+00:23:35,440 --> 00:23:39,080
+ال gate ولا مافتحناش، مابتمشيش هيك، لإن الوضع حنا
+
+287
+00:23:39,080 --> 00:23:43,060
+بيحتملش أنه نبعث الناس ولا ما نبعثهم مش ذكرنا ولا
+
+288
+00:23:43,060 --> 00:23:47,300
+ماذكرناش، ال system بتمAutomatic عند level معين
+
+289
+00:23:47,300 --> 00:23:49,960
+بتفتح ال gate تاقمها الجدّي إذا وصل ال level أعلى
+
+290
+00:23:49,960 --> 00:23:54,340
+معناته ممكن أفتح two gates عشان أطلع الميه عشان ما
+
+291
+00:23:54,340 --> 00:23:56,420
+أصلش ال levels معين و هذا ال system بيساعدني
+
+292
+00:23:56,420 --> 00:24:01,740
+بالعملية هذه لإنه ممكن يعمل عملية ال management و
+
+293
+00:24:01,740 --> 00:24:06,240
+تكون computerized فأنا محتاجش أني بدي أقرر ولا
+
+294
+00:24:06,240 --> 00:24:11,860
+مابديش أقرر في العملية طيب هذا عشان أجيف
+
+295
+00:24:15,040 --> 00:24:21,080
+الاطفال طيب عشان تجيس ال flow عشان تعمل ال rating
+
+296
+00:24:21,080 --> 00:24:25,720
+care بدك تعرف ال velocity اللي ماشية في المجرم
+
+297
+00:24:25,720 --> 00:24:31,100
+المائي و لا مش شيخ طيب كيف بنجيس ال velocity في
+
+298
+00:24:31,100 --> 00:24:39,740
+المجرم المائي ال flow كيف بعرفه لسه أنا ماعملتش ال
+
+299
+00:24:39,740 --> 00:24:44,150
+rating careلما أصير عندى rating care ساقيتها من ال
+
+300
+00:24:44,150 --> 00:24:47,450
+stage بطلق ال Q بس انا في الأول بدي أعمل rating
+
+301
+00:24:47,450 --> 00:24:53,390
+care و بعدها بصير أعمل عملية ال estimation فعشان
+
+302
+00:24:53,390 --> 00:24:58,030
+أرسم ال rating care لازم أحسب قيم ال velocity و من
+
+303
+00:24:58,030 --> 00:25:01,690
+ثم أحسب ال Q مع ال H و من ثم أرسم ال rating care
+
+304
+00:25:01,690 --> 00:25:06,150
+عشانك بلزمنا أنه نعمل velocity measurement في
+
+305
+00:25:06,150 --> 00:25:09,930
+المجال معي حسة مفهومنا
+
+306
+00:25:11,750 --> 00:25:14,570
+مفهومنا في ال velocity measurement في المجلة
+
+307
+00:25:14,570 --> 00:25:20,870
+المائية تماما كلكم بتعرفوا أو شوفتهوا كيف بيجيسوا
+
+308
+00:25:20,870 --> 00:25:28,230
+سرعة الهواء، سرعة الريح كيف بيجيسوها؟ الفرخيرة
+
+309
+00:25:28,230 --> 00:25:33,610
+هذه، بالبلد، و لا لأ؟ طرحين الهواء، طرحين الهواء،
+
+310
+00:25:33,610 --> 00:25:37,590
+هسة الفكرة أن الريح هو ماشي، هو ماشي بسرعة، و لا
+
+311
+00:25:37,590 --> 00:25:42,340
+مش شير، كل ما كان السرعة أعلى، شو بيعمل؟بقى نعم
+
+312
+00:25:42,340 --> 00:25:47,780
+بعطيني حركة دورانية مش هيك؟ عدد ال revolution per
+
+313
+00:25:47,780 --> 00:25:52,160
+minute مش could be translated as velocity ..
+
+314
+00:25:52,160 --> 00:25:56,100
+transitional velocity per minute؟ و لا مش هيك؟ طيب
+
+315
+00:25:56,100 --> 00:26:01,120
+هي الميه و هي ماشية مش هي fluid زيها زي الهوا؟ و
+
+316
+00:26:01,120 --> 00:26:05,700
+لا مش هيك؟ إذا أنا جبت هذا ال system بهذا ال
+
+317
+00:26:05,700 --> 00:26:09,530
+conceptوحطيته في المجلة الماية عند اي level معين
+
+318
+00:26:09,530 --> 00:26:13,890
+طبعا هنا انا بجيس السرعة عند وين عند نقطة انا بجيس
+
+319
+00:26:13,890 --> 00:26:20,470
+السرعة وين بحط الجهاز و لا لأ طبعا هذه الحركة جداش
+
+320
+00:26:20,470 --> 00:26:26,450
+ال revolution هدولة بقدر احدد جداش السرعة فعنا اما
+
+321
+00:26:26,450 --> 00:26:31,290
+انه بكون الجهاز هذا vertical axis current meter
+
+322
+00:26:31,290 --> 00:26:38,310
+بنسميه current meter زي ما بنسميwind velocity نعم
+
+323
+00:26:38,310 --> 00:26:42,250
+مش شدة الطيارة طبعا كانت ميتر شدة الطيارة في
+
+324
+00:26:42,250 --> 00:26:46,710
+الكهربا هنا ما هو عندى كمان ما هو طيار يعني طيار
+
+325
+00:26:46,710 --> 00:26:51,750
+ماعي ممكن يكون ال system اما vertical اما
+
+326
+00:26:51,750 --> 00:26:57,010
+horizontal الفكرة فيها ال concept القائم فيها هو
+
+327
+00:26:57,010 --> 00:27:04,810
+بهذا الشكل انه انا بادي عند اي نقطة معينةبحط
+
+328
+00:27:04,810 --> 00:27:09,110
+الجهاز هذا في اللحظة هذه قداش ال revolution
+
+329
+00:27:09,110 --> 00:27:14,370
+permanent معناته قداش ال velocity ده ان انا هنا شو
+
+330
+00:27:14,370 --> 00:27:20,010
+جيت عملت الجهاز هذا بيجيزلي ال velocity بس وين at
+
+331
+00:27:20,010 --> 00:27:27,450
+one point هز احنا اللي بيلزمنا عشان اجرب على ال
+
+332
+00:27:27,450 --> 00:27:33,170
+system hub انت بتقولليالcontinuity equation بتقول
+
+333
+00:27:33,170 --> 00:27:40,270
+ان ال Q بتساوي V في A و لا مش هيك هسة لو انا جيت
+
+334
+00:27:40,270 --> 00:27:47,130
+المقطع حار انا عارف كتيش منصوب المي عنده مظبوط هسة
+
+335
+00:27:47,130 --> 00:27:53,630
+لو انا جسمته segments جسمته segments مش هيك كل
+
+336
+00:27:53,630 --> 00:28:00,560
+segment عبارة عن تلتة ايه و لا مش هيكهسا إذا جيت
+
+337
+00:28:00,560 --> 00:28:05,120
+على ال segment هاي في نفس اللحظة جفت ال velocity
+
+338
+00:28:05,120 --> 00:28:12,240
+عند كذا level جفت ال velocity عند كذا level إذا من
+
+339
+00:28:12,240 --> 00:28:16,800
+خلال هم هدول بقدر أطلع متوسط السرعة على هذا ال
+
+340
+00:28:16,800 --> 00:28:25,380
+segment ولا لا إذا سميتها vi إذا delta q على
+
+341
+00:28:25,380 --> 00:28:26,740
+المقطع هذا شو بتسوي
+
+342
+00:28:29,840 --> 00:28:34,660
+في VR و لا مش هيك لو طبقت على نفس المقطع هذا نفس
+
+343
+00:28:34,660 --> 00:28:42,960
+ال concept high delta A2 إذا كانت هذه delta A1 و
+
+344
+00:28:42,960 --> 00:28:46,560
+أنا بخرجت ال velocity قصت ال velocity عن كذا نقطة
+
+345
+00:28:46,560 --> 00:28:50,960
+باستخدام هذا ال current meter بقدر أطلع V عن هذه
+
+346
+00:28:50,960 --> 00:28:55,420
+النقطة ولا بقدرش أطلع V؟ بقدر أطلع V إذا ضربت V
+
+347
+00:28:55,420 --> 00:28:59,820
+لهذا المقطع في ال area بقدر أطلع من؟الـ delta Q
+
+348
+00:28:59,820 --> 00:29:12,160
+على المقطع حاضر إذا أنا عملت لهم summation لـ
+
+349
+00:29:12,160 --> 00:29:23,220
+delta Q دلتا A في دلتا V إيش بتعطيني؟ الـ Q
+
+350
+00:29:23,220 --> 00:29:28,930
+للمقطع؟ ولا مش هيك؟طبعا إذا أنا عارف منسوب المي
+
+351
+00:29:28,930 --> 00:29:34,530
+على المرطح هذا يعني أنا في نفس اللحظة أنا بادي في
+
+352
+00:29:34,530 --> 00:29:39,890
+نفس اللحظة بمشي بعض المجال مائي وعند كذا level عند
+
+353
+00:29:39,890 --> 00:29:42,810
+كل نقطة أنا بادي بقسمه levels وعند كل level بادي
+
+354
+00:29:42,810 --> 00:29:46,960
+باخد أكثر من سرعة verticalبكون قصة السرعات على
+
+355
+00:29:46,960 --> 00:29:51,660
+أكثر من نقطة vertical و جسمته segment حسب TQ وعارف
+
+356
+00:29:51,660 --> 00:29:55,980
+تفلسفه بالمية إذا في الحالة هذه أنا أخدت علاقة لما
+
+357
+00:29:55,980 --> 00:30:00,360
+كانت أتشال جدي جديش كانت TQ إذا أنا عدت تجربة هذه
+
+358
+00:30:00,360 --> 00:30:05,040
+عند أكثر من يوم طبعا عند أكثر من يوم يعني عند أكثر
+
+359
+00:30:05,040 --> 00:30:12,080
+من level و لا مش هيك صفت on DH عد قيم تربط ما بين
+
+360
+00:30:12,080 --> 00:30:18,110
+ال stage و ما بينوما بين ال Q ما هي ال stage H و
+
+361
+00:30:18,110 --> 00:30:24,510
+ال Q إذا أنا القيم هذه عملتلهم رسم إيش راح يعطوني؟
+
+362
+00:30:24,510 --> 00:30:29,450
+راح يعطوني ال rating curve راح يعطوني ال rating
+
+363
+00:30:29,450 --> 00:30:33,730
+curve طبعا صفة هذا هو ال rating curve لمين؟ لهذا
+
+364
+00:30:33,730 --> 00:30:38,630
+المجرع المائي عند وين؟ عند هذا المقطع طبعا إذا
+
+365
+00:30:38,630 --> 00:30:45,810
+بنعرف أن ال flow في المجرع المائي steadystudy ايش
+
+366
+00:30:45,810 --> 00:30:52,790
+ال study flow معناته نفس الزمن نعم الزمن مع مين؟
+
+367
+00:30:52,790 --> 00:30:56,890
+مع المكان مع ال distance يعني إذا كان عندي هاي
+
+368
+00:30:56,890 --> 00:30:59,290
+المجلة اللي بقى لو قصت ال flow هنا أو ال flow هنا
+
+369
+00:30:59,290 --> 00:31:08,250
+the same مش عند نفس المقطع constant ما .. أحنا
+
+370
+00:31:08,250 --> 00:31:10,170
+بنحكي هنا study ولا uniform flow
+
+371
+00:31:13,360 --> 00:31:17,020
+أنا بدي لقى هنا ال flow إيش؟ بدي ال flow إذا أنا
+
+372
+00:31:17,020 --> 00:31:22,680
+جيت عند المقطع A وعند المقطع B عند نفس الزمن يكون
+
+373
+00:31:22,680 --> 00:31:29,500
+ال queue إلى ال city مظبوط؟ إذا هو مع مين؟ عند نفس
+
+374
+00:31:29,500 --> 00:31:33,460
+الزمن بس بين two boys يعني لو جثت ال flow هنا هو
+
+375
+00:31:33,460 --> 00:31:38,220
+نفسه هنا فمعناته أنا قدرت أصم إذا أنا جثت ال flow
+
+376
+00:31:38,220 --> 00:31:44,820
+عند هذا المقطع عند كذا levelبالطريقة هذه بكون رسمت
+
+377
+00:31:44,820 --> 00:31:48,280
+علاقة ما بين ال stage و ما بين .. و ما بين ال flow
+
+378
+00:31:48,280 --> 00:31:52,940
+ده ادهيك بلزم اجيث اعمل هذه عملية كمان مرة؟ لأ
+
+379
+00:31:52,940 --> 00:31:58,120
+لإنه خلاص بعدين كل اللي بدك تعمله إيش؟ تروح تجيث
+
+380
+00:31:58,120 --> 00:32:02,260
+المنصوب الميه اللي هو ال stage إذا جيثت ال stage
+
+381
+00:32:02,260 --> 00:32:06,320
+بنقدر أنه نقول معناته هاي ال flow اللي ماشي في
+
+382
+00:32:06,320 --> 00:32:10,320
+المجالطبعا بقيت أما بالطريقة الأولى اللى هي ال
+
+383
+00:32:10,320 --> 00:32:14,060
+stuff stage أو بال bubble stage واتفرد بالطرق اللى
+
+384
+00:32:14,060 --> 00:32:21,760
+احنا ممكن نتحرك فيها هذه الطريقة لحساب ال flow هذه
+
+385
+00:32:21,760 --> 00:32:27,120
+اللى احنا بنسميها area velocity method
+
+386
+00:32:35,420 --> 00:32:38,040
+طب انا بحسب ال flow لأكتر من يوم و بعمل من بعد ال
+
+387
+00:32:38,040 --> 00:32:42,280
+average لأ ان في كل يوم كان هالجد المنصوب في اليوم
+
+388
+00:32:42,280 --> 00:32:47,020
+اللي جيت اجيس فيه هالجد كان المنصوب فخدت ال Q جديش
+
+389
+00:32:47,020 --> 00:32:49,820
+و ال flow و ال stage جديش بغض النظر عن اليوم مين
+
+390
+00:32:49,820 --> 00:32:54,240
+بجيب تاني تالت يوم كل يومين بعمل المقاس بس لهدف
+
+391
+00:32:54,240 --> 00:32:58,720
+إيش أن أجيس لما يكون منصوب المي مختلف عشان أخد
+
+392
+00:32:58,720 --> 00:33:03,330
+different stagesعشان بنقلي هاخد دفع antiques و أصل
+
+393
+00:33:03,330 --> 00:33:07,250
+علاقة ما بين ال stage و ما بين ما بين ال flow طبعا
+
+394
+00:33:07,250 --> 00:33:10,830
+هنا اللي بهم في الحالة هذه لما نعمل العملية هاي
+
+395
+00:33:10,830 --> 00:33:14,270
+عشان لما نقيس ال velocities مش بين كل واحدة و
+
+396
+00:33:14,270 --> 00:33:18,490
+واحدة بدنا نقعد يوم لإن يمكن إيش أن يفترض أني أجي
+
+397
+00:33:18,490 --> 00:33:23,870
+أعمل كل الصلاحات هذه لما كل stage إيش ثابتة ولا لأ
+
+398
+00:33:24,480 --> 00:33:28,340
+عشان هيك احنا دايما بنحاول أنه احنا نعمل العملية
+
+399
+00:33:28,340 --> 00:33:31,840
+هذه بأقصى عما يمكن لأن يمكن بعد ساعة يتغير نصب
+
+400
+00:33:31,840 --> 00:33:34,820
+الميه في المجال المائي فبن .. كل العملية هذه مشي
+
+401
+00:33:34,820 --> 00:33:37,960
+بنجرد يوم احنا نعمل فيها لما بنعمل التجربة نهدد كل
+
+402
+00:33:37,960 --> 00:33:40,820
+العملية ممكن نعملها خلال أبعد ساعة أو عشر دقائق
+
+403
+00:33:40,820 --> 00:33:46,280
+عشان نقول أن خلال الفترة هذه ال level نعم مع بداية
+
+404
+00:33:46,280 --> 00:33:51,530
+و نهاية العملية طبعا ممكن نعملها اليومبكرة، كمان
+
+405
+00:33:51,530 --> 00:33:56,030
+يومين، كمان تلاتة، كل أسبوع، عباد أنه إيش؟ يصير
+
+406
+00:33:56,030 --> 00:33:59,350
+عندي مجموعة من ال data عن كذا level قد إيش كان
+
+407
+00:33:59,350 --> 00:34:04,870
+المنصوب عشان أقدر أصم .. أصم ال care لكن عشان أعمل
+
+408
+00:34:04,870 --> 00:34:09,490
+one-time لازم I have to finish it as soon as
+
+409
+00:34:09,490 --> 00:34:12,570
+possible حتى ما تقعدش تشتغل ما نبدأ مع المجلة لما
+
+410
+00:34:12,570 --> 00:34:16,650
+نيجي نخلص مع نهايته يكون ال level اتغير، مهم عادة
+
+411
+00:34:16,650 --> 00:34:20,360
+الشخصية بتتعبر على ال stage .. على one stageطب
+
+412
+00:34:20,360 --> 00:34:24,280
+مثلا إحنا بنقل السرعة في المقطع الواحد، من مقطعها،
+
+413
+00:34:24,280 --> 00:34:27,280
+يعني أول سرعة بنقلها، لو مثلا مع الزمن إحنا بنقل
+
+414
+00:34:27,280 --> 00:34:30,460
+السرعة مختلفة، طيب يعني بناخدها نقرأ، بس سرعة
+
+415
+00:34:30,460 --> 00:34:34,160
+واحدة مع الزمن ماحنا مانجيساش عن كذا زمن لأ هو
+
+416
+00:34:34,160 --> 00:34:37,080
+الزمن الواحد، مش هيناقشها مرة تانية، الناس في
+
+417
+00:34:37,080 --> 00:34:39,120
+المقطع مختلفة، تانية انا و واحدة، مواحدة .. لأ
+
+418
+00:34:39,120 --> 00:34:43,820
+بنصحش، يعني كيف انتي جيستيها عن نفس الزمن ماتين؟
+
+419
+00:34:43,820 --> 00:34:46,720
+يعني إيه اللي ده جلت جيستها الحيني و جيستها ..
+
+420
+00:34:46,720 --> 00:34:51,550
+أختلف الزمن، معناته فيه Q تانيةفي level تاني صار
+
+421
+00:34:51,550 --> 00:34:55,750
+فمعناته ال Q اللي رجعت بجيه يسوي ال V هذه ل stage
+
+422
+00:34:55,750 --> 00:35:00,190
+تانية اما ان انت لازم تعمل القراءات لان ال stage
+
+423
+00:35:00,190 --> 00:35:05,670
+لما يكون خلال فترة شغلنا كل stage مالها ثابتة طبعا
+
+424
+00:35:05,670 --> 00:35:08,870
+كيف بدي أثبت لثابته مصدرش أثبتها من عندي انا بدي
+
+425
+00:35:08,870 --> 00:35:13,930
+أخلص العملية هذه في لحظة اني ماعطيش مجال انهاللي
+
+426
+00:35:13,930 --> 00:35:16,730
+اتغير ال stage، بنجي تاني يوم بنلاقي ال stage
+
+427
+00:35:16,730 --> 00:35:19,650
+تانية، بنجيف عند نفس النقطة اللي جيثنا عندنا برا،
+
+428
+00:35:19,650 --> 00:35:22,270
+حكيزة هتكون في ال city تانية، بس هذي عشان نحسب
+
+429
+00:35:22,270 --> 00:35:24,450
+منها cue تانية، مش ال cue بتاع ال temporary، ولا
+
+430
+00:35:24,450 --> 00:35:35,190
+أنا بدمع بينهم، اللي هو مش علاقة ببعض أنا
+
+431
+00:35:35,190 --> 00:35:40,470
+ده
+
+432
+00:35:40,470 --> 00:35:43,270
+حاجة، بقى أنا حكيت في إيداية المحاضرةإنه في عنا
+
+433
+00:35:43,270 --> 00:35:49,570
+طرق تاني في عنا direct و في عنا indirect طبعا ال
+
+434
+00:35:49,570 --> 00:35:55,110
+direct هذه مهما كان المقطع مهما كان المقطع بقدر
+
+435
+00:35:55,110 --> 00:35:59,930
+أعمل ال irrevocable method ولّا مش هيك لكن لو أنا
+
+436
+00:35:59,930 --> 00:36:03,350
+جيت على مجرد زي نهر النيل مثلا بقدر أعمل عليه
+
+437
+00:36:03,350 --> 00:36:07,210
+structure زي wheel عشان أجيس ال flow عليه ما هنا
+
+438
+00:36:07,210 --> 00:36:12,110
+هذه الطرق ال indirect وكيف ممكن نعملها تتبط بطبيعة
+
+439
+00:36:13,210 --> 00:36:16,010
+المقطع، ففي طرق ماقدرش اذافر عليها لل system في
+
+440
+00:36:16,010 --> 00:36:19,770
+هذه الروايين دي راح نحكي ان كيف يعني ال system بس
+
+441
+00:36:19,770 --> 00:36:22,970
+هذه الطريقة اللي هي ال area velocity method هي
+
+442
+00:36:22,970 --> 00:36:28,430
+أوسع طريقة لعملية الحسابات و اللي ممكن تستخدم بغض
+
+443
+00:36:28,430 --> 00:36:32,130
+النظر عن مساحة المقطع و بالذات لما بحكي في المقاطع
+
+444
+00:36:32,130 --> 00:36:36,950
+الكبيرة اللي ماقدر أعمل عليها structures معينين
+
+445
+00:36:36,950 --> 00:36:40,170
+عشان أزهر المقطع و عشان أعمل مقطع بشكل معين عشان
+
+446
+00:36:40,170 --> 00:36:46,810
+أقدر من خلال المقطع نعمل عمليةالقياس هذه هي الفكرة
+
+447
+00:36:46,810 --> 00:36:49,070
+في هذه ال system عشان تعتبر هي أول طريقة في ال
+
+448
+00:36:49,070 --> 00:36:53,210
+direct method لحساب ال flow و اذا طلعنا على هذه
+
+449
+00:36:53,210 --> 00:37:00,190
+الطريقة بنجد طبعا ان الطريقة هذه مكلفة لأن انا بدي
+
+450
+00:37:00,190 --> 00:37:04,490
+اقعد ع مدار سنة و انا كل فترة اروح المجلة المائية
+
+451
+00:37:04,490 --> 00:37:08,930
+و اعمل القياسات هذه و اخد القياس مع بعض من يعمل ال
+
+452
+00:37:08,930 --> 00:37:15,280
+rate and care و لسه بكرا رح نيجي نشوفإنه high
+
+453
+00:37:15,280 --> 00:37:23,520
+rating curve دقيق ولا فيه بعض إشكاليات راح بكرا
+
+454
+00:37:23,520 --> 00:37:26,660
+نتحدث عنها لما يعني نتعمق في الموضوع المحاضرة
+
+455
+00:37:26,660 --> 00:37:31,420
+الجاية راح نحاول أنه نعطي example على طريقة حساب
+
+456
+00:37:31,420 --> 00:37:37,060
+ال area velocity method ونحكي في الطرق التانية
+
+457
+00:37:37,060 --> 00:37:43,050
+لحسابات ال flow خلال المجال معينفي حد عنده أي
+
+458
+00:37:43,050 --> 00:37:47,910
+صورة؟ ماشي الحال؟ نعطيكم العافية
+