diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/--F5fLpsKiA.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/--F5fLpsKiA.srt new file mode 100644 index 0000000000000000000000000000000000000000..977a27a16e2f508402d2d1d4c140d98332dc8de8 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/--F5fLpsKiA.srt @@ -0,0 +1,2036 @@ +1 +00:00:04,990 --> 00:00:08,610 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:08,610 --> 00:00:16,990 +محاضرة لأسبوع الثالث عشر Parkinson disease أو بنسميه + +3 +00:00:16,990 --> 00:00:21,690 +akinetic rigid syndrome akinetic rigid syndrome + +4 +00:00:21,690 --> 00:00:27,290 +إيش + +5 +00:00:27,290 --> 00:00:31,950 +التعريف تاع Parkinson disease مرض باركنسون + +6 +00:00:31,950 --> 00:00:47,020 +هو عبارة عن Chronic slowly + +7 +00:00:47,020 --> 00:00:51,700 +progressive neurodegenerative + +8 +00:00:51,700 --> 00:00:59,080 +disorder characterized by loss of pigmented + +9 +00:00:59,080 --> 00:01:04,240 +neurons loss of pigmented neurons هذه الـ pigmented + +10 +00:01:04,240 --> 00:01:07,160 +neurons بتفرز مادة الدوبامين بيسموها pigmented + +11 +00:01:07,160 --> 00:01:14,760 +dopaminergic neurons والموجودة in the substantia + +12 +00:01:14,760 --> 00:01:18,820 +nigra الموجودة في الـ substantia nigra إيش بتسبب؟ + +13 +00:01:18,820 --> 00:01:27,920 +causing tremor at rest muscle rigidity bradykinesia + +14 +00:01:27,920 --> 00:01:31,940 +and often associated with dementia التعريف بتاع + +15 +00:01:31,940 --> 00:01:36,140 +المرض لخصنا كل شيء على المرض أن هو عبارة عن + +16 +00:01:36,140 --> 00:01:42,140 +chronic slowly progressive neurodegenerative + +17 +00:01:42,140 --> 00:01:47,700 +disorder characterized by loss of pigmented + +18 +00:01:47,700 --> 00:01:53,760 +dopaminergic neurons caused by اللي هو إيه؟ واحد + +19 +00:01:54,800 --> 00:01:59,120 +resting Tremor اثنين Muscle Rigidity ثلاثة + +20 +00:01:59,120 --> 00:02:04,200 +Bradykinesia أو Hypokinesia and often associated + +21 +00:02:04,200 --> 00:02:08,340 +with dementia يعني هذا المرض ناتج عن نقص في إفراز + +22 +00:02:08,340 --> 00:02:11,740 +مادة الدوبامين من الـ substantia nigra الموجودة في الـ + +23 +00:02:11,740 --> 00:02:18,620 +middle brain بسببنا Tremor at rest Muscle Rigidity + +24 +00:02:20,630 --> 00:02:24,630 +bradykinesia أو هيبوكينيزيا بطء في الحركة و + +25 +00:02:24,630 --> 00:02:32,310 +dementia أخرى لأ ممكن الإنسان مع عمره يحدث عنده + +26 +00:02:32,310 --> 00:02:35,470 +نقص في الـ dopaminergic neurons لا يعني أنه سيبدأ + +27 +00:02:35,470 --> 00:02:39,370 +عنده مرض اسمه Parkinson disease الإنسان يكون + +28 +00:02:39,370 --> 00:02:45,950 +compensated متى بيظهر علامات مرض Parkinson في حال + +29 +00:02:48,040 --> 00:02:54,120 +حدث نقص أو انخفاض في نسبة الدوبامين خمسين لستين في + +30 +00:02:54,120 --> 00:02:58,160 +المئة من الـ dopaminergic containing neurons في + +31 +00:02:58,160 --> 00:03:02,000 +الـ substantia nigra أو من المخزون الاحتياطي سبعين + +32 +00:03:02,000 --> 00:03:06,680 +لثمانين في المئة من الدوبامين الموجود في Corpus + +33 +00:03:06,680 --> 00:03:12,700 +striata من أين أتى مرض باركنسون؟ لليوم بسمع مرض + +34 +00:03:12,700 --> 00:03:17,920 +باركنسون سنة ألف وتمانية وسبعين لنبا في + +35 +00:03:17,920 --> 00:03:25,360 +بريطانيا جيمس باركنسون أول دكتور كتب في المرض هذا + +36 +00:03:25,360 --> 00:03:30,320 +وسمى المرض shaking palsy shaking palsy يعني شلل + +37 +00:03:30,320 --> 00:03:34,040 +الرعاش واليوم نسمع عن المريض أنه شلل الرعاش أو + +38 +00:03:34,040 --> 00:03:39,330 +نسميه Parkinson disease مرض باركنسون. اتوفى هذا جيمس + +39 +00:03:39,330 --> 00:03:43,450 +باركنسون سنة ألف ثمانية وعشرين. وفي فرنسا في + +40 +00:03:43,450 --> 00:03:48,830 +باريس جيم مارتن تشاركوت سمى المرض باسم جيمس + +41 +00:03:48,830 --> 00:03:52,870 +باركنسون احتراما له وسمى Parkinson disease يبقى + +42 +00:03:52,870 --> 00:03:56,250 +جيمس باركنسون سمى المرض shaking palsy عاش + +43 +00:03:56,250 --> 00:04:00,430 +وبعد ما توفي تم تسمية المرض باسم جيمس باركنسون + +44 +00:04:00,430 --> 00:04:05,910 +على اسمه وسموه Parkinson disease هذا هو James + +45 +00:04:05,910 --> 00:04:09,410 +Parkinson ولد سنة ألف سبعمائة وخمسة وخمسين وتوفي + +46 +00:04:09,410 --> 00:04:13,910 +سنة ألف وثمانية وعشرين وأول ما كتب عن المرض + +47 +00:04:13,910 --> 00:04:18,050 +سماه shaking palsy في لندن سنة ألف وثمانية وسبعة + +48 +00:04:18,050 --> 00:04:24,990 +عشر أبو عمار الله يرحمه والبابا يوحنا بولس الثاني محمد علي كلاي هؤلاء مصابين بمرض + +49 +00:04:24,990 --> 00:04:28,750 +Parkinson مصابين بمرض Parkinson + +50 +00:04:28,750 --> 00:04:31,470 +مصابين بمرض Parkinson + +51 +00:04:35,720 --> 00:04:40,180 +على Epidemiology of Parkinson Disease Parkinson + +52 +00:04:40,180 --> 00:04:44,400 +Disease is the most common neurodegenerative + +53 +00:04:44,400 --> 00:04:49,960 +disease after Alzheimer يبقى يعتبر second most + +54 +00:04:49,960 --> 00:04:55,200 +common neurodegenerative disease after Alzheimer + +55 +00:04:55,200 --> 00:04:57,120 +يعني الـ Alzheimer بيحتل المرتبة الأولى في الـ + +56 +00:04:57,120 --> 00:05:01,200 +neurodegenerative وبعده مباشرة Parkinson Disease + +57 +00:05:01,200 --> 00:05:06,320 +الـ annual incidence من خمسة لستة وعشرين كل مائة ألف + +58 +00:05:06,320 --> 00:05:11,140 +في أمريكا عشرين لكل مائة ألف الـ age of onset خمسين + +59 +00:05:11,140 --> 00:05:16,960 +سن الخمسين يعتبر الـ peak تاع المرض خمسة وستين + +60 +00:05:16,960 --> 00:05:21,680 +خمسين خمسة وستين بعد سن الخمسة وستين بيحدث decline + +61 +00:05:21,680 --> 00:05:26,720 +يعني المرض بيصيب أكثر سن من خمسين لخمسة وستين بعد + +62 +00:05:26,720 --> 00:05:32,180 +سن الخمسة وستين بيحدث decline وبينخفض نسبة المرض + +63 +00:05:32,180 --> 00:05:36,200 +هذا 4 إلى 10% من الحالات ممكن يجيءوا قبل سن الأربعين + +64 +00:05:36,200 --> 00:05:42,160 +لكن إذا بدء المرض هذا قبل سن الأربعين لازم نعمل work + +65 +00:05:42,160 --> 00:05:45,920 +up good work up توكسيكلود secondary parkinsonism + +66 +00:05:45,920 --> 00:05:49,720 +توكسيكلوديت يومار ويلسون disease and other + +67 +00:05:49,720 --> 00:05:54,880 +neurodegenerative disease and others focal brain + +68 +00:05:54,880 --> 00:06:01,320 +damage 6 الـ incidence الميل أكثر من الفميل ثلاثة + +69 +00:06:01,320 --> 00:06:06,480 +لاثنين الـ ratio Familial Incidence 95% من مرض + +70 +00:06:06,480 --> 00:06:10,380 +الباركنسون بيكون Sporadic Cases Sporadic Cases و + +71 +00:06:10,380 --> 00:06:17,520 +فقط 5% منهم بيكونوا Familial Ideology of Parkinson + +72 +00:06:17,520 --> 00:06:22,280 +Disease Most cases of Parkinson Disease are + +73 +00:06:22,280 --> 00:06:26,760 +idiopathic زي ما اتفقنا Sporadic Cases بيكونوا due + +74 +00:06:26,760 --> 00:06:29,320 +to combination of genetic and environmental + +75 +00:06:29,320 --> 00:06:36,120 +factors Theory أهم شيء accelerated aging أهم risk + +76 +00:06:36,120 --> 00:06:41,860 +factor لموضوع Parkinson disease is age gene + +77 +00:06:41,860 --> 00:06:46,900 +mutation environmental factor العوامل البيئية و + +78 +00:06:46,900 --> 00:06:52,160 +العوامل الخارجية إنسان بيشتغل في مصنع من بودات + +79 +00:06:52,160 --> 00:06:57,880 +حشرات إنسان بتعرض لسموم إنسان life experience + +80 +00:06:57,880 --> 00:07:02,980 +الناس اللي بيعملوا وبيشتغلوا ملاكم أو مصارعي زي + +81 +00:07:02,980 --> 00:07:06,780 +محمد علي كلاي وبتعرضوا لـ recurrent head trauma كل + +82 +00:07:06,780 --> 00:07:12,140 +واحدة بيقدر إلى Parkinson what's the risk factor + +83 +00:07:19,430 --> 00:07:25,450 +العمر أو السن هو أهم risk factor اثنان genetic + +84 +00:07:25,450 --> 00:07:31,110 +factors وجدوا أن الناس اللي عندهم monozygotic من + +85 +00:07:31,110 --> 00:07:35,730 +بقايا واحدة نسبة الـ Parkinson بيكون عندهم أعلى من + +86 +00:07:35,730 --> 00:07:40,210 +الـ dizygotic يبقى الموضوع العامل الوراثي له دور + +87 +00:07:40,210 --> 00:07:45,990 +Male 6 اتفقنا أن الـ male إلى الـ female ثلاثة لاثنين + +88 +00:07:47,270 --> 00:07:52,450 +environmental factors الناس اللي بتعرضوا لعمل مع + +89 +00:07:52,450 --> 00:07:58,310 +سموم مبيدات حشرية كل هذا أو heavy metals كله بيقدر + +90 +00:07:58,310 --> 00:08:03,570 +إلى neurodegeneration life experience اتكلمت معكم + +91 +00:08:03,570 --> 00:08:08,270 +عن موضوع الـ recurrent trauma مثل واحد بيعمل + +92 +00:08:08,270 --> 00:08:15,910 +ملاكم مصارع الـ recurrent emotional stress طيب موضوع + +93 +00:08:15,910 --> 00:08:20,370 +cigarette smoking and caffeine intake الناس + +94 +00:08:20,370 --> 00:08:25,230 +المدخنين وبيشربوا قهوة وجدوا inverse correlation + +95 +00:08:25,230 --> 00:08:29,150 +between cigarette smoking, caffeine intake and + +96 +00:08:29,150 --> 00:08:31,170 +Parkinson disease ومش Parkinson اللي وحده + +97 +00:08:31,170 --> 00:08:35,190 +Alzheimer وجدوا الناس المدخنين وبيشربوا قهوة كثير + +98 +00:08:35,190 --> 00:08:40,150 +نسبة الـ Parkinson عندهم أقل من الناس غير المدخنين + +99 +00:08:40,150 --> 00:08:44,310 +هذا لا يعني أننا نحلي موضوع التدخين التدخين + +100 +00:08:44,310 --> 00:08:51,450 +مكروه ومحرم anatomy of لأنه مساوئه أكثر من ما نفهمه + +101 +00:08:51,450 --> 00:09:01,610 +anatomy of basal nuclei التحكم بالتحرك الإرادي يتم + +102 +00:09:01,610 --> 00:09:07,330 +تأثيره عن التعامل بين البيراميدال والسيبيلير + +103 +00:09:07,330 --> 00:09:12,490 +والإكسترابيراميدال والسيستم مع تجهيزة لجذب الأمام + +104 +00:09:12,490 --> 00:09:23,340 +أو لجذب النوكليا الكرنية في قشرة الدماغ عبارة عن إيش + +105 +00:09:23,340 --> 00:09:28,700 +extrapyramidal nervous system؟ هي عبارة عن paired + +106 +00:09:28,700 --> 00:09:33,280 +subcortical collection مثل اللي هو البيزا + +107 +00:09:33,280 --> 00:09:37,320 +النوكليائي غير البيزا النوكليائي، في عندنا red + +108 +00:09:37,320 --> 00:09:41,580 +nucleus و substantia nigra، كل هذا تابع لموضوع + +109 +00:09:41,580 --> 00:09:45,600 +extrapyramidal nervous system و subthalamus اللي هو + +110 +00:09:45,600 --> 00:09:48,980 +تابع للديانسيفرون من ناحية functional اللي علاقته + +111 +00:09:48,980 --> 00:09:51,540 +بالبيزا النوكليا أو بال extrapyramidal nervous + +112 +00:09:51,540 --> 00:09:57,290 +system ماشي تتكون البيزا النوكلياي البيزا النوكلياي تتكون + +113 +00:09:57,290 --> 00:10:04,250 +من كودات نوكلياس الـ 24 نوكلياس اللي هي تتكون من + +114 +00:10:04,250 --> 00:10:09,810 +بيوتامين and غلوباس باليداس أميجدالويد بادي and + +115 +00:10:09,810 --> 00:10:18,370 +كلاوسرام كل هذه تركيبتهم للبيزا النوكلياي نحن هنا هدقنا + +116 +00:10:18,370 --> 00:10:23,230 +الكودات هتدقوا الكودات هذه اللنتيفورم تتكون من + +117 +00:10:23,230 --> 00:10:28,830 +اللي هو شرحته + +118 +00:10:28,830 --> 00:10:32,850 +في البيزا النوكلياي تتكون من Large و Lateral و Dark + +119 +00:10:32,850 --> 00:10:38,450 +part هذا البيوتامين وهذا غلوباس باليداس هذا ال + +120 +00:10:38,450 --> 00:10:42,690 +medium and small light وهي في عندنا كمان الهدء والكودات + +121 +00:10:42,690 --> 00:10:43,270 +الكودات + +122 +00:10:47,910 --> 00:10:52,630 +لو جمعتهم مع بعض بنسميهم Corpus striatum Corpus + +123 +00:10:52,630 --> 00:10:58,970 +striatum ولو أتينا رفعنا من اللنتيفورم رفعنا globus + +124 +00:10:58,970 --> 00:11:02,850 +pallidus وجمعنا البيوتامين مع الكودات مع بعض + +125 +00:11:02,850 --> 00:11:08,670 +بنسميه striatum أو neo striatum striatum أو neo + +126 +00:11:08,670 --> 00:11:16,170 +striatum هذه لهم دور في تخزين مادة الدوبامين في مرض + +127 +00:11:16,170 --> 00:11:20,310 +الباركنسون لو حدث نقص في المخزون أكثر من 70 لـ 80% + +128 +00:11:20,310 --> 00:11:26,730 +بيبدأ علامات اللي هو شلل الرعاش هذه الكودية نوكلياس + +129 +00:11:26,730 --> 00:11:34,030 +مثل حرف الـ C اللي هي head body و tail في نهاية الـ + +130 +00:11:34,030 --> 00:11:41,520 +tail موجود اللي هو amygdaloid body Substantia Negra + +131 +00:11:41,520 --> 00:11:49,100 +Substantia Negra هي المصدر الرئيسي لمادة الدوبامين + +132 +00:11:49,100 --> 00:11:55,360 +تلعب دور هي و الـ subthalamus Substantia Negra + +133 +00:11:55,360 --> 00:12:03,780 +Substantia + +134 +00:12:03,780 --> 00:12:09,250 +Negra موجودة في الـ mid brain والـ subthalamus موجود + +135 +00:12:09,250 --> 00:12:12,230 +في الـ diencephalon من ناحية تشريحية إيه؟ هذول + +136 +00:12:12,230 --> 00:12:18,410 +اعتبروا أشياء مختلفة subthalamus الـ diencephalon و + +137 +00:12:18,410 --> 00:12:22,760 +substantia midbrain لكن من ناحية physiology Good + +138 +00:12:22,760 --> 00:12:27,760 +relation between the subthalamus and a substantia + +139 +00:12:27,760 --> 00:12:32,940 +nigra يعتبر substantia nigra و الـ subthalamus من + +140 +00:12:32,940 --> 00:12:36,160 +ناحية فسيولوجية اللي علاقته في الـ extra pyramidal + +141 +00:12:36,160 --> 00:12:40,600 +nervous system the neurons of the substantia nigra + +142 +00:12:40,600 --> 00:12:46,320 +are dopaminergic بفرز مادة إيه؟ الدوبامين في + +143 +00:12:46,320 --> 00:12:51,710 +الإنسان الطبيعي في الإنسان الطبيعي الدوبامين و + +144 +00:12:51,710 --> 00:12:55,970 +الـ acetylcholine متساويين، في balance بينهم، في + +145 +00:12:55,970 --> 00:13:00,670 +balance بين الـ acetylcholine والدوبامين، الدوبامين + +146 +00:13:00,670 --> 00:13:04,370 +inhibitory، بيعمل inhibition و الـ acetylcholine + +147 +00:13:04,370 --> 00:13:09,490 +excitation، stimulation، طبيعي يكون في كفة متساوية + +148 +00:13:09,490 --> 00:13:16,040 +بينهم لكن في مرض البركنسون بقل نسبة إيه؟ الدوبامين، + +149 +00:13:16,040 --> 00:13:20,920 +بتقل نسبة الدوبامين، مدام قلت نسبة الدوبامين، نسبة + +150 +00:13:20,920 --> 00:13:27,420 +وتناسب زاد الـ acetylcholine، بحدث disbalance، + +151 +00:13:28,180 --> 00:13:31,000 +في الـ Normal Condition and Normal Population + +152 +00:13:31,000 --> 00:13:34,480 +بيكون عندهم الـ Acetylcholine الكولينرجيك الـ + +153 +00:13:34,480 --> 00:13:37,820 +Excitation و الدوبامينيرجيك أو الدوبامين + +154 +00:13:37,820 --> 00:13:43,840 +الـ inhibition في بينهم Balance لكن في حال حدث نقص أو + +155 +00:13:43,840 --> 00:13:50,130 +انخفاض في مادة الدوبامين كفة مين راح ترجح الـ + +156 +00:13:50,130 --> 00:13:53,610 +cholinergic اللي بيعمل excitation هذا بيؤدي إلى + +157 +00:13:53,610 --> 00:13:57,130 +مرض اسمه Parkinson disease يبقى هنا عرفنا في + +158 +00:13:57,130 --> 00:14:01,330 +Parkinson disease نسبة وتناسب راح انخفض الدوبامين + +159 +00:14:01,330 --> 00:14:04,290 +وزاد الـ acetylcholine هو الـ acetylcholine ما زاد + +160 +00:14:04,290 --> 00:14:09,610 +هو أن انخفض الدوبامين يبقى في الحالة دي فقدوا الـ + +161 +00:14:09,610 --> 00:14:14,130 +balance اللي بينهم وحدث انخفاض في الدوبامين و + +162 +00:14:14,130 --> 00:14:19,760 +زيادة في acetylcholine نسبة وتناسب في good contact + +163 +00:14:19,760 --> 00:14:23,000 +و good connections between the substantia nigra in + +164 +00:14:23,000 --> 00:14:27,220 +the midbrain with globus pallidus with lentiform + +165 +00:14:27,220 --> 00:14:30,820 +nucleus أو مع السترياتم كان في good connection + +166 +00:14:30,820 --> 00:14:38,700 +between substantia nigra and basal nuclei في + +167 +00:14:38,700 --> 00:14:44,660 +pathway اسمه Nigro striatum pathway Nigro striatum + +168 +00:14:44,660 --> 00:14:48,840 +pathway هذا Nigro striatum pathway بيعمل connection + +169 +00:14:48,840 --> 00:14:54,140 +between substantia nigra and البيزان نوكليا هذا اسمه + +170 +00:14:54,140 --> 00:15:00,820 +Nigro striatum pathway between mid brain and + +171 +00:15:00,820 --> 00:15:05,120 +striatum لاحظوا + +172 +00:15:05,880 --> 00:15:10,440 +هذه هي الـ Substantia Negra موجودة في الـ cerebral + +173 +00:15:10,440 --> 00:15:16,460 +peduncles بتاعة اللي هو middle brain فيه good + +174 +00:15:16,460 --> 00:15:20,420 +connections بين الـ Substantia Negra واللي هي البيزا + +175 +00:15:20,420 --> 00:15:24,960 +النوكيلياي أو striatum هذا الـ pathway بيعمل إيه؟ + +176 +00:15:24,960 --> 00:15:28,640 +بيسمي إيه الـ Nigro striatum pathway من الـ + +177 +00:15:28,640 --> 00:15:33,760 +Substantia Negra بتم إفراز الدوبامين وتخزينه في + +178 +00:15:33,760 --> 00:15:42,570 +الـ striatum طبيعي الدوبامين يكون عندنا موجود في + +179 +00:15:42,570 --> 00:15:46,470 +حالة أن في عندنا مرض باركنسون راح يصير نقص وانخفاض + +180 +00:15:46,470 --> 00:15:52,850 +في نسبة اللي هو الدوبامين لاحظوا في الطبيعي عند + +181 +00:15:52,850 --> 00:15:56,850 +الناس في الـ corpus striatum راح يكون balance + +182 +00:15:56,850 --> 00:16:00,320 +between cholinergic neurons اللي هو أسيتايل كلين + +183 +00:16:00,320 --> 00:16:04,500 +والدوبامينيرجيك نيرون أو الدوبامين نفسه اللي هو + +184 +00:16 + +201 +00:17:22,030 --> 00:17:27,370 +هذه يعتبر healthy person وهنا substantia nigra + +202 +00:17:27,370 --> 00:17:31,270 +more pale يبقى هذا حالة ايه؟ Parkinson disease + +203 +00:17:31,270 --> 00:17:34,990 +يبقى هذه normal و هذا ايه؟ Parkinson disease + +204 +00:17:34,990 --> 00:17:38,210 +classification + +205 +00:17:38,210 --> 00:17:40,130 +of parkinsonism + +206 +00:17:42,140 --> 00:17:48,720 +أكثر من 85% من حالات البركنسون يعتبرون idiopathic + +207 +00:17:48,720 --> 00:17:55,580 +idiopathic لكن في 15% بيكونون secondary parkinsonism + +208 +00:17:55,580 --> 00:18:00,460 +idiopathic ممكن يكون drug induced parkinsonism في + +209 +00:18:00,460 --> 00:18:05,140 +مرضى ممكن يأخذوا أدوية antipsychotic drugs هذه + +210 +00:18:05,140 --> 00:18:08,600 +antipsychotic drugs راح تعمل انخفاض ونقص لمادة + +211 +00:18:08,600 --> 00:18:14,180 +الدوبامين وتؤدي إلى extrapyramidal manifestation as + +212 +00:18:14,180 --> 00:18:17,840 +Parkinson أو Parkinsonian syndrome يكون في الحالة + +213 +00:18:17,840 --> 00:18:21,980 +هذه أنا كطبيب أنا بعرف أن هذا الدواء راح يعمل خفض + +214 +00:18:21,980 --> 00:18:26,560 +للدوبامين أنا بروح بعطي دواء ثاني اسمه Artane + +215 +00:18:26,560 --> 00:18:30,440 +أو Trihexyphenidyl هذا الدواء بيخفض لي كمان ال + +216 +00:18:30,440 --> 00:18:33,320 +acetylcholine الأستيل كولين عشان أحافظ على ال + +217 +00:18:33,320 --> 00:18:37,020 +balance وفي الحالة هذه ما راح يحدث complications + +218 +00:18:37,020 --> 00:18:45,250 +للدواء 2- Vascular Parkinsonism 3% Toxin-induced + +219 +00:18:45,250 --> 00:18:48,930 +Parkinsonism ناتج عن بعض السموم Recurrent Head + +220 +00:18:48,930 --> 00:18:54,560 +Trauma post encephalitis وضيفة من عندي tumor يوم + +221 +00:18:54,560 --> 00:18:57,440 +الأيام جاني مريض على عيادتي عنده أعراض parkinson's + +222 +00:18:57,440 --> 00:19:02,120 +typical parkinson's disease صورته ACT لقيت عنده + +223 +00:19:02,120 --> 00:19:05,340 +tumor في ال substantia nigra في ال middle brain في + +224 +00:19:05,340 --> 00:19:12,400 +tumor وهو اللي سبب لنا secondary parkinsonism الآن + +225 +00:19:12,400 --> 00:19:17,060 +فهمنا المرض صح ايش هو المرض ننتقل لموضوع آخر + +226 +00:19:17,060 --> 00:19:21,750 +الأعراض بتاعة المرض ايش ال clinical manifestation + +227 +00:19:21,750 --> 00:19:25,870 +of disease؟ كيف أنا أشخص مريض باركنسون؟ أنا بأشخصه + +228 +00:19:25,870 --> 00:19:29,450 +في الشارع، هو بيمشي، من حد ما يفوت عندي باب + +229 +00:19:29,450 --> 00:19:32,950 +العيادة، بأشخص أنه هذا مريض باركنسون، من ال + +230 +00:19:32,950 --> 00:19:39,030 +inspection، عندنا أهم symptoms, tremor at rest، + +231 +00:19:39,030 --> 00:19:45,090 +tremor at rest، اثنين bradykinesia بيكون عندهم ايه؟ + +232 +00:19:45,090 --> 00:19:48,550 +generalized slowness of movement المريض بيمشي + +233 +00:19:48,550 --> 00:19:52,330 +بيسميها shuffling gait shuffling gait ماشي في + +234 +00:19:52,330 --> 00:19:55,750 +flexion في ال upper limbs و flexion في ال + +235 +00:19:55,750 --> 00:20:00,330 +lower limbs مع bradykinesia و tremor بيكون عندهم + +236 +00:20:00,330 --> 00:20:04,270 +مشيته زي البطء بطيئة مشيتهم و resting و tremor زي + +237 +00:20:04,270 --> 00:20:07,850 +واحد بيعمل pill rolling بيقعد بسبحة بسبح + +238 +00:20:10,240 --> 00:20:14,020 +بيكون زي الراجل اللي قالي هذا أعراض مرض باركنسون + +239 +00:20:14,020 --> 00:20:17,920 +muscle + +240 +00:20:17,920 --> 00:20:21,220 +rigidity بيكون عندهم muscle plasticity أو rigidity + +241 +00:20:21,220 --> 00:20:27,220 +and postural instability هذه تعتبر cardinal + +242 +00:20:27,220 --> 00:20:33,400 +symptoms of Parkinson disease واحد bradykinesia أو + +243 +00:20:33,400 --> 00:20:39,220 +hypokinesia يعني بطء في الحركة 2-resting tremors 3 + +244 +00:20:39,220 --> 00:20:44,320 +-muscle rigidity 4-postural instability بتلاقي + +245 +00:20:44,320 --> 00:20:47,880 +المريض ما ماشي ما فيش ثقة في مشيته ممكن ايش يكون عنده + +246 +00:20:47,880 --> 00:20:53,850 +disbalance واضح أن المريض مع البشرة disability ممكن + +247 +00:20:53,850 --> 00:20:57,290 +ايه يحدث عنده سرعة في الحركة تلاقي يسرع عشان يحافظ + +248 +00:20:57,290 --> 00:21:01,930 +على ال imbalance تلاقي ميل للأمام بيكون عنده + +249 +00:21:01,930 --> 00:21:05,390 +difficulty rising from sitting position في البداية + +250 +00:21:05,390 --> 00:21:08,970 +صباحًا المريض بيكون مكربش مش قادر يتحرك في + +251 +00:21:08,970 --> 00:21:13,370 +difficulty في initiation of movement كجوية فنومنا + +252 +00:21:13,370 --> 00:21:16,510 +بيكون عندنا لو فحصنا muscle rigidity muscle tone + +253 +00:21:16,510 --> 00:21:19,410 +بيكون عندنا نفس ال terrace تلاقي ايه دوش هيك زي + +254 +00:21:19,410 --> 00:21:20,750 +واحد زي terrace ماشي + +255 +00:21:23,960 --> 00:21:28,560 +خاصة لما نكون نقع trimmer وعندهم resting trimmer + +256 +00:21:28,560 --> 00:21:32,460 +بيكون نظام بال rolling بال rolling يعني ايه؟ واحد + +257 +00:21:32,460 --> 00:21:36,560 +جاع بيسبح في trimmer بين ال thumb و ال four + +258 +00:21:36,560 --> 00:21:42,020 +fingers في ال rest بيكون هذا نبدأ + +259 +00:21:42,020 --> 00:21:48,520 +بأول أعراض اللي هو rest trimmer rest trimmer يعتبر + +260 +00:21:50,090 --> 00:21:56,190 +most common first symptom سبعين لخمسة وسبعين في + +261 +00:21:56,190 --> 00:22:02,590 +الميه من حالات البركنسون أو مرض شلل الرعاش بيبدو + +262 +00:22:02,590 --> 00:22:08,130 +بيبدأ بيبدأ rest tremor وبيكون عن نظام قولنا بال + +263 +00:22:08,130 --> 00:22:12,750 +rolling بال ايه rolling between the thumb and four + +264 +00:22:12,750 --> 00:22:16,910 +fingers لكن لا يعني أن كل مرضى بركنسون لازم يكون + +265 +00:22:16,910 --> 00:22:20,310 +معاهم rest tremor عشرين في الميه من الحالات اللي + +266 +00:22:20,310 --> 00:22:23,750 +باركنسون بيكون عندهم muscle rigidity only without + +267 +00:22:23,750 --> 00:22:29,270 +resting tremor طب what is the character of resting + +268 +00:22:29,270 --> 00:22:32,490 +tremor؟ ايش ال character بتاع resting tremor؟ واحد + +269 +00:22:32,490 --> 00:22:39,170 +tremor at rest يعني في الراحة في الهدوء في السكوت + +270 +00:22:39,170 --> 00:22:43,490 +بيكون عنده tremor اثنين tremor improved with + +271 +00:22:43,490 --> 00:22:48,000 +movement مع الحركة بتحسن هذا الرجفة تتحسن مع + +272 +00:22:48,000 --> 00:22:52,920 +الحركة ثلاثة tremor disappear during night during + +273 +00:22:52,920 --> 00:22:56,860 +sleep خلال النوم بيختفي هذا ال tremor طب حد يسأل + +274 +00:22:56,860 --> 00:23:01,020 +ليه يا دكتور ال tremor بيختفي أثناء النوم؟ ليه؟ + +275 +00:23:01,020 --> 00:23:04,590 +لأن احنا لما ننام في ال brain عندنا شيء اسمه + +276 +00:23:04,590 --> 00:23:08,390 +reticular formation عمره حد نام ويشد جسمه؟ لأ + +277 +00:23:08,390 --> 00:23:11,830 +لازم نرتخي هذا ال reticular formation بيعمل له + +278 +00:23:11,830 --> 00:23:15,510 +generalized hypotonia بيعمل له استرخاء كامل عشان + +279 +00:23:15,510 --> 00:23:18,650 +يقرر ينام وفي الحالة هذه بتعمل inhibition لل + +280 +00:23:18,650 --> 00:23:21,690 +tremor وبيختفي ايه الرجفة أثناء النوم + +281 +00:23:24,990 --> 00:23:29,410 +الشيء الثاني bradykinesia ايش يعني bradykinesia؟ + +282 +00:23:29,410 --> 00:23:33,830 +يعني hypokinesia يعني بطء في الحركة بطء في الحركة + +283 +00:23:33,830 --> 00:23:36,870 +ليه بيحدث معاهم بطء في الحركة؟ لأن عندهم muscle + +284 +00:23:36,870 --> 00:23:41,730 +rigidity جسمه ايه؟ مخشب، متيبس يعتبر slowness of + +285 +00:23:41,730 --> 00:23:46,140 +movement difficulty with daily activities يعني + +286 +00:23:46,140 --> 00:23:51,440 +عندهم صعوبة في الحياة اليومية كتابة في الأكل أثناء + +287 +00:23:51,440 --> 00:23:55,860 +الأكل أثناء الحلاقة ده كان ميل تمام في الاستحمام في + +288 +00:23:55,860 --> 00:23:59,500 +العمل الروتيني بتاعه لإنه بيكون كل عضلاته ايه في + +289 +00:23:59,500 --> 00:24:03,500 +وضع رجليه عندهم difficulty initiation of movement + +290 +00:24:04,330 --> 00:24:07,910 +decreased blinking and slowness of expression + +291 +00:24:07,910 --> 00:24:14,190 +muscle بلاحظ الوجه بتاعه رمشة العين خفيفة وجهه كيف + +292 +00:24:14,190 --> 00:24:20,370 +زي واحد بانج هيك ممسوحة زي ايه بنسميها mask like + +293 +00:24:20,370 --> 00:24:25,050 +appearance مثل واحد لابس mask وجهه مافيش تعبير + +294 +00:24:25,050 --> 00:24:28,850 +نضحك نبتسم نكشر التعبير هذا بتخف عنده من ايه؟ من + +295 +00:24:28,850 --> 00:24:32,330 +ال muscle rigidity بيسموه mask like appearance أو + +296 +00:24:32,330 --> 00:24:38,020 +face ممكن يحدث معاهم dysarthria، dysphagia، ليه + +297 +00:24:38,020 --> 00:24:40,860 +بيحدث معاهم dysphagia و dysarthria و difficulty in + +298 +00:24:40,860 --> 00:24:45,540 +mastication؟ لأنه ممكن يكون عندهم oropharyngeal + +299 +00:24:45,540 --> 00:24:48,640 +muscle rigidity، من ايه؟ من ال oropharyngeal + +300 +00:24:48,640 --> 00:24:51,880 +muscle rigidity، هذا بتأدي إلى ايه؟ بتأدي إلى + +301 +00:24:51,880 --> 00:24:55,440 +difficulty of swallowing and difficulty of + +302 +00:24:55,440 --> 00:24:59,700 +mastication في ال speech كمان بتعمل لنا dysarthria + +303 +00:24:59,700 --> 00:25:03,700 +ايه بيكونوا عندهم صوتهم؟ بيكونوا عندهم whispering + +304 +00:25:03,700 --> 00:25:08,260 +speech صوتهم هافت مش نبرة الصوت العالي الموجودة + +305 +00:25:08,260 --> 00:25:15,000 +بيسمونه زي واحد بهمس همس muscle rigidity أو + +306 +00:25:15,000 --> 00:25:18,160 +بنسميها plasticity it is a type of muscle + +307 +00:25:18,160 --> 00:25:22,250 +hypertonia بيكون أنا resistant to passive movement, + +308 +00:25:23,330 --> 00:25:27,910 +a friction flexor and extensor group muscle بيكون + +309 +00:25:27,910 --> 00:25:30,890 +بتعطينا plasticity أو rigidity type لكن لما يكون + +310 +00:25:30,890 --> 00:25:34,690 +معاهم trimmer بتعطينا حاجة اسمها cogwheel quality + +311 +00:25:34,690 --> 00:25:39,170 +أو cogwheel يعني كيف ان الناس بتحرك لما أنا أحرك + +312 +00:25:39,170 --> 00:25:42,350 +اليد أنا بأحركها طبيعي هنا هي كعاد طبيعي لكن عند + +313 +00:25:42,350 --> 00:25:47,190 +المرضى باركنسون بتلاقي ايش؟ وتجيه زي التقطيع هيك في + +314 +00:25:47,190 --> 00:25:51,990 +زي ايه تقطيع هيك في الحركة هذي بتسميها cogwheel + +315 +00:25:51,990 --> 00:25:58,790 +phenomenon آخر symptom ال gate مثل ما مثلت لكم + +316 +00:25:58,790 --> 00:26:03,030 +بيكون عندهم shuffling gait difficulty getting out + +317 +00:26:03,030 --> 00:26:06,310 +of a chair أو rolling over in bed المريض بيشكي أنه + +318 +00:26:06,310 --> 00:26:09,630 +بيقدرش يتحرك بيقدرش يقم من الكرسي بيقدرش يلف وهو + +319 +00:26:09,630 --> 00:26:15,330 +نايم في السرير ممكن يحدث معاهم سقوط كثير speech + +320 +00:26:15,330 --> 00:26:18,870 +قولنا soft speech whispering rapid speech طب و + +321 +00:26:18,870 --> 00:26:21,990 +الكتابة بتاعتهم من المصر الإنجليزية بيكونوا عندهم + +322 +00:26:21,990 --> 00:26:26,910 +small a handwriting يعني بيكون عندهم micrographia + +323 +00:26:26,910 --> 00:26:29,910 +micro ايه؟ micrographia يعني خطهم صغير + +324 +00:26:29,910 --> 00:26:35,350 +micrographia + +325 +00:26:39,600 --> 00:26:43,060 +additional clinical features of Parkinson disease + +326 +00:26:43,060 --> 00:26:48,000 +الأعراض الأخرى بتحدث لمرض باركنسون بخصوص ال + +327 +00:26:48,000 --> 00:26:52,400 +stability عدم الثقة وعدم الاتزان difficulty of + +328 +00:26:52,400 --> 00:26:56,300 +the autonomic nervous system ايه بيحدث؟ + +329 +00:26:56,300 --> 00:27:01,700 +constipation, bladder dysfunction, excessive + +330 +00:27:01,700 --> 00:27:07,910 +sweating, greasy skin، بيكون عندهم الدهن Sexual + +331 +00:27:07,910 --> 00:27:11,390 +Difficulty and Insomnia أرق في النوم هدول المرضى + +332 +00:27:11,390 --> 00:27:17,670 +ممكن يدخلوه في depression, anxiety, psychosis وفي + +333 +00:27:17,670 --> 00:27:20,870 +ال later stage بيحدث معهم decline في ال cognitive + +334 +00:27:20,870 --> 00:27:24,530 +function بتؤدي إلى dementia بتلاقي أهله بيشكوا + +335 +00:27:24,530 --> 00:27:30,670 +المريض بينسى زي الخرف عنده حصل هذا من طبيعة المرض + +336 +00:27:30,670 --> 00:27:36,200 +في ال advanced stage of Parkinson disease لأن اتكلم + +337 +00:27:36,200 --> 00:27:40,140 +على drug-induced parkinsonism هذه عبارة عن أنواع + +338 +00:27:40,140 --> 00:27:44,880 +من ال parkinsonism اللي علاقة ببعض الأدوية مثل + +339 +00:27:44,880 --> 00:27:49,740 +antipsychotic drugs ال neuroleptic phenothiazine أو + +340 +00:27:49,740 --> 00:27:54,260 +بنسميه haloperidol هذه حقنة اتعطت مرة في الشهر لمرض + +341 +00:27:54,260 --> 00:27:59,500 +الشيزوفرينيا مرض الفصام حقنة هذه اتعطت مرة في + +342 +00:27:59,500 --> 00:28:03,140 +الشهر للمريض هذه من الأعراض الجانبية تبقى تتاني + +343 +00:28:03,140 --> 00:28:05,720 +ال depletion للدوبامين اتنقص الدوبامين تم الانخفاض + +344 +00:28:05,720 --> 00:28:09,840 +للدوبامين في الحالة هذه احنا إذا نعطي علاج ثاني + +345 +00:28:09,840 --> 00:28:13,720 +يعمل انخفاض لـ Acetylcholine عشان يحافظ على ال + +346 +00:28:13,720 --> 00:28:18,300 +balance بين Acetylcholine ودوبامين وهذا بيؤدي إلى + +347 +00:28:18,300 --> 00:28:22,060 +نقص ال complications وعدم وجود complications من + +348 +00:28:22,060 --> 00:28:24,820 +العلاج اللي هو Phenothiazine لكن لو اعطينا علاج + +349 +00:28:24,820 --> 00:28:29,240 +بيعمل انخفاض لـ Acetylcholine هذا بيؤدي إلى drug + +350 +00:28:29,240 --> 00:28:33,740 +induced Parkinsonism ثاني Anti emetic drugs + +351 +00:28:33,740 --> 00:28:40,080 +Metoclopromide هذا علاج بنعطيه لمن؟ لـ ال vomiting + +352 +00:28:40,080 --> 00:28:43,180 +في حالة التقيؤ من الأعراض الجانبية بتاعته ممكن + +353 +00:28:43,180 --> 00:28:47,160 +يعمل لنا extra pyramidal manifestation as dyskinesia + +354 +00:28:47,160 --> 00:28:50,860 +حركات لا ارادية يحدث معهم في الوجه أو في اليدين + +355 +00:28:50,860 --> 00:28:58,080 +هدول علاجات بتعمل block لل dopamine receptors طيب + +356 +00:28:58,080 --> 00:29:02,610 +احنا شخصنا مريض الآن عنده باركنسون بدنا ننتقل لموضوع + +357 +00:29:02,610 --> 00:29:07,330 +آخر investigations ايش في فحوصات لازم لمرض + +358 +00:29:07,330 --> 00:29:11,610 +البركنسون؟ لا ما في laboratory test بيشخص البركنسون + +359 +00:29:11,610 --> 00:29:15,990 +البركنسون بيشخصه clinically بالعين لكن في فحوصات + +360 +00:29:15,990 --> 00:29:20,770 +بنعملها to exclude other disease يعني brain CT and + +361 +00:29:20,770 --> 00:29:24,370 +MRI بتعمل للمرضى البركنسون to exclude + +362 +00:29:24,370 --> 00:29:28,790 +structural lesion صور مريض عنده brain tumor عنده + +363 +00:29:28,790 --> 00:29:31,250 +ورم في الدماغ موجود في ال Substance يجرى أو لا + +364 +00:29:31,250 --> 00:29:34,990 +شخصه بركنسون disease لا هذا مش primary بركنسون مش + +365 +00:29:34,990 --> 00:29:38,390 +idiopathic هذا اسمه secondary parkinsonism due to + +366 +00:29:38,390 --> 00:29:41,990 +tumor يقول لازم نحدد في focal brain damage أو ما في + +367 +00:29:41,990 --> 00:29:48,230 +functional imaging في functional imaging أجهزة + +368 +00:29:48,230 --> 00:29:52,570 +غالية جدًا زي ال PET scan و ال SPECT اللي هو + +369 +00:29:52,570 --> 00:29:55,930 +positron emission tomography و single photon + +370 +00:29:55,930 --> 00:30:00,070 +emission CT هذا بيساعدنا لـ ال diagnosis of + +371 +00:30:00,070 --> 00:30:05,210 +Parkinson disease غير هيك بيساعدنا في متابعة علاج + +372 +00:30:05,210 --> 00:30:11,050 +مرضى ال Parkinson هذا اللي هو ال PET scan أو + +373 +00:30:11,050 --> 00:30:14,670 +positron emission tomography في ال PET scan هذا + +374 +00:30:14,670 --> 00:30:17,430 +بيدرس ال functional بتاعة ال brain ال function + +375 +00:30:17,430 --> 00:30:24,670 +بتاعة ال brain يعني لاحظوا في ال striatum هنا اللون + +376 +00:30:24,670 --> 00:30:28,470 +الأحمر هذا dopamine هذا طبيعي أن الناس كلهم يكون + +377 +00:30:28,470 --> 00:30:32,010 +موجود الدوبامين بالنسبة لهذه ماذا حدث في مرض + +378 +00:30:32,010 --> 00:30:37,130 +البركنسون في الرعاش انخفض تم انخفاض في نسبة + +379 +00:30:37,130 --> 00:30:41,410 +الدوبامين لاحظوا النقطة الحمراء هذه انخفض قلت قبل + +380 +00:30:41,410 --> 00:30:45,210 +العلاج طب اعطينا علاج للمريض ونصوره بعد العلاج + +381 +00:30:45,210 --> 00:30:48,670 +بنلاحظ ايش هذه النسبة الزيادة هذا الجهاز مش موجود + +382 +00:30:48,670 --> 00 + +401 +00:32:31,620 --> 00:32:36,600 +الدوبامين بيزود ال synthesis بتاع الدوبامين أو بيعمل + +402 +00:32:36,600 --> 00:32:41,860 +تحفيز لـ ال receptor of الدوبامين أو بيعمل block لـ + +403 +00:32:41,860 --> 00:32:45,720 +ال enzyme اللي بيعمل تكسير و degradation لمادة + +404 +00:32:45,720 --> 00:32:49,140 +الدوبامين لـ homovanillic acid أو اللي هو + +405 +00:32:49,140 --> 00:32:51,960 +norepinephrine أو epinephrine يبقى في الحالة هذه ممكن + +406 +00:32:51,960 --> 00:32:56,740 +نعطي COMT inhibitor ونقلل تحويل الدوبامين + +407 +00:32:56,740 --> 00:33:03,360 +لـ homovanillic acid أو أعطي MAO inhibitor ونقلل التحويل + +408 +00:33:03,360 --> 00:33:09,980 +الدوبامين لـ norepinephrine و epinephrine هذا هو الخطة + +409 +00:33:09,980 --> 00:33:15,760 +الموجودة لعلاج Parkinson's disease أو خطة ثانية ممكن أضيف + +410 +00:33:15,760 --> 00:33:20,980 +علاج بيعمل block للاسيتالكولين Anticholinergic drugs + +411 +00:33:22,980 --> 00:33:27,840 +هذه أدوية بتنعطى لمرض الباركنسون من ضمنها اللي هو + +412 +00:33:27,840 --> 00:33:32,360 +Levodopa-Dopamine agonist مثل دوبيكار أو سينيميت + +413 +00:33:32,360 --> 00:33:37,870 +اللي تعتبر Gold standard treatment Dopamine + +414 +00:33:37,870 --> 00:33:42,810 +receptor agonist بروما كريبتان، برامي بيكسول، كومت + +415 +00:33:42,810 --> 00:33:46,830 +inhibitor Entacapone نضحك احنا، Entacapone نضحك مع الطلاب + +416 +00:33:46,830 --> 00:33:51,230 +نقولهم انت كابون وأنا كابون عشان يحفظوها، انت كابون + +417 +00:33:51,230 --> 00:33:54,930 +وأنا كابون بس هو انت كابون لوحده، مش حد يقولي أنا + +418 +00:33:54,930 --> 00:34:00,010 +كابون كمان، في العلاج انت كابون، Entacapone، Tolcapone + +419 +00:34:00,010 --> 00:34:04,410 +inhibitor سيليجيلين أو جوميكس، يقول إن أنا في الحالة + +420 +00:34:04,410 --> 00:34:07,930 +هذه أنا حفظت الدوبامين وقللت ال degradation بتاعه + +421 +00:34:07,930 --> 00:34:11,530 +ممكن نعطي Anticholinergic drugs قليل + +422 +00:34:11,530 --> 00:34:15,770 +الاسيتالكولين كمان Trihexyphenidyl أو Artane، أما + +423 +00:34:15,770 --> 00:34:22,410 +Amantadine بيقولوا في الحرب العالمية جمعوا جيش احتياطي + +424 +00:34:22,410 --> 00:34:26,610 +كبار في السن عندهم مرض باركنسون ماحدش كان كاشفه + +425 +00:34:27,340 --> 00:34:31,100 +وعطوهم أمانتادين، هذا الأمانتادين أصله antiviral علاج + +426 +00:34:31,100 --> 00:34:35,740 +للفيروسات، ووظيفته antiviral للوقاية من ال infection + +427 +00:34:35,740 --> 00:34:40,400 +disease في الحرب وجدوا ولاحظوا الكبار السن اللي + +428 +00:34:40,400 --> 00:34:43,640 +عندهم rigidity وعندهم bradykinesia اتحسنت مشيتهم + +429 +00:34:43,640 --> 00:34:47,500 +على الأمانتادين، في الحالة هذه تركوا antiviral effect + +430 +00:34:47,500 --> 00:34:51,660 +بتاع الأمانتادين واللي الآن بيستخدم ومن زمان بيستخدم + +431 +00:34:51,660 --> 00:34:55,840 +لعلاج ال muscle rigidity في حالات Parkinson's + +432 +00:34:55,840 --> 00:35:00,490 +disease هيبقى استليفا عبارة عن combination drug في + +433 +00:35:00,490 --> 00:35:04,960 +ليفودوبا، كاربيدوبا، وانت كابوني يعني فيه Levodopa + +434 +00:35:04,960 --> 00:35:10,020 +agonist مع COMT inhibitor مع بعض يعني بنزود + +435 +00:35:10,020 --> 00:35:12,880 +الدوبامين وبنقلل ال degradation في حبة واحدة في + +436 +00:35:12,880 --> 00:35:16,540 +علاج جرعات له 50، 12.5، 250، 5، + +437 +00:35:16,540 --> 00:35:21,180 +20، 250، 7.5، 30، 12.5، 25 + +438 +00:35:21,180 --> 00:35:25,760 +5، 25 كل هذه جرعات لعلاج اسمه استليفا، مش + +439 +00:35:25,760 --> 00:35:29,400 +مطلوبين منكم كتير، لكن احنا لازم نكون عارفين بس إيه + +440 +00:35:29,400 --> 00:35:34,320 +شيلنا الأدوية اللي بنعطيها لمرض الباركنسون، في بعض + +441 +00:35:34,320 --> 00:35:40,000 +الحالات Medical refractory .. Medical refractory + +442 +00:35:40,000 --> 00:35:44,900 +اللي هو Parkinson's disease مستجبوش للعلاج وحالتهم + +443 +00:35:44,900 --> 00:35:48,720 +بتتطور بسرعة، ممكن يكون فيه تدخلات جراحية في مراكز + +444 +00:35:48,720 --> 00:35:53,700 +كبيرة مثل اللي هو Deep brain stimulation ممكن يعمل + +445 +00:35:53,700 --> 00:35:57,100 +Thalamic stimulation هذا بيحسن إيش؟ ال tremor أكتر + +446 +00:35:57,100 --> 00:36:00,400 +ومع العجز دور في muscle rigidity أو bradykinesia + +447 +00:36:00,400 --> 00:36:05,470 +ممكن يعمل Pallidotomy أو Subthalamic + +448 +00:36:05,470 --> 00:36:10,070 +stimulation لحالات اللي هو muscle rigidity وال + +449 +00:36:10,070 --> 00:36:15,490 +dyskinesia in your research نيكوتين، ميلاتونين + +450 +00:36:15,490 --> 00:36:20,370 +وجدوا إن نيكوتين ال action بتاعه similar لـ ليفودوبا + +451 +00:36:20,370 --> 00:36:27,580 +Future management تتطلعوا للمستقبل إيش يعملوا؟ + +452 +00:36:27,580 --> 00:36:31,280 +Gene therapy أو يعملوا Fetal nigral cells + +453 +00:36:31,280 --> 00:36:35,860 +transplantation يعملوا زراعة خلايا عصبية لمرضى + +454 +00:36:35,860 --> 00:36:42,220 +Parkinson's disease الآن أنا هيك أنجزت لكم موضوع Parkinson's + +455 +00:36:42,220 --> 00:36:48,100 +disease خمس دقائق أشرح لكم مرض آخر اسمه Wilson's + +456 +00:36:48,100 --> 00:36:53,970 +disease Wilson's disease هو بنسميه Akinetic rigid + +457 +00:36:53,970 --> 00:36:57,270 +syndrome هذا بيجي أكثر في ال children عند الأطفال + +458 +00:36:57,270 --> 00:37:01,790 +بيسموه Hepatolenticular degeneration من وين + +459 +00:37:01,790 --> 00:37:05,930 +Hepatolenticular degeneration؟ لأنه بيصيب الكبد و + +460 +00:37:05,930 --> 00:37:09,750 +Lentiform nucleus لذلك سمي المرض Hepatolenticular + +461 +00:37:09,750 --> 00:37:15,890 +degeneration يعتبر Autosomal + +462 +00:37:15,890 --> 00:37:21,760 +recessive disorder characterized by defect of + +463 +00:37:21,760 --> 00:37:26,720 +cellular copper export المشكلة وين؟ في ال ... ال ... + +464 +00:37:26,720 --> 00:37:32,000 +ال ... في ال copper export وفي الحالة هذه بيحدث + +465 +00:37:32,000 --> 00:37:35,480 +accumulation للcopper بيحدث accumulation للcopper + +466 +00:37:35,480 --> 00:37:39,440 +وين بيحدث accumulation للcopper؟ في ال liver و ال + +467 +00:37:39,440 --> 00:37:42,200 +other tissues من ضمنهم Lentiform nucleus + +468 +00:37:42,200 --> 00:37:45,040 +nucleus لذلك سمى المرض Hepatolenticular + +469 +00:37:45,040 --> 00:37:49,910 +degeneration إيش ال pathogenesis of Wilson's disease + +470 +00:37:49,910 --> 00:37:56,910 +في الطبيعي Ceruloplasmin بيتحد + +471 +00:37:56,910 --> 00:38:01,990 +مع الكبر مع النحاس وبيخرج مع البيل مع عصارة + +472 +00:38:01,990 --> 00:38:11,310 +المرارة وبيخرج مع ال stool مع الفيكل مع البراز في + +473 +00:38:11,310 --> 00:38:14,690 +Wilson's disease بيكون فيه deficiency في + +474 +00:38:14,690 --> 00:38:15,430 +ال Ceruloplasmin + +475 +00:38:17,870 --> 00:38:22,390 +اللي بتتحد مع 98% من ال copper وبيخرجوا عن طريق ال + +476 +00:38:22,390 --> 00:38:28,110 +bile طيب إيش بيحدث؟ مادام في مشكلتها في mutation في + +477 +00:38:28,110 --> 00:38:31,690 +Ceruloplasmin في الحالة دي Ceruloplasmin unable + +478 +00:38:31,690 --> 00:38:35,270 +to binding with copper ما بيقدر ولا يستطيع إنه + +479 +00:38:35,270 --> 00:38:38,630 +يتحد مع ال copper ويخرجوا، بيروح ال copper ويتحد مع + +480 +00:38:38,630 --> 00:38:43,460 +other proteins مع بعض البروتينات، جزء منه بيخرج من + +481 +00:38:43,460 --> 00:38:47,660 +ال urine عن طريق الكلى وجزء الآخر بيحدث + +482 +00:38:47,660 --> 00:38:50,300 +accumulation في الجسم بتخزن في جسم الإنسان في + +483 +00:38:50,300 --> 00:38:53,820 +الأنسجة من ضمنهم في العين في Lentiform nucleus في + +484 +00:38:53,820 --> 00:38:59,240 +ال liver في ال lung وهذا يعتبر مادة سامة النحاس + +485 +00:38:59,240 --> 00:39:05,040 +مادة إيه؟ سامة إيش ال clinical features of Wilson's + +486 +00:39:05,040 --> 00:39:11,640 +disease؟ Proximal tremor تكون معهم، cholepathoid + +487 +00:39:11,640 --> 00:39:16,320 +movement حركات لا إرادية، bradykinesia ممكن يكونوا + +488 +00:39:16,320 --> 00:39:19,920 +معاهم بطء في الحركة، في ال acute stage ممكن ييجوا + +489 +00:39:19,920 --> 00:39:23,860 +psychosis، behavior changes ويتم علاجاتهم في + +490 +00:39:23,860 --> 00:39:28,520 +البداية في قسم الأمراض النفسية ممكن يحدث معاهم + +491 +00:39:28,520 --> 00:39:32,240 +dysarthria and other type of speech difficulty + +492 +00:39:34,160 --> 00:39:37,520 +Dystonia and Rigidity وفي النهاية liver + +493 +00:39:37,520 --> 00:39:40,900 +involvement ضروري يكون معهم ليه؟ لأن هذول المرضى + +494 +00:39:40,900 --> 00:39:44,340 +ممكن في نهاية المرض في ال advanced stage يدخلوا في + +495 +00:39:44,340 --> 00:39:49,420 +hepatic failure فشل في وظائف الكبد ويحتاج المريض + +496 +00:39:49,420 --> 00:39:55,840 +نقل أو زراعة كبد لإياه، ماهو ال diagnosis؟ كيف نشخص + +497 +00:39:55,840 --> 00:40:01,580 +مرض Wilson's disease؟ الفحص للبلازما في blood بيكون low، ال + +498 +00:40:01,580 --> 00:40:05,660 +copper في ال blood ممكن تكون low أو ممكن تكون + +499 +00:40:05,660 --> 00:40:10,160 +normal ما بنعتمدش عليها في الفحص، أهم شيء أفحص نسبة + +500 +00:40:10,160 --> 00:40:14,640 +النحاس في ال urine، بيجمع ال urine 24 ساعة وبنفحص + +501 +00:40:14,640 --> 00:40:17,140 +فيه نسبة النحاس ليه؟ لإن احنا متعرفين في الطبيعي + +502 +00:40:17,140 --> 00:40:19,920 +النحاس بتتحد مع Ceruloplasmin وبتطلع مع ال stool عن + +503 +00:40:19,920 --> 00:40:24,100 +طريق ال bile مع ال stool مع الفيكل مع البراز، لكن في + +504 +00:40:24,100 --> 00:40:27,900 +نقص Ceruloplasmin بتتم اتحاد other proteins مع + +505 +00:40:27,900 --> 00:40:31,700 +إيه؟ مع ال copper، جزء منه بيحدث accumulation في + +506 +00:40:31,700 --> 00:40:36,640 +الجسم وجزء الآخر بيخرج عن طريق ال urine، في الحالة + +507 +00:40:36,640 --> 00:40:43,160 +هذه راح نلاقي عندهم high copper urine output يعني في + +508 +00:40:43,160 --> 00:40:49,450 +ال urine راح نلاقي نسبة إيه؟ النحاس عالية، وبتاخد ال + +509 +00:40:49,450 --> 00:40:53,570 +... الفحص ال ... ال urine مدة 24 ساعة، ممكن اعمل Liver + +510 +00:40:53,570 --> 00:40:58,610 +biopsy برهن المريض بيكون Thalamic and putaminal + +511 +00:40:58,610 --> 00:41:02,790 +hyper intensity لو فحصنا ال MRI أو Physiological + +512 +00:41:02,790 --> 00:41:08,310 +examination ممكن تلاقي deposition of copper في + +513 +00:41:08,310 --> 00:41:13,380 +العين تعمل حاجة اسمها Kayser-Fleischer ring بتنفحص على + +514 +00:41:13,380 --> 00:41:17,780 +Slit lamp لأن دكتور العيون، العلاج دي بينسيلامين، + +515 +00:41:17,780 --> 00:41:22,900 +Trientine، oral zinc وفي ال advanced stage في حالات + +516 +00:41:22,900 --> 00:41:27,340 +liver failure أو hepatic failure بيحتاجوا زراعة + +517 +00:41:27,340 --> 00:41:35,520 +كبد، نقل كبد للإنسان، هذه Kayser-Fleischer ring تكون زي + +518 +00:41:35,520 --> 00:41:39,880 +ring في العين، حوالين العين، هذه ال ring ناتجة عن + +519 +00:41:39,880 --> 00:41:47,480 +تجمع مادة النحاس، إيش بيحدث في مرض إيش؟ ويلسون هي + +520 +00:41:47,480 --> 00:41:51,860 +ال copper قدم مع الأكل مع الطعام، تم امتصاصه لل blood + +521 +00:41:51,860 --> 00:41:57,180 +اتحد مع ال albumin، ال albumin راح يوصله لل liver، في + +522 +00:41:57,180 --> 00:42:00,640 +ال liver في شيء اسمه Ceruloplasmin هذا Ceruloplasmin + +523 +00:42:00,640 --> 00:42:04,660 +بيتحد مع ال copper مع النحاس وبيخرجه من ال liver عن طريق + +524 +00:42:04,660 --> 00:42:08,900 +عصارة المرارة للأمعاء ومن الأمعاء لل stool + +525 +00:42:08,900 --> 00:42:12,540 +وبيخرج من جسم الإنسان هذا طبيعي، طب إيش بيحدث في + +526 +00:42:12,540 --> 00:42:18,190 +مرض Wilson's disease؟ في عندنا problem هان، في مشكلة في mutation + +527 +00:42:18,190 --> 00:42:24,870 +في Ceruloplasmin، في الحالة هذه حدث accumulation + +528 +00:42:24,870 --> 00:42:28,390 +لمين؟ لل copper في ال liver and other tissues + +529 +00:42:28,390 --> 00:42:33,870 +ويخرج من إيش؟ من ال copper بتتحد مع other proteins + +530 +00:42:33,870 --> 00:42:37,970 +وبيخرجوا عن طريق ال kidney بال urine، طب ال D- + +531 +00:42:37,970 --> 00:42:43,410 +Penicillamine ال D-Penicillamine إيش راح يعمل؟ راح + +532 +00:42:43,410 --> 00:42:48,090 +يسبق ال albumin ويتحد بعد امتصاص ال copper للدم .. + +533 +00:42:48,090 --> 00:42:52,870 +بعد امتصاص ال copper للدم راح هذا ال trientine وال + +534 +00:42:52,870 --> 00:42:58,530 +D-Penicillamine يتحد مع مين؟ مع النحاس وما يوصلوش لل + +535 +00:42:58,530 --> 00:43:03,450 +liver ويخرجوا direct عن طريق إيش؟ ال kidney عن + +536 +00:43:03,450 --> 00:43:07,270 +طريق إيش؟ الكلى ويقلل ال accumulation بتاعته و + +537 +00:43:07,270 --> 00:43:12,890 +نسبته في الجسم، في دواء اسمه Zinc acetate أو Sulfate + +538 +00:43:12,890 --> 00:43:18,570 +هذا ال zinc إيش بيعمل؟ بيشتغل عنده على ال copper في + +539 +00:43:18,570 --> 00:43:21,790 +ال intestine بيشتغل على ال copper في ال intestine + +540 +00:43:21,790 --> 00:43:28,090 +وبيمنع امتصاصه من الأمعاء وفي الحالة هذه بيقول + +541 +00:43:28,090 --> 00:43:34,370 +stop يوقف امتصاصه لل blood ويقلل نسبة وجود copper في + +542 +00:43:34,370 --> 00:43:39,950 +الدم، وهيك بيكون حدث انخفاض لنسبة النحاس في الدم و + +543 +00:43:39,950 --> 00:43:44,690 +في الحالة هذه بيكون احنا وصلنا لنهاية المحاضرة + + + diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/--F5fLpsKiA_postprocess.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/--F5fLpsKiA_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..e389f99ec4a1d98d99ea8b0e91a6f5a2008f1c8b --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/--F5fLpsKiA_postprocess.srt @@ -0,0 +1,2172 @@ +1 +00:00:04,990 --> 00:00:08,610 +بسم الله الرحمن الرحيم السلام عليكم و رحمة الله + +2 +00:00:08,610 --> 00:00:16,990 +محاضرة لسبوع تالت عشر Parkinson disease او بنسمي + +3 +00:00:16,990 --> 00:00:21,690 +akinetic rigid syndrome akinetic rigid syndrome + +4 +00:00:21,690 --> 00:00:27,290 +ايش + +5 +00:00:27,290 --> 00:00:31,950 +ال definition تاع Parkinson disease مرض Parkinson + +6 +00:00:31,950 --> 00:00:47,020 +هو عبارة عنChronic slowly + +7 +00:00:47,020 --> 00:00:51,700 +progressive neurodegenerative + +8 +00:00:51,700 --> 00:00:59,080 +disorder Characterized by loss of pigmented + +9 +00:00:59,080 --> 00:01:04,240 +neuronsloss of pigmented neurons هذه الـ pigmented + +10 +00:01:04,240 --> 00:01:07,160 +neurons بتفرز مادة الدوبامين بيسموها pigmented + +11 +00:01:07,160 --> 00:01:14,760 +dopaminergic neurons و الموجودة of the substantia + +12 +00:01:14,760 --> 00:01:18,820 +nigra الموجودة في الsubstantia nigra ايش بتسبب؟ + +13 +00:01:18,820 --> 00:01:27,920 +causing tremor at rest muscle rigiditybradykinesia + +14 +00:01:27,920 --> 00:01:31,940 +and often associated with dementia التعريف بتاع + +15 +00:01:31,940 --> 00:01:36,140 +المرض لخصنا كل شيء على المرض ان هو عبارة عن + +16 +00:01:36,140 --> 00:01:42,140 +chronic slowly progressive neurodegenerative + +17 +00:01:42,140 --> 00:01:47,700 +disorder characterized by loss of pigmented + +18 +00:01:47,700 --> 00:01:53,760 +dopaminergic neurons caused by اللي هو إيه؟ واحد + +19 +00:01:54,800 --> 00:01:59,120 +Tresting Tremor تنين Muscle Rigidity تلاتة + +20 +00:01:59,120 --> 00:02:04,200 +Bradykinesia أو Hypokinesia and often associated + +21 +00:02:04,200 --> 00:02:08,340 +with dementia يعني هذا المرض ناتج عن نقص في إفراز + +22 +00:02:08,340 --> 00:02:11,740 +مادة الدوبامين من السبستانشيا نيجرا الموجودة في ال + +23 +00:02:11,740 --> 00:02:18,620 +middle brain بسببنا Tremor at rest Muscle Rigidity + +24 +00:02:20,630 --> 00:02:24,630 +bradykinesia أو هيبوكينيزيا بطء في الحركة و + +25 +00:02:24,630 --> 00:02:32,310 +dementia أخرى لأ ممكن الإنسان مع عمره يحدث عنده + +26 +00:02:32,310 --> 00:02:35,470 +نقص في الـ dopaminergic neurons لا يعني أنه سيبدأ + +27 +00:02:35,470 --> 00:02:39,370 +عنده مرض اسمه Parkinson disease الإنسان يكون + +28 +00:02:39,370 --> 00:02:45,950 +compensated متى بيظهر علامات مرض Parkinson في حال + +29 +00:02:48,040 --> 00:02:54,120 +حدث نقص او انخفاض في نسبة الدوبامين خمسين لستين في + +30 +00:02:54,120 --> 00:02:58,160 +المية من الـ dopaminergic containing neurons في + +31 +00:02:58,160 --> 00:03:02,000 +الsubstantia negra او من المخزون الاحتياطي سبعين + +32 +00:03:02,000 --> 00:03:06,680 +لثمانين في المية من الدوبامين الموجود في Corpus + +33 +00:03:06,680 --> 00:03:12,700 +striata من أين أجى مرض باركنسون لليوم بسمع مرض + +34 +00:03:12,700 --> 00:03:17,920 +باركنسون سنة الف وتمانية وسبعتاشفي لنبا في + +35 +00:03:17,920 --> 00:03:25,360 +بريطانيا جيمس باركنسون أول دكتور كتب في المرض هذا + +36 +00:03:25,360 --> 00:03:30,320 +وسمى المرض shaking palsy shaking palsy يعني شلل + +37 +00:03:30,320 --> 00:03:34,040 +الرعاش و اليوم نسمع عن المريض أنه شلل الرعاش أو + +38 +00:03:34,040 --> 00:03:39,330 +نسميه Parkinson disease مرض باركنسوناتوفى هذا جيمس + +39 +00:03:39,330 --> 00:03:43,450 +باركنسون سنة الف تمانية واربع وعشرين وفي فرنسا في + +40 +00:03:43,450 --> 00:03:48,830 +باريس جيم مارتين تشاركوت سمى المرض باسم جيمس + +41 +00:03:48,830 --> 00:03:52,870 +باركنسون احتراما له وسمى باركنسون disease يبقى + +42 +00:03:52,870 --> 00:03:56,250 +جيمس باركنسون سمى المرض shaking بارسي شهر وعاش + +43 +00:03:56,250 --> 00:04:00,430 +وبعد ما اتوفى تم تسمية المرض باسم جيمس باركنسون + +44 +00:04:00,430 --> 00:04:05,910 +على اسمه وسموه باركنسون diseaseهذا هو James + +45 +00:04:05,910 --> 00:04:09,410 +Parkinson ولد سنة ألف سبعمائة وخمسة وخمسين واتوفى + +46 +00:04:09,410 --> 00:04:13,910 +سنة الف وثمانية واربعة وعشرين وأول ما كتب عن المرض + +47 +00:04:13,910 --> 00:04:18,050 +سماه shaking burst في لندن سنة الف وثمانية وسبعة + +48 +00:04:18,050 --> 00:04:24,990 +عشر ابو عمار الله يرحمه والبابا يوحاني يوحاني ال + +49 +00:04:24,990 --> 00:04:28,750 +بوليس الثاني محمد علي كلاي هدول مصابين بمرض + +50 +00:04:28,750 --> 00:04:31,470 +Parkinson مصابين بمرض Parkinson + +51 +00:04:35,720 --> 00:04:40,180 +على Epidemiology of Parkinson Disease Parkinson + +52 +00:04:40,180 --> 00:04:44,400 +Disease is the most common neurodegenerative + +53 +00:04:44,400 --> 00:04:49,960 +disease after Alzheimer يبقى يعتبر second most + +54 +00:04:49,960 --> 00:04:55,200 +common neurodegenerative disease after Alzheimer + +55 +00:04:55,200 --> 00:04:57,120 +يعني الـ Alzheimer بيحتل المرتبة الأولى في الـ + +56 +00:04:57,120 --> 00:05:01,200 +neurodegenerative و بعده بجنونين Parkinson Disease + +57 +00:05:01,200 --> 00:05:06,320 +ال annual incidenceمن خمسة لست و عشرين كل مائة ألف + +58 +00:05:06,320 --> 00:05:11,140 +في أمريكا عشرين لكل مائة ألف ال age of onset خمسين + +59 +00:05:11,140 --> 00:05:16,960 +سن الخمسين يعتبر ال pick تاع المرض خمس و ستين + +60 +00:05:16,960 --> 00:05:21,680 +خمسين خمس و ستين بعد سن الخمس و ستين بيحدث decline + +61 +00:05:21,680 --> 00:05:26,720 +يعني المرض بيصيب أكتر سن من خمسين لخمس و ستين بعد + +62 +00:05:26,720 --> 00:05:32,180 +سن الخمس و ستين بيحدث decline وبينخفض نسبة المرض + +63 +00:05:32,180 --> 00:05:36,200 +هذا4 على 10% من الحالات ممكن يجيوا قبل سن الأربعين + +64 +00:05:36,200 --> 00:05:42,160 +لكن إذا بدل مرض هذا قبل سن الأربعين لازم نعمل work + +65 +00:05:42,160 --> 00:05:45,920 +up good work up توكسيكلود secondary parkinsonism + +66 +00:05:45,920 --> 00:05:49,720 +توكسيكلوديت يومار ويلسون disease and other + +67 +00:05:49,720 --> 00:05:54,880 +neurodegenerative disease and others focal brain + +68 +00:05:54,880 --> 00:06:01,320 +damage six ال incidence الميل أكتر من الفميل تلاتة + +69 +00:06:01,320 --> 00:06:06,480 +لاتنين ال ratioFamilial Incidence 95% من مرض + +70 +00:06:06,480 --> 00:06:10,380 +البركنسون بيكون Sporadic Cases Sporadic Cases و + +71 +00:06:10,380 --> 00:06:17,520 +فقط 5% منهم بيكونوا Familial Ideology of Parkinson + +72 +00:06:17,520 --> 00:06:22,280 +Disease Most cases of Parkinson Disease are + +73 +00:06:22,280 --> 00:06:26,760 +idiopathic زي ما اتفقنا Sporadic Cases بيكونوا due + +74 +00:06:26,760 --> 00:06:29,320 +to combination of genetic and environmental + +75 +00:06:29,320 --> 00:06:36,120 +factors Theoryأهم شيء accelerated aging أهم risk + +76 +00:06:36,120 --> 00:06:41,860 +factor لموضوع Parkinson disease is age gene + +77 +00:06:41,860 --> 00:06:46,900 +mutationenvironmental factor العوامل البيئية و + +78 +00:06:46,900 --> 00:06:52,160 +العوامل الخارجية انسان بيشتغل في مصنع من بودات + +79 +00:06:52,160 --> 00:06:57,880 +حشرات انسان بتعرض لسموم انسان life experience + +80 +00:06:57,880 --> 00:07:02,980 +الناس اللي بيعملوا و بيشتغلوا ملاكم او مصارى زي + +81 +00:07:02,980 --> 00:07:06,780 +محمد علي كلاف و بتعرضوا ل recurrent head trauma كل + +82 +00:07:06,780 --> 00:07:12,140 +واحدة بيقدر الى parkinson what's the risk factor + +83 +00:07:19,430 --> 00:07:25,450 +العمر أو السن هو اهم risk factor اثنين genetic + +84 +00:07:25,450 --> 00:07:31,110 +factorsواجدوا ان الناس اللي عندهم monozygotic من + +85 +00:07:31,110 --> 00:07:35,730 +بقايدة واحدة نسبة ال Parkinson بيكون عندهم اعلى من + +86 +00:07:35,730 --> 00:07:40,210 +ال dizygotic يبقى الموضوع العامل الوراثي الودور + +87 +00:07:40,210 --> 00:07:45,990 +Male 6 اتفجنا ان ال male ل ال female ثلاثة لاثنين + +88 +00:07:47,270 --> 00:07:52,450 +environmental factors الناس اللي بتعرضوا لعمل مع + +89 +00:07:52,450 --> 00:07:58,310 +سموم مجيدات حشرية كل هذا او heavy metals كله بيقدر + +90 +00:07:58,310 --> 00:08:03,570 +الى neurodegeneration life experience اتكلمت معاكم + +91 +00:08:03,570 --> 00:08:08,270 +عن موضوع ال recurrent trauma عسب مثل واحد بيعمل + +92 +00:08:08,270 --> 00:08:15,910 +ملاكي مسارع ال recurrent emotional stressطيب موضوع + +93 +00:08:15,910 --> 00:08:20,370 +cigarette smoking and caffeine intake الناس + +94 +00:08:20,370 --> 00:08:25,230 +المدخنين وبيشربوا قهوة وجدوا inverse correlation + +95 +00:08:25,230 --> 00:08:29,150 +between cigarette smoking, caffeine intake and + +96 +00:08:29,150 --> 00:08:31,170 +Parkinson disease ومش Parkinson اللي وحده + +97 +00:08:31,170 --> 00:08:35,190 +Alzheimer وجدوا الناس المدخنين وبيشربوا قهوة كتير + +98 +00:08:35,190 --> 00:08:40,150 +نسبة ال Parkinson عندهم أقل منالناس تغيبوا الدخين + +99 +00:08:40,150 --> 00:08:44,310 +هذا لا يعني احنا بنحلي الموضوع التدخين التدخين + +100 +00:08:44,310 --> 00:08:51,450 +مكروه ومحرم anatomy of لأنه مساوؤه اكتر من ما افهم + +101 +00:08:51,450 --> 00:09:01,610 +anatomy of basal nucleiالتحكم بالتحرك الوطني يتم + +102 +00:09:01,610 --> 00:09:07,330 +تأثيره عن التعامل بين البيوراميدال والسيريبيلر + +103 +00:09:07,330 --> 00:09:12,490 +والإكسرابيراميدال والسيستيم مع تجهيزة لجذب الأمام + +104 +00:09:12,490 --> 00:09:23,340 +أو لجذب النوكليا الكرنية في قلوب العقلعبارة عن ايش + +105 +00:09:23,340 --> 00:09:28,700 +extrapyramidal nervous system؟ هي عبارة عن paired + +106 +00:09:28,700 --> 00:09:33,280 +subcortical collection مثل اللي هو البيزا + +107 +00:09:33,280 --> 00:09:37,320 +النوكليائي غير البيزا النوكليائي، في عندنا red + +108 +00:09:37,320 --> 00:09:41,580 +nucleus وsubstantia nigra، كل هذا تابع لموضوع + +109 +00:09:41,580 --> 00:09:45,600 +extrapyramidal nervous system وsubthalamus اللي هو + +110 +00:09:45,600 --> 00:09:48,980 +تابع للديانسيفرون من ناحية functional اللي علاقة + +111 +00:09:48,980 --> 00:09:51,540 +بالبيزا النوكليا أو بال extrapyramidal nervous + +112 +00:09:51,540 --> 00:09:57,290 +systemماشي تتكون بيزا نوكلياي بيزا نوكلياي تتكون + +113 +00:09:57,290 --> 00:10:04,250 +من كودات نوكلياس ال 24 نوكلياس اللي هي تتكون من + +114 +00:10:04,250 --> 00:10:09,810 +بيوتامين and غلوباس باليداس اميجدالويد بادي and + +115 +00:10:09,810 --> 00:10:18,370 +كلاوسرام كل هذه تركيبتهم لبيزا نوكلياي هنحن هدقوا + +116 +00:10:18,370 --> 00:10:23,230 +الكودات هتدقوا الكوداتهذه الانتي فورم تتكون من + +117 +00:10:23,230 --> 00:10:28,830 +اللي هو اشرحته + +118 +00:10:28,830 --> 00:10:32,850 +في البيزا النوكلياي تتكون من Large و Lateral وDark + +119 +00:10:32,850 --> 00:10:38,450 +part هذا البيوتامين وهذا اجلوباس باليداس هذا ال + +120 +00:10:38,450 --> 00:10:42,690 +medium and small light وهي في عندنا كمان الهدء و + +121 +00:10:42,690 --> 00:10:43,270 +الكودات + +122 +00:10:47,910 --> 00:10:52,630 +لو جمعتهم مع بعض بنسميهم Corpus striatum Corpus + +123 +00:10:52,630 --> 00:10:58,970 +striatum و لو اجينا رفعنا من لينتفورم رفعنا globus + +124 +00:10:58,970 --> 00:11:02,850 +pallidus وجمعنا البيوتامين مع الكودات مع بعض + +125 +00:11:02,850 --> 00:11:08,670 +بنسميه striatum او neo striatum striatum او neo + +126 +00:11:08,670 --> 00:11:16,170 +striatumهذه لهم دور في تخزين مادة الدوبامين في مرض + +127 +00:11:16,170 --> 00:11:20,310 +البركنسون لو حدث نقص في المخزون أكتر من 70 ل 80% + +128 +00:11:20,310 --> 00:11:26,730 +بيبدأ علامات اللي هو شرار الرعاش هذه كودية نوكلياس + +129 +00:11:26,730 --> 00:11:34,030 +مثل حرف ال C اللي هي head body و tail في نهاية ال + +130 +00:11:34,030 --> 00:11:41,520 +tail موجود اللي هو amygdaloid bodySubstantia Negra + +131 +00:11:41,520 --> 00:11:49,100 +Substantia Negra هي المصدر الرئيسي لمادة الدوبامين + +132 +00:11:49,100 --> 00:11:55,360 +تلعب دور هي و ال subthalamus Substantia Negra + +133 +00:11:55,360 --> 00:12:03,780 +Substantia + +134 +00:12:03,780 --> 00:12:09,250 +Negra موجودة في ال mid brainو ال subthalamus موجود + +135 +00:12:09,250 --> 00:12:12,230 +في ال diencephalon من ناحية أناطم ايه؟ هذول + +136 +00:12:12,230 --> 00:12:18,410 +اعتبروا أشياء مختلفة subthalamus ال diencephalon و + +137 +00:12:18,410 --> 00:12:22,760 +substantia midbrain لكن من ناحية physiologyGood + +138 +00:12:22,760 --> 00:12:27,760 +relation between the subthalamus and a substantia + +139 +00:12:27,760 --> 00:12:32,940 +nigra يعتبر substantia nigra و ال subthalamus من + +140 +00:12:32,940 --> 00:12:36,160 +ناحية فسيولوجية اللي ملاقة في ال extra pyramidal + +141 +00:12:36,160 --> 00:12:40,600 +nervous system the neurons of the substantia nigra + +142 +00:12:40,600 --> 00:12:46,320 +are dopaminergic بفرزومادة أيه؟ الدوبامين في + +143 +00:12:46,320 --> 00:12:51,710 +الإنسان الطبيعي في الإنسان الطبيعيالدوبامين و + +144 +00:12:51,710 --> 00:12:55,970 +الacetylcholine متساوين، في balance بينهم، في + +145 +00:12:55,970 --> 00:13:00,670 +balance بين الacetylcholine و الدوبامين، الدوبامين + +146 +00:13:00,670 --> 00:13:04,370 +inhibitory، بيعمل inhibition و الacetylcholine + +147 +00:13:04,370 --> 00:13:09,490 +excitation، stimulation، طبيعي يكون في كفة متساوية + +148 +00:13:09,490 --> 00:13:16,040 +بينهملكن في مرض البركنسون بقل نسبة ايه؟ الدوبامين، + +149 +00:13:16,040 --> 00:13:20,920 +بتقل نسبة الدوبامين، مدام قلت نسبة الدوبامين، نسبة + +150 +00:13:20,920 --> 00:13:27,420 +وتناسب زاد الاسيتايركولين، بحدث disbalance، + +151 +00:13:28,180 --> 00:13:31,000 +في الـ Normal Condition and Normal Population + +152 +00:13:31,000 --> 00:13:34,480 +بيكون عندهم الـ Acetylcholine كولينيرجيك الـ + +153 +00:13:34,480 --> 00:13:37,820 +Excitation و الدوبامينيرجيك أو الدوبامين + +154 +00:13:37,820 --> 00:13:43,840 +الانهيبيشن في بينهم Balance لكن في حال حدث نقص او + +155 +00:13:43,840 --> 00:13:50,130 +انخفاض في مادة الدوبامينكفة مين راح ترجح الـ + +156 +00:13:50,130 --> 00:13:53,610 +cholinergic اللي بيعمل excitation هذا بيؤدى الى + +157 +00:13:53,610 --> 00:13:57,130 +مرض اسمه Parkinson disease يبقى هنا عرفنا في + +158 +00:13:57,130 --> 00:14:01,330 +Parkinson disease نسبة و تناسب راح انخفض الدوبامين + +159 +00:14:01,330 --> 00:14:04,290 +و يزيد الacetylcholine هو الacetylcholine ما زاد + +160 +00:14:04,290 --> 00:14:09,610 +هو ان انخفض الدوبامين يبقى في الحالة ده فقدوا ال + +161 +00:14:09,610 --> 00:14:14,130 +balance اللى بينهم و حدث انخفاض في الدوبامين و + +162 +00:14:14,130 --> 00:14:19,760 +زيادة في acetylcholine نسبة و تناسبفي good contact + +163 +00:14:19,760 --> 00:14:23,000 +و good connections between the substantia nigra in + +164 +00:14:23,000 --> 00:14:27,220 +the midbrain with globus pallidus with lentiform + +165 +00:14:27,220 --> 00:14:30,820 +nucleus او مع السترياتم كان في good connection + +166 +00:14:30,820 --> 00:14:38,700 +between substantia nigra and basal nucleiفي + +167 +00:14:38,700 --> 00:14:44,660 +pathway اسمه Negro striatum pathway Negro striatum + +168 +00:14:44,660 --> 00:14:48,840 +pathway هذا Negro striatum pathway بعمل connection + +169 +00:14:48,840 --> 00:14:54,140 +between substantia negra and بيزان نوكليا هذا اسمه + +170 +00:14:54,140 --> 00:15:00,820 +Negro striatum pathway between mid brain and + +171 +00:15:00,820 --> 00:15:05,120 +striatum لاحظوا + +172 +00:15:05,880 --> 00:15:10,440 +هذه هي الـ Substantia Negra موجودة في الـ cerebral + +173 +00:15:10,440 --> 00:15:16,460 +peduncles بتاعة اللي هو middle brain فيه good + +174 +00:15:16,460 --> 00:15:20,420 +connections بين ال Substantia Negra واللي هي بيزا + +175 +00:15:20,420 --> 00:15:24,960 +النقلياي أو striatum هذا ال pathway بيعمل ايه؟ + +176 +00:15:24,960 --> 00:15:28,640 +بيسمي ايه ال Negro striatum pathway من ال + +177 +00:15:28,640 --> 00:15:33,760 +Substantia Negra بتم إفراز الدوبامين و تخزينه في + +178 +00:15:33,760 --> 00:15:42,570 +ال striatumطبيعي الدوبامين يكون عندنا موجود في + +179 +00:15:42,570 --> 00:15:46,470 +حالة أنه في عندنا مرض بركنسون راح يصير نقص وانخفاض + +180 +00:15:46,470 --> 00:15:52,850 +في نسبة اللي هو الدوبامين لاحظوا في الطبيعي عند + +181 +00:15:52,850 --> 00:15:56,850 +الناس في ال corpus striatum راح يكون balance + +182 +00:15:56,850 --> 00:16:00,320 +between cholinergic neuronsاللي هو أسيتايل كلين + +183 +00:16:00,320 --> 00:16:04,500 +والدوبامينيرجيك نيرون أو الدوبامين نفسه اللي هو + +184 +00:16:04,500 --> 00:16:08,500 +المخزون الاحتياطي بتاع الدوبامين طب يكون في + +185 +00:16:08,500 --> 00:16:13,340 +balance بينهم هذا شيء جيد ال excitation كلينيرجيك + +186 +00:16:13,340 --> 00:16:18,720 +و ال inhibition اللي هو دوبامين دوبامينيرجيك + +187 +00:16:18,720 --> 00:16:22,520 +اللحظة إيش بيحدث في مرض باركنسون أدناء imbalance + +188 +00:16:24,130 --> 00:16:28,070 +الاسيتايل الكولين ما زاد نفس الشيء لكن حدث انخفاض + +189 +00:16:28,070 --> 00:16:32,670 +في نسبة ايه الدوبامين يبقى النسبة و التناسب زاد + +190 +00:16:32,670 --> 00:16:35,870 +الاسيتايل الكولين وهذا راح يقدي الى مرض اسمه + +191 +00:16:35,870 --> 00:16:40,270 +Parkinson disease او مرض شرع الرعاش احنا اتكلمنا + +192 +00:16:40,270 --> 00:16:43,830 +لحد الان في ال pathophysiology و etiology of + +193 +00:16:43,830 --> 00:16:49,690 +Parkinson disease ليش صموها substantia nigra هدف + +194 +00:16:49,690 --> 00:16:54,650 +في middle brain نيجر يعني أسودعشانها غامقة dark + +195 +00:16:54,650 --> 00:16:58,350 +فيها pigmented neuron سميناها Substantia Negra + +196 +00:16:58,350 --> 00:17:02,190 +نلاحظ في مرض البركنسون ايش بيحدث بيصير loss of + +197 +00:17:02,190 --> 00:17:06,490 +pigmented neurons و ال Substantia Negra تتحول ل + +198 +00:17:06,490 --> 00:17:13,510 +more pale more pale اه بهدف الصورة وين عندنا mid + +199 +00:17:13,510 --> 00:17:17,570 +brain لبركنسون disease وين في mid brain ل normal + +200 +00:17:18,450 --> 00:17:22,030 +وين في ال pigmented neurons more dark هنا؟ يبقى + +201 +00:17:22,030 --> 00:17:27,370 +هذي يعتبر healthy person وهنا substantia nigra + +202 +00:17:27,370 --> 00:17:31,270 +more pale يبقى هذا حالة ايه؟ Parkinson disease + +203 +00:17:31,270 --> 00:17:34,990 +يبقى هذي normal و هذا ايه؟ Parkinson disease + +204 +00:17:34,990 --> 00:17:38,210 +classification + +205 +00:17:38,210 --> 00:17:40,130 +of parkinsonism + +206 +00:17:42,140 --> 00:17:48,720 +أكثر من 85% من حالات البركنسون يعتبروا idiopathic + +207 +00:17:48,720 --> 00:17:55,580 +اديو باثيك لكن في 15% بيكونوا secondary بركنسانيزم + +208 +00:17:55,580 --> 00:18:00,460 +اديوتو ليجين ممكن يكون drug induced بركنسانيزم في + +209 +00:18:00,460 --> 00:18:05,140 +مرضى ممكن ياخدوا أدوية antipsychotic drugs هذه + +210 +00:18:05,140 --> 00:18:08,600 +antipsychotic drugs راح تعمل انخفاض ونقص لمادة + +211 +00:18:08,600 --> 00:18:14,180 +الدوبامينوتؤدي إلى extrapyramidal manifestation as + +212 +00:18:14,180 --> 00:18:17,840 +Parkinson أو Parkinsonian syndrome يكون في الحالة + +213 +00:18:17,840 --> 00:18:21,980 +هذه انا كطبيب انا بعرف ان هذا الهلاج راح يعمل خفض + +214 +00:18:21,980 --> 00:18:26,560 +ليه لادوبامين انا بروح بعطي هلاج ثاني اسمه ارتان + +215 +00:18:26,560 --> 00:18:30,440 +او Trioxifenidyl هذا الهلاج بيخفضلي كمان ال + +216 +00:18:30,440 --> 00:18:33,320 +culinary الاسيطايا الكولين عشان احافظ على ال + +217 +00:18:33,320 --> 00:18:37,020 +balance وفي الحالة هذه ما راح يحدث complications + +218 +00:18:37,020 --> 00:18:45,250 +للهلاج2- Vascular Parkinsonism 3% Toxin-induced + +219 +00:18:45,250 --> 00:18:48,930 +Parkinsonism ناجح عن بعض السموم Recurrent Head + +220 +00:18:48,930 --> 00:18:54,560 +Traumapost encephalitis وضيفه من عندى tumor يوم + +221 +00:18:54,560 --> 00:18:57,440 +الأيام جانى مريض على عياتى عنده أعراض parkinson's + +222 +00:18:57,440 --> 00:19:02,120 +typical parkinson's disease صورته ACT لقيت عنده + +223 +00:19:02,120 --> 00:19:05,340 +tumor في الsubstantia nigra في ال middle brain في + +224 +00:19:05,340 --> 00:19:12,400 +tumor وهو اللي سبب لنا secondary parkinsonism الآن + +225 +00:19:12,400 --> 00:19:17,060 +فهمنا المرض صح ايش هو المرض ننتقل لموضوع أخر + +226 +00:19:17,060 --> 00:19:21,750 +الأعراض بتاعة المرضإيش ال clinical manifestation + +227 +00:19:21,750 --> 00:19:25,870 +of disease؟ كيف أنا أشخص مريض باركنسون؟ أنا بشخصه + +228 +00:19:25,870 --> 00:19:29,450 +في الشارع، هو بمشي، من حد ما يفوت عندي باب + +229 +00:19:29,450 --> 00:19:32,950 +القيادة، بشخص أنه هذا مريض باركنسون، من ال + +230 +00:19:32,950 --> 00:19:39,030 +inspection، عنا أهم symptoms, tremor at rest، + +231 +00:19:39,030 --> 00:19:45,090 +tremor at rest، اثنين براديكينازيابكون عندهم ايه؟ + +232 +00:19:45,090 --> 00:19:48,550 +generalized slowness of movement المريض يدمشيه + +233 +00:19:48,550 --> 00:19:52,330 +بيسميها shoveling gait shoveling gait ماشي في + +234 +00:19:52,330 --> 00:19:55,750 +efflection في ال upper limbs و efflection في ال + +235 +00:19:55,750 --> 00:20:00,330 +lower limbs مع bradygyanasia و tremor بيكون عندهم + +236 +00:20:00,330 --> 00:20:04,270 +ماشية زي هيط بطيئة ماشيتهم و resting و tremor زي + +237 +00:20:04,270 --> 00:20:07,850 +واحد بيعمل pill rolling بيقعد بسبحة بسبح + +238 +00:20:10,240 --> 00:20:14,020 +بكون زي الراجل القالي هذا أعراض مرض باركنسون + +239 +00:20:14,020 --> 00:20:17,920 +muscle + +240 +00:20:17,920 --> 00:20:21,220 +rigidity بكون عندهم muscle plasticity او rigidity + +241 +00:20:21,220 --> 00:20:27,220 +and postural instability هذه تتفاد cardinal + +242 +00:20:27,220 --> 00:20:33,400 +symptoms of parkinson disease واحد bradykinesia او + +243 +00:20:33,400 --> 00:20:39,220 +هيبوكينيزيا يعني بطق في الحركة2-resting tremors 3 + +244 +00:20:39,220 --> 00:20:44,320 +-muscle rigidity 4-postural instability بتلاقي + +245 +00:20:44,320 --> 00:20:47,880 +المريض ماماشي مافيش ثقة في مشته ممكن أيش يكون عنده + +246 +00:20:47,880 --> 00:20:53,850 +disbalanceواضح ان المريض مع البشرة disability ممكن + +247 +00:20:53,850 --> 00:20:57,290 +ايه يحدث عنده سرعة في الحركة تلاقي يسرع عشان يحافظ + +248 +00:20:57,290 --> 00:21:01,930 +على ال imbalance تلاقي ميلة الأمام يجع يكون عنده + +249 +00:21:01,930 --> 00:21:05,390 +difficulty rising from sitting position في البداية + +250 +00:21:05,390 --> 00:21:08,970 +صباحا المريض يكون مكربش مش قادر يتحرك في + +251 +00:21:08,970 --> 00:21:13,370 +difficulty في initiation of movement كجوية فنومنا + +252 +00:21:13,370 --> 00:21:16,510 +بيكون عندنا لو فحصنا muscle rigidity muscle tone + +253 +00:21:16,510 --> 00:21:19,410 +بيكون عندنا نفس ال terrace تلاقي إيه دوش هيك زي + +254 +00:21:19,410 --> 00:21:20,750 +واحد زي terrace ماشي + +255 +00:21:23,960 --> 00:21:28,560 +خاصة لما نكون نقع تريمر و عندهم resting trimmer + +256 +00:21:28,560 --> 00:21:32,460 +بيكون نظام بال rolling بال rolling يعني ايه؟ واحد + +257 +00:21:32,460 --> 00:21:36,560 +جاعة بيسبح في trimmer بين ال thumb و ال four + +258 +00:21:36,560 --> 00:21:42,020 +fingers في ال rest بيكون هذا نبدأ + +259 +00:21:42,020 --> 00:21:48,520 +بأول أعراض اللي هو rest trimmer rest trimmer يعتبر + +260 +00:21:50,090 --> 00:21:56,190 +most common first symptom سبعين لخمسة وسبعين في + +261 +00:21:56,190 --> 00:22:02,590 +المية من حالات البركنسون او مرض شعر الرعاش بيبدو + +262 +00:22:02,590 --> 00:22:08,130 +بيش بيبدو breast tremor وبيكون عن نظام قولنا بال + +263 +00:22:08,130 --> 00:22:12,750 +rolling بال ايه rolling between the thumb and four + +264 +00:22:12,750 --> 00:22:16,910 +fingers لكن لا يعني ان كل مرضى بركنسون لازم يكون + +265 +00:22:16,910 --> 00:22:20,310 +معاهم breast tremorعشرين في المية من الحلقات اللي + +266 +00:22:20,310 --> 00:22:23,750 +باركنسون بيكون عندهم muscle rigidity only without + +267 +00:22:23,750 --> 00:22:29,270 +resting tremor طب what is the character of resting + +268 +00:22:29,270 --> 00:22:32,490 +tremor؟ ايش ال character بتاع resting tremor؟ واحد + +269 +00:22:32,490 --> 00:22:39,170 +tremor at rest يعني في الراحة في الهدوء في السكوت + +270 +00:22:39,170 --> 00:22:43,490 +بيكون عنده tremor اثنين tremor improved with + +271 +00:22:43,490 --> 00:22:48,000 +movement مع الحركة بتحسن هذا الرجفعللرشوة تتحسن مع + +272 +00:22:48,000 --> 00:22:52,920 +الحركة ثلاثة tremor disappear during night during + +273 +00:22:52,920 --> 00:22:56,860 +sleep خلال النوم بيختفي هذا ال tremor طب حد يسأل + +274 +00:22:56,860 --> 00:23:01,020 +ليه يا دكتور ال tremor بيختفي أثناء النوم؟ ليه؟ + +275 +00:23:01,020 --> 00:23:04,590 +لأن احنا لما ننامفي ال brain عندنا شئ اسمه + +276 +00:23:04,590 --> 00:23:08,390 +reticular formation عمره حد نام و يشد جسمه؟ لأ + +277 +00:23:08,390 --> 00:23:11,830 +لازم نرتخى هذا ال reticular formation بيعملله + +278 +00:23:11,830 --> 00:23:15,510 +generalized hypotonia بيعملله استرخاء كامل عشان + +279 +00:23:15,510 --> 00:23:18,650 +يقرف النام و في الحالة هذه بتعمل inhibition love + +280 +00:23:18,650 --> 00:23:21,690 +tremor و بيختفي إيه الرشد أثناء انهم + +281 +00:23:24,990 --> 00:23:29,410 +الشيء الثاني براديكينيزيا ايش يعني براديكينيزيا؟ + +282 +00:23:29,410 --> 00:23:33,830 +يعني هيبوكينيزيا يعني بطق في الحركة بطق في الحركة + +283 +00:23:33,830 --> 00:23:36,870 +ليه بيحدث معاهم بطق في الحركة؟ لأن عندهم muscle + +284 +00:23:36,870 --> 00:23:41,730 +rigidity جسمه ايه؟ مخشب، متيبس يعتبر slowest of + +285 +00:23:41,730 --> 00:23:46,140 +movementdifficulty with daily activities يعني + +286 +00:23:46,140 --> 00:23:51,440 +عندهم صعوبة في الحياة اليومية كتابة في الأكل أثناء + +287 +00:23:51,440 --> 00:23:55,860 +الأكل أثناء الحلقة ده كان ميل تمام في الاستحمام في + +288 +00:23:55,860 --> 00:23:59,500 +العمل الروتيني بتاعه لإنه بيكون كل عضلته إيه في + +289 +00:23:59,500 --> 00:24:03,500 +وضع رجلتي عندهم difficulty initiation of movement + +290 +00:24:04,330 --> 00:24:07,910 +decrease blinking and slowness of expression + +291 +00:24:07,910 --> 00:24:14,190 +muscle بلاحظ الوجه بتاعه رمشة العين خفيفة وجهه كيف + +292 +00:24:14,190 --> 00:24:20,370 +زي واحد بانج هيك ممسوحة زي ايه بنسميها mask like + +293 +00:24:20,370 --> 00:24:25,050 +appearance مثل واحد لابس mask عوجهه مافيش تعبير + +294 +00:24:25,050 --> 00:24:28,850 +نضحك نبتسم نكشر التعبير هذا بتخف عنده من ايه؟ من + +295 +00:24:28,850 --> 00:24:32,330 +ال muscle rigidity بيسموه mask like appearance او + +296 +00:24:32,330 --> 00:24:38,020 +faceممكن يحدث معاهم dysarthria، dysphagia، ليه + +297 +00:24:38,020 --> 00:24:40,860 +بيحدث معاهم dysphagia و dysarthria و difficulty in + +298 +00:24:40,860 --> 00:24:45,540 +mastications؟ لأنه ممكن يكون عندهم oropharyngeal + +299 +00:24:45,540 --> 00:24:48,640 +muscle rigidity، من أيه؟ من ال oropharyngeal + +300 +00:24:48,640 --> 00:24:51,880 +muscle rigidity، هذا بتأدي إلى ايه؟ بتأدي إلى + +301 +00:24:51,880 --> 00:24:55,440 +difficulty of swallowing and difficulty of + +302 +00:24:55,440 --> 00:24:59,700 +masticationفي ال speech كمان بتعملنا dysarthria + +303 +00:24:59,700 --> 00:25:03,700 +ايه بيكونوا عندهم صوتهم؟ بيكونوا عندهم whispering + +304 +00:25:03,700 --> 00:25:08,260 +speech صوتهم هافت مش نبرط الصوت العالي الموجودة + +305 +00:25:08,260 --> 00:25:15,000 +بيسمونه زي واحد بهمس همس muscle rigidity او + +306 +00:25:15,000 --> 00:25:18,160 +بنسميها plasticity it is a type of muscle + +307 +00:25:18,160 --> 00:25:22,250 +hypertoniaبيكون أنا resistant to passive movement, + +308 +00:25:23,330 --> 00:25:27,910 +a friction flexor and extensor group muscle بيكون + +309 +00:25:27,910 --> 00:25:30,890 +بتعطينا plastic او rigidity type لكن لما يكون + +310 +00:25:30,890 --> 00:25:34,690 +معاهم trimmer بتعطينا حاجة اسمها cooking quality + +311 +00:25:34,690 --> 00:25:39,170 +او cooking يعني كيف ان الناس بترس لما انا حارك + +312 +00:25:39,170 --> 00:25:42,350 +اليد انا بحاركها طبيعي هنا هي كعاد طبيعي لكن عند + +313 +00:25:42,350 --> 00:25:47,190 +المرضى باركنسون بتلاقي ايش؟وابحث مستلتون تجيه في + +314 +00:25:47,190 --> 00:25:51,990 +زي ايه تقطيع هيك في الحركة هذي بتسميها cogwheel + +315 +00:25:51,990 --> 00:25:58,790 +phenomenon اخر symptom ال gate مثل ما مثلت لكم + +316 +00:25:58,790 --> 00:26:03,030 +بيكون عندهم shoveling gate difficulty getting out + +317 +00:26:03,030 --> 00:26:06,310 +of a chair او rolling over in bed المريض بيشكي انه + +318 +00:26:06,310 --> 00:26:09,630 +بيقدرش يتحرك بيقدرش يجمي عن الكرسي بيقدرش يلف و هو + +319 +00:26:09,630 --> 00:26:15,330 +نايم في السرير ممكن يحدث معاهم سقوط كتيرspeech + +320 +00:26:15,330 --> 00:26:18,870 +قولنا soft speech whispering rapid speech طب و + +321 +00:26:18,870 --> 00:26:21,990 +الكتابة بتاعتهم من المصر إجليتي بيكونوا عندهم + +322 +00:26:21,990 --> 00:26:26,910 +small a handwriting يعني بيكون عندهم microigraphia + +323 +00:26:26,910 --> 00:26:29,910 +micro ايه؟ microigraphia يعني خطهم صغير + +324 +00:26:29,910 --> 00:26:35,350 +micrographia + +325 +00:26:39,600 --> 00:26:43,060 +additional clinical features of Parkinson disease + +326 +00:26:43,060 --> 00:26:48,000 +الأعراض أخرى بتحدث لمرض باركنسون بشر عن ال + +327 +00:26:48,000 --> 00:26:52,400 +stability عدم الثقة و عدم الإتزان difficulty of + +328 +00:26:52,400 --> 00:26:56,300 +the autonomic nervous system إيه بحدث؟ + +329 +00:26:56,300 --> 00:27:01,700 +constipation, bladder dysfunction, excessive + +330 +00:27:01,700 --> 00:27:07,910 +sweating, greasy skin، يكون عندهم الدهنSexual + +331 +00:27:07,910 --> 00:27:11,390 +Difficulty and Insomnia أرق في النوم هدول المرضى + +332 +00:27:11,390 --> 00:27:17,670 +ممكن يدخله في depression, anxiety, psychosis وفي + +333 +00:27:17,670 --> 00:27:20,870 +ال later stage بيحدث معهم decline في ال cognitive + +334 +00:27:20,870 --> 00:27:24,530 +function بتأدي إلى dementia بتلاقي أهله بيشكوا + +335 +00:27:24,530 --> 00:27:30,670 +المريض بنسى زي الخرف عنده حصل هذا من طبيعة المرض + +336 +00:27:30,670 --> 00:27:36,200 +في ال advanced stage of Parkinson diseaseلان اتكلم + +337 +00:27:36,200 --> 00:27:40,140 +على drug-induced parkinsonism هذه عبارة عن أنواع + +338 +00:27:40,140 --> 00:27:44,880 +من ال parkinsonism اللي علاقة ببعض الإلاجات مثل + +339 +00:27:44,880 --> 00:27:49,740 +antipsychotic drugs ال neuroleptic فينوثيازين او + +340 +00:27:49,740 --> 00:27:54,260 +بنسميه medicate هذه حقنة اتنعتها مرة في الشهر لمرض + +341 +00:27:54,260 --> 00:27:59,500 +الشيزوفرينيا مرض الفصام حقنة هذه اتنعتها مرة في + +342 +00:27:59,500 --> 00:28:03,140 +الشهر للمريضهذه من الأعراض الجانبية تبقى تتانى + +343 +00:28:03,140 --> 00:28:05,720 +الـdepletion للدوبامين اتنقص الدوبامين تم الانخفاض + +344 +00:28:05,720 --> 00:28:09,840 +للدوبامين في الحالة هذه إحنا إذا نعطي علاج تانى + +345 +00:28:09,840 --> 00:28:13,720 +يعمل انخفاض لل Acetylcholine عشان يحافظ على ال + +346 +00:28:13,720 --> 00:28:18,300 +balance بين Acetylcholine ودوبامين وهذا بيؤدي إلى + +347 +00:28:18,300 --> 00:28:22,060 +نقص ال complications وعدم وجود complications من + +348 +00:28:22,060 --> 00:28:24,820 +العلاج اللى هو Phenothiazine لكن لو أعطينا علاج + +349 +00:28:24,820 --> 00:28:29,240 +بيعمل انخفاض لل Acetylcholine هذا بيؤدي إلى drug + +350 +00:28:29,240 --> 00:28:33,740 +induced Parkinsonismتنين Anti emetic drugs + +351 +00:28:33,740 --> 00:28:40,080 +Metoclopromide هذا علاج بنعطيه لمن؟ ل ال vomiting + +352 +00:28:40,080 --> 00:28:43,180 +في حالة التقيق من الأعراض الجانبية بتاعته ممكن + +353 +00:28:43,180 --> 00:28:47,160 +يعملنا extra pyramidal manifestation as dyskinesia + +354 +00:28:47,160 --> 00:28:50,860 +حركات لا إيرادية يحدث معهم في الوجه أو في اليدين + +355 +00:28:50,860 --> 00:28:58,080 +هذول علاجات بتعمل block لل dopamine receptors طيب + +356 +00:28:58,080 --> 00:29:02,610 +احنا شخصنا مريض الآن عند باركنسونبدنا انتقل لموضوع + +357 +00:29:02,610 --> 00:29:07,330 +اخر investigations ايش في فحوصات لازمة لمرض + +358 +00:29:07,330 --> 00:29:11,610 +البركنسون؟ لأ مافي laboratory test بيشخص البركنسون + +359 +00:29:11,610 --> 00:29:15,990 +البركنسون بيشخصه clinically بالعين لكن في فحوصات + +360 +00:29:15,990 --> 00:29:20,770 +بنعملها to exclude other diseaseيعني brain CT and + +361 +00:29:20,770 --> 00:29:24,370 +MRI بتعمل عاملهم لمرضى البركنسون to exclude + +362 +00:29:24,370 --> 00:29:28,790 +structural lesion صور مريض عنده brain tumor عنده + +363 +00:29:28,790 --> 00:29:31,250 +ورم في الدماغ موجود في ال Substance يجرى او لا + +364 +00:29:31,250 --> 00:29:34,990 +شخصه بركنسون disease لأ هذا مش primary بركنسون مش + +365 +00:29:34,990 --> 00:29:38,390 +idiopathic هذا اسمه secondary parkinsonism due to + +366 +00:29:38,390 --> 00:29:41,990 +tumor يقول لازم نحدد في focal brain damage او مافي + +367 +00:29:41,990 --> 00:29:48,230 +functional imagingفي functional imaging أجهزة + +368 +00:29:48,230 --> 00:29:52,570 +غالية جدا زي ال pit scan و ال spect اللي هو + +369 +00:29:52,570 --> 00:29:55,930 +positron emission tomography و single photon + +370 +00:29:55,930 --> 00:30:00,070 +emotion city هذا بيساعدنا ل ال diagnosis of + +371 +00:30:00,070 --> 00:30:05,210 +Parkinson disease غير هيك بيساعدنا في متابعة علاج + +372 +00:30:05,210 --> 00:30:11,050 +مرضى ال Parkinson هذا اللي هو ال pit scanأو + +373 +00:30:11,050 --> 00:30:14,670 +positron emission tomography في ال bit scan هذا + +374 +00:30:14,670 --> 00:30:17,430 +بدرس ال functional بتاعة ال brain ال function + +375 +00:30:17,430 --> 00:30:24,670 +بتاعة ال brain يعني لاحظوا في ال stratum هنا اللون + +376 +00:30:24,670 --> 00:30:28,470 +الأحمر هذا dopamine هذا طبيعي أن الناس كلهم يكون + +377 +00:30:28,470 --> 00:30:32,010 +موجود الدوبامين بالنسبة هذهماذا حدث في مرض + +378 +00:30:32,010 --> 00:30:37,130 +البركنسون في الرعاش انخفض تم انخفاض في نسبة + +379 +00:30:37,130 --> 00:30:41,410 +الدوبامين لاحظوا النقطة الحاملة هذه انخفض قلت قبل + +380 +00:30:41,410 --> 00:30:45,210 +العلاج طب اعطينا علاج للمريض ونصوره بعد العلاج + +381 +00:30:45,210 --> 00:30:48,670 +بنلاحظ ايش هذه النسبة الزادة هذا الجهاز مش موجود + +382 +00:30:48,670 --> 00:30:56,610 +كثير منهم single photon emission city single + +383 +00:30:56,610 --> 00:31:02,050 +photon emission cityنفس الشيء في الطبيعة تلاحظ ايش + +384 +00:31:02,050 --> 00:31:09,010 +الدوبامين مثل الفاصلة كومة عامل النقطة هذه في + +385 +00:31:09,010 --> 00:31:13,090 +الكودات و الديل بتاعها موجود في البيوتامين هذا + +386 +00:31:13,090 --> 00:31:17,270 +طبيعي عند إنسان طبيعي طب ايه حدث في مرض البركنسون؟ + +387 +00:31:18,710 --> 00:31:23,970 +قلل الـ Apoptic حدث نقص الـ Apoptic of الدبامين طب + +388 +00:31:23,970 --> 00:31:28,290 +لو أعطينا علاج و قررنا ممكن تلاحظ زادت عودت إيه + +389 +00:31:28,290 --> 00:31:32,310 +رجعت إلى الفاصلة هذه الكومة لحجمها أو أقل شيء بصير + +390 +00:31:35,940 --> 00:31:41,580 +سننتقل إلى علاج مرض باركنسون كيف نعالج مرض + +391 +00:31:41,580 --> 00:31:46,600 +باركنسون قبل أن نبدأ بعلاج مرض باركنسون سنعود إلى + +392 +00:31:46,600 --> 00:31:49,740 +ال biochemistry و نعرف من أين يأتي الدوبامين هذا + +393 +00:31:49,740 --> 00:31:54,180 +ايش مصدر الدوبامين عشان نعالج صحه الدوبامين أصله + +394 +00:31:54,180 --> 00:32:00,310 +من amino acid بيجينا من ايه؟فينالالانين تعطينا + +395 +00:32:00,310 --> 00:32:05,450 +تيراسين تيراسين تتحول لدوبة الدوبة تتحول لدوبامين + +396 +00:32:05,450 --> 00:32:11,690 +لإيه؟ دوبامين في الحالة هذه انا بتزول ال synthesis + +397 +00:32:11,690 --> 00:32:16,990 +بتاع الدوبامين هاي واحد او احفظ ال receptors بتاعة + +398 +00:32:16,990 --> 00:32:23,670 +الدوبامين هاي اتنين ثلاثة اقلل ال degradation of + +399 +00:32:23,670 --> 00:32:26,610 +الدوبامين اعمل block لل enzyme اللي بيسرعه في + +400 +00:32:26,610 --> 00:32:31,620 +تكسير الدوبامينيبقى في الحالة هذه إما بزود + +401 +00:32:31,620 --> 00:32:36,600 +الدوبامين بزود ال synthesis بتاع الدوبامين أو بعمل + +402 +00:32:36,600 --> 00:32:41,860 +تحفيز ل ال receptor of الدوبامين أو بعمل block ل + +403 +00:32:41,860 --> 00:32:45,720 +ال enzyme اللي بيعمله تكسير و degradation لمادة + +404 +00:32:45,720 --> 00:32:49,140 +الدوبامين لهوموفالينك أسد أو اللي هو + +405 +00:32:49,140 --> 00:32:51,960 +norepinephrine أو ابنفرين يبقى في الحالة هذه ممكن + +406 +00:32:51,960 --> 00:32:56,740 +نعطي compt inhibitor و أقلل تحويل الدوبامين + +407 +00:32:56,740 --> 00:33:03,360 +لهوموفالينك أسدأو أعطي ماب انهيبتر و أقل التحويل + +408 +00:33:03,360 --> 00:33:09,980 +الدوبامين لنوري بنيفرين و إيبنيفرين هذا هو الخطة + +409 +00:33:09,980 --> 00:33:15,760 +الموجودة لعلاج ال Parkinson أو خطة ثانية ممكن أضيف + +410 +00:33:15,760 --> 00:33:20,980 +علاج يعمل نخص للاسيتالكولين Anticholinergic drugs + +411 +00:33:22,980 --> 00:33:27,840 +هذه أدوية بتنعطى لمرض البركنسون من ضمنها اللى هو + +412 +00:33:27,840 --> 00:33:32,360 +levodopa-dopamine agonist مثل دوبيكار او cinema + +413 +00:33:32,360 --> 00:33:37,870 +اللى تعتبر gold standard treatmentDopamine + +414 +00:33:37,870 --> 00:33:42,810 +receptor agonist بروما كريبتان برامي بيكسول كومت + +415 +00:33:42,810 --> 00:33:46,830 +انهيبتر تلكابون نضحك احنا انت كابون نضحك مع الطلاب + +416 +00:33:46,830 --> 00:33:51,230 +نقولهم انت كابون وانا كابون عشان يحفظوها انت كابون + +417 +00:33:51,230 --> 00:33:54,930 +وانا كابون بس هو انت كابون لوحده مش حد يقولي انا + +418 +00:33:54,930 --> 00:34:00,010 +كابون كمان في العلاج انت كابون تلكابونمايوب + +419 +00:34:00,010 --> 00:34:04,410 +انهيبتر سيليجيلين او جوميكس يقول ان انا في الحالة + +420 +00:34:04,410 --> 00:34:07,930 +هذه انا حفظت الدوبامين وقللت ال degradation بتاعه + +421 +00:34:07,930 --> 00:34:11,530 +ممكن نعطي anticholinergic دراجزين قليل + +422 +00:34:11,530 --> 00:34:15,770 +الاسيتاليكولين كمان try hexafenidyl او Artan اما + +423 +00:34:15,770 --> 00:34:22,410 +انتدين بيوطا في الحرب العالمية جمعوا جيش لاحتياط + +424 +00:34:22,410 --> 00:34:26,610 +كبار في السن عندهم مرض بركنسون ماحدش كان كاشفه + +425 +00:34:27,340 --> 00:34:31,100 +وعطوهم أمنتدين هذا الأمنتدين أصله antiviral علاج + +426 +00:34:31,100 --> 00:34:35,740 +للفيروسات ووزهوا antiviral للوقاعة من ال infection + +427 +00:34:35,740 --> 00:34:40,400 +disease في الحرب وجدوا ولاحظوا الكبار السن اللي + +428 +00:34:40,400 --> 00:34:43,640 +عندهم rigidity وعندهم راديكا ينيزيا اتحسنت مشيطهم + +429 +00:34:43,640 --> 00:34:47,500 +على الأمنتدين في الحالة هذه تركوا antiviral effect + +430 +00:34:47,500 --> 00:34:51,660 +بتاع الأمنتدين واللي الآن بيستخدم ومن زمان بيستخدم + +431 +00:34:51,660 --> 00:34:55,840 +للعلاج ال muscle rigidity في حالات Parkinson + +432 +00:34:55,840 --> 00:35:00,490 +diseaseهبقى استليفه عبارة عن combination drug في + +433 +00:35:00,490 --> 00:35:04,960 +ليفا دوبا كاربي دوبا وانت كابوني يعني فيهLevodopa + +434 +00:35:04,960 --> 00:35:10,020 +Agonist مع كومت انهيبتر مع بعض يعني بنزود + +435 +00:35:10,020 --> 00:35:12,880 +الدوبامين و بنجلل ال degradation في حبة واحدة في + +436 +00:35:12,880 --> 00:35:16,540 +علاج جرعات له خمسين اتناشر نص متين مية خمسة و + +437 +00:35:16,540 --> 00:35:21,180 +عشرين متين مية خمسين سبعة و تلاتين و نص متين متين + +438 +00:35:21,180 --> 00:35:25,760 +ع خمسين ع متين كل هذه جرعات لعلاج اسمه استليوه مش + +439 +00:35:25,760 --> 00:35:29,400 +مطلبين منكوا كتير لكن احنا لازم نكون عارفين بس ايه + +440 +00:35:29,400 --> 00:35:34,320 +شيلنا الأدوية اللي بنعطيه لمرض ال Parkinsonفي بعض + +441 +00:35:34,320 --> 00:35:40,000 +الحالات medical refractory .. medical refractory + +442 +00:35:40,000 --> 00:35:44,900 +اللي هو Parkinson disease مستجبوش للعلاج و حالتهم + +443 +00:35:44,900 --> 00:35:48,720 +بتتطور بسرعة ممكن يكون فيه تدخلات جراحية في مراكز + +444 +00:35:48,720 --> 00:35:53,700 +كبيرة مثل اللي هو deep brain stimulation ممكن يعمل + +445 +00:35:53,700 --> 00:35:57,100 +thalamic stimulation هذا بتحسن إيش ال tremor أكتر + +446 +00:35:57,100 --> 00:36:00,400 +و مالعجز دور في muscle rigidity أو bradykinesia + +447 +00:36:00,400 --> 00:36:05,470 +ممكن يعمل palatal stimulationأو subthalamic + +448 +00:36:05,470 --> 00:36:10,070 +stimulation لحالات اللي هو muscle rigidity و ال + +449 +00:36:10,070 --> 00:36:15,490 +dyskinesia in your research نيكوتين ميلوتونين + +450 +00:36:15,490 --> 00:36:20,370 +وجدوا ان نيكوتين ال act بتاعه similar لليفا دوبا + +451 +00:36:20,370 --> 00:36:27,580 +futures managementتتطلعوا للمستقبل ايش يعملوا الهو + +452 +00:36:27,580 --> 00:36:31,280 +gene therapy او يعملوا fetal negral cells + +453 +00:36:31,280 --> 00:36:35,860 +transplantation يعملوا زراعة خلايا عصبية لمرضى + +454 +00:36:35,860 --> 00:36:42,220 +Parkinson الان انا هيك انجزتلكم موضوع Parkinson + +455 +00:36:42,220 --> 00:36:48,100 +disease خمس دقائق اشرحلكم مرض اخر اسمه Wilson + +456 +00:36:48,100 --> 00:36:53,970 +disease Wilson diseaseهو بنسميه akinetic rigid + +457 +00:36:53,970 --> 00:36:57,270 +syndrome هذا بيجي أكثر في ال children عند الأطفال + +458 +00:36:57,270 --> 00:37:01,790 +بيسموه hepatolenticular degeneration من وين + +459 +00:37:01,790 --> 00:37:05,930 +hepatolenticular degeneration؟ لأنه بيصيب الكبد و + +460 +00:37:05,930 --> 00:37:09,750 +lentiform nucleus لذلك سمي المرض hepatolenticular + +461 +00:37:09,750 --> 00:37:15,890 +degeneration يعتبر autosomal + +462 +00:37:15,890 --> 00:37:21,760 +recessive disordercharacterized by defect of + +463 +00:37:21,760 --> 00:37:26,720 +cellular copper export المشكلة وين؟ في ال .. ال .. + +464 +00:37:26,720 --> 00:37:32,000 +ال .. في ال copper export وفي الحالة هذه بيحدث + +465 +00:37:32,000 --> 00:37:35,480 +accumulation للcopper بيحدث accumulation للcopper + +466 +00:37:35,480 --> 00:37:39,440 +وين بيحدث accumulation للcopper؟ في ال liver و ال + +467 +00:37:39,440 --> 00:37:42,200 +other tissue من ضمنهم بيزا النوكليا الينتفار + +468 +00:37:42,200 --> 00:37:45,040 +نوكلياس لذلك سمى المرض Hepatolinticular + +469 +00:37:45,040 --> 00:37:49,910 +degeneration ايش ال pathogenesis ofWilson disease + +470 +00:37:49,910 --> 00:37:56,910 +في الطبيعي الceruloglasamine بيتتحد + +471 +00:37:56,910 --> 00:38:01,990 +مع الكبا مع النحاس و بيخرج مع البيل مع عصارة + +472 +00:38:01,990 --> 00:38:11,310 +المرارة و بخرج مع الستول و مع الفيكل مع البرازي في + +473 +00:38:11,310 --> 00:38:14,690 +مواد Wilson بيكون فيه deficiency في + +474 +00:38:14,690 --> 00:38:15,430 +الceruloglasamine + +475 +00:38:17,870 --> 00:38:22,390 +اللي بتتحد مع 98% من ال copper وبيخرجوا عن طريق ال + +476 +00:38:22,390 --> 00:38:28,110 +bile طيب إيش محدث؟ مادام في مشكلتها في mutation في + +477 +00:38:28,110 --> 00:38:31,690 +celluloseamine في الحالة دي celluloseamine unable + +478 +00:38:31,690 --> 00:38:35,270 +to binding with copper ما بيقدر ولا يستطيع أنه + +479 +00:38:35,270 --> 00:38:38,630 +يتحد مع ال copper ويخرجوا بيروح ال copper ويتحد مع + +480 +00:38:38,630 --> 00:38:43,460 +other proteins مع بعض البروتيناتجزء منه بيخرج من + +481 +00:38:43,460 --> 00:38:47,660 +ال urine عن طريق ال كيلة وجزء الآخر بيحدث + +482 +00:38:47,660 --> 00:38:50,300 +accumulation في جسم بتخزن في جسم الإنسان في + +483 +00:38:50,300 --> 00:38:53,820 +الانسجار من ضمنهم في العين في البيزا النوكلياي في + +484 +00:38:53,820 --> 00:38:59,240 +ال liver في ال lung وهذا يعتبر مادة سامة النحاس + +485 +00:38:59,240 --> 00:39:05,040 +مادة ايه؟ سامة ايش ال clinical features of Wilson + +486 +00:39:05,040 --> 00:39:11,640 +disease? proximal tremor تكون معهمcholepathoid + +487 +00:39:11,640 --> 00:39:16,320 +movement حركات لا إيرادية bradykinesia ممكن يكونوا + +488 +00:39:16,320 --> 00:39:19,920 +معاهم بطء في الحركة في ال acute stage ممكن ييجوا + +489 +00:39:19,920 --> 00:39:23,860 +psychosis behavior changes و يتم علاجاتهم في + +490 +00:39:23,860 --> 00:39:28,520 +البداية في قسم الأمراض النفسية ممكن يحدث معاهم + +491 +00:39:28,520 --> 00:39:32,240 +dysarthria and other type of speech difficulty + +492 +00:39:34,160 --> 00:39:37,520 +Dystonia and Rigidity وفي النهاية liver + +493 +00:39:37,520 --> 00:39:40,900 +involvement ضروري يكون معهم ليه؟ لأن هذول المرضى + +494 +00:39:40,900 --> 00:39:44,340 +ممكن في نهاية المرض في ال advanced stage يدخلوا في + +495 +00:39:44,340 --> 00:39:49,420 +hepatic failure فشل في وضائف الكبد ويحتاج المريض + +496 +00:39:49,420 --> 00:39:55,840 +نقل أو زراعة كبد لإله ماهو ال diagnosis؟ كيف نشخص + +497 +00:39:55,840 --> 00:40:01,580 +مرض Wilson؟ الفحص للبلازمين في blood بيكون lowال + +498 +00:40:01,580 --> 00:40:05,660 +cover في ال blood ممكن تكون low او ممكن تكون + +499 +00:40:05,660 --> 00:40:10,160 +normal مابعتمدش عليها في فحصه أهم شيء أفحص نسبة + +500 +00:40:10,160 --> 00:40:14,640 +النحاس في ال ball بيجمع ال ball 24 ساعة و بنفحص + +501 +00:40:14,640 --> 00:40:17,140 +فيه نسبة النحاس ليه؟ لإن احنا متعرفين في الطبيعي + +502 +00:40:17,140 --> 00:40:19,920 +النحاس بتحد مع السريرو بلازمين و بطلع مع السول عن + +503 +00:40:19,920 --> 00:40:24,100 +طريق ال bio مع السول مع الفكر مع البرازة لكن في + +504 +00:40:24,100 --> 00:40:27,900 +نقص السريرو بلازمينبتم اتحاد other proteins مع + +505 +00:40:27,900 --> 00:40:31,700 +ايه؟ mass ال cover جزء منه بحدث accumulation في + +506 +00:40:31,700 --> 00:40:36,640 +الجسم وجزء الآخر بخرج عن طريق ال urine في الحالة + +507 +00:40:36,640 --> 00:40:43,160 +هذه راح نلاقي عندهم high cover urine out يعني في + +508 +00:40:43,160 --> 00:40:49,450 +ال urine راح نلاقي نسبة ايه؟النحاس عالية وبتاخد ال + +509 +00:40:49,450 --> 00:40:53,570 +.. الفحص ال .. ال ball مدة 24 ساعة ممكن اعمل liver + +510 +00:40:53,570 --> 00:40:58,610 +biopsy برهن المرأة بيكون thalamic and butaminal + +511 +00:40:58,610 --> 00:41:02,790 +hyper intensity لو فحصنا الأيون او physiological + +512 +00:41:02,790 --> 00:41:08,310 +examination ممكن تلاقي deposition of copper في + +513 +00:41:08,310 --> 00:41:13,380 +الأين تعمل حاجة اسمها Kaiser Fischerringبتنفحص على + +514 +00:41:13,380 --> 00:41:17,780 +سليط لامب لان دكتور العيون الانلاج دي بين سيلامين + +515 +00:41:17,780 --> 00:41:22,900 +تريانتين oral zinc وفي ال advanced stage في حالات + +516 +00:41:22,900 --> 00:41:27,340 +liver failure او hepatic failure بيحتاجوا زراعة + +517 +00:41:27,340 --> 00:41:35,520 +كبد نقل كبد للانسان هذه كايزر official ringتكون زي + +518 +00:41:35,520 --> 00:41:39,880 +ring في العين حوالين العين، هذه ال ring نادية عند + +519 +00:41:39,880 --> 00:41:47,480 +تجمع مادة النحاس، إيش بيحدث في مرض إيش؟ويلسون هى + +520 +00:41:47,480 --> 00:41:51,860 +الكبر قدم مع الأكل مع الطعام تم امتصاصه لل blood + +521 +00:41:51,860 --> 00:41:57,180 +اتحد مع الالبومين الالبومين راح يوصلوا للكبد فى + +522 +00:41:57,180 --> 00:42:00,640 +الكبد فى شئ اسمه سيرولابلازمين هذا سيرولابلازمين + +523 +00:42:00,640 --> 00:42:04,660 +بيتحد مع الكبر مع النحاس و بيخرجه من الكبد عن طريق + +524 +00:42:04,660 --> 00:42:08,900 +عصارة المرارة الى الأمعاء و من الأمعاء الى البراز + +525 +00:42:08,900 --> 00:42:12,540 +و بيخرج من جسم الإنسان هذا طبيعى طب ايش بيحدث في + +526 +00:42:12,540 --> 00:42:18,190 +مرض ويلسون؟في عنا problem هان في مشكلة في mutation + +527 +00:42:18,190 --> 00:42:24,870 +في celluloplasmia في الحالة هذه حدث accumulation + +528 +00:42:24,870 --> 00:42:28,390 +لمين؟ لال cover في ال liver and other tissues + +529 +00:42:28,390 --> 00:42:33,870 +ويجيزوا من ايش؟ من ال cover بتحد مع other protein + +530 +00:42:33,870 --> 00:42:37,970 +و بيخرجوا عن طريق ال kidney بال urine طب ال D + +531 +00:42:37,970 --> 00:42:43,410 +-bensalamine ال D-bensalamine ايش راح يعمل؟راح + +532 +00:42:43,410 --> 00:42:48,090 +يسبق الألبومين و يتحد بعد امتصاص ال cover للدم .. + +533 +00:42:48,090 --> 00:42:52,870 +بعد امتصاص ال cover للدم راح هذا ال triantin و ال + +534 +00:42:52,870 --> 00:42:58,530 +dibensalamine يتحد مع مين؟ مع النحاس و مايوصلوش لل + +535 +00:42:58,530 --> 00:43:03,450 +liver و يخرجوا direct عن طريق إيش ال kidney عن + +536 +00:43:03,450 --> 00:43:07,270 +طريق إيش ال killer و يقلل ال accumulation بتاعته و + +537 +00:43:07,270 --> 00:43:12,890 +نسبته في الجسمفي دواء اسمه zinc acetate او sulfات + +538 +00:43:12,890 --> 00:43:18,570 +هذا ال zinc ايش بعمله بيشتغل عوانى على ال cover في + +539 +00:43:18,570 --> 00:43:21,790 +ال intestinal بيشتغل على ال cover في ال intestinal + +540 +00:43:21,790 --> 00:43:28,090 +و بيمنع امتصاصه من الأمعاء و في الحالة هذه بيقول + +541 +00:43:28,090 --> 00:43:34,370 +stopيوقف امتصاصه ل الدم و بيقلل نسبة وجود كبع في + +542 +00:43:34,370 --> 00:43:39,950 +الدم و هيك بيكون حدث انخفاض لنسبة النحاس في الدم و + +543 +00:43:39,950 --> 00:43:44,690 +في الحالة هذه بيكون احنا وصلنا لنهاية المحاضرة + diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/--F5fLpsKiA_raw.json b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/--F5fLpsKiA_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..7e62c8485e56da97c4bc75451623c685c8b378f5 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/--F5fLpsKiA_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 3377, "start": 4.99, "end": 33.77, "text": "بسم الله الرحمن الرحيم السلام عليكم و رحمة الله محاضرة لسبوع تالت عشر Parkinson disease او بنسمي akinetic rigid syndrome akinetic rigid syndrome ايش ال definition تاع Parkinson disease مرض Parkinson هو عبارة عن", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 21136, 37440, 25894, 24793, 4032, 12602, 35571, 3660, 21984, 3714, 5016, 46958, 25720, 5296, 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"word": " nigra", "probability": 0.751220703125}, {"start": 75.24, "end": 75.7, "word": " الموجودة", "probability": 0.869140625}, {"start": 75.7, "end": 75.76, "word": " في", "probability": 0.91064453125}, {"start": 75.76, "end": 76.24, "word": " الsubstantia", "probability": 0.7576171875}, {"start": 76.24, "end": 77.0, "word": " nigra", "probability": 0.953369140625}, {"start": 77.0, "end": 77.58, "word": " ايش", "probability": 0.7723795572916666}, {"start": 77.58, "end": 78.82, "word": " بتسبب؟", "probability": 0.72052001953125}, {"start": 78.82, "end": 79.44, "word": " causing", "probability": 0.51953125}, {"start": 79.44, "end": 80.72, "word": " tremor", "probability": 0.9208984375}, {"start": 80.72, "end": 81.0, "word": " at", "probability": 0.96435546875}, {"start": 81.0, "end": 81.38, "word": " rest", "probability": 0.85546875}, {"start": 81.38, "end": 83.86, "word": " muscle", "probability": 0.317138671875}, {"start": 83.86, "end": 84.52, "word": " rigidity", "probability": 0.94775390625}], "temperature": 1.0}, {"id": 4, "seek": 11376, "start": 86.82, "end": 113.76, "text": "bradykinesia and often associated with dementia التعريف بتاع المرض لخصنا كل شيء على المرض ان هو عبارة عن chronic slowly progressive neurodegenerative disorder characterized by loss of pigmented dopaminergic neurons caused by اللي هو إيه؟ واحد", "tokens": [1443, 880, 74, 1652, 654, 293, 2049, 6615, 365, 31734, 16712, 3615, 16572, 5172, 39894, 45761, 9673, 43042, 5296, 9778, 9381, 8315, 28242, 44049, 38207, 15844, 9673, 43042, 16472, 31439, 6225, 3555, 9640, 3660, 18871, 14493, 5692, 16131, 16499, 67, 1146, 7971, 1166, 13399, 29361, 538, 4470, 295, 8120, 14684, 21900, 335, 4564, 11577, 22027, 7008, 538, 13672, 1829, 31439, 11933, 1829, 3224, 22807, 36764, 24401], "avg_logprob": -0.20685634417320364, "compression_ratio": 1.34375, "no_speech_prob": 1.2516975402832031e-06, "words": [{"start": 86.82000000000001, "end": 87.92, "word": "bradykinesia", "probability": 0.6809326171875}, 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and often associated with dementia يعني هذا المرض ناتج عن نقص في إفراز مادة الدوبامين من السبستانشيا نيجرا الموجودة في ال middle brain بسببنا Tremor at rest Muscle Rigidity", "tokens": [51, 4149, 278, 314, 2579, 284, 6055, 1863, 9957, 3569, 2160, 42720, 17711, 6055, 1211, 9307, 3660, 31773, 74, 1652, 654, 34051, 5701, 79, 453, 1652, 654, 293, 2049, 6615, 365, 31734, 37495, 22653, 23758, 9673, 43042, 8717, 9307, 7435, 18871, 8717, 4587, 9381, 8978, 11933, 5172, 2288, 31377, 3714, 18513, 3660, 32748, 37746, 10943, 9957, 9154, 21136, 3555, 14851, 7649, 8592, 25528, 8717, 1829, 7435, 23557, 9673, 29245, 23328, 3660, 8978, 2423, 2808, 3567, 4724, 35457, 3555, 8315, 314, 2579, 284, 412, 1472, 3569, 2160, 42720, 17711], "avg_logprob": -0.30266855272014487, "compression_ratio": 1.4145299145299146, "no_speech_prob": 2.682209014892578e-06, "words": [{"start": 114.8, "end": 115.3, "word": "Tresting", "probability": 0.574462890625}, {"start": 115.3, "end": 115.82, "word": " Tremor", "probability": 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"probability": 0.7213134765625}, {"start": 130.94, "end": 131.24, "word": " نيجرا", "probability": 0.70001220703125}, {"start": 131.24, "end": 131.62, "word": " الموجودة", "probability": 0.9775390625}, {"start": 131.62, "end": 131.7, "word": " في", "probability": 0.9677734375}, {"start": 131.7, "end": 131.74, "word": " ال", "probability": 0.72021484375}, {"start": 131.74, "end": 131.86, "word": " middle", "probability": 0.56591796875}, {"start": 131.86, "end": 132.3, "word": " brain", "probability": 0.849609375}, {"start": 132.3, "end": 133.78, "word": " بسببنا", "probability": 0.899169921875}, {"start": 133.78, "end": 135.38, "word": " Tremor", "probability": 0.7295735677083334}, {"start": 135.38, "end": 135.6, "word": " at", "probability": 0.873046875}, {"start": 135.6, "end": 135.94, "word": " rest", "probability": 0.5859375}, {"start": 135.94, "end": 138.1, "word": " Muscle", "probability": 0.7734375}, {"start": 138.1, "end": 138.62, "word": " Rigidity", "probability": 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"probability": 0.860595703125}, {"start": 154.91, "end": 155.11, "word": " أنه", "probability": 0.623779296875}, {"start": 155.11, "end": 155.47, "word": " سيبدأ", "probability": 0.79510498046875}, {"start": 155.47, "end": 155.73, "word": " عنده", "probability": 0.974609375}, {"start": 155.73, "end": 155.97, "word": " مرض", "probability": 0.987060546875}, {"start": 155.97, "end": 156.31, "word": " اسمه", "probability": 0.9484049479166666}, {"start": 156.31, "end": 156.63, "word": " Parkinson", "probability": 0.6611328125}, {"start": 156.63, "end": 157.15, "word": " disease", "probability": 0.61474609375}, {"start": 157.15, "end": 158.97, "word": " الإنسان", "probability": 0.9794921875}, {"start": 158.97, "end": 159.37, "word": " يكون", "probability": 0.793701171875}, {"start": 159.37, "end": 160.29, "word": " compensated", "probability": 0.969482421875}, {"start": 160.29, "end": 161.31, "word": " متى", "probability": 0.906982421875}, {"start": 161.31, "end": 161.69, "word": " بيظهر", 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reticular formation بيعملله generalized hypotonia بيعملله استرخاء كامل عشان يقرف النام و في الحالة هذه بتعمل inhibition love tremor و بيختفي إيه الرشد أثناء انهم", "tokens": [41185, 2423, 3567, 43242, 8315, 13412, 19986, 24525, 2304, 3224, 1533, 14646, 11723, 6225, 29973, 3224, 11331, 3215, 8717, 10943, 4032, 7251, 8592, 3215, 10874, 38251, 3224, 22807, 5296, 10721, 5296, 31377, 2304, 8717, 43500, 9778, 7578, 23758, 2423, 1533, 14646, 11723, 4724, 1829, 25957, 1211, 43761, 44498, 7420, 310, 16999, 4724, 1829, 25957, 1211, 43761, 44713, 2288, 9778, 16606, 9122, 10943, 1211, 6225, 8592, 7649, 7251, 4587, 28480, 28239, 10943, 4032, 8978, 21542, 6027, 3660, 29538, 39894, 25957, 1211, 20406, 849, 959, 7813, 284, 4032, 4724, 1829, 46456, 41185, 11933, 1829, 3224, 34892, 8592, 3215, 5551, 12984, 1863, 16606, 16472, 16095], "avg_logprob": -0.25970872976247544, "compression_ratio": 1.596638655462185, "no_speech_prob": 5.960464477539062e-07, "words": [{"start": 1383.11, "end": 1383.29, "word": 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أسبوع الحادية عشر راح أتكلم على + +11 +00:00:50,010 --> 00:00:53,050 +somatic sensation أسبوع الثانية عشر راح أتكلم على + +12 +00:00:53,050 --> 00:00:56,910 +ال special sensation somatic sensation هي عبارة عن + +13 +00:00:56,910 --> 00:01:02,270 +sensation from the skin and deep tissue sensation + +14 +00:01:02,270 --> 00:01:06,270 +from the skin and deep tissue يعني من وين؟ deep + +15 +00:01:06,270 --> 00:01:12,550 +tissue، muscle، joints، ligaments conducted to CNS + +16 +00:01:14,700 --> 00:01:20,640 +through the somatic nerves الإشارة بتصل لـCNS من + +17 +00:01:20,640 --> 00:01:25,940 +الـreceptors عن طريق somatic nerves special + +18 +00:01:25,940 --> 00:01:31,100 +sensation reaching the central nervous system + +19 +00:01:31,100 --> 00:01:36,220 +through specialized cranial nerves الإشارة بتصل + +20 +00:01:36,220 --> 00:01:39,260 +لـcentral nervous system من خلال specialized + +21 +00:01:39,260 --> 00:01:46,960 +nerves مثل sense of visionالنظر ثاني sense of + +22 +00:01:46,960 --> 00:01:53,920 +hearing and equilibrium sense of smell sense of + +23 +00:01:53,920 --> 00:01:59,040 +taste يقول إن النظر vision السمع الحاسة الشم + +24 +00:01:59,040 --> 00:02:05,740 +التذوق هذا يعتبر special sensation تلاتة visceral + +25 +00:02:05,740 --> 00:02:09,180 +sensation including all sensations from the + +26 +00:02:09,180 --> 00:02:13,220 +visceral structures أو from the internal organs + +27 +00:02:13,220 --> 00:02:18,000 +تصل ل الـCNS through autonomic nerves يوم أتكلمنا + +28 +00:02:18,000 --> 00:02:22,480 +عن autonomic nervous system organic sensation اللي + +29 +00:02:22,480 --> 00:02:27,560 +هي hunger, thirst and sexual sensation كله يعتبر + +30 +00:02:27,560 --> 00:02:32,300 +هذا organic sensation راح أبدأ الآن الجزء الأول + +31 +00:02:32,300 --> 00:02:37,840 +بمحاضرة عن sensory receptors Sensory Receptors هم + +32 +00:02:37,840 --> 00:02:43,060 +عبارة عن Specialized Structures Located at the + +33 +00:02:43,060 --> 00:02:46,800 +Peripheral Beginning of Sensory Neurons يمكن أندي + +34 +00:02:46,800 --> 00:02:54,280 +هذا nerve رايح ل cell body بعدين بيطلع منه axon + +35 +00:02:54,280 --> 00:02:58,760 +هذا nerve اكتر من نيرب يكونوا أنواعهم multi + +36 +00:02:58,760 --> 00:03:02,780 +neurons تمام + +37 +00:03:02,780 --> 00:03:09,360 +هذا النوع هذا اكسن وهذه ديندريتز وهذه مرتبال + +38 +00:03:09,360 --> 00:03:12,980 +ديندريتز + +39 +00:03:12,980 --> 00:03:16,760 +في البداية تبعت ال نيرون او ال نيرو فايبرز فيه + +40 +00:03:16,760 --> 00:03:24,540 +ريسيبترز يقول ريسيبترز يعتبروا beginning of the + +41 +00:03:24,540 --> 00:03:33,640 +sensory neuron what's the function of sensory + +42 +00:03:33,640 --> 00:03:41,250 +receptors أول وظيفة له Detectors They detect energy + +43 +00:03:41,250 --> 00:03:45,830 +أو stimulus change in both external and internal + +44 +00:03:45,830 --> 00:03:49,690 +environment يقول إن هي أول شي تعمل عملية detection + +45 +00:03:49,690 --> 00:03:56,630 +بتحدد وين ال energy و إيش نوع ال energy ثانيًا + +46 +00:03:56,630 --> 00:04:04,390 +Transducer عملية transform the stimulus into action + +47 +00:04:04,390 --> 00:04:10,110 +potential يعني عملية تحويل ال stimulus ل action + +48 +00:04:10,110 --> 00:04:16,050 +potential ثالثًا generator يعمل generation of nerve + +49 +00:04:16,050 --> 00:04:20,290 +impulses in sensory nerve وبتعمل عملية generation + +50 +00:04:20,290 --> 00:04:24,390 +بتدخل الإشارة من node of ranvier ل node of ranvier + +51 +00:04:24,390 --> 00:04:27,970 +عن طريق passive transmission وبساعد في الترانسميشن + +52 +00:04:27,970 --> 00:04:34,110 +اللي هو myelin sheath myelin sheath رابعًا they + +53 +00:04:34,110 --> 00:04:39,320 +inform the CNS about different sensations or + +54 +00:04:39,320 --> 00:04:43,080 +changes occurring inside and outside the body + +55 +00:04:43,080 --> 00:04:48,040 +وكمان بتخبر الـCNS عن الأنواع بتاعة ال sensation + +56 +00:04:48,040 --> 00:04:54,740 +اللي بتحدث في داخل الجسم أو خارج الجسم receptor + +57 +00:04:54,740 --> 00:05:01,140 +potential receptor potential هي + +58 +00:05:01,140 --> 00:05:04,700 +عملية تحويل + +59 +00:05:06,580 --> 00:05:12,060 +الاستيمولاس او ال energy ل action potential يبقى + +60 +00:05:12,060 --> 00:05:15,840 +عملية تحويل الاستيمولاس او ال energy ل action + +61 +00:05:15,840 --> 00:05:26,540 +potential بنسميها receptor potential هي إن نهايته + +62 +00:05:26,540 --> 00:05:31,620 +هذا + +63 +00:05:31,620 --> 00:05:32,620 +أنا برسم ال axon + +64 +00:05:40,520 --> 00:05:48,620 +و هكذا حلل ال axon اللي نهايته بتكون nonmyelinated + +65 +00:05:48,620 --> 00:06:05,280 +قاعدين بيجي myelin sheath هذا + +66 +00:06:05,280 --> 00:06:11,310 +myelin sheath بيكون مرتبط مع إشفان cells أنا برسم فيه + +67 +00:06:11,310 --> 00:06:18,070 +وده اشارة اتجاهي ايش ال signal هلأ في ال wrist .. + +68 +00:06:18,070 --> 00:06:25,630 +في ال wrist without stimuli .. بدون stimuli ال + +69 +00:06:25,630 --> 00:06:30,950 +sensory nerve endings are in polarized state يعني + +70 +00:06:30,950 --> 00:06:34,650 +ايش in polarized state؟ بيكون الصوديوم خارج ال .. + +71 +00:06:34,650 --> 00:06:38,340 +ال receptors الصوديوم بيكون خارج ال receptors و ال + +72 +00:06:38,340 --> 00:06:44,920 +terminal part و نهاية ايش ال nerve بتكون none او + +73 +00:06:44,920 --> 00:06:53,400 +unmyelinated يعني ما فيش فيها myelin sheath طيب if it + +74 +00:06:53,400 --> 00:06:57,340 +is stimulated إذا حدث ال stimulation هي وين دي + +75 +00:06:57,340 --> 00:07:02,240 +يكون في ال wrist بيكون ال sodium في الخارج + +76 +00:07:07,630 --> 00:07:12,770 +صوديوم في الخارج هذه بتسميها حالة ايه؟ اللي هي + +77 +00:07:12,770 --> 00:07:16,190 +polarized state polarized state هذه بتسميها + +78 +00:07:16,190 --> 00:07:21,390 +polarized state طيب لو حدث stimulation او partial + +79 +00:07:21,390 --> 00:07:25,110 +stimulation بيحدث عملية بتسميها partial + +80 +00:07:25,110 --> 00:07:31,310 +depolarization partial depolarization ايش بيحدث؟ + +81 +00:07:31,310 --> 00:07:37,950 +بيفتحوا ال sodium channels والصوديوم بيدخل وين؟ في + +82 +00:07:37,950 --> 00:07:42,750 +ال cell receptors بدخل الصوديوم وين في ال cell + +83 +00:07:42,750 --> 00:07:49,390 +receptors و بيزيد كمية الصوديوم في ال intracellular + +84 +00:07:49,390 --> 00:07:53,710 +داخل ال receptors هذه العملية بنسميها partial + +85 +00:07:53,710 --> 00:08:01,810 +depolarization عملية + +86 +00:08:01,810 --> 00:08:07,480 +دخول الصوديوم لموضوع ال cell body و حدوث ال partial + +87 +00:08:07,480 --> 00:08:11,100 +depolarization هذه العملية بنسميها receptor + +88 +00:08:11,100 --> 00:08:14,800 +potential receptor potential يعني ايه ال receptor + +89 +00:08:14,800 --> 00:08:18,320 +potential احنا حولنا ال energy او ال stimulus ل + +90 +00:08:18,320 --> 00:08:24,040 +receptor potential بعد هيك ال receptor potential + +91 +00:08:24,040 --> 00:08:31,260 +الإشارة راح تصل لل nerve passively وتتوصل من node + +92 +00:08:31,260 --> 00:08:35,370 +of ranvier فيه ال Node of Ranvier عملية قفز يتم و + +93 +00:08:35,370 --> 00:08:40,110 +توصيل للإشارة راح يساعد في العملية هذه اللي هو + +94 +00:08:40,110 --> 00:08:45,290 +Myelin Sheath The receptor potential is passively + +95 +00:08:45,290 --> 00:08:51,710 +conducted to the first node of ranvier causing deep + +96 +00:08:51,710 --> 00:08:54,850 +depolarization بعدها لما يحدث عملية قفز هنا + +97 +00:08:54,850 --> 00:08:58,950 +passive هذه العملية بنسميها deep depolarization + +98 +00:08:58,950 --> 00:09:02,810 +يعني نطلع باختصار في ال rest بيكون عملية + +99 +00:09:02,810 --> 00:09:06,010 +polarization عملية ايه؟ polarized state بيكون + +100 +00:09:06,010 --> 00:09:09,270 +الصوديوم خارج ايش؟ ال receptor cells حدث + +101 +00:09:09,270 --> 00:09:13,090 +stimulation بيفتحوا ال sodium channels والسوديوم + +102 +00:09:13,090 --> 00:09:17,110 +بيفوت داخل ال cell receptors هذه العملية بنسميها + +103 +00:09:17,110 --> 00:09:23,710 +Receptor Potential أو Partial Depolarization بعد + +104 +00:09:23,710 --> 00:09:27,850 +الإشارة بتروح لل first node of Ranvier Passively + +105 +00:09:27,850 --> 00:09:30,410 +وبعدين بيصير عملية قفز عن طريق ال Myelin Sheath + +106 +00:09:30,410 --> 00:09:35,070 +هذه العملية الأخيرة بنسميها Deep Depolarization + +107 +00:09:35,070 --> 00:09:40,290 +Deep Depolarization Adaptation of Receptors + +108 +00:09:42,410 --> 00:09:46,470 +this is decline in the frequency of discharge of + +109 +00:09:46,470 --> 00:09:51,030 +action potential from receptor that occurs on + +110 +00:09:51,030 --> 00:09:55,630 +maintained stimulation by stimuli of a constant + +111 +00:09:55,630 --> 00:10:02,490 +strength مثلًا اشترينا عطر ريحته حلوة جديدة دفعنا + +112 +00:10:02,490 --> 00:10:07,070 +200-300 شكل واشتريناها حطينا أول يوم منها ريحتها + +113 +00:10:07,070 --> 00:10:11,350 +حلوة وما شاء الله ثاني يوم ثالث يوم بطلنا نشم من + +114 +00:10:11,350 --> 00:10:13,870 +الريحة إحنا، بما أنه نفس الكيمياء اللي أنا حاططها + +115 +00:10:13,870 --> 00:10:16,670 +أول يوم و من نفس العلبة، لكن أنا ايه صار عندي + +116 +00:10:16,670 --> 00:10:22,350 +عملية تكييف معاها adaptation، بنمر من عند وادي، + +117 +00:10:22,350 --> 00:10:24,750 +بنقول ايه في الله كيف الناس عايشين هنا جانب + +118 +00:10:24,750 --> 00:10:28,360 +الوادي بالريحة؟ ولا حاجة هذول الناس صاروا مقعدين + +119 +00:10:28,360 --> 00:10:32,000 +adaptation لل smell receptors بطلوا يشموا الريحة + +120 +00:10:32,000 --> 00:10:34,880 +لكن إحنا أول ما نيجي نشمها صدقني لو قعدنا معهم + +121 +00:10:34,880 --> 00:10:38,220 +ساعة ساعتين راح نبطل نشم الريحة كمان زيهم صار + +122 +00:10:38,220 --> 00:10:41,860 +عملية ايش adaptation طب ليش صار adaptation؟ ايش + +123 +00:10:41,860 --> 00:10:46,720 +اللي حدث؟ احنا عارفين ال stimulus موجود هو اما + +124 +00:10:46,720 --> 00:10:49,280 +الريحة كويسة او الريحة كريهة موجودة هي هي الريحة + +125 +00:10:49,280 --> 00:10:54,660 +ما تغيرتش بنفس القوة لكن انا استقبالي لها خف احساسي + +126 +00:10:54,660 --> 00:11:00,670 +لها خف ايش اللي بيحدث إنه ال sodium دخل لوين + +127 +00:11:00,670 --> 00:11:07,650 +الخلايا في الحالة دي بعد فترة من الزمن بيصير عملية + +128 +00:11:07,650 --> 00:11:11,650 +إرهاق وتعب لل sodium channels بيصير closure، + +129 +00:11:11,650 --> 00:11:15,730 +بيسكر، بيصير غلق لهذه ال sodium channels بتبطل + +130 +00:11:15,730 --> 00:11:19,530 +تفوت ال sodium وين؟ intracellular، داخل الخلية + +131 +00:11:19,530 --> 00:11:26,060 +بيقل عملية ايش؟ ال potential receptor potential بيقل + +132 +00:11:26,060 --> 00:11:31,740 +ايش ال discharge of impulse اللي خرج من ال + +133 +00:11:31,740 --> 00:11:35,160 +receptor potential هذا هي عملية ال adaptation + +134 +00:11:35,160 --> 00:11:40,580 +عملية التكييف أو adaptation هذه محاضرة pure + +135 +00:11:40,580 --> 00:11:43,720 +physiology المحاضرة هذه pure physiology و أسبوع + +136 +00:11:43,720 --> 00:11:47,940 +الجاي راح أتكلم physiology classification of the + +137 +00:11:47,940 --> 00:11:55,460 +receptors ايش أنواع ال receptors أول شيء بنجسم الـ + +138 +00:11:55,460 --> 00:12:02,760 +Receptors according to site of receptor حسب مكان + +139 +00:12:02,760 --> 00:12:10,260 +الـ Receptors اثنين according to site of stimulus + +140 +00:12:10,260 --> 00:12:17,070 +حسب مكان ال stimulus ثالثًا according to specificity + +141 +00:12:17,070 --> 00:12:20,750 +اللي هي هذه physiological classification it is + +142 +00:12:20,750 --> 00:12:24,050 +more common a classification اللي هي physiological + +143 +00:12:24,050 --> 00:12:31,370 +classification واحد حسب ال site of receptors حسب + +144 +00:12:31,370 --> 00:12:37,330 +مكان ال receptor اللي هو المستقبلات نسميهم واحد + +145 +00:12:37,330 --> 00:12:43,190 +somatic receptors اثنين special receptors ثلاثة + +146 +00:12:43,190 --> 00:12:47,450 +visceral receptors يبقى حسب مكان ال receptors + +147 +00:12:47,450 --> 00:12:53,830 +ينقسمه لثلاث أنواع somatic receptors visceral + +148 +00:12:53,830 --> 00:12:59,430 +receptors و special receptors تلات أنواع طيب ايش + +149 +00:12:59,430 --> 00:13:03,810 +أنواع ال somatic receptors إذا الإشارة جاية من ال + +150 +00:13:03,810 --> 00:13:09,790 +skin بنسميها cutaneous receptors cutaneous + +151 +00:13:09,790 --> 00:13:15,330 +receptors يعني for pain for temperature we touch + +152 +00:13:15,330 --> 00:13:21,440 +sensation إذا جاي من الديب structures بنسميهم deep + +153 +00:13:21,440 --> 00:13:25,520 +receptors يعني من ال muscle، من ال tendons، ال + +154 +00:13:25,520 --> 00:13:29,820 +ligament، ال joint بطريقة هذه أنا جسمتلكوا somatic + +155 +00:13:29,820 --> 00:13:34,780 +receptors ده نوعين إما جاي receptors سطحي في الجلد + +156 +00:13:34,780 --> 00:13:39,040 +cutaneous receptors بنسميه لمين؟ لأن pain، + +157 +00:13:39,040 --> 00:13:43,300 +temperature و touch sensation اللي هي ألم و حرارة + +158 +00:13:43,300 --> 00:13:49,710 +و لمس وإما بنسميه deep receptors مسؤول عن الـ + +159 +00:13:49,710 --> 00:13:53,150 +muscles و الـ joints و الـ ligaments و الـ tendons + +160 +00:13:53,150 --> 00:13:57,450 +و الـ bone كل هذا يعتبر Deep Receptors يعني خلصنا + +161 +00:13:57,450 --> 00:14:02,310 +أول نوع Somatic النوع الثاني Special Receptors + +162 +00:14:02,310 --> 00:14:07,410 +اللي علاقة بمين؟ بالـ Special Sensation إن شاء + +163 +00:14:07,410 --> 00:14:13,530 +الله المحاضرة ستبقى القادمة زي ايه Vision Visual + +164 +00:14:13,530 --> 00:14:21,390 +Receptors في الشباكية العين cones and rods لل + +165 +00:14:21,390 --> 00:14:28,350 +smell smell receptors في ال nasal cavity لل + +166 +00:14:28,350 --> 00:14:36,870 +hearing في الكوكليا في hearing receptors okay كل + +167 +00:14:36,870 --> 00:14:42,210 +هذا لل taste في الـ tongue في اللسان في taste buds + +168 +00:14:42,210 --> 00:14:47,390 +كل هذا يعتبر taste receptors موجودة لل special + +169 +00:14:47,390 --> 00:14:52,510 +sensation وفي visceral receptors هذه from the + +170 +00:14:52,510 --> 00:14:56,690 +internal organs موجودة وين؟ في ال internal organs + +171 +00:14:57,210 --> 00:15:01,890 +واحد شرب سوائل كثير، ايش بيصير في الـurine + +172 +00:15:01,890 --> 00:15:05,690 +bladder، في المثانة؟ تتمدد، بيصير تأثير، بيبقوا + +173 +00:15:05,690 --> 00:15:08,950 +يعطوا إشارة لـstretch receptors أو لل pain + +174 +00:15:08,950 --> 00:15:13,430 +receptors الموجودة، تصل إشارة للدماغ إنه المثانة + +175 +00:15:13,430 --> 00:15:18,130 +صارت full، بلزم تروح الآن لطولية، تسرقها، يقول هذا + +176 +00:15:18,130 --> 00:15:24,010 +ال receptors اسمه ايش؟ Internal receptors أو + +177 +00:15:24,010 --> 00:15:30,630 +visceral receptors يبقى شرحنا أول شيء according to + +178 +00:15:30,630 --> 00:15:36,910 +the site of receptors الآن بنتكلم according to + +179 +00:15:36,910 --> 00:15:44,410 +site of stimulus حسب ال stimulus وين موجود أو من + +180 +00:15:44,410 --> 00:15:49,270 +وين جاى Extraceptors هذا بيكون ال stimulus جاى من + +181 +00:15:49,270 --> 00:15:55,550 +وين؟ من الخارج أو Intraceptors stimulus جاي من + +182 +00:15:55,550 --> 00:15:59,190 +الداخل يبقى إن إذا كان الاستيمولاس جاي من الخارج + +183 +00:15:59,190 --> 00:16:02,510 +الجسم ال Receptors اللي راحوا يستقبلوه اسمهم + +184 +00:16:02,510 --> 00:16:07,230 +Extraceptors وده + +185 +00:16:07,230 --> 00:16:16,670 +جاي من داخل الجسم اسمهم Intraceptors مثال على + +186 +00:16:16,670 --> 00:16:18,830 +Extraceptors + +187 +00:16:19,710 --> 00:16:23,130 +cutaneous receptors يعني ايش cutaneous receptors + +188 +00:16:23,130 --> 00:16:28,530 +اللي جايين من وين؟ من الجلد مثل pain temperature + +189 +00:16:28,530 --> 00:16:34,010 +touch receptors teleceptors + +190 +00:16:34 + +201 +00:17:37,360 --> 00:17:43,300 +أنا أشتم عن بعد هذا يعتبر teleceptors أسمع عن بعد + +202 +00:17:43,300 --> 00:17:51,710 +teleceptors أشاهد عن بعد يقول مش لازم الشيء يلمس طب + +203 +00:17:51,710 --> 00:17:54,710 +التذوق بقدر أقول تذوق teleceptors لأ كيف بدي + +204 +00:17:54,710 --> 00:17:57,930 +أتذوقه؟ إيش بدي أحط قطعة كنافة على الطاولة و أقول + +205 +00:17:57,930 --> 00:18:00,630 +للجماعة يخلف عليكم زاكية و حلوة؟ طب لازم أدوقها + +206 +00:18:00,630 --> 00:18:04,330 +أحطها على ال receptors عشان أدوقها بنفع؟ يقول هذا + +207 +00:18:04,330 --> 00:18:09,490 +ال teleceptors النوع الثاني interceptors يعني ال + +208 +00:18:09,490 --> 00:18:14,850 +stimulus جاي من وين؟ من داخل الجسم مثل ال + +209 +00:18:14,850 --> 00:18:18,430 +proprioceptors ال proprioceptors هدول بيكونوا وين + +210 +00:18:18,430 --> 00:18:22,910 +موجودين؟ في ال bone في ال muscle في ال tendon في ال + +211 +00:18:22,910 --> 00:18:27,850 +joint مسئولين عن إيش؟ عن ال deep sensation يبقوا إن + +212 +00:18:27,850 --> 00:18:31,490 +إذا اجى sensation للمريض من ال joint من ال muscle + +213 +00:18:31,490 --> 00:18:35,470 +راح يعمل irritation ل ال deep receptors deep + +214 +00:18:35,470 --> 00:18:39,230 +receptors اللي نسميهم proprioceptors اه + +215 +00:18:39,230 --> 00:18:45,230 +proprioception اثنين visceroceptors من اسمه + +216 +00:18:45,230 --> 00:18:49,530 +viscero يعني من وين؟ هادي من ال internal organ مثل + +217 +00:18:49,530 --> 00:18:54,550 +ال chemoreceptors Visceral stretch receptors for + +218 +00:18:54,550 --> 00:19:00,770 +visceral pain مثل + +219 +00:19:00,770 --> 00:19:06,160 +مريض عنده Golgi Bladder stone عنده حصوة في المرارة + +220 +00:19:06,160 --> 00:19:12,020 +بيشعر بمغص و بآلم صح؟ ليه؟ لأن هذه الحصوة عملت + +221 +00:19:12,020 --> 00:19:15,360 +irritation وعملت تهيج لل visceral receptors + +222 +00:19:15,360 --> 00:19:19,200 +الموجودة في ال Golgi Bladder و بيحدث بآلم و سبب + +223 +00:19:19,200 --> 00:19:22,940 +الآلم يقول مين شعر فيه الآلم هذا ال receptors وين + +224 +00:19:22,940 --> 00:19:25,380 +موجود ال receptors في ال wall of the Golgi Bladder + +225 +00:19:25,380 --> 00:19:30,540 +في جدار إيه اللي هي المرارة طب مين إيه اللي هيجها؟ + +226 +00:19:30,540 --> 00:19:36,420 +الحصوة نفسها عملت ألم حدث ألم و هكذا Hypothalamic + +227 +00:19:36,420 --> 00:19:42,020 +Receptors مثل الـGluco Receptors، Osmo Receptors + +228 +00:19:42,020 --> 00:19:46,300 +و Hypothalamic Thermal Receptors، هذه موجودة في + +229 +00:19:46,300 --> 00:19:50,380 +الـHypothalamus، لأن هنا شرحنا تقسيم الـReceptors + +230 +00:19:50,380 --> 00:19:55,530 +حسب site of Receptors اثنين قسمناهم حسب ال site of + +231 +00:19:55,530 --> 00:20:00,490 +stimulus، الآن راح أتكلم على ال receptors as + +232 +00:20:00,490 --> 00:20:04,850 +physiological classification according to + +233 +00:20:04,850 --> 00:20:10,370 +specificity، حسب النوع، حسب إيش؟ النوع، أول نوع + +234 +00:20:10,370 --> 00:20:16,150 +mechanical receptors، اللي هم علاقة بال mechanical + +235 +00:20:16,150 --> 00:20:22,550 +form of energy لمس ألم كده يعتبر إيش ال temperature + +236 +00:20:22,550 --> 00:20:28,910 +touch هذا يعتبر إيش؟ ميكانو ريسبتر كيمو ريسبتر كيمو ريسبتر + +237 +00:20:29,750 --> 00:20:33,210 +detect change in concentration of certain + +238 +00:20:33,210 --> 00:20:36,290 +chemicals يبقى هذا اللي علاقة بالchemical + +239 +00:20:36,290 --> 00:20:42,370 +substance شيء حامض شيء مالح و هكذا nociceptors اللي + +240 +00:20:42,370 --> 00:20:46,490 +علاقة بالألم هذول three nerve endings responding + +241 +00:20:46,490 --> 00:20:52,270 +to pain sensation thermoreceptors هذول اللي علاقة + +242 +00:20:52,270 --> 00:20:58,320 +بال temperature و photoreceptors اللي معلقه بيش بال + +243 +00:20:58,320 --> 00:21:01,000 +vision يبقى هاد التقسيمة في physiological + +244 +00:21:01,000 --> 00:21:06,940 +classification according to specificity حسب نوع ال + +245 +00:21:06,940 --> 00:21:11,060 +receptors في mechanical receptors كيمو ريسبتر + +246 +00:21:11,060 --> 00:21:18,360 +نوسيبتر ثيرمو ريسبتر و photoreceptors لأن إنتجل + +247 +00:21:18,360 --> 00:21:25,950 +اتكلم على synapse إيش هو synapse It is a region at + +248 +00:21:25,950 --> 00:21:30,390 +which a neuron communicates with its target cell + +249 +00:21:30,390 --> 00:21:36,630 +يبقى إن هو عبارة عن a region اللي بيكون فيه نفس ال + +250 +00:21:36,630 --> 00:21:39,410 +نيرون بيبقى communication مع ال target cell + +251 +00:21:39,410 --> 00:21:46,830 +function of synapse is a transfer electric + +252 +00:21:46,830 --> 00:21:51,640 +activity information from one cell to another to + +253 +00:21:51,640 --> 00:21:55,660 +another يعني إيش؟ بوصل إشارة من one cell لإيش؟ ل + +254 +00:21:55,660 --> 00:22:01,260 +another cell هذا اسمه synapse the transfer can be + +255 +00:22:01,260 --> 00:22:05,000 +from nerve to nerve يعني التوصيل ممكن يكون من + +256 +00:22:05,000 --> 00:22:10,580 +nerve ل nerve first order ل second order هذا بيسمي + +257 +00:22:10,580 --> 00:22:11,760 +neural + +258 +00:22:13,870 --> 00:22:17,130 +type الـ neuroneural type يعني إيش مقصود بين + +259 +00:22:17,130 --> 00:22:21,350 +neuroneural type يعني الـ synapse بين two neurons + +260 +00:22:21,350 --> 00:22:26,590 +بين إيش؟ two neurons هذا بسميه neuroneural type أو + +261 +00:22:26,590 --> 00:22:33,870 +بين nerve و muscle بسميه neuromuscular type يمكن + +262 +00:22:33,870 --> 00:22:37,310 +فيه neuromuscular type أو بسميه neuromuscular + +263 +00:22:37,310 --> 00:22:41,290 +junction و فيه neuroneural type لأن neuroneural + +264 +00:22:41,290 --> 00:22:48,800 +type بين two neurons النيرو هو نوع عضو بين نيرون أو + +265 +00:22:48,800 --> 00:22:54,580 +nerve مع مين؟ مع muscle fibers البريسنابتك + +266 +00:22:54,580 --> 00:22:58,960 +الوزيكال يحتوي على neurotransmitter في البريسنابتك + +267 +00:22:58,960 --> 00:23:05,040 +الوزيكال فيهم neurotransmitter هدول ممكن يكونوا + +268 +00:23:05,040 --> 00:23:11,440 +يعملوا stimulation أو يعملوا inhibition لبوستسينابتك + +269 +00:23:11,440 --> 00:23:15,180 +نيرون يعني في البريسنابتك physical فيهم + +270 +00:23:15,180 --> 00:23:18,460 +neurotransmitters هذول ال neurotransmitters أما + +271 +00:23:18,460 --> 00:23:22,460 +وظيفتهم بتكون stimulatory بيعملوا stimulation أو + +272 +00:23:22,460 --> 00:23:26,700 +inhibitory بيعملوا inhibition لل post synaptic + +273 +00:23:26,700 --> 00:23:32,120 +neuron structure of the synapse من إيش بتكون + +274 +00:23:32,120 --> 00:23:40,440 +السينابس؟ بتكون من ثلاثة أجزاء axon terminal نهاية + +275 +00:23:40,440 --> 00:23:43,000 +ال axon اللي هو بنسمي ال pre synaptic neuron + +276 +00:23:44,860 --> 00:23:49,340 +Synaptic cleft هو عبارة عن space between pre + +277 +00:23:49,340 --> 00:23:53,900 +-synaptic and post-synaptic و الممبرنة من نيرون + +278 +00:23:53,900 --> 00:23:57,440 +post-synaptic يبقى عندي جزء pre-synaptic نيرون + +279 +00:23:57,440 --> 00:24:02,640 +و جزء post-synaptic و بينهم فيه cleft هذه بنسميها + +280 +00:24:02,640 --> 00:24:09,280 +synaptic cleft زي ما احنا شايفين هذا اسمه axonal + +281 +00:24:09,280 --> 00:24:16,500 +terminal أو بنسميه pre-synaptic نيرون و هذا boss + +282 +00:24:16,500 --> 00:24:20,160 +synaptic اللي هو dendrites ممكن يكون و المساحة + +283 +00:24:20,160 --> 00:24:25,070 +بينهم هذه اسمها إيش؟ Synaptic Clift Synaptic Clift + +284 +00:24:25,070 --> 00:24:28,910 +و داخل الـ Pre-Synaptic بيكون فيهم الـ + +285 +00:24:28,910 --> 00:24:32,750 +neurotransmitters الـ neurotransmitters هلأ ال + +286 +00:24:32,750 --> 00:24:35,790 +neurotransmitters هدول إما راح يؤدوا إلى + +287 +00:24:35,790 --> 00:24:40,590 +stimulation للـ post-synaptic نيرون و إما يعملولهم + +288 +00:24:40,590 --> 00:24:45,430 +إيش؟ Inhibition للـ post-synaptic نيرون يبقى عندي + +289 +00:24:45,430 --> 00:24:51,200 +post-synaptic pre-synaptic و بينهم a-synaptic cleft + +290 +00:24:51,200 --> 00:24:54,300 +و الـ neurotransmitters هنا موجودين راح يكونوا في + +291 +00:24:54,300 --> 00:24:58,640 +الـ pre-synaptic إما يعملولنا stimulation أو + +292 +00:24:58,640 --> 00:25:03,680 +inhibition للـ post-synaptic نيرون الـ pre + +293 +00:25:03,680 --> 00:25:08,480 +-synaptic بنسميه axonal terminal و ال post + +294 +00:25:08,480 --> 00:25:17,640 +-synaptic هو جزء من ال dendrite ال ion channels في + +295 +00:25:17,640 --> 00:25:22,500 +كاتيون و أنيون، الكاتيون هما عبارة عن إيش؟ صوديوم + +296 +00:25:22,500 --> 00:25:26,520 +و أحيانا + +297 +00:25:26,520 --> 00:25:32,060 +بيكونوا بوتاسيوم أو كالسيوم، الأنيون كلوريد، + +298 +00:25:32,060 --> 00:25:37,040 +transmitters that open sodium channels leads to + +299 +00:25:37,040 --> 00:25:42,650 +excitation Excitation أو Stimulation of both + +300 +00:25:42,650 --> 00:25:46,470 +synaptic neurons يبقى لترانسميتر اللي بيفتحوا ال + +301 +00:25:46,470 --> 00:25:51,130 +sodium channels هدول بيقدروا العملية Excitation أو + +302 +00:25:51,130 --> 00:25:57,530 +Stimulation of both synaptic neurons و ال + +303 +00:25:57,530 --> 00:26:04,590 +transmitters اللي بيفتحوا ال chloride channels + +304 +00:26:04,590 --> 00:26:10,130 +بيعملولنا عملية inhibition ل both synaptic neurons + +305 +00:26:10,130 --> 00:26:13,870 +يعني باختصار للـ neurotransmitters نوعين نوعين + +306 +00:26:13,870 --> 00:26:17,170 +بيفتحوا ال sodium channels و بيؤدوا إلى إيش؟ + +307 +00:26:17,170 --> 00:26:20,150 +excitation and stimulation of both synaptic + +308 +00:26:20,150 --> 00:26:24,390 +neurons و نوع بيفتحولنا مين اللي هو ال chloride + +309 +00:26:24,390 --> 00:26:28,810 +channels و بيعملولنا عملية inhibition ل both + +310 +00:26:28,810 --> 00:26:37,390 +synaptic neurons أنواع ال neurotransmitters ممكن + +311 +00:26:37,390 --> 00:26:40,690 +نقسمهم حسب ال chemical structures و إما حسب ال + +312 +00:26:40,690 --> 00:26:44,120 +function حسب ال chemical structures في + +313 +00:26:44,120 --> 00:26:48,960 +Acetylcholine و في Amino Acid مثل Glutamate, + +314 +00:26:49,600 --> 00:26:55,100 +Aspartate, Glycine, Gamma Amino Biotic Acid في + +315 +00:26:55,100 --> 00:26:59,240 +Amine مثل الدوبامين Epinephrine, Norepinephrine, + +316 +00:26:59,360 --> 00:27:04,620 +Serotonin و في Neuropeptide مثل Hydrophins و + +317 +00:27:04,620 --> 00:27:08,220 +Enkephalins هدول موجودين في ال brain لموضوع ال + +318 +00:27:08,220 --> 00:27:14,850 +pain النوع الثاني حسب ال functions بنقسمهم إلى + +319 +00:27:14,850 --> 00:27:20,470 +excitatory مثل ال glutamate أو الهيبوتوري مثل + +320 +00:27:20,470 --> 00:27:28,230 +الجامعة مينو بيوريتك أسد GABA الآن + +321 +00:27:28,230 --> 00:27:35,930 +نتكلم على classification of somatic sensation ال + +322 +00:27:35,930 --> 00:27:41,140 +classification of somatic sensation الآن راح أتكلم + +323 +00:27:41,140 --> 00:27:45,680 +على somatic sensation only somatic sensation + +324 +00:27:45,680 --> 00:27:48,880 +according to the site of sensation حسب ال site of + +325 +00:27:48,880 --> 00:27:53,120 +sensation superficial sensation اللي هو sensation + +326 +00:27:53,120 --> 00:27:59,320 +من ال skin جاية مثل ال pain الألم touch اللمس + +327 +00:27:59,320 --> 00:28:04,820 +temperature الحرارة أو deep sensation هم ال + +328 +00:28:04,820 --> 00:28:10,140 +sensation from the muscles, tendons, joints, + +329 +00:28:10,400 --> 00:28:15,040 +bones, ligaments هتعتبر إيش؟ deep ال deep + +330 +00:28:15,040 --> 00:28:19,240 +sensation له أنواع proprioceptive sensation ليه a + +331 +00:28:19,240 --> 00:28:23,500 +sense of position and sense of movement pressure + +332 +00:28:23,500 --> 00:28:29,270 +sensation muscle tension sense muscle sense، + +333 +00:28:29,270 --> 00:28:33,110 +vibration sense، إيش ال vibration sense؟ لو جبنا + +334 +00:28:33,110 --> 00:28:38,130 +جوال و حطيناه رنين أو طنين و حطيناه ع جسمنا + +335 +00:28:38,130 --> 00:28:42,780 +بنشعر فيه؟ بنشعر، لو جبنا شوكة رنانة؟ و ضربناها + +336 +00:28:42,780 --> 00:28:45,300 +شوكة و حطيناها ع عظم ال prominance و بنشعر في ال + +337 +00:28:45,300 --> 00:28:48,420 +vibration؟ بنشعر لو روحنا لدكتور أسنان و فحر + +338 +00:28:48,420 --> 00:28:51,360 +طحونتنا بنشعر فيه vibration؟ بنشعر في ال vibration + +339 +00:28:51,360 --> 00:28:56,160 +هذا اسمه vibration sense طب ال muscle sense لو + +340 +00:28:56,160 --> 00:28:59,200 +جينا عملنا palpation لل muscle حسيناها tenderness + +341 +00:28:59,200 --> 00:29:02,980 +soft legs و المريض بيشعره بآلم بيشعرش بآلم في ال + +342 +00:29:02,980 --> 00:29:07,880 +muscle هذا اسمه muscle sensation طب muscle tension + +343 +00:29:07,880 --> 00:29:14,000 +sense لو جبنا وزنين مختلفين حطناهم في إيدنا و غمطنا + +344 +00:29:14,000 --> 00:29:18,360 +عينينا و رفعتهم لازم أميز مين الأثقل الجوال ولا + +345 +00:29:18,360 --> 00:29:23,280 +الجلم مين اللي شعر في الوزن هذا العضلة يبقى إن هذا + +346 +00:29:23,280 --> 00:29:27,880 +اسمه muscle tension sense طب لو جبنا وزنين + +347 +00:29:27,880 --> 00:29:32,600 +مختلفين و حطناهم على إيدنا هنا هي إيد و هي إيد + +348 +00:29:32,600 --> 00:29:39,810 +فوقها و نميز بينهم مين أثقل الجوال ولا الجلم و أنا + +349 +00:29:39,810 --> 00:29:43,410 +مغمض عينيا هذا اسمه pressure sense مثال آخر على + +350 +00:29:43,410 --> 00:29:47,910 +pressure sense لو أجي أولاده الواحد أو البنات و ولد + +351 +00:29:47,910 --> 00:29:51,450 +قاعد على رجل اليمين عمره سنتين و ولد عمره عشر سنين + +352 +00:29:51,450 --> 00:29:54,470 +قاعد على الشمال مش و أنا قاعد بشعر فيهم أثقل و مين + +353 +00:29:54,470 --> 00:29:57,670 +أتعبني يكون هذا اسمه pressure sense إيش الفرق بين + +354 +00:29:57,670 --> 00:30:01,170 +pressure sense و muscle tension sense ال pressure + +355 +00:30:01,170 --> 00:30:06,330 +sense بيكون بنضع وزنين مختلفين و ال upper limbs أو + +356 +00:30:06,330 --> 00:30:09,010 +ال lower limbs عندي أنا fixed بيكون أنا ما بتحركش + +357 +00:30:09,010 --> 00:30:12,330 +بحركهمش أنا شعرت بال pressure بتاعي هذا pressure + +358 +00:30:12,330 --> 00:30:16,050 +sense لكن muscle tension sense أنا أخدت ظرف بكات + +359 +00:30:16,050 --> 00:30:21,640 +فيه أغراض و حملته بدي أشعر أو أحس إن الوزن مظبوط 2 + +360 +00:30:21,640 --> 00:30:26,020 +كيلو أو 3 كيلو مسكت فيه إثنين بكاتين مختلفين و قلت + +361 +00:30:26,020 --> 00:30:29,320 +لأ هذا أثقل من هذا أنا شعرت بالوزن عن طريق العضلة + +362 +00:30:29,320 --> 00:30:33,180 +نفسها هذا اسمه muscle tension ash essence ال + +363 +00:30:33,180 --> 00:30:36,720 +proprio reception أو proprio receptive هم عبارة عن + +364 +00:30:36,720 --> 00:30:40,500 +ash essence of joint اللي له علاقة بال joint لو + +365 +00:30:40,500 --> 00:30:44,970 +أنا غمطت هنا و حركت أصبع المريض لفوق و لتحت المريض + +366 +00:30:44,970 --> 00:30:49,610 +راح يشعر أي عضلة أي جوينت أنا حركته يعني جينا ال + +367 +00:30:49,610 --> 00:30:55,670 +finger فوق أو تحت بدي يحددلي أي أصبع أنا حركته بس + +368 +00:30:55,670 --> 00:30:59,970 +يكون العينين مغمضين و مسكرة عينيا المريض في الحالة + +369 +00:30:59,970 --> 00:31:07,440 +هذه اسمها joint sense في combined sensation زي + +370 +00:31:07,440 --> 00:31:13,600 +Stereognosis إيش Stereognosis؟ لو جبنا شيء هاي + +371 +00:31:13,600 --> 00:31:19,780 +عصاية للمثال عشرة شكل هذه بجيب مبلغ من الفلوس و + +372 +00:31:19,780 --> 00:31:23,620 +بحطه في إيد المريض و المريض مغمض عينيا باللمس + +373 +00:31:23,620 --> 00:31:29,740 +بيميزلي خمس شكل اتنين شكل ثلاثة شكل اتنين شكل شكل + +374 +00:31:29,740 --> 00:31:37,590 +عشرة شكل بطريقة هذه بيميزلي طيب حطينا في إيده شكل و + +375 +00:31:37,590 --> 00:31:42,010 +اتنين شكل لازم بيقولوا عيدلي إيش هم؟ بيقولوا عيدلي + +376 +00:31:42,010 --> 00:31:44,790 +هدول كام؟ في ده بيقوللي ثلاثة شكل بالمثل بيقوللي + +377 +00:31:44,790 --> 00:31:48,590 +هدا شكل و هدا اتنين شكل يعني إن هو باللمس حدده أو + +378 +00:31:48,590 --> 00:31:52,590 +جبنا جلم أو مفتاح و حطينا فيه ده و هم غمضناه + +379 +00:31:52,590 --> 00:31:56,270 +باللمس بيشعر إيش؟ إن هو بيقوللي هدا جلم هدا مفتاح هدا + +380 +00:31:56,270 --> 00:32:01,870 +عملية إيش؟ بيسميها عملية stereo diagnosis ال + +381 +00:32:01,870 --> 00:32:06,570 +Tactile Discrimination بنجيب مثل ثرجار بسنين و + +382 +00:32:06,570 --> 00:32:09,250 +بنحطه على ال hand بيبقى يشعر يقولي هنا في two + +383 +00:32:09,250 + +401 +00:33:27,080 --> 00:33:31,560 +thermoreceptive sensation اللي علاقة بالheat and + +402 +00:33:31,560 --> 00:33:34,120 +cold sensation اللي علاقة بالtemperature + +403 +00:33:34,120 --> 00:33:39,260 +sensation والنوع الثالث الأخير pain sensation اللي + +404 +00:33:39,260 --> 00:33:44,520 +علاقة بالألم إن شاء الله لها نقف في الجزء الأول من + +405 +00:33:44,520 --> 00:33:48,660 +المحاضرة، الجزء الثاني إن شاء الله راح اتكلم فيه على + +406 +00:33:48,660 --> 00:33:53,240 +pain sensation وراح اتكلم على ال pathway of + +407 +00:33:53,240 --> 00:33:57,080 +superficial sensation and pathway of deep + +408 +00:33:57,080 --> 00:33:57,720 +sensation diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/2Fl5-lllqJc_postprocess.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/2Fl5-lllqJc_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..add1b400c8689fdb8c642c86294324eba2ee61ea --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/2Fl5-lllqJc_postprocess.srt @@ -0,0 +1,1632 @@ +1 +00:00:04,910 --> 00:00:07,990 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:07,990 --> 00:00:13,110 +وبركاته المحاضرة اليوم ستكون محاضرة لسبوع الحادي + +3 +00:00:13,110 --> 00:00:18,650 +عشر عن ال somatic sensation المحاضرة راح أقسمها + +4 +00:00:18,650 --> 00:00:23,550 +إلى جزئين في البداية راح أتطلع إلى ال receptors أو + +5 +00:00:23,550 --> 00:00:26,030 +sensory receptors وأنواع ال sensory receptors + +6 +00:00:26,030 --> 00:00:29,470 +sensory + +7 +00:00:29,470 --> 00:00:32,570 +system sensory system + +8 +00:00:35,120 --> 00:00:41,360 +تنقسم إلى somatic sensation، special senses، + +9 +00:00:41,360 --> 00:00:45,280 +visceral sensation و organic sensation + +10 +00:00:47,150 --> 00:00:50,010 +الاسبوع هذا اللي هو اسبوع هذه عشرة راح اتكلم على + +11 +00:00:50,010 --> 00:00:53,050 +somatic sensation اسبوع الثانية عشرة راح اتكلم على + +12 +00:00:53,050 --> 00:00:56,910 +ال special sensation somatic sensation هي عبارة عن + +13 +00:00:56,910 --> 00:01:02,270 +sensation from the skin and deep tissue sensation + +14 +00:01:02,270 --> 00:01:06,270 +from the skin and deep tissue يعني من وين؟ deep + +15 +00:01:06,270 --> 00:01:12,550 +tissue، muscle، joints، ligaments conducted to CNS + +16 +00:01:14,700 --> 00:01:20,640 +through the somatic nerves الإشارة بتصل لـCNS من + +17 +00:01:20,640 --> 00:01:25,940 +الـreceptors عن طريق somatic nerves special + +18 +00:01:25,940 --> 00:01:31,100 +sensation reaching the central nervous system + +19 +00:01:31,100 --> 00:01:36,220 +through specialized cranial nerves الإشارة بتصل + +20 +00:01:36,220 --> 00:01:39,260 +لـcentral nervous system من خلال specialized + +21 +00:01:39,260 --> 00:01:46,960 +nerves مثل sense of visionالنظر ثاني sense of + +22 +00:01:46,960 --> 00:01:53,920 +hearing and equilibrium sense of smell sense of + +23 +00:01:53,920 --> 00:01:59,040 +taste يقول إن النظر vision السمع الحاسس الشم + +24 +00:01:59,040 --> 00:02:05,740 +التذوق هذا يعتبر special sensation تلاتة visceral + +25 +00:02:05,740 --> 00:02:09,180 +sensationincluding all sensations from the + +26 +00:02:09,180 --> 00:02:13,220 +visceral structures أو from the internal organs + +27 +00:02:13,220 --> 00:02:18,000 +تصل ل الـCNS through autonomic nerves يوم أتكلمنا + +28 +00:02:18,000 --> 00:02:22,480 +عن autonomic nervous system organic sensation اللي + +29 +00:02:22,480 --> 00:02:27,560 +هي hunger, thirst and sexual sensation كله يعتبر + +30 +00:02:27,560 --> 00:02:32,300 +هذا organic sensation راح أبدأ الأن الجزء الأول + +31 +00:02:32,300 --> 00:02:37,840 +بمحاضرة عن sensory receptorsSensory Receptors هم + +32 +00:02:37,840 --> 00:02:43,060 +عبارة عن Specialized Structures Located at the + +33 +00:02:43,060 --> 00:02:46,800 +Peripheral Beginning of Sensory Neurons يمكن أندي + +34 +00:02:46,800 --> 00:02:54,280 +هذا nerve رايح ل cell body بعدين بيطلع منه axon + +35 +00:02:54,280 --> 00:02:58,760 +هذا nerve اكتر من نيرب يكونوا انواعهم multi + +36 +00:02:58,760 --> 00:03:02,780 +neurons تمام + +37 +00:03:02,780 --> 00:03:09,360 +هذا النوعهذا اكسن وهذه ديندريتز وهذه مرتبال + +38 +00:03:09,360 --> 00:03:12,980 +ديندريتز + +39 +00:03:12,980 --> 00:03:16,760 +في البداية تبعت ال نيرون او ال نيرو فايبرز فيه + +40 +00:03:16,760 --> 00:03:24,540 +ريسيبترز يقول ريسيبترز يعتبروا beginning of the + +41 +00:03:24,540 --> 00:03:33,640 +sensory neuron what's the function of sensory + +42 +00:03:33,640 --> 00:03:41,250 +receptorsأول وظيفة له Detectors They detect energy + +43 +00:03:41,250 --> 00:03:45,830 +أو stimulus change in both external and internal + +44 +00:03:45,830 --> 00:03:49,690 +environment يقول إن هي أول شي تعمل عملية detection + +45 +00:03:49,690 --> 00:03:56,630 +بتحدد وين ال energy و إيش نوع ال energy ثماني + +46 +00:03:56,630 --> 00:04:04,390 +Transducerعملية transform the stimulus into action + +47 +00:04:04,390 --> 00:04:10,110 +potential يعني عملية تحويل ال stimulus ل action + +48 +00:04:10,110 --> 00:04:16,050 +potentialثلاثة generator يعمل generation of nerve + +49 +00:04:16,050 --> 00:04:20,290 +impulses in sensory nerve وبتعمل عملية generation + +50 +00:04:20,290 --> 00:04:24,390 +بتدخل الإشارة من node of renvier ل node of renvier + +51 +00:04:24,390 --> 00:04:27,970 +عن طريق passive transmission وبساعد في الترانسميشن + +52 +00:04:27,970 --> 00:04:34,110 +اللي هو myelin sheath myelin sheath أربع they + +53 +00:04:34,110 --> 00:04:39,320 +inform the CNSabout different sensations or + +54 +00:04:39,320 --> 00:04:43,080 +changes occurring inside and outside the body + +55 +00:04:43,080 --> 00:04:48,040 +وكمان بتخبر الـCNS عن الأنواع بتاعة ال sensation + +56 +00:04:48,040 --> 00:04:54,740 +اللي بتحدث في داخل الجسم أو خارج الجسم receptor + +57 +00:04:54,740 --> 00:05:01,140 +potential receptor potential هي + +58 +00:05:01,140 --> 00:05:04,700 +عملية تحويل + +59 +00:05:06,580 --> 00:05:12,060 +الاستيمولاس او ال energy ل action potential يبقى + +60 +00:05:12,060 --> 00:05:15,840 +عملية تحويل الاستيمولاس او ال energy ل action + +61 +00:05:15,840 --> 00:05:26,540 +potential بنسميها receptor potential هي ان نهايته + +62 +00:05:26,540 --> 00:05:31,620 +هذا + +63 +00:05:31,620 --> 00:05:32,620 +انا برسم ال axon + +64 +00:05:40,520 --> 00:05:48,620 +و هكذا حلل ال axon اله نهايته بتكون nonmyelinated + +65 +00:05:48,620 --> 00:06:05,280 +قعدين بيجي نميلين شيت هذا + +66 +00:06:05,280 --> 00:06:11,310 +نميلين شيت بيكون مرتبط مع إشفان cellsانا برسم فيه + +67 +00:06:11,310 --> 00:06:18,070 +وده اشارة اتجاهي ايش ال signal هلأ في ال wrist .. + +68 +00:06:18,070 --> 00:06:25,630 +في ال wrist without stimuli .. بدون stimuli ال + +69 +00:06:25,630 --> 00:06:30,950 +sensory nerve endings are in polarized state يعني + +70 +00:06:30,950 --> 00:06:34,650 +ايش in polarized state؟ بيكون الصوديوم خارج ال .. + +71 +00:06:34,650 --> 00:06:38,340 +ال receptors الصوديوم بيكون خارج ال receptorsو ال + +72 +00:06:38,340 --> 00:06:44,920 +terminal part و نهاية ايش ال nerve بتكون none او + +73 +00:06:44,920 --> 00:06:53,400 +unmyelinated يعني مافيش فيها myelin شيط طيب if it + +74 +00:06:53,400 --> 00:06:57,340 +is stimulated اذا حدث ال stimulation هي وين دي + +75 +00:06:57,340 --> 00:07:02,240 +يكون في ال wrist بيكون ال sodium في الخارج + +76 +00:07:07,630 --> 00:07:12,770 +صوديوم في الخارج هذه بتسميها حالة ايه؟ اللي هي + +77 +00:07:12,770 --> 00:07:16,190 +polarized state polarized state هذه بتسميها + +78 +00:07:16,190 --> 00:07:21,390 +polarized state طيب لو حدث stimulation او partial + +79 +00:07:21,390 --> 00:07:25,110 +stimulation بيحدث عملية بتسميها partial + +80 +00:07:25,110 --> 00:07:31,310 +depolarization partial depolarization ايش بيحدث؟ + +81 +00:07:31,310 --> 00:07:37,950 +بيفتحوا ال sodium channels والصوديوم بيدخل وين؟في + +82 +00:07:37,950 --> 00:07:42,750 +ال cell receptors بدخل الصوديوم وين في ال cell + +83 +00:07:42,750 --> 00:07:49,390 +receptors و بزيد كمية الصوديوم في ال intracellular + +84 +00:07:49,390 --> 00:07:53,710 +داخل ال receptors هذه العملية بنسميها partial + +85 +00:07:53,710 --> 00:08:01,810 +depolarization عملية + +86 +00:08:01,810 --> 00:08:07,480 +دخول الصوديوملموضوع ال cell body و حدوط ال partial + +87 +00:08:07,480 --> 00:08:11,100 +depolarization هذه العملية بنسميها receptor + +88 +00:08:11,100 --> 00:08:14,800 +potential receptor potential يعني ايه ال receptor + +89 +00:08:14,800 --> 00:08:18,320 +potential احنا حولنا ال energy او ال stimulus ل + +90 +00:08:18,320 --> 00:08:24,040 +receptor potential بعد هيك ال receptor potential + +91 +00:08:24,040 --> 00:08:31,260 +الإشارة راح تصل لل nerve passively وتتوصل من نهض + +92 +00:08:31,260 --> 00:08:35,370 +overrun فيهالـ Node of Runway عملية قفز يتم و + +93 +00:08:35,370 --> 00:08:40,110 +توصيل للإشارة راح يساعد في العملية هذه اللي هو + +94 +00:08:40,110 --> 00:08:45,290 +Myelin Shear The receptor potential is passively + +95 +00:08:45,290 --> 00:08:51,710 +conducted to the first overrun vein causing deep + +96 +00:08:51,710 --> 00:08:54,850 +depolarization بعدها لما يحدث عملية قفز هنا + +97 +00:08:54,850 --> 00:08:58,950 +passive هذه العملية بنسميها deep depolarization + +98 +00:08:58,950 --> 00:09:02,810 +يعني نطلع باختصارفي ال rest بيكون عملية + +99 +00:09:02,810 --> 00:09:06,010 +polarization عملية ايه؟ polarized state بيكون + +100 +00:09:06,010 --> 00:09:09,270 +السوديوم خارج ايش؟ ال receptor cells حدث + +101 +00:09:09,270 --> 00:09:13,090 +stimulation بيفتحوا ال sodium channels والسوديوم + +102 +00:09:13,090 --> 00:09:17,110 +بيفوت داخل ال cell receptorsهذه العملية بنسميها + +103 +00:09:17,110 --> 00:09:23,710 +Receptor Potential أو Partial Depolarization بعد + +104 +00:09:23,710 --> 00:09:27,850 +الإشارة بتروح لل first node of Run Verb Passively + +105 +00:09:27,850 --> 00:09:30,410 +وبعدين بيصير عملية قفز عن طريق ال Myelin Sheath + +106 +00:09:30,410 --> 00:09:35,070 +هذه العملية الأخيرة بنسميها Deep Depolarization + +107 +00:09:35,070 --> 00:09:40,290 +Deep Depolarization Adaptation of Receptors + +108 +00:09:42,410 --> 00:09:46,470 +this is decline in the frequency of discharge of + +109 +00:09:46,470 --> 00:09:51,030 +action potential from receptor that occurs on + +110 +00:09:51,030 --> 00:09:55,630 +maintained stimulation by stimuli of a constant + +111 +00:09:55,630 --> 00:10:02,490 +strength مثلًا اشترينا أطور ريح حلوة جديدة دفعنا + +112 +00:10:02,490 --> 00:10:07,070 +200-300 شكل واشتريناها حطينا أول يوم منها ريحتها + +113 +00:10:07,070 --> 00:10:11,350 +حلوة وماشاء اللهثاني يوم ثالث يوم بطلنا نشفى من + +114 +00:10:11,350 --> 00:10:13,870 +الريحة احنا، بما انه نفس الكيمياء اللى انا حاططها + +115 +00:10:13,870 --> 00:10:16,670 +اول يوم و من نفس القلبها، لكن انا ايه صار عندى + +116 +00:10:16,670 --> 00:10:22,350 +عملية تكييف معاها adaptation، بنمر من عند الوادي، + +117 +00:10:22,350 --> 00:10:24,750 +بنقول ايه في الله كيف العالم عايشين هنا جانب + +118 +00:10:24,750 --> 00:10:28,360 +الوادي بالريحة؟ولا حاجة هذول الناس صاروا مقعدنية + +119 +00:10:28,360 --> 00:10:32,000 +adaptation لل smell receptors بطلوا يشموا الريحة + +120 +00:10:32,000 --> 00:10:34,880 +لكن احنا اول ما نيجي نشمها صدقني لو قعدنا معهم + +121 +00:10:34,880 --> 00:10:38,220 +ساعة ساعتين راح نبطل نشم الريحة كمان زيهم صار + +122 +00:10:38,220 --> 00:10:41,860 +عملية ايش adaptation طب ليش صار adaptation؟ ايش + +123 +00:10:41,860 --> 00:10:46,720 +اللي حدث؟ احنا عارفين ال stimulus موجود هو اما + +124 +00:10:46,720 --> 00:10:49,280 +الريحة كويسة او الريحة كريهة موجودة هي هي الريحة + +125 +00:10:49,280 --> 00:10:54,660 +ماتغيرتش بنفس القوة لكن انا استقبالي لها خف احساسي + +126 +00:10:54,660 --> 00:11:00,670 +لها خفإيش اللي بيحدث إنه ال sodium دخل لوين + +127 +00:11:00,670 --> 00:11:07,650 +الخلايا في الحالة دي بعد فترة من الزمن بيصير عملية + +128 +00:11:07,650 --> 00:11:11,650 +إرهاق وتعب لل sodium channels بيصير closure، + +129 +00:11:11,650 --> 00:11:15,730 +بيسكر، بيصير غلاق لهذه ال sodium channel بتبطل + +130 +00:11:15,730 --> 00:11:19,530 +تفوت ال sodium وين؟ Intracellular، داخل الخلية + +131 +00:11:19,530 --> 00:11:26,060 +بيقل عملية إيش؟ال potential receptor potential بقل + +132 +00:11:26,060 --> 00:11:31,740 +ايش ال discharge of impulse اللي خرج من ال + +133 +00:11:31,740 --> 00:11:35,160 +receptor potential هذا هي عملية ال adaptation + +134 +00:11:35,160 --> 00:11:40,580 +عملية التكييف او adaptation هذه محاضرة pure + +135 +00:11:40,580 --> 00:11:43,720 +physiology المحاضرة هذه pure physiology واسبوع + +136 +00:11:43,720 --> 00:11:47,940 +الجاي راح اتكلم physiology classification of the + +137 +00:11:47,940 --> 00:11:55,460 +receptors ايش انواع ال receptorsأول شي بنجسم الـ + +138 +00:11:55,460 --> 00:12:02,760 +Receptors according to site of receptor حسب مكان + +139 +00:12:02,760 --> 00:12:10,260 +الـ Receptors اثنين according to site of stimulus + +140 +00:12:10,260 --> 00:12:17,070 +حسب مكان ال stimulusثلاثة according to specificity + +141 +00:12:17,070 --> 00:12:20,750 +اللي هي هذه physiological classification it is + +142 +00:12:20,750 --> 00:12:24,050 +more common a classification اللي هي physiological + +143 +00:12:24,050 --> 00:12:31,370 +classification واحد حسب ال site of receptors حسب + +144 +00:12:31,370 --> 00:12:37,330 +مكان ال receptor اللي هو المستقبلات نسميهم واحد + +145 +00:12:37,330 --> 00:12:43,190 +somatic receptorsاثنين special receptors ثلاثة + +146 +00:12:43,190 --> 00:12:47,450 +visceral receptors يبقى حسب مكان ال receptors + +147 +00:12:47,450 --> 00:12:53,830 +ينقسمه لثلاث أنواع somatic receptors visceral + +148 +00:12:53,830 --> 00:12:59,430 +receptors و special receptors تلت أنواع طيب إيش + +149 +00:12:59,430 --> 00:13:03,810 +أنواع ال somatic receptors إذا الإشارة جاية من ال + +150 +00:13:03,810 --> 00:13:09,790 +skinبنسميها cotaneous receptors cotaneous + +151 +00:13:09,790 --> 00:13:15,330 +receptors يعني for pain for temperature we touch + +152 +00:13:15,330 --> 00:13:21,440 +sensation إذا جاي من الديب structuresبنسميهم deep + +153 +00:13:21,440 --> 00:13:25,520 +receptors يعني من ال muscle، من ال tendons، ال + +154 +00:13:25,520 --> 00:13:29,820 +ligament، ال joint بطريقة هذه أنا جسمتلكوا somatic + +155 +00:13:29,820 --> 00:13:34,780 +receptors ده نوعين إما جاي receptors سطحي في الجلد + +156 +00:13:34,780 --> 00:13:39,040 +cotaneous receptors بنسميه لمين؟ لأن pain، + +157 +00:13:39,040 --> 00:13:43,300 +temperature و touch sensation اللي هي ألم و حرارة + +158 +00:13:43,300 --> 00:13:49,710 +و لمس وإما بنسميه deep receptorsمسؤول عن الـ + +159 +00:13:49,710 --> 00:13:53,150 +muscles و الـ joints و الـ ligaments و الـ tendons + +160 +00:13:53,150 --> 00:13:57,450 +و الـ bone كل هذا يعتبر Deep Receptors يعني خلصنا + +161 +00:13:57,450 --> 00:14:02,310 +أول نوع Somatic النوع الثاني Special Receptors + +162 +00:14:02,310 --> 00:14:07,410 +اللي علاقة بمين؟ بالـ Special Sensation ان شاء + +163 +00:14:07,410 --> 00:14:13,530 +الله المحاضرة ستبقى القادمة زي ايه Vision Visual + +164 +00:14:13,530 --> 00:14:21,390 +Receptorsفي الشباكات العين cones and rods لال + +165 +00:14:21,390 --> 00:14:28,350 +smell smell receptors في ال nasal cavity لال + +166 +00:14:28,350 --> 00:14:36,870 +hearing في الكوكليا في hearing receptors okay كل + +167 +00:14:36,870 --> 00:14:42,210 +هذا لل tasteفي الـ tongue في اللسان في taste buds + +168 +00:14:42,210 --> 00:14:47,390 +كل هذا يعتبر taste receptors موجودة لل special + +169 +00:14:47,390 --> 00:14:52,510 +sensation وفي visceral receptors هذه from the + +170 +00:14:52,510 --> 00:14:56,690 +internal organ موجودة وين؟ في ال internal organ + +171 +00:14:57,210 --> 00:15:01,890 +واحد شرب سوائل كثير، إيش بيصير في الـurine + +172 +00:15:01,890 --> 00:15:05,690 +bladder، في المثانة؟ تتمدد، بيصير تأثير، بيبقوا + +173 +00:15:05,690 --> 00:15:08,950 +يعطوا إشارة لـstretch receptors أو لل pain + +174 +00:15:08,950 --> 00:15:13,430 +receptors الموجودة، تصل إشارة للدماغ إنه التمثانة + +175 +00:15:13,430 --> 00:15:18,130 +صارت full، بلزم تروح الآن لطولية، تسرقها، يقول هذا + +176 +00:15:18,130 --> 00:15:24,010 +ال receptors اسمه إيش؟ Internal receptors أو + +177 +00:15:24,010 --> 00:15:30,630 +visceral receptorsيبقى أشرحنا أول شيء according to + +178 +00:15:30,630 --> 00:15:36,910 +the site of receptors الآن بنتكلم according to + +179 +00:15:36,910 --> 00:15:44,410 +site of stimulus حسب ال stimulus وين موجود أو من + +180 +00:15:44,410 --> 00:15:49,270 +وين جاى Extraceptors هذا بيكون ال stimulus جاى من + +181 +00:15:49,270 --> 00:15:55,550 +وين؟ من الخارجأو Intraceptors استيمولاس جاي من + +182 +00:15:55,550 --> 00:15:59,190 +الداخل يبقى ان إذا كان الاستيمولاس جاي من الخارج + +183 +00:15:59,190 --> 00:16:02,510 +الجسم ال Receptors اللي راحوا يستقبلوه اسمهم + +184 +00:16:02,510 --> 00:16:07,230 +Extraceptors وده + +185 +00:16:07,230 --> 00:16:16,670 +جاي من داخل الجسم اسمهم Intraceptors مثال على + +186 +00:16:16,670 --> 00:16:18,830 +Extraceptors + +187 +00:16:19,710 --> 00:16:23,130 +cotaneous receptors يعني إيش cotaneous receptors + +188 +00:16:23,130 --> 00:16:28,530 +اللي جايين من وين؟ من الجلد مثل pain temperature + +189 +00:16:28,530 --> 00:16:34,010 +touch receptors teleceptors + +190 +00:16:34,010 --> 00:16:41,510 +حلوة كلمة teleceptors مر عليكم television مر عليكم + +191 +00:16:41,510 --> 00:16:48,150 +telephoneمر عليكم telegram ايش كلمة tele يعني + +192 +00:16:48,150 --> 00:16:52,830 +معناها distance receptors شوفت ايش معناه التلفزيون + +193 +00:16:52,830 --> 00:17:00,310 +television مشاهدة عن بعض television يكون عندي + +194 +00:17:00,310 --> 00:17:04,730 +receptors و vision television سمنها television + +195 +00:17:04,730 --> 00:17:11,420 +يكون مشاهدة عن بعضdistance phone سماء عن بعض + +196 +00:17:11,420 --> 00:17:16,220 +telephone telephone يعني السماء عن بعض telegram + +197 +00:17:16,220 --> 00:17:22,640 +كتابة عن بعض tele distance gram okay يقول كلمة + +198 +00:17:22,640 --> 00:17:27,800 +teleceptors مقصود فيها عن بعض او distance + +199 +00:17:27,800 --> 00:17:34,060 +receptors او distance receptors مثلاللي هو ال + +200 +00:17:34,060 --> 00:17:37,360 +receptors بتاعة ال vision و ال hearing و اسم ال .. + +201 +00:17:37,360 --> 00:17:43,300 +انا بشم عن بعد هذا يعتبر teleceptors بسمع عن بعد + +202 +00:17:43,300 --> 00:17:51,710 +teleceptors بشاهد عن بعد يقول مش لازم الشيء يلمسطب + +203 +00:17:51,710 --> 00:17:54,710 +التذوق بقدر اقول تذوق teleceptors لأ كيف بدي + +204 +00:17:54,710 --> 00:17:57,930 +أتذوقه؟ إيش بدي أحط قطعة كنافة على الطاولة و أقول + +205 +00:17:57,930 --> 00:18:00,630 +لجماعة يخلف عليكوا زاكية و حلوة؟ طب لازم أدوكها + +206 +00:18:00,630 --> 00:18:04,330 +أحطها على ال receptors عشان أدوكها بنفع؟ يقول هذا + +207 +00:18:04,330 --> 00:18:09,490 +ال teleceptors النوع الثاني interceptors يعني ال + +208 +00:18:09,490 --> 00:18:14,850 +stimulus جاي من وين؟ من داخل الجسم مثل ال + +209 +00:18:14,850 --> 00:18:18,430 +proprioceptors ال proprioceptors هدول بيكونوا وين + +210 +00:18:18,430 --> 00:18:22,910 +موجودين؟ في ال boneفي ال muscle في ال tendon في ال + +211 +00:18:22,910 --> 00:18:27,850 +joint مسئولين عن ايش عن ال deep sensation يبقوا ان + +212 +00:18:27,850 --> 00:18:31,490 +اذا اجى sensation للمريض من ال joint من ال muscle + +213 +00:18:31,490 --> 00:18:35,470 +راح يعمل irritation ل ال deep receptors deep + +214 +00:18:35,470 --> 00:18:39,230 +receptors اللي نسميهم proprioceptors اه + +215 +00:18:39,230 --> 00:18:45,230 +proprioception اثنين visceroceptors من اسمه + +216 +00:18:45,230 --> 00:18:49,530 +viscero يعني من وين هادى من ال internal organ مثل + +217 +00:18:49,530 --> 00:18:54,550 +ال chemoreceptorsVisceral stretch receptors for + +218 +00:18:54,550 --> 00:19:00,770 +visceral pain مثل + +219 +00:19:00,770 --> 00:19:06,160 +مريض عندهGolgi Bladder stone عنده حصوة في المرارة + +220 +00:19:06,160 --> 00:19:12,020 +بشعر بمغص وبقلم صح؟ ليه؟ لأن هذه الحصوة عملت + +221 +00:19:12,020 --> 00:19:15,360 +irritation وعملت تهيج لل visceral receptors + +222 +00:19:15,360 --> 00:19:19,200 +الموجودة في ال Golgi Bladder وبحدث بقلم و سبب + +223 +00:19:19,200 --> 00:19:22,940 +القلم يقول مين شعر فيه القلم هذا ال receptors وين + +224 +00:19:22,940 --> 00:19:25,380 +موجود ال receptors في ال wall of the Golgi Bladder + +225 +00:19:25,380 --> 00:19:30,540 +في جدار ايه اللي هي المرارةطب مين ايه اللي هيجها؟ + +226 +00:19:30,540 --> 00:19:36,420 +الحصبة نفسها عمل قلم، حدث قلم و هكذا Hypothalamic + +227 +00:19:36,420 --> 00:19:42,020 +Receptors مثل الـGluco Receptors، Osmo Receptors + +228 +00:19:42,020 --> 00:19:46,300 +وHypothalamic Thermal Receptors، هذه موجودة في + +229 +00:19:46,300 --> 00:19:50,380 +الـHypothalamus، لأن هنا شرحنا تقسيم الـReceptors + +230 +00:19:50,380 --> 00:19:55,530 +حسب site of Receptorsأثنين قسمناهم حسب ال site of + +231 +00:19:55,530 --> 00:20:00,490 +stimulus، الآن راح اتكلم على ال receptors as + +232 +00:20:00,490 --> 00:20:04,850 +physiological classification according to + +233 +00:20:04,850 --> 00:20:10,370 +specificity، حسب النوع، حسب إيه؟ النوع، أول نوع + +234 +00:20:10,370 --> 00:20:16,150 +mechanical receptors، اللي هم علاقة بال mechanical + +235 +00:20:16,150 --> 00:20:22,550 +form of energyلمس ألم كده يعتبر ايه ال temperature + +236 +00:20:22,550 --> 00:20:28,910 +touch هذا يعتبر ايه ميكانو كيمو ريسبتر كيمو ريسبتر + +237 +00:20:29,750 --> 00:20:33,210 +detect change in concentration of certain + +238 +00:20:33,210 --> 00:20:36,290 +chemicals يبقى هذا اللي علاقة بالchemical + +239 +00:20:36,290 --> 00:20:42,370 +substance شي حامض شي مالح و هكذا nociceptors اللي + +240 +00:20:42,370 --> 00:20:46,490 +علاقة بالألم هذول three nerve endings responding + +241 +00:20:46,490 --> 00:20:52,270 +to pain sensation thermoreceptors هذول اللي علاقة + +242 +00:20:52,270 --> 00:20:58,320 +بال temperatureو photoreceptors اللي معلقه بيش بال + +243 +00:20:58,320 --> 00:21:01,000 +vision يبقى هاد التقسيمة في physiological + +244 +00:21:01,000 --> 00:21:06,940 +classification according to specificity حسب نوع ال + +245 +00:21:06,940 --> 00:21:11,060 +receptors في mechanical receptors كيمو ريسبتر + +246 +00:21:11,060 --> 00:21:18,360 +نوسيبتر ثيرمو ريسبتر و photoreceptors لان انتجل + +247 +00:21:18,360 --> 00:21:25,950 +اتكلم على synapse ايش هو synapseIt is a region at + +248 +00:21:25,950 --> 00:21:30,390 +which a neuron communicates with its target cell + +249 +00:21:30,390 --> 00:21:36,630 +يبقى ان هو عبارة عن a region اللي بيكون فيه نفس ال + +250 +00:21:36,630 --> 00:21:39,410 +نيرون بيبقى communication مع ال target cell + +251 +00:21:39,410 --> 00:21:46,830 +function of synapse is a transfer electric + +252 +00:21:46,830 --> 00:21:51,640 +activity information from one cell to anotherto + +253 +00:21:51,640 --> 00:21:55,660 +another يعني إيه؟ بوصل إشارة من one cell لإيه؟ ل + +254 +00:21:55,660 --> 00:22:01,260 +another cell هذا اسمه synapse the transfer can be + +255 +00:22:01,260 --> 00:22:05,000 +from nerve to nerve يعني التوصيل ممكن يكون من + +256 +00:22:05,000 --> 00:22:10,580 +nerve ل nerve first order ل second order هذا بيسمي + +257 +00:22:10,580 --> 00:22:11,760 +neural + +258 +00:22:13,870 --> 00:22:17,130 +type الـ neuroneural type يعني ايش مقصود بين + +259 +00:22:17,130 --> 00:22:21,350 +neuroneural type يعني الـ synapse بين two neurons + +260 +00:22:21,350 --> 00:22:26,590 +بين ايه؟ two neurons هذا بسميه neuroneural type او + +261 +00:22:26,590 --> 00:22:33,870 +بين nerve و muscle بسميه neuromuscular type يمكن + +262 +00:22:33,870 --> 00:22:37,310 +فيه neuromuscular type او بسميه neuromuscular + +263 +00:22:37,310 --> 00:22:41,290 +junction وفيه neuroneural type لأن neuroneural + +264 +00:22:41,290 --> 00:22:48,800 +type بين two neuronsالنيرو هو نوع عضو بين نيرون أو + +265 +00:22:48,800 --> 00:22:54,580 +nerve مع مين؟ مع muscle fibers البريسنابتك + +266 +00:22:54,580 --> 00:22:58,960 +الوزيكال يحتوي على نيرو ترانسميتار في البريسنابتك + +267 +00:22:58,960 --> 00:23:05,040 +الوزيكال فيهم نيرو ترانسميتار هدول ممكن يكونوا + +268 +00:23:05,040 --> 00:23:11,440 +يعملوا stimulation او يعملوا انهيبشن لبوستسينابتك + +269 +00:23:11,440 --> 00:23:15,180 +نيرون يعني في البريسنابتكphysical فيهم + +270 +00:23:15,180 --> 00:23:18,460 +neurotransmitters هذول ال neurotransmitters اما + +271 +00:23:18,460 --> 00:23:22,460 +وظيفتهم بتكون stimulatory بيعملوا stimulation او + +272 +00:23:22,460 --> 00:23:26,700 +inhibitory بيعملوا inhibition لل post synaptic + +273 +00:23:26,700 --> 00:23:32,120 +neuron structure of the synapse من ايش بتكون + +274 +00:23:32,120 --> 00:23:40,440 +السينابس؟ بتكون من ثلاث أجزاء axon terminal نهاية + +275 +00:23:40,440 --> 00:23:43,000 +ال axon اللي هو بنسمي ال pre synaptic neuron + +276 +00:23:44,860 --> 00:23:49,340 +Synaptic cleft هو عبارة عن space between pre + +277 +00:23:49,340 --> 00:23:53,900 +-synaptic and post-synaptic والممبرنة من نيرون + +278 +00:23:53,900 --> 00:23:57,440 +post-synaptic يبقى عندي جزء pre-synaptic نيرون + +279 +00:23:57,440 --> 00:24:02,640 +وجزء post-synaptic وبينهم فيه cleft هذه بنسميها + +280 +00:24:02,640 --> 00:24:09,280 +synaptic cleft زي ما احنا شايفين هذا اسمه axonal + +281 +00:24:09,280 --> 00:24:16,500 +terminal أو بنسميه pre-synapticنيرون وهذا boss + +282 +00:24:16,500 --> 00:24:20,160 +synaptic اللي هو دين درايتز ممكن يكون والمساحة + +283 +00:24:20,160 --> 00:24:25,070 +بينهم هذه اسمها ايهSynaptic Clift Synaptic Clift + +284 +00:24:25,070 --> 00:24:28,910 +وداخل الـ Pre-Synaptic بيكون فيهم الـ + +285 +00:24:28,910 --> 00:24:32,750 +neurotransmitters الـ neurotransmitters هلأ ال + +286 +00:24:32,750 --> 00:24:35,790 +neurotransmitters هدول إما راح يؤدوا إلى + +287 +00:24:35,790 --> 00:24:40,590 +stimulation للـ post-synaptic نيرون وإما يعملولهم + +288 +00:24:40,590 --> 00:24:45,430 +إيش Inhibition للـ post-synaptic نيرون يبقى عندي + +289 +00:24:45,430 --> 00:24:51,200 +post-synapticpre-synaptic و بينهم a-synaptic cleft + +290 +00:24:51,200 --> 00:24:54,300 +و الـ neurotransmitters هنا موجودين راح يكونوا في + +291 +00:24:54,300 --> 00:24:58,640 +الـ pre-synaptic إما يعملولنا stimulation أو + +292 +00:24:58,640 --> 00:25:03,680 +inhibition للـ post-synaptic نيرون الـ pre + +293 +00:25:03,680 --> 00:25:08,480 +-synaptic بنسميه axonal terminal و ال post + +294 +00:25:08,480 --> 00:25:17,640 +-synaptic هو جزء من الديندريت ال ion channelsفي + +295 +00:25:17,640 --> 00:25:22,500 +كاتيون و أنيون، الكاتيون هما عبارة عن أيه؟ صوديوم + +296 +00:25:22,500 --> 00:25:26,520 +وأحيانا + +297 +00:25:26,520 --> 00:25:32,060 +بيكونوا بتاسيوم أو كالسيوم، الأنيون كلورايد، + +298 +00:25:32,060 --> 00:25:37,040 +transmitters that open sodium channels leads to + +299 +00:25:37,040 --> 00:25:42,650 +excitationExcitation او Stimulation of both + +300 +00:25:42,650 --> 00:25:46,470 +synaptic neurons يبقى لترانسميتر اللي بيفتحوا ال + +301 +00:25:46,470 --> 00:25:51,130 +sodium channels هدول بيقدروا العملية Excitation او + +302 +00:25:51,130 --> 00:25:57,530 +Stimulation of both synaptic neuronsو ال + +303 +00:25:57,530 --> 00:26:04,590 +transmitters اللي بيفتحوا ال chloride channels + +304 +00:26:04,590 --> 00:26:10,130 +بيعملولنا عملية inhibition ل both synaptic neurons + +305 +00:26:10,130 --> 00:26:13,870 +يعني باختصارللـ neurotransmitters نوعين نوعين + +306 +00:26:13,870 --> 00:26:17,170 +بيفتحوا ال sodium channels وبيؤدوا إلى إيه + +307 +00:26:17,170 --> 00:26:20,150 +excitation and stimulation of both synaptic + +308 +00:26:20,150 --> 00:26:24,390 +neurons ونوع بيفتحولنا مين اللي هو ال chloride + +309 +00:26:24,390 --> 00:26:28,810 +channels وبيعملولنا عملية inhibition ل both + +310 +00:26:28,810 --> 00:26:37,390 +synaptic neurons أنواع ال neurotransmitters ممكن + +311 +00:26:37,390 --> 00:26:40,690 +نقسمهم حسب ال chemical structures وإما حسب ال + +312 +00:26:40,690 --> 00:26:44,120 +functionحسب ال chemical structures في + +313 +00:26:44,120 --> 00:26:48,960 +Acetylcholine وفي Amino Acid مثل Glutamate, + +314 +00:26:49,600 --> 00:26:55,100 +Aspartate, Glycine, Gamma Amino Biotic Acid في + +315 +00:26:55,100 --> 00:26:59,240 +Amine مثل الدوبامين Epinephrine, Norepinephrine, + +316 +00:26:59,360 --> 00:27:04,620 +Serotonin وفي Neuropeptide مثل Hydrophins و + +317 +00:27:04,620 --> 00:27:08,220 +Enkephalins هدول موجودين في ال brain لموضوع ال + +318 +00:27:08,220 --> 00:27:14,850 +painالنوع الثاني حسب ال functions بنخسّمهم إلى + +319 +00:27:14,850 --> 00:27:20,470 +excitatory مثل ال glutamate أو الهيبوتوري مثل + +320 +00:27:20,470 --> 00:27:28,230 +الجامعةمينو بيوريتك أسد جابا الان + +321 +00:27:28,230 --> 00:27:35,930 +نتكلم على classification of somatic sensation ال + +322 +00:27:35,930 --> 00:27:41,140 +classification of somatic sensationالان راح اتكلم + +323 +00:27:41,140 --> 00:27:45,680 +على somatic sensation only somatic sensation + +324 +00:27:45,680 --> 00:27:48,880 +according to the site of sensation حسب ال site of + +325 +00:27:48,880 --> 00:27:53,120 +sensation superficial sensation اللي هو sensation + +326 +00:27:53,120 --> 00:27:59,320 +من ال skin جاية مثل ال pain الألم touch اللمس + +327 +00:27:59,320 --> 00:28:04,820 +temperature الحرارةأو deep sensation هم ال + +328 +00:28:04,820 --> 00:28:10,140 +sensation from the muscles, tendons, joints, + +329 +00:28:10,400 --> 00:28:15,040 +bones, ligaments هتتعتبر ايش؟ deep ال deep + +330 +00:28:15,040 --> 00:28:19,240 +sensation له أنواع proprioceptive sensation ليه a + +331 +00:28:19,240 --> 00:28:23,500 +sense of position and sense of movement pressure + +332 +00:28:23,500 --> 00:28:29,270 +sensation muscle tension sensemuscle sense، + +333 +00:28:29,270 --> 00:28:33,110 +vibration sense، إيش ال vibration sense؟ لو جيبنا + +334 +00:28:33,110 --> 00:28:38,130 +جوال و حطيناه رانين أو طانين و حطيناه ع جسمنا + +335 +00:28:38,130 --> 00:28:42,780 +بنشعر فيه؟ بنشعر، لو جيبنا شوكر رانانة؟و إضربناها + +336 +00:28:42,780 --> 00:28:45,300 +شكرانا و حطيناها عبون ال prominance و بنشعر في ال + +337 +00:28:45,300 --> 00:28:48,420 +vibration؟ بنشعر لو روحنا دكتور أسنان و فحر + +338 +00:28:48,420 --> 00:28:51,360 +طحونتنا بنشعر فيه vibration؟ بنشعر في ال vibration + +339 +00:28:51,360 --> 00:28:56,160 +هذا اسمه vibration sense طب ال muscle sense لو + +340 +00:28:56,160 --> 00:28:59,200 +جينا عملنا palpation لل muscle حسيناها tenderness + +341 +00:28:59,200 --> 00:29:02,980 +soft legs و المريض بشعره بقلم بشعرش بقلم في ال + +342 +00:29:02,980 --> 00:29:07,880 +muscle هذا اسمه muscle sensation طب muscle tension + +343 +00:29:07,880 --> 00:29:14,000 +sense لو جيبنا وزنين مختلفينحطناهم فيدي و غمطت + +344 +00:29:14,000 --> 00:29:18,360 +عناية و رفعتهم لازم اميز مين الأثقل الجوال ولا + +345 +00:29:18,360 --> 00:29:23,280 +الجلم مين الشعر في الوزن هذا العضلة يبقى ان هذا + +346 +00:29:23,280 --> 00:29:27,880 +اسمه muscle tension sense طب لو جيبنا وزنين + +347 +00:29:27,880 --> 00:29:32,600 +مختلفين وحطناهم على إيدنا هنا هي إيد و هي إيد + +348 +00:29:32,600 --> 00:29:39,810 +فوقها و نميز بينهممين أثقل الجوال ولا الجلام وانا + +349 +00:29:39,810 --> 00:29:43,410 +مغمض ان هي هذا اسمه pressure sense مثال آخر على + +350 +00:29:43,410 --> 00:29:47,910 +pressure sense لو أجي أولاده الواحد أو البنات وولد + +351 +00:29:47,910 --> 00:29:51,450 +قاعد على رجل اليمين عمره سنتين وولد عمره عشر سنين + +352 +00:29:51,450 --> 00:29:54,470 +قاعد على الشمال مش وانا قاعد بشعر فيهم أثقل ومين + +353 +00:29:54,470 --> 00:29:57,670 +أتعبني يكون هذا اسمه pressure sense ايش الفرق بين + +354 +00:29:57,670 --> 00:30:01,170 +pressure sense و muscle tension sense ال pressure + +355 +00:30:01,170 --> 00:30:06,330 +sense بيكونبنضع وزنين مختلفين و ال upper limbs او + +356 +00:30:06,330 --> 00:30:09,010 +ال lower limbs عندي انا fixed بيكون انا بتحركش + +357 +00:30:09,010 --> 00:30:12,330 +بحركهمش انا شعرت بال pressure بتاعي هذا pressure + +358 +00:30:12,330 --> 00:30:16,050 +sense لكن muscle tension sense انا اخدت ظرف بكات + +359 +00:30:16,050 --> 00:30:21,640 +فيه اغراضو حملته بده اشعر او احس ان الوزن مظبوط 2 + +360 +00:30:21,640 --> 00:30:26,020 +كيلو او 3 كيلو مسكت فيه اتين بكتين مختلفين و قلت + +361 +00:30:26,020 --> 00:30:29,320 +لأ هذا أثقل من هذا انا شعرت بالوزن عن طريق العضلة + +362 +00:30:29,320 --> 00:30:33,180 +نفسها هذا اسمه muscle tension ash essence ال + +363 +00:30:33,180 --> 00:30:36,720 +proprio reception او proprio receptive هم عبارة عن + +364 +00:30:36,720 --> 00:30:40,500 +ash essence of joint اللي له ملاقة بال joint لو + +365 +00:30:40,500 --> 00:30:44,970 +انا غمطت هناو حركت أصبع المريض لفوق و لتحت المريض + +366 +00:30:44,970 --> 00:30:49,610 +راح يشعر أي عضلة أي جوينت انا حركته يعني جينا ال + +367 +00:30:49,610 --> 00:30:55,670 +finger فوق او تحت بدي يحددلي أي أصبع انا حركته بس + +368 +00:30:55,670 --> 00:30:59,970 +يكون العينية مغمضين و مسكرة عينيا المريض في الحالة + +369 +00:30:59,970 --> 00:31:07,440 +هذه اسمها joint sense في combined sensationزي + +370 +00:31:07,440 --> 00:31:13,600 +Stereognosis ايش Stereognosis؟ لو جيبنا شيء هاي + +371 +00:31:13,600 --> 00:31:19,780 +عصابه للمثال عشرة شكل هذه بجيب مبلغ من الفلوس و + +372 +00:31:19,780 --> 00:31:23,620 +بحطه في ايد المريض و المريض مغمض انيا باللمس + +373 +00:31:23,620 --> 00:31:29,740 +بدميزلي خمس شكل اتنين شكل تلاتة شكل اتنين شكل شكل + +374 +00:31:29,740 --> 00:31:37,590 +عشرة شكل بطريقة هذه بدميزلي طيب حطينا في ايدهشكل و + +375 +00:31:37,590 --> 00:31:42,010 +اتنين شكل لازم بيقولوا عيدلي ايه هم بيقولوا عيدلي + +376 +00:31:42,010 --> 00:31:44,790 +هدول كام في ده بيقوللي تلاتة شكل بالمثل بيقوللي + +377 +00:31:44,790 --> 00:31:48,590 +هده شكل و هده اتنين شكل يعني ان هو باللمس حدده او + +378 +00:31:48,590 --> 00:31:52,590 +جيبنا جلم او مفتاح و حاطينا فيه ده و هم غمضناه + +379 +00:31:52,590 --> 00:31:56,270 +باللمس بيشعر ايش ان هو بيقوللي هد جلم هد مفتاح هد + +380 +00:31:56,270 --> 00:32:01,870 +عملية ايش بيسميها عملية stereo diagnosisالـ + +381 +00:32:01,870 --> 00:32:06,570 +Tactile Discrimination بنجيب مثل ثرجار بسنين و + +382 +00:32:06,570 --> 00:32:09,250 +بنحطه على ال hand بيبقى يشعر يقولي هنا في two + +383 +00:32:09,250 --> 00:32:13,470 +point لو سن واحد حاطنا one point سنين بيبقى يشعروا + +384 +00:32:13,470 --> 00:32:16,170 +ان هدول two point هذا بيسميها Tactile + +385 +00:32:16,170 --> 00:32:20,870 +Discrimination او اسمها ثاني two point + +386 +00:32:20,870 --> 00:32:24,650 +discrimination two point discrimination + +387 +00:32:27,140 --> 00:32:31,080 +According to modality of sensation it is more + +388 +00:32:31,080 --> 00:32:35,260 +common classification مثل ال receptor اللي اشرحتهم + +389 +00:32:35,260 --> 00:32:38,780 +ال somatic sensation بيقسمهم ل mecanoreceptive + +390 +00:32:38,780 --> 00:32:43,120 +sensation و thermoreceptive sensation و pain + +391 +00:32:43,120 --> 00:32:47,060 +sensation mecanoreceptive sensation مثل touch + +392 +00:32:47,060 --> 00:32:52,210 +sensation حاسس اللمسpressure sensation، ضغط، انا + +393 +00:32:52,210 --> 00:32:56,930 +ضغطت، ضغطت بسيط، ضغطت جوي، و هكذا muscle tension + +394 +00:32:56,930 --> 00:32:59,650 +sense، شرحتلكوا ياه، حطينا وزنين مختلفين و رفعناهم + +395 +00:32:59,650 --> 00:33:03,410 +بإيدنا vibration sense، عن طريق الشوكار رنانا + +396 +00:33:05,510 --> 00:33:10,510 +Tickle and itch sensation، tickle يعني زغزغة، itch + +397 +00:33:10,510 --> 00:33:16,250 +sensation الحكة يعني واحد بعوض جرسه ممكن يضلوا حق + +398 +00:33:16,250 --> 00:33:20,290 +فيهم، هذا اسمه itching sensation، itch حكة Pro + +399 +00:33:20,290 --> 00:33:23,330 +-proceptive sensation اللي لها علاقة بال joint + +400 +00:33:23,330 --> 00:33:27,080 +sensation أو ال deep sensationالنوع الثاني + +401 +00:33:27,080 --> 00:33:31,560 +thermoreceptive sensation اللي علاقة بال heat and + +402 +00:33:31,560 --> 00:33:34,120 +cold sensation اللي علاقة بال temperature + +403 +00:33:34,120 --> 00:33:39,260 +sensation والنوع الثالث الأخير pain sensation اللي + +404 +00:33:39,260 --> 00:33:44,520 +علاقة بالألم ان شاء الله لها نقف في الجزء الأول من + +405 +00:33:44,520 --> 00:33:48,660 +المحاضرة الجزء الثاني ان شاء اللهراح اتكلم فيه على + +406 +00:33:48,660 --> 00:33:53,240 +pain sensation وراح اتكلم على ال pathway of + +407 +00:33:53,240 --> 00:33:57,080 +superficial sensation and pathway of deep + +408 +00:33:57,080 --> 00:33:57,720 +sensation + diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/2Fl5-lllqJc_raw.json b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/2Fl5-lllqJc_raw.json new file mode 100644 index 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"seek": 27547, "start": 251.49, "end": 275.47, "text": "ثلاثة generator يعمل generation of nerve impulses in sensory nerve وبتعمل عملية generation بتدخل الإشارة من node of renvier ل node of renvier عن طريق passive transmission وبساعد في الترانسميشن اللي هو myelin sheath myelin sheath أربع they inform the CNS", "tokens": [12984, 1211, 5718, 104, 3660, 19265, 7251, 25957, 1211, 5125, 295, 16355, 41767, 6196, 294, 27233, 16355, 46599, 2655, 25957, 1211, 6225, 42213, 10632, 5125, 39894, 3215, 9778, 1211, 33688, 8592, 9640, 3660, 9154, 9984, 295, 8124, 85, 811, 5296, 9984, 295, 8124, 85, 811, 18871, 23032, 16572, 4587, 14975, 11574, 46599, 3794, 995, 22488, 8978, 16712, 2288, 7649, 3794, 2304, 1829, 8592, 1863, 13672, 1829, 31439, 452, 31173, 750, 998, 452, 31173, 750, 998, 5551, 25513, 3615, 436, 1356, 264, 14589, 50], "avg_logprob": -0.34412201352062677, "compression_ratio": 1.516431924882629, "no_speech_prob": 0.0, "words": [{"start": 251.49, "end": 252.17, "word": "ثلاثة", 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306.58, "end": 332.62, "text": "الاستيمولاس او ال energy ل action potential يبقى عملية تحويل الاستيمولاس او ال energy ل action potential بنسميها receptor potential هي ان نهايته هذا انا برسم ال axon", "tokens": [6027, 995, 14851, 32640, 12610, 32277, 1975, 2407, 2423, 2281, 5296, 3069, 3995, 7251, 3555, 4587, 7578, 6225, 42213, 10632, 6055, 5016, 2407, 26895, 42963, 14851, 32640, 12610, 32277, 1975, 2407, 2423, 2281, 5296, 3069, 3995, 44945, 38251, 1829, 11296, 32264, 3995, 39896, 16472, 8717, 11296, 36081, 3224, 23758, 1975, 8315, 4724, 2288, 38251, 2423, 6360, 266], "avg_logprob": -0.2914870699931835, "compression_ratio": 1.6901408450704225, "no_speech_prob": 0.0, "words": [{"start": 306.58, "end": 307.42, "word": "الاستيمولاس", "probability": 0.5533955891927084}, {"start": 307.42, "end": 307.84, "word": " او", "probability": 0.789306640625}, {"start": 307.84, "end": 307.92, "word": " ال", "probability": 0.96337890625}, {"start": 307.92, "end": 309.58, "word": " energy", 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"temperature": 1.0}, {"id": 14, "seek": 36880, "start": 340.52, "end": 368.8, "text": "و هكذا حلل ال axon اله نهايته بتكون nonmyelinated قعدين بيجي نميلين شيت هذا نميلين شيت بيكون مرتبط مع إشفان cells", "tokens": [2407, 8032, 4117, 15730, 11331, 1211, 1211, 2423, 6360, 266, 2423, 3224, 8717, 11296, 36081, 3224, 39894, 30544, 2107, 2226, 31173, 770, 12174, 22488, 9957, 4724, 1829, 7435, 1829, 8717, 2304, 26895, 9957, 13412, 36081, 23758, 8717, 2304, 26895, 9957, 13412, 36081, 4724, 1829, 30544, 3714, 43500, 3555, 9566, 20449, 11933, 8592, 5172, 7649, 5438], "avg_logprob": -0.4344308136829308, "compression_ratio": 1.362962962962963, "no_speech_prob": 0.0, "words": [{"start": 340.52, "end": 340.78, "word": "و", "probability": 0.724609375}, {"start": 340.78, "end": 341.32, "word": " هكذا", "probability": 0.8497721354166666}, {"start": 341.32, "end": 343.0, "word": " حلل", "probability": 0.7605794270833334}, {"start": 343.0, "end": 343.1, "word": " ال", "probability": 0.6064453125}, {"start": 343.1, "end": 343.46, "word": " axon", "probability": 0.390350341796875}, {"start": 343.46, "end": 346.14, "word": " اله", "probability": 0.488525390625}, {"start": 346.14, "end": 347.3, "word": " نهايته", "probability": 0.873291015625}, {"start": 347.3, "end": 347.56, "word": " بتكون", "probability": 0.60650634765625}, {"start": 347.56, "end": 348.62, "word": " nonmyelinated", "probability": 0.61962890625}, {"start": 348.62, "end": 349.66, "word": " قعدين", "probability": 0.3880208333333333}, {"start": 349.66, "end": 349.84, "word": " بيجي", "probability": 0.9603271484375}, {"start": 349.84, "end": 350.34, "word": " نميلين", "probability": 0.61700439453125}, {"start": 350.34, "end": 350.7, "word": " شيت", "probability": 0.434814453125}, {"start": 350.7, "end": 365.28, "word": " هذا", "probability": 0.63037109375}, {"start": 365.28, "end": 365.58, "word": " نميلين", "probability": 0.782257080078125}, {"start": 365.58, "end": 365.74, "word": " شيت", "probability": 0.971923828125}, {"start": 365.74, "end": 365.98, "word": " بيكون", "probability": 0.8113606770833334}, {"start": 365.98, "end": 366.46, "word": " مرتبط", "probability": 0.9814453125}, {"start": 366.46, "end": 367.36, "word": " مع", "probability": 0.92919921875}, {"start": 367.36, "end": 368.34, "word": " إشفان", "probability": 0.69061279296875}, {"start": 368.34, "end": 368.8, "word": " cells", "probability": 0.439453125}], "temperature": 1.0}, {"id": 15, "seek": 39717, "start": 370.19, "end": 397.17, "text": "انا برسم فيه وده اشارة اتجاهي ايش ال signal هلأ في ال wrist .. في ال wrist without stimuli .. بدون stimuli ال sensory nerve endings are in polarized state يعني ايش in polarized state؟ بيكون الصوديوم خارج ال .. ال receptors الصوديوم بيكون خارج ال receptors", "tokens": [7649, 995, 4724, 2288, 38251, 8978, 3224, 4032, 3215, 3224, 1975, 8592, 9640, 3660, 1975, 2655, 7435, 40294, 1829, 1975, 1829, 8592, 2423, 6358, 8032, 1211, 10721, 8978, 2423, 15043, 4386, 8978, 2423, 15043, 1553, 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{"start": 382.87, "end": 382.91, "word": " ..", "probability": 0.5654296875}, {"start": 382.91, "end": 383.13, "word": " بدون", "probability": 0.796630859375}, {"start": 383.13, "end": 383.67, "word": " stimuli", "probability": 0.91552734375}, {"start": 383.67, "end": 385.63, "word": " ال", "probability": 0.798828125}, {"start": 385.63, "end": 385.99, "word": " sensory", "probability": 0.8359375}, {"start": 385.99, "end": 386.45, "word": " nerve", "probability": 0.59228515625}, {"start": 386.45, "end": 387.05, "word": " endings", "probability": 0.63671875}, {"start": 387.05, "end": 388.03, "word": " are", "probability": 0.890625}, {"start": 388.03, "end": 388.73, "word": " in", "probability": 0.95068359375}, {"start": 388.73, "end": 389.45, "word": " polarized", "probability": 0.90234375}, {"start": 389.45, "end": 390.11, "word": " state", "probability": 0.9287109375}, {"start": 390.11, "end": 390.95, "word": " يعني", "probability": 0.9482421875}, {"start": 390.95, "end": 391.23, "word": " ايش", "probability": 0.89404296875}, {"start": 391.23, "end": 391.43, "word": " in", "probability": 0.763671875}, {"start": 391.43, "end": 391.89, "word": " polarized", "probability": 0.9599609375}, {"start": 391.89, "end": 392.93, "word": " state؟", "probability": 0.81494140625}, {"start": 392.93, "end": 393.47, "word": " بيكون", "probability": 0.8779296875}, {"start": 393.47, "end": 393.87, "word": " الصوديوم", "probability": 0.7047119140625}, {"start": 393.87, "end": 394.37, "word": " خارج", "probability": 0.99462890625}, {"start": 394.37, "end": 394.61, "word": " ال", "probability": 0.923828125}, {"start": 394.61, "end": 394.65, "word": " ..", "probability": 0.439208984375}, {"start": 394.65, "end": 395.23, "word": " ال", "probability": 0.875}, {"start": 395.23, "end": 395.63, "word": " receptors", "probability": 0.289794921875}, {"start": 395.63, "end": 396.17, "word": " الصوديوم", "probability": 0.935791015625}, {"start": 396.17, "end": 396.37, "word": " بيكون", 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{"start": 403.94, "end": 404.92, "word": " او", "probability": 0.7000732421875}, {"start": 404.92, "end": 406.82, "word": " unmyelinated", "probability": 0.6795654296875}, {"start": 406.82, "end": 407.64, "word": " يعني", "probability": 0.89794921875}, {"start": 407.64, "end": 408.28, "word": " مافيش", "probability": 0.6892903645833334}, {"start": 408.28, "end": 408.72, "word": " فيها", "probability": 0.96923828125}, {"start": 408.72, "end": 409.6, "word": " myelin", "probability": 0.607666015625}, {"start": 409.6, "end": 410.02, "word": " شيط", "probability": 0.7572428385416666}, {"start": 410.02, "end": 412.02, "word": " طيب", "probability": 0.9148763020833334}, {"start": 412.02, "end": 413.14, "word": " if", "probability": 0.73583984375}, {"start": 413.14, "end": 413.4, "word": " it", "probability": 0.97265625}, {"start": 413.4, "end": 413.58, "word": " is", "probability": 0.84228515625}, {"start": 413.58, "end": 414.4, "word": " stimulated", "probability": 0.972900390625}, {"start": 414.4, "end": 415.2, "word": " اذا", "probability": 0.726806640625}, {"start": 415.2, "end": 415.54, "word": " حدث", "probability": 0.9928385416666666}, {"start": 415.54, "end": 415.66, "word": " ال", "probability": 0.34765625}, {"start": 415.66, "end": 416.24, "word": " stimulation", "probability": 0.9638671875}, {"start": 416.24, "end": 417.06, "word": " هي", "probability": 0.9140625}, {"start": 417.06, "end": 417.26, "word": " وين", "probability": 0.4281005859375}, {"start": 417.26, "end": 417.34, "word": " دي", "probability": 0.837890625}, {"start": 417.34, "end": 417.48, "word": " يكون", "probability": 0.81982421875}, {"start": 417.48, "end": 417.68, "word": " في", "probability": 0.87109375}, {"start": 417.68, "end": 417.78, "word": " ال", "probability": 0.947265625}, {"start": 417.78, "end": 418.1, "word": " wrist", "probability": 0.548828125}, {"start": 418.1, "end": 419.32, "word": " بيكون", "probability": 0.8792317708333334}, {"start": 419.32, "end": 421.12, "word": 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حاطينا فيه ده و هم غمضناه باللمس بيشعر ايش ان هو بيقوللي هد جلم هد مفتاح هد عملية ايش بيسميها عملية stereo diagnosis", "tokens": [8592, 28820, 4032, 1975, 2655, 1863, 9957, 13412, 28820, 5296, 31377, 2304, 4724, 1829, 39648, 14407, 6225, 25708, 20292, 1975, 1829, 3224, 8032, 2304, 4724, 1829, 39648, 14407, 6225, 25708, 20292, 8032, 3215, 12610, 9122, 10943, 8978, 11778, 3224, 4724, 1829, 39648, 20292, 6055, 1211, 9307, 3660, 13412, 28820, 20666, 2304, 12984, 1211, 4724, 1829, 39648, 20292, 8032, 3215, 3224, 13412, 28820, 4032, 8032, 3215, 3224, 1975, 2655, 1863, 9957, 13412, 28820, 37495, 22653, 16472, 31439, 20666, 19528, 3794, 11331, 3215, 3215, 3224, 1975, 2407, 10874, 1829, 3555, 8315, 10874, 19528, 1975, 2407, 3714, 5172, 2655, 39319, 4032, 11331, 41193, 1829, 8315, 8978, 3224, 11778, 3224, 4032, 8032, 2304, 32771, 2304, 11242, 8315, 3224, 20666, 19528, 3794, 4724, 1829, 8592, 3615, 2288, 1975, 1829, 8592, 16472, 31439, 4724, 1829, 39648, 20292, 8032, 3215, 10874, 19528, 8032, 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"end": 1990.97, "word": " sensation", "probability": 0.87109375}, {"start": 1990.97, "end": 1991.55, "word": " الحكة", "probability": 0.6914876302083334}, {"start": 1991.55, "end": 1992.21, "word": " يعني", "probability": 0.852783203125}, {"start": 1992.21, "end": 1992.51, "word": " واحد", "probability": 0.938232421875}, {"start": 1992.51, "end": 1993.03, "word": " بعوض", "probability": 0.8048502604166666}, {"start": 1993.03, "end": 1994.57, "word": " جرسه", "probability": 0.9512939453125}, {"start": 1994.57, "end": 1995.47, "word": " ممكن", "probability": 0.895263671875}, {"start": 1995.47, "end": 1995.75, "word": " يضلوا", "probability": 0.76025390625}, {"start": 1995.75, "end": 1996.25, "word": " حق", "probability": 0.804443359375}, {"start": 1996.25, "end": 1996.93, "word": " فيهم،", "probability": 0.8478190104166666}, {"start": 1996.93, "end": 1997.09, "word": " هذا", "probability": 0.46337890625}, {"start": 1997.09, "end": 1997.39, "word": " اسمه", "probability": 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"word": " بال", "probability": 0.97705078125}, {"start": 2010.62, "end": 2011.0, "word": " heat", "probability": 0.73486328125}, {"start": 2011.0, "end": 2011.56, "word": " and", "probability": 0.84521484375}, {"start": 2011.56, "end": 2011.96, "word": " cold", "probability": 0.93212890625}, {"start": 2011.96, "end": 2012.56, "word": " sensation", "probability": 0.94677734375}, {"start": 2012.56, "end": 2012.98, "word": " اللي", "probability": 0.83935546875}, {"start": 2012.98, "end": 2013.42, "word": " علاقة", "probability": 0.93115234375}, {"start": 2013.42, "end": 2013.68, "word": " بال", "probability": 0.98876953125}, {"start": 2013.68, "end": 2014.12, "word": " temperature", "probability": 0.7548828125}, {"start": 2014.12, "end": 2015.28, "word": " sensation", "probability": 0.94677734375}, {"start": 2015.28, "end": 2016.1, "word": " والنوع", "probability": 0.8738606770833334}, {"start": 2016.1, "end": 2016.46, "word": " الثالث", "probability": 0.9671630859375}, {"start": 2016.46, "end": 2017.02, "word": " الأخير", "probability": 0.91650390625}, {"start": 2017.02, "end": 2017.98, "word": " pain", "probability": 0.93115234375}, {"start": 2017.98, "end": 2018.72, "word": " sensation", "probability": 0.96337890625}, {"start": 2018.72, "end": 2019.26, "word": " اللي", "probability": 0.988037109375}, {"start": 2019.26, "end": 2019.88, "word": " علاقة", "probability": 0.9285481770833334}, {"start": 2019.88, "end": 2020.86, "word": " بالألم", "probability": 0.9425455729166666}, {"start": 2020.86, "end": 2021.92, "word": " ان", "probability": 0.650390625}, {"start": 2021.92, "end": 2022.18, "word": " شاء", "probability": 0.98291015625}, {"start": 2022.18, "end": 2022.36, "word": " الله", "probability": 0.94970703125}, {"start": 2022.36, "end": 2023.44, "word": " لها", "probability": 0.895751953125}, {"start": 2023.44, "end": 2023.76, "word": " نقف", "probability": 0.9627278645833334}, {"start": 2023.76, "end": 2023.9, "word": " في", "probability": 0.93017578125}, {"start": 2023.9, "end": 2024.08, "word": " الجزء", "probability": 0.7941080729166666}, {"start": 2024.08, "end": 2024.34, "word": " الأول", "probability": 0.90576171875}, {"start": 2024.34, "end": 2024.52, "word": " من", "probability": 0.9580078125}, {"start": 2024.52, "end": 2025.1, "word": " المحاضرة", "probability": 0.9832763671875}, {"start": 2025.1, "end": 2025.82, "word": " الجزء", "probability": 0.8388671875}, {"start": 2025.82, "end": 2026.22, "word": " الثاني", "probability": 0.9444580078125}, {"start": 2026.22, "end": 2026.36, "word": " ان", "probability": 0.91748046875}, {"start": 2026.36, "end": 2026.5, "word": " شاء", "probability": 0.992919921875}, {"start": 2026.5, "end": 2026.56, "word": " الله", "probability": 0.904296875}], "temperature": 1.0}, {"id": 83, "seek": 203772, "start": 2027.24, "end": 2037.72, "text": "راح اتكلم فيه على pain sensation وراح اتكلم على ال pathway of superficial sensation and pathway of deep sensation", "tokens": [23557, 5016, 1975, 2655, 4117, 19528, 8978, 3224, 15844, 1822, 20069, 4032, 23557, 5016, 1975, 2655, 4117, 19528, 15844, 2423, 18590, 295, 34622, 20069, 293, 18590, 295, 2452, 20069], "avg_logprob": -0.2066406190395355, "compression_ratio": 1.396039603960396, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 2027.24, "end": 2027.66, "word": "راح", "probability": 0.6373291015625}, {"start": 2027.66, "end": 2028.08, "word": " اتكلم", "probability": 0.8975830078125}, {"start": 2028.08, "end": 2028.46, "word": " فيه", "probability": 0.854248046875}, {"start": 2028.46, "end": 2028.66, "word": " على", "probability": 0.689453125}, {"start": 2028.66, "end": 2029.48, "word": " pain", "probability": 0.712890625}, {"start": 2029.48, "end": 2030.18, "word": " sensation", "probability": 0.96484375}, {"start": 2030.18, "end": 2030.76, "word": " وراح", "probability": 0.8678385416666666}, {"start": 2030.76, "end": 2031.12, "word": " اتكلم", "probability": 0.961669921875}, {"start": 2031.12, "end": 2031.42, "word": 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1974.0156249999948} \ No newline at end of file diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/2vAI9D53R-U.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/2vAI9D53R-U.srt new file mode 100644 index 0000000000000000000000000000000000000000..c34055bb72cec5b8085bb1946813c310ffcf5a9f --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/2vAI9D53R-U.srt @@ -0,0 +1,746 @@ +1 +00:00:05,180 --> 00:00:08,200 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله و + +2 +00:00:08,200 --> 00:00:12,680 +بركاته نكمل موضوع الـ pathway of corticospinal + +3 +00:00:12,680 --> 00:00:16,340 +tract هاندي corticospinal tract الـ corticospinal + +4 +00:00:16,340 --> 00:00:20,260 +tract في الـ lower part of medulla oblongata بنقسم + +5 +00:00:20,260 --> 00:00:24,860 +لقسمين لـ lateral corticospinal tract اللي بيعمل + +6 +00:00:24,860 --> 00:00:28,380 +crossing 90% بيعمل الـ crossing وبتجه على lateral + +7 +00:00:28,380 --> 00:00:32,400 +column of spinal cord وفي fibers بتضعها direct + +8 +00:00:32,400 --> 00:00:38,300 +بنسميها ايش direct أو ventral corticospinal tract + +9 +00:00:38,300 --> 00:00:41,400 +الـ ventral corticospinal tract بتعطي الـ + +10 +00:00:41,400 --> 00:00:45,460 +anterior horns من الـ both sides لـ respiratory + +11 +00:00:45,460 --> 00:00:50,890 +muscle الـ ventral spinotalamic tract بتمر في الـ + +12 +00:00:50,890 --> 00:00:53,270 +ventral column of spinal cord مسئول عن الـ + +13 +00:00:53,270 --> 00:00:56,490 +respiratory muscle أما الـ lateral corticospinal + +14 +00:00:56,490 --> 00:01:00,170 +tract مسئول عن الـ muscle of the upper and lower + +15 +00:01:00,170 --> 00:01:07,150 +limbs هذه واضحة أن الـ corticospinal + +16 +00:01:07,150 --> 00:01:10,150 +tract في lower part of medulla عامل الـ crossing + +17 +00:01:10,150 --> 00:01:14,970 +اللاترال بيروح على الجهة المعاكسة بنسموه indirect + +18 +00:01:14,970 --> 00:01:18,410 +ومسئول عن الـ anterior muscles of the upper and + +19 +00:01:18,410 --> 00:01:21,990 +lower limbs أما الـ direct أو الـ ventral بيبقوا على + +20 +00:01:21,990 --> 00:01:26,370 +نفس الجهة وبيعطينا supplying لـ الـ both anterior + +21 +00:01:26,370 --> 00:01:30,990 +muscles اللي مسئول عن الـ respiratory musclesthe + +22 +00:01:30,990 --> 00:01:37,190 +corticospinal tract the motor area of one side of + +23 +00:01:37,190 --> 00:01:43,870 +cerebral hemisphere is responsible for movement of + +24 +00:01:43,870 --> 00:01:48,310 +muscle of the opposite half of the body mainly the + +25 +00:01:48,310 --> 00:01:51,390 +limbs يعني الـ motor area اللي في الـ cerebral + +26 +00:01:51,390 --> 00:01:55,290 +hemisphere اليمين مسئولة عن إيه؟ عن اليسار العكس + +27 +00:01:55,290 --> 00:02:00,180 +على اليسار مسئولة عن مين؟ عن اليمينThe muscles of + +28 +00:02:00,180 --> 00:02:06,600 +respiration are C-fibers from both cerebral + +29 +00:02:06,600 --> 00:02:11,780 +hemispheres. This explains the absence of + +30 +00:02:11,780 --> 00:02:15,940 +respiratory paralysis in hemiplegic persons حكمة + +31 +00:02:15,940 --> 00:02:22,360 +ربانية حكمة ربنا وين أن عضلات تبعات التنفس تبعات + +32 +00:02:22,360 --> 00:02:25,300 +القفص الصدري أعطاهم من الـ Body Cerebral Hemisphere + +33 +00:02:25,300 --> 00:02:28,620 +على أساس إن لو حدث إنسان عنده جلطة دماغية على + +34 +00:02:28,620 --> 00:02:32,360 +اليمين المفروض أن يشعل الجهزر اليسار هنا الـ + +35 +00:02:32,360 --> 00:02:34,960 +respiratory muscle بيبقالهم سالمين على اليمين وعلى + +36 +00:02:34,960 --> 00:02:39,330 +اليسار شوفوا حكمة ربنا كده وإلا كان كرم مرضى عندهم + +37 +00:02:39,330 --> 00:02:42,150 +هنا بليجا بدوا جهاز تنفس صناعي بدوا جهاز تنفس + +38 +00:02:42,150 --> 00:02:46,710 +صناعي لكن عضلات التنفس ربنا أعطاهم innervation من + +39 +00:02:46,710 --> 00:02:49,990 +الـ both sides ربنا ليهم السيارة عن طريق مين؟ ventral + +40 +00:02:49,990 --> 00:02:53,590 +corticospinal tract هم هالعشرة في المية من الـ + +41 +00:02:53,590 --> 00:02:58,090 +fibers اللي بالهم قدر وماعملوش crossing وين على الـ + +42 +00:02:58,090 --> 00:03:04,960 +opposite side ننتقل الأن لـ Lower Motoneuron System + +43 +00:03:04,960 --> 00:03:12,160 +اللي هو Spinal Muscular Fibers Spinal + +44 +00:03:12,160 --> 00:03:16,880 +هو مسئول عن إيش؟ Spinal control of voluntary + +45 +00:03:16,880 --> 00:03:22,780 +movement originates at the anterior horn cells of + +46 +00:03:22,780 --> 00:03:26,900 +spinal cord and corresponding cranial motor nuclei + +47 +00:03:26,900 --> 00:03:31,040 +in the brainstem يعني الـ lower motor neuron رح + +48 +00:03:31,040 --> 00:03:35,220 +يبدأ من الـ anterior horns لحد ما أصل muscle من ناحية + +49 +00:03:35,220 --> 00:03:38,880 +spinal cord يعني الـ anterior horns تاب على الـ lower + +50 +00:03:38,880 --> 00:03:43,780 +motor neuron تمام؟ وفي الـ brain رح يبدأ الـ lower + +51 +00:03:43,780 --> 00:03:48,000 +motor neuron من الـ motor nuclei of the cranial + +52 +00:03:48,000 --> 00:03:52,120 +nerves in the brainstem لحد ما أصل الفاسب أو للتنك + +53 +00:03:52,120 --> 00:03:55,220 +أيضا النكلياتي بتاعة الـ cranial nerves اللي موجودة + +54 +00:03:55,220 --> 00:03:59,120 +في الـ brainstem تعتبر lower motor neuron الـ nerve + +55 +00:03:59,120 --> 00:04:03,020 +lower motor neuron الـ neuromuscular junction lower + +56 +00:04:03,020 --> 00:04:09,460 +motor neuron المصل lower motor neuron function + +57 +00:04:09,460 --> 00:04:13,180 +stimulation of voluntary motor at the level of the + +58 +00:04:13,180 --> 00:04:18,230 +same side 2- Stimulation of muscle tone at the + +59 +00:04:18,230 --> 00:04:22,290 +level of same side 3- Stimulation of deep reflex + +60 +00:04:22,290 --> 00:04:25,090 +at the level of same side طب لو صار ده مش للا + +61 +00:04:25,090 --> 00:04:29,410 +ورموطه نيرون العكس صحيح ندخل في muscle hypotonia + +62 +00:04:29,410 --> 00:04:36,970 +و hyporeflexia أو areflexia ليش at the same side + +63 +00:04:36,970 --> 00:04:41,270 +أنا بشبه يا جماعة الـ corticospinal tract بالخط + +64 +00:04:41,270 --> 00:04:43,090 +الرئيسي بتاع الكهربل اللي في الدرج اللي يكون في + +65 +00:04:43,090 --> 00:04:46,960 +البرج طب الشغّه هادى .. هادى Anti-reversals هادى + +66 +00:04:46,960 --> 00:04:57,790 +الأول موتو نيرون طبعا لو جسينا الخط + +67 +00:04:57,790 --> 00:05:01,450 +الرئيسي الموازية تفصل الكهربا بتحت كلهم يبقى في الـ + +68 +00:05:01,450 --> 00:05:04,970 +upper motor neuron بيحدث شلل تحت مستوى الإصابة في + +69 +00:05:04,970 --> 00:05:08,190 +الـ upper motor neuron شلل تحت مستوى الإصابة لكن في + +70 +00:05:08,190 --> 00:05:12,450 +الـ lower motor neuron بيكون فقط شلل على نفس الجهة + +71 +00:05:12,450 --> 00:05:16,810 +وعلى نفس مستوى يعني العضلة deltoid muscle بتاخد من + +72 +00:05:16,810 --> 00:05:21,710 +C5 C5 سيجمنت على اليمين صار دمج في الـ Anterior + +73 +00:05:21,710 --> 00:05:26,110 +Horns فقط لتنشلد الـ Toy بمفر على اليمين تحت فوق + +74 +00:05:26,110 --> 00:05:31,890 +شغال 100% هذا اسمه Lower Motoneuron ليجي من أين + +75 +00:05:31,890 --> 00:05:36,770 +بيبدأ Lower Motoneuron بيبدأ هي من الـ Anterior + +76 +00:05:36,770 --> 00:05:45,270 +Horns بيطلع الـ fibers عن طريق الـ + +77 +00:05:45,270 --> 00:05:52,510 +Anterior Root بعد هيك بتتجه مع الـ sensory fibers في + +78 +00:05:52,510 --> 00:06:04,910 +sensory fibers تمام أنا بتكلم الآن على motor ما + +79 +00:06:04,910 --> 00:06:06,990 +راح أكمل بالـ sensory أنا بتكلم على الـ motor راح + +80 +00:06:06,990 --> 00:06:10,770 +نكمل بالـ motor fibers الـ motor fibers بتتجه في الـ + +81 +00:06:10,770 --> 00:06:14,460 +peripheral nerve motor fibers على الـ muscle بتغضي + +82 +00:06:14,460 --> 00:06:21,560 +الـ muscle يبقى هذا anterior spinal root هذا motor + +83 +00:06:21,560 --> 00:06:27,580 +nerve fiber نفس + +84 +00:06:27,580 --> 00:06:32,960 +الشيء على الـ segment البعده تطلع في الـ anterior + +85 +00:06:32,960 --> 00:06:38,660 +root تحد مع الـ posterior root بيكونوننا peripheral + +86 +00:06:38,660 --> 00:06:47,160 +nerve وبيغضوننا اللي هو الـ muscle fibers إذا الـ + +87 +00:06:47,160 --> 00:06:51,720 +anterior horn cells تعتبر lower motor neuron الـ + +88 +00:06:51,720 --> 00:06:55,360 +anterior root الأزداد lower motor neuron الـ + +89 +00:06:55,360 --> 00:06:58,200 +peripheral nerve lower motor neuron الـ + +90 +00:06:58,200 --> 00:07:01,080 +neuromuscular junction lower motor neuron الـ + +91 +00:07:01,080 --> 00:07:03,920 +muscle fibers lower motor neuron في الـ brain السم + +92 +00:07:03,920 --> 00:07:07,470 +هكذا الموتور النوكلياعي عند برهن السم lower motor + +93 +00:07:07,470 --> 00:07:09,910 +neuron الـ cranial nerve lower motor neuron الـ + +94 +00:07:09,910 --> 00:07:11,770 +neuromuscular junction lower motor neuron الـ muscle + +95 +00:07:11,770 --> 00:07:14,230 +fibers lower motor neuron هاي اللي lower motor neuron + +96 +00:07:14,230 --> 00:07:17,510 +ببدأ من النوكليا أما motor nuclei عند برهن السم + +97 +00:07:17,510 --> 00:07:21,310 +و أما anterior horn cells لحد ما نصل لوين للعضلة + +98 +00:07:21,310 --> 00:07:28,710 +في حال حدث damage لـ Corticospinal tract عسب + +99 +00:07:28,710 --> 00:07:33,400 +المثالبصير شلل تحت مستوى الإصابة إذا في أسماعه + +100 +00:07:33,400 --> 00:07:37,580 +الكورب على نفس الجهة طب إذا في brain above + +101 +00:07:37,580 --> 00:07:40,920 +decassation رح يكون على الـ opposite side على وين؟ + +102 +00:07:40,920 --> 00:07:44,500 +على الـ opposite side طب مريم صار إصابة حادثة إصابة + +103 +00:07:44,500 --> 00:07:50,800 +عنده انقطع الـ nerve مين راح ينشل؟ فقط العضلة، على + +104 +00:07:50,800 --> 00:07:54,460 +نفس المستوى و على نفس الاتجاه، على نفس الجهة، على + +105 +00:07:54,460 --> 00:07:57,900 +نفس الـ side و على نفس الـ level طب فوق تحته هيكون + +106 +00:07:57,900 --> 00:08:01,680 +سليم، هذا هو إيش الـ lower motor neuron lesion + +107 +00:08:03,450 --> 00:08:07,570 +الإشارة بتيجي من الـ anterior horn cells of the + +108 +00:08:07,570 --> 00:08:12,770 +spinal cord بعد هيك بتمر في الـ .. بتخرج من الـ + +109 +00:08:12,770 --> 00:08:16,950 +spinal cord عن طريق الـ anterior root of the same + +110 +00:08:16,950 --> 00:08:21,300 +side تروح للـ peripheral nerve للموتور in the plate + +111 +00:08:21,300 --> 00:08:25,060 +و بتغدي الـ muscle بتروح ليه تلاقي voluntary muscle + +112 +00:08:25,060 --> 00:08:29,540 +يبقى الأحمر هذا قلنا corticospinal tract هذا above + +113 +00:08:29,540 --> 00:08:32,600 +decassation هذا below decassation اسمه lateral + +114 +00:08:32,600 --> 00:08:36,740 +corticospinal tract يعني الأسفر هو anterior horn + +115 +00:08:36,740 --> 00:08:41,040 +cells لو ورا motoneuron anterior root spinal nerve + +116 +00:08:41,040 --> 00:08:49,240 +muscle fibers okay معناته الـ lateral أو media + +117 +00:08:49,240 --> 00:08:53,200 +corticonuclear tract أنا شرحته ورسمتلكوا يا الـ + +118 +00:08:53,200 --> 00:08:57,000 +media corticonuclear أو بلبر tract give fibers + +119 +00:08:57,000 --> 00:09:01,340 +to ocular motor nuclei من هما الثالث والرابع + +120 +00:09:01,340 --> 00:09:07,760 +والسادس in the brain stem from both cerebral + +121 +00:09:07,760 --> 00:09:10,850 +hemispheres يعني bilateral أما الـ Lateral + +122 +00:09:10,850 --> 00:09:16,070 +Corticobulbar Tract يعطي أسلحة لـ Motor nuclei of + +123 +00:09:16,070 --> 00:09:20,490 +cranial nerves من هما Trigeminal، Dorsal nucleus + +124 +00:09:20,490 --> 00:09:25,130 +of Facial, Glossopharyngeal, Vagus, cranial + +125 +00:09:25,130 --> 00:09:29,950 +accessory تمام هنا بحط بس صلحوها cranial accessory + +126 +00:09:29,950 --> 00:09:35,610 +بحطوا هيك صلحوها cranial accessory اللي تعتبر من الـ + +127 +00:09:35,610 --> 00:09:38,730 +both cerebral hemisphere بياخد منين؟ من both + +128 +00:09:38,730 --> 00:09:43,070 +cerebral hemisphere أما الـ ventral nucleus of + +129 +00:09:43,070 --> 00:09:46,330 +facial nerve المسئولة عن الـ lower quadrant of the + +130 +00:09:46,330 --> 00:09:51,710 +face و hypoglossal nucleus تاخد only from opposite + +131 +00:09:51,710 --> 00:09:52,730 +cerebral hemisphere + +132 +00:10:00,250 --> 00:10:04,070 +Lateral corticonuclear tract نشرحهم بيبدأ من وين + +133 +00:10:04,070 --> 00:10:07,590 +من بيت الـ cells الموجودة وين في area 4 بتبدأ من + +134 +00:10:07,590 --> 00:10:11,870 +وين من الـ lower one third of precentral gyrus أو + +135 +00:10:11,870 --> 00:10:19,370 +frontal lobe بعد هيك اتجه لـ الـ corona radiate بيمر + +136 +00:10:19,370 --> 00:10:22,790 +في الـ apex أو في الـ genu of internal capsule + +137 +00:10:22,790 --> 00:10:29,670 +Descend in the brain stem في الـ midbrain بعد + +138 +00:10:29,670 --> 00:10:36,030 +ذلك يمر للـ pons في الـ pons الـ fiber سبعة بتروح + +139 +00:10:36,030 --> 00:10:41,590 +لمين؟ لـ motor nucleus of trigeminal و dorsal nucleus + +140 +00:10:41,590 --> 00:10:46,030 +of facial بعد ذلك يتجه لـ medulla oblongata بيعطي + +141 +00:10:46,030 --> 00:10:47,130 +glossopharyngeal + +142 +00:10:49,480 --> 00:10:54,160 +و vagus و cranial accessory لـ ambiguous nucleus و + +143 +00:10:54,160 --> 00:11:00,100 +لـ hypoglossal nucleus الـ hypoglossal nucleus + +144 +00:11:00,100 --> 00:11:03,540 +و dorsal + +145 +00:11:03,540 --> 00:11:07,600 +nucleus of ..أسف الـ hypoglossal و ventral nucleus + +146 +00:11:07,600 --> 00:11:11,460 +of facial nerve بياخدوا from opposite side only + +147 +00:11:11,460 --> 00:11:16,100 +والباقين بياخدوا من الـ both side من وين؟ من الـ both + +148 +00:11:16,100 --> 00:11:23,780 +side التخلص من خلطة الكورتيكو النوكلياري في مصدر + +149 +00:11:23,780 --> 00:11:27,940 +النوكليات المحركة من الـ Trigeminal, Dorsal + +150 +00:11:27,940 --> 00:11:31,780 +Nucleus Facial, Glossopharyngeal, Vagus و Cranial + +151 +00:11:31,780 --> 00:11:36,390 +Accessory عن طريق الـ ambiguous nucleus of both + +152 +00:11:36,390 --> 00:11:40,410 +sides بياخدوا من اين؟ from both sides except the + +153 +00:11:40,410 --> 00:11:45,070 +motor nuclei of ventral facial و الـ hypoglossal + +154 +00:11:45,070 --> 00:11:52,570 +بياخدوا من اللي هو الـ opposite side only function + +155 +00:11:52,570 --> 00:11:59,090 +motor control of head and neck medial + +156 +00:11:59,090 --> 00:12:04,010 +corticonuclear tract أو corticobulbar tract بيبدأ + +157 +00:12:04,010 --> 00:12:11,490 +from motor cells present in area 8 اللي موجودة في + +158 +00:12:11,490 --> 00:12:14,830 +الـ frontal lobe اللي علاقة بالـ conjugate I center + +159 +00:12:14,830 --> 00:12:18,870 +بعد ذلك الإشارة تنزل في الـ corona radiate في apex of + +160 +00:12:18,870 --> 00:12:23,050 +internal capsule بمر في الـ midbrain بيعطي + +161 +00:12:23,050 --> 00:12:27,670 +fibers لـ الـ both sides لـ nuclei الـ oculomotor و + +162 +00:12:27,670 --> 00:12:33,570 +التروكليار وبعد ذلك ينزل للـ pons وبيعطي fibers لـ + +163 +00:12:33,570 --> 00:12:37,610 +الـ both sides للنوكلياس of abducent nerve و الـ + +164 +00:12:37,610 --> 00:12:42,290 +function تبعته responsible for movement of both + +165 +00:12:42,290 --> 00:12:47,690 +eye لـ eye movement هو واضح التراكت عشان بالمثال + +166 +00:12:47,690 --> 00:12:51,890 +هنا الـ medial الواضح بيغدي الـ oculomotor ipsilateral + +167 +00:12:51,890 --> 00:12:57,450 +contralateral الـ trochlear ipsilateral contralateral + +168 +00:12:57,450 --> 00:13:01,690 +اللي هو abducens ipsilateral contralateral هنا + +169 +00:13:01,690 --> 00:13:05,630 +الـ hypogloss الواضح أخدت فقط الـ opposite side و الـ + +170 +00:13:05,630 --> 00:13:08,070 +ventral nucleus of facial أخدت على الـ opposite + +171 +00:13:08,070 --> 00:13:12,430 +side only أما الدورسة اللي بتاخد من الـ both side + +172 +00:13:12,430 --> 00:13:17,650 +من الـ both side classification of the motor neuron + +173 +00:13:17,650 --> 00:13:22,810 +lesion according to the location of lesion upper + +174 +00:13:22,810 --> 00:13:26,650 +motor neuron lesion يعني specific أو central وين + +175 +00:13:26,650 --> 00:13:29,290 +بيكون المشكلة في الـ upper motor neuron المشكلة راح + +176 +00:13:29,290 --> 00:13:34,690 +تكون أما في الـ corticospinal tract أو corticobulbar + +177 +00:13:34,690 --> 00:13:38,290 +tract lower motor neuron lesion flaccid أو + +178 +00:13:38,290 --> 00:13:42,250 +peripheral المشكلة وين راح تكون من الـ motor + +179 +00:13:42,250 --> 00:13:46,050 +nuclei in the brainstem أو من الـ motor nuclei in + +180 +00:13:46,050 --> 00:13:48,790 +the spinal cord في الـ anterior horn cells لحد ما + +181 +00:13:48,790 --> 00:13:52,510 +أصل لوين للعضلة according to affected limbs + +182 +00:13:52,510 --> 00:13:57,650 +ممكن يكون monoplegia شلل طرف واحد right upper limb + +183 +00:13:57,650 --> 00:14:03,210 +left upper limb right lower limb left lower limb + +184 +00:14:03,210 --> 00:14:08,570 +يعني شلل طرف واحد ممكن تكون hemiplegia شلل نصف + +185 +00:14:08,570 --> 00:14:12,650 +طولة right hemiplegia left hemiplegia شلل نصف + +186 +00:14:12,650 --> 00:14:18,150 +طولة right أو left paraplegia شلل سفلي شلل سفلي + +187 +00:14:1 \ No newline at end of file diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/2vAI9D53R-U_postprocess.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/2vAI9D53R-U_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..db938d9e513e93debb1ed9daec6e5e3a2dcb01ee --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/2vAI9D53R-U_postprocess.srt @@ -0,0 +1,796 @@ +1 +00:00:05,180 --> 00:00:08,200 +بسم الله الرحمن الرحيم السلام عليكم و رحمة الله و + +2 +00:00:08,200 --> 00:00:12,680 +بركاته نكمل موضوع ال path way of corticospinal + +3 +00:00:12,680 --> 00:00:16,340 +tract هاندي corticospinal tract ال corticospinal + +4 +00:00:16,340 --> 00:00:20,260 +tract في ال lower part of medulla oblongata بنقسم + +5 +00:00:20,260 --> 00:00:24,860 +لقسمين ل lateral corticospinal tract اللي بيعمل + +6 +00:00:24,860 --> 00:00:28,380 +crossing 90% بيعمل ال crossing و بتجه على lateral + +7 +00:00:28,380 --> 00:00:32,400 +column of spinal cordوفي fibers بتضعها direct + +8 +00:00:32,400 --> 00:00:38,300 +بنسميها ايش direct او ventral corticospinal tract + +9 +00:00:38,300 --> 00:00:41,400 +ال ventral corticospinal tract بتعطي ال + +10 +00:00:41,400 --> 00:00:45,460 +anterohorses من ال both sides ل ال respiratory + +11 +00:00:45,460 --> 00:00:50,890 +muscle ال ventral spinotalamic tractبتمر في الـ + +12 +00:00:50,890 --> 00:00:53,270 +ventral column of spinal cord مسئول عن ال + +13 +00:00:53,270 --> 00:00:56,490 +respiratory muscle أما ال lateral corticospinal + +14 +00:00:56,490 --> 00:01:00,170 +tract مسئول عن ال muscle of the upper and lower + +15 +00:01:00,170 --> 00:01:07,150 +limbsهذه واضحة ان ال corticospinal + +16 +00:01:07,150 --> 00:01:10,150 +tract في lower part of medulla عامل ال crossing + +17 +00:01:10,150 --> 00:01:14,970 +اللاترال بيروح على الجهة المعاكسة بسموه indirect + +18 +00:01:14,970 --> 00:01:18,410 +ومسئول عن ال anterior muscles of the upper and + +19 +00:01:18,410 --> 00:01:21,990 +lower limbs اما ال direct او ال ventral بيبقوا على + +20 +00:01:21,990 --> 00:01:26,370 +نفس الجهة وبيعطينا supplying ل ال both anterior + +21 +00:01:26,370 --> 00:01:30,990 +muscles اللي مسئول عن ال respiratory musclethe + +22 +00:01:30,990 --> 00:01:37,190 +corticospinal tract the motor area of one side of + +23 +00:01:37,190 --> 00:01:43,870 +cerebral hemisphere is responsible for movement of + +24 +00:01:43,870 --> 00:01:48,310 +muscle of the opposite half of the body mainly the + +25 +00:01:48,310 --> 00:01:51,390 +limbs يعني ال motor area اللي في ال cerebral + +26 +00:01:51,390 --> 00:01:55,290 +hemisphere اليمين مسئولة عن إيه؟ عن اليسار العكس + +27 +00:01:55,290 --> 00:02:00,180 +على اليسار مسئولة عن مين؟ عن اليمينThe muscles of + +28 +00:02:00,180 --> 00:02:06,600 +respiration are C-fibers from both cerebral + +29 +00:02:06,600 --> 00:02:11,780 +hemispheres. This explains the absence of + +30 +00:02:11,780 --> 00:02:15,940 +respiratory paralysis in hemiplegic persons حكمة + +31 +00:02:15,940 --> 00:02:22,360 +ربانية حكمة ربنا وين ان عضلات تبعات التنفستبعات + +32 +00:02:22,360 --> 00:02:25,300 +القفص الصدري أعطاهم من الـBody Cerebral Hemisphere + +33 +00:02:25,300 --> 00:02:28,620 +على أساس إن لو حدث إنسان عنده جلطة دماغية على + +34 +00:02:28,620 --> 00:02:32,360 +اليمين المفروض ان يشعل الجهزر اليسار هنا ال + +35 +00:02:32,360 --> 00:02:34,960 +respiratory muscle بيبقالهم سالمين على اليمين وعلى + +36 +00:02:34,960 --> 00:02:39,330 +اليسارشوفوا حكمة ربنا كده وإلا كان كرم مرضى عندهم + +37 +00:02:39,330 --> 00:02:42,150 +هنا بليجا بدوا جهاز تنفس صناعي بدوا جهاز تنفس + +38 +00:02:42,150 --> 00:02:46,710 +صناعي لكن عضلات التنفس ربنا أعطاهم innervation من + +39 +00:02:46,710 --> 00:02:49,990 +ال boats ربرا ليهم السيارة عن طريق مين؟ ventral + +40 +00:02:49,990 --> 00:02:53,590 +corticospinal tract هم هالعشرة في المية من ال + +41 +00:02:53,590 --> 00:02:58,090 +fibers اللي بالهم قدر وماعملوش crossing وين على ال + +42 +00:02:58,090 --> 00:03:04,960 +opposite sideننتقل الأن لـ Lower Motoneuron System + +43 +00:03:04,960 --> 00:03:12,160 +اللي هو Spinal Muscular Fibers Spinal + +44 +00:03:12,160 --> 00:03:16,880 +هو مسؤول عن إيش؟ Spinal control of voluntary + +45 +00:03:16,880 --> 00:03:22,780 +movement originates at the anterior horn cellsof + +46 +00:03:22,780 --> 00:03:26,900 +spinal cord and corresponding cranial motor nuclei + +47 +00:03:26,900 --> 00:03:31,040 +in the brainstem يعني ال lower motor neuron رح + +48 +00:03:31,040 --> 00:03:35,220 +يبدأ من ال antihorses لحد ما أصل muscle من ناحية + +49 +00:03:35,220 --> 00:03:38,880 +spinal cord يعني ال antihorses تاب على ال lower + +50 +00:03:38,880 --> 00:03:43,780 +motor neuron تمام؟ و في ال brain رح يبدأ ال lower + +51 +00:03:43,780 --> 00:03:48,000 +motor neuron من ال motor nuclei of the cranial + +52 +00:03:48,000 --> 00:03:52,120 +nerves in the brainstem لحد ما أصل الفاسبأو للتنك + +53 +00:03:52,120 --> 00:03:55,220 +ايضا النكلياتي بتاعة ال cranial nerves اللي موجودة + +54 +00:03:55,220 --> 00:03:59,120 +في ال brainstem تعتبر lower motor neuron ال nerve + +55 +00:03:59,120 --> 00:04:03,020 +lower motor neuron ال neuromuscular junction lower + +56 +00:04:03,020 --> 00:04:09,460 +motor neuron المصل lower motor neuron function + +57 +00:04:09,460 --> 00:04:13,180 +stimulation of voluntary motor at the level of the + +58 +00:04:13,180 --> 00:04:18,230 +same side2- Stimulation of muscle tone at the + +59 +00:04:18,230 --> 00:04:22,290 +level of same side 3- Stimulation of deep reflex + +60 +00:04:22,290 --> 00:04:25,090 +at the level of same side طب لو صار ده مش للا + +61 +00:04:25,090 --> 00:04:29,410 +ورموطه نيرون العكس صحيح ندخل في muscle hypotonia + +62 +00:04:29,410 --> 00:04:36,970 +وhyporeflexia او areflexia ليش at the same side + +63 +00:04:36,970 --> 00:04:41,270 +انا بشبه يا جماعة ال corticospinal tract بالخط + +64 +00:04:41,270 --> 00:04:43,090 +الرئيسي بتاع الكهربل اللي في الدرج اللي يكون في + +65 +00:04:43,090 --> 00:04:46,960 +البرجطب الشغّه هادى .. هادى Anti-reversals هادى + +66 +00:04:46,960 --> 00:04:57,790 +الأول موتو نيرونطبعا لو جسينا الخط + +67 +00:04:57,790 --> 00:05:01,450 +الرئيسي الموازية تفصل الكهربا بتحت كلهم يبقى في ال + +68 +00:05:01,450 --> 00:05:04,970 +upper motor neuron بيحدث شلل تحت مستوى الإصابة في + +69 +00:05:04,970 --> 00:05:08,190 +ال upper motor neuron شلل تحت مستوى الإصابة لكن في + +70 +00:05:08,190 --> 00:05:12,450 +ال lower motor neuron بيكون فقط شلل على نفس الجهة + +71 +00:05:12,450 --> 00:05:16,810 +وعلى نفس مستوى يعني العضلة deltoid muscle بتاخد من + +72 +00:05:16,810 --> 00:05:21,710 +C5C5 سيجمنت على اليمين صار دمج في الـ Anterior + +73 +00:05:21,710 --> 00:05:26,110 +Horses فقط لتنشلد الـ Toy بمفر على اليمين تحت فوق + +74 +00:05:26,110 --> 00:05:31,890 +شغال 100% هذا اسمه Lower Motoneuron ليجي من أين + +75 +00:05:31,890 --> 00:05:36,770 +بيبدأ Lower Motoneuron بيبدأ هي من الـ Anterior + +76 +00:05:36,770 --> 00:05:45,270 +Horses بيطلع ال fibers عن طريق الـ + +77 +00:05:45,270 --> 00:05:52,510 +Anterior Rootبعد هيك بتتجه مع ال sensory fibers في + +78 +00:05:52,510 --> 00:06:04,910 +sensory fibers تمام أنا بتكلم الآن على motor ما + +79 +00:06:04,910 --> 00:06:06,990 +راح أكمل بال sensory أنا بتكلم على ال motor راح + +80 +00:06:06,990 --> 00:06:10,770 +نكمل بال motor fibers ال motor fibers بتتجه في ال + +81 +00:06:10,770 --> 00:06:14,460 +peripheral nerve motor fibersعلى ال muscle بتغضي + +82 +00:06:14,460 --> 00:06:21,560 +ال muscle يبقى هذا anterior spinal root هذا motor + +83 +00:06:21,560 --> 00:06:27,580 +nerve fiber نفس + +84 +00:06:27,580 --> 00:06:32,960 +الشيء على ال segment البعده تطلع في ال anterior + +85 +00:06:32,960 --> 00:06:38,660 +root تحد مع ال posterior root بيكونوننا peripheral + +86 +00:06:38,660 --> 00:06:47,160 +nerve وبيغضوننا اللي هوالـ muscle fibers إذا الـ + +87 +00:06:47,160 --> 00:06:51,720 +anterior whole cells تعتبر lower motor neuron الـ + +88 +00:06:51,720 --> 00:06:55,360 +anterior root الأزداد lower motor neuron الـ + +89 +00:06:55,360 --> 00:06:58,200 +peripheral nerve lower motor neuron الـ + +90 +00:06:58,200 --> 00:07:01,080 +neuromuscular junction lower motor neuron الـ + +91 +00:07:01,080 --> 00:07:03,920 +muscle fibers lower motor neuron في الـ brain السم + +92 +00:07:03,920 --> 00:07:07,470 +هكذاالموتور النوكلياعي عند برهن السم لور موتور + +93 +00:07:07,470 --> 00:07:09,910 +نيرون الـ cranial nerve لور موتور نيرون الـ + +94 +00:07:09,910 --> 00:07:11,770 +neuromuscular junction لور موتور نيرون الـ muscle + +95 +00:07:11,770 --> 00:07:14,230 +fibers لور موتور نيرون هاي اللي لور موتور نيرون + +96 +00:07:14,230 --> 00:07:17,510 +ببدأ من النوكليا اما موتور نوكلياعي عند برهن السم + +97 +00:07:17,510 --> 00:07:21,310 +واما anterior hormone cells لحد ما نصل لوين للمسل + +98 +00:07:21,310 --> 00:07:28,710 +في حال حدث damage لل Corticospinal tract عسب + +99 +00:07:28,710 --> 00:07:33,400 +المثالبصير شلل تحت مستوى الإصابة إذا في أسماعه + +100 +00:07:33,400 --> 00:07:37,580 +الكورب على نفس الجهة طب إذا في brain above + +101 +00:07:37,580 --> 00:07:40,920 +decassation رح يكون على ال opposite side على وين؟ + +102 +00:07:40,920 --> 00:07:44,500 +على ال opposite side طب مريم صار إصابة حادثة إصابة + +103 +00:07:44,500 --> 00:07:50,800 +عنده انقطع ال nerveمين راح ينشل؟ فقط العضلة، على + +104 +00:07:50,800 --> 00:07:54,460 +نفس المستوى و على نفس الاتجاه، على نفس الجهة، على + +105 +00:07:54,460 --> 00:07:57,900 +نفس ال side و على نفس ال level طب فوق تحته هيكون + +106 +00:07:57,900 --> 00:08:01,680 +سليم، هذا هو إيش ال lower motor neuron lesion + +107 +00:08:03,450 --> 00:08:07,570 +الإشارة بتيجي من الـ anterior horn cells of the + +108 +00:08:07,570 --> 00:08:12,770 +spinal cord بعد هيك بتمر في ال .. بتخرج من ال + +109 +00:08:12,770 --> 00:08:16,950 +spinal cord عن طريق ال anterior root of the same + +110 +00:08:16,950 --> 00:08:21,300 +side تروح لل peripheral nerveللموتور in the plate + +111 +00:08:21,300 --> 00:08:25,060 +و بتغدي ال muscle بتروح ليه تلاقي voluntary muscle + +112 +00:08:25,060 --> 00:08:29,540 +يبقى الأحمر هذا قلنا corticospinal tract هذا above + +113 +00:08:29,540 --> 00:08:32,600 +decassation هذا below decassation اسمه lateral + +114 +00:08:32,600 --> 00:08:36,740 +corticospinal tract يعني الأسفر هو anterior horn + +115 +00:08:36,740 --> 00:08:41,040 +cells لو ورا motoneuron anterior root spinal nerve + +116 +00:08:41,040 --> 00:08:49,240 +muscle fibers okay معناناالموضوع اللاترال او media + +117 +00:08:49,240 --> 00:08:53,200 +corticonuclear retract انا شرحته ورسمتلكوا يا ال + +118 +00:08:53,200 --> 00:08:57,000 +media corticonuclear او بلبر retract give fibers + +119 +00:08:57,000 --> 00:09:01,340 +to ocular motor nuclei من هما الثالث والرابع + +120 +00:09:01,340 --> 00:09:07,760 +والسادس in the brain stem from both cerebral + +121 +00:09:07,760 --> 00:09:10,850 +hemispheres يعني bilateralأما الـ Lateral + +122 +00:09:10,850 --> 00:09:16,070 +Corticobulbar Tract يعطي أسلحة لـ Motor nuclei of + +123 +00:09:16,070 --> 00:09:20,490 +cranial nerves من هما Trigeminal، Dorsal nucleus + +124 +00:09:20,490 --> 00:09:25,130 +of Facial, Glossopharyngeal, Vagus, cranial + +125 +00:09:25,130 --> 00:09:29,950 +accessory تمام هنا بحط بس صلحوها cranial accessory + +126 +00:09:29,950 --> 00:09:35,610 +بحطواهك صلحوها cranial accessory اللي تعتبر من ال + +127 +00:09:35,610 --> 00:09:38,730 +both cerebral hemisphere بياخد منين؟ من both + +128 +00:09:38,730 --> 00:09:43,070 +cerebral hemisphere أما ال ventral nucleus of + +129 +00:09:43,070 --> 00:09:46,330 +facial nerve المسئولة عن ال lower quadrant of the + +130 +00:09:46,330 --> 00:09:51,710 +face وhyperglossal nucleus تاخد only from opposite + +131 +00:09:51,710 --> 00:09:52,730 +cerebral hemisphere + +132 +00:10:00,250 --> 00:10:04,070 +Lateral corticonuclear tract نشرحهم بيبدأ من وين + +133 +00:10:04,070 --> 00:10:07,590 +من بيت ال cells الموجودة وين في area 4 بتبدأ من + +134 +00:10:07,590 --> 00:10:11,870 +وين من ال lower one third of precentral gyrus او + +135 +00:10:11,870 --> 00:10:19,370 +frontal loop بعد هيك اتجه ل ال corona رديتها بيمر + +136 +00:10:19,370 --> 00:10:22,790 +في ال apex او في ال gene of entamal capsule + +137 +00:10:22,790 --> 00:10:29,670 +Descend in the brain stem في ال middle brainبعد + +138 +00:10:29,670 --> 00:10:36,030 +ذلك يمر لل bones في ال bones ال fiber سبعة بتروح + +139 +00:10:36,030 --> 00:10:41,590 +لمين؟ ل motor nucleus of trigeminal ودورس نوكلياس + +140 +00:10:41,590 --> 00:10:46,030 +of facial بعد ذلك يتجه ل الميدالا أبلانجاتا بيعطي + +141 +00:10:46,030 --> 00:10:47,130 +aglossopharyngeal + +142 +00:10:49,480 --> 00:10:54,160 +وVegas وCranial axisuria لـ Ambiguous nucleus و + +143 +00:10:54,160 --> 00:11:00,100 +لـHypoglossal nucleus الـHypoglossal nucleus + +144 +00:11:00,100 --> 00:11:03,540 +وDorsal + +145 +00:11:03,540 --> 00:11:07,600 +nucleus of ..أسف الـHypoglossal وVentral nucleus + +146 +00:11:07,600 --> 00:11:11,460 +of Fissure nerve باخدوا from opposite side only + +147 +00:11:11,460 --> 00:11:16,100 +والباقين باخدوا من ال both side من وين؟ من ال both + +148 +00:11:16,100 --> 00:11:23,780 +sideالتخلص من خلطة الكورتيكو النوكلياري في مصدر + +149 +00:11:23,780 --> 00:11:27,940 +النوكليات المحركة من الـ Trigeminal, Dorsal + +150 +00:11:27,940 --> 00:11:31,780 +Nucleus Facial, Glossopharyngeal, Vagus و Cranial + +151 +00:11:31,780 --> 00:11:36,390 +Accessory عن طريق الـ Ambiguous Nucleusof both + +152 +00:11:36,390 --> 00:11:40,410 +sides بياخدوا من اين؟ from both sides except the + +153 +00:11:40,410 --> 00:11:45,070 +motor nuclei of ventral a facial و ال hypaglossal + +154 +00:11:45,070 --> 00:11:52,570 +بياخدوا من اللي هو ال opposite side only function + +155 +00:11:52,570 --> 00:11:59,090 +motor control of head and neck medial + +156 +00:11:59,090 --> 00:12:04,010 +corticonuclear tract او corticobulbar tractببدا + +157 +00:12:04,010 --> 00:12:11,490 +from motor cells present in area 8 اللي موجودة في + +158 +00:12:11,490 --> 00:12:14,830 +ال frontal loop اللي علاقة بالكونجيجيت I center + +159 +00:12:14,830 --> 00:12:18,870 +بعد ذلك الإشارة تنزل في القرن رادييتا في apex of + +160 +00:12:18,870 --> 00:12:23,050 +internal capsule بمر في ال middle brainبيعطي + +161 +00:12:23,050 --> 00:12:27,670 +fibers ل ال both sides لنوكلياس الـ oculomotor و + +162 +00:12:27,670 --> 00:12:33,570 +التروكليار وبعد ذلك ينزل لل pants وبيعطي fibers ل + +163 +00:12:33,570 --> 00:12:37,610 +ال both sides للنوكلياس of abdocent nerve و ال + +164 +00:12:37,610 --> 00:12:42,290 +function تبعته responsible for movement of both + +165 +00:12:42,290 --> 00:12:47,690 +eye ل ال eye movementهو واضح التراكت عشان بالمثال + +166 +00:12:47,690 --> 00:12:51,890 +هنا ال media الواضح بيغدي ال oculomotor إبسلاترال + +167 +00:12:51,890 --> 00:12:57,450 +كونترالاترال ال trochlear إبسلاترال كونترالاترال + +168 +00:12:57,450 --> 00:13:01,690 +اللي هو abdossum إبسلاترال كونترالاترال هنا + +169 +00:13:01,690 --> 00:13:05,630 +الhypogloss الواضح أخدت فقط ال opposite side و ال + +170 +00:13:05,630 --> 00:13:08,070 +ventral nucleus of facial أقدت على ال opposite + +171 +00:13:08,070 --> 00:13:12,430 +side only أما الدورسة اللي بتاخد من ال both side + +172 +00:13:12,430 --> 00:13:17,650 +من ال both sideclassification of the motor neuron + +173 +00:13:17,650 --> 00:13:22,810 +lesion according to the location of lesion upper + +174 +00:13:22,810 --> 00:13:26,650 +motor neuron lesion يعني specific او central وين + +175 +00:13:26,650 --> 00:13:29,290 +بيكون المشكلة في ال upper motor neuron المشكلة راح + +176 +00:13:29,290 --> 00:13:34,690 +تكون اما في corticonuclear tract او corticonuclear + +177 +00:13:34,690 --> 00:13:38,290 +tract lower motor neuron lesion flaccid او + +178 +00:13:38,290 --> 00:13:42,250 +peripheralالمشكلة الوين راح تكون من ال motor + +179 +00:13:42,250 --> 00:13:46,050 +nuclei in the brainstem أو من ال motor nuclei in + +180 +00:13:46,050 --> 00:13:48,790 +the spinal cord في ال anterior horn cells لحد ما + +181 +00:13:48,790 --> 00:13:52,510 +أصل لوين لل muscle according to affected limbs + +182 +00:13:52,510 --> 00:13:57,650 +ممكن يكون monoblasia شلل طرف واحد right upper limb + +183 +00:13:57,650 --> 00:14:03,210 +left upper limb right lower limb left lower limb + +184 +00:14:03,210 --> 00:14:08,570 +يعني شلل طرف واحدممكن تكون hemiplegia شلال نصف + +185 +00:14:08,570 --> 00:14:12,650 +طولة right hemiplegia left hemiplegia شلال نصف + +186 +00:14:12,650 --> 00:14:18,150 +طولة right أو left paraplegia شلال سفلي شلال سفلي + +187 +00:14:18,150 --> 00:14:22,790 +paraplegia triplegia شلال ثلاثي بيكون يعني أجت + +188 +00:14:22,790 --> 00:14:26,330 +ارصاصها في ال break ال plexus عملت شلال في ال + +189 +00:14:26,330 --> 00:14:29,790 +upper limb و أجت شضية في نفس اللحظة في spinal cord + +190 +00:14:29,790 --> 00:14:33,510 +عملت قطة ل spinal cord عملت paraplegia في الحالة + +191 +00:14:33,510 --> 00:14:37,730 +هذه بقول ايه triplegiaالـ quadriplegia أجت رصاصة + +192 +00:14:37,730 --> 00:14:41,170 +لأ ع مستوى أعلى من ال thoracic و ضربت ال spinal + +193 +00:14:41,170 --> 00:14:43,650 +cord كله على ال cervical level أما للشلل الربعي + +194 +00:14:43,650 --> 00:14:48,270 +شلل ربعي أو مريض عنده GPS Guilian Bar Syndrome حدث + +195 +00:14:48,270 --> 00:14:53,570 +التهارف العصابي الطرفية أدى إلى إيش شلل ربعي ال + +196 +00:14:53,570 --> 00:14:56,430 +differential between the upper and lower motor + +197 +00:14:56,430 --> 00:14:59,170 +neurons ان شاء الله بشرحلكوا إياه في المحاضرة + +198 +00:14:59,170 --> 00:15:02,150 +الأخيرة في الأسبوع الرابع في بداية محاضرة الأسبوع + +199 +00:15:02,150 --> 00:15:04,930 +الرابع ضمتم بخير ويعطيكم ألف عافية + diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/2vAI9D53R-U_raw.json b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/2vAI9D53R-U_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..463c8dee954dd8b4292af1d9dd194a47efbff805 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/2vAI9D53R-U_raw.json @@ -0,0 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This explains the absence of respiratory paralysis in hemiplegic persons حكمة ربانية حكمة ربنا وين ان عضلات تبعات التنفس", "tokens": [2278, 9530, 295, 1597, 7611, 366, 383, 12, 69, 897, 433, 490, 1293, 43561, 8636, 7631, 19464, 13, 639, 13948, 264, 17145, 295, 27038, 49507, 294, 8636, 647, 6363, 299, 14453, 11331, 24793, 3660, 12602, 3555, 7649, 10632, 11331, 24793, 3660, 12602, 3555, 8315, 4032, 9957, 16472, 6225, 11242, 1211, 9307, 6055, 3555, 3615, 9307, 16712, 1863, 36178], "avg_logprob": -0.25529660612849864, "compression_ratio": 1.305084745762712, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 118.7, "end": 119.02, "word": "The", "probability": 0.1563720703125}, {"start": 119.02, "end": 119.6, "word": " muscles", "probability": 0.884765625}, {"start": 119.6, "end": 120.18, "word": " of", "probability": 0.9794921875}, {"start": 120.18, "end": 121.06, "word": " respiration", "probability": 0.866943359375}, {"start": 121.06, "end": 122.74, "word": " are", 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"probability": 0.55810546875}, {"start": 146.46, "end": 146.64, "word": " لو", "probability": 0.93701171875}, {"start": 146.64, "end": 146.96, "word": " حدث", "probability": 0.98876953125}, {"start": 146.96, "end": 147.3, "word": " إنسان", "probability": 0.9210611979166666}, {"start": 147.3, "end": 147.64, "word": " عنده", "probability": 0.93212890625}, {"start": 147.64, "end": 148.08, "word": " جلطة", "probability": 0.9227294921875}, {"start": 148.08, "end": 148.48, "word": " دماغية", "probability": 0.90966796875}, {"start": 148.48, "end": 148.62, "word": " على", "probability": 0.473876953125}, {"start": 148.62, "end": 149.04, "word": " اليمين", "probability": 0.83837890625}, {"start": 149.04, "end": 150.0, "word": " المفروض", "probability": 0.89013671875}, {"start": 150.0, "end": 150.12, "word": " ان", "probability": 0.248779296875}, {"start": 150.12, "end": 150.28, "word": " يشعل", "probability": 0.4324137369791667}, {"start": 150.28, "end": 150.74, "word": " الجهزر", "probability": 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"end": 178.77, "text": "شوفوا حكمة ربنا كده وإلا كان كرم مرضى عندهم هنا بليجا بدوا جهاز تنفس صناعي بدوا جهاز تنفس صناعي لكن عضلات التنفس ربنا أعطاهم innervation من ال boats ربرا ليهم السيارة عن طريق مين؟ ventral corticospinal tract هم هالعشرة في المية من ال fibers اللي بالهم قدر وماعملوش crossing وين على ال opposite side", "tokens": [8592, 38688, 14407, 11331, 24793, 3660, 12602, 3555, 8315, 9122, 3215, 3224, 4032, 28814, 15040, 25961, 9122, 2288, 2304, 3714, 43042, 7578, 43242, 16095, 34105, 4724, 20292, 7435, 995, 47525, 14407, 10874, 3224, 31377, 6055, 1863, 36178, 20328, 8315, 3615, 1829, 47525, 14407, 10874, 3224, 31377, 6055, 1863, 36178, 20328, 8315, 3615, 1829, 44381, 6225, 11242, 1211, 9307, 16712, 1863, 36178, 12602, 3555, 8315, 5551, 3615, 9566, 995, 16095, 7714, 6864, 9154, 2423, 17772, 12602, 3555, 23557, 32239, 16095, 21136, 1829, 9640, 3660, 18871, 23032, 16572, 4587, 3714, 9957, 22807, 6931, 2155, 11278, 299, 2763, 2071, 24207, 8032, 2304, 8032, 6027, 3615, 8592, 25720, 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"end": 627.25, "text": "Lateral corticonuclear tract نشرحهم بيبدأ من وين من بيت ال cells الموجودة وين في area 4 بتبدأ من وين من ال lower one third of precentral gyrus او frontal loop بعد هيك اتجه ل ال corona رديتها بيمر في ال apex او في ال gene of entamal capsule Descend in the brain stem في ال middle brain", "tokens": [43, 17274, 11278, 299, 266, 30335, 24207, 8717, 46309, 5016, 16095, 4724, 1829, 44510, 10721, 9154, 4032, 9957, 9154, 4724, 36081, 2423, 5438, 9673, 29245, 23328, 3660, 4032, 9957, 8978, 1859, 1017, 39894, 44510, 10721, 9154, 4032, 9957, 9154, 2423, 3126, 472, 2636, 295, 659, 2207, 2155, 290, 6016, 301, 1975, 2407, 34647, 6367, 39182, 39896, 4117, 1975, 2655, 7435, 3224, 5296, 2423, 27103, 12602, 3215, 36081, 11296, 4724, 1829, 29973, 8978, 2423, 48115, 1975, 2407, 8978, 2423, 12186, 295, 948, 335, 304, 29247, 3885, 21153, 294, 264, 3567, 12312, 8978, 2423, 2808, 3567], "avg_logprob": -0.38157894611358645, "compression_ratio": 1.5413223140495869, "no_speech_prob": 0.0, 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"language": "ar", "language_probability": 1.0, "duration": 905.1835, "duration_after_vad": 872.4856250000009} \ No newline at end of file diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/36g1963YLUU.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/36g1963YLUU.srt new file mode 100644 index 0000000000000000000000000000000000000000..08fe69a202e1618da645ade103d75f2cccdb1f1c --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/36g1963YLUU.srt @@ -0,0 +1,1661 @@ +1 +00:00:05,230 --> 00:00:08,650 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:08,650 --> 00:00:15,990 +وبركاته محاضرة الأسبوع الحالي راح تكون على anatomy + +3 +00:00:15,990 --> 00:00:20,090 +of the cranial nerves anatomy of the cranial nerves + +4 +00:00:20,090 --> 00:00:24,010 +راح نتطرق إلى محاضرتين كل محاضرة راح نقسمها إلى + +5 +00:00:24,010 --> 00:00:30,370 +جزئين نبدأ اليوم في المحاضرة الأولى من anatomy and + +6 +00:00:30,370 --> 00:00:32,170 +physiology of the cranial nerves + +7 +00:00:35,470 --> 00:00:39,110 +الـ cranial nerves ليش سموها cranial nerves؟ لأن + +8 +00:00:39,110 --> 00:00:42,630 +فينا شي اسمه spinal nerves cranial nerves سموها + +9 +00:00:42,630 --> 00:00:46,410 +cranial nerves لأنها ال nerves ال exit أو ال + +10 +00:00:46,410 --> 00:00:51,390 +enters بتاعها بتنفي ل cranial cavity عن طريق ال + +11 +00:00:51,390 --> 00:00:58,430 +foramen in the skull فينا twelve pairs of cranial + +12 +00:00:58,430 --> 00:01:02,690 +nerves twelve pairs of cranial nerves بنقسمهم إلى + +13 +00:01:03,600 --> 00:01:12,780 +Pure Sensory Nerve منهم 12 نيرف + +14 +00:01:12,780 --> 00:01:16,800 +olfactory nerve for smell function + +15 +00:01:27,730 --> 00:01:32,850 +والعلاقة بالموضوع الهيرينج و الوستيبولو كوكليار + +16 +00:01:32,850 --> 00:01:36,570 +نيرف و الوستيبولو + +17 +00:01:36,570 --> 00:01:38,470 +كوكليار نيرف و الوستيبولو كوكليار نيرف + +18 +00:01:38,500 --> 00:01:42,600 +Vestibulocochlear nerve are purely sensory nerve + +19 +00:01:42,600 --> 00:01:49,400 +عشان نبسطها إلكم بنعطيهم الرقم 1 2 8 يبقى الرقم 1 2 8 + +20 +00:01:49,400 --> 00:01:57,380 +اللي هو first olfactory nerve second اللي هو optic + +21 +00:01:57,380 --> 00:02:03,170 +nerve وعصب الثامن Vestibular و Trochlear nerves are + +22 +00:02:03,170 --> 00:02:07,670 +purely sensory nerves و هي purely special sensory + +23 +00:02:07,670 --> 00:02:13,590 +nerves اوكي اقول ان motor nerve , Abducens nerve, + +24 +00:02:13,590 --> 00:02:19,050 +Trochlear nerve , Accessory nerve and + +25 +00:02:19,050 --> 00:02:24,850 +Hypoglossal nerve are purely motor nerves يبقى + +26 +00:02:24,850 --> 00:02:31,840 +العصب الثالث والعصب الرابع والسادس واحد عشر وثاني + +27 +00:02:31,840 --> 00:02:38,360 +عشر يعتبروا ايه purely motor + +28 +00:02:38,360 --> 00:02:44,540 +nerves Trigeminal nerve العصب الخامس + +29 +00:02:44,540 --> 00:02:49,820 +Glossopharyngeal nerve العصب السابع Facial nerve + +30 +00:02:49,820 --> 00:02:54,440 +العصب العشر اللي Glossopharyngeal nerve العصب + +31 +00:02:54,440 --> 00:02:58,190 +التاسع آسف عصب التاسع Glossopharyngeal nerve كمان + +32 +00:02:58,190 --> 00:03:04,150 +مرة Trigeminal nerve Facial + +33 +00:03:04,150 --> 00:03:09,130 +nerve اللي هو العصب السابع Glossopharyngeal nerve + +34 +00:03:09,130 --> 00:03:14,650 +العصب التاسع Vagus nerve العصب العاشر Trigeminal + +35 +00:03:14,650 --> 00:03:21,830 +nerve Facial nerve Glossopharyngeal nerve Vagus + +36 +00:03:21,830 --> 00:03:26,700 +nerve mixed nerve يعني إيش mixed nerve؟ يعني ال + +37 +00:03:26,700 --> 00:03:30,100 +function تبعتهم ممكن تكون motor sensory autonomic + +38 +00:03:30,100 --> 00:03:35,360 +function بنعطيهم الرمز 10950 + +39 +00:03:35,360 --> 00:03:39,720 +و 70 يعني العصب الخامس والسبع والتاسع والعاشر + +40 +00:03:39,720 --> 00:03:46,840 +يعتبروا إيه؟ mixed nerve ان شاء الله في محاضرة + +41 +00:03:46,840 --> 00:03:54,030 +اليوم رح نتطرق ل .. اللي هي محاضرة الأسبوع الثامن + +42 +00:03:54,030 --> 00:03:59,410 +رح نتطرق إلى ال .. Oculomotor nerve و Trochlear + +43 +00:03:59,410 --> 00:04:04,570 +nerve و Abducens nerve و Trigeminal nerve رح ناخد + +44 +00:04:04,570 --> 00:04:08,930 +العصب الثالث رابع سادس و الخامس في محاضرة الأسبوع + +45 +00:04:08,930 --> 00:04:10,130 +التاسع + +46 +00:04:17,480 --> 00:04:22,920 +محاضرة الأسبوع التاسع راح اتكلم معاكم على اللي هو + +47 +00:04:22,920 --> 00:04:30,960 +العصب السابع والتاسع والحادي عشر والثاني عشر ان شاء الله في + +48 +00:04:30,960 --> 00:04:35,220 +محاضرة ال special nerves او نتكلم على ال special + +49 +00:04:35,220 --> 00:04:38,280 +sensation في ال special sensation راح اتطرق لل + +50 +00:04:38,280 --> 00:04:44,840 +taste و vision و hearing تمام و smell function راح + +51 +00:04:44,840 --> 00:04:50,910 +اتطرق للعصاب اللي هو olfactory nerve عصب واحد optic + +52 +00:04:50,910 --> 00:04:54,170 +nerve عصب اتنين Vestibulocochlear nerve العصب + +53 +00:04:54,170 --> 00:04:58,330 +الثامن وهيك بنكون أنجزنا كل ال cranial nerves + +54 +00:04:58,330 --> 00:05:03,510 +جمعتلكم + +55 +00:05:03,510 --> 00:05:09,070 +ال cranial nerves في slide واحد عشان أسهل عليكم و + +56 +00:05:09,070 --> 00:05:14,590 +مثل كابسولة اللي كنت تاخدوها في ثانوية العامة تمام + +57 +00:05:14,590 --> 00:05:20,540 +ال classification of cranial nerves أول شي حسب ال + +58 +00:05:20,540 --> 00:05:26,980 +name olfactory + +59 +00:05:26,980 --> 00:05:32,520 +nerve رقم واحد، optic nerve اتنين، and oculomotor + +60 +00:05:32,520 --> 00:05:37,670 +nerve تلاتة Trochlear nerve أربعة Trigeminal nerve + +61 +00:05:37,670 --> 00:05:40,750 +خمسة بتكون من three branches Ophthalmic, Maxillary + +62 +00:05:40,750 --> 00:05:45,530 +and Mandibular Abducens nerve ستة Facial nerve + +63 +00:05:45,530 --> 00:05:48,470 +سبعة Vestibulocochlear nerve تمانية + +64 +00:05:48,470 --> 00:05:52,830 +Glossopharyngeal nerve تسعة و Vagus nerve عشرة + +65 +00:05:52,830 --> 00:05:57,530 +Accessory nerve احداشر Hypoglossal nerve اتناشر + +66 +00:05:57,530 --> 00:06:02,490 +هيكي الأسماء تبعتهم مرتبوهم بهذه الترتيب حسب ال exit + +67 +00:06:02,490 --> 00:06:07,110 +from the brain حسب ال exit from the brain لان نشوف + +68 +00:06:07,110 --> 00:06:13,170 +كيف ال exit بعد ما نتكلم على ال function بتاعتهم ال + +69 +00:06:13,170 --> 00:06:16,210 +function بتاعة ال cranial nerves olfactory nerve اسم + +70 +00:06:16,210 --> 00:06:20,310 +ال function الأول optic nerve vision للنظر + +71 +00:06:20,310 --> 00:06:24,990 +Oculomotor nerve و Trochlear nerve و Abducens nerve + +72 +00:06:24,990 --> 00:06:28,710 +العصب الثالث والرابع والسادس هذول Ocular nerve اللي + +73 +00:06:28,710 --> 00:06:32,570 +علاقة بال eye movement يبقى وظيفتهم motor + +74 +00:06:32,570 --> 00:06:36,270 +functions نرجع ل Trigeminal nerve mixed nerve + +75 +00:06:36,270 --> 00:06:40,780 +اللي له three branches Ophthalmic branch purely + +76 +00:06:40,780 --> 00:06:45,660 +sensory Maxillary branch purely sensory Mandibular + +77 +00:06:45,660 --> 00:06:49,660 +branch sensory and motor mixed okay Facial nerve + +78 +00:06:49,660 --> 00:06:53,960 +mixed nerve Vestibulocochlear nerve راح يكون عندي + +79 +00:06:53,960 --> 00:06:58,260 +a sensory pure sensory for a functional hearing + +80 +00:06:58,260 --> 00:07:01,270 +hearing and balance Vestibular function + +81 +00:07:01,270 --> 00:07:05,090 +Glossopharyngeal nerve راح يكون عندي Mixed Vagus + +82 +00:07:05,090 --> 00:07:09,170 +nerve Mixed Accessory nerve بنقسم لقسمين cranial + +83 +00:07:09,170 --> 00:07:12,010 +accessory and Spinal accessory يعتبر motor + +84 +00:07:12,010 --> 00:07:17,090 +و Hypoglossal nerve اللي تحت اللي هو ايه بيسمي + +85 +00:07:17,090 --> 00:07:22,770 +motor nerve motor nerve ال site of the nucleus في + +86 +00:07:22,770 --> 00:07:25,750 +معادلة سهلة ابسطلكوا ايهم لل site of the nucleus + +87 +00:07:25,750 --> 00:07:43,540 +بنقسمهم لاثنين اثنين اربع اربع اربع + +88 +00:07:43,540 --> 00:07:43,700 +اربع اربع اربع اربع اربع اربع اربع اربع اربع اربع + +89 +00:07:43,700 --> 00:07:45,880 +اربع اربع اربع اربع اربع اربع اربع اربع اربع اربع + +90 +00:07:45,880 --> 00:07:46,380 +اربع اربع اربع اربع اربع اربع اربع اربع اربع اربع + +91 +00:07:46,380 --> 00:07:48,840 +اربع اربع اربع اربع اربع اربع اربع اربع اربع اربع + +92 +00:07:48,840 --> 00:07:51,780 +اربع ارب + +93 +00:07:52,800 --> 00:07:57,420 +بيخرج من الـ Occipital lobe لذلك الأول اثنين + +94 +00:07:57,420 --> 00:08:04,060 +بيكونوا من وين؟ من ال Cerebral hemisphere من وين؟ + +95 +00:08:04,060 --> 00:08:07,500 +من ال Cerebral hemisphere يبقى الأول اثنين + +96 +00:08:07,500 --> 00:08:12,360 +بيخرجونا من وين؟ من ال Cerebral hemisphere و من + +97 +00:08:12,360 --> 00:08:19,880 +الثالث لاثنا عشر بيخرجوا او بدخلوا من ايه؟ Brainstem + +98 +00:08:22,700 --> 00:08:27,680 +خلصنا من الأول olfactory nerve Temporal lobe optic + +99 +00:08:27,680 --> 00:08:34,760 +nerve Occipital lobe نجي لأيه العصب الثالث اللي هو + +100 +00:08:34,760 --> 00:08:39,080 +Oculomotor Midbrain بيجي بعد ال Cerebral hemisphere + +101 +00:08:39,080 --> 00:08:46,640 +Midbrain العصب الرابع Midbrain ننتقل لايه الاربعة + +102 +00:08:46,640 --> 00:08:47,240 +اللي بعدهم + +103 +00:08:52,660 --> 00:08:57,860 +العصب الخامس Pons وفي exception راح اتكلم عنها + +104 +00:08:57,860 --> 00:09:05,880 +العصب السادس Pons العصب السابع Pons في exception + +105 +00:09:05,880 --> 00:09:10,380 +والعصب الثامن Pons في exception ننتقل للاربعة اللي + +106 +00:09:10,380 --> 00:09:21,180 +بعدهم ايه بقى يا عزيزي؟ الاربعة اللي بعدهم التاسع + +107 +00:09:22,880 --> 00:09:27,700 +Medulla oblongata ننتقل + +108 +00:09:27,700 --> 00:09:33,700 +للي بعدهم التاسع Medulla oblongata العاشر Medulla + +109 +00:09:33,700 --> 00:09:39,240 +oblongata الحادي عشر Medulla oblongata فيها exception + +110 +00:09:39,240 --> 00:09:46,320 +الثاني عشر Medulla oblongata يجب ان نلاحظ ان اول اثنين + +111 +00:09:46,320 --> 00:09:51,280 +في ال Cerebral hemisphere اللي بعدهم اثنين Mid + +112 +00:09:51,280 --> 00:09:57,230 +brain اللي بعدهم اربعة Pons اللي بعدهم اربعة + +113 +00:09:57,230 --> 00:10:01,750 +Medulla oblongata لعشان هيك رتبوهم بالترتيب هذا + +114 +00:10:01,750 --> 00:10:07,290 +okay Opening in the skull Opening in the skull + +115 +00:10:07,290 --> 00:10:13,330 +olfactory nerve Cribriform plate of ethmoid bone + +116 +00:10:14,100 --> 00:10:19,360 +optic nerve يخرج الى اللي بعده Oculomotor nerve و + +117 +00:10:19,360 --> 00:10:23,940 +Trochlear nerve Ophthalmic branch و Trigeminal nerve + +118 +00:10:23,940 --> 00:10:28,320 +Abducens nerve هذول من ال Superior orbital fissure + +119 +00:10:28,320 --> 00:10:32,600 +نرجع لتrigeminal nerve Maxillary nerve Rotundum + +120 +00:10:32,600 --> 00:10:37,380 +foramen Mandibular nerve Oval foramen Facial + +121 +00:10:37,380 --> 00:10:41,520 +nerve يخرج عن طريق ال Internal auditory meatus و + +122 +00:10:41,520 --> 00:10:46,200 +يخرج لال Stylomastoid foramen العصب الثامن في + +123 +00:10:46,200 --> 00:10:49,790 +Vestibulocochlear يخرج ل Internal auditory meatus و + +124 +00:10:49,790 --> 00:10:53,990 +... أو canal و بيبقى في ال Inner ear العصب التاسع + +125 +00:10:53,990 --> 00:10:59,010 +ال Glossopharyngeal و Vagus و Accessory nerve + +126 +00:10:59,010 --> 00:11:03,450 +العصب ال 11 يخرج من خلال ال Jugular foramen و + +127 +00:11:03,450 --> 00:11:07,910 +Hypoglossal nerve العصب 12 يخرج ل Hypoglossal + +128 +00:11:07,910 --> 00:11:14,050 +canal هيك انا بكون شرحتلكم ال cranial nerves من + +129 +00:11:14,050 --> 00:11:17,910 +ناحية اسمائهم من ناحية ترتيبهم من ناحية ال + +130 +00:11:17,910 --> 00:11:21,770 +function من ناحية location of the nucleus و + +131 +00:11:21,770 --> 00:11:25,930 +Opening in the skull اما ال exit او ال enters + +132 +00:11:25,930 --> 00:11:34,350 +لاحظوا هيه عندي هنا عصب Olfactory رقم واحد بيخرج ل + +133 +00:11:34,350 --> 00:11:38,750 +Temporal lobe اثنين Optic nerve بيخرج ل Occipital + +134 +00:11:38,750 --> 00:11:39,030 +lobe + +135 +00:11:41,760 --> 00:11:47,620 +ثلاثة Oculomotor nerve من ال Midbrain اربعة Trochlear + +136 +00:11:47,620 --> 00:11:52,320 +nerve من ال Midbrain خمسة Trigeminal nerve من ال + +137 +00:11:52,320 --> 00:11:58,000 +Pons ستة Abducens nerve من ال Pons سبعة أو اثنين روت + +138 +00:11:58,000 --> 00:12:02,860 +سبعة أو خمسة Facial nerve من ال Pons ثمانية + +139 +00:12:02,860 --> 00:12:08,220 +Vestibulocochlear nerve من ال Pons من ال Posterior + +140 +00:12:08,220 --> 00:12:11,700 +lateral sulcus of Medulla oblongata تسعة + +141 +00:12:11,700 --> 00:12:18,260 +Glossopharyngeal عشرة Vagus Accessory الـ two + +142 +00:12:18,260 --> 00:12:22,700 +root one root من ال Medulla oblongata Cranial root و + +143 +00:12:22,700 --> 00:12:28,890 +ال Spinal root من Spinal cord تمام بيخرج كمان من ال + +144 +00:12:28,890 --> 00:12:30,950 +Posterior lateral sulcus of Medulla oblongata ال + +145 +00:12:30,950 --> 00:12:34,830 +11 و من ال Anterior lateral sulcus of Medulla + +146 +00:12:34,830 --> 00:12:41,010 +oblongata بيخرج عندي 12 يبقى لحظه هي عندي 4 و هي + +147 +00:12:41,010 --> 00:12:45,070 +عندي 4 هذول Medulla oblongata الأربعة تحت و اربعة + +148 +00:12:45,070 --> 00:12:49,290 +فوقهم من ايه ال Pons الأربعة الأعلى شوية أسف + +149 +00:12:49,290 --> 00:12:53,190 +الاثنين الأعلى شوية من ال Midbrain و اثنين الأعلى + +150 +00:12:53,190 --> 00:12:58,170 +الأولانين من ال Occipital و Temporal lobe و هذه + +151 +00:12:58,170 --> 00:13:01,370 +التقسيمة اللي انا رسمتها لكم في ال cranial + +152 +00:13:01,370 --> 00:13:04,410 +nerves هيك انا بكون لخصلكم موضوع ال cranial nerves + +153 +00:13:04,410 --> 00:13:10,200 +في two slides و بعدها راح نبدأ بالتفصيل نتكلم عن كل + +154 +00:13:10,200 --> 00:13:19,540 +nerve لوحده عن كل nerve ايه؟ لوحده الان + +155 +00:13:19,540 --> 00:13:24,540 +العصب الأول ال Olfactory nerve راح اتطرق له في + +156 +00:13:24,540 --> 00:13:28,760 +المحاضرة خلال ثلاثة أسابيع في محاضرة special + +157 +00:13:28,760 --> 00:13:36,610 +sensation العصب الثاني Optic nerve راح أطرق له في + +158 +00:13:36,610 --> 00:13:39,950 +نفس المحاضرة بتاعة ال special sensation ل ال + +159 +00:13:39,950 --> 00:13:44,430 +vision و العصب الثامن راح أطرق له بالتفصيل في + +160 +00:13:44,430 --> 00:13:49,530 +محاضرة ال special senses ل Hearing and balance و + +161 +00:13:49,530 --> 00:13:54,410 +بعدهم هنا راح أبدأ مباشرة في العصب الثالث والرابع + +162 +00:13:54,410 --> 00:13:59,170 +والسادس يبقى الجزء الأول من محاضرة المحاضرة رقم + +163 +00:13:59,170 --> 00:14:02,510 +ثمانية راح نتكلم اول شيء اتكلمنا على ال general + +164 +00:14:02,510 --> 00:14:07,690 +information about the cranial nerves والان راح + +165 +00:14:07,690 --> 00:14:11,670 +أبدأ أتكلم على Ocular nerves مين هم ال Ocular + +166 +00:14:11,670 --> 00:14:16,810 +nerves العصب الثالث Oculomotor nerve عصب الرابع + +167 +00:14:16,810 --> 00:14:21,860 +Trochlear nerve و العصب السادس Abducens nerve Okay + +168 +00:14:21,860 --> 00:14:26,400 +الجزء الثاني من محاضرة الأسبوع الثامن راح يكون على + +169 +00:14:26,400 --> 00:14:32,500 +Trigeminal nerve Trigeminal nerve الآن أتكلم على + +170 +00:14:32,500 --> 00:14:37,120 +العصب الثالث رابع و سادس Ocular nerves ليه سموهم + +171 +00:14:37,120 --> 00:14:43,700 +Ocular nerves لأنه لهم علاقة ب eye movement ب eye + +172 +00:14:43,700 --> 00:14:48,870 +movement تمام العصب الثالث اسمه Oculomotor nerve + +173 +00:14:48,870 --> 00:14:52,170 +ايش يعني Oculomotor nerve لو ترجمناها من اللغة + +174 +00:14:52,170 --> 00:14:57,590 +اللاتينية نقصد فيها eye and moving eye and moving + +175 +00:14:57,590 --> 00:15:02,050 +يعني العين وحركة العين Function of the Oculomotor + +176 +00:15:02,050 --> 00:15:08,870 +nerve اول Function له اللي هي motor motor يعني + +177 +00:15:08,870 --> 00:15:13,380 +motor somatic motor somatic موتور ايش بقصد في + +178 +00:15:13,380 --> 00:15:18,560 +somatic motor يعني بيغذي Skeletal muscles بيغذي + +179 +00:15:18,560 --> 00:15:23,280 +ايه Skeletal muscles اللي انا بتحكم فيهم إراديا اللي + +180 +00:15:23,280 --> 00:15:26,280 +ملازمة بال movement of the eyeball + +181 +00:15:29,050 --> 00:15:33,390 +Autonomic Function Parasympathetic Function اللي + +182 +00:15:33,390 --> 00:15:36,750 +علاقة بال Pupillary reaction و احنا اتفقنا في + +183 +00:15:36,750 --> 00:15:40,230 +محاضرة ال introduction Autonomic Nervous System + +184 +00:15:40,230 --> 00:15:44,490 +اللي علاقة ب Smooth muscle and glands و Smooth + +185 +00:15:44,490 --> 00:15:48,530 +muscles انا مابتحكم فيه يلا طالب او طالبة يجي في + +186 +00:15:48,530 --> + +201 +00:16:55,400 --> 00:16:59,140 +Parasympathetic function بتاعة الـ oculomotor + +202 +00:16:59,140 --> 00:17:03,760 +nerve كمان motor، كمان ايه؟ Motor، يبقى الـ .. الـ + +203 +00:17:03,760 --> 00:17:06,960 +Parasympathetic بتاعتها motor، والsomatic كمان + +204 +00:17:06,960 --> 00:17:12,320 +motor، الثانيين motor لذلك تم نسب هذا العصب إلى + +205 +00:17:12,320 --> 00:17:17,140 +مجموعة العصاب الحركية إذن هو يعتبر purely + +206 +00:17:17,140 --> 00:17:21,400 +motor nerve ليه؟ لأن الـ somatic function تبعته + +207 +00:17:21,400 --> 00:17:24,860 +بغذي الـ skeletal muscles هدول motor function و + +208 +00:17:24,860 --> 00:17:28,080 +البارا sympathetic function بتاعته بغذي كمان smooth + +209 +00:17:28,080 --> 00:17:34,720 +muscles وهذه تعتبر motor function العصب اللي بعده + +210 +00:17:34,720 --> 00:17:40,170 +Trochlear nerve العصب الرابع، الـ function تبعته + +211 +00:17:40,170 --> 00:17:45,410 +بيغذي عضلة واحدة، ايش هي؟ بيغذي هنا superior + +212 +00:17:45,410 --> 00:17:50,070 +oblique muscle، بيغذي أي عضلة؟ superior oblique + +213 +00:17:50,070 --> 00:17:51,650 +muscle، روح اترق إليها واللي هو الـ function + +214 +00:17:51,650 --> 00:17:57,920 +بتاعتها العصب السادس abducens nerve، من .. ليه سماه + +215 +00:17:57,920 --> 00:18:02,420 +abducens nerve؟ لأنه بيعمل abduction للأيه؟ بيعمل + +216 +00:18:02,420 --> 00:18:06,280 +ايه؟ abduction للـ أترالية، بيغذي lateral + +217 +00:18:06,280 --> 00:18:10,200 +rectus muscle وظيفة الـ lateral rectus muscle تعمل + +218 +00:18:10,200 --> 00:18:14,040 +abduction للـ أترالية، هنا طلعت على اليمين، حركت + +219 +00:18:14,040 --> 00:18:18,080 +عين اليمين لآخر شيء، يقول إن العين اليمين اتحركت الـ + +220 +00:18:18,080 --> 00:18:21,800 +lateral rectus muscle وشدتها لإيه؟ للـ lateral + +221 +00:18:21,800 --> 00:18:27,730 +direction لذلك سمي abducens nerve، طب سؤال أخير في + +222 +00:18:27,730 --> 00:18:31,810 +الـ slide هذا دكتور، انت قلت ان كلهم motor والهم + +223 +00:18:31,810 --> 00:18:35,130 +علاقة بالـ eye moving، الـ abducens nerve بيحرك العين + +224 +00:18:35,130 --> 00:18:38,890 +و الـ trochlear nerve بيحرك العين، و الـ abducens + +225 +00:18:38,890 --> 00:18:42,930 +nerve بيحرك العين، ليه سماه هذا oculomotor eye eye + +226 +00:18:42,930 --> 00:18:48,730 +moving؟ سموه لأنه زعيم، لأنه زعيم و بيغذي عضلات + +227 +00:18:48,730 --> 00:18:52,530 +بيغذي أكتر عضلات، إذا الـ trochlear nerve بيغذي عضلة + +228 +00:18:52,530 --> 00:18:56,970 +واحدة، Superior oblique muscle، abducens nerve بيغذي + +229 +00:18:56,970 --> 00:19:01,730 +عضلة واحدة، الـ oculomotor nerve تبعوا معايا، بيغذي + +230 +00:19:01,730 --> 00:19:06,170 +كام عضلة؟ عشان هيك كل احترام للـ oculomotor nerve + +231 +00:19:06,170 --> 00:19:10,310 +سموه oculomotor nerve، eye and moving، بيغذي levator + +232 +00:19:10,310 --> 00:19:16,430 +palpebrae superioris، بيغذي superior rectus muscle + +233 +00:19:16,430 --> 00:19:22,250 +اتنين، بيغذي inferior rectus muscle، ثلاثة، بيغذي + +234 +00:19:22,250 --> 00:19:27,650 +medial rectus muscle، أربعة، بيغذي inferior what؟ + +235 +00:19:27,650 --> 00:19:32,950 +oblique muscle، خامسة، بيغذي ciliary muscle، smooth + +236 +00:19:32,950 --> 00:19:37,290 +muscle، ستة، بيغذي sphincter pupillae muscle أو + +237 +00:19:37,290 --> 00:19:40,910 +constrictor pupillae muscle، سبعة، بيغذي سبع عضلات + +238 +00:19:40,910 --> 00:19:45,810 +عشان هيك لقبوه باللقب وعطوه وسام، لقب oculomotor + +239 +00:19:45,810 --> 00:19:49,950 +nerve اللي هو أكتر nerve أو أكبر nerve بيحرك الـ عين + +240 +00:19:49,950 --> 00:19:55,730 +ويسموه oculomotor nerve، نبدأ الآن بـ oculomotor + +241 +00:19:55,730 --> 00:20:02,260 +nerve، حالة سهل صار الموضوع، كل شي انشرح اليكم، اوكلو + +242 +00:20:02,260 --> 00:20:07,580 +motor nerve، it is purely motor nerve، purely motor + +243 +00:20:07,580 --> 00:20:13,460 +nerve، somatic motor يعني بيغذي skeletal muscle and + +244 +00:20:13,460 --> 00:20:16,580 +autonomic motor أو parasympathetic motor، بيغذي + +245 +00:20:16,580 --> 00:20:21,420 +عضلات ملساء عن طريق الـ parasympathetic fibers يبقى + +246 +00:20:21,420 --> 00:20:28,740 +هو يعتبر pure motor nerve، هي واحد، اثنين، arises from + +247 +00:20:28,740 --> 00:20:34,260 +the anterior surface of midbrain، بخرج من وين؟ من + +248 +00:20:34,260 --> 00:20:38,080 +الـ anterior surface of midbrain، اتفرع اثنين + +249 +00:20:38,080 --> 00:20:41,600 +اثنين، يبقى ان هو اثنين، بعدهم رقم ثلاثة، يبقى انها + +250 +00:20:41,600 --> 00:20:44,960 +راح تكون ثلاثة، بخرج من الـ midbrain من الـ anterior + +251 +00:20:44,960 --> 00:20:51,740 +surface of midbrain، بعده enter the orbit، بيفوت في + +252 +00:20:51,740 --> 00:20:58,270 +الـ orbit عن طريق Superior Orbital Fissure، Superior + +253 +00:20:58,270 --> 00:21:02,710 +Orbital Fissure، وقبل ما يصل لـ Superior Orbital + +254 +00:21:02,710 --> 00:21:07,430 +Fissure، بيمر في Cavernous Sinus، أخدنا اسمه + +255 +00:21:07,430 --> 00:21:10,650 +الكافرنوس، Cavernous Sinus، هو عبارة عن Dural Venous + +256 +00:21:10,650 --> 00:21:14,850 +Sinus، كمان مرة، oculomotor nerve يعتبر purely motor + +257 +00:21:14,850 --> 00:21:19,370 +nerve، تحتوي على مصادر، مصادر سوماتيكية، ومصادر، مصادر + +258 +00:21:19,370 --> 00:21:27,330 +بارا سيمباتاتيكية، تتخلص من خدمة الأمام من القلعب + +259 +00:21:27,330 --> 00:21:34,430 +المتوسط ثم تتجه إلى الجدران الأعلى والخارجي من + +260 +00:21:34,430 --> 00:21:40,250 +الـ sinus الكافيرنس، and enters the orbit through the + +261 +00:21:40,250 --> 00:21:44,750 +superior orbital a fissure، superior orbital + +262 +00:21:44,750 --> 00:21:50,370 +fissure اللي هي موجودة وين؟ في الـ sphenoid bone، هاي عندي + +263 +00:21:50,370 --> 00:21:59,130 +oculomotor nerve، هاي left oculomotor nerve، وهي a right + +264 +00:21:59,740 --> 00:22:05,580 +oculomotor nerve، خرج من وين؟ من اللي هو ventral أو + +265 +00:22:05,580 --> 00:22:13,080 +anterior surface of midbrain، okay، بيمر وين؟ قلنا + +266 +00:22:13,080 --> 00:22:17,440 +هي cavernous sinus، هذا عندي left وهذا right، هي + +267 +00:22:17,440 --> 00:22:21,540 +oculomotor nerve، العصب التالت، بيمر في الـ upper + +268 +00:22:21,540 --> 00:22:27,380 +lateral wall of the cavernous sinus، و الـ trochlear + +269 +00:22:27,380 --> 00:22:35,260 +nerve بيمر هيفي الـ upper wall of lateral، والـ + +270 +00:22:35,260 --> 00:22:39,100 +abducens nerve بيمر في الـ medial، تحت الـ internal + +271 +00:22:39,100 --> 00:22:41,860 +carotid، و في الـ thalamic branch، و في الـ trigeminal + +272 +00:22:41,860 --> 00:22:46,860 +بيمر في الـ lower lateral، و الـ maxillary branch تبع + +273 +00:22:46,860 --> 00:22:50,620 +الـ trigeminal، بيمر في الـ lateral wall، في الـ lower + +274 +00:22:50,620 --> 00:22:54,580 +part، هذا lower part lateral، وهذا upper part + +275 +00:22:54,580 --> 00:22:57,640 +lateral، وهذا ايه؟ Medial، وانتوا عارفين الـ + +276 +00:22:57,640 --> 00:23:01,670 +structures اللي بتمر في الـ cavernous sinus؟ و الـ oculomotor + +277 +00:23:01,670 --> 00:23:05,610 +nerve، عصب التالت، trochlear nerve، عصب الرابع، الـ first + +278 +00:23:05,610 --> 00:23:08,050 +branch، و الـ second branch بتاعي نتراجه من الـ nerve + +279 +00:23:08,050 --> 00:23:11,990 +of thalamic and maxillary nerve، و اللي هو عصب + +280 +00:23:11,990 --> 00:23:15,770 +السادس، abducens nerve، و internal carotid artery + +281 +00:23:25,970 --> 00:23:30,070 +branches of oculomotor nerve، الـ oculomotor nerve + +282 +00:23:30,070 --> 00:23:34,650 +له two branches، له ايه؟ two branches، superior + +283 +00:23:34,650 --> 00:23:39,730 +division، superior division، supply to muscles + +284 +00:23:39,730 --> 00:23:46,150 +levator palpebrae superioris، levator palpebrae + +285 +00:23:46,150 --> 00:23:50,310 +superior، إذا هذه وظيفتها ترفع جفن العين لأعلى ولو + +286 +00:23:50,310 --> 00:23:54,270 +اصاب دمج اليه بيصير حاجة اسمها ptosis، ايش اسمها؟ + +287 +00:23:54,270 --> 00:23:58,890 +ptosis، يعني بيصير عند المريض سقوط في الجفن، يعني + +288 +00:23:58,890 --> 00:24:01,290 +عينه بالحركة، زي اللي يمين عندي، هالجتة ايش عندي + +289 +00:24:01,290 --> 00:24:06,870 +هالجتة اللي يمين؟ عندي ptosis، الجفن نازل، okay + +290 +00:24:06,870 --> 00:24:12,950 +superior rectus muscle، راح نتكلم عنها لاحقاً، طيب الـ + +291 +00:24:12,950 --> 00:24:18,130 +inferior division ايش بيغذيها؟ medial rectus muscle + +292 +00:24:18,130 --> 00:24:24,150 +inferior rectus muscle، و inferior oblique muscle + +293 +00:24:24,150 --> 00:24:28,730 +طيب مين بيغذي superior oblique muscle؟ trochlear + +294 +00:24:28,730 --> 00:24:32,910 +nerve، طب مين بيغذي lateral rectus muscle؟ abducens + +295 +00:24:32,910 --> 00:24:39,310 +nerve، هذول يعتبروا skeletal muscle، هذول skeletal + +296 +00:24:39,310 --> 00:24:47,740 +muscles، و آخر اثنتين، constrictor pupillae muscle، و + +297 +00:24:47,740 --> 00:24:50,720 +ciliary muscle، ciliary muscle لها علاقة بالـ + +298 +00:24:50,720 --> 00:24:54,300 +accommodation، و الـ constrictor pupillae muscle لها + +299 +00:24:54,300 --> 00:24:57,640 +علاقة بالـ light reflex، بيصير لو طلعنا في الضوء في + +300 +00:24:57,640 --> 00:25:01,200 +شمس، أول ما بنعمله بنغمض عينينا شوية من الشمس لأن + +301 +00:25:01,200 --> 00:25:04,080 +الـ بؤبؤ بيكون في الظلام واسع، لما بطلع في الشمس بده + +302 +00:25:04,080 --> 00:25:06,860 +يصير ايه لحجمه؟ يصغر، الـ light بيعملنا + +303 +00:25:06,860 --> 00:25:09,880 +constriction للـ pupil، بيعملنا contraction للـ + +304 +00:25:09,880 --> 00:25:15,230 +constrictor pupillae muscle، بيصغر، العكس صحيح، لو طلعنا + +305 +00:25:15,230 --> 00:25:19,710 +من ضوء لظلام، بنبطل نشوف، بدنا .. دقيقة بتلاقي توسع + +306 +00:25:19,710 --> 00:25:22,190 +الـ بؤبؤ .. البؤبؤ، بؤبؤ تعالي يعني، توسع عن طريق + +307 +00:25:22,190 --> 00:25:25,370 +sympathetic nervous system، راح أطرق له في محاضرة + +308 +00:25:25,370 --> 00:25:29,070 +أخرى، ايه بجانب؟ عند هدول الـ constrictor بيبقى لـ + +309 +00:25:29,070 --> 00:25:33,850 +muscle، و الـ ciliary muscle، smooth muscles، يقول الـ + +310 +00:25:33,850 --> 00:25:36,470 +smooth muscles بياخدوا من وين؟ هدول من الـ + +311 +00:25:36,470 --> 00:25:42,370 +parasympathetic nervous system، و هدول الـ skeletal + +312 +00:25:42,370 --> 00:25:45,970 +من الـ somatic fibers + +313 +00:25:47,170 --> 00:25:50,950 +ايش الفرق بينهم؟ انه انا بتحكم في الـ skeletal + +314 +00:25:50,950 --> 00:25:54,610 +muscles، بحركهم، لكن الـ somatic nerves، آسف، الـ + +315 +00:25:54,610 --> 00:25:59,190 +smooth muscles اللي عن طريق الـ parasympathetic + +316 +00:25:59,190 --> 00:26:02,570 +nervous system، انا ما بتحكم فيهم، ما بتحكمش فيهم، + +317 +00:26:02,570 --> 00:26:09,890 +هدول حركتهم لا إرادية بتكون، حركتهم لا إرادية، هاي + +318 +00:26:09,890 --> 00:26:15,230 +عندي صورة بتوضح لنا الـ branches of the oculomotor + +319 +00:26:15,230 --> 00:26:20,710 +nerve، الـ oculomotor nerve له two branches، superior + +320 +00:26:20,710 --> 00:26:28,850 +branch، هي superior branch supply superior rectus + +321 +00:26:28,850 --> 00:26:35,890 +muscle and levator palpebrae superioris، و inferior + +322 +00:26:35,890 --> 00:26:41,790 +branch supply medial rectus muscle، inferior rectus + +323 +00:26:41,790 --> 00:26:46,500 +muscle and inferior oblique muscle، ومعهم بيكون + +324 +00:26:46,500 --> 00:26:52,580 +parasympathetic fibers، للاكولاموتر نيرف، هذه + +325 +00:26:52,580 --> 00:26:56,360 +autonomic، هذه بتغذي العضلات اللي لا إرادية، بتروح + +326 +00:26:56,360 --> 00:27:00,260 +لسيلاري muscle، بتعمل relay، ومن السيلاري muscle + +327 +00:27:00,260 --> 00:27:04,260 +بتغذي لنا ايه؟ بتروح لسيلاري ganglion، ومن + +328 +00:27:04,260 --> 00:27:08,020 +السيلاري ganglion بتغذي to muscle واحدة اسمها + +329 +00:27:08,020 --> 00:27:09,220 +سيلاري + +330 +00:27:11,290 --> 00:27:15,690 +muscle، والثانية اسمها constrictor pupillae muscle + +331 +00:27:15,690 --> 00:27:19,070 +يبقى هذا هو الـ blood supply أو الـ nerve supply + +332 +00:27:19,070 --> 00:27:23,570 +بتاع الـ oculomotor nerve، nerve supply of the + +333 +00:27:23,570 --> 00:27:35,470 +oculomotor nerve باختصار + +334 +00:27:35,470 --> 00:27:43,270 +the oculomotor nerve اللي هو الزعيم، supply all of + +335 +00:27:43,270 --> 00:27:49,350 +the intra and extraocular muscles، انا لما أتكلم + +336 +00:27:49,350 --> 00:27:53,150 +على الـ intraocular muscles، انا بتكلم على الـ smooth + +337 +00:27:53,150 --> 00:27:57,030 +muscles اللي بتاخد من الـ autonomic fibers، اما + +338 +00:27:57,030 --> 00:28:00,790 +parasympathetic وإما sympathetic، و الـ extraocular + +339 +00:28:00,790 --> 00:28:04,510 +muscles هم skeletal muscles، يبقى الـ oculomotor + +340 +00:28:04,510 --> 00:28:08,850 +nerves بيغذي كل عضلات العين الداخلية والخارجية ما + +341 +00:28:08,850 --> 00:28:14,390 +عدا ما عدا superior oblique muscle، superior + +342 +00:28:14,390 --> 00:28:18,070 +oblique muscle، superior oblique muscle بتاخد من + +343 +00:28:18,070 --> 00:28:23,250 +العصب الرابع، trochlear nerve، lateral rectus muscle + +344 +00:28:23,250 --> 00:28:29,200 +بتاخد من العصب السادس، abducens nerve، و dilator + +345 +00:28:29,200 --> 00:28:33,240 +pupillae muscle بتاخد من الـ sympathetic nervous + +346 +00:28:33,240 --> 00:28:36,940 +system، راح نتكلم عنها في محاضرة anatomy and + +347 +00:28:36,940 --> 00:28:41,100 +physiology of the autonomic nervous system، لذلك + +348 +00:28:41,100 --> 00:28:45,100 +سمي oculomotor، بيحجلهم يسموا oculomotor، بيغذي سبع + +349 +00:28:45,100 --> 00:28:50,760 +عضلات لوحده، ننتقل + +350 +00:28:50,760 --> 00:28:58,150 +للعصب الرابع، Trochlear nerve، it is purely motor + +351 +00:28:58,150 --> 00:29:05,650 +nerve، مافي خلاف، هاي يخرج من؟ exit تبعه from the + +352 +00:29:05,650 --> 00:29:14,700 +posterior أو dorsal surface of midbrain، تمام، الـ + +353 +00:29:14,700 --> 00:29:20,960 +function بتاعته، supply only one muscle، superior + +354 +00:29:20,960 --> 00:29:25,280 +oblique muscle، بيغذي و عضلة واحدة، superior oblique + +355 +00:29:25,280 --> 00:29:28,760 +muscle، و الـ site of the nucleus في الـ midbrain + +356 +00:29:28,760 --> 00:29:33,400 +موجودة وين؟ في الـ segment of midbrain، في الـ + +357 +00:29:33,400 --> 00:29:38,300 +midbrain، هي عصب الرابع، طيب enters the orbit + +358 +00:29:38,300 --> 00:29:42,160 +through the superior orbital fissure، زي الـ + +359 +00:29:42,160 --> 00:29:47,160 +oculomotor، وبيمر في الـ lateral wall of + +360 +00:29:47,160 --> 00:29:51,520 +cavernous sinus، مثل مين؟ مثل ايه؟ الـ oculomotor + +361 +00:29:51,520 --> 00:29:57,680 +nerve، تبقى هو بيغذي يعني بيختلف عن الـ oculomotor + +362 +00:29:57,680 --> 00:30:01,580 +nerve ان هو smallest nerve، اصغر nerve، الـ cranial + +363 +00:30:01,580 --> 00:30:07,290 +nerve، وانه بيخرج من الـ posterior surface of the + +364 +00:30:07,290 --> 00:30:10,990 +midbrain، الـ oculomotor من الـ anterior surface غير + +365 +00:30:10,990 --> 00:30:15,770 +هيك انه supply only muscle، only one muscle اللي هي + +366 +00:30:15,770 --> 00:30:21,710 +superior oblique muscle، و arises from posterior + +367 +00:30:21,710 --> 00:30:26,890 +اللي هو surface of midbrain، و الـ oculomotor بخرج + +368 +00:30:26,890 --> 00:30:30,810 +من الـ ventral surface of midbrain، هاي عندي اللي هو + +369 +00:30:30,810 --> 00:30:32,850 +الـ oculo .. الـ trochlear nerve بيجي من الـ + +370 +00:30:32,850 --> 00:30:35,350 +posterior surface، و بيلف للأمام بيجينا من الـ + +371 +00:30:35,350 --> 00:30:40,910 +posterior surface، و بيلف للأمام، هيعتبر a pure + +372 +00:30:40,910 --> 00:30:45,110 +motor nerve، وهيعتبر اصغر nerve من الـ cranial + +373 +00:30:45,110 --> 00:30:45,370 +nerve + +374 +00:30:51,000 --> 00:30:57,260 +هيو بيفوت لنا لوين؟ لـ superior orbital fissure، هيو + +375 +00:30:57,260 --> 00:31:04,360 +عندي trochlear nerve، supply دي superior oblique + +376 +00:31:04,360 --> 0 + +401 +00:33:01,060 --> 00:33:04,500 +داخل تعمل adduction للآية، ال lateral rectus muscle + +402 +00:33:04,500 --> 00:33:07,560 +تعمل abduction للآية، ال medial rectus muscle تعمل + +403 +00:33:07,560 --> 00:33:11,990 +adduction للآيةsuperior rectus muscle بتعمل + +404 +00:33:11,990 --> 00:33:15,930 +elevation للعي superior بترفع العين لفوق inferior + +405 +00:33:15,930 --> 00:33:20,110 +rectus muscle بتعمل depression للعي inferiorly نجي + +406 +00:33:20,110 --> 00:33:24,490 +لل oblique superior oblique عوجة ال superior + +407 +00:33:24,490 --> 00:33:27,790 +oblique بتلف العين لتحت بتعمل depression للعي + +408 +00:33:27,790 --> 00:33:33,110 +inferior oblique muscle بتعمل elevation للعي بترفع + +409 +00:33:33,110 --> 00:33:37,260 +العين لفوق عكس هدول ال oblique طيبفي حركة ثانية + +410 +00:33:37,260 --> 00:33:41,760 +بيعملوها ال recti muscle غير ال elevation و ال + +411 +00:33:41,760 --> 00:33:44,920 +depression كمان بيعملوا adduction لل I يعني لو + +412 +00:33:44,920 --> 00:33:49,960 +قلنالك superior rectus muscle بتعمل elevation مع + +413 +00:33:49,960 --> 00:33:54,500 +adduction inferior rectus muscle بتعمل depression + +414 +00:33:54,500 --> 00:33:58,960 +مع adduction superior oblique muscle بتعمل + +415 +00:33:58,960 --> 00:34:03,960 +elevation مع adduction inferior oblique muscle + +416 +00:34:03,960 --> 00:34:09,320 +superior oblique muscle تعمل depression مع + +417 +00:34:09,320 --> 00:34:14,660 +abduction depression مع abduction inferior oblique + +418 +00:34:14,660 --> 00:34:18,880 +muscle تعمل elevation مع abduction هذه الحركة + +419 +00:34:18,880 --> 00:34:23,760 +بتاعة إيش العضلات طب levator palpebrae superioris + +420 +00:34:23,760 --> 00:34:29,820 +بترفع جسم العين لأعلى هاي عندي العضلات lateral + +421 +00:34:31,910 --> 00:34:39,430 +rectus muscle medial rectus muscle نجحان inferior + +422 +00:34:39,430 --> 00:34:47,190 +rectus muscle superior rectus muscle superior + +423 +00:34:47,190 --> 00:34:55,210 +oblique muscle inferior oblique muscle levator + +424 +00:34:58,710 --> 00:35:04,090 +palpebrae superioris أو بيسميها elevator palpebrae + +425 +00:35:04,090 --> 00:35:07,470 +superioris أو elevator palpebrae superioris نفس + +426 +00:35:07,470 --> 00:35:12,770 +الشيء أو elevator palpebrae superioris + +427 +00:35:14,280 --> 00:35:18,240 +يبقى هذه عضلات العين وداخل العين في عضلتين smooth + +428 +00:35:18,240 --> 00:35:21,800 +أو ثلاث عضلات smooth, ciliary muscle و constrictor + +429 +00:35:21,800 --> 00:35:24,080 +pupillae muscle هذول بياخدوا من ال oculomotor nerve + +430 +00:35:24,080 --> 00:35:27,880 +وفي عضلة اسمة dilator pupillae muscle بتوسع بقبه + +431 +00:35:27,880 --> 00:35:35,620 +العين بتاخد من sympathetic nervous system okay هذه + +432 +00:35:35,620 --> 00:35:40,260 +نفس الشيء slide بيوضحلنا ال eye muscles + +433 +00:35:40,260 --> 00:35:46,200 +extraocular musclesوهنا ال direction بتاعة ال eye + +434 +00:35:46,200 --> 00:35:53,020 +movement يعني هذه abduction هذا للداخل وهذا للخارج + +435 +00:35:53,020 --> 00:35:56,900 +هذا depression لتحت و elevation لفوق لاحظوا media + +436 +00:35:56,900 --> 00:36:00,000 +rectus muscle abduction lateral rectus muscle + +437 +00:36:00,000 --> 00:36:04,520 +abduction superior rectus muscle elevation مع + +438 +00:36:04,520 --> 00:36:08,760 +abduction inferior rectus muscle depression مع + +439 +00:36:08,760 --> 00:36:12,300 +abduction superior oblique muscle العكسان + +440 +00:36:13,350 --> 00:36:17,010 +depression مع abduction و inferior oblique muscle + +441 +00:36:17,010 --> 00:36:21,370 +elevation مع abduction ال oblique بعكسه ال + +442 +00:36:21,370 --> 00:36:24,650 +superior بتعمل inferior او depression و ال + +443 +00:36:24,650 --> 00:36:29,310 +inferior بتعمل elevation هذه حركة اللين اللي بيقوم + +444 +00:36:29,310 --> 00:36:36,170 +فيها العضلات abduction هذه مين هي اللي بتعملها + +445 +00:36:36,170 --> 00:36:40,230 +اللي هو lateral rectus muscle abduction مين + +446 +00:36:40,230 --> 00:36:44,980 +بيعملهااللي هو medial rectus muscle نجي لتحت + +447 +00:36:44,980 --> 00:36:49,860 +depression مع adduction inferior rectus muscle تمام + +448 +00:36:49,860 --> 00:36:54,420 +elevation مع adduction superior rectus muscle + +449 +00:36:55,250 --> 00:36:58,890 +Elevation مع abduction inferior oblique muscle + +450 +00:36:58,890 --> 00:37:02,650 +Depression مع abduction superior oblique muscle + +451 +00:37:02,650 --> 00:37:10,050 +احنا راجعنا كل حركة الان و بكتفي في الجزئية الأولى + +452 +00:37:10,050 --> 00:37:12,890 +من المحاضرة الثامنه اتكلمنا عن ال ocular nerves + +453 +00:37:12,890 --> 00:37:16,870 +الجزء الثاني من المحاضرة رح يكون على ال trigeminal + +454 +00:37:16,870 --> 00:37:17,130 +nerves diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/36g1963YLUU_raw.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/36g1963YLUU_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..8901ceab14a22f8708679000cc86e580a13b1ad1 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/36g1963YLUU_raw.srt @@ -0,0 +1,1828 @@ +1 +00:00:05,230 --> 00:00:08,650 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:08,650 --> 00:00:15,990 +وبركاته محاضرة الأسبوع الحالي راح تكون على anatomy + +3 +00:00:15,990 --> 00:00:20,090 +of cranial nerves anatomy of the cranial nerves + +4 +00:00:20,090 --> 00:00:24,010 +راح نتطرق إلى محاضرتين كل محاضرة راح نقسمها إلى + +5 +00:00:24,010 --> 00:00:30,370 +جزئين نبدأ اليوم في المحاضرة الأولى من anatomy and + +6 +00:00:30,370 --> 00:00:32,170 +physiology of the cranial nerves + +7 +00:00:35,470 --> 00:00:39,110 +الـ cranial nerves ليش سموها cranial nerves؟ لأن + +8 +00:00:39,110 --> 00:00:42,630 +فينا شي اسمه spinal nerves cranial nerves سموها + +9 +00:00:42,630 --> 00:00:46,410 +cranial nerves لأنها ال nerves ال exit أو ال + +10 +00:00:46,410 --> 00:00:51,390 +enters بتاعها بتنفي ل cranial cavity عن طريق ال + +11 +00:00:51,390 --> 00:00:58,430 +formula in the skull فينا twelve pairs of cranial + +12 +00:00:58,430 --> 00:01:02,690 +nerves twelve pairs of cranial nerves بنقسمهم إلى + +13 +00:01:03,600 --> 00:01:12,780 +Pure Sensory Nerve الهم 128 منهم + +14 +00:01:12,780 --> 00:01:16,800 +الفكتوري نيرف for smell function + +15 +00:01:27,730 --> 00:01:32,850 +والعلاقة بالموضوع الهيرينج و الوستيبولو كوكليار + +16 +00:01:32,850 --> 00:01:36,570 +نيرف و الوستيبولو + +17 +00:01:36,570 --> 00:01:38,470 +كوكليار نيرف و الوستيبولو كوكليار نيرف + +18 +00:01:38,500 --> 00:01:42,600 +Vestibulocochlear nerve are purely sensory nerve + +19 +00:01:42,600 --> 00:01:49,400 +عشان نبسطها إلكم بنعطيهم الرقم 128 يبقى الرقم 128 + +20 +00:01:49,400 --> 00:01:57,380 +اللي هو first الفكتوري nerve second اللي هو optic + +21 +00:01:57,380 --> 00:02:03,170 +nerve وعصب الثامنVestibular و Trochlear nerves are + +22 +00:02:03,170 --> 00:02:07,670 +purely sensory nerves و هي purely special sensory + +23 +00:02:07,670 --> 00:02:13,590 +nerves اوكي اقول ان motor nerve , Trochlear nerve + +24 +00:02:13,590 --> 00:02:19,050 +, Abdominal nerve , Accessory nerve and + +25 +00:02:19,050 --> 00:02:24,850 +Hypoglossal nerve are purely motor nerves يبقى + +26 +00:02:24,850 --> 00:02:31,840 +العصب الثالثوالعصب الرابع والسادس واحد عشر وثاني + +27 +00:02:31,840 --> 00:02:38,360 +عشر يعتبروا ايه purely motor + +28 +00:02:38,360 --> 00:02:44,540 +nerves Trigeminal nerve العصب الخامس + +29 +00:02:44,540 --> 00:02:49,820 +Glucopharyngeal nerve العصب السابع Vegas nerve + +30 +00:02:49,820 --> 00:02:54,440 +العصب العشر اللي Glucopharyngeal nerve العصب + +31 +00:02:54,440 --> 00:02:58,190 +التاسع آسفعصب التاسع Glossopharyngeal nerve كمان + +32 +00:02:58,190 --> 00:03:04,150 +مرة Trigeminal nerve Facial + +33 +00:03:04,150 --> 00:03:09,130 +nerve اللي هو العصب السابع Glossopharyngeal nerve + +34 +00:03:09,130 --> 00:03:14,650 +العصب التاسع Vegas nerve العصب العاشر Trigeminal + +35 +00:03:14,650 --> 00:03:21,830 +nerve Facial nerve Glossopharyngeal nerve Vegas + +36 +00:03:21,830 --> 00:03:26,700 +nervemixed nerve يعني إيش mixed nerve؟ يعني ال + +37 +00:03:26,700 --> 00:03:30,100 +function تبعتهم ممكن تكون motor sensory autonomic + +38 +00:03:30,100 --> 00:03:35,360 +function بنعطيهم الرمز عشر ألف وتسعة مية وخمسة + +39 +00:03:35,360 --> 00:03:39,720 +وسبعين يعني العصب الخامس والسبع والتاسع والعاشر + +40 +00:03:39,720 --> 00:03:46,840 +يعتبروا إيه؟ mixed nerve ان شاء الله في محاضرة + +41 +00:03:46,840 --> 00:03:54,030 +اليومرح نتطرق ل .. اللي هي محاضرة الأسبوع الثامن + +42 +00:03:54,030 --> 00:03:59,410 +رح نتطرق إلى ال .. اوكلون موتور نيرف و تروكليار + +43 +00:03:59,410 --> 00:04:04,570 +نيرف و أبدوسنت نيرف و ترايجي من ال nerve رح ناخد + +44 +00:04:04,570 --> 00:04:08,930 +العصب الثالث رابع سادس و الخامس في محاضرة الأسبوع + +45 +00:04:08,930 --> 00:04:10,130 +التاسع + +46 +00:04:17,480 --> 00:04:22,920 +محاضرة السبوع التاسع راح اتكلم معاكم على اللي هو + +47 +00:04:22,920 --> 00:04:30,960 +العصب السابعتاسر عشر احداش اتناش ان شاء الله في + +48 +00:04:30,960 --> 00:04:35,220 +محاضرة ال special nerves او نتكلم على ال special + +49 +00:04:35,220 --> 00:04:38,280 +sensation في ال special sensation راح اتطرق لل + +50 +00:04:38,280 --> 00:04:44,840 +taste و vision و hearing تمام و smell function راح + +51 +00:04:44,840 --> 00:04:50,910 +اتطرق للعصاب اللي هو الفكتوري nerveعصب واحد optic + +52 +00:04:50,910 --> 00:04:54,170 +nerve عصب اتنين vestibulocochlear nerve العصب + +53 +00:04:54,170 --> 00:04:58,330 +التامن وهيك بنكون أنجزنا كل ال cranial nerves + +54 +00:04:58,330 --> 00:05:03,510 +جمعتلكم + +55 +00:05:03,510 --> 00:05:09,070 +ال cranial nerves في slide واحد عشان أسهل عليكم و + +56 +00:05:09,070 --> 00:05:14,590 +مثل كابسولة اللي كنت تاخدوها في ثانوية العامة تمام + +57 +00:05:14,590 --> 00:05:20,540 +ال classification of cranial nervesأول شي حسب ال + +58 +00:05:20,540 --> 00:05:26,980 +name ال factory + +59 +00:05:26,980 --> 00:05:32,520 +nerve رقم واحد، optic nerve اتنين، and oculomotor + +60 +00:05:32,520 --> 00:05:37,670 +nerve تلاتةTracular nerve أربعة Trigeminal nerve + +61 +00:05:37,670 --> 00:05:40,750 +خمسة بتكون من three branches of thalamic maxillary + +62 +00:05:40,750 --> 00:05:45,530 +and mandibular Adjacent nerve ستة Facial nerve + +63 +00:05:45,530 --> 00:05:48,470 +سبعة Vestibulocochlear nerve تمانية + +64 +00:05:48,470 --> 00:05:52,830 +Glossopharyngeal nerve تسعة و Vegas nerve عشرة + +65 +00:05:52,830 --> 00:05:57,530 +Accessory nerve احداشر Hypoglossal nerve اتناشر + +66 +00:05:57,530 --> 00:06:02,490 +هيكي الأسماء تبعتهمرتبوهم بهذه الترتيب حسب ال exit + +67 +00:06:02,490 --> 00:06:07,110 +from the brain حسب ال exit from the brain لان نشوف + +68 +00:06:07,110 --> 00:06:13,170 +كيف ال exitبعد ما نتكلم على ال function بتاعتهم ال + +69 +00:06:13,170 --> 00:06:16,210 +function بتاعة ال cranial nerves الفكسوري نيرف اسم + +70 +00:06:16,210 --> 00:06:20,310 +ال function الأول optic nerve vision للنظر + +71 +00:06:20,310 --> 00:06:24,990 +اوكلوموتور نيرف و Trochlear nerve و abducent nerve + +72 +00:06:24,990 --> 00:06:28,710 +العصب الثالث والرابع والسادس هذول اوكلار نيرف اللي + +73 +00:06:28,710 --> 00:06:32,570 +علاقة بال eye movement يبقى وظيفتهم motor + +74 +00:06:32,570 --> 00:06:36,270 +functions نرجع التراجيب من ال nerve mixed nerve + +75 +00:06:36,270 --> 00:06:40,780 +اللي له three branchesأفثالميكي برانش purely + +76 +00:06:40,780 --> 00:06:45,660 +sensory مقزيلاري برانش purely sensory مانديبولاري + +77 +00:06:45,660 --> 00:06:49,660 +برانش sensory and motor mixed okay facial nerve + +78 +00:06:49,660 --> 00:06:53,960 +mixed nerve vestibulocochlear nerve راح يكون عندي + +79 +00:06:53,960 --> 00:06:58,260 +a sensory pure sensory for a functional hearing + +80 +00:06:58,260 --> 00:07:01,270 +hearing and balanceVestibular function + +81 +00:07:01,270 --> 00:07:05,090 +Glossopharyngeal nerve راح يكون عندي Mixed vagus + +82 +00:07:05,090 --> 00:07:09,170 +nerve Mixed accessory nerve بنقسم لقسمين cranial + +83 +00:07:09,170 --> 00:07:12,010 +accessory and spinal accessory يعتبر motor + +84 +00:07:12,010 --> 00:07:17,090 +وhypoglossal nerve اللي تحت اللي هو ايه بيسمي + +85 +00:07:17,090 --> 00:07:22,770 +motor nerve motor nerve ال site of the nucleus في + +86 +00:07:22,770 --> 00:07:25,750 +معادلة سهلة ابسطلكوا ايهم لل site of the nucleus + +87 +00:07:25,750 --> 00:07:43,540 +بنقسمهم لاتنين اتنيناربع اربع اربع + +88 +00:07:43,540 --> 00:07:43,540 +اربع اربع اربع اربع اربع اربع اربع اربع اربع اربع + +89 +00:07:43,540 --> 00:07:43,540 +اربع اربع اربع اربع اربع اربع اربع اربع اربع اربع + +90 +00:07:43,540 --> 00:07:43,540 +اربع اربع اربع اربع اربع اربع اربع اربع اربع اربع + +91 +00:07:43,540 --> 00:07:43,700 +اربع اربع اربع اربع اربع اربع اربع اربع اربع اربع + +92 +00:07:43,700 --> 00:07:45,880 +اربع اربع اربع اربع اربع اربع اربع اربع اربع اربع + +93 +00:07:45,880 --> 00:07:46,380 +اربع اربع اربع اربع اربع اربع اربع اربع اربع اربع + +94 +00:07:46,380 --> 00:07:48,840 +اربع اربع اربع اربع اربع اربع اربع اربع اربع اربع + +95 +00:07:48,840 --> 00:07:51,780 +اربع ارب + +96 +00:07:52,800 --> 00:07:57,420 +بيخرج من الـ occipital loop لذلك الأول اتنين + +97 +00:07:57,420 --> 00:08:04,060 +بيكونوا من وين؟ من ال cerebral hemisphere من وين؟ + +98 +00:08:04,060 --> 00:08:07,500 +من ال cerebral hemisphere يبقى الأول اتنين + +99 +00:08:07,500 --> 00:08:12,360 +بيخرجونا من وين؟ من ال cerebral hemisphere و من + +100 +00:08:12,360 --> 00:08:19,880 +الثالث لإطناش بيخرجوا او بدخلوا من ايه؟ brain stem + +101 +00:08:22,700 --> 00:08:27,680 +خلصنا من الأول الفكتوري نيرف تيمبرا لوب اوبتيك + +102 +00:08:27,680 --> 00:08:34,760 +نيرف اكسيبتال لوب نجي لأيه العصب الثالث اللي هو + +103 +00:08:34,760 --> 00:08:39,080 +اوكلاموتر ميدي برين بيجي بعد الcerebral hemisphere + +104 +00:08:39,080 --> 00:08:46,640 +ميدي برين العصب الرابع ميدي برين نتاجي لأيه الأربع + +105 +00:08:46,640 --> 00:08:47,240 +اللي بعدهم + +106 +00:08:52,660 --> 00:08:57,860 +العصب الخامس pawns وفي exception راح اتكلم عنها + +107 +00:08:57,860 --> 00:09:05,880 +العصب السادس pawns العصب السابع pawns في exception + +108 +00:09:05,880 --> 00:09:10,380 +والعصب الثامن pawns في exception ننتقل للاربع اللي + +109 +00:09:10,380 --> 00:09:21,180 +بعدهم ايه بقى يا عزيزي؟ الاربع اللي بعدهم تاسع + +110 +00:09:22,880 --> 00:09:27,700 +ميدالة أبلانجاتا ننتقل + +111 +00:09:27,700 --> 00:09:33,700 +للي بعدهم التاسع ميدالة أبلانجاتا العاشر ميدالة + +112 +00:09:33,700 --> 00:09:39,240 +أبلانجاتا حداشر ميدالة أبلانجاتا فيها exception + +113 +00:09:39,240 --> 00:09:46,320 +اتناشر ميدالة أبلانجاتا يجب ان نلاحظ ان اول اتنين + +114 +00:09:46,320 --> 00:09:51,280 +في الcerebral hemisphere اللي بعدهم اتنين mid + +115 +00:09:51,280 --> 00:09:57,230 +brainاللي بعدهم أربعة bones اللي بعدهم أربعة + +116 +00:09:57,230 --> 00:10:01,750 +ميدالة أبلانجاتة لعشان هيك رتبوهم بالترتيب هذا + +117 +00:10:01,750 --> 00:10:07,290 +okay opening in the skull opening in the skull + +118 +00:10:07,290 --> 00:10:13,330 +olfactory nerve crib reform plate of اثمي دي البون + +119 +00:10:14,100 --> 00:10:19,360 +optic nerve انتج الى اللي بعد اوكلاموتر نيرف و + +120 +00:10:19,360 --> 00:10:23,940 +اتركليار نيرف افثالمك برانش وفتراجيمنال نيرف + +121 +00:10:23,940 --> 00:10:28,320 +ابدوسنت نيرف هدول من ال superior orbital في شعر + +122 +00:10:28,320 --> 00:10:32,600 +نرجع لتراجيمنال نيرف ماجزيلري نيرفRotundum + +123 +00:10:32,600 --> 00:10:37,380 +foramen، Mandebular nerve، Oval foramen، Facial + +124 +00:10:37,380 --> 00:10:41,520 +nerve بيفوت عن طريق الـ Internal auditory meatus و + +125 +00:10:41,520 --> 00:10:46,200 +بخرج لالـ Stylomasoid foramen العصب الثامن في + +126 +00:10:46,200 --> 00:10:49,790 +Stibulocochlear بيفوت لل Internal auditory meatusو + +127 +00:10:49,790 --> 00:10:53,990 +.. او canal و بيبقى في ال inner ear العصب التاسع + +128 +00:10:53,990 --> 00:10:59,010 +ال glossopharyngeal و vegas و accessory nerve + +129 +00:10:59,010 --> 00:11:03,450 +العصب ال 11 بيفوته عن طريق ال jugular foramen و + +130 +00:11:03,450 --> 00:11:07,910 +hypoglossal nerve العصب 12 بيفوت ل hypoglossal + +131 +00:11:07,910 --> 00:11:14,050 +canalهك انا بكون شرحتلكم ال cranial nerves من + +132 +00:11:14,050 --> 00:11:17,910 +ناحية اسمائهم من ناحية ترتيبهم من ناحية ال + +133 +00:11:17,910 --> 00:11:21,770 +function من ناحية location of the nucleus و + +134 +00:11:21,770 --> 00:11:25,930 +opening in the skull اما ال exit او ال enters + +135 +00:11:25,930 --> 00:11:34,350 +لاحظوا هيه عندي هنا عصب olfactory رقم واحد بتجه ل + +136 +00:11:34,350 --> 00:11:38,750 +temporal loop اتنين optic nerve بتجه لoccipital + +137 +00:11:38,750 --> 00:11:39,030 +loop + +138 +00:11:41,760 --> 00:11:47,620 +تلاتة اوكلاموتر نيرف من ال midbrain اربعة تروكليار + +139 +00:11:47,620 --> 00:11:52,320 +نيرف من ال midbrain خمسة ترايجيمنال نيرف من ال + +140 +00:11:52,320 --> 00:11:58,000 +pons ستة ابدوسنت نيرف من ال pons سبعة او اتنين روت + +141 +00:11:58,000 --> 00:12:02,860 +سبعة او خمسة فاشيال نيرف من ال pons تمانية + +142 +00:12:02,860 --> 00:12:08,220 +فيستيبولو كوكليار نيرف من ال ponsمن الـ Posterior + +143 +00:12:08,220 --> 00:12:11,700 +lateral sulcus of medulla oblongata تسعة + +144 +00:12:11,700 --> 00:12:18,260 +Glossopharyngeal عشرة Vegas Accessories الـ two + +145 +00:12:18,260 --> 00:12:22,700 +root one root من الميدللا أبلانجاتا cranial root و + +146 +00:12:22,700 --> 00:12:28,890 +ال spinal root من spinal cordتمام بخرج كمان من ال + +147 +00:12:28,890 --> 00:12:30,950 +posterior lateral sulcus of medulla oblongata ال + +148 +00:12:30,950 --> 00:12:34,830 +11 و من ال anterior lateral sulcus of medulla + +149 +00:12:34,830 --> 00:12:41,010 +oblongata بخرج عندي 12 يبقى لحظه هي عندي 4 و هي + +150 +00:12:41,010 --> 00:12:45,070 +عندي 4هدول ميظلوا أبلانجاتا الأربعة تحت وأربعة + +151 +00:12:45,070 --> 00:12:49,290 +فوقهم من ايه ال pawns الأربعة الأعلى شوية أسف + +152 +00:12:49,290 --> 00:12:53,190 +الاتنين الأعلى شوية من ال midbrain واتنين الأعلى + +153 +00:12:53,190 --> 00:12:58,170 +الأولانين من ال occipital و temporal loop وهذه + +154 +00:12:58,170 --> 00:13:01,370 +التقسيمة اللي أنا رسم تركوياهم في ال cranial + +155 +00:13:01,370 --> 00:13:04,410 +nerves هيك أنا بكون لخصلكم موضوع ال cranial nerves + +156 +00:13:04,410 --> 00:13:10,200 +في two slides و بعدها راح نبدأبالتفصيل نتكلم عن كل + +157 +00:13:10,200 --> 00:13:19,540 +nerve لوحده عن كل nerve ايه؟ لوحده الان + +158 +00:13:19,540 --> 00:13:24,540 +العصب الأول ال factory nerve راح اتطرقله في + +159 +00:13:24,540 --> 00:13:28,760 +المحاضرة خلال ثلاث أسابيع في محاضرة special + +160 +00:13:28,760 --> 00:13:36,610 +sensationالعصب الثاني optic nerve راح أطرقله في + +161 +00:13:36,610 --> 00:13:39,950 +نفس المحاضرة بتاعة ال special sensation ل ال + +162 +00:13:39,950 --> 00:13:44,430 +vision و العصب الثامن راح أطرقله بالتفصيل في + +163 +00:13:44,430 --> 00:13:49,530 +محاضرة ال special senses ل hearing and balance و + +164 +00:13:49,530 --> 00:13:54,410 +بعدهم هنا راح أبدأ مباشرةفي العصب الثالث والرابع + +165 +00:13:54,410 --> 00:13:59,170 +والسادس يبقى الجزء الأول من محاضرة المحاضرة الرقم + +166 +00:13:59,170 --> 00:14:02,510 +تمانية راح نتكلم اولش اتكلمنا على ال general + +167 +00:14:02,510 --> 00:14:07,690 +information about the cranial nerves والان راح + +168 +00:14:07,690 --> 00:14:11,670 +ابدأ اتكلم على ocular nerves مين هم ال ocular + +169 +00:14:11,670 --> 00:14:16,810 +nerves العصب الثالث oculomotor nerve عصب الرابع + +170 +00:14:16,810 --> 00:14:21,860 +trochlear nerve والعصب السادس abdossal nerveOkay + +171 +00:14:21,860 --> 00:14:26,400 +الجزء الثاني من محاضرة الأسبوع الثامن راح يكون على + +172 +00:14:26,400 --> 00:14:32,500 +Trigeminal nerve Trigeminal nerve الآن أتكلم على + +173 +00:14:32,500 --> 00:14:37,120 +العصب الثالث رابع و سادس ocular nerves ليه سموهم + +174 +00:14:37,120 --> 00:14:43,700 +ocular nerves لأنه لهم علاقة ب eye movement ب eye + +175 +00:14:43,700 --> 00:14:48,870 +movement تمامالعصب الثالث اسمه oculomotor nerve + +176 +00:14:48,870 --> 00:14:52,170 +ايش يعني oculomotor nerve لو ترجمناها من اللغة + +177 +00:14:52,170 --> 00:14:57,590 +اللاتينية نقصد فيها eye and moving eye and moving + +178 +00:14:57,590 --> 00:15:02,050 +يعني العين وحركة العين function of the oculomotor + +179 +00:15:02,050 --> 00:15:08,870 +nerve اول function له اللي هي motor motor يعني + +180 +00:15:08,870 --> 00:15:13,380 +motor somatic motor somaticموتور، ايش بقصد في + +181 +00:15:13,380 --> 00:15:18,560 +somatic motor؟ يعني بيغضي skeletal muscles، بيغضي + +182 +00:15:18,560 --> 00:15:23,280 +ايه؟ skeletal muscles اللي انا بتحكم فيهم إراديا، + +183 +00:15:23,280 --> 00:15:26,280 +اللي ملاقة بال movement of the eyeball + +184 +00:15:29,050 --> 00:15:33,390 +Autonomic Function Parasympathetic Function اللي + +185 +00:15:33,390 --> 00:15:36,750 +علاقة بالـ pupillary reaction و احنا اتفقنا في + +186 +00:15:36,750 --> 00:15:40,230 +محاضرة ال introduction Autonomic Nervous System + +187 +00:15:40,230 --> 00:15:44,490 +اللي علاقة ب smooth muscle and glands و smooth + +188 +00:15:44,490 --> 00:15:48,530 +muscles انا مابتحكم فيه يلا طالب او طالبة يجي في + +189 +00:15:48,530 --> 00:15:53,270 +أماميو اصغرلي حدقة الأيان او ال pupils ما بتتحكم + +190 +00:15:53,270 --> 00:15:57,510 +فيها مابتقدرش تتحكم فيها او ييجي طالبة او طالبة + +191 +00:15:57,510 --> 00:16:00,970 +تقولي بدي اخفف ال heart rate نبض القلب مابتقدر + +192 +00:16:00,970 --> 00:16:05,550 +تتحكم فيه نبض القلب هذول عضلات لا إرادية عضلات لا + +193 +00:16:05,550 --> 00:16:08,390 +إرادية يبقى ال autonomic function of the + +194 +00:16:08,390 --> 00:16:13,540 +oculomotor nerveالعلاقة بـ pupillary reaction + +195 +00:16:13,540 --> 00:16:18,540 +العلاقة بحركة العضلات اللي بتتحكم بالبقبق بتاع + +196 +00:16:18,540 --> 00:16:22,760 +العين أو حدقة العين وهذه عضلات ملساق smooth + +197 +00:16:22,760 --> 00:16:27,540 +muscles ولا يمكن التحكم بيهم إراديا هذه عضلات لا + +198 +00:16:27,540 --> 00:16:33,140 +إرادية عن طريق ال parasympathetic fibers of the + +199 +00:16:33,140 --> 00:16:37,920 +oculomotor nerve تمام ممكن طالب أو طالب يسألني + +200 +00:16:37,920 --> 00:16:41,820 +سؤالدكتور طب انت قلتلنا ال oculomotor nerve it is + +201 +00:16:41,820 --> 00:16:46,320 +a pure motor nerve it is a pure motor nerve ليش + +202 +00:16:46,320 --> 00:16:50,140 +الأن اضطرقت إلى ال motor function و ال autonomic + +203 +00:16:50,140 --> 00:16:55,400 +يبقى نصار mixed؟كلامكوا صحيح، لكن يا جماعة الـ + +204 +00:16:55,400 --> 00:16:59,140 +Parasympathetic function بتاعة الـ oculomotor + +205 +00:16:59,140 --> 00:17:03,760 +nerve كمان motor، كمان ايه؟ Motor، يبقى ال .. ال + +206 +00:17:03,760 --> 00:17:06,960 +Parasympathetic بتاعتها motor، والsomatic كمان + +207 +00:17:06,960 --> 00:17:12,320 +motor، الثانيين motor لذلكتم نسب هذا العصب إلى + +208 +00:17:12,320 --> 00:17:17,140 +مجموعة الحركية العصاب الحركية إذن هو يعتبر purely + +209 +00:17:17,140 --> 00:17:21,400 +motor nerve ليه؟ لأن الـ somatic function تبعته + +210 +00:17:21,400 --> 00:17:24,860 +بغض ال skeletal muscles هدوله motor function و + +211 +00:17:24,860 --> 00:17:28,080 +البارا sympathetic function بتاعته بغض كمان smooth + +212 +00:17:28,080 --> 00:17:34,720 +muscles وهذه تعتبر motor function العصب اللي بعده + +213 +00:17:34,720 --> 00:17:40,170 +Trochlear nerve العصب الرابعالـ function تبعته + +214 +00:17:40,170 --> 00:17:45,410 +بيغدى عضلة واحدة، إيش هي؟ بيغدى هنا superior + +215 +00:17:45,410 --> 00:17:50,070 +oblique muscle، بيغدى أي عضلة؟ superior oblique + +216 +00:17:50,070 --> 00:17:51,650 +muscle، روح اترق إليها و اللي هو الـ function + +217 +00:17:51,650 --> 00:17:57,920 +بتاعتها العصب السادس abdocent nerveمن .. ليه سموه + +218 +00:17:57,920 --> 00:18:02,420 +abdocent nerve؟ لأنه بيعمل abduction للأيه بيعمل + +219 +00:18:02,420 --> 00:18:06,280 +ايه؟ abduction للأيه الاتراليه بيغضي lateral + +220 +00:18:06,280 --> 00:18:10,200 +rectus muscle وظيفة ال lateral rectus muscle تعمل + +221 +00:18:10,200 --> 00:18:14,040 +abduction للأيه الاتراليه هنا طلعت على اليمين حركت + +222 +00:18:14,040 --> 00:18:18,080 +عين اليمين لآخر شيء يقول إن العين اليمين اتحركت ال + +223 +00:18:18,080 --> 00:18:21,800 +lateral rectus muscle وشدتها لإيه؟ لل lateral + +224 +00:18:21,800 --> 00:18:27,730 +direction لذلك سمي abdocent nerve طب سؤالأخير في + +225 +00:18:27,730 --> 00:18:31,810 +ال slide هذا دكتور انت قلت ان كلهم motor والهم + +226 +00:18:31,810 --> 00:18:35,130 +علاقة بال eye moving ال abdocent nerve بيحرك العين + +227 +00:18:35,130 --> 00:18:38,890 +و ال trochlear nerve بيحرك العين و ال abdocent + +228 +00:18:38,890 --> 00:18:42,930 +nerve بيحرك العين ليه سموه هذا oculomotor eye eye + +229 +00:18:42,930 --> 00:18:48,730 +moving سموه لأنه زعيم لأنه زعيم و بيغضي عضلات + +230 +00:18:48,730 --> 00:18:52,530 +بيغضي أكتر عضلات إذا ال trochlear nerve بيغضي عضلة + +231 +00:18:52,530 --> 00:18:56,970 +واحدةSuperior oblique muscle abdocent nerve بيغدى + +232 +00:18:56,970 --> 00:19:01,730 +عضلة واحدة ال oculomotor nerve تبعوا معايا بيغدى + +233 +00:19:01,730 --> 00:19:06,170 +كام عضلة عشان هيك كل احترام لل oculomotor nerve + +234 +00:19:06,170 --> 00:19:10,310 +سموه oculomotor nerve eye and moving بيغدى levator + +235 +00:19:10,310 --> 00:19:16,430 +palbibia superiorisبيغضي superior rectus muscle + +236 +00:19:16,430 --> 00:19:22,250 +اتنين، بيغضي inferior rectus muscle ثلاثة، بيغضي + +237 +00:19:22,250 --> 00:19:27,650 +medial rectus muscle أربعة، بيغضي inferior what؟ + +238 +00:19:27,650 --> 00:19:32,950 +Oblique muscleخامسة بيغدى sealary muscle smooth + +239 +00:19:32,950 --> 00:19:37,290 +muscle ستة بيغدى sphincter biopil muscle او + +240 +00:19:37,290 --> 00:19:40,910 +Constrictor biopil muscle سبعة بيغدى سبع حضولات + +241 +00:19:40,910 --> 00:19:45,810 +عشان هيك لقبوه باللقب وعطوه وسام لقب Okulamotor + +242 +00:19:45,810 --> 00:19:49,950 +nerve اللي هو اكتر nerve او اكبر nerve بيحرك اللين + +243 +00:19:49,950 --> 00:19:55,730 +ويسموه Okulamotor nerve نبدأ الآن بـ Okulamotor + +244 +00:19:55,730 --> 00:20:02,260 +nerve حالة سهل صار الموضوعكل شي انشرح اليكوا اوكلو + +245 +00:20:02,260 --> 00:20:07,580 +motor nerve it is purely motor nerve purely motor + +246 +00:20:07,580 --> 00:20:13,460 +nerve somatic motor يعني بيغضي skeletal muscle and + +247 +00:20:13,460 --> 00:20:16,580 +autonomic motor او parasympathetic motor بيغضي + +248 +00:20:16,580 --> 00:20:21,420 +عضلات ملساق عن طريق ال parasympathetic fibers يبقى + +249 +00:20:21,420 --> 00:20:28,740 +هو يعتبر pure motor nerve هي واحد اتنين immersfrom + +250 +00:20:28,740 --> 00:20:34,260 +the anterior surface of midbrain بخرج من وين؟ من + +251 +00:20:34,260 --> 00:20:38,080 +الـ anterior surface of midbrain اتفجنا اتنين + +252 +00:20:38,080 --> 00:20:41,600 +اتنين يبقى ان هو اتنين بعدهم رقم ثلاثة يبقى انها + +253 +00:20:41,600 --> 00:20:44,960 +راح تكون ثلاثة بخرج من ال midbrain من ال anterior + +254 +00:20:44,960 --> 00:20:51,740 +surface of midbrain بعده enter the orbit بيفوت في + +255 +00:20:51,740 --> 00:20:58,270 +ال orbit عن طريقSuperior Orbital Fissure Superior + +256 +00:20:58,270 --> 00:21:02,710 +Orbital Fissure و قبل ما يصل ل Superior Orbital + +257 +00:21:02,710 --> 00:21:07,430 +Fissure بمروين في Cavernous Sinus أخدنا اسمه + +258 +00:21:07,430 --> 00:21:10,650 +الفاتر Cavernous Sinus هو عبارة عن Dural Venous + +259 +00:21:10,650 --> 00:21:14,850 +Sinus كمان مرة locomotor nerve يعتبر purely motor + +260 +00:21:14,850 --> 00:21:19,370 +nerveتحتوي على مصادر مصادر سوماتيكية ومصادر مصادر + +261 +00:21:19,370 --> 00:21:27,330 +بارا سيمباتاتيكية تتخلص من خدمة الأمام من القلعب + +262 +00:21:27,330 --> 00:21:34,430 +المتوسط ثم تتجه إلى الجدران الأعلى والخارجي من + +263 +00:21:34,430 --> 00:21:40,250 +الصينس الكافيرنسand enters the orbit through the + +264 +00:21:40,250 --> 00:21:44,750 +superior orbital a fissure superior orbital + +265 +00:21:44,750 --> 00:21:50,370 +fissure اللي هي موجودة وين فلسفينويت بون هاي عندي + +266 +00:21:50,370 --> 00:21:59,130 +أكولوموتر نيرب هاي left أكولوموتر نيرب وهي a right + +267 +00:21:59,740 --> 00:22:05,580 +eculomotor nerve خرج من وين؟ من اللي هو ventral أو + +268 +00:22:05,580 --> 00:22:13,080 +anterior service of midbrain okay بيمر وين؟ قلنا + +269 +00:22:13,080 --> 00:22:17,440 +هي cavernous sinus هذا عندي left وهذا right هي + +270 +00:22:17,440 --> 00:22:21,540 +eculomotor nerve العصب التالد بيمر في ال upper + +271 +00:22:21,540 --> 00:22:27,380 +lateral wall of the cavernous sinus ولت روكلير + +272 +00:22:27,380 --> 00:22:35,260 +نيرف بيمر هيفي ال upper wall of lateral و ال + +273 +00:22:35,260 --> 00:22:39,100 +abducent nerve بيمر في ال medial تحت ال internal + +274 +00:22:39,100 --> 00:22:41,860 +carotid و في ال thalamic branch و في ال trigeminal + +275 +00:22:41,860 --> 00:22:46,860 +بيمر في ال lower lateral و ال maxillary branch تبع + +276 +00:22:46,860 --> 00:22:50,620 +ال trigeminal بيمر في ال lateral wall في ال lower + +277 +00:22:50,620 --> 00:22:54,580 +even هذا lower part lateral و هذا upper part + +278 +00:22:54,580 --> 00:22:57,640 +lateral و هذا ايه؟ Medial و انتوا عارفين ال + +279 +00:22:57,640 --> 00:23:01,670 +structures اللي بتمر في الكفيرنة الصينية؟وكل موتور + +280 +00:23:01,670 --> 00:23:05,610 +نيرب عصب التالت تركليار نيرب عصب الرابع ال first + +281 +00:23:05,610 --> 00:23:08,050 +branch و ال second branch بتاعي نتراجي من ال nerve + +282 +00:23:08,050 --> 00:23:11,990 +of thalamic and maxillary nerve و اللي هو عصب + +283 +00:23:11,990 --> 00:23:15,770 +السادس abdocent nerve و internal carotid artery + +284 +00:23:25,970 --> 00:23:30,070 +branches of oculomotor nerve، ال oculomotor nerve + +285 +00:23:30,070 --> 00:23:34,650 +إله two branches إله إيه؟ two branches superior + +286 +00:23:34,650 --> 00:23:39,730 +division superior division supply to muscles + +287 +00:23:39,730 --> 00:23:46,150 +levator belbibria superiorislevator palpebria + +288 +00:23:46,150 --> 00:23:50,310 +superior إذا هذا وظيفتها ترفع جفن العين لأعلى و لو + +289 +00:23:50,310 --> 00:23:54,270 +أصار دمج إليه بيصير حاجة اسمها tosses إيش اسمها؟ + +290 +00:23:54,270 --> 00:23:58,890 +tosses يعني بيصير عند المريض سقوط في الجفن يعني + +291 +00:23:58,890 --> 00:24:01,290 +عينه بالحركة زي اللي يمين عندي هالجتة إيش عندي + +292 +00:24:01,290 --> 00:24:06,870 +هالجتة اللي يمين؟ عندي tosses الجفن نازل okay + +293 +00:24:06,870 --> 00:24:12,950 +superior rectus muscle راح نتكلم عنها لاحقاطب ال + +294 +00:24:12,950 --> 00:24:18,130 +inferior division ايش بيغضينا؟ media rectus muscle + +295 +00:24:18,130 --> 00:24:24,150 +inferior rectus muscle و inferior oblique muscle + +296 +00:24:24,150 --> 00:24:28,730 +طيب مين بيغضي superior oblique muscle؟ trochlear + +297 +00:24:28,730 --> 00:24:32,910 +nerve طب مين بيغضي lateral rectus muscle؟ abdocent + +298 +00:24:32,910 --> 00:24:39,310 +nerve هذول يعتبروا skeletal muscle هذول skeletal + +299 +00:24:39,310 --> 00:24:47,740 +musclesو آخر تنتين Constrictor pupillary muscleو + +300 +00:24:47,740 --> 00:24:50,720 +sealery muscle، sealery muscle لها علاقة بال + +301 +00:24:50,720 --> 00:24:54,300 +accommodation و ال constructor pupil muscle لها + +302 +00:24:54,300 --> 00:24:57,640 +علاقة بال light reflex بيصير لو طلعنا في الضوء في + +303 +00:24:57,640 --> 00:25:01,200 +شمس أول ما بنعملاش بنغمض أنينا شوية من الشمس لأن + +304 +00:25:01,200 --> 00:25:04,080 +البقب بيكون في الظلام واسع لما بطلع في الشمس بده + +305 +00:25:04,080 --> 00:25:06,860 +يصير أيه له حجمه يصغر ال light بيعملنا + +306 +00:25:06,860 --> 00:25:09,880 +construction لل pupil بيعملنا contraction لل + +307 +00:25:09,880 --> 00:25:15,230 +constructor pupil muscle بيصغر العكس صحيحلو طلعنا + +308 +00:25:15,230 --> 00:25:19,710 +من ضوء لظلم، بنبطل نشوف، بدنا .. دقيقة بتلاقي توسع + +309 +00:25:19,710 --> 00:25:22,190 +البؤ .. البؤ بؤ تعالى يعني، توسع عن طريق + +310 +00:25:22,190 --> 00:25:25,370 +sympathetic nervous system، راح أتطرق له في محاضرة + +311 +00:25:25,370 --> 00:25:29,070 +أخرى، إيه بجان؟ عند هدول ال constructor بيبقى ل + +312 +00:25:29,070 --> 00:25:33,850 +muscle و الcellar muscle smooth musclesيقول ال + +313 +00:25:33,850 --> 00:25:36,470 +smooth muscles بياخدوا من وين؟ هدول من ال + +314 +00:25:36,470 --> 00:25:42,370 +parasympathetic nervous system و هدول ال skeletal + +315 +00:25:42,370 --> 00:25:45,970 +من ال somatic fibers + +316 +00:25:47,170 --> 00:25:50,950 +أيش الفرق بينهم؟ أنه أنا بتحكم في ال skeletal + +317 +00:25:50,950 --> 00:25:54,610 +muscles، بحركهم، لكن ال somatic nerves، أسف، ال + +318 +00:25:54,610 --> 00:25:59,190 +smooth muscles اللي عن طريق ال parasympathetic + +319 +00:25:59,190 --> 00:26:02,570 +nervous system، أنا ما بتحكم فيهم، ما بتحكمش فيهم، + +320 +00:26:02,570 --> 00:26:09,890 +هدول حركتهم لإرادية بتكون، حركتهم لإرادية، هاي + +321 +00:26:09,890 --> 00:26:15,230 +عندي صورة بتوضح لنا ال branches of the oculomotor + +322 +00:26:15,230 --> 00:26:20,710 +nerveالـ oculomotor nerve له two branches superior + +323 +00:26:20,710 --> 00:26:28,850 +branch هي superior branch supply superior rectus + +324 +00:26:28,850 --> 00:26:35,890 +muscle and levator bulbibria superioris و inferior + +325 +00:26:35,890 --> 00:26:41,790 +branch supply medial rectus muscle inferior rectus + +326 +00:26:41,790 --> 00:26:46,500 +muscle and inferior oblique muscleو معهم بيكون + +327 +00:26:46,500 --> 00:26:52,580 +Parasympathetic Fibers للاكولاموتر نيرف هذه + +328 +00:26:52,580 --> 00:26:56,360 +Autonomic هذه بتغدى العضلات اللى لا إيرادية بتروح + +329 +00:26:56,360 --> 00:27:00,260 +لسيلاري muscle بتعمل relay و من السيلاري muscle + +330 +00:27:00,260 --> 00:27:04,260 +بتغدى لنا ايه؟ بتروح لسيلاري جانجليون و من + +331 +00:27:04,260 --> 00:27:08,020 +السيلاري جانجليون بتغدى to muscle واحدة اسمها + +332 +00:27:08,020 --> 00:27:09,220 +سيلاري + +333 +00:27:11,290 --> 00:27:15,690 +muscle والثانية اسمها constructor pupillary muscle + +334 +00:27:15,690 --> 00:27:19,070 +يبقى هذا هو ال blood supply او ال nerve supply + +335 +00:27:19,070 --> 00:27:23,570 +بتاع ال oculomotor nerve nerve supply of the + +336 +00:27:23,570 --> 00:27:35,470 +oculomotor nerve باختصار + +337 +00:27:35,470 --> 00:27:43,270 +the oculomotor nerve اللي هو الزعيمsupply all of + +338 +00:27:43,270 --> 00:27:49,350 +the intra and extraocular muscles أنا لما أتكلم + +339 +00:27:49,350 --> 00:27:53,150 +على ال intraocular muscles أنا بتكلم على ال smooth + +340 +00:27:53,150 --> 00:27:57,030 +muscles اللي بتاخد من ال autonomic fibers إما + +341 +00:27:57,030 --> 00:28:00,790 +parasympathetic وإما sympatheticو ال extraocular + +342 +00:28:00,790 --> 00:28:04,510 +muscles هم skeletal muscles يبقى ال oculomotor + +343 +00:28:04,510 --> 00:28:08,850 +nerves بيغدى كل عضلات العين الداخلية و الخارجية ما + +344 +00:28:08,850 --> 00:28:14,390 +عدا ما عدا superior oblique muscle superior + +345 +00:28:14,390 --> 00:28:18,070 +oblique muscle superior oblique muscle بتاخد من + +346 +00:28:18,070 --> 00:28:23,250 +العصب الرابع trochlear nerve lateral rectus muscle + +347 +00:28:23,250 --> 00:28:29,200 +بتاخد من العصب السادس abdossal nerveو dilator + +348 +00:28:29,200 --> 00:28:33,240 +بيقبل muscle بتاخد من ال sympathetic nervous + +349 +00:28:33,240 --> 00:28:36,940 +system راح نتكلم عنها في محاضرة anatomy and + +350 +00:28:36,940 --> 00:28:41,100 +physiology of the autonomic nervous system لذلك + +351 +00:28:41,100 --> 00:28:45,100 +سمي اوكلاموتر بيحجلهم يسموا اوكلاموتر بيغدى سبع + +352 +00:28:45,100 --> 00:28:50,760 +عضلات لوحده ننتج + +353 +00:28:50,760 --> 00:28:58,150 +للعصب الرابعTrochlear nerve it is purely motor + +354 +00:28:58,150 --> 00:29:05,650 +nerve مافي خلاف هاي يخرج مين؟ Exit تبعه from the + +355 +00:29:05,650 --> 00:29:14,700 +posterior or dorsal surface ofmedibrain تمام ال + +356 +00:29:14,700 --> 00:29:20,960 +function بتاعته supply only one muscle superior + +357 +00:29:20,960 --> 00:29:25,280 +oblique muscle بغد و عضلة واحدة superior oblique + +358 +00:29:25,280 --> 00:29:28,760 +muscle و ال site of the nucleus في ال medibrain + +359 +00:29:28,760 --> 00:29:33,400 +موجودة وين في ال segmentum of medibrain في ال + +360 +00:29:33,400 --> 00:29:38,300 +medibrain هي عصب الرابعطيب enters the orbit + +361 +00:29:38,300 --> 00:29:42,160 +through the superior orbital fissure زي الـ + +362 +00:29:42,160 --> 00:29:47,160 +oculomotor و بمروين في ال other lateral wall of + +363 +00:29:47,160 --> 00:29:51,520 +caverna sinus مثل مين؟ مثل ايه؟ ال oculomotor + +364 +00:29:51,520 --> 00:29:57,680 +nerve تبقى هو بيغدي يعني بيختلف عن ال oculomotor + +365 +00:29:57,680 --> 00:30:01,580 +nerve ان هو smallest nerve اصغر nerve ال cranial + +366 +00:30:01,580 --> 00:30:07,290 +nerve و انه بيخرجمن ال posterior service of the + +367 +00:30:07,290 --> 00:30:10,990 +midbrain ال أكولوموتر من ال anterior service غير + +368 +00:30:10,990 --> 00:30:15,770 +هيك انه supply only muscle only one muscle اللي هي + +369 +00:30:15,770 --> 00:30:21,710 +superior oblique muscleو immers from posterior + +370 +00:30:21,710 --> 00:30:26,890 +اللي هو service of midbrain و ال oculomotor بخرج + +371 +00:30:26,890 --> 00:30:30,810 +من ال ventral service of midbrain هاي عندي اللي هو + +372 +00:30:30,810 --> 00:30:32,850 +ال oculo .. ال trochlear nerve بيجي من ال + +373 +00:30:32,850 --> 00:30:35,350 +posterior service و بيلف للأمام بيجينا من ال + +374 +00:30:35,350 --> 00:30:40,910 +posterior service و بيلف للأمام هيعتبر a pure + +375 +00:30:40,910 --> 00:30:45,110 +motor nerve و هيعتبر أصغر nerve من ال cranial + +376 +00:30:45,110 --> 00:30:45,370 +nerve + +377 +00:30:51,000 --> 00:30:57,260 +هيو بيفوتلنا لوين ل superior orbital fissure هيو + +378 +00:30:57,260 --> 00:31:04,360 +عندي trochlear nerve supply دي superior oblique + +379 +00:31:04,360 --> 00:31:12,240 +muscle منتجل + +380 +00:31:12,240 --> 00:31:17,230 +للعصب السادس abducent nerveabdocent nerve من اللغة + +381 +00:31:17,230 --> 00:31:20,930 +اللاتينية for abduction site of the nucleus + +382 +00:31:20,930 --> 00:31:25,150 +located in the lower part of the pons بنتاجي + +383 +00:31:25,150 --> 00:31:29,550 +للأربعة اللي بعدهم هايو pons function it is a + +384 +00:31:29,550 --> 00:31:34,450 +purely motor function supplied one muscle lateral + +385 +00:31:34,450 --> 00:31:38,230 +rectus muscle وظيفتها تعمل abduction لال eye + +386 +00:31:38,230 --> 00:31:42,890 +laterallyImmersed بخرج من ال lower border of the + +387 +00:31:42,890 --> 00:31:47,450 +pons between the pons and medulla oblongata بعدها + +388 +00:31:47,450 --> 00:31:50,370 +بيفتتلنا في ال medial .. medial مش lateral .. + +389 +00:31:50,370 --> 00:31:54,870 +medial wall of cavernous sinus و enter the orbit + +390 +00:31:54,870 --> 00:31:59,950 +من خلال a superior orbital fissure supplies only + +391 +00:31:59,950 --> 00:32:05,830 +one muscle it is lateral rectus muscle Hi Andy .. + +392 +00:32:05,830 --> 00:32:06,510 +small nerve + +393 +00:32:10,570 --> 00:32:14,230 +اللي هو abdocent + +394 +00:32:14,230 --> 00:32:18,090 +nerve subilateral rectus muscle اللي اللي علاقة + +395 +00:32:18,090 --> 00:32:25,030 +بال abduction of the eye laterally + +396 +00:32:25,030 --> 00:32:30,370 +طب + +397 +00:32:30,370 --> 00:32:34,050 +ال action of the ocular muscle، بدنا نعرف إيش حركة + +398 +00:32:34,050 --> 00:32:39,330 +الأينشوف ربنا بيحب الادل بيحب ال rectus الادل + +399 +00:32:39,330 --> 00:32:43,090 +الاعواج ربنا مابيحبه دايما خالف تعرف الادل سهل + +400 +00:32:43,090 --> 00:32:48,170 +معروف ال direction تبعته و حركته ل lateral rectus + +401 +00:32:48,170 --> 00:32:51,450 +muscle lateral rectus muscle بتحرك لأين وين + +402 +00:32:51,450 --> 00:32:54,850 +laterally يبقى بتعمل abduction لل eyeball + +403 +00:32:54,850 --> 00:33:01,060 +laterally تمامMedial rectus muscle بتحرك العين + +404 +00:33:01,060 --> 00:33:04,500 +داخل تعمل adoption للآية، ال lateral rectus muscle + +405 +00:33:04,500 --> 00:33:07,560 +تعمل abduction للآية، ال medial rectus muscle تعمل + +406 +00:33:07,560 --> 00:33:11,990 +adoption للآيةsuperior rectus muscle بتعمل + +407 +00:33:11,990 --> 00:33:15,930 +elevation للعي superior بترفع العين لفوق inferior + +408 +00:33:15,930 --> 00:33:20,110 +rectus muscle بتعمل depression للعي inferiorly نجي + +409 +00:33:20,110 --> 00:33:24,490 +لل oblique superior oblique عوجة ال superior + +410 +00:33:24,490 --> 00:33:27,790 +oblique بتلف العين لتحت بتعمل depression للعي + +411 +00:33:27,790 --> 00:33:33,110 +inferior oblique muscle بتعمل elevation للعي بترفع + +412 +00:33:33,110 --> 00:33:37,260 +العين لفوق عكس هدول ال oblique طيبفي حركة ثانية + +413 +00:33:37,260 --> 00:33:41,760 +بيعملوها ال recti muscle غير ال elevation و ال + +414 +00:33:41,760 --> 00:33:44,920 +depression كمان بيعملوا adoption لل I يعني لو + +415 +00:33:44,920 --> 00:33:49,960 +قلنالك superior rectus muscle بتعمل elevation مع + +416 +00:33:49,960 --> 00:33:54,500 +adoption inferior rectus muscle بتعمل depression + +417 +00:33:54,500 --> 00:33:58,960 +مع adoption superior oblique muscle بتعمل + +418 +00:33:58,960 --> 00:34:03,960 +elevation مع adoptioninferior oblique muscle + +419 +00:34:03,960 --> 00:34:09,320 +superior oblique muscle تعمل depression مع + +420 +00:34:09,320 --> 00:34:14,660 +abduction depression مع abduction inferior oblique + +421 +00:34:14,660 --> 00:34:18,880 +muscle تعمل elevation مع abduction هذه الحركة + +422 +00:34:18,880 --> 00:34:23,760 +بتاعة إيش العضلات طب elevator bulbipria superioris + +423 +00:34:23,760 --> 00:34:29,820 +بترفع جسم العين لأعلى هاي عندي العضلات lateral + +424 +00:34:31,910 --> 00:34:39,430 +rectus muscle medial rectus muscle نجحان inferior + +425 +00:34:39,430 --> 00:34:47,190 +rectus muscle superior rectus muscle superior + +426 +00:34:47,190 --> 00:34:55,210 +oblique muscle inferior oblique muscle elevator + +427 +00:34:58,710 --> 00:35:04,090 +Superioris أو بيسميها elevator palpebria + +428 +00:35:04,090 --> 00:35:07,470 +superioris أو elevator palpebria superioris نفس + +429 +00:35:07,470 --> 00:35:12,770 +الشيء أو elevator palpebria superioris + +430 +00:35:14,280 --> 00:35:18,240 +يبقى هذه عضلات العين وداخل العين في عضلتين smooth + +431 +00:35:18,240 --> 00:35:21,800 +أو ثلاث عضلات smooth, ciliary muscle و constructor + +432 +00:35:21,800 --> 00:35:24,080 +pupil muscle هذول بياخدوا من ال oculomotor nerve + +433 +00:35:24,080 --> 00:35:27,880 +وفي عضلة اسمة dilator pupil muscle بتوسع بقبه + +434 +00:35:27,880 --> 00:35:35,620 +العين بتاخد من sympathetic nervous system okay هذه + +435 +00:35:35,620 --> 00:35:40,260 +نفس الشيء slide بيوضحلنا ال eye muscles + +436 +00:35:40,260 --> 00:35:46,200 +extraocular musclesوهنا ال direction بتاعة ال eye + +437 +00:35:46,200 --> 00:35:53,020 +movement يعني هذه abduction هذا للداخل وهذا للخارج + +438 +00:35:53,020 --> 00:35:56,900 +هذا depression لتحت و elevation لفوق لاحظوا media + +439 +00:35:56,900 --> 00:36:00,000 +rectus muscle abduction lateral rectus muscle + +440 +00:36:00,000 --> 00:36:04,520 +abduction superior rectus muscle elevation مع + +441 +00:36:04,520 --> 00:36:08,760 +abduction inferior rectus muscle depression مع + +442 +00:36:08,760 --> 00:36:12,300 +abduction superior oblique muscle العكسان + +443 +00:36:13,350 --> 00:36:17,010 +depression مع abduction و inferior oblique muscle + +444 +00:36:17,010 --> 00:36:21,370 +elevation مع abduction ال oblique بعكسه ال + +445 +00:36:21,370 --> 00:36:24,650 +superior بتعمل inferior او depression و ال + +446 +00:36:24,650 --> 00:36:29,310 +inferior بتعمل elevation هذه حركة اللين اللي بيقوم + +447 +00:36:29,310 --> 00:36:36,170 +فيها العضلات abduction هذه مين هي اللي بتعملها + +448 +00:36:36,170 --> 00:36:40,230 +اللي هو lateral rectus muscle abduction مين + +449 +00:36:40,230 --> 00:36:44,980 +بيعملهااللي هو media rectus muscle نجي لتحت + +450 +00:36:44,980 --> 00:36:49,860 +depression مع adoption inferior rectus muscle تمام + +451 +00:36:49,860 --> 00:36:54,420 +elevation مع up adoption superior rectus muscle + +452 +00:36:55,250 --> 00:36:58,890 +Elevation مع abduction inferior oblique muscle + +453 +00:36:58,890 --> 00:37:02,650 +Depression مع abduction superior oblique muscle + +454 +00:37:02,650 --> 00:37:10,050 +احنا راجعنا كل حركة الان و بكتفي في الجزئية الأولى + +455 +00:37:10,050 --> 00:37:12,890 +من المحاضرة الثامنه اتكلمنا عن ال ocular nerves + +456 +00:37:12,890 --> 00:37:16,870 +الجزء الثاني من المحاضرة رح يكون على ال trigeminal + +457 +00:37:16,870 --> 00:37:17,130 +nerves + diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/927sW7ATxvc.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/927sW7ATxvc.srt new file mode 100644 index 0000000000000000000000000000000000000000..cf3856116e5e48eabb64b1c63f53e8b648522160 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/927sW7ATxvc.srt @@ -0,0 +1,1613 @@ +1 +00:00:05,010 --> 00:00:08,550 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:08,550 --> 00:00:14,970 +وبركاته الآن بننتقل لجزء الثاني من المحاضرة السابعة + +3 +00:00:14,970 --> 00:00:20,150 +الثالث بيزا النوكلياي داينسيفالون ان سيريبيلا في + +4 +00:00:20,150 --> 00:00:24,110 +الجزء الأول اتكلمت معكم على البيزا النوكلياي + +5 +00:00:24,110 --> 00:00:27,430 +أنواعهم وأجزاهم والـ functions بتاعة البيزا + +6 +00:00:27,430 --> 00:00:31,620 +النوكلياي و بدأت في جزء الثاني اللي هو الـ + +7 +00:00:31,620 --> 00:00:34,460 +Diencephalon أخدنا من الـ Diencephalon اللي هو + +8 +00:00:34,460 --> 00:00:39,320 +Thalamus and Epithalamus اليوم في جزء ثاني من + +9 +00:00:39,320 --> 00:00:44,640 +محاضرتنا راح أكمل Metathalamus, Subthalamus and + +10 +00:00:44,640 --> 00:00:49,720 +Hypothalamus ونتكلم عن جزء النهائي اللي هو الـ + +11 +00:00:49,720 --> 00:00:55,320 +cerebellum يبقى الآن راح أكمل موضوع اللي هو الـ + +12 +00:00:55,320 --> 00:01:02,310 +Diencephalon متذكرين؟ في المحاضرة السابقة رسمنا + +13 +00:01:02,310 --> 00:01:08,830 +Diencephalon وقلنا هذا عبارة عن الـ thalamus هذا + +14 +00:01:08,830 --> 00:01:14,510 +thalamus هنا + +15 +00:01:14,510 --> 00:01:20,410 +عبارة عن interthalamic adhesions بعدين بيجينا اللي + +16 +00:01:20,410 --> 00:01:25,930 +هو الـ subthalamus من الأمام ومن تحت بيجي + +17 +00:01:26,920 --> 00:01:33,320 +hypothalamus مرتبط بشيء اسمه pituitary gland وفي + +18 +00:01:33,320 --> 00:01:39,180 +الخلف بيكون inferior بيكون metathalamus superior و + +19 +00:01:39,180 --> 00:01:45,280 +posterior بيكون epithalamus بعدين بيجينا الـ + +20 +00:01:45,280 --> 00:01:51,400 +midbrain pons medulla + +21 +00:01:51,400 --> 00:01:52,220 +oblongata + +22 +00:01:54,530 --> 00:01:58,970 +وبننزل spinal cord spinal cord medulla oblongata + +23 +00:01:58,970 --> 00:02:11,790 +bones mid brain الجزء هذا بنسمي diencephalon okay + +24 +00:02:11,790 --> 00:02:18,270 +you can see metathalamus هو عبارة عن part of + +25 +00:02:18,270 --> 00:02:23,670 +diencephalon, part of the encephalon which is + +26 +00:02:23,670 --> 00:02:29,330 +attached to the posterior inferior surface of + +27 +00:02:29,330 --> 00:02:32,930 +thalamus هو موجود وين؟ في الـ posterior inferior + +28 +00:02:32,930 --> 00:02:36,610 +surface of thalamus طب الـ epithalamus موجود في الـ + +29 +00:02:36,610 --> 00:02:40,730 +posterior superior surface of thalamus الـ + +30 +00:02:40,730 --> 00:02:44,990 +metathalamus contains two parts بتكون من جزئين + +31 +00:02:44,990 --> 00:02:52,320 +الجزء الأول Lateral geniculate body الجزء الثاني + +32 +00:02:52,320 --> 00:02:59,810 +Medial geniculate body الجزء الأول اللي علاقة بالـ + +33 +00:02:59,810 --> 00:03:04,310 +vision واضيفته visual function connected with + +34 +00:03:04,310 --> 00:03:10,030 +superior colliculus of the midbrain أما الـ medial + +35 +00:03:10,030 --> 00:03:14,830 +geniculate body هي علاقة بالـ hearing و connected + +36 +00:03:14,830 --> 00:03:18,050 +with inferior + +37 +00:03:20,220 --> 00:03:23,800 +colliculus يبقى with inferior colliculus يقول media + +38 +00:03:23,800 --> 00:03:27,080 +geniculate body اللي علاقة بيه بالhearing و + +39 +00:03:27,080 --> 00:03:31,340 +connected with ايه with inferior colliculus هاي + +40 +00:03:31,340 --> 00:03:33,980 +واحدة في الـ slide lateral geniculate body visual + +41 +00:03:33,980 --> 00:03:37,760 +function و media geniculate body اللي علاقة بالـ + +42 +00:03:37,760 --> 00:03:40,460 +hearing أو auditory function hearing أو auditory + +43 +00:03:40,460 --> 00:03:47,040 +the same واضحة إن الـ lateral geniculate body + +44 +00:03:52,240 --> 00:03:59,180 +و medial geniculate body الـ medial geniculate body + +45 +00:03:59,180 --> 00:04:09,440 +مرتبطة بمين؟ بـ inferior colliculus أما الـ lateral + +46 +00:04:09,440 --> 00:04:14,000 +geniculate body مرتبطة بـ superior colliculus ولاحظوا + +47 +00:04:14,000 --> 00:04:18,520 +الـ lateral geniculate body مباشرة مرتبطة بمين؟ بـ + +48 +00:04:18,520 --> 00:04:24,550 +optic tract لها علاقة بـ visual function visual + +49 +00:04:24,550 --> 00:04:31,830 +function أما الـ medial geniculate body مرتبط بالـ + +50 +00:04:31,830 --> 00:04:35,430 +inferior colliculus اللي علاقة بالـ hearing أو + +51 +00:04:35,430 --> 00:04:39,790 +auditory function يوم اتكلمنا على الـ pathway of + +52 +00:04:39,790 --> 00:04:44,510 +vision اتطرقنا إلى موضوع lateral geniculate body و + +53 +00:04:44,510 --> 00:04:49,670 +يوم اتكلمت على الـ hearing اتكلمت على medial + +54 +00:04:49,670 --> 00:04:54,460 +geniculate body هي عندي lateral geniculate body + +55 +00:04:54,460 --> 00:04:57,660 +و هذه media geniculate body الـ media geniculate + +56 +00:04:57,660 --> 00:05:01,620 +body لها connection مع الـ inferior colliculus و الـ + +57 +00:05:01,620 --> 00:05:03,740 +lateral geniculate body لها connection مع الـ + +58 +00:05:03,740 --> 00:05:07,460 +superior colliculus of midbrain + +59 +00:05:09,440 --> 00:05:13,940 +هو يعتبر a part of the encephalon which is located + +60 +00:05:13,940 --> 00:05:19,040 +between the thalamus and middle brain، إله جزئين، + +61 +00:05:19,040 --> 00:05:22,620 +إله posterior part و anterior part و الـ anterior + +62 +00:05:22,620 --> 00:05:25,660 +بتكون من أجزاء والـ posterior بتكون من أجزاء، + +63 +00:05:25,660 --> 00:05:28,880 +مابدى أضطرق للموضوع هذا، إيه بيكفيني أعرف إنه صدر + +64 +00:05:28,880 --> 00:05:32,300 +الـ thalamus وين مكانه، ويعطيكم العافية بسهولة وين + +65 +00:05:32,300 --> 00:05:36,400 +دي الـ subthalamus بيقع تحت إيش؟ تحت الـ thalamus + +66 +00:05:36,400 --> 00:05:39,680 +يبقى هاي واحد وهاي واحد بيقع وين؟ تحت الـ thalamus + +67 +00:05:39,680 --> 00:05:43,920 +و بيقع above الـ midbrain فوق بيكون إيه؟ الـ + +68 +00:05:43,920 --> 00:05:50,200 +midbrain يعني محصور ما بين الـ thalamus و midbrain + +69 +00:05:50,200 --> 00:05:58,980 +لأن في موضوع مهم hypothalamus hypothalamus it is + +70 +00:05:58,980 --> 00:06:05,350 +part of diencephalon located in front of the + +71 +00:06:05,350 --> 00:06:11,870 +subthalamus بقى أمام الـ subthalamus and anterior + +72 +00:06:11,870 --> 00:06:15,030 +inferiorly لإيه؟ للثلامس + +73 +00:06:23,150 --> 00:06:28,050 +يعتبر جزء من الـ Thalamus نسميه Neuroendocrine + +74 +00:06:28,050 --> 00:06:33,030 +organ، Neuroendocrine organ، لحظة حجم الهيبوثلامس + +75 +00:06:33,030 --> 00:06:38,490 +ثلاثة من عشرة من حجم الـ brain، ثلاثة من عشرة من + +76 +00:06:38,490 --> 00:06:44,620 +حجم الـ brain، لكن it is very هو جزء مهم جدًا من + +77 +00:06:44,620 --> 00:06:49,420 +نظام النيربا المركزي هو جزء جدًا مهم جدًا من نظام + +78 +00:06:49,420 --> 00:06:53,680 +النيربا المركزي اللي علاقة في بناء الحرمونات و + +79 +00:06:53,680 --> 00:06:59,160 +بناء الانهيبوتوري وإطلاق الحرمونات اللي بتعمل إيه + +80 +00:06:59,160 --> 00:07:03,920 +الـ control بتشتري جلاند الغدان النخامية لأن هو + +81 +00:07:03,920 --> 00:07:06,600 +يعتبر نيورو اندوكراين أورغان + +82 +00:07:10,110 --> 00:07:14,350 +هذا هو الهيبوثالامس + +83 +00:07:14,350 --> 00:07:19,930 +هنا عنده هذا الهيبوثالامس هذا الهيبوثالامس هذا + +84 +00:07:19,930 --> 00:07:20,810 +الهيبوثالامس هذا الهيبوثالامس هذا الهيبوثالامس + +85 +00:07:34,270 --> 00:07:38,950 +اللي هو hypothalamus مرتبط مع مين بيكون مع الـ + +86 +00:07:38,950 --> 00:07:42,970 +Pituitary gland posterior loop و anterior loop Okay + +87 +00:07:42,970 --> 00:07:47,710 +من الخلف بيجينا Superior بيكون لنا Epithalamus و + +88 +00:07:47,710 --> 00:07:52,550 +تحت بيكون لنا Metathalamus هذا تركيبة وتوزيعه + +89 +00:07:52,550 --> 00:07:56,290 +اللي هو Diencephalon Diencephalon يبقى + +90 +00:07:56,290 --> 00:08:00,450 +الـ hypothalamus located anterior للـ subthalamus و + +91 +00:08:00,450 --> 00:08:05,710 +بيكون anterior inferior لمين؟ للـ thalamus لذلك يسموا + +92 +00:08:05,710 --> 00:08:07,990 +hypothalamus + +93 +00:08:10,370 --> 00:08:14,930 +أي هيبوثلامس بتكون من أجزاء اللي هو optic part و + +94 +00:08:14,930 --> 00:08:19,410 +الـ tubular part و الـ mammary part ماراح أفوت في + +95 +00:08:19,410 --> 00:08:22,830 +تركيبهم والنكلياي اللي موجودين داخلهم هضل بشرحهم + +96 +00:08:22,830 --> 00:08:27,510 +للطب كل جزء إيش موجود فيه نكلياي هل ماراح أتوسع + +97 +00:08:27,510 --> 00:08:32,270 +أشرح كثير فيه لكن بنعرف وين موجود الهيبوثلامس الـ + +98 +00:08:32,270 --> 00:08:35,050 +functions of hypothalamus إيش وظيفة الـ hypothalamus + +99 +00:08:36,540 --> 00:08:39,480 +regulation of temperature اللي علاقة بـ regulation + +100 +00:08:39,480 --> 00:08:42,320 +of temperature في بعض الأحيان بيجينا مريض بيكون عنده + +101 +00:08:42,320 --> 00:08:47,580 +نزيف دماغي وأثناء وجود النزيف الدماغي بيحدث معه + +102 +00:08:47,580 --> 00:08:50,840 +ارتفاع درجة حرارة الجسم هذا ارتفاع درجة حرارة + +103 +00:08:50,840 --> 00:08:55,540 +الجسم قد تكون central fever يعني ارتفاع مركزي ناتج + +104 +00:08:55,540 --> 00:09:00,860 +عن irritation of blood to the hypothalamus بيعمل + +105 +00:09:00,860 --> 00:09:07,110 +عملية تهيج لمين؟ لـ thermoregulatory receptors + +106 +00:09:07,110 --> 00:09:11,150 +الموجودين في الهيبوتالموس و بترتفع درجة الحرارة + +107 +00:09:11,150 --> 00:09:15,070 +اثنين emotional regulation العلاقة بالـ regulation + +108 +00:09:15,070 --> 00:09:20,790 +of emotions العاطفة تلاتة الـ growth function النمو + +109 +00:09:20,790 --> 00:09:27,730 +أربعة hunger and thirst أنا جوعان أنا عطشان اللي + +110 +00:09:27,730 --> 00:09:29,910 +علاقة بالهيبوتالموس الهيبوتالموس اللي بيعطينا + +111 +00:09:29,910 --> 00:09:35,650 +إشارة نأكل أو نشرب sexual behavior control of + +112 +00:09:35,650 --> 00:09:39,690 +various endocrine and activity rhythm عن طريق الـ + +113 +00:09:39,690 --> 00:09:43,990 +hormones العلاقة بالذاكرة memory visual memory + +114 +00:09:43,990 --> 00:09:49,150 +يعني أنا شفت شخص وبعد سنة غاب عني اتذكرت بعدين إن + +115 +00:09:49,150 --> 00:09:54,660 +أنا شفت هذا مهم جدًا اللي هيبقى يلمس الموضوع هذا أحد + +116 +00:09:54,660 --> 00:09:59,220 +أصدقائي اتكلم معه في موضوع بعد فترة صديق ثاني + +117 +00:09:59,220 --> 00:10:01,120 +اتكلم قلت والله أنا سمعت هذا الموضوع حكى ليه + +118 +00:10:01,120 --> 00:10:05,520 +صاحبي وكده يقول هذا اسمه verbal memory verbal + +119 +00:10:05,520 --> 00:10:10,560 +memory اللي علاقة بالذاكرة connections of + +120 +00:10:10,560 --> 00:10:13,500 +hypothalamus with hypophysis مين هو الـ hypophysis + +121 +00:10:13,500 --> 00:10:17,440 +هو pituitary gland أكيد ممكن أخدته في الـ general + +122 +00:10:17,440 --> 00:10:22,710 +في الفيسيولوجيا أو كده الـ hormones بنسميه Anti + +123 +00:10:22,710 --> 00:10:27,670 +-diuretic hormone و الـ Oxytocin بصنعهم الـ + +124 +00:10:27,670 --> 00:10:31,710 +hypothalamus Hypothalamus إيش وظيفة الـ Oxytocin؟ + +125 +00:10:31,710 --> 00:10:35,550 +الـ Oxytocin هذا بشتغل عند الستات أثناء الولادة مع + +126 +00:10:35,550 --> 00:10:38,870 +هرمون أستروجين اللي علاقة بالـ increase + +127 +00:10:38,870 --> 00:10:41,910 +contractivity function اللي علاقة بالـ uterine + +128 +00:10:41,910 --> 00:10:47,030 +contraction بتقلصات عضلات الرحم أثناء الولادة يعني + +129 +00:10:47,030 --> 00:10:50,610 +هو موجود عند الـ females عند الـ females الـ + +130 +00:10:50,610 --> 00:10:55,270 +vasopressin أو الـ antidiuretic hormone لو حدث نقص + +131 +00:10:55,270 --> 00:10:57,970 +في الـ antidiuretic hormone أو الـ vasopressin + +132 +00:10:57,970 --> 00:11:03,690 +الإنسان يصاب بمرض مرض السكر الكاذب اللي بنسميه + +133 +00:11:03,690 --> 00:11:07,830 +diabetes insipidus يعني وظيفة الـ hormone هذا إحنا + +134 +00:11:07,830 --> 00:11:10,490 +بنشرب مياه بنروح حمام اللي لو ما كان عندنا الـ + +135 +00:11:10,490 --> 00:11:13,030 +hormone هذا كان كل السوائل في الجسم تنزل مع الـ + +136 +00:11:13,030 --> 00:11:16,410 +urine تنزل مع الـ urine هذا الـ hormone بيعمل + +137 +00:11:16,410 --> 00:11:23,140 +reabsorption في الكلى لمن؟ للسوائل بمنع السوائل + +138 +00:11:23,140 --> 00:11:26,800 +تخرج مع البول بكمية كبيرة طب لو ما كان لو كان في + +139 +00:11:26,800 --> 00:11:29,860 +نقص عينة في الهرمون هذا كان الإنسان بيشرب مية وع + +140 +00:11:29,860 --> 00:11:33,420 +الحمام مباشرة بده طول النهار إيش ثانية مية يظلوا + +141 +00:11:33,420 --> 00:11:36,660 +يشربوا فيه وع الحمام transit المية بتطلع يبقى هذا + +142 +00:11:36,660 --> 00:11:39,980 +وظيفة الهرمون يعمل حجز بمنع السوائل من الخروج + +143 +00:11:39,980 --> 00:11:46,360 +بكمية كبيرة اسمه antidiuretic يعني بمنع خروج البول + +144 +00:11:46,360 --> 00:11:56,020 +بكمية كبيرة الهيبوثلامس هي رولة مهمة في نشطة نشر + +145 +00:11:56,020 --> 00:12:00,960 +الحرمون ونشر الحرمون الهيبوثلامس بيفرزلنا + +146 +00:12:00,960 --> 00:12:04,640 +هرمونات اللي هي علاقة بتعمل control لـ Pituitary + +147 +00:12:04,640 --> 00:12:08,680 +gland إما بتزود وظيفتهم أو بتخفف الوظيفة تبعت مين؟ + +148 +00:12:08,680 --> 00:12:13,160 +Pituitary gland طب الـ Oxytocin و الـ antidiuretic + +149 +00:12:13,160 --> 00:12:17,060 +hormone هدول أو غازوبريسين هدول الـ hypothalamus + +150 +00:12:17,060 --> 00:12:21,520 +بفرزهم وبيسلمهم جاهزين لمين؟ للـ posterior loop + +151 +00:12:21,520 --> 00:12:23,280 +of Pituitary gland + +152 +00:12:31,410 --> 00:12:40,910 +هذا posterior loop وهذا anterior loop هيوضح + +153 +00:12:40,910 --> 00:12:44,710 +إن هذا مكان الهيبوثلامس فيه هرمونات بيسلموا + +154 +00:12:44,710 --> 00:12:50,330 +مجهزين للـ posterior loop of pituitary gland وهنا + +155 +00:12:50,330 --> 00:12:55,330 +عندي anterior loop of pituitary gland طب لو حدث + +156 +00:12:55,330 --> 00:13:01,180 +مشكلة أصيب الهيبوثلامس في أعراض تيجي عند المريض + +157 +00:13:01,180 --> 00:13:05,960 +Endocrine أو metabolic syndrome، hypogonadism + +158 +00:13:05,960 --> 00:13:10,570 +مشاكل في عملية الإنجاب بحدث عندهم اثنين، diabetes + +159 +00:13:10,570 --> 00:13:14,190 +insipidus بيحدث معاهم مرض السكر الكاذب، بيضلوا + +160 +00:13:14,190 --> 00:13:17,850 +يشربوا مية كثير ويبولوا كثير، بنفكر المريض عنده + +161 +00:13:17,850 --> 00:13:20,890 +مرض السكر، بنفحص الـ glucose في الـ blood، بنلاقيه + +162 +00:13:20,890 --> 00:13:24,030 +normal، يبقى إن هذا بنسميه مرض السكر الكاذب، نقص + +163 +00:13:24,030 --> 00:13:28,070 +فيه hormone الـ antidiuretic، opposite سمنة، + +164 +00:13:28,070 --> 00:13:33,290 +الأفراد في الوزن، سمنة، anorexia اللي هو فقدان + +165 +00:13:33,290 --> 00:13:39,820 +الشهية، loss of appetite بوليميا كان عندها مريض كان + +166 +00:13:39,820 --> 00:13:43,920 +عنده stroke of head trauma severe head trauma هذا + +167 +00:13:43,920 --> 00:13:46,980 +المريض كان في جسم الـ neurology كان في أوكرانيا + +168 +00:13:46,980 --> 00:13:51,300 +ماخلاش تلاجة لمرضى اللي سرق منها الأكل خلاص ماحدش + +169 +00:13:51,300 --> 00:13:54,520 +ممنعه عن الأكل هذا طول اليوم وظيفته يأكل طول اليوم + +170 +00:13:54,520 --> 00:13:58,060 +وظيفته يأكل يأكل وبعد ما يفل التنك تبعه يروح يعمل + +171 +00:13:58,060 --> 00:14:01,960 +vomiting يرجع من كتر ما أكل بعدين يروح يأكل هذه + +172 +00:14:01,960 --> 00:14:07,250 +بنسميها إيه بوليميا eat much و it's associated with + +173 +00:14:07,250 --> 00:14:10,250 +vomiting بيضل يأكل ويرجع يأكل ويرجع هويته الأكل + +174 +00:14:10,250 --> 00:14:14,030 +بس حد فيه مشكلة عنده فيه الـ hypothalamus بيكون + +175 +00:14:14,030 --> 00:14:17,970 +central hyperthermia أو hypothermia ممكن المرضى + +176 +00:14:17,970 --> 00:14:21,590 +يدخل في ارتفاع درجة الحرارة ويكون ناتج عن إيه + +177 +00:14:21,590 --> 00:14:25,570 +ارتفاع مركزي ارتفاع مركزي من مشاكل الـ hypothalamus + +178 +00:14:25,570 --> 00:14:30,370 +وقد يعطينا neurological disturbances psychic + +179 +00:14:30,370 --> 00:14:33,010 +disturbances مشاكل نفسية اضطرابات نفسية + +180 +00:14:34,540 --> 00:14:37,020 +Extrapyramidal manifestation يكون عندهم + +181 +00:14:37,020 --> 00:14:41,600 +involuntary movement حركات لا إرادية و I signs + +182 +00:14:41,600 --> 00:14:45,480 +miosis أو مدرياسي لأنه إحنا بنعرف الـ sympathetic + +183 +00:14:45 + +201 +00:16:04,690 --> 00:16:09,770 +بحدهم الـ cavernous sinus و its contents والـ + +202 +00:16:09,770 --> 00:16:13,490 +contents الموجودين فيه مع مين مرتبط هذه الـ + +203 +00:16:13,490 --> 00:16:16,610 +pituitary gland connected with hypothalamus مع الـ + +204 +00:16:16,610 --> 00:16:22,970 +hypothalamus بتنقسم لقسمين anterior loop بنسميها + +205 +00:16:22,970 --> 00:16:27,470 +adenohypophysis و posterior loop بنسميها + +206 +00:16:27,470 --> 00:16:29,490 +neurohypophysis + +207 +00:16:31,050 --> 00:16:35,530 +فهي ال pituitary gland مرتبطة مع مين قلنا مع + +208 +00:16:35,530 --> 00:16:40,550 +الhypothalamus بيحدها من تحت sphenoid sinus و + +209 +00:16:40,550 --> 00:16:45,850 +sphenoid bone من أعلى في ديافراج مثل هذا فصلها عن + +210 +00:16:45,850 --> 00:16:50,450 +ال optic chiasm on each side بيكون عندها ال + +211 +00:16:50,450 --> 00:16:53,450 +cavernous sinus and its contents + +212 +00:16:56,650 --> 00:17:00,570 +هنا واضحة الصورة اللي هو ال posterior loop اللي هي + +213 +00:17:00,570 --> 00:17:04,350 +neurohypophysis و anterior loop اللي هي + +214 +00:17:04,350 --> 00:17:12,950 +adenohypophysis ال functions of pituitary gland ال + +215 +00:17:12,950 --> 00:17:15,430 +anterior و pituitary hormones اللي بيفرزوا من ال + +216 +00:17:15,430 --> 00:17:20,570 +anterior loop growth hormone، هرمون النمو، + +217 +00:17:20,570 --> 00:17:26,100 +prolactin hormone، هرمون الحليب، فالملكلو زاد + +218 +00:17:26,100 --> 00:17:33,540 +نسبته ممكن يصبح في حالات الورم البرولاكتينوما تدخم + +219 +00:17:33,540 --> 00:17:36,700 +أو ورم في البرولاكتين سيلز اللي علاقة بـ increase + +220 +00:17:36,700 --> 00:17:41,700 +in milk secretion STH adrenocorticotropic hormone + +221 +00:17:41,700 --> 00:17:46,400 +اللي علاقة بالأدرينال جلاند TSH thyroid + +222 +00:17:46,400 --> 00:17:49,520 +stimulating hormone اللي علاقة بموضوع الثيرويد + +223 +00:17:49,520 --> 00:17:56,830 +جلاند الغدة الدرقية الـ LH والـ FSH اللي هم علاقة بالـ + +224 +00:17:56,830 --> 00:18:05,870 +hormones بتاعين ال female hormones ال posterior + +225 +00:18:08,870 --> 00:18:11,950 +بتتري هرمون اللي بيفرزه من بستيرولوب يقول أن هم + +226 +00:18:11,950 --> 00:18:16,190 +اثنين هم أصلاً بيفرزه من الهيبوثلامس والهيبوثلامس + +227 +00:18:16,190 --> 00:18:20,990 +بيسلمهم لمن؟ لـ pituitary gland عبارة عن antidiuretic + +228 +00:18:20,990 --> 00:18:27,650 +hormone أو vasopressin والثاني oxytocin + +229 +00:18:27,650 --> 00:18:33,570 +وهي واضحة أن دي اللي هو posterior lobe وال anterior lobe وهي + +230 +00:18:33,570 --> 00:18:37,830 +الثالمس connection مع الثالمس هيكون خلصت موضوع + +231 +00:18:37,830 --> 00:18:41,770 +ال diencephalon دلوقتي نتكلم على جزء الأخير من + +232 +00:18:41,770 --> 00:18:45,870 +المحاضرة اللي هو cerebellum cerebellum it is a + +233 +00:18:45,870 --> 00:18:52,860 +little brain لدينا مخ cerebrum ومخيخ cerebellum من + +234 +00:18:52,860 --> 00:18:56,180 +الـ embryological origin it is largest part of + +235 +00:18:56,180 --> 00:19:01,220 +hindbrain، الـ hindbrain منقسم لقسمين، منقسم ل + +236 +00:19:01,220 --> 00:19:05,480 +metencephalon و myelencephalon، metencephalon + +237 +00:19:05,480 --> 00:19:09,980 +تعطينا cerebellum and pons و myelencephalon يعطينا + +238 +00:19:09,980 --> 00:19:15,250 +مدولة أبلانجة يبقى واضحة، hindbrain أعطانا رومبون + +239 +00:19:15,250 --> 00:19:20,290 +سيفالون، رومبون سيفالون أعطانا متنسيفالون، والمتن + +240 +00:19:20,290 --> 00:19:23,390 +سيفالون هو اللي أعطى ال cerebellum and pons، وين + +241 +00:19:23,390 --> 00:19:27,550 +موجود ال cerebellum؟سيريبيلا موجود في الـ + +242 +00:19:27,550 --> 00:19:33,230 +posterior cranial fossa تحت + +243 +00:19:33,230 --> 00:19:40,190 +التنتوريوم سيريبيلاي وخلف الـ brain stem and + +244 +00:19:40,190 --> 00:19:43,790 +fourth ventricle يبقى أن هو بيجي خلف ال brain stem + +245 +00:19:43,790 --> 00:19:50,340 +أدق خلف ال pons و ال open medulla طب مين بيفصل ما + +246 +00:19:50,340 --> 00:19:54,980 +بين ال cerebellum و ال pons و الميدالة؟ بيفصل + +247 +00:19:54,980 --> 00:19:59,640 +بينهم اللي هو fourth ventricle طب من أعلى .. أعلى + +248 +00:19:59,640 --> 00:20:03,200 +بيكون في tentorium cerebelli تفصل عن إيه؟ عن اللي + +249 +00:20:03,200 --> 00:20:08,460 +هو ال cerebrum it is part of the brain located + +250 +00:20:08,460 --> 00:20:14,700 +dorsal or posterior to the pons and upper medulla + +251 +00:20:15,390 --> 00:20:19,950 +occupies most of the posterior cranial fossa موجود + +252 +00:20:19,950 --> 00:20:24,010 +في ال posterior cranial fossa and located also + +253 +00:20:24,010 --> 00:20:29,630 +below the tentorium cerebelli تعمل separation + +254 +00:20:29,630 --> 00:20:34,610 +between اللي هو إيه الcerebrum and cerebellum + +255 +00:20:34,610 --> 00:20:41,990 +shape الcerebellum عبارة عن global shape relation + +256 +00:20:41,990 --> 00:20:48,090 +of cerebellum مين بيحد ال cerebellum من فوق؟ + +257 +00:20:48,090 --> 00:20:52,010 +tentorium cerebelli تفصل بين ال cerebellum below + +258 +00:20:52,010 --> 00:20:56,050 +and cerebrum above يبقى ال cerebrum يعتبر supra + +259 +00:20:56,050 --> 00:20:59,470 +tentorial والcerebellum infra tentorial هاي واحد + +260 +00:21:02,370 --> 00:21:06,870 +fourth ventricle بيعمل separation between the + +261 +00:21:06,870 --> 00:21:13,090 +cerebellum and pons و ال open medulla يبقى ال fourth + +262 +00:21:13,090 --> 00:21:16,470 +ventricle بيفصل بين ال cerebellum ال cerebellum + +263 +00:21:16,470 --> 00:21:21,900 +بتكون خلفه وأمامة بيكون ال pons و ال open medulla on + +264 +00:21:21,900 --> 00:21:26,040 +each side من الجانب اليمين والشمال بيحضوا ال + +265 +00:21:26,040 --> 00:21:31,640 +mastoid antrum وبيحضوا اللي هو ال sigmoid dural + +266 +00:21:31,640 --> 00:21:39,020 +venous sinus هاي عندي واضحة هنا tentorium cerebelli + +267 +00:21:39,020 --> 00:21:44,820 +هادي بتفصل من أعلى بين ال cerebellum تحتها وال + +268 +00:21:44,820 --> 00:21:50,210 +cerebrum فوقها و on each side بيكون sigmoid venous + +269 +00:21:50,210 --> 00:21:54,130 +sinus و ال mastoid antrum مش واضحة كتير هنا ومن + +270 +00:21:54,130 --> 00:21:59,290 +الأمام واضحة هنا دي اللي هو ال fourth ventricle ال + +271 +00:21:59,290 --> 00:22:04,210 +fourth ventricle بيفصل بين ال cerebellum behind عن + +272 +00:22:04,210 --> 00:22:10,300 +ال pons و ال open medulla anteriorly و above من + +273 +00:22:10,300 --> 00:22:13,840 +فوق بتكون أن ال tentorium cerebelli بتفصل ما بين + +274 +00:22:13,840 --> 00:22:20,380 +cerebellum below عن cerebrum above هاي واضحة ال + +275 +00:22:20,380 --> 00:22:23,780 +fourth ventricle اللي هو بيفصل ما بين ال + +276 +00:22:23,780 --> 00:22:28,800 +cerebellum behind عن ال pons و ال upper medulla + +277 +00:22:28,800 --> 00:22:34,540 +anteriorly what's the functions of cerebellum؟ إيش + +278 +00:22:34,540 --> 00:22:39,100 +وظيفة ال cerebellum؟ أول شيء maintain equilibrium + +279 +00:22:39,100 --> 00:22:45,100 +of the trunk العلاقة بعملية التوازن muscle tone + +280 +00:22:45,100 --> 00:22:48,820 +regulation regulation of muscle tone ثلاثة + +281 +00:22:48,820 --> 00:22:53,980 +coordination and regulation of involuntary motor + +282 +00:22:53,980 --> 00:22:57,440 +activity أنا بدي امسك القبرة بيدي it is fine + +283 +00:22:57,440 --> 00:22:58,220 +activity + +284 +00:23:00,610 --> 00:23:04,790 +زر الجميص fine activity يبقى أنا بتحكم فيهم صح لكن + +285 +00:23:04,790 --> 00:23:07,390 +لو عندي مشكلة في ال cerebellum بيكون عندي ترنح و + +286 +00:23:07,390 --> 00:23:11,070 +dis coordination وفي الحالة هذه ما بقدر أعمل + +287 +00:23:11,070 --> 00:23:17,610 +الحركات هذه بيحدث معايا tremor رشفة وهكذا ماذا عن + +288 +00:23:17,610 --> 00:23:21,030 +نواة الموجودين في الـ cerebellum؟ متذكرين الـ + +289 +00:23:21,030 --> 00:23:23,910 +cerebrum لما اخذناه؟ تكلمنا أنه فيه basal nuclei + +290 +00:23:23,910 --> 00:23:28,730 +فيه basal nuclei الآن لما اخذنا الcerebrum كان + +291 +00:23:28,730 --> 00:23:31,630 +فيه basal nuclei الآن لما نتكلم عن الcerebellum + +292 +00:23:31,630 --> 00:23:36,230 +فيه كمان nuclei إيش اسم الnuclei؟ dented nucleus + +293 +00:23:36,230 --> 00:23:40,850 +اسمها dented لأن شكلها يسبب الأسنان مسننة مثل + +294 +00:23:40,850 --> 00:23:45,660 +الأسنان مثل إيه؟ الأسنان إيه العلاقة؟ بـ + +295 +00:23:45,660 --> 00:23:49,340 +Coordination and Regulation of Voluntary Motor + +296 +00:23:49,340 --> 00:23:56,960 +Activity بـ Coordination + +297 +00:23:56,960 --> 00:23:57,520 +and Regulation of Voluntary Motor Activity بـ + +298 +00:23:57,520 --> 00:23:57,640 +Activity بـ Coordination and Regulation of + +299 +00:23:57,640 --> 00:23:57,760 +Regulation of Voluntary Motor Activity بـ + +300 +00:23:57,760 --> 00:23:58,320 +Activity بـ Coordination and Regulation of + +301 +00:23:58,320 --> 00:24:01,440 +Regulation of Voluntary Motor Activity بـ + +302 +00:24:01,440 --> 00:24:07,460 +Coordination + +303 +00:24:07,460 --> 00:24:11,640 +and Regulation + +304 +00:24:11,640 --> 00:24:14,200 +of Voluntary Motor Act + +305 +00:24:16,230 --> 00:24:20,270 +هي واضحة أول nucleus ملاحظين أسنانها مثل الأسنان + +306 +00:24:20,270 --> 00:24:28,210 +سموها إيه؟ دنتيت نوكلياز دنتيت نوكلياز واضحة؟ نفس + +307 +00:24:28,210 --> 00:24:32,730 +الأسنان سموها إيه؟ دنتيت نوكلياز النوع الثاني اللي + +308 +00:24:32,730 --> 00:24:40,030 +هو emboliform nucleus البعده globose nucleus وآخر + +309 +00:24:40,030 --> 00:24:42,150 +شيء fastigial nucleus + +310 +00:24:51,500 --> 00:24:56,220 +Cerebellar connections مع مين مرتبط الcerebellum؟ + +311 +00:24:56,220 --> 00:25:00,720 +On each side connected with the brainstem by three + +312 +00:25:00,720 --> 00:25:05,140 +peduncles يعني الcerebellar له three pairs of + +313 +00:25:05,140 --> 00:25:09,900 +peduncles، له ثلاثة أزواج من ال peduncles، على ال + +314 +00:25:09,900 --> 00:25:13,880 +right وعلى ال left superior cerebellar peduncles + +315 +00:25:13,880 --> 00:25:18,660 +مرتبطة مع ال midbrain middle cerebellar peduncles + +316 +00:25:18,660 --> 00:25:23,950 +مرتبطة مع ال pons و inferior cerebellar peduncles + +317 +00:25:23,950 --> 00:25:27,750 +مرتبطة مع الميدالا أو بلانجاتا أكبر واحد في الحجم + +318 +00:25:27,750 --> 00:25:32,290 +فيهم اللي هو ال middle middle cerebellar peduncle + +319 +00:25:32,290 --> 00:25:41,030 +هاي واضحة هنا عندي superior + +320 +00:25:41,030 --> 00:25:44,150 +cerebellar + +321 +00:25:44,150 --> 00:25:50,920 +peduncle هنا مدل .. لأ هنا inferior cerebellar + +322 +00:25:50,920 --> 00:25:55,960 +peduncles والكبير هذا middle cerebellar peduncles + +323 +00:25:55,960 --> 00:26:00,440 +يبقى هذا superior هذا inferior هذا middle + +324 +00:26:00,440 --> 00:26:04,840 +cerebellar peduncles ال middle مرتبط مع مين؟ مع ال + +325 +00:26:04,840 --> 00:26:08,720 +pons inferior مع ال medulla oblongata وال + +326 +00:26:08,720 --> 00:26:12,460 +superior مرتبط مع مين؟ مع midbrain + +327 +00:26:15,620 --> 00:26:18,880 +لو طلعنا على external features of the cerebellum + +328 +00:26:18,880 --> 00:26:22,220 +باللاحظ + +329 +00:26:22,220 --> 00:26:26,360 +أن ال cerebellar له right and left cerebellar + +330 +00:26:26,360 --> 00:26:30,720 +hemisphere ومرتبطين مع بعض عن طريق vermis اللي هو + +331 +00:26:30,720 --> 00:26:34,920 +إيه vermis superior و inferior anterior lobe + +332 +00:26:34,920 --> 00:26:41,840 +posterior lobe أو middle lobe posterior lobe أو + +333 +00:26:41,840 --> 00:26:45,460 +middle lobe و flocculonodular lobe + +334 +00:26:49,640 --> 00:26:53,460 +و posterior lobe و flocculonodular lobe ال + +335 +00:26:53,460 --> 00:26:57,720 +posterior lobe بيسموه كمان middle lobe بيسموه إيه + +336 +00:26:57,720 --> 00:27:00,640 +middle lobe ليه middle lobe لأنه بقع بين ال + +337 +00:27:00,640 --> 00:27:03,980 +anterior و flocculonodular lobe وبيسموه + +338 +00:27:03,980 --> 00:27:07,020 +posterior لأنه بقع في الخلف خلف ال anterior lobe + +339 +00:27:07,020 --> 00:27:12,190 +okay في primary fissure موجودة ال primary fissure + +340 +00:27:12,190 --> 00:27:17,130 +between the anterior and middle lobe فيه تنزل on + +341 +00:27:17,130 --> 00:27:21,690 +each side of the inferior vermis فيه horizontal + +342 +00:27:21,690 --> 00:27:25,250 +fissure وفيه posterior lateral fissure ال + +343 +00:27:25,250 --> 00:27:28,370 +posterior lateral fissure بيجي بين floccular + +344 +00:27:28,370 --> 00:27:31,770 +nodular lobe و ال posterior lobe أو ال middle lobe + +345 +00:27:33,010 --> 00:27:37,730 +بوضح عندي cerebellar hemispheres وفي النص بينهم في + +346 +00:27:37,730 --> 00:27:42,430 +شيء اسمه vermis هنا بوضح الأحمر ال anterior lobe + +347 +00:27:42,430 --> 00:27:46,930 +أمامي والخلفي بيكون posterior lobe أو بنسميها + +348 +00:27:46,930 --> 00:27:50,270 +middle lobe ليه سميناها middle lobe لأنها بتقع بين + +349 +00:27:50,270 --> 00:27:53,950 +ال anterior lobe و flocculonodular lobes هذه ال + +350 +00:27:53,950 --> 00:27:57,270 +primary fissure ال primary fissure هذه شايفينها + +351 +00:27:57,270 --> 00:28:01,870 +هذه بتقع أو بتفصل ما بين اللي هو + +352 +00:28:04,650 --> 00:28:09,630 +Anterior Lobe وPosterior + +353 +00:28:09,630 --> 00:28:14,110 +Lobe أو Middle Lobe وفي عندي Horizontal Fissure + +354 +00:28:14,110 --> 00:28:17,470 +هذه موجودة Horizontal Fissure في Posterior Lobe أو + +355 +00:28:17,470 --> 00:28:23,430 +في Middle Lobe هذه تعتبر Anterior Lobe هذه + +356 +00:28:23,430 --> 00:28:31,870 +Posterior Lobe أو Middle Lobe طبعاً نتكلم هنا عن الـ + +357 +00:28:31,870 --> 00:28:39,390 +External Features of the Cerebellum نكمل كمان هاي + +358 +00:28:39,390 --> 00:28:46,470 +واضحة عندي الـ tonsils هذا الـ vermis هنا اللي هو + +359 +00:28:46,470 --> 00:28:52,930 +Posterolateral Fissure بفصل بين flocculonodular + +360 +00:28:52,930 --> 00:28:58,230 +Lobes والبوستيريولوب أو ال middle lobe الفلوكولو + +361 +00:28:58,230 --> 00:29:02,730 +نودولار لوب بتكون من two flocculi حيوان فلوكولات و + +362 +00:29:02,730 --> 00:29:08,390 +حيوان و one nodule عشان هيك سموه فلوكولو نودولار + +363 +00:29:08,390 --> 00:29:16,790 +لوب بتكون من two flocculi و one nodule ال + +364 +00:29:16,790 --> 00:29:20,570 +sub divisions of cerebellum هنختلفوا العلماء في + +365 +00:29:20,570 --> 00:29:24,590 +تقسيم ال cerebellum الأخصائي بتاعي ال morphology + +366 +00:29:24,590 --> 00:29:31,380 +قالوا أن نقسمه لأ right و left cerebellar + +367 +00:29:31,380 --> 00:29:37,220 +hemispheres وفي النص median vermis يبقى لتعيين ال + +368 +00:29:37,220 --> 00:29:41,860 +morphology اختلفوا قالوا بدنا نجزئه ل إيه ل right + +369 +00:29:41,860 --> 00:29:45,060 +cerebellar hemispheres left cerebellar hemispheres + +370 +00:29:45,060 --> 00:29:48,480 +و median vermis في النص بتعيين ال Anatomy قالوا لأ + +371 +00:29:48,480 --> 00:29:51,340 +بدناش التقسيمة هذه مش عاجبانا مش ماشية معنا هذه + +372 +00:29:51,340 --> 00:29:54,320 +التقسيمة كيف بدنا نجزئه بتعيين ال Anatomy قالوا + +373 +00:29:54,320 --> 00:29:57,580 +نجزئه ل anterior lobe بتكون أمام ال primary + +374 +00:29:57,580 --> 00:30:01,460 +fissure و posterior lobe أو middle lobe اللي بتكون + +375 +00:30:01,460 --> 00:30:04,720 +محصورة ما بين ال primary fissure وال posterior + +376 +00:30:04,720 --> 00:30:09,580 +lateral sulcus يعني بتكون بين ال anterior lobe و + +377 +00:30:09,580 --> 00:30:14,220 +flocculonodular lobe وثلاثة flocculonodular lobe + +378 +00:30:14,220 --> 00:30:17,640 +تتكون من two flocculi و one nodule in the middle + +379 +00:30:18,470 --> 00:30:20,530 +بتاعين الفيسيولوجيا قالوا لأ مش عاجبانا التقسيمة + +380 +00:30:20,530 --> 00:30:22,770 +هذه احنا ما لناش علاقة بتاعين ال anatomy والمفروض + +381 +00:30:22,770 --> 00:30:25,010 +يجيبنا تقسيمة ثانية بتاعين الفيسيولوجيا قالوا + +382 +00:30:25,010 --> 00:30:31,850 +نقسمهم ل vestibular part أو archicerebellum و paleo + +383 +00:30:31,850 --> 00:30:36,070 +cerebellum و neocerebellum حسب ال development هذه + +384 +00:30:36,070 --> 00:30:40,790 +الأقدم أول واحدة بتبدأ في الجنين بعده بيبدأ الـ + +385 +00:30:40,790 --> 00:30:43,810 +paleocerebellum و الـ neocerebellum أجدد شيء بتكون + +386 +00:30:43,810 --> 00:30:49,310 +في development of cerebellum جينا احنا حطينا لكم ال + +387 +00:30:49,310 --> 00:30:51,670 +physiological أو functional و anatomically + +388 +00:30:51,670 --> 00:30:54,47 + +401 +00:31:48,090 --> 00:31:53,060 +emboliform globus nucleus مين بيقابلها من ناحية + +402 +00:31:53,060 --> 00:31:55,500 +physiology أو functional area اللي هي + +403 +00:31:55,500 --> 00:32:01,020 +paleocerebellum من ناحية الـ development it is the + +404 +00:32:01,020 --> 00:32:06,580 +next one next one طبعا الـ function تبعته muscle + +405 +00:32:06,580 --> 00:32:10,760 +tone regulation muscle tone ايه regulation لو حدث + +406 +00:32:10,760 --> 00:32:16,770 +فيه lesions muscle hypotonia يبقى lesion of + +407 +00:32:16,770 --> 00:32:20,170 +cerebellum بيعطينا muscle hypotonia لو سألتكوا + +408 +00:32:20,170 --> 00:32:24,430 +سؤال متى راح يحدث muscle spasticity في حالات الـ + +409 +00:32:24,430 --> 00:32:27,630 +cerebellar damage و لا عمره راح يكون عندهم مرضى الـ + +410 +00:32:27,630 --> 00:32:30,510 +cerebellar damage spasticity لأن الـ lesion بتاع الـ + +411 +00:32:30,510 --> 00:32:36,340 +cerebellum بيكون عندهم muscle hypotonia بوستيرو لوب + +412 +00:32:36,340 --> 00:32:40,380 +أكبر واحد فيهم فيه دنتية نيوكلياس مين بيقابلهم في + +413 +00:32:40,380 --> 00:32:45,020 +الـ physiological subdivision نيو سيربيلا it is + +414 +00:32:45,020 --> 00:32:48,700 +most recent part of cerebellum واضيفته + +415 +00:32:48,700 --> 00:32:53,800 +coordination and regulation of fine voluntary + +416 +00:32:53,800 --> 00:32:58,660 +motor activity لو حدث lesion فيه بيعطينا ايه in + +417 +00:32:58,660 --> 00:33:01,920 +coordination of movement طب لو عجي سؤال مين هو الـ + +418 +00:33:01,920 --> 00:33:07,040 +anterior loop عالسرير بدنا نغز عليه paleocerebellum من + +419 +00:33:07,040 --> 00:33:10,040 +هو flocculonodular loop? vestibular part أو + +420 +00:33:10,040 --> 00:33:13,900 +archocerebellum من هو الـ posterior loop؟ النيو + +421 +00:33:13,900 --> 00:33:16,520 +سيربلون طب لو أتى سؤال الـ middle loop نفس + +422 +00:33:16,520 --> 00:33:19,260 +الـ posterior الـ middle loop أو الـ posterior واحد تمام + +423 +00:33:19,260 --> 00:33:26,240 +الـ posterior و الـ middle بيكونوا ايه؟ واحد okay + +424 +00:33:26,240 --> 00:33:32,190 +يبقى هنا عندي هذا الـ anterior loop باليو سيرابيلام + +425 +00:33:32,190 --> 00:33:36,630 +هذا posterior loop نيو سيرابيلام وهذا الـ floccular + +426 +00:33:36,630 --> 00:33:39,910 +nodular loop اللي عبارة عن ارشو سيرابيلام أو + +427 +00:33:39,910 --> 00:33:44,390 +vestibular part of the cerebellum هنا بيكون عندي + +428 +00:33:44,390 --> 00:33:49,070 +الـ dentate جاي في الـ posterior part في الـ + +429 +00:33:49,070 --> 00:33:51,790 +anterior part بيكون الـ globus الـ nucleus + +430 +00:33:51,790 --> 00:33:56,650 +وemboliform nucleus وفي flocculonodular loop بيكون + +431 +00:33:56,650 --> 00:34:01,990 +موجودة في fastigial الـ nucleus و لهذا بيكون وصلنا + +432 +00:34:01,990 --> 00:34:05,390 +لنهاية محاضرة أسبوع تالت اللي هو Anatomy and + +433 +00:34:05,390 --> 00:34:06,990 +physiology of cerebellum diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/927sW7ATxvc_postprocess.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/927sW7ATxvc_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..1cb0a331849248e9944d13699e012201c05706ff --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/927sW7ATxvc_postprocess.srt @@ -0,0 +1,1732 @@ +1 +00:00:05,010 --> 00:00:08,550 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:08,550 --> 00:00:14,970 +وبركاته الآن بننتقل لجزء الثاني من المحاضرة السبوع + +3 +00:00:14,970 --> 00:00:20,150 +الثالث بيزا النوكلياي داينسيفالون ان سيريبيلا في + +4 +00:00:20,150 --> 00:00:24,110 +الجزء الأول اتكلمت معكم على البيزا النوكلياي + +5 +00:00:24,110 --> 00:00:27,430 +أنواعهم وأجزاهم و ال functions بتاعة البيزا + +6 +00:00:27,430 --> 00:00:31,620 +النوكليايوبدأت في جزء الثاني اللي هو الـ + +7 +00:00:31,620 --> 00:00:34,460 +Dienesephalon أخدنا من ال Dienesephalon اللي هو + +8 +00:00:34,460 --> 00:00:39,320 +Thalamus and Epithalamus اليوم في جزء ثاني من + +9 +00:00:39,320 --> 00:00:44,640 +محاضرتنا راح أكمل Metathalamus, Subthalamus and + +10 +00:00:44,640 --> 00:00:49,720 +Hypothalamus ونتكلم عن جزء النهائي اللي هو ال + +11 +00:00:49,720 --> 00:00:55,320 +cerebellum يبقى الأن راح أكمل موضوع اللي هو ال + +12 +00:00:55,320 --> 00:01:02,310 +Dienesephalon متذكرين؟في المحاضرة السابقة رسمنا + +13 +00:01:02,310 --> 00:01:08,830 +Diencephalon وقلنا هذا عبارة عن ال thalamus هذا + +14 +00:01:08,830 --> 00:01:14,510 +thalamus هنا + +15 +00:01:14,510 --> 00:01:20,410 +عبارة عن interthalamic adhesions بعدين بيجينا اللي + +16 +00:01:20,410 --> 00:01:25,930 +هو ال subthalamus من الأمام و من تحت بيجي + +17 +00:01:26,920 --> 00:01:33,320 +hypothalamus مرتبط بشيء اسمه pituitary gland وفي + +18 +00:01:33,320 --> 00:01:39,180 +الخلف بيكون inferior بيكون metathalamus superior و + +19 +00:01:39,180 --> 00:01:45,280 +posterior بيكون epithalamus بعدين بيجينا ال + +20 +00:01:45,280 --> 00:01:51,400 +midbrain pons medulla + +21 +00:01:51,400 --> 00:01:52,220 +oblongata + +22 +00:01:54,530 --> 00:01:58,970 +وبننزل spinal cord spinal cord medulla oblongata + +23 +00:01:58,970 --> 00:02:11,790 +bones mid brain الجزء هذا بنسمي diencephalon okay + +24 +00:02:11,790 --> 00:02:18,270 +you can metathalamus هو عبارة عن part of + +25 +00:02:18,270 --> 00:02:23,670 +diencephalonpart of the encephalon which is + +26 +00:02:23,670 --> 00:02:29,330 +attached to the posterior inferior surface of + +27 +00:02:29,330 --> 00:02:32,930 +thalamus هو موجود وين؟ في ال posterior inferior + +28 +00:02:32,930 --> 00:02:36,610 +surface of thalamus طب ال epithalamus موجود في ال + +29 +00:02:36,610 --> 00:02:40,730 +posterior superior surface of thalamus ال + +30 +00:02:40,730 --> 00:02:44,990 +metathalamus contains two parts بتكون من جزئين + +31 +00:02:44,990 --> 00:02:52,320 +الجزء الأولLateral geniculate body الجزء الثاني + +32 +00:02:52,320 --> 00:02:59,810 +Medial geniculate body الجزء الأولاللي علاقة بالـ + +33 +00:02:59,810 --> 00:03:04,310 +vision واضيفته visual function connected with + +34 +00:03:04,310 --> 00:03:10,030 +superior calculus of the midbrain أما الـ medial + +35 +00:03:10,030 --> 00:03:14,830 +geniculate body هي علاقة بالـ hearing و connected + +36 +00:03:14,830 --> 00:03:18,050 +with a inferior + +37 +00:03:20,220 --> 00:03:23,800 +calculus يبقى with inferior calculus يقول media + +38 +00:03:23,800 --> 00:03:27,080 +geniculate body اللي علاقة بيه بالhearing و + +39 +00:03:27,080 --> 00:03:31,340 +connected with ايه with inferior calculus هاي + +40 +00:03:31,340 --> 00:03:33,980 +واحدة في ال slide lateral geniculate body visual + +41 +00:03:33,980 --> 00:03:37,760 +function و media geniculate body اللي علاقة بال + +42 +00:03:37,760 --> 00:03:40,460 +hearing او auditory function hearing او auditory + +43 +00:03:40,460 --> 00:03:47,040 +the same واضحانة ان ال lateral geniculate body + +44 +00:03:52,240 --> 00:03:59,180 +و medial geniculate body ال medial geniculate body + +45 +00:03:59,180 --> 00:04:09,440 +مرتبطة بمين؟ ب inferior calculus اما ال lateral + +46 +00:04:09,440 --> 00:04:14,000 +geniculate body مرتبطة ب superior calculus ولاحظوا + +47 +00:04:14,000 --> 00:04:18,520 +ال lateral geniculate body مباشرة مرتبطة بمين؟ ب + +48 +00:04:18,520 --> 00:04:24,550 +optic tractلها علاقة بـ visual function visual + +49 +00:04:24,550 --> 00:04:31,830 +function أماالـ medial geniculate body مرتبط بالـ + +50 +00:04:31,830 --> 00:04:35,430 +inferior colliculus اللي علاقة بالـ hearing أو + +51 +00:04:35,430 --> 00:04:39,790 +auditory function يوم اتكلمنا على ال pathway of + +52 +00:04:39,790 --> 00:04:44,510 +vision اتطرقنا إلى موضوع lateral geniculate body و + +53 +00:04:44,510 --> 00:04:49,670 +يوم اتكلمت على ال hearing اتكلمت على medial + +54 +00:04:49,670 --> 00:04:54,460 +geniculate bodyهي عندي lateral geniculate body + +55 +00:04:54,460 --> 00:04:57,660 +وهذه media geniculate body ال media geniculate + +56 +00:04:57,660 --> 00:05:01,620 +body لها connection مع ال inferior calculus و ال + +57 +00:05:01,620 --> 00:05:03,740 +lateral geniculate body لها connection مع ال + +58 +00:05:03,740 --> 00:05:07,460 +superior calculus of midbrain + +59 +00:05:09,440 --> 00:05:13,940 +هو يعتبر a part of the encephalon which is located + +60 +00:05:13,940 --> 00:05:19,040 +between the thalamus and middle brain، إله جزئين، + +61 +00:05:19,040 --> 00:05:22,620 +إله posterior part و anterior part و ال anterior + +62 +00:05:22,620 --> 00:05:25,660 +بتكون من أجزاء و ال posterior بتكون من أجزاء، + +63 +00:05:25,660 --> 00:05:28,880 +مابدى أضطرق للموضوع هذا، إيه بيكفيني أعرف إنه صدر + +64 +00:05:28,880 --> 00:05:32,300 +ال thalamus وين مكانه، و يعطيكوا العافية بسهي وين + +65 +00:05:32,300 --> 00:05:36,400 +دي ال subthalamus بيقع تحت إيش؟ تحت ال thalamus + +66 +00:05:36,400 --> 00:05:39,680 +يبقى هاي واحد و هاي واحد بيقع وين؟ تحت ال thalamus + +67 +00:05:39,680 --> 00:05:43,920 +و بيقع above ال midbrain فوق بيكون إيه؟ ال + +68 +00:05:43,920 --> 00:05:50,200 +midbrain يعني محصور ما بين ال thalamus و midbrain + +69 +00:05:50,200 --> 00:05:58,980 +لأن في موضوع مهم hypothalamus hypothalamus it is + +70 +00:05:58,980 --> 00:06:05,350 +part of diencephalonlocated in front of the + +71 +00:06:05,350 --> 00:06:11,870 +subthalamus بقى أمام ال subthalamus and anterior + +72 +00:06:11,870 --> 00:06:15,030 +inferiorly لإيه؟ لالثلامس + +73 +00:06:23,150 --> 00:06:28,050 +يعتبر جزء من الـ Thalamus نسميه Neuroendocrine + +74 +00:06:28,050 --> 00:06:33,030 +organ، Neuroendocrine organ، لحظة حجم الهيبوثلامس + +75 +00:06:33,030 --> 00:06:38,490 +ثلاثة من عشرة من حجم ال brain، ثلاثة من عشرة من + +76 +00:06:38,490 --> 00:06:44,620 +حجم ال brain، لكن it is veryهو جزء مهم جدًا من + +77 +00:06:44,620 --> 00:06:49,420 +نظام النيربا المركزي هو جزء جدًا مهم جدًا من نظام + +78 +00:06:49,420 --> 00:06:53,680 +النيربا المركزي اللي علاقة في بناء الحرمونات و + +79 +00:06:53,680 --> 00:06:59,160 +بناء الانهيبوتوري و إطلاق الحرمونات اللي بتعمل ايه + +80 +00:06:59,160 --> 00:07:03,920 +الcontrol بتشتري جلاند الغدان النخامية لأن هو + +81 +00:07:03,920 --> 00:07:06,600 +يعتبر نيورو اندوكراين أورغان + +82 +00:07:10,110 --> 00:07:14,350 +هذا هو الهيبوثالماث + +83 +00:07:14,350 --> 00:07:19,930 +هنا عنده هذا الهيبوثالماث هذا الهيبوثالماث هذا + +84 +00:07:19,930 --> 00:07:20,810 +الهيبوثالماث هذا الهيبوثالماث هذا الهيبوثالماث + +85 +00:07:34,270 --> 00:07:38,950 +اللي هو hypothalamus مرتبط مع مين بيكون مع الـ + +86 +00:07:38,950 --> 00:07:42,970 +Pituitary gland posterior loop و anterior loopOkay + +87 +00:07:42,970 --> 00:07:47,710 +من الخلف بيجينا Superior بيكون لنا Epithalamus و + +88 +00:07:47,710 --> 00:07:52,550 +تحت بيكون لنا Metathalamus هذا تركيبة و توزيعة + +89 +00:07:52,550 --> 00:07:56,290 +اللي هو Diencephalon Diencephalon يبقى + +90 +00:07:56,290 --> 00:08:00,450 +الhypothalamus located anterior للsubthalamus و + +91 +00:08:00,450 --> 00:08:05,710 +بيكون anterior inferior لمين للthalamus لذلك يسموا + +92 +00:08:05,710 --> 00:08:07,990 +hypothalamus + +93 +00:08:10,370 --> 00:08:14,930 +أي هيبوثانامس بتكون من أجزاء اللي هو optic part و + +94 +00:08:14,930 --> 00:08:19,410 +ال tubular part و ال mammary part ماراح أفوت في + +95 +00:08:19,410 --> 00:08:22,830 +تركيبهم و النكلياي اللي موجودين داخلهم هضل بشرحهم + +96 +00:08:22,830 --> 00:08:27,510 +للطب كل جزء إيش موجود فيه نكلياي هل ماراح أتوسع + +97 +00:08:27,510 --> 00:08:32,270 +أشرح كتير فيه لكن بنعرف وين موجود الهيبوثانامس ال + +98 +00:08:32,270 --> 00:08:35,050 +functions of hypothalamus إيش وظيفة الhypothalamus + +99 +00:08:36,540 --> 00:08:39,480 +regulation of temperature اللي علاقة بregulation + +100 +00:08:39,480 --> 00:08:42,320 +of temperature في بعض أحيان بيجينا مريض بيكون عنده + +101 +00:08:42,320 --> 00:08:47,580 +نزيف دماغي و أثناء وجود النزيف الدماغي بيحدث معاه + +102 +00:08:47,580 --> 00:08:50,840 +ارتفاع درجة حرارة الجسم هذا ارتفاع درجة حرارة + +103 +00:08:50,840 --> 00:08:55,540 +الجسم قد تكون central fever يعني ارتفاع مركزي ناتج + +104 +00:08:55,540 --> 00:09:00,860 +عن irritation of blood to the hypothalamus بيعمل + +105 +00:09:00,860 --> 00:09:07,110 +عملية تهيج لمين؟ لثيرموregulatory receptors + +106 +00:09:07,110 --> 00:09:11,150 +الموجودين في الهيبوتالموس و بترتفع درجة الحرارة + +107 +00:09:11,150 --> 00:09:15,070 +اتنين emotional regulation العلاقة بالregulation + +108 +00:09:15,070 --> 00:09:20,790 +of emotions العاطفة تلاتة ال growth function النمو + +109 +00:09:20,790 --> 00:09:27,730 +اربع hunger and thirst انا جوعان انا عطشان اللي + +110 +00:09:27,730 --> 00:09:29,910 +علاقة بالهيبوتالموس الهيبوتالموس اللي بيعطينا + +111 +00:09:29,910 --> 00:09:35,650 +إشارة نأكل او نشربsexual behavior control of + +112 +00:09:35,650 --> 00:09:39,690 +various endocrine and activity rhythm عن طريق ال + +113 +00:09:39,690 --> 00:09:43,990 +hormones العلاقة بالذاكرة memory visual memory + +114 +00:09:43,990 --> 00:09:49,150 +يعني أنا شفت شخص و بعد سنة غاب عني اتذكرت بعدين ان + +115 +00:09:49,150 --> 00:09:54,660 +انا شفت هذا مهم جدا اللي هيبقى تلمس الموضوع هذاأحد + +116 +00:09:54,660 --> 00:09:59,220 +أصدقاء اتكلم معاه في موضوع بعد فترة صديق تاني + +117 +00:09:59,220 --> 00:10:01,120 +اتكلم قولت و الله أنا سمعت هذا الموضوع حكى ليه + +118 +00:10:01,120 --> 00:10:05,520 +صاحبي و كده يقول هذا اسمه verbal memory verbal + +119 +00:10:05,520 --> 00:10:10,560 +memory اللي علاقة بالذاكرة connections of + +120 +00:10:10,560 --> 00:10:13,500 +hypothalamus with hypophysis مين هو ال hypophysis + +121 +00:10:13,500 --> 00:10:17,440 +هو pituitary gland أكيد ممكن أخدته في ال general + +122 +00:10:17,440 --> 00:10:22,710 +في الفيسيولوجيا أو كده ال hormonesبنسميه Anti + +123 +00:10:22,710 --> 00:10:27,670 +-diuretic hormone و ال Oxytocin بصنعهم ال + +124 +00:10:27,670 --> 00:10:31,710 +hypothalamus Hypothalamus ايش وظيفة ال Oxytocin؟ + +125 +00:10:31,710 --> 00:10:35,550 +ال Oxytocin هذا بشتغل عند الستات أثناء الولادة مع + +126 +00:10:35,550 --> 00:10:38,870 +هرمون أستروجين اللي علاقة بال increase + +127 +00:10:38,870 --> 00:10:41,910 +contractivity function اللي علاقة بال لترين + +128 +00:10:41,910 --> 00:10:47,030 +contraction بتقلصات عضلات الرحم أثناء الولادة يعني + +129 +00:10:47,030 --> 00:10:50,610 +هو موجود عند ال females عند ال femalesال + +130 +00:10:50,610 --> 00:10:55,270 +vasopressin او ال antidiuretic hormone لو حدث نقص + +131 +00:10:55,270 --> 00:10:57,970 +في ال antidiuretic hormone او ال vasopressin + +132 +00:10:57,970 --> 00:11:03,690 +الإنسان يصاب بمرض مرض السكر الكاذب اللي بنسميه + +133 +00:11:03,690 --> 00:11:07,830 +diabetes insipidens يعني وظيفة ال hormone هذا احنا + +134 +00:11:07,830 --> 00:11:10,490 +بنشرب مياه بنروح حمام اللي لو ماكان عندنا ال + +135 +00:11:10,490 --> 00:11:13,030 +hormone هذا كان كل السوائل في الجسم تنزل مع ال + +136 +00:11:13,030 --> 00:11:16,410 +ball تنزل مع ال ball هذا ال hormone بمر + +137 +00:11:16,410 --> 00:11:23,140 +reabsorptionفي الكدنى لمن؟ للسوائل بمنع السوائل + +138 +00:11:23,140 --> 00:11:26,800 +تخرج مع البول كمية كبيرة طب لو ما كان لو كان في + +139 +00:11:26,800 --> 00:11:29,860 +نقص عينة في الهرمون هذا كان الإنسان بيشرب ميه وع + +140 +00:11:29,860 --> 00:11:33,420 +الحمام مباشرة بده طول النهار أيش تانية ميه يظلوا + +141 +00:11:33,420 --> 00:11:36,660 +يشرفوا فيه وع الحمام transit الميه بتطلع يبقى هذا + +142 +00:11:36,660 --> 00:11:39,980 +وظيفة الهرمون يعمل حجز بمنع السوائل من الخروج + +143 +00:11:39,980 --> 00:11:46,360 +بكمية كبيرة اسمه antidiuretic يعني بمنع خروج البول + +144 +00:11:46,360 --> 00:11:56,020 +بكمية كبيرةالهيبوثالاموس هي رولة مهمة في نشطة نشر + +145 +00:11:56,020 --> 00:12:00,960 +الحرمون ونشر الحرمون الهيبوثالاموس بيفرزلنا + +146 +00:12:00,960 --> 00:12:04,640 +حرموناتاللي هي علاقة بتعمل control لـ Pituitary + +147 +00:12:04,640 --> 00:12:08,680 +gland إما بتزود وظيفتهم أو بتخفف الوظيفة تبعت مين؟ + +148 +00:12:08,680 --> 00:12:13,160 +Pituitary gland طب ال Oxytocin و ال antidiuretic + +149 +00:12:13,160 --> 00:12:17,060 +hormone هدول أو غازوبريسين هدول ال هيبوتلامس + +150 +00:12:17,060 --> 00:12:21,520 +بفرزهم و بيسلمهم جاهزين لمين؟ لال posterior loop + +151 +00:12:21,520 --> 00:12:23,280 +of Pituitary gland + +152 +00:12:31,410 --> 00:12:40,910 +هذا posterior loop وهذا anterior loop هيوضح + +153 +00:12:40,910 --> 00:12:44,710 +ان هذا مكان الهيبوثالامس فيه هرمونات بيسلموا + +154 +00:12:44,710 --> 00:12:50,330 +مجهزين لل posterior loop of pituitary gland وهنا + +155 +00:12:50,330 --> 00:12:55,330 +عندي anterior loop of pituitary gland طب لو حدث + +156 +00:12:55,330 --> 00:13:01,180 +مشكلة أصيب الهيبوثالامسفي أعراض تيجي عند المريض + +157 +00:13:01,180 --> 00:13:05,960 +Endocrine أو metabolic syndrome، hypogonadism + +158 +00:13:05,960 --> 00:13:10,570 +مشاكل في عملية الإنجاب بحدث عندهمتنين، diabetes + +159 +00:13:10,570 --> 00:13:14,190 +insipidus بيحدث معاهم مرض السكر الكاذب، بيضلوا + +160 +00:13:14,190 --> 00:13:17,850 +يشربوا ميه كتير و يبولوا كتير، بنفكر المريض عنده + +161 +00:13:17,850 --> 00:13:20,890 +مرض السكر، بنفحص ال glucose في ال blood، بنلاقيه + +162 +00:13:20,890 --> 00:13:24,030 +normal، يبقى ان هذا بنسميه مرض السكر الكاذب، نقص + +163 +00:13:24,030 --> 00:13:28,070 +فيه hormone ال antidiuretic، opposite سمنة، + +164 +00:13:28,070 --> 00:13:33,290 +الأفراد في الوزن، سمنة، anorexia اللي هو فقدان + +165 +00:13:33,290 --> 00:13:39,820 +الشهية، loss of appetiteبوليميا كان عندها مريض كان + +166 +00:13:39,820 --> 00:13:43,920 +عنده stroke of head trauma severe head trauma هذا + +167 +00:13:43,920 --> 00:13:46,980 +المريض كان في جسم ال neurology كان في أوكرانيا + +168 +00:13:46,980 --> 00:13:51,300 +ماخلاش تلاجة لمرضى اللي سرق منها الأكل خلاص ماحدش + +169 +00:13:51,300 --> 00:13:54,520 +ممنعه عن الأكل هذا طول اليوم وظيفته يأكل طول اليوم + +170 +00:13:54,520 --> 00:13:58,060 +وظيفته يأكل يأكل و بعد ما يفل التنك تبعه يروح يعمل + +171 +00:13:58,060 --> 00:14:01,960 +vomiting يرجع من كتر ما أكل بعدين يروح يأكل هذه + +172 +00:14:01,960 --> 00:14:07,250 +بنسميها ايه بوليمياeat much و it's associated with + +173 +00:14:07,250 --> 00:14:10,250 +vomiting بيضل يأكل و يرجع يأكل و يرجع هويته الأكل + +174 +00:14:10,250 --> 00:14:14,030 +بس حد فيه مشكلة عنده فيه الhypothalamus بيكون + +175 +00:14:14,030 --> 00:14:17,970 +central hyperthermia أو hypothermia ممكن المرضى + +176 +00:14:17,970 --> 00:14:21,590 +يدخل في ارتفاع درجة الحرارة و يكون ناتج عن ايه + +177 +00:14:21,590 --> 00:14:25,570 +ارتفاع مركزي ارتفاع مركزي من مشاكل الhypothalamus + +178 +00:14:25,570 --> 00:14:30,370 +و قد يعطينا neurological disturbances psychic + +179 +00:14:30,370 --> 00:14:33,010 +disturbances مشاكل نفسية اطلبات نفسية + +180 +00:14:34,540 --> 00:14:37,020 +Extrapyramidal manifestation يكون عندهم + +181 +00:14:37,020 --> 00:14:41,600 +involuntary movement حركات لا إيرادية و I signs + +182 +00:14:41,600 --> 00:14:45,480 +ميوسي أو مدرياسي لأنه احنا بنعرف ال sympathetic + +183 +00:14:45,480 --> 00:14:49,780 +innervation بتبدأ من وين من الهيبوثالاموس مركز ال + +184 +00:14:49,780 --> 00:14:52,480 +autonomic nervous system ببدأ من وين من + +185 +00:14:52,480 --> 00:14:57,860 +الهيبوثالاموس انتقل لكلمتين نتكلم في ال pituitary + +186 +00:14:57,860 --> 00:15:02,520 +glandبتوتر جلاند بنسميها hypothesis أو إلا اسم + +187 +00:15:02,520 --> 00:15:06,420 +تاني master gland هي ال master هي ال king اللي + +188 +00:15:06,420 --> 00:15:11,260 +بتحكم في جسم الإنسان وين موجودة؟ موجودة في ال + +189 +00:15:11,260 --> 00:15:16,720 +hypothesis .. hypothesis الفصة في .. تحت الديافراج + +190 +00:15:16,720 --> 00:15:22,460 +مسلةالـ shape بتاعها تقريبا اتناشر ميلي متر بيكون + +191 +00:15:22,460 --> 00:15:25,900 +ال Transverse Diameter و ال Antirubosterior + +192 +00:15:25,900 --> 00:15:29,820 +Diameter تمانية ميلي متر يعني باختصار تقريبا واحد + +193 +00:15:29,820 --> 00:15:34,380 +صنتي تقريبا قداش واحد صنتي relation مين بيحدها من + +194 +00:15:34,380 --> 00:15:40,560 +فوق ده فرق مثلة تفصلها عن ال optic chiasma + +195 +00:15:41,240 --> 00:15:45,280 +من تحت below sphenoid bone and sphenoid sinus + +196 +00:15:45,280 --> 00:15:48,580 +بيفصلها عن ال nasal pharynx عشان هيك لما يكون في + +197 +00:15:48,580 --> 00:15:51,760 +ورم في الغدة المخامية بيفوتوا approach بيفتحوش + +198 +00:15:51,760 --> 00:15:56,200 +الراس كله بيفوتوا عن طريق الأنف trans nasal trans + +199 +00:15:56,200 --> 00:15:58,980 +sphenoidal approach من طريق الأنف و عن طريق + +200 +00:15:58,980 --> 00:16:03,740 +sphenoid sinus on each side من الأطراف من الجناب + +201 +00:16:04,690 --> 00:16:09,770 +بحدهم الـ cavernous sinus و its contents و ال + +202 +00:16:09,770 --> 00:16:13,490 +contents الموجودين فيه مع مين مرتبط هذه الـ + +203 +00:16:13,490 --> 00:16:16,610 +Pituitary gland connected with Hypothalamus مع الـ + +204 +00:16:16,610 --> 00:16:22,970 +Hypothalamus بتنقسم لقسمين anterior loop بنسميها + +205 +00:16:22,970 --> 00:16:27,470 +adenohypophysis و posterior loop بنسميها + +206 +00:16:27,470 --> 00:16:29,490 +neurohypophysis + +207 +00:16:31,050 --> 00:16:35,530 +فهي ال pituitary gland مرتبط مع مين قلنا مع + +208 +00:16:35,530 --> 00:16:40,550 +الhypothalamus بيحدها من تحت sphenoid sinus و + +209 +00:16:40,550 --> 00:16:45,850 +sphenoid bone من أعلى فى ديافراج مثل هذه فصلها عن + +210 +00:16:45,850 --> 00:16:50,450 +ال optic chiasm on each side بيكون عندها ال + +211 +00:16:50,450 --> 00:16:53,450 +cavernous sinus and its contents + +212 +00:16:56,650 --> 00:17:00,570 +هنا واضح الصورة اللي هو ال posterior loop اللي هي + +213 +00:17:00,570 --> 00:17:04,350 +neurohypothesis و anterior loop اللي هي + +214 +00:17:04,350 --> 00:17:12,950 +adenohypothesis ال functions of pituitary gland ال + +215 +00:17:12,950 --> 00:17:15,430 +anterior and pituitary hormones اللي بيفرزوا من ال + +216 +00:17:15,430 --> 00:17:20,570 +anterior loop growth hormone، حرمون النمو، + +217 +00:17:20,570 --> 00:17:26,100 +prolactin hormone، حرمون الحليب، فالملكلو زاد + +218 +00:17:26,100 --> 00:17:33,540 +نسبته ممكن يصبح في حالات الورم البرولاكتينوما تدخم + +219 +00:17:33,540 --> 00:17:36,700 +او ورم في البرولاكتين سيلز اللي علاقة ب increase + +220 +00:17:36,700 --> 00:17:41,700 +in milk secretion STH Adrenocorticotropic hormone + +221 +00:17:41,700 --> 00:17:46,400 +اللي علاقة بالأدرينال جلاند TSH Thyroid + +222 +00:17:46,400 --> 00:17:49,520 +Stimulating Hormone اللي علاقة بموضوع الثيرويد + +223 +00:17:49,520 --> 00:17:56,830 +جلاند الغدادرقيةالـ H والـ FSH اللي هم علاقة بالـ + +224 +00:17:56,830 --> 00:18:05,870 +hormones بتاعين ال female hormones ال posterior + +225 +00:18:08,870 --> 00:18:11,950 +بتتري هرمون اللي بيفرزه من بستيرولوب يقول ان هم + +226 +00:18:11,950 --> 00:18:16,190 +اتنين هم اصلا بيفرزه من الهيبوثالمس و الهيبوثالمس + +227 +00:18:16,190 --> 00:18:20,990 +بيسلمهم لمن؟ لبتتري جلاند عبارة عن antidiuretic + +228 +00:18:20,990 --> 00:18:27,650 +hormone او vazopressin والثاني oxytocin + +229 +00:18:27,650 --> 00:18:33,570 +وهي واضح ان دي اللي هو بستيرولوب و الانتيرولوب وهي + +230 +00:18:33,570 --> 00:18:37,830 +الثالمس connection مع الثالمسهك بيكون خلصت موضوع + +231 +00:18:37,830 --> 00:18:41,770 +ال diencephalon دلوقت نتكلم على جزء الأخير من + +232 +00:18:41,770 --> 00:18:45,870 +المحاضرة اللي هو cerebellum cerebellum it is a + +233 +00:18:45,870 --> 00:18:52,860 +little brain لدينا مخ cerebrum ومخيخ cerebellumمن + +234 +00:18:52,860 --> 00:18:56,180 +الـ embryological origin it is largest part of + +235 +00:18:56,180 --> 00:19:01,220 +hindbrain، الـ hindbrain منقسم لقسمين، منقسم ل + +236 +00:19:01,220 --> 00:19:05,480 +metencephalon و myelencephalon، metencephalon + +237 +00:19:05,480 --> 00:19:09,980 +تعطينا cerebellum and pons و myelencephalon يعطينا + +238 +00:19:09,980 --> 00:19:15,250 +مدلة أبلانجةيبقى واضح، hindbrain أعطانا رومبون + +239 +00:19:15,250 --> 00:19:20,290 +سيفالون، رومبون سيفالون أعطانا متن سيفالون، والمتن + +240 +00:19:20,290 --> 00:19:23,390 +سيفالون هو اللي أعطى ال cerebellum and bones، وين + +241 +00:19:23,390 --> 00:19:27,550 +موجود ال cerebellum؟سيريبيلا موجود في الـ + +242 +00:19:27,550 --> 00:19:33,230 +posterior cranial fossa تحت + +243 +00:19:33,230 --> 00:19:40,190 +التنتوريوم سيريبيلاي و خلف الـ brain stem and + +244 +00:19:40,190 --> 00:19:43,790 +fourth ventricle يبقى ان هو بيجي خلف ال brain stem + +245 +00:19:43,790 --> 00:19:50,340 +ادق خلف ال pants و ال open medullaطب مين بيفصل ما + +246 +00:19:50,340 --> 00:19:54,980 +بين ال cerebellum و ال pons و الميدالة؟ بيفصل + +247 +00:19:54,980 --> 00:19:59,640 +بينهم اللي هو fourth ventricle طب من أعلى .. أعلى + +248 +00:19:59,640 --> 00:20:03,200 +بيكون في tentorium cerebelli تفصل عن إيه؟ عن اللي + +249 +00:20:03,200 --> 00:20:08,460 +هو ال cerebrum it is part of the brain located + +250 +00:20:08,460 --> 00:20:14,700 +dorsal or posterior to the pons and upper medulla + +251 +00:20:15,390 --> 00:20:19,950 +occupies most of the posterior cranial fossa موجود + +252 +00:20:19,950 --> 00:20:24,010 +في ال posterior cranial fossa and located also + +253 +00:20:24,010 --> 00:20:29,630 +below the tentorium cerebelli تعمل separation + +254 +00:20:29,630 --> 00:20:34,610 +between اللي هو إيه الcerebrum and cerebellum + +255 +00:20:34,610 --> 00:20:41,990 +shape الcerebellum عبارة عن global shaperelation + +256 +00:20:41,990 --> 00:20:48,090 +of cerebellum مين بيحد ال cerebellum من فوق؟ + +257 +00:20:48,090 --> 00:20:52,010 +tentorium cerebelli تفصل بين ال cerebellum below + +258 +00:20:52,010 --> 00:20:56,050 +and cerebrum above يبقى ال cerebrum يعتبر supra + +259 +00:20:56,050 --> 00:20:59,470 +tentorial والcerebellum infra tentorial هاي واحد + +260 +00:21:02,370 --> 00:21:06,870 +fourth ventricle بيعمل separation between the + +261 +00:21:06,870 --> 00:21:13,090 +cerebellum and pons و ال open مضلة يبقى ال fourth + +262 +00:21:13,090 --> 00:21:16,470 +ventricle بيفصل بين ال cerebellum ال cerebellum + +263 +00:21:16,470 --> 00:21:21,900 +بتكون خلفه و أمامه بيكون ال pons و ال open مضلةon + +264 +00:21:21,900 --> 00:21:26,040 +each side من الجانب اليمين و الشمال بيحضوا ال + +265 +00:21:26,040 --> 00:21:31,640 +mastoid antrum و بيحضوا اللي هو ال sigmoid dural + +266 +00:21:31,640 --> 00:21:39,020 +venous sinus هاي عندي واضح هنا tentorium cerebelli + +267 +00:21:39,020 --> 00:21:44,820 +هادي بتفصل من أعلى بين ال cerebellum تحتها و ال + +268 +00:21:44,820 --> 00:21:50,210 +cerebrum فوقهاو on each side بيكون sigmoid venous + +269 +00:21:50,210 --> 00:21:54,130 +sinus و ال mastoid antrum مش واضح كتير هنا و من + +270 +00:21:54,130 --> 00:21:59,290 +الأمام واضح هنا دي اللي هو ال fourth ventricle ال + +271 +00:21:59,290 --> 00:22:04,210 +fourth ventricle بيفصل بين ال cerebellum behind عن + +272 +00:22:04,210 --> 00:22:10,300 +ال palms و ال open medulla anteriorlyو above من + +273 +00:22:10,300 --> 00:22:13,840 +فوق بتكون ان ال tentorium cerebelli بتفصل ما بين + +274 +00:22:13,840 --> 00:22:20,380 +cerebellum below عن cerebrum above هاي واضح ال + +275 +00:22:20,380 --> 00:22:23,780 +fourth ventricle اللي هو بيفصل ما بين ال + +276 +00:22:23,780 --> 00:22:28,800 +cerebellum behind عن ال pons و ال upper medulla + +277 +00:22:28,800 --> 00:22:34,540 +anteriorly what's the functions of cerebellum؟ ايش + +278 +00:22:34,540 --> 00:22:39,100 +وظيفة ال cerebellum؟ اول شيءmaintain equilibrium + +279 +00:22:39,100 --> 00:22:45,100 +of the trunk العلاقة بعملية التوازن muscle tone + +280 +00:22:45,100 --> 00:22:48,820 +regulation regulation of muscle tone تلاثة + +281 +00:22:48,820 --> 00:22:53,980 +coordination and regulation of involuntary motor + +282 +00:22:53,980 --> 00:22:57,440 +activity انا بدي امسك القبرة بيدي it is fine + +283 +00:22:57,440 --> 00:22:58,220 +activity + +284 +00:23:00,610 --> 00:23:04,790 +زر الجميص fine activity يبقى أنا بتحكم فيهم صح لكن + +285 +00:23:04,790 --> 00:23:07,390 +لو عندي مشكلة في ال cerebellum بكون عندي ترنح و + +286 +00:23:07,390 --> 00:23:11,070 +dis coordination و في الحالة هذه ما بقدر أعمل + +287 +00:23:11,070 --> 00:23:17,610 +الحركات هذه بيحدث معايا tremor رشفة و هكذاماذا عن + +288 +00:23:17,610 --> 00:23:21,030 +نوكلياي الموجودين في الـ cerebellum؟ متذكرين الـ + +289 +00:23:21,030 --> 00:23:23,910 +cerebrum لما ناخدناه؟ اتكلمنا انه فيه بيزل نوكلياي + +290 +00:23:23,910 --> 00:23:28,730 +فيه بيزل نوكلياي الان لما ناخدنا الcerebrum كان + +291 +00:23:28,730 --> 00:23:31,630 +فيه بيزل نوكلياي الان لما نتكلم عن الcerebellum + +292 +00:23:31,630 --> 00:23:36,230 +فيه كمان نوكلياي ايش اسم النوكلياي؟ dented nucleus + +293 +00:23:36,230 --> 00:23:40,850 +اسمها dented لأن شكلها يسبب الأسنان مسننة مثل + +294 +00:23:40,850 --> 00:23:45,660 +الأسنان مثل إيه؟ الأسنان إيه العلاقة؟بـ + +295 +00:23:45,660 --> 00:23:49,340 +Coordination and Regulation of Voluntary Motor + +296 +00:23:49,340 --> 00:23:56,960 +Activity بـ Coordination + +297 +00:23:56,960 --> 00:23:57,520 +and Regulation of Voluntary Motor Activity بـ + +298 +00:23:57,520 --> 00:23:57,640 +Activity بـ Coordination and Regulation of + +299 +00:23:57,640 --> 00:23:57,760 +Regulation of Voluntary Motor Activity بـ + +300 +00:23:57,760 --> 00:23:58,320 +Activity بـ Coordination and Regulation of + +301 +00:23:58,320 --> 00:24:01,440 +Regulation of Voluntary Motor Activity بـ + +302 +00:24:01,440 --> 00:24:07,460 +Coordination + +303 +00:24:07,460 --> 00:24:11,640 +and Regulation + +304 +00:24:11,640 --> 00:24:14,200 +of Voluntary Motor Act + +305 +00:24:16,230 --> 00:24:20,270 +هي واضح أول نوكلياز ملاحظين أسنانها مثل الأسنان + +306 +00:24:20,270 --> 00:24:28,210 +سموها ايه؟ دنتيت نوكلياز دنتيت نوكلياز واضح؟ نفس + +307 +00:24:28,210 --> 00:24:32,730 +الأسنان سموها ايه؟ دنتيت نوكلياز النوع الثاني اللي + +308 +00:24:32,730 --> 00:24:40,030 +هو emboliform نوكلياز البعده globus نوكلياز وآخر + +309 +00:24:40,030 --> 00:24:42,150 +شئ fastigial نوكلياز + +310 +00:24:51,500 --> 00:24:56,220 +Cerebellar connections مع مين مرتبط الcerebellum؟ + +311 +00:24:56,220 --> 00:25:00,720 +On each side connected with the brainstem by three + +312 +00:25:00,720 --> 00:25:05,140 +peduncles يعني الcerebellar له three pairs of + +313 +00:25:05,140 --> 00:25:09,900 +peduncles، له ثلاث أزواج من ال peduncles، على ال + +314 +00:25:09,900 --> 00:25:13,880 +right و على ال left Superior cerebellar peduncles + +315 +00:25:13,880 --> 00:25:18,660 +مرتبطة مع ال midbrain Middle cerebellar peduncles + +316 +00:25:18,660 --> 00:25:23,950 +مرتبطة مع ال pantsو inferior cerebellar peduncles + +317 +00:25:23,950 --> 00:25:27,750 +مرتبطة مع الميدالا او بلانجاتا اكبر واحد في الحجم + +318 +00:25:27,750 --> 00:25:32,290 +فيهم اللي هو ال middle middle cerebellar peduncle + +319 +00:25:32,290 --> 00:25:41,030 +هاي واضح هان عندي superior + +320 +00:25:41,030 --> 00:25:44,150 +cerebellar + +321 +00:25:44,150 --> 00:25:50,920 +peduncle هانمدل .. لأ هنا inferior cerebellar + +322 +00:25:50,920 --> 00:25:55,960 +peduncles و الكبير هذا middle cerebellar peduncles + +323 +00:25:55,960 --> 00:26:00,440 +يبقى هذا superior هذا inferior هذا middle + +324 +00:26:00,440 --> 00:26:04,840 +cerebellar peduncles ال middle مرتبط مع مين؟ مع ال + +325 +00:26:04,840 --> 00:26:08,720 +pawns inferior مع ال medulla oblongata و ال + +326 +00:26:08,720 --> 00:26:12,460 +superior مرتبط مع مين؟ مع midbrain + +327 +00:26:15,620 --> 00:26:18,880 +لو طلعنا على external features of the cerebellum + +328 +00:26:18,880 --> 00:26:22,220 +باللاحظ + +329 +00:26:22,220 --> 00:26:26,360 +أنه ال cerebellar له right and left cerebellar + +330 +00:26:26,360 --> 00:26:30,720 +hemisphereو مرتبطين مع بعض عن طريق vermis اللي هو + +331 +00:26:30,720 --> 00:26:34,920 +ايه vermis superior و inferior anterior loop + +332 +00:26:34,920 --> 00:26:41,840 +posterior loop أو middle loop posterior loop او + +333 +00:26:41,840 --> 00:26:45,460 +middle loop و floculonodular loop + +334 +00:26:49,640 --> 00:26:53,460 +و posterior loop و follicular nodular loop ال + +335 +00:26:53,460 --> 00:26:57,720 +posterior loop بيسموه كمان middle loop بيسموه ايه + +336 +00:26:57,720 --> 00:27:00,640 +middle loop ليه middle loop لإنه بقع بين ال + +337 +00:27:00,640 --> 00:27:03,980 +anterior و follicular nodular loop و بيسموه + +338 +00:27:03,980 --> 00:27:07,020 +posterior لإنه بقع في الخلف خلف ال anterior loop + +339 +00:27:07,020 --> 00:27:12,190 +okay في primary فشرموجودة ال primary fissure + +340 +00:27:12,190 --> 00:27:17,130 +between the anterior and middle loop فيه تنزل on + +341 +00:27:17,130 --> 00:27:21,690 +each side of the inferior vermis فيه horizontal + +342 +00:27:21,690 --> 00:27:25,250 +fissure وفيه posterior lateral fissure ال + +343 +00:27:25,250 --> 00:27:28,370 +posterior lateral fissure بيجي بين flocular + +344 +00:27:28,370 --> 00:27:31,770 +nodular loop و ال posterior loop او ال middle loop + +345 +00:27:33,010 --> 00:27:37,730 +بوضح عندى cerebellar hemispheres وفي النص بينهم في + +346 +00:27:37,730 --> 00:27:42,430 +شي اسمه vermis هنا بوضح الأحمر ال anterior lobe + +347 +00:27:42,430 --> 00:27:46,930 +أمامي و الخلفي بيكون posterior lobe أو بنسميها + +348 +00:27:46,930 --> 00:27:50,270 +middle lobe ليه سميناها middle lobe لأنها بتقع بين + +349 +00:27:50,270 --> 00:27:53,950 +ال anterior lobe و flocular nodular lobes هذه ال + +350 +00:27:53,950 --> 00:27:57,270 +primary fissure ال primary fissure هذه شايفينها + +351 +00:27:57,270 --> 00:28:01,870 +هذه بتقع او بتفصل ما بين اللي هو + +352 +00:28:04,650 --> 00:28:09,630 +Anterior Loop وPosterior + +353 +00:28:09,630 --> 00:28:14,110 +Loop أو Middle Loop وفي عندي Horizontal Fissure + +354 +00:28:14,110 --> 00:28:17,470 +هذي موجودة Horizontal Fissure في Posterior Loop أو + +355 +00:28:17,470 --> 00:28:23,430 +في Middle Loop هذي تعتبر Anterior Loop هذي + +356 +00:28:23,430 --> 00:28:31,870 +Posterior Loop او Middle Loopطبعا نتكلم هنا عن الـ + +357 +00:28:31,870 --> 00:28:39,390 +External Features of the Cerebellum نكمل كمان هاي + +358 +00:28:39,390 --> 00:28:46,470 +واضح عندي الـ Tonsils هذا الـ Vermis هنا اللي هو + +359 +00:28:46,470 --> 00:28:52,930 +Posterolateral Fissure بفصل بين Fluculonodular + +360 +00:28:52,930 --> 00:28:58,230 +Loops والبوستيريولوب أو ال middle loopالفلوكولو + +361 +00:28:58,230 --> 00:29:02,730 +نودولار لوب بتكون من two flucolae حيوان فلوكولات و + +362 +00:29:02,730 --> 00:29:08,390 +حيوان و one nodule عشان هيك سموه فلوكولو نودولار + +363 +00:29:08,390 --> 00:29:16,790 +لوب بتكون من two flucolae و one nodule ال + +364 +00:29:16,790 --> 00:29:20,570 +sub divisions of cerebellum هنختلفوا العلماء في + +365 +00:29:20,570 --> 00:29:24,590 +تقسيم ال cerebellum الأخصائي بتاعي ال morphology + +366 +00:29:24,590 --> 00:29:31,380 +قالوا أن نقسمهلأ rightو left cerebellar + +367 +00:29:31,380 --> 00:29:37,220 +hemispheres و في النص median vermis يبقى لتعيين ال + +368 +00:29:37,220 --> 00:29:41,860 +morphology اختلفوا قالوا بدنا نجسمه ل ايه ل right + +369 +00:29:41,860 --> 00:29:45,060 +cerebellar hemispheres left cerebellar hemispheres + +370 +00:29:45,060 --> 00:29:48,480 +و median vermis في النص بتعيين ال Anatomy قالوا لأ + +371 +00:29:48,480 --> 00:29:51,340 +بدناش التقسيمة هذه مش عاجبانا مش ماشي معنا هذه + +372 +00:29:51,340 --> 00:29:54,320 +التقسيمة كيف بدنا نجسمه بتعيين ال Anatomy قالوا + +373 +00:29:54,320 --> 00:29:57,580 +نجسمه ل anterior loop بتكون أمام ال primary + +374 +00:29:57,580 --> 00:30:01,460 +fissureو posterior loop او middle loop اللي بتكون + +375 +00:30:01,460 --> 00:30:04,720 +محصورة ما بين ال primary fissure وال posterior + +376 +00:30:04,720 --> 00:30:09,580 +lateral sulcus يعني بتكون بين ال anterior loop و + +377 +00:30:09,580 --> 00:30:14,220 +flocculonodular loop و ثلاثة flocculonodular loop + +378 +00:30:14,220 --> 00:30:17,640 +تتكون من two flocculi و one nodule in the middle + +379 +00:30:18,470 --> 00:30:20,530 +بتاعين الفيسيولوجيا قالوا لأ مش معجبانة التقسيمة + +380 +00:30:20,530 --> 00:30:22,770 +هذه احنا ماعناش علاقة بتاعين الانتومي و المفروض + +381 +00:30:22,770 --> 00:30:25,010 +يجيبنا تقسيمة ثانية بتاعين الفيسيولوجيا قالوا + +382 +00:30:25,010 --> 00:30:31,850 +نقسمهم ل vestibular part أو أرشو سيرابيلام و باليو + +383 +00:30:31,850 --> 00:30:36,070 +سيرابيلام و نيو سيرابيلام حسب ال development هذه + +384 +00:30:36,070 --> 00:30:40,790 +الأقدمأول واحدة بتبدأ في الجنين بعده بيبدأ الـ + +385 +00:30:40,790 --> 00:30:43,810 +Paleocerebellum و الـ Neocerebellum أجدد أشي بتكون + +386 +00:30:43,810 --> 00:30:49,310 +في development of cerebellum جينا احنا حطنالكوا ال + +387 +00:30:49,310 --> 00:30:51,670 +physiological أو functional و anatomically + +388 +00:30:51,670 --> 00:30:54,470 +subdivision of cerebellum جمعناهم في slide واحد في + +389 +00:30:54,470 --> 00:30:58,770 +جدول عشان نوضحلكوا إياهم Flucular nodular loop + +390 +00:30:58,770 --> 00:31:02,240 +اللي فيه بتكون fastigial nucleusهو عبارة عن ايش من + +391 +00:31:02,240 --> 00:31:05,280 +ناحية فيسيولوجيا؟ هو عبارة عن vestibular part او + +392 +00:31:05,280 --> 00:31:08,480 +Arch Cerebellum يقول مين هو ال vestibular part او + +393 +00:31:08,480 --> 00:31:11,460 +ال Arch Cerebellum؟ هو في locular nodular loop + +394 +00:31:11,460 --> 00:31:17,660 +تمام it is oldest part of cerebellum اقدم واحد في + +395 +00:31:17,660 --> 00:31:22,100 +ال development طيب ال function تبعته maintain + +396 +00:31:22,100 --> 00:31:27,910 +equilibrium of the trunkلو حدث فيه lesion بيعملنا + +397 +00:31:27,910 --> 00:31:31,650 +tranquil attacks يعني standing and gate بيمشوا هو + +398 +00:31:31,650 --> 00:31:37,590 +ايش؟ زي ايه؟ drunken gate عدم اتزان عدم اتزان زي + +399 +00:31:37,590 --> 00:31:42,710 +ايه؟ الشربان الشارب خمر okay drunken gate النوع + +400 +00:31:42,710 --> 00:31:48,090 +الثاني anterior loop ال anterior loop فيها + +401 +00:31:48,090 --> 00:31:53,060 +emboliform globus nucleusمين بيقابلها من ناحية + +402 +00:31:53,060 --> 00:31:55,500 +physiology او functional area اللي هي + +403 +00:31:55,500 --> 00:32:01,020 +paleocerebellum من ناحية ال development it is the + +404 +00:32:01,020 --> 00:32:06,580 +next one next one طبعا ال function تبعته muscle + +405 +00:32:06,580 --> 00:32:10,760 +tone regulation muscle tone ايه regulation لو حدث + +406 +00:32:10,760 --> 00:32:16,770 +فيه lesionsmuscle hypotonia يبقى Legion of + +407 +00:32:16,770 --> 00:32:20,170 +cerebellum بيعطينا muscle hypotonia لو سألتكوا + +408 +00:32:20,170 --> 00:32:24,430 +سؤال متى راح يحدث muscle spasticity في حالات ال + +409 +00:32:24,430 --> 00:32:27,630 +cerebellar damage و لا عمره راح يكون عندهم مرضى ال + +410 +00:32:27,630 --> 00:32:30,510 +cerebellar damage spasticity لأن ال Legion بتاع ال + +411 +00:32:30,510 --> 00:32:36,340 +cerebellum بيكون عندهم muscle hypotoniaبوستيرولوب + +412 +00:32:36,340 --> 00:32:40,380 +أكبر واحد فيهم فيه دنتية نوكلياس مين بيقابلهم في + +413 +00:32:40,380 --> 00:32:45,020 +ال physiological subdivision نيو سيربيلا it is + +414 +00:32:45,020 --> 00:32:48,700 +most recent part of cerebellum واضيفته + +415 +00:32:48,700 --> 00:32:53,800 +coordination and regulation of fine voluntary + +416 +00:32:53,800 --> 00:32:58,660 +motor activity لو حدث lesion فيه بيعطينا ايه in + +417 +00:32:58,660 --> 00:33:01,920 +coordination of movement طب لو عجي سؤال مين هو ال + +418 +00:33:01,920 --> 00:33:07,040 +antireloopعالسرير بدنا نغز عليه paliocerebellum من + +419 +00:33:07,040 --> 00:33:10,040 +هو flaconal nodular loop? vestibular part او + +420 +00:33:10,040 --> 00:33:13,900 +archocerebellum من هو البوستيرو loop؟ النيو + +421 +00:33:13,900 --> 00:33:16,520 +سيربلون طب لو اتي سؤال ال middle loop نفس + +422 +00:33:16,520 --> 00:33:19,260 +البوستيرو ال middle loop او البوستيرو واحد تمام + +423 +00:33:19,260 --> 00:33:26,240 +البوستيرو و ال middle بيكونوا ايه؟ واحد okay + +424 +00:33:26,240 --> 00:33:32,190 +يبقى هنا عندي هذا ال anterior loopباليو سيرابيلام + +425 +00:33:32,190 --> 00:33:36,630 +هذا بوستيريول لوب نيو سيرابيلام وهذا الفلوكلر + +426 +00:33:36,630 --> 00:33:39,910 +نودلر لوب اللي عبارة عن ارشو سيرابيلام او + +427 +00:33:39,910 --> 00:33:44,390 +vestibular part of the cerebellum هنا بيكون عندي + +428 +00:33:44,390 --> 00:33:49,070 +ال dendrite جاي في ال posterior part في ال + +429 +00:33:49,070 --> 00:33:51,790 +anterior part بيكون ال globus ال nucleus + +430 +00:33:51,790 --> 00:33:56,650 +وemboliform nucleus وفي فلوكلر نودلر لوب بيكون + +431 +00:33:56,650 --> 00:34:01,990 +موجودة في استيجيال ال nucleusو لهذا بيكون وصلنا + +432 +00:34:01,990 --> 00:34:05,390 +لنهاية محاضرة أسبوع تالت اللي هو Anatomy and + +433 +00:34:05,390 --> 00:34:06,990 +physiology of cerebellum + diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/927sW7ATxvc_raw.json b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/927sW7ATxvc_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..0f08ad81b87e821d4a98c77475d6f0d013ed0134 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/927sW7ATxvc_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 2803, "start": 5.01, "end": 28.03, "text": "بسم الله الرحمن الرحيم السلام عليكم ورحمة الله وبركاته الآن بننتقل لجزء الثاني من المحاضرة السبوع الثالث بيزا النوكلياي داينسيفالون ان 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calculus يقول media geniculate body اللي علاقة بيه بالhearing و connected with ايه with inferior calculus هاي واحدة في ال slide lateral geniculate body visual function و media geniculate body اللي علاقة بال hearing او auditory function hearing او auditory the same واضحانة ان ال lateral geniculate body", "tokens": [9895, 36002, 7251, 3555, 4587, 7578, 365, 24249, 2104, 36002, 7251, 39648, 3021, 1049, 299, 5256, 1772, 13672, 1829, 11203, 995, 28671, 4724, 1829, 3224, 20666, 675, 1921, 4032, 4582, 365, 1975, 1829, 3224, 365, 24249, 2104, 36002, 8032, 47302, 36764, 24401, 3660, 8978, 2423, 4137, 25128, 1049, 299, 5256, 1772, 5056, 2445, 4032, 3021, 1049, 299, 5256, 1772, 13672, 1829, 11203, 995, 28671, 20666, 4763, 1975, 2407, 17748, 827, 2445, 4763, 1975, 2407, 17748, 827, 264, 912, 4032, 46958, 5016, 7649, 3660, 16472, 2423, 25128, 1049, 299, 5256, 1772], "avg_logprob": -0.3119848848699213, "compression_ratio": 2.015228426395939, "no_speech_prob": 0.0, "words": [{"start": 200.22, "end": 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hearing أو auditory function يوم اتكلمنا على ال pathway of vision اتطرقنا إلى موضوع lateral geniculate body و يوم اتكلمت على ال hearing اتكلمت على medial geniculate body", "tokens": [6027, 39184, 1205, 831, 1049, 299, 5256, 1772, 3714, 43500, 3555, 9566, 20666, 39184, 24249, 1263, 299, 26107, 13672, 1829, 11203, 995, 28671, 20666, 39184, 4763, 34051, 17748, 827, 2445, 7251, 20498, 1975, 2655, 4117, 19528, 8315, 15844, 2423, 18590, 295, 5201, 1975, 2655, 9566, 2288, 4587, 8315, 30731, 3714, 2407, 11242, 45367, 25128, 1049, 299, 5256, 1772, 4032, 7251, 20498, 1975, 2655, 4117, 19528, 2655, 15844, 2423, 4763, 1975, 2655, 4117, 19528, 2655, 15844, 1205, 831, 1049, 299, 5256, 1772], "avg_logprob": -0.18102134764194489, "compression_ratio": 1.732620320855615, "no_speech_prob": 0.0, "words": [{"start": 268.03, "end": 269.03, "word": "الـ", "probability": 0.654052734375}, {"start": 269.03, "end": 269.35, "word": " medial", "probability": 0.612060546875}, {"start": 269.35, "end": 269.85, 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anterior loop of pituitary gland طب لو حدث مشكلة أصيب الهيبوثالامس", "tokens": [3224, 15730, 33529, 6367, 37037, 15730, 22272, 6367, 39896, 2407, 11242, 5016, 16472, 23758, 3714, 41361, 2423, 3224, 1829, 3555, 2407, 12984, 6027, 10943, 3794, 8978, 3224, 8032, 2288, 2304, 2407, 8315, 2655, 4724, 1829, 3794, 19528, 14407, 3714, 7435, 3224, 11622, 9957, 24976, 33529, 6367, 295, 10147, 1983, 822, 43284, 37037, 8315, 18871, 16254, 22272, 6367, 295, 10147, 1983, 822, 43284, 23032, 3555, 45164, 11331, 3215, 12984, 37893, 28820, 3660, 5551, 9381, 1829, 3555, 2423, 3224, 1829, 3555, 2407, 12984, 6027, 10943, 3794], "avg_logprob": -0.2722426540711347, "compression_ratio": 1.7215909090909092, "no_speech_prob": 0.0, "words": [{"start": 751.41, "end": 751.71, "word": "هذا", "probability": 0.893798828125}, {"start": 751.71, "end": 752.11, "word": " posterior", "probability": 0.79736328125}, {"start": 752.11, "end": 752.53, "word": " loop", "probability": 0.732421875}, {"start": 752.53, "end": 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gland", "probability": 0.8857421875}, {"start": 773.45, "end": 774.91, "word": " طب", "probability": 0.812744140625}, {"start": 774.91, "end": 775.03, "word": " لو", "probability": 0.98681640625}, {"start": 775.03, "end": 775.33, "word": " حدث", "probability": 0.9921875}, {"start": 775.33, "end": 776.13, "word": " مشكلة", "probability": 0.9869791666666666}, {"start": 776.13, "end": 777.27, "word": " أصيب", "probability": 0.85919189453125}, {"start": 777.27, "end": 778.05, "word": " الهيبوثالامس", "probability": 0.9127604166666666}], "temperature": 1.0}, {"id": 33, "seek": 78852, "start": 779.2, "end": 788.52, "text": "في أعراض تيجي عند المريض Endocrine أو metabolic syndrome، hypogonadism مشاكل في عملية الإنجاب بحدث عندهم", "tokens": [41185, 5551, 3615, 2288, 46958, 6055, 1829, 7435, 1829, 43242, 9673, 16572, 11242, 6967, 3617, 533, 34051, 1131, 455, 7940, 19371, 12399, 7420, 664, 266, 345, 1434, 37893, 995, 28820, 8978, 6225, 42213, 10632, 33688, 1863, 7435, 16758, 4724, 24401, 12984, 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0.921875}, {"start": 952.88, "end": 953.0, "word": " عن", "probability": 0.9697265625}, {"start": 953.0, "end": 953.26, "word": " طريق", "probability": 0.9949544270833334}, {"start": 953.26, "end": 953.76, "word": " الأنف", "probability": 0.90283203125}, {"start": 953.76, "end": 954.72, "word": " trans", "probability": 0.50537109375}, {"start": 954.72, "end": 955.58, "word": " nasal", "probability": 0.89501953125}, {"start": 955.58, "end": 956.2, "word": " trans", "probability": 0.487548828125}, {"start": 956.2, "end": 956.92, "word": " sphenoidal", "probability": 0.85107421875}, {"start": 956.92, "end": 957.32, "word": " approach", "probability": 0.923828125}, {"start": 957.32, "end": 957.96, "word": " من", "probability": 0.87744140625}, {"start": 957.96, "end": 958.22, "word": " طريق", "probability": 0.9851888020833334}, {"start": 958.22, "end": 958.56, "word": " الأنف", "probability": 0.9676106770833334}, {"start": 958.56, "end": 958.66, "word": " و", "probability": 0.9140625}, {"start": 958.66, "end": 958.78, "word": " عن", "probability": 0.55126953125}, {"start": 958.78, "end": 958.98, "word": " طريق", "probability": 0.998046875}, {"start": 958.98, "end": 959.32, "word": " sphenoid", "probability": 0.81494140625}, {"start": 959.32, "end": 959.76, "word": " sinus", "probability": 0.94580078125}, {"start": 959.76, "end": 961.54, "word": " on", "probability": 0.884765625}, {"start": 961.54, "end": 961.84, "word": " each", "probability": 0.92333984375}, {"start": 961.84, "end": 962.26, "word": " side", "probability": 0.88037109375}, {"start": 962.26, "end": 962.72, "word": " من", "probability": 0.97412109375}, {"start": 962.72, "end": 963.12, "word": " الأطراف", "probability": 0.773773193359375}, {"start": 963.12, "end": 963.28, "word": " من", "probability": 0.84033203125}, {"start": 963.28, "end": 963.74, "word": " الجناب", "probability": 0.92431640625}], "temperature": 1.0}, {"id": 41, "seek": 98949, "start": 964.69, "end": 989.49, "text": "بحدهم الـ cavernous sinus و its contents و ال contents الموجودين فيه مع مين مرتبط هذه الـ Pituitary gland connected with Hypothalamus مع الـ Hypothalamus بتنقسم لقسمين anterior loop بنسميها adenohypophysis و posterior loop بنسميها neurohypophysis", "tokens": [3555, 24401, 16095, 2423, 39184, 1335, 1659, 563, 41503, 4032, 1080, 15768, 4032, 2423, 15768, 9673, 29245, 23328, 9957, 8978, 3224, 20449, 3714, 9957, 3714, 43500, 3555, 9566, 29538, 2423, 39184, 32136, 1983, 822, 43284, 4582, 365, 5701, 79, 900, 23819, 301, 20449, 2423, 39184, 45649, 900, 23819, 301, 39894, 1863, 4587, 38251, 5296, 4587, 38251, 9957, 22272, 6367, 44945, 38251, 1829, 11296, 614, 268, 1445, 88, 79, 5317, 4642, 4032, 33529, 6367, 44945, 38251, 1829, 11296, 16499, 3495, 79, 5317, 4642], "avg_logprob": -0.29819278113813286, "compression_ratio": 1.59, "no_speech_prob": 0.0, "words": [{"start": 964.69, "end": 965.33, "word": "بحدهم", "probability": 0.5621744791666666}, {"start": 965.33, "end": 965.83, "word": " الـ", 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gland مرتبط مع مين قلنا مع الhypothalamus بيحدها من تحت sphenoid sinus و sphenoid bone من أعلى فى ديافراج مثل هذه فصلها عن ال optic chiasm on each side بيكون عندها ال cavernous sinus and its contents", "tokens": [5172, 3224, 1829, 2423, 10147, 1983, 822, 43284, 3714, 43500, 3555, 9566, 20449, 3714, 9957, 12174, 1211, 8315, 20449, 2423, 3495, 79, 900, 23819, 301, 4724, 1829, 24401, 11296, 9154, 6055, 33753, 637, 2932, 17079, 41503, 4032, 637, 2932, 17079, 9026, 9154, 5551, 3615, 23942, 6156, 7578, 11778, 1829, 31845, 2288, 26108, 50113, 1211, 29538, 6156, 9381, 1211, 11296, 18871, 2423, 48269, 417, 21940, 322, 1184, 1252, 4724, 1829, 30544, 43242, 11296, 2423, 1335, 1659, 563, 41503, 293, 1080, 15768], "avg_logprob": -0.30362653143611956, "compression_ratio": 1.4086538461538463, "no_speech_prob": 0.0, "words": [{"start": 991.05, "end": 991.45, "word": "فهي", "probability": 0.7521158854166666}, {"start": 991.45, "end": 992.13, "word": " ال", "probability": 0.92724609375}, {"start": 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STH Adrenocorticotropic hormone اللي علاقة بالأدرينال جلاند TSH Thyroid Stimulating Hormone اللي علاقة بموضوع الثيرويد جلاند الغدادرقية", "tokens": [1211, 2407, 30767, 18513, 8717, 35457, 47395, 3714, 43020, 7251, 9381, 49628, 8978, 11331, 6027, 9307, 2423, 13063, 2304, 2423, 26890, 12610, 995, 4117, 2655, 9957, 20498, 995, 6055, 3215, 9778, 2304, 1975, 2407, 4032, 2288, 2304, 8978, 2423, 26890, 12610, 995, 4117, 2655, 9957, 8608, 26895, 11622, 13672, 1829, 11203, 995, 28671, 4724, 3488, 294, 5392, 4054, 313, 4904, 39, 1999, 1095, 905, 48816, 310, 39173, 24211, 13672, 1829, 11203, 995, 28671, 20666, 10721, 3215, 2288, 9957, 6027, 10874, 1211, 7649, 3215, 314, 17308, 40010, 6490, 745, 332, 12162, 389, 687, 546, 13672, 1829, 11203, 995, 28671, 4724, 2304, 2407, 11242, 45367, 2423, 12984, 13546, 2407, 25708, 10874, 1211, 7649, 3215, 6024, 118, 3215, 18513, 2288, 4587, 10632], "avg_logprob": -0.296614574889342, "compression_ratio": 1.6475409836065573, "no_speech_prob": 0.0, "words": 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cerebellum بكون عندي ترنح و dis coordination و في الحالة هذه ما بقدر أعمل الحركات هذه بيحدث معايا tremor رشفة و هكذا", "tokens": [11622, 2288, 25724, 2304, 1829, 9381, 2489, 5191, 7251, 3555, 4587, 7578, 41850, 39894, 5016, 24793, 8978, 16095, 20328, 5016, 44381, 45164, 18871, 16254, 37893, 28820, 3660, 8978, 2423, 11643, 7100, 449, 4724, 30544, 18871, 16254, 6055, 2288, 1863, 5016, 4032, 717, 21252, 4032, 8978, 21542, 6027, 3660, 29538, 19446, 4724, 28543, 2288, 5551, 25957, 1211, 21542, 31747, 9307, 29538, 4724, 1829, 24401, 12984, 20449, 995, 25528, 7813, 284, 12602, 8592, 5172, 3660, 4032, 8032, 4117, 15730], "avg_logprob": -0.23497596650551528, "compression_ratio": 1.4390243902439024, "no_speech_prob": 0.0, "words": [{"start": 1380.61, "end": 1381.03, "word": "زر", "probability": 0.767822265625}, {"start": 1381.03, "end": 1381.61, "word": " الجميص", "probability": 0.7281494140625}, {"start": 1381.61, "end": 1382.09, "word": " fine", "probability": 0.59228515625}, {"start": 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cerebrum لما ناخدناه؟ اتكلمنا انه فيه بيزل نوكلياي فيه بيزل نوكلياي الان لما ناخدنا الcerebrum كان فيه بيزل نوكلياي الان لما نتكلم عن الcerebellum فيه كمان نوكلياي ايش اسم النوكلياي؟ dented nucleus اسمها dented لأن شكلها يسبب الأسنان مسننة مثل الأسنان مثل إيه؟ الأسنان إيه العلاقة؟", "tokens": [2304, 45636, 995, 18871, 8717, 2407, 4117, 20292, 47302, 9673, 29245, 23328, 9957, 8978, 2423, 39184, 11643, 7100, 449, 22807, 44650, 8848, 37983, 9957, 2423, 39184, 11643, 1443, 449, 5296, 15042, 8717, 47283, 3215, 8315, 3224, 22807, 1975, 2655, 4117, 19528, 8315, 16472, 3224, 8978, 3224, 4724, 1829, 11622, 1211, 8717, 2407, 4117, 20292, 995, 1829, 8978, 3224, 4724, 1829, 11622, 1211, 8717, 2407, 4117, 20292, 995, 1829, 2423, 7649, 5296, 15042, 8717, 47283, 3215, 8315, 2423, 15312, 1443, 449, 25961, 8978, 3224, 4724, 1829, 11622, 1211, 8717, 2407, 4117, 20292, 995, 1829, 2423, 7649, 5296, 15042, 8717, 2655, 4117, 19528, 18871, 2423, 15312, 7100, 449, 8978, 3224, 9122, 2304, 7649, 8717, 2407, 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"word": " peduncles", "probability": 0.9737955729166666}, {"start": 1518.66, "end": 1519.4, "word": " مرتبطة", "probability": 0.992578125}, {"start": 1519.4, "end": 1519.56, "word": " مع", "probability": 0.9931640625}, {"start": 1519.56, "end": 1519.76, "word": " ال", "probability": 0.927734375}, {"start": 1519.76, "end": 1520.18, "word": " pants", "probability": 0.277099609375}], "temperature": 1.0}, {"id": 64, "seek": 154527, "start": 1520.77, "end": 1545.27, "text": "و inferior cerebellar peduncles مرتبطة مع الميدالا او بلانجاتا اكبر واحد في الحجم فيهم اللي هو ال middle middle cerebellar peduncle هاي واضح هان عندي superior cerebellar peduncle هان", "tokens": [2407, 13596, 1973, 11643, 7100, 289, 5670, 409, 6520, 3714, 43500, 3555, 9566, 3660, 20449, 9673, 25708, 6027, 995, 1975, 2407, 4724, 1211, 7649, 7435, 9307, 995, 1975, 4117, 26890, 36764, 24401, 8978, 21542, 7435, 2304, 8978, 16095, 13672, 1829, 31439, 2423, 2808, 2808, 11643, 7100, 289, 5670, 409, 2160, 8032, 47302, 4032, 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1584.86, "end": 1585.32, "word": " and", "probability": 0.92138671875}, {"start": 1585.32, "end": 1585.68, "word": " left", "probability": 0.95654296875}, {"start": 1585.68, "end": 1586.36, "word": " cerebellar", "probability": 0.9168294270833334}, {"start": 1586.36, "end": 1586.88, "word": " hemisphere", "probability": 0.639404296875}], "temperature": 1.0}, {"id": 67, "seek": 160546, "start": 1587.6, "end": 1605.46, "text": "و مرتبطين مع بعض عن طريق vermis اللي هو ايه vermis superior و inferior anterior loop posterior loop أو middle loop posterior loop او middle loop و floculonodular loop", "tokens": [2407, 3714, 43500, 3555, 9566, 9957, 20449, 45030, 11242, 18871, 23032, 16572, 4587, 26319, 271, 13672, 1829, 31439, 1975, 1829, 3224, 26319, 271, 13028, 4032, 24249, 22272, 6367, 33529, 6367, 34051, 2808, 6367, 33529, 6367, 1975, 2407, 2808, 6367, 4032, 932, 905, 425, 266, 378, 1040, 6367], "avg_logprob": -0.40234375310440856, "compression_ratio": 1.5384615384615385, "no_speech_prob": 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"probability": 0.86279296875}, {"start": 1592.14, "end": 1592.32, "word": " و", "probability": 0.8701171875}, {"start": 1592.32, "end": 1592.6, "word": " inferior", "probability": 0.63330078125}, {"start": 1592.6, "end": 1594.24, "word": " anterior", "probability": 0.5146484375}, {"start": 1594.24, "end": 1594.92, "word": " loop", "probability": 0.83251953125}, {"start": 1594.92, "end": 1597.08, "word": " posterior", "probability": 0.485107421875}, {"start": 1597.08, "end": 1597.92, "word": " loop", "probability": 0.9677734375}, {"start": 1597.92, "end": 1598.32, "word": " أو", "probability": 0.7109375}, {"start": 1598.32, "end": 1598.96, "word": " middle", "probability": 0.9130859375}, {"start": 1598.96, "end": 1599.82, "word": " loop", "probability": 0.9638671875}, {"start": 1599.82, "end": 1600.94, "word": " posterior", "probability": 0.38818359375}, {"start": 1600.94, "end": 1601.36, "word": " loop", "probability": 0.97998046875}, {"start": 1601.36, "end": 1601.84, "word": " او", 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{"start": 1991.34, "end": 1991.54, "word": " هو", "probability": 0.9873046875}, {"start": 1991.54, "end": 1992.02, "word": " البوستيرو", "probability": 0.623828125}, {"start": 1992.02, "end": 1993.46, "word": " loop؟", "probability": 0.5478515625}, {"start": 1993.46, "end": 1993.9, "word": " النيو", "probability": 0.571533203125}, {"start": 1993.9, "end": 1994.22, "word": " سيربلون", "probability": 0.59515380859375}, {"start": 1994.22, "end": 1994.42, "word": " طب", "probability": 0.51129150390625}, {"start": 1994.42, "end": 1994.5, "word": " لو", "probability": 0.1473388671875}, {"start": 1994.5, "end": 1994.6, "word": " اتي", "probability": 0.418701171875}, {"start": 1994.6, "end": 1994.9, "word": " سؤال", "probability": 0.9200846354166666}, {"start": 1994.9, "end": 1995.24, "word": " ال", "probability": 0.78173828125}, {"start": 1995.24, "end": 1995.48, "word": " middle", "probability": 0.87890625}, {"start": 1995.48, "end": 1995.78, "word": " loop", "probability": 0.9296875}, 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{"id": 85, "seek": 203879, "start": 2011.33, "end": 2038.79, "text": "باليو سيرابيلام هذا بوستيريول لوب نيو سيرابيلام وهذا الفلوكلر نودلر لوب اللي عبارة عن ارشو سيرابيلام او vestibular part of the cerebellum هنا بيكون عندي ال dendrite جاي في ال posterior part في ال anterior part بيكون ال globus ال nucleus وemboliform nucleus وفي فلوكلر نودلر لوب بيكون موجودة في استيجيال ال nucleus", "tokens": [3555, 6027, 1829, 2407, 8608, 13546, 16758, 26895, 10943, 23758, 4724, 2407, 14851, 13546, 1829, 12610, 5296, 37746, 8717, 1829, 2407, 8608, 13546, 16758, 26895, 10943, 37037, 15730, 27188, 1211, 2407, 28820, 2288, 8717, 23328, 1211, 2288, 5296, 37746, 13672, 1829, 6225, 3555, 9640, 3660, 18871, 1975, 2288, 8592, 2407, 8608, 13546, 16758, 26895, 10943, 1975, 2407, 15814, 897, 1040, 644, 295, 264, 11643, 7100, 449, 34105, 4724, 1829, 30544, 18871, 16254, 2423, 274, 521, 35002, 10874, 47302, 8978, 2423, 33529, 644, 8978, 2423, 22272, 644, 4724, 1829, 30544, 2423, 1563, 996, 301, 2423, 28055, 4032, 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{"start": 2015.61, "end": 2016.63, "word": " الفلوكلر", "probability": 0.64130859375}, {"start": 2016.63, "end": 2017.01, "word": " نودلر", "probability": 0.7215576171875}, {"start": 2017.01, "end": 2017.33, "word": " لوب", "probability": 0.81396484375}, {"start": 2017.33, "end": 2017.79, "word": " اللي", "probability": 0.747314453125}, {"start": 2017.79, "end": 2018.15, "word": " عبارة", "probability": 0.98974609375}, {"start": 2018.15, "end": 2018.33, "word": " عن", "probability": 0.9912109375}, {"start": 2018.33, "end": 2018.75, "word": " ارشو", "probability": 0.67645263671875}, {"start": 2018.75, "end": 2019.35, "word": " سيرابيلام", "probability": 0.956640625}, {"start": 2019.35, "end": 2019.91, "word": " او", "probability": 0.88427734375}, {"start": 2019.91, "end": 2020.49, "word": " vestibular", "probability": 0.79541015625}, {"start": 2020.49, "end": 2021.03, "word": " part", "probability": 0.96337890625}, {"start": 2021.03, "end": 2021.47, "word": " of", "probability": 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"probability": 0.818603515625}, {"start": 2034.81, "end": 2035.37, "word": " فلوكلر", "probability": 0.8036865234375}, {"start": 2035.37, "end": 2035.77, "word": " نودلر", "probability": 0.952880859375}, {"start": 2035.77, "end": 2036.13, "word": " لوب", "probability": 0.789306640625}, {"start": 2036.13, "end": 2036.65, "word": " بيكون", "probability": 0.8388671875}, {"start": 2036.65, "end": 2037.49, "word": " موجودة", "probability": 0.965087890625}, {"start": 2037.49, "end": 2037.67, "word": " في", "probability": 0.85205078125}, {"start": 2037.67, "end": 2038.39, "word": " استيجيال", "probability": 0.71826171875}, {"start": 2038.39, "end": 2038.47, "word": " ال", "probability": 0.65283203125}, {"start": 2038.47, "end": 2038.79, "word": " nucleus", "probability": 0.8857421875}], "temperature": 1.0}, {"id": 86, "seek": 204699, "start": 2039.87, "end": 2046.99, "text": "و لهذا بيكون وصلنا لنهاية محاضرة أسبوع تالت اللي هو Anatomy and physiology of cerebellum", "tokens": [2407, 46740, 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0.9514973958333334}, {"start": 2044.15, "end": 2044.29, "word": " اللي", "probability": 0.94970703125}, {"start": 2044.29, "end": 2044.53, "word": " هو", "probability": 0.9365234375}, {"start": 2044.53, "end": 2045.19, "word": " Anatomy", "probability": 0.690673828125}, {"start": 2045.19, "end": 2045.39, "word": " and", "probability": 0.5263671875}, {"start": 2045.39, "end": 2045.79, "word": " physiology", "probability": 0.48046875}, {"start": 2045.79, "end": 2046.15, "word": " of", "probability": 0.951171875}, {"start": 2046.15, "end": 2046.99, "word": " cerebellum", "probability": 0.9495442708333334}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2052.8065, "duration_after_vad": 1975.5931249999937} \ No newline at end of file diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/927sW7ATxvc_raw.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/927sW7ATxvc_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..75de5c9ed663925e9c518faa28187555085f916b --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/927sW7ATxvc_raw.srt @@ -0,0 +1,1780 @@ +1 +00:00:05,010 --> 00:00:08,550 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:08,550 --> 00:00:14,970 +وبركاته الآن بننتقل لجزء الثاني من المحاضرة السبوع + +3 +00:00:14,970 --> 00:00:20,150 +الثالث بيزا النوكلياي داينسيفالون ان سيريبيلا في + +4 +00:00:20,150 --> 00:00:24,110 +الجزء الأول اتكلمت معكم على البيزا النوكلياي + +5 +00:00:24,110 --> 00:00:27,430 +أنواعهم وأجزاهم و ال functions بتاعة البيزا + +6 +00:00:27,430 --> 00:00:31,620 +النوكليايوبدأت في جزء الثاني اللي هو الـ + +7 +00:00:31,620 --> 00:00:34,460 +Dienesephalon أخدنا من ال Dienesephalon اللي هو + +8 +00:00:34,460 --> 00:00:39,320 +Thalamus and Epithalamus اليوم في جزء ثاني من + +9 +00:00:39,320 --> 00:00:44,640 +محاضرتنا راح أكمل Metathalamus, Subthalamus and + +10 +00:00:44,640 --> 00:00:49,720 +Hypothalamus ونتكلم عن جزء النهائي اللي هو ال + +11 +00:00:49,720 --> 00:00:55,320 +cerebellum يبقى الأن راح أكمل موضوع اللي هو ال + +12 +00:00:55,320 --> 00:01:02,310 +Dienesephalon متذكرين؟في المحاضرة السابقة رسمنا + +13 +00:01:02,310 --> 00:01:08,830 +Diencephalon وقلنا هذا عبارة عن ال thalamus هذا + +14 +00:01:08,830 --> 00:01:14,510 +thalamus هنا + +15 +00:01:14,510 --> 00:01:20,410 +عبارة عن interthalamic adhesions بعدين بيجينا اللي + +16 +00:01:20,410 --> 00:01:25,930 +هو ال subthalamus من الأمام و من تحت بيجي + +17 +00:01:26,920 --> 00:01:33,320 +hypothalamus مرتبط بشيء اسمه pituitary gland وفي + +18 +00:01:33,320 --> 00:01:39,180 +الخلف بيكون inferior بيكون metathalamus superior و + +19 +00:01:39,180 --> 00:01:45,280 +posterior بيكون epithalamus بعدين بيجينا ال + +20 +00:01:45,280 --> 00:01:51,400 +midbrain pons medulla + +21 +00:01:51,400 --> 00:01:52,220 +oblongata + +22 +00:01:54,530 --> 00:01:58,970 +وبننزل spinal cord spinal cord medulla oblongata + +23 +00:01:58,970 --> 00:02:11,790 +bones mid brain الجزء هذا بنسمي diencephalon okay + +24 +00:02:11,790 --> 00:02:18,270 +you can metathalamus هو عبارة عن part of + +25 +00:02:18,270 --> 00:02:23,670 +diencephalonpart of the encephalon which is + +26 +00:02:23,670 --> 00:02:29,330 +attached to the posterior inferior surface of + +27 +00:02:29,330 --> 00:02:32,930 +thalamus هو موجود وين؟ في ال posterior inferior + +28 +00:02:32,930 --> 00:02:36,610 +surface of thalamus طب ال epithalamus موجود في ال + +29 +00:02:36,610 --> 00:02:40,730 +posterior superior surface of thalamus ال + +30 +00:02:40,730 --> 00:02:44,990 +metathalamus contains two parts بتكون من جزئين + +31 +00:02:44,990 --> 00:02:52,320 +الجزء الأولLateral geniculate body الجزء الثاني + +32 +00:02:52,320 --> 00:02:59,810 +Medial geniculate body الجزء الأولاللي علاقة بالـ + +33 +00:02:59,810 --> 00:03:04,310 +vision واضيفته visual function connected with + +34 +00:03:04,310 --> 00:03:10,030 +superior calculus of the midbrain أما الـ medial + +35 +00:03:10,030 --> 00:03:14,830 +geniculate body هي علاقة بالـ hearing و connected + +36 +00:03:14,830 --> 00:03:18,050 +with a inferior + +37 +00:03:20,220 --> 00:03:23,800 +calculus يبقى with inferior calculus يقول media + +38 +00:03:23,800 --> 00:03:27,080 +geniculate body اللي علاقة بيه بالhearing و + +39 +00:03:27,080 --> 00:03:31,340 +connected with ايه with inferior calculus هاي + +40 +00:03:31,340 --> 00:03:33,980 +واحدة في ال slide lateral geniculate body visual + +41 +00:03:33,980 --> 00:03:37,760 +function و media geniculate body اللي علاقة بال + +42 +00:03:37,760 --> 00:03:40,460 +hearing او auditory function hearing او auditory + +43 +00:03:40,460 --> 00:03:47,040 +the same واضحانة ان ال lateral geniculate body + +44 +00:03:52,240 --> 00:03:59,180 +و medial geniculate body ال medial geniculate body + +45 +00:03:59,180 --> 00:04:09,440 +مرتبطة بمين؟ ب inferior calculus اما ال lateral + +46 +00:04:09,440 --> 00:04:14,000 +geniculate body مرتبطة ب superior calculus ولاحظوا + +47 +00:04:14,000 --> 00:04:18,520 +ال lateral geniculate body مباشرة مرتبطة بمين؟ ب + +48 +00:04:18,520 --> 00:04:24,550 +optic tractلها علاقة بـ visual function visual + +49 +00:04:24,550 --> 00:04:31,830 +function أماالـ medial geniculate body مرتبط بالـ + +50 +00:04:31,830 --> 00:04:35,430 +inferior colliculus اللي علاقة بالـ hearing أو + +51 +00:04:35,430 --> 00:04:39,790 +auditory function يوم اتكلمنا على ال pathway of + +52 +00:04:39,790 --> 00:04:44,510 +vision اتطرقنا إلى موضوع lateral geniculate body و + +53 +00:04:44,510 --> 00:04:49,670 +يوم اتكلمت على ال hearing اتكلمت على medial + +54 +00:04:49,670 --> 00:04:54,460 +geniculate bodyهي عندي lateral geniculate body + +55 +00:04:54,460 --> 00:04:57,660 +وهذه media geniculate body ال media geniculate + +56 +00:04:57,660 --> 00:05:01,620 +body لها connection مع ال inferior calculus و ال + +57 +00:05:01,620 --> 00:05:03,740 +lateral geniculate body لها connection مع ال + +58 +00:05:03,740 --> 00:05:07,460 +superior calculus of midbrain + +59 +00:05:09,440 --> 00:05:13,940 +هو يعتبر a part of the encephalon which is located + +60 +00:05:13,940 --> 00:05:19,040 +between the thalamus and middle brain، إله جزئين، + +61 +00:05:19,040 --> 00:05:22,620 +إله posterior part و anterior part و ال anterior + +62 +00:05:22,620 --> 00:05:25,660 +بتكون من أجزاء و ال posterior بتكون من أجزاء، + +63 +00:05:25,660 --> 00:05:28,880 +مابدى أضطرق للموضوع هذا، إيه بيكفيني أعرف إنه صدر + +64 +00:05:28,880 --> 00:05:32,300 +ال thalamus وين مكانه، و يعطيكوا العافية بسهي وين + +65 +00:05:32,300 --> 00:05:36,400 +دي ال subthalamus بيقع تحت إيش؟ تحت ال thalamus + +66 +00:05:36,400 --> 00:05:39,680 +يبقى هاي واحد و هاي واحد بيقع وين؟ تحت ال thalamus + +67 +00:05:39,680 --> 00:05:43,920 +و بيقع above ال midbrain فوق بيكون إيه؟ ال + +68 +00:05:43,920 --> 00:05:50,200 +midbrain يعني محصور ما بين ال thalamus و midbrain + +69 +00:05:50,200 --> 00:05:58,980 +لأن في موضوع مهم hypothalamus hypothalamus it is + +70 +00:05:58,980 --> 00:06:05,350 +part of diencephalonlocated in front of the + +71 +00:06:05,350 --> 00:06:11,870 +subthalamus بقى أمام ال subthalamus and anterior + +72 +00:06:11,870 --> 00:06:15,030 +inferiorly لإيه؟ لالثلامس + +73 +00:06:23,150 --> 00:06:28,050 +يعتبر جزء من الـ Thalamus نسميه Neuroendocrine + +74 +00:06:28,050 --> 00:06:33,030 +organ، Neuroendocrine organ، لحظة حجم الهيبوثلامس + +75 +00:06:33,030 --> 00:06:38,490 +ثلاثة من عشرة من حجم ال brain، ثلاثة من عشرة من + +76 +00:06:38,490 --> 00:06:44,620 +حجم ال brain، لكن it is veryهو جزء مهم جدًا من + +77 +00:06:44,620 --> 00:06:49,420 +نظام النيربا المركزي هو جزء جدًا مهم جدًا من نظام + +78 +00:06:49,420 --> 00:06:53,680 +النيربا المركزي اللي علاقة في بناء الحرمونات و + +79 +00:06:53,680 --> 00:06:59,160 +بناء الانهيبوتوري و إطلاق الحرمونات اللي بتعمل ايه + +80 +00:06:59,160 --> 00:07:03,920 +الcontrol بتشتري جلاند الغدان النخامية لأن هو + +81 +00:07:03,920 --> 00:07:06,600 +يعتبر نيورو اندوكراين أورغان + +82 +00:07:10,110 --> 00:07:14,350 +هذا هو الهيبوثالماث + +83 +00:07:14,350 --> 00:07:19,930 +هنا عنده هذا الهيبوثالماث هذا الهيبوثالماث هذا + +84 +00:07:19,930 --> 00:07:20,810 +الهيبوثالماث هذا الهيبوثالماث هذا الهيبوثالماث + +85 +00:07:34,270 --> 00:07:38,950 +اللي هو hypothalamus مرتبط مع مين بيكون مع الـ + +86 +00:07:38,950 --> 00:07:42,970 +Pituitary gland posterior loop و anterior loopOkay + +87 +00:07:42,970 --> 00:07:47,710 +من الخلف بيجينا Superior بيكون لنا Epithalamus و + +88 +00:07:47,710 --> 00:07:52,550 +تحت بيكون لنا Metathalamus هذا تركيبة و توزيعة + +89 +00:07:52,550 --> 00:07:56,290 +اللي هو Diencephalon Diencephalon يبقى + +90 +00:07:56,290 --> 00:08:00,450 +الhypothalamus located anterior للsubthalamus و + +91 +00:08:00,450 --> 00:08:05,710 +بيكون anterior inferior لمين للthalamus لذلك يسموا + +92 +00:08:05,710 --> 00:08:07,990 +hypothalamus + +93 +00:08:10,370 --> 00:08:14,930 +أي هيبوثانامس بتكون من أجزاء اللي هو optic part و + +94 +00:08:14,930 --> 00:08:19,410 +ال tubular part و ال mammary part ماراح أفوت في + +95 +00:08:19,410 --> 00:08:22,830 +تركيبهم و النكلياي اللي موجودين داخلهم هضل بشرحهم + +96 +00:08:22,830 --> 00:08:27,510 +للطب كل جزء إيش موجود فيه نكلياي هل ماراح أتوسع + +97 +00:08:27,510 --> 00:08:32,270 +أشرح كتير فيه لكن بنعرف وين موجود الهيبوثانامس ال + +98 +00:08:32,270 --> 00:08:35,050 +functions of hypothalamus إيش وظيفة الhypothalamus + +99 +00:08:36,540 --> 00:08:39,480 +regulation of temperature اللي علاقة بregulation + +100 +00:08:39,480 --> 00:08:42,320 +of temperature في بعض أحيان بيجينا مريض بيكون عنده + +101 +00:08:42,320 --> 00:08:47,580 +نزيف دماغي و أثناء وجود النزيف الدماغي بيحدث معاه + +102 +00:08:47,580 --> 00:08:50,840 +ارتفاع درجة حرارة الجسم هذا ارتفاع درجة حرارة + +103 +00:08:50,840 --> 00:08:55,540 +الجسم قد تكون central fever يعني ارتفاع مركزي ناتج + +104 +00:08:55,540 --> 00:09:00,860 +عن irritation of blood to the hypothalamus بيعمل + +105 +00:09:00,860 --> 00:09:07,110 +عملية تهيج لمين؟ لثيرموregulatory receptors + +106 +00:09:07,110 --> 00:09:11,150 +الموجودين في الهيبوتالموس و بترتفع درجة الحرارة + +107 +00:09:11,150 --> 00:09:15,070 +اتنين emotional regulation العلاقة بالregulation + +108 +00:09:15,070 --> 00:09:20,790 +of emotions العاطفة تلاتة ال growth function النمو + +109 +00:09:20,790 --> 00:09:27,730 +اربع hunger and thirst انا جوعان انا عطشان اللي + +110 +00:09:27,730 --> 00:09:29,910 +علاقة بالهيبوتالموس الهيبوتالموس اللي بيعطينا + +111 +00:09:29,910 --> 00:09:35,650 +إشارة نأكل او نشربsexual behavior control of + +112 +00:09:35,650 --> 00:09:39,690 +various endocrine and activity rhythm عن طريق ال + +113 +00:09:39,690 --> 00:09:43,990 +hormones العلاقة بالذاكرة memory visual memory + +114 +00:09:43,990 --> 00:09:49,150 +يعني أنا شفت شخص و بعد سنة غاب عني اتذكرت بعدين ان + +115 +00:09:49,150 --> 00:09:54,660 +انا شفت هذا مهم جدا اللي هيبقى تلمس الموضوع هذاأحد + +116 +00:09:54,660 --> 00:09:59,220 +أصدقاء اتكلم معاه في موضوع بعد فترة صديق تاني + +117 +00:09:59,220 --> 00:10:01,120 +اتكلم قولت و الله أنا سمعت هذا الموضوع حكى ليه + +118 +00:10:01,120 --> 00:10:05,520 +صاحبي و كده يقول هذا اسمه verbal memory verbal + +119 +00:10:05,520 --> 00:10:10,560 +memory اللي علاقة بالذاكرة connections of + +120 +00:10:10,560 --> 00:10:13,500 +hypothalamus with hypophysis مين هو ال hypophysis + +121 +00:10:13,500 --> 00:10:17,440 +هو pituitary gland أكيد ممكن أخدته في ال general + +122 +00:10:17,440 --> 00:10:22,710 +في الفيسيولوجيا أو كده ال hormonesبنسميه Anti + +123 +00:10:22,710 --> 00:10:27,670 +-diuretic hormone و ال Oxytocin بصنعهم ال + +124 +00:10:27,670 --> 00:10:31,710 +hypothalamus Hypothalamus ايش وظيفة ال Oxytocin؟ + +125 +00:10:31,710 --> 00:10:35,550 +ال Oxytocin هذا بشتغل عند الستات أثناء الولادة مع + +126 +00:10:35,550 --> 00:10:38,870 +هرمون أستروجين اللي علاقة بال increase + +127 +00:10:38,870 --> 00:10:41,910 +contractivity function اللي علاقة بال لترين + +128 +00:10:41,910 --> 00:10:47,030 +contraction بتقلصات عضلات الرحم أثناء الولادة يعني + +129 +00:10:47,030 --> 00:10:50,610 +هو موجود عند ال females عند ال femalesال + +130 +00:10:50,610 --> 00:10:55,270 +vasopressin او ال antidiuretic hormone لو حدث نقص + +131 +00:10:55,270 --> 00:10:57,970 +في ال antidiuretic hormone او ال vasopressin + +132 +00:10:57,970 --> 00:11:03,690 +الإنسان يصاب بمرض مرض السكر الكاذب اللي بنسميه + +133 +00:11:03,690 --> 00:11:07,830 +diabetes insipidens يعني وظيفة ال hormone هذا احنا + +134 +00:11:07,830 --> 00:11:10,490 +بنشرب مياه بنروح حمام اللي لو ماكان عندنا ال + +135 +00:11:10,490 --> 00:11:13,030 +hormone هذا كان كل السوائل في الجسم تنزل مع ال + +136 +00:11:13,030 --> 00:11:16,410 +ball تنزل مع ال ball هذا ال hormone بمر + +137 +00:11:16,410 --> 00:11:23,140 +reabsorptionفي الكدنى لمن؟ للسوائل بمنع السوائل + +138 +00:11:23,140 --> 00:11:26,800 +تخرج مع البول كمية كبيرة طب لو ما كان لو كان في + +139 +00:11:26,800 --> 00:11:29,860 +نقص عينة في الهرمون هذا كان الإنسان بيشرب ميه وع + +140 +00:11:29,860 --> 00:11:33,420 +الحمام مباشرة بده طول النهار أيش تانية ميه يظلوا + +141 +00:11:33,420 --> 00:11:36,660 +يشرفوا فيه وع الحمام transit الميه بتطلع يبقى هذا + +142 +00:11:36,660 --> 00:11:39,980 +وظيفة الهرمون يعمل حجز بمنع السوائل من الخروج + +143 +00:11:39,980 --> 00:11:46,360 +بكمية كبيرة اسمه antidiuretic يعني بمنع خروج البول + +144 +00:11:46,360 --> 00:11:56,020 +بكمية كبيرةالهيبوثالاموس هي رولة مهمة في نشطة نشر + +145 +00:11:56,020 --> 00:12:00,960 +الحرمون ونشر الحرمون الهيبوثالاموس بيفرزلنا + +146 +00:12:00,960 --> 00:12:04,640 +حرموناتاللي هي علاقة بتعمل control لـ Pituitary + +147 +00:12:04,640 --> 00:12:08,680 +gland إما بتزود وظيفتهم أو بتخفف الوظيفة تبعت مين؟ + +148 +00:12:08,680 --> 00:12:13,160 +Pituitary gland طب ال Oxytocin و ال antidiuretic + +149 +00:12:13,160 --> 00:12:17,060 +hormone هدول أو غازوبريسين هدول ال هيبوتلامس + +150 +00:12:17,060 --> 00:12:21,520 +بفرزهم و بيسلمهم جاهزين لمين؟ لال posterior loop + +151 +00:12:21,520 --> 00:12:23,280 +of Pituitary gland + +152 +00:12:31,410 --> 00:12:40,910 +هذا posterior loop وهذا anterior loop هيوضح + +153 +00:12:40,910 --> 00:12:44,710 +ان هذا مكان الهيبوثالامس فيه هرمونات بيسلموا + +154 +00:12:44,710 --> 00:12:50,330 +مجهزين لل posterior loop of pituitary gland وهنا + +155 +00:12:50,330 --> 00:12:55,330 +عندي anterior loop of pituitary gland طب لو حدث + +156 +00:12:55,330 --> 00:13:01,180 +مشكلة أصيب الهيبوثالامسفي أعراض تيجي عند المريض + +157 +00:13:01,180 --> 00:13:05,960 +Endocrine أو metabolic syndrome، hypogonadism + +158 +00:13:05,960 --> 00:13:10,570 +مشاكل في عملية الإنجاب بحدث عندهمتنين، diabetes + +159 +00:13:10,570 --> 00:13:14,190 +insipidus بيحدث معاهم مرض السكر الكاذب، بيضلوا + +160 +00:13:14,190 --> 00:13:17,850 +يشربوا ميه كتير و يبولوا كتير، بنفكر المريض عنده + +161 +00:13:17,850 --> 00:13:20,890 +مرض السكر، بنفحص ال glucose في ال blood، بنلاقيه + +162 +00:13:20,890 --> 00:13:24,030 +normal، يبقى ان هذا بنسميه مرض السكر الكاذب، نقص + +163 +00:13:24,030 --> 00:13:28,070 +فيه hormone ال antidiuretic، opposite سمنة، + +164 +00:13:28,070 --> 00:13:33,290 +الأفراد في الوزن، سمنة، anorexia اللي هو فقدان + +165 +00:13:33,290 --> 00:13:39,820 +الشهية، loss of appetiteبوليميا كان عندها مريض كان + +166 +00:13:39,820 --> 00:13:43,920 +عنده stroke of head trauma severe head trauma هذا + +167 +00:13:43,920 --> 00:13:46,980 +المريض كان في جسم ال neurology كان في أوكرانيا + +168 +00:13:46,980 --> 00:13:51,300 +ماخلاش تلاجة لمرضى اللي سرق منها الأكل خلاص ماحدش + +169 +00:13:51,300 --> 00:13:54,520 +ممنعه عن الأكل هذا طول اليوم وظيفته يأكل طول اليوم + +170 +00:13:54,520 --> 00:13:58,060 +وظيفته يأكل يأكل و بعد ما يفل التنك تبعه يروح يعمل + +171 +00:13:58,060 --> 00:14:01,960 +vomiting يرجع من كتر ما أكل بعدين يروح يأكل هذه + +172 +00:14:01,960 --> 00:14:07,250 +بنسميها ايه بوليمياeat much و it's associated with + +173 +00:14:07,250 --> 00:14:10,250 +vomiting بيضل يأكل و يرجع يأكل و يرجع هويته الأكل + +174 +00:14:10,250 --> 00:14:14,030 +بس حد فيه مشكلة عنده فيه الhypothalamus بيكون + +175 +00:14:14,030 --> 00:14:17,970 +central hyperthermia أو hypothermia ممكن المرضى + +176 +00:14:17,970 --> 00:14:21,590 +يدخل في ارتفاع درجة الحرارة و يكون ناتج عن ايه + +177 +00:14:21,590 --> 00:14:25,570 +ارتفاع مركزي ارتفاع مركزي من مشاكل الhypothalamus + +178 +00:14:25,570 --> 00:14:30,370 +و قد يعطينا neurological disturbances psychic + +179 +00:14:30,370 --> 00:14:33,010 +disturbances مشاكل نفسية اطلبات نفسية + +180 +00:14:34,540 --> 00:14:37,020 +Extrapyramidal manifestation يكون عندهم + +181 +00:14:37,020 --> 00:14:41,600 +involuntary movement حركات لا إيرادية و I signs + +182 +00:14:41,600 --> 00:14:45,480 +ميوسي أو مدرياسي لأنه احنا بنعرف ال sympathetic + +183 +00:14:45,480 --> 00:14:49,780 +innervation بتبدأ من وين من الهيبوثالاموس مركز ال + +184 +00:14:49,780 --> 00:14:52,480 +autonomic nervous system ببدأ من وين من + +185 +00:14:52,480 --> 00:14:57,860 +الهيبوثالاموس انتقل لكلمتين نتكلم في ال pituitary + +186 +00:14:57,860 --> 00:15:02,520 +glandبتوتر جلاند بنسميها hypothesis أو إلا اسم + +187 +00:15:02,520 --> 00:15:06,420 +تاني master gland هي ال master هي ال king اللي + +188 +00:15:06,420 --> 00:15:11,260 +بتحكم في جسم الإنسان وين موجودة؟ موجودة في ال + +189 +00:15:11,260 --> 00:15:16,720 +hypothesis .. hypothesis الفصة في .. تحت الديافراج + +190 +00:15:16,720 --> 00:15:22,460 +مسلةالـ shape بتاعها تقريبا اتناشر ميلي متر بيكون + +191 +00:15:22,460 --> 00:15:25,900 +ال Transverse Diameter و ال Antirubosterior + +192 +00:15:25,900 --> 00:15:29,820 +Diameter تمانية ميلي متر يعني باختصار تقريبا واحد + +193 +00:15:29,820 --> 00:15:34,380 +صنتي تقريبا قداش واحد صنتي relation مين بيحدها من + +194 +00:15:34,380 --> 00:15:40,560 +فوق ده فرق مثلة تفصلها عن ال optic chiasma + +195 +00:15:41,240 --> 00:15:45,280 +من تحت below sphenoid bone and sphenoid sinus + +196 +00:15:45,280 --> 00:15:48,580 +بيفصلها عن ال nasal pharynx عشان هيك لما يكون في + +197 +00:15:48,580 --> 00:15:51,760 +ورم في الغدة المخامية بيفوتوا approach بيفتحوش + +198 +00:15:51,760 --> 00:15:56,200 +الراس كله بيفوتوا عن طريق الأنف trans nasal trans + +199 +00:15:56,200 --> 00:15:58,980 +sphenoidal approach من طريق الأنف و عن طريق + +200 +00:15:58,980 --> 00:16:03,740 +sphenoid sinus on each side من الأطراف من الجناب + +201 +00:16:04,690 --> 00:16:09,770 +بحدهم الـ cavernous sinus و its contents و ال + +202 +00:16:09,770 --> 00:16:13,490 +contents الموجودين فيه مع مين مرتبط هذه الـ + +203 +00:16:13,490 --> 00:16:16,610 +Pituitary gland connected with Hypothalamus مع الـ + +204 +00:16:16,610 --> 00:16:22,970 +Hypothalamus بتنقسم لقسمين anterior loop بنسميها + +205 +00:16:22,970 --> 00:16:27,470 +adenohypophysis و posterior loop بنسميها + +206 +00:16:27,470 --> 00:16:29,490 +neurohypophysis + +207 +00:16:31,050 --> 00:16:35,530 +فهي ال pituitary gland مرتبط مع مين قلنا مع + +208 +00:16:35,530 --> 00:16:40,550 +الhypothalamus بيحدها من تحت sphenoid sinus و + +209 +00:16:40,550 --> 00:16:45,850 +sphenoid bone من أعلى فى ديافراج مثل هذه فصلها عن + +210 +00:16:45,850 --> 00:16:50,450 +ال optic chiasm on each side بيكون عندها ال + +211 +00:16:50,450 --> 00:16:53,450 +cavernous sinus and its contents + +212 +00:16:56,650 --> 00:17:00,570 +هنا واضح الصورة اللي هو ال posterior loop اللي هي + +213 +00:17:00,570 --> 00:17:04,350 +neurohypothesis و anterior loop اللي هي + +214 +00:17:04,350 --> 00:17:12,950 +adenohypothesis ال functions of pituitary gland ال + +215 +00:17:12,950 --> 00:17:15,430 +anterior and pituitary hormones اللي بيفرزوا من ال + +216 +00:17:15,430 --> 00:17:20,570 +anterior loop growth hormone، حرمون النمو، + +217 +00:17:20,570 --> 00:17:26,100 +prolactin hormone، حرمون الحليب، فالملكلو زاد + +218 +00:17:26,100 --> 00:17:33,540 +نسبته ممكن يصبح في حالات الورم البرولاكتينوما تدخم + +219 +00:17:33,540 --> 00:17:36,700 +او ورم في البرولاكتين سيلز اللي علاقة ب increase + +220 +00:17:36,700 --> 00:17:41,700 +in milk secretion STH Adrenocorticotropic hormone + +221 +00:17:41,700 --> 00:17:46,400 +اللي علاقة بالأدرينال جلاند TSH Thyroid + +222 +00:17:46,400 --> 00:17:49,520 +Stimulating Hormone اللي علاقة بموضوع الثيرويد + +223 +00:17:49,520 --> 00:17:56,830 +جلاند الغدادرقيةالـ H والـ FSH اللي هم علاقة بالـ + +224 +00:17:56,830 --> 00:18:05,870 +hormones بتاعين ال female hormones ال posterior + +225 +00:18:08,870 --> 00:18:11,950 +بتتري هرمون اللي بيفرزه من بستيرولوب يقول ان هم + +226 +00:18:11,950 --> 00:18:16,190 +اتنين هم اصلا بيفرزه من الهيبوثالمس و الهيبوثالمس + +227 +00:18:16,190 --> 00:18:20,990 +بيسلمهم لمن؟ لبتتري جلاند عبارة عن antidiuretic + +228 +00:18:20,990 --> 00:18:27,650 +hormone او vazopressin والثاني oxytocin + +229 +00:18:27,650 --> 00:18:33,570 +وهي واضح ان دي اللي هو بستيرولوب و الانتيرولوب وهي + +230 +00:18:33,570 --> 00:18:37,830 +الثالمس connection مع الثالمسهك بيكون خلصت موضوع + +231 +00:18:37,830 --> 00:18:41,770 +ال diencephalon دلوقت نتكلم على جزء الأخير من + +232 +00:18:41,770 --> 00:18:45,870 +المحاضرة اللي هو cerebellum cerebellum it is a + +233 +00:18:45,870 --> 00:18:52,860 +little brain لدينا مخ cerebrum ومخيخ cerebellumمن + +234 +00:18:52,860 --> 00:18:56,180 +الـ embryological origin it is largest part of + +235 +00:18:56,180 --> 00:19:01,220 +hindbrain، الـ hindbrain منقسم لقسمين، منقسم ل + +236 +00:19:01,220 --> 00:19:05,480 +metencephalon و myelencephalon، metencephalon + +237 +00:19:05,480 --> 00:19:09,980 +تعطينا cerebellum and pons و myelencephalon يعطينا + +238 +00:19:09,980 --> 00:19:15,250 +مدلة أبلانجةيبقى واضح، hindbrain أعطانا رومبون + +239 +00:19:15,250 --> 00:19:20,290 +سيفالون، رومبون سيفالون أعطانا متن سيفالون، والمتن + +240 +00:19:20,290 --> 00:19:23,390 +سيفالون هو اللي أعطى ال cerebellum and bones، وين + +241 +00:19:23,390 --> 00:19:27,550 +موجود ال cerebellum؟سيريبيلا موجود في الـ + +242 +00:19:27,550 --> 00:19:33,230 +posterior cranial fossa تحت + +243 +00:19:33,230 --> 00:19:40,190 +التنتوريوم سيريبيلاي و خلف الـ brain stem and + +244 +00:19:40,190 --> 00:19:43,790 +fourth ventricle يبقى ان هو بيجي خلف ال brain stem + +245 +00:19:43,790 --> 00:19:50,340 +ادق خلف ال pants و ال open medullaطب مين بيفصل ما + +246 +00:19:50,340 --> 00:19:54,980 +بين ال cerebellum و ال pons و الميدالة؟ بيفصل + +247 +00:19:54,980 --> 00:19:59,640 +بينهم اللي هو fourth ventricle طب من أعلى .. أعلى + +248 +00:19:59,640 --> 00:20:03,200 +بيكون في tentorium cerebelli تفصل عن إيه؟ عن اللي + +249 +00:20:03,200 --> 00:20:08,460 +هو ال cerebrum it is part of the brain located + +250 +00:20:08,460 --> 00:20:14,700 +dorsal or posterior to the pons and upper medulla + +251 +00:20:15,390 --> 00:20:19,950 +occupies most of the posterior cranial fossa موجود + +252 +00:20:19,950 --> 00:20:24,010 +في ال posterior cranial fossa and located also + +253 +00:20:24,010 --> 00:20:29,630 +below the tentorium cerebelli تعمل separation + +254 +00:20:29,630 --> 00:20:34,610 +between اللي هو إيه الcerebrum and cerebellum + +255 +00:20:34,610 --> 00:20:41,990 +shape الcerebellum عبارة عن global shaperelation + +256 +00:20:41,990 --> 00:20:48,090 +of cerebellum مين بيحد ال cerebellum من فوق؟ + +257 +00:20:48,090 --> 00:20:52,010 +tentorium cerebelli تفصل بين ال cerebellum below + +258 +00:20:52,010 --> 00:20:56,050 +and cerebrum above يبقى ال cerebrum يعتبر supra + +259 +00:20:56,050 --> 00:20:59,470 +tentorial والcerebellum infra tentorial هاي واحد + +260 +00:21:02,370 --> 00:21:06,870 +fourth ventricle بيعمل separation between the + +261 +00:21:06,870 --> 00:21:13,090 +cerebellum and pons و ال open مضلة يبقى ال fourth + +262 +00:21:13,090 --> 00:21:16,470 +ventricle بيفصل بين ال cerebellum ال cerebellum + +263 +00:21:16,470 --> 00:21:21,900 +بتكون خلفه و أمامه بيكون ال pons و ال open مضلةon + +264 +00:21:21,900 --> 00:21:26,040 +each side من الجانب اليمين و الشمال بيحضوا ال + +265 +00:21:26,040 --> 00:21:31,640 +mastoid antrum و بيحضوا اللي هو ال sigmoid dural + +266 +00:21:31,640 --> 00:21:39,020 +venous sinus هاي عندي واضح هنا tentorium cerebelli + +267 +00:21:39,020 --> 00:21:44,820 +هادي بتفصل من أعلى بين ال cerebellum تحتها و ال + +268 +00:21:44,820 --> 00:21:50,210 +cerebrum فوقهاو on each side بيكون sigmoid venous + +269 +00:21:50,210 --> 00:21:54,130 +sinus و ال mastoid antrum مش واضح كتير هنا و من + +270 +00:21:54,130 --> 00:21:59,290 +الأمام واضح هنا دي اللي هو ال fourth ventricle ال + +271 +00:21:59,290 --> 00:22:04,210 +fourth ventricle بيفصل بين ال cerebellum behind عن + +272 +00:22:04,210 --> 00:22:10,300 +ال palms و ال open medulla anteriorlyو above من + +273 +00:22:10,300 --> 00:22:13,840 +فوق بتكون ان ال tentorium cerebelli بتفصل ما بين + +274 +00:22:13,840 --> 00:22:20,380 +cerebellum below عن cerebrum above هاي واضح ال + +275 +00:22:20,380 --> 00:22:23,780 +fourth ventricle اللي هو بيفصل ما بين ال + +276 +00:22:23,780 --> 00:22:28,800 +cerebellum behind عن ال pons و ال upper medulla + +277 +00:22:28,800 --> 00:22:34,540 +anteriorly what's the functions of cerebellum؟ ايش + +278 +00:22:34,540 --> 00:22:39,100 +وظيفة ال cerebellum؟ اول شيءmaintain equilibrium + +279 +00:22:39,100 --> 00:22:45,100 +of the trunk العلاقة بعملية التوازن muscle tone + +280 +00:22:45,100 --> 00:22:48,820 +regulation regulation of muscle tone تلاثة + +281 +00:22:48,820 --> 00:22:53,980 +coordination and regulation of involuntary motor + +282 +00:22:53,980 --> 00:22:57,440 +activity انا بدي امسك القبرة بيدي it is fine + +283 +00:22:57,440 --> 00:22:58,220 +activity + +284 +00:23:00,610 --> 00:23:04,790 +زر الجميص fine activity يبقى أنا بتحكم فيهم صح لكن + +285 +00:23:04,790 --> 00:23:07,390 +لو عندي مشكلة في ال cerebellum بكون عندي ترنح و + +286 +00:23:07,390 --> 00:23:11,070 +dis coordination و في الحالة هذه ما بقدر أعمل + +287 +00:23:11,070 --> 00:23:17,610 +الحركات هذه بيحدث معايا tremor رشفة و هكذاماذا عن + +288 +00:23:17,610 --> 00:23:21,030 +نوكلياي الموجودين في الـ cerebellum؟ متذكرين الـ + +289 +00:23:21,030 --> 00:23:23,910 +cerebrum لما ناخدناه؟ اتكلمنا انه فيه بيزل نوكلياي + +290 +00:23:23,910 --> 00:23:28,730 +فيه بيزل نوكلياي الان لما ناخدنا الcerebrum كان + +291 +00:23:28,730 --> 00:23:31,630 +فيه بيزل نوكلياي الان لما نتكلم عن الcerebellum + +292 +00:23:31,630 --> 00:23:36,230 +فيه كمان نوكلياي ايش اسم النوكلياي؟ dented nucleus + +293 +00:23:36,230 --> 00:23:40,850 +اسمها dented لأن شكلها يسبب الأسنان مسننة مثل + +294 +00:23:40,850 --> 00:23:45,660 +الأسنان مثل إيه؟ الأسنان إيه العلاقة؟بـ + +295 +00:23:45,660 --> 00:23:49,340 +Coordination and Regulation of Voluntary Motor + +296 +00:23:49,340 --> 00:23:56,960 +Activity بـ Coordination + +297 +00:23:56,960 --> 00:23:57,520 +and Regulation of Voluntary Motor Activity بـ + +298 +00:23:57,520 --> 00:23:57,520 +Coordination and Regulation of Voluntary Motor + +299 +00:23:57,520 --> 00:23:57,640 +Activity بـ Coordination and Regulation of + +300 +00:23:57,640 --> 00:23:57,640 +Voluntary Motor Activity بـ Coordination and + +301 +00:23:57,640 --> 00:23:57,760 +Regulation of Voluntary Motor Activity بـ + +302 +00:23:57,760 --> 00:23:57,760 +Coordination and Regulation of Voluntary Motor + +303 +00:23:57,760 --> 00:23:57,760 +Activity بـ Coordination and Regulation of + +304 +00:23:57,760 --> 00:23:57,760 +Voluntary Motor Activity بـ Coordination and + +305 +00:23:57,760 --> 00:23:57,760 +Regulation of Voluntary Motor Activity بـ + +306 +00:23:57,760 --> 00:23:57,760 +Coordination and Regulation of Voluntary Motor + +307 +00:23:57,760 --> 00:23:57,760 +Activity بـ Coordination and Regulation of + +308 +00:23:57,760 --> 00:23:57,760 +Voluntary Motor Activity بـ Coordination and + +309 +00:23:57,760 --> 00:23:57,760 +Regulation of Voluntary Motor Activity بـ + +310 +00:23:57,760 --> 00:23:57,760 +Coordination and Regulation of Voluntary Motor + +311 +00:23:57,760 --> 00:23:58,320 +Activity بـ Coordination and Regulation of + +312 +00:23:58,320 --> 00:23:58,320 +Voluntary Motor Activity بـ Coordination and + +313 +00:23:58,320 --> 00:24:01,440 +Regulation of Voluntary Motor Activity بـ + +314 +00:24:01,440 --> 00:24:07,460 +Coordination + +315 +00:24:07,460 --> 00:24:11,640 +and Regulation + +316 +00:24:11,640 --> 00:24:14,200 +of Voluntary Motor Act + +317 +00:24:16,230 --> 00:24:20,270 +هي واضح أول نوكلياز ملاحظين أسنانها مثل الأسنان + +318 +00:24:20,270 --> 00:24:28,210 +سموها ايه؟ دنتيت نوكلياز دنتيت نوكلياز واضح؟ نفس + +319 +00:24:28,210 --> 00:24:32,730 +الأسنان سموها ايه؟ دنتيت نوكلياز النوع الثاني اللي + +320 +00:24:32,730 --> 00:24:40,030 +هو emboliform نوكلياز البعده globus نوكلياز وآخر + +321 +00:24:40,030 --> 00:24:42,150 +شئ fastigial نوكلياز + +322 +00:24:51,500 --> 00:24:56,220 +Cerebellar connections مع مين مرتبط الcerebellum؟ + +323 +00:24:56,220 --> 00:25:00,720 +On each side connected with the brainstem by three + +324 +00:25:00,720 --> 00:25:05,140 +peduncles يعني الcerebellar له three pairs of + +325 +00:25:05,140 --> 00:25:09,900 +peduncles، له ثلاث أزواج من ال peduncles، على ال + +326 +00:25:09,900 --> 00:25:13,880 +right و على ال left Superior cerebellar peduncles + +327 +00:25:13,880 --> 00:25:18,660 +مرتبطة مع ال midbrain Middle cerebellar peduncles + +328 +00:25:18,660 --> 00:25:23,950 +مرتبطة مع ال pantsو inferior cerebellar peduncles + +329 +00:25:23,950 --> 00:25:27,750 +مرتبطة مع الميدالا او بلانجاتا اكبر واحد في الحجم + +330 +00:25:27,750 --> 00:25:32,290 +فيهم اللي هو ال middle middle cerebellar peduncle + +331 +00:25:32,290 --> 00:25:41,030 +هاي واضح هان عندي superior + +332 +00:25:41,030 --> 00:25:44,150 +cerebellar + +333 +00:25:44,150 --> 00:25:50,920 +peduncle هانمدل .. لأ هنا inferior cerebellar + +334 +00:25:50,920 --> 00:25:55,960 +peduncles و الكبير هذا middle cerebellar peduncles + +335 +00:25:55,960 --> 00:26:00,440 +يبقى هذا superior هذا inferior هذا middle + +336 +00:26:00,440 --> 00:26:04,840 +cerebellar peduncles ال middle مرتبط مع مين؟ مع ال + +337 +00:26:04,840 --> 00:26:08,720 +pawns inferior مع ال medulla oblongata و ال + +338 +00:26:08,720 --> 00:26:12,460 +superior مرتبط مع مين؟ مع midbrain + +339 +00:26:15,620 --> 00:26:18,880 +لو طلعنا على external features of the cerebellum + +340 +00:26:18,880 --> 00:26:22,220 +باللاحظ + +341 +00:26:22,220 --> 00:26:26,360 +أنه ال cerebellar له right and left cerebellar + +342 +00:26:26,360 --> 00:26:30,720 +hemisphereو مرتبطين مع بعض عن طريق vermis اللي هو + +343 +00:26:30,720 --> 00:26:34,920 +ايه vermis superior و inferior anterior loop + +344 +00:26:34,920 --> 00:26:41,840 +posterior loop أو middle loop posterior loop او + +345 +00:26:41,840 --> 00:26:45,460 +middle loop و floculonodular loop + +346 +00:26:49,640 --> 00:26:53,460 +و posterior loop و follicular nodular loop ال + +347 +00:26:53,460 --> 00:26:57,720 +posterior loop بيسموه كمان middle loop بيسموه ايه + +348 +00:26:57,720 --> 00:27:00,640 +middle loop ليه middle loop لإنه بقع بين ال + +349 +00:27:00,640 --> 00:27:03,980 +anterior و follicular nodular loop و بيسموه + +350 +00:27:03,980 --> 00:27:07,020 +posterior لإنه بقع في الخلف خلف ال anterior loop + +351 +00:27:07,020 --> 00:27:12,190 +okay في primary فشرموجودة ال primary fissure + +352 +00:27:12,190 --> 00:27:17,130 +between the anterior and middle loop فيه تنزل on + +353 +00:27:17,130 --> 00:27:21,690 +each side of the inferior vermis فيه horizontal + +354 +00:27:21,690 --> 00:27:25,250 +fissure وفيه posterior lateral fissure ال + +355 +00:27:25,250 --> 00:27:28,370 +posterior lateral fissure بيجي بين flocular + +356 +00:27:28,370 --> 00:27:31,770 +nodular loop و ال posterior loop او ال middle loop + +357 +00:27:33,010 --> 00:27:37,730 +بوضح عندى cerebellar hemispheres وفي النص بينهم في + +358 +00:27:37,730 --> 00:27:42,430 +شي اسمه vermis هنا بوضح الأحمر ال anterior lobe + +359 +00:27:42,430 --> 00:27:46,930 +أمامي و الخلفي بيكون posterior lobe أو بنسميها + +360 +00:27:46,930 --> 00:27:50,270 +middle lobe ليه سميناها middle lobe لأنها بتقع بين + +361 +00:27:50,270 --> 00:27:53,950 +ال anterior lobe و flocular nodular lobes هذه ال + +362 +00:27:53,950 --> 00:27:57,270 +primary fissure ال primary fissure هذه شايفينها + +363 +00:27:57,270 --> 00:28:01,870 +هذه بتقع او بتفصل ما بين اللي هو + +364 +00:28:04,650 --> 00:28:09,630 +Anterior Loop وPosterior + +365 +00:28:09,630 --> 00:28:14,110 +Loop أو Middle Loop وفي عندي Horizontal Fissure + +366 +00:28:14,110 --> 00:28:17,470 +هذي موجودة Horizontal Fissure في Posterior Loop أو + +367 +00:28:17,470 --> 00:28:23,430 +في Middle Loop هذي تعتبر Anterior Loop هذي + +368 +00:28:23,430 --> 00:28:31,870 +Posterior Loop او Middle Loopطبعا نتكلم هنا عن الـ + +369 +00:28:31,870 --> 00:28:39,390 +External Features of the Cerebellum نكمل كمان هاي + +370 +00:28:39,390 --> 00:28:46,470 +واضح عندي الـ Tonsils هذا الـ Vermis هنا اللي هو + +371 +00:28:46,470 --> 00:28:52,930 +Posterolateral Fissure بفصل بين Fluculonodular + +372 +00:28:52,930 --> 00:28:58,230 +Loops والبوستيريولوب أو ال middle loopالفلوكولو + +373 +00:28:58,230 --> 00:29:02,730 +نودولار لوب بتكون من two flucolae حيوان فلوكولات و + +374 +00:29:02,730 --> 00:29:08,390 +حيوان و one nodule عشان هيك سموه فلوكولو نودولار + +375 +00:29:08,390 --> 00:29:16,790 +لوب بتكون من two flucolae و one nodule ال + +376 +00:29:16,790 --> 00:29:20,570 +sub divisions of cerebellum هنختلفوا العلماء في + +377 +00:29:20,570 --> 00:29:24,590 +تقسيم ال cerebellum الأخصائي بتاعي ال morphology + +378 +00:29:24,590 --> 00:29:31,380 +قالوا أن نقسمهلأ rightو left cerebellar + +379 +00:29:31,380 --> 00:29:37,220 +hemispheres و في النص median vermis يبقى لتعيين ال + +380 +00:29:37,220 --> 00:29:41,860 +morphology اختلفوا قالوا بدنا نجسمه ل ايه ل right + +381 +00:29:41,860 --> 00:29:45,060 +cerebellar hemispheres left cerebellar hemispheres + +382 +00:29:45,060 --> 00:29:48,480 +و median vermis في النص بتعيين ال Anatomy قالوا لأ + +383 +00:29:48,480 --> 00:29:51,340 +بدناش التقسيمة هذه مش عاجبانا مش ماشي معنا هذه + +384 +00:29:51,340 --> 00:29:54,320 +التقسيمة كيف بدنا نجسمه بتعيين ال Anatomy قالوا + +385 +00:29:54,320 --> 00:29:57,580 +نجسمه ل anterior loop بتكون أمام ال primary + +386 +00:29:57,580 --> 00:30:01,460 +fissureو posterior loop او middle loop اللي بتكون + +387 +00:30:01,460 --> 00:30:04,720 +محصورة ما بين ال primary fissure وال posterior + +388 +00:30:04,720 --> 00:30:09,580 +lateral sulcus يعني بتكون بين ال anterior loop و + +389 +00:30:09,580 --> 00:30:14,220 +flocculonodular loop و ثلاثة flocculonodular loop + +390 +00:30:14,220 --> 00:30:17,640 +تتكون من two flocculi و one nodule in the middle + +391 +00:30:18,470 --> 00:30:20,530 +بتاعين الفيسيولوجيا قالوا لأ مش معجبانة التقسيمة + +392 +00:30:20,530 --> 00:30:22,770 +هذه احنا ماعناش علاقة بتاعين الانتومي و المفروض + +393 +00:30:22,770 --> 00:30:25,010 +يجيبنا تقسيمة ثانية بتاعين الفيسيولوجيا قالوا + +394 +00:30:25,010 --> 00:30:31,850 +نقسمهم ل vestibular part أو أرشو سيرابيلام و باليو + +395 +00:30:31,850 --> 00:30:36,070 +سيرابيلام و نيو سيرابيلام حسب ال development هذه + +396 +00:30:36,070 --> 00:30:40,790 +الأقدمأول واحدة بتبدأ في الجنين بعده بيبدأ الـ + +397 +00:30:40,790 --> 00:30:43,810 +Paleocerebellum و الـ Neocerebellum أجدد أشي بتكون + +398 +00:30:43,810 --> 00:30:49,310 +في development of cerebellum جينا احنا حطنالكوا ال + +399 +00:30:49,310 --> 00:30:51,670 +physiological أو functional و anatomically + +400 +00:30:51,670 --> 00:30:54,470 +subdivision of cerebellum جمعناهم في slide واحد في + +401 +00:30:54,470 --> 00:30:58,770 +جدول عشان نوضحلكوا إياهم Flucular nodular loop + +402 +00:30:58,770 --> 00:31:02,240 +اللي فيه بتكون fastigial nucleusهو عبارة عن ايش من + +403 +00:31:02,240 --> 00:31:05,280 +ناحية فيسيولوجيا؟ هو عبارة عن vestibular part او + +404 +00:31:05,280 --> 00:31:08,480 +Arch Cerebellum يقول مين هو ال vestibular part او + +405 +00:31:08,480 --> 00:31:11,460 +ال Arch Cerebellum؟ هو في locular nodular loop + +406 +00:31:11,460 --> 00:31:17,660 +تمام it is oldest part of cerebellum اقدم واحد في + +407 +00:31:17,660 --> 00:31:22,100 +ال development طيب ال function تبعته maintain + +408 +00:31:22,100 --> 00:31:27,910 +equilibrium of the trunkلو حدث فيه lesion بيعملنا + +409 +00:31:27,910 --> 00:31:31,650 +tranquil attacks يعني standing and gate بيمشوا هو + +410 +00:31:31,650 --> 00:31:37,590 +ايش؟ زي ايه؟ drunken gate عدم اتزان عدم اتزان زي + +411 +00:31:37,590 --> 00:31:42,710 +ايه؟ الشربان الشارب خمر okay drunken gate النوع + +412 +00:31:42,710 --> 00:31:48,090 +الثاني anterior loop ال anterior loop فيها + +413 +00:31:48,090 --> 00:31:53,060 +emboliform globus nucleusمين بيقابلها من ناحية + +414 +00:31:53,060 --> 00:31:55,500 +physiology او functional area اللي هي + +415 +00:31:55,500 --> 00:32:01,020 +paleocerebellum من ناحية ال development it is the + +416 +00:32:01,020 --> 00:32:06,580 +next one next one طبعا ال function تبعته muscle + +417 +00:32:06,580 --> 00:32:10,760 +tone regulation muscle tone ايه regulation لو حدث + +418 +00:32:10,760 --> 00:32:16,770 +فيه lesionsmuscle hypotonia يبقى Legion of + +419 +00:32:16,770 --> 00:32:20,170 +cerebellum بيعطينا muscle hypotonia لو سألتكوا + +420 +00:32:20,170 --> 00:32:24,430 +سؤال متى راح يحدث muscle spasticity في حالات ال + +421 +00:32:24,430 --> 00:32:27,630 +cerebellar damage و لا عمره راح يكون عندهم مرضى ال + +422 +00:32:27,630 --> 00:32:30,510 +cerebellar damage spasticity لأن ال Legion بتاع ال + +423 +00:32:30,510 --> 00:32:36,340 +cerebellum بيكون عندهم muscle hypotoniaبوستيرولوب + +424 +00:32:36,340 --> 00:32:40,380 +أكبر واحد فيهم فيه دنتية نوكلياس مين بيقابلهم في + +425 +00:32:40,380 --> 00:32:45,020 +ال physiological subdivision نيو سيربيلا it is + +426 +00:32:45,020 --> 00:32:48,700 +most recent part of cerebellum واضيفته + +427 +00:32:48,700 --> 00:32:53,800 +coordination and regulation of fine voluntary + +428 +00:32:53,800 --> 00:32:58,660 +motor activity لو حدث lesion فيه بيعطينا ايه in + +429 +00:32:58,660 --> 00:33:01,920 +coordination of movement طب لو عجي سؤال مين هو ال + +430 +00:33:01,920 --> 00:33:07,040 +antireloopعالسرير بدنا نغز عليه paliocerebellum من + +431 +00:33:07,040 --> 00:33:10,040 +هو flaconal nodular loop? vestibular part او + +432 +00:33:10,040 --> 00:33:13,900 +archocerebellum من هو البوستيرو loop؟ النيو + +433 +00:33:13,900 --> 00:33:16,520 +سيربلون طب لو اتي سؤال ال middle loop نفس + +434 +00:33:16,520 --> 00:33:19,260 +البوستيرو ال middle loop او البوستيرو واحد تمام + +435 +00:33:19,260 --> 00:33:26,240 +البوستيرو و ال middle بيكونوا ايه؟ واحد okay + +436 +00:33:26,240 --> 00:33:32,190 +يبقى هنا عندي هذا ال anterior loopباليو سيرابيلام + +437 +00:33:32,190 --> 00:33:36,630 +هذا بوستيريول لوب نيو سيرابيلام وهذا الفلوكلر + +438 +00:33:36,630 --> 00:33:39,910 +نودلر لوب اللي عبارة عن ارشو سيرابيلام او + +439 +00:33:39,910 --> 00:33:44,390 +vestibular part of the cerebellum هنا بيكون عندي + +440 +00:33:44,390 --> 00:33:49,070 +ال dendrite جاي في ال posterior part في ال + +441 +00:33:49,070 --> 00:33:51,790 +anterior part بيكون ال globus ال nucleus + +442 +00:33:51,790 --> 00:33:56,650 +وemboliform nucleus وفي فلوكلر نودلر لوب بيكون + +443 +00:33:56,650 --> 00:34:01,990 +موجودة في استيجيال ال nucleusو لهذا بيكون وصلنا + +444 +00:34:01,990 --> 00:34:05,390 +لنهاية محاضرة أسبوع تالت اللي هو Anatomy and + +445 +00:34:05,390 --> 00:34:06,990 +physiology of cerebellum + diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/9BYPvHnoBXY_postprocess.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/9BYPvHnoBXY_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..7e200f1f8b31d5a27c0d0172dfabee849f24b769 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/9BYPvHnoBXY_postprocess.srt @@ -0,0 +1,1924 @@ +1 +00:00:05,670 --> 00:00:09,390 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:09,390 --> 00:00:14,170 +وبركاته محاضرة الأسبوع الثالث عشر رح تكون على + +3 +00:00:14,170 --> 00:00:17,190 +anatomy and physiology of the motor system ال + +4 +00:00:17,190 --> 00:00:20,870 +motor system مهم لكم جدا لذلك رح يتم شرحه في + +5 +00:00:20,870 --> 00:00:24,030 +أسبوعين جزء الأول في أسبوع الثالث عشر وجزء الثاني + +6 +00:00:24,030 --> 00:00:29,210 +في أسبوع الرابع عشر نبدأ بالمحاضرة ال motor system + +7 +00:00:29,210 --> 00:00:35,780 +what's the components of the motor systemمن ايش + +8 +00:00:35,780 --> 00:00:42,500 +بتكون ال motor system؟ اول شي بتكون من cortical + +9 +00:00:42,500 --> 00:00:46,740 +motor area cortical motor area يعني primary + +10 +00:00:46,740 --> 00:00:50,820 +cortical motor area اللي موجودة وين؟ pre central + +11 +00:00:50,820 --> 00:00:58,660 +gyrus area 4و secondary motor area، area رقم 6 + +12 +00:00:58,660 --> 00:01:04,180 +موجودة في frontal loop anterior to the precentral + +13 +00:01:04,180 --> 00:01:09,840 +gyrus and cortical association area دلول شئ بنتكلم + +14 +00:01:09,840 --> 00:01:16,620 +عن ال cortical motor area اتنين Basal nuclei اللي + +15 +00:01:16,620 --> 00:01:20,860 +هو جزء من ال extrapyramidal nervous system مثل ال + +16 +00:01:20,860 --> 00:01:26,670 +butamineglobus pallidus كوديت أميجدالويد نوكلياس + +17 +00:01:26,670 --> 00:01:34,490 +وإكلاوسر سيريبيلا brain + +18 +00:01:34,490 --> 00:01:39,330 +stem جداد دماغ spinal cord أنا بتكلم عن الأجزاء + +19 +00:01:39,330 --> 00:01:43,330 +اللي هقولها قبل motor ليالي ال brain stem موجود في + +20 +00:01:43,330 --> 00:01:45,950 +فقط motor موجود في sensor انا بتكلم عن الأجزاء + +21 +00:01:45,950 --> 00:01:52,660 +اللي بتخص motor spinal cordبريفيرال موتور فايرز + +22 +00:01:52,660 --> 00:01:58,460 +برفيرال موتور نيرف فايرز لأن ال nerve فيه sensory + +23 +00:01:58,460 --> 00:02:00,740 +fibers و فيه autonomic fibers أنا بتكلم عن ال + +24 +00:02:00,740 --> 00:02:04,800 +motor fibers ال neuromuscular junction ال + +25 +00:02:04,800 --> 00:02:08,920 +neuromuscular junction and muscle and muscle + +26 +00:02:08,920 --> 00:02:11,980 +what's + +27 +00:02:11,980 --> 00:02:16,100 +the components of the extrapyramidal motor system + +28 +00:02:17,480 --> 00:02:23,060 +Extrapyramidal motor system بدخل فيها بيزال + +29 +00:02:23,060 --> 00:02:27,600 +نوكلياي كودات نوكلياس بيوتامين جلوباس بيضاس + +30 +00:02:27,600 --> 00:02:31,520 +كلاوستروم اميجدالويد نوكلياس كله يعتبر بيزال + +31 +00:02:31,520 --> 00:02:38,810 +نوكليايsubthalamus سيعتبر جزء من وين؟ من ديان + +32 +00:02:38,810 --> 00:02:42,810 +سيفرون، متذكرين ديان سيفرون؟ ثلامس، هيبوثلامس، + +33 +00:02:42,810 --> 00:02:45,470 +سبثلامس، ميتاثلامس، إيبيثالامس، يبقى ال + +34 +00:02:45,470 --> 00:02:49,390 +subthalamus سيعتبر جزء من وين؟ من ديان سيفرون، و + +35 +00:02:49,390 --> 00:02:54,990 +ال thalamus نفس الشيء جزء من ايه؟ من ديان سيفرون + +36 +00:02:55,700 --> 00:03:00,140 +Substantia Negra هي جزء من الـ Extra Pyramidal + +37 +00:03:00,140 --> 00:03:06,560 +Nervous System وموجودة في الـ Midbrain + +38 +00:03:06,560 --> 00:03:11,680 +Substantia + +39 +00:03:11,680 --> 00:03:17,670 +Negra تفرز مادة الدوبانين في حال حدث نقصفي مادة + +40 +00:03:17,670 --> 00:03:22,750 +الدوبامين المريض بنتج عنده مرض اسمه Parkinson + +41 +00:03:22,750 --> 00:03:28,650 +disease او shaking palsy مرض شفالة الرعاش او مرض + +42 +00:03:28,650 --> 00:03:34,250 +Parkinson Red nucleus موجود كمان في ال middle + +43 +00:03:34,250 --> 00:03:39,730 +brain ويلها دور في الموضوع اللي هو extrapyramidal + +44 +00:03:39,730 --> 00:03:46,730 +nervous systemclinical correlation of the + +45 +00:03:46,730 --> 00:03:53,150 +extrapyramidal nervous system ليه لهم ملاقاة ببعض + +46 +00:03:53,150 --> 00:03:58,930 +الأمراض البركنسون disease هو يعتبر degeneration + +47 +00:03:58,930 --> 00:04:04,270 +and depigmentation of neurons in the substantia + +48 +00:04:04,270 --> 00:04:07,070 +nigra مرض البركنسون راح ناخده في سنة رابعة في + +49 +00:04:07,070 --> 00:04:14,040 +المحاضرةبيحدث neurodegenerative changes in the + +50 +00:04:14,040 --> 00:04:19,020 +substantia nigra اللي بتفرز مادة إيه؟ الدوبامين + +51 +00:04:19,020 --> 00:04:21,720 +يجب أن يكون Parkinson disease يعتبر it chronic + +52 +00:04:21,720 --> 00:04:27,120 +slowly progressive neurodegenerative disorder + +53 +00:04:27,120 --> 00:04:35,960 +characterized by loss of pigmented neurons in the + +54 +00:04:35,960 --> 00:04:41,590 +substantia nigraيقول هو بيحدث ايه loss of + +55 +00:04:41,590 --> 00:04:46,430 +pigmented neurons in substantia negra هذا المرض + +56 +00:04:46,430 --> 00:04:50,730 +يؤدي الى ايه براديكينيزيا او هيبوكينيزيا بتقف + +57 +00:04:50,730 --> 00:04:58,330 +الحركة muscle rigidity breast tremor بس شغل + +58 +00:04:58,330 --> 00:05:03,470 +instability كل هذه أعراض لإيه أعراض لموضوع اللي هو + +59 +00:05:03,470 --> 00:05:09,120 +Parkinson disease اثنينHuntington's disease أو + +60 +00:05:09,120 --> 00:05:14,560 +كوريةتعتبر autosomal dominant أو دائر رقص بيكون + +61 +00:05:14,560 --> 00:05:20,060 +المرضو ماشي مثل برقص دائر رقص autosomal dominant + +62 +00:05:20,060 --> 00:05:25,500 +movement disorder associated with severe + +63 +00:05:25,500 --> 00:05:33,140 +degeneration of the cholinergic and GABAergic + +64 +00:05:33,140 --> 00:05:40,770 +neurons تمام؟ يبقى ان هو اعتبر العلاقة بالـ GABAهو + +65 +00:05:40,770 --> 00:05:46,750 +بال كولينيرجيك تمام which are located in the + +66 +00:05:46,750 --> 00:05:50,910 +caudate nucleus and butamine يقول هذا المرض بيكون + +67 +00:05:50,910 --> 00:05:57,970 +عندهم كورية and dementia and dementia ونتج عن ايه؟ + +68 +00:05:57,970 --> 00:06:04,530 +degeneration في الكولينيرجيك والقعبة هذا قعبة + +69 +00:06:04,530 --> 00:06:06,170 +amino biotic acid + +70 +00:06:15,630 --> 00:06:22,210 +باليزمس أو هيبو باليزمس هذا أكتر شيء ممكن تشوفه في + +71 +00:06:22,210 --> 00:06:25,590 +حالات ischemic infarction لما يحدث ischemic + +72 +00:06:25,590 --> 00:06:30,770 +infarction في شيء اسمه Lewis body نوكلياس موجودة + +73 +00:06:30,770 --> 00:06:34,450 +في ال subthalamus تؤدي إلى إيه باليزمس أو + +74 +00:06:34,450 --> 00:06:38,670 +hemibalism involuntary movementفي مواضع آخر + +75 +00:06:40,480 --> 00:06:45,220 +Hepatolenticular Degeneration أو بنسميه ويلسون + +76 +00:06:45,220 --> 00:06:51,500 +ديزيز مرض ويلسون هذا المرض سموه Hepatolenticular + +77 +00:06:51,500 --> 00:06:55,180 +Degeneration لإنه بيصيب اللفر وبيصيب البيزا + +78 +00:06:55,180 --> 00:06:59,320 +النوكلياي لينتيفور النوكلياس بيحدث accumulation of + +79 +00:06:59,320 --> 00:07:03,040 +copper والمشكلة المشكلة في انزايم اسمه + +80 +00:07:03,040 --> 00:07:06,900 +الceruloplasmin هذا الceruloplasmin بيحدث في + +81 +00:07:06,900 --> 00:07:10,300 +mutation أو تسمى ال recessive diseaseو + +82 +00:07:10,300 --> 00:07:15,080 +سيرولفلازمين وظيفته هي عمل binding مع القبر تتحد + +83 +00:07:15,080 --> 00:07:18,380 +مع النحاس و بيخرجوا معه البعوض بيخرجوا معه عصارة + +84 +00:07:18,380 --> 00:07:25,280 +المرارمن الكبد لكن في حال ان في mutation في هذا ال + +85 +00:07:25,280 --> 00:07:32,560 +enzyme بيحدث block و عدم مقدرة من الاتحاد مع القبر + +86 +00:07:32,560 --> 00:07:36,900 +و بيحدث accumulation للقبر في ال body و القبر راح + +87 +00:07:36,900 --> 00:07:40,560 +يكون في ال liver و ال base النوكلياي و ال other + +88 +00:07:40,560 --> 00:07:45,660 +organs type + +89 +00:07:45,660 --> 00:07:50,490 +of body movementsالان ايش ال body movements في + +90 +00:07:50,490 --> 00:07:56,190 +autonomous او reflex movement انا بعمل حركات + +91 +00:07:56,190 --> 00:07:59,370 +reflex بدون إرادة بدون إرادة يعني هذا بيسميه + +92 +00:07:59,370 --> 00:08:05,410 +involuntary movement او postural without او او + +93 +00:08:05,410 --> 00:08:08,970 +بيسميه withdrawal reflex withdrawal reflex يعني + +94 +00:08:08,970 --> 00:08:14,890 +انا بعملها بدون ما .. تمام؟ هذه حركات لا إرادية + +95 +00:08:14,890 --> 00:08:21,730 +حركات لا إراديةوفي rhythmic voluntary movement مثل + +96 +00:08:21,730 --> 00:08:25,730 +ال chewing و walking هذه حركات إرادية أنا بدأ + +97 +00:08:25,730 --> 00:08:30,490 +اتحرك اتحرك مشيت وقفت خلاص يقول هذه voluntary + +98 +00:08:30,490 --> 00:08:39,290 +movement انا بتحكم فيها هذه الحركات the + +99 +00:08:39,290 --> 00:08:43,990 +anterior horn cells في ال spinal cord في anterior + +100 +00:08:43,990 --> 00:08:48,820 +horn cellsهذه الـ anterior horn cells الـ main + +101 +00:08:48,820 --> 00:08:53,940 +function بتاعتها motor main function لها motor الـ + +102 +00:08:53,940 --> 00:08:57,900 +anterior horn cells consist of motor cells يبقى + +103 +00:08:57,900 --> 00:09:02,360 +فيها أيه؟ motor cells الـ anterior horn cells + +104 +00:09:02,360 --> 00:09:09,840 +موجود فيها medial group nuclei central group + +105 +00:09:09,840 --> 00:09:16,670 +nucleiand lateral group nuclei يعني الانتريو + +106 +00:09:16,670 --> 00:09:21,370 +الهورون سيلز فيها كام مجموعة تلاتة ميديالي جروب + +107 +00:09:21,370 --> 00:09:29,390 +central group and lateral group نبدأ بالميديالي + +108 +00:09:29,390 --> 00:09:35,890 +جروب الميديالي جروب موجودين في كل spinal cordأضاء + +109 +00:09:35,890 --> 00:09:39,630 +ال mediary group في ال thoracic segment بنجسمه + +110 +00:09:39,630 --> 00:09:45,150 +لventromedial and dorsomedial مسؤولين عن مين؟ عن + +111 +00:09:45,150 --> 00:09:51,630 +عضلات ال trunk supply the muscle of trunk علاقة في + +112 +00:09:51,630 --> 00:09:57,010 +عضلات ايه لل trunk؟ Central group موجودين مين؟ في + +113 +00:09:57,010 --> 00:10:04,330 +ال upper cervical part في C1 و C4مسؤولين عن مين؟ + +114 +00:10:04,330 --> 00:10:10,090 +بيعطوا fibers لـ pharynx nerve و spinal accessory + +115 +00:10:10,090 --> 00:10:14,010 +nerve يكون هذين المسؤولين عن مين؟ عن pharynx nerve + +116 +00:10:14,010 --> 00:10:18,870 +لدي أفراد و spinal accessory nerve اللي بيغدى + +117 +00:10:18,870 --> 00:10:24,070 +trapezius muscle and sternocleidomastoid muscle + +118 +00:10:24,070 --> 00:10:30,320 +lateral groupمن جسم الـVentral Lateral وDorsal + +119 +00:10:30,320 --> 00:10:33,940 +Lateral هذين الموجودين في lower cervical في ال + +120 +00:10:33,940 --> 00:10:39,560 +lumber في ال upper segment of sacral مسئولين عن + +121 +00:10:39,560 --> 00:10:46,720 +ايه؟ عن ال upper و lower limb muscle هي ال medial + +122 +00:10:46,720 --> 00:10:50,200 +group muscle مسئولة عن ال trunk و ال abdominal + +123 +00:10:50,200 --> 00:10:55,630 +muscleCentral group مسئولة عن Pharynx أو + +124 +00:10:55,630 --> 00:10:59,010 +Diaphragmatic nerve و Spinal accessory nerve + +125 +00:10:59,010 --> 00:11:03,010 +بيغدوا ال Diaphragm و Trapezius muscle و + +126 +00:11:03,010 --> 00:11:08,870 +Sternocleidomastoid muscle و Lateral group اللي من + +127 +00:11:08,870 --> 00:11:13,910 +جسمه ليه جسمين Dorsolateral و Ventrolateral هذول + +128 +00:11:13,910 --> 00:11:17,270 +بيغدون مسئولين عن ال Upper و Lower limb muscles + +129 +00:11:19,990 --> 00:11:24,530 +rule the spinal cord in motor function ايش وظيفة + +130 +00:11:24,530 --> 00:11:27,530 +ال spinal cord ايش وظيفة هذه ال anterior horn + +131 +00:11:27,530 --> 00:11:35,090 +cells اتفقنا في ال spinal cord في motor neurons + +132 +00:11:35,090 --> 00:11:38,970 +وين موجودين ال motor neurons موجودين في ال + +133 +00:11:38,970 --> 00:11:44,250 +anterior horn cells يبقى ال main function of the + +134 +00:11:44,250 --> 00:11:52,040 +anterior horn cells is motor functionفي نوعين من + +135 +00:11:52,040 --> 00:11:58,460 +الـ neurons في Alpha Motoneuron وفي Gamma + +136 +00:11:58,460 --> 00:12:05,510 +Motoneuron Alpha Motoneuronit is large type يعني + +137 +00:12:05,510 --> 00:12:10,190 +give rise to large type a alpha motoneuron fibers + +138 +00:12:10,190 --> 00:12:15,330 +مسئول عن مين؟ عن stimulation of the muscle fibers + +139 +00:12:15,330 --> 00:12:20,430 +يبدأ النوع الأول alpha motoneuron مسئول عن ال + +140 +00:12:20,430 --> 00:12:25,110 +large type a alpha وبيغدئنا ومسئول عن ايه؟ عن + +141 +00:12:25,110 --> 00:12:30,380 +stimulation of muscle fibers النوع الثانيGamma + +142 +00:12:30,380 --> 00:12:35,820 +Motoneuron Gamma Motoneuron هدول بيروح مع مين؟ مع + +143 +00:12:35,820 --> 00:12:43,040 +small of type A Gamma وظيفتهم control the muscle + +144 +00:12:43,040 --> 00:12:46,040 +tone يبقى ال small fibers اللي ملاقة بال + +145 +00:12:46,040 --> 00:12:51,240 +regulation of muscle tone أما ال large fibers اللي + +146 +00:12:51,240 --> 00:12:56,300 +بيجوا من Alpha Motoneuron اللي ملاقة ب stimulation + +147 +00:12:56,300 --> 00:13:01,660 +of muscle fibersيكون أول نوع موتو نيرونز موجودين + +148 +00:13:01,660 --> 00:13:08,660 +في انتريو هور سيلزاللغة الثانية Inter neurons + +149 +00:13:08,660 --> 00:13:15,400 +Inter neurons أو بنسميهم Intermediate Intermediate + +150 +00:13:15,400 --> 00:13:19,480 +neurons هدول ال Inter neurons او ال Intermediate + +151 +00:13:19,480 --> 00:13:24,520 +neurons وموجودين موجودين between the sensory + +152 +00:13:24,520 --> 00:13:28,740 +neurons and motor بين ال sensory و الموتر يعني + +153 +00:13:28,740 --> 00:13:36,220 +بلغة ثانية موجودين بينبستيريور هور سيلز وانتيريور + +154 +00:13:36,220 --> 00:13:40,940 +هور سيلز ماهي المشكلة الرئيسية لهم؟ المشكلة + +155 +00:13:40,940 --> 00:13:45,820 +الرئيسية رفليكس سينتر مثلما اتفقنا انتر ميديات + +156 +00:13:45,820 --> 00:13:49,640 +ايريا وين موجودين بين الفنترال و الدورسل هورس او + +157 +00:13:49,640 --> 00:13:54,400 +بين الانتيريور بستيريور هورس المشكلة الرئيسية هي + +158 +00:13:55,560 --> 00:13:59,920 +Excitatory for Integrative Function of the Spinal + +159 +00:13:59,920 --> 00:14:05,380 +Cord يعتبره Integrative Function أو Reflex Center + +160 +00:14:05,380 --> 00:14:07,480 +وظيفتهم Reflex Center + +161 +00:14:26,330 --> 00:14:29,810 +بال motor fibers تعمل contraction of the muscle + +162 +00:14:29,810 --> 00:14:34,750 +وبيحظف عنها reflex لازم + +163 +00:14:34,750 --> 00:14:39,630 +نتكلم على شي اسمه pyramidal attract ايش هو + +164 +00:14:39,630 --> 00:14:44,930 +pyramidal attract؟ pyramidal attract contains + +165 +00:14:44,930 --> 00:14:50,710 +about one million nerve fibers في one million + +166 +00:14:50,710 --> 00:14:57,430 +nerve fibersit is the longest nerve fibers in the + +167 +00:14:57,430 --> 00:15:02,750 +body و أطول nerve fibers أو أطول tract في الجسم هو + +168 +00:15:02,750 --> 00:15:07,490 +مين؟ بيرامي ده ال tract من وين ببدأ؟ ال origin + +169 +00:15:07,490 --> 00:15:12,560 +بتاعه ببدأ من حاجة اسمها بت ال cellsموجودة في ال + +170 +00:15:12,560 --> 00:15:17,160 +internal pyramidal layer يعني أي طبقة في الطبقة + +171 +00:15:17,160 --> 00:15:21,420 +الخامسة من ال cortex في ال internal pyramidal + +172 +00:15:21,420 --> 00:15:25,240 +layer من ايش بتكون ال cortex في الhistology بتكون + +173 +00:15:25,240 --> 00:15:31,300 +من six layers اول layer molecular layer ثاني layer + +174 +00:15:31,300 --> 00:15:38,020 +external granular layer ثالثExternal Pyramidal + +175 +00:15:38,020 --> 00:15:44,240 +Layer رابع Internal Granular Layer خامس Ganglionic + +176 +00:15:44,240 --> 00:15:48,400 +Layers أو Internal Pyramidal Layer من الـ Internal + +177 +00:15:48,400 --> 00:15:53,260 +Pyramidal Layer بيبدأ بثسلز اللي هم مسئولين عن او + +178 +00:15:53,260 --> 00:15:57,660 +هم يعتبروا بداية ايه؟ Pyramidal Retract وآخر شي + +179 +00:15:57,660 --> 00:16:02,920 +Multiform Layers هذه ال layers هم layers of + +180 +00:16:02,920 --> 00:16:04,560 +cerebral cortex + +181 +00:16:07,390 --> 00:16:11,550 +الشيء الثاني لما اتكلمنا عن ال cortex سراحتلكم + +182 +00:16:11,550 --> 00:16:20,590 +الإنسان بيكون عنده في + +183 +00:16:20,590 --> 00:16:32,450 +الدماغ أو بيكون موجود في الدماغ كذا الرأس تحت ال + +184 +00:16:32,450 --> 00:16:38,360 +upper limbs في المصر وال lower limbs فوقيعني في ال + +185 +00:16:38,360 --> 00:16:42,440 +upper one third بيكون ال lower limbs في ال middle + +186 +00:16:42,440 --> 00:16:47,740 +one third بيكون ال upper limbs و ال trunk في ال + +187 +00:16:47,740 --> 00:16:55,810 +lower one third بيكون ال head و ال neckهذا نسميه + +188 +00:16:55,810 --> 00:17:00,210 +somatotopy cortical somatotopy يعني لو إنسان أجال + +189 +00:17:00,210 --> 00:17:05,010 +التيومغ في ال upper part بيحدث weakness في ال + +190 +00:17:05,010 --> 00:17:08,370 +opposite lower limb في ال middle على ال upper limb + +191 +00:17:08,370 --> 00:17:12,170 +في ال lower part على ال face و ال head okay + +192 +00:17:12,170 --> 00:17:19,460 +ملاحظين هنا هذه sensory area وهذه motor areaوين ال + +193 +00:17:19,460 --> 00:17:23,200 +lower limbs؟ بتكون فوق بعدها بيجيهش ال upper limbs + +194 +00:17:23,200 --> 00:17:26,540 +بعدها بيجيه ال head و ال neck هذا ال sensor نفس + +195 +00:17:26,540 --> 00:17:30,960 +الشيء في ال motor هنا ايه؟ upper limb هنا lower + +196 +00:17:30,960 --> 00:17:34,360 +limb بتكون في ال upper part في ال middle part ال + +197 +00:17:34,360 --> 00:17:37,040 +upper limbs و ال head في ال lower part بيكون عندي + +198 +00:17:37,040 --> 00:17:40,920 +مين؟ عندي ال face هي هم هنا يعني بيكون هنا عندي + +199 +00:17:40,920 --> 00:17:48,420 +lower limbs upper limbs و trunk و هنا ال head و ال + +200 +00:17:48,420 --> 00:17:56,560 +faceهكذا يكون الإنسان موجود في الـ cerebral cortex + +201 +00:17:56,560 --> 00:18:05,220 +البيرامي + +202 +00:18:05,220 --> 00:18:12,260 +ده ال tract بيرامي ده ال tract نرسمه هنا نخططه مع + +203 +00:18:12,260 --> 00:18:12,620 +بعض + +204 +00:18:19,940 --> 00:18:28,040 +هي عندي بيرامدال + +205 +00:18:28,040 --> 00:18:31,680 +track + +206 +00:18:31,680 --> 00:18:35,480 +بيرامدال + +207 +00:18:35,480 --> 00:18:43,440 +track من القسم لقسمين القسم لقسمين اول + +208 +00:18:43,440 --> 00:18:49,180 +قسم بنسميه cortico spinal + +209 +00:18:52,560 --> 00:19:00,180 +القسم الثاني كورتيكو + +210 +00:19:00,180 --> 00:19:09,200 +نوكليار تراكت او كورتيكو بالبر + +211 +00:19:17,420 --> 00:19:21,860 +الجزء الأول كورتيكو spinal tract والجزء الثاني + +212 +00:19:21,860 --> 00:19:24,200 +كورتيكو نوكليار أو كورتيكو بلبر + +213 +00:19:35,420 --> 00:19:41,380 +الـ Corticonuclear tract قسمين و Corticospinal + +214 +00:19:41,380 --> 00:19:47,400 +tract قسمين من اسمه Corticonuclear tract + +215 +00:19:47,400 --> 00:19:51,420 +Corticonuclear tract ايه راح يكون اي حالة + +216 +00:19:51,420 --> 00:20:01,180 +Corticonuclear tract؟ بيعطينا fibers لمن؟ لانتريو + +217 +00:20:02,580 --> 00:20:11,160 +هو cells in the spinal cord من هنا نسمو Cortico-H + +218 +00:20:11,160 --> 00:20:14,820 +spinal يعني بيبدأ من ال cortex و بنتهي وين في ال + +219 +00:20:14,820 --> 00:20:21,840 +spinal طب و Cortico نوكليا بيعطينا fibers لمن؟ + +220 +00:20:21,840 --> 00:20:28,040 +to motor nuclei + +221 +00:20:28,040 --> 00:20:31,760 +in the brain stem + +222 +00:20:35,500 --> 00:20:47,520 +موتور نوكلياي of cranial nerve of cranial + +223 +00:20:47,520 --> 00:20:52,340 +nerve in + +224 +00:20:52,340 --> 00:21:00,060 +the brain السم تمام + +225 +00:21:04,430 --> 00:21:14,250 +Corticospinal tract تنقسم لقسمين Lateral + +226 +00:21:14,250 --> 00:21:17,970 +Corticospinal + +227 +00:21:17,970 --> 00:21:25,810 +tract و Ventral Corticospinal + +228 +00:21:25,810 --> 00:21:26,470 +tract + +229 +00:21:30,280 --> 00:21:34,280 +طبعا القسم القسمين lateral corticospinal tract and + +230 +00:21:34,280 --> 00:21:37,540 +ventral corticospinal tract lateral corticospinal + +231 +00:21:37,540 --> 00:21:43,300 +tract supply supply + +232 +00:21:43,300 --> 00:21:52,420 +the upper limbs and lower limbs أما ال ventral + +233 +00:21:52,420 --> 00:21:57,500 +corticospinal tract supply اللي هو + +234 +00:22:04,260 --> 00:22:09,520 +trunk and abdominal + +235 +00:22:09,520 --> 00:22:14,980 +muscle يبقى + +236 +00:22:14,980 --> 00:22:19,620 +في عندي اللي هو ال ventral tract أو ventral + +237 +00:22:19,620 --> 00:22:21,880 +corticospinal tract هيكون مسؤولة عن ال respiratory + +238 +00:22:21,880 --> 00:22:25,640 +عن ايه respiratory muscle قال cortico + +239 +00:22:28,610 --> 00:22:31,350 +Bulbar tract راح ينقسم ل .. او corticonuclear + +240 +00:22:31,350 --> 00:22:36,590 +tract راح ينقسم لقسمين القسم + +241 +00:22:36,590 --> 00:22:43,930 +الأول اسمه lateral نفس الشيء corticonuclear tract + +242 +00:22:43,930 --> 00:22:50,030 +والثاني medial corticonuclear + +243 +00:22:50,030 --> 00:22:56,630 +tract ال medial corticonuclear tract سهل supply + +244 +00:22:59,180 --> 00:23:07,700 +أو give fibers to + +245 +00:23:07,700 --> 00:23:20,300 +ocular nuclei اللي هم العصب الثالث والرابع والسادس + +246 +00:23:20,300 --> 00:23:22,560 +from + +247 +00:23:26,510 --> 00:23:31,150 +both cerebral hemisphere يعني ال media الكورتيكو + +248 +00:23:31,150 --> 00:23:33,990 +نوكليار ترياكت بيعطي ال نوكليار ساعة ال اوكلاموتر + +249 +00:23:33,990 --> 00:23:37,310 +و تروكليا و الابدوسنت على ال both side بيبقى على + +250 +00:23:37,310 --> 00:23:39,450 +ال right و على ال left و ال left بيعطي right left + +251 +00:23:39,450 --> 00:23:42,630 +و هكذا يعني ال نوكليار of اوكلاموتر تروكليا و + +252 +00:23:42,630 --> 00:23:46,110 +الابدوسنت بياخده من ال both cerebral hemisphere طب + +253 +00:23:46,110 --> 00:23:52,590 +ال lateral كورتيكو نوكليار ترياكت بيعطي + +254 +00:23:52,590 --> 00:23:53,750 +لالموتر + +255 +00:23:55,610 --> 00:24:04,570 +Nuclei of Trigeminal + +256 +00:24:04,570 --> 00:24:09,750 +nerve Dorsal + +257 +00:24:09,750 --> 00:24:17,170 +facial nerve Glucopharyngeal, + +258 +00:24:17,770 --> 00:24:22,490 +vagus و cranial accessory اللي له علاقة بامبيغاس + +259 +00:24:22,490 --> 00:24:23,010 +نوكلياس + +260 +00:24:29,020 --> 00:24:36,020 +cranial accessory from both cerebral hemisphere + +261 +00:24:36,020 --> 00:24:46,500 +and وبيعطي كمان two ventral nucleus + +262 +00:24:46,500 --> 00:24:55,440 +of facial nerve فاصلة وhypoglossal nerve + +263 +00:24:55,440 --> 00:24:57,680 +hypoglossal nucleus + +264 +00:25:01,760 --> 00:25:07,360 +only from opposite side + +265 +00:25:12,120 --> 00:25:17,500 +يعني هنا شرحنا لكم مخطط بتاع بيرامدال إتراكت شرحنا + +266 +00:25:17,500 --> 00:25:21,220 +لكم مخطط بتاع بيرامدال إتراكت هنا موجود بس مش واضح + +267 +00:25:21,220 --> 00:25:24,900 +كتير في الورقة اللي أنا صورتلكوا إياها هنا رسمنا + +268 +00:25:24,900 --> 00:25:28,620 +لكوا إياها وخططتوا لكم ال بيرامدال إتراكت بنقسم + +269 +00:25:28,620 --> 00:25:34,140 +لجزئين الجزء الأول corticospinal tractوجزء ثاني + +270 +00:25:34,140 --> 00:25:36,600 +Corticobulbar او Corticonuclear tract + +271 +00:25:36,600 --> 00:25:39,740 +Corticospinal tract يبدأ من الكورتكس وينتهي في + +272 +00:25:39,740 --> 00:25:44,060 +spinal cord يعني بيعطي fibers للانترال وحسل في + +273 +00:25:44,060 --> 00:25:49,540 +spinal cord و Corticobulbar tract بيعطي fibers to + +274 +00:25:49,540 --> 00:25:53,760 +motor nuclei of the cranial nerves in the brain + +275 +00:25:53,760 --> 00:25:58,860 +stem in the brain stem okay Corticospinal tract + +276 +00:25:58,860 --> 00:26:05,610 +بنقسم لقسمينLateral corticospinal tract بيمر في ال + +277 +00:26:05,610 --> 00:26:11,190 +lateral column of spinal cord و بيغضي ال upper و + +278 +00:26:11,190 --> 00:26:16,070 +lower limbsوventral corticospinal tract supply + +279 +00:26:16,070 --> 00:26:21,730 +trunk and abdominal muscle بمار وين في الventral + +280 +00:26:21,730 --> 00:26:25,870 +column of spinal cord نيجي ل Corticobulbar tract + +281 +00:26:25,870 --> 00:26:31,490 +بنقسم لقسمين lateral corticonuclear tract and + +282 +00:26:31,490 --> 00:26:36,270 +medial corticonuclear tract ال medial + +283 +00:26:36,270 --> 00:26:37,810 +corticonuclear tract + +284 +00:26:47,600 --> 00:26:50,800 +النوكليارات بتاعتهم موجودة في برهين السم نوكلياس + +285 +00:26:50,800 --> 00:26:53,640 +او اوكولا نوكلياس او اوكولا نوكلياس او اوكولا + +286 +00:26:53,640 --> 00:26:55,860 +نوكلياس او اوكولا نوكلياس او اوكولا نوكلياس او + +287 +00:26:55,860 --> 00:26:57,280 +اوكولا نوكلياس او اوكولا نوكلياس او اوكولا نوكلياس + +288 +00:26:57,280 --> 00:26:58,920 +او اوكولا نوكلياس او اوكولا نوكولا نوكولا نوكولا + +289 +00:26:58,920 --> 00:27:04,480 +نوكولا نوكولا نوكولا نوكولا نوكولا نوكولا نوكولا + +290 +00:27:04,480 --> 00:27:05,610 +نوكولا نوكولا نوكولا نوكولا نوكولا نوكولا نووالـ + +291 +00:27:05,610 --> 00:27:09,190 +left بيقوط left و بيقوط right يعني ال nucleus + +292 +00:27:09,190 --> 00:27:14,030 +بتاعة ال motor nuclei of the ocular nerve received + +293 +00:27:14,030 --> 00:27:17,950 +fibers from the corticonuclear tract أيه واحد + +294 +00:27:17,950 --> 00:27:22,530 +فيهم؟ from the medial corticonuclear tract from + +295 +00:27:22,530 --> 00:27:27,020 +both cerebral hemispheresنجي لـ lateral + +296 +00:27:27,020 --> 00:27:31,700 +corticonuclear tract give motor fibers لمن؟ + +297 +00:27:31,700 --> 00:27:37,140 +للموتور نوكلياي of the cranial nerves من هما موتور + +298 +00:27:37,140 --> 00:27:41,140 +نوكلياس الـ trigeminal nerve موتور نوكلياس الـ + +299 +00:27:41,140 --> 00:27:45,820 +dorsal nucleus بتاعة الـ facial nerve أمبيغاس + +300 +00:27:45,820 --> 00:27:49,040 +نوكلياس المسئول عن الـ glossopharyngeal و Vegas و + +301 +00:27:49,040 --> 00:27:53,000 +cranial accessoryfrom both cerebral and cerebral + +302 +00:27:53,000 --> 00:27:56,220 +يعني ال right lateral بيعطي right left right left + +303 +00:27:56,220 --> 00:28:02,260 +طيب زائد انه بيعطي كمان ventral nucleus of facial + +304 +00:28:02,260 --> 00:28:07,300 +nerve المسئول عن ال lower quadrant of the face + +305 +00:28:08,160 --> 00:28:10,640 +وبيعتبرها الـ hypoglossal nucleus المسئول عن الـ + +306 +00:28:10,640 --> 00:28:15,880 +hypoglossal nerve only from up this side يعني ال + +307 +00:28:15,880 --> 00:28:19,740 +ventral nucleus بتاعة ال facial nerve الشمال + +308 +00:28:19,740 --> 00:28:24,810 +اليمينوالـ hypoglossal nucleus بتاعت العصب الثاني + +309 +00:28:24,810 --> 00:28:31,030 +عشر اليمين بس تاخد إشارة من الـ left lateral + +310 +00:28:31,030 --> 00:28:34,490 +corticonuclear تاخدش من الـ both cerebral اللي + +311 +00:28:34,490 --> 00:28:37,970 +مصير، بياخد من الـ one side، بياخد من وين؟ one + +312 +00:28:37,970 --> 00:28:38,610 +side + +313 +00:28:42,830 --> 00:28:46,430 +هيو ال pyramidal tract الآن راح يكون أسهل لكم ال + +314 +00:28:46,430 --> 00:28:53,150 +pyramidal tract is a bundle of motoneur fibers it + +315 +00:28:53,150 --> 00:28:57,370 +begins in the cerebral cortex بيبدأ من وين؟ من ال + +316 +00:28:57,370 --> 00:29:01,190 +cerebral cortex عشان هيك سموه corticospinal + +317 +00:29:01,190 --> 00:29:05,130 +corticobulbar او corticonuclear يعني بيبدأ من وين؟ + +318 +00:29:05,130 --> 00:29:09,810 +من ال cortex بيبدأ من وين؟ من ال cortex وبينتهيIt + +319 +00:29:09,810 --> 00:29:19,370 +ends in anterior horn cells of spinal cord كورتيكو + +320 +00:29:19,370 --> 00:29:22,730 +سباينال تركت + +321 +00:29:25,430 --> 00:29:30,690 +وخلص في ال motor nuclei of the cranial nerves in + +322 +00:29:30,690 --> 00:29:35,670 +the brainstem اسمه corticonuclear او corticobulbar + +323 +00:29:35,670 --> 00:29:40,670 +retract يبقى cortico او البرامج ال retract نقسم لك + +324 +00:29:40,670 --> 00:29:46,120 +اسمينCorticospinal tract and Corticonuclear tract + +325 +00:29:46,120 --> 00:29:51,340 +Corticospinal tract بنقسم من قسمين حسب وين مر إلى + +326 +00:29:51,340 --> 00:29:55,360 +lateral corticospinal tract بمر في ال lateral + +327 +00:29:55,360 --> 00:29:59,500 +column of spinal cord and ventral او anterior + +328 +00:29:59,500 --> 00:30:04,160 +corticospinal tract بمر في ال ventral column of + +329 +00:30:04,160 --> 00:30:09,040 +spinal cord اما corticonuclear tract راح نمر وين؟ + +330 +00:30:09,760 --> 00:30:16,020 +للبراين استمروا وينقسم لقسمين ل lateral and medial + +331 +00:30:16,020 --> 00:30:22,620 +corticonuclear tract الان نتكلم على شي اسمه upper + +332 +00:30:22,620 --> 00:30:28,020 +motoneuron سمعت فيه ال upper motoneuron system ال + +333 +00:30:28,020 --> 00:30:31,700 +upper motoneuron system هذا احنا نتكلم على + +334 +00:30:31,700 --> 00:30:34,380 +corticospinal tract او corticonuclear tract يعني + +335 +00:30:34,380 --> 00:30:39,000 +ال corticospinal tractو corticonuclear tract إذا + +336 +00:30:39,000 --> 00:30:42,480 +حدث فيهم مشكلة بيؤدي إلى upper motor neuron lesion + +337 +00:30:42,480 --> 00:30:47,400 +يعني damage of corticospinal tract or + +338 +00:30:47,400 --> 00:30:52,940 +corticonuclear tract leads to upper motor neuron + +339 +00:30:52,940 --> 00:30:56,980 +lesion يعني يعرفنا ال damage أو أي تغير أو أي مرض + +340 +00:30:56,980 --> 00:31:00,260 +بيصيب ال corticospinal tract أو corticonuclear + +341 +00:31:00,260 --> 00:31:07,530 +tract يؤدي إلى upper motor neuron lesionيكون هو + +342 +00:31:07,530 --> 00:31:11,030 +يعتبر super spinal lesion او اذا بتكلم على ال + +343 +00:31:11,030 --> 00:31:15,050 +corticonuclear tract super nuclear lesion ايش ال + +344 +00:31:15,050 --> 00:31:18,030 +function بتاعة العبر موتو نيرون ان كان + +345 +00:31:18,030 --> 00:31:23,070 +corticospinal او corticonuclear اول وظيفة ان هي + +346 +00:31:23,070 --> 00:31:27,170 +initiation and control of voluntary motor activity + +347 +00:31:27,170 --> 00:31:36,820 +في حال انهفي حال انه حدث عندنا ال damage + +348 +00:31:36,820 --> 00:31:41,540 +of corticospinal tract او corticonuclear tract + +349 +00:31:41,540 --> 00:31:45,760 +بيحدث paralysis بيحدث ايش؟ paralysis او شلل + +350 +00:31:47,650 --> 00:31:51,590 +Inhibition of muscle tone Inhibition of muscle + +351 +00:31:51,590 --> 00:31:55,030 +tone هو وظيفته يعمل Inhibition لل muscle tone في + +352 +00:31:55,030 --> 00:31:58,770 +حال حدث damage لل other motor neuron رح يكون عندنا + +353 +00:31:58,770 --> 00:32:03,990 +muscle hypertonia muscle hypertonia ثلاثة بيعمل + +354 +00:32:03,990 --> 00:32:07,710 +Inhibition لل deep reflex عشان هيك احنا لما نفحص + +355 +00:32:07,710 --> 00:32:11,930 +reflex لمريد بنقول اشد عيدك او اقدمه للعشرة عشان + +356 +00:32:11,930 --> 00:32:14,150 +ألم ال cortex ال cortex يعمل Inhibition لل reflex + +357 +00:32:14,150 --> 00:32:18,630 +في حال حدثأبرموتونيرون ليجين راح يتحول + +358 +00:32:18,630 --> 00:32:22,510 +لhyperreflexia، hyperreflexia، يبقى هي وظيفة + +359 +00:32:22,510 --> 00:32:26,550 +الأبرموتونيرون initiation and control of voluntary + +360 +00:32:26,550 --> 00:32:30,210 +motor activity هي واحد، اتنين، inhibition of + +361 +00:32:30,210 --> 00:32:35,430 +muscle tone، ثلاثة، inhibition of deep reflexes + +362 +00:32:36,940 --> 00:32:42,420 +متكلم على ال path way of the upper motor neurons + +363 +00:32:42,420 --> 00:32:46,460 +أو ال بيرامدال او ال corticospinal tract الإشارة + +364 +00:32:46,460 --> 00:32:50,340 +بتبدأ من بيت ال cells من ال area رقم أربع من ال + +365 +00:32:50,340 --> 00:32:53,720 +upper two third of pre central gas ليه هو ان ال + +366 +00:32:53,720 --> 00:32:57,400 +upper two third؟ لأن ال corticonuclear tract متجه + +367 +00:32:57,400 --> 00:33:02,640 +إلى ال face رح يبدأ من ال lower one third بعدك ال + +368 +00:33:02,640 --> 00:33:07,850 +fibers descent في شيء اسمه corona radiataبمره في + +369 +00:33:07,850 --> 00:33:13,190 +الـ posterior limb of internal capsule بعدك في ال + +370 +00:33:13,190 --> 00:33:19,550 +midbrain, palms, medulla oblongata، في lower part + +371 +00:33:19,550 --> 00:33:25,270 +of medulla oblongataبيحدث عملية decassation او + +372 +00:33:25,270 --> 00:33:28,390 +crossing الـ Corticospiral tract اللي جاي من + +373 +00:33:28,390 --> 00:33:32,210 +اليمين بيتجه لليسار و اللي جاي من اليسار بيتجه + +374 +00:33:32,210 --> 00:33:35,670 +لليمين علشان أسألك لو حدث جلطة دماغية في اليمين + +375 +00:33:35,670 --> 00:33:39,230 +وين ال hemoglobin بتكون؟ على ال opposite side لو + +376 +00:33:39,230 --> 00:33:42,330 +حدث جلطة دماغية في اليسار وين ال hemoglobin بتكون؟ + +377 +00:33:42,330 --> 00:33:46,870 +على ال right side وهكذا هذه بنسميها بيرامدال + +378 +00:33:46,870 --> 00:33:50,390 +decassation نحاول + +379 +00:33:51,260 --> 00:34:05,480 +هرسملكم إياهم هنا قد الإمكان لما + +380 +00:34:05,480 --> 00:34:09,140 +بتكلم ع موتور أنا بتكلم عليه على descending tract + +381 +00:34:09,140 --> 00:34:12,320 +يبقى ال tract راح أبدأ من وين من ال cortex و أنزل + +382 +00:34:12,320 --> 00:34:12,880 +للمصدر + +383 +00:34:31,900 --> 00:34:39,060 +هنا area precentral + +384 +00:34:39,060 --> 00:34:44,400 +gyrus + +385 +00:34:44,400 --> 00:34:51,640 +اللي هي area أربعة بعدين في هنا + +386 +00:34:56,400 --> 00:35:10,060 +Internal Capsule بعدين + +387 +00:35:10,060 --> 00:35:10,660 +فيه اللي هو + +388 +00:35:25,740 --> 00:35:30,240 +mid brain bones + +389 +00:35:30,240 --> 00:35:33,260 +مدلة + +390 +00:35:33,260 --> 00:35:53,840 +أبلغتها ناخد two segments of spinal cord و + +391 +00:35:53,840 --> 00:35:54,300 +هنا في عند + +392 +00:35:58,240 --> 00:36:03,920 +مصر مصر مصر + +393 +00:36:03,920 --> 00:36:07,380 +مصر مصر + +394 +00:36:07,380 --> 00:36:12,380 +مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر + +395 +00:36:12,380 --> 00:36:16,900 +مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر + +396 +00:36:16,900 --> 00:36:16,920 +مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر + +397 +00:36:16,920 --> 00:36:21,920 +مصر مصر مصر مصر مصر مصر مصر مصر + +398 +00:36:21,920 --> 00:36:27,540 +مصر مصهذا segment of spinal cord على سبيل المثال + +399 +00:36:27,540 --> 00:36:33,520 +ناخد c5 segment ناخد ال3 segment + +400 +00:36:57,050 --> 00:37:05,330 +الـ Corticospinal tract راح يبدأ من وين؟ من الـ + +401 +00:37:05,330 --> 00:37:11,950 +pre-central area اللي هي من ال upper و ال middle + +402 +00:37:11,950 --> 00:37:20,710 +one third راح ال fibers تمر في ال posterior limb + +403 +00:37:20,710 --> 00:37:30,910 +of internal capsulemedibrain bones medulla + +404 +00:37:30,910 --> 00:37:40,650 +oblongata هذا ايش اسمه اسمه cortico spinal + +405 +00:37:40,650 --> 00:37:52,310 +tract تمام هنا internal capsule هذا left internal + +406 +00:37:52,310 --> 00:38:04,370 +capsulelift internal capsule lift + +407 +00:38:04,370 --> 00:38:08,250 +internal + +408 +00:38:08,250 --> 00:38:12,650 +capsule + +409 +00:38:12,650 --> 00:38:20,850 +اللي في lower part of medulla oblongata هذا اللي + +410 +00:38:20,850 --> 00:38:26,410 +هوCorticospinal tract بيعمل incomplete decassation + +411 +00:38:26,410 --> 00:38:30,870 +او crossing بيعمل incomplete decassation ال main + +412 +00:38:30,870 --> 00:38:33,890 +fibers اكتر من خمسة و تمانين تسعين في المية + +413 +00:38:33,890 --> 00:38:39,610 +بيعملوا crossing على ال opposite side النرسانت مين + +414 +00:38:39,610 --> 00:38:45,570 +هو ال left? Corticospinal tract و بيتجه ل ال right + +415 +00:38:45,570 --> 00:38:55,090 +side و بيفوت ل في وين؟ فيlateral column في ال + +416 +00:38:55,090 --> 00:39:03,670 +lateral column of spinal cord وبدأ + +417 +00:39:03,670 --> 00:39:11,170 +ننزل مثل خط الكهربا الرئيسي وين بينتهي؟ بينتهي at + +418 +00:39:11,170 --> 00:39:17,370 +the level of + +419 +00:39:19,260 --> 00:39:29,060 +S2 ساكرال تو سباينال كورد يعني + +420 +00:39:29,060 --> 00:39:33,640 +بنتهي وين على level ساكرال تو S2 segment of spinal + +421 +00:39:33,640 --> 00:39:37,900 +cord هذا بشبه خط الكهرب الرئيسي النازل في الدرج + +422 +00:39:37,900 --> 00:39:44,160 +نازل و كل ما يصل طابق الشجرة بيعطيها سلك خط هذا + +423 +00:39:44,160 --> 00:39:52,070 +ايش اسمه ال lift تتحولاللي ها right في ال spoiler + +424 +00:39:52,070 --> 00:39:57,730 +code ايش بيصير اسمه right cortico + +425 +00:39:57,730 --> 00:40:09,550 +او اسمه صح هي اسمه + +426 +00:40:09,550 --> 00:40:14,450 +صح right lateral + +427 +00:40:16,840 --> 00:40:21,320 +Corticospinal tract Right Lateral Corticospinal + +428 +00:40:21,320 --> 00:40:25,860 +tract هذا الخط الرئيسي كل ما يصل الـ Anterior Horn + +429 +00:40:25,860 --> 00:40:32,360 +Cells بيعطيهم إيش؟ Fibers بيعطيهم إيه؟ Fibers على + +430 +00:40:32,360 --> 00:40:36,340 +كل segment على كل segment يبقى لو حدث دمج لل + +431 +00:40:36,340 --> 00:40:39,960 +Corticospinal tract في ال brain أو Spinal cord هذا + +432 +00:40:39,960 --> 00:40:44,040 +بيؤدي إلى إيش؟ Upper Motoneurone lesion Upper + +433 +00:40:44,040 --> 00:40:51,860 +Motoneurone lesion2 الجزء + +434 +00:40:51,860 --> 00:40:57,560 +اللي بقى اللي ماعمش costing هذا + +435 +00:40:57,560 --> 00:41:05,640 +بنزل في ال anterior horn cells بنزل في ال anterior + +436 +00:41:05,640 --> 00:41:11,100 +column of spinal cord و بكمل طريقه وين بنتهي + +437 +00:41:19,510 --> 00:41:23,630 +ends at lower + +438 +00:41:23,630 --> 00:41:30,590 +thoracic level في + +439 +00:41:30,590 --> 00:41:34,010 +ناس بيقولوا على ال middle thoracic level الثانين + +440 +00:41:34,010 --> 00:41:40,530 +صح middle او lower thoracic هذا ايش بيعطي بيعطي لا + +441 +00:41:40,530 --> 00:41:48,250 +ايش لا هو انتهى هنا اكتر مش راح يصل ال number + +442 +00:41:51,940 --> 00:42:11,700 +عشان تكون صح وين + +443 +00:42:11,700 --> 00:42:14,980 +بينتهي end at + +444 +00:42:21,190 --> 00:42:26,490 +the lower thoracic + +445 +00:42:26,490 --> 00:42:33,110 +level هذا ال .. إيش بنسميه؟ بنسميه ventral + +446 +00:42:37,550 --> 00:42:42,630 +واضيفته ايش يا غدى؟ واضيفته لغدى اللي هو chest + +447 +00:42:42,630 --> 00:42:46,790 +muscle او thoracic muscle او respiratory muscle + +448 +00:42:46,790 --> 00:42:49,570 +هذا بيعطي ال anterior horn cells على نفس الجهة + +449 +00:42:49,570 --> 00:42:52,290 +وبيعطي ال anterior horn cells على الجهة الثانية + +450 +00:42:52,290 --> 00:42:56,990 +يعني بيعطي ال both anterior horn cells for + +451 +00:42:56,990 --> 00:43:03,820 +respiratory muscleطيب هذا يعتبر ايش Corticospinal + +452 +00:43:03,820 --> 00:43:09,240 +tract هان مرسومين في slide واضح هان عندي يقول هان + +453 +00:43:09,240 --> 00:43:14,400 +عندي pyramidal decassation هاد ال pyramids بتحول ل + +454 +00:43:14,400 --> 00:43:18,040 +decassation يعني لو المريض حدث مع جلطة دماغية في + +455 +00:43:18,040 --> 00:43:20,580 +ال left cerebral hemisphere ولي ال hemiplegia + +456 +00:43:20,580 --> 00:43:23,800 +يتكون على ال right طيب لو جينا في ال spinal cord + +457 +00:43:23,800 --> 00:43:28,300 +لأخلص ال crossing صار دمج في ال spinal cord، على + +458 +00:43:28,300 --> 00:43:31,500 +نفس الجهة بدي يكون فيه motor، على نفس الجهة لأن ال + +459 +00:43:31,500 --> 00:43:34,840 +crossing خلص وين بتتم ال crossing؟ بتتم ال + +460 +00:43:34,840 --> 00:43:41,440 +crossing وين؟ على ال lower part + +461 +00:43:41,440 --> 00:43:50,030 +of medulla oblongataبالنسبة للمدالة الأسفل 80% ل + +462 +00:43:50,030 --> 00:43:57,710 +85% من الفيبيرز يقومون بـ crossings ويروحوا على + +463 +00:43:57,710 --> 00:44:02,660 +الـ opposite side في الـ lateral columnوالجزء اللي + +464 +00:44:02,660 --> 00:44:05,840 +بيظلوا .. بنسميهم إيش؟ indirect ليش بنسميهم + +465 +00:44:05,840 --> 00:44:09,200 +indirect؟ لأنهم عملوا crossing و اتجهوا على ال + +466 +00:44:09,200 --> 00:44:13,500 +opposite side بنسميهم crossed corticospinal tract + +467 +00:44:13,500 --> 00:44:18,300 +وبينهم يخلصوا كل fibers او كل ما نسى ال segment + +468 +00:44:18,300 --> 00:44:22,780 +بيطلعوا fibers لمين؟ لل anterior horn cells كل ما + +469 +00:44:22,780 --> 00:44:25,800 +نسى ال segment بيطلعوا fibers لل anterior horn + +470 +00:44:25,800 --> 00:44:30,620 +cells طيب ال 15 ل 20% من ال fibers اللي ضالهم قدر + +471 +00:44:31,510 --> 00:44:36,350 +وماعملوش crossing بنسميهم direct anterior او + +472 +00:44:36,350 --> 00:44:40,430 +ventral corticospinal tract بيعطونا fibers لل + +473 +00:44:40,430 --> 00:44:44,430 +anterior home cells على نفس ال segment بس لوين؟ لل + +474 +00:44:44,430 --> 00:44:49,790 +both cerebral hemisphere وين بينتهوا؟ بينتهوا في + +475 +00:44:49,790 --> 00:44:53,450 +ال mid thoracic ممكن في مراجع يقولوا يكونوا في ال + +476 +00:44:53,450 --> 00:44:56,290 +lower thoracic اعتبرهم mid thoracic عشان ما + +477 +00:44:56,290 --> 00:44:59,490 +تتخربطوش نعتمدهم mid thoracic في مراجع يقولوا + +478 +00:44:59,490 --> 00:45:06,100 +lower thoracicmade thoracic نعتمدهم للكل level + +479 +00:45:06,100 --> 00:45:11,540 +الآن أنا بكتفر الجزء الأول من المحاضرة الجزء + +480 +00:45:11,540 --> 00:45:17,800 +الثاني راح أكمله في جزء اثنين لمحاضرة الأسبوع + +481 +00:45:17,800 --> 00:45:19,500 +الثالث عشان يعطيكم العافية + diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/9BYPvHnoBXY_raw.json b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/9BYPvHnoBXY_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..b16a2bb92fa25f8a7428e6513b950d90764092d2 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/9BYPvHnoBXY_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 3395, "start": 5.67, "end": 33.95, "text": "بسم الله الرحمن الرحيم السلام عليكم ورحمة الله وبركاته محاضرة الأسبوع الثالث عشر رح 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muscles", "tokens": [34, 317, 2155, 1594, 47524, 19986, 12610, 3660, 18871, 2623, 39008, 87, 34051, 22157, 950, 3731, 25915, 16355, 4032, 1738, 2071, 30617, 16355, 4724, 1829, 17082, 3215, 14407, 2423, 22157, 950, 3731, 76, 4032, 5403, 494, 3992, 301, 8679, 4032, 745, 1248, 905, 306, 327, 298, 525, 17079, 8679, 4032, 441, 17274, 1594, 13672, 1829, 9154, 10874, 38251, 3224, 32239, 3224, 10874, 38251, 9957, 413, 830, 401, 17274, 4032, 28290, 6623, 17274, 8032, 8848, 12610, 4724, 1829, 17082, 3215, 11536, 47524, 19986, 12610, 9957, 18871, 2423, 36926, 4032, 25523, 30390, 9530], "avg_logprob": -0.2629075967099356, "compression_ratio": 1.5395348837209302, "no_speech_prob": 0.0, "words": [{"start": 652.79, "end": 653.45, "word": "Central", "probability": 0.6859944661458334}, {"start": 653.45, "end": 653.87, "word": " group", "probability": 0.79052734375}, {"start": 653.87, "end": 654.67, "word": " مسئولة", "probability": 0.8345947265625}, {"start": 654.67, "end": 654.85, "word": " عن", 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"temperature": 1.0}, {"id": 41, "seek": 99597, "start": 967.39, "end": 995.97, "text": "الشيء الثاني لما اتكلمنا عن ال cortex سراحتلكم الإنسان بيكون عنده في الدماغ أو بيكون موجود في الدماغ كذا الرأس تحت ال upper limbs في المصر وال lower limbs فوق", "tokens": [6027, 8592, 1829, 38207, 6024, 104, 7649, 1829, 5296, 15042, 1975, 2655, 4117, 19528, 8315, 18871, 2423, 33312, 8608, 23557, 33753, 23275, 2304, 33688, 1863, 3794, 7649, 4724, 1829, 30544, 43242, 3224, 8978, 32748, 2304, 5718, 118, 34051, 4724, 1829, 30544, 3714, 29245, 23328, 8978, 32748, 2304, 5718, 118, 9122, 15730, 34892, 10721, 3794, 6055, 33753, 2423, 6597, 29315, 8978, 9673, 9381, 2288, 16070, 3126, 29315, 6156, 30543], "avg_logprob": -0.1895380443420963, "compression_ratio": 1.5818181818181818, "no_speech_prob": 3.5762786865234375e-07, "words": [{"start": 967.39, "end": 968.15, "word": "الشيء", "probability": 0.82958984375}, {"start": 968.15, "end": 968.51, "word": " الثاني", "probability": 0.85565185546875}, {"start": 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"word": " في", "probability": 0.8681640625}, {"start": 998.26, "end": 998.36, "word": " ال", "probability": 0.89404296875}, {"start": 998.36, "end": 998.6, "word": " upper", "probability": 0.5927734375}, {"start": 998.6, "end": 998.88, "word": " one", "probability": 0.8466796875}, {"start": 998.88, "end": 999.32, "word": " third", "probability": 0.73681640625}, {"start": 999.32, "end": 999.72, "word": " بيكون", "probability": 0.8236490885416666}, {"start": 999.72, "end": 999.84, "word": " ال", "probability": 0.91943359375}, {"start": 999.84, "end": 1000.04, "word": " lower", "probability": 0.8828125}, {"start": 1000.04, "end": 1000.46, "word": " limbs", "probability": 0.9599609375}, {"start": 1000.46, "end": 1002.08, "word": " في", "probability": 0.468994140625}, {"start": 1002.08, "end": 1002.2, "word": " ال", "probability": 0.876953125}, {"start": 1002.2, "end": 1002.44, "word": " middle", "probability": 0.98486328125}, {"start": 1002.44, "end": 1002.7, "word": " one", "probability": 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إياها هنا رسمنا لكوا إياها وخططتوا لكم ال بيرامدال إتراكت بنقسم لجزئين الجزء الأول corticospinal tract", "tokens": [40228, 22653, 34105, 13412, 2288, 5016, 8315, 5296, 24793, 3714, 9778, 9566, 9566, 39894, 45761, 4724, 13546, 10943, 3215, 6027, 11933, 2655, 23557, 4117, 2655, 13412, 2288, 5016, 8315, 5296, 24793, 3714, 9778, 9566, 9566, 39894, 45761, 4724, 13546, 10943, 3215, 6027, 11933, 2655, 23557, 4117, 2655, 34105, 3714, 29245, 23328, 4724, 3794, 37893, 4032, 46958, 5016, 9122, 2655, 13546, 8978, 2423, 13063, 28671, 13672, 1829, 41850, 20328, 13063, 2655, 23275, 14407, 11933, 25528, 11296, 34105, 12602, 38251, 8315, 5296, 4117, 14407, 11933, 25528, 11296, 4032, 9778, 9566, 9566, 2655, 14407, 5296, 24793, 2423, 4724, 13546, 10943, 3215, 6027, 11933, 2655, 23557, 4117, 2655, 44945, 4587, 38251, 5296, 7435, 11622, 19986, 9957, 25724, 11622, 38207, 16247, 12610, 11278, 299, 2763, 2071, 24207], "avg_logprob": -0.22916666690896198, "compression_ratio": 2.0594059405940595, 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"probability": 0.89501953125}, {"start": 1855.18, "end": 1855.62, "word": " أو", "probability": 0.85888671875}, {"start": 1855.62, "end": 1855.78, "word": " أي", "probability": 0.88232421875}, {"start": 1855.78, "end": 1856.24, "word": " تغير", "probability": 0.98974609375}, {"start": 1856.24, "end": 1856.46, "word": " أو", "probability": 0.82080078125}, {"start": 1856.46, "end": 1856.66, "word": " أي", "probability": 0.7783203125}, {"start": 1856.66, "end": 1856.98, "word": " مرض", "probability": 0.99365234375}, {"start": 1856.98, "end": 1857.48, "word": " بيصيب", "probability": 0.9021484375}, {"start": 1857.48, "end": 1857.58, "word": " ال", "probability": 0.64501953125}, {"start": 1857.58, "end": 1858.22, "word": " corticospinal", "probability": 0.915283203125}, {"start": 1858.22, "end": 1858.74, "word": " tract", "probability": 0.96435546875}, {"start": 1858.74, "end": 1859.3, "word": " أو", "probability": 0.595703125}, {"start": 1859.3, "end": 1860.26, "word": " corticonuclear", 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b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/B8GDzVZC_GE.srt new file mode 100644 index 0000000000000000000000000000000000000000..5deac2fe5f6a0fdcfae304047001f4ed24f81a3a --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/B8GDzVZC_GE.srt @@ -0,0 +1,1498 @@ +1 +00:00:05,870 --> 00:00:09,050 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:09,050 --> 00:00:14,350 +وبركاته اليوم راح نكون معكم في المحاضرة الأخيرة هي + +3 +00:00:14,350 --> 00:00:19,650 +محاضرة الأسبوع 14 قبل ما أبدأ بالمحاضرة Anatomy + +4 +00:00:19,650 --> 00:00:24,870 +and physiology of the motor system part 2 بقى + +5 +00:00:24,870 --> 00:00:28,730 +عندنا slide من محاضرة الأسبوع الثالث عشر اللي هو + +6 +00:00:28,730 --> 00:00:33,710 +differential between the upper motor neuron and + +7 +00:00:33,710 --> 00:00:38,110 +lower motor neuron كيف نفرّق بين ال upper motor + +8 +00:00:38,110 --> 00:00:43,380 +neuron and lower motor neuron في محاضرة الأسبوع + +9 +00:00:43,380 --> 00:00:50,000 +السابق أن upper motoneuron upper motoneuron + +10 +00:00:50,000 --> 00:00:58,460 +lesion إما بيكون corticospinal + +11 +00:00:58,460 --> 00:01:06,940 +tract lesion أو بالنسبة لي على cranial nerves + +12 +00:01:06,940 --> 00:01:14,290 +corticospinal tract lesion بالبر cortico nuclear + +13 +00:01:14,290 --> 00:01:21,290 +بيراميدالي + +14 +00:01:21,290 --> 00:01:28,270 +تراكت بيراميدالي + +15 +00:01:28,270 --> 00:01:28,730 +بيراميدالي بيراميدالي بيراميدالي بيراميدالي بيراميدالي + +16 +00:01:28,730 --> 00:01:29,270 +بيراميدالي بيراميدالي بيراميدالي بيراميدالي بيراميدالي + +17 +00:01:29,270 --> 00:01:29,410 +بيراميدالي بيراميدالي بيراميدالي بيراميدالي بيراميدالي + +18 +00:01:29,410 --> 00:01:33,890 +بيراميدالي بيراميدالي بيرام + +19 +00:01:39,390 --> 00:01:52,230 +هو عبارة عن nuclear lesion of cranial nerves التي + +20 +00:01:52,230 --> 00:01:57,970 +هم motor cranial nerves motor cranial nerves اثنان + +21 +00:01:57,970 --> 00:02:02,590 +anterior horn cells lesion + +22 +00:02:08,320 --> 00:02:13,100 +ثلاثة cranial and + +23 +00:02:13,100 --> 00:02:18,840 +spinal nerve lesion هذا كله اللي هو الرموز مطلوع + +24 +00:02:18,840 --> 00:02:29,520 +neuromuscular and muscle fibers + +25 +00:02:31,280 --> 00:02:37,780 +من الـ Anterior horn cells لحد العضلة يعتبر lower motor + +26 +00:02:37,780 --> 00:02:41,760 +neuron lesion نفس الشيء في البرين ستيم من ال motor + +27 +00:02:41,760 --> 00:02:45,440 +nuclei in the brain stem التي تابعة لل cranial + +28 +00:02:45,440 --> 00:02:49,640 +nerves لحد ما أصل للعضلة fibers هذا يعتبر lower + +29 +00:02:49,640 --> 00:02:55,820 +motor neuron lesion أول شيء ال location of lesion + +30 +00:02:56,930 --> 00:03:01,470 +من ناحية الـ Upper Motoneuron يبدأ من الـ Area IV + +31 +00:03:01,470 --> 00:03:04,310 +اللي هي الـ Precentral Gyrus لحد ما أصل الـ + +32 +00:03:04,310 --> 00:03:07,350 +Anterior Horn Cells حسب الـ Segment هذا يعتبر + +33 +00:03:07,350 --> 00:03:09,890 +Upper Motoneuron Lesion إذا بتكلم عن الـ cranial + +34 +00:03:09,890 --> 00:03:15,290 +nerves يبدأ من الـ Area IV لحد ما أصل للموتور + +35 +00:03:15,290 --> 00:03:19,010 +نوكلياي in the brainstem يعتبر Upper Motoneuron + +36 +00:03:19,010 --> 00:03:21,850 +Lesion يقول Upper Motoneuron Lesion هو عبارة عن + +37 +00:03:21,850 --> 00:03:27,020 +Damage of Corticospinal أو Corticobulbar tract طب + +38 +00:03:27,020 --> 00:03:30,540 +lower motor neuron هو عبارة عن دمج من الـ anterior + +39 +00:03:30,540 --> 00:03:34,080 +horn cells لحد ال muscle fibers أو من ال motor + +40 +00:03:34,080 --> 00:03:37,920 +nuclei of the brain stem التابعين لل cranial + +41 +00:03:37,920 --> 00:03:41,780 +nerves لحد ال muscle fibers هذا يعتبر lower motor + +42 +00:03:41,780 --> 00:03:45,680 +neuron lesion أنا بتكلم الآن على corticospinal + +43 +00:03:45,680 --> 00:03:49,100 +tract رح أركز على corticospinal location of + +44 +00:03:49,100 --> 00:03:55,860 +paralysis إحنا اتفقنا إنه Corticospinal tract بيعمل + +45 +00:03:55,860 --> 00:03:59,620 +incomplete decussation crossing في lower part of + +46 +00:03:59,620 --> 00:04:03,480 +medulla أو بلنجات يبقى هذا المكان اسمه بيراميدال + +47 +00:04:03,480 --> 00:04:09,220 +decussation أو بيراميدال ال crossing في حال حدث + +48 +00:04:09,220 --> 00:04:13,620 +damage ل Corticospinal tract ال paralysis located + +49 +00:04:13,620 --> 00:04:18,620 +below the level of lesion يبقى حدث damage + +50 +00:04:21,630 --> 00:04:24,850 +below the level of lesion في paralysis حدث damage + +51 +00:04:24,850 --> 00:04:28,350 +في ال spinal cord below the level of lesion في + +52 +00:04:28,350 --> 00:04:34,390 +paralysis لكن انتبه إذا كان الدمج في ال brain يعني + +53 +00:04:34,390 --> 00:04:39,970 +above decussation ال paralysis أو ال hemiplegia + +54 +00:04:39,970 --> 00:04:43,470 +راح تكون على ال opposite side يعني المريض حدث معاه + +55 +00:04:43,470 --> 00:04:48,450 +جرطة دماغية في ال left cerebral hemisphere الشلل + +56 +00:04:48,450 --> 00:04:50,710 +راح يكون عنده على ال right side لإيه؟ لأن ال + +57 +00:04:50,710 --> 00:04:53,370 +damage حدث عنده above the crossing above the + +58 +00:04:53,370 --> 00:04:57,310 +decussation طب لو المريض حدث معاه إصابة في الحبل + +59 +00:04:57,310 --> 00:05:03,150 +الشوكي spinal cord injury راح يكون نصف of motor + +60 +00:05:03,150 --> 00:05:06,820 +function below the level of lesion لكن على نفس الـ + +61 +00:05:06,820 --> 00:05:10,780 +side يعني إذا فيه damage على ال right الشلل على + +62 +00:05:10,780 --> 00:05:14,320 +ال right damage left الشلل left ليه؟ لأنه حدث + +63 +00:05:14,320 --> 00:05:18,580 +damage ل corticospinal tract below decussation + +64 +00:05:18,580 --> 00:05:24,960 +below crossing واضح؟ okay again ال location of + +65 +00:05:24,960 --> 00:05:29,990 +paralysis below the level of lesion contralateral + +66 +00:05:29,990 --> 00:05:33,110 +above decussation إذا كان الدمج above decussation، + +67 +00:05:33,110 --> 00:05:36,410 +الـ symptom على الـ contralateral صعب طب إذا كانت + +68 +00:05:36,410 --> 00:05:40,210 +below decussation، ipsilateral، ipsilateral على + +69 +00:05:40,210 --> 00:05:45,870 +نفس الـ side من ناحية ال lower motor neuron، ipsilateral + +70 +00:05:45,870 --> 00:05:50,950 +at the level of lesion يعني كيف حدث الدمج + +71 +00:05:50,950 --> 00:05:57,160 +لـ axillary nerve على ال right side أو ال + +72 +00:05:57,160 --> 00:06:03,440 +anterior roots of C5 segment على ال right على ايه؟ على + +73 +00:06:03,440 --> 00:06:07,680 +ال right side في الحالة هذه من راح يحدث شلل أو + +74 +00:06:07,680 --> 00:06:12,320 +damage؟ deltoid muscle يعني دلتويد muscle راح تنشل + +75 +00:06:12,320 --> 00:06:16,040 +على نفس الجهة وعلى نفس ال level يعني في ال lower + +76 +00:06:16,040 --> 00:06:20,460 +motor neuron symptoms بيكون ipsilateral على نفس + +77 +00:06:20,460 --> 00:06:26,100 +ال side و نفس ال level أنا بأشبه الكلام هذا بخط + +78 +00:06:26,100 --> 00:06:30,620 +كهرب رئيسي خط كهرب رئيسي هاي خط الكهرب الرئيسي + +79 +00:06:30,620 --> 00:06:42,700 +ماشي في الدرج و بسلم ل ال anterior horn cells و + +80 +00:06:42,700 --> 00:06:48,430 +ال anterior horn cells راح يسلم ال nerve نأخذها + +81 +00:06:48,430 --> 00:06:52,050 +بلون ثاني يبقى ال upper motor neuron نرسمه باللون + +82 +00:06:52,050 --> 00:06:58,490 +الأسود عشان نتهمه صح هنا + +83 +00:06:58,490 --> 00:07:02,650 +above decussation وهنا below decussation ال fibers + +84 +00:07:02,650 --> 00:07:09,090 +التابعة له راح تسلم لكل level لل anterior horn cells + +85 +00:07:09,090 --> 00:07:14,390 +ال anterior horn cells راح تأخذ الإشارة من ال + +86 +00:07:14,390 --> 00:07:17,630 +anterior horn cells تسلم لل nerve للمuscle للنيرو + +87 +00:07:17,630 --> 00:07:27,110 +للعضلة للعضلة + +88 +00:07:27,110 --> 00:07:27,130 +للعضلة للعضلة للعضلة للعضلة للعضلة للعضلة للعضلة للعضلة + +89 +00:07:27,130 --> 00:07:30,930 +للعضلة للعضلة للعضلة للعضلة للعضلة للعضلة للعضلة للعضلة للعضلة + +90 +00:07:30,930 --> 00:07:36,570 +للعضلة للعضلة للعضلة للعضلة للعضلة للعضلة للعضلة للعضلة للعضلة للعضلة + +91 +00:07:36,570 --> 00:07:41,130 +للعضلة للعضلة للعضلة للعضلة للعضلة للعضلة للعضلة للعضلة للعضلة للعض + +92 +00:07:42,580 --> 00:07:46,560 +بيصير شلل تحت مستوى الإصابة، بس على الجهة المعاكسة، + +93 +00:07:46,560 --> 00:07:49,120 +عشان على الجهة المعاكسة لأن ال damage above + +94 +00:07:49,120 --> 00:07:52,460 +decussation، فهم الكلام هذا؟ طب لو حدث الدمج على ال + +95 +00:07:52,460 --> 00:07:55,520 +spinal cord، للcorticospinal tract، للتربة + +96 +00:07:55,520 --> 00:08:00,040 +الcorticospinal tract بيصير شلل تحت مستوى الإصابة + +97 +00:08:00,040 --> 00:08:02,700 +كله بنشل بس على نفس الجهة لأن هو ده periodic + +98 +00:08:02,700 --> 00:08:06,620 +succession أنا بأشبهه بخط كهرب رئيسي نازل في الدرج + +99 +00:08:06,620 --> 00:08:11,900 +و بوزعه لكل طابق لكل شقة لو انقطع الخط الرئيسي كله + +100 +00:08:11,900 --> 00:08:16,040 +بيفصل تحته كله بيفصل الكهرباء عنده طب لو في شقة رقم + +101 +00:08:16,040 --> 00:08:21,840 +خمسة مش دايرة كهرباء صاحبها و أجيب مهندس يتعامل كهرباء + +102 +00:08:21,840 --> 00:08:25,700 +في الطاقة إيش راح يفصلوا؟ راح يفصلوا السلك بتاع + +103 +00:08:25,700 --> 00:08:33,200 +الشقة نفسها في الحالة هذه، إيش راح يحدث لنا؟ ما راح + +104 +00:08:33,200 --> 00:08:37,140 +تروح إشارة على ال muscle، راح تنشل ال muscle وين؟ + +105 +00:08:37,140 --> 00:08:40,900 +على نفس المستوى، يبقى فقط هنا راح تنشل نفس العضلة + +106 +00:08:40,900 --> 00:08:44,420 +و نفس المستوى، يبقى لو أجي واحد، مش سينافع كهرباء، + +107 +00:08:44,420 --> 00:08:49,170 +وقطع عن سلك الكهرباء بتاع شقته العمارة البرج الكهرباء + +108 +00:08:49,170 --> 00:08:53,190 +جاي عندهم و يردس الكهرباء بس الشقة بتاعته هذا هو + +109 +00:08:53,190 --> 00:08:58,350 +ال lower motor neuron هذا هو ال lower motor neuron ipsilateral at + +110 +00:08:58,350 --> 00:09:04,430 +the level of the same side الثالثة Paralysis من + +111 +00:09:04,430 --> 00:09:08,130 +ناحية الأعلى الموتو نيرون بتكون Spastic Spastic + +112 +00:09:08,130 --> 00:09:11,390 +due to spasticity بعد ما ينتهي ال shock stage إن + +113 +00:09:11,390 --> 00:09:14,030 +شاء الله في سنة رابعة بشرح لكم يعني إيه الـ shock stage يبقى بيكون Spastic عندهم + +114 +00:09:14,030 --> 00:09:18,210 +muscle hypertonia hyperreflexia لكن في الأعلى + +115 +00:09:18,210 --> 00:09:21,930 +الموتو نيرون بيكون الفلسفة muscle hypotonia + +116 +00:09:21,930 --> 00:09:25,410 +و hyperreflexia و areflexia جينا للعضلة إيش الفرق + +117 +00:09:25,410 --> 00:09:31,690 +بين ال upper motoneuron و ال lower motoneuron من + +118 +00:09:31,690 --> 00:09:34,530 +ناحية ال upper motoneuron ال muscle state wasting + +119 +00:09:34,530 --> 00:09:38,270 +or muscle hypotrophy okay very late في وقت متأخر + +120 +00:09:38,270 --> 00:09:45,800 +ليه بتحدث؟ due to disuse لعدم الاستخدام في حال + +121 +00:09:45,800 --> 00:09:51,700 +العضلة ما يتم استخدامها بيحدث فيها ضمور لكن في + +122 +00:09:51,700 --> 00:09:56,280 +ال lower motor neuron بيحدث عندهم early muscle + +123 +00:09:56,280 --> 00:10:01,860 +hypotrophy ليه؟ لأن ال anterior horn cells هي + +124 +00:10:01,860 --> 00:10:06,860 +المسؤولة عن nourishment of the muscle fibers ثلاثة + +125 +00:10:06,860 --> 00:10:11,720 +أو اثنان من ناحية ال muscles muscle tone العضلة + +126 +00:10:12,730 --> 00:10:16,250 +tone في ال upper motor neuron بيكون عندنا muscle + +127 +00:10:16,250 --> 00:10:20,470 +hypertonia أو spasticity لكن في ال lower motor + +128 +00:10:20,470 --> 00:10:25,710 +neuron بيكون عندنا muscle hypotonia أو flaccidity + +129 +00:10:25,710 --> 00:10:29,690 +muscle fasciculation إيش ال muscle fasciculation؟ + +130 +00:10:31,260 --> 00:10:34,320 +هي عبارة عن spontaneous contraction of muscle + +131 +00:10:34,320 --> 00:10:39,720 +group بلاحظ ال muscle بيصير فيها contraction + +132 +00:10:39,720 --> 00:10:42,280 +بتتحرك بدون حركة لا إرادية absent in the upper + +133 +00:10:42,280 --> 00:10:47,340 +motoneuron لكن بتكون presented في ال lower motor + +134 +00:10:47,340 --> 00:10:51,900 +neuron مش في كل الحالات أكثر شيء لو كان في + +135 +00:10:51,900 --> 00:10:55,080 +irritation or lesion of the anterior horn cells + +136 +00:10:55,080 --> 00:10:59,200 +أو of the motor cranial nuclei in the brain stem + +137 +00:10:59,200 --> 00:11:04,540 +ننتقل لموضوع آخر reflexes كيف نفرق بينهم بال + +138 +00:11:08,180 --> 00:11:14,490 +reflexes ال deep reflexes بيكون hyperreflexia يعني + +139 +00:11:14,490 --> 00:11:18,030 +لو جينا ل near reflex بيكون hyperreflexia لكن في ال + +140 +00:11:18,030 --> 00:11:21,650 +lower motor neuron ممكن يكون hyperreflexia أو + +141 +00:11:21,650 --> 00:11:26,750 +areflexia absent of reflex الكلوناس، إيش هو + +142 +00:11:26,750 --> 00:11:31,090 +الكلوناس؟ هو عبارة عن Rhythmic serial of + +143 +00:11:31,090 --> 00:11:36,470 +contraction in response to sudden stretch of + +144 +00:11:36,470 --> 00:11:41,110 +muscle tendon لو جينا للفوت، عملنا sudden stretch + +145 +00:11:41,110 --> 00:11:45,490 +للأكيلي السندن، راح تلاقي الفوت يحدث معها شيء + +146 +00:11:45,490 --> 00:11:49,600 +بنسميه كلوناس، Dorsiflexion مع plantar flexion okay + +147 +00:11:49,600 --> 00:11:52,680 +يبقى هذا بتدل على ايه؟ المريض عنده severe + +148 +00:11:52,680 --> 00:11:56,660 +hyperreflexia .. severe hyperreflexia يبقى هذا + +149 +00:11:56,660 --> 00:12:00,080 +بتكون الـ class madam severe hyperreflexia راح تكون + +150 +00:12:00,080 --> 00:12:05,040 +present in the upper motoneuron and absent in the + +151 +00:12:05,040 --> 00:12:09,280 +lower motoneuron بابينسكي رفليكس أو pathological + +152 +00:12:09,280 --> 00:12:13,220 +plantar reflex بتكون موجودة في upper motoneuron + +153 +00:12:13,220 --> 00:12:19,750 +and absent in the lower motoneuron Superficial + +154 +00:12:19,750 --> 00:12:24,630 +reflexes راح تكون lost in the upper motoneuron + +155 +00:12:24,630 --> 00:12:28,130 +below the level of lesion لكن في ال lower + +156 +00:12:28,130 --> 00:12:34,090 +motoneuron lost at the level of the same site هي + +157 +00:12:34,090 --> 00:12:38,210 +كأننا بكون شرحت لكم ال differential between the + +158 +00:12:38,210 --> 00:12:42,190 +upper motoneuron and lower motoneuron هذه الجزئية + +159 +00:12:42,440 --> 00:12:46,040 +تابعة لمحاضرة الأسبوع الثالث عشر لكن أنا ما + +160 +00:12:46,040 --> 00:12:49,780 +أُسعِفتُنيش الوقت و شرحت لكم إياها هنا اليوم مع + +161 +00:12:49,780 --> 00:12:53,780 +محاضرة الأسبوع الرابع عشر كأننا نكون إحنا خلصنا من + +162 +00:12:53,780 --> 00:12:59,480 +محاضرة اللي هو أسبوع الثالث عشر ننتقل الآن + +163 +00:12:59,480 --> 00:13:04,200 +لمحاضرتنا الأخيرة اللي هي محاضرة الأسبوع الرابع + +164 +00:13:04,200 --> 00:13:12,860 +عشر anatomy and physiology of the motor system part + +165 +00:13:12,860 --> 00:13:17,300 +2 إحنا تكلمنا سابقًا على الجزء الأول من ال motor + +166 +00:13:17,300 --> 00:13:22,040 +system اليوم نتكلم على الجزء الثاني من ال motor + +167 +00:13:22,040 --> 00:13:29,440 +system نبدأ + +168 +00:13:29,440 --> 00:13:40,790 +ب human reflexes reflex هو عبارة عن involuntary + +169 +00:13:40,790 --> 00:13:42,890 +action + +170 +00:13:44,240 --> 00:13:49,180 +performed in response to impulses يبقى هو عبارة عن + +171 +00:13:49,180 --> 00:13:53,860 +ايه؟ involuntary action performed in response to + +172 +00:13:53,860 --> 00:13:59,020 +impulse إيش هو response؟ راح يكون sensory stimulus + +173 +00:13:59,020 --> 00:14:02,480 +sensory stimulus راح نشرحه اليوم what's the + +174 +00:14:02,480 --> 00:14:07,060 +classification of reflexes reflex يعني رد الفعل رد + +175 +00:14:07,060 --> 00:14:14,150 +ايه؟ فعل peripheral reflexes autonomic ممكن يكونوا + +176 +00:14:14,150 --> 00:14:18,310 +مثل sympathetic و parasympathetic على سبيل المثال + +177 +00:14:18,310 --> 00:14:23,330 +GIT reflexes مثل ال defecation و ال urination + +178 +00:14:23,330 --> 00:14:27,510 +reflex لا إرادي الإنسان بيصحى من النوم بيروح + +179 +00:14:27,510 --> 00:14:31,850 +الدورة عشان يعمل عملية التبول أو التبرز هذا يعتبر + +180 +00:14:31,850 --> 00:14:36,450 +reflex اللي هو يعتبر peripheral reflex تابع لل + +181 +00:14:36,450 --> 00:14:40,450 +autonomic nervous system لل parasympathetic أكثر + +182 +00:14:40,450 --> 00:14:47,730 +Central reflex Central reflex هذا مركزي رد فيه + +183 +00:14:47,730 --> 00:14:50,310 +المركزي بيقسمهم لقسمين + +184 +00:14:53,260 --> 00:14:59,740 +Conditioned reflexes هذه acquired بتجينا للمرضى أو + +185 +00:14:59,740 --> 00:15:04,020 +للإنسان بتجي by learning and training يبقى أن هي + +186 +00:15:04,020 --> 00:15:08 + +201 +00:16:12,490 --> 00:16:15,990 +ضوء في العين، رح يحدث construction لـ pupils، + +202 +00:16:15,990 --> 00:16:19,210 +للبؤبؤ العين يصغر أو لو طلعنا من الظلام إلى الضوء في + +203 +00:16:19,210 --> 00:16:23,170 +الشمس، البؤبؤ الـ pupils رح يصغر في حجمه أو العكس + +204 +00:16:23,170 --> 00:16:28,450 +صحيح خرجنا من ضوء لغرفة معتمة، رح يصير dilatation + +205 +00:16:28,450 --> 00:16:32,830 +في الـ pupils هذا يعتبر congenital reflex موجود في + +206 +00:16:32,830 --> 00:16:36,270 +الـ brain Medullary reflex مثل الـ + +207 +00:16:36,270 --> 00:16:40,590 +cardiovascular، respiratory، digestive reflex + +208 +00:16:40,590 --> 00:16:46,010 +موجودين وين هدول في اللي هو الـ Medulla oblongata + +209 +00:16:46,010 --> 00:16:50,670 +في spinal reflex من ضمن الـ spinal reflex في + +210 +00:16:50,670 --> 00:16:55,190 +superficial reflex اللي هو skin reflex مثل الـ + +211 +00:16:55,190 --> 00:17:03,060 +abdominal reflex، anal reflex وفي deep reflex هذه + +212 +00:17:03,060 --> 00:17:09,060 +مثل الـ knee jerk, ankle jerk أو ankle reflex, + +213 +00:17:09,520 --> 00:17:15,020 +jerk أو reflex نفس الشيء وفي visceral reflex for + +214 +00:17:15,020 --> 00:17:22,840 +internal organs for the internal organs الآن راح + +215 +00:17:22,840 --> 00:17:27,400 +أتكلم على spinal reflexes إن شاء الله في السنة + +216 +00:17:27,400 --> 00:17:31,070 +الرابعة بنتكلم عنهم وبنتكلم عن الـ examination of + +217 +00:17:31,070 --> 00:17:33,950 +the nervous system وكيف نفحص هذه الـ reflexes + +218 +00:17:33,950 --> 00:17:40,010 +بالتفصيل فينا ثلاث أنواع spinal reflexes في + +219 +00:17:40,010 --> 00:17:42,930 +superficial reflex يعني إيش superficial reflex + +220 +00:17:42,930 --> 00:17:49,140 +يعني بيحدث contraction للعضلة without joint movement + +221 +00:17:49,140 --> 00:17:53,460 +يعني لو عملنا abdominal reflex بيصير contraction + +222 +00:17:53,460 --> 00:17:57,200 +للـ abdominal muscle gag reflex أو pharyngeal + +223 +00:17:57,200 --> 00:18:00,600 +reflex بيحدث contraction للـ pharyngeal muscle + +224 +00:18:00,600 --> 00:18:09,460 +without joint movement طيب biceps reflex هيعتبر + +225 +00:18:09,460 --> 00:18:15,810 +إيه؟ deep reflex لماذا تكلمت على deep reflex لأن + +226 +00:18:15,810 --> 00:18:20,850 +في الحالة هذه حدث joint movement في حال أنه يحدث + +227 +00:18:20,850 --> 00:18:25,730 +joint movement بسميه deep reflex يعني رد فعل عميق + +228 +00:18:25,730 --> 00:18:32,270 +يتحرك فيه joint وثلاثة visceral reflex اللي هم + +229 +00:18:32,270 --> 00:18:35,730 +علاقة بالـ internal organs اللي هم علاقة بالـ + +230 +00:18:35,730 --> 00:18:41,380 +internal organs طيب إيش أنواع superficial reflex؟ + +231 +00:18:41,380 --> 00:18:46,600 +مين هم الـ superficial reflex؟ plantar reflex، + +232 +00:18:46,600 --> 00:18:53,440 +abdominal reflex لو جينا لأخوه لوحد حيص من إيه؟ من + +233 +00:18:53,440 --> 00:18:56,920 +بطنه، جرس وذيك شوية، تلاقي حدث contraction، تقول + +234 +00:18:56,920 --> 00:19:00,640 +والله حاص، حدث contraction في الـ abdominal muscle، + +235 +00:19:00,640 --> 00:19:05,080 +هذا يعتبر abdominal reflex inner reflex لو عملنا + +236 +00:19:05,080 --> 00:19:08,420 +stroking around the anus اللي الـ external + +237 +00:19:08,420 --> 00:19:12,400 +sphincter في الحالة هاد راح يحدث contraction لـ + +238 +00:19:12,400 --> 00:19:16,440 +external sphincter يعتبر هذا a superficial reflex + +239 +00:19:16,440 --> 00:19:21,500 +cremastric reflex هذا يكون عند الميل لو عملنا + +240 +00:19:21,500 --> 00:19:24,760 +stroking أو irritation في الـ medial aspect of + +241 +00:19:24,760 --> 00:19:28,480 +thigh ممكن يحدث elevation of testis بيصير + +242 +00:19:28,480 --> 00:19:32,640 +elevation لمين؟ للخصية corneal reflex أو + +243 +00:19:32,640 --> 00:19:38,640 +conjunctival reflex لو جبنا قطعة قطن حطيناها في + +244 +00:19:38,640 --> 00:19:41,620 +العين في الـ conjunctiva لمسناها إيش حدث لعيننا على + +245 +00:19:41,620 --> 00:19:45,800 +السريع بنغمض عيننا كنا بيحدث معنا corneal reflex + +246 +00:19:45,800 --> 00:19:49,040 +أو conjunctival reflex بدون ما إحنا نفكر فيه + +247 +00:19:49,040 --> 00:19:52,480 +ماشيين في الشارع ريح غبرة إشرع على السريع راح تجمد + +248 +00:19:52,480 --> 00:19:57,780 +غمض عينك يعتبر هذا reflex عشان أحمي عيني من الغبار + +249 +00:19:57,780 --> 00:20:03,870 +ومن الهواء palatal reflex الـ palatal reflex في حال + +250 +00:20:03,870 --> 00:20:07,670 +أنا عملت irritation للـ soft palate في الـ mouth + +251 +00:20:07,670 --> 00:20:11,410 +بيحدث elevation للـ soft palate بيحدث elevation + +252 +00:20:11,410 --> 00:20:16,630 +لإيه؟ للـ soft palate و gag reflex أو بنسميه + +253 +00:20:16,630 --> 00:20:21,050 +pharyngeal reflex لو أجينا فحصنا مريض وعملنا + +254 +00:20:21,050 --> 00:20:26,370 +depression أو depressive للـ tongue ضغطنا الـ tongue + +255 +00:20:26,370 --> 00:20:30,240 +بـ tongue depressor في الحالة هذه وعملنا + +256 +00:20:30,240 --> 00:20:33,500 +irritation بورقة وورقة طويلة هيك عملنا إيه؟ + +257 +00:20:33,500 --> 00:20:36,800 +irritation لـ الـ posterior wall of the pharynx بيحدث + +258 +00:20:36,800 --> 00:20:40,040 +contraction لـ الـ pharyngeal muscle والمريض بيعمل + +259 +00:20:40,040 --> 00:20:44,000 +vomiting من إيه؟ من الـ irritation of the posterior + +260 +00:20:44,000 --> 00:20:47,980 +wall of the pharynx هذا بنسميه gag reflex من ناحية + +261 +00:20:47,980 --> 00:20:51,600 +الـ level على أي مستوى بيتم الـ gag reflex بيتم على + +262 +00:20:51,600 --> 00:20:56,040 +medallary level عشان؟ medullary level طب palatal + +263 +00:20:56,040 --> 00:21:01,940 +reflex بيتم على medullary level الـ corneal reflex بيتم + +264 +00:21:01,940 --> 00:21:09,850 +على pontine level cremasteric reflex لوين؟ لـ الـ + +265 +00:21:09,850 --> 00:21:13,470 +spinal level inner reflex spinal level abdominal + +266 +00:21:13,470 --> 00:21:18,770 +reflex نفس الشيء في upper و middle و lower بيتموا + +267 +00:21:18,770 --> 00:21:22,730 +على وين؟ على spinal level plantar reflex spinal + +268 +00:21:22,730 --> 00:21:26,930 +level يبقى واحد اثنين ثلاثة أربعة هدول بيتموا وين؟ + +269 +00:21:26,930 --> 00:21:30,990 +على spinal level ليه؟ لأن المسؤول عنهم spinal + +270 +00:21:30,990 --> 00:21:35,070 +nerves مسؤول عنهم spinal nerves لكن corneal reflex + +271 +00:21:35,070 --> 00:21:40,170 +palatal reflex و gag reflex مسؤول عنهم cranial + +272 +00:21:40,170 --> 00:21:44,550 +nerves في الحالة هذه بيتم موقعها على مستوى اللي + +273 +00:21:44,550 --> 00:21:51,230 +هو brainstem نأخذ مثل corneal reflex corneal + +274 +00:21:51,230 --> 00:21:56,390 +reflex الأفيرانت المسؤول + +275 +00:21:56,390 --> 00:21:57,910 +عنه اللي هو sensory nerve + +276 +00:22:00,520 --> 00:22:07,120 +يعتبر V1 اللي هو ophthalmic branch of trigeminal من الـ + +277 +00:22:07,120 --> 00:22:15,820 +nerve طيب الـ efferent اللي + +278 +00:22:15,820 --> 00:22:22,680 +هو motor يعتبر facial nerve facial nerve هو اللي + +279 +00:22:22,680 --> 00:22:27,400 +بيعمل contraction للـ orbicularis oculi muscle الـ + +280 +00:22:27,400 --> 00:22:39,930 +palatal reflex من ناحية efferent sensory يعتبر + +281 +00:22:39,930 --> 00:22:45,510 +V2 اللي هو maxillary branch of trigeminal nerve + +282 +00:22:45,510 --> 00:22:54,850 +طيب efferent الـ motor يعتبر + +283 +00:22:54,850 --> 00:22:59,490 +vagus nerve زائد cranial + +284 +00:23:02,360 --> 00:23:07,620 +accessory زائد cranial accessory و gag reflex أو + +285 +00:23:07,620 --> 00:23:17,260 +pharyngeal reflex afferent اللي هو sensory مسؤول + +286 +00:23:17,260 --> 00:23:21,660 +عنه من ناحية sensory اللي هو glossopharyngeal + +287 +00:23:21,660 --> 00:23:26,880 +nerve الموتور اللي هو efferent + +288 +00:23:32,660 --> 00:23:39,100 +نفس الـ palatal راح يكون vagus nerve زائد cranial + +289 +00:23:39,100 --> 00:23:45,980 +accessory هذا في ناحية اللي هم cranial reflexes + +290 +00:23:58,090 --> 00:24:02,910 +يبقى إن أنا لو جبت قطعة قطن ومشيتها حركتها على + +291 +00:24:02,910 --> 00:24:06,470 +conjunctiva of the eye راح يشعروا بالـ irritation + +292 +00:24:06,470 --> 00:24:09,450 +الـ receptor راح يشعروا مسؤول عنهم اللي هو + +293 +00:24:09,450 --> 00:24:12,430 +ophthalmic nerve of the trigeminal راح يأتي إشارة + +294 +00:24:12,430 --> 00:24:17,710 +لمين؟ للـ brain stem للـ pons ومنها ترجع الإشارة بالـ + +295 +00:24:17,710 --> 00:24:20,430 +motor fibers بتاعة الـ facial nerve اللي راح يغمض + +296 +00:24:20,430 --> 00:24:23,750 +لعين الإنسان يعمل closure للـ eye هذا بنسمي reflex + +297 +00:24:23,750 --> 00:24:29,640 +اسمه conjunctival أو corneal reflex طيب deep + +298 +00:24:29,640 --> 00:24:35,260 +reflexes أو بنسميهم proprioceptive أو stretch spinal + +299 +00:24:35,260 --> 00:24:42,660 +reflex زي knee jerk، biceps reflex، triceps reflex، + +300 +00:24:42,660 --> 00:24:46,840 +supinator أو brachioradialis reflex، knee reflex + +301 +00:24:47,680 --> 00:24:52,120 +ankle أو Achilles reflex أو jerk لو جينا ضربنا ع الـ + +302 +00:24:52,120 --> 00:24:58,120 +tendon of biceps بالمطرقة بتاعي راح يحدث إيه + +303 +00:24:58,120 --> 00:25:02,940 +friction للـ elbow هذا يعتبر reflex deep لكن ليه deep + +304 +00:25:02,940 --> 00:25:11,900 +لأن تحرك المفصل بتاعه human reflex arc the reflex + +305 +00:25:11,900 --> 00:25:20,630 +arc include afferent input sensory nerve center + +306 +00:25:20,630 --> 00:25:25,010 +أو interneuron اللي هي integrative center و + +307 +00:25:25,010 --> 00:25:30,210 +efferent output اللي هو motor you can afferent + +308 +00:25:30,210 --> 00:25:37,330 +input أنا أو + +309 +00:25:37,330 --> 00:25:43,830 +هان again afferent input أو sensory nerve center أو + +310 +00:25:43,830 --> 00:25:47,930 +interneurons اللي هي integrative center و if you + +311 +00:25:47,930 --> 00:25:58,970 +want output أو إيه motor نشوف + +312 +00:25:58,970 --> 00:26:06,890 +reflex arc قبل كل شيء نجيب الصورة هذه هي reflex arc + +313 +00:26:06,890 --> 00:26:10,710 +knee jerk إيش حدث هنا في knee jerk عملنا + +314 +00:26:20,700 --> 00:26:25,220 +الإشارة بدأت تروح بالـ Afferent بالـ Sensory Input + +315 +00:26:25,220 --> 00:26:34,070 +طلعت بالـ Sensory Fibers of the femoral nerve هو + +316 +00:26:34,070 --> 00:26:37,990 +راحت للـ posterior ganglion بعد هي بتروح للـ posterior + +317 +00:26:37,990 --> 00:26:47,350 +horn cells هنا خلص موضوع اللي هو إيه الـ sensory input + +318 +00:26:47,350 --> 00:26:49,650 +you gonna have الـ efferent pathway بتاعه + +319 +00:26:54,260 --> 00:26:59,660 +لازم ننقل الإشارة من sensory input لـ motor output + +320 +00:26:59,660 --> 00:27:04,260 +طب مين اللي بينقل الإشارة اللي هم Interneurons + +321 +00:27:07,510 --> 00:27:11,530 +هي هم interneurons بيكون موجودين بين الـ posterior + +322 +00:27:11,530 --> 00:27:16,990 +horn cells والـ anterior horn cells على كل segment و + +323 +00:27:16,990 --> 00:27:22,670 +من بيعمل لهم regulation؟ Corticospinal tract اللي + +324 +00:27:22,670 --> 00:27:28,690 +جاي من وين؟ من الـ cortex بيعمل لهم regulation طيب + +325 +00:27:28,690 --> 00:27:34,330 +بعدها برجع الـ output motor بالـ من الـ anterior horn + +326 +00:27:34,330 --> 00:27:39,050 +cells في motor neurons منها بيطلع بالـ anterior + +327 +00:27:39,050 --> 00:27:44,490 +root و بيرجع على الـ motor fibers of the femoral + +328 +00:27:44,490 --> 00:27:49,860 +nerve بيروح يغذينا من الـ muscle fibers of + +329 +00:27:49,860 --> 00:27:53,720 +quadriceps muscle بيحدث contraction في الـ + +330 +00:27:53,720 --> 00:27:57,900 +quadriceps هذا الـ contraction بيؤدي إلى knee + +331 +00:27:57,900 --> 00:28:02,820 +extension knee extension هذا اسمه reflex أنا + +332 +00:28:02,820 --> 00:28:07,560 +شرحت لكم هنا اللي هو knee reflex أو knee jerk + +333 +00:28:19,680 --> 00:28:26,480 +Okay هاي الـ knee jerk نرجع reflex arc إحنا بنعمل + +334 +00:28:26,480 --> 00:28:33,460 +stretch reflex هو يعتبره بنعمل إيه tapping على الـ + +335 +00:28:33,460 --> 00:28:37,660 +tendon of the muscle الإشارة راح تروح من الـ + +336 +00:28:37,660 --> 00:28:43,930 +receptor على sensory fibers of the nerve بعد ذلك + +337 +00:28:43,930 --> 00:28:47,090 +على الـ posterior root ganglion هتدخل لوين؟ + +338 +00:28:47,090 --> 00:28:50,150 +للـ posterior horn cells + +339 +00:28:50,150 --> 00:28:55,310 +من الـ posterior horn cells لازم تنتقل لوين؟ للي هو + +340 +00:28:55,310 --> 00:29:00,670 +الـ anterior horn cells وأن هذا sensory هذا إيه؟ sensory + +341 +00:29:00,670 --> 00:29:01,310 +pathway + +342 +00:29:06,010 --> 00:29:10,290 +لازم تنتقل إلى وين؟ للموتور تنتقل إلى الموتور عن + +343 +00:29:10,290 --> 00:29:14,150 +طريق شيء اسمه Interneuron على نفس الـ level على نفس + +344 +00:29:14,150 --> 00:29:18,250 +الـ segment موجودة بين posterior horn cells and + +345 +00:29:18,250 --> 00:29:22,510 +anterior horn cells بعد الإشارة ترجع من الموتور + +346 +00:29:22,510 --> 00:29:26,130 +neuron الموجودة في الـ anterior horn cells عبر الـ + +347 +00:29:26,130 --> 00:29:30,640 +anterior root عبر الـ motor fibers of the nerve + +348 +00:29:30,640 --> 00:29:35,180 +للعضلة في الحالة هذه بيحدث contraction للعضلة وبيؤدي + +349 +00:29:35,180 --> 00:29:42,800 +الـ reflex هذا اسمه reflex arc أنا في الصورة هذه + +350 +00:29:42,800 --> 00:29:47,880 +شرحت لكم اللي هو الـ deep reflex بتاع الـ knee jerk + +351 +00:29:47,880 --> 00:29:53,580 +الـ knee jerk وتكلمت عنه بالتفصيل الـ slide القادمة + +352 +00:29:53,580 --> 00:29:58,350 +بيكرر نفس الموضوع من ناحية الـ knee jerk هو عبارة عن + +353 +00:29:58,350 --> 00:30:02,430 +stretch reflex induced by stimulation of receptor + +354 +00:30:02,430 --> 00:30:07,950 +by tapping of the patellar tendon of quadriceps + +355 +00:30:07,950 --> 00:30:11,570 +muscle لو ضربنا على الـ patellar tendon بتاع الـ + +356 +00:30:11,570 --> 00:30:15,630 +quadriceps muscle الإشارة هتروح بالـ sensory fibers + +357 +00:30:15,630 --> 00:30:19,030 +of the femoral nerve تدخل على الـ posterior root بعدها + +358 +00:30:19,030 --> 00:30:23,460 +على الـ posterior horn cells خلص الـ sensory input بعدها + +359 +00:30:23,460 --> 00:30:27,960 +تتحول الإشارة لـ motor output مين بينهم فاصل اللي + +360 +00:30:27,960 --> 00:30:31,760 +هو Interneurons Interneurons اللي واجبتهم + +361 +00:30:31,760 --> 00:30:38,250 +integrative center أو بنسميهم Center for reflex بعد + +362 +00:30:38,250 --> 00:30:43,470 +ذلك الإشارة بترجع بالـ anterior root لـ motor + +363 +00:30:43,470 --> 00:30:46,890 +fibers of the femoral nerve بيعمل supplying لـ + +364 +00:30:46,890 --> 00:30:49,550 +quadriceps muscle quadriceps muscle بتحصل لها + +365 +00:30:49,550 --> 00:30:53,470 +contraction وإحنا عارفين الـ quadriceps contraction + +366 +00:30:53,470 --> 00:30:59,810 +leads to extension of the knee joint بيعمل + +367 +00:30:59,810 --> 00:31:05,530 +extension لـ الـ knee joint طيب visceral أو + +368 +00:31:05,530 --> 00:31:10,550 +autonomic reflexes من ضمنهم micturition reflex الـ + +369 +00:31:10,550 --> 00:31:13,470 +reflex رد الفعل بتاع التبول إحنا كنا بنصحى صباحًا + +370 +00:31:13,470 --> 00:31:17,090 +بنروح الدورة بنعمل micturition هذا reflex اثنين + +371 +00:31:17,090 --> 00:31:23,530 +defecation reflex بتاع التبرز erection reflex + +372 +00:31:27,180 --> 00:31:31,440 +that inhibits gastrointestinal motility in response + +373 +00:31:31,440 --> 00:31:35,640 +to peritoneal irritation لو مريض عنده peritonitis + +374 +00:31:35,640 --> 00:31:39,980 +inflammation of the peritoneum في reflex بيقلل + +375 +00:31:39,980 --> 00:31:45,420 +حركة الأمعاء عشان يقلل الألم في جدار البطن هذا + +376 +00:31:45,420 --> 00:31:50,440 +reflex رد فعل شغل Autonomic reflexes in the spinal + +377 +00:31:50,440 --> 00:31:52,580 +cord مين هم الـ Autonomic reflexes in the spinal + +378 +00:31:52,580 --> 00:31:58,640 +cord؟ change in vascular tone resulting from change + +379 +00:31:58,640 --> 00:32:03,440 +in local skin temperature يعني في البرد أو بارد باللاحظ .. + +380 +00:32:03,440 --> 00:32:06,960 +باللاحظ بيحدث vasoconstriction، spasm للـ artery + +381 +00:32:06,960 --> 00:32:10,780 +تلاقي الإنسان لونه شاحب أبيض من الـ spasm عشان + +382 +00:32:10,780 --> 00:32:14,420 +يحافظ على حرارة جسمه لكن في الحرارة لو دخلنا + +383 +00:32:14,420 --> 00:32:18,560 +الـ sauna أو في فصل الصيف أو غصص بيحدث vasodilation، + +384 +00:32:18,560 --> 00:32:23,160 +بتوسع الشرايين عشان يخرجّوا حرارة الجسم ويقلل الـ .. + +385 +00:32:23,160 --> 00:32:28,120 +الـ .. الـ .. الـ temperature بتاعة الجسم sweating + +386 +00:32:28,120 --> 00:32:33,680 +نفس الشيء الع + +401 +00:33:30,740 --> 00:33:35,720 +في الجزء الثاني راح نكمل الـ motor unit و نتكلم على + +402 +00:33:35,720 --> 00:33:39,780 +الـ muscle tissue و الـ muscle fibers و الـ muscle + +403 +00:33:39,780 --> 00:33:41,940 +contraction of the skeletal muscle diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/B8GDzVZC_GE_postprocess.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/B8GDzVZC_GE_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..00e7bcfd3025f9c39579e078cd5ffc9aa90e7241 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/B8GDzVZC_GE_postprocess.srt @@ -0,0 +1,1612 @@ +1 +00:00:05,870 --> 00:00:09,050 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:09,050 --> 00:00:14,350 +وبركاته اليوم راح نكونمعاكم في المحاضرة الأخيرة هي + +3 +00:00:14,350 --> 00:00:19,650 +محاضرة الأسبوع 14 قبل ما أبدأ بالمحاضرة Anatomy + +4 +00:00:19,650 --> 00:00:24,870 +and physiology of the motor system part 2 بقى + +5 +00:00:24,870 --> 00:00:28,730 +عندنا slide من محاضرة الأسبوع التالت عشر اللي هو + +6 +00:00:28,730 --> 00:00:33,710 +differential between the upper motor neuron and + +7 +00:00:33,710 --> 00:00:38,110 +lower motor neuron كيف نفرج بين ال upper motor + +8 +00:00:38,110 --> 00:00:43,380 +neuron and lower motor neuronفي محاضرة الأسبوع + +9 +00:00:43,380 --> 00:00:50,000 +السابق ان ال upper motoneuron upper motoneuron + +10 +00:00:50,000 --> 00:00:58,460 +Legion اما بيكون corticospinal + +11 +00:00:58,460 --> 00:01:06,940 +tract lesion او بالنسبالي على cranial nerves + +12 +00:01:06,940 --> 00:01:14,290 +corticospinal tract lesionبالبر كورتيكو نوكليار + +13 +00:01:14,290 --> 00:01:21,290 +بيرامدالي + +14 +00:01:21,290 --> 00:01:28,270 +تراكت بيرامدالي + +15 +00:01:28,270 --> 00:01:28,730 +بيرامدالي بيرامدالي بيرامدالي بيرامدالي بيرامدالي + +16 +00:01:28,730 --> 00:01:29,270 +بيرامدالي بيرامدالي بيرامدالي بيرامدالي بيرامدالي + +17 +00:01:29,270 --> 00:01:29,410 +بيرامدالي بيرامدالي بيرامدالي بيرامدالي بيرامدالي + +18 +00:01:29,410 --> 00:01:33,890 +بيرامدالي بيرامدالي بيرام + +19 +00:01:39,390 --> 00:01:52,230 +هو عبارة عن nuclear lesion of cranial nerves اللي + +20 +00:01:52,230 --> 00:01:57,970 +هم motor cranial nerves motor cranial nerves اثنين + +21 +00:01:57,970 --> 00:02:02,590 +anterior horn cells lesion + +22 +00:02:08,320 --> 00:02:13,100 +ثلاثة cranial and + +23 +00:02:13,100 --> 00:02:18,840 +spinal nerve lesion هذا كله اللي هو الرموز مطلوع + +24 +00:02:18,840 --> 00:02:29,520 +neuro muscular and muscle fibers + +25 +00:02:31,280 --> 00:02:37,780 +من الـ Antiviral cells لحد المصل يعتبر lower motor + +26 +00:02:37,780 --> 00:02:41,760 +neuron lesion نفس الشيء في البرنسيم من ال motor + +27 +00:02:41,760 --> 00:02:45,440 +nuclei in the برنسيم اللي تاب على ال cranial + +28 +00:02:45,440 --> 00:02:49,640 +nerves لحد ما أصل للمصل fibers هذا يعتبر lower + +29 +00:02:49,640 --> 00:02:55,820 +motor neuron lesion اول شيء ال location of lesion + +30 +00:02:56,930 --> 00:03:01,470 +من ناحية الـ Upper Motoneuron بيبدأ من الـ Area IV + +31 +00:03:01,470 --> 00:03:04,310 +اللي هي الـ Precentral Gyrus لحد ما أصل الـ + +32 +00:03:04,310 --> 00:03:07,350 +Anterior Horn Cells حسب الـ Segment هذا يعتبر + +33 +00:03:07,350 --> 00:03:09,890 +Upper Motoneuron Lesion إذا بتكلم عن الـ cranial + +34 +00:03:09,890 --> 00:03:15,290 +nerves بيبدأ من الـ Area IV لحد ما أصل الموتور + +35 +00:03:15,290 --> 00:03:19,010 +نوكلياي in the brainstem يعتبر Upper Motoneuron + +36 +00:03:19,010 --> 00:03:21,850 +Lesion يقول Upper Motoneuron Lesion هو عبارة عن + +37 +00:03:21,850 --> 00:03:27,020 +Damage of Corticospinal أو Corticobulbar tractطب + +38 +00:03:27,020 --> 00:03:30,540 +lower motor neuron هو عبارة عن دمج من الـ anterior + +39 +00:03:30,540 --> 00:03:34,080 +horn cells لحد ال muscle fibers أو من ال motor + +40 +00:03:34,080 --> 00:03:37,920 +nuclei of the brain stem التابعين لل cranial + +41 +00:03:37,920 --> 00:03:41,780 +nerves لحد ال muscle fibers هذا يعتبر lower motor + +42 +00:03:41,780 --> 00:03:45,680 +neuron lesion أنا بتكلم الآن على corticospinal + +43 +00:03:45,680 --> 00:03:49,100 +tract رح أركز على corticospinal location of + +44 +00:03:49,100 --> 00:03:55,860 +paralysisإحنا اتفقنا إنه Corticospinal tract بيعمل + +45 +00:03:55,860 --> 00:03:59,620 +incomplete decassation crossing في lower part of + +46 +00:03:59,620 --> 00:04:03,480 +medulla أو بلنجات يبقى هذا المكان اسمه بيرامدال + +47 +00:04:03,480 --> 00:04:09,220 +decassation أو بيرامدال ال crossing في حال حدث + +48 +00:04:09,220 --> 00:04:13,620 +damage ل Corticospinal tract ال paralysis located + +49 +00:04:13,620 --> 00:04:18,620 +below the level of lesion يبقى حدث damage + +50 +00:04:21,630 --> 00:04:24,850 +below the level of lesion في paralysis حدث damage + +51 +00:04:24,850 --> 00:04:28,350 +في ال spinal cord below the level of lesion في + +52 +00:04:28,350 --> 00:04:34,390 +paralysis لكن انتبه إذا كان الدمج في ال brain يعني + +53 +00:04:34,390 --> 00:04:39,970 +above decassation ال paralysis أو ال hemiplegia + +54 +00:04:39,970 --> 00:04:43,470 +راح تكون على ال opposite side يعني المريض حدث معاه + +55 +00:04:43,470 --> 00:04:48,450 +جرطة دماغية في ال left cerebral hemisphereالشلر + +56 +00:04:48,450 --> 00:04:50,710 +راح يكون عنده على ال right side لإيه؟ لإن ال + +57 +00:04:50,710 --> 00:04:53,370 +damage حدث عنده above the crossing above the + +58 +00:04:53,370 --> 00:04:57,310 +cassation طب لو المريض حدث معاه إصابة في الحبل + +59 +00:04:57,310 --> 00:05:03,150 +الشوكي spinal cord injury راح يكون نصف of motor + +60 +00:05:03,150 --> 00:05:06,820 +function بلو ده level of lesionلكن على نفس الـ + +61 +00:05:06,820 --> 00:05:10,780 +side يعني إذا فيه damage على ال right الشلال على + +62 +00:05:10,780 --> 00:05:14,320 +ال right damage left شلال left ليه؟ لأنه حدث + +63 +00:05:14,320 --> 00:05:18,580 +damage ل corticospinal tract below decassation + +64 +00:05:18,580 --> 00:05:24,960 +below crossing واضح؟ okay again ال location of + +65 +00:05:24,960 --> 00:05:29,990 +paralysis below the level of lesioncontralateral + +66 +00:05:29,990 --> 00:05:33,110 +above decassation إذا كان الدمج above decassation، + +67 +00:05:33,110 --> 00:05:36,410 +الـ symptom على الـ contralateral صعب طب إذا كانت + +68 +00:05:36,410 --> 00:05:40,210 +below decassation، إبسي lateral، إبسي lateral على + +69 +00:05:40,210 --> 00:05:45,870 +نفس الـ side من ناحية ال lower motor neuron، إبسي + +70 +00:05:45,870 --> 00:05:50,950 +lateral at the level of lesion يعني كيف حدث الدمج + +71 +00:05:50,950 --> 00:05:57,160 +لـ axillary nerve على ال right sideأو ال + +72 +00:05:57,160 --> 00:06:03,440 +antihorses of C5 segment على ال right على ايه؟ على + +73 +00:06:03,440 --> 00:06:07,680 +ال right side في الحالة هذه مين راح يحدث شلال او + +74 +00:06:07,680 --> 00:06:12,320 +damage؟ deltoid muscle يعني دلتويد muscle راح تنشل + +75 +00:06:12,320 --> 00:06:16,040 +على نفس الجهة وعلى نفس ال level يعني في ال lower + +76 +00:06:16,040 --> 00:06:20,460 +motor neuron symptoms بيكون إبسي lateral على نفس + +77 +00:06:20,460 --> 00:06:26,100 +ال sideوع نفس ال level انا بشبه الكلام هذا بخط + +78 +00:06:26,100 --> 00:06:30,620 +كهرب رئيسي خط كهرب رئيسي هاي خط الكهرب الرئيسي + +79 +00:06:30,620 --> 00:06:42,700 +ماشي في الدرجة و بسلم ل ال anterior horn cells و + +80 +00:06:42,700 --> 00:06:48,430 +ال anterior horn cells راح يسلم ال nerveناخدها + +81 +00:06:48,430 --> 00:06:52,050 +بلون ثاني يبقى ال upper motor neuron نرسمه باللون + +82 +00:06:52,050 --> 00:06:58,490 +الأسود عشان نتهمه صح هنا + +83 +00:06:58,490 --> 00:07:02,650 +above decassation وهنا below decassation ال fibers + +84 +00:07:02,650 --> 00:07:09,090 +تبعتها راح تسلم لكل level لل anterior horn cells + +85 +00:07:09,090 --> 00:07:14,390 +ال anterior horn cells راح تاخد الإشارة من ال + +86 +00:07:14,390 --> 00:07:17,630 +anterior horn cells تسلم لل nerve للمuscleللنيرو + +87 +00:07:17,630 --> 00:07:27,110 +للمصل للمصل + +88 +00:07:27,110 --> 00:07:27,130 +للمصل للمصل للمصل للمصل للمصل للمصل للمصل للمصل + +89 +00:07:27,130 --> 00:07:30,930 +للمصل للمصل للمصل لمصل لمصل لمصل لمصل لمصل لمصل + +90 +00:07:30,930 --> 00:07:36,570 +لمصل لمصل لمصل لمصل لمصل لمصل لمصل لمصل لمصل لمصل + +91 +00:07:36,570 --> 00:07:41,130 +لمصل لمصل لمصل لمصل لمصل لمصل لمصل لمصل لمصل لمص + +92 +00:07:42,580 --> 00:07:46,560 +بصير شلل تحت مستوى الإصابة، بس على الجهة المعاكسة، + +93 +00:07:46,560 --> 00:07:49,120 +عوين على الجهة المعاكسة لأن ال damage above + +94 +00:07:49,120 --> 00:07:52,460 +decussation، فهم الكلام هذا؟ طب لو حد الدمج على ال + +95 +00:07:52,460 --> 00:07:55,520 +spinal cord، للكورتيكو spinal tract، لترقى + +96 +00:07:55,520 --> 00:08:00,040 +الكورتيكو spinal tractبصير شال تحت مستوى الإصابة + +97 +00:08:00,040 --> 00:08:02,700 +كله بنشال بس على نفس الجهة لإن هو ده periodic + +98 +00:08:02,700 --> 00:08:06,620 +succession أنا بشبهه بخط كهرب رئيسي نازل في الدراج + +99 +00:08:06,620 --> 00:08:11,900 +و بوزهه لكل طابق لكل شجة لو انقطع الخط الرئيسي كله + +100 +00:08:11,900 --> 00:08:16,040 +بيفصل تحته كله بيفصل الكهرب عنده طب لو في شجة رقم + +101 +00:08:16,040 --> 00:08:21,840 +خمسة مش دافعة كهرب صاحبها و أجيب دنيو تعامل كهرب + +102 +00:08:21,840 --> 00:08:25,700 +في الطاقة إيش رح يفصلوا؟ رح يفصلوا السلك بتاع + +103 +00:08:25,700 --> 00:08:33,200 +الشجة نفسهافي الحالة هذه، ايش راح يحدث لنا؟ ما راح + +104 +00:08:33,200 --> 00:08:37,140 +تروح إشارة على ال muscle، راح تنشل ال muscle وين؟ + +105 +00:08:37,140 --> 00:08:40,900 +على نفس المستوى، يبقى فقط هنا راح تنشل نفس العضلة + +106 +00:08:40,900 --> 00:08:44,420 +و نفس المستوى، يبقى لو أجي واحد، مش سينافع كهرب، + +107 +00:08:44,420 --> 00:08:49,170 +وقطع عن سلك الكهرب بتاع شقتهالعمارة البرج الكهرب + +108 +00:08:49,170 --> 00:08:53,190 +جاي عندهم ويردس الكهرب بس الشقة بتاعته هذا هو + +109 +00:08:53,190 --> 00:08:58,350 +الورموتونيرون هذا هو الورموتونيرون إبسي lateral at + +110 +00:08:58,350 --> 00:09:04,430 +the riddle of the same sideالثالثة Paralysis من + +111 +00:09:04,430 --> 00:09:08,130 +ناحية الأعلى الموتو نيرون بتكون Spastic Spastic + +112 +00:09:08,130 --> 00:09:11,390 +due to spasticity بعد ما ينتهي ال shock stage ان + +113 +00:09:11,390 --> 00:09:14,030 +شاء الله في سنة رابعة بشرحلكوا يعني نضلنا طيبين + +114 +00:09:14,030 --> 00:09:18,210 +موضوع ال shock stage يبقى بيكون Spastic عندهم + +115 +00:09:18,210 --> 00:09:21,930 +muscle hypertonia hyperreflexia لكن في الأعلى + +116 +00:09:21,930 --> 00:09:25,410 +الموتو نيرون بيكون الفلسفة muscle hypotonia + +117 +00:09:25,410 --> 00:09:31,690 +وhyperreflexia وareflexiaنجينا ال muscle ايش الفرق + +118 +00:09:31,690 --> 00:09:34,530 +بين ال upper motoneuron و ال lower motoneuron من + +119 +00:09:34,530 --> 00:09:38,270 +ناحية ال upper motoneuron ال muscle state wasting + +120 +00:09:38,270 --> 00:09:45,800 +or muscle hypotrophy okay very lateفي وقت متأخر + +121 +00:09:45,800 --> 00:09:51,700 +ليه بتحدث؟ due to disuse لعدم الاستخدام في حال + +122 +00:09:51,700 --> 00:09:56,280 +العضلة ما تمشي استخدامها بيحدث فيها ضمور لكن في + +123 +00:09:56,280 --> 00:10:01,860 +اللولار موطنيون بيحدث عندهم early muscle + +124 +00:10:01,860 --> 00:10:06,860 +hypotrophy ليه؟ لأن ال anterior horn cells هي + +125 +00:10:06,860 --> 00:10:11,720 +المسئولة عن nourishment of the muscle fibers تلاتة + +126 +00:10:12,730 --> 00:10:16,250 +أو اتنين من ناحية ال muscles muscle tone ال muscle + +127 +00:10:16,250 --> 00:10:20,470 +tone في ال upper motor neuron بيكون عندنا muscle + +128 +00:10:20,470 --> 00:10:25,710 +hypertonia او spasticity لكن في ال lower motor + +129 +00:10:25,710 --> 00:10:29,690 +neuron بيكون عندنا muscle hypotonia او flaccidity + +130 +00:10:31,260 --> 00:10:34,320 +muscle fasciculation ايش ال muscle fasciculation؟ + +131 +00:10:34,320 --> 00:10:39,720 +هي عبارة عن spontaneous contraction of muscle + +132 +00:10:39,720 --> 00:10:42,280 +group بلاحظ ال muscle بيصير فيها contraction + +133 +00:10:42,280 --> 00:10:47,340 +بتتحرك بدون حركة لا إيرادية absent in the upper + +134 +00:10:47,340 --> 00:10:51,900 +motoneon لكن بتكون presentedفي ال lower motor + +135 +00:10:51,900 --> 00:10:55,080 +neuron مش في كل الحالات أكتر شيء لو كان في + +136 +00:10:55,080 --> 00:10:59,200 +irritation or lesion of the anterior whole cells + +137 +00:10:59,200 --> 00:11:04,540 +أو of the motor cranial nuclei in the brain stem + +138 +00:11:04,540 --> 00:11:08,180 +ننتقل لموضوع آخر reflexes كيف نفرج بينهم بال + +139 +00:11:08,180 --> 00:11:14,490 +reflexes ال deep reflexesبيكون hyperreflexia يعني + +140 +00:11:14,490 --> 00:11:18,030 +لو جينا near reflex بيكون hyperreflexia لكن في ال + +141 +00:11:18,030 --> 00:11:21,650 +lower motor neuron ممكن يكون hyperreflexia او + +142 +00:11:21,650 --> 00:11:26,750 +areflexia absent of reflexالكلوناس، ايش هو + +143 +00:11:26,750 --> 00:11:31,090 +الكلوناس؟ هو عبارة عن رhythmic serial of + +144 +00:11:31,090 --> 00:11:36,470 +contraction in response to sudden stretch of + +145 +00:11:36,470 --> 00:11:41,110 +muscle tendon لو جينا للفوت، عملنا sudden stretch + +146 +00:11:41,110 --> 00:11:45,490 +للأكيلي السندن، راح تلاقي الفوت يحدث معها شيء + +147 +00:11:45,490 --> 00:11:49,600 +بنسميه كلوناس، Dorsiflexion مع plantar flexionOkay + +148 +00:11:49,600 --> 00:11:52,680 +يبقى هذا بتقل على ايه؟ المريض عنده severe + +149 +00:11:52,680 --> 00:11:56,660 +hyperreflexia .. severe hyperreflexia يبقى هذا + +150 +00:11:56,660 --> 00:12:00,080 +بتكون ال class madam severe hyperreflexia راح تكون + +151 +00:12:00,080 --> 00:12:05,040 +present in the upper motoneuron and absent in the + +152 +00:12:05,040 --> 00:12:09,280 +lower motoneuron بابينسكي رفليكس أو pathological + +153 +00:12:09,280 --> 00:12:13,220 +plantar reflex بتكون موجودة في upper motoneuron + +154 +00:12:13,220 --> 00:12:19,750 +and absent in the lower motoneuronSuperficial + +155 +00:12:19,750 --> 00:12:24,630 +reflexes رح تكون lost in the upper motoneuron + +156 +00:12:24,630 --> 00:12:28,130 +below the level of lesion لكن في ال lower + +157 +00:12:28,130 --> 00:12:34,090 +motoneuron lost at the level of the same site هي + +158 +00:12:34,090 --> 00:12:38,210 +كأنا بكون شرحتلكوا ال differential between the + +159 +00:12:38,210 --> 00:12:42,190 +upper motoneuron and lower motoneuron هذه الجزئية + +160 +00:12:42,440 --> 00:12:46,040 +تاب على محاضرة الأسبوع الثالث عشر لكن انا ما + +161 +00:12:46,040 --> 00:12:49,780 +أسعطنيش الوقت و شراحتلكوا إياها هنا اليوم مع + +162 +00:12:49,780 --> 00:12:53,780 +محاضرة الأسبوع الرابع عشر كيك نكون احنا خلصنا من + +163 +00:12:53,780 --> 00:12:59,480 +محاضرة اللي هو أسبوع الثالث عشر انتجل الآن + +164 +00:12:59,480 --> 00:13:04,200 +لمحاضرتنا الأخيرة اللي هي محاضرة الأسبوع الرابع + +165 +00:13:04,200 --> 00:13:12,860 +عشرanatomy and physiology of the motor system part + +166 +00:13:12,860 --> 00:13:17,300 +2 احنا اتكلمنا السابق على الجزء الاول من ال motor + +167 +00:13:17,300 --> 00:13:22,040 +system اليوم اتكلم على الجزء التاني من ال motor + +168 +00:13:22,040 --> 00:13:29,440 +system نبدأ + +169 +00:13:29,440 --> 00:13:40,790 +ب human reflexes reflexهو عبارة عن involuntary + +170 +00:13:40,790 --> 00:13:42,890 +action + +171 +00:13:44,240 --> 00:13:49,180 +performed in response to impulses يبقى هو عبارة عن + +172 +00:13:49,180 --> 00:13:53,860 +ايه؟ involuntary action performed in response to + +173 +00:13:53,860 --> 00:13:59,020 +impulse ايش هو response؟ راح يكون sensory stimulus + +174 +00:13:59,020 --> 00:14:02,480 +sensory stimulus راح نشرحه اليوم what's the + +175 +00:14:02,480 --> 00:14:07,060 +classification of reflexes reflex يعني رد الفعل رد + +176 +00:14:07,060 --> 00:14:14,150 +ايه؟ فعل peripheral reflexes autonomicممكن يكونوا + +177 +00:14:14,150 --> 00:14:18,310 +مثل sympathetic ويبارى sympathetic ع سبيل المثال + +178 +00:14:18,310 --> 00:14:23,330 +GIT reflexesمثل ال defecation و ال urination + +179 +00:14:23,330 --> 00:14:27,510 +reflex لا إيرادي الإنسان بيصحى من النوم بيروح + +180 +00:14:27,510 --> 00:14:31,850 +الدورة عشان يعمل عملية التبول أو التبرز هذا يعتبر + +181 +00:14:31,850 --> 00:14:36,450 +reflex اللي هو يعتبر peripheral reflex تابع لل + +182 +00:14:36,450 --> 00:14:40,450 +autonomic nervous system لل parasympathetic أكتر + +183 +00:14:40,450 --> 00:14:47,730 +Central reflex Central reflex هذا مركزي رد فيه + +184 +00:14:47,730 --> 00:14:50,310 +المركزي بيقسمهم لقسمين + +185 +00:14:53,260 --> 00:14:59,740 +conduction reflexes هذي acquired بتجينا للمرضى او + +186 +00:14:59,740 --> 00:15:04,020 +لالانسان بتجي by learning and training يبقى ان هي + +187 +00:15:04,020 --> 00:15:08,260 +عبارة عن skills مهارات تصير عند المريض و بتدرب + +188 +00:15:08,260 --> 00:15:12,740 +عليها يبقى ان بيصير عملية learning and training مع + +189 +00:15:12,740 --> 00:15:18,900 +تدريبand are integrated in cerebral cortex وبعدين + +190 +00:15:18,900 --> 00:15:23,480 +يضلهم المركز بتاعهم موجود في ال cerebral cortex + +191 +00:15:23,480 --> 00:15:28,620 +يبقى reflex center لهدول ال reflexes موجود وين في + +192 +00:15:28,620 --> 00:15:32,660 +ال cerebral cortex يبقى integration center لهم + +193 +00:15:32,660 --> 00:15:38,520 +موجود في ال cerebral cortexunconditional reflexes + +194 +00:15:38,520 --> 00:15:42,460 +هدى عبارة عن congenital reflexes هدول منذ الولادة + +195 +00:15:42,460 --> 00:15:45,960 +بيكونوا عند الإنسان without learning without + +196 +00:15:45,960 --> 00:15:51,460 +learning hypothalamic reflex اللى علاقة بال + +197 +00:15:51,460 --> 00:15:56,040 +regulation of body temperature water balance and + +198 +00:15:56,040 --> 00:16:02,740 +other midbrain reflex اللى علاقة بال pastoral and + +199 +00:16:02,740 --> 00:16:07,650 +visual reflexMedullary reflex من ضمنهم اللي هم ال + +200 +00:16:07,650 --> 00:16:12,490 +visual reflex light reflex لو أنا أجيت بالضوء، + +201 +00:16:12,490 --> 00:16:15,990 +ضويت في العين، رح يحدث construction لل pupils، + +202 +00:16:15,990 --> 00:16:19,210 +بقبه العين يصغر أو لو طلعنا من الضلام إلى الضوء في + +203 +00:16:19,210 --> 00:16:23,170 +الشمس، البقبو ال pupils رح يصغر في حجمه أو العكس + +204 +00:16:23,170 --> 00:16:28,450 +صحيح فتنا من ضوء لغرفه معتمة، رح يصير dilatation + +205 +00:16:28,450 --> 00:16:32,830 +في ال pupils هذا يعتبر congenital reflex موجود في + +206 +00:16:32,830 --> 00:16:36,270 +ال mind brainMedullary reflex مثل ال + +207 +00:16:36,270 --> 00:16:40,590 +cardiovascular، respiratory، digestive reflex + +208 +00:16:40,590 --> 00:16:46,010 +موجودين وين هدولة في اللي هو ال Medulla oblongata + +209 +00:16:46,010 --> 00:16:50,670 +في spinal reflex من ضمن ال spinal reflex في + +210 +00:16:50,670 --> 00:16:55,190 +superficial reflex اللي هو skin reflex مثل ال + +211 +00:16:55,190 --> 00:17:03,060 +abdominal reflex، anal reflex وفي deep reflexهذه + +212 +00:17:03,060 --> 00:17:09,060 +مثل الهو knee jerk, ankle jerk او ankle reflex, + +213 +00:17:09,520 --> 00:17:15,020 +jerk او reflex نفس الشيء وفي visceral reflex for + +214 +00:17:15,020 --> 00:17:22,840 +internal organs for a internal organs الآن راح + +215 +00:17:22,840 --> 00:17:27,400 +اتكلم على spinal reflexes ان شاء الله في السنة + +216 +00:17:27,400 --> 00:17:31,070 +الرابعةبنتكلم عنهم وبنتكلم عن ال examination of + +217 +00:17:31,070 --> 00:17:33,950 +the nervous system وكيف نفحص هذه ال reflexes + +218 +00:17:33,950 --> 00:17:40,010 +بالتفصيل فينا ثلاث أنواع spinal reflexes في + +219 +00:17:40,010 --> 00:17:42,930 +superficial reflex يعني ايش superficial reflex + +220 +00:17:42,930 --> 00:17:49,140 +يعني بحدث contraction للمصل withoutjoint movement + +221 +00:17:49,140 --> 00:17:53,460 +يعني لو عملنا abdominal reflex بيصير contraction + +222 +00:17:53,460 --> 00:17:57,200 +لل abdominal muscle gag reflex او pharyngeal + +223 +00:17:57,200 --> 00:18:00,600 +reflex بيحدث contraction لل pharyngeal muscle + +224 +00:18:00,600 --> 00:18:09,460 +without joint movement طيب biceps reflex هبيعتبر + +225 +00:18:09,460 --> 00:18:15,810 +ايه؟deep reflex لماذا اتكلمت على deep reflex لأن + +226 +00:18:15,810 --> 00:18:20,850 +في الحالة هذه حدث joint movement في حال انه يحدث + +227 +00:18:20,850 --> 00:18:25,730 +joint movement بسميه deep reflex يعني رد فعل عميق + +228 +00:18:25,730 --> 00:18:32,270 +اتحرك فيه joint و ثلاثة visceral reflex اللي هم + +229 +00:18:32,270 --> 00:18:35,730 +علاقة بال internal organs اللي هم علاقة بال + +230 +00:18:35,730 --> 00:18:41,380 +internal organsطيب إيش أنواع superficial reflex؟ + +231 +00:18:41,380 --> 00:18:46,600 +مين هم ال superficial reflex؟ plantar reflex، + +232 +00:18:46,600 --> 00:18:53,440 +abdominal reflex لو جينا لأخوه لوحد حيص من إيه؟ من + +233 +00:18:53,440 --> 00:18:56,920 +بطنه، جرس و ذيك شوية، تلاقي حدث contraction، تقول + +234 +00:18:56,920 --> 00:19:00,640 +والله حاص، حدث contraction في ال abdominal muscle، + +235 +00:19:00,640 --> 00:19:05,080 +هذا يعتبر abdominal reflexinner reflex لو عملنا + +236 +00:19:05,080 --> 00:19:08,420 +stroking around the anus اللي ال external + +237 +00:19:08,420 --> 00:19:12,400 +sphincter في الحالة هاد راح يحدث contraction ل + +238 +00:19:12,400 --> 00:19:16,440 +external sphincter يعتبر هذا a superficial reflex + +239 +00:19:16,440 --> 00:19:21,500 +cremastric reflex هذا يكون عند الميل لو عملنا + +240 +00:19:21,500 --> 00:19:24,760 +stroking او irritation في ال medial aspect of + +241 +00:19:24,760 --> 00:19:28,480 +thigh ممكن يحدث elevation of testis بيصير + +242 +00:19:28,480 --> 00:19:32,640 +elevation لمين؟ لتستسCornier reflex أو + +243 +00:19:32,640 --> 00:19:38,640 +conjunctivir reflex لو جيبنا قطعة قطنحطيناها في + +244 +00:19:38,640 --> 00:19:41,620 +العين في ال conjunctiva لمسناها ايش حدث لعيننا على + +245 +00:19:41,620 --> 00:19:45,800 +السريع بنغمض عيننا كنا بيحدث معنا corneal reflex + +246 +00:19:45,800 --> 00:19:49,040 +او conjunctivial reflex بدون ما احنا نفكر فيه + +247 +00:19:49,040 --> 00:19:52,480 +ماشيين في الشارع ريح غبرة اشرع على السريع راح تجمد + +248 +00:19:52,480 --> 00:19:57,780 +غمض عينك يعتبر هذا reflex عشان احمي عيني من الغبار + +249 +00:19:57,780 --> 00:20:03,870 +و من الهواء palatal reflexال بلاتة reflex في حال + +250 +00:20:03,870 --> 00:20:07,670 +أنا عملت irritation لل soft palate في ال mouth + +251 +00:20:07,670 --> 00:20:11,410 +بيحدث elevation لل soft palate بيحدث elevation + +252 +00:20:11,410 --> 00:20:16,630 +لإيه؟ لل soft palate و gag reflex أو بنسميه + +253 +00:20:16,630 --> 00:20:21,050 +pharyngeal reflex لو أجينا فحصنا مريض وعملنا + +254 +00:20:21,050 --> 00:20:26,370 +depression او depressive لل tongue ضغطنا ال tongue + +255 +00:20:26,370 --> 00:20:30,240 +ب tongue depressor في الحالة هذهو اعملنا + +256 +00:20:30,240 --> 00:20:33,500 +irritation بورجة وورجة طويلة هيك اعملنا ايه؟ + +257 +00:20:33,500 --> 00:20:36,800 +irritation ل ال posterior wall of the pharynx بحدث + +258 +00:20:36,800 --> 00:20:40,040 +contraction ل ال pharyngeal muscle و المريض بيعمل + +259 +00:20:40,040 --> 00:20:44,000 +vomiting من ايه؟ من ال irritation of the posterior + +260 +00:20:44,000 --> 00:20:47,980 +wall of the pharynx هذا بنسمي gag reflex من ناحية + +261 +00:20:47,980 --> 00:20:51,600 +ال level على اي مستوى بيتم ال gag reflex بيتم على + +262 +00:20:51,600 --> 00:20:56,040 +medallary level عوان؟ميدالري level طب بلات ال + +263 +00:20:56,040 --> 00:21:01,940 +reflex بتم على ميدالري level ال corner reflex بتم + +264 +00:21:01,940 --> 00:21:09,850 +على pontine levelcremastric reflex لوين؟ ل ال + +265 +00:21:09,850 --> 00:21:13,470 +spinal level inner reflex spinal level abdominal + +266 +00:21:13,470 --> 00:21:18,770 +reflex نفس الشيء في upper و middle و lower بيتموا + +267 +00:21:18,770 --> 00:21:22,730 +على وين؟ على spinal level plantar reflex spinal + +268 +00:21:22,730 --> 00:21:26,930 +level يبقى واحد اتنين تلاتة اربعة هدول بيتموا وين؟ + +269 +00:21:26,930 --> 00:21:30,990 +على spinal level ليه؟لأن المسئول عنهم spinal + +270 +00:21:30,990 --> 00:21:35,070 +nerves مسئول عنهم spinal nerves لكن corneal reflex + +271 +00:21:35,070 --> 00:21:40,170 +بلاطر reflex و gag reflex مسئول عنهم cranial + +272 +00:21:40,170 --> 00:21:44,550 +nerves في الحالة هذه بتم مولق عوين على مستوى اللي + +273 +00:21:44,550 --> 00:21:51,230 +هو brainstem ناخد مثل corneal reflex corneal + +274 +00:21:51,230 --> 00:21:56,390 +reflex الأفيرانت المسئول + +275 +00:21:56,390 --> 00:21:57,910 +عنه اللي هو sensory nerve + +276 +00:22:00,520 --> 00:22:07,120 +يعتبر V1 اللي هو افتعل مت برانش of تراجي من ال + +277 +00:22:07,120 --> 00:22:15,820 +nerve طيب ال efferent اللي + +278 +00:22:15,820 --> 00:22:22,680 +هو motor يعتبر facial nerve facial nerve هو اللي + +279 +00:22:22,680 --> 00:22:27,400 +بيعمل contraction لل arbicularis oculi muscle ال + +280 +00:22:27,400 --> 00:22:39,930 +palatal reflexمن ناحية efferent sensory يعتبر + +281 +00:22:39,930 --> 00:22:45,510 +V2 اللي هو maxillary branch of trigeminal nerve + +282 +00:22:45,510 --> 00:22:54,850 +طيب efferent ال motor يعتبر + +283 +00:22:54,850 --> 00:22:59,490 +Vegas nerve زائد cranial + +284 +00:23:02,360 --> 00:23:07,620 +accessory زائد cranial accessory و gag reflex او + +285 +00:23:07,620 --> 00:23:17,260 +pharyngeal reflex afferent اللي هو sensory مسئول + +286 +00:23:17,260 --> 00:23:21,660 +عنه من ناحية sensory اللي هو glossopharyngeal + +287 +00:23:21,660 --> 00:23:26,880 +nerve الموتور اللي هو efferent + +288 +00:23:32,660 --> 00:23:39,100 +نفس البلاتل راح يكون Vegas nerve زائد cranial + +289 +00:23:39,100 --> 00:23:45,980 +accessory هذا في ناحية اللي هما cranial reflexes + +290 +00:23:58,090 --> 00:24:02,910 +يبقى ان انا لو جيبت قطة قطن ومشيتها حركتها على + +291 +00:24:02,910 --> 00:24:06,470 +conjunctiva of the eye راح يشعروا بال irritation + +292 +00:24:06,470 --> 00:24:09,450 +ال receptor راح يشعروا مسئول عنهم اللي هو + +293 +00:24:09,450 --> 00:24:12,430 +ophthalmic nerve of the trigeminal راح يأتي إشارة + +294 +00:24:12,430 --> 00:24:17,710 +لمن؟ لل brain stem لل pons ومنها ترجع الإشارة بال + +295 +00:24:17,710 --> 00:24:20,430 +motor fibers بتاعة ال facial nerve اللي راح يغمض + +296 +00:24:20,430 --> 00:24:23,750 +لعين الإنسان يعمل closure لل eye هذا بنسمي reflex + +297 +00:24:23,750 --> 00:24:29,640 +اسمه conjunctival أو corneal reflexطيب deep + +298 +00:24:29,640 --> 00:24:35,260 +reflexes او بنسميهم proprio سبتف او stretch spinal + +299 +00:24:35,260 --> 00:24:42,660 +reflex زي جوجيرك، بايسيبس reflex، ترايسيبس reflex، + +300 +00:24:42,660 --> 00:24:46,840 +subbinator او curb radialis reflex، knee reflex + +301 +00:24:47,680 --> 00:24:52,120 +انكل او اكيليس reflex او جيرك لو جينا ضربنا ع ال + +302 +00:24:52,120 --> 00:24:58,120 +tendon of biceps بالهمار بتاعي راح يحدث ايه + +303 +00:24:58,120 --> 00:25:02,940 +friction لل elbow هذا يعتبر reflex ديب لكن ليه ديب + +304 +00:25:02,940 --> 00:25:11,900 +لان اتحرك المفصل بتاعه human reflex arc the reflex + +305 +00:25:11,900 --> 00:25:20,630 +arc include afferentor input sensory nerve center + +306 +00:25:20,630 --> 00:25:25,010 +او inter neuron اللي هي integrative center و + +307 +00:25:25,010 --> 00:25:30,210 +afferent output اللي هو motor you can afferent + +308 +00:25:30,210 --> 00:25:37,330 +input انا او + +309 +00:25:37,330 --> 00:25:43,830 +هان again afferent input او sensorynerve center او + +310 +00:25:43,830 --> 00:25:47,930 +inter neurons اللي هي integrative center و if you + +311 +00:25:47,930 --> 00:25:58,970 +want output او ايه motor نشوف + +312 +00:25:58,970 --> 00:26:06,890 +reflex R قبل كل شي نجيب الصورة هذه هي reflex ني + +313 +00:26:06,890 --> 00:26:10,710 +جيرك ايش حدث هنا في ني جيرك عملنا + +314 +00:26:20,700 --> 00:26:25,220 +الإشارة بدأت تروح بالـ Afferent بالـ Sensory Input + +315 +00:26:25,220 --> 00:26:34,070 +طلعت بالـ Sensory Fibers of the femoral nerveهو + +316 +00:26:34,070 --> 00:26:37,990 +راحت للبستيرو الجانجليون بعد هي بتروح للبستيرو + +317 +00:26:37,990 --> 00:26:47,350 +هورنسرز هنا خلص موضوع اللي هو ايه ال sensory input + +318 +00:26:47,350 --> 00:26:49,650 +you gonna have ال affluent pathway بتاعه + +319 +00:26:54,260 --> 00:26:59,660 +لازم نتجل الإشارة من sensory input ل motor output + +320 +00:26:59,660 --> 00:27:04,260 +طب مين اللي بينجل الإشارة اللي هم Inter neurons + +321 +00:27:07,510 --> 00:27:11,530 +هي هم انترنيرونز بيكون موجودين بين ال posterior + +322 +00:27:11,530 --> 00:27:16,990 +horn cells و ال anterior horn cells ع كل segment و + +323 +00:27:16,990 --> 00:27:22,670 +من بيعملهم regulation؟ Corticospinal tract اللي + +324 +00:27:22,670 --> 00:27:28,690 +جاي من وين؟ من ال cortex بيعملهم regulation طيب + +325 +00:27:28,690 --> 00:27:34,330 +بعدك برجع ال output motorبالـ من الـ anterior host + +326 +00:27:34,330 --> 00:27:39,050 +cells في motor neurons منها بيطلع بالـ anterior + +327 +00:27:39,050 --> 00:27:44,490 +root و بيرجع على ال motor fibers of the femoral + +328 +00:27:44,490 --> 00:27:49,860 +nerveبروح يقدّينا من ال muscle fibers of + +329 +00:27:49,860 --> 00:27:53,720 +quadriceps muscle بيحدث contraction في ال + +330 +00:27:53,720 --> 00:27:57,900 +quadriceps هذا ال contraction بيقدّي الى knee + +331 +00:27:57,900 --> 00:28:02,820 +extension knee extension هذا اسمه reflex انا + +332 +00:28:02,820 --> 00:28:07,560 +شرحتلكوا هنا اللي هو knee reflex او knee jerk + +333 +00:28:19,680 --> 00:28:26,480 +Okay هاي الـ knee jerk نرجع reflex arc احنا بنعمل + +334 +00:28:26,480 --> 00:28:33,460 +stretch reflex هو يعتبره بنعمل ايه tapping على ال + +335 +00:28:33,460 --> 00:28:37,660 +tendon of the muscle الإشارة راح تروح من ال + +336 +00:28:37,660 --> 00:28:43,930 +receptor على sensory fibers of the nerveبعد ذلك + +337 +00:28:43,930 --> 00:28:47,090 +على الـ posterior root ganglion هتدخل لوين؟ + +338 +00:28:47,090 --> 00:28:50,150 +للبوستيريوهورسلز + +339 +00:28:50,150 --> 00:28:55,310 +من البوستيريوهورسلز لازم تنتج لوين؟ لاللي هو + +340 +00:28:55,310 --> 00:29:00,670 +الانتريوهورسلزي وان هذا sensory هذا ايه؟ sensory + +341 +00:29:00,670 --> 00:29:01,310 +pathway + +342 +00:29:06,010 --> 00:29:10,290 +لازم تنتج إلى وين؟ للموتور تنتج إلى الموتور عن + +343 +00:29:10,290 --> 00:29:14,150 +طريق شي اسمه Inter neuron على نفس ال level على نفس + +344 +00:29:14,150 --> 00:29:18,250 +ال segment موجودة بين posterior horn cells and + +345 +00:29:18,250 --> 00:29:22,510 +anterior horn cells بعد الإشارة ترجع من الموتور + +346 +00:29:22,510 --> 00:29:26,130 +نيرون الموجودة في ال anterior horn cells عبر ال + +347 +00:29:26,130 --> 00:29:30,640 +anterior rootعبر ال motor fibers of the nerve + +348 +00:29:30,640 --> 00:29:35,180 +للمسل في الحالة هذه بحدث contraction للمسل وبيقدي + +349 +00:29:35,180 --> 00:29:42,800 +ال reflex هذا اسمه reflex arc انا في الصورة هذه + +350 +00:29:42,800 --> 00:29:47,880 +اشرحتلكم اللي هو ال deep reflex بتاع ال knee jerk + +351 +00:29:47,880 --> 00:29:53,580 +ال knee jerk واتكلمت عنه بالتفصيل ال slide البعده + +352 +00:29:53,580 --> 00:29:58,350 +بيكرر نفس الموضوع من ناحية ال knee jerkهو عبارة عن + +353 +00:29:58,350 --> 00:30:02,430 +stretch reflex induced by stimulation of receptor + +354 +00:30:02,430 --> 00:30:07,950 +by tapping of the patella tendon of quadriceps + +355 +00:30:07,950 --> 00:30:11,570 +muscle لو ضربنا على ال patella tendon بتاع ال + +356 +00:30:11,570 --> 00:30:15,630 +quadriceps muscle الإشارة هتروح بال sensory fibers + +357 +00:30:15,630 --> 00:30:19,030 +of the femoral nerve تدخل على البوستيروهوت بعدها + +358 +00:30:19,030 --> 00:30:23,460 +على البوستيروهور cells خلص ال sensory inputبعدها + +359 +00:30:23,460 --> 00:30:27,960 +تتحول الإشارة ل motor output مين بينهم فاصل اللي + +360 +00:30:27,960 --> 00:30:31,760 +هو Inter neurons Inter neurons اللي واجبتهم + +361 +00:30:31,760 --> 00:30:38,250 +integrative center او بنسميهم Center for reflexبعد + +362 +00:30:38,250 --> 00:30:43,470 +ذلك الإشارة بترجع بالـ anterior root لـ motor + +363 +00:30:43,470 --> 00:30:46,890 +fibers of the femoral nerve بيعمل supplying ل + +364 +00:30:46,890 --> 00:30:49,550 +quadriceps muscle quadriceps muscle بتسمى + +365 +00:30:49,550 --> 00:30:53,470 +contraction واحنا عارفين ال quadriceps contraction + +366 +00:30:53,470 --> 00:30:59,810 +leads to extension of the knee joint بيعمل + +367 +00:30:59,810 --> 00:31:05,530 +extension ل ال knee joint طيب visceral أو + +368 +00:31:05,530 --> 00:31:10,550 +autonomic reflexesمن ضمنهم mectoration reflex ال + +369 +00:31:10,550 --> 00:31:13,470 +reflex رد الفئة بتاع التبول احنا كنا بنصحى صباحا + +370 +00:31:13,470 --> 00:31:17,090 +بروح الدورة بنعمل mectoration هذا reflex اتنين + +371 +00:31:17,090 --> 00:31:23,530 +defecation reflex بتاع التبرز erection reflex + +372 +00:31:27,180 --> 00:31:31,440 +that inhibit gastrointestinal motility in response + +373 +00:31:31,440 --> 00:31:35,640 +to peritoneal irritation لو مريض عنده peritonitis + +374 +00:31:35,640 --> 00:31:39,980 +inflammation of the peritoneum في reflex بيقلل + +375 +00:31:39,980 --> 00:31:45,420 +حركة الأمعاء عشان يقلل الألم في جدار البطن هذا + +376 +00:31:45,420 --> 00:31:50,440 +reflex ردت شغل Autonomic reflexes in the spinal + +377 +00:31:50,440 --> 00:31:52,580 +cord مين هم ال Autonomic reflexes in the spinal + +378 +00:31:52,580 --> 00:31:58,640 +cord؟Change in vascular tone resulting from change + +379 +00:31:58,640 --> 00:32:03,440 +in local skin head يعني في البردجو بارد باللاحظ .. + +380 +00:32:03,440 --> 00:32:06,960 +باللاحظ بيحدث vasoconstriction، spasm للـ artery + +381 +00:32:06,960 --> 00:32:10,780 +تلاقي الإنسان لونه شاحب أبيض من الـ spasm عشان + +382 +00:32:10,780 --> 00:32:14,420 +يحافظ على حرارة جسمه لكن في الحرارة لو دخلنا + +383 +00:32:14,420 --> 00:32:18,560 +الساونة أو في فصل الصيف أو غصص بيحدث vasodilation، + +384 +00:32:18,560 --> 00:32:23,160 +بتوسع الشرايين عشان يخللوا حرارة الجسم ويقل ال .. + +385 +00:32:23,160 --> 00:32:28,120 +ال .. ال .. ال temperature بتاعة الجسم sweating + +386 +00:32:28,120 --> 00:32:33,680 +نفس الشيءالعرق في البرد بيحدث vazoconstriction + +387 +00:32:33,680 --> 00:32:38,340 +بيقل إفراز العرق في الصيف في ساونا درجة حرارة + +388 +00:32:38,340 --> 00:32:42,080 +عالية بيحدث vazodilatation بيزود إفراز العرق + +389 +00:32:42,080 --> 00:32:46,920 +reflex for motor control of the intestinal ال + +390 +00:32:46,920 --> 00:32:50,960 +reflex بتاعة الأمعاءPeritoneal Intestinal Reflex + +391 +00:32:50,960 --> 00:32:53,780 +اللي اتكلمنا عنه that inhibit gastrointestinal + +392 +00:32:53,780 --> 00:32:57,240 +motility in response to peritoneal irritation في + +393 +00:32:57,240 --> 00:32:59,800 +حالة ان المريض عنده peritonitis راح تحدث + +394 +00:32:59,800 --> 00:33:03,640 +inhibition ل ال motility of the intestinal و يقل + +395 +00:33:03,640 --> 00:33:08,920 +حركة الأمعاء عشان يقلل ألم الجدار البطن اللي بيحدث + +396 +00:33:08,920 --> 00:33:13,620 +فيه peritonitisمن الداخل evacuation reflex هذا ال + +397 +00:33:13,620 --> 00:33:19,420 +evacuation reflex for emptying of urine bladder + +398 +00:33:19,420 --> 00:33:23,720 +and rectum for defecation and urination لالتبرز + +399 +00:33:23,720 --> 00:33:24,740 +والتبول + +400 +00:33:27,060 --> 00:33:30,740 +باكتفي هان للجزء الأول من محاضرة السواء الرابع عشر + +401 +00:33:30,740 --> 00:33:35,720 +في الجزء الثاني راح نكمل ال motor unit و اتكلم على + +402 +00:33:35,720 --> 00:33:39,780 +ال muscle tissue و ال muscle fibers و muscle + +403 +00:33:39,780 --> 00:33:41,940 +contraction of the skeletal muscle + diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/B8GDzVZC_GE_raw.json b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/B8GDzVZC_GE_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..1909c11b466a8042a4af8ae45c56f7537615fb79 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/B8GDzVZC_GE_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 1163, "start": 5.87, "end": 11.63, "text": "بسم الله الرحمن الرحيم السلام عليكم ورحمة الله وبركاته اليوم راح نكون", "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, 12602, 39319, 8717, 30544], "avg_logprob": -0.09335937624176344, "compression_ratio": 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0.517578125}, {"start": 683.41, "end": 683.63, "word": " of", "probability": 0.97265625}, {"start": 683.63, "end": 683.97, "word": " reflex", "probability": 0.95458984375}], "temperature": 1.0}, {"id": 30, "seek": 70887, "start": 685.21, "end": 708.87, "text": "الكلوناس، ايش هو الكلوناس؟ هو عبارة عن رhythmic serial of contraction in response to sudden stretch of muscle tendon لو جينا للفوت، عملنا sudden stretch للأكيلي السندن، راح تلاقي الفوت يحدث معها شيء بنسميه كلوناس، Dorsiflexion مع plantar flexion", "tokens": [6027, 28820, 2407, 8315, 3794, 12399, 1975, 1829, 8592, 31439, 2423, 28820, 2407, 8315, 3794, 22807, 31439, 6225, 3555, 9640, 3660, 18871, 12602, 34494, 299, 17436, 295, 37372, 294, 4134, 281, 3990, 5985, 295, 8679, 46479, 45164, 10874, 1829, 8315, 24976, 5172, 35473, 12399, 6225, 42213, 8315, 3990, 5985, 24976, 10721, 4117, 26895, 1829, 21136, 41260, 1863, 12399, 12602, 39319, 6055, 15040, 38436, 27188, 35473, 7251, 24401, 12984, 20449, 11296, 44049, 38207, 44945, 38251, 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"word": " of", "probability": 0.9765625}, {"start": 1167.08, "end": 1167.7, "word": " testis", "probability": 0.741455078125}, {"start": 1167.7, "end": 1168.48, "word": " بيصير", "probability": 0.8570556640625}, {"start": 1168.48, "end": 1168.88, "word": " elevation", "probability": 0.97265625}, {"start": 1168.88, "end": 1169.34, "word": " لمين؟", "probability": 0.7736002604166666}, {"start": 1169.34, "end": 1169.94, "word": " لتستس", "probability": 0.644775390625}], "temperature": 1.0}, {"id": 50, "seek": 117683, "start": 1170.9, "end": 1176.84, "text": "Cornier reflex أو conjunctivir reflex لو جيبنا قطعة قطن", "tokens": [34, 1865, 811, 23802, 34051, 18244, 349, 592, 347, 23802, 45164, 10874, 1829, 3555, 8315, 12174, 9566, 27884, 12174, 9566, 1863], "avg_logprob": -0.42045453461733734, "compression_ratio": 1.0142857142857142, "no_speech_prob": 0.0, "words": [{"start": 1170.9, "end": 1171.44, "word": "Cornier", "probability": 0.5703938802083334}, {"start": 1171.44, "end": 1171.88, "word": " reflex", "probability": 0.8173828125}, {"start": 1171.88, "end": 1172.64, "word": " أو", "probability": 0.429443359375}, {"start": 1172.64, "end": 1173.46, "word": " conjunctivir", "probability": 0.752197265625}, {"start": 1173.46, "end": 1173.92, "word": " reflex", "probability": 0.95068359375}, {"start": 1173.92, "end": 1175.98, "word": " لو", "probability": 0.40283203125}, {"start": 1175.98, "end": 1176.24, "word": " جيبنا", "probability": 0.95654296875}, {"start": 1176.24, "end": 1176.46, "word": " قطعة", "probability": 0.6731770833333334}, {"start": 1176.46, "end": 1176.84, "word": " قطن", "probability": 0.7645670572916666}], "temperature": 1.0}, {"id": 51, "seek": 120066, "start": 1177.84, "end": 1200.66, "text": "حطيناها في العين في ال conjunctiva لمسناها ايش حدث لعيننا على السريع بنغمض عيننا كنا بيحدث معنا corneal reflex او conjunctivial reflex بدون ما احنا نفكر فيه ماشيين في الشارع ريح غبرة اشرع على السريع راح تجمد غمض عينك يعتبر هذا reflex عشان احمي عيني من الغبار و من الهواء palatal reflex", "tokens": [5016, 9566, 1829, 8315, 11296, 8978, 18863, 9957, 8978, 2423, 18244, 349, 5931, 32767, 3794, 8315, 11296, 1975, 1829, 8592, 11331, 3215, 12984, 5296, 3615, 9957, 8315, 15844, 21136, 16572, 3615, 44945, 17082, 2304, 11242, 6225, 9957, 8315, 9122, 8315, 4724, 1829, 24401, 12984, 20449, 8315, 1181, 716, 304, 23802, 1975, 2407, 18244, 349, 592, 831, 23802, 47525, 11536, 19446, 1975, 5016, 8315, 8717, 5172, 37983, 8978, 3224, 3714, 33599, 1829, 9957, 8978, 25124, 9640, 3615, 12602, 1829, 5016, 32771, 3555, 25720, 1975, 8592, 2288, 3615, 15844, 21136, 16572, 3615, 12602, 39319, 6055, 7435, 2304, 3215, 32771, 2304, 11242, 6225, 9957, 4117, 7251, 34268, 26890, 23758, 23802, 6225, 8592, 7649, 1975, 35571, 1829, 6225, 9957, 1829, 9154, 6024, 118, 3555, 9640, 4032, 9154, 2423, 3224, 2407, 16606, 3984, 40478, 23802], "avg_logprob": -0.25000000727995664, "compression_ratio": 1.9041666666666666, "no_speech_prob": 6.556510925292969e-07, "words": [{"start": 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" راح", "probability": 0.6552734375}, {"start": 1192.2, "end": 1192.48, "word": " تجمد", "probability": 0.41900634765625}, {"start": 1192.48, "end": 1193.44, "word": " غمض", "probability": 0.8444010416666666}, {"start": 1193.44, "end": 1193.8, "word": " عينك", "probability": 0.95263671875}, {"start": 1193.8, "end": 1194.34, "word": " يعتبر", "probability": 0.8419596354166666}, {"start": 1194.34, "end": 1194.54, "word": " هذا", "probability": 0.97705078125}, {"start": 1194.54, "end": 1195.04, "word": " reflex", "probability": 0.93310546875}, {"start": 1195.04, "end": 1196.18, "word": " عشان", "probability": 0.9150390625}, {"start": 1196.18, "end": 1196.46, "word": " احمي", "probability": 0.8250325520833334}, {"start": 1196.46, "end": 1196.92, "word": " عيني", "probability": 0.9718424479166666}, {"start": 1196.92, "end": 1197.3, "word": " من", "probability": 0.99560546875}, {"start": 1197.3, "end": 1197.78, "word": " الغبار", "probability": 0.9613037109375}, {"start": 1197.78, "end": 1197.9, "word": " و", "probability": 0.94775390625}, {"start": 1197.9, "end": 1198.04, "word": " من", "probability": 0.84033203125}, {"start": 1198.04, "end": 1199.1, "word": " الهواء", "probability": 0.836669921875}, {"start": 1199.1, "end": 1200.22, "word": " palatal", "probability": 0.579345703125}, {"start": 1200.22, "end": 1200.66, "word": " reflex", "probability": 0.94287109375}], "temperature": 1.0}, {"id": 52, "seek": 122889, "start": 1202.07, "end": 1228.89, "text": "ال بلاتة reflex في حال أنا عملت irritation لل soft palate في ال mouth بيحدث elevation لل soft palate بيحدث elevation لإيه؟ لل soft palate و gag reflex أو بنسميه pharyngeal reflex لو أجينا فحصنا مريض وعملنا depression او depressive لل tongue ضغطنا ال tongue ب tongue depressor في الحالة هذه", "tokens": [6027, 4724, 1211, 9307, 3660, 23802, 8978, 11331, 6027, 41850, 6225, 42213, 2655, 50031, 24976, 2787, 48247, 8978, 2423, 4525, 4724, 1829, 24401, 12984, 25827, 24976, 2787, 48247, 4724, 1829, 24401, 12984, 25827, 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1223.93, "end": 1224.93, "word": " tongue", "probability": 0.8701171875}, {"start": 1224.93, "end": 1225.67, "word": " ضغطنا", "probability": 0.85577392578125}, {"start": 1225.67, "end": 1226.11, "word": " ال", "probability": 0.77587890625}, {"start": 1226.11, "end": 1226.37, "word": " tongue", "probability": 0.9462890625}, {"start": 1226.37, "end": 1226.81, "word": " ب", "probability": 0.728515625}, {"start": 1226.81, "end": 1227.07, "word": " tongue", "probability": 0.72216796875}, {"start": 1227.07, "end": 1227.67, "word": " depressor", "probability": 0.6455078125}, {"start": 1227.67, "end": 1228.29, "word": " في", "probability": 0.90087890625}, {"start": 1228.29, "end": 1228.63, "word": " الحالة", "probability": 0.9220377604166666}, {"start": 1228.63, "end": 1228.89, "word": " هذه", "probability": 0.7314453125}], "temperature": 1.0}, {"id": 53, "seek": 125361, "start": 1229.32, "end": 1253.62, "text": "و اعملنا irritation بورجة وورجة طويلة هيك اعملنا ايه؟ irritation ل ال posterior wall of the pharynx بحدث contraction ل ال pharyngeal muscle و المريض بيعمل vomiting من ايه؟ من ال irritation of the posterior wall of the pharynx هذا بنسمي gag reflex من ناحية ال level على اي مستوى بيتم ال gag reflex بيتم على medallary level عوان؟", "tokens": [2407, 1975, 25957, 1211, 8315, 50031, 4724, 13063, 7435, 3660, 4032, 13063, 7435, 3660, 23032, 2407, 26895, 3660, 39896, 4117, 1975, 25957, 1211, 8315, 1975, 1829, 3224, 22807, 50031, 5296, 2423, 33529, 2929, 295, 264, 903, 39008, 87, 4724, 24401, 12984, 37372, 5296, 2423, 903, 39008, 432, 304, 8679, 4032, 9673, 16572, 11242, 4724, 1829, 25957, 1211, 46234, 9154, 1975, 1829, 3224, 22807, 9154, 2423, 50031, 295, 264, 33529, 2929, 295, 264, 903, 39008, 87, 23758, 44945, 38251, 1829, 34833, 23802, 9154, 8717, 39319, 10632, 2423, 1496, 15844, 1975, 1829, 3714, 14851, 2407, 7578, 4724, 36081, 2304, 2423, 34833, 23802, 4724, 36081, 2304, 15844, 1205, 336, 822, 1496, 6225, 2407, 7649, 22807], "avg_logprob": -0.23672566160691522, 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التالت عشر اللي هو + +6 +00:00:28,730 --> 00:00:33,710 +differential between the upper motor neuron and + +7 +00:00:33,710 --> 00:00:38,110 +lower motor neuron كيف نفرج بين ال upper motor + +8 +00:00:38,110 --> 00:00:43,380 +neuron and lower motor neuronفي محاضرة الأسبوع + +9 +00:00:43,380 --> 00:00:50,000 +السابق ان ال upper motoneuron upper motoneuron + +10 +00:00:50,000 --> 00:00:58,460 +Legion اما بيكون corticospinal + +11 +00:00:58,460 --> 00:01:06,940 +tract lesion او بالنسبالي على cranial nerves + +12 +00:01:06,940 --> 00:01:14,290 +corticospinal tract lesionبالبر كورتيكو نوكليار + +13 +00:01:14,290 --> 00:01:21,290 +بيرامدالي + +14 +00:01:21,290 --> 00:01:28,270 +تراكت بيرامدالي + +15 +00:01:28,270 --> 00:01:28,730 +بيرامدالي بيرامدالي بيرامدالي بيرامدالي بيرامدالي + +16 +00:01:28,730 --> 00:01:29,270 +بيرامدالي بيرامدالي بيرامدالي بيرامدالي بيرامدالي + +17 +00:01:29,270 --> 00:01:29,270 +بيرامدالي بيرامدالي بيرامدالي بيرامدالي بيرامدالي + +18 +00:01:29,270 --> 00:01:29,270 +بيرامدالي بيرامدالي بيرامدالي بيرامدالي بيرامدالي + +19 +00:01:29,270 --> 00:01:29,270 +بيرامدالي بيرامدالي بيرامدالي بيرامدالي بيرامدالي + +20 +00:01:29,270 --> 00:01:29,410 +بيرامدالي بيرامدالي بيرامدالي بيرامدالي بيرامدالي + +21 +00:01:29,410 --> 00:01:33,890 +بيرامدالي بيرامدالي بيرام + +22 +00:01:39,390 --> 00:01:52,230 +هو عبارة عن nuclear lesion of cranial nerves اللي + +23 +00:01:52,230 --> 00:01:57,970 +هم motor cranial nerves motor cranial nerves اثنين + +24 +00:01:57,970 --> 00:02:02,590 +anterior horn cells lesion + +25 +00:02:08,320 --> 00:02:13,100 +ثلاثة cranial and + +26 +00:02:13,100 --> 00:02:18,840 +spinal nerve lesion هذا كله اللي هو الرموز مطلوع + +27 +00:02:18,840 --> 00:02:29,520 +neuro muscular and muscle fibers + +28 +00:02:31,280 --> 00:02:37,780 +من الـ Antiviral cells لحد المصل يعتبر lower motor + +29 +00:02:37,780 --> 00:02:41,760 +neuron lesion نفس الشيء في البرنسيم من ال motor + +30 +00:02:41,760 --> 00:02:45,440 +nuclei in the برنسيم اللي تاب على ال cranial + +31 +00:02:45,440 --> 00:02:49,640 +nerves لحد ما أصل للمصل fibers هذا يعتبر lower + +32 +00:02:49,640 --> 00:02:55,820 +motor neuron lesion اول شيء ال location of lesion + +33 +00:02:56,930 --> 00:03:01,470 +من ناحية الـ Upper Motoneuron بيبدأ من الـ Area IV + +34 +00:03:01,470 --> 00:03:04,310 +اللي هي الـ Precentral Gyrus لحد ما أصل الـ + +35 +00:03:04,310 --> 00:03:07,350 +Anterior Horn Cells حسب الـ Segment هذا يعتبر + +36 +00:03:07,350 --> 00:03:09,890 +Upper Motoneuron Lesion إذا بتكلم عن الـ cranial + +37 +00:03:09,890 --> 00:03:15,290 +nerves بيبدأ من الـ Area IV لحد ما أصل الموتور + +38 +00:03:15,290 --> 00:03:19,010 +نوكلياي in the brainstem يعتبر Upper Motoneuron + +39 +00:03:19,010 --> 00:03:21,850 +Lesion يقول Upper Motoneuron Lesion هو عبارة عن + +40 +00:03:21,850 --> 00:03:27,020 +Damage of Corticospinal أو Corticobulbar tractطب + +41 +00:03:27,020 --> 00:03:30,540 +lower motor neuron هو عبارة عن دمج من الـ anterior + +42 +00:03:30,540 --> 00:03:34,080 +horn cells لحد ال muscle fibers أو من ال motor + +43 +00:03:34,080 --> 00:03:37,920 +nuclei of the brain stem التابعين لل cranial + +44 +00:03:37,920 --> 00:03:41,780 +nerves لحد ال muscle fibers هذا يعتبر lower motor + +45 +00:03:41,780 --> 00:03:45,680 +neuron lesion أنا بتكلم الآن على corticospinal + +46 +00:03:45,680 --> 00:03:49,100 +tract رح أركز على corticospinal location of + +47 +00:03:49,100 --> 00:03:55,860 +paralysisإحنا اتفقنا إنه Corticospinal tract بيعمل + +48 +00:03:55,860 --> 00:03:59,620 +incomplete decassation crossing في lower part of + +49 +00:03:59,620 --> 00:04:03,480 +medulla أو بلنجات يبقى هذا المكان اسمه بيرامدال + +50 +00:04:03,480 --> 00:04:09,220 +decassation أو بيرامدال ال crossing في حال حدث + +51 +00:04:09,220 --> 00:04:13,620 +damage ل Corticospinal tract ال paralysis located + +52 +00:04:13,620 --> 00:04:18,620 +below the level of lesion يبقى حدث damage + +53 +00:04:21,630 --> 00:04:24,850 +below the level of lesion في paralysis حدث damage + +54 +00:04:24,850 --> 00:04:28,350 +في ال spinal cord below the level of lesion في + +55 +00:04:28,350 --> 00:04:34,390 +paralysis لكن انتبه إذا كان الدمج في ال brain يعني + +56 +00:04:34,390 --> 00:04:39,970 +above decassation ال paralysis أو ال hemiplegia + +57 +00:04:39,970 --> 00:04:43,470 +راح تكون على ال opposite side يعني المريض حدث معاه + +58 +00:04:43,470 --> 00:04:48,450 +جرطة دماغية في ال left cerebral hemisphereالشلر + +59 +00:04:48,450 --> 00:04:50,710 +راح يكون عنده على ال right side لإيه؟ لإن ال + +60 +00:04:50,710 --> 00:04:53,370 +damage حدث عنده above the crossing above the + +61 +00:04:53,370 --> 00:04:57,310 +cassation طب لو المريض حدث معاه إصابة في الحبل + +62 +00:04:57,310 --> 00:05:03,150 +الشوكي spinal cord injury راح يكون نصف of motor + +63 +00:05:03,150 --> 00:05:06,820 +function بلو ده level of lesionلكن على نفس الـ + +64 +00:05:06,820 --> 00:05:10,780 +side يعني إذا فيه damage على ال right الشلال على + +65 +00:05:10,780 --> 00:05:14,320 +ال right damage left شلال left ليه؟ لأنه حدث + +66 +00:05:14,320 --> 00:05:18,580 +damage ل corticospinal tract below decassation + +67 +00:05:18,580 --> 00:05:24,960 +below crossing واضح؟ okay again ال location of + +68 +00:05:24,960 --> 00:05:29,990 +paralysis below the level of lesioncontralateral + +69 +00:05:29,990 --> 00:05:33,110 +above decassation إذا كان الدمج above decassation، + +70 +00:05:33,110 --> 00:05:36,410 +الـ symptom على الـ contralateral صعب طب إذا كانت + +71 +00:05:36,410 --> 00:05:40,210 +below decassation، إبسي lateral، إبسي lateral على + +72 +00:05:40,210 --> 00:05:45,870 +نفس الـ side من ناحية ال lower motor neuron، إبسي + +73 +00:05:45,870 --> 00:05:50,950 +lateral at the level of lesion يعني كيف حدث الدمج + +74 +00:05:50,950 --> 00:05:57,160 +لـ axillary nerve على ال right sideأو ال + +75 +00:05:57,160 --> 00:06:03,440 +antihorses of C5 segment على ال right على ايه؟ على + +76 +00:06:03,440 --> 00:06:07,680 +ال right side في الحالة هذه مين راح يحدث شلال او + +77 +00:06:07,680 --> 00:06:12,320 +damage؟ deltoid muscle يعني دلتويد muscle راح تنشل + +78 +00:06:12,320 --> 00:06:16,040 +على نفس الجهة وعلى نفس ال level يعني في ال lower + +79 +00:06:16,040 --> 00:06:20,460 +motor neuron symptoms بيكون إبسي lateral على نفس + +80 +00:06:20,460 --> 00:06:26,100 +ال sideوع نفس ال level انا بشبه الكلام هذا بخط + +81 +00:06:26,100 --> 00:06:30,620 +كهرب رئيسي خط كهرب رئيسي هاي خط الكهرب الرئيسي + +82 +00:06:30,620 --> 00:06:42,700 +ماشي في الدرجة و بسلم ل ال anterior horn cells و + +83 +00:06:42,700 --> 00:06:48,430 +ال anterior horn cells راح يسلم ال nerveناخدها + +84 +00:06:48,430 --> 00:06:52,050 +بلون ثاني يبقى ال upper motor neuron نرسمه باللون + +85 +00:06:52,050 --> 00:06:58,490 +الأسود عشان نتهمه صح هنا + +86 +00:06:58,490 --> 00:07:02,650 +above decassation وهنا below decassation ال fibers + +87 +00:07:02,650 --> 00:07:09,090 +تبعتها راح تسلم لكل level لل anterior horn cells + +88 +00:07:09,090 --> 00:07:14,390 +ال anterior horn cells راح تاخد الإشارة من ال + +89 +00:07:14,390 --> 00:07:17,630 +anterior horn cells تسلم لل nerve للمuscleللنيرو + +90 +00:07:17,630 --> 00:07:27,110 +للمصل للمصل + +91 +00:07:27,110 --> 00:07:27,130 +للمصل للمصل للمصل للمصل للمصل للمصل للمصل للمصل + +92 +00:07:27,130 --> 00:07:30,930 +للمصل للمصل للمصل لمصل لمصل لمصل لمصل لمصل لمصل + +93 +00:07:30,930 --> 00:07:36,570 +لمصل لمصل لمصل لمصل لمصل لمصل لمصل لمصل لمصل لمصل + +94 +00:07:36,570 --> 00:07:36,570 +لمصل لمصل لمصل لمصل لمصل لمصل لمصل لمصل لمصل لمصل + +95 +00:07:36,570 --> 00:07:36,570 +لمصل لمصل لمصل لمصل لمصل لمصل لمصل لمصل لمصل لمصل + +96 +00:07:36,570 --> 00:07:36,570 +لمصل لمصل لمصل لمصل لمصل لمصل لمصل لمصل لمصل لمصل + +97 +00:07:36,570 --> 00:07:41,130 +لمصل لمصل لمصل لمصل لمصل لمصل لمصل لمصل لمصل لمص + +98 +00:07:42,580 --> 00:07:46,560 +بصير شلل تحت مستوى الإصابة، بس على الجهة المعاكسة، + +99 +00:07:46,560 --> 00:07:49,120 +عوين على الجهة المعاكسة لأن ال damage above + +100 +00:07:49,120 --> 00:07:52,460 +decussation، فهم الكلام هذا؟ طب لو حد الدمج على ال + +101 +00:07:52,460 --> 00:07:55,520 +spinal cord، للكورتيكو spinal tract، لترقى + +102 +00:07:55,520 --> 00:08:00,040 +الكورتيكو spinal tractبصير شال تحت مستوى الإصابة + +103 +00:08:00,040 --> 00:08:02,700 +كله بنشال بس على نفس الجهة لإن هو ده periodic + +104 +00:08:02,700 --> 00:08:06,620 +succession أنا بشبهه بخط كهرب رئيسي نازل في الدراج + +105 +00:08:06,620 --> 00:08:11,900 +و بوزهه لكل طابق لكل شجة لو انقطع الخط الرئيسي كله + +106 +00:08:11,900 --> 00:08:16,040 +بيفصل تحته كله بيفصل الكهرب عنده طب لو في شجة رقم + +107 +00:08:16,040 --> 00:08:21,840 +خمسة مش دافعة كهرب صاحبها و أجيب دنيو تعامل كهرب + +108 +00:08:21,840 --> 00:08:25,700 +في الطاقة إيش رح يفصلوا؟ رح يفصلوا السلك بتاع + +109 +00:08:25,700 --> 00:08:33,200 +الشجة نفسهافي الحالة هذه، ايش راح يحدث لنا؟ ما راح + +110 +00:08:33,200 --> 00:08:37,140 +تروح إشارة على ال muscle، راح تنشل ال muscle وين؟ + +111 +00:08:37,140 --> 00:08:40,900 +على نفس المستوى، يبقى فقط هنا راح تنشل نفس العضلة + +112 +00:08:40,900 --> 00:08:44,420 +و نفس المستوى، يبقى لو أجي واحد، مش سينافع كهرب، + +113 +00:08:44,420 --> 00:08:49,170 +وقطع عن سلك الكهرب بتاع شقتهالعمارة البرج الكهرب + +114 +00:08:49,170 --> 00:08:53,190 +جاي عندهم ويردس الكهرب بس الشقة بتاعته هذا هو + +115 +00:08:53,190 --> 00:08:58,350 +الورموتونيرون هذا هو الورموتونيرون إبسي lateral at + +116 +00:08:58,350 --> 00:09:04,430 +the riddle of the same sideالثالثة Paralysis من + +117 +00:09:04,430 --> 00:09:08,130 +ناحية الأعلى الموتو نيرون بتكون Spastic Spastic + +118 +00:09:08,130 --> 00:09:11,390 +due to spasticity بعد ما ينتهي ال shock stage ان + +119 +00:09:11,390 --> 00:09:14,030 +شاء الله في سنة رابعة بشرحلكوا يعني نضلنا طيبين + +120 +00:09:14,030 --> 00:09:18,210 +موضوع ال shock stage يبقى بيكون Spastic عندهم + +121 +00:09:18,210 --> 00:09:21,930 +muscle hypertonia hyperreflexia لكن في الأعلى + +122 +00:09:21,930 --> 00:09:25,410 +الموتو نيرون بيكون الفلسفة muscle hypotonia + +123 +00:09:25,410 --> 00:09:31,690 +وhyperreflexia وareflexiaنجينا ال muscle ايش الفرق + +124 +00:09:31,690 --> 00:09:34,530 +بين ال upper motoneuron و ال lower motoneuron من + +125 +00:09:34,530 --> 00:09:38,270 +ناحية ال upper motoneuron ال muscle state wasting + +126 +00:09:38,270 --> 00:09:45,800 +or muscle hypotrophy okay very lateفي وقت متأخر + +127 +00:09:45,800 --> 00:09:51,700 +ليه بتحدث؟ due to disuse لعدم الاستخدام في حال + +128 +00:09:51,700 --> 00:09:56,280 +العضلة ما تمشي استخدامها بيحدث فيها ضمور لكن في + +129 +00:09:56,280 --> 00:10:01,860 +اللولار موطنيون بيحدث عندهم early muscle + +130 +00:10:01,860 --> 00:10:06,860 +hypotrophy ليه؟ لأن ال anterior horn cells هي + +131 +00:10:06,860 --> 00:10:11,720 +المسئولة عن nourishment of the muscle fibers تلاتة + +132 +00:10:12,730 --> 00:10:16,250 +أو اتنين من ناحية ال muscles muscle tone ال muscle + +133 +00:10:16,250 --> 00:10:20,470 +tone في ال upper motor neuron بيكون عندنا muscle + +134 +00:10:20,470 --> 00:10:25,710 +hypertonia او spasticity لكن في ال lower motor + +135 +00:10:25,710 --> 00:10:29,690 +neuron بيكون عندنا muscle hypotonia او flaccidity + +136 +00:10:31,260 --> 00:10:34,320 +muscle fasciculation ايش ال muscle fasciculation؟ + +137 +00:10:34,320 --> 00:10:39,720 +هي عبارة عن spontaneous contraction of muscle + +138 +00:10:39,720 --> 00:10:42,280 +group بلاحظ ال muscle بيصير فيها contraction + +139 +00:10:42,280 --> 00:10:47,340 +بتتحرك بدون حركة لا إيرادية absent in the upper + +140 +00:10:47,340 --> 00:10:51,900 +motoneon لكن بتكون presentedفي ال lower motor + +141 +00:10:51,900 --> 00:10:55,080 +neuron مش في كل الحالات أكتر شيء لو كان في + +142 +00:10:55,080 --> 00:10:59,200 +irritation or lesion of the anterior whole cells + +143 +00:10:59,200 --> 00:11:04,540 +أو of the motor cranial nuclei in the brain stem + +144 +00:11:04,540 --> 00:11:08,180 +ننتقل لموضوع آخر reflexes كيف نفرج بينهم بال + +145 +00:11:08,180 --> 00:11:14,490 +reflexes ال deep reflexesبيكون hyperreflexia يعني + +146 +00:11:14,490 --> 00:11:18,030 +لو جينا near reflex بيكون hyperreflexia لكن في ال + +147 +00:11:18,030 --> 00:11:21,650 +lower motor neuron ممكن يكون hyperreflexia او + +148 +00:11:21,650 --> 00:11:26,750 +areflexia absent of reflexالكلوناس، ايش هو + +149 +00:11:26,750 --> 00:11:31,090 +الكلوناس؟ هو عبارة عن رhythmic serial of + +150 +00:11:31,090 --> 00:11:36,470 +contraction in response to sudden stretch of + +151 +00:11:36,470 --> 00:11:41,110 +muscle tendon لو جينا للفوت، عملنا sudden stretch + +152 +00:11:41,110 --> 00:11:45,490 +للأكيلي السندن، راح تلاقي الفوت يحدث معها شيء + +153 +00:11:45,490 --> 00:11:49,600 +بنسميه كلوناس، Dorsiflexion مع plantar flexionOkay + +154 +00:11:49,600 --> 00:11:52,680 +يبقى هذا بتقل على ايه؟ المريض عنده severe + +155 +00:11:52,680 --> 00:11:56,660 +hyperreflexia .. severe hyperreflexia يبقى هذا + +156 +00:11:56,660 --> 00:12:00,080 +بتكون ال class madam severe hyperreflexia راح تكون + +157 +00:12:00,080 --> 00:12:05,040 +present in the upper motoneuron and absent in the + +158 +00:12:05,040 --> 00:12:09,280 +lower motoneuron بابينسكي رفليكس أو pathological + +159 +00:12:09,280 --> 00:12:13,220 +plantar reflex بتكون موجودة في upper motoneuron + +160 +00:12:13,220 --> 00:12:19,750 +and absent in the lower motoneuronSuperficial + +161 +00:12:19,750 --> 00:12:24,630 +reflexes رح تكون lost in the upper motoneuron + +162 +00:12:24,630 --> 00:12:28,130 +below the level of lesion لكن في ال lower + +163 +00:12:28,130 --> 00:12:34,090 +motoneuron lost at the level of the same site هي + +164 +00:12:34,090 --> 00:12:38,210 +كأنا بكون شرحتلكوا ال differential between the + +165 +00:12:38,210 --> 00:12:42,190 +upper motoneuron and lower motoneuron هذه الجزئية + +166 +00:12:42,440 --> 00:12:46,040 +تاب على محاضرة الأسبوع الثالث عشر لكن انا ما + +167 +00:12:46,040 --> 00:12:49,780 +أسعطنيش الوقت و شراحتلكوا إياها هنا اليوم مع + +168 +00:12:49,780 --> 00:12:53,780 +محاضرة الأسبوع الرابع عشر كيك نكون احنا خلصنا من + +169 +00:12:53,780 --> 00:12:59,480 +محاضرة اللي هو أسبوع الثالث عشر انتجل الآن + +170 +00:12:59,480 --> 00:13:04,200 +لمحاضرتنا الأخيرة اللي هي محاضرة الأسبوع الرابع + +171 +00:13:04,200 --> 00:13:12,860 +عشرanatomy and physiology of the motor system part + +172 +00:13:12,860 --> 00:13:17,300 +2 احنا اتكلمنا السابق على الجزء الاول من ال motor + +173 +00:13:17,300 --> 00:13:22,040 +system اليوم اتكلم على الجزء التاني من ال motor + +174 +00:13:22,040 --> 00:13:29,440 +system نبدأ + +175 +00:13:29,440 --> 00:13:40,790 +ب human reflexes reflexهو عبارة عن involuntary + +176 +00:13:40,790 --> 00:13:42,890 +action + +177 +00:13:44,240 --> 00:13:49,180 +performed in response to impulses يبقى هو عبارة عن + +178 +00:13:49,180 --> 00:13:53,860 +ايه؟ involuntary action performed in response to + +179 +00:13:53,860 --> 00:13:59,020 +impulse ايش هو response؟ راح يكون sensory stimulus + +180 +00:13:59,020 --> 00:14:02,480 +sensory stimulus راح نشرحه اليوم what's the + +181 +00:14:02,480 --> 00:14:07,060 +classification of reflexes reflex يعني رد الفعل رد + +182 +00:14:07,060 --> 00:14:14,150 +ايه؟ فعل peripheral reflexes autonomicممكن يكونوا + +183 +00:14:14,150 --> 00:14:18,310 +مثل sympathetic ويبارى sympathetic ع سبيل المثال + +184 +00:14:18,310 --> 00:14:23,330 +GIT reflexesمثل ال defecation و ال urination + +185 +00:14:23,330 --> 00:14:27,510 +reflex لا إيرادي الإنسان بيصحى من النوم بيروح + +186 +00:14:27,510 --> 00:14:31,850 +الدورة عشان يعمل عملية التبول أو التبرز هذا يعتبر + +187 +00:14:31,850 --> 00:14:36,450 +reflex اللي هو يعتبر peripheral reflex تابع لل + +188 +00:14:36,450 --> 00:14:40,450 +autonomic nervous system لل parasympathetic أكتر + +189 +00:14:40,450 --> 00:14:47,730 +Central reflex Central reflex هذا مركزي رد فيه + +190 +00:14:47,730 --> 00:14:50,310 +المركزي بيقسمهم لقسمين + +191 +00:14:53,260 --> 00:14:59,740 +conduction reflexes هذي acquired بتجينا للمرضى او + +192 +00:14:59,740 --> 00:15:04,020 +لالانسان بتجي by learning and training يبقى ان هي + +193 +00:15:04,020 --> 00:15:08,260 +عبارة عن skills مهارات تصير عند المريض و بتدرب + +194 +00:15:08,260 --> 00:15:12,740 +عليها يبقى ان بيصير عملية learning and training مع + +195 +00:15:12,740 --> 00:15:18,900 +تدريبand are integrated in cerebral cortex وبعدين + +196 +00:15:18,900 --> 00:15:23,480 +يضلهم المركز بتاعهم موجود في ال cerebral cortex + +197 +00:15:23,480 --> 00:15:28,620 +يبقى reflex center لهدول ال reflexes موجود وين في + +198 +00:15:28,620 --> 00:15:32,660 +ال cerebral cortex يبقى integration center لهم + +199 +00:15:32,660 --> 00:15:38,520 +موجود في ال cerebral cortexunconditional reflexes + +200 +00:15:38,520 --> 00:15:42,460 +هدى عبارة عن congenital reflexes هدول منذ الولادة + +201 +00:15:42,460 --> 00:15:45,960 +بيكونوا عند الإنسان without learning without + +202 +00:15:45,960 --> 00:15:51,460 +learning hypothalamic reflex اللى علاقة بال + +203 +00:15:51,460 --> 00:15:56,040 +regulation of body temperature water balance and + +204 +00:15:56,040 --> 00:16:02,740 +other midbrain reflex اللى علاقة بال pastoral and + +205 +00:16:02,740 --> 00:16:07,650 +visual reflexMedullary reflex من ضمنهم اللي هم ال + +206 +00:16:07,650 --> 00:16:12,490 +visual reflex light reflex لو أنا أجيت بالضوء، + +207 +00:16:12,490 --> 00:16:15,990 +ضويت في العين، رح يحدث construction لل pupils، + +208 +00:16:15,990 --> 00:16:19,210 +بقبه العين يصغر أو لو طلعنا من الضلام إلى الضوء في + +209 +00:16:19,210 --> 00:16:23,170 +الشمس، البقبو ال pupils رح يصغر في حجمه أو العكس + +210 +00:16:23,170 --> 00:16:28,450 +صحيح فتنا من ضوء لغرفه معتمة، رح يصير dilatation + +211 +00:16:28,450 --> 00:16:32,830 +في ال pupils هذا يعتبر congenital reflex موجود في + +212 +00:16:32,830 --> 00:16:36,270 +ال mind brainMedullary reflex مثل ال + +213 +00:16:36,270 --> 00:16:40,590 +cardiovascular، respiratory، digestive reflex + +214 +00:16:40,590 --> 00:16:46,010 +موجودين وين هدولة في اللي هو ال Medulla oblongata + +215 +00:16:46,010 --> 00:16:50,670 +في spinal reflex من ضمن ال spinal reflex في + +216 +00:16:50,670 --> 00:16:55,190 +superficial reflex اللي هو skin reflex مثل ال + +217 +00:16:55,190 --> 00:17:03,060 +abdominal reflex، anal reflex وفي deep reflexهذه + +218 +00:17:03,060 --> 00:17:09,060 +مثل الهو knee jerk, ankle jerk او ankle reflex, + +219 +00:17:09,520 --> 00:17:15,020 +jerk او reflex نفس الشيء وفي visceral reflex for + +220 +00:17:15,020 --> 00:17:22,840 +internal organs for a internal organs الآن راح + +221 +00:17:22,840 --> 00:17:27,400 +اتكلم على spinal reflexes ان شاء الله في السنة + +222 +00:17:27,400 --> 00:17:31,070 +الرابعةبنتكلم عنهم وبنتكلم عن ال examination of + +223 +00:17:31,070 --> 00:17:33,950 +the nervous system وكيف نفحص هذه ال reflexes + +224 +00:17:33,950 --> 00:17:40,010 +بالتفصيل فينا ثلاث أنواع spinal reflexes في + +225 +00:17:40,010 --> 00:17:42,930 +superficial reflex يعني ايش superficial reflex + +226 +00:17:42,930 --> 00:17:49,140 +يعني بحدث contraction للمصل withoutjoint movement + +227 +00:17:49,140 --> 00:17:53,460 +يعني لو عملنا abdominal reflex بيصير contraction + +228 +00:17:53,460 --> 00:17:57,200 +لل abdominal muscle gag reflex او pharyngeal + +229 +00:17:57,200 --> 00:18:00,600 +reflex بيحدث contraction لل pharyngeal muscle + +230 +00:18:00,600 --> 00:18:09,460 +without joint movement طيب biceps reflex هبيعتبر + +231 +00:18:09,460 --> 00:18:15,810 +ايه؟deep reflex لماذا اتكلمت على deep reflex لأن + +232 +00:18:15,810 --> 00:18:20,850 +في الحالة هذه حدث joint movement في حال انه يحدث + +233 +00:18:20,850 --> 00:18:25,730 +joint movement بسميه deep reflex يعني رد فعل عميق + +234 +00:18:25,730 --> 00:18:32,270 +اتحرك فيه joint و ثلاثة visceral reflex اللي هم + +235 +00:18:32,270 --> 00:18:35,730 +علاقة بال internal organs اللي هم علاقة بال + +236 +00:18:35,730 --> 00:18:41,380 +internal organsطيب إيش أنواع superficial reflex؟ + +237 +00:18:41,380 --> 00:18:46,600 +مين هم ال superficial reflex؟ plantar reflex، + +238 +00:18:46,600 --> 00:18:53,440 +abdominal reflex لو جينا لأخوه لوحد حيص من إيه؟ من + +239 +00:18:53,440 --> 00:18:56,920 +بطنه، جرس و ذيك شوية، تلاقي حدث contraction، تقول + +240 +00:18:56,920 --> 00:19:00,640 +والله حاص، حدث contraction في ال abdominal muscle، + +241 +00:19:00,640 --> 00:19:05,080 +هذا يعتبر abdominal reflexinner reflex لو عملنا + +242 +00:19:05,080 --> 00:19:08,420 +stroking around the anus اللي ال external + +243 +00:19:08,420 --> 00:19:12,400 +sphincter في الحالة هاد راح يحدث contraction ل + +244 +00:19:12,400 --> 00:19:16,440 +external sphincter يعتبر هذا a superficial reflex + +245 +00:19:16,440 --> 00:19:21,500 +cremastric reflex هذا يكون عند الميل لو عملنا + +246 +00:19:21,500 --> 00:19:24,760 +stroking او irritation في ال medial aspect of + +247 +00:19:24,760 --> 00:19:28,480 +thigh ممكن يحدث elevation of testis بيصير + +248 +00:19:28,480 --> 00:19:32,640 +elevation لمين؟ لتستسCornier reflex أو + +249 +00:19:32,640 --> 00:19:38,640 +conjunctivir reflex لو جيبنا قطعة قطنحطيناها في + +250 +00:19:38,640 --> 00:19:41,620 +العين في ال conjunctiva لمسناها ايش حدث لعيننا على + +251 +00:19:41,620 --> 00:19:45,800 +السريع بنغمض عيننا كنا بيحدث معنا corneal reflex + +252 +00:19:45,800 --> 00:19:49,040 +او conjunctivial reflex بدون ما احنا نفكر فيه + +253 +00:19:49,040 --> 00:19:52,480 +ماشيين في الشارع ريح غبرة اشرع على السريع راح تجمد + +254 +00:19:52,480 --> 00:19:57,780 +غمض عينك يعتبر هذا reflex عشان احمي عيني من الغبار + +255 +00:19:57,780 --> 00:20:03,870 +و من الهواء palatal reflexال بلاتة reflex في حال + +256 +00:20:03,870 --> 00:20:07,670 +أنا عملت irritation لل soft palate في ال mouth + +257 +00:20:07,670 --> 00:20:11,410 +بيحدث elevation لل soft palate بيحدث elevation + +258 +00:20:11,410 --> 00:20:16,630 +لإيه؟ لل soft palate و gag reflex أو بنسميه + +259 +00:20:16,630 --> 00:20:21,050 +pharyngeal reflex لو أجينا فحصنا مريض وعملنا + +260 +00:20:21,050 --> 00:20:26,370 +depression او depressive لل tongue ضغطنا ال tongue + +261 +00:20:26,370 --> 00:20:30,240 +ب tongue depressor في الحالة هذهو اعملنا + +262 +00:20:30,240 --> 00:20:33,500 +irritation بورجة وورجة طويلة هيك اعملنا ايه؟ + +263 +00:20:33,500 --> 00:20:36,800 +irritation ل ال posterior wall of the pharynx بحدث + +264 +00:20:36,800 --> 00:20:40,040 +contraction ل ال pharyngeal muscle و المريض بيعمل + +265 +00:20:40,040 --> 00:20:44,000 +vomiting من ايه؟ من ال irritation of the posterior + +266 +00:20:44,000 --> 00:20:47,980 +wall of the pharynx هذا بنسمي gag reflex من ناحية + +267 +00:20:47,980 --> 00:20:51,600 +ال level على اي مستوى بيتم ال gag reflex بيتم على + +268 +00:20:51,600 --> 00:20:56,040 +medallary level عوان؟ميدالري level طب بلات ال + +269 +00:20:56,040 --> 00:21:01,940 +reflex بتم على ميدالري level ال corner reflex بتم + +270 +00:21:01,940 --> 00:21:09,850 +على pontine levelcremastric reflex لوين؟ ل ال + +271 +00:21:09,850 --> 00:21:13,470 +spinal level inner reflex spinal level abdominal + +272 +00:21:13,470 --> 00:21:18,770 +reflex نفس الشيء في upper و middle و lower بيتموا + +273 +00:21:18,770 --> 00:21:22,730 +على وين؟ على spinal level plantar reflex spinal + +274 +00:21:22,730 --> 00:21:26,930 +level يبقى واحد اتنين تلاتة اربعة هدول بيتموا وين؟ + +275 +00:21:26,930 --> 00:21:30,990 +على spinal level ليه؟لأن المسئول عنهم spinal + +276 +00:21:30,990 --> 00:21:35,070 +nerves مسئول عنهم spinal nerves لكن corneal reflex + +277 +00:21:35,070 --> 00:21:40,170 +بلاطر reflex و gag reflex مسئول عنهم cranial + +278 +00:21:40,170 --> 00:21:44,550 +nerves في الحالة هذه بتم مولق عوين على مستوى اللي + +279 +00:21:44,550 --> 00:21:51,230 +هو brainstem ناخد مثل corneal reflex corneal + +280 +00:21:51,230 --> 00:21:56,390 +reflex الأفيرانت المسئول + +281 +00:21:56,390 --> 00:21:57,910 +عنه اللي هو sensory nerve + +282 +00:22:00,520 --> 00:22:07,120 +يعتبر V1 اللي هو افتعل مت برانش of تراجي من ال + +283 +00:22:07,120 --> 00:22:15,820 +nerve طيب ال efferent اللي + +284 +00:22:15,820 --> 00:22:22,680 +هو motor يعتبر facial nerve facial nerve هو اللي + +285 +00:22:22,680 --> 00:22:27,400 +بيعمل contraction لل arbicularis oculi muscle ال + +286 +00:22:27,400 --> 00:22:39,930 +palatal reflexمن ناحية efferent sensory يعتبر + +287 +00:22:39,930 --> 00:22:45,510 +V2 اللي هو maxillary branch of trigeminal nerve + +288 +00:22:45,510 --> 00:22:54,850 +طيب efferent ال motor يعتبر + +289 +00:22:54,850 --> 00:22:59,490 +Vegas nerve زائد cranial + +290 +00:23:02,360 --> 00:23:07,620 +accessory زائد cranial accessory و gag reflex او + +291 +00:23:07,620 --> 00:23:17,260 +pharyngeal reflex afferent اللي هو sensory مسئول + +292 +00:23:17,260 --> 00:23:21,660 +عنه من ناحية sensory اللي هو glossopharyngeal + +293 +00:23:21,660 --> 00:23:26,880 +nerve الموتور اللي هو efferent + +294 +00:23:32,660 --> 00:23:39,100 +نفس البلاتل راح يكون Vegas nerve زائد cranial + +295 +00:23:39,100 --> 00:23:45,980 +accessory هذا في ناحية اللي هما cranial reflexes + +296 +00:23:58,090 --> 00:24:02,910 +يبقى ان انا لو جيبت قطة قطن ومشيتها حركتها على + +297 +00:24:02,910 --> 00:24:06,470 +conjunctiva of the eye راح يشعروا بال irritation + +298 +00:24:06,470 --> 00:24:09,450 +ال receptor راح يشعروا مسئول عنهم اللي هو + +299 +00:24:09,450 --> 00:24:12,430 +ophthalmic nerve of the trigeminal راح يأتي إشارة + +300 +00:24:12,430 --> 00:24:17,710 +لمن؟ لل brain stem لل pons ومنها ترجع الإشارة بال + +301 +00:24:17,710 --> 00:24:20,430 +motor fibers بتاعة ال facial nerve اللي راح يغمض + +302 +00:24:20,430 --> 00:24:23,750 +لعين الإنسان يعمل closure لل eye هذا بنسمي reflex + +303 +00:24:23,750 --> 00:24:29,640 +اسمه conjunctival أو corneal reflexطيب deep + +304 +00:24:29,640 --> 00:24:35,260 +reflexes او بنسميهم proprio سبتف او stretch spinal + +305 +00:24:35,260 --> 00:24:42,660 +reflex زي جوجيرك، بايسيبس reflex، ترايسيبس reflex، + +306 +00:24:42,660 --> 00:24:46,840 +subbinator او curb radialis reflex، knee reflex + +307 +00:24:47,680 --> 00:24:52,120 +انكل او اكيليس reflex او جيرك لو جينا ضربنا ع ال + +308 +00:24:52,120 --> 00:24:58,120 +tendon of biceps بالهمار بتاعي راح يحدث ايه + +309 +00:24:58,120 --> 00:25:02,940 +friction لل elbow هذا يعتبر reflex ديب لكن ليه ديب + +310 +00:25:02,940 --> 00:25:11,900 +لان اتحرك المفصل بتاعه human reflex arc the reflex + +311 +00:25:11,900 --> 00:25:20,630 +arc include afferentor input sensory nerve center + +312 +00:25:20,630 --> 00:25:25,010 +او inter neuron اللي هي integrative center و + +313 +00:25:25,010 --> 00:25:30,210 +afferent output اللي هو motor you can afferent + +314 +00:25:30,210 --> 00:25:37,330 +input انا او + +315 +00:25:37,330 --> 00:25:43,830 +هان again afferent input او sensorynerve center او + +316 +00:25:43,830 --> 00:25:47,930 +inter neurons اللي هي integrative center و if you + +317 +00:25:47,930 --> 00:25:58,970 +want output او ايه motor نشوف + +318 +00:25:58,970 --> 00:26:06,890 +reflex R قبل كل شي نجيب الصورة هذه هي reflex ني + +319 +00:26:06,890 --> 00:26:10,710 +جيرك ايش حدث هنا في ني جيرك عملنا + +320 +00:26:20,700 --> 00:26:25,220 +الإشارة بدأت تروح بالـ Afferent بالـ Sensory Input + +321 +00:26:25,220 --> 00:26:34,070 +طلعت بالـ Sensory Fibers of the femoral nerveهو + +322 +00:26:34,070 --> 00:26:37,990 +راحت للبستيرو الجانجليون بعد هي بتروح للبستيرو + +323 +00:26:37,990 --> 00:26:47,350 +هورنسرز هنا خلص موضوع اللي هو ايه ال sensory input + +324 +00:26:47,350 --> 00:26:49,650 +you gonna have ال affluent pathway بتاعه + +325 +00:26:54,260 --> 00:26:59,660 +لازم نتجل الإشارة من sensory input ل motor output + +326 +00:26:59,660 --> 00:27:04,260 +طب مين اللي بينجل الإشارة اللي هم Inter neurons + +327 +00:27:07,510 --> 00:27:11,530 +هي هم انترنيرونز بيكون موجودين بين ال posterior + +328 +00:27:11,530 --> 00:27:16,990 +horn cells و ال anterior horn cells ع كل segment و + +329 +00:27:16,990 --> 00:27:22,670 +من بيعملهم regulation؟ Corticospinal tract اللي + +330 +00:27:22,670 --> 00:27:28,690 +جاي من وين؟ من ال cortex بيعملهم regulation طيب + +331 +00:27:28,690 --> 00:27:34,330 +بعدك برجع ال output motorبالـ من الـ anterior host + +332 +00:27:34,330 --> 00:27:39,050 +cells في motor neurons منها بيطلع بالـ anterior + +333 +00:27:39,050 --> 00:27:44,490 +root و بيرجع على ال motor fibers of the femoral + +334 +00:27:44,490 --> 00:27:49,860 +nerveبروح يقدّينا من ال muscle fibers of + +335 +00:27:49,860 --> 00:27:53,720 +quadriceps muscle بيحدث contraction في ال + +336 +00:27:53,720 --> 00:27:57,900 +quadriceps هذا ال contraction بيقدّي الى knee + +337 +00:27:57,900 --> 00:28:02,820 +extension knee extension هذا اسمه reflex انا + +338 +00:28:02,820 --> 00:28:07,560 +شرحتلكوا هنا اللي هو knee reflex او knee jerk + +339 +00:28:19,680 --> 00:28:26,480 +Okay هاي الـ knee jerk نرجع reflex arc احنا بنعمل + +340 +00:28:26,480 --> 00:28:33,460 +stretch reflex هو يعتبره بنعمل ايه tapping على ال + +341 +00:28:33,460 --> 00:28:37,660 +tendon of the muscle الإشارة راح تروح من ال + +342 +00:28:37,660 --> 00:28:43,930 +receptor على sensory fibers of the nerveبعد ذلك + +343 +00:28:43,930 --> 00:28:47,090 +على الـ posterior root ganglion هتدخل لوين؟ + +344 +00:28:47,090 --> 00:28:50,150 +للبوستيريوهورسلز + +345 +00:28:50,150 --> 00:28:55,310 +من البوستيريوهورسلز لازم تنتج لوين؟ لاللي هو + +346 +00:28:55,310 --> 00:29:00,670 +الانتريوهورسلزي وان هذا sensory هذا ايه؟ sensory + +347 +00:29:00,670 --> 00:29:01,310 +pathway + +348 +00:29:06,010 --> 00:29:10,290 +لازم تنتج إلى وين؟ للموتور تنتج إلى الموتور عن + +349 +00:29:10,290 --> 00:29:14,150 +طريق شي اسمه Inter neuron على نفس ال level على نفس + +350 +00:29:14,150 --> 00:29:18,250 +ال segment موجودة بين posterior horn cells and + +351 +00:29:18,250 --> 00:29:22,510 +anterior horn cells بعد الإشارة ترجع من الموتور + +352 +00:29:22,510 --> 00:29:26,130 +نيرون الموجودة في ال anterior horn cells عبر ال + +353 +00:29:26,130 --> 00:29:30,640 +anterior rootعبر ال motor fibers of the nerve + +354 +00:29:30,640 --> 00:29:35,180 +للمسل في الحالة هذه بحدث contraction للمسل وبيقدي + +355 +00:29:35,180 --> 00:29:42,800 +ال reflex هذا اسمه reflex arc انا في الصورة هذه + +356 +00:29:42,800 --> 00:29:47,880 +اشرحتلكم اللي هو ال deep reflex بتاع ال knee jerk + +357 +00:29:47,880 --> 00:29:53,580 +ال knee jerk واتكلمت عنه بالتفصيل ال slide البعده + +358 +00:29:53,580 --> 00:29:58,350 +بيكرر نفس الموضوع من ناحية ال knee jerkهو عبارة عن + +359 +00:29:58,350 --> 00:30:02,430 +stretch reflex induced by stimulation of receptor + +360 +00:30:02,430 --> 00:30:07,950 +by tapping of the patella tendon of quadriceps + +361 +00:30:07,950 --> 00:30:11,570 +muscle لو ضربنا على ال patella tendon بتاع ال + +362 +00:30:11,570 --> 00:30:15,630 +quadriceps muscle الإشارة هتروح بال sensory fibers + +363 +00:30:15,630 --> 00:30:19,030 +of the femoral nerve تدخل على البوستيروهوت بعدها + +364 +00:30:19,030 --> 00:30:23,460 +على البوستيروهور cells خلص ال sensory inputبعدها + +365 +00:30:23,460 --> 00:30:27,960 +تتحول الإشارة ل motor output مين بينهم فاصل اللي + +366 +00:30:27,960 --> 00:30:31,760 +هو Inter neurons Inter neurons اللي واجبتهم + +367 +00:30:31,760 --> 00:30:38,250 +integrative center او بنسميهم Center for reflexبعد + +368 +00:30:38,250 --> 00:30:43,470 +ذلك الإشارة بترجع بالـ anterior root لـ motor + +369 +00:30:43,470 --> 00:30:46,890 +fibers of the femoral nerve بيعمل supplying ل + +370 +00:30:46,890 --> 00:30:49,550 +quadriceps muscle quadriceps muscle بتسمى + +371 +00:30:49,550 --> 00:30:53,470 +contraction واحنا عارفين ال quadriceps contraction + +372 +00:30:53,470 --> 00:30:59,810 +leads to extension of the knee joint بيعمل + +373 +00:30:59,810 --> 00:31:05,530 +extension ل ال knee joint طيب visceral أو + +374 +00:31:05,530 --> 00:31:10,550 +autonomic reflexesمن ضمنهم mectoration reflex ال + +375 +00:31:10,550 --> 00:31:13,470 +reflex رد الفئة بتاع التبول احنا كنا بنصحى صباحا + +376 +00:31:13,470 --> 00:31:17,090 +بروح الدورة بنعمل mectoration هذا reflex اتنين + +377 +00:31:17,090 --> 00:31:23,530 +defecation reflex بتاع التبرز erection reflex + +378 +00:31:27,180 --> 00:31:31,440 +that inhibit gastrointestinal motility in response + +379 +00:31:31,440 --> 00:31:35,640 +to peritoneal irritation لو مريض عنده peritonitis + +380 +00:31:35,640 --> 00:31:39,980 +inflammation of the peritoneum في reflex بيقلل + +381 +00:31:39,980 --> 00:31:45,420 +حركة الأمعاء عشان يقلل الألم في جدار البطن هذا + +382 +00:31:45,420 --> 00:31:50,440 +reflex ردت شغل Autonomic reflexes in the spinal + +383 +00:31:50,440 --> 00:31:52,580 +cord مين هم ال Autonomic reflexes in the spinal + +384 +00:31:52,580 --> 00:31:58,640 +cord؟Change in vascular tone resulting from change + +385 +00:31:58,640 --> 00:32:03,440 +in local skin head يعني في البردجو بارد باللاحظ .. + +386 +00:32:03,440 --> 00:32:06,960 +باللاحظ بيحدث vasoconstriction، spasm للـ artery + +387 +00:32:06,960 --> 00:32:10,780 +تلاقي الإنسان لونه شاحب أبيض من الـ spasm عشان + +388 +00:32:10,780 --> 00:32:14,420 +يحافظ على حرارة جسمه لكن في الحرارة لو دخلنا + +389 +00:32:14,420 --> 00:32:18,560 +الساونة أو في فصل الصيف أو غصص بيحدث vasodilation، + +390 +00:32:18,560 --> 00:32:23,160 +بتوسع الشرايين عشان يخللوا حرارة الجسم ويقل ال .. + +391 +00:32:23,160 --> 00:32:28,120 +ال .. ال .. ال temperature بتاعة الجسم sweating + +392 +00:32:28,120 --> 00:32:33,680 +نفس الشيءالعرق في البرد بيحدث vazoconstriction + +393 +00:32:33,680 --> 00:32:38,340 +بيقل إفراز العرق في الصيف في ساونا درجة حرارة + +394 +00:32:38,340 --> 00:32:42,080 +عالية بيحدث vazodilatation بيزود إفراز العرق + +395 +00:32:42,080 --> 00:32:46,920 +reflex for motor control of the intestinal ال + +396 +00:32:46,920 --> 00:32:50,960 +reflex بتاعة الأمعاءPeritoneal Intestinal Reflex + +397 +00:32:50,960 --> 00:32:53,780 +اللي اتكلمنا عنه that inhibit gastrointestinal + +398 +00:32:53,780 --> 00:32:57,240 +motility in response to peritoneal irritation في + +399 +00:32:57,240 --> 00:32:59,800 +حالة ان المريض عنده peritonitis راح تحدث + +400 +00:32:59,800 --> 00:33:03,640 +inhibition ل ال motility of the intestinal و يقل + +401 +00:33:03,640 --> 00:33:08,920 +حركة الأمعاء عشان يقلل ألم الجدار البطن اللي بيحدث + +402 +00:33:08,920 --> 00:33:13,620 +فيه peritonitisمن الداخل evacuation reflex هذا ال + +403 +00:33:13,620 --> 00:33:19,420 +evacuation reflex for emptying of urine bladder + +404 +00:33:19,420 --> 00:33:23,720 +and rectum for defecation and urination لالتبرز + +405 +00:33:23,720 --> 00:33:24,740 +والتبول + +406 +00:33:27,060 --> 00:33:30,740 +باكتفي هان للجزء الأول من محاضرة السواء الرابع عشر + +407 +00:33:30,740 --> 00:33:35,720 +في الجزء الثاني راح نكمل ال motor unit و اتكلم على + +408 +00:33:35,720 --> 00:33:39,780 +ال muscle tissue و ال muscle fibers و muscle + +409 +00:33:39,780 --> 00:33:41,940 +contraction of the skeletal muscle + diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/BItyP2s_jgE.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/BItyP2s_jgE.srt new file mode 100644 index 0000000000000000000000000000000000000000..611f05606c4b22acb663381e584b0c5dbcec004d --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/BItyP2s_jgE.srt @@ -0,0 +1,1621 @@ +1 +00:00:05,210 --> 00:00:10,470 +بسم الله الرحمن الرحيم الجزء الثاني من محاضرة + +2 +00:00:10,470 --> 00:00:13,630 +الأسبوع الرابع عشر اللي هو Anatomy and Physiology + +3 +00:00:13,630 --> 00:00:18,010 +of the motor system part two راح أتكلم على ال + +4 +00:00:18,010 --> 00:00:26,170 +muscles skeletal muscle راح أبدأ ب motor unit إيش + +5 +00:00:26,170 --> 00:00:32,630 +هو motor unit it is the functional unit of muscle + +6 +00:00:32,630 --> 00:00:36,170 +contraction يبقى functional unit of muscle + +7 +00:00:36,170 --> 00:00:42,610 +contraction يعتبر نفسه motor unit it consists of + +8 +00:00:42,610 --> 00:00:48,580 +one alpha motor neuron and the muscle fibers + +9 +00:00:48,580 --> 00:00:54,740 +innervated by its axons هو عبارة عن muscle fibers + +10 +00:00:54,740 --> 00:01:00,660 +بياخدها من ون Alpha هذا ال unit بنسميه motor unit + +11 +00:01:00,660 --> 00:01:05,020 +عبارة عن muscle fibers مع alpha motor neuron مع + +12 +00:01:05,020 --> 00:01:11,080 +بعض هذا بنسميه motor unit المسؤول عن contraction + +13 +00:01:11,080 --> 00:01:19,510 +of the muscle fibers muscle tissue بقى المحاضرة رح + +14 +00:01:19,510 --> 00:01:26,710 +يكون على muscle tissue muscle tissue is the only + +15 +00:01:26,710 --> 00:01:34,790 +one which has the property of contractility يبقى + +16 +00:01:34,790 --> 00:01:40,270 +أنها علاقة هذه الأنسجة بالانقباض يبقى الأنسجة اللي + +17 +00:01:40,270 --> 00:01:45,590 +لها علاقة بالانقباض هي muscle tissue من وين تجينا + +18 +00:01:45,590 --> 00:01:54,950 +ال muscle tissue؟ من mesoderm .. mesoderm في هنا + +19 +00:01:54,950 --> 00:02:02,350 +ثلاث أنواع من ال muscle fibers يختلفوا عن بعض من + +20 +00:02:02,350 --> 00:02:06,050 +ناحية ال morphology و ال functional + +21 +00:02:06,050 --> 00:02:13,760 +characteristics إيش هذه الأنواع؟ أول نوع بنسميه + +22 +00:02:13,760 --> 00:02:19,440 +striated muscle اللي من ضمنه العضلات المخططة اللي + +23 +00:02:19,440 --> 00:02:25,340 +من ضمنه skeletal muscles و cardiac muscle في + +24 +00:02:25,340 --> 00:02:30,940 +smooth muscles العضلات الملساء طب مين فيهم + +25 +00:02:30,940 --> 00:02:35,700 +voluntary ومين فيهم involuntary العضلات اللي + +26 +00:02:35,700 --> 00:02:40,340 +بيغذيهم somatic nerves يعتبروا voluntary غمض عيني + +27 +00:02:40,340 --> 00:02:45,400 +فتح رفعت أيدي نزلتها هذا voluntary لكن العضلات + +28 +00:02:45,400 --> 00:02:50,380 +اللي بتغذيها من ال autonomic nervous system يعتبروا + +29 +00:02:50,380 --> 00:02:54,220 +involuntary اللي هم cardiac و smooth muscles + +30 +00:02:54,220 --> 00:02:57,400 +يعتبروا involuntary لأنه مابقدر اتحكم بحركة + +31 +00:02:57,400 --> 00:03:03,450 +الأمعاء أو المعدة ما بقدر اتحكم في نبض القلب أزوده + +32 +00:03:03,450 --> 00:03:07,630 +أو أقلله يقول هذه تعتبر involuntary muscles يقول + +33 +00:03:07,630 --> 00:03:10,910 +ال involuntary muscles العضلات اللي لا إرادية + +34 +00:03:10,910 --> 00:03:14,350 +cardiac و smooth أما العضلات اللي لا إرادية اللي + +35 +00:03:14,350 --> 00:03:22,910 +هي skeletal muscles في جسمنا تقريبا في 320 زوج من + +36 +00:03:22,910 --> 00:03:27,990 +العضلات على اليمين و 320 على اليسار أكثر من 320 + +37 +00:03:27,990 --> 00:03:34,470 +يعني أكثر من 640 skeletal muscle في الجسم و ال + +38 +00:03:34,470 --> 00:03:39,130 +skeletal muscle بتكون حوالي 40 ل 50% من وزن + +39 +00:03:39,130 --> 00:03:45,540 +الإنسان يعني مهمة جدا ال muscle تشرب what's the + +40 +00:03:45,540 --> 00:03:52,800 +functions of skeletal muscles إيش وظيفة skeletal + +41 +00:03:52,800 --> 00:03:58,600 +muscles أول شيء produce movement of the skeletal + +42 +00:03:58,600 --> 00:04:01,960 +يبقى أن هذا ال skeleton اللي شايفينه عند الإنسان + +43 +00:04:01,960 --> 00:04:09,440 +ما بمشي ولا بيتحرك بدون عضلات maintain posture and + +44 +00:04:09,440 --> 00:04:17,080 +body position أنا الآن واقف أو جلست يبقى هذه لها + +45 +00:04:17,080 --> 00:04:20,520 +علاقة البشرة و ال position بال muscle ب skeletal + +46 +00:04:20,520 --> 00:04:25,860 +muscles support ال soft tissue حماية ال soft + +47 +00:04:25,860 --> 00:04:30,720 +tissue حماية + +48 +00:04:30,720 --> 00:04:35,480 +ال digestive system urinary other tract ال heart + +49 +00:04:35,480 --> 00:04:41,280 +يبقى أن هذول العضلات بيحموا الأعضاء الداخلية and + +50 +00:04:41,280 --> 00:04:47,300 +maintain body temperature اللي معلق ب regulation of + +51 +00:04:47,300 --> 00:04:51,700 +the body temperature by the contraction of the + +52 +00:04:51,700 --> 00:05:00,360 +muscle what's the properties of skeletal muscle + +53 +00:05:00,360 --> 00:05:05,770 +tissue أو سؤال ثاني what's the characteristics of + +54 +00:05:05,770 --> 00:05:09,710 +skeletal muscle tissue؟ إيش المواصفات تبع هذه ال + +55 +00:05:09,710 --> 00:05:13,010 +muscle tissue بتاعة ال skeletal muscle؟ واحد + +56 +00:05:13,010 --> 00:05:21,330 +excitability اللي هيبقى يعني ability to response + +57 +00:05:21,330 --> 00:05:28,290 +to stimulus يبقى تستجيب العضلة لل stimulus ثاني + +58 +00:05:28,290 --> 00:05:30,390 +contractility + +59 +00:05:31,540 --> 00:05:36,080 +الانقباض it is the ability of produce muscle + +60 +00:05:36,080 --> 00:05:44,280 +contraction ثلاثة extensibility ability of muscle + +61 +00:05:44,280 --> 00:05:49,940 +to be stretched ال stretching of the muscle أربع + +62 +00:05:49,940 --> 00:05:55,800 +elasticity إيش ال elasticity it is the ability of + +63 +00:05:55,800 --> 00:06:03,950 +muscle to return to its original length متى when + +64 +00:06:03,950 --> 00:06:10,270 +tension and contraction is released يعني في حال + +65 +00:06:10,270 --> 00:06:16,490 +الانقباض في حال ال contraction بحدث قصور في العضلة + +66 +00:06:16,490 --> 00:06:23,090 +لكن في ال rest لازم العضلة ترجع لإيه لطولها + +67 +00:06:23,090 --> 00:06:27,150 +الطبيعي في ال rest أثناء النوم أثناء ال rest في + +68 +00:06:27,150 --> 00:06:33,920 +الهدوء هذا ما نسميها elasticity of the muscle أخر + +69 +00:06:33,920 --> 00:06:39,260 +شيء ال adaptation adaptability يعني العضلات + +70 +00:06:39,260 --> 00:06:44,420 +بيحدث لها adaptation لبعض الحركات وبعض ال ايه + +71 +00:06:44,420 --> 00:06:50,140 +المجهود اللي بيحدث عليهم طيب إيه ال connective + +72 +00:06:50,140 --> 00:06:57,120 +tissue اللي موجودة حوالين skeletal muscle فيه هنا + +73 +00:07:01,750 --> 00:07:07,770 +Epimysium و Endomysium هذه + +74 +00:07:07,770 --> 00:07:13,430 +ال Epimysium تعتبر external stretch أو external + +75 +00:07:13,430 --> 00:07:20,150 +sheath تعتبر إيه؟ تعتبر external sheath of dense + +76 +00:07:20,150 --> 00:07:27,330 +irregular surround the inter muscle الداخل + +77 +00:07:27,330 --> 00:07:35,400 +بتكون تمام؟ و contains large nerve, arteries and + +78 +00:07:35,400 --> 00:07:42,840 +lymphatic vessels طيب ال perimysium had surrounded + +79 +00:07:42,840 --> 00:07:48,420 +each bundle of muscle fibers فسكر رح نشرحكم + +80 +00:07:48,420 --> 00:07:54,500 +معاها شوية it is penetrated by nerve, arteries and + +81 +00:07:54,500 --> 00:07:59,650 +lymphatic vessels طب endomysium تعتبر reticular + +82 +00:07:59,650 --> 00:08:05,870 +fibers surround the external lamina covers the + +83 +00:08:05,870 --> 00:08:22,530 +muscle as whole يبقى + +84 +00:08:22,530 --> 00:08:25,090 +نهائية أنها اللي هي + +85 +00:08:28,560 --> 00:08:37,480 +إيبيميزيوم، بيريمي و أندومي اللي هنتكلم على connective + +86 +00:08:37,480 --> 00:08:43,020 +tissue around the skeletal muscles في three layers + +87 +00:08:43,020 --> 00:08:50,180 +في إيبيميزيوم و في بيريميزيوم و في أندوميزيوم ال إيبي + +88 +00:08:50,180 --> 00:08:55,680 +بيكون خارجي it is external sheetof dense regular + +89 +00:08:55,680 --> 00:09:02,460 +surround and cover the muscle as a whole يبقى هذا + +90 +00:09:02,460 --> 00:09:08,480 +الغلاف الخارجي اللي بيكون حوالين العضلة اثنين ال + +91 +00:09:08,480 --> 00:09:14,700 +بيريمي مميزة surround each of muscle fascicle هذا + +92 +00:09:14,700 --> 00:09:20,030 +بيكون في النص بين الإيبي و الاندو بيغطينا و بيعملنا + +93 +00:09:20,030 --> 00:09:27,090 +غلاف حوالين إيه الفاسيكل of muscle و بيعمل bending + +94 +00:09:27,090 --> 00:09:33,270 +للفاسيكل together داخله بيكون موجود nerves, + +95 +00:09:33,850 --> 00:09:39,130 +arteries and lymphatic vessels أخر جزئية اللي هي + +96 +00:09:39,130 --> 00:09:44,370 +endomysia هذه بتكون وين تعتبر delicate soft tissue + +97 +00:09:44,370 --> 00:09:50,450 +أو soft membrane cover the specialized skeletal + +98 +00:09:50,450 --> 00:09:54,630 +muscle fibers بيكون داخلي هذا اندو داخلي و بيغلف + +99 +00:09:54,630 --> 00:09:58,770 +ال muscle fibers و نفس الشيء فيهم اللي هو nerve + +100 +00:09:58,770 --> 00:10:03,430 +fibers و arteries و lymphatic vessels زي ما احنا + +101 +00:10:03,430 --> 00:10:09,540 +شايفين هنا هي ال epimysium و بيصلح حد التندين بيكون + +102 +00:10:09,540 --> 00:10:13,520 +غلاف خارجي للعضلة كلها في هنا ال perimysium بيكون + +103 +00:10:13,520 --> 00:10:19,020 +غلاف لفسيكل العضلة فسيكل العضلة و في هنا + +104 +00:10:19,020 --> 00:10:25,800 +endomysium بيكون غلاف لمن؟ ل muscle fibers يبقى + +105 +00:10:25,800 --> 00:10:31,700 +أن هاي ال peri بيكون في النص الداخلي endo و + +106 +00:10:31,700 --> 00:10:36,660 +epimysium بيكون خارجي بيكون غلاف خارجي + +107 +00:10:44,000 --> 00:10:50,460 +الآن باتكلم على definition of skeletal muscle + +108 +00:10:50,460 --> 00:10:56,420 +skeletal muscle is composed of numerous muscle + +109 +00:10:56,420 --> 00:11:02,080 +fibers يبقى ال skeletal muscle فيها fascicles و ال + +110 +00:11:02,080 --> 00:11:07,980 +fascicles فيها muscle fibers each muscle fibers + +111 +00:11:07,980 --> 00:11:15,710 +usually innervated by only one nerve endings هذا + +112 +00:11:15,710 --> 00:11:21,990 +بنسميه ال motor unit the muscle fibers is surround + +113 +00:11:21,990 --> 00:11:30,570 +by a thin membrane بيسميها sarcolema sarcolemma + +114 +00:11:30,570 --> 00:11:37,010 +each muscle fiber contains several hundred to + +115 +00:11:37,010 --> 00:11:42,390 +several thousand myofibril يبقى ال muscle fibers + +116 +00:11:42,390 --> 00:11:49,550 +داخلها إيه؟ مئات و آلاف إيه ال myofibril يعني + +117 +00:11:49,550 --> 00:11:54,290 +fiber muscle fiber fibril يعني مصغر من ال muscle + +118 +00:11:54,290 --> 00:12:02,500 +fibers each myofibril is composed of about one + +119 +00:12:02,500 --> 00:12:06,080 +thousand five hundred myosin filament يبقى فيها + +120 +00:12:06,080 --> 00:12:09,660 +حوالي ألف و خمسمائة myosin filament و فيها ثلاثة + +121 +00:12:09,660 --> 00:12:16,020 +آلاف actin filament هذا ال myosin و ال actin و هم + +122 +00:12:16,020 --> 00:12:19,840 +علاقة بال muscle contraction و هم علاقة بال muscle + +123 +00:12:19,840 --> 00:12:24,380 +contraction cytoplasm في ال muscle اسمها + +124 +00:12:24,380 --> 00:12:30,690 +sarcoplasma smooth endoplasmic reticulum اسمها + +125 +00:12:30,690 --> 00:12:34,390 +sarcoplasmic reticulum cell membrane اللي هي + +126 +00:12:34,390 --> 00:12:39,070 +external lamina في ال muscle اسمها sarcolema يجب + +127 +00:12:39,070 --> 00:12:44,310 +أن نلاحظ أن ال muscle بيعطينا several muscle + +128 +00:12:44,310 --> 00:12:48,010 +bundle أو fascicles يبقى أن ال muscle بتعطينا + +129 +00:12:48,010 --> 00:12:52,550 +muscle fascicles طب ال muscle fascicles بتعطينا + +130 +00:12:52,550 --> 00:12:58,350 +several muscle fibers طب ال muscle fiber تعطينا + +131 +00:12:58,350 --> 00:13:07,910 +مئات لآلاف myofibrils طب ال myofibrils تعطينا ألف + +132 +00:13:07,910 --> 00:13:14,490 +و خمسمائة ميوسين و ثلاثة آلاف actin filament اللي + +133 +00:13:14,490 --> 00:13:19,670 +لازمين ل muscle contraction واضح؟ لاحظوا ال muscle + +134 +00:13:19,670 --> 00:13:23,700 +تعطينا muscle fascicle ال muscle fascicle بيعطينا + +135 +00:13:23,700 --> 00:13:26,220 +muscle fibers ال muscle fibers بيعطينا ال + +136 +00:13:26,220 --> 00:13:29,320 +myofibril ال myofibril بيعطينا ال myosin و ال + +137 +00:13:29,320 --> 00:13:33,160 +actins اللي هم المهمين ل ال muscle contractivity + +138 +00:13:33,160 --> 00:13:40,140 +هاني muscle داخل ال muscle فيه هنا اللي هم اللي + +139 +00:13:40,140 --> 00:13:46,100 +بنسميهم fascicles ال fascicles بيعطونا اللي هو + +140 +00:13:46,100 --> 00:13:52,350 +muscle fibers ال muscle fibers بيعطونا myofibril ال + +141 +00:13:52,350 --> 00:13:57,370 +myofibril فيها actin و myosin فيها myosin اللي هم + +142 +00:13:57,370 --> 00:14:02,630 +تقريبا 1500 و actin 3000 كمان مرة ال muscle + +143 +00:14:02,630 --> 00:14:07,270 +بتعطينا muscle bundle أو بعدها muscle fascicle أو + +144 +00:14:07,270 --> 00:14:10,470 +muscle fascicle ال muscle fascicle بتعطينا muscle + +145 +00:14:10,470 --> 00:14:15,570 +fibers ال muscle fibers بتعطينا myofibril مئات + +146 +00:14:15,570 --> 00:14:19,910 +لآلاف ال myofibrils ال myofibrils بيعطينا actins + +147 +00:14:19,910 --> 00:14:27,030 +and myosin اللي هم 1500 حوالي myosin و 3000 actins + +148 +00:14:27,030 --> 00:14:33,570 +المهمين ل muscle contraction muscle بتعطينا muscle + +149 +00:14:33,570 --> 00:14:36,410 +fascicles muscle fascicles بتعطينا muscle fibers + +150 +00:14:36,410 --> 00:14:38,770 +اللي هم ال cells ال muscle fibers بتعطينا + +151 +00:14:38,770 --> 00:14:42,510 +myofibrils ال myofibrils بتعطينا thick و thin + +152 +00:14:42,510 --> 00:14:48,870 +filaments اللي هم myosin and actin هي عندي muscle + +153 +00:14:48,870 --> 00:14:58,140 +حواليها epimysium بعدين الفاسيكلز حواليها اللي هم + +154 +00:14:58,140 --> 00:15:03,200 +بيكونوا perimysium حوالينهم هي ال perimysium هذه + +155 +00:15:03,200 --> 00:15:09,920 +حوالين الفاسيكلز الفاسيكلز بيعطينا مين اللي هو + +156 +00:15:09,920 --> 00:15:14,360 +muscle fibers ال muscle fibers حواليهم غلاف اسمه + +157 +00:15:14,360 --> 00:15:19,820 +اللي هو endomysium endomysium هاي ال endomysium + +158 +00:15:19,820 --> 00:15:23,080 +حوالين مين بيكون حوالين ال muscle fibers + +159 +00:15:28,310 --> 00:15:34,770 +sarcoplasm is the + +160 +00:15:34,770 --> 00:15:41,450 +intracellular fluid located between myofibrils + +161 +00:15:41,450 --> 00:15:44,870 +و إيش + +162 +00:15:44,870 --> 00:15:50,800 +داخله contains electrolytes بوتاسيوم، مغنيسيوم، + +163 +00:15:50,800 --> 00:15:57,900 +كبريتات، مختلفة من البروتين إنزيم و معاناة من الميتو + +164 +00:15:57,900 --> 00:16:03,700 +كوندريا معاناة من الميتوكوندريا هذه المعاناة + +165 +00:16:03,700 --> 00:16:14,340 +تدفع ميوفيبريلات مع كثير من الانيرش حسنا ساركو + +166 +00:16:14,340 --> 00:16:19,170 +بلازماتيك ريتيكولوم هذه العلاقة بال regulation of + +167 +00:16:19,170 --> 00:16:23,630 +calcium storage لإيش ال calcium storage release + +168 +00:16:23,630 --> 00:16:29,770 +and reuptake اللي مهم لمين؟ لـ muscle contraction لـ ال + +169 +00:16:29,770 --> 00:16:34,350 +contractivity function of the muscle أنا أتكلم عن + +170 +00:16:34,350 --> 00:16:40,890 +ال organization of the muscle fibers اتفاقنا أن ال + +171 +00:16:40,890 --> 00:16:47,210 +muscle fibers فيه مئات إلى آلاف myofibril و ال + +172 +00:16:47,210 --> 00:16:52,430 +myofibril يعتبر long cylindrical filament bundle + +173 +00:16:52,430 --> 00:16:58,390 +داخل هذا ال myofibril فيه myosin ألف و خمسمية و في + +174 +00:16:58,390 --> 00:17:05,430 +ال actin اللي هم يعتبروا تقريبا ثلاثة آلاف موجود + +175 +00:17:05,430 --> 00:17:11,750 +فيهم a band و I band ال A-band بنسميه dark bands + +176 +00:17:11,750 --> 00:17:20,290 +on myofibril داخله myosin filament و actin بنتهي + +177 +00:17:20,290 --> 00:17:28,790 +بالأكتين ال I-band it is light bands فاتح لونه فقط + +178 +00:17:28,790 --> 00:17:33,350 +contains actin يبقى الاختلاف ما بين ال A-band و I + +179 +00:17:33,350 --> 00:17:39,570 +-band ال A-band dark غامق و داخله myosin mainly وفي + +180 +00:17:39,570 --> 00:17:45,610 +النهاية فيه actin filaments لكن ال I band light + +181 +00:17:45,610 --> 00:17:50,250 +فاتح لونه و يكون بيحتوي على actins only without + +182 +00:17:50,250 --> 00:17:59,010 +myosin light and dark bands give skeletal and + +183 +00:17:59,010 --> 00:18:03,790 +cardiac muscle their striated appearance لذلك + +184 +00:18:03,790 --> 00:18:08,800 +سمينا ال Cardiac و ال Skeletal muscle ال + +185 +00:18:08,800 --> 00:18:14,000 +striated muscle العضلات المخططة مين اللي خططهم ال + +186 +00:18:14,000 --> 00:18:19,480 +light و ال dark bands of myofibrils اللي هم اللي + +187 +00:18:19,480 --> 00:18:26,940 +نسميهم A-band و I-band في Z-disc هدول عبارة عن + +18 + +201 +00:19:39,950 --> 00:19:44,390 +..sarcomere اللي هو يعتبر زي ما اتفقنا functional + +202 +00:19:44,390 --> 00:19:48,290 +..sarcomere functional sub unit of contracted + +203 +00:19:48,290 --> 00:19:54,550 +apparatus okay when the muscle fibers are + +204 +00:19:54,550 --> 00:19:59,970 +contracted لما يحدث انقباض في العضلات في ال fibers + +205 +00:19:59,970 --> 00:20:05,120 +بتاعة العضلة the length of the sarcomere is shortened + +206 +00:20:05,120 --> 00:20:10,560 +بيحدث قصور في ال sarcomere يعني ال z المسافة بين + +207 +00:20:10,560 --> 00:20:16,020 +ال z to z بتخسر بيحدث انقباض في العضلة and actin + +208 +00:20:16,020 --> 00:20:21,220 +filaments overlap the myosin filament و ال actin + +209 +00:20:21,220 --> 00:20:27,700 +بيعملوا overlap لمن لال myosin في حاجة اسمها ال + +210 +00:20:27,700 --> 00:20:31,910 +titin protein هذا تيتن البروتين يحافظ على وجود + +211 +00:20:31,910 --> 00:20:36,770 +الميوسين والاكتن في نفس المكان وظيفته يحافظ على + +212 +00:20:36,770 --> 00:20:44,470 +وجود الميوسين والاكتن في نفس المكان one + +213 +00:20:44,470 --> 00:20:49,950 +end of the titin molecule is elastic and is + +214 +00:20:49,950 --> 00:20:55,280 +attached to the z disk يبقى أن هذا واحد من ال .. ال + +215 +00:20:55,280 --> 00:20:58,800 +.. ال titin protein تمام هذا فيه z disk + +216 +00:20:58,800 --> 00:21:04,380 +attached لإيه؟ z acting as sensing and changing + +217 +00:21:04,380 --> 00:21:08,960 +length as sarcomere contract and relax وهذا دمال + +218 +00:21:08,960 --> 00:21:16,360 +إيش قصور للعضلة أثناء الإنقباض أو طولها بترجع + +219 +00:21:16,360 --> 00:21:20,920 +لطولها الطبيعي و في حالة ال rest و في حالة ال + +220 +00:21:20,920 --> 00:21:27,750 +relaxation هنا هنا واضح اللي هو ال .. ال .. ال + +221 +00:21:27,750 --> 00:21:33,190 +thick filament ال thick filament هذا ميسين و ال + +222 +00:21:33,190 --> 00:21:39,410 +thin filament هذا ايه اللي هو Actin في حالة انقباض + +223 +00:21:39,410 --> 00:21:45,910 +ال Actin بيعمل overlap على الميسين بيدخل على + +224 +00:21:45,910 --> 00:21:51,670 +الميسين و بيحدث قصور ل shortening ل ال muscle + +225 +00:21:51,670 --> 00:21:55,630 +fibers هذا بيؤدي الى انقباض العضلة و هي بيحدث + +226 +00:21:55,630 --> 00:21:56,670 +muscle contraction + +227 +00:21:59,910 --> 00:22:09,630 +الجزء الثاني من + +228 +00:22:09,630 --> 00:22:16,050 +تيتن المليكل مرتبط + +229 +00:22:16,050 --> 00:22:22,510 +مع ميوسين وهذا في الحالة هذه عساسيا ملتبات للميوسين + +230 +00:22:22,510 --> 00:22:29,110 +والأكتن نفسها تملاء overlap لمين على الميوسين + +231 +00:22:29,110 --> 00:22:31,890 +ويحدث shortening of the muscle and muscle + +232 +00:22:31,890 --> 00:22:39,150 +contraction molecular characteristics of filaments + +233 +00:22:39,150 --> 00:22:44,030 +اللي هم ال myosin and actin اللي بيكونونها ال + +234 +00:22:44,030 --> 00:22:52,010 +myofibril ميسين مليكل هو thick filament هو يعتبر + +235 +00:22:52,010 --> 00:22:58,530 +ايه؟ thick filament ال .. it is composed of six + +236 +00:22:58,530 --> 00:23:05,990 +polypeptide polypeptide chains اللي هم اتنين heavy + +237 +00:23:05,990 --> 00:23:12,420 +chains بيكونون اللي هم ال headو ال tail هي ال head + +238 +00:23:12,420 --> 00:23:16,960 +يعني انا ال head و هذا ال tail هدول two heavy واحد + +239 +00:23:16,960 --> 00:23:21,580 +أزرق و واحد أحمر بيكونون ال tail اللي هو ال tail + +240 +00:23:21,580 --> 00:23:26,300 +او ال tail و بيكونون ال head بتاعهم هدول two heavy + +241 +00:23:26,990 --> 00:23:35,130 +and four light chains و 4 light بيكونونا اللي هم لل + +242 +00:23:35,130 --> 00:23:40,650 +head of the molecule or filament اتنين بيكونوا في + +243 +00:23:40,650 --> 00:23:47,050 +الأعلى تمام و اتنين بيكونوا في الأسفل هنا ال + +244 +00:23:47,050 --> 00:23:52,640 +myosin head functions واضيفته ال myosin head نفس + +245 +00:23:52,640 --> 00:23:58,340 +موضوع ال ATPase enzyme نفس موضوع ال ATP اللي له علاقة + +246 +00:23:58,340 --> 00:24:04,240 +بإفراز الطاقة طيب انا اتكلمت على مين؟ على ال + +247 +00:24:04,240 --> 00:24:08,660 +myosin molecule الآن أنا بتكلم على actin filament + +248 +00:24:08,660 --> 00:24:13,020 +يعني لو قلنالكم مين هو ال thick filament هو ال + +249 +00:24:13,020 --> 00:24:19,590 +myosin مين هو ال thin molecule؟ هو ايه؟ ال acting + +250 +00:24:19,590 --> 00:24:25,610 +ال acting هو عبارة عن composed of actin, + +251 +00:24:26,650 --> 00:24:31,790 +tropomyosin and troponin involved in muscle + +252 +00:24:31,790 --> 00:24:36,710 +contraction and other important cellular processes + +253 +00:24:36,710 --> 00:24:40,950 +هذا كله يتبر ايه؟ actin filaments اللي هو thin + +254 +00:24:40,950 --> 00:24:48,350 +filaments داخل بيكون مع الترابو مياسين + +255 +00:24:48,350 --> 00:24:56,350 +ترابو مياسين أنا هنا شوحتلكم تركيبة ال muscle و + +256 +00:24:56,350 --> 00:25:01,550 +تركيبة ال muscle fibers و ال myofibrils الآن + +257 +00:25:01,550 --> 00:25:07,010 +بنتكلم على ال receptors الموجودين في ال muscle في + +258 +00:25:07,010 --> 00:25:12,490 +أنا muscle spindles are found in all striated + +259 +00:25:12,490 --> 00:25:19,590 +muscle function بتاعتهم monitoring muscle length or + +260 +00:25:19,590 --> 00:25:25,970 +stretch يكون أول شي فيه إن ها muscle spindles وفيه + +261 +00:25:25,970 --> 00:25:33,650 +Golgi tendon organs هي موجودة في عضلات عضلات عضلة + +262 +00:25:33,650 --> 00:25:38,410 +قريبة من عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة + +263 +00:25:38,410 --> 00:25:41,970 +عضلة عضلة عضلة عضلة عضلة عضلة + +264 +00:25:41,970 --> 00:25:43,010 +عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة + +265 +00:25:43,010 --> 00:25:43,890 +عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة + +266 +00:25:43,890 --> 00:25:44,530 +عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة + +267 +00:25:44,530 --> 00:25:44,770 +عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة + +268 +00:25:44,770 --> 00:25:49,680 +عضلة عضلة عضلة أول نوع اسمه muscle spindles اللي + +269 +00:25:49,680 --> 00:25:53,980 +علاقة بال muscle length بالطول العضلة والنوع + +270 +00:25:53,980 --> 00:25:58,040 +الثاني اسمه Golgi tendon organs بيكون قريب لل + +271 +00:25:58,040 --> 00:26:01,620 +tendon of the muscle وظيفته monitoring of muscle + +272 +00:26:01,620 --> 00:26:02,460 +contraction + +273 +00:26:05,210 --> 00:26:08,050 +في الداخل نفسه في النص هنا بيكون فيه receptor اللي + +274 +00:26:08,050 --> 00:26:10,910 +هو علاقة بيسميهم muscle spindles طب و في نهاية + +275 +00:26:10,910 --> 00:26:14,730 +العضلة وين ال tendons هذا بيسميها Golgi tendon + +276 +00:26:14,730 --> 00:26:18,910 +organs ال Golgi tendon organs اللي علاقة بال + +277 +00:26:18,910 --> 00:26:23,410 +muscle contraction أما muscle spindles اللي علاقة + +278 +00:26:23,410 --> 00:26:28,230 +بال length and stretch of the muscle هنا جابلنا + +279 +00:26:28,230 --> 00:26:33,550 +عضلة اللي هي biceps muscle نتطرق للموضوع الأخير + +280 +00:26:34,800 --> 00:26:39,820 +اللي هو mechanism of skeletal muscle contraction + +281 +00:26:39,820 --> 00:26:45,380 +كيف بيحدث muscle contraction؟ في action potential + +282 +00:26:45,380 --> 00:26:51,480 +ال action potential travels along a motor nerve + +283 +00:26:51,480 --> 00:26:56,360 +بتيجي الإشارة ال nerve impulse مع ال motor nerve + +284 +00:26:56,360 --> 00:27:02,680 +fibers بتصل لحد ال endings of muscle fibers لحد ال + +285 +00:27:02,680 --> 00:27:06,720 +neuromuscular junction لحد مين؟ neuromuscular + +286 +00:27:06,720 --> 00:27:14,420 +junction at each ending في النهاية نيرف سيكريتز + +287 +00:27:14,420 --> 00:27:21,120 +يعني في ال presynaptic بتم إخراج ال neurotransmitters + +288 +00:27:21,120 --> 00:27:25,720 +اللي هم مين؟ acetylcholine هدول بيكونوا في + +289 +00:27:25,720 --> 00:27:31,180 +vesicles موجودين هذا ال acetylcholine بتتحد مع + +290 +00:27:31,180 --> 00:27:36,940 +ال acetylcholine receptors وفي الحالة هذه بعمل + +291 +00:27:36,940 --> 00:27:43,300 +stimulation لل opening of sodium channels في + +292 +00:27:43,300 --> 00:27:47,740 +ساركوليما هذا بيؤدي ل action potential action + +293 +00:27:47,740 --> 00:27:51,260 +potential يمكن تتم عملية حاجة زي ال depolarization + +294 +00:27:51,260 --> 00:27:59,060 +ال action potential بينتقل ل ال muscle fibers + +295 +00:28:01,680 --> 00:28:07,340 +بصلة Transverse Tube بنسميها T-Tubule أو T-Tube + +296 +00:28:07,340 --> 00:28:13,000 +موجودة في ال Sarcoplasmic Reticulum System هذا + +297 +00:28:13,000 --> 00:28:18,100 +العملية تعمل Calcium Release Channels في ال + +298 +00:28:18,100 --> 00:28:22,920 +Sarcoplasmic Reticulum بيؤدي إلى Opening of + +299 +00:28:22,920 --> 00:28:28,240 +Calcium Channels واحنا عارفين ال calcium مهم جدا ل + +300 +00:28:28,240 --> 00:28:33,200 +contraction of the muscle هذا راح يودي إلى ال + +301 +00:28:33,200 --> 00:28:38,480 +opening of calcium channels ويؤدي إلى a opening of + +302 +00:28:38,480 --> 00:28:47,440 +calcium to diffuse rapidly in the sarcoplasm دخلي + +303 +00:28:47,440 --> 00:28:51,080 +الكالسيوم على ال sarcoplasm الكالسيوم بتتحد مع + +304 +00:28:51,080 --> 00:28:56,520 +التروبونين بيؤدي إلى change في its shape بتاع + +305 +00:28:56,520 --> 00:29:01,950 +التروبونين مع حركة لل Tropomyosin الموجود في ال + +306 +00:29:01,950 --> 00:29:08,140 +Actins اللي هي ال thin filaments هذا بيؤدي إلى + +307 +00:29:08,140 --> 00:29:13,760 +تغيرات في ال thin actin و ال thick myosin بيحدث + +308 +00:29:13,760 --> 00:29:19,480 +overlap ل ال actins على ال myosin هذا بيؤدي إلى + +309 +00:29:19,480 --> 00:29:26,580 +shortening of the muscle fibers and myofibrils و ل + +310 +00:29:26,580 --> 00:29:31,130 +muscle contraction muscle ايه contraction هذه + +311 +00:29:31,130 --> 00:29:34,150 +العملية اللي اتكلمنا عنها هنا في ال presynaptic + +312 +00:29:34,150 --> 00:29:39,630 +وسط الإشارة مع nerve fibers هنا في فيه vesicles + +313 +00:29:39,630 --> 00:29:44,070 +هذه ال vesicles موجود فيها acetylcholine ال + +314 +00:29:44,070 --> 00:29:47,190 +acetylcholine بتم إفرازه من ال presynaptic + +315 +00:29:47,190 --> 00:29:51,810 +vesicles فيها نيرو ترانسمتر اسمه Acetylcholine تم + +316 +00:29:51,810 --> 00:29:54,870 +إفراز إن ال neurotransmitter اللي هو + +317 +00:29:54,870 --> 00:29:59,410 +Acetylcholine هذا بتتحد ال Acetylcholine مع اللي هو + +318 +00:29:59,410 --> 00:30:04,470 +Acetylcholine الريسبتورز بيؤدي إلى دخول إشارة ل ال + +319 +00:30:04,470 --> 00:30:08,790 +muscle fibers في المكان هذا بيحدث opening ل ال + +320 +00:30:08,790 --> 00:30:13,670 +sodium channels و بتحدث عملية مثل ال depolarization + +321 +00:30:13,960 --> 00:30:17,720 +الإشارة راح تنتقل من ال nerve fibers إلى ال + +322 +00:30:17,720 --> 00:30:18,640 +muscle fibers + +323 +00:30:21,080 --> 00:30:27,420 +action potential بيتم عملية إن دخول ل T tube أو T + +324 +00:30:27,420 --> 00:30:32,880 +tubule الخضرة هذه بعدها بيحدث عملية اللي هو + +325 +00:30:32,880 --> 00:30:38,860 +opening of calcium channels ال calcium channels راح + +326 +00:30:38,860 --> 00:30:43,320 +يفوت الكالسيوم على الساركوليما ويعمل عملية muscle + +327 +00:30:43,320 --> 00:30:48,040 +contraction اللي احنا اتكلمنا عنها okay هي كده + +328 +00:30:48,040 --> 00:30:53,130 +شرحنا في اختصار في slideين موضوع ال muscle + +329 +00:30:53,130 --> 00:30:59,050 +contraction طب what is the mechanism of skeletal + +330 +00:30:59,050 --> 00:31:03,710 +muscle relaxation؟ muscle relaxation after muscle + +331 +00:31:03,710 --> 00:31:10,350 +contraction بتحدث بيحدث stop و closure ل ال + +332 +00:31:10,350 --> 00:31:14,090 +sodium and potassium channels في الحالة هذه + +333 +00:31:14,090 --> 00:31:17,210 +الإشارة ما راح تنتقل من ال nerve fibers لل muscle + +334 +00:31:17,210 --> 00:31:20,870 +مدام ما انتقلتش الإشارة من ال nerve fibers لل + +335 +00:31:20,870 --> 00:31:25,410 +muscle نفس الشيء بيحدث ال closure ل ال calcium + +336 +00:31:25,410 --> 00:31:32,350 +channels بيقل كمية ال calcium في ال sarcolema في ال + +337 +00:31:32,350 --> 00:31:37,810 +sarcoplasmic reticulum وهذا راح يؤدي إلى muscle + +338 +00:31:37,810 --> 00:31:45,450 +relaxation muscle tone Skeletal muscle tone ايش هي؟ + +339 +00:31:45,450 --> 00:31:52,910 +هي عبارة عن certain amount of firmness remains in a + +340 +00:31:52,910 --> 00:31:55,990 +muscle at rest يعني انا لو فحصت ال muscle tone + +341 +00:31:55,990 --> 00:31:58,730 +ببحث بالطريقة هذه يعني بده افحص اللي في ال elbow + +342 +00:31:58,730 --> 00:32:02,890 +بتعمل passive flexion and passive + +343 +00:32:02,890 --> 00:32:06,590 +extension ممكن يكون normal muscle tone ممكن يكون + +344 +00:32:06,590 --> 00:32:10,650 +muscle hypertonia بلاحظ ايه تيبس و انا بحرك في + +345 +00:32:10,650 --> 00:32:13,970 +العضلة شد العضلة معايا أكتر هذه muscle hypertonia + +346 +00:32:14,670 --> 00:32:22,630 +الرقص المسلسل ينتهي من عقل عقل عقل عقل عقل عقل عقل + +347 +00:32:22,630 --> 00:32:30,250 +عقل عقل عقل عقل عقل عقل عقل عقل Signal transmitted + +348 +00:32:30,250 --> 00:32:35,830 +from the brain to the appropriate motor neurons in + +349 +00:32:35,830 --> 00:32:39,910 +the anterior horns of the spinal cord أو Signal that + +350 +00:32:39,910 --> 00:32:44,950 +originate in the muscle spindles located in the + +351 +00:32:44,950 --> 00:32:48,550 +muscle itself يعني ال muscle tone ممكن تحكم فيه + +352 +00:32:48,550 --> 00:32:51,170 +اللي هو ال muscle spindles نفسها اللي موجودة في ال + +353 +00:32:51,170 --> 00:32:55,570 +muscle أو اللي هو ال nerve signal اللي جاي من ال + +354 +00:32:55,570 --> 00:32:57,470 +anterior horns of + +355 +00:33:04,650 --> 00:33:09,470 +أو نتكلم عن muscle atrophy muscle atrophy + +356 +00:33:09,470 --> 00:33:17,200 +due to reduction of stimulation بيحدث decrease في ال + +357 +00:33:17,200 --> 00:33:22,320 +muscle mass tone and power أكيد مدام حدث أمر في + +358 +00:33:22,320 --> 00:33:28,580 +العضلة راح يقل ال muscle mass بتاعها تقل حجمها ال + +359 +00:33:28,580 --> 00:33:32,260 +tone بتاعها راح يتغير و يقل و ال power راح يضعف + +360 +00:33:32,260 --> 00:33:36,690 +قوة العضلة muscle becomes flaccid، بتحدث flaccidity + +361 +00:33:36,690 --> 00:33:42,590 +في ال muscle fibers و بيحدث decrease في ال size of + +362 +00:33:42,590 --> 00:33:47,570 +muscle fibers and becomes weaker، بتحدث تكون ضعيفة + +363 +00:33:47,570 --> 00:33:54,420 +العضلة و قد يؤدي إلى ال muscle atrophy Temporary + +364 +00:33:54,420 --> 00:33:58,680 +reduction in muscle use يعني في بعض الأحيان ممكن + +365 +00:33:58,680 --> 00:34:04,120 +ضمور العضلات يكون ناتج عن disuse عدم استخدام مثل + +366 +00:34:04,120 --> 00:34:07,620 +الناس اللي بيحطولهم جبس انكسرت رجل ويحطوله جبس بعد + +367 +00:34:07,620 --> 00:34:10,960 +ده بيحتاج ايش علاج طبيعي لإنه ممكن يحدث + +368 +00:34:10,960 --> 00:34:14,880 +contracture في ال joint ويحدث ضعف العضلة ليش حدث + +369 +00:34:14,880 --> 00:34:20,720 +ضعف العضلة؟ اللي عدم الاستخدام due to disuse مثل + +370 +00:34:20,720 --> 00:34:25,570 +atrophy هنا في ال hypertrophy بيحدث increase in + +371 +00:34:25,570 --> 00:34:30,830 +muscle fiber size خاصة + +372 +00:34:30,830 --> 00:34:33,710 +في ال repetitive stimulation of muscle fibers + +373 +00:34:33,710 --> 00:34:41,670 +للميتوكوندريا بيزيد عملية ال glycogen و بيزيد ال + +374 +00:34:41,670 --> 00:34:44,870 +ability to produce ATP و ما دام زاد ال ATP ممكن + +375 +00:34:44,870 --> 00:34:49,250 +يحدث هنا تضخم في العضلة hypertrophy مصر + +376 +00:34:49,250 --> 00:34:53,350 +hypertrophy ممكن يكون true hypertrophy يعني تضخم + +377 +00:34:53,350 --> 00:34:57,310 +حقيقي زي واحد بيمارس رياضة أو تكون pseudo + +378 +00:34:57,310 --> 00:35:02,580 +hypertrophy يعني تضخم كاذب ناتج عن ايش؟ عن + +379 +00:35:02,580 --> 00:35:07,340 +Deposition of Fat مثل ما بنشوف في حالات Duchenne + +380 +00:35:07,340 --> 00:35:09,780 +Muscular Dystrophy الناس اللي عندهم ضمور في + +381 +00:35:09,780 --> 00:35:13,860 +العضلات ممكن تلاحظ ال Leg Muscles متضخمة اللي + +382 +00:35:13,860 --> 00:35:17,180 +بيشوف روحان فيها بيقولك متضخمة عضلته لأ هي ضعيفة + +383 +00:35:17,180 --> 00:35:22,500 +جدا بتكون ليه؟ لأن مكان ال muscle fibers مكان + +384 +00:35:22,500 --> 00:35:28,310 +الأنسجة العضلية حللنا أنسجة دهنية دهون هذا بنسميه + +385 +00:35:28,310 --> 00:35:34,290 +تضخم ك + +401 +00:36:36,100 --> 00:36:38,730 +الهيبربلازيا بشكل عام في عضلات الرحم رسمياً نتكلم + +402 +00:36:38,730 --> 00:36:41,210 +عن مرض راح ناخده في سنة رابعة إن شاء الله طيبين إن + +403 +00:36:41,210 --> 00:36:45,990 +شاء الله مايستينيا غرافيس هو عبارة عن autoimmune + +404 +00:36:45,990 --> 00:36:51,250 +disorder characterized by progressive muscular + +405 +00:36:51,250 --> 00:36:55,360 +fatigability أي مسكولار فاتقابيلتي؟ skeletal + +406 +00:36:55,360 --> 00:36:58,040 +muscular fatigability بيصيب skeletal muscle only + +407 +00:36:58,040 --> 00:37:02,460 +caused by reduction in the numbers and functions + +408 +00:37:02,460 --> 00:37:07,980 +of acetylcholine receptors هنا بيحدث circulation ل + +409 +00:37:07,980 --> 00:37:10,820 +antibodies، الـ antibodies هذه بتقوم بمهاجمة + +410 +00:37:10,820 --> 00:37:15,800 +الـacetylcholine مدام تمت مهاجمة الـ acetylcholine + +411 +00:37:15,800 --> 00:37:19,660 +receptors يبقى أن الـ nerve impulse مارح ينتقل من الـ + +412 +00:37:19,660 --> 00:37:23,580 +nerve endings من العصب إلى الـ muscle fibers وبيحدث + +413 +00:37:23,580 --> 00:37:28,240 +fatigability بنسمي مرض وهن العضلات مرض ايه؟ وهن + +414 +00:37:28,240 --> 00:37:33,140 +العضلات Okay الـ slide الأخير اللي هو Duchene + +415 +00:37:33,140 --> 00:37:38,420 +muscular dystrophy هان المشكلة وين؟ mutation of + +416 +00:37:38,420 --> 00:37:41,620 +dystrophin gene هذا بيسمي دموع العضلات مرض دو شين + +417 +00:37:41,620 --> 00:37:45,520 +بيصيب العضلات بيحدث أن الـ mutation طفرة في الـ + +418 +00:37:45,520 --> 00:37:49,740 +dystrophin gene الـ dystrophin هذا مهم جدا لـ الـ + +419 +00:37:49,740 --> 00:37:54,580 +muscle function يعتبر large actin bending protein + +420 +00:37:54,580 --> 00:37:59,570 +located just inside of sarcolema of the skeletal + +421 +00:37:59,570 --> 00:38:03,750 +muscle fibers مهم لـ growth of muscle لـ function + +422 +00:38:03,750 --> 00:38:08,550 +organization of myofibril هذا المرض بيؤدي إلى + +423 +00:38:08,550 --> 00:38:12,410 +progressive weakness atrophy of the muscle fibers + +424 +00:38:12,410 --> 00:38:16,870 +أحياناً المرض هذا بيكون عندهم muscle hypertrophy + +425 +00:38:17,190 --> 00:38:20,970 +المرضى هدول اللي عندهم muscular dystrophy type + +426 +00:38:20,970 --> 00:38:25,770 +بيكونوا wheelchair dependent على سن اتناشر سنة + +427 +00:38:25,770 --> 00:38:30,750 +بيحتاجوا كرسي متحرك بيعيشوا لحد ثمانتاشر عشرين سنة + +428 +00:38:30,750 --> 00:38:33,830 +أو الأعمار بيد الله من ايش بتوفوا؟ بتوفوا من الـ + +429 +00:38:33,830 --> 00:38:39,270 +respiratory failure and sepsis هيك بيكون احنا وصلنا + +430 +00:38:39,270 --> 00:38:43,510 +لنهاية المحاضرة الأسبوع الرابع عشر ووصلنا لنهاية + +431 +00:38:43,510 --> 00:38:47,550 +المساق اللي هو neuro anatomy and neurophysiology + +432 +00:38:47,550 --> 00:38:50,630 +دمتم + +433 +00:38:50,630 --> 00:38:54,710 +بخير و سامحونا إن قصّرنا معكم يعطيكم الف عافية diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/BItyP2s_jgE_postprocess.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/BItyP2s_jgE_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..6eea885c2f7b0043af9048f7ff5686c99ad35503 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/BItyP2s_jgE_postprocess.srt @@ -0,0 +1,1732 @@ +1 +00:00:05,210 --> 00:00:10,470 +بسم الله الرحمن الرحيم الجزء الثاني من محاضرة + +2 +00:00:10,470 --> 00:00:13,630 +الأسبوع الرابع عشر اللي هو anatomy and physiology + +3 +00:00:13,630 --> 00:00:18,010 +of the motor system part two راح أتكلم على ال + +4 +00:00:18,010 --> 00:00:26,170 +muscles skeletal muscle راح أبدأ ب motor unit إيش + +5 +00:00:26,170 --> 00:00:32,630 +هو motor unit it is the functional unit of muscle + +6 +00:00:32,630 --> 00:00:36,170 +contractionيبقى functional unit of muscle + +7 +00:00:36,170 --> 00:00:42,610 +contraction يعتبر نفسه motor unit it consists of + +8 +00:00:42,610 --> 00:00:48,580 +one alpha motor neuronand the muscle fibers + +9 +00:00:48,580 --> 00:00:54,740 +innervated by its axons هو عبارة عن muscle fibers + +10 +00:00:54,740 --> 00:01:00,660 +باخدهم من ون Alpha هذا ال unit بنسميه motor unit + +11 +00:01:00,660 --> 00:01:05,020 +عبارة عن muscle fibers مع alpha motor neuron مع + +12 +00:01:05,020 --> 00:01:11,080 +بعض هذا بنسميه motor unit المسئول عن contraction + +13 +00:01:11,080 --> 00:01:19,510 +of the muscle fibersmuscle tissue بقى المحاضرة رح + +14 +00:01:19,510 --> 00:01:26,710 +يكون على muscle tissue muscle tissue is the only + +15 +00:01:26,710 --> 00:01:34,790 +one which has the property of contractility يبقى + +16 +00:01:34,790 --> 00:01:40,270 +إنها علاقة هذه الأنسجة بالانقباض يبقى الأنسجة اللي + +17 +00:01:40,270 --> 00:01:45,590 +لها علاقة بالانقباض هي muscle tissueمن وين تجينا + +18 +00:01:45,590 --> 00:01:54,950 +ال muscle tissue؟ من mesoderm .. mesoderm في هنا + +19 +00:01:54,950 --> 00:02:02,350 +ثلاث أنواع من ال muscle fibers يختلفوا عن بعض من + +20 +00:02:02,350 --> 00:02:06,050 +ناحية ال morphology و ال functional + +21 +00:02:06,050 --> 00:02:13,760 +characteristics ايش هذه الأنواع؟ اول نوعبنسميه + +22 +00:02:13,760 --> 00:02:19,440 +striated muscle اللي من ضمنه العضلات المخططة اللي + +23 +00:02:19,440 --> 00:02:25,340 +من ضمنه skeletal muscles و cardiac muscle في + +24 +00:02:25,340 --> 00:02:30,940 +smooth muscles العضلات الملساقة طب مين فيهم + +25 +00:02:30,940 --> 00:02:35,700 +voluntary ومين فيهم involuntary العضلات اللي + +26 +00:02:35,700 --> 00:02:40,340 +بيغضيهم somatic nerves يعتبروا voluntary غمض عيني + +27 +00:02:40,340 --> 00:02:45,400 +فتحترفعت أيدي نزلتها هذا voluntary لكن العضلات + +28 +00:02:45,400 --> 00:02:50,380 +اللي بتغدو من ال autonomic nervous system يعتبروا + +29 +00:02:50,380 --> 00:02:54,220 +involuntary اللي هم cardiac و smooth muscles + +30 +00:02:54,220 --> 00:02:57,400 +يعتبروا involuntary لأنه مابقدر يتحكم بحركة + +31 +00:02:57,400 --> 00:03:03,450 +الأمعاءأو المعدة ما بقدر اتحكم في نبض القلب ازوده + +32 +00:03:03,450 --> 00:03:07,630 +او اقلله يقول هذه تعتبر involuntary muscles يقول + +33 +00:03:07,630 --> 00:03:10,910 +ال involuntary muscles العضلات اللي لا إيرادية + +34 +00:03:10,910 --> 00:03:14,350 +cardiac و smooth أما العضلات اللي لا إيرادية اللي + +35 +00:03:14,350 --> 00:03:22,910 +هي skeletal muscles في جسمناتقريبا في 320 زياج من + +36 +00:03:22,910 --> 00:03:27,990 +العضلات على اليمين و 320 على اليسار اكثر من 320 + +37 +00:03:27,990 --> 00:03:34,470 +يعني اكثر من 640 skeletal muscle في الجسم و ال + +38 +00:03:34,470 --> 00:03:39,130 +skeletal muscle بتكوننا حوالي 40 ل 50% من وزن + +39 +00:03:39,130 --> 00:03:45,540 +الإنسان يعني مهم جدا ال muscle تشربwhat's the + +40 +00:03:45,540 --> 00:03:52,800 +functions of skeletal muscles ايش وظيفة skeletal + +41 +00:03:52,800 --> 00:03:58,600 +muscles اول شئ produce movement of the skeletal + +42 +00:03:58,600 --> 00:04:01,960 +يبقى ان هذا ال skeleton اللي شايفينه عند الإنسان + +43 +00:04:01,960 --> 00:04:09,440 +ما بمشي ولا بتحرك بدون عضلات maintain posture and + +44 +00:04:09,440 --> 00:04:17,080 +body position انا الآن واقف او جلستيبقى هذه لها + +45 +00:04:17,080 --> 00:04:20,520 +علاقة البشرة و ال position بال muscle ب skeletal + +46 +00:04:20,520 --> 00:04:25,860 +muscles support ال soft tissue حماية ال soft + +47 +00:04:25,860 --> 00:04:30,720 +tissue حماية + +48 +00:04:30,720 --> 00:04:35,480 +ال digestive system urinary other tract ال heart + +49 +00:04:35,480 --> 00:04:41,280 +يبقى ان هذول العضلات بيحموا الأعضاء الداخليةand + +50 +00:04:41,280 --> 00:04:47,300 +maintain body temperature اللي معلق بregulation of + +51 +00:04:47,300 --> 00:04:51,700 +the body temperature by the contraction of the + +52 +00:04:51,700 --> 00:05:00,360 +muscle what's the properties of skeletal muscle + +53 +00:05:00,360 --> 00:05:05,770 +tissueأو سؤال ثاني what's the characteristics of + +54 +00:05:05,770 --> 00:05:09,710 +skeletal muscle tissue؟ إيش المواصفات تبع هذه ال + +55 +00:05:09,710 --> 00:05:13,010 +muscle tissue بتاعة ال skeletal muscle؟ واحد + +56 +00:05:13,010 --> 00:05:21,330 +excitability اللي هيبقى رانيش ability to response + +57 +00:05:21,330 --> 00:05:28,290 +to stimulus يبقى تستجيب العضلة لل stimulus ثماني + +58 +00:05:28,290 --> 00:05:30,390 +contractility + +59 +00:05:31,540 --> 00:05:36,080 +الانقباض it is the ability of produce muscle + +60 +00:05:36,080 --> 00:05:44,280 +contraction تلاثة extensibility ability of muscle + +61 +00:05:44,280 --> 00:05:49,940 +to be stretched ال stretching of the muscle اربع + +62 +00:05:49,940 --> 00:05:55,800 +elasticity ايش ال elasticity it is the ability of + +63 +00:05:55,800 --> 00:06:03,950 +muscle to return to its original lengthمتى when + +64 +00:06:03,950 --> 00:06:10,270 +tension and contraction is released يعني في حال + +65 +00:06:10,270 --> 00:06:16,490 +الإنقباض في حال ال contraction بحدث قصور في العضلة + +66 +00:06:16,490 --> 00:06:23,090 +لكن في ال rest لازم العضلة ترجع لإيه لطولها + +67 +00:06:23,090 --> 00:06:27,150 +الطبيعي في ال rest أثناء النوم أثناء ال rest في + +68 +00:06:27,150 --> 00:06:33,920 +الهدوءهذا ما نسميها elasticity of the muscle اخر + +69 +00:06:33,920 --> 00:06:39,260 +شئ ال adaptation adaptability يعني العضلات + +70 +00:06:39,260 --> 00:06:44,420 +بيحدثلها adaptation لبعض الحركات وبعض ال ايه + +71 +00:06:44,420 --> 00:06:50,140 +المجهود اللي بيحدث عليهم طيب ايه ال connective + +72 +00:06:50,140 --> 00:06:57,120 +tissue اللي موجودة حوالين skeletal muscle فيه هنا + +73 +00:07:01,750 --> 00:07:07,770 +Epimysium وIndomysium هذه + +74 +00:07:07,770 --> 00:07:13,430 +الـ Epimysium تعتبر external stretch او external + +75 +00:07:13,430 --> 00:07:20,150 +sheath تعتبر ايه؟ تعتبر external sheath of dense + +76 +00:07:20,150 --> 00:07:27,330 +irregular surround the inter muscle الداخل + +77 +00:07:27,330 --> 00:07:35,400 +بتكون تمام؟وcontains large nerve, arteries and + +78 +00:07:35,400 --> 00:07:42,840 +lymphatic vessels طيب ال piramidia had surrounded + +79 +00:07:42,840 --> 00:07:48,420 +each bundle of muscle fibers فالسكرة رح نشرحكم + +80 +00:07:48,420 --> 00:07:54,500 +معاها شوية it is penetrated by nerve, arteries and + +81 +00:07:54,500 --> 00:07:59,650 +lymphatic vesselsطب endomysium تعتبر reticular + +82 +00:07:59,650 --> 00:08:05,870 +fibers surround the external lamina covers the + +83 +00:08:05,870 --> 00:08:22,530 +muscle as whole يبقى + +84 +00:08:22,530 --> 00:08:25,090 +نهائية انها اللي هي + +85 +00:08:28,560 --> 00:08:37,480 +يبميزيوم، بيرين و أندوم اللي هنتكلم على connective + +86 +00:08:37,480 --> 00:08:43,020 +tissue around the skeletal muscles في three layers + +87 +00:08:43,020 --> 00:08:50,180 +في ابميزيوم و في بيرينميزيوم و في أندوميزيوم الاب + +88 +00:08:50,180 --> 00:08:55,680 +بيكون خارج it is external sheetof dense regula + +89 +00:08:55,680 --> 00:09:02,460 +surround and cover the muscle as a whole يبقى هذا + +90 +00:09:02,460 --> 00:09:08,480 +الغناف الخارجي اللي بيكون حوالين العضلة اثنين ال + +91 +00:09:08,480 --> 00:09:14,700 +puri مميزة surround each of muscle fascicle هذا + +92 +00:09:14,700 --> 00:09:20,030 +بيكون في النص بين الإيبي و الاندوبيغطينا و بيعملنا + +93 +00:09:20,030 --> 00:09:27,090 +غلاف حوالين ايه الفاسيكل of muscle و بيعمل bending + +94 +00:09:27,090 --> 00:09:33,270 +لأ الفاسيكل together داخله بيكون موجود nerves, + +95 +00:09:33,850 --> 00:09:39,130 +arteries and lymphatic vessels أخر جزئية اللي هي + +96 +00:09:39,130 --> 00:09:44,370 +endomysia هذه بتكون وين تعتبر delicate soft tissue + +97 +00:09:44,370 --> 00:09:50,450 +أو soft membranecover the specialized skeletal + +98 +00:09:50,450 --> 00:09:54,630 +muscle fibers بيكون داخلي هذا اندو داخلي و بيغلف + +99 +00:09:54,630 --> 00:09:58,770 +ال muscle fibers و نفس الشيء فيهم اللي هو nerve + +100 +00:09:58,770 --> 00:10:03,430 +fibers و arteries و lymphatic vessels زى ما حنا + +101 +00:10:03,430 --> 00:10:09,540 +شايفين هان هي ال ipamezia و بيصلح حد التندنبيكون + +102 +00:10:09,540 --> 00:10:13,520 +غلاف خارجي للعضلة كلها فى هنا ال perimesium بيكون + +103 +00:10:13,520 --> 00:10:19,020 +غلاف لفسيكل العضلة فسيكل العضلة و فى هنا + +104 +00:10:19,020 --> 00:10:25,800 +endomesium بيكون غلاف لمن؟ لـ muscle fibers يبقى + +105 +00:10:25,800 --> 00:10:31,700 +ان هاي ال peri بيكون في النص الداخلي endo و + +106 +00:10:31,700 --> 00:10:36,660 +epimesium بيكون خارجي بيكون غلاف خارجي + +107 +00:10:44,000 --> 00:10:50,460 +الان باتكلم على definition of skeletal muscle + +108 +00:10:50,460 --> 00:10:56,420 +skeletal muscle is composed of numerous muscle + +109 +00:10:56,420 --> 00:11:02,080 +fibers يبقى ال skeletal muscle فيها fasticles وال + +110 +00:11:02,080 --> 00:11:07,980 +fasticles فيها muscle fibers each muscle fibers + +111 +00:11:07,980 --> 00:11:15,710 +usually innervated by only one nerve endingsهذا + +112 +00:11:15,710 --> 00:11:21,990 +بنسميه ال motor unit the muscle fibers is surround + +113 +00:11:21,990 --> 00:11:30,570 +by a thin membrane بيسميها sarcolema sarco a lema + +114 +00:11:30,570 --> 00:11:37,010 +each muscle fiberscontains several hundred to + +115 +00:11:37,010 --> 00:11:42,390 +several thousand myofibril يبقى ال muscle fibers + +116 +00:11:42,390 --> 00:11:49,550 +داخلها إيه؟ مئات و ألاف إيه ال myofibril يعني + +117 +00:11:49,550 --> 00:11:54,290 +fiber muscle fiber fibril يعني مصغر من ال muscle + +118 +00:11:54,290 --> 00:12:02,500 +fibers each myofibril is composed of aboutone + +119 +00:12:02,500 --> 00:12:06,080 +thousand five hundred myosin filament يبقى فيها + +120 +00:12:06,080 --> 00:12:09,660 +حوالي الف و خمسمائة myosin filament و فيها ثلاثة + +121 +00:12:09,660 --> 00:12:16,020 +آلاف actin filament هذا ال myosin و ال actin و هم + +122 +00:12:16,020 --> 00:12:19,840 +علاقة بال muscle contraction و هم علاقة بال muscle + +123 +00:12:19,840 --> 00:12:24,380 +contraction cytoplasma في ال muscle اسمها + +124 +00:12:24,380 --> 00:12:30,690 +sarcoplasmaSmooth endoplasmic reticulum اسمها + +125 +00:12:30,690 --> 00:12:34,390 +Sarcoplasmic reticulum Cell membrane اللي هي + +126 +00:12:34,390 --> 00:12:39,070 +external lamina في ال muscle اسمها Sarcolema يجب + +127 +00:12:39,070 --> 00:12:44,310 +ان نلاحظه ان ال muscle بيعطينا several muscle + +128 +00:12:44,310 --> 00:12:48,010 +bundle او fascicles يبقى ان ال muscle بتعطينا + +129 +00:12:48,010 --> 00:12:52,550 +muscle fascicles طب ال muscle fascicles بتعطينا + +130 +00:12:52,550 --> 00:12:58,350 +several muscle fibersطب ال muscle fiber تعطينا + +131 +00:12:58,350 --> 00:13:07,910 +مئات لألاف myofibrils طب ال myofibrils تعطينا الف + +132 +00:13:07,910 --> 00:13:14,490 +و خمسمائة مياسين و ثلاث ألاف actin filament اللي + +133 +00:13:14,490 --> 00:13:19,670 +لازمين ل muscle contraction واضح؟ لاحظوا ال muscle + +134 +00:13:19,670 --> 00:13:23,700 +تعطينا muscle fascicleال muscle fascicle بيعطينا + +135 +00:13:23,700 --> 00:13:26,220 +muscle fibers ال muscle fibers بيعطينا ال + +136 +00:13:26,220 --> 00:13:29,320 +myofibril ال myofibril بيعطينا ال myosin و ال + +137 +00:13:29,320 --> 00:13:33,160 +actins اللي هم المهمين ل ال muscle contractivity + +138 +00:13:33,160 --> 00:13:40,140 +هاني muscle داخل ال muscle فيه هنا اللي هم اللي + +139 +00:13:40,140 --> 00:13:46,100 +بنسميهم fascicles ال fascicles بيعطونا اللي هو + +140 +00:13:46,100 --> 00:13:52,350 +muscle fibersال muscle fibers بيعطونا myofibril ال + +141 +00:13:52,350 --> 00:13:57,370 +myofibril فيها actin و myosin فيها myosin اللي هم + +142 +00:13:57,370 --> 00:14:02,630 +تقريبا 1500 و actin 3000 كمان مرة ال muscle + +143 +00:14:02,630 --> 00:14:07,270 +بتعطينا muscle bundle او بعدها muscle fascicle او + +144 +00:14:07,270 --> 00:14:10,470 +muscle fascicle ال muscle fascicle بتعطينا muscle + +145 +00:14:10,470 --> 00:14:15,570 +fibers ال muscle fibers بتعطينا myofibrilمئات + +146 +00:14:15,570 --> 00:14:19,910 +لألاف ال myofibrils ال myofibrils بيعطينا actins + +147 +00:14:19,910 --> 00:14:27,030 +and myosin اللي هم 1500 حوالي myosin و 3000 actins + +148 +00:14:27,030 --> 00:14:33,570 +المهمين لـ muscle contractionmuscle بتعطينا muscle + +149 +00:14:33,570 --> 00:14:36,410 +fascicles muscle fascicles بتعطينا muscle fibers + +150 +00:14:36,410 --> 00:14:38,770 +اللي هم ال cells ال muscle fibers بتعطينا + +151 +00:14:38,770 --> 00:14:42,510 +myofibrils ال myofibrils بتعطينا thick و thin + +152 +00:14:42,510 --> 00:14:48,870 +filaments اللي هم myosin and actin هي عندي muscle + +153 +00:14:48,870 --> 00:14:58,140 +حواليها ايبيميزيابعدين الفاسيكلز حواليها اللي هم + +154 +00:14:58,140 --> 00:15:03,200 +بيكونوا pyrimesium حوالينهم هي ال pyrimesium هذه + +155 +00:15:03,200 --> 00:15:09,920 +حوالين الفاسيكلز الفاسيكلز بيعطينا مين اللي هو + +156 +00:15:09,920 --> 00:15:14,360 +muscle fibers ال muscle fibers حواليهم غلاف اسمه + +157 +00:15:14,360 --> 00:15:19,820 +اللي هو endomyosin endomyosin هاي ال endomyosin + +158 +00:15:19,820 --> 00:15:23,080 +حوالين مين بيكون حوالين ال muscle fibers + +159 +00:15:28,310 --> 00:15:34,770 +cycoplasma is the + +160 +00:15:34,770 --> 00:15:41,450 +intracellular fluid located between myofibrils + +161 +00:15:41,450 --> 00:15:44,870 +وإيش + +162 +00:15:44,870 --> 00:15:50,800 +داخله contains electrolytesبوتاسيوم، مغنيزيوم، + +163 +00:15:50,800 --> 00:15:57,900 +سولفات، مختلفة من البروتينينزايم ومعاناة من الميتو + +164 +00:15:57,900 --> 00:16:03,700 +كوندريال معاناة من الميتو كوندريال هذه المعاناة + +165 +00:16:03,700 --> 00:16:14,340 +تدفع ميوفيبريلات مع كثير من الانيرش حسنا ساركو + +166 +00:16:14,340 --> 00:16:19,170 +بلازماتيك ريتيكولاهذه العلاقة بالregulation of + +167 +00:16:19,170 --> 00:16:23,630 +calcium storage لإيش ال calcium storage release + +168 +00:16:23,630 --> 00:16:29,770 +and reoptic اللي مهم لمين؟ لالمصل contraction ل ال + +169 +00:16:29,770 --> 00:16:34,350 +contractivity function of the muscle انا اتكلم عن + +170 +00:16:34,350 --> 00:16:40,890 +ال organization of the muscle fibersاتفاقنا ان ال + +171 +00:16:40,890 --> 00:16:47,210 +muscle fibers فيه مئات الى الاف myofibril و ال + +172 +00:16:47,210 --> 00:16:52,430 +myofibril يعتبر long cylindrical filament bundle + +173 +00:16:52,430 --> 00:16:58,390 +داخل هذا ال myofibril فيه myosin الف و خمسمية و في + +174 +00:16:58,390 --> 00:17:05,430 +الactin اللي هم يعتبروا تقريبا ثلاث ألاف موجود + +175 +00:17:05,430 --> 00:17:11,750 +فيهم a band و I bandالـ A-band بنسميه dark bands + +176 +00:17:11,750 --> 00:17:20,290 +on myofibril داخله myosin filament و أكتين بنتهي + +177 +00:17:20,290 --> 00:17:28,790 +بالأكتين ال I-band it is light bands فاتح لونه فقط + +178 +00:17:28,790 --> 00:17:33,350 +contains أكتين يبقى الاختلاف ما بين ال A-band و I + +179 +00:17:33,350 --> 00:17:39,570 +-band ال A-band dark غامقوداخله myosin mainly وفي + +180 +00:17:39,570 --> 00:17:45,610 +النهاية فيه actin filaments لكن ال eye band light + +181 +00:17:45,610 --> 00:17:50,250 +فاتح لونه ويكون بيحتوي على actins only without + +182 +00:17:50,250 --> 00:17:59,010 +myosin light and dark bands give skeletal and + +183 +00:17:59,010 --> 00:18:03,790 +cardiac muscle their striated appearance لذلك + +184 +00:18:03,790 --> 00:18:08,800 +سميناالـ Cardiac و الـ skeletal muscle الـ + +185 +00:18:08,800 --> 00:18:14,000 +striated muscle الاعضلات المخططة مين اللي خططهم ال + +186 +00:18:14,000 --> 00:18:19,480 +light و ال dark bands of myofibrils اللي هم اللي + +187 +00:18:19,480 --> 00:18:26,940 +نسميهم A-band و I-band في Z-disc هدول عبارة عن + +188 +00:18:26,940 --> 00:18:31,060 +dark transverse line موجودة في ال I-band في ال + +189 +00:18:31,060 --> 00:18:36,250 +light و في Sarcomereit is the functional subunit + +190 +00:18:36,250 --> 00:18:43,410 +of contractor apparatus extended from z line to z + +191 +00:18:43,410 --> 00:18:47,250 +line يعني من z ل z line ال z هي موجودة وين قلنا؟ + +192 +00:18:47,250 --> 00:18:51,630 +هي عبارة عن dark point موجودة في ال eye band نيجي + +193 +00:18:51,630 --> 00:18:56,120 +للعضلة، هي العضلةالعضلة فيها بتعطينا muscle + +194 +00:18:56,120 --> 00:18:59,260 +fascicles ال muscle fascicles بتعطينا muscle + +195 +00:18:59,260 --> 00:19:03,620 +fibers ال muscle fibers بتعطينا ألاف و مئات لألاف + +196 +00:19:03,620 --> 00:19:11,240 +ال myofibril ال myofibril لاحظوا فيها dark فيها + +197 +00:19:11,240 --> 00:19:20,640 +dark dark a band بتسموهم غمقينو ال light الفاتح + +198 +00:19:20,640 --> 00:19:28,980 +هذا I band light داخل ال light ل I band في Z disk + +199 +00:19:28,980 --> 00:19:34,020 +هذه ال Z disk هذه ل Z disk موجودة في منتصف ال I + +200 +00:19:34,020 --> 00:19:39,950 +band من Z disk ل Z disk هذا بنسميه إيشcircumer + +201 +00:19:39,950 --> 00:19:44,390 +..circumer اللي هو يعتبر زي ما اتفقنا functional + +202 +00:19:44,390 --> 00:19:48,290 +..circumer functional sub unit of contracted + +203 +00:19:48,290 --> 00:19:54,550 +apparatus okay when the muscle fibers is + +204 +00:19:54,550 --> 00:19:59,970 +contracted لما يحدث انقبال في العضلات في ال fibers + +205 +00:19:59,970 --> 00:20:05,120 +بتاعة العضلةthe length of the sarcomere is short + +206 +00:20:05,120 --> 00:20:10,560 +بيحدث قصور في ال sarcomere يعني ال z المسافة بين + +207 +00:20:10,560 --> 00:20:16,020 +ال z ل z بتخسر بيحدث انقباض في العضلة and actin + +208 +00:20:16,020 --> 00:20:21,220 +filaments overlap the myosin filament و ال actin + +209 +00:20:21,220 --> 00:20:27,700 +بيعملوا overlap لمن لال myosin في حاجة اسمها ال + +210 +00:20:27,700 --> 00:20:31,910 +titin proteinهذا تيتن البروتين يحافظ على وجود + +211 +00:20:31,910 --> 00:20:36,770 +الميوسين والاكتن في نفس المكان وظيفته يحافظ على + +212 +00:20:36,770 --> 00:20:44,470 +وجود الميوسين والاكتن في نفس المكان one + +213 +00:20:44,470 --> 00:20:49,950 +end of the titin molecule is elastic and is + +214 +00:20:49,950 --> 00:20:55,280 +attached to the z diskيبقى أن هذا واحد من ال .. ال + +215 +00:20:55,280 --> 00:20:58,800 +.. ال titanium protein تمام هذا فيه zip disk + +216 +00:20:58,800 --> 00:21:04,380 +attached لإيه؟ zip acting as feeling and changing + +217 +00:21:04,380 --> 00:21:08,960 +length as sarcomere contract and relax وهذا دمال + +218 +00:21:08,960 --> 00:21:16,360 +إيش قصور للعضلة أثناء الإنقباض أو طولها بترجع + +219 +00:21:16,360 --> 00:21:20,920 +لطولها الطبيعي و في حالة ال rest و في حالة ال + +220 +00:21:20,920 --> 00:21:27,750 +relaxationهنا هنا واضح اللي هو ال .. ال .. ال + +221 +00:21:27,750 --> 00:21:33,190 +thick filament ال thick filament هذا ميسين و ال + +222 +00:21:33,190 --> 00:21:39,410 +thin filamentهذا ايه اللي هو Actin في حالة انقباض + +223 +00:21:39,410 --> 00:21:45,910 +ال Actin بيعمل overlap على الميسين بيدخل على + +224 +00:21:45,910 --> 00:21:51,670 +الميسين و بيحدث قصور ل shortening ل ال muscle + +225 +00:21:51,670 --> 00:21:55,630 +fibers هذا بيؤدي الى انقباض العضلة و هي بيحدث + +226 +00:21:55,630 --> 00:21:56,670 +muscle contraction + +227 +00:21:59,910 --> 00:22:09,630 +الجزء الثاني من + +228 +00:22:09,630 --> 00:22:16,050 +تيتن المليكل مرتبط + +229 +00:22:16,050 --> 00:22:22,510 +مع ميوسينوهذا في الحالة هذه عساسيا ملتبات للميوسين + +230 +00:22:22,510 --> 00:22:29,110 +والأكتن نفسها تملاء overlap لمين على الميوسين + +231 +00:22:29,110 --> 00:22:31,890 +ويحدث shortening of the muscle and muscle + +232 +00:22:31,890 --> 00:22:39,150 +contraction molecular characteristics of filaments + +233 +00:22:39,150 --> 00:22:44,030 +اللي هم ال myosin and actin اللي بيكونونها ال + +234 +00:22:44,030 --> 00:22:52,010 +myofibrilميسين مليكل هو thick filament هو يعتبر + +235 +00:22:52,010 --> 00:22:58,530 +ايه؟ thick filament ال .. it composed of six + +236 +00:22:58,530 --> 00:23:05,990 +polypeptide polypeptide chain اللي هم اتنين heavy + +237 +00:23:05,990 --> 00:23:12,420 +chain بيكونون اللي هم ال headو ال tail هي ال head + +238 +00:23:12,420 --> 00:23:16,960 +يعني انا ال head و هذا ال tail هدول too heavy واحد + +239 +00:23:16,960 --> 00:23:21,580 +أزرق و واحد أحمر بيكونون ال tail اللي هو ال tail + +240 +00:23:21,580 --> 00:23:26,300 +او ال tail و بيكونون ال head بتاعهم هدول too heavy + +241 +00:23:26,990 --> 00:23:35,130 +and for light chain و 4 light بيكونونا اللي هم لل + +242 +00:23:35,130 --> 00:23:40,650 +head of a molecule او filament اتنين بيكونوا في + +243 +00:23:40,650 --> 00:23:47,050 +الأعلى تمام و اتنين بيكونوا في الأسفل هنا ال + +244 +00:23:47,050 --> 00:23:52,640 +myosin head functionsواضيفته ال myosin head نفس + +245 +00:23:52,640 --> 00:23:58,340 +موضوع ال ATP enzyme نفس موضوع ال ATP اللي له علاقة + +246 +00:23:58,340 --> 00:24:04,240 +بإفراز الطاقة طيب انا اتكلمت على مين؟ على ال + +247 +00:24:04,240 --> 00:24:08,660 +myosin molecule الان انا بتكلم على actin filament + +248 +00:24:08,660 --> 00:24:13,020 +يعني لو قلنالكم مين هو ال thick filament هو ال + +249 +00:24:13,020 --> 00:24:19,590 +myosinمين هو ال thin molecule؟ هو ايه؟ ال acting + +250 +00:24:19,590 --> 00:24:25,610 +ال acting هو عبارة عن composed of actin, + +251 +00:24:26,650 --> 00:24:31,790 +tropomyosin و Tropanin involved in muscle + +252 +00:24:31,790 --> 00:24:36,710 +contraction and other important cellular processes + +253 +00:24:36,710 --> 00:24:40,950 +هذا كله يتبر ايه؟ acting filaments اللي هو thin + +254 +00:24:40,950 --> 00:24:48,350 +filamentsداخل بيكون مع الترابو مياسين + +255 +00:24:48,350 --> 00:24:56,350 +ترابو مياسين انا هنا شوحتلكم تركيبة ال muscle و + +256 +00:24:56,350 --> 00:25:01,550 +تركيبة ال muscle fibers و ال myofibrils الان + +257 +00:25:01,550 --> 00:25:07,010 +بنتكلم على ال receptors الموجودين في ال muscle في + +258 +00:25:07,010 --> 00:25:12,490 +انا muscle spindlesare found in all striated + +259 +00:25:12,490 --> 00:25:19,590 +muscle فنشن بتاعتهم monitoring muscle length او + +260 +00:25:19,590 --> 00:25:25,970 +stretch يكون اول شي فيه انها muscle spindles وفيه + +261 +00:25:25,970 --> 00:25:33,650 +golgi tendon organsهي موجودة في عضلات عضلات عضلة + +262 +00:25:33,650 --> 00:25:38,410 +قريبة من عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة + +263 +00:25:38,410 --> 00:25:41,970 +عضلة عضلة عضلة عضلة عضلة عضلة + +264 +00:25:41,970 --> 00:25:43,010 +عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة + +265 +00:25:43,010 --> 00:25:43,890 +عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة + +266 +00:25:43,890 --> 00:25:44,530 +عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة + +267 +00:25:44,530 --> 00:25:44,770 +عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة + +268 +00:25:44,770 --> 00:25:49,680 +عضلة عضلة عضلة عأول نوع اسمه muscle spindles اللي + +269 +00:25:49,680 --> 00:25:53,980 +علاقة بال muscle strength بالطول العضلة والنوع + +270 +00:25:53,980 --> 00:25:58,040 +الثاني اسمه Golgi tendon organs بيكون قريب لل + +271 +00:25:58,040 --> 00:26:01,620 +tendon of the muscle وضيفته monitoring of muscle + +272 +00:26:01,620 --> 00:26:02,460 +contraction + +273 +00:26:05,210 --> 00:26:08,050 +في الداخل نفسه في النص هنا بيكون فيه receptor اللي + +274 +00:26:08,050 --> 00:26:10,910 +هو علاقة بيسميهم muscle spindles طب و في نهاية + +275 +00:26:10,910 --> 00:26:14,730 +العضلة وين ال tendons هذا بيسميها Golgi tendon + +276 +00:26:14,730 --> 00:26:18,910 +organs ال golgi tendon organs اللي علاقة بال + +277 +00:26:18,910 --> 00:26:23,410 +muscle contraction أما muscle spindles اللي علاقة + +278 +00:26:23,410 --> 00:26:28,230 +بال length and stretch of the muscle هنا جابلنا + +279 +00:26:28,230 --> 00:26:33,550 +عضلة اللي هي biceps muscle نتاجر للموضوع الأخير + +280 +00:26:34,800 --> 00:26:39,820 +اللي هو mechanism of skeletal muscle contraction + +281 +00:26:39,820 --> 00:26:45,380 +كيه بيحدث muscle contraction؟ في action potential + +282 +00:26:45,380 --> 00:26:51,480 +ال action potential travels along a motor nerve + +283 +00:26:51,480 --> 00:26:56,360 +بتيجي الإشارة ال nerve impulse مع ال motor nerve + +284 +00:26:56,360 --> 00:27:02,680 +fibers بتصل لحد ال endings of muscle fibers لحد ال + +285 +00:27:02,680 --> 00:27:06,720 +neuromuscular junctionلحد مين؟ Neuromuscular + +286 +00:27:06,720 --> 00:27:14,420 +junction at each ending في النهاية نيرف سيكريتز + +287 +00:27:14,420 --> 00:27:21,120 +يعني في البريسينبتك بتم إخراج ال neurotransmitters + +288 +00:27:21,120 --> 00:27:25,720 +اللي هم مين؟ Acetylcholine هدول بيكونوا في + +289 +00:27:25,720 --> 00:27:31,180 +vesicles موجودين هذا الacetylcholine بتتحد مع + +290 +00:27:31,180 --> 00:27:36,940 +الacetylcholine receptorsوفي الحالة هذه بعمل + +291 +00:27:36,940 --> 00:27:43,300 +stimulation لل opening of sodium channels في + +292 +00:27:43,300 --> 00:27:47,740 +ساركوليما هذا بيقدي ل action potential action + +293 +00:27:47,740 --> 00:27:51,260 +potential يمكن تتم عملية حاجة زي ال depolarization + +294 +00:27:51,260 --> 00:27:59,060 +ال action potential بنتقل ل ال muscle fibers + +295 +00:28:01,680 --> 00:28:07,340 +بصلة Transverse Tube بنسميها T-Tubule أو T-Tube + +296 +00:28:07,340 --> 00:28:13,000 +موجودة في الـ Sarcoplasmic Reticulum System هذا + +297 +00:28:13,000 --> 00:28:18,100 +العملية تعمل Calcium Relays Channels في ال + +298 +00:28:18,100 --> 00:28:22,920 +Sarcoplasmic Reticulum بيؤدي إلى Opening of + +299 +00:28:22,920 --> 00:28:28,240 +Calcium Channels واحنا عارفين ال calcium مهم جدا ل + +300 +00:28:28,240 --> 00:28:33,200 +contraction of the muscleهذا راح يقد إلى ال + +301 +00:28:33,200 --> 00:28:38,480 +opening of calcium channels ويقد إلى a opening of + +302 +00:28:38,480 --> 00:28:47,440 +calcium to diffuse rapidly in the sarcoplasm دخلي + +303 +00:28:47,440 --> 00:28:51,080 +الكالسيوم على ال sarcoplasm الكالسيوم بتحد مع + +304 +00:28:51,080 --> 00:28:56,520 +التروبونين بيقد إلى change في its shape بتاع + +305 +00:28:56,520 --> 00:29:01,950 +التروبونينمع حركة للـ Tropomyosin الموجود في الـ + +306 +00:29:01,950 --> 00:29:08,140 +Actins اللي هي الـ thin filaments هذا بيقدرالى + +307 +00:29:08,140 --> 00:29:13,760 +تغيرات في ال thin actin و ال thick myosin بحدث + +308 +00:29:13,760 --> 00:29:19,480 +overlap ل ال actins على ال myosin هذا بيقدي الى + +309 +00:29:19,480 --> 00:29:26,580 +shortening of the muscle fibers and myofibril و ل + +310 +00:29:26,580 --> 00:29:31,130 +muscle contraction muscle ايه contractionهذه + +311 +00:29:31,130 --> 00:29:34,150 +العملية اللي اتكلمنا عنها هنا في الـ presynaptic + +312 +00:29:34,150 --> 00:29:39,630 +وسط الإشارة مع nerve fibers هنا في فيه vesicles + +313 +00:29:39,630 --> 00:29:44,070 +هذه ال vesicles موجود فيها acetylcholine ال + +314 +00:29:44,070 --> 00:29:47,190 +acetylcholine بتم إفرازه من ال presynaptic + +315 +00:29:47,190 --> 00:29:51,810 +vesiclesفيها نيرو ترانسمتر اسمه Acetylcholine تم + +316 +00:29:51,810 --> 00:29:54,870 +إفراز إن الـ neurotransmitter اللي هو + +317 +00:29:54,870 --> 00:29:59,410 +Acetylcholine هذا بتحد ال Acetylcholine مع اللي هو + +318 +00:29:59,410 --> 00:30:04,470 +Acetylcholine الريسبتورز بيؤدي إلى دخول إشارة ل ال + +319 +00:30:04,470 --> 00:30:08,790 +muscle fibers في المكان هذا بيحدث opening ل ال + +320 +00:30:08,790 --> 00:30:13,670 +sodium channel و بتحدث عملية مثل ال depolarization + +321 +00:30:13,960 --> 00:30:17,720 +الإشارة راح تنتقل من الـ nerve fibers إلى ال + +322 +00:30:17,720 --> 00:30:18,640 +muscle fibers + +323 +00:30:21,080 --> 00:30:27,420 +action potential بيتم عملية انه دخول ل T tube او T + +324 +00:30:27,420 --> 00:30:32,880 +tubule الخضرة هذه بعدها بيحدث عملية اللي هو + +325 +00:30:32,880 --> 00:30:38,860 +opening of calcium channel ال calcium channel راح + +326 +00:30:38,860 --> 00:30:43,320 +يفوت الكالسيوم على الساركوليما ويعمل عملية muscle + +327 +00:30:43,320 --> 00:30:48,040 +contraction اللي احنا اتكلمنا عنها okay هي كده + +328 +00:30:48,040 --> 00:30:53,130 +شرحنافي اختصار في slideين موضوع ال muscle + +329 +00:30:53,130 --> 00:30:59,050 +contraction طب what is the mechanism of skeletal + +330 +00:30:59,050 --> 00:31:03,710 +muscle relaxation؟ muscle relaxation after muscle + +331 +00:31:03,710 --> 00:31:10,350 +contraction بتحدث بيحدث stop و closure ل ال + +332 +00:31:10,350 --> 00:31:14,090 +potassium و ال sodium channelsفي الحالة هذه + +333 +00:31:14,090 --> 00:31:17,210 +الإشارة ما راح تنتقل من ال nerve fibers لل muscle + +334 +00:31:17,210 --> 00:31:20,870 +مدام ما انتقلتش الإشارة من ال nerve fibers لل + +335 +00:31:20,870 --> 00:31:25,410 +muscle نفس الشيء بيحدث ال closure ل ال calcium + +336 +00:31:25,410 --> 00:31:32,350 +channels بقل كمية ال calcium في ال sarcolema في ال + +337 +00:31:32,350 --> 00:31:37,810 +sarcoplasmic reticulum وهذا راح يؤدي إلى muscle + +338 +00:31:37,810 --> 00:31:45,450 +relaxation muscle toneSkeletal muscle toneإيش هي؟ + +339 +00:31:45,450 --> 00:31:52,910 +هي عبارة عن certain amount of fatness remains in a + +340 +00:31:52,910 --> 00:31:55,990 +muscle at rest يعني انا لو فحصت ال muscle tone + +341 +00:31:55,990 --> 00:31:58,730 +ببحث بالطريقة هذه يعني بده افحص اللي في ال elbow + +342 +00:31:58,730 --> 00:32:02,890 +بتعمل passive passive flexion and passive + +343 +00:32:02,890 --> 00:32:06,590 +extension ممكن يكون normal muscle tone ممكن يكون + +344 +00:32:06,590 --> 00:32:10,650 +muscle hypertonia بلاحظ ايه تيبس و انا بحرك في + +345 +00:32:10,650 --> 00:32:13,970 +العضلة شد العضلة معايا أكتر هذه muscle hypertonia + +346 +00:32:14,670 --> 00:32:22,630 +الرقص المسلسل ينتهي من عقل عقل عقل عقل عقل عقل عقل + +347 +00:32:22,630 --> 00:32:30,250 +عقل عقل عقل عقل عقل عقل عقل عقلSignal transmitted + +348 +00:32:30,250 --> 00:32:35,830 +from the brain to the appropriate motor neurons in + +349 +00:32:35,830 --> 00:32:39,910 +the anterohorses of the spinal cord أو Signal that + +350 +00:32:39,910 --> 00:32:44,950 +originate in the muscle spindles located in the + +351 +00:32:44,950 --> 00:32:48,550 +muscle itself يعني ال muscle tone ممكن تحكم فيه + +352 +00:32:48,550 --> 00:32:51,170 +اللي هو ال muscle spindles نفسها اللي موجودة في ال + +353 +00:32:51,170 --> 00:32:55,570 +muscle أو اللي هو ال nerve signal اللي جاي من ال + +354 +00:32:55,570 --> 00:32:57,470 +anterohorses of + +355 +00:33:04,650 --> 00:33:09,470 +أو نتكلم عن muscle hypertrophy muscle hypertrophy + +356 +00:33:09,470 --> 00:33:17,200 +due to reduction of stimulationبحدث decrease في ال + +357 +00:33:17,200 --> 00:33:22,320 +muscle mass tone and power أكيد مدام حدث أمور في + +358 +00:33:22,320 --> 00:33:28,580 +العضلة راح يقل ال muscle mass بتاعها تقل حجمها ال + +359 +00:33:28,580 --> 00:33:32,260 +tone بتاعها راح يتغير و يقل و ال power راح يضعف + +360 +00:33:32,260 --> 00:33:36,690 +قوة العضلةmuscle becomes flaccid، بتحدث flaccidity + +361 +00:33:36,690 --> 00:33:42,590 +في ال muscle fibers و بيحدث decrease في ال size of + +362 +00:33:42,590 --> 00:33:47,570 +muscle fibers and becomes weaker، بتحدث تكون ضريفة + +363 +00:33:47,570 --> 00:33:54,420 +العضلة و قد يؤدي إلى ال muscle هيبطرفيTemporary + +364 +00:33:54,420 --> 00:33:58,680 +reduction in muscle use يعني في بعض الأحيان ممكن + +365 +00:33:58,680 --> 00:34:04,120 +ضمور العضلات يكون ناتج عن disuse عدم استخدام مثل + +366 +00:34:04,120 --> 00:34:07,620 +الناس اللي بيحطولهم جبس انكسرت رجل ويحطوله جبس بعد + +367 +00:34:07,620 --> 00:34:10,960 +ده بيحتاج إيش علاج طبيعي لإنه ممكن يحدث + +368 +00:34:10,960 --> 00:34:14,880 +contraction في ال joint ويحدث ضعف العضلة ليش حدث + +369 +00:34:14,880 --> 00:34:20,720 +ضعف العضلة؟ اللي عدم الاستخدام due to disuse مثل + +370 +00:34:20,720 --> 00:34:25,570 +هيدراتروفياهنا في ال hypertrophy بيحدث increase in + +371 +00:34:25,570 --> 00:34:30,830 +muscle fiber size خاصة + +372 +00:34:30,830 --> 00:34:33,710 +في ال repeative stimulation of muscle fibers + +373 +00:34:33,710 --> 00:34:41,670 +للميترو كندريا بزيد عملية ال glycogen و بزيد ال + +374 +00:34:41,670 --> 00:34:44,870 +ability to produce ATP وما دام زاد ال ATP ممكن + +375 +00:34:44,870 --> 00:34:49,250 +يحدث هنا تضخم في العضلةhyperatrophy مصر + +376 +00:34:49,250 --> 00:34:53,350 +hyperatrophy ممكن يكون true hypertrophy يعني تدخم + +377 +00:34:53,350 --> 00:34:57,310 +حقيقي زي واحد بيمارس رياضة او تكون pseudo + +378 +00:34:57,310 --> 00:35:02,580 +hypertrophy يعني تدخم كاذبنتج عن ايش؟ عن + +379 +00:35:02,580 --> 00:35:07,340 +Deposition of Fat مثل ما بنشوف في حالات Duchenne + +380 +00:35:07,340 --> 00:35:09,780 +Muscular Dystrophy الناس اللي عندهم دمور في + +381 +00:35:09,780 --> 00:35:13,860 +العضلات ممكن تلاحظ ال Leg Muscles متضخمة اللي + +382 +00:35:13,860 --> 00:35:17,180 +بيشوف روحان فيها بيقولك متضخمة عضلته لأ هي ضعيفة + +383 +00:35:17,180 --> 00:35:22,500 +جدا بتكون ليه؟ لأن مكان ال muscle fibers مكان + +384 +00:35:22,500 --> 00:35:28,310 +الأنسجة العضليةحللنا أنسجة دهنية دهون هذا بنسميه + +385 +00:35:28,310 --> 00:35:34,290 +تضخم كاذب تضخم ايه كاذب او pseudo-hypertrophy طيب + +386 +00:35:34,290 --> 00:35:38,730 +مش الفرق بين muscle hypertrophy and hyperplasia + +387 +00:35:38,730 --> 00:35:43,690 +muscle hypertrophyIt is a process characterized by + +388 +00:35:43,690 --> 00:35:49,350 +increased cell volume يعني حجم الخلية كبير لكن + +389 +00:35:49,350 --> 00:35:56,550 +hyperplasia بيحدث growth and increase in number of + +390 +00:35:56,550 --> 00:36:00,890 +cells عدد الخلايا زاد يكون هنا حدث تدخن في الخلايا + +391 +00:36:00,890 --> 00:36:05,230 +في ال hypertrophy hyperplasia زادوا عدد الخلايا + +392 +00:36:05,230 --> 00:36:13,020 +العضليةالهيبربلازيا تحدث بشكل عام في عضلات رحم + +393 +00:36:13,020 --> 00:36:19,600 +رسمية الهيبربلازيا بشكل عام في عضلات رحم رسمية + +394 +00:36:19,600 --> 00:36:25,240 +الهيبربلازيا + +395 +00:36:25,240 --> 00:36:25,820 +بشكل عام في عضلات الرحم رسمية الهيبربلازيا بشكل + +396 +00:36:25,820 --> 00:36:28,780 +عام في عضلات الرحم رسمية الهيبربلازيا بشكل عام في + +397 +00:36:28,780 --> 00:36:31,640 +عضلات الرحم رسمية الهيبربلازيا بشكل عام في عضلات + +398 +00:36:31,640 --> 00:36:32,600 +الرحم رسمية الهيبربلازيا بشكل عام في عضلات الرحم + +399 +00:36:32,600 --> 00:36:35,280 +رسمية الهيبربلازيا بشكل عام في عضلات الرحم رسمية + +400 +00:36:35,280 --> 00:36:36,100 +الهيبربلازيا بشكل عام في عضلات الرحم رسمية + +401 +00:36:36,100 --> 00:36:38,730 +الهيبربلازيا بشكل عام في عضلات الرحم رسمية النتكلم + +402 +00:36:38,730 --> 00:36:41,210 +عن مرض راح ناخده في سنة رابعة إن ضلينا طيبين ان + +403 +00:36:41,210 --> 00:36:45,990 +شاء الله مايستينيا غريفس هو عبارة عن autoimmune + +404 +00:36:45,990 --> 00:36:51,250 +disorder characterized by progressive muscular + +405 +00:36:51,250 --> 00:36:55,360 +fatigabilityأي مسكولار فاتقابيلتي؟ skeletal + +406 +00:36:55,360 --> 00:36:58,040 +muscular fatigability بيصيب skeletal muscle only + +407 +00:36:58,040 --> 00:37:02,460 +caused by reduction in the numbers and functions + +408 +00:37:02,460 --> 00:37:07,980 +of acetylcholine receptors هنا بيحدث circulation ل + +409 +00:37:07,980 --> 00:37:10,820 +antibodies، ال antibodies هذه بتقوم بمهاجمة + +410 +00:37:10,820 --> 00:37:15,800 +الacetylcholineمدام تمت مهاجمة الاسيطرال كلين + +411 +00:37:15,800 --> 00:37:19,660 +ريسبتورز يبقى ان ال nerve impulse مارح ينتقل من ال + +412 +00:37:19,660 --> 00:37:23,580 +nerve endings من العصب الى ال muscle fibers وبيحدث + +413 +00:37:23,580 --> 00:37:28,240 +fatigability بنسمي مرض وهن العضلات مرض ايه؟ وهن + +414 +00:37:28,240 --> 00:37:33,140 +العضلاتOkay ال slide الأخير اللي هو Duchene + +415 +00:37:33,140 --> 00:37:38,420 +muscular dystrophy هان المشكلة وين؟ mutation of + +416 +00:37:38,420 --> 00:37:41,620 +dystrophin gene هذا بيسمي دموع العضلات مرض دوراطي + +417 +00:37:41,620 --> 00:37:45,520 +بصيب العضلات بيحدث أن ال mutation طفرة في ال + +418 +00:37:45,520 --> 00:37:49,740 +dystrophin gene ال dystrophin هذا مهم جدا ل ال + +419 +00:37:49,740 --> 00:37:54,580 +muscle function يعتبر large actin bending protein + +420 +00:37:54,580 --> 00:37:59,570 +located just inside of sarcolemaof the skeletal + +421 +00:37:59,570 --> 00:38:03,750 +muscle fibers مهم للgrowth of muscle للfunction + +422 +00:38:03,750 --> 00:38:08,550 +organization of myofibril هذا المرض بيأدى الى + +423 +00:38:08,550 --> 00:38:12,410 +progressive weakness atrophy of the muscle fibers + +424 +00:38:12,410 --> 00:38:16,870 +أحيانا المرض هذا بيكون عندهم muscle hypertrophy + +425 +00:38:17,190 --> 00:38:20,970 +المرضى هدول اللي عندهم muscular dystrophy type + +426 +00:38:20,970 --> 00:38:25,770 +بيكونوا والد شير dependent على سن اتناشر سنة + +427 +00:38:25,770 --> 00:38:30,750 +بيحتاجوا كرسي متحرك بيعيشوا لحد ثمانتاشر عشرين سنة + +428 +00:38:30,750 --> 00:38:33,830 +أو الأعمار بيد الله من إيش بتوفوا بتوفوا من ال + +429 +00:38:33,830 --> 00:38:39,270 +respiratory failure and sepsisهيك بيكون احنا وصلنا + +430 +00:38:39,270 --> 00:38:43,510 +لنهاية المحاضرة الأسبوع الرابع عشر ووصلنا لنهاية + +431 +00:38:43,510 --> 00:38:47,550 +مصاق اللي هو neuro anatomy and neurophysiology + +432 +00:38:47,550 --> 00:38:50,630 +دمتم + +433 +00:38:50,630 --> 00:38:54,710 +بخير و سامحونا ان قصرنا معكم 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{"start": 274.44, "end": 274.84, "word": " tract", "probability": 0.9208984375}, {"start": 274.84, "end": 275.0, "word": " ال", "probability": 0.7900390625}, {"start": 275.0, "end": 275.48, "word": " heart", "probability": 0.91552734375}, {"start": 275.48, "end": 276.04, "word": " يبقى", "probability": 0.8226318359375}, {"start": 276.04, "end": 276.12, "word": " ان", "probability": 0.525390625}, {"start": 276.12, "end": 276.28, "word": " هذول", "probability": 0.6555989583333334}, {"start": 276.28, "end": 276.72, "word": " العضلات", "probability": 0.887939453125}, {"start": 276.72, "end": 277.58, "word": " بيحموا", "probability": 0.8115234375}, {"start": 277.58, "end": 278.36, "word": " الأعضاء", "probability": 0.906494140625}, {"start": 278.36, "end": 279.04, "word": " الداخلية", "probability": 0.9921875}], "temperature": 1.0}, {"id": 12, "seek": 30086, "start": 280.76, "end": 300.86, "text": "and maintain body temperature اللي معلق بregulation of the body temperature by the contraction of the muscle what's the properties of skeletal muscle tissue", "tokens": [474, 6909, 1772, 4292, 13672, 1829, 3714, 30241, 4587, 4724, 3375, 2776, 295, 264, 1772, 4292, 538, 264, 37372, 295, 264, 8679, 437, 311, 264, 7221, 295, 32321, 304, 8679, 12404], "avg_logprob": -0.3811035202816129, "compression_ratio": 1.3524590163934427, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 280.76, "end": 281.28, "word": "and", "probability": 0.203125}, {"start": 281.28, "end": 282.72, "word": " maintain", "probability": 0.81640625}, {"start": 282.72, "end": 283.82, "word": " body", "probability": 0.9091796875}, {"start": 283.82, "end": 284.94, "word": " temperature", "probability": 0.9501953125}, {"start": 284.94, "end": 285.72, "word": " اللي", "probability": 0.6842041015625}, {"start": 285.72, "end": 286.1, "word": " معلق", "probability": 0.568115234375}, {"start": 286.1, "end": 286.78, "word": " بregulation", "probability": 0.4474690755208333}, {"start": 286.78, "end": 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contains أكتين يبقى الاختلاف ما بين ال A-band و I-band ال A-band dark غامق", "tokens": [6027, 39184, 316, 12, 4235, 44945, 38251, 1829, 3224, 2877, 13543, 322, 452, 2670, 6414, 388, 11778, 47283, 43761, 452, 329, 259, 44280, 4032, 5551, 4117, 2655, 9957, 44945, 47395, 1829, 20666, 10721, 4117, 2655, 9957, 2423, 286, 12, 4235, 309, 307, 1442, 13543, 6156, 9307, 5016, 5296, 11536, 3224, 6156, 47432, 8306, 5551, 4117, 2655, 9957, 7251, 3555, 4587, 7578, 2423, 47283, 2655, 15040, 5172, 19446, 49374, 2423, 316, 12, 4235, 4032, 286, 12, 4235, 2423, 316, 12, 4235, 2877, 32771, 10943, 4587], "avg_logprob": -0.24889705181121827, "compression_ratio": 1.5053763440860215, "no_speech_prob": 0.0, "words": [{"start": 1029.39, "end": 1029.57, "word": "الـ", "probability": 0.49951171875}, {"start": 1029.57, "end": 1029.69, "word": " A", "probability": 0.7060546875}, {"start": 1029.69, "end": 1030.01, "word": "-band", "probability": 0.52880859375}, {"start": 1030.01, "end": 1030.71, "word": " بنسميه", 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0.7109375}, {"start": 2146.79, "end": 2147.21, "word": " حجم", "probability": 0.990234375}, {"start": 2147.21, "end": 2147.83, "word": " الخلية", "probability": 0.966796875}, {"start": 2147.83, "end": 2148.57, "word": " كبير", "probability": 0.89111328125}, {"start": 2148.57, "end": 2149.35, "word": " لكن", "probability": 0.783203125}, {"start": 2149.35, "end": 2150.69, "word": " hyperplasia", "probability": 0.6402180989583334}, {"start": 2150.69, "end": 2151.81, "word": " بيحدث", "probability": 0.86328125}, {"start": 2151.81, "end": 2152.41, "word": " growth", "probability": 0.87451171875}, {"start": 2152.41, "end": 2153.25, "word": " and", "probability": 0.93798828125}, {"start": 2153.25, "end": 2154.41, "word": " increase", "probability": 0.8818359375}, {"start": 2154.41, "end": 2155.15, "word": " in", "probability": 0.921875}, {"start": 2155.15, "end": 2156.17, "word": " number", "probability": 0.8447265625}, {"start": 2156.17, "end": 2156.55, "word": " of", "probability": 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index 0000000000000000000000000000000000000000..b314ce0d3839042bc6e27cbe13b0a64661ededa0 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/BItyP2s_jgE_raw.srt @@ -0,0 +1,1736 @@ +1 +00:00:05,210 --> 00:00:10,470 +بسم الله الرحمن الرحيم الجزء الثاني من محاضرة + +2 +00:00:10,470 --> 00:00:13,630 +الأسبوع الرابع عشر اللي هو anatomy and physiology + +3 +00:00:13,630 --> 00:00:18,010 +of the motor system part two راح أتكلم على ال + +4 +00:00:18,010 --> 00:00:26,170 +muscles skeletal muscle راح أبدأ ب motor unit إيش + +5 +00:00:26,170 --> 00:00:32,630 +هو motor unit it is the functional unit of muscle + +6 +00:00:32,630 --> 00:00:36,170 +contractionيبقى functional unit of muscle + +7 +00:00:36,170 --> 00:00:42,610 +contraction يعتبر نفسه motor unit it consists of + +8 +00:00:42,610 --> 00:00:48,580 +one alpha motor neuronand the muscle fibers + +9 +00:00:48,580 --> 00:00:54,740 +innervated by its axons هو عبارة عن muscle fibers + +10 +00:00:54,740 --> 00:01:00,660 +باخدهم من ون Alpha هذا ال unit بنسميه motor unit + +11 +00:01:00,660 --> 00:01:05,020 +عبارة عن muscle fibers مع alpha motor neuron مع + +12 +00:01:05,020 --> 00:01:11,080 +بعض هذا بنسميه motor unit المسئول عن contraction + +13 +00:01:11,080 --> 00:01:19,510 +of the muscle fibersmuscle tissue بقى المحاضرة رح + +14 +00:01:19,510 --> 00:01:26,710 +يكون على muscle tissue muscle tissue is the only + +15 +00:01:26,710 --> 00:01:34,790 +one which has the property of contractility يبقى + +16 +00:01:34,790 --> 00:01:40,270 +إنها علاقة هذه الأنسجة بالانقباض يبقى الأنسجة اللي + +17 +00:01:40,270 --> 00:01:45,590 +لها علاقة بالانقباض هي muscle tissueمن وين تجينا + +18 +00:01:45,590 --> 00:01:54,950 +ال muscle tissue؟ من mesoderm .. mesoderm في هنا + +19 +00:01:54,950 --> 00:02:02,350 +ثلاث أنواع من ال muscle fibers يختلفوا عن بعض من + +20 +00:02:02,350 --> 00:02:06,050 +ناحية ال morphology و ال functional + +21 +00:02:06,050 --> 00:02:13,760 +characteristics ايش هذه الأنواع؟ اول نوعبنسميه + +22 +00:02:13,760 --> 00:02:19,440 +striated muscle اللي من ضمنه العضلات المخططة اللي + +23 +00:02:19,440 --> 00:02:25,340 +من ضمنه skeletal muscles و cardiac muscle في + +24 +00:02:25,340 --> 00:02:30,940 +smooth muscles العضلات الملساقة طب مين فيهم + +25 +00:02:30,940 --> 00:02:35,700 +voluntary ومين فيهم involuntary العضلات اللي + +26 +00:02:35,700 --> 00:02:40,340 +بيغضيهم somatic nerves يعتبروا voluntary غمض عيني + +27 +00:02:40,340 --> 00:02:45,400 +فتحترفعت أيدي نزلتها هذا voluntary لكن العضلات + +28 +00:02:45,400 --> 00:02:50,380 +اللي بتغدو من ال autonomic nervous system يعتبروا + +29 +00:02:50,380 --> 00:02:54,220 +involuntary اللي هم cardiac و smooth muscles + +30 +00:02:54,220 --> 00:02:57,400 +يعتبروا involuntary لأنه مابقدر يتحكم بحركة + +31 +00:02:57,400 --> 00:03:03,450 +الأمعاءأو المعدة ما بقدر اتحكم في نبض القلب ازوده + +32 +00:03:03,450 --> 00:03:07,630 +او اقلله يقول هذه تعتبر involuntary muscles يقول + +33 +00:03:07,630 --> 00:03:10,910 +ال involuntary muscles العضلات اللي لا إيرادية + +34 +00:03:10,910 --> 00:03:14,350 +cardiac و smooth أما العضلات اللي لا إيرادية اللي + +35 +00:03:14,350 --> 00:03:22,910 +هي skeletal muscles في جسمناتقريبا في 320 زياج من + +36 +00:03:22,910 --> 00:03:27,990 +العضلات على اليمين و 320 على اليسار اكثر من 320 + +37 +00:03:27,990 --> 00:03:34,470 +يعني اكثر من 640 skeletal muscle في الجسم و ال + +38 +00:03:34,470 --> 00:03:39,130 +skeletal muscle بتكوننا حوالي 40 ل 50% من وزن + +39 +00:03:39,130 --> 00:03:45,540 +الإنسان يعني مهم جدا ال muscle تشربwhat's the + +40 +00:03:45,540 --> 00:03:52,800 +functions of skeletal muscles ايش وظيفة skeletal + +41 +00:03:52,800 --> 00:03:58,600 +muscles اول شئ produce movement of the skeletal + +42 +00:03:58,600 --> 00:04:01,960 +يبقى ان هذا ال skeleton اللي شايفينه عند الإنسان + +43 +00:04:01,960 --> 00:04:09,440 +ما بمشي ولا بتحرك بدون عضلات maintain posture and + +44 +00:04:09,440 --> 00:04:17,080 +body position انا الآن واقف او جلستيبقى هذه لها + +45 +00:04:17,080 --> 00:04:20,520 +علاقة البشرة و ال position بال muscle ب skeletal + +46 +00:04:20,520 --> 00:04:25,860 +muscles support ال soft tissue حماية ال soft + +47 +00:04:25,860 --> 00:04:30,720 +tissue حماية + +48 +00:04:30,720 --> 00:04:35,480 +ال digestive system urinary other tract ال heart + +49 +00:04:35,480 --> 00:04:41,280 +يبقى ان هذول العضلات بيحموا الأعضاء الداخليةand + +50 +00:04:41,280 --> 00:04:47,300 +maintain body temperature اللي معلق بregulation of + +51 +00:04:47,300 --> 00:04:51,700 +the body temperature by the contraction of the + +52 +00:04:51,700 --> 00:05:00,360 +muscle what's the properties of skeletal muscle + +53 +00:05:00,360 --> 00:05:05,770 +tissueأو سؤال ثاني what's the characteristics of + +54 +00:05:05,770 --> 00:05:09,710 +skeletal muscle tissue؟ إيش المواصفات تبع هذه ال + +55 +00:05:09,710 --> 00:05:13,010 +muscle tissue بتاعة ال skeletal muscle؟ واحد + +56 +00:05:13,010 --> 00:05:21,330 +excitability اللي هيبقى رانيش ability to response + +57 +00:05:21,330 --> 00:05:28,290 +to stimulus يبقى تستجيب العضلة لل stimulus ثماني + +58 +00:05:28,290 --> 00:05:30,390 +contractility + +59 +00:05:31,540 --> 00:05:36,080 +الانقباض it is the ability of produce muscle + +60 +00:05:36,080 --> 00:05:44,280 +contraction تلاثة extensibility ability of muscle + +61 +00:05:44,280 --> 00:05:49,940 +to be stretched ال stretching of the muscle اربع + +62 +00:05:49,940 --> 00:05:55,800 +elasticity ايش ال elasticity it is the ability of + +63 +00:05:55,800 --> 00:06:03,950 +muscle to return to its original lengthمتى when + +64 +00:06:03,950 --> 00:06:10,270 +tension and contraction is released يعني في حال + +65 +00:06:10,270 --> 00:06:16,490 +الإنقباض في حال ال contraction بحدث قصور في العضلة + +66 +00:06:16,490 --> 00:06:23,090 +لكن في ال rest لازم العضلة ترجع لإيه لطولها + +67 +00:06:23,090 --> 00:06:27,150 +الطبيعي في ال rest أثناء النوم أثناء ال rest في + +68 +00:06:27,150 --> 00:06:33,920 +الهدوءهذا ما نسميها elasticity of the muscle اخر + +69 +00:06:33,920 --> 00:06:39,260 +شئ ال adaptation adaptability يعني العضلات + +70 +00:06:39,260 --> 00:06:44,420 +بيحدثلها adaptation لبعض الحركات وبعض ال ايه + +71 +00:06:44,420 --> 00:06:50,140 +المجهود اللي بيحدث عليهم طيب ايه ال connective + +72 +00:06:50,140 --> 00:06:57,120 +tissue اللي موجودة حوالين skeletal muscle فيه هنا + +73 +00:07:01,750 --> 00:07:07,770 +Epimysium وIndomysium هذه + +74 +00:07:07,770 --> 00:07:13,430 +الـ Epimysium تعتبر external stretch او external + +75 +00:07:13,430 --> 00:07:20,150 +sheath تعتبر ايه؟ تعتبر external sheath of dense + +76 +00:07:20,150 --> 00:07:27,330 +irregular surround the inter muscle الداخل + +77 +00:07:27,330 --> 00:07:35,400 +بتكون تمام؟وcontains large nerve, arteries and + +78 +00:07:35,400 --> 00:07:42,840 +lymphatic vessels طيب ال piramidia had surrounded + +79 +00:07:42,840 --> 00:07:48,420 +each bundle of muscle fibers فالسكرة رح نشرحكم + +80 +00:07:48,420 --> 00:07:54,500 +معاها شوية it is penetrated by nerve, arteries and + +81 +00:07:54,500 --> 00:07:59,650 +lymphatic vesselsطب endomysium تعتبر reticular + +82 +00:07:59,650 --> 00:08:05,870 +fibers surround the external lamina covers the + +83 +00:08:05,870 --> 00:08:22,530 +muscle as whole يبقى + +84 +00:08:22,530 --> 00:08:25,090 +نهائية انها اللي هي + +85 +00:08:28,560 --> 00:08:37,480 +يبميزيوم، بيرين و أندوم اللي هنتكلم على connective + +86 +00:08:37,480 --> 00:08:43,020 +tissue around the skeletal muscles في three layers + +87 +00:08:43,020 --> 00:08:50,180 +في ابميزيوم و في بيرينميزيوم و في أندوميزيوم الاب + +88 +00:08:50,180 --> 00:08:55,680 +بيكون خارج it is external sheetof dense regula + +89 +00:08:55,680 --> 00:09:02,460 +surround and cover the muscle as a whole يبقى هذا + +90 +00:09:02,460 --> 00:09:08,480 +الغناف الخارجي اللي بيكون حوالين العضلة اثنين ال + +91 +00:09:08,480 --> 00:09:14,700 +puri مميزة surround each of muscle fascicle هذا + +92 +00:09:14,700 --> 00:09:20,030 +بيكون في النص بين الإيبي و الاندوبيغطينا و بيعملنا + +93 +00:09:20,030 --> 00:09:27,090 +غلاف حوالين ايه الفاسيكل of muscle و بيعمل bending + +94 +00:09:27,090 --> 00:09:33,270 +لأ الفاسيكل together داخله بيكون موجود nerves, + +95 +00:09:33,850 --> 00:09:39,130 +arteries and lymphatic vessels أخر جزئية اللي هي + +96 +00:09:39,130 --> 00:09:44,370 +endomysia هذه بتكون وين تعتبر delicate soft tissue + +97 +00:09:44,370 --> 00:09:50,450 +أو soft membranecover the specialized skeletal + +98 +00:09:50,450 --> 00:09:54,630 +muscle fibers بيكون داخلي هذا اندو داخلي و بيغلف + +99 +00:09:54,630 --> 00:09:58,770 +ال muscle fibers و نفس الشيء فيهم اللي هو nerve + +100 +00:09:58,770 --> 00:10:03,430 +fibers و arteries و lymphatic vessels زى ما حنا + +101 +00:10:03,430 --> 00:10:09,540 +شايفين هان هي ال ipamezia و بيصلح حد التندنبيكون + +102 +00:10:09,540 --> 00:10:13,520 +غلاف خارجي للعضلة كلها فى هنا ال perimesium بيكون + +103 +00:10:13,520 --> 00:10:19,020 +غلاف لفسيكل العضلة فسيكل العضلة و فى هنا + +104 +00:10:19,020 --> 00:10:25,800 +endomesium بيكون غلاف لمن؟ لـ muscle fibers يبقى + +105 +00:10:25,800 --> 00:10:31,700 +ان هاي ال peri بيكون في النص الداخلي endo و + +106 +00:10:31,700 --> 00:10:36,660 +epimesium بيكون خارجي بيكون غلاف خارجي + +107 +00:10:44,000 --> 00:10:50,460 +الان باتكلم على definition of skeletal muscle + +108 +00:10:50,460 --> 00:10:56,420 +skeletal muscle is composed of numerous muscle + +109 +00:10:56,420 --> 00:11:02,080 +fibers يبقى ال skeletal muscle فيها fasticles وال + +110 +00:11:02,080 --> 00:11:07,980 +fasticles فيها muscle fibers each muscle fibers + +111 +00:11:07,980 --> 00:11:15,710 +usually innervated by only one nerve endingsهذا + +112 +00:11:15,710 --> 00:11:21,990 +بنسميه ال motor unit the muscle fibers is surround + +113 +00:11:21,990 --> 00:11:30,570 +by a thin membrane بيسميها sarcolema sarco a lema + +114 +00:11:30,570 --> 00:11:37,010 +each muscle fiberscontains several hundred to + +115 +00:11:37,010 --> 00:11:42,390 +several thousand myofibril يبقى ال muscle fibers + +116 +00:11:42,390 --> 00:11:49,550 +داخلها إيه؟ مئات و ألاف إيه ال myofibril يعني + +117 +00:11:49,550 --> 00:11:54,290 +fiber muscle fiber fibril يعني مصغر من ال muscle + +118 +00:11:54,290 --> 00:12:02,500 +fibers each myofibril is composed of aboutone + +119 +00:12:02,500 --> 00:12:06,080 +thousand five hundred myosin filament يبقى فيها + +120 +00:12:06,080 --> 00:12:09,660 +حوالي الف و خمسمائة myosin filament و فيها ثلاثة + +121 +00:12:09,660 --> 00:12:16,020 +آلاف actin filament هذا ال myosin و ال actin و هم + +122 +00:12:16,020 --> 00:12:19,840 +علاقة بال muscle contraction و هم علاقة بال muscle + +123 +00:12:19,840 --> 00:12:24,380 +contraction cytoplasma في ال muscle اسمها + +124 +00:12:24,380 --> 00:12:30,690 +sarcoplasmaSmooth endoplasmic reticulum اسمها + +125 +00:12:30,690 --> 00:12:34,390 +Sarcoplasmic reticulum Cell membrane اللي هي + +126 +00:12:34,390 --> 00:12:39,070 +external lamina في ال muscle اسمها Sarcolema يجب + +127 +00:12:39,070 --> 00:12:44,310 +ان نلاحظه ان ال muscle بيعطينا several muscle + +128 +00:12:44,310 --> 00:12:48,010 +bundle او fascicles يبقى ان ال muscle بتعطينا + +129 +00:12:48,010 --> 00:12:52,550 +muscle fascicles طب ال muscle fascicles بتعطينا + +130 +00:12:52,550 --> 00:12:58,350 +several muscle fibersطب ال muscle fiber تعطينا + +131 +00:12:58,350 --> 00:13:07,910 +مئات لألاف myofibrils طب ال myofibrils تعطينا الف + +132 +00:13:07,910 --> 00:13:14,490 +و خمسمائة مياسين و ثلاث ألاف actin filament اللي + +133 +00:13:14,490 --> 00:13:19,670 +لازمين ل muscle contraction واضح؟ لاحظوا ال muscle + +134 +00:13:19,670 --> 00:13:23,700 +تعطينا muscle fascicleال muscle fascicle بيعطينا + +135 +00:13:23,700 --> 00:13:26,220 +muscle fibers ال muscle fibers بيعطينا ال + +136 +00:13:26,220 --> 00:13:29,320 +myofibril ال myofibril بيعطينا ال myosin و ال + +137 +00:13:29,320 --> 00:13:33,160 +actins اللي هم المهمين ل ال muscle contractivity + +138 +00:13:33,160 --> 00:13:40,140 +هاني muscle داخل ال muscle فيه هنا اللي هم اللي + +139 +00:13:40,140 --> 00:13:46,100 +بنسميهم fascicles ال fascicles بيعطونا اللي هو + +140 +00:13:46,100 --> 00:13:52,350 +muscle fibersال muscle fibers بيعطونا myofibril ال + +141 +00:13:52,350 --> 00:13:57,370 +myofibril فيها actin و myosin فيها myosin اللي هم + +142 +00:13:57,370 --> 00:14:02,630 +تقريبا 1500 و actin 3000 كمان مرة ال muscle + +143 +00:14:02,630 --> 00:14:07,270 +بتعطينا muscle bundle او بعدها muscle fascicle او + +144 +00:14:07,270 --> 00:14:10,470 +muscle fascicle ال muscle fascicle بتعطينا muscle + +145 +00:14:10,470 --> 00:14:15,570 +fibers ال muscle fibers بتعطينا myofibrilمئات + +146 +00:14:15,570 --> 00:14:19,910 +لألاف ال myofibrils ال myofibrils بيعطينا actins + +147 +00:14:19,910 --> 00:14:27,030 +and myosin اللي هم 1500 حوالي myosin و 3000 actins + +148 +00:14:27,030 --> 00:14:33,570 +المهمين لـ muscle contractionmuscle بتعطينا muscle + +149 +00:14:33,570 --> 00:14:36,410 +fascicles muscle fascicles بتعطينا muscle fibers + +150 +00:14:36,410 --> 00:14:38,770 +اللي هم ال cells ال muscle fibers بتعطينا + +151 +00:14:38,770 --> 00:14:42,510 +myofibrils ال myofibrils بتعطينا thick و thin + +152 +00:14:42,510 --> 00:14:48,870 +filaments اللي هم myosin and actin هي عندي muscle + +153 +00:14:48,870 --> 00:14:58,140 +حواليها ايبيميزيابعدين الفاسيكلز حواليها اللي هم + +154 +00:14:58,140 --> 00:15:03,200 +بيكونوا pyrimesium حوالينهم هي ال pyrimesium هذه + +155 +00:15:03,200 --> 00:15:09,920 +حوالين الفاسيكلز الفاسيكلز بيعطينا مين اللي هو + +156 +00:15:09,920 --> 00:15:14,360 +muscle fibers ال muscle fibers حواليهم غلاف اسمه + +157 +00:15:14,360 --> 00:15:19,820 +اللي هو endomyosin endomyosin هاي ال endomyosin + +158 +00:15:19,820 --> 00:15:23,080 +حوالين مين بيكون حوالين ال muscle fibers + +159 +00:15:28,310 --> 00:15:34,770 +cycoplasma is the + +160 +00:15:34,770 --> 00:15:41,450 +intracellular fluid located between myofibrils + +161 +00:15:41,450 --> 00:15:44,870 +وإيش + +162 +00:15:44,870 --> 00:15:50,800 +داخله contains electrolytesبوتاسيوم، مغنيزيوم، + +163 +00:15:50,800 --> 00:15:57,900 +سولفات، مختلفة من البروتينينزايم ومعاناة من الميتو + +164 +00:15:57,900 --> 00:16:03,700 +كوندريال معاناة من الميتو كوندريال هذه المعاناة + +165 +00:16:03,700 --> 00:16:14,340 +تدفع ميوفيبريلات مع كثير من الانيرش حسنا ساركو + +166 +00:16:14,340 --> 00:16:19,170 +بلازماتيك ريتيكولاهذه العلاقة بالregulation of + +167 +00:16:19,170 --> 00:16:23,630 +calcium storage لإيش ال calcium storage release + +168 +00:16:23,630 --> 00:16:29,770 +and reoptic اللي مهم لمين؟ لالمصل contraction ل ال + +169 +00:16:29,770 --> 00:16:34,350 +contractivity function of the muscle انا اتكلم عن + +170 +00:16:34,350 --> 00:16:40,890 +ال organization of the muscle fibersاتفاقنا ان ال + +171 +00:16:40,890 --> 00:16:47,210 +muscle fibers فيه مئات الى الاف myofibril و ال + +172 +00:16:47,210 --> 00:16:52,430 +myofibril يعتبر long cylindrical filament bundle + +173 +00:16:52,430 --> 00:16:58,390 +داخل هذا ال myofibril فيه myosin الف و خمسمية و في + +174 +00:16:58,390 --> 00:17:05,430 +الactin اللي هم يعتبروا تقريبا ثلاث ألاف موجود + +175 +00:17:05,430 --> 00:17:11,750 +فيهم a band و I bandالـ A-band بنسميه dark bands + +176 +00:17:11,750 --> 00:17:20,290 +on myofibril داخله myosin filament و أكتين بنتهي + +177 +00:17:20,290 --> 00:17:28,790 +بالأكتين ال I-band it is light bands فاتح لونه فقط + +178 +00:17:28,790 --> 00:17:33,350 +contains أكتين يبقى الاختلاف ما بين ال A-band و I + +179 +00:17:33,350 --> 00:17:39,570 +-band ال A-band dark غامقوداخله myosin mainly وفي + +180 +00:17:39,570 --> 00:17:45,610 +النهاية فيه actin filaments لكن ال eye band light + +181 +00:17:45,610 --> 00:17:50,250 +فاتح لونه ويكون بيحتوي على actins only without + +182 +00:17:50,250 --> 00:17:59,010 +myosin light and dark bands give skeletal and + +183 +00:17:59,010 --> 00:18:03,790 +cardiac muscle their striated appearance لذلك + +184 +00:18:03,790 --> 00:18:08,800 +سميناالـ Cardiac و الـ skeletal muscle الـ + +185 +00:18:08,800 --> 00:18:14,000 +striated muscle الاعضلات المخططة مين اللي خططهم ال + +186 +00:18:14,000 --> 00:18:19,480 +light و ال dark bands of myofibrils اللي هم اللي + +187 +00:18:19,480 --> 00:18:26,940 +نسميهم A-band و I-band في Z-disc هدول عبارة عن + +188 +00:18:26,940 --> 00:18:31,060 +dark transverse line موجودة في ال I-band في ال + +189 +00:18:31,060 --> 00:18:36,250 +light و في Sarcomereit is the functional subunit + +190 +00:18:36,250 --> 00:18:43,410 +of contractor apparatus extended from z line to z + +191 +00:18:43,410 --> 00:18:47,250 +line يعني من z ل z line ال z هي موجودة وين قلنا؟ + +192 +00:18:47,250 --> 00:18:51,630 +هي عبارة عن dark point موجودة في ال eye band نيجي + +193 +00:18:51,630 --> 00:18:56,120 +للعضلة، هي العضلةالعضلة فيها بتعطينا muscle + +194 +00:18:56,120 --> 00:18:59,260 +fascicles ال muscle fascicles بتعطينا muscle + +195 +00:18:59,260 --> 00:19:03,620 +fibers ال muscle fibers بتعطينا ألاف و مئات لألاف + +196 +00:19:03,620 --> 00:19:11,240 +ال myofibril ال myofibril لاحظوا فيها dark فيها + +197 +00:19:11,240 --> 00:19:20,640 +dark dark a band بتسموهم غمقينو ال light الفاتح + +198 +00:19:20,640 --> 00:19:28,980 +هذا I band light داخل ال light ل I band في Z disk + +199 +00:19:28,980 --> 00:19:34,020 +هذه ال Z disk هذه ل Z disk موجودة في منتصف ال I + +200 +00:19:34,020 --> 00:19:39,950 +band من Z disk ل Z disk هذا بنسميه إيشcircumer + +201 +00:19:39,950 --> 00:19:44,390 +..circumer اللي هو يعتبر زي ما اتفقنا functional + +202 +00:19:44,390 --> 00:19:48,290 +..circumer functional sub unit of contracted + +203 +00:19:48,290 --> 00:19:54,550 +apparatus okay when the muscle fibers is + +204 +00:19:54,550 --> 00:19:59,970 +contracted لما يحدث انقبال في العضلات في ال fibers + +205 +00:19:59,970 --> 00:20:05,120 +بتاعة العضلةthe length of the sarcomere is short + +206 +00:20:05,120 --> 00:20:10,560 +بيحدث قصور في ال sarcomere يعني ال z المسافة بين + +207 +00:20:10,560 --> 00:20:16,020 +ال z ل z بتخسر بيحدث انقباض في العضلة and actin + +208 +00:20:16,020 --> 00:20:21,220 +filaments overlap the myosin filament و ال actin + +209 +00:20:21,220 --> 00:20:27,700 +بيعملوا overlap لمن لال myosin في حاجة اسمها ال + +210 +00:20:27,700 --> 00:20:31,910 +titin proteinهذا تيتن البروتين يحافظ على وجود + +211 +00:20:31,910 --> 00:20:36,770 +الميوسين والاكتن في نفس المكان وظيفته يحافظ على + +212 +00:20:36,770 --> 00:20:44,470 +وجود الميوسين والاكتن في نفس المكان one + +213 +00:20:44,470 --> 00:20:49,950 +end of the titin molecule is elastic and is + +214 +00:20:49,950 --> 00:20:55,280 +attached to the z diskيبقى أن هذا واحد من ال .. ال + +215 +00:20:55,280 --> 00:20:58,800 +.. ال titanium protein تمام هذا فيه zip disk + +216 +00:20:58,800 --> 00:21:04,380 +attached لإيه؟ zip acting as feeling and changing + +217 +00:21:04,380 --> 00:21:08,960 +length as sarcomere contract and relax وهذا دمال + +218 +00:21:08,960 --> 00:21:16,360 +إيش قصور للعضلة أثناء الإنقباض أو طولها بترجع + +219 +00:21:16,360 --> 00:21:20,920 +لطولها الطبيعي و في حالة ال rest و في حالة ال + +220 +00:21:20,920 --> 00:21:27,750 +relaxationهنا هنا واضح اللي هو ال .. ال .. ال + +221 +00:21:27,750 --> 00:21:33,190 +thick filament ال thick filament هذا ميسين و ال + +222 +00:21:33,190 --> 00:21:39,410 +thin filamentهذا ايه اللي هو Actin في حالة انقباض + +223 +00:21:39,410 --> 00:21:45,910 +ال Actin بيعمل overlap على الميسين بيدخل على + +224 +00:21:45,910 --> 00:21:51,670 +الميسين و بيحدث قصور ل shortening ل ال muscle + +225 +00:21:51,670 --> 00:21:55,630 +fibers هذا بيؤدي الى انقباض العضلة و هي بيحدث + +226 +00:21:55,630 --> 00:21:56,670 +muscle contraction + +227 +00:21:59,910 --> 00:22:09,630 +الجزء الثاني من + +228 +00:22:09,630 --> 00:22:16,050 +تيتن المليكل مرتبط + +229 +00:22:16,050 --> 00:22:22,510 +مع ميوسينوهذا في الحالة هذه عساسيا ملتبات للميوسين + +230 +00:22:22,510 --> 00:22:29,110 +والأكتن نفسها تملاء overlap لمين على الميوسين + +231 +00:22:29,110 --> 00:22:31,890 +ويحدث shortening of the muscle and muscle + +232 +00:22:31,890 --> 00:22:39,150 +contraction molecular characteristics of filaments + +233 +00:22:39,150 --> 00:22:44,030 +اللي هم ال myosin and actin اللي بيكونونها ال + +234 +00:22:44,030 --> 00:22:52,010 +myofibrilميسين مليكل هو thick filament هو يعتبر + +235 +00:22:52,010 --> 00:22:58,530 +ايه؟ thick filament ال .. it composed of six + +236 +00:22:58,530 --> 00:23:05,990 +polypeptide polypeptide chain اللي هم اتنين heavy + +237 +00:23:05,990 --> 00:23:12,420 +chain بيكونون اللي هم ال headو ال tail هي ال head + +238 +00:23:12,420 --> 00:23:16,960 +يعني انا ال head و هذا ال tail هدول too heavy واحد + +239 +00:23:16,960 --> 00:23:21,580 +أزرق و واحد أحمر بيكونون ال tail اللي هو ال tail + +240 +00:23:21,580 --> 00:23:26,300 +او ال tail و بيكونون ال head بتاعهم هدول too heavy + +241 +00:23:26,990 --> 00:23:35,130 +and for light chain و 4 light بيكونونا اللي هم لل + +242 +00:23:35,130 --> 00:23:40,650 +head of a molecule او filament اتنين بيكونوا في + +243 +00:23:40,650 --> 00:23:47,050 +الأعلى تمام و اتنين بيكونوا في الأسفل هنا ال + +244 +00:23:47,050 --> 00:23:52,640 +myosin head functionsواضيفته ال myosin head نفس + +245 +00:23:52,640 --> 00:23:58,340 +موضوع ال ATP enzyme نفس موضوع ال ATP اللي له علاقة + +246 +00:23:58,340 --> 00:24:04,240 +بإفراز الطاقة طيب انا اتكلمت على مين؟ على ال + +247 +00:24:04,240 --> 00:24:08,660 +myosin molecule الان انا بتكلم على actin filament + +248 +00:24:08,660 --> 00:24:13,020 +يعني لو قلنالكم مين هو ال thick filament هو ال + +249 +00:24:13,020 --> 00:24:19,590 +myosinمين هو ال thin molecule؟ هو ايه؟ ال acting + +250 +00:24:19,590 --> 00:24:25,610 +ال acting هو عبارة عن composed of actin, + +251 +00:24:26,650 --> 00:24:31,790 +tropomyosin و Tropanin involved in muscle + +252 +00:24:31,790 --> 00:24:36,710 +contraction and other important cellular processes + +253 +00:24:36,710 --> 00:24:40,950 +هذا كله يتبر ايه؟ acting filaments اللي هو thin + +254 +00:24:40,950 --> 00:24:48,350 +filamentsداخل بيكون مع الترابو مياسين + +255 +00:24:48,350 --> 00:24:56,350 +ترابو مياسين انا هنا شوحتلكم تركيبة ال muscle و + +256 +00:24:56,350 --> 00:25:01,550 +تركيبة ال muscle fibers و ال myofibrils الان + +257 +00:25:01,550 --> 00:25:07,010 +بنتكلم على ال receptors الموجودين في ال muscle في + +258 +00:25:07,010 --> 00:25:12,490 +انا muscle spindlesare found in all striated + +259 +00:25:12,490 --> 00:25:19,590 +muscle فنشن بتاعتهم monitoring muscle length او + +260 +00:25:19,590 --> 00:25:25,970 +stretch يكون اول شي فيه انها muscle spindles وفيه + +261 +00:25:25,970 --> 00:25:33,650 +golgi tendon organsهي موجودة في عضلات عضلات عضلة + +262 +00:25:33,650 --> 00:25:38,410 +قريبة من عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة + +263 +00:25:38,410 --> 00:25:41,970 +عضلة عضلة عضلة عضلة عضلة عضلة + +264 +00:25:41,970 --> 00:25:43,010 +عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة + +265 +00:25:43,010 --> 00:25:43,890 +عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة + +266 +00:25:43,890 --> 00:25:44,530 +عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة + +267 +00:25:44,530 --> 00:25:44,530 +عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة + +268 +00:25:44,530 --> 00:25:44,770 +عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة عضلة + +269 +00:25:44,770 --> 00:25:49,680 +عضلة عضلة عضلة عأول نوع اسمه muscle spindles اللي + +270 +00:25:49,680 --> 00:25:53,980 +علاقة بال muscle strength بالطول العضلة والنوع + +271 +00:25:53,980 --> 00:25:58,040 +الثاني اسمه Golgi tendon organs بيكون قريب لل + +272 +00:25:58,040 --> 00:26:01,620 +tendon of the muscle وضيفته monitoring of muscle + +273 +00:26:01,620 --> 00:26:02,460 +contraction + +274 +00:26:05,210 --> 00:26:08,050 +في الداخل نفسه في النص هنا بيكون فيه receptor اللي + +275 +00:26:08,050 --> 00:26:10,910 +هو علاقة بيسميهم muscle spindles طب و في نهاية + +276 +00:26:10,910 --> 00:26:14,730 +العضلة وين ال tendons هذا بيسميها Golgi tendon + +277 +00:26:14,730 --> 00:26:18,910 +organs ال golgi tendon organs اللي علاقة بال + +278 +00:26:18,910 --> 00:26:23,410 +muscle contraction أما muscle spindles اللي علاقة + +279 +00:26:23,410 --> 00:26:28,230 +بال length and stretch of the muscle هنا جابلنا + +280 +00:26:28,230 --> 00:26:33,550 +عضلة اللي هي biceps muscle نتاجر للموضوع الأخير + +281 +00:26:34,800 --> 00:26:39,820 +اللي هو mechanism of skeletal muscle contraction + +282 +00:26:39,820 --> 00:26:45,380 +كيه بيحدث muscle contraction؟ في action potential + +283 +00:26:45,380 --> 00:26:51,480 +ال action potential travels along a motor nerve + +284 +00:26:51,480 --> 00:26:56,360 +بتيجي الإشارة ال nerve impulse مع ال motor nerve + +285 +00:26:56,360 --> 00:27:02,680 +fibers بتصل لحد ال endings of muscle fibers لحد ال + +286 +00:27:02,680 --> 00:27:06,720 +neuromuscular junctionلحد مين؟ Neuromuscular + +287 +00:27:06,720 --> 00:27:14,420 +junction at each ending في النهاية نيرف سيكريتز + +288 +00:27:14,420 --> 00:27:21,120 +يعني في البريسينبتك بتم إخراج ال neurotransmitters + +289 +00:27:21,120 --> 00:27:25,720 +اللي هم مين؟ Acetylcholine هدول بيكونوا في + +290 +00:27:25,720 --> 00:27:31,180 +vesicles موجودين هذا الacetylcholine بتتحد مع + +291 +00:27:31,180 --> 00:27:36,940 +الacetylcholine receptorsوفي الحالة هذه بعمل + +292 +00:27:36,940 --> 00:27:43,300 +stimulation لل opening of sodium channels في + +293 +00:27:43,300 --> 00:27:47,740 +ساركوليما هذا بيقدي ل action potential action + +294 +00:27:47,740 --> 00:27:51,260 +potential يمكن تتم عملية حاجة زي ال depolarization + +295 +00:27:51,260 --> 00:27:59,060 +ال action potential بنتقل ل ال muscle fibers + +296 +00:28:01,680 --> 00:28:07,340 +بصلة Transverse Tube بنسميها T-Tubule أو T-Tube + +297 +00:28:07,340 --> 00:28:13,000 +موجودة في الـ Sarcoplasmic Reticulum System هذا + +298 +00:28:13,000 --> 00:28:18,100 +العملية تعمل Calcium Relays Channels في ال + +299 +00:28:18,100 --> 00:28:22,920 +Sarcoplasmic Reticulum بيؤدي إلى Opening of + +300 +00:28:22,920 --> 00:28:28,240 +Calcium Channels واحنا عارفين ال calcium مهم جدا ل + +301 +00:28:28,240 --> 00:28:33,200 +contraction of the muscleهذا راح يقد إلى ال + +302 +00:28:33,200 --> 00:28:38,480 +opening of calcium channels ويقد إلى a opening of + +303 +00:28:38,480 --> 00:28:47,440 +calcium to diffuse rapidly in the sarcoplasm دخلي + +304 +00:28:47,440 --> 00:28:51,080 +الكالسيوم على ال sarcoplasm الكالسيوم بتحد مع + +305 +00:28:51,080 --> 00:28:56,520 +التروبونين بيقد إلى change في its shape بتاع + +306 +00:28:56,520 --> 00:29:01,950 +التروبونينمع حركة للـ Tropomyosin الموجود في الـ + +307 +00:29:01,950 --> 00:29:08,140 +Actins اللي هي الـ thin filaments هذا بيقدرالى + +308 +00:29:08,140 --> 00:29:13,760 +تغيرات في ال thin actin و ال thick myosin بحدث + +309 +00:29:13,760 --> 00:29:19,480 +overlap ل ال actins على ال myosin هذا بيقدي الى + +310 +00:29:19,480 --> 00:29:26,580 +shortening of the muscle fibers and myofibril و ل + +311 +00:29:26,580 --> 00:29:31,130 +muscle contraction muscle ايه contractionهذه + +312 +00:29:31,130 --> 00:29:34,150 +العملية اللي اتكلمنا عنها هنا في الـ presynaptic + +313 +00:29:34,150 --> 00:29:39,630 +وسط الإشارة مع nerve fibers هنا في فيه vesicles + +314 +00:29:39,630 --> 00:29:44,070 +هذه ال vesicles موجود فيها acetylcholine ال + +315 +00:29:44,070 --> 00:29:47,190 +acetylcholine بتم إفرازه من ال presynaptic + +316 +00:29:47,190 --> 00:29:51,810 +vesiclesفيها نيرو ترانسمتر اسمه Acetylcholine تم + +317 +00:29:51,810 --> 00:29:54,870 +إفراز إن الـ neurotransmitter اللي هو + +318 +00:29:54,870 --> 00:29:59,410 +Acetylcholine هذا بتحد ال Acetylcholine مع اللي هو + +319 +00:29:59,410 --> 00:30:04,470 +Acetylcholine الريسبتورز بيؤدي إلى دخول إشارة ل ال + +320 +00:30:04,470 --> 00:30:08,790 +muscle fibers في المكان هذا بيحدث opening ل ال + +321 +00:30:08,790 --> 00:30:13,670 +sodium channel و بتحدث عملية مثل ال depolarization + +322 +00:30:13,960 --> 00:30:17,720 +الإشارة راح تنتقل من الـ nerve fibers إلى ال + +323 +00:30:17,720 --> 00:30:18,640 +muscle fibers + +324 +00:30:21,080 --> 00:30:27,420 +action potential بيتم عملية انه دخول ل T tube او T + +325 +00:30:27,420 --> 00:30:32,880 +tubule الخضرة هذه بعدها بيحدث عملية اللي هو + +326 +00:30:32,880 --> 00:30:38,860 +opening of calcium channel ال calcium channel راح + +327 +00:30:38,860 --> 00:30:43,320 +يفوت الكالسيوم على الساركوليما ويعمل عملية muscle + +328 +00:30:43,320 --> 00:30:48,040 +contraction اللي احنا اتكلمنا عنها okay هي كده + +329 +00:30:48,040 --> 00:30:53,130 +شرحنافي اختصار في slideين موضوع ال muscle + +330 +00:30:53,130 --> 00:30:59,050 +contraction طب what is the mechanism of skeletal + +331 +00:30:59,050 --> 00:31:03,710 +muscle relaxation؟ muscle relaxation after muscle + +332 +00:31:03,710 --> 00:31:10,350 +contraction بتحدث بيحدث stop و closure ل ال + +333 +00:31:10,350 --> 00:31:14,090 +potassium و ال sodium channelsفي الحالة هذه + +334 +00:31:14,090 --> 00:31:17,210 +الإشارة ما راح تنتقل من ال nerve fibers لل muscle + +335 +00:31:17,210 --> 00:31:20,870 +مدام ما انتقلتش الإشارة من ال nerve fibers لل + +336 +00:31:20,870 --> 00:31:25,410 +muscle نفس الشيء بيحدث ال closure ل ال calcium + +337 +00:31:25,410 --> 00:31:32,350 +channels بقل كمية ال calcium في ال sarcolema في ال + +338 +00:31:32,350 --> 00:31:37,810 +sarcoplasmic reticulum وهذا راح يؤدي إلى muscle + +339 +00:31:37,810 --> 00:31:45,450 +relaxation muscle toneSkeletal muscle toneإيش هي؟ + +340 +00:31:45,450 --> 00:31:52,910 +هي عبارة عن certain amount of fatness remains in a + +341 +00:31:52,910 --> 00:31:55,990 +muscle at rest يعني انا لو فحصت ال muscle tone + +342 +00:31:55,990 --> 00:31:58,730 +ببحث بالطريقة هذه يعني بده افحص اللي في ال elbow + +343 +00:31:58,730 --> 00:32:02,890 +بتعمل passive passive flexion and passive + +344 +00:32:02,890 --> 00:32:06,590 +extension ممكن يكون normal muscle tone ممكن يكون + +345 +00:32:06,590 --> 00:32:10,650 +muscle hypertonia بلاحظ ايه تيبس و انا بحرك في + +346 +00:32:10,650 --> 00:32:13,970 +العضلة شد العضلة معايا أكتر هذه muscle hypertonia + +347 +00:32:14,670 --> 00:32:22,630 +الرقص المسلسل ينتهي من عقل عقل عقل عقل عقل عقل عقل + +348 +00:32:22,630 --> 00:32:30,250 +عقل عقل عقل عقل عقل عقل عقل عقلSignal transmitted + +349 +00:32:30,250 --> 00:32:35,830 +from the brain to the appropriate motor neurons in + +350 +00:32:35,830 --> 00:32:39,910 +the anterohorses of the spinal cord أو Signal that + +351 +00:32:39,910 --> 00:32:44,950 +originate in the muscle spindles located in the + +352 +00:32:44,950 --> 00:32:48,550 +muscle itself يعني ال muscle tone ممكن تحكم فيه + +353 +00:32:48,550 --> 00:32:51,170 +اللي هو ال muscle spindles نفسها اللي موجودة في ال + +354 +00:32:51,170 --> 00:32:55,570 +muscle أو اللي هو ال nerve signal اللي جاي من ال + +355 +00:32:55,570 --> 00:32:57,470 +anterohorses of + +356 +00:33:04,650 --> 00:33:09,470 +أو نتكلم عن muscle hypertrophy muscle hypertrophy + +357 +00:33:09,470 --> 00:33:17,200 +due to reduction of stimulationبحدث decrease في ال + +358 +00:33:17,200 --> 00:33:22,320 +muscle mass tone and power أكيد مدام حدث أمور في + +359 +00:33:22,320 --> 00:33:28,580 +العضلة راح يقل ال muscle mass بتاعها تقل حجمها ال + +360 +00:33:28,580 --> 00:33:32,260 +tone بتاعها راح يتغير و يقل و ال power راح يضعف + +361 +00:33:32,260 --> 00:33:36,690 +قوة العضلةmuscle becomes flaccid، بتحدث flaccidity + +362 +00:33:36,690 --> 00:33:42,590 +في ال muscle fibers و بيحدث decrease في ال size of + +363 +00:33:42,590 --> 00:33:47,570 +muscle fibers and becomes weaker، بتحدث تكون ضريفة + +364 +00:33:47,570 --> 00:33:54,420 +العضلة و قد يؤدي إلى ال muscle هيبطرفيTemporary + +365 +00:33:54,420 --> 00:33:58,680 +reduction in muscle use يعني في بعض الأحيان ممكن + +366 +00:33:58,680 --> 00:34:04,120 +ضمور العضلات يكون ناتج عن disuse عدم استخدام مثل + +367 +00:34:04,120 --> 00:34:07,620 +الناس اللي بيحطولهم جبس انكسرت رجل ويحطوله جبس بعد + +368 +00:34:07,620 --> 00:34:10,960 +ده بيحتاج إيش علاج طبيعي لإنه ممكن يحدث + +369 +00:34:10,960 --> 00:34:14,880 +contraction في ال joint ويحدث ضعف العضلة ليش حدث + +370 +00:34:14,880 --> 00:34:20,720 +ضعف العضلة؟ اللي عدم الاستخدام due to disuse مثل + +371 +00:34:20,720 --> 00:34:25,570 +هيدراتروفياهنا في ال hypertrophy بيحدث increase in + +372 +00:34:25,570 --> 00:34:30,830 +muscle fiber size خاصة + +373 +00:34:30,830 --> 00:34:33,710 +في ال repeative stimulation of muscle fibers + +374 +00:34:33,710 --> 00:34:41,670 +للميترو كندريا بزيد عملية ال glycogen و بزيد ال + +375 +00:34:41,670 --> 00:34:44,870 +ability to produce ATP وما دام زاد ال ATP ممكن + +376 +00:34:44,870 --> 00:34:49,250 +يحدث هنا تضخم في العضلةhyperatrophy مصر + +377 +00:34:49,250 --> 00:34:53,350 +hyperatrophy ممكن يكون true hypertrophy يعني تدخم + +378 +00:34:53,350 --> 00:34:57,310 +حقيقي زي واحد بيمارس رياضة او تكون pseudo + +379 +00:34:57,310 --> 00:35:02,580 +hypertrophy يعني تدخم كاذبنتج عن ايش؟ عن + +380 +00:35:02,580 --> 00:35:07,340 +Deposition of Fat مثل ما بنشوف في حالات Duchenne + +381 +00:35:07,340 --> 00:35:09,780 +Muscular Dystrophy الناس اللي عندهم دمور في + +382 +00:35:09,780 --> 00:35:13,860 +العضلات ممكن تلاحظ ال Leg Muscles متضخمة اللي + +383 +00:35:13,860 --> 00:35:17,180 +بيشوف روحان فيها بيقولك متضخمة عضلته لأ هي ضعيفة + +384 +00:35:17,180 --> 00:35:22,500 +جدا بتكون ليه؟ لأن مكان ال muscle fibers مكان + +385 +00:35:22,500 --> 00:35:28,310 +الأنسجة العضليةحللنا أنسجة دهنية دهون هذا بنسميه + +386 +00:35:28,310 --> 00:35:34,290 +تضخم كاذب تضخم ايه كاذب او pseudo-hypertrophy طيب + +387 +00:35:34,290 --> 00:35:38,730 +مش الفرق بين muscle hypertrophy and hyperplasia + +388 +00:35:38,730 --> 00:35:43,690 +muscle hypertrophyIt is a process characterized by + +389 +00:35:43,690 --> 00:35:49,350 +increased cell volume يعني حجم الخلية كبير لكن + +390 +00:35:49,350 --> 00:35:56,550 +hyperplasia بيحدث growth and increase in number of + +391 +00:35:56,550 --> 00:36:00,890 +cells عدد الخلايا زاد يكون هنا حدث تدخن في الخلايا + +392 +00:36:00,890 --> 00:36:05,230 +في ال hypertrophy hyperplasia زادوا عدد الخلايا + +393 +00:36:05,230 --> 00:36:13,020 +العضليةالهيبربلازيا تحدث بشكل عام في عضلات رحم + +394 +00:36:13,020 --> 00:36:19,600 +رسمية الهيبربلازيا بشكل عام في عضلات رحم رسمية + +395 +00:36:19,600 --> 00:36:25,240 +الهيبربلازيا + +396 +00:36:25,240 --> 00:36:25,820 +بشكل عام في عضلات الرحم رسمية الهيبربلازيا بشكل + +397 +00:36:25,820 --> 00:36:28,780 +عام في عضلات الرحم رسمية الهيبربلازيا بشكل عام في + +398 +00:36:28,780 --> 00:36:31,640 +عضلات الرحم رسمية الهيبربلازيا بشكل عام في عضلات + +399 +00:36:31,640 --> 00:36:32,600 +الرحم رسمية الهيبربلازيا بشكل عام في عضلات الرحم + +400 +00:36:32,600 --> 00:36:35,280 +رسمية الهيبربلازيا بشكل عام في عضلات الرحم رسمية + +401 +00:36:35,280 --> 00:36:36,100 +الهيبربلازيا بشكل عام في عضلات الرحم رسمية + +402 +00:36:36,100 --> 00:36:38,730 +الهيبربلازيا بشكل عام في عضلات الرحم رسمية النتكلم + +403 +00:36:38,730 --> 00:36:41,210 +عن مرض راح ناخده في سنة رابعة إن ضلينا طيبين ان + +404 +00:36:41,210 --> 00:36:45,990 +شاء الله مايستينيا غريفس هو عبارة عن autoimmune + +405 +00:36:45,990 --> 00:36:51,250 +disorder characterized by progressive muscular + +406 +00:36:51,250 --> 00:36:55,360 +fatigabilityأي مسكولار فاتقابيلتي؟ skeletal + +407 +00:36:55,360 --> 00:36:58,040 +muscular fatigability بيصيب skeletal muscle only + +408 +00:36:58,040 --> 00:37:02,460 +caused by reduction in the numbers and functions + +409 +00:37:02,460 --> 00:37:07,980 +of acetylcholine receptors هنا بيحدث circulation ل + +410 +00:37:07,980 --> 00:37:10,820 +antibodies، ال antibodies هذه بتقوم بمهاجمة + +411 +00:37:10,820 --> 00:37:15,800 +الacetylcholineمدام تمت مهاجمة الاسيطرال كلين + +412 +00:37:15,800 --> 00:37:19,660 +ريسبتورز يبقى ان ال nerve impulse مارح ينتقل من ال + +413 +00:37:19,660 --> 00:37:23,580 +nerve endings من العصب الى ال muscle fibers وبيحدث + +414 +00:37:23,580 --> 00:37:28,240 +fatigability بنسمي مرض وهن العضلات مرض ايه؟ وهن + +415 +00:37:28,240 --> 00:37:33,140 +العضلاتOkay ال slide الأخير اللي هو Duchene + +416 +00:37:33,140 --> 00:37:38,420 +muscular dystrophy هان المشكلة وين؟ mutation of + +417 +00:37:38,420 --> 00:37:41,620 +dystrophin gene هذا بيسمي دموع العضلات مرض دوراطي + +418 +00:37:41,620 --> 00:37:45,520 +بصيب العضلات بيحدث أن ال mutation طفرة في ال + +419 +00:37:45,520 --> 00:37:49,740 +dystrophin gene ال dystrophin هذا مهم جدا ل ال + +420 +00:37:49,740 --> 00:37:54,580 +muscle function يعتبر large actin bending protein + +421 +00:37:54,580 --> 00:37:59,570 +located just inside of sarcolemaof the skeletal + +422 +00:37:59,570 --> 00:38:03,750 +muscle fibers مهم للgrowth of muscle للfunction + +423 +00:38:03,750 --> 00:38:08,550 +organization of myofibril هذا المرض بيأدى الى + +424 +00:38:08,550 --> 00:38:12,410 +progressive weakness atrophy of the muscle fibers + +425 +00:38:12,410 --> 00:38:16,870 +أحيانا المرض هذا بيكون عندهم muscle hypertrophy + +426 +00:38:17,190 --> 00:38:20,970 +المرضى هدول اللي عندهم muscular dystrophy type + +427 +00:38:20,970 --> 00:38:25,770 +بيكونوا والد شير dependent على سن اتناشر سنة + +428 +00:38:25,770 --> 00:38:30,750 +بيحتاجوا كرسي متحرك بيعيشوا لحد ثمانتاشر عشرين سنة + +429 +00:38:30,750 --> 00:38:33,830 +أو الأعمار بيد الله من إيش بتوفوا بتوفوا من ال + +430 +00:38:33,830 --> 00:38:39,270 +respiratory failure and sepsisهيك بيكون احنا وصلنا + +431 +00:38:39,270 --> 00:38:43,510 +لنهاية المحاضرة الأسبوع الرابع عشر ووصلنا لنهاية + +432 +00:38:43,510 --> 00:38:47,550 +مصاق اللي هو neuro anatomy and neurophysiology + +433 +00:38:47,550 --> 00:38:50,630 +دمتم + +434 +00:38:50,630 --> 00:38:54,710 +بخير و سامحونا ان قصرنا معكم يعطيكم الف عافية + diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/Ev3PGmWnexI_raw.json b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/Ev3PGmWnexI_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..4effe159545220168cf18c63295562d235e62271 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/Ev3PGmWnexI_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 1888, "start": 5.08, "end": 18.88, "text": "بسم الله الرحمن الرحيم السلام عليكم ورحمة الله وبركاته الجزء الثاني من محاضرة الأسبوع الخامس رح تكون على ventricles of the brain and CSF circulation", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 21136, 37440, 25894, 24793, 4032, 2288, 35571, 3660, 21984, 4032, 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0.64111328125}, {"start": 182.67, "end": 182.81, "word": " في", "probability": 0.8203125}, {"start": 182.81, "end": 183.09, "word": " بتكون", "probability": 0.6932373046875}, {"start": 183.09, "end": 183.55, "word": " cavity", "probability": 0.9091796875}, {"start": 183.55, "end": 185.57, "word": " of", "probability": 0.9775390625}], "temperature": 1.0}, {"id": 8, "seek": 21108, "start": 186.32, "end": 211.08, "text": "third ventricle وهنا فيه اللي هي cavity of a fourth ventricle و ال connection القناة اللي بتوصل ما بين ال third ventricle و ال fourth ventricle اسمها silvius aqueduct او cerebral aqueduct اسمها silvius aqueduct", "tokens": [25095, 6931, 1341, 306, 37037, 8315, 8978, 3224, 13672, 1829, 39896, 32425, 295, 257, 6409, 6931, 1341, 306, 4032, 2423, 4984, 25062, 8315, 3660, 13672, 1829, 39894, 2407, 36520, 19446, 49374, 2423, 2636, 6931, 1341, 306, 4032, 2423, 6409, 6931, 1341, 306, 24525, 2304, 11296, 3425, 85, 4872, 2373, 292, 11130, 1975, 2407, 43561, 2373, 292, 11130, 24525, 2304, 11296, 3425, 85, 4872, 2373, 292, 11130], "avg_logprob": -0.2551306032422763, "compression_ratio": 1.730263157894737, "no_speech_prob": 0.0, "words": [{"start": 186.32, "end": 186.84, "word": "third", "probability": 0.265380859375}, {"start": 186.84, "end": 187.94, "word": " ventricle", "probability": 0.9270833333333334}, {"start": 187.94, "end": 188.64, "word": " وهنا", "probability": 0.60546875}, {"start": 188.64, "end": 189.04, "word": " فيه", "probability": 0.39544677734375}, {"start": 189.04, "end": 189.12, "word": " اللي", "probability": 0.654541015625}, {"start": 189.12, "end": 189.3, "word": " هي", "probability": 0.83642578125}, {"start": 189.3, "end": 189.82, "word": " cavity", "probability": 0.69384765625}, {"start": 189.82, "end": 191.24, "word": " of", "probability": 0.92236328125}, {"start": 191.24, "end": 191.64, "word": " a", "probability": 0.4150390625}, {"start": 191.64, "end": 192.76, "word": " fourth", "probability": 0.91650390625}, {"start": 192.76, "end": 193.42, "word": " ventricle", "probability": 0.9716796875}, {"start": 193.42, "end": 193.84, "word": " و", "probability": 0.30908203125}, {"start": 193.84, "end": 193.96, "word": " ال", "probability": 0.7490234375}, {"start": 193.96, "end": 194.46, "word": " connection", "probability": 0.86181640625}, {"start": 194.46, "end": 195.7, "word": " القناة", "probability": 0.579345703125}, {"start": 195.7, "end": 195.94, "word": " اللي", "probability": 0.874267578125}, {"start": 195.94, "end": 196.5, "word": " بتوصل", "probability": 0.9597981770833334}, {"start": 196.5, "end": 197.2, "word": " ما", "probability": 0.93408203125}, {"start": 197.2, "end": 197.64, "word": " بين", "probability": 0.98486328125}, {"start": 197.64, "end": 198.98, "word": " ال", "probability": 0.8349609375}, {"start": 198.98, "end": 199.3, "word": " third", "probability": 0.86279296875}, {"start": 199.3, "end": 199.92, "word": " ventricle", "probability": 0.9529622395833334}, {"start": 199.92, "end": 200.06, "word": " و", "probability": 0.6513671875}, {"start": 200.06, "end": 200.18, "word": " ال", "probability": 0.7548828125}, {"start": 200.18, "end": 200.52, "word": " fourth", "probability": 0.91845703125}, {"start": 200.52, "end": 201.34, "word": " ventricle", "probability": 0.9661458333333334}, {"start": 201.34, "end": 202.26, "word": " اسمها", "probability": 0.9596354166666666}, {"start": 202.26, "end": 203.78, "word": " silvius", "probability": 0.6393229166666666}, {"start": 203.78, "end": 204.72, "word": " aqueduct", "probability": 0.9386393229166666}, {"start": 204.72, "end": 205.68, "word": " او", "probability": 0.86083984375}, {"start": 205.68, "end": 206.52, "word": " cerebral", "probability": 0.67041015625}, {"start": 206.52, "end": 207.7, "word": " aqueduct", "probability": 0.9464518229166666}, {"start": 207.7, "end": 208.26, "word": " اسمها", "probability": 0.94677734375}, {"start": 208.26, "end": 210.32, "word": " silvius", "probability": 0.8522135416666666}, {"start": 210.32, "end": 211.08, "word": " aqueduct", "probability": 0.94091796875}], "temperature": 1.0}, {"id": 9, "seek": 23851, "start": 211.73, "end": 238.51, "text": "أو cerebral aqueduct أو بنسميها aqueduct of midbrain نبدأ ب lateral ventricle لدينا two lateral ventricles right and left lateral ventricles side", "tokens": [10721, 2407, 43561, 2373, 292, 11130, 34051, 44945, 38251, 1829, 11296, 2373, 292, 11130, 295, 2062, 6198, 259, 8717, 44510, 10721, 4724, 25128, 6931, 1341, 306, 5296, 16254, 8315, 732, 25128, 6931, 1341, 904, 558, 293, 1411, 25128, 6931, 1341, 904, 1252], "avg_logprob": -0.2483648241952408, "compression_ratio": 1.3949579831932772, "no_speech_prob": 0.0, "words": [{"start": 211.73, "end": 212.19, "word": "أو", "probability": 0.84619140625}, {"start": 212.19, "end": 213.27, "word": " cerebral", "probability": 0.385986328125}, {"start": 213.27, "end": 214.19, "word": " aqueduct", "probability": 0.9306640625}, {"start": 214.19, "end": 214.39, "word": " أو", "probability": 0.62158203125}, {"start": 214.39, "end": 215.17, "word": " بنسميها", "probability": 0.97119140625}, {"start": 215.17, "end": 216.59, "word": " aqueduct", "probability": 0.8435872395833334}, {"start": 216.59, "end": 219.17, "word": " of", "probability": 0.970703125}, {"start": 219.17, "end": 220.77, "word": " midbrain", "probability": 0.7941080729166666}, {"start": 220.77, "end": 228.29, "word": " نبدأ", "probability": 0.7427571614583334}, {"start": 228.29, "end": 228.51, "word": " ب", "probability": 0.49267578125}, {"start": 228.51, "end": 229.01, "word": " lateral", "probability": 0.461181640625}, {"start": 229.01, "end": 230.47, "word": " ventricle", "probability": 0.92529296875}, {"start": 230.47, "end": 231.97, "word": " لدينا", "probability": 0.5444742838541666}, {"start": 231.97, "end": 232.27, "word": " two", "probability": 0.82080078125}, {"start": 232.27, "end": 232.63, "word": " lateral", "probability": 0.880859375}, {"start": 232.63, "end": 233.27, "word": " ventricles", "probability": 0.9368489583333334}, {"start": 233.27, "end": 233.75, "word": " right", "probability": 0.87353515625}, {"start": 233.75, "end": 234.13, "word": " and", "probability": 0.8544921875}, {"start": 234.13, "end": 234.57, "word": " left", "probability": 0.95654296875}, {"start": 234.57, "end": 235.15, "word": " lateral", "probability": 0.8603515625}, {"start": 235.15, "end": 236.29, "word": " ventricles", "probability": 0.935546875}, {"start": 236.29, "end": 238.51, "word": " side", "probability": 0.6865234375}], "temperature": 1.0}, {"id": 10, "seek": 26882, "start": 239.94, "end": 268.82, "text": "lateral ventricles عبارة عن cavity of cerebral hemispheres يعني انها right cerebral hemisphere و left cerebral hemisphere كل cerebral hemisphere اللي لهم cavity اسمه lateral ventricles يعني انها right and left lateral ventricles لو اتكلمنا عن ال origin of lateral ventricles بيكون جاي من telencephalon او prosencephalon communication", "tokens": [75, 17274, 6931, 1341, 904, 6225, 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247.84, "word": " hemisphere", "probability": 0.435791015625}, {"start": 247.84, "end": 249.1, "word": " كل", "probability": 0.7861328125}, {"start": 249.1, "end": 249.46, "word": " cerebral", "probability": 0.482177734375}, {"start": 249.46, "end": 250.12, "word": " hemisphere", "probability": 0.6668701171875}, {"start": 250.12, "end": 250.28, "word": " اللي", "probability": 0.5284423828125}, {"start": 250.28, "end": 250.38, "word": " لهم", "probability": 0.5804443359375}, {"start": 250.38, "end": 250.78, "word": " cavity", "probability": 0.9013671875}, {"start": 250.78, "end": 251.16, "word": " اسمه", "probability": 0.9314778645833334}, {"start": 251.16, "end": 251.46, "word": " lateral", "probability": 0.8994140625}, {"start": 251.46, "end": 252.14, "word": " ventricles", "probability": 0.9557291666666666}, {"start": 252.14, "end": 252.4, "word": " يعني", "probability": 0.949462890625}, {"start": 252.4, "end": 252.66, "word": " انها", "probability": 0.6787109375}, {"start": 252.66, "end": 252.94, "word": " right", "probability": 0.92041015625}, {"start": 252.94, "end": 253.24, "word": " and", "probability": 0.7275390625}, {"start": 253.24, "end": 253.52, "word": " left", "probability": 0.970703125}, {"start": 253.52, "end": 253.88, "word": " lateral", "probability": 0.904296875}, {"start": 253.88, "end": 254.64, "word": " ventricles", "probability": 0.9708658854166666}, {"start": 254.64, "end": 256.04, "word": " لو", "probability": 0.89111328125}, {"start": 256.04, "end": 256.5, "word": " اتكلمنا", "probability": 0.90283203125}, {"start": 256.5, "end": 256.58, "word": " عن", "probability": 0.65478515625}, {"start": 256.58, "end": 256.7, "word": " ال", "probability": 0.849609375}, {"start": 256.7, "end": 257.12, "word": " origin", "probability": 0.90625}, {"start": 257.12, "end": 259.14, "word": " of", "probability": 0.96435546875}, {"start": 259.14, "end": 262.4, "word": " lateral", "probability": 0.92041015625}, {"start": 262.4, "end": 263.1, "word": " ventricles", "probability": 0.97021484375}, {"start": 263.1, "end": 263.5, "word": " بيكون", "probability": 0.9267578125}, {"start": 263.5, "end": 263.74, "word": " جاي", "probability": 0.843017578125}, {"start": 263.74, "end": 264.0, "word": " من", "probability": 0.79638671875}, {"start": 264.0, "end": 265.24, "word": " telencephalon", "probability": 0.657470703125}, {"start": 265.24, "end": 265.6, "word": " او", "probability": 0.846435546875}, {"start": 265.6, "end": 266.64, "word": " prosencephalon", "probability": 0.735015869140625}, {"start": 266.64, "end": 268.82, "word": " communication", "probability": 0.54638671875}], "temperature": 1.0}, {"id": 11, "seek": 29326, "start": 271.58, "end": 293.26, "text": "no any direct connections between right and left lateral ventricles يعني مافي انها direct connection between right and left lateral ventricle نرسمهم مع بعض الآن هي ان انا برسم", "tokens": [1771, 604, 2047, 9271, 1296, 558, 293, 1411, 25128, 6931, 1341, 904, 37495, 22653, 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"probability": 0.84326171875}, {"start": 281.66, "end": 282.96, "word": " ventricles", "probability": 0.9166666666666666}, {"start": 282.96, "end": 283.48, "word": " يعني", "probability": 0.8818359375}, {"start": 283.48, "end": 283.84, "word": " مافي", "probability": 0.82666015625}, {"start": 283.84, "end": 284.12, "word": " انها", "probability": 0.6195068359375}, {"start": 284.12, "end": 284.48, "word": " direct", "probability": 0.90673828125}, {"start": 284.48, "end": 285.14, "word": " connection", "probability": 0.7021484375}, {"start": 285.14, "end": 285.46, "word": " between", "probability": 0.95166015625}, {"start": 285.46, "end": 285.9, "word": " right", "probability": 0.92138671875}, {"start": 285.9, "end": 286.28, "word": " and", "probability": 0.9697265625}, {"start": 286.28, "end": 286.52, "word": " left", "probability": 0.9599609375}, {"start": 286.52, "end": 286.82, "word": " lateral", "probability": 0.8408203125}, {"start": 286.82, "end": 287.46, "word": " ventricle", "probability": 0.8097330729166666}, {"start": 287.46, "end": 288.5, "word": " نرسمهم", "probability": 0.93994140625}, {"start": 288.5, "end": 288.68, "word": " مع", "probability": 0.99560546875}, {"start": 288.68, "end": 288.94, "word": " بعض", "probability": 0.9970703125}, {"start": 288.94, "end": 289.96, "word": " الآن", "probability": 0.77783203125}, {"start": 289.96, "end": 290.44, "word": " هي", "probability": 0.6787109375}, {"start": 290.44, "end": 290.62, "word": " ان", "probability": 0.712890625}, {"start": 290.62, "end": 292.84, "word": " انا", "probability": 0.867919921875}, {"start": 292.84, "end": 293.26, "word": " برسم", "probability": 0.763427734375}], "temperature": 1.0}, {"id": 12, "seek": 33525, "start": 324.53, "end": 335.25, "text": "أنا رسمت right وهي برسم فيه left lateral ventricle يعني عندي", "tokens": [10721, 8315, 12602, 38251, 2655, 558, 37037, 1829, 4724, 2288, 38251, 8978, 3224, 1411, 25128, 6931, 1341, 306, 37495, 22653, 18871, 16254], "avg_logprob": 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"temperature": 1.0}, {"id": 13, "seek": 36546, "start": 344.56, "end": 365.46, "text": "right lateral ventricle و left lateral ventricle okay no direct connection between both lateral ventricles تمام بعدها بدنا نرسم", "tokens": [1938, 25128, 6931, 1341, 306, 4032, 1411, 25128, 6931, 1341, 306, 1392, 572, 2047, 4984, 1296, 1293, 25128, 6931, 1341, 904, 46811, 10943, 39182, 11296, 47525, 8315, 8717, 2288, 38251], "avg_logprob": -0.24621975037359423, "compression_ratio": 1.3181818181818181, "no_speech_prob": 0.0, "words": [{"start": 344.56000000000006, "end": 345.96000000000004, "word": "right", "probability": 0.396240234375}, {"start": 345.96000000000004, "end": 347.36, "word": " lateral", "probability": 0.880859375}, {"start": 347.36, "end": 349.72, "word": " ventricle", "probability": 0.9197591145833334}, {"start": 349.72, "end": 350.74, "word": " و", "probability": 0.460693359375}, {"start": 350.74, "end": 351.18, "word": " left", "probability": 0.9375}, {"start": 351.18, "end": 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ventricle contains anterior horn أو frontal horn located in frontal loop، posterior horn أو occipital horn located in occipital loop،", "tokens": [3748, 311, 264, 644, 295, 264, 25128, 6931, 1341, 306, 22807, 11933, 1829, 8592, 5551, 7435, 11622, 16606, 2423, 25128, 6931, 1341, 306, 22807, 2423, 25128, 6931, 1341, 306, 8306, 22272, 13482, 34051, 34647, 13482, 6870, 294, 34647, 6367, 12399, 33529, 13482, 34051, 10409, 11371, 1686, 13482, 6870, 294, 10409, 11371, 1686, 6367, 12399], "avg_logprob": -0.2034090903672305, "compression_ratio": 1.762962962962963, "no_speech_prob": 0.0, "words": [{"start": 470.3, "end": 470.64, "word": "What's", "probability": 0.412078857421875}, {"start": 470.64, "end": 470.82, "word": " the", "probability": 0.84814453125}, {"start": 470.82, "end": 471.3, "word": " part", "probability": 0.90234375}, {"start": 471.3, "end": 471.78, "word": " of", "probability": 0.98193359375}, {"start": 471.78, "end": 472.0, "word": " the", "probability": 0.71923828125}, 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"seek": 56577, "start": 539.71, "end": 565.77, "text": "وهنا ايش ال body او ال central part body او ال central part مش هينبين انها الأجزاء الثانية يعني يعني عندي في posterior horn بتكون في ال occipital loop في anterior horn بتكون في ال frontal loop وفي body بتكون في parietal loop في parietal loop واضح عندي هنا", "tokens": [2407, 3224, 8315, 1975, 1829, 8592, 2423, 1772, 1975, 2407, 2423, 5777, 644, 1772, 1975, 2407, 2423, 5777, 644, 37893, 8032, 9957, 3555, 9957, 16472, 11296, 16247, 7435, 11622, 16606, 6024, 104, 7649, 10632, 37495, 22653, 37495, 22653, 18871, 16254, 8978, 33529, 13482, 39894, 30544, 8978, 2423, 10409, 11371, 1686, 6367, 8978, 22272, 13482, 39894, 30544, 8978, 2423, 34647, 6367, 4032, 41185, 1772, 39894, 30544, 8978, 971, 1684, 304, 6367, 8978, 971, 1684, 304, 6367, 4032, 46958, 5016, 18871, 16254, 34105], "avg_logprob": -0.2673399397512762, "compression_ratio": 2.005649717514124, "no_speech_prob": 0.0, "words": [{"start": 539.71, "end": 540.21, "word": "وهنا", 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"start": 568.94, "end": 579.02, "text": "انتيريور هارن بوستيريور هارن و تحت في ال temporal loop في inferior horn يعني frontal horn", "tokens": [7649, 2655, 13546, 1829, 13063, 8032, 9640, 1863, 4724, 2407, 14851, 13546, 1829, 13063, 8032, 9640, 1863, 4032, 6055, 33753, 8978, 2423, 30881, 6367, 8978, 24249, 13482, 37495, 22653, 34647, 13482], "avg_logprob": -0.38769531808793545, "compression_ratio": 1.2427184466019416, "no_speech_prob": 0.0, "words": [{"start": 568.94, "end": 569.9, "word": "انتيريور", "probability": 0.477001953125}, {"start": 569.9, "end": 570.54, "word": " هارن", "probability": 0.6785481770833334}, {"start": 570.54, "end": 572.5, "word": " بوستيريور", "probability": 0.7896728515625}, {"start": 572.5, "end": 573.02, "word": " هارن", "probability": 0.9840494791666666}, {"start": 573.02, "end": 573.12, "word": " و", "probability": 0.428955078125}, {"start": 573.12, "end": 573.42, "word": " تحت", "probability": 0.88134765625}, {"start": 573.42, "end": 573.62, "word": " في", "probability": 0.744140625}, {"start": 573.62, "end": 573.66, "word": " ال", "probability": 0.93310546875}, {"start": 573.66, "end": 574.0, "word": " temporal", "probability": 0.2420654296875}, {"start": 574.0, "end": 574.42, "word": " loop", "probability": 0.90380859375}, {"start": 574.42, "end": 575.18, "word": " في", "probability": 0.73828125}, {"start": 575.18, "end": 575.92, "word": " inferior", "probability": 0.5751953125}, {"start": 575.92, "end": 576.62, "word": " horn", "probability": 0.6259765625}, {"start": 576.62, "end": 577.46, "word": " يعني", "probability": 0.76318359375}, {"start": 577.46, "end": 578.44, "word": " frontal", "probability": 0.8798828125}, {"start": 578.44, "end": 579.02, "word": " horn", "probability": 0.9091796875}], "temperature": 1.0}, {"id": 23, "seek": 60229, "start": 579.79, "end": 602.29, "text": "أكسبتال هورن كيمبورال هورن أو اسم ثاني انتريور هورن بوستيريور هورن انفريور هورن طب و المكان تلاقي الانفريور هورن مع ال بوستيريور هورن هذا المكان بنسميه تريجون بنسميه تريجون او أتريوم of lateral ventricle", "tokens": [10721, 4117, 35457, 2655, 6027, 8032, 13063, 1863, 9122, 32640, 3555, 13063, 6027, 8032, 13063, 1863, 34051, 24525, 2304, 38637, 7649, 1829, 16472, 2655, 16572, 13063, 8032, 13063, 1863, 4724, 2407, 14851, 13546, 1829, 13063, 8032, 13063, 1863, 16472, 5172, 16572, 13063, 8032, 13063, 1863, 23032, 3555, 4032, 9673, 41361, 6055, 15040, 38436, 2423, 7649, 5172, 16572, 13063, 8032, 13063, 1863, 20449, 2423, 4724, 2407, 14851, 13546, 1829, 13063, 8032, 13063, 1863, 23758, 9673, 41361, 44945, 38251, 1829, 3224, 6055, 16572, 7435, 11536, 44945, 38251, 1829, 3224, 6055, 16572, 7435, 11536, 1975, 2407, 5551, 2655, 16572, 20498, 295, 25128, 6931, 1341, 306], "avg_logprob": -0.2574332495337551, "compression_ratio": 2.13855421686747, "no_speech_prob": 0.0, "words": [{"start": 579.79, "end": 580.63, "word": "أكسبتال", "probability": 0.536328125}, {"start": 580.63, "end": 581.11, "word": " هورن", "probability": 0.82763671875}, 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third ventricle مع ال third ventricle اسمه Interventricular Foramen of Monroe Interventricular Foramen of Monroe هذا واضح على ال axial cut", "tokens": [14407, 24401, 4724, 1829, 30544, 20449, 2423, 1411, 25128, 6931, 1341, 306, 4032, 20449, 2423, 558, 25128, 6931, 1341, 306, 8032, 8848, 12610, 6101, 20449, 3714, 9957, 22807, 20449, 2423, 2636, 6931, 1341, 306, 20449, 1975, 1829, 3224, 22807, 20449, 2423, 2636, 6931, 1341, 306, 20449, 2423, 2636, 6931, 1341, 306, 24525, 2304, 3224, 5751, 2475, 42750, 1171, 22403, 295, 43900, 5751, 2475, 42750, 1171, 22403, 295, 43900, 23758, 4032, 46958, 5016, 15844, 2423, 46851, 1723], "avg_logprob": -0.18191964750166062, "compression_ratio": 1.9034090909090908, "no_speech_prob": 0.0, "words": [{"start": 675.49, "end": 675.99, "word": "واحد", "probability": 0.7486572265625}, {"start": 675.99, "end": 676.33, "word": " بيكون", "probability": 0.822265625}, {"start": 676.33, "end": 676.63, "word": " مع", "probability": 0.9326171875}, {"start": 676.63, 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{"id": 42, "seek": 112714, "start": 1099.22, "end": 1127.14, "text": "الان بنتقل لل fourth ventricle هذا left lateral ventricle okay fourth ventricle it is cavity of hind brain", "tokens": [6027, 7649, 44945, 2655, 4587, 1211, 24976, 6409, 6931, 1341, 306, 23758, 1411, 25128, 6931, 1341, 306, 1392, 6409, 6931, 1341, 306, 309, 307, 32425, 295, 20138, 3567], "avg_logprob": -0.3089978530489165, "compression_ratio": 1.2371134020618557, "no_speech_prob": 0.0, "words": [{"start": 1099.22, "end": 1099.6, "word": "الان", "probability": 0.702392578125}, {"start": 1099.6, "end": 1100.26, "word": " بنتقل", "probability": 0.83050537109375}, {"start": 1100.26, "end": 1101.44, "word": " لل", "probability": 0.480224609375}, {"start": 1101.44, "end": 1101.88, "word": " fourth", "probability": 0.67529296875}, {"start": 1101.88, "end": 1105.96, "word": " ventricle", "probability": 0.9441731770833334}, {"start": 1105.96, "end": 1111.96, "word": " هذا", "probability": 0.2509765625}, {"start": 1111.96, 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production لل CSF من ال capillaries بتاعة الارتريز وبتعمل عملية فلترة وبتخرج ال CSF من ال blood من ال arterial blood في ال ventricular system circulation of CSF سيبونا من ال slide هذا نتبع مع بعض على slide هان او بتقول على ال slide اللي أنا رسمته نفس الشيء على الصورة اللي رسمتها", "tokens": [3555, 9957, 11778, 47302, 15042, 39894, 25957, 1211, 30197, 1975, 2407, 4265, 24976, 9460, 37, 9154, 2423, 1410, 373, 4889, 39894, 995, 27884, 2423, 9640, 2655, 16572, 11622, 46599, 2655, 25957, 1211, 6225, 42213, 10632, 6156, 1211, 2655, 25720, 46599, 2655, 34740, 7435, 2423, 9460, 37, 9154, 2423, 3390, 9154, 2423, 30455, 831, 3390, 8978, 2423, 6931, 42750, 1185, 23168, 295, 9460, 37, 8608, 1829, 3555, 2407, 8315, 9154, 2423, 4137, 23758, 8717, 2655, 3555, 3615, 20449, 45030, 11242, 15844, 4137, 8032, 7649, 1975, 2407, 39894, 39648, 15844, 2423, 4137, 13672, 1829, 41850, 12602, 38251, 47395, 8717, 36178, 25124, 1829, 38207, 15844, 31767, 13063, 3660, 13672, 1829, 12602, 38251, 2655, 11296], 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capillaries", "probability": 0.6170247395833334}, {"start": 1660.61, "end": 1661.01, "word": " بتاعة", "probability": 0.8209635416666666}, {"start": 1661.01, "end": 1661.81, "word": " الارتريز", "probability": 0.55849609375}, {"start": 1661.81, "end": 1662.61, "word": " وبتعمل", "probability": 0.87646484375}, {"start": 1662.61, "end": 1663.01, "word": " عملية", "probability": 0.9873046875}, {"start": 1663.01, "end": 1663.65, "word": " فلترة", "probability": 0.9344482421875}, {"start": 1663.65, "end": 1664.63, "word": " وبتخرج", "probability": 0.84771728515625}, {"start": 1664.63, "end": 1664.83, "word": " ال", "probability": 0.64697265625}, {"start": 1664.83, "end": 1665.43, "word": " CSF", "probability": 0.986083984375}, {"start": 1665.43, "end": 1665.63, "word": " من", "probability": 0.98876953125}, {"start": 1665.63, "end": 1665.73, "word": " ال", "probability": 0.74462890625}, {"start": 1665.73, "end": 1665.95, "word": " blood", "probability": 0.91845703125}, {"start": 1665.95, 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1673.21, "end": 1673.33, "word": " من", "probability": 0.9326171875}, {"start": 1673.33, "end": 1673.43, "word": " ال", "probability": 0.763671875}, {"start": 1673.43, "end": 1673.65, "word": " slide", "probability": 0.96044921875}, {"start": 1673.65, "end": 1673.91, "word": " هذا", "probability": 0.53173828125}, {"start": 1673.91, "end": 1675.09, "word": " نتبع", "probability": 0.8367919921875}, {"start": 1675.09, "end": 1675.25, "word": " مع", "probability": 0.97900390625}, {"start": 1675.25, "end": 1675.67, "word": " بعض", "probability": 0.99072265625}, {"start": 1675.67, "end": 1675.97, "word": " على", "probability": 0.87060546875}, {"start": 1675.97, "end": 1676.31, "word": " slide", "probability": 0.477783203125}, {"start": 1676.31, "end": 1676.55, "word": " هان", "probability": 0.5494384765625}, {"start": 1676.55, "end": 1677.85, "word": " او", "probability": 0.861572265625}, {"start": 1677.85, "end": 1678.07, "word": " بتقول", "probability": 0.4366455078125}, {"start": 1678.07, "end": 1678.19, "word": " على", "probability": 0.4755859375}, {"start": 1678.19, "end": 1678.25, "word": " ال", "probability": 0.461669921875}, {"start": 1678.25, "end": 1678.41, "word": " slide", "probability": 0.98046875}, {"start": 1678.41, "end": 1678.55, "word": " اللي", "probability": 0.87841796875}, {"start": 1678.55, "end": 1678.69, "word": " أنا", "probability": 0.5126953125}, {"start": 1678.69, "end": 1679.15, "word": " رسمته", "probability": 0.9191080729166666}, {"start": 1679.15, "end": 1679.47, "word": " نفس", "probability": 0.971923828125}, {"start": 1679.47, "end": 1679.73, "word": " الشيء", "probability": 0.7626139322916666}, {"start": 1679.73, "end": 1679.89, "word": " على", "probability": 0.51123046875}, {"start": 1679.89, "end": 1680.07, "word": " الصورة", "probability": 0.9762369791666666}, {"start": 1680.07, "end": 1680.13, "word": " اللي", "probability": 0.6346435546875}, {"start": 1680.13, "end": 1680.61, "word": " رسمتها", "probability": 0.916015625}], "temperature": 1.0}, {"id": 64, "seek": 170935, "start": 1681.51, "end": 1709.35, "text": "الـ CSF اللى تم اله production من الـ third ventricle بعبر عن طريق الـ interventricular forum من أومنروه right and left و بيروح لوين؟ لل third ventricle ها ايه دخل و راحوا لوين؟ ل .. نرسم بلون ثاني و راحوا ل .. لل third ventricle", "tokens": [6027, 39184, 9460, 37, 13672, 7578, 46811, 2423, 3224, 4265, 9154, 2423, 39184, 2636, 6931, 1341, 306, 4724, 3615, 26890, 18871, 23032, 16572, 4587, 2423, 39184, 728, 2475, 42750, 17542, 9154, 34051, 27842, 32887, 3224, 558, 293, 1411, 4032, 4724, 13546, 2407, 5016, 45164, 9957, 22807, 24976, 2636, 6931, 1341, 306, 8032, 995, 1975, 1829, 3224, 11778, 9778, 1211, 4032, 12602, 39319, 14407, 45164, 9957, 22807, 5296, 4386, 8717, 2288, 38251, 4724, 1211, 11536, 38637, 7649, 1829, 4032, 12602, 39319, 14407, 5296, 4386, 24976, 2636, 6931, 1341, 306], "avg_logprob": -0.3613061851330018, "compression_ratio": 1.5940594059405941, "no_speech_prob": 0.0, "words": 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لوين؟", "probability": 0.7132161458333334}, {"start": 1694.61, "end": 1694.81, "word": " لل", "probability": 0.375}, {"start": 1694.81, "end": 1695.27, "word": " third", "probability": 0.393798828125}, {"start": 1695.27, "end": 1695.93, "word": " ventricle", "probability": 0.9588216145833334}, {"start": 1695.93, "end": 1696.69, "word": " ها", "probability": 0.51806640625}, {"start": 1696.69, "end": 1696.85, "word": " ايه", "probability": 0.6685384114583334}, {"start": 1696.85, "end": 1697.53, "word": " دخل", "probability": 0.9677734375}, {"start": 1697.53, "end": 1700.17, "word": " و", "probability": 0.76513671875}, {"start": 1700.17, "end": 1700.45, "word": " راحوا", "probability": 0.7972005208333334}, {"start": 1700.45, "end": 1702.65, "word": " لوين؟", "probability": 0.9415690104166666}, {"start": 1702.65, "end": 1702.87, "word": " ل", "probability": 0.6318359375}, {"start": 1702.87, "end": 1703.05, "word": " ..", "probability": 0.159912109375}, {"start": 1703.05, "end": 1703.53, 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aqueduct و بيروحوا لوين؟ لال third من ال third ventricle بيروحوا لال fourth ventricle جزء بسيط من ال CSF", "tokens": [3224, 1829, 2407, 4724, 1829, 3794, 19528, 14407, 15844, 2423, 2636, 6931, 1341, 306, 4032, 4724, 1829, 47283, 3215, 14407, 2423, 9460, 37, 9154, 2423, 2636, 6931, 1341, 306, 4032, 4724, 25708, 9778, 1211, 14407, 45164, 9957, 22807, 5296, 15312, 32728, 2373, 292, 11130, 4032, 4724, 13546, 2407, 5016, 14407, 45164, 9957, 22807, 5296, 6027, 2636, 9154, 2423, 2636, 6931, 1341, 306, 4724, 13546, 2407, 5016, 14407, 5296, 6027, 6409, 6931, 1341, 306, 10874, 11622, 38207, 4724, 3794, 1829, 9566, 9154, 2423, 9460, 37], "avg_logprob": -0.19191176891326905, "compression_ratio": 1.8580645161290323, "no_speech_prob": 0.0, "words": [{"start": 1715.4200000000003, "end": 1716.5400000000002, "word": "هيو", "probability": 0.5272216796875}, {"start": 1716.5400000000002, "end": 1717.66, "word": " بيسلموا", "probability": 0.87177734375}, {"start": 1717.66, "end": 1717.82, "word": " على", 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00:00:13,840 +وبركاته الجزء الثاني من محاضرة الأسبوع الخامس رح + +3 +00:00:13,840 --> 00:00:18,200 +تكون على ventricles of the brain and CSF + +4 +00:00:18,200 --> 00:00:24,430 +circulationThe brain and spinal cord float within + +5 +00:00:24,430 --> 00:00:30,170 +a protective bath of cerebrospinal fluid. الدماغ و + +6 +00:00:30,170 --> 00:00:38,810 +الحبل الشوكي بيسبحوا في حوض من السائل الدماغي + +7 +00:00:38,810 --> 00:00:46,040 +الشوكي CSFis produced by the choroidal plexus + +8 +00:00:46,040 --> 00:00:49,960 +واحنا عارفين في ال ventricular system في ال + +9 +00:00:49,960 --> 00:00:53,640 +choroidal plexus أصلها جاية من invagination of the + +10 +00:00:53,640 --> 00:00:59,920 +pia mater و ال choroidal plexus contains ependymal + +11 +00:00:59,920 --> 00:01:03,140 +cells و ال ependymal cells تمنا production ل ال + +12 +00:01:03,140 --> 00:01:09,410 +CSFEach part of the central nervous system contain + +13 +00:01:09,410 --> 00:01:14,210 +a component of the ventricular system يعني لو + +14 +00:01:14,210 --> 00:01:18,530 +اتكلمنا على ال cerebral hemisphere في lateral + +15 +00:01:18,530 --> 00:01:23,250 +ventricle، diencephalon third ventricle في + +16 +00:01:23,250 --> 00:01:26,510 +الcerebellum و المدلة و ال pons في fourth + +17 +00:01:26,510 --> 00:01:31,510 +ventricle، في ال midbrain في silvius aqueduct أو + +18 +00:01:31,510 --> 00:01:37,470 +بنسميها cerebral aqueductالـ ventricles contain + +19 +00:01:37,470 --> 00:01:46,150 +about 35 milliliter of cerebrospinal fluid the + +20 +00:01:46,150 --> 00:01:50,850 +ventricles of the brain there + +21 +00:01:50,850 --> 00:01:54,310 +are four interconnection ventricles of the brain + +22 +00:01:54,310 --> 00:02:00,410 +في عندنا four ventricles lateral ventricles البطين + +23 +00:02:00,410 --> 00:02:05,900 +الجانبي right and left lateral ventriclethird + +24 +00:02:05,900 --> 00:02:11,700 +ventricle البطين الثالث and fourth ventricle + +25 +00:02:11,700 --> 00:02:17,220 +البطين الرابع يبقى عندنا four interconnection + +26 +00:02:17,220 --> 00:02:22,980 +ventricles two lateral ventricles and one third + +27 +00:02:22,980 --> 00:02:30,720 +ventricle and a fourth ventricle اللحظة هنا عندي + +28 +00:02:30,720 --> 00:02:33,800 +lateral ventricle + +29 +00:02:36,730 --> 00:02:42,830 +left and right lateral ventricle بعدها بيجي third + +30 +00:02:42,830 --> 00:02:47,870 +ventricle وفي الآخر في عندي ايه fourth ventricle + +31 +00:02:47,870 --> 00:02:56,530 +هنا عندي في الصورة واضح cavity + +32 +00:02:56,530 --> 00:03:03,090 +of right lateral ventricle بعدين هنا في بتكون + +33 +00:03:03,090 --> 00:03:09,820 +cavity ofthird ventricle وهنا فيه اللي هي cavity + +34 +00:03:09,820 --> 00:03:15,940 +of a fourth ventricle و ال connection القناة اللي + +35 +00:03:15,940 --> 00:03:20,520 +بتوصل ما بين ال third ventricle و ال fourth + +36 +00:03:20,520 --> 00:03:26,520 +ventricle اسمها silvius aqueduct او cerebral + +37 +00:03:26,520 --> 00:03:33,270 +aqueduct اسمها silvius aqueductأو cerebral + +38 +00:03:33,270 --> 00:03:48,290 +aqueduct أو بنسميها aqueduct of midbrain نبدأ + +39 +00:03:48,290 --> 00:03:53,270 +ب lateral ventricle لدينا two lateral ventricles + +40 +00:03:53,270 --> 00:03:58,510 +right and left lateral ventricles side + +41 +00:03:59,940 --> 00:04:03,360 +lateral ventricles عبارة عن cavity of cerebral + +42 +00:04:03,360 --> 00:04:06,660 +hemispheres يعني انها right cerebral hemisphere و + +43 +00:04:06,660 --> 00:04:10,120 +left cerebral hemisphere كل cerebral hemisphere + +44 +00:04:10,120 --> 00:04:12,660 +اللي لهم cavity اسمه lateral ventricles يعني انها + +45 +00:04:12,660 --> 00:04:16,700 +right and left lateral ventricles لو اتكلمنا عن ال + +46 +00:04:16,700 --> 00:04:22,400 +origin of lateral + +47 +00:04:22,400 --> 00:04:25,600 +ventricles بيكون جاي من telencephalon او + +48 +00:04:25,600 --> 00:04:28,820 +prosencephalon communication + +49 +00:04:31,580 --> 00:04:41,000 +no any direct connections between right and left + +50 +00:04:41,000 --> 00:04:44,480 +lateral ventricles يعني مافي انها direct + +51 +00:04:44,480 --> 00:04:46,820 +connection between right and left lateral + +52 +00:04:46,820 --> 00:04:53,260 +ventricle نرسمهم مع بعض الآن هي ان انا برسم + +53 +00:05:24,530 --> 00:05:33,650 +أنا رسمت right وهي برسم فيه left lateral + +54 +00:05:33,650 --> 00:05:35,250 +ventricle يعني عندي + +55 +00:05:44,560 --> 00:05:56,420 +right lateral ventricle و left lateral ventricle + +56 +00:05:56,420 --> 00:06:02,540 +okay no direct connection between both lateral + +57 +00:06:02,540 --> 00:06:05,460 +ventricles تمام بعدها بدنا نرسم + +58 +00:06:11,790 --> 00:06:13,170 +third ventricle + +59 +00:06:36,980 --> 00:06:42,700 +بين ال lateral ventricle و ال third ventricle فى + +60 +00:06:42,700 --> 00:06:51,760 +foramen left interventricular foramen of monroe و + +61 +00:06:51,760 --> 00:06:59,320 +هنا فى right interventricular foramen of monroe + +62 +00:06:59,320 --> 00:07:05,210 +يعني احنا رسلناleft lateral ventricle و right + +63 +00:07:05,210 --> 00:07:09,010 +lateral ventricle و رسمنا third ventricle no + +64 +00:07:09,010 --> 00:07:12,630 +direct connection between both lateral ventricles + +65 +00:07:12,630 --> 00:07:18,170 +but presented indirect connection من خلال ايه؟ + +66 +00:07:19,470 --> 00:07:23,570 +interventricular foramen of Monroe كم Monroe فينا؟ + +67 +00:07:23,570 --> 00:07:28,050 +فينا two foramen of Monroe فينا left foramen of + +68 +00:07:28,050 --> 00:07:32,150 +Monroe و في right foramen of Monroe يبقى ال + +69 +00:07:32,150 --> 00:07:36,410 +communication بتاع ال lateral ventricle H lateral + +70 +00:07:36,410 --> 00:07:41,410 +ventricle communicates with the third ventricle + +71 +00:07:41,410 --> 00:07:45,770 +through interventricular foramen of Monroe right + +72 +00:07:45,770 --> 00:07:46,510 +and left + +73 +00:07:50,300 --> 00:07:53,360 +What's the part of the lateral ventricle؟ إيش + +74 +00:07:53,360 --> 00:07:56,220 +أجزاء ال lateral ventricle؟ ال lateral ventricle + +75 +00:07:56,220 --> 00:08:02,140 +contains anterior horn أو frontal horn located in + +76 +00:08:02,140 --> 00:08:08,180 +frontal loop، posterior horn أو occipital horn + +77 +00:08:08,180 --> 00:08:13,330 +located in occipital loop،Inferior horn أو + +78 +00:08:13,330 --> 00:08:17,690 +temporal horn located in temporal loop مين راح + +79 +00:08:17,690 --> 00:08:21,550 +يزعل؟ ال parietal loop مايزعلش ال parietal loop و + +80 +00:08:21,550 --> 00:08:26,270 +في جزء اسمه body أو central part of the lateral + +81 +00:08:26,270 --> 00:08:30,990 +ventricle which is located in the parietal loopو + +82 +00:08:30,990 --> 00:08:36,530 +في شي اسمه trigon او atrium دي لاتيشن at the + +83 +00:08:36,530 --> 00:08:41,070 +meeting of the inferior and posterior horn وين + +84 +00:08:41,070 --> 00:08:44,570 +بتقابل ال anterior و ال posterior horn نشوف مع بعض + +85 +00:08:44,570 --> 00:08:51,390 +على الصورة هنا في الخلف عندي هنا posterior horn + +86 +00:08:51,390 --> 00:09:00,210 +posterior horn و في الأمام بيكون anterior hornوهنا + +87 +00:09:00,210 --> 00:09:05,570 +ايش ال body او ال central part body او ال central + +88 +00:09:05,570 --> 00:09:09,330 +part مش هينبين انها الأجزاء الثانية يعني يعني عندي + +89 +00:09:09,330 --> 00:09:12,310 +في posterior horn بتكون في ال occipital loop في + +90 +00:09:12,310 --> 00:09:16,070 +anterior horn بتكون في ال frontal loop وفي body + +91 +00:09:16,070 --> 00:09:25,330 +بتكون في parietal loop في parietal loop واضح + +92 +00:09:25,330 --> 00:09:25,770 +عندي هنا + +93 +00:09:28,940 --> 00:09:34,000 +انتيريور هارن بوستيريور هارن و تحت في ال temporal + +94 +00:09:34,000 --> 00:09:40,630 +loop في inferior horn يعني frontal hornأكسبتال + +95 +00:09:40,630 --> 00:09:45,310 +هورن كيمبورال هورن أو اسم ثاني انتريور هورن + +96 +00:09:45,310 --> 00:09:50,550 +بوستيريور هورن انفريور هورن طب و المكان تلاقي + +97 +00:09:50,550 --> 00:09:54,790 +الانفريور هورن مع ال بوستيريور هورن هذا المكان + +98 +00:09:54,790 --> 00:10:01,470 +بنسميه تريجون بنسميه تريجون او أتريوم of lateral + +99 +00:10:01,470 --> 00:10:02,290 +ventricle + +100 +00:10:08,870 --> 00:10:15,950 +لاحظوا هنا على سجن teleview عندي anterior horn, + +101 +00:10:17,650 --> 00:10:26,870 +posterior horn, inferior horn, body و هذا المكان + +102 +00:10:26,870 --> 00:10:34,830 +بنسمي atrium او trigonهو مكان تلاقي ال posterior + +103 +00:10:34,830 --> 00:10:38,510 +horn مع ال inferior horn، لكن الأصح لو قلنا أصح + +104 +00:10:38,510 --> 00:10:45,310 +كمان هو عبارة عن تلاقي ما بين posterior horn مع ال + +105 +00:10:45,310 --> 00:10:51,140 +inferior horn و ال bodyمكان بتلاقى فيه ال body مع + +106 +00:10:51,140 --> 00:10:53,140 +ال posterior horn و ال inferior horn لكن الكتب + +107 +00:10:53,140 --> 00:10:56,240 +بيكتبوا هو عبارة عن مكان وين بتلاقى فيه ال + +108 +00:10:56,240 --> 00:10:59,860 +posterior horn مع ال inferior horn الأصح تلاقي ما + +109 +00:10:59,860 --> 00:11:05,240 +بين posterior horn و inferior horn and body of + +110 +00:11:05,240 --> 00:11:09,060 +lateral ventricle and body of lateral ventricle + +111 +00:11:09,060 --> 00:11:16,710 +لاحظوا هنا في فرم هنا واحد اتنينواحد بيكون مع ال + +112 +00:11:16,710 --> 00:11:18,430 +left lateral ventricle و مع ال right lateral + +113 +00:11:18,430 --> 00:11:21,810 +ventricle هذول communication مع مين؟ مع ال third + +114 +00:11:21,810 --> 00:11:25,390 +ventricle مع ايه؟ مع ال third ventricle مع ال + +115 +00:11:25,390 --> 00:11:28,990 +third ventricle اسمه Interventricular Foramen of + +116 +00:11:28,990 --> 00:11:41,650 +Monroe Interventricular Foramen of Monroe هذا + +117 +00:11:41,650 --> 00:11:47,320 +واضح على ال axial cutهذا anterior horn وهذا + +118 +00:11:47,320 --> 00:11:53,100 +posterior horn أو هذا posterior horn وهذا تراجون + +119 +00:11:53,100 --> 00:12:05,980 +او أتريام تجي هنا تراجون او أتريام ننتقل + +120 +00:12:05,980 --> 00:12:15,020 +الآن لثير ذنتركل ثير ذنتركل عبارة عن cavityهو + +121 +00:12:15,020 --> 00:12:19,600 +كفتيه of diencephalon it is narrow cavity situated + +122 +00:12:19,600 --> 00:12:25,780 +in the midline between the right and left thalamus + +123 +00:12:25,780 --> 00:12:32,270 +و الهيبو ثلامس بين ال right و ال leftفي adhesion + +124 +00:12:32,270 --> 00:12:36,610 +بنسميها interthalamic adhesion هي هذي اللي انا + +125 +00:12:36,610 --> 00:12:40,230 +رسمتها هي عبارة عن interthalamic adhesion + +126 +00:12:40,230 --> 00:12:44,430 +interthalamic ايه؟ adhesion يعني هذا المكان + +127 +00:12:44,430 --> 00:12:49,730 +connection between right and left thalami okay ال + +128 +00:12:49,730 --> 00:12:55,690 +origin of third ventricle from diencephalon او + +129 +00:12:55,690 --> 00:12:57,810 +كمان صح frozen cephalon + +130 +00:13:00,320 --> 00:13:07,440 +هنا عندي ال axial cut هذا هو ال third ventric اللي + +131 +00:13:07,440 --> 00:13:11,220 +بيجي في النصف من المنتصف و بيحده من الشمال و + +132 +00:13:11,220 --> 00:13:18,980 +اليمين left thalamus و right thalamus غير هيك بيمر + +133 +00:13:18,980 --> 00:13:25,240 +في شي اسمهinterthalamic adhesion connections + +134 +00:13:25,240 --> 00:13:30,200 +between left and right ثلمائي يبقى هي عبارة عن + +135 +00:13:30,200 --> 00:13:34,340 +connection between left and right ثلمائي كام third + +136 +00:13:34,340 --> 00:13:38,620 +ventricle عندنا one third ventricle عندنا one + +137 +00:13:38,620 --> 00:13:44,240 +third ventricle ننتقل ل communications of third + +138 +00:13:44,240 --> 00:13:48,000 +ventricle اول communication انا اتكلمت عنها + +139 +00:13:49,130 --> 00:13:56,090 +anterior superiorly من الأمام ومن أعلى the third + +140 +00:13:56,090 --> 00:14:01,690 +ventricle communicates with a lateral ventricle + +141 +00:14:01,690 --> 00:14:06,570 +يعني ال third ventricle communicates with a both + +142 +00:14:06,570 --> 00:14:13,490 +lateral ventricleOkay كمان مرة اللي هو ال third + +143 +00:14:13,490 --> 00:14:19,170 +ventricle communicates anterior superiorly with + +144 +00:14:19,170 --> 00:14:23,910 +both lateral ventricles من طريق ايه؟ او عن طريق + +145 +00:14:23,910 --> 00:14:29,270 +ايه؟ عن طريق interventricular foramen of Monroe كم + +146 +00:14:29,270 --> 00:14:34,070 +Monroe عندي؟ left and right Monroe يبقى خلصنا من + +147 +00:14:34,070 --> 00:14:35,990 +الاعلى طب من أسفل + +148 +00:14:40,160 --> 00:14:47,600 +Posterior inferiorly Posterior + +149 +00:14:47,600 --> 00:14:53,820 +inferiorly communicate with fourth ventricle with + +150 +00:14:53,820 --> 00:14:57,220 +ايه؟ + +151 +00:14:57,220 --> 00:15:04,940 +with fourth ventricle عن طريق ايه؟ هذه fourth + +152 +00:15:04,940 --> 00:15:07,680 +ventricle + +153 +00:15:09,860 --> 00:15:16,180 +عن طريق enter او بنسميه cerebral .. cerebral + +154 +00:15:16,180 --> 00:15:25,180 +aqueduct او له اسم ثاني silvius aqueduct يعني + +155 +00:15:25,180 --> 00:15:29,400 +silvius aqueduct او cerebral aqueduct تعمل + +156 +00:15:29,400 --> 00:15:32,440 +connection ما بين ال third ventricle مع ال fourth + +157 +00:15:32,440 --> 00:15:37,060 +كمان مرة نعيد communication of third ventricle + +158 +00:15:38,550 --> 00:15:42,530 +anterior superiorly من الأمام ومن أعلى + +159 +00:15:42,530 --> 00:15:45,790 +communicates + +160 +00:15:45,790 --> 00:15:51,450 +مع both lateral ventricles عن طريق ايه؟ + +161 +00:15:51,450 --> 00:15:55,670 +Interventricular foramen of Monroe two Monroe + +162 +00:15:55,670 --> 00:16:01,930 +اثنين posterior inferiorly من الخلف ومن تحت + +163 +00:16:01,930 --> 00:16:10,380 +communicates withfourth ventricle عن طريق ايه؟ + +164 +00:16:10,380 --> 00:16:15,200 +sylvius او cerebral aqueduct اللي هو يعتبر cavity + +165 +00:16:15,200 --> 00:16:22,120 +of midbrain cavity of midbrain هاي عندنا + +166 +00:16:22,120 --> 00:16:29,880 +interthalamic adhesion هاي منروفورامين وهي عندي + +167 +00:16:29,880 --> 00:16:33,880 +ايه؟ cerebral aqueduct اللي بربط ما بين + +168 +00:16:38,960 --> 00:16:49,740 +third ventricle مع مين؟ مع fourth ventricle و + +169 +00:16:49,740 --> 00:17:03,620 +anterior superior ليه؟ عندي من عندي + +170 +00:17:03,620 --> 00:17:04,280 +في ايه؟ + +171 +00:17:08,720 --> 00:17:13,100 +من رو فورامن Right + +172 +00:17:13,100 --> 00:17:17,600 +and left بيعمل connection بين ال lateral ventricle + +173 +00:17:17,600 --> 00:17:21,680 +مع مين؟ مع ال third ventricle يعني هي عندي lateral + +174 +00:17:21,680 --> 00:17:26,340 +ventricles عن طريق من رو ارتبطوا مع ال third + +175 +00:17:26,340 --> 00:17:29,800 +ventricle ال third ventricle عن طريق سربع ال + +176 +00:17:29,800 --> 00:17:34,710 +aqueductمع مين؟ مع ال fourth ventricle هاد ال + +177 +00:17:34,710 --> 00:17:40,870 +communication between the ventricular system واضح + +178 +00:17:40,870 --> 00:17:45,290 +ان دي lateral ventricle communicates مع ال third + +179 +00:17:45,290 --> 00:17:47,530 +ventricle عن طريق interventricular foramen of + +180 +00:17:47,530 --> 00:17:51,410 +Monroe and right and left Monroe بعدين third + +181 +00:17:51,410 --> 00:17:54,690 +ventricle عن طريق cerebral aqueduct أو sylvius + +182 +00:17:54,690 --> 00:17:58,410 +aqueduct communicates with ايش؟ with fourth + +183 +00:17:58,410 --> 00:17:58,990 +ventricle + +184 +00:18:19,220 --> 00:18:25,960 +الان بنتقل لل fourth ventricle + +185 +00:18:25,960 --> 00:18:31,960 +هذا + +186 +00:18:31,960 --> 00:18:38,020 +left lateral ventricle + +187 +00:18:38,020 --> 00:18:42,800 +okay fourth + +188 +00:18:42,800 --> 00:18:50,070 +ventricle it is cavity of hind brainو ممكن اقول it + +189 +00:18:50,070 --> 00:18:55,770 +is cavity of rhombocephalon وين موجود؟ located + +190 +00:18:55,770 --> 00:19:00,010 +between cerebellum + +191 +00:19:00,010 --> 00:19:05,470 +and pons medulla blankata يعني بيحدوا من الخلف + +192 +00:19:05,470 --> 00:19:12,990 +الcerebellum و بيحدوا من الأمام ال pons و ال upper + +193 +00:19:12,990 --> 00:19:18,170 +medulla او open medullaطيب بكلام ثاني لو بدى نصيغه + +194 +00:19:18,170 --> 00:19:26,490 +وين موجود ال fourth ventricle located between the + +195 +00:19:26,490 --> 00:19:34,630 +dorsal cervix of pons and open medulla and + +196 +00:19:35,750 --> 00:19:40,130 +ventral service of cerebellum يبقى ان هو ال cavity + +197 +00:19:40,130 --> 00:19:46,190 +هذا محصور ما بين ال ventral cavity of cerebellum + +198 +00:19:46,190 --> 00:19:51,970 +من الخلف و ال dorsal service بتاع ال palms و ال + +199 +00:19:51,970 --> 00:19:59,390 +upper medulla او open medulla من الأمام تمام ال + +200 +00:19:59,390 --> 00:20:05,590 +angles الموجودة في ال fourth ventricleأول شيء فيه + +201 +00:20:05,590 --> 00:20:11,190 +superior angle و inferior angle و lateral angle + +202 +00:20:11,190 --> 00:20:19,030 +superior angle بفتح فيه اللي هو silvius aqueduct + +203 +00:20:19,030 --> 00:20:24,270 +أو cerebral aqueduct من أعلى superior angle ال + +204 +00:20:24,270 --> 00:20:30,470 +inferior angle بيمر في ال central spinal canal + +205 +00:20:30,470 --> 00:20:35,530 +بيمر في ال closed medullaطيب و ال lateral angle + +206 +00:20:35,530 --> 00:20:41,470 +right and left lateral angle بيمر فيه فرمن اسمه + +207 +00:20:41,470 --> 00:20:45,530 +logica right logica فرمن و left logica فرمن كمان + +208 +00:20:45,530 --> 00:20:54,110 +مرة في عندي superior angle تشوف مع الصورة هيهم هي + +209 +00:20:54,110 --> 00:21:02,290 +angle superior angle مين فاتح فيه فاتح اللي هو + +210 +00:21:07,180 --> 00:21:13,880 +cerebral aqueduct هذا في ال superior angle طب في + +211 +00:21:13,880 --> 00:21:21,020 +ال inferior angle هى inferior angle بفتح + +212 +00:21:21,020 --> 00:21:26,120 +فيه central + +213 +00:21:26,120 --> 00:21:29,260 +central + +214 +00:21:30,080 --> 00:21:34,500 +Spinal Canal Central Spinal Canal اللي بيمر وين؟ + +215 +00:21:34,500 --> 00:21:37,680 +أول شي بيمر في الـ Closed Medulla وبعدين بيمر في + +216 +00:21:37,680 --> 00:21:43,320 +Spinal Cord يبقى عندي Inferior Angle فاتح فيه اللي + +217 +00:21:43,320 --> 00:21:47,840 +هو Central Spinal Canal وفي Superior Angle فاتح + +218 +00:21:47,840 --> 00:21:53,520 +Cerebral أو Silvius Aqueduct وفي عندي Lateral + +219 +00:21:53,520 --> 00:22:01,080 +Angle Lateral Angle Right and Leftlateral angle + +220 +00:22:01,080 --> 00:22:06,680 +بفتح فيهم فرمن على ال right اسمه right lochka + +221 +00:22:06,680 --> 00:22:10,680 +foramen وعلى ال left اسمه left lochka foramen يبقى + +222 +00:22:10,680 --> 00:22:15,120 +بالطريقة هذه انا شرحتلكم ال angles of fourth + +223 +00:22:15,120 --> 00:22:22,400 +ventricle الآن + +224 +00:22:22,400 --> 00:22:27,480 +صار الموضوع سهل communications of the fourth + +225 +00:22:27,480 --> 00:22:32,860 +ventricle انا اتكلمتعن communication بين ال fourth + +226 +00:22:32,860 --> 00:22:40,720 +ventricle ها هي و ال third ventricle اسمها silvius + +227 +00:22:40,720 --> 00:22:44,140 +او cerebral aqueduct بتكون فاتحة في ال superior + +228 +00:22:44,140 --> 00:22:49,560 +angle طب في ال inferior angle في communications + +229 +00:22:49,560 --> 00:22:57,400 +اسمها central + +230 +00:23:01,100 --> 00:23:09,160 +spinal canal طيب + +231 +00:23:09,160 --> 00:23:16,420 +في ال lateral angle على ال right و على ال left في + +232 +00:23:16,420 --> 00:23:24,340 +right and left formina + +233 +00:23:24,340 --> 00:23:27,720 +logica + +234 +00:23:30,810 --> 00:23:34,810 +طيب في ال media .. بصير ال media في ال .. في ال + +235 +00:23:34,810 --> 00:23:40,490 +report فيها فرمان + +236 +00:23:40,490 --> 00:23:44,670 +مجندي + +237 +00:23:44,670 --> 00:23:50,970 +.. فرمان مجندي او مجندي يقول عندي كام صاروا .. + +238 +00:23:50,970 --> 00:23:54,970 +صاروا اربعة صاروا كام فرمان او communication اربعة + +239 +00:23:55,910 --> 00:24:00,810 +Cerebral Aqueduct أو Central أو Sylvius Aqueduct + +240 +00:24:00,810 --> 00:24:04,690 +هو عبارة عن connection between fourth and third + +241 +00:24:04,690 --> 00:24:10,390 +ventricle Central Spinal Canal بيصرف جزء من ال CSF + +242 +00:24:10,390 --> 00:24:16,800 +على ال central spinal canal لمين؟ لل spinal cordو + +243 +00:24:16,800 --> 00:24:21,160 +ثلاثة فرامنة .. يعني ثلاثة فرامنة تولوشكة فرامنة + +244 +00:24:21,160 --> 00:24:24,340 +بيكون اللاترال أو وان ماجيندي فرامن بيكون + +245 +00:24:24,340 --> 00:24:30,450 +بوستيريور هدول بيصرفوا ال CSFمن ال fourth + +246 +00:24:30,450 --> 00:24:36,530 +ventricle ل subarachnoid space and subarachnoid + +247 +00:24:36,530 --> 00:24:40,210 +cistern subarachnoid space and subarachnoid + +248 +00:24:40,210 --> 00:24:45,970 +cistern و احنا اتفجنا ان ال cistern هي عبارة عن + +249 +00:24:45,970 --> 00:24:54,690 +widening place of subarachnoid space هاي + +250 +00:24:54,690 --> 00:24:58,630 +ممكن مرة نشرحهم هنا communications او نشوف صورة + +251 +00:24:58,630 --> 00:24:58,950 +تانية + +252 +00:25:02,160 --> 00:25:05,680 +هنا واضح هى ال communication بتاعة ال fourth + +253 +00:25:05,680 --> 00:25:10,960 +ventricle نرسم ال fourth ventricle هذا هو ال ايه + +254 +00:25:10,960 --> 00:25:18,400 +fourth ventricle اول + +255 +00:25:18,400 --> 00:25:22,500 +communication مع ال superior angle عن طريق + +256 +00:25:22,500 --> 00:25:29,040 +cerebral aqueduct او sylvius aqueduct هى اول واحد + +257 +00:25:30,920 --> 00:25:35,680 +Central Spinal Canal في الـ Closed Medulla وبعدين + +258 +00:25:35,680 --> 00:25:41,900 +في Spinal Cord ثلاثة وأربعة في الـ Lateral بيكون + +259 +00:25:41,900 --> 00:25:47,740 +عندي فرع من Logica Right and Left و posteriorly + +260 +00:25:47,740 --> 00:25:53,070 +بيكون فرع من Magendieالسيلفياس اكويداكت او + +261 +00:25:53,070 --> 00:25:56,470 +cerebral aqueduct بربط ال third ventricle مع ال + +262 +00:25:56,470 --> 00:26:03,670 +fourth ventricle Central spinal canal بعمل + +263 +00:26:03,670 --> 00:26:06,970 +connection ما بين ال fourth ventricle مع ال + +264 +00:26:06,970 --> 00:26:11,090 +central spinal canal بتاعة ال spinal cordفورا من + +265 +00:26:11,090 --> 00:26:15,370 +الوشكا او ماجيندي بيصرفوا ال CSF من ال fourth + +266 +00:26:15,370 --> 00:26:20,010 +ventricle لال subarachnoid space والsubarachnoid + +267 +00:26:20,010 --> 00:26:24,190 +cistern وقولنا ال cistern هي عبارة عن widening + +268 +00:26:24,190 --> 00:26:32,310 +place of subarachnoid space هيك بيكون انا شرحتلكم + +269 +00:26:32,310 --> 00:26:39,700 +ال ventricular system هاي واضح syllabus aqueductأو + +270 +00:26:39,700 --> 00:26:43,140 +cerebroacviduct واضح عندي central spinal canal + +271 +00:26:43,140 --> 00:26:47,720 +واضح عن الوجكا المجندي foramen وفي ال lateral + +272 +00:26:47,720 --> 00:26:54,080 +بيكون two logica foramina cerebrospinal fluid أخر + +273 +00:26:54,080 --> 00:26:58,340 +جزئية في المحاضرة cerebrospinal fluid هي عبارة عن + +274 +00:26:58,340 --> 00:27:04,040 +fluid which circulates in the ventricles and + +275 +00:27:04,040 --> 00:27:11,200 +central canal of CNSوأيضًا تدفع إلى الـ + +276 +00:27:11,200 --> 00:27:18,340 +Subarachnoid space الـ production of CSF بتتم من + +277 +00:27:18,340 --> 00:27:23,220 +ابن دايمة ال cells موجودة في الكرويذيا لبليكساس of + +278 +00:27:23,220 --> 00:27:27,560 +lateral third and fourth ventricle لكن أكتر شيء + +279 +00:27:27,560 --> 00:27:33,410 +بيكون في ال lateral ventricleبين دايما بتعمل + +280 +00:27:33,410 --> 00:27:40,610 +extraction او production لل CSF من ال capillaries + +281 +00:27:40,610 --> 00:27:45,630 +بتاعة الارتريز وبتعمل عملية فلترة وبتخرج ال CSF من + +282 +00:27:45,630 --> 00:27:48,210 +ال blood من ال arterial blood في ال ventricular + +283 +00:27:48,210 --> 00:27:53,910 +system circulation of CSF سيبونا من ال slide هذا + +284 +00:27:53,910 --> 00:27:58,410 +نتبع مع بعض على slide هان او بتقول على ال slide + +285 +00:27:58,410 --> 00:28:01,730 +اللي أنا رسمته نفس الشيء على الصورة اللي رسمتهاالـ + +286 +00:28:01,730 --> 00:28:07,190 +CSF اللى تم اله production من الـ third ventricle + +287 +00:28:07,190 --> 00:28:11,910 +بعبر عن طريق الـ interventricular forum من أومنروه + +288 +00:28:11,910 --> 00:28:16,690 +right and left و بيروح لوين؟ لل third ventricle ها + +289 +00:28:16,690 --> 00:28:25,090 +ايه دخل و راحوا لوين؟ ل .. نرسم بلون ثاني و راحوا + +290 +00:28:25,090 --> 00:28:29,350 +ل .. لل third ventricle + +291 +00:28:35,420 --> 00:28:39,120 +هيو بيسلموا على ال third ventricle و بياخدوا ال + +292 +00:28:39,120 --> 00:28:43,660 +CSF من ال third ventricle و بيدخلوا لوين؟ + +293 +00:28:43,660 --> 00:28:48,640 +لcerebral aqueduct و + +294 +00:28:48,640 --> 00:28:53,320 +بيروحوا لوين؟ لال third من ال third ventricle + +295 +00:28:53,320 --> 00:28:57,980 +بيروحوا لال fourth ventricle جزء بسيط من ال CSF + +296 +00:28:58,630 --> 00:29:03,510 +بيروح ل central spinal canal ل central spinal + +297 +00:29:03,510 --> 00:29:08,730 +canal الجزء الأكبر بيغادر ال ventricles عن طريق + +298 +00:29:08,730 --> 00:29:12,570 +ماجيندي فورامنا و لوشكا فورامنا right and left + +299 +00:29:12,570 --> 00:29:17,710 +بيغادروا من لوشكا و من ماجيندي فورامنا و أين + +300 +00:29:17,710 --> 00:29:25,070 +بيطلعوا؟الـ subarachnoid space of the brain and + +301 +00:29:25,070 --> 00:29:30,710 +subarachnoid space of spinal cord هيك بالطريقة هذه + +302 +00:29:30,710 --> 00:29:35,570 +انا شرحتلكوا كله على ال slide واضح و سلس و سهل و + +303 +00:29:35,570 --> 00:29:42,250 +مش صعب نتبع + +304 +00:29:42,250 --> 00:29:46,850 +مع بعض السلس اللي جابنا نشوفهThe CSF in each + +305 +00:29:46,850 --> 00:29:49,490 +lateral ventricle بمورف الـ Interventricular + +306 +00:29:49,490 --> 00:29:54,010 +Foramen of Monroe بعد ذلك للثيرد Ventricle عن طريق + +307 +00:29:54,010 --> 00:29:58,090 +Aqueduct of Silvius أو Silvius Aqueduct بمورفيه + +308 +00:29:58,090 --> 00:30:02,110 +وبعدها بنتجل لل fourth ventricle جزء من ال CSF + +309 +00:30:02,110 --> 00:30:06,090 +بيروح لل Central Spinal Canalوالجزء الأكبر بيروح + +310 +00:30:06,090 --> 00:30:10,230 +عن طريق ثلاثة فرامين ماجيندي و تولوشكا فرامين + +311 +00:30:10,230 --> 00:30:14,930 +بيروح لها ال subarachnoid space و ال subarachnoid + +312 +00:30:14,930 --> 00:30:19,150 +cistern من ضمنهم cerebellum medullary cistern و + +313 +00:30:19,150 --> 00:30:23,590 +بنتين cistern كمان هدول موجودين في ال subarachnoid + +314 +00:30:23,590 --> 00:30:28,740 +spaceمنهم بيروح للـ subarachnoid space بتاعة ال + +315 +00:30:28,740 --> 00:30:32,500 +brain وال spinal cord هيك بيكون عاملنا واتكلمنا + +316 +00:30:32,500 --> 00:30:38,570 +على ال circulation of CSF طب absorption of CSF؟ال + +317 +00:30:38,570 --> 00:30:43,390 +absorption of CSF بتم عن طريق اللي هي arachnoid + +318 +00:30:43,390 --> 00:30:47,370 +villi and arachnoid granulation شرحت لكم بيام في + +319 +00:30:47,370 --> 00:30:51,350 +arachnoid مطر و بيتم absorption و reabsorption + +320 +00:30:51,350 --> 00:30:56,050 +بتاعة ال CSF للي ديورال venous sinuses و من لي + +321 +00:30:56,050 --> 00:30:58,910 +ديورال venous sinuses بتروح على ال jugular vein و + +322 +00:30:58,910 --> 00:31:02,430 +منهم بتروح على ال venous blood و ال venous blood + +323 +00:31:02,430 --> 00:31:10,100 +stream لاللي هو right atrium of the heartهذا واضح + +324 +00:31:10,100 --> 00:31:13,560 +عندي اللي هم arachnoid granulation الـ arachnoid + +325 +00:31:13,560 --> 00:31:16,300 +villi بيكونوا microscopic بياخدوا ال CSF من ال sub + +326 +00:31:16,300 --> 00:31:19,660 +arachnoid space و بيسلموه لديور ال venous sinuses + +327 +00:31:19,660 --> 00:31:23,700 +what's the function of CSF؟ ايش ال functions تبع + +328 +00:31:23,700 --> 00:31:29,120 +ال CSF؟ اول شي support and protect the CNS against + +329 +00:31:29,120 --> 00:31:34,420 +trauma بيعملوا عملية امتصاص للصدماتTake place of + +330 +00:31:34,420 --> 00:31:38,620 +the lymph بعملوا protection لل CNNS من ال micro + +331 +00:31:38,620 --> 00:31:44,700 +organism Regulation of the intracranial pressure + +332 +00:31:46,010 --> 00:31:49,250 +لأنه احنا اول شي برجع لرقم اتنين قلنا بيعملوا + +333 +00:31:49,250 --> 00:31:52,590 +عملية protection against microorganism لإنه ال CNS + +334 +00:31:52,590 --> 00:31:56,810 +مافيش في ال CNS lymph أو lymph nodes او lymphatic + +335 +00:31:56,810 --> 00:32:01,730 +vessels مين بيقوم في الحاجة هذه اللي هو ال CSF زاد + +336 +00:32:01,730 --> 00:32:06,670 +اللي هو microglial cellsregulation of the + +337 +00:32:06,670 --> 00:32:10,330 +intracranial pressure remove metabolites and + +338 +00:32:10,330 --> 00:32:13,810 +toxics from the central nervous system and + +339 +00:32:13,810 --> 00:32:18,970 +nourishment function of CNS بيعملوا عملية تغذية لل + +340 +00:32:18,970 --> 00:32:23,290 +CNS هنا بزيلوا المواد والفضلات اللي بتخرج من + +341 +00:32:23,290 --> 00:32:27,310 +الميتاباليزم والمواد السامة من ال brainالـ + +342 +00:32:27,310 --> 00:32:32,430 +Characters of the normal CSF Appearance بيكون + +343 +00:32:32,430 --> 00:32:35,970 +Clear Water Fluid Isotenic بيكون لون لون الماء ال + +344 +00:32:35,970 --> 00:32:39,510 +amount حوالي 100 ل 150 ملي لتر ال replacement + +345 +00:32:39,510 --> 00:32:45,150 +بتغير تلاث مرات هذا ال CSF بيحدث production تقريبا + +346 +00:32:45,150 --> 00:32:48,590 +تلاتة من عشرة لاربع من عشرة ملي لتر بالدقيقة + +347 +00:32:48,590 --> 00:32:53,770 +الواحدة في اليوم بيصنع جسمنا من أربع مية لخمس مائة + +348 +00:32:53,770 --> 00:32:59,380 +ملي لتر CSFال pressure بتاعه 100 ل 180 millimeter + +349 +00:32:59,380 --> 00:33:02,720 +of water ال blood pressure بيكون of mercury هانه + +350 +00:33:02,720 --> 00:33:06,960 +of water ال rate of production قلناه cells بيكونوا + +351 +00:33:06,960 --> 00:33:10,100 +ال cells ال white blood cells بيكونوا من 0 ل 5 و + +352 +00:33:10,100 --> 00:33:13,580 +بيكونوا كلهم lymphocytes بيكونوا كلهم lymphocytes + +353 +00:33:13,580 --> 00:33:17,440 +ولا واحدة نيترو فيلز ال RBCs كلوات الدم الحمراء + +354 +00:33:17,440 --> 00:33:19,900 +لازم تكون zero مش موجودة كلوات الدم الحمراء + +355 +00:33:20,390 --> 00:33:25,450 +الجلوكوز 60 ميلي جرام لديسلتر و أصحى نقول 70% من + +356 +00:33:25,450 --> 00:33:27,530 +الـ Ceramic Glucose لأنه ممكن المريض يكون مريض + +357 +00:33:27,530 --> 00:33:30,770 +سكر، سكره عالي أو العكس، سكره محروق يبقى بتتم + +358 +00:33:30,770 --> 00:33:33,830 +المقارنة مع الـ Ceramic Glucose و الـ Total + +359 +00:33:33,830 --> 00:33:39,090 +Protein من 15 ل 50 ميلي جرام لديسلتر، أنا بدي أشرح + +360 +00:33:39,090 --> 00:33:43,600 +بس لو .. لو حدث ال tumor هنالو اجت tumor في ال + +361 +00:33:43,600 --> 00:33:49,120 +midbrain او في الcerebellum وضغط على ايه؟ على اللي + +362 +00:33:49,120 --> 00:33:52,220 +هو ال Sylvius aqueduct، cerebral aqueduct في + +363 +00:33:52,220 --> 00:33:56,940 +الحالة هذه بيحدث عندنا حاجة اسمها hydrocephalus، + +364 +00:33:56,940 --> 00:34:00,450 +بيصير انتفاخفي البطين في الحالة هاد راح يصير + +365 +00:34:00,450 --> 00:34:04,130 +dilatation في ال third ventricle و ال both + +366 +00:34:04,130 --> 00:34:09,150 +ventricle لكن لو حدث exclusion في one monroe يصير + +367 +00:34:09,150 --> 00:34:12,910 +dilatation في one lateral ventricle two monroe في + +368 +00:34:12,910 --> 00:34:15,770 +ال two lateral ventricles و هكذا + +369 +00:34:18,850 --> 00:34:21,890 +بهيك بنكون ان شاء الله وصلنا لنهاية المحاضرة بتاعة + +370 +00:34:21,890 --> 00:34:25,070 +ال mini G و هي ال ventricular system of the brain + +371 +00:34:25,070 --> 00:34:27,870 +and cerebrospinal fluid circulation + diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/G6Vhdm1UDcc_postprocess.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/G6Vhdm1UDcc_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..370b78aea466bd495f3c368c50cceb3e5cd71aa1 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/G6Vhdm1UDcc_postprocess.srt @@ -0,0 +1,1264 @@ +1 +00:00:05,130 --> 00:00:07,970 +بسم الله الرحمن الرحيم السلام عليكم و رحمة الله + +2 +00:00:07,970 --> 00:00:13,370 +نكمل محاضرة الأسبوع التاسع which is cranial nerves + +3 +00:00:13,370 --> 00:00:17,390 +رقم 2 في جزء الأول من المحاضرة انا شرحت لكم facial + +4 +00:00:17,390 --> 00:00:22,090 +nerve واتفاجنا انه vestibulocochlear nerve راح + +5 +00:00:22,090 --> 00:00:27,140 +نشرحه في محاضرة ال special sensationاليوم او جزء + +6 +00:00:27,140 --> 00:00:30,560 +الان راح يكون على aglosopharyngeal nerve , vagus + +7 +00:00:30,560 --> 00:00:34,920 +nerve, accessory nerve و vagus nerve نبدأ ب + +8 +00:00:34,920 --> 00:00:38,700 +aglosopharyngeal nerve aglosopharyngeal nerve it + +9 +00:00:38,700 --> 00:00:41,640 +is mixed nerve it is mixed nerve يبقى + +10 +00:00:41,640 --> 00:00:45,900 +aglosopharyngeal nerve it is mixed nerve which + +11 +00:00:45,900 --> 00:00:51,460 +contain sensory fibers motor fibers and + +12 +00:00:51,460 --> 00:00:57,910 +parasympatheticit is more important as sensory لأن + +13 +00:00:57,910 --> 00:01:06,630 +أكتر الأفرع اللي فيه تعتبر أعصاب حسية emerged from + +14 +00:01:06,630 --> 00:01:14,130 +the posterior lateral sulcus of medulla oblongata + +15 +00:01:14,130 --> 00:01:19,250 +بخرج من ال posterior lateral sulcus of medulla + +16 +00:01:19,250 --> 00:01:22,190 +oblongata اللي هو glossopharyngeal nerve + +17 +00:01:27,070 --> 00:01:32,350 +ثم تنتقل إلى الـ jugular foramen بخرج من ال + +18 +00:01:32,350 --> 00:01:37,750 +jugular foramen اتفاقنا ان ال functions بتاعة ال + +19 +00:01:37,750 --> 00:01:41,950 +glossopharyngeal nerve motor sensory + +20 +00:01:41,950 --> 00:01:47,610 +parasympathetic main function is sensory يبقى ال + +21 +00:01:47,610 --> 00:01:49,890 +nuclei of the glossopharyngeal nerve رح يكونوا + +22 +00:01:49,890 --> 00:01:54,980 +ثلاثة أنواعوحدة motor وحدة sensory و بارا + +23 +00:01:54,980 --> 00:02:01,080 +sympathetic نبدأ بال motor motor nucleus اسمها + +24 +00:02:01,080 --> 00:02:06,480 +nucleus of ambiguous nucleus of ambiguous nucleus + +25 +00:02:06,480 --> 00:02:10,240 +of + +26 +00:02:10,240 --> 00:02:14,420 +ambiguous + +27 +00:02:17,550 --> 00:02:22,250 +Nucleus of Ambigus بتعطي 3 nerve بتخدنا كم عصاب + +28 +00:02:22,250 --> 00:02:29,650 +تلاثة بتخدنا ال glossopharyngeal nerve تلاثة + +29 +00:02:29,650 --> 00:02:38,930 +بتخدنا ال vegas nerve تلاثة بتخدنا ال cranial + +30 +00:02:38,930 --> 00:02:43,760 +nerveaccessory nerve يبقى ان هذه ال nucleus اللي + +31 +00:02:43,760 --> 00:02:47,620 +هي ambiguous nucleus بتعطينا لثلاث عصاب بتعطي + +32 +00:02:47,620 --> 00:02:57,780 +للعصب التاسم عشر احداش واضفتها somatic motor + +33 +00:02:57,780 --> 00:03:03,880 +nucleus ايش somatic motor nucleus يعني supply + +34 +00:03:03,880 --> 00:03:10,440 +skeletal muscles supply لإيه skeletal musclesOkay + +35 +00:03:10,440 --> 00:03:17,020 +هذا أول نوكلياس النوكلياس التانية sub inferior + +36 +00:03:17,020 --> 00:03:21,300 +salivary nucleus يوم اشرحت facial nerve اتكلمت على + +37 +00:03:21,300 --> 00:03:24,020 +superior salivary nucleus لإن ال glucose + +38 +00:03:24,020 --> 00:03:27,760 +pharyngeal nerve في inferior salivary nucleus + +39 +00:03:27,760 --> 00:03:32,960 +موجودة في الميدالة أوبلانجاتا وظفتها supply the + +40 +00:03:34,530 --> 00:03:38,070 +Parotid gland يقولون وظيفتها ايه بتغدين مين + +41 +00:03:38,070 --> 00:03:43,350 +Parotid gland ايش وظيفتها Parasympathetic function + +42 +00:03:43,350 --> 00:03:47,850 +Parasympathetic function وايه ايه الثالثة Solitary + +43 +00:03:47,850 --> 00:03:53,950 +nucleus احنا شرحناها هي Solitary nucleus Solitary + +44 +00:03:53,950 --> 00:03:56,970 +nucleus + +45 +00:03:56,970 --> 00:04:02,350 +موجودة وين في الميدالة Oblongata for general + +46 +00:04:04,350 --> 00:04:11,190 +and taste sensation هذه ال nucleus راح تتكرر + +47 +00:04:11,190 --> 00:04:13,790 +معناها في الأعصاب اللي لهم علاقة بال taste + +48 +00:04:13,790 --> 00:04:20,770 +sensation في العصب السابع بتعطينا general و taste + +49 +00:04:20,770 --> 00:04:28,830 +sensation تمام في العصب السابعتنين في العصب التاسع + +50 +00:04:28,830 --> 00:04:32,510 +الـ Glossopharyngeal لـ Taste و General Sensation + +51 +00:04:32,510 --> 00:04:41,510 +و لـ Vegas Nerve هيبقى هذه تتكرر في تلات عصاب + +52 +00:04:41,510 --> 00:04:47,330 +تتكرر + +53 +00:04:47,330 --> 00:04:53,310 +في العصب السابع و التاسع و عشر هذه اسمها اللي هي + +54 +00:04:55,650 --> 00:05:03,170 +سوليتاريه نوكلياس ثلاثة نوكلياه انبيوغاس for motor + +55 +00:05:03,170 --> 00:05:08,490 +function تعطينا fibers للموتور supply of stylo + +56 +00:05:08,490 --> 00:05:10,610 +pharyngeal muscle اللي يقلص ال pharyngeal نير + +57 +00:05:10,610 --> 00:05:14,330 +بيقدّي عضلة واحدة ثمانة انفريو ساليفريه نوكلياس + +58 +00:05:14,330 --> 00:05:17,730 +موجودة في الميدالة أبلنجاته for parotid gland + +59 +00:05:17,730 --> 00:05:21,530 +parasympathetic function وسوليتاريه نوكلياه موجودة + +60 +00:05:21,530 --> 00:05:27,160 +في الميدالة أبلنجاته واضفتها sensory functionنتكلم + +61 +00:05:27,160 --> 00:05:29,700 +الآن على ال functions of Glossopharyngeal nerve + +62 +00:05:29,700 --> 00:05:32,980 +اتفاقنا انه mixed nerve، the main function is + +63 +00:05:32,980 --> 00:05:38,820 +sensory function، first function is sensory، + +64 +00:05:38,820 --> 00:05:42,900 +supply او receive taste sensation and general + +65 +00:05:42,900 --> 00:05:47,980 +sensation from posterior one third of the tongue + +66 +00:05:48,380 --> 00:05:54,820 +أثنين ميكوزا ميمبراين فارنكس و تونزل كاروتد صينس و + +67 +00:05:54,820 --> 00:05:58,980 +كاروتد بودي يبقى هذه اللي هي sensory function + +68 +00:06:01,300 --> 00:06:06,000 +Parasympathetic function supply parotid gland يقول + +69 +00:06:06,000 --> 00:06:10,800 +ان هو المسئول عن parotid gland ثلاثة motor + +70 +00:06:10,800 --> 00:06:14,540 +function supply only one muscle it is + +71 +00:06:14,540 --> 00:06:20,160 +Stylopharyngeus muscle Stylopharyngeus muscle هاي + +72 +00:06:20,160 --> 00:06:25,420 +عندي البستير one third of the tongue taste + +73 +00:06:33,170 --> 00:06:40,430 +and general sensation من وين بتاخد؟ من العصب + +74 +00:06:40,430 --> 00:06:44,650 +التاسع Glossopharyngeal مسئول عن ال taste و + +75 +00:06:44,650 --> 00:06:51,650 +general sensation طيب anterior to third ال + +76 +00:06:51,650 --> 00:07:00,210 +anterior to third تلاحظوا ال anterior to third من + +77 +00:07:00,210 --> 00:07:00,710 +ناحية + +78 +00:07:05,390 --> 00:07:11,950 +test sensation from + +79 +00:07:11,950 --> 00:07:17,930 +facial nerve من ال facial nerve test sensation طيب + +80 +00:07:17,930 --> 00:07:23,430 +general sensation + +81 +00:07:23,430 --> 00:07:27,590 +يعني ايش مقصود بال general sensation pain + +82 +00:07:27,590 --> 00:07:34,090 +temperature touch sensation من اللي هومانديبولار + +83 +00:07:34,090 --> 00:07:37,950 +نيرف مانديبولار اللي أصله جاي من وين مانديبولار + +84 +00:07:37,950 --> 00:07:43,410 +نيرف من تري جيمينال نيرف هذا هو ال innervation of + +85 +00:07:43,410 --> 00:07:46,150 +the tongue even ال taste و ال general sensation + +86 +00:07:46,150 --> 00:07:49,090 +from the posterior and third مسئول عنها ال + +87 +00:07:49,090 --> 00:07:57,670 +glossopharyngeal nerve الآن + +88 +00:07:57,670 --> 00:08:03,300 +بنتج ال Vegas nerve العصب العاشرit is mixed nerve + +89 +00:08:03,300 --> 00:08:08,020 +من الرقم عشر تلاف و تسعمية و خمس و سبعين اتكلمنا + +90 +00:08:08,020 --> 00:08:16,660 +it is more important او most important function is + +91 +00:08:16,660 --> 00:08:22,260 +parasympathetic function لو اتكلمنا على ال Vegas + +92 +00:08:22,260 --> 00:08:28,420 +nerve it is most important nerve + +93 +00:08:30,360 --> 00:08:36,320 +as parasympathetic يبقى ان هو أهم parasympathetic + +94 +00:08:36,320 --> 00:08:40,500 +nerve في جسم الإنسان ال function تبعته motor + +95 +00:08:40,500 --> 00:08:45,660 +function لـ skeletal muscles بارا سيمباتاتيك + +96 +00:08:45,660 --> 00:08:50,000 +function لـ smooth muscles كاردياك muscles تبعت ال + +97 +00:08:50,000 --> 00:08:54,700 +internal organs و ل ال glands و sensory function + +98 +00:08:54,700 --> 00:08:59,400 +as sensation nuclei of Vegas nerve + +99 +00:09:02,140 --> 00:09:08,860 +في منهم اثنتين شرحناهم main part of nucleus + +100 +00:09:08,860 --> 00:09:14,060 +ambigus هي بتعطي الفيجس نيرب بتغدينها ال skeletal + +101 +00:09:14,060 --> 00:09:18,320 +muscles بتاعة ال larynx, pharynx and palate هي + +102 +00:09:18,320 --> 00:09:25,810 +واحدة و solitary nucleus شرحناهاقلنا بتغدى كمان ال + +103 +00:09:25,810 --> 00:09:31,890 +Vega snare ل taste sensation from AP glottis و + +104 +00:09:31,890 --> 00:09:37,050 +general sensation من ال area supplied by the + +105 +00:09:37,050 --> 00:09:39,570 +parasympathetic fibers يعني المريض صار معاه جلطة + +106 +00:09:39,570 --> 00:09:44,230 +في القلب بشعور بألم ال Vega snare بشعر فيها المريض + +107 +00:09:44,230 --> 00:09:48,740 +عنده قرحة في المعدةحدث قرح قرحة في المعيدة عنده + +108 +00:09:48,740 --> 00:09:52,500 +وفيه ألم في المعيدة ال Vegas nerve بشعر فيها مريض + +109 +00:09:52,500 --> 00:09:56,340 +عنده في الدودنام في ال 12 نفس الشيء يبقى هو ال + +110 +00:09:56,340 --> 00:10:01,780 +Vegas nerve بيغدينا ال respiratory system heart + +111 +00:10:01,780 --> 00:10:07,720 +القلب بيغدي الجهاز الهضمي لحد ال junction between + +112 +00:10:09,190 --> 00:10:13,930 +right two thirds of transverse colon مع ال left + +113 +00:10:13,930 --> 00:10:17,750 +one third يعني هو بيغدي المعدة بيغدي ال pancreas + +114 +00:10:17,750 --> 00:10:21,230 +بيغدي الاثنى عشرة الأمعاء الدقيقة small intestine + +115 +00:10:21,230 --> 00:10:25,430 +بيغدي الأمعاء الغليظة اللي هي ascending colon + +116 +00:10:25,430 --> 00:10:30,310 +transverse right two thirds right two thirds of + +117 +00:10:30,310 --> 00:10:34,020 +transverse colon بياخدوا من Vegasطب اللي بعدهم + +118 +00:10:34,020 --> 00:10:37,760 +left one third, descending colon, sigmoid, rectum + +119 +00:10:37,760 --> 00:10:41,660 +هذول بياخدوا من ال sacral part of parasympathetic + +120 +00:10:41,660 --> 00:10:46,540 +nervous system اشرحها ان شاء الله في محاضرة تبع ال + +121 +00:10:46,540 --> 00:10:51,980 +autonomic nervous system و ال nucleus الثالثة + +122 +00:10:51,980 --> 00:10:58,060 +dorsal motor nucleus of vegas طب دكتور ياد انت + +123 +00:10:58,060 --> 00:11:02,470 +قلتلنا ambiguous motorوكمان في دورسال موتور + +124 +00:11:02,470 --> 00:11:06,690 +نوكلياس دورسال موتور نوكلياس أوف فيجاس it is the + +125 +00:11:06,690 --> 00:11:12,490 +most important parasympathetic nucleus in the body + +126 +00:11:12,490 --> 00:11:15,950 +هذه مسئولة عن إيش يا جماعة، عند ال glands، بتغضي + +127 +00:11:15,950 --> 00:11:19,990 +ال glands، as secretomotor، هي واحدة، مسئولة عن ال + +128 +00:11:19,990 --> 00:11:23,980 +cardiac muscle، involuntary muscleمسئولة عن ال + +129 +00:11:23,980 --> 00:11:27,840 +smooth muscles ال respiratory system وال GIT + +130 +00:11:27,840 --> 00:11:31,940 +system لحد ال junction between right two third of + +131 +00:11:31,940 --> 00:11:34,380 +transverse colon مع ال left one third of + +132 +00:11:34,380 --> 00:11:38,680 +transverse colon في الحالة هذه دورسة ال motor + +133 +00:11:38,680 --> 00:11:43,560 +nucleus of Vegas الوظيفة تبعتها Parasympathetic + +134 +00:11:43,560 --> 00:11:48,690 +function Parasympathetic functionالـ + +135 +00:11:48,690 --> 00:11:51,290 +Parasympathetic nervous system نشرحها ان شاء الله + +136 +00:11:51,290 --> 00:11:54,990 +في محاضرة منفصلة اسمها autonomic nervous system + +137 +00:11:54,990 --> 00:11:58,110 +راح نشرح فيها sympathetic nervous system و + +138 +00:11:58,110 --> 00:12:01,750 +Parasympathetic nervous system ال Vegas nerve هو + +139 +00:12:01,750 --> 00:12:07,090 +يعتبر جزء من وظيفته أو أهم وظيفة له هي + +140 +00:12:07,090 --> 00:12:14,870 +Parasympathetic functionمن وين بخرج؟ from the + +141 +00:12:14,870 --> 00:12:22,290 +posterior lateral sulcus of medulla oblongata خرج + +142 +00:12:22,290 --> 00:12:24,050 +من ال posterior lateral sulcus of medulla + +143 +00:12:24,050 --> 00:12:30,090 +oblongata بعدها بفوض في جاجولار فورامن و بخرج من + +144 +00:12:30,090 --> 00:12:36,500 +جاجولار فورامن هي عندي Vegas nerveهذا هو ال Vegas + +145 +00:12:36,500 --> 00:12:41,220 +nerve وهذا هو left Vegas nerve وهنا عندي اللي هو + +146 +00:12:41,220 --> 00:12:46,240 +right Vegas nerve مقلوبة صورة بصير view الاختلاف + +147 +00:12:46,240 --> 00:12:53,260 +فيهم انه في عصب اسمه recurrent laryngeal nerve ال + +148 +00:12:53,260 --> 00:12:57,460 +right recurrent laryngeal nerveبيعمل hooking بيلف + +149 +00:12:57,460 --> 00:13:04,380 +و بيرجع من الخلف بتاع ال posterior part of the + +150 +00:13:04,380 --> 00:13:08,700 +subclavian artery يبقى نقل هو right recurrent + +151 +00:13:08,700 --> 00:13:12,620 +laryngeal nerve بيعمل hooking من وين من اللي هو + +152 +00:13:12,620 --> 00:13:17,300 +right subclavian artery أما ال .. + +153 +00:13:22,500 --> 00:13:26,660 +Left Recurrent Laryngeal Nerve بيعمل Hooking و + +154 +00:13:26,660 --> 00:13:30,120 +بيلف من الارش of the aorta هاي الاختلاف ما بينهم + +155 +00:13:30,120 --> 00:13:33,600 +انه Recurrent Laryngeal Nerve عشان هيك سموه + +156 +00:13:33,600 --> 00:13:37,920 +Recurrent بيرجع رجوع و ال right بيعمل Hooking و + +157 +00:13:37,920 --> 00:13:41,380 +بيلف خلف ال subclavian artery على ال right side + +158 +00:13:41,380 --> 00:13:46,740 +أما لل left بيلف حوالين الارش of the aorta هذا + +159 +00:13:46,740 --> 00:13:55,960 +اسمه Vegas nerveوهنا Vegas nerve هذا right وهذا + +160 +00:13:55,960 --> 00:14:02,120 +left طب واللي عمل hawking ولف وصعد عود رجع اسمه + +161 +00:14:02,120 --> 00:14:07,240 +left recurrent laryngeal nerve وهذا right + +162 +00:14:07,240 --> 00:14:14,260 +recurrent laryngeal nerve احنا شرحنا ايش الخلاف ما + +163 +00:14:14,260 --> 00:14:17,240 +بين ال right و ال left Vegas nerve + +164 +00:14:27,260 --> 00:14:32,620 +هيو عندى نازل Vegas nerve وبيعطى ال branches + +165 +00:14:32,620 --> 00:14:36,780 +بتاعينه ماراح افوت بالتفصيل معاكم في موضوع ال + +166 +00:14:36,780 --> 00:14:45,020 +branches بتاعينه بنتاجى + +167 +00:14:45,020 --> 00:14:52,500 +لان للعصب ال 11 اسمه accessory nerve it is purely + +168 +00:14:52,500 --> 00:14:58,310 +motor nerve it is purely motor nervetwo roots إله + +169 +00:14:58,310 --> 00:15:04,770 +two roots one cranial root و another spinal root + +170 +00:15:04,770 --> 00:15:10,750 +cranial root arise from the medulla oblongata من + +171 +00:15:10,750 --> 00:15:15,510 +وين بيجينا ل cranial root؟بيجي من وين؟ من + +172 +00:15:15,510 --> 00:15:19,110 +ambiguous nucleus بيجي من وين؟ ambiguous nucleus + +173 +00:15:19,110 --> 00:15:23,570 +يبقى الكرينيا الروت أصله من ambiguous nucleus اللي + +174 +00:15:23,570 --> 00:15:26,950 +موجودة في الميدالة أو بلانجاتا بعد ما يخرج من جوجل + +175 +00:15:26,950 --> 00:15:30,770 +أو الحورمان هذا الكرينيا الروت بيتحد مع ال Vegas + +176 +00:15:30,770 --> 00:15:36,890 +nerve و بيدخل مع ال Vegas nerve و بيغدى البلاتين و + +177 +00:15:36,890 --> 00:15:40,630 +pharyngeal muscle اللي علاقة فقط ب skeletal + +178 +00:15:40,630 --> 00:15:44,610 +musclesما راح اتكلم عنه اليوم اكرانيا الروت لانه + +179 +00:15:44,610 --> 00:15:48,150 +دخل مع مين مع ال Vegas Nair الجزء الثاني من ال + +180 +00:15:48,150 --> 00:15:52,980 +accessory Nairهو spinal root هذا spinal root + +181 +00:15:52,980 --> 00:15:58,100 +بيجينا من ال upper four five cervical segments من + +182 +00:15:58,100 --> 00:16:01,860 +ال anterior horn cells then السن بيصعد بيفوت في ال + +183 +00:16:01,860 --> 00:16:05,660 +foramen magnum وبيتحد مع ال cranial part مع الجزء + +184 +00:16:05,660 --> 00:16:08,900 +الجامل اللي بيضل قبل ان جاته و بيغادروا عن طريق + +185 +00:16:08,900 --> 00:16:11,020 +jugular foramen بعد ما يغادروا ال jugular foramen + +186 +00:16:11,020 --> 00:16:14,800 +بنفصلوا مباشرة ما بيحبوش بعض هذا spinal و هذا + +187 +00:16:14,800 --> 00:16:18,420 +cranialالـ cranial بتحد مع ال Vegas nerve و + +188 +00:16:18,420 --> 00:16:21,740 +بيغدينا ل ال palatine muscle و ال pharyngeal + +189 +00:16:21,740 --> 00:16:26,820 +muscle و ال spinal nerves بيغدينا ل two muscles + +190 +00:16:26,820 --> 00:16:31,200 +sternocleidomastoid muscle و اضيفت ل ال + +191 +00:16:31,200 --> 00:16:34,480 +sternocleidomastoid muscle ايش وضيفتها هذه العضلة؟ + +192 +00:16:34,480 --> 00:16:39,730 +ال right بتلف ال head و ال left على ال leftبتلف ال + +193 +00:16:39,730 --> 00:16:42,290 +head و ال neck على ال left طب و ال left سيرناك + +194 +00:16:42,290 --> 00:16:45,750 +ليده مستعد بتلف ال head و ال neck علي وين علي ال + +195 +00:16:45,750 --> 00:16:49,390 +right يبقى الوظيفة العضله دي عكسي اليمين بتلف + +196 +00:16:49,390 --> 00:16:52,470 +الرأس و الرجب علي الشمال طب و الشمال بتلف علي + +197 +00:16:52,470 --> 00:16:58,250 +اليمين انا احرك رأسي علي جهة اليسارمن حركها؟ right + +198 +00:16:58,250 --> 00:17:01,810 +sternocleidomastoid muscle طب نحرك على اليمين + +199 +00:17:01,810 --> 00:17:06,590 +حركنا على اليمين left sternocleidomastoid + +200 +00:17:06,590 --> 00:17:11,940 +muscle العضلة التانية trapezius muscleTrapezius + +201 +00:17:11,940 --> 00:17:15,940 +muscle هنا بيصلحه شوية هنا مش مظبوطة shoulder + +202 +00:17:15,940 --> 00:17:19,000 +elevation لأ ال shoulder elevation اللي بتعمل + +203 +00:17:19,000 --> 00:17:22,780 +elevation لل shoulder هي مين؟ هي deltoid muscle + +204 +00:17:22,780 --> 00:17:26,460 +دلتويد هي اللي بتعمل elevation يبقى هنا shoulder + +205 +00:17:26,460 --> 00:17:27,780 +shrugging + +206 +00:17:31,240 --> 00:17:35,300 +shoulder shrugging جينا سألناكوا سؤال نعطيكم + +207 +00:17:35,300 --> 00:17:39,060 +محاضرة إضافية يوم الجمعة أربع ساعات إيش راح الطلاب + +208 +00:17:39,060 --> 00:17:42,260 +يقولوا كلهم مابدناش لأ مابدنا إيش عملنا احنا في ال + +209 +00:17:42,260 --> 00:17:45,580 +shoulder عملنا shrugging هذه العملية بنسميها + +210 +00:17:45,580 --> 00:17:50,650 +shruggingلكن هذه elevation ال elevation دلتويد + +211 +00:17:50,650 --> 00:17:54,430 +muscle shrugging عن طريق الترابيزياس muscle + +212 +00:17:54,430 --> 00:17:58,110 +الترابيزياس + +213 +00:17:58,110 --> 00:18:02,990 +muscle اللي بيغضيها هو accessory nerves تبقى دا + +214 +00:18:02,990 --> 00:18:07,110 +spinal accessory تبقى spinal accessory supply two + +215 +00:18:07,110 --> 00:18:10,110 +muscles الترابيزياس muscle اللي بتعملنا shrugging + +216 +00:18:10,110 --> 00:18:11,750 +لل shoulder and + +217 +00:18:13,860 --> 00:18:17,320 +Sternocleidomastoid muscle اللي بتعملنا turn + +218 +00:18:17,320 --> 00:18:28,240 +للhead هو انك على ال opposite side هي عندي ال + +219 +00:18:28,240 --> 00:18:33,200 +cranial cranial root وهذا + +220 +00:18:33,200 --> 00:18:39,880 +ايه spinal root تفوت لفرم المجنم بعدين بتتحد مع + +221 +00:18:39,880 --> 00:18:41,720 +مين؟ مع ال cranial root + +222 +00:18:45,710 --> 00:18:50,710 +بيفوتوا في forum المجنم لما فات forum المجنم اتحد + +223 +00:18:50,710 --> 00:18:57,170 +بعدها مع ال cranial root بعدك بيغادروا عن طريق + +224 +00:18:57,170 --> 00:19:02,250 +jugular forum cranial + +225 +00:19:02,250 --> 00:19:11,010 +root بتحد مع مين؟ مع الvegas nerve و spinal root + +226 +00:19:11,010 --> 00:19:18,600 +بيغديلنا two musclesSternocleidomastoid muscle + +227 +00:19:18,600 --> 00:19:21,760 +وTrapezius + +228 +00:19:21,760 --> 00:19:26,020 +muscle وهي كانت بيكون انا شرحتلكوا اللي هو ايش + +229 +00:19:26,020 --> 00:19:28,000 +accessory nerve هو اضيفته + +230 +00:19:34,850 --> 00:19:38,330 +هي عندي jugular foramen فى عندي two roots فى + +231 +00:19:38,330 --> 00:19:40,750 +spinal و cranial او cranial و spinal التحدوا مع + +232 +00:19:40,750 --> 00:19:44,550 +بعض وصار اسمه accessory nerve بعد ما يغادروا + +233 +00:19:44,550 --> 00:19:47,190 +jugular و foramen بيكرهوا بعض على السبحة هذول + +234 +00:19:47,190 --> 00:19:50,630 +اتنين بنفصلوا مباشرة عن بعض ال cranial بيروح + +235 +00:19:50,630 --> 00:19:55,830 +لvegas nerve و spinal بيغدى sternocleidomastoid + +236 +00:19:55,830 --> 00:20:00,510 +muscle and trapezius muscle هى واضح عندي هنا اللى + +237 +00:20:00,510 --> 00:20:00,710 +هو + +238 +00:20:04,130 --> 00:20:11,090 +Spinal Root فات على فرم الماجنا هذه عندي ال + +239 +00:20:11,090 --> 00:20:14,310 +ambigous nucleus عطتنا fibers لل cranial accessory + +240 +00:20:14,310 --> 00:20:20,770 +اتحدوا مع بعض و سمناهم accessory nerve بعد هيك + +241 +00:20:20,770 --> 00:20:31,550 +بيغادروا عن طريق jugular فرمي cranial + +242 +00:20:31,550 --> 00:20:37,970 +rootبتحد و بنفصل عن ال accessory و بروح لوان مع ال + +243 +00:20:37,970 --> 00:20:46,650 +Vegas Nerf مع ال Vegas و Spinal Root يدلق ماشينا + +244 +00:20:46,650 --> 00:20:49,210 +عليناك بيغدي two muscles Sternocleidomastoid + +245 +00:20:49,210 --> 00:20:57,970 +muscle و Trapezius muscle okay + +246 +00:20:59,300 --> 00:21:03,480 +واتفجنا .. ال slide هذا أنا شرحته الآن انه ال + +247 +00:21:03,480 --> 00:21:06,960 +branches of accessory nerve cranial accessory + +248 +00:21:06,960 --> 00:21:09,760 +nerve اللي هو internally branch اللي جاي من ال + +249 +00:21:09,760 --> 00:21:12,920 +ambiguous nucleus of medulla oblongata بتحد مع + +250 +00:21:12,920 --> 00:21:16,140 +Vegas nerve بعد هيك بيكون distribution مع ال + +251 +00:21:16,140 --> 00:21:18,440 +distribution of Vegas nerve ماشي و بيغضينا + +252 +00:21:18,440 --> 00:21:22,570 +الaryngeal palatine and pharyngeal musclesوالجزء + +253 +00:21:22,570 --> 00:21:25,310 +الثاني او العصب الثاني او الجزء الثاني من ال + +254 +00:21:25,310 --> 00:21:28,450 +accessory nerve اسمه spinal accessory هذا external + +255 +00:21:28,450 --> 00:21:32,310 +branch supply ايه اللي هي sternocleidomastoid + +256 +00:21:32,310 --> 00:21:35,050 +muscle اللي بتعملنا internal head to the opposite + +257 +00:21:35,050 --> 00:21:38,050 +side هنا أنا بصلحها أنا في ال side هذا صلحتها و + +258 +00:21:38,050 --> 00:21:40,750 +بغضي trapezius muscle اللي بتعمل ايه shoulder + +259 +00:21:40,750 --> 00:21:41,830 +shrugging + +260 +00:21:44,670 --> 00:21:50,290 +هذا شرحته، هاي عندى spinal accessory nerve، supply + +261 +00:21:50,290 --> 00:21:53,090 +of the trapezius muscle، وهذه trapezius muscle + +262 +00:21:53,090 --> 00:21:58,290 +وهذه sternocleidomastoid muscle، الآن بصل للعصب + +263 +00:21:58,290 --> 00:22:01,570 +الثاني عشر اخر عصب في cranial nerves اللي هو + +264 +00:22:01,570 --> 00:22:05,910 +hypoglossal nervehypoglossal nerve it is the motor + +265 +00:22:05,910 --> 00:22:09,230 +nerve of the tongue هذا العصب يا بدخلنا الجنة يا + +266 +00:22:09,230 --> 00:22:12,910 +بدخلنا النار لأنه إيه supply the muscle of the + +267 +00:22:12,910 --> 00:22:16,410 +tongue بيغدى اللسان وحسب لسانك ما يتكلم ويفعل + +268 +00:22:16,410 --> 00:22:22,510 +بيكون الآخرة بتاعتنا movement of the tongue are + +269 +00:22:22,510 --> 00:22:27,270 +important in chewing speech and initial stage of + +270 +00:22:27,270 --> 00:22:31,650 +swallowing يبقى أن حركة اللسان مهمة لإيه مهمة مهمة + +271 +00:22:31,650 --> 00:22:36,880 +في عملية المضغفي عملية البلع في عملية الكلام يجون + +272 +00:22:36,880 --> 00:22:42,560 +هي مهمة لإيه للمضغ للكلام لبداية عملية البلع + +273 +00:22:42,560 --> 00:22:47,140 +hypoglossal nerve it is a purely motor nerve ال + +274 +00:22:47,140 --> 00:22:51,340 +hypoglossal nerve purely motor nerve supplies the + +275 +00:22:51,340 --> 00:22:55,540 +external and internal muscle of the tongue بغد + +276 +00:22:55,540 --> 00:22:59,040 +الأعضالات الداخلية والخارجية بتاعة اللسان من وين + +277 +00:22:59,040 --> 00:23:01,180 +مصدره أصله بجينا من + +278 +00:23:04,000 --> 00:23:07,300 +هيبوغلوسال نوكلياس بيجي من وين؟ من هيبوغلوسال + +279 +00:23:07,300 --> 00:23:11,080 +نوكلياس في المضالة أبلانجاتا وبعد هيك بيغادر عن + +280 +00:23:11,080 --> 00:23:16,200 +طريق .. لاحظوا عن طريق anterior lateral sulcus of + +281 +00:23:16,200 --> 00:23:19,920 +مضالة أبلانجاتا عن طريق إيش؟ anterior lateral + +282 +00:23:19,920 --> 00:23:24,920 +sulcus of مضالة أبلانجاتا بعدها بيخرج من ال skull + +283 +00:23:24,920 --> 00:23:29,120 +عن طريق اللي هي هيبوغلوسال canal هيبوغلوسال canal + +284 +00:23:29,120 --> 00:23:31,590 +يبقى هو أصل من وين الهيبوغلوسال نهير جاي؟من + +285 +00:23:31,590 --> 00:23:35,930 +هيبقلوسة الـA نوكليوس موجودة في المضالة أبلانجاتا + +286 +00:23:35,930 --> 00:23:39,190 +بغادر ال brain stem أو بغادر المضالة أبلانجاتا عن + +287 +00:23:39,190 --> 00:23:42,750 +طريق اللي هي anterior lateral sulcus of مضالة + +288 +00:23:42,750 --> 00:23:47,170 +أبلانجاتا و بخرج من ال skull عن طريق هيبقلوسة ال + +289 +00:23:47,170 --> 00:23:50,930 +canal هي هيبقلوسة ال canal واضح يكون عن ال left أو + +290 +00:23:50,930 --> 00:23:55,390 +ال right أو ال leftbranches of hypoglossal nerve + +291 +00:23:55,390 --> 00:24:00,310 +itself هلأ ال hypoglossal nerve بتحد مع C1 و C2 و + +292 +00:24:00,310 --> 00:24:04,050 +بيكونون حاجة اسمها answer cervicals أنا مارح أتطرق + +293 +00:24:04,050 --> 00:24:07,950 +للموضوع هذا لإنه أنا بشرح للطب أكتر أنه بتحد مع + +294 +00:24:07,950 --> 00:24:12,090 +cervical one nerve و cervical two أنا راح أشرح بس + +295 +00:24:12,090 --> 00:24:14,530 +إيش العضلات اللي بيغديهم ال hypoglossal nerve + +296 +00:24:14,530 --> 00:24:18,110 +itselfاللي أصله جاي من الـ hypoglossal nucleus + +297 +00:24:18,110 --> 00:24:21,650 +الأصله جاي من وين؟ من ميدالة أبلانجادا الـ supply + +298 +00:24:21,650 --> 00:24:26,630 +is styloglossus muscle, a hyoglossus muscle + +299 +00:24:26,630 --> 00:24:32,070 +وgenioglossus muscle and the internal muscle of + +300 +00:24:32,070 --> 00:24:33,910 +the tongue يبقى من ال fibers جاية من ال + +301 +00:24:33,910 --> 00:24:37,850 +hypoglossal nucleus اللي أعطتنا hypoglossal nerve + +302 +00:24:37,850 --> 00:24:42,670 +itself بدون ما يشارك مع ال spinal nerves بيغدينا + +303 +00:24:42,670 --> 00:24:47,250 +styloglossus musclewe hyoglossus muscle و we + +304 +00:24:47,250 --> 00:24:51,790 +genioglossus muscle and internal muscle of the + +305 +00:24:51,790 --> 00:24:58,010 +tongue هاي عندي واضحة hyoglossal إيه نكلياسعطتنا + +306 +00:24:58,010 --> 00:25:02,050 +hypoglossal nerve بيفوت في ال hypoglossal canal زى + +307 +00:25:02,050 --> 00:25:05,870 +ما قلنا بالتحد مع c1 و c2 و c3 ما راح اتدخل و + +308 +00:25:05,870 --> 00:25:08,950 +اتكلم فى الموضوع حدا و اتطرق إله لأنه الموضوع شوية + +309 +00:25:08,950 --> 00:25:12,570 +صعب راح يكون عليكوا لكن ال hypoglossal nerve + +310 +00:25:12,570 --> 00:25:15,510 +itself بيغدىنا external and internal muscle of the + +311 +00:25:15,510 --> 00:25:18,590 +tongue اللى اتكلمنا عنهم تلاتة اللى هو + +312 +00:25:18,590 --> 00:25:21,010 +styroglossus muscle, hyoglossus muscle و + +313 +00:25:21,010 --> 00:25:27,960 +geneoglossus muscleand supply all + +314 +00:25:27,960 --> 00:25:32,500 +internal muscles of the tongue بطريقة هادية او لحد + +315 +00:25:32,500 --> 00:25:36,660 +هذا ال slide بكون انا او just لكم و شرحت لكم ال + +316 +00:25:36,660 --> 00:25:41,040 +cranial nerves كلهم و دومتم بخير و الله يعطيكم + diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/G6Vhdm1UDcc_raw.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/G6Vhdm1UDcc_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..370b78aea466bd495f3c368c50cceb3e5cd71aa1 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/G6Vhdm1UDcc_raw.srt @@ -0,0 +1,1264 @@ +1 +00:00:05,130 --> 00:00:07,970 +بسم الله الرحمن الرحيم السلام عليكم و رحمة الله + +2 +00:00:07,970 --> 00:00:13,370 +نكمل محاضرة الأسبوع التاسع which is cranial nerves + +3 +00:00:13,370 --> 00:00:17,390 +رقم 2 في جزء الأول من المحاضرة انا شرحت لكم facial + +4 +00:00:17,390 --> 00:00:22,090 +nerve واتفاجنا انه vestibulocochlear nerve راح + +5 +00:00:22,090 --> 00:00:27,140 +نشرحه في محاضرة ال special sensationاليوم او جزء + +6 +00:00:27,140 --> 00:00:30,560 +الان راح يكون على aglosopharyngeal nerve , vagus + +7 +00:00:30,560 --> 00:00:34,920 +nerve, accessory nerve و vagus nerve نبدأ ب + +8 +00:00:34,920 --> 00:00:38,700 +aglosopharyngeal nerve aglosopharyngeal nerve it + +9 +00:00:38,700 --> 00:00:41,640 +is mixed nerve it is mixed nerve يبقى + +10 +00:00:41,640 --> 00:00:45,900 +aglosopharyngeal nerve it is mixed nerve which + +11 +00:00:45,900 --> 00:00:51,460 +contain sensory fibers motor fibers and + +12 +00:00:51,460 --> 00:00:57,910 +parasympatheticit is more important as sensory لأن + +13 +00:00:57,910 --> 00:01:06,630 +أكتر الأفرع اللي فيه تعتبر أعصاب حسية emerged from + +14 +00:01:06,630 --> 00:01:14,130 +the posterior lateral sulcus of medulla oblongata + +15 +00:01:14,130 --> 00:01:19,250 +بخرج من ال posterior lateral sulcus of medulla + +16 +00:01:19,250 --> 00:01:22,190 +oblongata اللي هو glossopharyngeal nerve + +17 +00:01:27,070 --> 00:01:32,350 +ثم تنتقل إلى الـ jugular foramen بخرج من ال + +18 +00:01:32,350 --> 00:01:37,750 +jugular foramen اتفاقنا ان ال functions بتاعة ال + +19 +00:01:37,750 --> 00:01:41,950 +glossopharyngeal nerve motor sensory + +20 +00:01:41,950 --> 00:01:47,610 +parasympathetic main function is sensory يبقى ال + +21 +00:01:47,610 --> 00:01:49,890 +nuclei of the glossopharyngeal nerve رح يكونوا + +22 +00:01:49,890 --> 00:01:54,980 +ثلاثة أنواعوحدة motor وحدة sensory و بارا + +23 +00:01:54,980 --> 00:02:01,080 +sympathetic نبدأ بال motor motor nucleus اسمها + +24 +00:02:01,080 --> 00:02:06,480 +nucleus of ambiguous nucleus of ambiguous nucleus + +25 +00:02:06,480 --> 00:02:10,240 +of + +26 +00:02:10,240 --> 00:02:14,420 +ambiguous + +27 +00:02:17,550 --> 00:02:22,250 +Nucleus of Ambigus بتعطي 3 nerve بتخدنا كم عصاب + +28 +00:02:22,250 --> 00:02:29,650 +تلاثة بتخدنا ال glossopharyngeal nerve تلاثة + +29 +00:02:29,650 --> 00:02:38,930 +بتخدنا ال vegas nerve تلاثة بتخدنا ال cranial + +30 +00:02:38,930 --> 00:02:43,760 +nerveaccessory nerve يبقى ان هذه ال nucleus اللي + +31 +00:02:43,760 --> 00:02:47,620 +هي ambiguous nucleus بتعطينا لثلاث عصاب بتعطي + +32 +00:02:47,620 --> 00:02:57,780 +للعصب التاسم عشر احداش واضفتها somatic motor + +33 +00:02:57,780 --> 00:03:03,880 +nucleus ايش somatic motor nucleus يعني supply + +34 +00:03:03,880 --> 00:03:10,440 +skeletal muscles supply لإيه skeletal musclesOkay + +35 +00:03:10,440 --> 00:03:17,020 +هذا أول نوكلياس النوكلياس التانية sub inferior + +36 +00:03:17,020 --> 00:03:21,300 +salivary nucleus يوم اشرحت facial nerve اتكلمت على + +37 +00:03:21,300 --> 00:03:24,020 +superior salivary nucleus لإن ال glucose + +38 +00:03:24,020 --> 00:03:27,760 +pharyngeal nerve في inferior salivary nucleus + +39 +00:03:27,760 --> 00:03:32,960 +موجودة في الميدالة أوبلانجاتا وظفتها supply the + +40 +00:03:34,530 --> 00:03:38,070 +Parotid gland يقولون وظيفتها ايه بتغدين مين + +41 +00:03:38,070 --> 00:03:43,350 +Parotid gland ايش وظيفتها Parasympathetic function + +42 +00:03:43,350 --> 00:03:47,850 +Parasympathetic function وايه ايه الثالثة Solitary + +43 +00:03:47,850 --> 00:03:53,950 +nucleus احنا شرحناها هي Solitary nucleus Solitary + +44 +00:03:53,950 --> 00:03:56,970 +nucleus + +45 +00:03:56,970 --> 00:04:02,350 +موجودة وين في الميدالة Oblongata for general + +46 +00:04:04,350 --> 00:04:11,190 +and taste sensation هذه ال nucleus راح تتكرر + +47 +00:04:11,190 --> 00:04:13,790 +معناها في الأعصاب اللي لهم علاقة بال taste + +48 +00:04:13,790 --> 00:04:20,770 +sensation في العصب السابع بتعطينا general و taste + +49 +00:04:20,770 --> 00:04:28,830 +sensation تمام في العصب السابعتنين في العصب التاسع + +50 +00:04:28,830 --> 00:04:32,510 +الـ Glossopharyngeal لـ Taste و General Sensation + +51 +00:04:32,510 --> 00:04:41,510 +و لـ Vegas Nerve هيبقى هذه تتكرر في تلات عصاب + +52 +00:04:41,510 --> 00:04:47,330 +تتكرر + +53 +00:04:47,330 --> 00:04:53,310 +في العصب السابع و التاسع و عشر هذه اسمها اللي هي + +54 +00:04:55,650 --> 00:05:03,170 +سوليتاريه نوكلياس ثلاثة نوكلياه انبيوغاس for motor + +55 +00:05:03,170 --> 00:05:08,490 +function تعطينا fibers للموتور supply of stylo + +56 +00:05:08,490 --> 00:05:10,610 +pharyngeal muscle اللي يقلص ال pharyngeal نير + +57 +00:05:10,610 --> 00:05:14,330 +بيقدّي عضلة واحدة ثمانة انفريو ساليفريه نوكلياس + +58 +00:05:14,330 --> 00:05:17,730 +موجودة في الميدالة أبلنجاته for parotid gland + +59 +00:05:17,730 --> 00:05:21,530 +parasympathetic function وسوليتاريه نوكلياه موجودة + +60 +00:05:21,530 --> 00:05:27,160 +في الميدالة أبلنجاته واضفتها sensory functionنتكلم + +61 +00:05:27,160 --> 00:05:29,700 +الآن على ال functions of Glossopharyngeal nerve + +62 +00:05:29,700 --> 00:05:32,980 +اتفاقنا انه mixed nerve، the main function is + +63 +00:05:32,980 --> 00:05:38,820 +sensory function، first function is sensory، + +64 +00:05:38,820 --> 00:05:42,900 +supply او receive taste sensation and general + +65 +00:05:42,900 --> 00:05:47,980 +sensation from posterior one third of the tongue + +66 +00:05:48,380 --> 00:05:54,820 +أثنين ميكوزا ميمبراين فارنكس و تونزل كاروتد صينس و + +67 +00:05:54,820 --> 00:05:58,980 +كاروتد بودي يبقى هذه اللي هي sensory function + +68 +00:06:01,300 --> 00:06:06,000 +Parasympathetic function supply parotid gland يقول + +69 +00:06:06,000 --> 00:06:10,800 +ان هو المسئول عن parotid gland ثلاثة motor + +70 +00:06:10,800 --> 00:06:14,540 +function supply only one muscle it is + +71 +00:06:14,540 --> 00:06:20,160 +Stylopharyngeus muscle Stylopharyngeus muscle هاي + +72 +00:06:20,160 --> 00:06:25,420 +عندي البستير one third of the tongue taste + +73 +00:06:33,170 --> 00:06:40,430 +and general sensation من وين بتاخد؟ من العصب + +74 +00:06:40,430 --> 00:06:44,650 +التاسع Glossopharyngeal مسئول عن ال taste و + +75 +00:06:44,650 --> 00:06:51,650 +general sensation طيب anterior to third ال + +76 +00:06:51,650 --> 00:07:00,210 +anterior to third تلاحظوا ال anterior to third من + +77 +00:07:00,210 --> 00:07:00,710 +ناحية + +78 +00:07:05,390 --> 00:07:11,950 +test sensation from + +79 +00:07:11,950 --> 00:07:17,930 +facial nerve من ال facial nerve test sensation طيب + +80 +00:07:17,930 --> 00:07:23,430 +general sensation + +81 +00:07:23,430 --> 00:07:27,590 +يعني ايش مقصود بال general sensation pain + +82 +00:07:27,590 --> 00:07:34,090 +temperature touch sensation من اللي هومانديبولار + +83 +00:07:34,090 --> 00:07:37,950 +نيرف مانديبولار اللي أصله جاي من وين مانديبولار + +84 +00:07:37,950 --> 00:07:43,410 +نيرف من تري جيمينال نيرف هذا هو ال innervation of + +85 +00:07:43,410 --> 00:07:46,150 +the tongue even ال taste و ال general sensation + +86 +00:07:46,150 --> 00:07:49,090 +from the posterior and third مسئول عنها ال + +87 +00:07:49,090 --> 00:07:57,670 +glossopharyngeal nerve الآن + +88 +00:07:57,670 --> 00:08:03,300 +بنتج ال Vegas nerve العصب العاشرit is mixed nerve + +89 +00:08:03,300 --> 00:08:08,020 +من الرقم عشر تلاف و تسعمية و خمس و سبعين اتكلمنا + +90 +00:08:08,020 --> 00:08:16,660 +it is more important او most important function is + +91 +00:08:16,660 --> 00:08:22,260 +parasympathetic function لو اتكلمنا على ال Vegas + +92 +00:08:22,260 --> 00:08:28,420 +nerve it is most important nerve + +93 +00:08:30,360 --> 00:08:36,320 +as parasympathetic يبقى ان هو أهم parasympathetic + +94 +00:08:36,320 --> 00:08:40,500 +nerve في جسم الإنسان ال function تبعته motor + +95 +00:08:40,500 --> 00:08:45,660 +function لـ skeletal muscles بارا سيمباتاتيك + +96 +00:08:45,660 --> 00:08:50,000 +function لـ smooth muscles كاردياك muscles تبعت ال + +97 +00:08:50,000 --> 00:08:54,700 +internal organs و ل ال glands و sensory function + +98 +00:08:54,700 --> 00:08:59,400 +as sensation nuclei of Vegas nerve + +99 +00:09:02,140 --> 00:09:08,860 +في منهم اثنتين شرحناهم main part of nucleus + +100 +00:09:08,860 --> 00:09:14,060 +ambigus هي بتعطي الفيجس نيرب بتغدينها ال skeletal + +101 +00:09:14,060 --> 00:09:18,320 +muscles بتاعة ال larynx, pharynx and palate هي + +102 +00:09:18,320 --> 00:09:25,810 +واحدة و solitary nucleus شرحناهاقلنا بتغدى كمان ال + +103 +00:09:25,810 --> 00:09:31,890 +Vega snare ل taste sensation from AP glottis و + +104 +00:09:31,890 --> 00:09:37,050 +general sensation من ال area supplied by the + +105 +00:09:37,050 --> 00:09:39,570 +parasympathetic fibers يعني المريض صار معاه جلطة + +106 +00:09:39,570 --> 00:09:44,230 +في القلب بشعور بألم ال Vega snare بشعر فيها المريض + +107 +00:09:44,230 --> 00:09:48,740 +عنده قرحة في المعدةحدث قرح قرحة في المعيدة عنده + +108 +00:09:48,740 --> 00:09:52,500 +وفيه ألم في المعيدة ال Vegas nerve بشعر فيها مريض + +109 +00:09:52,500 --> 00:09:56,340 +عنده في الدودنام في ال 12 نفس الشيء يبقى هو ال + +110 +00:09:56,340 --> 00:10:01,780 +Vegas nerve بيغدينا ال respiratory system heart + +111 +00:10:01,780 --> 00:10:07,720 +القلب بيغدي الجهاز الهضمي لحد ال junction between + +112 +00:10:09,190 --> 00:10:13,930 +right two thirds of transverse colon مع ال left + +113 +00:10:13,930 --> 00:10:17,750 +one third يعني هو بيغدي المعدة بيغدي ال pancreas + +114 +00:10:17,750 --> 00:10:21,230 +بيغدي الاثنى عشرة الأمعاء الدقيقة small intestine + +115 +00:10:21,230 --> 00:10:25,430 +بيغدي الأمعاء الغليظة اللي هي ascending colon + +116 +00:10:25,430 --> 00:10:30,310 +transverse right two thirds right two thirds of + +117 +00:10:30,310 --> 00:10:34,020 +transverse colon بياخدوا من Vegasطب اللي بعدهم + +118 +00:10:34,020 --> 00:10:37,760 +left one third, descending colon, sigmoid, rectum + +119 +00:10:37,760 --> 00:10:41,660 +هذول بياخدوا من ال sacral part of parasympathetic + +120 +00:10:41,660 --> 00:10:46,540 +nervous system اشرحها ان شاء الله في محاضرة تبع ال + +121 +00:10:46,540 --> 00:10:51,980 +autonomic nervous system و ال nucleus الثالثة + +122 +00:10:51,980 --> 00:10:58,060 +dorsal motor nucleus of vegas طب دكتور ياد انت + +123 +00:10:58,060 --> 00:11:02,470 +قلتلنا ambiguous motorوكمان في دورسال موتور + +124 +00:11:02,470 --> 00:11:06,690 +نوكلياس دورسال موتور نوكلياس أوف فيجاس it is the + +125 +00:11:06,690 --> 00:11:12,490 +most important parasympathetic nucleus in the body + +126 +00:11:12,490 --> 00:11:15,950 +هذه مسئولة عن إيش يا جماعة، عند ال glands، بتغضي + +127 +00:11:15,950 --> 00:11:19,990 +ال glands، as secretomotor، هي واحدة، مسئولة عن ال + +128 +00:11:19,990 --> 00:11:23,980 +cardiac muscle، involuntary muscleمسئولة عن ال + +129 +00:11:23,980 --> 00:11:27,840 +smooth muscles ال respiratory system وال GIT + +130 +00:11:27,840 --> 00:11:31,940 +system لحد ال junction between right two third of + +131 +00:11:31,940 --> 00:11:34,380 +transverse colon مع ال left one third of + +132 +00:11:34,380 --> 00:11:38,680 +transverse colon في الحالة هذه دورسة ال motor + +133 +00:11:38,680 --> 00:11:43,560 +nucleus of Vegas الوظيفة تبعتها Parasympathetic + +134 +00:11:43,560 --> 00:11:48,690 +function Parasympathetic functionالـ + +135 +00:11:48,690 --> 00:11:51,290 +Parasympathetic nervous system نشرحها ان شاء الله + +136 +00:11:51,290 --> 00:11:54,990 +في محاضرة منفصلة اسمها autonomic nervous system + +137 +00:11:54,990 --> 00:11:58,110 +راح نشرح فيها sympathetic nervous system و + +138 +00:11:58,110 --> 00:12:01,750 +Parasympathetic nervous system ال Vegas nerve هو + +139 +00:12:01,750 --> 00:12:07,090 +يعتبر جزء من وظيفته أو أهم وظيفة له هي + +140 +00:12:07,090 --> 00:12:14,870 +Parasympathetic functionمن وين بخرج؟ from the + +141 +00:12:14,870 --> 00:12:22,290 +posterior lateral sulcus of medulla oblongata خرج + +142 +00:12:22,290 --> 00:12:24,050 +من ال posterior lateral sulcus of medulla + +143 +00:12:24,050 --> 00:12:30,090 +oblongata بعدها بفوض في جاجولار فورامن و بخرج من + +144 +00:12:30,090 --> 00:12:36,500 +جاجولار فورامن هي عندي Vegas nerveهذا هو ال Vegas + +145 +00:12:36,500 --> 00:12:41,220 +nerve وهذا هو left Vegas nerve وهنا عندي اللي هو + +146 +00:12:41,220 --> 00:12:46,240 +right Vegas nerve مقلوبة صورة بصير view الاختلاف + +147 +00:12:46,240 --> 00:12:53,260 +فيهم انه في عصب اسمه recurrent laryngeal nerve ال + +148 +00:12:53,260 --> 00:12:57,460 +right recurrent laryngeal nerveبيعمل hooking بيلف + +149 +00:12:57,460 --> 00:13:04,380 +و بيرجع من الخلف بتاع ال posterior part of the + +150 +00:13:04,380 --> 00:13:08,700 +subclavian artery يبقى نقل هو right recurrent + +151 +00:13:08,700 --> 00:13:12,620 +laryngeal nerve بيعمل hooking من وين من اللي هو + +152 +00:13:12,620 --> 00:13:17,300 +right subclavian artery أما ال .. + +153 +00:13:22,500 --> 00:13:26,660 +Left Recurrent Laryngeal Nerve بيعمل Hooking و + +154 +00:13:26,660 --> 00:13:30,120 +بيلف من الارش of the aorta هاي الاختلاف ما بينهم + +155 +00:13:30,120 --> 00:13:33,600 +انه Recurrent Laryngeal Nerve عشان هيك سموه + +156 +00:13:33,600 --> 00:13:37,920 +Recurrent بيرجع رجوع و ال right بيعمل Hooking و + +157 +00:13:37,920 --> 00:13:41,380 +بيلف خلف ال subclavian artery على ال right side + +158 +00:13:41,380 --> 00:13:46,740 +أما لل left بيلف حوالين الارش of the aorta هذا + +159 +00:13:46,740 --> 00:13:55,960 +اسمه Vegas nerveوهنا Vegas nerve هذا right وهذا + +160 +00:13:55,960 --> 00:14:02,120 +left طب واللي عمل hawking ولف وصعد عود رجع اسمه + +161 +00:14:02,120 --> 00:14:07,240 +left recurrent laryngeal nerve وهذا right + +162 +00:14:07,240 --> 00:14:14,260 +recurrent laryngeal nerve احنا شرحنا ايش الخلاف ما + +163 +00:14:14,260 --> 00:14:17,240 +بين ال right و ال left Vegas nerve + +164 +00:14:27,260 --> 00:14:32,620 +هيو عندى نازل Vegas nerve وبيعطى ال branches + +165 +00:14:32,620 --> 00:14:36,780 +بتاعينه ماراح افوت بالتفصيل معاكم في موضوع ال + +166 +00:14:36,780 --> 00:14:45,020 +branches بتاعينه بنتاجى + +167 +00:14:45,020 --> 00:14:52,500 +لان للعصب ال 11 اسمه accessory nerve it is purely + +168 +00:14:52,500 --> 00:14:58,310 +motor nerve it is purely motor nervetwo roots إله + +169 +00:14:58,310 --> 00:15:04,770 +two roots one cranial root و another spinal root + +170 +00:15:04,770 --> 00:15:10,750 +cranial root arise from the medulla oblongata من + +171 +00:15:10,750 --> 00:15:15,510 +وين بيجينا ل cranial root؟بيجي من وين؟ من + +172 +00:15:15,510 --> 00:15:19,110 +ambiguous nucleus بيجي من وين؟ ambiguous nucleus + +173 +00:15:19,110 --> 00:15:23,570 +يبقى الكرينيا الروت أصله من ambiguous nucleus اللي + +174 +00:15:23,570 --> 00:15:26,950 +موجودة في الميدالة أو بلانجاتا بعد ما يخرج من جوجل + +175 +00:15:26,950 --> 00:15:30,770 +أو الحورمان هذا الكرينيا الروت بيتحد مع ال Vegas + +176 +00:15:30,770 --> 00:15:36,890 +nerve و بيدخل مع ال Vegas nerve و بيغدى البلاتين و + +177 +00:15:36,890 --> 00:15:40,630 +pharyngeal muscle اللي علاقة فقط ب skeletal + +178 +00:15:40,630 --> 00:15:44,610 +musclesما راح اتكلم عنه اليوم اكرانيا الروت لانه + +179 +00:15:44,610 --> 00:15:48,150 +دخل مع مين مع ال Vegas Nair الجزء الثاني من ال + +180 +00:15:48,150 --> 00:15:52,980 +accessory Nairهو spinal root هذا spinal root + +181 +00:15:52,980 --> 00:15:58,100 +بيجينا من ال upper four five cervical segments من + +182 +00:15:58,100 --> 00:16:01,860 +ال anterior horn cells then السن بيصعد بيفوت في ال + +183 +00:16:01,860 --> 00:16:05,660 +foramen magnum وبيتحد مع ال cranial part مع الجزء + +184 +00:16:05,660 --> 00:16:08,900 +الجامل اللي بيضل قبل ان جاته و بيغادروا عن طريق + +185 +00:16:08,900 --> 00:16:11,020 +jugular foramen بعد ما يغادروا ال jugular foramen + +186 +00:16:11,020 --> 00:16:14,800 +بنفصلوا مباشرة ما بيحبوش بعض هذا spinal و هذا + +187 +00:16:14,800 --> 00:16:18,420 +cranialالـ cranial بتحد مع ال Vegas nerve و + +188 +00:16:18,420 --> 00:16:21,740 +بيغدينا ل ال palatine muscle و ال pharyngeal + +189 +00:16:21,740 --> 00:16:26,820 +muscle و ال spinal nerves بيغدينا ل two muscles + +190 +00:16:26,820 --> 00:16:31,200 +sternocleidomastoid muscle و اضيفت ل ال + +191 +00:16:31,200 --> 00:16:34,480 +sternocleidomastoid muscle ايش وضيفتها هذه العضلة؟ + +192 +00:16:34,480 --> 00:16:39,730 +ال right بتلف ال head و ال left على ال leftبتلف ال + +193 +00:16:39,730 --> 00:16:42,290 +head و ال neck على ال left طب و ال left سيرناك + +194 +00:16:42,290 --> 00:16:45,750 +ليده مستعد بتلف ال head و ال neck علي وين علي ال + +195 +00:16:45,750 --> 00:16:49,390 +right يبقى الوظيفة العضله دي عكسي اليمين بتلف + +196 +00:16:49,390 --> 00:16:52,470 +الرأس و الرجب علي الشمال طب و الشمال بتلف علي + +197 +00:16:52,470 --> 00:16:58,250 +اليمين انا احرك رأسي علي جهة اليسارمن حركها؟ right + +198 +00:16:58,250 --> 00:17:01,810 +sternocleidomastoid muscle طب نحرك على اليمين + +199 +00:17:01,810 --> 00:17:06,590 +حركنا على اليمين left sternocleidomastoid + +200 +00:17:06,590 --> 00:17:11,940 +muscle العضلة التانية trapezius muscleTrapezius + +201 +00:17:11,940 --> 00:17:15,940 +muscle هنا بيصلحه شوية هنا مش مظبوطة shoulder + +202 +00:17:15,940 --> 00:17:19,000 +elevation لأ ال shoulder elevation اللي بتعمل + +203 +00:17:19,000 --> 00:17:22,780 +elevation لل shoulder هي مين؟ هي deltoid muscle + +204 +00:17:22,780 --> 00:17:26,460 +دلتويد هي اللي بتعمل elevation يبقى هنا shoulder + +205 +00:17:26,460 --> 00:17:27,780 +shrugging + +206 +00:17:31,240 --> 00:17:35,300 +shoulder shrugging جينا سألناكوا سؤال نعطيكم + +207 +00:17:35,300 --> 00:17:39,060 +محاضرة إضافية يوم الجمعة أربع ساعات إيش راح الطلاب + +208 +00:17:39,060 --> 00:17:42,260 +يقولوا كلهم مابدناش لأ مابدنا إيش عملنا احنا في ال + +209 +00:17:42,260 --> 00:17:45,580 +shoulder عملنا shrugging هذه العملية بنسميها + +210 +00:17:45,580 --> 00:17:50,650 +shruggingلكن هذه elevation ال elevation دلتويد + +211 +00:17:50,650 --> 00:17:54,430 +muscle shrugging عن طريق الترابيزياس muscle + +212 +00:17:54,430 --> 00:17:58,110 +الترابيزياس + +213 +00:17:58,110 --> 00:18:02,990 +muscle اللي بيغضيها هو accessory nerves تبقى دا + +214 +00:18:02,990 --> 00:18:07,110 +spinal accessory تبقى spinal accessory supply two + +215 +00:18:07,110 --> 00:18:10,110 +muscles الترابيزياس muscle اللي بتعملنا shrugging + +216 +00:18:10,110 --> 00:18:11,750 +لل shoulder and + +217 +00:18:13,860 --> 00:18:17,320 +Sternocleidomastoid muscle اللي بتعملنا turn + +218 +00:18:17,320 --> 00:18:28,240 +للhead هو انك على ال opposite side هي عندي ال + +219 +00:18:28,240 --> 00:18:33,200 +cranial cranial root وهذا + +220 +00:18:33,200 --> 00:18:39,880 +ايه spinal root تفوت لفرم المجنم بعدين بتتحد مع + +221 +00:18:39,880 --> 00:18:41,720 +مين؟ مع ال cranial root + +222 +00:18:45,710 --> 00:18:50,710 +بيفوتوا في forum المجنم لما فات forum المجنم اتحد + +223 +00:18:50,710 --> 00:18:57,170 +بعدها مع ال cranial root بعدك بيغادروا عن طريق + +224 +00:18:57,170 --> 00:19:02,250 +jugular forum cranial + +225 +00:19:02,250 --> 00:19:11,010 +root بتحد مع مين؟ مع الvegas nerve و spinal root + +226 +00:19:11,010 --> 00:19:18,600 +بيغديلنا two musclesSternocleidomastoid muscle + +227 +00:19:18,600 --> 00:19:21,760 +وTrapezius + +228 +00:19:21,760 --> 00:19:26,020 +muscle وهي كانت بيكون انا شرحتلكوا اللي هو ايش + +229 +00:19:26,020 --> 00:19:28,000 +accessory nerve هو اضيفته + +230 +00:19:34,850 --> 00:19:38,330 +هي عندي jugular foramen فى عندي two roots فى + +231 +00:19:38,330 --> 00:19:40,750 +spinal و cranial او cranial و spinal التحدوا مع + +232 +00:19:40,750 --> 00:19:44,550 +بعض وصار اسمه accessory nerve بعد ما يغادروا + +233 +00:19:44,550 --> 00:19:47,190 +jugular و foramen بيكرهوا بعض على السبحة هذول + +234 +00:19:47,190 --> 00:19:50,630 +اتنين بنفصلوا مباشرة عن بعض ال cranial بيروح + +235 +00:19:50,630 --> 00:19:55,830 +لvegas nerve و spinal بيغدى sternocleidomastoid + +236 +00:19:55,830 --> 00:20:00,510 +muscle and trapezius muscle هى واضح عندي هنا اللى + +237 +00:20:00,510 --> 00:20:00,710 +هو + +238 +00:20:04,130 --> 00:20:11,090 +Spinal Root فات على فرم الماجنا هذه عندي ال + +239 +00:20:11,090 --> 00:20:14,310 +ambigous nucleus عطتنا fibers لل cranial accessory + +240 +00:20:14,310 --> 00:20:20,770 +اتحدوا مع بعض و سمناهم accessory nerve بعد هيك + +241 +00:20:20,770 --> 00:20:31,550 +بيغادروا عن طريق jugular فرمي cranial + +242 +00:20:31,550 --> 00:20:37,970 +rootبتحد و بنفصل عن ال accessory و بروح لوان مع ال + +243 +00:20:37,970 --> 00:20:46,650 +Vegas Nerf مع ال Vegas و Spinal Root يدلق ماشينا + +244 +00:20:46,650 --> 00:20:49,210 +عليناك بيغدي two muscles Sternocleidomastoid + +245 +00:20:49,210 --> 00:20:57,970 +muscle و Trapezius muscle okay + +246 +00:20:59,300 --> 00:21:03,480 +واتفجنا .. ال slide هذا أنا شرحته الآن انه ال + +247 +00:21:03,480 --> 00:21:06,960 +branches of accessory nerve cranial accessory + +248 +00:21:06,960 --> 00:21:09,760 +nerve اللي هو internally branch اللي جاي من ال + +249 +00:21:09,760 --> 00:21:12,920 +ambiguous nucleus of medulla oblongata بتحد مع + +250 +00:21:12,920 --> 00:21:16,140 +Vegas nerve بعد هيك بيكون distribution مع ال + +251 +00:21:16,140 --> 00:21:18,440 +distribution of Vegas nerve ماشي و بيغضينا + +252 +00:21:18,440 --> 00:21:22,570 +الaryngeal palatine and pharyngeal musclesوالجزء + +253 +00:21:22,570 --> 00:21:25,310 +الثاني او العصب الثاني او الجزء الثاني من ال + +254 +00:21:25,310 --> 00:21:28,450 +accessory nerve اسمه spinal accessory هذا external + +255 +00:21:28,450 --> 00:21:32,310 +branch supply ايه اللي هي sternocleidomastoid + +256 +00:21:32,310 --> 00:21:35,050 +muscle اللي بتعملنا internal head to the opposite + +257 +00:21:35,050 --> 00:21:38,050 +side هنا أنا بصلحها أنا في ال side هذا صلحتها و + +258 +00:21:38,050 --> 00:21:40,750 +بغضي trapezius muscle اللي بتعمل ايه shoulder + +259 +00:21:40,750 --> 00:21:41,830 +shrugging + +260 +00:21:44,670 --> 00:21:50,290 +هذا شرحته، هاي عندى spinal accessory nerve، supply + +261 +00:21:50,290 --> 00:21:53,090 +of the trapezius muscle، وهذه trapezius muscle + +262 +00:21:53,090 --> 00:21:58,290 +وهذه sternocleidomastoid muscle، الآن بصل للعصب + +263 +00:21:58,290 --> 00:22:01,570 +الثاني عشر اخر عصب في cranial nerves اللي هو + +264 +00:22:01,570 --> 00:22:05,910 +hypoglossal nervehypoglossal nerve it is the motor + +265 +00:22:05,910 --> 00:22:09,230 +nerve of the tongue هذا العصب يا بدخلنا الجنة يا + +266 +00:22:09,230 --> 00:22:12,910 +بدخلنا النار لأنه إيه supply the muscle of the + +267 +00:22:12,910 --> 00:22:16,410 +tongue بيغدى اللسان وحسب لسانك ما يتكلم ويفعل + +268 +00:22:16,410 --> 00:22:22,510 +بيكون الآخرة بتاعتنا movement of the tongue are + +269 +00:22:22,510 --> 00:22:27,270 +important in chewing speech and initial stage of + +270 +00:22:27,270 --> 00:22:31,650 +swallowing يبقى أن حركة اللسان مهمة لإيه مهمة مهمة + +271 +00:22:31,650 --> 00:22:36,880 +في عملية المضغفي عملية البلع في عملية الكلام يجون + +272 +00:22:36,880 --> 00:22:42,560 +هي مهمة لإيه للمضغ للكلام لبداية عملية البلع + +273 +00:22:42,560 --> 00:22:47,140 +hypoglossal nerve it is a purely motor nerve ال + +274 +00:22:47,140 --> 00:22:51,340 +hypoglossal nerve purely motor nerve supplies the + +275 +00:22:51,340 --> 00:22:55,540 +external and internal muscle of the tongue بغد + +276 +00:22:55,540 --> 00:22:59,040 +الأعضالات الداخلية والخارجية بتاعة اللسان من وين + +277 +00:22:59,040 --> 00:23:01,180 +مصدره أصله بجينا من + +278 +00:23:04,000 --> 00:23:07,300 +هيبوغلوسال نوكلياس بيجي من وين؟ من هيبوغلوسال + +279 +00:23:07,300 --> 00:23:11,080 +نوكلياس في المضالة أبلانجاتا وبعد هيك بيغادر عن + +280 +00:23:11,080 --> 00:23:16,200 +طريق .. لاحظوا عن طريق anterior lateral sulcus of + +281 +00:23:16,200 --> 00:23:19,920 +مضالة أبلانجاتا عن طريق إيش؟ anterior lateral + +282 +00:23:19,920 --> 00:23:24,920 +sulcus of مضالة أبلانجاتا بعدها بيخرج من ال skull + +283 +00:23:24,920 --> 00:23:29,120 +عن طريق اللي هي هيبوغلوسال canal هيبوغلوسال canal + +284 +00:23:29,120 --> 00:23:31,590 +يبقى هو أصل من وين الهيبوغلوسال نهير جاي؟من + +285 +00:23:31,590 --> 00:23:35,930 +هيبقلوسة الـA نوكليوس موجودة في المضالة أبلانجاتا + +286 +00:23:35,930 --> 00:23:39,190 +بغادر ال brain stem أو بغادر المضالة أبلانجاتا عن + +287 +00:23:39,190 --> 00:23:42,750 +طريق اللي هي anterior lateral sulcus of مضالة + +288 +00:23:42,750 --> 00:23:47,170 +أبلانجاتا و بخرج من ال skull عن طريق هيبقلوسة ال + +289 +00:23:47,170 --> 00:23:50,930 +canal هي هيبقلوسة ال canal واضح يكون عن ال left أو + +290 +00:23:50,930 --> 00:23:55,390 +ال right أو ال leftbranches of hypoglossal nerve + +291 +00:23:55,390 --> 00:24:00,310 +itself هلأ ال hypoglossal nerve بتحد مع C1 و C2 و + +292 +00:24:00,310 --> 00:24:04,050 +بيكونون حاجة اسمها answer cervicals أنا مارح أتطرق + +293 +00:24:04,050 --> 00:24:07,950 +للموضوع هذا لإنه أنا بشرح للطب أكتر أنه بتحد مع + +294 +00:24:07,950 --> 00:24:12,090 +cervical one nerve و cervical two أنا راح أشرح بس + +295 +00:24:12,090 --> 00:24:14,530 +إيش العضلات اللي بيغديهم ال hypoglossal nerve + +296 +00:24:14,530 --> 00:24:18,110 +itselfاللي أصله جاي من الـ hypoglossal nucleus + +297 +00:24:18,110 --> 00:24:21,650 +الأصله جاي من وين؟ من ميدالة أبلانجادا الـ supply + +298 +00:24:21,650 --> 00:24:26,630 +is styloglossus muscle, a hyoglossus muscle + +299 +00:24:26,630 --> 00:24:32,070 +وgenioglossus muscle and the internal muscle of + +300 +00:24:32,070 --> 00:24:33,910 +the tongue يبقى من ال fibers جاية من ال + +301 +00:24:33,910 --> 00:24:37,850 +hypoglossal nucleus اللي أعطتنا hypoglossal nerve + +302 +00:24:37,850 --> 00:24:42,670 +itself بدون ما يشارك مع ال spinal nerves بيغدينا + +303 +00:24:42,670 --> 00:24:47,250 +styloglossus musclewe hyoglossus muscle و we + +304 +00:24:47,250 --> 00:24:51,790 +genioglossus muscle and internal muscle of the + +305 +00:24:51,790 --> 00:24:58,010 +tongue هاي عندي واضحة hyoglossal إيه نكلياسعطتنا + +306 +00:24:58,010 --> 00:25:02,050 +hypoglossal nerve بيفوت في ال hypoglossal canal زى + +307 +00:25:02,050 --> 00:25:05,870 +ما قلنا بالتحد مع c1 و c2 و c3 ما راح اتدخل و + +308 +00:25:05,870 --> 00:25:08,950 +اتكلم فى الموضوع حدا و اتطرق إله لأنه الموضوع شوية + +309 +00:25:08,950 --> 00:25:12,570 +صعب راح يكون عليكوا لكن ال hypoglossal nerve + +310 +00:25:12,570 --> 00:25:15,510 +itself بيغدىنا external and internal muscle of the + +311 +00:25:15,510 --> 00:25:18,590 +tongue اللى اتكلمنا عنهم تلاتة اللى هو + +312 +00:25:18,590 --> 00:25:21,010 +styroglossus muscle, hyoglossus muscle و + +313 +00:25:21,010 --> 00:25:27,960 +geneoglossus muscleand supply all + +314 +00:25:27,960 --> 00:25:32,500 +internal muscles of the tongue بطريقة هادية او لحد + +315 +00:25:32,500 --> 00:25:36,660 +هذا ال slide بكون انا او just لكم و شرحت لكم ال + +316 +00:25:36,660 --> 00:25:41,040 +cranial nerves كلهم و دومتم بخير و الله يعطيكم + diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/HH8Ar_LievY.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/HH8Ar_LievY.srt new file mode 100644 index 0000000000000000000000000000000000000000..7a8600d17905253a4383a4c3884b73b9b61eea7c --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/HH8Ar_LievY.srt @@ -0,0 +1,1505 @@ +1 +00:00:05,040 --> 00:00:10,440 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:10,440 --> 00:00:15,960 +وبركاته محاضرة الأسبوع التاسع راح نكمل موضوع + +3 +00:00:15,960 --> 00:00:19,940 +anatomy and physiology of the cranial nerves الجزء + +4 +00:00:19,940 --> 00:00:24,900 +الأول من محاضرة الأسبوع التاسع راح نتكلم بالتفصيل + +5 +00:00:24,900 --> 00:00:29,600 +الممل عن anatomy and physiology of the facial + +6 +00:00:29,600 --> 00:00:34,990 +nerve. أهم عصب لكم في موضوع cranial nerves هو العصب + +7 +00:00:34,990 --> 00:00:40,990 +السابع facial nerve facial + +8 +00:00:40,990 --> 00:00:44,670 +nerve, it + +9 +00:00:44,670 --> 00:00:48,870 +is a mixed nerve, it is a mixed nerve which + +10 +00:00:48,870 --> 00:00:57,600 +contains motor, sensory, and parasympathetic functions + +11 +00:00:57,600 --> 00:01:02,920 +أو fibers. هاي هو دي ال mix nerve عشر تلاف وتسعمية + +12 +00:01:02,920 --> 00:01:09,670 +وخمس وسبعين. خلصنا السابق العصب الخامس اللي هو الـ + +13 +00:01:09,670 --> 00:01:13,490 +Trigeminal nerve. دلوقت راح اتكلم على Facial nerve + +14 +00:01:13,490 --> 00:01:17,970 +Facial nerve اللي هو العصب السابع. عصب السابع + +15 +00:01:17,970 --> 00:01:22,230 +Facial nerve, it is mixed nerve, contains motor + +16 +00:01:22,230 --> 00:01:27,250 +sensory and parasympathetic fibers. يوم اتكلمت على + +17 +00:01:27,250 --> 00:01:30,950 +Trigeminal nerve, قلتلكوا Trigeminal nerve, it is + +18 +00:01:30,950 --> 00:01:35,310 +more important than sensory nerve. اليوم راح اتكلم + +19 +00:01:35,310 --> 00:01:40,730 +على Facial nerve, it is more important as motor + +20 +00:01:40,730 --> 00:01:44,070 +nerve، عشان هي مهم إلكوا في العلاج الطبيعي، موضوع + +21 +00:01:44,070 --> 00:01:51,110 +facial nerve، لإنه عصب حركي أكتر ما هو حسيه، هو في + +22 +00:01:51,110 --> 00:01:57,110 +خليط الأنسجة، لكن هو more important as motor nerve + +23 +00:01:57,110 --> 00:02:01,730 +than sensory and than parasympathetic functions. + +24 +00:02:02,370 --> 00:02:06,550 +what's the root of a facial nerve? اتفقنا ان ال + +25 +00:02:06,550 --> 00:02:11,070 +facial nerve emerges بخرج من ال lower part of the + +26 +00:02:11,070 --> 00:02:16,130 +pons, between the pons and medulla oblongata. بخرج + +27 +00:02:16,130 --> 00:02:22,230 +as a two root, اللي هو كام root؟ two root. large + +28 +00:02:22,230 --> 00:02:31,100 +root, large root بيكون اللي هو motor facial, motor root + +29 +00:02:31,100 --> 00:02:37,000 +facial motor root, is purely motor nerve, supply all + +30 +00:02:37,000 --> 00:02:42,360 +the muscle of expression, facial expression. second + +31 +00:02:42,360 --> 00:02:48,140 +root, small root, small root بيسموه nerve + +32 +00:02:48,140 --> 00:02:53,880 +intermediates, nerve intermediates, contains sensory + +33 +00:02:53,880 --> 00:02:59,900 +and parasympathetic fibers. يبقى كمان مرة ال facial + +34 +00:02:59,900 --> 00:03:05,370 +nerve بخرج من ال .. ال ventral surface of the pons + +35 +00:03:05,370 --> 00:03:09,390 +في ال lower part of the pons, between the pons and + +36 +00:03:09,390 --> 00:03:14,730 +medulla oblongata, as two root, large root, facial + +37 +00:03:14,730 --> 00:03:20,390 +motor nerve, و small root يعتبر intermedius nerve + +38 +00:03:20,390 --> 00:03:25,210 +اللي فيه sensory و parasympathetic fibers. sensory + +39 +00:03:25,210 --> 00:03:32,710 +و parasympathetic fibers هي عندي ال lower part of + +40 +00:03:32,710 --> 00:03:37,950 +the pons. بخرج منها large root. أنا برسم على ال + +41 +00:03:37,950 --> 00:03:45,350 +left side, large root اللي هو motor facial nerve, و + +42 +00:03:45,350 --> 00:03:50,590 +small root, nerve intermediates, nerve intermediates + +43 +00:03:50,590 --> 00:03:55,030 +اللي علاقة بال sensation و هي parasympathetic + +44 +00:03:55,030 --> 00:03:59,650 +function, sensory and parasympathetic function. + +45 +00:04:04,790 --> 00:04:11,850 +nuclei of the facial nerve, حسب ال function, فيه + +46 +00:04:11,850 --> 00:04:17,450 +nuclei. اتفاقنا main function is motor function. + +47 +00:04:17,450 --> 00:04:23,750 +يبقى موجود عندي facial motor nerve, facial motor + +48 +00:04:23,750 --> 00:04:29,590 +nucleus, فيه موجودة facial motor nucleus. تنجسم + +49 +00:04:29,590 --> 00:04:35,040 +جسمين. هذه ال facial motor nucleus الها dorsal part + +50 +00:04:35,040 --> 00:04:44,340 +و ventral part. هي نرسمها. هذه تعتبر facial motor + +51 +00:04:44,340 --> 00:04:57,040 +nucleus of facial nerve, تمام. الها جزئين جزء دورسل + +52 +00:04:57,040 --> 00:04:59,360 +وجزء + +53 +00:05:01,570 --> 00:05:10,070 +ventral. اللي الدورسل، الدورسل + +54 +00:05:10,070 --> 00:05:14,890 +supply the + +55 +00:05:14,890 --> 00:05:19,730 +upper part + +56 +00:05:19,730 --> 00:05:28,670 +of the face. يبقى الدورسل nucleus بتاعة الموتور + +57 +00:05:28,670 --> 00:05:34,410 +مسئول عن أي جزء؟ upper part of the face يعني upper + +58 +00:05:34,410 --> 00:05:38,250 +quadrant of the face. يقول لو غمضت عيني مين حرك + +59 +00:05:38,250 --> 00:05:44,170 +لعين؟ هذا ال dorsal part. دكتور ايه اضحك شيء عن + +60 +00:05:44,170 --> 00:05:46,810 +الامتحان و ماعجبك و اشرحها الطالب او طالب يعمل + +61 +00:05:46,810 --> 00:05:51,800 +بتمها زيك حرك مش ماجبهممش هنجيبهم. يبقى ان انا حركت + +62 +00:05:51,800 --> 00:05:55,200 +ال lower quadrant of the face المسئول عنه ال lower + +63 +00:05:55,200 --> 00:06:00,720 +quadrant اللي هو ventral nucleus. المسئول عن ايه ال + +64 +00:06:00,720 --> 00:06:04,140 +lower part + +65 +00:06:05,060 --> 00:06:08,780 +of the face. من ناحية انا بتكلم عن ال motor من + +66 +00:06:08,780 --> 00:06:14,480 +ناحية ايه motor. يبقى كمان مرة facial motor nucleus + +67 +00:06:14,480 --> 00:06:20,160 +الها two part, dorsal part and ventral part. ال + +68 +00:06:20,160 --> 00:06:25,340 +dorsal part مسئول عن مين؟ عن ال upper quadrant of + +69 +00:06:25,340 --> 00:06:29,060 +the face. ال ventral part مسئول عن مين؟ lower + +70 +00:06:29,060 --> 00:06:32,560 +quadrant of the face. وين موجودة دي ال nucleus؟ + +71 +00:06:32,560 --> 00:06:36,300 +موجودة في ال pons. موجودة وين؟ في ال pons. إيش + +72 +00:06:36,300 --> 00:06:41,300 +وظيفتها؟ supply the facial muscles. لو أتكلم على ال + +73 +00:06:41,300 --> 00:06:46,540 +lower quadrant ببطرق إلى ال ventral part. upper + +74 +00:06:46,540 --> 00:06:52,120 +quadrant of the face, dorsal part. ثمانة في عندي + +75 +00:06:52,950 --> 00:06:57,730 +Superior Salivary Nucleus, Superior Salivary + +76 +00:06:57,730 --> 00:07:02,870 +Nucleus. هذه لها علاقة بال Parasympathetic function. + +77 +00:07:02,870 --> 00:07:10,630 +Secretomotor. بتغديلنا submandibular and sublingual + +78 +00:07:10,630 --> 00:07:15,190 +salivary glands, عن طريق branch من ال facial nerve + +79 +00:07:15,190 --> 00:07:21,600 +اسمه chorda tympani nerve. كوردة تمبني نيرف. و بتغدين ال + +80 +00:07:21,600 --> 00:07:26,500 +glands of the palate, nose. لاخرم ال gland + +81 +00:07:26,500 --> 00:07:32,880 +nasopharynx عن طريق عصب اسمه GSPN, greater + +82 +00:07:32,880 --> 00:07:37,800 +superficial petrosal nerve. اذا ذكروا لما نروح + +83 +00:07:37,800 --> 00:07:42,100 +المطبخ, نقطع بصل, ايش بيصير حالتنا؟ شلش, بيصير حالتنا + +84 +00:07:42,100 --> 00:07:48,010 +في شلش, بندمع و بنف و حلق صعبة. بتكون الوضع هنا من + +85 +00:07:48,010 --> 00:07:53,010 +البصل, مين بشتغل هنا؟ الـ Parasympathetic fibers + +86 +00:07:53,010 --> 00:07:57,270 +بتاعة مين؟ ال facial nerve. عن طريق أي نوكلياس؟ + +87 +00:07:57,270 --> 00:08:01,230 +superior salivary nucleus. وظيفته ايه؟ + +88 +00:08:01,230 --> 00:08:07,590 +Parasympathetic. ال نوكلياس التالتة, solitary nucleus + +89 +00:08:07,590 --> 00:08:14,530 +موجودة في الميدالة أبلانقاتا. علاقة بماذا؟ علاقة + +90 +00:08:14,530 --> 00:08:18,130 +بالـ sensory function، ومن ضمن الـ sensory + +91 +00:08:18,130 --> 00:08:24,310 +function, taste، sensation from the anterior to + +92 +00:08:24,310 --> 00:08:29,930 +third of the tongue. يعني ال facial nerve مسئول عن + +93 +00:08:29,930 --> 00:08:34,950 +حاسة التذوق لوين؟ لل tongue. من أي جزء من ال + +94 +00:08:34,950 --> 00:08:38,630 +anterior to third of the tongue. يبقى ال taste + +95 +00:08:38,630 --> 00:08:43,370 +sensation from the anterior to third of the tongue + +96 +00:08:43,370 --> 00:08:48,310 +اللي بيحس فيها هو ال facial nerve, عن طريق عصب اسمه + +97 +00:08:48,310 --> 00:08:50,750 +نفس الشيء كمان, chorda tympani nerve. هو chorda + +98 +00:08:50,750 --> 00:08:55,470 +tympani nerve.و أي نوكلياس؟ solitary nucleus. وين + +99 +00:08:55,470 --> 00:08:58,250 +موجودة ال solitary nucleus؟ في مضلة او بلانجاتا + +100 +00:08:58,250 --> 00:09:00,390 +احنا قولنا فيه exception. مع ان ال facial nerve + +101 +00:09:00,390 --> 00:09:03,510 +المفروض يكون في ال pons. تلاحظوا superior salivary + +102 +00:09:03,510 --> 00:09:06,990 +في ال pons. و ال motor nucleus في ال pons. لكن ال + +103 +00:09:06,990 --> 00:09:10,830 +solitary nucleus موجودة وين؟ في مضلة او بلانجاتا + +104 +00:09:10,830 --> 00:09:14,410 +لأنها مسئولة كمان عن العصب التاسع و مسئولة عن من + +105 +00:09:14,410 --> 00:09:21,600 +عن العصب العاشر. functions of the facial nerve. ايش + +106 +00:09:21,600 --> 00:09:25,720 +وظيفة ال facial nerve? اول function, it is the main + +107 +00:09:25,720 --> 00:09:33,760 +function, motor, motor, motor function, motor function + +108 +00:09:33,760 --> 00:09:40,240 +وظيفتها ال motor اللي هي supply the muscles of + +109 +00:09:40,240 --> 00:09:47,160 +facial expression. لها علاقة بالموتور + +110 +00:09:47,160 --> 00:09:52,120 +facial expression. ثاني, parasympathetic function + +111 +00:09:52,120 --> 00:09:57,540 +to all glands of head. لمين؟ submandibular + +112 +00:09:57,540 --> 00:10:02,670 +sublingual and lacrimal glands. Except Parotid + +113 +00:10:02,670 --> 00:10:05,950 +glands. ما بتغدى ال Parotid gland. ال Parotid gland + +114 +00:10:05,950 --> 00:10:10,470 +بتاخد عن طريق ال Glossopharyngeal nerve. العصب + +115 +00:10:10,470 --> 00:10:16,450 +التاسع. يبقى facial nerve مسئول عن كل ال salivary + +116 +00:10:16,450 --> 00:10:21,650 +glands مع دق اوتك أو ال Parotid gland بتاخد من + +117 +00:10:21,650 --> 00:10:26,690 +Glossopharyngeal nerve. ثلاثة مسئول عن sensory from + +118 +00:10:26,690 --> 00:10:33,190 +skin of the external auricle و tympanic membrane. بغض + +119 +00:10:33,190 --> 00:10:36,990 +نظر من الأذن و من طابلة الأذن tympanic membrane و أهم + +120 +00:10:36,990 --> 00:10:42,930 +شيء مسئول عن ايه؟ taste sensation from the anterior + +121 +00:10:42,930 --> 00:10:48,220 +to third of the tongue. نطبق على نقلي, ITest + +122 +00:10:48,220 --> 00:10:52,020 +sensation بتاعة الانترال توترد of the tongue. مسئول + +123 +00:10:52,020 --> 00:10:58,480 +عنها مين؟ Solitary nucleus. Sensory of skin تبع ال + +124 +00:10:58,480 --> 00:11:02,740 +external auricle و ال membrane مسئول عنها. تنبانك + +125 +00:11:02,740 --> 00:11:06,120 +ممبران مسئول عنها كمان Solitary nucleus. الـ + +126 +00:11:06,120 --> 00:11:08,980 +Parasympathetic Function بتاعته لـ glands, salivary + +127 +00:11:08,980 --> 00:11:13,000 +glands. Superior Salivary Nucleus. الـ Motor Function + +128 +00:11:13,000 --> 00:11:19,180 +اللي هي Motor Nucleus of Facial Nerve, تنقسم لقسمين + +129 +00:11:19,180 --> 00:11:25,490 +Ventral Part and Dorsal Part. و ventral part بياخد a + +130 +00:11:25,490 --> 00:11:28,790 +أو مسئول عن a. ال ventral part مسئول عن ال lower + +131 +00:11:28,790 --> 00:11:32,830 +quadrant of the face. lower quadrant of the face و + +132 +00:11:32,830 --> 00:11:36,670 +dorsal nucleus مسئول عن upper quadrant of the face. + +133 +00:11:36,670 --> 00:11:44,350 +نتكلم على intracranial course of the facial nerve. + +134 +00:11:44,350 --> 00:11:48,690 +ال intracranial course of facial nerve. the facial + +135 +00:11:48,690 --> 00:11:54,030 +nerve emerges from the lower border of the pons، + +136 +00:11:54,030 --> 00:11:58,250 +بخرج من أين؟ من ال lower border بتاع ال pons، بعد + +137 +00:11:58,250 --> 00:12:02,810 +هي بيمر في cerebellopontine angle، يوم ما شرحتلكوا + +138 +00:12:02,810 --> 00:12:05,850 +العصب الخامس، اتكلمنا عن ال cerebellopontine + +139 +00:12:05,850 --> 00:12:11,050 +angle، بيمر في العصب الخامس والسبع والثامن، بعد هي + +140 +00:12:11,050 --> 00:12:16,980 +بيفوت لل internal auditory meatus. بيمور وين؟ في + +141 +00:12:16,980 --> 00:12:22,400 +facial canal أو fallopian canal. ماتخربطوش؟ في + +142 +00:12:22,400 --> 00:12:25,480 +fallopian tube. حد يكتبلي fallopian tube. fallopian + +143 +00:12:25,480 --> 00:12:29,760 +tube. هذه موجودة فقط عند ال female. بتربط ال uterus + +144 +00:12:29,760 --> 00:12:35,320 +مع ال ovary. قناة بين من ومن؟ بين الرحم ال uterus و + +145 +00:12:35,320 --> 00:12:40,510 +ال ovary و المبايض. fallopian canal موجود عند المال + +146 +00:12:40,510 --> 00:12:48,570 +والفمال. اسمها facial canal أو اسمها internal + +147 +00:12:48,570 --> 00:12:52,970 +auditory canal. موجودة في الـ petrostemporal bone. + +148 +00:12:54,480 --> 00:12:59,480 +أثناء مروره في ال facial canal, ال facial nerve + +149 +00:12:59,480 --> 00:13:02,900 +بيعطينا three branches. راح نتكلم عنهم بعد هيك. + +150 +00:13:02,900 --> 00:13:06,940 +finally, it exit from stylo-mastoid foramen. وفي + +151 +00:13:06,940 --> 00:13:11,280 +النهاية بخرجلنا من الخلف من stylo-mastoid foramen. + +152 +00:13:11,280 --> 00:13:21,370 +هي اندي تابع معايا. خرج ال facial nerve من lower + +153 +00:13:21,370 --> 00:13:24,470 +border of the pons, between the pons and medulla + +154 +00:13:24,470 --> 00:13:33,110 +oblongata. مروين في cerebellopontine angle. بعد هيك + +155 +00:13:33,110 --> 00:13:39,630 +بيفوت لل internal auditory + +156 +00:13:39,630 --> 00:13:45,210 +meatus. لل facial canal. facial ايه؟ canal أو + +157 +00:13:45,210 --> 00:13:46,630 +fallopian canal. + +158 +00:13:49,240 --> 00:13:53,900 +أثناء مروره في الـ facial canal إله جانجليون اسم + +159 +00:13:53,900 --> 00:13:58,820 +هذا الجانجليون geniculate ganglion. هذا الجانجليون + +160 +00:13:58,820 --> 00:14:03,760 +الـ geniculate ganglion إله three branches, greater + +161 +00:14:03,760 --> 00:14:08,140 +superficial petrosal nerve, nerve to stapedius + +162 +00:14:08,140 --> 00:14:12,760 +muscle, و chorda tympani nerve. هذول التلاثة راح نتكلم + +163 +00:14:12,760 --> 00:14:19,420 +عنهم و finally بيخرج من وين؟ بيخرج بيغادر عن طريق + +164 +00:14:19,420 --> 00:14:24,160 +stylomastoid foramen. بيخرج من وين؟ من stylomastoid + +165 +00:14:24,160 --> 00:14:28,660 +foramen. يقول هذا ال course بتاع اللي هو ال facial + +166 +00:14:28,660 --> 00:14:31,380 +nerve intracranial course. + +167 +00:14:37,190 --> 00:14:41,890 +نتكلم على extra cranial course of the facial nerve. + +168 +00:14:41,890 --> 00:14:47,910 +It leaves the skull through the stylomastoid + +169 +00:14:47,910 --> 00:14:51,630 +foramen. يعني هو بيغادر ال facial canal الموجودة في + +170 +00:14:51,630 --> 00:14:54,590 +ال skull عن طريق ال stylomastoid foramen. + +171 +00:14:54,590 --> 00:15:01,350 +Immediately after exit of the skull, it gives two + +172 +00:15:01,350 --> 00:15:03,630 +branches. بعد ما يخرج من ال skull بيعطينا + +173 +00:15:03,630 --> 00:15:09,810 +immediately two branches. بعد ذلك يدخل في الـ + +174 +00:15:09,810 --> 00:15:16,270 +posterior medial surface + +175 +00:15:16,270 --> 00:15:20,150 +of parotid gland. بيكون superficial لـ external + +176 +00:15:20,150 --> 00:15:26,750 +carotid artery, و it ends inside of the substance + +177 +00:15:26,750 --> 00:15:32,710 +part of the gland by dividing into five terminal + +178 +00:15:32,710 --> 00:15:36,610 +branches. و في الأخير بيعطينا five branches. يعني + +179 +00:15:36,610 --> 00:15:41,150 +طلع ال facial nerve له كام branch؟ عشرة، له عشرة، + +180 +00:15:41,150 --> 00:15:46,000 +ثلاثة موجودين في ال facial canal, اثنين immediately + +181 +00:15:46,000 --> 00:15:48,660 +after exit و اثنين بعد ما يخرج من + +182 +00:15:48,660 --> 00:15:52,360 +الـ stylomastoid foramen و خمسة terminal branches. + +183 +00:15:52,360 --> 00:15:59,820 +صاروا كام؟ صاروا عندي عشرة branches. لمن لاله facial + +184 +00:15:5 + +201 +00:17:27,980 --> 00:17:34,860 +small branch to stapedius muscle ايه بجنه؟ هذا + +202 +00:17:34,860 --> 00:17:40,680 +small branch للاستابيدياس muscle يعتبر motor جي اس بي + +203 +00:17:40,680 --> 00:17:46,360 +إن بارا sympathetic الكوردة تنبع يعتبر بارا + +204 +00:17:46,360 --> 00:17:52,370 +sympathetic و sensory و هي و sensory Posterior + +205 +00:17:52,370 --> 00:17:56,110 +Auricular Nerve يعتبر motor مع Sensory مع بعض + +206 +00:17:56,110 --> 00:17:59,950 +Nerve of Posterior Belly of the Digastric Muscle + +207 +00:17:59,950 --> 00:18:05,710 +motor و Terminal five branches temporal nerve motor + +208 +00:18:05,710 --> 00:18:12,530 +motor motor motor motor motor motor motor motor + +209 +00:18:12,530 --> 00:18:20,530 +motor motor motor motor motor + +210 +00:18:25,670 --> 00:18:30,930 +اثنين immediately after exit وخمسة terminal الثلاثة + +211 +00:18:30,930 --> 00:18:34,510 +اللي بيكونوا في ال canal داخل ال canal واحد GSBN + +212 +00:18:34,510 --> 00:18:37,850 +اللي هو greater superficial petrosal nerve ثمين + +213 +00:18:37,850 --> 00:18:42,670 +small branch to stapedius muscle ثلاثة corda + +214 +00:18:42,670 --> 00:18:48,470 +tympani nerve ال two nerves immediately after exit + +215 +00:18:48,470 --> 00:18:51,930 +from stylomastoid foramen اللي هو posterior + +216 +00:18:51,930 --> 00:18:56,010 +auricular nerveو nerve to posterior belly of + +217 +00:18:56,010 --> 00:19:00,230 +digastric muscle and stylohyoid muscle وخمسة + +218 +00:19:00,230 --> 00:19:03,610 +terminal branches temporal nerve زي Zygomatic nerve, + +219 +00:19:04,030 --> 00:19:07,310 +buccal nerve, marginal mandibular nerve and + +220 +00:19:07,310 --> 00:19:13,890 +cervical nerve الآن في ال slide هذا راح اتكلم على + +221 +00:19:14,740 --> 00:19:19,660 +الـ branches الثلاثة الموجودين في الـ canal GSPN + +222 +00:19:19,660 --> 00:19:24,460 +أو Greater Superficial Petrosal Nerve it is a + +223 +00:19:24,460 --> 00:19:29,700 +parasympathetic nerve carry parasympathetic fibers + +224 +00:19:29,700 --> 00:19:34,560 +to the lacrimal gland, nasal gland, nasopharyngeal + +225 +00:19:34,560 --> 00:19:40,560 +gland, palatine gland كلها منهثمين small branch to + +226 +00:19:40,560 --> 00:19:44,260 +the stapedius muscle in the middle ear اللي هو + +227 +00:19:44,260 --> 00:19:49,260 +يعتبر motor nerve reduce excessive vibration and + +228 +00:19:49,260 --> 00:19:53,280 +sound transmission to inner ear بيكون جيرانكوا + +229 +00:19:53,280 --> 00:19:57,660 +عندهم حفلة طول الليل و هم أغاني مش عارفين أين + +230 +00:19:57,660 --> 00:20:02,280 +جايبينها و الإنسان بيرهق من سمح الأغاني اللي مش + +231 +00:20:02,280 --> 00:20:07,890 +حلوة و ماعليهاش أي معنى و حرامماذا تفعل هذه + +232 +00:20:07,890 --> 00:20:11,330 +العضلة؟ هذه العضلة تحدث لها contraction لـ + +233 +00:20:11,330 --> 00:20:14,830 +Stapedius muscle لماذا تعمل contraction؟ عشان نقلل + +234 +00:20:14,830 --> 00:20:19,770 +توصيل الصوت من الأذن الوسطى للأذن الداخلية إذا كان + +235 +00:20:19,770 --> 00:20:22,570 +حفلة عن جيرانكوا طول الوقت تكون Stapedius muscle في + +236 +00:20:22,570 --> 00:20:26,750 +وضع contraction ما هو وظيفتها؟ reduction excessive + +237 +00:20:26,750 --> 00:20:32,670 +vibration and sound transmission from middle ear to + +238 +00:20:32,670 --> 00:20:35,790 +inner ear، يبقى بالعربي هذه العضلة عندما تحصل على + +239 +00:20:35,790 --> 00:20:39,650 +contraction تعمل تخفيض للصوت العالي، توصيل الصوت + +240 +00:20:39,650 --> 00:20:43,650 +العالي من الأذن الوسطى لين؟ للأذن الداخلية، لكن + +241 +00:20:43,650 --> 00:20:47,770 +لو ما كانت شغالة هذه العضلة، بيحدث عندنا شيء اسمه + +242 +00:20:47,770 --> 00:20:51,250 +hyperacusia، hyper ايه؟ Acusia + +243 +00:20:53,830 --> 00:20:56,630 +يعني لو أنا بقرا محاضرة إلكوا اللي عنده + +244 +00:20:56,630 --> 00:20:59,350 +hyperacusia بقدرش تحمل محاضرة الصوت بيكون + +245 +00:20:59,350 --> 00:21:05,960 +بالنسبة له عالي كثير و مزعج كثير ثلاثة corda تنبع + +246 +00:21:05,960 --> 00:21:09,740 +nerve هذا يعتبر بارا سيمباتاتيك و special sensory + +247 +00:21:09,740 --> 00:21:15,660 +nerve يعطي بارا سيمباتاتيك fibers ل submandibular و + +248 +00:21:15,660 --> 00:21:20,320 +sublingual salivary gland بيغذي ال submandibular و + +249 +00:21:20,320 --> 00:21:23,260 +sublingual salivary gland العلاقة في ال production + +250 +00:21:23,260 --> 00:21:27,780 +of saliva اثنين sub lingual taste ال sensation بيغذي + +251 +00:21:27,780 --> 00:21:35,130 +التذوق from anterior two third of the tongue هي عندي + +252 +00:21:35,130 --> 00:21:39,170 +اللي هو greater superficial petrosal nerve هاي + +253 +00:21:39,170 --> 00:21:44,790 +nerve to stapedius muscle وهي + +254 +00:21:44,790 --> 00:21:48,890 +عندي اللي هو corda tympani nerve وخرج من وين؟ من + +255 +00:21:48,890 --> 00:21:53,870 +stylomastoid foramen من stylomastoid foramen خرج + +256 +00:21:53,870 --> 00:21:57,730 +من ال facial nerve هيك بيكون أنا شرحتلكوا أول + +257 +00:21:57,730 --> 00:22:06,170 +ثلاثة عندي بعد هيك اللي هو facial nerve بيخرج من + +258 +00:22:06,170 --> 00:22:10,590 +stylomastoid foramen وبيعطينا two branches + +259 +00:22:10,590 --> 00:22:15,250 +posterior auricular nerve and nerve to posterior + +260 +00:22:15,250 --> 00:22:20,370 +belly of the digastric muscle and stylohyoid muscle + +261 +00:22:20,370 --> 00:22:26,230 +هاي + +262 +00:22:26,230 --> 00:22:33,850 +عندي اللي هو ال facial nerve بيخرج من الـ stylo + +263 +00:22:33,850 --> 00:22:43,130 +mastoid foramen الآن + +264 +00:22:43,130 --> 00:22:48,490 +أتكلم على branches of the facial nerve immediately + +265 +00:22:48,490 --> 00:22:52,930 +after exit from the skull بعد ما يخرج من ال skull + +266 +00:22:52,930 --> 00:22:55,990 +من ال stylomastoid foramen immediately it gives + +267 +00:22:55,990 --> 00:23:01,000 +two branches أول واحد posterior auricular nerve + +268 +00:23:01,000 --> 00:23:05,920 +posterior auricular nerve supply of occipital belly + +269 +00:23:05,920 --> 00:23:11,260 +of occipitofrontalis muscle supply also superior + +270 +00:23:11,260 --> 00:23:16,000 +and posterior auricularis muscle بيغذي ال + +271 +00:23:16,000 --> 00:23:18,020 +superior و ال posterior auricularis muscle + +272 +00:23:20,910 --> 00:23:25,630 +أوريكولار muscle لها جزءين جزء posterior و جزء + +273 +00:23:25,630 --> 00:23:30,230 +anterior هو أدق بيغذي بيغذي posterior part بيغذي + +274 +00:23:30,230 --> 00:23:33,830 +posterior part لأن ال temporal nerve راح يغذي main + +275 +00:23:33,830 --> 00:23:38,050 +anterior part يبقى ال posterior auricular nerve + +276 +00:23:38,050 --> 00:23:41,930 +راح يغذي أدق ال posterior part of superior + +277 +00:23:41,930 --> 00:23:46,770 +auricular muscle Okay و ايه العلاقة بموضوع ال + +278 +00:23:46,770 --> 00:23:51,650 +sensation from the posterior part of the auricle + +279 +00:23:51,650 --> 00:23:56,330 +and tympanic membrane العصب الثاني من اسمه واضح + +280 +00:23:56,330 --> 00:23:59,710 +اسمه nerve to posterior belly of the digastric + +281 +00:23:59,710 --> 00:24:02,630 +muscle and the stylohyoid muscle في غذي ال + +282 +00:24:02,630 --> 00:24:05,530 +posterior belly of the digastric muscle and the + +283 +00:24:05,530 --> 00:24:10,590 +stylohyoid muscle هي عندي اللي هو posterior + +284 +00:24:10,590 --> 00:24:17,240 +auricular nerve Posterior Auricular nerve خرج + +285 +00:24:17,240 --> 00:24:22,380 +immediately تونيرف posterior auricular nerve و nerve + +286 +00:24:22,380 --> 00:24:25,860 +to posterior belly digastric muscle و stylohyoid نتكلم + +287 +00:24:25,860 --> 00:24:29,340 +عن posterior auricular بيغذي occipital belly او + +288 +00:24:29,340 --> 00:24:35,560 +occipitofrontalis muscle بيغذي posterior auricular + +289 +00:24:35,560 --> 00:24:41,050 +muscle و بيغذي ال posterior part of superior + +290 +00:24:41,050 --> 00:24:45,070 +auricular muscle هذا هو posterior auricular nerve + +291 +00:24:45,070 --> 00:24:49,030 +و بيعطينا أو receive sensation from the posterior + +292 +00:24:49,030 --> 00:24:53,810 +auricle and posterior tympanic membrane هذا أول + +293 +00:24:53,810 --> 00:25:02,040 +branch after exit هاي عندي واضح Occipital belly of + +294 +00:25:02,040 --> 00:25:05,820 +occipitofrontalis muscle هي posterior auricular + +295 +00:25:05,820 --> 00:25:11,420 +muscle وهو بيغذي posterior part of superior + +296 +00:25:11,420 --> 00:25:16,680 +auricular بعد هيك عندي five .. في عندي بعدها + +297 +00:25:16,680 --> 00:25:21,320 +بييجي five terminal branches في عندي five + +298 +00:25:21,320 --> 00:25:25,580 +terminal branches خمسة اللي هو temporal nerve + +299 +00:25:26,610 --> 00:25:30,830 +zygomatic nerve, buccal nerve, marginal mandibular + +300 +00:25:30,830 --> 00:25:34,210 +nerve and cervical nerve هذول terminal branches + +301 +00:25:34,210 --> 00:25:39,910 +temporal nerve نتكلم واحد واحد temporal nerve + +302 +00:25:39,910 --> 00:25:45,530 +supply the frontal belly of frontalis muscle + +303 +00:25:45,530 --> 00:25:52,640 +upper part of orbicularis oculi muscle superior and + +304 +00:25:52,640 --> 00:25:56,100 +anterior auricularis muscle نشوفهم مع بعض ايش + +305 +00:25:56,100 --> 00:26:01,460 +بيغذي ال temporal nerve بيغذي اللي هو frontal + +306 +00:26:01,460 --> 00:26:08,130 +belly of و frontalis muscle بيغذي من؟ anterior + +307 +00:26:08,130 --> 00:26:13,790 +auricularis muscle وبيغذي ال anterior part of + +308 +00:26:13,790 --> 00:26:18,350 +superior auricular muscle وبيغذي ال upper part of + +309 +00:26:18,350 --> 00:26:22,650 +orbicularis oculi muscle تمام؟ هذا من بيغذيهم؟ + +310 +00:26:22,650 --> 00:26:32,490 +اللي هو temporal nerve نرجع لل slide zygomatic + +311 +00:26:32,490 --> 00:26:37,830 +nerve ال zygomatic nerve بنقسم لقسمين upper + +312 +00:26:37,830 --> 00:26:43,910 +zygomatic branch and lower zygomatic branch ال + +313 +00:26:43,910 --> 00:26:50,510 +upper zygomatic branch بيغذي superior + +314 +00:26:50,510 --> 00:26:53,110 +or inferior part of the orbicularis oculi muscle + +315 +00:26:53,110 --> 00:26:58,110 +اللي بتغمض العين بيغذي ال lower zygomatic muscle + +316 +00:26:58,110 --> 00:27:03,210 +between the eye and mouth including nasal muscle + +317 +00:27:03,210 --> 00:27:07,050 +يبقى في الحالة هذه ال upper zygomatic nerve بيغذي + +318 +00:27:07,050 --> 00:27:11,070 +لنا ال orbicularis oculi muscle هذه ال upper part + +319 +00:27:11,070 --> 00:27:16,530 +و ال lower part هذه كلها بتاخد من أين؟ من upper + +320 +00:27:16,530 --> 00:27:19,630 +zygomatic و ال lower zygomatic بيغذي ال muscles + +321 +00:27:19,630 --> 00:27:27,510 +between the mouth and eye including nasal muscles + +322 +00:27:27,510 --> 00:27:33,390 +هذول بياخدوا من وين؟ من ال lower zygomatic branch + +323 +00:27:33,390 --> 00:27:36,450 +في + +324 +00:27:36,450 --> 00:27:43,990 +بعدها buccal nerve بيغذي buccinator muscle and + +325 +00:27:43,990 --> 00:27:47,090 +orbicularis oris muscle orbicularis oris muscle + +326 +00:27:47,090 --> 00:27:52,510 +اني أنا لما بصفّر بحركها لما بسكر فمي بحركها هذه هي + +327 +00:27:53,850 --> 00:27:59,450 +Buccinator muscle تاخد من ال buccal و orbicularis + +328 +00:27:59,450 --> 00:28:05,110 +oris muscle تاخد من ال buccal nerve + +329 +00:28:08,670 --> 00:28:14,150 +الفرع اللي بعده اللي هو marginal mandibular nerve + +330 +00:28:14,150 --> 00:28:19,050 +supply the muscles in the region of the mandible + +331 +00:28:19,050 --> 00:28:22,970 +وفي cervical muscle أو cervical nerve بيغذي + +332 +00:28:22,970 --> 00:28:29,860 +platysma muscle يبقى هاد ال muscles في ال angle of + +333 +00:28:29,860 --> 00:28:33,720 +the mandible تمام أو angle of the mouth تاخد من ال + +334 +00:28:33,720 --> 00:28:36,840 +marginal mandibular nerve وهاد ال platysma muscle + +335 +00:28:36,840 --> 00:28:40,840 +راح تاخد من وين ال platysma muscle من اللي هو ال + +336 +00:28:40,840 --> 00:28:45,800 +cervical nerve of facial هكذا بيكون أنا شرحتلكم + +337 +00:28:45,800 --> 00:28:51,220 +ten branches of facial nerve شرحت العشر أعصاب يبقى + +338 +00:28:51,220 --> 00:28:55,430 +هاي عندي zygomatic nerve تمام؟ بيغذي مين؟ + +339 +00:28:55,430 --> 00:28:59,510 +ال orbicularis و ال muscles + +340 +00:29:00,680 --> 00:29:05,080 +between the eye and mouth including nasal muscle + +341 +00:29:05,080 --> 00:29:08,880 +أنا هأعلملكوا عليهم ال buccal nerve بيغذي orbicularis + +342 +00:29:08,880 --> 00:29:12,480 +oris muscle و buccinator muscle ال marginal + +343 +00:29:12,480 --> 00:29:16,480 +mandibular nerve بيغذي ال muscles around the + +344 +00:29:16,480 --> 00:29:20,800 +mouth angle و ال cervical nerve بيغذي platysma + +345 +00:29:20,800 --> 00:29:25,240 +muscle و هذا ال marginal واضح بيغذي ال muscles في + +346 +00:29:25,240 --> 00:29:30,650 +ال angle of the mouth ننتقل لموضوع راح أشرحه + +347 +00:29:30,650 --> 00:29:34,710 +بالتفصيل في سنة رابعة إن شاء الله إذا ظللنا طيبين هي عندي ال + +348 +00:29:34,710 --> 00:29:41,970 +motor nucleus motor nucleus of the facial nerve + +349 +00:29:41,970 --> 00:29:50,950 +تنقسم لقسمين تنقسم لقسمين قولنا جزء يعتبر ventral + +350 +00:29:50,950 --> 00:29:58,190 +وجزء يعتبر dorsal ال ventral + +351 +00:30:01,490 --> 00:30:09,050 +supply the lower quadrant of the face و الدورسل + +352 +00:30:09,050 --> 00:30:16,450 +supply the upper quadrant of the face الدورسل تأخذ + +353 +00:30:16,450 --> 00:30:21,490 +إشارة من ال ipsilateral cerebral hemisphere و من + +354 +00:30:21,490 --> 00:30:26,470 +ال contralateral cerebral hemisphere يعني حكمة ربنا + +355 +00:30:26,470 --> 00:30:29,730 +واسعة بالبعد أعطى العضلات اللي بتغمض العين + +356 +00:30:29,730 --> 00:30:34,930 +innervation from both cerebral hemispheres يعني ال + +357 +00:30:34,930 --> 00:30:39,130 +dorsal part أو ال dorsal nucleus of facial بتاخد + +358 +00:30:39,130 --> 00:30:42,570 +من كم cerebral hemisphere؟ من two cerebral + +359 +00:30:42,570 --> 00:30:47,310 +hemispheres لكن ال ventral nucleus المسئول عن ال + +360 +00:30:47,310 --> 00:30:51,540 +lower quadrant of the face فقط بتاخد من ال opposite + +361 +00:30:51,540 --> 00:30:55,680 +side، يعني في الحالة هذه، لو إنسان صار معاه جلطة + +362 +00:30:55,680 --> 00:30:58,940 +دماغية، جلطة دماغية في ال right cerebral + +363 +00:30:58,940 --> 00:31:03,340 +hemisphere، في ال right cerebral hemisphere، ايش + +364 +00:31:03,340 --> 00:31:09,340 +بيحدث عنده؟ مين راح يتأثر فقط؟ الدرس اللي بتتأثر؟ ما + +365 +00:31:09,340 --> 00:31:13,420 +بتتأثرش لأن عندها ipsilateral innervation طيب و ال + +366 +00:31:13,420 --> 00:31:17,580 +ventral ال ventral راح تتأثر في الحالة هذه ال + +367 +00:31:17,580 --> 00:31:23,260 +ventral راح تتأثر راح ينشل نص وجهه السفلي الموضوع + +368 +00:31:23,260 --> 00:31:28,240 +هذا ما راح أطول الآن فيه راح أشرحه بالتفصيل في سنة + +369 +00:31:28,240 --> 00:31:32,520 +رابعة في الأمراض بتاعة الأعصاب إن شاء الله في + +370 +00:31:32,520 --> 00:31:39,070 +cranial nerve disease هنا نشوف مرضى عندهم facial + +371 +00:31:39,070 --> 00:31:46,830 +palsy مرضى دول عندهم facial palsy لاحظوا لي المريض + +372 +00:31:46,830 --> 00:31:55,030 +عنده hand shell في نص وجهه على الجهة اليسرى بيغمض + +373 +00:31:55,030 --> 00:31:58,470 +عينه هنا مش قادر يغمض في drop في ال mouth angle + +374 +00:31:58,470 --> 00:32:03,770 +عينه فاتحة loss nasolabial fold مش موجودة يبقى إن + +375 +00:32:03,770 --> 00:32:07,710 +المريض هذا عنده شلل في العصب السابع ال GHA اليسرى + +376 +00:32:07,710 --> 00:32:11,110 +هذا كله بالتفصيل اللي راح أشرحه في سنة رابعة في + +377 +00:32:11,110 --> 00:32:16,410 +مرض اسمه Bell's palsy التهاب في أو شلل العصب + +378 +00:32:16,410 --> 00:32:20,430 +السابع ونتكلم على ال upper motor neuron and lower + +379 +00:32:20,430 --> 00:32:23,730 +motor neuron ايش أنواعهم كل هذا إن شاء الله راح + +380 +00:32:23,730 --> 00:32:27,630 +نتكلم عنه لاحظوا هنا المريض هذا عنده شلل في عضلات + +381 +00:32:27,630 --> 00:32:30,990 +الوجه على الجهة اليسرى في Bell's palsy على ال left + +382 +00:32:30,990 --> 00:32:35,550 +side مش قادر يغمض عينه drop mouth angle inability + +383 +00:32:35,550 --> 00:32:40,030 +to close the eye كل التجاعيد هذا ال nasolabial + +384 +00:32:40,030 --> 00:32:44,110 +fold واضحة حلوة هنا lost مش موجودة المريض عنده شلل + +385 +00:32:44,110 --> 00:32:47,050 +في العصب السابع على الجهة اليسرى + +386 +00:32:57,770 --> 00:33:01,770 +نفس الشيء هذا الشاب بس هنا على اليمين شايفين لاحظوا في + +387 +00:33: + +401 +00:33:55,650 --> 00:33:59,550 +نتكلم عن Glossopharyngeal nerve, Vegas nerve و + +402 +00:33:59,550 --> 00:34:03,070 +accessory and hypoglossal nerve موضوع + +403 +00:34:03,070 --> 00:34:06,430 +vestibulocochlear nerve بتكلم عنه في محاضرة إن شاء + +404 +00:34:06,430 --> 00:34:10,770 +الله الـ special sensation اللي هو sense of hearing + +405 +00:34:10,770 --> 00:34:15,330 +هيك بكون أنهيت الجزء الأول من محاضرة تبع الأسبوع + +406 +00:34:15,330 --> 00:34:18,000 +التاسع يعطيكم ألف عافية العربية diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/HH8Ar_LievY_postprocess.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/HH8Ar_LievY_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..9e381c9acb1f3abf744e5dc20789a116d3898ddc --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/HH8Ar_LievY_postprocess.srt @@ -0,0 +1,1624 @@ +1 +00:00:05,040 --> 00:00:10,440 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:10,440 --> 00:00:15,960 +وبركاته محاضرة الأسبوع التاسع راح نكمل موضوع + +3 +00:00:15,960 --> 00:00:19,940 +anatomy and physiology of the cranial nerves الجزء + +4 +00:00:19,940 --> 00:00:24,900 +الأول من محاضرة الأسبوع التاسع راح نتكلم بالتفصيل + +5 +00:00:24,900 --> 00:00:29,600 +الممل عن anatomy and physiology of the facial + +6 +00:00:29,600 --> 00:00:34,990 +nerveأهم عصب لكم في موضوع cranial nerves هو العصب + +7 +00:00:34,990 --> 00:00:40,990 +السابع facial nerve facial + +8 +00:00:40,990 --> 00:00:44,670 +nerve it + +9 +00:00:44,670 --> 00:00:48,870 +is a mixed nerve it is a mixed nerve which + +10 +00:00:48,870 --> 00:00:57,600 +contains motor sensory and parasympatheticفانكشن + +11 +00:00:57,600 --> 00:01:02,920 +أو fibers هاي هو دي ال mix nerve عشر تلاف وتسعمية + +12 +00:01:02,920 --> 00:01:09,670 +وخمس وسبعين خلصنا السابق العصب الخامساللي هو الـ + +13 +00:01:09,670 --> 00:01:13,490 +Trigeminal nerve دلوقت راح اتكلم على Facial nerve + +14 +00:01:13,490 --> 00:01:17,970 +Facial nerve اللي هو العصب السابع عصب السابع + +15 +00:01:17,970 --> 00:01:22,230 +Facial nerve it is mixed nerve contains motor + +16 +00:01:22,230 --> 00:01:27,250 +sensory and parasympathetic fibers يوم اتكلمت على + +17 +00:01:27,250 --> 00:01:30,950 +Trigeminal nerve قلتلكوا Trigeminal nerve it is + +18 +00:01:30,950 --> 00:01:35,310 +more important than sensory nerve اليوم راح اتكلم + +19 +00:01:35,310 --> 00:01:40,730 +على Facial nerveit is more important as motor + +20 +00:01:40,730 --> 00:01:44,070 +nerve، عشان هي مهم إلكوا في العلاج الطبيعي، موضوع + +21 +00:01:44,070 --> 00:01:51,110 +facial nerve، لإنه عصب حركي أكتر ما هو حسيه، هو في + +22 +00:01:51,110 --> 00:01:57,110 +خليط الأنسجة، لكن هو more important as motor nerve + +23 +00:01:57,110 --> 00:02:01,730 +than sensory and than parasympathetic functions + +24 +00:02:02,370 --> 00:02:06,550 +what's the root of a facial nerve اتفقنا ان ال + +25 +00:02:06,550 --> 00:02:11,070 +facial nerve immerse بخرج من ال lower part of the + +26 +00:02:11,070 --> 00:02:16,130 +pons between the pons and medulla oblongata بخرج + +27 +00:02:16,130 --> 00:02:22,230 +as a two root اللي هو كام root؟ two root large + +28 +00:02:22,230 --> 00:02:31,100 +root large root بيكون اللي هوموتر فاشيال موتر روت + +29 +00:02:31,100 --> 00:02:37,000 +فاشيال موتر روت is purely motor nerve supply all + +30 +00:02:37,000 --> 00:02:42,360 +the muscle of expression facial expression second + +31 +00:02:42,360 --> 00:02:48,140 +root small rootsmall root بيسموه nerve + +32 +00:02:48,140 --> 00:02:53,880 +intermediates nerve intermediates contains sensory + +33 +00:02:53,880 --> 00:02:59,900 +and parasympathetic fibers يبقى كمان مرة ال facial + +34 +00:02:59,900 --> 00:03:05,370 +nerveبخرج من ال .. ال ventral service of the pons + +35 +00:03:05,370 --> 00:03:09,390 +في ال lower part of the pons between the pons and + +36 +00:03:09,390 --> 00:03:14,730 +medulla oblongata as two root large root facial + +37 +00:03:14,730 --> 00:03:20,390 +motor nerve و small root يعتبر intermedius nerve + +38 +00:03:20,390 --> 00:03:25,210 +اللي فيه sensory و parasympathetic fibers sensory + +39 +00:03:25,210 --> 00:03:32,710 +و parasympathetic fibersهي عندي ال lower part of + +40 +00:03:32,710 --> 00:03:37,950 +the palms بخرج منها large root أنا برسم على ال + +41 +00:03:37,950 --> 00:03:45,350 +left side large root اللي هو motor facial nerve و + +42 +00:03:45,350 --> 00:03:50,590 +small root nerve intermediates nerve intermediates + +43 +00:03:50,590 --> 00:03:55,030 +اللي علاقة بال sensation و هي parasympathetic + +44 +00:03:55,030 --> 00:03:59,650 +function sensory and parasympathetic function + +45 +00:04:04,790 --> 00:04:11,850 +nuclei of the facial nerve حسب ال function فيه + +46 +00:04:11,850 --> 00:04:17,450 +nuclei اتفاقنا main function is motor function + +47 +00:04:17,450 --> 00:04:23,750 +يبقى موجود عندي facial motor nerve facial motor + +48 +00:04:23,750 --> 00:04:29,590 +nucleus فيه موجودة facial motor nucleus تنجسم + +49 +00:04:29,590 --> 00:04:35,040 +جسمين هذه ال facial motor nucleusالها dorsal part + +50 +00:04:35,040 --> 00:04:44,340 +و ventral part هي نرسمها هذه تعتبر facial motor + +51 +00:04:44,340 --> 00:04:57,040 +nucleus of facial nerve تمام الها جزئين جزء دورسل + +52 +00:04:57,040 --> 00:04:59,360 +وجزء + +53 +00:05:01,570 --> 00:05:10,070 +ventral اللي الدورسل الدورسل + +54 +00:05:10,070 --> 00:05:14,890 +supply the + +55 +00:05:14,890 --> 00:05:19,730 +upper part + +56 +00:05:19,730 --> 00:05:28,670 +of the face يبقى الدورسل nucleus بتاعة الموتور + +57 +00:05:28,670 --> 00:05:34,410 +مسئول عن أي جزءupper part of the face يعني upper + +58 +00:05:34,410 --> 00:05:38,250 +quadrant of the face يقول لو غمضت عيني مين حرك + +59 +00:05:38,250 --> 00:05:44,170 +لعين هذا ال dorsal part دكتور ايه اضحك شيء عن + +60 +00:05:44,170 --> 00:05:46,810 +الامتحان و ماعجبك و اشرحها الطالب او طالب يعمل + +61 +00:05:46,810 --> 00:05:51,800 +بتمها زيك حرك مش ماجبهممش هنجيبهم يبقى ان انا حركت + +62 +00:05:51,800 --> 00:05:55,200 +ال lower quadrant of the face المسئول عنه ال lower + +63 +00:05:55,200 --> 00:06:00,720 +quadrant اللي هو ventral nucleus المسئول عن ايه ال + +64 +00:06:00,720 --> 00:06:04,140 +lower part + +65 +00:06:05,060 --> 00:06:08,780 +of the face من ناحية انا بتكلم عن ال motor من + +66 +00:06:08,780 --> 00:06:14,480 +ناحية ايه motor يبقى كمان مرة facial motor nucleus + +67 +00:06:14,480 --> 00:06:20,160 +الها two part dorsal part and ventral part ال + +68 +00:06:20,160 --> 00:06:25,340 +dorsal part مسئول عن مين عن ال upper quadrant of + +69 +00:06:25,340 --> 00:06:29,060 +the face ال ventral part مسئول عن مين lower + +70 +00:06:29,060 --> 00:06:32,560 +quadrant of the faceوين موجودة دي ال nucleus؟ + +71 +00:06:32,560 --> 00:06:36,300 +موجودة في ال pons موجودة وين؟ في ال pons إيش + +72 +00:06:36,300 --> 00:06:41,300 +وظيفتها؟ supply the facial muscles لو أتكلم على ال + +73 +00:06:41,300 --> 00:06:46,540 +lower quadrant ببطرق إلى ال ventral part upper + +74 +00:06:46,540 --> 00:06:52,120 +quadrant of the face دورسال part ثمانة في عندي + +75 +00:06:52,950 --> 00:06:57,730 +Superior Salivary Nucleus Superior Salivary + +76 +00:06:57,730 --> 00:07:02,870 +Nucleus هذه لها علاقة بال Parasympathetic function + +77 +00:07:02,870 --> 00:07:10,630 +Secretomotor بتغديلنا submandibular and sublingual + +78 +00:07:10,630 --> 00:07:15,190 +salivary glands عن طريق branch من ال facial nerve + +79 +00:07:15,190 --> 00:07:21,600 +اسمه cordaتمبني نيرف كوردة تمبني نيرف و بتغدين ال + +80 +00:07:21,600 --> 00:07:26,500 +gland of the palate nose لاخرم ال gland + +81 +00:07:26,500 --> 00:07:32,880 +nasopharynx عن طريق عصب اسمه GSPN greater + +82 +00:07:32,880 --> 00:07:37,800 +superficial petrosal nerve اذا ذكروا لما نروح + +83 +00:07:37,800 --> 00:07:42,100 +المطبخ نقطع بصل ايش بيصير حالتنا شلش بيصير حالتنا + +84 +00:07:42,100 --> 00:07:48,010 +في شلش بندمع و بنف و حلقصعبة بتكون الوضع هنا من + +85 +00:07:48,010 --> 00:07:53,010 +البصل مين بشتغل هنا الـ Parasympathetic fibers + +86 +00:07:53,010 --> 00:07:57,270 +بتاعة مين ال facial nerve عن طريق أي نوكلياس + +87 +00:07:57,270 --> 00:08:01,230 +superior salivary nucleus وظيفته ايه + +88 +00:08:01,230 --> 00:08:07,590 +Parasympathetic ال نوكلياس التالتةsolitary nucleus + +89 +00:08:07,590 --> 00:08:14,530 +موجودة في الميدالة أبلانقاتها، علاقة بماذا؟ علاقة + +90 +00:08:14,530 --> 00:08:18,130 +بالـ sensory function، ومن ضمن الـ sensory + +91 +00:08:18,130 --> 00:08:24,310 +function taste، sensationfrom the anterior to + +92 +00:08:24,310 --> 00:08:29,930 +third of the tongue يعني ال facial nerve مسئول عن + +93 +00:08:29,930 --> 00:08:34,950 +حاسة التذوق لوين لل tongue من أي جزء من ال + +94 +00:08:34,950 --> 00:08:38,630 +anterior to third of the tongue يبقى ال taste + +95 +00:08:38,630 --> 00:08:43,370 +sensation from the anterior to third of the tongue + +96 +00:08:43,370 --> 00:08:48,310 +اللي بيحس فيها هو ال facial nerve عن طريق عصب اسمه + +97 +00:08:48,310 --> 00:08:50,750 +نفس الشيء كمان chorda tympani nerve هو chorda + +98 +00:08:50,750 --> 00:08:55,470 +tympani nerveو أي نوكلياس solitary نوكلياس وين + +99 +00:08:55,470 --> 00:08:58,250 +موجودة ال solitary نوكلياس في مضلة او بلانجاتا + +100 +00:08:58,250 --> 00:09:00,390 +احنا قولنا فيه exception مع ان ال facial nerve + +101 +00:09:00,390 --> 00:09:03,510 +المفروض يكون في ال bones تلاحظوا superior salivary + +102 +00:09:03,510 --> 00:09:06,990 +في ال bones و ال motor nucleus في ال bones لكن ال + +103 +00:09:06,990 --> 00:09:10,830 +solitary نوكلياس موجودة وين في مضلة او بلانجاتا + +104 +00:09:10,830 --> 00:09:14,410 +لأنها مسئولة كمان عن العصب التاسع و مسئولة عن من + +105 +00:09:14,410 --> 00:09:21,600 +عن العصب العاشرfunctions of the facial nerve ايش + +106 +00:09:21,600 --> 00:09:25,720 +وظيفة ال facial nerve اول function it is the main + +107 +00:09:25,720 --> 00:09:33,760 +function motor motor motor function motor function + +108 +00:09:33,760 --> 00:09:40,240 +وظيفتها ال motor اللي هيsupply the muscles of + +109 +00:09:40,240 --> 00:09:47,160 +facial expression لها علاقة بالموتور + +110 +00:09:47,160 --> 00:09:52,120 +facial expression ثاني بارا sympathetic function + +111 +00:09:52,120 --> 00:09:57,540 +to all glands of head لمين submandibular + +112 +00:09:57,540 --> 00:10:02,670 +sublingual and lacrimal glandsExcept Parotid + +113 +00:10:02,670 --> 00:10:05,950 +glands ما بتغدى ال Parotid gland ال Parotid gland + +114 +00:10:05,950 --> 00:10:10,470 +بتاخد عن طريق ال Glossopharyngeal nerve العصب + +115 +00:10:10,470 --> 00:10:16,450 +التاسع يبقى facial nerve مسئول عن كل ال salivary + +116 +00:10:16,450 --> 00:10:21,650 +glands مع دق اوتك أو ال Parotid gland بتاخد من + +117 +00:10:21,650 --> 00:10:26,690 +Glossopharyngeal nerveتلاثة مسئولة عن sensory from + +118 +00:10:26,690 --> 00:10:33,190 +skin of the external auricle و تمبانك مبراين بغض + +119 +00:10:33,190 --> 00:10:36,990 +يزه من الأذن و من طابلة الأذن تمبانك مبراين و أهم + +120 +00:10:36,990 --> 00:10:42,930 +شيء مسئول عن ايه taste sensation from the anterior + +121 +00:10:42,930 --> 00:10:48,220 +to third of the tongue نطبق على نقلي ITest + +122 +00:10:48,220 --> 00:10:52,020 +sensation بتاعة الانترال توترد of the tongue مسئول + +123 +00:10:52,020 --> 00:10:58,480 +عنها مين؟ Solitary nucleus Sensory of skin تبع ال + +124 +00:10:58,480 --> 00:11:02,740 +external auricle و ال membrane مسئول عنها تنبانك + +125 +00:11:02,740 --> 00:11:06,120 +ممبران مسئول عنها كمان Solitary nucleusالـ + +126 +00:11:06,120 --> 00:11:08,980 +Parasympathetic Function بتاعته لـ Glans، Salivary + +127 +00:11:08,980 --> 00:11:13,000 +Glans Superior Salivary Nucleus الـ Motor Function + +128 +00:11:13,000 --> 00:11:19,180 +اللي هي Motor Nucleus of Facial Nerve تنقسم لقسمين + +129 +00:11:19,180 --> 00:11:25,490 +Ventral Part and Dorsal Partو ventral part بياخد a + +130 +00:11:25,490 --> 00:11:28,790 +أو مسئول عن a ال ventral part مسئول عن ال lower + +131 +00:11:28,790 --> 00:11:32,830 +quadrant of the face lower quadrant of the face و + +132 +00:11:32,830 --> 00:11:36,670 +dorsal nucleus مسئول عن upper quadrant of the face + +133 +00:11:36,670 --> 00:11:44,350 +نتكلم على intracranial course of the facial nerve + +134 +00:11:44,350 --> 00:11:48,690 +ال intracranial course of facial nerve the facial + +135 +00:11:48,690 --> 00:11:54,030 +nerveemersed from the lower border of the pons، + +136 +00:11:54,030 --> 00:11:58,250 +بخرج من أين؟ من ال lower border بتاع ال pons، بعد + +137 +00:11:58,250 --> 00:12:02,810 +هي بيمر في cerebellopontine angel، يوم ما شرحتلكوا + +138 +00:12:02,810 --> 00:12:05,850 +العصب الخامس، اتكلمنا عن ال cerebellopontine + +139 +00:12:05,850 --> 00:12:11,050 +angel، بيمر في العصب الخامس والسبع والثامن، بعد هي + +140 +00:12:11,050 --> 00:12:16,980 +بيفوت لل internal auditory meatusبيمور وين؟ في + +141 +00:12:16,980 --> 00:12:22,400 +facial canal او fallopian canal ماتخربطوش؟ في + +142 +00:12:22,400 --> 00:12:25,480 +fallopian tube حد يكتبلي fallopian tube fallopian + +143 +00:12:25,480 --> 00:12:29,760 +tube هذه موجودة فقط عند ال female بتربط ال uterus + +144 +00:12:29,760 --> 00:12:35,320 +مع ال ovary قناة بين من ومن؟ بين الرحم ال uterus و + +145 +00:12:35,320 --> 00:12:40,510 +ال ovary و المبايدفالوبيان كانال موجود عند المال + +146 +00:12:40,510 --> 00:12:48,570 +والفمال اسمها facial canal او اسمها internal + +147 +00:12:48,570 --> 00:12:52,970 +auditory canal موجودة في الـ petrostemporal bone + +148 +00:12:54,480 --> 00:12:59,480 +أثناء مروره في ال facial canal ال facial nerve + +149 +00:12:59,480 --> 00:13:02,900 +بيعطينا three branches راح نتكلم عنهم بعد هيك + +150 +00:13:02,900 --> 00:13:06,940 +finally it exit from stylo-mastoid foramen وفي + +151 +00:13:06,940 --> 00:13:11,280 +النهاية بخرجلنا من الخلف من stylo-mastoid foramen + +152 +00:13:11,280 --> 00:13:21,370 +هي اندي تابع معايا خرج ال facial nerve منlower + +153 +00:13:21,370 --> 00:13:24,470 +border of the pons between the pons and medulla + +154 +00:13:24,470 --> 00:13:33,110 +oblongata مروين في cerebellopontine angle بعد هيك + +155 +00:13:33,110 --> 00:13:39,630 +بيفوت لل internal auditory + +156 +00:13:39,630 --> 00:13:45,210 +meatus لل facial canal facial ايه؟ canal او + +157 +00:13:45,210 --> 00:13:46,630 +fallopian canal + +158 +00:13:49,240 --> 00:13:53,900 +أثناء مروره في الـ facial canal إله جانجليون اسم + +159 +00:13:53,900 --> 00:13:58,820 +هذا الجانجليون جينيكوليت جانجليون هذا الجانجليون + +160 +00:13:58,820 --> 00:14:03,760 +الجينيكوليت جانجليون إله three branches greater + +161 +00:14:03,760 --> 00:14:08,140 +superficial petrosal nerve nerve to stabilize + +162 +00:14:08,140 --> 00:14:12,760 +muscleو cordotempani nerve هذول التلاثة راح نتكلم + +163 +00:14:12,760 --> 00:14:19,420 +عنهم و finally بيخرج من وين؟ بيخرج بيغادر عن طريق + +164 +00:14:19,420 --> 00:14:24,160 +Stylomastoid foramen بيخرج من وين؟ من Stylomastoid + +165 +00:14:24,160 --> 00:14:28,660 +foramen يقول هذا ال course بتاع اللي هو ال facial + +166 +00:14:28,660 --> 00:14:31,380 +nerve intracranial course + +167 +00:14:37,190 --> 00:14:41,890 +نتكلم على extra cranial course of the facial nerve + +168 +00:14:41,890 --> 00:14:47,910 +it leaves the skull through the stylomastoid + +169 +00:14:47,910 --> 00:14:51,630 +foramen يعني هو بيغادر ال facial canal الموجودة في + +170 +00:14:51,630 --> 00:14:54,590 +ال skull عن طريق ال stylomastoid foramen + +171 +00:14:54,590 --> 00:15:01,350 +immediately after exit of the skull it gives two + +172 +00:15:01,350 --> 00:15:03,630 +branches بعد ما يخرج من ال skull بيعطينا + +173 +00:15:03,630 --> 00:15:09,810 +immediately two branchesبعد ذلك يدخل في الـ + +174 +00:15:09,810 --> 00:15:16,270 +Posterior Medial Service + +175 +00:15:16,270 --> 00:15:20,150 +of Parotid Glan بيكون Superficial لـ External + +176 +00:15:20,150 --> 00:15:26,750 +Carotid Arteryو it ends inside of the substance + +177 +00:15:26,750 --> 00:15:32,710 +part of the gland by dividing into five terminal + +178 +00:15:32,710 --> 00:15:36,610 +branches و في الأخير بيعطينا five branches يعني + +179 +00:15:36,610 --> 00:15:41,150 +طلع ال facial nerve له كام branch؟ عشرة، له عشرة، + +180 +00:15:41,150 --> 00:15:46,000 +ثلاثة موجودين في ال facial canalتنين immediately + +181 +00:15:46,000 --> 00:15:48,660 +after exit و تنين بعد ما يخرج من + +182 +00:15:48,660 --> 00:15:52,360 +السايلومسترويدفورامن و خمسة terminal branches + +183 +00:15:52,360 --> 00:15:59,820 +صاروا كام صاروا عندي عشرة branches لمن لاله facial + +184 +00:15:59,820 --> 00:16:07,020 +nerve 10 branches + +185 +00:16:07,020 --> 00:16:12,640 +هاي عندي لما يخرج من السايلومسترويدفورامن تكون + +186 +00:16:12,640 --> 00:16:16,240 +الخلف شويةالميديات اللي بيعطينا two branches هاي + +187 +00:16:16,240 --> 00:16:20,840 +واحد هاي اتنين هذا اسمه posterior auricular nerve + +188 +00:16:20,840 --> 00:16:24,940 +و هنا nerve to posterior piliacal and digastric + +189 +00:16:24,940 --> 00:16:30,040 +muscle and stylohyoid muscle بعد هيك بيعطينا five + +190 +00:16:30,040 --> 00:16:35,920 +branches temporal nerve, zygomatic nerve, buccal + +191 +00:16:35,920 --> 00:16:41,380 +nerveمارجينال مانديبولار نيرف سيرفايكال نيرف صار + +192 +00:16:41,380 --> 00:16:46,200 +عندي في تلاتة في الكنة اللي قلنا هي أربعة خمسة ستة + +193 +00:16:46,200 --> 00:16:51,480 +سبعة تمانية تسعة عشرة طلع كام برنش عندي الفيشيال + +194 +00:16:51,480 --> 00:16:58,690 +نيرفعشرة ten branches مهمين + +195 +00:16:58,690 --> 00:17:02,310 +جدا وفي العلاج الطبيعي انتوا بتتعاملوا كثير مع ال + +196 +00:17:02,310 --> 00:17:06,330 +facial nerve في حالات bells pulse لما يجينا المريض + +197 +00:17:06,330 --> 00:17:10,670 +عنده facial neuropathy التهاب في العصب السابع + +198 +00:17:10,670 --> 00:17:17,730 +branches of the facial nerve branches of the + +199 +00:17:17,730 --> 00:17:23,400 +facial nerve inside the facial fallopian canalأول + +200 +00:17:23,400 --> 00:17:27,980 +شي في greater superficial petrosal nerve اتنين + +201 +00:17:27,980 --> 00:17:34,860 +small branch to stapedius muscle ايه بجنه؟ هذا + +202 +00:17:34,860 --> 00:17:40,680 +small branch للاستابيدياس مصل يعتبر motor جي اس بي + +203 +00:17:40,680 --> 00:17:46,360 +ان بارا sympathetic الكوردة تنبني يعتبر بارا + +204 +00:17:46,360 --> 00:17:52,370 +sympathetic و sensory و هي و sensoryPosterior + +205 +00:17:52,370 --> 00:17:56,110 +Auricular Nerve يعتبر موتور مع Sensory مع بعض + +206 +00:17:56,110 --> 00:17:59,950 +Nerve of Posterior Biliary of the Digastric Muscle + +207 +00:17:59,950 --> 00:18:05,710 +موتور و Terminal five branches temporal nerveموتور + +208 +00:18:05,710 --> 00:18:12,530 +موتور موتور موتور موتور موتور موتور موتور موتور + +209 +00:18:12,530 --> 00:18:20,530 +موتور موتور موتور موتور موتور + +210 +00:18:25,670 --> 00:18:30,930 +تنين immediately after exit وخمسة terminal التلاتة + +211 +00:18:30,930 --> 00:18:34,510 +اللي بيكونوا في ال canal داخل ال canal واحد GSBN + +212 +00:18:34,510 --> 00:18:37,850 +اللي هو greater superficial petrosal nerve ثمين + +213 +00:18:37,850 --> 00:18:42,670 +small branch to stapedius muscle تلاتة corda + +214 +00:18:42,670 --> 00:18:48,470 +tympani nerve ال two nerves immediately after exit + +215 +00:18:48,470 --> 00:18:51,930 +from stylomostoid foramen اللي هو posterior + +216 +00:18:51,930 --> 00:18:56,010 +auricular nerveو nerve to posterior belay of + +217 +00:18:56,010 --> 00:19:00,230 +digastric muscle and stylohyoid muscle وخمسة + +218 +00:19:00,230 --> 00:19:03,610 +terminal branches temporal nerve زي Gematic nerve, + +219 +00:19:04,030 --> 00:19:07,310 +buccal nerve, marginal mandibular nerve and + +220 +00:19:07,310 --> 00:19:13,890 +cervical nerve الآن في ال slide هذا راح اتكلم على + +221 +00:19:14,740 --> 00:19:19,660 +الـ branches التلاتة الموجودين في الـ canal GSPN + +222 +00:19:19,660 --> 00:19:24,460 +أو Greater Superficial Petrosal Nerve it is a + +223 +00:19:24,460 --> 00:19:29,700 +parasympathetic nerve carry parasympathetic fibers + +224 +00:19:29,700 --> 00:19:34,560 +to the lacrimal gland, nasal gland, nasopharyngeal + +225 +00:19:34,560 --> 00:19:40,560 +gland, palatine gland كلهم منهثمين small branch to + +226 +00:19:40,560 --> 00:19:44,260 +the stapedius muscle in the middle ear اللي هو + +227 +00:19:44,260 --> 00:19:49,260 +يعتبر motor nerve reduce excessive vibration and + +228 +00:19:49,260 --> 00:19:53,280 +sound transmission to inner ear بيكون جيرانكوا + +229 +00:19:53,280 --> 00:19:57,660 +عندهم حفلة طول الليل و هم أغاني مش عارفين أين + +230 +00:19:57,660 --> 00:20:02,280 +جايبينها و الإنسان بيرهق من سمح الأغاني اللي مش + +231 +00:20:02,280 --> 00:20:07,890 +حلوة و ماعليهاش أي معنى و حرامماذا تفعل هذه + +232 +00:20:07,890 --> 00:20:11,330 +العضلة؟ هذه العضلة تحدث لها contraction لـ + +233 +00:20:11,330 --> 00:20:14,830 +Stapedius muscle لماذا تعمل contraction؟ عشان نقلل + +234 +00:20:14,830 --> 00:20:19,770 +توصيل الصوت من الأدن الوسط للأدن الداخلية إذا كان + +235 +00:20:19,770 --> 00:20:22,570 +حفلة عن جيرانكو طول الوقت تكون Stapedius muscle في + +236 +00:20:22,570 --> 00:20:26,750 +وضع contraction ما هو وظيفتها؟ reduction excessive + +237 +00:20:26,750 --> 00:20:32,670 +vibration and sound transmissionfrom middle ear to + +238 +00:20:32,670 --> 00:20:35,790 +inner ear، يبقى بالعربي هذه العضلة عندما تحصل على + +239 +00:20:35,790 --> 00:20:39,650 +contraction تعمل تخفيض للصوت العالي، توصيل الصوت + +240 +00:20:39,650 --> 00:20:43,650 +العالي من الأدنة الوسطى لين؟ للأدنة الداخلية، لكن + +241 +00:20:43,650 --> 00:20:47,770 +لو ما كانت شغالة هذه العضلة، بيحدث عندنا اشي اسمه + +242 +00:20:47,770 --> 00:20:51,250 +hyperacusia، hyper ايه؟ Acusia + +243 +00:20:53,830 --> 00:20:56,630 +يعني لو أنا بقرا محاضرة إلكوا اللي عنده + +244 +00:20:56,630 --> 00:20:59,350 +hyperacusia بقدرش تحمل محاضرة الصوت بيكون + +245 +00:20:59,350 --> 00:21:05,960 +بالنسباله عالي كثير و مزعج كثيرثلاثة كوردا تنباني + +246 +00:21:05,960 --> 00:21:09,740 +نيرف هذا يعتبر بارا سيمباتاتيك و special sensory + +247 +00:21:09,740 --> 00:21:15,660 +nerve يعطي بارا سيمباتاتيك فايبرز لسب مانديبولر و + +248 +00:21:15,660 --> 00:21:20,320 +سب لينجوال سليفري جلاند بيغضينا السب مانديبولر و + +249 +00:21:20,320 --> 00:21:23,260 +السب لينجوال سليفري جلاند العلاقة في ال production + +250 +00:21:23,260 --> 00:21:27,780 +of saliva اثنين سب لايف دي تيه ال sensation بيغضي + +251 +00:21:27,780 --> 00:21:35,130 +التذوق from anterior to third of the tongueهي عندي + +252 +00:21:35,130 --> 00:21:39,170 +اللي هو greater superficial petrosal nerve هاي + +253 +00:21:39,170 --> 00:21:44,790 +nerve to stapedius muscle وهي + +254 +00:21:44,790 --> 00:21:48,890 +عندي اللي هو corda tympani nerve وخرج من وين؟ من + +255 +00:21:48,890 --> 00:21:53,870 +stylo-mastoid foramen من stylo-mastoid foramen خرج + +256 +00:21:53,870 --> 00:21:57,730 +من ال facial nerve هيك بيكون انا شرحتلكوا أول + +257 +00:21:57,730 --> 00:22:06,170 +ثلاثة عندي بعد هيكاللي هو facial nerve بخرج من + +258 +00:22:06,170 --> 00:22:10,590 +stylo mustoid foramen وبيعطينا two branches + +259 +00:22:10,590 --> 00:22:15,250 +posterior auricular nerve and nerve to posterior + +260 +00:22:15,250 --> 00:22:20,370 +belay of the gastric muscle and stylohyoid muscle + +261 +00:22:20,370 --> 00:22:26,230 +هاي + +262 +00:22:26,230 --> 00:22:33,850 +عندي اللي هو ال facial nerveبخرج من الـ stylo + +263 +00:22:33,850 --> 00:22:43,130 +-mastoid foramin الان + +264 +00:22:43,130 --> 00:22:48,490 +اتكلم على branches of the facial nerve immediately + +265 +00:22:48,490 --> 00:22:52,930 +after exit from the skull بعد ما يخرج من ال skull + +266 +00:22:52,930 --> 00:22:55,990 +من ال stylo-mastoid formin immediately it gives + +267 +00:22:55,990 --> 00:23:01,000 +two branchesأول واحد بستيريور أوريكولار نيرف + +268 +00:23:01,000 --> 00:23:05,920 +بستيريور أوريكولار نيرف supply of occipital belay + +269 +00:23:05,920 --> 00:23:11,260 +of occipitofrontalis muscle supply also superior + +270 +00:23:11,260 --> 00:23:16,000 +and posterior auricularis muscle بيغدينا ال + +271 +00:23:16,000 --> 00:23:18,020 +superior و ال posterior auricularis muscle + +272 +00:23:20,910 --> 00:23:25,630 +أوريكولار مصر لها جزءين جزء posterior و جزء + +273 +00:23:25,630 --> 00:23:30,230 +anterior هو أدق بيغضي بيغضي posterior part بيغضي + +274 +00:23:30,230 --> 00:23:33,830 +posterior part لإن ال temporal nerve راح يغضي main + +275 +00:23:33,830 --> 00:23:38,050 +anterior part يبقى ال posterior auricular nerve + +276 +00:23:38,050 --> 00:23:41,930 +راح يغضي أدق ال posterior part of superior + +277 +00:23:41,930 --> 00:23:46,770 +auricular muscleOkay و إيه العلاقة بموضوع ال + +278 +00:23:46,770 --> 00:23:51,650 +sensation from the posterior part of the auricle + +279 +00:23:51,650 --> 00:23:56,330 +and tympanic membrane العصب الثاني من اسمه واضح + +280 +00:23:56,330 --> 00:23:59,710 +اسمه nerve to posterior belay of the digastric + +281 +00:23:59,710 --> 00:24:02,630 +muscle and the stylohyoid muscle في غدينا + +282 +00:24:02,630 --> 00:24:05,530 +posterior belay of the digastric muscle and the + +283 +00:24:05,530 --> 00:24:10,590 +stylohyoid muscle هي عندي اللي هو posterior + +284 +00:24:10,590 --> 00:24:17,240 +auricular nervePosterior Auricular nerve خرج + +285 +00:24:17,240 --> 00:24:22,380 +امدياتيالي تونيرف بوستيريور اوريكولار نيرف و نيرف + +286 +00:24:22,380 --> 00:24:25,860 +بوستيريور بيليق ديجاثريك مسل و سايلوهايويد نتكلم + +287 +00:24:25,860 --> 00:24:29,340 +عن بوستيريور اوريكولار بيغدين اكسيبتر بيليق او + +288 +00:24:29,340 --> 00:24:35,560 +اكسيبتر فرونتاليس مسل بيغدي بوستيريور اوريكولار + +289 +00:24:35,560 --> 00:24:41,050 +مسل و بيغديالـ posterior part of superior + +290 +00:24:41,050 --> 00:24:45,070 +auricular muscle هذا هو posterior auricular nerve + +291 +00:24:45,070 --> 00:24:49,030 +وبيعطينا أو receive sensation from the posterior + +292 +00:24:49,030 --> 00:24:53,810 +auricle and posterior tympanic membrane هذا أول + +293 +00:24:53,810 --> 00:25:02,040 +branch after exit هاي عندي واضحأكسيبتال بلاي of + +294 +00:25:02,040 --> 00:25:05,820 +occipital frontalis muscle هي posterior auricular + +295 +00:25:05,820 --> 00:25:11,420 +muscle وهو بيغدى posterior part of superior + +296 +00:25:11,420 --> 00:25:16,680 +auricular بعد هيك عندي five .. في عندي بعدها + +297 +00:25:16,680 --> 00:25:21,320 +بيجينا five terminal branches في عندي five + +298 +00:25:21,320 --> 00:25:25,580 +terminal branches خمسة اللي هو temporal nerve + +299 +00:25:26,610 --> 00:25:30,830 +zigomatic nerve, buccal nerve, marginal mandibular + +300 +00:25:30,830 --> 00:25:34,210 +nerve and cervical nerve هذول تيرمين ال branches + +301 +00:25:34,210 --> 00:25:39,910 +temporal nerve نتكلم واحد واحد temporal nerve + +302 +00:25:39,910 --> 00:25:45,530 +supply the frontal belay of subfrontalis muscle + +303 +00:25:45,530 --> 00:25:52,640 +upper partof orbicularis oculi muscle superior and + +304 +00:25:52,640 --> 00:25:56,100 +anterior auricularis muscle نشوفهم مع بعض ايش + +305 +00:25:56,100 --> 00:26:01,460 +بيغدينا ال temporal nerve بيغدي اللي هو frontal + +306 +00:26:01,460 --> 00:26:08,130 +belay ofوsubta frontalis muscle بيغضي من؟ anterior + +307 +00:26:08,130 --> 00:26:13,790 +auricularis muscle وبيغضي ال anterior part of + +308 +00:26:13,790 --> 00:26:18,350 +superior auricular muscle وبيغضي ال upper part of + +309 +00:26:18,350 --> 00:26:22,650 +auricularis oculi muscle تمام؟ هذا من بيغضيهم؟ + +310 +00:26:22,650 --> 00:26:32,490 +اللي هو temporal nerve نرجع لل slide zygomatic + +311 +00:26:32,490 --> 00:26:37,830 +nerveالـ zygomatic nerve بنقسم لقسمين upper + +312 +00:26:37,830 --> 00:26:43,910 +zygomatic branch and lower zygomatic branch ال + +313 +00:26:43,910 --> 00:26:50,510 +upper zygomatic branch بيغدى subperior + +314 +00:26:50,510 --> 00:26:53,110 +or inferior part of the orbicularis oculi muscle + +315 +00:26:53,110 --> 00:26:58,110 +اللي بتغمض إليهبيغدي ال lower zygomatic muscle + +316 +00:26:58,110 --> 00:27:03,210 +between the eye and mouth including nasal muscle + +317 +00:27:03,210 --> 00:27:07,050 +يبقى في الحالة هذه ال upper zygomatic nerve بيغدي + +318 +00:27:07,050 --> 00:27:11,070 +لنا ال articularis oculi muscle هذه ال upper part + +319 +00:27:11,070 --> 00:27:16,530 +و ال lower part هذه كلها بتاخد من أين؟ من upper + +320 +00:27:16,530 --> 00:27:19,630 +zygomatic و ال lower zygomatic بيغدينا ال muscles + +321 +00:27:19,630 --> 00:27:27,510 +between the mouthand I including nasal muscles + +322 +00:27:27,510 --> 00:27:33,390 +هذول بياخدوا من وين؟ من ال lower zygomatic branch + +323 +00:27:33,390 --> 00:27:36,450 +في + +324 +00:27:36,450 --> 00:27:43,990 +بعدها buckle nerve بيغدينا vaccinator muscle and + +325 +00:27:43,990 --> 00:27:47,090 +orbicularis oris muscle orbicularis oris muscle + +326 +00:27:47,090 --> 00:27:52,510 +اني انا لما بصفر بحركها لما بسكر طمي بحركها هذه هي + +327 +00:27:53,850 --> 00:27:59,450 +Vaccinator muscle تاخد من البكال و Arbicularis + +328 +00:27:59,450 --> 00:28:05,110 +muscle تاخد من البكال نيرف + +329 +00:28:08,670 --> 00:28:14,150 +الفرع اللي بعده اللي هو marginal mandibular nerve + +330 +00:28:14,150 --> 00:28:19,050 +supply the muscle in the region of the mandible + +331 +00:28:19,050 --> 00:28:22,970 +وفيه cervical muscle أو cervical nerve بيغدى + +332 +00:28:22,970 --> 00:28:29,860 +platysma muscleيبقى هاد ال muscles في ال angle of + +333 +00:28:29,860 --> 00:28:33,720 +the mandible تمام او angle of the mouth تاخد من ال + +334 +00:28:33,720 --> 00:28:36,840 +marginal mandibular nerve وهاد ال platysmal muscle + +335 +00:28:36,840 --> 00:28:40,840 +راح تاخد من وين ال platysmal muscle من اللي هو ال + +336 +00:28:40,840 --> 00:28:45,800 +cervical nerve of facial هكذا بيكون انا شرحتلكم + +337 +00:28:45,800 --> 00:28:51,220 +ten branches of facial nerve شرحت العشر عصاب يبقى + +338 +00:28:51,220 --> 00:28:55,430 +هاي عندي zygomatic nerveتمام؟ بيغدينا مين؟ + +339 +00:28:55,430 --> 00:28:59,510 +الاربيكولاريس و ال muscle + +340 +00:29:00,680 --> 00:29:05,080 +between the eye and mouth including nasal muscle + +341 +00:29:05,080 --> 00:29:08,880 +أنا هأعلملكوا عليهم البقال نير بيغضي orbicularis + +342 +00:29:08,880 --> 00:29:12,480 +oris muscle و vaccinator muscle ال marginal + +343 +00:29:12,480 --> 00:29:16,480 +mandibular nerve بيغضينا ال muscle around the + +344 +00:29:16,480 --> 00:29:20,800 +mouth angle و ال cervical nerve بيغضي platysma + +345 +00:29:20,800 --> 00:29:25,240 +muscle و هذا ال marginal واضح بيغضينا ال muscle في + +346 +00:29:25,240 --> 00:29:30,650 +ال angle of the mouthانتجي لموضوع راح أشرحه + +347 +00:29:30,650 --> 00:29:34,710 +بالتفصيل في سنة رابعة إن ضلينا طيبين هي عندي ال + +348 +00:29:34,710 --> 00:29:41,970 +motor nucleus motor nucleus of the facial nerve + +349 +00:29:41,970 --> 00:29:50,950 +تنقسم لقسمين تنقسم لقسمين قولنا جزء يعتبر ventral + +350 +00:29:50,950 --> 00:29:58,190 +وجزء يعتبر dorsal ال ventral + +351 +00:30:01,490 --> 00:30:09,050 +supply the lower quadrant of the face و الدورسل + +352 +00:30:09,050 --> 00:30:16,450 +supply the upper quadrant of the face الدورسل تأخذ + +353 +00:30:16,450 --> 00:30:21,490 +إشارة من الـipsilateral cerebral hemisphere و من + +354 +00:30:21,490 --> 00:30:26,470 +الcontralateral cerebral hemisphere يعني حكمة ربنا + +355 +00:30:26,470 --> 00:30:29,730 +واسع بالبعدأعطى العضلات اللى بتغمض العين + +356 +00:30:29,730 --> 00:30:34,930 +innervation from both cerebral hemispheres يعني ال + +357 +00:30:34,930 --> 00:30:39,130 +dorsal part أو ال dorsal nucleus of facial بتاخد + +358 +00:30:39,130 --> 00:30:42,570 +من كام cerebral hemisphere؟ من two cerebral + +359 +00:30:42,570 --> 00:30:47,310 +hemispheres لكن ال ventral nucleus المسئول عن ال + +360 +00:30:47,310 --> 00:30:51,540 +lower quadrant of the faceفقط بتاخد من ال opposite + +361 +00:30:51,540 --> 00:30:55,680 +side، يعني في الحالة هذه، لو إنسان صار معاه جلطة + +362 +00:30:55,680 --> 00:30:58,940 +دماغية، جلطة دماغية في ال right cerebral + +363 +00:30:58,940 --> 00:31:03,340 +hemisphere، في ال right cerebral hemisphere، إيش + +364 +00:31:03,340 --> 00:31:09,340 +بحدث عنده؟ مين راح يتأثر فقط؟ الدرس اللي بتتأثر؟ما + +365 +00:31:09,340 --> 00:31:13,420 +بتتأثرش لإنه عندها Epilateral Innervation طيب و ال + +366 +00:31:13,420 --> 00:31:17,580 +Ventral ال Ventral راح تتأثر في الحالة هذه ال + +367 +00:31:17,580 --> 00:31:23,260 +Ventral راح تتأثر راح ينشل نص وجهه السفلي الموضوع + +368 +00:31:23,260 --> 00:31:28,240 +هذا ما راح أطول الآن فيه راح أشرحه بالتفصيل في سنة + +369 +00:31:28,240 --> 00:31:32,520 +رابعة في الأمراض بتاعة الأعصاب ان شاء الله في + +370 +00:31:32,520 --> 00:31:39,070 +cranial nerve disease هنا نشوفمرضى عندهم facial + +371 +00:31:39,070 --> 00:31:46,830 +palsy مرضى دول عندهم facial palsy لاحظولى المريض + +372 +00:31:46,830 --> 00:31:55,030 +عنده hand shell في نص وجهه على الجهة اليساربيغمض + +373 +00:31:55,030 --> 00:31:58,470 +عينه هنا مش قادر يغمض في drop في ال mouth angle + +374 +00:31:58,470 --> 00:32:03,770 +عينه فاتحة loss nasolabial fold مش موجودة يبقى ان + +375 +00:32:03,770 --> 00:32:07,710 +المريض هذا عنده شلل في العصب السابع ال GHA اليسرى + +376 +00:32:07,710 --> 00:32:11,110 +هذا كله بالتفصيل اللي راح اشرحه في سنة رابعة في + +377 +00:32:11,110 --> 00:32:16,410 +مرض اسمه Bell's palsy التهاب بال أو شلل العصب + +378 +00:32:16,410 --> 00:32:20,430 +السابع ونتكلم على ال upper motor neuron and lower + +379 +00:32:20,430 --> 00:32:23,730 +motor neuron ايش انواعهمكل هذا ان شاء الله راح + +380 +00:32:23,730 --> 00:32:27,630 +نتكلم عنه لاحظوا هنا المريض هذا عنده شلل في عضلات + +381 +00:32:27,630 --> 00:32:30,990 +الوجه على الجهة اليسرى في بالز بالسي على ال left + +382 +00:32:30,990 --> 00:32:35,550 +side مش قادر يغمض عينه drop mouth angle inability + +383 +00:32:35,550 --> 00:32:40,030 +to close the eye كله wrinkles هذا ال nasolabial + +384 +00:32:40,030 --> 00:32:44,110 +fold واضحة حلوة هنا lost مش موجودة المريض عنده شلل + +385 +00:32:44,110 --> 00:32:47,050 +في العصب السابع على الجهة اليسرى + +386 +00:32:57,770 --> 00:33:01,770 +نفس الشيء هذا الشاب بس هنا عاليمين شايفي لاحظوا في + +387 +00:33:01,770 --> 00:33:05,550 +drop mouth عاليمين و عنده inability to close the + +388 +00:33:05,550 --> 00:33:08,210 +eye دايما بيكون هنا في الحالات هذه ال mouth + +389 +00:33:08,210 --> 00:33:11,970 +deviated على ال intact side ال mouth deviated ليه؟ + +390 +00:33:11,970 --> 00:33:15,810 +لأنه في حركة هنا في ال vaccinator muscle و + +391 +00:33:15,810 --> 00:33:19,950 +الorbicularis oris muscle متحركوا هنا عاليمين ع + +392 +00:33:19,950 --> 00:33:25,090 +الشمال ع اليسار في حركة عاليمين في drop يبقى + +393 +00:33:25,090 --> 00:33:29,600 +المريض هذا عندهright side facial palsy ال .. ال .. + +394 +00:33:29,600 --> 00:33:32,060 +ال mouth deviated على ال left side لأن ال left + +395 +00:33:32,060 --> 00:33:35,380 +side intact هنا ال right في drop في ال mouth angle + +396 +00:33:35,380 --> 00:33:39,220 +inability to close the eye الأسطى nasolabial fold + +397 +00:33:39,220 --> 00:33:42,760 +على ال right وكان في محالة هادة بتكلم على facial + +398 +00:33:42,760 --> 00:33:48,990 +palsy عند المريض على الجهة اليمنىالجزء الأول + +399 +00:33:48,990 --> 00:33:52,870 +باكتفي فيه في محاضرة cranial nerve بتاعة الأسبوع + +400 +00:33:52,870 --> 00:33:55,650 +التاسع الجزء المتبقى إلينا في cranial nerves راح + +401 +00:33:55,650 --> 00:33:59,550 +نتكلم عن Glossopharyngeal nerve Vegas nerve و + +402 +00:33:59,550 --> 00:34:03,070 +accessory and hypoglossal nerve موضوع + +403 +00:34:03,070 --> 00:34:06,430 +vestibulocochlear nerve بتكلم عنه في محاضرة ان شاء + +404 +00:34:06,430 --> 00:34:10,770 +الله ال special sensation اللي هو sense of hearing + +405 +00:34:10,770 --> 00:34:15,330 +هيك بكون أنهيت الجزء الأول من محاضرة تبعة الأسبوع + +406 +00:34:15,330 --> 00:34:18,000 +التاسع يعطيكوا ألف عافيةالعربية + diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/HH8Ar_LievY_raw.json b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/HH8Ar_LievY_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..0226a0d0e89c7ab1cf1306f447f5de3a2305b181 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/HH8Ar_LievY_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 3000, "start": 5.04, "end": 30.0, "text": "بسم الله الرحمن الرحيم السلام عليكم ورحمة الله 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اتفقنا ان ال facial nerve immerse بخرج من ال lower part of the pons between the pons and medulla oblongata بخرج as a two root اللي هو كام root؟ two root large root large root بيكون اللي هو", "tokens": [5479, 311, 264, 5593, 295, 257, 15642, 16355, 1975, 2655, 5172, 4587, 8315, 16472, 2423, 15642, 16355, 5578, 405, 4724, 34740, 7435, 9154, 2423, 3126, 644, 295, 264, 280, 892, 1296, 264, 280, 892, 293, 1205, 26891, 1111, 13025, 3274, 4724, 34740, 7435, 382, 257, 732, 5593, 13672, 1829, 31439, 9122, 10943, 5593, 22807, 732, 5593, 2416, 5593, 2416, 5593, 4724, 1829, 30544, 13672, 1829, 31439], "avg_logprob": -0.3101679229024631, "compression_ratio": 1.5868263473053892, "no_speech_prob": 0.0, "words": [{"start": 122.37, "end": 122.79, "word": "what's", "probability": 0.47845458984375}, {"start": 122.79, "end": 123.01, "word": " the", "probability": 0.91845703125}, {"start": 123.01, "end": 123.39, "word": " root", "probability": 0.57177734375}, {"start": 123.39, "end": 124.17, "word": " of", 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fibers يبقى كمان مرة ال facial nerve", "tokens": [10817, 336, 5593, 4724, 1829, 38251, 2407, 3224, 16355, 15184, 1024, 16355, 15184, 1024, 8306, 27233, 293, 971, 5871, 2455, 998, 3532, 25252, 7251, 3555, 4587, 7578, 9122, 2304, 7649, 3714, 25720, 2423, 15642, 16355], "avg_logprob": -0.17415364790293905, "compression_ratio": 1.2396694214876034, "no_speech_prob": 0.0, "words": [{"start": 165.42, "end": 165.94, "word": "small", "probability": 0.67822265625}, {"start": 165.94, "end": 166.32, "word": " root", "probability": 0.7255859375}, {"start": 166.32, "end": 167.36, "word": " بيسموه", "probability": 0.90986328125}, {"start": 167.36, "end": 168.14, "word": " nerve", "probability": 0.8427734375}, {"start": 168.14, "end": 169.78, "word": " intermediates", "probability": 0.7274169921875}, {"start": 169.78, "end": 170.48, "word": " nerve", "probability": 0.2274169921875}, {"start": 170.48, "end": 171.82, "word": " intermediates", "probability": 0.989013671875}, {"start": 171.82, "end": 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of the pons في ال lower part of the pons between the pons and medulla oblongata as two root large root facial motor nerve و small root يعتبر intermedius nerve اللي فيه sensory و parasympathetic fibers sensory و parasympathetic fibers", "tokens": [3555, 34740, 7435, 9154, 2423, 4386, 2423, 6931, 2155, 2643, 295, 264, 280, 892, 8978, 2423, 3126, 644, 295, 264, 280, 892, 1296, 264, 280, 892, 293, 1205, 26891, 1111, 13025, 3274, 382, 732, 5593, 2416, 5593, 15642, 5932, 16355, 4032, 1359, 5593, 7251, 34268, 26890, 15184, 301, 16355, 13672, 1829, 8978, 3224, 27233, 4032, 971, 5871, 2455, 998, 3532, 25252, 27233, 4032, 971, 5871, 2455, 998, 3532, 25252], "avg_logprob": -0.21875000659908567, "compression_ratio": 1.5526315789473684, "no_speech_prob": 0.0, "words": [{"start": 180.71, "end": 181.23, "word": "بخرج", "probability": 0.7350260416666666}, {"start": 181.23, "end": 181.45, "word": " من", "probability": 0.990234375}, {"start": 181.45, "end": 181.67, "word": " ال", "probability": 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nerve بيعطينا three branches راح نتكلم عنهم بعد هيك finally it exit from stylo-mastoid foramen وفي النهاية بخرجلنا من الخلف من stylo-mastoid foramen هي اندي تابع معايا خرج ال facial nerve من", "tokens": [10721, 12984, 1863, 16606, 3714, 2288, 13063, 3224, 8978, 2423, 15642, 9911, 2423, 15642, 16355, 4724, 1829, 3615, 9566, 1829, 8315, 1045, 14770, 12602, 39319, 8717, 2655, 4117, 19528, 18871, 16095, 39182, 39896, 4117, 2721, 309, 11043, 490, 7952, 752, 12, 76, 525, 17079, 337, 22403, 4032, 41185, 28239, 11296, 10632, 4724, 34740, 7435, 1211, 8315, 9154, 33962, 46538, 9154, 7952, 752, 12, 76, 525, 17079, 337, 22403, 39896, 16472, 16254, 6055, 16758, 3615, 20449, 995, 25528, 16490, 47341, 2423, 15642, 16355, 9154], "avg_logprob": -0.21298362474356378, "compression_ratio": 1.5763546798029557, "no_speech_prob": 0.0, "words": [{"start": 774.4800000000001, "end": 775.4000000000001, "word": "أثناء", "probability": 0.8935546875}, {"start": 775.4000000000001, "end": 776.32, "word": " مروره", 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{"start": 806.49, "end": 807.25, "word": " في", "probability": 0.8447265625}, {"start": 807.25, "end": 809.25, "word": " cerebellopontine", "probability": 0.76337890625}, {"start": 809.25, "end": 809.89, "word": " angle", "probability": 0.83203125}, {"start": 809.89, "end": 812.53, "word": " بعد", "probability": 0.2449951171875}, {"start": 812.53, "end": 813.11, "word": " هيك", "probability": 0.800048828125}, {"start": 813.11, "end": 813.73, "word": " بيفوت", "probability": 0.7317708333333334}, {"start": 813.73, "end": 814.71, "word": " لل", "probability": 0.31494140625}, {"start": 814.71, "end": 815.65, "word": " internal", "probability": 0.61083984375}, {"start": 815.65, "end": 819.63, "word": " auditory", "probability": 0.974853515625}, {"start": 819.63, "end": 820.21, "word": " meatus", "probability": 0.594970703125}, {"start": 820.21, "end": 820.85, "word": " لل", "probability": 0.235107421875}, {"start": 820.85, "end": 821.55, "word": " facial", "probability": 0.87109375}, {"start": 821.55, "end": 822.19, "word": " canal", "probability": 0.90234375}, {"start": 822.19, "end": 823.05, "word": " facial", "probability": 0.385009765625}, {"start": 823.05, "end": 823.91, "word": " ايه؟", "probability": 0.8104248046875}, {"start": 823.91, "end": 824.25, "word": " canal", "probability": 0.3505859375}, {"start": 824.25, "end": 825.21, "word": " او", "probability": 0.753173828125}, {"start": 825.21, "end": 825.81, "word": " fallopian", "probability": 0.804443359375}, {"start": 825.81, "end": 826.63, "word": " canal", "probability": 0.9638671875}], "temperature": 1.0}, {"id": 36, "seek": 84848, "start": 829.24, "end": 848.48, "text": "أثناء مروره في الـ facial canal إله جانجليون اسم هذا الجانجليون جينيكوليت جانجليون هذا الجانجليون الجينيكوليت جانجليون إله three branches greater superficial petrosal nerve nerve to stabilize muscle", "tokens": [10721, 12984, 1863, 16606, 3714, 2288, 13063, 3224, 8978, 2423, 39184, 15642, 9911, 11933, 43761, 10874, 7649, 7435, 20292, 11536, 24525, 2304, 23758, 25724, 7649, 7435, 20292, 11536, 10874, 9957, 1829, 4117, 12610, 36081, 10874, 7649, 7435, 20292, 11536, 23758, 2423, 7435, 7649, 7435, 20292, 11536, 25724, 9957, 1829, 4117, 12610, 36081, 10874, 7649, 7435, 20292, 11536, 11933, 43761, 1045, 14770, 5044, 34622, 3817, 2635, 304, 16355, 16355, 281, 16343, 2312, 1381, 8679], "avg_logprob": -0.37267735439377864, "compression_ratio": 1.7804878048780488, "no_speech_prob": 0.0, "words": [{"start": 829.24, "end": 829.82, "word": "أثناء", "probability": 0.8609619140625}, {"start": 829.82, "end": 830.48, "word": " مروره", "probability": 0.958251953125}, {"start": 830.48, "end": 831.26, "word": " في", "probability": 0.91748046875}, {"start": 831.26, "end": 831.54, "word": " الـ", "probability": 0.5526123046875}, {"start": 831.54, "end": 831.86, "word": " facial", "probability": 0.81982421875}, {"start": 831.86, "end": 832.26, "word": " canal", "probability": 0.802734375}, {"start": 832.26, "end": 832.48, "word": " إله", "probability": 0.315399169921875}, {"start": 832.48, "end": 833.16, "word": " جانجليون", "probability": 0.7609375}, {"start": 833.16, "end": 833.9, "word": " اسم", "probability": 0.798828125}, {"start": 833.9, "end": 834.2, "word": " هذا", "probability": 0.44189453125}, {"start": 834.2, "end": 834.94, "word": " الجانجليون", "probability": 0.95087890625}, {"start": 834.94, "end": 836.52, "word": " جينيكوليت", "probability": 0.6776123046875}, {"start": 836.52, "end": 837.3, "word": " جانجليون", "probability": 0.97119140625}, {"start": 837.3, "end": 837.78, "word": " هذا", "probability": 0.2322998046875}, {"start": 837.78, "end": 838.82, "word": " الجانجليون", "probability": 0.767578125}, {"start": 838.82, "end": 840.28, "word": " الجينيكوليت", "probability": 0.7838541666666666}, {"start": 840.28, "end": 841.0, "word": " جانجليون", "probability": 0.875}, {"start": 841.0, "end": 841.64, "word": " إله", "probability": 0.65966796875}, {"start": 841.64, "end": 841.92, "word": " three", "probability": 0.595703125}, {"start": 841.92, "end": 842.64, "word": " branches", "probability": 0.912109375}, {"start": 842.64, "end": 843.76, "word": " greater", "probability": 0.136962890625}, {"start": 843.76, "end": 844.54, "word": " superficial", "probability": 0.84375}, {"start": 844.54, "end": 845.16, "word": " petrosal", "probability": 0.8167317708333334}, {"start": 845.16, "end": 845.52, "word": " nerve", "probability": 0.89697265625}, {"start": 845.52, "end": 847.16, "word": " nerve", "probability": 0.472412109375}, {"start": 847.16, "end": 847.42, "word": " to", "probability": 0.6455078125}, {"start": 847.42, "end": 848.14, "word": " stabilize", "probability": 0.56085205078125}, {"start": 848.14, "end": 848.48, "word": " muscle", "probability": 0.90869140625}], "temperature": 1.0}, {"id": 37, "seek": 87138, "start": 849.32, "end": 871.38, "text": "و cordotempani nerve هذول التلاثة راح نتكلم عنهم و finally بيخرج من وين؟ بيخرج بيغادر عن طريق Stylomastoid foramen بيخرج من 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{"start": 858.1, "end": 858.88, "word": " عن", "probability": 0.947265625}, {"start": 858.88, "end": 859.42, "word": " طريق", "probability": 0.9969075520833334}, {"start": 859.42, "end": 861.5, "word": " Stylomastoid", "probability": 0.6595947265625}, {"start": 861.5, "end": 861.94, "word": " foramen", "probability": 0.55181884765625}, {"start": 861.94, "end": 862.38, "word": " بيخرج", "probability": 0.911376953125}, {"start": 862.38, "end": 862.46, "word": " من", "probability": 0.8955078125}, {"start": 862.46, "end": 863.12, "word": " وين؟", "probability": 0.9580078125}, {"start": 863.12, "end": 863.24, "word": " من", "probability": 0.96826171875}, {"start": 863.24, "end": 864.16, "word": " Stylomastoid", "probability": 0.9310546875}, {"start": 864.16, "end": 864.54, "word": " foramen", "probability": 0.94580078125}, {"start": 864.54, "end": 865.04, "word": " يقول", "probability": 0.597412109375}, {"start": 865.04, "end": 865.28, "word": " هذا", "probability": 0.583984375}, {"start": 865.28, "end": 865.44, "word": " ال", "probability": 0.755859375}, {"start": 865.44, "end": 865.76, "word": " course", "probability": 0.96240234375}, {"start": 865.76, "end": 866.72, "word": " بتاع", "probability": 0.988037109375}, {"start": 866.72, "end": 867.16, "word": " اللي", "probability": 0.654052734375}, {"start": 867.16, "end": 867.6, "word": " هو", "probability": 0.98486328125}, {"start": 867.6, "end": 867.98, "word": " ال", "probability": 0.6962890625}, {"start": 867.98, "end": 868.66, "word": " facial", "probability": 0.9462890625}, {"start": 868.66, "end": 869.64, "word": " nerve", "probability": 0.9072265625}, {"start": 869.64, "end": 870.88, "word": " intracranial", "probability": 0.786376953125}, {"start": 870.88, "end": 871.38, "word": " course", "probability": 0.9892578125}], "temperature": 1.0}, {"id": 38, "seek": 90561, "start": 877.19, "end": 905.61, "text": "نتكلم على extra cranial course of the facial nerve it leaves the skull through the stylomastoid foramen يعني هو بيغادر ال facial canal الموجودة في ال skull عن طريق ال stylomastoid foramen immediately after exit of the skull it gives two branches بعد ما يخرج من ال skull بيعطينا immediately two branches", "tokens": [29399, 4117, 19528, 15844, 2857, 39685, 831, 1164, 295, 264, 15642, 16355, 309, 5510, 264, 11743, 807, 264, 23736, 298, 525, 17079, 337, 22403, 37495, 22653, 31439, 4724, 1829, 17082, 18513, 2288, 2423, 15642, 9911, 9673, 29245, 23328, 3660, 8978, 2423, 11743, 18871, 23032, 16572, 4587, 2423, 23736, 298, 525, 17079, 337, 22403, 4258, 934, 11043, 295, 264, 11743, 309, 2709, 732, 14770, 39182, 19446, 7251, 34740, 7435, 9154, 2423, 11743, 4724, 40228, 9566, 1829, 8315, 4258, 732, 14770], "avg_logprob": -0.21738281548023225, "compression_ratio": 1.5964912280701755, "no_speech_prob": 0.0, "words": [{"start": 877.19, "end": 877.61, "word": "نتكلم", "probability": 0.8087565104166666}, {"start": 877.61, "end": 877.87, "word": " على", "probability": 0.63037109375}, {"start": 877.87, 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the", "probability": 0.7529296875}, {"start": 887.15, "end": 887.91, "word": " stylomastoid", "probability": 0.650054931640625}, {"start": 887.91, "end": 888.33, "word": " foramen", "probability": 0.610107421875}, {"start": 888.33, "end": 888.91, "word": " يعني", "probability": 0.84423828125}, {"start": 888.91, "end": 889.05, "word": " هو", "probability": 0.89892578125}, {"start": 889.05, "end": 889.67, "word": " بيغادر", "probability": 0.94755859375}, {"start": 889.67, "end": 890.19, "word": " ال", "probability": 0.955078125}, {"start": 890.19, "end": 890.55, "word": " facial", "probability": 0.958984375}, {"start": 890.55, "end": 890.95, "word": " canal", "probability": 0.837890625}, {"start": 890.95, "end": 891.53, "word": " الموجودة", "probability": 0.908203125}, {"start": 891.53, "end": 891.63, "word": " في", "probability": 0.943359375}, {"start": 891.63, "end": 891.73, "word": " ال", "probability": 0.966796875}, {"start": 891.73, "end": 892.05, "word": " skull", "probability": 0.4892578125}, {"start": 892.05, "end": 892.27, "word": " عن", "probability": 0.95361328125}, {"start": 892.27, "end": 892.73, "word": " طريق", "probability": 0.9952799479166666}, {"start": 892.73, "end": 893.25, "word": " ال", "probability": 0.51123046875}, {"start": 893.25, "end": 894.15, "word": " stylomastoid", "probability": 0.77392578125}, {"start": 894.15, "end": 894.59, "word": " foramen", "probability": 0.79931640625}, {"start": 894.59, "end": 896.07, "word": " immediately", "probability": 0.76171875}, {"start": 896.07, "end": 897.95, "word": " after", "probability": 0.8828125}, {"start": 897.95, "end": 898.61, "word": " exit", "probability": 0.76904296875}, {"start": 898.61, "end": 899.89, "word": " of", "probability": 0.9404296875}, {"start": 899.89, "end": 900.13, "word": " the", "probability": 0.92041015625}, {"start": 900.13, "end": 900.37, "word": " skull", "probability": 0.9560546875}, {"start": 900.37, "end": 900.65, "word": " it", "probability": 0.775390625}, {"start": 900.65, "end": 901.07, "word": " gives", "probability": 0.90380859375}, {"start": 901.07, "end": 901.35, "word": " two", "probability": 0.89892578125}, {"start": 901.35, "end": 901.85, "word": " branches", "probability": 0.9267578125}, {"start": 901.85, "end": 902.17, "word": " بعد", "probability": 0.8837890625}, {"start": 902.17, "end": 902.31, "word": " ما", "probability": 0.96630859375}, {"start": 902.31, "end": 902.59, "word": " يخرج", "probability": 0.97265625}, {"start": 902.59, "end": 902.69, "word": " من", "probability": 0.990234375}, {"start": 902.69, "end": 902.81, "word": " ال", "probability": 0.94189453125}, {"start": 902.81, "end": 903.03, "word": " skull", "probability": 0.73095703125}, {"start": 903.03, "end": 903.63, "word": " بيعطينا", "probability": 0.880078125}, {"start": 903.63, "end": 904.45, "word": " immediately", "probability": 0.80810546875}, {"start": 904.45, "end": 905.07, "word": " two", "probability": 0.91845703125}, {"start": 905.07, "end": 905.61, "word": " branches", "probability": 0.9208984375}], "temperature": 1.0}, {"id": 39, "seek": 92137, "start": 906.93, "end": 921.37, "text": "بعد ذلك يدخل في الـ Posterior Medial Service of Parotid Glan بيكون Superficial لـ External Carotid Artery", "tokens": [3555, 22488, 29910, 23275, 7251, 3215, 9778, 1211, 8978, 2423, 39184, 430, 7096, 1973, 3982, 831, 9561, 295, 3457, 310, 327, 5209, 282, 4724, 1829, 30544, 4548, 1786, 831, 5296, 39184, 48277, 2741, 310, 327, 1587, 12733], "avg_logprob": -0.38774670974204417, "compression_ratio": 1.032520325203252, "no_speech_prob": 0.0, "words": [{"start": 906.93, "end": 907.25, "word": "بعد", "probability": 0.722412109375}, {"start": 907.25, "end": 908.35, "word": " ذلك", "probability": 0.918701171875}, {"start": 908.35, "end": 909.49, "word": " يدخل", "probability": 0.6480255126953125}, {"start": 909.49, "end": 909.81, "word": " في", "probability": 0.2705078125}, {"start": 909.81, "end": 909.81, "word": " الـ", "probability": 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Artery", "probability": 0.875732421875}], "temperature": 1.0}, {"id": 40, "seek": 94409, "start": 922.13, "end": 944.09, "text": "و it ends inside of the substance part of the gland by dividing into five terminal branches و في الأخير بيعطينا five branches يعني طلع ال facial nerve له كام branch؟ عشرة، له عشرة، ثلاثة موجودين في ال facial canal", "tokens": [2407, 309, 5314, 1854, 295, 264, 12961, 644, 295, 264, 43284, 538, 26764, 666, 1732, 14709, 14770, 4032, 8978, 16247, 9778, 13546, 4724, 40228, 9566, 1829, 8315, 1732, 14770, 37495, 22653, 23032, 1211, 3615, 2423, 15642, 16355, 46740, 9122, 10943, 9819, 22807, 6225, 8592, 25720, 12399, 46740, 6225, 8592, 25720, 12399, 38637, 1211, 5718, 104, 3660, 3714, 29245, 23328, 9957, 8978, 2423, 15642, 9911], "avg_logprob": -0.23930288461538463, "compression_ratio": 1.4444444444444444, "no_speech_prob": 0.0, "words": [{"start": 922.13, "end": 922.43, "word": "و", "probability": 0.72265625}, {"start": 922.43, "end": 923.45, "word": " it", 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"end": 1213.27, "word": " تعمل", "probability": 0.7139485677083334}, {"start": 1213.27, "end": 1213.77, "word": " contraction؟", "probability": 0.734375}, {"start": 1213.77, "end": 1214.25, "word": " عشان", "probability": 0.7312825520833334}, {"start": 1214.25, "end": 1214.83, "word": " نقلل", "probability": 0.849609375}, {"start": 1214.83, "end": 1215.27, "word": " توصيل", "probability": 0.94287109375}, {"start": 1215.27, "end": 1215.79, "word": " الصوت", "probability": 0.974365234375}, {"start": 1215.79, "end": 1216.35, "word": " من", "probability": 0.97412109375}, {"start": 1216.35, "end": 1216.75, "word": " الأدن", "probability": 0.9344075520833334}, {"start": 1216.75, "end": 1217.15, "word": " الوسط", "probability": 0.8151041666666666}, {"start": 1217.15, "end": 1217.47, "word": " للأدن", "probability": 0.854248046875}, {"start": 1217.47, "end": 1218.13, "word": " الداخلية", "probability": 0.9920654296875}, {"start": 1218.13, "end": 1219.55, "word": " إذا", "probability": 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gastric muscle and stylohyoid muscle هاي عندي اللي هو ال facial nerve", "tokens": [6027, 20292, 31439, 15642, 16355, 4724, 34740, 7435, 9154, 7952, 752, 1633, 17079, 337, 22403, 4032, 21292, 3615, 9566, 1829, 8315, 732, 14770, 33529, 19145, 14646, 16355, 293, 16355, 281, 33529, 989, 320, 295, 264, 17898, 1341, 8679, 293, 7952, 752, 3495, 17079, 8679, 8032, 47302, 18871, 16254, 13672, 1829, 31439, 2423, 15642, 16355], "avg_logprob": -0.25042613202875313, "compression_ratio": 1.4573170731707317, "no_speech_prob": 0.0, "words": [{"start": 1323.57, "end": 1323.81, "word": "اللي", "probability": 0.8427734375}, {"start": 1323.81, "end": 1323.99, "word": " هو", "probability": 0.9609375}, {"start": 1323.99, "end": 1324.43, "word": " facial", "probability": 0.59716796875}, {"start": 1324.43, "end": 1324.81, "word": " nerve", "probability": 0.8994140625}, {"start": 1324.81, "end": 1325.93, "word": " بخرج", "probability": 0.8304036458333334}, {"start": 1325.93, "end": 1326.17, "word": " من", 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{"start": 1365.67, "end": 1366.13, "word": " of", "probability": 0.9384765625}, {"start": 1366.13, "end": 1366.33, "word": " the", "probability": 0.8681640625}, {"start": 1366.33, "end": 1366.71, "word": " facial", "probability": 0.93505859375}, {"start": 1366.71, "end": 1367.19, "word": " nerve", "probability": 0.9189453125}, {"start": 1367.19, "end": 1368.49, "word": " immediately", "probability": 0.63818359375}, {"start": 1368.49, "end": 1369.31, "word": " after", "probability": 0.87451171875}, {"start": 1369.31, "end": 1369.93, "word": " exit", "probability": 0.80615234375}, {"start": 1369.93, "end": 1370.93, "word": " from", "probability": 0.8212890625}, {"start": 1370.93, "end": 1371.17, "word": " the", "probability": 0.88818359375}, {"start": 1371.17, "end": 1371.39, "word": " skull", "probability": 0.88720703125}, {"start": 1371.39, "end": 1371.63, "word": " بعد", "probability": 0.91259765625}, {"start": 1371.63, "end": 1371.77, "word": " ما", "probability": 0.92626953125}, 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"probability": 0.8071533203125}, {"start": 1410.23, "end": 1411.01, "word": " posterior", "probability": 0.79345703125}, {"start": 1411.01, "end": 1411.37, "word": " part", "probability": 0.95654296875}, {"start": 1411.37, "end": 1411.61, "word": " لإن", "probability": 0.7787272135416666}, {"start": 1411.61, "end": 1411.73, "word": " ال", "probability": 0.89697265625}, {"start": 1411.73, "end": 1412.05, "word": " temporal", "probability": 0.64599609375}, {"start": 1412.05, "end": 1412.55, "word": " nerve", "probability": 0.9013671875}, {"start": 1412.55, "end": 1413.07, "word": " راح", "probability": 0.740966796875}, {"start": 1413.07, "end": 1413.53, "word": " يغضي", "probability": 0.9693603515625}, {"start": 1413.53, "end": 1413.83, "word": " main", "probability": 0.473388671875}, {"start": 1413.83, "end": 1414.95, "word": " anterior", "probability": 0.60009765625}, {"start": 1414.95, "end": 1415.55, "word": " part", "probability": 0.96142578125}, {"start": 1415.55, "end": 1416.33, 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nerve هذول تيرمين ال branches temporal nerve نتكلم واحد واحد temporal nerve supply the frontal belay of subfrontalis muscle upper part", "tokens": [89, 328, 13143, 16355, 11, 758, 1914, 304, 16355, 11, 16885, 7411, 897, 1040, 16355, 293, 49883, 16355, 8032, 8848, 12610, 6055, 13546, 2304, 9957, 2423, 14770, 30881, 16355, 8717, 2655, 4117, 19528, 36764, 24401, 36764, 24401, 30881, 16355, 5847, 264, 34647, 989, 320, 295, 1422, 11496, 48581, 8679, 6597, 644], "avg_logprob": -0.37199518657647646, "compression_ratio": 1.4493670886075949, "no_speech_prob": 0.0, "words": [{"start": 1526.61, "end": 1527.29, "word": "zigomatic", "probability": 0.56610107421875}, {"start": 1527.29, "end": 1527.73, "word": " nerve,", "probability": 0.91552734375}, {"start": 1528.39, "end": 1528.79, "word": " buccal", "probability": 0.68505859375}, {"start": 1528.79, "end": 1529.23, "word": " nerve,", "probability": 0.9169921875}, {"start": 1529.69, "end": 1530.15, "word": " marginal", "probability": 0.83203125}, {"start": 1530.15, "end": 1530.83, "word": " mandibular", "probability": 0.9591471354166666}, {"start": 1530.83, "end": 1531.19, "word": " nerve", "probability": 0.93603515625}, {"start": 1531.19, "end": 1531.51, "word": " and", "probability": 0.69482421875}, {"start": 1531.51, "end": 1532.09, "word": " cervical", "probability": 0.818359375}, {"start": 1532.09, "end": 1532.55, "word": " nerve", "probability": 0.92041015625}, {"start": 1532.55, "end": 1533.09, "word": " هذول", "probability": 0.7786458333333334}, {"start": 1533.09, "end": 1533.55, "word": " تيرمين", "probability": 0.61102294921875}, {"start": 1533.55, "end": 1533.65, "word": " ال", "probability": 0.488037109375}, {"start": 1533.65, "end": 1534.21, "word": " branches", "probability": 0.77783203125}, {"start": 1534.21, "end": 1535.79, "word": " temporal", "probability": 0.80126953125}, {"start": 1535.79, "end": 1536.27, "word": " nerve", "probability": 0.919921875}, {"start": 1536.27, "end": 1536.71, "word": " نتكلم", "probability": 0.786529541015625}, {"start": 1536.71, "end": 1536.99, "word": " واحد", "probability": 0.956787109375}, {"start": 1536.99, "end": 1537.43, "word": " واحد", "probability": 0.867919921875}, {"start": 1537.43, "end": 1539.29, "word": " temporal", "probability": 0.94287109375}, {"start": 1539.29, "end": 1539.91, "word": " nerve", "probability": 0.8916015625}, {"start": 1539.91, "end": 1541.43, "word": " supply", "probability": 0.491455078125}, {"start": 1541.43, "end": 1542.61, "word": " the", "probability": 0.6943359375}, {"start": 1542.61, "end": 1543.11, "word": " frontal", "probability": 0.95751953125}, {"start": 1543.11, "end": 1543.63, "word": " belay", "probability": 0.724853515625}, {"start": 1543.63, "end": 1543.89, "word": " of", "probability": 0.94384765625}, {"start": 1543.89, "end": 1545.05, "word": " subfrontalis", "probability": 0.4619954427083333}, {"start": 1545.05, "end": 1545.53, "word": " muscle", "probability": 0.95166015625}, {"start": 1545.53, "end": 1546.73, "word": " upper", "probability": 0.5966796875}, {"start": 1546.73, "end": 1547.37, "word": " part", "probability": 0.93603515625}], "temperature": 1.0}, {"id": 66, "seek": 156280, "start": 1548.48, "end": 1562.8, "text": "of orbicularis oculi muscle superior and anterior auricularis muscle نشوفهم مع بعض ايش بيغدينا ال temporal nerve بيغدي اللي هو frontal belay of", "tokens": [2670, 14715, 14646, 271, 277, 2444, 72, 8679, 13028, 293, 22272, 19145, 14646, 271, 8679, 8717, 8592, 38688, 16095, 20449, 45030, 11242, 1975, 1829, 8592, 4724, 1829, 17082, 16254, 8315, 2423, 30881, 16355, 4724, 1829, 17082, 16254, 13672, 1829, 31439, 34647, 989, 320, 295], "avg_logprob": -0.31215277512868245, "compression_ratio": 1.3014705882352942, "no_speech_prob": 8.940696716308594e-07, "words": [{"start": 1548.48, "end": 1548.84, "word": "of", "probability": 0.261474609375}, {"start": 1548.84, "end": 1549.86, "word": " orbicularis", "probability": 0.6890055338541666}, {"start": 1549.86, "end": 1550.3, "word": " oculi", "probability": 0.8028971354166666}, {"start": 1550.3, "end": 1550.7, "word": " muscle", "probability": 0.947265625}, {"start": 1550.7, "end": 1551.88, "word": " superior", "probability": 0.60546875}, {"start": 1551.88, "end": 1552.64, "word": " and", "probability": 0.95263671875}, {"start": 1552.64, "end": 1553.46, "word": " anterior", "probability": 0.939453125}, {"start": 1553.46, "end": 1554.6, "word": " auricularis", "probability": 0.9576822916666666}, {"start": 1554.6, "end": 1554.86, "word": " muscle", "probability": 0.92822265625}, {"start": 1554.86, "end": 1555.24, "word": " نشوفهم", "probability": 0.727783203125}, {"start": 1555.24, "end": 1555.38, "word": " مع", "probability": 0.98193359375}, {"start": 1555.38, "end": 1555.68, "word": " بعض", "probability": 0.973388671875}, {"start": 1555.68, "end": 1556.1, "word": " ايش", "probability": 0.6634114583333334}, {"start": 1556.1, "end": 1556.76, "word": " بيغدينا", "probability": 0.81484375}, {"start": 1556.76, "end": 1557.26, "word": " ال", "probability": 0.93359375}, {"start": 1557.26, "end": 1557.58, "word": " temporal", "probability": 0.416259765625}, {"start": 1557.58, "end": 1557.94, "word": " nerve", "probability": 0.89208984375}, {"start": 1557.94, "end": 1558.56, "word": " بيغدي", "probability": 0.886474609375}, {"start": 1558.56, "end": 1560.02, "word": " اللي", "probability": 0.714111328125}, {"start": 1560.02, "end": 1560.1, "word": " هو", "probability": 0.98046875}, {"start": 1560.1, "end": 1561.46, "word": " frontal", "probability": 0.900390625}, {"start": 1561.46, "end": 1562.2, "word": " belay", "probability": 0.66943359375}, {"start": 1562.2, "end": 1562.8, "word": " of", "probability": 0.93408203125}], "temperature": 1.0}, {"id": 67, "seek": 159289, "start": 1564.51, "end": 1592.89, "text": "وsubta frontalis muscle بيغضي من؟ anterior auricularis muscle وبيغضي ال anterior part of superior auricular muscle وبيغضي ال upper part of auricularis oculi muscle تمام؟ هذا من بيغضيهم؟ اللي هو temporal nerve نرجع لل slide zygomatic nerve", "tokens": [2407, 30131, 1328, 34647, 271, 8679, 4724, 1829, 17082, 11242, 1829, 9154, 22807, 22272, 19145, 14646, 271, 8679, 4032, 21292, 17082, 11242, 1829, 2423, 22272, 644, 295, 13028, 19145, 14646, 8679, 4032, 21292, 17082, 11242, 1829, 2423, 6597, 644, 295, 19145, 14646, 271, 277, 2444, 72, 8679, 46811, 10943, 22807, 23758, 9154, 4724, 1829, 17082, 11242, 1829, 16095, 22807, 13672, 1829, 31439, 30881, 16355, 8717, 47341, 3615, 24976, 4137, 710, 18103, 13143, 16355], "avg_logprob": -0.29898649252749776, "compression_ratio": 1.7034883720930232, "no_speech_prob": 0.0, "words": [{"start": 1564.51, "end": 1565.07, "word": "وsubta", "probability": 0.22792561848958334}, {"start": 1565.07, "end": 1565.87, "word": " frontalis", "probability": 0.6912841796875}, {"start": 1565.87, "end": 1566.35, "word": " muscle", "probability": 0.93505859375}, {"start": 1566.35, "end": 1567.01, "word": " بيغضي", "probability": 0.662158203125}, {"start": 1567.01, "end": 1567.41, "word": " من؟", "probability": 0.335205078125}, {"start": 1567.41, "end": 1568.13, "word": " anterior", "probability": 0.53369140625}, {"start": 1568.13, "end": 1569.81, "word": " auricularis", "probability": 0.9305013020833334}, {"start": 1569.81, "end": 1570.13, "word": " muscle", "probability": 0.958984375}, {"start": 1570.13, "end": 1571.29, "word": " وبيغضي", "probability": 0.8384765625}, {"start": 1571.29, "end": 1571.65, "word": " ال", "probability": 0.85302734375}, {"start": 1571.65, "end": 1572.31, "word": " anterior", "probability": 0.270263671875}, {"start": 1572.31, "end": 1573.31, "word": " part", "probability": 0.970703125}, {"start": 1573.31, "end": 1573.79, "word": " of", "probability": 0.9228515625}, {"start": 1573.79, "end": 1574.65, "word": " superior", "probability": 0.91064453125}, {"start": 1574.65, "end": 1575.39, "word": " auricular", "probability": 0.976318359375}, {"start": 1575.39, "end": 1575.83, "word": " muscle", "probability": 0.94970703125}, {"start": 1575.83, "end": 1576.87, "word": " وبيغضي", "probability": 0.9607421875}, {"start": 1576.87, "end": 1576.97, "word": " ال", "probability": 0.89599609375}, {"start": 1576.97, "end": 1577.27, "word": " upper", "probability": 0.9072265625}, {"start": 1577.27, "end": 1577.93, "word": " part", "probability": 0.947265625}, {"start": 1577.93, "end": 1578.35, "word": " of", "probability": 0.96240234375}, {"start": 1578.35, "end": 1579.59, "word": " auricularis", "probability": 0.8795572916666666}, {"start": 1579.59, "end": 1580.15, "word": " oculi", "probability": 0.6531575520833334}, {"start": 1580.15, "end": 1580.51, "word": " muscle", "probability": 0.9775390625}, {"start": 1580.51, "end": 1581.17, "word": " تمام؟", "probability": 0.76806640625}, {"start": 1581.17, "end": 1581.39, "word": " هذا", "probability": 0.81982421875}, {"start": 1581.39, "end": 1581.53, "word": " من", "probability": 0.9013671875}, {"start": 1581.53, "end": 1582.65, "word": " بيغضيهم؟", "probability": 0.9609375}, {"start": 1582.65, "end": 1582.79, "word": " اللي", "probability": 0.6925048828125}, {"start": 1582.79, "end": 1583.17, "word": " هو", "probability": 0.98974609375}, {"start": 1583.17, "end": 1586.07, "word": " temporal", "probability": 0.8193359375}, {"start": 1586.07, "end": 1586.55, "word": " nerve", "probability": 0.93798828125}, {"start": 1586.55, "end": 1587.89, "word": " نرجع", "probability": 0.8055013020833334}, {"start": 1587.89, "end": 1588.05, "word": " لل", "probability": 0.8310546875}, {"start": 1588.05, "end": 1588.39, "word": " slide", "probability": 0.67578125}, {"start": 1588.39, "end": 1592.49, "word": " zygomatic", "probability": 0.7706705729166666}, {"start": 1592.49, "end": 1592.89, "word": " nerve", "probability": 0.94091796875}], "temperature": 1.0}, {"id": 68, "seek": 161521, "start": 1593.77, "end": 1615.21, "text": "الـ zygomatic nerve بنقسم لقسمين upper zygomatic branch and lower zygomatic branch ال upper zygomatic branch بيغدى subperior or inferior part of the orbicularis oculi muscle اللي بتغمض إليه", "tokens": [6027, 39184, 710, 18103, 13143, 16355, 44945, 4587, 38251, 5296, 4587, 38251, 9957, 6597, 710, 18103, 13143, 9819, 293, 3126, 710, 18103, 13143, 9819, 2423, 6597, 710, 18103, 13143, 9819, 4724, 1829, 17082, 3215, 7578, 1422, 610, 1973, 420, 24249, 644, 295, 264, 14715, 14646, 271, 277, 2444, 72, 8679, 13672, 1829, 39894, 17082, 2304, 11242, 11933, 20292, 3224], "avg_logprob": -0.31666668007771176, "compression_ratio": 1.457516339869281, "no_speech_prob": 0.0, "words": [{"start": 1593.77, "end": 1594.03, "word": "الـ", "probability": 0.561767578125}, {"start": 1594.03, "end": 1594.45, "word": " zygomatic", "probability": 0.7954915364583334}, {"start": 1594.45, "end": 1594.75, "word": " nerve", "probability": 0.9365234375}, {"start": 1594.75, "end": 1595.17, "word": " بنقسم", "probability": 0.7762858072916666}, {"start": 1595.17, "end": 1595.79, "word": " لقسمين", "probability": 0.949951171875}, 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a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/KC7cRucLKTU.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/KC7cRucLKTU.srt new file mode 100644 index 0000000000000000000000000000000000000000..4804af290719b8107f8db46da593e85d9c0cb68f --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/KC7cRucLKTU.srt @@ -0,0 +1,1286 @@ +1 +00:00:04,980 --> 00:00:08,160 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:08,160 --> 00:00:12,980 +وبركاته اليوم راح أكون معاكم في محاضرة anatomy and + +3 +00:00:12,980 --> 00:00:17,460 +physiology of the brain sim محاضرة الأسبوع الرابع + +4 +00:00:17,460 --> 00:00:19,700 +anatomy and physiology of the brain sim + +5 +00:00:23,700 --> 00:00:27,880 +أخذنا في المحاضرة السابقة اللي هو morphological + +6 +00:00:27,880 --> 00:00:31,680 +subdivisions of the brain و اتكلمنا أن ال brain + +7 +00:00:31,680 --> 00:00:36,140 +contains cerebrum, cerebellum, brainstem و من ضمن + +8 +00:00:36,140 --> 00:00:39,500 +ال cerebrum تحته في ال lower part of the cerebrum + +9 +00:00:39,500 --> 00:00:44,200 +اللي هو ال diencephalon السربرم شرحناه و السر + +10 +00:00:44,200 --> 00:00:48,240 +بيلا تكلمنا عنه اللي أنا هتكلم عن ال brain stem + +11 +00:00:48,240 --> 00:00:53,260 +اللي هو جدع الدماغ بدون brain stem مش ممكن الإنسان + +12 +00:00:53,260 --> 00:00:58,060 +يعيش لو مات ال brain stem مات الإنسان لأن المراكز + +13 +00:00:58,060 --> 00:01:04,260 +الحيوية موجودة في ال brain stem ال brain stem + +14 +00:01:04,260 --> 00:01:11,920 +located in the posterior cranial fossa in front of + +15 +00:01:11,920 --> 00:01:16,200 +the cerebellum and for ventricle يبقى ال brain + +16 +00:01:16,200 --> 00:01:20,760 +stem جدع الدماغ موجود في ال posterior cranial fossa + +17 +00:01:20,760 --> 00:01:28,860 +بيكون أمام المخيخ و أمام البطين الرابع the brain + +18 +00:01:28,860 --> 00:01:34,120 +stem formed of the following part بتكون من three + +19 +00:01:34,120 --> 00:01:42,080 +parts بتكون من ثلاث أجزاء لو بدأنا من تحت للأعلى أو + +20 +00:01:42,080 --> 00:01:48,480 +من الأسفل للأعلى في عندي medulla oblongata تعمل + +21 +00:01:48,480 --> 00:01:51,960 +continuation with spinal cord بقى هي continuous + +22 +00:01:51,960 --> 00:01:55,260 +with spinal cord بعد medulla oblongata بيجينا + +23 +00:01:55,260 --> 00:02:03,080 +the pons جسر between the midbrain and + +24 +00:02:03,080 --> 00:02:08,160 +medulla oblongata و الـ upper part is mid brain + +25 +00:02:08,160 --> 00:02:12,740 +الدماغ الأوسط يبقى أن هو continuous بعد ذلك مع ال + +26 +00:02:12,740 --> 00:02:16,060 +cerebral hemisphere مع ال cerebral hemisphere + +27 +00:02:16,060 --> 00:02:25,020 +relations of brain stem ال brain stem جدول الدماغ + +28 +00:02:25,020 --> 00:02:31,020 +above من أعلى الـ midbrain is continuous with + +29 +00:02:31,020 --> 00:02:34,400 +cerebral hemisphere يبقى ال midbrain فوق + +30 +00:02:34,400 --> 00:02:38,420 +continuous with أيه؟ with cerebral hemisphere + +31 +00:02:38,420 --> 00:02:46,240 +below من تحت medulla oblongata continuous with أيه؟ + +32 +00:02:46,240 --> 00:02:51,820 +with spinal cord يبقى هنا عرفنا above ال midbrain + +33 +00:02:51,820 --> 00:02:56,640 +مع ال cerebral hemisphere بالأسفل medulla oblongata + +34 +00:02:56,640 --> 00:03:03,880 +تستمر بالـ A مع جسم العصب posteriorly من الخلف + +35 +00:03:03,880 --> 00:03:11,960 +medulla pons و medulla أعلى medulla أو upper medulla مقفلة + +36 +00:03:13,250 --> 00:03:18,250 +from cerebellum by fourth ventricle من الخلف بينا + +37 +00:03:18,250 --> 00:03:24,330 +fourth ventricle cavity هذا بيفصل ما بين ال pons + +38 +00:03:24,330 --> 00:03:28,710 +و ال upper medulla أو open medulla عن من؟ عن ال + +39 +00:03:28,710 --> 00:03:39,570 +cerebellum من الخلف هي انه واضح Medulla + +40 +00:03:39,570 --> 00:03:40,230 +oblongata + +41 +00:03:43,200 --> 00:03:49,120 +تحت السمير مع مين؟ مع spinal cord هذه medulla oblongata + +42 +00:03:49,120 --> 00:03:56,260 +إن جت هنا عندي إيه اللي هو ال bones وبعدين + +43 +00:03:56,260 --> 00:04:01,040 +بيجينا إيه ال midbrain ال midbrain continuous أعلى + +44 +00:04:01,040 --> 00:04:06,700 +مع ال cerebral hemisphere من الخلف في عندي cavity + +45 +00:04:06,700 --> 00:04:12,660 +of fourth ventricle بيعمل separation between the + +46 +00:04:12,660 --> 00:04:18,760 +pons و أبعاد medulla بيعمل لهم separation عن مين؟ + +47 +00:04:18,760 --> 00:04:23,180 +عن إيه؟ اللي هو ال cerebellum ال cerebellum بيحد ال + +48 +00:04:23,180 --> 00:04:30,820 +fourth ventricle من خلفي واضح + +49 +00:04:30,820 --> 00:04:41,100 +عندي أيوة fourth ventricle بيفصل بين الـ pons و + +50 +00:04:41,100 --> 00:04:48,100 +upper medulla عن + +51 +00:04:48,100 --> 00:04:56,020 +الـ cerebellum okay يبقى هذا ال relations بتاعة + +52 +00:04:56,020 --> 00:05:00,300 +brain stem relation of the brain stem + +53 +00:05:05,740 --> 00:05:10,680 +What's the functions of brainstem؟ أول شيء + +54 +00:05:10,680 --> 00:05:15,000 +cardiovascular center يبقى المركز بتاع التحكم + +55 +00:05:15,000 --> 00:05:19,840 +بالقلب موجود في brain stem مات brain stem مات القلب + +56 +00:05:19,840 --> 00:05:25,720 +مات الإنسان respiratory and cough center إيه علاقة + +57 +00:05:25,720 --> 00:05:33,550 +بمركز التحكم بالتنفس و عملية الكحة؟ ال swallowing + +58 +00:05:33,550 --> 00:05:42,390 +and vomiting center عملية البلع و عملية التقيؤ + +59 +00:05:42,390 --> 00:05:49,790 +sleep center مركز النوم center for eye movement + +60 +00:05:49,790 --> 00:05:57,050 +مركز التحكم بحركة العينين reticular nuclei في + +61 +00:05:57,050 --> 00:05:59,870 +reticular formation موجودين وين في ال brain stem + +62 +00:06:01,200 --> 00:06:05,940 +alertness and consciousness اليقظة ودرجة الوعي + +63 +00:06:05,940 --> 00:06:12,040 +مسئول عنها ال brain stem ال vestibular nuclei و + +64 +00:06:12,040 --> 00:06:17,290 +ال functions البستيبلار ال conduction function بيمر + +65 +00:06:17,290 --> 00:06:22,930 +في ال brain stem ascending and descending tracts ال + +66 +00:06:22,930 --> 00:06:25,470 +ascending اللي بيربط ال spinal cord مع ال cerebrum + +67 +00:06:25,470 --> 00:06:29,850 +و descending اللي بيربط ال brain مع spinal cord + +68 +00:06:29,850 --> 00:06:35,310 +وأهم شيء كمان موجود في ال brain stem النكلياية + +69 +00:06:35,310 --> 00:06:45,100 +cranial nerves نكلياية من أيه؟ من العصب cranial + +70 +00:06:45,100 --> 00:06:53,300 +nerve ثلاثة لحد cranial nerve اثنا عشر من ثلاثة + +71 +00:06:53,300 --> 00:07:02,640 +لاثنا عشر ليه؟ لأن cranial nerve nucleus رقم + +72 +00:07:02,640 --> 00:07:07,760 +واحد موجودة في ال temporal lobe و رقم اثنين موجودة + +73 +00:07:07,760 --> 00:07:14,900 +في ال occipital lobe لكن اللي من ثلاثة للاثنا عشر + +74 +00:07:14,900 --> 00:07:19,360 +موجودين في ال brain stem + +75 +00:07:23,250 --> 00:07:27,410 +and it's important as extrapyramidal function لأن + +76 +00:07:27,410 --> 00:07:30,790 +في ال brain stem موجودة substantia nigra + +77 +00:07:30,790 --> 00:07:34,810 +substantia nigra تفرز مادة الدوبامين في حال حدث + +78 +00:07:34,810 --> 00:07:38,990 +نقص في إفراز الدوبامين المريض ممكن يكون عنده + +79 +00:07:38,990 --> 00:07:42,750 +Parkinson مرض Parkinson أو مرض الشلل الرعاش + +80 +00:07:45,550 --> 00:07:51,590 +vestibular reflex، إيش ال vestibular reflex؟ ال vestibular مدفونة + +81 +00:07:51,590 --> 00:07:58,270 +كمقاومة عضلية عضلية لجسم الإنسان بسبب الضغط، الآن + +82 +00:07:58,270 --> 00:08:01,390 +أنا واقف، لو ماكان عندي vestibular كان وقعت أنا، + +83 +00:08:01,390 --> 00:08:08,510 +ماقدرش أتجافل، لأن هي عملية تحكم في نوعين للبحث عن + +84 +00:08:08,510 --> 00:08:15,670 +reflex static reflex أنا الآن في وضع ثابت أو جلست + +85 +00:08:15,670 --> 00:08:21,110 +على الكرسي ما أميلش ما أرجحش هذا اسمه static reflex + +86 +00:08:21,110 --> 00:08:26,390 +maintain the balance during rest أثناء الراحة طيب + +87 +00:08:26,390 --> 00:08:31,490 +لو أنا تحركت نسميه static kinetic reflex maintain + +88 +00:08:31,490 --> 00:08:36,520 +the balance during movement أنا تحركت يبقى هنا + +89 +00:08:36,520 --> 00:08:44,180 +اسمه static-kinetic أنا جلست هذا اسمه static + +90 +00:08:44,180 --> 00:08:52,040 +reflex لأنّي أبدأ ب medulla oblongata medulla + +91 +00:08:52,040 --> 00:08:58,360 +oblongata medulla oblongata is the lower part of + +92 +00:08:58,360 --> 00:09:04,930 +brain stem ثلاثة أرباع تقريبًا يقول هي lower part of + +93 +00:09:04,930 --> 00:09:11,070 +brainstem ال relation بتاعتها medulla oblongata above + +94 +00:09:11,070 --> 00:09:17,790 +continuous with pons من أعلى تتحد مع ال pons + +95 +00:09:17,790 --> 00:09:23,470 +أو مرتبطة مع ال pons below من أسفل مرتبطة مع ال + +96 +00:09:23,470 --> 00:09:29,050 +spinal cord تعمل لنا continuation ل spinal cord تبقى + +97 +00:09:29,050 --> 00:09:34,010 +هي مرتبطة مع spinal cord على أي مستوى؟ على مستوى + +98 +00:09:34,010 --> 00:09:39,590 +foramen magnum at the level of foramen magnum خيال + +99 +00:09:39,590 --> 00:09:47,470 +دي طب هي نفسها ما بمشي الميدالة قبل إن جت على + +100 +00:09:47,470 --> 00:09:54,860 +سجد التركات Medulla Oblongata قلنا below تحت مع + +101 +00:09:54,860 --> 00:10:02,840 +spinal cord من أعلى فوق مع الـ pons هذه هي + +102 +00:10:02,840 --> 00:10:07,080 +Medulla Oblongata الـ Medulla Oblongata بتتكون من + +103 +00:10:07,080 --> 00:10:14,820 +جزئين جزء + +104 +00:10:14,820 --> 00:10:17,140 +علوي بيكون + +105 +00:10:18,500 --> 00:10:25,020 +open فاتح على ال fourth ventricle وجزء سفلي بيكون + +106 +00:10:25,020 --> 00:10:28,660 +closed ما لوش علاقة بال fourth ventricle يمكن هذا + +107 +00:10:28,660 --> 00:10:34,100 +بنسميها open medulla + +108 +00:10:34,100 --> 00:10:42,080 +و هذا بنسميها closed medulla ال open medulla بنسميها + +109 +00:10:42,080 --> 00:10:47,960 +upper part جزء العلوي و medulla مقفلة نسميها lower + +110 +00:10:47,960 --> 00:10:53,440 +part يبقى كمان مرة relation of medulla oblongata أسفل + +111 +00:10:53,440 --> 00:10:59,200 +تحت spinal cord أعلى pons طب ممكن تضيفوا كمان + +112 +00:10:59,200 --> 00:11:06,260 +حاجة posterior من الخلف من الخلف من الخلف open + +113 +00:11:06,260 --> 00:11:09,720 +medulla بيحدها ال fourth ventricle بيفصلها عن من؟ عن + +114 +00:11:09,720 --> 00:11:10,480 +ال cerebellum + +115 +00:11:13,310 --> 00:11:19,230 +Okay يبقى عندي lower spinal cord above pons من + +116 +00:11:19,230 --> 00:11:23,330 +الخلف ال cerebellum و ال fourth ventricle بيحد مين + +117 +00:11:23,330 --> 00:11:27,870 +اللي هو ال upper part أو open medulla + +118 +00:11:32,670 --> 00:11:37,090 +هذه ال medulla oblongata بس هذي anti-review ليش قلنا + +119 +00:11:37,090 --> 00:11:42,170 +anti-review؟ لأن ال ventricle ال fourth ventricle + +120 +00:11:42,170 --> 00:11:49,030 +مش واضح هنا ال fourth ventricle وين؟ في الخلف هذه + +121 +00:11:49,030 --> 00:11:59,130 +ال medulla oblongata تحت + +122 +00:11:59,130 --> 00:12:07,360 +spinal cord فوق pons هذه medulla oblongata من الخلف + +123 +00:12:07,360 --> 00:12:13,500 +اللي هو ال cerebellum و ال fourth ventricle بيفصلّهم + +124 +00:12:13,500 --> 00:12:26,940 +عن اللي هي open medulla أو ال upper medulla نكمل + +125 +00:12:28,350 --> 00:12:31,690 +أجزاء ال medulla oblongata أنا شرحتهم شرحت لكم إياهم + +126 +00:12:31,690 --> 00:12:36,610 +part of the medulla oblongata ال medulla oblongata + +127 +00:12:36,610 --> 00:12:45,210 +إلها جزئين الجزء الأول اسمه closed medulla الجزء + +128 +00:12:45,210 --> 00:12:49,990 +الثاني اسمه open medulla ممكن أسميهم شيء ثاني؟ ممكن + +129 +00:12:49,990 --> 00:12:56,770 +ال closed medulla ممكن أسميه lower medulla و open + +130 +00:12:56,770 --> 00:13:01,030 +medulla ممكن نسميها upper medulla ليه سميتها open + +131 +00:13:01,030 --> 00:13:02,590 +medulla؟ + +132 +00:13:05,570 --> 00:13:10,130 +opens into the fourth ventricle فتحة بيحدها من + +133 +00:13:10,130 --> 00:13:14,330 +الخلف fourth ventricle لذلك سميناها إيه؟ open + +134 +00:13:14,330 --> 00:13:18,550 +medulla يبقى ال open medulla هي ال upper part أو + +135 +00:13:18,550 --> 00:13:21,890 +ال upper half of the medulla oblongata الجزء + +136 +00:13:21,890 --> 00:13:25,030 +العلوي من ال medulla oblongata سميناها open medulla + +137 +00:13:25,030 --> 00:13:28,690 +لأنها بتكون فاتحة على ال fourth ventricle على + +138 +00:13:28,690 --> 00:13:33,510 +البطين الرابع من الخلف ال closed medulla اللي هي + +139 +00:13:33,510 --> 00:13:36,790 +lower half of the medulla أو lower part of the + +140 +00:13:36,790 --> 00:13:40,450 +medulla سموها closed medulla لأنّه بيكون داخلها + +141 +00:13:40,450 --> 00:13:46,630 +موجود اللي هو central canal و هي بتكون closed + +142 +00:13:46,630 --> 00:13:51,050 +بالنسبة لل fourth ventricle ما بتكون فاتحة على ال + +143 +00:13:51,050 --> 00:13:53,910 +fourth ventricle لذلك سموها closed medulla + +144 +00:13:55,400 --> 00:14:01,600 +continuous with spinal cord .. central canal يبقى + +145 +00:14:01,600 --> 00:14:05,120 +لو سألكوا سؤال مين اللي بيكون عامل continuous with + +146 +00:14:05,120 --> 00:14:07,700 +spinal cord؟ ال open medulla ولا ال closed medulla؟ + +147 +00:14:07,700 --> 00:14:10,680 +راح تكون ال closed medulla مين اللي موجود في central + +148 +00:14:10,680 --> 00:14:14,140 +spinal canal؟ ال open medulla ولا ال closed medulla؟ + +149 +00:14:14,140 --> 00:14:15,700 +راح تكون ال closed medulla + +150 +00:14:19,710 --> 00:14:22,630 +هذا posterior view هذا posterior view لأن + +151 +00:14:22,630 --> 00:14:29,630 +ال cerebellum في الخلف يقول هي عندي ال medulla + +152 +00:14:29,630 --> 00:14:38,110 +oblongata إلها جزئين هذا open medulla وهذا closed + +153 +00:14:38,110 --> 00:14:42,650 +medulla ليه هذا open medulla لأنها الفاتحة بتكون + +154 +00:14:42,650 --> 00:14:45,810 +عوين على ال fourth ventricle اللي هي و ال pons + +155 +00:14:48,840 --> 00:14:52,820 +يبقى الجزء العلوي ال upper part open ال lower part + +156 +00:14:52,820 --> 00:14:58,360 +closed الآن + +157 +00:14:58,360 --> 00:15:03,540 +بنتقل ل external features of medulla oblongata + +158 +00:15:03,540 --> 00:15:06,200 +external features of medulla oblongata + +159 +00:15:06,200 --> 00:15:10,260 +anterolateral surface + +160 +00:15:11,640 --> 00:15:15,500 +فيه بيكون anterior median fissure ال anterior median + +161 +00:15:15,500 --> 00:15:19,360 +fissure راح يقسم ال medulla oblongata ل right side + +162 +00:15:19,360 --> 00:15:24,140 +و left side هاي واحد اثنين pyramids ال pyramids + +163 +00:15:24,140 --> 00:15:28,020 +بيكونون أو بيكونوا إيه؟ اللي هم corticospinal tract + +164 +00:15:28,020 --> 00:15:32,700 +ال fibers المسئول عن الحركة ال fibers المسئول عن إيه + +165 +00:15:32,700 --> 00:15:37,860 +ال motor functions Pyramidal decussation Pyramidal + +166 +00:15:37,860 --> 00:15:44,220 +decussation Pyramidal decussation Pyramidal + +167 +00:15:44,220 --> 00:15:44,760 +decussation Pyramidal decussation Pyramidal + +168 +00:15:44,760 --> 00:15:44,980 +decussation Pyramidal decussation Pyramidal + +169 +00:15:44,980 --> 00:15:48,070 +decussation و ال left من الجهة اليسرى لجهة اليمنى + +170 +00:15:48,070 --> 00:15:51,670 +بيصير decussation أو crossing لإلهم عشان هيك لو + +171 +00:15:51,670 --> 00:15:55,010 +صار جلطة دماغية عند المريض في اليمين الشلل في + +172 +00:15:55,010 --> 00:15:57,930 +الشمال بيكون عنده لو حدث جلطة دماغية في اليسار + +173 +00:15:57,930 --> 00:16:01,470 +الشلل عنده بيكون في جهة اليمنى عشان موضوع ال + +174 +00:16:01,470 --> 00:16:07,070 +crossing اللي بتحدث و في anterior lateral sulcus + +175 +00:16:10,550 --> 00:16:14,550 +و في posterior lateral sulcus right and left في ال + +176 +00:16:14,550 --> 00:16:18,730 +anterior lateral sulcus بيمر إحنا متذكرين لما + +177 +00:16:18,730 --> 00:16:22,190 +شرحنا لكم ال cranial nerves قلنا اثنين اثنين + +178 +00:16:22,190 --> 00:16:26,070 +أربعة أربعة اثنين بيكونوا cerebral hemisphere + +179 +00:16:26,070 --> 00:16:31,170 +و الاثنين بعدهم midbrain و الأربعة بعدهم pons + +180 +00:16:31,170 --> 00:16:36,870 +و الأربعة الآخرين بيكونوا في اللي هو medulla + +181 +00:16:36,870 --> 00:16:43,060 +oblongata ل الأربع الآخرين هم من؟ العصب التاسع + +182 +00:16:43,060 --> 00:16:49,840 +glossopharyngeal, vagus, accessory and hypoglossal + +183 +00:16:49,840 --> 00:16:52,980 +nerve قلنا في ال medulla oblongata أنا هتكلم عن + +184 +00:16:52,980 --> 00:16:57,120 +الأربع أعصاب اللي هم glossopharyngeal nerve, vagus + +185 +00:16:57,120 --> 00:17:01,040 +nerve, accessory and hypoglossal nerve في ال + +186 +00:17:01,040 --> 00:17:04,860 +anterior lateral surface قلنا في anterior lateral + +187 +00:17:04,860 --> 00:17:08,790 +sulcus right and left أو sulci في ال anterolateral + +188 +00:17:08,790 --> 00:17:12,150 +sulcus membrane اللي هو أو بيخرج اللي هو + +189 +00:17:12,150 --> 00:17:16,070 +hypoglossal nerve العصب الثاني عشر في ال posterior + +190 +00:17:16,070 --> 00:17:2 + +201 +00:18:15,530 --> 00:18:19,490 +الصورة كمان الـ Anterior Surface of Medulla + +202 +00:18:19,490 --> 00:18:22,290 +Oblongata في الـ Anterior Surface of Medulla + +203 +00:18:22,290 --> 00:18:27,930 +Oblongata في عن Anterior Median fissure في Anterior + +204 +00:18:27,930 --> 00:18:30,590 +Lateral Sulcus و في Posterior Lateral Sulcus نفس + +205 +00:18:30,590 --> 00:18:33,090 +الشيء Anterior Lateral Sulcus و Posterior Lateral + +206 +00:18:33,090 --> 00:18:37,470 +Sulcus و في ال lower part of Medulla هذه اسمها + +207 +00:18:37,470 --> 00:18:41,230 +Pyramidal Decussation Pyramidal Decussation هذه + +208 +00:18:41,230 --> 00:18:46,420 +Pyramids left right و هنا الأوليف اللي علاقة بالـ + +209 +00:18:46,420 --> 00:18:50,100 +extrapyramidal هان خرج من الـ anterolateral sulcus + +210 +00:18:50,100 --> 00:18:55,220 +اللي هو العصب الثاني عشر اتناش طيب من ال + +211 +00:18:55,220 --> 00:18:59,460 +posterolateral بخرج glossopharyngeal vagus و + +212 +00:18:59,460 --> 00:19:04,300 +accessory nerve اللي هو التاسع و العاشر و الحادي عشر + +213 +00:19:04,300 --> 00:19:07,840 +cranial accessory أدق cranial accessory nerve + +214 +00:19:14,000 --> 00:19:17,020 +الـ posterior surface شرحنا الـ anterior surface + +215 +00:19:17,020 --> 00:19:21,440 +of Medulla Oblongata أتكلم على posterior surface of + +216 +00:19:21,440 --> 00:19:24,640 +Medulla Oblongata هل ال posterior surface of Medulla + +217 +00:19:24,640 --> 00:19:30,400 +Oblongata حاجة اسمه جسمين؟ لأ open Medulla و close + +218 +00:19:30,400 --> 00:19:34,160 +Medulla طب ليش ماعملتش الجسم هذه في ال anterior + +219 +00:19:34,160 --> 00:19:37,780 +surface؟ لأنه مافيش fourth ventricle ومابنقسمش + +220 +00:19:37,780 --> 00:19:41,440 +الميدوالا أبلانجاته لأ open و closed من الأمام، + +221 +00:19:41,440 --> 00:19:45,320 +بنجسم من خلف، من الخلف عند ال fourth ventricle + +222 +00:19:45,320 --> 00:19:49,560 +يبقى the posterior surface of the upper half أو ال + +223 +00:19:49,560 --> 00:19:54,220 +open Medulla في هنا posterior median fissure بتقسم ل + +224 +00:19:54,220 --> 00:19:59,270 +right left hypoglossal triangle اللي بتعطينا الـ + +225 +00:19:59,270 --> 00:20:00,990 +hypoglossal اللي بيكون فيها hypoglossal nuclei أو + +226 +00:20:00,990 --> 00:20:04,270 +بتعطينا hypoglossal nerve Vestibular trigon اللي + +227 +00:20:04,270 --> 00:20:07,030 +بيكون فيها vestibular nuclei بتعطينا vestibular + +228 +00:20:07,030 --> 00:20:12,970 +nerve و في هنا اللي هو vagal trigon اللي بتعطينا + +229 +00:20:12,970 --> 00:20:15,690 +اللي .. اللي بيكون فيها الـ .. النوكليا بتاعة الـ + +230 +00:20:15,690 --> 00:20:21,450 +vagus nerve و بتعطينا vagus nerve طيب في ال lower + +231 +00:20:21,450 --> 00:20:25,900 +half أو في ال closed Medulla في نفس الشيء امتداد + +232 +00:20:25,900 --> 00:20:28,820 +posteromedian fissure اللي بيقسم من يمين لشمال + +233 +00:20:28,820 --> 00:20:34,500 +وبيكون جراسيل تراكت و جراسيل أو قنوات جراسيل أو + +234 +00:20:34,500 --> 00:20:38,520 +بيسمو جراسيل توبيركل و قنوات توبيركل هذول اللي + +235 +00:20:38,520 --> 00:20:42,460 +جراسيل تراكت و قنوات جراسيل أو توبيركل الجراسيل + +236 +00:20:42,460 --> 00:20:46,310 +بيكون medial و مسؤول عن ال lower half of the body + +237 +00:20:46,310 --> 00:20:51,230 +و الكونيت بيكون lateral و مسؤول عن ايه؟ عن ال upper + +238 +00:20:51,230 --> 00:20:54,850 +half of the body بدهم يسلموا الإشارة لمين؟ لجراسيل + +239 +00:20:54,850 --> 00:20:58,970 +وكونيت نوكلياي هدول مسؤولين عن ايه؟ عن ال deep + +240 +00:20:58,970 --> 00:21:02,010 +sensation والـ fine touch يعني لو صار damage + +241 +00:21:02,010 --> 00:21:05,910 +لجراسيل على اليمين بيصير loss of deep sensation + +242 +00:21:05,910 --> 00:21:08,410 +and fine touch على اليمين على نفس الجهة بس في ال + +243 +00:21:08,410 --> 00:21:11,870 +lower half of the body لو صار damage للكنيت بيصير + +244 +00:21:11,870 --> 00:21:14,590 +على نفس الجهة loss of deep sensation and fine + +245 +00:21:14,590 --> 00:21:20,490 +touch بس بيكون على ايه ال upper limb الحاجة + +246 +00:21:20,490 --> 00:21:23,230 +الواضحة دي Medulla oblongata + +247 +00:21:30,480 --> 00:21:37,580 +هنا في الجزء العلوي اللي هو open Medulla وهسوف ليه + +248 +00:21:37,580 --> 00:21:41,880 +closed Medulla في الجزء العلوي واضعنا ال posterior + +249 +00:21:41,880 --> 00:21:49,260 +median fissure بيقسم لليمين و اليسار فيه هنا vegal + +250 +00:21:49,260 --> 00:21:55,740 +trigon للـ vagus nerve في hypoglossal trigon لاللي + +251 +00:21:55,740 --> 00:21:59,880 +هو ال hypoglossal nerve في vestibular trigon هي + +252 +00:21:59,880 --> 00:22:02,780 +بتمتد ال vestibular trigon في جزء منها موجود في + +253 +00:22:02,780 --> 00:22:07,440 +الـ pons وجزء موجود منها وين في الميدوالا أو + +254 +00:22:07,440 --> 00:22:10,900 +بلانجاتا بنزل ال close Medulla نفس الشيء فيها أنا + +255 +00:22:10,900 --> 00:22:15,960 +ايه posterior median fissure في اللي بيكون واضح + +256 +00:22:15,960 --> 00:22:19,920 +اللي هو ال lateral cuneate tract + +257 +00:22:21,800 --> 00:22:25,580 +و الـ Medial بيكون جراسيل تراكت بيسلمونا + +258 +00:22:25,580 --> 00:22:30,360 +لل كونيت tubercle و جراسيل tubercle و داخل الكونيت + +259 +00:22:30,360 --> 00:22:34,080 +tubercle بيكون موجودة الكونيت nucleus وداخل جراسيل + +260 +00:22:34,080 --> 00:22:38,800 +تراكت بيكون جراسيل nucleus و الكونيت more lateral + +261 +00:22:38,800 --> 00:22:42,380 +و جراسيل more medial و مسؤولين عن ال deep + +262 +00:22:42,380 --> 00:22:45,820 +sensation fine touch جراسيل لل lower half of + +263 +00:22:45,820 --> 00:22:49,080 +the body وكونيت لل upper half of the body + +264 +00:22:58,010 --> 00:23:02,510 +آخر جزئية أو آخر موضوع بتتكلم عنه في الجزء الأول + +265 +00:23:02,510 --> 00:23:05,570 +من المحاضرة Internal Structure of Medulla + +266 +00:23:05,570 --> 00:23:09,370 +Oblongata بتخلص الموضوع Medulla Oblongata الـ + +267 +00:23:09,370 --> 00:23:13,550 +internal structure of Medulla Oblongata فيها الـ + +268 +00:23:13,550 --> 00:23:18,410 +nuclei اللي موجودة جراسيل نوكلياس جراسيل نوكلياس + +269 +00:23:18,410 --> 00:23:21,830 +جراسيل نوكلياس بتكون قلنا medial المسئولة عن deep + +270 +00:23:21,830 --> 00:23:25,170 +sensation أو proprioception proprioception هو deep + +271 +00:23:25,170 --> 00:23:29,600 +sensation and fine touch from the lower half of the + +272 +00:23:29,600 --> 00:23:33,980 +body الكونيت نوكلياس بتكون lateral ومسئولة عن ال + +273 +00:23:33,980 --> 00:23:37,000 +proprioception أو deep sensation و find touch + +274 +00:23:37,000 --> 00:23:40,620 +from the upper half of the body في شيء اسمه + +275 +00:23:40,620 --> 00:23:43,340 +inferior olivary nucleus مش ده أهمية كثير اللي + +276 +00:23:43,340 --> 00:23:46,570 +علاقة بال extrapyramidal function في inferior + +277 +00:23:46,570 --> 00:23:49,710 +salivary nucleus راح ناخدها مع اللي هو + +278 +00:23:49,710 --> 00:23:53,350 +glossopharyngeal nerve بتعطينا parasympathetic + +279 +00:23:53,350 --> 00:23:58,110 +fibers ل glossopharyngeal nerve مسؤولة عن parotid + +280 +00:23:58,110 --> 00:24:01,330 +gland for production of saliva + +281 +00:24:03,910 --> 00:24:06,930 +في spinal descending nucleus of trigeminal nerve + +282 +00:24:06,930 --> 00:24:10,910 +هذه النوكلياس اللي علاقة بالعصب الخامس مسؤولة عن ال + +283 +00:24:10,910 --> 00:24:14,990 +pain و ال temperature sensation هي بتمر في ال pons + +284 +00:24:14,990 --> 00:24:18,410 +medulla oblongata و بتمر في ال upper part of + +285 +00:24:18,410 --> 00:24:24,240 +spinal cord من C1 ل C4 و C5 في solitary nucleus + +286 +00:24:24,240 --> 00:24:28,560 +اللي علاقة بال general sensation and taste + +287 +00:24:28,560 --> 00:24:32,940 +sensation للعصب السابع والتاسع والعاشر ل facial + +288 +00:24:32,940 --> 00:24:36,940 +nerve و glossopharyngeal nerve و vagus nerve في + +289 +00:24:36,940 --> 00:24:40,940 +nucleus ambiguus هذي motor nucleus اللي علاقة + +290 +00:24:40,940 --> 00:24:44,800 +بال somatic motor بتغذي ال skeletal muscles بتاعة + +291 +00:24:44,800 --> 00:24:49,480 +العصب اللي هو glossopharyngeal nerve و vagus nerve + +292 +00:24:49,480 --> 00:24:54,040 +و cranial accessory nerve في Dorsal nucleus of vagus + +293 +00:24:54,040 --> 00:24:58,260 +nerve اللي علاقة بال parasympathetic function of + +294 +00:24:58,260 --> 00:25:01,880 +the vagus nerve it is the most important + +295 +00:25:01,880 --> 00:25:06,880 +parasympathetic nucleus in the body و hypoglossal + +296 +00:25:06,880 --> 00:25:10,720 +nucleus اللي علاقة بال hypoglossal nerve which + +297 +00:25:10,720 --> 00:25:16,200 +supply the internal and external muscles of the + +298 +00:25:16,200 --> 00:25:21,730 +tongue تعطي fibers ل hypoglossal nerve و بيكون عندنا + +299 +00:25:21,730 --> 00:25:26,350 +موجودين اللي هم الـ Dorsal Nucleus of Vagus، بيكون + +300 +00:25:26,350 --> 00:25:29,310 +موجودة الـ Ambiguous Nucleus اللي هي Motor Nucleus + +301 +00:25:29,310 --> 00:25:32,870 +و واضح عند هنا اللي هي الـ Nucleus هذه الطويلة، هذه + +302 +00:25:32,870 --> 00:25:36,330 +لها علاقة بيسموها الـ Principal Trigeminal Nucleus + +303 +00:25:36,330 --> 00:25:40,630 +أو اسم ثاني لها Descending Spinal Nucleus of + +304 +00:25:40,630 --> 00:25:43,390 +trigeminal nerve for pain and temperature + +305 +00:25:43,390 --> 00:25:47,210 +sensation بتمرش لاحظ في ال pons في الميدوالا + +306 +00:25:47,210 --> 00:25:52,570 +بلانجاتا وفي ال upper part of spinal cord في + +307 +00:25:52,570 --> 00:25:55,710 +nucleus solitarius أو solitary nucleus for + +308 +00:25:55,710 --> 00:25:59,450 +general sensation and taste sensation بتاعة العصب + +309 +00:25:59,450 --> 00:26:04,950 +اللي هو السابع facial التاسع glossopharyngeal و vagus + +310 +00:26:04,950 --> 00:26:09,140 +nerve العاشر و فيها نوكلياس علاقة بالـ hypoglossal + +311 +00:26:09,140 --> 00:26:15,060 +nerve، نوكلياس media و بتعطينا motor fibers which + +312 +00:26:15,060 --> 00:26:22,180 +supply the internal and external muscles of the + +313 +00:26:22,180 --> 00:26:22,620 +tongue + +314 +00:26:25,540 --> 00:26:28,940 +واضح هنا اللي هو ال corticospinal tract كيف بيعمل + +315 +00:26:28,940 --> 00:26:31,340 +ال crossing، ال left بيروح لل right و ال right + +316 +00:26:31,340 --> 00:26:33,740 +بيروح لل left، هنا بيكون ال crossing لـ fibers، + +317 +00:26:33,740 --> 00:26:37,480 +هذه ال medial lemniscus اللي علاقة بال deep + +318 +00:26:37,480 --> 00:26:43,740 +sensation شرحناها في deep sensation الـ cuneate + +319 +00:26:43,740 --> 00:26:48,480 +nuclei بتكون more lateral و مسؤولة عن ال deep + +320 +00:26:48,480 --> 00:26:51,520 +sensation fine touch of the upper part of the body + +321 +00:26:51,520 --> 00:26:56,420 +جراسيل نكلياس اللي علاقة بال deep sensation و ال + +322 +00:26:56,420 --> 00:27:00,400 +fine touch from the lower part of the body هذي + +323 +00:27:00,400 --> 00:27:06,380 +hypoglossal nucleus هي ال pyramidal fibers بيعملوا + +324 +00:27:06,380 --> 00:27:09,280 +crossing على في ال lower part of Medulla أو + +325 +00:27:09,280 --> 00:27:11,940 +بلانجاتا ال left بيروح لل right و ال right بيروح + +326 +00:27:11,940 --> 00:27:16,160 +لل left و المكان هذا بيسميه بيسميه pyramidal + +327 +00:27:16,160 --> 00:27:20,460 +decussation هاي الجراسيل medial و الكونيت lateral + +328 +00:27:20,460 --> 00:27:29,140 +okay هنا ال olivary nucleus ال nucleus ambiguus و + +329 +00:27:29,140 --> 00:27:34,870 +كذا الآن هان بكفي الآن اتبقى اليه في المحاضرة اللي هي + +330 +00:27:34,870 --> 00:27:37,750 +Anatomy and Physiology of the Pons Anatomy and + +331 +00:27:37,750 --> 00:27:41,770 +Physiology of the Midbrain يعطيكم الف عافية و + +332 +00:27:41,770 --> 00:27:45,090 +دمتم بخير هذا جزء الأول من المحاضرة diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/KC7cRucLKTU_postprocess.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/KC7cRucLKTU_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..372ea7b8b78d322fb8dc2609d25b0d1dd12a6b53 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/KC7cRucLKTU_postprocess.srt @@ -0,0 +1,1328 @@ +1 +00:00:04,980 --> 00:00:08,160 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:08,160 --> 00:00:12,980 +وبركاته اليوم راح أكون معاكم في محاضرة anatomy and + +3 +00:00:12,980 --> 00:00:17,460 +physiology of the brain sim محاضرة الأسبوع الرابع + +4 +00:00:17,460 --> 00:00:19,700 +anatomy and physiology of the brain sim + +5 +00:00:23,700 --> 00:00:27,880 +اخدنا في المحاضرة السابقة اللي هو morphological + +6 +00:00:27,880 --> 00:00:31,680 +subdivisions of the brain و اتكلمنا ان ال brain + +7 +00:00:31,680 --> 00:00:36,140 +contains cerebrum, cerebellum, brainstem و من ضمن + +8 +00:00:36,140 --> 00:00:39,500 +ال cerebrum تحته في ال lower part of the cerebrum + +9 +00:00:39,500 --> 00:00:44,200 +اللي هو ال diencephalonالسر برامجة راحناه و السر + +10 +00:00:44,200 --> 00:00:48,240 +بيلا متكلمنا عنه اللي انا اتكلم عن ال brain stem + +11 +00:00:48,240 --> 00:00:53,260 +اللي هو جدع الدماغ بدون brain stem مش ممكن الإنسان + +12 +00:00:53,260 --> 00:00:58,060 +يعيش لو مات ال brain stem مات الإنسان لأن المراكز + +13 +00:00:58,060 --> 00:01:04,260 +الحيوية موجودة في ال brain stem ال brain stem + +14 +00:01:04,260 --> 00:01:11,920 +located in the posterior cranial fossain front of + +15 +00:01:11,920 --> 00:01:16,200 +the cerebellum and for ventricle يبقى ال brain + +16 +00:01:16,200 --> 00:01:20,760 +stem جدد دماغ موجود في ال posterior cranial fossa + +17 +00:01:20,760 --> 00:01:28,860 +بيكون أمام المخيخ و أمام البطين الرابع the brain + +18 +00:01:28,860 --> 00:01:34,120 +stem formed of the following part بتكون من three + +19 +00:01:34,120 --> 00:01:42,080 +parts بتكون من ثلاث أجزاء لو بدنا من تحتللأعلى أو + +20 +00:01:42,080 --> 00:01:48,480 +من الأسفل للأعلى في عندي medulla oblongata تعمل + +21 +00:01:48,480 --> 00:01:51,960 +continuation with spinal cord بقى هي continuous + +22 +00:01:51,960 --> 00:01:55,260 +with spinal cord بعد medulla oblongata بيجينا + +23 +00:01:55,260 --> 00:02:03,080 +spinal cord Pons جسر between the midbrain and + +24 +00:02:03,080 --> 00:02:08,160 +medulla oblongataو الـ upper part is mid brain + +25 +00:02:08,160 --> 00:02:12,740 +الدماغ الأوسط يبقى ان هو continuous بعد ذلك مع ال + +26 +00:02:12,740 --> 00:02:16,060 +cerebral hemisphere مع ال cerebral hemisphere + +27 +00:02:16,060 --> 00:02:25,020 +relations of brain stem ال brain stem جدول الدماغ + +28 +00:02:25,020 --> 00:02:31,020 +above من أعلىالـ midbrain is continuous with + +29 +00:02:31,020 --> 00:02:34,400 +cerebral hemisphere يبقى ال midbrain فوق + +30 +00:02:34,400 --> 00:02:38,420 +continuous with أيه؟ with cerebral hemisphere + +31 +00:02:38,420 --> 00:02:46,240 +below من تحت ميضالة أبلانجاتا continuous with أيه؟ + +32 +00:02:46,240 --> 00:02:51,820 +with spinal cord يبقى هنا عرفنا above ال midbrain + +33 +00:02:51,820 --> 00:02:56,640 +مع ال cerebral hemisphereبالأسفل ميدالة أوبلانجاتا + +34 +00:02:56,640 --> 00:03:03,880 +تستمر بالـ A مع جسم العصب بستيريوريا من الخلف + +35 +00:03:03,880 --> 00:03:11,960 +ميدالة Pons و ميدالة أعلى ميدالة أوبر ميدالة مقفلة + +36 +00:03:13,250 --> 00:03:18,250 +from cerebellum by fourth ventricle من الخلف فينا + +37 +00:03:18,250 --> 00:03:24,330 +fourth ventricle cavity هذا بيفصل ما بين ال palms + +38 +00:03:24,330 --> 00:03:28,710 +و ال upper medulla او open medulla عن من؟ عن ال + +39 +00:03:28,710 --> 00:03:39,570 +cerebellum من الخلف هي انه واضح Medulla + +40 +00:03:39,570 --> 00:03:40,230 +oblongata + +41 +00:03:43,200 --> 00:03:49,120 +تحت السمير مع مين؟ مع spinal cord هذه ميضالة قبل + +42 +00:03:49,120 --> 00:03:56,260 +ان جتها هنا عندي ايه اللي هو ال bones وبعدين + +43 +00:03:56,260 --> 00:04:01,040 +بيجينا ايه ال midbrain ال midbrain continuous اعلى + +44 +00:04:01,040 --> 00:04:06,700 +مع ال cerebral hemisphere من الخلففي اندي cavity + +45 +00:04:06,700 --> 00:04:12,660 +of fourth ventricle بيعمل separation between the + +46 +00:04:12,660 --> 00:04:18,760 +pons و أبعار الميدالة بيعملهم separation عن مين؟ + +47 +00:04:18,760 --> 00:04:23,180 +عن إيه؟ اللي هو ال cerebellum الcerebellum بيحد ال + +48 +00:04:23,180 --> 00:04:30,820 +fourth ventricle من خلفي واضح + +49 +00:04:30,820 --> 00:04:41,100 +اندي أيوة fourth ventricleبفصل بين الـ Pons و + +50 +00:04:41,100 --> 00:04:48,100 +Upper Medulla عن + +51 +00:04:48,100 --> 00:04:56,020 +الـ Cerebellum okay يبقى هذا ال relations بتاعة + +52 +00:04:56,020 --> 00:05:00,300 +brain stem relation of the brain stem + +53 +00:05:05,740 --> 00:05:10,680 +What's the functions of brainstem؟ اول شيء + +54 +00:05:10,680 --> 00:05:15,000 +cardiovascular center يبقى المركز بتاع التحكم + +55 +00:05:15,000 --> 00:05:19,840 +بالقلب موجود لبراين السم مات لبراين السم مات القلب + +56 +00:05:19,840 --> 00:05:25,720 +مات الإنسان respiratory and calf center ايه علاقة + +57 +00:05:25,720 --> 00:05:33,550 +بمركز التحكم بتنفس و عملية الكحول؟الـ swallowing + +58 +00:05:33,550 --> 00:05:42,390 +and vomiting center عملية البلع و عملية التقيق + +59 +00:05:42,390 --> 00:05:49,790 +sleep center مركز النوم center for eye movement + +60 +00:05:49,790 --> 00:05:57,050 +مركز التحكم بحركة العينين reticular nuclei فى + +61 +00:05:57,050 --> 00:05:59,870 +رتيكولار فورميشن موجودين وين فى ال brain stem + +62 +00:06:01,200 --> 00:06:05,940 +alertness and consciousness اليقظة ودرجة الوعي + +63 +00:06:05,940 --> 00:06:12,040 +مسئول عنها ال brain السم ال vestibular نوكلياي و + +64 +00:06:12,040 --> 00:06:17,290 +ال functions البسترالالـ conduction function بيمر + +65 +00:06:17,290 --> 00:06:22,930 +في ال brain اسم ascending and descending tracks ال + +66 +00:06:22,930 --> 00:06:25,470 +ascending اللي بيربط ال spinal cord مع ال cerebrum + +67 +00:06:25,470 --> 00:06:29,850 +و descending اللي بيربط ال brain مع spinal cord + +68 +00:06:29,850 --> 00:06:35,310 +وأهم شيء كمان موجود في ال brain اسم النكلياية + +69 +00:06:35,310 --> 00:06:45,100 +cranial nerves نكلياية من أيه؟ من العصبCranial + +70 +00:06:45,100 --> 00:06:53,300 +nerve ثلاثة لحد cranial nerve اتناش من ثلاثة + +71 +00:06:53,300 --> 00:07:02,640 +لاتناش ليه لأن cranial nerve nucleus رقم + +72 +00:07:02,640 --> 00:07:07,760 +واحد موجودة في ال timbral loop و رقم اتنين موجودة + +73 +00:07:07,760 --> 00:07:14,900 +في ال occipital loopلكن اللي من ثلاثة لاتناش + +74 +00:07:14,900 --> 00:07:19,360 +موجودين في ال brain stem + +75 +00:07:23,250 --> 00:07:27,410 +and it's important as extrapyramidal function لأن + +76 +00:07:27,410 --> 00:07:30,790 +في ال brain السم موجودة substantia negra + +77 +00:07:30,790 --> 00:07:34,810 +substantia negra تفرز مادة الدوبامين في حال حدث + +78 +00:07:34,810 --> 00:07:38,990 +نقص في إفراز الدوبامين المريض ممكن يكون عنده + +79 +00:07:38,990 --> 00:07:42,750 +Parkinson مرض Parkinson أو مرض الشلال الرعاش + +80 +00:07:45,550 --> 00:07:51,590 +بسترال رفليكس، ايش البسترال رفليكس؟ البسترال مدفنة + +81 +00:07:51,590 --> 00:07:58,270 +كمقاومة عضوية عضوية لجسم المسافة بسبب الضغط، الان + +82 +00:07:58,270 --> 00:08:01,390 +انا واقف، لو ماكان عندي بسترال كان وجهد انا، + +83 +00:08:01,390 --> 00:08:08,510 +ماقدرش اتاجف، لان هي عملية تحكمفي نوعين للبحث عن + +84 +00:08:08,510 --> 00:08:15,670 +reflex static reflex انا الآن في وضع ثبت او جلست + +85 +00:08:15,670 --> 00:08:21,110 +على الكرسى مابميلش مابجعش هذا اسمه static reflex + +86 +00:08:21,110 --> 00:08:26,390 +maintain the balance during rest اثناء الراحة طيب + +87 +00:08:26,390 --> 00:08:31,490 +لو انا اتحركت نسميه static kinetic reflex maintain + +88 +00:08:31,490 --> 00:08:36,520 +the balance during movement انا اتحركتيبقى هنا + +89 +00:08:36,520 --> 00:08:44,180 +اسمه static-kinetic أنا جلست هذا اسمه static + +90 +00:08:44,180 --> 00:08:52,040 +reflex لأنا أبدأ بميدالة أبلانجاتا ميدالة + +91 +00:08:52,040 --> 00:08:58,360 +أبلانجاتا ميدالة أبلانجاتا is the lower part of + +92 +00:08:58,360 --> 00:09:04,930 +brain stem تلاتة صندوق تقريبايقول هي lower part of + +93 +00:09:04,930 --> 00:09:11,070 +brainstem ال relation بتاعتها بيضل أبلنجاتها above + +94 +00:09:11,070 --> 00:09:17,790 +continuous with points من أعلى تتحد مع ال points + +95 +00:09:17,790 --> 00:09:23,470 +أو مرتبطة مع ال pointsbelow من أسفل مرتبطة مع ال + +96 +00:09:23,470 --> 00:09:29,050 +spinal cord تعملنا continuation ل spinal cord تبقى + +97 +00:09:29,050 --> 00:09:34,010 +هي ترتبط مع spinal cord على أي مستوى على مستوى + +98 +00:09:34,010 --> 00:09:39,590 +foramen magnum at the level of foramen magnum خيال + +99 +00:09:39,590 --> 00:09:47,470 +دي طب اهي نفسي ما بمشي الميدال قبل ان جت على + +100 +00:09:47,470 --> 00:09:54,860 +سجد تركتالـ Medulla Oblongata قلنا Below تحت مع + +101 +00:09:54,860 --> 00:10:02,840 +Spinal Cord من أعلى فوق مع الـ Bones هذه هي + +102 +00:10:02,840 --> 00:10:07,080 +Medulla Oblongata الـ Medulla Oblongata بتتكون من + +103 +00:10:07,080 --> 00:10:14,820 +جزئين جزء + +104 +00:10:14,820 --> 00:10:17,140 +علوي بيكون + +105 +00:10:18,500 --> 00:10:25,020 +open فاتح على ال fourth ventricle وجزء سفلي بيكون + +106 +00:10:25,020 --> 00:10:28,660 +closed مالوش علاقة بال fourth ventricle يمكن هذا + +107 +00:10:28,660 --> 00:10:34,100 +بنسميها open مضلة + +108 +00:10:34,100 --> 00:10:42,080 +و هذا بنسميها closed مضلة ال open مضلة بنسميها + +109 +00:10:42,080 --> 00:10:47,960 +upper partجزء العلوي و مدلة مقفلة نسميها lower + +110 +00:10:47,960 --> 00:10:53,440 +part يبقى كمان مرة relation of مدلة أبلانجاته أسفل + +111 +00:10:53,440 --> 00:10:59,200 +تحت spinal cord أعلى bones طب ممكن تضيفوا كمان + +112 +00:10:59,200 --> 00:11:06,260 +حاجة posterior من الخلف من الخلف من الخلف open + +113 +00:11:06,260 --> 00:11:09,720 +مدلة بيحدها ال fourth ventricle بيفصلها عن من؟ عن + +114 +00:11:09,720 --> 00:11:10,480 +ال cerebellum + +115 +00:11:13,310 --> 00:11:19,230 +Okay يبقى عندي lower spinal cord above bones من + +116 +00:11:19,230 --> 00:11:23,330 +الخلف ال cerebellum و ال fourth ventricle بيحد مين + +117 +00:11:23,330 --> 00:11:27,870 +اللي هو ال upper part أو open ميدلة + +118 +00:11:32,670 --> 00:11:37,090 +هذه الميدالة أبلانجاتا بس هذي Anti-review ليش قلنا + +119 +00:11:37,090 --> 00:11:42,170 +Anti-review؟ لأن ال ventricle ال fourth ventricle + +120 +00:11:42,170 --> 00:11:49,030 +مش واضح هنا ال fourth ventricle وين؟ في الخلف هذي + +121 +00:11:49,030 --> 00:11:59,130 +الميدالة أبلانجاتا تحت + +122 +00:11:59,130 --> 00:12:07,360 +spinal cordفوق Pons هذه ميضالة قبلان جدا من الخلف + +123 +00:12:07,360 --> 00:12:13,500 +اللي هو ال cerebellum و ال fourth ventricle بفصلهم + +124 +00:12:13,500 --> 00:12:26,940 +عن اللي هي open ميضالة او ال upper ميضالة نكمل + +125 +00:12:28,350 --> 00:12:31,690 +أجزاء الميدالة أبلانجاته انا شريحتهم شريحتكم إياهم + +126 +00:12:31,690 --> 00:12:36,610 +part of the ميدالة أبلانجاته الميدالة أبلانجاته + +127 +00:12:36,610 --> 00:12:45,210 +إلها جزءين الجزء الأول اسمه closed ميدالة الجزء + +128 +00:12:45,210 --> 00:12:49,990 +الثاني اسمه open ميدالة ممكن أسميهم شيء ثاني؟ ممكن + +129 +00:12:49,990 --> 00:12:56,770 +ال closed ميدالة ممكن أسميهLower مضالة و Open + +130 +00:12:56,770 --> 00:13:01,030 +مضالة ممكن نسميها Upper مضالة ليه سامتها Open + +131 +00:13:01,030 --> 00:13:02,590 +مضالة؟ + +132 +00:13:05,570 --> 00:13:10,130 +opens into the fourth ventricle فتحة بيحدها من + +133 +00:13:10,130 --> 00:13:14,330 +الخلف fourth ventricle لذلك سمناها ايه؟ open + +134 +00:13:14,330 --> 00:13:18,550 +medulla يبقى ال open medulla هي ال upper part او + +135 +00:13:18,550 --> 00:13:21,890 +ال upper half of the medulla أبلان جاتة الجزء + +136 +00:13:21,890 --> 00:13:25,030 +العلوي من المدulla أبلان جاتة سمناها open medulla + +137 +00:13:25,030 --> 00:13:28,690 +لأنها تكون فاتحة على ال fourth ventricle على + +138 +00:13:28,690 --> 00:13:33,510 +البطين الرابع من الخلف ال closed medullaاللي هي + +139 +00:13:33,510 --> 00:13:36,790 +lower half of the medulla أو lower part of the + +140 +00:13:36,790 --> 00:13:40,450 +medulla سموها closed medulla لأنه بيكون داخلها + +141 +00:13:40,450 --> 00:13:46,630 +موجود اللي هو central canal و هي بيكون closed + +142 +00:13:46,630 --> 00:13:51,050 +بالنسبة لل fourth ventricle ما بتكون فاتحة على ال + +143 +00:13:51,050 --> 00:13:53,910 +fourth ventricle لذلك سموها closed medulla + +144 +00:13:55,400 --> 00:14:01,600 +continuous with spinal cord .. central canal يبقى + +145 +00:14:01,600 --> 00:14:05,120 +لو سألكوا سؤال مين اللي بيكون عامل continuous with + +146 +00:14:05,120 --> 00:14:07,700 +spinal cord؟ ال open ميضلة ولا ال closed ميضلة؟ + +147 +00:14:07,700 --> 00:14:10,680 +راح تكون ال closed ميضلة مين اللي موجود في central + +148 +00:14:10,680 --> 00:14:14,140 +spinal canal؟ ال open ميضلة ولا ال closed ميضلة؟ + +149 +00:14:14,140 --> 00:14:15,700 +راح تكون ال closed ميضلة + +150 +00:14:19,710 --> 00:14:22,630 +هذا posterior view هذا posterior view لأن + +151 +00:14:22,630 --> 00:14:29,630 +السيريبيلة في الخلف يقول هي عندي الميدالة + +152 +00:14:29,630 --> 00:14:38,110 +أبلنجاتها إلها جزئين هذا open ميدالة وهذا closed + +153 +00:14:38,110 --> 00:14:42,650 +ميدالة ليه هذا open ميدالة لأنها الفاتحة بتكون + +154 +00:14:42,650 --> 00:14:45,810 +عوين على ال fourth ventricللي هي و ال pons + +155 +00:14:48,840 --> 00:14:52,820 +يبقى الجزء العلوي ال upper part open ال lower part + +156 +00:14:52,820 --> 00:14:58,360 +closed الآن + +157 +00:14:58,360 --> 00:15:03,540 +بنتقل ل external features of ميدالة أو بلانجاتا + +158 +00:15:03,540 --> 00:15:06,200 +external features of ميدالة أو بلانجاتا + +159 +00:15:06,200 --> 00:15:10,260 +anterolateral service + +160 +00:15:11,640 --> 00:15:15,500 +فيه بيكون anterior median fissure الانتيرو ميديان + +161 +00:15:15,500 --> 00:15:19,360 +فشار راح يجسم الميدالة او بلان جهتها ل right side + +162 +00:15:19,360 --> 00:15:24,140 +و left side هاي واحد ثمانى pyramids ال pyramids + +163 +00:15:24,140 --> 00:15:28,020 +بيكونون او بيكونوا ايه اللي هم corticospinal tract + +164 +00:15:28,020 --> 00:15:32,700 +الفايبرز المسئول عن الحركة الفايبرز المسئول عن ايه + +165 +00:15:32,700 --> 00:15:37,860 +ال motor functionsPyramidal Decassation Pyramidal + +166 +00:15:37,860 --> 00:15:44,220 +Decassation Pyramidal Decassation Pyramidal + +167 +00:15:44,220 --> 00:15:44,760 +Decassation Pyramidal Decassation Pyramidal + +168 +00:15:44,760 --> 00:15:44,980 +Decassation Pyramidal Decassation Pyramidal + +169 +00:15:44,980 --> 00:15:48,070 +Decassationوالـ left من الجهة اليسرى لجهة اليمنى + +170 +00:15:48,070 --> 00:15:51,670 +بيصير decassation او crossing لإلهم عشان هيك لو + +171 +00:15:51,670 --> 00:15:55,010 +صار جلطة دماغية عند المريض في اليمين الشلال في + +172 +00:15:55,010 --> 00:15:57,930 +الشمال بيكون عنده لو حدث جلطة دماغية في اليسار + +173 +00:15:57,930 --> 00:16:01,470 +الشلال عنده بيكون في جهة اليمنى عشان موضوع ال + +174 +00:16:01,470 --> 00:16:07,070 +crossing اللي بتحدث وفي anterior lateral sulcus + +175 +00:16:10,550 --> 00:16:14,550 +و في posterior lateral sulcus right and left في ال + +176 +00:16:14,550 --> 00:16:18,730 +anterior lateral sulcus بيمر احنا متذكرين لما + +177 +00:16:18,730 --> 00:16:22,190 +شرحنا لكوا ال cranial nerves قولنا اتنين اتنين + +178 +00:16:22,190 --> 00:16:26,070 +اربعة اربعة اتنين بيكونوا cerebral hemisphere + +179 +00:16:26,070 --> 00:16:31,170 +والاتنين بعدهم midbrain والاربعة بعدهم pons + +180 +00:16:31,170 --> 00:16:36,870 +والاربعة الأخرانين بيكونوا في اللي هو medulla + +181 +00:16:36,870 --> 00:16:43,060 +oblongataلأ الأربع الأخران هم من؟ العصب تاسع + +182 +00:16:43,060 --> 00:16:49,840 +Glossopharyngeal Vagus Accessory and hypoglossal + +183 +00:16:49,840 --> 00:16:52,980 +nerve قلنا في الميدالة قبل ان جيت انا هتكلم عن + +184 +00:16:52,980 --> 00:16:57,120 +الأربع عصاب اللي هم Glossopharyngeal nerve, Vegas + +185 +00:16:57,120 --> 00:17:01,040 +nerve, Accessory and hypoglossal nerve في ال + +186 +00:17:01,040 --> 00:17:04,860 +anterior lateral service قلنا في anterior lateral + +187 +00:17:04,860 --> 00:17:08,790 +sulcus right and left او sulciفي الـ Anterolateral + +188 +00:17:08,790 --> 00:17:12,150 +Salcus Membrane اللي هو أو بخرج اللي هو + +189 +00:17:12,150 --> 00:17:16,070 +Hypoglossal nerve العصب الثاني عشر في ال posterior + +190 +00:17:16,070 --> 00:17:20,110 +lateral right و left بخرج منهم اللي هو إيش + +191 +00:17:20,110 --> 00:17:23,230 +Glossopharyngeal nerve العصب التاسر Vegas nerve + +192 +00:17:23,230 --> 00:17:27,430 +العصب العاشر و Hypoglossal nerve اللي هو العصب + +193 +00:17:27,430 --> 00:17:34,790 +الثاني عشر واضح أن دي الصورة Antirmedian فشهر + +194 +00:17:37,970 --> 00:17:46,970 +واضحان pyramids left right في olive اللي علاقة بال + +195 +00:17:46,970 --> 00:17:51,010 +extra pyramidal nervous system في كمان اللي هو + +196 +00:17:51,010 --> 00:17:53,630 +anterior lateral sulcus + +197 +00:17:56,130 --> 00:18:00,530 +وفي posterior lateral sulcus وفي posterior lateral + +198 +00:18:00,530 --> 00:18:04,050 +sulcus في الـ anterior lateral sulcus بيخرج الـ + +199 +00:18:04,050 --> 00:18:07,390 +hypoglossal nerve من ال posterior lateral sulcus + +200 +00:18:07,390 --> 00:18:15,530 +بيخرج العصب التاسع و العاشر و الحادي عشر واضحا في + +201 +00:18:15,530 --> 00:18:19,490 +الصورة كمانالـ Anterior Service of Medulla + +202 +00:18:19,490 --> 00:18:22,290 +Oblongata في الـ Anterior Service of Medulla + +203 +00:18:22,290 --> 00:18:27,930 +Oblongata في عن Anterior Median فشار في Anterior + +204 +00:18:27,930 --> 00:18:30,590 +Lateral Sulcus و في Posterior Lateral Sulcus نفس + +205 +00:18:30,590 --> 00:18:33,090 +الشيء Anterior Lateral Sulcus و Posterior Lateral + +206 +00:18:33,090 --> 00:18:37,470 +Sulcus و في ال lower part of Medulla هذه اسمها + +207 +00:18:37,470 --> 00:18:41,230 +Pyramidal Decassation Pyramidal Decassation هذه + +208 +00:18:41,230 --> 00:18:46,420 +Pyramids left right و هنا الأوليفاللي علاقة بالـ + +209 +00:18:46,420 --> 00:18:50,100 +extrapyramidal هان خرج من الـ anterolateral sulcus + +210 +00:18:50,100 --> 00:18:55,220 +اللي هو العصب الثاني عشر اتناش طيب من ال + +211 +00:18:55,220 --> 00:18:59,460 +bossyrolateral بخرج glossopharyngeal vagus و + +212 +00:18:59,460 --> 00:19:04,300 +accessory nerve اللي هو التاسع و العاشر و احداشر + +213 +00:19:04,300 --> 00:19:07,840 +cranial accessory ادق cranial accessory nerve + +214 +00:19:14,000 --> 00:19:17,020 +الـ posterior service شرحنا الـ anterior service + +215 +00:19:17,020 --> 00:19:21,440 +of ميدالة أبلانجاته أتكلم على posterior service of + +216 +00:19:21,440 --> 00:19:24,640 +ميدالة أبلانجاته هل ال posterior service of ميدالة + +217 +00:19:24,640 --> 00:19:30,400 +أبلانجاته حاجة اسمه جسمين؟ لأ open ميدالة و close + +218 +00:19:30,400 --> 00:19:34,160 +ميدالة طب ليش ماعملتش الجسم هذه في ال anterior + +219 +00:19:34,160 --> 00:19:37,780 +service؟ لأنه مافيش fourth ventricle ومابنقسمش + +220 +00:19:37,780 --> 00:19:41,440 +الميدالة أبلانجاته لأopen و closed من الأمام، + +221 +00:19:41,440 --> 00:19:45,320 +بنجسم من خلف، من الخلف عند ال fourth، ventricle + +222 +00:19:45,320 --> 00:19:49,560 +يبقى the posterior surface of the upper half أو ال + +223 +00:19:49,560 --> 00:19:54,220 +open ميضالة في هنا posterior median في شهر تقسم ل + +224 +00:19:54,220 --> 00:19:59,270 +right left hypoglossal triangleاللي بتعطينا الـ + +225 +00:19:59,270 --> 00:20:00,990 +hypoglossal اللي بيكون فيها hypoglossal نوكليا أو + +226 +00:20:00,990 --> 00:20:04,270 +بتعطينا hypoglossal nerve Vestibular trigon اللي + +227 +00:20:04,270 --> 00:20:07,030 +بيكون فيها vestibular نوكليا يبتعطينا vestibular + +228 +00:20:07,030 --> 00:20:12,970 +nerve و في C هنا اللي هو vagal trigon اللي بتعطينا + +229 +00:20:12,970 --> 00:20:15,690 +اللي .. اللي بيكون فيها ال .. النوكليا بتاعة ال + +230 +00:20:15,690 --> 00:20:21,450 +vagus nerve و بتعطينا vagus nerve طيب في ال lower + +231 +00:20:21,450 --> 00:20:25,900 +half أو في ال closed middleفي نفس الشيء امتداد + +232 +00:20:25,900 --> 00:20:28,820 +posteromedian fissure اللي بيقسم من يمين لشمال + +233 +00:20:28,820 --> 00:20:34,500 +وبيكون اجراثيل اتراكت و اجراثيل او اقنية اتراكت او + +234 +00:20:34,500 --> 00:20:38,520 +بيسمو اجراثيل توبيركل و اقنية توبيركل هذول اللي + +235 +00:20:38,520 --> 00:20:42,460 +اجراثيل اتراكت و اقنية اتراكت او توبيركل الاجراثيل + +236 +00:20:42,460 --> 00:20:46,310 +بيكون medialومسؤول عن ال lower half of the body + +237 +00:20:46,310 --> 00:20:51,230 +والكونية بيكون lateral ومسؤول عن ايه؟ عن ال upper + +238 +00:20:51,230 --> 00:20:54,850 +half of the body بدهم يسلموا الإشارة لمين؟ لجرسيل + +239 +00:20:54,850 --> 00:20:58,970 +وكونية نوكلياي هدول مسؤولين عن ايه؟ عن ال deep + +240 +00:20:58,970 --> 00:21:02,010 +sensationوالـ fine touch يعني لو صار damage + +241 +00:21:02,010 --> 00:21:05,910 +للجرسيل على اليمين بيصير loss of deep sensation + +242 +00:21:05,910 --> 00:21:08,410 +and fine touch على اليمين على نفس الجهة بس في ال + +243 +00:21:08,410 --> 00:21:11,870 +lower half of the body لو صار damage للكنيت بيصير + +244 +00:21:11,870 --> 00:21:14,590 +على نفس الجهة loss of deep sensation and fine + +245 +00:21:14,590 --> 00:21:20,490 +touch بس بيكون على ايه ال upper limb الحاجة + +246 +00:21:20,490 --> 00:21:23,230 +الواضحة دي ميدالة oblongata + +247 +00:21:30,480 --> 00:21:37,580 +هنا في الجزء العلوي اللي هو open ميضالة و هسوف ليه + +248 +00:21:37,580 --> 00:21:41,880 +closed ميضالة في الجزء العلوي واضعنا ال posterior + +249 +00:21:41,880 --> 00:21:49,260 +median فشهر بيقسم لليمين و اليسار فيه هنا vegal + +250 +00:21:49,260 --> 00:21:55,740 +trygonللـ Vegas nerve في hypoglossal trigon لاللي + +251 +00:21:55,740 --> 00:21:59,880 +هو ال hypoglossal nerve في vestibular trigon هي + +252 +00:21:59,880 --> 00:22:02,780 +بتمتد ال vestibular trigon في جزء منها موجود في + +253 +00:22:02,780 --> 00:22:07,440 +الـ bones وجزء موجود منها وين في الميدالة او + +254 +00:22:07,440 --> 00:22:10,900 +بلانجاتا بنزل ال close ميدالة نفس الشيء فيها انا + +255 +00:22:10,900 --> 00:22:15,960 +ايه posterior median fissure في اللي بيكون واضح + +256 +00:22:15,960 --> 00:22:19,920 +اللي هو ال lateral conate trapped + +257 +00:22:21,800 --> 00:22:25,580 +والـ Medial بيكون إجراث سيل اتراكت بيسلمونا + +258 +00:22:25,580 --> 00:22:30,360 +للكونية tubercle وإجراث سيل tubercle وداخل الكونية + +259 +00:22:30,360 --> 00:22:34,080 +tubercle بيكون موجودة الكونية nucleus وداخل إجراث + +260 +00:22:34,080 --> 00:22:38,800 +سيل بيكون إجراث سيل nucleus والكونية more lateral + +261 +00:22:38,800 --> 00:22:42,380 +وإجراث سيل more medial ومسؤولين عن ال deep + +262 +00:22:42,380 --> 00:22:45,820 +sensation fine touch إجراث سيل لل lower half of + +263 +00:22:45,820 --> 00:22:49,080 +the body وكونية لل upper half of the body + +264 +00:22:58,010 --> 00:23:02,510 +أخر جزئية أو أخر موضوع بتتكلم عنه في الجزء الأول + +265 +00:23:02,510 --> 00:23:05,570 +من المحاضرة Internal Structure of Medulla + +266 +00:23:05,570 --> 00:23:09,370 +Oblongata بتخلص الموضوع Medulla Oblongata ال + +267 +00:23:09,370 --> 00:23:13,550 +internal structure of Medulla Oblongata فيها ال + +268 +00:23:13,550 --> 00:23:18,410 +nuclei اللي موجودة اجرسيل نوكلياس اجرسيل نوكلياس + +269 +00:23:18,410 --> 00:23:21,830 +اجرسيل نوكلياس بتكون قولنا media المسئولة عن deep + +270 +00:23:21,830 --> 00:23:25,170 +sensation او proprioception proprioception هو deep + +271 +00:23:25,170 --> 00:23:29,600 +sensation and fine touchfrom the lower half of the + +272 +00:23:29,600 --> 00:23:33,980 +body الكونية نوكلياس بتكون lateral ومسئولة عن ال + +273 +00:23:33,980 --> 00:23:37,000 +proprioception او deep sensation وي find touch + +274 +00:23:37,000 --> 00:23:40,620 +from the upper half of the body فى شىء اسمه + +275 +00:23:40,620 --> 00:23:43,340 +inferior olivary نوكلياس مش ده اهمية كتير اللى + +276 +00:23:43,340 --> 00:23:46,570 +علاقة بال extrapyramidal functionفي inferior + +277 +00:23:46,570 --> 00:23:49,710 +salivary nucleus راح ناخدها مع اللي هو + +278 +00:23:49,710 --> 00:23:53,350 +glossopharyngeal nerve تعطينا parasympathetic + +279 +00:23:53,350 --> 00:23:58,110 +fibers لglossopharyngeal nerve مسئولة عن parotid + +280 +00:23:58,110 --> 00:24:01,330 +gland for production of saliva + +281 +00:24:03,910 --> 00:24:06,930 +في spinal descending nucleus of trigeminal nerve + +282 +00:24:06,930 --> 00:24:10,910 +هذه النوكياس اللي علاقة بالعصب الخامس مسئولة عن ال + +283 +00:24:10,910 --> 00:24:14,990 +pain و ال temperature sensation هي بتمر في ال pons + +284 +00:24:14,990 --> 00:24:18,410 +medulla oblongata و بتمر في ال upper part of + +285 +00:24:18,410 --> 00:24:24,240 +spinal cord من C1 ل C4 و C5في solitary nucleus + +286 +00:24:24,240 --> 00:24:28,560 +اللي علاقة بال sensation general and taste + +287 +00:24:28,560 --> 00:24:32,940 +sensation للعصب السابع والتاسع والعاشر ل facial + +288 +00:24:32,940 --> 00:24:36,940 +nerve وglossopharyngeal nerve وvegas nerve في + +289 +00:24:36,940 --> 00:24:40,940 +nucleus ambiogas هذي motor nucleus اللي علاقة + +290 +00:24:40,940 --> 00:24:44,800 +بالisomatic motor بتغدى ال skeletal muscles بتاعة + +291 +00:24:44,800 --> 00:24:49,480 +العصب اللي هو glossopharyngeal nerve وvegas nerve + +292 +00:24:49,480 --> 00:24:54,040 +وcranial axillary nerveفي Dorsal nucleus of vagus + +293 +00:24:54,040 --> 00:24:58,260 +nerve اللي علاقة بال parasympathetic function of + +294 +00:24:58,260 --> 00:25:01,880 +the vagus nerve it is the most important + +295 +00:25:01,880 --> 00:25:06,880 +parasympathetic nucleus in the body وhypoglossal + +296 +00:25:06,880 --> 00:25:10,720 +nucleus اللي علاقة بالhypoglossal nerve which + +297 +00:25:10,720 --> 00:25:16,200 +supply the internal and external muscle of the + +298 +00:25:16,200 --> 00:25:21,730 +tongue تعطي fibers للhypoglossal nerveوبيكون عندنا + +299 +00:25:21,730 --> 00:25:26,350 +موجودين اللي هم الـ Dorsal Nucleus أو Vegas، بيكون + +300 +00:25:26,350 --> 00:25:29,310 +موجودة الـ Ambiguous Nucleus اللي هي Motor Nucleus + +301 +00:25:29,310 --> 00:25:32,870 +وواضح عند هنا اللي هي الـ Nucleus هذه الطويلة، هذه + +302 +00:25:32,870 --> 00:25:36,330 +لها علاقة بيسموها الـ Principal Trigeminal Nucleus + +303 +00:25:36,330 --> 00:25:40,630 +أو اسم ثاني لها Descending Spinal Nucleusof + +304 +00:25:40,630 --> 00:25:43,390 +trigeminal nerve for pain and temperature + +305 +00:25:43,390 --> 00:25:47,210 +sensation بتمرش لاحظه في ال bones في الميدلاء + +306 +00:25:47,210 --> 00:25:52,570 +بلانجاتا وفي ال upper part of spinal cord في + +307 +00:25:52,570 --> 00:25:55,710 +nucleus solitaris أو solitary nucleus for + +308 +00:25:55,710 --> 00:25:59,450 +sensation general and taste sensation بتاعة العصب + +309 +00:25:59,450 --> 00:26:04,950 +اللي هو السابق facial تاسع glosopharyngeal وvegas + +310 +00:26:04,950 --> 00:26:09,140 +نيرب العاشرو فيها نوكلياس علاقة بالـ hypoglossal + +311 +00:26:09,140 --> 00:26:15,060 +nerve، نوكلياس ميديا و بتعطينا motor fibers which + +312 +00:26:15,060 --> 00:26:22,180 +supply the internal and external muscle of the + +313 +00:26:22,180 --> 00:26:22,620 +tongue + +314 +00:26:25,540 --> 00:26:28,940 +واضح هنا اللي هو ال corticospinal tract كيف بيعمل + +315 +00:26:28,940 --> 00:26:31,340 +ال crossing، ال left بيروح لل right و ال right + +316 +00:26:31,340 --> 00:26:33,740 +بيروح لل left، هنا بيكون ال crossing لإلهم ال + +317 +00:26:33,740 --> 00:26:37,480 +fibers، هذه ال media المنسكس اللي علاقة بال deep + +318 +00:26:37,480 --> 00:26:43,740 +sensation شرحناها في deep sensationالـ connect + +319 +00:26:43,740 --> 00:26:48,480 +نكلياس بتكون more lateral و مسئولة عن ال deep + +320 +00:26:48,480 --> 00:26:51,520 +sensation fine touch of the upper part of the body + +321 +00:26:51,520 --> 00:26:56,420 +اجرسيل نكلياس اللي علاقة بال deep sensation و ال + +322 +00:26:56,420 --> 00:27:00,400 +fine touch from the lower part of the body هذي + +323 +00:27:00,400 --> 00:27:06,380 +hypoglossal نكلياسهي ال pyramidal fibers بيعملوا + +324 +00:27:06,380 --> 00:27:09,280 +crossing على في ال lower part of ميدالا او + +325 +00:27:09,280 --> 00:27:11,940 +بلانجاتا ال left بيروح لل right و ال right بيروح + +326 +00:27:11,940 --> 00:27:16,160 +لل left و المكان هذا بيسميه بيسميه الهو pyramidal + +327 +00:27:16,160 --> 00:27:20,460 +decassation هاي الجرسيل media الهيكونيت lateral + +328 +00:27:20,460 --> 00:27:29,140 +okay هنا ال olivary nucleus ال nucleus ambigus و + +329 +00:27:29,140 --> 00:27:34,870 +كذالأ هان بكفي الآن اتبقى اليه في المحاضرة اللي هي + +330 +00:27:34,870 --> 00:27:37,750 +Anatomy and Physiology of the Pons Anatomy and + +331 +00:27:37,750 --> 00:27:41,770 +Physiology of the Medibrain يعطيكم الف عافية و + +332 +00:27:41,770 --> 00:27:45,090 +دمتم بخير هذا جزء الأول من المحاضرة + diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/KC7cRucLKTU_raw.json b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/KC7cRucLKTU_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..bbcd3f7f562d99b8d72e2f1e1c6c2603d6968414 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/KC7cRucLKTU_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 1970, "start": 4.98, "end": 19.7, "text": "بسم الله الرحمن الرحيم السلام عليكم ورحمة الله 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52.84, "word": " ممكن", "probability": 0.98876953125}, {"start": 52.84, "end": 53.26, "word": " الإنسان", "probability": 0.890380859375}, {"start": 53.26, "end": 53.76, "word": " يعيش", "probability": 0.9910481770833334}, {"start": 53.76, "end": 54.84, "word": " لو", "probability": 0.92333984375}, {"start": 54.84, "end": 55.1, "word": " مات", "probability": 0.964599609375}, {"start": 55.1, "end": 55.22, "word": " ال", "probability": 0.96630859375}, {"start": 55.22, "end": 55.44, "word": " brain", "probability": 0.97607421875}, {"start": 55.44, "end": 55.82, "word": " stem", "probability": 0.939453125}, {"start": 55.82, "end": 56.16, "word": " مات", "probability": 0.92138671875}, {"start": 56.16, "end": 56.74, "word": " الإنسان", "probability": 0.9920654296875}, {"start": 56.74, "end": 57.28, "word": " لأن", "probability": 0.752685546875}, {"start": 57.28, "end": 58.06, "word": " المراكز", "probability": 0.9429931640625}, {"start": 58.06, "end": 58.72, "word": " الحيوية", "probability": 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93.64, "word": " من", "probability": 0.99609375}, {"start": 93.64, "end": 94.12, "word": " three", "probability": 0.58544921875}, {"start": 94.12, "end": 94.88, "word": " parts", "probability": 0.603515625}, {"start": 94.88, "end": 96.14, "word": " بتكون", "probability": 0.6431884765625}, {"start": 96.14, "end": 96.48, "word": " من", "probability": 0.99365234375}, {"start": 96.48, "end": 96.86, "word": " ثلاث", "probability": 0.9814453125}, {"start": 96.86, "end": 98.18, "word": " أجزاء", "probability": 0.9442138671875}, {"start": 98.18, "end": 98.38, "word": " لو", "probability": 0.91748046875}, {"start": 98.38, "end": 98.7, "word": " بدنا", "probability": 0.5943603515625}, {"start": 98.7, "end": 98.9, "word": " من", "probability": 0.99267578125}, {"start": 98.9, "end": 99.2, "word": " تحت", "probability": 0.9765625}], "temperature": 1.0}, {"id": 5, "seek": 12424, "start": 99.96, "end": 124.24, "text": "للأعلى أو من الأسفل للأعلى في عندي medulla oblongata تعمل continuation with spinal cord بقى هي continuous with spinal cord بعد medulla oblongata بيجينا spinal cord Pons جسر between the midbrain and medulla oblongata", "tokens": [1211, 1211, 10721, 3615, 23942, 34051, 9154, 16247, 3794, 5172, 1211, 24976, 10721, 3615, 23942, 8978, 18871, 16254, 1205, 26891, 1111, 13025, 3274, 6055, 25957, 1211, 29357, 365, 28022, 12250, 4724, 4587, 7578, 39896, 10957, 365, 28022, 12250, 39182, 1205, 26891, 1111, 13025, 3274, 4724, 1829, 7435, 1829, 8315, 28022, 12250, 430, 892, 10874, 3794, 2288, 1296, 264, 2062, 6198, 259, 293, 1205, 26891, 1111, 13025, 3274], "avg_logprob": -0.28561580356429606, "compression_ratio": 1.5808383233532934, "no_speech_prob": 0.0, "words": [{"start": 99.96, "end": 101.02, "word": "للأعلى", "probability": 0.7037353515625}, {"start": 101.02, "end": 102.08, "word": " أو", "probability": 0.60791015625}, {"start": 102.08, "end": 102.2, "word": " من", "probability": 0.98388671875}, {"start": 102.2, "end": 102.56, "word": " الأسفل", "probability": 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"probability": 0.625}, {"start": 111.28, "end": 111.96, "word": " continuous", "probability": 0.84521484375}, {"start": 111.96, "end": 112.42, "word": " with", "probability": 0.91162109375}, {"start": 112.42, "end": 112.98, "word": " spinal", "probability": 0.859375}, {"start": 112.98, "end": 113.4, "word": " cord", "probability": 0.904296875}, {"start": 113.4, "end": 114.0, "word": " بعد", "probability": 0.9130859375}, {"start": 114.0, "end": 114.46, "word": " medulla", "probability": 0.645263671875}, {"start": 114.46, "end": 114.96, "word": " oblongata", "probability": 0.97509765625}, {"start": 114.96, "end": 115.26, "word": " بيجينا", "probability": 0.875}, {"start": 115.26, "end": 115.56, "word": " spinal", "probability": 0.9501953125}, {"start": 115.56, "end": 116.16, "word": " cord", "probability": 0.91259765625}, {"start": 116.16, "end": 118.42, "word": " Pons", "probability": 0.53729248046875}, {"start": 118.42, "end": 119.64, "word": " جسر", "probability": 0.8492838541666666}, {"start": 119.64, "end": 121.6, "word": " between", "probability": 0.7470703125}, {"start": 121.6, "end": 121.88, "word": " the", "probability": 0.8486328125}, {"start": 121.88, "end": 122.64, "word": " midbrain", "probability": 0.6920572916666666}, {"start": 122.64, "end": 123.08, "word": " and", "probability": 0.93310546875}, {"start": 123.08, "end": 123.54, "word": " medulla", "probability": 0.904052734375}, {"start": 123.54, "end": 124.24, "word": " oblongata", "probability": 0.9622395833333334}], "temperature": 1.0}, {"id": 6, "seek": 14744, "start": 125.16, "end": 147.44, "text": "و الـ upper part is mid brain الدماغ الأوسط يبقى ان هو continuous بعد ذلك مع ال cerebral hemisphere مع ال cerebral hemisphere relations of brain stem ال brain stem جدول الدماغ above من أعلى", "tokens": [2407, 2423, 39184, 6597, 644, 307, 2062, 3567, 32748, 2304, 5718, 118, 16247, 41779, 9566, 7251, 3555, 4587, 7578, 16472, 31439, 10957, 39182, 29910, 23275, 20449, 2423, 43561, 38453, 20449, 2423, 43561, 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"word": " يبقى", "probability": 0.9033203125}, {"start": 130.54, "end": 130.66, "word": " ان", "probability": 0.397216796875}, {"start": 130.66, "end": 130.86, "word": " هو", "probability": 0.74267578125}, {"start": 130.86, "end": 131.9, "word": " continuous", "probability": 0.93798828125}, {"start": 131.9, "end": 132.2, "word": " بعد", "probability": 0.837890625}, {"start": 132.2, "end": 132.4, "word": " ذلك", "probability": 0.699951171875}, {"start": 132.4, "end": 132.6, "word": " مع", "probability": 0.9775390625}, {"start": 132.6, "end": 132.74, "word": " ال", "probability": 0.904296875}, {"start": 132.74, "end": 133.06, "word": " cerebral", "probability": 0.55419921875}, {"start": 133.06, "end": 134.42, "word": " hemisphere", "probability": 0.73779296875}, {"start": 134.42, "end": 134.86, "word": " مع", "probability": 0.68017578125}, {"start": 134.86, "end": 135.0, "word": " ال", "probability": 0.90087890625}, {"start": 135.0, "end": 135.26, "word": " cerebral", "probability": 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172.8, "end": 173.24, "word": " hemisphere", "probability": 0.489990234375}], "temperature": 1.0}, {"id": 8, "seek": 19196, "start": 174.3, "end": 191.96, "text": "بالأسفل ميدالة أوبلانجاتا تستمر بالـ A مع جسم العصب بستيريوريا من الخلف ميدالة Pons و ميدالة أعلى ميدالة أوبر ميدالة مقفلة", "tokens": [3555, 6027, 10721, 3794, 5172, 1211, 3714, 25708, 6027, 3660, 34051, 3555, 1211, 7649, 7435, 9307, 995, 6055, 14851, 29973, 20666, 39184, 316, 20449, 10874, 38251, 18863, 9381, 3555, 4724, 14851, 13546, 1829, 13063, 25528, 9154, 33962, 46538, 3714, 25708, 6027, 3660, 430, 892, 4032, 3714, 25708, 6027, 3660, 5551, 3615, 23942, 3714, 25708, 6027, 3660, 34051, 3555, 2288, 3714, 25708, 6027, 3660, 3714, 4587, 5172, 37977], "avg_logprob": -0.7090992419158711, "compression_ratio": 1.6343283582089552, "no_speech_prob": 0.0, "words": [{"start": 174.3, "end": 174.98, "word": "بالأسفل", "probability": 0.6508382161458334}, {"start": 174.98, "end": 175.86, "word": " ميدالة", "probability": 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214.21, "end": 214.41, "word": " انه", "probability": 0.581787109375}, {"start": 214.41, "end": 214.79, "word": " واضح", "probability": 0.9833984375}, {"start": 214.79, "end": 219.57, "word": " Medulla", "probability": 0.595458984375}, {"start": 219.57, "end": 220.23, "word": " oblongata", "probability": 0.8494466145833334}], "temperature": 1.0}, {"id": 10, "seek": 24490, "start": 223.2, "end": 244.9, "text": "تحت السمير مع مين؟ مع spinal cord هذه ميضالة قبل ان جتها هنا عندي ايه اللي هو ال bones وبعدين بيجينا ايه ال midbrain ال midbrain continuous اعلى مع ال cerebral hemisphere من الخلف", "tokens": [2655, 33753, 21136, 2304, 13546, 20449, 3714, 9957, 22807, 20449, 28022, 12250, 29538, 3714, 1829, 11242, 6027, 3660, 12174, 36150, 16472, 10874, 2655, 11296, 34105, 18871, 16254, 1975, 1829, 3224, 13672, 1829, 31439, 2423, 10491, 46599, 22488, 9957, 4724, 1829, 7435, 1829, 8315, 1975, 1829, 3224, 2423, 2062, 6198, 259, 2423, 2062, 6198, 259, 10957, 1975, 3615, 23942, 20449, 2423, 43561, 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274.7, "text": "في اندي cavity of fourth ventricle بيعمل separation between the pons و أبعار الميدالة بيعملهم separation عن مين؟ عن إيه؟ اللي هو ال cerebellum الcerebellum بيحد ال fourth ventricle من خلفي واضح اندي أيوة fourth ventricle", "tokens": [41185, 16472, 16254, 32425, 295, 6409, 6931, 1341, 306, 4724, 1829, 25957, 1211, 14634, 1296, 264, 280, 892, 4032, 5551, 3555, 3615, 9640, 9673, 25708, 6027, 3660, 4724, 1829, 25957, 1211, 16095, 14634, 18871, 3714, 9957, 22807, 18871, 11933, 1829, 3224, 22807, 13672, 1829, 31439, 2423, 11643, 7100, 449, 2423, 15312, 7100, 449, 4724, 1829, 24401, 2423, 6409, 6931, 1341, 306, 9154, 16490, 1211, 41185, 4032, 46958, 5016, 16472, 16254, 36632, 2407, 3660, 6409, 6931, 1341, 306], "avg_logprob": -0.34615385226714307, "compression_ratio": 1.6195652173913044, "no_speech_prob": 0.0, "words": [{"start": 245.72, "end": 245.96, "word": "في", "probability": 0.4423828125}, {"start": 245.96, "end": 246.26, "word": " اندي", "probability": 0.559326171875}, {"start": 246.26, "end": 246.7, "word": " cavity", "probability": 0.74755859375}, {"start": 246.7, "end": 248.0, "word": " of", "probability": 0.904296875}, {"start": 248.0, "end": 248.74, "word": " fourth", "probability": 0.765625}, {"start": 248.74, "end": 249.38, "word": " ventricle", "probability": 0.9482421875}, {"start": 249.38, "end": 250.1, "word": " بيعمل", "probability": 0.8565673828125}, {"start": 250.1, "end": 250.72, "word": " separation", "probability": 0.826171875}, {"start": 250.72, "end": 251.82, "word": " between", "probability": 0.7734375}, {"start": 251.82, "end": 252.66, "word": " the", "probability": 0.6865234375}, {"start": 252.66, "end": 253.34, "word": " pons", "probability": 0.701171875}, {"start": 253.34, "end": 254.2, "word": " و", "probability": 0.434814453125}, {"start": 254.2, "end": 255.68, "word": " أبعار", "probability": 0.50152587890625}, {"start": 255.68, "end": 256.38, "word": " الميدالة", "probability": 0.6993408203125}, {"start": 256.38, "end": 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relation of the brain stem", "tokens": [3555, 5172, 36520, 49374, 2423, 39184, 430, 892, 4032, 36926, 3982, 26891, 18871, 2423, 39184, 383, 323, 7100, 449, 1392, 7251, 3555, 4587, 7578, 23758, 2423, 2299, 39894, 995, 27884, 3567, 12312, 9721, 295, 264, 3567, 12312], "avg_logprob": -0.4218750133326179, "compression_ratio": 1.1875, "no_speech_prob": 0.0, "words": [{"start": 276.26, "end": 276.78, "word": "بفصل", "probability": 0.8624674479166666}, {"start": 276.78, "end": 277.28, "word": " بين", "probability": 0.97412109375}, {"start": 277.28, "end": 279.22, "word": " الـ", "probability": 0.5174560546875}, {"start": 279.22, "end": 279.72, "word": " Pons", "probability": 0.48046875}, {"start": 279.72, "end": 281.1, "word": " و", "probability": 0.85302734375}, {"start": 281.1, "end": 283.76, "word": " Upper", "probability": 0.76220703125}, {"start": 283.76, "end": 284.38, "word": " Medulla", "probability": 0.756103515625}, {"start": 284.38, "end": 288.1, "word": " عن", "probability": 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"في نوعين للبحث عن reflex static reflex انا الآن في وضع ثبت او جلست على الكرسى مابميلش مابجعش هذا اسمه static reflex maintain the balance during rest اثناء الراحة طيب لو انا اتحركت نسميه static kinetic reflex maintain the balance during movement انا اتحركت", "tokens": [41185, 8717, 45367, 9957, 5296, 46152, 5016, 12984, 18871, 23802, 13437, 23802, 1975, 8315, 6024, 48506, 8978, 4032, 11242, 3615, 38637, 3555, 2655, 1975, 2407, 10874, 1211, 14851, 15844, 33251, 2288, 3794, 7578, 3714, 16758, 2304, 26895, 8592, 3714, 16758, 7435, 3615, 8592, 23758, 24525, 2304, 3224, 13437, 23802, 6909, 264, 4772, 1830, 1472, 1975, 12984, 1863, 16606, 34892, 39319, 3660, 23032, 1829, 3555, 45164, 1975, 8315, 1975, 2655, 5016, 31747, 2655, 8717, 38251, 1829, 3224, 13437, 27135, 23802, 6909, 264, 4772, 1830, 3963, 1975, 8315, 1975, 2655, 5016, 31747, 2655], "avg_logprob": -0.17493207137221875, "compression_ratio": 1.7463414634146341, "no_speech_prob": 0.0, "words": [{"start": 485.83, "end": 487.01, "word": 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جلست", "probability": 0.98974609375}, {"start": 519.42, "end": 522.22, "word": " هذا", "probability": 0.7060546875}, {"start": 522.22, "end": 522.96, "word": " اسمه", "probability": 0.9695638020833334}, {"start": 522.96, "end": 524.18, "word": " static", "probability": 0.923828125}, {"start": 524.18, "end": 525.6, "word": " reflex", "probability": 0.5009765625}, {"start": 525.6, "end": 528.08, "word": " لأنا", "probability": 0.6134440104166666}, {"start": 528.08, "end": 528.94, "word": " أبدأ", "probability": 0.7400716145833334}, {"start": 528.94, "end": 530.28, "word": " بميدالة", "probability": 0.680126953125}, {"start": 530.28, "end": 531.06, "word": " أبلانجاتا", "probability": 0.6343470982142857}, {"start": 531.06, "end": 532.04, "word": " ميدالة", "probability": 0.9193115234375}, {"start": 532.04, "end": 532.98, "word": " أبلانجاتا", "probability": 0.9578450520833334}, {"start": 532.98, "end": 534.04, "word": " ميدالة", "probability": 0.8607177734375}, {"start": 534.04, "end": 534.7, "word": " أبلانجاتا", "probability": 0.978271484375}, {"start": 534.7, "end": 535.86, "word": " is", "probability": 0.452392578125}, {"start": 535.86, "end": 536.2, "word": " the", "probability": 0.892578125}, {"start": 536.2, "end": 536.76, "word": " lower", "probability": 0.86474609375}, {"start": 536.76, "end": 537.8, "word": " part", "probability": 0.9443359375}, {"start": 537.8, "end": 538.36, "word": " of", "probability": 0.9814453125}, {"start": 538.36, "end": 539.14, "word": " brain", "probability": 0.5859375}, {"start": 539.14, "end": 539.58, "word": " stem", "probability": 0.61962890625}, {"start": 539.58, "end": 540.78, "word": " تلاتة", "probability": 0.898193359375}, {"start": 540.78, "end": 541.12, "word": " صندوق", "probability": 0.6808268229166666}, {"start": 541.12, "end": 541.64, "word": " تقريبا", "probability": 0.9794921875}], "temperature": 1.0}, {"id": 23, "seek": 55937, "start": 542.39, "end": 559.37, "text": "يقول هي lower part of brainstem ال relation بتاعتها بيضل أبلنجاتها above continuous with points من أعلى تتحد مع ال points أو مرتبطة مع ال points", "tokens": [1829, 39648, 39896, 3126, 644, 295, 3567, 1099, 2423, 9721, 39894, 995, 34268, 11296, 4724, 1829, 11242, 1211, 5551, 36150, 1863, 7435, 9307, 11296, 3673, 10957, 365, 2793, 9154, 5551, 3615, 23942, 6055, 2655, 24401, 20449, 2423, 2793, 34051, 3714, 43500, 3555, 9566, 3660, 20449, 2423, 2793], "avg_logprob": -0.2573242199917634, "compression_ratio": 1.32, "no_speech_prob": 0.0, "words": [{"start": 542.39, "end": 542.69, "word": "يقول", "probability": 0.83154296875}, {"start": 542.69, "end": 542.93, "word": " هي", "probability": 0.25537109375}, {"start": 542.93, "end": 543.73, "word": " lower", "probability": 0.80029296875}, {"start": 543.73, "end": 544.43, "word": " part", "probability": 0.947265625}, {"start": 544.43, "end": 544.93, "word": " of", "probability": 0.98583984375}, {"start": 544.93, "end": 545.77, "word": " brainstem", "probability": 0.533935546875}, {"start": 545.77, "end": 547.43, "word": " ال", "probability": 0.705078125}, {"start": 547.43, "end": 547.77, "word": " relation", "probability": 0.9609375}, {"start": 547.77, "end": 548.79, "word": " بتاعتها", "probability": 0.9921875}, {"start": 548.79, "end": 549.23, "word": " بيضل", "probability": 0.66314697265625}, {"start": 549.23, "end": 550.23, "word": " أبلنجاتها", "probability": 0.6780598958333334}, {"start": 550.23, "end": 551.07, "word": " above", "probability": 0.89111328125}, {"start": 551.07, "end": 552.95, "word": " continuous", "probability": 0.916015625}, {"start": 552.95, "end": 553.37, "word": " with", "probability": 0.91943359375}, {"start": 553.37, "end": 553.93, "word": " points", "probability": 0.307373046875}, {"start": 553.93, "end": 554.57, "word": " من", "probability": 0.59130859375}, {"start": 554.57, "end": 555.61, "word": " أعلى", "probability": 0.9596354166666666}, {"start": 555.61, "end": 557.05, "word": " تتحد", "probability": 0.597900390625}, {"start": 557.05, "end": 557.23, "word": " مع", "probability": 0.984375}, {"start": 557.23, "end": 557.45, "word": " ال", "probability": 0.9443359375}, {"start": 557.45, "end": 557.79, "word": " points", "probability": 0.95703125}, {"start": 557.79, "end": 558.07, "word": " أو", "probability": 0.76806640625}, {"start": 558.07, "end": 558.67, "word": " مرتبطة", "probability": 0.98544921875}, {"start": 558.67, "end": 558.79, "word": " مع", "probability": 0.99365234375}, {"start": 558.79, "end": 558.93, "word": " ال", "probability": 0.98193359375}, {"start": 558.93, "end": 559.37, "word": " points", "probability": 0.974609375}], "temperature": 1.0}, {"id": 24, "seek": 58821, "start": 560.23, "end": 588.21, "text": "below من أسفل مرتبطة مع ال spinal cord تعملنا continuation ل spinal cord تبقى هي ترتبط مع spinal cord على أي مستوى على مستوى foramen magnum at the level of foramen magnum خيال دي طب اهي نفسي ما بمشي الميدال قبل ان جت على سجد تركت", "tokens": [5390, 305, 9154, 5551, 3794, 5172, 1211, 3714, 43500, 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" مع", "probability": 0.91015625}, {"start": 563.33, "end": 563.47, "word": " ال", "probability": 0.7431640625}, {"start": 563.47, "end": 563.95, "word": " spinal", "probability": 0.6015625}, {"start": 563.95, "end": 564.63, "word": " cord", "probability": 0.91259765625}, {"start": 564.63, "end": 565.37, "word": " تعملنا", "probability": 0.827880859375}, {"start": 565.37, "end": 566.27, "word": " continuation", "probability": 0.8818359375}, {"start": 566.27, "end": 567.41, "word": " ل", "probability": 0.86083984375}, {"start": 567.41, "end": 568.13, "word": " spinal", "probability": 0.65966796875}, {"start": 568.13, "end": 568.59, "word": " cord", "probability": 0.93408203125}, {"start": 568.59, "end": 569.05, "word": " تبقى", "probability": 0.5286865234375}, {"start": 569.05, "end": 569.31, "word": " هي", "probability": 0.425537109375}, {"start": 569.31, "end": 570.83, "word": " ترتبط", "probability": 0.891357421875}, {"start": 570.83, "end": 570.95, "word": " مع", "probability": 0.9892578125}, {"start": 570.95, "end": 571.29, "word": " spinal", "probability": 0.5400390625}, {"start": 571.29, "end": 571.67, "word": " cord", "probability": 0.92626953125}, {"start": 571.67, "end": 571.87, "word": " على", "probability": 0.8408203125}, {"start": 571.87, "end": 572.07, "word": " أي", "probability": 0.84912109375}, {"start": 572.07, "end": 572.77, "word": " مستوى", "probability": 0.930419921875}, {"start": 572.77, "end": 573.39, "word": " على", "probability": 0.41455078125}, {"start": 573.39, "end": 574.01, "word": " مستوى", "probability": 0.9375}, {"start": 574.01, "end": 574.47, "word": " foramen", "probability": 0.541015625}, {"start": 574.47, "end": 575.03, "word": " magnum", "probability": 0.783203125}, {"start": 575.03, "end": 575.47, "word": " at", "probability": 0.8095703125}, {"start": 575.47, "end": 575.65, "word": " the", "probability": 0.8828125}, {"start": 575.65, "end": 575.95, "word": " level", "probability": 0.9697265625}, {"start": 575.95, "end": 576.41, "word": " of", "probability": 0.98046875}, {"start": 576.41, "end": 577.17, "word": " foramen", "probability": 0.904296875}, {"start": 577.17, "end": 578.95, "word": " magnum", "probability": 0.95947265625}, {"start": 578.95, "end": 579.59, "word": " خيال", "probability": 0.5642903645833334}, {"start": 579.59, "end": 579.83, "word": " دي", "probability": 0.723876953125}, {"start": 579.83, "end": 581.11, "word": " طب", "probability": 0.56280517578125}, {"start": 581.11, "end": 582.33, "word": " اهي", "probability": 0.3898111979166667}, {"start": 582.33, "end": 582.53, "word": " نفسي", "probability": 0.8538411458333334}, {"start": 582.53, "end": 582.65, "word": " ما", "probability": 0.51513671875}, {"start": 582.65, "end": 582.87, "word": " بمشي", "probability": 0.5849609375}, {"start": 582.87, "end": 583.45, "word": " الميدال", "probability": 0.7914225260416666}, {"start": 583.45, "end": 583.67, "word": " قبل", "probability": 0.6851806640625}, {"start": 583.67, "end": 583.79, "word": " ان", "probability": 0.73974609375}, {"start": 583.79, "end": 583.99, "word": " جت", "probability": 0.55682373046875}, {"start": 583.99, "end": 587.47, "word": " على", "probability": 0.26904296875}, {"start": 587.47, "end": 587.79, "word": " سجد", "probability": 0.8050130208333334}, {"start": 587.79, "end": 588.21, "word": " تركت", "probability": 0.7184244791666666}], "temperature": 1.0}, {"id": 25, "seek": 61714, "start": 589.0, "end": 617.14, "text": "الـ Medulla Oblongata قلنا Below تحت مع Spinal Cord من أعلى فوق مع الـ Bones هذه هي Medulla Oblongata الـ Medulla Oblongata بتتكون من جزئين جزء علوي بيكون", "tokens": [6027, 39184, 3982, 26891, 4075, 13025, 3274, 12174, 1211, 8315, 36261, 6055, 33753, 20449, 1738, 2071, 40267, 9154, 5551, 3615, 23942, 6156, 30543, 20449, 2423, 39184, 363, 2213, 29538, 39896, 3982, 26891, 4075, 13025, 3274, 2423, 39184, 3982, 26891, 4075, 13025, 3274, 39894, 2655, 30544, 9154, 10874, 11622, 19986, 9957, 10874, 11622, 38207, 11203, 45865, 4724, 1829, 30544], "avg_logprob": -0.2510593230441465, "compression_ratio": 1.429530201342282, "no_speech_prob": 0.0, "words": [{"start": 589.0, "end": 589.24, "word": "الـ", "probability": 0.603515625}, {"start": 589.24, "end": 589.48, "word": " Medulla", "probability": 0.768310546875}, {"start": 589.48, "end": 590.08, "word": " Oblongata", "probability": 0.8308919270833334}, {"start": 590.08, "end": 590.66, "word": " قلنا", "probability": 0.7980143229166666}, {"start": 590.66, "end": 592.26, "word": " Below", "probability": 0.10101318359375}, {"start": 592.26, "end": 593.6, "word": " تحت", "probability": 0.7059326171875}, {"start": 593.6, "end": 594.86, "word": " مع", "probability": 0.923828125}, {"start": 594.86, "end": 595.36, "word": " Spinal", "probability": 0.748046875}, {"start": 595.36, "end": 595.84, "word": " Cord", "probability": 0.74560546875}, {"start": 595.84, "end": 597.74, "word": " من", "probability": 0.91650390625}, {"start": 597.74, "end": 598.12, "word": " أعلى", "probability": 0.9396158854166666}, {"start": 598.12, "end": 598.7, "word": " فوق", "probability": 0.92822265625}, {"start": 598.7, "end": 599.9, "word": " مع", "probability": 0.97412109375}, {"start": 599.9, "end": 600.08, "word": " الـ", "probability": 0.4755859375}, {"start": 600.08, "end": 600.48, "word": " Bones", "probability": 0.6485595703125}, {"start": 600.48, "end": 602.12, "word": " هذه", "probability": 0.89013671875}, {"start": 602.12, "end": 602.84, "word": " هي", "probability": 0.92529296875}, {"start": 602.84, "end": 603.68, "word": " Medulla", "probability": 0.93017578125}, {"start": 603.68, "end": 604.42, "word": " Oblongata", "probability": 0.990234375}, {"start": 604.42, "end": 605.78, "word": " الـ", "probability": 0.33929443359375}, {"start": 605.78, "end": 606.04, "word": " Medulla", "probability": 0.95947265625}, {"start": 606.04, "end": 606.48, "word": " Oblongata", "probability": 0.9905598958333334}, {"start": 606.48, "end": 606.86, "word": " بتتكون", "probability": 0.8566080729166666}, {"start": 606.86, "end": 607.08, "word": " من", "probability": 0.9912109375}, {"start": 607.08, "end": 607.6, "word": " جزئين", "probability": 0.8990478515625}, {"start": 607.6, "end": 614.82, "word": " جزء", "probability": 0.9676106770833334}, {"start": 614.82, "end": 615.3, "word": " علوي", "probability": 0.843505859375}, {"start": 615.3, "end": 617.14, "word": " بيكون", "probability": 0.9425455729166666}], "temperature": 1.0}, {"id": 26, "seek": 64326, "start": 618.5, "end": 643.26, "text": "open فاتح على ال fourth ventricle وجزء سفلي بيكون closed مالوش علاقة بال fourth ventricle يمكن هذا بنسميها open مضلة و هذا بنسميها closed مضلة ال open مضلة بنسميها upper part", "tokens": [15752, 6156, 9307, 5016, 15844, 2423, 6409, 6931, 1341, 306, 49610, 11622, 38207, 8608, 5172, 20292, 4724, 1829, 30544, 5395, 3714, 6027, 2407, 8592, 11203, 995, 28671, 20666, 6409, 6931, 1341, 306, 7251, 43020, 23758, 44945, 38251, 1829, 11296, 1269, 3714, 11242, 37977, 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{"start": 625.02, "end": 625.8, "word": " closed", "probability": 0.8232421875}, {"start": 625.8, "end": 626.22, "word": " مالوش", "probability": 0.659912109375}, {"start": 626.22, "end": 626.54, "word": " علاقة", "probability": 0.9747721354166666}, {"start": 626.54, "end": 626.8, "word": " بال", "probability": 0.9638671875}, {"start": 626.8, "end": 627.16, "word": " fourth", "probability": 0.681640625}, {"start": 627.16, "end": 627.92, "word": " ventricle", "probability": 0.9537760416666666}, {"start": 627.92, "end": 628.46, "word": " يمكن", "probability": 0.48046875}, {"start": 628.46, "end": 628.66, "word": " هذا", "probability": 0.865234375}, {"start": 628.66, "end": 629.48, "word": " بنسميها", "probability": 0.921630859375}, {"start": 629.48, "end": 630.9, "word": " open", "probability": 0.84423828125}, {"start": 630.9, "end": 634.1, "word": " مضلة", "probability": 0.6599934895833334}, {"start": 634.1, "end": 635.68, "word": " و", "probability": 0.71826171875}, {"start": 635.68, "end": 635.82, "word": " هذا", "probability": 0.626953125}, {"start": 635.82, "end": 636.36, "word": " بنسميها", "probability": 0.9329833984375}, {"start": 636.36, "end": 637.44, "word": " closed", "probability": 0.89892578125}, {"start": 637.44, "end": 639.68, "word": " مضلة", "probability": 0.9889322916666666}, {"start": 639.68, "end": 640.76, "word": " ال", "probability": 0.89501953125}, {"start": 640.76, "end": 640.98, "word": " open", "probability": 0.958984375}, {"start": 640.98, "end": 641.42, "word": " مضلة", "probability": 0.9801432291666666}, {"start": 641.42, "end": 642.08, "word": " بنسميها", "probability": 0.96337890625}, {"start": 642.08, "end": 642.56, "word": " upper", "probability": 0.84033203125}, {"start": 642.56, "end": 643.26, "word": " part", "probability": 0.94677734375}], "temperature": 1.0}, {"id": 27, "seek": 67048, "start": 643.86, "end": 670.48, "text": "جزء العلوي و مدلة مقفلة نسميها lower part يبقى كمان مرة relation of مدلة أبلانجاته أسفل تحت spinal cord أعلى bones طب ممكن تضيفوا كمان حاجة posterior من الخلف من الخلف من الخلف open مدلة بيحدها ال fourth ventricle بيفصلها عن من؟ عن ال cerebellum", "tokens": [7435, 11622, 38207, 18863, 1211, 45865, 4032, 3714, 3215, 37977, 3714, 4587, 5172, 37977, 8717, 38251, 1829, 11296, 3126, 644, 7251, 3555, 4587, 7578, 9122, 2304, 7649, 3714, 25720, 9721, 295, 3714, 3215, 37977, 5551, 3555, 1211, 7649, 7435, 9307, 3224, 5551, 3794, 5172, 1211, 6055, 33753, 28022, 12250, 5551, 3615, 23942, 10491, 23032, 3555, 3714, 43020, 6055, 11242, 33911, 14407, 9122, 2304, 7649, 11331, 26108, 3660, 33529, 9154, 33962, 46538, 9154, 33962, 46538, 9154, 33962, 46538, 1269, 3714, 3215, 37977, 4724, 1829, 24401, 11296, 2423, 6409, 6931, 1341, 306, 4724, 33911, 36520, 11296, 18871, 9154, 22807, 18871, 2423, 11643, 7100, 449], "avg_logprob": -0.29475120201851557, "compression_ratio": 1.6051502145922747, "no_speech_prob": 0.0, "words": [{"start": 643.86, "end": 644.22, "word": "جزء", "probability": 0.5813802083333334}, 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0.79296875}, {"start": 667.54, "end": 668.1, "word": " ventricle", "probability": 0.927734375}, {"start": 668.1, "end": 668.56, "word": " بيفصلها", "probability": 0.86865234375}, {"start": 668.56, "end": 668.76, "word": " عن", "probability": 0.9658203125}, {"start": 668.76, "end": 669.34, "word": " من؟", "probability": 0.65283203125}, {"start": 669.34, "end": 669.72, "word": " عن", "probability": 0.8642578125}, {"start": 669.72, "end": 669.88, "word": " ال", "probability": 0.372802734375}, {"start": 669.88, "end": 670.48, "word": " cerebellum", "probability": 0.8561197916666666}], "temperature": 1.0}, {"id": 28, "seek": 68787, "start": 673.31, "end": 687.87, "text": "Okay يبقى عندي lower spinal cord above bones من الخلف ال cerebellum و ال fourth ventricle بيحد مين اللي هو ال upper part أو open ميدلة", "tokens": [8297, 7251, 3555, 4587, 7578, 18871, 16254, 3126, 28022, 12250, 3673, 10491, 9154, 33962, 46538, 2423, 11643, 7100, 449, 4032, 2423, 6409, 6931, 1341, 306, 4724, 1829, 5016, 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{"start": 684.97, "end": 685.81, "word": " part", "probability": 0.96533203125}, {"start": 685.81, "end": 686.17, "word": " أو", "probability": 0.6337890625}, {"start": 686.17, "end": 687.17, "word": " open", "probability": 0.72265625}, {"start": 687.17, "end": 687.87, "word": " ميدلة", "probability": 0.6602376302083334}], "temperature": 1.0}, {"id": 29, "seek": 72061, "start": 692.67, "end": 720.61, "text": "هذه الميدالة أبلانجاتا بس هذي Anti-review ليش قلنا Anti-review؟ لأن ال ventricle ال fourth ventricle مش واضح هنا ال fourth ventricle وين؟ في الخلف هذي الميدالة أبلانجاتا تحت spinal cord", "tokens": [3224, 24192, 9673, 25708, 6027, 3660, 5551, 3555, 1211, 7649, 7435, 9307, 995, 4724, 3794, 8032, 8848, 1829, 27757, 12, 265, 1759, 32239, 8592, 12174, 1211, 8315, 27757, 12, 265, 1759, 22807, 5296, 33456, 2423, 6931, 1341, 306, 2423, 6409, 6931, 1341, 306, 37893, 4032, 46958, 5016, 34105, 2423, 6409, 6931, 1341, 306, 4032, 9957, 22807, 8978, 33962, 46538, 8032, 8848, 1829, 9673, 25708, 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"probability": 0.62744140625}, {"start": 697.27, "end": 698.01, "word": "-review؟", "probability": 0.8057861328125}, {"start": 698.01, "end": 698.25, "word": " لأن", "probability": 0.826416015625}, {"start": 698.25, "end": 698.79, "word": " ال", "probability": 0.626953125}, {"start": 698.79, "end": 701.03, "word": " ventricle", "probability": 0.6304931640625}, {"start": 701.03, "end": 701.15, "word": " ال", "probability": 0.39990234375}, {"start": 701.15, "end": 701.45, "word": " fourth", "probability": 0.541015625}, {"start": 701.45, "end": 702.17, "word": " ventricle", "probability": 0.9287109375}, {"start": 702.17, "end": 702.53, "word": " مش", "probability": 0.73974609375}, {"start": 702.53, "end": 702.93, "word": " واضح", "probability": 0.9803059895833334}, {"start": 702.93, "end": 703.25, "word": " هنا", "probability": 0.91357421875}, {"start": 703.25, "end": 703.67, "word": " ال", "probability": 0.74951171875}, {"start": 703.67, "end": 703.87, "word": " fourth", "probability": 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ال fourth ventricle بفصلهم عن اللي هي open ميضالة او ال upper ميضالة نكمل", "tokens": [5172, 30543, 430, 892, 29538, 3714, 1829, 11242, 6027, 3660, 12174, 36150, 7649, 10874, 28259, 9154, 33962, 46538, 13672, 1829, 31439, 2423, 11643, 7100, 449, 4032, 2423, 6409, 6931, 1341, 306, 4724, 5172, 36520, 16095, 18871, 13672, 1829, 39896, 1269, 3714, 1829, 11242, 6027, 3660, 1975, 2407, 2423, 6597, 3714, 1829, 11242, 6027, 3660, 8717, 24793, 1211], "avg_logprob": -0.2909482789450678, "compression_ratio": 1.4344827586206896, "no_speech_prob": 0.0, "words": [{"start": 721.74, "end": 722.32, "word": "فوق", "probability": 0.7113037109375}, {"start": 722.32, "end": 723.52, "word": " Pons", "probability": 0.3321533203125}, {"start": 723.52, "end": 725.2, "word": " هذه", "probability": 0.2822265625}, {"start": 725.2, "end": 725.56, "word": " ميضالة", "probability": 0.696533203125}, {"start": 725.56, "end": 725.9, "word": " قبلان", "probability": 0.6873372395833334}, {"start": 725.9, "end": 726.16, 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أسميهم شيء ثاني؟ ممكن ال closed ميدالة ممكن أسميه", "tokens": [10721, 7435, 11622, 16606, 9673, 25708, 6027, 3660, 5551, 36150, 7649, 7435, 9307, 3224, 1975, 8315, 13412, 16572, 33753, 16095, 13412, 16572, 33753, 24793, 11933, 25528, 16095, 644, 295, 264, 3714, 25708, 6027, 3660, 5551, 36150, 7649, 7435, 9307, 3224, 9673, 25708, 6027, 3660, 5551, 36150, 7649, 7435, 9307, 3224, 11933, 1211, 11296, 10874, 11622, 38207, 9957, 25724, 11622, 38207, 16247, 12610, 24525, 2304, 3224, 5395, 3714, 25708, 6027, 3660, 25724, 11622, 38207, 6024, 104, 7649, 1829, 24525, 2304, 3224, 1269, 3714, 25708, 6027, 3660, 3714, 43020, 5551, 38251, 1829, 16095, 44049, 38207, 38637, 7649, 1829, 22807, 3714, 43020, 2423, 5395, 3714, 25708, 6027, 3660, 3714, 43020, 5551, 38251, 1829, 3224], "avg_logprob": -0.1921037890549217, "compression_ratio": 2.3353293413173652, "no_speech_prob": 0.0, "words": [{"start": 748.35, "end": 748.87, "word": "أجزاء", "probability": 0.95556640625}, {"start": 748.87, "end": 749.23, 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" Vegas", "probability": 0.446533203125}, {"start": 1017.12, "end": 1017.64, "word": " nerve,", "probability": 0.90869140625}, {"start": 1017.84, "end": 1018.28, "word": " Accessory", "probability": 0.825439453125}, {"start": 1018.28, "end": 1018.6, "word": " and", "probability": 0.8583984375}, {"start": 1018.6, "end": 1019.32, "word": " hypoglossal", "probability": 0.94326171875}, {"start": 1019.32, "end": 1019.7, "word": " nerve", "probability": 0.93408203125}, {"start": 1019.7, "end": 1020.92, "word": " في", "probability": 0.55224609375}, {"start": 1020.92, "end": 1021.04, "word": " ال", "probability": 0.92529296875}, {"start": 1021.04, "end": 1022.32, "word": " anterior", "probability": 0.08892822265625}, {"start": 1022.32, "end": 1022.8, "word": " lateral", "probability": 0.66552734375}, {"start": 1022.8, "end": 1023.36, "word": " service", "probability": 0.45068359375}, {"start": 1023.36, "end": 1023.6, "word": " قلنا", "probability": 0.92431640625}, {"start": 1023.6, "end": 1023.76, "word": " في", "probability": 0.66162109375}, {"start": 1023.76, "end": 1024.36, "word": " anterior", "probability": 0.66064453125}, {"start": 1024.36, "end": 1024.86, "word": " lateral", "probability": 0.91748046875}, {"start": 1024.86, "end": 1025.28, "word": " sulcus", "probability": 0.783203125}, {"start": 1025.28, "end": 1025.56, "word": " right", "probability": 0.744140625}, {"start": 1025.56, "end": 1025.78, "word": " and", "probability": 0.958984375}, {"start": 1025.78, "end": 1026.06, "word": " left", "probability": 0.955078125}, {"start": 1026.06, "end": 1026.34, "word": " او", "probability": 0.707275390625}, {"start": 1026.34, "end": 1026.76, "word": " sulci", "probability": 0.2169189453125}], "temperature": 1.0}, {"id": 43, "seek": 105479, "start": 1027.79, "end": 1054.79, "text": "في الـ Anterolateral Salcus Membrane اللي هو أو بخرج اللي هو Hypoglossal nerve العصب الثاني عشر في ال posterior lateral right و left بخرج منهم اللي هو إيش Glossopharyngeal nerve العصب التاسر Vegas nerve العصب العاشر و Hypoglossal nerve اللي هو العصب الثاني عشر واضح أن دي الصورة Antirmedian فشهر", "tokens": [41185, 2423, 39184, 1107, 391, 401, 17274, 5996, 1149, 8731, 1443, 1929, 13672, 1829, 31439, 34051, 4724, 34740, 7435, 13672, 1829, 31439, 5701, 79, 664, 75, 772, 304, 16355, 18863, 9381, 3555, 6024, 104, 7649, 1829, 6225, 46309, 8978, 2423, 33529, 25128, 558, 4032, 1411, 4724, 34740, 7435, 9154, 16095, 13672, 1829, 31439, 11933, 1829, 8592, 5209, 772, 5317, 39008, 432, 304, 16355, 18863, 9381, 3555, 16712, 32277, 2288, 15841, 16355, 18863, 9381, 3555, 18863, 33599, 2288, 4032, 5701, 79, 664, 75, 772, 304, 16355, 13672, 1829, 31439, 18863, 9381, 3555, 6024, 104, 7649, 1829, 6225, 46309, 4032, 46958, 5016, 14739, 11778, 1829, 31767, 13063, 3660, 5130, 347, 1912, 952, 6156, 8592, 3224, 2288], "avg_logprob": -0.33288043530090994, "compression_ratio": 1.8609865470852018, "no_speech_prob": 0.0, "words": [{"start": 1027.79, "end": 1027.99, "word": "في", "probability": 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"word": " منهم", "probability": 0.956298828125}, {"start": 1039.33, "end": 1039.49, "word": " اللي", "probability": 0.98486328125}, {"start": 1039.49, "end": 1039.69, "word": " هو", "probability": 0.98486328125}, {"start": 1039.69, "end": 1040.11, "word": " إيش", "probability": 0.7039388020833334}, {"start": 1040.11, "end": 1041.35, "word": " Glossopharyngeal", "probability": 0.8109944661458334}, {"start": 1041.35, "end": 1041.55, "word": " nerve", "probability": 0.92529296875}, {"start": 1041.55, "end": 1041.91, "word": " العصب", "probability": 0.9715169270833334}, {"start": 1041.91, "end": 1042.45, "word": " التاسر", "probability": 0.955078125}, {"start": 1042.45, "end": 1042.79, "word": " Vegas", "probability": 0.44140625}, {"start": 1042.79, "end": 1043.23, "word": " nerve", "probability": 0.88232421875}, {"start": 1043.23, "end": 1043.57, "word": " العصب", "probability": 0.99267578125}, {"start": 1043.57, "end": 1044.17, "word": " العاشر", "probability": 0.76513671875}, {"start": 1044.17, "end": 1044.63, "word": " و", "probability": 0.81591796875}, {"start": 1044.63, "end": 1045.49, "word": " Hypoglossal", "probability": 0.8352864583333334}, {"start": 1045.49, "end": 1045.83, "word": " nerve", "probability": 0.89111328125}, {"start": 1045.83, "end": 1046.35, "word": " اللي", "probability": 0.97607421875}, {"start": 1046.35, "end": 1046.61, "word": " هو", "probability": 0.98876953125}, {"start": 1046.61, "end": 1047.43, "word": " العصب", "probability": 0.99267578125}, {"start": 1047.43, "end": 1047.89, "word": " الثاني", "probability": 0.9754638671875}, {"start": 1047.89, "end": 1048.29, "word": " عشر", "probability": 0.98779296875}, {"start": 1048.29, "end": 1050.13, "word": " واضح", "probability": 0.8098958333333334}, {"start": 1050.13, "end": 1050.27, "word": " أن", "probability": 0.2025146484375}, {"start": 1050.27, "end": 1050.93, "word": " دي", "probability": 0.77392578125}, {"start": 1050.93, "end": 1052.55, "word": " الصورة", "probability": 0.9475911458333334}, {"start": 1052.55, "end": 1054.39, "word": " Antirmedian", "probability": 0.42364501953125}, {"start": 1054.39, "end": 1054.79, "word": " فشهر", "probability": 0.7691650390625}], "temperature": 1.0}, {"id": 44, "seek": 107363, "start": 1057.97, "end": 1073.63, "text": "واضحان pyramids left right في olive اللي علاقة بال extra pyramidal nervous system في كمان اللي هو anterior lateral sulcus", "tokens": [2407, 46958, 5016, 7649, 20543, 3742, 1411, 558, 8978, 15981, 13672, 1829, 11203, 995, 28671, 20666, 2857, 20543, 22151, 6296, 1185, 8978, 9122, 2304, 7649, 13672, 1829, 31439, 22272, 25128, 17603, 1149], "avg_logprob": -0.3016098484848485, "compression_ratio": 1.2142857142857142, "no_speech_prob": 0.0, "words": [{"start": 1057.97, "end": 1059.03, "word": "واضحان", "probability": 0.915771484375}, {"start": 1059.03, "end": 1060.09, "word": " pyramids", "probability": 0.7197265625}, {"start": 1060.09, "end": 1062.43, "word": " left", "probability": 0.426025390625}, {"start": 1062.43, "end": 1062.87, "word": " right", "probability": 0.432861328125}, {"start": 1062.87, "end": 1063.83, "word": " في", "probability": 0.2176513671875}, {"start": 1063.83, "end": 1064.91, "word": " olive", "probability": 0.3916015625}, {"start": 1064.91, "end": 1066.49, "word": " اللي", "probability": 0.5491943359375}, {"start": 1066.49, "end": 1066.81, "word": " علاقة", "probability": 0.92626953125}, {"start": 1066.81, "end": 1066.97, "word": " بال", "probability": 0.95458984375}, {"start": 1066.97, "end": 1067.23, "word": " extra", "probability": 0.50537109375}, {"start": 1067.23, "end": 1067.75, "word": " pyramidal", "probability": 0.82568359375}, {"start": 1067.75, "end": 1068.09, "word": " nervous", "probability": 0.87646484375}, {"start": 1068.09, "end": 1068.59, "word": " system", "probability": 0.96923828125}, {"start": 1068.59, "end": 1069.93, "word": " في", "probability": 0.7373046875}, {"start": 1069.93, "end": 1070.39, "word": " كمان", "probability": 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34740, 7435, 18863, 9381, 3555, 16712, 32277, 3615, 4032, 18863, 33599, 2288, 4032, 21542, 995, 16254, 6225, 46309, 4032, 46958, 5016, 995, 8978, 31767, 13063, 3660, 9122, 2304, 7649], "avg_logprob": -0.2633605124293894, "compression_ratio": 1.9054054054054055, "no_speech_prob": 0.0, "words": [{"start": 1076.13, "end": 1076.57, "word": "وفي", "probability": 0.429931640625}, {"start": 1076.57, "end": 1077.53, "word": " posterior", "probability": 0.419921875}, {"start": 1077.53, "end": 1078.25, "word": " lateral", "probability": 0.86279296875}, {"start": 1078.25, "end": 1078.77, "word": " sulcus", "probability": 0.898193359375}, {"start": 1078.77, "end": 1079.51, "word": " وفي", "probability": 0.68505859375}, {"start": 1079.51, "end": 1080.03, "word": " posterior", "probability": 0.8642578125}, {"start": 1080.03, "end": 1080.53, "word": " lateral", "probability": 0.92626953125}, {"start": 1080.53, "end": 1081.01, "word": " sulcus", "probability": 0.9873046875}, {"start": 1081.01, "end": 1081.47, "word": " في", "probability": 0.6708984375}, {"start": 1081.47, "end": 1081.67, "word": " الـ", "probability": 0.507568359375}, {"start": 1081.67, "end": 1082.01, "word": " anterior", "probability": 0.317138671875}, {"start": 1082.01, "end": 1082.39, "word": " lateral", "probability": 0.93701171875}, {"start": 1082.39, "end": 1082.79, "word": " sulcus", "probability": 0.984130859375}, {"start": 1082.79, "end": 1083.33, "word": " بيخرج", "probability": 0.75616455078125}, {"start": 1083.33, "end": 1084.05, "word": " الـ", "probability": 0.5439453125}, {"start": 1084.05, "end": 1085.31, "word": " hypoglossal", "probability": 0.87255859375}, {"start": 1085.31, "end": 1085.59, "word": " nerve", "probability": 0.95166015625}, {"start": 1085.59, "end": 1086.09, "word": " من", "probability": 0.8115234375}, {"start": 1086.09, "end": 1086.23, "word": " ال", "probability": 0.88232421875}, {"start": 1086.23, "end": 1086.59, "word": " posterior", "probability": 0.471435546875}, {"start": 1086.59, "end": 1086.99, "word": " lateral", "probability": 0.96044921875}, {"start": 1086.99, "end": 1087.39, "word": " sulcus", "probability": 0.981689453125}, {"start": 1087.39, "end": 1087.97, "word": " بيخرج", "probability": 0.9632568359375}, {"start": 1087.97, "end": 1088.75, "word": " العصب", "probability": 0.9871419270833334}, {"start": 1088.75, "end": 1089.43, "word": " التاسع", "probability": 0.98291015625}, {"start": 1089.43, "end": 1089.95, "word": " و", "probability": 0.429931640625}, {"start": 1089.95, "end": 1091.25, "word": " العاشر", "probability": 0.8277994791666666}, {"start": 1091.25, "end": 1091.61, "word": " و", "probability": 0.92333984375}, {"start": 1091.61, "end": 1092.17, "word": " الحادي", "probability": 0.73388671875}, {"start": 1092.17, "end": 1092.61, "word": " عشر", "probability": 0.866455078125}, {"start": 1092.61, "end": 1095.41, "word": " واضحا", "probability": 0.80413818359375}, {"start": 1095.41, "end": 1095.53, "word": " في", "probability": 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fine touch على اليمين على نفس الجهة بس في ال lower half of the body لو صار damage للكنيت بيصير على نفس الجهة loss of deep sensation and fine touch بس بيكون على ايه ال upper limb الحاجة الواضحة دي ميدالة oblongata", "tokens": [2407, 6027, 39184, 2489, 2557, 37495, 22653, 45164, 20328, 9640, 4344, 24976, 7435, 2288, 3794, 26895, 15844, 2423, 32640, 9957, 4724, 1829, 9381, 13546, 4470, 295, 2452, 20069, 293, 2489, 2557, 15844, 2423, 32640, 9957, 15844, 8717, 36178, 25724, 3224, 3660, 4724, 3794, 8978, 2423, 3126, 1922, 295, 264, 1772, 45164, 20328, 9640, 4344, 24976, 19452, 36081, 4724, 1829, 9381, 13546, 15844, 8717, 36178, 25724, 3224, 3660, 4470, 295, 2452, 20069, 293, 2489, 2557, 4724, 3794, 4724, 1829, 30544, 15844, 1975, 1829, 3224, 2423, 6597, 30390, 21542, 26108, 3660, 2423, 2407, 46958, 5016, 3660, 11778, 1829, 3714, 25708, 6027, 3660, 1111, 13025, 3274], "avg_logprob": -0.2393329359877568, "compression_ratio": 1.8755555555555556, "no_speech_prob": 5.960464477539063e-08, "words": 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ميضالة و هسوف ليه closed ميضالة في الجزء العلوي واضعنا ال posterior median فشهر بيقسم لليمين و اليسار فيه هنا vegal trygon", "tokens": [3224, 8315, 8978, 25724, 11622, 38207, 18863, 1211, 45865, 13672, 1829, 31439, 1269, 3714, 1829, 11242, 6027, 3660, 4032, 8032, 3794, 38688, 32239, 3224, 5395, 3714, 1829, 11242, 6027, 3660, 8978, 25724, 11622, 38207, 18863, 1211, 45865, 4032, 46958, 3615, 8315, 2423, 33529, 26779, 6156, 8592, 3224, 2288, 4724, 1829, 4587, 38251, 5296, 20292, 2304, 9957, 4032, 45595, 3794, 9640, 8978, 3224, 34105, 1241, 9800, 853, 10660], "avg_logprob": -0.37362130906652, "compression_ratio": 1.5471698113207548, "no_speech_prob": 0.0, "words": [{"start": 1290.48, "end": 1291.18, "word": "هنا", "probability": 0.899658203125}, {"start": 1291.18, "end": 1291.98, "word": " في", "probability": 0.89599609375}, {"start": 1291.98, "end": 1293.1, "word": " الجزء", "probability": 0.8990885416666666}, {"start": 1293.1, "end": 1293.5, "word": " العلوي", "probability": 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"word": " nuclei", "probability": 0.3515625}, {"start": 1394.03, "end": 1395.09, "word": " اللي", "probability": 0.7509765625}, {"start": 1395.09, "end": 1396.05, "word": " موجودة", "probability": 0.988525390625}, {"start": 1396.05, "end": 1396.75, "word": " اجرسيل", "probability": 0.4970458984375}, {"start": 1396.75, "end": 1397.31, "word": " نوكلياس", "probability": 0.83251953125}, {"start": 1397.31, "end": 1397.89, "word": " اجرسيل", "probability": 0.97294921875}, {"start": 1397.89, "end": 1398.41, "word": " نوكلياس", "probability": 0.97373046875}, {"start": 1398.41, "end": 1399.21, "word": " اجرسيل", "probability": 0.91689453125}, {"start": 1399.21, "end": 1399.55, "word": " نوكلياس", "probability": 0.9810546875}, {"start": 1399.55, "end": 1399.89, "word": " بتكون", "probability": 0.9609375}, {"start": 1399.89, "end": 1400.21, "word": " قولنا", "probability": 0.7180989583333334}, {"start": 1400.21, "end": 1401.01, "word": " media", "probability": 0.62255859375}, {"start": 1401.01, "end": 1401.51, "word": " المسئولة", "probability": 0.839453125}, {"start": 1401.51, "end": 1401.65, "word": " عن", "probability": 0.98486328125}, {"start": 1401.65, "end": 1401.83, "word": " deep", "probability": 0.5244140625}, {"start": 1401.83, "end": 1402.27, "word": " sensation", "probability": 0.91650390625}, {"start": 1402.27, "end": 1402.71, "word": " او", "probability": 0.77587890625}, {"start": 1402.71, "end": 1404.09, "word": " proprioception", "probability": 0.9267578125}, {"start": 1404.09, "end": 1404.81, "word": " proprioception", "probability": 0.64404296875}, {"start": 1404.81, "end": 1405.01, "word": " هو", "probability": 0.880859375}, {"start": 1405.01, "end": 1405.17, "word": " deep", "probability": 0.91015625}, {"start": 1405.17, "end": 1405.65, "word": " sensation", "probability": 0.94921875}, {"start": 1405.65, "end": 1406.53, "word": " and", "probability": 0.8408203125}, {"start": 1406.53, "end": 1406.99, "word": " fine", "probability": 0.9306640625}, {"start": 1406.99, "end": 1407.41, "word": " touch", "probability": 0.92919921875}], "temperature": 1.0}, {"id": 58, "seek": 142512, "start": 1407.84, "end": 1425.12, "text": "from the lower half of the body الكونية نوكلياس بتكون lateral ومسئولة عن ال proprioception او deep sensation وي find touch from the upper half of the body فى شىء اسمه inferior olivary نوكلياس مش ده اهمية كتير اللى علاقة بال extrapyramidal function", "tokens": [20579, 264, 3126, 1922, 295, 264, 1772, 2423, 30544, 10632, 8717, 2407, 4117, 20292, 32277, 39894, 30544, 25128, 4032, 2304, 3794, 19986, 12610, 3660, 18871, 2423, 28203, 7311, 1975, 2407, 2452, 20069, 4032, 1829, 915, 2557, 490, 264, 6597, 1922, 295, 264, 1772, 6156, 7578, 13412, 7578, 38207, 24525, 2304, 3224, 24249, 2545, 592, 822, 8717, 2407, 4117, 20292, 32277, 37893, 11778, 3224, 1975, 16095, 10632, 9122, 2655, 13546, 13672, 7578, 11203, 995, 28671, 20666, 2857, 8200, 2356, 22151, 2445], "avg_logprob": -0.293016963534885, "compression_ratio": 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1413.48, "word": " ومسئولة", "probability": 0.8308512369791666}, {"start": 1413.48, "end": 1413.72, "word": " عن", "probability": 0.994140625}, {"start": 1413.72, "end": 1413.98, "word": " ال", "probability": 0.96044921875}, {"start": 1413.98, "end": 1414.8, "word": " proprioception", "probability": 0.5809326171875}, {"start": 1414.8, "end": 1415.02, "word": " او", "probability": 0.716064453125}, {"start": 1415.02, "end": 1415.24, "word": " deep", "probability": 0.4814453125}, {"start": 1415.24, "end": 1415.84, "word": " sensation", "probability": 0.93994140625}, {"start": 1415.84, "end": 1416.38, "word": " وي", "probability": 0.4638671875}, {"start": 1416.38, "end": 1416.64, "word": " find", "probability": 0.6875}, {"start": 1416.64, "end": 1417.0, "word": " touch", "probability": 0.7978515625}, {"start": 1417.0, "end": 1417.4, "word": " from", "probability": 0.900390625}, {"start": 1417.4, "end": 1418.08, "word": " the", "probability": 0.8603515625}, {"start": 1418.08, "end": 1418.4, "word": " upper", "probability": 0.86474609375}, {"start": 1418.4, "end": 1418.8, "word": " half", "probability": 0.87158203125}, {"start": 1418.8, "end": 1418.98, "word": " of", "probability": 0.9697265625}, {"start": 1418.98, "end": 1419.12, "word": " the", "probability": 0.91455078125}, {"start": 1419.12, "end": 1419.4, "word": " body", "probability": 0.87451171875}, {"start": 1419.4, "end": 1420.22, "word": " فى", "probability": 0.591796875}, {"start": 1420.22, "end": 1420.42, "word": " شىء", "probability": 0.7107747395833334}, {"start": 1420.42, "end": 1420.62, "word": " اسمه", "probability": 0.9108072916666666}, {"start": 1420.62, "end": 1420.96, "word": " inferior", "probability": 0.136474609375}, {"start": 1420.96, "end": 1421.48, "word": " olivary", "probability": 0.8268229166666666}, {"start": 1421.48, "end": 1421.86, "word": " نوكلياس", "probability": 0.8927734375}, {"start": 1421.86, "end": 1422.0, "word": " مش", "probability": 0.94677734375}, {"start": 1422.0, "end": 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"end": 1429.29, "word": " اللي", "probability": 0.780517578125}, {"start": 1429.29, "end": 1429.71, "word": " هو", "probability": 0.98583984375}, {"start": 1429.71, "end": 1430.97, "word": " glossopharyngeal", "probability": 0.7108968098958334}, {"start": 1430.97, "end": 1431.29, "word": " nerve", "probability": 0.96142578125}, {"start": 1431.29, "end": 1432.09, "word": " تعطينا", "probability": 0.852685546875}, {"start": 1432.09, "end": 1433.35, "word": " parasympathetic", "probability": 0.8251953125}, {"start": 1433.35, "end": 1434.01, "word": " fibers", "probability": 0.92431640625}, {"start": 1434.01, "end": 1435.57, "word": " لglossopharyngeal", "probability": 0.8653738839285714}, {"start": 1435.57, "end": 1435.99, "word": " nerve", "probability": 0.93212890625}, {"start": 1435.99, "end": 1436.93, "word": " مسئولة", "probability": 0.9146728515625}, {"start": 1436.93, "end": 1437.25, "word": " عن", "probability": 0.994140625}, {"start": 1437.25, "end": 1438.11, "word": " parotid", "probability": 0.6923828125}, {"start": 1438.11, "end": 1438.69, "word": " gland", "probability": 0.90380859375}, {"start": 1438.69, "end": 1439.53, "word": " for", "probability": 0.8720703125}, {"start": 1439.53, "end": 1440.07, "word": " production", "probability": 0.93310546875}, {"start": 1440.07, "end": 1440.47, "word": " of", "probability": 0.97314453125}, {"start": 1440.47, "end": 1441.33, "word": " saliva", "probability": 0.95751953125}], "temperature": 1.0}, {"id": 60, "seek": 146169, "start": 1443.91, "end": 1461.69, "text": "في spinal descending nucleus of trigeminal nerve هذه النوكياس اللي علاقة بالعصب الخامس مسئولة عن ال pain و ال temperature sensation هي بتمر في ال pons medulla oblongata و بتمر في ال upper part of spinal cord من C1 ل C4 و C5", "tokens": [41185, 28022, 40182, 28055, 295, 35386, 443, 2071, 16355, 29538, 28239, 2407, 4117, 25528, 3794, 13672, 1829, 11203, 995, 28671, 20666, 3615, 9381, 3555, 33962, 10943, 3794, 47524, 19986, 12610, 3660, 18871, 2423, 1822, 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{"start": 1447.65, "end": 1448.11, "word": " النوكياس", "probability": 0.656787109375}, {"start": 1448.11, "end": 1448.23, "word": " اللي", "probability": 0.6195068359375}, {"start": 1448.23, "end": 1448.71, "word": " علاقة", "probability": 0.8074544270833334}, {"start": 1448.71, "end": 1449.25, "word": " بالعصب", "probability": 0.9923095703125}, {"start": 1449.25, "end": 1449.89, "word": " الخامس", "probability": 0.98974609375}, {"start": 1449.89, "end": 1450.63, "word": " مسئولة", "probability": 0.7757568359375}, {"start": 1450.63, "end": 1450.77, "word": " عن", "probability": 0.99169921875}, {"start": 1450.77, "end": 1450.91, "word": " ال", "probability": 0.73828125}, {"start": 1450.91, "end": 1451.21, "word": " pain", "probability": 0.80859375}, {"start": 1451.21, "end": 1451.33, "word": " و", "probability": 0.7626953125}, {"start": 1451.33, "end": 1451.39, "word": " ال", "probability": 0.85888671875}, {"start": 1451.39, "end": 1451.81, "word": " temperature", "probability": 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"في solitary nucleus اللي علاقة بال sensation general and taste sensation للعصب السابع والتاسع والعاشر ل facial nerve وglossopharyngeal nerve وvegas nerve في nucleus ambiogas هذي motor nucleus اللي علاقة بالisomatic motor بتغدى ال skeletal muscles بتاعة العصب اللي هو glossopharyngeal nerve وvegas nerve وcranial axillary nerve", "tokens": [41185, 44155, 28055, 13672, 1829, 11203, 995, 28671, 20666, 20069, 2674, 293, 3939, 20069, 24976, 3615, 9381, 3555, 21136, 16758, 3615, 16070, 2655, 32277, 3615, 16070, 3615, 33599, 2288, 5296, 15642, 16355, 4032, 7191, 772, 5317, 39008, 432, 304, 16355, 4032, 303, 10549, 16355, 8978, 28055, 3913, 72, 664, 296, 8032, 8848, 1829, 5932, 28055, 13672, 1829, 11203, 995, 28671, 20666, 271, 13143, 5932, 39894, 17082, 3215, 7578, 2423, 32321, 304, 9530, 39894, 995, 27884, 18863, 9381, 3555, 13672, 1829, 31439, 1563, 772, 5317, 39008, 432, 304, 16355, 4032, 303, 10549, 16355, 4032, 66, 4257, 831, 6360, 46367, 16355], "avg_logprob": -0.2809374877810478, 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في", "probability": 0.7607421875}, {"start": 1476.94, "end": 1477.42, "word": " nucleus", "probability": 0.92431640625}, {"start": 1477.42, "end": 1478.22, "word": " ambiogas", "probability": 0.56500244140625}, {"start": 1478.22, "end": 1478.6, "word": " هذي", "probability": 0.52197265625}, {"start": 1478.6, "end": 1479.06, "word": " motor", "probability": 0.91943359375}, {"start": 1479.06, "end": 1479.74, "word": " nucleus", "probability": 0.92236328125}, {"start": 1479.74, "end": 1480.38, "word": " اللي", "probability": 0.96044921875}, {"start": 1480.38, "end": 1480.94, "word": " علاقة", "probability": 0.9493815104166666}, {"start": 1480.94, "end": 1481.8, "word": " بالisomatic", "probability": 0.5644124348958334}, {"start": 1481.8, "end": 1482.32, "word": " motor", "probability": 0.97900390625}, {"start": 1482.32, "end": 1482.82, "word": " بتغدى", "probability": 0.70648193359375}, {"start": 1482.82, "end": 1482.92, "word": " ال", "probability": 0.818359375}, {"start": 1482.92, "end": 1483.42, "word": " skeletal", "probability": 0.937744140625}, {"start": 1483.42, "end": 1483.9, "word": " muscles", "probability": 0.8740234375}, {"start": 1483.9, "end": 1484.8, "word": " بتاعة", "probability": 0.8487955729166666}, {"start": 1484.8, "end": 1485.6, "word": " العصب", "probability": 0.9964192708333334}, {"start": 1485.6, "end": 1485.78, "word": " اللي", "probability": 0.951171875}, {"start": 1485.78, "end": 1486.34, "word": " هو", "probability": 0.93359375}, {"start": 1486.34, "end": 1488.3, "word": " glossopharyngeal", "probability": 0.864501953125}, {"start": 1488.3, "end": 1488.6, "word": " nerve", "probability": 0.92041015625}, {"start": 1488.6, "end": 1489.16, "word": " وvegas", "probability": 0.7798665364583334}, {"start": 1489.16, "end": 1489.48, "word": " nerve", "probability": 0.94091796875}, {"start": 1489.48, "end": 1490.0, "word": " وcranial", "probability": 0.825439453125}, {"start": 1490.0, "end": 1490.4, "word": " axillary", "probability": 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"probability": 0.93701171875}, {"start": 1503.94, "end": 1504.06, "word": " the", "probability": 0.90283203125}, {"start": 1504.06, "end": 1504.32, "word": " body", "probability": 0.86474609375}, {"start": 1504.32, "end": 1506.88, "word": " وhypoglossal", "probability": 0.7745884486607143}, {"start": 1506.88, "end": 1507.44, "word": " nucleus", "probability": 0.9765625}, {"start": 1507.44, "end": 1508.0, "word": " اللي", "probability": 0.96875}, {"start": 1508.0, "end": 1508.52, "word": " علاقة", "probability": 0.9026692708333334}, {"start": 1508.52, "end": 1509.84, "word": " بالhypoglossal", "probability": 0.9250139508928571}, {"start": 1509.84, "end": 1510.18, "word": " nerve", "probability": 0.91064453125}, {"start": 1510.18, "end": 1510.72, "word": " which", "probability": 0.85986328125}, {"start": 1510.72, "end": 1511.2, "word": " supply", "probability": 0.91064453125}, {"start": 1511.2, "end": 1512.12, "word": " the", "probability": 0.84423828125}, {"start": 1512.12, "end": 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موجودين اللي هم الـ Dorsal Nucleus أو Vegas، بيكون موجودة الـ Ambiguous Nucleus اللي هي Motor Nucleus وواضح عند هنا اللي هي الـ Nucleus هذه الطويلة، هذه لها علاقة بيسموها الـ Principal Trigeminal Nucleus أو اسم ثاني لها Descending Spinal Nucleus", "tokens": [37746, 1829, 30544, 43242, 8315, 3714, 29245, 23328, 9957, 13672, 1829, 8032, 2304, 2423, 39184, 413, 830, 304, 426, 1311, 306, 301, 34051, 15841, 12399, 4724, 1829, 30544, 3714, 29245, 23328, 3660, 2423, 39184, 17196, 30525, 426, 1311, 306, 301, 13672, 1829, 39896, 18495, 426, 1311, 306, 301, 4032, 2407, 46958, 5016, 43242, 34105, 13672, 1829, 39896, 2423, 39184, 426, 1311, 306, 301, 29538, 41950, 2407, 26895, 3660, 12399, 29538, 5296, 11296, 11203, 995, 28671, 4724, 1829, 38251, 2407, 11296, 2423, 39184, 38575, 1765, 328, 443, 2071, 426, 1311, 306, 301, 34051, 24525, 2304, 38637, 7649, 1829, 5296, 11296, 3885, 66, 2029, 1738, 2071, 426, 1311, 306, 301], "avg_logprob": -0.2812499901570311, "compression_ratio": 1.7064220183486238, 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file diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/KC7cRucLKTU_raw.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/KC7cRucLKTU_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..433b20ca6cb35a65781c50d8b7f3c92b43037eeb --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/KC7cRucLKTU_raw.srt @@ -0,0 +1,1368 @@ +1 +00:00:04,980 --> 00:00:08,160 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:08,160 --> 00:00:12,980 +وبركاته اليوم راح أكون معاكم في محاضرة anatomy and + +3 +00:00:12,980 --> 00:00:17,460 +physiology of the brain sim محاضرة الأسبوع الرابع + +4 +00:00:17,460 --> 00:00:19,700 +anatomy and physiology of the brain sim + +5 +00:00:23,700 --> 00:00:27,880 +اخدنا في المحاضرة السابقة اللي هو morphological + +6 +00:00:27,880 --> 00:00:31,680 +subdivisions of the brain و اتكلمنا ان ال brain + +7 +00:00:31,680 --> 00:00:36,140 +contains cerebrum, cerebellum, brainstem و من ضمن + +8 +00:00:36,140 --> 00:00:39,500 +ال cerebrum تحته في ال lower part of the cerebrum + +9 +00:00:39,500 --> 00:00:44,200 +اللي هو ال diencephalonالسر برامجة راحناه و السر + +10 +00:00:44,200 --> 00:00:48,240 +بيلا متكلمنا عنه اللي انا اتكلم عن ال brain stem + +11 +00:00:48,240 --> 00:00:53,260 +اللي هو جدع الدماغ بدون brain stem مش ممكن الإنسان + +12 +00:00:53,260 --> 00:00:58,060 +يعيش لو مات ال brain stem مات الإنسان لأن المراكز + +13 +00:00:58,060 --> 00:01:04,260 +الحيوية موجودة في ال brain stem ال brain stem + +14 +00:01:04,260 --> 00:01:11,920 +located in the posterior cranial fossain front of + +15 +00:01:11,920 --> 00:01:16,200 +the cerebellum and for ventricle يبقى ال brain + +16 +00:01:16,200 --> 00:01:20,760 +stem جدد دماغ موجود في ال posterior cranial fossa + +17 +00:01:20,760 --> 00:01:28,860 +بيكون أمام المخيخ و أمام البطين الرابع the brain + +18 +00:01:28,860 --> 00:01:34,120 +stem formed of the following part بتكون من three + +19 +00:01:34,120 --> 00:01:42,080 +parts بتكون من ثلاث أجزاء لو بدنا من تحتللأعلى أو + +20 +00:01:42,080 --> 00:01:48,480 +من الأسفل للأعلى في عندي medulla oblongata تعمل + +21 +00:01:48,480 --> 00:01:51,960 +continuation with spinal cord بقى هي continuous + +22 +00:01:51,960 --> 00:01:55,260 +with spinal cord بعد medulla oblongata بيجينا + +23 +00:01:55,260 --> 00:02:03,080 +spinal cord Pons جسر between the midbrain and + +24 +00:02:03,080 --> 00:02:08,160 +medulla oblongataو الـ upper part is mid brain + +25 +00:02:08,160 --> 00:02:12,740 +الدماغ الأوسط يبقى ان هو continuous بعد ذلك مع ال + +26 +00:02:12,740 --> 00:02:16,060 +cerebral hemisphere مع ال cerebral hemisphere + +27 +00:02:16,060 --> 00:02:25,020 +relations of brain stem ال brain stem جدول الدماغ + +28 +00:02:25,020 --> 00:02:31,020 +above من أعلىالـ midbrain is continuous with + +29 +00:02:31,020 --> 00:02:34,400 +cerebral hemisphere يبقى ال midbrain فوق + +30 +00:02:34,400 --> 00:02:38,420 +continuous with أيه؟ with cerebral hemisphere + +31 +00:02:38,420 --> 00:02:46,240 +below من تحت ميضالة أبلانجاتا continuous with أيه؟ + +32 +00:02:46,240 --> 00:02:51,820 +with spinal cord يبقى هنا عرفنا above ال midbrain + +33 +00:02:51,820 --> 00:02:56,640 +مع ال cerebral hemisphereبالأسفل ميدالة أوبلانجاتا + +34 +00:02:56,640 --> 00:03:03,880 +تستمر بالـ A مع جسم العصب بستيريوريا من الخلف + +35 +00:03:03,880 --> 00:03:11,960 +ميدالة Pons و ميدالة أعلى ميدالة أوبر ميدالة مقفلة + +36 +00:03:13,250 --> 00:03:18,250 +from cerebellum by fourth ventricle من الخلف فينا + +37 +00:03:18,250 --> 00:03:24,330 +fourth ventricle cavity هذا بيفصل ما بين ال palms + +38 +00:03:24,330 --> 00:03:28,710 +و ال upper medulla او open medulla عن من؟ عن ال + +39 +00:03:28,710 --> 00:03:39,570 +cerebellum من الخلف هي انه واضح Medulla + +40 +00:03:39,570 --> 00:03:40,230 +oblongata + +41 +00:03:43,200 --> 00:03:49,120 +تحت السمير مع مين؟ مع spinal cord هذه ميضالة قبل + +42 +00:03:49,120 --> 00:03:56,260 +ان جتها هنا عندي ايه اللي هو ال bones وبعدين + +43 +00:03:56,260 --> 00:04:01,040 +بيجينا ايه ال midbrain ال midbrain continuous اعلى + +44 +00:04:01,040 --> 00:04:06,700 +مع ال cerebral hemisphere من الخلففي اندي cavity + +45 +00:04:06,700 --> 00:04:12,660 +of fourth ventricle بيعمل separation between the + +46 +00:04:12,660 --> 00:04:18,760 +pons و أبعار الميدالة بيعملهم separation عن مين؟ + +47 +00:04:18,760 --> 00:04:23,180 +عن إيه؟ اللي هو ال cerebellum الcerebellum بيحد ال + +48 +00:04:23,180 --> 00:04:30,820 +fourth ventricle من خلفي واضح + +49 +00:04:30,820 --> 00:04:41,100 +اندي أيوة fourth ventricleبفصل بين الـ Pons و + +50 +00:04:41,100 --> 00:04:48,100 +Upper Medulla عن + +51 +00:04:48,100 --> 00:04:56,020 +الـ Cerebellum okay يبقى هذا ال relations بتاعة + +52 +00:04:56,020 --> 00:05:00,300 +brain stem relation of the brain stem + +53 +00:05:05,740 --> 00:05:10,680 +What's the functions of brainstem؟ اول شيء + +54 +00:05:10,680 --> 00:05:15,000 +cardiovascular center يبقى المركز بتاع التحكم + +55 +00:05:15,000 --> 00:05:19,840 +بالقلب موجود لبراين السم مات لبراين السم مات القلب + +56 +00:05:19,840 --> 00:05:25,720 +مات الإنسان respiratory and calf center ايه علاقة + +57 +00:05:25,720 --> 00:05:33,550 +بمركز التحكم بتنفس و عملية الكحول؟الـ swallowing + +58 +00:05:33,550 --> 00:05:42,390 +and vomiting center عملية البلع و عملية التقيق + +59 +00:05:42,390 --> 00:05:49,790 +sleep center مركز النوم center for eye movement + +60 +00:05:49,790 --> 00:05:57,050 +مركز التحكم بحركة العينين reticular nuclei فى + +61 +00:05:57,050 --> 00:05:59,870 +رتيكولار فورميشن موجودين وين فى ال brain stem + +62 +00:06:01,200 --> 00:06:05,940 +alertness and consciousness اليقظة ودرجة الوعي + +63 +00:06:05,940 --> 00:06:12,040 +مسئول عنها ال brain السم ال vestibular نوكلياي و + +64 +00:06:12,040 --> 00:06:17,290 +ال functions البسترالالـ conduction function بيمر + +65 +00:06:17,290 --> 00:06:22,930 +في ال brain اسم ascending and descending tracks ال + +66 +00:06:22,930 --> 00:06:25,470 +ascending اللي بيربط ال spinal cord مع ال cerebrum + +67 +00:06:25,470 --> 00:06:29,850 +و descending اللي بيربط ال brain مع spinal cord + +68 +00:06:29,850 --> 00:06:35,310 +وأهم شيء كمان موجود في ال brain اسم النكلياية + +69 +00:06:35,310 --> 00:06:45,100 +cranial nerves نكلياية من أيه؟ من العصبCranial + +70 +00:06:45,100 --> 00:06:53,300 +nerve ثلاثة لحد cranial nerve اتناش من ثلاثة + +71 +00:06:53,300 --> 00:07:02,640 +لاتناش ليه لأن cranial nerve nucleus رقم + +72 +00:07:02,640 --> 00:07:07,760 +واحد موجودة في ال timbral loop و رقم اتنين موجودة + +73 +00:07:07,760 --> 00:07:14,900 +في ال occipital loopلكن اللي من ثلاثة لاتناش + +74 +00:07:14,900 --> 00:07:19,360 +موجودين في ال brain stem + +75 +00:07:23,250 --> 00:07:27,410 +and it's important as extrapyramidal function لأن + +76 +00:07:27,410 --> 00:07:30,790 +في ال brain السم موجودة substantia negra + +77 +00:07:30,790 --> 00:07:34,810 +substantia negra تفرز مادة الدوبامين في حال حدث + +78 +00:07:34,810 --> 00:07:38,990 +نقص في إفراز الدوبامين المريض ممكن يكون عنده + +79 +00:07:38,990 --> 00:07:42,750 +Parkinson مرض Parkinson أو مرض الشلال الرعاش + +80 +00:07:45,550 --> 00:07:51,590 +بسترال رفليكس، ايش البسترال رفليكس؟ البسترال مدفنة + +81 +00:07:51,590 --> 00:07:58,270 +كمقاومة عضوية عضوية لجسم المسافة بسبب الضغط، الان + +82 +00:07:58,270 --> 00:08:01,390 +انا واقف، لو ماكان عندي بسترال كان وجهد انا، + +83 +00:08:01,390 --> 00:08:08,510 +ماقدرش اتاجف، لان هي عملية تحكمفي نوعين للبحث عن + +84 +00:08:08,510 --> 00:08:15,670 +reflex static reflex انا الآن في وضع ثبت او جلست + +85 +00:08:15,670 --> 00:08:21,110 +على الكرسى مابميلش مابجعش هذا اسمه static reflex + +86 +00:08:21,110 --> 00:08:26,390 +maintain the balance during rest اثناء الراحة طيب + +87 +00:08:26,390 --> 00:08:31,490 +لو انا اتحركت نسميه static kinetic reflex maintain + +88 +00:08:31,490 --> 00:08:36,520 +the balance during movement انا اتحركتيبقى هنا + +89 +00:08:36,520 --> 00:08:44,180 +اسمه static-kinetic أنا جلست هذا اسمه static + +90 +00:08:44,180 --> 00:08:52,040 +reflex لأنا أبدأ بميدالة أبلانجاتا ميدالة + +91 +00:08:52,040 --> 00:08:58,360 +أبلانجاتا ميدالة أبلانجاتا is the lower part of + +92 +00:08:58,360 --> 00:09:04,930 +brain stem تلاتة صندوق تقريبايقول هي lower part of + +93 +00:09:04,930 --> 00:09:11,070 +brainstem ال relation بتاعتها بيضل أبلنجاتها above + +94 +00:09:11,070 --> 00:09:17,790 +continuous with points من أعلى تتحد مع ال points + +95 +00:09:17,790 --> 00:09:23,470 +أو مرتبطة مع ال pointsbelow من أسفل مرتبطة مع ال + +96 +00:09:23,470 --> 00:09:29,050 +spinal cord تعملنا continuation ل spinal cord تبقى + +97 +00:09:29,050 --> 00:09:34,010 +هي ترتبط مع spinal cord على أي مستوى على مستوى + +98 +00:09:34,010 --> 00:09:39,590 +foramen magnum at the level of foramen magnum خيال + +99 +00:09:39,590 --> 00:09:47,470 +دي طب اهي نفسي ما بمشي الميدال قبل ان جت على + +100 +00:09:47,470 --> 00:09:54,860 +سجد تركتالـ Medulla Oblongata قلنا Below تحت مع + +101 +00:09:54,860 --> 00:10:02,840 +Spinal Cord من أعلى فوق مع الـ Bones هذه هي + +102 +00:10:02,840 --> 00:10:07,080 +Medulla Oblongata الـ Medulla Oblongata بتتكون من + +103 +00:10:07,080 --> 00:10:14,820 +جزئين جزء + +104 +00:10:14,820 --> 00:10:17,140 +علوي بيكون + +105 +00:10:18,500 --> 00:10:25,020 +open فاتح على ال fourth ventricle وجزء سفلي بيكون + +106 +00:10:25,020 --> 00:10:28,660 +closed مالوش علاقة بال fourth ventricle يمكن هذا + +107 +00:10:28,660 --> 00:10:34,100 +بنسميها open مضلة + +108 +00:10:34,100 --> 00:10:42,080 +و هذا بنسميها closed مضلة ال open مضلة بنسميها + +109 +00:10:42,080 --> 00:10:47,960 +upper partجزء العلوي و مدلة مقفلة نسميها lower + +110 +00:10:47,960 --> 00:10:53,440 +part يبقى كمان مرة relation of مدلة أبلانجاته أسفل + +111 +00:10:53,440 --> 00:10:59,200 +تحت spinal cord أعلى bones طب ممكن تضيفوا كمان + +112 +00:10:59,200 --> 00:11:06,260 +حاجة posterior من الخلف من الخلف من الخلف open + +113 +00:11:06,260 --> 00:11:09,720 +مدلة بيحدها ال fourth ventricle بيفصلها عن من؟ عن + +114 +00:11:09,720 --> 00:11:10,480 +ال cerebellum + +115 +00:11:13,310 --> 00:11:19,230 +Okay يبقى عندي lower spinal cord above bones من + +116 +00:11:19,230 --> 00:11:23,330 +الخلف ال cerebellum و ال fourth ventricle بيحد مين + +117 +00:11:23,330 --> 00:11:27,870 +اللي هو ال upper part أو open ميدلة + +118 +00:11:32,670 --> 00:11:37,090 +هذه الميدالة أبلانجاتا بس هذي Anti-review ليش قلنا + +119 +00:11:37,090 --> 00:11:42,170 +Anti-review؟ لأن ال ventricle ال fourth ventricle + +120 +00:11:42,170 --> 00:11:49,030 +مش واضح هنا ال fourth ventricle وين؟ في الخلف هذي + +121 +00:11:49,030 --> 00:11:59,130 +الميدالة أبلانجاتا تحت + +122 +00:11:59,130 --> 00:12:07,360 +spinal cordفوق Pons هذه ميضالة قبلان جدا من الخلف + +123 +00:12:07,360 --> 00:12:13,500 +اللي هو ال cerebellum و ال fourth ventricle بفصلهم + +124 +00:12:13,500 --> 00:12:26,940 +عن اللي هي open ميضالة او ال upper ميضالة نكمل + +125 +00:12:28,350 --> 00:12:31,690 +أجزاء الميدالة أبلانجاته انا شريحتهم شريحتكم إياهم + +126 +00:12:31,690 --> 00:12:36,610 +part of the ميدالة أبلانجاته الميدالة أبلانجاته + +127 +00:12:36,610 --> 00:12:45,210 +إلها جزءين الجزء الأول اسمه closed ميدالة الجزء + +128 +00:12:45,210 --> 00:12:49,990 +الثاني اسمه open ميدالة ممكن أسميهم شيء ثاني؟ ممكن + +129 +00:12:49,990 --> 00:12:56,770 +ال closed ميدالة ممكن أسميهLower مضالة و Open + +130 +00:12:56,770 --> 00:13:01,030 +مضالة ممكن نسميها Upper مضالة ليه سامتها Open + +131 +00:13:01,030 --> 00:13:02,590 +مضالة؟ + +132 +00:13:05,570 --> 00:13:10,130 +opens into the fourth ventricle فتحة بيحدها من + +133 +00:13:10,130 --> 00:13:14,330 +الخلف fourth ventricle لذلك سمناها ايه؟ open + +134 +00:13:14,330 --> 00:13:18,550 +medulla يبقى ال open medulla هي ال upper part او + +135 +00:13:18,550 --> 00:13:21,890 +ال upper half of the medulla أبلان جاتة الجزء + +136 +00:13:21,890 --> 00:13:25,030 +العلوي من المدulla أبلان جاتة سمناها open medulla + +137 +00:13:25,030 --> 00:13:28,690 +لأنها تكون فاتحة على ال fourth ventricle على + +138 +00:13:28,690 --> 00:13:33,510 +البطين الرابع من الخلف ال closed medullaاللي هي + +139 +00:13:33,510 --> 00:13:36,790 +lower half of the medulla أو lower part of the + +140 +00:13:36,790 --> 00:13:40,450 +medulla سموها closed medulla لأنه بيكون داخلها + +141 +00:13:40,450 --> 00:13:46,630 +موجود اللي هو central canal و هي بيكون closed + +142 +00:13:46,630 --> 00:13:51,050 +بالنسبة لل fourth ventricle ما بتكون فاتحة على ال + +143 +00:13:51,050 --> 00:13:53,910 +fourth ventricle لذلك سموها closed medulla + +144 +00:13:55,400 --> 00:14:01,600 +continuous with spinal cord .. central canal يبقى + +145 +00:14:01,600 --> 00:14:05,120 +لو سألكوا سؤال مين اللي بيكون عامل continuous with + +146 +00:14:05,120 --> 00:14:07,700 +spinal cord؟ ال open ميضلة ولا ال closed ميضلة؟ + +147 +00:14:07,700 --> 00:14:10,680 +راح تكون ال closed ميضلة مين اللي موجود في central + +148 +00:14:10,680 --> 00:14:14,140 +spinal canal؟ ال open ميضلة ولا ال closed ميضلة؟ + +149 +00:14:14,140 --> 00:14:15,700 +راح تكون ال closed ميضلة + +150 +00:14:19,710 --> 00:14:22,630 +هذا posterior view هذا posterior view لأن + +151 +00:14:22,630 --> 00:14:29,630 +السيريبيلة في الخلف يقول هي عندي الميدالة + +152 +00:14:29,630 --> 00:14:38,110 +أبلنجاتها إلها جزئين هذا open ميدالة وهذا closed + +153 +00:14:38,110 --> 00:14:42,650 +ميدالة ليه هذا open ميدالة لأنها الفاتحة بتكون + +154 +00:14:42,650 --> 00:14:45,810 +عوين على ال fourth ventricللي هي و ال pons + +155 +00:14:48,840 --> 00:14:52,820 +يبقى الجزء العلوي ال upper part open ال lower part + +156 +00:14:52,820 --> 00:14:58,360 +closed الآن + +157 +00:14:58,360 --> 00:15:03,540 +بنتقل ل external features of ميدالة أو بلانجاتا + +158 +00:15:03,540 --> 00:15:06,200 +external features of ميدالة أو بلانجاتا + +159 +00:15:06,200 --> 00:15:10,260 +anterolateral service + +160 +00:15:11,640 --> 00:15:15,500 +فيه بيكون anterior median fissure الانتيرو ميديان + +161 +00:15:15,500 --> 00:15:19,360 +فشار راح يجسم الميدالة او بلان جهتها ل right side + +162 +00:15:19,360 --> 00:15:24,140 +و left side هاي واحد ثمانى pyramids ال pyramids + +163 +00:15:24,140 --> 00:15:28,020 +بيكونون او بيكونوا ايه اللي هم corticospinal tract + +164 +00:15:28,020 --> 00:15:32,700 +الفايبرز المسئول عن الحركة الفايبرز المسئول عن ايه + +165 +00:15:32,700 --> 00:15:37,860 +ال motor functionsPyramidal Decassation Pyramidal + +166 +00:15:37,860 --> 00:15:44,220 +Decassation Pyramidal Decassation Pyramidal + +167 +00:15:44,220 --> 00:15:44,760 +Decassation Pyramidal Decassation Pyramidal + +168 +00:15:44,760 --> 00:15:44,760 +Decassation Pyramidal Decassation Pyramidal + +169 +00:15:44,760 --> 00:15:44,760 +Decassation Pyramidal Decassation Pyramidal + +170 +00:15:44,760 --> 00:15:44,760 +Decassation Pyramidal Decassation Pyramidal + +171 +00:15:44,760 --> 00:15:44,760 +Decassation Pyramidal Decassation Pyramidal + +172 +00:15:44,760 --> 00:15:44,980 +Decassation Pyramidal Decassation Pyramidal + +173 +00:15:44,980 --> 00:15:44,980 +Decassation Pyramidal Decassation Pyramidal + +174 +00:15:44,980 --> 00:15:44,980 +Decassation Pyramidal Decassation Pyramidal + +175 +00:15:44,980 --> 00:15:44,980 +Decassation Pyramidal Decassation Pyramidal + +176 +00:15:44,980 --> 00:15:44,980 +Decassation Pyramidal Decassation Pyramidal + +177 +00:15:44,980 --> 00:15:44,980 +Decassation Pyramidal Decassation Pyramidal + +178 +00:15:44,980 --> 00:15:44,980 +Decassation Pyramidal Decassation Pyramidal + +179 +00:15:44,980 --> 00:15:48,070 +Decassationوالـ left من الجهة اليسرى لجهة اليمنى + +180 +00:15:48,070 --> 00:15:51,670 +بيصير decassation او crossing لإلهم عشان هيك لو + +181 +00:15:51,670 --> 00:15:55,010 +صار جلطة دماغية عند المريض في اليمين الشلال في + +182 +00:15:55,010 --> 00:15:57,930 +الشمال بيكون عنده لو حدث جلطة دماغية في اليسار + +183 +00:15:57,930 --> 00:16:01,470 +الشلال عنده بيكون في جهة اليمنى عشان موضوع ال + +184 +00:16:01,470 --> 00:16:07,070 +crossing اللي بتحدث وفي anterior lateral sulcus + +185 +00:16:10,550 --> 00:16:14,550 +و في posterior lateral sulcus right and left في ال + +186 +00:16:14,550 --> 00:16:18,730 +anterior lateral sulcus بيمر احنا متذكرين لما + +187 +00:16:18,730 --> 00:16:22,190 +شرحنا لكوا ال cranial nerves قولنا اتنين اتنين + +188 +00:16:22,190 --> 00:16:26,070 +اربعة اربعة اتنين بيكونوا cerebral hemisphere + +189 +00:16:26,070 --> 00:16:31,170 +والاتنين بعدهم midbrain والاربعة بعدهم pons + +190 +00:16:31,170 --> 00:16:36,870 +والاربعة الأخرانين بيكونوا في اللي هو medulla + +191 +00:16:36,870 --> 00:16:43,060 +oblongataلأ الأربع الأخران هم من؟ العصب تاسع + +192 +00:16:43,060 --> 00:16:49,840 +Glossopharyngeal Vagus Accessory and hypoglossal + +193 +00:16:49,840 --> 00:16:52,980 +nerve قلنا في الميدالة قبل ان جيت انا هتكلم عن + +194 +00:16:52,980 --> 00:16:57,120 +الأربع عصاب اللي هم Glossopharyngeal nerve, Vegas + +195 +00:16:57,120 --> 00:17:01,040 +nerve, Accessory and hypoglossal nerve في ال + +196 +00:17:01,040 --> 00:17:04,860 +anterior lateral service قلنا في anterior lateral + +197 +00:17:04,860 --> 00:17:08,790 +sulcus right and left او sulciفي الـ Anterolateral + +198 +00:17:08,790 --> 00:17:12,150 +Salcus Membrane اللي هو أو بخرج اللي هو + +199 +00:17:12,150 --> 00:17:16,070 +Hypoglossal nerve العصب الثاني عشر في ال posterior + +200 +00:17:16,070 --> 00:17:20,110 +lateral right و left بخرج منهم اللي هو إيش + +201 +00:17:20,110 --> 00:17:23,230 +Glossopharyngeal nerve العصب التاسر Vegas nerve + +202 +00:17:23,230 --> 00:17:27,430 +العصب العاشر و Hypoglossal nerve اللي هو العصب + +203 +00:17:27,430 --> 00:17:34,790 +الثاني عشر واضح أن دي الصورة Antirmedian فشهر + +204 +00:17:37,970 --> 00:17:46,970 +واضحان pyramids left right في olive اللي علاقة بال + +205 +00:17:46,970 --> 00:17:51,010 +extra pyramidal nervous system في كمان اللي هو + +206 +00:17:51,010 --> 00:17:53,630 +anterior lateral sulcus + +207 +00:17:56,130 --> 00:18:00,530 +وفي posterior lateral sulcus وفي posterior lateral + +208 +00:18:00,530 --> 00:18:04,050 +sulcus في الـ anterior lateral sulcus بيخرج الـ + +209 +00:18:04,050 --> 00:18:07,390 +hypoglossal nerve من ال posterior lateral sulcus + +210 +00:18:07,390 --> 00:18:15,530 +بيخرج العصب التاسع و العاشر و الحادي عشر واضحا في + +211 +00:18:15,530 --> 00:18:19,490 +الصورة كمانالـ Anterior Service of Medulla + +212 +00:18:19,490 --> 00:18:22,290 +Oblongata في الـ Anterior Service of Medulla + +213 +00:18:22,290 --> 00:18:27,930 +Oblongata في عن Anterior Median فشار في Anterior + +214 +00:18:27,930 --> 00:18:30,590 +Lateral Sulcus و في Posterior Lateral Sulcus نفس + +215 +00:18:30,590 --> 00:18:33,090 +الشيء Anterior Lateral Sulcus و Posterior Lateral + +216 +00:18:33,090 --> 00:18:37,470 +Sulcus و في ال lower part of Medulla هذه اسمها + +217 +00:18:37,470 --> 00:18:41,230 +Pyramidal Decassation Pyramidal Decassation هذه + +218 +00:18:41,230 --> 00:18:46,420 +Pyramids left right و هنا الأوليفاللي علاقة بالـ + +219 +00:18:46,420 --> 00:18:50,100 +extrapyramidal هان خرج من الـ anterolateral sulcus + +220 +00:18:50,100 --> 00:18:55,220 +اللي هو العصب الثاني عشر اتناش طيب من ال + +221 +00:18:55,220 --> 00:18:59,460 +bossyrolateral بخرج glossopharyngeal vagus و + +222 +00:18:59,460 --> 00:19:04,300 +accessory nerve اللي هو التاسع و العاشر و احداشر + +223 +00:19:04,300 --> 00:19:07,840 +cranial accessory ادق cranial accessory nerve + +224 +00:19:14,000 --> 00:19:17,020 +الـ posterior service شرحنا الـ anterior service + +225 +00:19:17,020 --> 00:19:21,440 +of ميدالة أبلانجاته أتكلم على posterior service of + +226 +00:19:21,440 --> 00:19:24,640 +ميدالة أبلانجاته هل ال posterior service of ميدالة + +227 +00:19:24,640 --> 00:19:30,400 +أبلانجاته حاجة اسمه جسمين؟ لأ open ميدالة و close + +228 +00:19:30,400 --> 00:19:34,160 +ميدالة طب ليش ماعملتش الجسم هذه في ال anterior + +229 +00:19:34,160 --> 00:19:37,780 +service؟ لأنه مافيش fourth ventricle ومابنقسمش + +230 +00:19:37,780 --> 00:19:41,440 +الميدالة أبلانجاته لأopen و closed من الأمام، + +231 +00:19:41,440 --> 00:19:45,320 +بنجسم من خلف، من الخلف عند ال fourth، ventricle + +232 +00:19:45,320 --> 00:19:49,560 +يبقى the posterior surface of the upper half أو ال + +233 +00:19:49,560 --> 00:19:54,220 +open ميضالة في هنا posterior median في شهر تقسم ل + +234 +00:19:54,220 --> 00:19:59,270 +right left hypoglossal triangleاللي بتعطينا الـ + +235 +00:19:59,270 --> 00:20:00,990 +hypoglossal اللي بيكون فيها hypoglossal نوكليا أو + +236 +00:20:00,990 --> 00:20:04,270 +بتعطينا hypoglossal nerve Vestibular trigon اللي + +237 +00:20:04,270 --> 00:20:07,030 +بيكون فيها vestibular نوكليا يبتعطينا vestibular + +238 +00:20:07,030 --> 00:20:12,970 +nerve و في C هنا اللي هو vagal trigon اللي بتعطينا + +239 +00:20:12,970 --> 00:20:15,690 +اللي .. اللي بيكون فيها ال .. النوكليا بتاعة ال + +240 +00:20:15,690 --> 00:20:21,450 +vagus nerve و بتعطينا vagus nerve طيب في ال lower + +241 +00:20:21,450 --> 00:20:25,900 +half أو في ال closed middleفي نفس الشيء امتداد + +242 +00:20:25,900 --> 00:20:28,820 +posteromedian fissure اللي بيقسم من يمين لشمال + +243 +00:20:28,820 --> 00:20:34,500 +وبيكون اجراثيل اتراكت و اجراثيل او اقنية اتراكت او + +244 +00:20:34,500 --> 00:20:38,520 +بيسمو اجراثيل توبيركل و اقنية توبيركل هذول اللي + +245 +00:20:38,520 --> 00:20:42,460 +اجراثيل اتراكت و اقنية اتراكت او توبيركل الاجراثيل + +246 +00:20:42,460 --> 00:20:46,310 +بيكون medialومسؤول عن ال lower half of the body + +247 +00:20:46,310 --> 00:20:51,230 +والكونية بيكون lateral ومسؤول عن ايه؟ عن ال upper + +248 +00:20:51,230 --> 00:20:54,850 +half of the body بدهم يسلموا الإشارة لمين؟ لجرسيل + +249 +00:20:54,850 --> 00:20:58,970 +وكونية نوكلياي هدول مسؤولين عن ايه؟ عن ال deep + +250 +00:20:58,970 --> 00:21:02,010 +sensationوالـ fine touch يعني لو صار damage + +251 +00:21:02,010 --> 00:21:05,910 +للجرسيل على اليمين بيصير loss of deep sensation + +252 +00:21:05,910 --> 00:21:08,410 +and fine touch على اليمين على نفس الجهة بس في ال + +253 +00:21:08,410 --> 00:21:11,870 +lower half of the body لو صار damage للكنيت بيصير + +254 +00:21:11,870 --> 00:21:14,590 +على نفس الجهة loss of deep sensation and fine + +255 +00:21:14,590 --> 00:21:20,490 +touch بس بيكون على ايه ال upper limb الحاجة + +256 +00:21:20,490 --> 00:21:23,230 +الواضحة دي ميدالة oblongata + +257 +00:21:30,480 --> 00:21:37,580 +هنا في الجزء العلوي اللي هو open ميضالة و هسوف ليه + +258 +00:21:37,580 --> 00:21:41,880 +closed ميضالة في الجزء العلوي واضعنا ال posterior + +259 +00:21:41,880 --> 00:21:49,260 +median فشهر بيقسم لليمين و اليسار فيه هنا vegal + +260 +00:21:49,260 --> 00:21:55,740 +trygonللـ Vegas nerve في hypoglossal trigon لاللي + +261 +00:21:55,740 --> 00:21:59,880 +هو ال hypoglossal nerve في vestibular trigon هي + +262 +00:21:59,880 --> 00:22:02,780 +بتمتد ال vestibular trigon في جزء منها موجود في + +263 +00:22:02,780 --> 00:22:07,440 +الـ bones وجزء موجود منها وين في الميدالة او + +264 +00:22:07,440 --> 00:22:10,900 +بلانجاتا بنزل ال close ميدالة نفس الشيء فيها انا + +265 +00:22:10,900 --> 00:22:15,960 +ايه posterior median fissure في اللي بيكون واضح + +266 +00:22:15,960 --> 00:22:19,920 +اللي هو ال lateral conate trapped + +267 +00:22:21,800 --> 00:22:25,580 +والـ Medial بيكون إجراث سيل اتراكت بيسلمونا + +268 +00:22:25,580 --> 00:22:30,360 +للكونية tubercle وإجراث سيل tubercle وداخل الكونية + +269 +00:22:30,360 --> 00:22:34,080 +tubercle بيكون موجودة الكونية nucleus وداخل إجراث + +270 +00:22:34,080 --> 00:22:38,800 +سيل بيكون إجراث سيل nucleus والكونية more lateral + +271 +00:22:38,800 --> 00:22:42,380 +وإجراث سيل more medial ومسؤولين عن ال deep + +272 +00:22:42,380 --> 00:22:45,820 +sensation fine touch إجراث سيل لل lower half of + +273 +00:22:45,820 --> 00:22:49,080 +the body وكونية لل upper half of the body + +274 +00:22:58,010 --> 00:23:02,510 +أخر جزئية أو أخر موضوع بتتكلم عنه في الجزء الأول + +275 +00:23:02,510 --> 00:23:05,570 +من المحاضرة Internal Structure of Medulla + +276 +00:23:05,570 --> 00:23:09,370 +Oblongata بتخلص الموضوع Medulla Oblongata ال + +277 +00:23:09,370 --> 00:23:13,550 +internal structure of Medulla Oblongata فيها ال + +278 +00:23:13,550 --> 00:23:18,410 +nuclei اللي موجودة اجرسيل نوكلياس اجرسيل نوكلياس + +279 +00:23:18,410 --> 00:23:21,830 +اجرسيل نوكلياس بتكون قولنا media المسئولة عن deep + +280 +00:23:21,830 --> 00:23:25,170 +sensation او proprioception proprioception هو deep + +281 +00:23:25,170 --> 00:23:29,600 +sensation and fine touchfrom the lower half of the + +282 +00:23:29,600 --> 00:23:33,980 +body الكونية نوكلياس بتكون lateral ومسئولة عن ال + +283 +00:23:33,980 --> 00:23:37,000 +proprioception او deep sensation وي find touch + +284 +00:23:37,000 --> 00:23:40,620 +from the upper half of the body فى شىء اسمه + +285 +00:23:40,620 --> 00:23:43,340 +inferior olivary نوكلياس مش ده اهمية كتير اللى + +286 +00:23:43,340 --> 00:23:46,570 +علاقة بال extrapyramidal functionفي inferior + +287 +00:23:46,570 --> 00:23:49,710 +salivary nucleus راح ناخدها مع اللي هو + +288 +00:23:49,710 --> 00:23:53,350 +glossopharyngeal nerve تعطينا parasympathetic + +289 +00:23:53,350 --> 00:23:58,110 +fibers لglossopharyngeal nerve مسئولة عن parotid + +290 +00:23:58,110 --> 00:24:01,330 +gland for production of saliva + +291 +00:24:03,910 --> 00:24:06,930 +في spinal descending nucleus of trigeminal nerve + +292 +00:24:06,930 --> 00:24:10,910 +هذه النوكياس اللي علاقة بالعصب الخامس مسئولة عن ال + +293 +00:24:10,910 --> 00:24:14,990 +pain و ال temperature sensation هي بتمر في ال pons + +294 +00:24:14,990 --> 00:24:18,410 +medulla oblongata و بتمر في ال upper part of + +295 +00:24:18,410 --> 00:24:24,240 +spinal cord من C1 ل C4 و C5في solitary nucleus + +296 +00:24:24,240 --> 00:24:28,560 +اللي علاقة بال sensation general and taste + +297 +00:24:28,560 --> 00:24:32,940 +sensation للعصب السابع والتاسع والعاشر ل facial + +298 +00:24:32,940 --> 00:24:36,940 +nerve وglossopharyngeal nerve وvegas nerve في + +299 +00:24:36,940 --> 00:24:40,940 +nucleus ambiogas هذي motor nucleus اللي علاقة + +300 +00:24:40,940 --> 00:24:44,800 +بالisomatic motor بتغدى ال skeletal muscles بتاعة + +301 +00:24:44,800 --> 00:24:49,480 +العصب اللي هو glossopharyngeal nerve وvegas nerve + +302 +00:24:49,480 --> 00:24:54,040 +وcranial axillary nerveفي Dorsal nucleus of vagus + +303 +00:24:54,040 --> 00:24:58,260 +nerve اللي علاقة بال parasympathetic function of + +304 +00:24:58,260 --> 00:25:01,880 +the vagus nerve it is the most important + +305 +00:25:01,880 --> 00:25:06,880 +parasympathetic nucleus in the body وhypoglossal + +306 +00:25:06,880 --> 00:25:10,720 +nucleus اللي علاقة بالhypoglossal nerve which + +307 +00:25:10,720 --> 00:25:16,200 +supply the internal and external muscle of the + +308 +00:25:16,200 --> 00:25:21,730 +tongue تعطي fibers للhypoglossal nerveوبيكون عندنا + +309 +00:25:21,730 --> 00:25:26,350 +موجودين اللي هم الـ Dorsal Nucleus أو Vegas، بيكون + +310 +00:25:26,350 --> 00:25:29,310 +موجودة الـ Ambiguous Nucleus اللي هي Motor Nucleus + +311 +00:25:29,310 --> 00:25:32,870 +وواضح عند هنا اللي هي الـ Nucleus هذه الطويلة، هذه + +312 +00:25:32,870 --> 00:25:36,330 +لها علاقة بيسموها الـ Principal Trigeminal Nucleus + +313 +00:25:36,330 --> 00:25:40,630 +أو اسم ثاني لها Descending Spinal Nucleusof + +314 +00:25:40,630 --> 00:25:43,390 +trigeminal nerve for pain and temperature + +315 +00:25:43,390 --> 00:25:47,210 +sensation بتمرش لاحظه في ال bones في الميدلاء + +316 +00:25:47,210 --> 00:25:52,570 +بلانجاتا وفي ال upper part of spinal cord في + +317 +00:25:52,570 --> 00:25:55,710 +nucleus solitaris أو solitary nucleus for + +318 +00:25:55,710 --> 00:25:59,450 +sensation general and taste sensation بتاعة العصب + +319 +00:25:59,450 --> 00:26:04,950 +اللي هو السابق facial تاسع glosopharyngeal وvegas + +320 +00:26:04,950 --> 00:26:09,140 +نيرب العاشرو فيها نوكلياس علاقة بالـ hypoglossal + +321 +00:26:09,140 --> 00:26:15,060 +nerve، نوكلياس ميديا و بتعطينا motor fibers which + +322 +00:26:15,060 --> 00:26:22,180 +supply the internal and external muscle of the + +323 +00:26:22,180 --> 00:26:22,620 +tongue + +324 +00:26:25,540 --> 00:26:28,940 +واضح هنا اللي هو ال corticospinal tract كيف بيعمل + +325 +00:26:28,940 --> 00:26:31,340 +ال crossing، ال left بيروح لل right و ال right + +326 +00:26:31,340 --> 00:26:33,740 +بيروح لل left، هنا بيكون ال crossing لإلهم ال + +327 +00:26:33,740 --> 00:26:37,480 +fibers، هذه ال media المنسكس اللي علاقة بال deep + +328 +00:26:37,480 --> 00:26:43,740 +sensation شرحناها في deep sensationالـ connect + +329 +00:26:43,740 --> 00:26:48,480 +نكلياس بتكون more lateral و مسئولة عن ال deep + +330 +00:26:48,480 --> 00:26:51,520 +sensation fine touch of the upper part of the body + +331 +00:26:51,520 --> 00:26:56,420 +اجرسيل نكلياس اللي علاقة بال deep sensation و ال + +332 +00:26:56,420 --> 00:27:00,400 +fine touch from the lower part of the body هذي + +333 +00:27:00,400 --> 00:27:06,380 +hypoglossal نكلياسهي ال pyramidal fibers بيعملوا + +334 +00:27:06,380 --> 00:27:09,280 +crossing على في ال lower part of ميدالا او + +335 +00:27:09,280 --> 00:27:11,940 +بلانجاتا ال left بيروح لل right و ال right بيروح + +336 +00:27:11,940 --> 00:27:16,160 +لل left و المكان هذا بيسميه بيسميه الهو pyramidal + +337 +00:27:16,160 --> 00:27:20,460 +decassation هاي الجرسيل media الهيكونيت lateral + +338 +00:27:20,460 --> 00:27:29,140 +okay هنا ال olivary nucleus ال nucleus ambigus و + +339 +00:27:29,140 --> 00:27:34,870 +كذالأ هان بكفي الآن اتبقى اليه في المحاضرة اللي هي + +340 +00:27:34,870 --> 00:27:37,750 +Anatomy and Physiology of the Pons Anatomy and + +341 +00:27:37,750 --> 00:27:41,770 +Physiology of the Medibrain يعطيكم الف عافية و + +342 +00:27:41,770 --> 00:27:45,090 +دمتم بخير هذا جزء الأول من المحاضرة + diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/SLAGdeHLE64.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/SLAGdeHLE64.srt new file mode 100644 index 0000000000000000000000000000000000000000..9f1225f8c74ce5af091512a1f01267c1a061eb5f --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/SLAGdeHLE64.srt @@ -0,0 +1,1075 @@ +1 +00:00:04,980 --> 00:00:08,800 +بسم الله الرحمن الرحيم جزء الثاني من محاضرة spinal + +2 +00:00:08,800 --> 00:00:14,620 +cord anatomy راح أتكلم أبدأ بال exit of the spinal + +3 +00:00:14,620 --> 00:00:18,800 +nerve root عشان نفهم الموضوع هله صح راح أرسملكم + +4 +00:00:18,800 --> 00:00:28,180 +هذه فيرتبرة هذه ايه فيرتبرة فيرتبرة one أو + +5 +00:00:28,180 --> 00:00:33,480 +c one c two c + +6 +00:00:33,480 --> 00:00:33,840 +three + +7 +00:00:37,610 --> 00:00:46,230 +C4 C5 C6 C7 + +8 +00:00:46,230 --> 00:00:56,130 +T1 + +9 +00:00:56,130 --> 00:01:00,010 +T2 + +10 +00:01:00,010 --> 00:01:02,050 +T3 + +11 +00:01:03,080 --> 00:01:07,540 +و هكذا هذا من ناحية ايش ال vertebra من ناحية ايه + +12 +00:01:07,540 --> 00:01:14,320 +ال vertebra الآن راح ارسم لكم باللون الأحمر ال + +13 +00:01:14,320 --> 00:01:20,000 +spinal nerve root من وان بيخرج هاي الأحمر C1 C1 + +14 +00:01:20,000 --> 00:01:29,100 +خرج من فوق C1 vertebra C2 من فوق C2 vertebra C3 من + +15 +00:01:29,100 --> 00:01:39,370 +فوق C3 vertebra C4 من فوق C4 ومن فوق C5 ومن فوق C6 + +16 +00:01:39,370 --> 00:01:52,530 +ومن فوق C7 ومن فوق C6 ومن فوق C7 T1 في الـ .. اه في + +17 +00:01:52,530 --> 00:02:01,530 +C كمان C eighth root من فوق T1 أو من تحت T7 هلأ + +18 +00:02:01,530 --> 00:02:09,030 +انقلبت الصورة T1 صار من تحت T1 vertebra T2 من تحت + +19 +00:02:09,030 --> 00:02:17,880 +T2 vertebra T3 من تحت T3 vertebra بعد الـ T1 صار + +20 +00:02:17,880 --> 00:02:24,900 +below من تحت ال vertebra بتاعته من C1 ل C7 above + +21 +00:02:24,900 --> 00:02:32,780 +من فوق ال vertebra من فوق ال vertebra يبقى ال + +22 +00:02:32,780 --> 00:02:37,740 +spinal nerve بخرج من ال intervertebral foramen منها + +23 +00:02:37,740 --> 00:02:45,160 +C1 بيخرج horizontally above C1 vertebra من C2 ل C7 + +24 +00:02:45,160 --> 00:02:55,500 +بيخرجوا من فوق ال vertebra C8 تخرج من فوق T1 أو من + +25 +00:02:55,500 --> 00:03:01,460 +تحت C7 vertebra هي C8 أما أقول من فوق T1 vertebra + +26 +00:03:01,460 --> 00:03:07,420 +أو من تحت C7 vertebra الثرورسيك واللومبر والساكرال + +27 +00:03:07,420 --> 00:03:12,800 +بيخرجوا من تحت الفرتبرة، من تحت الفرتبرة، اللور + +28 +00:03:12,800 --> 00:03:17,880 +لومبر تحت الألوان والساكرال والكوكسيزيا النار، + +29 +00:03:17,880 --> 00:03:24,750 +دلسنت بنزله vertically as a cauda equina بنزله مثل + +30 +00:03:24,750 --> 00:03:29,290 +حاجة اسمها cauda equina وبعد ذلك بخرجوا من تحت ال + +31 +00:03:29,290 --> 00:03:34,710 +vertebra بتاعتهم هذا هو ال exit of the spinal nerve + +32 +00:03:34,710 --> 00:03:41,690 +root زي ما احنا شايفين هنا لو لاحظنا C1 خرج من فوق + +33 +00:03:41,690 --> 00:03:47,470 +C1 C5 + +34 +00:03:47,470 --> 00:03:57,900 +root خرج من فوق C5 Vertebra لكن لو جينا ال T10 root + +35 +00:03:57,900 --> 00:04:04,300 +بخرج من تحت ال T10 Vertebra لو جينا ال T12 root + +36 +00:04:04,300 --> 00:04:07,980 +بخرج من تحت ال T12 Vertebra + +37 +00:04:11,370 --> 00:04:15,930 +و ال lower lumbar والساكرا اللي هن بيخرجوا من تحت + +38 +00:04:15,930 --> 00:04:19,810 +ال vertebra و بيكون اسمهم ايه cauda equina below + +39 +00:04:19,810 --> 00:04:25,490 +the termination of the spinal cord cauda equina هيك + +40 +00:04:25,490 --> 00:04:31,750 +أنا شرحتلكم ال exit of the spinal nerve root + +41 +00:04:36,170 --> 00:04:39,230 +في عندنا two enlargement اتفقنا أن ال spinal cord + +42 +00:04:39,230 --> 00:04:43,270 +حوالي one centimeter لكن له two enlargement ال two + +43 +00:04:43,270 --> 00:04:48,970 +enlargement واضحين هنا في الرسمة يدوي في عندنا + +44 +00:04:48,970 --> 00:04:54,980 +lumbar enlargement و الـ cervical enlargement هنا + +45 +00:04:54,980 --> 00:04:59,380 +ال spinal cord بيكون شوية ال diameter تبعه أكبر من + +46 +00:04:59,380 --> 00:05:03,640 +الأجزاء الثانية هاد ال enlargement two enlargement + +47 +00:05:03,640 --> 00:05:07,160 +فينا cervical enlargement و فينا lumbar + +48 +00:05:07,160 --> 00:05:10,580 +enlargement راح نتكلم عنهم cervical and lumbar + +49 +00:05:10,580 --> 00:05:20,320 +enlargement cervical enlargement هي عبارة عن C5 C6 + +50 +00:05:20,320 --> 00:05:29,480 +C7 C8 and D1 دي يعني دورسال أو T ثوراسيك نفس الشيء + +51 +00:05:29,480 --> 00:05:34,340 +دورسال أو ثوراسيك نفس الشيء هم عبارة عن C5 C6 C7 C8 + +52 +00:05:34,340 --> 00:05:38,420 +and D1 أو T1 segment of the spinal cord هذول ايش + +53 +00:05:38,420 --> 00:05:43,180 +بيكونوننا يا جماعة بيكونوننا أو بيعطونا ال origin + +54 +00:05:43,180 --> 00:05:48,430 +of brachial plexus الـ origin تبع مين؟ brachial + +55 +00:05:48,430 --> 00:05:52,890 +plexus اللي بيعمل supplying لمن؟ لل upper limbs + +56 +00:05:52,890 --> 00:05:57,230 +اللي بيعمل supplying لمن؟ لل upper limbs هذا اسمها + +57 +00:05:57,230 --> 00:06:03,530 +cervical enlargement في جزء ثاني اسمه lumbar + +58 +00:06:03,530 --> 00:06:07,990 +enlargement بيبدأ من ال one ال two ال three ال + +59 +00:06:07,990 --> 00:06:12,730 +four ال five and as one as two segments of the spinal + +60 +00:06:12,730 --> 00:06:17,720 +cord هدول بيعطونا ال branches أو ال origin لمين؟ للـ + +61 +00:06:17,720 --> 00:06:23,000 +lumbosacral plexus which supply the lower limbs + +62 +00:06:23,000 --> 00:06:27,440 +عشان هيك الأماكن هذه بيكون عليها load أكثر شيء + +63 +00:06:27,440 --> 00:06:30,340 +بتحرك في جسم الإنسان و أكثر شيء في عضلات ال upper + +64 +00:06:30,340 --> 00:06:33,120 +limbs و ال lower limbs و بتحرك و بدهم أعصاب كثيرة + +65 +00:06:33,120 --> 00:06:36,300 +عشان هيك بياخدوا من الأماكن ال spinal cord okay + +66 +00:06:36,300 --> 00:06:40,720 +بلزمهم ال neuron كثيرة في أماكن ال survival و ال + +67 +00:06:40,720 --> 00:06:44,720 +lumbar بيحدث لنا enlargement ال spinal cord عشان + +68 +00:06:44,720 --> 00:06:52,100 +يعطينا ال هو brachial plexus و lumbosacral plexus + +69 +00:06:52,100 --> 00:06:57,920 +for upper limbs و lower limbs هاي واضح هنا المكان + +70 +00:06:57,920 --> 00:07:00,460 +هذا فيه cervical enlargement في الـ spinal cord + +71 +00:07:00,460 --> 00:07:05,400 +تعطينا brachial plexus و تحت في ال spinal cord + +72 +00:07:05,400 --> 00:07:10,000 +فيه lumbar enlargement تعطينا lumbosacral plexus + +73 +00:07:10,000 --> 00:07:16,100 +للـ lower limbs ننتقل + +74 +00:07:16,100 --> 00:07:20,700 +الآن ل internal structure of the spinal cord + +75 +00:07:20,700 --> 00:07:24,740 +internal structure of the spinal cord في عندي + +76 +00:07:46,240 --> 00:07:52,700 +في عندي white matter هذه + +77 +00:07:52,700 --> 00:07:55,860 +white matter بتختلف عن ال brain بتكون more outer + +78 +00:07:55,860 --> 00:08:04,770 +وفي ال grey matter تمام؟ وفي عندنا اللي هي central + +79 +00:08:04,770 --> 00:08:08,550 +canal بتكون في الـ grey commissure هنا مش واضح كثير + +80 +00:08:08,550 --> 00:08:11,290 +هنا ال central canal متذكرين ال central canal هذا + +81 +00:08:11,290 --> 00:08:13,530 +بيفتح على الميدولا قبل ان يجاه وعلى ال fourth + +82 +00:08:13,530 --> 00:08:17,830 +ventricle وبيكون داخله CSF يبقى عندي في white + +83 +00:08:17,830 --> 00:08:20,790 +matter بتكون outer و grey matter بتكون inner ال grey + +84 +00:08:20,790 --> 00:08:25,010 +matter تشبه حرف ال H بالإنجليزي مثل حرف ال H تمام؟ + +85 +00:08:25,010 --> 00:08:28,030 +وفي عندنا commissure grey commissure هنا تربط ال + +86 +00:08:28,030 --> 00:08:30,570 +right مع ال left spinal cord في ال grey commissure + +87 +00:08:30,570 --> 00:08:43,020 +في Central Spinal Canal تقريباً 1 ملي متر نبدأ + +88 +00:08:43,020 --> 00:08:48,680 +بـ grey matter grey matter ليس عبارة عن شيء عبارة عن nerve + +89 +00:08:48,680 --> 00:08:53,320 +cells عبارة عن nerve cells تشبه حرف ال H حرف ال H + +90 +00:08:53,320 --> 00:08:59,760 +بتكون من anterior horn cells anterior horn cells + +91 +00:09:05,550 --> 00:09:08,670 +هذه الـ Anterior Horn Cells وظيفتهم Motor Function + +92 +00:09:08,670 --> 00:09:17,710 +Motor Function بتكون من ايه؟ posterior + +93 +00:09:17,710 --> 00:09:25,330 +horn cells Posterior horn cells ووظيفتهم ايه Sensory + +94 +00:09:25,330 --> 00:09:30,030 +right and left ووظيفتهم Sensory وفي lateral horn + +95 +00:09:30,030 --> 00:09:37,370 +cells بيكونوا هذول في ثوراسيك من T1 لحد L2 هذا + +96 +00:09:37,370 --> 00:09:43,150 +بيكون إضافة horn إضافة اسمه lateral horn cells + +97 +00:09:43,150 --> 00:09:50,890 +lateral horn cells هذه ووظيفتهم sympathetic function + +98 +00:09:50,890 --> 00:09:56,490 +يبقى أن عندي anterior horn cells ووظيفتهم motor + +99 +00:09:56,490 --> 00:10:01,130 +right and left في posterior horn cells right and + +100 +00:10:01,130 --> 00:10:07,230 +left ووظيفتهم sensory ومن T1 ل L2 في lateral horn + +101 +00:10:07,230 --> 00:10:11,390 +cells ووظيفتهم sympathetic راح اتكلم عنهم في محاضرة + +102 +00:10:11,390 --> 00:10:16,180 +autonomic nervous system وفي الناس في Central + +103 +00:10:16,180 --> 00:10:23,320 +Spinal Canal Central Spinal Canal Central Spinal + +104 +00:10:23,320 --> 00:10:28,320 +Canal بيكون فيه اللي هو CSF وفي عندي Grey + +105 +00:10:28,320 --> 00:10:37,040 +Commissure هذه Grey Commissure بتربط اللي هي Right + +106 +00:10:37,040 --> 00:10:40,440 +و Left part of the Spinal Cord + +107 +00:10:46,510 --> 00:10:51,710 +Anterior Horn Cells Left Anterior Horn Cells Right + +108 +00:10:51,710 --> 00:10:57,410 +واضافتها motor وفي posterior horn cells left + +109 +00:10:57,410 --> 00:11:02,670 +posterior horn cells right واضافتها sensory واتفقنا + +110 +00:11:02,670 --> 00:11:10,850 +من اللي هي T1 لحد ال two فيها يكون إضافة horn + +111 +00:11:10,850 --> 00:11:15,650 +lateral horn cells اللي علاقة بإيه؟ lateral horn + +112 +00:11:15,650 --> 00:11:21,510 +cells lateral horn cells واضافتها + +113 +00:11:21,510 --> 00:11:25,710 +إيه؟ واضافتها اللي هو autonomic function autonomic + +114 +00:11:25,710 --> 00:11:29,910 +function لمين؟ لل sympathetic nervous system بيكون + +115 +00:11:29,910 --> 00:11:40,350 +هنا horn إضافي اسمه lateral horn cells لاتيرال هورن + +116 +00:11:40,350 --> 00:11:44,470 +سيلز واضيفتوا ايه sympathetic function في النص + +117 +00:11:44,470 --> 00:11:48,910 +يكون عندنا اللي هي grey commissure grey commissure + +118 +00:11:48,910 --> 00:11:51,830 +بتلبط ال right و left part of the spinal cord وفي + +119 +00:11:51,830 --> 00:11:57,070 +داخلها بيكون عندي اللي هو central spinal canal + +120 +00:11:57,070 --> 00:12:04,550 +central spinal canal يكون فيه CSF اتكلم على ال + +121 +00:12:04,550 --> 00:12:09,130 +neurons الموجودة في ال grey matter في الـ grey في + +122 +00:12:09,130 --> 00:12:13,470 +اتفاقنا Sensory Neurons بيكونوا موجودين وين + +123 +00:12:13,470 --> 00:12:17,510 +Sensory Neurons؟ في الـ Posterior Horn Cells وفي + +124 +00:12:17,510 --> 00:12:22,750 +Motor Neurons بيكونوا موجودين وين؟ في الـ Anterior + +125 +00:12:22,750 --> 00:12:26,490 +Horn Cells الموتور بنقسمه ل Alpha Motor Neuron + +126 +00:12:26,490 --> 00:12:30,770 +و Gamma Motoneuron الـ Alpha Motoneuron اللي ملقا + +127 +00:12:30,770 --> 00:12:35,670 +بالـ Large Type A Alpha Motor Fibers واضافتها + +128 +00:12:35,670 --> 00:12:40,090 +stimulation of the muscle fibers و ال gamma + +129 +00:12:40,090 --> 00:12:45,710 +motoneuron اللي علاقة ب control of the muscle tone + +130 +00:12:45,710 --> 00:12:51,190 +عن طريق a smaller type of a gamma يبقى ال gamma + +131 +00:12:51,190 --> 00:12:56,630 +واضافتها control of muscle tone muscle tone و alpha + +132 +00:12:56,630 --> 00:13:01,110 +اللي علاقة ب stimulation of the muscle fibers بين ال + +133 +00:13:01,110 --> 00:13:05,370 +posterior horn و ال anterior horn في شيء اسمه + +134 +00:13:05,370 --> 00:13:08,710 +متذكرين ال reflex؟ شفناه؟ في حاجة اسمها inter + +135 +00:13:08,710 --> 00:13:14,070 +neurons inter neurons بينهم حاجة اسمها ايه؟ inter + +136 +00:13:14,070 --> 00:13:18,360 +neurons هذه ال inter neurons وظيفتها integrative + +137 +00:13:18,360 --> 00:13:22,400 +function وظيفتها reflex center يعني الإشارة بتيجي + +138 +00:13:22,400 --> 00:13:25,780 +من ال sensory للموتور على level spinal cord هذه + +139 +00:13:25,780 --> 00:13:30,880 +وظيفتها reflex center واتفقنا في عندنا autonomic + +140 +00:13:30,880 --> 00:13:35,480 +neurons اللي هي بتكون موجودة في ال spinal cord راح + +141 +00:13:35,480 --> 00:13:39,200 +أشرحهم ال autonomic neurons بالتفصيل في محاضرة + +142 +00:13:39,200 --> 00:13:42,540 +autonomic nervous system مش راح أتطرق لها اليوم + +143 +00:13:45,390 --> 00:13:50,130 +ننتقل ال white matter اتفقنا أن ال grey matter في + +144 +00:13:50,130 --> 00:13:52,490 +ال brain بتكون outer و ال white matter inner في ال + +145 +00:13:52,490 --> 00:13:57,050 +spinal cord العكس ال grey matter inner و ال white + +146 +00:13:57,050 --> 00:14:00,930 +matter outer ال white matter it surrounds the grey + +147 +00:14:00,930 --> 00:14:05,570 +matter بتكون حوالين ال grey matter and contains + +148 +00:14:05,570 --> 00:14:09,170 +ascending and descending tracts وداخلها بيمر + +149 +00:14:09,170 --> 00:14:12,710 +ascending tracts اللي هم sensory من ال spinal cord + +150 +00:14:12,710 --> 00:14:16,570 +لل brain أو العكس descending tracts اللي هم motor + +151 +00:14:16,570 --> 00:14:22,570 +أو efferent من ال brain ل ال spinal cord وبنقسمه + +152 +00:14:22,570 --> 00:14:29,710 +إلى three columns أو fasciculi anterior column و + +153 +00:14:29,710 --> 00:14:33,430 +lateral column و posterior column ال posterior + +154 +00:14:33,430 --> 00:14:37,890 +column ممكن نسميه dorsal column و anterior column + +155 +00:14:37,890 --> 00:14:42,230 +ممكن نسميه ventral column أكبر واحد فيهم اللي هو + +156 +00:14:42,230 --> 00:14:49,650 +lateral column نبدأ نشوف مع بعض هذه هي grey matter + +157 +00:14:59,450 --> 00:15:08,810 +هذه ايه grey matter هنا grey commissure تمام + +158 +00:15:08,810 --> 00:15:13,590 +هذه grey commissure هذا central spinal canal + +159 +00:15:16,720 --> 00:15:23,040 +هذه posterior horn cells sensory هذه anterior horn + +160 +00:15:23,040 --> 00:15:26,840 +cells motor هنا بتكون lateral horn cells اللي + +161 +00:15:26,840 --> 00:15:30,500 +علاقة بالـ autonomic function اللي هي ايه + +162 +00:15:30,500 --> 00:15:35,140 +sympathetic أكثر هنا هذه anterior horn cells و + +163 +00:15:35,140 --> 00:15:41,440 +posterior horn cells تمام هذا central spinal canal + +164 +00:15:44,320 --> 00:15:51,320 +هذه تعتبر grey matter الآن نرسم white matter لأن شوف ال + +165 +00:15:51,320 --> 00:15:54,120 +inter neurons اللي موجودة ال inter neurons هنا + +166 +00:15:54,120 --> 00:15:59,260 +بيكونوا وظيفتهم integrative function بيحاولوا + +167 +00:15:59,260 --> 00:16:03,820 +الإشارة من اللي هي ال posterior horn cells لل + +168 +00:16:03,820 --> 00:16:10,360 +anterior horn cells وظيفتهم reflex center نجي نقسم + +169 +00:16:10,360 --> 00:16:12,300 +ال white matter ل columns + +170 +00:16:20,370 --> 00:16:26,310 +اللي هو anterior + +171 +00:16:26,310 --> 00:16:31,610 +column + +172 +00:16:31,610 --> 00:16:34,850 +right + +173 +00:16:34,850 --> 00:16:40,550 +هاي + +174 +00:16:40,550 --> 00:16:46,430 +right وهنا left هذا right و + +175 +00:16:48,450 --> 00:16:54,870 +هذا left هذا آسف هذا anterior column + +176 +00:16:54,870 --> 00:17:10,610 +يعتبر left وهذا ايه right anterior column نرسم + +177 +00:17:10,610 --> 00:17:20,070 +هنا نفس الشيء هذه right right right وهنا عندي left + +178 +00:17:20,070 --> 00:17:30,310 +left left هنا left posterior + +179 +00:17:30,310 --> 00:17:38,610 +column right posterior column هنا بيمر ascending tracts + +180 +00:17:38,610 --> 00:17:43,450 +و هنا descending tracts egressory tracts بيكون + +181 +00:17:43,450 --> 00:17:46,150 +more medial و commissural tracts بيكون more lateral + +182 +00:17:46,150 --> 00:17:50,230 +لدي ال deep sensation شرحناهم في ال brain stem و + +183 +00:17:50,230 --> 00:17:54,230 +هنا عندي lateral + +184 +00:17:54,230 --> 00:18:00,510 +column + +185 +00:18:00,510 --> 00:18:12,000 +هذا left lateral column و هنا ايه right lateral + +186 +00:18:12,000 --> 00:18:23,420 +column أنا + +187 +00:18:23,420 --> 00:18:26,080 +على سبيل المثال بيمر فيه اللي هو lateral + +188 +00:18:26,080 --> 00:18:31,180 +corticospinal tract للموتور و lateral + +189 +00:18:31,180 --> 00:18:35,680 +spinothalamic tract للشعور بالضغط والشعور بالحرارة + +190 +00:18:35,680 --> 00:18:39,620 +راح أشرحهم في محاضراتهم + +201 +00:19:15,210 --> 00:19:17,290 +column والـ anterior والـ posterior وهذا يعتبر + +202 +00:19:17,290 --> 00:19:32,650 +white matter white matter هنا + +203 +00:19:32,650 --> 00:19:32,950 +عندي + +204 +00:19:37,390 --> 00:19:41,250 +بوستيريور كولوم بوستيريور ميديان فشار لحد الـ exit + +205 +00:19:41,250 --> 00:19:49,270 +of الـ posterior root posterior median fissure لحد الـ exit + +206 +00:19:49,270 --> 00:19:52,370 +of الـ posterior median fissure لحد الـ exit of الـ posterior + +207 +00:19:52,370 --> 00:19:54,790 +median fissure لحد الـ exit of الـ posterior median fissure + +208 +00:19:54,790 --> 00:19:55,710 +لحد الـ exit of الـ posterior median fissure لحد الـ exit + +209 +00:19:55,710 --> 00:20:02,750 +of الـ posterior median fissure لحد الـ exit of الـ posterior + +210 +00:20:02,750 --> 00:20:05,290 +median + +211 +00:20:05,940 --> 00:20:11,680 +lateral column نفس الشيء على الجهة المقابلة على الـ + +212 +00:20:11,680 --> 00:20:21,360 +right side نفس الشيء راح يكون classification + +213 +00:20:21,360 --> 00:20:28,520 +of tracts the tracts divided into short tract و + +214 +00:20:28,520 --> 00:20:33,800 +long tract short tract اسمها associative and + +215 +00:20:33,800 --> 00:20:38,320 +commissural tract. They begin and end in the spinal + +216 +00:20:38,320 --> 00:20:42,100 +cord، الـ commissural tract بربط الـ right مع الـ + +217 +00:20:42,100 --> 00:20:45,660 +left، والـ associative tract بربط الـ adjacent + +218 +00:20:45,660 --> 00:20:52,600 +area C1 مع C2، C3، C4 يعني، they are found closely + +219 +00:20:52,600 --> 00:20:57,040 +in the gray matter و they are associative in + +220 +00:20:57,040 --> 00:21:01,750 +function. Long tract Long tract بسميهم projection + +221 +00:21:01,750 --> 00:21:07,150 +tract اما بيكونوا ascending tract صاعد أو بنسميهم + +222 +00:21:07,150 --> 00:21:12,480 +afferent tract أو sensory tract تمام؟ مثل lateral + +223 +00:21:12,480 --> 00:21:16,740 +spinothalamic بدأ من spinal cord و روح لتلمس أو + +224 +00:21:16,740 --> 00:21:20,700 +بيكونوا descending tract هابط أو بنسموهم efferent + +225 +00:21:20,700 --> 00:21:24,760 +أو motor مثل corticospinal tract lateral + +226 +00:21:24,760 --> 00:21:29,280 +corticospinal tract جامل الـ cortex و نازل لوين؟ للـ + +227 +00:21:29,280 --> 00:21:34,300 +spinal cord آخر جزئية في المحاضرة هي blood supply + +228 +00:21:34,300 --> 00:21:40,060 +of the spinal cord في عندي anterior spinal artery + +229 +00:21:40,060 --> 00:21:44,920 +one و two posterior spinal arteries right and left + +230 +00:21:44,920 --> 00:21:47,480 +الـ anterior spinal artery أخذناها في الأسبوع + +231 +00:21:47,480 --> 00:21:51,240 +السابق في محاضرة blood supply of the brain الـ + +232 +00:21:51,240 --> 00:21:54,660 +origin from the right and left vertebral artery + +233 +00:21:54,660 --> 00:21:58,480 +أولا بيخرجوا اتنين وبيكونونها single anterior + +234 +00:21:58,480 --> 00:22:02,800 +spinal artery مع إن واحد لكن زعيم supply the + +235 +00:22:02,800 --> 00:22:08,060 +anterior and lateral column of spinal cord بيغدين + +236 +00:22:08,060 --> 00:22:11,980 +الـ anterior horn والـ lateral horn cells يعني + +237 +00:22:11,980 --> 00:22:14,820 +بيغدي ثلثين الـ spinal cord بيغدي الـ anterior horn + +238 +00:22:14,820 --> 00:22:18,420 +والـ lateral horn وبيغدي الـ anterior column والـ + +239 +00:22:18,420 --> 00:22:22,630 +lateral column of spinal cord. It is the longest + +240 +00:22:22,630 --> 00:22:27,170 +artery in the body، أطول شريان، حوالي تقريبا طوله + +241 +00:22:27,170 --> 00:22:32,810 +خمسة وأربعين سنتي، خمسة وأربعين سنتيمتر ينتقل إلى + +242 +00:22:32,810 --> 00:22:36,410 +الـ two spinal arteries two spinal arteries في + +243 +00:22:36,410 --> 00:22:39,930 +right and left نفس الشيء الـ origin بيخرجوا من الـ + +244 +00:22:39,930 --> 00:22:44,230 +vertebral artery وبيغدو الـ posterior horn and + +245 +00:22:44,230 --> 00:22:49,710 +posterior column of spinal cord ومن الجناب مع الـ + +246 +00:22:49,710 --> 00:22:53,290 +root مع الـ root بيجيونا radicular arteries right + +247 +00:22:53,290 --> 00:22:56,630 +radicular artery and left radicular artery مع كل + +248 +00:22:56,630 --> 00:23:02,220 +إيه root. خلينا anterior spinal arteries خرجوا اتنين + +249 +00:23:02,220 --> 00:23:05,580 +واتحدوا مع بعض وعطونا single anterior spinal + +250 +00:23:05,580 --> 00:23:10,780 +artery وفي عندي two posterior spinal arteries اللي + +251 +00:23:10,780 --> 00:23:17,220 +هما left posterior spinal artery و right posterior + +252 +00:23:17,220 --> 00:23:22,000 +spinal artery وهنا single anterior spinal artery + +253 +00:23:22,000 --> 00:23:24,600 +single anterior spinal artery + +254 +00:23:32,990 --> 00:23:42,870 +هنا واضح عندي اللي هو anterior spinal artery هنا + +255 +00:23:42,870 --> 00:23:47,810 +واضح two posterior + +256 +00:23:47,810 --> 00:23:53,490 +spinal artery left posterior spinal artery و right + +257 +00:23:55,770 --> 00:24:01,050 +ومن كل جانب مع الـ route بيجيونا إيه Radicular + +258 +00:24:01,050 --> 00:24:06,990 +artery left Radicular artery + +259 +00:24:06,990 --> 00:24:15,290 +وهنا right Radicular artery + +260 +00:24:30,890 --> 00:24:35,530 +هي عندي radicular artery من جسم إلى posterior + +261 +00:24:35,530 --> 00:24:40,530 +radicular و anterior radicular هذا anterior spinal + +262 +00:24:40,530 --> 00:24:48,590 +artery وهنا بيكون عندي اللي هم right posterior + +263 +00:24:48,590 --> 00:24:54,310 +spinal artery و left posterior spinal artery هذا + +264 +00:24:54,310 --> 00:24:55,170 +radicular + +265 +00:24:57,840 --> 00:25:04,620 +artery من قسم له posterior radicular artery و + +266 +00:25:04,620 --> 00:25:10,920 +anterior radicular + +267 +00:25:10,920 --> 00:25:14,900 +artery وع + +268 +00:25:14,900 --> 00:25:15,880 +الجهة الثانية نفس الشيء + +269 +00:25:24,890 --> 00:25:33,230 +وملاحظين إن الـ anterior spinal artery supply two + +270 +00:25:33,230 --> 00:25:38,730 +-thirds of spinal cord supply إيه؟ anterior horn + +271 +00:25:38,730 --> 00:25:44,610 +cells, lateral horn cells, anterior column و + +272 +00:25:44,610 --> 00:25:49,780 +lateral column أما الـ posterior spinal arteries + +273 +00:25:49,780 --> 00:25:55,580 +اتنين بيغضوا only posterior horn cells and + +274 +00:25:55,580 --> 00:26:00,960 +posterior column of spinal cord يعني الـ anterior + +275 +00:26:00,960 --> 00:26:06,170 +spinal artery مع إنه واحد لكن بيغضي two thirds of + +276 +00:26:06,170 --> 00:26:11,490 +the spinal cord أما الـ two posterior spinal + +277 +00:26:11,490 --> 00:26:17,270 +arteries بيغدوا one third of a spinal cord وهيك + +278 +00:26:17,270 --> 00:26:22,010 +بيكون وصلنا لنهاية محاضرة anatomy of the spinal + +279 +00:26:22,010 --> 00:26:26,310 +cord يعطيكم العافية ودومتم بألف خير diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/SLAGdeHLE64_postprocess.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/SLAGdeHLE64_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..1e64f903850ef55a5fff1bc36c80a9f5579ac272 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/SLAGdeHLE64_postprocess.srt @@ -0,0 +1,1116 @@ +1 +00:00:04,980 --> 00:00:08,800 +بسم الله الرحمن الرحيم جزء الثاني من محاضرة spinal + +2 +00:00:08,800 --> 00:00:14,620 +cord anatomy راح أتكلم أبدأ بال exit of spinal + +3 +00:00:14,620 --> 00:00:18,800 +nerve root عشان نفهم الموضوع هله صح راح أرسملكم + +4 +00:00:18,800 --> 00:00:28,180 +هذه فيرتبرة هذه ايه فيرتبرة فيرتبرة one او + +5 +00:00:28,180 --> 00:00:33,480 +c one c two c + +6 +00:00:33,480 --> 00:00:33,840 +three + +7 +00:00:37,610 --> 00:00:46,230 +C4 C5 C6 C7 + +8 +00:00:46,230 --> 00:00:56,130 +T1 + +9 +00:00:56,130 --> 00:01:00,010 +T2 + +10 +00:01:00,010 --> 00:01:02,050 +T3 + +11 +00:01:03,080 --> 00:01:07,540 +و هكذا هذا من ناحية ايش ال vertebra من ناحية ايه + +12 +00:01:07,540 --> 00:01:14,320 +ال vertebra الان راح ارسم لكم باللون الأحمر ال + +13 +00:01:14,320 --> 00:01:20,000 +spinal nerve root من وان بيخرج هاي الأحمر C1 C1 + +14 +00:01:20,000 --> 00:01:29,100 +خرج من فوق C1 vertebra C2 من فوق C2 vertebra C3 من + +15 +00:01:29,100 --> 00:01:39,370 +فوق C3 vertebra C4من فوق C4 ومن فوق C5 ومن فوق C6 + +16 +00:01:39,370 --> 00:01:52,530 +ومن فوق C7 ومن فوق C6 ومن فوق C7T1 في الـ .. اه في + +17 +00:01:52,530 --> 00:02:01,530 +C كمان C eighth root من فوق T1 او من تحت T7 هلأ + +18 +00:02:01,530 --> 00:02:09,030 +انجلبت الصورة T1 صار من تحت T1 vertibra T2 من تحت + +19 +00:02:09,030 --> 00:02:17,880 +T2 vertibra T3 من تحت T3 vertibra بعد الـ T1صار + +20 +00:02:17,880 --> 00:02:24,900 +below من تحت ال vertebra بتاعته من C1 ل C7 above + +21 +00:02:24,900 --> 00:02:32,780 +من فوق ال vertebra من فوق ال vertebra يبقى ال + +22 +00:02:32,780 --> 00:02:37,740 +spinal nerve بخرج من ال inter vertebral فورا منها + +23 +00:02:37,740 --> 00:02:45,160 +C1 بيخرج horizontal above C1 vertebra من C2 ل C7 + +24 +00:02:45,160 --> 00:02:55,500 +بخرجوامن فوق ال vertebra C8 تخرج من فوق T1 او من + +25 +00:02:55,500 --> 00:03:01,460 +تحت C7 vertebra هي C8 اما اقول من فوق T1 vertebra + +26 +00:03:01,460 --> 00:03:07,420 +او من تحت C7 vertebraالثروسك واللمبر والساكرال + +27 +00:03:07,420 --> 00:03:12,800 +بيخرجوا من تحت الفرتبرة، من تحت الفرتبرة، اللور + +28 +00:03:12,800 --> 00:03:17,880 +لمبر تحت الألوان والساكرال والكوكسيزيا النار، + +29 +00:03:17,880 --> 00:03:24,750 +دلسنت بنزله vertical asas a cauda equina بنزله مثل + +30 +00:03:24,750 --> 00:03:29,290 +حاجة اسمها cauda equina وبعد ذلك بخرجوا من تحت ال + +31 +00:03:29,290 --> 00:03:34,710 +vertebra بتاعتهم هذا هو ال exit of spinal nerve + +32 +00:03:34,710 --> 00:03:41,690 +root زي ما احنا شايفين هنا لو لاحظنا C1 خرج من فوق + +33 +00:03:41,690 --> 00:03:47,470 +C1 C5 + +34 +00:03:47,470 --> 00:03:57,900 +rootخرج من فوق C5 Vertebra لكن لو جينا ال T10 root + +35 +00:03:57,900 --> 00:04:04,300 +بخرج من تحت ال T10 Vertebra لو جينا ال T12 root + +36 +00:04:04,300 --> 00:04:07,980 +بخرج من تحت ال T12 Vertebra + +37 +00:04:11,370 --> 00:04:15,930 +و ال lower lumbar والساقرا اللي هان بيخرجوا من تحت + +38 +00:04:15,930 --> 00:04:19,810 +ال vertebra و بيكون اسمهم ايه cauda equina below + +39 +00:04:19,810 --> 00:04:25,490 +the termination of spinal cord cauda equina هيك + +40 +00:04:25,490 --> 00:04:31,750 +انا شرحتلكم ال exit of spinal nerve root + +41 +00:04:36,170 --> 00:04:39,230 +في عندنا two enlargement اتفجنا ان ال spinal cord + +42 +00:04:39,230 --> 00:04:43,270 +حوالي one centimeter لكن له two enlargement ال two + +43 +00:04:43,270 --> 00:04:48,970 +enlargement واضحين هنا في الرسمة يدوي في عندنا + +44 +00:04:48,970 --> 00:04:54,980 +lumber enlargementو الـ cervical enlargement هان + +45 +00:04:54,980 --> 00:04:59,380 +ال spinal cord بيكون شوية ال diameter تبعه أكبر من + +46 +00:04:59,380 --> 00:05:03,640 +الأجزاء الثانية هاد ال enlargement two enlargement + +47 +00:05:03,640 --> 00:05:07,160 +فينا cervical enlargement و فينا lumbar + +48 +00:05:07,160 --> 00:05:10,580 +enlargement راح نتكلم عنهم cervical and lumbar + +49 +00:05:10,580 --> 00:05:20,320 +enlargement cervical enlargementهي عبارة عن C5 C6 + +50 +00:05:20,320 --> 00:05:29,480 +C7 C8 and D1 دي يعني دورسل او T ثراثك نفس الشيء + +51 +00:05:29,480 --> 00:05:34,340 +دورسل او ثراثك نفس الشيء هم عبارة عن C5 C6 C7 C8 + +52 +00:05:34,340 --> 00:05:38,420 +and D1 او T1 segment of spinal cord هذول ايش + +53 +00:05:38,420 --> 00:05:43,180 +بيكونوننا يا جماعة بيكونوننا او بيعطونا ال origin + +54 +00:05:43,180 --> 00:05:48,430 +ofبراكيال إبليكساس الـ origin تبع مين؟ براكيال + +55 +00:05:48,430 --> 00:05:52,890 +إبليكساس اللي بيعمل supplying لمن؟ لل upper limbs + +56 +00:05:52,890 --> 00:05:57,230 +اللي بيعمل supplying لمن؟ لل upper limbs هذا اسمها + +57 +00:05:57,230 --> 00:06:03,530 +cervical enlargementفي جزء ثاني اسمه lumber + +58 +00:06:03,530 --> 00:06:07,990 +enlargement بيبدأ من ال one ال two ال three ال + +59 +00:06:07,990 --> 00:06:12,730 +four ال five and as one as two segments of spinal + +60 +00:06:12,730 --> 00:06:17,720 +cord هدول بيعطونا ال branches أو ال origin لمينللـ + +61 +00:06:17,720 --> 00:06:23,000 +Lumbosacral Plexus which supply the lower limbs + +62 +00:06:23,000 --> 00:06:27,440 +عشان هيك الأماكن هذه بيكون عليهم load أكتر شي + +63 +00:06:27,440 --> 00:06:30,340 +بتحرك في جسم الإنسان و أكتر شي في عضلات ال upper + +64 +00:06:30,340 --> 00:06:33,120 +limbs و ال lower limbs و بتحرك و بدهم عصاب كتيرة + +65 +00:06:33,120 --> 00:06:36,300 +عشان هيك بياخدوا من الأماكن ال spinal cord okay + +66 +00:06:36,300 --> 00:06:40,720 +بلزمهم ال neuronكثير في أماكن ال survival و ال + +67 +00:06:40,720 --> 00:06:44,720 +lumber بيحدث لنا enlargement ال spinal cord عشان + +68 +00:06:44,720 --> 00:06:52,100 +يعطينا ال هو brachial plexus و lumbosacral plexus + +69 +00:06:52,100 --> 00:06:57,920 +for upper limbs و lower limbs هاي واضح هناالمكان + +70 +00:06:57,920 --> 00:07:00,460 +هذا فيه cervical enlargement في الـ spinal cord + +71 +00:07:00,460 --> 00:07:05,400 +تعطينا break الابليكساص و تحت في ال spinal cord + +72 +00:07:05,400 --> 00:07:10,000 +فيه lumbar enlargement تعطينا lumbosacral ablixus + +73 +00:07:10,000 --> 00:07:16,100 +للـ lower limbs بنتجل + +74 +00:07:16,100 --> 00:07:20,700 +الآن ل internal structure of the spinal cord + +75 +00:07:20,700 --> 00:07:24,740 +internal structure of the spinal cord في عندي + +76 +00:07:46,240 --> 00:07:52,700 +في عندى white matter هدى + +77 +00:07:52,700 --> 00:07:55,860 +white matter بتختلف عن ال brain بتكون more outer + +78 +00:07:55,860 --> 00:08:04,770 +وفي ال grey matterتمام؟ وفي عندنا اللي هي central + +79 +00:08:04,770 --> 00:08:08,550 +canal بتكون في الـ gray commissar هنا مش واضح كتير + +80 +00:08:08,550 --> 00:08:11,290 +هنا ال central canal متذكرين ال central canal هذا + +81 +00:08:11,290 --> 00:08:13,530 +بيفتح على الميدالة قبل ان جاته وعلى ال fourth + +82 +00:08:13,530 --> 00:08:17,830 +ventricle وبيكون داخله CSF يبقى عندى في white + +83 +00:08:17,830 --> 00:08:20,790 +motor بتكون outer و gray motor بتكون inner ال gray + +84 +00:08:20,790 --> 00:08:25,010 +motor بتشبه حرف ال H بالإنجليزي مثل حرف ال H تمام؟ + +85 +00:08:25,010 --> 00:08:28,030 +وفي عندنا commissar gray commissar هان تربط ال + +86 +00:08:28,030 --> 00:08:30,570 +right مع ال left spinal cord في ال gray commissar + +87 +00:08:30,570 --> 00:08:43,020 +فيCentral Spinal Canal تقريباً 1 ملي متر نبدأ + +88 +00:08:43,020 --> 00:08:48,680 +بـ Grammar Grammar ليس عبارة عن شيء عبارة عن nerve + +89 +00:08:48,680 --> 00:08:53,320 +cells عبارة عن nerve cells بشبه حرف ال H حرف ال H + +90 +00:08:53,320 --> 00:08:59,760 +بتكون من anterior horn cells anterior horn cells + +91 +00:09:05,550 --> 00:09:08,670 +هذه الـ Anterior Horn Cells وظيفتهم Motor Function + +92 +00:09:08,670 --> 00:09:17,710 +Motor Function بتكون من ايه؟ بستيريور + +93 +00:09:17,710 --> 00:09:25,330 +هورن سيلزPosterior horn cells ووظفتهم ايه Sensory + +94 +00:09:25,330 --> 00:09:30,030 +right and left ووظفتهم Sensory وفي lateral horn + +95 +00:09:30,030 --> 00:09:37,370 +cells بيكونوا هذول في ثروسك من L1 من T1 لحد L2 هذا + +96 +00:09:37,370 --> 00:09:43,150 +بيكون اضافة horn اضافة اسمه lateral horn cells + +97 +00:09:43,150 --> 00:09:50,890 +lateral horn cellsهذه وضفتهم sympathetic function + +98 +00:09:50,890 --> 00:09:56,490 +يبقى ان عندي anterior horn cells وضفتهم motor + +99 +00:09:56,490 --> 00:10:01,130 +right and left في posterior horn cells right and + +100 +00:10:01,130 --> 00:10:07,230 +left وضفتهم sensory ومن T1 ل L2 في lateral horn + +101 +00:10:07,230 --> 00:10:11,390 +cells وضفتهم sympathetic راح اتكلم عنهم في محاضرة + +102 +00:10:11,390 --> 00:10:16,180 +autonomic nervous systemو في الناس في Central + +103 +00:10:16,180 --> 00:10:23,320 +Spinal Canal Central Spinal Canal Central Spinal + +104 +00:10:23,320 --> 00:10:28,320 +Canal بيكون فيه اللي هو CSF و في عندي Gray + +105 +00:10:28,320 --> 00:10:37,040 +Commission هذي Gray Commission بتربط اللي هي Right + +106 +00:10:37,040 --> 00:10:40,440 +و Left part of Spinal Cord + +107 +00:10:46,510 --> 00:10:51,710 +Anterior Horn Cells Left Anterior Horn Cells Right + +108 +00:10:51,710 --> 00:10:57,410 +واضفتها motor وفي posterior horn cells left + +109 +00:10:57,410 --> 00:11:02,670 +posterior horn cells right واضفتها sensory واتفجنا + +110 +00:11:02,670 --> 00:11:10,850 +من اللي هي T1 لحد ال two فيها نكونإضافي horn + +111 +00:11:10,850 --> 00:11:15,650 +lateral horn cells اللي علاقة بإيه؟ lateral horn + +112 +00:11:15,650 --> 00:11:21,510 +cells lateral horn cells واضيفته + +113 +00:11:21,510 --> 00:11:25,710 +إيه؟ واضيفته اللي هو autonomic function autonomic + +114 +00:11:25,710 --> 00:11:29,910 +function لمين؟ لل sympathetic nervous system بيكون + +115 +00:11:29,910 --> 00:11:40,350 +هنا horn إضافي اسمه lateral horn cellsلاترال هورن + +116 +00:11:40,350 --> 00:11:44,470 +سيلز واضيفتوا ايه sympathetic function في النص + +117 +00:11:44,470 --> 00:11:48,910 +يكون عندنا اللي هي gray commissure gray commissure + +118 +00:11:48,910 --> 00:11:51,830 +بتلبط ال right و left part of spinal cord و في + +119 +00:11:51,830 --> 00:11:57,070 +داخلها بيكون عندى اللي هو central spinal canal + +120 +00:11:57,070 --> 00:12:04,550 +central spinal canal يكون فيه CSF اتكلم على ال + +121 +00:12:04,550 --> 00:12:09,130 +neurons الموجودة في ال gray مطارفي الـ Grammar في + +122 +00:12:09,130 --> 00:12:13,470 +اتفاقنا Sensory Neurons بيكونوا موجودين وين + +123 +00:12:13,470 --> 00:12:17,510 +Sensory Neurons؟ في الـ Posterior Horn Cells وفي + +124 +00:12:17,510 --> 00:12:22,750 +Motor Neurons بيكونوا موجودين وين؟ في الـ Anterior + +125 +00:12:22,750 --> 00:12:26,490 +Horn Cells الموتور بنقسمه لAlpha Motor Neuron + +126 +00:12:26,490 --> 00:12:30,770 +وGamma Motoneuron الـ Alpha Motoneuron اللي ملقا + +127 +00:12:30,770 --> 00:12:35,670 +بالـ Large Type A Alphaموتور فايبرز واضفتهم + +128 +00:12:35,670 --> 00:12:40,090 +stimulation of the muscle fibers والـ gamma + +129 +00:12:40,090 --> 00:12:45,710 +motoneuron اللي علاقة بcontrol of the muscle tone + +130 +00:12:45,710 --> 00:12:51,190 +عن طريق a smaller type of a gamma يبقى ال gamma + +131 +00:12:51,190 --> 00:12:56,630 +واضفتها control of muscle tonemuscle tone و alpha + +132 +00:12:56,630 --> 00:13:01,110 +اللي علاقة ب stimulation of muscle fibers بين ال + +133 +00:13:01,110 --> 00:13:05,370 +posterior horn و ال anterior horn في شيء اسمه + +134 +00:13:05,370 --> 00:13:08,710 +متذكرين ال reflex؟ شوفناه؟ في حاجة اسمها inter + +135 +00:13:08,710 --> 00:13:14,070 +neurons inter neurons بينهم حاجة اسمها ايه؟ inter + +136 +00:13:14,070 --> 00:13:18,360 +neurons هذه ال inter neuronsوظيفتها integrative + +137 +00:13:18,360 --> 00:13:22,400 +function وظيفتها reflex center يعني الإشارة بتيجي + +138 +00:13:22,400 --> 00:13:25,780 +من ال sensory للموتر على level spinal cord هذه + +139 +00:13:25,780 --> 00:13:30,880 +وظيفتها reflex center واتفاجنا في عندنا autonomic + +140 +00:13:30,880 --> 00:13:35,480 +neurons اللي هي بتكون موجودة في ال spinal cord راح + +141 +00:13:35,480 --> 00:13:39,200 +أشرحهم ال autonomic neurons بالتفصيل في محاضرة + +142 +00:13:39,200 --> 00:13:42,540 +autonomic nervous system مش راح أتطرق لها اليوم + +143 +00:13:45,390 --> 00:13:50,130 +بنتجل ال white matter اتفقنا ان ال grey matter في + +144 +00:13:50,130 --> 00:13:52,490 +ال brain بتكون outer و ال white matter inner في ال + +145 +00:13:52,490 --> 00:13:57,050 +spinal cord العكس ال grey matter inner و ال white + +146 +00:13:57,050 --> 00:14:00,930 +matter outer ال white matter it surround the grey + +147 +00:14:00,930 --> 00:14:05,570 +matter بتكون حوالين ال grey matterand contains + +148 +00:14:05,570 --> 00:14:09,170 +ascending and descending tract وداخلها بيمر + +149 +00:14:09,170 --> 00:14:12,710 +ascending tract اللي هم sensory من ال spinal cord + +150 +00:14:12,710 --> 00:14:16,570 +لال brain أو العكس descending tract اللي هم motor + +151 +00:14:16,570 --> 00:14:22,570 +او efferent من ال brain ل ال spinal cord وبنقسمه + +152 +00:14:22,570 --> 00:14:29,710 +إلى three columns او fascicula anterior columnو + +153 +00:14:29,710 --> 00:14:33,430 +lateral column و posterior column ال posterior + +154 +00:14:33,430 --> 00:14:37,890 +column ممكن نسميه dorsal column و anterior column + +155 +00:14:37,890 --> 00:14:42,230 +ممكن نسميه ventral column أكبر واحد فيهم اللي هو + +156 +00:14:42,230 --> 00:14:49,650 +lateral column نبدأ نشوف مع بعض هذه هي grey matter + +157 +00:14:59,450 --> 00:15:08,810 +هذه إيه gray مطار هنا gray commissar تمام + +158 +00:15:08,810 --> 00:15:13,590 +هذه gray commissar هذا central spinal canal + +159 +00:15:16,720 --> 00:15:23,040 +هذه posterior horn cells sensory هذه anterior horn + +160 +00:15:23,040 --> 00:15:26,840 +cells motor هنا بتكون lateral horn cells اللي + +161 +00:15:26,840 --> 00:15:30,500 +علاقة بالـ autonomic function اللي هي ايه + +162 +00:15:30,500 --> 00:15:35,140 +sympathetic اكتر هنا هذه anterior horn cells و + +163 +00:15:35,140 --> 00:15:41,440 +posterior horn cells تمام هذا central spinal canal + +164 +00:15:44,320 --> 00:15:51,320 +هذه تعتبر gray مطر الان نرسم white مطر لان شوف ال + +165 +00:15:51,320 --> 00:15:54,120 +inter neurons اللي موجودة ال inter neurons هنا + +166 +00:15:54,120 --> 00:15:59,260 +بيكونوا وضفتهم integrative function بيحاولوا + +167 +00:15:59,260 --> 00:16:03,820 +الإشارة من اللي هي ال posterior horn cells لل + +168 +00:16:03,820 --> 00:16:10,360 +anterior horn cells وضفتهم reflex center نجي نقسم + +169 +00:16:10,360 --> 00:16:12,300 +ال white مطر ل column + +170 +00:16:20,370 --> 00:16:26,310 +اللي هو anterior + +171 +00:16:26,310 --> 00:16:31,610 +column + +172 +00:16:31,610 --> 00:16:34,850 +right + +173 +00:16:34,850 --> 00:16:40,550 +هاي + +174 +00:16:40,550 --> 00:16:46,430 +right وهنا left هذا right و + +175 +00:16:48,450 --> 00:16:54,870 +هذا left هذا أسف هذا anterior column + +176 +00:16:54,870 --> 00:17:10,610 +يعتبر lift وهذا ايه right anterior column نرسم + +177 +00:17:10,610 --> 00:17:20,070 +هنا نفس الشيءهذه right right right وهنا عندي left + +178 +00:17:20,070 --> 00:17:30,310 +left left هنا left posterior + +179 +00:17:30,310 --> 00:17:38,610 +column right posterior column هنا بمر إجراء السيل + +180 +00:17:38,610 --> 00:17:43,450 +attract وهنا connect attractEgressory tract بيكون + +181 +00:17:43,450 --> 00:17:46,150 +more medial و connective tract بيكون more lateral + +182 +00:17:46,150 --> 00:17:50,230 +لدى ال deep sensation شرحناهم في ال brain stem و + +183 +00:17:50,230 --> 00:17:54,230 +هنا عندي lateral + +184 +00:17:54,230 --> 00:18:00,510 +column + +185 +00:18:00,510 --> 00:18:12,000 +هذا left lateral column و هنا ايه rightlateral + +186 +00:18:12,000 --> 00:18:23,420 +column انا + +187 +00:18:23,420 --> 00:18:26,080 +على سبيل المثال بمورفيه اللي هو lateral + +188 +00:18:26,080 --> 00:18:31,180 +corticospinal tract للموتور و lateral + +189 +00:18:31,180 --> 00:18:35,680 +spinothalamic tract للشعور بالضغط والشعور بالحرارة + +190 +00:18:35,680 --> 00:18:39,620 +راح اشرحهم في محاضراتهم يبقى هنا انا بتكلم على + +191 +00:18:39,620 --> 00:18:43,080 +right sideوهنا بتتكلم عن الـ left يبقى ان هذا + +192 +00:18:43,080 --> 00:18:48,320 +lateral column وهنا anterior أو ventral column + +193 +00:18:48,320 --> 00:18:51,880 +وهنا posterior من وين بيبدأ ال posterior column من + +194 +00:18:51,880 --> 00:18:55,300 +ال posterior median fissure لما كان ال exit of + +195 +00:18:55,300 --> 00:18:58,520 +posterior root تمام ال anterior column من ال + +196 +00:18:58,520 --> 00:19:00,920 +anterior median fissure لما كان ال exit of + +197 +00:19:00,920 --> 00:19:04,360 +anterior root طب ال lateral column بيبدأ من مكان + +198 +00:19:04,360 --> 00:19:08,050 +exit of posterior rootو ال exit of anterior root + +199 +00:19:08,050 --> 00:19:10,730 +يبقى ال anterior root و ال posterior root ال exit + +200 +00:19:10,730 --> 00:19:15,210 +تبعهم بينهم بيكون هذا lateral column ال lateral + +201 +00:19:15,210 --> 00:19:17,290 +column و ال anterior و ال posterior و هذا يعتبر + +202 +00:19:17,290 --> 00:19:32,650 +white matter white matter هنا + +203 +00:19:32,650 --> 00:19:32,950 +عندي + +204 +00:19:37,390 --> 00:19:41,250 +بوستيريور كولوم بوستيريور ميديان فشار لحد ال exit + +205 +00:19:41,250 --> 00:19:49,270 +of بوستيريور روت بوستيريور ميديان فشار لحد ال exit + +206 +00:19:49,270 --> 00:19:52,370 +of بوستيريور ميديان فشار لحد ال exit of بوستيريور + +207 +00:19:52,370 --> 00:19:54,790 +ميديان فشار لحد ال exit of بوستيريور ميديان فشار + +208 +00:19:54,790 --> 00:19:55,710 +لحد ال exit of بوستيريور ميديان فشار لحد ال exit + +209 +00:19:55,710 --> 00:20:02,750 +of بوستيريور ميديان فشار لحد ال exit of بوستيريور + +210 +00:20:02,750 --> 00:20:05,290 +ميدي + +211 +00:20:05,940 --> 00:20:11,680 +lateral column نفس الشيء على الجهة المقابلة على ال + +212 +00:20:11,680 --> 00:20:21,360 +right side نفس الشيء راح يكون classification + +213 +00:20:21,360 --> 00:20:28,520 +of attracts the attracts divide into short tract و + +214 +00:20:28,520 --> 00:20:33,800 +long tract short tract اسمها associative and + +215 +00:20:33,800 --> 00:20:38,320 +commissary tractthe begins and ends in the spinal + +216 +00:20:38,320 --> 00:20:42,100 +cord، ال commissural tract بربطه ال right مع ال + +217 +00:20:42,100 --> 00:20:45,660 +left، وال associative tract بربطه ال adjustment + +218 +00:20:45,660 --> 00:20:52,600 +area C1 مع C2، C3، C4 يعني، they are found closely + +219 +00:20:52,600 --> 00:20:57,040 +in the gray matter و they are associative in + +220 +00:20:57,040 --> 00:21:01,750 +functionلونج تراكت لونج تراكت بسميهم projection + +221 +00:21:01,750 --> 00:21:07,150 +tract اما بيكونوا ascending tract صعيد او بنسميهم + +222 +00:21:07,150 --> 00:21:12,480 +afferent tract او sensory tractتمام؟ مثل lateral + +223 +00:21:12,480 --> 00:21:16,740 +spinothalamic بدأ من spinal cord و روح لتلمس أو + +224 +00:21:16,740 --> 00:21:20,700 +بيكونوا descending tract هابط او بنسموهم efferent + +225 +00:21:20,700 --> 00:21:24,760 +او motor مثل corticospinal tract lateral + +226 +00:21:24,760 --> 00:21:29,280 +corticospinal tract جامل ال cortex و نازل لوين؟ لل + +227 +00:21:29,280 --> 00:21:34,300 +spinal cord اخر جزئية في المحاضرة هي blood supply + +228 +00:21:34,300 --> 00:21:40,060 +of the spinal cordفي عندى anterior spinal artery + +229 +00:21:40,060 --> 00:21:44,920 +one و two posterior spinal arteries right and left + +230 +00:21:44,920 --> 00:21:47,480 +ال anterior spinal artery أخدناها في الأسبوع + +231 +00:21:47,480 --> 00:21:51,240 +السابق في محاضرة blood supply of the brain ال + +232 +00:21:51,240 --> 00:21:54,660 +origin from the right and left vertebral artery + +233 +00:21:54,660 --> 00:21:58,480 +أولا بيخرجوا اتنين و بيكونونها single anterior + +234 +00:21:58,480 --> 00:22:02,800 +spinal arteryمع ان واحد لكن زعيم supply the + +235 +00:22:02,800 --> 00:22:08,060 +anterior and lateral column of spinal cord بيغدين + +236 +00:22:08,060 --> 00:22:11,980 +ال anterior horn و ال lateral horn cells يعني + +237 +00:22:11,980 --> 00:22:14,820 +بيغدي ثلثين ال spinal cord بيغدي ال anterior horn + +238 +00:22:14,820 --> 00:22:18,420 +و ال lateral horn و بيغدي ال anterior column و ال + +239 +00:22:18,420 --> 00:22:22,630 +lateral column of spinal cordit is the longest + +240 +00:22:22,630 --> 00:22:27,170 +artery in the body، أطول شريان، حوالي تقريبا طوله + +241 +00:22:27,170 --> 00:22:32,810 +خمسة وأربعين سانتي، خمسة وأربعين سانتيننتقل الى + +242 +00:22:32,810 --> 00:22:36,410 +الـ two spinal arteries two spinal arteries في + +243 +00:22:36,410 --> 00:22:39,930 +right and left نفس الشيء ال origin بيخرجوا من ال + +244 +00:22:39,930 --> 00:22:44,230 +vertabra الارتري و بيغدو ال posterior horn and + +245 +00:22:44,230 --> 00:22:49,710 +posterior column of spinal cord و من الجناب مع ال + +246 +00:22:49,710 --> 00:22:53,290 +root مع ال root بيجيونا radicular arteries right + +247 +00:22:53,290 --> 00:22:56,630 +radicular artery and left radicular artery مع كل + +248 +00:22:56,630 --> 00:23:02,220 +ايه root خيانةanterior spinal arteries خرجوا اتنين + +249 +00:23:02,220 --> 00:23:05,580 +واتحدوا مع بعض وعطونا single anterior spinal + +250 +00:23:05,580 --> 00:23:10,780 +artery وفي عندي two posterior spinal arteries اللي + +251 +00:23:10,780 --> 00:23:17,220 +هما left posterior spinal artery و right posterior + +252 +00:23:17,220 --> 00:23:22,000 +spinal artery وهنا single anterior spinal artery + +253 +00:23:22,000 --> 00:23:24,600 +single anterior spinal artery + +254 +00:23:32,990 --> 00:23:42,870 +هنا واضح عندي اللي هو anterior spinal artery هنا + +255 +00:23:42,870 --> 00:23:47,810 +واضح two posterior + +256 +00:23:47,810 --> 00:23:53,490 +spinal artery left posterior spinal artery و right + +257 +00:23:55,770 --> 00:24:01,050 +و من كل جانب مع ال route بيجيونا ايه Radicular + +258 +00:24:01,050 --> 00:24:06,990 +artery left Radicular artery + +259 +00:24:06,990 --> 00:24:15,290 +و هنا right Radicular artery + +260 +00:24:30,890 --> 00:24:35,530 +هي عندى radicular artery من جسم الى posterior + +261 +00:24:35,530 --> 00:24:40,530 +radicular و anterior radicular هذا anterior spinal + +262 +00:24:40,530 --> 00:24:48,590 +artery وهنا بيكون عندى اللي هم right posterior + +263 +00:24:48,590 --> 00:24:54,310 +spinal artery و left posterior spinal artery هذا + +264 +00:24:54,310 --> 00:24:55,170 +radicular + +265 +00:24:57,840 --> 00:25:04,620 +artery من قسم له posterior radicular artery و + +266 +00:25:04,620 --> 00:25:10,920 +anterior radicular + +267 +00:25:10,920 --> 00:25:14,900 +artery وع + +268 +00:25:14,900 --> 00:25:15,880 +الجهة التانية نفس الشيء + +269 +00:25:24,890 --> 00:25:33,230 +و ملاحظين ان الـ anterior spinal artery supply two + +270 +00:25:33,230 --> 00:25:38,730 +-third of spinal cord supply ايه؟ anterior horn + +271 +00:25:38,730 --> 00:25:44,610 +cells, lateral horn cells, anterior column و + +272 +00:25:44,610 --> 00:25:49,780 +lateral column أما ال posteriorSpinal arteries + +273 +00:25:49,780 --> 00:25:55,580 +اتنين بيغضوا only posterior horn cells and + +274 +00:25:55,580 --> 00:26:00,960 +posterior column of spinal cord يعني الـ anterior + +275 +00:26:00,960 --> 00:26:06,170 +spinal artery مع أنه واحد لكن بيغضيtwo thirds of + +276 +00:26:06,170 --> 00:26:11,490 +the spinal cord أما ال two posterior spinal + +277 +00:26:11,490 --> 00:26:17,270 +arteries بيغدوا one third of a spinal cord وهيك + +278 +00:26:17,270 --> 00:26:22,010 +بيكونوصلنا لنهاية محاضرة anatomy of the spinal + +279 +00:26:22,010 --> 00:26:26,310 +cord يعطيكم العافية و دومتم بألف خير + diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/SLAGdeHLE64_raw.json b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/SLAGdeHLE64_raw.json new file mode 100644 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والساكرال والكوكسيزيا النار، دلسنت بنزله vertical as", "tokens": [6027, 12984, 32887, 3794, 4117, 16070, 19528, 26890, 16070, 3794, 995, 37983, 6027, 4724, 1829, 34740, 7435, 14407, 9154, 6055, 33753, 27188, 43500, 3555, 25720, 12399, 9154, 6055, 33753, 27188, 43500, 3555, 25720, 12399, 13672, 2407, 2288, 32767, 26890, 6055, 33753, 16247, 1211, 2407, 7649, 16070, 3794, 995, 37983, 6027, 16070, 4117, 2407, 4117, 3794, 1829, 11622, 25528, 2423, 8315, 2288, 12399, 11778, 1211, 3794, 29399, 44945, 11622, 43761, 9429, 382], "avg_logprob": -0.4051649276581075, "compression_ratio": 1.7777777777777777, "no_speech_prob": 0.0, "words": [{"start": 184.78, "end": 185.78, "word": "الثروسك", "probability": 0.644970703125}, {"start": 185.78, "end": 186.76, "word": " واللمبر", "probability": 0.6866861979166666}, {"start": 186.76, "end": 187.42, "word": " والساكرال", "probability": 0.76806640625}, {"start": 187.42, "end": 188.58, "word": " بيخرجوا", "probability": 0.8314453125}, {"start": 188.58, "end": 188.74, "word": " من", "probability": 0.96826171875}, {"start": 188.74, "end": 189.62, "word": " تحت", "probability": 0.966064453125}, {"start": 189.62, "end": 190.2, "word": " الفرتبرة،", "probability": 0.556640625}, {"start": 190.2, "end": 190.28, "word": " من", "probability": 0.5361328125}, {"start": 190.28, "end": 190.68, "word": " تحت", "probability": 0.98681640625}, {"start": 190.68, "end": 192.4, "word": " الفرتبرة،", "probability": 0.84345703125}, {"start": 192.4, "end": 192.8, "word": " اللور", "probability": 0.472412109375}, {"start": 192.8, "end": 193.26, "word": " لمبر", "probability": 0.724609375}, {"start": 193.26, "end": 194.04, "word": " تحت", "probability": 0.98291015625}, {"start": 194.04, "end": 195.2, "word": " الألوان", "probability": 0.8883056640625}, {"start": 195.2, "end": 196.46, "word": " والساكرال", "probability": 0.9265625}, {"start": 196.46, "end": 197.18, "word": " والكوكسيزيا", "probability": 0.80047607421875}, {"start": 197.18, "end": 197.88, "word": " النار،", "probability": 0.394256591796875}, {"start": 197.88, "end": 198.34, "word": " دلسنت", "probability": 0.4542236328125}, {"start": 198.34, "end": 198.78, "word": " بنزله", "probability": 0.8097330729166666}, {"start": 198.78, "end": 199.26, "word": " vertical", "probability": 0.26171875}, {"start": 199.26, "end": 200.42, "word": " as", "probability": 0.744140625}], "temperature": 1.0}, {"id": 9, "seek": 22781, "start": 201.03, "end": 227.81, "text": "as a cauda equina بنزله مثل حاجة اسمها cauda equina وبعد ذلك بخرجوا من تحت ال vertebra بتاعتهم هذا هو ال exit of spinal nerve root زي ما احنا شايفين هنا لو لاحظنا C1 خرج من فوق C1 C5 root", "tokens": [296, 257, 1335, 11152, 1267, 1426, 4724, 1863, 11622, 43761, 50113, 1211, 11331, 26108, 3660, 24525, 2304, 11296, 1335, 11152, 1267, 1426, 46599, 22488, 29910, 23275, 4724, 34740, 7435, 14407, 9154, 6055, 33753, 2423, 16167, 6198, 39894, 995, 34268, 16095, 23758, 31439, 2423, 11043, 295, 28022, 16355, 5593, 30767, 1829, 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{"start": 212.21, "end": 212.55, "word": " exit", "probability": 0.896484375}, {"start": 212.55, "end": 213.05, "word": " of", "probability": 0.90576171875}, {"start": 213.05, "end": 213.81, "word": " spinal", "probability": 0.90283203125}, {"start": 213.81, "end": 214.71, "word": " nerve", "probability": 0.9521484375}, {"start": 214.71, "end": 215.21, "word": " root", "probability": 0.623046875}, {"start": 215.21, "end": 216.15, "word": " زي", "probability": 0.64208984375}, {"start": 216.15, "end": 216.27, "word": " ما", "probability": 0.52978515625}, {"start": 216.27, "end": 216.39, "word": " احنا", "probability": 0.8458658854166666}, {"start": 216.39, "end": 216.85, "word": " شايفين", "probability": 0.986572265625}, {"start": 216.85, "end": 217.47, "word": " هنا", "probability": 0.7568359375}, {"start": 217.47, "end": 217.65, "word": " لو", "probability": 0.98779296875}, {"start": 217.65, "end": 218.13, "word": " لاحظنا", "probability": 0.96337890625}, {"start": 218.13, "end": 219.25, "word": " C1", "probability": 0.702880859375}, {"start": 219.25, "end": 219.91, "word": " خرج", "probability": 0.922119140625}, {"start": 219.91, "end": 220.15, "word": " من", "probability": 0.990234375}, {"start": 220.15, "end": 221.69, "word": " فوق", "probability": 0.9189453125}, {"start": 221.69, "end": 222.87, "word": " C1", "probability": 0.97021484375}, {"start": 222.87, "end": 227.47, "word": " C5", "probability": 0.808837890625}, {"start": 227.47, "end": 227.81, "word": " root", "probability": 0.77490234375}], "temperature": 1.0}, {"id": 10, "seek": 24798, "start": 229.16, "end": 247.98, "text": "خرج من فوق C5 Vertebra لكن لو جينا ال T10 root بخرج من تحت ال T10 Vertebra لو جينا ال T12 root بخرج من تحت ال T12 Vertebra", "tokens": [34740, 7435, 9154, 6156, 30543, 383, 20, 21044, 68, 6198, 44381, 45164, 10874, 1829, 8315, 2423, 314, 3279, 5593, 4724, 34740, 7435, 9154, 6055, 33753, 2423, 314, 3279, 21044, 68, 6198, 45164, 10874, 1829, 8315, 2423, 314, 4762, 5593, 4724, 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بخرج", "probability": 0.9573567708333334}, {"start": 245.12, "end": 245.3, "word": " من", "probability": 0.99267578125}, {"start": 245.3, "end": 245.68, "word": " تحت", "probability": 0.98779296875}, {"start": 245.68, "end": 246.34, "word": " ال", "probability": 0.6484375}, {"start": 246.34, "end": 247.0, "word": " T12", "probability": 0.983154296875}, {"start": 247.0, "end": 247.98, "word": " Vertebra", "probability": 0.8424479166666666}], "temperature": 1.0}, {"id": 11, "seek": 27175, "start": 251.37, "end": 271.75, "text": "و ال lower lumbar والساقرا اللي هان بيخرجوا من تحت ال vertebra و بيكون اسمهم ايه cauda equina below the termination of spinal cord cauda equina هيك انا شرحتلكم ال exit of spinal nerve root", "tokens": [2407, 2423, 2295, 260, 287, 2860, 289, 16070, 3794, 995, 4587, 23557, 13672, 1829, 8032, 7649, 4724, 1829, 34740, 7435, 14407, 9154, 6055, 33753, 2423, 16167, 6198, 4032, 4724, 1829, 30544, 24525, 2304, 16095, 1975, 1829, 3224, 1335, 11152, 1267, 1426, 2507, 264, 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{"start": 255.71, "end": 255.93, "word": " تحت", "probability": 0.984130859375}, {"start": 255.93, "end": 256.05, "word": " ال", "probability": 0.85693359375}, {"start": 256.05, "end": 256.47, "word": " vertebra", "probability": 0.7122802734375}, {"start": 256.47, "end": 256.59, "word": " و", "probability": 0.71142578125}, {"start": 256.59, "end": 256.87, "word": " بيكون", "probability": 0.845703125}, {"start": 256.87, "end": 257.31, "word": " اسمهم", "probability": 0.8889973958333334}, {"start": 257.31, "end": 257.71, "word": " ايه", "probability": 0.77978515625}, {"start": 257.71, "end": 258.61, "word": " cauda", "probability": 0.523956298828125}, {"start": 258.61, "end": 259.31, "word": " equina", "probability": 0.916748046875}, {"start": 259.31, "end": 259.81, "word": " below", "probability": 0.464111328125}, {"start": 259.81, "end": 260.23, "word": " the", "probability": 0.8427734375}, {"start": 260.23, "end": 261.41, "word": " termination", "probability": 0.9462890625}, {"start": 261.41, "end": 261.67, "word": " of", "probability": 0.9775390625}, {"start": 261.67, "end": 262.07, "word": " spinal", "probability": 0.89013671875}, {"start": 262.07, "end": 262.49, "word": " cord", "probability": 0.935546875}, {"start": 262.49, "end": 262.91, "word": " cauda", "probability": 0.687744140625}, {"start": 262.91, "end": 263.49, "word": " equina", "probability": 0.969970703125}, {"start": 263.49, "end": 265.49, "word": " هيك", "probability": 0.4698486328125}, {"start": 265.49, "end": 265.75, "word": " انا", "probability": 0.812744140625}, {"start": 265.75, "end": 267.25, "word": " شرحتلكم", "probability": 0.91328125}, {"start": 267.25, "end": 268.33, "word": " ال", "probability": 0.93115234375}, {"start": 268.33, "end": 268.67, "word": " exit", "probability": 0.94677734375}, {"start": 268.67, "end": 269.33, "word": " of", "probability": 0.9677734375}, {"start": 269.33, "end": 270.39, "word": " spinal", "probability": 0.9423828125}, {"start": 270.39, "end": 271.29, 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546.89, "word": " Cells", "probability": 0.7744140625}, {"start": 546.89, "end": 547.51, "word": " وظيفتهم", "probability": 0.938671875}, {"start": 547.51, "end": 547.99, "word": " Motor", "probability": 0.68212890625}, {"start": 547.99, "end": 548.67, "word": " Function", "probability": 0.770263671875}, {"start": 548.67, "end": 549.27, "word": " Motor", "probability": 0.2430419921875}, {"start": 549.27, "end": 550.05, "word": " Function", "probability": 0.938720703125}, {"start": 550.05, "end": 550.87, "word": " بتكون", "probability": 0.685302734375}, {"start": 550.87, "end": 551.17, "word": " من", "probability": 0.6142578125}, {"start": 551.17, "end": 553.97, "word": " ايه؟", "probability": 0.71759033203125}, {"start": 553.97, "end": 557.71, "word": " بستيريور", "probability": 0.6442626953125}, {"start": 557.71, "end": 558.79, "word": " هورن", "probability": 0.9091796875}, {"start": 558.79, "end": 559.75, "word": " سيلز", "probability": 0.810546875}], "temperature": 1.0}, {"id": 24, "seek": 58585, "start": 561.13, "end": 585.85, "text": "Posterior horn cells ووظفتهم ايه Sensory right and left ووظفتهم Sensory وفي lateral horn cells بيكونوا هذول في ثروسك من L1 من T1 لحد L2 هذا بيكون اضافة horn اضافة اسمه lateral horn cells lateral horn cells", "tokens": [47, 7096, 1973, 13482, 5438, 4032, 2407, 19913, 5172, 2655, 16095, 1975, 1829, 3224, 40926, 827, 558, 293, 1411, 4032, 2407, 19913, 5172, 2655, 16095, 40926, 827, 4032, 41185, 25128, 13482, 5438, 4724, 1829, 30544, 14407, 8032, 8848, 12610, 8978, 38637, 32887, 3794, 4117, 9154, 441, 16, 9154, 314, 16, 5296, 24401, 441, 17, 23758, 4724, 1829, 30544, 1975, 11242, 31845, 3660, 13482, 1975, 11242, 31845, 3660, 24525, 2304, 3224, 25128, 13482, 5438, 25128, 13482, 5438], "avg_logprob": -0.27191557667472144, "compression_ratio": 1.6094674556213018, "no_speech_prob": 0.0, "words": [{"start": 561.13, "end": 561.99, "word": "Posterior", "probability": 0.8113606770833334}, {"start": 561.99, "end": 562.39, "word": " horn", 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"probability": 0.86572265625}, {"start": 570.03, "end": 570.37, "word": " cells", "probability": 0.845703125}, {"start": 570.37, "end": 570.87, "word": " بيكونوا", "probability": 0.916259765625}, {"start": 570.87, "end": 571.21, "word": " هذول", "probability": 0.77685546875}, {"start": 571.21, "end": 571.67, "word": " في", "probability": 0.266845703125}, {"start": 571.67, "end": 572.35, "word": " ثروسك", "probability": 0.71820068359375}, {"start": 572.35, "end": 573.07, "word": " من", "probability": 0.8466796875}, {"start": 573.07, "end": 573.75, "word": " L1", "probability": 0.675537109375}, {"start": 573.75, "end": 574.59, "word": " من", "probability": 0.8740234375}, {"start": 574.59, "end": 575.13, "word": " T1", "probability": 0.969970703125}, {"start": 575.13, "end": 575.91, "word": " لحد", "probability": 0.971923828125}, {"start": 575.91, "end": 576.69, "word": " L2", "probability": 0.95751953125}, {"start": 576.69, "end": 577.37, "word": " هذا", "probability": 0.60009765625}, 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Horn Cells Left Anterior Horn Cells Right واضفتها motor وفي posterior horn cells left posterior horn cells right واضفتها sensory واتفجنا من اللي هي T1 لحد ال two فيها نكون", "tokens": [7828, 10872, 31792, 383, 13677, 16405, 1107, 10872, 31792, 383, 13677, 1779, 4032, 46958, 5172, 2655, 11296, 5932, 4032, 41185, 33529, 13482, 5438, 1411, 33529, 13482, 5438, 558, 4032, 46958, 5172, 2655, 11296, 27233, 4032, 9307, 5172, 7435, 8315, 9154, 13672, 1829, 39896, 314, 16, 5296, 24401, 2423, 732, 8978, 11296, 8717, 30544], "avg_logprob": -0.35619213790805254, "compression_ratio": 1.5202702702702702, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 646.51, "end": 647.23, "word": "Anterior", "probability": 0.537261962890625}, {"start": 647.23, "end": 647.81, "word": " Horn", "probability": 0.291748046875}, {"start": 647.81, "end": 648.17, "word": " Cells", "probability": 0.714599609375}, {"start": 648.17, "end": 648.57, "word": " Left", "probability": 0.276611328125}, {"start": 648.57, 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و", "probability": 0.56787109375}, {"start": 1087.71, "end": 1087.93, "word": " هنا", "probability": 0.86181640625}, {"start": 1087.93, "end": 1088.67, "word": " ايه", "probability": 0.7954915364583334}, {"start": 1088.67, "end": 1089.91, "word": " right", "probability": 0.68701171875}], "temperature": 1.0}, {"id": 44, "seek": 112030, "start": 1091.24, "end": 1120.3, "text": "lateral column انا على سبيل المثال بمورفيه اللي هو lateral corticospinal tract للموتور و lateral spinothalamic tract للشعور بالضغط والشعور بالحرارة راح اشرحهم في محاضراتهم يبقى هنا انا بتكلم على right side", "tokens": [75, 17274, 7738, 1975, 8315, 15844, 8608, 21292, 1211, 9673, 12984, 6027, 4724, 2304, 13063, 41185, 3224, 13672, 1829, 31439, 25128, 11278, 299, 2763, 2071, 24207, 5296, 19528, 35473, 13063, 4032, 25128, 6060, 900, 304, 20726, 24207, 24976, 8592, 3615, 13063, 20666, 11242, 17082, 9566, 16070, 8592, 3615, 13063, 20666, 5016, 2288, 9640, 3660, 12602, 39319, 1975, 46309, 5016, 16095, 8978, 3714, 5016, 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"seek": 114574, "start": 1121.58, "end": 1145.74, "text": "وهنا بتتكلم عن الـ left يبقى ان هذا lateral column وهنا anterior أو ventral column وهنا posterior من وين بيبدأ ال posterior column من ال posterior median fissure لما كان ال exit of posterior root تمام ال anterior column من ال anterior median fissure لما كان ال exit of anterior root طب ال lateral column بيبدأ من مكان exit of posterior root", "tokens": [2407, 3224, 8315, 39894, 2655, 4117, 19528, 18871, 2423, 39184, 1411, 7251, 3555, 4587, 7578, 16472, 23758, 25128, 7738, 4032, 3224, 8315, 22272, 34051, 6931, 2155, 7738, 4032, 3224, 8315, 33529, 9154, 4032, 9957, 4724, 1829, 44510, 10721, 2423, 33529, 7738, 9154, 2423, 33529, 26779, 283, 891, 540, 5296, 15042, 25961, 2423, 11043, 295, 33529, 5593, 46811, 10943, 2423, 22272, 7738, 9154, 2423, 22272, 26779, 283, 891, 540, 5296, 15042, 25961, 2423, 11043, 295, 22272, 5593, 23032, 3555, 2423, 25128, 7738, 4724, 1829, 44510, 10721, 9154, 3714, 41361, 11043, 295, 33529, 5593], 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" root", "probability": 0.677734375}, {"start": 1136.04, "end": 1136.64, "word": " تمام", "probability": 0.66845703125}, {"start": 1136.64, "end": 1137.08, "word": " ال", "probability": 0.890625}, {"start": 1137.08, "end": 1137.46, "word": " anterior", "probability": 0.5380859375}, {"start": 1137.46, "end": 1137.88, "word": " column", "probability": 0.92333984375}, {"start": 1137.88, "end": 1138.38, "word": " من", "probability": 0.97265625}, {"start": 1138.38, "end": 1138.52, "word": " ال", "probability": 0.97705078125}, {"start": 1138.52, "end": 1138.9, "word": " anterior", "probability": 0.7890625}, {"start": 1138.9, "end": 1139.14, "word": " median", "probability": 0.96630859375}, {"start": 1139.14, "end": 1139.56, "word": " fissure", "probability": 0.966796875}, {"start": 1139.56, "end": 1140.12, "word": " لما", "probability": 0.938720703125}, {"start": 1140.12, "end": 1140.3, "word": " كان", "probability": 0.994140625}, {"start": 1140.3, "end": 1140.46, "word": " ال", 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lateral", "probability": 0.9267578125}, {"start": 1155.21, "end": 1155.63, "word": " column", "probability": 0.90185546875}, {"start": 1155.63, "end": 1155.77, "word": " و", "probability": 0.921875}, {"start": 1155.77, "end": 1155.87, "word": " ال", "probability": 0.96142578125}, {"start": 1155.87, "end": 1156.29, "word": " anterior", "probability": 0.71337890625}, {"start": 1156.29, "end": 1156.39, "word": " و", "probability": 0.39111328125}, {"start": 1156.39, "end": 1156.45, "word": " ال", "probability": 0.84619140625}, {"start": 1156.45, "end": 1156.73, "word": " posterior", "probability": 0.82470703125}, {"start": 1156.73, "end": 1156.83, "word": " و", "probability": 0.294677734375}, {"start": 1156.83, "end": 1156.95, "word": " هذا", "probability": 0.4453125}, {"start": 1156.95, "end": 1157.29, "word": " يعتبر", "probability": 0.9344075520833334}, {"start": 1157.29, "end": 1158.61, "word": " white", "probability": 0.34130859375}, {"start": 1158.61, "end": 1159.13, "word": " 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"start": 1351.97, "end": 1378.59, "text": "ننتقل الى الـ two spinal arteries two spinal arteries في right and left نفس الشيء ال origin بيخرجوا من ال vertabra الارتري و بيغدو ال posterior horn and posterior column of spinal cord و من الجناب مع ال root مع ال root بيجيونا radicular arteries right radicular artery and left radicular artery مع كل ايه root خيانة", "tokens": [1863, 29399, 4587, 1211, 2423, 7578, 2423, 39184, 732, 28022, 44801, 732, 28022, 44801, 8978, 558, 293, 1411, 8717, 36178, 25124, 1829, 38207, 2423, 4957, 4724, 1829, 34740, 7435, 14407, 9154, 2423, 6509, 455, 424, 2423, 9640, 2655, 16572, 4032, 4724, 1829, 17082, 3215, 2407, 2423, 33529, 13482, 293, 33529, 7738, 295, 28022, 12250, 4032, 9154, 25724, 8315, 3555, 20449, 2423, 5593, 20449, 2423, 5593, 4724, 1829, 7435, 1829, 2407, 8315, 2843, 14646, 44801, 558, 2843, 14646, 38520, 293, 1411, 2843, 14646, 38520, 20449, 28242, 1975, 1829, 3224, 5593, 16490, 1829, 7649, 3660], "avg_logprob": -0.24999999746363213, 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واتحدوا مع بعض وعطونا single anterior spinal artery وفي عندي two posterior spinal arteries اللي هما left posterior spinal artery و right posterior spinal artery وهنا single anterior spinal artery single anterior spinal artery", "tokens": [282, 10872, 28022, 44801, 16490, 47341, 14407, 1975, 2655, 1863, 9957, 4032, 9307, 24401, 14407, 20449, 45030, 11242, 4032, 3615, 9566, 2407, 8315, 2167, 22272, 28022, 38520, 4032, 41185, 18871, 16254, 732, 33529, 28022, 44801, 13672, 1829, 8032, 15042, 1411, 33529, 28022, 38520, 4032, 558, 33529, 28022, 38520, 37037, 8315, 2167, 22272, 28022, 38520, 2167, 22272, 28022, 38520], "avg_logprob": -0.20683262408789943, "compression_ratio": 2.1310344827586207, "no_speech_prob": 0.0, "words": [{"start": 1380.26, "end": 1380.74, "word": "anterior", "probability": 0.5204315185546875}, {"start": 1380.74, "end": 1381.04, "word": " spinal", "probability": 0.845703125}, {"start": 1381.04, "end": 1381.4, "word": " arteries", "probability": 0.853515625}, {"start": 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{"id": 57, "seek": 143349, "start": 1412.99, "end": 1433.49, "text": "هنا واضح عندي اللي هو anterior spinal artery هنا واضح two posterior spinal artery left posterior spinal artery و right", "tokens": [3224, 8315, 4032, 46958, 5016, 18871, 16254, 13672, 1829, 31439, 22272, 28022, 38520, 34105, 4032, 46958, 5016, 732, 33529, 28022, 38520, 1411, 33529, 28022, 38520, 4032, 558], "avg_logprob": -0.3836495557001659, "compression_ratio": 1.5212765957446808, "no_speech_prob": 0.0, "words": [{"start": 1412.99, "end": 1413.33, "word": "هنا", "probability": 0.6051025390625}, {"start": 1413.33, "end": 1413.61, "word": " واضح", "probability": 0.9235026041666666}, {"start": 1413.61, "end": 1413.97, "word": " عندي", "probability": 0.578125}, {"start": 1413.97, "end": 1415.69, "word": " اللي", "probability": 0.5303955078125}, {"start": 1415.69, "end": 1416.15, "word": " هو", "probability": 0.978515625}, {"start": 1416.15, "end": 1418.35, "word": " anterior", "probability": 0.279052734375}, {"start": 1418.35, "end": 1418.81, "word": " spinal", "probability": 0.8798828125}, {"start": 1418.81, "end": 1419.39, "word": " artery", "probability": 0.96142578125}, {"start": 1419.39, "end": 1422.87, "word": " هنا", "probability": 0.18896484375}, {"start": 1422.87, "end": 1424.19, "word": " واضح", "probability": 0.9861653645833334}, {"start": 1424.19, "end": 1424.65, "word": " two", "probability": 0.638671875}, {"start": 1424.65, "end": 1427.81, "word": " posterior", "probability": 0.89208984375}, {"start": 1427.81, "end": 1428.47, "word": " spinal", "probability": 0.8583984375}, {"start": 1428.47, "end": 1428.93, "word": " artery", "probability": 0.79248046875}, {"start": 1428.93, "end": 1429.21, "word": " left", "probability": 0.488037109375}, {"start": 1429.21, "end": 1429.99, "word": " posterior", "probability": 0.8515625}, {"start": 1429.99, "end": 1430.63, "word": " spinal", "probability": 0.90966796875}, {"start": 1430.63, "end": 1431.31, "word": " artery", "probability": 0.9638671875}, {"start": 1431.31, "end": 1432.35, "word": " و", "probability": 0.90478515625}, {"start": 1432.35, "end": 1433.49, "word": " right", "probability": 0.79443359375}], "temperature": 1.0}, {"id": 58, "seek": 145529, "start": 1435.77, "end": 1455.29, "text": "و من كل جانب مع ال route بيجيونا ايه Radicular artery left Radicular artery و هنا right Radicular artery", "tokens": [2407, 9154, 28242, 10874, 7649, 3555, 20449, 2423, 7955, 4724, 1829, 7435, 1829, 2407, 8315, 1975, 1829, 3224, 9654, 14646, 38520, 1411, 9654, 14646, 38520, 4032, 34105, 558, 9654, 14646, 38520], "avg_logprob": -0.4550781240686774, "compression_ratio": 1.3232323232323233, "no_speech_prob": 0.0, "words": [{"start": 1435.77, "end": 1436.85, "word": "و", "probability": 0.30078125}, {"start": 1436.85, "end": 1437.15, "word": " من", "probability": 0.5986328125}, {"start": 1437.15, "end": 1437.45, "word": " كل", "probability": 0.890625}, {"start": 1437.45, "end": 1437.87, "word": " جانب", "probability": 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"language": "ar", "language_probability": 1.0, "duration": 1587.0375, "duration_after_vad": 1459.898749999998} \ No newline at end of file diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/SLAGdeHLE64_raw.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/SLAGdeHLE64_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..bf8e895a9ed2a405ba7ca5f14e01c1f02415709c --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/SLAGdeHLE64_raw.srt @@ -0,0 +1,1128 @@ +1 +00:00:04,980 --> 00:00:08,800 +بسم الله الرحمن الرحيم جزء الثاني من محاضرة spinal + +2 +00:00:08,800 --> 00:00:14,620 +cord anatomy راح أتكلم أبدأ بال exit of spinal + +3 +00:00:14,620 --> 00:00:18,800 +nerve root عشان نفهم الموضوع هله صح راح أرسملكم + +4 +00:00:18,800 --> 00:00:28,180 +هذه فيرتبرة هذه ايه فيرتبرة فيرتبرة one او + +5 +00:00:28,180 --> 00:00:33,480 +c one c two c + +6 +00:00:33,480 --> 00:00:33,840 +three + +7 +00:00:37,610 --> 00:00:46,230 +C4 C5 C6 C7 + +8 +00:00:46,230 --> 00:00:56,130 +T1 + +9 +00:00:56,130 --> 00:01:00,010 +T2 + +10 +00:01:00,010 --> 00:01:02,050 +T3 + +11 +00:01:03,080 --> 00:01:07,540 +و هكذا هذا من ناحية ايش ال vertebra من ناحية ايه + +12 +00:01:07,540 --> 00:01:14,320 +ال vertebra الان راح ارسم لكم باللون الأحمر ال + +13 +00:01:14,320 --> 00:01:20,000 +spinal nerve root من وان بيخرج هاي الأحمر C1 C1 + +14 +00:01:20,000 --> 00:01:29,100 +خرج من فوق C1 vertebra C2 من فوق C2 vertebra C3 من + +15 +00:01:29,100 --> 00:01:39,370 +فوق C3 vertebra C4من فوق C4 ومن فوق C5 ومن فوق C6 + +16 +00:01:39,370 --> 00:01:52,530 +ومن فوق C7 ومن فوق C6 ومن فوق C7T1 في الـ .. اه في + +17 +00:01:52,530 --> 00:02:01,530 +C كمان C eighth root من فوق T1 او من تحت T7 هلأ + +18 +00:02:01,530 --> 00:02:09,030 +انجلبت الصورة T1 صار من تحت T1 vertibra T2 من تحت + +19 +00:02:09,030 --> 00:02:17,880 +T2 vertibra T3 من تحت T3 vertibra بعد الـ T1صار + +20 +00:02:17,880 --> 00:02:24,900 +below من تحت ال vertebra بتاعته من C1 ل C7 above + +21 +00:02:24,900 --> 00:02:32,780 +من فوق ال vertebra من فوق ال vertebra يبقى ال + +22 +00:02:32,780 --> 00:02:37,740 +spinal nerve بخرج من ال inter vertebral فورا منها + +23 +00:02:37,740 --> 00:02:45,160 +C1 بيخرج horizontal above C1 vertebra من C2 ل C7 + +24 +00:02:45,160 --> 00:02:55,500 +بخرجوامن فوق ال vertebra C8 تخرج من فوق T1 او من + +25 +00:02:55,500 --> 00:03:01,460 +تحت C7 vertebra هي C8 اما اقول من فوق T1 vertebra + +26 +00:03:01,460 --> 00:03:07,420 +او من تحت C7 vertebraالثروسك واللمبر والساكرال + +27 +00:03:07,420 --> 00:03:12,800 +بيخرجوا من تحت الفرتبرة، من تحت الفرتبرة، اللور + +28 +00:03:12,800 --> 00:03:17,880 +لمبر تحت الألوان والساكرال والكوكسيزيا النار، + +29 +00:03:17,880 --> 00:03:24,750 +دلسنت بنزله vertical asas a cauda equina بنزله مثل + +30 +00:03:24,750 --> 00:03:29,290 +حاجة اسمها cauda equina وبعد ذلك بخرجوا من تحت ال + +31 +00:03:29,290 --> 00:03:34,710 +vertebra بتاعتهم هذا هو ال exit of spinal nerve + +32 +00:03:34,710 --> 00:03:41,690 +root زي ما احنا شايفين هنا لو لاحظنا C1 خرج من فوق + +33 +00:03:41,690 --> 00:03:47,470 +C1 C5 + +34 +00:03:47,470 --> 00:03:57,900 +rootخرج من فوق C5 Vertebra لكن لو جينا ال T10 root + +35 +00:03:57,900 --> 00:04:04,300 +بخرج من تحت ال T10 Vertebra لو جينا ال T12 root + +36 +00:04:04,300 --> 00:04:07,980 +بخرج من تحت ال T12 Vertebra + +37 +00:04:11,370 --> 00:04:15,930 +و ال lower lumbar والساقرا اللي هان بيخرجوا من تحت + +38 +00:04:15,930 --> 00:04:19,810 +ال vertebra و بيكون اسمهم ايه cauda equina below + +39 +00:04:19,810 --> 00:04:25,490 +the termination of spinal cord cauda equina هيك + +40 +00:04:25,490 --> 00:04:31,750 +انا شرحتلكم ال exit of spinal nerve root + +41 +00:04:36,170 --> 00:04:39,230 +في عندنا two enlargement اتفجنا ان ال spinal cord + +42 +00:04:39,230 --> 00:04:43,270 +حوالي one centimeter لكن له two enlargement ال two + +43 +00:04:43,270 --> 00:04:48,970 +enlargement واضحين هنا في الرسمة يدوي في عندنا + +44 +00:04:48,970 --> 00:04:54,980 +lumber enlargementو الـ cervical enlargement هان + +45 +00:04:54,980 --> 00:04:59,380 +ال spinal cord بيكون شوية ال diameter تبعه أكبر من + +46 +00:04:59,380 --> 00:05:03,640 +الأجزاء الثانية هاد ال enlargement two enlargement + +47 +00:05:03,640 --> 00:05:07,160 +فينا cervical enlargement و فينا lumbar + +48 +00:05:07,160 --> 00:05:10,580 +enlargement راح نتكلم عنهم cervical and lumbar + +49 +00:05:10,580 --> 00:05:20,320 +enlargement cervical enlargementهي عبارة عن C5 C6 + +50 +00:05:20,320 --> 00:05:29,480 +C7 C8 and D1 دي يعني دورسل او T ثراثك نفس الشيء + +51 +00:05:29,480 --> 00:05:34,340 +دورسل او ثراثك نفس الشيء هم عبارة عن C5 C6 C7 C8 + +52 +00:05:34,340 --> 00:05:38,420 +and D1 او T1 segment of spinal cord هذول ايش + +53 +00:05:38,420 --> 00:05:43,180 +بيكونوننا يا جماعة بيكونوننا او بيعطونا ال origin + +54 +00:05:43,180 --> 00:05:48,430 +ofبراكيال إبليكساس الـ origin تبع مين؟ براكيال + +55 +00:05:48,430 --> 00:05:52,890 +إبليكساس اللي بيعمل supplying لمن؟ لل upper limbs + +56 +00:05:52,890 --> 00:05:57,230 +اللي بيعمل supplying لمن؟ لل upper limbs هذا اسمها + +57 +00:05:57,230 --> 00:06:03,530 +cervical enlargementفي جزء ثاني اسمه lumber + +58 +00:06:03,530 --> 00:06:07,990 +enlargement بيبدأ من ال one ال two ال three ال + +59 +00:06:07,990 --> 00:06:12,730 +four ال five and as one as two segments of spinal + +60 +00:06:12,730 --> 00:06:17,720 +cord هدول بيعطونا ال branches أو ال origin لمينللـ + +61 +00:06:17,720 --> 00:06:23,000 +Lumbosacral Plexus which supply the lower limbs + +62 +00:06:23,000 --> 00:06:27,440 +عشان هيك الأماكن هذه بيكون عليهم load أكتر شي + +63 +00:06:27,440 --> 00:06:30,340 +بتحرك في جسم الإنسان و أكتر شي في عضلات ال upper + +64 +00:06:30,340 --> 00:06:33,120 +limbs و ال lower limbs و بتحرك و بدهم عصاب كتيرة + +65 +00:06:33,120 --> 00:06:36,300 +عشان هيك بياخدوا من الأماكن ال spinal cord okay + +66 +00:06:36,300 --> 00:06:40,720 +بلزمهم ال neuronكثير في أماكن ال survival و ال + +67 +00:06:40,720 --> 00:06:44,720 +lumber بيحدث لنا enlargement ال spinal cord عشان + +68 +00:06:44,720 --> 00:06:52,100 +يعطينا ال هو brachial plexus و lumbosacral plexus + +69 +00:06:52,100 --> 00:06:57,920 +for upper limbs و lower limbs هاي واضح هناالمكان + +70 +00:06:57,920 --> 00:07:00,460 +هذا فيه cervical enlargement في الـ spinal cord + +71 +00:07:00,460 --> 00:07:05,400 +تعطينا break الابليكساص و تحت في ال spinal cord + +72 +00:07:05,400 --> 00:07:10,000 +فيه lumbar enlargement تعطينا lumbosacral ablixus + +73 +00:07:10,000 --> 00:07:16,100 +للـ lower limbs بنتجل + +74 +00:07:16,100 --> 00:07:20,700 +الآن ل internal structure of the spinal cord + +75 +00:07:20,700 --> 00:07:24,740 +internal structure of the spinal cord في عندي + +76 +00:07:46,240 --> 00:07:52,700 +في عندى white matter هدى + +77 +00:07:52,700 --> 00:07:55,860 +white matter بتختلف عن ال brain بتكون more outer + +78 +00:07:55,860 --> 00:08:04,770 +وفي ال grey matterتمام؟ وفي عندنا اللي هي central + +79 +00:08:04,770 --> 00:08:08,550 +canal بتكون في الـ gray commissar هنا مش واضح كتير + +80 +00:08:08,550 --> 00:08:11,290 +هنا ال central canal متذكرين ال central canal هذا + +81 +00:08:11,290 --> 00:08:13,530 +بيفتح على الميدالة قبل ان جاته وعلى ال fourth + +82 +00:08:13,530 --> 00:08:17,830 +ventricle وبيكون داخله CSF يبقى عندى في white + +83 +00:08:17,830 --> 00:08:20,790 +motor بتكون outer و gray motor بتكون inner ال gray + +84 +00:08:20,790 --> 00:08:25,010 +motor بتشبه حرف ال H بالإنجليزي مثل حرف ال H تمام؟ + +85 +00:08:25,010 --> 00:08:28,030 +وفي عندنا commissar gray commissar هان تربط ال + +86 +00:08:28,030 --> 00:08:30,570 +right مع ال left spinal cord في ال gray commissar + +87 +00:08:30,570 --> 00:08:43,020 +فيCentral Spinal Canal تقريباً 1 ملي متر نبدأ + +88 +00:08:43,020 --> 00:08:48,680 +بـ Grammar Grammar ليس عبارة عن شيء عبارة عن nerve + +89 +00:08:48,680 --> 00:08:53,320 +cells عبارة عن nerve cells بشبه حرف ال H حرف ال H + +90 +00:08:53,320 --> 00:08:59,760 +بتكون من anterior horn cells anterior horn cells + +91 +00:09:05,550 --> 00:09:08,670 +هذه الـ Anterior Horn Cells وظيفتهم Motor Function + +92 +00:09:08,670 --> 00:09:17,710 +Motor Function بتكون من ايه؟ بستيريور + +93 +00:09:17,710 --> 00:09:25,330 +هورن سيلزPosterior horn cells ووظفتهم ايه Sensory + +94 +00:09:25,330 --> 00:09:30,030 +right and left ووظفتهم Sensory وفي lateral horn + +95 +00:09:30,030 --> 00:09:37,370 +cells بيكونوا هذول في ثروسك من L1 من T1 لحد L2 هذا + +96 +00:09:37,370 --> 00:09:43,150 +بيكون اضافة horn اضافة اسمه lateral horn cells + +97 +00:09:43,150 --> 00:09:50,890 +lateral horn cellsهذه وضفتهم sympathetic function + +98 +00:09:50,890 --> 00:09:56,490 +يبقى ان عندي anterior horn cells وضفتهم motor + +99 +00:09:56,490 --> 00:10:01,130 +right and left في posterior horn cells right and + +100 +00:10:01,130 --> 00:10:07,230 +left وضفتهم sensory ومن T1 ل L2 في lateral horn + +101 +00:10:07,230 --> 00:10:11,390 +cells وضفتهم sympathetic راح اتكلم عنهم في محاضرة + +102 +00:10:11,390 --> 00:10:16,180 +autonomic nervous systemو في الناس في Central + +103 +00:10:16,180 --> 00:10:23,320 +Spinal Canal Central Spinal Canal Central Spinal + +104 +00:10:23,320 --> 00:10:28,320 +Canal بيكون فيه اللي هو CSF و في عندي Gray + +105 +00:10:28,320 --> 00:10:37,040 +Commission هذي Gray Commission بتربط اللي هي Right + +106 +00:10:37,040 --> 00:10:40,440 +و Left part of Spinal Cord + +107 +00:10:46,510 --> 00:10:51,710 +Anterior Horn Cells Left Anterior Horn Cells Right + +108 +00:10:51,710 --> 00:10:57,410 +واضفتها motor وفي posterior horn cells left + +109 +00:10:57,410 --> 00:11:02,670 +posterior horn cells right واضفتها sensory واتفجنا + +110 +00:11:02,670 --> 00:11:10,850 +من اللي هي T1 لحد ال two فيها نكونإضافي horn + +111 +00:11:10,850 --> 00:11:15,650 +lateral horn cells اللي علاقة بإيه؟ lateral horn + +112 +00:11:15,650 --> 00:11:21,510 +cells lateral horn cells واضيفته + +113 +00:11:21,510 --> 00:11:25,710 +إيه؟ واضيفته اللي هو autonomic function autonomic + +114 +00:11:25,710 --> 00:11:29,910 +function لمين؟ لل sympathetic nervous system بيكون + +115 +00:11:29,910 --> 00:11:40,350 +هنا horn إضافي اسمه lateral horn cellsلاترال هورن + +116 +00:11:40,350 --> 00:11:44,470 +سيلز واضيفتوا ايه sympathetic function في النص + +117 +00:11:44,470 --> 00:11:48,910 +يكون عندنا اللي هي gray commissure gray commissure + +118 +00:11:48,910 --> 00:11:51,830 +بتلبط ال right و left part of spinal cord و في + +119 +00:11:51,830 --> 00:11:57,070 +داخلها بيكون عندى اللي هو central spinal canal + +120 +00:11:57,070 --> 00:12:04,550 +central spinal canal يكون فيه CSF اتكلم على ال + +121 +00:12:04,550 --> 00:12:09,130 +neurons الموجودة في ال gray مطارفي الـ Grammar في + +122 +00:12:09,130 --> 00:12:13,470 +اتفاقنا Sensory Neurons بيكونوا موجودين وين + +123 +00:12:13,470 --> 00:12:17,510 +Sensory Neurons؟ في الـ Posterior Horn Cells وفي + +124 +00:12:17,510 --> 00:12:22,750 +Motor Neurons بيكونوا موجودين وين؟ في الـ Anterior + +125 +00:12:22,750 --> 00:12:26,490 +Horn Cells الموتور بنقسمه لAlpha Motor Neuron + +126 +00:12:26,490 --> 00:12:30,770 +وGamma Motoneuron الـ Alpha Motoneuron اللي ملقا + +127 +00:12:30,770 --> 00:12:35,670 +بالـ Large Type A Alphaموتور فايبرز واضفتهم + +128 +00:12:35,670 --> 00:12:40,090 +stimulation of the muscle fibers والـ gamma + +129 +00:12:40,090 --> 00:12:45,710 +motoneuron اللي علاقة بcontrol of the muscle tone + +130 +00:12:45,710 --> 00:12:51,190 +عن طريق a smaller type of a gamma يبقى ال gamma + +131 +00:12:51,190 --> 00:12:56,630 +واضفتها control of muscle tonemuscle tone و alpha + +132 +00:12:56,630 --> 00:13:01,110 +اللي علاقة ب stimulation of muscle fibers بين ال + +133 +00:13:01,110 --> 00:13:05,370 +posterior horn و ال anterior horn في شيء اسمه + +134 +00:13:05,370 --> 00:13:08,710 +متذكرين ال reflex؟ شوفناه؟ في حاجة اسمها inter + +135 +00:13:08,710 --> 00:13:14,070 +neurons inter neurons بينهم حاجة اسمها ايه؟ inter + +136 +00:13:14,070 --> 00:13:18,360 +neurons هذه ال inter neuronsوظيفتها integrative + +137 +00:13:18,360 --> 00:13:22,400 +function وظيفتها reflex center يعني الإشارة بتيجي + +138 +00:13:22,400 --> 00:13:25,780 +من ال sensory للموتر على level spinal cord هذه + +139 +00:13:25,780 --> 00:13:30,880 +وظيفتها reflex center واتفاجنا في عندنا autonomic + +140 +00:13:30,880 --> 00:13:35,480 +neurons اللي هي بتكون موجودة في ال spinal cord راح + +141 +00:13:35,480 --> 00:13:39,200 +أشرحهم ال autonomic neurons بالتفصيل في محاضرة + +142 +00:13:39,200 --> 00:13:42,540 +autonomic nervous system مش راح أتطرق لها اليوم + +143 +00:13:45,390 --> 00:13:50,130 +بنتجل ال white matter اتفقنا ان ال grey matter في + +144 +00:13:50,130 --> 00:13:52,490 +ال brain بتكون outer و ال white matter inner في ال + +145 +00:13:52,490 --> 00:13:57,050 +spinal cord العكس ال grey matter inner و ال white + +146 +00:13:57,050 --> 00:14:00,930 +matter outer ال white matter it surround the grey + +147 +00:14:00,930 --> 00:14:05,570 +matter بتكون حوالين ال grey matterand contains + +148 +00:14:05,570 --> 00:14:09,170 +ascending and descending tract وداخلها بيمر + +149 +00:14:09,170 --> 00:14:12,710 +ascending tract اللي هم sensory من ال spinal cord + +150 +00:14:12,710 --> 00:14:16,570 +لال brain أو العكس descending tract اللي هم motor + +151 +00:14:16,570 --> 00:14:22,570 +او efferent من ال brain ل ال spinal cord وبنقسمه + +152 +00:14:22,570 --> 00:14:29,710 +إلى three columns او fascicula anterior columnو + +153 +00:14:29,710 --> 00:14:33,430 +lateral column و posterior column ال posterior + +154 +00:14:33,430 --> 00:14:37,890 +column ممكن نسميه dorsal column و anterior column + +155 +00:14:37,890 --> 00:14:42,230 +ممكن نسميه ventral column أكبر واحد فيهم اللي هو + +156 +00:14:42,230 --> 00:14:49,650 +lateral column نبدأ نشوف مع بعض هذه هي grey matter + +157 +00:14:59,450 --> 00:15:08,810 +هذه إيه gray مطار هنا gray commissar تمام + +158 +00:15:08,810 --> 00:15:13,590 +هذه gray commissar هذا central spinal canal + +159 +00:15:16,720 --> 00:15:23,040 +هذه posterior horn cells sensory هذه anterior horn + +160 +00:15:23,040 --> 00:15:26,840 +cells motor هنا بتكون lateral horn cells اللي + +161 +00:15:26,840 --> 00:15:30,500 +علاقة بالـ autonomic function اللي هي ايه + +162 +00:15:30,500 --> 00:15:35,140 +sympathetic اكتر هنا هذه anterior horn cells و + +163 +00:15:35,140 --> 00:15:41,440 +posterior horn cells تمام هذا central spinal canal + +164 +00:15:44,320 --> 00:15:51,320 +هذه تعتبر gray مطر الان نرسم white مطر لان شوف ال + +165 +00:15:51,320 --> 00:15:54,120 +inter neurons اللي موجودة ال inter neurons هنا + +166 +00:15:54,120 --> 00:15:59,260 +بيكونوا وضفتهم integrative function بيحاولوا + +167 +00:15:59,260 --> 00:16:03,820 +الإشارة من اللي هي ال posterior horn cells لل + +168 +00:16:03,820 --> 00:16:10,360 +anterior horn cells وضفتهم reflex center نجي نقسم + +169 +00:16:10,360 --> 00:16:12,300 +ال white مطر ل column + +170 +00:16:20,370 --> 00:16:26,310 +اللي هو anterior + +171 +00:16:26,310 --> 00:16:31,610 +column + +172 +00:16:31,610 --> 00:16:34,850 +right + +173 +00:16:34,850 --> 00:16:40,550 +هاي + +174 +00:16:40,550 --> 00:16:46,430 +right وهنا left هذا right و + +175 +00:16:48,450 --> 00:16:54,870 +هذا left هذا أسف هذا anterior column + +176 +00:16:54,870 --> 00:17:10,610 +يعتبر lift وهذا ايه right anterior column نرسم + +177 +00:17:10,610 --> 00:17:20,070 +هنا نفس الشيءهذه right right right وهنا عندي left + +178 +00:17:20,070 --> 00:17:30,310 +left left هنا left posterior + +179 +00:17:30,310 --> 00:17:38,610 +column right posterior column هنا بمر إجراء السيل + +180 +00:17:38,610 --> 00:17:43,450 +attract وهنا connect attractEgressory tract بيكون + +181 +00:17:43,450 --> 00:17:46,150 +more medial و connective tract بيكون more lateral + +182 +00:17:46,150 --> 00:17:50,230 +لدى ال deep sensation شرحناهم في ال brain stem و + +183 +00:17:50,230 --> 00:17:54,230 +هنا عندي lateral + +184 +00:17:54,230 --> 00:18:00,510 +column + +185 +00:18:00,510 --> 00:18:12,000 +هذا left lateral column و هنا ايه rightlateral + +186 +00:18:12,000 --> 00:18:23,420 +column انا + +187 +00:18:23,420 --> 00:18:26,080 +على سبيل المثال بمورفيه اللي هو lateral + +188 +00:18:26,080 --> 00:18:31,180 +corticospinal tract للموتور و lateral + +189 +00:18:31,180 --> 00:18:35,680 +spinothalamic tract للشعور بالضغط والشعور بالحرارة + +190 +00:18:35,680 --> 00:18:39,620 +راح اشرحهم في محاضراتهم يبقى هنا انا بتكلم على + +191 +00:18:39,620 --> 00:18:43,080 +right sideوهنا بتتكلم عن الـ left يبقى ان هذا + +192 +00:18:43,080 --> 00:18:48,320 +lateral column وهنا anterior أو ventral column + +193 +00:18:48,320 --> 00:18:51,880 +وهنا posterior من وين بيبدأ ال posterior column من + +194 +00:18:51,880 --> 00:18:55,300 +ال posterior median fissure لما كان ال exit of + +195 +00:18:55,300 --> 00:18:58,520 +posterior root تمام ال anterior column من ال + +196 +00:18:58,520 --> 00:19:00,920 +anterior median fissure لما كان ال exit of + +197 +00:19:00,920 --> 00:19:04,360 +anterior root طب ال lateral column بيبدأ من مكان + +198 +00:19:04,360 --> 00:19:08,050 +exit of posterior rootو ال exit of anterior root + +199 +00:19:08,050 --> 00:19:10,730 +يبقى ال anterior root و ال posterior root ال exit + +200 +00:19:10,730 --> 00:19:15,210 +تبعهم بينهم بيكون هذا lateral column ال lateral + +201 +00:19:15,210 --> 00:19:17,290 +column و ال anterior و ال posterior و هذا يعتبر + +202 +00:19:17,290 --> 00:19:32,650 +white matter white matter هنا + +203 +00:19:32,650 --> 00:19:32,950 +عندي + +204 +00:19:37,390 --> 00:19:41,250 +بوستيريور كولوم بوستيريور ميديان فشار لحد ال exit + +205 +00:19:41,250 --> 00:19:49,270 +of بوستيريور روت بوستيريور ميديان فشار لحد ال exit + +206 +00:19:49,270 --> 00:19:52,370 +of بوستيريور ميديان فشار لحد ال exit of بوستيريور + +207 +00:19:52,370 --> 00:19:54,790 +ميديان فشار لحد ال exit of بوستيريور ميديان فشار + +208 +00:19:54,790 --> 00:19:54,790 +لحد ال exit of بوستيريور ميديان فشار لحد ال exit + +209 +00:19:54,790 --> 00:19:54,790 +of بوستيريور ميديان فشار لحد ال exit of بوستيريور + +210 +00:19:54,790 --> 00:19:54,790 +ميديان فشار لحد ال exit of بوستيريور ميديان فشار + +211 +00:19:54,790 --> 00:19:55,710 +لحد ال exit of بوستيريور ميديان فشار لحد ال exit + +212 +00:19:55,710 --> 00:20:02,750 +of بوستيريور ميديان فشار لحد ال exit of بوستيريور + +213 +00:20:02,750 --> 00:20:05,290 +ميدي + +214 +00:20:05,940 --> 00:20:11,680 +lateral column نفس الشيء على الجهة المقابلة على ال + +215 +00:20:11,680 --> 00:20:21,360 +right side نفس الشيء راح يكون classification + +216 +00:20:21,360 --> 00:20:28,520 +of attracts the attracts divide into short tract و + +217 +00:20:28,520 --> 00:20:33,800 +long tract short tract اسمها associative and + +218 +00:20:33,800 --> 00:20:38,320 +commissary tractthe begins and ends in the spinal + +219 +00:20:38,320 --> 00:20:42,100 +cord، ال commissural tract بربطه ال right مع ال + +220 +00:20:42,100 --> 00:20:45,660 +left، وال associative tract بربطه ال adjustment + +221 +00:20:45,660 --> 00:20:52,600 +area C1 مع C2، C3، C4 يعني، they are found closely + +222 +00:20:52,600 --> 00:20:57,040 +in the gray matter و they are associative in + +223 +00:20:57,040 --> 00:21:01,750 +functionلونج تراكت لونج تراكت بسميهم projection + +224 +00:21:01,750 --> 00:21:07,150 +tract اما بيكونوا ascending tract صعيد او بنسميهم + +225 +00:21:07,150 --> 00:21:12,480 +afferent tract او sensory tractتمام؟ مثل lateral + +226 +00:21:12,480 --> 00:21:16,740 +spinothalamic بدأ من spinal cord و روح لتلمس أو + +227 +00:21:16,740 --> 00:21:20,700 +بيكونوا descending tract هابط او بنسموهم efferent + +228 +00:21:20,700 --> 00:21:24,760 +او motor مثل corticospinal tract lateral + +229 +00:21:24,760 --> 00:21:29,280 +corticospinal tract جامل ال cortex و نازل لوين؟ لل + +230 +00:21:29,280 --> 00:21:34,300 +spinal cord اخر جزئية في المحاضرة هي blood supply + +231 +00:21:34,300 --> 00:21:40,060 +of the spinal cordفي عندى anterior spinal artery + +232 +00:21:40,060 --> 00:21:44,920 +one و two posterior spinal arteries right and left + +233 +00:21:44,920 --> 00:21:47,480 +ال anterior spinal artery أخدناها في الأسبوع + +234 +00:21:47,480 --> 00:21:51,240 +السابق في محاضرة blood supply of the brain ال + +235 +00:21:51,240 --> 00:21:54,660 +origin from the right and left vertebral artery + +236 +00:21:54,660 --> 00:21:58,480 +أولا بيخرجوا اتنين و بيكونونها single anterior + +237 +00:21:58,480 --> 00:22:02,800 +spinal arteryمع ان واحد لكن زعيم supply the + +238 +00:22:02,800 --> 00:22:08,060 +anterior and lateral column of spinal cord بيغدين + +239 +00:22:08,060 --> 00:22:11,980 +ال anterior horn و ال lateral horn cells يعني + +240 +00:22:11,980 --> 00:22:14,820 +بيغدي ثلثين ال spinal cord بيغدي ال anterior horn + +241 +00:22:14,820 --> 00:22:18,420 +و ال lateral horn و بيغدي ال anterior column و ال + +242 +00:22:18,420 --> 00:22:22,630 +lateral column of spinal cordit is the longest + +243 +00:22:22,630 --> 00:22:27,170 +artery in the body، أطول شريان، حوالي تقريبا طوله + +244 +00:22:27,170 --> 00:22:32,810 +خمسة وأربعين سانتي، خمسة وأربعين سانتيننتقل الى + +245 +00:22:32,810 --> 00:22:36,410 +الـ two spinal arteries two spinal arteries في + +246 +00:22:36,410 --> 00:22:39,930 +right and left نفس الشيء ال origin بيخرجوا من ال + +247 +00:22:39,930 --> 00:22:44,230 +vertabra الارتري و بيغدو ال posterior horn and + +248 +00:22:44,230 --> 00:22:49,710 +posterior column of spinal cord و من الجناب مع ال + +249 +00:22:49,710 --> 00:22:53,290 +root مع ال root بيجيونا radicular arteries right + +250 +00:22:53,290 --> 00:22:56,630 +radicular artery and left radicular artery مع كل + +251 +00:22:56,630 --> 00:23:02,220 +ايه root خيانةanterior spinal arteries خرجوا اتنين + +252 +00:23:02,220 --> 00:23:05,580 +واتحدوا مع بعض وعطونا single anterior spinal + +253 +00:23:05,580 --> 00:23:10,780 +artery وفي عندي two posterior spinal arteries اللي + +254 +00:23:10,780 --> 00:23:17,220 +هما left posterior spinal artery و right posterior + +255 +00:23:17,220 --> 00:23:22,000 +spinal artery وهنا single anterior spinal artery + +256 +00:23:22,000 --> 00:23:24,600 +single anterior spinal artery + +257 +00:23:32,990 --> 00:23:42,870 +هنا واضح عندي اللي هو anterior spinal artery هنا + +258 +00:23:42,870 --> 00:23:47,810 +واضح two posterior + +259 +00:23:47,810 --> 00:23:53,490 +spinal artery left posterior spinal artery و right + +260 +00:23:55,770 --> 00:24:01,050 +و من كل جانب مع ال route بيجيونا ايه Radicular + +261 +00:24:01,050 --> 00:24:06,990 +artery left Radicular artery + +262 +00:24:06,990 --> 00:24:15,290 +و هنا right Radicular artery + +263 +00:24:30,890 --> 00:24:35,530 +هي عندى radicular artery من جسم الى posterior + +264 +00:24:35,530 --> 00:24:40,530 +radicular و anterior radicular هذا anterior spinal + +265 +00:24:40,530 --> 00:24:48,590 +artery وهنا بيكون عندى اللي هم right posterior + +266 +00:24:48,590 --> 00:24:54,310 +spinal artery و left posterior spinal artery هذا + +267 +00:24:54,310 --> 00:24:55,170 +radicular + +268 +00:24:57,840 --> 00:25:04,620 +artery من قسم له posterior radicular artery و + +269 +00:25:04,620 --> 00:25:10,920 +anterior radicular + +270 +00:25:10,920 --> 00:25:14,900 +artery وع + +271 +00:25:14,900 --> 00:25:15,880 +الجهة التانية نفس الشيء + +272 +00:25:24,890 --> 00:25:33,230 +و ملاحظين ان الـ anterior spinal artery supply two + +273 +00:25:33,230 --> 00:25:38,730 +-third of spinal cord supply ايه؟ anterior horn + +274 +00:25:38,730 --> 00:25:44,610 +cells, lateral horn cells, anterior column و + +275 +00:25:44,610 --> 00:25:49,780 +lateral column أما ال posteriorSpinal arteries + +276 +00:25:49,780 --> 00:25:55,580 +اتنين بيغضوا only posterior horn cells and + +277 +00:25:55,580 --> 00:26:00,960 +posterior column of spinal cord يعني الـ anterior + +278 +00:26:00,960 --> 00:26:06,170 +spinal artery مع أنه واحد لكن بيغضيtwo thirds of + +279 +00:26:06,170 --> 00:26:11,490 +the spinal cord أما ال two posterior spinal + +280 +00:26:11,490 --> 00:26:17,270 +arteries بيغدوا one third of a spinal cord وهيك + +281 +00:26:17,270 --> 00:26:22,010 +بيكونوصلنا لنهاية محاضرة anatomy of the spinal + +282 +00:26:22,010 --> 00:26:26,310 +cord يعطيكم العافية و دومتم بألف خير + diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/SYJEVo8m4NA.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/SYJEVo8m4NA.srt new file mode 100644 index 0000000000000000000000000000000000000000..dcd2a3de2cd0793e9ea4409516fdd20dbeeb3db6 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/SYJEVo8m4NA.srt @@ -0,0 +1,1869 @@ +1 +00:00:04,990 --> 00:00:08,770 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:08,770 --> 00:00:16,400 +وبركاته اليوم راح نكمل محاضرات مساق تشريح الأعصاب و + +3 +00:00:16,400 --> 00:00:20,480 +فسيولوجية الأعصاب وصلنا معاكم إلى المحاضرة رقم 5 + +4 +00:00:20,480 --> 00:00:26,440 +اللي كانت على meninges and ventricular system + +5 +00:00:26,440 --> 00:00:31,840 +محاضرة الأسبوع السادس راح تكون على blood supply of + +6 +00:00:31,840 --> 00:00:38,910 +the brain and dural venous أو Dural Venous نبدأ + +7 +00:00:38,910 --> 00:00:45,090 +بداية المحاضرة على ال cerebral blood flow ايش هو + +8 +00:00:45,090 --> 00:00:51,190 +ال cerebral blood flow؟ هو عبارة عن blood supply + +9 +00:00:51,190 --> 00:00:59,250 +to the brain in a given time في الطبيعي ال brain + +10 +00:00:59,250 --> 00:01:08,180 +بياخد 20% من ال total cardiac output يعني حوالي 750 + +11 +00:01:08,180 --> 00:01:12,500 +ملي لتر في دقيقة واحدة اللي بيصل ال blood + +12 +00:01:12,500 --> 00:01:19,360 +لل brain لو أخدنا دراسة regional cerebral blood + +13 +00:01:19,360 --> 00:01:23,520 +flow درسنا كل 100 جرام brain tissue كم بيصل لها + +14 +00:01:23,520 --> 00:01:29,120 +blood في الدقيقة الواحدة طبيعي يصل 50 ل 54 مليليتر + +15 +00:01:29,120 --> 00:01:32,800 +في الدقيقة الواحدة هذا طبيعي طيب ماذا بيحدث + +16 +00:01:32,800 --> 00:01:36,960 +ischemia ischemia يعني ان الخلايا بتفقد وظيفتها + +17 +00:01:36,960 --> 00:01:42,160 +بدون ما يكون عندهم death لسه ما ماتت الخلية فقدت + +18 +00:01:42,160 --> 00:01:46,020 +الوظيفة بسبب نقص في التروية يقول ischemia هي عبارة + +19 +00:01:46,020 --> 00:01:53,430 +عن نقص تروية ماذا بتحدث؟ if blood flow to the brain + +20 +00:01:53,430 --> 00:02:01,030 +below 18-20 milliliter per 100 gram per minute طيب + +21 +00:02:01,030 --> 00:02:05,950 +تحدث متى الخلية بتفقد الوظيفة و بتموت كمان بيحدث + +22 +00:02:05,950 --> 00:02:14,330 +لها death في حال نزل ال cerebral blood flow أقل + +23 +00:02:14,330 --> 00:02:21,630 +من 8 ل 10 ملي لتر لكل 100 جرام brain tissue في الدقيقة + +24 +00:02:21,630 --> 00:02:28,950 +الواحدة هيفجان اتفقنا انه طبيعي يصل لبرن 750 ملي + +25 +00:02:28,950 --> 00:02:34,090 +لتر لكل brain في الدقيقة الواحدة يعني نتكلم عن 15 ل + +26 +00:02:34,090 --> 00:02:37,350 +20% من ال total cardiac output + +27 +00:02:42,050 --> 00:02:47,330 +الخلية بتفقد الوظيفة بتاعتها في حال نزل ال blood + +28 +00:02:47,330 --> 00:02:56,750 +flow لكام؟ ل 18، 20 ملليلتر ل 100 gram brain tissue + +29 +00:02:56,750 --> 00:03:01,330 +في الدقيقة الواحدة طب tissue death أو ال tissue + +30 +00:03:01,330 --> 00:03:05,070 +death متى بيحدث ال tissue death؟ في حال نزل الـ + +31 +00:03:05,070 --> 00:03:07,230 +cerebral blood flow، ال regional cerebral blood + +32 +00:03:07,230 --> 00:03:14,010 +flow، below a 10 milliliter blood لكل 100 gram + +33 +00:03:14,010 --> 00:03:20,110 +brain tissue per minute blood + +34 +00:03:20,110 --> 00:03:27,470 +supply of the brain ال brain very important organ + +35 +00:03:27,470 --> 00:03:33,370 +عشان هيك لاحظوا انه بيصلوا عشرين في المية من the + +36 +00:03:33,370 --> 00:03:40,050 +total cardiac output مهم جدا بتأثر ال brain في + +37 +00:03:40,050 --> 00:03:43,070 +حالات ال hypertension أو في حالات ال hypertension + +38 +00:03:43,070 --> 00:03:50,310 +ال blood supply of the brain ال brain بيصلوا blood + +39 +00:03:50,310 --> 00:03:59,060 +من two systems تو system اول system اللي هو ايه + +40 +00:03:59,060 --> 00:04:03,680 +carotid system carotid system ثاني system + +41 +00:04:03,680 --> 00:04:11,580 +vertebrobasilar system vertebrobasilar system ال + +42 +00:04:11,580 --> 00:04:18,030 +carotid system بيصل ال brain عن طريق internal + +43 +00:04:18,030 --> 00:04:22,570 +carotid artery internal carotid artery هنا right + +44 +00:04:22,570 --> 00:04:27,530 +internal carotid artery and left internal carotid + +45 +00:04:27,530 --> 00:04:31,960 +artery طيب ال vertebral basilar system بيصل ال + +46 +00:04:31,960 --> 00:04:35,980 +blood لل brain عن طريق ال two vertebral artery و + +47 +00:04:35,980 --> 00:04:39,560 +ال two vertebral artery بتحدوا مع بعض و بيكونولنا + +48 +00:04:39,560 --> 00:04:45,500 +single basilar artery لذلك سميها vertebral basilar + +49 +00:04:45,500 --> 00:04:54,260 +system the main blood supply to the brain بتتم عن + +50 +00:04:54,260 --> 00:04:56,740 +طريق ال carotid artery عن طريق ال internal carotid + +51 +00:04:56,740 --> 00:05:03,670 +artery internal carotid artery supplied 80% of the + +52 +00:05:03,670 --> 00:05:08,190 +brain يعني 80% من الدماغ بياخد blood supply عن طريق + +53 +00:05:08,190 --> 00:05:13,730 +ال internal carotid artery و 20% بياخد عن طريق + +54 +00:05:13,730 --> 00:05:19,390 +vertebral basilar artery نرجع + +55 +00:05:19,390 --> 00:05:24,450 +شوية ال general anatomy نشوف من وين ال origin بتاع + +56 +00:05:24,450 --> 00:05:30,330 +ال internal carotid artery أول شيء في هنا شيء اسمه + +57 +00:05:30,330 --> 00:05:34,290 +common carotid artery ال carotid يعني شريان + +58 +00:05:34,290 --> 00:05:39,590 +السباتي شريان السباتي العام بالعربي common carotid + +59 +00:05:39,590 --> 00:05:43,990 +artery أو شريان السباتي الرئيسي ال common carotid + +60 +00:05:43,990 --> 00:05:51,870 +artery emerges from هنا الخلاف في right و في left + +61 +00:05:51,870 --> 00:05:59,070 +ال right common carotid artery emerges from + +62 +00:05:59,070 --> 00:06:05,270 +brachiocephalic trunk from brachiocephalic trunk + +63 +00:06:05,270 --> 00:06:09,650 +طيب، brachiocephalic trunk بخرج من القرش و في + +64 +00:06:09,650 --> 00:06:13,750 +أوورته brachiocephalic + +65 +00:06:13,750 --> 00:06:17,790 +trunk من اسمه brachiocephalic يعني لل upper limb و + +66 +00:06:17,790 --> 00:06:22,370 +لل brain ال brachiocephalic trunk ال right منقسم ل + +67 +00:06:22,370 --> 00:06:28,250 +two arteries two main arteries أولاً right subclavian + +68 +00:06:28,250 --> 00:06:37,570 +artery اللي تشتغل عقل العقل الأعلى اتنين + +69 +00:06:37,570 --> 00:06:43,750 +common carotid artery يبقى right common carotid artery + +70 +00:06:43,750 --> 00:06:47,350 +يتخلص + +71 +00:06:47,350 --> 00:06:54,620 +من the brachiocephalic trunk ماحد يقول ليه من ال + +72 +00:06:54,620 --> 00:06:59,400 +right brachiocephalic trunk ليه؟ لأنه هو one only + +73 +00:06:59,400 --> 00:07:01,960 +على ال right بيكون موجود على ال brachiocephalic + +74 +00:07:01,960 --> 00:07:06,060 +trunk في الحالة هذه ال right common carotid artery + +75 +00:07:06,060 --> 00:07:12,160 +emerges from brachiocephalic trunk brachiocephalic + +76 +00:07:12,160 --> 00:07:16,660 +trunk divide into two arteries right subclavian + +77 +00:07:16,660 --> 00:07:19,620 +artery and right common carotid artery + +78 +00:07:27,320 --> 00:07:32,180 +immediately direct from the arch of the aorta يعني + +79 +00:07:32,180 --> 00:07:35,000 +على ال left ال arch of the aorta على ال left بيكون + +80 +00:07:35,000 --> 00:07:40,520 +immediately بخرج منه left subclavian artery and + +81 +00:07:40,520 --> 00:07:44,280 +left common carotid artery يبقى هنا عرفنا إيش + +82 +00:07:44,280 --> 00:07:47,600 +الاختلاف بين ال right و left common carotid artery + +83 +00:07:47,600 --> 00:07:52,360 +left common carotid artery emerges immediately from + +84 +00:07:52,360 --> 00:07:56,780 +the arch of the aorta but the right common carotid + +85 +00:07:56,780 --> 00:08:01,220 +artery emerges or arises directly from + +86 +00:08:01,220 --> 00:08:04,340 +brachiocephalic trunk و brachiocephalic trunk من + +87 +00:08:04,340 --> 00:08:09,480 +وين؟ من ال arch of the aorta خلصنا عرفنا من وين + +88 +00:08:09,480 --> 00:08:11,740 +أتى ال common carotid artery مايهمناش احنا ال + +89 +00:08:11,740 --> 00:08:14,560 +common carotid artery يهمنا ال internal carotid + +90 +00:08:14,560 --> 00:08:19,580 +artery طيب common carotid artery بينقسم ل two + +91 +00:08:19,580 --> 00:08:25,640 +branches ل internal carotid artery و external + +92 +00:08:25,640 --> 00:08:28,860 +carotid artery، أنا ال external carotid artery ما + +93 +00:08:28,860 --> 00:08:32,920 +بيهمني اليوم، بغذّي ال face و ال thyroid، ما إلي + +94 +00:08:32,920 --> 00:08:35,970 +علاقة في الموضوع الآن؟ أنا باهيم من مين؟ ال + +95 +00:08:35,970 --> 00:08:38,870 +internal carotid artery طب وين بيتم ال + +96 +00:08:38,870 --> 00:08:45,110 +bifurcation؟ أو ايه؟ ال ... ال ... ال ... ال ... ال ... + +97 +00:08:45,110 --> 00:08:45,830 +ال ... ال ... ال ... ال ... ال ... ال ... ال ... ال ... ال + +98 +00:08:45,830 --> 00:08:45,870 +... ال ... ال ... ال ... ال ... ال ... ال ... ال ... ال ... + +99 +00:08:45,870 --> 00:08:45,990 +ال ... ال ... ال ... ال ... ال ... ال ... ال ... ال ... ال + +100 +00:08:45,990 --> 00:08:46,450 +... ال ... ال ... ال ... ال ... ال ... ال ... ال ... ال ... + +101 +00:08:46,450 --> 00:08:46,690 +ال ... ال ... ال ... ال ... ال ... ال ... ال ... ال ... ال + +102 +00:08:46,690 --> 00:08:48,110 +... ال ... ال ... ال ... ال ... ال ... ال ... ال ... ال ... + +103 +00:08:48,110 --> 00:08:48,130 +ال ... ال ... ال ... ال ... ال ... ال ... ال ... ال ... ال + +104 +00:08:48,130 --> 00:08:52,030 +ال ... ال ... ال ... + +105 +00:08:52,030 --> 00:08:58,900 +ال ... ال ... upper border of thyroid cartilage يعني + +106 +00:08:58,900 --> 00:09:05,260 +على أي level من ناحية ال vertebra على level C3 C4 + +107 +00:09:05,260 --> 00:09:09,440 +vertebra يبقى common carotid artery بتتم by + +108 +00:09:09,440 --> 00:09:13,220 +bifurcation dividing ال common carotid artery + +109 +00:09:13,220 --> 00:09:19,260 +divide لمين ل two arteries internal carotid artery + +110 +00:09:19,260 --> 00:09:24,300 +و external carotid artery أنا اللي يهمنالي هو + +111 +00:09:24,300 --> 00:09:27,820 +internal + +112 +00:09:27,820 --> 00:09:32,400 +carotid artery ننتقل + +113 +00:09:32,400 --> 00:09:39,900 +لموضوع ثاني هاي واضح انها في الصورة arch أو aorta + +114 +00:09:39,900 --> 00:09:46,000 +على ال right brachiocephalic trunk تنقسم ل right + +115 +00:09:46,000 --> 00:09:50,520 +subclavian artery و right common carotid artery + +116 +00:09:50,520 --> 00:09:55,000 +نشوف ال left هي عندي arch aorta direct بخرج منه + +117 +00:09:55,000 --> 00:09:59,740 +left subclavian artery و left common carotid + +118 +00:09:59,740 --> 00:10:12,540 +artery طيب + +119 +00:10:12,540 --> 00:10:17,830 +لو سؤالنا سؤال جابنا صورة زي هيك و قالنا what's the + +120 +00:10:17,830 --> 00:10:21,950 +difference between external carotid artery and + +121 +00:10:21,950 --> 00:10:25,370 +internal carotid artery هي عندي common carotid + +122 +00:10:25,370 --> 00:10:28,970 +artery عن ال right خرج من ال subclavian artery .. + +123 +00:10:28,970 --> 00:10:31,730 +آسف خرج من ال brachiocephalic trunk ال + +124 +00:10:31,730 --> 00:10:35,310 +brachiocephalic trunk انقسم ل right common carotid + +125 +00:10:35,310 --> 00:10:39,970 +artery و right subclavian artery هذا هو ايه ال + +126 +00:10:39,970 --> 00:10:43,030 +brachiocephalic trunk طب what's the difference + +127 +00:10:43,030 --> 00:10:46,290 +between right and left؟ what's the difference + +128 +00:10:46,290 --> 00:10:49,930 +between internal and external carotid artery؟ أنا + +129 +00:10:49,930 --> 00:10:57,610 +بطلع بصورة هيك و بده أعرف هاي one و هاي second + +130 +00:10:57,610 --> 00:11:01,710 +branch لل common carotid main ال internal و main + +131 +00:11:01,710 --> 00:11:09,230 +ال external internal carotid artery gives no branch + +132 +00:11:09,230 --> 00:11:13,390 +at the neck يعني ال internal carotid artery + +133 +00:11:13,390 --> 00:11:18,370 +بيعطيناش ولا شريان على الرقبة، ما بيعطيش ولا branch + +134 +00:11:19,150 --> 00:11:24,650 +طيب أما ال external carotid artery it gives + +135 +00:11:24,650 --> 00:11:29,030 +branches at the neck يبقى الإختلاف إن ال external + +136 +00:11:29,030 --> 00:11:33,790 +carotid artery بيعطينا أفرع له للرقب و لل face و + +137 +00:11:33,790 --> 00:11:38,830 +للوجه تمام و الفكين أما ال internal carotid artery + +138 +00:11:38,830 --> 00:11:45,490 +وظيفته to supply the brain and eyes لذلك بيعطيش ولا + +139 +00:11:45,490 --> 00:11:47,790 +فرع له على الرقبة + +140 +00:11:52,180 --> 00:11:58,280 +نوصل ل internal carotid artery اللي هو راح يكون + +141 +00:11:58,280 --> 00:12:02,820 +موضوع الجزء الأول من محاضرتنا إن شاء الله internal + +142 +00:12:02,820 --> 00:12:10,540 +carotid artery arises in the neck of terminal + +143 +00:12:10,540 --> 00:12:16,700 +branch of common carotid artery at bifurcation + +144 +00:12:16,700 --> 00:12:19,840 +واتفقنا ال bifurcation يعني ايش bifurcation مقصود + +145 +00:12:19,840 --> 00:12:24,260 +فيها هو انقسام ال common carotid artery إلى + +146 +00:12:24,260 --> 00:12:28,900 +external and internal على أي level قلنا على level + +147 +00:12:28,900 --> 00:12:34,960 +cervical 3 and cervical 4 vertebra أو على level + +148 +00:12:34,960 --> 00:12:40,640 +upper thyroid gland cartilage okay what's the + +149 +00:12:40,640 --> 00:12:45,940 +function of internal carotid artery؟ internal + +150 +00:12:45,940 --> 00:12:51,780 +carotid artery supplies structures of orbit يعني + +151 +00:12:51,780 --> 00:12:57,360 +ال eye و ال orbit and large part of the brain + +152 +00:12:57,360 --> 00:13:03,960 +internal carotid artery supply 80% of the brain + +153 +00:13:03,960 --> 00:13:09,860 +يعني 80% من ال brain blood supply بتتم عن طريق مين؟ + +154 +00:13:09,860 --> 00:13:16,780 +عن طريق internal carotid artery واتفقنا انه it + +155 +00:13:16,780 --> 00:13:22,980 +gives no branches at the neck أو in the neck يعني + +156 +00:13:22,980 --> 00:13:27,440 +ال internal carotid artery ما بيعطيناش ولا branch + +157 +00:13:27,440 --> 00:13:32,280 +على وين على الرقبة okay تمام ال internal carotid + +158 +00:13:32,280 --> 00:13:39,600 +artery هو supply ال orbit و ال brain each + +159 +00:13:39,600 --> 00:13:44,880 +internal carotid artery enters the skull through + +160 +00:13:44,880 --> 00:13:49,800 +the carotid canal أو carotid foramen هو بيفوت ل ال + +161 +00:13:49,800 --> 00:13:56,340 +cranial cavity عن طريق قناة أو فتحة اسمها carotid + +162 +00:13:56,340 --> 00:14:04,620 +foramen أو carotid canal okay and it gives intra + +163 +00:14:04,620 --> 00:14:09,380 +cranial branches بيعطينا ايه intra cranial + +164 +00:14:09,380 --> 00:14:15,680 +branches لو اتكلم على course of the internal + +165 +00:14:15,680 --> 00:14:19,020 +carotid artery اتفقنا انه بيبدأ ال internal + +166 +00:14:19,020 --> 00:14:22,420 +carotid artery من مكان ال bifurcation of common + +167 +00:14:22,420 --> 00:14:28,620 +carotid artery على level C3-C4 vertebra ال internal + +168 +00:14:28,620 --> 00:14:34,200 +carotid artery بيمر بواحد cervical part اللي هو + +169 +00:14:34,200 --> 00:14:39,560 +أجزاء أول جزء اسمه cervical part بيكون below the + +170 +00:14:39,560 --> 00:14:42,680 +carotid foramen وين موجود هذا الجزء؟ على ال neck + +171 +00:14:42,680 --> 00:14:52,940 +موجود وين؟ على ال neck اثنين intra petras part انتم + +172 +00:14:52,940 --> 00:14:59,100 +عارفين carotid foramen موجود في ال petras bone تمام of + +173 +00:14:59,100 --> 00:15:02,440 +temporal bone يعني ال temporal bone في جزء منها + +174 +00:15:02,440 --> 00:15:06,600 +اسمه petras bone وفيها canal أو foramen اسمه carotid + +175 +00:15:06,600 --> 00:15:12,060 +foramen يبقى أثناء مرور ال internal carotid artery + +176 +00:15:12,900 --> 00:15:15,840 +في ال carotid foramen هذا الجزء اللي موجود في ال + +177 +00:15:15,840 --> 00:15:22,750 +foramen بنسميه intra petras part ثلاثة intra + +178 +00:15:22,750 --> 00:15:26,850 +cavernous part إن شاء الله في نهاية المحاضرة راح + +179 +00:15:26,850 --> 00:15:30,630 +ناخد dural venous sinuses ومن ضمنهم cavernous + +180 +00:15:30,630 --> 00:15:36,470 +sinus ال internal carotid artery بيمر في ال media + +181 +00:15:36,470 --> 00:15:41,650 +wall of the cavernous sinus cavernous sinus هو عبارة + +182 +00:15:41,650 --> 00:15:46,350 +عن dural venous sinus و ال internal carotid + +183 +00:15:46,350 --> 00:15:49,030 +artery اللي بمر فيه ايه الجزء اللي بمر في ال + +184 +00:15:49,030 --> 00:15:54,210 +cavernous sinus بنسميه intra cavernous part و آخر + +185 +00:15:54,210 --> 00:16:00,270 +جزء اسمه intracranial part above the cavernous + +186 +00:16:00,270 --> 00:16:06,210 +sinus في بعض المراجع بيسمو ال intra cavernous part + +187 +00:16:06,210 --> 00:16:12,580 +و ال intracranial part نفس الاسم هي عندي تحت بيكون + +188 +00:16:12,580 --> 00:16:18,640 +هذا petras part هذا الجزء بنسميه intra-petras + +189 +00:16:18,640 --> 00:16:22,280 +part هذا الجزء اللي في ال cavernous sinus بنسميه + +190 +00:16:22 + +201 +00:17:32,730 --> 00:17:38,610 +و the two terminal branches و أكبر اتنين Anterior + +202 +00:17:38,610 --> 00:17:42,770 +Cerebral Artery and Middle Cerebral Artery لكن لو + +203 +00:17:42,770 --> 00:17:48,890 +سألنا سؤال مين هو largest branch of the internal + +204 +00:17:48,890 --> 00:17:53,680 +carotid artery رح يكون middle cerebral arteryيقول + +205 +00:17:53,680 --> 00:17:56,220 +الـ middle cerebral artery, it is the largest + +206 +00:17:56,220 --> 00:18:01,260 +branch of the internal carotid artery ممكن يجي + +207 +00:18:01,260 --> 00:18:07,000 +سؤال تاني مين فيهم medial branch ومين فيهم lateral + +208 +00:18:07,000 --> 00:18:15,060 +branch ال anterior cerebral artery يعتبر a medial + +209 +00:18:15,060 --> 00:18:17,240 +branch + +210 +00:18:18,530 --> 00:18:22,370 +الـ anterior cerebral artery medial branch والـ Middle Cerebral artery + +211 +00:18:22,370 --> 00:18:28,610 +Lateral Branch تمام ممكن يجي سؤال مين هو ال large + +212 +00:18:28,610 --> 00:18:32,590 +medial branch of the internal carotid artery ع السليله + +213 +00:18:32,590 --> 00:18:36,270 +بغز ع وين؟ anterior cerebral artery طب اجي سؤال + +214 +00:18:36,270 --> 00:18:39,730 +ثاني مين هو ال large ماقولناش largest large + +215 +00:18:39,730 --> 00:18:43,590 +lateral branch of the internal carotid artery بغز ع + +216 +00:18:43,590 --> 00:18:46,650 +السليله وين؟ ال middle cerebral artery لكن لو اجي + +217 +00:18:46,650 --> 00:18:51,980 +سؤال مين هو ال largest؟ اكبر واحدفي branches of + +218 +00:18:51,980 --> 00:18:55,460 +the internal carotid artery اكيد رح يكون middle + +219 +00:18:55,460 --> 00:18:59,740 +cerebral artery و اكتر شريان بيغدى ال brain هو + +220 +00:18:59,740 --> 00:19:09,080 +middle cerebral artery middle cerebral artery هنا + +221 +00:19:09,080 --> 00:19:16,800 +ان the internal carotid artery اعطانا + +222 +00:19:16,800 --> 00:19:17,520 +اللي هو + +223 +00:19:20,360 --> 00:19:23,780 +أنا واضح عندي Posterior Communicating وواضح اللي هو + +224 +00:19:23,780 --> 00:19:29,840 +middle cerebral artery بيروح لاترال وواضح عندي ايه + +225 +00:19:29,840 --> 00:19:34,940 +anterior cerebral artery medial ففي صورة ثانية راح + +226 +00:19:34,940 --> 00:19:44,760 +نشوفهم أفضل ونرسم كل شريان لواحده نبدأ + +227 +00:19:44,760 --> 00:19:52,380 +بـ Ophthalmic branch أو افثالمك افثالمك افثالمك + +228 +00:19:52,380 --> 00:19:52,820 +افثالمك افثالمك افثالمك افثالمك افثالمك افثالمك + +229 +00:19:52,820 --> 00:19:57,560 +افثالمك افثالمك افثالمك افثالمك افثالمك افثالمك + +230 +00:19:57,560 --> 00:19:59,700 +افثالمك افثالمك افثالمك افثالمك افثالمك افثالمك + +231 +00:19:59,700 --> 00:19:59,840 +افثالمك افثالمك افثالمك افثالمك افثالمك افثالمك + +232 +00:19:59,840 --> 00:20:04,860 +افثالمك افثالمك افثالمك افثالمك افثالمك افثالمك + +233 +00:20:04,860 --> 00:20:14,840 +افثالمك افثالمك افثالمك افثالم + +234 +00:20:15,030 --> 00:20:20,090 +بيغدّي ال orbit contents and it gives the central retinal + +235 +00:20:20,090 --> 00:20:23,710 +artery هذا ال central retinal artery لو حدث فيه + +236 +00:20:23,710 --> 00:20:27,390 +occlusion أو انسداد اثناء جلطة دماغية ممكن يؤدي + +237 +00:20:27,390 --> 00:20:31,830 +إلى ipsilateral blindness والمريض يفقد النظر على + +238 +00:20:31,830 --> 00:20:41,230 +نفس الجهة هي أن ال internal carotid artery خرج منه + +239 +00:20:41,230 --> 00:20:47,500 +branch اسمه Ophthalmic artery which supplies the + +240 +00:20:47,500 --> 00:20:56,560 +orbit content and it gives the Central Retinal Artery + +241 +00:20:56,560 --> 00:21:01,420 +هذا هو Central Retinal Artery وهذا أول فرع لـ + +242 +00:21:01,420 --> 00:21:05,120 +Internal Carotid Artery اسمه ايه؟ Ophthalmic + +243 +00:21:05,120 --> 00:21:08,140 +Artery Ophthalmic Artery يبقى Ophthalmic Artery + +244 +00:21:08,140 --> 00:21:13,500 +supplies the orbit content and it gives the Central + +245 +00:21:13,500 --> 00:21:16,900 +Retinal Artery يعني شريان الشبكية المركزي + +246 +00:21:19,880 --> 00:21:24,420 +خلصنا أول فرع من الأفرع تبعات الشريان السباتي + +247 +00:21:24,420 --> 00:21:28,780 +الداخلي اللي هو Internal Carotid Artery ننتقل إلى + +248 +00:21:28,780 --> 00:21:36,460 +الشريان الثاني Posterior Communicating Artery مين + +249 +00:21:36,460 --> 00:21:41,320 +اسمه؟ Posterior متجه إلى Posterior Cerebral Artery + +250 +00:21:41,320 --> 00:21:43,640 +لسه مااخدناهوش راح ناخده في الجزء الثاني من + +251 +00:21:43,640 --> 00:21:46,520 +المحاضرة اللي هو بيعتبر برانش من الـ Vertebral + +252 +00:21:46,520 --> 00:21:51,540 +Basilar Arteryبستيريور متجه إلى وين؟ للبستيريور + +253 +00:21:51,540 --> 00:21:56,760 +سريبرال آرتي communicating يعني بيعمل عملية وصل + +254 +00:21:56,760 --> 00:22:01,460 +بين ال internal carotid artery and the posterior + +255 +00:22:01,460 --> 00:22:04,480 +cerebral artery وان شاء الله راح ناخد اليوم ان + +256 +00:22:04,480 --> 00:22:08,700 +البستيريور سريبرال آرتي هو يعتبر branch من وين؟ من + +257 +00:22:08,700 --> 00:22:12,960 +ال vertebro basilar artery في الحالة دي the main + +258 +00:22:12,960 --> 00:22:21,010 +function of the Posterior Communicating Artery is + +259 +00:22:21,010 --> 00:22:27,810 +connection between the internal carotid artery + +260 +00:22:27,810 --> 00:22:32,230 +with the posterior + +261 +00:22:32,230 --> 00:22:36,170 +cerebral artery يعني لو قلنا Right Posterior + +262 +00:22:36,170 --> 00:22:41,210 +Communicating Artery بربط بين Right Internal + +263 +00:22:41,210 --> 00:22:49,550 +Carotid Artery مع مين؟ مع Right Posterior Cerebral + +264 +00:22:49,550 --> 00:22:59,030 +Artery Right Posterior + +265 +00:22:59,030 --> 00:23:03,670 +Cerebral Artery وهي Right Internal Carotid Artery + +266 +00:23:03,670 --> 00:23:08,170 +هذا الشريان اللي بيربطه مع بعض، إيش اسمه؟ + +267 +00:23:12,170 --> 00:23:24,090 +اسمه posterior communicating + +268 +00:23:24,090 --> 00:23:27,630 +artery + +269 +00:23:28,080 --> 00:23:32,380 +بعمل connections ما بين right internal carotid + +270 +00:23:32,380 --> 00:23:45,620 +artery مع right posterior + +271 +00:23:45,620 --> 00:23:51,290 +cerebral artery يعني بلغة ثانية make connections + +272 +00:23:51,290 --> 00:23:56,030 +between the carotid system with the vertebral basilar + +273 +00:23:56,030 --> 00:23:58,890 +system يعني بيعمل connection بين ال internal + +274 +00:23:58,890 --> 00:24:03,170 +carotid system مع مين؟ مع the vertebral basilar system + +275 +00:24:03,170 --> 00:24:10,050 +to establish عشان يكونلنا شيء اسمه circle of + +276 +00:24:10,050 --> 00:24:13,810 +Willis circle of Willis يبقى مين اللي بيكون ال + +277 +00:24:13,810 --> 00:24:18,200 +circle of Willis اللي هو ايه؟Posterior + +278 +00:24:18,200 --> 00:24:21,560 +communicating artery مع شرايين أخرى راح نتطرقلهم + +279 +00:24:21,560 --> 00:24:27,180 +في نهاية المحاضرة Also, it supplies غير أنه ال main + +280 +00:24:27,180 --> 00:24:30,460 +function لو سألكوا سؤال what's the main function + +281 +00:24:30,460 --> 00:24:34,980 +of the posterior communicating artery the main + +282 +00:24:34,980 --> 00:24:38,800 +function of the posterior communicating artery is + +283 +00:24:39,800 --> 00:24:45,140 +connection between the internal carotid artery + +284 +00:24:45,140 --> 00:24:49,980 +with the posterior cerebral artery to establish عشان + +285 +00:24:49,980 --> 00:24:56,100 +يكوننا circle of Willis هل في وظائف تانية نعم also, it + +286 +00:24:56,100 --> 00:25:02,360 +supplies the optic tract, the Lateral Geniculate Body and the Medial + +287 +00:25:02,360 --> 00:25:05,380 +Geniculate Body of the Thalamus أخدنا الـ Thalamus تابع للـ + +288 +00:25:05,380 --> 00:25:08,520 +Diencephalon و أخدنا ال Lateral Geniculate Body + +289 +00:25:08,520 --> 00:25:11,280 +اللي علاقة بالـ Vision تابع للـ Metathalamus من + +290 +00:25:11,280 --> 00:25:14,820 +الـ Diencephalon و الـ Optic Tract هو تابع للـ + +291 +00:25:14,820 --> 00:25:17,720 +Vision لما نتكلم على ال cranial nerves إن شاء الله + +292 +00:25:17,720 --> 00:25:21,700 +راح أشرحهم الشريان الثاني + +293 +00:25:27,100 --> 00:25:36,020 +Anterior Choroidal Artery بيخرج + +294 +00:25:36,020 --> 00:25:41,060 +من الـ Internal Carotid Artery ويكون أول branch قلنا + +295 +00:25:41,060 --> 00:25:43,740 +ophthalmic branch تاني branch posterior + +296 +00:25:43,740 --> 00:25:48,000 +communicating branch ثالث branch anterior choroidal + +297 +00:25:48,000 --> 00:25:53,560 +artery من وين بيخرج؟ just before the origin of the + +298 +00:25:53,560 --> 00:25:57,540 +anterior and middle cerebral arteries قبل ما يخرج ال + +299 +00:25:57,540 --> 00:26:01,680 +anterior و ال middle cerebral arteries بيعطينا إيه + +300 +00:26:01,680 --> 00:26:06,540 +شريان اسمه anterior choroidal artery لو سألتك سؤال + +301 +00:26:06,540 --> 00:26:13,650 +what's the main function مشكلة الرقم الرئيسي للأرض + +302 +00:26:13,650 --> 00:26:20,650 +الكرويضية هي أنها + +303 +00:26:20,650 --> 00:26:30,410 +تدفع The choroidal plexus of the lateral and third + +304 +00:26:30,410 --> 00:26:35,630 +ventricles يقن main function supplies the choroidal + +305 +00:26:35,630 --> 00:26:39,830 +plexus of the lateral and third ventricle Also, it + +306 +00:26:39,830 --> 00:26:44,210 +supplies the optic tract, optic chiasm, lateral + +307 +00:26:44,210 --> 00:26:48,090 +geniculate body and other structures أنا أخدت ال + +308 +00:26:48,090 --> 00:26:52,570 +main here ال main structures يقنهيلحظوا الـ optic + +309 +00:26:52,570 --> 00:26:56,250 +tract أخد blood supply من posterior + +310 +00:26:56,250 --> 00:26:59,110 +communicating artery و أخد blood supply من the + +311 +00:26:59,110 --> 00:27:07,750 +anterior choroidal artery ها + +312 +00:27:07,750 --> 00:27:15,530 +عندي أنا the internal + +313 +00:27:15,530 --> 00:27:33,250 +carotid artery باللون أسودناخد منه افرع افرع + +314 +00:27:33,250 --> 00:27:38,010 +افرع افرع افرع افرع افرع افرع + +315 +00:27:38,010 --> 00:27:46,630 +افرع + +316 +00:27:46,630 --> 00:27:55,180 +افرع Anterior Choroidal Artery Anterior Choroidal Artery + +317 +00:27:55,180 --> 00:27:59,100 +Anterior + +318 +00:27:59,100 --> 00:27:59,400 +Choroidal Artery Anterior Choroidal Artery Anterior + +319 +00:27:59,400 --> 00:27:59,480 +Choroidal Artery Anterior Choroidal Artery Anterior + +320 +00:27:59,480 --> 00:27:59,540 +Choroidal Artery Anterior Choroidal Artery Anterior + +321 +00:27:59,540 --> 00:27:59,840 +Choroidal Artery Anterior Choroidal Artery Anterior + +322 +00:27:59,840 --> 00:28:00,480 +Choroidal Artery Anterior Choroidal Artery Anterior + +323 +00:28:00,480 --> 00:28:03,520 +Choroidal Artery Anterior + +324 +00:28:03,520 --> 00:28:11,220 +Choroidal Artery Anterior Choroidal Artery Anterior + +325 +00:28:11,220 --> 00:28:17,240 +Choroidal Artery Anterior Choroidal large كمان أو + +326 +00:28:17,240 --> 00:28:25,340 +largest branch اللي هو middle cerebral + +327 +00:28:25,340 --> 00:28:25,820 +artery + +328 +00:28:31,470 --> 00:28:38,910 +وهنا اللي هو anterior cerebral artery ال anterior + +329 +00:28:38,910 --> 00:28:43,910 +cerebral artery يعتبر medial branch و ال middle + +330 +00:28:43,910 --> 00:28:46,990 +cerebral artery يعتبر lateral branch + +331 +00:28:58,340 --> 00:29:04,940 +Anterior Cerebral Artery Anterior Cerebral Artery Anterior + +332 +00:29:04,940 --> 00:29:10,260 +Cerebral Artery Anterior + +333 +00:29:10,260 --> 00:29:10,940 +Cerebral Artery Anterior Cerebral Artery Anterior + +334 +00:29:10,940 --> 00:29:14,760 +Cerebral Artery Anterior Cerebral Artery Anterior + +335 +00:29:14,760 --> 00:29:22,680 +Cerebral Artery Anterior Cerebral Artery Anterior + +336 +00:29:22,680 --> 00:29:29,410 +Cerebral Artery Anterior Cerebral it becomes joined to + +337 +00:29:29,410 --> 00:29:34,170 +the other anterior cerebral artery of the opposite + +338 +00:29:34,170 --> 00:29:39,650 +side by the anterior communicating artery و ال right و + +339 +00:29:39,650 --> 00:29:45,430 +ال left anterior cerebral artery في بينهم وصلة + +340 +00:29:47,740 --> 00:29:53,140 +the left anterior cerebral artery وهي ايه؟ the right + +341 +00:29:53,140 --> 00:29:57,900 +anterior cerebral artery وهي the left anterior + +342 +00:29:57,900 --> 00:30:04,380 +cerebral artery وهي عندي ايه؟ + +343 +00:30:04,380 --> 00:30:08,680 +the right anterior + +344 +00:30:08,680 --> 00:30:13,300 +cerebral artery في بينهم وصلة او connection هنا + +345 +00:30:18,030 --> 00:30:24,750 +اسمها the anterior communicating artery لو سألتكوا + +346 +00:30:24,750 --> 00:30:30,470 +سؤالكم the anterior communicating artery؟ one رح يكون + +347 +00:30:30,470 --> 00:30:34,890 +كام؟ one ليه؟ لأن وظيفته بيعمل connection بين ال + +348 +00:30:34,890 --> 00:30:38,470 +right و ال left the right and the left anterior cerebral + +349 +00:30:38,470 --> 00:30:41,050 +artery يبقى وظيفة ال anterior communicating artery + +350 +00:30:41,050 --> 00:30:45,250 +يعمل connection between the right and the left anterior + +351 +00:30:45,250 --> 00:30:49,970 +cerebral arteries تمام ال anterior cerebral artery + +352 +00:30:49,970 --> 00:30:56,140 +قلنا بيكون medial ولا lateral؟ بيكون medial the branch + +353 +00:30:56,140 --> 00:31:02,800 +the branch the branch the branch the branch the branch the branch + +354 +00:31:02,800 --> 00:31:07,180 +the branch the branch the branch the branch the branch the branch + +355 +00:31:07,180 --> 00:31:09,660 +the branch the branch the branch the branch the branch the branch + +356 +00:31:09,660 --> 00:31:13,460 +the branch the branch the branch the branch the branch the branch + +357 +00:31:13,460 --> 00:31:17,100 +the branch the branch the branch the branch the branch the branch + +358 +00:31:17,100 --> 00:31:20,000 +the branch the branch the branch the branch the branch the branch + +359 +00:31:20,000 --> 00:31:23,920 +the branch the branch the branch the branch the branch the branch + +360 +00:31:23,920 --> 00:31:24,160 +the branch the branch the branch the branch the branch the branch + +361 +00:31:24,160 --> 00:31:28,960 +the branch وظيفة الـ Anterior Cerebral Artery supplies the medial + +362 +00:31:28,960 --> 00:31:34,500 +surface of the cerebral hemisphere from the frontal pole من + +363 +00:31:34,500 --> 00:31:38,960 +القطب الأمامي لحد الـ parietal occipital sulcus + +364 +00:31:38,960 --> 00:31:41,920 +يعني الـ occipital lobe مالهاش علاقة بالـ + +365 +00:31:41,920 --> 00:31:45,000 +anterior cerebral راح تغذيها من الـ posterior + +366 +00:31:45,000 --> 00:31:48,100 +cerebral يعني هو main function يقدّي medial + +367 +00:31:48,100 --> 00:31:52,800 +surface of the cerebral hemisphere أي جزء ميديال من + +368 +00:31:52,800 --> 00:31:57,500 +القطب الأمامي إلى parietal occipital sulcus لحد + +369 +00:31:57,500 --> 00:32:00,480 +البرايتل، نهاية البرايتل تغذيها من الـ anterior + +370 +00:32:00,480 --> 00:32:08,900 +cerebral artery غير هيك بيغدّي the medial one + +371 +00:32:08,900 --> 00:32:13,540 +third of the orbital surface of the frontal lobe و + +372 +00:32:13,540 --> 00:32:16,720 +بيغدّي the medial one third of the orbital surface of + +373 +00:32:16,720 --> 00:32:19,340 +the frontal lobe لذلك احنا سمينا هذا ال branch ايه + +374 +00:32:19,340 --> 00:32:24,840 +سمناه؟ medial branch غير هيكبيغدّي the superior lateral + +375 +00:32:24,840 --> 00:32:28,700 +surface of the cerebral hemisphere ماعدا ايه؟ الـ + +376 +00:32:28,700 --> 00:32:32,280 +occipital اللي بتاخد مين؟ من posterior cerebral + +377 +00:32:32,280 --> 00:32:37,340 +artery بيغدّي corpus callosum, head of caudate nucleus, + +378 +00:32:37,340 --> 00:32:42,260 +anterior limb of the internal capsule لاحظوا هان يا + +379 +00:32:42,260 --> 00:32:49,160 +جماعة ايش قلناها؟ بيغدّي the superior lateral surface of + +380 +00:32:49,160 --> 00:32:53,980 +the cerebral hemisphere الإنسان في الدماغ بيكون مجلوب + +381 +00:32:53,980 --> 00:33:10,240 +بيكون + +382 +00:33:10,240 --> 00:33:15,140 +الإنسان مجلوب في الدماغ the head تحتوي ال upper + +383 +00:33:15,140 --> 00:33:18,520 +limbs فوق يبقى في الحالة هذه ال upper limbs موجودة + +384 +00:33:18,520 --> 00:33:22,180 +في ال superior lateral surface بتكون في قشرة + +385 +00:33:22,180 --> 00:33:26,440 +الدماغ مين مسئول عن ال blood supply to the area of + +386 +00:33:26,440 --> 00:33:30,700 +the lower limbs اللي هو anterior cerebral artery في + +387 +00:33:30,700 --> 00:33:35,920 +الحالة هذه anterior cerebral artery supplies the + +388 +00:33:35,920 --> 00:33:40,400 +motor and sensory areas of the lower limbs لو حصل + +389 +00:33:40,400 --> 00:33:45,030 +جلطة دماغية في ال anterior cerebral artery راح + +390 +00:33:45,030 --> 00:33: + +401 +00:34:24,180 --> 00:34:27,620 +المسؤولة عن الـ upper limbs و الـ face و الـ head + +402 +00:34:27,620 --> 00:34:31,300 +بيغذيها اللي هو middle cerebral artery + +403 +00:34:40,750 --> 00:34:48,210 +ننتقل لصورة نوضح فيها anterior cerebral artery + +404 +00:34:48,210 --> 00:34:55,630 +هذه anterior cerebral artery + +405 +00:34:55,630 --> 00:34:58,810 +الـ artery بيكون medial بيغذي الـ medial surface of + +406 +00:34:58,810 --> 00:35:05,080 +cerebral hemisphere لحد وين؟ البراية الـ occipital + +407 +00:35:05,080 --> 00:35:08,740 +sulcus البراية الـ occipital sulcus الجزء الخلفي + +408 +00:35:08,740 --> 00:35:12,380 +أو الـ occipital area بتأخذ blood supply من وين؟ + +409 +00:35:12,380 --> 00:35:16,480 +من posterior cerebral artery من وين؟ من posterior + +410 +00:35:16,480 --> 00:35:22,160 +cerebral artery اللي بيأخذ أو الجزء اللي بتغذي ال + +411 +00:35:22,160 --> 00:35:27,340 +medial هذا جاي من وين؟ من anterior cerebral artery + +412 +00:35:42,080 --> 00:35:49,460 +هنا واضح الصورة ها هاي left anterior + +413 +00:35:49,460 --> 00:35:54,300 +cerebral artery وهي ايه right anterior cerebral + +414 +00:35:54,300 --> 00:35:58,140 +artery بينهم connection اسمها الـ connection ها دي + +415 +00:35:58,140 --> 00:36:02,760 +anterior communicating + +416 +00:36:02,760 --> 00:36:03,280 +artery + +417 +00:36:08,820 --> 00:36:16,240 +Middle cerebral artery is the lateral branch of a + +418 +00:36:16,240 --> 00:36:20,020 +internal carotid artery يبقى عندنا two large + +419 +00:36:20,020 --> 00:36:23,460 +branches فيه medial branch large هو anterior + +420 +00:36:23,460 --> 00:36:27,240 +cerebral artery وفيه lateral branch large هو + +421 +00:36:27,240 --> 00:36:29,500 +middle cerebral artery لكن لو سألنا سؤال من هو ال + +422 +00:36:29,500 --> 00:36:34,260 +largest branch هو middle cerebral artery وهي بيفوت + +423 +00:36:34,260 --> 00:36:37,060 +في lateral sulcus عشان هيك قلنا هو يعتبر lateral + +424 +00:36:37,060 --> 00:36:43,680 +branch lateral branch وبيعطينا carotid branches + +425 +00:36:43,680 --> 00:36:48,740 +and central branches و الـ central branches نفس + +426 +00:36:48,740 --> 00:36:52,660 +الشيء بنسميهم striate branches لأنهم بيغدوا الـ basal + +427 +00:36:52,660 --> 00:36:56,780 +النوكلياعي الان + +428 +00:36:56,780 --> 00:37:00,720 +بتكلم على cortical branches الـ cortical branches + +429 +00:37:00,720 --> 00:37:06,680 +بيغدوا ايه القشرة الدماغية فقنا ان الـ anterior + +430 +00:37:06,680 --> 00:37:10,660 +cerebral artery بيغذي الـ superior lateral part + +431 +00:37:10,660 --> 00:37:16,240 +طب الـ middle cerebral artery بيغذي lateral two + +432 +00:37:16,240 --> 00:37:21,400 +thirds of أو كمان مرة الـ anterior cerebral artery + +433 +00:37:21,400 --> 00:37:24,680 +قلنا بيغذي الـ media الـ one third of orbital part + +434 +00:37:24,680 --> 00:37:28,600 +of frontal lobe الـ middle cerebral artery راح يغذي + +435 +00:37:28,600 --> 00:37:34,080 +lateral two thirds of the orbital part of frontal + +436 +00:37:34,080 --> 00:37:40,100 +lobe بيغذي الـ temporal lobe و الـ insula طيب قلنا + +437 +00:37:40,100 --> 00:37:43,740 +الـ anterior cerebral artery بيغذي الـ upper + +438 +00:37:43,740 --> 00:37:49,680 +superior lateral part في الحالة هذه الـ middle + +439 +00:37:49,680 --> 00:37:55,820 +cerebral artery بيغذي most of the lateral cerebral + +440 +00:37:55,820 --> 00:38:00,040 +hemisphere بيغذي most of the lateral cerebral + +441 +00:38:00,040 --> 00:38:05,460 +hemisphere مع ده except upper part الـ upper part + +442 +00:38:05,460 --> 00:38:08,520 +الـ super lateral قولنا باخد وين شرحنا من الـ + +443 +00:38:08,520 --> 00:38:12,460 +anterior cerebral artery الـ lower part تبع الـ + +444 +00:38:12,460 --> 00:38:15,900 +temporal lobe باخد من الـ posterior cerebral artery + +445 +00:38:16,790 --> 00:38:20,510 +و الـ occipital lobe بتاخد من وين؟ من posterior + +446 +00:38:20,510 --> 00:38:23,630 +cerebral artery يعني الـ middle cerebral artery + +447 +00:38:23,630 --> 00:38:26,930 +بيغذي ان كل الـ lateral surface of cerebral + +448 +00:38:26,930 --> 00:38:30,690 +الهيمسفير معدي الـ superior lateral الجزء العلوي + +449 +00:38:30,690 --> 00:38:34,590 +بياخد من الـ anterior cerebral artery تمام و الـ + +450 +00:38:34,590 --> 00:38:38,130 +occipital lobe بتاخد من الـ posterior cerebral + +451 +00:38:38,130 --> 00:38:42,670 +artery و الـ lower temporal lobe بتاخد من وين؟ من + +452 +00:38:42,670 --> 00:38:45,070 +posterior cerebral artery + +453 +00:38:48,800 --> 00:38:52,200 +Central branches of the middle cerebral artery + +454 +00:38:52,200 --> 00:38:56,780 +بيغذي basal nuclei Internal capsule خاصة لـ + +455 +00:38:56,780 --> 00:39:01,290 +posterior part of internal capsule والجينيكوليت one of + +456 +00:39:01,290 --> 00:39:04,570 +these arteries is large في واحد منهم شريان كبير + +457 +00:39:04,570 --> 00:39:09,350 +هذا الشريان بيسموه artery of hemorrhage artery of + +458 +00:39:09,350 --> 00:39:12,650 +cerebral hemorrhage أو اللي اسمه تشاركو ارتري + +459 +00:39:12,650 --> 00:39:15,790 +راح ناخده ان شاء الله في سنة رابعة لما نتكلم على + +460 +00:39:15,790 --> 00:39:19,230 +محاضرة الـ cerebral hemorrhage أو النزيف الدماغي + +461 +00:39:19,230 --> 00:39:24,510 +الشريان هذا كثير بيصير فيه حالات نزيف و ليه بيصير + +462 +00:39:24,510 --> 00:39:29,510 +فيه نزيف لأن الـ smooth muscle layer thin وUnder + +463 +00:39:29,510 --> 00:39:33,690 +high blood pressure بيحدث له ربشر وبيؤدي إلى + +464 +00:39:33,690 --> 00:39:42,030 +Intracerebral Hemorrhage هاي عندي middle cerebral + +465 +00:39:42,030 --> 00:39:50,490 +artery تعتبر lateral branch Lateral Branch هاي + +466 +00:39:50,490 --> 00:39:54,650 +و أنا أجاور في lateral sulcus أو lateral fissure + +467 +00:39:54,650 --> 00:40:00,900 +وبيغذي ايه اللي هي most of cerebral cortex هي most of + +468 +00:40:00,900 --> 00:40:07,660 +الجزء العلوي تأخذ من anterior cerebral artery + +469 +00:40:07,660 --> 00:40:13,760 +الـ occipital تأخذ من posterior cerebral artery + +470 +00:40:13,760 --> 00:40:18,040 +و الـ inferior surface بتاعة الـ temporal lobe تأخذ من + +471 +00:40:18,040 --> 00:40:19,860 +posterior cerebral artery + +472 +00:40:37,540 --> 00:40:41,640 +هي واضح عندي في الصورة هذه اللي هو middle cerebral + +473 +00:40:41,640 --> 00:40:46,180 +artery as lateral branch إله cortical branches + +474 +00:40:46,180 --> 00:40:50,560 +و إله ايه هنا نسميهم central branches اللي هم + +475 +00:40:50,560 --> 00:40:56,400 +الأساسية الـ branches + +476 +00:40:56,400 --> 00:41:01,180 +واضح + +477 +00:41:01,180 --> 00:41:05,040 +حلو هنا عندي الـ middle cerebral artery إله lateral + +478 +00:41:05,040 --> 00:41:10,830 +branches و الـ central branches اللي هما striate + +479 +00:41:10,830 --> 00:41:17,090 +arteries في منهم short striate artery واضحين هنا + +480 +00:41:17,090 --> 00:41:22,070 +short striate arteries وفي long striate arteries + +481 +00:41:26,090 --> 00:41:28,990 +واحد منهم دول الشرايين الـ striate arteries بيكون + +482 +00:41:28,990 --> 00:41:33,050 +labelled to bleeding واسمه artery of cerebral + +483 +00:41:33,050 --> 00:41:37,510 +hemorrhage أو بنسميه charcot artery لذلك أكثر + +484 +00:41:37,510 --> 00:41:43,520 +مكان بيحدث فيه نزيف دماغي هو الـ basal nuclei لحد + +485 +00:41:43,520 --> 00:41:47,420 +الآن بن ... بنكتفي في الجزء الأول من المحاضرة، + +486 +00:41:47,420 --> 00:41:50,240 +الجزء الثاني إن شاء الله من المحاضرة راح يكون على + +487 +00:41:50,240 --> 00:41:54,700 +vertebral basilar system هو الـ dural venous + +488 +00:41:54,700 --> 00:41:56,960 +drainage، يعطيكم العافية diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/SYJEVo8m4NA_raw.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/SYJEVo8m4NA_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..70814b914e74be2f7e2687ce242602d480ab8891 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/SYJEVo8m4NA_raw.srt @@ -0,0 +1,1988 @@ +1 +00:00:04,990 --> 00:00:08,770 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:08,770 --> 00:00:16,400 +وبركاتهاليوم راح نكمل محاضرات مساق تشريح الأعصاب و + +3 +00:00:16,400 --> 00:00:20,480 +فسيولوجية الأعصاب وصلنا معاكم إلى المحاضرة رقم 5 + +4 +00:00:20,480 --> 00:00:26,440 +اللي كانت على meninges and ventricular system + +5 +00:00:26,440 --> 00:00:31,840 +محاضرة الأسبوع السادس راح تكون على blood supply of + +6 +00:00:31,840 --> 00:00:38,910 +the brain and ural venousأو Dural Venous نبدأ + +7 +00:00:38,910 --> 00:00:45,090 +بداية المحاضرة على ال cerebral blood flow ايش هو + +8 +00:00:45,090 --> 00:00:51,190 +ال cerebral blood flow؟ هو عبارة عن blood supply + +9 +00:00:51,190 --> 00:00:59,250 +to the brain in a given time في الطبيعي ال brain + +10 +00:00:59,250 --> 00:01:08,180 +بياخد 20% من ال total cardiac outputيعني حوالي 750 + +11 +00:01:08,180 --> 00:01:12,500 +ملي لتر في دقيقة الواحد الواحدة اللي بيصل ال blood + +12 +00:01:12,500 --> 00:01:19,360 +لل brain لو أخدنا دراسة regional cerebral blood + +13 +00:01:19,360 --> 00:01:23,520 +flowدرسنا كل 100 جرام brain tissue كم بيصل لها + +14 +00:01:23,520 --> 00:01:29,120 +blood في الدقيقة الواحدة طبيعي يصل 50 ل 54 مليليتر + +15 +00:01:29,120 --> 00:01:32,800 +في الدقيقة الواحدة هذا طبيعي طيب ماذا بيحدث + +16 +00:01:32,800 --> 00:01:36,960 +ischemia ischemia يعني ان الخلايا بتفقد وظيفتها + +17 +00:01:36,960 --> 00:01:42,160 +بدون ما يكون عندهم death لسه ما ماتت الخلية فقدت + +18 +00:01:42,160 --> 00:01:46,020 +الوظيفة بسبب نقص في التروية يقول ischemia هي عبارة + +19 +00:01:46,020 --> 00:01:53,430 +عن نقص تروية ماذا بتحدث؟if blood flow to the brain + +20 +00:01:53,430 --> 00:02:01,030 +below 18-20 milliliter per 100 gram per minute طيب + +21 +00:02:01,030 --> 00:02:05,950 +تشدث متى الخلية بتفقد الوظيفة و بتموت كمان بيحدث + +22 +00:02:05,950 --> 00:02:14,330 +لها death في حالنزل الـ cerebral blood flow أقل + +23 +00:02:14,330 --> 00:02:21,630 +من 8 ل 10 ملي لتر لكل 100 جرام برن تشوف في الدقيقة + +24 +00:02:21,630 --> 00:02:28,950 +الواحدة هيفجان اتفقنا انه طبيعي يصل لبرن 750 ملي + +25 +00:02:28,950 --> 00:02:34,090 +لتر لكل برن في الدقيقة الواحدة يعني نتكلم عن 15 ل + +26 +00:02:34,090 --> 00:02:37,350 +20% من ال total cardiac output + +27 +00:02:42,050 --> 00:02:47,330 +الخلية بتفقد الوظيفة بتاعتها في حال نزل ال blood + +28 +00:02:47,330 --> 00:02:56,750 +flow لكام؟ ل 18، 20 مليلتر ل 100 gram brain tissue + +29 +00:02:56,750 --> 00:03:01,330 +في الدقيقة الواحدة طب death tissue او ال tissue + +30 +00:03:01,330 --> 00:03:05,070 +death متى بيحدث ال tissue death؟في حال نزل الـ + +31 +00:03:05,070 --> 00:03:07,230 +cerebral blood flow، الـ regional cerebral blood + +32 +00:03:07,230 --> 00:03:14,010 +flow، below a 10 milliliter blood لكل 100 gram + +33 +00:03:14,010 --> 00:03:20,110 +brain tissue per minute blood + +34 +00:03:20,110 --> 00:03:27,470 +supply of the brainالـ brain very important organ + +35 +00:03:27,470 --> 00:03:33,370 +عشان هيك لاحظوا انه بيصلوا عشرين في المية من a + +36 +00:03:33,370 --> 00:03:40,050 +total cardiac output مهم جدا بتأثر ال brain في + +37 +00:03:40,050 --> 00:03:43,070 +حالات ال hypertension او في حالات ال hypertension + +38 +00:03:43,070 --> 00:03:50,310 +ال blood supply of the brain ال brain بيصلوا blood + +39 +00:03:50,310 --> 00:03:59,060 +من two systemsتو system اول system اللي هو ايه + +40 +00:03:59,060 --> 00:04:03,680 +carotid system carotid system ثاني system + +41 +00:04:03,680 --> 00:04:11,580 +vertebrobasilar system vertebrobasilar system ال + +42 +00:04:11,580 --> 00:04:18,030 +carotid systemبصلى ال brain عن طريق internal + +43 +00:04:18,030 --> 00:04:22,570 +carotid artery internal carotid artery هنا right + +44 +00:04:22,570 --> 00:04:27,530 +internal carotid artery and left internal carotid + +45 +00:04:27,530 --> 00:04:31,960 +artery طيب ال vertebral basilar systemبيصل ال + +46 +00:04:31,960 --> 00:04:35,980 +blood لل brain عن طريق ال two vertebral artery و + +47 +00:04:35,980 --> 00:04:39,560 +ال two vertebral artery بتحدوا مع بعض و بيكونولنا + +48 +00:04:39,560 --> 00:04:45,500 +single basilar artery لذلك سميها vertebral basilar + +49 +00:04:45,500 --> 00:04:54,260 +system the main blood supply to the brain بتتم عن + +50 +00:04:54,260 --> 00:04:56,740 +طريق ال carotid artery عن طريق ال internal carotid + +51 +00:04:56,740 --> 00:05:03,670 +artery internal carotid arterysupplied 80% of the + +52 +00:05:03,670 --> 00:05:08,190 +brain يعني 80% من الدماغ بياخد إبلاد سبلية عن طريق + +53 +00:05:08,190 --> 00:05:13,730 +ال internal carotid artery و 20% بياخد عن طريق + +54 +00:05:13,730 --> 00:05:19,390 +vertebral basilar artery نرجع + +55 +00:05:19,390 --> 00:05:24,450 +شوية ال general anatomy نشوف من وين ال origin بتاع + +56 +00:05:24,450 --> 00:05:30,330 +ال internal carotid artery أول شيءفي هنا شي اسمه + +57 +00:05:30,330 --> 00:05:34,290 +common carotid artery الـ carotid يعني شريان + +58 +00:05:34,290 --> 00:05:39,590 +السباتي شريان السباتي العام بالعربي common carotid + +59 +00:05:39,590 --> 00:05:43,990 +artery أو شريان السباتي الرئيسي ال common carotid + +60 +00:05:43,990 --> 00:05:51,870 +artery emerges from هنا الخلاف في right و في left + +61 +00:05:51,870 --> 00:05:59,070 +ال right common carotid arteryemerges from + +62 +00:05:59,070 --> 00:06:05,270 +brachiocephalic trunk from brachiocephalic trunk + +63 +00:06:05,270 --> 00:06:09,650 +طيب، brachiocephalic trunk بخرج من القرش و في + +64 +00:06:09,650 --> 00:06:13,750 +أوورته brachiocephalic + +65 +00:06:13,750 --> 00:06:17,790 +trunk من اسمه brachiocephalic يعني لل upper limb و + +66 +00:06:17,790 --> 00:06:22,370 +لل brain ال brachiocephalic trunk ال right منقسم ل + +67 +00:06:22,370 --> 00:06:28,250 +two arteries two main arteriesأولاً رايت سبكليفيان + +68 +00:06:28,250 --> 00:06:37,570 +ارتريه اللي تشتغل عقل العقل الأعلى اتنين + +69 +00:06:37,570 --> 00:06:43,750 +كومون كاروتد ارتريه يبقى رايت كومون كاروتد ارتريه + +70 +00:06:43,750 --> 00:06:47,350 +يتخلص + +71 +00:06:47,350 --> 00:06:54,620 +منthe brachiocephalic trunk ماحد يقول ليه من ال + +72 +00:06:54,620 --> 00:06:59,400 +right brachiocephalic trunk ليه؟ لأنه هو one only + +73 +00:06:59,400 --> 00:07:01,960 +على ال right بيكون موجود على ال brachiocephalic + +74 +00:07:01,960 --> 00:07:06,060 +trunk في الحالة هذه ال right common carotid artery + +75 +00:07:06,060 --> 00:07:12,160 +immerse from brachiocephalic trunkBreak ocephalic + +76 +00:07:12,160 --> 00:07:16,660 +trunk Divide into two arteries Right subclavian + +77 +00:07:16,660 --> 00:07:19,620 +artery and right common carotid artery + +78 +00:07:27,320 --> 00:07:32,180 +immediately direct from the arch of the aorta يعني + +79 +00:07:32,180 --> 00:07:35,000 +عال left الarch of the aorta عال left بيكون + +80 +00:07:35,000 --> 00:07:40,520 +immediately بخرج منه left subclavian artery and + +81 +00:07:40,520 --> 00:07:44,280 +left common carotid artery يبقى هنا عرفنا إيش + +82 +00:07:44,280 --> 00:07:47,600 +الاختلاف بين ال right و left common carotid artery + +83 +00:07:47,600 --> 00:07:52,360 +left common carotid artery emerges immediatelyfrom + +84 +00:07:52,360 --> 00:07:56,780 +the arch of the aorta but the right common carotid + +85 +00:07:56,780 --> 00:08:01,220 +artery emerges or arises directly from + +86 +00:08:01,220 --> 00:08:04,340 +brachiocephalic trunk و brachiocephalic trunk من + +87 +00:08:04,340 --> 00:08:09,480 +وين؟ من ال arch of the aorta خلصنا عرفنا من وين + +88 +00:08:09,480 --> 00:08:11,740 +أتى ال common carotid artery مابهمناش احنا ال + +89 +00:08:11,740 --> 00:08:14,560 +common carotid artery بهمنا ال internal carotid + +90 +00:08:14,560 --> 00:08:19,580 +artery طيب common carotid artery بينقسم ل two + +91 +00:08:19,580 --> 00:08:25,640 +branchesلـ Internal Carotid Artery و External + +92 +00:08:25,640 --> 00:08:28,860 +Carotid Artery، أنا الـ External Carotid Artery ما + +93 +00:08:28,860 --> 00:08:32,920 +بيهمني اليوم، بغد الـ Face و الـ Thyroid، ما إلي + +94 +00:08:32,920 --> 00:08:35,970 +علاقة في الموضوع الآن؟أنا باهيم من مين؟ ال + +95 +00:08:35,970 --> 00:08:38,870 +internal carotid artery طب وين بيتم ال + +96 +00:08:38,870 --> 00:08:45,110 +bifurcation؟ او ايه؟ ال .. ال .. ال .. ال .. ال .. + +97 +00:08:45,110 --> 00:08:45,830 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +98 +00:08:45,830 --> 00:08:45,830 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +99 +00:08:45,830 --> 00:08:45,830 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +100 +00:08:45,830 --> 00:08:45,870 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +101 +00:08:45,870 --> 00:08:45,990 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +102 +00:08:45,990 --> 00:08:46,450 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +103 +00:08:46,450 --> 00:08:46,690 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +104 +00:08:46,690 --> 00:08:48,110 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +105 +00:08:48,110 --> 00:08:48,130 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +106 +00:08:48,130 --> 00:08:48,130 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +107 +00:08:48,130 --> 00:08:52,030 +ال .. ال .. ال .. + +108 +00:08:52,030 --> 00:08:58,900 +ال .. ال ..Upper border of thyroid cartilage يعني + +109 +00:08:58,900 --> 00:09:05,260 +على أي level من ناحية ال vertibra على level C3 C4 + +110 +00:09:05,260 --> 00:09:09,440 +vertibra يبقى common carotid artery بتميله by + +111 +00:09:09,440 --> 00:09:13,220 +bifurcation dividing ال common carotid artery + +112 +00:09:13,220 --> 00:09:19,260 +divide لمين ل two arteries internal carotid artery + +113 +00:09:19,260 --> 00:09:24,300 +و external carotid artery انا اللي بهمنياللي هو + +114 +00:09:24,300 --> 00:09:27,820 +internal + +115 +00:09:27,820 --> 00:09:32,400 +carotid artery ننتقل + +116 +00:09:32,400 --> 00:09:39,900 +لموضوع تاني هاي واضح انها في الصورة أرش أو داورتا + +117 +00:09:39,900 --> 00:09:46,000 +على ال right brachiocephalic trunkتنقسم لـ right + +118 +00:09:46,000 --> 00:09:50,520 +subclavian artery و right common carotid artery + +119 +00:09:50,520 --> 00:09:55,000 +نشوف الـ left هي عندي ارشف دورته Direct بخرج منه + +120 +00:09:55,000 --> 00:09:59,740 +left subclavian artery و left common carotid + +121 +00:09:59,740 --> 00:10:12,540 +artery طيب + +122 +00:10:12,540 --> 00:10:17,830 +لو سؤالنا سؤالجيبنا صورة زي هيك و قولنا what's the + +123 +00:10:17,830 --> 00:10:21,950 +difference between external carotid artery and + +124 +00:10:21,950 --> 00:10:25,370 +internal carotid artery هي عندي common carotid + +125 +00:10:25,370 --> 00:10:28,970 +artery عن ال right خرج من ال subclavian artery .. + +126 +00:10:28,970 --> 00:10:31,730 +آسف خرج من ال brachiocephalic trunk ال + +127 +00:10:31,730 --> 00:10:35,310 +brachiocephalic trunk انقسم ل right common carotid + +128 +00:10:35,310 --> 00:10:39,970 +artery و right subclavian artery هذا هو ايه ال + +129 +00:10:39,970 --> 00:10:43,030 +brachiocephalic trunkطب what's the difference + +130 +00:10:43,030 --> 00:10:46,290 +between right and left؟ what's the difference + +131 +00:10:46,290 --> 00:10:49,930 +between internal and external carotid artery؟ أنا + +132 +00:10:49,930 --> 00:10:57,610 +بطلع بصورة هيك و بده أعرف هاي one و هاي second + +133 +00:10:57,610 --> 00:11:01,710 +branch لل common carotid main ال internal و main + +134 +00:11:01,710 --> 00:11:09,230 +ال externalinternal carotid artery gives no branch + +135 +00:11:09,230 --> 00:11:13,390 +at the neck يعني ال internal carotid artery + +136 +00:11:13,390 --> 00:11:18,370 +بيعطيناش ولا شريان على الرقبة، مابيعطيش ولا branch + +137 +00:11:19,150 --> 00:11:24,650 +طيب أما ال external carotid artery it gives + +138 +00:11:24,650 --> 00:11:29,030 +branches at the neck يبقى الإختلاف إن ال external + +139 +00:11:29,030 --> 00:11:33,790 +carotid artery بيعطينا أفرع له للرقب و لل face و + +140 +00:11:33,790 --> 00:11:38,830 +للوجه تمام و الفكين أما ال internal carotid artery + +141 +00:11:38,830 --> 00:11:45,490 +وظيفة to supply the brain and eyes لذلك بيعطيش ولا + +142 +00:11:45,490 --> 00:11:47,790 +فرع له على الرقب + +143 +00:11:52,180 --> 00:11:58,280 +نوصل لـ Internal Carotid Artery اللي هو راح يكون + +144 +00:11:58,280 --> 00:12:02,820 +موضوع الجزء الأول من محاضرتنا ان شاء الله Internal + +145 +00:12:02,820 --> 00:12:10,540 +Carotid Artery arises in the neck of terminal + +146 +00:12:10,540 --> 00:12:16,700 +branch of common carotid arteryat bifurcation + +147 +00:12:16,700 --> 00:12:19,840 +واتفجنا ال bifurcation يعني إيش bifurcation مقصود + +148 +00:12:19,840 --> 00:12:24,260 +فيها هو انقسام ال common carotid artery إلى + +149 +00:12:24,260 --> 00:12:28,900 +external and internal على أي level قلنا على level + +150 +00:12:28,900 --> 00:12:34,960 +cervical 3 and cervical 4 vertebra أو على level + +151 +00:12:34,960 --> 00:12:40,640 +upper thyroid gland cartilageOkay what's the + +152 +00:12:40,640 --> 00:12:45,940 +function of internal carotid artery؟ Internal + +153 +00:12:45,940 --> 00:12:51,780 +carotid artery supplies structures of orbit يعني + +154 +00:12:51,780 --> 00:12:57,360 +ال I و ال orbitand large part of the brain + +155 +00:12:57,360 --> 00:13:03,960 +internal carotid artery supply 80% of the brain + +156 +00:13:03,960 --> 00:13:09,860 +يعني 80% من ال brain blood supply بتم عن طريق مين؟ + +157 +00:13:09,860 --> 00:13:16,780 +عن طريق internal carotid artery واتفجنا انهit + +158 +00:13:16,780 --> 00:13:22,980 +gives no branches at the neck او in the neck يعني + +159 +00:13:22,980 --> 00:13:27,440 +ال internal carotid artery مابيعطيناش ولا branch + +160 +00:13:27,440 --> 00:13:32,280 +على وين على الرقبة okay تمام ال internal carotid + +161 +00:13:32,280 --> 00:13:39,600 +artery هو supply ال orbit و ال brain each + +162 +00:13:39,600 --> 00:13:44,880 +internal carotid arteryenters the skull through + +163 +00:13:44,880 --> 00:13:49,800 +the carotid canal او carotid foramen هو بيفوت ل ال + +164 +00:13:49,800 --> 00:13:56,340 +cranial cavity عن طريق قناع او فتحة اسمها carotid + +165 +00:13:56,340 --> 00:14:04,620 +foramen او carotid canal okay and it gives intra + +166 +00:14:04,620 --> 00:14:09,380 +cranial branches بيعطينا ايه intra cranial + +167 +00:14:09,380 --> 00:14:15,680 +branchesلو اتكلم على course of the internal + +168 +00:14:15,680 --> 00:14:19,020 +carotid arteryاتفاجنا انه بيبدأ ال internal + +169 +00:14:19,020 --> 00:14:22,420 +carotid artery من مكان ال bifurcation of common + +170 +00:14:22,420 --> 00:14:28,620 +carotid artery على level C3-C4 فيرتبرة ال internal + +171 +00:14:28,620 --> 00:14:34,200 +carotid artery بيمور واحد cervical part اللي هو + +172 +00:14:34,200 --> 00:14:39,560 +أجزاء أول جزء اسمه cervical part بيكون below the + +173 +00:14:39,560 --> 00:14:42,680 +carotid foramen وين موجود هذا الجزء؟ على ال neck + +174 +00:14:42,680 --> 00:14:52,940 +موجود وين؟ على ال neck اثنينانترا بترا سبارت انتوا + +175 +00:14:52,940 --> 00:14:59,100 +عارفين كاروتد فورامن موجود في ال بترا بون تمام of + +176 +00:14:59,100 --> 00:15:02,440 +temporal bone يعني ال temporal bone في جزء منها + +177 +00:15:02,440 --> 00:15:06,600 +اسمه بترا سبارت وفيها canal او فورامن اسمه كاروتد + +178 +00:15:06,600 --> 00:15:12,060 +فورامن يبقى أثناء مرور ال internal carotid artery + +179 +00:15:12,900 --> 00:15:15,840 +في الـ Carotid Foramen هذا الجزء اللي موجود في الـ + +180 +00:15:15,840 --> 00:15:22,750 +Foramen بنسميه Intrapetra Sparta ثلاثةانترا + +181 +00:15:22,750 --> 00:15:26,850 +كافيرنس بارد ان شاء الله في نهاية المحاضرة راح + +182 +00:15:26,850 --> 00:15:30,630 +ناخد ديور ال venous sinuses ومن ضمنهم كافيرنس + +183 +00:15:30,630 --> 00:15:36,470 +sinus ال internal carotid artery بيمر في ال media + +184 +00:15:36,470 --> 00:15:41,650 +wall of the cavernous sinus كافيرنس sinus هو عبارة + +185 +00:15:41,650 --> 00:15:46,350 +عن ديور ال venous sinusو ال internal carotid + +186 +00:15:46,350 --> 00:15:49,030 +artery اللي بمر فيه ايه الجزء اللي بمر في ال + +187 +00:15:49,030 --> 00:15:54,210 +cavernous sinus بنسميه intra cavernous part و اخر + +188 +00:15:54,210 --> 00:16:00,270 +جزء اسمه intracranial part above the cavernous + +189 +00:16:00,270 --> 00:16:06,210 +sinus في بعض المراجع بيسمو ال intra cavernous part + +190 +00:16:06,210 --> 00:16:12,580 +و ال intracranial part نفس الاسمهي عندى تحت بيكون + +191 +00:16:12,580 --> 00:16:18,640 +هذا survival part هذا الجزء بنسميه intra-pitras + +192 +00:16:18,640 --> 00:16:22,280 +part هذا الجزء اللى في ال cavernous sinus بنسميه + +193 +00:16:22,280 --> 00:16:25,980 +intra-cavernous part وجزء العلو اللى دخل في ال + +194 +00:16:25,980 --> 00:16:31,020 +cranial cavity نفسه بنسميه intra cranial part + +195 +00:16:42,630 --> 00:16:47,310 +branches of the internal carotid artery internal + +196 +00:16:47,310 --> 00:16:53,410 +carotid artery الو five branches يعني خمسة في عين + +197 +00:16:53,410 --> 00:17:01,430 +الحسود خمسة كم واحد خمسة ophthalmic branch من اسمه + +198 +00:17:01,430 --> 00:17:05,650 +ophthalmic branch لو ايه رايح؟ رايح لل orbit and a + +199 +00:17:05,650 --> 00:17:12,620 +eyePosterior communicating artery من اسمه + +200 +00:17:12,620 --> 00:17:18,540 +posterior متجه إلى الخلف communicating بهم الحلقة + +201 +00:17:18,540 --> 00:17:24,030 +وصل communication راح نتكلم عنه تلاثةAnterior + +202 +00:17:24,030 --> 00:17:28,910 +Coroidal Artery من اسمه بيكون شريان أمامي Coroidal + +203 +00:17:28,910 --> 00:17:32,730 +يعني supply Coroidal Plexus رح نتكلم عنه بالتفصيل + +204 +00:17:32,730 --> 00:17:38,610 +و ا two terminal branches و أكبر اتنين Anterior + +205 +00:17:38,610 --> 00:17:42,770 +Cerebral Artery and Middle Cerebral Artery لكن لو + +206 +00:17:42,770 --> 00:17:48,890 +سألنا سؤال مين هو largest branch of an internal + +207 +00:17:48,890 --> 00:17:53,680 +carotid artery رح يكون middle cerebral arteryيقول + +208 +00:17:53,680 --> 00:17:56,220 +الـ middle cerebral artery it is the largest + +209 +00:17:56,220 --> 00:18:01,260 +branch of the internal carotid artery ممكن يجي + +210 +00:18:01,260 --> 00:18:07,000 +سؤال تاني مين فيهم medial branch ومين فيهم lateral + +211 +00:18:07,000 --> 00:18:15,060 +branch ال anterior cerebral artery يعتبر a medial + +212 +00:18:15,060 --> 00:18:17,240 +branch + +213 +00:18:18,530 --> 00:18:22,370 +Media Large Branch والـ Middle Cerebral artery + +214 +00:18:22,370 --> 00:18:28,610 +Lateral Branchتمام ممكن يجي سؤال مين هو ال large + +215 +00:18:28,610 --> 00:18:32,590 +medial branch of internal carotid artery ع السليله + +216 +00:18:32,590 --> 00:18:36,270 +بغز ع وين؟ anterior cerebral artery طب اجي سؤال + +217 +00:18:36,270 --> 00:18:39,730 +ثاني مين هو ال large ماقولناش largest large + +218 +00:18:39,730 --> 00:18:43,590 +lateral branch of internal carotid artery بغز ع + +219 +00:18:43,590 --> 00:18:46,650 +السليله وين؟ ال middle cerebral artery لكن لو اجي + +220 +00:18:46,650 --> 00:18:51,980 +سؤال مين هو ال largest؟ اكبر واحدفي branches of + +221 +00:18:51,980 --> 00:18:55,460 +internal carotid artery اكيد رح يكون middle + +222 +00:18:55,460 --> 00:18:59,740 +cerebral artery و اكتر شريان بيغدى ال brain هو + +223 +00:18:59,740 --> 00:19:09,080 +middle cerebral artery middle cerebral artery هنا + +224 +00:19:09,080 --> 00:19:16,800 +ان ال internal carotid artery اعطانا + +225 +00:19:16,800 --> 00:19:17,520 +اللي هو + +226 +00:19:20,360 --> 00:19:23,780 +انا واضح عندي بوستيرو كوميونيكاتنج وواضح اللي هو + +227 +00:19:23,780 --> 00:19:29,840 +middle cerebral artery بيروح لاترال وواضح عندي ايه + +228 +00:19:29,840 --> 00:19:34,940 +anterior cerebral artery medial ففي صورة ثانية راح + +229 +00:19:34,940 --> 00:19:44,760 +نشوفهم أفضل ونرسم كل شريان لواحده نبدأ + +230 +00:19:44,760 --> 00:19:52,380 +ب of Thalmicbranch أو افثالمك افثالمك افثالمك + +231 +00:19:52,380 --> 00:19:52,820 +افثالمك افثالمك افثالمك افثالمك افثالمك افثالمك + +232 +00:19:52,820 --> 00:19:57,560 +افثالمك افثالمك افثالمك افثالمك افثالمك افثالمك + +233 +00:19:57,560 --> 00:19:59,700 +افثالمك افثالمك افثالمك افثالمك افثالمك افثالمك + +234 +00:19:59,700 --> 00:19:59,840 +افثالمك افثالمك افثالمك افثالمك افثالمك افثالمك + +235 +00:19:59,840 --> 00:20:04,860 +افثالمك افثالمك افثالمك افثالمك افثالمك افثالمك + +236 +00:20:04,860 --> 00:20:14,840 +افثالمك افثالمك افثالمك افثالم + +237 +00:20:15,030 --> 00:20:20,090 +بغد ال orbit contents and it gives central retinal + +238 +00:20:20,090 --> 00:20:23,710 +artery هذا ال central retinal artery لو حدث فيه + +239 +00:20:23,710 --> 00:20:27,390 +occlusion او انسداد اثناء جلطة دماغية ممكن يؤدي + +240 +00:20:27,390 --> 00:20:31,830 +الى ipsy lateral blindness والمريض يفقد النظر على + +241 +00:20:31,830 --> 00:20:41,230 +نفس الجهة هي ان ال internal carotid artery خرج منه + +242 +00:20:41,230 --> 00:20:47,500 +branch اسمهوPhthalmic artery which supply the + +243 +00:20:47,500 --> 00:20:56,560 +orbit content and it givesCentral Retinal Artery + +244 +00:20:56,560 --> 00:21:01,420 +هذا هو Central Retinal Artery وهذا أول فرع لـ + +245 +00:21:01,420 --> 00:21:05,120 +Internal Carotid Artery اسمه ايه؟ Ophthalmic + +246 +00:21:05,120 --> 00:21:08,140 +Artery Ophthalmic Artery يبقى Ophthalmic Artery + +247 +00:21:08,140 --> 00:21:13,500 +supply the orbit content and it gives Central + +248 +00:21:13,500 --> 00:21:16,900 +Retinal Artery يعني شريان الشبكية المركزي + +249 +00:21:19,880 --> 00:21:24,420 +خلصنا أول فرع من الأفرع تبعات الشريان السباتي + +250 +00:21:24,420 --> 00:21:28,780 +الداخلي اللي هو Internal Carotid Artery ننتج إلى + +251 +00:21:28,780 --> 00:21:36,460 +الشريان الثاني Posterior Communicating Artery مين + +252 +00:21:36,460 --> 00:21:41,320 +اسمه؟ Posterior متجه إلى Posterior Cerebral Artery + +253 +00:21:41,320 --> 00:21:43,640 +لسه مااخدناهوش راح ناخده في الجزء الثاني من + +254 +00:21:43,640 --> 00:21:46,520 +المحاضرة اللي هو بيعتبر برانش من الـ A-Vertebral + +255 +00:21:46,520 --> 00:21:51,540 +Basilar Arteryبستيريور متجه إلى وين؟ للبستيريور + +256 +00:21:51,540 --> 00:21:56,760 +سريبرال آرتي communicating يعني بيعمل عملية وصل + +257 +00:21:56,760 --> 00:22:01,460 +بين ال internal carotid artery and posterior + +258 +00:22:01,460 --> 00:22:04,480 +cerebral artery وان شاء الله راح ناخد اليوم ان + +259 +00:22:04,480 --> 00:22:08,700 +البستيريور سريبرال آرتي هو يعتبر branch من وين؟ من + +260 +00:22:08,700 --> 00:22:12,960 +ال vertebro basilar artery في الحالة دي the main + +261 +00:22:12,960 --> 00:22:21,010 +function ofPosterior Communicating Artery is + +262 +00:22:21,010 --> 00:22:27,810 +connection between the internal carotid artery + +263 +00:22:27,810 --> 00:22:32,230 +with posterior + +264 +00:22:32,230 --> 00:22:36,170 +cerebral artery يعني لو قلنا Right Posterior + +265 +00:22:36,170 --> 00:22:41,210 +Communicating Artery بربط بين Right Internal + +266 +00:22:41,210 --> 00:22:49,550 +Carotid Arteryمع مين؟ مع Right Posterior Cerebral + +267 +00:22:49,550 --> 00:22:59,030 +Artery Right Posterior + +268 +00:22:59,030 --> 00:23:03,670 +Cerebral Artery وهي Right Internal Carotid Artery + +269 +00:23:03,670 --> 00:23:08,170 +هذا الشريان اللي بيربطه مع بعض، إيش اسمه؟ + +270 +00:23:12,170 --> 00:23:24,090 +اسمه posterior communicating + +271 +00:23:24,090 --> 00:23:27,630 +artery + +272 +00:23:28,080 --> 00:23:32,380 +بعمل connections ما بين right internal carotid + +273 +00:23:32,380 --> 00:23:45,620 +artery مع right posterior + +274 +00:23:45,620 --> 00:23:51,290 +cerebral artery يعني بلغة ثانيةmake connections + +275 +00:23:51,290 --> 00:23:56,030 +between the carotid system with vertebral basilar + +276 +00:23:56,030 --> 00:23:58,890 +system يعني بيعمل connection بين ال internal + +277 +00:23:58,890 --> 00:24:03,170 +carotid system مع مين؟ مع vertebral basilar system + +278 +00:24:03,170 --> 00:24:10,050 +to establish عشان يكونلنا شيء اسمه circle of + +279 +00:24:10,050 --> 00:24:13,810 +wheels circle of wheels يبقى مين اللي بيكون ال + +280 +00:24:13,810 --> 00:24:18,200 +circle of wheels اللي هو ايه؟Posterior + +281 +00:24:18,200 --> 00:24:21,560 +communicating artery مع شرايين أخرى راح نتطرقلهم + +282 +00:24:21,560 --> 00:24:27,180 +في نهاية المحاضرة Also it supplies غير أنه ال main + +283 +00:24:27,180 --> 00:24:30,460 +function لو سألكوا سؤال what's the main function + +284 +00:24:30,460 --> 00:24:34,980 +of posterior communicating artery the main + +285 +00:24:34,980 --> 00:24:38,800 +function of posterior communicating artery is + +286 +00:24:39,800 --> 00:24:45,140 +connection between the internal carotid artery + +287 +00:24:45,140 --> 00:24:49,980 +with posterior cerebral artery to establish عشان + +288 +00:24:49,980 --> 00:24:56,100 +يكوننا circle ovals هل في وظائف تانية نعم also its + +289 +00:24:56,100 --> 00:25:02,360 +supply optic tractLateral Geniculate Body وMedial + +290 +00:25:02,360 --> 00:25:05,380 +Service of Thalamus أخدنا الـ Thalamus تابع للـ + +291 +00:25:05,380 --> 00:25:08,520 +Diencephalon و أخدنا ال Lateral Geniculate Body + +292 +00:25:08,520 --> 00:25:11,280 +اللي علاقة بالـ Vision تابع للـ Metathalamus من + +293 +00:25:11,280 --> 00:25:14,820 +الـ Diencephalon و الـ Optic Tract هو تابع للـ + +294 +00:25:14,820 --> 00:25:17,720 +Vision لما نتكلم على ال cranial nerves ان شاء الله + +295 +00:25:17,720 --> 00:25:21,700 +راح أشرحهم شريان الثاني + +296 +00:25:27,100 --> 00:25:36,020 +Anterior Coroidal Artery بيخرج + +297 +00:25:36,020 --> 00:25:41,060 +من الـ Internal Carotid Arteryيكون أول branch قلنا + +298 +00:25:41,060 --> 00:25:43,740 +ophthalmic branch تاني branch posterior + +299 +00:25:43,740 --> 00:25:48,000 +communicating branch ثالث branch anterior coroidal + +300 +00:25:48,000 --> 00:25:53,560 +artery من وين بيخرج؟ just before the origin of the + +301 +00:25:53,560 --> 00:25:57,540 +anterior and middle cerebral artery قبل ما يخرج ال + +302 +00:25:57,540 --> 00:26:01,680 +anterior و ال middle cerebral artery بيعطينا إيه + +303 +00:26:01,680 --> 00:26:06,540 +شريان اسمه anterior coroidal artery لو سألتك سؤال + +304 +00:26:06,540 --> 00:26:13,650 +what's the main functionمشكلة الرقم الرئيسي للأرض + +305 +00:26:13,650 --> 00:26:20,650 +الكرويضية هي أنها + +306 +00:26:20,650 --> 00:26:30,410 +تدفعThe choroidal plexus of the lateral and third + +307 +00:26:30,410 --> 00:26:35,630 +ventricle يقن main function supply the choroidal + +308 +00:26:35,630 --> 00:26:39,830 +plexus of the lateral and third ventricle Also it + +309 +00:26:39,830 --> 00:26:44,210 +supply optic tract, optic chiasm, lateral + +310 +00:26:44,210 --> 00:26:48,090 +geniculate body and other structures أنا أخدت ال + +311 +00:26:48,090 --> 00:26:52,570 +main here ال main structures يقنهيلحظوا الـ optic + +312 +00:26:52,570 --> 00:26:56,250 +extract أخد blood supply من posterior + +313 +00:26:56,250 --> 00:26:59,110 +communicating artery و أخد blood supply من a + +314 +00:26:59,110 --> 00:27:07,750 +anterior choroidal artery ها + +315 +00:27:07,750 --> 00:27:15,530 +عندي أنا internal + +316 +00:27:15,530 --> 00:27:33,250 +carotid artery باللون أسودناخد منه افرع افرع + +317 +00:27:33,250 --> 00:27:38,010 +افرع افرع افرع افرع افرع افرع + +318 +00:27:38,010 --> 00:27:46,630 +افرع + +319 +00:27:46,630 --> 00:27:55,180 +افرعانتريور كرويديال ارتري انتريور كرويديال ارتري + +320 +00:27:55,180 --> 00:27:59,100 +انتريور + +321 +00:27:59,100 --> 00:27:59,400 +كرويديال ارتري انتريور كرويديال ارتري انتريور + +322 +00:27:59,400 --> 00:27:59,480 +كرويديال ارتري انتريور كرويديال ارتري انتريور + +323 +00:27:59,480 --> 00:27:59,540 +كرويديال ارتري انتريور كرويديال ارتري انتريور + +324 +00:27:59,540 --> 00:27:59,540 +كرويديال ارتري انتريور كرويديال ارتري انتريور + +325 +00:27:59,540 --> 00:27:59,840 +كرويديال ارتري انتريور كرووديال ارتري انتريور + +326 +00:27:59,840 --> 00:28:00,480 +كرووديال ارتري انتريور كرووديال ارتري انتريور + +327 +00:28:00,480 --> 00:28:03,520 +كرووديال ارتري انتريور + +328 +00:28:03,520 --> 00:28:11,220 +كرووديال ارتري انتريور كرووديال ارتري انتريور + +329 +00:28:11,220 --> 00:28:17,240 +كرووديال ارتري انتريور كروودو large كمان أو + +330 +00:28:17,240 --> 00:28:25,340 +largest branch اللي هو middle cerebral + +331 +00:28:25,340 --> 00:28:25,820 +artery + +332 +00:28:31,470 --> 00:28:38,910 +وهنا اللي هو anterior cerebral artery ال anterior + +333 +00:28:38,910 --> 00:28:43,910 +cerebral artery يعتبر medial branch و ال middle + +334 +00:28:43,910 --> 00:28:46,990 +cerebral artery يعتبر lateral branch + +335 +00:28:58,340 --> 00:29:04,940 +انتريو سيريبرال ارتري انتريو سيريبرال ارتري انتريو + +336 +00:29:04,940 --> 00:29:10,260 +سيريبرال ارتري انتريو + +337 +00:29:10,260 --> 00:29:10,260 +سيريبرال ارتري انتريو سيريبرال ارتري انتريو + +338 +00:29:10,260 --> 00:29:10,260 +سيريبرال ارتري انتريو سيريبرال ارتري انتريو + +339 +00:29:10,260 --> 00:29:10,260 +سيريبرال ارتري انتريو سيريبرال ارتري انتريو + +340 +00:29:10,260 --> 00:29:10,940 +سيريبرال ارتري انتريو سيريبرال ارتري انتريو + +341 +00:29:10,940 --> 00:29:10,940 +سيريبرال ارتري انتريو سيريبرال ارتري انتريو + +342 +00:29:10,940 --> 00:29:14,760 +سيريبرال ارتري انتريو سيريبرال ارتري انتريو + +343 +00:29:14,760 --> 00:29:22,680 +سيريبرال ارتري انتريو سيريبرال ارتري انتريو + +344 +00:29:22,680 --> 00:29:29,410 +سيريبرال ارتري انتريو سيريit becomes joined to + +345 +00:29:29,410 --> 00:29:34,170 +other anterior cerebral artery of the opposite + +346 +00:29:34,170 --> 00:29:39,650 +side by anterior communicating artery و ال right و + +347 +00:29:39,650 --> 00:29:45,430 +ال left anterior cerebral artery في بينهم وصلة + +348 +00:29:47,740 --> 00:29:53,140 +left anterior cerebral artery وهي ايه؟ right + +349 +00:29:53,140 --> 00:29:57,900 +anterior cerebral artery وهي left anterior + +350 +00:29:57,900 --> 00:30:04,380 +cerebral artery وهي عندي ايه؟ + +351 +00:30:04,380 --> 00:30:08,680 +right anterior + +352 +00:30:08,680 --> 00:30:13,300 +cerebral artery في بينهم وصلة او connection هنا + +353 +00:30:18,030 --> 00:30:24,750 +اسمها anterior communicating artery لو سألتكوا + +354 +00:30:24,750 --> 00:30:30,470 +سؤالكم anterior communicating artery؟ one رح يكون + +355 +00:30:30,470 --> 00:30:34,890 +كام؟ one ليه؟ لأن وظيفته بيعمل connection بين ال + +356 +00:30:34,890 --> 00:30:38,470 +right و ال left right و left anterior cerebral + +357 +00:30:38,470 --> 00:30:41,050 +artery يبقى وظيفة ال anterior communicating artery + +358 +00:30:41,050 --> 00:30:45,250 +يعمل connection between right and left anterior + +359 +00:30:45,250 --> 00:30:49,970 +cerebral arteries تمام ال anterior cerebral artery + +360 +00:30:49,970 --> 00:30:56,140 +قلنا بيكون medial ولا lateral؟ بيكون medialالبرانش + +361 +00:30:56,140 --> 00:31:02,800 +البرانش البرانش البرانش البرانش البرانش البرانش + +362 +00:31:02,800 --> 00:31:07,180 +البرانش البرانش البرانش البرانش البرانش البرانش + +363 +00:31:07,180 --> 00:31:09,660 +البرانش البرانش البرانش البرانش البرانش البرانش + +364 +00:31:09,660 --> 00:31:13,460 +البرانش البرانش البرانش البرانش البرانش البرانش + +365 +00:31:13,460 --> 00:31:17,100 +البرانش البرانش البرانش البرانش البرانش البرانش + +366 +00:31:17,100 --> 00:31:20,000 +البرانش البرانش البرانش البرانش البرانش البرانش + +367 +00:31:20,000 --> 00:31:23,920 +البرانش البرانش البرانش البرانش البرانش البرانش + +368 +00:31:23,920 --> 00:31:24,160 +البرانش البرانش البرانش البرانش البرانش البرانش + +369 +00:31:24,160 --> 00:31:24,160 +البرانش البرانش البرانش البرانش البرانش البرانش + +370 +00:31:24,160 --> 00:31:28,960 +البرانشوظيفة الـ Anticerebral artery supply media + +371 +00:31:28,960 --> 00:31:34,500 +service of cerebral hemispherefrom frontal pole من + +372 +00:31:34,500 --> 00:31:38,960 +القطب الأمامي لحد الـ parietal occipital sulcus + +373 +00:31:38,960 --> 00:31:41,920 +يعني الـ occipital اللوب مالهاش علاقة بالـ + +374 +00:31:41,920 --> 00:31:45,000 +anterior cerebral راح تغنوين من الـ posterior + +375 +00:31:45,000 --> 00:31:48,100 +cerebral يعني هو main function يقدّي medial + +376 +00:31:48,100 --> 00:31:52,800 +service of cerebral hemisphere أي جزء ميديال من + +377 +00:31:52,800 --> 00:31:57,500 +القطب الأمامي إلى parietal occipital sulcus لحد + +378 +00:31:57,500 --> 00:32:00,480 +البرايتل، نهاية البرايتل تغنوين من الـ anterior + +379 +00:32:00,480 --> 00:32:08,900 +cerebral arteryغير هيك بيغدى medial one + +380 +00:32:08,900 --> 00:32:13,540 +third of the orbital surface of frontal lobe و + +381 +00:32:13,540 --> 00:32:16,720 +بيغدى medial one third of orbital surface of + +382 +00:32:16,720 --> 00:32:19,340 +frontal lobe لذلك احنا سمنا هذا ال branch ايه + +383 +00:32:19,340 --> 00:32:24,840 +سمناه؟ medial branch غير هيكبيغدى superior lateral + +384 +00:32:24,840 --> 00:32:28,700 +service of cerebral hemisphere ماعدى ايه؟ الـ + +385 +00:32:28,700 --> 00:32:32,280 +occipital اللى بتاخد مين؟ من posterior cerebral + +386 +00:32:32,280 --> 00:32:37,340 +ارض بيغدى corpus callosum head of caudate nucleus + +387 +00:32:37,340 --> 00:32:42,260 +anterior limb of internal capsule لاحظوا هان يا + +388 +00:32:42,260 --> 00:32:49,160 +جماعة ايش قلناها؟ بيغدى superior lateralservice of + +389 +00:32:49,160 --> 00:32:53,980 +cerebral hemisphere الإنسان في الدماغ بيكون مجلوب + +390 +00:32:53,980 --> 00:33:10,240 +بيكون + +391 +00:33:10,240 --> 00:33:15,140 +الإنسان مجلوب في الدماغ ال head تحتو ال upper + +392 +00:33:15,140 --> 00:33:18,520 +limbs فوق يبقى في الحالة هذه ال upper limbs موجودة + +393 +00:33:18,520 --> 00:33:22,180 +في ال superior lateral surface بتكون في قشرة + +394 +00:33:22,180 --> 00:33:26,440 +الدماغ مين مسئول عن ال blood supply the area of + +395 +00:33:26,440 --> 00:33:30,700 +lower limbs اللي هو anterior cerebral artery في + +396 +00:33:30,700 --> 00:33:35,920 +الحالة هذه anterior cerebral artery supplies the + +397 +00:33:35,920 --> 00:33:40,400 +motor and sensory area of the lower limbs لو حصل + +398 +00:33:40,400 --> 00:33:45,030 +جلطة دماغية في ال anterior cerebral arteryراح + +399 +00:33:45,030 --> 00:33:48,190 +نلاقي عند المريض Contralateral Hemiplegia شلل نصفي + +400 +00:33:48,190 --> 00:33:54,090 +في الجهة المقابلة لكن ال deficit راح يكون و الشلل + +401 +00:33:54,090 --> 00:33:57,190 +أكثر ويه؟ راح يكون في ال lower limbs لأن ال lower + +402 +00:33:57,190 --> 00:33:59,730 +limbs اتأثرت وين ما كانها في الدماغ ال lower + +403 +00:33:59,730 --> 00:34:03,550 +limbs؟ في ال superior lateral surface طب ال face و + +404 +00:34:03,550 --> 00:34:06,570 +ال head و الإلسان وين ما كانهم؟ في ال inferior + +405 +00:34:07,780 --> 00:34:10,740 +Lateral، طب و ال upper limbs وين مكانهم في الدماغ؟ + +406 +00:34:10,740 --> 00:34:13,680 +بيكونوا في ال middle frontal إذا من ناحية إيش + +407 +00:34:13,680 --> 00:34:17,520 +motor أو middle parietal إذا من ناحية إيه sensory + +408 +00:34:17,520 --> 00:34:20,400 +يعني يعني ال area المسئولة عن ال lower limbs + +409 +00:34:20,400 --> 00:34:24,180 +بيغضيها anterior cerebral artery و ال area + +410 +00:34:24,180 --> 00:34:27,620 +المسئولة عن ال upper limbs و ال face و ال head + +411 +00:34:27,620 --> 00:34:31,300 +بيغضيها اللي هو middle cerebral artery + +412 +00:34:40,750 --> 00:34:48,210 +ننتقل لصورة نوضح فيها anterior cerebral artery + +413 +00:34:48,210 --> 00:34:55,630 +anterior cerebral artery هذه anterior cerebral + +414 +00:34:55,630 --> 00:34:58,810 +artery بيكون medial بغض ال medial surface of + +415 +00:34:58,810 --> 00:35:05,080 +cerebral hemisphere لحد وين؟البراية الـ occipital + +416 +00:35:05,080 --> 00:35:08,740 +sulcus البراية الـ occipital sulcus الجزء الخلفي + +417 +00:35:08,740 --> 00:35:12,380 +أو الـ occipital area بتأخد blood supply من وين؟ + +418 +00:35:12,380 --> 00:35:16,480 +من posterior cerebral artery من وين؟ من posterior + +419 +00:35:16,480 --> 00:35:22,160 +cerebral artery اللي بيأخد أو الجزء اللي بتغدى ال + +420 +00:35:22,160 --> 00:35:27,340 +medial هذا جاي من وين؟ من anterior cerebral artery + +421 +00:35:42,080 --> 00:35:49,460 +هنا واضح الصورة ها هاي left anterior + +422 +00:35:49,460 --> 00:35:54,300 +cerebral artery وهي ايه right anterior cerebral + +423 +00:35:54,300 --> 00:35:58,140 +artery بينهم connection اسمها ال connection ها دي + +424 +00:35:58,140 --> 00:36:02,760 +anterior communicating + +425 +00:36:02,760 --> 00:36:03,280 +artery + +426 +00:36:08,820 --> 00:36:16,240 +Middle cerebral artery is the lateral branch of a + +427 +00:36:16,240 --> 00:36:20,020 +internal carotid artery يبقى عندنا two large + +428 +00:36:20,020 --> 00:36:23,460 +branches فيه medial branch large هو anterior + +429 +00:36:23,460 --> 00:36:27,240 +cerebral artery وفيه lateral branch large هو + +430 +00:36:27,240 --> 00:36:29,500 +middle cerebral artery لكن لو سألنا سؤال من هو ال + +431 +00:36:29,500 --> 00:36:34,260 +largest branch هو middle cerebral arteryوهي بيفوت + +432 +00:36:34,260 --> 00:36:37,060 +في lateral sulcus عشان هيك قلنا هو يعتبر lateral + +433 +00:36:37,060 --> 00:36:43,680 +branch lateral branch وبيعطينا carotid branches + +434 +00:36:43,680 --> 00:36:48,740 +and central branches و ال central branches نفس + +435 +00:36:48,740 --> 00:36:52,660 +الشيء بنسميهم striate branches لأنهم بيغدوا البيزا + +436 +00:36:52,660 --> 00:36:56,780 +النوكلياعي الان + +437 +00:36:56,780 --> 00:37:00,720 +بتكلم على cortical branches ال cortical branches + +438 +00:37:00,720 --> 00:37:06,680 +بيغدوا أيه القشرة الدماغاتفقنا ان الـ anterior + +439 +00:37:06,680 --> 00:37:10,660 +cerebral artery بيغدينا ال superior lateral part + +440 +00:37:10,660 --> 00:37:16,240 +طب ال middle cerebral artery بيغدي lateral two + +441 +00:37:16,240 --> 00:37:21,400 +thirdof أو كمان مرة الـ anterior cerebral artery + +442 +00:37:21,400 --> 00:37:24,680 +قلنا بيغدى ال media ال one third of orbital part + +443 +00:37:24,680 --> 00:37:28,600 +of frontal lobe ال middle cerebral artery راح يغدى + +444 +00:37:28,600 --> 00:37:34,080 +lateral to third of the orbital part of frontal + +445 +00:37:34,080 --> 00:37:40,100 +lobe بيغدى ال temporal pool و ال insula طيب قلنا + +446 +00:37:40,100 --> 00:37:43,740 +ال anterior cerebral artery بيغدى ال upper + +447 +00:37:43,740 --> 00:37:49,680 +superior lateral partفي الحالة هذه الـ middle + +448 +00:37:49,680 --> 00:37:55,820 +cerebral artery بيغضي most of the lateral cerebral + +449 +00:37:55,820 --> 00:38:00,040 +hemisphere بيغضي most of the lateral cerebral + +450 +00:38:00,040 --> 00:38:05,460 +hemisphere مع ده except upper part ال upper part + +451 +00:38:05,460 --> 00:38:08,520 +ال super lateral قولنا باخد وين شرحنا من ال + +452 +00:38:08,520 --> 00:38:12,460 +anterior cerebral artery ال lower part تبع ال + +453 +00:38:12,460 --> 00:38:15,900 +timbral loop باخد من ال posterior cerebral artery + +454 +00:38:16,790 --> 00:38:20,510 +والـ occipital loop بتاخد من وين؟ من posterior + +455 +00:38:20,510 --> 00:38:23,630 +cerebral artery يعني ال middle cerebral artery + +456 +00:38:23,630 --> 00:38:26,930 +بيغضي أن كل ال lateral surface of cerebral + +457 +00:38:26,930 --> 00:38:30,690 +الهيمسفير معدى ال superior lateral الجزء العلوي + +458 +00:38:30,690 --> 00:38:34,590 +بياخد من ال anterior cerebral artery تمام و ال + +459 +00:38:34,590 --> 00:38:38,130 +occipital loop بتاخد من ال posterior cerebral + +460 +00:38:38,130 --> 00:38:42,670 +artery و ال lower temporal loop بتاخد من وين؟ من + +461 +00:38:42,670 --> 00:38:45,070 +posterior cerebral artery + +462 +00:38:48,800 --> 00:38:52,200 +Central branches of the middle cerebral artery + +463 +00:38:52,200 --> 00:38:56,780 +بيغدو بيزل نوكلياي Internal capsule خاصة لـ + +464 +00:38:56,780 --> 00:39:01,290 +posterior part of internal capsule والجينيوone of + +465 +00:39:01,290 --> 00:39:04,570 +these arteries is large في واحد منهم شريان كبير + +466 +00:39:04,570 --> 00:39:09,350 +هذا الشريان بيسموه artery of hemorrhage artery of + +467 +00:39:09,350 --> 00:39:12,650 +cerebral hemorrhage او اللي اسمه تشاركوت ارتريه + +468 +00:39:12,650 --> 00:39:15,790 +راح ناخده ان شاء الله في سنة رابعة لما نتكلم على + +469 +00:39:15,790 --> 00:39:19,230 +محاضرة ال cerebral hemorrhage او النزيف الدماغي + +470 +00:39:19,230 --> 00:39:24,510 +الشريان هذا كثير بيصير فيه حالات نزيف و ليه بيصير + +471 +00:39:24,510 --> 00:39:29,510 +فيه نزيف لأن ال smooth muscle layer thin وUnder + +472 +00:39:29,510 --> 00:39:33,690 +high blood pressure بيحدث له ربشر وبيقدي الى + +473 +00:39:33,690 --> 00:39:42,030 +Intracerebral Hemorrhage هاي عندي middle cerebral + +474 +00:39:42,030 --> 00:39:50,490 +artery تعتبر lateral branch Lateral Branch هاي + +475 +00:39:50,490 --> 00:39:54,650 +و أنا أجانوين في lateral sulcus او lateral fissure + +476 +00:39:54,650 --> 00:40:00,900 +وبيغضي ايه اللي هي موسCerebral هي مصير المعدة + +477 +00:40:00,900 --> 00:40:07,660 +الجزء العلوي تأخذ من أنتريو سيريبرال آرتري + +478 +00:40:07,660 --> 00:40:13,760 +الأكسيبيتال تأخذ من بوستيريو سيريبرال آرتري + +479 +00:40:13,760 --> 00:40:18,040 +والإنفيريور سيرفيس بتاعة ال timber loop تأخذ من + +480 +00:40:18,040 --> 00:40:19,860 +بوستيريو سيريبرال آرتري + +481 +00:40:37,540 --> 00:40:41,640 +هي واضح عندي في الصورة هذه اللي هو middle cerebral + +482 +00:40:41,640 --> 00:40:46,180 +artery as lateral branch إله cortical branches + +483 +00:40:46,180 --> 00:40:50,560 +وإله إيه هنا نسميهم central branches اللي هم + +484 +00:40:50,560 --> 00:40:56,400 +أسريات ال branches + +485 +00:40:56,400 --> 00:41:01,180 +واضح + +486 +00:41:01,180 --> 00:41:05,040 +حلو هنا عندي ال middle cerebral artery إله lateral + +487 +00:41:05,040 --> 00:41:10,830 +branchesوالو central branches اللي هما striate + +488 +00:41:10,830 --> 00:41:17,090 +arteries في منهم short striate artery واضحين هنا + +489 +00:41:17,090 --> 00:41:22,070 +short striate arteries وفي long striate arteries + +490 +00:41:26,090 --> 00:41:28,990 +واحد منهم دول الشرايين لسرية الارتريز بيكون + +491 +00:41:28,990 --> 00:41:33,050 +labelled to bleeding واسمه artery of cerebral + +492 +00:41:33,050 --> 00:41:37,510 +hemorrhage او بنسميه charcoal artery لذلك اكتر + +493 +00:41:37,510 --> 00:41:43,520 +مكان بيحدث فيه نزيف دماغي هو ال basal nucleiلحد + +494 +00:41:43,520 --> 00:41:47,420 +الآن بن .. بن اكتفي في الجزء الأول من المحاضرة، + +495 +00:41:47,420 --> 00:41:50,240 +الجزء الثاني ان شاء الله من المحاضرة راح يكون على + +496 +00:41:50,240 --> 00:41:54,700 +vertebral basilar system هو ال diural venous + +497 +00:41:54,700 --> 00:41:56,960 +drainage، يعطيكوا العافية + diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/TA3oR4M8isw.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/TA3oR4M8isw.srt new file mode 100644 index 0000000000000000000000000000000000000000..e905c8d8c82442fd58f54cce754bd5200a089d17 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/TA3oR4M8isw.srt @@ -0,0 +1,1817 @@ +1 +00:00:05,670 --> 00:00:09,390 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:09,390 --> 00:00:14,170 +وبركاته محاضرة الأسبوع الثالث عشر رح تكون على + +3 +00:00:14,170 --> 00:00:17,190 +anatomy and physiology of the motor system + +4 +00:00:17,190 --> 00:00:20,870 +الmotor system مهم لكم جدا لذلك رح يتم شرحه في + +5 +00:00:20,870 --> 00:00:24,030 +أسبوعين جزء الأول في أسبوع الثالث عشر وجزء الثاني + +6 +00:00:24,030 --> 00:00:29,210 +في أسبوع الرابع عشر نبدأ بالمحاضرة الـ motor system + +7 +00:00:29,210 --> 00:00:35,780 +what's the components of the motor system؟ من ايش + +8 +00:00:35,780 --> 00:00:42,500 +بتكون الـ motor system؟ أول شيء بتكون من cortical + +9 +00:00:42,500 --> 00:00:46,740 +motor area cortical motor area يعني primary + +10 +00:00:46,740 --> 00:00:50,820 +cortical motor area اللي موجودة وين؟ pre central + +11 +00:00:50,820 --> 00:00:58,660 +gyrus area 4 و secondary motor area، area رقم 6 + +12 +00:00:58,660 --> 00:01:04,180 +موجودة في frontal loop anterior to the precentral + +13 +00:01:04,180 --> 00:01:09,840 +gyrus and cortical association area دلوقتِ شئ بنتكلم + +14 +00:01:09,840 --> 00:01:16,620 +عن الـ cortical motor area اثنين Basal nuclei اللي + +15 +00:01:16,620 --> 00:01:20,860 +هو جزء من الـ extrapyramidal nervous system مثل ال + +16 +00:01:20,860 --> 00:01:26,670 +caudate, putamen, globus pallidus, كوديت أميجدالويد نوكلياس + +17 +00:01:26,670 --> 00:01:34,490 +و كلوسوتر، سيريبيلا، brain + +18 +00:01:34,490 --> 00:01:39,330 +stem، جذع الدماغ، spinal cord، أنا بتكلم عن الأجزاء + +19 +00:01:39,330 --> 00:01:43,330 +اللي هقولها قبل الـ motor ليالي الـ brain stem موجود في + +20 +00:01:43,330 --> 00:01:45,950 +فقط motor موجود في sensor أنا بتكلم عن الأجزاء + +21 +00:01:45,950 --> 00:01:52,660 +اللي بتخص motor spinal cord، peripheral motor fibers + +22 +00:01:52,660 --> 00:01:58,460 +peripheral motor nerve fibers، لأن الـ nerve فيه sensory + +23 +00:01:58,460 --> 00:02:00,740 +fibers وفيه autonomic fibers أنا بتكلم عن ال + +24 +00:02:00,740 --> 00:02:04,800 +motor fibers، الـ neuromuscular junction، ال + +25 +00:02:04,800 --> 00:02:08,920 +neuromuscular junction and muscle and muscle + +26 +00:02:08,920 --> 00:02:11,980 +what's + +27 +00:02:11,980 --> 00:02:16,100 +the components of the extrapyramidal motor system + +28 +00:02:17,480 --> 00:02:23,060 +extrapyramidal motor system بدخل فيها بيزال + +29 +00:02:23,060 --> 00:02:27,600 +نوكلياي، كوديت نوكلياس، بيوتامين، جلوباس باليداس + +30 +00:02:27,600 --> 00:02:31,520 +كلوسوتر، أميجدالويد نوكلياس كله يعتبر بيزال + +31 +00:02:31,520 --> 00:02:38,810 +نوكلياي، subthalamus هيعتبر جزء من وين؟ من ديان + +32 +00:02:38,810 --> 00:02:42,810 +سيفالون، متذكرين ديان سيفالون؟ ثلامس، هيبوثلامس، + +33 +00:02:42,810 --> 00:02:45,470 +سبثلامس، ميتاثلامس، إيبيثالامس، يبقى ال + +34 +00:02:45,470 --> 00:02:49,390 +subthalamus هيعتبر جزء من وين؟ من ديان سيفالون، و + +35 +00:02:49,390 --> 00:02:54,990 +الـ thalamus نفس الشيء جزء من ايه؟ من ديان سيفالون + +36 +00:02:55,700 --> 00:03:00,140 +Substantia nigra هي جزء من الـ Extra Pyramidal + +37 +00:03:00,140 --> 00:03:06,560 +Nervous System وموجودة في الـ Midbrain + +38 +00:03:06,560 --> 00:03:11,680 +Substantia + +39 +00:03:11,680 --> 00:03:17,670 +nigra تفرز مادة الدوبامين في حال حدث نقص في مادة + +40 +00:03:17,670 --> 00:03:22,750 +الدوبامين، المريض بينتج عنده مرض اسمه Parkinson + +41 +00:03:22,750 --> 00:03:28,650 +disease أو shaking palsy، مرض شلل الرعاش، أو مرض + +42 +00:03:28,650 --> 00:03:34,250 +Parkinson، Red nucleus موجود كمان في الـ middle + +43 +00:03:34,250 --> 00:03:39,730 +brain، وله دور في الموضوع اللي هو extrapyramidal + +44 +00:03:39,730 --> 00:03:46,730 +nervous system، clinical correlation of the + +45 +00:03:46,730 --> 00:03:53,150 +extrapyramidal nervous system، ليه لهم علاقة ببعض + +46 +00:03:53,150 --> 00:03:58,930 +الأمراض، البركنسون disease هو يعتبر degeneration + +47 +00:03:58,930 --> 00:04:04,270 +and depigmentation of neurons in the substantia + +48 +00:04:04,270 --> 00:04:07,070 +nigra، مرض البركنسون راح ناخذه في سنة رابعة في + +49 +00:04:07,070 --> 00:04:14,040 +المحاضرة، بيحدث neurodegenerative changes in the + +50 +00:04:14,040 --> 00:04:19,020 +substantia nigra اللي بتفرز مادة ايه؟ الدوبامين + +51 +00:04:19,020 --> 00:04:21,720 +يجب أن يكون Parkinson disease يعتبر it chronic + +52 +00:04:21,720 --> 00:04:27,120 +slowly progressive neurodegenerative disorder + +53 +00:04:27,120 --> 00:04:35,960 +characterized by loss of pigmented neurons in the + +54 +00:04:35,960 --> 00:04:41,590 +substantia nigra، يقول هو بيحدث ايه؟ loss of + +55 +00:04:41,590 --> 00:04:46,430 +pigmented neurons in substantia nigra هذا المرض + +56 +00:04:46,430 --> 00:04:50,730 +يؤدي إلى ايه؟ براديكينيزيا أو هيبوكينيزيا، بتقف + +57 +00:04:50,730 --> 00:04:58,330 +الحركة، muscle rigidity، breast tremor، بس شغل + +58 +00:04:58,330 --> 00:05:03,470 +instability، كل هذه أعراض لإيه؟ أعراض لموضوع اللي هو + +59 +00:05:03,470 --> 00:05:09,120 +Parkinson disease، اثنين Huntington's disease أو + +60 +00:05:09,120 --> 00:05:14,560 +كورية، تعتبر autosomal dominant، أو دائر رقص، بيكون + +61 +00:05:14,560 --> 00:05:20,060 +المريض ماشي مثل برقص، دائر رقص، autosomal dominant + +62 +00:05:20,060 --> 00:05:25,500 +movement disorder associated with severe + +63 +00:05:25,500 --> 00:05:33,140 +degeneration of the cholinergic and GABAergic + +64 +00:05:33,140 --> 00:05:40,770 +neurons، تمام؟ يبقى ان هو اعتبر العلاقة بالـ GABA هو + +65 +00:05:40,770 --> 00:05:46,750 +بالـ كولينيرجيك، تمام؟ which are located in the + +66 +00:05:46,750 --> 00:05:50,910 +caudate nucleus and putamen، يقول هذا المرض بيكون + +67 +00:05:50,910 --> 00:05:57,970 +عندهم كورية and dementia and dementia ونتج عن ايه؟ + +68 +00:05:57,970 --> 00:06:04,530 +degeneration في الـ كولينيرجيك والـ GABA، هذا GABA + +69 +00:06:04,530 --> 00:06:06,170 +gamma-aminobutyric acid + +70 +00:06:15,630 --> 00:06:22,210 +باليزمس أو هيبو باليزمس هذا أكثر شيء ممكن تشوفه في + +71 +00:06:22,210 --> 00:06:25,590 +حالات ischemic infarction، لما يحدث ischemic + +72 +00:06:25,590 --> 00:06:30,770 +infarction، في شيء اسمه Lewy body nucleus موجودة + +73 +00:06:30,770 --> 00:06:34,450 +في الـ subthalamus، تؤدي إلى ايه؟ باليزمس أو + +74 +00:06:34,450 --> 00:06:38,670 +hemibalism، involuntary movement، في مواضع أخرى + +75 +00:06:40,480 --> 00:06:45,220 +Hepatolenticular Degeneration أو بنسميه ويلسون + +76 +00:06:45,220 --> 00:06:51,500 +ديزيز، مرض ويلسون، هذا المرض سموه Hepatolenticular + +77 +00:06:51,500 --> 00:06:55,180 +Degeneration لإنه بيصيب الكبد وبيصيب الـ basal + +78 +00:06:55,180 --> 00:06:59,320 +النوكلياي لينتيفور النوكلياس بيحدث accumulation of + +79 +00:06:59,320 --> 00:07:03,040 +copper والمشكلة، المشكلة في انزيم اسمه + +80 +00:07:03,040 --> 00:07:06,900 +الـ ceruloplasmin، هذا الـ ceruloplasmin بيحدث فيه + +81 +00:07:06,900 --> 00:07:10,300 +mutation أو تسمى الـ recessive disease، و + +82 +00:07:10,300 --> 00:07:15,080 +ceruloplasmin وظيفته هي عمل binding مع النحاس، تتحد + +83 +00:07:15,080 --> 00:07:18,380 +مع النحاس وبيخرجوا مع بعض، بيخرجوا معه عصارة + +84 +00:07:18,380 --> 00:07:25,280 +الصفراء من الكبد، لكن في حال ان في mutation في هذا ال + +85 +00:07:25,280 --> 00:07:32,560 +enzyme بيحدث block وعدم مقدرة من الاتحاد مع النحاس + +86 +00:07:32,560 --> 00:07:36,900 +وبيحدث accumulation للنحاس في الـ body، والنحاس راح + +87 +00:07:36,900 --> 00:07:40,560 +يكون في الـ liver والـ basal النوكلياي، والـ other + +88 +00:07:40,560 --> 00:07:45,660 +organs، type + +89 +00:07:45,660 --> 00:07:50,490 +of body movements، الآن ايش الـ body movements في + +90 +00:07:50,490 --> 00:07:56,190 +autonomous أو reflex movement، أنا بعمل حركات + +91 +00:07:56,190 --> 00:07:59,370 +reflex بدون إرادة، بدون إرادة، يعني هذا بيسميه + +92 +00:07:59,370 --> 00:08:05,410 +involuntary movement أو postural without أو أو + +93 +00:08:05,410 --> 00:08:08,970 +بيسميه withdrawal reflex، withdrawal reflex يعني + +94 +00:08:08,970 --> 00:08:14,890 +أنا بعملها بدون ما أفكر، تمام؟ هذه حركات لا إرادية + +95 +00:08:14,890 --> 00:08:21,730 +حركات لا إرادية، وفي rhythmic voluntary movement مثل + +96 +00:08:21,730 --> 00:08:25,730 +الـ chewing و walking هذه حركات إرادية، أنا بدأت + +97 +00:08:25,730 --> 00:08:30,490 +اتحرك، تحركت، مشيت وقفت خلاص، يقول هذه voluntary + +98 +00:08:30,490 --> 00:08:39,290 +movement، أنا بتحكم فيها، هذه الحركات، the + +99 +00:08:39,290 --> 00:08:43,990 +anterior horn cells في الـ spinal cord، في anterior + +100 +00:08:43,990 --> 00:08:48,820 +horn cells، هذه الـ anterior horn cells الـ main + +101 +00:08:48,820 --> 00:08:53,940 +function بتاعتها motor، main function لها motor، ال + +102 +00:08:53,940 --> 00:08:57,900 +anterior horn cells consist of motor cells، يبقى + +103 +00:08:57,900 --> 00:09:02,360 +فيها ايه؟ motor cells، الـ anterior horn cells + +104 +00:09:02,360 --> 00:09:09,840 +موجود فيها medial group nuclei، central group + +105 +00:09:09,840 --> 00:09:16,670 +nuclei، and lateral group nuclei، يعني الـ anterior + +106 +00:09:16,670 --> 00:09:21,370 +horn cells فيها كام مجموعة؟ تلاتة، medially group، + +107 +00:09:21,370 --> 00:09:29,390 +central group، and lateral group، نبدأ بالـ medially + +108 +00:09:29,390 --> 00:09:35,890 +group، الـ medially group موجودين في كل الـ spinal cord، أضاء + +109 +00:09:35,890 --> 00:09:39,630 +الـ mediary group في الـ thoracic segment بنسميه + +110 +00:09:39,630 --> 00:09:45,150 +لـ ventromedial and dorsomedial مسؤولين عن مين؟ عن + +111 +00:09:45,150 --> 00:09:51,630 +عضلات الـ trunk، supply the muscles of trunk، علاقة في + +112 +00:09:51,630 --> 00:09:57,010 +عضلات ايه؟ للـ trunk، central group موجودين مين؟ في + +113 +00:09:57,010 --> 00:10:04,330 +الـ upper cervical part، في C1 و C4، مسؤولين عن مين؟ + +114 +00:10:04,330 --> 00:10:10,090 +بيعطوا fibers لـ pharynx nerve و spinal accessory + +115 +00:10:10,090 --> 00:10:14,010 +nerve، يكون هذين المسؤولين عن مين؟ عن pharynx nerve + +116 +00:10:14,010 --> 00:10:18,870 +للعضلات و spinal accessory nerve اللي بيغذي + +117 +00:10:18,870 --> 00:10:24,070 +trapezius muscle and sternocleidomastoid muscle + +118 +00:10:24,070 --> 00:10:30,320 +lateral group، من جسم الـ ventral lateral و dorsal + +119 +00:10:30,320 --> 00:10:33,940 +lateral، هذين الموجودين في lower cervical، في ال + +120 +00:10:33,940 --> 00:10:39,560 +lumbar، في ال upper segment of sacral مسؤولين عن + +121 +00:10:39,560 --> 00:10:46,720 +ايه؟ عن الـ upper و lower limb muscles، هي الـ medial + +122 +00:10:46,720 --> 00:10:50,200 +group muscles مسئولة عن الـ trunk والـ abdominal + +123 +00:10:50,200 --> 00:10:55,630 +muscles، central group مسئولة عن pharynx أو + +124 +00:10:55,630 --> 00:10:59,010 +diaphragmatic nerve و spinal accessory nerve + +125 +00:10:59,010 --> 00:11:03,010 +بيغدوا الـ diaphragm و trapezius muscle و + +126 +00:11:03,010 --> 00:11:08,870 +sternocleidomastoid muscle، و lateral group اللي من + +127 +00:11:08,870 --> 00:11:13,910 +جسمه ليه جسمين، dorsolateral و ventrolateral، هذول + +128 +00:11:13,910 --> 00:11:17,270 +بيغدون مسؤولين عن ال upper و lower limb muscles + +129 +00:11:19,990 --> 00:11:24,530 +rule the spinal cord in motor function، ايش وظيفة + +130 +00:11:24,530 --> 00:11:27,530 +الـ spinal cord؟ ايش وظيفة هذه الـ anterior horn + +131 +00:11:27,530 --> 00:11:35,090 +cells؟ اتفقنا في الـ spinal cord في motor neurons + +132 +00:11:35,090 --> 00:11:38,970 +وين موجودين الـ motor neurons؟ موجودين في ال + +133 +00:11:38,970 --> 00:11:44,250 +anterior horn cells، يبقى الـ main function of the + +134 +00:11:44,250 --> 00:11:52,040 +anterior horn cells is motor function، في نوعين من + +135 +00:11:52,040 --> 00:11:58,460 +الـ neurons، في alpha motoneuron وفي gamma + +136 +00:11:58,460 --> 00:12:05,510 +motoneuron، alpha motoneuron، it is large type، يعني + +137 +00:12:05,510 --> 00:12:10,190 +give rise to large type A alpha motoneuron fibers + +138 +00:12:10,190 --> 00:12:15,330 +مسؤول عن مين؟ عن stimulation of the muscle fibers + +139 +00:12:15,330 --> 00:12:20,430 +يبدأ النوع الأول alpha motoneuron مسؤول عن ال + +140 +00:12:20,430 --> 00:12:25,110 +large type A alpha وبيغذيها ومسؤول عن ايه؟ عن + +141 +00:12:25,110 --> 00:12:30,380 +stimulation of muscle fibers، النوع الثاني Gamma + +142 +00:12:30,380 --> 00:12:35,820 +motoneuron، gamma motoneuron، هدول بيروحوا مع مين؟ مع + +143 +00:12:35,820 --> 00:12:43,040 +small of type A gamma، وظيفتهم control the muscle + +144 +00:12:43,040 --> 00:12:46,040 +tone، يبقى الـ small fibers اللي ملاقة بال + +145 +00:12:46,040 --> 00:12:51,240 +regulation of muscle tone، أما الـ large fibers اللي + +146 +00:12:51,240 --> 00:12:56,300 +بيجوا من alpha motoneuron اللي ملاقة بـ stimulation + +147 +00:12:56,300 --> 00:13:01,660 +of muscle fibers، يكون أول نوع موتو نيرونز موجودين + +148 +00:13:01,660 --> 00:13:08,660 +في anterior horn cells، اللغة الثانية interneurons + +149 +00:13:08,660 --> 00:13:15,400 +interneurons أو بنسميهم intermediate، intermediate + +150 +00:13:15,400 --> 00:13:19,480 +neurons، هدول الـ interneurons أو الـ intermediate + +151 +00:13:19,480 --> 00:13:24,520 +neurons وموجودين موجودين between the sensory + +152 +00:13:24,520 --> 00:13:28,740 +neurons and motor، بين الـ sensory والموتور يعني + +153 +00:13:28,740 --> 00:13:36,220 +بلغة ثانية موجودين بين posterior horn cells و anterior + +154 +00:13:36,220 --> 00:13:40,940 +horn cells، ماهي المشكلة الرئيسية لهم؟ المشكلة + +155 +00:13:40,940 --> 00:13:45,820 +الرئيسية reflex center، مثلما اتفقنا، intermediate + +156 +00:13:45,820 --> 00:13:49,640 +area وين موجودين؟ بين الـ ventral والـ dorsal horn أو + +157 +00:13:49,640 --> 00:13:54,400 +بين الـ anterior posterior horn، المشكلة الرئيسية هي + +158 +00:13:55,560 --> 00:13:59,920 +excitatory for integrative function of the spinal + +159 +00:13:59,920 --> 00:14:05,380 +cord يعتبره integrative function أو reflex center + +160 +00:14:05,380 --> 00:14:07,480 +وظيفتهم reflex center + +161 +00:14:26,330 --> 00:14:29,810 +بالـ motor fibers تعمل contraction of the muscle + +162 +00:14:29,810 --> 00:14:34,750 +وبيحظف عنها reflex لازم + +163 +00:14:34,750 --> 00:14:39,630 +نتكلم على شيء اسمه pyramidal tract، ايش هو + +164 +00:14:39,630 --> 00:14:44,930 +pyramidal tract؟ pyramidal tract contains + +165 +00:14:44,930 --> 00:14:50,710 +about one million nerve fibers، في one million + +166 +00:14:50,710 --> 00:14:57,430 +nerve fibers، it is the longest nerve fibers in the + +167 +00:14:57,430 --> 00:15:02,750 +body، وأطول nerve fibers أو أطول tract في الجسم هو + +168 +00:15:02,750 --> 00:15:07,490 +مين؟ بيراميدال الـ tract، من وين ببدأ؟ الـ origin + +169 +00:15:07,490 --> 00:15:12,560 +بتاعه ببدأ من حاجة اسمها betz cells موجودة في ال + +170 +00:15:12,560 --> 00:15:17,160 +internal pyramidal layer، يعني أي طبقة؟ في الطبقة + +171 +00:15:17,160 --> 00:15:21,420 +الخامسة من الـ cortex، في الـ internal pyramidal + +172 +00:15:21,420 --> 00:15:25,240 +layer، من ايش بتكون الـ cortex في الـ histology بتكون + +173 +00:15:25,240 --> 00:15:31,300 +من six layers، أول layer molecular layer، ثاني layer + +174 +00:15:31,300 --> 00:15:38,020 +external granular layer، ثالث external pyramidal + +175 +00:15:38,020 --> 00:15:44,240 +layer، رابع internal granular layer، خامس ganglionic + +176 +00:15:44,240 --> 00:15:48,400 +layers أو internal pyramidal layer، من الـ internal + +177 +00:15:48,400 --> 00:15:53,260 +pyramidal layer بيبدأ بالـ cells اللي هم مسؤولين عن أو + +178 +00:15:53,260 --> 00:15:57,660 +هم يعتبروا بداية ايه؟ pyramidal tract، وآخر شيء + +179 +00:15:57,660 --> 00:16:02,920 +multiform layers، هذه الـ layers هم layers of + +180 +00:16:02,920 --> 00:16:04,560 +cerebral cortex + +181 +00:16:07,390 --> 00:16:11,550 +الشيء الثاني لما اتكلمنا عن الـ cortex سراحتكم + +182 +00:16:11,550 --> 00:16:20,590 +الإنسان بيكون عنده في + +183 +00:16:20,590 --> 00:16:32,450 +الدماغ أو بيكون موجود في الدماغ كذا الرأس تحت الـ + +184 +00:16:32,450 --> 00: + +201 +00:17:56,560 --> 00:18:05,220 +البيراميدال + +202 +00:18:05,220 --> 00:18:12,260 +ده الـ Pyramidal tract ده الـ tract نرسمه هنا نخططه مع + +203 +00:18:12,260 --> 00:18:12,620 +بعض + +204 +00:18:19,940 --> 00:18:28,040 +هي عندي بيراميدال + +205 +00:18:28,040 --> 00:18:31,680 +tract + +206 +00:18:31,680 --> 00:18:35,480 +بيراميدال + +207 +00:18:35,480 --> 00:18:43,440 +tract من القسم لقسمين القسم لقسمين أول + +208 +00:18:43,440 --> 00:18:49,180 +قسم بنسميه Corticospinal + +209 +00:18:52,560 --> 00:19:00,180 +القسم الثاني كورتيكو + +210 +00:19:00,180 --> 00:19:09,200 +نوكليار تراكت أو كورتيكو بلبار + +211 +00:19:17,420 --> 00:19:21,860 +الجزء الأول Corticospinal tract والجزء الثاني + +212 +00:19:21,860 --> 00:19:24,200 +كورتيكو نوكليار أو كورتيكو بلبار + +213 +00:19:35,420 --> 00:19:41,380 +الـ Corticonuclear tract قسمين و Corticospinal + +214 +00:19:41,380 --> 00:19:47,400 +tract قسمين من اسمه Corticonuclear tract + +215 +00:19:47,400 --> 00:19:51,420 +Corticonuclear tract ايه راح يكون اي حالة + +216 +00:19:51,420 --> 00:20:01,180 +Corticonuclear tract؟ بيعطينا fibers لمن؟ لانتريور + +217 +00:20:02,580 --> 00:20:11,160 +هو cells in the spinal cord من هنا نسمو Cortico-spinal + +218 +00:20:11,160 --> 00:20:14,820 +يعني بيبدأ من الـ cortex و بنتهي وين في ال + +219 +00:20:14,820 --> 00:20:21,840 +spinal طب و Cortico نوكليا بيعطينا fibers لمن؟ + +220 +00:20:21,840 --> 00:20:28,040 +to motor nuclei + +221 +00:20:28,040 --> 00:20:31,760 +in the brain stem + +222 +00:20:35,500 --> 00:20:47,520 +موتور نوكلياي of cranial nerve of cranial + +223 +00:20:47,520 --> 00:20:52,340 +nerve in + +224 +00:20:52,340 --> 00:21:00,060 +the brain stem تمام + +225 +00:21:04,430 --> 00:21:14,250 +Corticospinal tract تنقسم لقسمين Lateral + +226 +00:21:14,250 --> 00:21:17,970 +Corticospinal + +227 +00:21:17,970 --> 00:21:25,810 +tract و Ventral Corticospinal + +228 +00:21:25,810 --> 00:21:26,470 +tract + +229 +00:21:30,280 --> 00:21:34,280 +طبعا القسم القسمين Lateral Corticospinal tract and + +230 +00:21:34,280 --> 00:21:37,540 +Ventral Corticospinal tract Lateral Corticospinal + +231 +00:21:37,540 --> 00:21:43,300 +tract supply supply + +232 +00:21:43,300 --> 00:21:52,420 +the upper limbs and lower limbs أما الـ Ventral + +233 +00:21:52,420 --> 00:21:57,500 +Corticospinal tract supply اللي هو + +234 +00:22:04,260 --> 00:22:09,520 +trunk and abdominal + +235 +00:22:09,520 --> 00:22:14,980 +muscle يبقى + +236 +00:22:14,980 --> 00:22:19,620 +في عندي اللي هو الـ Ventral tract أو Ventral + +237 +00:22:19,620 --> 00:22:21,880 +Corticospinal tract هيكون مسؤولة عن الـ respiratory + +238 +00:22:21,880 --> 00:22:25,640 +عن ايه respiratory muscle قال Cortico + +239 +00:22:28,610 --> 00:22:31,350 +Bulbar tract راح ينقسم ل .. او Corticonuclear + +240 +00:22:31,350 --> 00:22:36,590 +tract راح ينقسم لقسمين القسم + +241 +00:22:36,590 --> 00:22:43,930 +الأول اسمه Lateral نفس الشيء Corticonuclear tract + +242 +00:22:43,930 --> 00:22:50,030 +والثاني Medial Corticonuclear + +243 +00:22:50,030 --> 00:22:56,630 +tract الـ Medial Corticonuclear tract سهل supply + +244 +00:22:59,180 --> 00:23:07,700 +أو give fibers to + +245 +00:23:07,700 --> 00:23:20,300 +Ocular nuclei اللي هم العصب الثالث والرابع والسادس + +246 +00:23:20,300 --> 00:23:22,560 +from + +247 +00:23:26,510 --> 00:23:31,150 +both cerebral hemisphere يعني الـ Medial الكورتيكو + +248 +00:23:31,150 --> 00:23:33,990 +نوكليار تراكت بيعطي الـ نوكليار ساعة الـ Oculomotor + +249 +00:23:33,990 --> 00:23:37,310 +و تروكليا و الابدوسنت على الـ both side بيبقى على + +250 +00:23:37,310 --> 00:23:39,450 +الـ right و على الـ left و الـ left بيعطي right left + +251 +00:23:39,450 --> 00:23:42,630 +و هكذا يعني الـ Nuclei of Oculomotor تروكليا و + +252 +00:23:42,630 --> 00:23:46,110 +الابدوسنت بياخده من الـ both cerebral hemisphere طب + +253 +00:23:46,110 --> 00:23:52,590 +الـ Lateral كورتيكو نوكليار تراكت بيعطي + +254 +00:23:52,590 --> 00:23:53,750 +للموتور + +255 +00:23:55,610 --> 00:24:04,570 +Nuclei of Trigeminal + +256 +00:24:04,570 --> 00:24:09,750 +nerve Dorsal + +257 +00:24:09,750 --> 00:24:17,170 +Facial nerve Glossopharyngeal, + +258 +00:24:17,770 --> 00:24:22,490 +Vagus و Cranial accessory اللي له علاقة بامبيغاس + +259 +00:24:22,490 --> 00:24:23,010 +نوكلياس + +260 +00:24:29,020 --> 00:24:36,020 +Cranial accessory from both cerebral hemisphere + +261 +00:24:36,020 --> 00:24:46,500 +and وبيعطي كمان two Ventral nucleus + +262 +00:24:46,500 --> 00:24:55,440 +of Facial nerve فاصلة وHypoglossal nerve + +263 +00:24:55,440 --> 00:24:57,680 +Hypoglossal nucleus + +264 +00:25:01,760 --> 00:25:07,360 +only from opposite side + +265 +00:25:12,120 --> 00:25:17,500 +يعني هنا شرحنا لكم مخطط بتاع بيراميدال تراكت شرحنا + +266 +00:25:17,500 --> 00:25:21,220 +لكم مخطط بتاع بيراميدال تراكت هنا موجود بس مش واضح + +267 +00:25:21,220 --> 00:25:24,900 +كتير في الورقة اللي أنا صورتلكوا إياها هنا رسمنا + +268 +00:25:24,900 --> 00:25:28,620 +لكوا إياها وخططتوا لكم الـ Pyramidal tract بنقسم + +269 +00:25:28,620 --> 00:25:34,140 +لجزئين الجزء الأول Corticospinal tract وجزء ثاني + +270 +00:25:34,140 --> 00:25:36,600 +Corticobulbar او Corticonuclear tract + +271 +00:25:36,600 --> 00:25:39,740 +Corticospinal tract يبدأ من الكورتكس وينتهي في + +272 +00:25:39,740 --> 00:25:44,060 +spinal cord يعني بيعطي fibers للانتريور وحسل في + +273 +00:25:44,060 --> 00:25:49,540 +spinal cord و Corticobulbar tract بيعطي fibers to + +274 +00:25:49,540 --> 00:25:53,760 +motor nuclei of the cranial nerves in the brain + +275 +00:25:53,760 --> 00:25:58,860 +stem in the brain stem okay Corticospinal tract + +276 +00:25:58,860 --> 00:26:05,610 +بنقسم لقسمين Lateral Corticospinal tract بيمر في ال + +277 +00:26:05,610 --> 00:26:11,190 +Lateral column of spinal cord و بيغذي الـ upper و + +278 +00:26:11,190 --> 00:26:16,070 +lower limbs و Ventral Corticospinal tract supply + +279 +00:26:16,070 --> 00:26:21,730 +trunk and abdominal muscle بيمر وين في الـ Ventral + +280 +00:26:21,730 --> 00:26:25,870 +column of spinal cord نيجي لـ Corticobulbar tract + +281 +00:26:25,870 --> 00:26:31,490 +بنقسم لقسمين Lateral Corticonuclear tract and + +282 +00:26:31,490 --> 00:26:36,270 +Medial Corticonuclear tract الـ Medial + +283 +00:26:36,270 --> 00:26:37,810 +Corticonuclear tract + +284 +00:26:47,600 --> 00:26:50,800 +النوكليارات بتاعتهم موجودة في برهين stem Nuclei + +285 +00:26:50,800 --> 00:26:53,640 +او Ocular Nuclei او Ocular Nuclei او Ocular + +286 +00:26:53,640 --> 00:26:55,860 +Nuclei او Ocular Nuclei او Ocular Nuclei او + +287 +00:26:55,860 --> 00:26:57,280 +Ocular Nuclei او Ocular Nuclei او Ocular Nuclei + +288 +00:26:57,280 --> 00:26:58,920 +او Ocular Nuclei او Ocular Nuclei Nuclei Nuclei + +289 +00:26:58,920 --> 00:27:04,480 +Nuclei Nuclei Nuclei Nuclei Nuclei Nuclei Nuclei + +290 +00:27:04,480 --> 00:27:05,610 +Nuclei Nuclei Nuclei Nuclei Nuclei Nuclei Nuclei + +291 +00:27:05,610 --> 00:27:09,190 +left بيغذي left و بيغذي right يعني الـ Nucleus + +292 +00:27:09,190 --> 00:27:14,030 +بتاعة الـ Motor nuclei of the Ocular nerve received + +293 +00:27:14,030 --> 00:27:17,950 +fibers from the Corticonuclear tract أيه واحد + +294 +00:27:17,950 --> 00:27:22,530 +فيهم؟ from the Medial Corticonuclear tract from + +295 +00:27:22,530 --> 00:27:27,020 +both cerebral hemispheres نيجي لـ Lateral + +296 +00:27:27,020 --> 00:27:31,700 +Corticonuclear tract give motor fibers لمن؟ + +297 +00:27:31,700 --> 00:27:37,140 +للموتور نوكلياي of the cranial nerves من هما موتور + +298 +00:27:37,140 --> 00:27:41,140 +نوكلياس الـ Trigeminal nerve موتور نوكلياس الـ + +299 +00:27:41,140 --> 00:27:45,820 +Dorsal nucleus بتاعة الـ Facial nerve أمبيغاس + +300 +00:27:45,820 --> 00:27:49,040 +نوكلياس المسئول عن الـ Glossopharyngeal و Vagus و + +301 +00:27:49,040 --> 00:27:53,000 +Cranial accessory from both cerebral and cerebral + +302 +00:27:53,000 --> 00:27:56,220 +يعني الـ Right Lateral بيعطي Right Left Right Left + +303 +00:27:56,220 --> 00:28:02,260 +طيب زائد انه بيعطي كمان Ventral nucleus of Facial + +304 +00:28:02,260 --> 00:28:07,300 +nerve المسئول عن الـ Lower quadrant of the face + +305 +00:28:08,160 --> 00:28:10,640 +وبيعتبرها الـ Hypoglossal nucleus المسئول عن الـ + +306 +00:28:10,640 --> 00:28:15,880 +Hypoglossal nerve only from up this side يعني الـ + +307 +00:28:15,880 --> 00:28:19,740 +Ventral nucleus بتاعة الـ Facial nerve الشمال + +308 +00:28:19,740 --> 00:28:24,810 +اليمين والـ Hypoglossal nucleus بتاعت العصب الثاني + +309 +00:28:24,810 --> 00:28:31,030 +عشر اليمين بس تاخد إشارة من الـ Left Lateral + +310 +00:28:31,030 --> 00:28:34,490 +Corticonuclear تاخدش من الـ both cerebral اللي + +311 +00:28:34,490 --> 00:28:37,970 +مصيرها، بياخد من الـ one side، بياخد من وين؟ one + +312 +00:28:37,970 --> 00:28:38,610 +side + +313 +00:28:42,830 --> 00:28:46,430 +هيو الـ Pyramidal tract الآن راح يكون أسهل لكم الـ + +314 +00:28:46,430 --> 00:28:53,150 +Pyramidal tract is a bundle of motoneuron fibers it + +315 +00:28:53,150 --> 00:28:57,370 +begins in the cerebral cortex بيبدأ من وين؟ من ال + +316 +00:28:57,370 --> 00:29:01,190 +cerebral cortex عشان هيك سموه Corticospinal + +317 +00:29:01,190 --> 00:29:05,130 +Corticobulbar او Corticonuclear يعني بيبدأ من وين؟ + +318 +00:29:05,130 --> 00:29:09,810 +من الـ cortex بيبدأ من وين؟ من الـ cortex وبينتهي It + +319 +00:29:09,810 --> 00:29:19,370 +ends in anterior horn cells of spinal cord كورتيكو + +320 +00:29:19,370 --> 00:29:22,730 +سباينال تراكت + +321 +00:29:25,430 --> 00:29:30,690 +و ينتهي في الـ Motor nuclei of the cranial nerves in + +322 +00:29:30,690 --> 00:29:35,670 +the brainstem اسمه Corticonuclear او Corticobulbar + +323 +00:29:35,670 --> 00:29:40,670 +tract يبقى Cortico او البرامج الـ tract نقسم لك + +324 +00:29:40,670 --> 00:29:46,120 +اسمين Corticospinal tract and Corticonuclear tract + +325 +00:29:46,120 --> 00:29:51,340 +Corticospinal tract بنقسم من قسمين حسب وين مر إلى + +326 +00:29:51,340 --> 00:29:55,360 +Lateral Corticospinal tract بيمر في الـ Lateral + +327 +00:29:55,360 --> 00:29:59,500 +column of spinal cord and Ventral او Anterior + +328 +00:29:59,500 --> 00:30:04,160 +Corticospinal tract بيمر في الـ Ventral column of + +329 +00:30:04,160 --> 00:30:09,040 +spinal cord اما Corticonuclear tract راح نمر وين؟ + +330 +00:30:09,760 --> 00:30:16,020 +للبراين stem و ينقسم لقسمين لـ Lateral and Medial + +331 +00:30:16,020 --> 00:30:22,620 +Corticonuclear tract الان نتكلم على شي اسمه Upper + +332 +00:30:22,620 --> 00:30:28,020 +Motoneuron سمعت فيه الـ Upper Motoneuron system الـ + +333 +00:30:28,020 --> 00:30:31,700 +Upper Motoneuron system هذا احنا نتكلم على + +334 +00:30:31,700 --> 00:30:34,380 +Corticospinal tract او Corticonuclear tract يعني + +335 +00:30:34,380 --> 00:30:39,000 +الـ Corticospinal tract و Corticonuclear tract إذا + +336 +00:30:39,000 --> 00:30:42,480 +حدث فيهم مشكلة بيؤدي إلى Upper motor neuron lesion + +337 +00:30:42,480 --> 00:30:47,400 +يعني Damage of Corticospinal tract or + +338 +00:30:47,400 --> 00:30:52,940 +Corticonuclear tract leads to Upper motor neuron + +339 +00:30:52,940 --> 00:30:56,980 +lesion يعني يعرفنا الـ Damage أو أي تغير أو أي مرض + +340 +00:30:56,980 --> 00:31:00,260 +بيصيب الـ Corticospinal tract أو Corticonuclear + +341 +00:31:00,260 --> 00:31:07,530 +tract يؤدي إلى Upper motor neuron lesion يكون هو + +342 +00:31:07,530 --> 00:31:11,030 +يعتبر Supraspinal lesion او اذا بتكلم على ال + +343 +00:31:11,030 --> 00:31:15,050 +Corticonuclear tract Supranuclear lesion ايش ال + +344 +00:31:15,050 --> 00:31:18,030 +Function بتاعة العبر موتو نيرون ان كان + +345 +00:31:18,030 --> 00:31:23,070 +Corticospinal او Corticonuclear اول وظيفة ان هي + +346 +00:31:23,070 --> 00:31:27,170 +Initiation and control of voluntary motor activity + +347 +00:31:27,170 --> 00:31:36,820 +في حال انه في حال انه حدث عندنا الـ Damage + +348 +00:31:36,820 --> 00:31:41,540 +of Corticospinal tract او Corticonuclear tract + +349 +00:31:41,540 --> 00:31:45,760 +بيحدث Paralysis بيحدث ايش؟ Paralysis او شلل + +350 +00:31:47,650 --> 00:31:51,590 +Inhibition of muscle tone Inhibition of muscle + +351 +00:31:51,590 --> 00:31:55,030 +tone هو وظيفته يعمل Inhibition للـ muscle tone في + +352 +00:31:55,030 --> 00:31:58,770 +حال حدث Damage للـ other motor neuron رح يكون عندنا + +353 +00:31:58,770 --> 00:32:03,990 +Muscle hypertonia Muscle hypertonia ثلاثة بيعمل + +354 +00:32:03,990 --> 00:32:07,710 +Inhibition للـ deep reflex عشان هيك احنا لما نفحص + +355 +00:32:07,710 --> 00:32:11,930 +reflex لمريد بنقول اشد عيدك او اقدمه للعشرة عشان + +356 +00:32:11,930 --> 00:32:14,150 +ألم الـ cortex الـ cortex يعمل Inhibition للـ reflex + +357 +00:32:14,150 --> 00:32:18,630 +في حال حدث Upper motor neuron lesion راح يتحول + +358 +00:32:18,630 --> 00:32:22,510 +لـ Hyperreflexia، Hyperreflexia، يبقى هي وظيفة + +359 +00:32:22,510 --> 00:32:26,550 +الأبرموتونيرون Initiation and control of voluntary + +360 +00:32:26,550 --> 00:32:30,210 +motor activity هي واحد، اتنين، Inhibition of + +361 +00:32:30,210 --> 00:32:35,430 +muscle tone، ثلاثة، Inhibition of deep reflexes + +362 +00:32:36,940 --> 00:32:42,420 +متكلم على الـ Pathway of the Upper motor neurons + +363 +00:32:42,420 --> 00:32:46,460 +أو الـ Pyramidal أو الـ Corticospinal tract الإشارة + +364 +00:32:46,460 --> 00:32:50,340 +بتبدأ من بيت الـ cells من الـ Area رقم أربع من ال + +365 +00:32:50,340 --> 00:32:53,720 +Upper two third of precentral gyrus ليه هو ان الـ + +366 +00:32:53,720 --> 00:32:57,400 +Upper two third؟ لأن الـ Corticonuclear tract متجه + +367 +00:32:57,400 --> 00:33:02,640 +إلى الـ face رح يبدأ من الـ Lower one third بعدك الـ + +368 +00:33:02,640 --> 00:33:07,850 +fibers descent في شيء اسمه Corona radiata بيمر في + +369 +00:33:07,850 --> 00:33:13,190 +الـ Posterior limb of internal capsule بعدك في الـ + +370 +00:33:13,190 --> 00:33:19,550 +Midbrain, Pons, Medulla oblongata، في Lower part + +371 +00:33:19,550 --> 00:33:25,270 +of Medulla oblongata بيحدث عملية Decussation او + +372 +00:33:25,270 --> 00:33:28,390 +crossing الـ Corticospinal tract اللي جاي من + +373 +00:33:28,390 --> 00:33:32,210 +اليمين بيتجه لليسار و اللي جاي من اليسار بيتجه + +374 +00:33:32,210 --> 00:33:35,670 +لليمين علشان أسألك لو حدث جلطة دماغية في اليمين + +375 +00:33:35,670 --> 00:33:39,230 +وين الـ Hemoglobin بتكون؟ على الـ Opposite side لو + +376 +00:33:39,230 --> 00:33:42,330 +حدث جلطة دماغية في اليسار وين الـ Hemoglobin بتكون؟ + +377 +00:33:42,330 --> 00:33:46,870 +على الـ Right side وهكذا هذه بنسميها Pyramidal + +378 +00:33:46,870 --> 00:33:50,390 +Decussation نحاول + +379 +00:33:51,260 --> 00:34:05,480 +هرسم لكم إياهم هنا قد الإمكان لما + +380 +00:34:05,480 --> 00:34:09,140 +بتكلم عـ Motor أنا بتكلم عليه على Descending tract + +381 +00:34:09,140 --> 00:34:12,320 +يبقى الـ tract راح أبدأ من وين من الـ cortex و أنزل + +382 +00:34:12,320 --> 00:34:12,880 +للمصدر + +383 +00:34:31,900 --> 00:34:39,060 +هنا Area precentral + +384 +00:34:39,060 --> 00:34:44,400 +Gyrus + +385 +00:34:44,400 --> 00:34:51,640 +اللي هي Area أربعة بعدين في هنا + +386 +00:34:56,400 --> 00:35:10,060 +Internal Capsule بعدين + +387 +00:35:10,060 --> 00:35:10,660 +فيه اللي هو + +388 +00:35:25,740 --> 00:35:30,240 +Midbrain Pons + +389 +00:35:30,240 --> 00:35:33,260 +Medulla + +390 +00:35:33,2 + +401 +00:37:05,330 --> 00:37:11,950 +pre-central area اللي هي من ال upper و ال middle + +402 +00:37:11,950 --> 00:37:20,710 +one third راح ال fibers تمر في ال posterior limb + +403 +00:37:20,710 --> 00:37:30,910 +of the internal capsule, midbrain, pons, medulla + +404 +00:37:30,910 --> 00:37:40,650 +oblongata هذا إيش اسمه؟ اسمه cortico spinal + +405 +00:37:40,650 --> 00:37:52,310 +tract تمام هنا the internal capsule هذا left internal + +406 +00:37:52,310 --> 00:38:04,370 +capsule, the internal capsule + +407 +00:38:04,370 --> 00:38:08,250 +internal + +408 +00:38:08,250 --> 00:38:12,650 +capsule + +409 +00:38:12,650 --> 00:38:20,850 +اللي في lower part of medulla oblongata هذا اللي + +410 +00:38:20,850 --> 00:38:26,410 +هو corticospinal tract بيعمل incomplete decussation + +411 +00:38:26,410 --> 00:38:30,870 +أو crossing بيعمل incomplete decussation، ال main + +412 +00:38:30,870 --> 00:38:33,890 +fibers أكثر من خمسة و ثمانين، تسعين في المئة + +413 +00:38:33,890 --> 00:38:39,610 +بيعملوا crossing على ال opposite side، النرسانت مين + +414 +00:38:39,610 --> 00:38:45,570 +هو ال left corticospinal tract و بيتجه ل ال right + +415 +00:38:45,570 --> 00:38:55,090 +side و بيفوت ل في وين؟ في lateral column في ال + +416 +00:38:55,090 --> 00:39:03,670 +lateral column of spinal cord و بدأ + +417 +00:39:03,670 --> 00:39:11,170 +ننزل مثل خط الكهربا الرئيسي وين بينتهي؟ بينتهي at + +418 +00:39:11,170 --> 00:39:17,370 +the level of + +419 +00:39:19,260 --> 00:39:29,060 +S2 sacral two spinal cord يعني + +420 +00:39:29,060 --> 00:39:33,640 +بنتهي وين؟ على level sacral two S2 segment of spinal + +421 +00:39:33,640 --> 00:39:37,900 +cord هذا بيشبه خط الكهربا الرئيسي النازل في الدرج + +422 +00:39:37,900 --> 00:39:44,160 +نازل و كل ما يصل طابق في الشجرة بيعطيها سلك، خط هذا + +423 +00:39:44,160 --> 00:39:52,070 +إيش اسمه الـ left اللي بتحول لـ right في ال spinal + +424 +00:39:52,070 --> 00:39:57,730 +cord إيش بيصير اسمه؟ right cortico + +425 +00:39:57,730 --> 00:40:09,550 +أو اسمه صح هي اسمه + +426 +00:40:09,550 --> 00:40:14,450 +صح right lateral + +427 +00:40:16,840 --> 00:40:21,320 +corticospinal tract right lateral corticospinal + +428 +00:40:21,320 --> 00:40:25,860 +tract هذا الخط الرئيسي كل ما يصل الـ anterior horn + +429 +00:40:25,860 --> 00:40:32,360 +cells بيعطيهم إيش؟ fibers بيعطيهم إيه؟ fibers على + +430 +00:40:32,360 --> 00:40:36,340 +كل segment على كل segment يبقى لو حدث دمج لل + +431 +00:40:36,340 --> 00:40:39,960 +corticospinal tract في ال brain أو spinal cord هذا + +432 +00:40:39,960 --> 00:40:44,040 +بيؤدي إلى إيش؟ upper motoneurone lesion upper + +433 +00:40:44,040 --> 00:40:51,860 +motoneurone lesion الجزء + +434 +00:40:51,860 --> 00:40:57,560 +اللي بقى اللي ما عملش crossing هذا + +435 +00:40:57,560 --> 00:41:05,640 +بينزل في ال anterior horn cells بينزل في ال anterior + +436 +00:41:05,640 --> 00:41:11,100 +column of spinal cord و بكمل طريقه وين بينتهي + +437 +00:41:19,510 --> 00:41:23,630 +ends at lower + +438 +00:41:23,630 --> 00:41:30,590 +thoracic level في + +439 +00:41:30,590 --> 00:41:34,010 +ناس بيقولوا على ال middle thoracic level، الثانين + +440 +00:41:34,010 --> 00:41:40,530 +صح middle أو lower thoracic هذا إيش بيعطي؟ بيعطي ل + +441 +00:41:40,530 --> 00:41:48,250 +إيش؟ لا هو انتهى هنا، أكثر مش راح يصل ل number + +442 +00:41:51,940 --> 00:42:11,700 +عشان تكون صح وين + +443 +00:42:11,700 --> 00:42:14,980 +بينتهي end at + +444 +00:42:21,190 --> 00:42:26,490 +the lower thoracic + +445 +00:42:26,490 --> 00:42:33,110 +level هذا الـ .. إيش بنسميه؟ بنسميه ventral + +446 +00:42:37,550 --> 00:42:42,630 +واضافته إيش يا غدى؟ واضيفته لـ غدى اللي هو chest + +447 +00:42:42,630 --> 00:42:46,790 +muscle أو thoracic muscle أو respiratory muscle + +448 +00:42:46,790 --> 00:42:49,570 +هذا بيعطي ال anterior horn cells على نفس الجهة + +449 +00:42:49,570 --> 00:42:52,290 +و بيعطي ال anterior horn cells على الجهة الثانية + +450 +00:42:52,290 --> 00:42:56,990 +يعني بيعطي ال both anterior horn cells for + +451 +00:42:56,990 --> 00:43:03,820 +respiratory muscle طيب هذا يعتبر إيش corticospinal + +452 +00:43:03,820 --> 00:43:09,240 +tract هنا مرسومين في slide واضح هنا عندي يقول هنا + +453 +00:43:09,240 --> 00:43:14,400 +عندي pyramidal decussation هذا ال pyramids بتحول لـ + +454 +00:43:14,400 --> 00:43:18,040 +decussation يعني لو المريض حدث معاه جلطة دماغية في + +455 +00:43:18,040 --> 00:43:20,580 +ال left cerebral hemisphere و لي ال hemiplegia + +456 +00:43:20,580 --> 00:43:23,800 +يتكون على ال right طيب لو جينا في ال spinal cord + +457 +00:43:23,800 --> 00:43:28,300 +لأخلص ال crossing صار دمج في ال spinal cord، على + +458 +00:43:28,300 --> 00:43:31,500 +نفس الجهة بدي يكون فيه motor، على نفس الجهة لأن ال + +459 +00:43:31,500 --> 00:43:34,840 +crossing خلص وين بتتم ال crossing؟ بتتم ال + +460 +00:43:34,840 --> 00:43:41,440 +crossing وين؟ على ال lower part + +461 +00:43:41,440 --> 00:43:50,030 +of medulla oblongata بالنسبة للمدالة الأسفل 80% لـ + +462 +00:43:50,030 --> 00:43:57,710 +85% من ال fibers يقومون بـ crossings و يروحوا على + +463 +00:43:57,710 --> 00:44:02,660 +الـ opposite side في الـ lateral column والجزء اللي + +464 +00:44:02,660 --> 00:44:05,840 +بيظلوا .. بنسميهم إيش؟ indirect ليش بنسميهم + +465 +00:44:05,840 --> 00:44:09,200 +indirect؟ لأنهم عملوا crossing و اتجهوا على ال + +466 +00:44:09,200 --> 00:44:13,500 +opposite side بنسميهم crossed corticospinal tract + +467 +00:44:13,500 --> 00:44:18,300 +و بينهم يخلصوا كل fibers أو كل ما ينسى ال segment + +468 +00:44:18,300 --> 00:44:22,780 +بيطلعوا fibers لمين؟ لل anterior horn cells كل ما + +469 +00:44:22,780 --> 00:44:25,800 +ينسى ال segment بيطلعوا fibers لل anterior horn + +470 +00:44:25,800 --> 00:44:30,620 +cells طيب الـ 15 لـ 20% من ال fibers اللي ضالهم قدر + +471 +00:44:31,510 --> 00:44:36,350 +و ما عملوش crossing بنسميهم direct anterior أو + +472 +00:44:36,350 --> 00:44:40,430 +ventral corticospinal tract بيعطونا fibers لل + +473 +00:44:40,430 --> 00:44:44,430 +anterior horn cells على نفس ال segment بس لوين؟ لل + +474 +00:44:44,430 --> 00:44:49,790 +both cerebral hemisphere وين بينتهوا؟ بينتهوا في + +475 +00:44:49,790 --> 00:44:53,450 +ال mid thoracic ممكن في مراجع يقولوا يكونوا في ال + +476 +00:44:53,450 --> 00:44:56,290 +lower thoracic اعتبرهم mid thoracic عشان ما + +477 +00:44:56,290 --> 00:44:59,490 +تتخربطوش نعتمدهم mid thoracic في مراجع يقولوا + +478 +00:44:59,490 --> 00:45:06,100 +lower thoracic, mid thoracic، نعتمدهم للكل level + +479 +00:45:06,100 --> 00:45:11,540 +الآن أنا بكمل الجزء الأول من المحاضرة، الجزء + +480 +00:45:11,540 --> 00:45:17,800 +الثاني راح أكملة في جزء اثنين لمحاضرة الأسبوع + +481 +00:45:17,800 --> 00:45:19,500 +الثالث، عشان يعطيكم العافية diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/TA3oR4M8isw_postprocess.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/TA3oR4M8isw_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..7e200f1f8b31d5a27c0d0172dfabee849f24b769 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/TA3oR4M8isw_postprocess.srt @@ -0,0 +1,1924 @@ +1 +00:00:05,670 --> 00:00:09,390 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:09,390 --> 00:00:14,170 +وبركاته محاضرة الأسبوع الثالث عشر رح تكون على + +3 +00:00:14,170 --> 00:00:17,190 +anatomy and physiology of the motor system ال + +4 +00:00:17,190 --> 00:00:20,870 +motor system مهم لكم جدا لذلك رح يتم شرحه في + +5 +00:00:20,870 --> 00:00:24,030 +أسبوعين جزء الأول في أسبوع الثالث عشر وجزء الثاني + +6 +00:00:24,030 --> 00:00:29,210 +في أسبوع الرابع عشر نبدأ بالمحاضرة ال motor system + +7 +00:00:29,210 --> 00:00:35,780 +what's the components of the motor systemمن ايش + +8 +00:00:35,780 --> 00:00:42,500 +بتكون ال motor system؟ اول شي بتكون من cortical + +9 +00:00:42,500 --> 00:00:46,740 +motor area cortical motor area يعني primary + +10 +00:00:46,740 --> 00:00:50,820 +cortical motor area اللي موجودة وين؟ pre central + +11 +00:00:50,820 --> 00:00:58,660 +gyrus area 4و secondary motor area، area رقم 6 + +12 +00:00:58,660 --> 00:01:04,180 +موجودة في frontal loop anterior to the precentral + +13 +00:01:04,180 --> 00:01:09,840 +gyrus and cortical association area دلول شئ بنتكلم + +14 +00:01:09,840 --> 00:01:16,620 +عن ال cortical motor area اتنين Basal nuclei اللي + +15 +00:01:16,620 --> 00:01:20,860 +هو جزء من ال extrapyramidal nervous system مثل ال + +16 +00:01:20,860 --> 00:01:26,670 +butamineglobus pallidus كوديت أميجدالويد نوكلياس + +17 +00:01:26,670 --> 00:01:34,490 +وإكلاوسر سيريبيلا brain + +18 +00:01:34,490 --> 00:01:39,330 +stem جداد دماغ spinal cord أنا بتكلم عن الأجزاء + +19 +00:01:39,330 --> 00:01:43,330 +اللي هقولها قبل motor ليالي ال brain stem موجود في + +20 +00:01:43,330 --> 00:01:45,950 +فقط motor موجود في sensor انا بتكلم عن الأجزاء + +21 +00:01:45,950 --> 00:01:52,660 +اللي بتخص motor spinal cordبريفيرال موتور فايرز + +22 +00:01:52,660 --> 00:01:58,460 +برفيرال موتور نيرف فايرز لأن ال nerve فيه sensory + +23 +00:01:58,460 --> 00:02:00,740 +fibers و فيه autonomic fibers أنا بتكلم عن ال + +24 +00:02:00,740 --> 00:02:04,800 +motor fibers ال neuromuscular junction ال + +25 +00:02:04,800 --> 00:02:08,920 +neuromuscular junction and muscle and muscle + +26 +00:02:08,920 --> 00:02:11,980 +what's + +27 +00:02:11,980 --> 00:02:16,100 +the components of the extrapyramidal motor system + +28 +00:02:17,480 --> 00:02:23,060 +Extrapyramidal motor system بدخل فيها بيزال + +29 +00:02:23,060 --> 00:02:27,600 +نوكلياي كودات نوكلياس بيوتامين جلوباس بيضاس + +30 +00:02:27,600 --> 00:02:31,520 +كلاوستروم اميجدالويد نوكلياس كله يعتبر بيزال + +31 +00:02:31,520 --> 00:02:38,810 +نوكليايsubthalamus سيعتبر جزء من وين؟ من ديان + +32 +00:02:38,810 --> 00:02:42,810 +سيفرون، متذكرين ديان سيفرون؟ ثلامس، هيبوثلامس، + +33 +00:02:42,810 --> 00:02:45,470 +سبثلامس، ميتاثلامس، إيبيثالامس، يبقى ال + +34 +00:02:45,470 --> 00:02:49,390 +subthalamus سيعتبر جزء من وين؟ من ديان سيفرون، و + +35 +00:02:49,390 --> 00:02:54,990 +ال thalamus نفس الشيء جزء من ايه؟ من ديان سيفرون + +36 +00:02:55,700 --> 00:03:00,140 +Substantia Negra هي جزء من الـ Extra Pyramidal + +37 +00:03:00,140 --> 00:03:06,560 +Nervous System وموجودة في الـ Midbrain + +38 +00:03:06,560 --> 00:03:11,680 +Substantia + +39 +00:03:11,680 --> 00:03:17,670 +Negra تفرز مادة الدوبانين في حال حدث نقصفي مادة + +40 +00:03:17,670 --> 00:03:22,750 +الدوبامين المريض بنتج عنده مرض اسمه Parkinson + +41 +00:03:22,750 --> 00:03:28,650 +disease او shaking palsy مرض شفالة الرعاش او مرض + +42 +00:03:28,650 --> 00:03:34,250 +Parkinson Red nucleus موجود كمان في ال middle + +43 +00:03:34,250 --> 00:03:39,730 +brain ويلها دور في الموضوع اللي هو extrapyramidal + +44 +00:03:39,730 --> 00:03:46,730 +nervous systemclinical correlation of the + +45 +00:03:46,730 --> 00:03:53,150 +extrapyramidal nervous system ليه لهم ملاقاة ببعض + +46 +00:03:53,150 --> 00:03:58,930 +الأمراض البركنسون disease هو يعتبر degeneration + +47 +00:03:58,930 --> 00:04:04,270 +and depigmentation of neurons in the substantia + +48 +00:04:04,270 --> 00:04:07,070 +nigra مرض البركنسون راح ناخده في سنة رابعة في + +49 +00:04:07,070 --> 00:04:14,040 +المحاضرةبيحدث neurodegenerative changes in the + +50 +00:04:14,040 --> 00:04:19,020 +substantia nigra اللي بتفرز مادة إيه؟ الدوبامين + +51 +00:04:19,020 --> 00:04:21,720 +يجب أن يكون Parkinson disease يعتبر it chronic + +52 +00:04:21,720 --> 00:04:27,120 +slowly progressive neurodegenerative disorder + +53 +00:04:27,120 --> 00:04:35,960 +characterized by loss of pigmented neurons in the + +54 +00:04:35,960 --> 00:04:41,590 +substantia nigraيقول هو بيحدث ايه loss of + +55 +00:04:41,590 --> 00:04:46,430 +pigmented neurons in substantia negra هذا المرض + +56 +00:04:46,430 --> 00:04:50,730 +يؤدي الى ايه براديكينيزيا او هيبوكينيزيا بتقف + +57 +00:04:50,730 --> 00:04:58,330 +الحركة muscle rigidity breast tremor بس شغل + +58 +00:04:58,330 --> 00:05:03,470 +instability كل هذه أعراض لإيه أعراض لموضوع اللي هو + +59 +00:05:03,470 --> 00:05:09,120 +Parkinson disease اثنينHuntington's disease أو + +60 +00:05:09,120 --> 00:05:14,560 +كوريةتعتبر autosomal dominant أو دائر رقص بيكون + +61 +00:05:14,560 --> 00:05:20,060 +المرضو ماشي مثل برقص دائر رقص autosomal dominant + +62 +00:05:20,060 --> 00:05:25,500 +movement disorder associated with severe + +63 +00:05:25,500 --> 00:05:33,140 +degeneration of the cholinergic and GABAergic + +64 +00:05:33,140 --> 00:05:40,770 +neurons تمام؟ يبقى ان هو اعتبر العلاقة بالـ GABAهو + +65 +00:05:40,770 --> 00:05:46,750 +بال كولينيرجيك تمام which are located in the + +66 +00:05:46,750 --> 00:05:50,910 +caudate nucleus and butamine يقول هذا المرض بيكون + +67 +00:05:50,910 --> 00:05:57,970 +عندهم كورية and dementia and dementia ونتج عن ايه؟ + +68 +00:05:57,970 --> 00:06:04,530 +degeneration في الكولينيرجيك والقعبة هذا قعبة + +69 +00:06:04,530 --> 00:06:06,170 +amino biotic acid + +70 +00:06:15,630 --> 00:06:22,210 +باليزمس أو هيبو باليزمس هذا أكتر شيء ممكن تشوفه في + +71 +00:06:22,210 --> 00:06:25,590 +حالات ischemic infarction لما يحدث ischemic + +72 +00:06:25,590 --> 00:06:30,770 +infarction في شيء اسمه Lewis body نوكلياس موجودة + +73 +00:06:30,770 --> 00:06:34,450 +في ال subthalamus تؤدي إلى إيه باليزمس أو + +74 +00:06:34,450 --> 00:06:38,670 +hemibalism involuntary movementفي مواضع آخر + +75 +00:06:40,480 --> 00:06:45,220 +Hepatolenticular Degeneration أو بنسميه ويلسون + +76 +00:06:45,220 --> 00:06:51,500 +ديزيز مرض ويلسون هذا المرض سموه Hepatolenticular + +77 +00:06:51,500 --> 00:06:55,180 +Degeneration لإنه بيصيب اللفر وبيصيب البيزا + +78 +00:06:55,180 --> 00:06:59,320 +النوكلياي لينتيفور النوكلياس بيحدث accumulation of + +79 +00:06:59,320 --> 00:07:03,040 +copper والمشكلة المشكلة في انزايم اسمه + +80 +00:07:03,040 --> 00:07:06,900 +الceruloplasmin هذا الceruloplasmin بيحدث في + +81 +00:07:06,900 --> 00:07:10,300 +mutation أو تسمى ال recessive diseaseو + +82 +00:07:10,300 --> 00:07:15,080 +سيرولفلازمين وظيفته هي عمل binding مع القبر تتحد + +83 +00:07:15,080 --> 00:07:18,380 +مع النحاس و بيخرجوا معه البعوض بيخرجوا معه عصارة + +84 +00:07:18,380 --> 00:07:25,280 +المرارمن الكبد لكن في حال ان في mutation في هذا ال + +85 +00:07:25,280 --> 00:07:32,560 +enzyme بيحدث block و عدم مقدرة من الاتحاد مع القبر + +86 +00:07:32,560 --> 00:07:36,900 +و بيحدث accumulation للقبر في ال body و القبر راح + +87 +00:07:36,900 --> 00:07:40,560 +يكون في ال liver و ال base النوكلياي و ال other + +88 +00:07:40,560 --> 00:07:45,660 +organs type + +89 +00:07:45,660 --> 00:07:50,490 +of body movementsالان ايش ال body movements في + +90 +00:07:50,490 --> 00:07:56,190 +autonomous او reflex movement انا بعمل حركات + +91 +00:07:56,190 --> 00:07:59,370 +reflex بدون إرادة بدون إرادة يعني هذا بيسميه + +92 +00:07:59,370 --> 00:08:05,410 +involuntary movement او postural without او او + +93 +00:08:05,410 --> 00:08:08,970 +بيسميه withdrawal reflex withdrawal reflex يعني + +94 +00:08:08,970 --> 00:08:14,890 +انا بعملها بدون ما .. تمام؟ هذه حركات لا إرادية + +95 +00:08:14,890 --> 00:08:21,730 +حركات لا إراديةوفي rhythmic voluntary movement مثل + +96 +00:08:21,730 --> 00:08:25,730 +ال chewing و walking هذه حركات إرادية أنا بدأ + +97 +00:08:25,730 --> 00:08:30,490 +اتحرك اتحرك مشيت وقفت خلاص يقول هذه voluntary + +98 +00:08:30,490 --> 00:08:39,290 +movement انا بتحكم فيها هذه الحركات the + +99 +00:08:39,290 --> 00:08:43,990 +anterior horn cells في ال spinal cord في anterior + +100 +00:08:43,990 --> 00:08:48,820 +horn cellsهذه الـ anterior horn cells الـ main + +101 +00:08:48,820 --> 00:08:53,940 +function بتاعتها motor main function لها motor الـ + +102 +00:08:53,940 --> 00:08:57,900 +anterior horn cells consist of motor cells يبقى + +103 +00:08:57,900 --> 00:09:02,360 +فيها أيه؟ motor cells الـ anterior horn cells + +104 +00:09:02,360 --> 00:09:09,840 +موجود فيها medial group nuclei central group + +105 +00:09:09,840 --> 00:09:16,670 +nucleiand lateral group nuclei يعني الانتريو + +106 +00:09:16,670 --> 00:09:21,370 +الهورون سيلز فيها كام مجموعة تلاتة ميديالي جروب + +107 +00:09:21,370 --> 00:09:29,390 +central group and lateral group نبدأ بالميديالي + +108 +00:09:29,390 --> 00:09:35,890 +جروب الميديالي جروب موجودين في كل spinal cordأضاء + +109 +00:09:35,890 --> 00:09:39,630 +ال mediary group في ال thoracic segment بنجسمه + +110 +00:09:39,630 --> 00:09:45,150 +لventromedial and dorsomedial مسؤولين عن مين؟ عن + +111 +00:09:45,150 --> 00:09:51,630 +عضلات ال trunk supply the muscle of trunk علاقة في + +112 +00:09:51,630 --> 00:09:57,010 +عضلات ايه لل trunk؟ Central group موجودين مين؟ في + +113 +00:09:57,010 --> 00:10:04,330 +ال upper cervical part في C1 و C4مسؤولين عن مين؟ + +114 +00:10:04,330 --> 00:10:10,090 +بيعطوا fibers لـ pharynx nerve و spinal accessory + +115 +00:10:10,090 --> 00:10:14,010 +nerve يكون هذين المسؤولين عن مين؟ عن pharynx nerve + +116 +00:10:14,010 --> 00:10:18,870 +لدي أفراد و spinal accessory nerve اللي بيغدى + +117 +00:10:18,870 --> 00:10:24,070 +trapezius muscle and sternocleidomastoid muscle + +118 +00:10:24,070 --> 00:10:30,320 +lateral groupمن جسم الـVentral Lateral وDorsal + +119 +00:10:30,320 --> 00:10:33,940 +Lateral هذين الموجودين في lower cervical في ال + +120 +00:10:33,940 --> 00:10:39,560 +lumber في ال upper segment of sacral مسئولين عن + +121 +00:10:39,560 --> 00:10:46,720 +ايه؟ عن ال upper و lower limb muscle هي ال medial + +122 +00:10:46,720 --> 00:10:50,200 +group muscle مسئولة عن ال trunk و ال abdominal + +123 +00:10:50,200 --> 00:10:55,630 +muscleCentral group مسئولة عن Pharynx أو + +124 +00:10:55,630 --> 00:10:59,010 +Diaphragmatic nerve و Spinal accessory nerve + +125 +00:10:59,010 --> 00:11:03,010 +بيغدوا ال Diaphragm و Trapezius muscle و + +126 +00:11:03,010 --> 00:11:08,870 +Sternocleidomastoid muscle و Lateral group اللي من + +127 +00:11:08,870 --> 00:11:13,910 +جسمه ليه جسمين Dorsolateral و Ventrolateral هذول + +128 +00:11:13,910 --> 00:11:17,270 +بيغدون مسئولين عن ال Upper و Lower limb muscles + +129 +00:11:19,990 --> 00:11:24,530 +rule the spinal cord in motor function ايش وظيفة + +130 +00:11:24,530 --> 00:11:27,530 +ال spinal cord ايش وظيفة هذه ال anterior horn + +131 +00:11:27,530 --> 00:11:35,090 +cells اتفقنا في ال spinal cord في motor neurons + +132 +00:11:35,090 --> 00:11:38,970 +وين موجودين ال motor neurons موجودين في ال + +133 +00:11:38,970 --> 00:11:44,250 +anterior horn cells يبقى ال main function of the + +134 +00:11:44,250 --> 00:11:52,040 +anterior horn cells is motor functionفي نوعين من + +135 +00:11:52,040 --> 00:11:58,460 +الـ neurons في Alpha Motoneuron وفي Gamma + +136 +00:11:58,460 --> 00:12:05,510 +Motoneuron Alpha Motoneuronit is large type يعني + +137 +00:12:05,510 --> 00:12:10,190 +give rise to large type a alpha motoneuron fibers + +138 +00:12:10,190 --> 00:12:15,330 +مسئول عن مين؟ عن stimulation of the muscle fibers + +139 +00:12:15,330 --> 00:12:20,430 +يبدأ النوع الأول alpha motoneuron مسئول عن ال + +140 +00:12:20,430 --> 00:12:25,110 +large type a alpha وبيغدئنا ومسئول عن ايه؟ عن + +141 +00:12:25,110 --> 00:12:30,380 +stimulation of muscle fibers النوع الثانيGamma + +142 +00:12:30,380 --> 00:12:35,820 +Motoneuron Gamma Motoneuron هدول بيروح مع مين؟ مع + +143 +00:12:35,820 --> 00:12:43,040 +small of type A Gamma وظيفتهم control the muscle + +144 +00:12:43,040 --> 00:12:46,040 +tone يبقى ال small fibers اللي ملاقة بال + +145 +00:12:46,040 --> 00:12:51,240 +regulation of muscle tone أما ال large fibers اللي + +146 +00:12:51,240 --> 00:12:56,300 +بيجوا من Alpha Motoneuron اللي ملاقة ب stimulation + +147 +00:12:56,300 --> 00:13:01,660 +of muscle fibersيكون أول نوع موتو نيرونز موجودين + +148 +00:13:01,660 --> 00:13:08,660 +في انتريو هور سيلزاللغة الثانية Inter neurons + +149 +00:13:08,660 --> 00:13:15,400 +Inter neurons أو بنسميهم Intermediate Intermediate + +150 +00:13:15,400 --> 00:13:19,480 +neurons هدول ال Inter neurons او ال Intermediate + +151 +00:13:19,480 --> 00:13:24,520 +neurons وموجودين موجودين between the sensory + +152 +00:13:24,520 --> 00:13:28,740 +neurons and motor بين ال sensory و الموتر يعني + +153 +00:13:28,740 --> 00:13:36,220 +بلغة ثانية موجودين بينبستيريور هور سيلز وانتيريور + +154 +00:13:36,220 --> 00:13:40,940 +هور سيلز ماهي المشكلة الرئيسية لهم؟ المشكلة + +155 +00:13:40,940 --> 00:13:45,820 +الرئيسية رفليكس سينتر مثلما اتفقنا انتر ميديات + +156 +00:13:45,820 --> 00:13:49,640 +ايريا وين موجودين بين الفنترال و الدورسل هورس او + +157 +00:13:49,640 --> 00:13:54,400 +بين الانتيريور بستيريور هورس المشكلة الرئيسية هي + +158 +00:13:55,560 --> 00:13:59,920 +Excitatory for Integrative Function of the Spinal + +159 +00:13:59,920 --> 00:14:05,380 +Cord يعتبره Integrative Function أو Reflex Center + +160 +00:14:05,380 --> 00:14:07,480 +وظيفتهم Reflex Center + +161 +00:14:26,330 --> 00:14:29,810 +بال motor fibers تعمل contraction of the muscle + +162 +00:14:29,810 --> 00:14:34,750 +وبيحظف عنها reflex لازم + +163 +00:14:34,750 --> 00:14:39,630 +نتكلم على شي اسمه pyramidal attract ايش هو + +164 +00:14:39,630 --> 00:14:44,930 +pyramidal attract؟ pyramidal attract contains + +165 +00:14:44,930 --> 00:14:50,710 +about one million nerve fibers في one million + +166 +00:14:50,710 --> 00:14:57,430 +nerve fibersit is the longest nerve fibers in the + +167 +00:14:57,430 --> 00:15:02,750 +body و أطول nerve fibers أو أطول tract في الجسم هو + +168 +00:15:02,750 --> 00:15:07,490 +مين؟ بيرامي ده ال tract من وين ببدأ؟ ال origin + +169 +00:15:07,490 --> 00:15:12,560 +بتاعه ببدأ من حاجة اسمها بت ال cellsموجودة في ال + +170 +00:15:12,560 --> 00:15:17,160 +internal pyramidal layer يعني أي طبقة في الطبقة + +171 +00:15:17,160 --> 00:15:21,420 +الخامسة من ال cortex في ال internal pyramidal + +172 +00:15:21,420 --> 00:15:25,240 +layer من ايش بتكون ال cortex في الhistology بتكون + +173 +00:15:25,240 --> 00:15:31,300 +من six layers اول layer molecular layer ثاني layer + +174 +00:15:31,300 --> 00:15:38,020 +external granular layer ثالثExternal Pyramidal + +175 +00:15:38,020 --> 00:15:44,240 +Layer رابع Internal Granular Layer خامس Ganglionic + +176 +00:15:44,240 --> 00:15:48,400 +Layers أو Internal Pyramidal Layer من الـ Internal + +177 +00:15:48,400 --> 00:15:53,260 +Pyramidal Layer بيبدأ بثسلز اللي هم مسئولين عن او + +178 +00:15:53,260 --> 00:15:57,660 +هم يعتبروا بداية ايه؟ Pyramidal Retract وآخر شي + +179 +00:15:57,660 --> 00:16:02,920 +Multiform Layers هذه ال layers هم layers of + +180 +00:16:02,920 --> 00:16:04,560 +cerebral cortex + +181 +00:16:07,390 --> 00:16:11,550 +الشيء الثاني لما اتكلمنا عن ال cortex سراحتلكم + +182 +00:16:11,550 --> 00:16:20,590 +الإنسان بيكون عنده في + +183 +00:16:20,590 --> 00:16:32,450 +الدماغ أو بيكون موجود في الدماغ كذا الرأس تحت ال + +184 +00:16:32,450 --> 00:16:38,360 +upper limbs في المصر وال lower limbs فوقيعني في ال + +185 +00:16:38,360 --> 00:16:42,440 +upper one third بيكون ال lower limbs في ال middle + +186 +00:16:42,440 --> 00:16:47,740 +one third بيكون ال upper limbs و ال trunk في ال + +187 +00:16:47,740 --> 00:16:55,810 +lower one third بيكون ال head و ال neckهذا نسميه + +188 +00:16:55,810 --> 00:17:00,210 +somatotopy cortical somatotopy يعني لو إنسان أجال + +189 +00:17:00,210 --> 00:17:05,010 +التيومغ في ال upper part بيحدث weakness في ال + +190 +00:17:05,010 --> 00:17:08,370 +opposite lower limb في ال middle على ال upper limb + +191 +00:17:08,370 --> 00:17:12,170 +في ال lower part على ال face و ال head okay + +192 +00:17:12,170 --> 00:17:19,460 +ملاحظين هنا هذه sensory area وهذه motor areaوين ال + +193 +00:17:19,460 --> 00:17:23,200 +lower limbs؟ بتكون فوق بعدها بيجيهش ال upper limbs + +194 +00:17:23,200 --> 00:17:26,540 +بعدها بيجيه ال head و ال neck هذا ال sensor نفس + +195 +00:17:26,540 --> 00:17:30,960 +الشيء في ال motor هنا ايه؟ upper limb هنا lower + +196 +00:17:30,960 --> 00:17:34,360 +limb بتكون في ال upper part في ال middle part ال + +197 +00:17:34,360 --> 00:17:37,040 +upper limbs و ال head في ال lower part بيكون عندي + +198 +00:17:37,040 --> 00:17:40,920 +مين؟ عندي ال face هي هم هنا يعني بيكون هنا عندي + +199 +00:17:40,920 --> 00:17:48,420 +lower limbs upper limbs و trunk و هنا ال head و ال + +200 +00:17:48,420 --> 00:17:56,560 +faceهكذا يكون الإنسان موجود في الـ cerebral cortex + +201 +00:17:56,560 --> 00:18:05,220 +البيرامي + +202 +00:18:05,220 --> 00:18:12,260 +ده ال tract بيرامي ده ال tract نرسمه هنا نخططه مع + +203 +00:18:12,260 --> 00:18:12,620 +بعض + +204 +00:18:19,940 --> 00:18:28,040 +هي عندي بيرامدال + +205 +00:18:28,040 --> 00:18:31,680 +track + +206 +00:18:31,680 --> 00:18:35,480 +بيرامدال + +207 +00:18:35,480 --> 00:18:43,440 +track من القسم لقسمين القسم لقسمين اول + +208 +00:18:43,440 --> 00:18:49,180 +قسم بنسميه cortico spinal + +209 +00:18:52,560 --> 00:19:00,180 +القسم الثاني كورتيكو + +210 +00:19:00,180 --> 00:19:09,200 +نوكليار تراكت او كورتيكو بالبر + +211 +00:19:17,420 --> 00:19:21,860 +الجزء الأول كورتيكو spinal tract والجزء الثاني + +212 +00:19:21,860 --> 00:19:24,200 +كورتيكو نوكليار أو كورتيكو بلبر + +213 +00:19:35,420 --> 00:19:41,380 +الـ Corticonuclear tract قسمين و Corticospinal + +214 +00:19:41,380 --> 00:19:47,400 +tract قسمين من اسمه Corticonuclear tract + +215 +00:19:47,400 --> 00:19:51,420 +Corticonuclear tract ايه راح يكون اي حالة + +216 +00:19:51,420 --> 00:20:01,180 +Corticonuclear tract؟ بيعطينا fibers لمن؟ لانتريو + +217 +00:20:02,580 --> 00:20:11,160 +هو cells in the spinal cord من هنا نسمو Cortico-H + +218 +00:20:11,160 --> 00:20:14,820 +spinal يعني بيبدأ من ال cortex و بنتهي وين في ال + +219 +00:20:14,820 --> 00:20:21,840 +spinal طب و Cortico نوكليا بيعطينا fibers لمن؟ + +220 +00:20:21,840 --> 00:20:28,040 +to motor nuclei + +221 +00:20:28,040 --> 00:20:31,760 +in the brain stem + +222 +00:20:35,500 --> 00:20:47,520 +موتور نوكلياي of cranial nerve of cranial + +223 +00:20:47,520 --> 00:20:52,340 +nerve in + +224 +00:20:52,340 --> 00:21:00,060 +the brain السم تمام + +225 +00:21:04,430 --> 00:21:14,250 +Corticospinal tract تنقسم لقسمين Lateral + +226 +00:21:14,250 --> 00:21:17,970 +Corticospinal + +227 +00:21:17,970 --> 00:21:25,810 +tract و Ventral Corticospinal + +228 +00:21:25,810 --> 00:21:26,470 +tract + +229 +00:21:30,280 --> 00:21:34,280 +طبعا القسم القسمين lateral corticospinal tract and + +230 +00:21:34,280 --> 00:21:37,540 +ventral corticospinal tract lateral corticospinal + +231 +00:21:37,540 --> 00:21:43,300 +tract supply supply + +232 +00:21:43,300 --> 00:21:52,420 +the upper limbs and lower limbs أما ال ventral + +233 +00:21:52,420 --> 00:21:57,500 +corticospinal tract supply اللي هو + +234 +00:22:04,260 --> 00:22:09,520 +trunk and abdominal + +235 +00:22:09,520 --> 00:22:14,980 +muscle يبقى + +236 +00:22:14,980 --> 00:22:19,620 +في عندي اللي هو ال ventral tract أو ventral + +237 +00:22:19,620 --> 00:22:21,880 +corticospinal tract هيكون مسؤولة عن ال respiratory + +238 +00:22:21,880 --> 00:22:25,640 +عن ايه respiratory muscle قال cortico + +239 +00:22:28,610 --> 00:22:31,350 +Bulbar tract راح ينقسم ل .. او corticonuclear + +240 +00:22:31,350 --> 00:22:36,590 +tract راح ينقسم لقسمين القسم + +241 +00:22:36,590 --> 00:22:43,930 +الأول اسمه lateral نفس الشيء corticonuclear tract + +242 +00:22:43,930 --> 00:22:50,030 +والثاني medial corticonuclear + +243 +00:22:50,030 --> 00:22:56,630 +tract ال medial corticonuclear tract سهل supply + +244 +00:22:59,180 --> 00:23:07,700 +أو give fibers to + +245 +00:23:07,700 --> 00:23:20,300 +ocular nuclei اللي هم العصب الثالث والرابع والسادس + +246 +00:23:20,300 --> 00:23:22,560 +from + +247 +00:23:26,510 --> 00:23:31,150 +both cerebral hemisphere يعني ال media الكورتيكو + +248 +00:23:31,150 --> 00:23:33,990 +نوكليار ترياكت بيعطي ال نوكليار ساعة ال اوكلاموتر + +249 +00:23:33,990 --> 00:23:37,310 +و تروكليا و الابدوسنت على ال both side بيبقى على + +250 +00:23:37,310 --> 00:23:39,450 +ال right و على ال left و ال left بيعطي right left + +251 +00:23:39,450 --> 00:23:42,630 +و هكذا يعني ال نوكليار of اوكلاموتر تروكليا و + +252 +00:23:42,630 --> 00:23:46,110 +الابدوسنت بياخده من ال both cerebral hemisphere طب + +253 +00:23:46,110 --> 00:23:52,590 +ال lateral كورتيكو نوكليار ترياكت بيعطي + +254 +00:23:52,590 --> 00:23:53,750 +لالموتر + +255 +00:23:55,610 --> 00:24:04,570 +Nuclei of Trigeminal + +256 +00:24:04,570 --> 00:24:09,750 +nerve Dorsal + +257 +00:24:09,750 --> 00:24:17,170 +facial nerve Glucopharyngeal, + +258 +00:24:17,770 --> 00:24:22,490 +vagus و cranial accessory اللي له علاقة بامبيغاس + +259 +00:24:22,490 --> 00:24:23,010 +نوكلياس + +260 +00:24:29,020 --> 00:24:36,020 +cranial accessory from both cerebral hemisphere + +261 +00:24:36,020 --> 00:24:46,500 +and وبيعطي كمان two ventral nucleus + +262 +00:24:46,500 --> 00:24:55,440 +of facial nerve فاصلة وhypoglossal nerve + +263 +00:24:55,440 --> 00:24:57,680 +hypoglossal nucleus + +264 +00:25:01,760 --> 00:25:07,360 +only from opposite side + +265 +00:25:12,120 --> 00:25:17,500 +يعني هنا شرحنا لكم مخطط بتاع بيرامدال إتراكت شرحنا + +266 +00:25:17,500 --> 00:25:21,220 +لكم مخطط بتاع بيرامدال إتراكت هنا موجود بس مش واضح + +267 +00:25:21,220 --> 00:25:24,900 +كتير في الورقة اللي أنا صورتلكوا إياها هنا رسمنا + +268 +00:25:24,900 --> 00:25:28,620 +لكوا إياها وخططتوا لكم ال بيرامدال إتراكت بنقسم + +269 +00:25:28,620 --> 00:25:34,140 +لجزئين الجزء الأول corticospinal tractوجزء ثاني + +270 +00:25:34,140 --> 00:25:36,600 +Corticobulbar او Corticonuclear tract + +271 +00:25:36,600 --> 00:25:39,740 +Corticospinal tract يبدأ من الكورتكس وينتهي في + +272 +00:25:39,740 --> 00:25:44,060 +spinal cord يعني بيعطي fibers للانترال وحسل في + +273 +00:25:44,060 --> 00:25:49,540 +spinal cord و Corticobulbar tract بيعطي fibers to + +274 +00:25:49,540 --> 00:25:53,760 +motor nuclei of the cranial nerves in the brain + +275 +00:25:53,760 --> 00:25:58,860 +stem in the brain stem okay Corticospinal tract + +276 +00:25:58,860 --> 00:26:05,610 +بنقسم لقسمينLateral corticospinal tract بيمر في ال + +277 +00:26:05,610 --> 00:26:11,190 +lateral column of spinal cord و بيغضي ال upper و + +278 +00:26:11,190 --> 00:26:16,070 +lower limbsوventral corticospinal tract supply + +279 +00:26:16,070 --> 00:26:21,730 +trunk and abdominal muscle بمار وين في الventral + +280 +00:26:21,730 --> 00:26:25,870 +column of spinal cord نيجي ل Corticobulbar tract + +281 +00:26:25,870 --> 00:26:31,490 +بنقسم لقسمين lateral corticonuclear tract and + +282 +00:26:31,490 --> 00:26:36,270 +medial corticonuclear tract ال medial + +283 +00:26:36,270 --> 00:26:37,810 +corticonuclear tract + +284 +00:26:47,600 --> 00:26:50,800 +النوكليارات بتاعتهم موجودة في برهين السم نوكلياس + +285 +00:26:50,800 --> 00:26:53,640 +او اوكولا نوكلياس او اوكولا نوكلياس او اوكولا + +286 +00:26:53,640 --> 00:26:55,860 +نوكلياس او اوكولا نوكلياس او اوكولا نوكلياس او + +287 +00:26:55,860 --> 00:26:57,280 +اوكولا نوكلياس او اوكولا نوكلياس او اوكولا نوكلياس + +288 +00:26:57,280 --> 00:26:58,920 +او اوكولا نوكلياس او اوكولا نوكولا نوكولا نوكولا + +289 +00:26:58,920 --> 00:27:04,480 +نوكولا نوكولا نوكولا نوكولا نوكولا نوكولا نوكولا + +290 +00:27:04,480 --> 00:27:05,610 +نوكولا نوكولا نوكولا نوكولا نوكولا نوكولا نووالـ + +291 +00:27:05,610 --> 00:27:09,190 +left بيقوط left و بيقوط right يعني ال nucleus + +292 +00:27:09,190 --> 00:27:14,030 +بتاعة ال motor nuclei of the ocular nerve received + +293 +00:27:14,030 --> 00:27:17,950 +fibers from the corticonuclear tract أيه واحد + +294 +00:27:17,950 --> 00:27:22,530 +فيهم؟ from the medial corticonuclear tract from + +295 +00:27:22,530 --> 00:27:27,020 +both cerebral hemispheresنجي لـ lateral + +296 +00:27:27,020 --> 00:27:31,700 +corticonuclear tract give motor fibers لمن؟ + +297 +00:27:31,700 --> 00:27:37,140 +للموتور نوكلياي of the cranial nerves من هما موتور + +298 +00:27:37,140 --> 00:27:41,140 +نوكلياس الـ trigeminal nerve موتور نوكلياس الـ + +299 +00:27:41,140 --> 00:27:45,820 +dorsal nucleus بتاعة الـ facial nerve أمبيغاس + +300 +00:27:45,820 --> 00:27:49,040 +نوكلياس المسئول عن الـ glossopharyngeal و Vegas و + +301 +00:27:49,040 --> 00:27:53,000 +cranial accessoryfrom both cerebral and cerebral + +302 +00:27:53,000 --> 00:27:56,220 +يعني ال right lateral بيعطي right left right left + +303 +00:27:56,220 --> 00:28:02,260 +طيب زائد انه بيعطي كمان ventral nucleus of facial + +304 +00:28:02,260 --> 00:28:07,300 +nerve المسئول عن ال lower quadrant of the face + +305 +00:28:08,160 --> 00:28:10,640 +وبيعتبرها الـ hypoglossal nucleus المسئول عن الـ + +306 +00:28:10,640 --> 00:28:15,880 +hypoglossal nerve only from up this side يعني ال + +307 +00:28:15,880 --> 00:28:19,740 +ventral nucleus بتاعة ال facial nerve الشمال + +308 +00:28:19,740 --> 00:28:24,810 +اليمينوالـ hypoglossal nucleus بتاعت العصب الثاني + +309 +00:28:24,810 --> 00:28:31,030 +عشر اليمين بس تاخد إشارة من الـ left lateral + +310 +00:28:31,030 --> 00:28:34,490 +corticonuclear تاخدش من الـ both cerebral اللي + +311 +00:28:34,490 --> 00:28:37,970 +مصير، بياخد من الـ one side، بياخد من وين؟ one + +312 +00:28:37,970 --> 00:28:38,610 +side + +313 +00:28:42,830 --> 00:28:46,430 +هيو ال pyramidal tract الآن راح يكون أسهل لكم ال + +314 +00:28:46,430 --> 00:28:53,150 +pyramidal tract is a bundle of motoneur fibers it + +315 +00:28:53,150 --> 00:28:57,370 +begins in the cerebral cortex بيبدأ من وين؟ من ال + +316 +00:28:57,370 --> 00:29:01,190 +cerebral cortex عشان هيك سموه corticospinal + +317 +00:29:01,190 --> 00:29:05,130 +corticobulbar او corticonuclear يعني بيبدأ من وين؟ + +318 +00:29:05,130 --> 00:29:09,810 +من ال cortex بيبدأ من وين؟ من ال cortex وبينتهيIt + +319 +00:29:09,810 --> 00:29:19,370 +ends in anterior horn cells of spinal cord كورتيكو + +320 +00:29:19,370 --> 00:29:22,730 +سباينال تركت + +321 +00:29:25,430 --> 00:29:30,690 +وخلص في ال motor nuclei of the cranial nerves in + +322 +00:29:30,690 --> 00:29:35,670 +the brainstem اسمه corticonuclear او corticobulbar + +323 +00:29:35,670 --> 00:29:40,670 +retract يبقى cortico او البرامج ال retract نقسم لك + +324 +00:29:40,670 --> 00:29:46,120 +اسمينCorticospinal tract and Corticonuclear tract + +325 +00:29:46,120 --> 00:29:51,340 +Corticospinal tract بنقسم من قسمين حسب وين مر إلى + +326 +00:29:51,340 --> 00:29:55,360 +lateral corticospinal tract بمر في ال lateral + +327 +00:29:55,360 --> 00:29:59,500 +column of spinal cord and ventral او anterior + +328 +00:29:59,500 --> 00:30:04,160 +corticospinal tract بمر في ال ventral column of + +329 +00:30:04,160 --> 00:30:09,040 +spinal cord اما corticonuclear tract راح نمر وين؟ + +330 +00:30:09,760 --> 00:30:16,020 +للبراين استمروا وينقسم لقسمين ل lateral and medial + +331 +00:30:16,020 --> 00:30:22,620 +corticonuclear tract الان نتكلم على شي اسمه upper + +332 +00:30:22,620 --> 00:30:28,020 +motoneuron سمعت فيه ال upper motoneuron system ال + +333 +00:30:28,020 --> 00:30:31,700 +upper motoneuron system هذا احنا نتكلم على + +334 +00:30:31,700 --> 00:30:34,380 +corticospinal tract او corticonuclear tract يعني + +335 +00:30:34,380 --> 00:30:39,000 +ال corticospinal tractو corticonuclear tract إذا + +336 +00:30:39,000 --> 00:30:42,480 +حدث فيهم مشكلة بيؤدي إلى upper motor neuron lesion + +337 +00:30:42,480 --> 00:30:47,400 +يعني damage of corticospinal tract or + +338 +00:30:47,400 --> 00:30:52,940 +corticonuclear tract leads to upper motor neuron + +339 +00:30:52,940 --> 00:30:56,980 +lesion يعني يعرفنا ال damage أو أي تغير أو أي مرض + +340 +00:30:56,980 --> 00:31:00,260 +بيصيب ال corticospinal tract أو corticonuclear + +341 +00:31:00,260 --> 00:31:07,530 +tract يؤدي إلى upper motor neuron lesionيكون هو + +342 +00:31:07,530 --> 00:31:11,030 +يعتبر super spinal lesion او اذا بتكلم على ال + +343 +00:31:11,030 --> 00:31:15,050 +corticonuclear tract super nuclear lesion ايش ال + +344 +00:31:15,050 --> 00:31:18,030 +function بتاعة العبر موتو نيرون ان كان + +345 +00:31:18,030 --> 00:31:23,070 +corticospinal او corticonuclear اول وظيفة ان هي + +346 +00:31:23,070 --> 00:31:27,170 +initiation and control of voluntary motor activity + +347 +00:31:27,170 --> 00:31:36,820 +في حال انهفي حال انه حدث عندنا ال damage + +348 +00:31:36,820 --> 00:31:41,540 +of corticospinal tract او corticonuclear tract + +349 +00:31:41,540 --> 00:31:45,760 +بيحدث paralysis بيحدث ايش؟ paralysis او شلل + +350 +00:31:47,650 --> 00:31:51,590 +Inhibition of muscle tone Inhibition of muscle + +351 +00:31:51,590 --> 00:31:55,030 +tone هو وظيفته يعمل Inhibition لل muscle tone في + +352 +00:31:55,030 --> 00:31:58,770 +حال حدث damage لل other motor neuron رح يكون عندنا + +353 +00:31:58,770 --> 00:32:03,990 +muscle hypertonia muscle hypertonia ثلاثة بيعمل + +354 +00:32:03,990 --> 00:32:07,710 +Inhibition لل deep reflex عشان هيك احنا لما نفحص + +355 +00:32:07,710 --> 00:32:11,930 +reflex لمريد بنقول اشد عيدك او اقدمه للعشرة عشان + +356 +00:32:11,930 --> 00:32:14,150 +ألم ال cortex ال cortex يعمل Inhibition لل reflex + +357 +00:32:14,150 --> 00:32:18,630 +في حال حدثأبرموتونيرون ليجين راح يتحول + +358 +00:32:18,630 --> 00:32:22,510 +لhyperreflexia، hyperreflexia، يبقى هي وظيفة + +359 +00:32:22,510 --> 00:32:26,550 +الأبرموتونيرون initiation and control of voluntary + +360 +00:32:26,550 --> 00:32:30,210 +motor activity هي واحد، اتنين، inhibition of + +361 +00:32:30,210 --> 00:32:35,430 +muscle tone، ثلاثة، inhibition of deep reflexes + +362 +00:32:36,940 --> 00:32:42,420 +متكلم على ال path way of the upper motor neurons + +363 +00:32:42,420 --> 00:32:46,460 +أو ال بيرامدال او ال corticospinal tract الإشارة + +364 +00:32:46,460 --> 00:32:50,340 +بتبدأ من بيت ال cells من ال area رقم أربع من ال + +365 +00:32:50,340 --> 00:32:53,720 +upper two third of pre central gas ليه هو ان ال + +366 +00:32:53,720 --> 00:32:57,400 +upper two third؟ لأن ال corticonuclear tract متجه + +367 +00:32:57,400 --> 00:33:02,640 +إلى ال face رح يبدأ من ال lower one third بعدك ال + +368 +00:33:02,640 --> 00:33:07,850 +fibers descent في شيء اسمه corona radiataبمره في + +369 +00:33:07,850 --> 00:33:13,190 +الـ posterior limb of internal capsule بعدك في ال + +370 +00:33:13,190 --> 00:33:19,550 +midbrain, palms, medulla oblongata، في lower part + +371 +00:33:19,550 --> 00:33:25,270 +of medulla oblongataبيحدث عملية decassation او + +372 +00:33:25,270 --> 00:33:28,390 +crossing الـ Corticospiral tract اللي جاي من + +373 +00:33:28,390 --> 00:33:32,210 +اليمين بيتجه لليسار و اللي جاي من اليسار بيتجه + +374 +00:33:32,210 --> 00:33:35,670 +لليمين علشان أسألك لو حدث جلطة دماغية في اليمين + +375 +00:33:35,670 --> 00:33:39,230 +وين ال hemoglobin بتكون؟ على ال opposite side لو + +376 +00:33:39,230 --> 00:33:42,330 +حدث جلطة دماغية في اليسار وين ال hemoglobin بتكون؟ + +377 +00:33:42,330 --> 00:33:46,870 +على ال right side وهكذا هذه بنسميها بيرامدال + +378 +00:33:46,870 --> 00:33:50,390 +decassation نحاول + +379 +00:33:51,260 --> 00:34:05,480 +هرسملكم إياهم هنا قد الإمكان لما + +380 +00:34:05,480 --> 00:34:09,140 +بتكلم ع موتور أنا بتكلم عليه على descending tract + +381 +00:34:09,140 --> 00:34:12,320 +يبقى ال tract راح أبدأ من وين من ال cortex و أنزل + +382 +00:34:12,320 --> 00:34:12,880 +للمصدر + +383 +00:34:31,900 --> 00:34:39,060 +هنا area precentral + +384 +00:34:39,060 --> 00:34:44,400 +gyrus + +385 +00:34:44,400 --> 00:34:51,640 +اللي هي area أربعة بعدين في هنا + +386 +00:34:56,400 --> 00:35:10,060 +Internal Capsule بعدين + +387 +00:35:10,060 --> 00:35:10,660 +فيه اللي هو + +388 +00:35:25,740 --> 00:35:30,240 +mid brain bones + +389 +00:35:30,240 --> 00:35:33,260 +مدلة + +390 +00:35:33,260 --> 00:35:53,840 +أبلغتها ناخد two segments of spinal cord و + +391 +00:35:53,840 --> 00:35:54,300 +هنا في عند + +392 +00:35:58,240 --> 00:36:03,920 +مصر مصر مصر + +393 +00:36:03,920 --> 00:36:07,380 +مصر مصر + +394 +00:36:07,380 --> 00:36:12,380 +مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر + +395 +00:36:12,380 --> 00:36:16,900 +مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر + +396 +00:36:16,900 --> 00:36:16,920 +مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر + +397 +00:36:16,920 --> 00:36:21,920 +مصر مصر مصر مصر مصر مصر مصر مصر + +398 +00:36:21,920 --> 00:36:27,540 +مصر مصهذا segment of spinal cord على سبيل المثال + +399 +00:36:27,540 --> 00:36:33,520 +ناخد c5 segment ناخد ال3 segment + +400 +00:36:57,050 --> 00:37:05,330 +الـ Corticospinal tract راح يبدأ من وين؟ من الـ + +401 +00:37:05,330 --> 00:37:11,950 +pre-central area اللي هي من ال upper و ال middle + +402 +00:37:11,950 --> 00:37:20,710 +one third راح ال fibers تمر في ال posterior limb + +403 +00:37:20,710 --> 00:37:30,910 +of internal capsulemedibrain bones medulla + +404 +00:37:30,910 --> 00:37:40,650 +oblongata هذا ايش اسمه اسمه cortico spinal + +405 +00:37:40,650 --> 00:37:52,310 +tract تمام هنا internal capsule هذا left internal + +406 +00:37:52,310 --> 00:38:04,370 +capsulelift internal capsule lift + +407 +00:38:04,370 --> 00:38:08,250 +internal + +408 +00:38:08,250 --> 00:38:12,650 +capsule + +409 +00:38:12,650 --> 00:38:20,850 +اللي في lower part of medulla oblongata هذا اللي + +410 +00:38:20,850 --> 00:38:26,410 +هوCorticospinal tract بيعمل incomplete decassation + +411 +00:38:26,410 --> 00:38:30,870 +او crossing بيعمل incomplete decassation ال main + +412 +00:38:30,870 --> 00:38:33,890 +fibers اكتر من خمسة و تمانين تسعين في المية + +413 +00:38:33,890 --> 00:38:39,610 +بيعملوا crossing على ال opposite side النرسانت مين + +414 +00:38:39,610 --> 00:38:45,570 +هو ال left? Corticospinal tract و بيتجه ل ال right + +415 +00:38:45,570 --> 00:38:55,090 +side و بيفوت ل في وين؟ فيlateral column في ال + +416 +00:38:55,090 --> 00:39:03,670 +lateral column of spinal cord وبدأ + +417 +00:39:03,670 --> 00:39:11,170 +ننزل مثل خط الكهربا الرئيسي وين بينتهي؟ بينتهي at + +418 +00:39:11,170 --> 00:39:17,370 +the level of + +419 +00:39:19,260 --> 00:39:29,060 +S2 ساكرال تو سباينال كورد يعني + +420 +00:39:29,060 --> 00:39:33,640 +بنتهي وين على level ساكرال تو S2 segment of spinal + +421 +00:39:33,640 --> 00:39:37,900 +cord هذا بشبه خط الكهرب الرئيسي النازل في الدرج + +422 +00:39:37,900 --> 00:39:44,160 +نازل و كل ما يصل طابق الشجرة بيعطيها سلك خط هذا + +423 +00:39:44,160 --> 00:39:52,070 +ايش اسمه ال lift تتحولاللي ها right في ال spoiler + +424 +00:39:52,070 --> 00:39:57,730 +code ايش بيصير اسمه right cortico + +425 +00:39:57,730 --> 00:40:09,550 +او اسمه صح هي اسمه + +426 +00:40:09,550 --> 00:40:14,450 +صح right lateral + +427 +00:40:16,840 --> 00:40:21,320 +Corticospinal tract Right Lateral Corticospinal + +428 +00:40:21,320 --> 00:40:25,860 +tract هذا الخط الرئيسي كل ما يصل الـ Anterior Horn + +429 +00:40:25,860 --> 00:40:32,360 +Cells بيعطيهم إيش؟ Fibers بيعطيهم إيه؟ Fibers على + +430 +00:40:32,360 --> 00:40:36,340 +كل segment على كل segment يبقى لو حدث دمج لل + +431 +00:40:36,340 --> 00:40:39,960 +Corticospinal tract في ال brain أو Spinal cord هذا + +432 +00:40:39,960 --> 00:40:44,040 +بيؤدي إلى إيش؟ Upper Motoneurone lesion Upper + +433 +00:40:44,040 --> 00:40:51,860 +Motoneurone lesion2 الجزء + +434 +00:40:51,860 --> 00:40:57,560 +اللي بقى اللي ماعمش costing هذا + +435 +00:40:57,560 --> 00:41:05,640 +بنزل في ال anterior horn cells بنزل في ال anterior + +436 +00:41:05,640 --> 00:41:11,100 +column of spinal cord و بكمل طريقه وين بنتهي + +437 +00:41:19,510 --> 00:41:23,630 +ends at lower + +438 +00:41:23,630 --> 00:41:30,590 +thoracic level في + +439 +00:41:30,590 --> 00:41:34,010 +ناس بيقولوا على ال middle thoracic level الثانين + +440 +00:41:34,010 --> 00:41:40,530 +صح middle او lower thoracic هذا ايش بيعطي بيعطي لا + +441 +00:41:40,530 --> 00:41:48,250 +ايش لا هو انتهى هنا اكتر مش راح يصل ال number + +442 +00:41:51,940 --> 00:42:11,700 +عشان تكون صح وين + +443 +00:42:11,700 --> 00:42:14,980 +بينتهي end at + +444 +00:42:21,190 --> 00:42:26,490 +the lower thoracic + +445 +00:42:26,490 --> 00:42:33,110 +level هذا ال .. إيش بنسميه؟ بنسميه ventral + +446 +00:42:37,550 --> 00:42:42,630 +واضيفته ايش يا غدى؟ واضيفته لغدى اللي هو chest + +447 +00:42:42,630 --> 00:42:46,790 +muscle او thoracic muscle او respiratory muscle + +448 +00:42:46,790 --> 00:42:49,570 +هذا بيعطي ال anterior horn cells على نفس الجهة + +449 +00:42:49,570 --> 00:42:52,290 +وبيعطي ال anterior horn cells على الجهة الثانية + +450 +00:42:52,290 --> 00:42:56,990 +يعني بيعطي ال both anterior horn cells for + +451 +00:42:56,990 --> 00:43:03,820 +respiratory muscleطيب هذا يعتبر ايش Corticospinal + +452 +00:43:03,820 --> 00:43:09,240 +tract هان مرسومين في slide واضح هان عندي يقول هان + +453 +00:43:09,240 --> 00:43:14,400 +عندي pyramidal decassation هاد ال pyramids بتحول ل + +454 +00:43:14,400 --> 00:43:18,040 +decassation يعني لو المريض حدث مع جلطة دماغية في + +455 +00:43:18,040 --> 00:43:20,580 +ال left cerebral hemisphere ولي ال hemiplegia + +456 +00:43:20,580 --> 00:43:23,800 +يتكون على ال right طيب لو جينا في ال spinal cord + +457 +00:43:23,800 --> 00:43:28,300 +لأخلص ال crossing صار دمج في ال spinal cord، على + +458 +00:43:28,300 --> 00:43:31,500 +نفس الجهة بدي يكون فيه motor، على نفس الجهة لأن ال + +459 +00:43:31,500 --> 00:43:34,840 +crossing خلص وين بتتم ال crossing؟ بتتم ال + +460 +00:43:34,840 --> 00:43:41,440 +crossing وين؟ على ال lower part + +461 +00:43:41,440 --> 00:43:50,030 +of medulla oblongataبالنسبة للمدالة الأسفل 80% ل + +462 +00:43:50,030 --> 00:43:57,710 +85% من الفيبيرز يقومون بـ crossings ويروحوا على + +463 +00:43:57,710 --> 00:44:02,660 +الـ opposite side في الـ lateral columnوالجزء اللي + +464 +00:44:02,660 --> 00:44:05,840 +بيظلوا .. بنسميهم إيش؟ indirect ليش بنسميهم + +465 +00:44:05,840 --> 00:44:09,200 +indirect؟ لأنهم عملوا crossing و اتجهوا على ال + +466 +00:44:09,200 --> 00:44:13,500 +opposite side بنسميهم crossed corticospinal tract + +467 +00:44:13,500 --> 00:44:18,300 +وبينهم يخلصوا كل fibers او كل ما نسى ال segment + +468 +00:44:18,300 --> 00:44:22,780 +بيطلعوا fibers لمين؟ لل anterior horn cells كل ما + +469 +00:44:22,780 --> 00:44:25,800 +نسى ال segment بيطلعوا fibers لل anterior horn + +470 +00:44:25,800 --> 00:44:30,620 +cells طيب ال 15 ل 20% من ال fibers اللي ضالهم قدر + +471 +00:44:31,510 --> 00:44:36,350 +وماعملوش crossing بنسميهم direct anterior او + +472 +00:44:36,350 --> 00:44:40,430 +ventral corticospinal tract بيعطونا fibers لل + +473 +00:44:40,430 --> 00:44:44,430 +anterior home cells على نفس ال segment بس لوين؟ لل + +474 +00:44:44,430 --> 00:44:49,790 +both cerebral hemisphere وين بينتهوا؟ بينتهوا في + +475 +00:44:49,790 --> 00:44:53,450 +ال mid thoracic ممكن في مراجع يقولوا يكونوا في ال + +476 +00:44:53,450 --> 00:44:56,290 +lower thoracic اعتبرهم mid thoracic عشان ما + +477 +00:44:56,290 --> 00:44:59,490 +تتخربطوش نعتمدهم mid thoracic في مراجع يقولوا + +478 +00:44:59,490 --> 00:45:06,100 +lower thoracicmade thoracic نعتمدهم للكل level + +479 +00:45:06,100 --> 00:45:11,540 +الآن أنا بكتفر الجزء الأول من المحاضرة الجزء + +480 +00:45:11,540 --> 00:45:17,800 +الثاني راح أكمله في جزء اثنين لمحاضرة الأسبوع + +481 +00:45:17,800 --> 00:45:19,500 +الثالث عشان يعطيكم العافية + diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/TA3oR4M8isw_raw.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/TA3oR4M8isw_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..53342c08bef9590d0191943729e2586403d220be --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/TA3oR4M8isw_raw.srt @@ -0,0 +1,1932 @@ +1 +00:00:05,670 --> 00:00:09,390 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:09,390 --> 00:00:14,170 +وبركاته محاضرة الأسبوع الثالث عشر رح تكون على + +3 +00:00:14,170 --> 00:00:17,190 +anatomy and physiology of the motor system ال + +4 +00:00:17,190 --> 00:00:20,870 +motor system مهم لكم جدا لذلك رح يتم شرحه في + +5 +00:00:20,870 --> 00:00:24,030 +أسبوعين جزء الأول في أسبوع الثالث عشر وجزء الثاني + +6 +00:00:24,030 --> 00:00:29,210 +في أسبوع الرابع عشر نبدأ بالمحاضرة ال motor system + +7 +00:00:29,210 --> 00:00:35,780 +what's the components of the motor systemمن ايش + +8 +00:00:35,780 --> 00:00:42,500 +بتكون ال motor system؟ اول شي بتكون من cortical + +9 +00:00:42,500 --> 00:00:46,740 +motor area cortical motor area يعني primary + +10 +00:00:46,740 --> 00:00:50,820 +cortical motor area اللي موجودة وين؟ pre central + +11 +00:00:50,820 --> 00:00:58,660 +gyrus area 4و secondary motor area، area رقم 6 + +12 +00:00:58,660 --> 00:01:04,180 +موجودة في frontal loop anterior to the precentral + +13 +00:01:04,180 --> 00:01:09,840 +gyrus and cortical association area دلول شئ بنتكلم + +14 +00:01:09,840 --> 00:01:16,620 +عن ال cortical motor area اتنين Basal nuclei اللي + +15 +00:01:16,620 --> 00:01:20,860 +هو جزء من ال extrapyramidal nervous system مثل ال + +16 +00:01:20,860 --> 00:01:26,670 +butamineglobus pallidus كوديت أميجدالويد نوكلياس + +17 +00:01:26,670 --> 00:01:34,490 +وإكلاوسر سيريبيلا brain + +18 +00:01:34,490 --> 00:01:39,330 +stem جداد دماغ spinal cord أنا بتكلم عن الأجزاء + +19 +00:01:39,330 --> 00:01:43,330 +اللي هقولها قبل motor ليالي ال brain stem موجود في + +20 +00:01:43,330 --> 00:01:45,950 +فقط motor موجود في sensor انا بتكلم عن الأجزاء + +21 +00:01:45,950 --> 00:01:52,660 +اللي بتخص motor spinal cordبريفيرال موتور فايرز + +22 +00:01:52,660 --> 00:01:58,460 +برفيرال موتور نيرف فايرز لأن ال nerve فيه sensory + +23 +00:01:58,460 --> 00:02:00,740 +fibers و فيه autonomic fibers أنا بتكلم عن ال + +24 +00:02:00,740 --> 00:02:04,800 +motor fibers ال neuromuscular junction ال + +25 +00:02:04,800 --> 00:02:08,920 +neuromuscular junction and muscle and muscle + +26 +00:02:08,920 --> 00:02:11,980 +what's + +27 +00:02:11,980 --> 00:02:16,100 +the components of the extrapyramidal motor system + +28 +00:02:17,480 --> 00:02:23,060 +Extrapyramidal motor system بدخل فيها بيزال + +29 +00:02:23,060 --> 00:02:27,600 +نوكلياي كودات نوكلياس بيوتامين جلوباس بيضاس + +30 +00:02:27,600 --> 00:02:31,520 +كلاوستروم اميجدالويد نوكلياس كله يعتبر بيزال + +31 +00:02:31,520 --> 00:02:38,810 +نوكليايsubthalamus سيعتبر جزء من وين؟ من ديان + +32 +00:02:38,810 --> 00:02:42,810 +سيفرون، متذكرين ديان سيفرون؟ ثلامس، هيبوثلامس، + +33 +00:02:42,810 --> 00:02:45,470 +سبثلامس، ميتاثلامس، إيبيثالامس، يبقى ال + +34 +00:02:45,470 --> 00:02:49,390 +subthalamus سيعتبر جزء من وين؟ من ديان سيفرون، و + +35 +00:02:49,390 --> 00:02:54,990 +ال thalamus نفس الشيء جزء من ايه؟ من ديان سيفرون + +36 +00:02:55,700 --> 00:03:00,140 +Substantia Negra هي جزء من الـ Extra Pyramidal + +37 +00:03:00,140 --> 00:03:06,560 +Nervous System وموجودة في الـ Midbrain + +38 +00:03:06,560 --> 00:03:11,680 +Substantia + +39 +00:03:11,680 --> 00:03:17,670 +Negra تفرز مادة الدوبانين في حال حدث نقصفي مادة + +40 +00:03:17,670 --> 00:03:22,750 +الدوبامين المريض بنتج عنده مرض اسمه Parkinson + +41 +00:03:22,750 --> 00:03:28,650 +disease او shaking palsy مرض شفالة الرعاش او مرض + +42 +00:03:28,650 --> 00:03:34,250 +Parkinson Red nucleus موجود كمان في ال middle + +43 +00:03:34,250 --> 00:03:39,730 +brain ويلها دور في الموضوع اللي هو extrapyramidal + +44 +00:03:39,730 --> 00:03:46,730 +nervous systemclinical correlation of the + +45 +00:03:46,730 --> 00:03:53,150 +extrapyramidal nervous system ليه لهم ملاقاة ببعض + +46 +00:03:53,150 --> 00:03:58,930 +الأمراض البركنسون disease هو يعتبر degeneration + +47 +00:03:58,930 --> 00:04:04,270 +and depigmentation of neurons in the substantia + +48 +00:04:04,270 --> 00:04:07,070 +nigra مرض البركنسون راح ناخده في سنة رابعة في + +49 +00:04:07,070 --> 00:04:14,040 +المحاضرةبيحدث neurodegenerative changes in the + +50 +00:04:14,040 --> 00:04:19,020 +substantia nigra اللي بتفرز مادة إيه؟ الدوبامين + +51 +00:04:19,020 --> 00:04:21,720 +يجب أن يكون Parkinson disease يعتبر it chronic + +52 +00:04:21,720 --> 00:04:27,120 +slowly progressive neurodegenerative disorder + +53 +00:04:27,120 --> 00:04:35,960 +characterized by loss of pigmented neurons in the + +54 +00:04:35,960 --> 00:04:41,590 +substantia nigraيقول هو بيحدث ايه loss of + +55 +00:04:41,590 --> 00:04:46,430 +pigmented neurons in substantia negra هذا المرض + +56 +00:04:46,430 --> 00:04:50,730 +يؤدي الى ايه براديكينيزيا او هيبوكينيزيا بتقف + +57 +00:04:50,730 --> 00:04:58,330 +الحركة muscle rigidity breast tremor بس شغل + +58 +00:04:58,330 --> 00:05:03,470 +instability كل هذه أعراض لإيه أعراض لموضوع اللي هو + +59 +00:05:03,470 --> 00:05:09,120 +Parkinson disease اثنينHuntington's disease أو + +60 +00:05:09,120 --> 00:05:14,560 +كوريةتعتبر autosomal dominant أو دائر رقص بيكون + +61 +00:05:14,560 --> 00:05:20,060 +المرضو ماشي مثل برقص دائر رقص autosomal dominant + +62 +00:05:20,060 --> 00:05:25,500 +movement disorder associated with severe + +63 +00:05:25,500 --> 00:05:33,140 +degeneration of the cholinergic and GABAergic + +64 +00:05:33,140 --> 00:05:40,770 +neurons تمام؟ يبقى ان هو اعتبر العلاقة بالـ GABAهو + +65 +00:05:40,770 --> 00:05:46,750 +بال كولينيرجيك تمام which are located in the + +66 +00:05:46,750 --> 00:05:50,910 +caudate nucleus and butamine يقول هذا المرض بيكون + +67 +00:05:50,910 --> 00:05:57,970 +عندهم كورية and dementia and dementia ونتج عن ايه؟ + +68 +00:05:57,970 --> 00:06:04,530 +degeneration في الكولينيرجيك والقعبة هذا قعبة + +69 +00:06:04,530 --> 00:06:06,170 +amino biotic acid + +70 +00:06:15,630 --> 00:06:22,210 +باليزمس أو هيبو باليزمس هذا أكتر شيء ممكن تشوفه في + +71 +00:06:22,210 --> 00:06:25,590 +حالات ischemic infarction لما يحدث ischemic + +72 +00:06:25,590 --> 00:06:30,770 +infarction في شيء اسمه Lewis body نوكلياس موجودة + +73 +00:06:30,770 --> 00:06:34,450 +في ال subthalamus تؤدي إلى إيه باليزمس أو + +74 +00:06:34,450 --> 00:06:38,670 +hemibalism involuntary movementفي مواضع آخر + +75 +00:06:40,480 --> 00:06:45,220 +Hepatolenticular Degeneration أو بنسميه ويلسون + +76 +00:06:45,220 --> 00:06:51,500 +ديزيز مرض ويلسون هذا المرض سموه Hepatolenticular + +77 +00:06:51,500 --> 00:06:55,180 +Degeneration لإنه بيصيب اللفر وبيصيب البيزا + +78 +00:06:55,180 --> 00:06:59,320 +النوكلياي لينتيفور النوكلياس بيحدث accumulation of + +79 +00:06:59,320 --> 00:07:03,040 +copper والمشكلة المشكلة في انزايم اسمه + +80 +00:07:03,040 --> 00:07:06,900 +الceruloplasmin هذا الceruloplasmin بيحدث في + +81 +00:07:06,900 --> 00:07:10,300 +mutation أو تسمى ال recessive diseaseو + +82 +00:07:10,300 --> 00:07:15,080 +سيرولفلازمين وظيفته هي عمل binding مع القبر تتحد + +83 +00:07:15,080 --> 00:07:18,380 +مع النحاس و بيخرجوا معه البعوض بيخرجوا معه عصارة + +84 +00:07:18,380 --> 00:07:25,280 +المرارمن الكبد لكن في حال ان في mutation في هذا ال + +85 +00:07:25,280 --> 00:07:32,560 +enzyme بيحدث block و عدم مقدرة من الاتحاد مع القبر + +86 +00:07:32,560 --> 00:07:36,900 +و بيحدث accumulation للقبر في ال body و القبر راح + +87 +00:07:36,900 --> 00:07:40,560 +يكون في ال liver و ال base النوكلياي و ال other + +88 +00:07:40,560 --> 00:07:45,660 +organs type + +89 +00:07:45,660 --> 00:07:50,490 +of body movementsالان ايش ال body movements في + +90 +00:07:50,490 --> 00:07:56,190 +autonomous او reflex movement انا بعمل حركات + +91 +00:07:56,190 --> 00:07:59,370 +reflex بدون إرادة بدون إرادة يعني هذا بيسميه + +92 +00:07:59,370 --> 00:08:05,410 +involuntary movement او postural without او او + +93 +00:08:05,410 --> 00:08:08,970 +بيسميه withdrawal reflex withdrawal reflex يعني + +94 +00:08:08,970 --> 00:08:14,890 +انا بعملها بدون ما .. تمام؟ هذه حركات لا إرادية + +95 +00:08:14,890 --> 00:08:21,730 +حركات لا إراديةوفي rhythmic voluntary movement مثل + +96 +00:08:21,730 --> 00:08:25,730 +ال chewing و walking هذه حركات إرادية أنا بدأ + +97 +00:08:25,730 --> 00:08:30,490 +اتحرك اتحرك مشيت وقفت خلاص يقول هذه voluntary + +98 +00:08:30,490 --> 00:08:39,290 +movement انا بتحكم فيها هذه الحركات the + +99 +00:08:39,290 --> 00:08:43,990 +anterior horn cells في ال spinal cord في anterior + +100 +00:08:43,990 --> 00:08:48,820 +horn cellsهذه الـ anterior horn cells الـ main + +101 +00:08:48,820 --> 00:08:53,940 +function بتاعتها motor main function لها motor الـ + +102 +00:08:53,940 --> 00:08:57,900 +anterior horn cells consist of motor cells يبقى + +103 +00:08:57,900 --> 00:09:02,360 +فيها أيه؟ motor cells الـ anterior horn cells + +104 +00:09:02,360 --> 00:09:09,840 +موجود فيها medial group nuclei central group + +105 +00:09:09,840 --> 00:09:16,670 +nucleiand lateral group nuclei يعني الانتريو + +106 +00:09:16,670 --> 00:09:21,370 +الهورون سيلز فيها كام مجموعة تلاتة ميديالي جروب + +107 +00:09:21,370 --> 00:09:29,390 +central group and lateral group نبدأ بالميديالي + +108 +00:09:29,390 --> 00:09:35,890 +جروب الميديالي جروب موجودين في كل spinal cordأضاء + +109 +00:09:35,890 --> 00:09:39,630 +ال mediary group في ال thoracic segment بنجسمه + +110 +00:09:39,630 --> 00:09:45,150 +لventromedial and dorsomedial مسؤولين عن مين؟ عن + +111 +00:09:45,150 --> 00:09:51,630 +عضلات ال trunk supply the muscle of trunk علاقة في + +112 +00:09:51,630 --> 00:09:57,010 +عضلات ايه لل trunk؟ Central group موجودين مين؟ في + +113 +00:09:57,010 --> 00:10:04,330 +ال upper cervical part في C1 و C4مسؤولين عن مين؟ + +114 +00:10:04,330 --> 00:10:10,090 +بيعطوا fibers لـ pharynx nerve و spinal accessory + +115 +00:10:10,090 --> 00:10:14,010 +nerve يكون هذين المسؤولين عن مين؟ عن pharynx nerve + +116 +00:10:14,010 --> 00:10:18,870 +لدي أفراد و spinal accessory nerve اللي بيغدى + +117 +00:10:18,870 --> 00:10:24,070 +trapezius muscle and sternocleidomastoid muscle + +118 +00:10:24,070 --> 00:10:30,320 +lateral groupمن جسم الـVentral Lateral وDorsal + +119 +00:10:30,320 --> 00:10:33,940 +Lateral هذين الموجودين في lower cervical في ال + +120 +00:10:33,940 --> 00:10:39,560 +lumber في ال upper segment of sacral مسئولين عن + +121 +00:10:39,560 --> 00:10:46,720 +ايه؟ عن ال upper و lower limb muscle هي ال medial + +122 +00:10:46,720 --> 00:10:50,200 +group muscle مسئولة عن ال trunk و ال abdominal + +123 +00:10:50,200 --> 00:10:55,630 +muscleCentral group مسئولة عن Pharynx أو + +124 +00:10:55,630 --> 00:10:59,010 +Diaphragmatic nerve و Spinal accessory nerve + +125 +00:10:59,010 --> 00:11:03,010 +بيغدوا ال Diaphragm و Trapezius muscle و + +126 +00:11:03,010 --> 00:11:08,870 +Sternocleidomastoid muscle و Lateral group اللي من + +127 +00:11:08,870 --> 00:11:13,910 +جسمه ليه جسمين Dorsolateral و Ventrolateral هذول + +128 +00:11:13,910 --> 00:11:17,270 +بيغدون مسئولين عن ال Upper و Lower limb muscles + +129 +00:11:19,990 --> 00:11:24,530 +rule the spinal cord in motor function ايش وظيفة + +130 +00:11:24,530 --> 00:11:27,530 +ال spinal cord ايش وظيفة هذه ال anterior horn + +131 +00:11:27,530 --> 00:11:35,090 +cells اتفقنا في ال spinal cord في motor neurons + +132 +00:11:35,090 --> 00:11:38,970 +وين موجودين ال motor neurons موجودين في ال + +133 +00:11:38,970 --> 00:11:44,250 +anterior horn cells يبقى ال main function of the + +134 +00:11:44,250 --> 00:11:52,040 +anterior horn cells is motor functionفي نوعين من + +135 +00:11:52,040 --> 00:11:58,460 +الـ neurons في Alpha Motoneuron وفي Gamma + +136 +00:11:58,460 --> 00:12:05,510 +Motoneuron Alpha Motoneuronit is large type يعني + +137 +00:12:05,510 --> 00:12:10,190 +give rise to large type a alpha motoneuron fibers + +138 +00:12:10,190 --> 00:12:15,330 +مسئول عن مين؟ عن stimulation of the muscle fibers + +139 +00:12:15,330 --> 00:12:20,430 +يبدأ النوع الأول alpha motoneuron مسئول عن ال + +140 +00:12:20,430 --> 00:12:25,110 +large type a alpha وبيغدئنا ومسئول عن ايه؟ عن + +141 +00:12:25,110 --> 00:12:30,380 +stimulation of muscle fibers النوع الثانيGamma + +142 +00:12:30,380 --> 00:12:35,820 +Motoneuron Gamma Motoneuron هدول بيروح مع مين؟ مع + +143 +00:12:35,820 --> 00:12:43,040 +small of type A Gamma وظيفتهم control the muscle + +144 +00:12:43,040 --> 00:12:46,040 +tone يبقى ال small fibers اللي ملاقة بال + +145 +00:12:46,040 --> 00:12:51,240 +regulation of muscle tone أما ال large fibers اللي + +146 +00:12:51,240 --> 00:12:56,300 +بيجوا من Alpha Motoneuron اللي ملاقة ب stimulation + +147 +00:12:56,300 --> 00:13:01,660 +of muscle fibersيكون أول نوع موتو نيرونز موجودين + +148 +00:13:01,660 --> 00:13:08,660 +في انتريو هور سيلزاللغة الثانية Inter neurons + +149 +00:13:08,660 --> 00:13:15,400 +Inter neurons أو بنسميهم Intermediate Intermediate + +150 +00:13:15,400 --> 00:13:19,480 +neurons هدول ال Inter neurons او ال Intermediate + +151 +00:13:19,480 --> 00:13:24,520 +neurons وموجودين موجودين between the sensory + +152 +00:13:24,520 --> 00:13:28,740 +neurons and motor بين ال sensory و الموتر يعني + +153 +00:13:28,740 --> 00:13:36,220 +بلغة ثانية موجودين بينبستيريور هور سيلز وانتيريور + +154 +00:13:36,220 --> 00:13:40,940 +هور سيلز ماهي المشكلة الرئيسية لهم؟ المشكلة + +155 +00:13:40,940 --> 00:13:45,820 +الرئيسية رفليكس سينتر مثلما اتفقنا انتر ميديات + +156 +00:13:45,820 --> 00:13:49,640 +ايريا وين موجودين بين الفنترال و الدورسل هورس او + +157 +00:13:49,640 --> 00:13:54,400 +بين الانتيريور بستيريور هورس المشكلة الرئيسية هي + +158 +00:13:55,560 --> 00:13:59,920 +Excitatory for Integrative Function of the Spinal + +159 +00:13:59,920 --> 00:14:05,380 +Cord يعتبره Integrative Function أو Reflex Center + +160 +00:14:05,380 --> 00:14:07,480 +وظيفتهم Reflex Center + +161 +00:14:26,330 --> 00:14:29,810 +بال motor fibers تعمل contraction of the muscle + +162 +00:14:29,810 --> 00:14:34,750 +وبيحظف عنها reflex لازم + +163 +00:14:34,750 --> 00:14:39,630 +نتكلم على شي اسمه pyramidal attract ايش هو + +164 +00:14:39,630 --> 00:14:44,930 +pyramidal attract؟ pyramidal attract contains + +165 +00:14:44,930 --> 00:14:50,710 +about one million nerve fibers في one million + +166 +00:14:50,710 --> 00:14:57,430 +nerve fibersit is the longest nerve fibers in the + +167 +00:14:57,430 --> 00:15:02,750 +body و أطول nerve fibers أو أطول tract في الجسم هو + +168 +00:15:02,750 --> 00:15:07,490 +مين؟ بيرامي ده ال tract من وين ببدأ؟ ال origin + +169 +00:15:07,490 --> 00:15:12,560 +بتاعه ببدأ من حاجة اسمها بت ال cellsموجودة في ال + +170 +00:15:12,560 --> 00:15:17,160 +internal pyramidal layer يعني أي طبقة في الطبقة + +171 +00:15:17,160 --> 00:15:21,420 +الخامسة من ال cortex في ال internal pyramidal + +172 +00:15:21,420 --> 00:15:25,240 +layer من ايش بتكون ال cortex في الhistology بتكون + +173 +00:15:25,240 --> 00:15:31,300 +من six layers اول layer molecular layer ثاني layer + +174 +00:15:31,300 --> 00:15:38,020 +external granular layer ثالثExternal Pyramidal + +175 +00:15:38,020 --> 00:15:44,240 +Layer رابع Internal Granular Layer خامس Ganglionic + +176 +00:15:44,240 --> 00:15:48,400 +Layers أو Internal Pyramidal Layer من الـ Internal + +177 +00:15:48,400 --> 00:15:53,260 +Pyramidal Layer بيبدأ بثسلز اللي هم مسئولين عن او + +178 +00:15:53,260 --> 00:15:57,660 +هم يعتبروا بداية ايه؟ Pyramidal Retract وآخر شي + +179 +00:15:57,660 --> 00:16:02,920 +Multiform Layers هذه ال layers هم layers of + +180 +00:16:02,920 --> 00:16:04,560 +cerebral cortex + +181 +00:16:07,390 --> 00:16:11,550 +الشيء الثاني لما اتكلمنا عن ال cortex سراحتلكم + +182 +00:16:11,550 --> 00:16:20,590 +الإنسان بيكون عنده في + +183 +00:16:20,590 --> 00:16:32,450 +الدماغ أو بيكون موجود في الدماغ كذا الرأس تحت ال + +184 +00:16:32,450 --> 00:16:38,360 +upper limbs في المصر وال lower limbs فوقيعني في ال + +185 +00:16:38,360 --> 00:16:42,440 +upper one third بيكون ال lower limbs في ال middle + +186 +00:16:42,440 --> 00:16:47,740 +one third بيكون ال upper limbs و ال trunk في ال + +187 +00:16:47,740 --> 00:16:55,810 +lower one third بيكون ال head و ال neckهذا نسميه + +188 +00:16:55,810 --> 00:17:00,210 +somatotopy cortical somatotopy يعني لو إنسان أجال + +189 +00:17:00,210 --> 00:17:05,010 +التيومغ في ال upper part بيحدث weakness في ال + +190 +00:17:05,010 --> 00:17:08,370 +opposite lower limb في ال middle على ال upper limb + +191 +00:17:08,370 --> 00:17:12,170 +في ال lower part على ال face و ال head okay + +192 +00:17:12,170 --> 00:17:19,460 +ملاحظين هنا هذه sensory area وهذه motor areaوين ال + +193 +00:17:19,460 --> 00:17:23,200 +lower limbs؟ بتكون فوق بعدها بيجيهش ال upper limbs + +194 +00:17:23,200 --> 00:17:26,540 +بعدها بيجيه ال head و ال neck هذا ال sensor نفس + +195 +00:17:26,540 --> 00:17:30,960 +الشيء في ال motor هنا ايه؟ upper limb هنا lower + +196 +00:17:30,960 --> 00:17:34,360 +limb بتكون في ال upper part في ال middle part ال + +197 +00:17:34,360 --> 00:17:37,040 +upper limbs و ال head في ال lower part بيكون عندي + +198 +00:17:37,040 --> 00:17:40,920 +مين؟ عندي ال face هي هم هنا يعني بيكون هنا عندي + +199 +00:17:40,920 --> 00:17:48,420 +lower limbs upper limbs و trunk و هنا ال head و ال + +200 +00:17:48,420 --> 00:17:56,560 +faceهكذا يكون الإنسان موجود في الـ cerebral cortex + +201 +00:17:56,560 --> 00:18:05,220 +البيرامي + +202 +00:18:05,220 --> 00:18:12,260 +ده ال tract بيرامي ده ال tract نرسمه هنا نخططه مع + +203 +00:18:12,260 --> 00:18:12,620 +بعض + +204 +00:18:19,940 --> 00:18:28,040 +هي عندي بيرامدال + +205 +00:18:28,040 --> 00:18:31,680 +track + +206 +00:18:31,680 --> 00:18:35,480 +بيرامدال + +207 +00:18:35,480 --> 00:18:43,440 +track من القسم لقسمين القسم لقسمين اول + +208 +00:18:43,440 --> 00:18:49,180 +قسم بنسميه cortico spinal + +209 +00:18:52,560 --> 00:19:00,180 +القسم الثاني كورتيكو + +210 +00:19:00,180 --> 00:19:09,200 +نوكليار تراكت او كورتيكو بالبر + +211 +00:19:17,420 --> 00:19:21,860 +الجزء الأول كورتيكو spinal tract والجزء الثاني + +212 +00:19:21,860 --> 00:19:24,200 +كورتيكو نوكليار أو كورتيكو بلبر + +213 +00:19:35,420 --> 00:19:41,380 +الـ Corticonuclear tract قسمين و Corticospinal + +214 +00:19:41,380 --> 00:19:47,400 +tract قسمين من اسمه Corticonuclear tract + +215 +00:19:47,400 --> 00:19:51,420 +Corticonuclear tract ايه راح يكون اي حالة + +216 +00:19:51,420 --> 00:20:01,180 +Corticonuclear tract؟ بيعطينا fibers لمن؟ لانتريو + +217 +00:20:02,580 --> 00:20:11,160 +هو cells in the spinal cord من هنا نسمو Cortico-H + +218 +00:20:11,160 --> 00:20:14,820 +spinal يعني بيبدأ من ال cortex و بنتهي وين في ال + +219 +00:20:14,820 --> 00:20:21,840 +spinal طب و Cortico نوكليا بيعطينا fibers لمن؟ + +220 +00:20:21,840 --> 00:20:28,040 +to motor nuclei + +221 +00:20:28,040 --> 00:20:31,760 +in the brain stem + +222 +00:20:35,500 --> 00:20:47,520 +موتور نوكلياي of cranial nerve of cranial + +223 +00:20:47,520 --> 00:20:52,340 +nerve in + +224 +00:20:52,340 --> 00:21:00,060 +the brain السم تمام + +225 +00:21:04,430 --> 00:21:14,250 +Corticospinal tract تنقسم لقسمين Lateral + +226 +00:21:14,250 --> 00:21:17,970 +Corticospinal + +227 +00:21:17,970 --> 00:21:25,810 +tract و Ventral Corticospinal + +228 +00:21:25,810 --> 00:21:26,470 +tract + +229 +00:21:30,280 --> 00:21:34,280 +طبعا القسم القسمين lateral corticospinal tract and + +230 +00:21:34,280 --> 00:21:37,540 +ventral corticospinal tract lateral corticospinal + +231 +00:21:37,540 --> 00:21:43,300 +tract supply supply + +232 +00:21:43,300 --> 00:21:52,420 +the upper limbs and lower limbs أما ال ventral + +233 +00:21:52,420 --> 00:21:57,500 +corticospinal tract supply اللي هو + +234 +00:22:04,260 --> 00:22:09,520 +trunk and abdominal + +235 +00:22:09,520 --> 00:22:14,980 +muscle يبقى + +236 +00:22:14,980 --> 00:22:19,620 +في عندي اللي هو ال ventral tract أو ventral + +237 +00:22:19,620 --> 00:22:21,880 +corticospinal tract هيكون مسؤولة عن ال respiratory + +238 +00:22:21,880 --> 00:22:25,640 +عن ايه respiratory muscle قال cortico + +239 +00:22:28,610 --> 00:22:31,350 +Bulbar tract راح ينقسم ل .. او corticonuclear + +240 +00:22:31,350 --> 00:22:36,590 +tract راح ينقسم لقسمين القسم + +241 +00:22:36,590 --> 00:22:43,930 +الأول اسمه lateral نفس الشيء corticonuclear tract + +242 +00:22:43,930 --> 00:22:50,030 +والثاني medial corticonuclear + +243 +00:22:50,030 --> 00:22:56,630 +tract ال medial corticonuclear tract سهل supply + +244 +00:22:59,180 --> 00:23:07,700 +أو give fibers to + +245 +00:23:07,700 --> 00:23:20,300 +ocular nuclei اللي هم العصب الثالث والرابع والسادس + +246 +00:23:20,300 --> 00:23:22,560 +from + +247 +00:23:26,510 --> 00:23:31,150 +both cerebral hemisphere يعني ال media الكورتيكو + +248 +00:23:31,150 --> 00:23:33,990 +نوكليار ترياكت بيعطي ال نوكليار ساعة ال اوكلاموتر + +249 +00:23:33,990 --> 00:23:37,310 +و تروكليا و الابدوسنت على ال both side بيبقى على + +250 +00:23:37,310 --> 00:23:39,450 +ال right و على ال left و ال left بيعطي right left + +251 +00:23:39,450 --> 00:23:42,630 +و هكذا يعني ال نوكليار of اوكلاموتر تروكليا و + +252 +00:23:42,630 --> 00:23:46,110 +الابدوسنت بياخده من ال both cerebral hemisphere طب + +253 +00:23:46,110 --> 00:23:52,590 +ال lateral كورتيكو نوكليار ترياكت بيعطي + +254 +00:23:52,590 --> 00:23:53,750 +لالموتر + +255 +00:23:55,610 --> 00:24:04,570 +Nuclei of Trigeminal + +256 +00:24:04,570 --> 00:24:09,750 +nerve Dorsal + +257 +00:24:09,750 --> 00:24:17,170 +facial nerve Glucopharyngeal, + +258 +00:24:17,770 --> 00:24:22,490 +vagus و cranial accessory اللي له علاقة بامبيغاس + +259 +00:24:22,490 --> 00:24:23,010 +نوكلياس + +260 +00:24:29,020 --> 00:24:36,020 +cranial accessory from both cerebral hemisphere + +261 +00:24:36,020 --> 00:24:46,500 +and وبيعطي كمان two ventral nucleus + +262 +00:24:46,500 --> 00:24:55,440 +of facial nerve فاصلة وhypoglossal nerve + +263 +00:24:55,440 --> 00:24:57,680 +hypoglossal nucleus + +264 +00:25:01,760 --> 00:25:07,360 +only from opposite side + +265 +00:25:12,120 --> 00:25:17,500 +يعني هنا شرحنا لكم مخطط بتاع بيرامدال إتراكت شرحنا + +266 +00:25:17,500 --> 00:25:21,220 +لكم مخطط بتاع بيرامدال إتراكت هنا موجود بس مش واضح + +267 +00:25:21,220 --> 00:25:24,900 +كتير في الورقة اللي أنا صورتلكوا إياها هنا رسمنا + +268 +00:25:24,900 --> 00:25:28,620 +لكوا إياها وخططتوا لكم ال بيرامدال إتراكت بنقسم + +269 +00:25:28,620 --> 00:25:34,140 +لجزئين الجزء الأول corticospinal tractوجزء ثاني + +270 +00:25:34,140 --> 00:25:36,600 +Corticobulbar او Corticonuclear tract + +271 +00:25:36,600 --> 00:25:39,740 +Corticospinal tract يبدأ من الكورتكس وينتهي في + +272 +00:25:39,740 --> 00:25:44,060 +spinal cord يعني بيعطي fibers للانترال وحسل في + +273 +00:25:44,060 --> 00:25:49,540 +spinal cord و Corticobulbar tract بيعطي fibers to + +274 +00:25:49,540 --> 00:25:53,760 +motor nuclei of the cranial nerves in the brain + +275 +00:25:53,760 --> 00:25:58,860 +stem in the brain stem okay Corticospinal tract + +276 +00:25:58,860 --> 00:26:05,610 +بنقسم لقسمينLateral corticospinal tract بيمر في ال + +277 +00:26:05,610 --> 00:26:11,190 +lateral column of spinal cord و بيغضي ال upper و + +278 +00:26:11,190 --> 00:26:16,070 +lower limbsوventral corticospinal tract supply + +279 +00:26:16,070 --> 00:26:21,730 +trunk and abdominal muscle بمار وين في الventral + +280 +00:26:21,730 --> 00:26:25,870 +column of spinal cord نيجي ل Corticobulbar tract + +281 +00:26:25,870 --> 00:26:31,490 +بنقسم لقسمين lateral corticonuclear tract and + +282 +00:26:31,490 --> 00:26:36,270 +medial corticonuclear tract ال medial + +283 +00:26:36,270 --> 00:26:37,810 +corticonuclear tract + +284 +00:26:47,600 --> 00:26:50,800 +النوكليارات بتاعتهم موجودة في برهين السم نوكلياس + +285 +00:26:50,800 --> 00:26:53,640 +او اوكولا نوكلياس او اوكولا نوكلياس او اوكولا + +286 +00:26:53,640 --> 00:26:55,860 +نوكلياس او اوكولا نوكلياس او اوكولا نوكلياس او + +287 +00:26:55,860 --> 00:26:57,280 +اوكولا نوكلياس او اوكولا نوكلياس او اوكولا نوكلياس + +288 +00:26:57,280 --> 00:26:58,920 +او اوكولا نوكلياس او اوكولا نوكولا نوكولا نوكولا + +289 +00:26:58,920 --> 00:27:04,480 +نوكولا نوكولا نوكولا نوكولا نوكولا نوكولا نوكولا + +290 +00:27:04,480 --> 00:27:05,610 +نوكولا نوكولا نوكولا نوكولا نوكولا نوكولا نووالـ + +291 +00:27:05,610 --> 00:27:09,190 +left بيقوط left و بيقوط right يعني ال nucleus + +292 +00:27:09,190 --> 00:27:14,030 +بتاعة ال motor nuclei of the ocular nerve received + +293 +00:27:14,030 --> 00:27:17,950 +fibers from the corticonuclear tract أيه واحد + +294 +00:27:17,950 --> 00:27:22,530 +فيهم؟ from the medial corticonuclear tract from + +295 +00:27:22,530 --> 00:27:27,020 +both cerebral hemispheresنجي لـ lateral + +296 +00:27:27,020 --> 00:27:31,700 +corticonuclear tract give motor fibers لمن؟ + +297 +00:27:31,700 --> 00:27:37,140 +للموتور نوكلياي of the cranial nerves من هما موتور + +298 +00:27:37,140 --> 00:27:41,140 +نوكلياس الـ trigeminal nerve موتور نوكلياس الـ + +299 +00:27:41,140 --> 00:27:45,820 +dorsal nucleus بتاعة الـ facial nerve أمبيغاس + +300 +00:27:45,820 --> 00:27:49,040 +نوكلياس المسئول عن الـ glossopharyngeal و Vegas و + +301 +00:27:49,040 --> 00:27:53,000 +cranial accessoryfrom both cerebral and cerebral + +302 +00:27:53,000 --> 00:27:56,220 +يعني ال right lateral بيعطي right left right left + +303 +00:27:56,220 --> 00:28:02,260 +طيب زائد انه بيعطي كمان ventral nucleus of facial + +304 +00:28:02,260 --> 00:28:07,300 +nerve المسئول عن ال lower quadrant of the face + +305 +00:28:08,160 --> 00:28:10,640 +وبيعتبرها الـ hypoglossal nucleus المسئول عن الـ + +306 +00:28:10,640 --> 00:28:15,880 +hypoglossal nerve only from up this side يعني ال + +307 +00:28:15,880 --> 00:28:19,740 +ventral nucleus بتاعة ال facial nerve الشمال + +308 +00:28:19,740 --> 00:28:24,810 +اليمينوالـ hypoglossal nucleus بتاعت العصب الثاني + +309 +00:28:24,810 --> 00:28:31,030 +عشر اليمين بس تاخد إشارة من الـ left lateral + +310 +00:28:31,030 --> 00:28:34,490 +corticonuclear تاخدش من الـ both cerebral اللي + +311 +00:28:34,490 --> 00:28:37,970 +مصير، بياخد من الـ one side، بياخد من وين؟ one + +312 +00:28:37,970 --> 00:28:38,610 +side + +313 +00:28:42,830 --> 00:28:46,430 +هيو ال pyramidal tract الآن راح يكون أسهل لكم ال + +314 +00:28:46,430 --> 00:28:53,150 +pyramidal tract is a bundle of motoneur fibers it + +315 +00:28:53,150 --> 00:28:57,370 +begins in the cerebral cortex بيبدأ من وين؟ من ال + +316 +00:28:57,370 --> 00:29:01,190 +cerebral cortex عشان هيك سموه corticospinal + +317 +00:29:01,190 --> 00:29:05,130 +corticobulbar او corticonuclear يعني بيبدأ من وين؟ + +318 +00:29:05,130 --> 00:29:09,810 +من ال cortex بيبدأ من وين؟ من ال cortex وبينتهيIt + +319 +00:29:09,810 --> 00:29:19,370 +ends in anterior horn cells of spinal cord كورتيكو + +320 +00:29:19,370 --> 00:29:22,730 +سباينال تركت + +321 +00:29:25,430 --> 00:29:30,690 +وخلص في ال motor nuclei of the cranial nerves in + +322 +00:29:30,690 --> 00:29:35,670 +the brainstem اسمه corticonuclear او corticobulbar + +323 +00:29:35,670 --> 00:29:40,670 +retract يبقى cortico او البرامج ال retract نقسم لك + +324 +00:29:40,670 --> 00:29:46,120 +اسمينCorticospinal tract and Corticonuclear tract + +325 +00:29:46,120 --> 00:29:51,340 +Corticospinal tract بنقسم من قسمين حسب وين مر إلى + +326 +00:29:51,340 --> 00:29:55,360 +lateral corticospinal tract بمر في ال lateral + +327 +00:29:55,360 --> 00:29:59,500 +column of spinal cord and ventral او anterior + +328 +00:29:59,500 --> 00:30:04,160 +corticospinal tract بمر في ال ventral column of + +329 +00:30:04,160 --> 00:30:09,040 +spinal cord اما corticonuclear tract راح نمر وين؟ + +330 +00:30:09,760 --> 00:30:16,020 +للبراين استمروا وينقسم لقسمين ل lateral and medial + +331 +00:30:16,020 --> 00:30:22,620 +corticonuclear tract الان نتكلم على شي اسمه upper + +332 +00:30:22,620 --> 00:30:28,020 +motoneuron سمعت فيه ال upper motoneuron system ال + +333 +00:30:28,020 --> 00:30:31,700 +upper motoneuron system هذا احنا نتكلم على + +334 +00:30:31,700 --> 00:30:34,380 +corticospinal tract او corticonuclear tract يعني + +335 +00:30:34,380 --> 00:30:39,000 +ال corticospinal tractو corticonuclear tract إذا + +336 +00:30:39,000 --> 00:30:42,480 +حدث فيهم مشكلة بيؤدي إلى upper motor neuron lesion + +337 +00:30:42,480 --> 00:30:47,400 +يعني damage of corticospinal tract or + +338 +00:30:47,400 --> 00:30:52,940 +corticonuclear tract leads to upper motor neuron + +339 +00:30:52,940 --> 00:30:56,980 +lesion يعني يعرفنا ال damage أو أي تغير أو أي مرض + +340 +00:30:56,980 --> 00:31:00,260 +بيصيب ال corticospinal tract أو corticonuclear + +341 +00:31:00,260 --> 00:31:07,530 +tract يؤدي إلى upper motor neuron lesionيكون هو + +342 +00:31:07,530 --> 00:31:11,030 +يعتبر super spinal lesion او اذا بتكلم على ال + +343 +00:31:11,030 --> 00:31:15,050 +corticonuclear tract super nuclear lesion ايش ال + +344 +00:31:15,050 --> 00:31:18,030 +function بتاعة العبر موتو نيرون ان كان + +345 +00:31:18,030 --> 00:31:23,070 +corticospinal او corticonuclear اول وظيفة ان هي + +346 +00:31:23,070 --> 00:31:27,170 +initiation and control of voluntary motor activity + +347 +00:31:27,170 --> 00:31:36,820 +في حال انهفي حال انه حدث عندنا ال damage + +348 +00:31:36,820 --> 00:31:41,540 +of corticospinal tract او corticonuclear tract + +349 +00:31:41,540 --> 00:31:45,760 +بيحدث paralysis بيحدث ايش؟ paralysis او شلل + +350 +00:31:47,650 --> 00:31:51,590 +Inhibition of muscle tone Inhibition of muscle + +351 +00:31:51,590 --> 00:31:55,030 +tone هو وظيفته يعمل Inhibition لل muscle tone في + +352 +00:31:55,030 --> 00:31:58,770 +حال حدث damage لل other motor neuron رح يكون عندنا + +353 +00:31:58,770 --> 00:32:03,990 +muscle hypertonia muscle hypertonia ثلاثة بيعمل + +354 +00:32:03,990 --> 00:32:07,710 +Inhibition لل deep reflex عشان هيك احنا لما نفحص + +355 +00:32:07,710 --> 00:32:11,930 +reflex لمريد بنقول اشد عيدك او اقدمه للعشرة عشان + +356 +00:32:11,930 --> 00:32:14,150 +ألم ال cortex ال cortex يعمل Inhibition لل reflex + +357 +00:32:14,150 --> 00:32:18,630 +في حال حدثأبرموتونيرون ليجين راح يتحول + +358 +00:32:18,630 --> 00:32:22,510 +لhyperreflexia، hyperreflexia، يبقى هي وظيفة + +359 +00:32:22,510 --> 00:32:26,550 +الأبرموتونيرون initiation and control of voluntary + +360 +00:32:26,550 --> 00:32:30,210 +motor activity هي واحد، اتنين، inhibition of + +361 +00:32:30,210 --> 00:32:35,430 +muscle tone، ثلاثة، inhibition of deep reflexes + +362 +00:32:36,940 --> 00:32:42,420 +متكلم على ال path way of the upper motor neurons + +363 +00:32:42,420 --> 00:32:46,460 +أو ال بيرامدال او ال corticospinal tract الإشارة + +364 +00:32:46,460 --> 00:32:50,340 +بتبدأ من بيت ال cells من ال area رقم أربع من ال + +365 +00:32:50,340 --> 00:32:53,720 +upper two third of pre central gas ليه هو ان ال + +366 +00:32:53,720 --> 00:32:57,400 +upper two third؟ لأن ال corticonuclear tract متجه + +367 +00:32:57,400 --> 00:33:02,640 +إلى ال face رح يبدأ من ال lower one third بعدك ال + +368 +00:33:02,640 --> 00:33:07,850 +fibers descent في شيء اسمه corona radiataبمره في + +369 +00:33:07,850 --> 00:33:13,190 +الـ posterior limb of internal capsule بعدك في ال + +370 +00:33:13,190 --> 00:33:19,550 +midbrain, palms, medulla oblongata، في lower part + +371 +00:33:19,550 --> 00:33:25,270 +of medulla oblongataبيحدث عملية decassation او + +372 +00:33:25,270 --> 00:33:28,390 +crossing الـ Corticospiral tract اللي جاي من + +373 +00:33:28,390 --> 00:33:32,210 +اليمين بيتجه لليسار و اللي جاي من اليسار بيتجه + +374 +00:33:32,210 --> 00:33:35,670 +لليمين علشان أسألك لو حدث جلطة دماغية في اليمين + +375 +00:33:35,670 --> 00:33:39,230 +وين ال hemoglobin بتكون؟ على ال opposite side لو + +376 +00:33:39,230 --> 00:33:42,330 +حدث جلطة دماغية في اليسار وين ال hemoglobin بتكون؟ + +377 +00:33:42,330 --> 00:33:46,870 +على ال right side وهكذا هذه بنسميها بيرامدال + +378 +00:33:46,870 --> 00:33:50,390 +decassation نحاول + +379 +00:33:51,260 --> 00:34:05,480 +هرسملكم إياهم هنا قد الإمكان لما + +380 +00:34:05,480 --> 00:34:09,140 +بتكلم ع موتور أنا بتكلم عليه على descending tract + +381 +00:34:09,140 --> 00:34:12,320 +يبقى ال tract راح أبدأ من وين من ال cortex و أنزل + +382 +00:34:12,320 --> 00:34:12,880 +للمصدر + +383 +00:34:31,900 --> 00:34:39,060 +هنا area precentral + +384 +00:34:39,060 --> 00:34:44,400 +gyrus + +385 +00:34:44,400 --> 00:34:51,640 +اللي هي area أربعة بعدين في هنا + +386 +00:34:56,400 --> 00:35:10,060 +Internal Capsule بعدين + +387 +00:35:10,060 --> 00:35:10,660 +فيه اللي هو + +388 +00:35:25,740 --> 00:35:30,240 +mid brain bones + +389 +00:35:30,240 --> 00:35:33,260 +مدلة + +390 +00:35:33,260 --> 00:35:53,840 +أبلغتها ناخد two segments of spinal cord و + +391 +00:35:53,840 --> 00:35:54,300 +هنا في عند + +392 +00:35:58,240 --> 00:36:03,920 +مصر مصر مصر + +393 +00:36:03,920 --> 00:36:07,380 +مصر مصر + +394 +00:36:07,380 --> 00:36:12,380 +مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر + +395 +00:36:12,380 --> 00:36:16,900 +مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر + +396 +00:36:16,900 --> 00:36:16,920 +مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر + +397 +00:36:16,920 --> 00:36:16,920 +مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر + +398 +00:36:16,920 --> 00:36:16,920 +مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر + +399 +00:36:16,920 --> 00:36:21,920 +مصر مصر مصر مصر مصر مصر مصر مصر + +400 +00:36:21,920 --> 00:36:27,540 +مصر مصهذا segment of spinal cord على سبيل المثال + +401 +00:36:27,540 --> 00:36:33,520 +ناخد c5 segment ناخد ال3 segment + +402 +00:36:57,050 --> 00:37:05,330 +الـ Corticospinal tract راح يبدأ من وين؟ من الـ + +403 +00:37:05,330 --> 00:37:11,950 +pre-central area اللي هي من ال upper و ال middle + +404 +00:37:11,950 --> 00:37:20,710 +one third راح ال fibers تمر في ال posterior limb + +405 +00:37:20,710 --> 00:37:30,910 +of internal capsulemedibrain bones medulla + +406 +00:37:30,910 --> 00:37:40,650 +oblongata هذا ايش اسمه اسمه cortico spinal + +407 +00:37:40,650 --> 00:37:52,310 +tract تمام هنا internal capsule هذا left internal + +408 +00:37:52,310 --> 00:38:04,370 +capsulelift internal capsule lift + +409 +00:38:04,370 --> 00:38:08,250 +internal + +410 +00:38:08,250 --> 00:38:12,650 +capsule + +411 +00:38:12,650 --> 00:38:20,850 +اللي في lower part of medulla oblongata هذا اللي + +412 +00:38:20,850 --> 00:38:26,410 +هوCorticospinal tract بيعمل incomplete decassation + +413 +00:38:26,410 --> 00:38:30,870 +او crossing بيعمل incomplete decassation ال main + +414 +00:38:30,870 --> 00:38:33,890 +fibers اكتر من خمسة و تمانين تسعين في المية + +415 +00:38:33,890 --> 00:38:39,610 +بيعملوا crossing على ال opposite side النرسانت مين + +416 +00:38:39,610 --> 00:38:45,570 +هو ال left? Corticospinal tract و بيتجه ل ال right + +417 +00:38:45,570 --> 00:38:55,090 +side و بيفوت ل في وين؟ فيlateral column في ال + +418 +00:38:55,090 --> 00:39:03,670 +lateral column of spinal cord وبدأ + +419 +00:39:03,670 --> 00:39:11,170 +ننزل مثل خط الكهربا الرئيسي وين بينتهي؟ بينتهي at + +420 +00:39:11,170 --> 00:39:17,370 +the level of + +421 +00:39:19,260 --> 00:39:29,060 +S2 ساكرال تو سباينال كورد يعني + +422 +00:39:29,060 --> 00:39:33,640 +بنتهي وين على level ساكرال تو S2 segment of spinal + +423 +00:39:33,640 --> 00:39:37,900 +cord هذا بشبه خط الكهرب الرئيسي النازل في الدرج + +424 +00:39:37,900 --> 00:39:44,160 +نازل و كل ما يصل طابق الشجرة بيعطيها سلك خط هذا + +425 +00:39:44,160 --> 00:39:52,070 +ايش اسمه ال lift تتحولاللي ها right في ال spoiler + +426 +00:39:52,070 --> 00:39:57,730 +code ايش بيصير اسمه right cortico + +427 +00:39:57,730 --> 00:40:09,550 +او اسمه صح هي اسمه + +428 +00:40:09,550 --> 00:40:14,450 +صح right lateral + +429 +00:40:16,840 --> 00:40:21,320 +Corticospinal tract Right Lateral Corticospinal + +430 +00:40:21,320 --> 00:40:25,860 +tract هذا الخط الرئيسي كل ما يصل الـ Anterior Horn + +431 +00:40:25,860 --> 00:40:32,360 +Cells بيعطيهم إيش؟ Fibers بيعطيهم إيه؟ Fibers على + +432 +00:40:32,360 --> 00:40:36,340 +كل segment على كل segment يبقى لو حدث دمج لل + +433 +00:40:36,340 --> 00:40:39,960 +Corticospinal tract في ال brain أو Spinal cord هذا + +434 +00:40:39,960 --> 00:40:44,040 +بيؤدي إلى إيش؟ Upper Motoneurone lesion Upper + +435 +00:40:44,040 --> 00:40:51,860 +Motoneurone lesion2 الجزء + +436 +00:40:51,860 --> 00:40:57,560 +اللي بقى اللي ماعمش costing هذا + +437 +00:40:57,560 --> 00:41:05,640 +بنزل في ال anterior horn cells بنزل في ال anterior + +438 +00:41:05,640 --> 00:41:11,100 +column of spinal cord و بكمل طريقه وين بنتهي + +439 +00:41:19,510 --> 00:41:23,630 +ends at lower + +440 +00:41:23,630 --> 00:41:30,590 +thoracic level في + +441 +00:41:30,590 --> 00:41:34,010 +ناس بيقولوا على ال middle thoracic level الثانين + +442 +00:41:34,010 --> 00:41:40,530 +صح middle او lower thoracic هذا ايش بيعطي بيعطي لا + +443 +00:41:40,530 --> 00:41:48,250 +ايش لا هو انتهى هنا اكتر مش راح يصل ال number + +444 +00:41:51,940 --> 00:42:11,700 +عشان تكون صح وين + +445 +00:42:11,700 --> 00:42:14,980 +بينتهي end at + +446 +00:42:21,190 --> 00:42:26,490 +the lower thoracic + +447 +00:42:26,490 --> 00:42:33,110 +level هذا ال .. إيش بنسميه؟ بنسميه ventral + +448 +00:42:37,550 --> 00:42:42,630 +واضيفته ايش يا غدى؟ واضيفته لغدى اللي هو chest + +449 +00:42:42,630 --> 00:42:46,790 +muscle او thoracic muscle او respiratory muscle + +450 +00:42:46,790 --> 00:42:49,570 +هذا بيعطي ال anterior horn cells على نفس الجهة + +451 +00:42:49,570 --> 00:42:52,290 +وبيعطي ال anterior horn cells على الجهة الثانية + +452 +00:42:52,290 --> 00:42:56,990 +يعني بيعطي ال both anterior horn cells for + +453 +00:42:56,990 --> 00:43:03,820 +respiratory muscleطيب هذا يعتبر ايش Corticospinal + +454 +00:43:03,820 --> 00:43:09,240 +tract هان مرسومين في slide واضح هان عندي يقول هان + +455 +00:43:09,240 --> 00:43:14,400 +عندي pyramidal decassation هاد ال pyramids بتحول ل + +456 +00:43:14,400 --> 00:43:18,040 +decassation يعني لو المريض حدث مع جلطة دماغية في + +457 +00:43:18,040 --> 00:43:20,580 +ال left cerebral hemisphere ولي ال hemiplegia + +458 +00:43:20,580 --> 00:43:23,800 +يتكون على ال right طيب لو جينا في ال spinal cord + +459 +00:43:23,800 --> 00:43:28,300 +لأخلص ال crossing صار دمج في ال spinal cord، على + +460 +00:43:28,300 --> 00:43:31,500 +نفس الجهة بدي يكون فيه motor، على نفس الجهة لأن ال + +461 +00:43:31,500 --> 00:43:34,840 +crossing خلص وين بتتم ال crossing؟ بتتم ال + +462 +00:43:34,840 --> 00:43:41,440 +crossing وين؟ على ال lower part + +463 +00:43:41,440 --> 00:43:50,030 +of medulla oblongataبالنسبة للمدالة الأسفل 80% ل + +464 +00:43:50,030 --> 00:43:57,710 +85% من الفيبيرز يقومون بـ crossings ويروحوا على + +465 +00:43:57,710 --> 00:44:02,660 +الـ opposite side في الـ lateral columnوالجزء اللي + +466 +00:44:02,660 --> 00:44:05,840 +بيظلوا .. بنسميهم إيش؟ indirect ليش بنسميهم + +467 +00:44:05,840 --> 00:44:09,200 +indirect؟ لأنهم عملوا crossing و اتجهوا على ال + +468 +00:44:09,200 --> 00:44:13,500 +opposite side بنسميهم crossed corticospinal tract + +469 +00:44:13,500 --> 00:44:18,300 +وبينهم يخلصوا كل fibers او كل ما نسى ال segment + +470 +00:44:18,300 --> 00:44:22,780 +بيطلعوا fibers لمين؟ لل anterior horn cells كل ما + +471 +00:44:22,780 --> 00:44:25,800 +نسى ال segment بيطلعوا fibers لل anterior horn + +472 +00:44:25,800 --> 00:44:30,620 +cells طيب ال 15 ل 20% من ال fibers اللي ضالهم قدر + +473 +00:44:31,510 --> 00:44:36,350 +وماعملوش crossing بنسميهم direct anterior او + +474 +00:44:36,350 --> 00:44:40,430 +ventral corticospinal tract بيعطونا fibers لل + +475 +00:44:40,430 --> 00:44:44,430 +anterior home cells على نفس ال segment بس لوين؟ لل + +476 +00:44:44,430 --> 00:44:49,790 +both cerebral hemisphere وين بينتهوا؟ بينتهوا في + +477 +00:44:49,790 --> 00:44:53,450 +ال mid thoracic ممكن في مراجع يقولوا يكونوا في ال + +478 +00:44:53,450 --> 00:44:56,290 +lower thoracic اعتبرهم mid thoracic عشان ما + +479 +00:44:56,290 --> 00:44:59,490 +تتخربطوش نعتمدهم mid thoracic في مراجع يقولوا + +480 +00:44:59,490 --> 00:45:06,100 +lower thoracicmade thoracic نعتمدهم للكل level + +481 +00:45:06,100 --> 00:45:11,540 +الآن أنا بكتفر الجزء الأول من المحاضرة الجزء + +482 +00:45:11,540 --> 00:45:17,800 +الثاني راح أكمله في جزء اثنين لمحاضرة الأسبوع + +483 +00:45:17,800 --> 00:45:19,500 +الثالث عشان يعطيكم العافية + diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/Tc4x5qe2wTI.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/Tc4x5qe2wTI.srt new file mode 100644 index 0000000000000000000000000000000000000000..540f4d6bc1ef05952d2bcf2567f184a8cbfc0f82 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/Tc4x5qe2wTI.srt @@ -0,0 +1,934 @@ +1 +00:00:04,930 --> 00:00:09,230 +السلام عليكم ورحمة الله وبركاته نكمل الجزء + +2 +00:00:09,230 --> 00:00:12,750 +الثاني من محاضرة Anatomy and Physiology of + +3 +00:00:12,750 --> 00:00:16,470 +Cerebral Hemisphere شرحت لكم في الجزء الأول + +4 +00:00:16,470 --> 00:00:19,990 +Frontal Lobe و Parietal Lobe الآن نتكلم على + +5 +00:00:19,990 --> 00:00:24,770 +Important Sulci of Temporal Lobe في ال Temporal + +6 +00:00:24,770 --> 00:00:35,200 +Lobe في Two Sulci في هنا Superior هذا Lateral وهنا + +7 +00:00:35,200 --> 00:00:41,700 +عندي اللي هو Central Sulcus الآن راح أتكلّم على + +8 +00:00:41,700 --> 00:00:46,940 +اللي هو Temporal Lobe سهلة Temporal Lobe فيها + +9 +00:00:46,940 --> 00:00:53,780 +Superior Temporal Sulcus تحت ال Lateral في شهر + +10 +00:00:53,780 --> 00:01:00,780 +بيكون وفي عندي Inferior Temporal Sulcus هذول + +11 +00:01:00,780 --> 00:01:08,580 +بيقسمونا Temporal Lobe لـ Superior Temporal Gyrus و + +12 +00:01:08,580 --> 00:01:13,320 +Inferior Temporal Gyrus و بينهم Middle Temporal + +13 +00:01:13,320 --> 00:01:17,060 +Gyrus هذه تقسيمة الـ Temporal Lobe Superior + +14 +00:01:17,060 --> 00:01:21,360 +Temporal Gyrus Middle Temporal Gyrus Inferior + +15 +00:01:21,360 --> 00:01:26,840 +Temporal Gyrus هي واضحين Superior Temporal Gyrus + +16 +00:01:26,840 --> 00:01:32,880 +بيجي بين الـ Lateral Fissure و Superior Temporal + +17 +00:01:32,880 --> 00:01:36,820 +Sulcus الـ Middle Temporal Gyrus بيجي بين ال + +18 +00:01:36,820 --> 00:01:42,320 +Superior و Inferior Temporal Sulci و ال Inferior + +19 +00:01:42,320 --> 00:01:46,960 +Temporal Gyrus تجي تحت أو Below the Inferior + +20 +00:01:46,960 --> 00:02:01,580 +Temporal Sulcus Okay فنتقل + +21 +00:02:03,560 --> 00:02:08,360 +Important Functional Area of the Temporal Lobe في + +22 +00:02:08,360 --> 00:02:13,780 +Area 41 42 اللي هي Primary Auditory Area For + +23 +00:02:13,780 --> 00:02:19,220 +Hearing اللي هي علاقة في ال Function of the + +24 +00:02:19,220 --> 00:02:23,680 +Hearing موجودة في Superior Temporal Gyrus وظيفتها + +25 +00:02:23,680 --> 00:02:27,560 +Auditory Sensory Area Auditory Sensory Area + +26 +00:02:27,560 --> 00:02:35,880 +Sensory Speech Area أو بنسميها Wernicke's Area + +27 +00:02:35,880 --> 00:02:43,060 +22 موجودة في Superior Temporal Lobe في ال Dominant + +28 +00:02:43,060 --> 00:02:47,820 +Hemisphere وظيفتها Auditory Association Area + +29 +00:02:47,820 --> 00:02:51,060 +Recognition and Recall of Sound يعني بسألك سؤال + +30 +00:02:51,060 --> 00:03:00,230 +كيف حالك؟ أنت فهمت سمعت بال Area 41 42 ال Area 41 42 + +31 +00:03:00,230 --> 00:03:07,390 +مرتبطة مع ال Area 22 22 حلل إيش سمع قولتله كيف + +32 +00:03:07,390 --> 00:03:12,210 +حالك فهم أنه أنا سألته كيف حالك حللها وبيعطي إشارة + +33 +00:03:12,210 --> 00:03:18,070 +من 22 لـ Area 44 لـ إيه لنطق و بيتكلم بيقول الحمد + +34 +00:03:18,070 --> 00:03:22,360 +لله يبقى وظيفتها Auditory Association Area + +35 +00:03:22,360 --> 00:03:28,000 +Recognition and Recall of Sound لو حدث فيها مشكلة + +36 +00:03:28,000 --> 00:03:34,620 +تعطينا شيء اسمه Sensory Aphasia أو Wernicke's Aphasia + +37 +00:03:34,620 --> 00:03:39,220 +يعني كيف بقوله بحط إيده على شفتي عشان ما يفهمش + +38 +00:03:39,220 --> 00:03:43,620 +بالشفاف بلغة الشفاف بقوله كيف حالك بقول اسم محمد + +39 +00:03:43,620 --> 00:03:48,530 +وين ساكن بيقول الحمد لله أنا بسأله شيء و هو بيجاوب + +40 +00:03:48,530 --> 00:03:53,070 +شيء ثاني لإن هو ما فهم سمع لكن ما فهم إيش أنا سألته + +41 +00:03:53,070 --> 00:03:57,670 +في Limbic System آخر شيء الآنقص و الHippocampus + +42 +00:03:57,670 --> 00:04:00,350 +موجودين في ال Temporal Lobe اللي هم علاقة بالـ Smell + +43 +00:04:00,350 --> 00:04:05,350 +Function و بالـ Memory و الـ Mood و المزاج و الذاكرة + +44 +00:04:05,350 --> 00:04:12,990 +وحاسة الشم هي Area 41 42 أو 42 أو 22 يكون تحتها + +45 +00:04:14,420 --> 00:04:19,300 +الآن بنتقل لـ Occipital Lobe اللي مهم جدا لموضوع + +46 +00:04:19,300 --> 00:04:24,000 +الـ Vision وظيفتها Cortical Center for Vision ال + +47 +00:04:24,000 --> 00:04:27,100 +Temporal Lobe اللي علاقة بالـ Smell Function و بال + +48 +00:04:27,100 --> 00:04:30,540 +Hearing ال Occipital Lobe اللي علاقة بالـ Vision + +49 +00:04:30,540 --> 00:04:37,060 +فيها Superior Occipital Gyrus و فيها Inferior + +50 +00:04:37,060 --> 00:04:43,300 +Occipital Gyrus طيب في ال Medial في ال Medial Surface + +51 +00:04:43,300 --> 00:04:46,560 +في Parietal Occipital Sulcus بيكون واضح على ال + +52 +00:04:46,560 --> 00:04:51,660 +Lateral بيكون واضح على ال Medial وفيها Sulcus داخلها + +53 +00:04:51,660 --> 00:04:59,780 +اسمه Lateral Sulcus هايه Lateral Sulcus أنا مش + +54 +00:04:59,780 --> 00:05:04,840 +معلق عليهم في ال Slide وفيه لون Sulci + +55 +00:05:06,250 --> 00:05:09,330 +طبعا في ال Medial Surface في شيء اسمه Calcarine + +56 +00:05:09,330 --> 00:05:13,050 +Sulcus ال Transverse أو ال Lateral Sulcus بقسم + +57 +00:05:13,050 --> 00:05:17,150 +منها ال Occipital Lobe لـ Superior Occipital Gyrus + +58 +00:05:17,150 --> 00:05:22,710 +و Inferior Occipital Gyrus حد تقسمت اللي هي + +59 +00:05:22,710 --> 00:05:24,290 +Occipital Lobe + +60 +00:05:30,680 --> 00:05:37,140 +هي واضح عندي هنا الـ Parietal Occipital Sulcus بيكون في + +61 +00:05:37,140 --> 00:05:42,240 +ال Medial Surface of Cerebral Hemisphere هذا اسمه + +62 +00:05:42,240 --> 00:05:47,640 +Calcarine Sulcus بيكون كمان واضح في ال Medial + +63 +00:05:47,640 --> 00:05:50,480 +Surface of Cerebral Hemisphere + +64 +00:05:54,610 --> 00:05:59,270 +لما نتكلّم عن ال Important Functional Area of + +65 +00:05:59,270 --> 00:06:04,090 +Occipital Lobe نتكلّم على Area 17 اللي هي تعتبر ال + +66 +00:06:04,090 --> 00:06:07,570 +Primary Visual Sensory Area موجودة في ال Posterior + +67 +00:06:07,570 --> 00:06:11,250 +Medial Part of Occipital Lobe حوالي الـ Calcarine + +68 +00:06:11,250 --> 00:06:14,750 +Sulcus بتكون وظيفتها Visual Sensory Area + +69 +00:06:14,750 --> 00:06:19,550 +Perception of Visual Impulses لو أحد أتضرر فيها + +70 +00:06:19,550 --> 00:06:27,040 +ممكن عند المريض ي.. لاقيه عنده الـ Visual Agnosia + +71 +00:06:27,040 --> 00:06:32,600 +ما يعرفش الأشياء أو الصور بما يخصها أو + +72 +00:06:32,600 --> 00:06:36,400 +Contralateral + +73 +00:06:36,400 --> 00:06:39,700 +Hemianopia + +74 +00:06:39,700 --> 00:06:44,820 +يفقد مجال الإبصار على ال Opposite Side في ال Both + +75 +00:06:44,820 --> 00:06:51,730 +Eyes Secondary اللي هي Psychic Area الـ ال + +76 +00:06:51,730 --> 00:06:55,470 +Secondary Psychic Area هذه بيسميها Area 18 19 + +77 +00:06:55,470 --> 00:06:58,970 +هذه 18 19 لو حدث فيها Damage + +78 +00:07:00,120 --> 00:07:04,280 +بتعمل لنا الـ Visual Agnosia و Area 17 لو حدث فيها + +79 +00:07:04,280 --> 00:07:08,540 +Damage بتعمل لنا Contralateral Hemianopia 18-19 + +80 +00:07:08,540 --> 00:07:12,320 +موجودة أمام الـ 17 بتكون و وظيفتها Visual + +81 +00:07:12,320 --> 00:07:17,360 +Association Area Recognition and Recall of Image + +82 +00:07:17,360 --> 00:07:23,540 +هي 17 و أمامها بيكون 18 و 19 هيك بيكون أنا + +83 +00:07:23,540 --> 00:07:29,060 +شرحت لكم الـ Frontal, Parietal, Temporal و Occipital + +84 +00:07:29,060 --> 00:07:33,020 +Lobe of Cerebral Hemisphere في بعض الكتب بيحطوا + +85 +00:07:33,020 --> 00:07:36,620 +Lobe خامس اسمه Insula و أحيانًا بيشرحوه على وحدها + +86 +00:07:36,620 --> 00:07:41,590 +Insula الإنسولة بتكون في المكان هذا داخل بتكون وأن + +87 +00:07:41,590 --> 00:07:43,430 +الـ Lateral Fissure لو فتحنا الـ Lateral Fissure + +88 +00:07:43,430 --> 00:07:47,250 +بتلاقيها داخل الـ Lateral Fissure لبيول صغيرة لبيول + +89 +00:07:47,250 --> 00:07:50,670 +صغيرة هي و الإنسولة هي عبارة عن جزء من ال Cerebral + +90 +00:07:50,670 --> 00:07:56,830 +Cortex موجودة في ال Bottom of Lateral Sulcus داخل + +91 +00:07:56,830 --> 00:08:02,490 +إيش الـ Lateral Sulcus بتكون من Two Long Gyri + +92 +00:08:02,490 --> 00:08:08,070 +Behind خلفية و Three لـ Four Short Gyri في الأمام + +93 +00:08:08,760 --> 00:08:12,560 +الـ Function بتاعة الإنسلا هي Cortical Taste + +94 +00:08:12,560 --> 00:08:16,760 +Center and Some Visceral Activity اللي علاقة في + +95 +00:08:16,760 --> 00:08:20,700 +Regulation of Saliva لإن هي اللي بتعمل Regulation + +96 +00:08:20,700 --> 00:08:24,500 +للـ Parasympathetic Nuclei in the Brainstem و + +97 +00:08:24,500 --> 00:08:28,720 +التذوق موضوع التذوق الـ Taste Sensation هي تعتبر + +98 +00:08:28,720 --> 00:08:32,980 +مركز بتاع التذوق لإن هي تعتبر A Cortical Center + +99 +00:08:32,980 --> 00:08:39,270 +For Taste Sensation هذه الإنسولة هنا بتكون واضحة + +100 +00:08:39,270 --> 00:08:44,530 +الإنسولة هنا وبين هذا اللوبيول صغير هذه كلها تعتبر + +101 +00:08:44,530 --> 00:08:56,490 +إيش الإنسولة بتكون داخل الـ Lateral Fissure اللي + +102 +00:08:56,490 --> 00:09:01,600 +نتكلم عن ال Internal Structure of الـ Cerebrum بتكون + +103 +00:09:01,600 --> 00:09:07,380 +من الـ Gray Matter اللي بتكون More Outer وهما عبارة + +104 +00:09:07,380 --> 00:09:12,540 +عن Cells Neuron و Neuroglial بتكون من ال White + +105 +00:09:12,540 --> 00:09:17,450 +Matter اللي عبارة عن Fibers راح أتكلّم عنهم و Basal + +106 +00:09:17,450 --> 00:09:20,650 +Nuclei راح ناخذهم في المحاضرة القادمة إن شاء الله + +107 +00:09:20,650 --> 00:09:26,370 +الـ Basal Nuclei من ضمنهم Corpus Striatum بيوتامين + +108 +00:09:26,370 --> 00:09:31,450 +Globus Pallidus و هكذا و الـ Lateral Ventricle ال + +109 +00:09:31,450 --> 00:09:35,150 +Lateral Ventricle هي عبارة عن Cavity of Cerebral + +110 +00:09:35,150 --> 00:09:38,810 +Hemisphere إنها Right and Left Lateral Ventricles + +111 +00:09:38,810 --> 00:09:43,320 +Two Lateral Ventricles زي ما تشوفين هنا اللي هي الـ + +112 +00:09:43,320 --> 00:09:47,860 +Gray Matter بتكون More Outer القشرة تبع الدماغ في + +113 +00:09:47,860 --> 00:09:51,060 +الداخل بيكون الـ Inner الـ White Matter في Basal + +114 +00:09:51,060 --> 00:09:55,280 +Nuclei بيكونوا عبارة عن Gray Matter في نهاية أو + +115 +00:09:55,280 --> 00:09:59,820 +تحت الـ Cerebral Hemisphere الـ Diencephalon فيه ال + +116 +00:09:59,820 --> 00:10:03,180 +Cavity of Cerebral Hemisphere بيعتبروا Left و + +117 +00:10:03,180 --> 00:10:10,040 +Right Lateral Ventricles بتكلّم على الـ White Matter + +118 +00:10:10,040 --> 00:10:14,240 +of Cerebrum الـ White Matter of Cerebrum هم عبارة + +119 +00:10:14,240 --> 00:10:17,640 +عن Myelinated Fibers Myelinated Fibers يعني هم + +120 +00:10:17,640 --> 00:10:21,540 +White ليش سموهم White؟ ليش هم بيض؟ لأن في حواليهم + +121 +00:10:21,540 --> 00:10:25,480 +غلاف اسمه Myelin الـ Myelin هذا الغلاف لونه أبيض + +122 +00:10:25,480 --> 00:10:29,200 +سموهم إيه؟ Myelin طب ليش الـ Gray Matter سموها + +123 +00:10:29,200 --> 00:10:33,380 +Gray؟ لأنها Unmyelinated أو Non Myelinated مافيها + +124 +00:10:33,380 --> 00:10:38,200 +غلاف أبيض من الـ Myelin بتنقسم لثلاثة أنواع هذه ال + +125 +00:10:38,200 --> 00:10:44,370 +White Matter Projection Fibers و Association Fibers + +126 +00:10:44,370 --> 00:10:50,110 +و Commissural Fibers الـ Projection Fibers وظيفتهم + +127 +00:10:50,110 --> 00:10:53,030 +يربطوا الـ Cerebrum مع الـ Brain Stem Spinal Cord + +128 +00:10:53,030 --> 00:10:56,950 +أو العكس صحيح إذا كانوا Sensory Fibers من Spinal + +129 +00:10:56,950 --> 00:11:01,050 +Cord لـ Cerebrum هذه علاقة بالـ Projection Fibers + +130 +00:11:01,050 --> 00:11:05,650 +مثل Ascending و Ascending Tracts Association + +131 +00:11:05,650 --> 00:11:10,650 +Fibers هذي بتربط Different Area in Same Cerebral + +132 +00:11:10,650 --> 00:11:13,850 +Hemisphere يعني الـ Frontal مع الـ Parietal ال + +133 +00:11:13,850 --> 00:11:15,930 +Parietal مع الـ Temporal الـ Frontal مع الـ Temporal + +134 +00:11:15,930 --> 00:11:20,170 +الـ Gyri الـ Superior Temporal مع الـ Inferior + +135 +00:11:20,170 --> 00:11:22,350 +Temporal الـ Superior Temporal مع الـ Middle + +136 +00:11:22,350 --> 00:11:26,590 +Temporal لكن أهم شيء في نفس الـ Cerebral Hemisphere + +137 +00:11:26,590 --> 00:11:30,110 +هذي بيسموه Association Fibers يبقى إنهم وظيفتهم + +138 +00:11:30,110 --> 00:11:34,350 +Connect Different Area of the Same Cerebral + +139 +00:11:34,350 --> 00:11:39,250 +Hemisphere Commissural Fibers Connect Similar Area + +140 +00:11:39,250 --> 00:11:42,430 +of Both Cerebral Hemispheres يعني إيه؟ Frontal + +141 +00:11:42,430 --> 00:11:46,870 +Lobe Right مع Frontal Lobe Left Right مع Right + +142 +00:11:46,870 --> 00:11:49,690 +Left, Occipital Right مع Occipital Left هذه ال + +143 +00:11:49,690 --> 00:11:52,750 +Connection بينهم بين الـ Right و الـ Left اسمها إيه؟ + +144 +00:11:52,750 --> 00:11:54,070 +Commissural Fibers + +145 +00:11:58,810 --> 00:12:02,150 +تحت لفوق أو من فوق لتحت هذه تعتبر Projection + +146 +00:12:02,150 --> 00:12:07,350 +Fibers إما Descending Tract وإما Ascending Tract + +147 +00:12:07,350 --> 00:12:12,350 +على سبيل المثال Lateral Spinothalamic Tract يعتبر + +148 +00:12:12,350 --> 00:12:16,390 +Ascending Sensory It is a Projection Fibers أو + +149 +00:12:17,550 --> 00:12:20,970 +Corticospinal Tract هذا الـ Descending Motor يعتبر + +150 +00:12:20,970 --> 00:12:24,290 +Projection Fibers تمام طب الـ Right مع الـ Left أو + +151 +00:12:24,290 --> 00:12:26,910 +الـ Left مع الـ Right هذي Commissural Fibers مثل + +152 +00:12:26,910 --> 00:12:30,930 +Corpus Callosum طب Different Area في نفس الـ Cerebral + +153 +00:12:30,930 --> 00:12:37,210 +Hemisphere هذي Association Fibers نتكلّم كلمتين على + +154 +00:12:37,210 --> 00:12:42,070 +Projection Fibers أنا شرحتهم هم عبارة عن Afferent + +155 +00:12:42,070 --> 00:12:45,410 +and Efferent Fibers هو عبارة عن Ascending and + +156 +00:12:45,410 --> 00:12:51,260 +Descending Tracks أو Afferent Fibers أو Tracks أو + +157 +00:12:51,260 --> 00:12:57,840 +Motor and Sensory Tracks of the Cerebral Cortex + +158 +00:12:57,840 --> 00:13:02,140 +Which Connect the Cerebral Cortex with the Lower + +159 +00:13:02,140 --> 00:13:05,580 +Part of Brain and Spinal Cord أو العكس صحيح + +160 +00:13:05,580 --> 00:13:10,400 +Connect Lower Part اللي هو Brainstem و Spinal Cord + +161 +00:13:10,400 --> 00:13:13,320 +With Cerebral Hemisphere إذا بتحدث عن إيه + +162 +00:13:13,320 --> 00:13:16,480 +Ascending Tracks من قسم إلى قسمين الـ Projection + +163 +00:13:16,480 --> 00:13:20,340 +Fibers Ascending أو Afferent أو Sensory Tracks + +164 +00:13:20,340 --> 00:13:24,960 +اللي هم بيربطوا Spinal Cord مع الـ Cortex أو + +165 +00:13:24,960 --> 00:13:29,580 +Thalamus هذا الـ Sensory Tracks أو العكس Descending + +166 +00:13:29,580 --> 00:13:33,480 +Tracks أو Motor بيربطوا إيش الـ Cortex مع الـ Lower + +167 +00:13:33,480 --> 00:13:37,260 +Centers Cortex مع Brainstem Cortex مع Spinal Cord + +168 +00:13:39,210 --> 00:13:45,730 +Association Fibers Fibers اللي بيربط مختلفة + +169 +00:13:45,730 --> 00:13:49,390 +المنطقة الكورتكالية في نفس الهيمسفير السرابرال + +170 +00:13:49,390 --> 00:13:52,730 +يعني بيربطوا الـ Left Frontal مع الـ Left Parietal + +171 +00:13:52,730 --> 00:13:55,530 +Left Parietal مع Left Occipital أو Left Occipital-Temporal + +172 +00:13:55,530 --> 00:14:01,190 +و هكذا في Short Association Fibers بيعملوا + +173 +00:14:01,190 --> 00:14:06,710 +Connection Between Adjacent Gyri With One Another + +174 +00:14:06,710 --> 00:14:11,260 +يعني ياخذوا Superior Temporal مع الـ Middle + +175 +00:14:11,260 --> 00:14:14,240 +Temporal يعني هتجرب على بعض المسافة جريبة بيكون + +176 +00:14:14,240 --> 00:14:18,240 +هذه Short Fibers تبقى ده بيربطهم Different Lobes + +177 +00:14:18,240 --> 00:14:23,480 +يعني نقول Superior Temporal مع Middle أو مع + +178 +00:14:23,480 --> 00:14:27,300 +Inferior Frontal Different Lobes ال Fibers هتكون + +179 +00:14:27,300 --> 00:14:31,640 +طويلة هذه بنسميها Long Association Fibers Connect + +180 +00:14:31,640 --> 00:14:36,270 +Different Lobes لكن شرط ثاني يكونوا إيه؟ Of the + +181 +00:14:36,270 --> 00:14:38,730 +Same Cerebral Hemisphere من نفس الـ Cerebral + +182 +00:14:38,730 --> 00:14:42,290 +Hemisphere الـ Commissural Fibers النوع الثالث + +183 +00:14:42,290 --> 00:14:47,030 +اللي تكلمت عنه عبارة عن Bands of White Matter أو + +184 +00:14:47,030 --> 00:14:51,050 +Nerve Fibers Connecting and Coordinating of + +185 +00:14:51,050 --> 00:14:54,970 +Activities of the Right and Left Cerebral + +186 +00:14:54,970 --> 00:15:00,790 +Hemisphere Connect Same Area لكن in Both Cerebral + +187 +00:15:00,790 --> 00:15:05 + +201 +00:16:08,680 --> 00:16:10,500 +الـ course راح تسمعوا فيها كتير الـ internal + +202 +00:16:10,500 --> 00:16:14,120 +capsule يقولون هي عبارة عن ايه؟ white matter و + +203 +00:16:14,120 --> 00:16:18,520 +thick lamina made up of projection fibers بيمروا + +204 +00:16:18,520 --> 00:16:21,900 +فيها ال projection ايه؟ fibers ascending و + +205 +00:16:21,900 --> 00:16:26,680 +descending tracts which pass to and from cerebral + +206 +00:16:26,680 --> 00:16:32,000 +hemisphere إذا sensory to cerebral hemisphere إذا + +207 +00:16:32,000 --> 00:16:37,100 +motor from cerebral hemisphere okay it is + +208 +00:16:37,100 --> 00:16:40,620 +continuous superiorly with corona radiata من أعلى + +209 +00:16:40,620 --> 00:16:42,720 +بيحدد حاجة اسمها corona radiata في ال white matter + +210 +00:16:43,470 --> 00:16:49,950 +and inferiorly تحت مع ال cerebral peduncles بتاعة + +211 +00:16:49,950 --> 00:16:52,810 +ال middle brain بسميهم peduncles of middle brain + +212 +00:16:52,810 --> 00:16:56,630 +أو cerebral peduncles لها ثلاث أجزاء هذه ال + +213 +00:16:56,630 --> 00:17:01,110 +internal capsule anterior limb short و posterior + +214 +00:17:01,110 --> 00:17:05,670 +limb long و الكوع اللي في النص اسمه genu أو apex + +215 +00:17:05,670 --> 00:17:09,970 +هيا + +216 +00:17:09,970 --> 00:17:22,620 +نشوفها هنا هذه الـ internal capsule اللي + +217 +00:17:22,620 --> 00:17:26,880 +هي جزء أمامي short و اللي هي جزء خلفي long يبقى + +218 +00:17:26,880 --> 00:17:33,180 +هذه anterior limb وهذه posterior limb وهذه genu + +219 +00:17:33,180 --> 00:17:38,060 +أو apex الكوع بتاعها طب ماحدش يسأل ليش سموها + +220 +00:17:38,060 --> 00:17:43,970 +internal capsule لأنها located internal لـ + +221 +00:17:43,970 --> 00:17:49,210 +Lentiform Nucleus الـ Lentiform Nucleus الـ + +222 +00:17:49,210 --> 00:17:54,290 +Lentiform Nucleus الـ Lentiform Nucleus الـ + +223 +00:17:54,290 --> 00:17:58,650 +Lentiform + +224 +00:17:58,650 --> 00:18:00,570 +Nucleus + +225 +00:18:02,540 --> 00:18:06,240 +internal للـ Lentiform Nucleus للـ Lentiform Nucleus + +226 +00:18:06,240 --> 00:18:08,820 +للـ Lentiform Nucleus للـ Lentiform Nucleus للـ Lentiform + +227 +00:18:08,820 --> 00:18:11,660 +Nucleus للـ Lentiform Nucleus للـ Lentiform Nucleus + +228 +00:18:11,660 --> 00:18:12,940 +للـ Lentiform Nucleus للـ Lentiform Nucleus للـ Lentiform + +229 +00:18:12,940 --> 00:18:15,060 +Nucleus للـ Lentiform Nucleus للـ Lentiform Nucleus + +230 +00:18:15,060 --> 00:18:19,860 +للـ Lentiform Nucleus للـ Lentiform Nucleus للـ Lentiform + +231 +00:18:19,860 --> 00:18:23,300 +Nucleus + +232 +00:18:23,300 --> 00:18:28,840 +للـ Lentiform Nucleus للـ Lentiform Nucleus للـ Lentiform Nucleus للـ + +233 +00:18:28,840 --> 00:18:28,920 +Lentiform + +234 +00:18:32,970 --> 00:18:36,690 +الـ External Capsule سموها External Capsule عشانها + +235 +00:18:36,690 --> 00:18:40,990 +located external للـ Lentiform Nucleus أو + +236 +00:18:40,990 --> 00:18:44,270 +بنسميها lateral للـ Lentiform Nucleus يبقى الـ + +237 +00:18:44,270 --> 00:18:47,390 +External Capsule عبارة عن Thin Layer of White + +238 +00:18:47,390 --> 00:18:50,710 +Matter which covers the lateral surface of + +239 +00:18:50,710 --> 00:18:54,310 +Lentiform Nucleus and separating the Lentiform + +240 +00:18:54,310 --> 00:18:58,410 +Nucleus from the Claustrum يبقى نهايتها اللي هي ال + +241 +00:18:58,410 --> 00:19:03,390 +External Capsule بتيجي على ال lateral surface of + +242 +00:19:03,390 --> 00:19:06,530 +lentiform nucleus وبتفصل ما بين ال lentiform + +243 +00:19:06,530 --> 00:19:10,670 +nucleus عن ال claustrum اللي هي هدول جزء من ال + +244 +00:19:10,670 --> 00:19:14,310 +بزاز النووية إن شاء الله راح ناخدهم في المحاضرة + +245 +00:19:14,310 --> 00:19:17,950 +القادمة إن شاء الله على البيزاز النووية هيك أنا + +246 +00:19:17,950 --> 00:19:23,270 +بكون شرحتلكم ال cerebral hemisphere كله و ال white + +247 +00:19:23,270 --> 00:19:27,030 +matter بتاعته يعطيكم الف عافية و دمتم بالف diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/Tc4x5qe2wTI_raw.json b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/Tc4x5qe2wTI_raw.json new file mode 100644 index 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"end": 634.7, "word": " من", "probability": 0.994140625}, {"start": 634.7, "end": 634.8, "word": " ال", "probability": 0.90234375}, {"start": 634.8, "end": 635.24, "word": " myelin", "probability": 0.835205078125}, {"start": 635.24, "end": 637.04, "word": " بتنقسم", "probability": 0.910400390625}, {"start": 637.04, "end": 637.42, "word": " لثلاث", "probability": 0.855712890625}, {"start": 637.42, "end": 637.8, "word": " أنواع", "probability": 0.970703125}, {"start": 637.8, "end": 638.08, "word": " هذه", "probability": 0.5302734375}, {"start": 638.08, "end": 638.2, "word": " ال", "probability": 0.97509765625}, {"start": 638.2, "end": 638.42, "word": " white", "probability": 0.771484375}, {"start": 638.42, "end": 638.82, "word": " matter", "probability": 0.88671875}, {"start": 638.82, "end": 640.1, "word": " projection", "probability": 0.84521484375}, {"start": 640.1, "end": 640.9, "word": " fibers", "probability": 0.9345703125}], "temperature": 1.0}, {"id": 26, "seek": 66391, "start": 642.45, "end": 663.91, "text": "و Association Fibers وCommissarial Fibers الـ Projection Fibers وظفتهم يربطوا الـ Cerebrum مع الـ Brain Stem Spinal Cord أو العكس صحيح إذا كانوا Sensory Fibers من Spinal Cord لCerebrum هذه علاقة بالـ Projection Fibers مثل Ascending and Ascending Tracts", "tokens": [2407, 10734, 479, 897, 433, 4032, 39206, 891, 44745, 479, 897, 433, 2423, 39184, 9849, 313, 479, 897, 433, 4032, 19913, 5172, 2655, 16095, 7251, 25513, 9566, 14407, 2423, 39184, 383, 323, 1443, 449, 20449, 2423, 39184, 29783, 745, 443, 1738, 2071, 40267, 34051, 18863, 4117, 3794, 20328, 5016, 1829, 5016, 11933, 15730, 25961, 14407, 40926, 827, 479, 897, 433, 9154, 1738, 2071, 40267, 5296, 34, 323, 1443, 449, 29538, 11203, 995, 28671, 20666, 39184, 9849, 313, 479, 897, 433, 50113, 1211, 1018, 66, 2029, 293, 1018, 66, 2029, 1765, 15295], "avg_logprob": -0.2603600452775541, "compression_ratio": 1.5096153846153846, "no_speech_prob": 0.0, "words": [{"start": 642.45, "end": 642.67, "word": "و", 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651.69, "word": " مع", "probability": 0.96142578125}, {"start": 651.69, "end": 651.89, "word": " الـ", "probability": 0.70166015625}, {"start": 651.89, "end": 652.03, "word": " Brain", "probability": 0.78076171875}, {"start": 652.03, "end": 652.35, "word": " Stem", "probability": 0.543243408203125}, {"start": 652.35, "end": 652.75, "word": " Spinal", "probability": 0.85107421875}, {"start": 652.75, "end": 653.03, "word": " Cord", "probability": 0.8798828125}, {"start": 653.03, "end": 653.25, "word": " أو", "probability": 0.876953125}, {"start": 653.25, "end": 653.57, "word": " العكس", "probability": 0.9801432291666666}, {"start": 653.57, "end": 654.01, "word": " صحيح", "probability": 0.922607421875}, {"start": 654.01, "end": 654.43, "word": " إذا", "probability": 0.913818359375}, {"start": 654.43, "end": 654.69, "word": " كانوا", "probability": 0.978759765625}, {"start": 654.69, "end": 655.17, "word": " Sensory", "probability": 0.877685546875}, {"start": 655.17, "end": 655.75, "word": " Fibers", "probability": 0.9397786458333334}, {"start": 655.75, "end": 656.31, "word": " من", "probability": 0.96044921875}, {"start": 656.31, "end": 656.95, "word": " Spinal", "probability": 0.743408203125}, {"start": 656.95, "end": 657.25, "word": " Cord", "probability": 0.951171875}, {"start": 657.25, "end": 657.85, "word": " لCerebrum", "probability": 0.848046875}, {"start": 657.85, "end": 658.13, "word": " هذه", "probability": 0.54736328125}, {"start": 658.13, "end": 659.73, "word": " علاقة", "probability": 0.7188720703125}, {"start": 659.73, "end": 660.01, "word": " بالـ", "probability": 0.783447265625}, {"start": 660.01, "end": 660.53, "word": " Projection", "probability": 0.91748046875}, {"start": 660.53, "end": 661.05, "word": " Fibers", "probability": 0.9479166666666666}, {"start": 661.05, "end": 661.61, "word": " مثل", "probability": 0.965087890625}, {"start": 661.61, "end": 662.27, "word": " Ascending", "probability": 0.7902018229166666}, {"start": 662.27, "end": 662.73, 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"end": 1167.03, "word": " بالف", "probability": 0.659912109375}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 1167.3135, "duration_after_vad": 1124.2525000000007} \ No newline at end of file diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/Tc4x5qe2wTI_raw.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/Tc4x5qe2wTI_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..20f4238c3f0473ce84ee61cf9ab28618f54398b1 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/Tc4x5qe2wTI_raw.srt @@ -0,0 +1,988 @@ +1 +00:00:04,930 --> 00:00:09,230 +السلام عليكم و رحمة الله و بركاته نكمل الجزء + +2 +00:00:09,230 --> 00:00:12,750 +الثاني من محاضرة anatomy and physiology of + +3 +00:00:12,750 --> 00:00:16,470 +cerebral hemisphere شرحت لكم في الجزء الأول + +4 +00:00:16,470 --> 00:00:19,990 +frontal loop و parietal loop الآن نتكلم على + +5 +00:00:19,990 --> 00:00:24,770 +important salsa of temporal loop في ال temporal + +6 +00:00:24,770 --> 00:00:35,200 +loop في two salsa في هنا superior هذا lateralوهنا + +7 +00:00:35,200 --> 00:00:41,700 +عندي اللي هو central sulcus الان راح اتكلم على + +8 +00:00:41,700 --> 00:00:46,940 +اللي هو temporal loop سهلة temporal loop فيها + +9 +00:00:46,940 --> 00:00:53,780 +superior temporal sulcus تحت ال lateral في شهر + +10 +00:00:53,780 --> 00:01:00,780 +بيكون وفي عندي inferior temporal sulcus هذول + +11 +00:01:00,780 --> 00:01:08,580 +بيقسمونا temporal loopلـ Superior Temporal Gyrus و + +12 +00:01:08,580 --> 00:01:13,320 +Inferior Temporal Gyrus و بينهم Middle Temporal + +13 +00:01:13,320 --> 00:01:17,060 +Gyrus هذه تقسيمة الـ Temporal Loop Superior + +14 +00:01:17,060 --> 00:01:21,360 +Temporal Gyrus Middle Temporal Gyrus Inferior + +15 +00:01:21,360 --> 00:01:26,840 +Temporal Gyrus هي واضحين Superior Temporal Gyrus + +16 +00:01:26,840 --> 00:01:32,880 +بيجي بين الـ Lateral Fissure و Superiortemporal + +17 +00:01:32,880 --> 00:01:36,820 +sulcus الـ middle temporal gyrus بيجي بين ال + +18 +00:01:36,820 --> 00:01:42,320 +superior و inferior temporal sulci و ال inferior + +19 +00:01:42,320 --> 00:01:46,960 +temporal gyrus تجي تحت أو below the inferior + +20 +00:01:46,960 --> 00:02:01,580 +temporal sulcus okay فنتقل + +21 +00:02:03,560 --> 00:02:08,360 +important functional area of the temporal loop في + +22 +00:02:08,360 --> 00:02:13,780 +area 4142 اللي هي primary auditory area for + +23 +00:02:13,780 --> 00:02:19,220 +hearing اللي هي علاقة في ال function of the + +24 +00:02:19,220 --> 00:02:23,680 +hearing موجودة في superior temporal gyrus وظيفتها + +25 +00:02:23,680 --> 00:02:27,560 +auditory sensory area auditory sensory area + +26 +00:02:27,560 --> 00:02:35,880 +sensory speech areaأو بنسميها Vernix Center Area + +27 +00:02:35,880 --> 00:02:43,060 +22 موجودة في superior temporal loop في ال dominant + +28 +00:02:43,060 --> 00:02:47,820 +hemisphere وظيفتها auditory association area + +29 +00:02:47,820 --> 00:02:51,060 +recognition and recall of sound يعني بسألك سؤال + +30 +00:02:51,060 --> 00:03:00,230 +كيف حالك؟انت فهمت سمعت بال area 4142 ال area 4142 + +31 +00:03:00,230 --> 00:03:07,390 +مرتبطة مع ال area 22 22 حلل ايش سمع قولتله كيف + +32 +00:03:07,390 --> 00:03:12,210 +حالك فهم انه انا سألته كيف حالك حللها وبيعطي اشارة + +33 +00:03:12,210 --> 00:03:18,070 +من 22 ل area 44 ل ايه لنطق و بيتكلم بيقول الحمد + +34 +00:03:18,070 --> 00:03:22,360 +للهيبقى موظفتها auditory association area + +35 +00:03:22,360 --> 00:03:28,000 +recognition and recall of sound لو حدث فيها مشكلة + +36 +00:03:28,000 --> 00:03:34,620 +تعطينا شي اسمه sensory aphasia او vernix aphasia + +37 +00:03:34,620 --> 00:03:39,220 +يعني كيف بقوله بحط ايده على شفتي عشان مايفهماش + +38 +00:03:39,220 --> 00:03:43,620 +بالشفاف بلغة الشفاف بقوله كيف حالك بقول اسم محمد + +39 +00:03:43,620 --> 00:03:48,530 +وين ساكنبيقول الحمد لله أنا بسأله شيء و هو بيجاوب + +40 +00:03:48,530 --> 00:03:53,070 +شيء ثاني لإن هو مافهم سمع لكن مافهم إيش أنا سألته + +41 +00:03:53,070 --> 00:03:57,670 +في limbic system أخر شيء الانقص و الhypocampus + +42 +00:03:57,670 --> 00:04:00,350 +موجودين في ال timbral loop اللي هم علاقة بال smell + +43 +00:04:00,350 --> 00:04:05,350 +function و بال memory و ال mood و المزاج و الذاكرة + +44 +00:04:05,350 --> 00:04:12,990 +و حاسة الشمس هي area 41 42 أو 42 أو 22 يكون تحتها + +45 +00:04:14,420 --> 00:04:19,300 +الان بنتقل لـ occipital loop اللي مهم جدا لموضوع + +46 +00:04:19,300 --> 00:04:24,000 +ال vision موظفتها cortical center for vision ال + +47 +00:04:24,000 --> 00:04:27,100 +timbral loop اللي علاقة بالسميل فانكشن و بال + +48 +00:04:27,100 --> 00:04:30,540 +hearing ال occipital loop اللي علاقة بال vision + +49 +00:04:30,540 --> 00:04:37,060 +فيها superior occipital gyrus و فيها inferior + +50 +00:04:37,060 --> 00:04:43,300 +occipital gyrus طيب في ال mediaفي ال media service + +51 +00:04:43,300 --> 00:04:46,560 +في برايتو اكسيبتال سالكس بيكونش واضع على ال + +52 +00:04:46,560 --> 00:04:51,660 +lateral بيكون واضع على ال media وفيها سلسلة داخلها + +53 +00:04:51,660 --> 00:04:59,780 +اسمه lateral salkas هايه lateral salkas انا مش + +54 +00:04:59,780 --> 00:05:04,840 +معلق عليهم في ال slide وفيه لونات salkas + +55 +00:05:06,250 --> 00:05:09,330 +طبعا في ال media service في شي اسمه calcarin + +56 +00:05:09,330 --> 00:05:13,050 +sulcus ال transverse او ال lateral sulcus بقسم + +57 +00:05:13,050 --> 00:05:17,150 +منها ال occipital loop ل superior occipital gyrus + +58 +00:05:17,150 --> 00:05:22,710 +و inferior occipital gyrus حد تقسمت اللي هي + +59 +00:05:22,710 --> 00:05:24,290 +occipital loop + +60 +00:05:30,680 --> 00:05:37,140 +هي واضح عندى هنا البرايتو أكسيبتال سالكاس بيكون في + +61 +00:05:37,140 --> 00:05:42,240 +ال medial service of cerebral hemisphere هذا اسمه + +62 +00:05:42,240 --> 00:05:47,640 +Calcarine Salcus بيكون كمان واضح في ال media + +63 +00:05:47,640 --> 00:05:50,480 +service of cerebral hemisphere + +64 +00:05:54,610 --> 00:05:59,270 +لما نتكلم عن ال important functional area of + +65 +00:05:59,270 --> 00:06:04,090 +occipital lobe نتكلم على area 17 اللي هي تعتبر ال + +66 +00:06:04,090 --> 00:06:07,570 +primary visual sensory area موجودة في ال posterior + +67 +00:06:07,570 --> 00:06:11,250 +medial part of occipital lobe حوالين الكلكرين + +68 +00:06:11,250 --> 00:06:14,750 +السلكس بتكون وظيفتها visual sensory area + +69 +00:06:14,750 --> 00:06:19,550 +perception of visual impulses لو حد اتذمج فيها + +70 +00:06:19,550 --> 00:06:27,040 +ممكن عند المريض ي ..لاجه عنده الهو visual agnosia + +71 +00:06:27,040 --> 00:06:32,600 +ما بعرفش الأشياء أو الصور بما يزهاش أو + +72 +00:06:32,600 --> 00:06:36,400 +Contralateral + +73 +00:06:36,400 --> 00:06:39,700 +Hemianopia + +74 +00:06:39,700 --> 00:06:44,820 +يفقد مجال الإبصار على ال opposite side في ال both + +75 +00:06:44,820 --> 00:06:51,730 +eyessecondary اللي هي psychic area ال .. ال + +76 +00:06:51,730 --> 00:06:55,470 +secondary ب psychic area هذه بيسميها area تمانتاش + +77 +00:06:55,470 --> 00:06:58,970 +تسعتاش هذه تمانتاش تسعتاش لو حدث فيها damage + +78 +00:07:00,120 --> 00:07:04,280 +بتعملنا الهو visual agnosia و area 17 لو حدث فيها + +79 +00:07:04,280 --> 00:07:08,540 +damage بتعملنا contralateral hemianopia 18-19 + +80 +00:07:08,540 --> 00:07:12,320 +موجودة أمام ال 17 بتكون و وظيفتها visual + +81 +00:07:12,320 --> 00:07:17,360 +association area recognition and recall of image + +82 +00:07:17,360 --> 00:07:23,540 +هي 17و أمامها بيكون تمانتاش و تسعتاش هيك بيكون انا + +83 +00:07:23,540 --> 00:07:29,060 +شرحتلكم ال frontal, parietal, temporal و occipital + +84 +00:07:29,060 --> 00:07:33,020 +loop of cerebral hemisphere في بعض الكتب بيحطوا + +85 +00:07:33,020 --> 00:07:36,620 +loop خامس اسمه insula و أحيانا بيشرحوه على وحدها + +86 +00:07:36,620 --> 00:07:41,590 +insulaالانسولة بتكون في المكان هذا داخل بتكون وان + +87 +00:07:41,590 --> 00:07:43,430 +ال lateral fissure لو فتحنا ال lateral fissure + +88 +00:07:43,430 --> 00:07:47,250 +بتلاقيها داخل ال lateral fissure لبيول صغيرة لبيول + +89 +00:07:47,250 --> 00:07:50,670 +صغيرة هي و الانسولة هي عبارة عن جزء من ال cerebral + +90 +00:07:50,670 --> 00:07:56,830 +cortex موجودة في ال bottom of lateral sulcus داخل + +91 +00:07:56,830 --> 00:08:02,490 +ايش ال lateral sulcus بتكون من two long غيراي + +92 +00:08:02,490 --> 00:08:08,070 +behind خلفيات و three ل four short غيراي في الأمام + +93 +00:08:08,760 --> 00:08:12,560 +الـ function بتاعة الإنسلا هي cortical taste + +94 +00:08:12,560 --> 00:08:16,760 +center and some visceral activity اللي علاقة في + +95 +00:08:16,760 --> 00:08:20,700 +regulation of saliva لإن هي اللي بتعمل regulation + +96 +00:08:20,700 --> 00:08:24,500 +للبارا sympathetic nuclei in the brainstem و + +97 +00:08:24,500 --> 00:08:28,720 +التذوق موضوع التذوق ال taste sensation هي تعتبر + +98 +00:08:28,720 --> 00:08:32,980 +المركز بتاع التذوق لإن هي تعتبر a cortical center + +99 +00:08:32,980 --> 00:08:39,270 +for taste sensationهذه الانسولة هنا بتكون واضحة + +100 +00:08:39,270 --> 00:08:44,530 +الانسولة هنا وبين هذا اللوبيول صغير هذه كلها تعتبر + +101 +00:08:44,530 --> 00:08:56,490 +ايش الانسولة بتكون داخل ال lateral fissure اللي + +102 +00:08:56,490 --> 00:09:01,600 +نتكلم عن ال internal structure ofالسيريبرام بتكون + +103 +00:09:01,600 --> 00:09:07,380 +من ال grey matter اللي بتكون more outer وهما عبارة + +104 +00:09:07,380 --> 00:09:12,540 +عن cells نيرون و نيروغليال بتكون من ال white + +105 +00:09:12,540 --> 00:09:17,450 +matter اللي عبارة عن fibersراح اتكلم عنهم و Basal + +106 +00:09:17,450 --> 00:09:20,650 +nuclei راح ناخدهم في المحاضرة القادمة ان شاء الله + +107 +00:09:20,650 --> 00:09:26,370 +ال Basal nuclei من ضمنهم Corpus striatum بيوتامين + +108 +00:09:26,370 --> 00:09:31,450 +Globus pallidus و هكذا و ال lateral ventricle ال + +109 +00:09:31,450 --> 00:09:35,150 +lateral ventricle هي عبارة عن cavity of cerebral + +110 +00:09:35,150 --> 00:09:38,810 +hemisphere انها right and left lateral ventricles + +111 +00:09:38,810 --> 00:09:43,320 +two lateral ventricles زى ما تشوفين هنااللي هي الـ + +112 +00:09:43,320 --> 00:09:47,860 +gray matter بتكون more outer القشرة تبع الدماغ في + +113 +00:09:47,860 --> 00:09:51,060 +الداخل بيكون ال inner ال white matter في بيزل + +114 +00:09:51,060 --> 00:09:55,280 +نوكلياي بيكونوا عبارة عن gray matter في نهاية أو + +115 +00:09:55,280 --> 00:09:59,820 +تحت ال cerebral hemisphere ال diencephalon فيه ال + +116 +00:09:59,820 --> 00:10:03,180 +cavity of cerebral hemisphere بيعتبروا left و + +117 +00:10:03,180 --> 00:10:10,040 +right lateral ventricles بتكلم على ال white matter + +118 +00:10:10,040 --> 00:10:14,240 +of cerebrumالـ white matter of cerebrum هم عبارة + +119 +00:10:14,240 --> 00:10:17,640 +عن myelinated fibers myelinated fibers يعني هم + +120 +00:10:17,640 --> 00:10:21,540 +white ليش سموهم white؟ ليش هم بيض؟ لأن في حواليهم + +121 +00:10:21,540 --> 00:10:25,480 +غلاف اسمه myelin ال myelin هذا الغلاف لونه أبيض + +122 +00:10:25,480 --> 00:10:29,200 +سموهم ايه؟ myelin طب ليش ال grey matter سموها + +123 +00:10:29,200 --> 00:10:33,380 +grey؟ لأنها unmyelinated أو non myelinated مافيها + +124 +00:10:33,380 --> 00:10:38,200 +غلاف أبيض من ال myelin بتنقسم لثلاث أنواع هذه ال + +125 +00:10:38,200 --> 00:10:44,370 +white matter projection fibersو Association Fibers + +126 +00:10:44,370 --> 00:10:50,110 +وCommissarial Fibers الـ Projection Fibers وظفتهم + +127 +00:10:50,110 --> 00:10:53,030 +يربطوا الـ Cerebrum مع الـ Brain Stem Spinal Cord + +128 +00:10:53,030 --> 00:10:56,950 +أو العكس صحيح إذا كانوا Sensory Fibers من Spinal + +129 +00:10:56,950 --> 00:11:01,050 +Cord لCerebrum هذه علاقة بالـ Projection Fibers + +130 +00:11:01,050 --> 00:11:05,650 +مثل Ascending and Ascending Tractsassociation + +131 +00:11:05,650 --> 00:11:10,650 +fibers هذي بتربط different area in same cerebral + +132 +00:11:10,650 --> 00:11:13,850 +hemisphere يعني ال frontal مع ال parietal ال + +133 +00:11:13,850 --> 00:11:15,930 +parietal مع ال temporal ال frontal مع ال temporal + +134 +00:11:15,930 --> 00:11:20,170 +الجيراية ال superior temporal مع ال inferior + +135 +00:11:20,170 --> 00:11:22,350 +temporal ال superior temporal مع ال middle + +136 +00:11:22,350 --> 00:11:26,590 +temporal لكن أهم شيء في نفس ال cerebral hemisphere + +137 +00:11:26,590 --> 00:11:30,110 +هذي بيسموه association fibersيبقى انهم وظيفتهم + +138 +00:11:30,110 --> 00:11:34,350 +connect different area of the same cerebral + +139 +00:11:34,350 --> 00:11:39,250 +hemisphere commissural fibers connect similar area + +140 +00:11:39,250 --> 00:11:42,430 +of both cerebral hemispheres يعني ايه؟ frontal + +141 +00:11:42,430 --> 00:11:46,870 +loop right مع frontal loop left right مع right + +142 +00:11:46,870 --> 00:11:49,690 +left, occipital right مع occipital left هذه ال + +143 +00:11:49,690 --> 00:11:52,750 +connection بينهم بين ال right و ال left اسمها ايه؟ + +144 +00:11:52,750 --> 00:11:54,070 +commissural fibers + +145 +00:11:58,810 --> 00:12:02,150 +تحت لفوق أو من فوق لتحت هذه تعتبر projection + +146 +00:12:02,150 --> 00:12:07,350 +fibers إما descending tract وإما ascending tract + +147 +00:12:07,350 --> 00:12:12,350 +على سبيل المثال lateral spinothalamic tract يعتبر + +148 +00:12:12,350 --> 00:12:16,390 +ascending sensory it is a projection fibers أو + +149 +00:12:17,550 --> 00:12:20,970 +Corticospinal tract هذا الـ Descending motor يعتبر + +150 +00:12:20,970 --> 00:12:24,290 +projection fibers تمام طب ال right مع ال left أو + +151 +00:12:24,290 --> 00:12:26,910 +ال left مع ال right هذي commissural fibers مثل + +152 +00:12:26,910 --> 00:12:30,930 +كوربوس كلوزوم طب different area في نفس ال cerebral + +153 +00:12:30,930 --> 00:12:37,210 +hemisphere هذي association fibers نتكلم كلمتين على + +154 +00:12:37,210 --> 00:12:42,070 +projection fibers أنا شرحتهم هم عبارة عن afferent + +155 +00:12:42,070 --> 00:12:45,410 +and efferent fibers هو عبارة عن ascending and + +156 +00:12:45,410 --> 00:12:51,260 +descending tracksأو afferent fibers أو tracks أو + +157 +00:12:51,260 --> 00:12:57,840 +motor and sensory tracks of the cerebral cortex + +158 +00:12:57,840 --> 00:13:02,140 +which connect the cerebral cortex with the lower + +159 +00:13:02,140 --> 00:13:05,580 +part of brain and spinal cord أو العكس صحيح + +160 +00:13:05,580 --> 00:13:10,400 +connectLower part اللي هو brainstem و spinal cord + +161 +00:13:10,400 --> 00:13:13,320 +with cerebral hemisphere إذا بتحدث عن إيه + +162 +00:13:13,320 --> 00:13:16,480 +ascending tracks من قسم إلى قسمين ال projection + +163 +00:13:16,480 --> 00:13:20,340 +fibers ascending أو afferent أو sensory tracks + +164 +00:13:20,340 --> 00:13:24,960 +اللي هم بيربطوا spinal cord مع ال cortex أو + +165 +00:13:24,960 --> 00:13:29,580 +thalamus هذا ال sensory tracks أو العكس descending + +166 +00:13:29,580 --> 00:13:33,480 +tracks أو motor بيربطوا إيش ال cortex مع ال lower + +167 +00:13:33,480 --> 00:13:37,260 +centers cortex مع brainstem cortex مع spinal cord + +168 +00:13:39,210 --> 00:13:45,730 +Association Fibers Fibers اللي يرتبط مختلفة + +169 +00:13:45,730 --> 00:13:49,390 +المنطقة الكورتكالية في نفس الهيمسفير السرابرال + +170 +00:13:49,390 --> 00:13:52,730 +يعني بيربطوا ال left frontal مع ال left parietal + +171 +00:13:52,730 --> 00:13:55,530 +left parietal مع left occipital أو left octemporal + +172 +00:13:55,530 --> 00:14:01,190 +و هكذا في short Association Fibers بيعملوا + +173 +00:14:01,190 --> 00:14:06,710 +connection between adjacent gyri with one another + +174 +00:14:06,710 --> 00:14:11,260 +يعني ياخدواSuperior temporal مع الـ middle + +175 +00:14:11,260 --> 00:14:14,240 +temporal يعني هتجرب على بعض المسافة جريبة بيكون + +176 +00:14:14,240 --> 00:14:18,240 +هذه short fibers تبقى ده بربطهم different loops + +177 +00:14:18,240 --> 00:14:23,480 +يعني نقول superior temporal مع middle أو مع + +178 +00:14:23,480 --> 00:14:27,300 +inferior frontal different loops ال fibers هتكون + +179 +00:14:27,300 --> 00:14:31,640 +طويلة هذه بنسميها long association fibers connect + +180 +00:14:31,640 --> 00:14:36,270 +different loops لكن شرط تاني يكونوا ايه؟of the + +181 +00:14:36,270 --> 00:14:38,730 +same cerebral hemisphere من نفس الـ cerebral + +182 +00:14:38,730 --> 00:14:42,290 +hemisphere الـ commissural fibers النوع الثالث + +183 +00:14:42,290 --> 00:14:47,030 +اللي اتكلمت عنه عبارة عن bands of white matter او + +184 +00:14:47,030 --> 00:14:51,050 +nerve fibers connecting and coordinating of + +185 +00:14:51,050 --> 00:14:54,970 +activities of the right and left cerebral + +186 +00:14:54,970 --> 00:15:00,790 +hemisphere connect same area لكن in both cerebral + +187 +00:15:00,790 --> 00:15:05,670 +hemispheres right frontal مع left frontalright + +188 +00:15:05,670 --> 00:15:09,270 +temporal مع left temporal و هكذا من ضمن هما دول + +189 +00:15:09,270 --> 00:15:13,910 +أهم شيء كوربوس كالوزوم أهم واحد كوربوس كالوزوم فيه + +190 +00:15:13,910 --> 00:15:17,890 +anterior commissar posterior commissar hypanolar + +191 +00:15:17,890 --> 00:15:21,030 +commissar وhypocampal commissar لكن أهم واحدة فيهم + +192 +00:15:21,030 --> 00:15:28,050 +مين هي ها اللي هي تعتبر ايه كوربوس كالوزوم هنا + +193 +00:15:28,050 --> 00:15:34,930 +فيها ان ايهانتريور كوميشار وفيها بوستيريور كوميشار + +194 +00:15:34,930 --> 00:15:39,950 +وفيها هابينولار كوميشار وفيه داخل شوية بتكون هيبو + +195 +00:15:39,950 --> 00:15:43,990 +كامبر كوميشار هيبو كامبر كوميشار هيك بتكون انا + +196 +00:15:43,990 --> 00:15:48,630 +اتكلمتلكم كمان على ال كوميشار على ال fibers و ال + +197 +00:15:48,630 --> 00:15:54,070 +white matter بتاعة ال brain في موضوع مهم جدا ال + +198 +00:15:54,070 --> 00:16:00,460 +internal capsule مهم جداit is a thick lamina of + +199 +00:16:00,460 --> 00:16:04,020 +white + +200 +00:16:04,020 --> 00:16:08,680 +matter خلال + +201 +00:16:08,680 --> 00:16:10,500 +ال course راح تسمعوا فيها كتير الـ internal + +202 +00:16:10,500 --> 00:16:14,120 +capsule يقولون هي عبارة عن ايه؟ white matter و + +203 +00:16:14,120 --> 00:16:18,520 +thick lamina made up of projection fibers بيمروا + +204 +00:16:18,520 --> 00:16:21,900 +فيها ال projection ايه؟ fibers ascending و + +205 +00:16:21,900 --> 00:16:26,680 +descending tractwhich pass to and from cerebral + +206 +00:16:26,680 --> 00:16:32,000 +hemisphere إذا sensory to cerebral hemisphere إذا + +207 +00:16:32,000 --> 00:16:37,100 +motor from cerebral hemisphere okay it is + +208 +00:16:37,100 --> 00:16:40,620 +continuous superiorly with corona radiata من أعلى + +209 +00:16:40,620 --> 00:16:42,720 +بيحدد حاجة اسمها corona radiata في ال white matter + +210 +00:16:43,470 --> 00:16:49,950 +and inferiorly تحت مع ال cerebral peduncles بتاعة + +211 +00:16:49,950 --> 00:16:52,810 +ال middle brain بسميهم peduncles of middle brain + +212 +00:16:52,810 --> 00:16:56,630 +أو cerebral peduncles إلها ثلاث أجزاء هذه ال + +213 +00:16:56,630 --> 00:17:01,110 +internal capsule anterior limb short و posterior + +214 +00:17:01,110 --> 00:17:05,670 +limb long و الكوع اللي في النص اسمه genio او apex + +215 +00:17:05,670 --> 00:17:09,970 +هيا + +216 +00:17:09,970 --> 00:17:22,620 +نشوفها هناهذه ال internal capsule اللي + +217 +00:17:22,620 --> 00:17:26,880 +هي جزء أمامي short و اللي هي جزء خلفي long يبقى + +218 +00:17:26,880 --> 00:17:33,180 +هذه anterior limb وهذه posterior limb وهذه genio + +219 +00:17:33,180 --> 00:17:38,060 +او apex الكوع بتاعها طب ماحدش يسأل ليش سموها + +220 +00:17:38,060 --> 00:17:43,970 +internal capsule لأنها locatedInternal لـ + +221 +00:17:43,970 --> 00:17:49,210 +Lentiform Nucleus الـ Lentiform Nucleus الـ + +222 +00:17:49,210 --> 00:17:54,290 +Lentiform Nucleus الـ Lentiform Nucleus الـ + +223 +00:17:54,290 --> 00:17:58,650 +Lentiform + +224 +00:17:58,650 --> 00:18:00,570 +Nucleus + +225 +00:18:02,540 --> 00:18:06,240 +Internal لإنتيفارم نوكلياس لإنتيفارم نوكلياس + +226 +00:18:06,240 --> 00:18:08,820 +لإنتيفارم نوكلياس لإنتيفارم نوكلياس لإنتيفارم + +227 +00:18:08,820 --> 00:18:11,660 +نوكلياس لإنتيفارم نوكلياس لإنتفارم نوكلياس + +228 +00:18:11,660 --> 00:18:12,940 +لإنتفارم نوكلياس لإنتفارم نوكلياس لإنتفارم نوكلياس + +229 +00:18:12,940 --> 00:18:15,060 +لإنتفارم نوكلياس لإنتفارم نوكلياس لإنتفارم نوكلياس + +230 +00:18:15,060 --> 00:18:19,860 +لإنتفارم نوكلياس لإنتفارم نوكلياس لإنتفارم نوكلياس + +231 +00:18:19,860 --> 00:18:23,300 +لإنتفارم + +232 +00:18:23,300 --> 00:18:28,840 +نوكلياس لإنتفارم نوكلياس لإنتفارم نوكلياس لإنتفارم + +233 +00:18:28,840 --> 00:18:28,920 +ن + +234 +00:18:32,970 --> 00:18:36,690 +الـ External Capsule سموها External Capsule عشانها + +235 +00:18:36,690 --> 00:18:40,990 +Located External لمن لـ Lentiform Nucleus أو + +236 +00:18:40,990 --> 00:18:44,270 +بنسميها Lateral لـ Lentiform Nucleus يبقى الـ + +237 +00:18:44,270 --> 00:18:47,390 +External Capsule عبارة عن Thin Layer of White + +238 +00:18:47,390 --> 00:18:50,710 +Matter which covers the lateral surface of + +239 +00:18:50,710 --> 00:18:54,310 +Lentiform Nucleus and separating the Lentiform + +240 +00:18:54,310 --> 00:18:58,410 +Nucleus from the Claustrum يبقى نهايها اللي هي ال + +241 +00:18:58,410 --> 00:19:03,390 +External Capsuleبتيجي على ال lateral surface of + +242 +00:19:03,390 --> 00:19:06,530 +lentiform nucleus وبتفصل ما بين ال lentiform + +243 +00:19:06,530 --> 00:19:10,670 +nucleus عن ال claustrum اللي هي هدول جزء من ال + +244 +00:19:10,670 --> 00:19:14,310 +بيزا النوكلياعي ان شاء الله راح ناخدهم في المحاضرة + +245 +00:19:14,310 --> 00:19:17,950 +القادمة ان شاء الله على البيزا النوكلياعي هيك انا + +246 +00:19:17,950 --> 00:19:23,270 +بكون شرحتلكم ال cerebral hemisphere كله و ال white + +247 +00:19:23,270 --> 00:19:27,030 +matter بتاعته يعطيكم الف عافية و دمتم بالف + diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/U7EAhoTGhq4.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/U7EAhoTGhq4.srt new file mode 100644 index 0000000000000000000000000000000000000000..29e64000c701882869291d88f88ebe22995ee18e --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/U7EAhoTGhq4.srt @@ -0,0 +1,1366 @@ +1 +00:00:04,940 --> 00:00:09,260 +بسم الله الرحمن الرحيم جزء الثاني من المحاضرة هو + +2 +00:00:09,260 --> 00:00:16,800 +vertebrobasilar system vertebrobasilar system من + +3 +00:00:16,800 --> 00:00:20,360 +اسمه vertebro ناتج عن ال vertebral artery basilar + +4 +00:00:20,360 --> 00:00:25,480 +basilar artery نبدأ بال vertebral artery ال origin + +5 +00:00:25,480 --> 00:00:28,600 +of vertebral artery عندي right and left vertebral + +6 +00:00:28,600 --> 00:00:34,550 +artery ال origin تبعهم each vertebral artery arises + +7 +00:00:34,550 --> 00:00:41,130 +from the first part of subclavian artery يبقى كل + +8 +00:00:41,130 --> 00:00:45,530 +vertebral artery بخرج من وين؟ من ال first part of + +9 +00:00:45,530 --> 00:00:49,430 +subclavian artery طب إيش هو ال first part of + +10 +00:00:49,430 --> 00:00:54,870 +subclavian artery؟ حاجة عندي؟ subclavian artery + +11 +00:00:54,870 --> 00:01:03,220 +subclavian artery الـ three part اول part اسمه + +12 +00:01:03,220 --> 00:01:15,040 +first و ثاني part second و third هاد اسمه anterior + +13 +00:01:15,040 --> 00:01:21,740 +scalene muscle الجزء اللي بيكون ميديا لل anterior + +14 +00:01:21,740 --> 00:01:28,140 +scalene muscle اسمه ايه first part الجزء اللي + +15 +00:01:28,140 --> 00:01:32,700 +بيكون خلفها اسمه second part الجزء اللي بيكون + +16 +00:01:32,700 --> 00:01:38,380 +lateral third part يبقى من وين بخرج ال vertebral + +17 +00:01:38,380 --> 00:01:44,420 +artery بخرج من first part of subclavian artery + +18 +00:01:44,420 --> 00:01:50,240 +first part of subclavian artery طيب course of + +19 +00:01:50,240 --> 00:01:55,240 +vertebral artery اتفقنا from the first part of + +20 +00:01:55,240 --> 00:01:58,040 +subclavian artery بخرج ال vertebral artery ال + +21 +00:01:58,040 --> 00:02:03,660 +right و ال left pass upward بيصعد للأعلى بيفوت في + +22 +00:02:03,660 --> 00:02:09,540 +ال transverse foramina of upper six cervical + +23 +00:02:09,540 --> 00:02:17,320 +vertebra بعد هيك بيفوتنا في foramen magnum ascend + +24 +00:02:17,320 --> 00:02:22,360 +upward بيصعد بيكون media لان in front of the + +25 +00:02:22,360 --> 00:02:26,620 +medulla oblongata نتكلم على course of the + +26 +00:02:26,620 --> 00:02:30,980 +vertebral artery زي ما اتفجنا انه vertebral artery + +27 +00:02:30,980 --> 00:02:36,020 +emerges from first part of subclavian artery then + +28 +00:02:36,020 --> 00:02:39,780 +ascends بعد هيك بيصعد upward وين بيفوت في ال + +29 +00:02:39,780 --> 00:02:43,700 +transverse foramina of the upper six cervical + +30 +00:02:43,700 --> 00:02:49,060 +vertebra بعدين بيفوت في foramen magnum as two + +31 +00:02:49,060 --> 00:02:52,640 +vertebral artery بيصعدوا في ال media surface و ال + +32 +00:02:52,640 --> 00:02:57,400 +frontal surface of medulla oblongata at the lower + +33 +00:02:57,400 --> 00:03:01,000 +border of the pons في ال lower border of ال pons + +34 +00:03:01,000 --> 00:03:04,780 +أو في ال upper border of medulla oblongata يعني + +35 +00:03:04,780 --> 00:03:07,440 +على حدود ال medulla oblongata مع ال pons إيش بيصير + +36 +00:03:07,440 --> 00:03:11,900 +عنها؟ بتحضروا ال two vertebral arteries مع بعض عشان + +37 +00:03:11,900 --> 00:03:16,520 +يكونونها single artery اسمه Basilar artery لذلك + +38 +00:03:16,520 --> 00:03:19,940 +سميها vertebrobasilar system يعني ال two + +39 +00:03:19,940 --> 00:03:26,080 +vertebral arteries هاي هم بتحضروا مع بعض و + +40 +00:03:26,080 --> 00:03:29,820 +بيكونونها ايه + +41 +00:03:29,820 --> 00:03:36,480 +هاي اندي واضحان two vertebral arteries بتحضروا مع + +42 +00:03:36,480 --> 00:03:43,650 +بعض و بيكونونها ايه؟ one هذا left vertebral artery و + +43 +00:03:43,650 --> 00:03:47,590 +هذا right vertebral artery و هذا اسمه Basilar + +44 +00:03:47,590 --> 00:03:53,850 +artery في ال system هذا سموه vertebrobasilar A + +45 +00:03:53,850 --> 00:03:59,610 +system vertebrobasilar system هاي واضح عندي ال + +46 +00:03:59,610 --> 00:04:02,150 +origin بتاع ال .. + +47 +00:04:05,560 --> 00:04:08,860 +Vertebral artery بيخرج من ال first part of + +48 +00:04:08,860 --> 00:04:14,160 +subclavian artery ايوه خرج عندنا اللي هو vertebral + +49 +00:04:14,160 --> 00:04:20,720 +artery Vertebral artery قلنا + +50 +00:04:20,720 --> 00:04:24,880 +بيخرج من ال first part of subclavian artery هنا + +51 +00:04:24,880 --> 00:04:29,200 +واضح ال vertebral artery خرج من ال first part of + +52 +00:04:29,200 --> 00:04:34,270 +subclavian artery فات في الـ 6 Cervical Vertebra + +53 +00:04:34,270 --> 00:04:39,970 +في ال Transverse Foramen بعدها بيفوت في Foramen + +54 +00:04:39,970 --> 00:04:45,390 +Magnum بيصلوا لل lower border of the pons أو ال + +55 +00:04:45,390 --> 00:04:48,990 +upper border of Medulla Oblongata و بيتحدوا مع بعض + +56 +00:04:48,990 --> 00:04:52,570 +right vertebral artery مع ال left و بيكونون a + +57 +00:04:52,570 --> 00:04:57,970 +single artery is Basilar Artery الآن هتكلم على + +58 +00:04:57,970 --> 00:05:03,470 +branches of vertebral artery في branches اسمهم + +59 +00:05:03,470 --> 00:05:12,390 +posterior spinal artery هاندي posterior spinal + +60 +00:05:12,390 --> 00:05:21,590 +artery left و right نرسمهم بلون ثاني بلون ثاني + +61 +00:05:21,590 --> 00:05:24,930 +اسمهم posterior + +62 +00:05:30,330 --> 00:05:37,130 +spinal artery هي عندي left posterior spinal artery + +63 +00:05:37,130 --> 00:05:44,010 +و هذا ايه right posterior spinal artery يبقى عندي + +64 +00:05:44,010 --> 00:05:46,570 +اول branches posterior spinal artery راح اتكلم + +65 +00:05:46,570 --> 00:05:50,350 +عنهم في المحاضرة القادمة إن شاء الله اسبوع القادم + +66 +00:05:50,350 --> 00:05:57,110 +في ال anatomy of spinal cord بعد هيك في عندي two + +67 +00:05:58,470 --> 00:06:03,790 +Anterior Spinal Arteries بالتحدي مع بعض بيكونونها + +68 +00:06:03,790 --> 00:06:10,510 +single Anterior Spinal Artery كم + +69 +00:06:10,510 --> 00:06:16,150 +Anterior Spinal Artery؟ two من ناحية ال origin ال + +70 +00:06:16,150 --> 00:06:24,150 +origin اللي هو left Anterior Spinal Artery تمام أو + +71 +00:06:24,150 --> 00:06:27,970 +هنا origin right + +72 +00:06:28,710 --> 00:06:31,950 +anterior spinal artery اثنين يتحدوا مع بعض + +73 +00:06:31,950 --> 00:06:38,230 +و بيكونون ايه single الـ anterior spinal artery + +74 +00:06:38,230 --> 00:06:41,150 +يعني بعد ما يتحدوا مع بعض كام anterior spinal + +75 +00:06:41,150 --> 00:06:46,270 +artery single one one اللي هو ايه anterior spinal + +76 +00:06:46,270 --> 00:06:50,570 +artery ورح اتكلم عنه إن شاء الله في محاضرة اللي هي + +77 +00:06:50,570 --> 00:06:56,090 +spinal cord anatomy اللي بنفع أخد راتب و أروح بيتي + +78 +00:06:56,090 --> 00:07:00,330 +لازم أميل على الأهل و أعطيهم لازم أدفع دريبة و + +79 +00:07:00,330 --> 00:07:03,690 +هكذا و فيرتبرة الارث اللي بيمر على الميدالة + +80 +00:07:03,690 --> 00:07:07,310 +أبلانجاتا لازم يعطي دريبة دريبة المرور اللي هي + +81 +00:07:07,310 --> 00:07:10,690 +اسمها ايه ميدالاري branches هذول الصغار شايفينهم + +82 +00:07:10,690 --> 00:07:14,810 +اسمهم ايه ميدالاري branches بغض الـ media part of + +83 +00:07:14,810 --> 00:07:17,890 +ميدالة أبلانجاتا يبقى هذول الصغار شايفينهم اسمهم + +84 +00:07:17,890 --> 00:07:22,670 +ايه ميدالاري branches + +85 +00:07:24,540 --> 00:07:31,880 +و في شريان كبير right and left اسمه posterior + +86 +00:07:31,880 --> 00:07:40,160 +inferior cerebellar artery left PICA و right + +87 +00:07:40,160 --> 00:07:47,740 +PICA يبقى إن عندي ال branches of ال vertebral + +88 +00:07:47,740 --> 00:07:52,700 +artery Posterior Spinal Arteries, Anterior Spinal + +89 +00:07:52,700 --> 00:07:57,500 +Artery, Medullary Branches و Left Posterior + +90 +00:07:57,500 --> 00:08:00,500 +Inferior Cerebellar Artery لو سألنا سؤال مين هو ال + +91 +00:08:00,500 --> 00:08:03,860 +largest branch؟ largest branch PICA الـ posterior + +92 +00:08:03,860 --> 00:08:06,560 +inferior cerebellar artery it is the largest + +93 +00:08:06,560 --> 00:08:14,720 +branch of a vertebral artery نتكلم على الـ PICA أو + +94 +00:08:14,720 --> 00:08:17,340 +posterior inferior cerebellar artery، it is the + +95 +00:08:17,340 --> 00:08:20,700 +largest branch of الورتبرة الارتري، supplies + +96 +00:08:20,700 --> 00:08:27,330 +posterior part of inferior surface of cerebellum من + +97 +00:08:27,330 --> 00:08:30,870 +هنا اسمه posterior inferior cerebellar artery و + +98 +00:08:30,870 --> 00:08:35,970 +بيغذي dorsum أو posterior lateral part of المخيخ و + +99 +00:08:35,970 --> 00:08:40,390 +بيعطينا a branch لـ choroidal plexus of fourth + +100 +00:08:40,390 --> 00:08:43,430 +ventricle اتفاقنا الـ choroidal plexus من ال + +101 +00:08:43,430 --> 00:08:46,690 +lateral و الـ third باخده من ال anterior choroidal + +102 +00:08:46,690 --> 00:08:50,930 +artery of internal carotid و الـ choroidal plexus + +103 +00:08:50,930 --> 00:08:55,930 +في الـ fourth ventricle باخده من ايه؟ الـ posterior + +104 +00:08:55,930 --> 00:08:59,310 +inferior cerebellar artery وهنا كمان مرة نرسمهم + +105 +00:08:59,310 --> 00:09:08,350 +على الصورة نوضحهم هي عندي اتنين anterior spinal + +106 +00:09:08,350 --> 00:09:13,330 +origin تبعهم بعدين بيكونون single anterior spinal + +107 +00:09:13,330 --> 00:09:19,650 +artery في عندي two posterior spinal artery في + +108 +00:09:19,650 --> 00:09:25,300 +PICA اللي هو posterior inferior cerebellar artery وآخر شيء في + +109 +00:09:25,300 --> 00:09:29,400 +عندي ميدالاري برانشز Medullary Branches هنا في الصورة + +110 +00:09:29,400 --> 00:09:40,020 +هذه ربما أتركوا معاهم واضحين أكثر كبرتها Basilar + +111 +00:09:40,020 --> 00:09:44,440 +artery هلأ اتحدوا الـ two artery مع بعض هاي هم + +112 +00:09:44,440 --> 00:09:53,890 +وكونونا ايه Basilar Artery كونونا ايه Basilar Artery + +113 +00:09:53,890 --> 00:09:59,350 +Basilar + +114 +00:09:59,350 --> 00:10:07,430 +artery الـ Basilar artery هو عبارة عن ايه عبارة عن + +115 +00:10:07,430 --> 00:10:11,530 +union between the two vertebral arteries هو عبارة + +116 +00:10:11,530 --> 00:10:16,320 +عن اتحاد بين ايه two vertebral arteries at the + +117 +00:10:16,320 --> 00:10:20,220 +lower border of the pons by the union of the two + +118 +00:10:20,220 --> 00:10:24,440 +vertebral arteries بيجينا مين Basilar artery and it + +119 +00:10:24,440 --> 00:10:29,260 +ascends along the basilar groove، متذكرين ال + +120 +00:10:29,260 --> 00:10:32,380 +pons؟ في ال ventral surface of the pons، إيش قولنا + +121 +00:10:32,380 --> 00:10:35,680 +فيه؟ في عندنا basilar groove بيمور فيها Basilar + +122 +00:10:35,680 --> 00:10:40,660 +artery termination، وين بنتهي؟ at the upper border + +123 +00:10:40,660 --> 00:10:48,960 +of the pons by dividing into two terminal branches + +124 +00:10:48,960 --> 00:10:52,080 +posterior cerebral artery يبقى مين هو ال terminal + +125 +00:10:52,080 --> 00:10:59,920 +branch of basilar artery هم ايه posterior cerebral + +126 +00:10:59,920 --> 00:11:05,560 +artery هاي left Posterior Cerebral Artery و هاي ايه + +127 +00:11:05,560 --> 00:11:12,240 +Right Posterior Cerebral Artery تمام Okay طب مين + +128 +00:11:12,240 --> 00:11:15,480 +هو largest branch of Basilar Artery نفس الشيء هو + +129 +00:11:15,480 --> 00:11:21,480 +Posterior Cerebral Artery branches of Basilar + +130 +00:11:21,480 --> 00:11:27,640 +Artery أول branch نرسمها باللون الأسود + +131 +00:11:30,510 --> 00:11:37,090 +هي عندي اللي هو large branch قولنا اللي هم + +132 +00:11:37,090 --> 00:11:40,910 +posterior spinal + +133 +00:11:40,910 --> 00:11:48,930 +artery posterior + +134 +00:11:48,930 --> 00:11:56,850 +spinal artery هم large branch هاي + +135 +00:11:56,850 --> 00:12:03,880 +left Posterior Spinal Artery وهي ايه Right + +136 +00:12:03,880 --> 00:12:12,720 +Posterior Spinal Artery أول branch بيجينا اللي هم + +137 +00:12:12,720 --> 00:12:20,920 +Right AICA اللي هو Anterior Inferior Cerebellar + +138 +00:12:20,920 --> 00:12:25,080 +Artery Left AICA + +139 +00:12:26,870 --> 00:12:32,850 +هنا عندي بعدها auditory + +140 +00:12:32,850 --> 00:12:40,990 +أو internal auditory internal auditory artery left + +141 +00:12:40,990 --> 00:12:48,590 +وهنا right internal auditory أو Labyrinthine وبعدها + +142 +00:12:48,590 --> 00:12:56,130 +بيعطي ضريبة مرور اسمهم paramedian أو اسمهم Pontine + +143 +00:12:56,130 --> 00:13:03,810 +branches هذول الصغار اسمهم ايه Pontine branches أو + +144 +00:13:03,810 --> 00:13:08,010 +Paramedian و قبل ما يعطينا posterior cerebral + +145 +00:13:08,010 --> 00:13:17,750 +artery بخرج منه اللي هو superior cerebellar + +146 +00:13:17,750 --> 00:13:18,170 +artery + +147 +00:13:22,860 --> 00:13:27,980 +Superior Cerebellar Artery + +148 +00:13:32,430 --> 00:13:36,530 +هيك بيكون خلصنا الموضوع branches of basilar artery + +149 +00:13:36,530 --> 00:13:41,010 +أول branch anterior inferior cerebellar artery هي + +150 +00:13:41,010 --> 00:13:44,410 +هنا anterior inferior cerebellar artery أو AICA + +151 +00:13:44,410 --> 00:13:49,570 +supply the anterior and inferior surface of the + +152 +00:13:49,570 --> 00:13:51,130 +cerebellum and pons + +153 +00:13:53,720 --> 00:13:58,160 +internal auditory أو labyrinthine artery بيفوت لل + +154 +00:13:58,160 --> 00:14:02,000 +internal auditory meatus مع العصب السابع و الثامن + +155 +00:14:02,000 --> 00:14:07,100 +supply the internal ear بيغذي الأذن الداخلية ثلاثة + +156 +00:14:07,100 --> 00:14:12,000 +small paramedian بنسميهم pontine branches supply + +157 +00:14:12,000 --> 00:14:16,600 +the pons بيغذيوا ال pons بعدين بيجينا superior + +158 +00:14:16,600 --> 00:14:21,120 +cerebellar artery which supply the superior part + +159 +00:14:21,120 --> 00:14:26,260 +of cerebellum and superior cerebellar peduncle + +160 +00:14:26,260 --> 00:14:30,380 +اللي بتحت مع ال midbrain و terminal branch الكبار + +161 +00:14:30,380 --> 00:14:34,680 +اللي هم posterior cerebral artery من الذاكرين ال + +162 +00:14:34,680 --> 00:14:38,580 +posterior cerebral artery قلتلكوا بتحت مع مين؟ مع + +163 +00:14:39,120 --> 00:14:43,440 +الـ Internal Carotid Artery عن طريق Posterior + +164 +00:14:43,440 --> 00:14:48,060 +Communicating Artery عشان يكونوا Circle of Willis + +165 +00:14:48,060 --> 00:14:58,660 +أو Willis Formation خلينا دي AICA + +166 +00:14:58,660 --> 00:15:03,280 +Anterior Inferior Cerebellar Artery هذا Labyrinthine Artery + +167 +00:15:03,280 --> 00:15:10,340 +هذول Small Paramedian هنا superior cerebellar + +168 +00:15:10,340 --> 00:15:14,800 +artery و في النهاية أكبر الـ branches اللي هم + +169 +00:15:14,800 --> 00:15:19,280 +posterior posterior cerebral artery اللي بتتحد مع + +170 +00:15:19,280 --> 00:15:24,120 +ال internal carotid artery عن طريق اللي هو + +171 +00:15:24,120 --> 00:15:28,340 +posterior communicating artery عشان يكونوا Circle + +172 +00:15:28,340 --> 00:15:36,180 +of Willis أو Willis Formation الآن ننتقل لـ + +173 +00:15:36,180 --> 00:15:39,220 +posterior cerebral artery حقه مش ماجس شرحنا + +174 +00:15:39,220 --> 00:15:42,360 +anterior cerebral artery بالتفصيل و شرحنا ال + +175 +00:15:42,360 --> 00:15:45,120 +middle cerebral artery بالتفصيل اللي هم بيخرجوا من + +176 +00:15:45,120 --> 00:15:48,320 +ال internal carotid artery لأني أشرح لكم posterior + +177 +00:15:48,320 --> 00:15:52,500 +cerebral artery اللي أصله بيخرج من Basilar إيه ال + +178 +00:15:52,500 --> 00:15:55,910 +branch It is the terminal branch of basilar artery + +179 +00:15:55,910 --> 00:16:01,050 +at the upper part of the pons connects with the + +180 +00:16:01,050 --> 00:16:05,450 +ipsilateral internal carotid artery by posterior + +181 +00:16:05,450 --> 00:16:08,470 +communicating artery و هذا ال posterior cerebral + +182 +00:16:08,470 --> 00:16:12,270 +artery كل واحد الـ right بتحد مع الـ right internal + +183 +00:16:12,270 --> 00:16:15,870 +carotid artery و الـ left بتحد مع الـ left internal + +184 +00:16:15,870 --> 00:16:19,750 +carotid artery بواسطة ايه؟ اللي هو posterior + +185 +00:16:19,750 --> 00:16:26,670 +communicating artery on each side إيش بيغذيها اللي + +186 +00:16:26,670 --> 00:16:31,270 +هو posterior cerebral artery؟ it supplies inferior + +187 +00:16:31,270 --> 00:16:35,730 +lateral part of temporal lobe, occipital lobe, + +188 +00:16:36,330 --> 00:16:39,930 +posterior part of corpus callosum, diencephalon, + +189 +00:16:40,530 --> 00:16:45,390 +midbrain و choroidal plexus of lateral and third + +190 +00:16:45,390 --> 00:16:51,110 +ventricle هذه واضحة عندي اللي هو posterior cerebral + +191 +00:16:51,110 --> 00:16:54,450 +artery بيغذي الـ occipital lobe و بيغذيها ال + +192 +00:16:54,450 --> 00:17:08,750 +inferior surface of temporal lobe هذه + +193 +00:17:08,750 --> 00:17:14,6 + +201 +00:17:45,130 --> 00:17:48,670 +nine arteries supplying the brain يبقى أنه عبارة + +202 +00:17:48,670 --> 00:17:52,170 +عن anastomosis between vertebral basilar system + +203 +00:17:52,170 --> 00:17:57,690 +and internal carotid system الـ Function Direct + +204 +00:17:57,690 --> 00:18:03,310 +blood to other branches in cases of occlusion and + +205 +00:18:03,310 --> 00:18:07,070 +connect carotid system with vertebral basilar + +206 +00:18:07,070 --> 00:18:11,430 +system أنا سنة 2001 – 2004 في رسالة الدكتوراه بتاعتى + +207 +00:18:11,430 --> 00:18:14,130 +عملت دراسة على المرضى اللى عندهم carotid stroke + +208 +00:18:14,130 --> 00:18:16,430 +المرضى اللى عندهم جلطات دماغية في شريان السباتي + +209 +00:18:16,430 --> 00:18:20,670 +ووجدنا عند دول المرضى أنه بزيد عندهم الـ cerebral + +210 +00:18:20,670 --> 00:18:23,910 +hemodynamic والـ blood supply راح تزيد عندهم و + +211 +00:18:23,910 --> 00:18:26,850 +بزيد في الـ vertebrobasilar عشان يعمل عملية + +212 +00:18:26,850 --> 00:18:31,050 +compensation لـ … لـ … اللي هو الـ deficit اللي + +213 +00:18:31,050 --> 00:18:34,650 +صار في carotid system يبقى وظيفة الـ circle of Willis + +214 +00:18:34,650 --> 00:18:38,190 +هو عبارة عن connection between two system between + +215 +00:18:38,190 --> 00:18:42,670 +internal carotid system and vertebrobasilar system + +216 +00:18:42,670 --> 00:18:49,200 +من أين بتكون؟ circle of Willis بتكون من 9 arteries، + +217 +00:18:49,200 --> 00:18:52,920 +واحد فردي وأربعة زوجي، واحد فردي وأربعة زوجي، الأربع + +218 +00:18:52,920 --> 00:18:55,880 +زوجي صاروا ثمانية، واحد فردي صاروا تسعة، نبدأ من + +219 +00:18:55,880 --> 00:18:56,560 +فوق لتحت + +220 +00:19:00,070 --> 00:19:01,910 +لو سألتكوا سؤال الـ anterior communicating artery + +221 +00:19:01,910 --> 00:19:04,710 +هو يعتبر الـ branch من الـ internal carotid + +222 +00:19:04,710 --> 00:19:08,590 +artery؟ لأ، هو يعتبر connection between two + +223 +00:19:08,590 --> 00:19:10,850 +anterior cerebral arteries، يبقى الـ anterior + +224 +00:19:10,850 --> 00:19:13,650 +communicating artery، هذا فردي واحد، بيربط الـ + +225 +00:19:13,650 --> 00:19:15,950 +right والـ left إيه؟ anterior cerebral artery، + +226 +00:19:15,950 --> 00:19:18,410 +صاروا ثلاثة، من وين خرج الـ anterior cerebral + +227 +00:19:18,410 --> 00:19:21,290 +artery من الـ internal carotid؟ right، left، صاروا + +228 +00:19:21,290 --> 00:19:25,800 +خمسة برجع رجوع للخلف posterior communicating artery + +229 +00:19:25,800 --> 00:19:29,100 +right left صاروا كام؟ سبعة بربط مين الـ posterior + +230 +00:19:29,100 --> 00:19:32,660 +communicating artery؟ بربط الـ internal carotid مع + +231 +00:19:32,660 --> 00:19:35,000 +الـ posterior cerebral artery يعني right left + +232 +00:19:35,000 --> 00:19:37,780 +posterior cerebral artery صاروا كام؟ تسعة ايه كان؟ + +233 +00:19:37,780 --> 00:19:42,900 +بتكون من anterior communicating artery الواحد بيكون + +234 +00:19:42,900 --> 00:19:45,680 +هو بربط الـ right will lifts anterior cerebral + +235 +00:19:45,680 --> 00:19:50,040 +artery right left anterior cerebral artery right + +236 +00:19:50,040 --> 00:19:53,860 +left internal carotid artery right left posterior + +237 +00:19:53,860 --> 00:19:57,320 +communicating artery and right left posterior + +238 +00:19:57,320 --> 00:20:02,520 +cerebral artery صار عددهم كام؟ تسعة انتبهوا لو أجي + +239 +00:20:02,520 --> 00:20:04,920 +سؤال على الـ middle cerebral artery الـ middle + +240 +00:20:04,920 --> 00:20:09,080 +cerebral artery ما لهوش علاقة في موضوع circle of + +241 +00:20:09,080 --> 00:20:17,210 +Willis تابعوا معايا هي نرسم بلون … الكلام هذا مش + +242 +00:20:17,210 --> 00:20:24,490 +واضح كثير هي anterior communicating + +243 +00:20:24,490 --> 00:20:28,010 +artery واحد هذا الـ anterior communicating artery + +244 +00:20:28,010 --> 00:20:36,270 +بيربط right anterior cerebral artery مع ايه؟ مع الـ + +245 +00:20:36,270 --> 00:20:41,610 +left صار عندي كام؟ اثنين ثلاثة من وين خرج الـ + +246 +00:20:41,610 --> 00:20:45,170 +anterior cerebral artery من الـ internal carotid + +247 +00:20:45,170 --> 00:20:51,470 +artery صار عندي كام؟ ثلاثة أربعة خمسة بخرج + +248 +00:20:51,470 --> 00:20:57,510 +posterior communicating artery right + +249 +00:20:57,510 --> 00:21:02,770 +and left ستة سبعة بربط مين؟ بربط الـ internal + +250 +00:21:02,770 --> 00:21:08,270 +carotid artery مع ايه؟ posterior cerebral artery + +251 +00:21:08,270 --> 00:21:11,650 +ثمانية + +252 +00:21:11,650 --> 00:21:17,090 +ايه؟ تسعة هذا هو اللي تعتبر circle of Willis + +253 +00:21:27,730 --> 00:21:31,930 +هكذا أنا بكون خلصت موضوع الـ arterial blood supply + +254 +00:21:31,930 --> 00:21:36,290 +بضل عندنا كام slide على موضوع الـ cerebral dural + +255 +00:21:36,290 --> 00:21:40,950 +venous sinuses الـ dural venous sinuses بنسميهم + +256 +00:21:40,950 --> 00:21:46,170 +cerebral sinuses هم عبارة عن cavity أو channels + +257 +00:21:47,290 --> 00:21:50,770 +موجودين بين the two layers of the dura mater in + +258 +00:21:50,770 --> 00:21:56,110 +the brain موجودين + +259 +00:21:56,110 --> 00:21:59,510 +بين the two layers of the dura mater in the + +260 +00:21:59,510 --> 00:22:00,810 +brain موجودين بين the two layers of the + +261 +00:22:00,810 --> 00:22:03,610 +dura mater in the brain موجودين بين the two + +262 +00:22:03,610 --> 00:22:05,530 +layers of the dura mater in the brain موجودين + +263 +00:22:05,530 --> 00:22:05,770 +بين the two layers of the dura mater in the + +264 +00:22:05,770 --> 00:22:07,010 +brain موجودين بين the two layers of the + +265 +00:22:07,010 --> 00:22:08,130 +dura mater in the brain موجودين بين the two + +266 +00:22:08,130 --> 00:22:09,330 +layers of the dura mater in the brain موجودين + +267 +00:22:09,330 --> 00:22:10,590 +بين the two layers of the dura mater in the + +268 +00:22:10,590 --> 00:22:11,870 +brain موجودين بين the two layers of the + +269 +00:22:11,870 --> 00:22:12,750 +dura mater in the brain موجودين بين the two + +270 +00:22:12,750 --> 00:22:14,010 +layers of the dura mater in the brain موجودين + +271 +00:22:14,010 --> 00:22:14,130 +بين the two layers of the dura mater in the + +272 +00:22:14,130 --> 00:22:14,150 +brain موجودين بين the two layers of the + +273 +00:22:14,150 --> 00:22:16,300 +dura mater in the من وين بتاخد الـ venous blood + +274 +00:22:16,300 --> 00:22:19,620 +للدورة الـ venous sinuses؟ من الـ internal and + +275 +00:22:19,620 --> 00:22:23,780 +external veins of the brain من أوردة الدماغ ثانيا + +276 +00:22:23,780 --> 00:22:27,480 +بتاخد الـ cerebrospinal fluid CSF من الـ + +277 +00:22:27,480 --> 00:22:31,260 +subarachnoid space من السحايا عن طريق arachnoid + +278 +00:22:31,260 --> 00:22:34,520 +villi and arachnoid granulation قلتلكوا + +279 +00:22:34,520 --> 00:22:38,710 +granulation microscopic و villi microscopic و + +280 +00:22:38,710 --> 00:22:43,410 +finally هدول الـ sinuses بيسلموا الـ venous blood + +281 +00:22:43,410 --> 00:22:48,550 +لوين؟ لـ internal jugular في عندنا three single + +282 +00:22:48,550 --> 00:22:52,850 +sinuses و six paired sinuses يعني الـ single + +283 +00:22:52,850 --> 00:22:55,730 +sinuses راح يكونوا في الـ right cerebral hemisphere + +284 +00:22:55,730 --> 00:22:59,530 +ولا في الـ left مدام هم single okay هم راح يكونوا + +285 +00:22:59,530 --> 00:23:02,690 +وين؟ في المنتصف بين الـ right والـ left عشان هيك + +286 +00:23:02,690 --> 00:23:06,150 +بيكونوا فردي مش زوجي لكن الزوجي راح يكونوا في الـ + +287 +00:23:06,150 --> 00:23:08,550 +right وفي الـ left لكن الفردي بيكون وين؟ في + +288 +00:23:08,550 --> 00:23:15,190 +المنتصف من هم الـ single venous sinuses؟ superior + +289 +00:23:15,190 --> 00:23:20,750 +sagittal sinus هي واحد inferior sagittal sinus و + +290 +00:23:20,750 --> 00:23:25,730 +straight sinus أو هذا الـ straight بيسموه tentorial + +291 +00:23:29,390 --> 00:23:35,190 +sinus tentorial sinus أو بيسموه straight sinus + +292 +00:23:35,190 --> 00:23:38,710 +يبقى كام واحد فردي؟ ثلاثة كمان مرة superior and + +293 +00:23:38,710 --> 00:23:40,450 +sagittal مدام في superior and sagittal يبقى أن في + +294 +00:23:40,450 --> 00:23:45,790 +inferior and sagittal ثلاثة straight sinus هي عندي + +295 +00:23:45,790 --> 00:23:49,310 +superior + +296 +00:23:49,310 --> 00:23:55,790 +sagittal sinus هي عندي inferior sagittal sinus وهي + +297 +00:23:55,790 --> 00:24:01,110 +عندي straight sinus أو بنسميه tentorial sinus عشان + +298 +00:24:01,110 --> 00:24:05,330 +جاي في الـ tentorium cerebelli هذول الثلاثة فردي + +299 +00:24:05,330 --> 00:24:11,470 +superior sagittal inferior sagittal و straight sinus + +300 +00:24:11,470 --> 00:24:17,370 +هذول الثلاثة الـ coronal cut هذا يعتبر superior + +301 +00:24:17,370 --> 00:24:22,370 +sagittal sinus لاحظوا باخد venous blood من الـ veins + +302 +00:24:22,370 --> 00:24:26,210 +وباخد CSF عن طريق arachnoid granulation و + +303 +00:24:26,210 --> 00:24:30,150 +arachnoid villi من الـ subarachnoid space باخد CSF + +304 +00:24:30,150 --> 00:24:35,670 +هاي واضح هندي هنا superior sagittal sinus في الـ + +305 +00:24:35,670 --> 00:24:45,730 +coronal cut وتحت inferior sagittal sinus الآن + +306 +00:24:45,730 --> 00:24:50,350 +ننتقل لـ paired sinuses ايش paired sinuses يعني؟ + +307 +00:24:50,350 --> 00:24:55,250 +بيكون زوجي Right و Left في transverse أو lateral + +308 +00:24:55,250 --> 00:25:00,030 +sinus Right و Left في sigmoid sinus Right و Left + +309 +00:25:00,030 --> 00:25:04,690 +في cavernous sinus Right و Left superior petrosal + +310 +00:25:04,690 --> 00:25:08,790 +sinus Right و Left inferior petrosal sinus Right و + +311 +00:25:08,790 --> 00:25:14,490 +Left و sphenoparietal sinus Right و Left هنا واضح + +312 +00:25:14,490 --> 00:25:25,500 +عن اللي هو transverse sinus أو lateral sinus هنا + +313 +00:25:25,500 --> 00:25:29,700 +بيكون عندي cavernous sinus في Right وفي Left هذا + +314 +00:25:29,700 --> 00:25:33,440 +superior petrosal sinus هنا inferior petrosal + +315 +00:25:33,440 --> 00:25:37,180 +sinus وتحت هنا تحت الـ tentorium بيكون عندي + +316 +00:25:37,180 --> 00:25:41,060 +sigmoid sinus + +317 +00:25:48,740 --> 00:25:51,060 +الـ cavernous sinus اتكلم عنه كلمتين مرة علينا كثير + +318 +00:25:51,060 --> 00:25:53,980 +cavernous sinus هذا الـ cavernous sinus مهم جدا + +319 +00:25:53,980 --> 00:25:57,900 +لأنه بيمر فيه structures بيمر فيه cranial nerves + +320 +00:25:57,900 --> 00:26:02,380 +و artery بيمر فيه oculomotor nerve بيمر فيه + +321 +00:26:02,380 --> 00:26:07,190 +trochlear nerve وبيمر فيه abducens nerve وغير هيك + +322 +00:26:07,190 --> 00:26:11,110 +بيمر في ophthalmic and maxillary branch of the + +323 +00:26:11,110 --> 00:26:16,010 +trigeminal nerve وكمان بيمر internal carotid + +324 +00:26:16,010 --> 00:26:21,370 +artery بيمر في الكافيرنس ساينيس هي الكافيرنس + +325 +00:26:21,370 --> 00:26:26,970 +ساينيس ناخد الـ right cavernous sinus بين الـ right + +326 +00:26:26,970 --> 00:26:34,650 +و الـ left فيه بيكون بتيوترى جلاند الغدة النخامية في + +327 +00:26:34,650 --> 00:26:38,850 +الـ cavernous sinus بيمر في الـ lateral wall العصب + +328 +00:26:38,850 --> 00:26:43,130 +الثالث oculomotor تحته العصب الرابع trochlear و + +329 +00:26:43,130 --> 00:26:47,170 +كمان في الـ lower lateral بيمر الـ ophthalmic branch + +330 +00:26:47,170 --> 00:26:51,930 +بتاع ايش؟ trigeminal nerve و maxillary branch بتاع + +331 +00:26:51,930 --> 00:26:56,470 +مين؟ trigeminal nerve وفي الـ medial wall بيكون + +332 +00:26:56,470 --> 00:26:59,890 +عندي الـ internal carotid artery وتحت الـ internal + +333 +00:26:59,890 --> 00:27:03,670 +carotid artery بيكون abducens nerve العصب ايه + +334 +00:27:03,670 --> 00:27:06,470 +السادس اللي راح نتكلم عنهم في محاضرة إن شاء الله + +335 +00:27:06,470 --> 00:27:14,870 +cranial nerve هاي + +336 +00:27:14,870 --> 00:27:17,610 +واضح أندي في الصورة هنا superior sagittal sinus + +337 +00:27:17,610 --> 00:27:22,030 +هنا inferior sagittal sinus وهنا straight sinus + +338 +00:27:22,030 --> 00:27:25,950 +هذول الثلاثة فردي هذول الثلاثة فردي هنا في عندي + +339 +00:27:25,950 --> 00:27:30,830 +cavernous sinus superior petrosal sinus, inferior petrosal + +340 +00:27:30,830 --> 00:27:36,230 +sinus, transverse sinus أو lateral sinus, sigmoid + +341 +00:27:36,230 --> 00:27:39,230 +sinus، الـ sigmoid sinus بيسلم كله، كلهم بيسلموا لـ + +342 +00:27:39,230 --> 00:27:42,130 +sigmoid sinus، والـ sigmoid sinus بيسلم الـ blood الـ + +343 +00:27:42,130 --> 00:27:45,690 +venous blood لـ internal jugular في فين؟ في + +344 +00:27:45,690 --> 00:27:49,210 +occipital sinus أو في other sinuses، هذول هيك + +345 +00:27:49,210 --> 00:27:54,730 +بيكفوا لشرح المحاضرة هذه في الـ slide هذا بكون وصلت + +346 +00:27:54,730 --> 00:27:58,630 +لنهاية المحاضرة اللي هي عن الـ blood supply of the + +347 +00:27:58,630 --> 00:28:02,810 +brain and venous drainage of the brain يعطيكم الـ + +348 +00:28:02,810 --> 00:28:06,350 +عافية وإلى اللقاء في المحاضرة القادمة راح نتكلم + +349 +00:28:06,350 --> 00:28:09,330 +على anatomy of the spinal cord diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/U7EAhoTGhq4_postprocess.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/U7EAhoTGhq4_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..de504aff7b731c874fc1c97f9f9ec3a89bc5947f --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/U7EAhoTGhq4_postprocess.srt @@ -0,0 +1,1396 @@ +1 +00:00:04,940 --> 00:00:09,260 +بسم الله الرحمن الرحيم جزء الثاني من المحاضرة هو + +2 +00:00:09,260 --> 00:00:16,800 +vertebro basilar system vertebro basilar system من + +3 +00:00:16,800 --> 00:00:20,360 +اسمه vertebro ناتج عن ال vertebral artery basilar + +4 +00:00:20,360 --> 00:00:25,480 +basilar artery نبدأ بال vertebral artery ال origin + +5 +00:00:25,480 --> 00:00:28,600 +of vertebral artery عندي right and left vertebral + +6 +00:00:28,600 --> 00:00:34,550 +artery ال origin تبعهم each vertebral arteryarise + +7 +00:00:34,550 --> 00:00:41,130 +from the first part of subclavian artery يبقى كل + +8 +00:00:41,130 --> 00:00:45,530 +vertebral artery بخرج من وين؟ من ال first part of + +9 +00:00:45,530 --> 00:00:49,430 +subclavian artery طب إيش هو ال first part of + +10 +00:00:49,430 --> 00:00:54,870 +subclavian artery؟ حاجة عندي؟ subclavian artery + +11 +00:00:54,870 --> 00:01:03,220 +subclavian arteryالو three part اول part اسمه + +12 +00:01:03,220 --> 00:01:15,040 +first و ثاني part second و third هاد اسمه anterior + +13 +00:01:15,040 --> 00:01:21,740 +scalene muscle الجزء اللي بيكون ميديا لل anterior + +14 +00:01:21,740 --> 00:01:28,140 +scalene muscle اسمه ايه first part الجزء اللي + +15 +00:01:28,140 --> 00:01:32,700 +بيكون خلفهااسمه second part الجزء اللي بيكون + +16 +00:01:32,700 --> 00:01:38,380 +lateral third part يبقى من وين بخرج ال vertebral + +17 +00:01:38,380 --> 00:01:44,420 +artery بخرج من first part of subclavian artery + +18 +00:01:44,420 --> 00:01:50,240 +first part of subclavian artery طيب course of + +19 +00:01:50,240 --> 00:01:55,240 +vertebral artery اتفقنا from the first part of + +20 +00:01:55,240 --> 00:01:58,040 +subclavian artery بخرج ال vertebral artery ال + +21 +00:01:58,040 --> 00:02:03,660 +right و ال leftpass upward بيصعد للأعلى بيفوت في + +22 +00:02:03,660 --> 00:02:09,540 +ال transverse foramina of upper six cervical + +23 +00:02:09,540 --> 00:02:17,320 +vertebra بعد هيك بيفوتنا في foramin magnumascend + +24 +00:02:17,320 --> 00:02:22,360 +upward بيصعد بيكون media لان in front of the + +25 +00:02:22,360 --> 00:02:26,620 +medulla أبلانجاته نتكلم على course of the + +26 +00:02:26,620 --> 00:02:30,980 +vertebral artery زي ما اتفجنا انه vertebral artery + +27 +00:02:30,980 --> 00:02:36,020 +emerges from first part of subclavian artery then + +28 +00:02:36,020 --> 00:02:39,780 +ascend بعد هيك بيصعد upward وين بيفوت في ال + +29 +00:02:39,780 --> 00:02:43,700 +transverse foramina of the upper sex cervical + +30 +00:02:43,700 --> 00:02:49,060 +vertebra بعدبفوت في forum in magnum as two + +31 +00:02:49,060 --> 00:02:52,640 +vertebral arty بيصعدوا في ال media service و ال + +32 +00:02:52,640 --> 00:02:57,400 +frontal service of medulla oblongata at the lower + +33 +00:02:57,400 --> 00:03:01,000 +border of the pons في ال lower border of ال pons + +34 +00:03:01,000 --> 00:03:04,780 +او في ال upper border of medulla oblongata يعني + +35 +00:03:04,780 --> 00:03:07,440 +على حدود ال medulla oblongata مع ال pons ايش بيصير + +36 +00:03:07,440 --> 00:03:11,900 +عنها؟بتحضوا ال two vertebral arteries مع بعض عشان + +37 +00:03:11,900 --> 00:03:16,520 +يكونونها single artery اسمه Basilar artery لذلك + +38 +00:03:16,520 --> 00:03:19,940 +سميها vertebro basilar system يعني ال two + +39 +00:03:19,940 --> 00:03:26,080 +vertebral arteries هاي هم بتحضوا مع بعض و + +40 +00:03:26,080 --> 00:03:29,820 +بيكونونها ايه + +41 +00:03:29,820 --> 00:03:36,480 +هاي اندي واضحان two vertebral arteries بتحضوا مع + +42 +00:03:36,480 --> 00:03:43,650 +بعضوكوّنونا ايه؟ one هذا left vertebral artery و + +43 +00:03:43,650 --> 00:03:47,590 +هذا right vertebral artery و هذا اسمه Basilar + +44 +00:03:47,590 --> 00:03:53,850 +artery في ال system هذا سموه vertebro basilar A + +45 +00:03:53,850 --> 00:03:59,610 +system vertebro basilar system هاي واضح عندي ال + +46 +00:03:59,610 --> 00:04:02,150 +origin بتاع ال .. + +47 +00:04:05,560 --> 00:04:08,860 +Vertebral artery بيخرج من ال first part of + +48 +00:04:08,860 --> 00:04:14,160 +subclavian artery ايوه خرج عندنا اللي هو vertebral + +49 +00:04:14,160 --> 00:04:20,720 +artery Vertebral artery قلنا + +50 +00:04:20,720 --> 00:04:24,880 +بيخرج من ال first part of subclavian artery هنا + +51 +00:04:24,880 --> 00:04:29,200 +واضح ال vertebral artery خرج من ال first part of + +52 +00:04:29,200 --> 00:04:34,270 +subclavian artery فات في القبر 6Cervical Vertebra + +53 +00:04:34,270 --> 00:04:39,970 +في ال Transverse Foramen بعدها بيفوت في Foramen + +54 +00:04:39,970 --> 00:04:45,390 +Magnum بيصلوا لل lower border of the pons أو ال + +55 +00:04:45,390 --> 00:04:48,990 +upper border of Medulla Blangata وبيتحدوا مع بعض + +56 +00:04:48,990 --> 00:04:52,570 +right vertebral artery مع ال left و بيكونون a + +57 +00:04:52,570 --> 00:04:57,970 +single artery is Basilar Artery الآن هتكلم على + +58 +00:04:57,970 --> 00:05:03,470 +branches of vertebral arteryفى branches اسمهم + +59 +00:05:03,470 --> 00:05:12,390 +posterior spinal artery هاندي posterior spinal + +60 +00:05:12,390 --> 00:05:21,590 +artery left و right نرسمهم بلون ثانى بلون ثانى + +61 +00:05:21,590 --> 00:05:24,930 +اسمهم posterior + +62 +00:05:30,330 --> 00:05:37,130 +Spinal artery هي عندي left posterior spinal artery + +63 +00:05:37,130 --> 00:05:44,010 +وهذا ايه right posterior spinal artery يبقى عندي + +64 +00:05:44,010 --> 00:05:46,570 +اول branches posterior spinal artery راح اتكلم + +65 +00:05:46,570 --> 00:05:50,350 +عنهم في المحاضرة القادمة ان شاء الله اسبوع القادم + +66 +00:05:50,350 --> 00:05:57,110 +في ال anatomy of spinal cord بعد هيك في عندي two + +67 +00:05:58,470 --> 00:06:03,790 +Anterior Spinal Arteries بالتحدي مع بعض بيكونونها + +68 +00:06:03,790 --> 00:06:10,510 +Single Anterior Spinal Artery كم + +69 +00:06:10,510 --> 00:06:16,150 +Anterior Spinal Artery؟ two من ناحية ال origin ال + +70 +00:06:16,150 --> 00:06:24,150 +origin اللي هو left Anterior Spinal Artery تمام او + +71 +00:06:24,150 --> 00:06:27,970 +هنا origin right + +72 +00:06:28,710 --> 00:06:31,950 +anterior spinal artery اثنين يتحدوا مع بعض + +73 +00:06:31,950 --> 00:06:38,230 +وبيكونون ايه single اله anterior spinal artery + +74 +00:06:38,230 --> 00:06:41,150 +يعني بعد ما يتحدوا مع بعض كام anterior spinal + +75 +00:06:41,150 --> 00:06:46,270 +artery single one one اللي هو ايه anterior spinal + +76 +00:06:46,270 --> 00:06:50,570 +artery ورح اتكلم عنه ان شاء الله في محاضرة اللي هي + +77 +00:06:50,570 --> 00:06:56,090 +spinal cord anatomyاللي بنفع أخد راتب و أروح بيتي + +78 +00:06:56,090 --> 00:07:00,330 +لازم أميل على الأهل و أعطيهم لازم أدفع دريبة و + +79 +00:07:00,330 --> 00:07:03,690 +هكذا و فيرتبرة الارث اللي بيمر على الميدالة + +80 +00:07:03,690 --> 00:07:07,310 +أبلانجاتا لازم يعطي دريبة دريبة المرور اللي هي + +81 +00:07:07,310 --> 00:07:10,690 +اسمها ايه ميدالاري branches هذول الصغار شايفينهم + +82 +00:07:10,690 --> 00:07:14,810 +اسمهم ايه ميدالاري branches بغض ال media part of + +83 +00:07:14,810 --> 00:07:17,890 +ميدالة أبلانجاتا يبقى هذول الصغار شايفينهم اسمهم + +84 +00:07:17,890 --> 00:07:22,670 +ايه ميدالاري branches + +85 +00:07:24,540 --> 00:07:31,880 +وفي شريان كبير right and left اسمه posterior + +86 +00:07:31,880 --> 00:07:40,160 +inferior cerebellar artery left baica و right + +87 +00:07:40,160 --> 00:07:47,740 +baica يبقى ان عندي ال branches of ال vertebral + +88 +00:07:47,740 --> 00:07:52,700 +arteryPosterior Spinal Arteries, Anterior Spinal + +89 +00:07:52,700 --> 00:07:57,500 +Artery, Medullary Branches و Left Posterior + +90 +00:07:57,500 --> 00:08:00,500 +Inferior Cerebellar Artery لو سألنا سؤال مين هو ال + +91 +00:08:00,500 --> 00:08:03,860 +largest branch؟ largest branch بايكا ال posterior + +92 +00:08:03,860 --> 00:08:06,560 +inferior cerebellar artery it is the largest + +93 +00:08:06,560 --> 00:08:14,720 +branch of a vertebral arteryنتكلم على الـ Pica أو + +94 +00:08:14,720 --> 00:08:17,340 +posterior inferior cerebellar artery، it is the + +95 +00:08:17,340 --> 00:08:20,700 +largest branch of الورتبرة الارتري، supplies + +96 +00:08:20,700 --> 00:08:27,330 +posterior partof inferior cervix of cerebellum من + +97 +00:08:27,330 --> 00:08:30,870 +هنا اسمه posterior inferior cerebellar artery و + +98 +00:08:30,870 --> 00:08:35,970 +بيغدى دورسه أو posterior lateral part of مضلة زاد + +99 +00:08:35,970 --> 00:08:40,390 +بيعطينا a branch لالchoroidal plexus of fourth + +100 +00:08:40,390 --> 00:08:43,430 +ventricle اتفاقنا ال choroidal plexus من ال + +101 +00:08:43,430 --> 00:08:46,690 +lateral والthird باخده من ال anterior choroidal + +102 +00:08:46,690 --> 00:08:50,930 +artery of internal carotid و ال choroidal plexus + +103 +00:08:50,930 --> 00:08:55,930 +في ال fourth ventricle باخده من ايه؟الـ posterior + +104 +00:08:55,930 --> 00:08:59,310 +inferior cerebellar artery وهنا كمان مرة نرسمهم + +105 +00:08:59,310 --> 00:09:08,350 +على الصورة نوضحهم هي عندي اتنين anterior spinal + +106 +00:09:08,350 --> 00:09:13,330 +origin تبعهم بعدين بيكونون single anterior spinal + +107 +00:09:13,330 --> 00:09:19,650 +artery في عندي two posterior spinal artery في + +108 +00:09:19,650 --> 00:09:25,300 +بايكاالليبوستيريونفيروس ريبيلر آرتري واخر شئ في + +109 +00:09:25,300 --> 00:09:29,400 +عند ميدالاري برانشز ميدالاري برانشز هانا في الصورة + +110 +00:09:29,400 --> 00:09:40,020 +هذه ربما أتركوا معاهم واضحين أكتر كبرتها بزلر + +111 +00:09:40,020 --> 00:09:44,440 +آرتري هلأ اتحدوا تلو الارتري مع بعض هاي هم + +112 +00:09:44,440 --> 00:09:53,890 +وكوّنونا ايهبازيلار آرتري كونونا ايه بازيلار آرتري + +113 +00:09:53,890 --> 00:09:59,350 +بازيلار + +114 +00:09:59,350 --> 00:10:07,430 +آرتري البازيلار آرتري هو عبارة عن ايه عبارة عن + +115 +00:10:07,430 --> 00:10:11,530 +union between the two vertebral arteries هو عبارة + +116 +00:10:11,530 --> 00:10:16,320 +عن اتحاد بين ايه two vertebral arteriesat the + +117 +00:10:16,320 --> 00:10:20,220 +lower border of the pons by the union of the two + +118 +00:10:20,220 --> 00:10:24,440 +vertebral arteries بيجينا مين بزلر آرتري and it + +119 +00:10:24,440 --> 00:10:29,260 +ascends along to the basilary groove، متذكرين ال + +120 +00:10:29,260 --> 00:10:32,380 +pons؟ في ال ventral surface of the pons، إيش قولنا + +121 +00:10:32,380 --> 00:10:35,680 +فيه؟ في عندنا basilary groove بيمور فيها بزلر + +122 +00:10:35,680 --> 00:10:40,660 +آرتري termination، وين بنتهي؟at the upper border + +123 +00:10:40,660 --> 00:10:48,960 +of the pons by dividing two terminal branches + +124 +00:10:48,960 --> 00:10:52,080 +posterior cerebral artery يبقى مين هو ال terminal + +125 +00:10:52,080 --> 00:10:59,920 +branch of basilar artery هم ايه posterior cerebral + +126 +00:10:59,920 --> 00:11:05,560 +artery هاي leftPosterior Cerebral Artery و هاي ايه + +127 +00:11:05,560 --> 00:11:12,240 +Right Posterior Cerebral Artery تمام Okay طب مين + +128 +00:11:12,240 --> 00:11:15,480 +هو largest branch of Basilar Artery نفس الشي هو + +129 +00:11:15,480 --> 00:11:21,480 +Posterior Cerebral Artery branches of Basilar + +130 +00:11:21,480 --> 00:11:27,640 +Artery أول branch نرسمها باللون أسود + +131 +00:11:30,510 --> 00:11:37,090 +هي عندى اللى هو large branch قولنا اللى هم + +132 +00:11:37,090 --> 00:11:40,910 +posterior spinal + +133 +00:11:40,910 --> 00:11:48,930 +artery posterior + +134 +00:11:48,930 --> 00:11:56,850 +spinal artery هم large branch هاي + +135 +00:11:56,850 --> 00:12:03,880 +liftPosterior Spinal Artery وهي ايه Right + +136 +00:12:03,880 --> 00:12:12,720 +Posterior Spinal Artery اول branch بيجينا اللي هم + +137 +00:12:12,720 --> 00:12:20,920 +Right Aica اللي هو Anterior Inferior Cerebellar + +138 +00:12:20,920 --> 00:12:25,080 +Artery Left Aica + +139 +00:12:26,870 --> 00:12:32,850 +هنا عندي بعدها auditory + +140 +00:12:32,850 --> 00:12:40,990 +او internal auditory internal auditory artery left + +141 +00:12:40,990 --> 00:12:48,590 +وهنا right internal auditory او لابيرنتين وبعدها + +142 +00:12:48,590 --> 00:12:56,130 +بيعطي ضريبة مرور اسمهم paramedianاو اسمهم Pontine + +143 +00:12:56,130 --> 00:13:03,810 +branches هدول الصغار اسمهم ايه Pontine branches او + +144 +00:13:03,810 --> 00:13:08,010 +Paramedian و قبل ما يعطينا posterior cerebral + +145 +00:13:08,010 --> 00:13:17,750 +artery بخرج منه اللي هو superior cerebellar + +146 +00:13:17,750 --> 00:13:18,170 +artery + +147 +00:13:22,860 --> 00:13:27,980 +Superior Cerebellar Artery + +148 +00:13:32,430 --> 00:13:36,530 +هيك بيكون خلصنا الموضوع branches of basilar artery + +149 +00:13:36,530 --> 00:13:41,010 +أول branch anterior inferior cerebellar artery هيه + +150 +00:13:41,010 --> 00:13:44,410 +هنا anterior inferior cerebellar artery أو آيكه + +151 +00:13:44,410 --> 00:13:49,570 +supply the anterior and inferior surface of the + +152 +00:13:49,570 --> 00:13:51,130 +cerebellum and pons + +153 +00:13:53,720 --> 00:13:58,160 +internal auditory او labyrinthine artery بيفوت لل + +154 +00:13:58,160 --> 00:14:02,000 +internal auditory meatus مع العصب السابع والثامن + +155 +00:14:02,000 --> 00:14:07,100 +supply the internal ear بيغد الأدن الداخلية تلاتة + +156 +00:14:07,100 --> 00:14:12,000 +small paramedian بنسميهم pontine branches supply + +157 +00:14:12,000 --> 00:14:16,600 +the pons بيغدوا ال pons بعدينبجينا superior + +158 +00:14:16,600 --> 00:14:21,120 +cerebellar artery which supply the superior part + +159 +00:14:21,120 --> 00:14:26,260 +of cerebellum and superior cerebellar peduncle + +160 +00:14:26,260 --> 00:14:30,380 +اللي بتحت مع ال midbrain وterminal branch الكبار + +161 +00:14:30,380 --> 00:14:34,680 +اللي هم posterior cerebral artery من الذاكرين ال + +162 +00:14:34,680 --> 00:14:38,580 +posterior cerebral artery قلتلكوا بتحت مع مين؟ مع + +163 +00:14:39,120 --> 00:14:43,440 +الـ Internal Carotid Artery عن طريق Posterior + +164 +00:14:43,440 --> 00:14:48,060 +Communicating Artery عشان يكونوا Circle of Wells + +165 +00:14:48,060 --> 00:14:58,660 +او Wells Formation خيان دي ايكا + +166 +00:14:58,660 --> 00:15:03,280 +Anterior Cerebellar Artery هذا Labyrinthine Artery + +167 +00:15:03,280 --> 00:15:10,340 +هذول Small Paramedianهنا superior cerebellar + +168 +00:15:10,340 --> 00:15:14,800 +artery وفي النهاية أكبر الـ branches اللي هم + +169 +00:15:14,800 --> 00:15:19,280 +posterior posterior cerebral artery اللي بتتحد مع + +170 +00:15:19,280 --> 00:15:24,120 +ال internal carotid artery عن طريق اللي هو + +171 +00:15:24,120 --> 00:15:28,340 +posterior communicating artery عشان يكونونا circle + +172 +00:15:28,340 --> 00:15:36,180 +of wells او wells formation الآن ننتقل لالـ + +173 +00:15:36,180 --> 00:15:39,220 +posterior cerebral artery حقه مش ماجس شرحنا + +174 +00:15:39,220 --> 00:15:42,360 +anterior cerebral artery بالتفصيل و شرحنا ال + +175 +00:15:42,360 --> 00:15:45,120 +middle cerebral artery بالتفصيل اللي هم بيخرجوا من + +176 +00:15:45,120 --> 00:15:48,320 +ال internal carotid artery لأنا أشرحلكم posterior + +177 +00:15:48,320 --> 00:15:52,500 +cerebral artery اللي أصله بيخرج من بزلر إيه ال + +178 +00:15:52,500 --> 00:15:55,910 +branchIt is the terminal branch of basilar artery + +179 +00:15:55,910 --> 00:16:01,050 +at the upper part of the pons connects with the + +180 +00:16:01,050 --> 00:16:05,450 +ipsilateral internal carotid artery by posterior + +181 +00:16:05,450 --> 00:16:08,470 +communicating artery وهذا ال posterior cerebral + +182 +00:16:08,470 --> 00:16:12,270 +artery كل واحد ال right بتحد مع ال right internal + +183 +00:16:12,270 --> 00:16:15,870 +carotid artery و ال left بتحد مع ال left internal + +184 +00:16:15,870 --> 00:16:19,750 +carotid arteryبواسطة ايه؟ اللي هو posterior + +185 +00:16:19,750 --> 00:16:26,670 +communicating artery on each side ايش بيغضينا اللي + +186 +00:16:26,670 --> 00:16:31,270 +هو posterior cerebral artery؟ it supplies inferior + +187 +00:16:31,270 --> 00:16:35,730 +lateral part of temporal loop, occipital loop, + +188 +00:16:36,330 --> 00:16:39,930 +posterior part of corpus callosum, diencephalon, + +189 +00:16:40,530 --> 00:16:45,390 +midbrain وchoroidal plexus of lateral and third + +190 +00:16:45,390 --> 00:16:51,110 +ventricleهذه واضحة عندي اللي هو posterior cerebral + +191 +00:16:51,110 --> 00:16:54,450 +artery بيغضي ال occipital loop و بيغضينا ال + +192 +00:16:54,450 --> 00:17:08,750 +inferior service of temporal loop هذه + +193 +00:17:08,750 --> 00:17:14,680 +عندي اعتبرها ال basilar arteryانقسم لقسمين ل + +194 +00:17:14,680 --> 00:17:18,220 +posterior cerebral artery right left او left right + +195 +00:17:18,220 --> 00:17:23,040 +بتحد مع ال internal carotid artery عن طريق ايش هو + +196 +00:17:23,040 --> 00:17:27,200 +اللي هو left and right posterior communicating + +197 +00:17:27,200 --> 00:17:34,160 +arteries ننتقل + +198 +00:17:34,160 --> 00:17:38,850 +لموضوع circle of wheelsFunction أو الـ definition + +199 +00:17:38,850 --> 00:17:40,570 +تبع الـ circle of wells قبل ما اتكلم عن الـ + +200 +00:17:40,570 --> 00:17:45,130 +function هو عبارة عن arterial anastomosis between + +201 +00:17:45,130 --> 00:17:48,670 +nine arteries supplying the brain يبقى انه عبارة + +202 +00:17:48,670 --> 00:17:52,170 +عن anastomosis between vertebral basilar system + +203 +00:17:52,170 --> 00:17:57,690 +and internal carotid systemالـ Function Direct + +204 +00:17:57,690 --> 00:18:03,310 +blood to other branches in cases of occlusion and + +205 +00:18:03,310 --> 00:18:07,070 +connect carotid system with vertebral basilar + +206 +00:18:07,070 --> 00:18:11,430 +system أنا سنة 2001 2004 في رسالة الدكتوراه بتاعتى + +207 +00:18:11,430 --> 00:18:14,130 +عملت دراسة على المرضى اللى عندهم carotid stroke + +208 +00:18:14,130 --> 00:18:16,430 +المرضى اللى عندهم جلطات دماغية في شريان السباتي + +209 +00:18:16,430 --> 00:18:20,670 +ووجدنا عند دول المرضى انه بزيد عندهم ال cerebral + +210 +00:18:20,670 --> 00:18:23,910 +hemodynamicو الـ blood supply راح تزيد عندهم و + +211 +00:18:23,910 --> 00:18:26,850 +بزيد في الـ vertebrobasilar عشان يعمل عملية + +212 +00:18:26,850 --> 00:18:31,050 +compensation ل .. ل .. اللي هو الـ deficit اللي + +213 +00:18:31,050 --> 00:18:34,650 +صار في carotid system يبقى وظيفة الـ circle ovals + +214 +00:18:34,650 --> 00:18:38,190 +هو عبارة عن connection between two system between + +215 +00:18:38,190 --> 00:18:42,670 +internal carotid system and vertebrobasilar system + +216 +00:18:42,670 --> 00:18:49,200 +من أين بتكون؟circle of wells بتكون من 9 ارتريز، + +217 +00:18:49,200 --> 00:18:52,920 +واحد فردي واربع زوجي، واحد فردي واربع زوجي، الاربع + +218 +00:18:52,920 --> 00:18:55,880 +زوجي صاروا ثمانية، واحد فردي صاروا تسعة، نبدأ من + +219 +00:18:55,880 --> 00:18:56,560 +فوق لتحت + +220 +00:19:00,070 --> 00:19:01,910 +لو سألتكوا سؤال الـ anterior communicating artery + +221 +00:19:01,910 --> 00:19:04,710 +هو يعتبر الـ branch من الـ internal carotid + +222 +00:19:04,710 --> 00:19:08,590 +artery؟ لأ، هو يعتبر connection between two + +223 +00:19:08,590 --> 00:19:10,850 +anterior cerebral arteries، يبقى الـ anterior + +224 +00:19:10,850 --> 00:19:13,650 +communicating artery، هذا فردي واحد، بيربط الـ + +225 +00:19:13,650 --> 00:19:15,950 +right والـ left إيه؟ Anterior cerebral artery، + +226 +00:19:15,950 --> 00:19:18,410 +صاروا ثلاثة، من وين خرج الـ anterior cerebral + +227 +00:19:18,410 --> 00:19:21,290 +artery من الـ internal carotid؟ right، left، صاروا + +228 +00:19:21,290 --> 00:19:25,800 +خمسةبرجع رجوع للخلف posterior communicating artery + +229 +00:19:25,800 --> 00:19:29,100 +right left صاروا كام؟ سبعة بربط مين ال posterior + +230 +00:19:29,100 --> 00:19:32,660 +communicating artery؟ بربط ال internal carotid مع + +231 +00:19:32,660 --> 00:19:35,000 +ال posterior cerebral artery يعني right left + +232 +00:19:35,000 --> 00:19:37,780 +posterior cerebral artery صاروا كام؟ تسعة ايه كان؟ + +233 +00:19:37,780 --> 00:19:42,900 +بتكون من anterior communicating arteryالواحد بيكون + +234 +00:19:42,900 --> 00:19:45,680 +هو بربط ال right will lifts anterior cerebral + +235 +00:19:45,680 --> 00:19:50,040 +artery right left anterior cerebral artery right + +236 +00:19:50,040 --> 00:19:53,860 +left internal carotid artery right left posterior + +237 +00:19:53,860 --> 00:19:57,320 +communicating artery and right left posterior + +238 +00:19:57,320 --> 00:20:02,520 +cerebral artery صار عددهم كام تسعة انتبهوا لو أجي + +239 +00:20:02,520 --> 00:20:04,920 +سؤال على ال middle cerebral artery ال middle + +240 +00:20:04,920 --> 00:20:09,080 +cerebral artery ملهوش علاقة في موضوع circle of + +241 +00:20:09,080 --> 00:20:17,210 +wells تابعوا معاياهي نرسم بلون .. الكلام هذا مش + +242 +00:20:17,210 --> 00:20:24,490 +واضح كير هي anterior communicating + +243 +00:20:24,490 --> 00:20:28,010 +artery واحد هذا ال anterior communicating artery + +244 +00:20:28,010 --> 00:20:36,270 +بيربط right anterior cerebral artery مع ايه؟ مع ال + +245 +00:20:36,270 --> 00:20:41,610 +leftصار عندى كام؟ اتنين ثلاثة من وين خرج ال + +246 +00:20:41,610 --> 00:20:45,170 +anterior cerebral artery من ال internal carotid + +247 +00:20:45,170 --> 00:20:51,470 +artery صار عندى اكام؟ تلاتة اربعة خمسة بخرج + +248 +00:20:51,470 --> 00:20:57,510 +posterior communicating artery right + +249 +00:20:57,510 --> 00:21:02,770 +and left ستة سبعة بربط مين؟ بربط ال internal + +250 +00:21:02,770 --> 00:21:08,270 +carotid artery مع ايه؟ posteriorCerebral artery + +251 +00:21:08,270 --> 00:21:11,650 +سعره + +252 +00:21:11,650 --> 00:21:17,090 +ايه تمانية تسعة هذا هو اللي تعتبر circle of wells + +253 +00:21:27,730 --> 00:21:31,930 +هك أنا بكون خلصت موضوع الـ arterial blood supply + +254 +00:21:31,930 --> 00:21:36,290 +بضل عندنا كام slide على موضوع ال cerebral diural + +255 +00:21:36,290 --> 00:21:40,950 +venous sinuses ال diural venous sinuses بنسميهم + +256 +00:21:40,950 --> 00:21:46,170 +cerebral sinuses هم عبارة عن cavity أو channels + +257 +00:21:47,290 --> 00:21:50,770 +موجودين between the two layers of the durometer in + +258 +00:21:50,770 --> 00:21:56,110 +the brain موجودين + +259 +00:21:56,110 --> 00:21:59,510 +between the two layers of the durometer in the + +260 +00:21:59,510 --> 00:22:00,810 +brain موجودين between the two layers of the + +261 +00:22:00,810 --> 00:22:03,610 +durometer in the brain موجودين between the two + +262 +00:22:03,610 --> 00:22:05,530 +layers of the durometer in the brain موجودين + +263 +00:22:05,530 --> 00:22:05,770 +between the two layers of the durometer in the + +264 +00:22:05,770 --> 00:22:07,010 +brain موجودين between the two layers of the + +265 +00:22:07,010 --> 00:22:08,130 +durometer in the brain موجودين between the two + +266 +00:22:08,130 --> 00:22:09,330 +layers of the durometer in the brain موجودين + +267 +00:22:09,330 --> 00:22:10,590 +between the two layers of the durometer in the + +268 +00:22:10,590 --> 00:22:11,870 +brain موجودين between the two layers of the + +269 +00:22:11,870 --> 00:22:12,750 +durometer in the brain موجودين between the two + +270 +00:22:12,750 --> 00:22:14,010 +layers of the durometer in the brain موجودين + +271 +00:22:14,010 --> 00:22:14,130 +between the two layers of the durometer in the + +272 +00:22:14,130 --> 00:22:14,150 +brain موجودين between the two layers of the + +273 +00:22:14,150 --> 00:22:16,300 +durometer in theمن وين بتاخد الـ venous blood + +274 +00:22:16,300 --> 00:22:19,620 +لديورة الـ venous sinuses؟ من الـ internal and + +275 +00:22:19,620 --> 00:22:23,780 +external veins of the brain من أوريذة الدماغ ثانيا + +276 +00:22:23,780 --> 00:22:27,480 +تاخد الـ cerebrospinal fluid CSF من الـ + +277 +00:22:27,480 --> 00:22:31,260 +subarachnoid space من الذاكرين عن طريق arachnoid + +278 +00:22:31,260 --> 00:22:34,520 +villi and arachnoid granulation قلتلكوا + +279 +00:22:34,520 --> 00:22:38,710 +granulation microscope و villi microscopicو + +280 +00:22:38,710 --> 00:22:43,410 +finally هدول ال sinuses بيسلموا ال venous blood + +281 +00:22:43,410 --> 00:22:48,550 +لوين ل internal jugular في عندنا three single + +282 +00:22:48,550 --> 00:22:52,850 +sinuses و six paired sinuses يعني ال single + +283 +00:22:52,850 --> 00:22:55,730 +sinuses راح يكونوا في ال right cerebral hemisphere + +284 +00:22:55,730 --> 00:22:59,530 +ولا في ال left مدام هم singleOkay هم راح يكونوا + +285 +00:22:59,530 --> 00:23:02,690 +وين؟ في المنتصف بين ال right و ال left عشان هيك + +286 +00:23:02,690 --> 00:23:06,150 +بيكونوا فردي مش زوجي لكن الزوجي راح يكونوا في ال + +287 +00:23:06,150 --> 00:23:08,550 +right و في ال left لكن الفردي بيكون وين؟ في + +288 +00:23:08,550 --> 00:23:15,190 +المنتصف من هم ال single venous sinuses superior + +289 +00:23:15,190 --> 00:23:20,750 +sagittal sinus هي واحد inferior sagittal sinus و + +290 +00:23:20,750 --> 00:23:25,730 +striate sinus او هذا ال striate بيسموه tentorial + +291 +00:23:29,390 --> 00:23:35,190 +Sinus Stentorial Sinus او بيسموه Striate Sinus + +292 +00:23:35,190 --> 00:23:38,710 +يبقى كام واحد فردي ثلاثة كمان مرة Superior and + +293 +00:23:38,710 --> 00:23:40,450 +Sagittal مدام في Superior and Sagittal يبقى ان في + +294 +00:23:40,450 --> 00:23:45,790 +Inferior and Sagittal ثلاثة Striate Sinus هي عندي + +295 +00:23:45,790 --> 00:23:49,310 +Superior + +296 +00:23:49,310 --> 00:23:55,790 +Sagittal Sinus هي عندي Inferior Sagittal Sinus وهي + +297 +00:23:55,790 --> 00:24:01,110 +عنديstriate sinus أو بنسميه tentorial sinus عشان + +298 +00:24:01,110 --> 00:24:05,330 +جاي في ال tentarium cerebelli هذول الثلاثة فردي + +299 +00:24:05,330 --> 00:24:11,470 +superior sagittal inferior sagittal وstriate sinus + +300 +00:24:11,470 --> 00:24:17,370 +هذول التلاتة ال coronal cut هذا يعتبر superior + +301 +00:24:17,370 --> 00:24:22,370 +sagittal sinusلاحظوا باخد venous blood من ال veins + +302 +00:24:22,370 --> 00:24:26,210 +و باخد CSF عن طريق arachnoid granulation و + +303 +00:24:26,210 --> 00:24:30,150 +arachnoid villi من ال subarachnoid space باخد CSF + +304 +00:24:30,150 --> 00:24:35,670 +هاي واضح هندي هان superior sagittal sinus في ال + +305 +00:24:35,670 --> 00:24:45,730 +corona ال cut و تحت inferior sagittal sinus الآن + +306 +00:24:45,730 --> 00:24:50,350 +ننتقللـ Paired Sinuses ايش Paired Sinuses يعني + +307 +00:24:50,350 --> 00:24:55,250 +بيكون زوجي Right و Left في Transverse او Lateral + +308 +00:24:55,250 --> 00:25:00,030 +Sinus Right و Left في Sigmoid Sinus Right و Left + +309 +00:25:00,030 --> 00:25:04,690 +في Cavernous Sinus Right و Left Superior Petrosal + +310 +00:25:04,690 --> 00:25:08,790 +Sinus Right و Left Inferior Petrosal Sinus Right و + +311 +00:25:08,790 --> 00:25:14,490 +Left و Sphenobarital Sinus Right و Left هنا واضح + +312 +00:25:14,490 --> 00:25:25,500 +عن دياللي هو Transverse Sinus أو Lateral Sinus هنا + +313 +00:25:25,500 --> 00:25:29,700 +بيكون عندي Cavernous Sinus في Right و في Left هذا + +314 +00:25:29,700 --> 00:25:33,440 +Superior Petrosal Sinus هنا Inferior Petrosal + +315 +00:25:33,440 --> 00:25:37,180 +Sinus و تحت هنا تحت ال Tentorium بيكون عندي + +316 +00:25:37,180 --> 00:25:41,060 +Sigmoid Sinus + +317 +00:25:48,740 --> 00:25:51,060 +ال caviarnal sinus اتكلم عنه كلمتين مرة علينا كتير + +318 +00:25:51,060 --> 00:25:53,980 +caviarnal sinus هذا ال caviarnal sinus مهم جدا + +319 +00:25:53,980 --> 00:25:57,900 +لانه بيمور فيه structures بيمور فيه cranial nerves + +320 +00:25:57,900 --> 00:26:02,380 +و artery بيمور فيه oculomotor nerve بيمور فيه + +321 +00:26:02,380 --> 00:26:07,190 +trochlear nerve و بيمور فيه abdossum nerveوغير هيك + +322 +00:26:07,190 --> 00:26:11,110 +بيمر في ophthalmic and maxillary branch of the + +323 +00:26:11,110 --> 00:26:16,010 +trigeminal nerve وكمان بيمر internal carotid + +324 +00:26:16,010 --> 00:26:21,370 +artery بيمر في الكفيرنس الصينيس هي الكفيرنس + +325 +00:26:21,370 --> 00:26:26,970 +الصينيس ناخد ال right cavernous sinus بين ال right + +326 +00:26:26,970 --> 00:26:34,650 +و ال leftفيه بيكون بتيوترى جلاند الغدة النخامية في + +327 +00:26:34,650 --> 00:26:38,850 +ال cavernous sinus بيمر في ال lateral wall العصب + +328 +00:26:38,850 --> 00:26:43,130 +الثالث oculomotor تحته العصب الرابع trochlea و + +329 +00:26:43,130 --> 00:26:47,170 +كمان في ال lower lateral بيمر ال ophthalmic branch + +330 +00:26:47,170 --> 00:26:51,930 +بتاع ايش trigeminal nerve و maxillary branch بتاع + +331 +00:26:51,930 --> 00:26:56,470 +مين trigeminal nerve و في ال medial wall بيكون + +332 +00:26:56,470 --> 00:26:59,890 +عندى ال internalcarotid artery و تحت ال internal + +333 +00:26:59,890 --> 00:27:03,670 +carotid artery بيكون abdocent nerve العصب ايه + +334 +00:27:03,670 --> 00:27:06,470 +السادس اللي راح نتكلم عنهم في محاضرة ان شاء الله + +335 +00:27:06,470 --> 00:27:14,870 +cranial nerve هاي + +336 +00:27:14,870 --> 00:27:17,610 +واضح اندي في الصورة هنا superior sagittal sinus + +337 +00:27:17,610 --> 00:27:22,030 +هنا inferior sagittal sinus وهنا straight sinus + +338 +00:27:22,030 --> 00:27:25,950 +هذول الثلاثة فردي هذول الثلاثة فردي هنا في عندي + +339 +00:27:25,950 --> 00:27:30,830 +cavernous sinusSuperpetrosal sinus, Inferopetrosal + +340 +00:27:30,830 --> 00:27:36,230 +sinus, Transverse sinus او Lateral sinus, Sigmoid + +341 +00:27:36,230 --> 00:27:39,230 +sinus، ال Sigmoid sinus بيسلم كله، كلهم بيسلموا ل + +342 +00:27:39,230 --> 00:27:42,130 +Sigmoid sinus، و Sigmoid sinus بيسلم ال blood ال + +343 +00:27:42,130 --> 00:27:45,690 +venous blood ل internal، jugular في فين؟ في + +344 +00:27:45,690 --> 00:27:49,210 +occipital sinus او في other sinuses، هذول هيك + +345 +00:27:49,210 --> 00:27:54,730 +بيكفوا لشرح المحاضرة هذهفي ال slide هذا بكون وصلت + +346 +00:27:54,730 --> 00:27:58,630 +لنهاية المحاضرة اللي هي عن ال blood supply of the + +347 +00:27:58,630 --> 00:28:02,810 +brain and venous drainage of the brain يعطيكم الف + +348 +00:28:02,810 --> 00:28:06,350 +عافية و إلى اللقاء في المحاضرة القادمة راح نتكلم + +349 +00:28:06,350 --> 00:28:09,330 +على anatomy of the spinal cord + diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/U7EAhoTGhq4_raw.json b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/U7EAhoTGhq4_raw.json new file mode 100644 index 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بيعطينا a branch لالchoroidal plexus of fourth ventricle اتفاقنا ال choroidal plexus من ال lateral والthird باخده من ال anterior choroidal artery of internal carotid و ال choroidal plexus في ال fourth ventricle باخده من ايه؟", "tokens": [2670, 24249, 39543, 970, 295, 11643, 7100, 449, 9154, 34105, 24525, 2304, 3224, 33529, 24249, 11643, 7100, 289, 38520, 4032, 4724, 1829, 17082, 3215, 7578, 11778, 13063, 3794, 3224, 34051, 33529, 25128, 644, 295, 3714, 11242, 37977, 30767, 18513, 4724, 40228, 9566, 1829, 8315, 257, 9819, 5296, 6027, 339, 10780, 22151, 280, 2021, 301, 295, 6409, 6931, 1341, 306, 1975, 2655, 5172, 995, 4587, 8315, 2423, 417, 10780, 22151, 280, 2021, 301, 9154, 2423, 25128, 4032, 6027, 25095, 4724, 47283, 3215, 3224, 9154, 2423, 22272, 417, 10780, 22151, 38520, 295, 6920, 1032, 310, 327, 4032, 2423, 417, 10780, 22151, 280, 2021, 301, 8978, 2423, 6409, 6931, 1341, 306, 4724, 47283, 3215, 3224, 9154, 1975, 1829, 3224, 22807], "avg_logprob": -0.29793433567224925, 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"probability": 0.1956787109375}, {"start": 658.32, "end": 659.92, "word": " cerebral", "probability": 0.74755859375}, {"start": 659.92, "end": 660.48, "word": " artery", "probability": 0.93701171875}, {"start": 660.48, "end": 660.76, "word": " هاي", "probability": 0.694580078125}, {"start": 660.76, "end": 661.2, "word": " left", "probability": 0.80908203125}], "temperature": 1.0}, {"id": 26, "seek": 68764, "start": 661.94, "end": 687.64, "text": "Posterior Cerebral Artery و هاي ايه Right Posterior Cerebral Artery تمام Okay طب مين هو largest branch of Basilar Artery نفس الشي هو Posterior Cerebral Artery branches of Basilar Artery أول branch نرسمها باللون أسود", "tokens": [47, 7096, 1973, 383, 323, 32728, 1587, 12733, 4032, 8032, 47302, 1975, 1829, 3224, 1779, 430, 7096, 1973, 383, 323, 32728, 1587, 12733, 46811, 10943, 1033, 23032, 3555, 3714, 9957, 31439, 6443, 9819, 295, 5859, 2202, 1587, 12733, 8717, 36178, 25124, 1829, 31439, 430, 7096, 1973, 383, 323, 32728, 1587, 12733, 14770, 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{"start": 668.54, "end": 669.08, "word": " Artery", "probability": 0.94775390625}, {"start": 669.08, "end": 669.74, "word": " تمام", "probability": 0.84521484375}, {"start": 669.74, "end": 671.48, "word": " Okay", "probability": 0.1329345703125}, {"start": 671.48, "end": 672.1, "word": " طب", "probability": 0.7919921875}, {"start": 672.1, "end": 672.24, "word": " مين", "probability": 0.96142578125}, {"start": 672.24, "end": 672.36, "word": " هو", "probability": 0.9912109375}, {"start": 672.36, "end": 672.72, "word": " largest", "probability": 0.37890625}, {"start": 672.72, "end": 673.3, "word": " branch", "probability": 0.81884765625}, {"start": 673.3, "end": 673.46, "word": " of", "probability": 0.927734375}, {"start": 673.46, "end": 673.8, "word": " Basilar", "probability": 0.8984375}, {"start": 673.8, "end": 674.3, "word": " Artery", "probability": 0.858642578125}, {"start": 674.3, "end": 674.86, "word": " نفس", "probability": 0.935546875}, {"start": 674.86, "end": 675.16, "word": " الشي", "probability": 0.96728515625}, {"start": 675.16, "end": 675.48, "word": " هو", "probability": 0.7294921875}, {"start": 675.48, "end": 676.76, "word": " Posterior", "probability": 0.8684895833333334}, {"start": 676.76, "end": 677.28, "word": " Cerebral", "probability": 0.8987630208333334}, {"start": 677.28, "end": 677.8, "word": " Artery", "probability": 0.96142578125}, {"start": 677.8, "end": 679.8, "word": " branches", "probability": 0.8046875}, {"start": 679.8, "end": 680.84, "word": " of", "probability": 0.96630859375}, {"start": 680.84, "end": 681.48, "word": " Basilar", "probability": 0.724853515625}, {"start": 681.48, "end": 681.98, "word": " Artery", "probability": 0.94482421875}, {"start": 681.98, "end": 683.46, "word": " أول", "probability": 0.755615234375}, {"start": 683.46, "end": 683.96, "word": " branch", "probability": 0.6328125}, {"start": 683.96, "end": 686.5, "word": " نرسمها", "probability": 0.81719970703125}, {"start": 686.5, "end": 686.84, "word": " باللون", "probability": 0.92333984375}, {"start": 686.84, "end": 687.64, "word": " أسود", "probability": 0.982421875}], "temperature": 1.0}, {"id": 27, "seek": 71717, "start": 690.51, "end": 717.17, "text": "هي عندى اللى هو large branch قولنا اللى هم posterior spinal artery posterior spinal artery هم large branch هاي lift", "tokens": [3224, 1829, 43242, 7578, 13672, 7578, 31439, 2416, 9819, 12174, 12610, 8315, 13672, 7578, 8032, 2304, 33529, 28022, 38520, 33529, 28022, 38520, 8032, 2304, 2416, 9819, 8032, 47302, 5533], "avg_logprob": -0.2981770753860474, "compression_ratio": 1.4591836734693877, "no_speech_prob": 0.0, "words": [{"start": 690.51, "end": 690.83, "word": "هي", "probability": 0.32696533203125}, {"start": 690.83, "end": 691.91, "word": " عندى", "probability": 0.7333984375}, {"start": 691.91, "end": 692.19, "word": " اللى", "probability": 0.766357421875}, {"start": 692.19, "end": 693.61, "word": " هو", "probability": 0.74951171875}, {"start": 693.61, "end": 696.09, "word": " large", "probability": 0.498779296875}, {"start": 696.09, "end": 696.49, "word": " branch", "probability": 0.82958984375}, {"start": 696.49, "end": 696.77, "word": " قولنا", "probability": 0.7853190104166666}, {"start": 696.77, "end": 696.93, "word": " اللى", "probability": 0.864501953125}, {"start": 696.93, "end": 697.09, "word": " هم", "probability": 0.8056640625}, {"start": 697.09, "end": 697.65, "word": " posterior", "probability": 0.90234375}, {"start": 697.65, "end": 700.91, "word": " spinal", "probability": 0.86328125}, {"start": 700.91, "end": 701.49, "word": " artery", "probability": 0.94189453125}, {"start": 701.49, "end": 708.93, "word": " posterior", "probability": 0.88720703125}, {"start": 708.93, "end": 709.43, "word": " spinal", "probability": 0.92724609375}, {"start": 709.43, "end": 709.83, "word": " artery", "probability": 0.9384765625}, {"start": 709.83, "end": 709.97, "word": " هم", "probability": 0.895263671875}, {"start": 709.97, "end": 710.23, "word": " large", "probability": 0.92578125}, {"start": 710.23, "end": 710.79, "word": " branch", "probability": 0.8466796875}, {"start": 710.79, "end": 716.85, "word": " هاي", "probability": 0.59619140625}, {"start": 716.85, "end": 717.17, "word": " lift", "probability": 0.6708984375}], "temperature": 1.0}, {"id": 28, "seek": 74508, "start": 718.7, "end": 745.08, "text": "Posterior Spinal Artery وهي ايه Right Posterior Spinal Artery اول branch بيجينا اللي هم Right Aica اللي هو Anterior Inferior Cerebellar Artery Left Aica", "tokens": [47, 7096, 1973, 1738, 2071, 1587, 12733, 37037, 1829, 1975, 1829, 3224, 1779, 430, 7096, 1973, 1738, 2071, 1587, 12733, 1975, 12610, 9819, 4724, 1829, 7435, 1829, 8315, 13672, 1829, 8032, 2304, 1779, 316, 2262, 13672, 1829, 31439, 1107, 10872, 682, 612, 1973, 383, 323, 7100, 289, 1587, 12733, 16405, 316, 2262], "avg_logprob": -0.27122642634049904, "compression_ratio": 1.432, "no_speech_prob": 0.0, "words": [{"start": 718.7, "end": 719.58, "word": "Posterior", "probability": 0.7239583333333334}, {"start": 719.58, "end": 720.32, "word": " Spinal", "probability": 0.915771484375}, {"start": 720.32, "end": 720.9, "word": " Artery", "probability": 0.858642578125}, {"start": 720.9, "end": 722.12, "word": " وهي", "probability": 0.5516357421875}, {"start": 722.12, "end": 722.76, "word": " ايه", "probability": 0.8546549479166666}, {"start": 722.76, "end": 723.88, "word": " Right", "probability": 0.4501953125}, {"start": 723.88, "end": 725.32, "word": " Posterior", "probability": 0.9397786458333334}, {"start": 725.32, "end": 725.86, "word": " Spinal", "probability": 0.97705078125}, {"start": 725.86, "end": 726.42, "word": " Artery", "probability": 0.949462890625}, {"start": 726.42, "end": 728.14, "word": " اول", "probability": 0.863525390625}, {"start": 728.14, "end": 728.62, "word": " branch", "probability": 0.12255859375}, {"start": 728.62, "end": 729.96, "word": " بيجينا", "probability": 0.89111328125}, {"start": 729.96, "end": 732.5, "word": " اللي", "probability": 0.83984375}, {"start": 732.5, "end": 732.72, "word": " هم", "probability": 0.857421875}, {"start": 732.72, "end": 733.66, "word": " Right", "probability": 0.76220703125}, {"start": 733.66, "end": 736.58, "word": " Aica", "probability": 0.3897705078125}, {"start": 736.58, "end": 738.1, "word": " اللي", "probability": 0.934326171875}, {"start": 738.1, "end": 738.2, "word": " هو", "probability": 0.91064453125}, {"start": 738.2, "end": 739.0, "word": " Anterior", "probability": 0.691162109375}, {"start": 739.0, "end": 740.2, "word": " Inferior", "probability": 0.8811848958333334}, {"start": 740.2, "end": 740.92, "word": " Cerebellar", "probability": 0.880859375}, {"start": 740.92, "end": 741.44, "word": " Artery", "probability": 0.90673828125}, {"start": 741.44, "end": 742.66, "word": " Left", "probability": 0.472412109375}, {"start": 742.66, "end": 745.08, "word": " Aica", "probability": 0.952392578125}], "temperature": 1.0}, {"id": 29, "seek": 77263, "start": 746.87, "end": 772.63, "text": "هنا عندي بعدها auditory او internal auditory internal auditory artery left وهنا right internal auditory او لابيرنتين وبعدها بيعطي ضريبة مرور اسمهم paramedian", "tokens": [3224, 8315, 18871, 16254, 39182, 11296, 17748, 827, 1975, 2407, 6920, 17748, 827, 6920, 17748, 827, 38520, 1411, 4032, 3224, 8315, 558, 6920, 17748, 827, 1975, 2407, 5296, 16758, 13546, 29399, 9957, 46599, 22488, 11296, 4724, 40228, 9566, 1829, 48812, 16572, 49401, 3714, 2288, 13063, 24525, 2304, 16095, 6220, 292, 952], "avg_logprob": -0.27013221096533996, "compression_ratio": 1.49645390070922, "no_speech_prob": 0.0, "words": [{"start": 746.87, "end": 747.21, "word": "هنا", "probability": 0.79931640625}, {"start": 747.21, "end": 747.57, "word": " عندي", "probability": 0.783203125}, {"start": 747.57, "end": 749.37, "word": " بعدها", "probability": 0.815185546875}, {"start": 749.37, "end": 752.85, "word": " auditory", "probability": 0.6607666015625}, {"start": 752.85, "end": 753.21, "word": " او", "probability": 0.783935546875}, {"start": 753.21, "end": 753.95, "word": " internal", "probability": 0.82958984375}, {"start": 753.95, "end": 754.67, "word": " auditory", "probability": 0.969482421875}, {"start": 754.67, "end": 756.05, "word": " internal", "probability": 0.488037109375}, {"start": 756.05, "end": 758.39, "word": " auditory", "probability": 0.9775390625}, {"start": 758.39, "end": 758.99, "word": " artery", "probability": 0.95849609375}, {"start": 758.99, "end": 760.99, "word": " left", "probability": 0.7646484375}, {"start": 760.99, "end": 762.31, "word": " وهنا", "probability": 0.5018717447916666}, {"start": 762.31, "end": 762.73, "word": " right", "probability": 0.7587890625}, {"start": 762.73, "end": 764.15, "word": " internal", "probability": 0.85791015625}, {"start": 764.15, "end": 765.97, "word": " auditory", "probability": 0.96484375}, {"start": 765.97, "end": 766.17, "word": " او", "probability": 0.7293701171875}, {"start": 766.17, "end": 766.97, "word": " لابيرنتين", "probability": 0.755810546875}, {"start": 766.97, "end": 768.59, "word": " وبعدها", "probability": 0.8194173177083334}, {"start": 768.59, "end": 769.67, "word": " بيعطي", "probability": 0.76507568359375}, {"start": 769.67, "end": 770.33, "word": " ضريبة", "probability": 0.77490234375}, {"start": 770.33, "end": 770.85, "word": " مرور", "probability": 0.9671223958333334}, {"start": 770.85, "end": 771.33, "word": " اسمهم", "probability": 0.9423828125}, {"start": 771.33, "end": 772.63, "word": " paramedian", "probability": 0.732177734375}], "temperature": 1.0}, {"id": 30, "seek": 79817, "start": 773.57, "end": 798.17, "text": "او اسمهم Pontine branches هدول الصغار اسمهم ايه Pontine branches او Paramedian و قبل ما يعطينا posterior cerebral artery بخرج منه اللي هو superior cerebellar artery", "tokens": [995, 2407, 24525, 2304, 16095, 41127, 533, 14770, 8032, 3215, 12610, 31767, 17082, 9640, 24525, 2304, 16095, 1975, 1829, 3224, 41127, 533, 14770, 1975, 2407, 3457, 3475, 952, 4032, 12174, 36150, 19446, 37495, 9566, 1829, 8315, 33529, 43561, 38520, 4724, 34740, 7435, 9154, 3224, 13672, 1829, 31439, 13028, 11643, 7100, 289, 38520], "avg_logprob": -0.24425118261913084, "compression_ratio": 1.411764705882353, "no_speech_prob": 0.0, "words": [{"start": 773.57, "end": 773.93, "word": "او", "probability": 0.630859375}, {"start": 773.93, "end": 774.47, "word": " اسمهم", "probability": 0.9182942708333334}, {"start": 774.47, "end": 776.13, "word": " Pontine", "probability": 0.6221923828125}, {"start": 776.13, "end": 777.01, "word": " branches", "probability": 0.60888671875}, {"start": 777.01, "end": 778.45, "word": " هدول", "probability": 0.7581380208333334}, {"start": 778.45, "end": 778.87, "word": " الصغار", "probability": 0.7963053385416666}, {"start": 778.87, "end": 779.35, "word": " اسمهم", "probability": 0.9295247395833334}, {"start": 779.35, "end": 779.73, "word": " ايه", "probability": 0.8665364583333334}, {"start": 779.73, "end": 781.27, "word": " Pontine", "probability": 0.871826171875}, {"start": 781.27, "end": 783.49, "word": " branches", "probability": 0.892578125}, {"start": 783.49, "end": 783.81, "word": " او", "probability": 0.817138671875}, {"start": 783.81, "end": 784.81, "word": " Paramedian", "probability": 0.6007893880208334}, {"start": 784.81, "end": 785.59, "word": " و", "probability": 0.8330078125}, {"start": 785.59, "end": 786.21, "word": " قبل", "probability": 0.780517578125}, {"start": 786.21, "end": 786.77, "word": " ما", "probability": 0.97900390625}, {"start": 786.77, "end": 787.19, "word": " يعطينا", "probability": 0.9232177734375}, {"start": 787.19, "end": 787.59, "word": " posterior", "probability": 0.3583984375}, {"start": 787.59, "end": 788.01, "word": " cerebral", "probability": 0.488525390625}, {"start": 788.01, "end": 788.71, "word": " artery", "probability": 0.96728515625}, {"start": 788.71, "end": 789.75, "word": " بخرج", "probability": 0.9148763020833334}, {"start": 789.75, "end": 790.25, "word": " منه", "probability": 0.978759765625}, {"start": 790.25, "end": 792.13, "word": " اللي", "probability": 0.82177734375}, {"start": 792.13, "end": 792.45, "word": " هو", "probability": 0.99462890625}, {"start": 792.45, "end": 793.91, "word": " superior", "probability": 0.78271484375}, {"start": 793.91, "end": 797.75, "word": " cerebellar", "probability": 0.9347330729166666}, {"start": 797.75, "end": 798.17, "word": " artery", "probability": 0.97509765625}], "temperature": 1.0}, {"id": 31, "seek": 80798, "start": 802.86, "end": 807.98, "text": "Superior Cerebellar Artery", "tokens": [30152, 1973, 383, 323, 7100, 289, 1587, 12733], "avg_logprob": -0.4704861111111111, "compression_ratio": 0.7647058823529411, "no_speech_prob": 0.0, "words": [{"start": 802.86, "end": 804.26, "word": "Superior", "probability": 0.591796875}, {"start": 804.26, "end": 805.66, "word": " Cerebellar", "probability": 0.73944091796875}, {"start": 805.66, "end": 807.98, "word": " Artery", "probability": 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869.34, "end": 870.38, "word": " الكبار", "probability": 0.8328450520833334}, {"start": 870.38, "end": 870.8, "word": " اللي", "probability": 0.9833984375}, {"start": 870.8, "end": 871.08, "word": " هم", "probability": 0.795654296875}, {"start": 871.08, "end": 872.22, "word": " posterior", "probability": 0.71337890625}, {"start": 872.22, "end": 873.0, "word": " cerebral", "probability": 0.8154296875}, {"start": 873.0, "end": 873.58, "word": " artery", "probability": 0.93994140625}, {"start": 873.58, "end": 874.0, "word": " من", "probability": 0.1744384765625}, {"start": 874.0, "end": 874.56, "word": " الذاكرين", "probability": 0.9241943359375}, {"start": 874.56, "end": 874.68, "word": " ال", "probability": 0.8447265625}, {"start": 874.68, "end": 875.04, "word": " posterior", "probability": 0.82421875}, {"start": 875.04, "end": 875.44, "word": " cerebral", "probability": 0.65234375}, {"start": 875.44, "end": 875.96, "word": " artery", "probability": 0.9423828125}, {"start": 875.96, 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artery بالتفصيل و شرحنا ال middle cerebral artery بالتفصيل اللي هم بيخرجوا من ال internal carotid artery لأنا أشرحلكم posterior cerebral artery اللي أصله بيخرج من بزلر إيه ال branch", "tokens": [6027, 39184, 33529, 43561, 38520, 11331, 4587, 3224, 37893, 3714, 26108, 3794, 13412, 2288, 5016, 8315, 22272, 43561, 38520, 20666, 2655, 5172, 9381, 26895, 4032, 13412, 2288, 5016, 8315, 2423, 2808, 43561, 38520, 20666, 2655, 5172, 9381, 26895, 13672, 1829, 8032, 2304, 4724, 1829, 34740, 7435, 14407, 9154, 2423, 6920, 1032, 310, 327, 38520, 5296, 10721, 8315, 5551, 46309, 5016, 23275, 2304, 33529, 43561, 38520, 13672, 1829, 5551, 36520, 3224, 4724, 1829, 34740, 7435, 9154, 4724, 11622, 1211, 2288, 11933, 1829, 3224, 2423, 9819], "avg_logprob": -0.2424632380990421, "compression_ratio": 1.8784530386740332, "no_speech_prob": 0.0, "words": [{"start": 935.78, "end": 936.18, "word": "الـ", "probability": 0.579345703125}, {"start": 936.18, "end": 936.54, "word": " posterior", "probability": 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"end": 999.93, "word": " diencephalon,", "probability": 0.8724365234375}, {"start": 1000.53, "end": 1001.23, "word": " midbrain", "probability": 0.7181803385416666}, {"start": 1001.23, "end": 1002.41, "word": " وchoroidal", "probability": 0.50811767578125}, {"start": 1002.41, "end": 1002.97, "word": " plexus", "probability": 0.8056640625}, {"start": 1002.97, "end": 1003.27, "word": " of", "probability": 0.97216796875}, {"start": 1003.27, "end": 1003.81, "word": " lateral", "probability": 0.9091796875}, {"start": 1003.81, "end": 1004.75, "word": " and", "probability": 0.9267578125}, {"start": 1004.75, "end": 1005.39, "word": " third", "probability": 0.91552734375}, {"start": 1005.39, "end": 1006.15, "word": " ventricle", "probability": 0.9666341145833334}], "temperature": 1.0}, {"id": 40, "seek": 103117, "start": 1006.73, "end": 1031.17, "text": "هذه واضحة عندي اللي هو posterior cerebral artery بيغضي ال occipital loop و بيغضينا ال inferior service of temporal loop هذه عندي اعتبرها ال 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"word": " between", "probability": 0.95263671875}, {"start": 1334.15, "end": 1334.15, "word": " the", "probability": 0.931640625}, {"start": 1334.15, "end": 1334.15, "word": " two", "probability": 0.9453125}, {"start": 1334.15, "end": 1334.15, "word": " layers", "probability": 0.98095703125}, {"start": 1334.15, "end": 1334.15, "word": " of", "probability": 0.9814453125}, {"start": 1334.15, "end": 1334.15, "word": " the", "probability": 0.9423828125}, {"start": 1334.15, "end": 1334.15, "word": " durometer", "probability": 0.939453125}, {"start": 1334.15, "end": 1334.15, "word": " in", "probability": 0.96728515625}, {"start": 1334.15, "end": 1334.15, "word": " the", "probability": 0.94140625}], "temperature": 1.0}, {"id": 54, "seek": 135782, "start": 1334.98, "end": 1357.82, "text": "من وين بتاخد الـ venous blood لديورة الـ venous sinuses؟ من الـ internal and external veins of the brain من أوريذة الدماغ ثانيا تاخد الـ cerebrospinal fluid CSF من الـ subarachnoid space من الذاكرين عن طريق arachnoid villi and arachnoid granulation قلتلكوا granulation microscope و villi microscopic", "tokens": [27842, 4032, 9957, 39894, 47283, 3215, 2423, 39184, 6138, 563, 3390, 5296, 16254, 13063, 3660, 2423, 39184, 6138, 563, 3343, 8355, 22807, 9154, 2423, 39184, 6920, 293, 8320, 29390, 295, 264, 3567, 9154, 5551, 13063, 1829, 8848, 3660, 32748, 2304, 5718, 118, 38637, 7649, 25528, 6055, 47283, 3215, 2423, 39184, 11643, 1443, 2763, 2071, 9113, 9460, 37, 9154, 2423, 39184, 1422, 289, 608, 1771, 327, 1901, 9154, 32545, 995, 37983, 9957, 18871, 23032, 16572, 4587, 594, 608, 1771, 327, 4284, 72, 293, 594, 608, 1771, 327, 9370, 2776, 12174, 1211, 2655, 23275, 14407, 9370, 2776, 29753, 4032, 4284, 72, 47897], "avg_logprob": -0.2993502534262025, "compression_ratio": 1.646551724137931, "no_speech_prob": 0.0, "words": [{"start": 1334.98, "end": 1335.18, "word": "من", "probability": 0.822265625}, {"start": 1335.18, "end": 1335.36, "word": " وين", "probability": 0.5927734375}, {"start": 1335.36, 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56, "seek": 140573, "start": 1378.31, "end": 1405.73, "text": "Okay هم راح يكونوا وين؟ في المنتصف بين ال right و ال left عشان هيك بيكونوا فردي مش زوجي لكن الزوجي راح يكونوا في ال right و في ال left لكن الفردي بيكون وين؟ في المنتصف من هم ال single venous sinuses superior sagittal sinus هي واحد inferior sagittal sinus و striate sinus او هذا ال striate بيسموه tentorial", "tokens": [8297, 8032, 2304, 12602, 39319, 7251, 30544, 14407, 4032, 9957, 22807, 8978, 9673, 29399, 9381, 5172, 49374, 2423, 558, 4032, 2423, 1411, 6225, 8592, 7649, 39896, 4117, 4724, 1829, 30544, 14407, 6156, 2288, 16254, 37893, 30767, 29245, 1829, 44381, 6024, 110, 29245, 1829, 12602, 39319, 7251, 30544, 14407, 8978, 2423, 558, 4032, 8978, 2423, 1411, 44381, 27188, 2288, 16254, 4724, 1829, 30544, 4032, 9957, 22807, 8978, 9673, 29399, 9381, 5172, 9154, 8032, 2304, 2423, 2167, 6138, 563, 3343, 8355, 13028, 15274, 593, 304, 41503, 39896, 36764, 24401, 24249, 15274, 593, 304, 41503, 4032, 3575, 473, 41503, 1975, 2407, 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"word": " the", "probability": 0.76123046875}, {"start": 1688.47, "end": 1688.95, "word": " spinal", "probability": 0.9501953125}, {"start": 1688.95, "end": 1689.33, "word": " cord", "probability": 0.9384765625}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 1689.83225, "duration_after_vad": 1627.8649999999961} \ No newline at end of file diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/UOCjmLy2b44.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/UOCjmLy2b44.srt new file mode 100644 index 0000000000000000000000000000000000000000..6e545d318e7281c133e24a823c285d3146e07b8f --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/UOCjmLy2b44.srt @@ -0,0 +1,806 @@ +1 +00:00:04,980 --> 00:00:08,240 +بسم الله الرحمن الرحيم الجزء الثاني من محاضرة + +2 +00:00:08,240 --> 00:00:13,440 +لسبوع الثامن نتكلم على Anatomy of Trigeminal nerve + +3 +00:00:13,440 --> 00:00:18,000 +Trigeminal nerve is a mixed nerve + +4 +00:00:18,000 --> 00:00:22,200 +contains motor fibers and sensory fibers + +5 +00:00:22,200 --> 00:00:30,040 +Trigeminal nerve is more important than sensory هو + +6 +00:00:30,040 --> 00:00:36,540 +أهم شيء له sensory function و بتكون من two roots + +7 +00:00:36,540 --> 00:00:41,880 +one root sensory و another root motor. ال sensory + +8 +00:00:41,880 --> 00:00:47,720 +root هو ال large root. طيب it carries من ناحية + +9 +00:00:47,720 --> 00:00:53,680 +sensation, pain, touch, and temperature sensation. + +10 +00:00:53,680 --> 00:00:58,040 +يبقى أنا بتكلم على superficial sensation and + +11 +00:00:58,040 --> 00:01:05,300 +proprioception أو deep sensation. Deep sensation it + +12 +00:01:05,300 --> 00:01:10,400 +is a fixed cranial nerve. يبقى أن هو أكبر في ناحية ال + +13 +00:01:10,400 --> 00:01:15,380 +cranial nerve. It is a fixed cranial nerve and arises + +14 +00:01:15,380 --> 00:01:24,900 +بخرج من ventral lateral surface of the pons. بخرج + +15 +00:01:24,900 --> 00:01:31,460 +مين قلنا من ال pons as two roots. إله two roots + +16 +00:01:31,460 --> 00:01:37,840 +large root sensory root و small root motor root. + +17 +00:01:37,840 --> 00:01:43,020 +يبقى إله two roots, one sensory large و one motor + +18 +00:01:43,020 --> 00:01:49,400 +small. يبقى ال Trigeminal nerve it is the fifth + +19 +00:01:49,400 --> 00:01:52,840 +cranial nerve. العصب الخامس. It is the fifth cranial + +20 +00:01:52,840 --> 00:01:56,870 +nerve. الو sensory function and motor function. The + +21 +00:01:56,870 --> 00:02:00,690 +main function is sensory. الو two root, one root + +22 +00:02:00,690 --> 00:02:06,210 +large sensory و second root يعتبر small root motor. + +23 +00:02:06,210 --> 00:02:10,830 +emerges from the ventral lateral surface of the + +24 +00:02:10,830 --> 00:02:20,550 +pons. أيوة عندي هاي ال root الكبير اللي هو large + +25 +00:02:20,550 --> 00:02:28,970 +root يعتبر sensory و ها اسمها ال root motor. + +26 +00:02:28,970 --> 00:02:33,770 +نفس الشيء على ال right side. بخرج مين؟ من ال + +27 +00:02:33,770 --> 00:02:39,990 +ventral lateral surface of the pons. Then it passes بيمر + +28 +00:02:39,990 --> 00:02:46,090 +في شيء اسمه cerebellopontine angle. بيمر وين؟ في + +29 +00:02:46,090 --> 00:02:51,250 +the angle. زاوية اسمها cerebellopontine angle. مين بيمر + +30 +00:02:51,250 --> 00:02:53,330 +في ال cerebellopontine angle؟ + +31 +00:02:57,860 --> 00:03:06,040 +العصب الخامس والعصب السابع والعصب الثامن. يبقى + +32 +00:03:06,040 --> 00:03:11,010 +العصب السابع أو الخامس والسبع والثامن. عضوية الثلاثة + +33 +00:03:11,010 --> 00:03:16,910 +بيمروا أين؟ في cerebellopontine angle. هي عبارة عن + +34 +00:03:16,910 --> 00:03:22,090 +زاوية تقع بين ال pons و ال cerebellum. بين ال pons + +35 +00:03:22,090 --> 00:03:30,150 +و ال cerebellum. هاي عندي trigeminal + +36 +00:03:30,150 --> 00:03:35,110 +nerve. تمام. ارسمه بلون أحمر. + +37 +00:03:38,610 --> 00:03:43,990 +هذه Trigeminal nerve. بعدين بيسلم شيء اسمه + +38 +00:03:43,990 --> 00:03:48,570 +Trigeminal Ganglion. Trigeminal Ganglion أو بيسموها + +39 +00:03:48,570 --> 00:03:52,910 +Semilunar Ganglion. هذه بتقسم ال Trigeminal nerve + +40 +00:03:52,910 --> 00:03:57,830 +العصب الخامس لثلاثة + +41 +00:03:57,830 --> 00:04:05,210 +Ophthalmic nerve, Maxillary nerve, و + +42 +00:04:07,440 --> 00:04:13,060 +Mandibular nerve. تفاجنا الOphthalmic nerve بيروح لل + +43 +00:04:13,060 --> 00:04:17,660 +superior orbital fissure. Maxillary nerve بيروح ل + +44 +00:04:19,410 --> 00:04:22,790 +Rotundum Foramen. Mandibular nerve لـ Oval Foramen. + +45 +00:04:22,790 --> 00:04:26,050 +أنا ما راح أتكلم معكم في العلاج الطبيعي بالتفصيل على + +46 +00:04:26,050 --> 00:04:29,490 +ال Trigeminal nerve. أنا بدرس له طب الأسنان تشريح + +47 +00:04:29,490 --> 00:04:32,750 +العصاب لطب الأسنان بياخد معنى في شرح هذا العصاب + +48 +00:04:32,750 --> 00:04:37,910 +لوحده ساعتين و نص. ساعتين و نص حوالي تقريبا مية و + +49 +00:04:37,910 --> 00:04:41,190 +أربعين دقيقة. يعني مية و عشرين دقيقة و بيكفيش و + +50 +00:04:41,190 --> 00:04:44,690 +أخلي جزء منه للمحاضرة اللي بعدها بشرح كل ال + +51 +00:04:44,690 --> 00:04:47,820 +branches لحد ما أوصل لكل سن بسنه لكن هنا أنا راح + +52 +00:04:47,820 --> 00:04:51,320 +أتكلم in general على ال large nerve و ال function + +53 +00:04:51,320 --> 00:04:58,900 +بتاعتهم. يعتبر mixed nerve. هذا ال nerve. فنتنقل + +54 +00:04:58,900 --> 00:05:04,020 +لرسمة ثانية أو صورة ثانية. واضح هنا ال origin of + +55 +00:05:04,020 --> 00:05:07,440 +the trigeminal nerve. Emerged from the ventral + +56 +00:05:07,440 --> 00:05:11,860 +lateral surface of the pons. الو nuclei. هذا ال + +57 +00:05:11,860 --> 00:05:15,740 +trigeminal nerve. الو nuclei. بيقولنا هو موجود في ال + +58 +00:05:15,740 --> 00:05:18,860 +Pons. لكن في exception. بيقولنا في exception. أول + +59 +00:05:18,860 --> 00:05:23,840 +nucleus اسمها main sensory nucleus. موجودة في ال + +60 +00:05:23,840 --> 00:05:29,960 +Pons. و وظيفتها touch sensation. حاسس اللمس. اتنين + +61 +00:05:29,960 --> 00:05:34,840 +spinal descending nucleus. هذه طويلة. جزء منها بيمر + +62 +00:05:34,840 --> 00:05:39,270 +في ال Pons و جزء في الميدالة oblongata و جزء في ال + +63 +00:05:39,270 --> 00:05:44,250 +cervical spinal cord من C1 ل C4. هذي بيسموها spinal + +64 +00:05:44,250 --> 00:05:47,170 +descending nucleus. موجودة في الميدالة oblongata. + +65 +00:05:47,170 --> 00:05:50,530 +جزء منها بيسعد لل Pons و جزء منها بينزل ل cervical + +66 +00:05:50,530 --> 00:05:57,050 +spinal cord. Upper part مسئول عن pain and + +67 +00:05:57,050 --> 00:06:01,430 +temperature sensation. Pain and temperature + +68 +00:06:01,430 --> 00:06:07,480 +sensation. ثلاثة. Mesencephalic nucleus موجودة في ال + +69 +00:06:07,480 --> 00:06:10,320 +mesencephalon. يعني في ال midbrain. وظيفتها + +70 +00:06:10,320 --> 00:06:15,620 +proprioception and deep sensation. و اخر واحدة أربعة + +71 +00:06:15,620 --> 00:06:20,640 +motor nucleus of trigeminal nerve. موجودة في ال + +72 +00:06:20,640 --> 00:06:24,480 +pons. بتعطينا motor fibers ل Mandibular nerve اللي هو + +73 +00:06:24,480 --> 00:06:27,840 +branch من ال trigeminal nerve اللي علاقة بال + +74 +00:06:27,840 --> 00:06:31,040 +mastication muscle. Mastication muscle functions + +75 +00:06:31,040 --> 00:06:34,770 +and other functions. راح نتكلم عنها. يبقى عندي كام + +76 +00:06:34,770 --> 00:06:39,350 +nucleus؟ عندي أربعة. طب لاحظوا أنتم من الأربعة + +77 +00:06:39,350 --> 00:06:43,050 +ثلاثة sensory. واحدة، اتنين، تلاتة. هدول sensory + +78 +00:06:43,050 --> 00:06:46,690 +nuclei و واحدة motor. عشان أيه؟ قلنا ال main + +79 +00:06:46,690 --> 00:06:49,770 +function اللي بتاعه من ال nerve is sensory + +80 +00:06:49,770 --> 00:06:54,530 +function و إله two root. Large root sensory and + +81 +00:06:54,530 --> 00:07:02,430 +small root motor. هي عندي mesencephalic nucleus هذا + +82 +00:07:02,430 --> 00:07:11,810 +البرانش الاساسي. وهذا البرانش الاساسي. وهذا البرانش + +83 +00:07:11,810 --> 00:07:19,150 +الاساسي. وهذا البرانش الاساسي. وهذا البرانش الاساسي. + +84 +00:07:19,150 --> 00:07:24,850 +وهذا البرانش الاساسي. وهذا البرانش الاساسي. وهذا + +85 +00:07:24,850 --> 00:07:27,390 +البرانش الاساسي. وهذا البرانش الاساسي. وهذا البرانش + +86 +00:07:27,390 --> 00:07:27,630 +الاساسي. وهذا البرانش الاساسي. وهذا البرانش الاساسي + +87 +00:07:27,630 --> 00:07:27,670 +الاساسي. وهذا البرانش الاساسي. وهذا البرانش الاساسي + +88 +00:07:27,670 --> 00:07:29,770 +وهذا البرانش الاساسي. وهذا البرانش الاساسي. وهذا + +89 +00:07:29,770 --> 00:07:31,370 +البرانش الاساسي. وهذا ال + +90 +00:07:42,410 --> 00:07:45,810 +ال branches of trigeminal nerve. بيقولنا ثلاثة، + +91 +00:07:45,810 --> 00:07:49,790 +ophthalmic nerve، pure sensory nerve، بيروح لـ + +92 +00:07:49,790 --> 00:07:53,650 +superior orbital fissure. Maxillary nerve، pure + +93 +00:07:53,650 --> 00:07:57,170 +sensory nerve، بيروح لـ Rotundum Foramen. Mandibular + +94 +00:07:57,170 --> 00:08:03,190 +nerve، is mixed sensory and motor، Oval Foramen. + +95 +00:08:03,190 --> 00:08:09,060 +هنا عندي واضح. Ophthalmic nerve من Ophthalmic لأن ال + +96 +00:08:09,060 --> 00:08:14,460 +orbit أكتر راية. Mandibular nerve. Mandibular nerve + +97 +00:08:14,460 --> 00:08:17,160 +mixed. Mandibular nerve. Maxillary ولا Ophthalmic؟ Maxillary + +98 +00:08:17,160 --> 00:08:21,440 +ولا Ophthalmic؟ Pure sensory nerve. Ophthalmic nerve + +99 +00:08:21,440 --> 00:08:26,320 +العصب الأول بتاع من ال Trigeminal أو الفرع الأول من + +100 +00:08:26,320 --> 00:08:30,460 +ال Trigeminal nerve. It is the first branch of the + +101 +00:08:30,460 --> 00:08:35,440 +trigeminal nerve. Purely sensory nerve. وظيفته فقط + +102 +00:08:35,440 --> 00:08:41,360 +لعلاقة بالإحساس. Supply skin over forehead في + +103 +00:08:41,360 --> 00:08:44,300 +الجبين. من الجبهة من الأمام لحد البرايتو اكسيبتال + +104 +00:08:44,300 --> 00:08:49,460 +scalp. Skin over upper eyelid. الجلد بيغذي الجلد في + +105 +00:08:49,460 --> 00:08:57,300 +ال upper eyelid. ال eyeball conjunctiva والعين + +106 +00:08:57,300 --> 00:09:03,090 +والغلاف العين والغدة اللي بتفرز الدمعة. Nasal mucosa + +107 +00:09:03,090 --> 00:09:11,250 +frontal sinus external ear. جزء خارج من الأنف with + +108 +00:09:11,250 --> 00:09:16,110 +dura mater in the anterior cranial fossa. كمان مرة + +109 +00:09:16,110 --> 00:09:20,110 +و أضفته في thalamic nerve. Supply skin over + +110 +00:09:20,110 --> 00:09:27,530 +forehead. Skin over upper eyelid, eye ball + +111 +00:09:27,530 --> 00:09:33,980 +conjunctiva, lacrimal gland, Nasal Mucosa, Frontal + +112 +00:09:33,980 --> 00:09:40,100 +Sinus, External Ear, and Dura mater in the anterior + +113 +00:09:40,100 --> 00:09:47,440 +cranial fossa. هذه المنطقة اللي بيغذيها Ophthalmic + +114 +00:09:47,440 --> 00:09:55,220 +البرانش اللي هي باللون الأخضر. هذه المنطقة بيغذيها + +115 +00:09:55,220 --> 00:10:06,200 +مين؟ Ophthalmic nerve. ناخدها بلون تاني. بيغذيها + +116 +00:10:06,200 --> 00:10:11,740 +maxillary nerve. و هنا هذه ال area اللي بيغذيها + +117 +00:10:11,740 --> 00:10:21,300 +mandibular nerve. هي + +118 +00:10:21,300 --> 00:10:25,220 +كتقسيمة ال sensation على ال face من ناحية ال + +119 +00:10:25,220 --> 00:10:27,680 +branches of ال Trigeminal nerve. + +120 +00:10:41,430 --> 00:10:46,800 +ما بديش بسملكوا كل branches بتاعينهم. هنا عندي ال + +121 +00:10:46,800 --> 00:10:49,980 +branches بتاعين ال ophthalmic nerve. هنا maxillary + +122 +00:10:49,980 --> 00:10:54,020 +nerve. هنا mandibular nerve. مش لازم ألكوا بالتفصيل + +123 +00:10:54,020 --> 00:10:57,480 +لكن قولتلكوا لأنه لما أشرحوا لطب أو لطب الأسنان + +124 +00:10:57,480 --> 00:11:01,020 +خاصة في طب الأسنان بتوسع أكتر شيء عندهم في ال + +125 +00:11:01,020 --> 00:11:04,160 +trigeminal nerve لإنه اللي علاقة بالأسنان و الفك + +126 +00:11:04,160 --> 00:11:09,740 +العلوي و الفك السفلي. بنتج لـ maxillary nerve. It is + +127 +00:11:09,740 --> 00:11:17,850 +purely sensory nerve. It is the second branch of a + +128 +00:11:17,850 --> 00:11:24,030 +trigeminal nerve. Supply بيغذي، maxillary area of + +129 +00:11:24,030 --> 00:11:28,530 +skin of the face. المنطقة هذه، maxillary teeth + +130 +00:11:28,530 --> 00:11:33,210 +الأسنان في الفك العلوي. في الأبرج هو mucosa + +131 +00:11:33,210 --> 00:11:38,940 +membrane related للمقزلة. Maxillary sinus. Maxillary sinus + +132 +00:11:38,940 --> 00:11:42,980 +اللي في ال bone نفسه. ال air sinuses و dura mater in + +133 +00:11:42,980 --> 00:11:46,740 +the middle cranial fossa. يبقى Maxillary nerve يعتبر + +134 +00:11:46,740 --> 00:11:51,960 +second branch from the trigeminal nerve. يعتبر pure + +135 +00:11:51,960 --> 00:11:58,450 +sensory nerve. Supply ال cheek أو ال anterior part + +136 +00:11:58,450 --> 00:12:04,530 +of the face. تمام. Supply ال maxillary teeth في + +137 +00:12:04,530 --> 00:12:08,310 +الأبرجو في الفك العلوي. Supply mucosa membrane + +138 +00:12:08,310 --> 00:12:13,090 +related to maxilla و بيغدينا maxillary air sinus + +139 +00:12:13,090 --> 00:12:19,550 +and dura mater in the middle cranial fossa. وبعدها + +140 +00:12:19,550 --> 00:12:24,090 +بيفوت لهنا. من الترجمة النهائية بيفوت عن طريق + +141 +00:12:24,090 --> 00:12:32,010 +Rotundum Foramen. هي عندي اللي هو maxillary nerve و + +142 +00:12:32,010 --> 00:12:35,390 +ال branch السبعينه اللي علاقة بالفك ايه بالفك + +143 +00:12:35,390 --> 00:12:44,490 +العلوي و maxillary sinus. فنتجى + +144 +00:12:44,490 --> 00:12:50,050 +لبعدها لموضوع نشوف + +145 +00:12:50,050 --> 00:12:55,630 +على الصورة هذه. هي عندي maxillary nerve راح ل + +146 +00:12:55,630 --> 00:13:02,880 +Rotundum foramen. هنا عندي Ophthalmic nerve و هذا + +147 +00:13:02,880 --> 00:13:06,940 +الأخير التالف اللي هو Mandibular nerve. Mandibular + +148 +00:13:06,940 --> 00:13:11,000 +nerve اللي هو يعتبر mix nerve. Contains motor and + +149 +00:13:11,000 --> 00:13:16,360 +sensory fibers. هذه + +150 +00:13:16,360 --> 00:13:23,440 +ال area بتاخدنا من وين؟ من Maxillary nerve. Maxillary nerve + +151 +00:13:24,480 --> 00:13:30,640 +بنتج لـ mandibular nerve. يعتبر third branch from + +152 +00:13:30,640 --> 00:13:34,280 +the trigeminal nerve. ال function تبعته mix + +153 +00:13:34,280 --> 00:13:40,040 +function, motor and sensory function. إله two root + +154 +00:13:40,040 --> 00:13:45,520 +large root sensory and small root motor. ال sensory + +155 +00:13:45,520 --> 00:13:50,530 +بيخرج من ال trigeminal ganglion و بيفوت بعد هيك ل + +156 +00:13:50,530 --> 00:13:55,330 +foramen oval. ال motor root هو أصله جاي من وين؟ من + +157 +00:13:55,330 --> 00:14:00,530 +the trigeminal motor nucleus in the pons. بيتحد مع + +158 +00:14:00,530 --> 00:14:06,170 +ال sensory root وين؟ في foramen oval. بعد ما يخرج ال + +159 +00:14:06,170 --> 00:14:10,250 +mandibular nerve من the trigeminal ganglion. ال + +160 +00:14:10,250 --> 00:14:13,970 +motor fibers تتحد مع ال sensory fibers بتاعة ال + +161 +00:14:13,970 --> 00:14:17,550 +mandibular nerve. وين بتتحدوا؟ في oval foramen. + +162 +00:14:17,550 --> 00:14:23,050 +و بيصبح أنّه mandibular nerve mixed nerve. Contains + +163 +00:14:23,050 --> 00:14:30,350 +motor and sensory fibers. هي عندي أي sensory fibers + +164 +00:14:30,350 --> 00:14:36,040 +تبعت ايه؟ من Mandibular nerve. خرجت من وين؟ من ال + +165 +00:14:36,040 --> 00:14:40,220 +trigeminal ganglion. و في الخلف بيكون عندي هاي ال + +166 +00:14:40,220 --> 00:14:46,470 +pons. في عندي motor nucleus of trigeminal nerve. + +167 +00:14:46,470 --> 00:14:50,470 +ال fibers سبعتها بتمر مع ال trigeminal nerve لما + +168 +00:14:50,470 --> 00:14:56,870 +يصلوا ل foramen oval. يتحدوا مع مين؟ مع العصب الفرع + +169 +00:14:56,870 --> 00:15:00,050 +الثالث من العصب الخامس. مع ال mandibular nerve. و في + +170 +00:15:00,050 --> 00:15:03,930 +الحالة هذه عندي ال mandibular nerve يكون mixed + +171 +00:15:03,930 --> 00:15:05,430 +nerve. + +172 +00:15:08,500 --> 00:15:21,360 +contains motor and sensory fibers. Okay. ننتقل + +173 +00:15:21,360 --> 00:15:25,220 +ل sensory function of the mandibular nerve. ال + +174 +00:15:25,220 --> 00:15:28,720 +sensory function of the mandibular nerve اللي + +175 +00:15:28,720 --> 00:15:34,560 +علاقة بال mucosa membrane of the mouth and cheek. + +176 +00:15:35,500 --> 00:15:39,800 +العلاقة بال anterior two third of the tongue. بيغذي + +177 +00:15:39,800 --> 00:15:43,200 +ال anterior two third of the tongue. مش لل test + +178 +00:15:43,200 --> 00:15:46,760 +sensation. مش للتذوق. لا لـ general sensation. إيش + +179 +00:15:46,760 --> 00:15:50,680 +يعني general sensation؟ Pain, temperature, touch + +180 +00:15:50,680 --> 00:15:55,460 +sensation, deep sensation. بيغذي ال lower teeth. + +181 +00:15:55,460 --> 00:15:59,900 +بيغذي الأسنان في الفك السفلي. بيغذي skin of the + +182 +00:15:59,900 --> 00:16:05,880 +lower jaw, side of head and skull, lateral part. بيغذي + +183 +00:16:05,880 --> 00:16:12,220 +و TMJ with dura mater in the middle or middle + +184 +00:16:12,220 --> 00:16:17,640 +cranial fossa. هذه ال area الحمراء هذه تُخَنّن من + +185 +00:16: + +201 +00:17:37,440 --> 00:17:41,760 +عندي deep pterygoid muscle أو deep part of + +202 +00:17:41,760 --> 00:17:45,140 +masseter muscle و superficial part of masseter + +203 +00:17:45,140 --> 00:17:47,800 +هدول الـ masseter muscle اللي لها جزئين اللي لها + +204 +00:17:47,800 --> 00:17:49,900 +deep part و superficial part + +205 +00:17:53,150 --> 00:17:57,370 +في عندنا هنا اللي هي medial pterygoid muscle و + +206 +00:17:57,370 --> 00:18:02,990 +lateral pterygoid muscle في عندي الـ واضحة ان انا + +207 +00:18:02,990 --> 00:18:08,350 +لمسيت الـ muscle تمام وفي الـ anterobiliary of + +208 +00:18:08,350 --> 00:18:12,130 +digastric muscle و mylohyoid muscle كل ما دول + +209 +00:18:12,130 --> 00:18:17,070 +بياخدوا من motor fibers from mandibular nerve هذه + +210 +00:18:17,070 --> 00:18:24,510 +هي الـ mylohyoid muscle وهنا عندي الـ antirepoly of + +211 +00:18:24,510 --> 00:18:30,970 +digastric muscle okay في عضلة صغيرة هنا اسمها + +212 +00:18:30,970 --> 00:18:35,910 +tensor tympani muscle وفي عضلة هنا tensor palatini + +213 +00:18:35,910 --> 00:18:40,670 +muscle كلهم بياخدوا من الـ mandibular nerve of the + +214 +00:18:40,670 --> 00:18:44,390 +trigeminal nerve من الـ motor function و هيك بيكون + +215 +00:18:44,390 --> 00:18:49,150 +انا شرحتلكوا الـ trigeminal nerve شرحنا النقلياعي + +216 +00:18:49,150 --> 00:18:52,550 +بتبعته و الـ function تبعتهم و الـ branches بتاعتهم + +217 +00:18:52,550 --> 00:18:54,970 +و يعطيكم الف عافية diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/UOCjmLy2b44_postprocess.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/UOCjmLy2b44_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..2dd7d53c94b100bf755ec1a59eb5b38da7dcbdf9 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/UOCjmLy2b44_postprocess.srt @@ -0,0 +1,868 @@ +1 +00:00:04,980 --> 00:00:08,240 +بسم الله الرحمن الرحيم الجزء الثاني من محاضرة + +2 +00:00:08,240 --> 00:00:13,440 +لسبوع الثامن نتكلم على Anatomy of Trigeminal nerve + +3 +00:00:13,440 --> 00:00:18,000 +Trigeminal nerve is mixed nerve mixed nerve + +4 +00:00:18,000 --> 00:00:22,200 +contains motor fibers and sensory fibers + +5 +00:00:22,200 --> 00:00:30,040 +Trigeminal nerve is more important than sensory هو + +6 +00:00:30,040 --> 00:00:36,540 +أهم شيء له sensory functionو بتكون من two roots + +7 +00:00:36,540 --> 00:00:41,880 +one root sensory و another root motor ال sensory + +8 +00:00:41,880 --> 00:00:47,720 +root هو ال large root طيب it carry من ناحية + +9 +00:00:47,720 --> 00:00:53,680 +sensation pain touch and temperature sensation + +10 +00:00:53,680 --> 00:00:58,040 +يبقى أنا بتكلم على superficial sensationand + +11 +00:00:58,040 --> 00:01:05,300 +proprioception او deep sensation deep sensation it + +12 +00:01:05,300 --> 00:01:10,400 +is fixed cranial nerve يبقى ان هو اكبر في ناحية ال + +13 +00:01:10,400 --> 00:01:15,380 +cranial nerve it is fixed cranial nerve and arise + +14 +00:01:15,380 --> 00:01:24,900 +بخرج من ventral lateral surface of the pons بخرج + +15 +00:01:24,900 --> 00:01:31,460 +مين قلنا من ال ponsas two roots إله two roots + +16 +00:01:31,460 --> 00:01:37,840 +large root sensory root و small root motor root + +17 +00:01:37,840 --> 00:01:43,020 +يبقى إله two roots one sensory large و one motor + +18 +00:01:43,020 --> 00:01:49,400 +small يبقى ال A تراجيب من ال nerve it is the fifth + +19 +00:01:49,400 --> 00:01:52,840 +cranial nerve العصب الخامس it is the sixth cranial + +20 +00:01:52,840 --> 00:01:56,870 +nerveالو sensory function and motor function the + +21 +00:01:56,870 --> 00:02:00,690 +main function is sensory الو two root one root + +22 +00:02:00,690 --> 00:02:06,210 +large sensory و second root يعتبر small root motor + +23 +00:02:06,210 --> 00:02:10,830 +immerse from the ventral lateral surface of the + +24 +00:02:10,830 --> 00:02:20,550 +palms ايوة عندي هاي ال root الكبير اللي هو large + +25 +00:02:20,550 --> 00:02:28,970 +root يعتبر sensoryوها اسمها ال route motor + +26 +00:02:28,970 --> 00:02:33,770 +نفس الشيء على ال right side بخرج مين؟ من ال + +27 +00:02:33,770 --> 00:02:39,990 +ventral lateral service of the pons then pass بيمر + +28 +00:02:39,990 --> 00:02:46,090 +في شيء اسمه cerebellopontine angle بيمر وين؟ في + +29 +00:02:46,090 --> 00:02:51,250 +angle زاوية اسمها cerebellopontine angle مين بيمر + +30 +00:02:51,250 --> 00:02:53,330 +في ال cerebellopontine angle؟ + +31 +00:02:57,860 --> 00:03:06,040 +العصب الخامس والعصب السابع والعصب الثامن يبقى + +32 +00:03:06,040 --> 00:03:11,010 +العصب السابعأو الخامس والسبع والثامن عضوية الثلاثة + +33 +00:03:11,010 --> 00:03:16,910 +بيمروا اين في cerebellopontal angle هي عبارة عن + +34 +00:03:16,910 --> 00:03:22,090 +زاوية تقع بين ال pons و ال cerebellum بين ال pons + +35 +00:03:22,090 --> 00:03:30,150 +و ال cerebellum هاي عندي trigeminal + +36 +00:03:30,150 --> 00:03:35,110 +nerve تمام ارسمه بلون أحمر + +37 +00:03:38,610 --> 00:03:43,990 +هذه Trigeminal nerve بعدين بيسلم شئ اسمه + +38 +00:03:43,990 --> 00:03:48,570 +Trigeminal Ganglion Trigeminal Ganglion او بيسموها + +39 +00:03:48,570 --> 00:03:52,910 +Semilunar Ganglion هذه بتقسم ل Trigeminal nerve + +40 +00:03:52,910 --> 00:03:57,830 +العصب الخامس لثلاثة + +41 +00:03:57,830 --> 00:04:05,210 +Ophthalmic nerve Maxillary nerve و + +42 +00:04:07,440 --> 00:04:13,060 +مانديبولار نيرف تفاجنا الوفثال ميكنيرف بيروح لل + +43 +00:04:13,060 --> 00:04:17,660 +superior orbital facial ماجزيلري نيرف بيروح ل + +44 +00:04:19,410 --> 00:04:22,790 +Rotundum Foramen، Mandibular nerve لـ Oval Foramen + +45 +00:04:22,790 --> 00:04:26,050 +أنا مارح أتكلم معكم في العلاج الطبيعي بالتفصيل على + +46 +00:04:26,050 --> 00:04:29,490 +الـ Trigeminal nerve أنا بدرسه لطب الأسنان تشريح + +47 +00:04:29,490 --> 00:04:32,750 +العصاب لطب الأسنان بياخد معنى في شرح هذا العصاب + +48 +00:04:32,750 --> 00:04:37,910 +لوحده ساعتين و نص ساعتين و نص حوالي تقريبا مية و + +49 +00:04:37,910 --> 00:04:41,190 +أربعين دقيقة يعني مية و عشرين دقيقة و بيكفيش و + +50 +00:04:41,190 --> 00:04:44,690 +أخلي جزء منه للمحاضرة اللي بعدها بشرح كل ال + +51 +00:04:44,690 --> 00:04:47,820 +branches لحد ما أصلى كل سن بسنهلكن هنا أنا راح + +52 +00:04:47,820 --> 00:04:51,320 +أتكلم in general على ال large nerve و ال function + +53 +00:04:51,320 --> 00:04:58,900 +بتاعتهم يعتبر mixed nerve هذا ال nerve فنتاقل + +54 +00:04:58,900 --> 00:05:04,020 +لرسمة ثانية أو صورة ثانية واضح هنا ال origin of + +55 +00:05:04,020 --> 00:05:07,440 +the trigeminal nerve emerged from the ventral + +56 +00:05:07,440 --> 00:05:11,860 +lateral surface of the pons الو نوكلياي هذا ال + +57 +00:05:11,860 --> 00:05:15,740 +trigeminal nerve الو نوكليايقلنا هو موجود في الـ + +58 +00:05:15,740 --> 00:05:18,860 +Pons لكن في exception لقيله في exception أول + +59 +00:05:18,860 --> 00:05:23,840 +nucleus اسمها main sensory nucleus موجودة في الـ + +60 +00:05:23,840 --> 00:05:29,960 +Pons ودفتها touch sensation حاسس اللمس اتنين + +61 +00:05:29,960 --> 00:05:34,840 +spinal descending nucleus هذه طويلة جزء منها بيمور + +62 +00:05:34,840 --> 00:05:39,270 +في الـ Ponsو جزء في الميدالة أبلانجاتا و جزء في ال + +63 +00:05:39,270 --> 00:05:44,250 +cervical spinal cord من C1 ل C4 هذي بيسموها spinal + +64 +00:05:44,250 --> 00:05:47,170 +descending nucleus موجودة في الميدالة أبلانجاتا + +65 +00:05:47,170 --> 00:05:50,530 +جزء منها بيسعد لل Pons وجزء منها بينزل ل cervical + +66 +00:05:50,530 --> 00:05:57,050 +spinal cord upper part مسئول عن pain and + +67 +00:05:57,050 --> 00:06:01,430 +temperature sensation pain and temperature + +68 +00:06:01,430 --> 00:06:07,480 +sensationثلاثة ميزن سيفليك نوكلياس موجودة في الـ + +69 +00:06:07,480 --> 00:06:10,320 +mesencephalon يعني في الـ midbrain وظفتها + +70 +00:06:10,320 --> 00:06:15,620 +proprioception and deep sensation واخر واحدة أربعة + +71 +00:06:15,620 --> 00:06:20,640 +motor nucleus of trigeminal nerve موجودة في الـ + +72 +00:06:20,640 --> 00:06:24,480 +pons بتعطينا motor fibers لمندبلر nerve اللي هو + +73 +00:06:24,480 --> 00:06:27,840 +branch من ال trigeminal nerve اللي علاقة بال + +74 +00:06:27,840 --> 00:06:31,040 +mastication muscle mastication muscle functions + +75 +00:06:31,040 --> 00:06:34,770 +and other functions راح نتكلم عنهايبقى عندي كام + +76 +00:06:34,770 --> 00:06:39,350 +nucleus؟ عندي أربعة طب لاحظوا أنتم من الأربعة + +77 +00:06:39,350 --> 00:06:43,050 +ثلاثة sensory واحدة اتنين تلاتة هدول sensory + +78 +00:06:43,050 --> 00:06:46,690 +نوكلياي وواحدة motor عشان أيه قلنا ال main + +79 +00:06:46,690 --> 00:06:49,770 +function اللي تراجع من ال nerve is sensory + +80 +00:06:49,770 --> 00:06:54,530 +function ويله two root large root sensory and + +81 +00:06:54,530 --> 00:07:02,430 +small root motor هي عندي mesencephalic nucleusهذا + +82 +00:07:02,430 --> 00:07:11,810 +البرانش الاساسي وهذا البرانش الاساسي وهذا البرانش + +83 +00:07:11,810 --> 00:07:19,150 +الاساسي وهذا البرانش الاساسي وهذا البرانش الاساسي + +84 +00:07:19,150 --> 00:07:24,850 +وهذا البرانش الاساسي وهذا البرانش الاساسي وهذا + +85 +00:07:24,850 --> 00:07:27,390 +البرانش الاساسي وهذا البرانش الاساسي وهذا البرانش + +86 +00:07:27,390 --> 00:07:27,630 +الاساسي وهذا البرانش الاساسي وهذا البرانش الاساسي + +87 +00:07:27,630 --> 00:07:27,670 +الاساسي وهذا البرانش الاساسي وهذا البرانش الاساسي + +88 +00:07:27,670 --> 00:07:29,770 +وهذا البرانش الاساسي وهذا البرانش الاساسي وهذا + +89 +00:07:29,770 --> 00:07:31,370 +البرانش الاساسي وهذا البر + +90 +00:07:42,410 --> 00:07:45,810 +الـ branches of trigeminal nerve تقولنا ثلاثة، + +91 +00:07:45,810 --> 00:07:49,790 +ophthalmic nerve، pure sensory nerve، بيروح لـ + +92 +00:07:49,790 --> 00:07:53,650 +superior orbital fissure، maxillary nerve، pure + +93 +00:07:53,650 --> 00:07:57,170 +sensory nerve، بيروح لتروروتندمفورامن، mandibular + +94 +00:07:57,170 --> 00:08:03,190 +nerve، is mixed sensory and motor، لووالفورامن، + +95 +00:08:03,190 --> 00:08:09,060 +هنا عندي واضحأفثالميك نيرف من أفثالميك لأن ال + +96 +00:08:09,060 --> 00:08:14,460 +orbit أكتر راية مانديبولر نيرف مانديبولر نيرف + +97 +00:08:14,460 --> 00:08:17,160 +mixed مانديبولر نيرف مزيلاري و لا أفثالميك مزيلاري + +98 +00:08:17,160 --> 00:08:21,440 +و لا أفثالميك pure sensory nerve أفثالميك نيرف + +99 +00:08:21,440 --> 00:08:26,320 +العصب الأول بتاع من التراجيمنال أو الفرع الأول من + +100 +00:08:26,320 --> 00:08:30,460 +التراجيمنال نيرف it is the first branch of the + +101 +00:08:30,460 --> 00:08:35,440 +trigeminal nervepurely sensory nerve وظيفته فقط + +102 +00:08:35,440 --> 00:08:41,360 +لعلاقة بالإحساس supply skin over forehead في + +103 +00:08:41,360 --> 00:08:44,300 +الجبين من الجبهة من الأمام لحد البرايتو اكسيبتال + +104 +00:08:44,300 --> 00:08:49,460 +سالكس skin over upper eyelid الجلد بيغضي الجلد في + +105 +00:08:49,460 --> 00:08:57,300 +ال upper eyelid ال eyeball conjunctiva والعين + +106 +00:08:57,300 --> 00:09:03,090 +والغلاف العين والغدة اللي بتفرز الدمعةnasal mucosa + +107 +00:09:03,090 --> 00:09:11,250 +frontal sinus external ear جزء خارج من الأنف with + +108 +00:09:11,250 --> 00:09:16,110 +dura mater in the anterior cranial fosse كمان مرة + +109 +00:09:16,110 --> 00:09:20,110 +واضيفته في thalamic nerve supply skin over + +110 +00:09:20,110 --> 00:09:27,530 +forehead skin over upper eyelid eye ball + +111 +00:09:27,530 --> 00:09:33,980 +conjunctiva lacrimal glandNasal Mucosa Frontal + +112 +00:09:33,980 --> 00:09:40,100 +Sinus External Ear and Durometer in the anterior + +113 +00:09:40,100 --> 00:09:47,440 +cranial fossa هذه المنطقة اللي بيغضيها أوفثالمك + +114 +00:09:47,440 --> 00:09:55,220 +البرانش اللي هي باللون الأخضر هذه المنطقة بيغضيها + +115 +00:09:55,220 --> 00:10:06,200 +مين أوفثالمك نيرفناخدها بلون تاني بيغضيها + +116 +00:10:06,200 --> 00:10:11,740 +maxillary nerve وهنا هذه ال area اللي بيغضيها + +117 +00:10:11,740 --> 00:10:21,300 +mandibular nerve هي + +118 +00:10:21,300 --> 00:10:25,220 +كتقسيمة ال sensation على ال face من ناحية ال + +119 +00:10:25,220 --> 00:10:27,680 +branches of الترائجيمنال nerve + +120 +00:10:41,430 --> 00:10:46,800 +ما بديش بسملكوا كل branches بتاعينهمهنا عندى ال + +121 +00:10:46,800 --> 00:10:49,980 +branches بتاعين ال ophthalmic nerve هنا maxillary + +122 +00:10:49,980 --> 00:10:54,020 +nerve هنا mandibular nerve مش لازم ألكوا بالتفصيل + +123 +00:10:54,020 --> 00:10:57,480 +لكن قولتلكوا لأنه لما أشرحوا لطب أو لطب الأسنان + +124 +00:10:57,480 --> 00:11:01,020 +خاصة في طب الأسنان بتوسع أكتر شي عندهم في ال + +125 +00:11:01,020 --> 00:11:04,160 +trigeminal nerve لإنه اللي علاقة بالأسنان و الفك + +126 +00:11:04,160 --> 00:11:09,740 +العلوي و الفك السفلي بنتج ل maxillary nerve it is + +127 +00:11:09,740 --> 00:11:17,850 +purely sensory nerveit is the second branch of a + +128 +00:11:17,850 --> 00:11:24,030 +trigeminal nerve supply بغدى، maxillary area of + +129 +00:11:24,030 --> 00:11:28,530 +skin of the face المنطقة هذه، maxillary teeth + +130 +00:11:28,530 --> 00:11:33,210 +الأسنان في الفق العلوي في الأبرج هو ميوكوزا + +131 +00:11:33,210 --> 00:11:38,940 +membrane related للمقزلةمقزلري صينس مقزلري صينس + +132 +00:11:38,940 --> 00:11:42,980 +اللي في ال bone نفسه ال air sinuses و ديورامتر in + +133 +00:11:42,980 --> 00:11:46,740 +the middle cranial fosse يبقى مقزلري nerve يعتبر + +134 +00:11:46,740 --> 00:11:51,960 +second branch from the trigeminal nerve يعتبر pure + +135 +00:11:51,960 --> 00:11:58,450 +sensory nerve supplyالـ cheek أو الـ anterior part + +136 +00:11:58,450 --> 00:12:04,530 +of the face تمام supply الـ maxillary teeth في + +137 +00:12:04,530 --> 00:12:08,310 +الأبرجو في الفك العلوي supply mucosa membrane + +138 +00:12:08,310 --> 00:12:13,090 +related to maxilla وبيغدينا maxillary air sinus + +139 +00:12:13,090 --> 00:12:19,550 +and durameter in the middle cranial fossa وبعدها + +140 +00:12:19,550 --> 00:12:24,090 +بيفوت لهنا من الترجمة النهائية بيفوت عن طريق + +141 +00:12:24,090 --> 00:12:32,010 +Rotundum Formaeهي عندي اللي هو maxillary nerve و + +142 +00:12:32,010 --> 00:12:35,390 +ال branch السبعينه اللي علاقة بالفك ايه بالفك + +143 +00:12:35,390 --> 00:12:44,490 +العلوي و maxillary sinus فنتجى + +144 +00:12:44,490 --> 00:12:50,050 +لبعدها لموضوع انتشوف + +145 +00:12:50,050 --> 00:12:55,630 +على الصورة هذه هى عندي maxillary nerve راح ل + +146 +00:12:55,630 --> 00:13:02,880 +Rotundum foramenهنا عندي أوفثالميك نيرف وهذا + +147 +00:13:02,880 --> 00:13:06,940 +الأخير التالف اللي هو مانديبولار نيرف مانديبولار + +148 +00:13:06,940 --> 00:13:11,000 +نيرف اللي هو يعتبر mix nerve contain motor and + +149 +00:13:11,000 --> 00:13:16,360 +sensory fibers هذه + +150 +00:13:16,360 --> 00:13:23,440 +ال area بتاخدنا من وين؟ من مقسلري نيرف مقسلري نيرف + +151 +00:13:24,480 --> 00:13:30,640 +بنتاج لـ mandibular nerve يعتبر third branch from + +152 +00:13:30,640 --> 00:13:34,280 +the trigeminal nerve ال function تبعته mix + +153 +00:13:34,280 --> 00:13:40,040 +function motor and sensory function له two root + +154 +00:13:40,040 --> 00:13:45,520 +large root sensory and small root motor ال sensory + +155 +00:13:45,520 --> 00:13:50,530 +بيخرج من ال trigeminal ganglionوبيفوت بعد هيك ل + +156 +00:13:50,530 --> 00:13:55,330 +foramen oval ال motor root هو أصله جاي من وين؟ من + +157 +00:13:55,330 --> 00:14:00,530 +the trigeminal motor nucleus in the pons بيتحد مع + +158 +00:14:00,530 --> 00:14:06,170 +ال sensory root وين في foramen oval بعد ما يخرج ال + +159 +00:14:06,170 --> 00:14:10,250 +mandibular nerve من the trigeminal ganglionال + +160 +00:14:10,250 --> 00:14:13,970 +motor fibers تتحد مع ال sensory fibers بتاعة ال + +161 +00:14:13,970 --> 00:14:17,550 +mandibular nerve وين بتتحدوا؟ في oval foramen + +162 +00:14:17,550 --> 00:14:23,050 +وبيصبح انها mandibular nerve mixed nerve contains + +163 +00:14:23,050 --> 00:14:30,350 +motor and sensory fibers هي عندي اي sensory fibers + +164 +00:14:30,350 --> 00:14:36,040 +تبعت ايه؟من دي بولر نيرف خرجت من وين من ال + +165 +00:14:36,040 --> 00:14:40,220 +trigeminal ganglion وفي الخلف بيكون عندى هاي ال + +166 +00:14:40,220 --> 00:14:46,470 +pawns في عندىMotor nucleus of trigeminal nerve + +167 +00:14:46,470 --> 00:14:50,470 +الفيبر سبعتها بتمر مع ال trigeminal nerve لما + +168 +00:14:50,470 --> 00:14:56,870 +يصلوا لforamen oval يتحدوا مع مين؟ مع العصب الفرع + +169 +00:14:56,870 --> 00:15:00,050 +الثالث من العصب الخامس مع ال mandibular nerve وفي + +170 +00:15:00,050 --> 00:15:03,930 +الحالة هذه عندي ال mandibular nerve يكون mixed + +171 +00:15:03,930 --> 00:15:05,430 +nerve + +172 +00:15:08,500 --> 00:15:21,360 +contain motor and sensory fibers okay ننتقل + +173 +00:15:21,360 --> 00:15:25,220 +ل sensory function of the mandibular nerve ال + +174 +00:15:25,220 --> 00:15:28,720 +sensory function of the mandibular nerve اللي + +175 +00:15:28,720 --> 00:15:34,560 +علاقة بال mucosa membrane of the mouth and cheek + +176 +00:15:35,500 --> 00:15:39,800 +العلاقة بالـ anterior to third of the tongue بيغضي + +177 +00:15:39,800 --> 00:15:43,200 +الـ anterior to third of the tongue مش لل test + +178 +00:15:43,200 --> 00:15:46,760 +sensation مش لل تدوّق لا ل general sensation إيش + +179 +00:15:46,760 --> 00:15:50,680 +يعني general sensation pain temperature touch + +180 +00:15:50,680 --> 00:15:55,460 +sensation deep sensation بيغضي ال lower teeth + +181 +00:15:55,460 --> 00:15:59,900 +بيغضي الأسنان في الفقه السفلي بيغضي skin of the + +182 +00:15:59,900 --> 00:16:05,880 +lower jawSide of head and skull lateral part بيغدى + +183 +00:16:05,880 --> 00:16:12,220 +و MNG with uremeter in the middle او middle + +184 +00:16:12,220 --> 00:16:17,640 +cranial fossa هذه ال area الحمراء هذه تُخنون من + +185 +00:16:17,640 --> 00:16:24,520 +mandibular maxillary ophthalmic ال lateral part + +186 +00:16:24,520 --> 00:16:27,880 +هذا تُخنون من mandibular nerve + +187 +00:16:32,160 --> 00:16:34,740 +طب اتكلمنا على sensory function of mandibular + +188 +00:16:34,740 --> 00:16:40,020 +nerve الان اتطرق ل motor function of mandibular + +189 +00:16:40,020 --> 00:16:43,040 +nerve ال motor function of mandibular nerve + +190 +00:16:43,040 --> 00:16:49,780 +بيغدينا four mastication muscle اربع عضلات علاقة + +191 +00:16:49,780 --> 00:16:55,550 +بعملية المضغ مين هما؟ temporalis musclemasseter + +192 +00:16:55,550 --> 00:16:59,530 +muscle, medial pterygoid muscle, lateral pterygoid + +193 +00:16:59,530 --> 00:17:03,310 +muscle يعني أول وظيفة من ناحية الموتور انه supply + +194 +00:17:03,310 --> 00:17:07,990 +for mastication muscle temporalis muscle, + +195 +00:17:08,850 --> 00:17:14,490 +mastication muscles, lateral and medial pterygoid + +196 +00:17:14,490 --> 00:17:18,210 +muscles وبيغدين أربع عضلات ثانية يعني بيغدي ثمان + +197 +00:17:18,210 --> 00:17:23,520 +عضلات المنديبولار نيرو mylohyoid muscleAnterior + +198 +00:17:23,520 --> 00:17:27,940 +Pile of Digastric Muscle Tensor Pelatoid Muscle + +199 +00:17:27,940 --> 00:17:33,500 +وTensor Tempani Muscle هذه العضلات اللي راح + +200 +00:17:33,500 --> 00:17:37,440 +شايفينها هنا عندي اللي هي temporalis muscle في + +201 +00:17:37,440 --> 00:17:41,760 +عندي deep pterygoid muscle أو deep part of + +202 +00:17:41,760 --> 00:17:45,140 +masseter muscle و superficial part of masseter + +203 +00:17:45,140 --> 00:17:47,800 +هدول ال masseter muscle اللي لها جزئين اللي لها + +204 +00:17:47,800 --> 00:17:49,900 +deep part و superficial part + +205 +00:17:53,150 --> 00:17:57,370 +في عندنا هنا اللي هي medial pterygoid muscle و + +206 +00:17:57,370 --> 00:18:02,990 +lateral pterygoid muscle في عندي ال واضحة ان انا + +207 +00:18:02,990 --> 00:18:08,350 +لمسيت ال muscle تمام وفي ال anterobiliary of + +208 +00:18:08,350 --> 00:18:12,130 +digastric muscle وmyelohyoid muscle كل ما دول + +209 +00:18:12,130 --> 00:18:17,070 +بياخدوا من motor fibers from mandibular nerve هذه + +210 +00:18:17,070 --> 00:18:24,510 +هي الmylohyoid muscle وهنا عندي ال antirepoly of + +211 +00:18:24,510 --> 00:18:30,970 +digastric muscle okay في عضلة صغيرة هنا اسمها + +212 +00:18:30,970 --> 00:18:35,910 +tensor timbany muscle وفي عضلة هنا tensor palatial + +213 +00:18:35,910 --> 00:18:40,670 +muscleكلهم بياخدوا من ال mandibular nerve of the + +214 +00:18:40,670 --> 00:18:44,390 +trigeminal nerve من ال motor function و هيك بيكون + +215 +00:18:44,390 --> 00:18:49,150 +انا شرحتلكوا ال trigeminal nerve شرحنا النقلياعي + +216 +00:18:49,150 --> 00:18:52,550 +بتبعته و ال function تبعتهم و ال branches بتاعتهم + +217 +00:18:52,550 --> 00:18:54,970 +و يعطيكوا الف عافية + diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/UOCjmLy2b44_raw.json b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/UOCjmLy2b44_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..70268f717605dcd972666ee2c62dc9540a47caaf --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/UOCjmLy2b44_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 3278, "start": 4.98, "end": 32.78, "text": "بسم الله الرحمن الرحيم الجزء الثاني من محاضرة لسبوع الثامن نتكلم على Anatomy of Trigeminal nerve Trigeminal nerve is mixed nerve mixed nerve contains motor fibers and sensory fibers Trigeminal nerve is more important than sensory هو أهم شيء له sensory function", 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"end": 82.76, "word": " the", "probability": 0.8857421875}, {"start": 82.76, "end": 83.32, "word": " pons", "probability": 0.59710693359375}, {"start": 83.32, "end": 84.9, "word": " بخرج", "probability": 0.7425944010416666}, {"start": 84.9, "end": 85.16, "word": " مين", "probability": 0.63330078125}, {"start": 85.16, "end": 85.48, "word": " قلنا", "probability": 0.8370768229166666}, {"start": 85.48, "end": 85.86, "word": " من", "probability": 0.513671875}, {"start": 85.86, "end": 86.08, "word": " ال", "probability": 0.916015625}, {"start": 86.08, "end": 86.56, "word": " pons", "probability": 0.7578125}], "temperature": 1.0}, {"id": 4, "seek": 11324, "start": 87.9, "end": 113.24, "text": "as two roots إله two roots large root sensory root و small root motor root يبقى إله two roots one sensory large و one motor small يبقى ال A تراجيب من ال nerve it is the fifth cranial nerve العصب الخامس it is the sixth cranial nerve", "tokens": [296, 732, 10669, 11933, 43761, 732, 10669, 2416, 5593, 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{"start": 106.38, "end": 106.74, "word": " nerve", "probability": 0.6328125}, {"start": 106.74, "end": 107.62, "word": " it", "probability": 0.75537109375}, {"start": 107.62, "end": 107.96, "word": " is", "probability": 0.953125}, {"start": 107.96, "end": 109.04, "word": " the", "probability": 0.8642578125}, {"start": 109.04, "end": 109.4, "word": " fifth", "probability": 0.865234375}, {"start": 109.4, "end": 109.92, "word": " cranial", "probability": 0.92822265625}, {"start": 109.92, "end": 110.14, "word": " nerve", "probability": 0.951171875}, {"start": 110.14, "end": 110.46, "word": " العصب", "probability": 0.8356119791666666}, {"start": 110.46, "end": 111.14, "word": " الخامس", "probability": 0.9908854166666666}, {"start": 111.14, "end": 111.68, "word": " it", "probability": 0.802734375}, {"start": 111.68, "end": 111.88, "word": " is", "probability": 0.92919921875}, {"start": 111.88, "end": 111.98, "word": " the", "probability": 0.67041015625}, {"start": 111.98, "end": 112.3, "word": " sixth", "probability": 0.79345703125}, {"start": 112.3, "end": 112.84, "word": " cranial", "probability": 0.964599609375}, {"start": 112.84, "end": 113.24, "word": " nerve", "probability": 0.9296875}], "temperature": 1.0}, {"id": 5, "seek": 14269, "start": 113.89, "end": 142.69, "text": "الو sensory function and motor function the main function is sensory الو two root one root large sensory و second root يعتبر small root motor immerse from the ventral lateral surface of the palms ايوة عندي هاي ال root الكبير اللي هو large root يعتبر sensory", "tokens": [6027, 2407, 27233, 2445, 293, 5932, 2445, 264, 2135, 2445, 307, 27233, 2423, 2407, 732, 5593, 472, 5593, 2416, 27233, 4032, 1150, 5593, 7251, 34268, 26890, 1359, 5593, 5932, 5578, 405, 490, 264, 6931, 2155, 25128, 3753, 295, 264, 30819, 1975, 1829, 2407, 3660, 18871, 16254, 8032, 47302, 2423, 5593, 33251, 3555, 13546, 13672, 1829, 31439, 2416, 5593, 7251, 34268, 26890, 27233], "avg_logprob": -0.32812498770062887, 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lateral service of the pons then pass بيمر في شيء اسمه cerebellopontine angle بيمر وين؟ في angle زاوية اسمها cerebellopontine angle مين بيمر في ال cerebellopontine angle؟", "tokens": [2407, 11296, 24525, 2304, 11296, 2423, 7955, 5932, 8717, 36178, 25124, 1829, 38207, 15844, 2423, 558, 1252, 4724, 34740, 7435, 3714, 9957, 22807, 9154, 2423, 6931, 2155, 25128, 2643, 295, 264, 280, 892, 550, 1320, 4724, 32640, 2288, 8978, 44049, 38207, 24525, 2304, 3224, 11643, 7100, 404, 896, 533, 5802, 4724, 32640, 2288, 4032, 9957, 22807, 8978, 5802, 30767, 995, 2407, 10632, 24525, 2304, 11296, 11643, 7100, 404, 896, 533, 5802, 3714, 9957, 4724, 32640, 2288, 8978, 2423, 11643, 7100, 404, 896, 533, 5802, 22807], "avg_logprob": -0.2707122023715529, "compression_ratio": 1.7771739130434783, "no_speech_prob": 0.0, "words": [{"start": 143.55, "end": 143.87, "word": "وها", "probability": 0.51885986328125}, {"start": 143.87, "end": 144.35, "word": " اسمها", "probability": 0.8875325520833334}, {"start": 144.35, "end": 144.49, "word": " ال", "probability": 0.72509765625}, {"start": 144.49, "end": 144.75, "word": " route", "probability": 0.3125}, {"start": 144.75, "end": 148.97, "word": " motor", "probability": 0.4599609375}, {"start": 148.97, "end": 149.31, "word": " نفس", "probability": 0.957275390625}, {"start": 149.31, "end": 150.07, "word": " الشيء", "probability": 0.93505859375}, {"start": 150.07, "end": 150.43, "word": " على", "probability": 0.89208984375}, {"start": 150.43, "end": 150.67, "word": " ال", "probability": 0.86865234375}, {"start": 150.67, "end": 150.87, "word": " right", "probability": 0.9111328125}, {"start": 150.87, "end": 151.25, "word": " side", "probability": 0.78564453125}, {"start": 151.25, "end": 152.01, "word": " بخرج", "probability": 0.8893229166666666}, {"start": 152.01, "end": 153.21, "word": " مين؟", "probability": 0.6917317708333334}, {"start": 153.21, "end": 153.55, "word": " من", "probability": 0.96826171875}, {"start": 153.55, "end": 153.77, "word": " ال", "probability": 0.9189453125}, {"start": 153.77, "end": 154.31, "word": " ventral", "probability": 0.4813232421875}, {"start": 154.31, "end": 154.89, "word": " lateral", "probability": 0.76708984375}, {"start": 154.89, "end": 155.63, "word": " service", "probability": 0.5908203125}, {"start": 155.63, "end": 156.21, "word": " of", "probability": 0.931640625}, {"start": 156.21, "end": 157.49, "word": " the", "probability": 0.489501953125}, {"start": 157.49, "end": 157.85, "word": " pons", "probability": 0.5067138671875}, {"start": 157.85, "end": 158.55, "word": " then", "probability": 0.68798828125}, {"start": 158.55, "end": 159.31, "word": " pass", "probability": 0.67626953125}, {"start": 159.31, "end": 159.99, "word": " بيمر", "probability": 0.6222330729166666}, {"start": 159.99, "end": 160.61, "word": " في", "probability": 0.92578125}, {"start": 160.61, "end": 160.97, "word": " شيء", "probability": 0.686767578125}, {"start": 160.97, "end": 161.99, "word": " اسمه", "probability": 0.9549153645833334}, {"start": 161.99, "end": 164.01, "word": " cerebellopontine", "probability": 0.50810546875}, {"start": 164.01, "end": 164.59, "word": " angle", "probability": 0.70654296875}, {"start": 164.59, "end": 165.29, "word": " بيمر", "probability": 0.9093424479166666}, {"start": 165.29, "end": 165.87, "word": " وين؟", "probability": 0.9029947916666666}, {"start": 165.87, "end": 166.09, "word": " في", "probability": 0.9375}, {"start": 166.09, "end": 166.53, "word": " angle", "probability": 0.6416015625}, {"start": 166.53, "end": 167.15, "word": " زاوية", "probability": 0.9635009765625}, {"start": 167.15, "end": 168.03, "word": " اسمها", "probability": 0.98095703125}, {"start": 168.03, "end": 169.85, "word": " cerebellopontine", "probability": 0.91201171875}, {"start": 169.85, "end": 170.25, "word": " angle", "probability": 0.85791015625}, {"start": 170.25, "end": 170.81, "word": " مين", "probability": 0.91455078125}, {"start": 170.81, "end": 171.25, "word": " بيمر", "probability": 0.9259440104166666}, {"start": 171.25, "end": 171.33, "word": " في", "probability": 0.9609375}, {"start": 171.33, "end": 171.43, "word": " ال", "probability": 0.394775390625}, {"start": 171.43, "end": 172.45, "word": " cerebellopontine", "probability": 0.8794921875}, {"start": 172.45, "end": 173.33, "word": " angle؟", "probability": 0.889404296875}], "temperature": 1.0}, {"id": 7, "seek": 18714, "start": 177.86, "end": 187.14, "text": "العصب الخامس والعصب السابع والعصب الثامن يبقى العصب السابع", "tokens": [6027, 3615, 9381, 3555, 33962, 10943, 3794, 16070, 3615, 9381, 3555, 21136, 16758, 3615, 16070, 3615, 9381, 3555, 6024, 104, 10943, 1863, 7251, 3555, 4587, 7578, 18863, 9381, 3555, 21136, 16758, 3615], "avg_logprob": -0.20916193181818182, "compression_ratio": 1.7142857142857142, "no_speech_prob": 0.0, "words": [{"start": 177.85999999999999, "end": 179.26, "word": "العصب", "probability": 0.7156753540039062}, {"start": 179.26, "end": 180.1, "word": " الخامس", 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0.483154296875}, {"start": 578.7, "end": 579.22, "word": " in", "probability": 0.83349609375}, {"start": 579.22, "end": 579.42, "word": " the", "probability": 0.8076171875}, {"start": 579.42, "end": 580.1, "word": " anterior", "probability": 0.75}, {"start": 580.1, "end": 581.02, "word": " cranial", "probability": 0.9541015625}, {"start": 581.02, "end": 581.68, "word": " fossa", "probability": 0.6044921875}, {"start": 581.68, "end": 582.76, "word": " هذه", "probability": 0.251220703125}, {"start": 582.76, "end": 583.16, "word": " المنطقة", "probability": 0.737548828125}, {"start": 583.16, "end": 584.48, "word": " اللي", "probability": 0.69384765625}, {"start": 584.48, "end": 585.26, "word": " بيغضيها", "probability": 0.7625732421875}, {"start": 585.26, "end": 587.44, "word": " أوفثالمك", "probability": 0.61719970703125}, {"start": 587.44, "end": 589.16, "word": " البرانش", "probability": 0.6142578125}, {"start": 589.16, "end": 589.28, "word": " اللي", "probability": 0.931396484375}, {"start": 589.28, "end": 589.38, "word": " هي", "probability": 0.658203125}, {"start": 589.38, "end": 589.86, "word": " باللون", "probability": 0.8653971354166666}, {"start": 589.86, "end": 592.46, "word": " الأخضر", "probability": 0.978759765625}, {"start": 592.46, "end": 594.34, "word": " هذه", "probability": 0.912109375}, {"start": 594.34, "end": 594.7, "word": " المنطقة", "probability": 0.9720458984375}, {"start": 594.7, "end": 595.22, "word": " بيغضيها", "probability": 0.9628092447916666}, {"start": 595.22, "end": 595.48, "word": " مين", "probability": 0.62255859375}, {"start": 595.48, "end": 597.12, "word": " أوفثالمك", "probability": 0.9212890625}, {"start": 597.12, "end": 597.54, "word": " نيرف", "probability": 0.7610677083333334}], "temperature": 1.0}, {"id": 23, "seek": 62767, "start": 599.58, "end": 627.68, "text": "ناخدها بلون تاني بيغضيها maxillary nerve وهنا هذه ال area اللي بيغضيها mandibular nerve هي كتقسيمة ال sensation على ال face من ناحية ال branches of الترائجيمنال nerve", "tokens": [1863, 47283, 3215, 11296, 4724, 1211, 11536, 6055, 7649, 1829, 4724, 1829, 17082, 11242, 1829, 11296, 11469, 46367, 16355, 37037, 8315, 29538, 2423, 1859, 13672, 1829, 4724, 1829, 17082, 11242, 1829, 11296, 7411, 897, 1040, 16355, 39896, 9122, 2655, 4587, 3794, 32640, 3660, 2423, 20069, 15844, 2423, 1851, 9154, 8717, 39319, 10632, 2423, 14770, 295, 16712, 2288, 16373, 7435, 1829, 27842, 6027, 16355], "avg_logprob": -0.2912597693502903, "compression_ratio": 1.4523809523809523, "no_speech_prob": 0.0, "words": [{"start": 599.58, "end": 599.98, "word": "ناخدها", "probability": 0.6876220703125}, {"start": 599.98, "end": 600.18, "word": " بلون", "probability": 0.8362630208333334}, {"start": 600.18, "end": 601.1, "word": " تاني", "probability": 0.7351888020833334}, {"start": 601.1, "end": 606.2, "word": " بيغضيها", "probability": 0.7571207682291666}, {"start": 606.2, "end": 608.04, "word": " maxillary", "probability": 0.60302734375}, {"start": 608.04, "end": 608.64, "word": " nerve", "probability": 0.94482421875}, {"start": 608.64, "end": 609.86, "word": " وهنا", "probability": 0.873291015625}, {"start": 609.86, "end": 610.6, "word": " هذه", "probability": 0.58203125}, {"start": 610.6, "end": 610.7, "word": " ال", "probability": 0.7890625}, {"start": 610.7, "end": 610.86, "word": " area", "probability": 0.67578125}, {"start": 610.86, "end": 610.98, "word": " اللي", "probability": 0.837158203125}, {"start": 610.98, "end": 611.74, "word": " بيغضيها", "probability": 0.989013671875}, {"start": 611.74, "end": 614.56, "word": " mandibular", "probability": 0.9054361979166666}, {"start": 614.56, "end": 615.38, "word": " nerve", "probability": 0.8798828125}, {"start": 615.38, "end": 621.3, "word": " هي", "probability": 0.412109375}, {"start": 621.3, "end": 622.64, "word": " كتقسيمة", "probability": 0.8018798828125}, {"start": 622.64, "end": 623.12, "word": " ال", "probability": 0.61474609375}, {"start": 623.12, "end": 623.48, "word": " sensation", "probability": 0.86474609375}, {"start": 623.48, "end": 623.8, "word": " على", "probability": 0.82421875}, {"start": 623.8, "end": 623.94, "word": " ال", "probability": 0.84912109375}, {"start": 623.94, "end": 624.28, "word": " face", "probability": 0.8056640625}, {"start": 624.28, "end": 624.7, "word": " من", "probability": 0.97119140625}, {"start": 624.7, "end": 625.08, "word": " ناحية", "probability": 0.9879557291666666}, {"start": 625.08, "end": 625.22, "word": " ال", "probability": 0.7900390625}, {"start": 625.22, "end": 625.7, "word": " branches", "probability": 0.98291015625}, {"start": 625.7, "end": 626.44, "word": " of", "probability": 0.73583984375}, {"start": 626.44, "end": 627.42, "word": " الترائجيمنال", "probability": 0.5561697823660714}, {"start": 627.42, "end": 627.68, "word": " nerve", "probability": 0.63232421875}], "temperature": 1.0}, {"id": 24, "seek": 64523, "start": 641.43, "end": 645.23, "text": "ما بديش بسملكوا كل branches بتاعينهم", "tokens": [15042, 4724, 16254, 8592, 4724, 38251, 23275, 14407, 28242, 14770, 39894, 45761, 9957, 16095], "avg_logprob": -0.22916666865348817, "compression_ratio": 0.9365079365079365, "no_speech_prob": 0.0, "words": [{"start": 641.43, "end": 641.69, "word": "ما", "probability": 0.91650390625}, {"start": 641.69, "end": 642.13, "word": " بديش", "probability": 0.768310546875}, {"start": 642.13, "end": 643.85, "word": " بسملكوا", "probability": 0.73876953125}, {"start": 643.85, "end": 644.03, "word": " كل", "probability": 0.9921875}, {"start": 644.03, "end": 644.51, "word": " branches", "probability": 0.81591796875}, {"start": 644.51, "end": 645.23, "word": " بتاعينهم", "probability": 0.882568359375}], "temperature": 1.0}, {"id": 25, "seek": 67160, "start": 645.94, "end": 671.6, "text": "هنا عندى ال branches بتاعين ال ophthalmic nerve هنا maxillary nerve هنا mandibular nerve مش لازم ألكوا بالتفصيل لكن قولتلكوا لأنه لما أشرحوا لطب أو لطب الأسنان خاصة في طب الأسنان بتوسع أكتر شي عندهم في ال trigeminal nerve لإنه اللي علاقة بالأسنان و الفك العلوي و الفك السفلي بنتج ل maxillary nerve it is purely sensory nerve", "tokens": [3224, 8315, 43242, 7578, 2423, 14770, 39894, 45761, 9957, 2423, 277, 950, 392, 304, 13195, 16355, 34105, 11469, 46367, 16355, 34105, 7411, 897, 1040, 16355, 37893, 5296, 31377, 2304, 5551, 23275, 14407, 20666, 2655, 5172, 9381, 26895, 44381, 12174, 12610, 2655, 23275, 14407, 5296, 33456, 3224, 5296, 15042, 5551, 46309, 5016, 14407, 5296, 9566, 3555, 34051, 5296, 9566, 3555, 16247, 3794, 1863, 7649, 16490, 33546, 3660, 8978, 23032, 3555, 16247, 3794, 1863, 7649, 39894, 41779, 3615, 5551, 4117, 2655, 2288, 44049, 43242, 16095, 8978, 2423, 1376, 26322, 2071, 16355, 5296, 28814, 1863, 3224, 13672, 1829, 11203, 995, 28671, 20666, 10721, 3794, 1863, 7649, 4032, 27188, 4117, 18863, 1211, 45865, 4032, 27188, 4117, 21136, 5172, 20292, 4724, 29399, 7435, 5296, 11469, 46367, 16355, 309, 307, 17491, 27233, 16355], "avg_logprob": -0.23974609770812094, "compression_ratio": 1.8141263940520447, "no_speech_prob": 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"word": " ال", "probability": 0.85498046875}, {"start": 661.02, "end": 661.6, "word": " trigeminal", "probability": 0.6756998697916666}, {"start": 661.6, "end": 661.88, "word": " nerve", "probability": 0.97314453125}, {"start": 661.88, "end": 662.38, "word": " لإنه", "probability": 0.910400390625}, {"start": 662.38, "end": 662.76, "word": " اللي", "probability": 0.4842529296875}, {"start": 662.76, "end": 663.1, "word": " علاقة", "probability": 0.9051106770833334}, {"start": 663.1, "end": 663.76, "word": " بالأسنان", "probability": 0.94501953125}, {"start": 663.76, "end": 663.88, "word": " و", "probability": 0.66455078125}, {"start": 663.88, "end": 664.16, "word": " الفك", "probability": 0.93798828125}, {"start": 664.16, "end": 664.56, "word": " العلوي", "probability": 0.9619140625}, {"start": 664.56, "end": 664.64, "word": " و", "probability": 0.8134765625}, {"start": 664.64, "end": 664.88, "word": " الفك", "probability": 0.94775390625}, {"start": 664.88, "end": 665.34, "word": " السفلي", "probability": 0.9747721354166666}, {"start": 665.34, "end": 666.82, "word": " بنتج", "probability": 0.5994466145833334}, {"start": 666.82, "end": 666.98, "word": " ل", "probability": 0.533203125}, {"start": 666.98, "end": 667.54, "word": " maxillary", "probability": 0.843994140625}, {"start": 667.54, "end": 667.92, "word": " nerve", "probability": 0.896484375}, {"start": 667.92, "end": 668.7, "word": " it", "probability": 0.173583984375}, {"start": 668.7, "end": 669.74, "word": " is", "probability": 0.8369140625}, {"start": 669.74, "end": 670.34, "word": " purely", "probability": 0.71337890625}, {"start": 670.34, "end": 671.22, "word": " sensory", "probability": 0.73193359375}, {"start": 671.22, "end": 671.6, "word": " nerve", "probability": 0.91162109375}], "temperature": 1.0}, {"id": 26, "seek": 69505, "start": 673.83, "end": 695.05, "text": "it is the second branch of a trigeminal nerve supply بغدى، maxillary area of skin of the face المنطقة هذه، maxillary teeth الأسنان في الفق العلوي في الأبرج هو ميوكوزا membrane related للمقزلة", "tokens": [270, 307, 264, 1150, 9819, 295, 257, 35386, 443, 2071, 16355, 5847, 4724, 17082, 3215, 7578, 12399, 11469, 46367, 1859, 295, 3178, 295, 264, 1851, 9673, 1863, 9566, 28671, 29538, 12399, 11469, 46367, 7798, 16247, 3794, 1863, 7649, 8978, 27188, 4587, 18863, 1211, 45865, 8978, 16247, 26890, 7435, 31439, 3714, 1829, 2407, 4117, 2407, 11622, 995, 19651, 4077, 5296, 19528, 4587, 11622, 37977], "avg_logprob": -0.3574218610301614, "compression_ratio": 1.3227513227513228, "no_speech_prob": 0.0, "words": [{"start": 673.83, "end": 673.97, "word": "it", "probability": 0.37841796875}, {"start": 673.97, "end": 674.17, "word": " is", "probability": 0.74755859375}, {"start": 674.17, "end": 674.27, "word": " the", "probability": 0.53173828125}, {"start": 674.27, "end": 674.73, "word": " second", "probability": 0.90869140625}, {"start": 674.73, "end": 675.85, "word": " branch", "probability": 0.87060546875}, {"start": 675.85, "end": 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"text": "الـ cheek أو الـ anterior part of the face تمام supply الـ maxillary teeth في الأبرجو في الفك العلوي supply mucosa membrane related to maxilla وبيغدينا maxillary air sinus and durameter in the middle cranial fossa وبعدها بيفوت لهنا من الترجمة النهائية بيفوت عن طريق Rotundum Formae", "tokens": [6027, 39184, 12839, 34051, 2423, 39184, 22272, 644, 295, 264, 1851, 46811, 10943, 5847, 2423, 39184, 11469, 46367, 7798, 8978, 16247, 26890, 7435, 2407, 8978, 27188, 4117, 18863, 1211, 45865, 5847, 275, 1311, 6447, 19651, 4077, 281, 11469, 5291, 4032, 21292, 17082, 16254, 8315, 11469, 46367, 1988, 41503, 293, 4861, 335, 2398, 294, 264, 2808, 39685, 831, 283, 9978, 46599, 22488, 11296, 4724, 33911, 35473, 46740, 8315, 9154, 16712, 47341, 46007, 28239, 3224, 16373, 10632, 4724, 33911, 35473, 18871, 23032, 16572, 4587, 17681, 997, 449, 10126, 8346], "avg_logprob": -0.3591974557123401, "compression_ratio": 1.5020408163265306, "no_speech_prob": 0.0, "words": [{"start": 715.67, "end": 716.01, 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العلوي و maxillary sinus فنتجى لبعدها لموضوع انتشوف على الصورة هذه هى عندي maxillary nerve راح ل Rotundum foramen", "tokens": [3224, 1829, 18871, 16254, 13672, 1829, 31439, 11469, 46367, 16355, 4032, 2423, 9819, 21136, 3555, 3615, 9957, 3224, 13672, 1829, 11203, 995, 28671, 20666, 5172, 4117, 1975, 1829, 3224, 20666, 5172, 4117, 18863, 1211, 45865, 4032, 11469, 46367, 41503, 6156, 29399, 7435, 7578, 5296, 3555, 22488, 11296, 32767, 2407, 11242, 45367, 16472, 2655, 8592, 38688, 15844, 31767, 13063, 3660, 29538, 8032, 7578, 18871, 16254, 11469, 46367, 16355, 12602, 39319, 5296, 17681, 997, 449, 337, 22403], "avg_logprob": -0.3731496828167062, "compression_ratio": 1.5675675675675675, "no_speech_prob": 0.0, "words": [{"start": 747.59, "end": 747.85, "word": "هي", "probability": 0.5303955078125}, {"start": 747.85, "end": 748.15, "word": " عندي", "probability": 0.6551513671875}, {"start": 748.15, "end": 749.81, "word": " اللي", "probability": 0.455078125}, {"start": 749.81, "end": 750.49, 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teeth بيغضي الأسنان في الفقه السفلي بيغضي skin of the lower jaw", "tokens": [6027, 3615, 15040, 28671, 20666, 39184, 22272, 281, 2636, 295, 264, 10601, 4724, 1829, 17082, 11242, 1829, 2423, 39184, 22272, 281, 2636, 295, 264, 10601, 37893, 24976, 1500, 20069, 37893, 24976, 6055, 3215, 2407, 11703, 4587, 20193, 5296, 2674, 20069, 11933, 1829, 8592, 37495, 22653, 2674, 20069, 1822, 4292, 2557, 20069, 2452, 20069, 4724, 1829, 17082, 11242, 1829, 2423, 3126, 7798, 4724, 1829, 17082, 11242, 1829, 16247, 3794, 1863, 7649, 8978, 27188, 4587, 3224, 21136, 5172, 20292, 4724, 1829, 17082, 11242, 1829, 3178, 295, 264, 3126, 18162], "avg_logprob": -0.21093749898401173, "compression_ratio": 1.8656716417910448, "no_speech_prob": 0.0, "words": [{"start": 935.5, "end": 936.24, "word": "العلاقة", "probability": 0.8104248046875}, {"start": 936.24, "end": 936.62, "word": " بالـ", "probability": 0.77099609375}, {"start": 936.62, "end": 937.32, "word": " anterior", "probability": 0.63671875}, {"start": 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961.7, "end": 987.88, "text": "Side of head and skull lateral part بيغدى و MNG with uremeter in the middle او middle cranial fossa هذه ال area الحمراء هذه تُخنون من mandibular maxillary ophthalmic ال lateral part هذا تُخنون من mandibular nerve", "tokens": [50, 482, 295, 1378, 293, 11743, 25128, 644, 4724, 1829, 17082, 3215, 7578, 4032, 376, 30237, 365, 344, 2579, 2398, 294, 264, 2808, 1975, 2407, 2808, 39685, 831, 283, 9978, 29538, 2423, 1859, 21542, 29973, 16606, 29538, 6055, 10859, 9778, 1863, 11536, 9154, 7411, 897, 1040, 11469, 46367, 999, 49123, 13195, 2423, 25128, 644, 23758, 6055, 10859, 9778, 1863, 11536, 9154, 7411, 897, 1040, 16355], "avg_logprob": -0.4135890079267097, "compression_ratio": 1.4382022471910112, "no_speech_prob": 0.0, "words": [{"start": 961.7, "end": 962.42, "word": "Side", "probability": 0.454833984375}, {"start": 962.42, "end": 962.82, "word": " of", "probability": 0.96875}, {"start": 962.82, "end": 963.14, "word": " head", "probability": 0.7646484375}, {"start": 963.14, "end": 963.44, "word": " and", "probability": 0.908203125}, {"start": 963.44, "end": 963.9, "word": " skull", "probability": 0.50146484375}, {"start": 963.9, "end": 964.26, "word": " lateral", "probability": 0.486083984375}, {"start": 964.26, "end": 964.88, "word": " part", "probability": 0.953125}, {"start": 964.88, "end": 965.88, "word": " بيغدى", "probability": 0.633203125}, {"start": 965.88, "end": 966.48, "word": " و", "probability": 0.7099609375}, {"start": 966.48, "end": 967.4, "word": " MNG", "probability": 0.3472900390625}, {"start": 967.4, "end": 969.04, "word": " with", "probability": 0.1534423828125}, {"start": 969.04, "end": 969.8, "word": " uremeter", "probability": 0.6031901041666666}, {"start": 969.8, "end": 970.2, "word": " in", "probability": 0.91552734375}, {"start": 970.2, "end": 970.38, "word": " the", "probability": 0.82568359375}, {"start": 970.38, "end": 970.74, "word": " middle", "probability": 0.943359375}, {"start": 970.74, "end": 971.14, 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"probability": 0.71044921875}, {"start": 980.42, "end": 981.52, "word": " ophthalmic", "probability": 0.80859375}, {"start": 981.52, "end": 983.22, "word": " ال", "probability": 0.204833984375}, {"start": 983.22, "end": 984.08, "word": " lateral", "probability": 0.78662109375}, {"start": 984.08, "end": 984.52, "word": " part", "probability": 0.97607421875}, {"start": 984.52, "end": 984.76, "word": " هذا", "probability": 0.286865234375}, {"start": 984.76, "end": 985.4, "word": " تُخنون", "probability": 0.863037109375}, {"start": 985.4, "end": 985.84, "word": " من", "probability": 0.99267578125}, {"start": 985.84, "end": 986.98, "word": " mandibular", "probability": 0.9309895833333334}, {"start": 986.98, "end": 987.88, "word": " nerve", "probability": 0.87158203125}], "temperature": 1.0}, {"id": 39, "seek": 101390, "start": 992.16, "end": 1013.9, "text": "طب اتكلمنا على sensory function of mandibular nerve الان اتطرق ل motor function of mandibular nerve ال motor function of mandibular nerve بيغدينا four mastication muscle اربع عضلات علاقة بعملية المضغ مين هما؟ temporalis muscle", "tokens": [9566, 3555, 1975, 2655, 4117, 19528, 8315, 15844, 27233, 2445, 295, 7411, 897, 1040, 16355, 2423, 7649, 1975, 2655, 9566, 2288, 4587, 5296, 5932, 2445, 295, 7411, 897, 1040, 16355, 2423, 5932, 2445, 295, 7411, 897, 1040, 16355, 4724, 1829, 17082, 16254, 8315, 1451, 275, 2750, 399, 8679, 1975, 25513, 3615, 6225, 11242, 1211, 9307, 11203, 995, 28671, 4724, 25957, 1211, 10632, 9673, 11242, 17082, 3714, 9957, 8032, 15042, 22807, 30881, 271, 8679], "avg_logprob": -0.30299830154792684, "compression_ratio": 1.6420454545454546, "no_speech_prob": 0.0, "words": [{"start": 992.16, "end": 992.36, "word": "طب", "probability": 0.525054931640625}, {"start": 992.36, "end": 992.76, "word": " اتكلمنا", "probability": 0.93857421875}, {"start": 992.76, "end": 992.92, "word": " على", "probability": 0.646484375}, {"start": 992.92, "end": 993.26, "word": " sensory", "probability": 0.260009765625}, {"start": 993.26, "end": 993.8, "word": " function", "probability": 0.85595703125}, {"start": 993.8, "end": 994.28, "word": " of", "probability": 0.9404296875}, {"start": 994.28, "end": 994.74, "word": " mandibular", "probability": 0.9015299479166666}, {"start": 994.74, "end": 995.08, "word": " nerve", "probability": 0.9208984375}, {"start": 995.08, "end": 995.76, "word": " الان", "probability": 0.5577392578125}, {"start": 995.76, "end": 996.2, "word": " اتطرق", "probability": 0.8888671875}, {"start": 996.2, "end": 996.54, "word": " ل", "probability": 0.74267578125}, {"start": 996.54, "end": 997.62, "word": " motor", "probability": 0.91259765625}, {"start": 997.62, "end": 998.22, "word": " function", "probability": 0.9638671875}, {"start": 998.22, "end": 998.8, "word": " of", "probability": 0.955078125}, {"start": 998.8, "end": 1000.02, "word": " mandibular", "probability": 0.9791666666666666}, {"start": 1000.02, "end": 1000.62, "word": " nerve", "probability": 0.93359375}, {"start": 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from mandibular nerve هذه هي ال", "tokens": [41185, 43242, 8315, 34105, 13672, 1829, 39896, 1205, 831, 280, 12733, 1571, 327, 8679, 4032, 25128, 280, 12733, 1571, 327, 8679, 8978, 18871, 16254, 2423, 4032, 46958, 5016, 3660, 16472, 1975, 8315, 32767, 3794, 36081, 2423, 8679, 46811, 10943, 4032, 41185, 2423, 364, 391, 996, 38550, 295, 2528, 525, 1341, 8679, 4032, 2226, 10590, 3495, 17079, 8679, 28242, 19446, 11778, 12610, 4724, 1829, 47283, 3215, 14407, 9154, 5932, 25252, 490, 7411, 897, 1040, 16355, 29538, 39896, 2423], "avg_logprob": -0.39362979584779495, "compression_ratio": 1.5693069306930694, "no_speech_prob": 0.0, "words": [{"start": 1073.15, "end": 1073.35, "word": "في", "probability": 0.132080078125}, {"start": 1073.35, "end": 1073.61, "word": " عندنا", "probability": 0.683349609375}, {"start": 1073.61, "end": 1074.03, "word": " هنا", "probability": 0.7705078125}, {"start": 1074.03, "end": 1074.75, "word": " اللي", "probability": 0.446563720703125}, {"start": 1074.75, "end": 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0.9532877604166666}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 1135.943375, "duration_after_vad": 1071.080625000001} \ No newline at end of file diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/aMTvg16Fhkk.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/aMTvg16Fhkk.srt new file mode 100644 index 0000000000000000000000000000000000000000..73ac0745560715ba60bfb6dd5dc5f9f2bd8edb1f --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/aMTvg16Fhkk.srt @@ -0,0 +1,1315 @@ +1 +00:00:04,980 --> 00:00:08,320 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:08,320 --> 00:00:16,140 +وبركاته محاضرة السبوع الثالث Anatomy and + +3 +00:00:16,140 --> 00:00:22,020 +Physiology of Basal Nuclei, Diencephalon and + +4 +00:00:22,020 --> 00:00:27,120 +Cerebellum جزء الأول من المحاضرة راح ناخد Basal + +5 +00:00:27,120 --> 00:00:32,030 +Nuclei وجزء من ال diencephalon في جزء ثاني من + +6 +00:00:32,030 --> 00:00:35,850 +المحاضرة عن كامل ال diencephalon و anatomy of + +7 +00:00:35,850 --> 00:00:42,730 +physiology of cerebellum ال basal نوكلياي في الكتب + +8 +00:00:42,730 --> 00:00:47,610 +بتلاقوها basal ganglia basal ganglia كلمة ganglia + +9 +00:00:47,610 --> 00:00:52,350 +wrong خطأ. مصطلح ال basal ganglia ليه؟ لأن ال + +10 +00:00:52,350 --> 00:00:56,560 +ganglia. What's the definition of ganglia؟ هي عبارة + +11 +00:00:56,560 --> 00:01:01,640 +عن composed of nerve cells which is located + +12 +00:01:01,640 --> 00:01:07,850 +outside CNS، خارج الجهاز العصبي المركزي. مدام هي + +13 +00:01:07,850 --> 00:01:11,130 +داخل جهاز عصب المركزي inside of the brain يمكن + +14 +00:01:11,130 --> 00:01:15,210 +بسميها Basal Nuclei. Basal إيه؟ نوكليا. لكن لليوم في + +15 +00:01:15,210 --> 00:01:18,690 +الكتب والمراجع بتلاقوا اسمها موجود Basal Ganglia وهذا + +16 +00:01:18,690 --> 00:01:22,710 +خطأ. كلمة Ganglia تطلق على ال nerve cells + +17 +00:01:22,710 --> 00:01:28,630 +الموجودة outside of CNS. عبارة عن أيش ال Basal + +18 +00:01:28,630 --> 00:01:34,730 +Nuclei؟ عبارة عن collections of grey matter + +19 +00:01:36,440 --> 00:01:41,740 +Situated within each cerebral hemisphere deep. يبقى + +20 +00:01:41,740 --> 00:01:47,460 +أن هم عبارة عن gray matter موجودين داخل ال + +21 +00:01:47,460 --> 00:01:52,440 +cerebral hemisphere مع ال white matter. ديب بيكون + +22 +00:01:52,440 --> 00:01:57,220 +What's the components of basal nuclei؟ من ايش + +23 +00:01:57,220 --> 00:02:00,840 +بتكونوا ال basal nuclei؟ ال basal اللي أنا موجودة + +24 +00:02:00,840 --> 00:02:05,960 +في ال base of cerebral hemisphere بتكونوا من كودية + +25 +00:02:05,960 --> 00:02:14,360 +نوكلياس. هاي واحد ثاني لينتي فورم ال نوكلياس. كلمة + +26 +00:02:14,360 --> 00:02:20,640 +لينتي فورم سموها عشان تشبه شكل الوتد shape. شكل + +27 +00:02:20,640 --> 00:02:27,540 +الوتد. اللينتي فورم تتكوّل من بيوتامين and جلوباس + +28 +00:02:27,540 --> 00:02:31,660 +باليداس. يبقى كودية نوكلياس، لينتي فورم نوكلياس + +29 +00:02:33,270 --> 00:02:36,150 +classroom. طلاب بيموتوا فيها. هذه ال classroom + +30 +00:02:36,150 --> 00:02:39,770 +بحبوها كتير لإن ال function تبعتها unknown. مش + +31 +00:02:39,770 --> 00:02:42,230 +معروف وظيفتها. عشان هيك الطلاب بيحبوا في الحاجات + +32 +00:02:42,230 --> 00:02:45,630 +الزيادة. بيحبوش يذكروا وظائف ولا إشي. لما تقوله ال + +33 +00:02:45,630 --> 00:02:47,950 +function تبعتها unknown بيقولك الحمد لله unknown + +34 +00:02:47,950 --> 00:02:52,950 +يبقى نظرنا مسكين فيها وأربعة amygdaloid nucleus + +35 +00:02:52,950 --> 00:02:58,170 +في الكورونا. + +36 +00:02:58,170 --> 00:03:03,010 +اللي كت لو طلعنا واضح أن عندي كودية nucleus هنا + +37 +00:03:03,010 --> 00:03:09,330 +بيكون عندي ايه اللي هو الانتفار في بيوتامين و + +38 +00:03:09,330 --> 00:03:16,790 +globus pallidus. نجيب صورة ثانية نشرع عليها هذا + +39 +00:03:16,790 --> 00:03:22,970 +axial cut. axial cut. في عندي الكودية نوكلياس هذه + +40 +00:03:22,970 --> 00:03:28,410 +الكودية لها head ولها body. مجصوص مش واضح ال body + +41 +00:03:28,410 --> 00:03:35,820 +وفي النهاية لها tail. كل هذا تابع لمين؟ لكوديات + +42 +00:03:35,820 --> 00:03:44,400 +نوكلياس. اثنين في عندي الانتفار من نوكلياس تشبه شكل + +43 +00:03:44,400 --> 00:03:55,380 +الوطني دي اللي جزءين. جزء اسمه putamen وجزء + +44 +00:03:55,380 --> 00:04:01,400 +اسمه globus pallidus. تمام؟ و + +45 +00:04:03,420 --> 00:04:09,880 +في classroom بيحبوها الطلاب كثير ووظيفتها unknown + +46 +00:04:09,880 --> 00:04:12,920 +و + +47 +00:04:12,920 --> 00:04:17,620 +في نهاية ال tail of كودية nucleus تحت في ال tail + +48 +00:04:17,620 --> 00:04:21,840 +of كودية nucleus في ال temporal loop بيكون موجودة + +49 +00:04:21,840 --> 00:04:25,300 +amygdaloid nucleus + +50 +00:04:33,320 --> 00:04:38,240 +What's the functions of basal nuclei؟ أول function + +51 +00:04:38,240 --> 00:04:43,100 +Receive afferent information from the cerebral + +52 +00:04:43,100 --> 00:04:47,140 +hemisphere, thalamus, subthalamus and brainstem + +53 +00:04:47,140 --> 00:04:52,680 +ثانيًا. Control muscular movement and regulation of + +54 +00:04:52,680 --> 00:04:56,260 +voluntary movement. العلاقة بالحركات الإرادية + +55 +00:04:56,260 --> 00:05:01,970 +ثالثًا. learning of the motor skills. المهارات الحركية + +56 +00:05:01,970 --> 00:05:06,710 +مسئولة عن المهارات الحركية. رابعًا لو كنا قاعدين أنا + +57 +00:05:06,710 --> 00:05:09,930 +كنت في المحاضرة. دايما اجي فجأة اخبط هيك الطاولة + +58 +00:05:09,930 --> 00:05:13,470 +ايش بيصير معاكوا؟ بتخافوا، بترتعبوا، بتنقزوا. لو كنتوا + +59 +00:05:13,470 --> 00:05:17,710 +ماشيين في شارع حدث انفجار، بتجري ما بتدري وين بتروح + +60 +00:05:17,710 --> 00:05:22,980 +ايش بحدث معاك؟ تاكي كارديا، ال heart rate بيزيد. ال + +61 +00:05:22,980 --> 00:05:27,180 +skin بيكون شاحب من ال sympathic innervation. بيحصل + +62 +00:05:27,180 --> 00:05:30,840 +vazoconstriction. بيرتفع الضغط، بيزيد ال respiratory + +63 +00:05:30,840 --> 00:05:36,080 +rate. يبقى أن وظيفتها influence the body response + +64 +00:05:36,080 --> 00:05:41,540 +to environmental changes زي اي sense of fire for + +65 +00:05:41,540 --> 00:05:46,510 +example. إيش بيحدث؟ change في ال heart rate، في ال + +66 +00:05:46,510 --> 00:05:49,050 +blood pressure، في skin color، في respiratory + +67 +00:05:49,050 --> 00:05:52,670 +rate، يبقى حدث انفجار، طب ولا شيء، أنت ماشي في + +68 +00:05:52,670 --> 00:05:57,510 +الليل وبتفكر في هذه الدنيا وفجأة ضلام مش كهرباء، نبح + +69 +00:05:57,510 --> 00:06:01,190 +عليك كلب فجأة وأنت إيه مش منتبه، إيش بيصير فيك؟ تجري + +70 +00:06:01,190 --> 00:06:05,830 +ما بتدري بيصير عندك ال heart rate زيد، بينفجر من + +71 +00:06:05,830 --> 00:06:10,450 +كتر، بيضخ دم بدك تجري، ال respiratory rate بيزيد + +72 +00:06:10,450 --> 00:06:14,590 +ضغطك بيرتفع، وجهك بيكون شاحب لون أبيض تمام؟ والشعر + +73 +00:06:14,590 --> 00:06:18,970 +بيقف لإنه sympathetic nervous system بتقدي عضلة + +74 +00:06:18,970 --> 00:06:22,770 +erector pili muscle اللي بتعمل إيه؟ بتوقف الشعر + +75 +00:06:22,770 --> 00:06:24,770 +عشان هيك الحاجة لما بيقولوا شفتوا هذا المنظر و + +76 +00:06:24,770 --> 00:06:27,170 +الشعر بيقف، صح كلامها من sympathetic + +77 +00:06:27,170 --> 00:06:32,510 +hyperinherbation. راح نشرحهم في محاضرة ال autonomic + +78 +00:06:32,510 --> 00:06:37,670 +nervous system. سمول فانكشن سمول فانكشن سمول + +79 +00:06:37,670 --> 00:06:37,790 +فانكشن سمول فانكشن سمول فانكشن سمول فانكشن سمول + +80 +00:06:37,790 --> 00:06:40,090 +فانكشن سمول فانكشن سمول فانكشن سمول فانكشن سمول + +81 +00:06:40,090 --> 00:06:49,650 +فانكشن سمول فانكشن سمول + +82 +00:06:49,650 --> 00:06:50,870 +فانكشن سمول فانكشن سمول فانكشن سمول فانكشن سمول + +83 +00:06:50,870 --> 00:06:52,030 +فانكشن سمول فانكشن سمول فانكشن سمول فانكشن سمول + +84 +00:06:52,030 --> 00:06:55,710 +فانكشن سمول فانكشن سمول + +85 +00:06:55,710 --> 00:06:59,070 +فانكشن سمول + +86 +00:06:59,070 --> 00:07:03,010 +فانكشن + +87 +00:07:04,270 --> 00:07:09,690 +وبين موجود related lateral to lateral ventricle + +88 +00:07:09,690 --> 00:07:14,210 +and thalamus. بيكون موجود lateral من ال lateral + +89 +00:07:14,210 --> 00:07:20,250 +ventricle وال thalamus. بتكون من ثلاثة أجزاء head + +90 +00:07:20,250 --> 00:07:28,690 +of كودية نوكلياس body of كودية نوكلياس tail of كودية + +91 +00:07:28,690 --> 00:07:33,870 +نوكلياس. يعني بتكون من head رأس وbody جسم وtail + +92 +00:07:33,870 --> 00:07:39,350 +ذيل. وفي نهاية ال tail بيكون موجود amygdaloid + +93 +00:07:39,350 --> 00:07:47,990 +نوكلياس. amygdaloid نوكلياس okay. نشوف هنا هذا هو ال + +94 +00:07:47,990 --> 00:07:54,660 +head على ال axial cut head of كودية نوكلياس. هنا بيكون + +95 +00:07:54,660 --> 00:08:06,660 +tail of كودية نوكلياس على ال axial cut. تشوف + +96 +00:08:06,660 --> 00:08:10,920 +صورة من ال sagittal. هي ال sagittal الأخضر هنا بيكون ال + +97 +00:08:10,920 --> 00:08:23,860 +head. هنا بيكون ايه ال body. هنا بيكون ايش؟ Tail. وفي + +98 +00:08:23,860 --> 00:08:28,360 +نهاية الـ Tail بتكون موجودة ايش؟ Amygdaloid نوكلياس + +99 +00:08:28,360 --> 00:08:32,640 +أو Amygdaloid body. هي جزء من الـ Basal نوكلياية + +100 +00:08:32,640 --> 00:08:38,160 +وكان من ايش بتكون كودية نوكلياس؟ بتكون من head، body + +101 +00:08:38,160 --> 00:08:43,300 +tail. وفي ال terminal part of the tail located ايش؟ + +102 +00:08:43,300 --> 00:08:47,840 +Amygdaloid نوكلياس بتاعة ال Basal نوكلياية + +103 +00:08:50,720 --> 00:08:55,500 +هكذا أنا شرحت لكم كودية + +104 +00:08:55,500 --> 00:08:59,000 +نوكلياس. طب وين موجودة كودية نوكلياس؟ قلنا كودية + +105 +00:08:59,000 --> 00:09:02,620 +نوكلياس بتكون موجودة lateral + +106 +00:09:05,850 --> 00:09:10,110 +لـ Thalamus أو lateral لـ lateral ventricle. هاي ال Thalamus و + +107 +00:09:10,110 --> 00:09:12,770 +ال body تبعها بيكون هيك بالصورة هذه ال body وكمان + +108 +00:09:12,770 --> 00:09:15,690 +بتكون lateral لـ Thalamus. يبقى أن هي located lateral ل + +109 +00:09:15,690 --> 00:09:20,510 +Thalamus وlateral لـ lateral ventricle. يبقى أن ال + +110 +00:09:20,510 --> 00:09:24,790 +lateral ventricle وال thalamus بيكونوا medial لمين؟ ل + +111 +00:09:24,790 --> 00:09:31,030 +الكودية النوكلياس. ننتقل + +112 +00:09:31,030 --> 00:09:37,890 +لجزء ثاني من Basal nuclei اسمه lentiform nucleus + +113 +00:09:37,890 --> 00:09:43,570 +ايش اسمه؟ lentiform nucleus. it is a wedge shape + +114 +00:09:43,570 --> 00:09:48,770 +mass. وانه عبارة عن ايه؟ wedge shape mass of grey + +115 +00:09:48,770 --> 00:09:54,650 +matter. شكل الوتد، وتدي الشكل موجود وين؟ between + +116 +00:09:54,650 --> 00:10:00,960 +the internal capsule medially and external capsule + +117 +00:10:00,960 --> 00:10:04,640 +laterally. وعشان هيك سموا ال external capsule + +118 +00:10:04,640 --> 00:10:07,780 +external capsule لأنها located external + +119 +00:10:07,780 --> 00:10:11,740 +لـ Lentiform nucleus. ولذلك سموا internal capsule + +120 +00:10:11,740 --> 00:10:17,240 +internal لأنها located internal لمن؟ لـ Lentiform + +121 +00:10:17,240 --> 00:10:21,100 +nucleus. يبقى Lentiform nucleus located between + +122 +00:10:22,260 --> 00:10:26,440 +external capsule externally and internal capsule + +123 +00:10:26,440 --> 00:10:32,440 +internally or medial. okay. the lentiform nucleus + +124 +00:10:32,440 --> 00:10:41,200 +contains two parts. من جزئين + +125 +00:10:41,200 --> 00:10:50,410 +واحد بيوتامين. اثنين globus pallidus. تتكون من جزءين + +126 +00:10:50,410 --> 00:10:57,830 +بيوتامين و globus pallidus. البيوتامين بيكون dark + +127 +00:10:58,970 --> 00:11:04,690 +Large Lateral Dark Large Lateral. طب Globus + +128 +00:11:04,690 --> 00:11:09,950 +pallidus بيكون Smaller Light Medial. يعني + +129 +00:11:09,950 --> 00:11:15,730 +البيوتامين بيكون لونه غامق وأكبر في الحجم وموجود + +130 +00:11:15,730 --> 00:11:20,210 +Lateral. و Globus pallidus بيكون أصغر في الحجم و + +131 +00:11:20,210 --> 00:11:25,210 +Light أفتح في اللون وبيكون More Medial. نرسم مع + +132 +00:11:25,210 --> 00:11:27,490 +بعض الانتفار + +133 +00:11:28,770 --> 00:11:35,270 +هذه الـ lentiform nucleus. الجزء اللاترال والدارك + +134 +00:11:35,270 --> 00:11:41,250 +والكبير اسمه بيوتامين. والجزء + +135 +00:11:41,250 --> 00:11:45,850 +ال medial وال light وال small اسمه globus + +136 +00:11:45,850 --> 00:11:50,210 +pallidus. يبقى أن هذه هي lentiform nucleus. وين + +137 +00:11:50,210 --> 00:11:55,550 +موجودة ال lentiform nucleus؟ موجودة بين ال internal + +138 +00:11:55,550 --> 00:12:04,600 +capsule بتكون medial لها وال external capsule + +139 +00:12:06,280 --> 00:12:11,800 +بتكون lateral ليها. يعني هي located between the + +140 +00:12:11,800 --> 00:12:16,920 +internal capsule and external capsule. ولذلك سميت + +141 +00:12:16,920 --> 00:12:21,280 +internal capsule located internal to the lentiform + +142 +00:12:21,280 --> 00:12:26,320 +nucleus and external capsule located external to + +143 +00:12:26,320 --> 00:12:32,700 +lentiform nucleus. okay. بدي + +144 +00:12:32,700 --> 00:12:37,660 +منكم أول حاجة صحتكم من النوم. تسمعوا لهذه + +145 +00:12:37,660 --> 00:12:44,420 +المعادلات هذه الثلاث. أول معادلة: لينتي فورم نوكلياس + +146 +00:12:44,420 --> 00:12:49,220 +لينتي فورم نوكلياس. لينتي فورم نوكلياس. لينتي فورم + +147 +00:12:49,220 --> 00:12:53,100 +نوكلياس. لينتي + +148 +00:12:53,100 --> 00:12:54,780 +فورم نوكلياس. لينتي فورم نوكلياس. لينتي فورم نوكلياس + +149 +00:12:54,780 --> 00:12:55,180 +لينتي فورم نوكلياس. لينتي فورم نوكلياس. لينتي فورم + +150 +00:12:55,180 --> 00:12:55,220 +نوكلياس. لينتي فورم نوكلياس. لينتي فورم نوكلياس. لينتي + +151 +00:12:55,220 --> 00:12:55,300 +فورم نوكلياس. لينتي فورم نوكلياس. لينتي فورم نوكلياس + +152 +00:12:55,300 --> 00:12:55,700 +لينتي فورم نوكلياس. لينتي فورم نوكلياس. لينتي + +153 +00:12:56,370 --> 00:13:03,250 +Corpus striatum تساوي كودية نوكلياس زائد لينتيفورم + +154 +00:13:03,250 --> 00:13:07,090 +طب طالب بدي هتقول بديش أسمي زي هيك. بدي أسمي جكر في + +155 +00:13:07,090 --> 00:13:15,110 +الدكتوريات. أسميها كودية نوكلياس زائد بيوتامين زائد + +156 +00:13:15,110 --> 00:13:18,570 +غلوباس باليداس. راح أعتمدلها الإجابة وأضربلها سلام. + +157 +00:13:19,330 --> 00:13:23,510 +صح ليه؟ لأن ال انتفار من ال نوكلياس هي نفسها + +158 +00:13:23,510 --> 00:13:28,470 +البيوتامين زائد غلوباس باليداس. بمشي الحال. تلاتة + +159 +00:13:29,460 --> 00:13:36,260 +نيوسترياتم أو استرياتم اللي هي كودات and بيوتامين + +160 +00:13:36,260 --> 00:13:40,820 +يعني استرياتم أو نيوسترياتم بيكونوا أصغر من كوربوس + +161 +00:13:40,820 --> 00:13:45,800 +استرياتم. لاحظوا كوربوس استرياتم فيه كودات، بيوتامين + +162 +00:13:45,800 --> 00:13:49,160 +غلوباس باليداس. نيوسترياتم أو استرياتم كودات + +163 +00:13:49,160 --> 00:13:56,600 +وبيوتامين only without غلوباس باليداس. هكذا بيكون + +164 +00:13:56,600 --> 00:14:00,400 +أنا شرحت لكم هذول أجزاء بتاعة ال basal nuclei + +165 +00:14:00,400 --> 00:14:09,100 +نشوفهم مع بعض. lentiform nucleus هاي هاد اسمها + +166 +00:14:09,100 --> 00:14:15,040 +lentiform nucleus. تتكون من بيوتامين. هاي واحد + +167 +00:14:15,040 --> 00:14:24,480 +بيوتامين. ومن ايش بالازرق؟ من globus + +168 +00:14:24,480 --> 00:14:33,340 +pallidus. هذه جلوباس باليداس. وهنا بيوتامن + +169 +00:14:33,340 --> 00:14:39,300 +مع بعض بنسميهم لنتي فورم نوكياس. لو جمعنا ايه لهم + +170 +00:14:40,670 --> 00:14:44,350 +الكودات بالـ tail وبالـ head وبالكله مع بعض + +171 +00:14:44,350 --> 00:14:49,010 +بيحدث اسم أو بنغير اسم بيصير Corpus striatum + +172 +00:14:49,010 --> 00:14:52,810 +Corpus striatum عبارة عن بيوتامن مع الانتفار أو + +173 +00:14:52,810 --> 00:14:58,790 +بيوتامن مع عبارة عن كودات مع الانتفار أو بنسمي + +174 +00:14:58,790 --> 00:15:03,170 +الـ كوربوس استرياتم عبارة عن كودات مع الانتفار أو + +175 +00:15:03,170 --> 00:15:08,670 +بنسمي كودات بيوتامين و globus pallidus كله مع بعض + +176 +00:15:08,670 --> 00:15:14,710 +هذا يعتبر كوربوس استرياتم. طب لو اجينا حذفنا منهم + +177 +00:15:14,710 --> 00:15:19,110 +globus + +178 +00:15:19,110 --> 00:15:23,970 +pallid + +201 +00:17:13,520 --> 00:17:17,000 +temporal loop when عاملة connection بتكون + +202 +00:17:17,000 --> 00:17:22,020 +connected مع ايه؟ مع الـ tail of كودية نوكلياس بتكون + +203 +00:17:22,020 --> 00:17:26,790 +موجودة في نهاية ذيل بتاع الكودية نوكلياس، والها + +204 +00:17:26,790 --> 00:17:29,890 +علاقة أو جزء من الـ limbic system، تعتبر جزء من ايه؟ + +205 +00:17:29,890 --> 00:17:33,570 +الـ limbic system بتاع الـ brain، what's the function + +206 +00:17:33,570 --> 00:17:37,630 +of amygdaloid nucleus زي ما ضربتلكوا على الطاولة + +207 +00:17:37,630 --> 00:17:43,620 +ايش صار معاكم؟ بنخاف، بيصير معناه ننقذ الـ can + +208 +00:17:43,620 --> 00:17:46,600 +influence the body response to environmental + +209 +00:17:46,600 --> 00:17:50,320 +changes، بحالة هذه، أيش بيحدث مع الناس؟ بيزيد الـ + +210 +00:17:50,320 --> 00:17:52,740 +heart rate، الـ blood pressure بيرتفع، الـ skin + +211 +00:17:52,740 --> 00:17:56,560 +color بيصير شاحب، لونه أبيض، بيقلق من الـ + +212 +00:17:56,560 --> 00:18:00,100 +vasoconstriction و بيرتفع الضغط و بيزيد الـ + +213 +00:18:00,100 --> 00:18:03,980 +respiratory rate، الـ amygdaloid نوكلياس، اللي علاقة + +214 +00:18:03,980 --> 00:18:07,600 +بالـ الـ function of smell + +215 +00:18:11,190 --> 00:18:18,590 +هي عندي واضح الـ head of كودات هذا الـ body بتاع + +216 +00:18:18,590 --> 00:18:23,050 +الكودات، وهنا ايه؟ الـ tail of كودات، وفي نهاية الـ + +217 +00:18:23,050 --> 00:18:27,570 +tail of كودات في amygdaloid body أو اللي هي + +218 +00:18:27,570 --> 00:18:29,050 +amygdaloid nucleus + +219 +00:18:39,330 --> 00:18:48,190 +لما اجمع هذه الكودات مع + +220 +00:18:48,190 --> 00:18:53,610 +الـ انتفار مع بعض اسمه كوربوسسترياتم، لو جمعنا بس + +221 +00:18:53,610 --> 00:18:58,270 +الكودات مع البيوتامين اسمها استرياتم أو نيو + +222 +00:18:58,270 --> 00:19:01,670 +استرياتم، استرياتم أو نيو استرياتم + +223 +00:19:06,710 --> 00:19:11,770 +أنا شرحت لكم موضوع بيزل نوكلياي بنتاج لجزء الثاني + +224 +00:19:11,770 --> 00:19:17,990 +اللي هو الـDiencephalon، الـDiencephalon is part of + +225 +00:19:17,990 --> 00:19:23,510 +the brain located above the middle brain and + +226 +00:19:23,510 --> 00:19:27,330 +between the lower part of two cerebral hemispheres + +227 +00:19:27,330 --> 00:19:32,470 +نرسم مع بعض اللي هو الـDiencephalon + +228 +00:20:24,040 --> 00:20:36,820 +Okay، اللون الأسود هو Diencephalon هذا + +229 +00:20:36,820 --> 00:20:43,160 +Interthalamic adhesion، هذا هو thalamus هذا + +230 +00:20:43,160 --> 00:20:49,870 +subthalamus تحت الـ thalamus، هذا hypothalamus هذا + +231 +00:20:49,870 --> 00:20:55,530 +Metathalamus، وهذا Epithalamus، هذا الأزرق رسمت أنا + +232 +00:20:55,530 --> 00:21:01,430 +الجزء الأزرق هذا أمامي الـ brain stem، mid brain + +233 +00:21:01,430 --> 00:21:07,350 +pons، medulla oblongata تحت، نكمل اللي هو spinal + +234 +00:21:07,350 --> 00:21:13,610 +cord في الأمام، هذه هي pituitary gland + +235 +00:21:17,470 --> 00:21:23,170 +Gland تتكون من posterior lobe و anterior lobe، okay + +236 +00:21:23,170 --> 00:21:35,170 +هذا الأسود اللي هو Diencephalon عشان + +237 +00:21:35,170 --> 00:21:40,890 +رسمة واضحة، نقرب لكم وجهة الموضوع الـ Diencephalon + +238 +00:21:40,890 --> 00:21:46,830 +ونبسطه في الشرح، الـ diencephalon it is part of the + +239 +00:21:46,830 --> 00:21:51,890 +brain located above midbrain، هي فوق الـ midbrain + +240 +00:21:51,890 --> 00:21:57,490 +and between the lower part of two cerebral + +241 +00:21:57,490 --> 00:22:00,490 +hemisphere، وفي الجزء السفلي من الـ two cerebral + +242 +00:22:00,490 --> 00:22:04,770 +hemisphere، embryological origin من ناحية الـ + +243 +00:22:04,770 --> 00:22:09,470 +embryological origin بيجينا من الـ four brain for + +244 +00:22:09,470 --> 00:22:14,970 +brain، بيعطينا بروزن سيفالون، و بروزن سيفالون بنقسم + +245 +00:22:14,970 --> 00:22:20,230 +لقسمين، تيلين سيفالون و داين سيفالون، تيلين سيفالون + +246 +00:22:20,230 --> 00:22:22,690 +بتعطينا الـcerebral hemisphere و الـ lateral + +247 +00:22:22,690 --> 00:22:26,970 +ventricle، و الداين سيفالون بيعطينا اللي هو الداين + +248 +00:22:26,970 --> 00:22:29,010 +سيفالون نفسه، الthalamus, hypothalamus, + +249 +00:22:29,070 --> 00:22:31,630 +hypothalamus, subthalamus, metathalamus، بيعطينا + +250 +00:22:31,630 --> 00:22:35,850 +mammillary body، اسمه، و فيه بيعطينا كمان الـ eyes و + +251 +00:22:35,850 --> 00:22:41,880 +بيعطينا a third ventricle، cavity of diencephalon is + +252 +00:22:41,880 --> 00:22:47,220 +third + +253 +00:22:47,220 --> 00:22:51,380 +ventricle، هنا بيكون عندي ايه؟ اللي هو ايه؟ الـ dying + +254 +00:22:51,380 --> 00:22:54,060 +cephalon في المكان هذا، هذا الـ dying cephalon + +255 +00:22:54,060 --> 00:22:58,280 +بيجينا في المكان هذا، thalamus تحتي subthalamus و + +256 +00:22:58,280 --> 00:23:02,740 +في الأمام هنا بيكون ايه؟ اللي هو الـ hypothalamus و + +257 +00:23:02,740 --> 00:23:06,900 +أمامة بيكون بتوتر اجلان، واللي في الخلف بيكون + +258 +00:23:06,900 --> 00:23:12,860 +metathalamus، و فوقهم بيكون epithalamus، what's the + +259 +00:23:12,860 --> 00:23:17,520 +subdivisions of dying cephalon؟ من ايش هتكون؟ أنا + +260 +00:23:17,520 --> 00:23:22,540 +رسمت لكوا، يخططوا هاي واضح، بتكون من الأب الروحي + +261 +00:23:22,540 --> 00:23:26,380 +اللي هو الثلمس، أهم واحد فيهم، ثلمس، بعده + +262 +00:23:26,380 --> 00:23:32,700 +hypothalamus، subthalamus، metathalamus، ابثلامس + +263 +00:23:32,700 --> 00:23:42,260 +ابثلامس، نبدأ بثلمس، ايش هو الثلمس؟ thalamus عبارة عن + +264 +00:23:42,260 --> 00:23:50,600 +large egg shape mass of a grey matter، وين موجود؟ + +265 +00:23:50,600 --> 00:23:55,060 +موجود in the middle of the lower part of two + +266 +00:23:55,060 --> 00:23:58,540 +cerebral hemispheres، عندنا في right thalamus وفي + +267 +00:23:58,540 --> 00:24:03,700 +left thalamus، وفي بينهم adhesions، هذه الـ adhesions + +268 +00:24:04,330 --> 00:24:07,230 +بين الـ right و الـ left بتمر في الـ third ventricle + +269 +00:24:07,230 --> 00:24:12,370 +اسمها Interthalamic Adhesion، Interthalamic ايه؟ + +270 +00:24:12,370 --> 00:24:19,330 +Adhesion، الـ site it is located on each side of the + +271 +00:24:19,330 --> 00:24:25,670 +third ventricle immediately above subthalamus and + +272 +00:24:25,670 --> 00:24:30,010 +medial to posterior limb of internal capsule، يعني + +273 +00:24:30,010 --> 00:24:36,860 +الـ thalamus موجود، بيحدوا الـ third ventricle من كل + +274 +00:24:36,860 --> 00:24:41,780 +جهة، يعني عندي right thalamus و left thalamus و في + +275 +00:24:41,780 --> 00:24:45,480 +cavity بينهم، هذا الـ cavity اللي بينهم اسمه ايه؟ + +276 +00:24:45,480 --> 00:24:49,780 +third ventricle، اسمه ايه؟ third ventricle، غير هيك + +277 +00:24:49,780 --> 00:24:55,160 +الـ thalamus بيجي اعلى مباشرة من الـ subthalamus فوق + +278 +00:24:55,160 --> 00:25:01,190 +الـ subthalamus مباشرة، و بيكون medial لـ .. لـ .. الـ + +279 +00:25:01,190 --> 00:25:06,490 +posterior limb of internal capsule، هاي عندي تلمس + +280 +00:25:06,490 --> 00:25:11,830 +left + +281 +00:25:11,830 --> 00:25:21,030 +تلمس و right تلمس، بيحد الـ .. third ventricle من + +282 +00:25:21,030 --> 00:25:24,290 +الجناب، من الجهة ده، هانبينهم interthalamic adhesion + +283 +00:25:25,160 --> 00:25:32,720 +هذا عبارة عن ايه؟ Interthalamic adhesion، وبيكون + +284 +00:25:32,720 --> 00:25:37,460 +medial + +285 +00:25:37,460 --> 00:25:39,580 +للـ posterior limb + +286 +00:25:42,040 --> 00:25:46,640 +of internal capsule، مي ديال للمين؟ للبستيرو ليمب of + +287 +00:25:46,640 --> 00:25:50,640 +internal capsule، وبيكون ايه؟ above دي subthalamus + +288 +00:25:50,640 --> 00:25:55,540 +immediately above لإيه؟ subthalamus، هذا هو الـ + +289 +00:25:55,540 --> 00:25:59,240 +thalamus، هذا هو الـ thalamus، و بينهم في adhesions + +290 +00:25:59,240 --> 00:26:03,680 +الـ adhesion اسمها interthalamic adhesion، واضح عندي + +291 +00:26:03,680 --> 00:26:11,040 +على الـ axial cut، نشرحهم، هي عندي thalamus + +292 +00:26:13,830 --> 00:26:18,350 +بينهم فيه adhesion اسمها interthalamic adhesions + +293 +00:26:18,350 --> 00:26:30,970 +في النصف بيكون موجود cavity of third ventricle و + +294 +00:26:30,970 --> 00:26:36,370 +التلمس بيكون موجود هاي الـ internal capsule + +295 +00:26:36,370 --> 00:26:39,350 +anterior limb، posterior limb + +296 +00:26:44,640 --> 00:26:52,540 +بيكون وين موجود؟ بيكون Medial للـ posterior limb of + +297 +00:26:52,540 --> 00:26:57,920 +internal capsule، Medial للـ posterior limb of + +298 +00:26:57,920 --> 00:27:06,180 +internal capsule، what's + +299 +00:27:06,180 --> 00:27:10,180 +the function of thalamus؟ ايش وظيفة الـ thalamus؟ اول + +300 +00:27:10,180 --> 00:27:15,690 +شيء sensory function، Thalamus هو المحطة السنسية + +301 +00:27:15,690 --> 00:27:22,110 +العظيمة، للبوابة لكل السنسية to the cerebral cortex + +302 +00:27:22,110 --> 00:27:24,970 +except smell, vision, hearing، السمل والفيجين + +303 +00:27:24,970 --> 00:27:28,890 +والهيرين مابيروحوش على الثلمس، السمل مباشرة للـ + +304 +00:27:28,890 --> 00:27:33,350 +timbral loop، والفيجين والهيرين بيروحوا لجزء اسمه + +305 +00:27:33,350 --> 00:27:38,290 +metathalamus، اسمه ايه؟ metathalamus، الفيجين بتروح + +306 +00:27:38,290 --> 00:27:41,910 +لشيء اسمه lateral geniculate body، والهيرين لشيء + +307 +00:27:41,910 --> 00:27:45,110 +اسمه medial geniculate body، من الـ metathalamus راح + +308 +00:27:45,110 --> 00:27:49,590 +نشرحهم، اثنين regulation of consciousness، اللي علاقة + +309 +00:27:49,590 --> 00:27:53,230 +بالـ regulation of consciousness، ثلاثة emotional + +310 +00:27:53,230 --> 00:27:57,510 +regulation، اللي علاقة بالـ regulation والتحكم في + +311 +00:27:57,510 --> 00:28:02,810 +العاطفة، لو حدث damage لthalamus + +312 +00:28:06,640 --> 00:28:11,180 +loss of superficial sensation from the opposite + +313 +00:28:11,180 --> 00:28:14,800 +side of the body، الإنسان بيفقد الإحساس على الـ + +314 +00:28:14,800 --> 00:28:20,180 +opposite side ثمين، Contralateral sensory attacks + +315 +00:28:20,180 --> 00:28:25,680 +يعني بيصير فقدان الإحساس العميق، و بيحدث عندهم ترنح + +316 +00:28:25,680 --> 00:28:31,540 +حسي، ثلاثة Contralateral Thalamic Pain، بيحدث معهم ألم + +317 +00:28:31,540 --> 00:28:36,280 +في الجهة المعاكسة، Hemipain، أربع Emotional + +318 +00:28:36,280 --> 00:28:40,580 +Liability، مشكلة في العاطفة، ممكن يحدث معهم يبكوا + +319 +00:28:40,580 --> 00:28:44,840 +بدون سبب، يضحكوا بدون سبب، Involuntary movement، + +320 +00:28:44,840 --> 00:28:50,020 +حركات لا إرادية، حركات لا إرادية، impaired + +321 +00:28:50,020 --> 00:28:54,820 +consciousness level، يحدث معهم تدني في درجة الوعي + +322 +00:28:57,550 --> 00:29:01,490 +أشرح الـ ابي ثلامث إن شاء الله، جزئية هذه، و أكتفي من + +323 +00:29:01,490 --> 00:29:04,690 +الجزء الأول في المحاضرة، و بعدها ننتقل للجزء الثاني + +324 +00:29:04,690 --> 00:29:09,370 +من المحاضرة، الـ ابي ثلامث أخر جزء راح يكون هو عبارة + +325 +00:29:09,370 --> 00:29:13,390 +عن part of the diencephalon، هو جزء من الـ + +326 +00:29:13,390 --> 00:29:17,270 +diencephalon، when attached, attached على الـ + +327 +00:29:17,270 --> 00:29:22,250 +posterior end of upper surface of ثلامث زي ما احنا + +328 +00:29:22,250 --> 00:29:26,740 +شايفينه، هذا posterior end، هذا الخلفيهذا الـ + +329 +00:29:26,740 --> 00:29:30,620 +posterior، وهذا + +330 +00:29:30,620 --> 00:29:40,240 +الـ anterior، ايه بقى الـ .. الـ epthalamus موجود + +331 +00:29:40,240 --> 00:29:44,860 +وين؟ على الـ posterior end of the upper surface of + +332 +00:29:44,860 --> 00:29:50,560 +thalamus، بتكون من right and left habenular nuclei + +333 +00:29:50,560 --> 00:29:54,960 +habenular commissioner، Posterior commissure و + +334 +00:29:54,960 --> 00:29:58,900 +Penial body أو Penial gland اللي بتفرز مادة + +335 +00:29:58,900 --> 00:30:02,480 +الميلاتانين اللي بيحمي الجسم من الـ cancer و + +336 +00:30:02,480 --> 00:30:06,540 +السرطانات، عشان هيك الإنسان لما ينام حاول يفصل + +337 +00:30:06,540 --> 00:30:10,760 +الإضاءة، لأنه بتشتغل في الظلام هذه الغداء، و بتفرز + +338 +00:30:10,760 --> 00:30:13,620 +مادة الميلاتانين، بيحمينا الجسم من الخلايا + +339 +00:30:13,620 --> 00:30:19,660 +السرطانية، هنا واضح اللي هو الـ Penial + +340 +00:30:22,480 --> 00:30:27,060 +body أو بين الـ gland، فوقه من و فوق شوية بتكون اللي + +341 +00:30:27,060 --> 00:30:30,120 +هو الـ habenolar commissar، من و تحت شوية بتكون عندنا + +342 +00:30:30,120 --> 00:30:34,680 +اللي هي الـ posterior commissar و الـ habenular + +343 +00:30:34,680 --> 00:30:39,720 +nuclei بيكونوا موجودين داخل الـ habenular commissar + +344 +00:30:39,720 --> 00:30:45,620 +مش واضحين، هنقلهم علاقة بـ other functions و بيعملوا + +345 +00:30:45,620 --> 00:30:49,430 +connection between الـ both Cerebral hemispheres + +346 +00:30:49,430 --> 00:30:52,350 +بيعملوا رابط ما بين الـ right و الـ left cerebral + +347 +00:30:52,350 --> 00:30:57,590 +hemisphere، الجزئية الأولى من المحاضرة نكتفي فيها و + +348 +00:30:57,590 --> 00:31:01,130 +إن شاء الله لنا لقاء في الجزء الآخر، فرح نكمل فيه + +349 +00:31:01,130 --> 00:31:05,350 +اللي هو الـ dying cephalon و نتكلم بالتفصيل على الـ + +350 +00:31:05,350 --> 00:31:09,730 +anatomy and physiology of cerebellar، دومتم بخير + +351 +00:31:09,730 --> 00:31:10,630 +يعطيكم ألف عام diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/aMTvg16Fhkk_postprocess.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/aMTvg16Fhkk_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..f0b6c101e9502e86058ec8e84bfccfc3307d35e7 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/aMTvg16Fhkk_postprocess.srt @@ -0,0 +1,1404 @@ +1 +00:00:04,980 --> 00:00:08,320 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:08,320 --> 00:00:16,140 +وبركاته محاضرة السبوع الثالث Anatomy and + +3 +00:00:16,140 --> 00:00:22,020 +Physiology of Basal Nuclei, Diencephalon and + +4 +00:00:22,020 --> 00:00:27,120 +Cerebellum جزء الأول من المحاضرة راح ناخد Basal + +5 +00:00:27,120 --> 00:00:32,030 +Nucleiو جزء من ال diencephalon في جزء ثاني من + +6 +00:00:32,030 --> 00:00:35,850 +المحاضرة عن كامل ال diencephalon و anatomy of + +7 +00:00:35,850 --> 00:00:42,730 +physiology of cerebellum ال basal نوكلياي في الكتب + +8 +00:00:42,730 --> 00:00:47,610 +بتلاقوها basal ganglia basal ganglia كلمة ganglia + +9 +00:00:47,610 --> 00:00:52,350 +wrong خطأ خطأ مصطلح ال basal ganglia ليه؟ لأن ال + +10 +00:00:52,350 --> 00:00:56,560 +gangliaWhat's the definition of ganglia؟ هي عبارة + +11 +00:00:56,560 --> 00:01:01,640 +عن composed of nerve cells which is located + +12 +00:01:01,640 --> 00:01:07,850 +outside CNS، خارج الجهاز العصبي المركزيمدام هي + +13 +00:01:07,850 --> 00:01:11,130 +داخل جهاز عصب المركزي inside of the brain يمكن + +14 +00:01:11,130 --> 00:01:15,210 +بسميها Basal Nuclei Basal إيه؟ نوكليا لكن لليوم في + +15 +00:01:15,210 --> 00:01:18,690 +الكتب والمراجع بتلاقوا اسمها موجود Basal Ganglia و + +16 +00:01:18,690 --> 00:01:22,710 +هذا خطأ كلمة Ganglia تطلق على ال nerve cells + +17 +00:01:22,710 --> 00:01:28,630 +الموجودة outside of CNS عبارة عن أيش ال Basal + +18 +00:01:28,630 --> 00:01:34,730 +Nuclei؟ عبارة عن collections of grey matter + +19 +00:01:36,440 --> 00:01:41,740 +Situated within each cerebral hemisphere deep يبقى + +20 +00:01:41,740 --> 00:01:47,460 +ان هم عبارة عن gray matter موجودين داخل ال + +21 +00:01:47,460 --> 00:01:52,440 +cerebral hemisphere مع ال white matter ديب بيكونه + +22 +00:01:52,440 --> 00:01:57,220 +What's the components of basal nuclei؟ من ايش + +23 +00:01:57,220 --> 00:02:00,840 +بتكونوا ال basal nuclei؟ ال basal اللي انا موجودة + +24 +00:02:00,840 --> 00:02:05,960 +في ال base of cerebral hemisphereبيتكونوا من كودية + +25 +00:02:05,960 --> 00:02:14,360 +نوكلياس هاي واحد ثاني لينتي فورم ال نوكلياس كلمة + +26 +00:02:14,360 --> 00:02:20,640 +لينتي فورم سموها عشان تشبه شكل الوتد shape شكل + +27 +00:02:20,640 --> 00:02:27,540 +الوتد اللينتي فورم تتكوّل من بيوتامين and جلوباس + +28 +00:02:27,540 --> 00:02:31,660 +باليداس يبقى كودية نوكلياس لينتي فورم نوكلياس + +29 +00:02:33,270 --> 00:02:36,150 +classroom طلاب بيموتوا فيها هذه ال classroom + +30 +00:02:36,150 --> 00:02:39,770 +بحبوها كتير لإن ال function تبعتها unknown مش + +31 +00:02:39,770 --> 00:02:42,230 +معروف وظيفتها عشان هيك الطلاب بيحبوا في الحاجات + +32 +00:02:42,230 --> 00:02:45,630 +الزيادة بيحبوش يذكروا وظائف و لا إشي لما تقوله ال + +33 +00:02:45,630 --> 00:02:47,950 +function تبعتها unknown بيقولك الحمد لله unknown + +34 +00:02:47,950 --> 00:02:52,950 +يبقى نظرنا مسكين فيها و أربعة amygdaloid nucleus + +35 +00:02:52,950 --> 00:02:58,170 +في الكورونا + +36 +00:02:58,170 --> 00:03:03,010 +اللي كت لو طلعنا واضح أن عندي كودية nucleusهنا + +37 +00:03:03,010 --> 00:03:09,330 +بيكون عندى ايه اللى هو الانتفار في بيوتامين و + +38 +00:03:09,330 --> 00:03:16,790 +globus pallidus نجيب صورة ثانية نشرع عليها هذا + +39 +00:03:16,790 --> 00:03:22,970 +axial cut axial cut فى عندى الكودية نوكلياس هذه + +40 +00:03:22,970 --> 00:03:28,410 +الكودية لها head و لها body مجصوص مش واضح ال body + +41 +00:03:28,410 --> 00:03:35,820 +و في النهاية لها tail كل هذا تابع لمينلكوديات + +42 +00:03:35,820 --> 00:03:44,400 +نوكلياس اثنين فى عندى الانتفار من نوكلياس تشبه شكل + +43 +00:03:44,400 --> 00:03:55,380 +الوطن دى اللى جزءين جزء اسمه putamen وجزء + +44 +00:03:55,380 --> 00:04:01,400 +اسمه globus balidas تمام؟ و + +45 +00:04:03,420 --> 00:04:09,880 +في classroom بيحبوها الطلاب كثير و وظيفتها unknown + +46 +00:04:09,880 --> 00:04:12,920 +و + +47 +00:04:12,920 --> 00:04:17,620 +في نهاية ال tail of كودية nucleus تحت في ال tail + +48 +00:04:17,620 --> 00:04:21,840 +of كودية nucleus في ال temporal loop بيكون موجودة + +49 +00:04:21,840 --> 00:04:25,300 +amygdaloid nucleus + +50 +00:04:33,320 --> 00:04:38,240 +What's the functions of basal nuclei؟ أول function + +51 +00:04:38,240 --> 00:04:43,100 +Receive afferent information from the cerebral + +52 +00:04:43,100 --> 00:04:47,140 +hemisphere, thalamus, subthalamus and brainstem + +53 +00:04:47,140 --> 00:04:52,680 +ثمين Control muscular movement and regulation of + +54 +00:04:52,680 --> 00:04:56,260 +voluntary movement العلاقة بالحركات الإيرادية + +55 +00:04:56,260 --> 00:05:01,970 +ثلاثةlearning of the motor skills المهارات الحركية + +56 +00:05:01,970 --> 00:05:06,710 +مسئولة عن المهارات الحركية اربع لو كنا قاعدين انا + +57 +00:05:06,710 --> 00:05:09,930 +كنت في المحاضرة دايما اجي فجأه اخبط هيك الطاولة + +58 +00:05:09,930 --> 00:05:13,470 +ايش بيصير معاكوا بتخافوا بترتعبوا بتنقزوا لو كنتوا + +59 +00:05:13,470 --> 00:05:17,710 +ماشيين في شارع حدث انفجار بتجري ما بتدري وين بتروح + +60 +00:05:17,710 --> 00:05:22,980 +ايش بحدث معاك؟تاكي كارديا ال heart rate بيزيد ال + +61 +00:05:22,980 --> 00:05:27,180 +skin بيكون شاحب من ال sympathic innervation بيحصل + +62 +00:05:27,180 --> 00:05:30,840 +vazoconstriction بيرتفع الضغط بيزيد ال respiratory + +63 +00:05:30,840 --> 00:05:36,080 +rate يبقى ان وظيفتها influence the body response + +64 +00:05:36,080 --> 00:05:41,540 +to environmental changes زي اي sense of fire for + +65 +00:05:41,540 --> 00:05:46,510 +exampleإيش بيحدث؟ change في ال heart rate، في ال + +66 +00:05:46,510 --> 00:05:49,050 +blood pressure، في skin color، في respiratory + +67 +00:05:49,050 --> 00:05:52,670 +rate، يبقى حدث انفجار، طب ولا شيء، أنت ماشي في + +68 +00:05:52,670 --> 00:05:57,510 +الليل و بتفكر في هذا الدنيا و فجأةضلام مش كهرب نبح + +69 +00:05:57,510 --> 00:06:01,190 +عليك كلب فجأة وانت ايه مش منتبه ايش بيصير فيك تجري + +70 +00:06:01,190 --> 00:06:05,830 +ما بتدري بيصير عندك ال heart rate زيد بينفجر من + +71 +00:06:05,830 --> 00:06:10,450 +كتر بيضخ دم بدك تجري ال respiratory rate بيزيد + +72 +00:06:10,450 --> 00:06:14,590 +ضغطك بيرتفع وجهك بيكون شاحب لون أبيضتمام؟ و الشعر + +73 +00:06:14,590 --> 00:06:18,970 +بيقف لإنه sympathetic nervous system بتقدي عضلة + +74 +00:06:18,970 --> 00:06:22,770 +erector pili muscle اللي بتعمل إيه؟ بتوقف الشعر + +75 +00:06:22,770 --> 00:06:24,770 +عشان هيك الحاجة لما بيقولوا شفتوا هذا المنظر و + +76 +00:06:24,770 --> 00:06:27,170 +الشعر بيقف صح كلامها من sympathetic + +77 +00:06:27,170 --> 00:06:32,510 +hyperinherbation راح نشرحهم في محاضرة ال autonomic + +78 +00:06:32,510 --> 00:06:37,670 +nervous systemسمال فانكشنسمال فانكشنسمال + +79 +00:06:37,670 --> 00:06:37,790 +فانكشنسمال فانكشنسمال فانكشنسمال فانكشنسمال + +80 +00:06:37,790 --> 00:06:40,090 +فانكشنسمال فانكشنسمال فانكشنسمال فانكشنسمال + +81 +00:06:40,090 --> 00:06:49,650 +فانكشنسمال فانكشنسمال + +82 +00:06:49,650 --> 00:06:50,870 +فانكشنسمال فانكشنسمال فانكشنسمال فانكشنسمال + +83 +00:06:50,870 --> 00:06:52,030 +فانكشنسمال فانكشنسمال فانكشنسمال فانكشنسمال + +84 +00:06:52,030 --> 00:06:55,710 +فانكشنسمال فانكشنسمال + +85 +00:06:55,710 --> 00:06:59,070 +فانكشنسمال + +86 +00:06:59,070 --> 00:07:03,010 +فانكشن + +87 +00:07:04,270 --> 00:07:09,690 +وبين موجود related lateral to lateral ventricle + +88 +00:07:09,690 --> 00:07:14,210 +and thalamus بيكون موجود lateral من ال lateral + +89 +00:07:14,210 --> 00:07:20,250 +ventricle و ال thalamus بتكون من ثلاث أجزاء head + +90 +00:07:20,250 --> 00:07:28,690 +of كودية نوكلياbody of كودية نوكلياس tail of كودية + +91 +00:07:28,690 --> 00:07:33,870 +نوكلياس يعني بتكون من head رأس و body جسم و tail + +92 +00:07:33,870 --> 00:07:39,350 +ذالك و في نهاية ال tail بيكون موجود amygdaloid + +93 +00:07:39,350 --> 00:07:47,990 +نوكلياس amygdaloid نوكلياس okay نشوف هنا هذا هو ال + +94 +00:07:47,990 --> 00:07:54,660 +head ع الأكزي القط head of كودية نوكلياسهنا بيكون + +95 +00:07:54,660 --> 00:08:06,660 +tail of جودة نوكلياس على ال axial cut تشوف + +96 +00:08:06,660 --> 00:08:10,920 +صورة من السجتال هي السجتال الأخضر هنا بيكون ال + +97 +00:08:10,920 --> 00:08:23,860 +head هنا بيكون ايه ال body هنا بيكون ايشTail وفي + +98 +00:08:23,860 --> 00:08:28,360 +نهاية الـ Tail بتكون موجودة ايش اميجدالويد نوكلياس + +99 +00:08:28,360 --> 00:08:32,640 +او اميجدالويد body هي جزء من الـ Basal نوكلياية + +100 +00:08:32,640 --> 00:08:38,160 +وكان من ايش بتكون كودية نوكلياس بتكون من head body + +101 +00:08:38,160 --> 00:08:43,300 +tail وفي ال terminal part of the tail located ايش + +102 +00:08:43,300 --> 00:08:47,840 +اميجدالويد نوكلياس بتاعة ال Basal نوكلياية + +103 +00:08:50,720 --> 00:08:55,500 +هكذا انا شرحت لكم كودة + +104 +00:08:55,500 --> 00:08:59,000 +نوكلياس طب وين موجودة كودة نوكلياس قلنا كودة + +105 +00:08:59,000 --> 00:09:02,620 +نوكلياس بتكون موجودة لاترال + +106 +00:09:05,850 --> 00:09:10,110 +الثالث او lateral ل lateral ventricle هاي الثلمس و + +107 +00:09:10,110 --> 00:09:12,770 +ال body تبعها بيكون هيك بالصورة هذه ال body و كمان + +108 +00:09:12,770 --> 00:09:15,690 +بتكون lateral ل ثلمس يبقى ان هي located lateral ل + +109 +00:09:15,690 --> 00:09:20,510 +ثلمس و lateral ل ال lateral ventricle يبقى ان ال + +110 +00:09:20,510 --> 00:09:24,790 +lateral ventricle و الثلمس بيكونوا medial ل مين؟ ل + +111 +00:09:24,790 --> 00:09:31,030 +الكودة النوكلياس ننتقل + +112 +00:09:31,030 --> 00:09:37,890 +لجزء ثانيمن Basal nuclei اسمه lentiform nucleus + +113 +00:09:37,890 --> 00:09:43,570 +ايش اسمه؟ lentiform nucleus it is a wedge shape + +114 +00:09:43,570 --> 00:09:48,770 +mass وانه عبارة عن ايه؟ wedge shape mass of grey + +115 +00:09:48,770 --> 00:09:54,650 +matter شكل الوتد، وتدي الشكل موجود وين؟ between + +116 +00:09:54,650 --> 00:10:00,960 +the internal capsule mediallyand external capsule + +117 +00:10:00,960 --> 00:10:04,640 +laterally وعشان هيك سموا ال external capsule + +118 +00:10:04,640 --> 00:10:07,780 +external capsule لأنها located external + +119 +00:10:07,780 --> 00:10:11,740 +لـLentiform nucleus ولذلك سموا internal capsule + +120 +00:10:11,740 --> 00:10:17,240 +internal لأنها located internal لمن؟ لLentiform + +121 +00:10:17,240 --> 00:10:21,100 +nucleus يبقى Lentiform nucleus located between + +122 +00:10:22,260 --> 00:10:26,440 +external capsule externally and internal capsule + +123 +00:10:26,440 --> 00:10:32,440 +internally or medial okay the lentiform nucleus + +124 +00:10:32,440 --> 00:10:41,200 +contains two parts من جزئين + +125 +00:10:41,200 --> 00:10:50,410 +واحد بيوتامين اثنينglobus pallidus تتكون من جزءين + +126 +00:10:50,410 --> 00:10:57,830 +بيوتامين و globus pallidus البيوتامين بيكون dark + +127 +00:10:58,970 --> 00:11:04,690 +Large Lateral Dark Large Lateral طب Globus + +128 +00:11:04,690 --> 00:11:09,950 +Ballidas بيكون Smaller Light Medial يعني + +129 +00:11:09,950 --> 00:11:15,730 +البيوتامين بيكون لونه غامق و أكبر في الحجم و موجود + +130 +00:11:15,730 --> 00:11:20,210 +Lateral و Globus Ballidas بيكون أصغر في الحجم و + +131 +00:11:20,210 --> 00:11:25,210 +Light أفتح في اللون و بيكون More Medial نرسم مع + +132 +00:11:25,210 --> 00:11:27,490 +بعض الانتفار + +133 +00:11:28,770 --> 00:11:35,270 +هذه الـ lentiform nucleus الجزء اللاترال والدارك + +134 +00:11:35,270 --> 00:11:41,250 +والكبير اسمه بيوتامين والجزء + +135 +00:11:41,250 --> 00:11:45,850 +ال medial و ال light و ال small اسمه globus + +136 +00:11:45,850 --> 00:11:50,210 +ballidas يبقى ان هذه هي lentiform nucleus وين + +137 +00:11:50,210 --> 00:11:55,550 +موجودة ال lentiform nucleus موجودة بين ال internal + +138 +00:11:55,550 --> 00:12:04,600 +capsuleبتكون media اللي لها و external capsule + +139 +00:12:06,280 --> 00:12:11,800 +بتكون lateral ليلة يعني هي located between the + +140 +00:12:11,800 --> 00:12:16,920 +internal capsule and external capsule ولذلك سميت + +141 +00:12:16,920 --> 00:12:21,280 +internal capsule located internal to the lentiform + +142 +00:12:21,280 --> 00:12:26,320 +nucleus and external capsule located external to + +143 +00:12:26,320 --> 00:12:32,700 +lentiform nucleus okay بدي + +144 +00:12:32,700 --> 00:12:37,660 +منكوا الأول حاجة صحتكم من النومتسمعوا لهذه + +145 +00:12:37,660 --> 00:12:44,420 +المعادلات هذه التلاتة اول معادلة لينتي فور نوكلياس + +146 +00:12:44,420 --> 00:12:49,220 +لينتي فور نوكلياس لينتي فور نوكلياس لينتي فور + +147 +00:12:49,220 --> 00:12:53,100 +نوكلياس لينتي + +148 +00:12:53,100 --> 00:12:54,780 +فور نوكلياس لينتي فور نوكلياس لينتي فور نوكلياس + +149 +00:12:54,780 --> 00:12:55,180 +لينتي فور نوكلياس لينتي فور نوكلياس لينتي فور + +150 +00:12:55,180 --> 00:12:55,220 +نوكلياس لينتي فور نوكلياس لينتي فور نوكلياس لينتي + +151 +00:12:55,220 --> 00:12:55,300 +فور نوكلياس لينتي فور نوكلياس لينتي فور نوكلياس + +152 +00:12:55,300 --> 00:12:55,700 +نوكلياس لينتي فور نوكلياس لينتي فور نوكلياس لينتي + +153 +00:12:56,370 --> 00:13:03,250 +Corpus striatum تساوي كودية نوكلياس زائد لينتيفورم + +154 +00:13:03,250 --> 00:13:07,090 +طب طالب بدي هتقول بديش أسمي زي هيك بدي أسمي جكر في + +155 +00:13:07,090 --> 00:13:15,110 +الدكتوريات أسميها كودية نوكلياس زائد بيوتامين زائد + +156 +00:13:15,110 --> 00:13:18,570 +غلوبوس باليداس راح أعتمدلها الإجابة و أضربلها سلام + +157 +00:13:19,330 --> 00:13:23,510 +صح ليه؟ لأن ال انتفار من ال نكلياس هي نفسها + +158 +00:13:23,510 --> 00:13:28,470 +ابيوتامين زائد غلوباس باليداس بمشي الحال تلاتة + +159 +00:13:29,460 --> 00:13:36,260 +نيوسترياتم او استرياتم اللي هي كودات and بيوتامين + +160 +00:13:36,260 --> 00:13:40,820 +يعني استرياتم او نيوسترياتم بيكونوا اصغر من كوربوس + +161 +00:13:40,820 --> 00:13:45,800 +استرياتم لاحظوا كوربوس استرياتم فيه كودات بيوتامين + +162 +00:13:45,800 --> 00:13:49,160 +غلوباس باليداس نيوسترياتم او استرياتم كودات + +163 +00:13:49,160 --> 00:13:56,600 +وبيوتامين only without غلوباس باليداسهكذا بيكون + +164 +00:13:56,600 --> 00:14:00,400 +انا شرحت لكم هذول اجزاء بتاعة البيزل نوكلياي + +165 +00:14:00,400 --> 00:14:09,100 +نشوفهم مع بعض lentiform nucleus هاي ها هاد اسمها + +166 +00:14:09,100 --> 00:14:15,040 +lentiform nucleus تتكون من بيوتامين هاي واحد + +167 +00:14:15,040 --> 00:14:24,480 +بيوتامين ومن ايش بالازرق من aglobus + +168 +00:14:24,480 --> 00:14:33,340 +balidasهذه جلوباس و باليداس وهنا بيوتامن + +169 +00:14:33,340 --> 00:14:39,300 +مع بعض بنسميهم لنتي فورم نوكياس لو جمعنا أيه لهم + +170 +00:14:40,670 --> 00:14:44,350 +الكودات بالـ tail و بالـ head و بالكله مع بعض + +171 +00:14:44,350 --> 00:14:49,010 +بيحدث اسم او بنغير اسم بيصير Corpus striatum + +172 +00:14:49,010 --> 00:14:52,810 +Corpus striatum عبارة عن بيوتة من مع الانتفارم او + +173 +00:14:52,810 --> 00:14:58,790 +بيوتة من مع عبارة عن كودات مع الانتفارم او بنسمي + +174 +00:14:58,790 --> 00:15:03,170 +الكوربوس استرياتم عبارة عن كودات مع الانتفارم او + +175 +00:15:03,170 --> 00:15:08,670 +بنسمي كوداتبيوتامين و globus pallidus كله مع بعض + +176 +00:15:08,670 --> 00:15:14,710 +هذا يعتبر كوربوس استرياتم طب لو اجينا حذفنا منهم + +177 +00:15:14,710 --> 00:15:19,110 +globus + +178 +00:15:19,110 --> 00:15:23,970 +pallidus حذفنا منهم ل globus pallidus بسمي ايش + +179 +00:15:23,970 --> 00:15:29,070 +بسمي نيوسترياتم نيوسترياتم او استرياتم يعني هو + +180 +00:15:29,070 --> 00:15:33,570 +عبارة عن كودة نوكليوس مع بيوتامين only مع بيوتامين + +181 +00:15:33,570 --> 00:15:34,370 +okay + +182 +00:15:39,800 --> 00:15:45,720 +بنتكلم على classroom classroom it is a thin layer + +183 +00:15:45,720 --> 00:15:52,960 +of grey matter وين موجود between the external + +184 +00:15:52,960 --> 00:15:58,840 +capsule medially and the white matter of the + +185 +00:15:58,840 --> 00:16:02,200 +insula laterally ال function تبعته unknown + +186 +00:16:02,200 --> 00:16:06,720 +function بحبوا الطلاب عشان unknown function هى هى + +187 +00:16:06,720 --> 00:16:07,140 +classroom + +188 +00:16:10,700 --> 00:16:17,620 +هذه هي ال classroom classroom هذه عبارة + +189 +00:16:17,620 --> 00:16:22,480 +عن ايه عن part of the basal nuclei وين موجودة؟ + +190 +00:16:22,480 --> 00:16:28,920 +موجودة بين internal capsule بتكون medial لها ال + +191 +00:16:28,920 --> 00:16:31,700 +internal capsule هي white matter بتكون ايش؟ medial + +192 +00:16:31,700 --> 00:16:39,020 +و ال white matter of the insulaبتكون lateral هي + +193 +00:16:39,020 --> 00:16:43,920 +محصورة بين ال white matter بتاع ال insula و ال + +194 +00:16:43,920 --> 00:16:46,480 +external capsule ال external capsule بتكون medial + +195 +00:16:46,480 --> 00:16:49,460 +و ال white matter بتاع ال insula بتكون lateral و + +196 +00:16:49,460 --> 00:16:52,620 +ال claustrum بتكون موجودة ايه بينهم بتكون ال + +197 +00:16:52,620 --> 00:16:59,320 +claustrum موجودة ايه بينهم اخر + +198 +00:16:59,320 --> 00:17:03,340 +جزئية في ال basal nuclei اللي هي amygdaloid + +199 +00:17:03,340 --> 00:17:07,380 +nucleusاميجدالويد نوكلياس ايش الاميجدالويد نوكلياس + +200 +00:17:07,380 --> 00:17:13,520 +it is part of basal nuclei situated in the + +201 +00:17:13,520 --> 00:17:17,000 +temporal loop when عاملة connection بتكون + +202 +00:17:17,000 --> 00:17:22,020 +connected مع ايه مع ال tail of كودية نوكلياس بتكون + +203 +00:17:22,020 --> 00:17:26,790 +موجودة في نهاية ذيلة بتاع الكودية نوكلياسوالها + +204 +00:17:26,790 --> 00:17:29,890 +علاقة او جزء من ال limbic system تعتبر جزء من ايه + +205 +00:17:29,890 --> 00:17:33,570 +ال limbic system بتاع ال brain what's the function + +206 +00:17:33,570 --> 00:17:37,630 +of amygdaloid nucleus زي ما ضربتلكوا على الطاولة + +207 +00:17:37,630 --> 00:17:43,620 +ايش صار معاكم بنخاف بيصير معناه ننقذالـ can + +208 +00:17:43,620 --> 00:17:46,600 +influence the body response to environmental + +209 +00:17:46,600 --> 00:17:50,320 +changes بحالة هذه، أيش بيحدث مع الناس؟ بيزيد ال + +210 +00:17:50,320 --> 00:17:52,740 +heart rate، ال blood pressure بيرتفع، ال skin + +211 +00:17:52,740 --> 00:17:56,560 +color بيصير شاحب لونه أبيض، بيقلق من ال + +212 +00:17:56,560 --> 00:18:00,100 +vasoconstriction و بيرتفع الضغط و بيزيد ال + +213 +00:18:00,100 --> 00:18:03,980 +respiratory rate ال amygdaloid نوكلياس، اللي علاقة + +214 +00:18:03,980 --> 00:18:07,600 +بالـ ال function of smell + +215 +00:18:11,190 --> 00:18:18,590 +هي عندي واضح ال head of كودات هذا ال body بتاع + +216 +00:18:18,590 --> 00:18:23,050 +الكودات وهنا ايه ال tail of كودات وفي نهاية ال + +217 +00:18:23,050 --> 00:18:27,570 +tail of كودات فى amygdaloid body او اللى هى + +218 +00:18:27,570 --> 00:18:29,050 +amygdaloid nucleus + +219 +00:18:39,330 --> 00:18:48,190 +لما اجمع هذه الكودات مع + +220 +00:18:48,190 --> 00:18:53,610 +ال انتفار مع بعض اسمه كوربوسسترياتم لو جمعنا بس + +221 +00:18:53,610 --> 00:18:58,270 +الكودات مع البيوتامين اسمها استرياتم او نيو + +222 +00:18:58,270 --> 00:19:01,670 +استرياتم استرياتم او نيو استرياتم + +223 +00:19:06,710 --> 00:19:11,770 +أنا شرحت لكم موضوع بيزل نوكلياي بنتاج لجزء الثاني + +224 +00:19:11,770 --> 00:19:17,990 +اللي هو الـDiencephalon الـDiencephalon is part of + +225 +00:19:17,990 --> 00:19:23,510 +the brain located above the middle brain and + +226 +00:19:23,510 --> 00:19:27,330 +between the lower part of two cerebral hemispheres + +227 +00:19:27,330 --> 00:19:32,470 +نرسم مع بعض اللي هو الـDiencephalon + +228 +00:20:24,040 --> 00:20:36,820 +Okay اللون الأسود هو Diencephalon هذا + +229 +00:20:36,820 --> 00:20:43,160 +Interthalamic adhesion هذا هو thalamus هذا + +230 +00:20:43,160 --> 00:20:49,870 +subthalamus تحت ال thalamus هذا hypothalamusهذا + +231 +00:20:49,870 --> 00:20:55,530 +Metathalamus وهذا Epithalamus هذا الأزرق رسمت أنا + +232 +00:20:55,530 --> 00:21:01,430 +الجزء الأزرق هذا أمامي ال brain stem mid brain + +233 +00:21:01,430 --> 00:21:07,350 +pons medulla oblongata تحت نكمل اللي هو spinal + +234 +00:21:07,350 --> 00:21:13,610 +cord في الأمام هذه هي pituitary gland + +235 +00:21:17,470 --> 00:21:23,170 +Gland تتكون من posterior lobe و anterior lobe okay + +236 +00:21:23,170 --> 00:21:35,170 +هذا الأسود اللي هو Diencephalon عشان + +237 +00:21:35,170 --> 00:21:40,890 +رسمة واضحية نقرب لكم وجهة الموضوع ال Diencephalon + +238 +00:21:40,890 --> 00:21:46,830 +ونبسطه في الشرحالـ diencephalon it is part of the + +239 +00:21:46,830 --> 00:21:51,890 +brain located above midbrain هي فوق ال midbrain + +240 +00:21:51,890 --> 00:21:57,490 +and between the lower part of two cerebral + +241 +00:21:57,490 --> 00:22:00,490 +hemisphere وفي الجزء السفلي من ال two cerebral + +242 +00:22:00,490 --> 00:22:04,770 +hemisphere embryological origin من ناحية ال + +243 +00:22:04,770 --> 00:22:09,470 +embryological origin بيجينا من ال four brainfor + +244 +00:22:09,470 --> 00:22:14,970 +brain بيعطينا بروزن سيفالون و بروزن سيفالون بنقسم + +245 +00:22:14,970 --> 00:22:20,230 +لقسمين تيلين سيفالون و داين سيفالون تيلين سيفالون + +246 +00:22:20,230 --> 00:22:22,690 +بتعطينا الcerebral hemisphere و ال lateral + +247 +00:22:22,690 --> 00:22:26,970 +ventricle و الداين سيفالون بيعطينا اللي هو الداين + +248 +00:22:26,970 --> 00:22:29,010 +سيفالون نفسه الthalamus, hypothalamus, + +249 +00:22:29,070 --> 00:22:31,630 +hypothalamus, subthalamus, metathalamus بيعطينا + +250 +00:22:31,630 --> 00:22:35,850 +mammillary bodyش اسمه و فيه بيعطينا كمان ال eyes و + +251 +00:22:35,850 --> 00:22:41,880 +بيعطينا a third ventriclecavity of diencephalon is + +252 +00:22:41,880 --> 00:22:47,220 +third + +253 +00:22:47,220 --> 00:22:51,380 +ventricleهنا بيكون عندى ايه اللي هو ايه ال dying + +254 +00:22:51,380 --> 00:22:54,060 +cephalon فى المكان هذا هذا ال dying cephalon + +255 +00:22:54,060 --> 00:22:58,280 +بيجينا فى المكان هذا thalamus تحتى subthalamus و + +256 +00:22:58,280 --> 00:23:02,740 +فى الأمام هنا بيكون ايه اللى هو ال hypothalamus و + +257 +00:23:02,740 --> 00:23:06,900 +أمامه بيكون بتوتر اجلان و اللى فى الخلف بيكون + +258 +00:23:06,900 --> 00:23:12,860 +metathalamus و فوقهم بيكون epithalamus what's the + +259 +00:23:12,860 --> 00:23:17,520 +subdivisions of dying cephalon؟ من ايش هتكون؟أنا + +260 +00:23:17,520 --> 00:23:22,540 +رسمت لكوا يخططوا هاي واضح بتكون من الأب الروحي + +261 +00:23:22,540 --> 00:23:26,380 +اللي هو الثلمس أهم واحد فيهم ثلمس بعده + +262 +00:23:26,380 --> 00:23:32,700 +hypothalamus subthalamus metathalamus ابثلامس + +263 +00:23:32,700 --> 00:23:42,260 +ابثلامس نبدأ بثلمس ايش هو الثلمس؟thalamus عبارة عن + +264 +00:23:42,260 --> 00:23:50,600 +large egg shape mass of a grey matter وين موجود؟ + +265 +00:23:50,600 --> 00:23:55,060 +موجود in the middle of the lower part of two + +266 +00:23:55,060 --> 00:23:58,540 +cerebral hemispheres عندنا في right thalamus وفي + +267 +00:23:58,540 --> 00:24:03,700 +left thalamus وفي بينهم adhesions هذه ال adhesions + +268 +00:24:04,330 --> 00:24:07,230 +بين ال right و ال left بتمر في ال third ventricle + +269 +00:24:07,230 --> 00:24:12,370 +اسمها Interthalamic Adhesion Interthalamic ايه؟ + +270 +00:24:12,370 --> 00:24:19,330 +Adhesion ال site it is located on each side of the + +271 +00:24:19,330 --> 00:24:25,670 +third ventricle immediately above subthalamus and + +272 +00:24:25,670 --> 00:24:30,010 +medial to posterior limb of internal capsule يعني + +273 +00:24:30,010 --> 00:24:36,860 +ال thalamus موجودبيحدوا ال third ventricle من كل + +274 +00:24:36,860 --> 00:24:41,780 +جهة يعني عندي right thalamus و left thalamus و في + +275 +00:24:41,780 --> 00:24:45,480 +cavity بينهم هذا ال cavity اللي بينهم اسمه ايه؟ + +276 +00:24:45,480 --> 00:24:49,780 +third ventricle اسمه ايه؟ third ventricle غير هيك + +277 +00:24:49,780 --> 00:24:55,160 +ال thalamus بيجي اعلى مباشرة من ال subthalamus فوق + +278 +00:24:55,160 --> 00:25:01,190 +ال subthalamus مباشرةو بيكون medial ل .. ل .. ال + +279 +00:25:01,190 --> 00:25:06,490 +posterior limb of internal capsule هاي عندي تلمس + +280 +00:25:06,490 --> 00:25:11,830 +left + +281 +00:25:11,830 --> 00:25:21,030 +تلمس و right تلمس بيحد ال .. third ventricle من + +282 +00:25:21,030 --> 00:25:24,290 +الجناب من الجهة ده هانبينهم interthalamic adhesion + +283 +00:25:25,160 --> 00:25:32,720 +هذا عبارة عن إيه؟ Interthalamic adhesion وبيكون + +284 +00:25:32,720 --> 00:25:37,460 +media + +285 +00:25:37,460 --> 00:25:39,580 +للـ posterior limb + +286 +00:25:42,040 --> 00:25:46,640 +of internal capsule مي دي للمين للبستيرو ليمب of + +287 +00:25:46,640 --> 00:25:50,640 +internal capsule وبيكون ايه above دي subthalamus + +288 +00:25:50,640 --> 00:25:55,540 +immediately above لإيه subthalamus هذا هو ال + +289 +00:25:55,540 --> 00:25:59,240 +thalamus هذا هو ال thalamus و بينهم في adhesions + +290 +00:25:59,240 --> 00:26:03,680 +ال adhesion اسمها interthalamic adhesion واضح عندي + +291 +00:26:03,680 --> 00:26:11,040 +على ال axial cut نشرحهم هي عندي thalamus + +292 +00:26:13,830 --> 00:26:18,350 +بينهم فيه adhesion اسمها interthalamic adhesions + +293 +00:26:18,350 --> 00:26:30,970 +في النصف بيكون موجود cavity of third ventricle و + +294 +00:26:30,970 --> 00:26:36,370 +التلمس بيكون موجود هاي ال internal capsule + +295 +00:26:36,370 --> 00:26:39,350 +anterior limb posterior limb + +296 +00:26:44,640 --> 00:26:52,540 +بيكون وين موجود بيكون Medial لل posterior limb of + +297 +00:26:52,540 --> 00:26:57,920 +internal capsule Medial لل posterior limb of + +298 +00:26:57,920 --> 00:27:06,180 +internal capsule what's + +299 +00:27:06,180 --> 00:27:10,180 +the function of thalamus ايش وظيفة ال thalamus اول + +300 +00:27:10,180 --> 00:27:15,690 +شي sensory functionThalamus هو المحطة السنسية + +301 +00:27:15,690 --> 00:27:22,110 +العظيمة للبوابة لكل السنسيةto the cerebral cortex + +302 +00:27:22,110 --> 00:27:24,970 +except smell, vision, hearing السمل والفيجين + +303 +00:27:24,970 --> 00:27:28,890 +والهيرين مابيروحوش على الثلمس السمل مباشرة لل + +304 +00:27:28,890 --> 00:27:33,350 +timbral loop والفيجين والهيرين بيروحوا لجزء اسمه + +305 +00:27:33,350 --> 00:27:38,290 +metathalamus اسمه ايه؟ metathalamus الفيجين بتروح + +306 +00:27:38,290 --> 00:27:41,910 +لشيء اسمه lateral geniculate body والهيرين لشيء + +307 +00:27:41,910 --> 00:27:45,110 +اسمه medial geniculate body من ال metathalamus راح + +308 +00:27:45,110 --> 00:27:49,590 +نشرحهمأثنين ريجوليشن of consciousness اللي علاقة + +309 +00:27:49,590 --> 00:27:53,230 +بالريجوليشن of consciousness ثلاثة emotional + +310 +00:27:53,230 --> 00:27:57,510 +regulation اللي علاقة بالريجوليشن والتحكم في + +311 +00:27:57,510 --> 00:28:02,810 +العاطفة لو حدث damage لthalamus + +312 +00:28:06,640 --> 00:28:11,180 +loss of superficial sensation from the opposite + +313 +00:28:11,180 --> 00:28:14,800 +side of the body الإنسان بيفقد الإحساس على ال + +314 +00:28:14,800 --> 00:28:20,180 +opposite side ثمين Contralateral sensory attacks + +315 +00:28:20,180 --> 00:28:25,680 +يعني بيصير فقدان الإحساس العميق و بيحدث عندهم ترنح + +316 +00:28:25,680 --> 00:28:31,540 +حسثلاثة Contralateral Thalamic Pain بيحدث معهم ألم + +317 +00:28:31,540 --> 00:28:36,280 +في الجهة المعاكسة Hemipain أربع Emotional + +318 +00:28:36,280 --> 00:28:40,580 +Liability مشكلة في العاطفة ممكن يحدث معهم يبكوا + +319 +00:28:40,580 --> 00:28:44,840 +بدون سبب يضحكوا بدون سببInvoluntary movement، + +320 +00:28:44,840 --> 00:28:50,020 +حركات لا إرادية، حركات لا إرادية، impaired + +321 +00:28:50,020 --> 00:28:54,820 +consciousness level، يحدث معهم تدني في درجة الوعي + +322 +00:28:57,550 --> 00:29:01,490 +أشرح ال ابي ثلامث ان شاء الله جزئية هذه و أكتفي من + +323 +00:29:01,490 --> 00:29:04,690 +الجزء الأول في المحاضرة و بعدها ننتقل للجزء الثاني + +324 +00:29:04,690 --> 00:29:09,370 +من المحاضرة ال ابي ثلامث أخر جزء راح يكون هو عبارة + +325 +00:29:09,370 --> 00:29:13,390 +عن part of the diencephalon هو جزء من ال + +326 +00:29:13,390 --> 00:29:17,270 +diencephalon when attached, attached على ال + +327 +00:29:17,270 --> 00:29:22,250 +posterior end of upper surface of ثلامث زي ما احنا + +328 +00:29:22,250 --> 00:29:26,740 +شايفينه هذا posterior end هذا الخلفيهذا الـ + +329 +00:29:26,740 --> 00:29:30,620 +posterior وهذا + +330 +00:29:30,620 --> 00:29:40,240 +الـ anterior إيه بقى ال .. ال apthalamus موجود + +331 +00:29:40,240 --> 00:29:44,860 +وين؟ على ال posterior end of the upper surface of + +332 +00:29:44,860 --> 00:29:50,560 +thalamus بتكون من right and left habanular nuclei + +333 +00:29:50,560 --> 00:29:54,960 +habanular commissionerPosterior commissure و + +334 +00:29:54,960 --> 00:29:58,900 +Penial body أو Penial gland اللي بتفرز مادة + +335 +00:29:58,900 --> 00:30:02,480 +الميلاتانين اللي بيحمي الجسم من ال cancer و + +336 +00:30:02,480 --> 00:30:06,540 +السرطانات عشان هيك الإنسان لما ينام حاول يفصل + +337 +00:30:06,540 --> 00:30:10,760 +الإضاءة لأنه بتشتغل في الظلام هذه الغداء و بتفرز + +338 +00:30:10,760 --> 00:30:13,620 +مادة الميلاتانين بيحمينا الجسم من الخلايا + +339 +00:30:13,620 --> 00:30:19,660 +السرطانية هنا واضح اللي هو ال Penial + +340 +00:30:22,480 --> 00:30:27,060 +body أو بين ال gland فوقه من و فوق شوية بتكون اللي + +341 +00:30:27,060 --> 00:30:30,120 +هو الhabinolar commissar من و تحت شوية بتكون عندنا + +342 +00:30:30,120 --> 00:30:34,680 +اللي هي ال posterior commissar و الhabinolar + +343 +00:30:34,680 --> 00:30:39,720 +nuclei بيكونوا موجودين داخل ال habinolar commissar + +344 +00:30:39,720 --> 00:30:45,620 +مش واضحين هنقلهم علاقة ب other functions و بيعملوا + +345 +00:30:45,620 --> 00:30:49,430 +connection between ال bothCerebral hemispheres + +346 +00:30:49,430 --> 00:30:52,350 +بيعملوا رابط ما بين ال right و ال left cerebral + +347 +00:30:52,350 --> 00:30:57,590 +hemisphere الجزئية الأولى من المحاضرة نكتفي فيها و + +348 +00:30:57,590 --> 00:31:01,130 +ان شاء الله لنا لقاء في الجزء الآخر فرح نكمل فيه + +349 +00:31:01,130 --> 00:31:05,350 +اللي هو ال dying cephalon و نتكلم بالتفصيل على ال + +350 +00:31:05,350 --> 00:31:09,730 +anatomy and physiology of cerebellar دومتم بخير + +351 +00:31:09,730 --> 00:31:10,630 +يعطيكم ألف عام + diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/aMTvg16Fhkk_raw.json b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/aMTvg16Fhkk_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..c22de36fa34fc02b3b9a8a045eebb8ed2da3c095 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/aMTvg16Fhkk_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 2766, "start": 4.98, "end": 27.66, "text": "بسم الله الرحمن الرحيم السلام عليكم ورحمة الله وبركاته محاضرة السبوع الثالث Anatomy and Physiology of Basal Nuclei, Diencephalon and Cerebellum جزء الأول من المحاضرة راح ناخد Basal Nuclei", "tokens": [3555, 38251, 21984, 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جزئين واحد بيوتامين اثنين", "tokens": [3121, 7481, 29247, 40899, 293, 6920, 29247, 19501, 420, 1205, 831, 1392, 264, 23556, 8629, 28055, 8306, 732, 3166, 9154, 10874, 11622, 19986, 9957, 36764, 24401, 4724, 1829, 35473, 10943, 9957, 1975, 12984, 1863, 9957], "avg_logprob": -0.467013886405362, "compression_ratio": 1.3125, "no_speech_prob": 0.0, "words": [{"start": 622.26, "end": 622.96, "word": "external", "probability": 0.506591796875}, {"start": 622.96, "end": 623.4, "word": " capsule", "probability": 0.9033203125}, {"start": 623.4, "end": 624.2, "word": " externally", "probability": 0.5166015625}, {"start": 624.2, "end": 625.1, "word": " and", "probability": 0.6552734375}, {"start": 625.1, "end": 625.82, "word": " internal", "probability": 0.8447265625}, {"start": 625.82, "end": 626.44, "word": " capsule", "probability": 0.93359375}, {"start": 626.44, "end": 627.54, "word": " internally", "probability": 0.74658203125}, {"start": 627.54, "end": 628.12, "word": " or", "probability": 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سلام", "probability": 0.8984375}], "temperature": 1.0}, {"id": 34, "seek": 80847, "start": 799.33, "end": 808.47, "text": "صح ليه؟ لأن ال انتفار من ال نكلياس هي نفسها ابيوتامين زائد غلوباس باليداس بمشي الحال تلاتة", "tokens": [9381, 5016, 32239, 3224, 22807, 5296, 33456, 2423, 16472, 2655, 5172, 9640, 9154, 2423, 8717, 4117, 20292, 32277, 39896, 8717, 36178, 11296, 48127, 1829, 35473, 10943, 9957, 30767, 16373, 3215, 32771, 1211, 37746, 32277, 4724, 6027, 25708, 32277, 4724, 2304, 8592, 1829, 21542, 6027, 6055, 1211, 9307, 3660], "avg_logprob": -0.4429209183673469, "compression_ratio": 1.4642857142857142, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 799.33, "end": 799.73, "word": "صح", "probability": 0.72265625}, {"start": 799.73, "end": 800.51, "word": " ليه؟", "probability": 0.6690266927083334}, {"start": 800.51, "end": 800.83, "word": " لأن", "probability": 0.7744140625}, {"start": 800.83, "end": 800.99, "word": " ال", "probability": 0.77197265625}, {"start": 800.99, 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nucleus", "tokens": [3224, 1829, 18871, 16254, 4032, 46958, 5016, 2423, 1378, 295, 9122, 23328, 9307, 23758, 2423, 1772, 39894, 45761, 33251, 23328, 9307, 37037, 8315, 1975, 1829, 3224, 2423, 6838, 295, 9122, 23328, 9307, 4032, 41185, 8717, 11296, 10632, 2423, 6838, 295, 9122, 23328, 9307, 6156, 7578, 669, 18103, 67, 10334, 327, 1772, 1975, 2407, 13672, 7578, 8032, 7578, 669, 18103, 67, 10334, 327, 28055], "avg_logprob": -0.18652344471774995, "compression_ratio": 1.6285714285714286, "no_speech_prob": 0.0, "words": [{"start": 1091.19, "end": 1091.45, "word": "هي", "probability": 0.8642578125}, {"start": 1091.45, "end": 1091.63, "word": " عندي", "probability": 0.92724609375}, {"start": 1091.63, "end": 1092.25, "word": " واضح", "probability": 0.9562174479166666}, {"start": 1092.25, "end": 1093.87, "word": " ال", "probability": 0.8359375}, {"start": 1093.87, "end": 1095.51, "word": " head", "probability": 0.63232421875}, {"start": 1095.51, "end": 1095.73, "word": " of", "probability": 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epithalamus what's the subdivisions of dying cephalon؟ من ايش هتكون؟", "tokens": [3224, 8315, 4724, 1829, 30544, 43242, 7578, 1975, 1829, 3224, 13672, 1829, 31439, 1975, 1829, 3224, 2423, 8639, 45026, 4947, 266, 6156, 7578, 9673, 41361, 23758, 23758, 2423, 8639, 45026, 4947, 266, 4724, 1829, 7435, 1829, 8315, 6156, 7578, 9673, 41361, 23758, 258, 23819, 301, 6055, 33753, 7578, 1422, 392, 23819, 301, 4032, 6156, 7578, 16247, 2304, 10943, 34105, 4724, 1829, 30544, 1975, 1829, 3224, 13672, 7578, 31439, 2423, 24371, 23819, 301, 4032, 5551, 2304, 10943, 3224, 4724, 1829, 30544, 39894, 35473, 2288, 1975, 7435, 1211, 7649, 4032, 13672, 7578, 6156, 7578, 33962, 46538, 4724, 1829, 30544, 1131, 998, 23819, 301, 4032, 6156, 30543, 16095, 4724, 1829, 30544, 2388, 355, 23819, 301, 437, 311, 264, 45331, 4252, 295, 8639, 45026, 4947, 266, 22807, 9154, 1975, 1829, 8592, 8032, 2655, 30544, 22807], "avg_logprob": -0.26254734216314374, "compression_ratio": 2.1106194690265485, "no_speech_prob": 0.0, 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هانبينهم interthalamic adhesion", "tokens": [2407, 4724, 1829, 30544, 1205, 831, 5296, 4386, 5296, 4386, 2423, 33529, 30390, 295, 6920, 29247, 8032, 47302, 18871, 16254, 6055, 19528, 3794, 1411, 6055, 19528, 3794, 4032, 558, 6055, 19528, 3794, 4724, 1829, 5016, 3215, 2423, 4386, 2636, 6931, 1341, 306, 9154, 25724, 8315, 3555, 9154, 25724, 3224, 3660, 11778, 3224, 8032, 7649, 3555, 9957, 16095, 728, 392, 304, 20726, 614, 38571], "avg_logprob": -0.3825683668255806, "compression_ratio": 1.4260355029585798, "no_speech_prob": 0.0, "words": [{"start": 1497.15, "end": 1497.35, "word": "و", "probability": 0.65380859375}, {"start": 1497.35, "end": 1497.81, "word": " بيكون", "probability": 0.745849609375}, {"start": 1497.81, "end": 1498.55, "word": " medial", "probability": 0.57415771484375}, {"start": 1498.55, "end": 1499.59, "word": " ل", "probability": 0.859375}, {"start": 1499.59, "end": 1499.69, "word": " ..", "probability": 0.1307373046875}, {"start": 1499.69, "end": 1500.67, "word": " ل", 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"probability": 0.9210611979166666}, {"start": 1512.77, "end": 1515.43, "word": " و", "probability": 0.875}, {"start": 1515.43, "end": 1515.67, "word": " right", "probability": 0.93212890625}, {"start": 1515.67, "end": 1516.35, "word": " تلمس", "probability": 0.9889322916666666}, {"start": 1516.35, "end": 1517.61, "word": " بيحد", "probability": 0.743896484375}, {"start": 1517.61, "end": 1517.81, "word": " ال", "probability": 0.7294921875}, {"start": 1517.81, "end": 1517.99, "word": " ..", "probability": 0.33837890625}, {"start": 1517.99, "end": 1519.01, "word": " third", "probability": 0.5849609375}, {"start": 1519.01, "end": 1520.57, "word": " ventricle", "probability": 0.9518229166666666}, {"start": 1520.57, "end": 1521.03, "word": " من", "probability": 0.98583984375}, {"start": 1521.03, "end": 1521.51, "word": " الجناب", "probability": 0.9230143229166666}, {"start": 1521.51, "end": 1521.65, "word": " من", "probability": 0.71630859375}, {"start": 1521.65, "end": 1521.93, "word": " 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brain and cerebrospinal fluid + +4 +00:00:17,790 --> 00:00:24,630 +circulation رح أبدأ المحاضرة ب meninges meninges + +5 +00:00:24,630 --> 00:00:28,090 +of the brain and spinal cord لما اتكلم عن ال + +6 +00:00:28,090 --> 00:00:36,390 +meninges هم عبارة عن protective membranes over the + +7 +00:00:36,390 --> 00:00:41,030 +surface of the brain and spinal cord يعني الدماغ و + +8 +00:00:41,030 --> 00:00:48,590 +الحبل الشوكلي محاط ب membranes هم meninges the + +9 +00:00:48,590 --> 00:00:54,390 +brain and spinal cord are surrounded by three + +10 +00:00:54,390 --> 00:00:59,890 +membranes three membranes or three meningial + +11 +00:00:59,890 --> 00:01:07,400 +layers من الداخل + +12 +00:01:07,400 --> 00:01:20,780 +إلى الخارج الأم الجافية الأم العنكبوتية الأم + +13 +00:01:20,780 --> 00:01:22,120 +الجافية الأم الجافية الأم الجافية الأم الجافية + +14 +00:01:22,120 --> 00:01:23,680 +الأم الجافية الأم الجافية الأم الجافية الأم الجافية + +15 +00:01:23,680 --> 00:01:24,960 +الأم الجافية الأم الجافية الأم الجافية الأم الجافية + +16 +00:01:24,960 --> 00:01:25,080 +الجافية الأم الجافية الأم الجافية الأم جافية الأم + +17 +00:01:25,080 --> 00:01:26,100 +جافية الأم جافية الأم جافية الأم جافية الأم جافية + +18 +00:01:26,100 --> 00:01:33,870 +الأم جافية الأم in the brain في ال brain او في + +19 +00:01:33,870 --> 00:01:37,650 +ال intracranial cavity الأم الجافية بتتكون من two + +20 +00:01:37,650 --> 00:01:43,230 +layers outer layer and inner layer outer layer it + +21 +00:01:43,230 --> 00:01:47,790 +is endosteal layer يبقى فيه عندي endosteal layer + +22 +00:01:47,790 --> 00:01:55,010 +هي outer layer وفي inner layer او a meningeal + +23 +00:01:55,010 --> 00:02:00,270 +layer او a meningeal layer يعني الأم الجافية تتكون + +24 +00:02:00,270 --> 00:02:04,910 +من two layers outer and inner ال outer layer اللي + +25 +00:02:04,910 --> 00:02:08,450 +هي endosteal layer و ال inner layer اللي هي + +26 +00:02:08,450 --> 00:02:13,850 +meningeal layer زي + +27 +00:02:13,850 --> 00:02:16,010 +ما شايفين هنا في عندي + +28 +00:02:18,850 --> 00:02:21,170 +بيتكوّن من two layers ال two layers عاملين + +29 +00:02:21,170 --> 00:02:25,430 +adherence مع بعض في بعض الأماكن حكمة ربانية ان + +30 +00:02:25,430 --> 00:02:28,810 +ربنا في البنيان خلقنا اللي هي dura mater من two + +31 +00:02:28,810 --> 00:02:34,150 +layers عشان في بعض الأماكن يحدث separation انفصال + +32 +00:02:34,150 --> 00:02:38,310 +بينهم و يكونوننا cavity و ال cavity هذا يكون في + +33 +00:02:38,310 --> 00:02:43,330 +ايه ال dural venous sinus هنواضف عندي superior + +34 +00:02:43,330 --> 00:02:47,370 +sagittal sinus superior sagittal sinus + +35 +00:02:50,420 --> 00:02:55,160 +بعدها بتجينا الأم العنكابوتية الأم العنكابوتية + +36 +00:02:55,160 --> 00:03:00,160 +بتتكون من طولية من .. فيها blood vessels الأم + +37 +00:03:00,160 --> 00:03:03,400 +العنكابوتية فيها blood vessels ال blood vessels + +38 +00:03:03,400 --> 00:03:09,340 +بيعملونا نسيج بشبه نسيج العنكابوت لذلك سميت أم + +39 +00:03:09,340 --> 00:03:14,060 +العنكابوتية أو arachnoid mater لو جينا بعض ال + +40 +00:03:14,060 --> 00:03:21,300 +arachnoid فينا الأم الحنونة اللي هي pia materواضح + +41 +00:03:21,300 --> 00:03:27,800 +اندي حوالين الـ spinal cord الأم + +42 +00:03:27,800 --> 00:03:37,880 +الحنونة فيها مطر هذه ملتصقة التصاق كامل بال tissue + +43 +00:03:37,880 --> 00:03:43,660 +of spinal cord and brain بعدها تجينا الأم + +44 +00:03:43,660 --> 00:03:47,920 +العنكابوتية و + +45 +00:03:49,570 --> 00:03:55,210 +الـ outer layer هي dura mater في ال spinal cord + +46 +00:03:55,210 --> 00:04:01,430 +للدورا ماتر تتكون من one layer يكون + +47 +00:04:01,430 --> 00:04:07,630 +عندي أم حنونة pia mater أم عنكبوتية arachnoid و الأم + +48 +00:04:07,630 --> 00:04:15,830 +الجافية اللي هي dura mater dura mater نفس + +49 +00:04:15,830 --> 00:04:19,070 +الشيء dura mater + +50 +00:04:20,040 --> 00:04:27,980 +Arachnoid هي mater، هي mater الآن نبدأ بموضوع Pia + +51 +00:04:27,980 --> 00:04:33,820 +Mater Pia Mater اللي هي أم حنونة وانتوا عارفين + +52 +00:04:33,820 --> 00:04:39,000 +دايماً الأم الحنونة ملتصقة لالتصاق كامل بالابن و + +53 +00:04:39,000 --> 00:04:45,340 +البنت ما فيش بينهم any spaces مافيش حواجز بين الأم و + +54 +00:04:45,340 --> 00:04:51,160 +الطفل بتاعها لذلك ال pia mater it is soft vascular + +55 +00:04:51,160 --> 00:04:56,280 +membrane مدام هي حنونة لازم تكون soft مش لازم تكون + +56 +00:04:56,280 --> 00:05:01,720 +hard soft membrane forming the innermost covering + +57 +00:05:01,720 --> 00:05:05,440 +membrane of the brain زائد + +58 +00:05:06,520 --> 00:05:10,460 +it closely surrounds the brain محيطة في ال brain + +59 +00:05:10,460 --> 00:05:17,600 +and dips into the cerebral and cerebellar sulci + +60 +00:05:17,600 --> 00:05:22,660 +and fissures هي ملتصقة بالكامل بال tissue بتاعة ال + +61 +00:05:22,660 --> 00:05:25,700 +brain spinal cord وإن فيه sulci fissures بتلاقيها داخلة + +62 +00:05:25,700 --> 00:05:30,420 +معاه it contains blood vessels وفيها blood vessels + +63 +00:05:32,150 --> 00:05:38,570 +زائد it sends tubular sheath around the cranial and + +64 +00:05:38,570 --> 00:05:42,530 +spinal nerve roots و بتحيط بالspinal و cranial + +65 +00:05:42,530 --> 00:05:47,610 +nerve roots to form sheath غير هيك it gives + +66 +00:05:47,610 --> 00:05:54,510 +tela choroidea في شي اسمه تيلا كورويديا هذه تيلا + +67 +00:05:54,510 --> 00:05:58,010 +كورويديا بتجينا من البيامطر بيحدث إليها + +68 +00:05:58,010 --> 00:06:03,580 +invagination وبتفوت في ال ventricles وبتكون لنا + +69 +00:06:03,580 --> 00:06:08,280 +choroidea plexuses و الكورويديا بليكساس في + +70 +00:06:08,280 --> 00:06:13,500 +بندامال cells بتعمل production لمين؟ لل CSF يجب ان + +71 +00:06:13,500 --> 00:06:19,070 +يكون عارفنا من وين ال CSF بنحصل عليها من choroidea + +72 +00:06:19,070 --> 00:06:21,950 +plexuses طب من وين أجينا الكورويديا بليكساس؟ من + +73 +00:06:21,950 --> 00:06:26,150 +شيء اسمه تيلا كورويديا طب من وين هي تيلا كورويديا؟ + +74 +00:06:26,150 --> 00:06:30,930 +هي من وين؟ من البيامتر يبقى form the تيلا كورويديا + +75 +00:06:30,930 --> 00:06:34,290 +in which the choroidea plexuses of ventricles are + +76 +00:06:34,290 --> 00:06:42,040 +formed pia mater and arachnoid بنسميهم leptomeninges + +77 +00:06:42,040 --> 00:06:48,640 +شايف lepto اه تحفظوها leptomeninges leptomeninges + +78 +00:06:48,640 --> 00:06:54,320 +أنا بقصد فيها pia mater and arachnoid يعني pia mater + +79 +00:06:54,320 --> 00:06:58,080 +و arachnoid + +80 +00:07:02,350 --> 00:07:08,030 +ماتر هدول التنتين مع بعض اللهم اسم اسمها لبتو + +81 +00:07:08,030 --> 00:07:16,610 +مينينجيز لبن كلمة لبتو مينينجيز عبارة عن arachnoid + +82 +00:07:16,610 --> 00:07:22,490 +and pia mater كمان + +83 +00:07:22,490 --> 00:07:28,910 +مرة نعيد pia mater ممكنات عضوية و عضوية تصبح أعضاء + +84 +00:07:28,910 --> 00:07:31,570 +الداخلية التي تغطي الممكنات من عضوية العضوية و + +85 +00:07:31,570 --> 00:07:35,470 +عضوية العضوية العضوية تغطي عضوية العضوية العضوية + +86 +00:07:35,470 --> 00:07:37,250 +العضوية العضوية العضوية العضوية العضوية العضوية + +87 +00:07:37,250 --> 00:07:38,150 +العضوية العضوية العضوية العضوية العضوية العضوية + +88 +00:07:38,150 --> 00:07:42,190 +العضوية العضوية العضوية العضوية العضوية العضوية + +89 +00:07:42,190 --> 00:07:42,330 +العضوية العضوية العضوية العضوية العضوية العضوية + +90 +00:07:42,330 --> 00:07:42,450 +العضوية العضوية العضوية العضوية العضوية العضوية + +91 +00:07:42,450 --> 00:07:47,830 +العضوية العضوية العضوية العضوية العضوية العضوية + +92 +00:07:47,830 --> 00:07:55,710 +العضوية العضو إنها تعطي tela choroidea و invaginations + +93 +00:07:55,710 --> 00:08:02,270 +إلى نظام ventricular لتصميم choroid plexus و + +94 +00:08:02,270 --> 00:08:05,370 +الpia mater + +95 +00:08:05,370 --> 00:08:14,870 +مع arachnoid الليبتو مينينجيز بنتقل لمين؟ ل arachnoid + +96 +00:08:17,660 --> 00:08:22,660 +membrane بيقع ما بين pia mater و dura mater بيكون + +97 +00:08:22,660 --> 00:08:27,980 +inner للدورا ماتر و outer لـ pia mater inner لإيه + +98 +00:08:27,980 --> 00:08:33,520 +للدورا ماتر و outer لإيه لـ pia mater it is delicate + +99 +00:08:33,520 --> 00:08:41,780 +smooth membrane thin membrane which located outer + +100 +00:08:41,780 --> 00:08:48,090 +to the pia mater and inner to the dura mater وهي في + +101 +00:08:48,090 --> 00:08:56,110 +الغطاء حول الطريق cranio و spinal nerve roots + +102 +00:08:56,110 --> 00:09:05,970 +تمنح الوضع microscopic و microscopic لتدخل و تدخل + +103 +00:09:05,970 --> 00:09:07,650 +microspinal cerebro + +104 +00:09:11,240 --> 00:09:15,920 +it separates from the pia mater by space called + +105 +00:09:15,920 --> 00:09:23,140 +subarachnoid space and it separates from + +106 +00:09:23,140 --> 00:09:30,260 +dura mater by space called subdural space يعني في + +107 +00:09:30,260 --> 00:09:34,540 +space بين ال arachnoid و pia mater اسمه subarachnoid + +108 +00:09:34,540 --> 00:09:39,370 +space و في space بين ال arachnoid و dura mater اسمه + +109 +00:09:39,370 --> 00:09:47,410 +subdural space نشوف مع بعض هذه اللي هي + +110 +00:09:47,410 --> 00:09:52,730 +الpia mater وين فيه sulci بتلاقيها داخلة فيه هذه + +111 +00:09:52,730 --> 00:09:59,310 +pia mater اللي بعدها arachnoid + +112 +00:10:01,640 --> 00:10:05,540 +عطتنا Arachnoid Granulation Microscopic and + +113 +00:10:05,540 --> 00:10:08,260 +Arachnoid Villi Microscopic بتشوفهم مش بالعين + +114 +00:10:08,260 --> 00:10:12,400 +المجردة وبعدين + +115 +00:10:12,400 --> 00:10:21,220 +two layers of dura mater صار فيهم separation بيكونوننا + +116 +00:10:21,220 --> 00:10:24,680 +ايه + +117 +00:10:24,680 --> 00:10:27,980 +بيكونوننا + +118 +00:10:27,980 --> 00:10:28,700 +اللي هم + +119 +00:10:31,800 --> 00:10:41,000 +Dural venous sinuses يكون في الحالة هذه عندي two + +120 +00:10:41,000 --> 00:10:45,140 +layers of dura mater outer layer and inner layer ال + +121 +00:10:45,140 --> 00:10:48,440 +outer layer endosteal layer و ال inner layer منين + +122 +00:10:48,440 --> 00:10:51,900 +جه ال layer هذه ال cavity اللي موجودة بين ال two + +123 +00:10:51,900 --> 00:10:56,860 +layers اسمها dural venous sinuses فيها ايه venous + +124 +00:10:56,860 --> 00:11:03,880 +blood طب ايش اسم ال space اللي بين ال pia mater و + +125 +00:11:03,880 --> 00:11:08,860 +ال arachnoid هذا ال space اسمه subarachnoid space طب + +126 +00:11:08,860 --> 00:11:13,180 +ايش اسم ال space بين ال pia mater و ال brain tissue؟ + +127 +00:11:13,180 --> 00:11:19,060 +no any spaces pia mater + +128 +00:11:19,060 --> 00:11:24,660 +it is soft أمحنونة امحنونة مافي بينها و بين ال + +129 +00:11:24,660 --> 00:11:29,940 +brain tissue مسافات او فواصل طب ايش اسم ال space + +130 +00:11:29,940 --> 00:11:35,840 +بين ال dura mater و ال arachnoid اسم هذا ال space + +131 +00:11:35,840 --> 00:11:38,980 +subdural + +132 +00:11:38,980 --> 00:11:43,100 +space طب ايش اسم ال space اللي بين ال bone و ال + +133 +00:11:43,100 --> 00:11:46,340 +dura mater هذا ال space اللي هنا هذا ال space اسمه + +134 +00:11:46,340 --> 00:11:51,380 +epidural space او extradural space epidural space + +135 +00:11:51,380 --> 00:11:54,220 +او extradural space + +136 +00:11:57,030 --> 00:12:05,010 +هيك أنا بكون شرحت لكم pia mater و arachnoid pia mater + +137 +00:12:05,010 --> 00:12:13,390 +و arachnoid واضح عندي هنا two layers of dura mater + +138 +00:12:13,390 --> 00:12:17,150 +outer layer endosteal layer inner layer meningeal + +139 +00:12:17,150 --> 00:12:27,730 +layer بعدها واضحة arachnoid بعدين اللي هي pia mater + +140 +00:12:27,730 --> 00:12:33,810 +pia mater طيب لو سألنا سؤال ايش اسم ال space بين ال + +141 +00:12:33,810 --> 00:12:38,210 +bone و ال dura mater اسمه a b dura mater ال space او + +142 +00:12:38,210 --> 00:12:42,290 +extra dura mater ال space ايش اسم ال space اللي بين ال + +143 +00:12:42,290 --> 00:12:46,350 +two layers of dura mater اسمه dural venous + +144 +00:12:46,350 --> 00:12:51,010 +sinuses أخذنا أو راح نشرحوا فيه ال venous blood و + +145 +00:12:51,010 --> 00:12:55,090 +venous drainage of the brain ايش اسم ال space اللي + +146 +00:12:55,090 --> 00:13:02,570 +بين ال dura mater و ال arachnoid اسمه subdural space + +147 +00:13:02,570 --> 00:13:06,830 +ايش اسم ال space اللي بين ال arachnoid و ال pia mater + +148 +00:13:06,830 --> 00:13:11,330 +اسمه subarachnoid space و قلنا بين ال pia mater و ال + +149 +00:13:11,330 --> 00:13:15,910 +brain تشوف no any spaces + +150 +00:13:25,260 --> 00:13:29,840 +الآن بنتكلم على ال layer الثالث اللي هو ال + +151 +00:13:29,840 --> 00:13:35,080 +dura mater dura mater it is a thick membrane + +152 +00:13:35,080 --> 00:13:41,140 +thick membrane consists of two layers بتكون من two + +153 +00:13:41,140 --> 00:13:48,820 +layers outer layer endosteal layer و inner layer + +154 +00:13:48,820 --> 00:13:54,840 +منين جه ال layer منين جه ال layer بيعمل adherent، + +155 +00:13:54,840 --> 00:14:00,040 +adherent مع مين؟ مع skull bones، مع عظم الجمجمة، + +156 +00:14:00,040 --> 00:14:06,900 +وين بالضبط؟ مع sutures of the skull، مع ال + +157 +00:14:06,900 --> 00:14:13,590 +sutures of the skull، وين؟ base of the skull and at + +158 +00:14:13,590 --> 00:14:16,750 +the foramen magnum يبقى على foramen magnum بيعمل + +159 +00:14:16,750 --> 00:14:20,450 +adherent مع sutures of the skull بيعمل adherent + +160 +00:14:20,450 --> 00:14:25,130 +وفي base of the skull بيعمل adherent ال inner + +161 +00:14:25,130 --> 00:14:30,090 +or meningeal layer هو عبارة عن meningeal layer + +162 +00:14:30,090 --> 00:14:36,050 +بيكون inner داخلي داخلي ال outer layer surrounds + +163 +00:14:36,050 --> 00:14:40,830 +and protects the brain بيحمل ال brain و بيعطينا two + +164 +00:14:40,830 --> 00:14:47,590 +dural sheaths around cranial + +165 +00:14:47,590 --> 00:14:50,690 +nerves يبقى هذول بيحموا ال cranial nerves لما + +166 +00:14:50,690 --> 00:14:56,870 +يخرجوا من وين؟ من foramina what's the function of + +167 +00:14:59,100 --> 00:15:04,180 +dura mater ايش وظيفة الدورا ماتر؟ the first function + +168 +00:15:04,180 --> 00:15:09,280 +is protection function يبقى إن هو بيمتص الصدمات + +169 +00:15:09,280 --> 00:15:16,260 +بيعمل protection against trauma اثنين، + +170 +00:15:16,260 --> 00:15:23,480 +it gives four septa بيعطونا أربع قواطع واحد اسمه + +171 +00:15:24,230 --> 00:15:29,950 +falx cerebri falx cerebri بعمل separation + +172 +00:15:29,950 --> 00:15:38,130 +between the two cerebral hemispheres falx + +173 +00:15:38,130 --> 00:15:43,950 +cerebelli بعمل ايه؟ separation between the two + +174 +00:15:43,950 --> 00:15:50,100 +cerebellar hemispheres tentorium cerebelli تعني + +175 +00:15:50,100 --> 00:15:57,940 +الاختلاف بين العقل الأعلى والعقل الأسفل و diaphragm + +176 +00:15:57,940 --> 00:16:08,340 +sella تعني الاختلاف بين الوظيفة + +177 +00:16:08,340 --> 00:16:18,840 +الثالثة gives or forms مقاومة بين أعلى + +178 +00:16:18,840 --> 00:16:24,660 +و أسفل مقاومة الدورا ماتر dural venous sinuses + +179 +00:16:24,660 --> 00:16:27,880 +dural venous sinuses + +180 +00:16:29,510 --> 00:16:36,450 +sends sheaths around the cranial and spinal nerve + +181 +00:16:36,450 --> 00:16:40,190 +roots يبقى هنا أربع وظائف protection against + +182 +00:16:40,190 --> 00:16:47,070 +trauma واحد، اثنين gives four septa منهم falx + +183 +00:16:47,070 --> 00:16:53,690 +cerebri falx cerebelli tentorium cerebelli and diaphragm + +184 +00:16:53,690 --> 00:17:02,310 +sella، ثلاثة gives dural venous sinuses أربعة بيعطونا + +185 +00:17:02,310 --> 00:17:08,270 +tubular sheaths around the cranial and spinal + +186 +00:17:08,270 --> 00:17:12,090 +nerves بيحموهم عمل ما يخرجوا من foramina بتاعتهم + +187 +00:17:12,090 --> 00:17:19,630 +بيكونوا مغلفين ال nerve هي عندي dura mater بين ال + +188 +00:17:19,630 --> 00:17:22,930 +two layers في space اسمه dural venous sinuses dura mater + +189 +00:17:22,930 --> 00:17:25,630 +dura mater dura mater dura + +201 +00:18:06,810 --> 00:18:12,820 +عن ال cerebellum below أربع ديافراجم سلسلة هنا فيه + +202 +00:18:12,820 --> 00:18:17,320 +ديافراجم سلسلة بتفصل عن ال .. بين ال pituitary gland + +203 +00:18:17,320 --> 00:18:22,100 +below و ال optic chiasm above بالطريقة هذه لديورا + +204 +00:18:22,100 --> 00:18:28,080 +متر أعطتنا كام سبتة؟ أربع، four سبتة، four سبتة + +205 +00:18:28,080 --> 00:18:36,380 +هيك أنا بكون شرحتلكم اللي هم meninges of the brain + +206 +00:18:36,380 --> 00:18:43,020 +and spinal cord هذه واضحة عندي تنتوريام سيريبيلاي + +207 +00:18:43,020 --> 00:18:51,780 +وهنا بتكون عندي فالكس سيريبيلاي فالكس سيريبيلاي + +208 +00:18:51,780 --> 00:19:01,560 +تنتوريام سيريبيلاي تنتوريام سيريبراي And الديافراجم + +209 +00:19:01,560 --> 00:19:08,360 +سلسلة تفصل ما بين البيتوتريجلاند below عن الأوبتيك كايزم above + +210 +00:19:24,320 --> 00:19:32,400 +واضح هنا اللي هي tentorium cerebelli تمام الآن + +211 +00:19:32,400 --> 00:19:36,860 +ننتقل ل spaces between the layers ليش ال spaces + +212 +00:19:36,860 --> 00:19:44,520 +الموجودين epidural أو extra-dural space من اسمه + +213 +00:19:44,520 --> 00:19:49,840 +extra dural يعني خارج الديورا خارج الديورا it is + +214 +00:19:49,840 --> 00:19:54,560 +potential space between the dura mater and bone + +215 +00:19:54,560 --> 00:19:57,580 +يبقى أنه عبارة عن space بين الديورا ماتر والبون + +216 +00:19:57,580 --> 00:20:04,000 +contains semi-liquids fat and meningial arteries + +217 +00:20:04,000 --> 00:20:09,620 +and meningial veins في حال حدث injury أو trauma + +218 +00:20:10,830 --> 00:20:13,370 +بيحدث bleeding أكتر شيء من الـ middle meningeal + +219 +00:20:13,370 --> 00:20:18,050 +الأرضي بيؤدي إلى epidural hematoma و ال epidural + +220 +00:20:18,050 --> 00:20:21,890 +hematoma بتكون arterial hematoma arterial hematoma + +221 +00:20:21,890 --> 00:20:26,810 +مين أخطر epidural hematoma ولا subdural hematoma + +222 +00:20:26,810 --> 00:20:30,850 +الأخطر epidural hematoma طب فيها اسم ثاني epidural + +223 +00:20:30,850 --> 00:20:36,130 +hematoma صح إليها اسم ثاني extradural hematoma طب + +224 +00:20:36,130 --> 00:20:40,050 +ليش أخطر لإنها arterial bleeding طب ليش سمناها + +225 +00:20:41,000 --> 00:20:44,200 +hematoma ما سميناهاش hemorrhage ال hematoma بتيجي + +226 +00:20:44,200 --> 00:20:49,300 +من bleeding في مكان مغلق يبقى نزيف في مكان مغلق تمام + +227 +00:20:49,300 --> 00:20:53,620 +هذا hematoma لكن نزيف في مكان بيصير ال circulation + +228 +00:20:53,620 --> 00:20:58,500 +زي subarachnoid hemorrhage تنزل من إيش؟ تنزل من ال + +229 +00:20:58,500 --> 00:21:02,260 +brain لل spinal cord لل ventricle يبقى هذي تمام + +230 +00:21:02,260 --> 00:21:09,700 +تعتبر إيش؟ تعتبر subarachnoid hemorrhage نزيف تحت + +231 +00:21:09,700 --> 00:21:14,400 +لقمة العنكبوتية لكن لما نكون النزيف في شيء مغلق + +232 +00:21:14,400 --> 00:21:18,860 +بسميه ايه hematoma يبقى هنا epidural hematoma + +233 +00:21:18,860 --> 00:21:21,880 +ما نفعش أقول epidural hemorrhage أقول epidural ايه + +234 +00:21:21,880 --> 00:21:31,200 +hematoma subdural + +235 +00:21:31,200 --> 00:21:36,640 +space it is potential space اسمه sub-dural يعني + +236 +00:21:36,640 --> 00:21:40,320 +ايه sub-dural تحت الديورة it is potential space + +237 +00:21:40,320 --> 00:21:45,080 +between the dura mater and arachnoid ممكن طالب يقول + +238 +00:21:45,080 --> 00:21:47,720 +بديش أقول تحت الديورة بدي أقول فوق ال arachnoid + +239 +00:21:47,720 --> 00:21:51,340 +أعلى ال arachnoid صح كلامه صح لأن هو space between + +240 +00:21:51,340 --> 00:21:56,000 +ال dura mater and arachnoid it contains a small + +241 +00:21:56,000 --> 00:22:02,220 +amount of cerebrospinal fluid تمام؟ Laceration of veins + +242 +00:22:02,220 --> 00:22:06,180 +leads to subdural hematoma و ال subdural hematoma + +243 +00:22:06,180 --> 00:22:09,620 +بتكون venous hematoma يبقى في ال subdural bleeding + +244 +00:22:09,620 --> 00:22:15,960 +بيكون أكتر a venous a bleeding subarachnoid space + +245 +00:22:15,960 --> 00:22:19,980 +من اسمه subarachnoid يبقى من تحت الاراكنويد + +246 +00:22:19,980 --> 00:22:24,140 +subarachnoid space هو عبارة عن space located + +247 +00:22:24,140 --> 00:22:29,740 +between the arachnoid and the pia mater contains + +248 +00:22:29,740 --> 00:22:36,920 +cerebrospinal fluid, arteries veins and cranial + +249 +00:22:36,920 --> 00:22:44,820 +and spinal nerve roots في بعض الأماكن subarachnoid + +250 +00:22:44,820 --> 00:22:48,800 +space بيكون واسع بمورفي blood vessels بمورفي + +251 +00:22:48,800 --> 00:22:54,210 +nerves على أساس ما يحدث اللي هو compression وضغط + +252 +00:22:54,210 --> 00:22:58,630 +على ال nerves و ال veins و ال artery و ال .. و ال + +253 +00:22:58,630 --> 00:23:03,530 +.. root of the nerves ربنا وسع المكان هذه الأماكن + +254 +00:23:03,530 --> 00:23:08,210 +الواسعة بنسميها إيه subarachnoid cistern كلمة + +255 +00:23:08,210 --> 00:23:13,650 +cistern أنا بقصد فيها box صندوق كلمة .. كلمة + +256 +00:23:13,650 --> 00:23:18,680 +cistern هي عبارة عن إيه box يبقى الـ widening place + +257 +00:23:18,680 --> 00:23:24,240 +of subarachnoid space اسمها subarachnoid cistern + +258 +00:23:24,240 --> 00:23:27,020 +يبقى subarachnoid cistern هي نفس subarachnoid + +259 +00:23:27,020 --> 00:23:33,260 +space بس بتكون أوسع شوية تمام + +260 +00:23:33,260 --> 00:23:41,620 +ال space اللي بين البيامطر و + +261 +00:23:44,870 --> 00:23:50,650 +الاركنويد هو أوسع space هذا بنسمي subarachnoid + +262 +00:23:50,650 --> 00:23:59,370 +space بين الاركنويد و الديورا ماتر بتكون two layers + +263 +00:23:59,370 --> 00:24:05,630 +هذا بنسمي subdiural space بين الديورة و البون هذا + +264 +00:24:05,630 --> 00:24:11,050 +بنسمي ايه بديورال أو extra dural space لو كان + +265 +00:24:11,050 --> 00:24:20,120 +عندي هنا ديورالماتر هندي بعدها arachnoid هندي بعدها + +266 +00:24:20,120 --> 00:24:24,520 +بيامطر وهنا + +267 +00:24:24,520 --> 00:24:30,900 +بتتكون من ايه؟ من two layers دي + +268 +00:24:30,900 --> 00:24:38,520 +ورا المطر هلأ ال space و بعدين بيجينا ايه؟ + +269 +00:24:38,520 --> 00:24:40,480 +skull بيجي ايه؟ + +270 +00:24:45,740 --> 00:24:51,760 +الـ space اللي بين البيامطر و + +271 +00:24:51,760 --> 00:24:56,340 +الاركنويد اسمه subarachnoid space بين الاركنويد و + +272 +00:24:56,340 --> 00:25:01,700 +ديورة مطر subdiural space بين الديورة ال outer + +273 +00:25:01,700 --> 00:25:06,700 +layer و ال bone ال skull اسمها epidural space أو + +274 +00:25:06,700 --> 00:25:09,980 +extra dural space + +275 +00:25:17,600 --> 00:25:23,080 +هي عندي subdural hematoma على ال CT بتشبه هي ال + +276 +00:25:23,080 --> 00:25:26,540 +banana بنسميها banana shape بيبقى كلمة banana من + +277 +00:25:26,540 --> 00:25:29,320 +حتى ما أشوف بشكل ال banana هذي بتتذكر subdural + +278 +00:25:29,320 --> 00:25:41,600 +hematoma أو crescent shape الهلال okay + +279 +00:25:41,600 --> 00:25:46,800 +هذه شكل الهلال + +280 +00:25:49,950 --> 00:25:55,030 +crescent shape أو banana shape تمام؟ ليش أخدت شكل + +281 +00:25:55,030 --> 00:25:59,810 +الهلال ال crescent shape أو ال banana؟ لأنه بين ال + +282 +00:25:59,810 --> 00:26:03,570 +dura mater و ال arachnoid ما في adherent ما في + +283 +00:26:03,570 --> 00:26:08,170 +adherent بينهم إيش بيسوي البلد؟ البلد بتوزع و باخد + +284 +00:26:08,170 --> 00:26:11,430 +ال convexity of cerebral hemisphere باخد شكل + +285 +00:26:11,430 --> 00:26:14,750 +cerebral hemisphere بلف حوائز cerebral hemisphere + +286 +00:26:14,750 --> 00:26:19,870 +باخد شكل الهلال أو ال banana shape تمام طب مين + +287 +00:26:19,870 --> 00:26:23,770 +يختار subdural hematoma ولا epidural hematoma لأ + +288 +00:26:23,770 --> 00:26:27,730 +ال epidural hematoma يختار لسببين السبب الأول أنها + +289 +00:26:27,730 --> 00:26:31,410 +arterial bleeding هنا venous bleeding نشوف صورة + +290 +00:26:31,410 --> 00:26:37,910 +فيها epidural hematoma + +291 +00:26:37,910 --> 00:26:42,990 +صورة فيها ايه epidural hematoma هذه epidural + +292 +00:26:42,990 --> 00:26:50,830 +hematoma ليش يختار أول شيء الـ .. الديورال الـ + +293 +00:26:50,830 --> 00:26:58,450 +hematoma بتاخد شكل ال lens lens shape lens shape + +294 +00:26:58,450 --> 00:27:03,570 +شكل ال lens هذه ال hematoma lens shape ليش أخطر من + +295 +00:27:03,570 --> 00:27:07,470 +ال subdural لسببين السبب الأول arterial bleeding + +296 +00:27:11,530 --> 00:27:17,430 +السبب الثاني أن الديورا ماتر عاملة adherent + +297 +00:27:17,430 --> 00:27:21,290 +مع ال future ملتصقة مع ال future من فوق و من تحت + +298 +00:27:25,230 --> 00:27:29,190 +خلفها فيه skull bone ما بتقدرش تضغط عليه وين المكان + +299 +00:27:29,190 --> 00:27:32,150 +الطريق ال soft ال brain تشوف راح تعمل compression + +300 +00:27:32,150 --> 00:27:37,250 +عوين على ال brain تشوف ال blood مارح يتوزع و يخفف + +301 +00:27:37,250 --> 00:27:39,950 +الضغط على ال brain راح تضغط عوين على ال brain تشوف + +302 +00:27:39,950 --> 00:27:43,750 +راحظوا إيش عاملة عاملة midline shifting زيها ال + +303 +00:27:43,750 --> 00:27:48,050 +left structures are right و زيها العاملة عاملة + +304 +00:27:48,050 --> 00:27:51,220 +compression على ال left lateral ventricle left + +305 +00:27:51,220 --> 00:27:53,580 +lateral ventricle زي حاجة على ال right side يبقى أن + +306 +00:27:53,580 --> 00:27:57,080 +هذا محتاجة surgical intervention محتاجة تدخل + +307 +00:27:57,080 --> 00:28:00,800 +جراحية يبقى أن epidural hematoma is more dangerous + +308 +00:28:00,800 --> 00:28:07,260 +and more aggressive course from subdural hematoma + +309 +00:28:09,860 --> 00:28:15,300 +الآن بأكتفي بجزء الأول من المحاضرة هي meninges and + +310 +00:28:15,300 --> 00:28:18,440 +spaces between the meningial layers الجزء الثاني من + +311 +00:28:18,440 --> 00:28:22,760 +المحاضرة راح يكون على ventricles of the brain and + +312 +00:28:22,760 --> 00:28:24,640 +cerebrospinal fluid diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/a_0yOkkNuqY_raw.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/a_0yOkkNuqY_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..b61dc6140f1cb7e270ec4f07d174051a54d7b541 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/a_0yOkkNuqY_raw.srt @@ -0,0 +1,1268 @@ +1 +00:00:05,010 --> 00:00:08,110 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:08,110 --> 00:00:12,830 +وبركاته محاضرة الأسبوع الخامس رح تكون على meninges + +3 +00:00:12,830 --> 00:00:17,790 +ventricles of the brain and cerebrospinal fluid + +4 +00:00:17,790 --> 00:00:24,630 +circulation رح أبدأ المحاضرة ب meninges meninges + +5 +00:00:24,630 --> 00:00:28,090 +of the brain and spinal cord لما اتكلم عن ال + +6 +00:00:28,090 --> 00:00:36,390 +meninges هم عبارة عن protective membraneover the + +7 +00:00:36,390 --> 00:00:41,030 +surface of the brain and spinal cord يعني الدماغ و + +8 +00:00:41,030 --> 00:00:48,590 +الحبل الشوكلي محاط ب membranes هم meninges the + +9 +00:00:48,590 --> 00:00:54,390 +brain and spinal cord are surrounded by three + +10 +00:00:54,390 --> 00:00:59,890 +membranes three membranes or three meningial + +11 +00:00:59,890 --> 00:01:07,400 +layersمن الداخل + +12 +00:01:07,400 --> 00:01:20,780 +إلى الخارج الام الحنونة الام العنكبوتية الام + +13 +00:01:20,780 --> 00:01:22,120 +الحنونة الام الحنونة الام الحنونة الام الحنونة + +14 +00:01:22,120 --> 00:01:22,120 +الام الحنونة الام الحنونة الام الحنونة الام + +15 +00:01:22,120 --> 00:01:23,680 +الحنونة الام الحنونة الام الحنونة الام الحنونة + +16 +00:01:23,680 --> 00:01:24,960 +الام الحنونة الام الحنونة الام الحنونة الام + +17 +00:01:24,960 --> 00:01:25,080 +الحنونة الام الحنونة الام الحنونة الام حنونة الام + +18 +00:01:25,080 --> 00:01:25,080 +حنونة الام حنونة الام حنونة الام حنونة الام حنونة + +19 +00:01:25,080 --> 00:01:25,080 +الام حنونة الام حنونة الام حنونة الام حنونة الام + +20 +00:01:25,080 --> 00:01:26,100 +حنونة الام حنونة الام حنونة الام حنونة الام حنونة + +21 +00:01:26,100 --> 00:01:33,870 +الام حنونة الام حنin the brain في ال brain او في + +22 +00:01:33,870 --> 00:01:37,650 +ال intracranial cavity ال diuremator بتتكون من two + +23 +00:01:37,650 --> 00:01:43,230 +layers outer layer and inner layer outer layer it + +24 +00:01:43,230 --> 00:01:47,790 +is endostial layer يبقى فيه عندي endostial layer + +25 +00:01:47,790 --> 00:01:55,010 +هي outer layer وفي inner layer او a meningial + +26 +00:01:55,010 --> 00:02:00,270 +layer او a meningial layer يعني ال diurematorتتكون + +27 +00:02:00,270 --> 00:02:04,910 +من two layers outer and inner ال outer layer اللي + +28 +00:02:04,910 --> 00:02:08,450 +هي industrial layer و ال inner layer اللي هي + +29 +00:02:08,450 --> 00:02:13,850 +menagerie layer زي + +30 +00:02:13,850 --> 00:02:16,010 +ما شايفين هنا في عندي + +31 +00:02:18,850 --> 00:02:21,170 +بيتكوّن من two layers ال two layers عاملين + +32 +00:02:21,170 --> 00:02:25,430 +adherence مع بعض في بعض الأماكن حكمة ربانية ان + +33 +00:02:25,430 --> 00:02:28,810 +ربنا في البنيان خلقنا اللي هي diurameter من two + +34 +00:02:28,810 --> 00:02:34,150 +layers عشان في بعض الأماكن يحدث separation انفصال + +35 +00:02:34,150 --> 00:02:38,310 +بينهم و يكونوننا cavity و ال cavity هذا يكون في + +36 +00:02:38,310 --> 00:02:43,330 +ايه ال diural venous sinus هنواضف عندي superior + +37 +00:02:43,330 --> 00:02:47,370 +sagittal sinus superior sagittal sinus + +38 +00:02:50,420 --> 00:02:55,160 +بعدها بتجينا الأم العنكابوتية الأم العنكابوتية + +39 +00:02:55,160 --> 00:03:00,160 +بتتكون من طولية من .. فيها blood vessels الأم + +40 +00:03:00,160 --> 00:03:03,400 +العنكابوتية فيها blood vessels ال blood vessels + +41 +00:03:03,400 --> 00:03:09,340 +بيعملونا نسيج بشبه نسيج العنكابوت لذلك سميت أم + +42 +00:03:09,340 --> 00:03:14,060 +العنكابوتية أو arachnoid mater لو جينا بعض ال + +43 +00:03:14,060 --> 00:03:21,300 +arachnoid فينا الأم الحنونة اللي هي pia materواضح + +44 +00:03:21,300 --> 00:03:27,800 +اندي حوالين الـ spinal cord الأم + +45 +00:03:27,800 --> 00:03:37,880 +الحنونة فيها مطر هذه ملتصقة التصاق كامل بال tissue + +46 +00:03:37,880 --> 00:03:43,660 +of spinal cord and brain بعدها تجينا الأم + +47 +00:03:43,660 --> 00:03:47,920 +العنكابوتية و + +48 +00:03:49,570 --> 00:03:55,210 +الـ outer layer هي ديورامتر في ال spinal cord + +49 +00:03:55,210 --> 00:04:01,430 +لديورامتر تتكون من one layer يكون + +50 +00:04:01,430 --> 00:04:07,630 +عندي أم حنونة بيامتر أم عنكبوتية arachnoid و الأم + +51 +00:04:07,630 --> 00:04:15,830 +الجافية اللي هي ديورامتر ديورامتر نفس + +52 +00:04:15,830 --> 00:04:19,070 +الشي ديورامتر + +53 +00:04:20,040 --> 00:04:27,980 +Arachnoid هي مطر، هي مطر الآن نبدأ بموضوع Pia + +54 +00:04:27,980 --> 00:04:33,820 +Matar Pia Matar اللي هي أم حنونة وانتوا عارفين + +55 +00:04:33,820 --> 00:04:39,000 +دايما الأم الحنونة ملتصقة لالتصاق كامل بالابن و + +56 +00:04:39,000 --> 00:04:45,340 +البنتمافيش بينهم any spaces مافيش حواجز بين الأم و + +57 +00:04:45,340 --> 00:04:51,160 +الطفل بتاعها لذلك ال بياموتر it is soft vascular + +58 +00:04:51,160 --> 00:04:56,280 +membrane مدام هي حنونة لازم تكون soft مش لازم تكون + +59 +00:04:56,280 --> 00:05:01,720 +hard soft membrane forming the innermost covering + +60 +00:05:01,720 --> 00:05:05,440 +membrane of the brain زائد + +61 +00:05:06,520 --> 00:05:10,460 +it closely surrounds the brain محيطة في ال brain + +62 +00:05:10,460 --> 00:05:17,600 +and dips into the cerebral and cerebellar salicyde + +63 +00:05:17,600 --> 00:05:22,660 +and fissures هي ملتصقة بالكامل بال tissue بتاعة ال + +64 +00:05:22,660 --> 00:05:25,700 +brain spinal cord وإن فيه سلكس فشر بتلاقيها داخلة + +65 +00:05:25,700 --> 00:05:30,420 +معاه it contains blood vessels وفيها blood vessels + +66 +00:05:32,150 --> 00:05:38,570 +زائد it send tubular sheath around the cranial and + +67 +00:05:38,570 --> 00:05:42,530 +spinal nerve roots و بتحيط بالspinal و cranial + +68 +00:05:42,530 --> 00:05:47,610 +nerve roots to polar sheath غير هيك it gives + +69 +00:05:47,610 --> 00:05:54,510 +telachoroidia في شي اسمه تيلا كورويديا هذه تيلا + +70 +00:05:54,510 --> 00:05:58,010 +كورويديا بتجينا من البيامطر بيحدث إليها + +71 +00:05:58,010 --> 00:06:03,580 +invaginationوبتفوت في ال ventricles وبتكون لنا + +72 +00:06:03,580 --> 00:06:08,280 +كورويديا البليكساس والكورويديا البليكساس في + +73 +00:06:08,280 --> 00:06:13,500 +بندامال cells بتعمل production لمين؟ لل CSF يجب ان + +74 +00:06:13,500 --> 00:06:19,070 +هين عارفنا من وين ال CSF بنحصل عليهامن كورويديا + +75 +00:06:19,070 --> 00:06:21,950 +لبليكساس طب من وين أجينا الكورويديا لبليكساس؟ من + +76 +00:06:21,950 --> 00:06:26,150 +شيء اسمه تيلا كورويديا طب من وين هي تيلا كورويديا؟ + +77 +00:06:26,150 --> 00:06:30,930 +هي من وين؟ من البيامتر يبقى form the تيلا كورويديا + +78 +00:06:30,930 --> 00:06:34,290 +in which the koroidyplexes of ventricles are + +79 +00:06:34,290 --> 00:06:42,040 +formedPiameter and Arachnoid بنسميهم Leptomeninges + +80 +00:06:42,040 --> 00:06:48,640 +شاي لبتون اه تحفظوها Leptomeninges Leptomeninges + +81 +00:06:48,640 --> 00:06:54,320 +انا بقصد فيها Piameter and Arachnoid يعني Piameter + +82 +00:06:54,320 --> 00:06:58,080 +و Arachnoid + +83 +00:07:02,350 --> 00:07:08,030 +مطر هدول التنتين مع بعض اللهم اسم اسمها لبتو + +84 +00:07:08,030 --> 00:07:16,610 +مينينجيز لبن كلمة لبتو مينينجيز عبارة عن أرقنويد + +85 +00:07:16,610 --> 00:07:22,490 +and بيامطر كمان + +86 +00:07:22,490 --> 00:07:28,910 +مرة نعيد بيامطرممكنات عضوية و عضوية تصبح أعضاء + +87 +00:07:28,910 --> 00:07:31,570 +الداخلية التي تغطي الممكنات من عضوية العضوية و + +88 +00:07:31,570 --> 00:07:35,470 +عضوية العضوية العضوية تغطي عضوية العضوية العضوية + +89 +00:07:35,470 --> 00:07:37,250 +العضوية العضوية العضوية العضوية العضوية العضوية + +90 +00:07:37,250 --> 00:07:38,150 +العضوية العضوية العضوية العضوية العضوية العضوية + +91 +00:07:38,150 --> 00:07:42,190 +العضوية العضوية العضوية العضوية العضوية العضوية + +92 +00:07:42,190 --> 00:07:42,330 +العضوية العضوية العضوية العضوية العضوية العضوية + +93 +00:07:42,330 --> 00:07:42,450 +العضوية العضوية العضوية العضوية العضوية العضوية + +94 +00:07:42,450 --> 00:07:47,830 +العضوية العضوية العضوية العضوية العضوية العضوية + +95 +00:07:47,830 --> 00:07:55,710 +العضوية العضوإنها تعطي تيلاكورويديا وشينفياجينيات + +96 +00:07:55,710 --> 00:08:02,270 +إلى نظام الفنتريكولار لتصميم المسلحة الرقصية و + +97 +00:08:02,270 --> 00:08:05,370 +البياموتر + +98 +00:08:05,370 --> 00:08:14,870 +مع أرقنويد الليبتو مينيجيس بنتقل لمين؟ لأرقنويد + +99 +00:08:17,660 --> 00:08:22,660 +منبرين بيقع ما بين البيامتر و الديورامتر بيكون + +100 +00:08:22,660 --> 00:08:27,980 +inner للديورامتر و outer لبيامتر inner لإيه + +101 +00:08:27,980 --> 00:08:33,520 +للديورامتر و outer لإيه لبيامتر it is delicate + +102 +00:08:33,520 --> 00:08:41,780 +smooth membrane thin membrane which located outer + +103 +00:08:41,780 --> 00:08:48,090 +to the piameter and inner to the diurameterوهي في + +104 +00:08:48,090 --> 00:08:56,110 +الشيطان حول الطريق الكرانيو والسبينيو نيرو تمنح + +105 +00:08:56,110 --> 00:09:05,970 +الوضع ميكروسكوبيكي وميكروسكوبيكي لتدخل و تدخل + +106 +00:09:05,970 --> 00:09:07,650 +ميكروسبينيو سيريبرو + +107 +00:09:11,240 --> 00:09:15,920 +it separates from the pia mater by space called + +108 +00:09:15,920 --> 00:09:23,140 +subarachnoid space and it separates from + +109 +00:09:23,140 --> 00:09:30,260 +diuramater by space called subdural space يعني في + +110 +00:09:30,260 --> 00:09:34,540 +space بين الاراكنويد و pia mater اسمه subarachnoid + +111 +00:09:34,540 --> 00:09:39,370 +spaceو في space بين الاركنويد و الديورامطر اسمه + +112 +00:09:39,370 --> 00:09:47,410 +sub-deuteral space نشوف مع بعض هذه اللي هي + +113 +00:09:47,410 --> 00:09:52,730 +البيامطر وين فيه سالكس تلاقيها داخلة فيه هذه + +114 +00:09:52,730 --> 00:09:59,310 +بيامطر اللي بعدها اركنويد + +115 +00:10:01,640 --> 00:10:05,540 +عطتنا Arachnoid Granulation Microscopic and + +116 +00:10:05,540 --> 00:10:08,260 +Arachnoid V-Line Microscopic بتشوفهم مش بالعين + +117 +00:10:08,260 --> 00:10:12,400 +المجردة وبعدهم + +118 +00:10:12,400 --> 00:10:21,220 +two layers of durameter صارهم separation بيكونوننا + +119 +00:10:21,220 --> 00:10:24,680 +ايه + +120 +00:10:24,680 --> 00:10:27,980 +بيكونوننا + +121 +00:10:27,980 --> 00:10:28,700 +اللي هم + +122 +00:10:31,800 --> 00:10:41,000 +Dural venous sinuses يكون في الحالة هذه عندي two + +123 +00:10:41,000 --> 00:10:45,140 +layers of durameter outer layer and inner layer ال + +124 +00:10:45,140 --> 00:10:48,440 +outer layer industrial layer و ال inner layer منين + +125 +00:10:48,440 --> 00:10:51,900 +جه ال layer هذه ال cavity اللي موجودة بين ال two + +126 +00:10:51,900 --> 00:10:56,860 +layers اسمها Dural venous sinuses فيها ايه venous + +127 +00:10:56,860 --> 00:11:03,880 +blood طب ايش اسم ال space اللي بينالبيامتر و + +128 +00:11:03,880 --> 00:11:08,860 +الاركنويد هذا ال space اسمه subarachnoid space طب + +129 +00:11:08,860 --> 00:11:13,180 +ايش اسم ال space بين البيامتر و ال brain tissue؟ + +130 +00:11:13,180 --> 00:11:19,060 +no any spaces بيامتر + +131 +00:11:19,060 --> 00:11:24,660 +it is soft امحنونة امحنونة مافي بينها و بين ال + +132 +00:11:24,660 --> 00:11:29,940 +brain tissue مسافات او فواصلطب ايش اسم ال space + +133 +00:11:29,940 --> 00:11:35,840 +بين ال diurameter و ال arachnoid اسم هذا ال space + +134 +00:11:35,840 --> 00:11:38,980 +subdiural + +135 +00:11:38,980 --> 00:11:43,100 +space طب ايش اسم ال space اللي بين ال bone و ال + +136 +00:11:43,100 --> 00:11:46,340 +diurameter هذا ال space اللي هنا هذا ال space اسمه + +137 +00:11:46,340 --> 00:11:51,380 +Epidural space او Extradural space Epidural space + +138 +00:11:51,380 --> 00:11:54,220 +او Extradural space + +139 +00:11:57,030 --> 00:12:05,010 +هك انا بكون شرحت لكم بيامتر واراكنويد بيامتر + +140 +00:12:05,010 --> 00:12:13,390 +واراكنويد واضح عندي هنا two layers of durometer + +141 +00:12:13,390 --> 00:12:17,150 +outer layer industrial layer inner layer مينيجيا + +142 +00:12:17,150 --> 00:12:27,730 +layer بعدها واضحة اراكنويد البعدهم اللي هي بيمطر + +143 +00:12:27,730 --> 00:12:33,810 +بيه مطر طيب لو سؤالنا سؤال ايش اسم ال space بين ال + +144 +00:12:33,810 --> 00:12:38,210 +born و ال ديورة مطر اسمه a b ديورة ال space او + +145 +00:12:38,210 --> 00:12:42,290 +extra ديورة ال space ايش اسم ال space اللي بين ال + +146 +00:12:42,290 --> 00:12:46,350 +two layers of ديورة مطر اسمه ديورة ال venous + +147 +00:12:46,350 --> 00:12:51,010 +sinuses اخدنا او راح نشرحوا فيه ال venous blood و + +148 +00:12:51,010 --> 00:12:55,090 +venous drainage of the brain ايش اسم ال space اللي + +149 +00:12:55,090 --> 00:13:02,570 +بينالديورامطر و الاركنويد اسمه sub-diural space + +150 +00:13:02,570 --> 00:13:06,830 +ايش اسم ال space اللي بين الاركنويد و البيامطر + +151 +00:13:06,830 --> 00:13:11,330 +اسمه sub-arachnoid space وقولنا بين البيامطر و ال + +152 +00:13:11,330 --> 00:13:15,910 +brain تشوق no any spaces + +153 +00:13:25,260 --> 00:13:29,840 +الأن بنتكلم على ال layer الثالث اللي هو ال + +154 +00:13:29,840 --> 00:13:35,080 +diuremator ال diuremator it is a thick membrane + +155 +00:13:35,080 --> 00:13:41,140 +thick membrane consist of two layers بتكون من two + +156 +00:13:41,140 --> 00:13:48,820 +layers outer layer industrial layer و inner layer + +157 +00:13:48,820 --> 00:13:54,840 +منين جه ال layer منين جه ال layerبيعمل adherent، + +158 +00:13:54,840 --> 00:14:00,040 +adherent مع مين؟ مع skull bones، مع عظم الجمجم، + +159 +00:14:00,040 --> 00:14:06,900 +وين بالظبط؟ مع ال sutures of the skull، مع ال + +160 +00:14:06,900 --> 00:14:13,590 +sutures of the skull، وين؟base of the skull and at + +161 +00:14:13,590 --> 00:14:16,750 +the foramen magnum يبقى على foramen magnum بيعمل + +162 +00:14:16,750 --> 00:14:20,450 +adherent مع ال sutures of the skull بيعمل adherent + +163 +00:14:20,450 --> 00:14:25,130 +وفي ال base of the skull بيعمل adherent ال inner + +164 +00:14:25,130 --> 00:14:30,090 +or meningial layer هو عبارة عن meningial layer + +165 +00:14:30,090 --> 00:14:36,050 +بيكون inner داخلي داخلي ال outer layer surround + +166 +00:14:36,050 --> 00:14:40,830 +and protects the brain بيحمل ال brainو بيعطينا two + +167 +00:14:40,830 --> 00:14:47,590 +polar sheath around cranial + +168 +00:14:47,590 --> 00:14:50,690 +nerves يبقى هذول بيحموا ال cranial nerves لما + +169 +00:14:50,690 --> 00:14:56,870 +يخرجوا من وين؟ من الفرمنا What's the function of + +170 +00:14:59,100 --> 00:15:04,180 +ديورامتر، ايش وظيفة الديورامتر؟ The first function + +171 +00:15:04,180 --> 00:15:09,280 +is protection function يبقى ان هو ما بيمطص الصدمات + +172 +00:15:09,280 --> 00:15:16,260 +بيعمل protection against trauma اتنين، + +173 +00:15:16,260 --> 00:15:23,480 +it gives four سبتة، بيعطونا اربع قواطع، واحد أسمها + +174 +00:15:24,230 --> 00:15:29,950 +فالكس سيربراي فالكس سيربراي بعمل separation + +175 +00:15:29,950 --> 00:15:38,130 +between the two cerebral hemispheres فالكس + +176 +00:15:38,130 --> 00:15:43,950 +سيربيلاي بعمل ايه؟ separation between the two + +177 +00:15:43,950 --> 00:15:50,100 +cerebellar hemispheresTentorium cerebralis تعني + +178 +00:15:50,100 --> 00:15:57,940 +الاختلاف بين العقل الأعلى والعقل الأسفل وDiaphragm + +179 +00:15:57,940 --> 00:16:08,340 +cella تعني الاختلاف بين الوضيفة + +180 +00:16:08,340 --> 00:16:18,840 +الثالثة gives أو formsمقاومة بين أعلى + +181 +00:16:18,840 --> 00:16:24,660 +و أسفل مقاومة الديورالمطر ديورالفينالساينسس + +182 +00:16:24,660 --> 00:16:27,880 +ديورالفينالساينسس + +183 +00:16:29,510 --> 00:16:36,450 +send sheath around the cranial and spinal nerve + +184 +00:16:36,450 --> 00:16:40,190 +roots يبقى هنا أربع وظائف protection against + +185 +00:16:40,190 --> 00:16:47,070 +trauma واحد، اثنين gives four septa منهم فالكس + +186 +00:16:47,070 --> 00:16:53,690 +ريبراي، فالكس ريبلاي، تنتوريام ريبلاي and دي فراجم + +187 +00:16:53,690 --> 00:17:02,310 +السلة، ثلاثةGives Dural Vein Sinuses أربعة بيعطونا + +188 +00:17:02,310 --> 00:17:08,270 +tubular sheath around the cranial and spinal + +189 +00:17:08,270 --> 00:17:12,090 +nerves بيحموهم عمل ما يخرجوا من الفرامنة بتاعتهم + +190 +00:17:12,090 --> 00:17:19,630 +بيكونوا مغلفين ال nerve هى عندي ديورامطر بين ال + +191 +00:17:19,630 --> 00:17:22,930 +two layers في space اسمه ديورالمطر ديورامطر + +192 +00:17:22,930 --> 00:17:25,630 +ديورامطر ديورامطر ديورامطر ديورامطر ديورامطر + +193 +00:17:25,630 --> 00:17:26,330 +ديورامطر ديورامطر ديورامطر ديورامطر ديورامطر + +194 +00:17:26,330 --> 00:17:26,330 +ديورامطر ديورامطر ديورامطر ديورامطر ديورامطر + +195 +00:17:26,330 --> 00:17:26,330 +ديورامطر ديورامطر ديورامطر ديورامطر ديورامطر + +196 +00:17:26,330 --> 00:17:30,770 +ديورامطر ديورامطر دبيا مترد بعدين اراكنويد بعدها + +197 +00:17:30,770 --> 00:17:34,350 +بيجي ديورا متر تكون من two layers outer and inner + +198 +00:17:34,350 --> 00:17:38,530 +و بينهم في space اسمه ديورا الوينس سايناسيس طب + +199 +00:17:38,530 --> 00:17:42,270 +السبت اللي شرحتهم إلكم قولنا فالكس سيريبراي يقول + +200 +00:17:42,270 --> 00:17:46,990 +هي عندي فالكس سيريبراي هذا فالكس سيريبراي بيجي في + +201 +00:17:46,990 --> 00:17:50,450 +ال median لإنه متودينها الفشرة بفصل بيعمل فصل ما + +202 +00:17:50,450 --> 00:17:52,650 +بين ال right و ال left cerebral hemisphere + +203 +00:17:55,390 --> 00:17:57,670 +فالكسيربيلاي بيجي بين ال right و ال left + +204 +00:17:57,670 --> 00:18:01,650 +cerebellum اراهيم السفير بيعمل فصل ما بينهم ثلاثة + +205 +00:18:01,650 --> 00:18:06,810 +تنتوريام سيربيلاي بتفصل ما بين ال cerebrum above + +206 +00:18:06,810 --> 00:18:12,820 +عن ال cerebellum belowأربع ديافراج مسلة هنا فيه + +207 +00:18:12,820 --> 00:18:17,320 +ديافراج مسلة بتفصل عن ال .. بين ال potatory gland + +208 +00:18:17,320 --> 00:18:22,100 +below و ال optic chiasm above بالطريقة هذه لديورا + +209 +00:18:22,100 --> 00:18:28,080 +متر أعطتنا كام سبتة؟ أربع، four سبتة، four سبتة + +210 +00:18:28,080 --> 00:18:36,380 +هيك أنا بكون شرحتلكم اللي هم meninges of the brain + +211 +00:18:36,380 --> 00:18:43,020 +and spinal cordهذه واضحة عندي تنتوريام سيريبيلاي + +212 +00:18:43,020 --> 00:18:51,780 +وهنا بتكون عندي فالكس سيريبيلاي فالكس سيريبيلاي + +213 +00:18:51,780 --> 00:19:01,560 +تنتوريام سيريبيلاي تنتوريام سيريبرايAnd ديافراجم + +214 +00:19:01,560 --> 00:19:08,360 +سلة تفصل ما بين بثيترجلاند below عن أبتكيازم above + +215 +00:19:24,320 --> 00:19:32,400 +واضح هنا اللي هي tentorium cerebelli تمام الآن + +216 +00:19:32,400 --> 00:19:36,860 +ننتقل ل spaces between the layers ليش ال spaces + +217 +00:19:36,860 --> 00:19:44,520 +الموجودين epidural أو extra-dural spaceمن اسمه + +218 +00:19:44,520 --> 00:19:49,840 +extra diural يعني خارج الديورا خارج الديورا it is + +219 +00:19:49,840 --> 00:19:54,560 +potential space between the diurameter and bone + +220 +00:19:54,560 --> 00:19:57,580 +يبقى انه عبارة عن space بين الديورامتر والبون + +221 +00:19:57,580 --> 00:20:04,000 +contains semi-liquids fat and meningial arteries + +222 +00:20:04,000 --> 00:20:09,620 +and meningial veins في حال حدث injury أو trauma + +223 +00:20:10,830 --> 00:20:13,370 +بيحدث bleeding أكتر شيء من الـ middle meningia + +224 +00:20:13,370 --> 00:20:18,050 +الأرضي بيؤدي إلى epidural hematoma و ال epidural + +225 +00:20:18,050 --> 00:20:21,890 +hematoma بتكون arterial hematoma arterial hematoma + +226 +00:20:21,890 --> 00:20:26,810 +مين أخطر epidural hematoma ولا subdural hematoma + +227 +00:20:26,810 --> 00:20:30,850 +الأخطر epidural hematoma طب فيها اسم ثاني epidural + +228 +00:20:30,850 --> 00:20:36,130 +hematoma صح إليها اسم ثاني extradural hematoma طب + +229 +00:20:36,130 --> 00:20:40,050 +ليش أخطر لإنها arterial bleeding طب ليش سمناها + +230 +00:20:41,000 --> 00:20:44,200 +Hematoma ماسميناهاش hemorrhage ال hematoma بتيجي + +231 +00:20:44,200 --> 00:20:49,300 +bleeding في مكان مغلق يبقى نزيف في مكان مغلق تمام + +232 +00:20:49,300 --> 00:20:53,620 +هذا hematoma لكن نزيف في مكان بيصير ال circulation + +233 +00:20:53,620 --> 00:20:58,500 +زي subarachnoid hemorrhage تنزل من إيش؟ تنزل من ال + +234 +00:20:58,500 --> 00:21:02,260 +brain لل spinal cord لل ventricle يبقى هذي تمام + +235 +00:21:02,260 --> 00:21:09,700 +تعتبر إيش؟ تعتبرsubarachnoid hemorrhage نزيف تحت + +236 +00:21:09,700 --> 00:21:14,400 +لقمة العنكبوتية لكن لما نكون النزيف في شيء مغلق + +237 +00:21:14,400 --> 00:21:18,860 +بسميه ايه hematoma يبقى هنا epidural hematoma + +238 +00:21:18,860 --> 00:21:21,880 +مابنفعش اقول epidural hemorrhage اقول epidural ايه + +239 +00:21:21,880 --> 00:21:31,200 +hematoma subdural + +240 +00:21:31,200 --> 00:21:36,640 +spaceit is potential space اسمه sub-diural يعني + +241 +00:21:36,640 --> 00:21:40,320 +ايه sub-diural تحت الديورة it is potential space + +242 +00:21:40,320 --> 00:21:45,080 +between the diura and arachnoid ممكن طالب يقول + +243 +00:21:45,080 --> 00:21:47,720 +بديش اقول تحت الديورة بدي اقول فوق ال arachnoid + +244 +00:21:47,720 --> 00:21:51,340 +اعلى ال arachnoid صح كلامه صح لأن هو space between + +245 +00:21:51,340 --> 00:21:56,000 +ال diuramotor and arachnoid it contains a small + +246 +00:21:56,000 --> 00:22:02,220 +amount of serracifluid تمام؟Laceration of veins + +247 +00:22:02,220 --> 00:22:06,180 +leads to subdural hematoma و الsubdural hematoma + +248 +00:22:06,180 --> 00:22:09,620 +بتكون venous hematoma يبقى في ال subdural bleeding + +249 +00:22:09,620 --> 00:22:15,960 +بيكون اكتر a venous a bleeding subarachnoid space + +250 +00:22:15,960 --> 00:22:19,980 +من اسمه subarachnoid يبقى من تحت الاراكنويد + +251 +00:22:19,980 --> 00:22:24,140 +subarachnoid space هو عبارة عن space located + +252 +00:22:24,140 --> 00:22:29,740 +between the arachnoid and the ameterscontains + +253 +00:22:29,740 --> 00:22:36,920 +cerebrospinal fluid, arteries veins and cranial + +254 +00:22:36,920 --> 00:22:44,820 +and spinal nerve roots في بعض الأماكن subarachnoid + +255 +00:22:44,820 --> 00:22:48,800 +space بيكون واسع بمورفي blood vessels بمورفي + +256 +00:22:48,800 --> 00:22:54,210 +nervesعلى أساس ما يحدث اللي هو compression وضغط + +257 +00:22:54,210 --> 00:22:58,630 +على ال nerves و ال veins و ال artery و ال .. و ال + +258 +00:22:58,630 --> 00:23:03,530 +.. root of the nerves ربنا وسع المكان هذا الأماكن + +259 +00:23:03,530 --> 00:23:08,210 +الواسعة بنسميها إيه subarachnoid cistern كلمة + +260 +00:23:08,210 --> 00:23:13,650 +cistern أنا بقصد فيها box صندوق كلمة .. كلمة + +261 +00:23:13,650 --> 00:23:18,680 +cistern هي عبارة عن إيه boxيبقى الـ widening place + +262 +00:23:18,680 --> 00:23:24,240 +of subarachnoid space اسمها subarachnoid cistern + +263 +00:23:24,240 --> 00:23:27,020 +يبقى subarachnoid cistern هي نفس subarachnoid + +264 +00:23:27,020 --> 00:23:33,260 +space بس بتكون أوسع شوية تمام + +265 +00:23:33,260 --> 00:23:41,620 +ال space اللي بين البيامطر و + +266 +00:23:44,870 --> 00:23:50,650 +الاركنويد هو أوسع space هذا بنسمي subarachnoid + +267 +00:23:50,650 --> 00:23:59,370 +space بين الاركنويد و الديورالمطر بتكون two layers + +268 +00:23:59,370 --> 00:24:05,630 +هذا بنسمي subdiural space بين الديورة و البون هذا + +269 +00:24:05,630 --> 00:24:11,050 +بنسمي ايه بديورال او extra diural space لو كان + +270 +00:24:11,050 --> 00:24:20,120 +عندي هنا ديورالمطرهندي بعدها arachnoid هندي بعدها + +271 +00:24:20,120 --> 00:24:24,520 +بيامطر وهنا + +272 +00:24:24,520 --> 00:24:30,900 +بتتكون من ايه؟ من two layers دي + +273 +00:24:30,900 --> 00:24:38,520 +ورا المطر هلأ ال space و بعدين بيجينا ايه؟ + +274 +00:24:38,520 --> 00:24:40,480 +skull بيجي ايه؟ + +275 +00:24:45,740 --> 00:24:51,760 +الـ space اللي بين بيه مطر و + +276 +00:24:51,760 --> 00:24:56,340 +الاركنويد اسمه subarachnoid space بين الاركنويد و + +277 +00:24:56,340 --> 00:25:01,700 +ديورة مطر subdiural space بين الديورة ال outer + +278 +00:25:01,700 --> 00:25:06,700 +layer و ال bone ال skull اسمها epidural space او + +279 +00:25:06,700 --> 00:25:09,980 +extra diural space + +280 +00:25:17,600 --> 00:25:23,080 +هي عندي subdural hematoma على ال CT بتشبه هي ال + +281 +00:25:23,080 --> 00:25:26,540 +banana بنسميها banana shape بيبقى كلمة banana من + +282 +00:25:26,540 --> 00:25:29,320 +حتى ما اشوف بشكل ال banana هذي بتتذكر subdural + +283 +00:25:29,320 --> 00:25:41,600 +hematoma او crescent shape الهلال okay + +284 +00:25:41,600 --> 00:25:46,800 +هذه شكل الهلال + +285 +00:25:49,950 --> 00:25:55,030 +crescent shape او banana shape تمام؟ ليش أخدت شكل + +286 +00:25:55,030 --> 00:25:59,810 +الهلال ال crescent shape او ال banana؟ لأنه بين ال + +287 +00:25:59,810 --> 00:26:03,570 +diuremator و ال arachnoid مافي adherent مافي + +288 +00:26:03,570 --> 00:26:08,170 +adherent بينهم ايش بيسوي البلد؟ البلد بتوزع و باخد + +289 +00:26:08,170 --> 00:26:11,430 +ال convexity of cerebral hemisphere باخد شكل + +290 +00:26:11,430 --> 00:26:14,750 +cerebral hemisphere بلف حوائز cerebral hemisphere + +291 +00:26:14,750 --> 00:26:19,870 +باخد شكل الهلال او ال banana shapeتمام طب مين + +292 +00:26:19,870 --> 00:26:23,770 +اختار subdural hematoma ولا epidural hematoma لأ + +293 +00:26:23,770 --> 00:26:27,730 +ال epidural hematoma اختار لسببين السبب الأول انها + +294 +00:26:27,730 --> 00:26:31,410 +arterial bleeding هنا venous bleeding نشوف صورة + +295 +00:26:31,410 --> 00:26:37,910 +فيها epidural hematoma + +296 +00:26:37,910 --> 00:26:42,990 +صورة فيها ايه epidural hematoma هذه epidural + +297 +00:26:42,990 --> 00:26:50,830 +hematoma ليش اختار اول شيءالـ .. بديورال الـ + +298 +00:26:50,830 --> 00:26:58,450 +hematoma بتاخد شكل ال lens lens shape lens shape + +299 +00:26:58,450 --> 00:27:03,570 +شكل ال lens هذه ال hematoma lens shape ليش أخطر من + +300 +00:27:03,570 --> 00:27:07,470 +ال subdiural لسببين السبب الأول arterial bleeding + +301 +00:27:11,530 --> 00:27:17,430 +السبب الثاني اين الموفر الديوراموتر عاملة adherent + +302 +00:27:17,430 --> 00:27:21,290 +مع ال future ملتصقة مع ال future من فوق و من تحت + +303 +00:27:25,230 --> 00:27:29,190 +خلفها فيه skull bone مابتقدرش تضغط عليه وين المكان + +304 +00:27:29,190 --> 00:27:32,150 +الطريق ال soft ال brain تشوف راح تعمل compression + +305 +00:27:32,150 --> 00:27:37,250 +عوين على ال brain تشوف ال blood مارح يتوزع و يخفف + +306 +00:27:37,250 --> 00:27:39,950 +الضغط على ال brain راح تضغط عوين على ال brain تشوف + +307 +00:27:39,950 --> 00:27:43,750 +راحظوا إيش عاملة عاملة midline shifting زيها ال + +308 +00:27:43,750 --> 00:27:48,050 +left structures are right و زيها العاملة عاملة + +309 +00:27:48,050 --> 00:27:51,220 +compression على ال left lateral ventricleLeft + +310 +00:27:51,220 --> 00:27:53,580 +atrial ventricle زي حاجة على ال right side يبقى ان + +311 +00:27:53,580 --> 00:27:57,080 +هذا محتاجة surgical intervention محتاجة تدخل + +312 +00:27:57,080 --> 00:28:00,800 +جراحية يبقى ان epidural hematoma is more dangerous + +313 +00:28:00,800 --> 00:28:07,260 +and more aggressive course from subdural hematoma + +314 +00:28:09,860 --> 00:28:15,300 +الان باكتفى بجزء الاول من المحاضرة هي meninges and + +315 +00:28:15,300 --> 00:28:18,440 +spaces between the meningial layer الجزء الثاني من + +316 +00:28:18,440 --> 00:28:22,760 +المحاضرة راح يكون على ventricles of the brain and + +317 +00:28:22,760 --> 00:28:24,640 +cerebrospinal fluid + diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/j4jUjKaWiyM.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/j4jUjKaWiyM.srt new file mode 100644 index 0000000000000000000000000000000000000000..d1377c90fee85b3ad7e1e0bf036f880187031752 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/j4jUjKaWiyM.srt @@ -0,0 +1,1505 @@ +1 +00:00:04,930 --> 00:00:07,630 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:07,630 --> 00:00:12,130 +وبركاته محاضرة الأسبوع الثاني ستكون على anatomy + +3 +00:00:12,130 --> 00:00:19,170 +and physiology of cerebral hemispheres the + +4 +00:00:19,170 --> 00:00:25,840 +cranial fossathe cranial fossa is divided into + +5 +00:00:25,840 --> 00:00:30,580 +three fossae + +6 +00:00:30,580 --> 00:00:36,740 +anterior cranial fossa middle cranial fossa و + +7 +00:00:36,740 --> 00:00:41,260 +posterior cranial fossa في ال anterior cranial + +8 +00:00:41,260 --> 00:00:45,420 +fossa بيكون عندنا موجود frontal lobe في الـ middle + +9 +00:00:45,420 --> 00:00:50,160 +cranial fossa بيكون عندي موجود اللي هو temporal + +10 +00:00:50,160 --> 00:00:54,120 +lobe و ال posterior cranial fossa بيكون occipital + +11 +00:00:54,120 --> 00:01:03,160 +lobe, cerebellum and brain stem morphological + +12 +00:01:03,160 --> 00:01:09,140 +subdivisions of the brain the brain is contains + +13 +00:01:09,140 --> 00:01:12,360 +about one trillion cells + +14 +00:01:15,180 --> 00:01:19,800 +100 مليون نيرون و 900 مليون نيروجليال نيروجليال + +15 +00:01:19,800 --> 00:01:29,460 +تسعة أضعاف الوزن الدماغي هو حوالي 1200 جرام لحد + +16 +00:01:29,460 --> 00:01:34,840 +1500 جرام يعني أن الوزن بتاع الدماغ من كيلو متين + +17 +00:01:34,840 --> 00:01:38,200 +لكيلو خمسمية وهذا لا يعني أن كل ما كبر المخ كل ما + +18 +00:01:38,200 --> 00:01:42,280 +كان فالتة أما في ناس مخ كيلو متين وماشاء الله + +19 +00:01:42,280 --> 00:01:47,740 +عليهمthe brain reached full size about 18 years + +20 +00:01:47,740 --> 00:01:52,700 +يعني الآن انتوا عمركم فوق الثمانتاش اليوم عمركم + +21 +00:01:52,700 --> 00:01:55,520 +عشرين و واحد و عشرين سنة و واحد و عشرين سنة تقريبا + +22 +00:01:55,520 --> 00:02:00,600 +يعني كفة لعندكوا الدماغ مية لمية ماحدش يقول تحملني + +23 +00:02:00,600 --> 00:02:03,240 +يا دكتور انا الساعة ال brain عندى في ال + +24 +00:02:03,240 --> 00:02:07,720 +development ماشي لأ لعندكوا ال brain تمام ووصل + +25 +00:02:07,720 --> 00:02:10,540 +للوزن و للحجم الطبيعي + +26 +00:02:12,620 --> 00:02:18,880 +brain contains cerebrum cerebellum + +27 +00:02:18,880 --> 00:02:23,560 +diencephalon and brain stem ان شاء الله في + +28 +00:02:23,560 --> 00:02:28,960 +المحاضرة اليوم راح اتكلم عن cerebrum في المحاضرة + +29 +00:02:28,960 --> 00:02:33,300 +القادمة راح اتكلم على cerebellum with diencephalon + +30 +00:02:33,300 --> 00:02:38,420 +and basal nuclei وفي المحاضرة راح تكون على brain + +31 +00:02:38,420 --> 00:02:44,520 +stemcerebrum it is the largest part of the brain + +32 +00:02:44,520 --> 00:02:50,040 +يعني المخ الدماغ بتكون من مخ مخاخ الcerebrum هو + +33 +00:02:50,040 --> 00:02:56,690 +المخ it is the largest part of the brain located above + +34 +00:02:56,690 --> 00:03:01,650 +Tentorium cerebelli and orbit تقع فوق Tentorium + +35 +00:03:01,650 --> 00:03:04,070 +cerebelli تقع فوق Tentorium cerebelli تقع فوق + +36 +00:03:04,070 --> 00:03:07,450 +Tentorium cerebelli تقع فوق Tentorium cerebelli + +37 +00:03:07,450 --> 00:03:07,570 +تقع فوق Tentorium cerebelli تقع فوق Tentorium + +38 +00:03:07,570 --> 00:03:07,590 +cerebelli تقع فوق Tentorium cerebelli تقع فوق + +39 +00:03:07,590 --> 00:03:08,370 +تقع فوق Tentorium cerebelli تقع فوق Tentorium + +40 +00:03:08,370 --> 00:03:10,990 +cerebelli تقع فوق Tentorium cerebelli تقع فوق + +41 +00:03:10,990 --> 00:03:11,030 +Tentorium + +42 +00:03:19,160 --> 00:03:23,700 +السيرابران يتكوّن من نصفي كرة دماغية دماغية دماغية + +43 +00:03:23,700 --> 00:03:30,400 +دماغية دماغية دماغية دماغية دماغيةالسيرابللم كمية كبيرة + +44 +00:03:30,400 --> 00:03:37,320 +من العقل موجوده في الـ posterior cranial fossa تحت + +45 +00:03:37,320 --> 00:03:41,820 +الـ Tentorium cerebelli يعني السيرابللم يعتبر + +46 +00:03:41,820 --> 00:03:46,700 +supra-tentorial والسيرابللم يعتبر infra-tentorial + +47 +00:03:46,700 --> 00:03:52,960 +والسيرابللم يكون خلف الـ fourth ventricle وعقل + +48 +00:03:52,960 --> 00:03:56,000 +العقل ديانسيفالون + +49 +00:03:57,350 --> 00:04:01,270 +it is located between the lower part of two + +50 +00:04:01,270 --> 00:04:06,730 +cerebral hemispheres and above the midbrain + +51 +00:04:06,730 --> 00:04:11,310 +brainstem is part of the brain اللي هو الجدعو + +52 +00:04:11,310 --> 00:04:15,850 +الدماغ جدعو الدماغ part of the brain located below + +53 +00:04:15,850 --> 00:04:20,410 +the encephalon and in front of the cerebellum في + +54 +00:04:20,410 --> 00:04:26,820 +حال مات ال brainstem مات الإنسانفي حال حدث death + +55 +00:04:26,820 --> 00:04:33,400 +لل brainstem نتكلم على brain death موت دماغي و + +56 +00:04:33,400 --> 00:04:36,840 +الإنسان لا رجعة إلى الحياة إذا مات ال brainstem + +57 +00:04:36,840 --> 00:04:41,340 +جدر الدماغ مثل الشجرة إذا مات جدر الشجرة لا حياة + +58 +00:04:41,340 --> 00:04:46,980 +للشجرة مش راح تستمر في النمو هذه الشجرة is the + +59 +00:04:46,980 --> 00:04:50,860 +part of the brain located below the encephalon and + +60 +00:04:50,860 --> 00:04:56,100 +in front of the cerebellum connected to the cerebellum + +61 +00:04:56,100 --> 00:05:00,620 +by three pairs of cerebellar peduncles وبيرتبط مع + +62 +00:05:00,620 --> 00:05:03,960 +الcerebellum عن طريق three cerebellar peduncles + +63 +00:05:03,960 --> 00:05:07,740 +superior cerebellar peduncles middle cerebellar + +64 +00:05:07,740 --> 00:05:11,940 +peduncles and inferior cerebellar peduncles right + +65 +00:05:11,940 --> 00:05:17,440 +and left connected with two cerebral hemispheres + +66 +00:05:17,440 --> 00:05:22,260 +and spinal cord وهو يعتبر حلقة واصل ما بين spinal + +67 +00:05:22,260 --> 00:05:27,340 +cord من تحت مع الcerebrum من فوق ومن الخلف بيكون + +68 +00:05:27,340 --> 00:05:33,920 +مع ال cerebellum it contains three parts from + +69 +00:05:33,920 --> 00:05:40,240 +below upward من تحت لفوق medulla oblongata pons + +70 +00:05:40,240 --> 00:05:43,300 +and midbrain + +71 +00:05:46,270 --> 00:05:52,030 +هي عندي cerebellum + +72 +00:05:52,030 --> 00:06:02,570 +هنا بيكون Tentorium cerebelli هذي right cerebral + +73 +00:06:02,570 --> 00:06:06,930 +hemisphere هذا ال brain السم يدل Medulla oblongata + +74 +00:06:09,270 --> 00:06:16,570 +midbrain وهنا بيكون عندي ايه diencephalon وهذه + +75 +00:06:16,570 --> 00:06:21,250 +corpus callosum تربط ال right و left cerebral + +76 +00:06:21,250 --> 00:06:24,870 +hemispheres هذا ال fourth ventricle + +77 +00:06:37,640 --> 00:06:43,720 +عندي medulla oblongata pons and midbrain هاي + +78 +00:06:43,720 --> 00:06:47,980 +cerebral hemisphere corpus callosum diencephalon + +79 +00:06:47,980 --> 00:06:53,620 +بيجي في المكان هذا midbrain pons and medulla + +80 +00:06:53,620 --> 00:06:57,180 +oblongata خلف ال brain stem بيكون عندي فيه + +81 +00:06:57,180 --> 00:07:00,940 +cerebellum بفصل بين ال cerebellum و ال cerebrum شي + +82 +00:07:00,940 --> 00:07:05,950 +اسمه Tentorium cerebelli اليوم نتكلم عن الـ + +83 +00:07:05,950 --> 00:07:11,670 +cerebrum أو الهيمسفير الهيمسفير الهيمسفير يحتوى + +84 +00:07:11,670 --> 00:07:17,410 +على أكثر من الحفرة الكرنية و هي أكثر من جزء من + +85 +00:07:17,410 --> 00:07:24,270 +العقل الهيمسفر يحتوى على أكثر من حفرة كرنية و هي + +86 +00:07:24,270 --> 00:07:29,670 +أكثر من حفرة كرنية و الـ both cerebral hemispheres + +87 +00:07:29,670 --> 00:07:34,170 +بينهم فاصل او separation اسمه longitudinal أو + +88 +00:07:34,170 --> 00:07:39,410 +median longitudinal fissure يبقى في عندي cerebrum + +89 +00:07:39,410 --> 00:07:44,890 +بتكون من two cerebral hemispheres الفاصل ما بينهم + +90 +00:07:44,890 --> 00:07:49,470 +fissure اسمها median longitudinal fissure + +91 +00:07:51,690 --> 00:07:57,330 +و ال connection بينهم عن طريق commissural fibers و + +92 +00:07:57,330 --> 00:08:00,790 +أكثر شيء واضح أنه في الصورة بيكون في جسم الإنسان + +93 +00:08:00,790 --> 00:08:08,110 +اللي هو corpus callosum هاي عندي right cerebral + +94 +00:08:08,110 --> 00:08:13,250 +hemisphere ترتبط مع ال left cerebral hemisphere عن + +95 +00:08:13,250 --> 00:08:19,390 +طريق شيء اسمه corpus callosum و الفاصل ما بينهم + +96 +00:08:20,480 --> 00:08:27,800 +بيكون شئ اسمه median longitudinal fissure يبقى + +97 +00:08:27,800 --> 00:08:32,420 +ال corpus callosum هو عبارة عن commissural fibers بيعمل + +98 +00:08:32,420 --> 00:08:36,160 +connection between right and left cerebral + +99 +00:08:36,160 --> 00:08:39,660 +hemispheres كم cerebral hemispheres عندنا؟ two + +100 +00:08:39,660 --> 00:08:43,340 +cerebral hemispheres right and left cerebral + +101 +00:08:43,340 --> 00:08:49,420 +hemispheres integrative function of the cerebral + +102 +00:08:49,420 --> 00:08:53,650 +cortex أول function consciousness regulation of + +103 +00:08:53,650 --> 00:08:59,650 +consciousness علاقة بالدرجة الوعي ال brain stem + +104 +00:08:59,650 --> 00:09:02,130 +reticular formation موجودين في ال brain stem + +105 +00:09:02,130 --> 00:09:06,370 +frontal temporal lobe deep structures of cerebrum + +106 +00:09:06,370 --> 00:09:11,890 +هدول كلهم علاقة بالمتابعة درجة الوعي بتاعة الإنسان + +107 +00:09:12,770 --> 00:09:16,170 +Use of language اللغة و استخدام اللغة و الكلام و + +108 +00:09:16,170 --> 00:09:20,030 +النطق Speech center present in frontal and + +109 +00:09:20,030 --> 00:09:24,630 +temporal lobe تسعين لخمسة وتسعين فمية من الناس ال + +110 +00:09:24,630 --> 00:09:28,390 +dominant hemisphere أو السائد بيكون في هو left + +111 +00:09:28,390 --> 00:09:31,310 +cerebral hemisphere عشان هيك المرضى الناس هدول + +112 +00:09:31,310 --> 00:09:36,370 +بيكون عندهم المراكز النطق و الكلام موجودة في left + +113 +00:09:36,370 --> 00:09:41,600 +cerebral hemisphere 5-10% بيكون عندهم dominant + +114 +00:09:41,600 --> 00:09:45,240 +hemisphere right cerebral hemisphere وهدول ممكن + +115 +00:09:45,240 --> 00:09:51,160 +يكونوا بيكتبوا باليد اليسرى emotion frontal and + +116 +00:09:51,160 --> 00:09:53,580 +temporal lobe فيهم حاجة اسمها limbic system + +117 +00:09:53,580 --> 00:09:56,780 +العلاقة بال regulation of emotion ال emotion + +118 +00:09:56,780 --> 00:10:02,780 +العاطفة memory الذاكرة frontal و temporal lobe + +119 +00:10:03,850 --> 00:10:07,850 +orientation thinking and intelligence في ال + +120 +00:10:07,850 --> 00:10:14,730 +frontal lobe هذا المخ العربي شايفين الشلة الفاسدة + +121 +00:10:14,730 --> 00:10:20,410 +ومركز الكذب والتبصبس والشك والبصريش وكلام فاضي هذا + +122 +00:10:20,410 --> 00:10:26,410 +مخ الراجل وهذه مخ المرأة العربية مركز النج الجزمة + +123 +00:10:26,410 --> 00:10:31,000 +القديمة من كثرة ما بيغير الجزميا أنا يا أمك في + +124 +00:10:31,000 --> 00:10:35,360 +البيت؟ هذا بس جيبناهم عشان إيش، اتركزوا معايا إذا + +125 +00:10:35,360 --> 00:10:38,980 +كنتوا نايمين و أنتوا بتابعوا في المحاضرة، بنكمل + +126 +00:10:38,980 --> 00:10:44,650 +محاضرتنا service of each cerebral hemisphere الـ + +127 +00:10:44,650 --> 00:10:50,670 +cerebral hemisphere له lateral surface أو بنسميه + +128 +00:10:50,670 --> 00:10:54,970 +superior lateral surface يعني الخارجي، السطح + +129 +00:10:54,970 --> 00:11:00,030 +الخارجي، العلوي okay medial surface، السطح + +130 +00:11:00,030 --> 00:11:02,830 +الداخلي، اللي بيكون وين ال median longitudinal + +131 +00:11:02,830 --> 00:11:08,910 +الفشارة و inferior surface، السطح السفلي يعني هذا + +132 +00:11:08,910 --> 00:11:16,630 +يعتبر superior lateral surface، هيك يعتبر medial + +133 +00:11:16,630 --> 00:11:23,230 +surface، من تحت يعتبر inferior surface + +134 +00:11:24,330 --> 00:11:29,250 +Poles of cerebral hemisphere الأقطاب الموجودة في + +135 +00:11:29,250 --> 00:11:32,090 +الـ cerebral hemisphere يعني إيش القطب؟ هو النهاية + +136 +00:11:32,090 --> 00:11:39,410 +الـ frontal pole القطب الأمامي يعتبر anterior end + +137 +00:11:39,410 --> 00:11:43,530 +of the frontal lobe هو النهاية الأمامية للـ + +138 +00:11:43,530 --> 00:11:50,950 +frontal lobe الـ temporal pole القطب السفلي هو الـ + +139 +00:11:50,950 --> 00:11:56,670 +anterior end للـ temporal lobe و الـ occipital pole + +140 +00:11:56,670 --> 00:12:02,330 +هو القطب الخلفي هو الـ posterior end لمن؟ لـ + +141 +00:12:02,330 --> 00:12:06,490 +occipital lobe لـ occipital lobe نشوف الصورة مع + +142 +00:12:06,490 --> 00:12:12,930 +بعض هنا عندي frontal + +143 +00:12:12,930 --> 00:12:19,370 +pole هنا temporal pole وهنا + +144 +00:12:21,650 --> 00:12:25,270 +occipital pole تمام؟ يكون هذه القطب الأمامي القطب + +145 +00:12:25,270 --> 00:12:29,530 +السفلي القطب الخلفي وهكذا هذي اللي بنسمي الأقطاب + +146 +00:12:29,530 --> 00:12:32,370 +بتاع ال cerebral hemisphere frontal pole temporal + +147 +00:12:32,370 --> 00:12:35,970 +pole و occipital pole لو قلتكم مين هو ال anterior + +148 +00:12:35,970 --> 00:12:40,030 +pole هو راح يكون frontal pole مين هو ال inferior + +149 +00:12:40,030 --> 00:12:44,290 +pole هو راح يكون temporal pole مين هو ال posterior + +150 +00:12:44,290 --> 00:12:47,370 +pole راح يكون occipital pole وهكذا + +151 +00:12:55,190 --> 00:12:59,190 +القيت اتكلمنا عن الـ cerebrum و cerebrum بينقسم ل + +152 +00:12:59,190 --> 00:13:02,170 +two cerebral hemispheres الآن راح ناخد one cerebral + +153 +00:13:02,170 --> 00:13:06,910 +hemisphere و ندرس ايش اللي داخله loops of each + +154 +00:13:06,910 --> 00:13:12,130 +cerebral hemisphere the surface of each cerebral + +155 +00:13:12,130 --> 00:13:18,110 +hemisphere is divided by three main sulci + +156 +00:13:18,110 --> 00:13:26,830 +sulcus واحد جمعه سلساية or fissures into four lobes + +157 +00:13:26,830 --> 00:13:32,630 +يعني الcerebral hemisphere بنقسم بواسطة ال three + +158 +00:13:32,630 --> 00:13:40,570 +سلسال ل four lobes طب كيف أخدوا أسماء هم ال lobes + +159 +00:13:40,570 --> 00:13:45,390 +حسب أي عظمة بتقع فوقهم هم بيقعوا أو وين بيقعوا تحت + +160 +00:13:45,390 --> 00:13:51,060 +أي عظمة من الجمجمة which have been given the names + +161 +00:13:51,060 --> 00:13:55,880 +of the skull bone under which they lie يعني أخدوا + +162 +00:13:55,880 --> 00:14:01,300 +الاسم بتاعهم هدول ال lobes حسب تحت أي عظمة بيقعوا + +163 +00:14:01,300 --> 00:14:07,380 +من الجمجمة there are four lobes of cerebral + +164 +00:14:07,380 --> 00:14:16,480 +hemisphere frontal lobe parietal lobe temporal lobe + +165 +00:14:16,480 --> 00:14:23,680 +and occipital lobe أربعة Each surface of lobe كل + +166 +00:14:23,680 --> 00:14:29,600 +surface من ال lobe نفسها لو أخدناها divided by + +167 +00:14:29,600 --> 00:14:36,020 +سلساي بتنقسم بسلساي لجيراي يعني Cerebrum انقسم ل 2 + +168 +00:14:36,020 --> 00:14:40,100 +cerebral hemispheres cerebral hemispheres انقسم ل + +169 +00:14:40,100 --> 00:14:48,320 +lobes ال lobes لجيرايا و هكذا الآن نتكلم عن اهمية + +170 +00:14:48,320 --> 00:14:50,280 +الصحيحة الهيمسفير الصحيح الهيمسفير الهيمسفير + +171 +00:14:50,280 --> 00:14:52,820 +الهيمسفير الهيمسفير الهيمسفير الهيمسفير الهيمسفير + +172 +00:14:52,820 --> 00:14:56,820 +الهيمسفير الهيمسفير الهيمسفير الهيمسفير الهيمسفير + +173 +00:14:56,820 --> 00:14:59,580 +الهيمسفير الهيمسفير الهيمسفير الهيمسفير الهيمسفير + +174 +00:14:59,580 --> 00:15:00,180 +الهيمسفير الهيمسفير الهيمسفير الهيمسفير الهيمسفير + +175 +00:15:00,180 --> 00:15:00,260 +الهيمسفير الهيمسفير الهيمسفير الهيمسفير الهيمسفر + +176 +00:15:00,260 --> 00:15:03,360 +الهيمسفر الهيمسفر الهيمسفر الهيمسفر الهيمسفر + +177 +00:15:03,360 --> 00:15:09,300 +الهيمسفر Central sulcus أو بنسميه Rolando sulcus هذا + +178 +00:15:09,300 --> 00:15:13,800 +بيعمل separation between frontal lobe in front عن + +179 +00:15:13,800 --> 00:15:18,480 +ال parietal lobe behind وفي lateral fissure عشان + +180 +00:15:18,480 --> 00:15:21,320 +واسع بنسميه fissure لأنه بيمر في middle cerebral + +181 +00:15:21,320 --> 00:15:24,940 +artery lateral fissure أو lateral sulcus بيعمل + +182 +00:15:24,940 --> 00:15:31,040 +separation between temporal lobe below عن ال + +183 +00:15:31,040 --> 00:15:35,290 +frontal lobe و ال parietal lobe above هذول بيكونوا + +184 +00:15:35,290 --> 00:15:37,530 +واضحين من ال lateral surface of cerebral + +185 +00:15:37,530 --> 00:15:41,650 +hemisphere وفي parietal occipital sulcus بيكون في + +186 +00:15:41,650 --> 00:15:45,110 +ال medial surface of cerebral hemisphere بيعمل + +187 +00:15:45,110 --> 00:15:49,230 +separation between parietal lobe in front بنسمه + +188 +00:15:49,230 --> 00:15:53,930 +parieto-occipital عن من عن ال occipital lobe + +189 +00:15:53,930 --> 00 + +201 +00:17:08,300 --> 00:17:13,080 +behind عن ال occipital lobe behind هيك بيكون أنا جسمت + +202 +00:17:13,080 --> 00:17:18,060 +ال cerebral hemisphere له four lobes: frontal lobe + +203 +00:17:18,060 --> 00:17:22,060 +parietal lobe, temporal lobe, and occipital lobe + +204 +00:17:29,910 --> 00:17:37,370 +هيها واضحة عن ال medial surface بفصل + +205 +00:17:37,370 --> 00:17:41,970 +ما بين parietal lobe in front عن parietal lobe + +206 +00:17:41,970 --> 00:17:45,070 +behind + +207 +00:17:45,070 --> 00:17:52,710 +cortical + +208 +00:17:52,710 --> 00:17:56,230 +somatotopyانتبهوا و نتكلم في الموضوع هذا من + +209 +00:17:56,230 --> 00:18:00,470 +ناحية ال motor ومن ناحية ال sensation للإنسان + +210 +00:18:00,470 --> 00:18:11,330 +بيكون في الدماغ بيكون مقلوب، الرأس تحت ال + +211 +00:18:11,330 --> 00:18:15,530 +upper limbs وال trunk في ال middle وال lower + +212 +00:18:15,530 --> 00:18:18,830 +limbs بيكونوا أعلى، هي كتركيبة الإنسان في الدماغ + +213 +00:18:18,830 --> 00:18:24,780 +بيكون ال lower limbs في الأعلى، ال middle limbs أو + +214 +00:18:24,780 --> 00:18:29,580 +ال upper limbs وال trunk في ال middle وال head + +215 +00:18:29,580 --> 00:18:34,100 +بيكون وين؟ في اللي هو ال lower part يعني ال upper + +216 +00:18:34,100 --> 00:18:37,900 +limbs بيكونوا في وين موجودين؟ في ال middle part طب + +217 +00:18:37,900 --> 00:18:41,500 +ال lower limbs بيكونوا في ال upper part طب ال head + +218 +00:18:41,500 --> 00:18:47,460 +في ال lower part، يعني الإنسان معكوس هنا، أنا head + +219 +00:18:47,460 --> 00:18:52,940 +trunk و upper limbs وال lower limbs في الدماغ + +220 +00:18:52,940 --> 00:18:56,820 +العكس، ال head بيكون تحت وال trunk وال upper + +221 +00:18:56,820 --> 00:18:59,880 +limbs بيكونوا في ال middle وال lower limbs + +222 +00:18:59,880 --> 00:19:02,800 +بيكونوا في الأعلى، من ناحية motor ومن ناحية + +223 +00:19:02,800 --> 00:19:08,320 +sensation، من ناحية motor ومن ناحية sensation، واضح + +224 +00:19:08,320 --> 00:19:11,660 +عندي ال sensory وال motor، ال lower limbs بيكونوا + +225 +00:19:11,660 --> 00:19:16,380 +في القمة في الأعلى، ال trunk وال upper limbs + +226 +00:19:16,380 --> 00:19:20,400 +بيكونوا في ال middle part وال head بيكون وين؟ في + +227 +00:19:20,400 --> 00:19:28,740 +ال lower part، الآن راح نتكلم عن frontal lobe نتكلم + +228 +00:19:28,740 --> 00:19:34,020 +عن ايه؟ frontal lobe، the important source of + +229 +00:19:34,020 --> 00:19:40,600 +frontal lobe، أول شيء موجود precentral sulcus + +230 +00:19:42,750 --> 00:19:47,290 +precentral sulcus is present in front of the + +231 +00:19:47,290 --> 00:19:52,370 +central sulcus، بيكون أمام ال central sulcus، وفي + +232 +00:19:52,370 --> 00:19:57,200 +superior frontal sulcus is present in front of the + +233 +00:19:57,200 --> 00:20:01,180 +precentral sulcus ويكون في ال superior part وفي + +234 +00:20:01,180 --> 00:20:04,760 +inferior frontal sulcus كمان نفس الشيء بيكون + +235 +00:20:04,760 --> 00:20:08,280 +present in front of precentral sulcus وبيكون في ال + +236 +00:20:08,280 --> 00:20:14,160 +inferior part of the frontal + +237 +00:20:14,160 --> 00:20:19,820 +lobe، نجسمهم مع بعض، احنا جسمناهم، هاي lateral view + +238 +00:20:19,820 --> 00:20:26,810 +وهي central sulcus، الآن هذه هي اندي frontal lobe + +239 +00:20:26,810 --> 00:20:31,730 +راح أشرح لكم ال frontal lobe الآن، ايش ال main + +240 +00:20:31,730 --> 00:20:40,530 +sulci موجودين في ال frontal lobe، موجود pre + +241 +00:20:40,530 --> 00:20:46,530 +central sulcus أمام ال central sulcus، superior + +242 +00:20:46,530 --> 00:20:55,940 +frontal sulcus و inferior frontal sulcus، هذول + +243 +00:20:55,940 --> 00:21:00,920 +بيقسمولنا ال frontal lobe لغيرها، بيقسمولنا ال + +244 +00:21:00,920 --> 00:21:08,380 +frontal lobe لغيرها، precentral + +245 +00:21:08,380 --> 00:21:15,800 +gyrus، superior frontal gyrus، middle frontal gyrus، + +246 +00:21:15,800 --> 00:21:21,860 +inferior frontal gyrus، يا سلام سهل، precentral + +247 +00:21:21,860 --> 00:21:28,620 +sulcus، superior frontal sulcus، inferior frontal + +248 +00:21:28,620 --> 00:21:33,160 +sulcus، قسمولنا ال frontal lobe لجيراي ال + +249 +00:21:33,160 --> 00:21:38,580 +precentral gyrus، superior، middle، inferior frontal + +250 +00:21:38,580 --> 00:21:43,400 +gyrus، نشوف الكلام هذا ال slide اللي قبلها، the + +251 +00:21:43,400 --> 00:21:49,280 +important gyri of frontal lobe، precentral gyrus، + +252 +00:21:49,280 --> 00:21:54,670 +لاحظوا هي ال precentral gyrus between the central + +253 +00:21:54,670 --> 00:21:58,390 +sulcus اللي هو اللي أحمر وال precentral sulcus، + +254 +00:21:58,390 --> 00:22:04,070 +superior frontal gyrus، هاي superior frontal gyrus + +255 +00:22:04,070 --> 00:22:09,770 +above superior frontal sulcus، أعلى لمين؟ اللي هو + +256 +00:22:09,770 --> 00:22:17,330 +superior frontal sulcus، middle frontal gyrus بتقع + +257 +00:22:17,330 --> 00:22:23,460 +ما بين ال superior وال inferior يعني تحت ال + +258 +00:22:23,460 --> 00:22:30,260 +superior frontal sulcus وأعلى من ال inferior + +259 +00:22:30,260 --> 00:22:35,040 +frontal sulcus، طب أخرش هي inferior frontal gyrus + +260 +00:22:35,040 --> 00:22:42,240 +بتقعد تحت اللي هو inferior frontal sulcus، واضح؟ هي + +261 +00:22:42,240 --> 00:22:49,170 +كأنّا شرحنا لكم ال anatomical divisions بتاعة ال + +262 +00:22:49,170 --> 00:22:55,050 +frontal lobe وكيف قسمنا ال frontal lobe لصرصاي + +263 +00:22:55,050 --> 00:23:00,490 +وجيراي، نجي + +264 +00:23:00,490 --> 00:23:05,990 +ل important functional area of frontal lobe، هذه في + +265 +00:23:05,990 --> 00:23:11,670 +physiological classification، في area رقم 4 هي + +266 +00:23:11,670 --> 00:23:14,290 +primary motor + +267 +00:23:15,530 --> 00:23:19,950 +area موجودة في ال precentral gyrus، وظيفتها + +268 +00:23:19,950 --> 00:23:23,750 +voluntary motor activity of opposite half of the + +269 +00:23:23,750 --> 00:23:29,290 +body، يعني اليمنى تتحكم في حركة اليسرى واليسرى + +270 +00:23:29,290 --> 00:23:35,430 +تتحكم في جهة اليمنى، يعني لو حدث لنا جلطة دماغية في + +271 +00:23:35,430 --> 00:23:40,830 +ال right area for right area for بيحدث عند المريض + +272 +00:23:40,830 --> 00:23:50,240 +left side hemiplegia شلل في الجهة اليسرى أو + +273 +00:23:50,240 --> 00:23:56,040 +hemiparesis، hemiparesis يعني partial paralysis + +274 +00:23:56,040 --> 00:24:03,200 +شلل جزئي، hemiplegia شلل نصفي كامل، secondary motor + +275 +00:24:03,200 --> 00:24:07,940 +area رقم 6 بتكون أمام precentral gyrus اللي + +276 +00:24:07,940 --> 00:24:12,700 +علاقتها بال extrapyramidal fibers، لو حدث لها + +277 +00:24:12,700 --> 00:24:17,940 +damage تعملنا hyperreflexia + +278 +00:24:17,940 --> 00:24:28,420 +of deep tendon reflexes وزائد hypertonia + +279 +00:24:29,300 --> 00:24:31,760 +عضلية، هايبرتونيا + +280 +00:24:40,720 --> 00:24:45,700 +طيب، frontal eye conjugate center area رقم 8 + +281 +00:24:45,700 --> 00:24:49,840 +موجودة في ال middle frontal gyrus، وظيفتها + +282 +00:24:49,840 --> 00:24:54,120 +voluntary conjugate deviation of eyes to opposite + +283 +00:24:54,120 --> 00:24:58,060 +side، يا سلام، يعني أنا بدي أطلع على جهة اليمين حركت + +284 +00:24:58,060 --> 00:25:01,480 +رأسي وعيني على اليمين، مين حركهم؟ area 8 على + +285 +00:25:01,480 --> 00:25:05,080 +اليسار، بدي أطلع على الشمال، هنا طلعت على الشمال على + +286 +00:25:05,080 --> 00:25:09,090 +ال الباب حركت رأسي وعيني على الشمال، من حركهم؟ area + +287 +00:25:09,090 --> 00:25:13,710 +8 على اليمين، كويس، طب لو حدث مريض عنده جلطة دماغية + +288 +00:25:13,710 --> 00:25:20,130 +على اليمين في area 8، جلطة في اليمين، destruction، + +289 +00:25:20,130 --> 00:25:24,120 +بيقدر يلف حاله على الشمال؟ بيقدر، مين ضال سليم عنده + +290 +00:25:24,120 --> 00:25:27,100 +الشمال؟ الشمال بيلفه على اليمين، بنجي بنقيم المريض + +291 +00:25:27,100 --> 00:25:29,900 +في حالة في غيبوبة، المريض بيكون بالله يعنيه لفين + +292 +00:25:29,900 --> 00:25:33,700 +على اليمين ال eyes وال head، بنقول the patient + +293 +00:25:33,700 --> 00:25:36,580 +is locked to the lesion، المريض في غيبوبة، هو قاعد + +294 +00:25:36,580 --> 00:25:39,720 +بيطلع على ال lesion تبعه؟ لأ، بس احنا عشان سهل نقول + +295 +00:25:39,720 --> 00:25:43,400 +the patient is locked to the lesion، ليه؟ لأنه تضرر + +296 +00:25:43,400 --> 00:25:46,970 +على اليمين، ما بيقدر يلفه على اليسار، ضايق + +297 +00:25:46,970 --> 00:25:49,410 +ال hemisphere من اليسار بيلفه على اليمين، بتلاحظ + +298 +00:25:49,410 --> 00:25:56,630 +المريض ايه، بيطلع عليه ال lesion، area 45 موجودة في + +299 +00:25:56,630 --> 00:26:00,030 +ال inferior frontal gyrus in dominant hemisphere + +300 +00:26:00,030 --> 00:26:04,910 +في السائد، وظيفتها writing الكتابة، لو حدث فيها + +301 +00:26:04,910 --> 00:26:09,870 +damage تعملنا مصطلح اسمه agraphia لا يستطيع + +302 +00:26:09,870 --> 00:26:15,640 +الكتابة، لا يستطيع الكتابة، broca’s area، جانبها area + +303 +00:26:15,640 --> 00:26:20,460 +44 موجودة في ال inferior frontal gyrus in dominant + +304 +00:26:20,460 --> 00:26:25,580 +hemisphere، وظيفتها motor center of speech، لو حدث + +305 +00:26:25,580 --> 00:26:31,120 +مع المريض مشكلة damage، trauma، جلطة، بيحدث عندهم + +306 +00:26:31,120 --> 00:26:36,750 +حاجة اسمها حبسة كلامية حركية motor أو broca’s أو + +307 +00:26:36,750 --> 00:26:40,650 +verbal aphasia، راح نتكلم عنها في سنة رابعة إن شاء + +308 +00:26:40,650 --> 00:26:45,730 +الله، حبسة كلامية ايه؟ حركية، وفي prefrontal area + +309 +00:26:45,730 --> 00:26:51,290 +area 9 و10 و11 و12، هذول موجودين في ال anterior + +310 +00:26:51,290 --> 00:26:55,520 +pole وظيفتهم higher center of memory, + +311 +00:26:55,980 --> 00:26:59,980 +orientation, thinking, and intelligence، لو حدث فيهم + +312 +00:26:59,980 --> 00:27:06,820 +مشكلة قد يسبب فينا الهو amnesia فقدان الذاكرة أو + +313 +00:27:06,820 --> 00:27:13,270 +حاجة اسمها dementia خرف، dementia هذه الأعراض اللي + +314 +00:27:13,270 --> 00:27:18,430 +ممكن تحدث عن ال frontal lobe في حال حدث عندهم + +315 +00:27:18,430 --> 00:27:22,870 +damage أو stroke أو trauma، واضح عندي هذه ال area 4 + +316 +00:27:22,870 --> 00:27:26,570 +اللي علاقتها بال motor area 6 اللي علاقتها بال + +317 +00:27:26,570 --> 00:27:30,130 +extrapyramidal، area 8 بس هنا خطأ في الصورة حاطهم + +318 +00:27:30,130 --> 00:27:33,090 +فوق في ال superior هي المفروض تكون في ال middle + +319 +00:27:33,090 --> 00:27:38,300 +اللي تحت شوية هنا، المفروض تكون area 8، اقري 44 اللي + +320 +00:27:38,300 --> 00:27:44,140 +مسئولة عن النطق والكلام، اقري 45 مسئولة عن الكتابة و + +321 +00:27:44,140 --> 00:27:48,340 +10 و9 أو 10 أو 11 هذول اللي هم علاقتها بال + +322 +00:27:48,340 --> 00:27:52,080 +intelligence وال memory وال thinking والتفكير وكل + +323 +00:27:52,080 --> 00:28:00,440 +شيء، الآن نتكلم على important sulci of the + +324 +00:28:00,440 --> 00:28:09,120 +parietal lobe، ال parietal lobe لها postcentral + +325 +00:28:09,120 --> 00:28:17,440 +sulcus و intraparietal sulcus، سهلين الاثنين، أول واحد + +326 +00:28:17,440 --> 00:28:24,260 +اسمه postcentral sulcus والثاني intraparietal + +327 +00:28:24,260 --> 00:28:30,420 +sulcus، نرسمهم، هاي عندي temporal lobe تحت، هذا اسمه lateral + +328 +00:28:30,420 --> 00:28:34,400 +fissure أو lateral sulcus وهنا عندي + +329 +00:28:37,500 --> 00:28:41,460 +central sulcus، تقريبا بيجينا ال parietal and + +330 +00:28:41,460 --> 00:28:45,980 +occipital sulcus، معانا يكون واضح أكثر في ال medial + +331 +00:28:45,980 --> 00:28:51,360 +أو في ال medial surface، هذا عندي اللي هو frontal + +332 +00:28:51,360 --> 00:28:57,120 +lobe، frontal lobe اللي هي أنا عندي parietal lobe + +333 +00:28:57,120 --> 00:29:01,000 +هذه اسمها parietal lobe، أنا واضح عندي parietal + +334 +00:29:01,000 --> 00:29:06,770 +lobe وهذه frontal lobe، في ال parietal lobe راح + +335 +00:29:06,770 --> 00:29:14,930 +نتكلم عن ال sulci اسمه post central sulcus، post + +336 +00:29:14,930 --> 00:29:20,390 +خلف central sulcus و intra parietal sulcus وداخل + +337 +00:29:20,390 --> 00:29:23,770 +ال parietal وداخل ايش ال parietal، هدول راح + +338 +00:29:23,770 --> 00:29:33,190 +يقسمولنا ال parietal lobe ل post central gyrus + +339 +00:29:34,290 --> 00:29:40,490 +و superior parietal gyrus و inferior parietal + +340 +00:29:40,490 --> 00:29:45,010 +gyrus سهلين مش صعبين، ال post central بين ال + +341 +00:29:45,010 --> 00:29:47,970 +central وال post central sulcus، ال superior + +342 +00:29:47,970 --> 00:29:52,130 +parietal above ال intra parietal sulcus وال + +343 +00:29:52,130 --> 00:29:55,990 +inferior parietal تحت ال intra parietal sulcus وعشان + +344 +00:29:55,990 --> 00:30:01,390 +خاطر الدكتورة نحفظ حاجتين، supramarginal area + +345 +00:30:02,380 --> 00:30:07,120 +بتيجي في ال upper end of lateral sulcus، supra + +346 +00:30:07,120 --> 00:30:13,260 +marginal area أو gyrus، supramarginal gyrus، اثنين + +347 +00:30:13,260 --> 00:30:21,080 +صح، area صح و gyrus صح و angular + +348 +00:30:21,080 --> 00:30:29,240 +gyrus بيجي في ال upper end of superior + +349 +00:30:30,330 --> 00:30:34,290 +temporal sulcus، لسه ما أخذناهوش، في ال upper end of + +350 +00:30:34,290 --> 00:30:40,650 +superior temporal sulcus، يبقى عندي كام area في ال + +351 +00:30:40,650 --> 00:30:48,930 +parietal lobe؟ في عندي five areas important، pre أو + +352 +00:30:48,930 --> 00:30:54,870 +post، post central gyrus موجودة بين اللي هو central + +353 +00:30:54,870 --> 00:30:59,230 +sulcus و post central، superior parietal هي superior + +354 +00:30:59,230 --> 00:31:04,190 +parietal above intraparietal sulcus و inferior + +355 +00:31:04,190 --> 00:31:07,870 +parietal هي inferior parietal below ال + +356 +00:31:07,870 --> 00:31:11,310 +intraparietal sulcus و supramarginal هي supra + +357 +00:31:11,310 --> 00:31:15,690 +marginal gyrus موجودة في ال upper end of lateral + +358 +00:31:15,690 --> 00:31:23,310 +fissure و angular area في ال upper end of superior + +359 +00:31:23,310 --> 00:31:27,510 +temporal sulcus، هيك بيكون أنا شرحت ال parietal lobe + +360 +00:31:27,510 --> 00:31:36,530 +من ناحية ايه anatomy من ناحية ايه anatomy اللي + +361 +00:31:36,530 --> 00:31:42,520 +بتكلم على ال functional area of the parietal lobe، أول + +362 +00:31:42,520 --> 00:31:47,340 +شيء primary sensory area area 1 2 3 موجودة + +363 +00:31:47,340 --> 00:31:51,520 +في ال postcentral gyrus، وظيفتها perception of + +364 +00:31:51,520 --> 00:31:55,200 +cortical أو somatic sensation from opposite side + +365 +00:31:55,200 --> 00:32:01,620 +هذه لو حدث فيها damage تعملنا contralateral + +366 +00:32:01,620 --> 00:32:07,120 +hemihypoesthesia، + +367 +00:32:09,110 --> 00:32:12,630 +أو إذا كان complete تعمل anesthesia + +368 +00:32:15,110 --> 00:32:20,250 +تمام، area 1 2 3، area 5 7 موجودة في ال superior + +369 +00:32:20,250 --> 00:32:25,330 +parietal gyrus، وظيفتها knowing the meaning of + +370 +00:32:25,330 --> 00:32:30,890 +sensation felt، أنا بحس الشيء بيدي تمام بدون نظر و + +371 +00:32:30,890 --> 00:32:35,610 +بقول هذه 5 شكل هذه 10 شكل هذه 2 شكل، باللمس أو بمسك + +372 +00:32:35,610 --> 00:32:39,870 +شيء بدون ما أشوفه بعيني بقول هذا جلم حتى أن بقدر + +373 +00:32:39,870 --> 00:32:43,870 +أحدد texture of material، مصنوع من خشب، من plastic، + +374 +00:32:43,870 --> 00:32:48,710 +من حديد أو metallic، ال angular هذه وظيفتها ال area + +375 +00:32:48,710 --> 00:32:51,050 +5 7 زي ما قلنا stereognosis، ايش + +376 +00:32:51,050 --> 00:32:55,210 +stereognosis، knowing the meaning of the sensation + +377 +00:32:55,210 --> 00:33:01,810 +felt، لو حد تضررت فيها بسببنا stereognosis يعني + +378 +00:33:01,810 --> 00:33:08,330 +عدم معرفة، angular area أو angular gyrus موجودة في + +379 +00:33:08,330 --> 00:33:12,310 +ال upper end of superior temporal sulcus في ال dominant + +380 +00:33:12,310 --> 00:33:16,490 +hemisphere، وظيفتها visual psychic area، recognition + +381 +00:33:16,490 --> 00:33:20,410 +of letters and numbers، لو حدث مشكلة فيها كان أنا + +382 +00:33:20,410 --> 00:33:23,970 +لو حدث عندي ما أقدرش أقرا محاضرة، ما أقدرش أعرف الأحرف + +383 +00:3 + +401 +00:34:54,070 --> 00:34:58,370 +و area 39 في الـ upper end of superior temporal + +402 +00:34:58,370 --> 00:35:04,790 +sulcus هنا ننتهي من الجزء الأول من المحاضرة وإن + +403 +00:35:04,790 --> 00:35:07,610 +شاء الله في الجزء الثاني راح أشرحلكم الـ temporal + +404 +00:35:07,610 --> 00:35:11,380 +loop و occipital loop و white matter of the + +405 +00:35:11,380 --> 00:35:13,800 +cerebral hemisphere يعطيكم فكرة عامة diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/j4jUjKaWiyM_postprocess.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/j4jUjKaWiyM_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..f0484f572951a34c77408e67366560453ca05919 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/j4jUjKaWiyM_postprocess.srt @@ -0,0 +1,1620 @@ +1 +00:00:04,930 --> 00:00:07,630 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:07,630 --> 00:00:12,130 +وبركاته محاضرة الأسبوع الثاني ستكون على anatomy + +3 +00:00:12,130 --> 00:00:19,170 +and physiology of cerebral hemispheres the + +4 +00:00:19,170 --> 00:00:25,840 +cranial fossathe cranial fossa is divided into + +5 +00:00:25,840 --> 00:00:30,580 +three fossa + +6 +00:00:30,580 --> 00:00:36,740 +anterior cranial fossa middle cranial fossa و + +7 +00:00:36,740 --> 00:00:41,260 +posterior cranial fossa في ال anterior cranial + +8 +00:00:41,260 --> 00:00:45,420 +fossa بيكون عندنا موجود frontal loopفي الـ middle + +9 +00:00:45,420 --> 00:00:50,160 +cranial fossa بيكون عندي موجود اللي هو temporal + +10 +00:00:50,160 --> 00:00:54,120 +loop و ال posterior cranial fossa بيكون occipital + +11 +00:00:54,120 --> 00:01:03,160 +loop, cerebellum and brain stem morphological + +12 +00:01:03,160 --> 00:01:09,140 +subdivisions of the brain the brain is contains + +13 +00:01:09,140 --> 00:01:12,360 +about one trillion cells + +14 +00:01:15,180 --> 00:01:19,800 +100 مليون نيرون و 900 مليون نيروجليال نيروجليال + +15 +00:01:19,800 --> 00:01:29,460 +تسعة أضعاف الوزن الدماغي هو حوالي 1200 جرام لحد + +16 +00:01:29,460 --> 00:01:34,840 +1500 جرام يعني أن الوزن بتاع الدماغ من كيلو متين + +17 +00:01:34,840 --> 00:01:38,200 +لكيلو خمسمية وهذا لا يعني أن كل ما كبر المخ كل ما + +18 +00:01:38,200 --> 00:01:42,280 +كان فالتة أما في ناس مخ كيلو متين وماشاء الله + +19 +00:01:42,280 --> 00:01:47,740 +عليهمthe brain reached full size about 18 years + +20 +00:01:47,740 --> 00:01:52,700 +يعني الآن انتوا عمركم فوق الثمانتاش اليوم عمركم + +21 +00:01:52,700 --> 00:01:55,520 +عشرين و واحد و عشرين سنة و واحد و عشرين سنة تقريبا + +22 +00:01:55,520 --> 00:02:00,600 +يعني كفة لعندكوا الدماغ مية لمية ماحدش يقول تحملني + +23 +00:02:00,600 --> 00:02:03,240 +يا دكتور انا الساعة ال brain عندى في ال + +24 +00:02:03,240 --> 00:02:07,720 +development ماشي لأ لعندكوا ال brain تمام ووصل + +25 +00:02:07,720 --> 00:02:10,540 +للوزن و للحجم الطبيعي + +26 +00:02:12,620 --> 00:02:18,880 +brain contains cerebra cerebellum + +27 +00:02:18,880 --> 00:02:23,560 +diencephalon and brain stem ان شاء الله في + +28 +00:02:23,560 --> 00:02:28,960 +المحاضرة اليوم راح اتكلم عن cerebrum في المحاضرة + +29 +00:02:28,960 --> 00:02:33,300 +القادمة راح اتكلم على cerebellum with diencephalon + +30 +00:02:33,300 --> 00:02:38,420 +and basal nuclei وفي المحاضرة راح تكون على brain + +31 +00:02:38,420 --> 00:02:44,520 +stemcerebrum it is the largest part of the brain + +32 +00:02:44,520 --> 00:02:50,040 +يعني المخ الدماغ بتكون من مخ مخاخ الcerebrum هو + +33 +00:02:50,040 --> 00:02:56,690 +المخ it is largest part of the brainlocated above + +34 +00:02:56,690 --> 00:03:01,650 +Tentorium cerebelli and orbit تقع فوق Tentorium + +35 +00:03:01,650 --> 00:03:04,070 +cerebelli تقع فوق Tentorium cerebelli تقع فوق + +36 +00:03:04,070 --> 00:03:07,450 +Tentorium cerebelli تقع فوق Tentorium cerebelli + +37 +00:03:07,450 --> 00:03:07,570 +تقع فوق Tentorium cerebelli تقع فوق Tentorium + +38 +00:03:07,570 --> 00:03:07,590 +cerebelli تقع فوق Tentorium cerebelli تقع فوق + +39 +00:03:07,590 --> 00:03:08,370 +تقع فوق Tentorium cerebelli تقع فوق Tentorium + +40 +00:03:08,370 --> 00:03:10,990 +cerebelli تقع فوق Tentorium cerebelli تقع فوق + +41 +00:03:10,990 --> 00:03:11,030 +Tentor + +42 +00:03:19,160 --> 00:03:23,700 +السيرابران يتكوّن من اتسابقات عقلية عقلية عقلية + +43 +00:03:23,700 --> 00:03:30,400 +عقلية عقلية عقلية عقلية عقليةالسيرابللم كمية كبيرة + +44 +00:03:30,400 --> 00:03:37,320 +لعقل تشو موجودة في الـ posterior cranial fossa تحت + +45 +00:03:37,320 --> 00:03:41,820 +الـ Tentorium cerebelli يعني السيرابللم يعتبر + +46 +00:03:41,820 --> 00:03:46,700 +supra-tentorial والسيرابللم يعتبر infra-tentorial + +47 +00:03:46,700 --> 00:03:52,960 +والسيرابللم يكون خلف الـ fourth ventricle وعقل + +48 +00:03:52,960 --> 00:03:56,000 +العقل دينسفلون + +49 +00:03:57,350 --> 00:04:01,270 +it is located between the lower part of two + +50 +00:04:01,270 --> 00:04:06,730 +cerebral hemispheres and above the midbrain + +51 +00:04:06,730 --> 00:04:11,310 +brainstem is part of the brain اللي هو الجدعو + +52 +00:04:11,310 --> 00:04:15,850 +الدماغ جدعو الدماغ part of the brain located below + +53 +00:04:15,850 --> 00:04:20,410 +the encephalon and in front of the cerebellum في + +54 +00:04:20,410 --> 00:04:26,820 +حال مات ال brainstem مات الإنسانفي حال حدث death + +55 +00:04:26,820 --> 00:04:33,400 +لل brainstem نتكلم على brain death موت دماغي و + +56 +00:04:33,400 --> 00:04:36,840 +الإنسان لا رجعة إلى الحياة إذا مات ال brainstem + +57 +00:04:36,840 --> 00:04:41,340 +جدر الدماغ مثل الشجرة إذا مات جدر الشجرة لا حياة + +58 +00:04:41,340 --> 00:04:46,980 +للشجرة مش راح تستمر في النمو هذه الشجرة is the + +59 +00:04:46,980 --> 00:04:50,860 +part of the brain located below the encephalon and + +60 +00:04:50,860 --> 00:04:56,100 +in front of the cerebellumconnected the cerebellum + +61 +00:04:56,100 --> 00:05:00,620 +by three pairs of cerebellar peduncles وبيرتبط مع + +62 +00:05:00,620 --> 00:05:03,960 +الcerebellum عن طريق three cerebellar peduncles + +63 +00:05:03,960 --> 00:05:07,740 +superior cerebellar peduncles middle cerebellar + +64 +00:05:07,740 --> 00:05:11,940 +peduncles and inferior cerebellar peduncles right + +65 +00:05:11,940 --> 00:05:17,440 +and leftconnected with two cerebral hemispheres + +66 +00:05:17,440 --> 00:05:22,260 +and spinal cord وهو يعتبر حلقة واصل ما بين spinal + +67 +00:05:22,260 --> 00:05:27,340 +cord من تحت مع الcerebrum من فوق ومن الخلف بيكون + +68 +00:05:27,340 --> 00:05:33,920 +مع ال cerebellum it contains three parts from + +69 +00:05:33,920 --> 00:05:40,240 +below upward من تحت لفوق medulla oblongata pons + +70 +00:05:40,240 --> 00:05:43,300 +and midbrain + +71 +00:05:46,270 --> 00:05:52,030 +هي عندي cerebellum + +72 +00:05:52,030 --> 00:06:02,570 +هنا بيكون centaurium cerebelli هذي right cerebral + +73 +00:06:02,570 --> 00:06:06,930 +hemisphere هذا ال brain السم يدل أبلانجاتا + +74 +00:06:09,270 --> 00:06:16,570 +medibrain وهنا بيكون عندي ايه دينسيفلون وهذه + +75 +00:06:16,570 --> 00:06:21,250 +كوربوسكالوزوم تربط ال right و left cerebral + +76 +00:06:21,250 --> 00:06:24,870 +hemispheres هذا ال fourth ventricle + +77 +00:06:37,640 --> 00:06:43,720 +عندي ميدالة أبلانجاتا Pons and Midbrain هاي + +78 +00:06:43,720 --> 00:06:47,980 +cerebral hemisphere Corpus callosum داينستفرام + +79 +00:06:47,980 --> 00:06:53,620 +بيجي في المكان هذا Midbrain Pons and ميدالة + +80 +00:06:53,620 --> 00:06:57,180 +أبلانجاتا خلف ال brain stem بيكون عندي فيه + +81 +00:06:57,180 --> 00:07:00,940 +cerebellum بفصل بين ال cerebellum و ال cerebrum شي + +82 +00:07:00,940 --> 00:07:05,950 +اسمه Tentorium cerebelliاليوم نتكلم عن الـ + +83 +00:07:05,950 --> 00:07:11,670 +Cerebrum أو الهيمسفير الهيمسفير الهيمسفير يحتوى + +84 +00:07:11,670 --> 00:07:17,410 +على أكتر من الحفرة الكرنية و هي أكتر من جزء من + +85 +00:07:17,410 --> 00:07:24,270 +العقل الهيمسفر يحتوى على أكتر من حفرة كرنية و هي + +86 +00:07:24,270 --> 00:07:29,670 +أكتر من حفرة كرنيةو الـ both cerebral hemispheres + +87 +00:07:29,670 --> 00:07:34,170 +بينهم فاصل او separation اسمه longitudinal او + +88 +00:07:34,170 --> 00:07:39,410 +median longitudinal fissure يبقى في عندي cerebrum + +89 +00:07:39,410 --> 00:07:44,890 +بتكون من two cerebral hemispheres الفاصل ما بينهم + +90 +00:07:44,890 --> 00:07:49,470 +fissure اسمها median longitudinal fissure + +91 +00:07:51,690 --> 00:07:57,330 +و ال connection بينهم عن طريق commissural fibers و + +92 +00:07:57,330 --> 00:08:00,790 +أكتر شيء واضح أنه في الصورة بيكون في جسم الإنسان + +93 +00:08:00,790 --> 00:08:08,110 +اللي هو Corpus callosum هاي عندي right cerebral + +94 +00:08:08,110 --> 00:08:13,250 +hemisphere ترتبط مع ال left cerebral hemisphere عن + +95 +00:08:13,250 --> 00:08:19,390 +طريق شيء اسمه Corpus callosum و الفاصل ما بينهم + +96 +00:08:20,480 --> 00:08:27,800 +بيكون شئ اسمه median longitudinal fissure يبقى + +97 +00:08:27,800 --> 00:08:32,420 +الكوربوسكالوزم هو عبارة عن commercial fibers بيعمل + +98 +00:08:32,420 --> 00:08:36,160 +connection between right and left cerebral + +99 +00:08:36,160 --> 00:08:39,660 +hemispheres كام cerebral hemispheres ضننا؟ two + +100 +00:08:39,660 --> 00:08:43,340 +cerebral hemispheres right and left cerebral + +101 +00:08:43,340 --> 00:08:49,420 +hemispheres integrative function of the cerebral + +102 +00:08:49,420 --> 00:08:53,650 +cortexأول function consciousness regulation of + +103 +00:08:53,650 --> 00:08:59,650 +consciousness علاقة بالدرجة الوعي ال brain stem + +104 +00:08:59,650 --> 00:09:02,130 +reticular formation موجودين في ال brain stem + +105 +00:09:02,130 --> 00:09:06,370 +frontal temporal loop deep structures of cerebrum + +106 +00:09:06,370 --> 00:09:11,890 +هدول كلهم علاقة بالمتابعة درجة الوعي بتاعة الإنسان + +107 +00:09:12,770 --> 00:09:16,170 +Use of language اللغة و استخدام اللغة و الكلام و + +108 +00:09:16,170 --> 00:09:20,030 +النطق Speech center present in frontal and + +109 +00:09:20,030 --> 00:09:24,630 +temporal loop تسعين لخمسة وتسعين فمية من الناس ال + +110 +00:09:24,630 --> 00:09:28,390 +dominant hemisphere او السائد بيكون في هو left + +111 +00:09:28,390 --> 00:09:31,310 +cerebral hemisphere عشان هيك المرضى الناس هدول + +112 +00:09:31,310 --> 00:09:36,370 +بيكون عندهم المراكز النطق و الكلام موجودة في left + +113 +00:09:36,370 --> 00:09:41,600 +cerebral hemisphere5-10% بيكون عندهم dominant + +114 +00:09:41,600 --> 00:09:45,240 +hemisphere right cerebral hemisphere وهدول ممكن + +115 +00:09:45,240 --> 00:09:51,160 +يكونوا بيكتبوا باليد اليسرى emotion frontal and + +116 +00:09:51,160 --> 00:09:53,580 +temporal loop فيهم حاجة اسمها limbic system + +117 +00:09:53,580 --> 00:09:56,780 +العلاقة بال regulation of emotion ال emotion + +118 +00:09:56,780 --> 00:10:02,780 +العاطفة memory الذاكرة frontal و temporal loop + +119 +00:10:03,850 --> 00:10:07,850 +orientation thinking and intelligence في ال + +120 +00:10:07,850 --> 00:10:14,730 +frontal lobe هذا المخ العربي شايفين الشلة الفاسدة + +121 +00:10:14,730 --> 00:10:20,410 +ومركز الكذب والتبصبس والشك والبصريش وكلام فاضي هذا + +122 +00:10:20,410 --> 00:10:26,410 +مخ الراجل وهذه مخ المرأة العربية مركز النج الجزمة + +123 +00:10:26,410 --> 00:10:31,000 +القديمة من كثرة ما بيغير الجزميا أنا يا أمك في + +124 +00:10:31,000 --> 00:10:35,360 +البيت؟ هذا بس جيبناهم عشان إيش، اتركزوا معايا إذا + +125 +00:10:35,360 --> 00:10:38,980 +كنتوا نايمين و أنتوا بتابعوا في المحاضرة، بنكمل + +126 +00:10:38,980 --> 00:10:44,650 +محاضرتناservice of each cerebral hemisphere الـ + +127 +00:10:44,650 --> 00:10:50,670 +cerebral hemisphere له lateral service أو بنسميه + +128 +00:10:50,670 --> 00:10:54,970 +superior lateral service يعني الخارجي، السطح + +129 +00:10:54,970 --> 00:11:00,030 +الخارجي، العلوي okay medial service، السطح + +130 +00:11:00,030 --> 00:11:02,830 +الداخلي، اللي بيكون وين ال median longitudinal + +131 +00:11:02,830 --> 00:11:08,910 +الفشارة و inferior service، السطح السفلييعني هذا + +132 +00:11:08,910 --> 00:11:16,630 +يعتبر superior lateral service، هيك يعتبر medial + +133 +00:11:16,630 --> 00:11:23,230 +service، من تحت يعتبر inferior service + +134 +00:11:24,330 --> 00:11:29,250 +Poles of cerebral hemisphere الأقطاب الموجودة في + +135 +00:11:29,250 --> 00:11:32,090 +الـ cerebral hemisphere يعني إيش القطب؟ هو النهاية + +136 +00:11:32,090 --> 00:11:39,410 +الـ frontal pole القطب الأمامي يعتبر anterior end + +137 +00:11:39,410 --> 00:11:43,530 +of the frontal loop هو النهاية الأمامية للـ + +138 +00:11:43,530 --> 00:11:50,950 +frontal loop الـ temporal pole القطب السفلي هو الـ + +139 +00:11:50,950 --> 00:11:56,670 +anterior end للـ temporal loopو الـ occipital pole + +140 +00:11:56,670 --> 00:12:02,330 +هو القطب الخلفي هو الـ posterior end لمن؟ لـ + +141 +00:12:02,330 --> 00:12:06,490 +occipital loop لـ occipital loop نشوف الصورة مع + +142 +00:12:06,490 --> 00:12:12,930 +بعض هنا عندي frontal + +143 +00:12:12,930 --> 00:12:19,370 +pole هنا temporal pole وهنا + +144 +00:12:21,650 --> 00:12:25,270 +Occipital pole تمام؟ يكون هذه القطب الأمامي القطب + +145 +00:12:25,270 --> 00:12:29,530 +السفلي القطب الخلفي وهكذا هذي اللي بنسمي الأقطاع + +146 +00:12:29,530 --> 00:12:32,370 +بتاع ال cerebral hemisphere frontal pole temporal + +147 +00:12:32,370 --> 00:12:35,970 +pole و Occipital pole لو قلتكم مين هو ال anterior + +148 +00:12:35,970 --> 00:12:40,030 +pole هو راح يكون frontal pole مين هو ال inferior + +149 +00:12:40,030 --> 00:12:44,290 +pole هو راح يكون temporal pole مين هو ال posterior + +150 +00:12:44,290 --> 00:12:47,370 +pole راح يكون occipital pole وهكذا + +151 +00:12:55,190 --> 00:12:59,190 +القيت اتكلمنا عن الـ cerebrum وcerebrum بنجسم ل + +152 +00:12:59,190 --> 00:13:02,170 +two cerebral hemisphere الان راح ناخد one cerebral + +153 +00:13:02,170 --> 00:13:06,910 +hemisphere و ندرس ايش اللي داخله loops of each + +154 +00:13:06,910 --> 00:13:12,130 +cerebral hemisphere the surface of each cerebral + +155 +00:13:12,130 --> 00:13:18,110 +hemisphere is divided by three main salicytes + +156 +00:13:18,110 --> 00:13:26,830 +salcus واحد جمعه سلساية or fissuresinto four loops + +157 +00:13:26,830 --> 00:13:32,630 +يعني الcerebral hemisphere بنقسم بواسطة ال three + +158 +00:13:32,630 --> 00:13:40,570 +سلسال ل four loops طب كيف أخدوا أسماء هم ال loops + +159 +00:13:40,570 --> 00:13:45,390 +حسب أي عضمة بتقع فوقهم هم بيقعوا أو وين بيقعوا تحت + +160 +00:13:45,390 --> 00:13:51,060 +أي عضمة من الجمجمةwhich have been given the names + +161 +00:13:51,060 --> 00:13:55,880 +of the skull bone under which they lie يعني أخدوا + +162 +00:13:55,880 --> 00:14:01,300 +الاسم بتاعهم هدول ال loops حسب تحت أي عضمة بيقعوا + +163 +00:14:01,300 --> 00:14:07,380 +من الجمجمة there are four loops of cerebral + +164 +00:14:07,380 --> 00:14:16,480 +hemisphere frontal loop parietal loopTemporal loop + +165 +00:14:16,480 --> 00:14:23,680 +and occipital loop أربعة Each service of loop كل + +166 +00:14:23,680 --> 00:14:29,600 +service من ال loop نفسها لو أخدناها Divide by + +167 +00:14:29,600 --> 00:14:36,020 +سلساي بتنقسم بسلساي لجيراي يعني Cerebrum انجسم ل 2 + +168 +00:14:36,020 --> 00:14:40,100 +Cerebral Hemisphere Cerebral Hemisphere انقسم ل + +169 +00:14:40,100 --> 00:14:48,320 +loops ال loops لجيرايا و هكذاالآن نتكلم عن اهمية + +170 +00:14:48,320 --> 00:14:50,280 +صحيحة الهيمسفير الصحيح الهيمسفير الهيمسفير + +171 +00:14:50,280 --> 00:14:52,820 +الهيمسفير الهيمسفير الهيمسفير الهيمسفير الهيمسفير + +172 +00:14:52,820 --> 00:14:56,820 +الهيمسفير الهيمسفير الهيمسفير الهيمسفير الهيمسفير + +173 +00:14:56,820 --> 00:14:59,580 +الهيمسفير الهيمسفير الهيمسفير الهيمسفير الهيمسفير + +174 +00:14:59,580 --> 00:15:00,180 +الهيمسفير الهيمسفير الهيمسفير الهيمسفير الهيمسفير + +175 +00:15:00,180 --> 00:15:00,260 +الهيمسفير الهيمسفير الهيمسفير الهيمسفير الهيمسفر + +176 +00:15:00,260 --> 00:15:03,360 +الهيمسفر الهيمسفر الهيمسفر الهيمسفر الهيمسفر + +177 +00:15:03,360 --> 00:15:09,300 +الهيمسفCentral sulcus أو بنسميه Roland sulcus هذا + +178 +00:15:09,300 --> 00:15:13,800 +بيعمل separation between frontal loop in front عن + +179 +00:15:13,800 --> 00:15:18,480 +ال parietal loop behind وفي lateral fissure عشان + +180 +00:15:18,480 --> 00:15:21,320 +واسع بنسميه fissure لإنه بيمر في middle cerebral + +181 +00:15:21,320 --> 00:15:24,940 +artery lateral fissure أو lateral sulcus بيعمل + +182 +00:15:24,940 --> 00:15:31,040 +separation between temporal loop below عن ال + +183 +00:15:31,040 --> 00:15:35,290 +frontal loop و ال parietal loop aboveهذول بيكونوا + +184 +00:15:35,290 --> 00:15:37,530 +واضحين من ال lateral service of cerebral + +185 +00:15:37,530 --> 00:15:41,650 +hemisphere وفي parietal occipital sulcus بيكون في + +186 +00:15:41,650 --> 00:15:45,110 +ال medial service of cerebral hemisphere بيعمل + +187 +00:15:45,110 --> 00:15:49,230 +separation between parietal loop in front بنسمه + +188 +00:15:49,230 --> 00:15:53,930 +parietal occipital عن من عن ال occipital loop + +189 +00:15:53,930 --> 00:15:59,930 +behind تشوف مع بعض هاي هنا + +190 +00:16:02,920 --> 00:16:08,620 +median longitudinal في شهر بفصل ايه right عن ال + +191 +00:16:08,620 --> 00:16:17,640 +left cerebral hemisphere ننتقل + +192 +00:16:17,640 --> 00:16:27,000 +ل ايه ل one cerebral hemisphere هيفي عندي central + +193 +00:16:27,000 --> 00:16:30,780 +sulcus او rolland sulcus اللي بيحب الكورة بفصل ما + +194 +00:16:30,780 --> 00:16:37,240 +بينه مينfrontal loop عن ال parietal loop ال + +195 +00:16:37,240 --> 00:16:41,940 +frontal in front و ال parietal behind و في lateral + +196 +00:16:41,940 --> 00:16:47,380 +fissure او lateral sulcus تفصل بين ال frontal و ال + +197 +00:16:47,380 --> 00:16:55,660 +parietal above عن a temporal belowوعلى ال media + +198 +00:16:55,660 --> 00:16:59,820 +service بيكون في برايته occipital sulcus بتكونش + +199 +00:16:59,820 --> 00:17:02,420 +واضحة على ال natural service على ال media service + +200 +00:17:02,420 --> 00:17:08,300 +تفصل ما بين ال parietal in front عن ال occipital + +201 +00:17:08,300 --> 00:17:13,080 +behind عن ال occipital a behind هيك بيكون أنا جسمت + +202 +00:17:13,080 --> 00:17:18,060 +ال cerebral hemisphere ل four loops frontal loop + +203 +00:17:18,060 --> 00:17:22,060 +parietal loop temporal loop and occipital loop + +204 +00:17:29,910 --> 00:17:37,370 +هيها واضحة عن ال media service بفصل + +205 +00:17:37,370 --> 00:17:41,970 +ما بين parietal loop in front عن parietal loop + +206 +00:17:41,970 --> 00:17:45,070 +behind + +207 +00:17:45,070 --> 00:17:52,710 +cortical + +208 +00:17:52,710 --> 00:17:56,230 +somatotopyانتبهوا و اتكلموا في الموضوع هذا من + +209 +00:17:56,230 --> 00:18:00,470 +ناحية ال motor و من ناحية ال sensation الإنسان + +210 +00:18:00,470 --> 00:18:11,330 +بيكون في الدماغ بيكون مجلوب الرأس تحت ال + +211 +00:18:11,330 --> 00:18:15,530 +upper limbs و ال trunk في ال middle و ال lower + +212 +00:18:15,530 --> 00:18:18,830 +limbs بيكونوا أعلى هي كتركيبة الإنسان في الدماغ + +213 +00:18:18,830 --> 00:18:24,780 +بيكون ال lower limbs في الأعلى ال middlelimbs أو + +214 +00:18:24,780 --> 00:18:29,580 +ال upper limbs و ال trunk في ال middle و ال head + +215 +00:18:29,580 --> 00:18:34,100 +بيكون وين؟ في اللي هو ال lower part يعني ال upper + +216 +00:18:34,100 --> 00:18:37,900 +limbs بيكونوا في وين موجودين؟ في ال middle part طب + +217 +00:18:37,900 --> 00:18:41,500 +ال lower limbs بيكونوا في ال upper part طب ال head + +218 +00:18:41,500 --> 00:18:47,460 +في ال lower part يعني الإنسان معكوس هنا أنا head + +219 +00:18:47,460 --> 00:18:52,940 +trunk و upper limbsو ال lower limbs في الدماغ + +220 +00:18:52,940 --> 00:18:56,820 +العكس ال head بيكون تحت و ال trunk و ال upper + +221 +00:18:56,820 --> 00:18:59,880 +limbs بيكونوا في ال middle و ال lower limbs + +222 +00:18:59,880 --> 00:19:02,800 +بيكونوا في الأعلى من ناحية motor و من ناحية + +223 +00:19:02,800 --> 00:19:08,320 +sensation من ناحية motor و من ناحية sensation واضح + +224 +00:19:08,320 --> 00:19:11,660 +عندي ال sensory و ال motor ال lower limbs بيكونوا + +225 +00:19:11,660 --> 00:19:16,380 +في القمة في الأعلىالـ trunk و ال upper limbs + +226 +00:19:16,380 --> 00:19:20,400 +بيكونوا في ال middle part و ال head بيكون وين؟ في + +227 +00:19:20,400 --> 00:19:28,740 +ال lower part الآن راح اتكلم عن frontal loop اتكلم + +228 +00:19:28,740 --> 00:19:34,020 +عن ايه؟ frontal loop the important source of + +229 +00:19:34,020 --> 00:19:40,600 +frontal loop اول شي موجود precentral sulcus + +230 +00:19:42,750 --> 00:19:47,290 +precentral sulcus ت present in front of the + +231 +00:19:47,290 --> 00:19:52,370 +central sulcus، بيكون أمام ال central sulcus، و في + +232 +00:19:52,370 --> 00:19:57,200 +superior frontal sulcusPresent in front of the + +233 +00:19:57,200 --> 00:20:01,180 +precentral a sulcus ويكون في ال superior part وفي + +234 +00:20:01,180 --> 00:20:04,760 +inferior frontal sulcus كمان نفس الشيء بيكون + +235 +00:20:04,760 --> 00:20:08,280 +present in front of precentral sulcus وبيكون في ال + +236 +00:20:08,280 --> 00:20:14,160 +inferior part of a frontal + +237 +00:20:14,160 --> 00:20:19,820 +loop نجسمهم مع بعض احنا جسمناهم هاي lateral في شهر + +238 +00:20:19,820 --> 00:20:26,810 +وهي central a sulcusالان هذه هي اندي frontal lobe + +239 +00:20:26,810 --> 00:20:31,730 +راح اشرحلكوا ال frontal lobe الان ايش ال main + +240 +00:20:31,730 --> 00:20:40,530 +salicyl موجودين في ال frontal lobe موجود pre + +241 +00:20:40,530 --> 00:20:46,530 +central salcus امام ال central salcus superior + +242 +00:20:46,530 --> 00:20:55,940 +frontal salcus و inferiorfrontal sulcus هذول + +243 +00:20:55,940 --> 00:21:00,920 +بيقسمولنا ال frontal loop لغيرها بيقسمولنا ال + +244 +00:21:00,920 --> 00:21:08,380 +frontal loop لغيرها precentral + +245 +00:21:08,380 --> 00:21:15,800 +gyrus superior frontal gyrus middle frontal gyrus + +246 +00:21:15,800 --> 00:21:21,860 +inferior frontal gyrus يا سلام سهل precentral + +247 +00:21:21,860 --> 00:21:28,620 +sulcusSuperior frontal sulcus Inferior frontal + +248 +00:21:28,620 --> 00:21:33,160 +sulcus قسمولنا الـ frontal loop لجيراي الـ + +249 +00:21:33,160 --> 00:21:38,580 +Precentral gyrus Superior middle inferior frontal + +250 +00:21:38,580 --> 00:21:43,400 +gyrus نشوف الكلام هذا الـ slide القبله The + +251 +00:21:43,400 --> 00:21:49,280 +important gyri of frontal loop Precentral gyrus + +252 +00:21:49,280 --> 00:21:54,670 +لاحظوا هي الـ Precentral gyrusbetween the central + +253 +00:21:54,670 --> 00:21:58,390 +sulcus اللي هو اللي أحمر و ال precentral sulcus + +254 +00:21:58,390 --> 00:22:04,070 +superior frontal gyrus هاي superior frontal gyrus + +255 +00:22:04,070 --> 00:22:09,770 +above superior frontal sulcus أعلى لمين؟ اللي هو + +256 +00:22:09,770 --> 00:22:17,330 +superior frontal sulcus middle frontal gyrus بتقع + +257 +00:22:17,330 --> 00:22:23,460 +ما بين ال superior و ال inferior يعني التحتالـ + +258 +00:22:23,460 --> 00:22:30,260 +Superior Frontal Sulcus و أعلى من الـ Inferior + +259 +00:22:30,260 --> 00:22:35,040 +Frontal Sulcus طب أخرش هي Inferior Frontal Gyrus + +260 +00:22:35,040 --> 00:22:42,240 +بتقعد تحت اللي هو Inferior Frontal Sulcus واضح؟ هي + +261 +00:22:42,240 --> 00:22:49,170 +كأنا شرحتلكم الـ Anatomicaldivisions بتاعة ال + +262 +00:22:49,170 --> 00:22:55,050 +frontal loop وكيف قسمنا ال frontal loop لصرصاي + +263 +00:22:55,050 --> 00:23:00,490 +وجيراية نجي + +264 +00:23:00,490 --> 00:23:05,990 +ل important functional area of frontal loop هذه في + +265 +00:23:05,990 --> 00:23:11,670 +physiological classification في area رقم 4 هي + +266 +00:23:11,670 --> 00:23:14,290 +primary motor + +267 +00:23:15,530 --> 00:23:19,950 +area موجودة في الـ Precentral Gyrus وظيفتها + +268 +00:23:19,950 --> 00:23:23,750 +voluntary motor activity of opposite half of the + +269 +00:23:23,750 --> 00:23:29,290 +body يعني اليمنى تتحكم في حركة اليسرى و اليسرى + +270 +00:23:29,290 --> 00:23:35,430 +تتحكم في جهة اليمنى يعني لو حدث لنا جلطة دماغية في + +271 +00:23:35,430 --> 00:23:40,830 +ال right area for right area for بيحدث عن المريض + +272 +00:23:40,830 --> 00:23:50,240 +left sideHemeblegia شلال في الجهة اليسرى أو + +273 +00:23:50,240 --> 00:23:56,040 +Hemiparesis Hemiparesis يعني partial paralysis + +274 +00:23:56,040 --> 00:24:03,200 +شلال جزئي Hemiblegia شلال نصفي كاملSecondary motor + +275 +00:24:03,200 --> 00:24:07,940 +area رقم ستة بتكون أمام precentral gyrus اللي + +276 +00:24:07,940 --> 00:24:12,700 +علاقة بالـ extrapyramidal fibers لو حدث إلها + +277 +00:24:12,700 --> 00:24:17,940 +damage تعملنا hyperreflexia + +278 +00:24:17,940 --> 00:24:28,420 +of deep tendon reflexes وزائد hypertonia + +279 +00:24:29,300 --> 00:24:31,760 +مسكولر هايبارتونيا + +280 +00:24:40,720 --> 00:24:45,700 +طيب frontal eye conjugate center area تمانية + +281 +00:24:45,700 --> 00:24:49,840 +موجودة في ال middle frontal gyrus وظيفتها + +282 +00:24:49,840 --> 00:24:54,120 +voluntary conjugate deviation of eyes to opposite + +283 +00:24:54,120 --> 00:24:58,060 +side يا سلام يعني أنا بدى أطلع على جهة اليمنى حركت + +284 +00:24:58,060 --> 00:25:01,480 +راسي وعينيه على اليمين مين حركهم؟ area تمانية على + +285 +00:25:01,480 --> 00:25:05,080 +اليسار بدى نطلع على الشمال هنا طلعت على الشمال على + +286 +00:25:05,080 --> 00:25:09,090 +البابحركت رأسي و عيناي على الشمال، من حركهم؟ area + +287 +00:25:09,090 --> 00:25:13,710 +8 على اليمين، كويس، طب لو حدث مريض عنده جلطة دماغي + +288 +00:25:13,710 --> 00:25:20,130 +على اليمين في area 8، جلطة في اليمين، destruction، + +289 +00:25:20,130 --> 00:25:24,120 +بيقدر يلف حاله على الشمال؟ بيقدرشمين ضال سليم عنده + +290 +00:25:24,120 --> 00:25:27,100 +الشمال؟ الشمال بيلفه على اليمين، بنجي بنقيم المريض + +291 +00:25:27,100 --> 00:25:29,900 +في كومة في غيبوبة، المريض بيكون بالله يعنيه لفين + +292 +00:25:29,900 --> 00:25:33,700 +على اليمين ال eyes و ال head، بنقول the patience + +293 +00:25:33,700 --> 00:25:36,580 +is locks to the lesion المريض في غيبوبة، هو قاعد + +294 +00:25:36,580 --> 00:25:39,720 +بطلع على ال lesion تبعه؟ لأ، بس احنا عشان سهل نقول + +295 +00:25:39,720 --> 00:25:43,400 +the patience is locks to the lesion، ليه؟ لأنه دمج + +296 +00:25:43,400 --> 00:25:46,970 +على اليمين، مابيقدر يلفه على اليسارضايق + +297 +00:25:46,970 --> 00:25:49,410 +الاندوسليني من اليسار بيلفه على اليمين بتلاحظ + +298 +00:25:49,410 --> 00:25:56,630 +المريض ايه بتطلع عليه ال lesion area 45 موجودة في + +299 +00:25:56,630 --> 00:26:00,030 +ال inferior frontal gyrus in dominant hemisphere + +300 +00:26:00,030 --> 00:26:04,910 +في السائد وظيفتها writing الكتابة لو حدث فيها + +301 +00:26:04,910 --> 00:26:09,870 +damage تعملنا مصطلح اسمه agraphia لا يستطيع + +302 +00:26:09,870 --> 00:26:15,640 +الكتابة لا يستطيع الكتابةبروكاس ايريا جانبها ايريا + +303 +00:26:15,640 --> 00:26:20,460 +44 موجودة في ال inferior frontal gyrus in dominant + +304 +00:26:20,460 --> 00:26:25,580 +hemisphere وظيفتها motor center of speech لو حدث + +305 +00:26:25,580 --> 00:26:31,120 +مع المريض مشكلة damage trauma جلطة بيحدث عندهم + +306 +00:26:31,120 --> 00:26:36,750 +حاجة اسمها حبسة كلامية حركية motorأو بروكاس أو + +307 +00:26:36,750 --> 00:26:40,650 +verbal aphasia راح نتكلم عنها في سنة رابعة ان شاء + +308 +00:26:40,650 --> 00:26:45,730 +الله حابسة كلامية إيه؟ حركية و في prefrontal area + +309 +00:26:45,730 --> 00:26:51,290 +area 9 و 10 و 11 و 12 هذول موجودين في ال anterior + +310 +00:26:51,290 --> 00:26:55,520 +pole و وظيفتهم higher centerof memory, + +311 +00:26:55,980 --> 00:26:59,980 +orientation, thinking and intelligence لو حدث فيهم + +312 +00:26:59,980 --> 00:27:06,820 +مشكلة قد يسبب فينا الهو amnesia فقدان الذاكرة أو + +313 +00:27:06,820 --> 00:27:13,270 +حاجة اسمها dementia خرفDementia هذه الأعراض اللي + +314 +00:27:13,270 --> 00:27:18,430 +ممكن تحدث عن ال frontal lobe في حال حدث عندهم + +315 +00:27:18,430 --> 00:27:22,870 +damage او stroke او trauma واضح عندي هذه ال area 4 + +316 +00:27:22,870 --> 00:27:26,570 +اللي علاقة بال motor area 6 اللي علاقة بال + +317 +00:27:26,570 --> 00:27:30,130 +extrapyramidal area 8 بس هنا خطأ في الصورة حطهم + +318 +00:27:30,130 --> 00:27:33,090 +فوق في ال superior هي المفروض تكون في ال middle + +319 +00:27:33,090 --> 00:27:38,300 +اللي تحت شوية هنا المفروض تكون area 8اقري 44 اللي + +320 +00:27:38,300 --> 00:27:44,140 +مسئول عن النطق والكلام اقري 45 مسئول عن الكتابة و + +321 +00:27:44,140 --> 00:27:48,340 +10 و 9 او 10 او 11 هذول اللي هم علاقة بال + +322 +00:27:48,340 --> 00:27:52,080 +intelligence و ال memory و ال thinking و التفكير و + +323 +00:27:52,080 --> 00:28:00,440 +كل شيء الان اتكلم على important salsa of the + +324 +00:28:00,440 --> 00:28:09,120 +parietal loop ال parietal loopالها postcentral + +325 +00:28:09,120 --> 00:28:17,440 +sulcus و intraparietal sulcus سهلين تنين أول واحد + +326 +00:28:17,440 --> 00:28:24,260 +اسمه postcentral sulcus والثاني intraparietal + +327 +00:28:24,260 --> 00:28:30,420 +نرسمهم هاي عندى temporal loop تحت هذا اسمه lateral + +328 +00:28:30,420 --> 00:28:34,400 +fissure او lateral sulcus وهنا عندى + +329 +00:28:37,500 --> 00:28:41,460 +central sulcus تقريبا بيجينا ال parietal and + +330 +00:28:41,460 --> 00:28:45,980 +occipital sulcus معالنا يكون واضح اكتر في ال media + +331 +00:28:45,980 --> 00:28:51,360 +او في ال media service هذا عندي اللي هو frontal + +332 +00:28:51,360 --> 00:28:57,120 +loop frontal loop اللي هي انا عندي parietal loop + +333 +00:28:57,120 --> 00:29:01,000 +هذه اسمها parietal loop انا واضح عندي parietal + +334 +00:29:01,000 --> 00:29:06,770 +loop وهذه frontal loop في ال parietal loopراح + +335 +00:29:06,770 --> 00:29:14,930 +نتكلم عن الـ sulcus اسمه post central sulcus post + +336 +00:29:14,930 --> 00:29:20,390 +خلف central sulcus و intra parietal sulcus وداخل + +337 +00:29:20,390 --> 00:29:23,770 +ال parietal وداخل إيش ال parietal هدول راح + +338 +00:29:23,770 --> 00:29:33,190 +يجسمولنا ال parietal loop ل post central gyrus + +339 +00:29:34,290 --> 00:29:40,490 +و superior parietal gyrus و inferior parietal + +340 +00:29:40,490 --> 00:29:45,010 +gyrus سهلين مش صعبين ال post central بين ال + +341 +00:29:45,010 --> 00:29:47,970 +central و ال post central سلكس ال superior + +342 +00:29:47,970 --> 00:29:52,130 +parietal above ال intra parietal سلكس و ال + +343 +00:29:52,130 --> 00:29:55,990 +inferior parietal تحت ال intra parietal سلكس وعشان + +344 +00:29:55,990 --> 00:30:01,390 +خاطر الدكتورية نحفظ حاجتين super marginal area + +345 +00:30:02,380 --> 00:30:07,120 +بتيجي في ال upper end of lateral sulcus super + +346 +00:30:07,120 --> 00:30:13,260 +marginal area أو غيرس، super marginal غيرس، ثنين + +347 +00:30:13,260 --> 00:30:21,080 +صح، area صح و غيرس صح و angular + +348 +00:30:21,080 --> 00:30:29,240 +غيرس بيجي في ال upper end of superior + +349 +00:30:30,330 --> 00:30:34,290 +temporal sulcus لسه مااخدناهوش في ال upper end of + +350 +00:30:34,290 --> 00:30:40,650 +superior temporal sulcus يبقى عندي كام area في ال + +351 +00:30:40,650 --> 00:30:48,930 +parietal loop في عندي five area important pre أو + +352 +00:30:48,930 --> 00:30:54,870 +post post central gyrus موجودة بين اللي هو central + +353 +00:30:54,870 --> 00:30:59,230 +sulcus و post centralsuperior parietal هي superior + +354 +00:30:59,230 --> 00:31:04,190 +parietal above intraparietal sulcus و inferior + +355 +00:31:04,190 --> 00:31:07,870 +parietal هي inferior parietal below ال + +356 +00:31:07,870 --> 00:31:11,310 +intraparietal sulcus و super marginal هي super + +357 +00:31:11,310 --> 00:31:15,690 +marginal gyrus موجودة في ال upper end of lateral + +358 +00:31:15,690 --> 00:31:23,310 +fissure و angular area في ال upper end ofsuperior + +359 +00:31:23,310 --> 00:31:27,510 +temporal sulcus هيك بيكون انا شراحت البرايتال لوب + +360 +00:31:27,510 --> 00:31:36,530 +من ناحية ايه anatomy من ناحية ايه anatomy اللي + +361 +00:31:36,530 --> 00:31:42,520 +بتكلم على ال functional area of البرايتال لوبأول + +362 +00:31:42,520 --> 00:31:47,340 +شي primary sensory area area one two three موجودة + +363 +00:31:47,340 --> 00:31:51,520 +في ال postcentral gyrus واضفتها perception of + +364 +00:31:51,520 --> 00:31:55,200 +cortical أو somatic sensation from opposite side + +365 +00:31:55,200 --> 00:32:01,620 +هذه لو حدث فيها damage تعملنا Contralateral + +366 +00:32:01,620 --> 00:32:07,120 +Hemihepoesthesia + +367 +00:32:09,110 --> 00:32:12,630 +أو إذا كان complete تعمل anesthesia + +368 +00:32:15,110 --> 00:32:20,250 +تمام area 123 area 57 موجودة في ال superior + +369 +00:32:20,250 --> 00:32:25,330 +parietal gyrus وضيفتها knowing the meaning of + +370 +00:32:25,330 --> 00:32:30,890 +sensation felt انا بحس الشيء بيدي تمام بدون نظر و + +371 +00:32:30,890 --> 00:32:35,610 +بقول هذه 5 شكل هذه 10 شكل هذه 2 شكل باللمس او بمسك + +372 +00:32:35,610 --> 00:32:39,870 +شيء بدون ما اشوفه بعيني بقول هذا جلم حتى ان بقدر + +373 +00:32:39,870 --> 00:32:43,870 +احدد texture of material مصنوع من خشب من plastic + +374 +00:32:43,870 --> 00:32:48,710 +من حديد او metallicالانجولار هذه وضفتها ال area + +375 +00:32:48,710 --> 00:32:51,050 +خمس وسبعة زي ما قلنا استيريوجناصيز ايش + +376 +00:32:51,050 --> 00:32:55,210 +استيريوجناصيز knowing the meaning of the sensation + +377 +00:32:55,210 --> 00:33:01,810 +field لو حد تدمج فيها بسببنا استيريوجناصيز يعني + +378 +00:33:01,810 --> 00:33:08,330 +عدم معرفةAngular area أو angular gyrus موجودة في + +379 +00:33:08,330 --> 00:33:12,310 +ال upper end of temporal sulcus في ال dominant + +380 +00:33:12,310 --> 00:33:16,490 +hemisphere وضفتها visual psychic area recognition + +381 +00:33:16,490 --> 00:33:20,410 +of letters and numbers لو حدث مشكلة فيها كان انا + +382 +00:33:20,410 --> 00:33:23,970 +لو حدث اندي ماقدرش اقرا محاضرة ماقدرش اعرف الأحرف + +383 +00:33:23,970 --> 00:33:30,790 +والأرقام بسبب حاجة اسمها Alexia مابيقدرش يحضر ولا + +384 +00:33:30,790 --> 00:33:36,340 +يعطي lecturesو آخر شي Supramarginal Area Area 40 + +385 +00:33:36,340 --> 00:33:42,600 +موجودة في ال upper end of lateral fissure في ال + +386 +00:33:42,600 --> 00:33:45,880 +dominant hemisphere هذه وظيفته associative area + +387 +00:33:45,880 --> 00:33:49,600 +and center for complex movement راح ناخدها في سنة + +388 +00:33:49,600 --> 00:33:54,240 +رابعة لو حدث مشكلة فيها بتعملنا شي اسمه apraxia + +389 +00:33:54,240 --> 00:33:58,240 +وزائد jargons + +390 +00:34:02,070 --> 00:34:06,590 +أفيزيا احنا في الحالة هذه المركز اللي علاقة بعملية + +391 +00:34:06,590 --> 00:34:11,010 +الربط في الدماغ لو حدث stroke جلطة دماغية المريض + +392 +00:34:11,010 --> 00:34:15,850 +بيفقد عملية الربط في الكلام بيتكلم بلغة بشبه لغة + +393 +00:34:15,850 --> 00:34:18,890 +أجنبية أنت بتفهمش ولا شيء منه jargons أفيزيا + +394 +00:34:18,890 --> 00:34:25,900 +بنسميها أو بنسميها صلاة speech صلاةspeech بتكلم زي + +395 +00:34:25,900 --> 00:34:31,460 +الصلطة مش فاهم أي كلمة منه و كل ال skills و ال + +396 +00:34:31,460 --> 00:34:35,960 +motor skills اللي اتعلمها في حياته كيف الست تطبخ + +397 +00:34:35,960 --> 00:34:39,400 +كيف تغسل كيف .. كل skills و المهارات اللي اتعلمتها + +398 +00:34:39,400 --> 00:34:45,490 +بتفقدهم في الحالة هذههذه واضحة عندي area 123 في ال + +399 +00:34:45,490 --> 00:34:50,490 +postcentral gyrus five seven للاستيريوجنوز area 40 + +400 +00:34:50,490 --> 00:34:54,070 +في ال which is in the upper end of lateral fissure + +401 +00:34:54,070 --> 00:34:58,370 +و area 39 في ال upper end of superior temporal + +402 +00:34:58,370 --> 00:35:04,790 +sulcus هنا ننتهي من الجزء الأول من المحاضرة و ان + +403 +00:35:04,790 --> 00:35:07,610 +شاء الله في الجزء الثاني راح أشرحلكم ال temporal + +404 +00:35:07,610 --> 00:35:11,380 +loop و occipital loop و white matterof the + +405 +00:35:11,380 --> 00:35:13,800 +cerebral hemisphere يعطيكم 1000 عامة + diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/j4jUjKaWiyM_raw.json b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/j4jUjKaWiyM_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..29246d10fbe00ae9a837c42accee14ff371bcbaa --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/j4jUjKaWiyM_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 2035, "start": 4.93, "end": 20.35, "text": "بسم الله الرحمن الرحيم السلام عليكم ورحمة الله وبركاته محاضرة الأسبوع الثاني ستكون على anatomy and physiology of cerebral hemispheres the cranial fossa", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 21136, 37440, 25894, 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"word": " وهنا", "probability": 0.503662109375}, {"start": 371.27, "end": 371.65, "word": " بيكون", "probability": 0.85693359375}, {"start": 371.65, "end": 372.05, "word": " عندي", "probability": 0.7109375}, {"start": 372.05, "end": 373.23, "word": " ايه", "probability": 0.7019449869791666}, {"start": 373.23, "end": 374.63, "word": " دينسيفلون", "probability": 0.5831095377604166}, {"start": 374.63, "end": 376.57, "word": " وهذه", "probability": 0.517822265625}, {"start": 376.57, "end": 378.59, "word": " كوربوسكالوزوم", "probability": 0.782470703125}, {"start": 378.59, "end": 379.41, "word": " تربط", "probability": 0.9361979166666666}, {"start": 379.41, "end": 379.55, "word": " ال", "probability": 0.916015625}, {"start": 379.55, "end": 379.93, "word": " right", "probability": 0.69677734375}, {"start": 379.93, "end": 380.17, "word": " و", "probability": 0.64013671875}, {"start": 380.17, "end": 380.57, "word": " left", "probability": 0.650390625}, {"start": 380.57, "end": 381.25, "word": " cerebral", "probability": 0.7265625}, {"start": 381.25, "end": 382.11, "word": " hemispheres", "probability": 0.571533203125}, {"start": 382.11, "end": 383.81, "word": " هذا", "probability": 0.445068359375}, {"start": 383.81, "end": 383.99, "word": " ال", "probability": 0.70947265625}, {"start": 383.99, "end": 384.29, "word": " fourth", "probability": 0.8154296875}, {"start": 384.29, "end": 384.87, "word": " ventricle", "probability": 0.9513346354166666}], "temperature": 1.0}, {"id": 17, "seek": 42310, "start": 397.64, "end": 423.1, "text": "عندي ميدالة أبلانجاتا Pons and Midbrain هاي cerebral hemisphere Corpus callosum داينستفرام بيجي في المكان هذا Midbrain Pons and ميدالة أبلانجاتا خلف ال brain stem بيكون عندي فيه cerebellum بفصل بين ال cerebellum و ال cerebrum شي اسمه Tentorium cerebelli", "tokens": [3615, 1863, 16254, 3714, 25708, 6027, 3660, 5551, 3555, 1211, 7649, 7435, 9307, 995, 430, 892, 293, 7033, 6198, 259, 8032, 47302, 43561, 38453, 3925, 31624, 818, 329, 449, 11778, 995, 9957, 14851, 5172, 2288, 10943, 4724, 1829, 7435, 1829, 8978, 9673, 41361, 23758, 7033, 6198, 259, 430, 892, 293, 3714, 25708, 6027, 3660, 5551, 36150, 7649, 7435, 9307, 995, 16490, 46538, 2423, 3567, 12312, 4724, 1829, 30544, 18871, 16254, 8978, 3224, 11643, 7100, 449, 4724, 5172, 36520, 49374, 2423, 11643, 7100, 449, 4032, 2423, 11643, 1443, 449, 44049, 24525, 2304, 3224, 314, 317, 284, 2197, 11643, 7100, 72], "avg_logprob": -0.33843750178813936, "compression_ratio": 1.6431924882629108, "no_speech_prob": 0.0, "words": [{"start": 397.64, "end": 398.08, "word": "عندي", "probability": 0.5072835286458334}, {"start": 398.08, "end": 398.46, "word": " ميدالة", "probability": 0.742431640625}, {"start": 398.46, "end": 399.16, "word": " أبلانجاتا", "probability": 0.6118512834821429}, {"start": 399.16, "end": 400.42, "word": " Pons", "probability": 0.4027252197265625}, {"start": 400.42, "end": 401.32, "word": " and", "probability": 0.68359375}, {"start": 401.32, "end": 402.24, "word": " Midbrain", "probability": 0.65966796875}, {"start": 402.24, "end": 403.72, "word": " هاي", "probability": 0.568603515625}, {"start": 403.72, "end": 404.06, "word": " cerebral", "probability": 0.235595703125}, {"start": 404.06, "end": 404.9, "word": " hemisphere", "probability": 0.66552734375}, {"start": 404.9, "end": 405.94, "word": " Corpus", "probability": 0.757568359375}, {"start": 405.94, "end": 406.9, "word": " callosum", "probability": 0.7447916666666666}, {"start": 406.9, "end": 407.98, "word": " داينستفرام", "probability": 0.6690848214285714}, {"start": 407.98, "end": 408.16, "word": " بيجي", "probability": 0.9693603515625}, {"start": 408.16, "end": 408.24, "word": " في", "probability": 0.8076171875}, {"start": 408.24, "end": 408.6, "word": " المكان", "probability": 0.9892578125}, {"start": 408.6, "end": 409.04, "word": " هذا", "probability": 0.916015625}, {"start": 409.04, "end": 410.5, "word": " Midbrain", "probability": 0.68603515625}, {"start": 410.5, "end": 411.82, "word": " Pons", "probability": 0.888916015625}, {"start": 411.82, "end": 413.08, "word": " and", "probability": 0.833984375}, {"start": 413.08, "end": 413.62, "word": " ميدالة", "probability": 0.8841552734375}, {"start": 413.62, "end": 414.42, "word": " أبلانجاتا", "probability": 0.937744140625}, {"start": 414.42, "end": 414.88, "word": " خلف", "probability": 0.942138671875}, {"start": 414.88, "end": 415.08, "word": " ال", "probability": 0.88525390625}, {"start": 415.08, "end": 415.8, "word": " brain", "probability": 0.92041015625}, {"start": 415.8, "end": 416.2, "word": " stem", "probability": 0.494873046875}, {"start": 416.2, "end": 416.58, "word": " بيكون", "probability": 0.8893229166666666}, {"start": 416.58, "end": 416.88, "word": " عندي", "probability": 0.7139892578125}, {"start": 416.88, "end": 417.18, "word": " فيه", "probability": 0.92333984375}, {"start": 417.18, "end": 417.76, "word": " cerebellum", "probability": 0.8448893229166666}, {"start": 417.76, "end": 418.62, "word": " بفصل", "probability": 0.8611653645833334}, {"start": 418.62, "end": 418.84, "word": " بين", "probability": 0.9853515625}, {"start": 418.84, "end": 418.98, "word": " ال", "probability": 0.90673828125}, {"start": 418.98, "end": 419.64, "word": " cerebellum", "probability": 0.8580729166666666}, {"start": 419.64, "end": 420.14, "word": " و", "probability": 0.67333984375}, {"start": 420.14, "end": 420.22, "word": " ال", "probability": 0.498046875}, {"start": 420.22, "end": 420.7, "word": " cerebrum", "probability": 0.876953125}, {"start": 420.7, "end": 420.94, "word": " شي", "probability": 0.57275390625}, {"start": 420.94, "end": 421.38, "word": " اسمه", "probability": 0.8937174479166666}, {"start": 421.38, "end": 422.24, "word": " Tentorium", "probability": 0.67156982421875}, {"start": 422.24, "end": 423.1, "word": " cerebelli", "probability": 0.8447265625}], "temperature": 1.0}, {"id": 18, "seek": 44565, "start": 424.57, "end": 445.65, "text": "اليوم نتكلم عن الـ Cerebrum أو الهيمسفير الهيمسفير الهيمسفير يحتوى على أكتر من الحفرة الكرنية و هي أكتر من جزء من العقل الهيمسفر يحتوى على أكتر من حفرة كرنية و هي أكتر من حفرة كرنية", "tokens": [6027, 1829, 20498, 8717, 2655, 4117, 19528, 18871, 2423, 39184, 383, 323, 1443, 449, 34051, 2423, 3224, 1829, 2304, 3794, 5172, 13546, 2423, 3224, 1829, 2304, 3794, 5172, 13546, 2423, 3224, 1829, 2304, 3794, 5172, 13546, 7251, 33753, 2407, 7578, 15844, 5551, 4117, 2655, 2288, 9154, 21542, 5172, 25720, 33251, 2288, 1863, 10632, 4032, 39896, 5551, 4117, 2655, 2288, 9154, 10874, 11622, 38207, 9154, 18863, 4587, 1211, 2423, 3224, 1829, 2304, 3794, 5172, 2288, 7251, 33753, 2407, 7578, 15844, 5551, 4117, 2655, 2288, 9154, 11331, 5172, 25720, 9122, 2288, 1863, 10632, 4032, 39896, 5551, 4117, 2655, 2288, 9154, 11331, 5172, 25720, 9122, 2288, 1863, 10632], "avg_logprob": -0.5112028403102227, "compression_ratio": 2.3529411764705883, "no_speech_prob": 0.0, "words": [{"start": 424.57, "end": 424.93, "word": "اليوم", "probability": 0.814697265625}, {"start": 424.93, "end": 425.33, "word": " نتكلم", "probability": 0.84283447265625}, {"start": 425.33, "end": 425.71, "word": " عن", "probability": 0.38037109375}, {"start": 425.71, "end": 425.95, "word": " الـ", "probability": 0.5482177734375}, {"start": 425.95, "end": 426.39, "word": " Cerebrum", "probability": 0.76031494140625}, {"start": 426.39, "end": 426.71, "word": " أو", "probability": 0.76708984375}, {"start": 426.71, "end": 427.83, "word": " الهيمسفير", "probability": 0.6722063337053571}, {"start": 427.83, "end": 427.83, "word": " الهيمسفير", "probability": 0.6812918526785714}, {"start": 427.83, "end": 429.39, "word": " الهيمسفير", "probability": 0.6877092633928571}, {"start": 429.39, "end": 431.67, "word": " يحتوى", "probability": 0.35760498046875}, {"start": 431.67, "end": 431.83, "word": " على", "probability": 0.63720703125}, {"start": 431.83, "end": 432.23, "word": " أكتر", "probability": 0.53314208984375}, {"start": 432.23, "end": 432.57, "word": " من", "probability": 0.9384765625}, {"start": 432.57, "end": 432.69, "word": " الحفرة", "probability": 0.3385009765625}, {"start": 432.69, "end": 433.41, "word": " الكرنية", "probability": 0.5963134765625}, {"start": 433.41, "end": 434.99, "word": " و", "probability": 0.344482421875}, {"start": 434.99, "end": 435.35, "word": " هي", "probability": 0.43359375}, {"start": 435.35, "end": 435.97, "word": " أكتر", "probability": 0.9312744140625}, {"start": 435.97, "end": 437.03, "word": " من", "probability": 0.6142578125}, {"start": 437.03, "end": 437.05, "word": " جزء", "probability": 0.6964518229166666}, {"start": 437.05, "end": 437.41, "word": " من", "probability": 0.403564453125}, {"start": 437.41, "end": 437.87, "word": " العقل", "probability": 0.4649861653645833}, {"start": 437.87, "end": 439.01, "word": " الهيمسفر", "probability": 0.7831333705357143}, {"start": 439.01, "end": 440.29, "word": " يحتوى", "probability": 0.63177490234375}, {"start": 440.29, "end": 440.41, "word": " على", "probability": 0.82080078125}, {"start": 440.41, "end": 440.81, "word": " أكتر", "probability": 0.765533447265625}, {"start": 440.81, "end": 441.57, "word": " من", "probability": 0.99462890625}, {"start": 441.57, "end": 441.57, "word": " حفرة", "probability": 0.475830078125}, {"start": 441.57, "end": 442.49, "word": " كرنية", "probability": 0.83740234375}, {"start": 442.49, "end": 443.45, "word": " و", "probability": 0.36572265625}, {"start": 443.45, "end": 444.27, "word": " هي", "probability": 0.9794921875}, {"start": 444.27, "end": 444.35, "word": " أكتر", "probability": 0.9698486328125}, {"start": 444.35, "end": 444.53, "word": " من", "probability": 0.99609375}, {"start": 444.53, "end": 444.53, "word": " حفرة", "probability": 0.8958333333333334}, {"start": 444.53, "end": 445.65, "word": " كرنية", "probability": 0.9691162109375}], "temperature": 1.0}, {"id": 19, "seek": 46947, "start": 446.73, "end": 469.47, "text": "و الـ both cerebral hemispheres بينهم فاصل او separation اسمه longitudinal او median longitudinal fissure يبقى في عندي cerebrum بتكون من two cerebral hemispheres الفاصل ما بينهم fissure اسمها median longitudinal fissure", "tokens": [2407, 2423, 39184, 1293, 43561, 8636, 7631, 19464, 49374, 16095, 6156, 33546, 1211, 1975, 2407, 14634, 24525, 2304, 3224, 48250, 1975, 2407, 26779, 48250, 283, 891, 540, 7251, 3555, 4587, 7578, 8978, 18871, 16254, 11643, 1443, 449, 39894, 30544, 9154, 732, 43561, 8636, 7631, 19464, 27188, 33546, 1211, 19446, 49374, 16095, 283, 891, 540, 24525, 2304, 11296, 26779, 48250, 283, 891, 540], "avg_logprob": -0.21465774235271273, "compression_ratio": 1.6566265060240963, "no_speech_prob": 0.0, "words": [{"start": 446.73, "end": 447.23, "word": "و", "probability": 0.92333984375}, {"start": 447.23, "end": 448.03, "word": " الـ", "probability": 0.3284912109375}, {"start": 448.03, "end": 448.55, "word": " both", "probability": 0.083984375}, {"start": 448.55, "end": 448.95, "word": " cerebral", "probability": 0.68359375}, {"start": 448.95, "end": 449.67, "word": " hemispheres", "probability": 0.7571614583333334}, {"start": 449.67, "end": 450.21, "word": " بينهم", "probability": 0.9453125}, {"start": 450.21, "end": 450.77, "word": " فاصل", "probability": 0.9796549479166666}, {"start": 450.77, "end": 451.01, "word": " او", "probability": 0.706787109375}, {"start": 451.01, "end": 451.61, "word": " separation", "probability": 0.91943359375}, {"start": 451.61, "end": 452.69, "word": " اسمه", "probability": 0.9466145833333334}, {"start": 452.69, "end": 453.29, "word": " longitudinal", "probability": 0.98095703125}, {"start": 453.29, "end": 454.17, "word": " او", "probability": 0.862060546875}, {"start": 454.17, "end": 454.77, "word": " median", "probability": 0.8193359375}, {"start": 454.77, "end": 455.93, "word": " longitudinal", "probability": 0.953125}, {"start": 455.93, "end": 456.47, "word": " fissure", "probability": 0.8776041666666666}, {"start": 456.47, "end": 457.15, "word": " يبقى", "probability": 0.846923828125}, {"start": 457.15, "end": 457.33, "word": " في", "probability": 0.25048828125}, {"start": 457.33, "end": 457.77, "word": " عندي", "probability": 0.810302734375}, {"start": 457.77, "end": 459.41, "word": " cerebrum", "probability": 0.7428385416666666}, {"start": 459.41, "end": 460.45, "word": " بتكون", "probability": 0.933349609375}, {"start": 460.45, "end": 461.05, "word": " من", "probability": 0.984375}, {"start": 461.05, "end": 461.33, "word": " two", "probability": 0.93896484375}, {"start": 461.33, "end": 461.85, "word": " cerebral", "probability": 0.869140625}, {"start": 461.85, "end": 462.79, "word": " hemispheres", "probability": 0.9524739583333334}, {"start": 462.79, "end": 464.07, "word": " الفاصل", "probability": 0.9697265625}, {"start": 464.07, "end": 464.29, "word": " ما", "probability": 0.828125}, {"start": 464.29, "end": 464.89, "word": " بينهم", "probability": 0.98681640625}, {"start": 464.89, "end": 465.95, "word": " fissure", "probability": 0.884765625}, {"start": 465.95, "end": 466.81, "word": " اسمها", "probability": 0.96923828125}, {"start": 466.81, "end": 467.59, "word": " median", "probability": 0.93701171875}, {"start": 467.59, "end": 468.67, "word": " longitudinal", "probability": 0.94921875}, {"start": 468.67, "end": 469.47, "word": " fissure", "probability": 0.9796549479166666}], "temperature": 1.0}, {"id": 20, "seek": 49939, "start": 471.69, "end": 499.39, "text": "و ال connection بينهم عن طريق commissural fibers و أكتر شيء واضح أنه في الصورة بيكون في جسم الإنسان اللي هو Corpus callosum هاي عندي right cerebral hemisphere ترتبط مع ال left cerebral hemisphere عن طريق شيء اسمه Corpus callosum و الفاصل ما بينهم", "tokens": [2407, 2423, 4984, 49374, 16095, 18871, 23032, 16572, 4587, 800, 891, 1807, 25252, 4032, 5551, 4117, 2655, 2288, 44049, 38207, 4032, 46958, 5016, 14739, 3224, 8978, 31767, 13063, 3660, 4724, 1829, 30544, 8978, 10874, 38251, 33688, 1863, 3794, 7649, 13672, 1829, 31439, 3925, 31624, 818, 329, 449, 8032, 47302, 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الأمامي", "probability": 0.9705810546875}, {"start": 696.09, "end": 697.19, "word": " يعتبر", "probability": 0.8815104166666666}, {"start": 697.19, "end": 698.57, "word": " anterior", "probability": 0.6005859375}, {"start": 698.57, "end": 699.41, "word": " end", "probability": 0.94970703125}, {"start": 699.41, "end": 700.11, "word": " of", "probability": 0.96337890625}, {"start": 700.11, "end": 700.39, "word": " the", "probability": 0.488525390625}, {"start": 700.39, "end": 700.89, "word": " frontal", "probability": 0.9423828125}, {"start": 700.89, "end": 701.33, "word": " loop", "probability": 0.54296875}, {"start": 701.33, "end": 701.87, "word": " هو", "probability": 0.80126953125}, {"start": 701.87, "end": 702.43, "word": " النهاية", "probability": 0.9305013020833334}, {"start": 702.43, "end": 703.23, "word": " الأمامية", "probability": 0.986328125}, {"start": 703.23, "end": 703.53, "word": " للـ", "probability": 0.706787109375}, {"start": 703.53, "end": 703.83, "word": " frontal", "probability": 0.91015625}, {"start": 703.83, "end": 704.65, "word": " loop", "probability": 0.978515625}, {"start": 704.65, "end": 706.39, "word": " الـ", "probability": 0.28173828125}, {"start": 706.39, "end": 706.79, "word": " temporal", "probability": 0.76513671875}, {"start": 706.79, "end": 708.07, "word": " pole", "probability": 0.9462890625}, {"start": 708.07, "end": 709.03, "word": " القطب", "probability": 0.9650065104166666}, {"start": 709.03, "end": 709.51, "word": " السفلي", "probability": 0.9630533854166666}, {"start": 709.51, "end": 710.11, "word": " هو", "probability": 0.962890625}, {"start": 710.11, "end": 710.95, "word": " الـ", "probability": 0.80029296875}, {"start": 710.95, "end": 711.63, "word": " anterior", "probability": 0.81396484375}, {"start": 711.63, "end": 712.47, "word": " end", "probability": 0.95068359375}, {"start": 712.47, "end": 712.93, "word": " للـ", "probability": 0.614990234375}, {"start": 712.93, "end": 713.35, "word": " temporal", "probability": 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765.25, "word": " راح", "probability": 0.755126953125}, {"start": 765.25, "end": 765.51, "word": " يكون", "probability": 0.99169921875}, {"start": 765.51, "end": 766.13, "word": " occipital", "probability": 0.8356119791666666}, {"start": 766.13, "end": 766.37, "word": " pole", "probability": 0.828125}, {"start": 766.37, "end": 767.37, "word": " وهكذا", "probability": 0.8741861979166666}], "temperature": 1.0}, {"id": 32, "seek": 80361, "start": 775.19, "end": 803.61, "text": "القيت اتكلمنا عن الـ cerebrum وcerebrum بنجسم ل two cerebral hemisphere الان راح ناخد one cerebral hemisphere و ندرس ايش اللي داخله loops of each cerebral hemisphere the surface of each cerebral hemisphere is divided by three main salicytes salcus واحد جمعه سلساية or fissures", "tokens": [6027, 4587, 36081, 1975, 2655, 4117, 19528, 8315, 18871, 2423, 39184, 11643, 1443, 449, 4032, 15312, 1443, 449, 44945, 7435, 38251, 5296, 732, 43561, 38453, 2423, 7649, 12602, 39319, 8717, 47283, 3215, 472, 43561, 38453, 4032, 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جسمت ال cerebral hemisphere ل four loops frontal loop parietal loop temporal loop and occipital loop", "tokens": [2407, 3615, 23942, 2423, 3021, 2643, 4724, 1829, 30544, 8978, 4724, 23557, 36081, 3224, 10409, 11371, 1686, 17603, 1149, 39894, 30544, 8592, 4032, 46958, 5016, 3660, 15844, 2423, 3303, 2643, 15844, 2423, 3021, 2643, 6055, 5172, 36520, 19446, 49374, 2423, 971, 1684, 304, 294, 1868, 18871, 2423, 10409, 11371, 1686, 2261, 18871, 2423, 10409, 11371, 1686, 257, 2261, 39896, 4117, 4724, 1829, 30544, 41850, 10874, 38251, 2655, 2423, 43561, 38453, 5296, 1451, 16121, 34647, 6367, 971, 1684, 304, 6367, 30881, 6367, 293, 10409, 11371, 1686, 6367], "avg_logprob": -0.2762212561464858, "compression_ratio": 1.8373205741626795, "no_speech_prob": 0.0, "words": [{"start": 1014.02, "end": 1014.56, "word": "وعلى", "probability": 0.67333984375}, {"start": 1014.56, "end": 1014.88, "word": " ال", "probability": 0.91455078125}, {"start": 1014.88, "end": 1015.66, "word": " media", "probability": 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بيكونوا في وين موجودين؟ في ال middle part طب ال lower limbs بيكونوا في ال upper part طب ال head في ال lower part يعني الإنسان معكوس هنا أنا head trunk و upper limbs", "tokens": [75, 332, 929, 34051, 2423, 6597, 29315, 4032, 2423, 19849, 8978, 2423, 2808, 4032, 2423, 1378, 4724, 1829, 30544, 4032, 9957, 22807, 8978, 13672, 1829, 31439, 2423, 3126, 644, 37495, 22653, 2423, 6597, 29315, 4724, 1829, 30544, 14407, 8978, 4032, 9957, 3714, 29245, 23328, 9957, 22807, 8978, 2423, 2808, 644, 23032, 3555, 2423, 3126, 29315, 4724, 1829, 30544, 14407, 8978, 2423, 6597, 644, 23032, 3555, 2423, 1378, 8978, 2423, 3126, 644, 37495, 22653, 33688, 1863, 3794, 7649, 20449, 4117, 41779, 34105, 41850, 1378, 19849, 4032, 6597, 29315], "avg_logprob": -0.1634410484270616, "compression_ratio": 2.15, "no_speech_prob": 0.0, "words": [{"start": 1103.96, "end": 1104.5, "word": "limbs", "probability": 0.5307413736979166}, {"start": 1104.5, "end": 1104.78, "word": " أو", "probability": 0.496826171875}, {"start": 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119443, "start": 1182.75, "end": 1194.43, "text": "precentral sulcus ت present in front of the central sulcus، بيكون أمام ال central sulcus، و في superior frontal sulcus", "tokens": [3712, 2207, 2155, 17603, 1149, 6055, 1974, 294, 1868, 295, 264, 5777, 17603, 1149, 12399, 4724, 1829, 30544, 5551, 2304, 10943, 2423, 5777, 17603, 1149, 12399, 4032, 8978, 13028, 34647, 17603, 1149], "avg_logprob": -0.23271780303030304, "compression_ratio": 1.3636363636363635, "no_speech_prob": 0.0, "words": [{"start": 1182.75, "end": 1183.49, "word": "precentral", "probability": 0.5166829427083334}, {"start": 1183.49, "end": 1183.97, "word": " sulcus", "probability": 0.92138671875}, {"start": 1183.97, "end": 1185.23, "word": " ت", "probability": 0.5498046875}, {"start": 1185.23, "end": 1185.65, "word": " present", "probability": 0.66796875}, {"start": 1185.65, "end": 1186.03, "word": " in", "probability": 0.921875}, {"start": 1186.03, "end": 1186.67, "word": " front", "probability": 0.92822265625}, 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دماغي على اليمين في area 8، جلطة في اليمين، destruction، بيقدر يلف حاله على الشمال؟ بيقدرش", "tokens": [5016, 31747, 2655, 12602, 10721, 3794, 1829, 4032, 6225, 1829, 8315, 1829, 15844, 25124, 2304, 6027, 12399, 9154, 11331, 31747, 16095, 22807, 1859, 1649, 15844, 2423, 32640, 9957, 12399, 9122, 45865, 3794, 12399, 23032, 3555, 45164, 11331, 3215, 12984, 3714, 16572, 11242, 43242, 3224, 10874, 1211, 9566, 3660, 11778, 2304, 5718, 118, 1829, 15844, 2423, 32640, 9957, 8978, 1859, 1649, 12399, 10874, 1211, 9566, 3660, 8978, 2423, 32640, 9957, 12399, 13563, 12399, 4724, 1829, 28543, 2288, 7251, 46538, 11331, 6027, 3224, 15844, 25124, 2304, 6027, 22807, 4724, 1829, 28543, 2288, 8592], "avg_logprob": -0.1931046255580757, "compression_ratio": 1.7134831460674158, "no_speech_prob": 0.0, "words": [{"start": 1506.13, "end": 1506.61, "word": "حركت", "probability": 0.7814127604166666}, {"start": 1506.61, "end": 1506.87, "word": " رأسي", "probability": 0.8792724609375}, {"start": 1506.87, "end": 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"end": 1712.3, "word": " lateral", "probability": 0.91357421875}, {"start": 1712.3, "end": 1712.9, "word": " sulcus", "probability": 0.9892578125}, {"start": 1712.9, "end": 1713.92, "word": " وهنا", "probability": 0.63037109375}, {"start": 1713.92, "end": 1714.4, "word": " عندى", "probability": 0.857666015625}], "temperature": 1.0}, {"id": 69, "seek": 174560, "start": 1717.5, "end": 1745.6, "text": "central sulcus تقريبا بيجينا ال parietal and occipital sulcus معالنا يكون واضح اكتر في ال media او في ال media service هذا عندي اللي هو frontal loop frontal loop اللي هي انا عندي parietal loop هذه اسمها parietal loop انا واضح عندي parietal loop وهذه frontal loop في ال parietal loop", "tokens": [2207, 2155, 17603, 1149, 6055, 4587, 16572, 3555, 995, 4724, 1829, 7435, 1829, 8315, 2423, 971, 1684, 304, 293, 10409, 11371, 1686, 17603, 1149, 20449, 6027, 8315, 7251, 30544, 4032, 46958, 5016, 1975, 4117, 2655, 2288, 8978, 2423, 3021, 1975, 2407, 8978, 2423, 3021, 2643, 23758, 18871, 16254, 13672, 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"duration_after_vad": 2017.651249999994} \ No newline at end of file diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/neIW9sKmQGo_postprocess.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/neIW9sKmQGo_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..ecdc461892fbe39d8f49ab37547844036010e5c3 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/neIW9sKmQGo_postprocess.srt @@ -0,0 +1,1064 @@ +1 +00:00:05,030 --> 00:00:09,290 +بسم الله الرحمن الرحيم نكمل الجزء الثاني من محاضرة + +2 +00:00:09,290 --> 00:00:13,050 +autonomic nervous system احنا في الجزء الأول شرحنا + +3 +00:00:13,050 --> 00:00:16,910 +لكم ال autonomic nervous system شرحنا ال first + +4 +00:00:16,910 --> 00:00:20,270 +order neuron second order neuron شرحنا ال origin + +5 +00:00:20,270 --> 00:00:23,070 +of the autonomic nervous system origin of + +6 +00:00:23,070 --> 00:00:26,990 +sympathetic and parasympathetic واطرقنا إلى الجزء + +7 +00:00:26,990 --> 00:00:30,580 +الأول من ال parasympathetic nervous systemشرحنا + +8 +00:00:30,580 --> 00:00:35,060 +لكم ال part of the parasympathetic nervous system + +9 +00:00:35,060 --> 00:00:40,500 +اللي هو الجزء الثاني من ال parasympathetic اللي هو + +10 +00:00:40,500 --> 00:00:46,200 +ال part of the parasympathetic nervous system + +11 +00:00:46,940 --> 00:00:50,840 +تفاجنا إن هذا موجود في S2, S3, S4 segment of + +12 +00:00:50,840 --> 00:00:54,200 +spinal cord يبقى الـ first order neuron بتاعة الـ + +13 +00:00:54,200 --> 00:00:58,340 +sacral part of parasympathetic nervous system + +14 +00:00:58,340 --> 00:01:02,120 +موجودين في الـ anterior horn cells + +15 +00:01:08,600 --> 00:01:14,200 +ووظفتهم وضفتهم وضفتهم وضفتهم وضفتهم وضفتهم وضفتهم + +16 +00:01:14,200 --> 00:01:17,960 +وضفتهم وضفتهم + +17 +00:01:17,960 --> 00:01:20,400 +وضفتهم وضفتهم وضفتهم وضفتهم وضفتهم وضفتهم وضفتهم + +18 +00:01:20,400 --> 00:01:22,880 +وضفتهم وضفتهم وضفتهم وضفتهم وضفتهم وضفتهم وضفتهم + +19 +00:01:22,880 --> 00:01:28,610 +وضفتهمgenital organs يبقى ان ال ساكرال أو pelvic + +20 +00:01:28,610 --> 00:01:32,850 +parasympathetic nervous system مسئول عن ال + +21 +00:01:32,850 --> 00:01:37,010 +emptying of urinary bladder and rectum مسئول عن + +22 +00:01:37,010 --> 00:01:42,430 +عملية ال defecation و ال urination انتوا شايفين + +23 +00:01:42,430 --> 00:01:50,990 +هنا ال origin تبعهم من S2 S3 S4 part of a sacral + +24 +00:01:50,990 --> 00:01:55,140 +nervous systemاللي هو تابرة الـ Parasympathetic و + +25 +00:01:55,140 --> 00:01:59,960 +supply genital organs و بياخد ال left one third of + +26 +00:01:59,960 --> 00:02:05,260 +a transverse colon, descending colon و ال rectum + +27 +00:02:05,260 --> 00:02:11,340 +كل هذا بياخد من وين؟ من ال circle part ان راجع ال + +28 +00:02:11,340 --> 00:02:14,840 +Parasympathetic ganglia in the head and neck + +29 +00:02:14,840 --> 00:02:19,840 +لاحظوا ال celery ganglion شرحناها في البداية + +30 +00:02:21,710 --> 00:02:26,590 +النيرون الأول هو EDENGER WESTFALEN NUCLEUS النيرون + +31 +00:02:26,590 --> 00:02:29,110 +الثاني هو CILIARY GANGLION ميني بري جانجليونيك + +32 +00:02:29,110 --> 00:02:34,090 +فايبرز البرا سيمباتاتيك روت اللي هو يعتبر + +33 +00:02:34,090 --> 00:02:39,150 +أكولوموتر نيرب التارجت أورغان هو السفينكتر بيوبلي + +34 +00:02:39,150 --> 00:02:43,070 +و مصدر سيلاري أنا براجع كرينيال part of برا + +35 +00:02:43,070 --> 00:02:47,380 +سيمباتاتيك نيربالسيستيمننتقل لـ Superior Salivary + +36 +00:02:47,380 --> 00:02:51,560 +Nucleus سوبريور ساليفاري نوكلياس اللي هي first + +37 +00:02:51,560 --> 00:02:57,820 +order نيرون للفاشيال نيرف لها 2 جانجليا سفينو أو + +38 +00:02:57,820 --> 00:03:05,210 +تيريجو بلاتاين جانجليونبتعطينا fibers للنيرف GSBN + +39 +00:03:05,210 --> 00:03:09,910 +بتروز النيرف اللي جاي من الفيشيال نيرف sublives + +40 +00:03:09,910 --> 00:03:14,830 +اللي هي كريمالي جلاند، جلاند الناس، mouth and + +41 +00:03:14,830 --> 00:03:21,160 +pharynx والبلاتفالـ submandibular ganglion بتعطينا + +42 +00:03:21,160 --> 00:03:26,100 +fibers ل .. بتاخد fibers اللي هي بارسين بتاتي كروت + +43 +00:03:26,100 --> 00:03:30,300 +بتاخد من وين؟ من ال facial nerve اللي بيغدينا ال + +44 +00:03:30,300 --> 00:03:35,250 +submandibular و sublingual salivary glandInfero + +45 +00:03:35,250 --> 00:03:40,670 +Salivary nucleus مسئولة عن Glossopharyngeal nerve + +46 +00:03:40,670 --> 00:03:45,290 +تعطينا preganglionic fibers للأوتك جانجليون مين + +47 +00:03:45,290 --> 00:03:50,790 +بياخد منها ال fibers بياخد ال lesser superficial + +48 +00:03:50,790 --> 00:03:53,970 +petrosal nerve بيسلم للأوتك جانجليون وأوتك + +49 +00:03:53,970 --> 00:03:58,670 +جانجليون اللي هو بتسلم لل Parotid glandمن وين هو + +50 +00:03:58,670 --> 00:04:00,610 +ليه أصبح superficial petrosal nerve؟ أول مرة + +51 +00:04:00,610 --> 00:04:03,470 +تسمعوه هو جاي من الـ Glossopharyngeal as a branch + +52 +00:04:03,470 --> 00:04:08,950 +of Glossopharyngeal nerve الـ dorsal motor nucleus + +53 +00:04:08,950 --> 00:04:14,550 +of Vegas nerve بتعطينا لماني جنجليا قولنا عشرات in + +54 +00:04:14,550 --> 00:04:19,350 +different organs لبرسمبتات كروت بتاعها اللي هو + +55 +00:04:19,350 --> 00:04:23,970 +Vegas nerve and its branches supply heart + +56 +00:04:23,970 --> 00:04:29,680 +respiratory system and abdominal visceraهيلاحظوا + +57 +00:04:29,680 --> 00:04:33,640 +ال اوكلاموتر نيرف ايش اسم ال first order neuron + +58 +00:04:33,640 --> 00:04:36,660 +تبعته اي danger with fun nucleus عن طريق ال + +59 +00:04:36,660 --> 00:04:41,380 +اوكلاموتر نيرف ادق inferior division ادق nerve to + +60 +00:04:41,380 --> 00:04:45,200 +inferior oblique muscle بتغدى ال celery muscle اسف + +61 +00:04:45,200 --> 00:04:48,260 +بتغدى ال celery ganglion ال celery ganglion اللي + +62 +00:04:48,260 --> 00:04:51,920 +هي second order neuron بتغدى ال celery muscle و ال + +63 +00:04:51,920 --> 00:04:54,020 +sphincter pupil muscle انا قاعد براجع المراجعة + +64 +00:04:54,020 --> 00:04:58,090 +اللي شرحتهنجي لل facial nerve الهو نوكلياس first + +65 +00:04:58,090 --> 00:05:02,210 +order نيرون اسمه superior salivary nucleus هذي + +66 +00:05:02,210 --> 00:05:05,450 +بتعطينا two branches Parasympathetic greater + +67 +00:05:05,450 --> 00:05:09,130 +superficial petrosal nerve بيروح لأسفين و بلطين + +68 +00:05:09,130 --> 00:05:14,230 +جانجليون و بيغضوننا لقلم ال gland و glans of nose + +69 +00:05:14,230 --> 00:05:20,400 +pharynx palateو في جزء تاني منها بيروح عن طريق + +70 +00:05:20,400 --> 00:05:24,920 +كوردة تنبني نيرف submandibular ganglion و ال + +71 +00:05:24,920 --> 00:05:28,020 +submandibular ganglion بتعطينا postganglionic + +72 +00:05:28,020 --> 00:05:32,400 +fibers لل target organs اللي هم sublingual and + +73 +00:05:32,400 --> 00:05:36,860 +submandibular glands نجي لglosopharyngeal nerve ال + +74 +00:05:36,860 --> 00:05:40,020 +first order نيرون بتاعها inferior salivary nucleus + +75 +00:05:40,020 --> 00:05:44,210 +الفيبر ساعتها عن طريق glosopharyngeal nerveعن طريق + +76 +00:05:44,210 --> 00:05:47,570 +الـ laser superficial بتروز ال nerve بتروح للـotic + +77 +00:05:47,570 --> 00:05:50,270 +ganglion يبقى هذه ال fibers كلها تعتبر pre + +78 +00:05:50,270 --> 00:05:53,690 +-ganglionic fibers تروح للـotic ganglion او + +79 +00:05:53,690 --> 00:05:56,650 +الـotic ganglion اللي هو second order نيرون ال + +80 +00:05:56,650 --> 00:06:01,430 +post-ganglionic fibers بيسلمها لمين؟ لبروتد إجلاند + +81 +00:06:02,320 --> 00:06:06,080 +هيك بكون خلصت الموضوع بقرا sympathetic nervous + +82 +00:06:06,080 --> 00:06:10,400 +system الآن بنتجل ال sympathetic nervous system ال + +83 +00:06:10,400 --> 00:06:12,700 +origin تبعها sympathetic nervous system + +84 +00:06:12,700 --> 00:06:18,020 +thoracolumbar من T1 ل L2 يبقى sympathetic nervous + +85 +00:06:18,020 --> 00:06:21,900 +system اللي علاقة بال intramedial lateral nuclei + +86 +00:06:21,900 --> 00:06:27,340 +اللي موجودة في ال lateral horn cells من T1 لحد L2 + +87 +00:06:27,340 --> 00:06:34,240 +في بعض المراجع بيقولوا من C8 من C8لحد ايش الاتنين + +88 +00:06:34,240 --> 00:06:41,760 +ما علينا لكن اكتر شئ نعتمد T1 L2 part لذلك سميت + +89 +00:06:41,760 --> 00:06:46,960 +thraco-lumbar nervous system هذه هي ال sympathetic + +90 +00:06:46,960 --> 00:06:50,020 +nervous system sympathetic nervous system بتبدأ من + +91 +00:06:50,020 --> 00:06:52,120 +T1 لحد L2 + +92 +00:06:54,750 --> 00:06:57,770 +Sympathetic Ganglia، فيه نوعين من الـSympathetic + +93 +00:06:57,770 --> 00:07:01,970 +Ganglia، فيه إبارة Vertebral Ganglia، بتكوننها + +94 +00:07:01,970 --> 00:07:06,930 +sympathetic chain حوالين الـvertebral columnوعددهم + +95 +00:07:06,930 --> 00:07:10,370 +من كل جهة اتنين وعشرين لثلاثة وعشرين جانجيليا + +96 +00:07:10,370 --> 00:07:14,870 +بيكونوا على ال right و على left side من ال spine + +97 +00:07:14,870 --> 00:07:18,330 +وفي collateral جانجيليا بعيدة شوية اسمها + +98 +00:07:18,330 --> 00:07:21,570 +peripheral جانجيليا بتكون في ال cavity around + +99 +00:07:21,570 --> 00:07:27,790 +large arteries زي celiac superior and inferior + +100 +00:07:27,790 --> 00:07:33,510 +mesenteric جانجيلياHow many sympathetic ganglia + +101 +00:07:33,510 --> 00:07:37,750 +are found in the sympathetic chain؟ قلنا من كل جهة + +102 +00:07:37,750 --> 00:07:42,230 +فيه 22 إلى 23 ganglia، cervical بيكون فيه ganglia + +103 +00:07:42,230 --> 00:07:44,190 +ثلاثة، هذول موجودين في ال peripheral nervous + +104 +00:07:44,190 --> 00:07:48,610 +system، thoracic عشر على اتناش، lumbar أربع على + +105 +00:07:48,610 --> 00:07:52,270 +خمسة، sacral أربع على خمسة، أنا بتكلم على pairs، + +106 +00:07:52,270 --> 00:07:55,960 +زوج، على ال right و على ال leftright و left زوج ال + +107 +00:07:55,960 --> 00:08:00,500 +جنجليون تكون واحدة اسمها empower جنجليون empower + +108 +00:08:00,500 --> 00:08:06,520 +جنجليون لو جمعناهم بنجد انه من كل جهة فيه 22 ل23 + +109 +00:08:06,520 --> 00:08:12,320 +جنجليونهذا هو sympathetic chain زي العقد بيكون + +110 +00:08:12,320 --> 00:08:15,080 +حوالين ال vertibral column من ال right و من ال + +111 +00:08:15,080 --> 00:08:19,540 +left هذا اسمه sympathetic chain وهذه هي الجانجلية + +112 +00:08:19,540 --> 00:08:23,220 +هذه ثروس الجانجلية على سبيل المثال فوق بنطلع على + +113 +00:08:23,220 --> 00:08:27,700 +ال cervical ganglia هاي واضح اندي cervical ganglia + +114 +00:08:27,700 --> 00:08:33,500 +superior هاي middle وهاي inferior نفس + +115 +00:08:33,500 --> 00:08:37,440 +الشيء هذه تعتبر sympathetic chain sympathetic ايه؟ + +116 +00:08:37,440 --> 00:08:42,660 +chainالـ cervical sympathetic ganglia قلنا ثلاثة + +117 +00:08:42,660 --> 00:08:46,060 +في superior cervical sympathetic ganglion وفي + +118 +00:08:46,060 --> 00:08:49,380 +middle وفي inferior أنا بكتفي فيهم لحان لأنه في + +119 +00:08:49,380 --> 00:08:52,420 +الطب أنا بشرحهم بشرح ال branches سبعينهم كلهم كل + +120 +00:08:52,420 --> 00:08:56,480 +ganglion إيش بتخرج أعصاب منها وإيش بتغدي هاي عندي + +121 +00:08:56,480 --> 00:09:01,100 +اللي هو superior cervical ganglion وهادي middle + +122 +00:09:01,100 --> 00:09:05,400 +cervical ganglion وهادي inferior cervical ganglion + +123 +00:09:05,400 --> 00:09:11,000 +ال inferior cervical ganglion هذهبتتحد مع ال first + +124 +00:09:11,000 --> 00:09:14,820 +thoracic و بيسموها cervicothoracic ganglion أو + +125 +00:09:14,820 --> 00:09:18,840 +استيليت + +126 +00:09:18,840 --> 00:09:20,400 +جانجليون + +127 +00:09:27,170 --> 00:09:31,390 +Middle Cervical Sympathetic Ganglion وInferior + +128 +00:09:31,390 --> 00:09:35,110 +Cervical Sympathetic Ganglion الانفيريو بتسميها + +129 +00:09:35,110 --> 00:09:38,850 +cervicothoracic لانها بتتحد مع ال first thoracic + +130 +00:09:38,850 --> 00:09:42,650 +ganglion وبيسميها stellate ganglion اللي هي اسم + +131 +00:09:42,650 --> 00:09:51,150 +ثاني ايه؟ stellate ganglion okay + +132 +00:09:51,150 --> 00:09:57,500 +لان نرجع ال effectبنتكلم الآن على physiology pure + +133 +00:09:57,500 --> 00:10:01,460 +physiology إيش دور ال sympathetic nervous system و + +134 +00:10:01,460 --> 00:10:06,220 +إيش دور ال parasympathetic nervous system على ال + +135 +00:10:06,220 --> 00:10:13,920 +organs لو أخدنا ال eye ال pupils sympathetic + +136 +00:10:13,920 --> 00:10:19,840 +nervous system بتعمل dilation بتغدي عضلة اسمها + +137 +00:10:19,840 --> 00:10:24,140 +dilator pupil muscle بتوسح حدقة العينالـ + +138 +00:10:24,140 --> 00:10:28,520 +Parasympathetic لأ بتغدي Constrictor Bipilomuscle + +139 +00:10:28,520 --> 00:10:31,600 +عن طريق العصب الثالث الـ oculomotor nerve و غضبتها + +140 +00:10:31,600 --> 00:10:35,500 +بتعمل Constriction بتعمل مايوسز، even هذي بتعمل + +141 +00:10:35,500 --> 00:10:41,380 +Mediasis يعني توسيع حدقة العين والـ + +142 +00:10:41,380 --> 00:10:47,060 +Parasympathetic بتعمل مايوسز نجي على الـ Ciliary + +143 +00:10:47,060 --> 00:10:51,880 +muscle اللي علاقة بالـ accommodationأنا راح أشرحها + +144 +00:10:51,880 --> 00:10:58,480 +في محاضرة ال optic nerve في special sensation ال + +145 +00:10:58,480 --> 00:11:02,220 +sympathetic بتعملنا relaxation و ال + +146 +00:11:02,220 --> 00:11:06,800 +parasympathetic contraction الأن اتكلم على glands + +147 +00:11:06,800 --> 00:11:13,540 +اللي لقمة لل glandsو nasopharyngeal glands تتذكروا + +148 +00:11:13,540 --> 00:11:17,400 +لما اتقطعوا بصل ايش بيصير معاكم sympathetic بتعمل + +149 +00:11:17,400 --> 00:11:20,580 +reduction بتقلل ال secretion لان هي بتعمل + +150 +00:11:20,580 --> 00:11:24,100 +vasoconstriction ال parasympathetic بيزود ال + +151 +00:11:24,100 --> 00:11:28,700 +secretion increase لان مين بيغضي ال nasopharyngeal + +152 +00:11:28,700 --> 00:11:31,960 +glands و ال lacrimal gland بيغضيها اللي هو + +153 +00:11:31,960 --> 00:11:35,360 +sphenopalatine ganglion او عن طريق ال greater + +154 +00:11:35,360 --> 00:11:38,900 +superficial petrosal nerve اللي أصله جاي من facial + +155 +00:11:38,900 --> 00:11:45,060 +nerveسيلفري إيجلاند مثل سب مانديبولر سب لينجوال + +156 +00:11:45,060 --> 00:11:49,980 +كمان نفس الشيء البارا سيمباتاتيك هنا راح تعمل + +157 +00:11:49,980 --> 00:11:53,740 +increase لل secretion السيمباتاتيك بتعمل + +158 +00:11:53,740 --> 00:11:58,240 +vasoconstriction و reduce secretion نيجي لقى ال + +159 +00:11:58,240 --> 00:12:03,700 +heart على القلب سيمباتاتيك nervous system بتزود ال + +160 +00:12:03,700 --> 00:12:09,240 +heart rate و بتزود ال muscle contractionلو كنا + +161 +00:12:09,240 --> 00:12:15,480 +ماشيين ضلام فجأة نبح عليك و كلب او حدث انفجار + +162 +00:12:15,480 --> 00:12:20,160 +بتجري ما بتدري وين تروح و ال heart rate تبعك ايه + +163 +00:12:20,160 --> 00:12:23,260 +بيشتغل بسرعة لان اشتغل الجهاز سمتاوي ال + +164 +00:12:23,260 --> 00:12:25,880 +sympathetic nervous system مشتغلت لكن على ال + +165 +00:12:25,880 --> 00:12:29,140 +parasympathetic nervous system ال parasympathetic + +166 +00:12:29,140 --> 00:12:35,400 +بتقلل ال heart rate و بتقلل المصل contraction lung + +167 +00:12:37,330 --> 00:12:42,510 +على ال muscle of bronchi bronchial muscles ال + +168 +00:12:42,510 --> 00:12:45,530 +sympathetic nervous system تعمل dilation للرنكاية + +169 +00:12:45,530 --> 00:12:49,090 +والبارا sympathetic تعمل construction للرنكاية + +170 +00:12:49,090 --> 00:12:52,650 +عشان هيك الناس اللي عندهم أزمة بنعطيهم علاج اللي + +171 +00:12:52,650 --> 00:12:55,310 +علاقة بال sympathetic nervous system بيزود ال + +172 +00:12:55,310 --> 00:12:59,070 +sympathetic nervous system عشان يعمل توسيع وارتخاء + +173 +00:12:59,070 --> 00:13:03,030 +للعضلات لل smooth muscles بتاعت الرنكاية للقصبة + +174 +00:13:03,030 --> 00:13:09,430 +الهوائية وشعب الهوائيةلكن على ال blood vessels على + +175 +00:13:09,430 --> 00:13:12,150 +ال arteries الموجودين ال sympathatic بتعمل + +176 +00:13:12,150 --> 00:13:15,410 +construction و ال parasympathetic بتعمل dilatation + +177 +00:13:15,410 --> 00:13:22,630 +ننتج ال G I system على ال G I tract او G I system + +178 +00:13:22,630 --> 00:13:28,630 +ال muscle of wallالـ sympathetic بتقلل البرستالتك، + +179 +00:13:28,630 --> 00:13:32,230 +بتقلل حركة الأمعاء البارا sympathetic بتزود حركة + +180 +00:13:32,230 --> 00:13:35,930 +الأمعاء، بتعمل contractions للـsphincters + +181 +00:13:35,930 --> 00:13:41,510 +الـsympathetic بتعمل spasm، construction البارا + +182 +00:13:41,510 --> 00:13:45,720 +sympathetic بتعمل relaxation للـ glandsالـ + +183 +00:13:45,720 --> 00:13:48,980 +sympathetic بتقل الإفراز الغدد، عصارة المعدة أو + +184 +00:13:48,980 --> 00:13:52,620 +عصارة الأمعاء لكن الـ parasympathetic بتزود، بتعمل + +185 +00:13:52,620 --> 00:13:57,560 +increase ل ال secretion ال kidney لل kidney ال + +186 +00:13:57,560 --> 00:14:00,940 +sympathetic nervous system بتعمل decrease ل ال + +187 +00:14:00,940 --> 00:14:04,680 +urine secretion ال parasympathetic nervous system + +188 +00:14:04,680 --> 00:14:09,920 +بتعمل increase ل ال urine secretion ننتقل لمين؟ ل + +189 +00:14:09,920 --> 00:14:15,820 +ال urine bladderللـ blood wall الـ sympathetic + +190 +00:14:15,820 --> 00:14:18,820 +nervous system تعمل relaxation البارا sympathetic + +191 +00:14:18,820 --> 00:14:22,000 +nervous system تعمل contraction نجلة الـ + +192 +00:14:22,000 --> 00:14:24,600 +sphincter، internal sphincter sympathetic nervous + +193 +00:14:24,600 --> 00:14:27,280 +system تعمل constriction، spasm لالـ sphincter + +194 +00:14:27,280 --> 00:14:30,440 +البارا sympathetic تعمل relaxation يقول إن البارا + +195 +00:14:30,440 --> 00:14:34,300 +sympathetic مسئول عن عملية الـ urination، التبول + +196 +00:14:34,300 --> 00:14:37,390 +والـ defecationوكان الإنسان لما يتبول ويتبرز، مين + +197 +00:14:37,390 --> 00:14:40,550 +بيشتغل هنا عنده؟ بيشتغل الـ Parasympathetic + +198 +00:14:40,550 --> 00:14:44,070 +Nervous System بتعمل إيه؟ Relaxation للـSphincters + +199 +00:14:44,070 --> 00:14:48,770 +وبتعمل Contraction لـSmooth Muscles للـWall of the + +200 +00:14:48,770 --> 00:14:54,930 +Rectum and Urinary Bladder نتاجي الآن على Goal + +201 +00:14:54,930 --> 00:15:03,470 +Bladder الـ + +202 +00:15:03,470 --> 00:15:08,850 +Sympathetic بتعمل Relaxationو Spasm للسفنغتر ال + +203 +00:15:08,850 --> 00:15:11,290 +Parasympathetic بتعملها contraction و relaxation + +204 +00:15:11,290 --> 00:15:17,130 +للسفنغتر عشان تخرج ال bile للددنم و يساعد في عملية + +205 +00:15:17,130 --> 00:15:22,350 +الهضم على ال liver ال sympathetic بتعمل increase + +206 +00:15:22,350 --> 00:15:25,990 +لل conversion of glycogen لجليكوز يبقى في ال + +207 +00:15:25,990 --> 00:15:30,280 +sympathetic بيقولك والله زعل و سكر و ارتفعزهل و + +208 +00:15:30,280 --> 00:15:32,900 +السكر ارتفع ليش زهل و السكر ارتفع؟ لأن الـ + +209 +00:15:32,900 --> 00:15:34,960 +sympathetic nervous system بزيد مع ال stress و + +210 +00:15:34,960 --> 00:15:40,200 +التوتر وبتحول جليكوجين لجلوكوز وبترفع السكر في + +211 +00:15:40,200 --> 00:15:46,180 +الدم البارا sympathetic ب stimulation للإنسولين و + +212 +00:15:46,180 --> 00:15:50,580 +glycogen secretion في الحالة هذه هي البارا + +213 +00:15:50,580 --> 00:15:54,980 +sympathetic راح تزيد الإنسولين و تدخل الجلوكوز في + +214 +00:15:54,980 --> 00:16:00,510 +الخلايا الانترا سيلولار على ال pancreasSympathetic + +215 +00:16:00,510 --> 00:16:06,490 +تعمل انهيبشن للإنسليم و بتقل الإنسليم و بتزود ال + +216 +00:16:06,490 --> 00:16:12,010 +glycogen secretion لكن بارا سيمباتاتيك تعمل + +217 +00:16:12,010 --> 00:16:16,850 +stimulation للإنسليم و لجليكوجين secretion هذا من + +218 +00:16:16,850 --> 00:16:21,270 +ناحية البانكرياس الليفر هنا انا قلتلكوا فاطية + +219 +00:16:21,270 --> 00:16:25,610 +الليفرعال liver ال sympathetic بتزود قولنا ال + +220 +00:16:25,610 --> 00:16:30,970 +conversion بتاع ال glycogen لجلوكوز لكن ال + +221 +00:16:30,970 --> 00:16:34,970 +parasympathetic راح تزود ال release of bile راح + +222 +00:16:34,970 --> 00:16:39,810 +تزود افراز الغدة تبع المرارة و العصارة بتاعة + +223 +00:16:39,810 --> 00:16:44,890 +المرارة لعملية الهضم ع ال male sexالـ sympathetic + +224 +00:16:44,890 --> 00:16:50,450 +بتزود عملية ال ejaculation و ال parasympathetic + +225 +00:16:50,450 --> 00:16:53,390 +بتزود عملية ال erection القدث اللي علاقة بال + +226 +00:16:53,390 --> 00:16:55,070 +sympathetic و الانتصاب اللي علاقة بال + +227 +00:16:55,070 --> 00:16:58,830 +parasympathetic ع ال pineal gland موجودة في الدماغ + +228 +00:16:58,830 --> 00:17:03,450 +ال sympathetic اللي علاقة بال increase ميلاتونين و + +229 +00:17:03,450 --> 00:17:05,950 +ال synthesis و ال secretion بتاعه ال + +230 +00:17:05,950 --> 00:17:10,530 +parasympathetic مالهاش أي دورعال skin، sweaty + +231 +00:17:10,530 --> 00:17:13,350 +glands، لما أنا بعصب، بتوتر، بتلاقي إيش بيصير + +232 +00:17:13,350 --> 00:17:17,150 +معانا، بنعرج، sympathetic بتزود ال secretion بتاع + +233 +00:17:17,150 --> 00:17:21,250 +ال sweet، و بقرا sympathetic مالهاش دور، في عضلة + +234 +00:17:21,250 --> 00:17:25,710 +صغيرة اسمها pilomotor muscle، هاد إلها علاقة + +235 +00:17:25,710 --> 00:17:29,550 +بانتصاب الشعر، الحاج جسمته حاجة كويش بتقول، + +236 +00:17:29,550 --> 00:17:33,720 +شفتلكوا هالمنظر، شعري ويجفوالله الحاجة بتعرف في + +237 +00:17:33,720 --> 00:17:36,980 +sympathetic nervous system شعارها ويجف ليه؟ لأن + +238 +00:17:36,980 --> 00:17:40,080 +sympathetic nervous system بيعمل contraction + +239 +00:17:40,080 --> 00:17:45,820 +للpilum motor muscle هذي بتوقف الشعر هو لو شوفت + +240 +00:17:45,820 --> 00:17:49,140 +المانضر و شعريه ويجف والله كلام هو مظبوط الحاجة ال + +241 +00:17:49,140 --> 00:17:53,680 +platelet صفائح الدموية sympathetic بتعمل increase + +242 +00:17:53,680 --> 00:17:57,260 +لل aggregation الصفائح الدموية بتزود إيش التصاق + +243 +00:17:57,260 --> 00:18:00,700 +الصفائح الدموية sympathetic nervous system بتزود + +244 +00:18:00,700 --> 00:18:04,600 +التصاق الصفائح الدمويةو بيزود عملية التجلط عشان + +245 +00:18:04,600 --> 00:18:07,820 +هيك بيقولك والله زعل و كان عنده stress و توتر و + +246 +00:18:07,820 --> 00:18:10,960 +حدث معاه جلطة دماغية او جلطة في القلب ليه؟ لأن + +247 +00:18:10,960 --> 00:18:13,860 +sympathetic nervous system بيزود التصاق السفائح + +248 +00:18:13,860 --> 00:18:17,360 +الدموية برا sympathetic مالهاش دور ال lipolysis + +249 +00:18:17,360 --> 00:18:22,940 +sympathetic بيزود ال lipolysis الحرق الدهون ال + +250 +00:18:22,940 --> 00:18:27,880 +renin secretionSympathetic بيزود إفراز الرنين و زي + +251 +00:18:27,880 --> 00:18:32,560 +ما انتوا عارفين الرنين بتحول ل أنجوتنزين و بيزود + +252 +00:18:32,560 --> 00:18:36,320 +الدغط و بيرتفع عندهم دغط الدم عشان هيك بيقولك + +253 +00:18:36,320 --> 00:18:39,500 +والله مع الذعل اتعرض لصدمة نفسية و ذعل و الدغط + +254 +00:18:39,500 --> 00:18:44,250 +ارتفع و أصلا عنده دغطOkay واخر شئ اللي هو muscles + +255 +00:18:44,250 --> 00:18:50,710 +اللي بتفرز الهستمين ال sympathetic nervous system + +256 +00:18:50,710 --> 00:18:53,590 +بتعمل decrease لل effect تعها و لل degradation و + +257 +00:18:53,590 --> 00:18:56,810 +بتقلل إفراز الهستمين لذلك بنستخدم في ال + +258 +00:18:56,810 --> 00:18:58,830 +anaphylactic shock و في ال allergy .. severe + +259 +00:18:58,830 --> 00:19:01,170 +allergy و مع anaphylactic shock و بيستخدموا + +260 +00:19:01,170 --> 00:19:04,010 +adrenaline تابع لل sympathetic nervous system + +261 +00:19:04,010 --> 00:19:08,660 +بيقلل ال degradation of musclesسيلز وبقل إفراز + +262 +00:19:08,660 --> 00:19:11,980 +الهستامين اللي علاقة بالحساسية ال بارا سيمباتاتك + +263 +00:19:11,980 --> 00:19:17,460 +مالهاش أي دور في الموضوع هذا وهنا واضح الصورة كله + +264 +00:19:17,460 --> 00:19:21,980 +بتتبعهم ال بارا سيمباتاتك إيش الدور بتاعها و بارا + +265 +00:19:21,980 --> 00:19:25,380 +سيمباتاتك نفس الشيء إيش الدور بتاعها هيك وصلنا + +266 +00:19:25,380 --> 00:19:30,800 +لنهاية المحاضرة يعطيكم ألف عافية ودومتم بخير + diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/neIW9sKmQGo_raw.json b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/neIW9sKmQGo_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..ab48c456370a116f3d5a2ec3b07cce08410c3b9f --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/neIW9sKmQGo_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 2907, "start": 5.03, "end": 29.07, "text": "بسم الله الرحمن الرحيم نكمل الجزء الثاني من محاضرة autonomic nervous system احنا في الجزء الأول شرحنا لكم ال autonomic nervous system شرحنا ال first order neuron second order neuron شرحنا ال origin of the autonomic nervous system origin of sympathetic and parasympathetic واطرقنا إلى الجزء الأول من ال parasympathetic nervous system", 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"end": 18.45, "word": " order", "probability": 0.951171875}, {"start": 18.45, "end": 19.01, "word": " neuron", "probability": 0.927734375}, {"start": 19.01, "end": 19.75, "word": " شرحنا", "probability": 0.955810546875}, {"start": 19.75, "end": 19.87, "word": " ال", "probability": 0.798828125}, {"start": 19.87, "end": 20.27, "word": " origin", "probability": 0.93310546875}, {"start": 20.27, "end": 20.69, "word": " of", "probability": 0.97998046875}, {"start": 20.69, "end": 20.85, "word": " the", "probability": 0.78515625}, {"start": 20.85, "end": 21.29, "word": " autonomic", "probability": 0.9453125}, {"start": 21.29, "end": 21.59, "word": " nervous", "probability": 0.93896484375}, {"start": 21.59, "end": 22.13, "word": " system", "probability": 0.9580078125}, {"start": 22.13, "end": 22.83, "word": " origin", "probability": 0.72900390625}, {"start": 22.83, "end": 23.07, "word": " of", "probability": 0.9462890625}, {"start": 23.07, "end": 23.47, "word": " sympathetic", "probability": 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"شرحنا لكم ال part of the parasympathetic nervous system اللي هو الجزء الثاني من ال parasympathetic اللي هو ال part of the parasympathetic nervous system", "tokens": [46309, 5016, 8315, 5296, 24793, 2423, 644, 295, 264, 971, 5871, 2455, 998, 3532, 6296, 1185, 13672, 1829, 31439, 25724, 11622, 38207, 6024, 104, 7649, 1829, 9154, 2423, 971, 5871, 2455, 998, 3532, 13672, 1829, 31439, 2423, 644, 295, 264, 971, 5871, 2455, 998, 3532, 6296, 1185], "avg_logprob": -0.31201172806322575, "compression_ratio": 1.7522935779816513, "no_speech_prob": 0.0, "words": [{"start": 30.14, "end": 30.58, "word": "شرحنا", "probability": 0.7184651692708334}, {"start": 30.58, "end": 30.88, "word": " لكم", "probability": 0.807373046875}, {"start": 30.88, "end": 31.04, "word": " ال", "probability": 0.16015625}, {"start": 31.04, "end": 31.36, "word": " part", "probability": 0.51806640625}, {"start": 31.36, "end": 33.02, "word": " of", "probability": 0.708984375}, {"start": 33.02, "end": 33.44, "word": " the", 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{"start": 40.5, "end": 41.4, "word": " ال", "probability": 0.38232421875}, {"start": 41.4, "end": 42.62, "word": " part", "probability": 0.81689453125}, {"start": 42.62, "end": 43.78, "word": " of", "probability": 0.869140625}, {"start": 43.78, "end": 44.7, "word": " the", "probability": 0.5673828125}, {"start": 44.7, "end": 45.44, "word": " parasympathetic", "probability": 0.91728515625}, {"start": 45.44, "end": 45.68, "word": " nervous", "probability": 0.88330078125}, {"start": 45.68, "end": 46.2, "word": " system", "probability": 0.96337890625}], "temperature": 1.0}, {"id": 3, "seek": 6212, "start": 46.94, "end": 62.12, "text": "تفاجنا إن هذا موجود في S2, S3, S4 segment of spinal cord يبقى الـ first order neuron بتاعة الـ sacral part of parasympathetic nervous system موجودين في الـ anterior horn cells", "tokens": [2655, 5172, 26108, 8315, 36145, 23758, 3714, 29245, 23328, 8978, 318, 17, 11, 318, 18, 11, 318, 19, 9469, 295, 28022, 12250, 7251, 3555, 4587, 7578, 2423, 39184, 700, 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50.66, "end": 50.84, "word": " of", "probability": 0.921875}, {"start": 50.84, "end": 51.2, "word": " spinal", "probability": 0.91259765625}, {"start": 51.2, "end": 51.6, "word": " cord", "probability": 0.919921875}, {"start": 51.6, "end": 52.28, "word": " يبقى", "probability": 0.82806396484375}, {"start": 52.28, "end": 52.4, "word": " الـ", "probability": 0.5654296875}, {"start": 52.4, "end": 52.68, "word": " first", "probability": 0.37109375}, {"start": 52.68, "end": 53.16, "word": " order", "probability": 0.8330078125}, {"start": 53.16, "end": 53.64, "word": " neuron", "probability": 0.400146484375}, {"start": 53.64, "end": 54.06, "word": " بتاعة", "probability": 0.7482096354166666}, {"start": 54.06, "end": 54.2, "word": " الـ", "probability": 0.410888671875}, {"start": 54.2, "end": 54.68, "word": " sacral", "probability": 0.758544921875}, {"start": 54.68, "end": 55.22, "word": " part", "probability": 0.9658203125}, {"start": 55.22, "end": 55.66, "word": " of", "probability": 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"end": 71.4, "word": " وضفتهم", "probability": 0.63515625}, {"start": 71.4, "end": 71.94, "word": " وضفتهم", "probability": 0.7118896484375}, {"start": 71.94, "end": 72.06, "word": " وضفتهم", "probability": 0.814892578125}, {"start": 72.06, "end": 72.06, "word": " وضفتهم", "probability": 0.90400390625}, {"start": 72.06, "end": 73.76, "word": " وضفتهم", "probability": 0.955078125}, {"start": 73.76, "end": 74.2, "word": " وضفتهم", "probability": 0.9701171875}, {"start": 74.2, "end": 74.88, "word": " وضفتهم", "probability": 0.97734375}, {"start": 74.88, "end": 77.96, "word": " وضفتهم", "probability": 0.9810546875}, {"start": 77.96, "end": 79.78, "word": " وضفتهم", "probability": 0.9833984375}, {"start": 79.78, "end": 80.4, "word": " وضفتهم", "probability": 0.98447265625}, {"start": 80.4, "end": 80.4, "word": " وضفتهم", "probability": 0.985546875}, {"start": 80.4, "end": 80.4, "word": " وضفتهم", "probability": 0.9859375}, {"start": 80.4, "end": 80.4, "word": " وضفتهم", "probability": 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rectum مسئول عن عملية ال defecation و ال urination انتوا شايفين هنا ال origin تبعهم من S2 S3 S4 part of a sacral nervous system", "tokens": [1766, 1686, 20659, 7251, 3555, 4587, 7578, 16472, 2423, 8608, 995, 37983, 6027, 34051, 40959, 971, 5871, 2455, 998, 3532, 6296, 1185, 47524, 19986, 12610, 18871, 2423, 846, 662, 1840, 295, 4038, 4066, 37032, 293, 11048, 449, 47524, 19986, 12610, 18871, 6225, 42213, 10632, 2423, 1060, 3045, 399, 4032, 2423, 4038, 2486, 16472, 2655, 14407, 13412, 995, 33911, 9957, 34105, 2423, 4957, 6055, 3555, 3615, 16095, 9154, 318, 17, 318, 18, 318, 19, 644, 295, 257, 4899, 2155, 6296, 1185], "avg_logprob": -0.33506943855756594, "compression_ratio": 1.4220183486238531, "no_speech_prob": 0.0, "words": [{"start": 84.37, "end": 85.09, "word": "genital", "probability": 0.364837646484375}, {"start": 85.09, "end": 85.65, "word": " organs", "probability": 0.81396484375}, {"start": 85.65, "end": 85.93, "word": " يبقى", "probability": 0.75262451171875}, {"start": 85.93, 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100.03, "end": 102.13, "word": " انتوا", "probability": 0.6532389322916666}, {"start": 102.13, "end": 102.43, "word": " شايفين", "probability": 0.9639892578125}, {"start": 102.43, "end": 102.77, "word": " هنا", "probability": 0.953125}, {"start": 102.77, "end": 104.23, "word": " ال", "probability": 0.896484375}, {"start": 104.23, "end": 104.49, "word": " origin", "probability": 0.89453125}, {"start": 104.49, "end": 105.11, "word": " تبعهم", "probability": 0.927490234375}, {"start": 105.11, "end": 105.77, "word": " من", "probability": 0.86767578125}, {"start": 105.77, "end": 106.37, "word": " S2", "probability": 0.83203125}, {"start": 106.37, "end": 107.13, "word": " S3", "probability": 0.68603515625}, {"start": 107.13, "end": 107.87, "word": " S4", "probability": 0.97998046875}, {"start": 107.87, "end": 108.49, "word": " part", "probability": 0.8349609375}, {"start": 108.49, "end": 109.37, "word": " of", "probability": 0.939453125}, {"start": 109.37, "end": 110.49, "word": " a", 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"word": " نيرف", "probability": 0.7708333333333334}, {"start": 173.52, "end": 174.24, "word": " لها", "probability": 0.5086669921875}, {"start": 174.24, "end": 174.78, "word": " 2", "probability": 0.1356201171875}, {"start": 174.78, "end": 176.06, "word": " جانجليا", "probability": 0.697802734375}, {"start": 176.06, "end": 177.34, "word": " سفينو", "probability": 0.69195556640625}, {"start": 177.34, "end": 177.82, "word": " أو", "probability": 0.689453125}, {"start": 177.82, "end": 179.28, "word": " تيريجو", "probability": 0.88017578125}, {"start": 179.28, "end": 180.16, "word": " بلاتاين", "probability": 0.70546875}, {"start": 180.16, "end": 180.84, "word": " جانجليون", "probability": 0.97919921875}], "temperature": 1.0}, {"id": 9, "seek": 19687, "start": 181.37, "end": 196.87, "text": "بتعطينا fibers للنيرف GSBN بتروز النيرف اللي جاي من الفيشيال نيرف sublives اللي هي كريمالي جلاند، جلاند الناس، mouth and pharynx والبلاتف", "tokens": [3555, 2655, 3615, 9566, 1829, 8315, 25252, 24976, 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"word": " نوكلياس", "probability": 0.716650390625}, {"start": 297.79, "end": 298.09, "word": " first", "probability": 0.2335205078125}, {"start": 298.09, "end": 298.57, "word": " order", "probability": 0.888671875}, {"start": 298.57, "end": 299.07, "word": " نيرون", "probability": 0.7216796875}, {"start": 299.07, "end": 299.77, "word": " اسمه", "probability": 0.8502604166666666}, {"start": 299.77, "end": 300.31, "word": " superior", "probability": 0.91162109375}, {"start": 300.31, "end": 300.93, "word": " salivary", "probability": 0.9798177083333334}, {"start": 300.93, "end": 301.45, "word": " nucleus", "probability": 0.9638671875}, {"start": 301.45, "end": 302.21, "word": " هذي", "probability": 0.5311686197916666}, {"start": 302.21, "end": 302.71, "word": " بتعطينا", "probability": 0.96103515625}, {"start": 302.71, "end": 302.95, "word": " two", "probability": 0.77294921875}, {"start": 302.95, "end": 303.49, "word": " branches", "probability": 0.9208984375}, {"start": 303.49, "end": 304.61, "word": " Parasympathetic", "probability": 0.83251953125}, {"start": 304.61, "end": 305.45, "word": " greater", "probability": 0.449462890625}, {"start": 305.45, "end": 306.21, "word": " superficial", "probability": 0.9013671875}, {"start": 306.21, "end": 306.89, "word": " petrosal", "probability": 0.79296875}, {"start": 306.89, "end": 307.25, "word": " nerve", "probability": 0.9130859375}, {"start": 307.25, "end": 308.09, "word": " بيروح", "probability": 0.8883056640625}, {"start": 308.09, "end": 308.61, "word": " لأسفين", "probability": 0.7833984375}, {"start": 308.61, "end": 308.71, "word": " و", "probability": 0.6083984375}, {"start": 308.71, "end": 309.13, "word": " بلطين", "probability": 0.6092529296875}, {"start": 309.13, "end": 309.77, "word": " جانجليون", "probability": 0.685498046875}, {"start": 309.77, "end": 309.95, "word": " و", "probability": 0.72998046875}, {"start": 309.95, "end": 310.59, "word": " بيغضوننا", "probability": 0.7600911458333334}, {"start": 310.59, "end": 311.39, "word": " لقلم", "probability": 0.411102294921875}, {"start": 311.39, "end": 311.53, "word": " ال", "probability": 0.47509765625}, {"start": 311.53, "end": 312.07, "word": " gland", "probability": 0.474609375}, {"start": 312.07, "end": 312.35, "word": " و", "probability": 0.6259765625}, {"start": 312.35, "end": 312.99, "word": " glans", "probability": 0.56982421875}, {"start": 312.99, "end": 313.33, "word": " of", "probability": 0.70654296875}, {"start": 313.33, "end": 314.23, "word": " nose", "probability": 0.73095703125}, {"start": 314.23, "end": 315.81, "word": " pharynx", "probability": 0.8798828125}, {"start": 315.81, "end": 316.19, "word": " palate", "probability": 0.912109375}], "temperature": 1.0}, {"id": 15, "seek": 34288, "start": 316.74, "end": 342.88, "text": "و في جزء تاني منها بيروح عن طريق كوردة تنبني نيرف submandibular ganglion و ال submandibular ganglion بتعطينا postganglionic fibers لل target organs اللي هم sublingual and submandibular glands نجي لglosopharyngeal nerve ال first order نيرون بتاعها inferior salivary nucleus الفيبر ساعتها عن طريق glosopharyngeal nerve", "tokens": [2407, 8978, 10874, 11622, 38207, 6055, 7649, 1829, 9154, 11296, 4724, 13546, 2407, 5016, 18871, 23032, 16572, 4587, 9122, 13063, 41891, 6055, 1863, 3555, 22653, 8717, 13546, 5172, 1422, 22396, 897, 1040, 10145, 75, 313, 4032, 2423, 1422, 22396, 897, 1040, 10145, 75, 313, 39894, 3615, 9566, 1829, 8315, 2183, 19619, 75, 313, 299, 25252, 24976, 3779, 20659, 13672, 1829, 8032, 2304, 1422, 1688, 901, 293, 8286, 474, 897, 1040, 49533, 8717, 7435, 1829, 5296, 7191, 329, 5317, 39008, 432, 304, 16355, 2423, 700, 1668, 8717, 13546, 11536, 39894, 45761, 11296, 24249, 1845, 592, 822, 28055, 27188, 1829, 3555, 2288, 8608, 995, 34268, 11296, 18871, 23032, 16572, 4587, 1563, 329, 5317, 39008, 432, 304, 16355], "avg_logprob": -0.30657326481465635, "compression_ratio": 1.6585365853658536, "no_speech_prob": 0.0, "words": [{"start": 316.74, "end": 316.94, "word": "و", "probability": 0.4970703125}, {"start": 316.94, "end": 317.34, "word": " في", "probability": 0.42529296875}, {"start": 317.34, "end": 317.9, "word": " جزء", "probability": 0.49658203125}, {"start": 317.9, "end": 318.3, "word": " تاني", "probability": 0.7757161458333334}, {"start": 318.3, "end": 318.66, "word": " منها", "probability": 0.943603515625}, {"start": 318.66, "end": 319.88, "word": " بيروح", "probability": 0.747467041015625}, {"start": 319.88, "end": 320.1, "word": " عن", "probability": 0.7802734375}, {"start": 320.1, "end": 320.4, "word": " طريق", "probability": 0.9930013020833334}, {"start": 320.4, "end": 320.9, "word": " كوردة", "probability": 0.5386555989583334}, {"start": 320.9, "end": 321.24, "word": " تنبني", "probability": 0.64361572265625}, {"start": 321.24, "end": 321.66, "word": " نيرف", "probability": 0.7594401041666666}, {"start": 321.66, "end": 323.68, "word": " submandibular", "probability": 0.696868896484375}, {"start": 323.68, "end": 324.28, "word": " ganglion", "probability": 0.9384765625}, {"start": 324.28, "end": 324.82, "word": " و", "probability": 0.287841796875}, {"start": 324.82, "end": 324.92, "word": " ال", "probability": 0.266357421875}, {"start": 324.92, "end": 325.56, "word": " submandibular", "probability": 0.8734130859375}, {"start": 325.56, "end": 326.18, "word": " ganglion", "probability": 0.96826171875}, {"start": 326.18, "end": 327.08, "word": " بتعطينا", "probability": 0.846484375}, {"start": 327.08, "end": 328.02, "word": " postganglionic", "probability": 0.83779296875}, {"start": 328.02, "end": 328.46, "word": " fibers", "probability": 0.85595703125}, {"start": 328.46, "end": 328.74, "word": " لل", "probability": 0.6328125}, {"start": 328.74, "end": 329.08, "word": " target", "probability": 0.31005859375}, {"start": 329.08, "end": 329.76, "word": " organs", "probability": 0.9248046875}, {"start": 329.76, "end": 330.24, "word": " اللي", "probability": 0.973388671875}, {"start": 330.24, "end": 330.5, "word": " هم", "probability": 0.828369140625}, {"start": 330.5, "end": 331.86, "word": " sublingual", "probability": 0.9085286458333334}, {"start": 331.86, "end": 332.4, "word": " and", "probability": 0.5107421875}, {"start": 332.4, "end": 333.74, "word": " submandibular", "probability": 0.8812255859375}, {"start": 333.74, "end": 334.38, "word": " glands", "probability": 0.78759765625}, {"start": 334.38, "end": 335.06, "word": " نجي", "probability": 0.7528483072916666}, {"start": 335.06, "end": 336.1, "word": " لglosopharyngeal", "probability": 0.771484375}, {"start": 336.1, "end": 336.4, "word": " nerve", "probability": 0.90576171875}, {"start": 336.4, "end": 336.86, "word": " ال", "probability": 0.607421875}, {"start": 336.86, "end": 337.12, "word": " first", "probability": 0.6806640625}, {"start": 337.12, "end": 337.58, "word": " order", "probability": 0.88916015625}, {"start": 337.58, "end": 337.96, "word": " نيرون", "probability": 0.8277994791666666}, {"start": 337.96, "end": 338.38, "word": " بتاعها", "probability": 0.9417317708333334}, {"start": 338.38, "end": 338.9, "word": " inferior", "probability": 0.73974609375}, {"start": 338.9, "end": 339.48, "word": " salivary", "probability": 0.98046875}, {"start": 339.48, "end": 340.02, "word": " nucleus", "probability": 0.953125}, {"start": 340.02, "end": 340.94, "word": " الفيبر", "probability": 0.6307373046875}, {"start": 340.94, "end": 341.32, "word": " ساعتها", "probability": 0.80419921875}, {"start": 341.32, "end": 341.5, "word": " عن", "probability": 0.94140625}, {"start": 341.5, "end": 341.78, "word": " طريق", "probability": 0.9943033854166666}, {"start": 341.78, "end": 342.56, "word": " glosopharyngeal", "probability": 0.9361165364583334}, {"start": 342.56, "end": 342.88, "word": " nerve", "probability": 0.953125}], "temperature": 1.0}, {"id": 16, "seek": 36143, "start": 344.03, "end": 361.43, "text": "عن طريق الـ laser superficial بتروز ال nerve بتروح للـotic ganglion يبقى هذه ال fibers كلها تعتبر pre-ganglionic fibers تروح للـotic ganglion او الـotic ganglion اللي هو second order نيرون ال post-ganglionic fibers بيسلمها لمين؟ لبروتد إجلاند", "tokens": [3615, 1863, 23032, 16572, 4587, 2423, 39184, 12530, 1687, 1786, 831, 39894, 32887, 11622, 2423, 16355, 39894, 32887, 5016, 24976, 39184, 9411, 10145, 75, 313, 7251, 3555, 4587, 7578, 29538, 2423, 25252, 28242, 11296, 6055, 34268, 26890, 659, 12, 19619, 75, 313, 299, 25252, 6055, 32887, 5016, 24976, 39184, 9411, 10145, 75, 313, 1975, 2407, 2423, 39184, 9411, 10145, 75, 313, 13672, 1829, 31439, 1150, 1668, 8717, 13546, 11536, 2423, 2183, 12, 19619, 75, 313, 299, 25252, 4724, 1829, 3794, 19528, 11296, 32767, 9957, 22807, 5296, 26890, 35473, 3215, 11933, 7435, 1211, 7649, 3215], "avg_logprob": -0.4134868352036727, "compression_ratio": 1.6567164179104477, "no_speech_prob": 0.0, "words": [{"start": 344.03, "end": 344.21, "word": "عن", "probability": 0.13861083984375}, {"start": 344.21, "end": 344.21, "word": " طريق", "probability": 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0.63525390625}, {"start": 349.03, "end": 349.33, "word": " fibers", "probability": 0.80859375}, {"start": 349.33, "end": 349.65, "word": " كلها", "probability": 0.756103515625}, {"start": 349.65, "end": 349.97, "word": " تعتبر", "probability": 0.8946940104166666}, {"start": 349.97, "end": 350.27, "word": " pre", "probability": 0.7705078125}, {"start": 350.27, "end": 350.95, "word": "-ganglionic", "probability": 0.761572265625}, {"start": 350.95, "end": 351.41, "word": " fibers", "probability": 0.89697265625}, {"start": 351.41, "end": 352.31, "word": " تروح", "probability": 0.80029296875}, {"start": 352.31, "end": 352.61, "word": " للـotic", "probability": 0.6831868489583334}, {"start": 352.61, "end": 353.15, "word": " ganglion", "probability": 0.96630859375}, {"start": 353.15, "end": 353.69, "word": " او", "probability": 0.53399658203125}, {"start": 353.69, "end": 353.77, "word": " الـotic", "probability": 0.479248046875}, {"start": 353.77, "end": 354.35, "word": " ganglion", "probability": 0.9493815104166666}, {"start": 354.35, "end": 354.53, "word": " اللي", "probability": 0.6407470703125}, {"start": 354.53, "end": 354.77, "word": " هو", "probability": 0.9658203125}, {"start": 354.77, "end": 355.17, "word": " second", "probability": 0.794921875}, {"start": 355.17, "end": 355.73, "word": " order", "probability": 0.87353515625}, {"start": 355.73, "end": 356.21, "word": " نيرون", "probability": 0.7544759114583334}, {"start": 356.21, "end": 356.65, "word": " ال", "probability": 0.53857421875}, {"start": 356.65, "end": 356.93, "word": " post", "probability": 0.80810546875}, {"start": 356.93, "end": 357.61, "word": "-ganglionic", "probability": 0.809423828125}, {"start": 357.61, "end": 358.19, "word": " fibers", "probability": 0.92626953125}, {"start": 358.19, "end": 359.03, "word": " بيسلمها", "probability": 0.8876953125}, {"start": 359.03, "end": 359.85, "word": " لمين؟", "probability": 0.744140625}, {"start": 359.85, "end": 360.89, "word": " لبروتد", "probability": 0.76806640625}, {"start": 360.89, "end": 361.43, "word": " إجلاند", "probability": 0.78037109375}], "temperature": 1.0}, {"id": 17, "seek": 39150, "start": 362.32, "end": 391.5, "text": "هيك بكون خلصت الموضوع بقرا sympathetic nervous system الآن بنتجل ال sympathetic nervous system ال origin تبعها sympathetic nervous system thoracolumbar من T1 ل L2 يبقى sympathetic nervous system اللي علاقة بال intramedial lateral nuclei اللي موجودة في ال lateral horn cells من T1 لحد L2 في بعض المراجع بيقولوا من C8 من C8", "tokens": [3224, 1829, 4117, 4724, 30544, 16490, 1211, 9381, 2655, 9673, 2407, 11242, 45367, 4724, 4587, 23557, 36032, 6296, 1185, 6024, 48506, 44945, 2655, 7435, 1211, 2423, 36032, 6296, 1185, 2423, 4957, 6055, 3555, 3615, 11296, 36032, 6296, 1185, 11588, 326, 401, 2860, 289, 9154, 314, 16, 5296, 441, 17, 7251, 3555, 4587, 7578, 36032, 6296, 1185, 13672, 1829, 11203, 995, 28671, 20666, 560, 2356, 292, 831, 25128, 49919, 13672, 1829, 3714, 29245, 23328, 3660, 8978, 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sympathetic ganglia قلنا ثلاثة في superior cervical sympathetic ganglion وفي middle وفي inferior أنا بكتفي فيهم لحان لأنه في الطب أنا بشرحهم بشرح ال branches سبعينهم كلهم كل ganglion إيش بتخرج أعصاب منها وإيش بتغدي هاي عندي اللي هو superior cervical ganglion وهادي middle cervical ganglion وهادي inferior cervical ganglion ال inferior cervical ganglion هذه", "tokens": [6027, 39184, 49883, 36032, 10145, 14218, 12174, 1211, 8315, 38637, 1211, 5718, 104, 3660, 8978, 13028, 49883, 36032, 10145, 75, 313, 4032, 41185, 2808, 4032, 41185, 24249, 41850, 4724, 4117, 2655, 41185, 8978, 16095, 5296, 5016, 7649, 5296, 33456, 3224, 8978, 41950, 3555, 41850, 4724, 46309, 5016, 16095, 4724, 46309, 5016, 2423, 14770, 8608, 3555, 3615, 9957, 16095, 28242, 16095, 28242, 10145, 75, 313, 11933, 1829, 8592, 39894, 34740, 7435, 5551, 3615, 9381, 16758, 9154, 11296, 4032, 28814, 1829, 8592, 39894, 17082, 16254, 8032, 47302, 18871, 16254, 13672, 1829, 31439, 13028, 49883, 10145, 75, 313, 4032, 11296, 16254, 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"seek": 56040, "start": 549.9, "end": 560.4, "text": "بتتحد مع ال first thoracic و بيسموها cervicothoracic ganglion أو استيليت جانجليون", "tokens": [3555, 2655, 2655, 24401, 20449, 2423, 700, 11588, 326, 299, 4032, 4724, 1829, 38251, 2407, 11296, 39543, 299, 900, 284, 326, 299, 10145, 75, 313, 34051, 44713, 26895, 36081, 10874, 7649, 7435, 20292, 11536], "avg_logprob": -0.3975446564810617, "compression_ratio": 1.1057692307692308, "no_speech_prob": 0.0, "words": [{"start": 549.9, "end": 550.34, "word": "بتتحد", "probability": 0.759185791015625}, {"start": 550.34, "end": 550.56, "word": " مع", "probability": 0.9697265625}, {"start": 550.56, "end": 550.72, "word": " ال", "probability": 0.8720703125}, {"start": 550.72, "end": 551.0, "word": " first", "probability": 0.35205078125}, {"start": 551.0, "end": 551.64, "word": " thoracic", "probability": 0.91259765625}, {"start": 551.64, "end": 551.72, "word": " و", "probability": 0.3974609375}, {"start": 551.72, "end": 552.2, "word": " بيسموها", 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00:00:23,070 +of the autonomic nervous system origin of + +6 +00:00:23,070 --> 00:00:26,990 +sympathetic and parasympathetic واطرقنا إلى الجزء + +7 +00:00:26,990 --> 00:00:30,580 +الأول من ال parasympathetic nervous systemشرحنا + +8 +00:00:30,580 --> 00:00:35,060 +لكم ال part of the parasympathetic nervous system + +9 +00:00:35,060 --> 00:00:40,500 +اللي هو الجزء الثاني من ال parasympathetic اللي هو + +10 +00:00:40,500 --> 00:00:46,200 +ال part of the parasympathetic nervous system + +11 +00:00:46,940 --> 00:00:50,840 +تفاجنا إن هذا موجود في S2, S3, S4 segment of + +12 +00:00:50,840 --> 00:00:54,200 +spinal cord يبقى الـ first order neuron بتاعة الـ + +13 +00:00:54,200 --> 00:00:58,340 +sacral part of parasympathetic nervous system + +14 +00:00:58,340 --> 00:01:02,120 +موجودين في الـ anterior horn cells + +15 +00:01:08,600 --> 00:01:14,200 +ووظفتهم وضفتهم وضفتهم وضفتهم وضفتهم وضفتهم وضفتهم + +16 +00:01:14,200 --> 00:01:17,960 +وضفتهم وضفتهم + +17 +00:01:17,960 --> 00:01:20,400 +وضفتهم وضفتهم وضفتهم وضفتهم وضفتهم وضفتهم وضفتهم + +18 +00:01:20,400 --> 00:01:22,880 +وضفتهم وضفتهم وضفتهم وضفتهم وضفتهم وضفتهم وضفتهم + +19 +00:01:22,880 --> 00:01:28,610 +وضفتهمgenital organs يبقى ان ال ساكرال أو pelvic + +20 +00:01:28,610 --> 00:01:32,850 +parasympathetic nervous system مسئول عن ال + +21 +00:01:32,850 --> 00:01:37,010 +emptying of urinary bladder and rectum مسئول عن + +22 +00:01:37,010 --> 00:01:42,430 +عملية ال defecation و ال urination انتوا شايفين + +23 +00:01:42,430 --> 00:01:50,990 +هنا ال origin تبعهم من S2 S3 S4 part of a sacral + +24 +00:01:50,990 --> 00:01:55,140 +nervous systemاللي هو تابرة الـ Parasympathetic و + +25 +00:01:55,140 --> 00:01:59,960 +supply genital organs و بياخد ال left one third of + +26 +00:01:59,960 --> 00:02:05,260 +a transverse colon, descending colon و ال rectum + +27 +00:02:05,260 --> 00:02:11,340 +كل هذا بياخد من وين؟ من ال circle part ان راجع ال + +28 +00:02:11,340 --> 00:02:14,840 +Parasympathetic ganglia in the head and neck + +29 +00:02:14,840 --> 00:02:19,840 +لاحظوا ال celery ganglion شرحناها في البداية + +30 +00:02:21,710 --> 00:02:26,590 +النيرون الأول هو EDENGER WESTFALEN NUCLEUS النيرون + +31 +00:02:26,590 --> 00:02:29,110 +الثاني هو CILIARY GANGLION ميني بري جانجليونيك + +32 +00:02:29,110 --> 00:02:34,090 +فايبرز البرا سيمباتاتيك روت اللي هو يعتبر + +33 +00:02:34,090 --> 00:02:39,150 +أكولوموتر نيرب التارجت أورغان هو السفينكتر بيوبلي + +34 +00:02:39,150 --> 00:02:43,070 +و مصدر سيلاري أنا براجع كرينيال part of برا + +35 +00:02:43,070 --> 00:02:47,380 +سيمباتاتيك نيربالسيستيمننتقل لـ Superior Salivary + +36 +00:02:47,380 --> 00:02:51,560 +Nucleus سوبريور ساليفاري نوكلياس اللي هي first + +37 +00:02:51,560 --> 00:02:57,820 +order نيرون للفاشيال نيرف لها 2 جانجليا سفينو أو + +38 +00:02:57,820 --> 00:03:05,210 +تيريجو بلاتاين جانجليونبتعطينا fibers للنيرف GSBN + +39 +00:03:05,210 --> 00:03:09,910 +بتروز النيرف اللي جاي من الفيشيال نيرف sublives + +40 +00:03:09,910 --> 00:03:14,830 +اللي هي كريمالي جلاند، جلاند الناس، mouth and + +41 +00:03:14,830 --> 00:03:21,160 +pharynx والبلاتفالـ submandibular ganglion بتعطينا + +42 +00:03:21,160 --> 00:03:26,100 +fibers ل .. بتاخد fibers اللي هي بارسين بتاتي كروت + +43 +00:03:26,100 --> 00:03:30,300 +بتاخد من وين؟ من ال facial nerve اللي بيغدينا ال + +44 +00:03:30,300 --> 00:03:35,250 +submandibular و sublingual salivary glandInfero + +45 +00:03:35,250 --> 00:03:40,670 +Salivary nucleus مسئولة عن Glossopharyngeal nerve + +46 +00:03:40,670 --> 00:03:45,290 +تعطينا preganglionic fibers للأوتك جانجليون مين + +47 +00:03:45,290 --> 00:03:50,790 +بياخد منها ال fibers بياخد ال lesser superficial + +48 +00:03:50,790 --> 00:03:53,970 +petrosal nerve بيسلم للأوتك جانجليون وأوتك + +49 +00:03:53,970 --> 00:03:58,670 +جانجليون اللي هو بتسلم لل Parotid glandمن وين هو + +50 +00:03:58,670 --> 00:04:00,610 +ليه أصبح superficial petrosal nerve؟ أول مرة + +51 +00:04:00,610 --> 00:04:03,470 +تسمعوه هو جاي من الـ Glossopharyngeal as a branch + +52 +00:04:03,470 --> 00:04:08,950 +of Glossopharyngeal nerve الـ dorsal motor nucleus + +53 +00:04:08,950 --> 00:04:14,550 +of Vegas nerve بتعطينا لماني جنجليا قولنا عشرات in + +54 +00:04:14,550 --> 00:04:19,350 +different organs لبرسمبتات كروت بتاعها اللي هو + +55 +00:04:19,350 --> 00:04:23,970 +Vegas nerve and its branches supply heart + +56 +00:04:23,970 --> 00:04:29,680 +respiratory system and abdominal visceraهيلاحظوا + +57 +00:04:29,680 --> 00:04:33,640 +ال اوكلاموتر نيرف ايش اسم ال first order neuron + +58 +00:04:33,640 --> 00:04:36,660 +تبعته اي danger with fun nucleus عن طريق ال + +59 +00:04:36,660 --> 00:04:41,380 +اوكلاموتر نيرف ادق inferior division ادق nerve to + +60 +00:04:41,380 --> 00:04:45,200 +inferior oblique muscle بتغدى ال celery muscle اسف + +61 +00:04:45,200 --> 00:04:48,260 +بتغدى ال celery ganglion ال celery ganglion اللي + +62 +00:04:48,260 --> 00:04:51,920 +هي second order neuron بتغدى ال celery muscle و ال + +63 +00:04:51,920 --> 00:04:54,020 +sphincter pupil muscle انا قاعد براجع المراجعة + +64 +00:04:54,020 --> 00:04:58,090 +اللي شرحتهنجي لل facial nerve الهو نوكلياس first + +65 +00:04:58,090 --> 00:05:02,210 +order نيرون اسمه superior salivary nucleus هذي + +66 +00:05:02,210 --> 00:05:05,450 +بتعطينا two branches Parasympathetic greater + +67 +00:05:05,450 --> 00:05:09,130 +superficial petrosal nerve بيروح لأسفين و بلطين + +68 +00:05:09,130 --> 00:05:14,230 +جانجليون و بيغضوننا لقلم ال gland و glans of nose + +69 +00:05:14,230 --> 00:05:20,400 +pharynx palateو في جزء تاني منها بيروح عن طريق + +70 +00:05:20,400 --> 00:05:24,920 +كوردة تنبني نيرف submandibular ganglion و ال + +71 +00:05:24,920 --> 00:05:28,020 +submandibular ganglion بتعطينا postganglionic + +72 +00:05:28,020 --> 00:05:32,400 +fibers لل target organs اللي هم sublingual and + +73 +00:05:32,400 --> 00:05:36,860 +submandibular glands نجي لglosopharyngeal nerve ال + +74 +00:05:36,860 --> 00:05:40,020 +first order نيرون بتاعها inferior salivary nucleus + +75 +00:05:40,020 --> 00:05:44,210 +الفيبر ساعتها عن طريق glosopharyngeal nerveعن طريق + +76 +00:05:44,210 --> 00:05:47,570 +الـ laser superficial بتروز ال nerve بتروح للـotic + +77 +00:05:47,570 --> 00:05:50,270 +ganglion يبقى هذه ال fibers كلها تعتبر pre + +78 +00:05:50,270 --> 00:05:53,690 +-ganglionic fibers تروح للـotic ganglion او + +79 +00:05:53,690 --> 00:05:56,650 +الـotic ganglion اللي هو second order نيرون ال + +80 +00:05:56,650 --> 00:06:01,430 +post-ganglionic fibers بيسلمها لمين؟ لبروتد إجلاند + +81 +00:06:02,320 --> 00:06:06,080 +هيك بكون خلصت الموضوع بقرا sympathetic nervous + +82 +00:06:06,080 --> 00:06:10,400 +system الآن بنتجل ال sympathetic nervous system ال + +83 +00:06:10,400 --> 00:06:12,700 +origin تبعها sympathetic nervous system + +84 +00:06:12,700 --> 00:06:18,020 +thoracolumbar من T1 ل L2 يبقى sympathetic nervous + +85 +00:06:18,020 --> 00:06:21,900 +system اللي علاقة بال intramedial lateral nuclei + +86 +00:06:21,900 --> 00:06:27,340 +اللي موجودة في ال lateral horn cells من T1 لحد L2 + +87 +00:06:27,340 --> 00:06:34,240 +في بعض المراجع بيقولوا من C8 من C8لحد ايش الاتنين + +88 +00:06:34,240 --> 00:06:41,760 +ما علينا لكن اكتر شئ نعتمد T1 L2 part لذلك سميت + +89 +00:06:41,760 --> 00:06:46,960 +thraco-lumbar nervous system هذه هي ال sympathetic + +90 +00:06:46,960 --> 00:06:50,020 +nervous system sympathetic nervous system بتبدأ من + +91 +00:06:50,020 --> 00:06:52,120 +T1 لحد L2 + +92 +00:06:54,750 --> 00:06:57,770 +Sympathetic Ganglia، فيه نوعين من الـSympathetic + +93 +00:06:57,770 --> 00:07:01,970 +Ganglia، فيه إبارة Vertebral Ganglia، بتكوننها + +94 +00:07:01,970 --> 00:07:06,930 +sympathetic chain حوالين الـvertebral columnوعددهم + +95 +00:07:06,930 --> 00:07:10,370 +من كل جهة اتنين وعشرين لثلاثة وعشرين جانجيليا + +96 +00:07:10,370 --> 00:07:14,870 +بيكونوا على ال right و على left side من ال spine + +97 +00:07:14,870 --> 00:07:18,330 +وفي collateral جانجيليا بعيدة شوية اسمها + +98 +00:07:18,330 --> 00:07:21,570 +peripheral جانجيليا بتكون في ال cavity around + +99 +00:07:21,570 --> 00:07:27,790 +large arteries زي celiac superior and inferior + +100 +00:07:27,790 --> 00:07:33,510 +mesenteric جانجيلياHow many sympathetic ganglia + +101 +00:07:33,510 --> 00:07:37,750 +are found in the sympathetic chain؟ قلنا من كل جهة + +102 +00:07:37,750 --> 00:07:42,230 +فيه 22 إلى 23 ganglia، cervical بيكون فيه ganglia + +103 +00:07:42,230 --> 00:07:44,190 +ثلاثة، هذول موجودين في ال peripheral nervous + +104 +00:07:44,190 --> 00:07:48,610 +system، thoracic عشر على اتناش، lumbar أربع على + +105 +00:07:48,610 --> 00:07:52,270 +خمسة، sacral أربع على خمسة، أنا بتكلم على pairs، + +106 +00:07:52,270 --> 00:07:55,960 +زوج، على ال right و على ال leftright و left زوج ال + +107 +00:07:55,960 --> 00:08:00,500 +جنجليون تكون واحدة اسمها empower جنجليون empower + +108 +00:08:00,500 --> 00:08:06,520 +جنجليون لو جمعناهم بنجد انه من كل جهة فيه 22 ل23 + +109 +00:08:06,520 --> 00:08:12,320 +جنجليونهذا هو sympathetic chain زي العقد بيكون + +110 +00:08:12,320 --> 00:08:15,080 +حوالين ال vertibral column من ال right و من ال + +111 +00:08:15,080 --> 00:08:19,540 +left هذا اسمه sympathetic chain وهذه هي الجانجلية + +112 +00:08:19,540 --> 00:08:23,220 +هذه ثروس الجانجلية على سبيل المثال فوق بنطلع على + +113 +00:08:23,220 --> 00:08:27,700 +ال cervical ganglia هاي واضح اندي cervical ganglia + +114 +00:08:27,700 --> 00:08:33,500 +superior هاي middle وهاي inferior نفس + +115 +00:08:33,500 --> 00:08:37,440 +الشيء هذه تعتبر sympathetic chain sympathetic ايه؟ + +116 +00:08:37,440 --> 00:08:42,660 +chainالـ cervical sympathetic ganglia قلنا ثلاثة + +117 +00:08:42,660 --> 00:08:46,060 +في superior cervical sympathetic ganglion وفي + +118 +00:08:46,060 --> 00:08:49,380 +middle وفي inferior أنا بكتفي فيهم لحان لأنه في + +119 +00:08:49,380 --> 00:08:52,420 +الطب أنا بشرحهم بشرح ال branches سبعينهم كلهم كل + +120 +00:08:52,420 --> 00:08:56,480 +ganglion إيش بتخرج أعصاب منها وإيش بتغدي هاي عندي + +121 +00:08:56,480 --> 00:09:01,100 +اللي هو superior cervical ganglion وهادي middle + +122 +00:09:01,100 --> 00:09:05,400 +cervical ganglion وهادي inferior cervical ganglion + +123 +00:09:05,400 --> 00:09:11,000 +ال inferior cervical ganglion هذهبتتحد مع ال first + +124 +00:09:11,000 --> 00:09:14,820 +thoracic و بيسموها cervicothoracic ganglion أو + +125 +00:09:14,820 --> 00:09:18,840 +استيليت + +126 +00:09:18,840 --> 00:09:20,400 +جانجليون + +127 +00:09:27,170 --> 00:09:31,390 +Middle Cervical Sympathetic Ganglion وInferior + +128 +00:09:31,390 --> 00:09:35,110 +Cervical Sympathetic Ganglion الانفيريو بتسميها + +129 +00:09:35,110 --> 00:09:38,850 +cervicothoracic لانها بتتحد مع ال first thoracic + +130 +00:09:38,850 --> 00:09:42,650 +ganglion وبيسميها stellate ganglion اللي هي اسم + +131 +00:09:42,650 --> 00:09:51,150 +ثاني ايه؟ stellate ganglion okay + +132 +00:09:51,150 --> 00:09:57,500 +لان نرجع ال effectبنتكلم الآن على physiology pure + +133 +00:09:57,500 --> 00:10:01,460 +physiology إيش دور ال sympathetic nervous system و + +134 +00:10:01,460 --> 00:10:06,220 +إيش دور ال parasympathetic nervous system على ال + +135 +00:10:06,220 --> 00:10:13,920 +organs لو أخدنا ال eye ال pupils sympathetic + +136 +00:10:13,920 --> 00:10:19,840 +nervous system بتعمل dilation بتغدي عضلة اسمها + +137 +00:10:19,840 --> 00:10:24,140 +dilator pupil muscle بتوسح حدقة العينالـ + +138 +00:10:24,140 --> 00:10:28,520 +Parasympathetic لأ بتغدي Constrictor Bipilomuscle + +139 +00:10:28,520 --> 00:10:31,600 +عن طريق العصب الثالث الـ oculomotor nerve و غضبتها + +140 +00:10:31,600 --> 00:10:35,500 +بتعمل Constriction بتعمل مايوسز، even هذي بتعمل + +141 +00:10:35,500 --> 00:10:41,380 +Mediasis يعني توسيع حدقة العين والـ + +142 +00:10:41,380 --> 00:10:47,060 +Parasympathetic بتعمل مايوسز نجي على الـ Ciliary + +143 +00:10:47,060 --> 00:10:51,880 +muscle اللي علاقة بالـ accommodationأنا راح أشرحها + +144 +00:10:51,880 --> 00:10:58,480 +في محاضرة ال optic nerve في special sensation ال + +145 +00:10:58,480 --> 00:11:02,220 +sympathetic بتعملنا relaxation و ال + +146 +00:11:02,220 --> 00:11:06,800 +parasympathetic contraction الأن اتكلم على glands + +147 +00:11:06,800 --> 00:11:13,540 +اللي لقمة لل glandsو nasopharyngeal glands تتذكروا + +148 +00:11:13,540 --> 00:11:17,400 +لما اتقطعوا بصل ايش بيصير معاكم sympathetic بتعمل + +149 +00:11:17,400 --> 00:11:20,580 +reduction بتقلل ال secretion لان هي بتعمل + +150 +00:11:20,580 --> 00:11:24,100 +vasoconstriction ال parasympathetic بيزود ال + +151 +00:11:24,100 --> 00:11:28,700 +secretion increase لان مين بيغضي ال nasopharyngeal + +152 +00:11:28,700 --> 00:11:31,960 +glands و ال lacrimal gland بيغضيها اللي هو + +153 +00:11:31,960 --> 00:11:35,360 +sphenopalatine ganglion او عن طريق ال greater + +154 +00:11:35,360 --> 00:11:38,900 +superficial petrosal nerve اللي أصله جاي من facial + +155 +00:11:38,900 --> 00:11:45,060 +nerveسيلفري إيجلاند مثل سب مانديبولر سب لينجوال + +156 +00:11:45,060 --> 00:11:49,980 +كمان نفس الشيء البارا سيمباتاتيك هنا راح تعمل + +157 +00:11:49,980 --> 00:11:53,740 +increase لل secretion السيمباتاتيك بتعمل + +158 +00:11:53,740 --> 00:11:58,240 +vasoconstriction و reduce secretion نيجي لقى ال + +159 +00:11:58,240 --> 00:12:03,700 +heart على القلب سيمباتاتيك nervous system بتزود ال + +160 +00:12:03,700 --> 00:12:09,240 +heart rate و بتزود ال muscle contractionلو كنا + +161 +00:12:09,240 --> 00:12:15,480 +ماشيين ضلام فجأة نبح عليك و كلب او حدث انفجار + +162 +00:12:15,480 --> 00:12:20,160 +بتجري ما بتدري وين تروح و ال heart rate تبعك ايه + +163 +00:12:20,160 --> 00:12:23,260 +بيشتغل بسرعة لان اشتغل الجهاز سمتاوي ال + +164 +00:12:23,260 --> 00:12:25,880 +sympathetic nervous system مشتغلت لكن على ال + +165 +00:12:25,880 --> 00:12:29,140 +parasympathetic nervous system ال parasympathetic + +166 +00:12:29,140 --> 00:12:35,400 +بتقلل ال heart rate و بتقلل المصل contraction lung + +167 +00:12:37,330 --> 00:12:42,510 +على ال muscle of bronchi bronchial muscles ال + +168 +00:12:42,510 --> 00:12:45,530 +sympathetic nervous system تعمل dilation للرنكاية + +169 +00:12:45,530 --> 00:12:49,090 +والبارا sympathetic تعمل construction للرنكاية + +170 +00:12:49,090 --> 00:12:52,650 +عشان هيك الناس اللي عندهم أزمة بنعطيهم علاج اللي + +171 +00:12:52,650 --> 00:12:55,310 +علاقة بال sympathetic nervous system بيزود ال + +172 +00:12:55,310 --> 00:12:59,070 +sympathetic nervous system عشان يعمل توسيع وارتخاء + +173 +00:12:59,070 --> 00:13:03,030 +للعضلات لل smooth muscles بتاعت الرنكاية للقصبة + +174 +00:13:03,030 --> 00:13:09,430 +الهوائية وشعب الهوائيةلكن على ال blood vessels على + +175 +00:13:09,430 --> 00:13:12,150 +ال arteries الموجودين ال sympathatic بتعمل + +176 +00:13:12,150 --> 00:13:15,410 +construction و ال parasympathetic بتعمل dilatation + +177 +00:13:15,410 --> 00:13:22,630 +ننتج ال G I system على ال G I tract او G I system + +178 +00:13:22,630 --> 00:13:28,630 +ال muscle of wallالـ sympathetic بتقلل البرستالتك، + +179 +00:13:28,630 --> 00:13:32,230 +بتقلل حركة الأمعاء البارا sympathetic بتزود حركة + +180 +00:13:32,230 --> 00:13:35,930 +الأمعاء، بتعمل contractions للـsphincters + +181 +00:13:35,930 --> 00:13:41,510 +الـsympathetic بتعمل spasm، construction البارا + +182 +00:13:41,510 --> 00:13:45,720 +sympathetic بتعمل relaxation للـ glandsالـ + +183 +00:13:45,720 --> 00:13:48,980 +sympathetic بتقل الإفراز الغدد، عصارة المعدة أو + +184 +00:13:48,980 --> 00:13:52,620 +عصارة الأمعاء لكن الـ parasympathetic بتزود، بتعمل + +185 +00:13:52,620 --> 00:13:57,560 +increase ل ال secretion ال kidney لل kidney ال + +186 +00:13:57,560 --> 00:14:00,940 +sympathetic nervous system بتعمل decrease ل ال + +187 +00:14:00,940 --> 00:14:04,680 +urine secretion ال parasympathetic nervous system + +188 +00:14:04,680 --> 00:14:09,920 +بتعمل increase ل ال urine secretion ننتقل لمين؟ ل + +189 +00:14:09,920 --> 00:14:15,820 +ال urine bladderللـ blood wall الـ sympathetic + +190 +00:14:15,820 --> 00:14:18,820 +nervous system تعمل relaxation البارا sympathetic + +191 +00:14:18,820 --> 00:14:22,000 +nervous system تعمل contraction نجلة الـ + +192 +00:14:22,000 --> 00:14:24,600 +sphincter، internal sphincter sympathetic nervous + +193 +00:14:24,600 --> 00:14:27,280 +system تعمل constriction، spasm لالـ sphincter + +194 +00:14:27,280 --> 00:14:30,440 +البارا sympathetic تعمل relaxation يقول إن البارا + +195 +00:14:30,440 --> 00:14:34,300 +sympathetic مسئول عن عملية الـ urination، التبول + +196 +00:14:34,300 --> 00:14:37,390 +والـ defecationوكان الإنسان لما يتبول ويتبرز، مين + +197 +00:14:37,390 --> 00:14:40,550 +بيشتغل هنا عنده؟ بيشتغل الـ Parasympathetic + +198 +00:14:40,550 --> 00:14:44,070 +Nervous System بتعمل إيه؟ Relaxation للـSphincters + +199 +00:14:44,070 --> 00:14:48,770 +وبتعمل Contraction لـSmooth Muscles للـWall of the + +200 +00:14:48,770 --> 00:14:54,930 +Rectum and Urinary Bladder نتاجي الآن على Goal + +201 +00:14:54,930 --> 00:15:03,470 +Bladder الـ + +202 +00:15:03,470 --> 00:15:08,850 +Sympathetic بتعمل Relaxationو Spasm للسفنغتر ال + +203 +00:15:08,850 --> 00:15:11,290 +Parasympathetic بتعملها contraction و relaxation + +204 +00:15:11,290 --> 00:15:17,130 +للسفنغتر عشان تخرج ال bile للددنم و يساعد في عملية + +205 +00:15:17,130 --> 00:15:22,350 +الهضم على ال liver ال sympathetic بتعمل increase + +206 +00:15:22,350 --> 00:15:25,990 +لل conversion of glycogen لجليكوز يبقى في ال + +207 +00:15:25,990 --> 00:15:30,280 +sympathetic بيقولك والله زعل و سكر و ارتفعزهل و + +208 +00:15:30,280 --> 00:15:32,900 +السكر ارتفع ليش زهل و السكر ارتفع؟ لأن الـ + +209 +00:15:32,900 --> 00:15:34,960 +sympathetic nervous system بزيد مع ال stress و + +210 +00:15:34,960 --> 00:15:40,200 +التوتر وبتحول جليكوجين لجلوكوز وبترفع السكر في + +211 +00:15:40,200 --> 00:15:46,180 +الدم البارا sympathetic ب stimulation للإنسولين و + +212 +00:15:46,180 --> 00:15:50,580 +glycogen secretion في الحالة هذه هي البارا + +213 +00:15:50,580 --> 00:15:54,980 +sympathetic راح تزيد الإنسولين و تدخل الجلوكوز في + +214 +00:15:54,980 --> 00:16:00,510 +الخلايا الانترا سيلولار على ال pancreasSympathetic + +215 +00:16:00,510 --> 00:16:06,490 +تعمل انهيبشن للإنسليم و بتقل الإنسليم و بتزود ال + +216 +00:16:06,490 --> 00:16:12,010 +glycogen secretion لكن بارا سيمباتاتيك تعمل + +217 +00:16:12,010 --> 00:16:16,850 +stimulation للإنسليم و لجليكوجين secretion هذا من + +218 +00:16:16,850 --> 00:16:21,270 +ناحية البانكرياس الليفر هنا انا قلتلكوا فاطية + +219 +00:16:21,270 --> 00:16:25,610 +الليفرعال liver ال sympathetic بتزود قولنا ال + +220 +00:16:25,610 --> 00:16:30,970 +conversion بتاع ال glycogen لجلوكوز لكن ال + +221 +00:16:30,970 --> 00:16:34,970 +parasympathetic راح تزود ال release of bile راح + +222 +00:16:34,970 --> 00:16:39,810 +تزود افراز الغدة تبع المرارة و العصارة بتاعة + +223 +00:16:39,810 --> 00:16:44,890 +المرارة لعملية الهضم ع ال male sexالـ sympathetic + +224 +00:16:44,890 --> 00:16:50,450 +بتزود عملية ال ejaculation و ال parasympathetic + +225 +00:16:50,450 --> 00:16:53,390 +بتزود عملية ال erection القدث اللي علاقة بال + +226 +00:16:53,390 --> 00:16:55,070 +sympathetic و الانتصاب اللي علاقة بال + +227 +00:16:55,070 --> 00:16:58,830 +parasympathetic ع ال pineal gland موجودة في الدماغ + +228 +00:16:58,830 --> 00:17:03,450 +ال sympathetic اللي علاقة بال increase ميلاتونين و + +229 +00:17:03,450 --> 00:17:05,950 +ال synthesis و ال secretion بتاعه ال + +230 +00:17:05,950 --> 00:17:10,530 +parasympathetic مالهاش أي دورعال skin، sweaty + +231 +00:17:10,530 --> 00:17:13,350 +glands، لما أنا بعصب، بتوتر، بتلاقي إيش بيصير + +232 +00:17:13,350 --> 00:17:17,150 +معانا، بنعرج، sympathetic بتزود ال secretion بتاع + +233 +00:17:17,150 --> 00:17:21,250 +ال sweet، و بقرا sympathetic مالهاش دور، في عضلة + +234 +00:17:21,250 --> 00:17:25,710 +صغيرة اسمها pilomotor muscle، هاد إلها علاقة + +235 +00:17:25,710 --> 00:17:29,550 +بانتصاب الشعر، الحاج جسمته حاجة كويش بتقول، + +236 +00:17:29,550 --> 00:17:33,720 +شفتلكوا هالمنظر، شعري ويجفوالله الحاجة بتعرف في + +237 +00:17:33,720 --> 00:17:36,980 +sympathetic nervous system شعارها ويجف ليه؟ لأن + +238 +00:17:36,980 --> 00:17:40,080 +sympathetic nervous system بيعمل contraction + +239 +00:17:40,080 --> 00:17:45,820 +للpilum motor muscle هذي بتوقف الشعر هو لو شوفت + +240 +00:17:45,820 --> 00:17:49,140 +المانضر و شعريه ويجف والله كلام هو مظبوط الحاجة ال + +241 +00:17:49,140 --> 00:17:53,680 +platelet صفائح الدموية sympathetic بتعمل increase + +242 +00:17:53,680 --> 00:17:57,260 +لل aggregation الصفائح الدموية بتزود إيش التصاق + +243 +00:17:57,260 --> 00:18:00,700 +الصفائح الدموية sympathetic nervous system بتزود + +244 +00:18:00,700 --> 00:18:04,600 +التصاق الصفائح الدمويةو بيزود عملية التجلط عشان + +245 +00:18:04,600 --> 00:18:07,820 +هيك بيقولك والله زعل و كان عنده stress و توتر و + +246 +00:18:07,820 --> 00:18:10,960 +حدث معاه جلطة دماغية او جلطة في القلب ليه؟ لأن + +247 +00:18:10,960 --> 00:18:13,860 +sympathetic nervous system بيزود التصاق السفائح + +248 +00:18:13,860 --> 00:18:17,360 +الدموية برا sympathetic مالهاش دور ال lipolysis + +249 +00:18:17,360 --> 00:18:22,940 +sympathetic بيزود ال lipolysis الحرق الدهون ال + +250 +00:18:22,940 --> 00:18:27,880 +renin secretionSympathetic بيزود إفراز الرنين و زي + +251 +00:18:27,880 --> 00:18:32,560 +ما انتوا عارفين الرنين بتحول ل أنجوتنزين و بيزود + +252 +00:18:32,560 --> 00:18:36,320 +الدغط و بيرتفع عندهم دغط الدم عشان هيك بيقولك + +253 +00:18:36,320 --> 00:18:39,500 +والله مع الذعل اتعرض لصدمة نفسية و ذعل و الدغط + +254 +00:18:39,500 --> 00:18:44,250 +ارتفع و أصلا عنده دغطOkay واخر شئ اللي هو muscles + +255 +00:18:44,250 --> 00:18:50,710 +اللي بتفرز الهستمين ال sympathetic nervous system + +256 +00:18:50,710 --> 00:18:53,590 +بتعمل decrease لل effect تعها و لل degradation و + +257 +00:18:53,590 --> 00:18:56,810 +بتقلل إفراز الهستمين لذلك بنستخدم في ال + +258 +00:18:56,810 --> 00:18:58,830 +anaphylactic shock و في ال allergy .. severe + +259 +00:18:58,830 --> 00:19:01,170 +allergy و مع anaphylactic shock و بيستخدموا + +260 +00:19:01,170 --> 00:19:04,010 +adrenaline تابع لل sympathetic nervous system + +261 +00:19:04,010 --> 00:19:08,660 +بيقلل ال degradation of musclesسيلز وبقل إفراز + +262 +00:19:08,660 --> 00:19:11,980 +الهستامين اللي علاقة بالحساسية ال بارا سيمباتاتك + +263 +00:19:11,980 --> 00:19:17,460 +مالهاش أي دور في الموضوع هذا وهنا واضح الصورة كله + +264 +00:19:17,460 --> 00:19:21,980 +بتتبعهم ال بارا سيمباتاتك إيش الدور بتاعها و بارا + +265 +00:19:21,980 --> 00:19:25,380 +سيمباتاتك نفس الشيء إيش الدور بتاعها هيك وصلنا + +266 +00:19:25,380 --> 00:19:30,800 +لنهاية المحاضرة يعطيكم ألف عافية ودومتم بخير + diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/nyZBSpvcHMo.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/nyZBSpvcHMo.srt new file mode 100644 index 0000000000000000000000000000000000000000..05ae347a35e171c480d1381f24e7251d50de6b85 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/nyZBSpvcHMo.srt @@ -0,0 +1,1982 @@ +1 +00:00:04,990 --> 00:00:09,510 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:09,510 --> 00:00:15,710 +وبركاته اليوم راح أكون معكم في محاضرة الإسبوع العاشر + +3 +00:00:15,710 --> 00:00:20,670 +راح نتكلم عن autonomic nervous system نتكلم + +4 +00:00:20,670 --> 00:00:23,270 +general أول شيء على autonomic nervous system + +5 +00:00:23,270 --> 00:00:25,410 +anatomy and physiology of the autonomic nervous + +6 +00:00:25,410 --> 00:00:30,110 +system راح أتكلم بعدها على ال parasympathetic + +7 +00:00:30,110 --> 00:00:35,050 +nervous system cranial part and sacral part و + +8 +00:00:35,050 --> 00:00:39,170 +أتطرق على sympathetic nervous system و في نهاية + +9 +00:00:39,170 --> 00:00:45,640 +المحاضرة راح أتكلم على effect و Psychology of + +10 +00:00:45,640 --> 00:00:48,700 +Sympathetic and Parasympathetic Nervous System + +11 +00:00:48,700 --> 00:00:53,980 +ونعمل comparison between the sympathetic and + +12 +00:00:53,980 --> 00:01:01,880 +parasympathetic nervous system effect لو + +13 +00:01:01,880 --> 00:01:06,080 +قلنا لكم what's the definition of the autonomic + +14 +00:01:06,080 --> 00:01:10,260 +nervous system Autonomic nervous system is + +15 +00:01:10,260 --> 00:01:15,220 +involuntary nervous system يبقى أن هي اسمها + +16 +00:01:15,220 --> 00:01:19,280 +involuntary nervous system طب ليش سموها + +17 +00:01:19,280 --> 00:01:23,960 +involuntary nervous system لأن هي controls the + +18 +00:01:23,960 --> 00:01:30,310 +smooth cardiac muscles and glands هلأ أنا بتحكم في + +19 +00:01:30,310 --> 00:01:36,870 +حركة الأمعاء الدقيقة؟ بتحكمش بتحكم في حركة ال + +20 +00:01:36,870 --> 00:01:42,250 +heart؟ ما بتحكم بتحكم في نبض القلب؟ ما بتحكم okay + +21 +00:01:42,250 --> 00:01:48,210 +في الحالة هذه هي system supplies smooth muscles + +22 +00:01:49,330 --> 00:01:53,490 +cardiac muscles and glands عشان إيه يسموها + +23 +00:01:53,490 --> 00:02:01,210 +involuntary nervous system ال functions بتاعتها لو + +24 +00:02:01,210 --> 00:02:04,210 +سألنا سؤال أصلي ال functions of the autonomic + +25 +00:02:04,210 --> 00:02:07,850 +nervous system autonomic nervous system supply + +26 +00:02:07,850 --> 00:02:14,090 +unstriated muscles اللي هم مين smooth muscles + +27 +00:02:15,670 --> 00:02:21,030 +cardiac muscles و glands وين موجودة smooth muscles + +28 +00:02:21,030 --> 00:02:24,750 +موجودة في blood vessels موجودة في ال internal + +29 +00:02:24,750 --> 00:02:28,750 +organs طيب + +30 +00:02:28,750 --> 00:02:36,040 +لو عملنا comparison between the autonomic و Somatic + +31 +00:02:36,040 --> 00:02:41,080 +nervous system Somatic nervous system is voluntary + +32 +00:02:41,080 --> 00:02:45,660 +nervous system is voluntary nervous system لكن + +33 +00:02:45,660 --> 00:02:49,120 +autonomic nervous system is involuntary nervous + +34 +00:02:49,120 --> 00:02:57,110 +system okay يبقى Somatic nervous system control + +35 +00:02:57,110 --> 00:03:00,690 +skeletal muscles اللي علاقة بالـ skeletal muscles + +36 +00:03:00,690 --> 00:03:04,690 +و أنا لما بحرك ال skeletal muscles بكون conscious + +37 +00:03:04,690 --> 00:03:10,150 +oriented يعني واعي نفسي لأن هي تعتبر conscious or + +38 +00:03:10,150 --> 00:03:16,810 +voluntary regulation تحكم إرادي بتحكم إرادي فيها + +39 +00:03:16,810 --> 00:03:23,720 +يعني بدي أرفع أيدي رفعتها نزلتها Okay abduction + +40 +00:03:23,720 --> 00:03:29,260 +adduction أنا بتحكم فيها اثنين autonomic nervous + +41 +00:03:29,260 --> 00:03:35,020 +system functions without conscious awareness يعني + +42 +00:03:35,020 --> 00:03:38,360 +تحكم لا إرادي + +43 +00:03:40,720 --> 00:03:45,300 +fibers في ال somatic nervous system don't synapse + +44 +00:03:45,300 --> 00:03:50,060 +after they leave the CNS يعني الفيبرز في ال + +45 +00:03:50,060 --> 00:03:53,020 +somatic nervous system بعد ما اتغادر الحبل الشوكي + +46 +00:03:53,020 --> 00:04:00,040 +مالهاش synapse هي الفيبرز راح تصل أخر شيء ل neuro + +47 +00:04:00,040 --> 00:04:03,060 +muscular junction و تسلم الإشارة ل ال muscle + +48 +00:04:03,060 --> 00:04:09,640 +fibers لكن autonomic nervous system لها synapse + +49 +00:04:11,170 --> 00:04:15,710 +ويلها ganglia sympathetic ganglia أو para + +50 +00:04:15,710 --> 00:04:22,430 +sympathetic ganglia و ال fibers هروح تتحول من pre + +51 +00:04:22,430 --> 00:04:28,550 +ganglionic fibers ل post ganglionic fibers يبقى + +52 +00:04:28,550 --> 00:04:31,990 +الاختلاف الثاني أنه ال autonomic nervous system + +53 +00:04:31,990 --> 00:04:36,430 +مالهاش synapse في ال peripheral nervous system + +54 +00:04:36,430 --> 00:04:41,430 +ويلها أخر شيء neuromuscular junction أما الـ + +55 +00:04:41,430 --> 00:04:45,210 +Autonomic Nervous System اللي لها جانجيليا سينابس + +56 +00:04:45,210 --> 00:04:50,270 +بتنفيه والإشارة راح تتحول من pre-ganglionic ل + +57 +00:04:50,270 --> 00:04:55,730 +post-ganglionic و الجانجيليا حسب الجهاز إما يكون + +58 +00:04:55,730 --> 00:04:59,010 +جهاز سمبثاوي اللي sympathetic nervous system و تكون + +59 +00:04:59,010 --> 00:05:03,150 +sympathetic ganglia و إما parasympathetic و يكون + +60 +00:05:03,150 --> 00:05:10,240 +لها parasympathetic ganglia الاختلاف الثالث أنه + +61 +00:05:10,240 --> 00:05:14,980 +Somatic Nervous System Subserves Skeletal Muscles + +62 +00:05:14,980 --> 00:05:20,500 +هي عضلات إرادية يعني لو قلت لكم غمضوا عينكم + +63 +00:05:20,500 --> 00:05:23,540 +فانغمضوا عيننا عن طريق orbicularis oculi Muscle + +64 +00:05:23,540 --> 00:05:28,340 +Skeletal Muscle طب لو سألتكوا سؤال بالله كبروه + +65 +00:05:28,340 --> 00:05:34,920 +لحدقة العين ل pupils كبروه بنفع؟ ما بقدر اتحكم فيه، + +66 +00:05:34,920 --> 00:05:38,480 +بقدرش أتحكم فيه لأن هذه عضلة ملساء smooth muscles + +67 +00:05:38,480 --> 00:05:43,760 +وحركتها لا إرادية أما ال autonomic nervous system + +68 +00:05:43,760 --> 00:05:49,340 +supplies smooth muscles، cardiac muscles and + +69 +00:05:49,340 --> 00:05:57,120 +glands لاحظوا هنا أنه في ال somatic nervous system + +70 +00:05:58,320 --> 00:06:00,640 +في عندي neurons بيكونوا موجودين في الـ anterior + +71 +00:06:00,640 --> 00:06:05,300 +horn cells ع سبيل المثال للموتور بعدها بيجينا + +72 +00:06:05,300 --> 00:06:12,180 +myelinated axon و لل neuromuscular junction supply + +73 +00:06:12,180 --> 00:06:16,620 +skeletal muscles stimulate effect بيكون لكن في ال + +74 +00:06:16,620 --> 00:06:21,980 +autonomic nervous system لاحظوا في عندي synapse و + +75 +00:06:21,980 --> 00:06:32,910 +الإشارة راح تتحول من بري جانجليونيك الهي + +76 +00:06:32,910 --> 00:06:42,690 +سينابس الى بوست جانجليونيك بوست جانجليونيك و ال + +77 +00:06:42,690 --> 00:06:49,580 +effect تبعهم إما بيكونوا إما بيكون inhibitory يعني + +78 +00:06:49,580 --> 00:06:53,080 +لو اتكلمنا على ال heart sympathetic nervous system + +79 +00:06:53,080 --> 00:06:58,260 +راح تكون stimulatory راح تعمل stimulation لل heart + +80 +00:06:58,260 --> 00:07:02,480 +rate أما ال parasympathetic nervous system راح + +81 +00:07:02,480 --> 00:07:06,760 +تكون inhibitory راح تكون inhibitory وتعملنا + +82 +00:07:06,760 --> 00:07:13,380 +بطء في ضربات القلب decrease heart rate العكس صحيح على ال + +83 +00:07:13,380 --> 00:07:19,160 +GIT system على الـ GIT جهاز الهضمي بلاحظ ال + +84 +00:07:19,160 --> 00:07:21,940 +Parasympathetic nervous system راح تكون + +85 +00:07:21,940 --> 00:07:26,020 +stimulatory راح تزود ال peristaltic of intestinal + +86 +00:07:26,020 --> 00:07:29,660 +راح تزود حركة الأمعاء أما Parasympathetic nervous + +87 +00:07:29,660 --> 00:07:33,140 +system راح تعملنا inhibitory effect راح تقلل ال + +88 +00:07:33,140 --> 00:07:40,960 +peristaltics طيب من أيه تتكون autonomic nervous + +89 +00:07:40,960 --> 00:07:44,740 +system هي أن autonomic + +90 +00:07:47,470 --> 00:07:52,370 +nervous system autonomic nervous system ينقسم + +91 +00:07:52,370 --> 00:07:57,290 +لجزئين جزء + +92 +00:07:57,290 --> 00:08:04,690 +الأول وجزء الثاني الجزء الأول اسمه sympathetic + +93 +00:08:04,690 --> 00:08:14,090 +nervous system أو بنسميه thoracolumbar + +94 +00:08:16,560 --> 00:08:20,440 +nervous system جزء ثاني من autonomic nervous + +95 +00:08:20,440 --> 00:08:27,060 +system بارا sympathetic nervous system أو بنسميها + +96 +00:08:27,060 --> 00:08:31,960 +cranio sacral nervous + +97 +00:08:31,960 --> 00:08:38,500 +system + +98 +00:08:38,500 --> 00:08:44,920 +okay يبقى slide هذا autonomic nervous + +99 +00:08:44,920 --> 00:08:50,420 +system Sympathetic nervous system و Parasympathetic + +100 +00:08:50,420 --> 00:08:54,620 +nervous system طيب Sympathetic nervous system + +101 +00:08:54,620 --> 00:09:03,820 +صدرية و قطنية من T1 ل L2 segment موجودة ال + +102 +00:09:03,820 --> 00:09:09,000 +Parasympathetic nervous system موجودة في جزئين + +103 +00:09:09,000 --> 00:09:12,620 +cranial + +104 +00:09:12,620 --> 00:09:13,320 +part + +105 +00:09:16,550 --> 00:09:22,930 +اللي هو العصب العاشر التاسع السابع الثالث اللي هو + +106 +00:09:22,930 --> 00:09:29,210 +بيكون العاشر و التاسع و الثالث و السابع و sacral + +107 +00:09:29,210 --> 00:09:41,560 +part هي S2 S3 S4 سموها Parasympathetic Nervous + +108 +00:09:41,560 --> 00:09:45,920 +System لأنها بتحدد sympathetic nervous system من تحت + +109 +00:09:45,920 --> 00:09:49,020 +و من فوق نرسم sympathetic nervous system هاي ال + +110 +00:09:49,020 --> 00:09:57,400 +spinal cord sympathetic nervous system من T1 لحد ال2 + +111 +00:09:57,400 --> 00:10:02,860 +ال Parasympathetic Nervous System راح تكون في ال + +112 +00:10:02,860 --> 00:10:04,820 +cranial part brainstem + +113 +00:10:08,680 --> 00:10:14,780 +العصب العاشر التاسع السابع الخامس عشر تلاف تسع مية و خمس + +114 +00:10:14,780 --> 00:10:23,620 +سبعين و في ال sacred part S2 S3 S4 يعني ال + +115 +00:10:23,620 --> 00:10:26,320 +parasympathetic nervous system هدول + +116 +00:10:28,590 --> 00:10:34,630 +sympathetic nervous system و T1 اللي قلتها تعتبر + +117 +00:10:34,630 --> 00:10:37,710 +sympathetic nervous system سموها para sympathetic + +118 +00:10:37,710 --> 00:10:41,930 +nervous system لأنها بتحد sympathetic nervous + +119 +00:10:41,930 --> 00:10:46,170 +system من فوق و من تحت كلمة para حوالين حوالين ايه + +120 +00:10:46,170 --> 00:10:52,310 +sympathetic nervous system part of the autonomic + +121 +00:10:52,310 --> 00:10:56,930 +nervous system الـ Autonomic Nervous System تتكون + +122 +00:10:56,930 --> 00:11:02,710 +من الـ Central Part و الـ Peripheral Part من هم + +123 +00:11:02,710 --> 00:11:07,610 +الـ Central Part؟ هم الـ Autonomic Nuclei + +124 +00:11:07,610 --> 00:11:14,200 +الموجودين في الـ Brain Stem النوكلياس تبعت العصب + +125 +00:11:14,200 --> 00:11:20,760 +هنا الثالث مش الخامس هنا ايه الثالث صلحوها عندكم العاشر + +126 +00:11:20,760 --> 00:11:24,100 +تلاف و تسعمية و ثلاثة و سبعين العاشر تلاف و تسعمية و + +127 +00:11:24,100 --> 00:11:26,720 +خمس سبعين مقصود فيها mixed nerve العاشر تلاف و تسعمية + +128 +00:11:26,720 --> 00:11:32,940 +و ثلاثة و سبعين اللي هم ايه para sympathetic ايه + +129 +00:11:32,940 --> 00:11:34,740 +بقى النوكلياي اللي موجودة في ال brain stem + +130 +00:11:34,740 --> 00:11:41,690 +النوكلياس الثالث أو oculomotor nerve السابع التاسع العاشر هدول + +131 +00:11:41,690 --> 00:11:46,410 +central part طيب و النكلياية الموجودة في ال + +132 +00:11:46,410 --> 00:11:53,510 +lateral horn cells segment T1 T2 T3 T4 T5 T6 T7 T8 + +133 +00:11:53,510 --> 00:11:59,030 +T9 T10 T11 T12 ال one ال two هذه تعتبر central + +134 +00:11:59,030 --> 00:12:02,810 +part لل sympathetic والنوكلياي الموجودة في الانترال + +135 +00:12:02,810 --> 00:12:09,090 +هورن سينيز ال S2 ال S3 ال S4 النوكلياي + +136 +00:12:09,090 --> 00:12:11,430 +الموجودة في الانترال هورنسينيز النوكلياي الموجودة + +137 +00:12:11,430 --> 00:12:11,910 +الموجودة في الانترال هورنسينيز النوكلياي الموجودة + +138 +00:12:11,910 --> 00:12:11,990 +في الانترال هورنسينيز النوكلياي الموجودة في + +139 +00:12:11,990 --> 00:12:13,210 +الانترال هورنسينيز النوكلياي الموجودة في الانترال + +140 +00:12:13,210 --> 00:12:15,670 +هورنسينيز النوكلياي الموجودة في الانترال + +141 +00:12:15,670 --> 00:12:20,970 +هورنسينيز النوكلياي الموجودة + +142 +00:12:20,970 --> 00:12:28,270 +في الانترال هورنسينومن T1 ل L2 Brainstem para + +143 +00:12:28,270 --> 00:12:34,770 +sympathetic و sacral S2 S3 S4 sacral part of + +144 +00:12:34,770 --> 00:12:39,370 +parasympathetic nervous system peripheral part هم + +145 +00:12:39,370 --> 00:12:42,990 +ال nerve fibers و الجنجلية التابعة لمين + +146 +00:12:42,990 --> 00:12:47,170 +للsympathetic nervous system و ال nerve fibers و + +147 +00:12:47,170 --> 00:12:52,230 +الجنجلية التابعة ليه لparasympathetic nervous + +148 +00:12:52,230 --> 00:12:57,900 +system The origin of the autonomic nervous system + +149 +00:12:57,900 --> 00:13:01,680 +شرحناه ال origin of the autonomic nervous system + +150 +00:13:01,680 --> 00:13:08,540 +أنا شرحته بقولنا sympathetic nervous system ال + +151 +00:13:08,540 --> 00:13:16,960 +origin تبعها thoracolumbar nervous system تبدأ + +152 +00:13:16,960 --> 00:13:25,240 +من T1 لحد الاثنين يعني all thoracic and ال one ال + +153 +00:13:25,240 --> 00:13:30,100 +two segment of spinal cord طيب ال origin بتاع ال + +154 +00:13:30,100 --> 00:13:34,180 +parasympathetic nervous system بين جسمين شرحته + +155 +00:13:34,180 --> 00:13:38,720 +cranial part اللي هم ال nuclei اللي موجودين في + +156 +00:13:38,720 --> 00:13:44,240 +brainstem بتوع العصب الثالث oculomotor nerve + +157 +00:13:44,240 --> 00:13:49,740 +السابع Facial nerve التاسع Glossopharyngeal nerve + +158 +00:13:49,740 --> 00:13:59,740 +والعاشر Vagus nerve and nuclei of S2 S3 S4 + +159 +00:13:59,740 --> 00:14:03,820 +segment ال sacral part يبقى أن هيك أنا شرحت لكم + +160 +00:14:03,820 --> 00:14:07,280 +origin بتاع ال sympathetic وبقرأ sympathetic كمان + +161 +00:14:07,280 --> 00:14:12,860 +مرة sympathetic من T1 لحد L2 بتكون موجودة في ال + +162 +00:14:12,860 --> 00:14:16,420 +anterior horn cells أي آسف بتكون موجودة ال + +163 +00:14:16,420 --> 00:14:20,380 +sympathetic وين في lateral horn cells ال sympathetic + +164 +00:14:20,380 --> 00:14:27,920 +بتكون من T1 ل L2 بتكون موجودة وين في lateral horn + +165 +00:14:27,920 --> 00:14:32,980 +cells البارا sympathetic جزئين cranial part بيكون + +166 +00:14:32,980 --> 00:14:36,560 +في brainstem اللي هي ال nuclei بتاعة ال + +167 +00:14:36,560 --> 00:14:40,560 +oculomotor عصب تلاتة facial سبعة glossopharyngeal + +168 +00:14:40,560 --> 00:14:44,470 +تسعة و vagus عشرة و ال sacral part تعالى para + +169 +00:14:44,470 --> 00:14:46,850 +sympathetic النكليات الموجودة في ال anterior horn + +170 +00:14:46,850 --> 00:14:55,390 +cells S2 S3 S4 segment of a spinal cord دكتور ياد + +171 +00:14:55,390 --> 00:15:00,690 +أنت قلت لنا sympathetic collateral horn cells + +172 +00:15:03,380 --> 00:15:06,160 +و البارا ال sympathetic اللي سيقرأه في ال anterior + +173 +00:15:06,160 --> 00:15:11,860 +horn cells ليه؟ ليه ال sympathetic في ال lateral + +174 +00:15:11,860 --> 00:15:14,900 +horn cells و البارا ال sympathetic في ال anterior + +175 +00:15:14,900 --> 00:15:23,020 +horn cells؟ أبسط المعلومة لكم سافرت على موسكو في 31 + +176 +00:15:23,020 --> 00:15:28,560 +ديسمبر و في كان أعياد عندهم الفندق مليان مشغول جدًا + +177 +00:15:28,560 --> 00:15:33,880 +و درجة حرارة أربعين أو عشرين أو ثلاثين تحت الصفر + +178 +00:15:33,880 --> 00:15:40,100 +و ما فيش واسعة في الغرف و قالوا لي في لك زاوية في الممر + +179 +00:15:40,100 --> 00:15:44,100 +في نهاية الممر بحط لك سرير تنام فيه، بوافق؟ بوافق + +180 +00:15:44,100 --> 00:15:46,960 +و ال sympathetic nervous system في ال + +181 +00:15:46,960 --> 00:15:51,180 +thoracolumbar part من T1 لT2 ال anterior horn + +182 +00:15:51,180 --> 00:15:55,400 +cells مشغولة، فيها motor neurons لمين؟ motor + +183 +00:15:55,400 --> 00:15:58,920 +neurons لل chest و لل abdomen و لل lower + +184 +00:15:58,920 --> 00:16:02,320 +limbs ال one ال two في الحالة هذه ال anterior + +185 +00:16:02,320 --> 00:16:06,620 +horns مشغولة ال sympathetic nervous system بتروح + +186 +00:16:06,620 --> 00:16:14,580 +تسكن في horn إضافي اسمه lateral horn لكن S2 خاصة + +187 +00:16:14,580 --> 00:16:21,480 +S3 و S4 في S3 و S4 ما بيكونش motor neurons فاضية أنا + +188 +00:16:21,480 --> 00:16:26,560 +روحت في شهر تلاتة الفندق فاضي، مش فيه غرف مشغولة، + +189 +00:16:26,560 --> 00:16:29,320 +أنا بروح أسكن في الممر ولا في الغرفة، باخد جناح + +201 +00:17:14,560 --> 00:17:20,080 +يعني الـ internal organs بتاخد innervation من الـ + +202 +00:17:20,080 --> 00:17:25,160 +both systems sympathetic و parasympathetic لكن + +203 +00:17:25,160 --> 00:17:31,940 +sympathetic nervous system supply the skin of the body + +204 +00:17:33,660 --> 00:17:37,680 +للـ arteriole لشرايين صغيرة في الـ skin و sweat + +205 +00:17:37,680 --> 00:17:44,200 +glands للغدد بتاعة العرق و blood vessels of the + +206 +00:17:44,200 --> 00:17:47,260 +limbs للـ smooth muscles بتاعة blood vessels + +207 +00:17:47,260 --> 00:17:51,120 +الموجودة في الـ limbs و بتغذي كمان الـ deep viscera + +208 +00:17:51,120 --> 00:17:58,080 +لكن الـ parasympathetic nervous system supply only + +209 +00:17:58,080 --> 00:18:04,180 +deep viscera تغذي الـ deep viscera each of the two + +210 +00:18:04,180 --> 00:18:10,940 +system consists of two order neurons يعني الـ + +211 +00:18:10,940 --> 00:18:14,860 +autonomic nervous system لها two order neurons لها + +212 +00:18:14,860 --> 00:18:19,140 +first neuron بيكون موجود في الـ central nervous + +213 +00:18:19,140 --> 00:18:24,420 +system والها second neuron بيكون موجود في الـ + +214 +00:18:24,420 --> 00:18:28,500 +peripheral nervous system مين هو الـ first neurons + +215 +00:18:28,500 --> 00:18:33,200 +هم الـ nuclei او الـ neurons الموجودين في الـ + +216 +00:18:33,200 --> 00:18:37,240 +brainstem او الـ spinal cord يعني + +217 +00:18:38,390 --> 00:18:42,810 +النواة الثالثة السابعة التاسعة العاشرة أو + +218 +00:18:42,810 --> 00:18:48,010 +النواة الموجودين في الـ lateral horns من T1 لـ L2 + +219 +00:18:48,010 --> 00:18:53,050 +sympathetic nervous system أو من S2 S3 S4 + +220 +00:18:53,050 --> 00:18:56,470 +parasympathetic nervous system هذي بنسميهم first + +221 +00:18:56,470 --> 00:19:01,480 +neuron طب منهم الـ second neuron؟أما sympathetic + +222 +00:19:01,480 --> 00:19:06,340 +ganglia او parasympathetic ganglia هذه تعتبر + +223 +00:19:06,340 --> 00:19:11,680 +second neuron نتكلم + +224 +00:19:11,680 --> 00:19:28,460 +على ايش first neuron ناخد + +225 +00:19:28,460 --> 00:19:34,440 +مثالناخد العصب التاسع Glossopharyngeal nerve ناخد + +226 +00:19:34,440 --> 00:19:42,500 +العصب ايش؟ التاسع العصب التاسع له first neuron + +227 +00:19:42,500 --> 00:19:49,840 +اسمه + +228 +00:19:49,840 --> 00:19:59,210 +inferior salivary nucleus وين موجودة؟ Located in + +229 +00:19:59,210 --> 00:20:02,790 +Medulla oblongata يعني في الـ brainstem في الـ + +230 +00:20:02,790 --> 00:20:11,590 +brainstem تمام هذه + +231 +00:20:11,590 --> 00:20:21,550 +اسمها first neuron first neuron بتبدأ تسلم second + +232 +00:20:21,550 --> 00:20:22,010 +neuron + +233 +00:20:26,540 --> 00:20:30,880 +بتسلم مين الـ second neuron الـ second neuron هي + +234 +00:20:30,880 --> 00:20:40,100 +عبارة عن otic ganglion otic ganglion هذه تعتبر para + +235 +00:20:40,100 --> 00:20:45,780 +sympathetic ganglion parasympathetic ganglion أو + +236 +00:20:45,780 --> 00:20:53,780 +ganglion تمام ganglion okay هذه تعتبر ايه second + +237 +00:20:57,250 --> 00:21:01,170 +neuron neuron neuron neuron neuron neuron neuron neuron + +238 +00:21:01,170 --> 00:21:02,990 +neuron neuron neuron neuron neuron neuron neuron neuron + +239 +00:21:02,990 --> 00:21:07,370 +neuron neuron + +240 +00:21:07,370 --> 00:21:15,910 +neuron neuron neuron + +241 +00:21:15,910 --> 00:21:17,010 +neuron neuron neuron neuron neuron neuron neuron neuron + +242 +00:21:17,010 --> 00:21:17,430 +neuron neuron neuron neuron neuron neuron neuron neuron + +243 +00:21:17,430 --> 00:21:22,290 +neuron neuron neuron neuron neuron neuron neuron neuron هو + +244 +00:21:22,290 --> 00:21:26,610 +إما العصب السابع والتاسع والعاشر احنا أخذنا مثال + +245 +00:21:26,610 --> 00:21:32,510 +العصب مين؟ العصب التاسع اللي هو Glossopharyngeal + +246 +00:21:32,510 --> 00:21:37,410 +nerve أو + +247 +00:21:37,410 --> 00:21:42,890 +intermediolateral nuclei الموجودة في lateral + +248 +00:21:42,890 --> 00:21:51,040 +horn cells من T1 لـ L2 هذه sympatheticو S2 S3 S4 + +249 +00:21:51,040 --> 00:21:54,540 +الموجودة في الـ anterior horn cells parasympathetic هذول + +250 +00:21:54,540 --> 00:21:59,780 +يعتبروا ايش؟ First Order Neurons و الموجودين في + +251 +00:21:59,780 --> 00:22:06,300 +الـ cranial nerves و الـ sacral nerves اما Brain Stem و اما Spinal Cord تمام The + +252 +00:22:06,300 --> 00:22:11,580 +axon of these cells يعني الـ axon او الـ nerve بتاع + +253 +00:22:11,580 --> 00:22:16,800 +هذول الـ First Order Neurons carry stimuli بياخد + +254 +00:22:16,800 --> 00:22:23,280 +stimuliمن الـ first order neuron و بيسلموها للـ second + +255 +00:22:23,280 --> 00:22:30,380 +order neuron للجنجلية هذا الـ fibers هذا الـ fibers + +256 +00:22:30,380 --> 00:22:34,780 +او + +257 +00:22:34,780 --> 00:22:44,300 +الـ axon بنسميه preganglionic + +258 +00:22:48,700 --> 00:22:55,140 +fibers ليه سميناه preganglionic fibers لأنه حامل + +259 +00:22:55,140 --> 00:22:58,740 +الإشارة وبدي يسلم للجنجليون يبقى ان هو ما قبل + +260 +00:22:58,740 --> 00:23:06,520 +الجنجليون preganglionic وبيكون myelinated أبيض أو + +261 +00:23:06,520 --> 00:23:11,260 +white أبيض + +262 +00:23:11,260 --> 00:23:15,770 +ليه أبيض لأنه فيه myelin sheathهنا على سبيل المثال + +263 +00:23:15,770 --> 00:23:18,750 +اسمه Glossopharyngeal nerve اسمه ايه؟ + +264 +00:23:18,750 --> 00:23:26,410 +Glossopharyngeal nerve يبقى + +265 +00:23:26,410 --> 00:23:31,770 +slide هذا واضح نطبقه هنا ان الـ first order neuron + +266 +00:23:31,770 --> 00:23:37,210 +هو inferior salivary nucleus وان موجودة في الـ + +267 +00:23:37,210 --> 00:23:41,740 +brain stem في الـ medulla oblongataبتسلم الإشارة لـ + +268 +00:23:41,740 --> 00:23:44,640 +Second Order Neuron، من هو الـ Second Order + +269 +00:23:44,640 --> 00:23:47,620 +Neuron؟ Otic Ganglion موجود في الـ Peripheral + +270 +00:23:47,620 --> 00:23:51,720 +Nervous System طيب الـ fibers أو الـ axon من الـ + +271 +00:23:51,720 --> 00:23:55,580 +First Order Neuron اللي راح تسلم الـ Second Order + +272 +00:23:55,580 --> 00:24:02,940 +Neuron، إيش اسمها؟ اسمهاpreganglionic fibers أو + +273 +00:24:02,940 --> 00:24:10,180 +white nerve و بتكون myelinated نجي للـ second order + +274 +00:24:10,180 --> 00:24:14,400 +neuron الـ second order neuron راح يكون اما + +275 +00:24:14,400 --> 00:24:18,780 +sympathetic ganglion وإما para sympathetic ganglia + +276 +00:24:18,780 --> 00:24:24,200 +اللي بيحصل فيها synapse وبتحول لـ pre ganglionic + +277 +00:24:24,200 --> 00:24:30,380 +fibers لإي لـ post ganglionic fibers يبقى second + +278 +00:24:30,380 --> 00:24:33,820 +order neuron راح يكون sympathetic أو para + +279 +00:24:33,820 --> 00:24:39,220 +sympathetic ganglia والـ fibers تبعتهم راح تكون + +280 +00:24:39,220 --> 00:24:45,840 +اسمها ايها post + +281 +00:24:52,680 --> 00:25:01,760 +ganglionic fibers بتكون إيش؟ Gray أو non + +282 +00:25:01,760 --> 00:25:07,060 +-myelinated هذا + +283 +00:25:07,060 --> 00:25:11,100 +إيش بدها تسلم؟ لمين بدها تسلم هذه الإشارة على الـ + +284 +00:25:11,100 --> 00:25:11,340 +boss؟ + +285 +00:25:16,930 --> 00:25:23,370 +للـ target organ target organ هنا الـ target organ + +286 +00:25:23,370 --> 00:25:31,990 +راح يكون parotid gland parotid gland احنا أخذنا مثال + +287 +00:25:31,990 --> 00:25:36,180 +العصب التاسع يبقى كمان مرةالـ First Order Neuron + +288 +00:25:36,180 --> 00:25:39,440 +موجود في الـ CNS Inferior Salivary Nucleus راح + +289 +00:25:39,440 --> 00:25:41,620 +يسلم الـ Second Order Neuron اللي هي + +290 +00:25:41,620 --> 00:25:45,080 +Parasympathetic ganglion عصب مثلا لإنه بشرح العصب + +291 +00:25:45,080 --> 00:25:48,060 +التاسع parasympathetic راح يكون fibers او ت + +292 +00:25:48,060 --> 00:25:52,780 +الجانجليون الـ fibers اللي ما قبل الجانجليون اسمه + +293 +00:25:52,780 --> 00:25:57,790 +pre-ganglionicهي axon of the first neuron و بتكون + +294 +00:25:57,790 --> 00:26:02,070 +myelinated الـ axon اللي هي بتسلم الـ target organ + +295 +00:26:02,070 --> 00:26:05,750 +اللي هي axon of second order neuron بنسميهم + +296 +00:26:05,750 --> 00:26:09,230 +postganglionic fibers و بيكونوا gray أو non + +297 +00:26:09,230 --> 00:26:12,970 +myelinated مين الـ target organ؟ parotid gland + +298 +00:26:12,970 --> 00:26:19,170 +فهمتوهم؟ يعني بيبقى parotid gland target organايش + +299 +00:26:19,170 --> 00:26:22,890 +أنواع الـ Autonomic Ganglia؟ الـ Autonomic Ganglia + +300 +00:26:22,890 --> 00:26:26,730 +نوعين فيه sympathetic و فيه para sympathetic + +301 +00:26:26,730 --> 00:26:33,030 +sympathetic تنقسم لجسمين para vertebral ganglia + +302 +00:26:33,030 --> 00:26:37,290 +أو sympathetic ganglia بيكونون شيء اسمه + +303 +00:26:37,290 --> 00:26:41,910 +sympathetic chainوكل جنجلية الجنجلة بتكون في + +304 +00:26:41,910 --> 00:26:45,810 +abdomen الـ cavity بعيدة شوية اسمها celiac + +305 +00:26:45,810 --> 00:26:49,390 +superior mesenteric و inferior mesenteric مش مطلوب + +306 +00:26:49,390 --> 00:26:52,850 +منكوا الأسماء أهم شي تعرفوا أن فيه sympathetic ganglia + +307 +00:26:52,850 --> 00:26:57,110 +و في para sympathetic ganglia الـ para sympathetic ganglia + +308 +00:26:57,110 --> 00:27:02,930 +بتكون قريبة للـ walls of the viscera قريبة لوين؟ للـ + +309 +00:27:02,930 --> 00:27:08,030 +organ في ملاحظة انه + +310 +00:27:09,110 --> 00:27:15,670 +preganglionic fiber هي myelinated أو white أو ايه + +311 +00:27:15,670 --> 00:27:21,550 +white postganglionic fiber nonmyelinated أو ايه + +312 +00:27:21,550 --> 00:27:26,370 +gray طيب الـ ganglia sympathetic قريبة على الـ + +313 +00:27:26,370 --> 00:27:31,270 +vertebral column في الحالة هذه preganglionic + +314 +00:27:31,270 --> 00:27:37,460 +fibers بتاعة sympathetic nervous system shortوالـ + +315 +00:27:37,460 --> 00:27:42,200 +postganglionic long العكس هي الـ ganglia para + +316 +00:27:42,200 --> 00:27:44,600 +sympathetic تكون قريبة على الـ target organ and الـ + +317 +00:27:44,600 --> 00:27:48,440 +organ في الـ wall of the organرح يكون para + +318 +00:27:48,440 --> 00:27:52,780 +sympathetic preganglionic long لاحظوا أنا رسمتهم + +319 +00:27:52,780 --> 00:27:57,960 +long والـ postganglionic رح تكون short يبقى كمان + +320 +00:27:57,960 --> 00:28:02,920 +مرة preganglionic fibers sympathetic رح تكون short + +321 +00:28:02,920 --> 00:28:07,020 +postganglionic long العكس صحيح para sympathetic para + +322 +00:28:07,020 --> 00:28:11,220 +sympathetic preganglionic long postganglionic رح + +323 +00:28:11,220 --> 00:28:16,790 +تكون short من ناحية الـ myelin شفتpreganglionic لـ + +324 +00:28:16,790 --> 00:28:19,130 +sympathetic والـ parasympathetic nervous system + +325 +00:28:19,130 --> 00:28:23,570 +myelinated أو white both ganglionic fibers + +326 +00:28:23,570 --> 00:28:27,270 +sympathetic وpara sympathetic رح يكونوا ايه gray + +327 +00:28:27,270 --> 00:28:32,330 +بتكلم الآن على الـ transmission أو transmitters of + +328 +00:28:32,330 --> 00:28:36,890 +the autonomic nervous system preganglionic + +329 +00:28:36,890 --> 00:28:41,100 +transmittersكانت sympathetic nervous system أو + +330 +00:28:41,100 --> 00:28:44,320 +parasympathetic nervous system راح يكون أستيل كولين + +331 +00:28:44,320 --> 00:28:48,620 +القليل postganglionic transmitters + +332 +00:28:52,280 --> 00:28:54,860 +parasympathetic acetylcholine parasympathetic + +333 +00:28:54,860 --> 00:28:56,820 +acetylcholine parasympathetic acetylcholine para + +334 +00:28:56,820 --> 00:28:59,060 +sympathetic acetylcholine parasympathetic acetylcholine + +335 +00:28:59,060 --> 00:29:01,860 +parasympathetic acetylcholine parasympathetic + +336 +00:29:01,860 --> 00:29:01,960 +acetylcholine parasympathetic acetylcholine para + +337 +00:29:01,960 --> 00:29:04,720 +sympathetic acetylcholine parasympathetic acetylcholine + +338 +00:29:04,720 --> 00:29:11,780 +parasympathetic acetylcholine parasympathetic + +339 +00:29:11,780 --> 00:29:18,180 +acetylcholine parasympathetic acetylcholine para + +340 +00:29:18,180 --> 00:29:21,590 +sympathetic acetylcholine Parasympathetic Acetylcholine + +341 +00:29:21,590 --> 00:29:24,610 +يعني بنطلع بنتيجة ان الـ Parasympathetic nervous + +342 +00:29:24,610 --> 00:29:27,870 +system Preganglionic أو Postganglionic + +343 +00:29:27,870 --> 00:29:31,410 +Neurotransmitters Acetylcholine Sympathetic + +344 +00:29:31,410 --> 00:29:34,490 +nervous system Preganglionic Acetylcholine + +345 +00:29:34,490 --> 00:29:38,610 +Postganglionic Epinephrine Norepinephrine وفي بعض + +346 +00:29:38,610 --> 00:29:44,670 +الأماكن Acetylcholine مثل ايه sweat gland باضحانة + +347 +00:29:44,670 --> 00:29:50,430 +هي الـ sympathetic nervous systemPreganglionic + +348 +00:29:50,430 --> 00:29:54,790 +Acetylcholine و الباقي sympathetic Preganglionic + +349 +00:29:54,790 --> 00:29:58,110 +Acetylcholine Postganglionic الباقي sympathetic + +350 +00:29:58,110 --> 00:30:03,130 +Acetylcholine اي الـ sympathetic nervous system + +351 +00:30:03,130 --> 00:30:08,530 +Acetylcholine أو norepinephrine و epinephrine و في بعض + +352 +00:30:08,530 --> 00:30:11,710 +الأماكن بيكون Acetylcholine لـ sweat gland لما + +353 +00:30:11,710 --> 00:30:17,240 +اتكلمنا يا جماعةعلى الـ preganglionic و الـ + +354 +00:30:17,240 --> 00:30:19,700 +postganglionic fibers قولنا preganglionic + +355 +00:30:19,700 --> 00:30:24,080 +parasympathetic بيكونوا long و postganglionic + +356 +00:30:24,080 --> 00:30:26,900 +short في الـ sympathetic nervous system قولنا + +357 +00:30:26,900 --> 00:30:30,660 +preganglionic بيكونوا short و postganglionic + +358 +00:30:30,660 --> 00:30:34,300 +بيكونوا long مع ذا في exception في sympathetic + +359 +00:30:34,300 --> 00:30:38,220 +nervous system adrenal gland في الـ adrenal gland + +360 +00:30:38,220 --> 00:30:43,230 +هذه adrenal gland الـ preganglionicبيكونوا long و + +361 +00:30:43,230 --> 00:30:46,230 +الـ postganglionic short يبقى الـ exception في الـ + +362 +00:30:46,230 --> 00:30:49,370 +sympathetic nervous system هي مين؟ Adrenal gland + +363 +00:30:49,370 --> 00:30:52,930 +adrenal gland بيكونوا preganglionic long و + +364 +00:30:52,930 --> 00:30:58,970 +postganglionic short هيك + +365 +00:30:58,970 --> 00:31:02,930 +بيكون خلصت الموضوع الـ neurotransmitters هلأ how + +366 +00:31:02,930 --> 00:31:06,890 +the visceral structure supplied by the autonomic + +367 +00:31:06,890 --> 00:31:13,310 +fibersمعظم الألياف العضلية لديها اتجاهات عضلية + +368 +00:31:13,310 --> 00:31:17,110 +تتجاوب اتجاهات + +369 +00:31:17,110 --> 00:31:19,070 +عضلية تتجاوب اتجاهات عضلية تتجاوب اتجاهات عضلية + +370 +00:31:19,070 --> 00:31:23,870 +تتجاوب اتجاهات عضلية تتجاوب اتجاهات عضلية تتجاوب + +371 +00:31:23,870 --> 00:31:27,750 +اتجاهات عضلية تتجاوب اتجاهات عضلية تتجاوب اتجاهات + +372 +00:31:27,750 --> 00:31:28,750 +عضلية تتجاوب اتجاهات عضلية تتجاوب اتجاهات عضلية + +373 +00:31:28,750 --> 00:31:34,640 +اتجاهات عضلية تتجاوب اتجاهات اتجاهات اتجاهات ايه تزود + +374 +00:31:34,640 --> 00:31:38,080 +و تسريع نبض القلب عشان هيك في الـ stress لو احنا + +375 +00:31:38,080 --> 00:31:42,320 +كنا ماشيين و فجأة صار قصف أو ماشيين في الليل مش من + +376 +00:31:42,320 --> 00:31:45,960 +تبهين نبح عليكوا كلب ايش بيصير معاكم تسمعوا الـ + +377 +00:31:45,960 --> 00:31:48,980 +heart beat نبض القلب سريع من الـ stress من الـ + +378 +00:31:48,980 --> 00:31:52,600 +sympathetic nervous systemالعكس صحيح الـ para + +379 +00:31:52,600 --> 00:31:56,660 +sympathetic nervous system لما نيجي ننام و نتغدى و + +380 +00:31:56,660 --> 00:32:00,120 +نقعد على الكنبة نرتاح بتلاقي تشتغل الـ para + +381 +00:32:00,120 --> 00:32:02,540 +sympathetic في الحالة دي لو فحصنا الـ heart rate + +382 +00:32:02,540 --> 00:32:07,480 +تبعنا بيكون بطيء شوية بيقل الـ heart rate ناتج عن طريق + +383 +00:32:07,480 --> 00:32:11,410 +الـ para sympathetic nervous systemEach of + +384 +00:32:11,410 --> 00:32:14,270 +sympathetic and parasympathetic neural system + +385 +00:32:14,270 --> 00:32:19,630 +formed of two neurons قلنا أول neuron بيكون موجود + +386 +00:32:19,630 --> 00:32:22,650 +في الـ central nervous system اما في الـ brainstem أو + +387 +00:32:22,650 --> 00:32:28,640 +spinal cord والـ axon تبعهبيكون preganglionic بيكون + +388 +00:32:28,640 --> 00:32: + +401 +00:33:35,170 --> 00:33:38,470 +البارا sympathetic nervous system اسمها + +402 +00:33:38,470 --> 00:33:43,090 +craniosacral nervous system بتتكون من كم جزء من + +403 +00:33:43,090 --> 00:33:49,400 +جزئين cranial part and sacral part الآن في الجزء + +404 +00:33:49,400 --> 00:33:53,920 +الأول من المحاضرة راح أكمل شرح الـ cranial part of + +405 +00:33:53,920 --> 00:33:58,280 +parasympathetic nervous system الـ cranial part هو + +406 +00:33:58,280 --> 00:34:01,600 +الـ nuclei بتاعة العصب الثالث oculomotor nerve + +407 +00:34:01,600 --> 00:34:05,380 +السابع اللي هو facial nerve التاسع الـ + +408 +00:34:05,380 --> 00:34:10,210 +glosopharyngeal nerve والعاشر اللي هو vagus nerve زي + +409 +00:34:10,210 --> 00:34:13,310 +ما أنتم ملاحظين هذول الـ cranial nerves فيهم + +410 +00:34:13,310 --> 00:34:17,350 +fibers الـ fibers جاية من الـ brainstem من الـ first + +411 +00:34:17,350 --> 00:34:20,910 +order neuron وبيسلم لـ target organ بتلاحظوا الـ + +412 +00:34:20,910 --> 00:34:26,150 +preganglionic fibers إيش long والـ postganglionic + +413 +00:34:26,150 --> 00:34:33,450 +fibers short لأنها قريبة لـ target organ في + +414 +00:34:33,450 --> 00:34:38,830 +هنا بارا sympathetic ganglia في الـ head في الهد فور + +415 +00:34:38,830 --> 00:34:46,330 +جنجليا سيلاري جنجليا سفينو بلاتين أو تيريجو بلاتين + +416 +00:34:46,330 --> 00:34:53,610 +جنجليا submandibular جنجليون و أوتيك جنجليون و أوتيك + +417 +00:34:53,610 --> 00:34:58,790 +جنجليون راح نشرحهم مع الـ nerves هاي عندي سيلاري + +418 +00:34:58,790 --> 00:35:04,130 +جنجليون بعدها سفينو بلاتين أو التيريجو بلاتين + +419 +00:35:04,130 --> 00:35:08,670 +أكبر واحدة في أوتيك جنجليون أنا شرحتها مع العصب مع + +420 +00:35:08,670 --> 00:35:13,050 +العصب التاسع مع الجلوس الفانجيال وفيها اللي هي + +421 +00:35:13,050 --> 00:35:18,490 +واضحة أكثر اللي هي submandibular ganglion + +422 +00:35:18,490 --> 00:35:25,350 +submandibular ganglion نأخذ + +423 +00:35:25,350 --> 00:35:29,730 +الـ cranial nerves الـ cranial nerves الـ cranial + +424 +00:35:29,730 --> 00:35:34,930 +nerves الـ oculomotor nerve نطبقها نفس الـ + +425 +00:35:34,930 --> 00:35:37,710 +oculomotor nerve هاي الـ oculomotor nerve العصب + +426 +00:35:37,710 --> 00:35:44,990 +إيش؟ الثالث العصب الثالث الـ first order neuron + +427 +00:35:44,990 --> 00:35:48,790 +الـ + +428 +00:35:48,790 --> 00:35:53,610 +إيش؟ first order neuron مين هو الـ first order + +429 +00:35:53,610 --> 00:36:00,930 +neuron؟ نيوكلياس اسمها Edinger Westphal نيوكلياس + +430 +00:36:00,930 --> 00:36:06,470 +موجودة وين؟ في الـ mid brain موجودة وين؟ في الـ mid + +431 +00:36:06,470 --> 00:36:10,710 +brain يبقى الـ first order neuron a danger ويسفل + +432 +00:36:10,710 --> 00:36:15,970 +نيوكلياس in mid brain طيب الـ second order neuron + +433 +00:36:15,970 --> 00:36:22,170 +تبعها second + +434 +00:36:22,170 --> 00:36:27,030 +order neuron اللي هي رح تكون + +435 +00:36:30,040 --> 00:36:36,280 +Ganglion Cellary Ganglion الـ preganglionic fibers + +436 +00:36:36,280 --> 00:36:42,660 +preganglionic fibers راح يكون oculomotor nerve + +437 +00:36:42,660 --> 00:36:49,220 +oculomotor nerve oculomotor nerve اللي هو يعتبر + +438 +00:36:49,220 --> 00:36:55,660 +إيه preganglionic fibers + +439 +00:36:58,370 --> 00:37:01,710 +رح يسلم لـ second order اللي هي الـ ciliary ganglion + +440 +00:37:01,710 --> 00:37:05,710 +اللي هي برصم بطاقة الـ ganglion الـ ciliary ganglion + +441 +00:37:05,710 --> 00:37:16,590 +رح تعطينا fibers non myelinated أو postganglionic + +442 +00:37:16,590 --> 00:37:22,950 +postganglionic fibers هذه + +443 +00:37:22,950 --> 00:37:28,600 +رح تسلم لـ target organ Target organ راح يكون مين + +444 +00:37:28,600 --> 00:37:33,680 +هم الـ target organ constrictor أو sphincter pupillae + +445 +00:37:33,680 --> 00:37:39,180 +عضلة سيلري عضلة سيلري عضلة لها علاقة بعملية + +446 +00:37:39,180 --> 00:37:44,160 +accommodation of eye لما نجرب أي object near the + +447 +00:37:44,160 --> 00:37:47,980 +eyes والـ constrictor pupillae عضلة راح تعمل + +448 +00:37:47,980 --> 00:37:52,060 +construction للبيوبل وصغر للبيوبل هذه تعتبر إيش؟ + +449 +00:37:52,060 --> 00:37:53,460 +target organ + +450 +00:37:56,670 --> 00:38:01,370 +هي عندي ciliary ganglion الفايبر بتجي من الـ edinger + +451 +00:38:01,370 --> 00:38:04,730 +ويسفل النكليز عن طريق الـ oculomotor nerve وبتغذي + +452 +00:38:04,730 --> 00:38:10,290 +constructor pupil muscle وعضلة سيلري أتكلم على + +453 +00:38:10,290 --> 00:38:17,650 +facial nerve facial nerve facial + +454 +00:38:17,650 --> 00:38:24,430 +nerve الـ first order neuron + +455 +00:38:29,360 --> 00:38:35,580 +اسمها superior salivary nucleus موجودة في الـ pons + +456 +00:38:35,580 --> 00:38:42,140 +في الـ pons هذه الـ first order neuron طيب الـ + +457 +00:38:42,140 --> 00:38:45,700 +facial nerve intermediate رح ينقسم لاتنين فرعين + +458 +00:38:45,700 --> 00:38:52,620 +رح ينقسم لفرعين هذا + +459 +00:38:52,620 --> 00:39:00,460 +facial nerve رح يعطينا greater superficial petrosal + +460 +00:39:00,460 --> 00:39:04,600 +nerve جي اسبان أخذناه في الـ facial nerve ورح يعطينا + +461 +00:39:04,600 --> 00:39:10,620 +كوردة تيمباني نيرف كوردة تيمباني نيرف يبقى جي اسبان و + +462 +00:39:10,620 --> 00:39:15,180 +كوردة تيمباني نيرف يعتبروا preganglionic fibers رح + +463 +00:39:15,180 --> 00:39:18,060 +يسلموا إشارة للجانجليون اللي هي second order + +464 +00:39:18,060 --> 00:39:23,660 +neuron second order neuron الجانجليون هذه إما تكون + +465 +00:39:23,660 --> 00:39:29,910 +تريجمينال جانجليون أو لاسم ثاني سفينو بلتين + +466 +00:39:29,910 --> 00:39:36,230 +جانجليون أو لصب مانديبولر جانجليون صب مانديبولر + +467 +00:39:36,230 --> 00:39:39,170 +جانجليون يبقى الـ second order neuron راح يكون له + +468 +00:39:39,170 --> 00:39:45,210 +two neurons تريجمانال جانجليون وصب مانديبولر + +469 +00:39:45,210 --> 00:39:52,800 +جانجليون الـ postganglionic fibers short تريجمانال + +470 +00:39:52,800 --> 00:39:56,880 +بلاتين جانجليون راح تغدونا الـ target organs مين هم + +471 +00:39:56,880 --> 00:40:03,540 +الـ target organs راح يكون لنا lacrimal بلاتين + +472 +00:40:03,540 --> 00:40:10,260 +و nasopharyngeal + +473 +00:40:10,260 --> 00:40:14,860 +glands طيب + +474 +00:40:14,860 --> 00:40:19,680 +الـ submandibular جانجليون راح تغذي glands + +475 +00:40:25,720 --> 00:40:31,640 +submandibular salivary glands + +476 +00:40:31,640 --> 00:40:45,040 +و sublingual salivary gland هي كأن شرحت لكم الـ + +477 +00:40:45,040 --> 00:40:50,940 +facial nerve هي عندي هنا واضحة اللي هي + +478 +00:40:50,940 --> 00:40:55,620 +submandibular ganglion بتغذي الـ submandibular + +479 +00:40:55,620 --> 00:40:58,680 +salivary gland و sublingual salivary gland هنا + +480 +00:40:58,680 --> 00:41:01,580 +واضحة عندي sphenopalatine ganglion أو + +481 +00:41:01,580 --> 00:41:04,580 +pterygopalatine ganglion اللي بتغذي الدمع عشان هيك + +482 +00:41:04,580 --> 00:41:07,380 +لو جصينا بصل دخلنا المطبخ وجصينا البصل إيش بيصير + +483 +00:41:07,380 --> 00:41:11,480 +معنا؟ بيصير ندمع وننفق وحالتنا بتكون شلش تعبانين + +484 +00:41:11,480 --> 00:41:14,800 +على الآخر من موضوع البصل ده كان بصل أصلي مش مزيف + +485 +00:41:14,800 --> 00:41:19,480 +تمام؟ في الحالة هذه من اشتغل؟ اشتغل عندنا pterygopalatine + +486 +00:41:19,480 --> 00:41:23,220 +ganglion اللي غضبت لنا الـ lacrimal gland، + +487 +00:41:23,220 --> 00:41:28,600 +الغدد تبع الدمع والبلاتين والنازوفارنجيا الجلاند، + +488 +00:41:28,600 --> 00:41:29,960 +هذه الـ lacrimal gland + +489 +00:41:32,500 --> 00:41:37,380 +glossopharyngeal nerve أنا شرحته في مثال في بداية + +490 +00:41:37,380 --> 00:41:41,320 +المحاضرة الـ first order neuron inferior salivary + +491 +00:41:41,320 --> 00:41:43,900 +nucleus موجودة في الميدالة أوبلانجاتا الـ + +492 +00:41:43,900 --> 00:41:47,180 +preganglionic fibers هو glossopharyngeal nerve + +493 +00:41:47,180 --> 00:41:51,920 +second order neuron otic ganglion الـ target organ + +494 +00:41:51,920 --> 00:41:55,770 +بيغذي الـ parotid gland أنا شرحه في بداية المحاضرة هي + +495 +00:41:55,770 --> 00:42:01,990 +عندي أوتيك أوتيك جانجليون متجهان هي + +496 +00:42:01,990 --> 00:42:04,250 +Glossopharyngeal nerve Glossopharyngeal nerve + +497 +00:42:04,250 --> 00:42:07,890 +يعتبر preganglionic بيجي من الـ first order neuron + +498 +00:42:07,890 --> 00:42:10,250 +بيكون في الميدالة أوبلانجات اسمه inferior salivary + +499 +00:42:10,250 --> 00:42:13,930 +nucleus بيعمل relay في الـ otic ganglion والـ otic + +500 +00:42:13,930 --> 00:42:17,290 +ganglion بتعطينا postganglionic fibers للـ target + +501 +00:42:17,290 --> 00:42:19,830 +organ اللي هو parotid gland + +502 +00:42:22,870 --> 00:42:28,310 +النيورون الأول هو dorsal motor nucleus of vagus + +503 +00:42:28,310 --> 00:42:33,130 +nerve. It is the most important parasympathetic + +504 +00:42:33,130 --> 00:42:38,250 +nucleus in the body second order neuron ما نعششرات + +505 +00:42:38,250 --> 00:42:43,510 +عشرات ما نعي ganglia in different organs في الـ + +506 +00:42:43,510 --> 00:42:46,830 +thorax للـ respiratory system وللـ heart وللـ + +507 +00:42:46,830 --> 00:42:51,870 +abdomen target organ heart respiratory system + +508 +00:42:51,870 --> 00:42:58,450 +large part of GIT يا جماعة الـ vagus nerve بيغذي الـ + +509 +00:42:58,450 --> 00:43:02,250 +heart respiratory system بيغذي جهاز هضمي من وين؟ + +510 +00:43:03,020 --> 00:43:08,520 +oesophagus المريء الـ stomach المعدة duodenum الـ 12 + +511 +00:43:08,520 --> 00:43:12,460 +small intestine الأمعاء الغليظة بيغذي منها + +512 +00:43:12,460 --> 00:43:19,080 +ascending colon و first to third of transverse + +513 +00:43:19,080 --> 00:43:22,920 +colon هلأ الـ left one third left one third of + +514 +00:43:22,920 --> 00:43:25,360 +transverse colon descending colon rectum بياخدوا + +515 +00:43:25,360 --> 00:43:28,860 +من الـ sacral part of parasympathetic nervous + +516 +00:43:28,860 --> 00:43:34,550 +system يكفي الآن في الجزء الأول من المحاضرة راح + +517 +00:43:34,550 --> 00:43:37,390 +نكمل في الجزء الثاني الـ sacral part of + +518 +00:43:37,390 --> 00:43:40,150 +parasympathetic nervous system والـ sympathetic + +519 +00:43:40,150 --> 00:43:41,090 +nervous system diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/nyZBSpvcHMo_postprocess.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/nyZBSpvcHMo_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..2fb6accbb61a88ab562e35bba3696640b1e94bff --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/nyZBSpvcHMo_postprocess.srt @@ -0,0 +1,2076 @@ +1 +00:00:04,990 --> 00:00:09,510 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:09,510 --> 00:00:15,710 +وبركاته يوم راح أكون معكم في محاضرة الإسبوع العاشر + +3 +00:00:15,710 --> 00:00:20,670 +راح نتكلم عن autonomic nervous system نتكلم + +4 +00:00:20,670 --> 00:00:23,270 +general أول شي على autonomic nervous system + +5 +00:00:23,270 --> 00:00:25,410 +anatomy and physiology of the autonomic nervous + +6 +00:00:25,410 --> 00:00:30,110 +systemراح أتكلم بعدها على ال parasympathetic + +7 +00:00:30,110 --> 00:00:35,050 +nervous system cranial part and sacral part و + +8 +00:00:35,050 --> 00:00:39,170 +أتطرق على sympathetic nervous system و في نهاية + +9 +00:00:39,170 --> 00:00:45,640 +المحاضرة راح أتكلم على effectوPsychology of + +10 +00:00:45,640 --> 00:00:48,700 +Sympathetic and Parasympathetic Nervous System + +11 +00:00:48,700 --> 00:00:53,980 +ونعمل comparison between the sympathetic and + +12 +00:00:53,980 --> 00:01:01,880 +parasympathetic nervous system effect لو + +13 +00:01:01,880 --> 00:01:06,080 +قلنا لكم what's the definition of the autonomic + +14 +00:01:06,080 --> 00:01:10,260 +nervous systemAutonomic nervous system is + +15 +00:01:10,260 --> 00:01:15,220 +involuntary nervous system يبقى ان هي اسمها + +16 +00:01:15,220 --> 00:01:19,280 +involuntary nervous system طب ليش سموها + +17 +00:01:19,280 --> 00:01:23,960 +involuntary nervous system لأن هي controls this + +18 +00:01:23,960 --> 00:01:30,310 +mouthcardiac muscles and glands هلأ أنا بتحكم في + +19 +00:01:30,310 --> 00:01:36,870 +حركة الأمعاء الدقيقة؟ بتحكمش بتحكم في حركة ال + +20 +00:01:36,870 --> 00:01:42,250 +heart؟ ما بتحكم بتحكم في نبض القلب؟ ما بتحكم okay + +21 +00:01:42,250 --> 00:01:48,210 +في الحالة هذه هي system supplies smooth muscles + +22 +00:01:49,330 --> 00:01:53,490 +cardiac muscles and glands عشان إيه يسموها + +23 +00:01:53,490 --> 00:02:01,210 +involuntary nervous system ال functions بتاعتها لو + +24 +00:02:01,210 --> 00:02:04,210 +سألنا سؤال اصلي ال functions of the autonomic + +25 +00:02:04,210 --> 00:02:07,850 +nervous system autonomic nervous system supply + +26 +00:02:07,850 --> 00:02:14,090 +unstriated muscles اللي هم مين smooth muscles + +27 +00:02:15,670 --> 00:02:21,030 +cardiac muscles و glands وين موجودة smooth muscles + +28 +00:02:21,030 --> 00:02:24,750 +موجودة في blood vessels موجودة في ال internal + +29 +00:02:24,750 --> 00:02:28,750 +organs طيب + +30 +00:02:28,750 --> 00:02:36,040 +لو عملنا comparison between the autonomicو Somatic + +31 +00:02:36,040 --> 00:02:41,080 +nervous system Somatic nervous system is voluntary + +32 +00:02:41,080 --> 00:02:45,660 +nervous system is voluntary nervous system لكن + +33 +00:02:45,660 --> 00:02:49,120 +autonomic nervous system is involuntary nervous + +34 +00:02:49,120 --> 00:02:57,110 +system okay يبقى Somatic nervous systemcontrol + +35 +00:02:57,110 --> 00:03:00,690 +skeletal muscles اللي علاقة بالـ skeletal muscles + +36 +00:03:00,690 --> 00:03:04,690 +و أنا لما بحرك ال skeletal muscles بكون conscious + +37 +00:03:04,690 --> 00:03:10,150 +oriented يعني واعى نفسي لأن هي تعتبر conscious or + +38 +00:03:10,150 --> 00:03:16,810 +voluntary regulation تحكم إيرادي بتحكم إيرادي فيها + +39 +00:03:16,810 --> 00:03:23,720 +يعني بدي أرفع أيدي رفعتها نزلتهاOkay abduction + +40 +00:03:23,720 --> 00:03:29,260 +abduction أنا بتحكم فيها اثنين autonomic nervous + +41 +00:03:29,260 --> 00:03:35,020 +system functions without conscious awareness يعني + +42 +00:03:35,020 --> 00:03:38,360 +تحكم لا إرادة + +43 +00:03:40,720 --> 00:03:45,300 +fibers في ال somatic nervous system don't synapse + +44 +00:03:45,300 --> 00:03:50,060 +after they leave the CNS يعني الفيبرز في ال + +45 +00:03:50,060 --> 00:03:53,020 +somatic nervous system بعد ما اتغادر الحبل الشوكي + +46 +00:03:53,020 --> 00:04:00,040 +مالهاش synapse هي الفيبرز راح تصل أخر شئ ل neuro + +47 +00:04:00,040 --> 00:04:03,060 +muscular junction و تسلم الإشارة ل ال muscle + +48 +00:04:03,060 --> 00:04:09,640 +fibers لكن autonomic nervous system لها synapse + +49 +00:04:11,170 --> 00:04:15,710 +ويلها ganglia sympathetic ganglia أو بارا + +50 +00:04:15,710 --> 00:04:22,430 +sympathetic ganglia و ال fibers هروح تتحول من pre + +51 +00:04:22,430 --> 00:04:28,550 +ganglionic fibers ل post ganglionic fibers يبقى + +52 +00:04:28,550 --> 00:04:31,990 +الاختلاف الثاني انه ال autonomic nervous system + +53 +00:04:31,990 --> 00:04:36,430 +مالهاش synapse في ال peripheral nervous system + +54 +00:04:36,430 --> 00:04:41,430 +يلها اخر شئ neuromuscular junctionأما الـ + +55 +00:04:41,430 --> 00:04:45,210 +Autonomic Nervous System اللي لها جانجيليا صينابس + +56 +00:04:45,210 --> 00:04:50,270 +بتنفيه و الإشارة راح تتحول من pre-ganglionic ل + +57 +00:04:50,270 --> 00:04:55,730 +post-ganglionic و الجانجيليا حسب الجهاز إما يكون + +58 +00:04:55,730 --> 00:04:59,010 +جهاز سمتاوي اللي sympathetic nervous system و تكون + +59 +00:04:59,010 --> 00:05:03,150 +sympathetic ganglia و إما parasympathetic و يكون + +60 +00:05:03,150 --> 00:05:10,240 +لها parasympathetic ganglia الاختلاف الثالثإنه + +61 +00:05:10,240 --> 00:05:14,980 +Somatic Nervous System Sublives Skeletal Muscles + +62 +00:05:14,980 --> 00:05:20,500 +هي عضلات إرادية يعني لو قلتلكم غمضوا عينكم + +63 +00:05:20,500 --> 00:05:23,540 +فانغمضوا عيننا عن طريق Arbicularis Oculi Muscle + +64 +00:05:23,540 --> 00:05:28,340 +Skeletal Muscle طب لو سألتكوا سؤال بالله كبروه + +65 +00:05:28,340 --> 00:05:34,920 +لحدقة العين ل pupils كبروهبنفع؟ مابكن اتحكم فيه، + +66 +00:05:34,920 --> 00:05:38,480 +بقدرش أتحكم فيه لأن هذه عضلة ملساق smooth muscles + +67 +00:05:38,480 --> 00:05:43,760 +وحركتها لا إيرادية أما ال autonomic nervous system + +68 +00:05:43,760 --> 00:05:49,340 +supplies smooth muscles، cardiac muscles and + +69 +00:05:49,340 --> 00:05:57,120 +glands لاحظوا هنا إنه في ال somatic nervous system + +70 +00:05:58,320 --> 00:06:00,640 +في عندى neurons بيكونوا موجودين في الـ anterior + +71 +00:06:00,640 --> 00:06:05,300 +horn cells ع سبيل المثال للموتور بعدها بيجينا + +72 +00:06:05,300 --> 00:06:12,180 +myelinated axon و لل neuromuscular junction supply + +73 +00:06:12,180 --> 00:06:16,620 +skeletal muscles stimulate effect بيكون لكن في ال + +74 +00:06:16,620 --> 00:06:21,980 +autonomic nervous system لاحظوا في عندي synapse و + +75 +00:06:21,980 --> 00:06:32,910 +الإشارة راح تتحول منبري جانجليونيك الهي + +76 +00:06:32,910 --> 00:06:42,690 +ساينابس الى بوست جانجليونيك بوست جانجليونيك و ال + +77 +00:06:42,690 --> 00:06:49,580 +effect تبعهم اما بيكونو إما بيكون inhibitory يعني + +78 +00:06:49,580 --> 00:06:53,080 +لو اتكلمنا على ال heart sympathetic nervous system + +79 +00:06:53,080 --> 00:06:58,260 +راح تكون stimulatory راح تعمل stimulation لل heart + +80 +00:06:58,260 --> 00:07:02,480 +rate أما ال parasympathetic nervous system راح + +81 +00:07:02,480 --> 00:07:06,760 +تكون inhibitory راح تكون inhibitory وتعملنا + +82 +00:07:06,760 --> 00:07:13,380 +ابراديكارديا decrease heart rate العكس صحيح على ال + +83 +00:07:13,380 --> 00:07:19,160 +GIT systemعلى الـ GIT جهاز الهضمي بلاحظ ال + +84 +00:07:19,160 --> 00:07:21,940 +Parasympathetic nervous system راح تكون + +85 +00:07:21,940 --> 00:07:26,020 +stimulatory راح تزود ال peristaltic of intestinal + +86 +00:07:26,020 --> 00:07:29,660 +راح تزود حركة الأمعاء أما Parasympathetic nervous + +87 +00:07:29,660 --> 00:07:33,140 +system راح تعملنا inhibitory effect راح تقلل ال + +88 +00:07:33,140 --> 00:07:40,960 +peristaltics طيب من أيه تتكون autonomic nervous + +89 +00:07:40,960 --> 00:07:44,740 +system هي أنها autonomic + +90 +00:07:47,470 --> 00:07:52,370 +nervous system autonomic nervous system فينقسم + +91 +00:07:52,370 --> 00:07:57,290 +لجزئين جزء + +92 +00:07:57,290 --> 00:08:04,690 +الأول وجزء الثاني الجزء الأول اسمه sympathetic + +93 +00:08:04,690 --> 00:08:14,090 +nervous system او بنسميه thoracolumbar + +94 +00:08:16,560 --> 00:08:20,440 +nervous system جزء ثاني من autonomic nervous + +95 +00:08:20,440 --> 00:08:27,060 +system بارا sympathetic nervous system او بنسميها + +96 +00:08:27,060 --> 00:08:31,960 +cranio cranio + +97 +00:08:31,960 --> 00:08:38,500 +sacral nervous + +98 +00:08:38,500 --> 00:08:44,920 +system okay يبقى slide هذا autonomic nervous + +99 +00:08:44,920 --> 00:08:50,420 +systemSympathetic nervous system و Parasympathetic + +100 +00:08:50,420 --> 00:08:54,620 +nervous system طيب Sympathetic nervous system + +101 +00:08:54,620 --> 00:09:03,820 +ثرائق و لمبر من T1 ل L2 segment موجودة ال + +102 +00:09:03,820 --> 00:09:09,000 +Parasympathetic nervous system موجودة في جزئين + +103 +00:09:09,000 --> 00:09:12,620 +cranial + +104 +00:09:12,620 --> 00:09:13,320 +part + +105 +00:09:16,550 --> 00:09:22,930 +اللي هو العصب العاشر التاسع السابع الثالث اللي هو + +106 +00:09:22,930 --> 00:09:29,210 +بيكون عشر تلاف و تسعمية و تلاتة و سبعين و ساكرال + +107 +00:09:29,210 --> 00:09:41,560 +part هي S2 S3 S4سموها Parasympathetic Nervous + +108 +00:09:41,560 --> 00:09:45,920 +System لأنها بتحد السيمباتاتيك نيربا سيستم من تحت + +109 +00:09:45,920 --> 00:09:49,020 +و من فوق نرسم السيمباتاتيك نيربا سيستم هاي ال + +110 +00:09:49,020 --> 00:09:57,400 +spinal cord سيمباتاتيك نيربا سيستم من T1 لحد ال2 + +111 +00:09:57,400 --> 00:10:02,860 +ال Parasympathetic Nervous System راح تكون في ال + +112 +00:10:02,860 --> 00:10:04,820 +cranial part brainstem + +113 +00:10:08,680 --> 00:10:14,780 +العصب عشر تاسع سبع خمس عشر تلاف تسع مية و خمس + +114 +00:10:14,780 --> 00:10:23,620 +سبعين و في ال sacred part S2 S3 S4 يعني ال + +115 +00:10:23,620 --> 00:10:26,320 +parasympathetic nervous system هدول + +116 +00:10:28,590 --> 00:10:34,630 +sympathetic nervous system و T1 اللي قلتها تعتبر + +117 +00:10:34,630 --> 00:10:37,710 +sympathetic nervous system سموها بارا sympathetic + +118 +00:10:37,710 --> 00:10:41,930 +nervous system لأنها بتحد sympathetic nervous + +119 +00:10:41,930 --> 00:10:46,170 +system من فوق و من تحت كلمة بارا حوالين حوالين ايه + +120 +00:10:46,170 --> 00:10:52,310 +sympathetic nervous system part of the autonomic + +121 +00:10:52,310 --> 00:10:56,930 +nervous systemالـ Autonomic Nervous System تتكون + +122 +00:10:56,930 --> 00:11:02,710 +من الـ Central Part و الـ Peripheral Part من هم + +123 +00:11:02,710 --> 00:11:07,610 +الـ Central Part؟ هم الـ Autonomic Nuclei + +124 +00:11:07,610 --> 00:11:14,200 +الموجودين في الـ Brain Systemالنوكلياس تبعت العصب + +125 +00:11:14,200 --> 00:11:20,760 +هنا ثالث مش الخامس هنا ايه ثالث صلحوها عندكم عشر + +126 +00:11:20,760 --> 00:11:24,100 +تلاف و تسعمية و ثلاثة و سبعين عشر تلاف و تسعمية و + +127 +00:11:24,100 --> 00:11:26,720 +خمس سبعين مقصود فيها mixed nerve عشر تلاف و تسعمية + +128 +00:11:26,720 --> 00:11:32,940 +و ثلاثة و سبعين اللي هم ايه بارا سيم باتاتيك ايه + +129 +00:11:32,940 --> 00:11:34,740 +بقى النوكلياي اللي موجودة في ال brain السم + +130 +00:11:34,740 --> 00:11:41,690 +النوكلياس تالت اوكلاموتر nerve السابعتاسع عشر هدول + +131 +00:11:41,690 --> 00:11:46,410 +central part طيب و النكلياية الموجودة في ال + +132 +00:11:46,410 --> 00:11:53,510 +lateral horn cells segment T1 T2 T3 T4 T5 T6 T7 T8 + +133 +00:11:53,510 --> 00:11:59,030 +T9 T10 T11 T12 ال one ال two هذه تعتبر central + +134 +00:11:59,030 --> 00:12:02,810 +part لل sympatheticوالنوكلياي الموجودة في الانترال + +135 +00:12:02,810 --> 00:12:09,090 +هورنسينيز ال C2 ال C3 ال C4 ال نوكلياي + +136 +00:12:09,090 --> 00:12:11,430 +الموجودة في الانترال هورنسينيز ال نوكلياي الموجودة + +137 +00:12:11,430 --> 00:12:11,910 +الموجودة في الانترال هورنسينيز ال نوكلياي الموجودة + +138 +00:12:11,910 --> 00:12:11,990 +في الانترال هورنسينيز ال نوكلياي الموجودة في + +139 +00:12:11,990 --> 00:12:13,210 +الانترال هورنسينيز ال نوكلياي الموجودة في الانترال + +140 +00:12:13,210 --> 00:12:15,670 +هورنسينيز ال نوكلياي الموجودة في الانترال + +141 +00:12:15,670 --> 00:12:20,970 +هورنسينيز ال نوكلياي الموجودة + +142 +00:12:20,970 --> 00:12:28,270 +في الانترال هورنسينومن T1 ل L2 براينستيم بارا + +143 +00:12:28,270 --> 00:12:34,770 +سيمباتاتيك و ساكرال S2 S3 S4 ساكرال part of + +144 +00:12:34,770 --> 00:12:39,370 +parasympathetic nervous system peripheral part هم + +145 +00:12:39,370 --> 00:12:42,990 +ال nerve fibers و الجنجلية التابعة لمين + +146 +00:12:42,990 --> 00:12:47,170 +للsympathetic nervous system و ال nerve fibers و + +147 +00:12:47,170 --> 00:12:52,230 +الجنجلية التابعة ليه لparasympathetic nervous + +148 +00:12:52,230 --> 00:12:57,900 +systemThe origin of the autonomic nervous system + +149 +00:12:57,900 --> 00:13:01,680 +شراحناه ال origin of the autonomic nervous system + +150 +00:13:01,680 --> 00:13:08,540 +انا شراحته بقولنا sympathetic nervous system ال + +151 +00:13:08,540 --> 00:13:16,960 +origin تبعها thoracolumbar nervous system تبدأ + +152 +00:13:16,960 --> 00:13:25,240 +من T1لحد الاتنين يعني all thoracic and الوان ال + +153 +00:13:25,240 --> 00:13:30,100 +two segment of spinal cord طيب ال origin بتاع ال + +154 +00:13:30,100 --> 00:13:34,180 +parasympathetic nervous system بين جسم جسمين شرحته + +155 +00:13:34,180 --> 00:13:38,720 +cranial part اللي هم ال nuclei اللي موجودين في + +156 +00:13:38,720 --> 00:13:44,240 +برين السم بتاعين العصب الثالث oculomotor nerve + +157 +00:13:44,240 --> 00:13:49,740 +السابعFacial nerve التاسع Glossopharyngeal nerve + +158 +00:13:49,740 --> 00:13:59,740 +والعاشر Vagus nerve and nuclei of S3 S2 S3 S4 + +159 +00:13:59,740 --> 00:14:03,820 +segment الـsacral part يبقى ان هيك انا شرحتلكوا + +160 +00:14:03,820 --> 00:14:07,280 +origin بتاع ال sympathetic وبقرا sympathetic كمان + +161 +00:14:07,280 --> 00:14:12,860 +مرة sympathetic من T1 لحد L2 بتكون موجودة في ال + +162 +00:14:12,860 --> 00:14:16,420 +anterior horn cellsأي أسف بتكون موجودة ال + +163 +00:14:16,420 --> 00:14:20,380 +simpatetic وين في lateral horn cells ال simpatetic + +164 +00:14:20,380 --> 00:14:27,920 +بتكون من T1 ل L2 بتكون موجودة وين في lateral horn + +165 +00:14:27,920 --> 00:14:32,980 +cells البالا simpatetic جزئين cranial part بيكون + +166 +00:14:32,980 --> 00:14:36,560 +في إبراين السم اللي هي ال nuclei بتاعة ال + +167 +00:14:36,560 --> 00:14:40,560 +oculomotra عصب تلاتة facial سبعة glossopharyngeal + +168 +00:14:40,560 --> 00:14:44,470 +تسعة وvegas عشرةو الـ sacral part تعالى باره + +169 +00:14:44,470 --> 00:14:46,850 +sympathetic النكليات الموجودة في الـ anterior horn + +170 +00:14:46,850 --> 00:14:55,390 +cells S2 S3 S4 segment of a spinal cord دكتور ياد + +171 +00:14:55,390 --> 00:15:00,690 +انت قلتلنا sympathetic collateral horn cells + +172 +00:15:03,380 --> 00:15:06,160 +والبارا ال sympathetic اللي سيقرأه في ال anterior + +173 +00:15:06,160 --> 00:15:11,860 +horn cells ليه؟ ليه ال sympathetic في ال lateral + +174 +00:15:11,860 --> 00:15:14,900 +horn cells والبارا ال sympathetic في ال anterior + +175 +00:15:14,900 --> 00:15:23,020 +horn cells؟ ابسط المعلومة لكمسافرت ع موسكو في 31 + +176 +00:15:23,020 --> 00:15:28,560 +ديسمبر وفي كان أعياد عندهم الفندق مليان مشغول جدا + +177 +00:15:28,560 --> 00:15:33,880 +ودرجة حرارة اربعين او عشرين او تلاتين تحت الصفر + +178 +00:15:33,880 --> 00:15:40,100 +وفيش واسعة في الغرفو قالولي في إلك زاوية في الممر + +179 +00:15:40,100 --> 00:15:44,100 +في نهاية الممر بحطلك سيريت نام فيها، بوافق؟ بوافق + +180 +00:15:44,100 --> 00:15:46,960 +و ال sympathetic nervous system في ال + +181 +00:15:46,960 --> 00:15:51,180 +thoracolumbar part من T1 لT2 ال anterior horn + +182 +00:15:51,180 --> 00:15:55,400 +cells مشغولة، فيها motor neurons لمين؟ motor + +183 +00:15:55,400 --> 00:15:58,920 +neurons لل chest ولل abdomen المصير ولل lower + +184 +00:15:58,920 --> 00:16:02,320 +limbs ال one ال twoفي الحالة هذه الـ anterior + +185 +00:16:02,320 --> 00:16:06,620 +horns مشغولة ال sympathetic nervous system بتروح + +186 +00:16:06,620 --> 00:16:14,580 +تسكن في horn إضافي اسمه lateral horn لكن S2 خاصة + +187 +00:16:14,580 --> 00:16:21,480 +S3 و S4 في S3 و S4 مابيكونش motor neurons فاضينأنا + +188 +00:16:21,480 --> 00:16:26,560 +روحت في شهر تلاتة الفندق فاضي، مش فيه غرف مشغولة، + +189 +00:16:26,560 --> 00:16:29,320 +أنا بروح أسكن في الممارس ولا في الغرفة، باخد جناح + +190 +00:16:29,320 --> 00:16:32,860 +كامل و بسكن فيه، وهنا نفس الشيء اللي بره سمبتتك في + +191 +00:16:32,860 --> 00:16:36,660 +ال sacred part الانترو هورنسيلز فاضية، مش مشغولة + +192 +00:16:36,660 --> 00:16:39,980 +بال motor neuronراحت سكنت وين؟ في الـ anterior + +193 +00:16:39,980 --> 00:16:42,900 +horn cells فهمتوا ليش الـ sympathetic nervous + +194 +00:16:42,900 --> 00:16:46,440 +system بتروح تعمل horn إضافي اسمه lateral horn + +195 +00:16:46,440 --> 00:16:50,380 +cells لأن الـ anterior horn cells بتكون مشغولة + +196 +00:16:50,380 --> 00:16:54,220 +للموتور نيرون لأي muscles؟ لـ chest muscle، + +197 +00:16:54,220 --> 00:16:58,200 +intercostal muscle، لأبدومينال muscle، ل ال upper + +198 +00:16:58,200 --> 00:17:02,480 +thigh أو ال thigh muscle الموجودة في ال lower + +199 +00:17:02,480 --> 00:17:09,700 +limbs peripheral autonomic nervous systemmost of + +200 +00:17:09,700 --> 00:17:14,560 +the visceral structures supplied by two systems + +201 +00:17:14,560 --> 00:17:20,080 +يعني ال internal organs بتاخد innervation من ال + +202 +00:17:20,080 --> 00:17:25,160 +both systems sympathetic و parasympathetic لكن + +203 +00:17:25,160 --> 00:17:31,940 +sympathetic nervous system supply skin of the body + +204 +00:17:33,660 --> 00:17:37,680 +للـ arteriole لشرايين صغيرة في ال skin و sweetie + +205 +00:17:37,680 --> 00:17:44,200 +glands للغدد بتاع العرق تعرق blood vessels of the + +206 +00:17:44,200 --> 00:17:47,260 +limbs لال smooth muscles بتاعة blood vessels + +207 +00:17:47,260 --> 00:17:51,120 +الموجودة في ال limbs و بتغدى كمان ال deep viscera + +208 +00:17:51,120 --> 00:17:58,080 +لكن ال parasympathetic nervous system supply only + +209 +00:17:58,080 --> 00:18:04,180 +deep viscera تغدى ال deep viscera each ofالـ two + +210 +00:18:04,180 --> 00:18:10,940 +system consists of two order neurons يعني ال + +211 +00:18:10,940 --> 00:18:14,860 +autonomic nervous system لها two order neurons لها + +212 +00:18:14,860 --> 00:18:19,140 +first neuron بيكون موجود في ال central nervous + +213 +00:18:19,140 --> 00:18:24,420 +systemوالها second neuron بيكون موجود في ال + +214 +00:18:24,420 --> 00:18:28,500 +peripheral nervous system مين هو ال first neurons + +215 +00:18:28,500 --> 00:18:33,200 +هم ال nuclei او ال neurons الموجودين في ال + +216 +00:18:33,200 --> 00:18:37,240 +brainstem او ال spinal cord يعني + +217 +00:18:38,390 --> 00:18:42,810 +النوكليا السابعة العصب الثالث السابع تاسع عشر او + +218 +00:18:42,810 --> 00:18:48,010 +النوكلياي الموجودين في ال lateral horns من T1 ل L2 + +219 +00:18:48,010 --> 00:18:53,050 +sympathetic nervous system او من S2 S3 S4 + +220 +00:18:53,050 --> 00:18:56,470 +Parasympathetic nervous system هذي بنسميهم first + +221 +00:18:56,470 --> 00:19:01,480 +neuron طب منهم ال second neuron؟اما sympathetic + +222 +00:19:01,480 --> 00:19:06,340 +ganglia او parasympathetic ganglia هذه تعتبر + +223 +00:19:06,340 --> 00:19:11,680 +second neuron نتكلم + +224 +00:19:11,680 --> 00:19:28,460 +على ايش first neuron ناخد + +225 +00:19:28,460 --> 00:19:34,440 +مثالناخد العصب التاسع Glossopharyngeal nerve ناخد + +226 +00:19:34,440 --> 00:19:42,500 +العصب ايش؟ التاسع العصب التاسع له first neuron + +227 +00:19:42,500 --> 00:19:49,840 +اسمه + +228 +00:19:49,840 --> 00:19:59,210 +inferiorسليفري نوكلياس وين موجودة Located in + +229 +00:19:59,210 --> 00:20:02,790 +Medulla Oblongata يعني في ال brainstem في ال + +230 +00:20:02,790 --> 00:20:11,590 +brainstem تمام هذه + +231 +00:20:11,590 --> 00:20:21,550 +اسمها first neuron first neuron بدا تسلم second + +232 +00:20:21,550 --> 00:20:22,010 +neuron + +233 +00:20:26,540 --> 00:20:30,880 +بتسلم مين ال second neuron ال second neuron هي + +234 +00:20:30,880 --> 00:20:40,100 +عبارة عن اوتك جانجلية اوتك جانجلية هذه تعتبر بارا + +235 +00:20:40,100 --> 00:20:45,780 +سيمباتاتك جانجلية بارا سيمباتاتك جانجلية او + +236 +00:20:45,780 --> 00:20:53,780 +جانجليون تمام جانجليون okay هذه تعتبر ايه second + +237 +00:20:57,250 --> 00:21:01,170 +نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون + +238 +00:21:01,170 --> 00:21:02,990 +نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون + +239 +00:21:02,990 --> 00:21:07,370 +نيرون نيرون + +240 +00:21:07,370 --> 00:21:15,910 +نيرون نيرون نيرون + +241 +00:21:15,910 --> 00:21:17,010 +نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون + +242 +00:21:17,010 --> 00:21:17,430 +نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون + +243 +00:21:17,430 --> 00:21:22,290 +نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرونهو + +244 +00:21:22,290 --> 00:21:26,610 +إما العصب السابع والتاسع والعاشر احنا أخدنا مثال + +245 +00:21:26,610 --> 00:21:32,510 +العصب مين؟ العصب التاسع اللي هو Glossopharyngeal + +246 +00:21:32,510 --> 00:21:37,410 +nerve أو + +247 +00:21:37,410 --> 00:21:42,890 +Intramedial-lateral nuclei الموجودة في lateral + +248 +00:21:42,890 --> 00:21:51,040 +horn cells من T1 لL2 هذه sympatheticو S2 S3 S4 + +249 +00:21:51,040 --> 00:21:54,540 +الموجودة في الانترو هورن سيلز باراسين بتاتيك هذول + +250 +00:21:54,540 --> 00:21:59,780 +يعتبروا ايش؟ First Order Neurons و الموجودين في + +251 +00:21:59,780 --> 00:22:06,300 +الـC و S اما Brain Stem و اما Spinal Cord تمام The + +252 +00:22:06,300 --> 00:22:11,580 +axon of these cells يعني ال axon او ال nerve بتاع + +253 +00:22:11,580 --> 00:22:16,800 +هذول ال First Order Neurons carry stimuli بأخد + +254 +00:22:16,800 --> 00:22:23,280 +stimuliمن ال first order نيرون و بيسلموا لل second + +255 +00:22:23,280 --> 00:22:30,380 +order نيرون للجنجلية هذا ال fibers هذا ال fibers + +256 +00:22:30,380 --> 00:22:34,780 +او + +257 +00:22:34,780 --> 00:22:44,300 +ال axon بنسمي preganglionic + +258 +00:22:48,700 --> 00:22:55,140 +fibers ليه سمناه preganglionic fibers لأنه حامل + +259 +00:22:55,140 --> 00:22:58,740 +الإشارة وبدي سلم للجنجليون يبقى ان هو ما قبل + +260 +00:22:58,740 --> 00:23:06,520 +الجنجليون preganglionic وبيكون myelinated أبيض أو + +261 +00:23:06,520 --> 00:23:11,260 +white أبيض + +262 +00:23:11,260 --> 00:23:15,770 +ليه أبيض لأنه فيه myelin sheathهنا على سبيل المثال + +263 +00:23:15,770 --> 00:23:18,750 +اسمه Glossopharyngeal nerve اسمه ايه؟ + +264 +00:23:18,750 --> 00:23:26,410 +Glossopharyngeal nerve يبقى + +265 +00:23:26,410 --> 00:23:31,770 +slide هذا واضح نطبقه هنا ان ال first order neuron + +266 +00:23:31,770 --> 00:23:37,210 +هو inferior salivary nucleus وان موجودة في ال + +267 +00:23:37,210 --> 00:23:41,740 +brain اسم في الميدالة Oblongataبتسلم الإشارة لـ + +268 +00:23:41,740 --> 00:23:44,640 +Second Order Neuron، من هو الـ Second Order + +269 +00:23:44,640 --> 00:23:47,620 +Neuron؟ Otic Ganglion موجود في الـ Peripheral + +270 +00:23:47,620 --> 00:23:51,720 +Nervous System طيب ال fibers أو ال axon من ال + +271 +00:23:51,720 --> 00:23:55,580 +First Order Neuron اللي راح تسلم ال Second Order + +272 +00:23:55,580 --> 00:24:02,940 +Neuron، إيش اسمها؟ اسمهابريجانجليونيك فايبرز او + +273 +00:24:02,940 --> 00:24:10,180 +white nerve و بتكون ميلينيتد نجي لل second order + +274 +00:24:10,180 --> 00:24:14,400 +نيرون ال second order نيرون راح يكون اما + +275 +00:24:14,400 --> 00:24:18,780 +sympathetic جانجليةوإما بارا sympathetic ganglia + +276 +00:24:18,780 --> 00:24:24,200 +اللي بيحصل فيها synapse وبتحول ل pre ganglionic + +277 +00:24:24,200 --> 00:24:30,380 +fibers لإي ل post ganglionic fibers يبقى second + +278 +00:24:30,380 --> 00:24:33,820 +order نيرون راح يكون sympathetic أو بارا + +279 +00:24:33,820 --> 00:24:39,220 +sympathetic ganglia وال fibers تبعتهم راح تكون + +280 +00:24:39,220 --> 00:24:45,840 +اسمها ايها post + +281 +00:24:52,680 --> 00:25:01,760 +Ganglionic fibers بتكون إيش؟ Gray أو non + +282 +00:25:01,760 --> 00:25:07,060 +-myelinated هذا + +283 +00:25:07,060 --> 00:25:11,100 +إيش بده يسلم؟ لمين بده يسلم هذه الإشارة على ال + +284 +00:25:11,100 --> 00:25:11,340 +boss؟ + +285 +00:25:16,930 --> 00:25:23,370 +للـ target organ target organ هنا ال target organ + +286 +00:25:23,370 --> 00:25:31,990 +راح يكون بروتد اجلاند بروتد اجلاند احنا اخدنا مثال + +287 +00:25:31,990 --> 00:25:36,180 +العصب التاسع يبقى كمان مرةالـ First Order Neuron + +288 +00:25:36,180 --> 00:25:39,440 +موجود في الـ CNS Inferior Salivary Nucleus راح + +289 +00:25:39,440 --> 00:25:41,620 +يسلم الـ Second Order Neuron اللي هي + +290 +00:25:41,620 --> 00:25:45,080 +Parasympathetic جانجليان عصب مثلا لإنه بشرح العصب + +291 +00:25:45,080 --> 00:25:48,060 +التاسع بارا سيمباتيك راح يكون fibers او ت + +292 +00:25:48,060 --> 00:25:52,780 +الجانجليون ال fibers اللي ما قبل الجانجليون اسمه + +293 +00:25:52,780 --> 00:25:57,790 +pre-ganglionicهي axon of the first neuron و بتكون + +294 +00:25:57,790 --> 00:26:02,070 +myelinated ال axon اللي هي بتسلم ال target organ + +295 +00:26:02,070 --> 00:26:05,750 +اللي هي axon of second order neuron بنسميهم + +296 +00:26:05,750 --> 00:26:09,230 +postganglionic fibers و بيكونوا gray أو non + +297 +00:26:09,230 --> 00:26:12,970 +myelinated مين ال target organ؟ parotid gland + +298 +00:26:12,970 --> 00:26:19,170 +فهمتوهم؟ يعني بيبقى parotid gland target organايش + +299 +00:26:19,170 --> 00:26:22,890 +أنواع الـ Autonomic Ganglia؟ الـ Autonomic Ganglia + +300 +00:26:22,890 --> 00:26:26,730 +نوعين فيه sympathetic و فيه باره sympathetic + +301 +00:26:26,730 --> 00:26:33,030 +sympathetic تنجسم لجسمين باره الورتبرا الجانجلية + +302 +00:26:33,030 --> 00:26:37,290 +أو sympathetic جانجلية بيكونون شيء اسمه + +303 +00:26:37,290 --> 00:26:41,910 +sympathetic chainوكل جنجلية الجنجلة بتكون في + +304 +00:26:41,910 --> 00:26:45,810 +أبضومنا الـ cavity بعيدة شوية اسمها celiac + +305 +00:26:45,810 --> 00:26:49,390 +superior mesenteric و inferior mesenteric مش مطلوب + +306 +00:26:49,390 --> 00:26:52,850 +منكوا الأسماء أهم شي تعرفوا أن فيه سمبتات الجنجلية + +307 +00:26:52,850 --> 00:26:57,110 +و في بارا سمبتات الجنجلية البارا سمبتات الجنجلية + +308 +00:26:57,110 --> 00:27:02,930 +بتكون قريبة لل walls of the viscera قريبة لوين؟ لل + +309 +00:27:02,930 --> 00:27:08,030 +organ في ملاحظة انه + +310 +00:27:09,110 --> 00:27:15,670 +بري جانجليونيك فايبر هان ميلينيتد او white او ايه + +311 +00:27:15,670 --> 00:27:21,550 +white بوست جانجليونيك فايبر نان ميلينيتد او ايه + +312 +00:27:21,550 --> 00:27:26,370 +gray طيب الجانجلية sympathetic جريبة على ال + +313 +00:27:26,370 --> 00:27:31,270 +vertebral column في الحالة هذه بري جانجليونيك + +314 +00:27:31,270 --> 00:27:37,460 +فايبر بتاعة sympathetic nervous system shortوالـ + +315 +00:27:37,460 --> 00:27:42,200 +postganglionic long العكسة هي الجانجلية البارة + +316 +00:27:42,200 --> 00:27:44,600 +sympathetic تكون جريبة على ال target organ and ال + +317 +00:27:44,600 --> 00:27:48,440 +organ في ال wall of the organرح يكون برا + +318 +00:27:48,440 --> 00:27:52,780 +sympathetic preganglionic long لاحظوا أنا رسمتهم + +319 +00:27:52,780 --> 00:27:57,960 +long وال postganglionic رح تكون short يبقى كمان + +320 +00:27:57,960 --> 00:28:02,920 +مرة preganglionic fibers sympathetic رح تكون short + +321 +00:28:02,920 --> 00:28:07,020 +postganglionic long العكس صحيح برا sympathetic برا + +322 +00:28:07,020 --> 00:28:11,220 +sympathetic preganglionic long postganglionic رح + +323 +00:28:11,220 --> 00:28:16,790 +تكون short من ناحية الميالين شفتبريجانجليونيك لـ + +324 +00:28:16,790 --> 00:28:19,130 +sympathetic والبارا sympathetic nervous system + +325 +00:28:19,130 --> 00:28:23,570 +ميلينياتي أو white both ganglionic fibers + +326 +00:28:23,570 --> 00:28:27,270 +sympathetic وبارا sympathetic رح يكونوا إيه إيجريه + +327 +00:28:27,270 --> 00:28:32,330 +بتكلم الآن على ال transmission أو transmitters of + +328 +00:28:32,330 --> 00:28:36,890 +the autonomic nervous system بريجانجليونيك + +329 +00:28:36,890 --> 00:28:41,100 +transmittersكانت sympathetic nervous system او + +330 +00:28:41,100 --> 00:28:44,320 +parasympathetic nervous system راح يكون أستيطاعي + +331 +00:28:44,320 --> 00:28:48,620 +القليل postganglionic transmitters + +332 +00:28:52,280 --> 00:28:54,860 +بارا سيمباتيك أسيتالكولين بارا سيمباتيك + +333 +00:28:54,860 --> 00:28:56,820 +أسيتالكولين بارا سيمباتيك أسيتالكولين بارا + +334 +00:28:56,820 --> 00:28:59,060 +سيمباتيك أسيتالكولين بارا سيمباتيك أسيتالكولين + +335 +00:28:59,060 --> 00:29:01,860 +بارا سيمباتيك أسيتالكولين بارا سيمباتيك + +336 +00:29:01,860 --> 00:29:01,960 +أسيتالكولين بارا سيمباتيك أسيتالكولين بارا + +337 +00:29:01,960 --> 00:29:04,720 +سيمباتيك أسيتالكولين بارا سيمباتيك أسيتالكولين + +338 +00:29:04,720 --> 00:29:11,780 +بارا سيمباتيك أسيتالكولين بارا سيمباتيك + +339 +00:29:11,780 --> 00:29:18,180 +أسيتالكولين بارا سيمباتيك أسيتالكولين بارا + +340 +00:29:18,180 --> 00:29:21,590 +سيمباتيك أسيتالكولينParasympathetic Acetylcholine + +341 +00:29:21,590 --> 00:29:24,610 +يعني بنطلع بنتيجة ان ال Parasympathetic nervous + +342 +00:29:24,610 --> 00:29:27,870 +system Preganglionic أو Postganglionic + +343 +00:29:27,870 --> 00:29:31,410 +Neurotransmitters Acetylcholine Sympathetic + +344 +00:29:31,410 --> 00:29:34,490 +nervous system Preganglionic Acetylcholine + +345 +00:29:34,490 --> 00:29:38,610 +Postganglionic Epinephrine Norepinephrine وفي بعض + +346 +00:29:38,610 --> 00:29:44,670 +الأماكن Acetylcholine مثل ايه Sweet gland باضحانة + +347 +00:29:44,670 --> 00:29:50,430 +هي ال sympathetic nervous systemPreganglionic + +348 +00:29:50,430 --> 00:29:54,790 +Acetylcholine و البقرة sympathetic Preganglionic + +349 +00:29:54,790 --> 00:29:58,110 +Acetylcholine Postganglionic البقرة sympathetic + +350 +00:29:58,110 --> 00:30:03,130 +Acetylcholine اي ال sympathetic nervous system + +351 +00:30:03,130 --> 00:30:08,530 +Acetylcholine او نوربينفرين و بنفرين و في بعض + +352 +00:30:08,530 --> 00:30:11,710 +الأماكن بيكون Acetylcholine لسويتي جلاند لما + +353 +00:30:11,710 --> 00:30:17,240 +اتكلمنا يا جماعةعلى الـ preganglionic و ال + +354 +00:30:17,240 --> 00:30:19,700 +postganglionic fibers قولنا preganglionic + +355 +00:30:19,700 --> 00:30:24,080 +Parasympathetic بيكونوا long و postganglionic + +356 +00:30:24,080 --> 00:30:26,900 +short في ال sympathetic nervous system قولنا + +357 +00:30:26,900 --> 00:30:30,660 +preganglionic بيكونوا short و postganglionic + +358 +00:30:30,660 --> 00:30:34,300 +بيكونوا long مع ذا في exception في sympathetic + +359 +00:30:34,300 --> 00:30:38,220 +nervous system adrenal gland في ال adrenal gland + +360 +00:30:38,220 --> 00:30:43,230 +هذه adrenal gland ال preganglionicبيكونوا A long و + +361 +00:30:43,230 --> 00:30:46,230 +الـ postganglionic A short يبقى ال exception في ال + +362 +00:30:46,230 --> 00:30:49,370 +sympathetic nervous system هي مين؟ Adrenal gland + +363 +00:30:49,370 --> 00:30:52,930 +Adrenal gland بيكونوا preganglionic long و + +364 +00:30:52,930 --> 00:30:58,970 +postganglionic A short هيك + +365 +00:30:58,970 --> 00:31:02,930 +بيكون خلصت الموضوع ال neurotransmitters هلأ how + +366 +00:31:02,930 --> 00:31:06,890 +the visceral structure supplied by the autonomic + +367 +00:31:06,890 --> 00:31:13,310 +fibersمعظم الأسلحة العضلية لديها اتجارات عضلية + +368 +00:31:13,310 --> 00:31:17,110 +تتجارب اتجارات + +369 +00:31:17,110 --> 00:31:19,070 +عضلية تتجارب اتجارة عضلية تتجارب اتجارة عضلية + +370 +00:31:19,070 --> 00:31:23,870 +تتجارب اتجارة عضلية تتجارب اتجارة عضلية تتجارب + +371 +00:31:23,870 --> 00:31:27,750 +اتجارة عضلية تتجارب اتجارة عضلية تتجارب اتجارة + +372 +00:31:27,750 --> 00:31:28,750 +عضلية تتجارب اتجارة عضلية تتجارب اتجارة عضلية + +373 +00:31:28,750 --> 00:31:34,640 +اتجارة عضلية تتجارب اتجارب اتجارب اتراحت ايه تزود + +374 +00:31:34,640 --> 00:31:38,080 +و تسريع نبض القلب عشان هيك في ال stress لو احنا + +375 +00:31:38,080 --> 00:31:42,320 +كنا ماشيين و فجأة صار قصف او ماشيين في الليل مش من + +376 +00:31:42,320 --> 00:31:45,960 +تبهين نبح عليكوا كلب ايش بيصير معاكم تسمعوا ال + +377 +00:31:45,960 --> 00:31:48,980 +heart beat نبض القلب سريع من ال stress من ال + +378 +00:31:48,980 --> 00:31:52,600 +sympathetic nervous systemالعكس صحيح البارا + +379 +00:31:52,600 --> 00:31:56,660 +sympathetic nervous system لما نيجي ننام و نتغدى و + +380 +00:31:56,660 --> 00:32:00,120 +نقعد على الكنبة نرتاح بتلاقي تشتغل البارا + +381 +00:32:00,120 --> 00:32:02,540 +sympathetic في الحالة دى لو فحصنا ال heart rate + +382 +00:32:02,540 --> 00:32:07,480 +تبعنا بيكون جل شوية بقل ال heart rate ناتج عن طريق + +383 +00:32:07,480 --> 00:32:11,410 +البارا sympathetic nervous systemEach of + +384 +00:32:11,410 --> 00:32:14,270 +sympathetic and parasympathetic neural system + +385 +00:32:14,270 --> 00:32:19,630 +formed of two neurons قلنا اول نيرون بيكون موجود + +386 +00:32:19,630 --> 00:32:22,650 +في ال central neural system اما في ال brainstem او + +387 +00:32:22,650 --> 00:32:28,640 +spinal cord والaxon تبعهبيكون preganglionic بيكون + +388 +00:32:28,640 --> 00:32:33,700 +ايه؟ كمان مرة قولنا ال preganglionic او ال first + +389 +00:32:33,700 --> 00:32:38,920 +نيرون له اكزون الاكزون بتاع ال first نيرون بيكون + +390 +00:32:38,920 --> 00:32:44,980 +preganglionic بيكون white بيكون ايه؟ white ايش + +391 +00:32:44,980 --> 00:32:49,880 +white؟ يعني أبيض لأنه بيكون myelinated myelinated + +392 +00:32:49,880 --> 00:32:56,420 +مكسو بمادة الميلين لكنالـ Second Order Neuron + +393 +00:32:56,420 --> 00:32:59,160 +موجود في الـ Peripheral Nervous System إما + +394 +00:32:59,160 --> 00:33:03,920 +سينباتات الجنجلية و إما بارا سينباتات الجنجلية + +395 +00:33:03,920 --> 00:33:10,020 +والـ Axon تبعهابيكون postganglionic ما بعد + +396 +00:33:10,020 --> 00:33:13,780 +الجانجليون هو راح سلم مين؟ هو راح سلمنا ال target + +397 +00:33:13,780 --> 00:33:18,220 +organ وبيكون grey ولا white؟ بيكون grey nerve، + +398 +00:33:18,220 --> 00:33:23,520 +grey ramus وبيكون nonmyelinated عشان nonmyelinated + +399 +00:33:23,520 --> 00:33:30,100 +مافيش فيه myelin sheath، بنسميه إيه؟ grey نتكلم + +400 +00:33:30,100 --> 00:33:35,170 +الآن على parasympathetic nervous systemاتفاقنا + +401 +00:33:35,170 --> 00:33:38,470 +البارا sympathetic nervous system اسمها + +402 +00:33:38,470 --> 00:33:43,090 +craniosacral nervous system بتتكون من كام جزء من + +403 +00:33:43,090 --> 00:33:49,400 +جزئين cranial part and sacral partالان في الجزء + +404 +00:33:49,400 --> 00:33:53,920 +الأول من المحاضرة راح أكمل شرح الـ cranial part of + +405 +00:33:53,920 --> 00:33:58,280 +parasympathetic nervous system ال cranial part هو + +406 +00:33:58,280 --> 00:34:01,600 +ال nuclei بتاعة العصب الثالث oculomotor nerve + +407 +00:34:01,600 --> 00:34:05,380 +السابع اللي هو facial nerve التاسع ال + +408 +00:34:05,380 --> 00:34:10,210 +glosopharyngeal nerve وعاشر اللي هو Vegas nerveزي + +409 +00:34:10,210 --> 00:34:13,310 +ما انتم ملاحظين هذول الـ cranial nerves فيهم + +410 +00:34:13,310 --> 00:34:17,350 +fibers ال fibers جاية من ال brainstem من ال first + +411 +00:34:17,350 --> 00:34:20,910 +order neuron و بيسلملنا target organ بتلاحظوا ال + +412 +00:34:20,910 --> 00:34:26,150 +preganglionic fibers ايش long و ال both ganglionic + +413 +00:34:26,150 --> 00:34:33,450 +fibers short لانها جريبة ل target organ في + +414 +00:34:33,450 --> 00:34:38,830 +هنا بارة sympathetic ganglia في ال headفي الهد فور + +415 +00:34:38,830 --> 00:34:46,330 +جنجليا سيلاري جنجليا سفينو بلاتين أو تيريجو بلاتين + +416 +00:34:46,330 --> 00:34:53,610 +جنجليا submandibular جنجليون و اوتك جنجليون و اوتك + +417 +00:34:53,610 --> 00:34:58,790 +جنجليون راح نشرحهم مع ال نيرز هاي عندي سيلاري + +418 +00:34:58,790 --> 00:35:04,130 +جنجليونبعدها سفينو بلاتاين او التيريجو بلاتاين + +419 +00:35:04,130 --> 00:35:08,670 +اكبر واحدة في اوتج جانجليون انا شرحتها مع العصب مع + +420 +00:35:08,670 --> 00:35:13,050 +العصب التاسل مع الجلوس الفانجيال وفيها اللي هي + +421 +00:35:13,050 --> 00:35:18,490 +واضحا اكتر اللي هي submandibular ganglion + +422 +00:35:18,490 --> 00:35:25,350 +submandibular ganglion ناخد + +423 +00:35:25,350 --> 00:35:29,730 +ال cranial nerves ال cranial nerves ال cranial + +424 +00:35:29,730 --> 00:35:34,930 +nervesالـ oculomotor nerve نطبقها نفس الـ + +425 +00:35:34,930 --> 00:35:37,710 +oculomotor nerve هاي ال oculomotor nerve العصب + +426 +00:35:37,710 --> 00:35:44,990 +ايش؟ الثالث العصب الثالث الو first order neuron + +427 +00:35:44,990 --> 00:35:48,790 +الو + +428 +00:35:48,790 --> 00:35:53,610 +ايش؟ first order neuron مين هو ال first order + +429 +00:35:53,610 --> 00:36:00,930 +neuron؟ نوكلياس اسمها Edinger Westphalنوكلياس + +430 +00:36:00,930 --> 00:36:06,470 +موجودة وين في ال mid brain موجودة وين في ال mid + +431 +00:36:06,470 --> 00:36:10,710 +brain يبقى ال first order نيرون a danger ويسفل + +432 +00:36:10,710 --> 00:36:15,970 +نوكلياس in mid brain طيب ال second order نيرون + +433 +00:36:15,970 --> 00:36:22,170 +تبعها second + +434 +00:36:22,170 --> 00:36:27,030 +order نيرون اللي هي رح تكون + +435 +00:36:30,040 --> 00:36:36,280 +Ganglion Cellary Ganglion الـ preganglionic fibers + +436 +00:36:36,280 --> 00:36:42,660 +preganglionic fibers راح يكون oculomotor nerve + +437 +00:36:42,660 --> 00:36:49,220 +oculomotor nerve oculomotor nerve اللي هو يعتبر + +438 +00:36:49,220 --> 00:36:55,660 +ايه preganglionic fibers + +439 +00:36:58,370 --> 00:37:01,710 +رح يسلم ال second order اللي هي ال celery ganglion + +440 +00:37:01,710 --> 00:37:05,710 +اللي هي برصم بطاقة ال ganglion ال celery ganglion + +441 +00:37:05,710 --> 00:37:16,590 +رح تعطينا fibers non myelinated أو post ganglionic + +442 +00:37:16,590 --> 00:37:22,950 +post ganglionic fibers هذه + +443 +00:37:22,950 --> 00:37:28,600 +رح تسخدنا ال target organTarget organ راح يكون مين + +444 +00:37:28,600 --> 00:37:33,680 +هم ال target organ Constrictor أو sphincter بيوبل + +445 +00:37:33,680 --> 00:37:39,180 +مصل وسيلري مصل سيلري مصل لها علاقة بعملية + +446 +00:37:39,180 --> 00:37:44,160 +accommodation of I لما نجرب اي object near the + +447 +00:37:44,160 --> 00:37:47,980 +eyes والconstrictor بيوبل مصل راح تعمل + +448 +00:37:47,980 --> 00:37:52,060 +construction للبيوبل وصغر للبيوبل هذي تعتبر ايش + +449 +00:37:52,060 --> 00:37:53,460 +target organ + +450 +00:37:56,670 --> 00:38:01,370 +هي عندى celery ganglion الفايبر بتجي من الادينجر + +451 +00:38:01,370 --> 00:38:04,730 +واسفل النكليز عن طريق ال اوكلان موتور نيرف وبتغدى + +452 +00:38:04,730 --> 00:38:10,290 +constructor pupil muscle وcelery muscle اتكلم على + +453 +00:38:10,290 --> 00:38:17,650 +facial nerve facial nerve facial + +454 +00:38:17,650 --> 00:38:24,430 +nerve ال first order neuron + +455 +00:38:29,360 --> 00:38:35,580 +اسمها Superior Salivary Nucleus موجودة في الـ Pons + +456 +00:38:35,580 --> 00:38:42,140 +في الـ Pons هذه الـ first order نيرون طيب ال + +457 +00:38:42,140 --> 00:38:45,700 +facial nerve intermediates رح ينقسم لاتنين فرعين + +458 +00:38:45,700 --> 00:38:52,620 +رح ينقسم لفرعين هذا + +459 +00:38:52,620 --> 00:39:00,460 +facial nerve رح يعطيناgreater superficial petrosal + +460 +00:39:00,460 --> 00:39:04,600 +nerve جي أسبان أخدناه في ال facial nerve ورح يضينا + +461 +00:39:04,600 --> 00:39:10,620 +كوردة تنبني نيرف كوردة تنبني نيرف يبقى جي أسبان و + +462 +00:39:10,620 --> 00:39:15,180 +كوردة تنبني نيرف يعتبروا preganglionic fibers رح + +463 +00:39:15,180 --> 00:39:18,060 +يسلموا إشارة للجانجليون اللي هي second order + +464 +00:39:18,060 --> 00:39:23,660 +neuron second order neuron الجانجليون هذه إما تكون + +465 +00:39:23,660 --> 00:39:29,910 +ترجعبالتين جانجليون أو لاسم ثاني سفينو بلتين + +466 +00:39:29,910 --> 00:39:36,230 +جانجليون أو لصب مانديبولر جانجليون صب مانديبولر + +467 +00:39:36,230 --> 00:39:39,170 +جانجليون يبقى ال second order نيرون راح يكون له + +468 +00:39:39,170 --> 00:39:45,210 +two neurons ترجوا بلتين جانجليون وصب مانديبولر + +469 +00:39:45,210 --> 00:39:52,800 +جانجليون ال postganglionic fibers shortترجوا + +470 +00:39:52,800 --> 00:39:56,880 +بلاتين جانجليون راح يغدونا ال target organs مين هم + +471 +00:39:56,880 --> 00:40:03,540 +ال target organs راح يكون لنا lacrimal بلاتين + +472 +00:40:03,540 --> 00:40:10,260 +و nasopharyngeal + +473 +00:40:10,260 --> 00:40:14,860 +glands طيب + +474 +00:40:14,860 --> 00:40:19,680 +ال submandibular جانجليون راح تغدي glands + +475 +00:40:25,720 --> 00:40:31,640 +submandibular salivary glands + +476 +00:40:31,640 --> 00:40:45,040 +و sublingual salivary gland هي كأنا شرحتلكوا ال + +477 +00:40:45,040 --> 00:40:50,940 +facial nerveهي عندي هنا واضحة اللي هي + +478 +00:40:50,940 --> 00:40:55,620 +submandibular ganglion بتغدى ال submandibular + +479 +00:40:55,620 --> 00:40:58,680 +salivary gland و sublingual salivary gland هنا + +480 +00:40:58,680 --> 00:41:01,580 +واضحة عندي sphenopalatine ganglion او + +481 +00:41:01,580 --> 00:41:04,580 +tergopalatine ganglion اللى بتغدى الدمع عشان هيك + +482 +00:41:04,580 --> 00:41:07,380 +لو جصينا بصل دخلنا المطبخ و جصينا البصل ايش بيصير + +483 +00:41:07,380 --> 00:41:11,480 +معنا؟ بيصير ندمع و ننفق و حالتنا بتكون شلش تعبانين + +484 +00:41:11,480 --> 00:41:14,800 +على الآخر من موضوع البصل ده كان بصل أصلي مش مزيف + +485 +00:41:14,800 --> 00:41:19,480 +تمام؟في الحالة هذه من اشتغل؟ اشتغل عندنا تيروجو + +486 +00:41:19,480 --> 00:41:23,220 +بلاتاين جانجليون اللي غضبت لنا اللاكريمال جلاند، + +487 +00:41:23,220 --> 00:41:28,600 +الغدد تبع الدمع والبلاتاين والنيزوفارنجيا الجلاند، + +488 +00:41:28,600 --> 00:41:29,960 +هذه اللاكريمال جلاند + +489 +00:41:32,500 --> 00:41:37,380 +glossopharyngeal nerve انا شرحته في مثال في بداية + +490 +00:41:37,380 --> 00:41:41,320 +المحاضرة ال first order neuron inferior salivary + +491 +00:41:41,320 --> 00:41:43,900 +nucleus موجودة في الميدالة أو بلانجاتا ال + +492 +00:41:43,900 --> 00:41:47,180 +preganglionic fibers هو glossopharyngeal nerve + +493 +00:41:47,180 --> 00:41:51,920 +second order neuron otic ganglion ال target organ + +494 +00:41:51,920 --> 00:41:55,770 +بيغدو الbarotid gland انا شرحه في بداية المحاضرةهي + +495 +00:41:55,770 --> 00:42:01,990 +عندى اوتيك اوتيك جانجليون متجهان هى + +496 +00:42:01,990 --> 00:42:04,250 +Glossopharyngeal nerve Glossopharyngeal nerve + +497 +00:42:04,250 --> 00:42:07,890 +يعتبر preganglionic بيجينا من ال first order نيرون + +498 +00:42:07,890 --> 00:42:10,250 +بيكون فى الميدالة أوبلانجات اسمه Enfero salivary + +499 +00:42:10,250 --> 00:42:13,930 +nucleus بيعمل relay فى ال اوتيك جانجليون والاوتيك + +500 +00:42:13,930 --> 00:42:17,290 +جانجليون بتعطينا postganglionic fibers لل target + +501 +00:42:17,290 --> 00:42:19,830 +organ اللى هو parotid gland + +502 +00:42:22,870 --> 00:42:28,310 +النيرون الأول هو دورسل موتور نوكلياس of Vegas + +503 +00:42:28,310 --> 00:42:33,130 +nerve. It is the most important parasympathetic + +504 +00:42:33,130 --> 00:42:38,250 +nucleus in the bodysecond order neuron ماني عشرات + +505 +00:42:38,250 --> 00:42:43,510 +عشرات ماني جانجيليا in different organs في ال + +506 +00:42:43,510 --> 00:42:46,830 +thorax لل respiratory system و ال heart و ال + +507 +00:42:46,830 --> 00:42:51,870 +abdomen target organ heart respiratory system + +508 +00:42:51,870 --> 00:42:58,450 +large part of GIT يا جماعة ال Vegas nerve بيقدي ال + +509 +00:42:58,450 --> 00:43:02,250 +heart respiratory system بيقدي جهاز هضمي من وين؟ + +510 +00:43:03,020 --> 00:43:08,520 +Isovagus المريء ال stomach المعدة الدودينم ال 12 + +511 +00:43:08,520 --> 00:43:12,460 +small intestine الأمعاء الغليظة بيغضب منها + +512 +00:43:12,460 --> 00:43:19,080 +ascending colon و write to third of transverse + +513 +00:43:19,080 --> 00:43:22,920 +colon هلأ ال left one third left one third of + +514 +00:43:22,920 --> 00:43:25,360 +transverse colon descending colon rectum بياخدوا + +515 +00:43:25,360 --> 00:43:28,860 +من ال circle part of parasympathetic nervous + +516 +00:43:28,860 --> 00:43:34,550 +systemبكفي الآن في الجزء الأول من المحاضرة راح + +517 +00:43:34,550 --> 00:43:37,390 +نكمل في الجزء الثاني a sacral part of + +518 +00:43:37,390 --> 00:43:40,150 +parasympathetic nervous system و sympathetic + +519 +00:43:40,150 --> 00:43:41,090 +nervous system + diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/nyZBSpvcHMo_raw.json b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/nyZBSpvcHMo_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..d5282bad269713b393c6e03a352cf08ce19647b5 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/nyZBSpvcHMo_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 2587, "start": 4.99, "end": 25.87, "text": "بسم الله الرحمن الرحيم السلام عليكم ورحمة الله وبركاته يوم راح أكون معكم في محاضرة الإسبوع العاشر راح نتكلم عن autonomic nervous system نتكلم general أول شي على autonomic nervous system anatomy and physiology of the 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0.47900390625}, {"start": 844.44, "end": 844.88, "word": " بتاع", "probability": 0.957763671875}, {"start": 844.88, "end": 845.02, "word": " ال", "probability": 0.5009765625}, {"start": 845.02, "end": 845.48, "word": " sympathetic", "probability": 0.6572265625}, {"start": 845.48, "end": 846.4, "word": " وبقرا", "probability": 0.6627197265625}, {"start": 846.4, "end": 846.94, "word": " sympathetic", "probability": 0.908203125}, {"start": 846.94, "end": 847.28, "word": " كمان", "probability": 0.9440104166666666}, {"start": 847.28, "end": 847.64, "word": " مرة", "probability": 0.9765625}, {"start": 847.64, "end": 848.6, "word": " sympathetic", "probability": 0.88720703125}, {"start": 848.6, "end": 849.54, "word": " من", "probability": 0.97216796875}, {"start": 849.54, "end": 850.32, "word": " T1", "probability": 0.92919921875}, {"start": 850.32, "end": 851.02, "word": " لحد", "probability": 0.971923828125}, {"start": 851.02, "end": 851.66, "word": " L2", "probability": 0.843505859375}, {"start": 851.66, "end": 852.22, "word": " بتكون", "probability": 0.760986328125}, {"start": 852.22, "end": 852.62, "word": " موجودة", "probability": 0.965576171875}, {"start": 852.62, "end": 852.74, "word": " في", "probability": 0.92041015625}, {"start": 852.74, "end": 852.86, "word": " ال", "probability": 0.93994140625}, {"start": 852.86, "end": 853.44, "word": " anterior", "probability": 0.53662109375}, {"start": 853.44, "end": 854.02, "word": " horn", "probability": 0.8623046875}, {"start": 854.02, "end": 854.4, "word": " cells", "probability": 0.80615234375}], "temperature": 1.0}, {"id": 35, "seek": 88220, "start": 854.8, "end": 882.2, "text": "أي أسف بتكون موجودة ال simpatetic وين في lateral horn cells ال simpatetic بتكون من T1 ل L2 بتكون موجودة وين في lateral horn cells البالا simpatetic جزئين cranial part بيكون في إبراين السم اللي هي ال nuclei بتاعة ال oculomotra عصب تلاتة facial سبعة glossopharyngeal تسعة وvegas عشرة", "tokens": [10721, 1829, 5551, 3794, 5172, 39894, 30544, 3714, 29245, 23328, 3660, 2423, 1034, 11584, 3532, 4032, 9957, 8978, 25128, 13482, 5438, 2423, 1034, 11584, 3532, 39894, 30544, 9154, 314, 16, 5296, 441, 17, 39894, 30544, 3714, 29245, 23328, 3660, 4032, 9957, 8978, 25128, 13482, 5438, 29739, 6027, 995, 1034, 11584, 3532, 10874, 11622, 19986, 9957, 39685, 831, 644, 4724, 1829, 30544, 8978, 11933, 3555, 23557, 9957, 21136, 2304, 13672, 1829, 39896, 2423, 49919, 39894, 995, 27884, 2423, 277, 2444, 298, 310, 424, 6225, 9381, 3555, 6055, 1211, 9307, 3660, 15642, 8608, 3555, 27884, 1563, 772, 5317, 39008, 432, 304, 6055, 3794, 27884, 4032, 303, 10549, 6225, 8592, 25720], "avg_logprob": -0.29873854414038703, "compression_ratio": 1.7130434782608697, "no_speech_prob": 0.0, "words": [{"start": 854.8, "end": 854.96, "word": "أي", "probability": 0.4097900390625}, {"start": 854.96, "end": 855.32, "word": " أسف", "probability": 0.8600260416666666}, {"start": 855.32, "end": 855.84, "word": " بتكون", "probability": 0.6783447265625}, {"start": 855.84, "end": 856.26, "word": " موجودة", "probability": 0.9385986328125}, {"start": 856.26, "end": 856.42, "word": " ال", "probability": 0.493896484375}, {"start": 856.42, "end": 856.88, "word": " simpatetic", "probability": 0.5188191731770834}, {"start": 856.88, "end": 857.22, "word": " وين", "probability": 0.728515625}, {"start": 857.22, "end": 857.74, "word": " في", "probability": 0.461669921875}, {"start": 857.74, "end": 858.28, "word": " lateral", "probability": 0.4521484375}, {"start": 858.28, "end": 859.18, "word": " horn", "probability": 0.7216796875}, {"start": 859.18, "end": 859.54, "word": " cells", "probability": 0.7841796875}, {"start": 859.54, "end": 859.98, "word": " ال", "probability": 0.428466796875}, {"start": 859.98, "end": 860.38, "word": " simpatetic", "probability": 0.9192708333333334}, {"start": 860.38, "end": 860.8, "word": " بتكون", "probability": 0.949462890625}, {"start": 860.8, "end": 861.62, "word": " من", "probability": 0.66748046875}, {"start": 861.62, "end": 863.02, "word": " T1", "probability": 0.840576171875}, {"start": 863.02, "end": 863.5, "word": " ل", "probability": 0.943359375}, {"start": 863.5, "end": 864.28, "word": " L2", "probability": 0.767578125}, {"start": 864.28, "end": 864.84, "word": " بتكون", "probability": 0.840576171875}, {"start": 864.84, "end": 865.18, "word": " موجودة", "probability": 0.9825439453125}, {"start": 865.18, "end": 865.5, "word": " وين", "probability": 0.949462890625}, {"start": 865.5, "end": 866.08, "word": " في", "probability": 0.93701171875}, {"start": 866.08, "end": 866.62, "word": " lateral", "probability": 0.84423828125}, {"start": 866.62, "end": 867.92, "word": " horn", "probability": 0.86669921875}, {"start": 867.92, "end": 868.44, "word": " cells", "probability": 0.82275390625}, {"start": 868.44, "end": 869.66, "word": " البالا", "probability": 0.56201171875}, {"start": 869.66, "end": 870.32, "word": " simpatetic", "probability": 0.8553059895833334}, {"start": 870.32, "end": 871.18, "word": " جزئين", "probability": 0.84100341796875}, {"start": 871.18, "end": 872.06, "word": " cranial", "probability": 0.940185546875}, {"start": 872.06, "end": 872.5, "word": " part", "probability": 0.923828125}, {"start": 872.5, "end": 872.98, "word": " بيكون", "probability": 0.9007161458333334}, {"start": 872.98, "end": 873.64, "word": " في", "probability": 0.94482421875}, {"start": 873.64, "end": 874.46, "word": " إبراين", "probability": 0.6331787109375}, {"start": 874.46, "end": 874.86, "word": " السم", "probability": 0.4822998046875}, {"start": 874.86, "end": 875.3, "word": " اللي", "probability": 0.791015625}, {"start": 875.3, "end": 875.44, "word": " هي", "probability": 0.90771484375}, {"start": 875.44, "end": 875.56, "word": " ال", "probability": 0.66162109375}, {"start": 875.56, "end": 875.88, "word": " nuclei", "probability": 0.52490234375}, {"start": 875.88, "end": 876.38, "word": " بتاعة", "probability": 0.9226888020833334}, {"start": 876.38, "end": 876.56, "word": " ال", "probability": 0.82568359375}, {"start": 876.56, "end": 877.24, "word": " oculomotra", "probability": 0.74400634765625}, {"start": 877.24, "end": 877.5, "word": " عصب", "probability": 0.9698893229166666}, {"start": 877.5, "end": 878.04, "word": " تلاتة", "probability": 0.8675537109375}, {"start": 878.04, "end": 878.76, "word": " facial", "probability": 0.54931640625}, {"start": 878.76, "end": 879.36, "word": " سبعة", "probability": 0.7958984375}, {"start": 879.36, "end": 880.56, "word": " glossopharyngeal", "probability": 0.7117106119791666}, {"start": 880.56, "end": 881.04, "word": " تسعة", "probability": 0.9480794270833334}, {"start": 881.04, "end": 881.82, "word": " وvegas", "probability": 0.7604166666666666}, {"start": 881.82, "end": 882.2, "word": " عشرة", "probability": 0.8600260416666666}], "temperature": 1.0}, {"id": 36, "seek": 90069, "start": 882.85, "end": 900.69, "text": "و الـ sacral part تعالى باره sympathetic النكليات الموجودة في الـ anterior horn cells S2 S3 S4 segment of a spinal cord دكتور ياد انت قلتلنا sympathetic collateral horn cells", "tokens": [2407, 2423, 39184, 4899, 2155, 644, 37279, 6027, 7578, 4724, 9640, 3224, 36032, 28239, 4117, 20292, 9307, 9673, 29245, 23328, 3660, 8978, 2423, 39184, 22272, 13482, 5438, 318, 17, 318, 18, 318, 19, 9469, 295, 257, 28022, 12250, 11778, 4117, 2655, 13063, 7251, 18513, 16472, 2655, 12174, 1211, 2655, 1211, 8315, 36032, 41875, 13482, 5438], "avg_logprob": -0.40624999308160376, "compression_ratio": 1.331360946745562, "no_speech_prob": 0.0, "words": [{"start": 882.85, "end": 883.07, "word": "و", "probability": 0.85498046875}, {"start": 883.07, "end": 883.21, "word": " الـ", "probability": 0.3773193359375}, {"start": 883.21, "end": 883.57, "word": " sacral", "probability": 0.57293701171875}, {"start": 883.57, "end": 883.95, "word": " part", "probability": 0.9384765625}, {"start": 883.95, "end": 884.25, "word": " تعالى", "probability": 0.4870198567708333}, {"start": 884.25, "end": 884.47, "word": " باره", 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{"start": 904.34, "end": 904.62, "word": " اللي", "probability": 0.771728515625}, {"start": 904.62, "end": 905.18, "word": " سيقرأه", "probability": 0.7320963541666666}, {"start": 905.18, "end": 905.34, "word": " في", "probability": 0.6181640625}, {"start": 905.34, "end": 905.5, "word": " ال", "probability": 0.93212890625}, {"start": 905.5, "end": 906.16, "word": " anterior", "probability": 0.413818359375}, {"start": 906.16, "end": 906.78, "word": " horn", "probability": 0.81201171875}, {"start": 906.78, "end": 907.16, "word": " cells", "probability": 0.75830078125}, {"start": 907.16, "end": 908.64, "word": " ليه؟", "probability": 0.6975911458333334}, {"start": 908.64, "end": 909.1, "word": " ليه", "probability": 0.869384765625}, {"start": 909.1, "end": 910.08, "word": " ال", "probability": 0.5029296875}, {"start": 910.08, "end": 910.44, "word": " sympathetic", "probability": 0.7490234375}, {"start": 910.44, "end": 911.02, "word": " في", "probability": 0.87646484375}, {"start": 911.02, "end": 911.56, "word": " ال", "probability": 0.92138671875}, {"start": 911.56, "end": 911.86, "word": " lateral", "probability": 0.5927734375}, {"start": 911.86, "end": 912.26, "word": " horn", "probability": 0.8447265625}, {"start": 912.26, "end": 912.64, "word": " cells", "probability": 0.7587890625}, {"start": 912.64, "end": 913.88, "word": " والبارا", "probability": 0.8056640625}, {"start": 913.88, "end": 913.94, "word": " ال", "probability": 0.464599609375}, {"start": 913.94, "end": 914.18, "word": " sympathetic", "probability": 0.92333984375}, {"start": 914.18, "end": 914.48, "word": " في", "probability": 0.95458984375}, {"start": 914.48, "end": 914.56, "word": " ال", "probability": 0.97021484375}, {"start": 914.56, "end": 914.9, "word": " anterior", "probability": 0.7958984375}, {"start": 914.9, "end": 915.2, "word": " horn", "probability": 0.86279296875}, {"start": 915.2, "end": 916.2, "word": " cells؟", "probability": 0.631591796875}, {"start": 916.2, "end": 918.38, "word": " ابسط", "probability": 0.8151041666666666}, {"start": 918.38, "end": 918.86, "word": " المعلومة", "probability": 0.98193359375}, {"start": 918.86, "end": 919.14, "word": " لكم", "probability": 0.9267578125}], "temperature": 1.0}, {"id": 38, "seek": 93742, "start": 919.96, "end": 937.42, "text": "سافرت ع موسكو في 31 ديسمبر وفي كان أعياد عندهم الفندق مليان مشغول جدا ودرجة حرارة اربعين او عشرين او تلاتين تحت الصفر وفيش واسعة في الغرف", "tokens": [3794, 31845, 43500, 6225, 3714, 41779, 4117, 2407, 8978, 10353, 11778, 1829, 38251, 26890, 4032, 41185, 25961, 5551, 3615, 1829, 18513, 43242, 16095, 27188, 41260, 4587, 3714, 20292, 7649, 37893, 17082, 12610, 10874, 28259, 4032, 3215, 47341, 3660, 11331, 2288, 9640, 3660, 1975, 25513, 3615, 9957, 1975, 2407, 6225, 46309, 9957, 1975, 2407, 6055, 1211, 9307, 9957, 6055, 33753, 31767, 5172, 2288, 4032, 41185, 8592, 4032, 32277, 27884, 8978, 6024, 118, 28480], "avg_logprob": -0.13024401338133093, "compression_ratio": 1.5769230769230769, 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"end": 1109.44, "word": " هم", "probability": 0.76123046875}, {"start": 1109.44, "end": 1109.66, "word": " ال", "probability": 0.494873046875}, {"start": 1109.66, "end": 1110.3, "word": " nuclei", "probability": 0.7353515625}, {"start": 1110.3, "end": 1110.88, "word": " او", "probability": 0.752197265625}, {"start": 1110.88, "end": 1111.08, "word": " ال", "probability": 0.86474609375}, {"start": 1111.08, "end": 1111.74, "word": " neurons", "probability": 0.8984375}, {"start": 1111.74, "end": 1112.92, "word": " الموجودين", "probability": 0.9527587890625}, {"start": 1112.92, "end": 1113.06, "word": " في", "probability": 0.94189453125}, {"start": 1113.06, "end": 1113.2, "word": " ال", "probability": 0.88525390625}, {"start": 1113.2, "end": 1113.92, "word": " brainstem", "probability": 0.75634765625}, {"start": 1113.92, "end": 1114.2, "word": " او", "probability": 0.934814453125}, {"start": 1114.2, "end": 1114.3, "word": " ال", "probability": 0.79833984375}, {"start": 1114.3, "end": 1114.64, "word": " spinal", "probability": 0.97119140625}, {"start": 1114.64, "end": 1115.12, "word": " cord", "probability": 0.93896484375}, {"start": 1115.12, "end": 1117.24, "word": " يعني", "probability": 0.859130859375}], "temperature": 1.0}, {"id": 47, "seek": 113967, "start": 1118.39, "end": 1139.67, "text": "النوكليا السابعة العصب الثالث السابع تاسع عشر او النوكلياي الموجودين في ال lateral horns من T1 ل L2 sympathetic nervous system او من S2 S3 S4 Parasympathetic nervous system هذي بنسميهم first neuron طب منهم ال second neuron؟", "tokens": [6027, 1863, 2407, 4117, 20292, 995, 21136, 16758, 27884, 18863, 9381, 3555, 6024, 104, 6027, 12984, 21136, 16758, 3615, 6055, 32277, 3615, 6225, 46309, 1975, 2407, 28239, 2407, 4117, 20292, 47302, 9673, 29245, 23328, 9957, 8978, 2423, 25128, 2569, 3695, 9154, 314, 16, 5296, 441, 17, 36032, 6296, 1185, 1975, 2407, 9154, 318, 17, 318, 18, 318, 19, 3457, 5871, 2455, 998, 3532, 6296, 1185, 8032, 8848, 1829, 44945, 38251, 1829, 16095, 700, 34090, 23032, 3555, 9154, 16095, 2423, 1150, 34090, 22807], "avg_logprob": -0.30214609798178615, "compression_ratio": 1.5369458128078817, "no_speech_prob": 0.0, "words": [{"start": 1118.39, "end": 1118.91, "word": "النوكليا", "probability": 0.7347005208333334}, {"start": 1118.91, "end": 1119.17, "word": " السابعة", "probability": 0.6705729166666666}, {"start": 1119.17, "end": 1119.47, "word": " العصب", "probability": 0.9002278645833334}, {"start": 1119.47, "end": 1120.11, "word": " الثالث", "probability": 0.9151611328125}, {"start": 1120.11, "end": 1121.11, "word": " السابع", "probability": 0.9049479166666666}, {"start": 1121.11, "end": 1121.59, "word": " تاسع", "probability": 0.83447265625}, {"start": 1121.59, "end": 1122.01, "word": " عشر", "probability": 0.731201171875}, {"start": 1122.01, "end": 1122.81, "word": " او", "probability": 0.60894775390625}, {"start": 1122.81, "end": 1124.53, "word": " النوكلياي", "probability": 0.710205078125}, {"start": 1124.53, "end": 1124.97, "word": " الموجودين", "probability": 0.89892578125}, {"start": 1124.97, "end": 1125.05, "word": " في", "probability": 0.70068359375}, {"start": 1125.05, "end": 1125.11, "word": " ال", "probability": 0.70068359375}, {"start": 1125.11, "end": 1125.37, "word": " lateral", "probability": 0.2237548828125}, {"start": 1125.37, "end": 1125.87, "word": " horns", "probability": 0.4876708984375}, {"start": 1125.87, "end": 1126.67, "word": " من", "probability": 0.93359375}, {"start": 1126.67, "end": 1127.37, "word": " T1", "probability": 0.733642578125}, {"start": 1127.37, "end": 1127.53, "word": " ل", "probability": 0.93798828125}, {"start": 1127.53, "end": 1128.01, "word": " L2", "probability": 0.688720703125}, {"start": 1128.01, "end": 1128.51, "word": " sympathetic", "probability": 0.529296875}, {"start": 1128.51, "end": 1128.93, "word": " nervous", "probability": 0.86181640625}, {"start": 1128.93, "end": 1129.39, "word": " system", "probability": 0.9482421875}, {"start": 1129.39, "end": 1129.83, "word": " او", "probability": 0.8876953125}, {"start": 1129.83, "end": 1130.53, "word": " من", "probability": 0.896484375}, {"start": 1130.53, "end": 1131.25, "word": " S2", "probability": 0.97314453125}, {"start": 1131.25, "end": 1132.17, "word": " S3", "probability": 0.823486328125}, {"start": 1132.17, "end": 1133.05, "word": " S4", "probability": 0.987548828125}, {"start": 1133.05, "end": 1134.47, "word": " Parasympathetic", "probability": 0.874658203125}, {"start": 1134.47, "end": 1134.73, "word": " nervous", "probability": 0.93896484375}, {"start": 1134.73, "end": 1134.99, "word": " system", "probability": 0.9501953125}, {"start": 1134.99, "end": 1135.47, "word": " هذي", "probability": 0.4661458333333333}, {"start": 1135.47, "end": 1135.91, "word": " بنسميهم", "probability": 0.81365966796875}, {"start": 1135.91, "end": 1136.47, "word": " first", "probability": 0.411865234375}, {"start": 1136.47, "end": 1136.95, "word": " neuron", "probability": 0.5576171875}, {"start": 1136.95, "end": 1138.05, "word": " طب", "probability": 0.634521484375}, {"start": 1138.05, "end": 1138.29, "word": " منهم", "probability": 0.7353515625}, {"start": 1138.29, "end": 1138.41, "word": " ال", "probability": 0.67431640625}, {"start": 1138.41, "end": 1138.65, "word": " second", "probability": 0.87158203125}, {"start": 1138.65, "end": 1139.67, "word": " neuron؟", "probability": 0.908203125}], "temperature": 1.0}, {"id": 48, "seek": 116892, "start": 1140.12, "end": 1168.92, "text": "اما sympathetic ganglia او parasympathetic ganglia هذه تعتبر second neuron نتكلم على ايش first neuron ناخد مثال", "tokens": [995, 15042, 36032, 10145, 14218, 1975, 2407, 971, 5871, 2455, 998, 3532, 10145, 14218, 29538, 6055, 34268, 26890, 1150, 34090, 8717, 2655, 4117, 19528, 15844, 1975, 1829, 8592, 700, 34090, 8717, 47283, 3215, 50113, 6027], "avg_logprob": -0.3426649214492904, "compression_ratio": 1.2016806722689075, "no_speech_prob": 0.0, "words": [{"start": 1140.12, "end": 1140.66, "word": "اما", "probability": 0.5509033203125}, {"start": 1140.66, "end": 1141.48, "word": " sympathetic", "probability": 0.8671875}, {"start": 1141.48, "end": 1142.22, "word": " ganglia", "probability": 0.89404296875}, {"start": 1142.22, "end": 1143.42, "word": " او", "probability": 0.874267578125}, {"start": 1143.42, "end": 1144.62, "word": " parasympathetic", "probability": 0.84873046875}, {"start": 1144.62, "end": 1145.18, "word": " ganglia", "probability": 0.9560546875}, {"start": 1145.18, "end": 1145.82, "word": " هذه", "probability": 0.252197265625}, {"start": 1145.82, "end": 1146.34, "word": " تعتبر", "probability": 0.9384765625}, {"start": 1146.34, "end": 1147.54, "word": " second", "probability": 0.6630859375}, {"start": 1147.54, "end": 1148.18, "word": " neuron", "probability": 0.65234375}, {"start": 1148.18, "end": 1151.68, "word": " نتكلم", "probability": 0.7421875}, {"start": 1151.68, "end": 1151.96, "word": " على", "probability": 0.53759765625}, {"start": 1151.96, "end": 1152.46, "word": " ايش", "probability": 0.7394205729166666}, {"start": 1152.46, "end": 1153.96, "word": " first", "probability": 0.1693115234375}, {"start": 1153.96, "end": 1154.52, "word": " neuron", "probability": 0.96044921875}, {"start": 1154.52, "end": 1168.46, "word": " ناخد", "probability": 0.9031575520833334}, {"start": 1168.46, "end": 1168.92, "word": " مثال", "probability": 0.739990234375}], "temperature": 1.0}, {"id": 49, "seek": 119159, "start": 1170.52, "end": 1191.6, "text": "ناخد العصب التاسع Glossopharyngeal nerve ناخد العصب ايش؟ التاسع العصب التاسع له first neuron اسمه inferior", "tokens": [1863, 47283, 3215, 18863, 9381, 3555, 16712, 32277, 3615, 5209, 772, 5317, 39008, 432, 304, 16355, 8717, 47283, 3215, 18863, 9381, 3555, 1975, 1829, 8592, 22807, 16712, 32277, 3615, 18863, 9381, 3555, 16712, 32277, 3615, 46740, 700, 34090, 24525, 2304, 3224, 24249], "avg_logprob": -0.24236919297728426, "compression_ratio": 1.4811320754716981, "no_speech_prob": 0.0, "words": [{"start": 1170.52, "end": 1170.9, "word": "ناخد", "probability": 0.7726236979166666}, {"start": 1170.9, "end": 1171.34, "word": " العصب", "probability": 0.9928385416666666}, {"start": 1171.34, "end": 1171.98, "word": " التاسع", "probability": 0.7596028645833334}, {"start": 1171.98, "end": 1172.9, "word": " Glossopharyngeal", "probability": 0.7276814778645834}, {"start": 1172.9, "end": 1173.18, "word": " nerve", "probability": 0.92333984375}, {"start": 1173.18, "end": 1174.44, "word": " ناخد", "probability": 0.8473307291666666}, {"start": 1174.44, "end": 1174.8, "word": " العصب", "probability": 0.9894205729166666}, {"start": 1174.8, "end": 1175.5, "word": " ايش؟", "probability": 0.68255615234375}, {"start": 1175.5, "end": 1176.22, "word": " التاسع", "probability": 0.9694010416666666}, {"start": 1176.22, "end": 1178.1, "word": " العصب", "probability": 0.9752604166666666}, {"start": 1178.1, "end": 1178.78, "word": " التاسع", "probability": 0.9951171875}, {"start": 1178.78, "end": 1179.98, "word": " له", "probability": 0.3212890625}, {"start": 1179.98, "end": 1181.8, "word": " first", "probability": 0.74365234375}, {"start": 1181.8, "end": 1182.5, "word": " neuron", "probability": 0.78759765625}, {"start": 1182.5, "end": 1189.84, "word": " اسمه", "probability": 0.8197428385416666}, {"start": 1189.84, "end": 1191.6, "word": " inferior", "probability": 0.81982421875}], "temperature": 1.0}, {"id": 50, "seek": 122201, "start": 1192.67, "end": 1222.01, "text": "سليفري نوكلياس وين موجودة Located in Medulla Oblongata يعني في ال brainstem في ال brainstem تمام هذه اسمها first neuron first neuron بدا تسلم second neuron", "tokens": [3794, 20292, 5172, 16572, 8717, 2407, 4117, 20292, 32277, 4032, 9957, 3714, 29245, 23328, 3660, 12859, 770, 294, 3982, 26891, 4075, 13025, 3274, 37495, 22653, 8978, 2423, 3567, 1099, 8978, 2423, 3567, 1099, 46811, 10943, 29538, 24525, 2304, 11296, 700, 34090, 700, 34090, 4724, 28259, 6055, 3794, 19528, 1150, 34090], "avg_logprob": -0.34712009570177865, "compression_ratio": 1.368421052631579, "no_speech_prob": 0.0, "words": [{"start": 1192.67, "end": 1193.61, "word": "سليفري", "probability": 0.5155029296875}, {"start": 1193.61, "end": 1194.41, "word": " نوكلياس", "probability": 0.789404296875}, {"start": 1194.41, "end": 1194.65, "word": " وين", "probability": 0.549041748046875}, {"start": 1194.65, "end": 1195.81, "word": " موجودة", "probability": 0.9720458984375}, {"start": 1195.81, "end": 1197.33, "word": " Located", "probability": 0.619140625}, {"start": 1197.33, "end": 1199.21, "word": " in", "probability": 0.80126953125}, {"start": 1199.21, "end": 1200.53, "word": " Medulla", "probability": 0.6204833984375}, {"start": 1200.53, "end": 1201.31, "word": " Oblongata", "probability": 0.7736002604166666}, {"start": 1201.31, "end": 1201.53, "word": " يعني", "probability": 0.77734375}, {"start": 1201.53, "end": 1201.65, "word": " في", "probability": 0.8740234375}, {"start": 1201.65, "end": 1201.71, "word": " ال", "probability": 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"end": 1231.5, "word": " عبارة", "probability": 0.99609375}, {"start": 1231.5, "end": 1232.38, "word": " عن", "probability": 0.9951171875}, {"start": 1232.38, "end": 1233.7, "word": " اوتك", "probability": 0.5684407552083334}, {"start": 1233.7, "end": 1235.58, "word": " جانجلية", "probability": 0.706982421875}, {"start": 1235.58, "end": 1236.22, "word": " اوتك", "probability": 0.90087890625}, {"start": 1236.22, "end": 1237.42, "word": " جانجلية", "probability": 0.9802734375}, {"start": 1237.42, "end": 1237.78, "word": " هذه", "probability": 0.3994140625}, {"start": 1237.78, "end": 1238.84, "word": " تعتبر", "probability": 0.9420572916666666}, {"start": 1238.84, "end": 1240.1, "word": " بارا", "probability": 0.8372395833333334}, {"start": 1240.1, "end": 1241.08, "word": " سيمباتاتك", "probability": 0.63232421875}, {"start": 1241.08, "end": 1242.78, "word": " جانجلية", "probability": 0.96142578125}, {"start": 1242.78, "end": 1243.36, "word": " بارا", "probability": 0.9176432291666666}, 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"end": 1281.39, "text": "نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون نيرون", "tokens": [1863, 13546, 11536, 8717, 13546, 11536, 8717, 13546, 11536, 8717, 13546, 11536, 8717, 13546, 11536, 8717, 13546, 11536, 8717, 13546, 11536, 8717, 13546, 11536, 8717, 13546, 11536, 8717, 13546, 11536, 8717, 13546, 11536, 8717, 13546, 11536, 8717, 13546, 11536, 8717, 13546, 11536, 8717, 13546, 11536, 8717, 13546, 11536, 8717, 13546, 11536, 8717, 13546, 11536, 8717, 13546, 11536, 8717, 13546, 11536, 8717, 13546, 11536, 8717, 13546, 11536, 8717, 13546, 11536, 8717, 13546, 11536, 8717, 13546, 11536, 8717, 13546, 11536, 8717, 13546, 11536, 8717, 13546, 11536, 8717, 13546, 11536, 8717, 13546, 11536, 8717, 13546, 11536, 8717, 13546, 11536, 8717, 13546, 11536, 8717, 13546, 11536, 8717, 13546, 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"end": 1270.65, "word": " نيرون", "probability": 0.96533203125}, {"start": 1270.65, "end": 1275.91, "word": " نيرون", "probability": 0.96728515625}, {"start": 1275.91, "end": 1276.99, "word": " نيرون", "probability": 0.96923828125}, {"start": 1276.99, "end": 1277.01, "word": " نيرون", "probability": 0.970703125}, {"start": 1277.01, "end": 1277.01, "word": " نيرون", "probability": 0.9728190104166666}, {"start": 1277.01, "end": 1277.01, "word": " نيرون", "probability": 0.974609375}, {"start": 1277.01, "end": 1277.01, "word": " نيرون", "probability": 0.9755859375}, {"start": 1277.01, "end": 1277.01, "word": " نيرون", "probability": 0.9765625}, {"start": 1277.01, "end": 1277.01, "word": " نيرون", "probability": 0.9775390625}, {"start": 1277.01, "end": 1277.01, "word": " نيرون", "probability": 0.97802734375}, {"start": 1277.01, "end": 1277.09, "word": " نيرون", "probability": 0.978515625}, {"start": 1277.09, "end": 1277.09, "word": " نيرون", "probability": 0.9788411458333334}, {"start": 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شيء", "probability": 0.57666015625}, {"start": 1596.81, "end": 1597.29, "word": " اسمه", "probability": 0.95703125}, {"start": 1597.29, "end": 1597.77, "word": " sympathetic", "probability": 0.96484375}, {"start": 1597.77, "end": 1598.43, "word": " chain", "probability": 0.81982421875}], "temperature": 1.0}, {"id": 66, "seek": 162803, "start": 1599.83, "end": 1628.03, "text": "وكل جنجلية الجنجلة بتكون في أبضومنا الـ cavity بعيدة شوية اسمها celiac superior mesenteric و inferior mesenteric مش مطلوب منكوا الأسماء أهم شي تعرفوا أن فيه سمبتات الجنجلية و في بارا سمبتات الجنجلية البارا سمبتات الجنجلية بتكون قريبة لل walls of the viscera قريبة لوين؟ لل organ في ملاحظة انه", "tokens": [2407, 28820, 10874, 1863, 7435, 1211, 10632, 25724, 1863, 7435, 37977, 39894, 30544, 8978, 5551, 3555, 11242, 20498, 8315, 2423, 39184, 32425, 45030, 25708, 3660, 13412, 2407, 10632, 24525, 2304, 11296, 9277, 13921, 13028, 3813, 14278, 299, 4032, 13596, 1973, 3813, 14278, 299, 37893, 3714, 9566, 1211, 37746, 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ايه white بوست جانجليونيك فايبر نان ميلينيتد او ايه gray طيب الجانجلية sympathetic جريبة على ال vertebral column في الحالة هذه بري جانجليونيك فايبر بتاعة sympathetic nervous system short", "tokens": [3555, 16572, 10874, 7649, 7435, 20292, 11536, 1829, 4117, 6156, 995, 1829, 3555, 2288, 8032, 7649, 3714, 26895, 9957, 36081, 3215, 1975, 2407, 2418, 1975, 2407, 1975, 1829, 3224, 2418, 4724, 2407, 14851, 10874, 7649, 7435, 20292, 11536, 1829, 4117, 6156, 995, 1829, 3555, 2288, 8717, 7649, 3714, 26895, 9957, 36081, 3215, 1975, 2407, 1975, 1829, 3224, 10855, 23032, 1829, 3555, 25724, 7649, 7435, 1211, 10632, 36032, 10874, 16572, 49401, 15844, 2423, 16167, 32728, 7738, 8978, 21542, 6027, 3660, 29538, 4724, 16572, 10874, 7649, 7435, 20292, 11536, 1829, 4117, 6156, 995, 1829, 3555, 2288, 39894, 995, 27884, 36032, 6296, 1185, 2099], "avg_logprob": -0.3115808946244857, "compression_ratio": 1.9405405405405405, "no_speech_prob": 0.0, "words": [{"start": 1629.11, "end": 1629.61, "word": "بري", 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preganglionic long postganglionic رح تكون short من ناحية الميالين شفت", "tokens": [2288, 5016, 7251, 30544, 4724, 23557, 36032, 659, 19619, 75, 313, 299, 938, 20193, 5016, 19913, 14407, 41850, 12602, 38251, 2655, 16095, 938, 16070, 2183, 19619, 75, 313, 299, 12602, 5016, 6055, 30544, 2099, 7251, 3555, 4587, 7578, 9122, 2304, 7649, 3714, 25720, 659, 19619, 75, 313, 299, 25252, 36032, 12602, 5016, 6055, 30544, 2099, 2183, 19619, 75, 313, 299, 938, 18863, 4117, 3794, 20328, 5016, 1829, 5016, 4724, 23557, 36032, 4724, 23557, 36032, 659, 19619, 75, 313, 299, 938, 2183, 19619, 75, 313, 299, 12602, 5016, 6055, 30544, 2099, 9154, 8717, 39319, 10632, 9673, 1829, 6027, 9957, 13412, 5172, 2655], "avg_logprob": -0.2068014735100316, "compression_ratio": 2.0483870967741935, "no_speech_prob": 0.0, "words": [{"start": 1666.78, "end": 1667.06, "word": "رح", "probability": 0.474456787109375}, {"start": 1667.06, "end": 1667.46, "word": " يكون", "probability": 0.966552734375}, {"start": 1667.46, "end": 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" يعني", "probability": 0.954833984375}, {"start": 1965.68, "end": 1966.3, "word": " أبيض", "probability": 0.8124186197916666}, {"start": 1966.3, "end": 1967.0, "word": " لأنه", "probability": 0.8209635416666666}, {"start": 1967.0, "end": 1967.52, "word": " بيكون", "probability": 0.9803059895833334}, {"start": 1967.52, "end": 1968.9, "word": " myelinated", "probability": 0.8307291666666666}, {"start": 1968.9, "end": 1969.88, "word": " myelinated", "probability": 0.8133138020833334}, {"start": 1969.88, "end": 1970.72, "word": " مكسو", "probability": 0.78692626953125}, {"start": 1970.72, "end": 1971.42, "word": " بمادة", "probability": 0.85406494140625}, {"start": 1971.42, "end": 1972.0, "word": " الميلين", "probability": 0.6410319010416666}, {"start": 1972.0, "end": 1973.2, "word": " لكن", "probability": 0.896484375}], "temperature": 1.0}, {"id": 82, "seek": 198544, "start": 1974.56, "end": 1985.44, "text": "الـ Second Order Neuron موجود في الـ Peripheral Nervous System إما سينباتات الجنجلية و إما بارا سينباتات الجنجلية والـ Axon تبعها", "tokens": [6027, 39184, 5736, 16321, 1734, 374, 266, 3714, 29245, 23328, 8978, 2423, 39184, 3026, 21240, 304, 426, 1978, 563, 8910, 11933, 15042, 8608, 9957, 3555, 9307, 9307, 25724, 1863, 7435, 1211, 10632, 4032, 11933, 15042, 4724, 9640, 995, 8608, 9957, 3555, 9307, 9307, 25724, 1863, 7435, 1211, 10632, 16070, 39184, 20118, 266, 6055, 3555, 3615, 11296], "avg_logprob": -0.28207236842105265, "compression_ratio": 1.4264705882352942, "no_speech_prob": 0.0, "words": [{"start": 1974.56, "end": 1975.04, "word": "الـ", "probability": 0.751220703125}, {"start": 1975.04, "end": 1975.34, "word": " Second", "probability": 0.318603515625}, {"start": 1975.34, "end": 1975.88, "word": " Order", "probability": 0.6044921875}, {"start": 1975.88, "end": 1976.42, "word": " Neuron", "probability": 0.7338053385416666}, {"start": 1976.42, "end": 1977.26, "word": " موجود", "probability": 0.9405924479166666}, {"start": 1977.26, "end": 1977.4, "word": " في", "probability": 0.88525390625}, {"start": 1977.4, "end": 1977.5, "word": " الـ", "probability": 0.722900390625}, {"start": 1977.5, "end": 1977.94, "word": " Peripheral", "probability": 0.8902994791666666}, {"start": 1977.94, "end": 1978.28, "word": " Nervous", "probability": 0.7469889322916666}, {"start": 1978.28, "end": 1978.66, "word": " System", "probability": 0.95751953125}, {"start": 1978.66, "end": 1979.16, "word": " إما", "probability": 0.680908203125}, {"start": 1979.16, "end": 1980.62, "word": " سينباتات", "probability": 0.600634765625}, {"start": 1980.62, "end": 1981.2, "word": " الجنجلية", "probability": 0.70146484375}, {"start": 1981.2, "end": 1981.4, "word": " و", "probability": 0.71142578125}, {"start": 1981.4, "end": 1981.82, "word": " إما", "probability": 0.798095703125}, {"start": 1981.82, "end": 1982.8, "word": " بارا", "probability": 0.8924153645833334}, {"start": 1982.8, "end": 1983.34, "word": " سينباتات", "probability": 0.98076171875}, {"start": 1983.34, "end": 1983.92, "word": " الجنجلية", "probability": 0.987109375}, {"start": 1983.92, "end": 1984.6, "word": " والـ", "probability": 0.407958984375}, {"start": 1984.6, "end": 1984.92, "word": " Axon", "probability": 0.787353515625}, {"start": 1984.92, "end": 1985.44, "word": " تبعها", "probability": 0.890625}], "temperature": 1.0}, {"id": 83, "seek": 201300, "start": 1986.14, "end": 2013.0, "text": "بيكون postganglionic ما بعد الجانجليون هو راح سلم مين؟ هو راح سلمنا ال target organ وبيكون grey ولا white؟ بيكون grey nerve، grey ramus وبيكون nonmyelinated عشان nonmyelinated مافيش فيه myelin sheath، بنسميه إيه؟ grey نتكلم الآن على parasympathetic nervous system", "tokens": [3555, 1829, 30544, 2183, 19619, 75, 313, 299, 19446, 39182, 25724, 7649, 7435, 20292, 11536, 31439, 12602, 39319, 8608, 19528, 3714, 9957, 22807, 31439, 12602, 39319, 8608, 19528, 8315, 2423, 3779, 1798, 4032, 21292, 30544, 16578, 49429, 2418, 22807, 4724, 1829, 30544, 16578, 16355, 12399, 16578, 10211, 301, 4032, 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1996.48, "word": " بيكون", "probability": 0.791259765625}, {"start": 1996.48, "end": 1997.08, "word": " grey", "probability": 0.7353515625}, {"start": 1997.08, "end": 1998.22, "word": " nerve،", "probability": 0.5498046875}, {"start": 1998.22, "end": 1998.68, "word": " grey", "probability": 0.65576171875}, {"start": 1998.68, "end": 1999.74, "word": " ramus", "probability": 0.59521484375}, {"start": 1999.74, "end": 2000.8, "word": " وبيكون", "probability": 0.717529296875}, {"start": 2000.8, "end": 2002.14, "word": " nonmyelinated", "probability": 0.8182373046875}, {"start": 2002.14, "end": 2002.58, "word": " عشان", "probability": 0.8527018229166666}, {"start": 2002.58, "end": 2003.52, "word": " nonmyelinated", "probability": 0.8890380859375}, {"start": 2003.52, "end": 2004.1, "word": " مافيش", "probability": 0.7607421875}, {"start": 2004.1, "end": 2004.3, "word": " فيه", "probability": 0.753662109375}, {"start": 2004.3, "end": 2004.62, "word": " myelin", "probability": 0.757568359375}, {"start": 2004.62, "end": 2005.42, "word": " sheath،", "probability": 0.78564453125}, {"start": 2005.42, "end": 2005.98, "word": " بنسميه", "probability": 0.898681640625}, {"start": 2005.98, "end": 2006.24, "word": " إيه؟", "probability": 0.72845458984375}, {"start": 2006.24, "end": 2006.68, "word": " grey", "probability": 0.3974609375}, {"start": 2006.68, "end": 2010.1, "word": " نتكلم", "probability": 0.9532470703125}, {"start": 2010.1, "end": 2010.36, "word": " الآن", "probability": 0.766845703125}, {"start": 2010.36, "end": 2010.92, "word": " على", "probability": 0.77490234375}, {"start": 2010.92, "end": 2012.24, "word": " parasympathetic", "probability": 0.8712890625}, {"start": 2012.24, "end": 2012.58, "word": " nervous", "probability": 0.89404296875}, {"start": 2012.58, "end": 2013.0, "word": " system", "probability": 0.96337890625}], "temperature": 1.0}, {"id": 84, "seek": 202783, "start": 2014.77, "end": 2027.83, "text": "اتفاقنا البارا sympathetic nervous system اسمها craniosacral nervous system بتتكون من كام جزء من جزئين cranial part and sacral part", "tokens": [9307, 5172, 995, 4587, 8315, 29739, 9640, 995, 36032, 6296, 1185, 24525, 2304, 11296, 39685, 2717, 326, 2155, 6296, 1185, 39894, 2655, 30544, 9154, 9122, 10943, 10874, 11622, 38207, 9154, 10874, 11622, 19986, 9957, 39685, 831, 644, 293, 4899, 2155, 644], "avg_logprob": -0.33296129746096476, "compression_ratio": 1.3076923076923077, "no_speech_prob": 0.0, "words": [{"start": 2014.77, "end": 2015.17, "word": "اتفاقنا", "probability": 0.70068359375}, {"start": 2015.17, "end": 2016.09, "word": " البارا", "probability": 0.4142252604166667}, {"start": 2016.09, "end": 2016.25, "word": " sympathetic", "probability": 0.258056640625}, {"start": 2016.25, "end": 2016.79, "word": " nervous", "probability": 0.841796875}, {"start": 2016.79, "end": 2017.21, "word": " system", "probability": 0.9599609375}, {"start": 2017.21, "end": 2018.47, "word": " اسمها", "probability": 0.9031575520833334}, {"start": 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2129.73, "end": 2130.03, "word": " nerves", "probability": 0.95751953125}], "temperature": 1.0}, {"id": 89, "seek": 215937, "start": 2131.99, "end": 2159.37, "text": "الـ oculomotor nerve نطبقها نفس الـ oculomotor nerve هاي ال oculomotor nerve العصب ايش؟ الثالث العصب الثالث الو first order neuron الو ايش؟ first order neuron مين هو ال first order neuron؟ نوكلياس اسمها Edinger Westphal", "tokens": [6027, 39184, 277, 2444, 298, 310, 284, 16355, 8717, 9566, 3555, 4587, 11296, 8717, 36178, 2423, 39184, 277, 2444, 298, 310, 284, 16355, 8032, 47302, 2423, 277, 2444, 298, 310, 284, 16355, 18863, 9381, 3555, 1975, 1829, 8592, 22807, 6024, 104, 6027, 12984, 18863, 9381, 3555, 6024, 104, 6027, 12984, 2423, 2407, 700, 1668, 34090, 2423, 2407, 1975, 1829, 8592, 22807, 700, 1668, 34090, 3714, 9957, 31439, 2423, 700, 1668, 34090, 22807, 8717, 2407, 4117, 20292, 32277, 24525, 2304, 11296, 462, 3584, 260, 4055, 950, 304], "avg_logprob": -0.2552083408695528, "compression_ratio": 1.84375, 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nerve", "probability": 0.96533203125}, {"start": 2137.33, "end": 2137.71, "word": " العصب", "probability": 0.9830729166666666}, {"start": 2137.71, "end": 2139.19, "word": " ايش؟", "probability": 0.71990966796875}, {"start": 2139.19, "end": 2141.07, "word": " الثالث", "probability": 0.9041748046875}, {"start": 2141.07, "end": 2142.13, "word": " العصب", "probability": 0.9778645833333334}, {"start": 2142.13, "end": 2142.75, "word": " الثالث", "probability": 0.9771728515625}, {"start": 2142.75, "end": 2143.61, "word": " الو", "probability": 0.45391845703125}, {"start": 2143.61, "end": 2143.97, "word": " first", "probability": 0.578125}, {"start": 2143.97, "end": 2144.49, "word": " order", "probability": 0.89697265625}, {"start": 2144.49, "end": 2144.99, "word": " neuron", "probability": 0.91943359375}, {"start": 2144.99, "end": 2148.79, "word": " الو", "probability": 0.9287109375}, {"start": 2148.79, "end": 2149.65, "word": " ايش؟", "probability": 0.933837890625}, {"start": 2149.65, "end": 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"probability": 0.88232421875}, {"start": 2166.73, "end": 2166.95, "word": " يبقى", "probability": 0.949462890625}, {"start": 2166.95, "end": 2167.07, "word": " ال", "probability": 0.88134765625}, {"start": 2167.07, "end": 2167.51, "word": " first", "probability": 0.7646484375}, {"start": 2167.51, "end": 2168.01, "word": " order", "probability": 0.873046875}, {"start": 2168.01, "end": 2168.63, "word": " نيرون", "probability": 0.7368977864583334}, {"start": 2168.63, "end": 2169.15, "word": " a", "probability": 0.2464599609375}, {"start": 2169.15, "end": 2169.73, "word": " danger", "probability": 0.88623046875}, {"start": 2169.73, "end": 2170.71, "word": " ويسفل", "probability": 0.6689453125}, {"start": 2170.71, "end": 2171.35, "word": " نوكلياس", "probability": 0.92333984375}, {"start": 2171.35, "end": 2171.59, "word": " in", "probability": 0.43017578125}, {"start": 2171.59, "end": 2171.81, "word": " mid", "probability": 0.64599609375}, {"start": 2171.81, "end": 2172.19, "word": " 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"في", "probability": 0.740234375}, {"start": 2476.58, "end": 2476.88, "word": " الحالة", "probability": 0.8689778645833334}, {"start": 2476.88, "end": 2477.12, "word": " هذه", "probability": 0.873046875}, {"start": 2477.12, "end": 2477.28, "word": " من", "probability": 0.50634765625}, {"start": 2477.28, "end": 2477.92, "word": " اشتغل؟", "probability": 0.8794759114583334}, {"start": 2477.92, "end": 2478.42, "word": " اشتغل", "probability": 0.95283203125}, {"start": 2478.42, "end": 2478.9, "word": " عندنا", "probability": 0.647705078125}, {"start": 2478.9, "end": 2479.48, "word": " تيروجو", "probability": 0.5255279541015625}, {"start": 2479.48, "end": 2479.9, "word": " بلاتاين", "probability": 0.682275390625}, {"start": 2479.9, "end": 2480.56, "word": " جانجليون", "probability": 0.88095703125}, {"start": 2480.56, "end": 2481.08, "word": " اللي", "probability": 0.71435546875}, {"start": 2481.08, "end": 2481.48, "word": " غضبت", "probability": 0.70404052734375}, {"start": 2481.48, "end": 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"probability": 0.9532470703125}], "temperature": 1.0}, {"id": 102, "seek": 251464, "start": 2492.5, "end": 2514.64, "text": "glossopharyngeal nerve انا شرحته في مثال في بداية المحاضرة ال first order neuron inferior salivary nucleus موجودة في الميدالة أو بلانجاتا ال preganglionic fibers هو glossopharyngeal nerve second order neuron otic ganglion ال target organ بيغدو الbarotid gland انا شرحه في بداية المحاضرة", "tokens": [7191, 772, 5317, 39008, 432, 304, 16355, 1975, 8315, 13412, 2288, 33753, 3224, 8978, 50113, 6027, 8978, 4724, 28259, 10632, 9673, 5016, 46958, 25720, 2423, 700, 1668, 34090, 24249, 1845, 592, 822, 28055, 3714, 29245, 23328, 3660, 8978, 9673, 25708, 6027, 3660, 34051, 4724, 1211, 7649, 7435, 9307, 995, 2423, 659, 19619, 75, 313, 299, 25252, 31439, 1563, 772, 5317, 39008, 432, 304, 16355, 1150, 1668, 34090, 4337, 299, 10145, 75, 313, 2423, 3779, 1798, 4724, 1829, 17082, 3215, 2407, 2423, 5356, 310, 327, 43284, 1975, 8315, 13412, 2288, 5016, 3224, 8978, 4724, 28259, 10632, 9673, 5016, 46958, 25720], "avg_logprob": -0.2512499964237213, "compression_ratio": 1.6875, "no_speech_prob": 0.0, "words": [{"start": 2492.5, "end": 2493.42, "word": "glossopharyngeal", "probability": 0.7378743489583334}, {"start": 2493.42, "end": 2493.58, "word": " nerve", "probability": 0.90478515625}, {"start": 2493.58, "end": 2493.74, "word": " انا", "probability": 0.52105712890625}, {"start": 2493.74, "end": 2494.18, "word": " شرحته", "probability": 0.9365234375}, {"start": 2494.18, "end": 2494.94, "word": " في", "probability": 0.50146484375}, {"start": 2494.94, "end": 2496.82, "word": " مثال", "probability": 0.653076171875}, {"start": 2496.82, "end": 2497.12, "word": " في", "probability": 0.85888671875}, {"start": 2497.12, "end": 2497.38, "word": " بداية", "probability": 0.9326171875}, {"start": 2497.38, "end": 2497.98, "word": " المحاضرة", "probability": 0.9888916015625}, {"start": 2497.98, "end": 2498.58, "word": " ال", "probability": 0.80322265625}, {"start": 2498.58, "end": 2498.9, "word": " first", "probability": 0.62744140625}, {"start": 2498.9, "end": 2499.24, "word": " order", "probability": 0.82421875}, {"start": 2499.24, "end": 2499.68, "word": " neuron", "probability": 0.77099609375}, {"start": 2499.68, "end": 2500.68, "word": " inferior", "probability": 0.36181640625}, {"start": 2500.68, "end": 2501.32, "word": " salivary", "probability": 0.9676106770833334}, {"start": 2501.32, "end": 2501.74, "word": " nucleus", "probability": 0.97265625}, {"start": 2501.74, "end": 2502.14, "word": " موجودة", "probability": 0.9364013671875}, {"start": 2502.14, "end": 2502.2, "word": " في", "probability": 0.93701171875}, {"start": 2502.2, "end": 2502.58, "word": " الميدالة", "probability": 0.691650390625}, {"start": 2502.58, "end": 2502.66, "word": " أو", "probability": 0.68408203125}, {"start": 2502.66, "end": 2503.36, "word": " بلانجاتا", "probability": 0.7305908203125}, {"start": 2503.36, "end": 2503.9, "word": " ال", "probability": 0.904296875}, 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first order نيرون بيكون فى الميدالة أوبلانجات اسمه Enfero salivary nucleus بيعمل relay فى ال اوتيك جانجليون والاوتيك جانجليون بتعطينا postganglionic fibers لل target organ اللى هو parotid gland", "tokens": [3224, 1829, 43242, 7578, 1975, 2407, 31371, 4117, 1975, 2407, 31371, 4117, 10874, 7649, 7435, 20292, 11536, 44650, 7435, 3224, 7649, 8032, 7578, 5209, 772, 5317, 39008, 432, 304, 16355, 5209, 772, 5317, 39008, 432, 304, 16355, 7251, 34268, 26890, 659, 19619, 75, 313, 299, 4724, 1829, 7435, 1829, 8315, 9154, 2423, 700, 1668, 8717, 13546, 11536, 4724, 1829, 30544, 6156, 7578, 9673, 25708, 6027, 3660, 34051, 36150, 7649, 7435, 9307, 24525, 2304, 3224, 2193, 612, 78, 1845, 592, 822, 28055, 4724, 1829, 25957, 1211, 24214, 6156, 7578, 2423, 1975, 2407, 31371, 4117, 10874, 7649, 7435, 20292, 11536, 16070, 995, 2407, 31371, 4117, 10874, 7649, 7435, 20292, 11536, 39894, 3615, 9566, 1829, 8315, 2183, 19619, 75, 313, 299, 25252, 24976, 3779, 1798, 13672, 7578, 31439, 971, 310, 327, 43284], 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{"id": 104, "seek": 255427, "start": 2542.87, "end": 2554.27, "text": "النيرون الأول هو دورسل موتور نوكلياس of Vegas nerve. It is the most important parasympathetic nucleus in the body", "tokens": [6027, 1863, 13546, 11536, 2423, 10721, 12610, 31439, 11778, 13063, 3794, 1211, 3714, 35473, 13063, 8717, 2407, 4117, 20292, 32277, 295, 15841, 16355, 13, 467, 307, 264, 881, 1021, 971, 5871, 2455, 998, 3532, 28055, 294, 264, 1772], "avg_logprob": -0.43108975428801316, "compression_ratio": 1.1076923076923078, "no_speech_prob": 0.0, "words": [{"start": 2542.87, "end": 2543.71, "word": "النيرون", "probability": 0.53759765625}, {"start": 2543.71, "end": 2544.29, "word": " الأول", "probability": 0.5303548177083334}, {"start": 2544.29, "end": 2545.35, "word": " هو", "probability": 0.74853515625}, {"start": 2545.35, "end": 2546.57, "word": " دورسل", "probability": 0.7659912109375}, {"start": 2546.57, "end": 2547.19, "word": " موتور", "probability": 0.85595703125}, {"start": 2547.19, "end": 2547.81, "word": " نوكلياس", "probability": 0.837890625}, {"start": 2547.81, "end": 2548.05, "word": " of", "probability": 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2423, 430, 892, 9154, 5551, 3615, 23942, 2062, 6198, 259], "avg_logprob": -0.2237500007947286, "compression_ratio": 1.6745562130177514, "no_speech_prob": 0.0, "words": [{"start": 31.45, "end": 31.79, "word": "الـ", "probability": 0.669189453125}, {"start": 31.79, "end": 32.33, "word": " Pons", "probability": 0.67236328125}, {"start": 32.33, "end": 33.05, "word": " is", "probability": 0.08441162109375}, {"start": 33.05, "end": 33.27, "word": " the", "probability": 0.822265625}, {"start": 33.27, "end": 33.51, "word": " middle", "probability": 0.93896484375}, {"start": 33.51, "end": 34.29, "word": " part", "probability": 0.9384765625}, {"start": 34.29, "end": 35.15, "word": " of", "probability": 0.97802734375}, {"start": 35.15, "end": 35.77, "word": " the", "probability": 0.84716796875}, {"start": 35.77, "end": 36.03, "word": " brain", "probability": 0.94091796875}, {"start": 36.03, "end": 36.53, "word": " stem", "probability": 0.62060546875}, {"start": 36.53, "end": 36.97, "word": " 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0.89697265625}, {"start": 47.17, "end": 47.57, "word": " medulla", "probability": 0.907958984375}, {"start": 47.57, "end": 48.19, "word": " oblongata", "probability": 0.95751953125}, {"start": 48.19, "end": 48.59, "word": " below", "probability": 0.888671875}, {"start": 48.59, "end": 49.13, "word": " بيحدد", "probability": 0.6309814453125}, {"start": 49.13, "end": 49.23, "word": " ال", "probability": 0.71435546875}, {"start": 49.23, "end": 49.61, "word": " Pons", "probability": 0.81640625}, {"start": 49.61, "end": 49.79, "word": " من", "probability": 0.99560546875}, {"start": 49.79, "end": 50.19, "word": " تحت", "probability": 0.94287109375}, {"start": 50.19, "end": 51.41, "word": " اللي", "probability": 0.774658203125}, {"start": 51.41, "end": 51.53, "word": " هو", "probability": 0.9345703125}, {"start": 51.53, "end": 51.87, "word": " medulla", "probability": 0.58056640625}, {"start": 51.87, "end": 52.53, "word": " oblongata", "probability": 0.9684244791666666}, {"start": 52.53, "end": 53.43, "word": " to", "probability": 0.7236328125}, {"start": 53.43, "end": 54.35, "word": " midbrain", "probability": 0.86669921875}, {"start": 54.35, "end": 54.81, "word": " above", "probability": 0.92822265625}, {"start": 54.81, "end": 55.69, "word": " وبيحدد", "probability": 0.8221435546875}, {"start": 55.69, "end": 55.85, "word": " ال", "probability": 0.84033203125}, {"start": 55.85, "end": 56.63, "word": " Pons", "probability": 0.950927734375}, {"start": 56.63, "end": 56.97, "word": " من", "probability": 0.9921875}, {"start": 56.97, "end": 57.37, "word": " أعلى", "probability": 0.9239908854166666}, {"start": 57.37, "end": 58.45, "word": " midbrain", "probability": 0.79150390625}], "temperature": 1.0}, {"id": 3, "seek": 8576, "start": 59.5, "end": 85.76, "text": "and located in front of the cerebellum and fourth ventricle وموجود أمام ال fourth ventricle و ال cerebellum هيا انها واضح Pons هذا ال Pons جسر ما بين Medulla و Oblongata", "tokens": [474, 6870, 294, 1868, 295, 264, 11643, 7100, 449, 293, 6409, 6931, 1341, 306, 4032, 2304, 29245, 23328, 5551, 2304, 10943, 2423, 6409, 6931, 1341, 306, 4032, 2423, 11643, 7100, 449, 8032, 25528, 16472, 11296, 4032, 46958, 5016, 430, 892, 23758, 2423, 430, 892, 10874, 3794, 2288, 19446, 49374, 3982, 26891, 4032, 4075, 13025, 3274], "avg_logprob": -0.30217632917421205, "compression_ratio": 1.3571428571428572, "no_speech_prob": 0.0, "words": [{"start": 59.5, "end": 59.98, "word": "and", "probability": 0.043365478515625}, {"start": 59.98, "end": 60.58, "word": " located", "probability": 0.8974609375}, {"start": 60.58, "end": 61.02, "word": " in", "probability": 0.9482421875}, {"start": 61.02, "end": 61.66, "word": " front", "probability": 0.93603515625}, {"start": 61.66, "end": 62.22, "word": " of", "probability": 0.98291015625}, {"start": 62.22, "end": 62.66, "word": " the", "probability": 0.82666015625}, {"start": 62.66, "end": 63.92, "word": " cerebellum", "probability": 0.966796875}, {"start": 63.92, "end": 64.6, "word": " and", "probability": 0.89013671875}, {"start": 64.6, "end": 65.64, "word": " fourth", "probability": 0.751953125}, {"start": 65.64, "end": 66.4, "word": " ventricle", "probability": 0.9620768229166666}, {"start": 66.4, "end": 67.2, "word": " وموجود", "probability": 0.82244873046875}, {"start": 67.2, "end": 67.92, "word": " أمام", "probability": 0.9283854166666666}, {"start": 67.92, "end": 68.82, "word": " ال", "probability": 0.7451171875}, {"start": 68.82, "end": 69.44, "word": " fourth", "probability": 0.62841796875}, {"start": 69.44, "end": 70.44, "word": " ventricle", "probability": 0.9405924479166666}, {"start": 70.44, "end": 70.72, "word": " و", "probability": 0.697265625}, {"start": 70.72, "end": 71.36, "word": " ال", "probability": 0.52294921875}, {"start": 71.36, "end": 72.5, "word": " cerebellum", "probability": 0.8186848958333334}, {"start": 72.5, "end": 73.58, "word": " هيا", "probability": 0.440185546875}, {"start": 73.58, "end": 74.02, "word": " انها", "probability": 0.48583984375}, {"start": 74.02, "end": 75.24, "word": " واضح", "probability": 0.9833984375}, {"start": 75.24, "end": 77.62, "word": " Pons", "probability": 0.42327880859375}, {"start": 77.62, "end": 81.48, "word": " هذا", "probability": 0.77490234375}, {"start": 81.48, "end": 81.64, "word": " ال", "probability": 0.87548828125}, {"start": 81.64, "end": 82.02, "word": " Pons", "probability": 0.841552734375}, {"start": 82.02, "end": 83.28, "word": " جسر", "probability": 0.9820963541666666}, {"start": 83.28, "end": 83.5, "word": " ما", "probability": 0.94482421875}, {"start": 83.5, "end": 83.88, "word": " بين", "probability": 0.99365234375}, {"start": 83.88, "end": 85.06, "word": " Medulla", "probability": 0.664794921875}, {"start": 85.06, "end": 85.14, "word": " و", "probability": 0.919921875}, {"start": 85.14, "end": 85.76, "word": " Oblongata", "probability": 0.734619140625}], "temperature": 1.0}, {"id": 4, "seek": 11617, "start": 89.57, "end": 116.17, "text": "و midbrain بيحدوا من أعلى midbrain من أسفل ميضلق بلنجاته من الخلف fourth ventricle و cerebellum fourth ventricle and cerebellum هذا ال locations و ال extensions بتاعة pons external features of the pons لما نتكلم عن ال external features of the pons", "tokens": [2407, 2062, 6198, 259, 4724, 1829, 24401, 14407, 9154, 5551, 3615, 23942, 2062, 6198, 259, 9154, 5551, 3794, 5172, 1211, 3714, 1829, 11242, 1211, 4587, 4724, 1211, 1863, 7435, 9307, 3224, 9154, 33962, 46538, 6409, 6931, 1341, 306, 4032, 11643, 7100, 449, 6409, 6931, 1341, 306, 293, 11643, 7100, 449, 23758, 2423, 9253, 4032, 2423, 25129, 39894, 995, 27884, 280, 892, 8320, 4122, 295, 264, 280, 892, 5296, 15042, 8717, 2655, 4117, 19528, 18871, 2423, 8320, 4122, 295, 264, 280, 892], "avg_logprob": -0.26448171894724776, "compression_ratio": 1.6542553191489362, "no_speech_prob": 0.0, "words": [{"start": 89.57, "end": 89.99, "word": "و", "probability": 0.62255859375}, {"start": 89.99, "end": 91.37, "word": " midbrain", "probability": 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{"start": 99.49, "end": 100.01, "word": " و", "probability": 0.86962890625}, {"start": 100.01, "end": 100.95, "word": " cerebellum", "probability": 0.8810221354166666}, {"start": 100.95, "end": 101.47, "word": " fourth", "probability": 0.646484375}, {"start": 101.47, "end": 102.03, "word": " ventricle", "probability": 0.9695638020833334}, {"start": 102.03, "end": 102.45, "word": " and", "probability": 0.7138671875}, {"start": 102.45, "end": 103.55, "word": " cerebellum", "probability": 0.9396158854166666}, {"start": 103.55, "end": 103.93, "word": " هذا", "probability": 0.423583984375}, {"start": 103.93, "end": 104.05, "word": " ال", "probability": 0.89892578125}, {"start": 104.05, "end": 104.55, "word": " locations", "probability": 0.7490234375}, {"start": 104.55, "end": 105.35, "word": " و", "probability": 0.59521484375}, {"start": 105.35, "end": 105.45, "word": " ال", "probability": 0.75927734375}, {"start": 105.45, "end": 106.05, "word": " extensions", "probability": 0.95556640625}, {"start": 106.05, "end": 107.19, "word": " بتاعة", "probability": 0.9357096354166666}, {"start": 107.19, "end": 108.67, "word": " pons", "probability": 0.549468994140625}, {"start": 108.67, "end": 112.23, "word": " external", "probability": 0.62841796875}, {"start": 112.23, "end": 113.11, "word": " features", "probability": 0.77880859375}, {"start": 113.11, "end": 113.33, "word": " of", "probability": 0.9638671875}, {"start": 113.33, "end": 113.49, "word": " the", "probability": 0.880859375}, {"start": 113.49, "end": 113.83, "word": " pons", "probability": 0.737060546875}, {"start": 113.83, "end": 114.15, "word": " لما", "probability": 0.9130859375}, {"start": 114.15, "end": 114.45, "word": " نتكلم", "probability": 0.8712158203125}, {"start": 114.45, "end": 114.63, "word": " عن", "probability": 0.80859375}, {"start": 114.63, "end": 114.71, "word": " ال", "probability": 0.72314453125}, {"start": 114.71, "end": 115.09, "word": " external", "probability": 0.775390625}, {"start": 115.09, "end": 115.53, "word": " features", "probability": 0.8037109375}, {"start": 115.53, "end": 115.69, "word": " of", "probability": 0.95263671875}, {"start": 115.69, "end": 115.85, "word": " the", "probability": 0.9150390625}, {"start": 115.85, "end": 116.17, "word": " pons", "probability": 0.885498046875}], "temperature": 1.0}, {"id": 5, "seek": 14472, "start": 117.53, "end": 144.73, "text": "the anterior cervix of the pons موجود في ال anterior cervix Basilary groove في ال Basilary groove بيمر اللي هو Basilar artery اتذكرولي اتنين اتنين اربعة اربعة هدول ال cranial nerves الأول اتنين بيكونوا في ال cerebral hemisphere اللي بعدهم بيكونوا في ال middle brain والاربعة اللي بعدهم في ال pons", "tokens": [3322, 22272, 39543, 970, 295, 264, 280, 892, 3714, 29245, 23328, 8978, 2423, 22272, 39543, 970, 5859, 2202, 88, 26910, 8978, 2423, 5859, 2202, 88, 26910, 4724, 1829, 29973, 13672, 1829, 31439, 5859, 2202, 38520, 1975, 2655, 8848, 37983, 12610, 1829, 1975, 2655, 1863, 9957, 1975, 2655, 1863, 9957, 1975, 25513, 27884, 1975, 25513, 27884, 8032, 3215, 12610, 2423, 39685, 831, 23078, 16247, 12610, 1975, 2655, 1863, 9957, 4724, 1829, 30544, 14407, 8978, 2423, 43561, 38453, 13672, 1829, 39182, 16095, 4724, 1829, 30544, 14407, 8978, 2423, 2808, 3567, 16070, 9640, 3555, 27884, 13672, 1829, 39182, 16095, 8978, 2423, 280, 892], "avg_logprob": -0.2167388649270086, "compression_ratio": 1.9761904761904763, "no_speech_prob": 0.0, "words": [{"start": 117.53, "end": 118.27, "word": "the", "probability": 0.31005859375}, {"start": 118.27, "end": 118.97, "word": " anterior", "probability": 0.92919921875}, {"start": 118.97, "end": 119.77, "word": " cervix", "probability": 0.615966796875}, {"start": 119.77, "end": 119.97, "word": " of", "probability": 0.9560546875}, {"start": 119.97, "end": 120.21, "word": " the", "probability": 0.86181640625}, {"start": 120.21, "end": 120.61, "word": " pons", "probability": 0.72265625}, {"start": 120.61, "end": 122.73, "word": " موجود", "probability": 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0.78076171875}, {"start": 128.53, "end": 128.93, "word": " هو", "probability": 0.96484375}, {"start": 128.93, "end": 131.91, "word": " Basilar", "probability": 0.94091796875}, {"start": 131.91, "end": 132.51, "word": " artery", "probability": 0.82861328125}, {"start": 132.51, "end": 133.73, "word": " اتذكرولي", "probability": 0.7882080078125}, {"start": 133.73, "end": 134.23, "word": " اتنين", "probability": 0.8377685546875}, {"start": 134.23, "end": 134.83, "word": " اتنين", "probability": 0.96923828125}, {"start": 134.83, "end": 135.57, "word": " اربعة", "probability": 0.892578125}, {"start": 135.57, "end": 136.29, "word": " اربعة", "probability": 0.9288736979166666}, {"start": 136.29, "end": 137.07, "word": " هدول", "probability": 0.7892252604166666}, {"start": 137.07, "end": 137.19, "word": " ال", "probability": 0.76611328125}, {"start": 137.19, "end": 137.49, "word": " cranial", "probability": 0.953369140625}, {"start": 137.49, "end": 137.79, "word": " nerves", "probability": 0.9208984375}, {"start": 137.79, "end": 138.11, "word": " الأول", "probability": 0.771484375}, {"start": 138.11, "end": 138.47, "word": " اتنين", "probability": 0.983642578125}, {"start": 138.47, "end": 138.79, "word": " بيكونوا", "probability": 0.92626953125}, {"start": 138.79, "end": 138.91, "word": " في", "probability": 0.9580078125}, {"start": 138.91, "end": 138.95, "word": " ال", "probability": 0.556640625}, {"start": 138.95, "end": 139.23, "word": " cerebral", "probability": 0.607421875}, {"start": 139.23, "end": 139.85, "word": " hemisphere", "probability": 0.483154296875}, {"start": 139.85, "end": 140.59, "word": " اللي", "probability": 0.96484375}, {"start": 140.59, "end": 140.97, "word": " بعدهم", "probability": 0.9375}, {"start": 140.97, "end": 141.39, "word": " بيكونوا", "probability": 0.957763671875}, {"start": 141.39, "end": 141.53, "word": " في", "probability": 0.96484375}, {"start": 141.53, "end": 141.63, "word": " ال", "probability": 0.89892578125}, {"start": 141.63, "end": 141.81, "word": " middle", "probability": 0.473876953125}, {"start": 141.81, "end": 142.27, "word": " brain", "probability": 0.86767578125}, {"start": 142.27, "end": 143.35, "word": " والاربعة", "probability": 0.8560791015625}, {"start": 143.35, "end": 143.49, "word": " اللي", "probability": 0.98974609375}, {"start": 143.49, "end": 143.87, "word": " بعدهم", "probability": 0.965087890625}, {"start": 143.87, "end": 144.05, "word": " في", "probability": 0.958984375}, {"start": 144.05, "end": 144.21, "word": " ال", "probability": 0.88818359375}, {"start": 144.21, "end": 144.73, "word": " pons", "probability": 0.846923828125}], "temperature": 1.0}, {"id": 6, "seek": 17404, "start": 145.36, "end": 174.04, "text": "واللي بعدهم يظل أبلانجاتة في بعض ال exceptions بنتكلم في كل عصب لوحده يجان في انا Basilary groove بيمور فيه Basilary artery ومين اللي بيكونوا موجودين في ال Pons بيخرجوا من ال Pons العصب الراب الخامس التراجي من ال nerve abdocent nerve العصب السادس facial nerve العصب السابع و vestibulocochlear nerve العصب الثامن هدول أربعة بيخرجوا من وين من ال Pons", "tokens": [2407, 6027, 20292, 39182, 16095, 7251, 19913, 1211, 5551, 36150, 7649, 7435, 9307, 3660, 8978, 45030, 11242, 2423, 22847, 4724, 29399, 4117, 19528, 8978, 28242, 6225, 9381, 3555, 45164, 24401, 3224, 7251, 7435, 7649, 8978, 1975, 8315, 5859, 2202, 88, 26910, 4724, 32640, 13063, 8978, 3224, 5859, 2202, 88, 38520, 4032, 2304, 9957, 13672, 1829, 4724, 1829, 30544, 14407, 3714, 29245, 23328, 9957, 8978, 2423, 430, 892, 4724, 1829, 34740, 7435, 14407, 9154, 2423, 430, 892, 18863, 9381, 3555, 34892, 16758, 33962, 10943, 3794, 16712, 2288, 26108, 1829, 9154, 2423, 16355, 410, 67, 905, 317, 16355, 18863, 9381, 3555, 21136, 18513, 3794, 15642, 16355, 18863, 9381, 3555, 21136, 16758, 3615, 4032, 15814, 897, 425, 905, 8997, 5797, 16355, 18863, 9381, 3555, 6024, 104, 10943, 1863, 8032, 3215, 12610, 5551, 25513, 27884, 4724, 1829, 34740, 7435, 14407, 9154, 4032, 9957, 9154, 2423, 430, 892], "avg_logprob": 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"end": 156.28, "word": " اللي", "probability": 0.95703125}, {"start": 156.28, "end": 156.82, "word": " بيكونوا", "probability": 0.962158203125}, {"start": 156.82, "end": 157.34, "word": " موجودين", "probability": 0.957275390625}, {"start": 157.34, "end": 157.5, "word": " في", "probability": 0.9296875}, {"start": 157.5, "end": 157.62, "word": " ال", "probability": 0.84423828125}, {"start": 157.62, "end": 157.82, "word": " Pons", "probability": 0.5323486328125}, {"start": 157.82, "end": 158.18, "word": " بيخرجوا", "probability": 0.89541015625}, {"start": 158.18, "end": 158.26, "word": " من", "probability": 0.994140625}, {"start": 158.26, "end": 158.36, "word": " ال", "probability": 0.830078125}, {"start": 158.36, "end": 158.68, "word": " Pons", "probability": 0.92333984375}, {"start": 158.68, "end": 159.66, "word": " العصب", "probability": 0.8758138020833334}, {"start": 159.66, "end": 160.14, "word": " الراب", "probability": 0.96337890625}, {"start": 160.14, "end": 160.8, "word": " الخامس", "probability": 0.916015625}, {"start": 160.8, "end": 161.2, "word": " التراجي", "probability": 0.66357421875}, {"start": 161.2, "end": 161.4, "word": " من", "probability": 0.861328125}, {"start": 161.4, "end": 161.56, "word": " ال", "probability": 0.93603515625}, {"start": 161.56, "end": 161.9, "word": " nerve", "probability": 0.8359375}, {"start": 161.9, "end": 163.42, "word": " abdocent", "probability": 0.508270263671875}, {"start": 163.42, "end": 163.72, "word": " nerve", "probability": 0.9423828125}, {"start": 163.72, "end": 164.12, "word": " العصب", "probability": 0.95458984375}, {"start": 164.12, "end": 164.86, "word": " السادس", "probability": 0.9519856770833334}, {"start": 164.86, "end": 165.88, "word": " facial", "probability": 0.83251953125}, {"start": 165.88, "end": 166.34, "word": " nerve", "probability": 0.95458984375}, {"start": 166.34, "end": 166.7, "word": " العصب", "probability": 0.99267578125}, {"start": 166.7, "end": 167.72, "word": " السابع", "probability": 0.9781901041666666}, {"start": 167.72, "end": 168.22, "word": " و", "probability": 0.95068359375}, {"start": 168.22, "end": 169.9, "word": " vestibulocochlear", "probability": 0.8656819661458334}, {"start": 169.9, "end": 170.26, "word": " nerve", "probability": 0.97509765625}, {"start": 170.26, "end": 170.68, "word": " العصب", "probability": 0.9939778645833334}, {"start": 170.68, "end": 171.1, "word": " الثامن", "probability": 0.9483642578125}, {"start": 171.1, "end": 171.34, "word": " هدول", "probability": 0.8308919270833334}, {"start": 171.34, "end": 171.86, "word": " أربعة", "probability": 0.8064778645833334}, {"start": 171.86, "end": 172.72, "word": " بيخرجوا", "probability": 0.95546875}, {"start": 172.72, "end": 172.84, "word": " من", "probability": 0.9912109375}, {"start": 172.84, "end": 173.16, "word": " وين", "probability": 0.862060546875}, {"start": 173.16, "end": 173.46, "word": " من", "probability": 0.6708984375}, {"start": 173.46, "end": 173.74, "word": " ال", "probability": 0.91552734375}, {"start": 173.74, "end": 174.04, "word": " Pons", "probability": 0.8603515625}], "temperature": 1.0}, {"id": 7, "seek": 19398, "start": 175.9, "end": 193.98, "text": "هي واضحة عندي anterior service و anterolateral service of the pons هنا بيكون فيها basilary groove هم بيمر فيها basilar artery بخرج من ال anterolateral service اللي هو الترايجي من ال nerve", "tokens": [3224, 1829, 4032, 46958, 5016, 3660, 18871, 16254, 22272, 2643, 4032, 364, 391, 401, 17274, 2643, 295, 264, 280, 892, 34105, 4724, 1829, 30544, 8978, 11296, 987, 2202, 88, 26910, 8032, 2304, 4724, 1829, 29973, 8978, 11296, 987, 2202, 38520, 4724, 34740, 7435, 9154, 2423, 364, 391, 401, 17274, 2643, 13672, 1829, 31439, 16712, 23557, 1829, 7435, 1829, 9154, 2423, 16355], "avg_logprob": -0.35887097975900095, "compression_ratio": 1.54375, "no_speech_prob": 0.0, "words": [{"start": 175.9, "end": 176.12, "word": "هي", "probability": 0.57537841796875}, {"start": 176.12, "end": 176.46, "word": " واضحة", "probability": 0.709625244140625}, {"start": 176.46, "end": 176.72, "word": " عندي", "probability": 0.781982421875}, {"start": 176.72, "end": 177.68, "word": " anterior", "probability": 0.388427734375}, {"start": 177.68, "end": 179.4, "word": " service", "probability": 0.437744140625}, {"start": 179.4, "end": 179.58, "word": " و", "probability": 0.8515625}, {"start": 179.58, "end": 180.28, "word": " anterolateral", "probability": 0.74560546875}, {"start": 180.28, "end": 180.78, "word": " service", "probability": 0.90283203125}, {"start": 180.78, "end": 181.12, "word": " of", "probability": 0.9111328125}, {"start": 181.12, "end": 181.62, "word": " the", "probability": 0.8427734375}, {"start": 181.62, "end": 182.52, "word": " pons", "probability": 0.6981201171875}, {"start": 182.52, "end": 183.1, "word": " هنا", "probability": 0.412353515625}, {"start": 183.1, "end": 183.46, "word": " بيكون", "probability": 0.9510091145833334}, {"start": 183.46, "end": 183.88, "word": " فيها", "probability": 0.766357421875}, {"start": 183.88, "end": 185.12, "word": " basilary", "probability": 0.6036783854166666}, {"start": 185.12, "end": 185.62, "word": " groove", "probability": 0.9296875}, {"start": 185.62, "end": 186.12, "word": " هم", "probability": 0.2847900390625}, {"start": 186.12, "end": 186.46, "word": " بيمر", "probability": 0.6844075520833334}, {"start": 186.46, "end": 186.8, "word": " فيها", "probability": 0.909912109375}, {"start": 186.8, "end": 187.34, "word": " basilar", "probability": 0.813232421875}, {"start": 187.34, "end": 187.94, "word": " artery", "probability": 0.9580078125}, {"start": 187.94, "end": 189.34, "word": " بخرج", "probability": 0.9358723958333334}, {"start": 189.34, "end": 189.88, "word": " من", "probability": 0.9921875}, {"start": 189.88, "end": 190.06, "word": " ال", "probability": 0.96044921875}, {"start": 190.06, "end": 191.1, "word": " anterolateral", "probability": 0.77642822265625}, {"start": 191.1, "end": 191.76, "word": " service", "probability": 0.8984375}, {"start": 191.76, "end": 192.54, "word": " اللي", "probability": 0.900146484375}, {"start": 192.54, "end": 192.76, "word": " هو", "probability": 0.97705078125}, {"start": 192.76, "end": 193.36, "word": " الترايجي", "probability": 0.6879638671875}, {"start": 193.36, "end": 193.48, "word": " من", "probability": 0.931640625}, {"start": 193.48, "end": 193.62, "word": " ال", "probability": 0.85009765625}, {"start": 193.62, "end": 193.98, "word": " nerve", "probability": 0.83837890625}], "temperature": 1.0}, {"id": 8, "seek": 21776, "start": 195.12, "end": 217.76, "text": "الـ trigeminal nerve له large root sensory and small root motor، abducent nerve بين الـ pons والميدال اللي قبلين جاتها، facial nerve له two root large root motor and small root sensory and parasympathetic و vestibulocochlear nerve العصب إيش", "tokens": [6027, 39184, 35386, 443, 2071, 16355, 46740, 2416, 5593, 27233, 293, 1359, 5593, 5932, 12399, 410, 8117, 317, 16355, 49374, 2423, 39184, 280, 892, 16070, 2304, 25708, 6027, 13672, 1829, 12174, 36150, 9957, 10874, 9307, 11296, 12399, 15642, 16355, 46740, 732, 5593, 2416, 5593, 5932, 293, 1359, 5593, 27233, 293, 971, 5871, 2455, 998, 3532, 4032, 15814, 897, 425, 905, 8997, 5797, 16355, 18863, 9381, 3555, 11933, 1829, 8592], "avg_logprob": -0.3265624919107982, "compression_ratio": 1.5628415300546448, "no_speech_prob": 0.0, "words": [{"start": 195.12, "end": 195.94, "word": "الـ", "probability": 0.38079833984375}, {"start": 195.94, "end": 196.38, "word": " trigeminal", "probability": 0.7660319010416666}, {"start": 196.38, "end": 196.64, "word": " nerve", "probability": 0.9013671875}, {"start": 196.64, "end": 196.92, "word": " له", "probability": 0.252685546875}, {"start": 196.92, "end": 197.42, "word": " large", "probability": 0.459716796875}, {"start": 197.42, "end": 197.78, "word": " root", "probability": 0.72705078125}, {"start": 197.78, "end": 198.26, "word": " sensory", "probability": 0.81689453125}, {"start": 198.26, "end": 198.62, "word": " and", "probability": 0.92333984375}, {"start": 198.62, "end": 199.08, "word": " small", "probability": 0.94140625}, {"start": 199.08, "end": 199.48, "word": " root", "probability": 0.90478515625}, {"start": 199.48, "end": 201.28, "word": " motor،", "probability": 0.74072265625}, {"start": 201.28, "end": 202.06, "word": " abducent", "probability": 0.5609537760416666}, {"start": 202.06, "end": 202.6, "word": " nerve", "probability": 0.89013671875}, {"start": 202.6, "end": 203.32, "word": " بين", "probability": 0.77978515625}, {"start": 203.32, "end": 203.92, "word": " الـ", "probability": 0.4581298828125}, {"start": 203.92, "end": 204.2, "word": " pons", "probability": 0.6309814453125}, {"start": 204.2, "end": 204.64, "word": " والميدال", "probability": 0.724365234375}, {"start": 204.64, "end": 204.74, "word": " اللي", "probability": 0.748291015625}, {"start": 204.74, "end": 205.0, "word": " قبلين", "probability": 0.9228515625}, {"start": 205.0, "end": 205.88, "word": " جاتها،", "probability": 0.72918701171875}, {"start": 205.88, "end": 206.18, "word": " facial", "probability": 0.86181640625}, {"start": 206.18, "end": 206.76, "word": " nerve", "probability": 0.927734375}, {"start": 206.76, "end": 207.12, "word": " له", "probability": 0.91064453125}, {"start": 207.12, "end": 207.38, "word": " two", "probability": 0.91064453125}, {"start": 207.38, "end": 207.8, "word": " root", "probability": 0.537109375}, {"start": 207.8, "end": 208.52, "word": " large", "probability": 0.455078125}, {"start": 208.52, "end": 209.0, "word": " root", "probability": 0.9384765625}, {"start": 209.0, "end": 209.48, "word": " motor", "probability": 0.9873046875}, {"start": 209.48, "end": 209.9, "word": " and", "probability": 0.96044921875}, {"start": 209.9, "end": 210.28, "word": " small", "probability": 0.93505859375}, {"start": 210.28, "end": 210.84, "word": " root", "probability": 0.91748046875}, {"start": 210.84, "end": 211.74, "word": " sensory", "probability": 0.8994140625}, {"start": 211.74, "end": 212.22, "word": " and", "probability": 0.9521484375}, {"start": 212.22, "end": 213.34, "word": " parasympathetic", "probability": 0.93388671875}, {"start": 213.34, "end": 214.3, "word": " و", "probability": 0.666015625}, {"start": 214.3, "end": 216.04, "word": " vestibulocochlear", "probability": 0.851806640625}, {"start": 216.04, "end": 216.8, "word": " nerve", "probability": 0.9267578125}, {"start": 216.8, "end": 217.38, "word": " العصب", "probability": 0.9046223958333334}, {"start": 217.38, "end": 217.76, "word": " إيش", "probability": 0.7269694010416666}], "temperature": 1.0}, {"id": 9, "seek": 23517, "start": 218.65, "end": 235.17, "text": "العصب الثامن هذا هو ال external features of the anterolateral surface of the palms وعضة عندي هنا trigeminal nerve", "tokens": [6027, 3615, 9381, 3555, 6024, 104, 10943, 1863, 23758, 31439, 2423, 8320, 4122, 295, 264, 364, 391, 401, 17274, 3753, 295, 264, 30819, 4032, 3615, 11242, 3660, 18871, 16254, 34105, 1376, 26322, 2071, 16355], "avg_logprob": -0.37901786395481657, "compression_ratio": 1.1639344262295082, "no_speech_prob": 0.0, "words": [{"start": 218.65, "end": 219.23, "word": "العصب", "probability": 0.80413818359375}, {"start": 219.23, "end": 219.77, "word": " الثامن", "probability": 0.9356689453125}, {"start": 219.77, "end": 220.41, "word": " هذا", "probability": 0.73681640625}, {"start": 220.41, "end": 220.71, "word": " هو", "probability": 0.94287109375}, {"start": 220.71, "end": 221.41, "word": " ال", "probability": 0.81005859375}, {"start": 221.41, "end": 221.95, "word": " external", "probability": 0.451171875}, {"start": 221.95, "end": 222.73, "word": " features", "probability": 0.6787109375}, {"start": 222.73, "end": 223.45, "word": " of", "probability": 0.96533203125}, {"start": 223.45, "end": 224.69, "word": " the", "probability": 0.90283203125}, {"start": 224.69, "end": 226.31, "word": " anterolateral", "probability": 0.730712890625}, {"start": 226.31, "end": 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posterior service of the pons لما نتكلم عن posterior service of the pons في عندنا median longitudinal sulcus", "tokens": [455, 4121, 2071, 16355, 11, 30632, 1013, 16355, 293, 15814, 897, 1040, 48599, 5797, 16355, 37037, 24192, 13672, 1829, 39896, 5859, 2202, 26910, 1975, 2407, 44945, 38251, 1829, 11296, 26910, 295, 264, 987, 2202, 38520, 5296, 33456, 3224, 4724, 1829, 29973, 8978, 11296, 5859, 2202, 38520, 6024, 48506, 1975, 2655, 4117, 19528, 15844, 33529, 2643, 295, 264, 280, 892, 33529, 2643, 295, 264, 280, 892, 5296, 15042, 8717, 2655, 4117, 19528, 18871, 33529, 2643, 295, 264, 280, 892, 8978, 43242, 8315, 26779, 48250, 17603, 1149], "avg_logprob": -0.330668595987697, "compression_ratio": 1.7302325581395348, "no_speech_prob": 0.0, "words": [{"start": 235.93, "end": 236.53, "word": "abdominal", "probability": 0.65380859375}, {"start": 236.53, "end": 237.01, "word": " nerve,", "probability": 0.92236328125}, {"start": 237.63, "end": 238.13, "word": " fascial", "probability": 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1.0}, {"id": 11, "seek": 29239, "start": 267.3, "end": 292.4, "text": "موجود في ال middle line في a medial imminance في facial calculus وفي vestibular trigon vestibular trigon facial calculus بتعطينا facial nucleus هاي ال posterior service of the pons هنا في أنها تكون posterior median فشار", "tokens": [2304, 29245, 23328, 8978, 2423, 2808, 1622, 8978, 257, 1205, 831, 40728, 719, 8978, 15642, 2104, 36002, 4032, 41185, 15814, 897, 1040, 35386, 266, 15814, 897, 1040, 35386, 266, 15642, 2104, 36002, 39894, 3615, 9566, 1829, 8315, 15642, 28055, 8032, 47302, 2423, 33529, 2643, 295, 264, 280, 892, 34105, 8978, 14739, 11296, 6055, 30544, 33529, 26779, 6156, 8592, 9640], "avg_logprob": -0.32031250397364297, "compression_ratio": 1.543859649122807, "no_speech_prob": 0.0, "words": [{"start": 267.3, "end": 267.98, "word": "موجود", "probability": 0.8916015625}, {"start": 267.98, "end": 268.26, "word": " في", "probability": 0.931640625}, {"start": 268.26, "end": 268.38, "word": " ال", "probability": 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{"start": 279.3, "end": 280.0, "word": " vestibular", "probability": 0.7173665364583334}, {"start": 280.0, "end": 280.6, "word": " trigon", "probability": 0.745849609375}, {"start": 280.6, "end": 281.16, "word": " facial", "probability": 0.240234375}, {"start": 281.16, "end": 281.56, "word": " calculus", "probability": 0.7119140625}, {"start": 281.56, "end": 281.96, "word": " بتعطينا", "probability": 0.90478515625}, {"start": 281.96, "end": 282.3, "word": " facial", "probability": 0.828125}, {"start": 282.3, "end": 282.86, "word": " nucleus", "probability": 0.9228515625}, {"start": 282.86, "end": 284.6, "word": " هاي", "probability": 0.5960693359375}, {"start": 284.6, "end": 284.72, "word": " ال", "probability": 0.8203125}, {"start": 284.72, "end": 285.16, "word": " posterior", "probability": 0.81201171875}, {"start": 285.16, "end": 286.36, "word": " service", "probability": 0.461669921875}, {"start": 286.36, "end": 286.88, "word": " of", "probability": 0.9716796875}, {"start": 286.88, 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a trigon اللي داخلها بيكون موجود ال vestibular nuclei of the vestibular nerve", "tokens": [41185, 13412, 6027, 4117, 6027, 1829, 4117, 12610, 32277, 8978, 2423, 1975, 2304, 9957, 7649, 3794, 4032, 41185, 13672, 1829, 31439, 6055, 24793, 37977, 15814, 897, 1040, 35386, 266, 5296, 33456, 3224, 8978, 10874, 11622, 38207, 8978, 3714, 25708, 6027, 3660, 34051, 4724, 1211, 7649, 7435, 9307, 995, 4032, 10874, 11622, 38207, 8978, 2423, 280, 892, 9122, 2304, 7649, 11933, 11242, 31845, 1829, 24976, 4137, 8978, 2423, 2183, 260, 1973, 3753, 295, 264, 280, 892, 8978, 15814, 897, 1040, 257, 35386, 266, 13672, 1829, 11778, 47283, 1211, 11296, 4724, 1829, 30544, 3714, 29245, 23328, 2423, 15814, 897, 1040, 49919, 295, 264, 15814, 897, 1040, 16355], "avg_logprob": -0.4142099197180766, "compression_ratio": 1.778301886792453, "no_speech_prob": 0.0, "words": [{"start": 322.9, "end": 323.18, "word": "في", "probability": 0.6787109375}, {"start": 323.18, "end": 325.46, "word": " شالكاليكولاس", "probability": 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trigeminal nerve كمان موجودة في الـ Pons في نوكلياس motor لـ Abdominal nerve موجودة في الـ Pons", "tokens": [7435, 11622, 38207, 3714, 29245, 23328, 8978, 3982, 26891, 4075, 13025, 3274, 49610, 11622, 38207, 3714, 29245, 23328, 9154, 383, 16, 5296, 383, 19, 9469, 295, 28022, 12250, 8032, 8848, 1829, 40182, 28022, 28055, 295, 35386, 443, 2071, 16355, 337, 1822, 293, 4292, 20069, 8978, 5932, 28055, 295, 35386, 443, 2071, 16355, 9122, 2304, 7649, 3714, 29245, 23328, 3660, 8978, 2423, 39184, 430, 892, 8978, 8717, 2407, 4117, 20292, 32277, 5932, 5296, 39184, 2847, 4121, 2071, 16355, 3714, 29245, 23328, 3660, 8978, 2423, 39184, 430, 892], "avg_logprob": -0.2884339203779725, "compression_ratio": 1.6585365853658536, "no_speech_prob": 0.0, "words": [{"start": 453.8, "end": 454.04, "word": "جزء", "probability": 0.8810221354166666}, {"start": 454.04, "end": 454.38, "word": " موجود", "probability": 0.8792317708333334}, {"start": 454.38, "end": 454.5, "word": " في", "probability": 0.90771484375}, 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"word": " ال", "probability": 0.5888671875}, {"start": 1049.88, "end": 1050.12, "word": " two", "probability": 0.701171875}, {"start": 1050.12, "end": 1050.5, "word": " cerebral", "probability": 0.86767578125}, {"start": 1050.5, "end": 1051.16, "word": " bronches", "probability": 0.229248046875}, {"start": 1051.16, "end": 1051.72, "word": " يعتبروا", "probability": 0.916748046875}, {"start": 1051.72, "end": 1051.96, "word": " a", "probability": 0.2242431640625}, {"start": 1051.96, "end": 1053.86, "word": " large", "probability": 0.8154296875}, {"start": 1053.86, "end": 1055.22, "word": " part", "probability": 0.96142578125}, {"start": 1055.22, "end": 1055.84, "word": " of", "probability": 0.96435546875}, {"start": 1055.84, "end": 1056.98, "word": " midbrain", "probability": 0.785888671875}, {"start": 1056.98, "end": 1061.52, "word": " اول", "probability": 0.5830078125}, {"start": 1061.52, "end": 1061.66, "word": " شي", "probability": 0.53857421875}, {"start": 1061.66, "end": 1062.36, 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"word": " ventricle،", "probability": 0.77752685546875}, {"start": 1083.05, "end": 1087.25, "word": " ventricle", "probability": 0.787841796875}, {"start": 1087.25, "end": 1087.39, "word": " مع", "probability": 0.77490234375}, {"start": 1087.39, "end": 1088.41, "word": " مين؟", "probability": 0.9454752604166666}, {"start": 1088.41, "end": 1088.89, "word": " مع", "probability": 0.94482421875}, {"start": 1088.89, "end": 1089.19, "word": " ال", "probability": 0.875}, {"start": 1089.19, "end": 1089.59, "word": " fourth", "probability": 0.76904296875}, {"start": 1089.59, "end": 1090.27, "word": " ventricle،", "probability": 0.9481201171875}, {"start": 1090.27, "end": 1090.53, "word": " مع", "probability": 0.97412109375}, {"start": 1090.53, "end": 1091.65, "word": " fourth", "probability": 0.7802734375}], "temperature": 1.0}, {"id": 46, "seek": 111445, "start": 1093.45, "end": 1114.45, "text": "يقول هذه القناة اللي هي cellulose aqueduct تربط ما بين ال third ventricle مع ايه ال fourth ventricle و ايه بتعمل في ال midbrain تقسم ال midbrain لجزئين قسمت ال midbrain لجزئين اللي هو الجزء الخلفي اسمه", "tokens": [1829, 39648, 29538, 25062, 8315, 3660, 13672, 1829, 39896, 2815, 425, 541, 2373, 292, 11130, 6055, 25513, 9566, 19446, 49374, 2423, 2636, 6931, 1341, 306, 20449, 1975, 1829, 3224, 2423, 6409, 6931, 1341, 306, 4032, 1975, 1829, 3224, 39894, 25957, 1211, 8978, 2423, 2062, 6198, 259, 6055, 4587, 38251, 2423, 2062, 6198, 259, 5296, 7435, 11622, 19986, 9957, 12174, 38251, 2655, 2423, 2062, 6198, 259, 5296, 7435, 11622, 19986, 9957, 13672, 1829, 31439, 25724, 11622, 38207, 33962, 1211, 41185, 24525, 2304, 3224], "avg_logprob": -0.21121988418590593, "compression_ratio": 1.6818181818181819, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 1093.45, "end": 1094.37, "word": "يقول", "probability": 0.33544921875}, {"start": 1094.37, "end": 1094.53, "word": " هذه", "probability": 0.5986328125}, {"start": 1094.53, "end": 1095.09, "word": " القناة", "probability": 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midbrain", "probability": 0.9187825520833334}, {"start": 1106.69, "end": 1108.17, "word": " لجزئين", "probability": 0.92431640625}, {"start": 1108.17, "end": 1110.01, "word": " قسمت", "probability": 0.8102213541666666}, {"start": 1110.01, "end": 1110.09, "word": " ال", "probability": 0.89453125}, {"start": 1110.09, "end": 1110.53, "word": " midbrain", "probability": 0.94482421875}, {"start": 1110.53, "end": 1111.13, "word": " لجزئين", "probability": 0.9876953125}, {"start": 1111.13, "end": 1112.03, "word": " اللي", "probability": 0.964599609375}, {"start": 1112.03, "end": 1112.17, "word": " هو", "probability": 0.9833984375}, {"start": 1112.17, "end": 1112.57, "word": " الجزء", "probability": 0.98681640625}, {"start": 1112.57, "end": 1113.19, "word": " الخلفي", "probability": 0.83837890625}, {"start": 1113.19, "end": 1114.45, "word": " اسمه", "probability": 0.9733072916666666}], "temperature": 1.0}, {"id": 47, "seek": 114277, "start": 1116.33, "end": 1142.77, "text": "وهذا cerebral peduncles ..cerebral peduncles يبقى جسمتنا ال a من إبريلا جزئين تكتم اللي هو posterior وcerebral peduncles اللي هم ايه anterior هذا هو ال silvius aqueduct تمام شوف على transverse cut ناخده", "tokens": [2407, 3224, 15730, 43561, 5670, 409, 6520, 4386, 15312, 32728, 5670, 409, 6520, 7251, 3555, 4587, 7578, 10874, 38251, 2655, 8315, 2423, 257, 9154, 11933, 3555, 16572, 15040, 10874, 11622, 19986, 9957, 6055, 4117, 39237, 13672, 1829, 31439, 33529, 4032, 15312, 32728, 5670, 409, 6520, 13672, 1829, 8032, 2304, 1975, 1829, 3224, 22272, 23758, 31439, 2423, 3425, 85, 4872, 2373, 292, 11130, 46811, 10943, 13412, 38688, 15844, 1145, 4308, 1723, 8717, 47283, 3215, 3224], "avg_logprob": -0.34104167381922407, "compression_ratio": 1.5251396648044693, "no_speech_prob": 0.0, "words": [{"start": 1116.33, "end": 1116.79, "word": "وهذا", "probability": 0.6251627604166666}, {"start": 1116.79, "end": 1117.27, "word": " cerebral", "probability": 0.2320556640625}, {"start": 1117.27, "end": 1118.77, "word": " 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--> 00:00:31,130 +part of central nervous system the spinal cord is + +6 +00:00:31,930 --> 00:00:35,730 +extracranial part of the central nervous system + +7 +00:00:35,730 --> 00:00:41,810 +enclosed inside the vertebral column ويكون موجود + +8 +00:00:41,810 --> 00:00:45,910 +داخل ال spinal canal في ال vertebral column + +9 +00:00:45,910 --> 00:00:51,950 +anatomy of the spinal cord نتكلم عن anatomy of + +10 +00:00:51,950 --> 00:00:57,710 +spinal cord shape من ناحية ال shape compressed + +11 +00:00:58,770 --> 00:01:02,450 +cylindrical column يعتبر compressed cylindrical + +12 +00:01:02,450 --> 00:01:07,350 +column number of neurons in human spinal cord + +13 +00:01:07,350 --> 00:01:10,990 +بيكون حوالي ثلاثة عشر مليون و خمسمية ألف neurons + +14 +00:01:10,990 --> 00:01:17,630 +length of human spinal cord طول spinal cord متوسط + +15 +00:01:17,630 --> 00:01:20,390 +عند ال male خمسة و أربعين سنتي وعند ال female + +16 +00:01:20,390 --> 00:01:25,600 +ثلاثة و أربعين سنتي weightof human spinal cord + +17 +00:01:25,600 --> 00:01:30,000 +وزن ال spinal cord خمسة و ثلاثون جرام شوفوا خمسة و + +18 +00:01:30,000 --> 00:01:34,540 +ثلاثون جرام وزن من ثمانين كيلو جرام متوسط أو سبعين + +19 +00:01:34,540 --> 00:01:38,160 +كيلو جرام متوسط لراجل أو الستين كيلو جرام okay + +20 +00:01:38,160 --> 00:01:42,380 +خمسة و ثلاثون جرام وزن spinal cord لكن لو ماكان + +21 +00:01:42,380 --> 00:01:46,560 +spinal cord كان احنا أو الناس عندهم شلل الرباعي + +22 +00:01:46,560 --> 00:01:50,580 +شلل الرباعي خمسة و ثلاثون جرام بتحكم في حركة + +23 +00:01:50,580 --> 00:01:55,980 +الإنسان كلهاdiameter about one centimeter يعني + +24 +00:01:55,980 --> 00:01:59,640 +حوالي واحد سنتيمتر تقريبا ال diameter بتاعه location + +25 +00:01:59,640 --> 00:02:04,080 +it is located in the spinal canal أو vertebral + +26 +00:02:04,080 --> 00:02:07,700 +canal بيكون موجود ال spinal cord و beginning + +27 +00:02:07,700 --> 00:02:10,260 +beginning بتاعة ال spinal cord من وين بيبدأ ال + +28 +00:02:10,260 --> 00:02:13,840 +spinal cord بيبدأ من level of foramen magnum أو + +29 +00:02:13,840 --> 00:02:18,440 +يعتبر هو continuation of medulla oblongata يعتبر + +30 +00:02:18,440 --> 00:02:20,960 +continuation of medulla oblongata + +31 +00:02:24,040 --> 00:02:31,420 +هي عندي بداية spinal cord ببدأ على level of foramen magnum + +32 +00:02:31,420 --> 00:02:37,220 +و بنزل في ال spinal canal أو في ال + +33 +00:02:37,220 --> 00:02:38,100 +vertebral canal + +34 +00:02:44,850 --> 00:02:47,470 +termination of the spinal cord مهم ال termination + +35 +00:02:47,470 --> 00:02:50,610 +of the spinal cord مهم قلنا كأخصائيين أعصاب أو أي + +36 +00:02:50,610 --> 00:02:55,010 +أخصائي أو طبيب عشان موضوع lumbar puncture لما نأخذ + +37 +00:02:55,010 --> 00:02:59,950 +عينة CSF من spinal canal termination of the spinal + +38 +00:02:59,950 --> 00:03:06,830 +cord depends at the age of patient لو أخدنا جنين + +39 +00:03:06,830 --> 00:03:11,690 +كان عنده عملية إجهاض abortion و نشرحنا الجنين + +40 +00:03:11,690 --> 00:03:16,150 +بنجد أن ال spinal cord في ال third month of + +41 +00:03:16,150 --> 00:03:21,310 +intrauterine life fills the whole spinal canal + +42 +00:03:21,310 --> 00:03:24,730 +بيكون ال spinal cord معبي كل spinal canal عند + +43 +00:03:24,730 --> 00:03:31,690 +الجنين لو كان عمره ثلاثة أشهر أثناء الحمل at birth + +44 +00:03:31,690 --> 00:03:37,660 +عند الولادة بيصل ال spinal cord ل level of L3 + +45 +00:03:37,660 --> 00:03:45,580 +vertebra يعني عند ولادة بيكون واصل تقريبا ل L3 + +46 +00:03:45,580 --> 00:03:51,360 +vertebra طيب في ال adult عند ال adult راح يكون عند + +47 +00:03:51,360 --> 00:03:57,100 +ال adult ل lower border of L1 lower border of + +48 +00:03:57,100 --> 00:04:00,140 +L1 L1 يعني مقصود فيها lumbar segment + +49 +00:04:00,140 --> 00:04:04,500 +lumbar لو أخذنا شرحنا جنين بيكون spinal cord + +50 +00:04:04,500 --> 00:04:08,510 +معبي كل spinal canal عند الولادة بيكون ال spinal + +51 +00:04:08,510 --> 00:04:13,530 +cord على مستوى الفقرة الثالثة على lower border of + +52 +00:04:13,530 --> 00:04:19,070 +lumbar 3 vertebra ال adult عندنا بيكون على مستوى + +53 +00:04:19,070 --> 00:04:24,270 +lower border of first lumbar vertebra هذا مهم جدا + +54 +00:04:24,270 --> 00:04:28,200 +لو أنا بدعمل lumbar puncture لإنسان adult ممكن + +55 +00:04:28,200 --> 00:04:31,080 +أعمله lumbar puncture على مستوى L4 L5 وممكن أعمله + +56 +00:04:31,080 --> 00:04:34,620 +على مستوى L3 L4 صوروا أنا في field ماقدرتش أفوت + +57 +00:04:34,620 --> 00:04:39,100 +بين الفقرات اللي هي L4 L5 بطلع على مستوى أعلى و + +58 +00:04:39,100 --> 00:04:43,040 +بعمل lumbar puncture و بأخذ عينة من L3 L4 لكن عند + +59 +00:04:43,040 --> 00:04:46,700 +الأطفال لو حديثي الولادة Contra indication ليه؟ لأن + +60 +00:04:46,700 --> 00:04:50,200 +ال spinal cord وصل لل lower border of L3 vertebra + +61 +00:04:50,200 --> 00:04:54,960 +في حال أن أنا عملت lumbar puncture على مستوى L3 L4 + +62 +00:04:54,960 --> 00:05:00,200 +ممكن أعمل injury ل spinal cord و يدخل المريض في + +63 +00:05:00,200 --> 00:05:05,440 +paraplegia أو في sphincter dysfunction urine and + +64 +00:05:05,440 --> 00:05:12,180 +stool incontinence و هكذا هاي اندي لو في ال intra + +65 +00:05:12,180 --> 00:05:19,320 +uterine life يكون ال spinal cord معبينا كل ايه ال + +66 +00:05:19,320 --> 00:05:25,680 +spinal canal الجنين كبر حديثي ولادة صار كبر ال + +67 +00:05:25,680 --> 00:05:28,000 +vertebral column بس ماقدر يكبر معاه ال spinal cord + +68 +00:05:28,000 --> 00:05:34,660 +بنفس السرعة ال spinal cord وصلنا لإيه مستوى ال + +69 +00:05:34,660 --> 00:05:42,110 +lower border of L3 لكن في ال adult عند الكبار + +70 +00:05:42,110 --> 00:05:49,770 +بيكون ال spinal cord على مستوى اللي هي ال lower + +71 +00:05:49,770 --> 00:05:54,030 +border of L1 بيكون ال spinal cord على أي مستوى؟ + +72 +00:05:54,030 --> 00:05:59,910 +على مستوى lower border of lumbar first vertebra + +73 +00:06:09,290 --> 00:06:12,470 +What's the functions of spinal cord؟ ايش ال + +74 +00:06:12,470 --> 00:06:16,160 +functions بتاع spinal cord؟ The first function is + +75 +00:06:16,160 --> 00:06:20,740 +conduction function conduction function يعني عملية + +76 +00:06:20,740 --> 00:06:27,020 +توصيل توصيل من وين؟ from the brain and to the + +77 +00:06:27,020 --> 00:06:30,280 +brain يعني إلى الدماغ ممكن أوصل للدماغ ال fibers + +78 +00:06:30,280 --> 00:06:34,720 +أو من الدماغ يعني أبقى عبارة عن ascending tract ال + +79 +00:06:34,720 --> 00:06:37,580 +tract المشغول ع ال sensation و الإحساس هذه بتوصل + +80 +00:06:37,580 --> 00:06:42,630 +إشارة من spinal cord to the brain للدماغ العكس هي + +81 +00:06:42,630 --> 00:06:45,990 +descending tracks المسئولة عن الحركة المسئولة عن + +82 +00:06:45,990 --> 00:06:49,690 +ال motor function هذه وظيفتها conduct motor + +83 +00:06:49,690 --> 00:06:54,810 +impulses from the brain to the spinal cord يعني من + +84 +00:06:54,810 --> 00:06:58,370 +ال brain لإيه spinal cord يبقى أول وظيفة لل spinal + +85 +00:06:58,370 --> 00:07:03,490 +cord هي إيه conduction function for ascending and + +86 +00:07:03,490 --> 00:07:08,850 +descending tracks أو for sensory and motor tracks + +87 +00:07:08,850 --> 00:07:14,150 +the second function is reflex center ال spinal + +88 +00:07:14,150 --> 00:07:19,890 +cord يعتبر ايه موجود فيه اللي هو reflex center لال + +89 +00:07:19,890 --> 00:07:23,690 +spinal reflex يعتبر integrative area ايش + +90 +00:07:23,690 --> 00:07:28,190 +integrative area يعني فيها ال reflex center بتاعة + +91 +00:07:28,190 --> 00:07:33,550 +ال spinal reflexes لاحظوا هاي reflex اسمه knee jerk + +92 +00:07:33,550 --> 00:07:43,230 +واضح كيف؟ احنا بالهمر ضربنا على ال tendons بتاعة + +93 +00:07:43,230 --> 00:07:51,790 +ال quadriceps muscle راحت الإشارة ب sensory fibers + +94 +00:07:51,790 --> 00:07:56,470 +بتاعة ال femoral nerve على اللي هي posterior root + +95 +00:07:56,470 --> 00:08:02,570 +of spinal cord دخلت الإشارة للـ posterior horn + +96 +00:08:02,570 --> 00:08:08,850 +cells من الـ posterior horn cells بتروح لحاجة + +97 +00:08:08,850 --> 00:08:12,390 +اسمها Inter neurons هذه وظيفتها integrative + +98 +00:08:12,390 --> 00:08:17,250 +function للـ reflex center و بترجع الإشارة بال + +99 +00:08:17,250 --> 00:08:22,070 +motor fibers أول شي عن طريق الـ anterior root of + +100 +00:08:22,070 --> 00:08:26,950 +spinal nerve بعد ذلك بتروح لل motor fibers بتاعة ال + +101 +00:08:26,950 --> 00:08:31,570 +femoral nerve و بتغدينها quadriceps muscle بيصير + +102 +00:08:31,570 --> 00:08:35,830 +contraction في ال ... اللي هي quadriceps muscle و + +103 +00:08:35,830 --> 00:08:37,730 +ال quadriceps muscle اللي عارفين ان انتم بتعملوا + +104 +00:08:37,730 --> 00:08:42,950 +extension لل knee و هذا كله اسمه knee jerk knee + +105 +00:08:42,950 --> 00:08:49,650 +jerk أو knee reflex تمام + +106 +00:08:49,650 --> 00:08:53,170 +راح نشرحه في محاضرات ال motor system إن شاء الله + +107 +00:08:54,820 --> 00:09:01,220 +الآن الـ spinal cord له وظيفة اسمها reflex center + +108 +00:09:01,220 --> 00:09:05,840 +الـ meninges of the spinal cord احنا شرحنا ال + +109 +00:09:05,840 --> 00:09:11,180 +meninges في محاضرة ال brain ال spinal cord is + +110 +00:09:11,180 --> 00:09:16,080 +covered by three membranes أو three meninges من + +111 +00:09:16,080 --> 00:09:20,280 +الداخل للخارج + +112 +00:09:21,950 --> 00:09:26,450 +أراكnoid متر وديورا متر بيامتر الأم الحنونة + +113 +00:09:26,450 --> 00:09:30,330 +أراكnoid متر الأم العنكبوتية وديورا متر الأم + +114 +00:09:30,330 --> 00:09:33,990 +الجافية واتفقنا إن الديورا متر في ال brain إلها ال + +115 +00:09:33,990 --> 00:09:37,230 +two layers عشان تكونولنا لديورة ال venous sinuses + +116 +00:09:37,230 --> 00:09:42,410 +أما في ال spinal cord تتكون من one layer one layer + +117 +00:09:42,410 --> 00:09:47,690 +بيامتر closely adherent واتفقنا انه أم حنونة + +118 +00:09:47,690 --> 00:09:50,990 +ملتصقة التصاق كامل بتكون في spinal cord في ال + +119 +00:09:50,990 --> 00:09:55,990 +brain كمان ends تنتهي وين لو جاء سؤال وين ال + +120 +00:09:55,990 --> 00:09:59,050 +termination بتاعة ال pia mater و حط نقطة الدكتور + +121 +00:09:59,050 --> 00:10:03,590 +السؤال مش مظبوط لازم يحدد عمر الإنسان كم عمره لو + +122 +00:10:03,590 --> 00:10:10,710 +قلنا لل newborn أو لل adult يعني باختصار pia mater + +123 +00:10:10,710 --> 00:10:17,880 +ends at the level of spinal cord termination يعني + +124 +00:10:17,880 --> 00:10:22,900 +الـ Pia mater تنتهي مع انتهاء لـ spinal cord إذا + +125 +00:10:22,900 --> 00:10:27,140 +أتكلمنا عن newborn راح تنتهي على ال lower border + +126 +00:10:27,140 --> 00:10:33,200 +of L3 vertebra لو أتكلمنا على adult راح + +127 +00:10:33,200 --> 00:10:40,360 +تنتهي على ال lower border of first lumbar vertebra + +128 +00:10:40,360 --> 00:10:44,680 +عند ال adult بعد هيك continuous as filum terminale + +129 +00:10:44,680 --> 00:10:48,260 +بتعطينا في الأخير حاجة اسمها زي filum terminale زي + +130 +00:10:48,260 --> 00:10:50,720 +ايه؟ زي ال ligament صغير filum terminale في + +131 +00:10:50,720 --> 00:10:53,760 +النهاية و هو ده ال filum terminale ايش + +132 +00:10:53,760 --> 00:10:57,780 +بيصيرله؟ بيعمل attachment ل ال back of the coccyx + +133 +00:10:57,780 --> 00:11:02,460 +عشان ايه؟ يعملنا fixation ل ال spinal cord و يعمل + +134 +00:11:02,460 --> 00:11:11,190 +عملية تثبيت ل spinal cord ال arachnoid is the + +135 +00:11:11,190 --> 00:11:14,570 +inner surface of dura mater بتكون بتحد ال + +136 +00:11:14,570 --> 00:11:18,010 +dura mater من الداخل أو ممكن اقول it is the outer + +137 +00:11:18,010 --> 00:11:21,410 +surface of pia mater صح يعني ممكن تكون outer surface + +138 +00:11:21,410 --> 00:11:24,350 +لل pia mater أو inner surface لل dura mater يعني + +139 +00:11:24,350 --> 00:11:30,110 +arachnoid located هي عندي dura mater + +140 +00:11:30,110 --> 00:11:33,230 +بعدها + +141 +00:11:33,230 --> 00:11:41,690 +بتيجي arachnoid بعدها بتيجي مين Diameter و بيجينا + +142 +00:11:41,690 --> 00:11:48,230 +ايه شو تعلس بوين ال chord او ايه ال brain it + +143 +00:11:48,230 --> 00:11:55,240 +ends at the second sacral vertebra يعني + +144 +00:11:55,240 --> 00:12:00,040 +الـ Dura mater أو ال arachnoid mater تنتهي على اي level + +145 +00:12:00,040 --> 00:12:07,040 +على level S2 كان newborn أو كان adult تنتهي وين + +146 +00:12:07,040 --> 00:12:14,840 +على S2 segment أو S2 level ثمانى Dura mater يبقى ان + +147 +00:12:14,840 --> 00:12:19,040 +هذا عندي Dura mater وهي + +148 +00:12:21,420 --> 00:12:26,520 +arachnoid mater في النص بيجي وبعدهم + +149 +00:12:26,520 --> 00:12:36,120 +بيجي pia mater تمام Dura mater نفس الشيء مثل arachnoid + +150 +00:12:36,120 --> 00:12:43,700 +ends at the level of sacral 2 attached على ال + +151 +00:12:43,700 --> 00:12:47,580 +margins of the foramen magnum تتحد تعمل adherent مع + +152 +00:12:47,580 --> 00:12:51,860 +الفورامن ماجنم على ال intervertebral foramen وعلى + +153 +00:12:51,860 --> 00:12:55,860 +ال body of second and third cervical vertebra عشان + +154 +00:12:55,860 --> 00:12:59,820 +يعملوا fixation لموضوع ال spinal cord وثبات لل + +155 +00:12:59,820 --> 00:13:09,180 +spinal cord منين جهة ال spaces of spinal cord في + +156 +00:13:09,180 --> 00:13:12,080 +هنا عندي بيكون + +157 +00:13:15,330 --> 00:13:20,710 +اللي هو الـ vertebra هذه + +158 +00:13:20,710 --> 00:13:28,210 +شعر ال vertebra في منين جال ال spaces أول شي في + +159 +00:13:28,210 --> 00:13:34,750 +epidural space هاي أول شي epidural space هذا ال + +160 +00:13:34,750 --> 00:13:42,530 +epidural space epidural أو extradural space located + +161 +00:13:42,530 --> 00:13:47,110 +between dura mater and vertebra بيكون بين ال + +162 +00:13:47,110 --> 00:13:51,850 +dura mater و ال vertebra و ايش داخله بيكون semi + +163 +00:13:51,850 --> 00:13:57,950 +-liquid fat زائد internal vertebral venous plexus + +164 +00:13:57,950 --> 00:14:06,350 +subdural space هاي subdural space هذا + +165 +00:14:06,350 --> 00:14:08,010 +اسمه ايه sub + +166 +00:14:11,270 --> 00:14:20,590 +subdural space between + +167 +00:14:20,590 --> 00:14:27,070 +dura mater and arachnoid ويداخله + +168 +00:14:27,070 --> 00:14:31,770 +بيكون serous fluid بتعمل عملية lubrication انا بلف + +169 +00:14:31,770 --> 00:14:35,330 +في يمين وشمال flexion extension بتعمل عملية + +170 +00:14:35,330 --> 00:14:41,700 +lubrication ل ال meninges subarachnoid space هاي + +171 +00:14:41,700 --> 00:14:48,940 +عندي subarachnoid space بلون أحمر subarachnoid + +172 +00:14:48,940 --> 00:14:49,480 +space + +173 +00:14:52,190 --> 00:14:57,230 +هيها subarachnoid أكتر واحد بيكون أوسع واحد space + +174 +00:14:57,230 --> 00:15:00,650 +هذا ال subarachnoid space بيكون داخله + +175 +00:15:00,650 --> 00:15:08,070 +cerebrospinal fluid داخله ال CSF قلنا spinal blood + +176 +00:15:08,070 --> 00:15:12,830 +vessels و ال root of spinal nerves وين بيكون موجود + +177 +00:15:12,830 --> 00:15:17,070 +هذا ال subarachnoid space between arachnoid and + +178 +00:15:17,070 --> 00:15:22,420 +pia mater تحت ال arachnoid و فوق ال pia mater هي + +179 +00:15:22,420 --> 00:15:30,380 +اننا نرسمهم هنا هي + +180 +00:15:30,380 --> 00:15:41,040 +هذه ناخذ نوحد الألوان Dura mater بعدهم + +181 +00:15:41,040 --> 00:15:43,140 +arachnoid + +182 +00:15:50,870 --> 00:15:56,790 +و في الآخر بتكون اللي هي pia mater بتكون ملتصقة + +183 +00:15:56,790 --> 00:16:00,290 +لل spinal cord التصاق كامل ب way spinal cord + +184 +00:16:05,840 --> 00:16:11,120 +واتفقنا أن ال arachnoid و ال dura mater بينتهوا على + +185 +00:16:11,120 --> 00:16:14,760 +level sacral 2 و ال pia mater بترتهي على انتهاء ال + +186 +00:16:14,760 --> 00:16:19,200 +spinal cord إذا كان adult على lower border of L1 + +187 +00:16:19,200 --> 00:16:25,220 +كان ال newborn على lower border of L3 هذه + +188 +00:16:25,220 --> 00:16:43,540 +ال dura mater هنا arachnoid هنا pia mater pia mater pia mater + +189 +00:16:43,540 --> 00:16:46,580 +pia mater + +190 +00:16:46,580 --> 00:16:51,840 +pia mater pia mater pia mater pia mater pia mater pia mater pia mater + +191 +00:16:51 + +201 +00:17:38,470 --> 00:17:41,670 +of the spinal cord external structure of spinal + +202 +00:17:41,670 --> 00:17:46,690 +cord بنلاحظ فيها anterior median fissure + +203 +00:17:49,490 --> 00:17:54,110 +و posterior median fissure هذول ال external + +204 +00:17:54,110 --> 00:17:58,190 +features of spinal cord وعلى الجناب في posterior + +205 +00:17:58,190 --> 00:18:06,380 +lateral و anterior lateral هاي هم هنا واضحين سلسلية + +206 +00:18:06,380 --> 00:18:10,380 +هذا كله من ناحية ال external features يقول ال + +207 +00:18:10,380 --> 00:18:13,940 +external features في anterior median وفي posterior + +208 +00:18:13,940 --> 00:18:18,980 +median وفي anterior lateral و posterior lateral + +209 +00:18:18,980 --> 00:18:24,140 +سلسلية segment of spinal cord ايش مقصود بال + +210 +00:18:24,140 --> 00:18:30,080 +segment ايش مقصود بال segment of spinal cord هاي + +211 +00:18:30,080 --> 00:18:36,560 +عندي posterior horn, anterior horn يخرج من هنا بصير + +212 +00:18:36,560 --> 00:18:41,920 +روت وهنا anterior root يكونوا لنا ايه spinal nerve بصير + +213 +00:18:41,920 --> 00:18:47,660 +root ganglion هذا + +214 +00:18:47,660 --> 00:18:51,900 +يعتبر segment هذا يعتبر ايه segment مقطع مقطع خرج + +215 +00:18:51,900 --> 00:18:55,540 +منه زوج اعصاب واحد على ال left واحد على ال right + +216 +00:18:55,540 --> 00:19:02,360 +هذا مقطع بنسميه segment of spinal cord segment of + +217 +00:19:03,280 --> 00:19:09,100 +Spinal cord Spinal cord segment فيها واحد وثلاثين + +218 +00:19:09,100 --> 00:19:13,460 +segment ثمانية cervical انتبهوا متذكرين دراسته ال + +219 +00:19:13,460 --> 00:19:17,620 +general anatomy كان في seven cervical vertebra + +220 +00:19:17,620 --> 00:19:21,400 +seven cervical vertebra لكن في segment of spinal + +221 +00:19:21,400 --> 00:19:25,160 +cord في eight cervical segments لأن في أول واحد + +222 +00:19:25,160 --> 00:19:30,760 +يكون أعلى أو بيخرج من فوق ال C1 vertebra في 12 + +223 +00:19:30,760 --> 00:19:37,260 +thoracic او dorsal في 5 lumbar و 5 sacral و 1 + +224 +00:19:37,260 --> 00:19:43,720 +coccygeal segment لكن ال vertebra لاحظوا ال + +225 +00:19:43,720 --> 00:19:47,440 +cervical vertebra ال 7 cervical vertebra بيكونوا + +226 +00:19:47,440 --> 00:19:57,110 +12 thoracic و 5 lumbar ننتقل لموضوع اسمه Epiconus + +227 +00:19:57,110 --> 00:20:05,310 +Epiconus واخر بنسميه Conus Medullaris وكودا + +228 +00:20:05,310 --> 00:20:13,610 +إيكوينه هياندي spinal cord spinal + +229 +00:20:13,610 --> 00:20:18,730 +cord هنا بنتيهي على أي level على level الـ L1 vertebra + +230 +00:20:18,730 --> 00:20:26,310 +على first L1 Vertebra على الأسفل Border of الـ L1 + +231 +00:20:26,310 --> 00:20:31,050 +Vertebra هاي الـ L1 Vertebra انتهى ال spinal cord + +232 +00:20:31,050 --> 00:20:44,190 +انتهى ايه ال spinal cord الجزء النهائي منه اللي + +233 +00:20:44,190 --> 00:20:56,890 +هو S3 S4 S5 هذا بنسميه ايش Conus Medullaris يبقى ان + +234 +00:20:56,890 --> 00:21:02,170 +ال Conus Medullaris هو terminal part of spinal + +235 +00:21:02,170 --> 00:21:08,250 +cord او هو lower terminal part of spinal cord + +236 +00:21:08,250 --> 00:21:13,530 +بتكون من كام segments؟ من ثلاثة من ايه؟ من Sacral + +237 +00:21:13,530 --> 00:21:20,890 +3, 4 و 5 segment of spinal cord طب ايه + +238 +00:21:20,890 --> 00:21:29,850 +بيه conus هو ما قبل ال conus medullaris بتكون + +239 +00:21:29,850 --> 00:21:37,310 +من ايه من S2 S1 L5 + +240 +00:21:38,630 --> 00:21:44,710 +الفور سيجمنت تمام بتكون من ايه من الفور الفايف + +241 +00:21:44,710 --> 00:21:50,110 +سيجمنت و S1 S2 يبقى ابي كونس هذا يعتبر ايه ابي + +242 +00:21:50,110 --> 00:21:50,590 +كونس + +243 +00:21:54,830 --> 00:22:00,370 +ابي كونس هو ما قبل الكونس ميدولارس ما قبل كونس + +244 +00:22:00,370 --> 00:22:05,270 +ميدولارس بتكون من الـ L5 L4 S1 S2 + +245 +00:22:05,270 --> 00:22:06,510 +و + +246 +00:22:06,510 --> 00:22:08,010 +و + +247 +00:22:08,010 --> 00:22:08,270 +و + +248 +00:22:08,270 --> 00:22:08,830 +و + +249 +00:22:08,830 --> 00:22:09,790 +و conus + +250 +00:22:09,790 --> 00:22:14,070 +medullaris هو terminal part of spinal cord بتكون + +251 +00:22:14,070 --> 00:22:18,410 +من S3, S4, S5 segment of spinal cord لو اجى سؤال + +252 +00:22:18,410 --> 00:22:21,690 +مين هو ال terminal part of spinal cord هو conus + +253 +00:22:21,690 --> 00:22:24,510 +medullaris من ايش بتكون من conus medullaris؟ S3, + +254 +00:22:24,630 --> 00:22:32,270 +S4, S5 segment طيب كودا ايكوينه الكودا + +255 +00:22:32,270 --> 00:22:33,870 +ايكوينه قلنا + +256 +00:22:36,160 --> 00:22:46,800 +الـ L1 رح ينزل ويطلع لنا من تحت الـ L1 تمام الـ T12 رح + +257 +00:22:46,800 --> 00:22:52,700 +ينزل ويطلع من الـ T12 هذا الـ route طيب من ناحية الـ L3 + +258 +00:22:52,700 --> 00:23:04,500 +L4 L5 S1 S2 S3 نفس الشيء هنا + +259 +00:23:07,380 --> 00:23:11,700 +راح كل واحد .. كل root ينزل ويطلع من وين؟ من الـ + +260 +00:23:11,700 --> 00:23:15,880 +intervertebral foramen بتاعه هذه الـ roots .. هذه + +261 +00:23:15,880 --> 00:23:21,020 +ال collection of roots بنسميهم كودا إيكوينه + +262 +00:23:21,020 --> 00:23:25,600 +بنسميهم كودا إيكوينه هلأ لو كان ال spinal cord + +263 +00:23:25,600 --> 00:23:30,380 +بينتهي على مستوى انتهاء ال vertebral column ماكانش + +264 +00:23:30,380 --> 00:23:34,340 +هنا الشيء اسمه كودا إيكوينه لكن لأن ال spinal cord + +265 +00:23:36,180 --> 00:23:41,570 +أكثر من ال vertebral column خرج ال route تبعهم لكن + +266 +00:23:41,570 --> 00:23:44,430 +دار ال route ماخرجوش ال route هذه المخرجات بتنزل + +267 +00:23:44,430 --> 00:23:48,650 +وبتخرج كل route بيخرج منين؟ من مستوى ال vertebra + +268 +00:23:48,650 --> 00:23:53,610 +بتاعته هذه ال routes مثل دي للحصان مثل دي للحصان + +269 +00:23:53,610 --> 00:23:58,190 +ايش بنسميهم؟ بنسميهم cauda equina ايش بنسميهم؟ + +270 +00:23:58,190 --> 00:24:02,670 +cauda equina يعني ال cauda equina هي تاب على مين؟ + +271 +00:24:02,670 --> 00:24:08,100 +لل peripheral nervous system peripheral nervous + +272 +00:24:08,100 --> 00:24:11,020 +system هي الـ root طب الـ konus medullaris central + +273 +00:24:11,020 --> 00:24:14,420 +nervous system ابي konus central nervous system + +274 +00:24:14,420 --> 00:24:19,300 +يبقى ايه ال konus medullaris والابي konus هم جزء + +275 +00:24:19,300 --> 00:24:23,040 +من spinal cord هم جزء من وين؟ من spinal cord طب + +276 +00:24:23,040 --> 00:24:29,080 +الكودا equina لأ هي عبارة عن spinal root هي عبارة + +277 +00:24:29,080 --> 00:24:33,860 +عن spinal root nerve هي peripheral nervous system + +278 +00:24:33,860 --> 00:24:39,220 +ايش هي الكودا equina؟ it is located below the lower + +279 +00:24:39,220 --> 00:24:43,100 +border of the first lumbar vertebra ليش قلنا lower + +280 +00:24:43,100 --> 00:24:47,780 +border of the first lumbar vertebra بعد انتهاء ال + +281 +00:24:47,780 --> 00:24:55,380 +spinal cord the spinal canal is filled by a + +282 +00:24:55,380 --> 00:25:01,890 +collection of lumbosacral roots which descends in + +283 +00:25:01,890 --> 00:25:07,090 +this space to their corresponding intervertebral + +284 +00:25:07,090 --> 00:25:11,850 +foramen او فرمن كل nerve بيضلوا نازل في ال spinal + +285 +00:25:11,850 --> 00:25:15,390 +canal لما يصل لحد الفرمن بتاعه اللي هو + +286 +00:25:15,390 --> 00:25:18,790 +intervertebral foramen بيغادر يعني لو قلنا L4 بيخرج + +287 +00:25:18,790 --> 00:25:22,450 +من تحت L4 L5 بيخرج من تحت L5 و هم موجودين في ال + +288 +00:25:22,450 --> 00:25:26,670 +spinal canal مع بعض هدول بنسميهم ايه كودا ايكوينا + +289 +00:25:26,670 --> 00:25:29,490 +كودا ايكوينا مثل ذيل الحصان بيكونوا + +290 +00:25:42,540 --> 00:25:50,870 +هذه هي نهاية الـ spinal cord اللي ما قبله اللي هي + +291 +00:25:50,870 --> 00:25:54,950 +L4, L5, S1, S2 segment اسمها AP Conus هذه ال route + +292 +00:25:54,950 --> 00:25:58,010 +اللي في ال spinal canal بعد انتهاء ال spinal cord + +293 +00:25:58,010 --> 00:26:03,510 +هذه ال routes اسمها ايه؟ كودا ايكواينا وهذا ال + +294 +00:26:03,510 --> 00:26:07,630 +فيلم ترمينال اللي قلتلكم ان البيامطر بنزل وبيعمل + +295 +00:26:07,630 --> 00:26:11,840 +attached لـ ال coccyx ال back of the coccyx هذا هو + +296 +00:26:11,840 --> 00:26:17,620 +الـ Filum Terminale عشان يعملنا عملية fixation لـ Spinal + +297 +00:26:17,620 --> 00:26:21,300 +cord تثبيت لـ Spinal cord هذه الـ roots اللي بعد + +298 +00:26:21,300 --> 00:26:27,520 +انتهاء الـ Spinal cord اسمهم كودا ايكوينا الآن + +299 +00:26:27,520 --> 00:26:32,080 +ننتقل لـ relationship between spinal cord segment + +300 +00:26:32,080 --> 00:26:38,710 +and vertebra لو كان طول Spinal cord نفس طول الـ + +301 +00:26:38,710 --> 00:26:41,230 +vertebral column ماكانش حاجة اسمها relationship + +302 +00:26:41,230 --> 00:26:45,230 +كان كل root بيخرج على نفس المستوى و خلصنا لكن انتوا + +303 +00:26:45,230 --> 00:26:50,130 +عارفين الـ Spinal cord أقصر من مين من الـ vertebral + +304 +00:26:50,130 --> 00:26:55,010 +column و الـ vertebra نفسها اول شي بتكون ال + +305 +00:26:55,010 --> 00:26:57,790 +cervical أصغر بعدين الـ thickness بيزيد بيزيد أكبر + +306 +00:26:57,790 --> 00:27:01,010 +لما ننزل لـ lower thoracic و first lumbar بيكون + +307 +00:27:01,010 --> 00:27:06,130 +أكبر الـ vertebra لذلك لو أخدنا الـ segment من C1 C4 + +308 +00:27:06,130 --> 00:27:14,050 +segment بيقابله الـ هو C1 C4 Vertebra لو سألتكوا سؤال + +309 +00:27:14,050 --> 00:27:21,070 +تقريبا وين موجود الـ C1 segment مقابل C1 Vertebra + +310 +00:27:21,070 --> 00:27:24,990 +لو سألتكوا سؤال وين موجود تقريبا هذا جدول تقريبي + +311 +00:27:24,990 --> 00:27:30,910 +الـ هو C3 segment موجود مقابل C3 Vertebra لو سألتكوا + +312 +00:27:30,910 --> 00:27:35,150 +سؤال وين موجود C4 segment موجود مقابل C4 Vertebra + +313 +00:27:36,200 --> 00:27:40,620 +C5 لـ C8 segment بطرح واحد بطرح واحد إذا بدأ + +314 +00:27:40,620 --> 00:27:46,780 +السؤال بالـ segment يعني لو سألتك سؤال C6 segment + +315 +00:27:50,100 --> 00:27:56,680 +C6 segment بطرح واحد يقابل C5 vertebra لكن لو بدنا + +316 +00:27:56,680 --> 00:28:03,040 +السؤال بالـ vertebra و قولنا C5 vertebra بجمع واحد + +317 +00:28:03,040 --> 00:28:09,100 +بزود واحد تقريبا بقابل C5 vertebra C6 segment هذا + +318 +00:28:09,100 --> 00:28:12,580 +جدول توضيحي توضيحي ماحدش يقولي بكرا دكتور انت + +319 +00:28:12,580 --> 00:28:17,160 +قولتنا C4 ع C4 هاي C5 لو ناقصنا واحد ع C4 يعني هي + +320 +00:28:17,160 --> 00:28:20,620 +هذا قولنا توضيحي عشان يوضح تقريبا وين موجود الـ + +321 +00:28:20,620 --> 00:28:27,080 +segment لو نزلنا لتحت T1 لـ T6 segment of spinal + +322 +00:28:27,080 --> 00:28:34,200 +cord بطرح اتنين يعني لو جينا قولنا segment T5 + +323 +00:28:35,120 --> 00:28:41,300 +على أي مستوى الـ Vertebra بطرح منهم ايه اتنين يكون + +324 +00:28:41,300 --> 00:28:47,280 +عوين على مستوى T3 Vertebra T3 Vertebra لو نزلنا لتحت + +325 +00:28:47,280 --> 00:28:51,440 +T7 لقال اتنين بطرح ثلاثة بدي يكبروا الـ Vertebra أكتر + +326 +00:28:51,440 --> 00:29:00,280 +لو سألتكوا سؤال T9 Vertebra على أي مستوى بطرح منها + +327 +00:29:01,160 --> 00:29:06,910 +ثلاثة فقول تقريبا راح يكون على مستوى T6 العكس صحيح + +328 +00:29:06,910 --> 00:29:11,550 +لو بدأت انا بالـ Vertebra بجمع بعمل اضافة وعشان خاطري + +329 +00:29:11,550 --> 00:29:16,410 +تحفظوا ان الـ three و الـ four segment تقريبا على + +330 +00:29:16,410 --> 00:29:22,730 +مستوى thoracic 12 و الـ five segment و الـ sacral + +331 +00:29:22,730 --> 00:29:27,590 +segment كلهم بيكونوا على مستوى الـ one vertebra هذي + +332 +00:29:27,590 --> 00:29:31,910 +slide عشان يبيننا الـ relationship between spinal + +333 +00:29:31,910 --> 00:29:36,120 +cord segment و Vertebra هذا لا يعني ان كل segment + +334 +00:29:36,120 --> 00:29:41,920 +موجود مقابل الـ Vertebra بتاعته مقابل ايه الـ + +335 +00:29:41,920 --> 00:29:46,780 +Vertebra بتاعته لأن اتفقنا ان الـ Spinal cord هو + +336 +00:29:46,780 --> 00:29:54,100 +أكثر من مين من الـ vertebral column لاحظوا هنا ان الـ + +337 +00:29:54,100 --> 00:29:57,420 +root بيخرجه اول شي بيخرجه من فوق الـ Vertebra بعد + +338 +00:29:57,420 --> 00:30:01,000 +هي انتهى عند الـ Spinal cord هذه الـ conus medullaris + +339 +00:30:01,000 --> 00:30:04,440 +انتهى بعد ذلك الـ roots بنزلوا كل root بيخرج من تحت + +340 +00:30:04,440 --> 00:30:07,600 +الـ Vertebraان بتاعته هذه العملية بسميها هذه الـ roots + +341 +00:30:07,600 --> 00:30:12,540 +بسميهم الـ roots هذه Cauda Equina او Cauda Equina + +342 +00:30:12,540 --> 00:30:17,980 +تمام هم عبارة عن Spinal peripheral roots after + +343 +00:30:17,980 --> 00:30:25,440 +termination of the Spinal cord the + +344 +00:30:25,440 --> 00:30:33,370 +roots of Spinal cord Each segment have four roots + +345 +00:30:33,370 --> 00:30:40,290 +في عندي two posterior and two anterior هي عندي + +346 +00:30:40,290 --> 00:30:43,570 +left + +347 +00:30:43,570 --> 00:30:50,830 +posterior root posterior spinal root و right + +348 +00:30:50,830 --> 00:30:59,290 +posterior spinal root okay left Anterior Spinal + +349 +00:30:59,290 --> 00:31:07,070 +Root و Right Anterior Spinal Root البستيريور او الـ + +350 +00:31:07,070 --> 00:31:11,370 +Dorsal Root عبارة عن Sensory بيكونوا جايبين الـ + +351 +00:31:11,370 --> 00:31:18,350 +Sensory Sensation للـ Spinal Cord وفيهم + +352 +00:31:18,350 --> 00:31:24,650 +حاجة اسمها Posterior Root Ganglion Posterior Root + +353 +00:31:28,040 --> 00:31:33,860 +Ganglion بصير root ganglion هذه + +354 +00:31:33,860 --> 00:31:35,400 +right وهذه left + +355 +00:31:40,210 --> 00:31:43,710 +Okay يبقى وظيفة الـ posterior او الدورصة الـ route + +356 +00:31:43,710 --> 00:31:47,490 +sensory تمام وظيفته ايه؟ sensory ايه اللي هو + +357 +00:31:47,490 --> 00:31:50,390 +posterior root ganglion؟ طب الـ anterior او الـ + +358 +00:31:50,390 --> 00:31:54,190 +ventral root وظيفتهم motor and autonomic motor + +359 +00:31:54,190 --> 00:31:56,850 +and autonomic هذول بيكونوا ايه؟ مطلقين الإشارة + +360 +00:31:56,850 --> 00:32:01,170 +هذول يعتبروا descending او efferent مخرجين الإشارة + +361 +00:32:01,170 --> 00:32:06,510 +من الـ Spinal cord الاتنين اللي هم الـ posterior و + +362 +00:32:06,510 --> 00:32:11,590 +الـ anterior بتتحدوا مع بعض و بيكونون ايه Spinal + +363 +00:32:11,590 --> 00:32:17,770 +nerve و في عندي 31 pairs of spinal nerves right + +364 +00:32:17,770 --> 00:32:23,310 +and left each spinal nerve emerges from the + +365 +00:32:23,310 --> 00:32:28,290 +intervertebral foramen هي عندي + +366 +00:32:32,470 --> 00:32:37,910 +هذا هو الـ sensation عن طريق الـ posterior root او + +367 +00:32:37,910 --> 00:32:41,090 +dorsal root انا فيه بيكون عندي posterior root + +368 +00:32:41,090 --> 00:32:50,830 +ganglion unipolar نوعها neuron تمام و في motor اللي + +369 +00:32:50,830 --> 00:32:54,070 +هو الـ anterior بيكون motor autonomic راح اتكلم + +370 +00:32:54,070 --> 00:33:00,630 +عنهم بيكونوا ماخدين إشارة descending efferent للخارج + +371 +00:33:00,630 --> 00:33:01,550 +من الـ Spinal cord + +372 +00:33:05,710 --> 00:33:10,510 +هذول اتنين مع بعض بيتجمعوا و بيكونوا لنا شي اسمه + +373 +00:33:10,510 --> 00:33:25,190 +spinal nerve بيخرج من Intervertebral foramen نفس + +374 +00:33:25,190 --> 00:33:31,010 +الشيء هان هذا هو الـ posterior ليش قلنا هذا هو الـ + +375 +00:33:31,010 --> 00:33:33,770 +posterior لان في Posterior root ganglion وهذا الـ + +376 +00:33:33,770 --> 00:33:34,210 +anterior + +377 +00:33:36,960 --> 00:33:42,340 +بيكونوا لنا الـ هو Spinal nerve بيخرج من الـ + +378 +00:33:42,340 --> 00:33:49,020 +Intervertebral foramen بيكفي في الجزء الأول من + +379 +00:33:49,020 --> 00:33:52,640 +المحاضرة Spinal cord نجح لحد الـ exit of spinal + +380 +00:33:52,640 --> 00:33:55,780 +nerve root في الجزء الثاني من محاضرة Spinal cord + +381 +00:33:55,780 --> 00:33:59,380 +راح أكمل المحاضرة و أبدأها من \ No newline at end of file diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/qQXAgnMjHuA_raw.json b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/qQXAgnMjHuA_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..77404b4752a796519053022c4bd7f6d5bfc08c45 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/qQXAgnMjHuA_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 3113, "start": 4.99, "end": 31.13, "text": "بسم الله الرحمن الرحيم السلام عليكم ورحمة الله وبركاته محاضرة الأسبوع السابع راح تكون على anatomy of the spinal cord anatomy of the spinal cord is very important spinal cord يعتبر extra cranial part of central nervous system the spinal cord is", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 21136, 37440, 25894, 24793, 4032, 2288, 35571, 3660, 21984, 4032, 26890, 4117, 9307, 3224, 3714, 5016, 46958, 25720, 16247, 35457, 45367, 21136, 16758, 3615, 12602, 39319, 6055, 30544, 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"word": " الديورامتر", "probability": 0.8949381510416666}, {"start": 987.48, "end": 988.58, "word": " هنا", "probability": 0.78564453125}, {"start": 988.58, "end": 991.04, "word": " اركنويد", "probability": 0.86171875}, {"start": 991.04, "end": 992.42, "word": " هنا", "probability": 0.93994140625}], "temperature": 1.0}, {"id": 41, "seek": 101926, "start": 993.58, "end": 1019.26, "text": "بيامتر بيامتر بيامتر بيامتر بيامتر بيامتر بيامتر بيامتر بيامتر بيامتر بيامتر بيامتر بيامتر بيامتر بيامتر بيامتر بيامتر بيامتر بيامتر بيامتر بيامتر", "tokens": [21292, 10943, 2655, 2288, 4724, 1829, 10943, 2655, 2288, 4724, 1829, 10943, 2655, 2288, 4724, 1829, 10943, 2655, 2288, 4724, 1829, 10943, 2655, 2288, 4724, 1829, 10943, 2655, 2288, 4724, 1829, 10943, 2655, 2288, 4724, 1829, 10943, 2655, 2288, 4724, 1829, 10943, 2655, 2288, 4724, 1829, 10943, 2655, 2288, 4724, 1829, 10943, 2655, 2288, 4724, 1829, 10943, 2655, 2288, 4724, 1829, 10943, 2655, 2288, 4724, 1829, 10943, 2655, 2288, 4724, 1829, 10943, 2655, 2288, 4724, 1829, 10943, 2655, 2288, 4724, 1829, 10943, 2655, 2288, 4724, 1829, 10943, 2655, 2288, 4724, 1829, 10943, 2655, 2288, 4724, 1829, 10943, 2655, 2288, 4724, 1829, 10943, 2655, 2288], "avg_logprob": -0.12604166780199325, "compression_ratio": 10.88, "no_speech_prob": 0.0, "words": [{"start": 993.58, "end": 994.44, "word": "بيامتر", "probability": 0.621337890625}, {"start": 994.44, "end": 996.94, "word": " بيامتر", "probability": 0.7127685546875}, {"start": 996.94, "end": 1003.54, "word": " بيامتر", "probability": 0.767529296875}, {"start": 1003.54, "end": 1006.58, "word": " بيامتر", "probability": 0.89296875}, {"start": 1006.58, "end": 1007.52, "word": " بيامتر", "probability": 0.958203125}, {"start": 1007.52, "end": 1008.2, "word": " بيامتر", "probability": 0.9775390625}, {"start": 1008.2, "end": 1009.32, "word": " بيامتر", "probability": 0.98388671875}, {"start": 1009.32, "end": 1010.52, "word": " بيامتر", "probability": 0.98701171875}, {"start": 1010.52, "end": 1011.52, "word": " بيامتر", "probability": 0.98876953125}, {"start": 1011.52, "end": 1011.84, "word": " بيامتر", "probability": 0.98955078125}, {"start": 1011.84, "end": 1011.84, "word": " بيامتر", "probability": 0.98935546875}, {"start": 1011.84, "end": 1012.1, "word": " بيامتر", "probability": 0.9888671875}, {"start": 1012.1, "end": 1012.68, "word": " بيامتر", "probability": 0.9888671875}, {"start": 1012.68, "end": 1014.0, "word": " بيامتر", "probability": 0.9890625}, {"start": 1014.0, "end": 1014.1, "word": " بيامتر", "probability": 0.9890625}, {"start": 1014.1, "end": 1014.1, "word": " بيامتر", "probability": 0.98955078125}, {"start": 1014.1, "end": 1014.1, "word": " بيامتر", "probability": 0.98984375}, {"start": 1014.1, "end": 1014.8, "word": " بيامتر", "probability": 0.98974609375}, {"start": 1014.8, "end": 1015.7, "word": " بيامتر", "probability": 0.9900390625}, {"start": 1015.7, "end": 1016.42, "word": " بيامتر", "probability": 0.99013671875}, {"start": 1016.42, "end": 1019.26, "word": " بيامتر", "probability": 0.99013671875}], "temperature": 1.0}, {"id": 42, "seek": 104083, "start": 1023.26, "end": 1040.84, "text": "Clinical Relations Lumbar puncture important بنعمل Lumbar puncture في ال subarachnoid space وبناخد sample of CSF بنعمل Lumbar puncture بين L4 L5 ومسموح ليعمل بين L3 L4 عند ال adult أما عند الأطفال newborn", "tokens": [9966, 259, 804, 28663, 441, 2860, 289, 27006, 540, 1021, 44945, 25957, 1211, 441, 2860, 289, 27006, 540, 8978, 2423, 1422, 289, 608, 1771, 327, 1901, 46599, 1863, 47283, 3215, 6889, 295, 9460, 37, 44945, 25957, 1211, 441, 2860, 289, 27006, 540, 49374, 441, 19, 441, 20, 4032, 2304, 38251, 2407, 5016, 32239, 25957, 1211, 49374, 441, 18, 441, 19, 43242, 2423, 5075, 5551, 15042, 43242, 16247, 9566, 5172, 6027, 32928], "avg_logprob": -0.33029512481557, "compression_ratio": 1.4550561797752808, "no_speech_prob": 0.0, "words": [{"start": 1023.26, "end": 1023.76, "word": "Clinical", "probability": 0.6918131510416666}, {"start": 1023.76, "end": 1024.48, "word": " Relations", "probability": 0.58203125}, {"start": 1024.48, "end": 1025.48, "word": " Lumbar", "probability": 0.5265706380208334}, {"start": 1025.48, "end": 1025.86, "word": " puncture", "probability": 0.67431640625}, {"start": 1025.86, "end": 1026.52, "word": " important", "probability": 0.560546875}, {"start": 1026.52, "end": 1027.72, "word": " بنعمل", "probability": 0.749267578125}, {"start": 1027.72, "end": 1028.04, "word": " Lumbar", "probability": 0.7342122395833334}, {"start": 1028.04, "end": 1028.52, "word": " puncture", "probability": 0.957275390625}, {"start": 1028.52, "end": 1029.04, "word": " في", "probability": 0.9267578125}, {"start": 1029.04, "end": 1029.2, "word": " ال", "probability": 0.66162109375}, {"start": 1029.2, "end": 1029.84, "word": " subarachnoid", "probability": 0.808251953125}, {"start": 1029.84, "end": 1030.4, "word": " space", "probability": 0.8740234375}, {"start": 1030.4, "end": 1031.26, "word": " وبناخد", "probability": 0.8297119140625}, {"start": 1031.26, "end": 1031.72, "word": " sample", "probability": 0.466552734375}, {"start": 1031.72, "end": 1032.02, "word": " of", "probability": 0.92529296875}, {"start": 1032.02, "end": 1032.74, "word": " CSF", "probability": 0.8916015625}, {"start": 1032.74, "end": 1033.56, "word": " بنعمل", "probability": 0.9138997395833334}, {"start": 1033.56, "end": 1033.96, "word": " Lumbar", "probability": 0.8709309895833334}, {"start": 1033.96, "end": 1034.34, "word": " puncture", "probability": 0.972412109375}, {"start": 1034.34, "end": 1034.66, "word": " بين", "probability": 0.29736328125}, {"start": 1034.66, "end": 1035.4, "word": " L4", "probability": 0.82470703125}, {"start": 1035.4, "end": 1036.14, "word": " L5", "probability": 0.691650390625}, {"start": 1036.14, "end": 1036.92, "word": " ومسموح", "probability": 0.96396484375}, {"start": 1036.92, "end": 1037.3, "word": " ليعمل", "probability": 0.5607096354166666}, {"start": 1037.3, "end": 1037.48, "word": " بين", "probability": 0.80419921875}, {"start": 1037.48, "end": 1038.02, "word": " L3", "probability": 0.980712890625}, {"start": 1038.02, "end": 1038.58, "word": " L4", "probability": 0.97607421875}, {"start": 1038.58, "end": 1038.76, "word": " عند", "probability": 0.6787109375}, {"start": 1038.76, "end": 1038.86, "word": " ال", "probability": 0.61279296875}, {"start": 1038.86, "end": 1039.2, "word": " adult", "probability": 0.345947265625}, {"start": 1039.2, "end": 1039.72, "word": " أما", "probability": 0.7352294921875}, {"start": 1039.72, "end": 1039.92, "word": " عند", "probability": 0.986328125}, {"start": 1039.92, "end": 1040.48, "word": " الأطفال", "probability": 0.9925537109375}, {"start": 1040.48, "end": 1040.84, "word": " newborn", "probability": 0.286376953125}], "temperature": 1.0}, {"id": 43, "seek": 106669, "start": 1041.45, "end": 1066.69, "text": "بعملهم على مستوى الفور الفايف ال vertibra no injury to cauda equina ومابنعملش injury للكاودا ايكوينا اللى راح اشرحها ان شاء الله بعد كام slide لو طلعنا على ال external structure of the spinal cord external structure of spinal cord بنلاحظ فينا anterior median فيشها", "tokens": [3555, 25957, 1211, 16095, 15844, 3714, 14851, 2407, 7578, 27188, 13063, 27188, 995, 33911, 2423, 6509, 897, 424, 572, 10454, 281, 1335, 11152, 1267, 1426, 4032, 15042, 3555, 1863, 25957, 1211, 8592, 10454, 5296, 23275, 995, 23328, 995, 1975, 1829, 4117, 2407, 9957, 995, 13672, 7578, 12602, 39319, 1975, 46309, 5016, 11296, 16472, 13412, 16606, 21984, 39182, 9122, 10943, 4137, 45164, 23032, 1211, 3615, 8315, 15844, 2423, 8320, 3877, 295, 264, 28022, 12250, 8320, 3877, 295, 28022, 12250, 44945, 15040, 5016, 19913, 8978, 8315, 22272, 26779, 8978, 8592, 11296], "avg_logprob": -0.3175347238779068, "compression_ratio": 1.5974025974025974, "no_speech_prob": 0.0, "words": [{"start": 1041.45, "end": 1042.03, "word": "بعملهم", "probability": 0.818359375}, {"start": 1042.03, "end": 1042.43, "word": " على", "probability": 0.91064453125}, {"start": 1042.43, "end": 1043.09, "word": " مستوى", "probability": 0.93994140625}, {"start": 1043.09, "end": 1044.03, "word": " الفور", "probability": 0.642822265625}, {"start": 1044.03, "end": 1044.77, "word": " الفايف", "probability": 0.5824381510416666}, {"start": 1044.77, "end": 1045.13, "word": " ال", "probability": 0.154541015625}, {"start": 1045.13, "end": 1046.81, "word": " vertibra", "probability": 0.6294148763020834}, {"start": 1046.81, "end": 1047.29, "word": " no", "probability": 0.059906005859375}, {"start": 1047.29, "end": 1047.85, "word": " injury", "probability": 0.88720703125}, {"start": 1047.85, "end": 1048.31, "word": " to", "probability": 0.81005859375}, {"start": 1048.31, "end": 1048.75, "word": " cauda", "probability": 0.6712646484375}, {"start": 1048.75, "end": 1049.23, "word": " equina", "probability": 0.905029296875}, {"start": 1049.23, "end": 1050.23, "word": " ومابنعملش", "probability": 0.8359375}, {"start": 1050.23, "end": 1050.53, "word": " injury", "probability": 0.90087890625}, {"start": 1050.53, "end": 1051.07, "word": " للكاودا", "probability": 0.6787109375}, {"start": 1051.07, "end": 1051.49, "word": " ايكوينا", "probability": 0.7682291666666666}, {"start": 1051.49, "end": 1051.87, "word": " اللى", "probability": 0.744140625}, {"start": 1051.87, "end": 1052.07, "word": " راح", "probability": 0.8671875}, {"start": 1052.07, "end": 1052.43, "word": " اشرحها", "probability": 0.876220703125}, {"start": 1052.43, "end": 1052.55, "word": " ان", "probability": 0.84326171875}, {"start": 1052.55, "end": 1052.73, "word": " شاء", "probability": 0.98193359375}, {"start": 1052.73, "end": 1052.85, "word": " الله", "probability": 0.94189453125}, {"start": 1052.85, "end": 1054.09, "word": " بعد", "probability": 0.95556640625}, {"start": 1054.09, "end": 1054.31, "word": " كام", "probability": 0.96533203125}, {"start": 1054.31, "end": 1054.69, "word": " slide", "probability": 0.73046875}, {"start": 1054.69, "end": 1056.63, "word": " لو", "probability": 0.9384765625}, {"start": 1056.63, "end": 1057.05, "word": " طلعنا", "probability": 0.9871826171875}, {"start": 1057.05, "end": 1057.19, "word": " على", "probability": 0.67529296875}, {"start": 1057.19, "end": 1057.29, "word": " ال", "probability": 0.68310546875}, {"start": 1057.29, "end": 1057.75, "word": " external", "probability": 0.86572265625}, {"start": 1057.75, "end": 1058.47, "word": " structure", "probability": 0.89404296875}, {"start": 1058.47, "end": 1059.29, "word": " of", "probability": 0.962890625}, {"start": 1059.29, "end": 1059.45, "word": " the", "probability": 0.64892578125}, {"start": 1059.45, "end": 1059.77, "word": " spinal", "probability": 0.94091796875}, {"start": 1059.77, "end": 1060.21, "word": " cord", "probability": 0.91650390625}, {"start": 1060.21, "end": 1060.61, "word": " external", "probability": 0.3662109375}, {"start": 1060.61, "end": 1061.15, "word": " structure", "probability": 0.9052734375}, {"start": 1061.15, "end": 1061.35, "word": " of", "probability": 0.857421875}, {"start": 1061.35, "end": 1061.67, "word": " spinal", "probability": 0.921875}, {"start": 1061.67, "end": 1062.11, "word": " cord", "probability": 0.92919921875}, {"start": 1062.11, "end": 1062.91, "word": " بنلاحظ", "probability": 0.811767578125}, {"start": 1062.91, "end": 1063.27, "word": " فينا", "probability": 0.537841796875}, {"start": 1063.27, "end": 1064.55, "word": " anterior", "probability": 0.492919921875}, {"start": 1064.55, "end": 1066.29, "word": " median", "probability": 0.92333984375}, {"start": 1066.29, "end": 1066.69, "word": " فيشها", "probability": 0.7550455729166666}], "temperature": 1.0}, {"id": 44, "seek": 108467, "start": 1069.49, "end": 1084.67, "text": "و posterior median fissure هذولة ال external feature of spinal cord وعلى الجناب في posterior lateral و anterior lateral هاي هم هنا واضحين", "tokens": [2407, 33529, 26779, 283, 891, 540, 8032, 8848, 12610, 3660, 2423, 8320, 4111, 295, 28022, 12250, 4032, 3615, 23942, 25724, 8315, 3555, 8978, 33529, 25128, 4032, 22272, 25128, 8032, 47302, 8032, 2304, 34105, 4032, 46958, 5016, 9957], "avg_logprob": -0.3266858536946146, "compression_ratio": 1.3129770992366412, "no_speech_prob": 0.0, "words": [{"start": 1069.49, "end": 1069.79, "word": "و", "probability": 0.63525390625}, {"start": 1069.79, "end": 1070.71, "word": " posterior", "probability": 0.7783203125}, {"start": 1070.71, "end": 1071.19, "word": " median", "probability": 0.52783203125}, {"start": 1071.19, "end": 1071.67, "word": " fissure", "probability": 0.8152669270833334}, {"start": 1071.67, "end": 1072.47, "word": " هذولة", "probability": 0.62554931640625}, {"start": 1072.47, "end": 1072.57, "word": " ال", "probability": 0.87158203125}, {"start": 1072.57, "end": 1074.11, "word": " external", "probability": 0.60546875}, {"start": 1074.11, "end": 1074.61, "word": " feature", "probability": 0.81201171875}, {"start": 1074.61, "end": 1074.79, "word": " of", "probability": 0.880859375}, {"start": 1074.79, "end": 1075.11, "word": " spinal", "probability": 0.82080078125}, {"start": 1075.11, "end": 1075.45, "word": " cord", "probability": 0.90966796875}, {"start": 1075.45, "end": 1075.97, "word": " وعلى", "probability": 0.536376953125}, {"start": 1075.97, "end": 1076.49, "word": " الجناب", "probability": 0.8797200520833334}, {"start": 1076.49, "end": 1076.99, "word": " في", "probability": 0.63671875}, {"start": 1076.99, "end": 1078.19, "word": " posterior", "probability": 0.61474609375}, {"start": 1078.19, "end": 1078.87, "word": " lateral", "probability": 0.8828125}, {"start": 1078.87, "end": 1079.49, "word": " و", "probability": 0.9697265625}, {"start": 1079.49, "end": 1080.05, "word": " anterior", "probability": 0.352783203125}, {"start": 1080.05, "end": 1081.67, "word": " lateral", "probability": 0.869140625}, {"start": 1081.67, "end": 1083.85, "word": " هاي", "probability": 0.609375}, {"start": 1083.85, "end": 1083.99, "word": " هم", "probability": 0.76025390625}, {"start": 1083.99, "end": 1084.19, "word": " هنا", "probability": 0.83447265625}, {"start": 1084.19, "end": 1084.67, "word": " واضحين", "probability": 0.9854736328125}], "temperature": 1.0}, {"id": 45, "seek": 111350, "start": 1085.48, "end": 1113.5, "text": "سلساية هذا كله من ناحية ال external features يقول ال external features في anterior median وفي posterior median وفي anterior lateral و posterior lateral سلساية segment of spinal cord ايش مقصود بال segment ايش مقصود بال segment of spinal cord هاي عندي posterior horn, anterior horn", "tokens": [3794, 1211, 3794, 995, 10632, 23758, 28242, 3224, 9154, 8717, 39319, 10632, 2423, 8320, 4122, 7251, 39648, 2423, 8320, 4122, 8978, 22272, 26779, 4032, 41185, 33529, 26779, 4032, 41185, 22272, 25128, 4032, 33529, 25128, 8608, 1211, 3794, 995, 10632, 9469, 295, 28022, 12250, 1975, 1829, 8592, 3714, 4587, 9381, 23328, 20666, 9469, 1975, 1829, 8592, 3714, 4587, 9381, 23328, 20666, 9469, 295, 28022, 12250, 8032, 47302, 18871, 16254, 33529, 13482, 11, 22272, 13482], 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1666.78, "text": "C5 لـ C8 segment بطرح واحد بطرح واحد إذا بدأ السؤال بال segment يعني لو سألتك سؤال C6 segment", "tokens": [34, 20, 5296, 39184, 383, 23, 9469, 4724, 9566, 2288, 5016, 36764, 24401, 4724, 9566, 2288, 5016, 36764, 24401, 11933, 15730, 47525, 10721, 21136, 33604, 6027, 20666, 9469, 37495, 22653, 45164, 8608, 10721, 1211, 2655, 4117, 8608, 33604, 6027, 383, 21, 9469], "avg_logprob": -0.2132994199908057, "compression_ratio": 1.3557692307692308, "no_speech_prob": 0.0, "words": [{"start": 1656.2, "end": 1657.04, "word": "C5", "probability": 0.6937255859375}, {"start": 1657.04, "end": 1657.58, "word": " لـ", "probability": 0.67431640625}, {"start": 1657.58, "end": 1658.1, "word": " C8", "probability": 0.8583984375}, {"start": 1658.1, "end": 1658.52, "word": " segment", "probability": 0.419189453125}, {"start": 1658.52, "end": 1659.12, "word": " بطرح", "probability": 0.8304443359375}, {"start": 1659.12, "end": 1659.56, "word": " واحد", "probability": 0.917236328125}, {"start": 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"probability": 0.953125}, {"start": 2039.76, "end": 2040.1, "word": " root", "probability": 0.9033203125}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2041.312625, "duration_after_vad": 1939.3168749999954} \ No newline at end of file diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/vPEj4uiLQb4.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/vPEj4uiLQb4.srt new file mode 100644 index 0000000000000000000000000000000000000000..02aed78a235e332a78aa066b980cd156aafb5f80 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/vPEj4uiLQb4.srt @@ -0,0 +1,1985 @@ +1 +00:00:05,040 --> 00:00:08,620 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:08,620 --> 00:00:15,120 +وبركاته نكمل محاضرة الأسبوع الحادي عشر على ال + +3 +00:00:15,120 --> 00:00:18,420 +somatic sensation أنا شرحت لكم اللي هو a + +4 +00:00:18,420 --> 00:00:23,220 +classification of somatic sensation شرحنا أن + +5 +00:00:23,220 --> 00:00:25,760 +somatic sensation مجسمهم according to the site of + +6 +00:00:25,760 --> 00:00:29,720 +sensation لsuperficial deep and combined + +7 +00:00:29,720 --> 00:00:33,640 +sensation وشرحت لكم classification of somatic + +8 +00:00:33,640 --> 00:00:39,440 +sensation according to the type of sensation it is + +9 +00:00:39,440 --> 00:00:43,640 +a more common classification divided into three + +10 +00:00:43,640 --> 00:00:48,660 +groups mechanoreceptive sensation, thermoreceptive + +11 +00:00:48,660 --> 00:00:52,800 +sensation and pain sensation واتكلمنا عنهم + +12 +00:00:52,800 --> 00:00:58,260 +بالتفصيل في الجزء الأول من المحاضرة الآن أنتقل إلى + +13 +00:00:58,260 --> 00:01:03,180 +موضوع pain sensation مهم جدا موضوع pain sensation + +14 +00:01:03,180 --> 00:01:10,460 +أن pain receptors بنقسمه إلى thermopain + +15 +00:01:10,460 --> 00:01:17,920 +receptors، chemopain receptors، mechanopian أو + +16 +00:01:17,920 --> 00:01:22,020 +mechanopian receptors أو بنسميهم mechanosensitive + +17 +00:01:22,020 --> 00:01:26,760 +pain receptor، التانين صح كيف thermopain receptor؟ + +18 +00:01:26,760 --> 00:01:32,680 +أنا شربت شاي سخنشعرت أنه سخن و ألمني ألم يبقى هذا + +19 +00:01:32,680 --> 00:01:38,880 +يعتبر thermopain receptor شربت مياه باردة أو برد + +20 +00:01:38,880 --> 00:01:43,880 +أو الفكوية و ألمني هو بارد لكن بارد مع ألم يبقى + +21 +00:01:43,880 --> 00:01:49,420 +هذا يعتبر thermopain receptors chemoreceptors أو + +22 +00:01:49,420 --> 00:01:52,200 +chemopain receptors أكلت لمون و كان عندي جرح في + +23 +00:01:52,200 --> 00:01:58,270 +الشفة حمض مع قلم يبقى هذا يعتبر chemopain receptors + +24 +00:01:58,270 --> 00:02:01,610 +أو جبت مواد كيموية حاططهم عيدي أو حرجوا ايدي أو + +25 +00:02:01,610 --> 00:02:05,750 +قلم يبقى هذي يعتبروا chemopain receptors و + +26 +00:02:05,750 --> 00:02:09,650 +mechanosensitive pain receptors ماشي واحد ما عم + +27 +00:02:09,650 --> 00:02:12,430 +يجريبه خبط رجله في الطاولة يبقى انتقلم هذا + +28 +00:02:12,430 --> 00:02:16,890 +mechanopian receptors طالبة اتناقضت مع أخوها ضربها + +29 +00:02:16,890 --> 00:02:23,540 +خمساوي هيك يعتبر هذه mechanopian receptors According + +30 +00:02:23,540 --> 00:02:33,560 +to its site القلم حسب المكان بنقسم إلى يعني حسب + +31 +00:02:33,560 --> 00:02:41,760 +مكان ال stimulus Cutaneous سطحي على الجلد Deep + +32 +00:02:41,760 --> 00:02:48,820 +pain receptors يعني من joint من muscle من bone و + +33 +00:02:48,820 --> 00:02:52,540 +visceral pain يعني ألم من ال internal organs واحد + +34 +00:02:52,540 --> 00:02:55,520 +عنده appendicitis التهيأب في ال appendix و واحد + +35 +00:02:55,520 --> 00:03:00,080 +عنده حصوة في ال kidney renal colic و واحد عنده حصوة + +36 +00:03:00,080 --> 00:03:04,600 +في ال gallbladder كل هذا يعتبر visceral pain + +37 +00:03:04,600 --> 00:03:10,560 +receptors it is more frequently divided into و + +38 +00:03:10,560 --> 00:03:16,270 +الألم بنجسم إلى جسمين fast pain and slow pain مثال + +39 +00:03:16,270 --> 00:03:20,450 +على ال fast pain أنا بدي أخد injection حقنة أخدت + +40 +00:03:20,450 --> 00:03:25,470 +حقنة local injection ألم شديد نخزع سريع هذا fast + +41 +00:03:25,470 --> 00:03:29,930 +pain روحت أدب طول أسنان أعطاني قبرة بنج ألم شعرت + +42 +00:03:29,930 --> 00:03:33,630 +فيه بسرعة this is fast pain ماشي على السجادة في + +43 +00:03:33,630 --> 00:03:38,230 +دبوس ضرب رجلي من تحت fast pain ألم سريع لكن slow + +44 +00:03:38,230 --> 00:03:42,970 +pain واحد عنده التهيأب، deep venous thrombosis، ألم + +45 +00:03:42,970 --> 00:03:45,550 +في التجاربات في الأوردة، واحد عنده ألم في ال + +46 +00:03:45,550 --> 00:03:48,970 +muscles، وواحد عنده مشكلة في ال joints، خدنا يعتبر + +47 +00:03:48,970 --> 00:03:54,230 +ايش؟ slow pain، slow pain ال pathway ل ال pain + +48 +00:03:54,230 --> 00:04:00,490 +sensation it is lateral spinothalamic tract، راح + +49 +00:04:00,490 --> 00:04:04,610 +ناخده إن شاء الله اليوم central + +50 +00:04:04,610 --> 00:04:11,800 +perception of pain sensation الـ pain بيصلى الدماغ + +51 +00:04:11,800 --> 00:04:16,280 +عن طريق tract اسمه lateral بيمر في ال lateral + +52 +00:04:16,280 --> 00:04:20,720 +column و ال spinal cord، spino بيبدأ من ال spinal + +53 +00:04:20,720 --> 00:04:24,840 +cord، thalamic tract و بينتهي في ال thalamus يبقى + +54 +00:04:24,840 --> 00:04:27,360 +ال tract موجود في ال lateral column اسمه lateral + +55 +00:04:28,130 --> 00:04:31,690 +بيبدأ من spinal cord spinal و بنتهي في الثلامة + +56 +00:04:31,690 --> 00:04:35,250 +thalamic يبقى من ال lateral spinal thalamic tract + +57 +00:04:35,250 --> 00:04:42,010 +هذا ال tract إله جزئين جزء اسمه paleo spinal + +58 +00:04:42,010 --> 00:04:49,570 +thalamic tract و جزء ثاني اسمه neo spinothalamic + +59 +00:04:49,570 --> 00:04:54,250 +tract هذول tract حسب نوع ال pain إذا كان ال pain + +60 +00:04:54,250 --> 00:05:00,150 +slow pain راح يمر في paleo spinothalamic tract إذا + +61 +00:05:00,150 --> 00:05:05,790 +fast pain راح يمر في ال neo spinothalamic tract + +62 +00:05:05,790 --> 00:05:12,370 +يبقى ال neo spinothalamic tract مسئول عن ايه عن + +63 +00:05:12,370 --> 00:05:17,080 +fast pain طب paleospinal nephrolipathy tract مسئول + +64 +00:05:17,080 --> 00:05:24,340 +عن ايه؟ عن slow pain تمام أخدنا في ال experiment + +65 +00:05:24,340 --> 00:05:28,640 +عملنا experiment و احنا عارفين ال pain sensation + +66 +00:05:28,640 --> 00:05:32,720 +أو ال sensation بتنتهي في ال postcentral gyrus + +67 +00:05:32,720 --> 00:05:40,640 +area 123 أجالك ال pain sensation بيصل إلى area 123 + +68 +00:05:40,640 --> 00:05:46,400 +يبقى postcentral gyrus تعتبر central area أو + +69 +00:05:46,400 --> 00:05:52,220 +central cortical area for pain sensation أي pain + +70 +00:05:52,220 --> 00:05:57,240 +sensation؟ for fast pain sensation for fast pain + +71 +00:05:57,240 --> 00:06:02,540 +sensation طبعا slow pain وين بيصل؟ ال slow pain + +72 +00:06:02,540 --> 00:06:08,470 +ما بيصلش ل area 123 بينتهي في ال thalamus و ال + +73 +00:06:08,470 --> 00:06:10,670 +reticular formation في البرنامج السنبلي فلوب في + +74 +00:06:10,670 --> 00:06:15,810 +experiment أخدنا و عملنا lesion جسينا ال post + +75 +00:06:15,810 --> 00:06:19,050 +central gyrus و رميناها على الجط عاملينها post + +76 +00:06:19,050 --> 00:06:24,030 +central gyrus جسناها المريض بيبقى ليه شعور في ال + +77 +00:06:24,030 --> 00:06:29,210 +fast pain بيقل يشعرش في ال fast pain لكن ال slow + +78 +00:06:29,210 --> 00:06:33,850 +pain بيشعر فيه، ليه؟ لأن ال slow pain بينتهي في ال + +79 +00:06:33,850 --> 00:06:38,170 +thalamus و في ال reticular formation و ما بيصل إلى + +80 +00:06:38,170 --> 00:06:43,870 +ال area 123 اللي موجودة في ال postcentral gyrus of + +81 +00:06:43,870 --> 00:06:49,110 +parietal lobe نتكلم على visceral pain الألم اللي + +82 +00:06:49,110 --> 00:06:50,590 +جاي من الأعضاء الداخلية + +83 +00:06:53,280 --> 00:06:57,320 +pain is almost the only sensation produced from + +84 +00:06:57,320 --> 00:07:02,600 +viscera ايش ال characteristics بتاعة visceral pain + +85 +00:07:02,600 --> 00:07:07,260 +ممكن يكون slow pain dull pain slow بنسميه dull + +86 +00:07:07,260 --> 00:07:11,580 +pain أو spasmodic pain يعني ايش spasmodic يعني + +87 +00:07:11,580 --> 00:07:16,640 +colic pain مغص كلوي واحد عنده مغص مرة عملتله مغص + +88 +00:07:16,640 --> 00:07:22,270 +تمام يبقى هذا يعتبر colic pain أو frequently + +89 +00:07:22,270 --> 00:07:27,130 +referred to a specific area in the skin والألم هذا + +90 +00:07:27,130 --> 00:07:32,110 +بيسمع في مكان على الجلد يعني كيف؟ يعني واحد عنده + +91 +00:07:32,110 --> 00:07:37,730 +حصوة في الكلى، الألم ينزل + +92 +00:07:37,730 --> 00:07:42,730 +و referred لـ inguinal area الميل بنزل لـ scrotum، + +93 +00:07:42,730 --> 00:07:48,590 +لـ testicular area طيب مريض ثاني عنده gall bladder + +94 +00:07:48,590 --> 00:07:53,890 +stone عنده حصوة في المرارة القلم ممكن يسمع و يشعر + +95 +00:07:53,890 --> 00:07:56,990 +.. و القلم radiating وين؟ لـ ال tip of shoulder + +96 +00:07:56,990 --> 00:08:00,390 +يطلع القلم فوق لل shoulder عن طريق phrenic nerve + +97 +00:08:00,390 --> 00:08:05,180 +أو the phrenic nerve واضح؟ مريض عنده myocardial + +98 +00:08:05,180 --> 00:08:10,700 +infarction MI الألم ممكن radiating ل ال medial ال + +99 +00:08:10,700 --> 00:08:13,480 +aspect of lower limb عشان هيك لما بيجيون مرضى و + +100 +00:08:13,480 --> 00:08:16,320 +خاصة كبار في السن عنده ألم في ال left shoulder + +101 +00:08:16,320 --> 00:08:19,020 +بنخاف يكون عنده جلطة في القلب بنعمل تخطيط للقلب + +102 +00:08:19,020 --> 00:08:23,680 +ضروري لهم ليه؟ عشان الموضوع اللي هو ال myocardial + +103 +00:08:23,680 --> 00:08:29,420 +infarction هذا بنسميه referred pain و usually + +104 +00:08:29,420 --> 00:08:34,200 +visceral pain associated with nausea, + +105 +00:08:34,440 --> 00:08:38,360 +parasympathetic effect يعني بيحدث معاهم غثيان، + +106 +00:08:38,360 --> 00:08:43,620 +قيء و هكذا في بعض الأحيان associated with somatic + +107 +00:08:43,620 --> 00:08:47,060 +effect يعني واحد عنده appendicitis لو يجينا نعمل له + +108 +00:08:47,060 --> 00:08:51,200 +palpation لل abdomen بنلاقي tenderness في ال wall + +109 +00:08:51,200 --> 00:08:54,340 +of the abdomen بيصير tenderness في ال muscle + +110 +00:08:54,340 --> 00:08:59,300 +بنفسهم اللي هي skeletal muscle طب ايش هي referred + +111 +00:08:59,300 --> 00:09:02,520 +pain أو radiating pain اللي أنا شرحتها قبل شوية؟ + +112 +00:09:02,520 --> 00:09:08,260 +this pain is felt away from the original site يعني + +113 +00:09:08,260 --> 00:09:13,400 +هو ألم المريض بيشعر فيه في مكان آخر مش في مكان + +114 +00:09:13,400 --> 00:09:17,880 +العضو المصاب it is commonly associated with + +115 +00:09:17,880 --> 00:09:22,030 +visceral pain أكثر شيء بنشوفه في visceral pain Pain + +116 +00:09:22,030 --> 00:09:24,910 +is usually referred to a somatic structure or + +117 +00:09:24,910 --> 00:09:29,070 +dermatome that developed from the same embryonic + +118 +00:09:29,070 --> 00:09:34,690 +segment which pain originated يعني القلم بيسمع في + +119 +00:09:34,690 --> 00:09:39,930 +المكان اللي على سبيل المثال ال heart بيسمع لل + +120 +00:09:39,930 --> 00:09:43,090 +upper limb في المكان اللي موجود المركز تبع ال + +121 +00:09:43,090 --> 00:09:46,870 +somatic area و ال visceral area نفس المركز يكون + +122 +00:09:46,870 --> 00:09:53,820 +قريب على بعض في نفس المكان هي عند مريض عنده + +123 +00:09:53,820 --> 00:09:57,220 +myocardial infarction جلطة في القلب الألم راح لل + +124 +00:09:57,220 --> 00:10:03,840 +segment T1-T4 ومنه كمان شعر المريض أنه في ألم + +125 +00:10:03,840 --> 00:10:12,000 +في left shoulder and R example + +126 +00:10:13,220 --> 00:10:18,420 +example of referred pain أمثلة على ال referred pain + +127 +00:10:18,420 --> 00:10:24,140 +inflammation of the gallbladder التهاب المرارة + +128 +00:10:24,140 --> 00:10:31,380 +الألم وين بيروح لل tip of right shoulder كتف + +129 +00:10:31,380 --> 00:10:35,560 +من أعلى cardiac pain الألم الناتج عن مشاكل في + +130 +00:10:35,560 --> 00:10:40,020 +القلب بيروح لوين؟ لـ left arm لـ الـ medial + +131 +00:10:40,020 --> 00:10:45,220 +aspect أو inner aspect of left arm و بعض الأحيان + +132 +00:10:45,220 --> 00:10:50,820 +لما بيكون inferior MI جلطة في القلب في الجلد + +133 +00:10:50,820 --> 00:10:54,780 +السفلي الألم بنزل للمعدة و كثير حالات بيجوا على + +134 +00:10:54,780 --> 00:10:58,460 +استقبال مشاكل في المعدة و الدكتور ده كان صاحي يخطط + +135 +00:10:58,460 --> 00:11:00,720 +للقلب ممكن يكون عنده جلطة في القلب المريض جاي + +136 +00:11:00,720 --> 00:11:06,200 +الجلطة في الجزء السفلي اليمين من القلب والألم يضرب + +137 +00:11:06,200 --> 00:11:11,240 +وين؟ في ال epigastrium في مكان المعدة ال kidney pain + +138 +00:11:11,240 --> 00:11:15,160 +أو ال gastric pain الألم ممكن ينزل لل epigastrium + +139 +00:11:15,160 --> 00:11:21,660 +حوالين سرة البطن ال kidney pain الألم ممكن ينزل إلى أين؟ + +140 +00:11:21,660 --> 00:11:23,940 +إلى الـ inguinal area زي ما اتكلمنا و إلى ال + +141 +00:11:23,940 --> 00:11:27,540 +testicular region ال pain اللي ناتج عن ال + +142 +00:11:27,540 --> 00:11:30,380 +appendicitis اللي في ال appendix ممكن الألم ينتج + +143 +00:11:30,380 --> 00:11:34,320 +إلى أين؟ إلى ال paraumbilical من ال right iliac + +144 +00:11:34,320 --> 00:11:41,300 +fossa إلى ال paraumbilical region الآن أنا اتكلمت + +145 +00:11:41,300 --> 00:11:48,580 +على pain sensation اليوم أنا بدي أفهمكم pathway of + +146 +00:11:48,580 --> 00:11:53,920 +superficial and pain sensation نشرح ال pathway + +147 +00:11:53,920 --> 00:11:56,900 +بتاع ال sensation على أساس أنه في سنة رابعة أن + +148 +00:11:56,900 --> 00:11:59,980 +نضلينا طيبين لسنة رابعة لما أشرح لكم ال spinal cord + +149 +00:11:59,980 --> 00:12:03,220 +lesions و الأمراض اللي بتصيب ال spinal cord أن نكون + +150 +00:12:03,220 --> 00:12:08,040 +عارفين ايش ال pathway و يكون أسهل لكم موضوع فهم + +151 +00:12:08,040 --> 00:12:16,120 +ايش الأمراض ال sensory pathway or axis ال sensory + +152 +00:12:16,120 --> 00:12:20,880 +pathway include أي pathway لـ sensation مهما كان + +153 +00:12:20,880 --> 00:12:24,140 +ال sensation لازم الإشارة تبدأ من ال receptors، + +154 +00:12:24,140 --> 00:12:29,260 +مستقبل، بعد هيك، بتمر في sensory nerve، في عصب + +155 +00:12:29,260 --> 00:12:35,140 +حسي، بعد هيك، بيمر في tract، في tract، و بيكون + +156 +00:12:35,140 --> 00:12:39,800 +ascending tract، afferent tract لحد ما يصل لوين؟ ل + +157 +00:12:39,800 --> 00:12:44,760 +higher center و في النهاية بيلزمني cortical central + +158 +00:12:44,760 --> 00:12:48,500 +area لما أنا اتكلم عن ال motor العكس راح ابدأ من + +159 +00:12:48,500 --> 00:12:53,920 +cortical motor area بعدين tract بعدين motor nerve + +160 +00:12:53,920 --> 00:12:58,780 +بعدين muscle شوفنا ال motor العكس descending بيكون + +161 +00:12:58,780 --> 00:13:05,300 +أو efferent ال sensory عكسه ascending أو afferent + +162 +00:13:06,960 --> 00:13:11,300 +All somatic sensations pass through three order + +163 +00:13:11,300 --> 00:13:15,320 +neurons كل somatic sensations بيمروا بكم نيرون؟ + +164 +00:13:15,320 --> 00:13:17,480 +three order نيرون + +165 +00:13:24,310 --> 00:13:28,930 +بيكون وين موجود في ال peripheral nervous system في + +166 +00:13:28,930 --> 00:13:36,150 +ال ganglia أما ganglion of spinal nerve و أما + +167 +00:13:36,150 --> 00:13:40,430 +ganglion of cranial nerve ال second order نيرون + +168 +00:13:40,430 --> 00:13:43,810 +بيكون في ال central nervous system أما في ال + +169 +00:13:43,810 --> 00:13:48,250 +spinal cord و أما في ال brain stem قاعدة هي + +170 +00:13:48,250 --> 00:13:53,210 +القواعد نعملهم first + +171 +00:13:55,110 --> 00:14:04,530 +order راح يكون وين؟ أما في spinal أو cranial nerve + +172 +00:14:04,530 --> 00:14:14,290 +ganglion أول قاعدة طب second order راح + +173 +00:14:14,290 --> 00:14:20,450 +يكون أما في spinal cord موجود وين في spinal cord + +174 +00:14:23,100 --> 00:14:33,680 +in the spinal cord or brain stem + +175 +00:14:33,680 --> 00:14:44,620 +third order neuron تمام؟ + +176 +00:14:44,620 --> 00:14:50,060 +رح يكون وين؟ في ال thalamus هو راح يكون في ال + +177 +00:14:50,060 --> 00:14:53,860 +thalamus واضح؟ فالطريقة هذه أنا بعمل أي pathway و + +178 +00:14:53,860 --> 00:14:56,900 +أنطبقه على القاعدة هذه راح نلاحظ أن ال first order + +179 +00:14:56,900 --> 00:15:01,500 +موجود في spinal root ganglion أما spinal و أما + +180 +00:15:01,500 --> 00:15:05,940 +cranial ganglion second order أما بيكون في spinal + +181 +00:15:05,940 --> 00:15:08,840 +cord أما في ال brain stem و ال third order neuron + +182 +00:15:08,840 --> 00:15:13,000 +راح يكون في ال thalamus الطريقة هذه أنا بشرح أي + +183 +00:15:13,000 --> 00:15:21,320 +pathway أي pathway نبدأ الآن في ال pathway of the + +184 +00:15:21,320 --> 00:15:25,460 +superficial sensation ما بدي أجيب الكلام أنا هذا + +185 +00:15:25,460 --> 00:15:34,160 +رسمة رسمها طلابي في الطب نتبع مع بعض ال first + +186 +00:15:34,160 --> 00:15:41,700 +order neuron ال first order neuron هي رح يكون + +187 +00:15:42,870 --> 00:15:46,450 +Posterior Root Ganglion Posterior Root Ganglion + +188 +00:15:46,450 --> 0 + +201 +00:16:30,970 --> 00:16:35,130 +يجي مين هو الـ first order neuron هو posterior root + +202 +00:16:35,130 --> 00:16:38,630 +ganglion بعدها الإشارة بتروح بالـ axon of first + +203 +00:16:38,630 --> 00:16:44,970 +order neuron بتمر في الـ posterior root nerve أو في + +204 +00:16:44,970 --> 00:16:51,730 +الـ posterior root بتروح لـ الـ posterior horn cells + +205 +00:16:51,730 --> 00:16:58,920 +في الـ posterior horn cells في شيء اسمه Substantia + +206 +00:16:58,920 --> 00:17:02,900 +Gelatinosa of Rolando مكتوب عندكوا فى الـ slide راح + +207 +00:17:02,900 --> 00:17:07,740 +نشوفها Substantia Gelatinosa of Rolando يبقى نتبع + +208 +00:17:07,740 --> 00:17:12,580 +الـ second order neuron وين موجود؟ Spinal cord or + +209 +00:17:12,580 --> 00:17:16,120 +brainstem يبقى صح هذا في الـ spinal cord يبقى الـ + +210 +00:17:16,120 --> 00:17:20,640 +second order neuron موجود وين؟ في الـ posterior horn + +211 +00:17:20,640 --> 00:17:27,200 +cells اسمها substantia gelatinosa of Rolando لحظة + +212 +00:17:27,200 --> 00:17:31,020 +هنا أخدنا segment واخدنا segment different segment + +213 +00:17:31,020 --> 00:17:35,780 +بعد الإشارة تعمل الـ crossing directly تعمل الـ + +214 +00:17:35,780 --> 00:17:39,840 +crossing directly في الـ entry of spinal cord و + +215 +00:17:39,840 --> 00:17:42,580 +بتتجه إلى الـ opposite side of spinal cord بتنتج + +216 +00:17:42,580 --> 00:17:46,480 +إلى وين؟ إلى الـ opposite side of spinal cord بتطلع + +217 +00:17:46,480 --> 00:17:51,680 +في شيء اسمه Lateral spinothalamic tract اللي أنا + +218 +00:17:51,680 --> 00:17:55,400 +شرحته موجود + +219 +00:17:55,400 --> 00:17:59,760 +في lateral ايش column spinal cord ascending tract + +220 +00:17:59,760 --> 00:18:03,520 +بفضل spinal cord بعد ذلك الإشارة بتمر في الـ brain + +221 +00:18:03,520 --> 00:18:09,730 +stem البرنامج سلم وبتجابل فيه tract ثاني اسمه + +222 +00:18:09,730 --> 00:18:13,570 +ventral spinothalamic tract ما شرحتوش هذا لكروت + +223 +00:18:13,570 --> 00:18:18,750 +تتش لللمس مع الـ lateral spinothalamic tract بيصير + +224 +00:18:18,750 --> 00:18:25,600 +اسمهم spinal lemniscus بصعد هذا الـ tract هو المنسكس + +225 +00:18:25,600 --> 00:18:31,380 +ميضالة أبلانجاتا فونز ميدولا أوبلونجاتا pons midbrain وبنتهي وين في + +226 +00:18:31,380 --> 00:18:35,440 +الثلمس خلصنا الـ second order neuron بيبدأ مين الـ + +227 +00:18:35,440 --> 00:18:38,040 +third order neuron قولنا وين الـ third order neuron + +228 +00:18:38,040 --> 00:18:42,120 +في الثلمس يبقى نهاية عندي الـ third order neuron + +229 +00:18:42,120 --> 00:18:46,620 +بالأخضر وين موجود في الثلمس الـ pathway بتاعته بتمر + +230 +00:18:46,620 --> 00:18:51,300 +في الـ posterior limb of internal capsule لحد ما + +231 +00:18:51,300 --> 00:18:58,520 +نصل Area 1, 2, 3 Area 1, 2, 3 بالذكرين الإنسان كيه بيكون + +232 +00:18:58,520 --> 00:19:05,420 +قولنا هيك الإنسان بيكون رأسه تحت إيديه + +233 +00:19:05,420 --> 00:19:08,640 +في + +234 +00:19:08,640 --> 00:19:12,700 +الوسط و الـ lower limbs فوق يبقى ده إذا الإشارة جاية + +235 +00:19:12,700 --> 00:19:19,320 +من الـ face بيروح لـ inferior postcentral gyrus إذا + +236 +00:19:19,320 --> 00:19:24,380 +الإشارة جاية من الـ foot من القدم بيروح لـ superior + +237 +00:19:24,380 --> 00:19:29,500 +postcentral gyrus يبقى الإنسان في الدماغ العكس و + +238 +00:19:29,500 --> 00:19:33,740 +احنا هنا رأسنا فوق رجلينا تحت إذا الإنسان محكم + +239 +00:19:33,740 --> 00:19:37,300 +بيكونش بيصير محروم رأسه تحت رجليه فوق و هيك + +240 +00:19:37,300 --> 00:19:43,340 +الإنسان موجود في الدماغ رأسه تحت و رجليه فوق يبقى + +241 +00:19:43,340 --> 00:19:43,920 +كمان مرة + +242 +00:19:47,270 --> 00:19:51,810 +نشرح الـ pain temperature sensation الإشارة أجت من + +243 +00:19:51,810 --> 00:19:55,770 +الـ Receptors راحت للـ Peripheral nerve راحت للـ + +244 +00:19:55,770 --> 00:19:59,050 +First Order Neuron مين هو الـ First Order Neuron؟ + +245 +00:19:59,050 --> 00:20:03,130 +Posterior Root Ganglion بعد هيك بتمر في الـ Axon + +246 +00:20:03,130 --> 00:20:06,530 +of the First Order Neuron اسمه Posterior Root + +247 +00:20:06,530 --> 00:20:10,250 +راح تصل لوين؟ للبوستيريو هور سيلز في البوستيريو + +248 +00:20:10,250 --> 00:20:15,030 +هور سيلز في Second Order Neuron اسمه Substantia + +249 +00:20:15,030 --> 00:20:18,490 +Gelatinosa of Rolando بعدها الفيبرز + +250 +00:20:20,730 --> 00:20:24,950 +في الـ entry of spinal cord كل segment بعمل + +251 +00:20:24,950 --> 00:20:28,770 +crossing في المدخل بتاعه و الـ crossing بتروح للـ + +252 +00:20:28,770 --> 00:20:32,290 +opposite side و بيصعدوا في tract اسمه lateral + +253 +00:20:32,290 --> 00:20:36,390 +spinothalamic tract for pain and temperature + +254 +00:20:36,390 --> 00:20:41,100 +sensation و بالتحت في brain stem tract ثاني اسمه + +255 +00:20:41,100 --> 00:20:45,160 +Ventral Spinal Thalamic Tract مسئول عن الكروت تتش + +256 +00:20:45,160 --> 00:20:49,680 +و بصبح اسمهم اللي هو Spinal Lemniscus بيمروا في + +257 +00:20:49,680 --> 00:20:54,200 +الميدالة أبلانجاتا في الـ Pons Midbrain و الـ End + +258 +00:20:54,200 --> 00:20:58,600 +تبعهم للثلامس من الثلامس بيبدأ مين؟ Third Order + +259 +00:20:58,600 --> 00:21:02,220 +Neuron الـ neuron الثالث بيمروا الـ fibers بتاعته عن + +260 +00:21:02,220 --> 00:21:06,700 +طريق ثلامه Cortical tract thalamocortical tract + +261 +00:21:06,700 --> 00:21:10,180 +بمروا في الـ posterior limb و الـ internal capsule لحد ما + +262 +00:21:10,180 --> 00:21:14,840 +نصل لـ postcentral gyrus إذا الإشارة جاية من الـ + +263 +00:21:14,840 --> 00:21:18,620 +lower limb بتروح لـ upper part إذا الإشارة جاية من + +264 +00:21:18,620 --> 00:21:21,940 +الـ trunk أو الـ upper limbs بتروح لـ middle part + +265 +00:21:21,940 --> 00:21:25,000 +إذا الإشارة جاية من الـ head أو الـ face بتروح للـ + +266 +00:21:25,000 --> 00:21:29,920 +lower part عكسينرجح نشوف الـ slide هن شرحناها على + +267 +00:21:29,920 --> 00:21:34,480 +الصورة ننتقل لان لالـ slide بتاعنا اللي أنا شرحته + +268 +00:21:34,480 --> 00:21:38,700 +pathway + +269 +00:21:38,700 --> 00:21:41,780 +of superficial sensation from the upper and lower + +270 +00:21:41,780 --> 00:21:42,180 +limbs + +271 +00:21:45,410 --> 00:21:49,230 +للـ Pain Temperature Sensation First Order Neuron + +272 +00:21:49,230 --> 00:21:53,710 +زي ما اتفقنا Posterior Root Ganglion كله شرحته هذا + +273 +00:21:53,710 --> 00:21:58,310 +الـ Dendrite بتجيب الإشارة من الـ Receptors عن + +274 +00:21:58,310 --> 00:22:02,910 +طريق Sensory Nerve Fibers و بتسلمها للـ First Order + +275 +00:22:02,910 --> 00:22:08,180 +Neuron اللي هو Posterior Root Ganglion الـ Axon اللي + +276 +00:22:08,180 --> 00:22:12,040 +هو medial branch هتكون بدخل للـ spinal cord + +277 +00:22:12,040 --> 00:22:16,920 +بيمر لـ الـ posterior horn cells و بيسلم الإشارة لـ + +278 +00:22:16,920 --> 00:22:20,940 +الـ second order neuron اللي هي اسمها substantia + +279 +00:22:20,940 --> 00:22:25,000 +gelatinosa of Rolando يعني فكان بطلع بالـ slide + +280 +00:22:25,000 --> 00:22:28,020 +هذا مين first order neuron؟ posterior root + +281 +00:22:28,020 --> 00:22:32,800 +ganglion مين second order؟ substantia gelatinosa of Rolando + +282 +00:22:32,800 --> 00:22:36,240 +كل segment له substantia gelatinosa of Rolando + +283 +00:22:36,240 --> 00:22:41,000 +و كل segment له posterior root ganglion + +284 +00:22:43,190 --> 00:22:46,230 +ننتقل للـ second order neuron مين هو second order + +285 +00:22:46,230 --> 00:22:51,410 +neuron؟ Substantia gelatinosa of Rolando its axon + +286 +00:22:51,410 --> 00:22:54,630 +it cross to the opposite side و قولنا الفايبر + +287 +00:22:54,630 --> 00:22:58,030 +بتاعتهم من حد ما يفوتوا في الـ spinal cord بيعمل + +288 +00:22:58,030 --> 00:23:01,350 +decussation أو crossing على الـ opposite side و + +289 +00:23:01,350 --> 00:23:06,830 +بيمروا لـ lateral spinothalamic tract زي أنا جاي + +290 +00:23:06,830 --> 00:23:11,440 +من شارع فرعي و أبدأ أمر على الشارع الرئيسي و آه أمر + +291 +00:23:11,440 --> 00:23:15,180 +بمركب السيارات نفس الشيء الشارع الفرقي مركب + +292 +00:23:15,180 --> 00:23:18,080 +السيارات الشارع الرئيسي صلاح الدين هذا الـ tract + +293 +00:23:18,080 --> 00:23:22,320 +هذا مين هو؟ الـ tract و كل خط فرعي بيجي و بيصب مع + +294 +00:23:22,320 --> 00:23:26,180 +مين؟ مع الخط الرئيسي يبقى الـ tract صلاح الدين شارع + +295 +00:23:26,180 --> 00:23:29,940 +صلاح الدين okay يبقى lateral spinal thalamic tract + +296 +00:23:29,940 --> 00:23:35,320 +بيمر للميدولا أوبلونجاتا pons Medulla oblongata pons midbrain وبعد ذلك + +297 +00:23:35,320 --> 00:23:39,480 +ينتهي في الـ Thalamus ثالث نيرون يسمى الـ Thalamus + +298 +00:23:39,480 --> 00:23:43,140 +الـ fibers تصعد عن طريق الـ Posterior Limb of + +299 +00:23:43,140 --> 00:23:46,860 +Internal Capsule تمر في Tract اسمه Thalamocortical + +300 +00:23:46,860 --> 00:23:52,660 +Tract و بتنتهي في الـ Area 1, 2, 3 in both postcentral gyrus + +301 +00:23:52,660 --> 00:23:57,270 +of Parietal Lobe هكذا أنا شرحت لكم الـ path way of + +302 +00:23:57,270 --> 00:24:01,210 +pain temperature sensation اليوم ممكن أي طالب و أي + +303 +00:24:01,210 --> 00:24:05,070 +طالبة يروح يشخص على الوالدة يغزها دبوس في إيدها و + +304 +00:24:05,070 --> 00:24:07,990 +يقولها أريت أشرحلك الـ path way إيش صار معاك في + +305 +00:24:07,990 --> 00:24:11,230 +إحساس الدبوس و كيف أنت حسيتي في الدبوس و في الألم + +306 +00:24:11,230 --> 00:24:14,110 +أو يجيبليها إيش سخن بس ما تكويش إيدها اللي أنت + +307 +00:24:14,110 --> 00:24:17,910 +حارقها بالمرة و يحطلها ميا سخنة على إيدها و يقولها + +308 +00:24:17,910 --> 00:24:22,980 +أريت أشرحلك كيف أنت حسيتي بالميا السخنة كلها هي + +309 +00:24:22,980 --> 00:24:26,520 +عندنا لحظة هذا الـ pathway أنا شرحته في الـ slide + +310 +00:24:26,520 --> 00:24:30,360 +بتاعي هي الـ receptors بتروح للـ first order neuron + +311 +00:24:30,360 --> 00:24:33,660 +اللي هو posterior root ganglion بيمروا في الـ + +312 +00:24:33,660 --> 00:24:36,680 +posterior root تمام هن الـ receptors هي الـ sensory + +313 +00:24:36,680 --> 00:24:41,780 +nerve للـ second order neuron هذا first هذا second + +314 +00:24:42,920 --> 00:24:45,060 +substantia gelatinosa of Rolando الـ fibers + +315 +00:24:45,060 --> 00:24:47,860 +بيعملوا crossing و بيطلعوا في الـ lateral + +316 +00:24:47,860 --> 00:24:50,200 +spinothalamic tract نفس الشيء أعضاء الـ segment الثاني + +317 +00:24:50,200 --> 00:24:53,680 +lateral spinothalamic tract بيمروا في الـ brain + +318 +00:24:53,680 --> 00:24:57,840 +stem لحد ما نصل لوين لـ third order neuron thalamus + +319 +00:24:57,840 --> 00:25:01,280 +بعدين بيروحوا لـ postcentral gyrus هيك الـ pathway + +320 +00:25:01,280 --> 00:25:05,080 +of pain temperature sensation أنا ماشي في الطريق + +321 +00:25:05,080 --> 00:25:10,820 +قلت ده بقص رجلين الإشارة + +322 +00:25:10,820 --> 00:25:15,730 +طلعت مع الـ spinal nerve اللي هو dendrite تبع first + +323 +00:25:15,730 --> 00:25:20,830 +order neuron هي الـ first order neuron الإشارة راحت + +324 +00:25:20,830 --> 00:25:26,070 +لـ spinal cord لـ second order neuron الـ fibers + +325 +00:25:26,070 --> 00:25:28,940 +عملوا crossing و راحوا لوين؟ لـ lateral + +326 +00:25:28,940 --> 00:25:32,460 +spinothalamic tract عملوا relay وين؟ في الـ third + +327 +00:25:32,460 --> 00:25:37,400 +order neuron thalamus بعد هيك لـ area 1, 2, 3 اللي هي + +328 +00:25:37,400 --> 00:25:44,060 +cortical area لحظة لو جينا مريض نقص عنده عصب بطر + +329 +00:25:44,060 --> 00:25:48,400 +أو إصابة إصابة في رجله نقص العصب بيبطل يشعر في + +330 +00:25:48,400 --> 00:25:54,650 +الـ dermatome تبعته تمام مريض حدث عنده حزام ناري و + +331 +00:25:54,650 --> 00:26:01,410 +صاب الجانجليوم herpes zoster virus بيشعر بقلم في + +332 +00:26:01,410 --> 00:26:03,410 +نفس الـ root في نفس الـ nerve على نفس الجهة و بيكون + +333 +00:26:03,410 --> 00:26:07,790 +عنده vesicles زي طفح جلد فيه طيب مريض صار مشكلة + +334 +00:26:07,790 --> 00:26:10,670 +أنه في الـ posterior horn cells نفس الشيء في نفس الـ + +335 +00:26:10,670 --> 00:26:14,210 +dermatome إيه بيبطل الحس طب لو واحد أجي عنده + +336 +00:26:14,210 --> 00:26:19,190 +الصاصة و قطعت الـ spinal cord على الـ right side إيش + +337 +00:26:19,190 --> 00:26:22,750 +بيصير في الـ pain temperature sensation بيصير loss + +338 +00:26:22,750 --> 00:26:29,090 +of pain temperature sensation below the level تحت + +339 +00:26:29,090 --> 00:26:33,050 +مستوى الإصابة بس على أي جهة؟ على الـ opposite side + +340 +00:26:33,050 --> 00:26:36,310 +وين بتكون؟ على إيه؟ opposite side طب ليش على الـ + +341 +00:26:36,310 --> 00:26:40,310 +opposite side يا دكتور؟ لإنه الـ tract right spinal + +342 +00:26:40,310 --> 00:26:43,230 +thalamic tract الـ fibers ده بتاعتها من الـ left في + +343 +00:26:43,230 --> 00:26:46,170 +الجهة ده انضرب الـ right و راح يبطل يشعر في الـ + +344 +00:26:46,170 --> 00:26:51,010 +left مريض صار معاه جلطة دماغية في الـ area 1, 2, 3 بيصير + +345 +00:26:51,010 --> 00:26:53,850 +فقدان الإحساس على الـ opposite side مريض حدث مع + +346 +00:26:53,850 --> 00:26:56,930 +جلطة دماغية في الطلمس بيصير عنده فقدان الإحساس + +347 +00:26:56,930 --> 00:27:00,770 +عوين على الـ opposite side واضح؟ يبقى بعد ما يعملوا + +348 +00:27:00,770 --> 00:27:03,770 +fibers crossing إذا صار إصابة على الـ opposite side + +349 +00:27:03,770 --> 00:27:05,990 +قبل ما يعملوا crossing على نفس الـ side + +350 +00:27:12,150 --> 00:27:18,530 +يعني أنا شرحتلكوا بطريقة مملة و بزيارة و بزيادة ما + +351 +00:27:18,530 --> 00:27:22,610 +تفهموها أشهر هذه الموضوع مهم جدا لو كنت أتأخر فيه + +352 +00:27:22,610 --> 00:27:28,330 +في المحاضرة مش مشكلة بدي تفهموه صح هاي عين دي + +353 +00:27:28,330 --> 00:27:31,550 +البني هذا اللون أو الأصفر هذا deep sensation ما رح + +354 +00:27:31,550 --> 00:27:35,170 +أشرحه الآن نشوف الـ pain temperature هاي receptors + +355 +00:27:35,170 --> 00:27:39,050 +sensory neuron Posterior Root Ganglion first order + +356 +00:27:39,050 --> 00:27:42,710 +neuron الإشارة على الـ posterior root على second + +357 +00:27:42,710 --> 00:27:45,070 +order neuron substantia gelatinosa of Rolando + +358 +00:27:45,070 --> 00:27:48,550 +عملوا crossing على الـ entry of spinal cord طلوا + +359 +00:27:48,550 --> 00:27:51,590 +على spinothalamic tract lateral spinothalamic tract بيمر في الـ brain stem + +360 +00:27:51,590 --> 00:27:57,910 +وبعد هيك راح لوين لـ third order neuron thalamus و مر + +361 +00:27:57,910 --> 00:28:01,190 +في الـ posterior limb of internal capsule لحد ما نصل الـ + +362 +00:28:01,190 --> 00:28:08,430 +area 1, 2, 3 هيك بيكون أنا شرحتلكوا pain + +363 +00:28:08,430 --> 00:28:19,610 +temperature sensation هيك + +364 +00:28:19,610 --> 00:28:23,890 +الإنسان بيكون في الدماغ الرأس تحت الـ upper limbs + +365 +00:28:23,890 --> 00:28:27,170 +في النص و الـ lower limbs في الأعلى و الـ lower + +366 +00:28:27,170 --> 00:28:32,740 +limbs في الأعلى الـ pathway of touch sensation الـ + +367 +00:28:32,740 --> 00:28:37,760 +touch sensation اللمس من قسم إلى قسمين لو جيبنا + +368 +00:28:37,760 --> 00:28:41,840 +الجلد سن الجلم حطته على رأسها ده أو الإبرة شرطها + +369 +00:28:41,840 --> 00:28:46,180 +هذي fine touch يعني fine touch good localized + +370 +00:28:46,180 --> 00:28:51,100 +touch sensation الـ fine touch ما رح أتكلم عنها لأن + +371 +00:28:51,100 --> 00:28:54,440 +الـ pathway بتاعها اسمه gracile and cuneate + +372 +00:28:54,440 --> 00:28:58,540 +tract الـ fine touch نفس الـ pathway بتاع الـ deep + +373 +00:28:58,540 --> 00:29:02,200 +sensation يعني الـ fine touch رح أشرحه مع وين؟ مع + +374 +00:29:02,200 --> 00:29:05,980 +الـ deep sensation مع مين؟ مع الـ deep sensation okay + +375 +00:29:06,630 --> 00:29:10,810 +طب الـ crude touch إيش crude touch؟ هي جيبنا ورقة + +376 +00:29:10,810 --> 00:29:14,270 +حطيناها على وجهها على الخد لمسناها في حاسة لمس + +377 +00:29:14,270 --> 00:29:18,410 +فيه هذا اسمه crude touch الستات حطوا الطرحة على + +378 +00:29:18,410 --> 00:29:22,970 +راسهم هذا اسمها crude touch يعني poor localized + +379 +00:29:22,970 --> 00:29:29, + +401 +00:31:20,160 --> 00:31:23,920 +tract وغير هيك كله نفس الشيء كله نفس ال pain + +402 +00:31:23,920 --> 00:31:27,360 +temperature sensation يقول هيك أنا خلصت لكم موضوع + +403 +00:31:27,360 --> 00:31:32,420 +ال touch sensation ال touch sensation أنتج لأخر + +404 +00:31:32,420 --> 00:31:39,360 +موضوع في المحاضرة اللي هو pathway of deep sensation + +405 +00:31:39,360 --> 00:31:43,680 +pathway of deep sensation نشرحه هنا على ال slide + +406 +00:31:43,680 --> 00:31:47,900 +اللي أنا لا اسمه ولا كلات بالطب أجتني إشارة من ال + +407 +00:31:47,900 --> 00:31:52,620 +receptors من ال joint من أيه؟ من ال joint يبقى أن + +408 +00:31:52,620 --> 00:31:58,180 +هذه من upper limb على سبيل المثال وهذه من وين؟ من + +409 +00:31:58,180 --> 00:32:05,990 +lower limb من وين؟ من ال lower limb ال ..لكن في ال + +410 +00:32:05,990 --> 00:32:09,450 +slide أنا في ال slide المرسوم كله يعتبر upper limb + +411 +00:32:09,450 --> 00:32:12,190 +ماعلينا خلّيني أعتبره ايش من ال upper limb الثانية + +412 +00:32:12,190 --> 00:32:18,870 +من upper limb الإشارة تيجي من ال receptors تبع ال + +413 +00:32:18,870 --> 00:32:22,650 +joint أو ال ligament أو muscle نفس الشيء نفس ال + +414 +00:32:22,650 --> 00:32:26,470 +temperature أوروبيا بتروح على ال sensory nerve نفس + +415 +00:32:26,470 --> 00:32:32,210 +الشيء ال first order neuron والـ third order neuron + +416 +00:32:32,210 --> 00:32:35,170 +نفس الشيء نفس الـ pain و ال temperature ال first و + +417 +00:32:35,170 --> 00:32:39,190 +ال third نفس الشيء اختلاف ال second ال fibers + +418 +00:32:39,190 --> 00:32:45,720 +تبعتهم بتروح في ال posterior ايش؟ root في ال + +419 +00:32:45,720 --> 00:32:50,720 +posterior root بعدين، لحظة، بتفوتش لل posterior + +420 +00:32:50,720 --> 00:32:57,140 +horn cells، تصعد في شيء اسمه connect tract وشيء + +421 +00:32:57,140 --> 00:33:01,980 +اسمه gracile tract، ملاحظة، gracile tract بيكون + +422 +00:33:01,980 --> 00:33:06,210 +more media، يبقى أن هذا gracile هذا أيه؟ Grassel و + +423 +00:33:06,210 --> 00:33:11,110 +هذا أيه؟ Cuneate ل Grassel بيكون more medial و + +424 +00:33:11,110 --> 00:33:14,710 +مسئول عن ال lower half of the body يبقى مين مسئول + +425 +00:33:14,710 --> 00:33:18,150 +عن حركة ال knee joint في ال lower limb؟ Grassel + +426 +00:33:18,150 --> 00:33:21,830 +tract مين مسئول عن ال elbow joint؟ Cuneate + +427 +00:33:21,830 --> 00:33:25,010 +tract Cuneate lateral مسئول عن ال upper half of + +428 +00:33:25,010 --> 00:33:28,350 +the body Grassel medial مسئول عن ال lower half of + +429 +00:33:28,350 --> 00:33:32,660 +the body لاحظوا في الـ spinal cord الـ deep + +430 +00:33:32,660 --> 00:33:34,920 +sensation ماعملش crossing، بيروحش على الـ opposite + +431 +00:33:34,920 --> 00:33:39,820 +side، بصعد على نفس الصعيد، في شيء اسمه connect and + +432 +00:33:39,820 --> 00:33:45,060 +gracile tract، ماعملش decussation، و بمر على + +433 +00:33:45,060 --> 00:33:48,420 +المضلة أبل أن جاتها، gracile tract بيسلم + +434 +00:33:48,420 --> 00:33:51,340 +gracile nucleus، و cuneate tract بيسلم + +435 +00:33:51,340 --> 00:33:54,760 +cuneate nucleus، و لحد الآن ماعملش crossing، + +436 +00:33:54,760 --> 00:34:00,590 +يبقى مين ال second order neuron؟ ها هم Second Order + +437 +00:34:00,590 --> 00:34:06,510 +Neuron in Gracile and Cuneate Nuclei in Medulla + +438 +00:34:06,510 --> 00:34:10,270 +Oblongata هل هذا بنطبق؟ Second Order Neuron إما في + +439 +00:34:10,270 --> 00:34:13,270 +الـSpinal Cord أو في الـBrain Stem صح Medulla + +440 +00:34:13,270 --> 00:34:17,480 +Oblongata في الـBrain Stem بعدها ال fibers بيعملوا + +441 +00:34:17,480 --> 00:34:21,760 +crossing و بيطلعوا في شيء اسمه medial lemniscus و + +442 +00:34:21,760 --> 00:34:26,020 +بيسلموا منه ال third order neuron thalamus وبعدها + +443 +00:34:26,020 --> 00:34:29,420 +نفس الشيء بيطلعوا cortical pathway من postero لمبو + +444 +00:34:29,420 --> 00:34:34,090 +فنتيرون الكابسول ل area 123 يبقى الاختلاف هنا في ال + +445 +00:34:34,090 --> 00:34:37,650 +second order neuron أول اختلاف أن ال second order + +446 +00:34:37,650 --> 00:34:40,170 +neuron موجود في ال brainstem في الميضا اللي قبل أن + +447 +00:34:40,170 --> 00:34:44,470 +جاتها واسمه gracile and cuneate nuclei، gracile + +448 +00:34:44,470 --> 00:34:49,790 +tract و gracile nucleus مسئولين عن ال lower half + +449 +00:34:49,790 --> 00:34:53,450 +of the body، cuneate tract و cuneate nucleus مسئولين + +450 +00:34:53,450 --> 00:34:58,070 +عن ال upper half of the body، لمين؟ deep sensation + +451 +00:34:58,070 --> 00:35:03,430 +and fine touch يبقى لو أصار damage ل gracile tract + +452 +00:35:03,430 --> 00:35:08,890 +أو cuneate tract بيصير loss of deep sensation and + +453 +00:35:08,890 --> 00:35:14,550 +fine touch below the level of lesion إبسي لاترالة + +454 +00:35:14,550 --> 00:35:17,590 +على نفس الجهة ليش على نفس الجهة؟ لأنه ماعملوش + +455 +00:35:17,590 --> 00:35:20,950 +crossing ماعملوش crossing لكن لو صار damage على ال + +456 +00:35:20,950 --> 00:35:24,850 +medial lemniscus أو على ال thalamus أو area 123 + +457 +00:35:24,850 --> 00:35:27,230 +بيصير lost بس على ال opposite side يبقى أن ده ال + +458 +00:35:27,230 --> 00:35:30,510 +damage قبل ال decussation على نفس ال side بعد ال + +459 +00:35:30,510 --> 00:35:32,410 +decussation على ال opposite side + +460 +00:35:41,450 --> 00:35:44,530 +هي عندي ال first order neuron هو posterior + +461 +00:35:44,530 --> 00:35:49,800 +root ganglion نفس الموضوع ال pain temperature الإشارة + +462 +00:35:49,800 --> 00:35:53,400 +بتيجي من الـ receptors بتروح مع اللي هي sensory + +463 +00:35:53,400 --> 00:35:57,040 +nerve بعد هي اللي بتسلم لل first order neuron + +464 +00:35:57,040 --> 00:36:01,940 +posterior root ganglion ال tract أو ال axon بتاعها بيمر + +465 +00:36:01,940 --> 00:36:05,140 +في ال spinal cord بدخلش على ال posterior horn + +466 +00:36:05,140 --> 00:36:10,580 +cells بيروح direct لوين؟ اللي هو gracile and + +467 +00:36:10,580 --> 00:36:14,730 +cuneate tract بعد هيك بيمر في الـ posterior limb في + +468 +00:36:14,730 --> 00:36:17,530 +الـ posterior column of spinal cord يكون ال gracile + +469 +00:36:17,530 --> 00:36:20,890 +tract و ال cuneate tract و الموجودين في ال + +470 +00:36:20,890 --> 00:36:25,810 +posterior column of spinal cord بيصعدوا على نفس ال + +471 +00:36:25,810 --> 00:36:29,530 +side without decussation و بيعملوا relay و بيسلموا + +472 +00:36:29,530 --> 00:36:32,710 +الإشارة ل ال second order neuron في الميدالة + +473 +00:36:32,710 --> 00:36:38,690 +أبلانجاتا اسمها gracile and cuneate nuclei Second + +474 +00:36:38,690 --> 00:36:42,270 +Order Neurons هما Gracile and Cuneate nuclei + +475 +00:36:42,270 --> 00:36:45,430 +الموجودة في الميدالة أبلانجاتا بيحدثوا بعدها + +476 +00:36:45,430 --> 00:36:48,550 +decussation على ال opposite side في الميدالة + +477 +00:36:48,550 --> 00:36:52,030 +أبلانجاتا بيروحوا ل medial lemniscus وبعد ذلك + +478 +00:36:52,030 --> 00:36:55,850 +بيصعدوا في pons من ال brain و بيعملوا relay win في + +479 +00:36:55,850 --> 00:36:59,980 +الثلامس يبقى أن الثلامس يعتبر third order neuron هو + +480 +00:36:59,980 --> 00:37:03,460 +نفس ال pain و ال temperature sensation لاحظوا + +481 +00:37:03,460 --> 00:37:06,340 +أنتم ال first و ال third بيشبهوا بعض فيهم + +482 +00:37:06,340 --> 00:37:10,480 +الاختلاف دايما راح يكون في second order neuron ال + +483 +00:37:10,480 --> 00:37:14,540 +axon ascend to pass through the posterior limb of + +484 +00:37:14,540 --> 00:37:20,200 +internal capsule و بيمروا في ال thalamocortical + +485 +00:37:20,200 --> 00:37:24,330 +tract لحد ما يوصل الإشارة لـ cortical somatic + +486 +00:37:24,330 --> 00:37:29,650 +sensory area in the postcentral gyrus area 123 in + +487 +00:37:29,650 --> 00:37:37,850 +parietal lobe فهذا شرحنا هاي ال tract بيطلع ال + +488 +00:37:37,850 --> 00:37:39,190 +fibers ل + +489 +00:37:41,940 --> 00:37:45,700 +مع ال nerve لل first order neuron posterior root ganglion + +490 +00:37:45,700 --> 00:37:51,180 +بيمروا ل ال posterior column بيصعدوا في ال tract أما + +491 +00:37:51,180 --> 00:37:54,780 +gracile أو أما cuneate tract و بيروحوا ل gracile + +492 +00:37:54,780 --> 00:37:58,720 +nucleus و cuneate nucleus بعدها ال second order + +493 +00:37:58,720 --> 00:38:01,580 +neuron ال fiber يستعمل ال decussation و بتصعد على + +494 +00:38:01,580 --> 00:38:04,380 +ال opposite side في medial lemniscus و بيروح ل + +495 +00:38:04,380 --> 00:38:08,880 +third order neuron و منها ل ال area 123 أنا بدي أحرك + +496 +00:38:08,880 --> 00:38:14,020 +الـ joint بتاعي أو fine touch أو حركت ال ankle + +497 +00:38:14,020 --> 00:38:18,820 +joint الإشارة بتروح عن ال nerve على first order + +498 +00:38:18,820 --> 00:38:21,400 +neuron بصيروا الجانجليون بتفوت في ال spinal cord + +499 +00:38:21,400 --> 00:38:24,940 +ازاي gracile tract تصعد على ال second order neuron + +500 +00:38:24,940 --> 00:38:27,680 +gracile nucleus تعمل decussation على ال medial + +501 +00:38:27,680 --> 00:38:31,500 +lemniscus و بتصعد على ال third order neuron و بتسلم + +502 +00:38:31,500 --> 00:38:35,960 +الإشارة ل ال postcentral gyrus area 123 + +503 +00:38:47,620 --> 00:38:51,680 +هي واضح اندي آخر شيء هنا الفرق بينهم هذا اللون + +504 +00:38:51,680 --> 00:38:55,360 +الأزرق اللي لكيه هذا اللي هو pain temperature + +505 +00:38:55,360 --> 00:38:58,660 +sensation و ال pain هذا يعتبر deep sensation + +506 +00:38:58,660 --> 00:39:02,220 +لاحظوا أن ال first order نفس الشيء في posterior root + +507 +00:39:02,220 --> 00:39:05,620 +ganglion والـ third order نفس الشيء thalamus الاختلاف + +508 +00:39:05,620 --> 00:39:08,200 +في ال second order أن ال fibers ما دخلت على + +509 +00:39:08,200 --> 00:39:11,240 +ال posterior horn cells صعدت في ال white matter as + +510 +00:39:11,240 --> 00:39:14,660 +gracile or cuneate tract و يروحوا لل second order في + +511 +00:39:14,660 --> 00:39:18,140 +المنضلة oblongata إما cuneate أو gracile nuclei + +512 +00:39:18,140 --> 00:39:21,100 +وبعدها عملوا crossing على ال opposite side as + +513 +00:39:21,100 --> 00:39:26,660 +medial lemniscus و بيكملوا نفس الطريق ال gracile + +514 +00:39:26,660 --> 00:39:32,700 +tract موجود more medial شرحته موجود more medial شرحته + +515 +00:39:32,700 --> 00:39:32,860 +موجود more medial شرحته موجود more medial شرحته + +516 +00:39:32,860 --> 00:39:34,040 +موجود more medial شرحته موجود more medial شرحته + +517 +00:39:34,040 --> 00:39:34,260 +موجود more medial شرحته موجود more medial شرحته + +518 +00:39:34,260 --> 00:39:36,660 +موجود more medial شرحته موجود more medial شرحته + +519 +00:39:36,660 --> 00:39:37,940 +موجود more medial شرحته موجود more medial شرحته + +520 +00:39:37,940 --> 00:39:38,100 +موجود more medial شرحته موجود more medial شرحته + +521 +00:39:38,100 --> 00:39:44,340 +موجود more medial شرحته موجود + +522 +00:39:44,340 --> 00:39:49,380 +more medial + +523 +00:39:49,380 --> 00:39:54,100 +شرحته موجود + +524 +00:39:54,100 --> 00:40:00,190 +more medial شرحته موجود نفس الشيء gracile nucleus + +525 +00:40:00,190 --> 00:40:04,770 +و cuneate nucleus gracile nucleus موجودة more + +526 +00:40:04,770 --> 00:40:08,750 +medial و cuneate nucleus موجودة more lateral و + +527 +00:40:08,750 --> 00:40:12,710 +لهذا ال slide بكون أنا أنهيت لكم موضوع ال somatic + +528 +00:40:12,710 --> 00:40:16,610 +sensation وشرحنا ال pathway of somatic sensation + +529 +00:40:16,610 --> 00:40:21,090 +for pain, temperature, touch sensation and deep + +530 +00:40:21,090 --> 00:40:24,370 +sensation يعطيكم ألف عافية ودمتم بيه ألف عافية diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/vPEj4uiLQb4_raw.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/vPEj4uiLQb4_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..9e75b383dcded371b9a6a90770e51f1dd2097d7e --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/vPEj4uiLQb4_raw.srt @@ -0,0 +1,2136 @@ +1 +00:00:05,040 --> 00:00:08,620 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:08,620 --> 00:00:15,120 +وبركاته نكمل محاضرة الأسبوع الحادي عشر على ال + +3 +00:00:15,120 --> 00:00:18,420 +somatic sensation أنا شرحتلكم اللي هو a + +4 +00:00:18,420 --> 00:00:23,220 +classification of somatic sensationشرحنا ان + +5 +00:00:23,220 --> 00:00:25,760 +somatic sensation مجسمهم according to site of + +6 +00:00:25,760 --> 00:00:29,720 +sensation ل superficial deep and combined + +7 +00:00:29,720 --> 00:00:33,640 +sensation وشرحت لكم classification of somatic + +8 +00:00:33,640 --> 00:00:39,440 +sensation according to the type of sensation it is + +9 +00:00:39,440 --> 00:00:43,640 +a more common classification divided into three + +10 +00:00:43,640 --> 00:00:48,660 +groups Meccano receptive sensationthermoreceptive + +11 +00:00:48,660 --> 00:00:52,800 +sensation and pain sensation واتكلمنا عنهم + +12 +00:00:52,800 --> 00:00:58,260 +بالتفصيل في الجزء الأول من المحاضرة الآن أنتجل إلى + +13 +00:00:58,260 --> 00:01:03,180 +موضوع pain sensation مهم جدا موضوع pain sensation + +14 +00:01:03,180 --> 00:01:10,460 +أن ال pain receptors بنقسمه إلى thermopain + +15 +00:01:10,460 --> 00:01:17,920 +receptorsكيمو pain receptors، ميكانو pain أو + +16 +00:01:17,920 --> 00:01:22,020 +ميكانو pain receptors أو بنسميهم ميكانو sensitive + +17 +00:01:22,020 --> 00:01:26,760 +pain receptor، التانين صح كيف ترمو pain receptor؟ + +18 +00:01:26,760 --> 00:01:32,680 +أنا شربت شاي سخنشعرت أنه سخن و ألمني ألم يبقى هذا + +19 +00:01:32,680 --> 00:01:38,880 +يعتبر thermopain receptor شربت مياه باردة أو برد + +20 +00:01:38,880 --> 00:01:43,880 +أو الفكوية و ألمني هو بارد لكن بارد مع ألم يبقى + +21 +00:01:43,880 --> 00:01:49,420 +هذا يعتبر thermopain receptors chemoreceptors أو + +22 +00:01:49,420 --> 00:01:52,200 +chemopain receptors أكلت لمون و كان عندي جرح في + +23 +00:01:52,200 --> 00:01:58,270 +الشفةحمض مع قلم يبقى هذا يعتبر chemopain receptors + +24 +00:01:58,270 --> 00:02:01,610 +او جبت مواد كيموية حاططهم عيدي او حرجوا ايدي او + +25 +00:02:01,610 --> 00:02:05,750 +قلم يبقى هذي يعتبروا chemopain receptors و + +26 +00:02:05,750 --> 00:02:09,650 +mecanosensitive pain receptors ماشي واحد ماعم + +27 +00:02:09,650 --> 00:02:12,430 +يجلبه خبط رجله في الطاولة يبقى انتقلم هذا + +28 +00:02:12,430 --> 00:02:16,890 +mecanopain receptors طالبة اتناقضت مع أخوها ضربها + +29 +00:02:16,890 --> 00:02:23,540 +خمساوي هيك يعتبر هذه mecanopain receptorsAccording + +30 +00:02:23,540 --> 00:02:33,560 +to its site القلم حسب المكان بنقسم إلى يعني حسب + +31 +00:02:33,560 --> 00:02:41,760 +مكان ال stimulus Cotaneous سطحي على الجلد Deep + +32 +00:02:41,760 --> 00:02:48,820 +pain receptors يعني من joint من muscle من boneو + +33 +00:02:48,820 --> 00:02:52,540 +visceral pain يعني ألم من ال internal organs واحد + +34 +00:02:52,540 --> 00:02:55,520 +عنده appendicitis التهيأب في ال appendix و واحد + +35 +00:02:55,520 --> 00:03:00,080 +عنده حصوة في ال killer رينالكوليك و واحد عنده حصوة + +36 +00:03:00,080 --> 00:03:04,600 +في ال gallbladder كل هذا يعتبر visceral pain + +37 +00:03:04,600 --> 00:03:10,560 +receptors it is more frequently divided into و + +38 +00:03:10,560 --> 00:03:16,270 +الألم بنجسم إلى جسمينfast pain and slow pain مثال + +39 +00:03:16,270 --> 00:03:20,450 +على ال fast pain أنا بدي أخد injection حقنة أخدت + +40 +00:03:20,450 --> 00:03:25,470 +حقنة glial injection ألم شديد نخزع سريع هذا fast + +41 +00:03:25,470 --> 00:03:29,930 +pain روحت أدب طول أسنان أعطاني قبرة بنج ألم شعرت + +42 +00:03:29,930 --> 00:03:33,630 +فيه بسرعة this is fast pain ماشي على السجادة في + +43 +00:03:33,630 --> 00:03:38,230 +دبوس ضرب رجلي من تحت fast pain ألم سريع لكن slow + +44 +00:03:38,230 --> 00:03:42,970 +painواحد عنده التهيأب، deep venous thrombosis، ألم + +45 +00:03:42,970 --> 00:03:45,550 +في التجاربات في الأوردة، واحد عنده ألم في ال + +46 +00:03:45,550 --> 00:03:48,970 +muscles، وواحد عنده مشكلة في ال joints، خدنا يعتبر + +47 +00:03:48,970 --> 00:03:54,230 +ايش؟ slow pain، slow pain ال pathway ل ال pain + +48 +00:03:54,230 --> 00:04:00,490 +sensation it is lateral spinothalamic tract، راح + +49 +00:04:00,490 --> 00:04:04,610 +ناخده ان شاء الله اليوم central + +50 +00:04:04,610 --> 00:04:11,800 +perception of pain sensationالـ pen بيصلى الدماغ + +51 +00:04:11,800 --> 00:04:16,280 +عن طريق tract اسمه lateral بيمر في ال lateral + +52 +00:04:16,280 --> 00:04:20,720 +column و ال spinal cord، spino بيبدأ من ال spinal + +53 +00:04:20,720 --> 00:04:24,840 +cord، theramic tract و بينتهي في ال thalamus يبقى + +54 +00:04:24,840 --> 00:04:27,360 +ال tract موجود في ال lateral column اسمه lateral + +55 +00:04:28,130 --> 00:04:31,690 +ببدأ من Spinal cord Spinal و بنتهي في الثلامة + +56 +00:04:31,690 --> 00:04:35,250 +Thalamic يبقى من اللاترال Spinal Thalamic tract + +57 +00:04:35,250 --> 00:04:42,010 +هذا ال tract إله جزئين جزء اسمه Paleo Spinal + +58 +00:04:42,010 --> 00:04:49,570 +Thalamic tract و جزء ثاني اسمه NuSpinothalamic + +59 +00:04:49,570 --> 00:04:54,250 +tract هذول tract حسب نوع ال pain إذا كان ال pain + +60 +00:04:54,250 --> 00:05:00,150 +slow pain راح يمر في Paleo spinothalamic tract إذا + +61 +00:05:00,150 --> 00:05:05,790 +fast pain راح يمر في ال new spinothalamic tract + +62 +00:05:05,790 --> 00:05:12,370 +يبقى ال new spinothalamic tract مسئول عن ايه عن + +63 +00:05:12,370 --> 00:05:17,080 +fast painطب paleospinal nephrolipathy tract مسئول + +64 +00:05:17,080 --> 00:05:24,340 +عن ايه؟ عن slow pain تمام اخدنا في ال experiment + +65 +00:05:24,340 --> 00:05:28,640 +اعملنا experiment و احنا عارفين ال pain sensation + +66 +00:05:28,640 --> 00:05:32,720 +او ال sensation بتنتهي في ال boss central gyrus + +67 +00:05:32,720 --> 00:05:40,640 +area 123 اجالك ال pain sensationبصل الى area 123 + +68 +00:05:40,640 --> 00:05:46,400 +يبقى post central gyrus تعتبر central area او + +69 +00:05:46,400 --> 00:05:52,220 +central cortical area for pain sensation اي pain + +70 +00:05:52,220 --> 00:05:57,240 +sensation؟ for fast pain sensation for fast pain + +71 +00:05:57,240 --> 00:06:02,540 +sensation طبعا slow pain وين بصل؟ ال slow pain + +72 +00:06:02,540 --> 00:06:08,470 +مابصلش ل area 123 بينتهي في الthalamusو الـ + +73 +00:06:08,470 --> 00:06:10,670 +reticular formation في البرنامج السنبلي فلو في + +74 +00:06:10,670 --> 00:06:15,810 +experiment أخدنا و عملنا rejection جسينا ال post + +75 +00:06:15,810 --> 00:06:19,050 +central gyrus و راميناها على الجط عاميناها post + +76 +00:06:19,050 --> 00:06:24,030 +central gyrus جسناها المريض بيبقى ليه شعور في ال + +77 +00:06:24,030 --> 00:06:29,210 +fast painبقل يشعرش في ال fast pain لكن ال slow + +78 +00:06:29,210 --> 00:06:33,850 +pain بشعر فيه، ليه؟ لأن ال slow pain بنتهي في ال + +79 +00:06:33,850 --> 00:06:38,170 +thalamus و في ال reticular formation و ما بيصل إلى + +80 +00:06:38,170 --> 00:06:43,870 +ال area 123 اللي موجودة في ال postcentral gyrus of + +81 +00:06:43,870 --> 00:06:49,110 +parietal lobe نتكلم على visceral pain الألم اللي + +82 +00:06:49,110 --> 00:06:50,590 +جاي من الأعضاء الداخلية + +83 +00:06:53,280 --> 00:06:57,320 +pain is almost the only sensation produced from + +84 +00:06:57,320 --> 00:07:02,600 +viscera ايش ال characteristics بتاعة visceral pain + +85 +00:07:02,600 --> 00:07:07,260 +ممكن يكون slow pain dull pain slow بنسميه dull + +86 +00:07:07,260 --> 00:07:11,580 +pain او spasmodic pain يعني ايش spasmodic يعني + +87 +00:07:11,580 --> 00:07:16,640 +colic pain مغز كلوي واحد عنده حصف مررة عملتله مغز + +88 +00:07:16,640 --> 00:07:22,270 +تمام يبقى هذا يعتبر colic pain اوfrequently + +89 +00:07:22,270 --> 00:07:27,130 +referred to a specific area in the skin والألم هذا + +90 +00:07:27,130 --> 00:07:32,110 +بيسمع في مكان على الجلد يعني كيف؟ يعني واحد عنده + +91 +00:07:32,110 --> 00:07:37,730 +حصوة في الكلاب، الألم ينزل + +92 +00:07:37,730 --> 00:07:42,730 +و referred لـinguinal area الميل بنزل لـscrotum، + +93 +00:07:42,730 --> 00:07:48,590 +لـtesticular area طيب مريض ثاني عنده gall bladder + +94 +00:07:48,590 --> 00:07:53,890 +stone عنده حصوة في المرارةالقلم ممكن يسمع و يشعر + +95 +00:07:53,890 --> 00:07:56,990 +.. و القلم radiating وين؟ لـ ال tip of shoulder + +96 +00:07:56,990 --> 00:08:00,390 +يطلع القلم فوق لل shoulder عن طريق frank's nerve + +97 +00:08:00,390 --> 00:08:05,180 +او the pragmatic nerveواضح؟ مريض عنده myocardial + +98 +00:08:05,180 --> 00:08:10,700 +infarction MI الألم ممكن radiating ل ال media ال + +99 +00:08:10,700 --> 00:08:13,480 +aspect of lower limb عشان هيك لما بيجيون مرضى و + +100 +00:08:13,480 --> 00:08:16,320 +خاصة كبار في السن عنده ألم في ال left shoulder + +101 +00:08:16,320 --> 00:08:19,020 +بنخاف يكون عنده جلطة في القلب بنعمل تختيط للقلب + +102 +00:08:19,020 --> 00:08:23,680 +ضروري لهم ليه؟ عشان الموضوع اللي هو ال myocardial + +103 +00:08:23,680 --> 00:08:29,420 +infarction هذا بنسميه referred painو usually + +104 +00:08:29,420 --> 00:08:34,200 +visceral pain associated with nausea, + +105 +00:08:34,440 --> 00:08:38,360 +parasympathetic effect يعني بيحدث معاهم غفيان، + +106 +00:08:38,360 --> 00:08:43,620 +تقيق و هكذا في بعض الأحيان associated with somatic + +107 +00:08:43,620 --> 00:08:47,060 +effect يعني واحد عنده appendicitis لو يجينا نعملنا + +108 +00:08:47,060 --> 00:08:51,200 +palpation لل abdomen بنلاقي tenderness في ال wall + +109 +00:08:51,200 --> 00:08:54,340 +of the abdomen بيصير tenderness في ال muscle + +110 +00:08:54,340 --> 00:08:59,300 +بنفسهم اللي هي skeletal muscleطب إيش هي irrevered + +111 +00:08:59,300 --> 00:09:02,520 +pain أو radiating pain اللي أنا شرحتها قبل شوية؟ + +112 +00:09:02,520 --> 00:09:08,260 +this pain is felt away from the original site يعني + +113 +00:09:08,260 --> 00:09:13,400 +هو ألم المريض بيشعر فيه في مكان أخر مش في مكان + +114 +00:09:13,400 --> 00:09:17,880 +العضو المصاب it is commonly associated with + +115 +00:09:17,880 --> 00:09:22,030 +visceral pain أكتر شيء بنشوفه في visceral painPain + +116 +00:09:22,030 --> 00:09:24,910 +is usually referred to a somatic structure or + +117 +00:09:24,910 --> 00:09:29,070 +dermatome that developed from the same embryonic + +118 +00:09:29,070 --> 00:09:34,690 +segment which pain originated يعني القلم بيسمع في + +119 +00:09:34,690 --> 00:09:39,930 +المكان اللي على سبيل المثال ال heart بيسمع لل + +120 +00:09:39,930 --> 00:09:43,090 +upper limb في المكان اللي موجود المركز تبع ال + +121 +00:09:43,090 --> 00:09:46,870 +somatic area و ال visceral area نفس المركز يكون + +122 +00:09:46,870 --> 00:09:53,820 +قريب على بعض في نفس المكانهي عند مريض عنده + +123 +00:09:53,820 --> 00:09:57,220 +myocardial infarction جلطة في القلب الألم راح لل + +124 +00:09:57,220 --> 00:10:03,840 +segment أبارثوسك ومنه كمان شعر المريض أنه في ألم + +125 +00:10:03,840 --> 00:10:12,000 +في left shoulder and R example + +126 +00:10:13,220 --> 00:10:18,420 +example of referred pain امثلة على ال refered pain + +127 +00:10:18,420 --> 00:10:24,140 +inflammation of the gallbladder الاتهاب المرارة + +128 +00:10:24,140 --> 00:10:31,380 +الألم وين بيروح لل tip of right shoulder كتف + +129 +00:10:31,380 --> 00:10:35,560 +من أعلى cardiac pain الألم الناتج عن مشاكل في + +130 +00:10:35,560 --> 00:10:40,020 +القلببيروح لوين؟ لـ left arm لـ الـ immediate + +131 +00:10:40,020 --> 00:10:45,220 +aspect أو inner aspect of left arm وبعض الأحيان + +132 +00:10:45,220 --> 00:10:50,820 +لما بيكون inferior MI جلطة في القلب في الجلد + +133 +00:10:50,820 --> 00:10:54,780 +السفلي الألم بنزل للمعدة وكثير حالات بيجيوا على + +134 +00:10:54,780 --> 00:10:58,460 +استقبال مشاكل في المعدةوالدكتور ده كان صاحي يخطط + +135 +00:10:58,460 --> 00:11:00,720 +للقلب ممكن يكون عنده جلطة في القلب المريض جاي + +136 +00:11:00,720 --> 00:11:06,200 +الجلطة في الجزء الصوف باليمين من القلب والألم يضرب + +137 +00:11:06,200 --> 00:11:11,240 +وين؟ في الابيجاستروم في مكان المعدة ال kidney pain + +138 +00:11:11,240 --> 00:11:15,160 +أو ال gastric pain الألم ممكن ينزل للأمبولايكاس + +139 +00:11:15,160 --> 00:11:21,660 +حوالين سرعة ال kidney painالألم ممكن ينزل إلى أين؟ + +140 +00:11:21,660 --> 00:11:23,940 +إلى الـ inguinal area زي ما اتكلمنا و إلى ال + +141 +00:11:23,940 --> 00:11:27,540 +testicular region ال pain اللي ناتج عن ال + +142 +00:11:27,540 --> 00:11:30,380 +appendicitis اللي في ال appendix ممكن الألم ينتج + +143 +00:11:30,380 --> 00:11:34,320 +إلى أين؟ إلى ال paraombolicus من ال right iliac + +144 +00:11:34,320 --> 00:11:41,300 +fossa إلى ال paraombolicus region الآن انا اتكلمت + +145 +00:11:41,300 --> 00:11:48,580 +على pain sensationاليوم انا بدي افهمكوا pathway of + +146 +00:11:48,580 --> 00:11:53,920 +superficial and pain sensation نشرح ال pathway + +147 +00:11:53,920 --> 00:11:56,900 +بتاع ال sensation على أساس انه في سنة رابعة ان + +148 +00:11:56,900 --> 00:11:59,980 +ضلينا طيبين لسنة رابعة لما أشرحلكوا ال spinal cord + +149 +00:11:59,980 --> 00:12:03,220 +lesions و الأمراض اللي بتصيب ال spinal cord انكون + +150 +00:12:03,220 --> 00:12:08,040 +عارفين أيش ال pathway و يكون أسهل لكم موضوع فهم + +151 +00:12:08,040 --> 00:12:16,120 +أيش الأمراض ال sensory pathway or axisالـ sensory + +152 +00:12:16,120 --> 00:12:20,880 +pathway include أي pathway لـ sensation، مهما كان + +153 +00:12:20,880 --> 00:12:24,140 +الـ sensation، لازم الإشارة تبدأ من الـ receptors، + +154 +00:12:24,140 --> 00:12:29,260 +مستقبل، بعد هيك، بتمر في sensory nerve، في عصب + +155 +00:12:29,260 --> 00:12:35,140 +حسي، بعد هيك، بمر في tract، في tract، وبيكون + +156 +00:12:35,140 --> 00:12:39,800 +ascending tract، afferent tractلحد ما يصل لوين ل + +157 +00:12:39,800 --> 00:12:44,760 +higher center و في النهاية بلزملي cortical central + +158 +00:12:44,760 --> 00:12:48,500 +area لما انا اتكلم عن ال motor العكس راح ابدأ من + +159 +00:12:48,500 --> 00:12:53,920 +cortical motor area بعدين tract بعدين motor nerve + +160 +00:12:53,920 --> 00:12:58,780 +بعدين muscle شوفته ال motor العكس descending بيكون + +161 +00:12:58,780 --> 00:13:05,300 +او afferent ال sensory عكسه ascending او afferent + +162 +00:13:06,960 --> 00:13:11,300 +All somatic sensations pass through three order + +163 +00:13:11,300 --> 00:13:15,320 +neurons كل somatic sensations بيمروا بكم نيرون؟ + +164 +00:13:15,320 --> 00:13:17,480 +three order نيرون + +165 +00:13:24,310 --> 00:13:28,930 +بيكون وين موجود في ال peripheral nervous system في + +166 +00:13:28,930 --> 00:13:36,150 +ال ganglia اما ganglion of spinal nerve و اما + +167 +00:13:36,150 --> 00:13:40,430 +ganglion of cranial nerve ال second order نيرون + +168 +00:13:40,430 --> 00:13:43,810 +بيكون في ال central nervous system اما في ال + +169 +00:13:43,810 --> 00:13:48,250 +spinal cord و اما في ال brain stem قاعدة هي + +170 +00:13:48,250 --> 00:13:53,210 +القواعد نعملهم first + +171 +00:13:55,110 --> 00:14:04,530 +order راح يكون وين اما في spinal او cranial nerve + +172 +00:14:04,530 --> 00:14:14,290 +ganglion اول قاعدة طب second order راح + +173 +00:14:14,290 --> 00:14:20,450 +يكون اما في spinal cord موجود وين في spinal cord + +174 +00:14:23,100 --> 00:14:33,680 +in the spinal cord or brain stem + +175 +00:14:33,680 --> 00:14:44,620 +third order neuron تمام؟ + +176 +00:14:44,620 --> 00:14:50,060 +رح يكون وين؟ في ال thalamusهو راح يكون في الـ + +177 +00:14:50,060 --> 00:14:53,860 +thalamus واضح؟ فالطريقة هذه انا بعمل اي pathway و + +178 +00:14:53,860 --> 00:14:56,900 +انطبقه على القاعدة هذه راح نلاحظ ان ال first order + +179 +00:14:56,900 --> 00:15:01,500 +موجود في spinal root جانجليون اما spinal و اما + +180 +00:15:01,500 --> 00:15:05,940 +cranial جانجليون second order اما بيكون في spinal + +181 +00:15:05,940 --> 00:15:08,840 +cord اما في ال brain stem و ال third order neuron + +182 +00:15:08,840 --> 00:15:13,000 +راح يكون في ال thalamus طريقة هذه انا بشرح اي + +183 +00:15:13,000 --> 00:15:21,320 +pathway اي pathway نبدأ الآنفي ال pathway of the + +184 +00:15:21,320 --> 00:15:25,460 +superficial sensation مابدأ أجيب الكلام أنا هذا + +185 +00:15:25,460 --> 00:15:34,160 +رسمة رسمها طلابي في الطب انتبع مع بعض ال first + +186 +00:15:34,160 --> 00:15:41,700 +order neuron ال first order neuron هي رح يكون + +187 +00:15:42,870 --> 00:15:46,450 +Posterior Root Ganglion Posterior Root Ganglion + +188 +00:15:46,450 --> 00:15:47,770 +Posterior Root Ganglion Posterior Root Ganglion + +189 +00:15:47,770 --> 00:15:47,770 +Posterior Root Ganglion Posterior Root Ganglion + +190 +00:15:47,770 --> 00:15:48,990 +Posterior Root Ganglion Posterior Root Ganglion + +191 +00:15:48,990 --> 00:15:52,210 +Posterior Root Ganglion Posterior Root Ganglion + +192 +00:15:52,210 --> 00:15:57,150 +Posterior Root Ganglion Posterior Root Ganglion + +193 +00:15:57,150 --> 00:16:01,690 +Posterior Root Ganglion Posterior Root Ganglion + +194 +00:16:01,690 --> 00:16:03,530 +Posterior Root Ganglion Posterior Root Ganglion + +195 +00:16:03,530 --> 00:16:03,530 +Posterior Root Ganglion Posterior Root Ganglion + +196 +00:16:03,530 --> 00:16:03,530 +Posterior Root Ganglion Posterior Root Ganglion + +197 +00:16:03,530 --> 00:16:03,530 +Posterior Root Ganglion Posterior Root Ganglion + +198 +00:16:03,530 --> 00:16:03,590 +Posterior Root Ganglion Posterior Root Ganglion + +199 +00:16:03,590 --> 00:16:04,930 +Posterior Root Ganglion Posterior Root Ganglion + +200 +00:16:04,930 --> 00:16:11,180 +Posterior Root Ganglion Posterior Root Ganglionفي + +201 +00:16:11,180 --> 00:16:16,620 +الـ Finger الإشارة اتحركت من الـ Receptors + +202 +00:16:16,620 --> 00:16:21,980 +للدندريت بتاع الـ First Order Neuron اللي هو + +203 +00:16:21,980 --> 00:16:26,630 +Spinal Sensory Nerve Fibersبعد ذلك راحت وعملت + +204 +00:16:26,630 --> 00:16:30,970 +relay في ال first order نيرون في first order نيرون + +205 +00:16:30,970 --> 00:16:35,130 +يجي مين هو ال first order نيرون هو posterior root + +206 +00:16:35,130 --> 00:16:38,630 +ganglion بعدها الإشارة بتروح بال axon of first + +207 +00:16:38,630 --> 00:16:44,970 +order نيرون بتمر في ال posterior root nerve أو في + +208 +00:16:44,970 --> 00:16:51,730 +ال posterior root بتروح ل ال posterior horn cells + +209 +00:16:51,730 --> 00:16:58,920 +في ال posterior horn cellsفى شىء اسمه Substantia + +210 +00:16:58,920 --> 00:17:02,900 +Gelatinosa Overlandii مكتوب عندكوا فى ال slide راح + +211 +00:17:02,900 --> 00:17:07,740 +نشوفها Substantia Gelatinosa Overlandii يبقى نتبع + +212 +00:17:07,740 --> 00:17:12,580 +ال second order نيرون وين موجود؟ Spinal cord or + +213 +00:17:12,580 --> 00:17:16,120 +brainstem يبقى صح هذا فى ال spinal cord يبقى ال + +214 +00:17:16,120 --> 00:17:20,640 +second order نيرون موجود وين؟ فى ال posterior horn + +215 +00:17:20,640 --> 00:17:27,200 +cells اسمهاsubstantia gelatinosa of Rolandia لحظة + +216 +00:17:27,200 --> 00:17:31,020 +هنا أخدنا segment واخدنا segment different segment + +217 +00:17:31,020 --> 00:17:35,780 +بعد الإشارة تعمل ال crossing directly تعمل ال + +218 +00:17:35,780 --> 00:17:39,840 +crossing directly في ال entry of spinal cord و + +219 +00:17:39,840 --> 00:17:42,580 +بتتجه إلى ال opposite side of spinal cord بتنتج + +220 +00:17:42,580 --> 00:17:46,480 +إلى وين؟ إلى ال opposite side of spinal cord بتطلع + +221 +00:17:46,480 --> 00:17:51,680 +في شيء اسمهLateral spinothalamic tract اللي انا + +222 +00:17:51,680 --> 00:17:55,400 +شرحته موجود + +223 +00:17:55,400 --> 00:17:59,760 +في lateral ايش column spinal cord ascending tract + +224 +00:17:59,760 --> 00:18:03,520 +بفضل spinal cord بعد ذلك الإشارة بتمر في ال brain + +225 +00:18:03,520 --> 00:18:09,730 +stemالبرنامج سلم وبتجابل فيه track ثاني اسمه + +226 +00:18:09,730 --> 00:18:13,570 +ventral spine metallic tract ماشرحتوش هذا لكروت + +227 +00:18:13,570 --> 00:18:18,750 +تتش لللمس مع ال lateral spine metallic tract بيصير + +228 +00:18:18,750 --> 00:18:25,600 +اسمهم spinal lemniscus بصعد هذا ال trackهو المنسكس + +229 +00:18:25,600 --> 00:18:31,380 +ميضالة أبلانجاتا فونز ميديبرين وبنتهي وين في + +230 +00:18:31,380 --> 00:18:35,440 +الثلمس خلصنا ال second order نيرون بيبدأ مين ال + +231 +00:18:35,440 --> 00:18:38,040 +third order نيرون قولنا وين ال third order نيرون + +232 +00:18:38,040 --> 00:18:42,120 +في الثلمس يبقى نهاية عندي ال third order نيرون + +233 +00:18:42,120 --> 00:18:46,620 +بالأخضر وين موجود في الثلمس ال pathway بتاعته بتمر + +234 +00:18:46,620 --> 00:18:51,300 +في ال posterior limb of internal capsule لحد ما + +235 +00:18:51,300 --> 00:18:58,520 +نصلArea 123 Area 123 بالذكرين الإنسان كيه بيكون + +236 +00:18:58,520 --> 00:19:05,420 +قولنا هيك الإنسان بيكون رأسه تحت إيديه + +237 +00:19:05,420 --> 00:19:08,640 +في + +238 +00:19:08,640 --> 00:19:12,700 +الوسط وال lower limbs فوق يبقى ده إذا الإشارة جاية + +239 +00:19:12,700 --> 00:19:19,320 +من ال faceبيروح لل inferior postcentral gyrus إذا + +240 +00:19:19,320 --> 00:19:24,380 +الإشارة جاية من ال foot من القدم بيروح لل superior + +241 +00:19:24,380 --> 00:19:29,500 +postcentral gyrus يبقى الإنسان في الدماغ العكس و + +242 +00:19:29,500 --> 00:19:33,740 +احنا هنا رأسنا فوق رجلينا تحت إذا الإنسان محكم + +243 +00:19:33,740 --> 00:19:37,300 +بيكونش بيصير محروم رأسه تحت رجليه فوق و هيك + +244 +00:19:37,300 --> 00:19:43,340 +الإنسان موجود في الدماغ رأسه تحت و رجليه فوق يبقى + +245 +00:19:43,340 --> 00:19:43,920 +كمان مرة + +246 +00:19:47,270 --> 00:19:51,810 +نشرح ال pain temperature sensationالإشارة أجت من + +247 +00:19:51,810 --> 00:19:55,770 +الـ Receptors، راحت للـ Peripheral nerve، راحت للـ + +248 +00:19:55,770 --> 00:19:59,050 +First Order Neuron، مين هو ال First Order Neuron؟ + +249 +00:19:59,050 --> 00:20:03,130 +Posterior Root Ganglion، بعد هيك بتمر في ال Axon + +250 +00:20:03,130 --> 00:20:06,530 +of the First Order Neuron، اسمه Posterior Root، + +251 +00:20:06,530 --> 00:20:10,250 +راح تصل لوين؟ للبوستيريو هور سيلز، في البوستيريو + +252 +00:20:10,250 --> 00:20:15,030 +هور سيلز في Second Order Neuron، اسمه Substantia + +253 +00:20:15,030 --> 00:20:18,490 +Gelatinosa Overlandii، بعدها الفيبرز، + +254 +00:20:20,730 --> 00:20:24,950 +فى ال entry of spinal cord كل segment بعمل + +255 +00:20:24,950 --> 00:20:28,770 +crossing فى المدخل بتاعه و ال crossing بتروح لل + +256 +00:20:28,770 --> 00:20:32,290 +opposite side و بيصعدوا فى tract اسمه lateral + +257 +00:20:32,290 --> 00:20:36,390 +spinothalamic tract for pain and temperature + +258 +00:20:36,390 --> 00:20:41,100 +sensationوبالتحت في براين السماعات track ثاني اسمه + +259 +00:20:41,100 --> 00:20:45,160 +Ventral Spinal Thalamic Track مسئول عن الكروت تتش + +260 +00:20:45,160 --> 00:20:49,680 +وبصبح اسمهم اللي هو Spinal Meniscus بيمروا في + +261 +00:20:49,680 --> 00:20:54,200 +الميدالة أبلانجاتا في ال Pons Midbrain and ال End + +262 +00:20:54,200 --> 00:20:58,600 +تبعهم للثلامس من الثلامس بيبدأ مين؟ Third Order + +263 +00:20:58,600 --> 00:21:02,220 +Neuron النيرون الثالث بيمروا ال fibers بعته عن + +264 +00:21:02,220 --> 00:21:06,700 +طريق ثلامهCortical tract flammocortical tract + +265 +00:21:06,700 --> 00:21:10,180 +بمروا في البستيرو الليمو و بنتيرنا الكابسول لحد ما + +266 +00:21:10,180 --> 00:21:14,840 +نصل لل boss central gyrus إذا الإشارة جاية من ال + +267 +00:21:14,840 --> 00:21:18,620 +lower limb بتروح لل upper part إذا الإشارة جاية من + +268 +00:21:18,620 --> 00:21:21,940 +ال trunk أو ال upper limbs بتروح لل middle part + +269 +00:21:21,940 --> 00:21:25,000 +إذا الإشارة جاية من ال head أو ال face بتروح لل + +270 +00:21:25,000 --> 00:21:29,920 +lower part عكسينرجح نشوف ال slide هين شرحناها على + +271 +00:21:29,920 --> 00:21:34,480 +الصورة ننتقل لان لال slide بتاعنا اللي انا شرحته + +272 +00:21:34,480 --> 00:21:38,700 +pathway + +273 +00:21:38,700 --> 00:21:41,780 +of superficial sensation from the upper and lower + +274 +00:21:41,780 --> 00:21:42,180 +limbs + +275 +00:21:45,410 --> 00:21:49,230 +للـ Pain Temperature Sensation First Order Neuron + +276 +00:21:49,230 --> 00:21:53,710 +زي ما اتفجنا بوستيريو رود جانجليون كله شراحته هذا + +277 +00:21:53,710 --> 00:21:58,310 +الـ Dendrite بتجيب الإشارة من الـ Receptors عن + +278 +00:21:58,310 --> 00:22:02,910 +طريق Sensory Nerve Fibers وبتسلمها لل First Order + +279 +00:22:02,910 --> 00:22:08,180 +Neuron اللي هو بوستيريو رود جانجليون الـ Axonاللي + +280 +00:22:08,180 --> 00:22:12,040 +هو media ال branch هتكون، بدخل لل spinal cord، + +281 +00:22:12,040 --> 00:22:16,920 +بيمر ل ال posterior horn cells، و بيسلم الإشارة ل + +282 +00:22:16,920 --> 00:22:20,940 +ال second order neuron، اللي هي اسمها substantia + +283 +00:22:20,940 --> 00:22:25,000 +gelatinosa overlandii، يعني فكان بطلع بال slide + +284 +00:22:25,000 --> 00:22:28,020 +هذا، مين first order neuron؟ posterior root + +285 +00:22:28,020 --> 00:22:32,800 +ganglionمين second order؟ سبستانشيا، جيلاتنوزا أو + +286 +00:22:32,800 --> 00:22:36,240 +رولاندي، كل segment له سبستانشيا، جيلاتنوزا أو + +287 +00:22:36,240 --> 00:22:41,000 +رولاندي، وكل segment له بوستيريون، رهود، جانجليون + +288 +00:22:43,190 --> 00:22:46,230 +ننتقل للـ second order neuron مين هو second order + +289 +00:22:46,230 --> 00:22:51,410 +neuron؟ Substantia gelatinosa of رولندي it's axon + +290 +00:22:51,410 --> 00:22:54,630 +it cross to the opposite side وقولنا الفايفر + +291 +00:22:54,630 --> 00:22:58,030 +سبعتهم من حد ما يفوتوا في ال spinal cord بيعمل + +292 +00:22:58,030 --> 00:23:01,350 +dedication أو crossing على ال opposite side و + +293 +00:23:01,350 --> 00:23:06,830 +بيمروا لل lateral spinothalamic tract زي أنا جاي + +294 +00:23:06,830 --> 00:23:11,440 +من شريع فرعيوبدي امر على الشارع الرئيسي و اه امر + +295 +00:23:11,440 --> 00:23:15,180 +بمركب السيارات نفس الشيء الشارع الفرقي المركب + +296 +00:23:15,180 --> 00:23:18,080 +السيارات الشارع الرئيسي صلاح الدين هذا ال tract + +297 +00:23:18,080 --> 00:23:22,320 +هذا مين هو؟ ال tract وكل خط فرقي بيجي و بيصب مع + +298 +00:23:22,320 --> 00:23:26,180 +مين؟ مع الخط الرئيسي يبقى ال tract صلاح الدين شارع + +299 +00:23:26,180 --> 00:23:29,940 +صلاح الدين okay يبقى lateral spinal thalamic tract + +300 +00:23:29,940 --> 00:23:35,320 +بيمر للميدالة و بلانجاتهاPons Medibrain وبعد ذلك + +301 +00:23:35,320 --> 00:23:39,480 +ينتهي في الـThalamus ثالث نيرون يسمى الـThalamus + +302 +00:23:39,480 --> 00:23:43,140 +الفيبرز تصعد عن طريق الـPosterior Lymph of + +303 +00:23:43,140 --> 00:23:46,860 +Internal Capsule تمر في Tract اسمه Thalamocortical + +304 +00:23:46,860 --> 00:23:52,660 +Tract وبتنتهي في الـArea 123 in both central gyrus + +305 +00:23:52,660 --> 00:23:57,270 +of Parietal Lobe هكذا انا شرحت لكم ال path wayof + +306 +00:23:57,270 --> 00:24:01,210 +pain temperature sensation اليوم ممكن اي طالب و اي + +307 +00:24:01,210 --> 00:24:05,070 +طالبة يروح يشخص على الوالدة يغزها دبوس في ايدها و + +308 +00:24:05,070 --> 00:24:07,990 +يقولها اريت اشرحلك ال path way ايش صار معاك في + +309 +00:24:07,990 --> 00:24:11,230 +احساس الدبوس و كيف انت حسيتي في الدبوس و في الألم + +310 +00:24:11,230 --> 00:24:14,110 +او يجيبليها ايش سخن بس ما تكويش ايدها اللي انت + +311 +00:24:14,110 --> 00:24:17,910 +حارقها بالمرة و يحطلها ميا سخنة على ايدها و يقولها + +312 +00:24:17,910 --> 00:24:22,980 +اريت اشرحلك كيف انت حسيتي بالميا السخنة كلهاهي + +313 +00:24:22,980 --> 00:24:26,520 +عندنا لحظة هذا ال pathway انا شرحته في ال slide + +314 +00:24:26,520 --> 00:24:30,360 +بتاعي هى ال receptors بتروح لل first order neuron + +315 +00:24:30,360 --> 00:24:33,660 +اللى هو posterior root ganglion بيمروا في ال + +316 +00:24:33,660 --> 00:24:36,680 +posterior root تمام هان ال receptors هى ال sensory + +317 +00:24:36,680 --> 00:24:41,780 +nerve لل second order neuron هذا first هذا second + +318 +00:24:42,920 --> 00:24:45,060 +substance gelatinosa of Rolandii الـ fibers + +319 +00:24:45,060 --> 00:24:47,860 +بيعملوا crossing و بيطلعوا في ال lateral + +320 +00:24:47,860 --> 00:24:50,200 +spinothalamic tract نفس الشيء عضاء ال segment ثاني + +321 +00:24:50,200 --> 00:24:53,680 +lateral spinothalamic tract بيمروا في ال brain + +322 +00:24:53,680 --> 00:24:57,840 +stem لحد ما نصل لوين ل third order neurothalamus + +323 +00:24:57,840 --> 00:25:01,280 +بعدين بيروحوا ل post central gyrus هيك ال pathway + +324 +00:25:01,280 --> 00:25:05,080 +of pain temperature sensation أنا ماشي في الطريق + +325 +00:25:05,080 --> 00:25:10,820 +قلت ده بقص الرجلين الإشارة + +326 +00:25:10,820 --> 00:25:15,730 +طلتمع ال spinal nerve اللي هو ديندرية تبع first + +327 +00:25:15,730 --> 00:25:20,830 +order neuron هي ال first order neuron الإشارة راحت + +328 +00:25:20,830 --> 00:25:26,070 +ل spinal cord ل second order neuron ال fibers + +329 +00:25:26,070 --> 00:25:28,940 +عملوا crossingو راحوا لوين؟ لـ lateral + +330 +00:25:28,940 --> 00:25:32,460 +spinothalamic tract عملوا relay وين؟ في الـ third + +331 +00:25:32,460 --> 00:25:37,400 +order neurothalamus بعد هيك ل area A123 اللي هي + +332 +00:25:37,400 --> 00:25:44,060 +cortical area لحظة لو جينا مريض انقص عنده عصب بطر + +333 +00:25:44,060 --> 00:25:48,400 +أو إصابة، إصابة في رجله، انقص العصب، بيبطل يشعر في + +334 +00:25:48,400 --> 00:25:54,650 +الدرماتومة تبعته، تماممريض حدث عنده حزام ناري و + +335 +00:25:54,650 --> 00:26:01,410 +صاب الجانجليوم herpes zoster virus بشعر بقلم في + +336 +00:26:01,410 --> 00:26:03,410 +نفس ال root في نفس النيرب على نفس الجهة و بيكون + +337 +00:26:03,410 --> 00:26:07,790 +عنده vesicles زي طفح جلد فيه طيب مريض صار مشكلة + +338 +00:26:07,790 --> 00:26:10,670 +أنه في البستيرو horn cells نفس الشيء في نفس ال + +339 +00:26:10,670 --> 00:26:14,210 +dermatome ايه بيبطل الحس طب لو واحد أجي عنده + +340 +00:26:14,210 --> 00:26:19,190 +الصاصة و قطعت ال spinal cord على ال right sideإيش + +341 +00:26:19,190 --> 00:26:22,750 +بيصير في ال pain temperature sensation بيصير loss + +342 +00:26:22,750 --> 00:26:29,090 +of pain temperature sensation below the level تحت + +343 +00:26:29,090 --> 00:26:33,050 +مستوى الإصابة بس على أي جهة؟ على ال opposite side + +344 +00:26:33,050 --> 00:26:36,310 +وين بتكون؟ على إيه؟ opposite side طب ليش على ال + +345 +00:26:36,310 --> 00:26:40,310 +opposite side يا دكتور؟ لإنه ال tract right spinal + +346 +00:26:40,310 --> 00:26:43,230 +thalamic tract ال fibers ده بعتجبها من ال left في + +347 +00:26:43,230 --> 00:26:46,170 +الحلقة ده انضرب ال right و راح يبطل يشعر في ال + +348 +00:26:46,170 --> 00:26:51,010 +left مريض صار معاه جلطة دماغيةفي ال area 123 بيصير + +349 +00:26:51,010 --> 00:26:53,850 +فقدان الإحساس على ال opposite side مريض حدث مع + +350 +00:26:53,850 --> 00:26:56,930 +جلطه دماغية في الطلمس بيصير عنده فقدان الإحساس + +351 +00:26:56,930 --> 00:27:00,770 +عوين على ال opposite side واضح؟ يبقى بعد ما يعملوا + +352 +00:27:00,770 --> 00:27:03,770 +fibers crossing إذا صار إصابة على ال opposite side + +353 +00:27:03,770 --> 00:27:05,990 +قبل ما يعملوا crossing على نفس ال side + +354 +00:27:12,150 --> 00:27:18,530 +يعني انا شرحتلكوا بطريقة مملة و بزراحة و بزيادة ما + +355 +00:27:18,530 --> 00:27:22,610 +تفهموها اشهر هذه الموضوع مهم جدا لو كنت اتأخر فيه + +356 +00:27:22,610 --> 00:27:28,330 +في المحاضرة مش مشكلة بدى تفهموه صح هاي عين دى + +357 +00:27:28,330 --> 00:27:31,550 +البني هذا اللون او الأصفر هذا deep sensation مارح + +358 +00:27:31,550 --> 00:27:35,170 +اشرحه الآن نشوف ال pain temperature هاي receptors + +359 +00:27:35,170 --> 00:27:39,050 +sensorineurبوستيريو روت جانجليون first order + +360 +00:27:39,050 --> 00:27:42,710 +neuron الإشارة على ال بوستيريو روت على second + +361 +00:27:42,710 --> 00:27:45,070 +order neuron substantia gelatinosa of رولاندي + +362 +00:27:45,070 --> 00:27:48,550 +عملوا crossing على ال intro of spinal cord طلوا + +363 +00:27:48,550 --> 00:27:51,590 +على اسبينيو تلاميكي 3 اكتاترا لمر في ال brain السم + +364 +00:27:51,590 --> 00:27:57,910 +وبعد هيك راح لوين ل third order neuron تلامس ومر + +365 +00:27:57,910 --> 00:28:01,190 +في البوستيريو لمبوف انترنال كابسول لحد ما نصل ال + +366 +00:28:01,190 --> 00:28:08,430 +area onetwo three هيكا بيكون انا شرحتلكوا pain + +367 +00:28:08,430 --> 00:28:19,610 +temperature sensation هيكا + +368 +00:28:19,610 --> 00:28:23,890 +الإنسان بيكون في الدماغ الرأس تحت ال upper limbs + +369 +00:28:23,890 --> 00:28:27,170 +في النص و ال lower limbs في الأعلى و ال lower + +370 +00:28:27,170 --> 00:28:32,740 +limbs في الأعلىال pathway of touch sensation، ال + +371 +00:28:32,740 --> 00:28:37,760 +touch sensation اللامس من قسم إلى قسمينلو جيبنا + +372 +00:28:37,760 --> 00:28:41,840 +الجلم سن الجلم حطته على رأسها ده او الإبرة شرطها + +373 +00:28:41,840 --> 00:28:46,180 +هذي fine touch يعني fine touch good localized + +374 +00:28:46,180 --> 00:28:51,100 +touch sensation ال fine touch مارح اتكلم عنها لأن + +375 +00:28:51,100 --> 00:28:54,440 +ال pathway بتاعها اسمه gracile and connective + +376 +00:28:54,440 --> 00:28:58,540 +tract ال fine touch نفس ال pathway بتاع ال deep + +377 +00:28:58,540 --> 00:29:02,200 +sensation يعني ال fine touch رح اشرحوا مع وين مع + +378 +00:29:02,200 --> 00:29:05,980 +ال deep sensation مع مين مع ال deep sensation okay + +379 +00:29:06,630 --> 00:29:10,810 +طب الكروت تاتش، إيش كروت تاتش؟ هاي جيبنا ورقة، + +380 +00:29:10,810 --> 00:29:14,270 +حطيناها على وجهها، على الخد، لمسناها، في حاسة لمس + +381 +00:29:14,270 --> 00:29:18,410 +فيه، هذا اسمه كروت تاتش، الستات حطوا الطرحة على + +382 +00:29:18,410 --> 00:29:22,970 +راسهم، هذا اسمها كروت تاتش، يعني poor localized + +383 +00:29:22,970 --> 00:29:29,510 +touch sensation الكروت تاتش، ال pathway بتاعه، + +384 +00:29:29,510 --> 00:29:34,190 +بشبه ال pain temperature sensationبشبه مين؟ pain, + +385 +00:29:34,370 --> 00:29:37,590 +temperature, sensation وين الاختلاف؟ الاختلاف في + +386 +00:29:37,590 --> 00:29:44,990 +حاجتين اول شيء ال first order نيرون نفس الشيء + +387 +00:29:44,990 --> 00:29:50,150 +posterior root ganglion و ال third order نفس الشيء + +388 +00:29:50,150 --> 00:29:51,530 +thalamus + +389 +00:30:00,110 --> 00:30:04,310 +الاختلاف في اين؟ في ال second order neuron ال + +390 +00:30:04,310 --> 00:30:06,710 +second order neuron بدل ما هي اسمها substantia + +391 +00:30:06,710 --> 00:30:13,090 +gelatinosa overlandii اسمها main sensory nucleus + +392 +00:30:13,090 --> 00:30:20,450 +ايش اسمها؟ main sensory nucleus اسمها main sensory + +393 +00:30:23,730 --> 00:30:28,310 +الحاجة الثالثة ال pathway تبعها بدل ما يعمل ال + +394 +00:30:28,310 --> 00:30:32,150 +crossing ويروح على ال lateral column بيروح على ال + +395 +00:30:32,150 --> 00:30:36,670 +ventral column و بيصعد في ال track اسمه ventral + +396 +00:30:36,670 --> 00:30:41,520 +columnSpinothalamic tract يبقى نهايه اختلافين انه + +397 +00:30:41,520 --> 00:30:46,320 +ال tract تبعهم اسمه ventral spinothalamic tract و + +398 +00:30:46,320 --> 00:30:49,900 +ال second order neuron اسمها main sensory nucleus + +399 +00:30:49,900 --> 00:30:53,620 +و الباقي نفس ال pain temperature sensation يبقى + +400 +00:30:53,620 --> 00:30:59,300 +نهايه عند الكروتتش has the same pathway as pain + +401 +00:30:59,300 --> 00:31:03,720 +and temperature sensation but the second order + +402 +00:31:03,720 --> 00:31:08,700 +neuron is main sensory nucleusin the posterior + +403 +00:31:08,700 --> 00:31:13,860 +horn cells and ascend in the opposite ventral + +404 +00:31:13,860 --> 00:31:20,160 +column of spinal cord as ventral spinothalamic + +405 +00:31:20,160 --> 00:31:23,920 +tract وغير هيك كله نفس الشيء كله نفس ال pain + +406 +00:31:23,920 --> 00:31:27,360 +temperature sensation يقول هيك أنا خلصتلكم موضوع + +407 +00:31:27,360 --> 00:31:32,420 +ال touch sensation ال touch sensation أنتج لأخر + +408 +00:31:32,420 --> 00:31:39,360 +موضوع في المحاضرة اللي هو pathwayof deep sensation + +409 +00:31:39,360 --> 00:31:43,680 +pathway of deep sensation نشرحه هنا على ال slide + +410 +00:31:43,680 --> 00:31:47,900 +اللي أنا لا اسمه ولا كلات بالطب أجتني إشارة من ال + +411 +00:31:47,900 --> 00:31:52,620 +receptors من ال joint من أيه؟ من ال joint يبقى أن + +412 +00:31:52,620 --> 00:31:58,180 +هذه من upper limb على سبيل المثال وهذه من وين؟ من + +413 +00:31:58,180 --> 00:32:05,990 +lower limb من وين؟ من ال lower limb ال ..لكن في ال + +414 +00:32:05,990 --> 00:32:09,450 +slide أنا في ال slide المرسوم كله يعتبر upper limb + +415 +00:32:09,450 --> 00:32:12,190 +ماعلينا خلّيني اعتبره ايش من ال upper limb الثانية + +416 +00:32:12,190 --> 00:32:18,870 +من upper limb الإشارة تيجي من ال receptors تبع ال + +417 +00:32:18,870 --> 00:32:22,650 +joint او ال ligament او muscle نفس الشيء نفس ال + +418 +00:32:22,650 --> 00:32:26,470 +temperature أوروبيا بتروح على ال sensory nerve نفس + +419 +00:32:26,470 --> 00:32:32,210 +الشيء ال first order neuronوالـ third order neuron + +420 +00:32:32,210 --> 00:32:35,170 +نفس الشيء نفس الـ pain و ال temperature ال first و + +421 +00:32:35,170 --> 00:32:39,190 +ال third نفس الشيء اختلاف ال second ال fibers + +422 +00:32:39,190 --> 00:32:45,720 +تبعتهم بتروح في ال posterior ايش؟ rootفي ال + +423 +00:32:45,720 --> 00:32:50,720 +posterior root بعدين، لحظة، بتفوتش لل posterior + +424 +00:32:50,720 --> 00:32:57,140 +horn cells، تصعد في شيء اسمه connect tract وشيء + +425 +00:32:57,140 --> 00:33:01,980 +اسمه gracile tract، ملاحظة، gracile tract بيكون + +426 +00:33:01,980 --> 00:33:06,210 +more media، يبقى ان هذا gracileهذا ايه؟ Grassel و + +427 +00:33:06,210 --> 00:33:11,110 +هذا ايه؟ Conate ل Grassel بيكون more medial و + +428 +00:33:11,110 --> 00:33:14,710 +مسئول عن ال lower half of the body يبقى مين مسئول + +429 +00:33:14,710 --> 00:33:18,150 +عن حركة ال knee joint في ال lower limb؟ Grassel + +430 +00:33:18,150 --> 00:33:21,830 +attract مين مسئول عن ال elbow joint؟ Conate + +431 +00:33:21,830 --> 00:33:25,010 +attract Conate lateral مسئول عن ال upper half of + +432 +00:33:25,010 --> 00:33:28,350 +the body Grassel medial مسئول عن ال lower half of + +433 +00:33:28,350 --> 00:33:32,660 +the bodyلاحظوا في الـ spinal cord الـ deep + +434 +00:33:32,660 --> 00:33:34,920 +sensation ماعملش crossing، بيروحش على الـ opposite + +435 +00:33:34,920 --> 00:33:39,820 +side، بصعد على نفس الصعيد، في شيء اسمه connect and + +436 +00:33:39,820 --> 00:33:45,060 +gracellic tract، ماعملش decussion، و بمر على + +437 +00:33:45,060 --> 00:33:48,420 +المضلة أبل أن جاتها، gracellic tract بيسلم + +438 +00:33:48,420 --> 00:33:51,340 +gracellic nucleus، و connectic tract بيسلم + +439 +00:33:51,340 --> 00:33:54,760 +connectic nucleus، و لحد الآن ماعملش crossing، + +440 +00:33:54,760 --> 00:34:00,590 +يبقى مين ال second order نيرون؟ هايهمSecond Order + +441 +00:34:00,590 --> 00:34:06,510 +Neuron Igracel and Conate Nuclei in Medulla + +442 +00:34:06,510 --> 00:34:10,270 +Blangata هل هذا بنطبق؟ Second Order Neuron إما في + +443 +00:34:10,270 --> 00:34:13,270 +الـSpinal Cord أو في الـBrain Slim صح Medulla + +444 +00:34:13,270 --> 00:34:17,480 +Blangata في الـBrain Slimبعدها ال fibers بيعملوا + +445 +00:34:17,480 --> 00:34:21,760 +crossing و بيطلعوا في شيء اسمه media lemniscas و + +446 +00:34:21,760 --> 00:34:26,020 +بيسلموا منه ال third order neuron thalamus وبعدها + +447 +00:34:26,020 --> 00:34:29,420 +نفس الشيء بيطلعوا cortical pathway من بوستيرو لمبو + +448 +00:34:29,420 --> 00:34:34,090 +فنتيرون الكابسول ل area 123يبقى الاختلاف هنا في ال + +449 +00:34:34,090 --> 00:34:37,650 +second order neuron اول اختلاف ان ال second order + +450 +00:34:37,650 --> 00:34:40,170 +neuron موجود في ال brainstem في الميضا اللي قبل ان + +451 +00:34:40,170 --> 00:34:44,470 +جاتها واسمه gracile and conate nuclei، gracile + +452 +00:34:44,470 --> 00:34:49,790 +tract و gracile nucleus مسئولين عن ال lower half + +453 +00:34:49,790 --> 00:34:53,450 +of the body، conate tract و conate nucleus مسئولين + +454 +00:34:53,450 --> 00:34:58,070 +عن ال upper half of the body، لمين؟deep sensation + +455 +00:34:58,070 --> 00:35:03,430 +and fine touch يبقى لو أصار damage لأ grassy tract + +456 +00:35:03,430 --> 00:35:08,890 +او conient tract بيصير loss of deep sensation and + +457 +00:35:08,890 --> 00:35:14,550 +fine touch below the level of lesion إبسي لاترالة + +458 +00:35:14,550 --> 00:35:17,590 +على نفس الجهةليش على نفس الجهة؟ لأنه ماعملوش + +459 +00:35:17,590 --> 00:35:20,950 +crossing ماعملوش crossing لكن لو صار damage على ال + +460 +00:35:20,950 --> 00:35:24,850 +media lemniscus او على ال thalamus او area 123 + +461 +00:35:24,850 --> 00:35:27,230 +بيصير lost بس على ال opposite side يبقى ان ده ال + +462 +00:35:27,230 --> 00:35:30,510 +damage قبل ال decassation على نفس ال side بعد ال + +463 +00:35:30,510 --> 00:35:32,410 +decassation على ال opposite side + +464 +00:35:41,450 --> 00:35:44,530 +هي عندى ال first order neuron هو بوستيرو + +465 +00:35:44,530 --> 00:35:49,800 +رودجانجليون نفس الموضوع ال pain temperatureالإشارة + +466 +00:35:49,800 --> 00:35:53,400 +بتيجي من الـ receptors بتروح مع اللي هي sensory + +467 +00:35:53,400 --> 00:35:57,040 +nerve بعد هي اللي بتسلم لل first order نيرون + +468 +00:35:57,040 --> 00:36:01,940 +بوستيرو دجانجليون ال tract او ال axon بتاعها بيمر + +469 +00:36:01,940 --> 00:36:05,140 +في ال spinal cord بدخلش على ال posterior horn + +470 +00:36:05,140 --> 00:36:10,580 +cells بيروح direct لوين؟ اللي هو gracile and + +471 +00:36:10,580 --> 00:36:14,730 +cuneate tractبعد هيك بيمر في الـ posterior limb في + +472 +00:36:14,730 --> 00:36:17,530 +الـ posterior column of spinal cord يكون الجرسيل + +473 +00:36:17,530 --> 00:36:20,890 +tracked و الكونية tracked و الموجودين في ال + +474 +00:36:20,890 --> 00:36:25,810 +posterior column of spinal cord بيصعدوا على نفس ال + +475 +00:36:25,810 --> 00:36:29,530 +side without decassation و بيعملوا relay و بيسلموا + +476 +00:36:29,530 --> 00:36:32,710 +الإشارة ل ال second order نيرون في الميدالة + +477 +00:36:32,710 --> 00:36:38,690 +أبلانجاتة اسمها Gersel and Konet nucleiSecond + +478 +00:36:38,690 --> 00:36:42,270 +Order Neurons هما Gracel and Cuneth نوكلياي + +479 +00:36:42,270 --> 00:36:45,430 +الموجودة في الميدالة أبلانجاتا بيحدثوا بعدها + +480 +00:36:45,430 --> 00:36:48,550 +Decassation على ال Opposite Side في الميدالة + +481 +00:36:48,550 --> 00:36:52,030 +أبلانجاتا بيروحوا ل Media Luminiscus وبعد ذلك + +482 +00:36:52,030 --> 00:36:55,850 +بيصعدوا في Pons من ال brain و بيعملوا relay win في + +483 +00:36:55,850 --> 00:36:59,980 +الثلمس يبقى أن الثلمس يعتبرthird order neuron هو + +484 +00:36:59,980 --> 00:37:03,460 +نفس ال pain و ال temperature sensation لاحظوا + +485 +00:37:03,460 --> 00:37:06,340 +انتوا ال first و ال third بيشبهوا بعض فيهم + +486 +00:37:06,340 --> 00:37:10,480 +الاختلاف دايما راح يكون في second order neuron ال + +487 +00:37:10,480 --> 00:37:14,540 +axon ascend to pass through the posterior limb of + +488 +00:37:14,540 --> 00:37:20,200 +internal capsule و بيمروا في الthalamocortical + +489 +00:37:20,200 --> 00:37:24,330 +tractلحد ما يوصل الإشارة لـ Cortical somatic + +490 +00:37:24,330 --> 00:37:29,650 +sensory area in the postcentral gyrus area 123 in + +491 +00:37:29,650 --> 00:37:37,850 +parietal loop فهذا شرحنا هاي ال tract بيطلع ال + +492 +00:37:37,850 --> 00:37:39,190 +fibers ل + +493 +00:37:41,940 --> 00:37:45,700 +مع ال nerve لل first order نيرون بوستيرو دجانجليون + +494 +00:37:45,700 --> 00:37:51,180 +بيمروا ل البوستيرو كولوم بيصعدوا في ال tract اما + +495 +00:37:51,180 --> 00:37:54,780 +gracele او اما conate tract و بيروحوا ل gracele + +496 +00:37:54,780 --> 00:37:58,720 +نوكلياس و conate نوكلياس بعدها ال second order + +497 +00:37:58,720 --> 00:38:01,580 +نيرون ال fiber يستعمل ال decassation و بتصعد على + +498 +00:38:01,580 --> 00:38:04,380 +ال opposite side في media lemniscus و بيروح ل + +499 +00:38:04,380 --> 00:38:08,880 +third order نيرون و منها ل ال area 123أنا بدي أحرك + +500 +00:38:08,880 --> 00:38:14,020 +الـ joint بتاعي أو fine touch او حركت ال ankle + +501 +00:38:14,020 --> 00:38:18,820 +joint الإشارة بتروح عن ال nerveعال first order + +502 +00:38:18,820 --> 00:38:21,400 +نيرون بصيروا الجانجليون بتفوت في ال spinal cord + +503 +00:38:21,400 --> 00:38:24,940 +ازي جراسيلي track تصعد عال second order نيرون + +504 +00:38:24,940 --> 00:38:27,680 +جراسيلي نوكلياس تعمل decassation عال media + +505 +00:38:27,680 --> 00:38:31,500 +lemniscus و بتصعد عال third order نيرون و بتسلم + +506 +00:38:31,500 --> 00:38:35,960 +الإشارة ل ال boss central gyrus area 123 + +507 +00:38:47,620 --> 00:38:51,680 +هي واضح اندي اخر شئ هنا الفرق بينهم هذا اللون + +508 +00:38:51,680 --> 00:38:55,360 +الأزرق اللي لكيه هذا اللي هو pinion temperature + +509 +00:38:55,360 --> 00:38:58,660 +sensation و ال pinion هذا يعتبر deep sensation + +510 +00:38:58,660 --> 00:39:02,220 +لاحظوا انه ال first order نفس الشيء في بوستيروت + +511 +00:39:02,220 --> 00:39:05,620 +جانجليونوالـ third order نفس الشيء ثالمس الاختلاف + +512 +00:39:05,620 --> 00:39:08,200 +في ال second order أن ال fibers ما دخلت على + +513 +00:39:08,200 --> 00:39:11,240 +البوستيرو هورنسرز صعدت في ال white matter as + +514 +00:39:11,240 --> 00:39:14,660 +gracile or conate tract ويرحوا لل second order في + +515 +00:39:14,660 --> 00:39:18,140 +المنضلة أبلانجاتا إما conate أو gracile نوكلياي + +516 +00:39:18,140 --> 00:39:21,100 +وبعدها عملوا crossing على ال opposite side as + +517 +00:39:21,100 --> 00:39:26,660 +media luminescus وبيكملوا نفس الطريق ال gracile + +518 +00:39:26,660 --> 00:39:32,700 +tractموجود مر ميديا مشراحته موجود مر ميديا مشراحته + +519 +00:39:32,700 --> 00:39:32,860 +موجود مر ميديا مشراحته موجود مر ميديا مشراحته + +520 +00:39:32,860 --> 00:39:34,040 +موجود مر ميديا مشراحته موجود مر ميديا مشراحته + +521 +00:39:34,040 --> 00:39:34,260 +موجود مر ميديا مشراحته موجود مر ميديا مشراحته + +522 +00:39:34,260 --> 00:39:36,660 +موجود مر ميديا مشراحته موجود مر ميديا مشراحته + +523 +00:39:36,660 --> 00:39:37,940 +موجود مر ميديا مشراحته موجود مر ميديا مشراحته + +524 +00:39:37,940 --> 00:39:38,100 +موجود مر ميديا مشراحته موجود مر ميديا مشراحته + +525 +00:39:38,100 --> 00:39:44,340 +موجود مر ميديا مشراحته موجود + +526 +00:39:44,340 --> 00:39:49,380 +مر ميديا + +527 +00:39:49,380 --> 00:39:54,100 +مشراحته موجود + +528 +00:39:54,100 --> 00:40:00,190 +مر ميديا مشراحته موجودنفس الشيء grassy ال nucleus + +529 +00:40:00,190 --> 00:40:04,770 +و connect nucleus grassy ال nucleus موجودة more + +530 +00:40:04,770 --> 00:40:08,750 +medial و connect nucleus موجودة more lateral و + +531 +00:40:08,750 --> 00:40:12,710 +لهذا ال slide بكون أنا أنهيت لكم موضوع ال somatic + +532 +00:40:12,710 --> 00:40:16,610 +sensation وشرحنا ال pathway of somatic sensation + +533 +00:40:16,610 --> 00:40:21,090 +for pain, temperature, touch sensation and deep + +534 +00:40:21,090 --> 00:40:24,370 +sensation يعطيكوا الف عافية و دمتم بيه الف عافية + diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/wNuEwMwQHK8_raw.json 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attack without convulsion", "tokens": [26890, 7435, 3615, 11778, 3224, 16247, 12610, 7578, 13672, 7578, 8032, 7578, 6055, 34268, 26890, 44498, 44215, 6156, 7578, 16472, 11296, 14739, 14407, 3615, 2952, 299, 12, 3474, 11630, 44215, 37495, 22653, 9673, 16572, 11242, 5551, 12610, 13412, 7578, 38207, 4724, 1829, 25957, 1211, 9848, 10320, 39182, 9957, 596, 11630, 5574, 2423, 2952, 299, 6055, 1829, 7435, 7578, 6055, 8592, 3555, 3224, 2423, 20271, 404, 304, 2690, 1553, 3754, 22973], "avg_logprob": -0.34352991782443626, "compression_ratio": 1.3959390862944163, "no_speech_prob": 0.0, "words": [{"start": 432.02, "end": 432.64, "word": "برجع", "probability": 0.6807861328125}, {"start": 432.64, "end": 434.0, "word": " ده", "probability": 0.491455078125}, {"start": 434.0, "end": 434.72, "word": " الأولى", "probability": 0.892578125}, {"start": 434.72, "end": 435.16, "word": " اللى", "probability": 0.8916015625}, {"start": 435.16, "end": 435.3, "word": " هى", "probability": 0.7427978515625}, {"start": 435.3, "end": 435.84, "word": " تعتبر", "probability": 0.88671875}, {"start": 435.84, "end": 436.96, "word": " generalized", "probability": 0.90283203125}, {"start": 436.96, "end": 437.86, "word": " seizures", "probability": 0.9580078125}, {"start": 437.86, "end": 439.2, "word": " فى", "probability": 0.5802001953125}, {"start": 439.2, "end": 439.46, "word": " انها", "probability": 0.6217041015625}, {"start": 439.46, "end": 440.74, "word": " أنواع", "probability": 0.8660481770833334}, {"start": 440.74, "end": 442.48, "word": " tonic", "probability": 0.7119140625}, {"start": 442.48, "end": 443.48, "word": "-clonic", "probability": 0.8229166666666666}, {"start": 443.48, "end": 445.04, "word": " seizures", "probability": 0.9697265625}, {"start": 445.04, "end": 445.4, "word": " يعني", "probability": 0.8447265625}, {"start": 445.4, "end": 445.86, "word": " المريض", "probability": 0.9093424479166666}, {"start": 445.86, "end": 446.34, "word": " أول", "probability": 0.76416015625}, {"start": 446.34, "end": 446.6, "word": " شىء", "probability": 0.7117513020833334}, {"start": 446.6, "end": 446.94, "word": " بيعمل", "probability": 0.58087158203125}, {"start": 446.94, "end": 447.28, "word": " hyper", "probability": 0.732421875}, {"start": 447.28, "end": 447.94, "word": " extension", "probability": 0.7265625}, {"start": 447.94, "end": 448.68, "word": " بعدين", "probability": 0.712646484375}, {"start": 448.68, "end": 449.68, "word": " clonic", "probability": 0.656982421875}, {"start": 449.68, "end": 450.64, "word": " phase", "probability": 0.476318359375}, {"start": 450.64, "end": 452.22, "word": " ال", "probability": 0.8310546875}, {"start": 452.22, "end": 452.7, "word": " tonic", "probability": 0.842041015625}, {"start": 452.7, "end": 453.58, "word": " تيجى", "probability": 0.765625}, {"start": 453.58, "end": 454.44, "word": " تشبه", "probability": 0.9664306640625}, {"start": 454.44, "end": 454.98, "word": " ال", "probability": 0.8271484375}, {"start": 454.98, "end": 455.58, "word": " syncopal", "probability": 0.5528971354166666}, {"start": 455.58, "end": 456.16, "word": " attack", "probability": 0.9580078125}, {"start": 456.16, "end": 456.64, "word": " without", "probability": 0.87841796875}, {"start": 456.64, "end": 457.66, "word": " convulsion", "probability": 0.611328125}], "temperature": 1.0}, {"id": 20, "seek": 48719, "start": 458.73, "end": 487.19, "text": "و ممكن تيجي tonic and clonic مع بعض هذا النوع بنسميه grand mal generalized major conversion يعني بنسميه grand mal epilepsy او بنسميه generalized major conversion يعني ايش grand mal يعني بنسميه مرض الصراع الأكبر مرض الصراع الأكبر النوع الثاني absence او pity mal epilepsy", "tokens": [2407, 3714, 43020, 6055, 1829, 7435, 1829, 2952, 299, 293, 596, 11630, 20449, 45030, 11242, 23758, 28239, 45367, 44945, 38251, 1829, 3224, 2697, 2806, 44498, 2563, 14298, 37495, 22653, 44945, 38251, 1829, 3224, 2697, 2806, 49680, 1975, 2407, 44945, 38251, 1829, 3224, 44498, 2563, 14298, 37495, 22653, 1975, 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486.77, "end": 487.19, "word": " epilepsy", "probability": 0.90869140625}], "temperature": 1.0}, {"id": 21, "seek": 49778, "start": 488.24, "end": 497.78, "text": "absence يعني ايه؟ تغيب، فصل، بفصل ثلاثة infantile spasm أو waste syndrome", "tokens": [17243, 655, 37495, 22653, 1975, 1829, 3224, 22807, 6055, 17082, 1829, 3555, 12399, 6156, 36520, 12399, 4724, 5172, 36520, 38637, 1211, 5718, 104, 3660, 16757, 794, 637, 14774, 34051, 5964, 19371], "avg_logprob": -0.23400879325345159, "compression_ratio": 1.01, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 488.24, "end": 488.84, "word": "absence", "probability": 0.793212890625}, {"start": 488.84, "end": 489.12, "word": " يعني", "probability": 0.88720703125}, {"start": 489.12, "end": 489.72, "word": " ايه؟", "probability": 0.7469482421875}, {"start": 489.72, "end": 490.76, "word": " تغيب،", "probability": 0.86357421875}, {"start": 490.76, "end": 491.2, "word": " فصل،", "probability": 0.8076171875}, {"start": 491.2, "end": 491.58, "word": " بفصل", "probability": 0.9588216145833334}, {"start": 491.58, "end": 493.4, "word": " ثلاثة", "probability": 0.827392578125}, {"start": 493.4, "end": 494.62, "word": " infantile", "probability": 0.77587890625}, {"start": 494.62, "end": 495.24, "word": " spasm", "probability": 0.94580078125}, {"start": 495.24, "end": 496.06, "word": " أو", "probability": 0.66259765625}, {"start": 496.06, "end": 496.76, "word": " waste", "probability": 0.5478515625}, {"start": 496.76, "end": 497.78, "word": " syndrome", "probability": 0.87890625}], "temperature": 1.0}, {"id": 22, "seek": 52970, "start": 500.22, "end": 529.7, "text": "النوع الرابع juvenile myoclonic epilepsy تيجي نظام rapid jerky movement المريض بيكون قاعد فجأة نجز وصار عنده loss of consciousness ال myoclonus ممكن يكون في physiological كل ما حدث معناه myoclonus نيجي نخدش نروح ننام الجو بارد تلاقي الواحد ارتعش هذه طبيعية هذه physiological myoclonus خاصة بتكون تحدث أكتر شي قبل النوم", "tokens": [6027, 1863, 45367, 34892, 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500.58, "end": 501.02, "word": " الرابع", "probability": 0.9654947916666666}, {"start": 501.02, "end": 501.92, "word": " juvenile", "probability": 0.08709716796875}, {"start": 501.92, "end": 503.58, "word": " myoclonic", "probability": 0.88916015625}, {"start": 503.58, "end": 504.16, "word": " epilepsy", "probability": 0.93603515625}, {"start": 504.16, "end": 507.58, "word": " تيجي", "probability": 0.6998291015625}, {"start": 507.58, "end": 508.42, "word": " نظام", "probability": 0.9970703125}, {"start": 508.42, "end": 508.98, "word": " rapid", "probability": 0.65869140625}, {"start": 508.98, "end": 509.48, "word": " jerky", "probability": 0.9541015625}, {"start": 509.48, "end": 509.94, "word": " movement", "probability": 0.958984375}, {"start": 509.94, "end": 510.32, "word": " المريض", "probability": 0.7879231770833334}, {"start": 510.32, "end": 510.72, "word": " بيكون", "probability": 0.9122721354166666}, {"start": 510.72, "end": 511.1, "word": " قاعد", "probability": 0.97412109375}, 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"end": 517.46, "word": " physiological", "probability": 0.383544921875}, {"start": 517.46, "end": 517.84, "word": " كل", "probability": 0.82275390625}, {"start": 517.84, "end": 518.9, "word": " ما", "probability": 0.23388671875}, {"start": 518.9, "end": 519.14, "word": " حدث", "probability": 0.98193359375}, {"start": 519.14, "end": 519.5, "word": " معناه", "probability": 0.8201497395833334}, {"start": 519.5, "end": 520.02, "word": " myoclonus", "probability": 0.8984375}, {"start": 520.02, "end": 520.48, "word": " نيجي", "probability": 0.6343994140625}, {"start": 520.48, "end": 521.3, "word": " نخدش", "probability": 0.923828125}, {"start": 521.3, "end": 521.6, "word": " نروح", "probability": 0.7979329427083334}, {"start": 521.6, "end": 521.9, "word": " ننام", "probability": 0.9873046875}, {"start": 521.9, "end": 522.14, "word": " الجو", "probability": 0.698974609375}, {"start": 522.14, "end": 522.54, "word": " بارد", "probability": 0.98583984375}, {"start": 522.54, "end": 522.92, "word": " تلاقي", "probability": 0.8019205729166666}, {"start": 522.92, "end": 523.2, "word": " الواحد", "probability": 0.9357096354166666}, {"start": 523.2, "end": 523.92, "word": " ارتعش", "probability": 0.8046875}, {"start": 523.92, "end": 524.26, "word": " هذه", "probability": 0.466796875}, {"start": 524.26, "end": 524.66, "word": " طبيعية", "probability": 0.9212646484375}, {"start": 524.66, "end": 524.84, "word": " هذه", "probability": 0.347412109375}, {"start": 524.84, "end": 525.2, "word": " physiological", "probability": 0.96826171875}, {"start": 525.2, "end": 527.1, "word": " myoclonus", "probability": 0.91015625}, {"start": 527.1, "end": 527.42, "word": " خاصة", "probability": 0.97509765625}, {"start": 527.42, "end": 527.76, "word": " بتكون", "probability": 0.5343017578125}, {"start": 527.76, "end": 528.3, "word": " تحدث", "probability": 0.9051106770833334}, {"start": 528.3, "end": 528.58, "word": " أكتر", "probability": 0.85919189453125}, {"start": 528.58, "end": 528.8, 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وانخفاض في نسبة السكر في الدم فيوكروما سايتوما هي عبارة عن ال tumor في ال adrenal gland و subarachnoid hemorrhage هو نزيف تحت الأم العنكابوتية EEG in epilepsy", "tokens": [3495, 79, 38353, 26422, 654, 8717, 2655, 7435, 18871, 11933, 1829, 3224, 22807, 11331, 2288, 26108, 7649, 4032, 7649, 9778, 5172, 46958, 8978, 8717, 35457, 3660, 21136, 37983, 8978, 32748, 2304, 8978, 2407, 37983, 20498, 995, 8608, 995, 36081, 20498, 995, 39896, 6225, 3555, 9640, 3660, 18871, 2423, 22512, 8978, 2423, 26511, 43284, 4032, 1422, 289, 608, 1771, 327, 8636, 24362, 71, 609, 31439, 8717, 11622, 33911, 6055, 33753, 16247, 2304, 18863, 1863, 4117, 16758, 35473, 10632, 33685, 38, 294, 49680], "avg_logprob": -0.26429116108068607, "compression_ratio": 1.3719806763285025, "no_speech_prob": 0.0, "words": [{"start": 1495.3200000000002, "end": 1496.4, "word": "hypoglycemia", "probability": 0.7426513671875}, {"start": 1496.4, "end": 1497.48, "word": " نتج", "probability": 0.5921223958333334}, {"start": 1497.48, 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"word": " نزيف", "probability": 0.84375}, {"start": 1511.16, "end": 1511.84, "word": " تحت", "probability": 0.98974609375}, {"start": 1511.84, "end": 1512.14, "word": " الأم", "probability": 0.91259765625}, {"start": 1512.14, "end": 1513.74, "word": " العنكابوتية", "probability": 0.8824055989583334}, {"start": 1513.74, "end": 1516.2, "word": " EEG", "probability": 0.89013671875}, {"start": 1516.2, "end": 1516.96, "word": " in", "probability": 0.314208984375}, {"start": 1516.96, "end": 1517.5, "word": " epilepsy", "probability": 0.783203125}], "temperature": 1.0}, {"id": 61, "seek": 154780, "start": 1521.4, "end": 1547.8, "text": "الـ Normal EEG between attack in hectal period doesn't in any way exclude epilepsy يعني لو خططنا للمريض بين النوبات وكان تخطيطه نظيف لايعني انه ماعندهوش epilepsy احنا بنجيب قاعدة بنقول تخطيط الدماغ يثبت ولا ينفي وينفي ولا يثبت يعني يثبت ولا ينفي وينفي ولا يثبت", "tokens": [6027, 39184, 21277, 33685, 38, 1296, 2690, 294, 37358, 304, 2896, 1177, 380, 294, 604, 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cerebral hemisphere وهذه right cerebral hemisphere الزوجي الزوجي right والفردي left وجدنا فيه spikes في كلهم في ال left و في ال right بقول هذا المرضي عنده generalized epilepsy عنده generalized epilepsy", "tokens": [3224, 8315, 16247, 22488, 18513, 27188, 2288, 3215, 10632, 29538, 39894, 3215, 1211, 14739, 11296, 1411, 43561, 38453, 37037, 24192, 558, 43561, 8636, 7631, 675, 265, 6024, 110, 29245, 1829, 6024, 110, 29245, 1829, 558, 16070, 5172, 2288, 16254, 1411, 49610, 3215, 8315, 8978, 3224, 28997, 8978, 28242, 16095, 8978, 2423, 1411, 4032, 8978, 2423, 558, 4724, 39648, 23758, 9673, 43042, 1829, 43242, 3224, 44498, 49680, 43242, 3224, 44498, 49680], "avg_logprob": -0.35607395457549834, "compression_ratio": 1.8108108108108107, "no_speech_prob": 1.0132789611816406e-06, "words": [{"start": 1660.35, "end": 1660.97, "word": "هنا", "probability": 0.67529296875}, {"start": 1660.97, "end": 1662.07, "word": " الأعداد", "probability": 0.7150472005208334}, {"start": 1662.07, "end": 1662.55, 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"word": " level", "probability": 0.978515625}, {"start": 1893.67, "end": 1894.71, "word": " طيب", "probability": 0.9202473958333334}, {"start": 1894.71, "end": 1895.21, "word": " احنا", "probability": 0.90087890625}, {"start": 1895.21, "end": 1895.49, "word": " قلنا", "probability": 0.8382161458333334}], "temperature": 1.0}, {"id": 77, "seek": 192423, "start": 1896.31, "end": 1924.23, "text": "first attack او first seizure is not epilepsy but indication for investigations لكن في بعض الحالات أنا ببدأهم علاج بعد النوبة الأولى ميما ما هدول؟ هدول يعتبروا high risk for recurrent هدول المعرضين ان الحياة تتكرر معهم ميما ما بيقول المرضى؟ إذا المريض عنده focal neurological deficit في الحالة هذه، هذه المجموعة من المرضى بتعامل مع ال first seizure as epilepsy و ببدأ علاج", "tokens": [29581, 2690, 1975, 2407, 700, 42522, 307, 406, 49680, 457, 18877, 337, 25582, 44381, 8978, 45030, 11242, 21542, 6027, 9307, 41850, 4724, 44510, 10721, 16095, 11203, 26108, 39182, 28239, 37746, 3660, 16247, 12610, 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"word": " ببدأ", "probability": 0.9625651041666666}, {"start": 1923.87, "end": 1924.23, "word": " علاج", "probability": 0.951416015625}], "temperature": 1.0}, {"id": 78, "seek": 195356, "start": 1925.4, "end": 1953.56, "text": "إذا المريض عنده focal neurologic deficit عنده mental retardation ال EEG severe epileptic form دي الشعر عنده structural brain lesion عملنا CT وجدنا المريض عنده tumor عنده abscess, cyst و هكذا إذا المريض عنده initial dense seizure يعني ايه high dense seizure يعني انه بشديدة جدا جوية انه بجته", "tokens": [28814, 15730, 9673, 16572, 11242, 43242, 3224, 26592, 28351, 299, 22132, 43242, 3224, 4973, 42073, 399, 2423, 33685, 38, 8922, 41855, 32307, 1254, 11778, 1829, 25124, 3615, 2288, 43242, 3224, 15067, 3567, 1512, 313, 6225, 42213, 8315, 19529, 49610, 3215, 8315, 9673, 16572, 11242, 43242, 3224, 22512, 43242, 3224, 1950, 780, 11, 48915, 4032, 8032, 4117, 15730, 11933, 15730, 9673, 16572, 11242, 43242, 3224, 5883, 18011, 42522, 37495, 22653, 1975, 1829, 3224, 1090, 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"end": 2604.04, "word": " دمتم", "probability": 0.71240234375}, {"start": 2604.04, "end": 2604.52, "word": " بخير", "probability": 0.9970703125}, {"start": 2604.52, "end": 2605.16, "word": " يعطيكم", "probability": 0.9072265625}, {"start": 2605.16, "end": 2605.34, "word": " الف", "probability": 0.5400390625}, {"start": 2605.34, "end": 2605.72, "word": " عافية", "probability": 0.7726236979166666}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2605.88275, "duration_after_vad": 2522.941874999991} \ No newline at end of file diff --git a/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/wNuEwMwQHK8_raw.srt b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/wNuEwMwQHK8_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..a3076f41b7d996517c203f894db6697eef977471 --- /dev/null +++ b/PL9fwy3NUQKwYBFfMQ7WkgiguUA_8aXeXd/wNuEwMwQHK8_raw.srt @@ -0,0 +1,2160 @@ +1 +00:00:05,420 --> 00:00:08,900 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:08,900 --> 00:00:13,300 +وبركاته محاضرة السبوع الثاني عشر رح تكون على + +3 +00:00:13,300 --> 00:00:18,700 +epilepsy and status epilepticus أكيد موضوع ال + +4 +00:00:18,700 --> 00:00:22,240 +epilepsy مش جديد عليكم أخدته في طب الأطفال + +5 +00:00:22,240 --> 00:00:28,620 +epilepsy and status epilepticus في بعض ال + +6 +00:00:28,620 --> 00:00:31,780 +definitions لازم نكون عارفينهم seizure + +7 +00:00:33,630 --> 00:00:39,810 +السجر هو موضوع واحد برهان + +8 +00:00:39,810 --> 00:00:46,590 +ترانزينت دستروبانس من مفهوم العقل بسبب + +9 +00:00:46,590 --> 00:00:57,990 +اتجار غير عادل من نيرونات في العقل اللي عادل ينتج + +10 +00:00:57,990 --> 00:01:05,750 +في اتجار اتجار اتجار اتجار اتجاريعني ال seizure هو + +11 +00:01:05,750 --> 00:01:11,250 +عبارة عن نوبة، عبارة عن إيه؟ نوبة ناتج عن إيه؟ عن + +12 +00:01:11,250 --> 00:01:16,950 +increase electrical discharge of the brain، ناتج + +13 +00:01:16,950 --> 00:01:22,790 +عن زيادة في الشحنات الكهربائية في الدماغ single + +14 +00:01:22,790 --> 00:01:31,500 +seizures, نوبة أولى is not epilepsyما باعتبرهاش + +15 +00:01:31,500 --> 00:01:36,640 +سرعة اللي بيلبسي مرض سرعة but indication for + +16 +00:01:36,640 --> 00:01:42,680 +investigation مثال مريض دخل الجسم عنده نوع من + +17 +00:01:42,680 --> 00:01:48,380 +التشنج أولى هل أقول للمريض روح روح؟ لأ هذا المريض + +18 +00:01:48,380 --> 00:01:52,300 +بده admission بده دخول و لازم نعمله investigations + +19 +00:01:52,300 --> 00:01:56,000 +ايش investigations? CBC chemistry ممكن تكون حالة + +20 +00:01:56,000 --> 00:02:01,260 +hypoglycemiaسكر محلو ممكن تكون brain tumor بنعمل + +21 +00:02:01,260 --> 00:02:05,400 +CT brain CT او brain MRI بنعمل + +22 +00:02:05,400 --> 00:02:13,140 +electroencephalography EEG not all seizures imply + +23 +00:02:13,140 --> 00:02:17,040 +epilepsy مش كل نوبات التشمش بدخلوا في epilepsy في + +24 +00:02:17,040 --> 00:02:22,020 +سرعة على سبيل المثال مريض عنده hypoglycemia + +25 +00:02:22,020 --> 00:02:25,320 +recurrent hypoglycemiaوبدخل فيه recurrent + +26 +00:02:25,320 --> 00:02:30,580 +seizuresures، هل أعتبروا هذا عنده إيه بلبسه؟ لأ، + +27 +00:02:30,580 --> 00:02:36,220 +مايدخل فيه subarachnoid همش، وتشنج، هل أعتبروا + +28 +00:02:36,220 --> 00:02:41,420 +عنده إيه بلبسه؟ لأ، هذي بيعتبرهم acute symptomatic + +29 +00:02:41,420 --> 00:02:45,480 +seizuresuresماذا نسميهم؟ Acute Symptomatic + +30 +00:02:45,480 --> 00:02:49,980 +Seizures يعني هذا الـ seizures يُعتبر symptom of + +31 +00:02:49,980 --> 00:02:54,320 +the main disease عرض من أعراض المرض الرئيسي إما + +32 +00:02:54,320 --> 00:02:59,660 +hypoglycemia وإما subarachnoid هم راشد الـ + +33 +00:02:59,660 --> 00:03:02,780 +recurrence rate during the first years 70% ممكن + +34 +00:03:02,780 --> 00:03:08,200 +تتكرر نوضة 7 ل 10% من ال populations في حياتهم + +35 +00:03:08,200 --> 00:03:10,820 +مروا بنوضة تشنج واحدة + +36 +00:03:13,540 --> 00:03:22,040 +طب ايش تعريف الابلبس؟ is the condition of طبعا + +37 +00:03:22,040 --> 00:03:26,940 +condition of recurrent ايش يعني recurrent? two or + +38 +00:03:26,940 --> 00:03:32,580 +more تنتين او اكتر unprovoked يبقى بلزم شرطين عشان + +39 +00:03:32,580 --> 00:03:36,960 +اقول ابلبس two or more seizures and unprovoked + +40 +00:03:36,960 --> 00:03:45,100 +seizures caused bysudden excessive changes in the + +41 +00:03:45,100 --> 00:03:48,640 +electrical function of the brain يكون هي عبارة عن + +42 +00:03:48,640 --> 00:03:56,140 +a condition of recurrent unprovoked seizures + +43 +00:03:56,140 --> 00:04:01,440 +caused by sudden excessive changes in the + +44 +00:04:01,440 --> 00:04:05,800 +electrical function of the brainفي العالم كله + +45 +00:04:05,800 --> 00:04:10,580 +تقريبا 1% من الشعب بيكون عنده Epilepsy يعني + +46 +00:04:10,580 --> 00:04:15,300 +الموضوع ال Epilepsy مهم جدا كل 100 شخص بينهم واحد + +47 +00:04:15,300 --> 00:04:19,540 +Epileptic Epidemiology + +48 +00:04:19,540 --> 00:04:26,340 +of Epilepsy في العالم حوالي 50 مليون Epileptic + +49 +00:04:26,340 --> 00:04:33,620 +patient يعني عدد مش بسيط 50 مليونواحدة تمانية new + +50 +00:04:33,620 --> 00:04:39,740 +cases per one thousand population each year in US + +51 +00:04:39,740 --> 00:04:46,080 +يعني حوالي متكلم تقريبا على واحد أو zero point + +52 +00:04:46,080 --> 00:04:53,540 +eight لكل مئة نسمة حوالي خمس ستين شخص بدخلوا في + +53 +00:04:53,540 --> 00:05:00,160 +النوبة الأولى كل يوم في أمريكاthe most common + +54 +00:05:00,160 --> 00:05:05,640 +presentation of epilepsy is begin in childhood + +55 +00:05:05,640 --> 00:05:12,880 +أكتر شيء موضوع ال epilepsy بيبدأ عند الأطفال وزي + +56 +00:05:12,880 --> 00:05:16,960 +ما اتفقنا واحد في المية من ال populations عندهم + +57 +00:05:16,960 --> 00:05:22,170 +epilepsyلكن احنا قلنا the most common of epilepsy + +58 +00:05:22,170 --> 00:05:25,070 +is in childhood لا يعني ان المكبر ماعنده مش + +59 +00:05:25,070 --> 00:05:30,470 +epilepsy ال epilepsy بتحدث في أي سنة all is + +60 +00:05:30,470 --> 00:05:35,760 +affectedThe incidence of epilepsy increased again + +61 +00:05:35,760 --> 00:05:40,480 +slightly after age 60 وبعد سن ستين موضوع ال + +62 +00:05:40,480 --> 00:05:44,180 +epilepsy ممكن يزيد ويرتفع ليه؟ لأنه بعد سن ستين + +63 +00:05:44,180 --> 00:05:48,580 +بيرتفع نسبة ال cerebrovascular disease وبترتفع + +64 +00:05:48,580 --> 00:05:55,240 +نسبة ال post stroke epilepsyكبار السن brain tumors + +65 +00:05:55,240 --> 00:06:01,680 +ثلاثة neurodegenerative disease كل هذا يسبب ارتفاع + +66 +00:06:01,680 --> 00:06:09,750 +المرض الصارع في كبار السن في classificationتعتبر + +67 +00:06:09,750 --> 00:06:14,650 +international classification of epileptic seizures + +68 +00:06:14,650 --> 00:06:20,770 +هذه تم إصدارها في النيو ديلفي في الهند سنة 1981 و + +69 +00:06:20,770 --> 00:06:24,430 +إلى اليوم محترمة نفسها و هي تعتبر و تدرس في + +70 +00:06:24,430 --> 00:06:28,470 +الجامعات هذه ال classification بتجسم ال epilepsy + +71 +00:06:28,470 --> 00:06:35,140 +لثلاث مجموعاتأول مجموعة Generalized seizuresures + +72 +00:06:35,140 --> 00:06:41,160 +يعني Bilaterally، Symmetrical، and without local + +73 +00:06:41,160 --> 00:06:45,780 +onsetأول نوع أو أول مجموعة بنسميها generalized, + +74 +00:06:46,860 --> 00:06:50,420 +bilateral أو generalized seizures تعتبر يعني + +75 +00:06:50,420 --> 00:06:53,760 +bilateral, symmetrical and without focal النوع + +76 +00:06:53,760 --> 00:06:58,920 +الثاني أو المجموعة الثانية partial or focal + +77 +00:06:58,920 --> 00:07:04,060 +seizures beginning seizure locally or focally or + +78 +00:07:04,060 --> 00:07:09,740 +partially والمجموعة الثالثة unclassified seizures + +79 +00:07:12,020 --> 00:07:17,860 +برجع ده الأولى اللى هى تعتبر generalized seizures + +80 +00:07:17,860 --> 00:07:25,860 +فى انها أنواع tonic-clonic seizures يعني المريض + +81 +00:07:25,860 --> 00:07:30,640 +أول شىء بيعمل hyper extension بعدين clonic phase + +82 +00:07:30,640 --> 00:07:36,640 +ال tonic تيجى تشبه ال syncopal attack without + +83 +00:07:36,640 --> 00:07:41,710 +convulsionو ممكن تيجي tonic and clonic مع بعض هذا + +84 +00:07:41,710 --> 00:07:49,670 +النوع بنسميه grand mal generalized major + +85 +00:07:49,670 --> 00:07:52,790 +conversion يعني بنسميه grand mal epilepsy او + +86 +00:07:52,790 --> 00:07:57,390 +بنسميه generalized major conversion يعني ايش grand + +87 +00:07:57,390 --> 00:08:01,390 +mal يعني بنسميه مرض الصراع الأكبر مرض الصراع + +88 +00:08:01,390 --> 00:08:07,190 +الأكبر النوع الثاني absence او pity mal epilepsy + +89 +00:08:08,240 --> 00:08:14,620 +absence يعني ايه؟ تغيب، فصل، بفصل ثلاثة infantile + +90 +00:08:14,620 --> 00:08:17,780 +spasm أو waste syndrome + +91 +00:08:20,220 --> 00:08:27,580 +النوع الرابع juvenile myoclonic epilepsy تيجي + +92 +00:08:27,580 --> 00:08:31,940 +نظام rapid jerky movement المريض بيكون قاعد فجأة + +93 +00:08:31,940 --> 00:08:36,180 +نجز وصار عنده loss of consciousness ال myoclonus + +94 +00:08:36,180 --> 00:08:39,500 +ممكن يكون في physiological كل ما حدث معناه + +95 +00:08:39,500 --> 00:08:42,920 +myoclonus نيجي نخدش نروح ننام الجو بارد تلاقي + +96 +00:08:42,920 --> 00:08:45,200 +الواحد ارتعش هذه طبيعية هذه physiological + +97 +00:08:45,200 --> 00:08:49,700 +myoclonus خاصة بتكون تحدث أكتر شي قبل النوم + +98 +00:08:52,100 --> 00:08:58,620 +المجموعة الثانية partial or focal seizures هذه ال + +99 +00:08:58,620 --> 00:09:02,920 +seizures beginning locally beginning ايه؟ locally + +100 +00:09:02,920 --> 00:09:09,040 +تنقسم إلى اتنين مجموعتين simple partial seizures + +101 +00:09:09,040 --> 00:09:15,100 +ايش simple partial seizures يعني without impaired + +102 +00:09:15,100 --> 00:09:20,010 +consciousness التشانش بحدث و المريض واعيكيف بيكون + +103 +00:09:20,010 --> 00:09:25,870 +عنده؟ ممكن يجينا motor convergent يعني يكسونيان + +104 +00:09:25,870 --> 00:09:30,230 +type المريض عنده tumor في ال lift precentral gyrus + +105 +00:09:30,230 --> 00:09:34,070 +ممكن يجيب تشنج في جهة اليمنى من ايده او اجله + +106 +00:09:34,070 --> 00:09:40,440 +ويتشنج لكن المريض لايعيكونليه؟ لأن ال tumor زود ال + +107 +00:09:40,440 --> 00:09:43,500 +function بتاعة ال area هذه زود ال function ال area + +108 +00:09:43,500 --> 00:09:47,000 +pre-central مسئولة عن ال motor طبعاً منها حركة زي + +109 +00:09:47,000 --> 00:09:51,300 +الايرادية هذا بنسميها motor Jacksonian fit ممكن + +110 +00:09:51,300 --> 00:09:57,540 +تجيب tumor في sensory area ويسببلنا focal sensory + +111 +00:09:57,540 --> 00:10:02,960 +fit او Jacksonian sensory fitالنوع التاني اللي هو + +112 +00:10:02,960 --> 00:10:07,740 +complex partial seizures هذا بيجي with impaired + +113 +00:10:07,740 --> 00:10:13,360 +level of consciousness من ضمنهم هذا النوع temporal + +114 +00:10:13,360 --> 00:10:19,420 +loop epilepsy المجموعة الثالثة unclassified + +115 +00:10:19,420 --> 00:10:23,750 +seizuresمثل Febrile Seizure هذا بيجي عند الأطفال + +116 +00:10:23,750 --> 00:10:29,390 +بنسميه تشنج حراري هذا التشنج حراري لا يحتاج علاج + +117 +00:10:29,390 --> 00:10:33,130 +من ناحية ال epilepsy لا يعتبر epilepsy بنسميه + +118 +00:10:33,130 --> 00:10:37,950 +Febrile Seizure و العلاج بتاعه نعالج السبب ال + +119 +00:10:37,950 --> 00:10:41,750 +fever نعالج نعطي antibiotic إذا أحتاج المريض نعطي + +120 +00:10:41,750 --> 00:10:45,790 +antibiotic إن خسف درجة حرارة وما ترتفع حرارتههذا + +121 +00:10:45,790 --> 00:10:49,430 +الفيبرالسيجيون بعد مرور خمس سنوات الطفل صار عمره + +122 +00:10:49,430 --> 00:10:55,430 +ست سنوات لحاله بتتلاشى و بتنتهي فيه reflex + +123 +00:10:55,430 --> 00:11:00,370 +epilepsy لها علاقة يعني في ناس ممكن تلاقي يجيله + +124 +00:11:00,370 --> 00:11:04,450 +تشنج من ال TV من التلفزيون من سماعة ال music من + +125 +00:11:04,450 --> 00:11:08,710 +كده و كده هذا بيسميه reflex epilepsy الآن نتكلم + +126 +00:11:08,710 --> 00:11:13,830 +على what's the ideology of epilepsy أسباب ال + +127 +00:11:13,830 --> 00:11:20,370 +epilepsyسبين في المية من موضوع ال epilepsy ناتج عن + +128 +00:11:20,370 --> 00:11:25,070 +idiopathic cause خاصة عند الأطفال خاصة عند الأطفال + +129 +00:11:25,070 --> 00:11:27,970 +سبين في المية بيكون idiopathic تلاتين في المية + +130 +00:11:27,970 --> 00:11:32,810 +بيكون symptomatic ناتج عن abnormal development of + +131 +00:11:32,810 --> 00:11:37,770 +the brain mental retardation stroke + +132 +00:11:38,740 --> 00:11:43,320 +التراما و الهيدراما ال CNNS infection , abscess + +133 +00:11:43,320 --> 00:11:47,680 +encephalitis, brain tumors, degenerative disease + +134 +00:11:47,680 --> 00:11:49,980 +كل هذه الأسباب ال alcohol, neurosurgical + +135 +00:11:49,980 --> 00:11:54,540 +operations كل هذه الأسباب تعتبر symptomatic cause + +136 +00:11:54,540 --> 00:12:02,030 +و تسببنها secondaryبنبسة ال provoked seizures + +137 +00:12:02,030 --> 00:12:06,110 +العوامل اللي بتحفز التشنجات و بننصح هدول المرضى + +138 +00:12:06,110 --> 00:12:10,870 +يبتعدوا عنهم اللي هو photosensitivity بننصحهم + +139 +00:12:10,870 --> 00:12:14,130 +مايضلهمش يطلعوا على التلفزيون و على شاشات + +140 +00:12:14,130 --> 00:12:19,030 +الكمبيوتر و على الجوالات hyperventilation مايعبقوش + +141 +00:12:19,030 --> 00:12:21,910 +و يركضوا كتير و يجروا و يصير عندهم عملية + +142 +00:12:21,910 --> 00:12:27,510 +hyperventilation تأدي إلى سؤو to washingال sleep + +143 +00:12:27,510 --> 00:12:33,750 +deprivation الصهر .. الصهر ممنوع لأن قلة النوم في + +144 +00:12:33,750 --> 00:12:37,610 +الليل بيزود ال electrical brain discharge وهذه + +145 +00:12:37,610 --> 00:12:43,130 +بتعمل تحفيز لعملية التشنجات ال TV و ال computer + +146 +00:12:43,130 --> 00:12:47,490 +uncommon cause music reading hot bath very rare + +147 +00:12:47,490 --> 00:12:51,130 +مامرش عليها هنا حالات اللي ملاقة بال music او ال + +148 +00:12:51,130 --> 00:12:53,750 +reading او ال hot bath لكن في ال literature بكتوع + +149 +00:12:53,750 --> 00:13:02,300 +عنهملاحظوا ايش الاختلاف بين الأطفال و ال adult عند + +150 +00:13:02,300 --> 00:13:06,520 +الأطفال نلاقي the main cause congenital congenital + +151 +00:13:06,520 --> 00:13:13,940 +cause idiopathic developmental لكن بعد سن الخمس و + +152 +00:13:13,940 --> 00:13:18,760 +ستين بترتفع لاحظوا بعد سهربصار ارتفع الـ + +153 +00:13:18,760 --> 00:13:22,400 +cerebrovascular disease stroke شرطات الدماغية + +154 +00:13:22,400 --> 00:13:26,620 +ارتفعت غير هيك بيرتفع عندهم brain tumors brain + +155 +00:13:26,620 --> 00:13:31,360 +tumors و degenerative disease عشان هيك قلنا بعد سن + +156 +00:13:31,360 --> 00:13:41,220 +ستين بيحدث slightly increase of epilepsy post + +157 +00:13:41,220 --> 00:13:46,640 +stroke epilepsy cerebrovascular disease بيقدي الى + +158 +00:13:46,640 --> 00:13:54,300 +epilepsyلاحظوا 5-10% من حالات ischemic stroke بعد + +159 +00:13:54,300 --> 00:13:56,980 +فترة من زمن بيحدث معاهم ايه بلبسه بنتسميه boss + +160 +00:13:56,980 --> 00:14:04,500 +stroke بلبسه 15-20% من الحالات بعد primary + +161 +00:14:04,500 --> 00:14:07,640 +intracranial hemorrhage نفس الشيء بيحدث معاهم ايه + +162 +00:14:07,640 --> 00:14:15,460 +بلبسه 25-30% من الحالات بعد صبق الأكنويد بيحدث + +163 +00:14:15,460 --> 00:14:19,660 +معاهم ايه بلبسهطيب، مين أخطر لموضوع الابريزيا، إذا + +164 +00:14:19,660 --> 00:14:22,840 +كانت الهيماتوما أو الـ ischemic stroke في البيزا + +165 +00:14:22,840 --> 00:14:26,620 +النوكلياوي ديب ولا في ال cortex؟ لأ، الأخطر إذا + +166 +00:14:26,620 --> 00:14:30,200 +كانت في ال cortex، ليه؟ لأن الـneurons والـgrammar + +167 +00:14:30,200 --> 00:14:36,300 +اللي موجود أكتر في قشرة الدماغ، في ال cortexو هم + +168 +00:14:36,300 --> 00:14:39,960 +ال neurons هم المسؤولين عن ا increase ال + +169 +00:14:39,960 --> 00:14:44,880 +paroxysmal activity of the brain incidence of + +170 +00:14:44,880 --> 00:14:50,900 +seizures due to different type of tumors لاحظوا + +171 +00:14:50,900 --> 00:14:55,180 +oligodendroglioma لو أتينا أخدنا مائة مريض عندهم + +172 +00:14:55,180 --> 00:14:59,660 +ورم في الدماغ نوع oligodendroglioma اتنين وتسعين + +173 +00:14:59,660 --> 00:15:03,980 +في المية منهم بيكون عندهم epilepsy astrocytoma + +174 +00:15:03,980 --> 00:15:10,480 +سبعين في الميةمننجيومه 67% مع ان مننجيومه بيناين + +175 +00:15:10,480 --> 00:15:14,320 +tumor بيناين tumor الى انه نسبة ال epilepsy فيهم + +176 +00:15:14,320 --> 00:15:20,540 +عالية 67% ليه؟ لأن مننجيومه located في ال + +177 +00:15:20,540 --> 00:15:23,460 +convexity of cerebral hemisphere هي جاية من + +178 +00:15:23,460 --> 00:15:27,140 +المننجيز اول ما تعمل irritation and compression + +179 +00:15:27,140 --> 00:15:31,140 +راح تعمل على ال cortex of cerebral hemisphere وراح + +180 +00:15:31,140 --> 00:15:35,740 +تزود ال brain discharge او neural brain discharge + +181 +00:15:36,610 --> 00:15:41,290 +Metastatic tumor 47% ليه الـ metastatic tumor 47%؟ + +182 +00:15:41,290 --> 00:15:44,270 +لأن المرضى اللى بيحدث معهم انتشار فى الدماغ الورعى + +183 +00:15:44,270 --> 00:15:48,150 +اللى انتشر فى الدماغ 47% جنة العمار بيادي الله + +184 +00:15:48,150 --> 00:15:52,170 +متوسط حياتهم تمان شهور ما بيعمروا تمام لحد تمان + +185 +00:15:52,170 --> 00:15:55,290 +شهور بيكونوا died المرضى هدول بتوفوا خلال تمان + +186 +00:15:55,290 --> 00:16:03,370 +شهور Malignant glioma 37% Pituitary gland adenoma + +187 +00:16:03,370 --> 00:16:04,210 +9% + +188 +00:16:07,170 --> 00:16:11,190 +ناخد الآن مثال + +189 +00:16:11,190 --> 00:16:16,390 +ويتكلم على primary generalized epilepsy بس في + +190 +00:16:16,390 --> 00:16:19,330 +البداية راح ادخل primary و partial و بعدين ناخد + +191 +00:16:19,330 --> 00:16:23,450 +مثال على ال generalized epilepsy primary + +192 +00:16:23,450 --> 00:16:26,090 +generalized epilepsy بنسميه idiopathic epilepsy + +193 +00:16:26,090 --> 00:16:30,890 +onset is almost always in childhood أكتر شيء بيكون + +194 +00:16:30,890 --> 00:16:37,610 +idiopathic no structural abnormality is presentand + +195 +00:16:37,610 --> 00:16:42,490 +there is often بيكون عندهم genetic factors genetic + +196 +00:16:42,490 --> 00:16:46,130 +factors يعني تكون hereditary في بعض الأحيان لا + +197 +00:16:46,130 --> 00:16:50,770 +يعني ان هذا كلام مية في المية في بعض الأحيان + +198 +00:16:50,770 --> 00:16:53,730 +المريض بيكون عنده brain tumor وبيحدث معاه + +199 +00:16:53,730 --> 00:16:59,710 +generalized epilepsy generalized epilepsy partial + +200 +00:16:59,710 --> 00:17:07,500 +epilepsy partial ايه epilepsy partial seizuresmay + +201 +00:17:07,500 --> 00:17:14,120 +arise from any disease of the brain يعني الموضوع + +202 +00:17:14,120 --> 00:17:19,640 +الـ partial epilepsy أكتر شيء بيكون ناتج عن ايه؟ + +203 +00:17:19,640 --> 00:17:26,820 +عن focal brain damage stroke, abscess, tumor, cyst + +204 +00:17:26,820 --> 00:17:33,850 +و هكذا the presence of partial seizureإذا كان عند + +205 +00:17:33,850 --> 00:17:37,010 +المريض في partial seizure انا بديقوله على ايه؟ على + +206 +00:17:37,010 --> 00:17:41,310 +وجود focal cerebral pathology ان المريض عنده ايه؟ + +207 +00:17:41,310 --> 00:17:45,490 +focal cerebral pathology لذلك بحتاجه neuro imaging + +208 +00:17:45,490 --> 00:17:51,670 +CT and MRI او MRI نفسي لان اتكلم على tonic chronic + +209 +00:17:51,670 --> 00:17:57,670 +seizuresموضوع tonic-clonic seizures تحاولوا تنزلوا + +210 +00:17:57,670 --> 00:18:01,470 +فيديو من النت اسمه tonic-clonic convulsion او + +211 +00:18:01,470 --> 00:18:06,170 +seizures و بتلاحظوا كيف المرضي بتشنج اثناء نوبة ال + +212 +00:18:06,170 --> 00:18:11,530 +tonic-clonic بمجرد ال grand malé بيلبسه في ثلاث + +213 +00:18:11,530 --> 00:18:16,590 +مراحل pre-tectal stage اللي هي aura ectal stage + +214 +00:18:16,590 --> 00:18:20,710 +اللي هي نوبة التشنج post-ectal stage ما بعد النوبة + +215 +00:18:21,500 --> 00:18:26,360 +pre-ectary stage it is a warning sign for the + +216 +00:18:26,360 --> 00:18:31,340 +coming attack هذه إشارة تحذير من قدوم النوبة، إن + +217 +00:18:31,340 --> 00:18:36,900 +النوبة تبدأ عند المريض، لا يعني إن كل المرضى يكون + +218 +00:18:36,900 --> 00:18:40,200 +عندهم أورا، بعض المرضى ممكن تكون عندهم fatigue, + +219 +00:18:40,820 --> 00:18:44,640 +depression, nausea, vomiting, abdominal pain, + +220 +00:18:45,140 --> 00:18:49,490 +blurring of visionهذا كل مريض ممكن تكون الأورا + +221 +00:18:49,490 --> 00:18:54,170 +بتختلف عن المريض الآخر حسب وين موجود عنده ال .. ال + +222 +00:18:54,170 --> 00:18:59,730 +.. ال epileptic focus في ال brain stage two اكتر + +223 +00:18:59,730 --> 00:19:05,110 +stageهي هنا أصلحها شوية not more than five minutes + +224 +00:19:05,110 --> 00:19:09,570 +loss of consciousness بتكون اكتر stage بيحدث عندهم + +225 +00:19:09,570 --> 00:19:13,570 +sudden loss of consciousness sudden loss of + +226 +00:19:13,570 --> 00:19:17,670 +consciousness بعد ذلك ال ten seconds المريض بيكون + +227 +00:19:17,670 --> 00:19:23,310 +في hyper extension بنسميها tonic stage the body + +228 +00:19:23,310 --> 00:19:27,950 +becomes rigid بيكون rigid extended limbs الليمز + +229 +00:19:27,950 --> 00:19:36,940 +بيكون عندهم شدينممكن تسمع عندهم صوت شخير او صارخة + +230 +00:19:36,940 --> 00:19:41,420 +due to spasm of vocal cord المريض بسقط على الأرض + +231 +00:19:41,420 --> 00:19:46,860 +قعد rolling upward يعني بيجي البولة فوق و بيكون + +232 +00:19:46,860 --> 00:19:51,280 +عنده cyanotic phaseممكن يحدث throating من ال mouth + +233 +00:19:51,280 --> 00:19:56,340 +زبد urine incontinence عدم تحكم في ال bowl و + +234 +00:19:56,340 --> 00:20:01,560 +tongue bitting هذه كلها علامات اللي علاقة بال + +235 +00:20:01,560 --> 00:20:06,120 +tonic phase بعدها بدخل لمدة دقيقتين تلات دقائق في + +236 +00:20:06,120 --> 00:20:10,900 +clonic phase generalized convulsion بتستمر عملية + +237 +00:20:10,900 --> 00:20:14,940 +ال throating وبيحدث معهم rhythmic jerking of + +238 +00:20:14,940 --> 00:20:18,340 +muscle contraction and relaxation بتشكل هذا بيكون + +239 +00:20:18,340 --> 00:20:23,140 +المريض بتشنفهذه اللي هي ال rhythmic jerky movement + +240 +00:20:23,140 --> 00:20:30,800 +المريض بعدها بدخل في حالة sleep و لا post status + +241 +00:20:30,800 --> 00:20:37,160 +بيسميه post-ectal stage طب إذا استمرت النوبة تتشمج + +242 +00:20:37,160 --> 00:20:41,180 +أكتر من خمس دقائق إذا استمرت أكتر من خمس دقائق + +243 +00:20:41,180 --> 00:20:44,940 +بتعامل مع ايه مع status epilepticus status + +244 +00:20:44,940 --> 00:20:51,700 +epilepticus بعد النوبة post-ectal stageالمريض بحدث + +245 +00:20:51,700 --> 00:20:57,120 +معاه generalized fatigue، هزل، تعب، إرهاق، مرهق من + +246 +00:20:57,120 --> 00:21:01,220 +كثر ما حدث معاه، contraction لل muscles، sleep، + +247 +00:21:01,220 --> 00:21:05,620 +بدونام، sleepiness، coma، aphasia، Todd's + +248 +00:21:05,620 --> 00:21:08,980 +paralysis، لكن موضوع هذا neurological deficit اللي + +249 +00:21:08,980 --> 00:21:12,620 +بيحدث aphasia أو Todd's paralysis بتكون مدتها + +250 +00:21:12,620 --> 00:21:18,330 +ساعات أقل من 24 ساعة then a resolved symptomsبعد + +251 +00:21:18,330 --> 00:21:21,590 +هيك المريض ممكن يشكو من headache, dizziness, + +252 +00:21:21,710 --> 00:21:25,050 +vomiting due to increased intracranial pressure, + +253 +00:21:25,730 --> 00:21:29,430 +confusion لذلك الطبيب أو الأخ الصايم ممكن في + +254 +00:21:29,430 --> 00:21:32,890 +الاستقبال ممنوع يروح المريض لوحده و لازم ينتظر + +255 +00:21:32,890 --> 00:21:37,430 +المريض ليه؟ لأن المريض بيكون confused after a + +256 +00:21:37,430 --> 00:21:43,550 +conversion نتكلم + +257 +00:21:43,550 --> 00:21:49,610 +كلمتين على epilepsy أو absenceهذا ال absence يعتبر + +258 +00:21:49,610 --> 00:21:56,450 +generalized non-conversive seizures أكثر + +259 +00:21:56,450 --> 00:22:01,190 +شيء بيجي عند الأطفال في سن أربع اتناشر سنة ال + +260 +00:22:01,190 --> 00:22:05,070 +family history بيكون عندهم positive في أربعين + +261 +00:22:05,070 --> 00:22:10,640 +فلميةماذا يحدث في السيجارات؟ Multiple brief + +262 +00:22:10,640 --> 00:22:14,400 +starting episode with behavior arrest يعني أنا + +263 +00:22:14,400 --> 00:22:18,560 +بتكلم معاكم أو الطفل بتكلم معاكم فجأة بتلاقي فصل + +264 +00:22:18,560 --> 00:22:26,280 +بعدين برجع للحديث few seconds أكتر شيء بزيد هذه + +265 +00:22:26,280 --> 00:22:29,380 +الحالة مع ال hyperventilation لما الطفل بيرقد و + +266 +00:22:29,380 --> 00:22:32,740 +بيجري كثير ممكن يحدث معاه hyperventilation تبدأ + +267 +00:22:32,740 --> 00:22:41,110 +الحالة عنده the absenceيحدث كثير من الوقت في اليوم + +268 +00:22:41,110 --> 00:22:47,810 +خلال طرق من 5 إلى 15 ثانية هما مرتبطين بـ + +269 +00:22:47,810 --> 00:22:51,870 +generalized three hair spike and slow wave + +270 +00:22:51,870 --> 00:22:57,510 +discharge on EEG يعني المريض هذا على ال EEG بيكون + +271 +00:22:57,510 --> 00:23:03,210 +عندهم three hair spike and slow wave discharge ورح + +272 +00:23:03,210 --> 00:23:08,220 +نشوفهم على تخت الدماغ لازم نعملDifferential + +273 +00:23:08,220 --> 00:23:13,280 +diagnosis لحالات الابليبسي Syncope .. Syncope ال + +274 +00:23:13,280 --> 00:23:18,860 +attack Cardiac Syncope Vasovagal Micturation + +275 +00:23:18,860 --> 00:23:22,660 +Orthostatic Hypotension ايش ال Micturation + +276 +00:23:22,660 --> 00:23:26,400 +Syncope؟ خاصة البحث في عند الميل لما يصحى من النوم + +277 +00:23:27,100 --> 00:23:31,700 +ويروح يعمل urination عملية تبول خاصة إذا بيعملها + +278 +00:23:31,700 --> 00:23:35,660 +في standing position و هو واقف في حالة أدم يدخل + +279 +00:23:35,660 --> 00:23:39,700 +فيه hypertension و يكون عنده loss of consciousness + +280 +00:23:39,700 --> 00:23:44,000 +Trans ischemic attack اتكلمنا عنها في محاضرة + +281 +00:23:44,000 --> 00:23:48,540 +cerebral vascular disease panic attack اللي علاقة + +282 +00:23:48,540 --> 00:23:55,460 +بال psychological problem من نوع رعب وخوفSleep + +283 +00:23:55,460 --> 00:23:58,680 +disorders في حاجة اسمها Narcolepsy هذه + +284 +00:23:58,680 --> 00:24:02,220 +الناركوليبسي بيحدث معاهم كتابليكسيا في نهار المريض + +285 +00:24:02,220 --> 00:24:06,940 +بده ينام اجيوا عليه ضيوف لازم ينام بيكون عنده مصل + +286 +00:24:06,940 --> 00:24:12,020 +هيبوتونيا و في الليل بدخل في sleep paralysis من شل + +287 +00:24:12,020 --> 00:24:14,320 +و sleep hallucination بعد ده بيفوت في النوم + +288 +00:24:14,320 --> 00:24:18,240 +مابتذكرش بصحى الصبح بيقول زوجتي انا حدث معايا في + +289 +00:24:18,240 --> 00:24:21,440 +الليل انه انشلت حسيت حالي طب بتقوللي ليش ماكلمتني؟ + +290 +00:24:21,440 --> 00:24:25,090 +بيقولها انا ماقدرش اتكلم وشوفت أشياء و أشخاصهذه + +291 +00:24:25,090 --> 00:24:31,270 +اسمها Narcolepsy في Non-Epileptic Restless Leg + +292 +00:24:31,270 --> 00:24:34,290 +Syndrome Restless Leg Syndrome هذول المرضى لما + +293 +00:24:34,290 --> 00:24:37,170 +ييجى يناموا بيحدث من أحن باراستيزيا في ال legs + +294 +00:24:37,170 --> 00:24:41,470 +بتلاقيهم دلوقتي بيتحركوا و خلل و باراستيزيا و لازم + +295 +00:24:41,470 --> 00:24:44,910 +يجموا يتحركوا و يمشوا عشان تقل الحركة هذه بنسميها + +296 +00:24:44,910 --> 00:24:50,330 +Restless Leg Syndrome Non-Epileptic Seizures من + +297 +00:24:50,330 --> 00:24:54,070 +ضمنها pseudo seizures أو hysterical seizures + +298 +00:24:55,320 --> 00:25:01,820 +hypoglycemia نتج عن إيه؟ حراجان وانخفاض في نسبة + +299 +00:25:01,820 --> 00:25:06,160 +السكر في الدم فيوكروما سايتوما هي عبارة عن ال + +300 +00:25:06,160 --> 00:25:09,580 +tumor في ال adrenal gland و subarachnoid + +301 +00:25:09,580 --> 00:25:16,960 +hemorrhage هو نزيف تحت الأم العنكابوتية EEG in + +302 +00:25:16,960 --> 00:25:17,500 +epilepsy + +303 +00:25:21,400 --> 00:25:25,960 +الـ Normal EEG between attack in hectal period + +304 +00:25:25,960 --> 00:25:30,860 +doesn't in any way exclude epilepsy يعني لو خططنا + +305 +00:25:30,860 --> 00:25:34,740 +للمريض بين النوبات وكان تخطيطه نظيف لايعني انه + +306 +00:25:34,740 --> 00:25:38,560 +ماعندهوش epilepsy احنا بنجيب قاعدة بنقول تخطيط + +307 +00:25:38,560 --> 00:25:45,500 +الدماغ يثبت ولا ينفي وينفي ولا يثبت يعني يثبت ولا + +308 +00:25:45,500 --> 00:25:51,850 +ينفي وينفي ولا يثبتكيف؟ يعني مريض عنده صداع ومش + +309 +00:25:51,850 --> 00:25:54,590 +نايم كثير ورح نعمله تخطيط مابتشننش المريض هذا + +310 +00:25:54,590 --> 00:25:57,430 +لاجينا فيه increase في براكسيزم ال brain activity + +311 +00:25:57,430 --> 00:26:00,110 +لاجينا ذئب في شحنات الكهرباية هل هذا مريض + +312 +00:26:00,110 --> 00:26:06,090 +epilepsy؟ لأ هذا تخطيط ينفي ولا يثبت العكس صحيح + +313 +00:26:06,090 --> 00:26:10,910 +مريض epilepticو بتشنش و معروف known case of + +314 +00:26:10,910 --> 00:26:14,250 +epilepsy بين انه بقى حدث معاه اللي احنا عملنا + +315 +00:26:14,250 --> 00:26:17,830 +تخطيط له لقنا تخطيطه نظيف هل يعني ان هذا مريض + +316 +00:26:17,830 --> 00:26:22,930 +ماعندوش epilepsy لأ هذا تخطيطه يثبت ولا ينفي okay + +317 +00:26:22,930 --> 00:26:27,870 +many people with epilepsy have normal intraectal + +318 +00:26:27,870 --> 00:26:33,250 +EEG اتفقنا EEG should be performed within 24 hours + +319 +00:26:33,250 --> 00:26:37,690 +of the seizuresفي حال ان ال EEG routine كان normal + +320 +00:26:37,690 --> 00:26:42,410 +ممكن نعمل للمرضى sleep deprivation او نعمل شيء + +321 +00:26:42,410 --> 00:26:46,210 +اسمه video EEG monitoring يعني المريض نصوره + +322 +00:26:46,210 --> 00:26:51,000 +بالفيديو و نعمله تحطيه الدماءالـ abnormal inter + +323 +00:26:51,000 --> 00:26:56,120 +-ectal EEG الـ EEG بيكون abnormal في 80% من ال + +324 +00:26:56,120 --> 00:27:00,560 +absence 60% من ال generalized و 40% من ال complex + +325 +00:27:00,560 --> 00:27:05,660 +partial 2-3% من ال normal populations عندهم + +326 +00:27:05,660 --> 00:27:11,220 +epileptic form activity على ال EEG هنا عندنا تخت + +327 +00:27:11,220 --> 00:27:17,020 +الدماغلاحظوا فيه spike .. spike يعني هذا الحاد ده + +328 +00:27:17,020 --> 00:27:20,860 +ال wave الحاد هذا .. هذا بيسميه spike الصغير و هذا + +329 +00:27:20,860 --> 00:27:24,960 +slow wave و هذه ثانية واحدة إذا أجدنا عند المريض + +330 +00:27:24,960 --> 00:27:29,060 +spike slow wave .. spike slow wave .. spike slow + +331 +00:27:29,060 --> 00:27:32,940 +wave .. ثلاثة في الثانية الواحدة بقول والله العظيم + +332 +00:27:32,940 --> 00:27:36,360 +المريض عنده absence هذا بيتمال epilepsy .. بيتمال + +333 +00:27:36,360 --> 00:27:38,900 +epilepsy طيب + +334 +00:27:40,350 --> 00:27:44,110 +هنا الأعداد الفردية هذه بتدل أنها left cerebral + +335 +00:27:44,110 --> 00:27:50,690 +hemisphere وهذه right cerebral hemisphere الزوجي + +336 +00:27:50,690 --> 00:27:58,930 +الزوجي right والفردي left وجدنا فيه spikes في كلهم + +337 +00:27:58,930 --> 00:28:01,830 +في ال left و في ال right بقول هذا المرضي عنده + +338 +00:28:01,830 --> 00:28:05,710 +generalized epilepsy عنده generalized epilepsy + +339 +00:28:06,870 --> 00:28:10,050 +يجيني المريض اخر لكن اكتر شي عنده ال spikes هدول + +340 +00:28:10,050 --> 00:28:18,630 +حدين في F7 F7 يعني اللي هو F7 frontal lift frontal + +341 +00:28:18,630 --> 00:28:23,890 +و T3 T3 lift temporal بقول المريض عنده بارشال ايه + +342 +00:28:23,890 --> 00:28:27,450 +بنبسه و ال focus اكتر شي موجود وين في lift + +343 +00:28:27,450 --> 00:28:33,370 +frontotemporal area lift frontotemporal areaهذه + +344 +00:28:33,370 --> 00:28:38,710 +hypsarrhythmia تيجي عند المرضى اللي عندهم waste + +345 +00:28:38,710 --> 00:28:41,010 +syndrome او infantile spasm + +346 +00:28:45,570 --> 00:28:50,050 +هذه نوع بالتشنج صراعي + +347 +00:28:50,050 --> 00:28:53,550 +اللى علاقة بالصراع او ال epilepsy او نوع بالتشنج + +348 +00:28:53,550 --> 00:28:57,550 +نفسى نوع بالتشنج نفسى بنسميها pseudo seizures يعني + +349 +00:28:57,550 --> 00:29:02,130 +ايش pseudo seizures يعني تشنج كاذب تشنج كاذب انتج + +350 +00:29:02,130 --> 00:29:08,370 +الان الى ال pseudo seizures pseudo seizures ايش + +351 +00:29:08,370 --> 00:29:12,010 +pseudo seizures يعني نوع بالتشنج كاذب نوع بالتشنج + +352 +00:29:12,010 --> 00:29:16,820 +كاذبيعني psychogenic seizuresure، non أو نطقي + +353 +00:29:16,820 --> 00:29:21,800 +بالابتك سيجار، the fit usually occurs in the + +354 +00:29:21,800 --> 00:29:25,560 +presence of other people to gain their sympathy + +355 +00:29:25,560 --> 00:29:33,440 +يعني إنه بتتشمج، بتحدثمع وجود الأقارب الأهل زوج + +356 +00:29:33,440 --> 00:29:40,480 +زوجة والد والدة و هكذا لجلب عطفهم إلى المريض ال + +357 +00:29:40,480 --> 00:29:43,640 +patient alert with generalized convulsion المريض + +358 +00:29:43,640 --> 00:29:47,000 +بتشنج و هو واعي يعني لو سؤلنا أي سؤال بقولك أنا + +359 +00:29:47,000 --> 00:29:52,280 +كنت واعي و مش ناسي ولا حدث و بيمثلك كيف بتشنج يعني + +360 +00:29:52,280 --> 00:29:57,040 +المريض كان واعيEyes often closed during attack و + +361 +00:29:57,040 --> 00:30:00,880 +المريض يكون مغمض عنه و بيعمل blinking بيعمل برمش + +362 +00:30:00,880 --> 00:30:05,860 +عينية It never occurs during sleep و النوم بعمرها + +363 +00:30:05,860 --> 00:30:10,080 +مابتبدأ و مابتحدث عنده أثناء النوم The patient + +364 +00:30:10,080 --> 00:30:14,380 +never hurts himself المريض عمره مابيأذي نفسه أثناء + +365 +00:30:14,380 --> 00:30:18,900 +التشنج مابيقضش لسانه مابيجعش مابيصيرش عنده اي قسور + +366 +00:30:18,900 --> 00:30:22,900 +اي dislocation في ال shouldersAutonomic signs + +367 +00:30:22,900 --> 00:30:26,400 +during attack uncommon ومرضى الابليبسي ممكن تلاقي + +368 +00:30:26,400 --> 00:30:31,380 +ضغط ورتفع عنده cyanosis عندها trachecardia هنا في + +369 +00:30:31,380 --> 00:30:35,220 +ال .. في ال .. في ال pseudo seizures بيكونوا + +370 +00:30:35,220 --> 00:30:39,760 +normal urine incontinence never occur مريض + +371 +00:30:39,760 --> 00:30:42,580 +الابليبسي ممكن يحدث معاه stool و urine + +372 +00:30:42,580 --> 00:30:46,500 +incontinence due to hypoxia لكن في ال pseudo + +373 +00:30:46,500 --> 00:30:50,520 +seizures بيكون without a stool or urine + +374 +00:30:50,520 --> 00:30:55,900 +incontinenceEEG is normal and anti-epileptic drugs + +375 +00:30:55,900 --> 00:31:00,460 +is contraindication يعني تخطيط الدماغ بيكون طبيعي + +376 +00:31:00,460 --> 00:31:08,200 +و نعالجهم و نعطيهم أقراص أو أقار لمنع تشنجات ممنوع + +377 +00:31:10,630 --> 00:31:14,990 +normal prolactin level after attack في حالات ال + +378 +00:31:14,990 --> 00:31:19,710 +epilepsy لو فحصنا نسبة ال prolactin بيحدث في + +379 +00:31:19,710 --> 00:31:24,870 +ارتفاع خلال عشرين دقيقة بيصير increase ل prolactin + +380 +00:31:24,870 --> 00:31:29,050 +level خلال عشرين دقيقة بعد النوبة في 80% من + +381 +00:31:29,050 --> 00:31:32,430 +الحالات لكن في ال pseudo seizures بيكون normal + +382 +00:31:32,430 --> 00:31:38,490 +prolactin level طيب احنا قلناfirst attack او first + +383 +00:31:38,490 --> 00:31:41,430 +seizure is not epilepsy but indication for + +384 +00:31:41,430 --> 00:31:44,910 +investigations لكن في بعض الحالات أنا ببدأهم علاج + +385 +00:31:44,910 --> 00:31:49,270 +بعد النوبة الأولى ميما ما هدول؟ هدول يعتبروا high + +386 +00:31:49,270 --> 00:31:53,630 +risk for recurrent هدول المعرضين ان الحياة تتكرر + +387 +00:31:53,630 --> 00:31:57,130 +معهم ميما ما بيقول المرضى؟ إذا المريض عنده focal + +388 +00:31:57,130 --> 00:31:59,830 +neurological deficit في الحالة هذه، هذه المجموعة + +389 +00:31:59,830 --> 00:32:03,630 +من المرضى بتعامل مع ال first seizure as epilepsy و + +390 +00:32:03,630 --> 00:32:08,040 +ببدأ علاجإذا المريض عنده focal neurologic deficit + +391 +00:32:08,040 --> 00:32:14,240 +عنده mental retardation ال EEG severe epileptic + +392 +00:32:14,240 --> 00:32:19,740 +form دي الشعر عنده structural brain lesion عملنا + +393 +00:32:19,740 --> 00:32:24,660 +CT وجدنا المريض عنده tumor عنده abscess, cyst و + +394 +00:32:24,660 --> 00:32:29,360 +هكذا إذا المريض عنده initial dense seizure يعني + +395 +00:32:29,360 --> 00:32:33,000 +ايه high dense seizure يعني انه بشديدة جدا جوية + +396 +00:32:33,000 --> 00:32:37,390 +انه بجتهوإذا كان positive family history وإذا حدث + +397 +00:32:37,390 --> 00:32:41,330 +seizure during sleep في حالة إنه حدث seizure + +398 +00:32:41,330 --> 00:32:44,290 +during sleep أنا بقوم متأكد إن هو هذا Epileptic + +399 +00:32:44,290 --> 00:32:48,770 +ليه؟ لإن المريض إذا حدث معاه أثناء النوم ممكن تكون + +400 +00:32:48,770 --> 00:32:52,150 +حدث معاه سابقا أثناء النوم، هاي واحد ثانيا أثناء + +401 +00:32:52,150 --> 00:32:54,670 +النوم أنا بعمل exclusion للpsychogenic مش ممكن + +402 +00:32:54,670 --> 00:32:58,810 +يكون هذه psychogenic وهو نايم تلاتة الإنسان وهو + +403 +00:32:58,810 --> 00:33:03,170 +نايم بيكون عنده electrical brain discharge lowكونه + +404 +00:33:03,170 --> 00:33:07,950 +تشنج و هو نائم ممكن يحدث عندهم recurrence للتشنج + +405 +00:33:13,460 --> 00:33:17,700 +start with one first line drug نبدأ بأول drug ب + +406 +00:33:17,700 --> 00:33:21,720 +first line يكون start with low dose نعطي جرعة + +407 +00:33:21,720 --> 00:33:25,640 +بسيطة ما نعطيش جرعة عالية gradually increase dose + +408 +00:33:25,640 --> 00:33:30,440 +of drugs نزود جهرة العلاج تدريجيا لحد ما أصل لل + +409 +00:33:30,440 --> 00:33:35,940 +control of seizures و أعمل level لل drugs أو يحدث + +410 +00:33:35,940 --> 00:33:39,910 +عندنا side effect من ال drugsطب في حال ان العلاج + +411 +00:33:39,910 --> 00:33:43,590 +الاول ماظبط مع المريض بغيره لعلاج تاني طب ماظبطش + +412 +00:33:43,590 --> 00:33:47,630 +تاني بغيره لعلاج تالت بعدها ممكن اعمل combination + +413 +00:33:47,630 --> 00:33:52,790 +اعطي ايه اكثر من العلاج اعطي اكثر من العلاج لكن + +414 +00:33:52,790 --> 00:33:58,570 +مايزيدوا عن three drugs مايزيدش عن ايه three drugs + +415 +00:33:58,570 --> 00:34:04,050 +و the goal of therapy should be complete seizure + +416 +00:34:04,050 --> 00:34:09,600 +controlwith singly drugs and without side effect + +417 +00:34:09,600 --> 00:34:14,660 +هذه أدوية أكيد مرت عليكم في ال pharmacy مارح انا + +418 +00:34:14,660 --> 00:34:20,580 +اركز عنكم انتوا مش راح تعالجوا مرضى ابي لبسي مش + +419 +00:34:20,580 --> 00:34:24,660 +مجالكوا بس انا كنت حاططتلكم لهم في slide ممكن تكون + +420 +00:34:24,660 --> 00:34:29,980 +مرت عليكم الأسماء هذه في مساق الأدوية + +421 +00:34:31,730 --> 00:34:36,010 +طب أنتوا في البيت .. في البيت جارتكم عندها إيه + +422 +00:34:36,010 --> 00:34:39,870 +بلبسه؟ أو أنتوا ت .. ت .. أثناء جلسة علاج طبيعي + +423 +00:34:39,870 --> 00:34:46,110 +حدث نوبة؟ أو بتكونوا ت .. تنصحوا أهل المريض إيش + +424 +00:34:46,110 --> 00:34:52,130 +يعمله في الحالات هذه؟ أول شيء لازم أبعد المريض عن + +425 +00:34:52,130 --> 00:34:55,730 +الأماكن الخاطرة أقوله ممنوع لك السباحة لإن لو حدثت + +426 +00:34:55,730 --> 00:34:59,840 +نوبة أثناء السباحة ممكن يغرق المريض2 يبعد عن + +427 +00:34:59,840 --> 00:35:04,120 +الأماكن العالية المرتفعة يبعد عن الأماكن الخطرة لو + +428 +00:35:04,120 --> 00:35:08,520 +حد اتشنج ممكن يقضي نفسه فيها avoid precipitating + +429 +00:35:08,520 --> 00:35:12,620 +factors نبعد عن العوامل اللي ممكن يزود النوبة مثل + +430 +00:35:12,620 --> 00:35:17,580 +TV كمبيوتر جوالات اللي بيطلهم سهرانيا جوالات sleep + +431 +00:35:17,580 --> 00:35:22,660 +deprivation كل هذا يجنب مريض ال epilepsyفي بلاد + +432 +00:35:22,660 --> 00:35:26,040 +الأوروبا من صحهم يبردوا عن الالكوهول ممنوع + +433 +00:35:26,040 --> 00:35:29,800 +الالكوهول يشربوا ال ketogenic diet هذه ال + +434 +00:35:29,800 --> 00:35:33,960 +ketogenic diet بتكون high في ال fat و low في ال + +435 +00:35:33,960 --> 00:35:38,020 +carbohydrate بتقولك بتقلل ال paroxysmal brain اتش + +436 +00:35:38,020 --> 00:35:41,540 +عارف انتوا + +437 +00:35:41,540 --> 00:35:48,180 +شغالين جالس تلاج طبيعي وحدث تشنج لمريض او مريضة ما + +438 +00:35:48,180 --> 00:35:53,710 +العمل والطبيب ماكانش جريب عندكمسرعة move person + +439 +00:35:53,710 --> 00:36:00,090 +away from danger أبعد المريض عن مكان الخطر ensure + +440 +00:36:00,090 --> 00:36:02,970 +airway is clear أتأكد أنه ال airway عنده clear + +441 +00:36:02,970 --> 00:36:07,290 +don't insert anything in mouth ماحطش أي شيء في + +442 +00:36:07,290 --> 00:36:11,230 +الطم يقولك عشان مانعضش لسانه طب هو ممكن يحط .. + +443 +00:36:11,230 --> 00:36:13,310 +مانعجبه يكسر إيش إسنانه و الفك + +444 +00:36:17,190 --> 00:36:20,950 +إذا التشنج استمر أكتر من ثلاث دقائق، بسرعة أتصل + +445 +00:36:20,950 --> 00:36:24,990 +على الأسعاف وأبعت المريض لوين للمستشفى، إذا كان + +446 +00:36:24,990 --> 00:36:28,290 +هذا fear seizure نوبة أولى، ضروري أروح المستشفى، + +447 +00:36:28,290 --> 00:36:32,290 +إذا هو known case of epilepsy، ممكن بعد ذلك يراجع + +448 +00:36:32,290 --> 00:36:37,150 +لإيادة خارجيةPerson may be drowsy, confused for + +449 +00:36:37,150 --> 00:36:41,350 +some minutes, thirty, sixty minutes and should not + +450 +00:36:41,350 --> 00:36:45,190 +leave alone until fully recovered يعني المريض أتي + +451 +00:36:45,190 --> 00:36:49,650 +عندكم على عيادة طبيعي أو على المركز ممنوع بعد + +452 +00:36:49,650 --> 00:36:52,570 +التشنف مباشرة يخلي المريض يهيادر الجسم لأن المريض + +453 +00:36:52,570 --> 00:36:55,970 +بيكون confused انتظر عليه ساعة ساعتين عبر ما يرجع + +454 +00:36:55,970 --> 00:37:02,540 +و يصحصح ميا ميا في الاستقبال في ال emergencyensure + +455 +00:37:02,540 --> 00:37:06,680 +airway is clear، give oxygen to avoid cerebral + +456 +00:37:06,680 --> 00:37:11,520 +hypoxia، most seizures last only a minutes and in + +457 +00:37:11,520 --> 00:37:17,480 +spontaneously، إذا استمر التشنج، بنعطاه لهم اللي + +458 +00:37:17,480 --> 00:37:23,020 +هو a diazepam، إما rectal وإما IVبتاخد ال blood + +459 +00:37:23,020 --> 00:37:28,400 +لفحص ال CBC و كيميستري ضروري ان اعمل exclusion + +460 +00:37:28,400 --> 00:37:34,420 +لhypoglycemia if convulsion continues more than + +461 +00:37:34,420 --> 00:37:39,240 +five minutes managed as status epilepticus ايش هو + +462 +00:37:39,240 --> 00:37:43,100 +status epilepticus نتكلم عنه كلمتين status + +463 +00:37:43,100 --> 00:37:48,870 +epilepticusis state of continuous seizures يقول هو + +464 +00:37:48,870 --> 00:37:53,250 +عبارة عن continuous seizures more than five minute + +465 +00:37:53,250 --> 00:37:57,850 +duration without return of normal neurologic + +466 +00:37:57,850 --> 00:38:02,570 +function between attack يعني هو عبارة عن تشمش + +467 +00:38:02,570 --> 00:38:07,710 +مستمر مع فقدان الوعي لأكتر من خمس دقائق اللي + +468 +00:38:07,710 --> 00:38:11,940 +بتعامل معاه status epilepticusالصحيحة السيبليبتيكس + +469 +00:38:11,940 --> 00:38:19,140 +لديها مرتالة من 10 ل 15% لماذا بتوفوا المرضى بعد + +470 +00:38:19,140 --> 00:38:21,340 +الصحيحة السيبليبتيكس؟ ممكن يحدث معهم cardio + +471 +00:38:21,340 --> 00:38:26,940 +respiratory arrest يتوقف القلب والتنفس اثنان ممكن + +472 +00:38:26,940 --> 00:38:31,080 +يحدث معهم irreversible brain damage ويظلهم في كومة + +473 +00:38:31,080 --> 00:38:36,930 +due to brain hypoxia او anoxiaتمام؟ و انتوا + +474 +00:38:36,930 --> 00:38:41,810 +تتعاملوا معاهم في الحالة هذه as a comatose patient + +475 +00:38:41,810 --> 00:38:47,350 +هو في بعض الحالات ممكن تدخلوا في رابدوميولايزس من + +476 +00:38:47,350 --> 00:38:51,830 +موضوع التشنج و ال muscle contraction ممكن تتحلل + +477 +00:38:51,830 --> 00:38:55,270 +العضلات و يصير انها حاجة اسم رابدوميولايزس هذه + +478 +00:38:55,270 --> 00:39:01,360 +تدخل المريض في acute,renal,facial,caloric حدأنواع + +479 +00:39:01,360 --> 00:39:05,400 +ال status major status هذا نتج عن generalized + +480 +00:39:05,400 --> 00:39:10,640 +tonic-clonic minor status اللي هو absence status + +481 +00:39:10,640 --> 00:39:14,820 +هذا ال status بنسميه الأول major convulsive status + +482 +00:39:14,820 --> 00:39:18,700 +والنوع الثاني ال minor status بنسميه non + +483 +00:39:18,700 --> 00:39:26,330 +-convulsive statusو في partial أو focal motor or + +484 +00:39:26,330 --> 00:39:29,970 +sensory status حسب أنواع ال epilepsy إذا كانت ال + +485 +00:39:29,970 --> 00:39:33,130 +epilepsy partial بيؤدي إلى partial status إذا كان + +486 +00:39:33,130 --> 00:39:37,910 +absence بنسمي absence status أو minor status إذا + +487 +00:39:37,910 --> 00:39:43,290 +كان major grand mal بنسمي major status management + +488 +00:39:43,290 --> 00:39:51,510 +of statusمن سفر لخمس دقائق لاميديات medical care + +489 +00:39:51,510 --> 00:39:54,740 +اللي انا اتكلم عنهم في ال slide اللي قبلمن ستة + +490 +00:39:54,740 --> 00:39:59,600 +لعشر دقائق بنعطى المرضى ثيامين and جلوكوز ليش + +491 +00:39:59,600 --> 00:40:02,440 +بيحطوا ثيامين and جلوكوز في أوروبا؟ أنا مابنعطيش + +492 +00:40:02,440 --> 00:40:05,140 +بس في أوروبا بيعطوا ليه؟ في أمريكا وفي العالم كله + +493 +00:40:05,140 --> 00:40:08,100 +لأنه عندهم كحول شرب كحول المرضى هدول ممكن يكون + +494 +00:40:08,100 --> 00:40:11,860 +داخلين في حاجة اسمها vernix encephalopathy أو + +495 +00:40:11,860 --> 00:40:15,520 +alcoholic encephalopathy وعلاجها ضروري نبدأ باش + +496 +00:40:15,520 --> 00:40:20,240 +بالثيامين and جلوكوز وبنعطى ضيا زباب معاها هتكلم + +497 +00:40:20,240 --> 00:40:24,820 +على جرعات لأنهم الشغلكم واللي ورا زبابأو الورازبام + +498 +00:40:24,820 --> 00:40:30,000 +نتذكر ال side effect من الديازبام أو الورازبام أنه + +499 +00:40:30,000 --> 00:40:32,760 +ممكن يعملوا respiratory depression, hypotension + +500 +00:40:32,760 --> 00:40:36,020 +and cardiac dysrhythmia وفي الحالة هذا الطبيب لازم + +501 +00:40:36,020 --> 00:40:40,810 +يعطي الديازبام أو الورازبام slowlyمن عشر لعشرين + +502 +00:40:40,810 --> 00:40:45,170 +دقيقة المريض ما اتحسن اتشنج بنقي فينتوين جرعة + +503 +00:40:45,170 --> 00:40:50,370 +عالية loading dose او فوس فينتوين مااتحسنش من + +504 +00:40:50,370 --> 00:40:56,110 +عشرين لثلاثين دقيقة جرعة إضافية من فينتوينو بنطلب + +505 +00:40:56,110 --> 00:40:59,930 +عصرية أخصية لناية مركزة عشان عملية ال intubation + +506 +00:40:59,930 --> 00:41:04,610 +بنحط المريض على جهاز تنفس صناعي و بنعمل continuous + +507 +00:41:04,610 --> 00:41:08,190 +blood pressure و cardiac monitoring انا كطبيب ممكن + +508 +00:41:08,190 --> 00:41:11,870 +ممنوع احط الفينوتاين او الفوسفينوتاين في محلول + +509 +00:41:11,870 --> 00:41:15,870 +الجلوكوز لازم احطه في محلول normal صلاة عشان بحدث + +510 +00:41:15,870 --> 00:41:20,900 +له crystallization بترصب مع الجلوكوزسمر التشنج + +511 +00:41:20,900 --> 00:41:24,220 +اكتر من 30 دقيقة انا ببقى بضع كورس يخلص شغل و + +512 +00:41:24,220 --> 00:41:26,920 +اخصّي الانهاء المركزة في الحالات بيكون اعمل + +513 +00:41:26,920 --> 00:41:29,600 +intubation للمريض حط المريض على جهاز التنفس + +514 +00:41:29,600 --> 00:41:32,800 +الصناعي بينا نعطيه general anesthesia تخدير كامل + +515 +00:41:32,800 --> 00:41:36,700 +عشان يسيطر على التشنج بيناعطه phenobarbital او + +516 +00:41:36,700 --> 00:41:42,460 +midazolam او probofol و هي كانت سيطرنا على التشنج + +517 +00:41:42,460 --> 00:41:47,580 +طيب مريض epilepsy متى اوقف العلاج بتاعه؟ متى اوقف + +518 +00:41:47,580 --> 00:41:53,920 +العلاج؟70 ل 80% من مرضى الepilepsy ممكن يسيطر على + +519 +00:41:53,920 --> 00:41:59,320 +التشنج وفي حال كان عنده سيطرة على التشنج مدة سنتين + +520 +00:41:59,320 --> 00:42:03,640 +لثلاث سنوات ما تشنج بعد سنتين لثلاث سنوات ما تشنج + +521 +00:42:05,040 --> 00:42:09,280 +بعمله EEG، الـ EEG نظيف، normal، بعمل withdrawal + +522 +00:42:09,280 --> 00:42:14,740 +للـ Anti-epileptic drugs بنزل الجرعة تدريجيا، مدة + +523 +00:42:14,740 --> 00:42:18,320 +ست شهور، ست شهور و أنا بقى بعمل withdrawal from + +524 +00:42:18,320 --> 00:42:22,760 +Anti-epileptic drugs لكن ننتبه و نفهم أهل المريض + +525 +00:42:22,760 --> 00:42:26,920 +أن المرض ممكن serorecurrence بعد ما نوقف العلاج أو + +526 +00:42:26,920 --> 00:42:30,900 +أثناء تخفيف جرعة العلاجثلاثين تقريباً تلاتة و + +527 +00:42:30,900 --> 00:42:33,700 +تلاتين في المية من الحالات الأضالة تخمس و عشرين في + +528 +00:42:33,700 --> 00:42:37,260 +المية من ال children ممكن يصير لهم recurrence و + +529 +00:42:37,260 --> 00:42:42,920 +يترجع نوبة التشنج لإلهمفي تدخلات جراحية ممكن تتم + +530 +00:42:42,920 --> 00:42:46,620 +في حالات ال medical refractory epilepsy أو في + +531 +00:42:46,620 --> 00:42:50,060 +الحالات اللي عندها focal brain damage مثل anterior + +532 +00:42:50,060 --> 00:42:53,900 +temporal lobe resection أو ال lesion اكتماليوم + +533 +00:42:53,900 --> 00:42:58,440 +بيحدد وين ال a preptogenic structural lesion و + +534 +00:42:58,440 --> 00:43:02,860 +بيعملوا لها a resectionو في عمليات تانية اسمها + +535 +00:43:02,860 --> 00:43:07,120 +Vegas nerve simulation بيركبوا مثل ال base maker + +536 +00:43:07,120 --> 00:43:10,940 +جهاز و بيعملوا رابط له مع ال Vegas nerve و بيقلل + +537 +00:43:10,940 --> 00:43:15,140 +نوبات التشنج مش لكل الحالات هذه العمليات بنعمله + +538 +00:43:15,140 --> 00:43:19,340 +للمعرض اللي عندهم medical refractory epilepsy هيك + +539 +00:43:19,340 --> 00:43:22,560 +بيكون انا شرحتلكم محاضرة epilepsy and status + +540 +00:43:22,560 --> 00:43:25,720 +epilepticus دمتم بخير يعطيكم الف عافية +