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1 |
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00:00:05,130 --> 00:00:07,970 |
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بسم الله الرحمن الرحيم السلام عليكم ورحمة الله |
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2 |
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00:00:07,970 --> 00:00:13,370 |
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نكمل محاضرة الأسبوع التاسع which is cranial nerves |
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3 |
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00:00:13,370 --> 00:00:17,390 |
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رقم 2 في جزء الأول من المحاضرة أنا شرحت لكم facial |
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4 |
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00:00:17,390 --> 00:00:22,090 |
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nerve واتفاجأنا أن vestibulocochlear nerve راح |
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5 |
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00:00:22,090 --> 00:00:27,140 |
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نشرحه في محاضرة الـ special sensation اليوم أو جزء |
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6 |
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00:00:27,140 --> 00:00:30,560 |
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الآن راح يكون على glossopharyngeal nerve, vagus |
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7 |
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00:00:30,560 --> 00:00:34,920 |
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nerve, accessory nerve وvagus nerve نبدأ بـ |
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8 |
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00:00:34,920 --> 00:00:38,700 |
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glossopharyngeal nerve glossopharyngeal nerve it |
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9 |
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00:00:38,700 --> 00:00:41,640 |
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is mixed nerve it is mixed nerve يبقى |
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10 |
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00:00:41,640 --> 00:00:45,900 |
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glossopharyngeal nerve it is mixed nerve which |
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11 |
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00:00:45,900 --> 00:00:51,460 |
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contain sensory fibers motor fibers and |
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12 |
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00:00:51,460 --> 00:00:57,910 |
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parasympathetic it is more important as sensory لأن |
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13 |
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00:00:57,910 --> 00:01:06,630 |
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أكثر الأفرع اللي فيه تعتبر أعصاب حسية emerged from |
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14 |
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00:01:06,630 --> 00:01:14,130 |
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the posterior lateral sulcus of medulla oblongata |
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15 |
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00:01:14,130 --> 00:01:19,250 |
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بخرج من الـ posterior lateral sulcus of medulla |
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16 |
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00:01:19,250 --> 00:01:22,190 |
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oblongata اللي هو glossopharyngeal nerve |
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17 |
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00:01:27,070 --> 00:01:32,350 |
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ثم تنتقل إلى الـ jugular foramen بخرج من الـ |
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18 |
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00:01:32,350 --> 00:01:37,750 |
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jugular foramen اتفاقنا أن الـ functions بتاعة الـ |
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19 |
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00:01:37,750 --> 00:01:41,950 |
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glossopharyngeal nerve motor sensory |
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20 |
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00:01:41,950 --> 00:01:47,610 |
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parasympathetic main function is sensory يبقى الـ |
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21 |
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00:01:47,610 --> 00:01:49,890 |
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nuclei of the glossopharyngeal nerve رح يكونوا |
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22 |
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00:01:49,890 --> 00:01:54,980 |
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ثلاثة أنواع وحدة motor و وحدة sensory و بارا |
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23 |
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00:01:54,980 --> 00:02:01,080 |
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sympathetic نبدأ بالـ motor motor nucleus اسمها |
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24 |
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00:02:01,080 --> 00:02:06,480 |
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nucleus of ambiguous nucleus of ambiguous nucleus |
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25 |
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00:02:06,480 --> 00:02:10,240 |
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of |
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26 |
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00:02:10,240 --> 00:02:14,420 |
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ambiguous |
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27 |
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00:02:17,550 --> 00:02:22,250 |
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Nucleus of Ambigus بتعطي 3 nerve بتخدنا كم عصب |
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28 |
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00:02:22,250 --> 00:02:29,650 |
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ثلاثة بتخدنا الـ glossopharyngeal nerve ثلاثة |
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29 |
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00:02:29,650 --> 00:02:38,930 |
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بتخدنا الـ vagus nerve ثلاثة بتخدنا الـ cranial |
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30 |
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00:02:38,930 --> 00:02:43,760 |
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nerve accessory nerve يبقى أن هذه الـ nucleus اللي |
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31 |
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00:02:43,760 --> 00:02:47,620 |
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هي ambiguous nucleus بتعطينا لثلاث عصاب بتعطي |
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32 |
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00:02:47,620 --> 00:02:57,780 |
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للعصب التاسع عشر واحد عشر وأضفتها somatic motor |
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33 |
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00:02:57,780 --> 00:03:03,880 |
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nucleus ايش somatic motor nucleus يعني supply |
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34 |
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00:03:03,880 --> 00:03:10,440 |
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skeletal muscles supply لإيه skeletal muscles Okay |
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35 |
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00:03:10,440 --> 00:03:17,020 |
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هذا أول نيوكلياس النيوكلياس الثانية sub inferior |
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36 |
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00:03:17,020 --> 00:03:21,300 |
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salivary nucleus يوم شرحت facial nerve اتكلمت على |
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37 |
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00:03:21,300 --> 00:03:24,020 |
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superior salivary nucleus لأن الـ glossopharyngeal |
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38 |
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00:03:24,020 --> 00:03:27,760 |
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nerve في inferior salivary nucleus |
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39 |
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00:03:27,760 --> 00:03:32,960 |
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موجودة في الميدالة أوبلانجاتا وظيفتها supply the |
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40 |
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00:03:34,530 --> 00:03:38,070 |
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parotid gland يقولون وظيفتها ايه بتغذي مين |
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41 |
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00:03:38,070 --> 00:03:43,350 |
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parotid gland ايش وظيفتها parasympathetic function |
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42 |
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00:03:43,350 --> 00:03:47,850 |
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parasympathetic function وايه ايه الثالثة solitary |
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43 |
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00:03:47,850 --> 00:03:53,950 |
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nucleus احنا شرحناها هي solitary nucleus solitary |
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44 |
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00:03:53,950 --> 00:03:56,970 |
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nucleus |
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45 |
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00:03:56,970 --> 00:04:02,350 |
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موجودة وين في الميدالة oblongata for general |
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46 |
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00:04:04,350 --> 00:04:11,190 |
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and taste sensation هذه الـ nucleus راح تتكرر |
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47 |
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00:04:11,190 --> 00:04:13,790 |
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معناها في الأعصاب اللي لهم علاقة بالـ taste |
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48 |
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00:04:13,790 --> 00:04:20,770 |
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sensation في العصب السابع بتعطينا general و taste |
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49 |
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00:04:20,770 --> 00:04:28,830 |
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sensation تمام في العصب السابع و التاسع في العصب |
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50 |
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00:04:28,830 --> 00:04:32,510 |
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التاسع الـ glossopharyngeal لـ taste و general sensation |
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51 |
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00:04:32,510 --> 00:04:41,510 |
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و لـ vagus nerve هيبقى هذه تتكرر في ثلاث عصاب |
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52 |
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00:04:41,510 --> 00:04:47,330 |
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تتكرر |
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53 |
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00:04:47,330 --> 00:04:53,310 |
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في العصب السابع و التاسع و العشر هذه اسمها اللي هي |
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54 |
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00:04:55,650 --> 00:05:03,170 |
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سوليتاريه نيوكلياس ثلاثة نيوكلياه ambiguous for motor |
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55 |
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00:05:03,170 --> 00:05:08,490 |
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function تعطينا fibers للموتور supply of stylo |
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56 |
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00:05:08,490 --> 00:05:10,610 |
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pharyngeal muscle اللي يقلص الـ pharyngeal نير |
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57 |
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00:05:10,610 --> 00:05:14,330 |
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بيغذّي عضلة واحدة ثمانية inferior salivary nucleus |
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58 |
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00:05:14,330 --> 00:05:17,730 |
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موجودة في الميدالة أبلنجاته for parotid gland |
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59 |
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00:05:17,730 --> 00:05:21,530 |
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parasympathetic function وسوليتاريه نيوكلياه موجودة |
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60 |
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00:05:21,530 --> 00:05:27,160 |
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في الميدالة أبلنجاته وأضفتها sensory function نتكلم |
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61 |
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00:05:27,160 --> 00:05:29,700 |
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الآن على الـ functions of glossopharyngeal nerve |
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62 |
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00:05:29,700 --> 00:05:32,980 |
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اتفاقنا أنه mixed nerve، the main function is |
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63 |
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00:05:32,980 --> 00:05:38,820 |
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sensory function، first function is sensory، |
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64 |
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00:05:38,820 --> 00:05:42,900 |
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supply أو receive taste sensation and general |
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65 |
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00:05:42,900 --> 00:05:47,980 |
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sensation from posterior one third of the tongue |
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66 |
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00:05:48,380 --> 00:05:54,820 |
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اثنين mucous membrane pharynx و tonsil carotid sinus و |
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67 |
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00:05:54,820 --> 00:05:58,980 |
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carotid body يبقى هذه اللي هي sensory function |
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68 |
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00:06:01,300 --> 00:06:06,000 |
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parasympathetic function supply parotid gland يقول |
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69 |
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00:06:06,000 --> 00:06:10,800 |
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أن هو المسؤول عن parotid gland ثلاثة motor |
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70 |
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00:06:10,800 --> 00:06:14,540 |
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function supply only one muscle it is |
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71 |
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00:06:14,540 --> 00:06:20,160 |
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stylopharyngeus muscle stylopharyngeus muscle هاي |
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72 |
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00:06:20,160 --> 00:06:25,420 |
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عندي الـ posterior one third of the tongue taste |
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73 |
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00:06:33,170 --> 00:06:40,430 |
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and general sensation من وين بتاخد؟ من العصب |
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74 |
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00:06:40,430 --> 00:06:44,650 |
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التاسع glossopharyngeal مسؤول عن الـ taste و |
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75 |
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00:06:44,650 --> 00:06:51,650 |
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general sensation طيب anterior two third الـ |
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76 |
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00:06:51,650 --> 00:07:00,210 |
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anterior two third تلاحظوا الـ anterior two third من |
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77 |
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00:07:00,210 --> 00:07:00,710 |
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ناحية |
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78 |
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00:07:05,390 --> 00:07:11,950 |
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taste sensation from |
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79 |
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00:07:11,950 --> 00:07:17,930 |
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facial nerve من الـ facial nerve taste sensation طيب |
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80 |
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00:07:17,930 --> 00:07:23,430 |
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general sensation |
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81 |
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00:07:23,430 --> 00:07:27,590 |
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يعني ايش مقصود بالـ general sensation pain |
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82 |
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00:07:27,590 --> 00:07:34,090 |
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temperature touch sensation من اللي هو mandibular |
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83 |
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00:07:34,090 --> 00:07:37,950 |
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nerve mandibular اللي أصله جاي من وين mandibular |
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84 |
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00:07:37,950 --> 00:07:43,410 |
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nerve من trigeminal nerve هذا هو الـ innervation of |
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85 |
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00:07:43,410 --> 00:07:46,150 |
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the tongue even الـ taste و الـ general sensation |
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86 |
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00:07:46,150 --> 00:07:49,090 |
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from the posterior two third مسئول عنها الـ |
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87 |
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00:07:49,090 --> 00:07:57,670 |
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glossopharyngeal nerve الآن |
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88 |
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00:07:57,670 --> 00:08:03,300 |
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بنتج الـ vagus nerve العصب العاشر it is mixed nerve |
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89 |
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00:08:03,300 --> 00:08:08,020 |
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من الرقم عشر تلاف وتسعمية وخمس وسبعين اتكلمنا |
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90 |
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00:08:08,020 --> 00:08:16,660 |
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it is more important أو most important function is |
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91 |
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00:08:16,660 --> 00:08:22,260 |
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parasympathetic function لو اتكلمنا على الـ vagus |
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92 |
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00:08:22,260 --> 00:08:28,420 |
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nerve it is most important nerve |
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93 |
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00:08:30,360 --> 00:08:36,320 |
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as parasympathetic يبقى أن هو أهم parasympathetic |
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94 |
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00:08:36,320 --> 00:08:40,500 |
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nerve في جسم الإنسان الـ function تبعته motor |
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95 |
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00:08:40,500 --> 00:08:45,660 |
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function لـ skeletal muscles بارا سيمباتاتيك |
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96 |
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00:08:45,660 --> 00:08:50,000 |
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function لـ smooth muscles cardiac muscles تبعت الـ |
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97 |
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00:08:50,000 --> 00:08:54,700 |
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internal organs و لـ الـ glands و sensory function |
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98 |
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00:08:54,700 --> 00:08:59,400 |
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as sensation nuclei of vagus nerve |
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99 |
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00:09:02,140 --> 00:09:08,860 |
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في منهم اثنتين شرحناهم main part of nucleus |
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100 |
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00:09:08,860 --> 00:09:14,060 |
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ambiguous هي بتعطي الـ vagus nerve بتغذيها الـ skeletal |
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101 |
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00:09:14,060 --> 00:09:18,320 |
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muscles بتاعة الـ larynx, pharynx and palate هي |
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102 |
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00:09:18,320 --> 00:09:25,810 |
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واحدة و solitary nucleus شرحناها قلنا بتغذي كمان الـ |
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103 |
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00:09:25,810 --> 00:09:31,890 |
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vagus nerve لـ taste sensation from epiglottis و |
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104 |
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00:09:31,890 --> 00:09:37,050 |
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general sensation من الـ area supplied by the |
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105 |
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00:09:37,050 --> 00:09:39,570 |
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parasympathetic fibers يعني المريض صار معاه جلطة |
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106 |
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00:09:39,570 --> 00:09:44,230 |
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في القلب بيشعر بألم الـ vagus nerve بيشعر فيها المريض |
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107 |
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00:09:44,230 --> 00:09:48,740 |
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عنده قرحة في المعدة حدث قرحة قرحة في المعدة عنده |
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108 |
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00:09:48,740 --> 00:09:52,500 |
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وفي ألم في المعدة الـ vagus nerve بيشعر فيها مريض |
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109 |
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00:09:52,500 --> 00:09:56,340 |
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عنده في الدودينم في الـ 12 نفس الشيء يبقى هو الـ |
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110 |
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00:09:56,340 --> 00:10:01,780 |
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vagus nerve بيغذّي الـ respiratory system heart |
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111 |
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00:10:01,780 --> 00:10:07,720 |
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القلب بيغذّي الجهاز الهضمي لحد الـ junction between |
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112 |
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00:10:09,190 --> 00:10:13,930 |
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right two thirds of transverse colon مع الـ left |
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113 |
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00:10:13,930 --> 00:10:17,750 |
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one third يعني هو بيغذّي المعدة بيغذّي الـ pancreas |
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114 |
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00:10:17,750 --> 00:10:21,230 |
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بيغذّي الاثني عشرة الأمعاء الدقيقة small intestine |
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115 |
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00:10:21,230 --> 00:10:25,430 |
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بيغذّي الأمعاء الغليظة اللي هي ascending colon |
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116 |
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00:10:25,430 --> 00:10:30,310 |
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transverse right two thirds right two thirds of |
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117 |
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00:10:30,310 --> 00:10:34,020 |
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transverse colon بياخذوا من vagus طب اللي بعدهم |
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118 |
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00:10:34,020 --> 00:10:37,760 |
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left one third, descending colon, sigmoid, rectum |
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119 |
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00:10:37,760 --> 00:10:41,660 |
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هذول بياخذوا من الـ sacral part of parasympathetic |
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120 |
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00:10:41,660 --> 00:10:46,540 |
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nervous system أشرحها إن شاء الله في محاضرة تبع الـ |
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121 |
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00:10:46,540 --> 00:10:51,980 |
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autonomic nervous system و الـ nucleus الثالثة |
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122 |
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00:10:51,980 --> 00:10:58,060 |
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dorsal motor nucleus of vagus طب دكتور يا أنت |
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123 |
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00:10:58,060 --> 00:11:02,470 |
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قلت لنا ambiguous motor وكمان في dorsal motor |
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124 |
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00:11:02,470 --> 00:11:06,690 |
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nucleus dorsal motor nucleus of vagus it is the |
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125 |
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00:11:06,690 --> 00:11:12,490 |
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most important parasympathetic nucleus in the body |
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126 |
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00:11:12,490 --> 00:11:15,950 |
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هذه مسؤولة عن ايش يا جماعة، عند الـ glands، بتغذي |
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127 |
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00:11:15,950 --> 00:11:19,990 |
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الـ glands، as secretomotor، هي واحدة، مسؤولة عن الـ |
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128 |
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00:11:19,990 --> 00:11:23,980 |
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cardiac muscle، involuntary muscle مسؤولة عن الـ |
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129 |
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00:11:23,980 --> 00:11:27,840 |
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smooth muscles الـ respiratory system والـ GIT |
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130 |
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00:11:27,840 --> 00:11:31,940 |
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system لحد الـ junction between right two third of |
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131 |
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00:11:31,940 --> 00:11:34,380 |
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transverse colon مع الـ left one third of |
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132 |
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00:11:34,380 --> 00:11:38,680 |
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transverse colon في الحالة هذه دورسة الـ motor |
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133 |
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00:11:38,680 --> 00:11:43,560 |
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nucleus of vagus الوظيفة تبعتها parasympathetic |
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134 |
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00:11:43,560 --> 00:11:48,690 |
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function parasympathetic function الـ |
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135 |
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00:11:48,690 --> 00:11:51,290 |
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parasympathetic nervous system نشرحها إن شاء الله |
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136 |
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00:11:51,290 --> 00:11:54,990 |
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في محاضرة منفصلة اسمها autonomic nervous system |
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137 |
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00:11:54,990 --> 00:11:58,110 |
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راح نشرح فيها sympathetic nervous system و |
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138 |
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00:11:58,110 --> 00:12:01,750 |
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parasympathetic nervous system الـ vagus nerve هو |
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139 |
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00:12:01,750 --> 00:12:07,090 |
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يعتبر جزء من وظيفته أو أهم وظيفة له هي |
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140 |
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00:12:07,090 --> 00:12:14,870 |
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parasympathetic function من وين بخرج؟ from the |
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141 |
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00:12:14,870 --> 00:12:22,290 |
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posterior lateral sulcus of medulla oblongata خرج |
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142 |
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00:12:22,290 --> 00:12:24,050 |
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من الـ posterior lateral sulcus of medulla |
|
|
|
143 |
|
00:12:24,050 --> 00:12:30,090 |
|
oblongata بعدها بفوض في jugular foramen و بخرج من |
|
|
|
144 |
|
00:12:30,090 --> 00:12:36,500 |
|
jugular foramen هي عندي vagus nerve هذا هو الـ vagus |
|
|
|
145 |
|
00:12:36,500 --> 00:12:41,220 |
|
nerve وهذا هو left vagus nerve وهنا عندي اللي هو |
|
|
|
146 |
|
00:12:41,220 --> 00:12:46,240 |
|
right vagus nerve مقلوبة الصورة بصير view الاختلاف |
|
|
|
147 |
|
00:12:46,240 --> 00:12:53,260 |
|
فيهم أن في عصب اسمه recurrent laryngeal nerve الـ |
|
|
|
148 |
|
00:12:53,260 --> 00:12:57,460 |
|
right recurrent laryngeal nerve بيعمل hooking بيلف |
|
|
|
149 |
|
00:12:57,460 --> 00:13:04,380 |
|
و بيرجع من الخلف بتاع الـ 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 الـ .. |
|
|
|
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 الـ arch of the aorta هاي الاختلاف ما بينهم |
|
|
|
155 |
|
00:13:30,120 --> 00:13:33,600 |
|
أن recurrent laryngeal nerve عشان هيك سموه |
|
|
|
156 |
|
00:13:33,600 --> 00:13:37,920 |
|
recurrent بيرجع رجوع و الـ right بيعمل hooking و |
|
|
|
157 |
|
00:13:37,920 --> 00:13:41,380 |
|
بيلف خلف الـ subclavian artery على الـ right side |
|
|
|
158 |
|
00:13:41,380 --> 00:13:46,740 |
|
أما للـ left بيلف حوالين الـ arch of the aorta هذا |
|
|
|
159 |
|
00:13:46,740 --> 00:13:55,960 |
|
اسمه vagus nerve وهنا vagus nerve هذا right وهذا |
|
|
|
160 |
|
00:13:55,960 --> 00:14:02,120 |
|
left طب واللي عمل hawking لف وصعد و 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 الـ right و الـ left vagus nerve |
|
|
|
164 |
|
00:14:27,260 --> 00:14:32,620 |
|
هيو عندي نازل vagus nerve وبيعطي الـ branches |
|
|
|
165 |
|
00:14:32,620 --> 00:14:36,780 |
|
بتاعينه ماراح أفوت بالتفصيل معاكم في موضوع الـ |
|
|
|
166 |
|
00:14:36,780 --> 00:14:45,020 |
|
branches بتاعينه بنتجة |
|
|
|
167 |
|
00:14:45,020 --> 00:14:52,500 |
|
لأن للعصب الـ 11 اسمه accessory nerve it is purely |
|
|
|
168 |
|
00:14:52,500 --> 00:14:58,310 |
|
motor nerve it is purely motor nerve two 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 لـ 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 الـ cranial root أصله من ambiguous nucleus اللي |
|
|
|
174 |
|
00:15:23,570 --> 00:15:26,950 |
|
موجودة في الميدالة أوبلانجاتا بعد ما يخرج من jugular |
|
|
|
175 |
|
00:15:26,950 --> 00:15:30,770 |
|
foramen هذا الـ cranial root بيتحد مع الـ vagus |
|
|
|
176 |
|
00:15:30,770 --> 00:15:36,890 |
|
nerve و بيدخل مع الـ vagus nerve و بيغذي الـ palatine و |
|
|
|
177 |
|
00:15:36,890 --> 00:15:40,630 |
|
pharyngeal muscle اللي علاقة فقط بـ skeletal |
|
|
|
178 |
|
00:15:40,630 --> 00:15:44,610 |
|
muscles ماراح اتكلم عنه اليوم cranial root لأنه |
|
|
|
179 |
|
00:15:44,610 --> 00:15:48,150 |
|
دخل مع مين مع الـ vagus nerve الجزء الثاني من الـ |
|
|
|
180 |
|
00:15:48,150 --> 00:15:52,980 |
|
accessory nerve هو spinal root هذا spinal root |
|
|
|
181 |
|
00:15:52,980 --> 00:15:58,100 |
|
بيجينا من الـ upper four five cervical segments من |
|
|
|
182 |
|
00:15:58,100 --> 00:16:01,860 |
|
الـ anterior horn cells then السن بيصعد بيفوت في الـ |
|
|
|
183 |
|
00:16:01,860 --> 00:16:05,660 |
|
foramen magnum وبيتحد مع الـ cranial part مع الجزء |
|
|
|
184 |
|
00:16:05,660 --> 00:16:08,900 |
|
الجمالي اللي بيضل قبل ان جاته وبيغادروا عن طريق |
|
|
|
185 |
|
00:16:08,900 --> 00:16:11,020 |
|
jugular foramen بعد ما يغادروا الـ 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 |
|
cranial الـ cranial بيتحد مع الـ vagus nerve و |
|
|
|
188 |
|
00:16:18,420 --> 00:16:21,740 |
|
بيغذي لـ الـ palatine muscle و الـ pharyngeal |
|
|
|
189 |
|
00:16:21,740 --> 00:16:26,820 |
|
muscle و الـ spinal |
|
|
|
201 |
|
00:17:11,940 --> 00:17:15,940 |
|
muscle هنا بيصلحه شوية هنا مش مظبوطة the 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 the 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 the trapezius 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 the trapezius 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 foramen magnum لما فات foramen magnum 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 foramen cranial |
|
|
|
225 |
|
00:19:02,250 --> 00:19:11,010 |
|
root بتحد مع مين؟ مع الvagus nerve و spinal root |
|
|
|
226 |
|
00:19:11,010 --> 00:19:18,600 |
|
بيغديلنا two muscles Sternocleidomastoid 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 في عندي two roots في |
|
|
|
231 |
|
00:19:38,330 --> 00:19:40,750 |
|
spinal و cranial او cranial و spinal اتحدوا 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 |
|
لvagus nerve و spinal بيغدى sternocleidomastoid |
|
|
|
236 |
|
00:19:55,830 --> 00:20:00,510 |
|
muscle and trapezius muscle هي واضح عندي هنا اللي |
|
|
|
237 |
|
00:20:00,510 --> 00:20:00,710 |
|
هو |
|
|
|
238 |
|
00:20:04,130 --> 00:20:11,090 |
|
Spinal Root فات على foramen magnum هذه عندي ال |
|
|
|
239 |
|
00:20:11,090 --> 00:20:14,310 |
|
ambiguous 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 foramen cranial |
|
|
|
242 |
|
00:20:31,550 --> 00:20:37,970 |
|
root بتحد و بنفصل عن ال accessory و بروح لوان مع ال |
|
|
|
243 |
|
00:20:37,970 --> 00:20:46,650 |
|
vagus nerve مع ال vagus 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 |
|
vagus nerve بعد هيك بيكون distribution مع ال |
|
|
|
251 |
|
00:21:16,140 --> 00:21:18,440 |
|
distribution of vagus nerve ماشي و بيغضينا |
|
|
|
252 |
|
00:21:18,440 --> 00:21:22,570 |
|
الlaryngeal 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 عندي spinal accessory nerve، supply |
|
|
|
261 |
|
00:21:50,290 --> 00:21:53,090 |
|
of the trapezius muscle، وهذه the 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 muscles 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 muscles 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 |
|
hypoglossal nucleus بيجي من وين؟ من hypoglossal |
|
|
|
279 |
|
00:23:07,300 --> 00:23:11,080 |
|
nucleus في medulla oblongata 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 |
|
medulla oblongata عن طريق إيش؟ anterior lateral |
|
|
|
282 |
|
00:23:19,920 --> 00:23:24,920 |
|
sulcus of medulla oblongata بعدها بيخرج من ال skull |
|
|
|
283 |
|
00:23:24,920 --> 00:23:29,120 |
|
عن طريق اللي هي hypoglossal canal hypoglossal canal |
|
|
|
284 |
|
00:23:29,120 --> 00:23:31,590 |
|
يبقى هو أصل من وين الhypoglossal nerve جاي؟من |
|
|
|
285 |
|
00:23:31,590 --> 00:23:35,930 |
|
hypoglossal nucleus موجودة في medulla oblongata |
|
|
|
286 |
|
00:23:35,930 --> 00:23:39,190 |
|
بغادر the brain stem أو بغادر medulla oblongata عن |
|
|
|
287 |
|
00:23:39,190 --> 00:23:42,750 |
|
طريق اللي هي anterior lateral sulcus of medulla |
|
|
|
288 |
|
00:23:42,750 --> 00:23:47,170 |
|
oblongata و بخرج من ال skull عن طريق hypoglossal |
|
|
|
289 |
|
00:23:47,170 --> 00:23:50,930 |
|
canal هي hypoglossal canal واضح يكون عن ال left أو |
|
|
|
290 |
|
00:23:50,930 --> 00:23:55,390 |
|
ال right أو ال left branches 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 ansa cervicales 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 ال hypoglossal nucleus |
|
|
|
297 |
|
00:24:18,110 --> 00:24:21,650 |
|
الأصله جاي من وين؟ من medulla oblongata ال 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 muscles 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 muscles of the |
|
|
|
305 |
|
00:24:51,790 --> 00:24:58,010 |
|
tongue هاي عندي واضحة hypoglossal nucleus إيه بتعطينا |
|
|
|
306 |
|
00:24:58,010 --> 00:25:02,050 |
|
hypoglossal nerve بيفوت في ال hypoglossal canal زي |
|
|
|
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 muscles of the |
|
|
|
311 |
|
00:25:15,510 --> 00:25:18,590 |
|
tongue اللي اتكلمنا عنهم تلاتة اللي هو |
|
|
|
312 |
|
00:25:18,590 --> 00:25:21,010 |
|
styloglossus muscle, hyoglossus muscle و |
|
|
|
313 |
|
00:25:21,010 --> 00:25:27,960 |
|
genioglossus muscle and supply all |
|
|
|
314 |
|
00:25:27,960 --> 00:25:32,500 |
|
internal muscles of the tongue بطريقة هادية أو لحد |
|
|
|
315 |
|
00:25:32,500 --> 00:25:36,660 |
|
هذا ال slide بكون أنا أو just لكم و شرحت لكم ال |
|
|
|
316 |
|
00:25:36,660 --> 00:25:41,040 |
|
cranial nerves كلهم و دومتم بخير و الله يعطيكم |
|
|
|
|
|
|