diff --git a/PL9fwy3NUQKwY-KCwlMv-HYkhXiGxk7oEp/Amjue2yasJw_postprocess.srt b/PL9fwy3NUQKwY-KCwlMv-HYkhXiGxk7oEp/Amjue2yasJw_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..1f8f4b8cec4bc08289c904390039fa1adebd1764 --- /dev/null +++ b/PL9fwy3NUQKwY-KCwlMv-HYkhXiGxk7oEp/Amjue2yasJw_postprocess.srt @@ -0,0 +1,448 @@ +1 +00:00:05,150 --> 00:00:08,490 +بسم الله الرحمن الرحيم والحمد لله رب العالمين this + +2 +00:00:08,490 --> 00:00:10,670 +is the last lecture in this chapter that talks + +3 +00:00:10,670 --> 00:00:13,150 +about the global sourcing it's the benefits of + +4 +00:00:13,150 --> 00:00:14,030 +global sourcing + +5 +00:00:35,350 --> 00:00:42,800 +أخيراً وصلناالقصيدة الأخيرة اللي تتكلم عن المفاتيح + +6 +00:00:42,800 --> 00:00:48,320 +الأشياء اللي تجعلك تبتسم الأشياء اللي تجعلك ترغب + +7 +00:00:48,320 --> 00:00:51,920 +في الذهاب للسوق اللي ترغب في الذهاب للسوق الأشياء + +8 +00:00:51,920 --> 00:00:57,020 +اللي سوف تجعلها قيمة أضافية لشركتك الأشياء اللي + +9 +00:00:57,020 --> 00:01:02,100 +سوف تجعل شركتك أفضل من الأشياء الأخرى ويجعلك في + +10 +00:01:02,100 --> 00:01:06,120 +مرحلة أعلى في الشبكة ويمكن أن تكون سرقة لك أن تكون + +11 +00:01:06,120 --> 00:01:12,780 +مقارنة المفاتيحكل شخص يبحث عن المفاتيح كمشغل يريد + +12 +00:01:12,780 --> 00:01:17,820 +أن يفكر في المفاتيح قبل أن يكون لديك عمل كشخص يريد + +13 +00:01:17,820 --> 00:01:21,580 +أن يشتري شيء لتسويهه مرة أخرى أو لتعمل بعض الأعمال + +14 +00:01:21,580 --> 00:01:25,600 +على هذا البرنامج و تسويهه تفكر في المفاتيح إذا + +15 +00:01:25,600 --> 00:01:30,460 +ذهبت إلى مكان ما تريد أن تعرف عن المفاتيح لهذا + +16 +00:01:30,460 --> 00:01:34,220 +المكان قبل أن تتحرك لهذا المكان لذلك المفاتيح هي + +17 +00:01:34,220 --> 00:01:38,180 +أسلوب الأشياء التي ستأو تحصل على أو تحصل على أو + +18 +00:01:38,180 --> 00:01:40,680 +تحصل على أو تحصل على أو تحصل على أو تحصل على أو + +19 +00:01:40,680 --> 00:01:43,540 +تحصل على أو تحصل على أو تحصل على أو تحصل على أو + +20 +00:01:43,540 --> 00:01:43,840 +تحصل على أو تحصل على أو تحصل على أو تحصل على أو + +21 +00:01:43,840 --> 00:01:44,420 +تحصل على أو تحصل على أو تحصل على أو تحصل على أو + +22 +00:01:44,420 --> 00:01:44,820 +تحصل على أو تحصل على أو تحصل على أو تحصل على أو + +23 +00:01:44,820 --> 00:01:45,000 +تحصل على أو تحصل على أو تحصل على أو تحصل على أو + +24 +00:01:45,000 --> 00:01:45,400 +تحصل على أو تحصل على أو تحصل على أو تحصل على أو + +25 +00:01:45,400 --> 00:01:46,260 +تحصل على أو تحصل على أو تحصل على أو تحصل على أو + +26 +00:01:46,260 --> 00:01:46,500 +تحصل على أو تحصل على أو تحصل على أو تحصل على أو + +27 +00:01:46,500 --> 00:01:49,380 +تحصل على أو تحصل على أو تحصل على أو تحصل على أو + +28 +00:01:49,380 --> 00:01:56,920 +تحصل على أو تحصل على أو تححصلت لشركات تتحرك إلى + +29 +00:01:56,920 --> 00:02:00,460 +المصادر العالمية دعنا نرى المطابق التي تتحدث عن + +30 +00:02:00,460 --> 00:02:03,440 +هذه الأفكار والمختلفة بين المصادر العالمية + +31 +00:02:03,440 --> 00:02:08,800 +ومحافظتها الدولية محافظة المحافظة الدولية ومصادر + +32 +00:02:08,800 --> 00:02:15,660 +العالمية موجودة هنا في هذه المنطقة كان هناك محفظة + +33 +00:02:15,660 --> 00:02:19,540 +تتحدث عن المحافظة من مجموعات الدولية والمحافظة + +34 +00:02:19,540 --> 00:02:23,750 +الدولية أو المصادر العالميةهل هناك اختلاف بين ماهي + +35 +00:02:23,750 --> 00:02:27,050 +نوع من الاحتياطات التي تستخدمها في المرحلة الأولى + +36 +00:02:27,050 --> 00:02:32,450 +والاحتياطات في المرحلة الأخرى؟ هنا نحن لدينا هذه + +37 +00:02:32,450 --> 00:02:38,850 +الاحتياطات تشبه بعضنا بعض نحن نتكلم عنها ولكن نقول + +38 +00:02:38,850 --> 00:02:43,750 +أن عدد الشركات المستمرة + +39 +00:02:46,120 --> 00:02:53,440 +حقق او ليس حقق هذا يعني ان هذه درجات + +40 +00:02:53,440 --> 00:02:58,760 +عندما نقول انها رقم ثلاثة او رقم أربعة او رقم + +41 +00:02:58,760 --> 00:02:59,640 +أربعة او رقم أربعة او رقم أربعة او رقم أربعة او + +42 +00:02:59,640 --> 00:03:00,800 +أربعة او رقم أربعة او رقم أربعة او رقم أربعة او + +43 +00:03:00,800 --> 00:03:03,500 +رقم أربعة او رقم أربعة او رقم أربعة او رقم أربعة + +44 +00:03:03,500 --> 00:03:06,320 +او رقم أربعة او رقم أربعة او رقم أربعة او رقم + +45 +00:03:06,320 --> 00:03:08,620 +أربعة + +46 +00:03:12,580 --> 00:03:17,280 +هؤلاء الفائعات أكثر محفظة لعمل الوصول العالمي لهذه + +47 +00:03:17,280 --> 00:03:21,760 +الأorganization بدلا من محافظة الدولية ولكن دعونا + +48 +00:03:21,760 --> 00:03:27,800 +نرى لتوكس عن هذه الفائعات بسرعة الأorganization + +49 +00:03:27,800 --> 00:03:34,500 +محافظة الدولية يستخدم هذه الفائعات أسعار شراء أقل، + +50 +00:03:34,500 --> 00:03:41,510 +نعم إنها محفظة كثيرة أكبر محافظة لتكنولوجيا، نعمعن + +51 +00:03:41,510 --> 00:03:46,970 +علاقات مع المستخدمين، نعم، عن تكنولوجيا التجارب، + +52 +00:03:46,970 --> 00:03:52,870 +هنا تكنولوجيا الوضع، هنا تكنولوجيا التجارب، نعم، + +53 +00:03:52,870 --> 00:03:58,010 +فتفكر في شراء، إعجاب، + +54 +00:03:59,930 --> 00:04:06,690 +نتقل إلى شخص آخر صغير أو صغير قليل من السابق من + +55 +00:04:06,690 --> 00:04:12,910 +الشخص اللذي يصبح قبله نحن لدينا الإستمتاع بالشراء + +56 +00:04:12,910 --> 00:04:16,650 +كستخدمين استخدامات داخلية، هذا يعني موقع الأعمال + +57 +00:04:16,650 --> 00:04:23,370 +تفكر في المجموعات والمواد وقيمة المساعدة التي نحصل + +58 +00:04:23,370 --> 00:04:28,850 +عليها تفكر في الوظيفةمن المستخدمين ويريدون أن + +59 +00:04:28,850 --> 00:04:32,070 +يعملوا معنا ويشاركوا معنا مع التصميم ومعلوماتهم، + +60 +00:04:32,070 --> 00:04:35,330 +فتفكر في المعلومات، تشارك مع المستخدمين، ومن ثم + +61 +00:04:35,330 --> 00:04:40,730 +لدينا المساعدة في الإتصال هذه الأشياء هي أفضلات + +62 +00:04:40,730 --> 00:04:45,550 +المشاركة للإنترنت، أكتر منها تتعرف على البحر، + +63 +00:04:45,550 --> 00:04:50,650 +تتحرك إلى المصادر العالمية، مؤسسات يقولون نعم + +64 +00:04:50,650 --> 00:04:55,190 +المصادر العالمية لديها رولة مهمة فيالقدرة على أن + +65 +00:04:55,190 --> 00:05:01,370 +تكون مؤسسة جيدة قيمة شراء أقل هنا مهمة جدًا جدًا + +66 +00:05:01,370 --> 00:05:08,110 +هنا تقريبًا ستة وهي تقول لنا أنها مفيد كبير مفيد + +67 +00:05:08,110 --> 00:05:13,610 +كبير محقق كبير تفكير عن تكنولوجيا الوضع التجارب + +68 +00:05:13,610 --> 00:05:15,490 +والتجارب التجارب التجارب التجارب التجارب التجارب + +69 +00:05:15,490 --> 00:05:16,450 +التجارب التجارب التجارب التجارب التجارب التجارب + +70 +00:05:16,450 --> 00:05:16,630 +التجارب التجارب التجارب التجارب التجارب التجارب + +71 +00:05:16,630 --> 00:05:17,690 +التجارب التجارب التجارب التجارب التجارب التجارب + +72 +00:05:17,690 --> 00:05:18,190 +التجارب التجارب التجارب التجارب التجارب التجارب + +73 +00:05:18,190 --> 00:05:22,170 +التجارب التجارب التجارتفكير عن تجارب المساعدة + +74 +00:05:22,170 --> 00:05:26,530 +والتجارب التجارية والتجارب التجارب التجارب التجارب + +75 +00:05:26,530 --> 00:05:29,650 +التجارب التجارب التجارب التجارب التجارب التجارب + +76 +00:05:29,650 --> 00:05:31,690 +التجارب التجارب التجارب التجارب التجارب التجارب + +77 +00:05:31,690 --> 00:05:33,550 +التجارب التجارب التجارب التجارب التجارب التجارب + +78 +00:05:33,550 --> 00:05:34,130 +التجارب التجارب التجارب التجارب التجارب التجارب + +79 +00:05:34,130 --> 00:05:34,530 +التجارب التجارب التجارب التجارب التجارب التجارب + +80 +00:05:34,530 --> 00:05:34,570 +التجارب التجارب التجارب التجارب التجارب التجارب + +81 +00:05:34,570 --> 00:05:35,370 +التجارب التجارب التجارب التجارب التجارب التجارب + +82 +00:05:35,370 --> 00:05:45,730 +التجارب التجارب التجارب التجارب + +83 +00:05:46,270 --> 00:05:49,870 +والقوة ومشاركة المعلومات مع المشاركين اللي موجودة + +84 +00:05:49,870 --> 00:05:55,850 +فيها ولكن اعتنوا ان الانعكاس ومهمتهم ومعرفة ما + +85 +00:05:55,850 --> 00:05:58,770 +لدينا الوصول العالمي هو أكتر من الشراء الدولي + +86 +00:05:58,770 --> 00:06:05,750 +وخيار الأخير الوصول العالمي هو أسعار الشراء الأقل + +87 +00:06:05,750 --> 00:06:12,490 +بالنسبة ليه ملاحظة في الشراء الدولي وفي الوصول + +88 +00:06:12,490 --> 00:06:16,810 +العالميالمشكلة المهمة التي تتحرك مؤسسات الـ Mace + +89 +00:06:16,810 --> 00:06:23,830 +لإدارة عملية تجاربها لشركات خارجية، هي بسبب المحطة + +90 +00:06:24,010 --> 00:06:29,150 +التكنولوجيا مهمة جدًا والقوة مهمة جدًا عليك أن + +91 +00:06:29,150 --> 00:06:32,550 +تشارك المعلومات وانت تشارك المفاتيح مع الاخرين + +92 +00:06:32,550 --> 00:06:37,670 +وانت ترغب في العمل مع مجموعة تجارب مجتمعية لكي + +93 +00:06:37,670 --> 00:06:44,190 +تبني مصالح التسلسل مهما كانت قوة، قوة، تكنولوجيا + +94 +00:06:44,190 --> 00:06:49,990 +الموضوع، تكنولوجيا المشروع، معرفة أو مشاركة + +95 +00:06:49,990 --> 00:06:58,590 +المعلوماتمعرفة ومعرفة ومعرفة + +96 +00:06:58,590 --> 00:07:02,490 +ومعرفة ومعرفة ومعرفة ومعرفة ومعرفة ومعرفة ومعرفة + +97 +00:07:02,490 --> 00:07:02,550 +ومعرفة ومعرفة ومعرفة ومعرفة ومعرفة ومعرفة ومعرفة + +98 +00:07:02,550 --> 00:07:03,550 +ومعرفة ومعرفة ومعرفة ومعرفة ومعرفة ومعرفة ومعرفة + +99 +00:07:03,550 --> 00:07:03,910 +ومعرفة ومعرفة ومعرفة ومعرفة ومعرفة ومعرفة ومعرفة + +100 +00:07:03,910 --> 00:07:12,230 +ومعرفة ومعرفة ومعرفة ومعرفة ومعرفة ومعرفة ومعرفة + +101 +00:07:19,140 --> 00:07:24,420 +هذه هي أفعال أفضل من الـ Benchmarks هذه هي الأفكار + +102 +00:07:24,420 --> 00:07:29,060 +إذا تتعامل بها إذا تفكر بها إذا تتعامل بها إذا + +103 +00:07:29,060 --> 00:07:32,960 +تحترمها إذا تحترمها تعرف أنك في مجال يجب أن تذهب + +104 +00:07:32,960 --> 00:07:37,800 +إلى الشراء الدولي وإلى المصادر العالميةهذه آخرة + +105 +00:07:37,800 --> 00:07:42,380 +دراسة في هذه القصة الثامنة التي تتكلم عن الوصول + +106 +00:07:42,380 --> 00:07:45,300 +العالمي نحن نتمنى أن تفهم هذه الأفكار تمامًا + +107 +00:07:45,300 --> 00:07:50,180 +ومفهومها في الكتاب، كتابنا مهم جدًا، لدينا خمس + +108 +00:07:50,180 --> 00:07:53,520 +أكتر من كتاب الكتاب ولدينا المعلومات المهمة في + +109 +00:07:53,520 --> 00:07:58,780 +الكتاب لأنه يوضح تجارب التدخل والتدخل والتدخل + +110 +00:07:58,780 --> 00:08:04,440 +التجاربي للعمل الخاص ليس في المجتمع المحليبسيطات + +111 +00:08:04,440 --> 00:08:11,140 +بسيطة بسيطة بسيطة بسيطة بسيطة بسيطة بسيطة بسيطة + +112 +00:08:11,140 --> 00:08:14,600 +بسيطة بسيطة بسيطة بسيطة + diff --git a/PL9fwy3NUQKwY-KCwlMv-HYkhXiGxk7oEp/CwjeGjASCDM.srt b/PL9fwy3NUQKwY-KCwlMv-HYkhXiGxk7oEp/CwjeGjASCDM.srt new file mode 100644 index 0000000000000000000000000000000000000000..b33211c5dd5bbe4ad5bba26b2f321491e040e658 --- /dev/null +++ b/PL9fwy3NUQKwY-KCwlMv-HYkhXiGxk7oEp/CwjeGjASCDM.srt @@ -0,0 +1,1063 @@ +1 +00:00:05,130 --> 00:00:08,690 +بسم الله الرحمن الرحيم و الحمد لله رب العالمين We + +2 +00:00:08,690 --> 00:00:13,630 +have in this lecture a table that consists of + +3 +00:00:13,630 --> 00:00:17,810 +multiple items, multiple course items, multiple + +4 +00:00:17,810 --> 00:00:22,010 +sources of course items, and these elements we have + +5 +00:00:22,010 --> 00:00:24,770 +them in the form of a checklist. I would prefer that + +6 +00:00:24,770 --> 00:00:29,170 +anybody, any organization, would like to import + +7 +00:00:29,170 --> 00:00:31,650 +something from the outside, they should have this + +8 +00:00:31,650 --> 00:00:36,840 +checklist with them لتأكد من أنهم لا ينفذون ولا + +9 +00:00:36,840 --> 00:00:42,880 +ينسون عن أي طريقة سوف يتعاملون بها إذا كانت هذه + +10 +00:00:42,880 --> 00:00:49,360 +الأشياء أسعارنا أو أزرع مالي أكيد أو أزرع أمام هذه + +11 +00:00:49,360 --> 00:00:50,220 +الطاولة. + +12 +00:00:52,530 --> 00:00:57,430 +أشياء من هذه الطاولة يجب أن تكون مفقودة، لأنه إذا + +13 +00:00:57,430 --> 00:01:02,150 +لم تكن تعرف عن هذه الأشياء المفقودة، أنت تتعامل مع + +14 +00:01:02,150 --> 00:01:09,210 +مشكلة أو مشكلة أو خطأ كبير في القيام بالعمل. المشاركات + +15 +00:01:09,210 --> 00:01:16,170 +عالمية، ومشاركات، ومشاركات، ومشاركات، ومشاركات، + +16 +00:01:16,170 --> 00:01:16,350 +ومشاركات، ومشاركات، ومشاركات، ومشاركات، ومشاركات، + +17 +00:01:16,350 --> 00:01:16,930 +ومشاركات، ومشاركات، ومشاركات، ومشاركات، ومشاركات، + +18 +00:01:16,930 --> 00:01:17,010 +ومشاركات، ومشاركات، ومشاركات، ومشاركات، ومشاركات، + +19 +00:01:17,010 --> 00:01:17,030 +ومشاركات، ومشاركات، ومشاركات، ومشاركات، ومشاركات، + +20 +00:01:17,030 --> 00:01:21,250 +ومشاركات، ومشاركات، ومشاركات، ومشاركات، ومشاركات، + +21 +00:01:21,250 --> 00:01:26,710 +ومشاركات، ومشاركات، + +22 +00:01:27,560 --> 00:01:32,340 +بشأن نفسي، أحاول أن أعمل بعض الأفكار عن احتياجات + +23 +00:01:32,340 --> 00:01:35,000 +مهمة في مصر، على سبيل المثال، أن أكون هنا في + +24 +00:01:35,000 --> 00:01:39,800 +غزة/ فلسطين بطريقة فهمة، فهمة المجتمع، و أن أفعل شركة + +25 +00:01:39,800 --> 00:01:43,900 +حقيقية، فأفهم العلاقات، و هذه الأشياء المهمة ليست + +26 +00:01:43,900 --> 00:01:50,070 +في الكتاب، لكني أحتاج أن أفكر. في التدريس، كيف يتم + +27 +00:01:50,070 --> 00:01:53,250 +تدريسهم، كيف نستطيع تبني علاقة، كيف نستطيع أن نحصل + +28 +00:01:53,250 --> 00:01:55,830 +على أسلوب، والوقت الذي ننتظره حتى يكون الأسلوب + +29 +00:01:55,830 --> 00:02:00,630 +داخل غزة/ فلسطين، أنا شخصيا قمت بتجربة هذا للأشياء + +30 +00:02:00,630 --> 00:02:08,130 +المختلفة التي تتعلق بالأسلوب، أو نفكر في المحطة، + +31 +00:02:08,130 --> 00:02:13,490 +على سبيل المثال، وأشياء من الطعام. إنها ليست شيء + +32 +00:02:13,490 --> 00:02:18,430 +سهل، يمكنك أن تفعله، وأنت بحاجة لديك ثقافة في نفسك + +33 +00:02:18,430 --> 00:02:24,110 +وفي قدراتك، وأنت بحاجة لديك مصطلح، مصطلح، مصطلح يعني + +34 +00:02:24,110 --> 00:02:29,850 +أنت ستواجه مشكلات مختلفة، سنوات مختلفة، وأنت ستواجه + +35 +00:02:29,850 --> 00:02:33,290 +مقالات مختلفة، ومشكلات، ومشكلات، ومشكلات، ومشكلات، + +36 +00:02:33,290 --> 00:02:34,390 +ومشكلات، ومشكلات، ومشكلات، ومشكلات، ومشكلات، + +37 +00:02:34,390 --> 00:02:34,790 +ومشكلات، ومشكلات، ومشكلات، ومشكلات، ومشكلات، + +38 +00:02:34,790 --> 00:02:41,830 +ومشكلات، ومشكلات، ومشكلات، ومشكلات، ومشكلات، وم + +39 +00:02:41,860 --> 00:02:45,180 +أدعو الجميع أن يحاولوا أن يقوموا بأشياء مرتبطة + +40 +00:02:45,180 --> 00:02:48,780 +بهذه المواصفات، ويحاولوا أن يشرحوا، ويشرحوا أشياء من + +41 +00:02:48,780 --> 00:02:53,040 +غزة/ فلسطين لكي يأخذوا المسرح، ومسؤولية، ويفهموا أفضل + +42 +00:02:53,040 --> 00:02:57,600 +أن يفهموا، هل هذه الأشياء أسعر من الأشياء الأخرى + +43 +00:02:57,600 --> 00:03:00,260 +ويمكننا أن نحصلها في غزة/ فلسطين، ويمكننا أن نبيعها + +44 +00:03:00,260 --> 00:03:02,880 +في السوق؟ هل يمكننا أن نحصل على أشياء من غزة + +45 +00:03:02,880 --> 00:03:04,860 +/فلسطين لكي نبيعها في السوق؟ + +46 +00:03:08,560 --> 00:03:13,900 +ماذا عن قيمة، وقيمة، واهتمام الأشخاص عن أسلوبنا + +47 +00:03:13,900 --> 00:03:18,340 +ومساعدتنا؟ نريد أن نرى عالمنا يتطور، ويكون لديه + +48 +00:03:18,340 --> 00:03:21,820 +قدرة قوية على إرسال الأسلوب في الخارج، ويكون لديه + +49 +00:03:21,820 --> 00:03:23,320 +قدرة قوية على إرسال الأسلوب في الخارج، ويكون لديه + +50 +00:03:23,320 --> 00:03:26,500 +قدرة قوية على إرسال الأسلوب في الخارج، ويكون لديه + +51 +00:03:26,500 --> 00:03:29,420 +قدرة قوية على إرسال الأسلوب في الخارج، ويكون لديه + +52 +00:03:29,420 --> 00:03:31,920 +قدرة قوية على إرسال الأسلوب في الخارج، ويكون لديه + +53 +00:03:31,920 --> 00:03:33,800 +قدرة قوية على إرسال الأسلوب في الخارج، ويكون لديه + +54 +00:03:33,800 --> 00:03:37,290 +قدرة قوية على إرسال الأسلوب في الخارج، ونحتاج أن + +55 +00:03:37,290 --> 00:03:40,930 +نقول إنها نفس الشيء، ولكن نحتاج أن نقول عن تلك + +56 +00:03:40,930 --> 00:03:48,090 +الوقائع، وهذه الوقائع لديناها في شكلِ سِلسة، وهذه + +57 +00:03:48,090 --> 00:03:55,450 +السلاسل مهمة جدًا لنا لكي نعرف أكثر عنها، وكيف + +58 +00:03:55,450 --> 00:04:00,290 +نستطيع أن نقوم بالتخطيطات في الوصف الصحيح. دعونا + +59 +00:04:00,290 --> 00:04:05,220 +نرى تفاصيل الوقائع لتغيير المجتمع الدولي. نبدأ مع + +60 +00:04:05,220 --> 00:04:11,040 +الـ Unicost، نعم، بقيمة الشرح الأساسية، يجب أن نفكر + +61 +00:04:11,040 --> 00:04:21,080 +في الأمور التي نفعلها للمصادف. هناك قيمة الشرح، هناك + +62 +00:04:21,080 --> 00:04:27,820 +بعض المساعدات للشبكة أو للتعامل. الشبكة الأمريكية + +63 +00:04:29,390 --> 00:04:33,630 +أيضًا إضافة لأنها تأخذ وقتًا، لذلك يجب أن نكون + +64 +00:04:33,630 --> 00:04:39,810 +لدينا إضافات إضافية، ودفعات إضافية أحيانًا لأشياء + +65 +00:04:39,810 --> 00:04:44,710 +محددة لا يمكن أن تكون رؤية في الوقت، في تجارب + +66 +00:04:44,710 --> 00:04:48,510 +التجارب، لذلك تجعل أمريكا دولة أسرع لدفع الأجهزة + +67 +00:04:48,510 --> 00:04:57,190 +أو لدفع التجار. الثانية، نحن لدينا الوصفة بالفعل مع + +68 +00:04:57,190 --> 00:05:01,290 +هؤلاء الأسعار، الأسعار، والاعتبارات التي تم إعطاؤها + +69 +00:05:01,290 --> 00:05:05,770 +للأسعار التي سيتم إعطاؤها لها اعتبار أن هذه + +70 +00:05:05,770 --> 00:05:12,950 +الأسعار سيتم تسجيلها، أو تسجيلها بين مجموعات، أو + +71 +00:05:12,950 --> 00:05:16,330 +مجموعات، أو مجموعات، أو مجموعات، لذلك يجب أن يكونوا + +72 +00:05:16,330 --> 00:05:21,960 +واضحين، وآمنين، ويكونوا في أسلوب الأسعار. نحن نريد أن + +73 +00:05:21,960 --> 00:05:25,960 +نقوم بإنقاذ المساعدة أو المشاكل في المشاركة + +74 +00:05:25,960 --> 00:05:29,780 +الدولية. على سبيل المثال، السيارات عندما تتحرك + +75 +00:05:29,780 --> 00:05:36,140 +السيارات بين المدينة، أو بين البحر. لدينا البحر، أو + +76 +00:05:36,140 --> 00:05:39,280 +البحر، أو البحر. لدينا السيارات تتحرك على السيارات + +77 +00:05:39,280 --> 00:05:41,560 +عادةً لديها فرصة ثقافة جدا. + +78 +00:05:44,970 --> 00:05:50,510 +هو استخدام لبريكنت. لبريكنت ليس زي، زي، زي، زي، زي، زي + +79 +00:05:50,510 --> 00:05:51,410 +زي، زي، زي، زي، زي، زي، زي، زي، زي، زي، زي، زي، زي، + +80 +00:05:51,410 --> 00:05:52,850 +زي، زي، زي، زي، زي، زي، زي، زي، + +81 +00:06:04,850 --> 00:06:12,870 +تحصل على مشكلة في الـ ... في الـ ... في المنطقة، في + +82 +00:06:12,870 --> 00:06:19,570 +مجموعة من المنطقة التي تتعامل مع مشكلة العرنب رقم + +83 +00:06:19,570 --> 00:06:26,410 +ثالث. نحن لدينا التضخم، السعر عامًا يرتفع في + +84 +00:06:26,410 --> 00:06:33,850 +البلدان في زمن. عادةً نرى أسعارًا تنزل، لا نرى شيء + +85 +00:06:33,850 --> 00:06:40,550 +ينزل عادةً، الأسعار ... هذا بسبب التضخم، وفي بعض + +86 +00:06:40,550 --> 00:06:44,850 +البلدان التي لديها أسعار تضخم أكبر من الباقين، + +87 +00:06:44,850 --> 00:06:53,010 +اعتني بالجودات التي تشتريها، التضخم يجعل + +88 +00:06:53,010 --> 00:06:59,290 +الأسعار تنزل. هذا مجرد، مجرد، مجرد، مجرد، مجرد، مجرد + +89 +00:06:59,290 --> 00:07:00,990 +مجرد، مجرد، مجرد، مجرد، مجرد، مجرد، مجرد، مجرد، مجرد، + +90 +00:07:00,990 --> 00:07:05,250 +مجرد، مجرد، مجرد، مجرد، مجرد، مجرد، مجرد، مجرد، مجرد، + +91 +00:07:05,250 --> 00:07:05,610 +مجرد، مجرد، مجرد، مجرد، مجرد، مجرد، مجرد، مجرد، مجرد، + +92 +00:07:05,610 --> 00:07:11,490 +مجرد، مجرد، مجرد، + +93 +00:07:27,930 --> 00:07:31,950 +هناك أشخاص لوجيستيك، هناك شركات أمريكية + +94 +00:07:31,950 --> 00:07:40,690 +للـ transportation. هناك شحنات بين محطات، ومحطات، محطات + +95 +00:07:40,690 --> 00:07:45,430 +ومحطات في المناطق التجارية المختلفة. هناك شركات + +96 +00:07:45,430 --> 00:07:54,230 +تحصل على المال بسبب الشحنة، وهناك معلومات نحصلوندفع + +97 +00:07:54,230 --> 00:08:01,090 +المال للعملاء، لهذه الاختصارات. مثلًا، لدينا مجموعات + +98 +00:08:01,090 --> 00:08:06,750 +من المجموعات في شكل الـ transportation، وهذه المجموعة + +99 +00:08:06,750 --> 00:08:13,790 +مرعبة جدًا في الشحن الأمريكي. يجب أن نهتم بالأمر بشكل + +100 +00:08:13,790 --> 00:08:18,970 +حذر، لأن إذا كانت الـ transportation عالية جدًا، عادة + +101 +00:08:18,970 --> 00:08:24,350 +تجعل الأسعار عالية جدًا، عالية للمستخدم المحلي. دعوني + +102 +00:08:24,350 --> 00:08:29,350 +أخبركم بقصة بسيطة هنا، قمت بتحرير بعض المحطة من مصر + +103 +00:08:29,350 --> 00:08:36,710 +من طريق الطريقة التقليدية للتحرير، ولدينا الناس في + +104 +00:08:36,710 --> 00:08:43,830 +الانتصار. الـ transportation جعلتُها ربما بنفس السعر + +105 +00:08:43,830 --> 00:08:49,950 +اللي اشتريه الـ Coast، يعني الأشياء والأسعار + +106 +00:08:49,950 --> 00:08:55,470 +تتضاعف بسبب الـ transportation. إنها مهمة جدًا، لذلك + +107 +00:08:55,470 --> 00:08:59,050 +يجب أن تتأكد أن الـ transportation cost مفيدة + +108 +00:08:59,050 --> 00:09:04,290 +عندما يتم إضافتها إلى الـ common cost، مازال السعر + +109 +00:09:04,290 --> 00:09:12,290 +أسعر مما يوجد في مجتمع المواطنين. الوظيفة، الدولة + +110 +00:09:12,290 --> 00:09:21,330 +تدفع المال للحكومة، لأننا لدينا خطوات عالمية، ويجب + +111 +00:09:21,330 --> 00:09:28,770 +علينا أن ندفع المال عندما يدخل المواد المجتمعية + +112 +00:09:28,770 --> 00:09:33,290 +المجتمعية، المجتمعية، المجتمعية، المجتمعية، المجتمعية، + +113 +00:09:35,270 --> 00:09:39,850 +أيضًا ندفع المال للشركات التي تفعل الوظيفة + +114 +00:09:39,850 --> 00:09:46,150 +للمستخدمين، وهذا المال الذي تم دفعه من الحكومة + +115 +00:09:46,150 --> 00:09:47,570 +للشركات التي تدفعها، للشركات التي تدفعها، للشركات + +116 +00:09:47,570 --> 00:09:48,090 +التي تدفعها، للشركات التي تدفعها، للشركات التي + +117 +00:09:48,090 --> 00:09:50,650 +تدفعها، للشركات التي تدفعها، للشركات التي تدفعها، + +118 +00:09:50,650 --> 00:09:51,490 +للشركات التي تدفعها، للشركات التي تدفعها، للشركات + +119 +00:09:51,490 --> 00:09:51,510 +التي تدفعها، للشركات التي تدفعها، للشركات التي + +120 +00:09:51,510 --> 00:09:52,790 +تدفعها، للشركات التي تدفعها، للشركات التي تدفعها، + +121 +00:09:52,790 --> 00:09:57,790 +للشركات التي تدفعها، للشركات التي تدفعها، + +122 +00:09:57,790 --> 00:09:57,890 +للـ + +123 +00:10:01,900 --> 00:10:06,060 +هناك مرحلة من عمليات المستخدم التي يدفعها للحكومة + +124 +00:10:06,060 --> 00:10:11,040 +وإنها مرتعبة جدًا عندما نضيفها إلى الـ common cost، لذلك + +125 +00:10:11,040 --> 00:10:15,820 +هذا هو السبب عندما نرى السيارات هنا في غزة/ فلسطين + +126 +00:10:15,820 --> 00:10:21,420 +أو أي دولة أخرى، نجد أن السيارات مرتعبة جدًا بالنسبة + +127 +00:10:21,420 --> 00:10:26,800 +لما نستطيع شراء السيارة التي في فلسطين. ها من + +128 +00:10:26,800 --> 00:10:27,980 +فلسطينها، من فلسطينها، من فلسطينها، من فلسطينها، + +129 +00:10:27,980 --> 00:10:31,140 +من فلسطينها، من فلسطينها، من فلسطينها، من + +130 +00:10:31,140 --> 00:10:35,650 +فلسطينها، من Customs Duty Costs وTraders + +131 +00:10:35,650 --> 00:10:41,170 +وWholesalers وImporters وProfit. هاتين، هاتين، هاتين، + +132 +00:10:41,170 --> 00:10:42,310 +هاتين، هاتين، هاتين، هاتين، هاتين، هاتين، هاتين، + +133 +00:10:42,310 --> 00:10:44,130 +هاتين، هاتين، هاتين، هاتين، هاتين، هاتين، هاتين، + +134 +00:10:44,130 --> 00:10:45,030 +هاتين، هاتين، هاتين، هاتين، هاتين، هاتين، هاتين، + +135 +00:10:45,030 --> 00:10:45,490 +هاتين، هاتين، هاتين، هاتين، هاتين، هاتين، هاتين، + +136 +00:10:45,490 --> 00:10:47,290 +هاتين، هاتين، هاتين، هاتين، هاتين، هاتين، هاتين، + +137 +00:10:47,290 --> 00:10:49,930 +هاتين، هاتين، هاتين، هاتين، هاتين، هاتين، هاتين، + +138 +00:10:49,930 --> 00:10:52,970 +هاتين، هاتين، هاتين، هاتين، هاتين، هاتين، هاتين، + +139 +00:10:52,970 --> 00:10:56,970 +هاتين، هاتين، هاتين، هاتين، هاتين، هاتين، هاتين، + +140 +00:10:56,970 --> 00:11:04,910 +هالسيارة والطريق بأمان، وليس هناك حرارة تتجاوز أو + +141 +00:11:04,910 --> 00:11:11,150 +تدمر أمواتنا بسبب التعاملات الدولية التي تحدث + +142 +00:11:11,150 --> 00:11:17,780 +عامًا بين البلدان مع طرق تتعامل مع الحرارة إذا كان + +143 +00:11:17,780 --> 00:11:21,180 +لدينا قطار يأخذ الأموال من مدينة إلى مدينة أخرى + +144 +00:11:21,180 --> 00:11:25,640 +يمكن أن يكون مدمون يمكن أن يكون يتجاوز بعض النار + +145 +00:11:25,640 --> 00:11:30,180 +أو المخاطر في المعدلات أو الأشياء التي اشتريناها + +146 +00:11:30,180 --> 00:11:34,280 +لذلك شركة الاستثمارات سوف تغطي المدامات أو المشاكل + +147 +00:11:34,280 --> 00:11:40,280 +التي يمكن أن يحدث لتحضيرنا أو لتحضير المساعدة هذا + +148 +00:11:40,280 --> 00:11:42,940 +هو مضيف إلى + +149 +00:11:45,640 --> 00:11:52,560 +مقالة من قيمة البرمجة الدولية مقالة + +150 +00:11:52,560 --> 00:11:59,720 +أخرى تتكلم عن مقالات الدفع هل يجب أن ندفع في المال + +151 +00:11:59,720 --> 00:12:08,020 +أو ندفع عندما نحصل على المال عندما نقوم بعمل + +152 +00:12:08,020 --> 00:12:12,490 +التطبيق في الموقع أو عندما ندفع أو عندما نقوم + +153 +00:12:12,490 --> 00:12:18,530 +بالدفع والدفع يعتمد على وقت السحب أو في وقت الحصول + +154 +00:12:18,530 --> 00:12:24,890 +أو في بعض الأحيان لدينا نوع من الدفع التجريبي هذا + +155 +00:12:24,890 --> 00:12:28,050 +يعني أننا ندفع بطريقة رقمية في بعض المجالات + +156 +00:12:28,050 --> 00:12:33,670 +المحددة على سبيل المثال بعض المواد مثلًا آيرون بارات + +157 +00:12:33,670 --> 00:12:35,850 +مستخدمة في البناء + +158 +00:12:39,960 --> 00:12:45,920 +مؤسسات الناس التي تصنع أو تشرح هذه الـ Iron Bars + +159 +00:12:45,920 --> 00:12:50,840 +تضطرون على الحصول على المال على الموقع وليس هناك + +160 +00:12:50,840 --> 00:12:58,380 +طريقة للتخلص من هذا المال لأي شركة اشترى آخر وهو + +161 +00:12:58,380 --> 00:13:00,140 +عمليات إضافية ومحافظات + +162 +00:13:03,890 --> 00:13:08,910 +في بين عندما نقوم بالشحن الدولي يوجد شركات مستعمرة + +163 +00:13:08,910 --> 00:13:16,990 +يوجد عملاء الـ Transportation يجب أن ندفع المال + +164 +00:13:16,990 --> 00:13:25,030 +لأشخاص في بين يقومون بعمل الورق يقومون بمثابرات + +165 +00:13:25,030 --> 00:13:30,550 +الحكومة إذا + +166 +00:13:30,550 --> 00:13:35,300 +كانت السحبات متوقفة لذلك يجب أن ندفع المال أكثر، + +167 +00:13:35,300 --> 00:13:41,980 +على سبيل المثال، محطتنا أو محطتنا تم تحطيمها على + +168 +00:13:41,980 --> 00:13:52,060 +محطة، يجب أن ندفع المال أكثر، هذا المال للعملاء + +169 +00:13:52,060 --> 00:13:57,480 +الذين يقومون بعمل المعلومات و أي يوم .. أي يوم التي + +170 +00:13:57,480 --> 00:14:01,900 +نعاني من .. اتخاذ + +171 +00:14:01,900 --> 00:14:02,600 +اتخاذ اتخاذ اتخاذ اتخاذ اتخاذ اتخاذ اتخاذ اتخاذ + +172 +00:14:02,600 --> 00:14:02,980 +اتخاذ اتخاذ اتخاذ اتخاذ اتخاذ اتخاذ اتخاذ اتخاذ + +173 +00:14:02,980 --> 00:14:03,000 +اتخاذ اتخاذ اتخاذ اتخاذ اتخاذ اتخاذ اتخاذ اتخاذ + +174 +00:14:03,000 --> 00:14:05,780 +اتخاذ اتخاذ اتخاذ اتخاذ اتخاذ اتخاذ اتخاذ اتخاذ + +175 +00:14:05,780 --> 00:14:07,820 +اتخاذ اتخاذ اتخاذ اتخاذ اتخاذ اتخاذ اتخاذ اتخاذ + +176 +00:14:07,820 --> 00:14:24,820 +اتخاذ اتخاذ ات + +177 +00:14:25,740 --> 00:14:30,320 +لدينا عمليات التعامل عمليات التعامل عندما يصل + +178 +00:14:30,320 --> 00:14:35,080 +السيارة إلى المحطة أو محطة نحتاج أن ندفع المال + +179 +00:14:35,080 --> 00:14:40,660 +لعملية عمليات التعامل من السيارة حتى يتم تحميل + +180 +00:14:40,660 --> 00:14:46,340 +السيارة إلى المحطة الموجودة في المنطقة هناك عمليات + +181 +00:14:46,340 --> 00:14:53,660 +تدفع المال للمحطة وهناك عمليات + +182 +00:14:56,420 --> 00:15:02,420 +بايد for the operations of trans shipment it means + +183 +00:15:02,420 --> 00:15:06,760 +if we have the goods in this area for some time + +184 +00:15:06,760 --> 00:15:13,740 +and we have them to be outside the country after + +185 +00:15:13,740 --> 00:15:18,750 +some time for example if we have a أشياء من تركيا + +186 +00:15:18,750 --> 00:15:23,930 +تأتي إلى مصر مصر الإسكندرية على سبيل المثال ويجب + +187 +00:15:23,930 --> 00:15:28,650 +علينا أن نجعلهم في تجارب لوقت قليل لأسبوعين أو + +188 +00:15:28,650 --> 00:15:32,510 +اثنين أو ثلاث أسابيع حتى نفعل الاختلاف كل + +189 +00:15:32,510 --> 00:15:39,550 +الاختلافات و .. و يجب علينا أن نجعلهم يدفعوا إلى + +190 +00:15:39,550 --> 00:15:40,770 +غزة فلسطين + +191 +00:15:43,530 --> 00:15:48,410 +مجلد مجلد مجلد مجلد مجلد مجلد مجلد مجلد مجلد مجلد + +192 +00:15:48,410 --> 00:15:53,730 +مجلد مجلد مجلد مجلد مجلد مجلد مجلد مجلد مجلد مجلد + +193 +00:16:13,940 --> 00:16:19,760 +أشخاص مستخدمين لنا ويأخذون عادة تجارب تكلفة تجارب + +194 +00:16:19,760 --> 00:16:24,300 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +195 +00:16:24,300 --> 00:16:24,400 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +196 +00:16:24,400 --> 00:16:24,460 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +197 +00:16:24,460 --> 00:16:24,640 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +198 +00:16:24,640 --> 00:16:41,340 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +199 +00:16:43,180 --> 00:16:47,980 +الشيء الثاني الذي هو المجالات هناك مجالات إضافية + +200 +00:16:47,980 --> 00:16:56,000 +مدفوعة أحياناً نقول مجالات السعر مدفوعة للمدينة + +201 +00:16:56,000 --> 00:17:05,660 +نتحرك الأشياء داخلها هذا هو أكثر من مجالات مدفوعة + +202 +00:17:05,660 --> 00:17:08,940 +لنا لذا لدينا مجالات التعامل ومجالات المجالات لا + +203 +00:17:08,940 --> 00:17:14,550 +تقولوا أن هذا الشيء نفسه هناك محادثة التواصل + +204 +00:17:14,550 --> 00:17:21,370 +الاجتماعي الاجتماعي + +205 +00:17:21,370 --> 00:17:22,630 +الاجتماعي الاجتماعي الاجتماعي الاجتماعي الاجتماعي + +206 +00:17:22,630 --> 00:17:28,130 +الاجتماعي الاجتماعي الاجتماعي الاجتماعي الاجتماعي + +207 +00:17:28,130 --> 00:17:29,630 +الاجتماعي الاجتماعي الاجتماعي الاجتماعي الاجتماعي + +208 +00:17:29,630 --> 00:17:29,650 +الاجتماعي الاجتماعي الاجتماعي الاجتماعي الاجتماعي + +209 +00:17:29,650 --> 00:17:30,050 +الاجتماعي الاجتماعي الاجتماعي الاجتماعي الاجتماعي + +210 +00:17:30,050 --> 00:17:41,790 +الاجتماعي الاجتماعي الاجتماعي + +211 +00:17:42,680 --> 00:17:47,000 +يعطينا الكثير من المال نحتاج أن نذهب لنقوم بمقاعدة + +212 +00:17:47,000 --> 00:17:54,180 +لدينا مقاعدة لأي يوم ندفع المال للسيارة لوقت جيد + +213 +00:17:54,180 --> 00:17:59,440 +لوقت صحيح حتى نعود للمدينة المنزلية لذلك مدرسة + +214 +00:17:59,440 --> 00:18:04,300 +السفر هي مدرسة التعامل مضافة إلى قانون الإنترنت + +215 +00:18:04,300 --> 00:18:11,740 +نحن لدينا مقاعدة ومفاوضات الحدوث نعم المقاعدات + +216 +00:18:14,970 --> 00:18:20,850 +للتفاعلات التي حدثت مع البنك عندما نقوم بالتعريف + +217 +00:18:20,850 --> 00:18:25,870 +الأمريكي ندفع مجموعة للبنك عندما نقوم بالتعريف + +218 +00:18:25,870 --> 00:18:31,210 +الأمريكي أو الواضحة الأمريكية يوجد تجارب تدفعها + +219 +00:18:31,210 --> 00:18:39,090 +لل بنك عندما نتعريف الحمضانية يوجد ما نسميه تجارب + +220 +00:18:39,090 --> 00:18:45,550 +تدفعها للبنك وعندما نحصل على المفاوضات المالية إذا + +221 +00:18:45,550 --> 00:18:49,390 +كنا نفعل الهجوم أو باستخدام قرارات مستقبلية أو + +222 +00:18:49,390 --> 00:18:52,210 +مستقبلية مستقبلية أو مستقبلية أو مستقبلية أو + +223 +00:18:52,210 --> 00:18:52,430 +مستقبلية أو مستقبلية أو مستقبلية أو مستقبلية أو + +224 +00:18:52,430 --> 00:18:54,570 +مستقبلية أو مستقبلية أو مستقبلية أو مستقبلية أو + +225 +00:18:54,570 --> 00:18:55,070 +مستقبلية أو مستقبلية أو مستقبلية أو مستقبلية أو + +226 +00:18:55,070 --> 00:18:55,410 +مستقبلية أو مستقبلية أو مستقبلية أو مستقبلية أو + +227 +00:18:55,410 --> 00:19:00,350 +مستقبلية أو مستقبلية أو مستقبلية أو مستقبلية أو + +228 +00:19:00,350 --> 00:19:08,390 +مستقبلية أو مستقبلية أو + +229 +00:19:11,500 --> 00:19:16,460 +مقارنة بشكل عادي لأنه ليس بسهولة ويأخذ وقت طويل + +230 +00:19:16,460 --> 00:19:22,100 +لكي تحصل على الأموال حتى تصل لنا لذلك نحتاج لدينا + +231 +00:19:22,100 --> 00:19:27,160 +مخزونات كبيرة جدًا لإضافة الانفجار ليس الانفجار + +232 +00:19:27,160 --> 00:19:30,660 +العادي الذي يغطي عملنا لمدة أسبوع أو أشهر ولكن + +233 +00:19:30,660 --> 00:19:36,610 +بشكل عادي لدينا لإعطائنا خلال العامل لذلك لدينا قيمة + +234 +00:19:36,610 --> 00:19:41,930 +فرصة وهي قيمة إضافية الانشوار للزيارة وقيمة + +235 +00:19:41,930 --> 00:19:45,950 +المخزنة لدينا قيمة فرصة وقيمة فرصة وقيمة فرصة + +236 +00:19:45,950 --> 00:19:46,230 +وقيمة فرصة وقيمة فرصة وقيمة فرصة وقيمة فرصة وقيمة + +237 +00:19:46,230 --> 00:19:49,390 +فرصة وقيمة فرصة وقيمة فرصة وقيمة فرصة وقيمة فرصة + +238 +00:19:49,390 --> 00:19:49,530 +وقيمة فرصة وقيمة فرصة وقيمة فرصة وقيمة فرصة وقيمة + +239 +00:19:49,530 --> 00:19:52,430 +فرصة وقيمة فرصة وقيمة فرصة وقيمة فرصة وقيمة فرصة + +240 +00:19:52,430 --> 00:20:01,440 +وقيمة فرصة وقيمة فهنا لدينا مستوى مختلف لأننا نريد + +241 +00:20:01,440 --> 00:20:06,640 +أن نبقى عيوننا مفتوحة للتأكد أن الانفجار بأمان واضح + +242 +00:20:06,640 --> 00:20:12,940 +لدينا قائمة طويلة من الأشياء التي يجب أن نعتمد + +243 +00:20:12,940 --> 00:20:17,240 +عليها عندما نتحرك إلى الشراء الدولي هذه القائمة + +244 +00:20:17,240 --> 00:20:23,040 +طويلة جدًا يجب أن تكون واضحة جدًا في تجاربنا عندما + +245 +00:20:23,040 --> 00:20:28,610 +نقرر أن نذهب إلى السوق الدولي وعادةً يجب أن نفعل + +246 +00:20:28,610 --> 00:20:33,910 +هذا بمحاولة، هذا هو ادعائي إذا كنت ترغب في شراء + +247 +00:20:33,910 --> 00:20:38,630 +شيء من الخارج أو تشرح شيء للخارج يجب أن تفعل + +248 +00:20:38,630 --> 00:20:48,950 +محاولة لقليل من المادة من هذه المواد مجموعة تريد + +249 +00:20:48,950 --> 00:20:51,250 +أن تحصل عليها من الخارج إلى شركة غزة ماركت على + +250 +00:20:51,250 --> 00:20:56,470 +سبيل المثال، حاول أن تفعلها بقليل من المادة وحاول + +251 +00:20:56,470 --> 00:21:00,850 +تحقق جميع المقامات جميع المجالات جميع المجالات + +252 +00:21:00,850 --> 00:21:07,190 +التي تحتاجها لدفع المال لهذه المعاملة ويجب أن تخطط + +253 +00:21:07,190 --> 00:21:15,790 +جميع سفرك حتى تصل إلى مخزنك في غزة فلسطين مثلا إذا + +254 +00:21:15,790 --> 00:21:19,630 +كنت ممكن أن تفعل التخطيطات وتجدها في قيمة مفيدة + +255 +00:21:19,630 --> 00:21:24,890 +يمكنك أن تذهب إلى مخزن كبير جدًا لذلك ادعائي هو + +256 +00:21:24,890 --> 00:21:29,750 +لا تفعل محفظة الواقعية لا تفعل خطة العمل لأشياء + +257 +00:21:29,750 --> 00:21:34,730 +ستشترها من الخارج ما يجب أن تفعله فعله في الحقيقة + +258 +00:21:35,610 --> 00:21:39,050 +هذا هو رصاصتي افعلها في الحقيقة ولكن احذر أن + +259 +00:21:39,050 --> 00:21:43,850 +تجعلها مجموعة لا تدفع الكثير من المال للمجتمع أنت + +260 +00:21:43,850 --> 00:21:49,690 +تفهم الطريق والأشياء الموجودة في الطريق وأنت تريد + +261 +00:21:49,690 --> 00:21:56,350 +أن تشتري شيء أي المجتمع سيكون مناسب لك ومفيد + +262 +00:21:56,350 --> 00:22:00,490 +لعالمك أنت لا تعرفه ولكن عليك أن تحاول أحد الأشياء + +263 +00:22:01,240 --> 00:22:06,400 +بالمقارنة واحدة بعد واحدة حتى تجد أشياء مناسبة + +264 +00:22:06,400 --> 00:22:11,620 +للمجتمع ويمكنك أن تجدها جيدة بطريقة تغطي الأسعار و + +265 +00:22:11,620 --> 00:22:14,600 +تحصل على نسبة مستفيدة في النهاية شكرًا جزيلاً لكم + +266 +00:22:14,600 --> 00:22:18,160 +لتحذيركم حذرًا أراكم مرة أخرى دراسة وداعًا diff --git a/PL9fwy3NUQKwY-KCwlMv-HYkhXiGxk7oEp/CwjeGjASCDM_postprocess.srt b/PL9fwy3NUQKwY-KCwlMv-HYkhXiGxk7oEp/CwjeGjASCDM_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..5b78dde0a35ba2416c724013d1db96b8ea8a3382 --- /dev/null +++ b/PL9fwy3NUQKwY-KCwlMv-HYkhXiGxk7oEp/CwjeGjASCDM_postprocess.srt @@ -0,0 +1,1064 @@ +1 +00:00:05,130 --> 00:00:08,690 +بسم الله الرحمن الرحيم و الحمد لله رب العالمين We + +2 +00:00:08,690 --> 00:00:13,630 +have in this lecture a table that consists of + +3 +00:00:13,630 --> 00:00:17,810 +multiple items multiple course items multiple + +4 +00:00:17,810 --> 00:00:22,010 +source of course items and these elements we have + +5 +00:00:22,010 --> 00:00:24,770 +them in form of checklist I would prefer that + +6 +00:00:24,770 --> 00:00:29,170 +anybody any organization would like to import + +7 +00:00:29,170 --> 00:00:31,650 +something from the outside they should have this + +8 +00:00:31,650 --> 00:00:36,840 +checklist with themلتأكد من أنهم لا ينفذون ولا + +9 +00:00:36,840 --> 00:00:42,880 +ينسون عن أي طريقة سوف يتعاملون بها إذا كانت هذه + +10 +00:00:42,880 --> 00:00:49,360 +الأشياء أسعارنا أزرع مالي أكيد أزرع أمام هذه + +11 +00:00:49,360 --> 00:00:50,220 +الطاولة + +12 +00:00:52,530 --> 00:00:57,430 +أشياء من هذه الطاولة يجب أن تكون مفقودة لأنه إذا + +13 +00:00:57,430 --> 00:01:02,150 +لم تكن تعرف عن هذه الأشياء المفقودة انت تتعامل مع + +14 +00:01:02,150 --> 00:01:09,210 +مشكلة أو مشكلة أو خطأ كبير في القيام بالعملمشاركات + +15 +00:01:09,210 --> 00:01:16,170 +عالمية ومشاركات ومشاركات ومشاركات ومشاركات + +16 +00:01:16,170 --> 00:01:16,350 +ومشاركات ومشاركات ومشاركات ومشاركات ومشاركات + +17 +00:01:16,350 --> 00:01:16,930 +ومشاركات ومشاركات ومشاركات ومشاركات ومشاركات + +18 +00:01:16,930 --> 00:01:17,010 +ومشاركات ومشاركات ومشاركات ومشاركات ومشاركات + +19 +00:01:17,010 --> 00:01:17,030 +ومشاركات ومشاركات ومشاركات ومشاركات ومشاركات + +20 +00:01:17,030 --> 00:01:21,250 +ومشاركات ومشاركات ومشاركات ومشاركات ومشاركات + +21 +00:01:21,250 --> 00:01:26,710 +ومشاركات ومشاركات + +22 +00:01:27,560 --> 00:01:32,340 +بشأن نفسي أحاول أن أعمل بعض الأفكار عن إحتياجات + +23 +00:01:32,340 --> 00:01:35,000 +مهمة في مصر، على سبيل المثال، أن أكون هنا في + +24 +00:01:35,000 --> 00:01:39,800 +غزبالستان بطريقة فهمة فهمة المجتمع و أن أفعل شركة + +25 +00:01:39,800 --> 00:01:43,900 +حقيقية، فأفهم العلاقات، و هذه الأشياء المهمة ليست + +26 +00:01:43,900 --> 00:01:50,070 +في الكتاب، لكني أحتاج أن أفكرفي التدريس كيف يتم + +27 +00:01:50,070 --> 00:01:53,250 +تدريسهم، كيف نستطيع تبني علاقة، كيف نستطيع أن نحصل + +28 +00:01:53,250 --> 00:01:55,830 +على أسلوب، و الوقت الذي ننتظره حتى يكون الأسلوب + +29 +00:01:55,830 --> 00:02:00,630 +داخل غزة بلستان، أنا شخصيا قمت بتجربة هذا للأشياء + +30 +00:02:00,630 --> 00:02:08,130 +المختلفة التي تتعلق بالأسلوب أو نفكر في المحطة، + +31 +00:02:08,130 --> 00:02:13,490 +على سبيل المثال، و أشياء من الطعامانها ليست شيء + +32 +00:02:13,490 --> 00:02:18,430 +سهل يمكنك ان تفعله وانت بحاجة لديك ثقافة في نفسك + +33 +00:02:18,430 --> 00:02:24,110 +وفي قدراتك وانت بحاجة لديك مصطلح مصطلح مصطلح يعني + +34 +00:02:24,110 --> 00:02:29,850 +انت ستواجه مشكلتين مختلفة سنوات مختلفة وانت ستواجه + +35 +00:02:29,850 --> 00:02:33,290 +مقالات مختلفة ومشكلتين ومشكلتين ومشكلتين ومشكلتين + +36 +00:02:33,290 --> 00:02:34,390 +ومشكلتين ومشكلتين ومشكلتين ومشكلتين ومشكلتين + +37 +00:02:34,390 --> 00:02:34,790 +ومشكلتين ومشكلتين ومشكلتين ومشكلتين ومشكلتين + +38 +00:02:34,790 --> 00:02:41,830 +ومشكلتين ومشكلتين ومشكلتين ومشكلتين ومشكلتين وم + +39 +00:02:41,860 --> 00:02:45,180 +أدعو الجميع أن يحاولوا أن يقوموا بأشياء مرتبطة + +40 +00:02:45,180 --> 00:02:48,780 +بهذه المواصفات ويحاولوا أن يشرحوا ويشرحوا أشياء من + +41 +00:02:48,780 --> 00:02:53,040 +غزة بلستين لكي يأخذوا المسرح ومسؤولية ويفهموا أفضل + +42 +00:02:53,040 --> 00:02:57,600 +أن يفهموا هل هذه الأشياء أسعر من الأشياء الأخرى + +43 +00:02:57,600 --> 00:03:00,260 +ويمكننا أن نحصلها في غزة بلستين ويمكننا أن نبيعها + +44 +00:03:00,260 --> 00:03:02,880 +في السوق؟ هل يمكننا أن نحصل على أشياء من غزة + +45 +00:03:02,880 --> 00:03:04,860 +بلستين لكي نبيعها في السوق؟ + +46 +00:03:08,560 --> 00:03:13,900 +ماذا عن قيمة وقيمة وإهتمام الأشخاص عن أسلوبنا + +47 +00:03:13,900 --> 00:03:18,340 +ومساعدتنا؟ نريد أن نرى عالمنا يتطور ويكون لديه + +48 +00:03:18,340 --> 00:03:21,820 +قدرة قوية على إرسال الأسلوب في الخارج ويكون لديه + +49 +00:03:21,820 --> 00:03:23,320 +قدرة قوية على إرسال الأسلوب في الخارج ويكون لديه + +50 +00:03:23,320 --> 00:03:26,500 +قدرة قوية على إرسال الأسلوب في الخارج ويكون لديه + +51 +00:03:26,500 --> 00:03:29,420 +قدرة قوية على إرسال الأسلوب في الخارج ويكون لديه + +52 +00:03:29,420 --> 00:03:31,920 +قدرة قوية على إرسال الأسلوب في الخارج ويكون لديه + +53 +00:03:31,920 --> 00:03:33,800 +قدرة قوية على إرسال الأسلوب في الخارج ويكون لديه + +54 +00:03:33,800 --> 00:03:37,290 +قدرة قوية على إرسال الأسلوب في الخارج ونحتاج أن + +55 +00:03:37,290 --> 00:03:40,930 +نقول إنها نفس الشيء ولكن نحتاج أن نقول عن تلك + +56 +00:03:40,930 --> 00:03:48,090 +الواقعات وهذه الواقعات لديناها في شكلسة وهذه + +57 +00:03:48,090 --> 00:03:55,450 +الشكلسات مهمة جدًا لنا لكي نعرف أكتر عنها وكيف + +58 +00:03:55,450 --> 00:04:00,290 +نستطيع أن نقوم بالتخطيطات في الوصف الصحيح دعونا + +59 +00:04:00,290 --> 00:04:05,220 +نرى التفاصيل الواقعات لتغيير المجتمع الدولينبدأ مع + +60 +00:04:05,220 --> 00:04:11,040 +الـ Unicost، نعم، بقيمة شرح الأساسية يجب أن نفكر + +61 +00:04:11,040 --> 00:04:21,080 +في الأمرال التي نفعلها للمصادف، هناك قيمة شرح هناك + +62 +00:04:21,080 --> 00:04:27,820 +بعض المساعدات للشبكة أو للتعامل، الشبكة الأمريكية + +63 +00:04:29,390 --> 00:04:33,630 +أيضًا إضافة لأنها تأخذ وقت ، لذلك يجب أن نكون + +64 +00:04:33,630 --> 00:04:39,810 +لدينا إضافات إضافية ودفعات إضافية أحيانًا لأشياء + +65 +00:04:39,810 --> 00:04:44,710 +محددة لا يمكن أن تكون رؤية في الوقت في تجارب + +66 +00:04:44,710 --> 00:04:48,510 +التجارب، لذلك تجعل الأمريكا دولة أسرع لدفع الأجهزة + +67 +00:04:48,510 --> 00:04:57,190 +أو لدفع التجاربالثانية نحن لدينا الوصفة بالفعل مع + +68 +00:04:57,190 --> 00:05:01,290 +هؤلاء الأسعار الأسعار والاعتبارات التي تم إعطائها + +69 +00:05:01,290 --> 00:05:05,770 +للأسعار التي سيتم إعطائها لها اعتبار أن هذه + +70 +00:05:05,770 --> 00:05:12,950 +الأسعار سيتم تسجيلها أو تسجيلها بين مجموعات أو + +71 +00:05:12,950 --> 00:05:16,330 +مجموعات أو مجموعات أو مجموعات لذلك يجب أن يكونوا + +72 +00:05:16,330 --> 00:05:21,960 +واضحين و آمنين ويكونوا في أسلوب الأسعارنحن نريد أن + +73 +00:05:21,960 --> 00:05:25,960 +نقوم بإنقاذ المساعدة أو المشاكل في المشاركة + +74 +00:05:25,960 --> 00:05:29,780 +الدولية على سبيل المثال السيارات عندما يتحرك + +75 +00:05:29,780 --> 00:05:36,140 +السيارات بين المدينة أو بين البحر لدينا البحر أو + +76 +00:05:36,140 --> 00:05:39,280 +البحر أو البحر لدينا السيارات تتحرك على السيارات + +77 +00:05:39,280 --> 00:05:41,560 +عادةً لديها فرصة ثقافة جدا + +78 +00:05:44,970 --> 00:05:50,510 +هو استخدام لبريكنت لبريكنت ليس زي زي زي زي زي زي + +79 +00:05:50,510 --> 00:05:51,410 +زي زي زي زي زي زي زي زي زي زي زي زي زي زي زي زي زي + +80 +00:05:51,410 --> 00:05:52,850 +زي زي زي زي زي زي زي زي زي + +81 +00:06:04,850 --> 00:06:12,870 +تحصل على مشكلة في ال .. في ال .. في المنطقة، في + +82 +00:06:12,870 --> 00:06:19,570 +مجموعة من المنطقة التي تتعامل مع مشكلة العرنب رقم + +83 +00:06:19,570 --> 00:06:26,410 +ثالث، نحن لدينا الإنفلاش، السعر عامًا يرتفع في + +84 +00:06:26,410 --> 00:06:33,850 +البلدان في زمنعادةً نرى أسعار تنزل، لا نرى شيء + +85 +00:06:33,850 --> 00:06:40,550 +ينزل عادةً، الأسعار .. هذا بسبب الانفلاش و في بعض + +86 +00:06:40,550 --> 00:06:44,850 +البلدين التي لديها أسعار انفلاش أكبر من الباقين، + +87 +00:06:44,850 --> 00:06:53,010 +اعتنوا بالجودات التي تشتريها، الانفلاش يجعل + +88 +00:06:53,010 --> 00:06:59,290 +الأسعار تنزلوهذا مجرد مجرد مجرد مجرد مجرد مجرد + +89 +00:06:59,290 --> 00:07:00,990 +مجرد مجرد مجرد مجرد مجرد مجرد مجرد مجرد مجرد مجرد + +90 +00:07:00,990 --> 00:07:05,250 +مجرد مجرد مجرد مجرد مجرد مجرد مجرد مجرد مجرد مجرد + +91 +00:07:05,250 --> 00:07:05,610 +مجرد مجرد مجرد مجرد مجرد مجرد مجرد مجرد مجرد مجرد + +92 +00:07:05,610 --> 00:07:11,490 +مجرد مجرد مجرد + +93 +00:07:27,930 --> 00:07:31,950 +هناك أشخاص لوجيستيك هناك شركات أمريكية + +94 +00:07:31,950 --> 00:07:40,690 +للتransportation هناك شرحات بين محطات ومحطات محطات + +95 +00:07:40,690 --> 00:07:45,430 +ومحطات في المناطق التجارية المختلفة هناك شركات + +96 +00:07:45,430 --> 00:07:54,230 +تحصل على المال بسبب الشرحة وهناك معلومات نحصلوندفع + +97 +00:07:54,230 --> 00:08:01,090 +المال للعملاء لهذه الاختصارات مثلًا لدينا مجموعات + +98 +00:08:01,090 --> 00:08:06,750 +من المجموعات في شكل التransportation وهذه المجموعة + +99 +00:08:06,750 --> 00:08:13,790 +مرعبة جدًا في شرح أمريكييجب أن نهتم بالأمر بشكل + +100 +00:08:13,790 --> 00:08:18,970 +حذر لأن إذا كانت التransportation عالية جدا عادة + +101 +00:08:18,970 --> 00:08:24,350 +تجعل الأسعار عالية جدا عالية للمستخدم المحلي دعوني + +102 +00:08:24,350 --> 00:08:29,350 +أخبركم بقصة بسيطة هنا قمت بتحرير بعض المحطة من مصر + +103 +00:08:29,350 --> 00:08:36,710 +من طريق الطريقة التقليدية للتحرير و لدينا الناس في + +104 +00:08:36,710 --> 00:08:43,830 +الانتصار التransportation جعلتنيربما نفس السعر + +105 +00:08:43,830 --> 00:08:49,950 +اللي اشتريه الـ Coast يعني الأشياء و الأسعار + +106 +00:08:49,950 --> 00:08:55,470 +تتدبّل بسبب التransportation انها مهما جدا لذلك + +107 +00:08:55,470 --> 00:08:59,050 +يجب أن تتأكد ان ال transportation coast مفيدة + +108 +00:08:59,050 --> 00:09:04,290 +عندما يتم إضافتها إلى ال common coast مازال السعر + +109 +00:09:04,290 --> 00:09:12,290 +أسعر من ما يوجد في مجتمع المواطنين الوظيفةالدولة + +110 +00:09:12,290 --> 00:09:21,330 +تدفع المال للحكومة لأننا لدينا خطوات عالمية ويجب + +111 +00:09:21,330 --> 00:09:28,770 +علينا أن ندفع المال عندما يدخل المواد المجتمعية + +112 +00:09:28,770 --> 00:09:33,290 +المجتمعية المجتمعية المجتمعية المجتمعية المجتمعية + +113 +00:09:35,270 --> 00:09:39,850 +أيضًا ندفع المال للشركات اللي تفعل الوظيفة + +114 +00:09:39,850 --> 00:09:46,150 +للمستخدمين و هذا المال اللي تم دفعه من الحكومة + +115 +00:09:46,150 --> 00:09:47,570 +للشركات اللي تدفعها للشركات اللي تدفعها للشركات + +116 +00:09:47,570 --> 00:09:48,090 +اللي تدفعها للشركات اللي تدفعها للشركات اللي + +117 +00:09:48,090 --> 00:09:50,650 +تدفعها للشركات اللي تدفعها للشركات اللي تدفعها + +118 +00:09:50,650 --> 00:09:51,490 +للشركات اللي تدفعها للشركات اللي تدفعها للشركات + +119 +00:09:51,490 --> 00:09:51,510 +اللي تدفعها للشركات اللي تدفعها للشركات اللي + +120 +00:09:51,510 --> 00:09:52,790 +تدفعها للشركات اللي تدفعها للشركات اللي تدفعها + +121 +00:09:52,790 --> 00:09:57,790 +للشركات اللي تدفعها للشركات اللي تدفعها + +122 +00:09:57,790 --> 00:09:57,890 +لل + +123 +00:10:01,900 --> 00:10:06,060 +هناك مرحلة من عمليات المستخدم اللي يدفعها للحكومة + +124 +00:10:06,060 --> 00:10:11,040 +وانها مرتعبة جدا عندما نضيفها لـ common cost لذلك + +125 +00:10:11,040 --> 00:10:15,820 +هذا هو السبب عندما نرى السيارات هنا في غزة بلسنجار + +126 +00:10:15,820 --> 00:10:21,420 +أو أي دولة أخرى نجد أن السيارات مرتعبة جدا بالنسبة + +127 +00:10:21,420 --> 00:10:26,800 +لما نستطيع شراء السيارة اللي في بلسنجارها من + +128 +00:10:26,800 --> 00:10:27,980 +بلسنجارها من بلسنجارها من بلسنجارها من بلسنجارها + +129 +00:10:27,980 --> 00:10:31,140 +من بلسنجارها من بلسنجارها من بلسنجارها من + +130 +00:10:31,140 --> 00:10:35,650 +بلسنجارها منCustoms Duty Costs وTraders + +131 +00:10:35,650 --> 00:10:41,170 +وHolesalers وImporters وProfit هاتين هاتين هاتين + +132 +00:10:41,170 --> 00:10:42,310 +هاتين هاتين هاتين هاتين هاتين هاتين هاتين هاتين + +133 +00:10:42,310 --> 00:10:44,130 +هاتين هاتين هاتين هاتين هاتين هاتين هاتين هاتين + +134 +00:10:44,130 --> 00:10:45,030 +هاتين هاتين هاتين هاتين هاتين هاتين هاتين هاتين + +135 +00:10:45,030 --> 00:10:45,490 +هاتين هاتين هاتين هاتين هاتين هاتين هاتين هاتين + +136 +00:10:45,490 --> 00:10:47,290 +هاتين هاتين هاتين هاتين هاتين هاتين هاتين هاتين + +137 +00:10:47,290 --> 00:10:49,930 +هاتين هاتين هاتين هاتين هاتين هاتين هاتين هاتين + +138 +00:10:49,930 --> 00:10:52,970 +هاتين هاتين هاتين هاتين هاتين هاتين هاتين هاتين + +139 +00:10:52,970 --> 00:10:56,970 +هاتين هاتين هاتين هاتين هاتين هاتين هاتين هاتين + +140 +00:10:56,970 --> 00:11:04,910 +هالسيارة والطريق بأمان وليس هناك حرارة تتجاوز أو + +141 +00:11:04,910 --> 00:11:11,150 +تدمر أمواتنا بسبب التعاملات الدولية اللي يحدث + +142 +00:11:11,150 --> 00:11:17,780 +عامًا بين البلدان مع طرق تتعامل مع حرارةإذا كان + +143 +00:11:17,780 --> 00:11:21,180 +لدينا قطار يأخذ الأموال من مدينة إلى مدينة أخرى + +144 +00:11:21,180 --> 00:11:25,640 +يمكن أن يكون مدمون يمكن أن يكون يتجاوز بعض النار + +145 +00:11:25,640 --> 00:11:30,180 +أو المخاطر في المعدلات أو الأشياء التي اشتريناها + +146 +00:11:30,180 --> 00:11:34,280 +لذلك شركة الاستثمارات سوف تغطي المدامات أو المشاكل + +147 +00:11:34,280 --> 00:11:40,280 +اللي يمكن أن يحدث لتحضيرنا أو لتحضير المساعدة هذا + +148 +00:11:40,280 --> 00:11:42,940 +هو مضيف إلى + +149 +00:11:45,640 --> 00:11:52,560 +مقالة من قيمة البرمجة الدولية مقالة + +150 +00:11:52,560 --> 00:11:59,720 +أخرى تتكلم عن مقالات الدفع هل يجب أن ندفع في المال + +151 +00:11:59,720 --> 00:12:08,020 +أو ندفع عندما نحصل على المال عندما نقوم بعمل + +152 +00:12:08,020 --> 00:12:12,490 +التطبيقفي الموقع أو عندما ندفع أو عندما نقوم + +153 +00:12:12,490 --> 00:12:18,530 +بالدفع والدفع يعتمد على وقت السحب أو في وقت الحصول + +154 +00:12:18,530 --> 00:12:24,890 +أو في بعض الأحيان لدينا نوع من التدفع التجاربي هذا + +155 +00:12:24,890 --> 00:12:28,050 +يعني أننا ندفع بطريقة رقمية في بعض المجالات + +156 +00:12:28,050 --> 00:12:33,670 +المحددة على سبيل المثال بعض المواد مثلًا عرن بارات + +157 +00:12:33,670 --> 00:12:35,850 +مستخدمة في بناء + +158 +00:12:39,960 --> 00:12:45,920 +مؤسسات الناس التي تصنع أو تشرح هذه الـ Iron Bars + +159 +00:12:45,920 --> 00:12:50,840 +تضطرون على الحصول على المال على الموقع وليس هناك + +160 +00:12:50,840 --> 00:12:58,380 +طريقة لتخلص من هذا المال لأي شركة اشترى آخر وهو + +161 +00:12:58,380 --> 00:13:00,140 +عمليات اضافية ومحافظات + +162 +00:13:03,890 --> 00:13:08,910 +في بين عندما نقوم بالشرح الدولي يوجد شركات مستعمرة + +163 +00:13:08,910 --> 00:13:16,990 +يوجد عملاء التransportation يجب أن ندفع المال + +164 +00:13:16,990 --> 00:13:25,030 +لأشخاص في بين يقومون بعمل الورقاء يقومون بمثابرات + +165 +00:13:25,030 --> 00:13:30,550 +الحكومة إذا + +166 +00:13:30,550 --> 00:13:35,300 +كانت السحبات متوقفةلذلك يجب أن ندفع المال الأكتر، + +167 +00:13:35,300 --> 00:13:41,980 +على سبيل المثال، محطتنا أو محطتنا تم تحطيمها على + +168 +00:13:41,980 --> 00:13:52,060 +محطة، يجب أن ندفع المال الأكتر، هذا المال للعملاء + +169 +00:13:52,060 --> 00:13:57,480 +الذين يقومون بعمل المعلوماتو اي يوم .. اي يوم اللي + +170 +00:13:57,480 --> 00:14:01,900 +نعاني من .. اتخاذ + +171 +00:14:01,900 --> 00:14:02,600 +اتخاذ اتخاذ اتخاذ اتخاذ اتخاذ اتخاذ اتخاز اتخاز + +172 +00:14:02,600 --> 00:14:02,980 +اتخاز اتخاز اتخاز اتخاز اتخاز اتخاز اتخاز اتخاز + +173 +00:14:02,980 --> 00:14:03,000 +اتخاز اتخاز اتخاز اتخاز اتخاز اتخاز اتخاز اتخاز + +174 +00:14:03,000 --> 00:14:05,780 +اتخاز اتخاز اتخاز اتخاز اتخاز اتخاز اتخاز اتخاز + +175 +00:14:05,780 --> 00:14:07,820 +اتخاز اتخاز اتخاز اتخاز اتخاز اتخاز اتخاز اتخاز + +176 +00:14:07,820 --> 00:14:24,820 +اتخاز اتخاز ات + +177 +00:14:25,740 --> 00:14:30,320 +لدينا عمليات التعامل عمليات التعامل عندما يصل + +178 +00:14:30,320 --> 00:14:35,080 +السيارة إلى محطة أو محطة نحتاج أن ندفع المال + +179 +00:14:35,080 --> 00:14:40,660 +لعملية عمليات التعامل من السيارة حتى يتم تحميل + +180 +00:14:40,660 --> 00:14:46,340 +السيارة إلى المحطة الموجودة في المنطقة هناك عمليات + +181 +00:14:46,340 --> 00:14:53,660 +تدفع المال للمحطة وهناك عمليات + +182 +00:14:56,420 --> 00:15:02,420 +بايد for the operations of trans shipment it means + +183 +00:15:02,420 --> 00:15:06,760 +if we have the goods in this area for some time + +184 +00:15:06,760 --> 00:15:13,740 +and we have them to be outside the country after + +185 +00:15:13,740 --> 00:15:18,750 +some time for example if we have aأشياء من تركيا + +186 +00:15:18,750 --> 00:15:23,930 +تأتي إلى مصر مصر الانكساندرية على سبيل المثال ويجب + +187 +00:15:23,930 --> 00:15:28,650 +علينا أن نجعلهم في تجارب لوقت قليل لأسبوعين او + +188 +00:15:28,650 --> 00:15:32,510 +اثنين او ثلاث أسبوعين حتى نفعل الاختلاف كل + +189 +00:15:32,510 --> 00:15:39,550 +الاختلافات و .. و يجب علينا ان نجعلهم يدفعوا إلى + +190 +00:15:39,550 --> 00:15:40,770 +جزا بلستين + +191 +00:15:43,530 --> 00:15:48,410 +مجلد مجلد مجلد مجلد مجلد مجلد مجلد مجلد مجلد مجلد + +192 +00:15:48,410 --> 00:15:53,730 +مجلد مجلد مجلد مجلد مجلد مجلد مجلد مجلد مجلد مجلد + +193 +00:16:13,940 --> 00:16:19,760 +أشخاص مستخدمين لنا و يأخذون عادة تجارب تكلفة تجارب + +194 +00:16:19,760 --> 00:16:24,300 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +195 +00:16:24,300 --> 00:16:24,400 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +196 +00:16:24,400 --> 00:16:24,460 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +197 +00:16:24,460 --> 00:16:24,640 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +198 +00:16:24,640 --> 00:16:41,340 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +199 +00:16:43,180 --> 00:16:47,980 +الشيء الثاني اللي هو المجالات هناك مجالات أضافية + +200 +00:16:47,980 --> 00:16:56,000 +مدفوعة أحياناً نقول مجالات السعر مدفوعة للمدينة + +201 +00:16:56,000 --> 00:17:05,660 +نتحرك الأشياء داخلها هذا هو أكتر من مجالات مدفوعة + +202 +00:17:05,660 --> 00:17:08,940 +لنا لذا لدينا مجالات التعامل ومجالات المجالات لا + +203 +00:17:08,940 --> 00:17:14,550 +تقولوا أن هذه الشيء نفسههناك محادثة التواصل + +204 +00:17:14,550 --> 00:17:21,370 +الاجتماعي الاجتماعي + +205 +00:17:21,370 --> 00:17:22,630 +الاجتماعي الاجتماعي الاجتماعي الاجتماعي الاجتماعي + +206 +00:17:22,630 --> 00:17:28,130 +الاجتماعي الاجتماعي الاجتماعي الاجتماعي الاجتماعي + +207 +00:17:28,130 --> 00:17:29,630 +الاجتماعي الاجتماعي الاجتماعي الاجتماعي الاجتماعي + +208 +00:17:29,630 --> 00:17:29,650 +الاجتماعي الاجتماعي الاجتماعي الاجتماعي الاجتماعي + +209 +00:17:29,650 --> 00:17:30,050 +الاجتماعي الاجتماعي الاجتماعي الاجتماعي الاجتماعي + +210 +00:17:30,050 --> 00:17:41,790 +الاجتماعي الاجتماعي الاجتماعي الاج + +211 +00:17:42,680 --> 00:17:47,000 +يعطينا الكثير من المال نحتاج أن نذهب لنقوم بمقاعدة + +212 +00:17:47,000 --> 00:17:54,180 +لدينا مقاعدة لأي يوم ندفع المال للسيارة لوقت جيد + +213 +00:17:54,180 --> 00:17:59,440 +لوقت صحيح حتى نعود للمدينة المنزلية لذلك مدرسة + +214 +00:17:59,440 --> 00:18:04,300 +السفر هي مدرسة التعامل مضافة إلى قانون الانترنت + +215 +00:18:04,300 --> 00:18:11,740 +نحن لدينا مقاعدة ومفاوضات الحدوث نعم المقاعدات + +216 +00:18:14,970 --> 00:18:20,850 +للتفاعلات اللي حدثت مع البنك عندما نقوم بالتعريف + +217 +00:18:20,850 --> 00:18:25,870 +الأمريكي ندفع مجموعة للبنك عندما نقوم بالتعريف + +218 +00:18:25,870 --> 00:18:31,210 +الأمريكي أو الواضحة الأمريكية يوجد تجارب تدفعها + +219 +00:18:31,210 --> 00:18:39,090 +للبنك عندما نتعريف الحمضانية يوجد ما نسميه تجارب + +220 +00:18:39,090 --> 00:18:45,550 +تدفعها للبنكوعندما نحصل على المفاوضات المالية إذا + +221 +00:18:45,550 --> 00:18:49,390 +كنا نفعل الهجوم أو باستخدام قرارات مستقبلية أو + +222 +00:18:49,390 --> 00:18:52,210 +مستقبلية مستقبلية أو مستقبلية او مستقبلية او + +223 +00:18:52,210 --> 00:18:52,430 +مستقبلية او مستقبلية او مستقبلية او مستقبلية او + +224 +00:18:52,430 --> 00:18:54,570 +مستقبلية او مستقبلية او مستقبلية او مستقبلية او + +225 +00:18:54,570 --> 00:18:55,070 +مستقبلية او مستقبلية او مستقبلية او مستقبلية او + +226 +00:18:55,070 --> 00:18:55,410 +مستقبلية او مستقبلية او مستقبلية او مستقبلية او + +227 +00:18:55,410 --> 00:19:00,350 +مستقبلية او مستقبلية او مستقبلية او مستقبلية او + +228 +00:19:00,350 --> 00:19:08,390 +مستقبلية او مستقبلية او + +229 +00:19:11,500 --> 00:19:16,460 +مقارنة بشكل عادى لأنه ليس بسهولة و يأخذ وقت طويل + +230 +00:19:16,460 --> 00:19:22,100 +لكي تحصل على الأموال حتى تصل لنا لذلك نحتاج لدينا + +231 +00:19:22,100 --> 00:19:27,160 +مخزنات كبيرة جدًا لإضافة الانفجار ليس الانفجار + +232 +00:19:27,160 --> 00:19:30,660 +العادى اللي يغطي عملنا لمدة أسبوع أو أشهر ولكن + +233 +00:19:30,660 --> 00:19:36,610 +بشكل عادى لدينا لإعطائنا خلال العاملذلك لدينا قيمة + +234 +00:19:36,610 --> 00:19:41,930 +فرصة وهي قيمة إضافية الانشوار للزيارة وقيمة + +235 +00:19:41,930 --> 00:19:45,950 +المخزنة لدينا قيمة فرصة وقيمة فرصة وقيمة فرصة + +236 +00:19:45,950 --> 00:19:46,230 +وقيمة فرصة وقيمة فرصة وقيمة فرصة وقيمة فرصة وقيمة + +237 +00:19:46,230 --> 00:19:49,390 +فرصة وقيمة فرصة وقيمة فرصة وقيمة فرصة وقيمة فرصة + +238 +00:19:49,390 --> 00:19:49,530 +وقيمة فرصة وقيمة فرصة وقيمة فرصة وقيمة فرصة وقيمة + +239 +00:19:49,530 --> 00:19:52,430 +فرصة وقيمة فرصة وقيمة فرصة وقيمة فرصة وقيمة فرصة + +240 +00:19:52,430 --> 00:20:01,440 +وقيمة فرصة وقيمة فهنا لدينا مستوى مختلف لأننا نريد + +241 +00:20:01,440 --> 00:20:06,640 +أن نبقى عيوننا مفتوحة لتأكد أن الانفجار بأمان واضح + +242 +00:20:06,640 --> 00:20:12,940 +لدينا قائمة طويلة من الأشياء التي يجب أن نعتمد + +243 +00:20:12,940 --> 00:20:17,240 +عليها عندما نتحرك إلى الشراء الدولي هذه القائمة + +244 +00:20:17,240 --> 00:20:23,040 +طويلة جدًا يجب أن تكون واضحة جدًا في تجاربنا عندما + +245 +00:20:23,040 --> 00:20:28,610 +نقرر أن نذهب إلى السوق الدوليوعادةً يجب أن نفعل + +246 +00:20:28,610 --> 00:20:33,910 +هذا بمحاولة، هذا هو إدعاءي إذا كنت ترغب في شراء + +247 +00:20:33,910 --> 00:20:38,630 +شيء من الخارج أو تشرح شيء للخارج يجب أن تفعل + +248 +00:20:38,630 --> 00:20:48,950 +محاولة لقليل من المادة من هذه المادات مجموعة تريد + +249 +00:20:48,950 --> 00:20:51,250 +أن تحصل عليها من الخارج إلى شركة غزا ماركت على + +250 +00:20:51,250 --> 00:20:56,470 +سبيل المثال، حاول ان تفعلها بقليل من المادةو تحاول + +251 +00:20:56,470 --> 00:21:00,850 +تحقق جميع المقامات جميع المجالات جميع المجالات + +252 +00:21:00,850 --> 00:21:07,190 +التي تحتاجها لدفع المال لهذه المعاملةو يجب أن تخطط + +253 +00:21:07,190 --> 00:21:15,790 +جميع سفرك حتى تصل إلى مخزنك في غزبلستان مثلا إذا + +254 +00:21:15,790 --> 00:21:19,630 +كنت ممكن أن تفعل التخطيطات و تجدها في قيمة مفيدة + +255 +00:21:19,630 --> 00:21:24,890 +يمكنك أن تذهب إلى مخزن كبير جدًا لذلك ادعى لي هو + +256 +00:21:24,890 --> 00:21:29,750 +لا تفعل محفظة الواقعية لا تفعل خطة العمل لأشياء + +257 +00:21:29,750 --> 00:21:34,730 +ستشترها من الخارج ما يجب أن تفعله فعله في الحقيقة + +258 +00:21:35,610 --> 00:21:39,050 +هذا هو رصاصيتي افعلها في الحقيقة ولكن احذر ان + +259 +00:21:39,050 --> 00:21:43,850 +تجعلها مجموعة لا تدفع الكثير من المال للمجتمع انت + +260 +00:21:43,850 --> 00:21:49,690 +تفهم الطريق والأشياء الموجودة في الطريق وانت تريد + +261 +00:21:49,690 --> 00:21:56,350 +ان تشتري شيء ايه المجتمع سيكون مناسب لك ومفيد + +262 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+00:00:18,110 --> 00:00:23,110 +هذه الأربع مرات مضمونة في أكتر تفاصيل سوف نكون + +5 +00:00:23,110 --> 00:00:25,430 +لدينا بعض الأفكار والأشياء والأشياء والأشياء + +6 +00:00:25,430 --> 00:00:25,870 +والأشياء والأشياء والأشياء والأشياء والأشياء + +7 +00:00:25,870 --> 00:00:26,330 +والأشياء والأشياء والأشياء والأشياء والأشياء + +8 +00:00:26,330 --> 00:00:27,790 +والأشياء والأشياء والأشياء والأشياء والأشياء + +9 +00:00:27,790 --> 00:00:31,390 +والأشياء والأشياء والأشياء والأشياء والأشياء + +10 +00:00:31,390 --> 00:00:35,450 +والأشي + +11 +00:00:36,010 --> 00:00:44,930 +أولاً نريد أن نعرف المحتاج لذلك يوجد إعتماد على + +12 +00:00:44,930 --> 00:00:51,630 +المحتاج إعتماد على المحتاج للانتجار من المستخدمين + +13 +00:00:51,630 --> 00:00:57,850 +ما هي الانتجارات تعطينا اتجارة لان نبدأ بالتحقق + +14 +00:00:57,850 --> 00:01:00,610 +وانتجار مستخدمين جديد مستخدمين مستخدمين مستخدمين + +15 +00:01:00,610 --> 00:01:01,430 +مستخدمين مستخدمين مستخدمين مستخدمين مستخدمين + +16 +00:01:01,430 --> 00:01:03,370 +مستخدمين مستخدمين مستخدمين مستخدمين مستخدمين + +17 +00:01:03,370 --> 00:01:03,710 +مستخدمين مستخدمين مستخدمين مستخدمين مستخدمين + +18 +00:01:13,470 --> 00:01:16,490 +نعم، يجب أن نعرف أكتر عن الأشياء التي نحتاجها + +19 +00:01:16,490 --> 00:01:22,010 +لتقديمها من المستخدمين، أعطوني تفاصيل أو تفاصيل عن + +20 +00:01:22,010 --> 00:01:24,850 +الأشياء التي نريد تقديمها، سواء كانت الأسلحة أو + +21 +00:01:24,850 --> 00:01:31,370 +الأسلحة أو الأجهزةهذا يجعلني أفهم أكتر عن احتاجاتك + +22 +00:01:31,370 --> 00:01:34,670 +لأنني لست مستخدم في هذه المواد ولكن أستطيع أن + +23 +00:01:34,670 --> 00:01:38,490 +أساعدك في إيجاد المواد الصحيحة من هذه المستخدمين + +24 +00:01:38,490 --> 00:01:42,090 +التي نستطيع أن نساعدها وانتجها رقم ثلاثة، اختار + +25 +00:01:42,090 --> 00:01:44,810 +استخدام استخدام استخدام استخدام استخدام استخدام + +26 +00:01:44,810 --> 00:01:50,330 +استخدام استخدام + +27 +00:01:50,330 --> 00:01:56,250 +استخداممعنى الترتيب داخل المؤسسة أو مجلس التجارب + +28 +00:01:56,250 --> 00:02:01,810 +التجاربية التي تتحدث عن قيمة أو قيمة أو تفكر في + +29 +00:02:01,810 --> 00:02:05,770 +المصادر الداخلية أو المصادر الخارجية أو هل يحتاجون + +30 +00:02:05,770 --> 00:02:09,470 +إلى علاقة طويلة أو طويلة مع المصادر أو مع بعض + +31 +00:02:09,470 --> 00:02:11,630 +المصادر التقليدية أو تقليدية مع المصادر التقليدية + +32 +00:02:11,630 --> 00:02:15,130 +لأنه ليس من المهم لنا أن نبقى هذه العلاقة أو + +33 +00:02:15,130 --> 00:02:19,050 +المصادر التقليدية ليس من المهم هذه الميزانيات رقم + +34 +00:02:19,050 --> 00:02:21,850 +4 يجب أن نعرف مصادر المصادر التقليدية + +35 +00:02:28,550 --> 00:02:36,490 +مصادر السببلاير مصادر + +36 +00:02:36,490 --> 00:02:40,870 +السببلاير مصادر السببلاير مصادر السببلاير مصادر + +37 +00:02:40,870 --> 00:02:40,970 +السببلاير مصادر السببلاير مصادر السببلاير مصادر + +38 +00:02:40,970 --> 00:02:41,270 +السببلاير مصادر السببلاير مصادر السببلاير مصادر + +39 +00:02:41,270 --> 00:02:45,530 +السببلاير مصادر السببلاير مصادر السببلاير مصادر + +40 +00:02:45,530 --> 00:02:49,810 +السببلاير مصادر السببلاير مصادر السببلاير مصادر + +41 +00:02:49,810 --> 00:02:53,230 +السببلاير مصادر السببلاير مصادر السببيجب أن نبنى + +42 +00:02:53,230 --> 00:02:58,170 +هنا مقالات كبيرة للمستخدمين إذا ما هي مصادر + +43 +00:02:58,170 --> 00:03:03,090 +المستخدمين هنا و هنا يجب أن نفكر في مطالبات المواد + +44 +00:03:03,090 --> 00:03:08,330 +التي يجب أن نشتريها هنا نفهم ماذا هي الانتقالات + +45 +00:03:08,330 --> 00:03:11,770 +التي تخبرنا أن هناك حاجة لكي نبدأ الانتقالات + +46 +00:03:11,770 --> 00:03:17,580 +المستخدمية وأيضا لا تنسىما هي نظرية المؤسسات + +47 +00:03:17,580 --> 00:03:22,680 +بالنسبة لأسلوب الاستراتيجية لذا كيف تفكير المؤسسة + +48 +00:03:22,680 --> 00:03:26,100 +عن المستخدمين أو المستخدمين المتوقع أننا سنقوم + +49 +00:03:26,100 --> 00:03:29,500 +بالتعامل معهم ونختارهم دعونا نرى هذه الأربع مرات + +50 +00:03:29,500 --> 00:03:33,640 +في هذه الدراسة ويكون لدينا رقم منها في الدراسة + +51 +00:03:33,640 --> 00:03:36,160 +القادمة دعونا نبدأ بالتفاصيل هنا لدينا تعامل مع + +52 +00:03:36,160 --> 00:03:42,810 +المستخدم ونختاره هذا هو أن تقرر أن تخرجالمديرين + +53 +00:03:42,810 --> 00:03:46,950 +الأن يجب أن يجدوا المستخدمين اللي يعطينا المواد + +54 +00:03:46,950 --> 00:03:50,890 +اللي نحتاجها تفكروا بالمستخدمين الممكن نحتاج أن + +55 +00:03:50,890 --> 00:03:54,110 +نقوم بتحقيقهم، نحتاج لدينا قطعة قصيرة من + +56 +00:03:54,110 --> 00:03:57,170 +المستخدمين المتوقعين، نحتاج للتشريك مع هؤلاء + +57 +00:03:57,170 --> 00:04:01,350 +المستخدمين، نريد أن ندعم مؤسساتنا، نحتاج لأن نفكر + +58 +00:04:01,350 --> 00:04:06,530 +في عمل بعض الـbids أو في عمل بعض التفاعلات، نجد + +59 +00:04:06,530 --> 00:04:13,990 +التشريكات التي تسجل وتتكلم عن قيمةالسعرات والقوة + +60 +00:04:13,990 --> 00:04:18,310 +والإدارة والطريقات للدفع كل شيء يجب أن يتم تفعيله + +61 +00:04:18,310 --> 00:04:23,390 +خلال العمل في مجلس التحقيقوهذه القدرات من شخصياتنا + +62 +00:04:23,390 --> 00:04:27,750 +أو عميلنا خاصة تركز على كيفية بناء علاقات مع + +63 +00:04:27,750 --> 00:04:30,930 +المصادر وكيفية معرفة أكتر عن المصادر عندما نتكلم + +64 +00:04:30,930 --> 00:04:34,850 +عن مجلس الـ HR هم يعرفون أكتر عن الموظفين ومجلس + +65 +00:04:34,850 --> 00:04:38,010 +التحقيق هم يعرفون أكتر عن المصادر عندما نتكلم عن + +66 +00:04:38,010 --> 00:04:41,430 +مجلس التسويق أو التسويق هم يعرفون أكتر عن مجلساتهم + +67 +00:04:41,430 --> 00:04:42,630 +أو مجلسات الشرطة أو مجلسات الشرطة أو مجلس الشرطة + +68 +00:04:42,630 --> 00:04:43,230 +أو مجلس الشرطة أو مجلس الشرطة أو مجلس الشرطة أو + +69 +00:04:43,230 --> 00:04:47,670 +مجلس الشرطة أو مجلس الشرطة أو + +70 +00:04:47,670 --> 00:04:50,930 +مجلس + +71 +00:04:50,930 --> 00:04:56,100 +الشنحتاج أن نفهم أن هناك عملية أو عملية تخلص من + +72 +00:04:56,100 --> 00:05:01,960 +المشاكل و تطوير فرصة الانتجارات الأفضل و من الواضح + +73 +00:05:01,960 --> 00:05:06,080 +أننا نريد أن ندعم عملنا وندعم مؤسساتنا وندعم + +74 +00:05:06,080 --> 00:05:09,900 +شركتنا وشركاتنا وشركاتنا وشركاتنا وشركاتنا + +75 +00:05:09,900 --> 00:05:10,000 +وشركاتنا وشركاتنا وشركاتنا وشركاتنا وشركاتنا + +76 +00:05:10,000 --> 00:05:11,260 +وشركاتنا وشركاتنا وشركاتنا وشركاتنا وشركاتنا + +77 +00:05:11,260 --> 00:05:18,140 +وشركاتنا وشركاتنا وشركاتنا وشركاتنا وشرك + +78 +00:05:18,410 --> 00:05:21,050 +الأهداف التي وضعتها هنا في هذا الانتجار والانتجار + +79 +00:05:21,050 --> 00:05:25,190 +بشكل عام مهم جدًا لدعم عملية عملية عملية عملية + +80 +00:05:25,190 --> 00:05:25,510 +عملية عملية عملية عملية عملية عملية عملية عملية + +81 +00:05:25,510 --> 00:05:26,090 +عملية عملية عملية عملية عملية عملية عملية عملية + +82 +00:05:26,090 --> 00:05:29,430 +عملية عملية عملية عملية عملية عملية عملية عملية + +83 +00:05:29,430 --> 00:05:29,570 +عملية عملية عملية عملية عملية عملية عملية عملية + +84 +00:05:29,570 --> 00:05:32,190 +عملية عملية عملية عملية عملية عملية عملية عملية + +85 +00:05:32,190 --> 00:05:32,210 +عملية عملية عملية عملية عملية عملية عملية عملية + +86 +00:05:32,210 --> 00:05:32,330 +عملية عملية عملية عملية عملية عملية عملية عملية + +87 +00:05:32,330 --> 00:05:42,550 +عملية عملية + +88 +00:05:42,550 --> 00:05:49,440 +علتحقق قدرات مصادرنا وأن تفكر أن هذه الانتجارات هي + +89 +00:05:49,440 --> 00:05:53,880 +نقاط مباشرة لتحقيق جميع البرنامج التي يبدأ بالفكرة + +90 +00:05:53,880 --> 00:05:57,480 +هذه لنقوم بالتحقيق المستقبلي وندعم الانتجارات + +91 +00:05:57,480 --> 00:06:02,300 +العملية لنا قبل أن نتحدث عن هذه الفigureلذلك، في + +92 +00:06:02,300 --> 00:06:08,160 +المجلة الأولى، يجب أن نفكر في متى نحوز، وكيف نحوز، + +93 +00:06:08,160 --> 00:06:13,520 +وما هي المصطلحات، وما هي التفاصيل، وما هي الأفكار + +94 +00:06:13,520 --> 00:06:16,980 +الأولى التي تخبرنا عن المطالبات التي نحتاجها، في + +95 +00:06:16,980 --> 00:06:23,280 +العمل، التعرف على محتاجات المستخدم، مديراتنا، + +96 +00:06:23,280 --> 00:06:27,040 +عملنا، مستخدماتنا الداخلية، سأشرح في هذا الفيديو، + +97 +00:06:27,040 --> 00:06:30,600 +نتكلم عن هذا الفيديو، نعم، إنه يتكلم عن الإشارات + +98 +00:06:31,160 --> 00:06:35,080 +هؤلاء الإشارات التي يجب أن نعرفها أكتر عنها عندما + +99 +00:06:35,080 --> 00:06:40,300 +نبدأ عملية التحقيق والتحقق من المستخدمين لكي + +100 +00:06:40,300 --> 00:06:43,220 +يدعمنا بالمواد والمواد والمواد والمواد التي + +101 +00:06:43,220 --> 00:06:48,540 +نحتاجها وخيرًا نصل إلى مهارتنا وإنجازاتنا في + +102 +00:06:48,540 --> 00:06:55,260 +الاختيارات لإختيار المستخدمين المناسبة رقم 2 يجب + +103 +00:06:55,260 --> 00:06:59,830 +أن نفكر في الـ Key Sourcing Requirements، نعمما هي + +104 +00:06:59,830 --> 00:07:03,710 +المطالبات؟ نريد أن نفكر أكتر في المطالبات و أكتر + +105 +00:07:03,710 --> 00:07:09,920 +في التفاصيلبالطبع عندما نذهب للتجارب التجارية، + +106 +00:07:09,920 --> 00:07:14,400 +فأولا، تفكر في الأشياء التي تحتاجها أن تشتريها، ما + +107 +00:07:14,400 --> 00:07:17,900 +هي المواد التي تحتاجها أن تستخدمها، ما هي + +108 +00:07:17,900 --> 00:07:22,620 +المطالبات التي تحتاجها أن تستخدمها بالنسبة لهذه + +109 +00:07:22,620 --> 00:07:28,440 +المواد أو المواد، بشكل مباشر، بشكل غير مباشر، + +110 +00:07:36,040 --> 00:07:42,140 +فتفكر في قيمته، فتفكر في ممكنة الحصول عليها بسرعة، + +111 +00:07:42,140 --> 00:07:46,800 +فتفكر في الوقت، فتفكر في التواصلات، فتفكر في + +112 +00:07:46,800 --> 00:07:52,020 +المدعومات، فتفكر في طرح المدعومات، فتفكر في + +113 +00:07:52,020 --> 00:07:55,700 +المصطلحات التي يمكنها أن تتفاجأ من الناس، فتفكر في + +114 +00:07:57,460 --> 00:08:00,480 +الإيجارات الأورجانية، نعم الناس اليوم يريدون أن + +115 +00:08:00,480 --> 00:08:03,280 +يكونوا ليسوا إيجارات كيميائية، إنهم يريدون أن + +116 +00:08:03,280 --> 00:08:06,600 +يكونوا إيجارات أورجانية، طبيعية، إيجارات، هذا يضيف + +117 +00:08:06,600 --> 00:08:11,980 +قيمة لجواتنا ومساعدتنا وانها مصممة جيدة لنا من + +118 +00:08:11,980 --> 00:08:16,520 +خلال مصممنا، فتفكر في الأشياء المختلفة التي يجب أن + +119 +00:08:16,520 --> 00:08:21,420 +تقول أي مجلس العمل الداخلي بالضبط ما يحتاجه لنا + +120 +00:08:21,420 --> 00:08:27,580 +لكي نفعل العمل الجيد في تجاربناالثالثة نحتاج لنقوم + +121 +00:08:27,580 --> 00:08:30,440 +بتحديث استخدام استخدام استخدام استخدام استخدام + +122 +00:08:30,440 --> 00:08:34,140 +استخدام استخدام استخدام استخدام استخدام استخدام + +123 +00:08:34,790 --> 00:08:40,110 +هو التفكير في الانتشارات لديها علاقات مع بعض + +124 +00:08:40,110 --> 00:08:41,070 +المستخدمين المستخدمين المستخدمين المستخدمين + +125 +00:08:41,070 --> 00:08:42,930 +المستخدمين المستخدمين المستخدمين المستخدمين + +126 +00:08:42,930 --> 00:08:45,110 +المستخدمين المستخدمين المستخدمين المستخدمين + +127 +00:08:45,110 --> 00:08:45,870 +المستخدمين المستخدمين المستخدمين المستخدمين + +128 +00:08:45,870 --> 00:08:47,010 +المستخدمين المستخدمين المستخدمين المستخدمين + +129 +00:08:47,010 --> 00:08:48,750 +المستخدمين المستخدمين المستخدمين المستخدمين + +130 +00:08:48,750 --> 00:08:50,530 +المستخدمين المستخدمين المستخدمين المستخدمين + +131 +00:08:50,530 --> 00:08:53,470 +المستخدمين المستخدمين المستخدمين المستخدمين + +132 +00:08:53,470 --> 00:09:00,670 +المستخدمين المستخدمين المستخدمين المستخدمين الم + +133 +00:09:00,710 --> 00:09:02,950 +أيضًا، فأفكّروا في اهتمام المستخدمين لتطوير + +134 +00:09:02,950 --> 00:09:06,630 +مpartnership عملية أكتر من علاقات طويلة ومتوسطة. + +135 +00:09:06,630 --> 00:09:12,410 +يجب أن نفكر في عملية عملية + +136 +00:09:12,410 --> 00:09:13,650 +عملية عملية عملية عملية عملية عملية عملية عملية + +137 +00:09:13,650 --> 00:09:13,730 +عملية عملية عملية عملية عملية عملية عملية عملية + +138 +00:09:13,730 --> 00:09:13,790 +عملية عملية عملية عملية عملية عملية عملية عملية + +139 +00:09:13,790 --> 00:09:14,290 +عملية عملية عملية عملية عملية عملية عملية عملية + +140 +00:09:14,290 --> 00:09:16,550 +عملية عملية عملية عملية عملية عملية عملية عملية + +141 +00:09:16,550 --> 00:09:28,000 +عملية عملية عملية عملتفكّر عن مصطلحات المفروض أو + +142 +00:09:28,000 --> 00:09:31,040 +المصطلحات المحددة أو المصطلحات المجتمعية تفكّر عن + +143 +00:09:31,040 --> 00:09:33,980 +المصطلحات المجتمعية أو المجتمعية المجتمعية أو + +144 +00:09:33,980 --> 00:09:35,800 +المصطلحات المجتمعية أو المصطلحات المجتمعية أو + +145 +00:09:35,800 --> 00:09:36,120 +المصطلحات المجتمعية أو المصطلحات المجتمعية أو + +146 +00:09:36,120 --> 00:09:36,520 +المصطلحات المجتمعية أو المصطلحات المجتمعية أو + +147 +00:09:36,520 --> 00:09:36,880 +المصطلحات المجتمعية أو المصطلحات المجتمعية أو + +148 +00:09:36,880 --> 00:09:37,640 +المصطلحات المجتمعية أو المصطلحات المجتمعية أو + +149 +00:09:37,640 --> 00:09:39,600 +المصطلحات المجتمعية أو المصطلحات المجتمعية أو + +150 +00:09:39,600 --> 00:09:43,240 +المصطلحات المجتمعية أو الم + +151 +00:09:46,540 --> 00:09:50,040 +أولا انا لم أجد المحتاجات ثانيا اتكلم عن المطالبين + +152 +00:09:50,040 --> 00:09:53,300 +بالضبط ثالثا اخبرني عن استخدام استراتيجياتك + +153 +00:09:53,300 --> 00:09:57,320 +لإختيار المستخدم الرقم 4 في هذه الدراسة سنتحدث عن + +154 +00:09:57,320 --> 00:10:03,440 +كيف يمكننا إصلاح رقم طويل من المستخدمين للاختيار + +155 +00:10:03,440 --> 00:10:07,620 +وإضافة إلى هذا الرقم الكبير قبل الذهاب إلى الرقم + +156 +00:10:07,620 --> 00:10:11,700 +الشخصيكيف نستخدم المصادر الممتازة من أين نستطيع + +157 +00:10:11,700 --> 00:10:14,860 +الحصول على المعلومات عن هذه المصادر؟ ما هي المصادر + +158 +00:10:14,860 --> 00:10:19,860 +المتوفرة من المعلومات؟ الويب سايت؟ هل لدينا مدارس؟ + +159 +00:10:19,860 --> 00:10:23,400 +هل لدينا بعض الاختيارات؟ هل لدينا بعض المعلومات؟ + +160 +00:10:23,400 --> 00:10:29,820 +هل لدينا بعض البيانات؟ هل لدينا بعضمعلومات عن + +161 +00:10:29,820 --> 00:10:35,100 +مستخدمين قبلنا أو معلومات أخرى عن المستخدمين + +162 +00:10:35,100 --> 00:10:39,120 +الممكن أن تفكر في المشكلة التي يمكنها أن تسيطر + +163 +00:10:39,120 --> 00:10:42,860 +علينا تفكر في مجموعات ثالث ممكن أن تساعدنا تفكر في + +164 +00:10:42,860 --> 00:10:47,000 +أفعالية ومستخدمين مستخدمين مستخدمين مستخدمين + +165 +00:10:47,000 --> 00:10:47,340 +مستخدمين مستخدمين مستخدمين مستخدمين مستخدمين + +166 +00:10:47,340 --> 00:10:49,620 +مستخدمين مستخدمين مستخدمين مستخدمين مستخدمين + +167 +00:10:49,620 --> 00:10:49,960 +مستخدمين مستخدمين مستخدمين مستخدمين مستخدمين + +168 +00:10:49,960 --> 00:10:53,680 +مستخدمين مستخدمين مستخدمين مستخدمينبعض المقالات أو + +169 +00:10:53,680 --> 00:10:59,800 +بعض المقالات التي تخبر أكثر عن مستخدمات المستخدمين + +170 +00:10:59,800 --> 00:11:04,120 +ومعرفة كيف نستطيع الحصول عليها في المقالات الأولى، + +171 +00:11:04,120 --> 00:11:07,300 +من هم مستخدمينا الحالي؟ من هم المستخدمين الذين هم + +172 +00:11:07,300 --> 00:11:11,460 +مستخدمينا؟ هل نعمل مع هذه المستخدمين؟ هذه المقالات + +173 +00:11:11,460 --> 00:11:15,520 +هي مستخدمينا المفضل؟ نريد أن نعرف أكتر عن هؤلاء + +174 +00:11:15,520 --> 00:11:20,180 +المستخدمين الذين يمثلون أسلوب لعملنا في السنوات + +175 +00:11:20,180 --> 00:11:23,530 +السابقةأنا لا أقضي على هؤلاء المستخدمين، أنا لا + +176 +00:11:23,530 --> 00:11:26,970 +أخلق من هؤلاء المستخدمين، لكنني أحاول أن أجهزهم + +177 +00:11:26,970 --> 00:11:30,630 +لإستخدام قدراتهم في القرارات القادمة في المستقبل، + +178 +00:11:30,630 --> 00:11:36,200 +فمن هم مستخدمينا الحالي؟تحدثنا عن هذا الشخص في + +179 +00:11:36,200 --> 00:11:41,980 +المقادرة الأخيرة من هم الشباب اللي يستطيعون أن + +180 +00:11:41,980 --> 00:11:46,160 +يكونوا مثقفين مرة أخرى ونستطيع أن نفكر في الوقت + +181 +00:11:46,160 --> 00:11:50,100 +والمجهد والقوة والإمكانيات ومقالياتهم من جهة جيدة + +182 +00:11:50,100 --> 00:11:53,320 +ومن جهة غير جيدة، من جهة طولية أو من جهة قصيرة، في + +183 +00:11:53,320 --> 00:11:56,400 +مقارنة مع شباب أخرين، بينما نعمل معهم وليس مع شباب + +184 +00:11:56,400 --> 00:12:00,500 +أخرين، ماذا هي القدرة الانتجارية، المعلومات التي + +185 +00:12:00,500 --> 00:12:03,540 +لديها، المثقف اللي قمنا ببناءه مع شباب قبلنا، + +186 +00:12:04,150 --> 00:12:07,150 +السؤال يمكن أن يكون مجرد مجرد مجرد مجرد مجرد مجرد + +187 +00:12:07,150 --> 00:12:07,950 +مجرد مجرد مجرد مجرد مجرد مجرد مجرد مجرد مجرد مجرد + +188 +00:12:07,950 --> 00:12:09,550 +مجرد مجرد مجرد مجرد مجرد مجرد مجرد مجرد مجرد مجرد + +189 +00:12:09,550 --> 00:12:10,950 +مجرد مجرد مجرد مجرد مجرد مجرد مجرد مجرد مجرد مجرد + +190 +00:12:10,950 --> 00:12:18,910 +مجرد مجرد مجرد مجرد مجرد مجرد مجرد مجرد مجرد مجرد + +191 +00:12:18,910 --> 00:12:24,490 +مجرد مجرد مجرد مجرد مجرد مجرد + +192 +00:12:24,490 --> 00:12:27,510 +مجرد + +193 +00:12:27,510 --> 00:12:35,090 +مجرمن هم مصادر مختاراتنا؟ كيف نستطيع الحصول على + +194 +00:12:35,090 --> 00:12:38,650 +التفاصيل والتفاصيل عن هذه المصادر التي يمكن أن + +195 +00:12:38,650 --> 00:12:42,950 +تكون مصادر ممكنة في المستقبل؟ رقم ثلاثة، فأفكر في + +196 +00:12:42,950 --> 00:12:47,030 +محقق الإنترنت، نعم نستطيعيمكننا استخدام موقع + +197 +00:12:47,030 --> 00:12:50,510 +التواصل الإجتماعي الويب سايتس وفيسبوك وفي بعض + +198 +00:12:50,510 --> 00:12:54,730 +الأحيان موقع التواصل الإجتماعي الويب سايتس وفي بعض + +199 +00:12:54,730 --> 00:12:56,090 +الأحيان موقع التواصل الإجتماعي الويب سايتس وفي بعض + +200 +00:12:56,090 --> 00:12:57,290 +الأحيان موقع التواصل الإجتماعي الويب سايتس وفي بعض + +201 +00:12:57,290 --> 00:12:59,850 +الأحيان موقع التواصل الإجتماعي الويب سايتس وفي بعض + +202 +00:12:59,850 --> 00:13:00,890 +الأحيان موقع التواصل الإجتماعي الويب سايتس وفي بعض + +203 +00:13:00,890 --> 00:13:04,370 +الأحيان موقع التواصل الإجتماعي الويب سايتس وفي بعض + +204 +00:13:04,370 --> 00:13:08,720 +الأحيان موقع التواصل الإجتماعي الويبالتي متوفرة + +205 +00:13:08,720 --> 00:13:13,480 +على الإنترنت بشكل عام يمكننا أن نعرف عن التقارير + +206 +00:13:13,480 --> 00:13:16,160 +والنظرات التحقيقية التحقيقية التحقيقية التحقيقية + +207 +00:13:16,160 --> 00:13:17,100 +التحقيقية التحقيقية التحقيقية التحقيقية التحقيقية + +208 +00:13:17,100 --> 00:13:17,140 +التحقيقية التحقيقية التحقيقية التحقيقية التحقيقية + +209 +00:13:17,140 --> 00:13:17,160 +التحقيقية التحقيقية التحقيقية التحقيقية التحقيقية + +210 +00:13:17,160 --> 00:13:17,960 +التحقيقية التحقيقية التحقيقية التحقيقية التحقيقية + +211 +00:13:17,960 --> 00:13:19,620 +التحقيقية التحقيقية التحقيقية التحقيقية التحقيقية + +212 +00:13:19,620 --> 00:13:23,060 +التحقيقية التحقيقية التحقيقية التحقيقية التحقيقية + +213 +00:13:23,060 --> 00:13:32,040 +التحقيقية التحقيقية التحقيقية التحقيقية + +214 +00:13:32,040 --> 00:13:33,980 +التحالرقم أربع نفسنا نفسنا نفسنا نفسنا نفسنا نفسنا + +215 +00:13:33,980 --> 00:13:35,060 +نفسنا نفسنا نفسنا نفسنا نفسنا نفسنا نفسنا نفسنا + +216 +00:13:35,060 --> 00:13:35,980 +نفسنا نفسنا نفسنا نفسنا نفسنا نفسنا نفسنا نفسنا + +217 +00:13:35,980 --> 00:13:39,140 +نفسا نفسا + +218 +00:13:39,140 --> 00:13:47,800 +نفسا نفسا نفسا نفسا نفسا نفسا نفسا نفسا نفسا نفسا + +219 +00:13:47,800 --> 00:13:57,580 +نفسا نفسا نفسا نفسا + +220 +00:13:57,580 --> 00:14:03,650 +نعلى سبيل المثال مدارس مخصصة في بعض المدارس أو + +221 +00:14:03,650 --> 00:14:11,570 +حكومات محكمة أو مجتمعات محددة نفسنا نفسنا نفسنا + +222 +00:14:11,570 --> 00:14:12,170 +نفسنا نفسنا نفسنا نفسنا نفسنا نفسنا نفسنا نفسنا + +223 +00:14:12,170 --> 00:14:13,590 +نفسنا نفسنا نفسنا نفسنا نفسنا نفسنا نفسنا نفسنا + +224 +00:14:13,590 --> 00:14:13,930 +نفسنا نفسنا نفسنا نفسنا نفسنا نفسنا نفسنا نفسنا + +225 +00:14:13,930 --> 00:14:16,450 +نفسنا نفسنا نفسنا نفسنا نفسنا نفسنا نفسنا نفسنا + +226 +00:14:16,450 --> 00:14:18,290 +نفسنا نفسنا نفسنا نفسنا نفسنا نفسنا نفسنا نفسنا + +227 +00:14:18,290 --> 00:14:23,670 +نفسنا نفسنا نف + +228 +00:14:23,710 --> 00:14:27,530 +أشخاص مستخدمين A-Class أو B-Class أو C-Class عندما + +229 +00:14:27,530 --> 00:14:31,710 +نفكر في إدارة بعض المبنى أو بعض المدارس أو + +230 +00:14:31,710 --> 00:14:37,470 +المستشفى، فهذه مصطلحات متوفرة في مجتمع نفسه، وهو + +231 +00:14:37,470 --> 00:14:42,110 +أسلوب لديه كاملة من جميع الشركات المتوفرة في + +232 +00:14:42,110 --> 00:14:46,370 +السوق. رقم خمس من تجربتنا، نعم، مستخدمين التجارب + +233 +00:14:46,370 --> 00:14:50,510 +يمتلكون تجربة ومعرفة من العمل مع مستخدمين مختلفة + +234 +00:14:50,510 --> 00:14:54,180 +ويعرفون أكتر عن مجتمع الشركات المتوفرةهم يعرفون + +235 +00:14:54,180 --> 00:14:58,460 +اشكال المستخدمين هم يستطيعون تقديم اتفاقات تفكير + +236 +00:14:58,460 --> 00:15:03,080 +عن علاقات المستخدمين و ربما يقابلوها في بعض + +237 +00:15:03,080 --> 00:15:07,200 +المحافظة الدولية أو المحافظة المجلسية و يمكنهم ان + +238 +00:15:07,200 --> 00:15:13,360 +يكونوا مستخدمين للعمل في بعض الأحيان في بعض + +239 +00:15:13,360 --> 00:15:17,600 +الأحيان في بعض الاجتماعات فهم يبقوا هذه العلاقات + +240 +00:15:17,600 --> 00:15:23,730 +لأنفسهم و هنا نقول ان الوظيفةلديهم تجارب، هذا يعني + +241 +00:15:23,730 --> 00:15:27,510 +أنهم يستطيعوا أن يعرفوا أكتر عن أشخاص يعمل معهم + +242 +00:15:27,510 --> 00:15:30,530 +ويعرفوا أكتر عن المستخدمين ويعرفوا أكتر عن + +243 +00:15:30,530 --> 00:15:31,470 +المستخدمين ويعرفوا أكتر عن المستخدمين ويعرفوا أكتر + +244 +00:15:31,470 --> 00:15:32,110 +عن المستخدمين ويعرفوا أكتر عن المستخدمين ويعرفوا + +245 +00:15:32,110 --> 00:15:32,370 +ويعرفوا أكتر عن المستخدمين ويعرفوا أكتر عن + +246 +00:15:32,370 --> 00:15:32,450 +المستخدمين ويعرفوا أكتر عن المستخدمين ويعرفوا أكتر + +247 +00:15:32,450 --> 00:15:35,930 +عن المستخدمين ويعرفوا أكتر عن المستخدمين ويعرفوا + +248 +00:15:35,930 --> 00:15:40,270 +أكتر عن المستخدمين ويعرفوا أكمع مجموعات عملية + +249 +00:15:40,270 --> 00:15:41,250 +عملية عملية عملية عملية عملية عملية عملية عملية + +250 +00:15:41,250 --> 00:16:07,730 +عملية عملية عملية عملية + +251 +00:16:08,740 --> 00:16:11,860 +المقابلات اللي كانوا يقومون بها أو كانوا يقومون + +252 +00:16:11,860 --> 00:16:16,020 +بها داخل المؤسسة الـ Formal Team Sessions أحيانًا + +253 +00:16:16,020 --> 00:16:21,060 +مؤسسات التدرس والدراسة والمؤسسات التواصلات التي + +254 +00:16:21,060 --> 00:16:27,220 +تحصل عليها من من من المستخدمين أي مصادرة يمكنهم + +255 +00:16:27,220 --> 00:16:31,300 +الحصول عليها يمكنهم حفظها داخل المؤسسة لتحقيقها + +256 +00:16:31,300 --> 00:16:35,630 +عندما يرغبون بالتحقيق أكتر للمستخدمينالنسبة + +257 +00:16:35,630 --> 00:16:37,490 +السادسة، نستطيع أن نتكلم عن القرصات التجارية + +258 +00:16:37,490 --> 00:16:42,730 +والعملية. هم قرصات مهمة ومهمة، إتجارات إتجارية + +259 +00:16:42,730 --> 00:16:46,170 +محددة، مجلسات مجلسات مجلسات مجلسات مجلسات مجلسات + +260 +00:16:46,170 --> 00:16:46,490 +مجلسات مجلسات مجلسات مجلسات مجلسات مجلسات مجلسات + +261 +00:16:46,490 --> 00:16:47,650 +مجلسات مجلسات مجلسات مجلسات مجلسات مجلسات مجلسات + +262 +00:16:47,650 --> 00:16:50,370 +مجلسات مجلسات مجلسات مجلسات مجلسات مجلسات مجلسات + +263 +00:16:50,370 --> 00:16:59,990 +مجلسات مجلسات مجلسات مجلسات مجلسات + +264 +00:16:59,990 --> 00:17:06,540 +مجتفكر في قيمة الانتجارات التي تتحدث عنها هذه + +265 +00:17:06,540 --> 00:17:10,600 +المصادر عندما يتعاملوا مع مجتمعهم نفسهم تفكر في + +266 +00:17:10,600 --> 00:17:14,360 +بعض الاجتماعات الانتجارات الدولية اجتماعات + +267 +00:17:14,360 --> 00:17:15,280 +المجتمعات المجتمعات المجتمعات المجتمعات المجتمعات + +268 +00:17:15,280 --> 00:17:15,880 +المجتمعات المجتمعات المجتمعات المجتمعات المجتمعات + +269 +00:17:15,880 --> 00:17:15,940 +المجتمعات المجتمعات المجتمعات المجتمعات المجتمعات + +270 +00:17:15,940 --> 00:17:16,120 +المجتمعات المجتمعات المجتمعات المجتمعات المجتمعات + +271 +00:17:16,120 --> 00:17:16,820 +المجتمعات المجتمعات المجتمعات المجتمعات المجتمعات + +272 +00:17:16,820 --> 00:17:19,720 +المجتمعات المجتمعات المجتمعات المجتمعات المجتمعات + +273 +00:17:19,720 --> 00:17:27,210 +المجتمعاتهناك مصادر معلومات متوفرة مع كل شركات + +274 +00:17:27,210 --> 00:17:34,310 +معلومات متوفرة في بعض المناطق في موقعات أو مؤسسات + +275 +00:17:34,310 --> 00:17:38,590 +محددة هذه المصادر متوفرة تحت مطالب أي شخص يطلب + +276 +00:17:38,590 --> 00:17:41,970 +المعلومات المتوفرة يمكنه أن يدفع المال لديه هذه + +277 +00:17:41,970 --> 00:17:47,490 +المصادرهذه الوصفات وهذه الوصفات هي أسلحة لأي عملية + +278 +00:17:47,490 --> 00:17:50,270 +على سبيل المثال عندما نذهب للإمبازيات الشينية أو + +279 +00:17:50,270 --> 00:17:52,790 +على سبيل المثال الإمبازيات الهندوستانية يطلبون + +280 +00:17:52,790 --> 00:17:55,930 +مجالات + +281 +00:17:55,930 --> 00:18:02,290 +أوإذا كانوا لديهم مصادر التجارب عن مصادر الملابس + +282 +00:18:02,290 --> 00:18:05,970 +المجهودة يمكنهم أن يعطينا ألف مصادر عمل في الصين + +283 +00:18:05,970 --> 00:18:10,210 +أو إنديا يمكننا أن نشرح أسلوبنا منهم أنا لا أقول + +284 +00:18:10,210 --> 00:18:13,930 +هذا لأنني أرغب أن الناس لا يشتروا أشياء من خارج + +285 +00:18:13,930 --> 00:18:16,890 +المدينة البلستينية أو في العالم العربي نريد أن + +286 +00:18:16,890 --> 00:18:21,860 +نشتر نريد أن نفكر في الانتجار وليس الانتجارالمشكلة + +287 +00:18:21,860 --> 00:18:29,600 +الاقتصادية تأتي من الحقيقة أننا نتحول إلى مستخدمات + +288 +00:18:29,600 --> 00:18:35,620 +مستخدمات مستخدمات مستخدمات وليس مستخدمات مستخدمات + +289 +00:18:35,620 --> 00:18:38,440 +وليس مستخدمات مستخدمات مستخدمات وليس مستخدمات + +290 +00:18:38,440 --> 00:18:40,160 +مستخدمات مستخدمات مستخدمات مستخدمات مستخدمات + +291 +00:18:40,160 --> 00:18:41,640 +مستخدمات مستخدمات مستخدمات مستخدمات مستخدمات + +292 +00:18:41,640 --> 00:18:41,920 +مستخدمات مستخدمات مستخدمات مستخدمات مستخدمات + +293 +00:18:41,920 --> 00:18:42,360 +مستخدمات مستخدمات مستخدمات مستخدمات مستخدمات + +294 +00:18:42,360 --> 00:18:46,500 +مستخدمات مستخدمات مستخدمات مستتفكر في مجالات + +295 +00:18:46,500 --> 00:18:50,060 +التداول، نعم هناك مجالات عالمية، مجالات التداول + +296 +00:18:50,060 --> 00:18:54,480 +عالمية، هناك مؤتمرات، عادةً المستخدمين يريدون أن + +297 +00:18:54,480 --> 00:18:57,940 +يحصلوا على بعض المناطق، يحصلوا على بعض المناطق + +298 +00:18:57,940 --> 00:19:02,500 +التي يدفعوا المال لديهم مكان لتريدوا أن يريدوا أن + +299 +00:19:02,500 --> 00:19:03,280 +يريدوا ان يريدوا ان يريدوا ان يريدوا ان يريدوا ان + +300 +00:19:03,280 --> 00:19:05,100 +يريدوا ان يريدوا ان يريدوا ان يريدوا ان يريدوا ان + +301 +00:19:05,100 --> 00:19:06,080 +يريدوا ان يريدوا ان يريدوا ان يريدوا ان يريدوا ان + +302 +00:19:06,080 --> 00:19:06,960 +يريدوا ان يريدوا ان يريدوا ان يريدوا ان يريدوا ان + +303 +00:19:06,960 --> 00:19:09,680 +يريدوا ان يريدوا ان يريدوا ان يريدوا انلإخبار + +304 +00:19:09,680 --> 00:19:12,660 +الآخرين أننا قويين في مجالنا، لإخبار الآخرين أننا + +305 +00:19:12,660 --> 00:19:17,560 +نستطيع أن نعمل في مجالنا ونستطيع أن نسمع أهتمامنا، + +306 +00:19:17,560 --> 00:19:22,840 +وهذه هي علاقاتنا مع المستخدمين السابقين، ونستطيع + +307 +00:19:22,840 --> 00:19:26,680 +أن نقدم أشياء للمجتمع، ونستعد لأن نعمل في مجال مع + +308 +00:19:26,680 --> 00:19:30,900 +أي شخص يريد أن يشارك معناالتجارب يظهر أنها فرصة + +309 +00:19:30,900 --> 00:19:35,460 +جيدة وفرصة رائعة لشركات تعرف بعضها البعض و تبني + +310 +00:19:35,460 --> 00:19:38,180 +علاقات مع بعضها البعض، حتى لو كانوا المقاتلين + +311 +00:19:38,180 --> 00:19:41,700 +يريدون أن يعرفوا أكتر عن الآخرين و أحيانًا يمكنهم + +312 +00:19:41,700 --> 00:19:45,180 +أن يشاركوا أفكارهم، و أحيانًا يمكنهم أن يقاتلوا + +313 +00:19:45,180 --> 00:19:50,700 +بين بعضهم البعض، و أخيرًا ستكون حفرة للمستخدمين و + +314 +00:19:50,700 --> 00:19:55,420 +لإنتجة الجيدة و لجودة الجيدة لجودتناأخيرًا ، لدينا + +315 +00:19:55,420 --> 00:19:58,180 +المساعدة الثانوية أو المعلومات الرئيسية. يمكن أن + +316 +00:19:58,180 --> 00:20:01,060 +يأتي من جمهور ثالث عندما نذهب إلى شركة ، على سبيل + +317 +00:20:01,060 --> 00:20:04,700 +المثال ، لدينا علاقة مع مستخدم أو مستخدم يمكن أن + +318 +00:20:04,700 --> 00:20:11,220 +يعطينا بعض المعلومات أو يمكن أن ينمو بعض + +319 +00:20:11,220 --> 00:20:16,130 +المستخدمينوهي ممتازة في مجالها ومثقفة لذلك لدينا + +320 +00:20:16,130 --> 00:20:21,470 +معلومات عن المستخدمين من شركة مثقفة لشركات مثقفة + +321 +00:20:21,470 --> 00:20:23,150 +لشركات مثقفة لشركات مثقفة لشركات مثقفة لشركات + +322 +00:20:23,150 --> 00:20:25,430 +مثقفة لشركات مثقفة لشركات مثقفة لشركات مثقفة + +323 +00:20:25,430 --> 00:20:27,030 +لشركات مثقفة لشركات مثقفة لشركات مثقفة لشركات + +324 +00:20:27,030 --> 00:20:29,470 +مثقفة لشركات مثقفة لشركات مثقفة لشركات مثقفة + +325 +00:20:29,470 --> 00:20:33,610 +لشركات مثقفة لشركات مثقفة لشركات مثقفة لشركات + +326 +00:20:33,610 --> 00:20:42,270 +مثقفة لشركات مثقفةفي عملنا كمؤسسة، نجمع المعلومات + +327 +00:20:42,270 --> 00:20:46,330 +عن الموارد ونحتفظ بها في موقع البيانات وهذا مشكلة + +328 +00:20:46,330 --> 00:20:51,770 +مهمة جدًا لديها نظام لجمع المعلومات عن المعلومات + +329 +00:20:51,770 --> 00:20:57,740 +إذا كانت لديك هذه المشكلة الأساسية في نظامكهو + +330 +00:20:57,740 --> 00:21:02,020 +طريقة بسيطة جدا و سهلة لكي تدخل خطة 5 وهي لديها + +331 +00:21:02,020 --> 00:21:06,160 +قائمة قصيرة للتطبيقات المهمة التي يمكن أن تعمل + +332 +00:21:06,160 --> 00:21:10,380 +معنا و تدعم قدراتنا، لذلك إذا كان لديك قائمة كبيرة + +333 +00:21:10,380 --> 00:21:15,200 +جدًالا تنسى أن تحصل على ما يتوفر في ماركتنا في هذه + +334 +00:21:15,200 --> 00:21:18,960 +الرسالة يمكنك الذهاب إلى الأعضاء الأخرى بسيطة + +335 +00:21:18,960 --> 00:21:24,280 +واضحة وفعلا شكرا جزيلا للمشاهدة وإلا أراك مرة أخرى + +336 +00:21:24,280 --> 00:21:28,080 +في الدراسة الثالثة التي سأتحدث عن أعضاء الأعضاء + +337 +00:21:28,080 --> 00:21:29,440 +الأخيرة في هذا الprocess + diff --git a/PL9fwy3NUQKwY-KCwlMv-HYkhXiGxk7oEp/Te10KWJ3gBM_raw.json b/PL9fwy3NUQKwY-KCwlMv-HYkhXiGxk7oEp/Te10KWJ3gBM_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..366c5185b086c83e80540205a52c39569c010d15 --- /dev/null +++ b/PL9fwy3NUQKwY-KCwlMv-HYkhXiGxk7oEp/Te10KWJ3gBM_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 3545, "start": 5.89, "end": 35.45, "text": "بسم الله الرحمن الرحيم و الحمد لله رب العالمين في هذه الدراسة سنتحدث عن أول أربع مرات في البرنامج للتجارب 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ومستخدمين مستخدمين مستخدمين مستخدمين مستخدمين مستخدمين مستخدمين مستخدمين مستخدمين مستخدمين مستخدمين مستخدمين مستخدمين مستخدمين مستخدمين مستخدمين مستخدمين مستخدمين مستخدمين مستخدمين مستخدمين مستخدمين مستخدمين", "tokens": [2304, 30241, 20498, 9307, 18871, 3714, 14851, 9778, 40448, 9957, 12174, 36150, 8315, 34051, 20449, 1211, 20498, 9307, 5551, 34740, 7578, 18871, 9673, 14851, 9778, 40448, 9957, 9673, 43020, 14739, 6055, 5172, 37983, 8978, 9673, 8592, 28820, 3660, 38392, 7251, 43020, 11296, 14739, 6055, 3794, 1829, 9566, 2288, 25894, 8315, 6055, 5172, 37983, 8978, 3714, 7435, 2304, 45367, 9307, 38637, 6027, 12984, 3714, 43020, 14739, 6055, 3794, 995, 22488, 8315, 6055, 5172, 37983, 8978, 5551, 5172, 3615, 6027, 10632, 4032, 2304, 14851, 9778, 40448, 9957, 3714, 14851, 9778, 40448, 9957, 3714, 14851, 9778, 40448, 9957, 3714, 14851, 9778, 40448, 9957, 3714, 14851, 9778, 40448, 9957, 3714, 14851, 9778, 40448, 9957, 3714, 14851, 9778, 40448, 9957, 3714, 14851, 9778, 40448, 9957, 3714, 14851, 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الانطلاق و بعدين أصبحت نظرتهم واسعة + +12 +00:00:46,580 --> 00:00:50,360 +و ممتدة و إلها أبعاد عالية طب إيش اللي خلاها تتغير + +13 +00:00:50,360 --> 00:00:54,180 +من إلى هذه النظرة؟ و يهتموا أكتر بالمشتريات و + +14 +00:00:54,180 --> 00:00:58,640 +يحطوها في أماكن لاتخاذ القرارات و يشركوهم معاهم في + +15 +00:00:58,640 --> 00:01:02,830 +كتير من قضايا المؤسسة؟إنه فيه ضغوطات على المؤسسة + +16 +00:01:02,830 --> 00:01:06,350 +وفيه تحديات بتواجهها وفيه العالمة وفيه المنافسة + +17 +00:01:06,350 --> 00:01:11,390 +فيه اليوم الموارد وفيه المؤسسات اليوم بدها تكون + +18 +00:01:11,390 --> 00:01:16,250 +leaders في مجالها وفي عليها كتير من التحديات فخلت + +19 +00:01:16,250 --> 00:01:19,370 +من ضمن ال best practices أو أفضل طرق الأداء لإلها + +20 +00:01:19,370 --> 00:01:22,550 +إنها تتم بقسم المشتريات ماتهملهوش بالعكس تحطه في + +21 +00:01:22,550 --> 00:01:25,810 +أماكن كتير ممتازة اليوم سنتحدث عن تغيير مستخدمات + +22 +00:01:25,810 --> 00:01:32,710 +الشحنلكن قبل 15 أو 20 سنة، مجلد الوزيرات كان يبحث + +23 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+00:02:19,470 --> 00:02:25,330 +نرى أن هناك اعتبار يتعلق بالمديرية ، لذلك هنا + +36 +00:02:25,330 --> 00:02:29,530 +لدينا الشراء الشراء + +37 +00:02:29,530 --> 00:02:36,610 +الشراء لديها مصادر مختلفة ، لذلك لدينا هنا المدير + +38 +00:02:36,610 --> 00:02:37,630 +أو المدير + +39 +00:02:41,610 --> 00:02:47,810 +النظر المديري للمهمة المشاركة لدينا أيضًا السوق + +40 +00:02:47,810 --> 00:02:51,010 +اللي + +41 +00:02:51,010 --> 00:02:56,070 +يؤثر على المشاركة لدينا محافظة لدينا مشاكل عالمية + +42 +00:02:56,070 --> 00:02:58,890 +لدينا مستخدمين لدينا عملية + +43 +00:03:03,080 --> 00:03:09,920 +المستخدمين يدفعون تأثيرهم على أهمية الشراء وهنا + +44 +00:03:09,920 --> 00:03:14,920 +لدينا السوق والستخدمين وهنا لدينا المعارضة + +45 +00:03:14,920 --> 00:03:21,400 +المعارضة الصحية للأشخاص الأخرين + +46 +00:03:21,400 --> 00:03:25,600 +هنا لدينا أيضًا جانب العمل ومجتمع + +47 +00:03:34,750 --> 00:03:38,830 +كل هذه المصادر تأثرت على نظر نظر شراء وكيف نتعامل + +48 +00:03:38,830 --> 00:03:46,290 +بالشراء وكيف نضع أكتر ثقافة في الشراء ونقدم أكتر + +49 +00:03:46,290 --> 00:03:51,550 +مصادر لدراسة الشراء ونحاول أن نختار أفضل الناس لكي + +50 +00:03:51,550 --> 00:03:56,360 +يكونوا في دراسة الشراءلذلك دعنا نرى ما هي الواقعات + +51 +00:03:56,360 --> 00:04:00,460 +التي لدينا تحت كل هذه المصادر الرئيسية التي تخبرنا + +52 +00:04:00,460 --> 00:04:06,520 +أكتر عن لماذا قاموا بتغيير نظر المشاركة لكي يجعلها + +53 +00:04:06,520 --> 00:04:09,460 +في المكان الصحيح اللذي يستحقه نقول تغيير مهمة + +54 +00:04:09,460 --> 00:04:14,280 +المشاركة في السنة الماضية كما قلنا المشاركة تغير + +55 +00:04:14,280 --> 00:04:23,190 +بكثير هذا يعني أننا نحترمهناك فرصة مهمة للشراء + +56 +00:04:23,190 --> 00:04:29,810 +نريد أن نقول أنه قبل ذلك لم يكن من هذا النظر اليوم + +57 +00:04:29,810 --> 00:04:37,130 +نحن نغيّر الظروف للشراء ونريد أن يكون لدينا قدرة + +58 +00:04:37,130 --> 00:04:42,050 +على الحصول على أشياء أفضل بعض هذه الأفكار اللي + +59 +00:04:42,050 --> 00:04:47,180 +مجتمعنا اليوم في العمل الوطني وهو الخروجالتنمية في + +60 +00:04:47,180 --> 00:04:50,360 +شركة E-Business، المصادر العالمية، وإتصالات + +61 +00:04:50,360 --> 00:04:56,780 +استخدامية بين المشاركين لدينا أقل شركات مستخدمين + +62 +00:04:56,780 --> 00:05:03,560 +لشركتنا، وشركات المستخدمين المحتاجة تتزامنتفكّر عن + +63 +00:05:03,560 --> 00:05:07,520 +الانتجار الكهربائي، تفكّر عن الانتجار العالمي، + +64 +00:05:07,520 --> 00:05:13,220 +تفكّر عن الشركة التي ليست مقررة في أي دولة، لذلك + +65 +00:05:13,220 --> 00:05:17,100 +لدينا أشياء مرتبطة تغيير كلمة شركة أو حالة الشركة + +66 +00:05:17,100 --> 00:05:24,060 +نفسها، لذلك هذا يعطي ضغط أكبر على كيف نستطيع شرح + +67 +00:05:24,060 --> 00:05:29,300 +مواد أساسية، كيف نريد أن نجدأفضل تكنولوجيا لعملية + +68 +00:05:29,300 --> 00:05:32,140 +عملية عملية عملية عملية عملية عملية عملية عملية + +69 +00:05:32,140 --> 00:05:33,120 +عملية عملية عملية عملية عملية عملية عملية عملية + +70 +00:05:33,120 --> 00:05:38,860 +عملية عملية عملية عملية عملية عملية عملية عملية + +71 +00:05:38,860 --> 00:05:41,420 +عملية عملية عملية عملية عملية عملية عملية عملية + +72 +00:05:41,420 --> 00:05:42,080 +عملية عملية عملية عملية عملية عملية عملية عملية + +73 +00:05:42,080 --> 00:05:42,140 +عملية عملية عملية عملية عملية عملية عملية عملية + +74 +00:05:42,140 --> 00:05:42,140 +عملية عملية عملية عملية عملية عملية عملية عملية + +75 +00:05:42,140 --> 00:05:42,140 +عملية عملية عملية عملية عملية عملية عملية عملية + +76 +00:05:42,140 --> 00:05:45,580 +عملية عملية عملية عملية عملية + +77 +00:05:45,580 --> 00:05:53,640 +عملية + +78 +00:05:53,640 --> 00:05:58,130 +عتجعل أعمالنا أفضل من قبل، فتفكر في التعاملات + +79 +00:05:58,130 --> 00:06:03,070 +التجارية، فتفكر في القوية التي تُعطيها لدراسات + +80 +00:06:03,070 --> 00:06:08,050 +أخرى، فشركات مختلفة تتعامل مع هذا النوع من الضغط + +81 +00:06:08,050 --> 00:06:12,550 +على مهمتها أو تغيير نظرها لشركات مهمتها للشراء، + +82 +00:06:12,550 --> 00:06:16,710 +بدءًا من الواضح أن الوظيفة الرئيسية نفسها تغيير + +83 +00:06:16,710 --> 00:06:22,830 +نظرها لشركة شركة شركة شركة شركة شركة شركة + +84 +00:06:24,440 --> 00:06:30,020 +التحقيق يعتبر أن عملية شراء لديها تأثير استراتيجي + +85 +00:06:30,020 --> 00:06:36,560 +على أعمال الأعمال الثاني هو الاعتبار، نعم بسبب + +86 +00:06:36,560 --> 00:06:37,760 +عملية تحقيق + +87 +00:06:40,260 --> 00:06:45,380 +على قيمة عالية في المقارنة مع قيمة أكتر من المجال + +88 +00:06:45,380 --> 00:06:50,960 +لذلك نريد أن نقوم بإيجاب أحد الأشياء الرئيسية وكيف + +89 +00:06:50,960 --> 00:06:57,060 +يمكننا تحسين خياراتنا التجاربية والمهمية للأشياء + +90 +00:06:57,060 --> 00:07:01,400 +وكيف نستخدم أفضل إيجارات هذه الأشياء التجاربية رقم + +91 +00:07:01,400 --> 00:07:04,600 +ثلاثة أكتر مخلوقات تتعامل بالرغم من الرغم من الضرر + +92 +00:07:04,600 --> 00:07:08,620 +اللي نتعامل معه عادة في المجال التعليمي ليس معملًا + +93 +00:07:08,620 --> 00:07:14,550 +بسهولةهناك محادثة صعبة بين جميع حركتين هذه + +94 +00:07:14,550 --> 00:07:20,210 +التجارب، لذلك نريد أن نفكر جدًا في الحصول على هذا + +95 +00:07:20,210 --> 00:07:24,830 +النظر المهم للشراء + +96 +00:07:24,830 --> 00:07:29,130 +لنقل الرغم، لتحكم الرغم، لتتخيل الرغم اللذي يمكن + +97 +00:07:29,130 --> 00:07:34,790 +أن يكون مواجهة هذه المؤسسات، وخيرًا نفكر في تحويل + +98 +00:07:37,230 --> 00:07:39,050 +التعامل التعامل التعامل التعامل التعامل التعامل + +99 +00:07:39,050 --> 00:07:39,950 +التعامل التعامل التعامل التعامل التعامل التعامل + +100 +00:07:39,950 --> 00:07:41,350 +التعامل التعامل التعامل التعامل التعامل التعامل + +101 +00:07:41,350 --> 00:07:44,390 +التعامل التعامل التعامل التعامل التعامل التعامل + +102 +00:07:44,390 --> 00:07:48,970 +التعامل التعامل التعامل التعامل التعامل التعامل + +103 +00:07:48,970 --> 00:07:48,970 +التعامل التعامل التعامل التعامل التعامل التعامل + +104 +00:07:48,970 --> 00:07:49,170 +التعامل التعامل التعامل التعامل التعامل التعامل + +105 +00:07:49,170 --> 00:07:50,090 +التعامل التعامل التعامل التعامل التعامل التعامل + +106 +00:07:50,090 --> 00:07:51,750 +التعامل التعامل التعامل التعامل التعامل التعامل + +107 +00:07:51,750 --> 00:07:55,530 +التعامل التعامإتلافات أو التحالفات نحن نريد أن + +108 +00:07:55,530 --> 00:08:00,750 +نحصل على هذا المشارع المستمر بالتعاون بيننا وعن + +109 +00:08:00,750 --> 00:08:04,310 +كلمة التعاون سنتحدث عنها أكتر في هذا الفيديو لأنه + +110 +00:08:04,310 --> 00:08:08,370 +سيكون هناك قسم في الفيديو التالف في كلمة التعاون + +111 +00:08:08,370 --> 00:08:13,690 +الثاني أساسي هو أننا لدينا تغيير في طبيعة السوق + +112 +00:08:13,690 --> 00:08:19,650 +السوق اليوم قد تغيروا السوق اليوم ليسوا بشكل بسيط + +113 +00:08:19,650 --> 00:08:27,950 +كما كانت قبللدينا محافظة فارسر وهي محافظة صعبة جدا + +114 +00:08:27,950 --> 00:08:34,270 +بين المؤسسات في عالم الشبكة لتحقيق المستخدمين + +115 +00:08:34,270 --> 00:08:38,630 +لتحقيق قيمة المستخدمين كل شركة أو مؤسسة تريد أن + +116 +00:08:38,630 --> 00:08:41,470 +يكون لديها مستخدم من المستخدمين الآخر اليوم + +117 +00:08:41,470 --> 00:08:47,990 +المحافظة صعبة ومحافظة بين هذه المؤسسات الثانية + +118 +00:08:47,990 --> 00:08:53,120 +لدينا محافظة عالميةالعمل اليوم ليس محدودًا + +119 +00:08:53,120 --> 00:08:58,960 +لمنطقتنا الجيوغرفية، نريد أن يكون جزء من هذه + +120 +00:08:58,960 --> 00:09:06,060 +العملية تتمتع بجانب المدينة، في مدينة أخرى، و نحصل + +121 +00:09:06,060 --> 00:09:11,060 +على جزء منها، جزء منها، يأتي إلى مكان معين لتجمع + +122 +00:09:11,060 --> 00:09:14,940 +جزء + +123 +00:09:14,940 --> 00:09:20,390 +منها أو جزء من هذه الجزء أو جزء منهاثالثًا ، لدينا + +124 +00:09:20,390 --> 00:09:25,770 +قوة ، قوة المصادر اليوم تتحرك للأسفل ، هذا يعني + +125 +00:09:25,770 --> 00:09:28,710 +أننا نصل إلى المستخدمين من خلال مستخدماتنا + +126 +00:09:28,710 --> 00:09:34,710 +ومستخدماتنا ومساعداتنا ، لذلك قوة المصادر هي أكتر + +127 +00:09:34,710 --> 00:09:38,430 +لأننا نريد أكتر لدينا علاقات مع المستخدمين ، لذلك + +128 +00:09:38,430 --> 00:09:41,670 +كيف نفعل هذا؟ إنه من خلال مجموعاتنا ومجموعات + +129 +00:09:41,670 --> 00:09:41,970 +المصادر. + +130 +00:09:47,250 --> 00:09:52,750 +نحن نريد أن يكون لدينا هذه الاقتصادات مستوى مستوى + +131 +00:09:52,750 --> 00:10:00,530 +نريد أن نفكر في تقليم مدينتنا نريد أن نتعامل بشكل + +132 +00:10:00,530 --> 00:10:07,470 +أفضل في السوق بمعاملة جيدة مع المستخدمين الذين + +133 +00:10:07,470 --> 00:10:11,510 +يدعموننا مع المجموعات والمواد والإعدادات اللي + +134 +00:10:11,510 --> 00:10:17,990 +يعطينا القهوة والاستثمار على الآخرينفاكتورة رقم + +135 +00:10:17,990 --> 00:10:19,570 +ثلاثة ميه فاكتورة رقم ثلاثة ميه فاكتورة رقم ثلاثة + +136 +00:10:19,570 --> 00:10:28,990 +ميه فاكتورة رقم ثلاثة + +137 +00:10:28,990 --> 00:10:33,470 +ميهأكثر في المشاكل الانتصارية، إنهم يريدون أن + +138 +00:10:33,470 --> 00:10:38,350 +يكونوا أكثر مفاجئين، إنهم يتعرفون على إحتجامهم + +139 +00:10:38,350 --> 00:10:44,550 +ورغم ذلك، ويحاولون أن يجدوا الأشياء التي يجعلهم + +140 +00:10:44,550 --> 00:10:50,190 +أكثر سعيدين في استخدام هذه الأدوات والسلسلات، لذلك + +141 +00:10:50,190 --> 00:10:57,010 +هذا يضغط أكتر على مجلس الشراء لكي يتبعسعادة + +142 +00:10:57,010 --> 00:10:58,970 +المستخدم أو محتاجات المستخدم والأولى نمبر اتنين + +143 +00:10:58,970 --> 00:11:02,550 +لدينا أكتر مستخدم معرفة اليوم بسبب التكنولوجيا + +144 +00:11:02,550 --> 00:11:09,370 +والإنترنت والأسلحة المعلومات المتوفرة تعطي مجموعات + +145 +00:11:09,370 --> 00:11:15,210 +كبيرة ومجتمع مختلف للمستخدمينوالشركات اليوم لديها + +146 +00:11:15,210 --> 00:11:17,770 +معرفة أكتر من ما كانت قبلها هم يعرفون بالضبط + +147 +00:11:17,770 --> 00:11:22,550 +المتوفر والإستخدامات والأشياء والسلوك وهم يعرفون + +148 +00:11:22,550 --> 00:11:25,930 +بالضبط الأشياء والأشياء والسلوك وهم يعرفون كيفية + +149 +00:11:25,930 --> 00:11:30,290 +البحث عن الأشياء وعن الاحتياطات وهم يعرفون المكان + +150 +00:11:30,290 --> 00:11:35,590 +ومشاركة الانترنت ومجموعة من الوصفات البرتقالية + +151 +00:11:35,590 --> 00:11:40,750 +تعطيهم هذه الأوليات رقم ثلاثة، نحن لدينا مستخدمين + +152 +00:11:40,750 --> 00:11:41,170 +أكتر يطلبون + +153 +00:11:44,150 --> 00:11:47,450 +المستخدمين يبحثون عن قيمة، يبحثون عن مدينة أسفل، + +154 +00:11:47,450 --> 00:11:49,890 +يبحثون عن إعادة إعادة إعادة إعادة إعادة إعادة + +155 +00:11:49,890 --> 00:11:53,490 +إعادة إعادة إعادة إعادة إعادة إعادة إعادة إعادة + +156 +00:11:53,490 --> 00:11:53,570 +إعادة إعادة إعادة إعادة إعادة إعادة إعادة إعادة + +157 +00:11:53,570 --> 00:11:53,750 +إعادة إعادة إعادة إعادة إعادة إعادة إعادة إعادة + +158 +00:11:53,750 --> 00:11:54,130 +إعادة إعادة إعادة إعادة إعادة إعادة إعادة إعادة + +159 +00:11:54,130 --> 00:11:54,490 +إعادة إعادة إعادة إعادة إعادة إعادة إعادة إعادة + +160 +00:11:54,490 --> 00:12:00,990 +إعادة إعاد + +161 +00:12:01,030 --> 00:12:05,490 +هم بشكل عام يبحثون عن خدمات أفضل والخدمات + +162 +00:12:05,490 --> 00:12:09,390 +المستخدمة هنا تلعب مشكلة كامة في المجتمع التعليمي + +163 +00:12:09,390 --> 00:12:14,530 +أيضًا رقم 4 في مجموعة رقم 3 رقم 4 لدينا أكتر + +164 +00:12:14,530 --> 00:12:19,690 +مستخدمين مختلفين المستخدمين + +165 +00:12:19,690 --> 00:12:25,860 +ليسوا نفسهم المستخدمين ليسوا نفسهمهذا يعني أن + +166 +00:12:25,860 --> 00:12:30,540 +مصادر التواصل والطرق التي يحتاجها التواصل والطرق + +167 +00:12:30,540 --> 00:12:31,720 +التي يحتاجها التواصل والطرق التي يحتاجها التواصل + +168 +00:12:31,720 --> 00:12:31,980 +والطرق التي يحتاجها التواصل والطرق التي يحتاجها + +169 +00:12:31,980 --> 00:12:32,580 +التواصل والطرق التي يحتاجها التواصل والطرق التي + +170 +00:12:32,580 --> 00:12:33,400 +يحتاجها التواصل والطرق التي يحتاجها التواصل والطرق + +171 +00:12:33,400 --> 00:12:34,880 +التي يحتاجها التواصل والطرق التي يحتاجها التواصل + +172 +00:12:34,880 --> 00:12:36,040 +والطرق التي يحتاجها التواصل والطرق التي يحتاجها + +173 +00:12:36,040 --> 00:12:37,500 +التواصل والطرق التي يحتاجها التواصل والطرق التي + +174 +00:12:37,500 --> 00:12:43,020 +يحتاجها التواصل والطرق + +175 +00:12:43,020 --> 00:12:46,940 +التي يحتاجها التواصل والطرق التي يحتاجها التواصل + +176 +00:12:46,940 --> 00:12:53,820 +والطروالخمسة مرة تشتري أشياء بسبب إعطاءها خاصة لهم + +177 +00:12:53,820 --> 00:13:00,600 +لدينا مستخدمين مختلفين من نقاط مختلفة لدينا أشخاص + +178 +00:13:00,600 --> 00:13:03,860 +من أسلوب مختلفة، مختلفة ثقافة، مختلفة دراسات + +179 +00:13:03,860 --> 00:13:06,020 +ومحتاجات مختلفة ومشاركات مختلفة ومشاركات مختلفة + +180 +00:13:06,020 --> 00:13:06,160 +ومشاركات مختلفة ومشاركات مختلفة ومشاركات مختلفة + +181 +00:13:06,160 --> 00:13:06,180 +ومشاركات مختلفة ومشاركات مختلفة ومشاركات مختلفة + +182 +00:13:06,180 --> 00:13:08,140 +ومشاركات مختلفة ومشاركات مختلفة ومشاركات مختلفة + +183 +00:13:08,140 --> 00:13:15,880 +ومشاركات مختلفة ومشاركات مختلفة وم + +184 +00:13:16,400 --> 00:13:20,020 +لدينا نقطة أخرى، نقطة أربعة، وهي التغيير في عملية + +185 +00:13:20,020 --> 00:13:23,620 +العمل العمل العملية نسميها مستخدمات الداخلية + +186 +00:13:23,620 --> 00:13:30,510 +لدراسة مجتمعنا نفعل كل العمل، التصنيع، التصنيعنفكر + +187 +00:13:30,510 --> 00:13:35,350 +في عملية الهجوم ومساعدة الوقت نحن لدينا فلسبيلية + +188 +00:13:35,350 --> 00:13:39,890 +مشكلة التصنيع ومصممة التصميم وعملية التصميم وعملية + +189 +00:13:39,890 --> 00:13:40,550 +التصميم وعملية التصميم وعملية التصميم وعملية + +190 +00:13:40,550 --> 00:13:40,550 +التصميم وعملية التصميم وعملية التصميم وعملية + +191 +00:13:40,550 --> 00:13:40,970 +التصميم وعملية التصميم وعملية التصميم وعملية + +192 +00:13:40,970 --> 00:13:41,350 +التصميم وعملية التصميم وعملية التصميم وعملية + +193 +00:13:41,350 --> 00:13:41,350 +التصميم وعملية التصميم وعملية التصميم وعملية + +194 +00:13:41,350 --> 00:13:42,130 +التصميم وعملية التصميم وعملية التصميم وعملية + +195 +00:13:42,130 --> 00:13:47,690 +التصميم وعملية التصميم وعملية التصميمTQM تقنية + +196 +00:13:47,690 --> 00:13:50,650 +تقنية تقنية تقنية تقنية تقنية تقنية تقنية تقنية + +197 +00:13:50,650 --> 00:13:51,210 +تقنية تقنية تقنية تقنية تقنية تقنية تقنية تقنية + +198 +00:13:51,210 --> 00:13:54,470 +تقنية تقنية تقنية تقنية تقنية تقنية تقنية تقنية + +199 +00:13:54,470 --> 00:13:54,470 +تقنية تقنية تقنية تقنية تقنية تقنية تقنية تقنية + +200 +00:13:54,470 --> 00:13:58,030 +تقنية تقنية تقنية تقنية تقنية تقنية تقنية تقنية + +201 +00:13:58,030 --> 00:13:58,670 +تقنية تقنية تقنية تقنية تقنية تقنية تقنية تقنية + +202 +00:13:58,670 --> 00:14:05,790 +تقنية تقنية تقنية تقنية تقنية + +203 +00:14:05,790 --> 00:14:14,590 +تقنية + +204 +00:14:14,590 --> 00:14:16,930 +تالثانية، نحن لدينا التواصلات المحافظة على + +205 +00:14:16,930 --> 00:14:18,190 +التواصلات المحافظة على التواصلات المحافظة على + +206 +00:14:18,190 --> 00:14:19,990 +التواصلات المحافظة على التواصلات المحافظة على + +207 +00:14:19,990 --> 00:14:21,310 +التواصلات المحافظة على التواصلات المحافظة على + +208 +00:14:21,310 --> 00:14:22,370 +التواصلات المحافظة على التواصلات المحافظة على + +209 +00:14:22,370 --> 00:14:23,830 +التواصلات المحافظة على التواصلات المحافظة على + +210 +00:14:23,830 --> 00:14:24,970 +التواصلات المحافظة على التواصلات المحافظة على + +211 +00:14:24,970 --> 00:14:25,850 +التواصلات المحافظة على التواصلات المحافظة على + +212 +00:14:25,850 --> 00:14:27,850 +التواصلات المحافظة على التواصلات المحافظة على + +213 +00:14:27,850 --> 00:14:30,970 +التواصلات المحافظة على التواصلات المحافظة على + +214 +00:14:30,970 --> 00:14:39,110 +التواصل + +215 +00:14:39,130 --> 00:14:44,110 +لدينا تقنيات مختلفة خصوصًا في عالم الإلكترونيات + +216 +00:14:44,110 --> 00:14:50,490 +والسيستمات، لذلك تقنية الإعلانات اليوم تلقى عملية + +217 +00:14:50,490 --> 00:14:57,370 +تغيير حركة شرح الإشتراك عام لإشتراك إلكتروني، نعم، + +218 +00:14:57,370 --> 00:14:59,890 +إشتراك إلكتروني في البيانات السوقية، الـ E-Bus، + +219 +00:14:59,890 --> 00:15:06,390 +فتفكر في الـ Barcodeكيف يقوم السوق بقراءة برنامج + +220 +00:15:06,390 --> 00:15:10,110 +الهواتف التي تشتريها لذلك هذه التجارب الـ E + +221 +00:15:10,110 --> 00:15:13,950 +بيزنسها + +222 +00:15:13,950 --> 00:15:19,990 +تتأثر أيضًا على التشريك بشكل E Purchasing وسنتحدث + +223 +00:15:19,990 --> 00:15:23,610 +عن هذا الموضوع في أماكن مختلفة في هذا الفيديو + +224 +00:15:23,610 --> 00:15:29,940 +تأثير أكبر للتكنولوجيا، نعملدينا تصميم السيارات + +225 +00:15:29,940 --> 00:15:35,240 +لدينا مخزنات استعمالية لدينا سيارات غير مدخلة غير + +226 +00:15:35,240 --> 00:15:41,280 +مدخلة غير مدخلة دعوني أخبركم بالمثال عن هذا + +227 +00:15:41,280 --> 00:15:44,880 +بالمثال سيارات مرسيدس لديها سيارات مرسيدس لديها + +228 +00:15:44,880 --> 00:15:47,480 +سيارات مرسيدس لديها سيارات مرسيدس مرسيدس مرسيدس + +229 +00:15:47,480 --> 00:15:50,640 +مرسيدس مرسيدس مرسيدس مرسيدس مرسيدس مرسيدس مرسيدس + +230 +00:15:50,640 --> 00:15:50,640 +مرسيدس مرسيدس مرسيدس مرسيدس مرسيدس مرسيدس مرسيدس + +231 +00:15:50,640 --> 00:15:55,960 +مرسيدس مرسيدس مرسيدس مرسيدس مرسيدس مرسيدس + +232 +00:15:55,960 --> 00:16:00,580 +مرسهم لديهم نظام داخل كل واحدة من هذه السيارات + +233 +00:16:00,580 --> 00:16:06,440 +اللي يتعلق بالسيارة مع نظام الرئيس اللي يتبع هذه + +234 +00:16:06,440 --> 00:16:10,600 +السيارات هم يتحركون حول المصنع وهم أيضًا يعرفون + +235 +00:16:10,600 --> 00:16:15,500 +بالضبط ما هي المجتمع داخل كل واحدة من هذه السيارات + +236 +00:16:15,500 --> 00:16:22,160 +و أين المنطقة لكل واحدة من هذه السيارات و من + +237 +00:16:22,160 --> 00:16:29,230 +يستحقها و الوقت الذي يستحق السياراتبعد نقطة أربعة + +238 +00:16:29,230 --> 00:16:36,130 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الأخرى أو المشاركات الأخرى أو + +250 +00:17:04,960 --> 00:17:05,480 +المشاركات الأخرى أو المشاركات الأخرى أو المشاركات + +251 +00:17:05,480 --> 00:17:06,680 +الأخرى أو المشاركات الأخرى أو المشاركات الأخرى أو + +252 +00:17:06,680 --> 00:17:09,880 +المشاركات الأخرى أو المشاركات الأخرى أو المشاركات + +253 +00:17:09,880 --> 00:17:14,320 +الأخرى أو + +254 +00:17:14,320 --> 00:17:20,810 +المشاروالدفعات أحيانًا تقوم بالدفع نفسها وتشتري + +255 +00:17:20,810 --> 00:17:25,910 +المادة الأساسية وخلاصًا تقوم بعمل نظام المشاركة + +256 +00:17:25,910 --> 00:17:29,790 +لكل المجارات اليوم هذه المؤسسات تقوم بتقليم + +257 +00:17:29,790 --> 00:17:33,750 +أهدافها لكي تتركز و تجعل الطعام مستعد، هذا هو + +258 +00:17:33,750 --> 00:17:36,470 +الامر الدفع يتم إعطاءه لشركة أخر، المشاركة + +259 +00:17:36,470 --> 00:17:39,970 +للمجارات يتم إعطاءها لشركة ثالثة و أحيانًا بعض + +260 +00:17:39,970 --> 00:17:44,150 +التفاصيل الصغيرة يتم إعطاءها لشركات أخرىبعد ذلك، + +261 +00:17:44,150 --> 00:17:49,530 +نحن نتجه إلى جزء آخر، وهو تغيير رأي المجتمع + +262 +00:17:49,530 --> 00:17:59,650 +المجتمع اليوم يبحث عن رحلية، يبحث عن أفضل إجارات، + +263 +00:17:59,650 --> 00:18:02,670 +ويريد أن يكون هناك الكثير من الهجوم و الكثير من + +264 +00:18:02,670 --> 00:18:07,310 +الوقت، لذلك، هناك تغيير في جانب المساعدةأعتنوا + +265 +00:18:07,310 --> 00:18:10,990 +بالنظام المعلومات والمعلومات بشكل عام مجتمع + +266 +00:18:10,990 --> 00:18:18,590 +المساعدات تتزامن هذه المجتمعات المساعدة مجموعة من + +267 +00:18:18,590 --> 00:18:23,830 +الأشياء المحتاجة اليوم في العالم الشركي ونريد أن + +268 +00:18:23,830 --> 00:18:27,590 +نفكر في مجلس التجارب التي تقابل هذه الشركات + +269 +00:18:27,590 --> 00:18:32,140 +المساعدةتفكّر عن المساعدة التجارية التجارية + +270 +00:18:32,140 --> 00:18:36,920 +التجارية التجارية التجارية التجارية التجارية + +271 +00:18:36,920 --> 00:18:38,680 +التجارية التجارية التجارية التجارية التجارية + +272 +00:18:38,680 --> 00:18:38,820 +التجارية التجارية التجارية التجارية التجارية + +273 +00:18:38,820 --> 00:18:38,960 +التجارية التجارية التجارية التجارية التجارية + +274 +00:18:38,960 --> 00:18:39,540 +التجارية التجارية التجارية التجارية التجارية + +275 +00:18:39,540 --> 00:18:39,940 +التجارية التجارية التجارية التجارية التجارية + +276 +00:18:39,940 --> 00:18:40,600 +التجارية التجارية التجارية التجارية التجارية + +277 +00:18:40,600 --> 00:18:40,600 +التجارية التجارية التجارية التجارية التجارية + +278 +00:18:40,600 --> 00:18:40,600 +التجارية التجارية التجارية التجارية التجارية + +279 +00:18:40,600 --> 00:18:46,000 +التجارية التجارية التجارية التجارية التجارية + +280 +00:18:46,000 --> 00:18:54,400 +التجارية الت + +281 +00:18:58,500 --> 00:19:04,220 +باعتقاد الحكومة يجب أن تتحكم في المصادر والاستجابة + +282 +00:19:04,220 --> 00:19:09,300 +لإزالة البيئة، وهذا يعطي أكتر ضغط للبيئة، + +283 +00:19:09,300 --> 00:19:12,800 +للمجموعات، للمجموعات البريطانية، لإعتماد هذه + +284 +00:19:12,800 --> 00:19:18,210 +الأشياء الصغيرةفي أمامهم ربما بعض الناس ولكنها + +285 +00:19:18,210 --> 00:19:22,410 +أشياء مهمة جدًا في أمام الحكومة لذلك نحن نريد أن + +286 +00:19:22,410 --> 00:19:27,930 +لا نكون محررين ونريد أن نتبع أهداف الحكومة وأخيرًا + +287 +00:19:27,930 --> 00:19:32,590 +لدينا التحليقات التاريخية بما أن هذا يزيد الخيار + +288 +00:19:32,590 --> 00:19:38,380 +الخاص والمباركة، فتفكر في مجموعاتأشركات تقدر تقدر + +289 +00:19:38,380 --> 00:19:44,420 +تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر + +290 +00:19:44,420 --> 00:19:45,480 +تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر + +291 +00:19:45,480 --> 00:19:47,500 +تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر + +292 +00:19:47,500 --> 00:19:48,800 +تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر + +293 +00:19:48,800 --> 00:19:48,800 +تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر + +294 +00:19:48,800 --> 00:19:48,800 +تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر + +295 +00:19:48,800 --> 00:19:49,020 +تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر + +296 +00:19:49,020 --> 00:20:03,360 +تقدر + +297 +00:20:03,360 --> 00:20:10,830 +تنستطيع أن نقول أنه بسبب مضغوطات مختلفة على + +298 +00:20:10,830 --> 00:20:16,210 +المؤسسات يجب + +299 +00:20:16,210 --> 00:20:22,410 +أن نفكر حقًا في مهمة شراء و شراء هذا هو مهمتنا + +300 +00:20:22,410 --> 00:20:27,790 +اللي يعطينا ما نحتاجه لنقوم بعمل عملتنا و لنصل إلى + +301 +00:20:27,790 --> 00:20:33,480 +مستخدمناهذا هو البيئة العظيمة للغيابات، مهمة + +302 +00:20:33,480 --> 00:20:39,020 +التحقيق هي التخيل من أفضل إلى أفضل، المجالات، + +303 +00:20:39,020 --> 00:20:42,120 +الحقوق، المجالات الصحيحة، المجالات الصحيحة، + +304 +00:20:42,120 --> 00:20:42,820 +المجالات الصحيحة، المجالات الصحيحة، المجالات + +305 +00:20:42,820 --> 00:20:42,900 +الصحيحة، المجالات الصحيحة، المجالات الصحيحة، + +306 +00:20:42,900 --> 00:20:42,940 +المجالات الصحيحة، المجالات الصحيحة، المجالات + +307 +00:20:42,940 --> 00:20:44,080 +الصحيحة، المجالات الصحيحة، المجالات الصحيحة، + +308 +00:20:44,080 --> 00:20:45,700 +المجالات الصحيحة، المجالات الصحيحة، المجالات + +309 +00:20:45,700 --> 00:20:48,300 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إجمالية زي ما هنشوف إن شاء الله في + +91 +00:08:10,010 --> 00:08:16,990 +المساق الآخر أعيدها ثاني أعيدها بعيد مش مشكلة واضح + +92 +00:08:16,990 --> 00:08:22,710 +إن شاء الله موضوعنا + +93 +00:08:22,710 --> 00:08:27,460 +اليوم إدارة إيش؟ الجودة الجودة لأن وصلنا مع بعض + +94 +00:08:27,460 --> 00:08:33,720 +إلى إدارة جودة المشروع ما المقصود بإدارة جودة + +95 +00:08:33,720 --> 00:08:38,860 +المشروع؟ تفضلي أنصح إدارة جودة المشروع تجتمل إدارة + +96 +00:08:38,860 --> 00:08:44,320 +جودة المشروعات على عمليات وأنشطة التنظيم التي تحدد + +97 +00:08:44,320 --> 00:08:47,760 +سياسات الجودة والأهداف والمسؤوليات بحيث يقوم + +98 +00:08:47,760 --> 00:08:52,850 +المشروع بصد الاحتياجات التي تم إنشاؤه من أجلها وهي + +99 +00:08:52,850 --> 00:08:55,970 +تكون بتطبيق نظام إدارة الجودة من خلال السياسات + +100 +00:08:55,970 --> 00:08:59,430 +والإجراءات مع أنشطة تحسين العمليات المستمرة التي + +101 +00:08:59,430 --> 00:09:03,030 +يتم تنفيذها طوال فترة المشروع إذا كان ذلك ملائمًا + +102 +00:09:03,030 --> 00:09:06,870 +السؤال اللي بيطرح نفسه علينا ما المقصود بال quality + +103 +00:09:06,870 --> 00:09:12,660 +أو الجودة بشكل عام؟ شو معنى جودة بشكل عام؟ تفضلي + +104 +00:09:12,660 --> 00:09:15,380 +درجة الإشباع المتوقعة من السلعة ممتاز شكرا نهاية + +105 +00:09:15,380 --> 00:09:21,260 +هي عبارة عن درجة الإشباع المتوقعة من السلعة + +106 +00:09:21,260 --> 00:09:26,980 +والخدمة في المشاريع ما مدى الدقة في إنجاز هذا + +107 +00:09:26,980 --> 00:09:32,980 +المشروع المعنى هل المشروع مطابق للمواصفات + +108 +00:09:32,980 --> 00:09:38,000 +والمعايير المتفق عليها أم لا؟ إذا كان المشروع + +109 +00:09:38,000 --> 00:09:40,960 +مطابق، بيكون عندنا جودة إذا المشروع مش مطابق، + +110 +00:09:40,960 --> 00:09:45,180 +بيكون عندنا إيش؟ جودة إدارة جودة المشروع عبارة عن + +111 +00:09:45,180 --> 00:09:51,180 +مجموعة من العمليات والأنشطة، إلها علاقة بالتنظيم، + +112 +00:09:51,180 --> 00:09:58,080 +منحدد فيها سياسات الجودة، أهداف الجودة، مسؤوليات + +113 +00:09:58,080 --> 00:10:02,380 +الجودة، بحيث إن المشروع يسد الاحتياجات لهو الإشباع + +114 +00:10:03,950 --> 00:10:08,630 +المتوقع من هذا إيش؟ المشروع إذا عبارة .. إدارة + +115 +00:10:08,630 --> 00:10:12,010 +الجودة عبارة عن وضع مجموعة من السياسات وتحديد + +116 +00:10:12,010 --> 00:10:16,850 +المسؤوليات للوصول للمشروع لدرجة الجودة المطلوبة + +117 +00:10:16,850 --> 00:10:19,870 +طبعًا الأخوات السياسات والإجراءات هذه بتكون مع + +118 +00:10:19,870 --> 00:10:24,370 +الأنشطة ماشي، بتكون مع الأنشطة الأنشطة زي ما أخذتِ + +119 +00:10:24,370 --> 00:10:30,110 +قبل كإن وضع الجودة الشاملة إلها اسم ثاني أيوة، + +120 +00:10:30,110 --> 00:10:33,270 +عمليات التحسين + +121 +00:10:35,290 --> 00:10:38,110 +ممتاز، المستمر، إدارة الجودة الشاملة عبارة عن + +122 +00:10:38,110 --> 00:10:41,270 +عملية التحسين المستمر، إنه نضل نحسن أول بأول في + +123 +00:10:41,270 --> 00:10:45,770 +الشغل بتاعنا لإنما نوصل لدرجة المطلوبة، إن ببساطة + +124 +00:10:45,770 --> 00:10:50,670 +وضع سياسات أو وضع إجراءات بتساعدني على الوصول لإيش؟ + +125 +00:10:50,670 --> 00:10:57,560 +لجودة المشروع ما هي عمليات الجودة؟ ما هي عمليات + +126 +00:10:57,560 --> 00:11:02,160 +الجودة؟ اتفضل يا أزهَر عمليات إدارة الجودة تشتمل + +127 +00:11:02,160 --> 00:11:08,240 +على واحد تخطيط للجودة وهو عملية تحديد المتطلبات + +128 +00:11:08,240 --> 00:11:13,220 +ومعايير الجودة الخاصة بالمشروع والمنتجات وتوثيق + +129 +00:11:13,220 --> 00:11:16,560 +الطريقة التي يتم بها إظهار التزام المشروع بذلك + +130 +00:11:19,200 --> 00:11:24,880 +بعدين؟ تنفيذ تأكيد الجودة، وهو عملية مراجعة + +131 +00:11:24,880 --> 00:11:28,760 +متطلبات الجودة ونتائج إجراءات مراقبة الجودة، + +132 +00:11:28,760 --> 00:11:32,720 +للتأكد من استخدام معايير جودة وحدود وتشغيل مناسب + +133 +00:11:32,720 --> 00:11:40,330 +لضمان الجودة، لضمان الجودة، تنفيذ مراقبة الجودة هو + +134 +00:11:40,330 --> 00:11:43,630 +عملية trust وتسجيل نتائج أنشطة الجودة التي يتم + +135 +00:11:43,630 --> 00:11:46,770 +القيام بها لتقييم الأداء والتوصيات بإدخال + +136 +00:11:46,770 --> 00:11:49,470 +التغييرات المطلوبة يمكن يقول أنا واضحي بالرسم + +137 +00:11:49,470 --> 00:11:52,810 +عمليات إدارة الجودة عمليات إدارة الجودة بس ثلاثة + +138 +00:11:52,810 --> 00:11:58,170 +أول حاجة تخطيط للجودة ما ينفعش أعمل جودة وأحكي + +139 +00:11:58,170 --> 00:12:02,010 +عنها وأنا مش مخططة تخطيط للجودة اثنين تنفيذ + +140 +00:12:02,010 --> 00:12:04,670 +التأكيد المقصود بتنفيذ التأكيد يا أخوات اللي هي + +141 +00:12:04,670 --> 00:12:08,270 +المراقبة ووضع + +142 +00:12:09,640 --> 00:12:15,740 +معايير لها تلاتة تنفيذ المراقبة بس ال miss التانية + +143 +00:12:15,740 --> 00:12:20,120 +ممكن تكون تنفيذ التخطيط مش المراقبة أه أه شوف + +144 +00:12:20,120 --> 00:12:23,080 +التلاتة متصلة ببعض مش هي التلتة المراقبة مش مش ما + +145 +00:12:23,080 --> 00:12:26,200 +هو أنت كيف بدك تأكدي التخطيط أول كلمة في الرقابة + +146 +00:12:26,200 --> 00:12:29,500 +هي عملية تأكد لما نيجي نعرضها في عملية رقابة + +147 +00:12:29,500 --> 00:12:34,380 +الرقابة عبارة عن عملية تأكد أن ما خطط له هو منفذ + +148 +00:12:34,380 --> 00:12:40,540 +ماشي هانا بنعمل خطة ممكن نسمي هذه مراجعة.. ما راجعتش؟ + +149 +00:12:40,540 --> 00:12:45,960 +الخطة بعد ذلك تنفيذ المراقبة هان حطينا معيار ماشي + +150 +00:12:45,960 --> 00:12:49,320 +هان هنراقب بنوع المعيار اللي حطيتها هان من وين جبت + +151 +00:12:49,320 --> 00:12:55,140 +المعيار من الخطة؟ فاضح؟ نعمل خطة ضمن خطة الجودة + +152 +00:12:55,140 --> 00:12:59,900 +بدي يكون فيها معيار بدنا هان نحط المعيار مقارنة مع + +153 +00:12:59,900 --> 00:13:03,340 +الخطة وبعد هيك بننفذ عملية الاش المراقبة التلاتة + +154 +00:13:03,340 --> 00:13:07,120 +دول بيمشوا سوا صعب نفسنا التخطيط للجودة تحديد + +155 +00:13:07,120 --> 00:13:14,200 +معيار الجودة تحديد معيار معيار Q معناها quality خد + +156 +00:13:14,200 --> 00:13:20,660 +بالك ليه الـ جودة تحديد معيار مش الجودة طبعا معيار + +157 +00:13:20,660 --> 00:13:24,480 +الجودة بتختلف من مشروع لآخر مافيش معيار واحدة نقول + +158 +00:13:24,480 --> 00:13:29,820 +يلا نطبقها لأ تختلف معيار الجودة من مشروع لآخر رقم + +159 +00:13:29,820 --> 00:13:36,590 +اتنين تنفيذ توكيد الجودة مراقبة ومتابعة ومراجعة + +160 +00:13:36,590 --> 00:13:42,150 +المعايير ماشي اذا تنفيذ توكيد الجودة مراقبة + +161 +00:13:42,150 --> 00:13:53,610 +ومراجعة المعايير هذه على أرض الواقع هذه الخطة رقم + +162 +00:13:53,610 --> 00:13:57,050 +3 في تنفيذ المراقبة عشان ما يصيح عندكوا لا بس ليه + +163 +00:13:57,050 --> 00:14:06,030 +هل هناك انحراف؟ هل المعايير انحرفت عن اللي حطناه أو + +164 +00:14:06,030 --> 00:14:10,710 +التنفيذ انحرف عن المعايير و لا لأ؟ عيدها تاني رقم + +165 +00:14:10,710 --> 00:14:14,690 +واحد تخطيط في التخطيط بنحط المعايير رقم اتنين + +166 +00:14:14,690 --> 00:14:19,650 +تنفيذ التأكيد تنفيذ التأكيد ممكن نسميها اسم آخر + +167 +00:14:19,650 --> 00:14:25,970 +ليه ضمان الجودة ضمان الجودة أقال من المعيير واللي + +168 +00:14:25,970 --> 00:14:32,560 +بعمله رقم تلاتة هل هناك أي انحرافات؟ هل هناك أي + +169 +00:14:32,560 --> 00:14:36,720 +خلل؟ و لا الوضع طبيعي انحراف من عن مين؟ انحراف + +170 +00:14:36,720 --> 00:14:41,200 +مرحلة التخطيط على التنفيذ أو مرحلة وضع المعيير + +171 +00:14:41,200 --> 00:14:45,500 +أثناء التنفيذ هل التزمت بالمعيير و لا مالتزمتش؟ + +172 +00:14:45,500 --> 00:14:47,780 +إذا واضح أنها عملت مراقبة يا جماعة واضح أنها عملت + +173 +00:14:47,780 --> 00:14:51,960 +إيش؟ رقابة بحط المعيير في الخطوة الأولى بشغل في + +174 +00:14:51,960 --> 00:14:55,540 +الخطوة التانية رقم تلاتة هل هناك انحراف و لا فيش + +175 +00:14:55,540 --> 00:15:03,680 +انحراف إذا ما هي؟ عمليات إدارة الجودة إدارة الجودة + +176 +00:15:03,680 --> 00:15:09,660 +يالا بس أنت؟ أحد أضغطاتنا جودة هو عملية تحديد دروس + +177 +00:15:09,660 --> 00:15:13,860 +الطلبات والمعايير الجودة الخاصة بالمشروع حطينا + +178 +00:15:13,860 --> 00:15:17,860 +معيار المشروع وتوثيق الطريقة التي سيطرهم بإدارة + +179 +00:15:17,860 --> 00:15:20,960 +إلتزام المشروع بذلك التوثيق اللي هي كتابة كيف إحنا + +180 +00:15:20,960 --> 00:15:24,930 +هنتزم في المعيار إتنين، تنفيذ توكيد الجودة هو عملية + +181 +00:15:24,930 --> 00:15:29,130 +مراجعة تطلبات جودة ونتائج إجراءات مراقبة الجودة + +182 +00:15:29,130 --> 00:15:33,470 +للتأكد من استخدام معايير الجودة وحدود تشغيل مناسبة + +183 +00:15:33,470 --> 00:15:37,130 +ضمان الجودة هل الخطة اللي حطينا فيها المعيار هي + +184 +00:15:37,130 --> 00:15:39,890 +اللي إلتزمنا فيها؟ تفضلي، تلاتة؟ تلاتة، تنفيذ + +185 +00:15:39,890 --> 00:15:43,290 +مراقبة الجودة هو عملية ترسل وتسجيل نتائج أخرج من + +186 +00:15:43,290 --> 00:15:47,030 +الجودة إبساطة اكتشاف انحافات يعني، اكتشاف انحرافات، + +187 +00:15:47,030 --> 00:15:50,670 +أيوة التي يتم القيام بها لتقييم الأداء والتوصيات + +188 +00:15:50,670 --> 00:15:53,610 +بإدخال التغييرات المطلوبة شكرا يعني انتي بارك الله + +189 +00:15:53,610 --> 00:15:58,910 +فيكي واضحة و لا نعيدها تاني؟ نعيدها تاني؟ اتكري + +190 +00:15:58,910 --> 00:16:07,550 +أهمية إدارة الجودة للمشاريع ليش مهم أني أنا ما يكون + +191 +00:16:07,550 --> 00:16:11,550 +عندي مشروع لازم اهتم ببندي الجودة؟ في عندنا يا + +192 +00:16:11,550 --> 00:16:17,710 +أخوات أربع شغلات يالا يا غدير رد العميل فهم و + +193 +00:16:17,710 --> 00:16:20,610 +تقييم و تحديد و إدارة .. خودي بالك العميل هم مش + +194 +00:16:20,610 --> 00:16:27,390 +المستهلك همين، ممتاز، الفئة المستهدفة، المستهدفة، + +195 +00:16:27,390 --> 00:16:29,370 +ما تاخدش عميل زي ما خدتها في التسويق اللي هو الـ + +196 +00:16:29,370 --> 00:16:32,430 +customer لأ، العميل دهان اللي هو الفئة المستهدفة + +197 +00:16:32,430 --> 00:16:37,310 +من المشروع، دول احتجات الخاصة، الأسرة، الأسر + +198 +00:16:37,310 --> 00:16:41,650 +المنتجة أو الفقيرة، الطلاب طبعا، العميل بيجي حسب + +199 +00:16:41,650 --> 00:16:45,790 +طبيعة المؤسسة يعني؟ ماهي، الفئة المستهدفة يعني + +200 +00:16:45,790 --> 00:16:48,770 +ممكن العميل يكون زبادي؟ اعتواشها كان انه معايير + +201 +00:16:48,770 --> 00:16:52,770 +الجودة تختلف باختلاف المشاريع ماشي و المشاريع + +202 +00:16:52,770 --> 00:16:57,430 +بتختلف حسب فئاتها، لمين المشروع الموجه للطلبة ولا + +203 +00:16:57,430 --> 00:17:00,530 +للأسرة ولا للأسر المنتجة ولا للمين؟ انت قلت العميل + +204 +00:17:00,530 --> 00:17:03,010 +هو مش الفئة المستهلكة لهم .. لأ أنا مقولش هيك .. + +205 +00:17:03,010 --> 00:17:07,880 +الفئة المستهلكة .. أنا قلت العميل مش المستهلك مش + +206 +00:17:07,880 --> 00:17:10,600 +شجع بيتي المستهدف لإن العميل هان المبسوط في الفئة + +207 +00:17:10,600 --> 00:17:15,440 +المستهدفة زي + +208 +00:17:15,440 --> 00:17:18,880 +مثلا في الإدارة العامة مثلا الدولة لما تقدم خدمة + +209 +00:17:18,880 --> 00:17:24,040 +للمواطنيين هذا بيعتبر مواطن لكن لو الخدمة هذه كانت + +210 +00:17:24,040 --> 00:17:27,860 +من القطاع الخاص يعتبر عميل أو مستهدف ممتاز بارك + +211 +00:17:27,860 --> 00:17:31,940 +الله فيكي أنت الحين مثلا أنا بقدم خدمات للدول + +212 +00:17:31,940 --> 00:17:36,710 +احتياجات خاصة أو للمقفوفين، هد فيها مستهدفة، و + +213 +00:17:36,710 --> 00:17:43,230 +هدولة مش مستهلكين، ماشي، لكن لو أنا عاملة مشروع + +214 +00:17:43,230 --> 00:17:49,110 +إلي أنا و تمويل مني أنا و ببيع أجهزة أو مثلا أشياء + +215 +00:17:49,110 --> 00:17:54,520 +بتساعد المقفوفين مقابل إني أربح، هد مستهلك واضح؟ + +216 +00:17:54,520 --> 00:17:57,100 +عادة غالبا المشاريع في البلد بتكون .. في منها + +217 +00:17:57,100 --> 00:18:00,440 +مشاريع اللي هي ربحية بس المشاريع بتتمول و هذه + +218 +00:18:00,440 --> 00:18:05,720 +المشاريع بتقدم خدمات زي مثلا مشاريع موائمة في + +219 +00:18:05,720 --> 00:18:10,480 +مستهلكين في فيها مستهدفة مستهلك اللي هو مافيش + +220 +00:18:10,480 --> 00:18:13,340 +مستهلك يعني عندي، في فئة إيش؟ مستهلك .. في فئة + +221 +00:18:13,340 --> 00:18:16,740 +مستهدفة اللي هم الطلبة، يعني مين الناس اللي أنا + +222 +00:18:16,740 --> 00:18:19,880 +مركزة عليها؟ لكن المستهلك بيجي لحاله إيش سلع و + +223 +00:18:19,880 --> 00:18:22,120 +ياخدها دراوة هدولاك بياخدوا، ما بيعطوش .. + +224 +00:18:22,120 --> 00:18:25,760 +ما بيعطونوش إراد لأ، ماهو مش هدف المشروع، إذا كان + +225 +00:18:25,760 --> 00:18:29,980 +هدف المشروع ربحي، مستهلك آه، أنا بحكي عن الفئة + +226 +00:18:29,980 --> 00:18:35,100 +المستهدفة، ما بيعطونيش مقابل، أنا بس أعطيهم خدمة .. + +227 +00:18:35,100 --> 00:18:39,330 +لأ، بياخدوهاش، صحيح مرة تاني العميل مش المستهلك + +228 +00:18:39,330 --> 00:18:44,730 +العميل هان هو الفئة المستهدفة ماشي تفضلي كاملي فهم + +229 +00:18:44,730 --> 00:18:47,910 +و تقييم و تحديد و إدارة التوقعات بحيث يتم الإيفاء + +230 +00:18:47,910 --> 00:18:53,870 +بمطالبات العمدالة يعني لما جينا مثلا أخت بدها تاخد + +231 +00:18:53,870 --> 00:18:59,290 +دورة في قص الشعر لحتى إحنا نساعدها تفتح مشروع + +232 +00:18:59,290 --> 00:19:05,390 +كوفير و يصير مصدر رزق إلها في مشاريع زي ذلك إيش هي + +233 +00:19:05,390 --> 00:19:13,650 +متوقعة منه؟ إيش متوقعة؟ متوقعة تاخد دورة، متوقعة + +234 +00:19:13,650 --> 00:19:16,690 +الاهتمام، متوقعة أنهي بس تخلص الدورة تكون بتعرف + +235 +00:19:16,690 --> 00:19:21,110 +خلاص شاطرة، متوقعة أنهي نعطيها احنا مصاري و + +236 +00:19:21,110 --> 00:19:23,450 +نساعدها في فتح المشروع و نخليها تقعد فرجلها، هذه + +237 +00:19:23,450 --> 00:19:27,190 +كلها توقعات من الفئة المستهدفة، هي متوقعة، زي مدرن + +238 +00:19:27,190 --> 00:19:29,810 +انتوا الآن مسجلين في مشروع مهوانا، لما روحتوا + +239 +00:19:29,810 --> 00:19:35,390 +سجلتوا إيش متوقعين؟ تاخدوا دورات، تعلموا تدريب + +240 +00:19:35,390 --> 00:19:41,330 +ميداني يساعدكوا خبرة تستفيدوا، انه انتوا لما تخلصوا + +241 +00:19:41,330 --> 00:19:43,890 +ان شاء الله تلاقيوا شغل بسرعة، هذه كلها توقعات، + +242 +00:19:43,890 --> 00:19:47,710 +لازم إدارة الجودة تبدأ قصارى جهدها لحتى إيش، لحتى + +243 +00:19:47,710 --> 00:19:51,910 +اتغطيها، تفضلي يستخدم ذلك الجمع بين التوافق مع + +244 +00:19:51,910 --> 00:19:55,690 +المتطلبات، ضمن أن يتج المشروع لمنتجات التي اقيم من + +245 +00:19:55,690 --> 00:19:59,240 +أجلها والملائمة للاستخدام لابد أن يعمل المنتج أو + +246 +00:19:59,240 --> 00:20:02,260 +الخدمة بسط احتياجات حقيقية ببساطة يا أخوات ما يكونش + +247 +00:20:02,260 --> 00:20:04,840 +المشروع بيقدم حاجة ما لهاش علاقة بطبيعة المشروع أو + +248 +00:20:04,840 --> 00:20:07,940 +ما لهاش علاقة بفئة الاش الفئة المستهدفة إذا + +249 +00:20:07,940 --> 00:20:13,360 +الموازن بين توقعات الفئة المستهدفة وأهداف المشروع + +250 +00:20:13,360 --> 00:20:19,510 +أو أنشطته فدانا ان هو ازن بين توقعاتك والانشطة انت + +251 +00:20:19,510 --> 00:20:23,410 +متوقع في مشروع موقم ومسجلة ان انت هتاخد دورات و + +252 +00:20:23,410 --> 00:20:26,330 +هتتعلم مشاراتك طبعا انت عندك الخلفية عن العلم اللي + +253 +00:20:26,330 --> 00:20:29,330 +انت تعلمينه اللي هي قدارة الأعمال متوقع انك تاخد + +254 +00:20:29,330 --> 00:20:33,810 +دورات تصقل مهاراتك الاصل الدورات اللي تاخدها ايش + +255 +00:20:33,810 --> 00:20:38,530 +تسوي تصقل مهاراتك هذا المقصود برضى ايش؟ برضى عفوا + +256 +00:20:38,530 --> 00:20:42,550 +اللي هو الفئة المستهدفة هذا المقصود برضى الفئة + +257 +00:20:42,550 --> 00:20:51,800 +المستهدفة ناخد سؤال .. عفوا .. ناخد مثال مثال هناك + +258 +00:20:51,800 --> 00:20:57,400 +مشروع هناك + +259 +00:20:57,400 --> 00:21:03,520 +مشروع تأهيل أسر فقيرة وخلق + +260 +00:21:03,520 --> 00:21:09,240 +فرص عمل لها فيعنى مشروع تأهيل أسر فقيرة وخلق فرص + +261 +00:21:09,240 --> 00:21:12,580 +عمل لها سؤال + +262 +00:21:14,090 --> 00:21:17,870 +هذا مثال معاه سؤال كيف يتم تحقيق رضى الفئة + +263 +00:21:17,870 --> 00:21:26,270 +المستهدفة؟ هذه الفقرة ممكن نطلع منها حاجات؟ كيف + +264 +00:21:26,270 --> 00:21:29,890 +يتم تحقيق رضى الفئة المستهدفة؟ تعالوا نمسك حاجة + +265 +00:21:29,890 --> 00:21:38,170 +حاجة أول حاجة مين الفئة المستهدفة؟ الأسر الفقيرة + +266 +00:21:38,170 --> 00:21:40,790 +طيب إيش توقعاتها؟ + +267 +00:21:43,290 --> 00:21:51,190 +خلّق فرصة تعمل خلّق فرصة تعمل ممتاز واكتش هذه + +268 +00:21:51,190 --> 00:21:57,370 +الفئة اللي هي الأسر الفقيرة تشعر بالرضى ممتاز إذا + +269 +00:21:57,370 --> 00:22:08,010 +نكتب سوا إذا نجح مشروعنا في تحقيق هدفه من تأهيل + +270 +00:22:08,010 --> 00:22:17,730 +الأسر الفقيرة إلى منتجة سيكون هنا قد وصلنا إلى رضا + +271 +00:22:17,730 --> 00:22:24,270 +الفئة المستهدفة هم هيرضوا خلاص طبعا كان مشروع انه + +272 +00:22:24,270 --> 00:22:28,350 +هيحقق الهدف هذا يقدم انشطة علاقة بالوسع الاياش + +273 +00:22:28,350 --> 00:22:33,490 +الفقيرة يساعدهم يعني واضحة ولا عيدها؟ وصلت ولا + +274 +00:22:33,490 --> 00:22:41,050 +عيدها تاني؟ عيدها؟ نشوف رقم اتنين، فضلي الوقاية + +275 +00:22:41,050 --> 00:22:46,130 +طول الفحصيا نص أحد المبادئ الأساسية في إدارة + +276 +00:22:46,130 --> 00:22:49,310 +الجودة الحديثة على أن الجودة يتم تخطيطها وتصميمها + +277 +00:22:49,310 --> 00:22:52,930 +ودمجها وليس فحصها تنخفط تكلفة منع ووقوع الأخطاء + +278 +00:22:52,930 --> 00:22:57,330 +عادة عند تكلفة إصلاحها عند الكشف عنها خلال الفحص + +279 +00:22:57,330 --> 00:23:00,670 +ببساطة يا أخوتي بيحكينا أن المبادئ الجديدة في داة + +280 +00:23:00,670 --> 00:23:03,630 +الجودة بتحكي أن أحنا لازم نركز على التخطيط + +281 +00:23:03,630 --> 00:23:07,310 +والتصميم والتنفيذ وليس الفحص بمعنى أنه أنا يكون + +282 +00:23:07,310 --> 00:23:10,690 +عنده ثقة أن فريق العمل أو العاملين بيشتغلوا حسب + +283 +00:23:10,690 --> 00:23:14,640 +معايير الجودة، الفحص دائما أنتم عارفين أنه نيجي نتأكد + +284 +00:23:14,640 --> 00:23:17,920 +هل أنت بتشتغل ولا لا، هو متصور أنه احنا وصلنا + +285 +00:23:17,920 --> 00:23:22,780 +لمرحلة أن الموظفين أو فريق عمل المشروع ممكن يشتغل + +286 +00:23:22,780 --> 00:23:25,680 +ويطبق المعايير لوحده من غير ما نيجي نبقى نراقب + +287 +00:23:25,680 --> 00:23:30,540 +عليه أو نفحصه، سؤال: ما هي فوائد عملية الوقاية خلال + +288 +00:23:30,540 --> 00:23:31,800 +الجودة أو في الجودة؟ + +289 +00:23:40,820 --> 00:23:45,200 +عيد ثاني، خدنا نعيدها ثاني، شو المقصود بالوقاية + +290 +00:23:45,200 --> 00:23:50,640 +قبل الفحص معناها؟ أنه أنتِ إحدى الأخوات في فريق + +291 +00:23:50,640 --> 00:23:53,480 +عمل مشروع نوقع مع سبيل المثال، خذي بأقعد، فريق + +292 +00:23:53,480 --> 00:23:58,200 +العمل مش المتدربين، إيه ده؟ من بداية شغلك طبقتِ + +293 +00:23:58,200 --> 00:24:01,640 +المعايير الجودة اللي أعطوك إياها، ممكن نوصلنا + +294 +00:24:01,640 --> 00:24:04,580 +لمرحلة لأ داعي أن احنا الراقب نفحص في الشغل بتاعك + +295 +00:24:04,580 --> 00:24:08,700 +طب احنا إيش بنستفيد؟ أول حاجة بنقلل التكاليف لأنه + +296 +00:24:08,700 --> 00:24:12,460 +لو احنا اكتشفنا أن أنت مش شغالة بعيدة عن معايير + +297 +00:24:12,460 --> 00:24:17,240 +الجودة هنصحح الأخطاء ونعيد تعب، فهذه المشكلة رقم + +298 +00:24:17,240 --> 00:24:20,600 +واحد، ممكن يصير في تالف رقم واحد، تكاليف إيش؟ + +299 +00:24:20,600 --> 00:24:24,840 +عفوا، تقليل التكاليف، رقم اثنين منع وقوع الأخطاء + +300 +00:24:27,550 --> 00:24:30,950 +بالأصل أنت عشان عندك معايير جودة في الشغل وكل شيء + +301 +00:24:30,950 --> 00:24:35,990 +واضح، ليش الغلط؟ نمنع إيش؟ وقوع الأخطاء أيضا رقم + +302 +00:24:35,990 --> 00:24:41,050 +ثلاثة يا أخوات، ضمان نجاح المشروع، أنا بتصور لو أنت + +303 +00:24:41,050 --> 00:24:45,070 +طبقتِ المعايير بما يرضي الله مافيش أخطاء، مافيش تكاليف + +304 +00:24:45,070 --> 00:24:47,850 +زيادة، المشروع إن شاء الله هينجح. + +305 +00:24:55,620 --> 00:24:59,720 +عيدها؟ عيدها يا جماعة؟ نشوف الأهمية، رقم ثلاثة، + +306 +00:24:59,720 --> 00:25:03,540 +خدنا رد فيها، المستهدفة الوقاية، الوقاية خير من + +307 +00:25:03,540 --> 00:25:08,600 +العلاج، الوقاية خير من العلاج، أنه أنتِ طبقتِ + +308 +00:25:08,600 --> 00:25:11,680 +المعايير من بداية العمل أفضل، ما نيجي نقعد نعيد من أول + +309 +00:25:11,680 --> 00:25:16,460 +وجديد أو نعالج، شكرا يا غدير، رقم ثلاثة، تفضل يا + +310 +00:25:16,460 --> 00:25:21,930 +فاتن، أبنا شوية لما بدأنا في هذا الـ chapter حكينا + +311 +00:25:21,930 --> 00:25:26,250 +أنه في الجودة الشاملة إلها اسم ثاني التحسين + +312 +00:25:26,250 --> 00:25:31,430 +المستمر، ماشي، قالت عفوا قال عليه الصلاة والسلام أن + +313 +00:25:31,430 --> 00:25:38,530 +الله يحب يحب إتقان أحدكم عمله، أن يتقنها، لتقنها + +314 +00:25:38,530 --> 00:25:42,350 +اللي هو الجودة، لأنك لو اشتغلتي أي كلام مضطر هتضطر + +315 +00:25:42,350 --> 00:25:45,410 +هترجع تعيدي ثاني، هتلاقي نفسك تجاعدة بالذاكرة في + +316 +00:25:45,410 --> 00:25:51,030 +الصفحة هذه اليوم، وسؤالي إيش هتسوي؟ لما دفتشه + +317 +00:25:51,030 --> 00:25:54,680 +الموضوع هترجعي ثاني، هتضيعي وقت، اسمه إذا يجب أن + +318 +00:25:54,680 --> 00:25:57,920 +يكون هناك الإتقان اللي هو الجودة، الفضلية، التحسين + +319 +00:25:57,920 --> 00:26:01,860 +المستمر، رقم أربعة التخطيط، التنفيذ، الفحص، + +320 +00:26:01,860 --> 00:26:05,140 +التشغيل، هي أساس تحسين الجودة؟ ببساطة، وظائف + +321 +00:26:05,140 --> 00:26:09,860 +الإدارة هي أساس تحسين الجودة أو تحسين العمل + +322 +00:26:09,860 --> 00:26:14,680 +باستمرار، التخطيط والتنفيذ، يغادير، الفحص اللي هو يا + +323 +00:26:14,680 --> 00:26:18,920 +أخوات الرقابة، الفحص عملية إيش؟ الرقابة، إذا إدارة + +324 +00:26:18,920 --> 00:26:22,380 +الجودة مهمة لأنه لازم يكون عندنا عملية إيش؟ تحسين + +325 +00:26:22,380 --> 00:26:22,880 +مستمر. + +326 +00:26:26,050 --> 00:26:34,310 +مثال، مثال، مثال، مثال، مثال، مثال، مثال + +327 +00:26:34,310 --> 00:26:39,870 +مثال، مثال، مثال، مثال، مثال، مثال، مثال + +328 +00:26:39,870 --> 00:26:39,910 +مثال، مثال، مثال، مثال، مثال، مثال، مثال + +329 +00:26:39,910 --> 00:26:42,890 +مثال، مثال، مثال، مثال، مثال، مثال، مثال + +330 +00:26:42,890 --> 00:26:44,370 +مثال، مثال، مثال، مثال، مثال، مثال، مثال + +331 +00:26:44,370 --> 00:26:47,270 +مثال، مثال، مثال، مثال، مثال، مثال، مثال + +332 +00:26:47,270 --> 00:26:50,590 +مثال، + +333 +00:26:56,150 --> 00:27:02,650 +لأصحاب الأسرة الفقيرة باستمرار + +334 +00:27:02,650 --> 00:27:16,670 +وأول بأول لمواكبة التطور في مجال عملهم بمعنى + +335 +00:27:16,670 --> 00:27:19,990 +مش خلاص فتحوا فرصة تعمل يلا بنجحوا لازم نضلنا أول + +336 +00:27:19,990 --> 00:27:24,960 +بأول نساعدهم على التطوير، آخر حاجة في الأهمية + +337 +00:27:24,960 --> 00:27:29,440 +مسؤولية الإدارة يتطلب تحقيق النجاح مشاركة جميع + +338 +00:27:29,440 --> 00:27:34,720 +الأعضاء، بنحط خط تحت كلمة جميع، إذا كلنا مشاركناش + +339 +00:27:34,720 --> 00:27:38,960 +في الجودة، بصراحة، تفضل، ولكن تبقى مسؤولية الإدارة في + +340 +00:27:38,960 --> 00:27:42,180 +توفير الموارد اللازمة لتحقيق النجاح، طبعا يا أخوات + +341 +00:27:42,180 --> 00:27:46,870 +مسؤولية الإدارة هتكون في الإشراف، لازم كلنا نشارك في + +342 +00:27:46,870 --> 00:27:51,130 +تحقيق الجودة ونشتغل حسب المعايير، طب إيش مسؤولية + +343 +00:27:51,130 --> 00:27:54,770 +الإدارة؟ اللي هي الإشراف على هذه المشاركة أو على + +344 +00:27:54,770 --> 00:28:01,890 +هذا العمل، مسؤوليتها الإشراف على هذا العمل، واضح؟ + +345 +00:28:01,890 --> 00:28:07,950 +عندنا سؤال أو عفوا عندنا مثال خليني آخد سؤال، ادخلي + +346 +00:28:07,950 --> 00:28:17,990 +مثال على دور الإدارة في ذات الجودة، المثال بيوضح + +347 +00:28:17,990 --> 00:28:24,530 +أنها أكثر، ادخلي مثال على دور الإدارة في ذات الجودة + +348 +00:28:24,530 --> 00:28:32,910 +مين عنده مثال؟ احتاج + +349 +00:28:32,910 --> 00:28:41,810 +احتياج فريق العمل في مشروع موائمة + +350 +00:28:45,780 --> 00:29:03,440 +بتوفير بعض القرطاسية للمشروع، فهذا يترتب عليه ضرورة + +351 +00:29:03,440 --> 00:29:12,100 +قيام إدارة المشروع بتوفير اللازم. + +352 +00:29:16,620 --> 00:29:19,600 +احتاجنا حاجة لازم الإدارة توفرها إياها لحتى مشروع + +353 +00:29:19,600 --> 00:29:28,060 +نشمله يظل ماشي، واضحة ولا عيدها؟ عيدها ثاني؟ عيد؟ + +354 +00:29:28,060 --> 00:29:30,520 +طب أنا يا أخوات مش شرط الشغلات اللي توفرها الإدارة + +355 +00:29:30,520 --> 00:29:35,480 +تكون ملموسة، ممكن قرارات نأخذها متخذة، مش شرط تكون + +356 +00:29:35,480 --> 00:29:38,940 +ملموسة، ممكن تكون قرارة، إشتكى برضه يا أخوات في + +357 +00:29:38,940 --> 00:29:43,580 +مسؤولية الإدارة، خليكم معايا، إشتكى أعضاء فريق العمل + +358 +00:29:46,940 --> 00:29:56,900 +أن العمل في المشروع يبدأ الساعة السابعة والنصف زي + +359 +00:29:56,900 --> 00:30:07,000 +خط البحر مثلا، وهناك من لا يستطيع الوصول في هذا + +360 +00:30:07,000 --> 00:30:16,020 +المكان بالتحديد، لذلك اتخذت الإدارة + +361 +00:30:17,600 --> 00:30:29,500 +قرارا بموضوعنا دلوقتي بمعنى من السابعة والنصف حتى + +362 +00:30:29,500 --> 00:30:35,780 +الثامنة يستطيع فريق + +363 +00:30:35,780 --> 00:30:42,780 +العمل الوصول دون مساءلة، يعني معاكي من السابعة و + +364 +00:30:42,780 --> 00:30:47,660 +النصف للثامنة وبعد هيك لا مفيش، واضح؟ إذا هنا تم + +365 +00:30:47,660 --> 00:30:51,700 +تدخل إدارة ولكن مش بتوفير فيه، اللي هي تغيير + +366 +00:30:51,700 --> 00:30:56,700 +القرارات، واضح يا جماعة؟ نكتفي بهذا اليوم، ساعة لكم + +367 +00:30:56,700 --> 00:30:57,040 +العافية. diff --git a/PL9fwy3NUQKwYZU2ezHFq-UK19TEyZdOHs/28lZJgjs6vI_raw.json b/PL9fwy3NUQKwYZU2ezHFq-UK19TEyZdOHs/28lZJgjs6vI_raw.json new file mode 100644 index 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882.64, "end": 885.3, "word": " التي", "probability": 0.8681640625}, {"start": 885.3, "end": 888.44, "word": " أكبتت", "probability": 0.82158203125}], "temperature": 1.0}, {"id": 33, "seek": 91961, "start": 890.99, "end": 919.61, "text": "التي أدبت تجارته، إنه شاطر في الشراء يعني، واضح؟ لأن هذا العامل كان باسمهش تجارات معينة، لقينها شاطر كتير و بنزل في الأسعار و ممتاز و بيجيب حاجة حلوة، شيلناها كل مشترياتنا الشراء، الكبيرة و الأصغر، هذا المقصود بعملية التحويل، واضحة؟ عيدة تاني، التخفيف، بس هناخد مثال عليها نفهمها و خلاص، إذا نوضحي بالمثال ما المقصود بالستراتيجية التخفيف المخاطر", "tokens": [6027, 31371, 5551, 3215, 3555, 2655, 6055, 7435, 9640, 47395, 12399, 36145, 3224, 13412, 41193, 2288, 8978, 25124, 2288, 16606, 37495, 22653, 12399, 4032, 46958, 5016, 22807, 5296, 33456, 23758, 18863, 10943, 1211, 25961, 4724, 32277, 2304, 3224, 8592, 6055, 7435, 9640, 9307, 20449, 9957, 3660, 12399, 5296, 4587, 9957, 11296, 13412, 41193, 2288, 9122, 2655, 13546, 4032, 44945, 11622, 1211, 8978, 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كويسي إن شاء الله؟ هنكمل مع بعض ما بدأنا + +6 +00:00:40,570 --> 00:00:44,990 +المحاضرة الماضية عن ال risk management أو عن إداء + +7 +00:00:44,990 --> 00:00:51,110 +المخاطر أو عن سجل المخاطر ما المقصود بسجل المخاطر؟ + +8 +00:00:51,700 --> 00:00:55,900 +نشوف مع بعض، تفضّل يا بسان؟ التمثل الواتج الأساسية + +9 +00:00:55,900 --> 00:01:00,240 +التي يتم الحصول عليها من عملية تحديد المحاطب عندنا + +10 +00:01:00,240 --> 00:01:07,740 +يا أخوات risk معين، إيش هيترتب عليه؟ يعني ما هي + +11 +00:01:07,740 --> 00:01:12,990 +أتار ال risk هاد علينا؟هل هيوقف المشروع؟ هل + +12 +00:01:12,990 --> 00:01:15,490 +المشروع هيمشياش؟ بدون صور فينا بالظبط، تفضلي + +13 +00:01:15,490 --> 00:01:19,210 +المدخلات الأولية في سجل المخاطر يجتمش سجل المخاطر + +14 +00:01:19,210 --> 00:01:22,930 +على رواتج عمليات إدارة المخاطر الأخرى عندما يتم + +15 +00:01:22,930 --> 00:01:28,510 +إجراءها طبعا هو كيف صار سجل؟ كل ما تعرض ل risk، + +16 +00:01:28,510 --> 00:01:34,950 +هاي كمان خطر، بعمله أتر، كمان risk، بعمله برضه + +17 +00:01:34,950 --> 00:01:38,990 +لأتر، فهيك بصير عندك سجلواضح اللي هي إيش سجل + +18 +00:01:38,990 --> 00:01:43,430 +مجموعة من أتاب المخاطر المختلفة مما يؤدي إلى رقم + +19 +00:01:43,430 --> 00:01:48,470 +ونوع معلومات التي سيتم إدراجها إلى في سجل المخاطر + +20 +00:01:48,470 --> 00:01:52,010 +في المستقبل يبدأ تجهيز سجل المخاطر مع عملية تحديث + +21 +00:01:52,010 --> 00:01:56,750 +المخاطر من عملية تحديث إيش المخاطر تعالوا ناخد + +22 +00:01:56,750 --> 00:02:03,370 +مثال على سجل المخاطر إذا مثال على سجل المخاطر بكون + +23 +00:02:03,370 --> 00:02:04,050 +بالشكل هذا + +24 +00:02:12,280 --> 00:02:17,840 +example حيكون عندنا إيش example ع سبيل المجال ال + +25 +00:02:17,840 --> 00:02:25,100 +risk و الأتر ناخد قامتلي على المخاطر و إيش الأتر + +26 +00:02:25,100 --> 00:02:35,320 +مترتب عليها و بعدين هنشوف الأتر مرتفع الأتر + +27 +00:02:35,320 --> 00:02:37,640 +متوسط + +28 +00:02:39,730 --> 00:02:44,870 +مخافة هيؤثر بشكل قوي على المؤسسة؟ لأ بشكل بسيط، لأ + +29 +00:02:44,870 --> 00:02:50,630 +مش مؤثر، هنشوف مع بعض ناخد مثال، عندنا رسق متوقع + +30 +00:02:50,630 --> 00:02:56,130 +اللي هو إصابة العمال لو + +31 +00:02:56,130 --> 00:03:01,330 +إحنا بنبني في بنية، في مشروع ممكن لو ماكناش ماخدين + +32 +00:03:01,330 --> 00:03:05,130 +إجراءات السلامة والأمان المحافظة على سلامة العمال، + +33 +00:03:05,130 --> 00:03:10,570 +ممكن واحد فيهم يوجعأو ممكن ينكسر أو ممكن ينحرد، + +34 +00:03:10,570 --> 00:03:15,610 +هذا اسمه خطر بهدد، ماشي؟ إذا إصابة إيش؟ العمال، + +35 +00:03:15,610 --> 00:03:20,830 +القتل أمنى، + +36 +00:03:20,830 --> 00:03:25,010 +أمنى، بأثر على الأمن والسلامة، بأثر على الأمن + +37 +00:03:25,010 --> 00:03:34,130 +والسلامة إيش الشغلات؟ يعني أكبر خطر متوقع لو العمل + +38 +00:03:34,130 --> 00:03:39,970 +الصواب، إيش يصير؟ ممتاز، وفاةأخدت بالك؟ احنا مسكنا + +39 +00:03:39,970 --> 00:03:45,270 +الخطر اللي اتوقعنا و أركزنا عليه هو فقلنا لو عامل + +40 +00:03:45,270 --> 00:03:54,750 +مصاب أسوأ حاجة ممكن تحصل يموت ماشي طيب ماماتش إيقع + +41 +00:03:54,750 --> 00:04:02,210 +أو إصابة هو العامل اللي هيأثر على المشروع يعني لو + +42 +00:04:02,210 --> 00:04:07,420 +مات إيش هنسويبترتب على وفاة العامل إن أدفع + +43 +00:04:07,420 --> 00:04:11,560 +تعويضات، هو أنا عندي مجموعة عمال مات واحد، مش هيقف + +44 +00:04:11,560 --> 00:04:15,280 +المشروع، العمال التانيين بيكملوا، لكن أنا هأدفع + +45 +00:04:15,280 --> 00:04:18,060 +تكاليف زيادة، اللي هي تعويض للعامل هذا أو لأهل + +46 +00:04:18,060 --> 00:04:24,240 +العمل، واضح؟ إذا الأثر، المنتفع لو مات، المتوسط + +47 +00:04:24,240 --> 00:04:32,430 +إعاقة، المخفض إصابة تفيفةبقعد يا أخوات بأفترض في + +48 +00:04:32,430 --> 00:04:36,810 +حالة وفاقة العامل إحنا إيش هنسوي؟ أول حاجة المشروع + +49 +00:04:36,810 --> 00:04:41,790 +مش هيتوجه لإنه شخص واحد اللي مات رقم 2 إحنا هندفع + +50 +00:04:41,790 --> 00:04:48,250 +تكاليف تعويض، واضح؟ تكاليف تعويض لأهل المتوفر، هذا + +51 +00:04:48,250 --> 00:04:53,470 +اسم الخطأ، ليش؟ لأن الموازن حزيت من البداية لو أنا + +52 +00:04:53,470 --> 00:04:56,290 +ماخدة إجراءات السلامة، كان محدش مات، بس أنا مش + +53 +00:04:56,290 --> 00:05:02,080 +ماخدهاطيب لو كانت إصابة العامل إعاقة صار عنده احنا + +54 +00:05:02,080 --> 00:05:06,040 +سميناها متوسطة لازم احنا برضه نفعله تكاليف علاج + +55 +00:05:06,040 --> 00:05:11,540 +تكاليف للعائلة بس طيب لو إصابة طفيفة لأ مش مشكلة + +56 +00:05:11,540 --> 00:05:19,900 +هذه مش مشكلة ناخد كمان مثال برضه + +57 +00:05:19,900 --> 00:05:25,380 +على المخاطر انخفاض أسعار الصرف + +58 +00:05:29,230 --> 00:05:34,970 +لو مشروعي بالدولار و سعر الدولار نزل في الأرض هذا + +59 +00:05:34,970 --> 00:05:39,630 +خطر مالي بيأثر عليا علاش هيأثر؟ طبعا هيأثر على + +60 +00:05:39,630 --> 00:05:46,030 +الموازنة أو الميزانية هيأثر على الموازنة أو إيش؟ + +61 +00:05:46,030 --> 00:05:56,570 +أو الميزانية لو كان القطر مرتفع ماشي انخفاض + +62 +00:05:59,270 --> 00:06:06,210 +السعر لأكتر من 50% لو سعر الدولار انخفض لأكتر من + +63 +00:06:06,210 --> 00:06:11,130 +50% سعره بدل ما أدفع 100 ألف دولار هدفع 150 ألف + +64 +00:06:11,130 --> 00:06:22,050 +دولار واضح؟ منتوسط انخفاض السعر 5% بدل ما ندفع 100 + +65 +00:06:22,050 --> 00:06:27,390 +ألف هندفع 100 ألف و 5 انخفاض طفي فعال يعني حاجة + +66 +00:06:27,390 --> 00:06:27,890 +بسيطة + +67 +00:06:30,500 --> 00:06:35,860 +مش هداك التاتيه هاتول أيه خوات لما نجمعهم مع بعض + +68 +00:06:35,860 --> 00:06:40,820 +بصير اسمهم إيه؟ سجل المخاطر في بعض الناس بيستخدموش + +69 +00:06:40,820 --> 00:06:45,620 +قطر مرتفع مخفض بيستخدموا الألوان في حالة وفاة + +70 +00:06:45,620 --> 00:06:48,540 +العامة بتلاقيها باللون الأحمر معناها خطر شديد + +71 +00:06:48,540 --> 00:06:53,960 +باللون الأحمر معناها خطر شديد في حالة متوسط أسفل + +72 +00:06:53,960 --> 00:07:00,070 +في حالة مخفض أخضر اللي هي إشارة المروةالشرط + +73 +00:07:00,070 --> 00:07:06,430 +المروري عنده تلات ألوان أحمر قف خلناه استعد و لا + +74 +00:07:06,430 --> 00:07:12,270 +ممكن يصير إشي ماشي أصفر استعد اللي احنا عنها متوسط + +75 +00:07:12,270 --> 00:07:19,410 +مش هيك و مش هيك أخضر امشي اللي هي الخطر الطفيف جدا + +76 +00:07:19,410 --> 00:07:24,170 +يعني لا يدكر الخطر أشماله لا يدكر واضح يا أخوات + +77 +00:07:24,170 --> 00:07:32,420 +معايا ولا كيف؟ معايا؟تحدثي عن استراتيجيات مواجهة + +78 +00:07:32,420 --> 00:07:39,440 +مخاطر المشاريع، اذا تحدثي + +79 +00:07:39,440 --> 00:07:42,520 +عن + +80 +00:07:42,520 --> 00:07:47,540 +استراتيجيات مواجهة + +81 +00:07:47,540 --> 00:07:53,360 +مخاطر المشاريع، الحين احنا عاملنا مخاطرنخلّيها + +82 +00:07:53,360 --> 00:07:57,600 +اتفاقة منسكّرة المشروع و لا نواجه؟ ننواجه يالا يا + +83 +00:07:57,600 --> 00:08:01,160 +أزهار اتفضلي استراتيجية المخاطر واحد التفادي + +84 +00:08:01,160 --> 00:08:05,000 +يستلزم تفادي المخاطر تغيير خطة إدارة المشروع + +85 +00:08:05,000 --> 00:08:07,680 +للتخلص من التهديدات .. شوي شوي يا جماعة عندنا أربع + +86 +00:08:07,680 --> 00:08:11,620 +استراتيجية أول حاجة التفادي التفادي اللي هو التجنب + +87 +00:08:11,620 --> 00:08:15,240 +يعني زي ما قايل أي واحد اتفضلي التفادي يستلزم + +88 +00:08:15,240 --> 00:08:18,620 +تفادي المخاطر تغيير خطة إدارة المشروع للتخلص من + +89 +00:08:18,620 --> 00:08:22,670 +التهديدات بشكل نهائيقد يقوم مدير المشروع بعازل + +90 +00:08:22,670 --> 00:08:26,310 +أهداف المشروع عن تأثير الخطر أو تغيير الهدف المعرض + +91 +00:08:26,310 --> 00:08:30,770 +للخطر، تجتمل أمثل ذلك على تمديد فترة الجدول الزمني + +92 +00:08:30,770 --> 00:08:34,570 +أو تغيير الاستراتيجية أو تقليل النطاق، تتمثل + +93 +00:08:34,570 --> 00:08:37,050 +استراتيجية اتفاد الأطلاب، هذا شوية بدأة أو + +94 +00:08:37,050 --> 00:08:41,110 +اقتراحاتإما تمدد الوجد أو تغير استراتيجية المشروع + +95 +00:08:41,110 --> 00:08:44,490 +أو تتحكم في النطاق هذه شوية اقتراحات يعني بنسويها + +96 +00:08:44,490 --> 00:08:48,350 +بنسميها أو بنعملها لتفادي مخاطر أياش المشروع تفضلي + +97 +00:08:48,350 --> 00:08:52,030 +تتمثل استراتيجي تتفادل أكثر تطرفا في إنهاء المشروع + +98 +00:08:52,030 --> 00:08:56,390 +تماما الأكتر تطرفا هي قرار استراتيجي إيش يعني قرار + +99 +00:08:56,390 --> 00:08:58,990 +استراتيجي؟ إنه يجفل المشروع مثلا عشان أجانب الخطر + +100 +00:08:58,990 --> 00:09:02,750 +أشكر المشروع إذا كان الخطر ضخم أو كبير أو شديد + +101 +00:09:02,750 --> 00:09:08,310 +ماشي يمكن يمكن تفادي بعض المخاطر التي توثارممتاز، + +102 +00:09:08,310 --> 00:09:13,670 +زي ما حكت زميدكو، استراتيجية وقائية في وقت مبكر في + +103 +00:09:13,670 --> 00:09:16,710 +المشروع، عن طريق توضيح المتطلبات أو الحصول على + +104 +00:09:16,710 --> 00:09:20,950 +المعلومات أو تحسين الاتصال أو اكتساب الخبرة شو كان + +105 +00:09:20,950 --> 00:09:24,870 +ينطي؟ ناخد مثال يا أخوات لتوضيح استراتيجية الدفادة + +106 +00:09:24,870 --> 00:09:29,850 +ارتفعت الميزانية بشكل كبير المقصود بارتفاع + +107 +00:09:29,850 --> 00:09:39,500 +الميزانية اللي هي التكاليف ولكن لأن المؤسسةلديها + +108 +00:09:39,500 --> 00:09:49,640 +احتياطي نقدي منذ البداية لم تتعرض لخطر عدم تغطية + +109 +00:09:49,640 --> 00:09:50,340 +التكاليف + +110 +00:09:52,750 --> 00:09:57,770 +إذا واضح في المثال هذا، المؤسسة اتجنبت أنه + +111 +00:09:57,770 --> 00:10:02,310 +تكاليفها تزيد، كيف اتجنبت؟ عند احتياطي، واضح؟ + +112 +00:10:02,310 --> 00:10:07,590 +المؤسسة تجنبت خطر كان بدهمها، اللي هو ارتفاع + +113 +00:10:07,590 --> 00:10:12,810 +التكاليف أو الأسعار، كيف اتجنبته؟ عن طريق وجود + +114 +00:10:12,810 --> 00:10:17,750 +إيش؟ عن طريق وجود اللي هي احتياطي نقدي، ده ماعناش + +115 +00:10:17,750 --> 00:10:22,160 +مشكلةواضح يا جماعة؟ واضح ولا عيدها؟ لو مافيش + +116 +00:10:22,160 --> 00:10:26,180 +احتياطي لأ بصير هذه مشكلة لو مافيش احتياطي هتتعرض + +117 +00:10:26,180 --> 00:10:32,000 +لارتفاع الأسعار أو التكلفة واضح ولا عيدها تاني؟ + +118 +00:10:32,000 --> 00:10:34,620 +عيد للستراتيجية هذه إذا استراتيجية التفادي معناها + +119 +00:10:34,620 --> 00:10:38,360 +تجنب المخاطر عن طريق التخطيط السليم عشان عند + +120 +00:10:38,360 --> 00:10:41,500 +احتياطي نقدي ارتفعت الأسعار أو نزلت ماعنديش مشكلة + +121 +00:10:41,500 --> 00:10:46,500 +أنا مطمئنة نين شكرا يا أزهار استراتيجية التحويل + +122 +00:10:46,500 --> 00:10:47,360 +اتفضلي قريش + +123 +00:10:52,590 --> 00:10:58,150 +نقل تأثير الخطر السلبي لجهة تانية، لأحد التحديدين، + +124 +00:10:58,150 --> 00:11:01,790 +بالإضافة إلى حق الجيل الإستجابة إلى التاريخ تانية، + +125 +00:11:01,790 --> 00:11:05,430 +تحرير الخطر، يمت ترفع أكتر مسئولية إدارة، ولا + +126 +00:11:05,430 --> 00:11:08,530 +يتخلصون، نقل مثل المسئولية القانونية، أخودي + +127 +00:11:08,530 --> 00:11:10,830 +بالإكترينوم، يقول هنا الخطر، لكن مش معناه اتخلصنا + +128 +00:11:10,830 --> 00:11:17,860 +منه، نقل مسئولية قانونية الخطرية أكترالمقصود + +129 +00:11:17,860 --> 00:11:20,640 +المسئولي للقانون ان احنا مانتحملش احنا مخاطر الخطر + +130 +00:11:20,640 --> 00:11:24,840 +مش احنا نتعرض للمخاطر، تفضلي نقل المخاطر دائما ما + +131 +00:11:24,840 --> 00:11:28,640 +يسترزق نفع على مخاطر المخاطر اللي سيتحمل المخاطر + +132 +00:11:28,640 --> 00:11:33,800 +المخاطرة ع سبيل المثال عندنا ماتة انحار فعملنا + +133 +00:11:33,800 --> 00:11:37,560 +مشروع في الحرب اللي هو مشروع وجود أناس متطوعين + +134 +00:11:37,560 --> 00:11:42,840 +لإنقاذ المصابي أو الجارحةواضح؟ أو للبحث على الناس + +135 +00:11:42,840 --> 00:11:47,200 +تحت الأنقاض، هدول الناس اللي أنا حطيتهم في مشروعي + +136 +00:11:47,200 --> 00:11:50,240 +لازم ياخدوا علاوة مخاطرة، لأنه ممكن يروح وما + +137 +00:11:50,240 --> 00:11:55,560 +يرجعوش، واضح؟ إذا علاوة المخاطر وكتاش بتتاخد إذا + +138 +00:11:55,560 --> 00:12:00,400 +كان طبيعت العمل فيه خطر، زي موظفي الدفاع المدني، + +139 +00:12:00,400 --> 00:12:04,170 +اللي هم علاوة مخاطرةزي موظفين الإسعاف، سواجين + +140 +00:12:04,170 --> 00:12:06,930 +الإسعاف، هدول يلهم علاوة مخاطرة، لأنه ممكن يروح + +141 +00:12:06,930 --> 00:12:11,390 +مارجعش، لكن واحد جاعد ورا مكتبه، بداه من تمان إلى + +142 +00:12:11,390 --> 00:12:14,350 +تلاتة لاه، مالوش مخاطر، فده جاعد في الكندش، مافيش + +143 +00:12:14,350 --> 00:12:19,130 +له مخاطر، واضح؟ إذا الموظف اللي هيتعرض للخطر، من + +144 +00:12:19,130 --> 00:12:24,490 +أمسط حقوقه الحصول على علاوة مخاطرة طبعا في الفترة + +145 +00:12:24,490 --> 00:12:28,170 +الأخيرة، صار يطالبوا علاوة مخاطرة للإداريين + +146 +00:12:28,170 --> 00:12:32,470 +الفوزات الصحةلأنه أيام الحرب هم بتركو الشغل و + +147 +00:12:32,470 --> 00:12:35,070 +مضالب جايبين في الوزارة يتابعوا الشغل فصاروا + +148 +00:12:35,070 --> 00:12:37,450 +طالبولهم بعلوة إيش مخاطر لإنه ممكن يا سمح الله + +149 +00:12:37,450 --> 00:12:41,490 +يتقصف المكان يروح هم فيها، تفضلوا أدوات التهبول + +150 +00:12:41,490 --> 00:12:45,950 +يمكن تكون مجانا تماما وقد تشمل على أعلى ودائف على + +151 +00:12:45,950 --> 00:12:50,050 +سفين المتادة الخاصة الاستفادة من التهبولعنا خطر + +152 +00:12:50,050 --> 00:12:55,850 +وقع انحرجت مخازن المشروع أو مخازن المؤسسة نفتح + +153 +00:12:55,850 --> 00:12:59,190 +التأمين، إذا هك أنا نجلت الموضوع من عندي وانو + +154 +00:12:59,190 --> 00:13:04,190 +وديته على التأمين، تفضلي الاستفادة من التأمين أو + +155 +00:13:04,190 --> 00:13:08,290 +الضماء أو ضمانات الأداء أو المستشفى، المسويغات + +156 +00:13:08,290 --> 00:13:12,790 +اللي هي التغادل في القانون يعني وقد يتم استخدام + +157 +00:13:12,790 --> 00:13:16,630 +العقوب لمقل المسئولية القانونية لمقاط المعينة إلى + +158 +00:13:16,630 --> 00:13:21,890 +شرف تانيعلى سبيل المثال، عندما يترك المشتريون + +159 +00:13:21,890 --> 00:13:25,610 +قدرات التي لاجم تاريخها البائع فقد يكون من الحكم + +160 +00:13:25,610 --> 00:13:29,630 +أن يتم تحويل بعض الأعمال ومخاطرها من المتراكبة + +161 +00:13:29,630 --> 00:13:33,110 +عليها من خلال التعامل بين المشتريين يعني نحول + +162 +00:13:33,110 --> 00:13:35,870 +الخطر من الشخص اللي ماعندهوش كفاءة عالية للشخص + +163 +00:13:35,870 --> 00:13:38,830 +اللي عنده كفاءة عالية ناخد مثال، نكتب مثال على + +164 +00:13:38,830 --> 00:13:43,390 +استراتيجية التحويل اكتشف مدير المشروع + +165 +00:13:49,490 --> 00:13:58,650 +أن العامل المكلف بشراء + +166 +00:13:58,650 --> 00:14:05,030 +المواد الخام للمشروع على + +167 +00:14:05,030 --> 00:14:12,770 +درجة عالية من الكفاءة والله شارت كتير في الشراع + +168 +00:14:12,770 --> 00:14:17,570 +فقرر أن + +169 +00:14:17,570 --> 00:14:26,000 +يحملهمسئولية شراء كافة + +170 +00:14:26,000 --> 00:14:29,440 +مصر + +171 +00:14:29,440 --> 00:14:33,540 +لزمات المشروع + +172 +00:14:33,540 --> 00:14:40,020 +حتى نستطيع الاستفادة + +173 +00:14:40,020 --> 00:14:48,440 +من مهارته الشرائية التي أكبتت + +174 +00:14:50,990 --> 00:14:55,610 +التي أدبت تجارته، إنه شاطر في الشراء يعني، واضح؟ + +175 +00:14:55,610 --> 00:14:58,070 +لأن هذا العامل كان باسمهش تجارات معينة، لقينها + +176 +00:14:58,070 --> 00:15:00,790 +شاطر كتير و بنزل في الأسعار و ممتاز و بيجيب حاجة + +177 +00:15:00,790 --> 00:15:04,230 +حلوة، شيلناها كل مشترياتنا الشراء، الكبيرة و + +178 +00:15:04,230 --> 00:15:09,290 +الأصغر، هذا المقصود بعملية التحويل، واضحة؟ عيدة + +179 +00:15:09,290 --> 00:15:16,150 +تاني، التخفيف، بس هناخد مثال عليها نفهمها و خلاص، + +180 +00:15:16,150 --> 00:15:18,990 +إذا نوضحي بالمثال ما المقصود بالستراتيجية التخفيف + +181 +00:15:18,990 --> 00:15:19,610 +المخاطر + +182 +00:15:22,170 --> 00:15:26,490 +ناخد مثال تعرضت + +183 +00:15:26,490 --> 00:15:35,950 +إحدى الشركات تعرضت إحدى الشركات لخطر قطاع المواد + +184 +00:15:35,950 --> 00:15:42,410 +الخامة في السوق حتى + +185 +00:15:42,410 --> 00:15:49,030 +تخرج من هذا المأذق وتخفف + +186 +00:15:49,030 --> 00:15:49,650 +أتارة + +187 +00:15:57,150 --> 00:16:01,210 +الحصول على مواد + +188 +00:16:01,210 --> 00:16:06,010 +خان بديلة بأقل + +189 +00:16:06,010 --> 00:16:18,890 +جودة وذلك للتخفيف من إمكانية إغلاق المشروعيعني أنا + +190 +00:16:18,890 --> 00:16:23,130 +الآن أمام طريقين إما أجيب مواد خام جودة أقل أو + +191 +00:16:23,130 --> 00:16:26,310 +أسكر المشروع طب إيه المشكلة أن أسكر المشروع؟ مافيش + +192 +00:16:26,310 --> 00:16:31,830 +مواد خام، المواد الخام المطلوبة مش موجودة، ماشي هم + +193 +00:16:31,830 --> 00:16:37,050 +مين اختاروا أخف الضررين، اللي هو جودة أقل، مواد + +194 +00:16:37,050 --> 00:16:41,910 +خام جودة أقل، أخف حاجة عن الشروع أجيب مواد خام + +195 +00:16:41,910 --> 00:16:45,850 +بجودة أقل ولا أسكر المشروع، الأفضل أن أجيب مواد + +196 +00:16:45,850 --> 00:16:47,050 +خام جودة إيش أقل + +197 +00:16:52,730 --> 00:16:57,350 +القبول، يتم اتباعتك استراتيجيا لأنه من النادر أن + +198 +00:16:57,350 --> 00:17:01,130 +يتم تخلص المشروع من جميع التهديدات القبول تقبل + +199 +00:17:01,130 --> 00:17:07,310 +الخطأ، لا حولناه ولا نجلناه ولا خففناه، قبلناه، + +200 +00:17:07,310 --> 00:17:11,670 +يعني أنا شيلت مسئوليتكتشيل هذه ال استراتيجية لأن + +201 +00:17:11,670 --> 00:17:15,070 +فريق المشروع قد قرر أنه يغير خطط إذا .. كل حاجة زي + +202 +00:17:15,070 --> 00:17:19,070 +ما هي مش هنغير حاجة أي تعامل مع أحد المخاطر أو أنه + +203 +00:17:19,070 --> 00:17:22,030 +غير قادر على تحديد أي استراتيجية استجابة .. + +204 +00:17:22,030 --> 00:17:25,350 +استجابة أخرى مناسبة مافيش ولا استراتيجية من تلاتة + +205 +00:17:25,350 --> 00:17:28,650 +لتو مناسبين فهنبتدأ نقبل الوضع زي ما هو زي الإنسان + +206 +00:17:28,650 --> 00:17:31,830 +مثلا اللي أسمح الله أكتشف أنه معاه مرض خطير قبل ما + +207 +00:17:31,830 --> 00:17:35,660 +ينكش علاج إيش بتسوي؟ نتقبل الوضعلو في علاج كان انا + +208 +00:17:35,660 --> 00:17:38,440 +اناه عليه بس هو مافيش علاج فيه هيتقبل الوضع، + +209 +00:17:38,440 --> 00:17:41,780 +يتعايش معاه، اتفضل هذه الاستراتيجية قد تكون سلبية + +210 +00:17:41,780 --> 00:17:50,700 +او مشطعة سؤال، ادكري أشكال استراتيجية القبول عندنا + +211 +00:17:50,700 --> 00:17:56,480 +أشكال استراتيجيات نوعين، مش أكتر، إما سالبة أو + +212 +00:17:56,480 --> 00:18:00,880 +موجبة، إما تقبل بشكل سالب أو بشكل موجب، اتفضل نشوف + +213 +00:18:02,600 --> 00:18:05,680 +الموافقة السلبية لا تحتاج لاتخاذ أي إجراءات + +214 +00:18:05,680 --> 00:18:09,140 +باستثناء توقيق الاستراتيجية وترك فريق المشروع + +215 +00:18:09,140 --> 00:18:12,600 +يتعامل مع المخاطر حسب ما تقع نخل المعمال يتعاملوا + +216 +00:18:12,600 --> 00:18:15,140 +مع الوضع حسب ما اللي بيصير، مانعملش ولا حاجة، عشان + +217 +00:18:15,140 --> 00:18:19,460 +نكسب منها سلبية عندنا مخاطر تعالوا أبصرش مش + +218 +00:18:19,460 --> 00:18:23,980 +مدورين، ولا بنتحرك، لأن السلبية لإنه حد ساكن، + +219 +00:18:23,980 --> 00:18:29,920 +يتعاملوا حسب فهم كل الموضوع وخلصنا، ثانيين، الناشط + +220 +00:18:29,920 --> 00:18:33,830 +اللي هي الإيجابيةهو الأكثر انتشرا في تحريط احتياطي + +221 +00:18:33,830 --> 00:18:36,610 +للطوارئ يشتمل على الزمن أو المال أو الموارد + +222 +00:18:36,610 --> 00:18:39,470 +اللازمة للمعارش للطوارئ؟ ممتازة، بتاعه شرحناها، + +223 +00:18:39,470 --> 00:18:42,690 +ايوة بتاعه شرحناها، بقولنا لما حاطينا احتياطي + +224 +00:18:42,690 --> 00:18:45,850 +اموال فلما ارتفعت لأسعار أنا ما اتأثرتش، هذه + +225 +00:18:45,850 --> 00:18:49,010 +بنسميها استراتيجية إيجابية، صيرنا نطلع من + +226 +00:18:49,010 --> 00:18:52,130 +الاحتياطي و نجيب الأشياء اللي احنا محتاجين إلها، + +227 +00:18:52,130 --> 00:18:55,370 +أما السلبية مانيش علاقة، بعملش حاجة، بضل واقف + +228 +00:18:55,370 --> 00:18:56,610 +أتفرج على الوضع و خلصنا + +229 +00:19:00,330 --> 00:19:02,450 +إذا المرة تانية نعيد مع بعض ما هي استراتيجيات + +230 +00:19:02,450 --> 00:19:06,810 +مواجهة المخاطر، قلنا عنها أربعة تفادي، نهرب منها + +231 +00:19:06,810 --> 00:19:12,510 +أو نتجنبها، تحويل، نقولها نفسنا إيه، تخفيف، قبول، + +232 +00:19:12,510 --> 00:19:16,270 +و القبول اللي هي شكلهين سلبي، ماليكيش دعوة و إجابة + +233 +00:19:16,270 --> 00:19:21,350 +ما هي استراتيجية الاستجابة الطارقة، يعني صار حاجة + +234 +00:19:21,350 --> 00:19:26,050 +فجأة، إيش اللي نسوي، تفضللكن ليه الاستجابة + +235 +00:19:26,050 --> 00:19:29,830 +التارية؟ هي تبتسمين برنامج الاستجابات بحيث لا يتم + +236 +00:19:29,830 --> 00:19:33,350 +استخدامها إلى عدة أسبوع أحيانا .. الاستجابات هان + +237 +00:19:33,350 --> 00:19:38,170 +اللي هي ال scenario من المناسب في بعض المخاطر شوية + +238 +00:19:38,170 --> 00:19:41,870 +انت؟ ايش معناه استجابات؟ سيناريو؟ ايش معناه + +239 +00:19:41,870 --> 00:19:46,570 +سيناريو؟ بتوقع حاجة تحصل و انا ايش هسوي؟ خطط + +240 +00:19:46,570 --> 00:19:50,130 +الأقاش .. خطط ايش هنعمل؟ ماشي يعني كأني بتهيأ + +241 +00:19:50,130 --> 00:19:54,870 +هيصير حاجة، تفضلإن المناسب في بعض المخاطر أن يقوم + +242 +00:19:54,870 --> 00:19:59,450 +فريق المشروع بوضع خطة استجابة لا يتم استخدامها إلا + +243 +00:19:59,450 --> 00:20:04,390 +في ظروف معينة خدت بالك نعمل خط الطوارئ و نحطها ع + +244 +00:20:04,390 --> 00:20:10,330 +جهة وقتاش نسحبها و نطبقها إن صار حاجة إذن هي خطة + +245 +00:20:10,330 --> 00:20:14,650 +لا تستخدم إلا في ظروف معينة تفضلي تحديدها مسبقا في + +246 +00:20:14,650 --> 00:20:19,330 +حالة الاعتقاد موجود تحديد كافي للمنشط الخطة إذن هي + +247 +00:20:19,330 --> 00:20:25,150 +عبارة عنواضع سيناريو لو .. لا سمح الله .. سيناريو + +248 +00:20:25,150 --> 00:20:28,710 +وقعت الحرب، إيش هنسوه في المشروع؟ لو مقطعت المواد + +249 +00:20:28,710 --> 00:20:32,890 +الخامة؟ هي مانقطعتش و لا حاجة، بس أنا بتوقع، بتنبأ + +250 +00:20:32,890 --> 00:20:37,570 +إيش بده يصير، فضّالي يلمغ تحديد وتتبع الأحداث التي + +251 +00:20:37,570 --> 00:20:40,870 +تفعل .. التي تفعل استجابة طريقة .. تفعل .. التي + +252 +00:20:40,870 --> 00:20:45,190 +تفعل استجابة طريقة مثالية، اختارة الأهداف المتوسطة + +253 +00:20:45,190 --> 00:20:49,340 +أو اكتساب أولوية أعلى للموضوعالمزود هنا اللي هو + +254 +00:20:49,340 --> 00:20:55,180 +المورد المزود هنا اللي هو إيش المورد إذا ببساطة يا + +255 +00:20:55,180 --> 00:20:59,960 +أخوتي استراتيجية الاستجابة الطارقة معناها وضع خطة + +256 +00:20:59,960 --> 00:21:03,220 +متوقع + +257 +00:21:03,220 --> 00:21:09,840 +تنفيذها عند وقوع خطر ما من الممكن عدم تنفيذ الخطة + +258 +00:21:09,840 --> 00:21:15,160 +ومن الممكن تنفيذها إذا مش بخطط و بنفذ لأ بعمل + +259 +00:21:15,160 --> 00:21:20,440 +scenario و بتنبأ لو صار حاجةلو أسعار الصرف انخفضت + +260 +00:21:20,440 --> 00:21:26,200 +أكتر من هيك، إيش متوقع احنا نسوي؟ كلمة إن عندنا + +261 +00:21:26,200 --> 00:21:29,820 +خطة طوارئ هذي بتريح الواحد، إن احنا مستعدين يعني، + +262 +00:21:29,820 --> 00:21:34,880 +أحد أشكال الاستعداد للمخاطر له إيش، وضع خطة طوارئ، + +263 +00:21:34,880 --> 00:21:39,320 +واضح يا أخوات؟ عيدة تاني، إن إشقالية وضع الخطة + +264 +00:21:39,320 --> 00:21:45,150 +الطوارئ بنعمل خطة لحاجة أنا بتوقع أنها تقعوقعت هاي + +265 +00:21:45,150 --> 00:21:47,310 +اللي احنا جاهزينها على خطتنا معانا ماببعتش لها + +266 +00:21:47,310 --> 00:21:52,670 +خلاص بندرش على الخطة أخر + +267 +00:21:52,670 --> 00:21:55,350 +حاجة في هذا ال chapter بعد ما خدنا إدارة فريق + +268 +00:21:55,350 --> 00:21:59,310 +العمل إدارة الإتصالات إدارة المخاطر اللي هي إدارة + +269 +00:21:59,310 --> 00:22:03,090 +إيش المشتريات اللي هي مشتريات المشروع من مواد خامة + +270 +00:22:03,090 --> 00:22:07,010 +وقتصية والأمور التي نحتاج إليها تفضل يا سابرين + +271 +00:22:07,010 --> 00:22:12,230 +سؤال ما المقصود بإدارة مشتريات المشروع تفضل يا + +272 +00:22:12,230 --> 00:22:16,210 +سابرينتجتمع إدارة المشتريات بالمشروع على عمليات + +273 +00:22:16,210 --> 00:22:19,570 +شراء أو جلب المنتجات أو الخدمات أو النتائج اللازمة + +274 +00:22:19,570 --> 00:22:23,550 +من خارج فريق العمل لإنجاز أعمال المشروع وقد تكون + +275 +00:22:23,550 --> 00:22:28,270 +المؤسسة بمثابة المشتري أو الباقى للمنتجات أو + +276 +00:22:28,270 --> 00:22:31,710 +الخدمات أو النتائج التي تم حصول عليها من المشروع + +277 +00:22:31,710 --> 00:22:40,650 +ماشي هنشوشو يعني example مشروع الأسر المنتجةعنا + +278 +00:22:40,650 --> 00:22:43,630 +أسرة فقيرة حكيتنا الكلامها ده قبل هيك أننا نعملنا + +279 +00:22:43,630 --> 00:22:49,250 +مشروع مثلا خلق وصمة مشروع + +280 +00:22:49,250 --> 00:22:56,910 +معجنات الأسرة ها دي بدي تعمل معجنات هنعملها عملية + +281 +00:22:56,910 --> 00:23:04,650 +بيع وتسويق في السوق إذا ما عندي أسرة هتصنع معجنات + +282 +00:23:04,650 --> 00:23:07,790 +هيجي المشروع تباعنا أو المؤسسة تبعتنا تاخدها + +283 +00:23:07,790 --> 00:23:13,060 +تسويقها و تبيعهالأن هذه حالة إيش؟ المشروع أصبح + +284 +00:23:13,060 --> 00:23:18,760 +بائع طيب عشان الأسرة يكون عندها معجنات إيش بدها؟ + +285 +00:23:18,760 --> 00:23:25,020 +مواد حامة لازم نوفر مواد حامة إذا إحنا إيش؟ مشتري + +286 +00:23:25,020 --> 00:23:28,060 +إذا إدارة المشتريات بتشمل المشروع كبائع والمشروع + +287 +00:23:28,060 --> 00:23:33,830 +كمشتري واضح جماعة؟ نفس الشيء التدريسيبنعمل منتجات + +288 +00:23:33,830 --> 00:23:37,430 +تطيز، بنبيعها للناس، ماشي، وعشان التطيز لازم يكون + +289 +00:23:37,430 --> 00:23:40,590 +عندك مواد خام، إذا ما بنشتري مواد خام، بنعملها + +290 +00:23:40,590 --> 00:23:45,210 +مترزات، بنبيعها، إذا إحنا هم باع وقاش ومشتري، + +291 +00:23:45,210 --> 00:23:50,570 +واضح؟ فضلي التواصل + +292 +00:23:54,760 --> 00:23:59,700 +إما الاتصال، إيش السوق عايز، أخر موديلات حاببها، + +293 +00:23:59,700 --> 00:24:03,460 +إيش الناس بتطلب، على إيش بتدورش بالظبط، أيضا + +294 +00:24:03,460 --> 00:24:08,820 +المراقبة، اللي هي دراستة السوق، احتجاجات المستهلك، + +295 +00:24:08,820 --> 00:24:12,470 +ماعملش حاجة الناس مش عايزينهاوإدار التعاقدات أو + +296 +00:24:12,470 --> 00:24:16,050 +طلبات الشراء التي يتم إصدارها بواسطة أعضاء + +297 +00:24:16,050 --> 00:24:19,410 +الخوالين في فريق عمل المشروع الأعضاء اللي بيصدروا + +298 +00:24:19,410 --> 00:24:23,490 +أهم الشراء اللي هم مسئولين عن الشراء ماشي الان + +299 +00:24:23,490 --> 00:24:27,450 +احنا هان عملنا معجنات وبيعناها المادة الخام لطحين + +300 +00:24:27,450 --> 00:24:31,040 +عصب الميتال بده يخلصبيجي مسئول الشراء بيصدر أمر + +301 +00:24:31,040 --> 00:24:33,840 +الشراء أن أحنا لازم نجيب طحين لأنه جدا بيخلص، و + +302 +00:24:33,840 --> 00:24:37,120 +أنا يا جماعة إذا أخدتي بالك عشان الشراء بترتب عنه + +303 +00:24:37,120 --> 00:24:40,540 +تكاليف و ناخدها من الموازنة، مانخليش كل العمال + +304 +00:24:40,540 --> 00:24:43,880 +يتاخدوا قرار الشراء، بس واحد، عشان يكون هو المساء، + +305 +00:24:43,880 --> 00:24:46,580 +لو جابها بأسعار عالية، لو معصفات سيئة، يكون عنا + +306 +00:24:46,580 --> 00:24:50,300 +عارفين مين هو اللي جنب الشراءفضليه كما تشتمل إدارة + +307 +00:24:50,300 --> 00:24:53,860 +المشتريات بالمشروع على إدارة أي تعاقد تقوم بإصداره + +308 +00:24:53,860 --> 00:24:57,800 +لمؤسسة خارجية المشتري تقوم بشراء المشروع ماشي يا + +309 +00:24:57,800 --> 00:25:03,440 +.. يا .. يا انت طول بالك التعاقد مشروع اعمار شارع + +310 +00:25:03,440 --> 00:25:13,800 +البحر هدفه عنده عقد لتوريد ال cement ال + +311 +00:25:13,800 --> 00:25:17,850 +asphaltليه أشهد أعمل عقد؟ لأنه المادة مهمة وكمان + +312 +00:25:17,850 --> 00:25:21,250 +السعادة باهضة و الكلمات اللي احنا عايزينها باهضة + +313 +00:25:21,250 --> 00:25:24,910 +عشان ذلك بامضي عقد بيني و بين الناس مصالة الاسمات + +314 +00:25:24,910 --> 00:25:28,490 +أو الناس اللي هتجيب إيش الاسمات، تفضلي + +315 +00:25:32,180 --> 00:25:35,760 +تقوم بشراء لمشروع من المؤسسة المنافذة له الباقة + +316 +00:25:35,760 --> 00:25:39,200 +وتشتمل على إدارة الإلتزامات التعاقدية اللي وقع على + +317 +00:25:39,200 --> 00:25:44,080 +عرض فريق المشروع بموجة بالتعاقد الإلتزامات + +318 +00:25:44,080 --> 00:25:49,320 +التعاقدية، إيش بتشمل يا أخوات؟ عدة حاجات، واحد، + +319 +00:25:49,320 --> 00:25:54,860 +الكمية المطلوبة، بتفج أنا وياكوا على كمية السماء + +320 +00:25:54,860 --> 00:25:58,800 +اللي كنتوا بتبعتوها، نين، السعر اللي متفق عليه + +321 +00:26:00,060 --> 00:26:07,180 +اتفرجنا ال time بكذا لازم نتزم تلاتة الوقت أخر + +322 +00:26:07,180 --> 00:26:09,060 +أسبوع بدي أكون عند الإسمات أخر أسبوع بدي أكون عند + +323 +00:26:09,060 --> 00:26:13,780 +الإسمات خودي بالك مخالفة أي band من بلون التعاقد + +324 +00:26:13,780 --> 00:26:17,380 +معناه على طول شرط جزائي معناه على طول إيش؟ شرط + +325 +00:26:17,380 --> 00:26:22,220 +جزائي أيضا من الاتزامات المكان مكان التسليم وين + +326 +00:26:22,220 --> 00:26:26,420 +هيسلمونا هنا بالظبط؟ لو احنا ما اتزمناش هيكون + +327 +00:26:26,420 --> 00:26:27,780 +عندنا شرط جزائي + +328 +00:26:31,070 --> 00:26:36,310 +بكون علينا إيش شغل جزائي شو + +329 +00:26:36,310 --> 00:26:41,470 +كنا صابين، يا الله يا كفاية إدارة المشتريات، تخطيط + +330 +00:26:41,470 --> 00:26:48,270 +المشتريات، ماذا أو على ماذا تشتمل إدارة المشتريات، + +331 +00:26:48,270 --> 00:26:58,610 +المشاريع، على ماذا تشتملإدارة مشتريات المشاريع عنا + +332 +00:26:58,610 --> 00:27:02,770 +أربع شغلها تتفضلي تخطيط المشتريات اتعودنا في كل + +333 +00:27:02,770 --> 00:27:09,450 +حاجة تخطيط أول واحد هي عملية توثيق قرارات تسيير + +334 +00:27:09,450 --> 00:27:14,190 +المشتريات التسيير إدارة المشتريات الإدارة قفال + +335 +00:27:14,190 --> 00:27:20,840 +المشتريات إيه القفال؟إذا عندنا أربع خطوات لإدارة + +336 +00:27:20,840 --> 00:27:24,500 +مشتريات المشروع، تخطيط الشراء، تسيير الشراء اللي + +337 +00:27:24,500 --> 00:27:30,940 +هو التنفيذ، الإدارة و الإقفال، يلا يا كفاية، تخطيط + +338 +00:27:30,940 --> 00:27:34,720 +المشتريات، ما المقصود بتخطيط المشتريات؟ + +339 +00:27:37,090 --> 00:27:40,890 +هى عملية توثيق قرار الشراع فى المشروع و تحديد + +340 +00:27:40,890 --> 00:27:44,310 +طريقة الشراع و تحديد البايعين المهتمين وضع خطة + +341 +00:27:44,310 --> 00:27:47,710 +لحصولها على مُنتَج أو على مادة دخان معينة الخطة + +342 +00:27:47,710 --> 00:27:52,470 +هذه حيكون فيها احنا ايش عايزين نشتري؟ كيف هنشتري؟ + +343 +00:27:52,470 --> 00:27:55,630 +هل من السوق؟ هل من نجيب من بره البلد؟ ايضا من مين + +344 +00:27:55,630 --> 00:28:00,790 +هنشتري؟ اللي هم البايعين بتاعينا اللي هم المواردين + +345 +00:28:00,790 --> 00:28:06,220 +خуди بالك فى تخطيط الشراعين شكلان للشراءحسب الدولة + +346 +00:28:06,220 --> 00:28:14,320 +اما ال just in time او الشراق المقدم احنا عندنا في + +347 +00:28:14,320 --> 00:28:19,200 +البلد شراق مقدم في اليابان just in time لأنهم + +348 +00:28:19,200 --> 00:28:22,140 +عندهم استقرار احنا لازم نجيب الشغل الجامع المعادل + +349 +00:28:22,140 --> 00:28:27,100 +بتخافي وقت الاستخدام ماتلاقيش المعبر ستة او حاجة + +350 +00:28:27,100 --> 00:28:32,800 +يعني ممكن نطلب طلبية تجينا بعد ست شهور توصل بعد ست + +351 +00:28:32,800 --> 00:28:38,090 +شهورلو انا عندى خطة لما يخلصوا ست شهور بكون اه + +352 +00:28:38,090 --> 00:28:43,390 +جماعة احتياجى للطلبية انا صرت بدياها واضحة يا + +353 +00:28:43,390 --> 00:28:46,330 +جماعة اما نأخذ شغلنا و احنا ماجعين السنة ست شهور + +354 +00:28:46,330 --> 00:28:50,670 +اه غلط هذا شغل غلط بكون تفضلى تسير المشتريات + +355 +00:28:53,330 --> 00:28:57,370 +هي عملية الحصول على استجابات البائع و تحديث أحد + +356 +00:28:57,370 --> 00:29:00,050 +البائعين و إبرام الناس نتصل على البايعين و نشوف + +357 +00:29:00,050 --> 00:29:02,810 +مين ممكن يجيبنا الكمية و إيش العقد و نحكي في السعر + +358 +00:29:02,810 --> 00:29:05,270 +و في الزمان و في المكان و في السلع و مواصفاتها + +359 +00:29:05,270 --> 00:29:09,410 +وجودتها هذا كل رسم تسيير المنتجات المقصود بتسيير + +360 +00:29:09,410 --> 00:29:17,700 +تنفيذ مقصود بكلمة تسيير إيش؟ تنفيذ رقم تلاتةإدارة + +361 +00:29:17,700 --> 00:29:21,500 +المشتريات هي عملية إدارة علاقات المشتريات وراء + +362 +00:29:21,500 --> 00:29:25,500 +تنفيذ الاتفاقيات وإدخال التغيرات والتصحيحات + +363 +00:29:25,500 --> 00:29:28,180 +اللازمة لازم نضل ننتظر ونتصل على البياع وإيش صار + +364 +00:29:28,180 --> 00:29:30,620 +في الإبداع وإيش هتصل وإيش كان في السعة ونشوف إحنا + +365 +00:29:30,620 --> 00:29:34,000 +سعر الدولار طالع أو نازله، إيش حصل معنا، ننفعش + +366 +00:29:34,000 --> 00:29:36,700 +نمضي العقد ونضلنا جاعدين، لأ لازم نضلنا كمان نتابع + +367 +00:29:36,700 --> 00:29:41,560 +عملية الشغل لغاية ما نستلم الإبداع إقفال المشتريات + +368 +00:29:41,560 --> 00:29:46,690 +هي عملية الانتهاء من كل مشتريات المشروعممتاز اقفل + +369 +00:29:46,690 --> 00:29:53,070 +المشتريات، ما المقصود باقفل المشتريات؟ + +370 +00:29:53,070 --> 00:30:00,630 +ما المقصود باقفل المشتريات؟ شوف مع بعض، هيا، فضلي + +371 +00:30:00,630 --> 00:30:05,250 +مريمعملية تقفل المشتريات بتشتم الإكمال تسميها + +372 +00:30:05,250 --> 00:30:09,610 +مشتريات المشروع أو المرحلة بتشمل حفظ السجلات .. + +373 +00:30:09,610 --> 00:30:13,190 +أخدت بالك هي .. حفظ السجلات احنا الحين صار عملية + +374 +00:30:13,190 --> 00:30:16,730 +بيع و شراء، في عندنا سندات حفظ .. أيوة و سندات + +375 +00:30:16,730 --> 00:30:20,330 +دفع، حد لازم تدخل على الجهاز على البرنامج المحاسب + +376 +00:30:20,330 --> 00:30:24,730 +اللي تبع المشروع و لازم احتفظ فيها انا، ماشي، هذه + +377 +00:30:24,730 --> 00:30:28,570 +موازنة، الفلوس و اين راح و هاي الفواتير و السندات + +378 +00:30:29,920 --> 00:30:34,260 +حفظ السجلات، يكون عندنا أرشيف على الجهاز أو ورقي + +379 +00:30:34,260 --> 00:30:38,200 +حسب وضعي كل shake اللي طلع أو دولة طلع من المشروع + +380 +00:30:38,200 --> 00:30:44,320 +معروفة وراه، واضح؟ حفظ المعلومات، اللي هي مواصفات + +381 +00:30:44,320 --> 00:30:48,120 +السلاسة، أسعارها، من البياع، إيش صار معانا، إيه + +382 +00:30:48,120 --> 00:30:50,120 +المشاكل اللي نسجلها، هذا الموضوع اللي بيخفق، بحفظ + +383 +00:30:50,120 --> 00:30:53,800 +إيش؟ المعلومات، اللي هي الأرشفة حفظ المعلومات اللي + +384 +00:30:53,800 --> 00:30:58,170 +هي إيش؟ الأرشفةجميع التعاقدات مش صارجة مشروع + +385 +00:30:58,170 --> 00:31:01,890 +يمضينا عقد احنا مع البائع لازم انا نخبي صورة من + +386 +00:31:01,890 --> 00:31:07,010 +العقد تكون عندنا لحتى نحفظ حقنا القانون يمكن نصير + +387 +00:31:07,010 --> 00:31:10,970 +حاجة ايش يمكن احنا اشملنا مجهزين أمور، اذا + +388 +00:31:10,970 --> 00:31:14,290 +التعاقدات هان اللي هي صورة من العقود اللي مضيناها + +389 +00:31:14,290 --> 00:31:18,560 +مع البائعينإرسال أخطاء رسمي مكتوب للباعة بانتهاء + +390 +00:31:18,560 --> 00:31:22,000 +عملية الشراء و التعامل بنبعت أخطاء على ال email أو + +391 +00:31:22,000 --> 00:31:25,280 +بشكل شخصي على الباعة إنه انتهت العملية خاصة بمعنى + +392 +00:31:25,280 --> 00:31:29,180 +جاب الاسمنتات ووصلوا في المكان المناسب بالمواصفات + +393 +00:31:29,180 --> 00:31:31,980 +المناسبة بالسعار المناسب وكل شيء تمام مافيش أي إيش + +394 +00:31:31,980 --> 00:31:36,600 +أي مشاكل مش بعد ما جاب كل حاجة وخلصنا نتذكر إن + +395 +00:31:36,600 --> 00:31:40,840 +أحنا ضال عينا مصاري لاحقش كل غلط هذا لازم أول بأول + +396 +00:31:42,540 --> 00:31:47,460 +إش نعمل؟ نتابع شغلنا، دفع .. دفعنا إله كامل الورق + +397 +00:31:47,460 --> 00:31:51,960 +.. كامل المبلغ عفوا، نجيب وصل، مانظرش ولا حاجة، + +398 +00:31:51,960 --> 00:31:54,100 +واضح أن الخوات مش هتفاجأ بعد فترة أنه طالع يقول لا + +399 +00:31:54,100 --> 00:31:57,460 +اضايق عليكم المسار، تعالوا هان الشغل السليم بصيرش + +400 +00:31:57,460 --> 00:32:02,240 +فيه هذه المشاكل، إذا كان عندنا سؤال يا أسماء، ما + +401 +00:32:02,240 --> 00:32:06,560 +المقصود بعملية إقفال المشتريات، خودي بالك، ماجرناش + +402 +00:32:06,560 --> 00:32:10,860 +إقفال المشروعقولنا المشتريات المشتريات جزء من + +403 +00:32:10,860 --> 00:32:12,880 +المشروع خليك معانا المشتريات المشتريات المشتريات + +404 +00:32:12,880 --> 00:32:15,660 +واضح .. اقفل المشروع اشي و المشتريات اشي تاني + +405 +00:32:15,660 --> 00:32:20,380 +تشتمل اكمال جميع مشتريات المشروع او المرحلة هاي + +406 +00:32:20,380 --> 00:32:24,540 +واحد تشتمل علاحة السجلات و انهاء جميع التعاقدات و + +407 +00:32:24,540 --> 00:32:27,820 +حصة المعاملات ممتاز شرحناها مع بعض اشي معناه سجلات + +408 +00:32:27,820 --> 00:32:30,920 +اشي معناه تعاقدات اشي معناه المعلومات ليه ال data + +409 +00:32:30,920 --> 00:32:35,400 +base يعني هي القرشة القرش في الشغل تبعنا ارسال + +410 +00:32:35,400 --> 00:32:40,400 +افطار رسمي مكتوب للبائعبانتهاء عملية الشراء + +411 +00:32:40,400 --> 00:32:43,980 +والتعاقب تتخذ انتهام شكرا يا عزيزي، إذا عملية + +412 +00:32:43,980 --> 00:32:50,240 +إقفال المشتريات يا فلسطين تمر بتلات مراحل، ما هي؟ + +413 +00:32:50,240 --> 00:32:56,140 +حفظ السجلات؟ لأ، + +414 +00:32:56,140 --> 00:33:02,700 +هذه المرحلة اتنينأول مرحلة نخلص عملية الشراء هاي + +415 +00:33:02,700 --> 00:33:07,280 +رقم واحد رقم اتنين الأمور المستندية هي السجلات + +416 +00:33:07,280 --> 00:33:11,560 +والتعاقد رقم تلاتة أبعت السلسلة انه خلاص سيك تمام + +417 +00:33:11,560 --> 00:33:13,860 +لا اليكوا عليها مصاري ولا اليكوا .. ولا الي عليكوا + +418 +00:33:13,860 --> 00:33:17,560 +لا مصاري ولا مواد خام ولا حاجة واضح يا جماعة؟ + +419 +00:33:17,560 --> 00:33:20,120 +عندنا الفصل التالفي اللي هنبدأ فيه يوم الأربع ان + +420 +00:33:20,120 --> 00:33:23,440 +شاء الله اللي هو اقفال المشروع وليس المشتريات + +421 +00:33:23,440 --> 00:33:29,340 +واضح؟ كيف نقفل المشروع ونسلمه؟واضح يا جماعة؟ + +422 +00:33:29,340 --> 00:33:30,160 +يعطيكوا العافية + diff --git a/PL9fwy3NUQKwYZU2ezHFq-UK19TEyZdOHs/4AcALQ5XsQo.srt b/PL9fwy3NUQKwYZU2ezHFq-UK19TEyZdOHs/4AcALQ5XsQo.srt new file mode 100644 index 0000000000000000000000000000000000000000..8b0e6c61139d3255b87b98be062727434df9ddfa --- /dev/null +++ b/PL9fwy3NUQKwYZU2ezHFq-UK19TEyZdOHs/4AcALQ5XsQo.srt @@ -0,0 +1,2063 @@ +1 +00:00:20,920 --> 00:00:23,300 +عودة بلاب نشرت على نجيم بسم الله الرحمن الرحيم + +2 +00:00:23,300 --> 00:00:27,020 +الحمد لله والصلاة والسلام على مصطفى الأمين سيدنا + +3 +00:00:27,020 --> 00:00:30,680 +محمد وعلى آله ومن ساره على درجة حسين أم الدين في + +4 +00:00:30,680 --> 00:00:35,260 +البداية السلام عليكم ورحمة الله كيف حالكم؟ كيف + +5 +00:00:35,260 --> 00:00:38,560 +أصبحتم اليوم إن شاء الله كويسين؟ نحن الحمد لله إن + +6 +00:00:38,560 --> 00:00:44,000 +شاء الله ما زلنا معًا في موضوع لو إيش إدارة + +7 +00:00:44,000 --> 00:00:47,670 +المشاريع، عرفنا في المحاضرة الماضية على ما هو + +8 +00:00:47,670 --> 00:00:51,850 +المشروع، تعرّفنا على شو يعني نشاط مهقت، تعرّفنا + +9 +00:00:51,850 --> 00:00:55,570 +على إدارة المشاريع، المشاريع ومقياسنا بينها وبين + +10 +00:00:55,570 --> 00:00:58,710 +المشروع لوحده، تعرّفنا على عملية الخمس اللي + +11 +00:00:58,710 --> 00:01:02,050 +سناخدها بالتفصيل إن شاء الله، تعرّفنا على إدارة + +12 +00:01:02,050 --> 00:01:10,330 +المشاريع عن بعد، تعرّفنا على الحقيبة الاستثمارية، + +13 +00:01:10,330 --> 00:01:14,510 +مين يذكرنا إيش مكونات الحقيبة الاستثمارية؟ ثلاث + +14 +00:01:14,510 --> 00:01:18,870 +حاجات، تفضلي، مشروعات وبرامج وعمل آخر، ممتاز، مشاريع + +15 +00:01:18,870 --> 00:01:22,690 +وبرامج وعمل إيش آخر؟ كان عندنا رسمة تركناها، تعالوا + +16 +00:01:22,690 --> 00:01:25,770 +نرجع لها، اللي هي علاقة بين إدارة المشاريع وإدارة + +17 +00:01:25,770 --> 00:01:29,750 +البرامج وإدارة الحقيبة الاستثمارية، السؤال اللي + +18 +00:01:29,750 --> 00:01:34,710 +معنا بيحكي وضحي بالرسم العلاقة بين إدارة المشاريع + +19 +00:01:34,710 --> 00:01:40,490 +وإدارة البرامج وإدارة الـ portfolio أو الحقيبة + +20 +00:01:40,490 --> 00:01:43,370 +الاستثمارية، ده نشوف معنا حقيبة استثمارية باللغة + +21 +00:01:43,370 --> 00:01:49,300 +اللي هي الإنجليزية portfolio، أنا هترجم لك الرسمة، خذيها + +22 +00:01:49,300 --> 00:01:54,440 +همترجمها وخلاص، مبسطة يعني، خلصوا معايا الرسمة دي + +23 +00:01:54,440 --> 00:01:59,280 +هي + +24 +00:01:59,280 --> 00:02:10,620 +عندنا هنا الحقيبة الاستثمارية للإدارة العليا اللي + +25 +00:02:10,620 --> 00:02:15,260 +هو الـ top level أو highest level، عندنا هنا مشاريع + +26 +00:02:23,770 --> 00:02:33,750 +هنا حقيبة استثمارية للإدارة الدنيا اللي هو عندنا هنا + +27 +00:02:33,750 --> 00:02:37,430 +برامج، و + +28 +00:02:37,430 --> 00:02:38,110 +هنا برامج + +29 +00:03:05,030 --> 00:03:10,990 +هذه الرسمة اللي أمامنا على السبورة + +30 +00:03:10,990 --> 00:03:27,290 +خدوا + +31 +00:03:27,290 --> 00:03:29,070 +بالكم من السهم اللي له غصين، هذا + +32 +00:03:32,400 --> 00:03:43,420 +معناها في إيش؟ تبادل من إلى وإلى من، شو + +33 +00:03:43,420 --> 00:03:45,600 +طبيعي، علاقة بين الحقيبة والمشاريع بيكون عندنا + +34 +00:03:45,600 --> 00:03:50,720 +استراتيجيات طبعًا عشان إدارة عليا، استراتيجيات بيكون + +35 +00:03:50,720 --> 00:03:54,720 +عندنا السيطرة والرقابة، بيكون عندنا التغيير لأن + +36 +00:03:54,720 --> 00:03:56,980 +عندنا الحقيبة الاستثمارية إدارة عليا على سبيل المثال + +37 +00:03:57,890 --> 00:04:01,050 +لها علاقة تبادلية مع الـ project بتاع المشروع، + +38 +00:04:01,050 --> 00:04:03,470 +ولها علاقة تبادلية مع الحقيبة الاستثمارية، + +39 +00:04:03,470 --> 00:04:07,130 +الإدارة التنفيذية أو الإدارة الدنيا، أيضًا في + +40 +00:04:07,130 --> 00:04:11,250 +علاقة بينها وبين البرامج، أيضًا علاقة من أعلى + +41 +00:04:11,250 --> 00:04:15,290 +طبعًا هذه لأسفل، علاقة برضه تنفيذية، زي ما حكيت + +42 +00:04:15,290 --> 00:04:18,830 +قبل شوية، ياخدوا بالكم من الأسهم كلها برأسين، أو + +43 +00:04:18,830 --> 00:04:21,570 +زمان على واحد، آخر، ثاني، جالي، البرامج اللي هي + +44 +00:04:21,570 --> 00:04:25,490 +علاقة برضه بالبرامج والمشاريع، حقيبة الإدارة الدنيا + +45 +00:04:25,490 --> 00:04:29,310 +تحت سيطرة البرامج والمشاريع، قبل شوية زميلاتكم + +46 +00:04:29,310 --> 00:04:33,570 +وآزهر لما ذكرتنا بتعريف الحقيبة، ست ماريا حكت إن + +47 +00:04:33,570 --> 00:04:38,910 +عبارة عن تتكون الحقيبة من ثلاث شغلات اللي هي المشاريع + +48 +00:04:38,910 --> 00:04:42,830 +والبرامج وأعمال أخرى، زي ما أنتم ملاحظين على الرسم + +49 +00:04:42,830 --> 00:04:47,230 +أنه في عندنا حقيبة اللي هي مشاريع وليها برامج + +50 +00:04:47,230 --> 00:04:53,610 +مهما اختلفت المستويات الإدارية الدنيا أو العليا، هذه + +51 +00:04:53,610 --> 00:05:01,230 +الرسمة بشكل بسيط اللي عندكم في الـ slide، أتوقع + +52 +00:05:01,230 --> 00:05:05,350 +أخرنا دي البرامج أه؟ توقفنا عندها + +53 +00:05:13,150 --> 00:05:16,770 +في المحاضرة الماضية، تطرّقنا لتعريف المشاريع، تطرّقنا + +54 +00:05:16,770 --> 00:05:21,230 +لتعريف الحقيبة الاستثمارية أيضًا لتعريف البرامج + +55 +00:05:21,230 --> 00:05:24,710 +ماهي الـ program أو البرامج زي ما هو كاتب لنا؟ + +56 +00:05:24,710 --> 00:05:27,570 +تفضلي، لينا مجموعة من المشروعات المرتبطة ببعضها + +57 +00:05:27,570 --> 00:05:27,950 +ببعض + +58 +00:05:36,580 --> 00:05:40,800 +البرنامج عبارة عن مجموعة من مشاريع تتفق في + +59 +00:05:40,800 --> 00:05:44,520 +الإدارة، بتكون يعني المدير واحد لمجموعة منها، مش من + +60 +00:05:44,520 --> 00:05:47,740 +المشاريع، بنسميهوش مدير المشاريع، بنسميه مدير + +61 +00:05:47,740 --> 00:05:51,640 +البرنامج، إذا البرنامج عبارة عن مجموعة من المشاريع + +62 +00:05:53,310 --> 00:05:59,010 +بحكينا قد تتش .. قد تشتمل البرامج على أعمال متعلقة + +63 +00:05:59,010 --> 00:06:02,930 +خارج نطاق المشروعات المنفصلة التي يتضمنها + +64 +00:06:02,930 --> 00:06:06,930 +البرنامج، في بعض الأوقات ليس خاطئًا أن نجد أن + +65 +00:06:06,930 --> 00:06:10,590 +البرنامج في عنده أعمال ما لهاش علاقة بالمشروعات + +66 +00:06:10,590 --> 00:06:13,690 +إحنا مش بيقول لنا مشروعات وبرامج وأعمال أخرى، دي + +67 +00:06:13,690 --> 00:06:16,350 +الأعمال الأخرى، بعض الأوقات ممكن نلاقي البرنامج + +68 +00:06:16,350 --> 00:06:21,930 +تحت سيطرته شغلات ما لهاش علاقة بالمشروع، قد يكون أو + +69 +00:06:21,930 --> 00:06:26,310 +لا يكون حسب عدة معيار، أحد المشروعات جزء من إيش؟ من + +70 +00:06:26,310 --> 00:06:29,710 +أحد البرنامج، يمكن يكون معاهم ويمكن ما يكونش معاهم + +71 +00:06:29,710 --> 00:06:34,430 +ولكن بشكل دائم يحتوي البرنامج على إيش؟ مشاريع + +72 +00:06:34,430 --> 00:06:39,130 +.. مشاريع .. مشاريع .. مشاريع + +73 +00:06:39,130 --> 00:06:42,050 +.. مشاريع .. مشاريع .. مشاريع .. مشاريع .. مشاريع + +74 +00:06:42,050 --> 00:06:47,410 +.. مشاريع .. مشاريع .. مشاريع .. مشاريع .. مشاريع + +75 +00:06:47,410 --> 00:06:47,590 +.. مشاريع .. مشاريع .. مشاريع .. مشاريع .. مشاريع + +76 +00:06:47,590 --> 00:06:47,650 +.. مشاريع .. مشاريع .. مشاريع .. مشاريع .. مشاريع + +77 +00:06:47,650 --> 00:06:53,690 +.. مشاريع .. مشاريع .. مشروع إعمار شارع البحر + +78 +00:06:53,690 --> 00:07:02,290 +بس تابع لبرنامج، لأ، حالة أخرى مشروع مثلًا محو + +79 +00:07:02,290 --> 00:07:08,390 +الأمية تابع لبرنامج، أه برنامج علمي، بدأ البرنامج + +80 +00:07:08,390 --> 00:07:12,890 +معناه مجموعة من يشمل مشاريع، إذا مش قاعد المشروع + +81 +00:07:12,890 --> 00:07:17,150 +يكون له برنامج، لكن قاعد البرنامج له إيش؟ عدة مشاريع + +82 +00:07:17,150 --> 00:07:22,790 +إذا نعيدها مرة ثانية، مين يعيدها لنا؟ فضل يا غدير + +83 +00:07:22,790 --> 00:07:28,830 +ليس قاعدة أن يكون ال .. المشروع له برنامج، لكن + +84 +00:07:28,830 --> 00:07:31,810 +البرنامج لازم يكون له عملية مشروعية، ممتاز، البرنامج + +85 +00:07:31,810 --> 00:07:35,950 +ضروري يتكون من مجموعة من إيش؟ من المشروعية، لكن + +86 +00:07:35,950 --> 00:07:39,110 +المشروع مش ضروري، ممكن يكون مشروع مستقل بدأته زي ما + +87 +00:07:39,110 --> 00:07:44,610 +أقول نعمل شارع البحر، لا له برنامج ولا حاجة عرضي في + +88 +00:07:44,610 --> 00:07:47,970 +إدارة البرامج اللي هي الـ program management، إدارة + +89 +00:07:47,970 --> 00:07:55,010 +مركزية متناسقة لأحد إيش؟ البرنامج، إذا في إدارة + +90 +00:07:55,010 --> 00:07:58,150 +البرامج نحتاج .. نحتاج لإدارة مركزية متناسقة لأحد + +91 +00:07:58,150 --> 00:08:01,490 +البرامج بمعنى يتم تحقيق الأهداف والفوائد + +92 +00:08:01,490 --> 00:08:06,170 +الاستراتيجية الخاصة بالبرنامج، إيش يعني كلام هذا؟ + +93 +00:08:06,170 --> 00:08:09,250 +إدارة البرنامج .. البرنامج عبارة عن إدارة مركزية + +94 +00:08:09,250 --> 00:08:14,320 +لمين؟ لبرنامج معين، هدفها الأساسي تحقيق الأهداف وال + +95 +00:08:14,320 --> 00:08:17,940 +أشياء والاستراتيجية، إذا من الكلام هذا ممكن نحكي + +96 +00:08:17,940 --> 00:08:21,320 +أنه كل برنامج يجب أن يكون لديه هدف ويجب أن يكون + +97 +00:08:21,320 --> 00:08:25,080 +لديه أشياء استراتيجية، إذا كل برنامج لازم يكون عنده + +98 +00:08:25,080 --> 00:08:30,880 +هدف ويكون عنده استراتيجية، يتم الربط بين المشروعات + +99 +00:08:30,880 --> 00:08:34,940 +داخل أحد البرامج من خلال الناتج المشترك أو قدرة + +100 +00:08:34,940 --> 00:08:40,260 +الجماعية، ببساطة يا أخوات من خلال فريق العمل، نبسطها + +101 +00:08:40,260 --> 00:08:45,400 +يعني إذا إحنا قلنا البرنامج بتكون من مجموعة من + +102 +00:08:45,400 --> 00:08:49,860 +المشاريع، كيف ممكن أربط بالمشاريع المستقلة، هذا + +103 +00:08:49,860 --> 00:08:54,340 +بيحكي لي عن طريق فريق إيش؟ العمل، بعض الأوقات بيكونش + +104 +00:08:54,340 --> 00:08:57,300 +في علاقة بالمشروع، هذا مش مشكلة، كل مشروع بيشملوا + +105 +00:08:57,300 --> 00:09:00,880 +كله، بيحكي لي ممكن إذا كانت علاقة بالمشروع هذا لا + +106 +00:09:00,880 --> 00:09:05,720 +تمثل إلا في عملية عميل، اللي هو الزبون أو بائع أو + +107 +00:09:05,720 --> 00:09:10,760 +technology أو مورد مشترك، ينبغي في هذه الحالة إدارة + +108 +00:09:10,760 --> 00:09:15,160 +الجهود في صورة حقيبة استثمارية للمشروعات بدلًا من + +109 +00:09:15,160 --> 00:09:18,740 +إدارتها في صورة برنامج واحد، في هنا سؤال بطرح نفسه + +110 +00:09:18,740 --> 00:09:29,500 +متى تنصحين بالتحول من إدارة البرنامج إلى إدارة + +111 +00:09:29,500 --> 00:09:33,340 +الحقيبة الاستثمارية؟ + +112 +00:09:35,520 --> 00:09:38,900 +خدتي بالكم من السؤال؟ وقت إيش بتكوني أنتِ إدارة + +113 +00:09:38,900 --> 00:09:41,260 +برنامج ما أقول لك لأ، حولي للحقيبة الاستثمارية، طب + +114 +00:09:41,260 --> 00:09:45,680 +أخذِ بالكم، الحقيبة الاستثمارية أوسع من مجالات البرامج، + +115 +00:09:45,680 --> 00:09:48,740 +ليش؟ لأن الحقيبة الاستثمارية مكونة من ثلاث شغلات، + +116 +00:09:48,740 --> 00:09:53,860 +مشاريع وبرامج وأعمال أخرى، البرنامج بس بتكون مشاريع + +117 +00:09:54,610 --> 00:09:59,730 +لما نقول انقلي من إدارة البرامج لإدارة الحقيبة + +118 +00:09:59,730 --> 00:10:04,690 +الاستثمارية، معناه انقلي من الإطار الضيق للإطار + +119 +00:10:04,690 --> 00:10:12,130 +الأوسع، السؤال متى يتم تقديم نصيحة انقلي من إدارة + +120 +00:10:12,130 --> 00:10:15,510 +البرامج لإدارة الحقيبة الاستثمارية، يعني من الضيق + +121 +00:10:15,510 --> 00:10:18,550 +للأوسع بيحكي لنا + +122 +00:10:20,830 --> 00:10:24,290 +إذا كانت العلاقة بين المشاريع خذي بالكم لغاية هنا + +123 +00:10:24,290 --> 00:10:33,490 +هذا إدارات برامج الـ program management ماشي، لكن + +124 +00:10:33,490 --> 00:10:36,990 +إذا كانت بس علاقة بينهم عميل واحد، يعني حاجة واحدة + +125 +00:10:36,990 --> 00:10:41,570 +بسيطة مشتركة بيحكي لنا حولي لإيش؟ هنا للي هي حقيبة، حقيبة + +126 +00:10:41,570 --> 00:10:50,390 +استثمارية، إذا إن ببساطة إذا كان الشيء المشترك بين + +127 +00:10:50,390 --> 00:10:56,950 +المشاريع بسيط في إدارة البرامج حولي لإدارة الحقيبة + +128 +00:10:56,950 --> 00:11:01,670 +الاستثمارية، زي إيش مثال على شيء بسيط في إدارة + +129 +00:11:01,670 --> 00:11:07,590 +البرامج بقول لي عميل واحد بس، زبون ماشي، تكنولوجيا + +130 +00:11:07,590 --> 00:11:12,650 +هيك بنحول للحقيبة الاستثمارية، إذا كان لنا + +131 +00:11:12,650 --> 00:11:15,110 +السؤال متى تنصحينا بالتحويل من إدارة البرنامج + +132 +00:11:15,110 --> 00:11:19,070 +لإدارة الحقيبة الاستثمارية؟ مين حابب يشارك الإجابة؟ + +133 +00:11:19,070 --> 00:11:22,410 +تفضلي، كيفية إذا كان الشيء المشترك بين المشروعات + +134 +00:11:22,410 --> 00:11:30,970 +بسيط، إذا كان العامل المشترك بين المشاريع بسيط + +135 +00:11:30,970 --> 00:11:34,330 +حاجة واحدة بقول لك لا، ما تضليش ماشي إدارة البرامج + +136 +00:11:34,330 --> 00:11:38,130 +امشي على إدارة إيش؟ الحقيبة الاستثمارية، وصيت ولا أعيدها + +137 +00:11:38,130 --> 00:11:42,370 +ثاني؟ وصيت واضحي + +138 +00:11:42,370 --> 00:11:49,010 +ما الفرق بين إدارة المشاريع والبرامج والحقيبة + +139 +00:11:49,010 --> 00:11:57,370 +للاستثمارية؟ عندنا جدول باللغة الإنجليزية إذا حابين + +140 +00:11:57,370 --> 00:12:01,290 +بترجموه، الكلام بسيط، إذا حابين تخلوه زي ما هو إيش + +141 +00:12:01,290 --> 00:12:05,130 +بتفضلوا؟ إذا + +142 +00:12:05,130 --> 00:12:08,450 +حابة تخليه إنجليزي؟ إيه كتب إنجليزي صح؟ إذا حابة + +143 +00:12:08,450 --> 00:12:14,250 +نترجمهم؟ نترجمهم؟ اعملوا جدول ولا نترجم واحدة + +144 +00:12:14,250 --> 00:12:20,660 +واحدة؟ رقم واحد scoop، شو يعني scoop؟ ممتاز، ننطق + +145 +00:12:20,660 --> 00:12:24,640 +أو المجال، إذا عندنا إيش؟ الـ scoop + +146 +00:12:44,270 --> 00:12:59,250 +خلص ولسه؟ خلص رقم + +147 +00:12:59,250 --> 00:13:05,570 +واحد المجال بالنسبة للمشاريع هي projects تعمل + +148 +00:13:05,570 --> 00:13:09,430 +على تعريف إيش؟ الأهداف، تعريف الأهداف أو أهداف + +149 +00:13:09,430 --> 00:13:13,410 +محددة، اه تعريف الأهداف معناها تحديدها بالنسبة + +150 +00:13:13,410 --> 00:13:25,010 +للبرنامج، البرامج بتعمل على تحديد المجالات وتقدم + +151 +00:13:25,010 --> 00:13:35,330 +بيانات إحصائية أكثر بالنسبة + +152 +00:13:35,330 --> 00:13:37,290 +للحقيبة + +153 +00:13:39,030 --> 00:13:45,430 +تقدم أو تركز على مجالات الأعمال، ممتاز، بارك الله + +154 +00:13:45,430 --> 00:13:50,290 +فيك، شكراً يا أزهر، يا أزهر عفواً وتركز على مجالات + +155 +00:13:50,290 --> 00:13:56,110 +الأعمال والأهداف الاستراتيجية، حسيتوا في فرق ولا + +156 +00:13:56,110 --> 00:14:00,770 +فيش فرق؟ في فرق، تعالوا نشوف في نفس النقطة، النقطة + +157 +00:14:00,770 --> 00:14:06,740 +أو المجال، المشاريع بتحدد أهداف لكن ما جا لك هل هي + +158 +00:14:06,740 --> 00:14:10,000 +أهداف استراتيجية، تكتيكية، تكنيكية، ما قالتش، + +159 +00:14:10,000 --> 00:14:17,680 +فالأهداف ضالة ساكت، البرامج بتركز على المجالات + +160 +00:14:17,680 --> 00:14:22,720 +أكثر من الأهداف و بتركز على بيانات إحصائية، تهتم + +161 +00:14:22,720 --> 00:14:26,820 +بالأرقام يعني، طب الحقيبة، الحقيبة بتركز وأنت + +162 +00:14:26,820 --> 00:14:30,940 +ماشي على الأهداف الاستراتيجية، يعني أوسع مجالاتها + +163 +00:14:30,940 --> 00:14:33,400 +مجال الحقيبة، الحقيبة زي ما بتحكي إن الشنطة بتاعة + +164 +00:14:33,400 --> 00:14:36,490 +كتير شوية حاجات، كل الحاجات اللي فيها جوه جزء من + +165 +00:14:36,490 --> 00:14:40,710 +الشنطة، إذا مين اللي ظاهر الحقيقة الاستثمارية؟ + +166 +00:14:40,710 --> 00:14:45,450 +المشاريع والبرامج، الأغراض اللي في الشنطة، واضح؟ + +167 +00:14:45,450 --> 00:14:49,750 +نعيدها ثاني؟ رقم اثنين الـ challenge اللي هو التغير + +168 +00:14:49,750 --> 00:14:53,570 +رقم + +169 +00:14:53,570 --> 00:14:57,830 +واحد، المشاريع + +170 +00:14:57,830 --> 00:15:03,850 +تتوقع التغيرات، تتوقع التغيرات يعني بتخطط + +171 +00:15:07,390 --> 00:15:13,210 +البرنامج بتوقع التغير وبخطط، عفواً رقم واحد + +172 +00:15:13,210 --> 00:15:17,890 +المشاريع بتتوقع وبتخطط، حاجة إنها اثنين، البرنامج + +173 +00:15:17,890 --> 00:15:25,350 +بتتوقع التغير داخليّاً وخارجيّاً، وتخطط لإدارته + +174 +00:15:25,350 --> 00:15:31,050 +المحفظة + +175 +00:15:31,990 --> 00:15:39,630 +ترصد التغيرات بشكل واسع ومستمر، ترصد التغيرات بشكل + +176 +00:15:39,630 --> 00:15:45,930 +واسع ومستمر، هنشوف زي بعض ولا في اختلاف؟ بالنسبة + +177 +00:15:45,930 --> 00:15:49,230 +للمشاريع مسار التغير بتتوقع إنه يصير تغير في البلد + +178 +00:15:49,230 --> 00:15:54,730 +تبدأ تخطط، البرامج كانت أكثر تحديداً في التغير + +179 +00:15:54,730 --> 00:15:58,950 +بتتوقع التغير داخل المؤسسة أو داخل المشروع وخارجه + +180 +00:15:58,950 --> 00:16:04,030 +وتخطط، فاكر كيف بدها تتصرف؟ رقم ثلاثة تقوم بعملية + +181 +00:16:04,030 --> 00:16:07,910 +ترصد التغير اللي هي الحقيبة، خدي بالك الحقيبة كل + +182 +00:16:07,910 --> 00:16:12,490 +مالها بتوصل لمستوى الأعلى، ترصد التغيرات بشكل واسع + +183 +00:16:12,490 --> 00:16:18,400 +وبشكل إيش؟ مستمر، تلاتة planning اللي هو التخطيط + +184 +00:16:18,400 --> 00:16:25,000 +المشاريع، التخطيط بالنسبة إليها تدريجي، التخطيط في + +185 +00:16:25,000 --> 00:16:32,020 +المشاريع إيش؟ تدريجي، في البرامج بالتفصيل تخطيط + +186 +00:16:32,020 --> 00:16:37,340 +البرامج إيش ماله؟ بالتفصيل، التخطيط + +187 +00:16:37,340 --> 00:16:44,530 +في الحقيبة يكون للحفاظ على العمليات الضرورية فقط أو + +188 +00:16:44,530 --> 00:16:50,550 +العمليات الأساسية، نعيدهم مع بعض، التخطيط في + +189 +00:16:50,550 --> 00:16:55,250 +المشروع بيكون بالتدريج، واحدة واحدة step by step، + +190 +00:16:55,250 --> 00:17:01,290 +التخطيط في البرامج بيكون إيش؟ ومفصل، ليش مفصل؟ لأنه + +191 +00:17:01,290 --> 00:17:04,670 +البرنامج عبارة عن مجموعة مشاريع، فكل مشروع له خطة، + +192 +00:17:04,670 --> 00:17:09,990 +هاي تفصيل، الخطة أو الحقيبة الاستثمارية، التخطيط + +193 +00:17:09,990 --> 00:17:14,150 +لها إيش؟ بيكون له هدف واحد، الحفاظ على العمليات + +194 +00:17:14,150 --> 00:17:22,050 +الأساسية في المؤسسة، رقم خمسة.. أربعة، الإدارة + +195 +00:17:24,620 --> 00:17:30,960 +بالنسبة للمشاريع تعتمد على إدارة فريق العمل للوصول + +196 +00:17:30,960 --> 00:17:36,600 +للأهداف، إذا الإدارة في المشاريع اللي هي الـ work + +197 +00:17:36,600 --> 00:17:41,440 +team، إدارة فريق العمل للوصول إيش؟ للأهداف، اثنين + +198 +00:17:41,440 --> 00:17:49,060 +البرامج تكون إدارة شاملة، عفواً شو يعني إدارة شاملة؟ + +199 +00:17:49,060 --> 00:17:56,030 +يعني مش فريق عمل بس، بشكل عام ماشي، تلاتة المحافظ + +200 +00:17:56,030 --> 00:18:00,510 +تعتمد + +201 +00:18:00,510 --> 00:18:07,870 +على الإشراف، تعتمد على الإشراف، إشراف وتنسيق هي + +202 +00:18:07,870 --> 00:18:12,170 +الإدارة، نعيد ثاني، أول واحدة فريق عمل، ثاني واحدة + +203 +00:18:12,170 --> 00:18:16,970 +بشكل شامل، تالت واحدة إيش؟ الإشراف، بجيب الجدول في + +204 +00:18:16,970 --> 00:18:26,320 +الشريحة التالية، الرقابة، الرقابة في البرامج أو عفواً + +205 +00:18:26,320 --> 00:18:33,780 +في المشاريع قبل تكون الرقابة مطابقة حسب الخطة أو + +206 +00:18:33,780 --> 00:18:39,340 +بشكل أسهل، تركز الرقابة في المشاريع على جودة + +207 +00:18:39,340 --> 00:18:49,620 +المنتجات وعلى رضا من المستهلك، على رضا المستهلك، في + +208 +00:18:49,620 --> 00:18:55,510 +البرامج بيكون الرقابة على الأمور الإحصائية و + +209 +00:18:55,510 --> 00:19:00,490 +الفوائد، بيكون على الموازنات، أيوة على الأمور + +210 +00:19:00,490 --> 00:19:05,510 +الإحصائية يعني على الأمور المالية أكثر، في آخر حاجة + +211 +00:19:05,510 --> 00:19:11,950 +المحفظة الرقابة بتكون على الأداء، على إيش الأداء؟ + +212 +00:19:11,950 --> 00:19:18,470 +بمعنى أداء المشاريع وأداء الـ branch، آخر + +213 +00:19:18,470 --> 00:19:21,730 +نقطة السيطرة + +214 +00:19:23,780 --> 00:19:30,980 +الإيش؟ السيطرة بالنسبة + +215 +00:19:30,980 --> 00:19:36,720 +لمدير المشروع بتكون السيطرة بتاعته على المنتجات و + +216 +00:19:36,720 --> 00:19:42,900 +الخدمات وعلى النتائج، منتج خدمة نتيجة يعني هل هو + +217 +00:19:42,900 --> 00:19:50,220 +بيشتغل صح ولا غلط، بالنسبة لإدارة البرامج + +218 +00:19:52,370 --> 00:20:02,790 +بتكون السيطرة على تحقيق الأهداف، الموازنات، شبكة + +219 +00:20:02,790 --> 00:20:04,810 +الأعمال، عفواً شبكة الأعمال اللي أخذتوها في البحث + +220 +00:20:04,810 --> 00:20:08,770 +بالنسبة + +221 +00:20:08,770 --> 00:20:14,990 +لسيطرة الحقيبة الاستثمارية تكون على قياس الأداء + +222 +00:20:14,990 --> 00:20:18,170 +والاهتمام + +223 +00:20:18,170 --> 00:20:19,230 +بالمؤشرات + +224 +00:20:28,110 --> 00:20:31,830 +واضحة ولا .. في أي نقطة عيدها؟ هيك ترجمة تقول لك + +225 +00:20:31,830 --> 00:20:36,090 +وضحتها كمان، في أي حاجة عيدها؟ اتطلعوا على + +226 +00:20:36,090 --> 00:20:38,910 +الجدول لو سمحتوا، لو كتبتوا، في أي حاجة عيدها؟ لا + +227 +00:20:38,910 --> 00:20:41,670 +يا عزيزي أو حاجة حساها مش واضحة أو مش مترابطة أو + +228 +00:20:41,670 --> 00:20:46,650 +إشي؟ كله واضح، المشروعات + +229 +00:20:46,650 --> 00:20:50,090 +والتخطيط الاستراتيجي، اتفضل يا روان، قرأي لنا إيش + +230 +00:20:50,090 --> 00:20:56,540 +كاتب؟ غالباً ما يتم .. حطي خط تحت كلمة غالباً، مش + +231 +00:20:56,540 --> 00:21:00,300 +دايماً يعني، اه تفضلي، غالباً ما يتم استخدام المشروعات + +232 +00:21:00,300 --> 00:21:03,280 +كوسيلة لتحقيق الخطة الاستراتيجية .. حط خط تحت + +233 +00:21:03,280 --> 00:21:08,640 +كلمة وسيلة، تفضلي + +234 +00:21:08,640 --> 00:21:13,080 +كمان، لتحقيق الخطة الاستراتيجية الخاصة بالمؤسسة و + +235 +00:21:13,080 --> 00:21:16,860 +عادة ما يتم قبول المشروعات كنتيجة لواحدة أو أكثر + +236 +00:21:16,860 --> 00:21:20,460 +من الاعتبارات الاستراتيجية التالية، طلب السوق .. + +237 +00:21:20,460 --> 00:21:25,850 +شوي شوي، أنا ايه ده؟ غالباً مش دائماً ما يتم استخدام + +238 +00:21:25,850 --> 00:21:32,890 +المشروع كأداة لتحقيق الخطة الاستراتيجية، سؤال + +239 +00:21:32,890 --> 00:21:40,650 +أذكر الاعتبارات الاستراتيجية + +240 +00:21:40,650 --> 00:21:46,270 +التي نعتمد + +241 +00:21:46,270 --> 00:21:50,650 +عليها عند قبول المشاريع + +242 +00:21:56,770 --> 00:21:59,250 +عيد ثاني؟ عيد ولا أكملش أنا؟ + +243 +00:22:02,170 --> 00:22:07,070 +إيش يعني الاعتبارات الاستراتيجية؟ معناها إيش + +244 +00:22:07,070 --> 00:22:10,510 +الأمور اللي بستخدمها في التخطيط طويل الأجل، لحد يعني + +245 +00:22:10,510 --> 00:22:13,310 +بتطلع لقدام، وبناء على قدام هذا أشوف هل هذا + +246 +00:22:13,310 --> 00:22:16,790 +المشروع أقبله ولا بلاش؟ إذا إيش الاعتبارات + +247 +00:22:16,790 --> 00:22:19,770 +الاستراتيجية اللي هي بعيدة الأجل اللي بناء عليها + +248 +00:22:19,770 --> 00:22:23,770 +بنوافق على المشروع هذا أو بنوافقش؟ إذا مش كل مشروع + +249 +00:22:23,770 --> 00:22:28,670 +يقدم، يقبل، ممكن من مية ناخد خمسة بس أو تلاتة، طب + +250 +00:22:28,670 --> 00:22:31,070 +ليش خمسة أو تلاتة؟ طب لا تاخدوا المية؟ بناء على + +251 +00:22:31,070 --> 00:22:33,710 +الاعتبارات؟ أو خذوا خمسين؟ لأ، عندنا اعتبارات + +252 +00:22:33,710 --> 00:22:40,930 +استراتيجية بتحددنا، نشوف مع بعض أسماء، طلب السوق + +253 +00:22:40,930 --> 00:22:44,010 +اللي أنت بتحسّه في الاقتصاد اللي هو الطلب، معطينا + +254 +00:22:44,010 --> 00:22:48,210 +مثال، مثل إحدى شركات السيارات التي تدرس أحد + +255 +00:22:48,210 --> 00:22:51,850 +المشروعات لتصنيع سيارات أكثر توفيرًا للوقود، تجاوب + +256 +00:22:51,850 --> 00:22:55,610 +مع ارتفاع أسعار البنزين، هذا خطة استراتيجية، شوف مع بعض + +257 +00:22:55,610 --> 00:23:00,770 +متوقع إنه في المستقبل البنزين الكمية بتاعته أو + +258 +00:23:00,770 --> 00:23:06,230 +توافره في السوق ينخفض، طيب في ناس قدموا مشروع + +259 +00:23:06,230 --> 00:23:11,570 +بدون يفتحوا مصنع سيارات نوافق على طول المصنع ولا + +260 +00:23:11,570 --> 00:23:18,390 +نوقف قليلًا؟ إذا كانت السيارات المصنعة اللي جايين + +261 +00:23:18,390 --> 00:23:21,070 +أصحاب المشروع بدهم يوافقوا عليها وياخدوا + +262 +00:23:21,070 --> 00:23:26,430 +تمويل، يبتجاوب مع رؤيتنا للمستقبل إن احتمال كمية + +263 +00:23:26,430 --> 00:23:31,530 +الوقود تقل في السوق بنوافق، واضح؟ أما إذا كانت + +264 +00:23:31,530 --> 00:23:35,850 +السيارات اللي أنتو جايين تصنعوها ماشية بمستوى + +265 +00:23:35,850 --> 00:23:39,970 +طبيعي بالنسبة لاستخدام البنزين أو ما بتوفرش بنزين، + +266 +00:23:39,970 --> 00:23:49,370 +نرفضها، إذا مرة ثانية نشرحها بشكل آخر، محمد يقترح أو + +267 +00:23:49,370 --> 00:24:01,210 +قدم محمد، قدم مشروع لصناعة السيارات يحتاج تمويل + +268 +00:24:01,210 --> 00:24:05,210 +المدير + +269 +00:24:05,210 --> 00:24:13,990 +عليه، السؤال متى علي بيوافق على مشروع محمد؟ بعد دراسات + +270 +00:24:13,990 --> 00:24:18,390 +ما هو؟ بعد دراسات؟ إذا + +271 +00:24:18,390 --> 00:24:29,810 +كان مشروع محمد لصناعة السيارات سينتج أو يصنع + +272 +00:24:29,810 --> 00:24:34,670 +سيارات توفر البنزين + +273 +00:24:36,360 --> 00:24:48,320 +نفتح قوس، لأن هناك دراسة تقول أن البنزين سيقل في + +274 +00:24:48,320 --> 00:24:52,600 +السوق نقبل + +275 +00:24:52,600 --> 00:24:58,980 +المشروع، والعكس هذا يا أخوات اسمه خطة استراتيجية + +276 +00:24:58,980 --> 00:25:03,820 +لأنها مرتبطة بالمستقبل، واضح؟ إذا والله يا محمد سيارتك + +277 +00:25:03,820 --> 00:25:08,640 +اللي تصنيعها بتوفر البنزين أهلاً وسهلاً، طبعاً مع + +278 +00:25:08,640 --> 00:25:13,420 +أمور أخرى، لكن إذا ما بتوفرش من أولها يعني المشروع + +279 +00:25:13,420 --> 00:25:18,480 +مرفوض، واضح؟ هذا المقصود على سبيل المثال طلب السوق + +280 +00:25:18,930 --> 00:25:23,370 +اثنين، الحاجة إلى مشروع استراتيجي، مثل إحدى + +281 +00:25:23,370 --> 00:25:27,210 +شركات التدريب التي ترخص أحد المشروعات لبضع دورة + +282 +00:25:27,210 --> 00:25:31,550 +تدريبية جديدة لزيادة عائدات رقم اثنين + +283 +00:25:31,550 --> 00:25:37,410 +الاعتبار الثاني هل المشروع المقدموافق عليه أنا + +284 +00:25:37,410 --> 00:25:41,630 +وياك ولا نفضّل فيه فرصة ممكن نقتنصها طبعا فرصة + +285 +00:25:41,630 --> 00:25:47,150 +للارباح، معنى ع سبيل المثال في شركة تدريب ناس + +286 +00:25:47,150 --> 00:25:51,410 +قدموا لها مشروع لدورة جديدة قبل ما يوافقوا بيشوفوا + +287 +00:25:51,410 --> 00:25:57,130 +هل الدورة الجديدة هتجيب أرباح إذا اه و بشكل كبير + +288 +00:25:57,130 --> 00:26:01,470 +بنوافق مع اعتبارات أخرى إذا لا خلاص أو إذا كانت + +289 +00:26:01,470 --> 00:26:05,020 +الدورة تقليدية يعني يكون مراكز التدريب يعطوا نفس + +290 +00:26:05,020 --> 00:26:07,780 +الدورة؟ لا، هدمّش كتير، مافيش موقع نفسها، مش هداك + +291 +00:26:07,780 --> 00:26:13,580 +الأشي، هذا المقصود فيها أن المشروع مقدم فكرة جديدة + +292 +00:26:13,580 --> 00:26:19,120 +ممكن يترتب عليها إيش تحقيق الأرباح، ثلاثة يا أسماء + +293 +00:26:19,120 --> 00:26:23,260 +طلب العميل مثل إحدى شركات الكهرباء التي ترخص أحد + +294 +00:26:23,260 --> 00:26:27,320 +المشروعات لبناء محطة فرعية جديدة لخدمة مركز صناعي + +295 +00:26:27,320 --> 00:26:31,850 +جديد، طيب، مين العميل في المثال هذا بيطلع؟ صاحب + +296 +00:26:31,850 --> 00:26:36,470 +المصنع، ممتاز، ممتاز، مركز صناعي له صاحب المصنع + +297 +00:26:36,470 --> 00:26:40,510 +يعني، بس كاتبها بشكل آخر اه اه اه اه اه اه اه اه + +298 +00:26:40,510 --> 00:26:41,150 +اه اه اه اه اه اه اه اه اه اه اه اه اه اه اه اه اه + +299 +00:26:41,150 --> 00:26:41,670 +اه اه اه اه اه اه اه اه اه اه اه اه اه اه اه اه اه + +300 +00:26:41,670 --> 00:26:46,310 +اه اه اه اه + +301 +00:26:58,630 --> 00:27:01,730 +التقدم التكنولوجي مثل إحدى شركات الأجهزة + +302 +00:27:01,730 --> 00:27:04,710 +الإلكترونية التي ترخص مشروعًا جديدًا لتصنيع + +303 +00:27:04,710 --> 00:27:08,810 +كمبيوتر محمول أسرع وأرخص، خذ بالك أسرع، أرخص، + +304 +00:27:08,810 --> 00:27:12,450 +أصغر، بعد التطورات التي طرأت على ذاكرة الحاسب + +305 +00:27:12,450 --> 00:27:16,230 +القالي والإلكترونية، بمعنى لو اجوا ناس قدّموا بدهم + +306 +00:27:16,230 --> 00:27:22,300 +تمويل لمشروع لصناعة كمبيوتر عادي، بلاش لازم المشروع + +307 +00:27:22,300 --> 00:27:27,360 +يكون فيه ميزة تشجعنا ناوله هدول الناس مقدمين مثلًا + +308 +00:27:27,360 --> 00:27:32,900 +بيصنعوا Laptop لكن صغنون وسعر رخيص وسريع .. اه + +309 +00:27:32,900 --> 00:27:35,660 +والله هذا هيلاقي إيش إقباله في السوق أيضًا + +310 +00:27:35,660 --> 00:27:39,360 +المتطلبات القانونية مثل إحدى الشركات المصنعة التي + +311 +00:27:39,360 --> 00:27:42,940 +ترخص أحد المشروعات لتحديد الإرشادات التي ما نِعرف + +312 +00:27:42,940 --> 00:27:46,640 +معالجة أحد المواد السامة الجديدة، في حد ممكن تشرحها + +313 +00:27:46,640 --> 00:27:49,960 +هذا المثال؟ في أي طالب ممكن تشرح لنا المثال هذا؟ + +314 +00:27:56,430 --> 00:28:09,470 +صعب؟ لا أنه .. في عندنا مصنع مواد كيميائية ينجم عنه + +315 +00:28:09,470 --> 00:28:16,730 +نفايات، النفايات هذه ضارة بالبيئة، هذا يا أخوات + +316 +00:28:16,730 --> 00:28:21,930 +الواقع، أن هو والله هيجي مصنع بيطلع نفايات برميها على + +317 +00:28:21,930 --> 00:28:29,590 +البحر وعملنا تلوث، تقدم أحد بمشروع ماشي للتخلص + +318 +00:28:29,590 --> 00:28:35,810 +من هذه النفايات وتقليل + +319 +00:28:35,810 --> 00:28:42,850 +تلوث البيئة، نوافق ولا ما نوافقش؟ هذا المقصود فيها + +320 +00:28:42,850 --> 00:28:46,610 +هذا المقصود إيش فيها؟ اللي هي الاعتبارات البيئية + +321 +00:28:46,610 --> 00:28:53,320 +يعني الاعتبارات البيئية هذه يا أخوات الأمثلة على + +322 +00:28:53,320 --> 00:28:57,740 +سبيل المثال، مش الحصر لأنها كتيرة لأنها أشياء كتيرة + +323 +00:28:57,740 --> 00:29:00,980 +يعني في شغلات معينة هي اللي بتخلينا نوافق على + +324 +00:29:00,980 --> 00:29:05,580 +المشروع هذا أو ما نوافقش زي ما أخذنا، واضح ولا + +325 +00:29:05,580 --> 00:29:12,140 +أعيد؟ أعيد ثاني؟ عيد ثاني؟ خليني معك ده سمحته + +326 +00:29:12,140 --> 00:29:21,020 +شكرا يا أسماء، عندنا ملاحظة، تفضلي تفضلي تقوم + +327 +00:29:21,020 --> 00:29:24,380 +المؤسسات في إدارة الحقائب الاستثمارية حسب خطتها + +328 +00:29:24,380 --> 00:29:28,040 +الاستراتيجية، وهو الأمر الذي قد يتطلب وجود تسكته + +329 +00:29:28,040 --> 00:29:31,680 +هربية للحقيبة الاستثمارية أو البرامج أو المشروعات + +330 +00:29:31,680 --> 00:29:36,340 +المتضمنة، يتمثل أحد أهداف إدارة الحقيبة الاستثمارية + +331 +00:29:36,340 --> 00:29:39,880 +في الحصول على أقصى قيمة من الحقيبة الاستثمارية إذا + +332 +00:29:39,880 --> 00:29:46,250 +نُحط خط تحت أحد أهداف إدارة الحقيبة الاستثمارية اللي + +333 +00:29:46,250 --> 00:29:50,050 +احنا شرحناها المرة الماضية، الحصول على أقصى قيمة + +334 +00:29:50,050 --> 00:29:56,950 +أقصى قيمة، معناها أقصى استفادة عن طريق إخضاع + +335 +00:29:56,950 --> 00:30:05,070 +مكوناتها، مكوناتها إيش مكوناتها؟ ثلاثة، ممتاز، ايه + +336 +00:30:05,070 --> 00:30:08,470 +المشايين في الشريعة؟ تُعتبر هذه المكونات الأقل + +337 +00:30:08,470 --> 00:30:11,590 +إسهامًا في تحقيق الأهداف الاستراتيجية، الخاصة + +338 +00:30:11,590 --> 00:30:15,330 +بالحقيبة الاستثمارية التي قد يتم استثمارها؟ نقف + +339 +00:30:15,330 --> 00:30:19,790 +هنا، مش كل خواص الحقيبة الاستثمارية، مكوناتها ممكن + +340 +00:30:19,790 --> 00:30:23,470 +يخدموني في تحقيق الأهداف، مش دائمًا، هو الأصل + +341 +00:30:23,470 --> 00:30:26,610 +المكونات كلها تخدمي في تحقيق الأهداف، لكن بعض + +342 +00:30:26,610 --> 00:30:30,290 +الأوقات باللحظة أن في عندنا برامج أو مشاريع ما + +343 +00:30:30,290 --> 00:30:34,310 +بيساعدني في تحقيق أهداف، تفضلي وهكذا تصبح الخطة + +344 +00:30:34,310 --> 00:30:37,550 +الاستراتيجية الخاصة بإحنا المؤسسات هي العامل + +345 +00:30:37,550 --> 00:30:41,990 +الرئيسي الذي يوجه الاستثمارات في المشروع، إذا متى + +346 +00:30:41,990 --> 00:30:51,530 +تصبح الخطة الاستثمارية العامل + +347 +00:30:51,530 --> 00:30:56,110 +الرئيسي لتوجيه + +348 +00:30:56,110 --> 00:31:01,710 +الاستثمار في المشروع إذا لوحظت + +349 +00:31:04,150 --> 00:31:11,510 +أن أحد مكونات المحفظة + +350 +00:31:11,510 --> 00:31:20,830 +الاستثمارية ليس له دور فعال في تحقيق الأهداف + +351 +00:31:24,750 --> 00:31:28,670 +اتفضل يا فاتر، وتقوم المشروعات في ذات الوقت بتوفير + +352 +00:31:28,670 --> 00:31:31,970 +التغذية الراجعة للبرامج والحقائب الاستثمارية عن + +353 +00:31:31,970 --> 00:31:35,570 +طريق رفع تقارير الحالات وطلبات التغيير التي قد + +354 +00:31:35,570 --> 00:31:38,710 +تؤثر على المشروعات والبرامج والحقائب الاستثمارية + +355 +00:31:38,710 --> 00:31:49,570 +الأخرى، كيف يوفر المشروع التغذية الراجعة، كيف أو + +356 +00:31:49,570 --> 00:31:56,880 +بِدْكِل أشكال، كيف يوفر المشروع التغذية الراجعة + +357 +00:31:56,880 --> 00:32:01,000 +للبرنامج والحقيبة الاستثمارية التابعة له المشروع + +358 +00:32:01,000 --> 00:32:06,400 +اللي تابع له يعني أو شو هي أشكال أو مظاهر التغذية + +359 +00:32:06,400 --> 00:32:13,960 +الراجعة التي يقدمها المشروع للحقيبة + +360 +00:32:13,960 --> 00:32:17,020 +الاستثمارية والبرنامج، تقارير الحالات وطلبات + +361 +00:32:17,020 --> 00:32:21,460 +التغيير، واحد تقارير الحالة، إيش صار يعني؟ + +362 +00:32:26,760 --> 00:32:29,400 +تقارير بيكتبوا إيش صار معانا اليوم، ممكن تكون تقارير + +363 +00:32:29,400 --> 00:32:33,680 +يومية أو تقارير أسبوعية أو شهرية، وطلبات إيش؟ + +364 +00:32:33,680 --> 00:32:36,040 +التغيير، عندنا طلب إن أنا أغير جهاز الكمبيوتر، بدي + +365 +00:32:36,040 --> 00:32:40,240 +أقول ليش هيك، بيسميها إيش تغيير راجع، تفضلي يتم + +366 +00:32:40,240 --> 00:32:43,860 +تنزيع احتياجات المشروعات لمن يدفع حاجات إلى الموارد + +367 +00:32:43,860 --> 00:32:47,560 +ونقلها مرة أخرى إلى مستوى الحقيبة الاستثمارية، وهو + +368 +00:32:47,560 --> 00:32:53,360 +الأمر الذي يؤدي بدوره إلى ضغط، شكرا يا فاتر كيف يتم + +369 +00:32:53,360 --> 00:33:05,740 +.. كيف يتم ضبط اتجاه تخطيط التنظيم، ببساطة عن طريق + +370 +00:33:05,740 --> 00:33:14,740 +تجميع احتياجات ومتطلبات المشاريع وإرسالها لحقيبة + +371 +00:33:14,740 --> 00:33:17,340 +الاستثمارية وهكذا + +372 +00:33:19,910 --> 00:33:23,090 +إذا واضح يا أخوات أن ال slide اللي أمامنا جزّأناها + +373 +00:33:23,090 --> 00:33:26,870 +على شكل أسئلة، هيك بيكون أوضح، إن نراجع مع بعض + +374 +00:33:26,870 --> 00:33:29,950 +واحد + +375 +00:33:29,950 --> 00:33:34,470 +حكينا متى يتم التحول من + +376 +00:33:38,050 --> 00:33:42,230 +الحقيبة الاستثمارية إلى الخطة الاستراتيجية، حكينا + +377 +00:33:42,230 --> 00:33:45,190 +أنه ما يكون فعلاً أحد مكونات الحقيبة الاستثمارية ما + +378 +00:33:45,190 --> 00:33:49,010 +بيشارك بشكل مطلوب في تحقيق أي أشكال الأداء، بعد ذلك + +379 +00:33:49,010 --> 00:33:53,030 +سألنا حالنا سؤال أشكال التغذية الراجعة، ما هي أشكال + +380 +00:33:53,030 --> 00:33:57,050 +التغذية الراجعة للمشاريع، طبعًا المشاريع هتقدم للي + +381 +00:33:57,050 --> 00:34:00,270 +يعلمنا اللي هم البرامج والحقيبة، قلنا كلهم كلمتين + +382 +00:34:00,270 --> 00:34:08,110 +التقارير وطلبات التغيير، آخر نقطة كيف يتم ضبط اتجاه + +383 +00:34:08,110 --> 00:34:12,050 +التخطيط التنظيمي، بحاجة بسيطة إنه جميع احتياجات و + +384 +00:34:12,050 --> 00:34:14,890 +طلبات المشاريع كلها ونُدخلها تروح على الحقيبة + +385 +00:34:14,890 --> 00:34:19,610 +الاستثمارية، خذي بالك، اكتب بجانب حقيبة الاستثمارية إدارة + +386 +00:34:19,610 --> 00:34:27,610 +عليا، اكتبي بجانبها إيش إدارة عليا، السؤال + +387 +00:34:27,610 --> 00:34:33,080 +التالي عرفتِ P&O، Project Management Office + +388 +00:34:33,080 --> 00:34:36,900 +Project Management Office، إذا أنا عارفة في مكتب + +389 +00:34:36,900 --> 00:34:40,580 +إدارة المشروع، اتفضلي هو هيكل أو كيان تنظيمي يقوم + +390 +00:34:40,580 --> 00:34:43,660 +بتحديد المسئوليات المتعلقة، المتعددة، المتعلقة + +391 +00:34:43,660 --> 00:34:47,620 +بالإدارة المركزية BMO والمتّنسقة لهذه المشروعات في + +392 +00:34:47,620 --> 00:34:50,880 +النطاق الخاص بها، إذا أنا ببساطة، مكتب إدارة + +393 +00:34:50,880 --> 00:34:55,690 +المشروع هو المكتب المسؤول عن متابعة المشاركين أي + +394 +00:34:55,690 --> 00:34:59,770 +مشكلة بنرجع له، بنحدد فيه المسئوليات المتعددة اللي + +395 +00:34:59,770 --> 00:35:01,550 +إلها علاقة بالإدارة المركزية، إيش معنى إدارة + +396 +00:35:01,550 --> 00:35:06,230 +مركزية؟ وأنا بعرف، قلت بنرجع له يعني ممنوع نتصرف + +397 +00:35:06,230 --> 00:35:08,310 +أو نتاخد قرار إلا نرجع له هكذا، عشان قلناها إدارة + +398 +00:35:08,310 --> 00:35:11,490 +مركزية، زي ما أخذتي قبل هيك إن الإدارة المركزية + +399 +00:35:11,490 --> 00:35:17,250 +تُركز صناعة قرار في يد الإدارة، هم تُركز صناعة قرار + +400 +00:35:17,250 --> 00:35:21,530 +في يد مكتب إدارة المشروع، فريق العمل في إدارة + +401 +00:35:21,530 --> 00:35:25,910 +المشروع ما بيتاخدوا أي قرار غير لما يرجعوا لل BMO، + +402 +00:35:25,910 --> 00:35:30,730 +واضح؟ عيدها؟ إذن عندنا إدارة مشروع لازم يكون له + +403 +00:35:30,730 --> 00:35:34,030 +مكتب، إيش بدنا فيه المكتب هذا؟ أي حاجة نحتاجها في + +404 +00:35:34,030 --> 00:35:36,770 +إدارة المشروع واحنا في ميدان العمل، نتصل على + +405 +00:35:36,770 --> 00:35:43,940 +المكتب اللي هو ال BMO، بنحكي تتفوت مسئوليات مكتب + +406 +00:35:43,940 --> 00:35:47,380 +إدارة المشروع بدء من توفير وظائف دعم إدارة المشروع + +407 +00:35:47,380 --> 00:35:51,720 +حتى تحمل المسئولية الفعلية لإدارة أحد المشروعات + +408 +00:35:51,720 --> 00:35:57,940 +إدارة مباشرة، إذا مسئولية مكاتب ال BNA بتختلف من + +409 +00:35:57,940 --> 00:36:03,140 +مكتب إلى مكتب، أول حاجة بنوفر وظائف لدعم الإدارة + +410 +00:36:03,140 --> 00:36:05,580 +اللي هي تخيل وتنظيم التوجيه والرقابة والأشياء + +411 +00:36:05,580 --> 00:36:09,780 +اللي إحنا محتاجينها هذا بيساعدنا على تحمل مسئولية + +412 +00:36:09,780 --> 00:36:14,310 +إدارة إيش المشروع، بساطة يا أخوات الفكرة هادي أي مكتب + +413 +00:36:14,310 --> 00:36:17,490 +إدارة مشروع عشان ينجح في إدارة المشروع ومتابعته، + +414 +00:36:17,490 --> 00:36:20,990 +يجب أن يوفر له إيش؟ وظائف الإدارة، إيش وظائف + +415 +00:36:20,990 --> 00:36:23,290 +الإدارة؟ تخطيط وظائف الإدارة، تخطيط وظائف الإدارة، + +416 +00:36:23,290 --> 00:36:23,770 +تخطيط وظائف الإدارة، تخطيط وظائف الإدارة، تخطيط + +417 +00:36:23,770 --> 00:36:23,930 +وظائف الإدارة، تخطيط وظائف الإدارة، تخطيط وظائف + +418 +00:36:23,930 --> 00:36:26,230 +الإدارة، تخطيط وظائف الإدارة، تخطيط وظائف الإدارة + +419 +00:36:26,230 --> 00:36:33,130 +تخطيط وظائف الإدارة، تخطيط وظائف الإدارة، تخطيط + +420 +00:36:33,130 --> 00:36:36,510 +وظائف + +421 +00:36:36,510 --> 00:36:40,490 +الإدراك المشاريع مش شرط هذا يكون هو نفسه هذا أو لهم + +422 +00:36:40,490 --> 00:36:43,610 +علاقة ببعض كل ناس صغيرة أيضا يعتمد الشكل أو + +423 +00:36:43,610 --> 00:36:46,490 +الوظيفة أو الهيكل الخاص بمكتب إدارة المشروعات على + +424 +00:36:46,490 --> 00:36:50,930 +احتياجات المنظمة التي تدعمها حسب هاش المؤسسة اللي + +425 +00:36:50,930 --> 00:36:55,290 +هتفتح الـ PMo هتشوف إيش الـ هيكل بتاعها هل هيكون في + +426 +00:36:55,290 --> 00:36:58,370 +موظف واحد نفسه كل المشاريع؟ هل هيكون عندنا فريق + +427 +00:36:58,370 --> 00:37:02,850 +عمل؟ هي اللي هتقرر حسب احتياجات المنظمة التي + +428 +00:37:02,850 --> 00:37:07,200 +تدعمها كلمة تدعمها معناها توفر لها تمويلال finance + +429 +00:37:07,200 --> 00:37:12,740 +يعني بتوفرها إيش تمام حسب احتياجات المؤسسة بتوفرها + +430 +00:37:12,740 --> 00:37:20,620 +تمام بتاخدوا قرار كيف هيكون شكل إيش شكل الـ PMO شكرا + +431 +00:37:20,620 --> 00:37:27,020 +يا أزهار مين حابب يكمل؟ فضلوا تمثل وظيفة رئيسية + +432 +00:37:27,020 --> 00:37:30,440 +لمكتب إدارة المشروع في داعم مديري المشروعات بعدة + +433 +00:37:30,440 --> 00:37:34,660 +جوانب قد تشمل على نطاق وذلك على سبيل المثال لا الحصر + +434 +00:37:37,580 --> 00:37:43,800 +أشكال وظائف PMO عندنا أربع و إدارة الموارد + +435 +00:37:43,800 --> 00:37:47,960 +المشتركة في جميع المشروعات التي يديرها مكتب إدارة + +436 +00:37:47,960 --> 00:37:50,520 +المشروعات معاشر عندنا ستة أربع في الشارع هذا و + +437 +00:37:50,520 --> 00:37:54,790 +اثنان جيدًا إدارة المواد المشتركة هي ممكن تكون + +438 +00:37:54,790 --> 00:37:57,910 +المشتريات، ممكن تكون المخازن، ممكن تكون المواد + +439 +00:37:57,910 --> 00:38:02,870 +البشرية، اثنان تحديد ووضع منهجية إدارة المشروع + +440 +00:38:02,870 --> 00:38:08,070 +وأفضل ممارسات والمعايير، خطط إدارة المشاريع المشروع + +441 +00:38:08,070 --> 00:38:12,650 +الناجح يحتاج إلى إيش؟ إلى خطة تلاتة ثلاثة التدريب + +442 +00:38:12,650 --> 00:38:17,010 +الدعم التأهيل والإشراف الاهتمام بفريق العمل لإنجاز + +443 +00:38:17,010 --> 00:38:21,610 +المشاريع أربعة مراقبة التوافق مع معايير سياسات + +444 +00:38:21,610 --> 00:38:25,190 +إرشادات وقوالب إدارة المشروعات من خلال تقييمات + +445 +00:38:25,190 --> 00:38:28,690 +المشروع إذا من البساطة أربعة تقييم المشروع نفس + +446 +00:38:28,690 --> 00:38:32,690 +الخطة ممتاز هل المشروع اللي أنت يا PMO مسئول عنه + +447 +00:38:32,690 --> 00:38:36,470 +ناجح بيشتغلوا بنجازه ولا بيلعبوا ولا إيش بيساووه؟ + +448 +00:38:36,470 --> 00:38:41,560 +بدنا نشوف خمسة خمسة وضع وإدارة سياسات وإجراءات هو + +449 +00:38:41,560 --> 00:38:45,320 +بالمشروع والمستندات المشتركة الأخرى أصول العملية + +450 +00:38:45,320 --> 00:38:49,320 +التنظيمية طبعا هنا يا أخوات وضع سياسات وإجراءات + +451 +00:38:49,320 --> 00:38:54,520 +لمتابعة استخدام أصول المؤسسة أي الـ asset بتاعة + +452 +00:38:54,520 --> 00:38:58,420 +المؤسسة أصول ثابتة أو أصول متداولة السيولة بتاعتها + +453 +00:38:58,420 --> 00:39:01,720 +لازم يكون في إجراءات وسياسات لحتى مش كل واحد يشتغل + +454 +00:39:01,720 --> 00:39:06,350 +بممكن طريقة تبدير أو طريقة غير مجدية 6- تنسيق + +455 +00:39:06,350 --> 00:39:09,990 +الاتصال بين المشروعات إذا دعت الحاجة للاتصال بين + +456 +00:39:09,990 --> 00:39:13,770 +المشروعات ومش دائما يجب أن يكون مكتب الـ PMO هو + +457 +00:39:13,770 --> 00:39:18,210 +عنصر إيش؟ عنصر التنسيق نعيدها ثاني، إيش كان آخر + +458 +00:39:18,210 --> 00:39:20,390 +سؤال؟ كتبتيه الطالب اللي بيقعد أجانب رواه من + +459 +00:39:20,390 --> 00:39:27,270 +احترامي؟ تكري أشهر وظائف الـ PMO زي + +460 +00:39:27,270 --> 00:39:39,420 +إيش وظائف الـ PMO أبسط؟ ثلاثة بدنا، أسهل ثلاثة تحديد + +461 +00:39:39,420 --> 00:39:42,720 +ووضع خطة إدارة المشروع وأفضل ممارسة ووضع الخطة، + +462 +00:39:42,720 --> 00:39:45,440 +ثلاثة التدريب والدعم والتأهيل والاهتمام بفريق + +463 +00:39:45,440 --> 00:39:50,920 +العمل، أيضًا التنسيق ووضع سياسات للتعامل مع الحصول + +464 +00:39:50,920 --> 00:39:54,360 +المواصلة أو المشروع بشكل جيد، أيضًا التنسيق بين + +465 +00:39:54,360 --> 00:39:55,860 +المشاريع + +466 +00:39:59,250 --> 00:40:04,610 +آخر نقطة المحاضرة اليوم ما الفرق بين مدير المشروع + +467 +00:40:04,610 --> 00:40:09,310 +ومكتب مدير المشروع؟ ولا اثنين زي بعض؟ هل في فرق + +468 +00:40:09,310 --> 00:40:11,190 +بين مدير المشروع ومكتب مدير المشروع يعيشوا مع + +469 +00:40:11,190 --> 00:40:15,310 +بعض؟ في عندنا + +470 +00:40:15,310 --> 00:40:20,790 +PMO + +471 +00:40:20,790 --> 00:40:29,600 +وعندنا PM اثنين زي بعض؟ ولا كل واحد لحالة؟ شوف + +472 +00:40:29,600 --> 00:40:33,340 +مع بعض، تفضلي مليكة؟ يركز مدير المشروع على أهداف + +473 +00:40:33,340 --> 00:40:37,640 +المشروع المحددة بينما يقوم بتجارب المشروعات بتحكم + +474 +00:40:37,640 --> 00:40:42,180 +في تغييرات طاقة البرنامج الكبرى والتي قد يتم النظر + +475 +00:40:42,180 --> 00:40:45,680 +إليها على كونها فرص محتملة لتحقيق أهداف المشروع + +476 +00:40:45,680 --> 00:40:51,520 +بشكل أفضل هي + +477 +00:40:51,520 --> 00:40:54,820 +رقم واحد، ممكن نسويه على شكل جدول ولا سهلة مدير + +478 +00:40:54,820 --> 00:40:58,320 +المشروع كل تركيز يكون كيف يحقق هدف المشروع عشان + +479 +00:40:58,320 --> 00:41:03,000 +يكون عنه ناجح لأنه لو هدف المشروع تم تحقيقه معناه + +480 +00:41:03,000 --> 00:41:08,610 +مدير المشروع كان شاطر وحققه بينما الـ PMO لأ يركز + +481 +00:41:08,610 --> 00:41:15,610 +على البحث عن الفرص لحتى تحقيق الأهداف، إذا كان + +482 +00:41:15,610 --> 00:41:19,350 +مدير المشروع في الموارد المخصصة للمشروع، أي أتم + +483 +00:41:19,350 --> 00:41:22,870 +الاستفادة على أقدر تحقيق الأهداف، بينما يعمل مكتب + +484 +00:41:22,870 --> 00:41:26,310 +إدارة المشروعات على تحسين استخدام الموارد وتنمية + +485 +00:41:26,580 --> 00:41:29,620 +المشتركة في جميع المشروع هذه أخوات لها علاقة في + +486 +00:41:29,620 --> 00:41:33,880 +رقم خمسة في الوضع في الـ PMO لما حكينا وضع وإدارة + +487 +00:41:33,880 --> 00:41:39,540 +سياسات وإجراءات أصول المشروع هذه هي إنه هذا بتحكم + +488 +00:41:39,540 --> 00:41:43,140 +يعني بيشتغل زي ما بده هذا يركز على تحسين استخدام + +489 +00:41:43,140 --> 00:41:47,860 +الأصول أو ترشيدها كيف مثلا بدل من استخدام آلتين + +490 +00:41:47,860 --> 00:41:51,900 +ممكن نستخدم آلة واحدة أو نوفر في الطاقة استغلالها بشكل + +491 +00:41:51,900 --> 00:41:56,280 +جيد ممتاز ثلاثة يعالج مدير المشروعات القيود بأن + +492 +00:41:56,280 --> 00:41:59,160 +الوقت والجودة والتكلفة والمدة وغيرها + +493 +00:41:59,160 --> 00:42:03,200 +الخاصة بالمشروعات المستقلة بينما أخوه مكتب إدارة + +494 +00:42:03,200 --> 00:42:08,320 +المشروعات بإدارة المنهجيات والمعايير والمخاطرة أو + +495 +00:42:08,320 --> 00:42:11,700 +الفرص الكلية والتداخلات بين المشروعات على مستوى + +496 +00:42:11,700 --> 00:42:12,140 +المؤسسة + +497 +00:42:19,500 --> 00:42:23,780 +إذا نقول ثلاثة الـ Project Manager أو Management + +498 +00:42:23,780 --> 00:42:26,320 +بيركز على علاج القيود، القيود اللي أخذناها المرة + +499 +00:42:26,320 --> 00:42:30,300 +الماضية، اللي هي القيود التنافسية، اللي هي الوقت، + +500 +00:42:30,300 --> 00:42:32,840 +النطاق، التكلفة، الجودة، سمعناها المرة + +501 +00:42:32,840 --> 00:42:36,200 +الماضية، بس كيف يتعامل معاهم و أي مشكلة يحلها، هذا + +502 +00:42:36,200 --> 00:42:42,400 +لأ بحط منهجية معينة ومعيار معينة وكيف .. طبعا + +503 +00:42:42,400 --> 00:42:46,160 +مبعثها لهذا لحد يستخدمها في علاج القليل إذا واضح + +504 +00:42:46,160 --> 00:42:50,740 +أن الاثنين مش زي بعض إذا كان عندنا سؤال بيقول ما + +505 +00:42:50,740 --> 00:42:57,020 +الفرق بين مدير المشروع ومدير مكتب المشروع أو مكتب + +506 +00:42:57,020 --> 00:43:00,380 +مدير المشروع زي بعض ولا في فرق؟ في فرق إن + +507 +00:43:00,380 --> 00:43:07,490 +راجعوا مع بعض بتركز عليا علشان فقط تحقيق الأهداف هنا + +508 +00:43:07,490 --> 00:43:11,070 +لأ، بتدور على فرصة تساعدنا على تحقيق أهداف المشروع + +509 +00:43:11,070 --> 00:43:15,010 +بشكل أفضل، هنا بتحكي، يعني هاي الموارد بيقولوا + +510 +00:43:15,010 --> 00:43:16,930 +يشتغلوا فيها زي ما هو عايز، بيستخدموها زي ما هو عايز، + +511 +00:43:16,930 --> 00:43:20,990 +هنا لأ، يبحث عن طريقة أفضل لاستغلال إيش، الموارد، + +512 +00:43:20,990 --> 00:43:25,530 +نوفر شوية هنا يعالج القيود، القيود اللي هم النطاق + +513 +00:43:25,530 --> 00:43:28,830 +والجدول الزمني والتكلفة والجودة، هذا لأ، بحط + +514 +00:43:28,830 --> 00:43:33,490 +منهجية أو معيار معينة لحتى نعرف إيش القيود، إذا + +515 +00:43:33,490 --> 00:43:40,450 +نوضح إن الشغل إيش معله، اختلف عن بعضه، نتوقف عنده + +516 +00:43:40,450 --> 00:43:43,950 +إدارة المشروعات وإدارة العملية diff --git a/PL9fwy3NUQKwYZU2ezHFq-UK19TEyZdOHs/4AcALQ5XsQo_postprocess.srt b/PL9fwy3NUQKwYZU2ezHFq-UK19TEyZdOHs/4AcALQ5XsQo_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..57df232433a4302238020965ff364fb1dd1b7393 --- /dev/null +++ b/PL9fwy3NUQKwYZU2ezHFq-UK19TEyZdOHs/4AcALQ5XsQo_postprocess.srt @@ -0,0 +1,2064 @@ +1 +00:00:20,920 --> 00:00:23,300 +عودوا بلاب نشرت على نجيم بسم الله الرحمن الرحيم + +2 +00:00:23,300 --> 00:00:27,020 +الحمد لله والصلاة والسلام على مصطفى الأمين سيدنا + +3 +00:00:27,020 --> 00:00:30,680 +محمد وعلى آله ومن ساره على درجة حسين أم الدين في + +4 +00:00:30,680 --> 00:00:35,260 +البداية السلام عليكم ورحمة الله كيف حالكوا؟ كيف + +5 +00:00:35,260 --> 00:00:38,560 +أصبحتوا اليوم ان شاء الله كويسين؟ نحن الحمد لله ان + +6 +00:00:38,560 --> 00:00:44,000 +شاء الله ما زلنا معا في موضوع لو إيش إدارة + +7 +00:00:44,000 --> 00:00:47,670 +المشاريعاتعرفنا المحاضرة الماضية على ما هو + +8 +00:00:47,670 --> 00:00:51,850 +المشروع، اتعرفنا على شو يعني نشاط مهقت، اتعرفنا + +9 +00:00:51,850 --> 00:00:55,570 +على إدارة المشاريع، المشاريع ومقيازنا بينها وبين + +10 +00:00:55,570 --> 00:00:58,710 +المشروع لوحده، اتعرفنا على عملية الخمس اللي + +11 +00:00:58,710 --> 00:01:02,050 +هناخدها بالتفصيل إن شاء الله، اتعرفنا على إدارة + +12 +00:01:02,050 --> 00:01:10,330 +المشاريع عن بعد، اتعرفنا على الحقيبة الاستثمارية، + +13 +00:01:10,330 --> 00:01:14,510 +مين يذكرنا إيش مكونات الحقيبة الاستثمارية؟ تلت + +14 +00:01:14,510 --> 00:01:18,870 +حاجاتتفضلي مشروعات وبرامج وعمل اخر ممتاز مشاريع + +15 +00:01:18,870 --> 00:01:22,690 +وبرامج وعمل ايش اخرى كان عندنا رسمة تركناها تعالى + +16 +00:01:22,690 --> 00:01:25,770 +نرجعلها اللي هي علاقة بين إدارة المشاريع وإدارة + +17 +00:01:25,770 --> 00:01:29,750 +البرامج وإدارة الحقيبة الاستثمارية السؤال اللي + +18 +00:01:29,750 --> 00:01:34,710 +معانا بيحكي وضهي بالرسم العلاقة بين إدارة المشاريع + +19 +00:01:34,710 --> 00:01:40,490 +وإدارة البرامج وإدارة ال portfolio او الحقيبة + +20 +00:01:40,490 --> 00:01:43,370 +الاستثمارية ده نشوف معنا حقيبة استثمارية باللغة + +21 +00:01:43,370 --> 00:01:49,300 +اللي انجلزية portfolioأنا هترجملك الرسمة خديها + +22 +00:01:49,300 --> 00:01:54,440 +همترجمها و خلاص مبسطة يعني خلصوا معايا الرسمة دى + +23 +00:01:54,440 --> 00:01:59,280 +هى + +24 +00:01:59,280 --> 00:02:10,620 +عندنا هان الحقيبة الاستثمارية للإدارة العليا اللى + +25 +00:02:10,620 --> 00:02:15,260 +هو ال top level او highest level عندنا هان مشاريع + +26 +00:02:23,770 --> 00:02:33,750 +هن حقيبة استثمارية للإدارة الدنيا اللوال عندنا هن + +27 +00:02:33,750 --> 00:02:37,430 +برامج و + +28 +00:02:37,430 --> 00:02:38,110 +هن برامج + +29 +00:03:05,030 --> 00:03:10,990 +هذه الرسم اللى أمامنا على الصبورة + +30 +00:03:10,990 --> 00:03:27,290 +خد + +31 +00:03:27,290 --> 00:03:29,070 +بالك من السهم اللى له غصين هذا + +32 +00:03:32,400 --> 00:03:43,420 +معناها في إيش تبادل من إلى و إلى من شو + +33 +00:03:43,420 --> 00:03:45,600 +طبيعي علاقة بين الحقيبة و المشاريع بيكون عندنا + +34 +00:03:45,600 --> 00:03:50,720 +استراتيجيات طبعا عشان إدارة عليا استراتيجيات بيكون + +35 +00:03:50,720 --> 00:03:54,720 +عندنا السيطرة و الرقابة بيكون عندنا التغيير لأن + +36 +00:03:54,720 --> 00:03:56,980 +عندنا الحقيبة لاستثمار إدارة عليا على سبيل المثال + +37 +00:03:57,890 --> 00:04:01,050 +الها علاقة تبادلية مع ال project بتاع المشروع، + +38 +00:04:01,050 --> 00:04:03,470 +والها علاقة تبادلية مع الحقيقة الاستثمارية، + +39 +00:04:03,470 --> 00:04:07,130 +الإدارة التنفيذية أو الإدارة الدنيا، أيضًا في + +40 +00:04:07,130 --> 00:04:11,250 +علاقة بينها وبين البرامج، أيضًا علاقة من أعلى + +41 +00:04:11,250 --> 00:04:15,290 +طبعًا هذه لأسفل، علاقة برضه تنفيذية، زي ما حكيت + +42 +00:04:15,290 --> 00:04:18,830 +قبل شهر، ياخدوا بالك من الأسهم، كلها برأسين، أو + +43 +00:04:18,830 --> 00:04:21,570 +زمان على واحد، اخر، تاني، جالي، البرامج، اللي هي + +44 +00:04:21,570 --> 00:04:25,490 +علاقة برضه بالبرامج والمشاريعحقيبة الإدارة الدنيا + +45 +00:04:25,490 --> 00:04:29,310 +تحت سيطرة البرامج والاش المشاريع قبل شوية زمتكوا + +46 +00:04:29,310 --> 00:04:33,570 +وأزهر لما ذكرتنا بتعريف الحقيبة لست ماريا حكت إن + +47 +00:04:33,570 --> 00:04:38,910 +عبارة عن تتكون الحقيبة من 3 شغلات اللي هي المشاريع + +48 +00:04:38,910 --> 00:04:42,830 +والبرامج وأعمال أخرى زي ما انت ملاحظة على الرسم + +49 +00:04:42,830 --> 00:04:47,230 +أنه في عندنا حقيبة اللي هي مشاريع وليها اش برامج + +50 +00:04:47,230 --> 00:04:53,610 +مهما اختلفت المستويات الإدارية الدنيا أو العليةهذه + +51 +00:04:53,610 --> 00:05:01,230 +الرسمة بشكل بسيط اللي عندك في ال slide أتوقع + +52 +00:05:01,230 --> 00:05:05,350 +أخرنا دي البرامج أه؟ أتوقفنا عندها + +53 +00:05:13,150 --> 00:05:16,770 +المخادرة الماضية اترقنا لتعريف المشاريع اترقنا + +54 +00:05:16,770 --> 00:05:21,230 +لتعريف الحقيبة الاستثمارية ايضا لتعريف البرامج + +55 +00:05:21,230 --> 00:05:24,710 +ماهي ال program او البرامج زي ما هو كاتب لنا؟ + +56 +00:05:24,710 --> 00:05:27,570 +تفضلي لينا مجموعة من المشروعات المرتبطة ببعض من + +57 +00:05:27,570 --> 00:05:27,950 +بعض + +58 +00:05:36,580 --> 00:05:40,800 +البرنامج عبارة عن مجموعة من مشاريع تتفق في + +59 +00:05:40,800 --> 00:05:44,520 +الإدارة، بتكون يعني المدير واحد لمجموعة منهاش من + +60 +00:05:44,520 --> 00:05:47,740 +المشاريع، بنسميهش مدير المشاريع، بنسميه مدير + +61 +00:05:47,740 --> 00:05:51,640 +البرنامج، إذا البرنامج عبارة عن مجموعة من المشاريع + +62 +00:05:53,310 --> 00:05:59,010 +بحكينا قد تتش .. قد تشتمل البرامج على أعمال متعلقة + +63 +00:05:59,010 --> 00:06:02,930 +خارج انطلاق المشروعات المنفصلة التي يتضمنها + +64 +00:06:02,930 --> 00:06:06,930 +البرنامج في بعض الأوقات ليس خاطئا أن نجد أن + +65 +00:06:06,930 --> 00:06:10,590 +البرنامج في عنده أعمال ما لهاش علاقة بالمشروعات + +66 +00:06:10,590 --> 00:06:13,690 +احنا مش يقولنا مش شريع وبرامج وأعمال أخرى، دي + +67 +00:06:13,690 --> 00:06:16,350 +الأعمال الأخرى، بعض الأوقات نمكن نلاقي البرنامج + +68 +00:06:16,350 --> 00:06:21,930 +تحت سيطرته شغلات ما لهاش علاقة بالمشروعقد يكون او + +69 +00:06:21,930 --> 00:06:26,310 +لا يكون حسب عدة معيار احد المشروعات جزء من ايش؟ من + +70 +00:06:26,310 --> 00:06:29,710 +احد البرنامج يمكن يكون معاهم ويمكن مايكونش معاهم + +71 +00:06:29,710 --> 00:06:34,430 +ولكن بشكل دائم يحتوى من البرنامج على ايش؟ مشاريع + +72 +00:06:34,430 --> 00:06:39,130 +.. مشاريع .. مشاريع .. مشاريع + +73 +00:06:39,130 --> 00:06:42,050 +.. مشاريع .. مشاريع .. مشاريع .. مشاريع .. مشاريع + +74 +00:06:42,050 --> 00:06:47,410 +.. مشاريع .. مشاريع .. مشاريع .. مشاريع .. مشاريع + +75 +00:06:47,410 --> 00:06:47,590 +.. مشاريع .. مشاريع .. مشاريع .. مشاريع .. مشاريع + +76 +00:06:47,590 --> 00:06:47,650 +.. مشاريع .. مشاريع .. مشاريع .. مشاريع .. مشاريع + +77 +00:06:47,650 --> 00:06:53,690 +.. مشاريع .. مشاريع .. مشارمشروع إعمار شارع البحر + +78 +00:06:53,690 --> 00:07:02,290 +بس تابع لبرنامج لأ حالة أخرى مشروع مثلا محو + +79 +00:07:02,290 --> 00:07:08,390 +الأممية تابع لبرنامج أه برنامج علمائي بدأ البرنامج + +80 +00:07:08,390 --> 00:07:12,890 +معناه مجموعة من يشمل مشاريع إذا مش قاعد المشروع + +81 +00:07:12,890 --> 00:07:17,150 +يكون له برنامج لكن قاعد البرنامج إله إش عدة مشاريع + +82 +00:07:17,150 --> 00:07:22,790 +إذا نعيدها مرة تانية مين عيدها إلنا؟فضل يا غادير + +83 +00:07:22,790 --> 00:07:28,830 +ليس قاعدة أن يكون ال .. المشروع له برنامج لكن + +84 +00:07:28,830 --> 00:07:31,810 +البرنامج لازم يكون له عملة مشروعية ممتاز البرنامج + +85 +00:07:31,810 --> 00:07:35,950 +ضروري يتكوّن من مجموعة من ايش؟ من المشروعية لكن + +86 +00:07:35,950 --> 00:07:39,110 +المشروع مش ضروري ممكن يكون مشروع مستقل بداته زي ما + +87 +00:07:39,110 --> 00:07:44,610 +اقول نعمل البحر لا له برنامج ولا حاجة عرضي في + +88 +00:07:44,610 --> 00:07:47,970 +إدارة البرامج اللي هي ال program management إدارة + +89 +00:07:47,970 --> 00:07:55,010 +مركزيةمتناسقة لأحد إيش؟ البرنامج إذا في إدارة + +90 +00:07:55,010 --> 00:07:58,150 +البرامج نحتاج .. نحتاج لإدارة مركزية متناسقة لأحد + +91 +00:07:58,150 --> 00:08:01,490 +البرامج بمعنى يتم تحقيق الأهداف و الفوائد + +92 +00:08:01,490 --> 00:08:06,170 +الستراتيجية الخاصة بالبرنامج إيش يعني كلام هذا؟ + +93 +00:08:06,170 --> 00:08:09,250 +إدارة البرنامج .. البرنامج عبارة عن إدارة مركزية + +94 +00:08:09,250 --> 00:08:14,320 +لمين؟ لبرنامج معينهدفها الأساسي تحقيق الأهداف و + +95 +00:08:14,320 --> 00:08:17,940 +الاشي و الاستراتيجية إذا من الكلام هذا ممكن نحكي + +96 +00:08:17,940 --> 00:08:21,320 +أنه كل برنامج يجب أن يكون لديه هدف و يجب أن يكون + +97 +00:08:21,320 --> 00:08:25,080 +لديه أشي استراتيجية إذا كل برنامج لازم يكون عنده + +98 +00:08:25,080 --> 00:08:30,880 +هدف و يكون عنده استراتيجية يتم الربط بين المشروعات + +99 +00:08:30,880 --> 00:08:34,940 +داخل أحد البرامج من خلال الناتج المشترك أو قدرة + +100 +00:08:34,940 --> 00:08:40,260 +الجماعية ببساطة يا أخوات من خلال فريق العملنبسطها + +101 +00:08:40,260 --> 00:08:45,400 +يعني إذا احنا قولنا البرنامج بتكون من مجموعة من + +102 +00:08:45,400 --> 00:08:49,860 +المشاريع كيف ممكن أربط بالمشاريع المستقلة، هاد + +103 +00:08:49,860 --> 00:08:54,340 +بيحكيلي عن طريق فريق إيش العمل، بعض الأوقات بيكونش + +104 +00:08:54,340 --> 00:08:57,300 +في علاقة بالمشروع، هاد مش مشكلة، كل مشروع بيشجبوا + +105 +00:08:57,300 --> 00:09:00,880 +كله، بيحكيلي ممكن إذا كانت علاقة بالمشروع، هاد لات + +106 +00:09:00,880 --> 00:09:05,720 +تمثل إلا في عملية عميل، اللي هو الزبون أو بائعأو + +107 +00:09:05,720 --> 00:09:10,760 +technology أو مورد مشترك ينبغي في هذه الحالة إدارة + +108 +00:09:10,760 --> 00:09:15,160 +الجهود في صورة حقيبة استثمارية للمشروعات بدلا من + +109 +00:09:15,160 --> 00:09:18,740 +إدارتها في صورة برنامج واحد في هنا سؤال بطرح نفسه + +110 +00:09:18,740 --> 00:09:29,500 +متى تنصحين بالتحول من إدارة البرنامج إلى إدارة + +111 +00:09:29,500 --> 00:09:33,340 +الحقيبة الاستثمارية + +112 +00:09:35,520 --> 00:09:38,900 +خدتي بالك من السؤال؟ وقت إيش بتكوني أنتي إدارة + +113 +00:09:38,900 --> 00:09:41,260 +برنامج مابقولك لأ حولي الحقيبة الاستثمارية، طب + +114 +00:09:41,260 --> 00:09:45,680 +أخدي بالك الحقيبة الاستثمارية أوسع ميادات البرامج، + +115 +00:09:45,680 --> 00:09:48,740 +ليش؟ لأن الحقيبة الاستثمارية مكونة من تلت شغلات، + +116 +00:09:48,740 --> 00:09:53,860 +مشاريع وبرامج وعمال أخرى، البرنامج بس بتكون مشاريع + +117 +00:09:54,610 --> 00:09:59,730 +لما نقول أنقلي من إدارة البرامج لإدارة الحقيبة + +118 +00:09:59,730 --> 00:10:04,690 +الاستثمارية معناه أنقلي من الإطار الضيق للإطار + +119 +00:10:04,690 --> 00:10:12,130 +الأوسع السؤال متى يتم تقديم نصيحة أنقلي من إدارة + +120 +00:10:12,130 --> 00:10:15,510 +البرامج لإدارة الحقيبة الاستثمارية يعني من الضيق + +121 +00:10:15,510 --> 00:10:18,550 +للأوسع بيحكينا + +122 +00:10:20,830 --> 00:10:24,290 +إذا كانت العلاقة بين المشاريع خدي بالك لغاية هان + +123 +00:10:24,290 --> 00:10:33,490 +هاد إدارات برامج مالش program management ماشي لكن + +124 +00:10:33,490 --> 00:10:36,990 +إذا كانت بس علاقة بينهم عميل واحد يعني حاجة واحدة + +125 +00:10:36,990 --> 00:10:41,570 +بسيطة مشتركة بيحكينا حولي لإيش هان للي حقيبة حقيبة + +126 +00:10:41,570 --> 00:10:50,390 +استثمارية إذا ان ببساطة إذا كان الشيء المشتركبين + +127 +00:10:50,390 --> 00:10:56,950 +المشاريع بسيط فى إدارة البرامج حولى إدارة الحقيبة + +128 +00:10:56,950 --> 00:11:01,670 +الاش الاستثمارية زى اش مثال على شئ بسيط فى إدارة + +129 +00:11:01,670 --> 00:11:07,590 +البرامج بقوللى عميل واحد بس زبون ماشي تكنولوجيا + +130 +00:11:07,590 --> 00:11:12,650 +هيك بنحول الحقيبة الاش الاستثمارية إذا كان لنا + +131 +00:11:12,650 --> 00:11:15,110 +السؤال متى تنصحينا بالتحويل من إدارة البرنامج + +132 +00:11:15,110 --> 00:11:19,070 +لإدارة الحقيبة الاستثماريةمين حابب يشارك الإجابة؟ + +133 +00:11:19,070 --> 00:11:22,410 +تفضلي كيفية إذا كان الشئ المشترك بين المشارعات + +134 +00:11:22,410 --> 00:11:30,970 +بسيط إذا كان العامل بين المشارع بسيط مشترك بينهم + +135 +00:11:30,970 --> 00:11:34,330 +حاجة واحدة بقولك لا ماتضلكيش ماشي إدارة البرامج + +136 +00:11:34,330 --> 00:11:38,130 +امشي على إدارة إيش الحقيبة الاسمية وصيت ولا عيدها + +137 +00:11:38,130 --> 00:11:42,370 +تاني؟ وصيت واضحي + +138 +00:11:42,370 --> 00:11:49,010 +ما الفرق بين إدارة المشارعوالبرامج و الحقيبة + +139 +00:11:49,010 --> 00:11:57,370 +للاستثمارية عندنا جدول باللغة الإنجليزية إذا حابين + +140 +00:11:57,370 --> 00:12:01,290 +بترجموا الكل كلام بسيط إذا حابين تخلو زي ما هو إيش + +141 +00:12:01,290 --> 00:12:05,130 +بتفضلوا؟ إذا + +142 +00:12:05,130 --> 00:12:08,450 +حابة تخليه إنجليزي إيه كتب إنجليزي صح؟ إذا حابة + +143 +00:12:08,450 --> 00:12:14,250 +نترجمهم نترجمهم؟ إعملوا جدول ولا نترجموا واحدة + +144 +00:12:14,250 --> 00:12:20,660 +واحدة؟رقم واحد scoop، شو يعني scoop؟ ممتاز، أنطاق + +145 +00:12:20,660 --> 00:12:24,640 +أو المجال، إذا عندنا إيش؟ ال scoop + +146 +00:12:44,270 --> 00:12:59,250 +خلصه و لسه؟ خلص رقم + +147 +00:12:59,250 --> 00:13:05,570 +واحد المجال بالنسبة للمشاريع الهي projectes تعمل + +148 +00:13:05,570 --> 00:13:09,430 +على تعريف إيش؟ الأهداف، تعريف الأهداف أو أهداف + +149 +00:13:09,430 --> 00:13:13,410 +محددة أه تعريف الأهداف معناها تحديدهابالنسبة + +150 +00:13:13,410 --> 00:13:25,010 +للبرامج البرامج بتعمل على تحديد المجالات وتقدم + +151 +00:13:25,010 --> 00:13:35,330 +بيانات إحصائية أكتر بالنسبة + +152 +00:13:35,330 --> 00:13:37,290 +للحقيبة + +153 +00:13:39,030 --> 00:13:45,430 +تقدم أو تركز على مجالات الأعمال ممتاز، بارك الله + +154 +00:13:45,430 --> 00:13:50,290 +فيك، شكرا يا أزهر، يا أزهر عفوا وتركز على مجالات + +155 +00:13:50,290 --> 00:13:56,110 +الأعمال والأهداف الاستراتيجية حسيتوا في فرق ولا + +156 +00:13:56,110 --> 00:14:00,770 +فيش فرق؟ في فرق تعالوا نشوف في نفس النقطة، النقطة + +157 +00:14:00,770 --> 00:14:06,740 +أو المجال المشاريع بتحدد أهدافلكن ما جالك هل هي + +158 +00:14:06,740 --> 00:14:10,000 +أهداف استراتيجية، تكتيكية، تكنيكية، ماقلش، + +159 +00:14:10,000 --> 00:14:17,680 +فالأهداف ضال ساكت، البرامج بتركز على المجالات + +160 +00:14:17,680 --> 00:14:22,720 +أكتر من الأهداف و بتركز على بيانات إحصائية، تهتم + +161 +00:14:22,720 --> 00:14:26,820 +بالأرقام يعني، طب الحقيبة، الحقيبة بتركز و أنت + +162 +00:14:26,820 --> 00:14:30,940 +ماشي على الأهداف الاستراتيجية، يعني أوسع مجاليها + +163 +00:14:30,940 --> 00:14:33,400 +مجال الحقيبة، الحقيبة زي ما بتحكي أن الشنطة بتاعة + +164 +00:14:33,400 --> 00:14:36,490 +كتير شوية حاجات،كل الحاجات اللي فيها جوه جزء من + +165 +00:14:36,490 --> 00:14:40,710 +الشنطة اذا مين اللي ظاهر الحقيقة الاستثمارية؟ + +166 +00:14:40,710 --> 00:14:45,450 +المشاريع والبرامج الأغراض اللي في الشنطة واضح؟ + +167 +00:14:45,450 --> 00:14:49,750 +نعيدها تاني؟ رقم اتنين ال challenge اللي هو التغير + +168 +00:14:49,750 --> 00:14:53,570 +رقم + +169 +00:14:53,570 --> 00:14:57,830 +واحد المشاريع + +170 +00:14:57,830 --> 00:15:03,850 +تتوقع التغيرات تتوقع التغيرات يعني بتخطط + +171 +00:15:07,390 --> 00:15:13,210 +البرنامج بتوقع التغير و بخطط عفوا رقم واحد + +172 +00:15:13,210 --> 00:15:17,890 +المشاريع بتتوقع و بتخطط حاجة انها اتنين البرنامج + +173 +00:15:17,890 --> 00:15:25,350 +بتتوقع التغير داخليا و خارجيا و تخطط لإدارته + +174 +00:15:25,350 --> 00:15:31,050 +المحفظة + +175 +00:15:31,990 --> 00:15:39,630 +ترصد التغيرات بشكل واسع ومستمر، ترصد التغيرات بشكل + +176 +00:15:39,630 --> 00:15:45,930 +واسع ومستمر، هنشوف زي بعض ولا في اختلاف؟بالنسبة + +177 +00:15:45,930 --> 00:15:49,230 +لمشاريع مسار التغير بتتوقع أنه يصير تغير في البلد + +178 +00:15:49,230 --> 00:15:54,730 +تبدأ تخطط البرامج كانت أكتر تحديدا في التغير + +179 +00:15:54,730 --> 00:15:58,950 +بتتوقع التغير داخل المؤسسة أو داخل المشروع و خارجه + +180 +00:15:58,950 --> 00:16:04,030 +وتخطط فاكر كيف بدها تتصرف رقم تلاتة تقوم بعملية + +181 +00:16:04,030 --> 00:16:07,910 +ترصد التغير اللي هي الحقيبة خودي بالك الحقيبة كل + +182 +00:16:07,910 --> 00:16:12,490 +مالها بتوصل لمستوى الأعلى ترصد التغيرات بشكل واسع + +183 +00:16:12,490 --> 00:16:18,400 +و بشكل ايش مستمرتلاتة planning اللي هو التخطيط + +184 +00:16:18,400 --> 00:16:25,000 +المشاريع التخطيط بالنسبة إليها تدريجي التخطيط في + +185 +00:16:25,000 --> 00:16:32,020 +المشاريع إيش؟ تدريجي في البرامج بالتفصيل تخطيط + +186 +00:16:32,020 --> 00:16:37,340 +البرامج إيش ماله؟ بالتفصيل التخطيط + +187 +00:16:37,340 --> 00:16:44,530 +في الحقيبة يكون للحفاظ على العمليات الضررية فقطأو + +188 +00:16:44,530 --> 00:16:50,550 +العملات الأساسية، نعيدهم مع بعض، التخطيط في + +189 +00:16:50,550 --> 00:16:55,250 +المشرعش بيكون بالتدريج، واحدة واحدة step by step، + +190 +00:16:55,250 --> 00:17:01,290 +التخطيط في البرامج بيكون أش و فصلليش مفصل؟ لأنه + +191 +00:17:01,290 --> 00:17:04,670 +البرنامج عبارة عن مجموعة مشاريع، فكل مشروع له خطة، + +192 +00:17:04,670 --> 00:17:09,990 +هاي تفصيل، الخطة أو الحقيبة الاستثمارية التخطيط + +193 +00:17:09,990 --> 00:17:14,150 +الهاش بيكون له هدف واحد، الحفاظ على العمليات + +194 +00:17:14,150 --> 00:17:22,050 +الأساسية في المؤسسة، رقم خمس .. أربعة، الإدار + +195 +00:17:24,620 --> 00:17:30,960 +بالنسبة للمشاريع تعتمد على إدارة فريق العمل للوصول + +196 +00:17:30,960 --> 00:17:36,600 +للأهداف إذا الإدارة في المشاريع اللي هي ال work + +197 +00:17:36,600 --> 00:17:41,440 +team إدارة فريق العمل للوصول إيش للأهداف تنين + +198 +00:17:41,440 --> 00:17:49,060 +البرامج تكون إدارة شاملة عفوا شو يعني إدارة شاملة + +199 +00:17:49,060 --> 00:17:56,030 +يعني مش فريق عمل بس بشكل عام ماشيتلاتة المحافظ + +200 +00:17:56,030 --> 00:18:00,510 +تعتمد + +201 +00:18:00,510 --> 00:18:07,870 +على الإشراف تعتمد على الإشراف إشراف و تنسيق هي + +202 +00:18:07,870 --> 00:18:12,170 +الإدارة نعيد تاني أول واحدة فريق عمل تاني واحدة + +203 +00:18:12,170 --> 00:18:16,970 +بشكل شامل تالت واحدة إيش الإشراف بجيت الجدول في + +204 +00:18:16,970 --> 00:18:26,320 +الشريحة التالية الرقابة الرقابةفي البرامج أو عفوا + +205 +00:18:26,320 --> 00:18:33,780 +في المشاريع قبل تكون الرقابة مطابقة حسب الخطة أو + +206 +00:18:33,780 --> 00:18:39,340 +بشكل أسهل تركز الرقابة في المشاريع على جورة + +207 +00:18:39,340 --> 00:18:49,620 +المنتجات وعلى رضا من المستهلك على رضا المستهلك في + +208 +00:18:49,620 --> 00:18:55,510 +البرامج بيكونالرقابة على الأمور الإحصائية و + +209 +00:18:55,510 --> 00:19:00,490 +الفوائد بيكون على الموازنات أيوة على الأمور + +210 +00:19:00,490 --> 00:19:05,510 +الإحصائية يعني على الأمور المالية أكتر في آخر حاجة + +211 +00:19:05,510 --> 00:19:11,950 +المحفظة الرقابة بتكون على الأداء على إيش الأداء؟ + +212 +00:19:11,950 --> 00:19:18,470 +بمعنى أداء المشاريع و أداء ال branch آخر + +213 +00:19:18,470 --> 00:19:21,730 +نقطة السيطرة + +214 +00:19:23,780 --> 00:19:30,980 +الإيش؟ السيطرة بالنسبة + +215 +00:19:30,980 --> 00:19:36,720 +لمدير المشروع بتكون السيطرة بتاعته على المنتجات و + +216 +00:19:36,720 --> 00:19:42,900 +الخدمات و على النتائج منتج خدمة نتيجة يعني هل هو + +217 +00:19:42,900 --> 00:19:50,220 +بيشتغل صح ولا غلط بالنسبة لإدارة البرامج + +218 +00:19:52,370 --> 00:20:02,790 +بتكون السيطرة على تحقيق الأهداف الموازنات شبكة + +219 +00:20:02,790 --> 00:20:04,810 +الأعمال عفوا شبكة الأعمال اللي أخدتوها في البحث + +220 +00:20:04,810 --> 00:20:08,770 +بالنسبة + +221 +00:20:08,770 --> 00:20:14,990 +لسيطرة الحقيبة الاستثمارية تكون على قياس الأداء + +222 +00:20:14,990 --> 00:20:18,170 +والاهتمام + +223 +00:20:18,170 --> 00:20:19,230 +بالمؤشرات + +224 +00:20:28,110 --> 00:20:31,830 +واضحة ولا .. في أي نقطة عيدها؟ هيك ترجمة تقولك + +225 +00:20:31,830 --> 00:20:36,090 +وضخصناها كمان، في أي حاجة عيدها؟ اتطلعوا على + +226 +00:20:36,090 --> 00:20:38,910 +الجدولة لو سمحتوا لو كتبتوا، في أي حاجة عيدها؟ لا + +227 +00:20:38,910 --> 00:20:41,670 +يا عزيزي أو حاجة حساها مش واضحة أو مش مترابطة أو + +228 +00:20:41,670 --> 00:20:46,650 +إشي؟ كله واضح المشروعات + +229 +00:20:46,650 --> 00:20:50,090 +والتخطيط الستراتيجي، اتفضل يا رواني قرأيلنا إيش + +230 +00:20:50,090 --> 00:20:56,540 +كاتب؟ غالبا ما يتم .. حطي خط تحت كلمة غالبامش + +231 +00:20:56,540 --> 00:21:00,300 +دايما يعني اه تفضلي غالبا ما يتم استخدام المشروعات + +232 +00:21:00,300 --> 00:21:03,280 +كوسيلة لتحتيط الخطة ال استراتيجية .. حط خط تحت + +233 +00:21:03,280 --> 00:21:08,640 +كلمة وسيلة فضلي + +234 +00:21:08,640 --> 00:21:13,080 +كمان لتحتيط الخطة ال استراتيجية الخاصة بالمؤسسة و + +235 +00:21:13,080 --> 00:21:16,860 +عادة ما يتم طبول المشروعات كنتيجة لواحدة او اكتر + +236 +00:21:16,860 --> 00:21:20,460 +من الاعتبارات الاستراتيجية التالية طلب السوق .. + +237 +00:21:20,460 --> 00:21:25,850 +شوي شوي انا ايه ده؟ غالبا مش دايماما يتم استخدام + +238 +00:21:25,850 --> 00:21:32,890 +المشروع لقاش كادال تحقيق الخطة الستراتيجية سؤال + +239 +00:21:32,890 --> 00:21:40,650 +ادكر الاعتبارات الاستراتيجية + +240 +00:21:40,650 --> 00:21:46,270 +التي نعتمد + +241 +00:21:46,270 --> 00:21:50,650 +عليها عند قبول المشاريع + +242 +00:21:56,770 --> 00:21:59,250 +عيد تانى؟ عيد و لا اكملش انا؟ + +243 +00:22:02,170 --> 00:22:07,070 +إيش يعني الاعتبارات الاستراتيجية؟ معناها إيش + +244 +00:22:07,070 --> 00:22:10,510 +الأمور اللي بستخدمها في التخطيط طويل أجل لحد يعني + +245 +00:22:10,510 --> 00:22:13,310 +بتطلع لجدام و بناء علي جدام هذا أشوف هل هذا + +246 +00:22:13,310 --> 00:22:16,790 +المشروع أقبل و لا بلاش؟ إذا إيش الاعتبارات + +247 +00:22:16,790 --> 00:22:19,770 +الاستراتيجية اللي هي بعيدة الأجل اللي بناء عليها + +248 +00:22:19,770 --> 00:22:23,770 +بنوافق على المشروع هذا أو بنوافقش؟ إذا مش كل مشروع + +249 +00:22:23,770 --> 00:22:28,670 +يقدم، يقبل، ممكن من مية ناخد خمسة بسأو تلاتة، طب + +250 +00:22:28,670 --> 00:22:31,070 +ليش خمسة أو تلاتة؟ طب لا تاخدوا المية؟ بناء على + +251 +00:22:31,070 --> 00:22:33,710 +الاعتبارات؟ أو خدوا خمسين؟ لأ، عندنا اعتبارات + +252 +00:22:33,710 --> 00:22:40,930 +استراتيجية بتحددنا، نشوف مع بعض أسماء، طلب السوق + +253 +00:22:40,930 --> 00:22:44,010 +اللي انت ترسيه في الاقتصاد اللي هو الطلب، معطينا + +254 +00:22:44,010 --> 00:22:48,210 +مثالمثل احدى شركات السيارات التي ترفس احد + +255 +00:22:48,210 --> 00:22:51,850 +المشروعات لتصنيع سيارات اكتر توفيرا لوقود تجاوب + +256 +00:22:51,850 --> 00:22:55,610 +المعلاقس البنزين هذا خطة استراتيجية شوف مع بعض + +257 +00:22:55,610 --> 00:23:00,770 +متوقع انه في المستقبل البنزين الكمية بتاعته او + +258 +00:23:00,770 --> 00:23:06,230 +توافره في السوق ينخفط طيب في ناس انقدمين مشروع + +259 +00:23:06,230 --> 00:23:11,570 +بدون يفتحوا مصنع سيارات نوافق على طول المصنع ولا + +260 +00:23:11,570 --> 00:23:18,390 +نقف قليلا؟إذا كانت السيارات المصنعة اللي جايين + +261 +00:23:18,390 --> 00:23:21,070 +أصحاب المشروع بدهم يواخدوا ويوافقوا عليها وياخدوا + +262 +00:23:21,070 --> 00:23:26,430 +تمويل يبتتجاوب مع رؤيتنا للمستقبل أن احتمال كمية + +263 +00:23:26,430 --> 00:23:31,530 +الوقود القل في السوق بنوافق، واضح؟ أما إذا كانت + +264 +00:23:31,530 --> 00:23:35,850 +السيارات اللي أنتوا جايين تصنعوها ماشية بمستوى + +265 +00:23:35,850 --> 00:23:39,970 +طبيعي بالنسبة لإستخدام البنزين أو مابتوفرش بنزين، + +266 +00:23:39,970 --> 00:23:49,370 +نرفضهاإذا مرة تانية نشترحها بشكل آخر محمد يقترح أو + +267 +00:23:49,370 --> 00:24:01,210 +قدم محمد قدم مشروع لصناعة السيارات يحتاج تمويل + +268 +00:24:01,210 --> 00:24:05,210 +المدير + +269 +00:24:05,210 --> 00:24:13,990 +عليالسؤال متى علي بوافق على مشروع محمد؟ بعد دراسات + +270 +00:24:13,990 --> 00:24:18,390 +ما هو بعد دراسات؟ اذا + +271 +00:24:18,390 --> 00:24:29,810 +كان مشروع محمد لصناعة السيارات سينتج او يصنع + +272 +00:24:29,810 --> 00:24:34,670 +سيارات توفر البرزين + +273 +00:24:36,360 --> 00:24:48,320 +نفتح قوس لأن هناك دراسة تقول أن البنزين سيقل في + +274 +00:24:48,320 --> 00:24:52,600 +السوق نقبل + +275 +00:24:52,600 --> 00:24:58,980 +المشروع و العكس هذا يا أخوات اسمه خطة استراتيجية + +276 +00:24:58,980 --> 00:25:03,820 +لأنهرتبط بالمستقبلواضح؟ إذا والله يا محمد سيارتك + +277 +00:25:03,820 --> 00:25:08,640 +اللي تصنيعها بوفروا البنزين أهلا وسهلا، طبعا مع + +278 +00:25:08,640 --> 00:25:13,420 +أمور أخرى، لكن إذا بوفروش من أولها يعني المشروع + +279 +00:25:13,420 --> 00:25:18,480 +مرفوض، واضح؟ هذا المقصود على سبيل المثال طلب السوق + +280 +00:25:18,930 --> 00:25:23,370 +اتنين الحاجة إلى خرسة او مشروع استراتيجي مثل احدى + +281 +00:25:23,370 --> 00:25:27,210 +شركات التدريب التي ترخص احد المشروعات لبضع دورة + +282 +00:25:27,210 --> 00:25:31,550 +تدريبية جديدة لزيادة عائدات عائدات رقم اتنين + +283 +00:25:31,550 --> 00:25:37,410 +الاعتبار التاني هل المشروع المقدم الوافق عليه انا + +284 +00:25:37,410 --> 00:25:41,630 +وياك ولا نفضه فيه فرصة ممكن نقتنصها طبعا فرصة + +285 +00:25:41,630 --> 00:25:47,150 +للارباحبمعنى ع سبيل المثال في شركة تدريب ناس + +286 +00:25:47,150 --> 00:25:51,410 +قدمولها مشروع لدورة جديدة قبل ما يوافقوا بيشوفوا + +287 +00:25:51,410 --> 00:25:57,130 +هل الدورة الجديدة هتجيب أرباح إذا أه و بشكل كبير + +288 +00:25:57,130 --> 00:26:01,470 +بنوافق مع اعتبارات أخرى إذا لأ خلاص أو إذا كانت + +289 +00:26:01,470 --> 00:26:05,020 +الدورة تقليديةيعني يكون مراكز التدريب يعطوا نفس + +290 +00:26:05,020 --> 00:26:07,780 +الدورة؟ لأ، هدمش كتير، مافيش موقع نفسها، مش هداك + +291 +00:26:07,780 --> 00:26:13,580 +الأشي هذا المقصود فيها أن المشروع مقدم فكرة جديدة + +292 +00:26:13,580 --> 00:26:19,120 +ممكن يترتب عليها إيش تحقيق الأرباح تلاتة يا أسماء + +293 +00:26:19,120 --> 00:26:23,260 +طلب العميل مثل إحدى شركات الكهرباء التي ترخص أحد + +294 +00:26:23,260 --> 00:26:27,320 +المشروعات لبناء محطة فرعية جديدة لخدمة مركز صناعي + +295 +00:26:27,320 --> 00:26:31,850 +جديدطيب، مين العميل في المثال هذا بطلع؟ صاحب + +296 +00:26:31,850 --> 00:26:36,470 +المصنع ممتاز، ممتاز مركز صناعي له صاحب المصنع + +297 +00:26:36,470 --> 00:26:40,510 +يعني، بس كاتبها بشكل أخر أه أه أه أه أه أه أه أه + +298 +00:26:40,510 --> 00:26:41,150 +أه أه أه أه أه أه أه أه أه أه أه أه أه أه أه أه أه + +299 +00:26:41,150 --> 00:26:41,670 +أه أه أه أه أه أه أه أه أه أه أه أه أه أه أه أه أه + +300 +00:26:41,670 --> 00:26:46,310 +أه أه أه أه + +301 +00:26:58,630 --> 00:27:01,730 +التقدم التكنولوجي مثل إحدى شركات الأجهزة + +302 +00:27:01,730 --> 00:27:04,710 +الإلكترونية التي ترخص مشروعًا جديدًا لتصنيع + +303 +00:27:04,710 --> 00:27:08,810 +كمبيوتر محمول أسرع و أقلي، خُد بالك أسرع، أرخص، + +304 +00:27:08,810 --> 00:27:12,450 +أصغر، بعد التطورات التي طرقت على ذاكرة الحاسب + +305 +00:27:12,450 --> 00:27:16,230 +القالي والإلكترونية بمعنى لو أجوا ناس جدّموا بدهم + +306 +00:27:16,230 --> 00:27:22,300 +تمويل لمشروع لصناعة كمبيوتر عادي، بلاشلازم المشروع + +307 +00:27:22,300 --> 00:27:27,360 +يكون فيه ميزة تشجعنا ناوله هدول الناس مقدمين مثلا + +308 +00:27:27,360 --> 00:27:32,900 +بيصنعوا laptop لكن صغنون وسعر رخيص وسريع .. اه + +309 +00:27:32,900 --> 00:27:35,660 +والله هدا هيلاجي إيه اشطالة في السوق أيضا + +310 +00:27:35,660 --> 00:27:39,360 +المتطلبات القانونية مثل إحدى الشركات المصنعة التي + +311 +00:27:39,360 --> 00:27:42,940 +ترفس أحد المشروعات لتحديد الإرشادات التي ماني + +312 +00:27:42,940 --> 00:27:46,640 +معالجة أحد المواد السامة الجديدة في حد ممكن تشرحها + +313 +00:27:46,640 --> 00:27:49,960 +هذا المثال؟ في أي طالب ممكن تشرحنا المثال هذا؟ + +314 +00:27:56,430 --> 00:28:09,470 +صعب؟ لأ انه .. في عنا مصنع مواد كيميائية ينجم عنه + +315 +00:28:09,470 --> 00:28:16,730 +نفايات، النفايات هذه ضاربة بالبيئة، هذا يا أخوات + +316 +00:28:16,730 --> 00:28:21,930 +الواقع، ان هو الله هيفي مصنعبطلع نفايات برميها على + +317 +00:28:21,930 --> 00:28:29,590 +البحر و عملنا تلوة تقدم أحدهم بمشروع ماشي للتخلص + +318 +00:28:29,590 --> 00:28:35,810 +من هذه النفايات وتقليل + +319 +00:28:35,810 --> 00:28:42,850 +تلوة البيئة منوافق ولا مانوافقش؟ هذا المقصود فيها + +320 +00:28:42,850 --> 00:28:46,610 +هذا المقصود إيش فيها اللي هي الاعتبارات البيئية + +321 +00:28:46,610 --> 00:28:53,320 +يعني الاعتبارات البيئيةهذه يا أخوات الامتلة على + +322 +00:28:53,320 --> 00:28:57,740 +سبيل المثال مش الحصر لأنها كتيرة لأنها اش كتيرة + +323 +00:28:57,740 --> 00:29:00,980 +يعني في شغلات معينة هي اللي بتخلينا نوافق على + +324 +00:29:00,980 --> 00:29:05,580 +المشروع هذا أو ما نوافقش زي ما أخدنا واضح ولا + +325 +00:29:05,580 --> 00:29:12,140 +أعيد؟ أعيد تاني؟ عيد تاني؟ خليني معاك ده سمحته + +326 +00:29:12,140 --> 00:29:21,020 +شكرا يا أسماء، عندنا ملاحظة اتفضليتفضلي تقوم + +327 +00:29:21,020 --> 00:29:24,380 +المؤسسات في إدارة الحقائب الإستثمارية حسب خطتها + +328 +00:29:24,380 --> 00:29:28,040 +الإستراتيجية وهو الأمر الذي قد يتطلب وجود تسكته + +329 +00:29:28,040 --> 00:29:31,680 +الهربي للحقيقة الإستثمارية أو البرامج أو المشروعات + +330 +00:29:31,680 --> 00:29:36,340 +المتضمنة يتمثل أحد أهداف إدارة الحقيقة الإستثمارية + +331 +00:29:36,340 --> 00:29:39,880 +في حصول على أقصى قيمة من الحقيقة الإستثمارية إذا + +332 +00:29:39,880 --> 00:29:46,250 +نحط خط تحت أحد أهدافإدارة الحقيبة الاستثمارية اللى + +333 +00:29:46,250 --> 00:29:50,050 +احنا شرحناها المرة الماضية الحصول على أقصى قيمة + +334 +00:29:50,050 --> 00:29:56,950 +أقصى قيمة معناها أقصى استفادة عن طريق إخضاع + +335 +00:29:56,950 --> 00:30:05,070 +مكوناتها مكوناتها إيش مكوناتها؟ ثلاثة، ممتاز، أيه + +336 +00:30:05,070 --> 00:30:08,470 +المشايين في الشريعة؟تعتبر هذه المكونات الأقل + +337 +00:30:08,470 --> 00:30:11,590 +إسهاما في تحقيق الأهداف الاستراتيجية، الخاصة + +338 +00:30:11,590 --> 00:30:15,330 +بالحقيبة الاستثمارية التي قد يتم استثمائها؟ نقف + +339 +00:30:15,330 --> 00:30:19,790 +هنا، مش كل خوائط الحقيبة الاستثمارية مكوناتها ممكن + +340 +00:30:19,790 --> 00:30:23,470 +يخدموني في تحقيق الأهداف، مش دايما، هو الأصل + +341 +00:30:23,470 --> 00:30:26,610 +المكونات كلها تخدمي في تحقيق الأهداف، لكن بعض + +342 +00:30:26,610 --> 00:30:30,290 +الأوقات باللحظة أن في عندنا برامج أو مشاريع ما + +343 +00:30:30,290 --> 00:30:34,310 +بيساعدني في تحقيق أهداف، تفضليوهكذا تصبح الخطة + +344 +00:30:34,310 --> 00:30:37,550 +الاستراتيجية الخاصة باحنا المؤسسات هي العامل + +345 +00:30:37,550 --> 00:30:41,990 +الرئيس الذي يوجه الاستثمارات في المشروع إذا متى + +346 +00:30:41,990 --> 00:30:51,530 +تصبح الخطة الاستثمارية العامل + +347 +00:30:51,530 --> 00:30:56,110 +الرئيسي لتوجيه + +348 +00:30:56,110 --> 00:31:01,710 +الاستثمار في المشروع إذا لوحظت + +349 +00:31:04,150 --> 00:31:11,510 +أن أحد مكونات المحفظة + +350 +00:31:11,510 --> 00:31:20,830 +الاستثمارية ليس له دور فعال في تحقيق الأهداف + +351 +00:31:24,750 --> 00:31:28,670 +أتفضل يا فاتر و تقوم المشروعات في ذات الوقت بتوفير + +352 +00:31:28,670 --> 00:31:31,970 +التغذية الراجعة للبرامج والحقائب الاستثمارية عن + +353 +00:31:31,970 --> 00:31:35,570 +طريق رفع تقارير الحالات وطلبات التغيير اللتي قد + +354 +00:31:35,570 --> 00:31:38,710 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--> 00:32:43,860 +تنزيع اتياجات المشروعات لمن يدفع حاجات إلى الموارد + +367 +00:32:43,860 --> 00:32:47,560 +ونقلها مرة أخرى إلى مستوى الحقيبة الاستثمارية وهو + +368 +00:32:47,560 --> 00:32:53,360 +الأمر الذي يؤدي بدوره إلى ضغطشكرا يا فاتر كيف يتم + +369 +00:32:53,360 --> 00:33:05,740 +.. كيف يتم ضبط اتجاه تخطيط التنظيم ببساطة عن طريق + +370 +00:33:05,740 --> 00:33:14,740 +تجميع احتاجات ومتطلبات المشاريع وارسالها لحقيبة + +371 +00:33:14,740 --> 00:33:17,340 +الاستثمارية وهكذا + +372 +00:33:19,910 --> 00:33:23,090 +إذا واضح يا أخوات أن ال slide اللي أمامنا جزاناه + +373 +00:33:23,090 --> 00:33:26,870 +على شكل أسئلة، هيك بيكون أوضح، ان نراجع مع بعض + +374 +00:33:26,870 --> 00:33:29,950 +واحد + +375 +00:33:29,950 --> 00:33:34,470 +حكينا متى يتم التحول من + +376 +00:33:38,050 --> 00:33:42,230 +الحقيبة الاستثمارية إلى الخطة الاستراتيجية حكينا + +377 +00:33:42,230 --> 00:33:45,190 +أنه ما يكون فعلا أحد مكونات الحقيبة الاستثمارية ما + +378 +00:33:45,190 --> 00:33:49,010 +بيشارك بشكل مطلوب في تحقيق أي أشكال الأداء بعد ذلك + +379 +00:33:49,010 --> 00:33:53,030 +سألنا حالنا سؤال أشكال التقضية الراجعة ما هي أشكال + +380 +00:33:53,030 --> 00:33:57,050 +التقضية الراجعة للمشاريع طبعا المشاريع هتقدم للي + +381 +00:33:57,050 --> 00:34:00,270 +أعلمنا اللي هم البرامج و الحقيبة قلنا كلهم كلمتين + +382 +00:34:00,270 --> 00:34:08,110 +التقارير وطلبات التغييرأخر نقطة كيف يتم ضبط اتجاه + +383 +00:34:08,110 --> 00:34:12,050 +التقدير التنظيمي بحاجة بسيطة انه جميع احتياجات و + +384 +00:34:12,050 --> 00:34:14,890 +طلبات المشاريع كلها ونده تروح على الحقيبة + +385 +00:34:14,890 --> 00:34:19,610 +للستمارية خدي بالك اكت بجانب حقيبة للستمارية إدارة + +386 +00:34:19,610 --> 00:34:27,610 +عليا اكت بجانبها إيش إدارة عليا السؤال + +387 +00:34:27,610 --> 00:34:33,080 +التالي عرفي P&O P ProjectProject Management Office + +388 +00:34:33,080 --> 00:34:36,900 +Project Management Office إذا أنا عارفة في مكتب + +389 +00:34:36,900 --> 00:34:40,580 +إدارة المشروع، اتفضلي هو هيكل أو كيانة نظيم يقوم + +390 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بيتاخدوا أي قرار غير لما يرجعوا لل BMO، + +402 +00:35:25,910 --> 00:35:30,730 +واضح؟ عيدها؟ إذن عندنا إدارة مشروع لازم يكون له + +403 +00:35:30,730 --> 00:35:34,030 +مكتب، إيش بدنا فيه المكتب هذا؟ أي حاجة نحتاجها في + +404 +00:35:34,030 --> 00:35:36,770 +إدارة المشروع و أحنا في ميدان العمل، نتصل على + +405 +00:35:36,770 --> 00:35:43,940 +المكتب اللي هو ال BMOبحكينا تتفوت مسئوليات مكتب + +406 +00:35:43,940 --> 00:35:47,380 +إدارة المشروع بدء من توفير وظائف دعم إدارة المشروع + +407 +00:35:47,380 --> 00:35:51,720 +حتى تحمل المسئولية الفعلية لإدارة أحد المشروعات + +408 +00:35:51,720 --> 00:35:57,940 +إدارة مباشرة إذا مسئولية مكاتب ال BNAبتختلف من + +409 +00:35:57,940 --> 00:36:03,140 +مكتب إلى مكتب أول حاجة بنوفر وظائف لدعم الإدارة + +410 +00:36:03,140 --> 00:36:05,580 +اللي هي تخيل و تنظيم التوجيه و الرقابة و الأشياء + +411 +00:36:05,580 --> 00:36:09,780 +اللي احنا محتاجينها هذا بيساعدنا على تحمل مسئولية + +412 +00:36:09,780 --> 00:36:14,310 +إدارة إيش المشروع بساطة يا أخوات الفقر هاديأي مكتب + +413 +00:36:14,310 --> 00:36:17,490 +إدارة مشروع عشان ينجح في إدارة المشروع ومتبعته، + +414 +00:36:17,490 --> 00:36:20,990 +يجب أن يوفر له إيش؟ وظائف الإدارة، إيش وظائف + +415 +00:36:20,990 --> 00:36:23,290 +الإدارة؟ تخطيط وظائف الإدارة تخطيط وظائف الإدارة، + +416 +00:36:23,290 --> 00:36:23,770 +تخطيط وظائف الإدارة تخطيط وظائف الإدارة تخطيط + +417 +00:36:23,770 --> 00:36:23,930 +وظائف الإدارة تخطيط وظائف الإدارة تخطيط وظائف + +418 +00:36:23,930 --> 00:36:26,230 +الإدارة تخطيط وظائف الإدارة تخطيط وظائف الإدارة + +419 +00:36:26,230 --> 00:36:33,130 +تخطيط وظائف الإدارة تخطيط وظائف الإدارة تخطيط + +420 +00:36:33,130 --> 00:36:36,510 +وظائف + +421 +00:36:36,510 --> 00:36:40,490 +الإدكل المشاريع مش شرط هذا يكون هو نفسه هذا أو لهم + +422 +00:36:40,490 --> 00:36:43,610 +علاقة ببعض كل ناس صغيرة أيضا يعتمد الشكل أو + +423 +00:36:43,610 --> 00:36:46,490 +الوظيفة أو الهيكل الخاص بمكتب إدارة المشروعات على + +424 +00:36:46,490 --> 00:36:50,930 +احتياجات المنظمة التي تدعمها حسب هاش المؤسسة اللي + +425 +00:36:50,930 --> 00:36:55,290 +هتفتح ال BMA هتشوف إيش ال هيكل بتاعها هل هيكون في + +426 +00:36:55,290 --> 00:36:58,370 +موظف واحد نفسه كل المشاريع؟ هل هيكون عندنا فريق + +427 +00:36:58,370 --> 00:37:02,850 +عمل؟ هي اللي هتقرر حسب احتياجات المنظمة التي + +428 +00:37:02,850 --> 00:37:07,200 +تدعمها كلمة تدعمها معناها توفر لها تمويلال finance + +429 +00:37:07,200 --> 00:37:12,740 +يعني بتوفرها إيش تمام حسب احتجاجات المؤسسة بتوفرها + +430 +00:37:12,740 --> 00:37:20,620 +تمام بتاخدوا قرار كيف هيكون شكل إيش شكل ال PR شكرا + +431 +00:37:20,620 --> 00:37:27,020 +يا أزهار مين حابب يكمل؟ فضلوا تمثل وظيفة رئيسية + +432 +00:37:27,020 --> 00:37:30,440 +لمكتب إدارة المشروع في داعم مديري المشروعات بعدة + +433 +00:37:30,440 --> 00:37:34,660 +طرح قد تشمل على نايالي وذلك على سبيل المثال الحصر + +434 +00:37:37,580 --> 00:37:43,800 +أشكال وظائف BMO عندنا أربع و إدارة الموارد + +435 +00:37:43,800 --> 00:37:47,960 +المشتركة في جميع المشروعات التي يديرها مكتب إدارة + +436 +00:37:47,960 --> 00:37:50,520 +المشروعات معاشر عندنا ستة أربع في الشارع هذا و + +437 +00:37:50,520 --> 00:37:54,790 +اتنان جيدإدارة المواد المشتركة هي ممكن تكون + +438 +00:37:54,790 --> 00:37:57,910 +المشتريات، ممكن تكون المخازن، ممكن تكون المواد + +439 +00:37:57,910 --> 00:38:02,870 +البشرية، اتنين تحديد ووضع منهجي إدارة المشهور + +440 +00:38:02,870 --> 00:38:08,070 +وأفضل ممارسات والمعايير، خطط إدارة المشاريعالمشروع + +441 +00:38:08,070 --> 00:38:12,650 +الناجح يحتاج إلى إيش؟ إلى خطة تلاتة تلاتة التدريب + +442 +00:38:12,650 --> 00:38:17,010 +الدعم التأهيل والاشراف الاهتمام بفريق العمل لإنجاز + +443 +00:38:17,010 --> 00:38:21,610 +المشاريع أربعة مراقبة التوافق مع معايير سياسات + +444 +00:38:21,610 --> 00:38:25,190 +إشراقات وقوالب إدارة المشروعات من خلال تقييمات + +445 +00:38:25,190 --> 00:38:28,690 +المشروع إذا من البساطة أربعة تقييم المشروع نفس + +446 +00:38:28,690 --> 00:38:32,690 +الخطة ممتاز هل المشروع اللي أنت يا BMO مسئول عنه + +447 +00:38:32,690 --> 00:38:36,470 +ناجح بيشتغلوا بنجزه ولا بيلعبوا ولا إيش بيساووه؟ + +448 +00:38:36,470 --> 00:38:41,560 +بدنا نشوفخمسة خمسة وضع وإدارة سياسات إجراءات هوالف + +449 +00:38:41,560 --> 00:38:45,320 +بالمشروع والمستندات المشتركة الأخرى أصول العملية + +450 +00:38:45,320 --> 00:38:49,320 +التنظيمية طبعا هنا يا أخوات وضع سياسات وإجراءات + +451 +00:38:49,320 --> 00:38:54,520 +لمتابعة استخدام أصول المؤسسة أي ال asset بتاعة + +452 +00:38:54,520 --> 00:38:58,420 +المؤسسة أصول تابعة أو أصول متداولة السيولة بتاعتها + +453 +00:38:58,420 --> 00:39:01,720 +لازم يكون في إجراءات وسياسات لحتى مش كل واحد يشتغل + +454 +00:39:01,720 --> 00:39:06,350 +ممكن طريقة تبدير أو طريقة غير مجديرة6- تنسيق + +455 +00:39:06,350 --> 00:39:09,990 +الاتصال بين المشروعات إذا دعت الحاجة للاتصال بين + +456 +00:39:09,990 --> 00:39:13,770 +المشروعات ومش دايما يجب أن يكون مكتب ال BMO هو + +457 +00:39:13,770 --> 00:39:18,210 +عنصر إيش؟ عنصر التنسيق نعيدها تاني، إيش كان آخر + +458 +00:39:18,210 --> 00:39:20,390 +سؤال؟ كتبتيه الطالب اللي بيقعد أجانب رواه من + +459 +00:39:20,390 --> 00:39:27,270 +احتمي؟ تكري أشهر وظائف ال BMO زي + +460 +00:39:27,270 --> 00:39:39,420 +إيش وظائف ال BMO أبسط؟تلاتة بدنا، أسهل تلاتة تحديد + +461 +00:39:39,420 --> 00:39:42,720 +ووضع خطة إدارة المشروع وأفضل ممارسة ووضع الخطة، + +462 +00:39:42,720 --> 00:39:45,440 +تلاتة التدليب والدعم والتأهيب والإهتمام بفريق + +463 +00:39:45,440 --> 00:39:50,920 +العمل، أيضًا التنسيق ووضع سياسات للتعامل مع حصول + +464 +00:39:50,920 --> 00:39:54,360 +المواصلة أو المشروع بشكل جيد، أيضًا التنسيق بين + +465 +00:39:54,360 --> 00:39:55,860 +المشاريع + +466 +00:39:59,250 --> 00:40:04,610 +أخر نقطة المحاضرة اليوم ما الفرق بين مدير المشروع + +467 +00:40:04,610 --> 00:40:09,310 +و مكتب مدير المشروع؟ ولا اتنين زي بعض؟ هل في فرق + +468 +00:40:09,310 --> 00:40:11,190 +بين مدير المشروع و مكتب مدير المشروع يعيشوا مع + +469 +00:40:11,190 --> 00:40:15,310 +بعض؟ في عندنا + +470 +00:40:15,310 --> 00:40:20,790 +BMO + +471 +00:40:20,790 --> 00:40:29,600 +وعندنا BM يتر اتنين زي بعض؟ ولا كل واحد لحالة؟شوف + +472 +00:40:29,600 --> 00:40:33,340 +مع بعض، تفضلي ماليون؟ يركز مدير المشروع على أهداف + +473 +00:40:33,340 --> 00:40:37,640 +المشروع المحددة بينما يقوم بتجارب المشروعات بتحكم + +474 +00:40:37,640 --> 00:40:42,180 +في تغيرات طاقة البرنامج الكبرى والتي قد يتم النظر + +475 +00:40:42,180 --> 00:40:45,680 +إليها على كونها فرص محتملة لتحقيق أهداف المشروع + +476 +00:40:45,680 --> 00:40:51,520 +بشكل أفضل هي + +477 +00:40:51,520 --> 00:40:54,820 +رقم واحد، ممكن نسويه على شكل جد و لا سهلمدير + +478 +00:40:54,820 --> 00:40:58,320 +المشروع كل تركيز يكون كيف يحقق هدف المشروع عشان + +479 +00:40:58,320 --> 00:41:03,000 +يكون عنه ناجح لأنه لو هدف المشروع تم تحقيقه معناه + +480 +00:41:03,000 --> 00:41:08,610 +مدير المشروع كان شاطر وحققه بينما ال B&O لأبركز + +481 +00:41:08,610 --> 00:41:15,610 +على البحث عن الفلس لحتى تحقيق الاهداف، إذا كان + +482 +00:41:15,610 --> 00:41:19,350 +مدير المشروع في الموارد المخصصة للمشروع، أي أتم + +483 +00:41:19,350 --> 00:41:22,870 +الفصولة على أقدر تحقيق الاهداف، بينما يعمل مكتب + +484 +00:41:22,870 --> 00:41:26,310 +دارة المشروعات على تحسين استخدام الموارد التنمية + +485 +00:41:26,580 --> 00:41:29,620 +المشتركة في جميع المشروع هذه أخوات لها علاقة في + +486 +00:41:29,620 --> 00:41:33,880 +رقم خمسة في الوضع في ال BMO لما حكينا وضع وإدارة + +487 +00:41:33,880 --> 00:41:39,540 +سياسات وإجراءات أصول المشروع هذه هي إنه هذا بتحكم + +488 +00:41:39,540 --> 00:41:43,140 +يعني بيشتغل زي ما بده هذا بيركز على تحسين استخدام + +489 +00:41:43,140 --> 00:41:47,860 +الأصول أو ترشيدها كيف مثلا بدل من استخدم آلتين + +490 +00:41:47,860 --> 00:41:51,900 +ممكن نستخدم آلة أو نوفر في الطاقة استغلالها بشكل + +491 +00:41:51,900 --> 00:41:56,280 +جيد ممتاز تلاتةيعالج مدير المشروعات القيول أن + +492 +00:41:56,280 --> 00:41:59,160 +الثقافة جدول الثماني والتكلفة والجام ده وغيرها + +493 +00:41:59,160 --> 00:42:03,200 +الخاصة بالمشروعات المستقلة بينما أخوه مكتب إدارة + +494 +00:42:03,200 --> 00:42:08,320 +المشروعات بإدارة المنهجيات والمعاليين والمخاطرة أو + +495 +00:42:08,320 --> 00:42:11,700 +الفرص الكلية والتداخلات بين المشروعات على مستوى + +496 +00:42:11,700 --> 00:42:12,140 +المسجد + +497 +00:42:19,500 --> 00:42:23,780 +إذا نقم ثلاثة ال project manager أو management + +498 +00:42:23,780 --> 00:42:26,320 +بركز على علاج القيود، القيود اللي أخدناها المرة + +499 +00:42:26,320 --> 00:42:30,300 +الماضية، اللي هي القيود التنافسية، اللي هي الوقت، + +500 +00:42:30,300 --> 00:42:32,840 +المطاق، التكلفة، الجودة، الشعب المغني المرة + +501 +00:42:32,840 --> 00:42:36,200 +الماضية، بس كيف يتعامل معاهم و أي مشكلة يحلها، هذا + +502 +00:42:36,200 --> 00:42:42,400 +لأبحُط منهجية معينة ومعيّر معينة وكيف .. طبعاً + +503 +00:42:42,400 --> 00:42:46,160 +مبعثها لهذا لحد يستخدمها في علاج القليل إذا واضح + +504 +00:42:46,160 --> 00:42:50,740 +أن الأثنين مش زي بعض إذا كان عينا سؤال بيقول ما + +505 +00:42:50,740 --> 00:42:57,020 +الفرق بينه مدير المشروع ومدير مكتب المشروع أو مكتب + +506 +00:42:57,020 --> 00:43:00,380 +مدير المشروع زي بعض ولا جانا في فرق؟ في فرق ان + +507 +00:43:00,380 --> 00:43:07,490 +راجعوا مع بعض بيركز عليا علشان فقط تحقيق الأهدافهن + +508 +00:43:07,490 --> 00:43:11,070 +لأ، بتدور على فرصة ساعدنا على تحقيق أهداف المشروع + +509 +00:43:11,070 --> 00:43:15,010 +بشكل أخضر، هن بتحكى، يعني هاي الموارد بيقولوا + +510 +00:43:15,010 --> 00:43:16,930 +يشتغلوا فيها زي ما هو عايز، بيصدروا زي ما هو عايز، + +511 +00:43:16,930 --> 00:43:20,990 +هن لأ، يبحث عن طريقة أفضل لاستغلال إيش، الموارد، + +512 +00:43:20,990 --> 00:43:25,530 +نوفر شويةهام بعالج القيود، القيود اللي هم النطاق + +513 +00:43:25,530 --> 00:43:28,830 +والجدول الزمنية والتكلفة والجودة، هذا لأ، بحط + +514 +00:43:28,830 --> 00:43:33,490 +منهجية أو قالية معينة لحتى نعرف إيش القيود، إذا + +515 +00:43:33,490 --> 00:43:40,450 +نوضح إن الشغل إيش معله، إختلف عن بعضه، نتوقف عنده + +516 +00:43:40,450 --> 00:43:43,950 +إدارة المشروعات وإدارة العملية + diff --git a/PL9fwy3NUQKwYZU2ezHFq-UK19TEyZdOHs/JWUuY6m4T68_raw.json b/PL9fwy3NUQKwYZU2ezHFq-UK19TEyZdOHs/JWUuY6m4T68_raw.json new file mode 100644 index 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+00:01:16,310 --> 00:01:22,870 +تكرارية اذا علاقات بس تلاتة اما متسلسلة او متداخلة + +13 +00:01:22,870 --> 00:01:28,870 +او اش او متكررة نشوف مع بعض ما المقصود بالعلاقة + +14 +00:01:28,870 --> 00:01:40,590 +التسلسلية او المتسلسلة ممكن نرسمها بمعنى واحد + +15 +00:01:40,590 --> 00:01:45,630 +بعده اتنين و اتنين بعده تلاتةببدأش في اتنين غلمان + +16 +00:01:45,630 --> 00:01:49,870 +جز واحد و ببدأش في تلاتة غلمان جز ايش؟ اتنين إذا + +17 +00:01:49,870 --> 00:01:55,090 +شو يعني تسلسلية؟ تفضل يا فاطمة علاقة تسلسلية حيث + +18 +00:01:55,090 --> 00:01:58,510 +لا يتم البدء في إحدى المراحل إلا بعد الانتهاء من + +19 +00:01:58,510 --> 00:02:03,630 +المرحلة السادسة مثلا على أحد المشروعات الذي يشمل + +20 +00:02:03,630 --> 00:02:07,710 +على مراحل تسلسلية بشكل كامل غالبية يا أخوات ال .. + +21 +00:02:09,380 --> 00:02:13,500 +مشاريع بتكون علاقتها تسلسلية بخلص نشاط و ببدأ فاش + +22 +00:02:13,500 --> 00:02:16,580 +في نشاط تاني بمعنى إحنا جد و شوية خلصنا المحاضرة + +23 +00:02:16,580 --> 00:02:21,000 +الأولى و بدأنا في المحاضرة إيش؟ التاني بينفع نبدأ + +24 +00:02:21,000 --> 00:02:23,280 +المحاضرة تاني في نفس الساعة؟ لأ بنفعش هذا إيش + +25 +00:02:23,280 --> 00:02:27,940 +بنسمي؟ بنسمي تسلسلي في عندنا مثال زي ما زمانكم حكت + +26 +00:02:27,940 --> 00:02:34,020 +هذا المثال بيحكي عن مشروع تنظيف البيئة مشروع تنظيف + +27 +00:02:34,020 --> 00:02:38,730 +البيئة من بعض النفايات الدارةبحكيلنا المرحلة + +28 +00:02:38,730 --> 00:02:44,430 +الأولى الانطلاق + +29 +00:02:44,430 --> 00:02:53,750 +شو يعني انطلاق؟ معناه البدء ماشي هنبدأ بعد ما نبدأ + +30 +00:02:53,750 --> 00:02:58,570 +ايش هنسوي؟ اللي هو المشروع اللي هو ايش ال cleaner + +31 +00:02:58,570 --> 00:03:07,450 +او التنظيف بعدين الوصول للمناظر الطبيعيةخودي بالك + +32 +00:03:07,450 --> 00:03:10,450 +المشروع هذا مشروع على تنظيف البيئة من نفايات + +33 +00:03:10,450 --> 00:03:14,350 +نووية، مش نفايات عادية صلبة، لأ هذا نووي، يعني إيش + +34 +00:03:14,350 --> 00:03:19,910 +خطير، عشان قالنا البدء، لأن البدء بده تحضيرفي + +35 +00:03:19,910 --> 00:03:22,870 +ألبسة معينة للناس اللي بتنظف النفايات النووية عشان + +36 +00:03:22,870 --> 00:03:25,690 +ما يجيبهمش مرض خاطر الله سمح الله في عندنا كمان + +37 +00:03:25,690 --> 00:03:29,710 +أجهزة معينة اللي لازم تستخدم لنحدد وين نرتب أمورنا + +38 +00:03:29,710 --> 00:03:32,350 +و نوزع العمل و نحدد وين هيبدأوا الشغل و بعدين + +39 +00:03:32,350 --> 00:03:36,690 +هيبدأوا الشغل الأصل بعد ما يخلص و إش اللا دي رجعنا + +40 +00:03:36,690 --> 00:03:39,990 +البيئة لوضعها الطبيعي قبل نفايات الاش قبل نفايات + +41 +00:03:39,990 --> 00:03:44,770 +النووية هل بينفع أن أحنا بنحضر و ننظف مع بعض؟ لأ + +42 +00:03:44,770 --> 00:03:48,630 +مانفعش، مانفعش هذا بنسمي إيش؟ بنسمي تسلسل + +43 +00:03:51,290 --> 00:03:57,920 +نشوف رقم اتنينالإيناف المتداخلة هتبدأ المرحلة قبل + +44 +00:03:57,920 --> 00:04:01,720 +الانتهاء من المرحلة السابقة في بعض الأحيان كمثال + +45 +00:04:01,720 --> 00:04:05,940 +على أسلوب ضغط الجدول الزمني المعروف بالتتبع السريع + +46 +00:04:05,940 --> 00:04:10,040 +المراحل المتداخلة شوي شوي يعني أخدتي بالك؟ قبل ما + +47 +00:04:10,040 --> 00:04:13,840 +نخلص واحد، مين دخل فيها؟ نين قبل ما نخلص نين، + +48 +00:04:13,840 --> 00:04:17,540 +تلاتة إذا المتداخلة معناها قبل ما أنجز المرحلة، + +49 +00:04:17,540 --> 00:04:20,620 +الحالية ببدأ في المرحلة الجديدة هذه بنسميها إيش؟ + +50 +00:04:20,620 --> 00:04:25,390 +متداخلة، تفضليالمراحل المتداخلة قد تؤدي إلى زيادة + +51 +00:04:25,390 --> 00:04:31,390 +المخاطر سؤال أتكوا سلبيات أو عيوب العلاقات + +52 +00:04:31,390 --> 00:04:39,410 +المتداخلة بين مراحل المشروع؟واحد زيادة ال risk أو + +53 +00:04:39,410 --> 00:04:44,310 +المخاطر تفضلي يؤدي إلى زيادة المخاطر وقد ينتج عنها + +54 +00:04:44,310 --> 00:04:48,570 +إعادة العمل في حالة التقدم إلى مرحلة تالية قبل + +55 +00:04:48,570 --> 00:04:57,270 +توفر الحصول على معلومات دقيقة قبل نهاية المرحلة + +56 +00:04:57,270 --> 00:05:02,330 +إلى مرحلة تالية قبل توفر الحصول على معلومات دقيقة + +57 +00:05:02,330 --> 00:05:08,160 +من المرحلة السابقة شكرا يا ماماما هي أو ما المقصود + +58 +00:05:08,160 --> 00:05:12,860 +بالعلاقات المتداخلة قبل انتهاء المرحلة الحالية + +59 +00:05:12,860 --> 00:05:17,540 +نبدأ في مرحلة جديدة طب إلها عيوب ولا منيحة؟ لا + +60 +00:05:17,540 --> 00:05:20,100 +إلها عيوب أول حاجة إنه ممكن زيادة المخاطر الذين + +61 +00:05:20,960 --> 00:05:23,920 +مثلا لو كنت أنا لحالي و بس انخلص من ده فى التانى و + +62 +00:05:23,920 --> 00:05:26,620 +ممكن انا افشل فى هذه و انا افشل فى التانى زى لما + +63 +00:05:26,620 --> 00:05:29,320 +انت تكون تعمل شغلتان فى نفس اللحظة ممكن الاتنين + +64 +00:05:29,320 --> 00:05:32,660 +يخربوا تقول لو اني ركزت على واحدة أفضل اتنين + +65 +00:05:32,660 --> 00:05:36,440 +ماعنديش معلومات دقيقة عن المرحلة الأولى ليش لإني + +66 +00:05:36,440 --> 00:05:40,400 +ماتولتش بقى لى بس تخلص بدأت فى التانى على طول غير + +67 +00:05:40,400 --> 00:05:43,060 +التسلسلية بنخلص واحدة و بنطمئنه من ده فى التانى + +68 +00:05:43,060 --> 00:05:46,260 +عشان استعجلنا بدأناهم مع بعض ماعنديش معلومات عن + +69 +00:05:46,260 --> 00:05:51,280 +المرحلة أيهش اللى كنت بدناخد مثال، عندنا مثال هان + +70 +00:05:51,280 --> 00:05:57,940 +أخدتي بالك كيف؟ هذه مرحلة، هذه الرسمة مرحلة و + +71 +00:05:57,940 --> 00:06:01,600 +الرسم هادى مرحلة الرسمة .. المرحلة دخلت على هادي + +72 +00:06:01,600 --> 00:06:10,080 +واضح؟ إذا كل واحدة دخلت على التانية طبعا هان هذا + +73 +00:06:10,080 --> 00:06:17,340 +مشروع بناء مصنع جديد و احنا لسه بنبدأ في المصنع و + +74 +00:06:17,340 --> 00:06:23,200 +احنا عاملين حاجة تانيةبناء مصنع ايش؟ جديد وانا + +75 +00:06:23,200 --> 00:06:25,800 +الساعة بجهز في المصنع اللي رايحين جايبين القلات + +76 +00:06:25,800 --> 00:06:31,420 +ننحطهم طب بننحطهم لسه ما خلصناش، المفروض بعد ما + +77 +00:06:31,420 --> 00:06:34,480 +خلصنا نتبنق أمورنا، جيب القلات، اذا ندخلوا في بعض، + +78 +00:06:34,480 --> 00:06:38,300 +هذا المقصود فيها واضح يا خوات؟ خُلي بقى لك، كل + +79 +00:06:38,300 --> 00:06:44,110 +مربع الصبورة هذه مارح تتمشر على حالهرقم تلاتة في + +80 +00:06:44,110 --> 00:06:48,770 +العلاقات تفضل يا أزهر تلاتة علاقة تكرارية تكرار + +81 +00:06:48,770 --> 00:06:52,990 +حيث يتم التخطيط لمرحلة واحدة فقط في أي وقت محدد + +82 +00:06:52,990 --> 00:06:56,250 +ويتم التخطيط للمرحلة التالية مع تقدم العمل في + +83 +00:06:56,250 --> 00:07:01,450 +المرحلة الحالية والنواتي إذا الواحد التخطيط + +84 +00:07:01,450 --> 00:07:06,390 +لمرحلة ما؟ تفضل أو لمرحلة واحد، تفضل تحقق هذه + +85 +00:07:06,390 --> 00:07:10,170 +الطريقة فائدة كبيرة في العواصر بعد ذلك غير المحدد + +86 +00:07:10,170 --> 00:07:21,420 +العودةللتخطيط لمرحلة نين تلاتة بعد ذلك العودة + +87 +00:07:21,420 --> 00:07:28,580 +للتخطيط لمرحلة تلاتة أخدت بالك ليش سميناها تكرار؟ + +88 +00:07:28,580 --> 00:07:31,840 +لأن التخطيط كم مرة تكرر معايا تكرر عشان هيك + +89 +00:07:31,840 --> 00:07:35,370 +سميناها تكراربنخلص الشغل و بنبدأ بنعيد نفس الشغل + +90 +00:07:35,370 --> 00:07:39,530 +لشغل جديدة و هكذا تحقق هذه الطريقة فائدة كبيرة في + +91 +00:07:39,530 --> 00:07:42,850 +الأوساط غير المحددة بشكل كبير أو الغامضة أو + +92 +00:07:42,850 --> 00:07:46,010 +المتغيرة بشكل سريع طبعا هي مين بتلائم الأمور + +93 +00:07:46,010 --> 00:07:50,310 +الغامضة أو المتغيرة بسرعة مثل الوسط البحث ولكنها + +94 +00:07:50,310 --> 00:07:52,870 +تقلد .. الوسط البحث هي عند الأبحاث العلمية الأبحاث + +95 +00:07:52,870 --> 00:07:53,750 +زي عندنا في الجامعة + +96 +00:07:56,870 --> 00:08:01,310 +مثلا، بتخلص ال proposal، تبدأ تخططي لمين؟ للإيطار + +97 +00:08:01,310 --> 00:08:04,730 +النظري، خلصت الإيطار النظري، بتبدأ تخططي لدراسة + +98 +00:08:04,730 --> 00:08:08,830 +الميدانيين، هذا اسمه بيطار بحثي ولكنها تقلل من + +99 +00:08:08,830 --> 00:08:11,670 +القدرة على توفير التخطيط على توالي المدى، إذا + +100 +00:08:11,670 --> 00:08:17,930 +السؤال أدكر عيوب العلاقات، فوائد، المتكار عيوب + +101 +00:08:17,930 --> 00:08:31,120 +يعنيواحد عدم توفير الفرصة للتخطيط مرة واحدة ليش كل + +102 +00:08:31,120 --> 00:08:33,960 +ما نخلص الحاجة نضل نخطط ونخطط؟ ليش مرة واحدة + +103 +00:08:33,960 --> 00:08:38,520 +وخلصونا؟ ماشي، أيضا؟ تتم إدارة النطاق عن طريق + +104 +00:08:38,520 --> 00:08:43,180 +التوفير المستمر لزيادات المونتاج وترتيب المتطلبات + +105 +00:08:43,180 --> 00:08:47,320 +حسب أولوياتها لتقليل مخاطر المشروع وزيادة القيمة + +106 +00:08:47,320 --> 00:08:50,280 +التجارية للمونتاج ممتاز، إيش بالمزاياها يا أخوات؟ + +107 +00:08:52,640 --> 00:08:57,700 +واحد انخفاض cash ال risk المخاطر اتنين توفير + +108 +00:08:57,700 --> 00:09:03,400 +الموارد او المستلزمة اتفضل زيادة القيمة التجارية + +109 +00:09:03,400 --> 00:09:10,660 +للمنتج الى اقصى حد زيادة قيمة المنتج اتفضل اما + +110 +00:09:10,660 --> 00:09:14,280 +انها تستلزم تواجد جميع اعضاء فريق المشروع مثل + +111 +00:09:14,280 --> 00:09:19,890 +المصممين والمطورين وغيرهم هذا من العيوب اتنينضرورة + +112 +00:09:19,890 --> 00:09:25,930 +تواجد جميع عضائي .. تواجد المخططين على سبيل المثال + +113 +00:09:25,930 --> 00:09:29,900 +طول الفترةأتعيد، مش هيعمل خطة بيروح، لأ، دل قاعد + +114 +00:09:29,900 --> 00:09:33,460 +معاك مثل المصممين والمطورين وغيرهم، طوال فترة + +115 +00:09:33,460 --> 00:09:37,000 +المشروع أو طول مرحلتين متتاليتين على الأقل على + +116 +00:09:37,000 --> 00:09:40,000 +سبيل المثال، إذا هنشوف مع بعض ما المقصود بالإلاقات + +117 +00:09:40,000 --> 00:09:43,460 +التكرارية زي ما أخدنا نتال، خطط لمرحلة الأولى، بعد + +118 +00:09:43,460 --> 00:09:46,600 +شوية بروح بخط التانية لمرحلة التانية، بعد شوية + +119 +00:09:46,600 --> 00:09:50,740 +بروح بخط التالت مرة لمرحلة التالتة، أخدنا هدف ناسم + +120 +00:09:50,740 --> 00:09:54,710 +مشاريع الأبحاث العلميةزي مثلا نعمل مشروع نقل عشان + +121 +00:09:54,710 --> 00:09:58,330 +نكتشف علاج لمرض معين أو حل مشكلة اقتصادية أو + +122 +00:09:58,330 --> 00:10:01,310 +إدارية في البلد قولنا أيه العيوب و أيه المزايا؟ من + +123 +00:10:01,310 --> 00:10:05,110 +المزايا انخفاض المخاطر لأن أنا بخطط لفترة زمنية + +124 +00:10:05,110 --> 00:10:09,490 +قصيرة اثنين استغلال المواد الموجودة و ايضا ازيار + +125 +00:10:09,490 --> 00:10:15,330 +قيمة إيش المنتج انوجد أو المنتج انوجد إيش عيوبها؟ + +126 +00:10:15,330 --> 00:10:20,010 +أول حاجة فقدانا لفرصة التخطيط مرة واحدة للمشروع + +127 +00:10:21,500 --> 00:10:25,240 +تكررنا التخطيط احنا. اتنين ضروري التوازن و تقعدة + +128 +00:10:25,240 --> 00:10:28,320 +اعطاء فريق العمل على سبيل المثال مخططين طول فترة + +129 +00:10:28,320 --> 00:10:34,780 +اش المشروع لازم يظلهم معانا طول فترة المشروع لذا + +130 +00:10:34,780 --> 00:10:39,360 +كان عندنا سؤال يا سابرين بيقول ما المقصود + +131 +00:10:39,360 --> 00:10:40,900 +بالعلاقات التسلسلية + +132 +00:10:46,790 --> 00:10:57,710 +مرحلة مرحلة ممتاز نفايات + +133 +00:10:57,710 --> 00:11:03,190 +النووية ممتاز شكرا يا سابقى السؤال التانى يا أسماء + +134 +00:11:03,190 --> 00:11:10,310 +ما هي عيوب العلاقات المتداخلة هي + +135 +00:11:10,310 --> 00:11:11,990 +عدم توفر الكورسة للتخطيط + +136 +00:11:17,510 --> 00:11:23,570 +فضلي عدم عدم + +137 +00:11:23,570 --> 00:11:31,790 +توافر معلومات دقيقة أمتاز عدم توافر معلومات دقيقة + +138 +00:11:31,790 --> 00:11:35,770 +عن مراحلة إيش السبع خليكي معايا لو سمحتي أخر .. + +139 +00:11:35,770 --> 00:11:40,690 +أخر حاجة أخدناها اللي هي التكرارية أخدنا إليها + +140 +00:11:40,690 --> 00:11:44,650 +عيوب و إليها إيش مزايا إيش مزايا العلاقات + +141 +00:11:44,650 --> 00:11:50,300 +التكرارية روانتقليل المخاطر وزيادة قيمة السوقية + +142 +00:11:50,300 --> 00:11:56,720 +للمنتج وكذلك توفير مستخدمات إدارية جيدة شكرا يعني + +143 +00:11:56,720 --> 00:11:59,600 +بيحكينا يا أخوات أن العلاقات التلاتة هذه ممكن + +144 +00:11:59,600 --> 00:12:04,300 +نلاقيها في نفس الوجه أكتر ممكن نلاقي علاقات تلاتة + +145 +00:12:04,300 --> 00:12:07,580 +في نفس المشروع إذا من الممكن أن نجل هذه يا أخوات + +146 +00:12:07,580 --> 00:12:13,540 +في خطأ مطبعي هي أكتر من الممكن أن نجلمشروع يلو عدة + +147 +00:12:13,540 --> 00:12:18,940 +مراحل فيه أكتر من نوع إيش من العلاقات طبعا في هناك + +148 +00:12:18,940 --> 00:12:23,340 +أمور بتتدخل في هذا الأمر نكتب شغال ادخلي + +149 +00:12:23,340 --> 00:12:36,820 +الاعتبارات التي بناء عليها سنحدد نوع العلاقة بين + +150 +00:12:36,820 --> 00:12:42,480 +المراحليعني عليها أساسا هو تسلسلي لأ متداخل لأ + +151 +00:12:42,480 --> 00:12:48,180 +تكرار واحد التحكم يا أخوات مرتين اللي هي الرقابة + +152 +00:12:48,180 --> 00:12:55,240 +أو السيطرة مستوى السيطرة المطلوب تنين فعليتهاالشكل + +153 +00:12:55,240 --> 00:13:01,680 +هو حالة عدم التأكد يعني مايكونش متأكدة درجة الشكل + +154 +00:13:01,680 --> 00:13:06,160 +هي حالة عدم إيش التأكد إذا عندنا تلات شغلات، تلات + +155 +00:13:06,160 --> 00:13:09,740 +اعتبارات مستوى السيطرة على المشروع، لو أنا مسيطرة + +156 +00:13:09,740 --> 00:13:14,240 +ممكن أخليه تسلسلي ورا بعض، ماشي فعلية المشروع + +157 +00:13:14,240 --> 00:13:18,320 +بتاعي رقم تلاتة، حالة عدم التأكد، حالة عدم التأكد + +158 +00:13:18,320 --> 00:13:22,520 +بتظهر فيه العلاقات التكرارية + +159 +00:13:24,290 --> 00:13:26,370 +عشان أنا مش عارفة إيش بدي أصير في المستقبل بيضل + +160 +00:13:26,370 --> 00:13:32,190 +عيد وزيد في التخطيط، على سبيل المثال واضح؟ + +161 +00:13:32,190 --> 00:13:36,730 +ممكن تلاقي في نفس المشروع العلاقات التلاتة زهرت في + +162 +00:13:36,730 --> 00:13:43,710 +نفس المشروع حسب اختلاف المراحل أكمل ولا أعيد؟ + +163 +00:13:43,710 --> 00:13:50,250 +أعيد؟ تعالوا نتحدث قليلا عن المشروعات مقابل العمل + +164 +00:13:50,250 --> 00:13:58,480 +التشغيليمشروع مقابل الشغل يعني تقوم المؤسسات + +165 +00:13:58,480 --> 00:14:01,340 +بتنفيذ العمل من أجل تحقيق مجموعة من الأهداف + +166 +00:14:04,070 --> 00:14:07,730 +يمكن تصميم العمل المنفذ في العديد من المؤسسات إما + +167 +00:14:07,730 --> 00:14:11,590 +على مشروع أو على عمل تشغيل ممكن يا خوات الأعمال + +168 +00:14:11,590 --> 00:14:14,970 +اللي هتعملها المؤسسات عشان تحقق الأهداف ممكن عن + +169 +00:14:14,970 --> 00:14:19,790 +طريق مشروع أو عن طريق عمل تشت في ميالي مجموعة من + +170 +00:14:19,790 --> 00:14:23,490 +السيمات المشتركة بين هذين النوعين من العمل إذا + +171 +00:14:23,490 --> 00:14:32,670 +العمل هانوعين إما أني أوصل للهدف عن طريق مشروع أو + +172 +00:14:32,670 --> 00:14:39,470 +عمل تشغيلشغل يعني تنفيذ العمل بواسطة .. في بالنا + +173 +00:14:39,470 --> 00:14:46,310 +صفات مشاركة زي إيش؟ تنفيذ وهذا المطلوب العمل عن + +174 +00:14:46,310 --> 00:14:50,650 +طريق الإنسان ايضا + +175 +00:14:50,650 --> 00:14:55,610 +اتنين تقييد العمل بقيود .. كقيود الموارد في عندنا + +176 +00:14:55,610 --> 00:15:00,490 +قيود زي الموارد على سبيل ياخد مثل ياخد الموازنة + +177 +00:15:00,490 --> 00:15:07,230 +اللي أعطونيها لمشروع تعتبر قيدلازم تكون مصطفاتي + +178 +00:15:07,230 --> 00:15:11,970 +حسب الموازم، مافعش أكتر، أيضًا الإخضاع للتخطيط + +179 +00:15:11,970 --> 00:15:16,190 +والتنفيذ والمراقبة والتحكم، التنفيذ لتحقيق أهداف + +180 +00:15:16,190 --> 00:15:20,990 +المؤسسة أو تحقيق خطط استراتيجية، سواء كان مشروع أو + +181 +00:15:20,990 --> 00:15:23,810 +عمل تشغيل، لازم يكون لنا تخطيط وتنفيذ ومراقبة + +182 +00:15:23,810 --> 00:15:27,750 +وإيش، وتحكم، إذا مرة تانية، في عندنا كتير من + +183 +00:15:27,750 --> 00:15:28,670 +المؤسسات + +184 +00:15:30,810 --> 00:15:34,910 +عشان تنجز هدفها إليها طريقين إما عن طريق المشاريع + +185 +00:15:34,910 --> 00:15:38,650 +أو عن طريق العمل إيش التشغيلي بحكي إن الطريقين + +186 +00:15:38,650 --> 00:15:43,170 +هدولة اللي هم تشغيلات أساسية مش شاركين فيها أول + +187 +00:15:43,170 --> 00:15:46,650 +حاجة إن العمل يتم عن طريق الإنسان يعني سواء كان + +188 +00:15:46,650 --> 00:15:49,850 +مشروع و لا عمل مش مشروع بدنا نكون أنا ناس عمال + +189 +00:15:49,850 --> 00:15:54,270 +تنين في عندنا قيود بتقيدني على سبيل المثال موازن + +190 +00:15:54,970 --> 00:15:59,010 +ثلاثة عندنا أربع عمليات أساسية اللي هي وضعف + +191 +00:15:59,010 --> 00:16:02,150 +الإدارة تخطيط و تنظيم و توجيه الرقام اللي هو + +192 +00:16:02,150 --> 00:16:06,870 +التخطيط و التنفيذ و المراقبة و التحكم إذا سواء كان + +193 +00:16:06,870 --> 00:16:12,830 +عمل تشغيلي أو مشروع لازم يكون فيهم التلاتة هدول، + +194 +00:16:12,830 --> 00:16:19,790 +واضح؟ لازم يكونوا التلاتة هدولسؤال بيتطرح نفسه ما + +195 +00:16:19,790 --> 00:16:23,950 +الفرق؟ طب بدل هم مشتركين إحنا مش ميزناهم ما الفرق + +196 +00:16:23,950 --> 00:16:32,090 +بين المشروع و العمل التشغيلي؟ ولا زي بعض؟ تفضلي + +197 +00:16:32,090 --> 00:16:36,230 +غدير؟ تختار المشروعات على عمليات بشكل أساسي لإن + +198 +00:16:36,230 --> 00:16:40,030 +العمليات تكون مستمرة و يرتجعها المنتجات أفضل بعد + +199 +00:16:40,030 --> 00:16:43,690 +أو نتائج تقريرية تتسم المشروعات .. شوي شوي أنا + +200 +00:16:43,690 --> 00:16:45,450 +العمل التشغيلي واحد مستمر + +201 +00:16:52,450 --> 00:17:04,390 +ينتج عنها تلات شغلات سلع خدمات نتائج إذا كانت هذه + +202 +00:17:04,390 --> 00:17:09,830 +مستمرة فطبيعه المشروع الشماله مايكونوش مستمر و إلا + +203 +00:17:09,830 --> 00:17:12,650 +كما ميزناش بينهم مؤقت + +204 +00:17:15,130 --> 00:17:18,790 +مع أعضاء الفريق والفرصة في الغالب على العكس من ذلك + +205 +00:17:18,790 --> 00:17:22,130 +أن العمل التشغيلي ينتسب بالاستمرارية وتعمل مؤسسة + +206 +00:17:22,130 --> 00:17:25,170 +مع مرور الوقت لا ينتهي العمل التشغيلي عند تحقيق + +207 +00:17:25,170 --> 00:17:28,610 +أهدافه الحالية ولكنه ينتبع اتجاهات جديدة ننتهي + +208 +00:17:28,610 --> 00:17:40,210 +المشروع ينتهي عند تحقيق الهدف منه العمل لا ينتهي + +209 +00:17:40,210 --> 00:17:52,110 +عند تحقيق الهدفهو إيش بيصير بل يوضع هدف جديد و + +210 +00:17:52,110 --> 00:17:58,450 +نعمل على إنجازه مثال + +211 +00:17:58,450 --> 00:18:04,070 +مشروع خلق + +212 +00:18:04,070 --> 00:18:16,250 +فرص للعمالة أو للبطالة خلق فرص عمل للبطالةعن طريق + +213 +00:18:16,250 --> 00:18:26,890 +التوظيف المؤقت هذا مشروع، مش عمال، ليش؟ فهني بمجرد + +214 +00:18:26,890 --> 00:18:30,670 +ما أجيب شوية فلوس و أشغل عدد معين من الناس و ضائف + +215 +00:18:30,670 --> 00:18:35,210 +مؤقتة و أنحقق الهدف، هذا بنتهي المشروع بنتهي إيش؟ + +216 +00:18:35,210 --> 00:18:40,590 +المشروع لكن لو عمل تشغيل لأ لو قلنا توظيف مؤقت، + +217 +00:18:40,590 --> 00:18:45,950 +هنبدأ نفكر إيش ما يصير توظيف عفوان داواضح؟ إذا هذا + +218 +00:18:45,950 --> 00:18:49,570 +مجرد ما أعمل مشروع هذا مثلا بقولك مثلا لمدة ست + +219 +00:18:49,570 --> 00:18:54,470 +أشهر فقط زي مثلا كان عندنا موضوع أو مشروع جدارة + +220 +00:18:54,470 --> 00:18:58,310 +خودي بعيد كان اسمه مشروع .. مشروع جدارة كان لمدة + +221 +00:18:58,310 --> 00:19:05,350 +11 شهر لكل إنسان انطبق على المعين لمدة 11 شهر + +222 +00:19:05,350 --> 00:19:10,850 +تقريبا جاعي سنتينخلص؟ أه خلص، هذا بيكون اسمه إيش؟ + +223 +00:19:10,850 --> 00:19:14,690 +مشروع، لكن لو استمروا واتطوروا وصاروا وظائف دائمة، + +224 +00:19:14,690 --> 00:19:18,930 +بيكونش مشروع، و هذا هي الأخوات؟ بيكون دائم بدل + +225 +00:19:18,930 --> 00:19:26,010 +ودائم بيكون إيش؟ تشغيلة، نعيدها تاني؟ نعيدها + +226 +00:19:26,010 --> 00:19:27,150 +بعيدة؟ + +227 +00:19:31,460 --> 00:19:34,720 +نتائج هذه النتائج أنت ممكن تكون في الأبحاث العلمية + +228 +00:19:34,720 --> 00:19:39,020 +زي متى أحط أنا وياكم أبلغ نال عساس نعمل أبحاث + +229 +00:19:39,020 --> 00:19:46,160 +علمية للاكتشاف لسمح الله علاج جناد السرطانلجينا + +230 +00:19:46,160 --> 00:19:51,240 +علاج إذا هذه نتيجة خلاص لأ مش خلاص هناخد الناتيجة + +231 +00:19:51,240 --> 00:19:56,260 +هذه أو العلاج هذا و نطبقه و إذا نجح هنصير نسوق و + +232 +00:19:56,260 --> 00:19:59,880 +نبيعه أو نطوضه عشان ذلك و أحنا ماخلصناش يعني + +233 +00:19:59,880 --> 00:20:03,480 +ماكانش هدفنا اللي لاجي علاجه خلاص شكرا على السؤال + +234 +00:20:03,480 --> 00:20:08,340 +في عندنا مثال تفضلي + +235 +00:20:12,530 --> 00:20:16,150 +يعمل يعمل العمل التشغيلي على دعم الوصف التجاري + +236 +00:20:16,150 --> 00:20:20,190 +الذي يتم فيه تنفيذ المشروعات وبالتالي يفيد عدد + +237 +00:20:20,190 --> 00:20:23,310 +المقدار الكبير من التفاعل بين أقصار العمل التشغيلي + +238 +00:20:23,310 --> 00:20:27,030 +وفريق المشروع حيث إنهم يعملون سويا للتحرك أهداف + +239 +00:20:27,030 --> 00:20:31,950 +المشروع مخيل مثال على ذلك هو إنشاء أحد المشروعات + +240 +00:20:31,950 --> 00:20:36,510 +لإعداد تصميم أحد المنتجات إذن هنعمل مشروع أخد مثال + +241 +00:20:36,510 --> 00:20:40,810 +example مشروع + +242 +00:20:43,570 --> 00:20:54,250 +لإعادة تصميم هيكل لسيارة Ford خدي بالك في مصنع اسم + +243 +00:20:54,250 --> 00:20:59,030 +ال Ford في عمال تشغيلية و عندهم سيارات موجودة بس + +244 +00:20:59,030 --> 00:21:03,390 +احنا هنسوي مشروع عشان نعيد التصميم الخارجي نغير + +245 +00:21:03,390 --> 00:21:08,430 +شكله مثلا قد يعمل مدير المشروع مع العديد من مديري + +246 +00:21:08,430 --> 00:21:12,670 +العمل التشغيلي للبحث عن تفضيلات لعميل و رسمواحد + +247 +00:21:12,670 --> 00:21:18,090 +دراسة السوق العميل اللي هو المستهلك المستهلك إيش + +248 +00:21:18,090 --> 00:21:21,770 +بحابب يعني و اللي عاجبه الوضع تفضلي رسم المواصفات + +249 +00:21:21,770 --> 00:21:24,710 +الفنية طبعا بدل الموضوع اللي علاقة بالسيارة فبيكون + +250 +00:21:24,710 --> 00:21:29,430 +له مواصفات إيش فنية بناء نموذج أولي و أفضع من + +251 +00:21:29,430 --> 00:21:34,850 +الفحص و الاختبار عينة بنعمل عينة من الحاجة اللي + +252 +00:21:34,850 --> 00:21:40,390 +جيدة و بنمتحنها ننجح ولا لأتواصل فريقنا أقسام + +253 +00:21:40,390 --> 00:21:43,670 +العمل التشغيلي لتحديث القوترة التصنيعية للمعدات + +254 +00:21:43,670 --> 00:21:48,310 +الحالية أو لتحديث أنسبب تقويم فيه قطة الإنتاج + +255 +00:21:48,310 --> 00:21:54,290 +بإنتاج مختلف ببساطة وضع جدول زمني لو العينة يا + +256 +00:21:54,290 --> 00:22:00,070 +أخوات نجحت بنعمل جدول زمني لبدأاش إنتاج التصميم + +257 +00:22:00,070 --> 00:22:04,610 +الجديد أفراد من العمل التشغيلي كموارد مخصصة + +258 +00:22:04,610 --> 00:22:08,380 +بالمشروع طبعا لازم نكون عمال طبعالتم الاستعانة + +259 +00:22:08,380 --> 00:22:11,300 +بالخبرة التشغيلية لتنفيذ ودعم الانتهاء من نواتي + +260 +00:22:11,300 --> 00:22:14,940 +المشروعة عن طريق العمل مع بعض الخريطة المشروعة من + +261 +00:22:14,940 --> 00:22:20,260 +أزمة اتهاء عشان أصمم هيكل سيارة جديد لمصنع فرد + +262 +00:22:20,260 --> 00:22:24,270 +لازم أستفيد من الخبراء اللي صممولي زمانأشوف إيش + +263 +00:22:24,270 --> 00:22:27,770 +وجدت إيش، نضغط، إذا أخدنا مثال على عمل تشغيلي + +264 +00:22:27,770 --> 00:22:30,890 +موجود، دخل فيه مشروع، نشوف مع بعض، في عندنا مصنع + +265 +00:22:30,890 --> 00:22:33,490 +سيارات موجود في العالم اسمه مصنع Ford، بصنع + +266 +00:22:33,490 --> 00:22:37,510 +سيارات، اقترح واحد من الناس أو واحد من الموظفين أو + +267 +00:22:37,510 --> 00:22:41,670 +الإدارة العليا، إيش رايكوا نعمل تصميم جديد، لما + +268 +00:22:41,670 --> 00:22:44,270 +جال تصميم جديد، هذا مش عمل تشغيل، لأن عمل التشغيل + +269 +00:22:44,270 --> 00:22:48,550 +الموجود لهو المصنعهذه مشروع، ليش؟ لأنه مجرد ما + +270 +00:22:48,550 --> 00:22:51,730 +نعمل تصميم جديد وينجح، بنتهي المشروع عشان نكسب + +271 +00:22:51,730 --> 00:22:55,510 +منها مشروع عشان نعمل تصميم جديد، إيش نطلب منه؟ خد + +272 +00:22:55,510 --> 00:22:58,690 +بالك أول حاجة و أول حاجة يدرس السوق، بمعنى لو + +273 +00:22:58,690 --> 00:23:02,150 +غلبوا حالهم و صمموا سيارة جديدة، في حد هيشتريها و + +274 +00:23:02,150 --> 00:23:05,550 +لا مش هتعجبهم؟ ثانيين، مواصفات فنية لأنها + +275 +00:23:05,550 --> 00:23:07,950 +لسياراتها، يعني لها مواصفات معينة، ماتورها، + +276 +00:23:07,950 --> 00:23:11,870 +سرعتها، شرعتها، دي كلها بنعمل سيارة أو تنتين + +277 +00:23:11,870 --> 00:23:17,640 +بالمواصفات الجديدةوبنعملها امتحانة نجحت، بنكمل، + +278 +00:23:17,640 --> 00:23:20,120 +مانجحتش خلاص، خودي بقى اذا مابعملش ألاف السيارات و + +279 +00:23:20,120 --> 00:23:22,980 +بعدين بقعد في وش هي لأ بحكي إن لازم نكون عندنا + +280 +00:23:22,980 --> 00:23:26,400 +جدول زمني لحتى نبدأ الإنتاج و نصمر في حالة نجاح + +281 +00:23:26,400 --> 00:23:30,440 +المنتج لو نجحت العينة، بنحط جدول زمني لحتى نقدم + +282 +00:23:30,440 --> 00:23:35,940 +للمستهلكين السيارات الجديدة عشان ننجح، لازم نستعين + +283 +00:23:35,940 --> 00:23:41,080 +و نستفيد بخبرة الناس اللي ساعدوني في تصميمات شركة + +284 +00:23:41,080 --> 00:23:46,450 +سيارات شركة Ford لزمانعشان افتح مصنع لازم اجيب + +285 +00:23:46,450 --> 00:23:49,930 +خبراء يساعدونى فى تصميم السيارات وكيف شكلها وإيش + +286 +00:23:49,930 --> 00:23:53,770 +نطلوب لما نيجى نعمل تصميم جديد غير سياراتنا اللى + +287 +00:23:53,770 --> 00:24:01,550 +فى السوق بنستعين فى الخبراء هؤلاء خلص + +288 +00:24:01,550 --> 00:24:05,950 +مشروعنا السيارات الجديدة صممناها أنا وياكم عجبت + +289 +00:24:05,950 --> 00:24:11,050 +الناس المشروع بتاع التصميم الجديد انتهىلكن المصنع + +290 +00:24:11,050 --> 00:24:14,470 +في الضايق موجود و السيارات الجديدة صالحة تنتج + +291 +00:24:14,470 --> 00:24:16,810 +لحالها، هندور حاجة جديدة المصنع هنا عامل تشغيل + +292 +00:24:16,810 --> 00:24:21,970 +دائم، المصنع دائم إلا لو سمح الله إذا فلسة دايش + +293 +00:24:21,970 --> 00:24:26,030 +تاني، لكن المشروع مجرد إنجازه، بشوفلي حاجة جديدة، + +294 +00:24:26,030 --> 00:24:30,110 +خلاص، بنفكرنا في تصميم جديد، في صناعة جديدة، و + +295 +00:24:30,110 --> 00:24:35,350 +هكذا، شكرا على السؤال نحكي + +296 +00:24:35,350 --> 00:24:41,000 +الآن في نقطة جديدة في المراحل، عن أصحاب المصالحفي + +297 +00:24:41,000 --> 00:24:46,360 +المشروع، إذا سؤال من هم أصحاب المصالح؟ في عندنا يا + +298 +00:24:46,360 --> 00:24:50,740 +أخوات أصحاب المصالح عشرة، عشر أشخاص بتعرفوا مع + +299 +00:24:50,740 --> 00:24:52,660 +الصبورة وبعدين تعرفوا عليهم + +300 +00:25:08,350 --> 00:25:15,450 +إذا أصحاب المصالح معناها يا أخوات في بينهم مصالح + +301 +00:25:15,450 --> 00:25:21,550 +مشتركة في مصالح إيش؟ مشتركة أول حاجة العملاء + +302 +00:25:21,550 --> 00:25:25,070 +المستخدمون + +303 +00:25:25,070 --> 00:25:33,810 +بعدين ال manager مدير المشروع بعدين + +304 +00:25:33,810 --> 00:25:37,390 +الرعيعشان ما تفكريش حاجة تانية الرعي اللي هو + +305 +00:25:37,390 --> 00:25:44,030 +الممول رعي اليوم الدراسي شركة جوال مثلا معناه + +306 +00:25:44,030 --> 00:25:49,710 +الممول ماشي بعدين الفريق طبعا و يالا كتير فريق + +307 +00:25:49,710 --> 00:25:54,590 +العمل فريق المشروع او فريق العمل شكرا نزهر بعدين + +308 +00:25:54,590 --> 00:26:02,550 +مدير الحقيبة ان وجدت ان وجدت بعدين هننزل تحت شوية + +309 +00:26:02,550 --> 00:26:12,630 +المدير الوظيفيمار علينا قبل هيك عندنا كمان مدير + +310 +00:26:12,630 --> 00:26:21,690 +البرنامج بعدين مكتب المشروع + +311 +00:26:21,690 --> 00:26:24,750 +إدارة + +312 +00:26:24,750 --> 00:26:25,310 +المشروع + +313 +00:26:33,860 --> 00:26:36,840 +البائعون، ان وجدوا، واحد، اتنين، تلت، احنا كنا + +314 +00:26:36,840 --> 00:26:40,800 +عشرة، تلت، اربع، خمسة، ستة، سبعة، تمانية، هاي + +315 +00:26:40,800 --> 00:26:47,820 +عشرة، لو عدتيهم على الصابورة هتلاقيهم مش عشر، + +316 +00:26:47,820 --> 00:26:51,060 +نتعابف عليهم واحد، واحد، خلصوا لسه؟ + +317 +00:26:59,190 --> 00:27:04,730 +نمسك العملاء أو المستخدمون، مش المستخدميون، + +318 +00:27:04,730 --> 00:27:11,830 +المستخدمون بالفتحة، شوفوا مع بعض، فضل مريم، هم + +319 +00:27:11,830 --> 00:27:14,950 +الأشخاص أو المؤسسات التي ستستفيد من المنطق أو + +320 +00:27:14,950 --> 00:27:17,930 +الخدمة أو المشروع، إذن هو الفئة المستهدفة للمشروع + +321 +00:27:18,730 --> 00:27:23,770 +إذا من العميل أو المستخدم هو الفئة المستهدفة من + +322 +00:27:23,770 --> 00:27:28,710 +المشروع ممكن يكونوا أمهات ممكن يكونوا أطفال إذا + +323 +00:27:28,710 --> 00:27:32,730 +كان مشروع خيري ممكن يكونوا شباب ممكن يكونوا بطالة + +324 +00:27:32,730 --> 00:27:38,430 +ممكن يكونوا الشعب كله تفضلي المشروع الأمثلة أو + +325 +00:27:38,430 --> 00:27:42,030 +المستخدم قد يكون داخل أو خارج مؤسسة منافذة من + +326 +00:27:42,030 --> 00:27:47,140 +المشروع قد يكون أكثر منتبهشي طبيعي، ممكن يكونوا من + +327 +00:27:47,140 --> 00:27:50,320 +داخل المشروع و ممكن يكونوا إيش؟ من خارجهم، فضلالة + +328 +00:27:50,320 --> 00:27:54,140 +ع + +329 +00:27:54,140 --> 00:28:01,260 +سبيل مثال علاج الجحا مثلا، هل الطبيب بياخده علاج + +330 +00:28:01,260 --> 00:28:06,890 +جحا؟ولا بياخد؟ طبعا بياخد مش هو بشر ممكن يمر زي + +331 +00:28:06,890 --> 00:28:10,450 +الناس هياخد نفس العلاج عشان يتجلج داخلي او خارجي + +332 +00:28:10,450 --> 00:28:14,150 +تفضلي زي موظفين شركة جوال هل عشان ما فيه جوال + +333 +00:28:14,150 --> 00:28:17,350 +بيستخدموش الجوالات او بيستفيدوش من الخدمات لأ زيهم + +334 +00:28:17,350 --> 00:28:18,270 +زي نفسهم تفضلي + +335 +00:28:26,620 --> 00:28:30,280 +الطبيب كتب علاج لمعرض الجهة اليوم لأحد المرضى ممكن + +336 +00:28:30,280 --> 00:28:34,860 +يكتب لنفسه أو لابنه في نفس اليوم لأنه إنسان فضلوا + +337 +00:28:34,860 --> 00:28:39,240 +في بعض انطقات التدفيق لسهل يوم لهم يستخدمون متدفين + +338 +00:28:39,240 --> 00:28:44,800 +بينهم بينما في انطقات أخرى يكون المقصودما بقى يا + +339 +00:28:44,800 --> 00:28:47,520 +أخوات العملاء هم نفسهم المستخدمون زي ما تواخدنا + +340 +00:28:47,520 --> 00:28:50,780 +مثلها شركة جوال وواخدنا مثلها العلاج وممكن لأ كل + +341 +00:28:50,780 --> 00:28:55,320 +واحد لحاجة تفضلي اللي بتحصل على منتج المشروع كل + +342 +00:28:55,320 --> 00:28:58,480 +مخصوص المستخدمين ولاقالك الأفراد اللي يستفيدون + +343 +00:28:58,480 --> 00:29:02,820 +بشكل مباشر من منتج المشروع ماشي ممكن يقولنا أن + +344 +00:29:02,820 --> 00:29:06,270 +العملاء هم الناس اللي بيحصلوا على المنتجاللي + +345 +00:29:06,270 --> 00:29:09,630 +بياخدوه وممكن المستخدمون هم الناس اللي بيستفيدوا + +346 +00:29:09,630 --> 00:29:14,510 +منه بشكل إيش مباشر بمعنى، الآن مثلا أنا عندي مصنع + +347 +00:29:14,510 --> 00:29:20,650 +سيارات، واضح؟ ببيع السيارات لبعض التجار، التجار + +348 +00:29:20,650 --> 00:29:24,230 +هدولة مثلا، لو أنا وياكم مصنع شركة هونداي، احنا + +349 +00:29:24,230 --> 00:29:27,750 +بنعمل هونداي، سيارة هونداي، ماشي؟ في ناس في البلد + +350 +00:29:27,750 --> 00:29:31,550 +عندهم معرض، بيجوا على مصنع الانتاج هونداي وبياخدوا + +351 +00:29:31,550 --> 00:29:35,580 +السيارات وبيحطواها في معرضهم، هم عملاء الآنطب صاحب + +352 +00:29:35,580 --> 00:29:39,300 +المعرض هيركب السيارة و روح يجي فيها؟ لأ سيارته لأ + +353 +00:29:39,300 --> 00:29:43,080 +هو هيبيع على التجارة هتيجي واحدة فيكوا زبونة على + +354 +00:29:43,080 --> 00:29:46,480 +المعرض تشتري السيارة هذه لتصادفها الخاص إذن هي + +355 +00:29:46,480 --> 00:29:52,140 +أصبحت ash مستخدم إذا أنا مصنع شركة سيارات هنداي + +356 +00:29:52,140 --> 00:29:58,120 +واضح؟ عمل تشغيل، هذا مصنع دائما واحدة فيكوا صاحبة + +357 +00:29:58,120 --> 00:30:03,570 +معرض معاها توكيل لمعرض هنداي هذه عميلةماشي أو + +358 +00:30:03,570 --> 00:30:06,810 +عملاء ليش عملاء؟ لأنها تيجي على المصنعة تاخد + +359 +00:30:06,810 --> 00:30:09,750 +السيارات اللي عايزاها ومتعرضهم عندها ليس للاستخدام + +360 +00:30:09,750 --> 00:30:12,630 +تسمعوا سيارات ال zero اللي هي سيارات مش ماشية ولا + +361 +00:30:12,630 --> 00:30:16,050 +مسافة؟ يدهم بيجي بياخدها من المصنعة ياخدها علاش؟ + +362 +00:30:16,050 --> 00:30:19,450 +عن المعرض، واضح؟ يعني بتمشي بس عشان تسهر، مابتمشيش + +363 +00:30:19,450 --> 00:30:24,650 +لخدمات أخرى واحدة فيكوا مثلا تيجي روان عمعرضي + +364 +00:30:24,650 --> 00:30:28,710 +تختار السيارة هذه عجبتها لونها أبيض وحلوة أخدتها + +365 +00:30:28,710 --> 00:30:33,630 +أصبحت هي مستخدمإذا مرة الأثنين زي بعض العميل هو + +366 +00:30:33,630 --> 00:30:37,710 +المستخدم زي الطبيب و العلاج أو موظف جوال و خدمات + +367 +00:30:37,710 --> 00:30:43,530 +جوال و مرة مفصلين واضح؟ مرة إيش؟ مفصلين نعيدها + +368 +00:30:43,530 --> 00:30:51,790 +تاني مرة تانية في عنا طبيب بيكتب علاج لمريض الطبيب + +369 +00:30:51,790 --> 00:30:57,070 +هذا لو مرض نفس المرض هيعطي نفسه هو الطبيب نفس + +370 +00:30:57,070 --> 00:31:02,060 +العلاج إذا هك بيكون العميل هو المستخدمواضح؟ لأن + +371 +00:31:02,060 --> 00:31:05,880 +الطبيب إنسان حي مرض و بده يتعالج هو نفس المثال + +372 +00:31:05,880 --> 00:31:08,880 +اللي انت قلتيه من أول اللي هو ان انا زبون جاي + +373 +00:31:08,880 --> 00:31:12,560 +أشتري سيارات لاستخدام الشخصي out انه أبيعه كمان + +374 +00:31:12,560 --> 00:31:17,280 +للمعارض؟ في فرق بين الإتنين، لأ أنا بعيد أشرح فيه + +375 +00:31:17,280 --> 00:31:20,020 +طالبة طالبة أعيد، أنا بعيد قاعدة، شوي شوي، راجع + +376 +00:31:20,020 --> 00:31:26,260 +سمحت؟ لا سمحت، إذا الطبيب و العلاجواضح إن العميل + +377 +00:31:26,260 --> 00:31:30,660 +هو المستخدم زي موظف شركة جوال وخدمات جوال، الأجهزة + +378 +00:31:30,660 --> 00:31:33,840 +زي و زي الناس، يكون معاه جوال وبيتصل وبيبعت رسالة + +379 +00:31:33,840 --> 00:31:38,200 +وعادي يعني، بيستفيد هذا العميل هو المستخدم الحالة + +380 +00:31:38,200 --> 00:31:43,280 +التانية، العميل مش المستخدم العميل ليس هو المستخدم + +381 +00:31:43,280 --> 00:31:47,760 +ع سبيل المثال، لو أنا عندي مصنع سيارات هونداي + +382 +00:31:47,760 --> 00:31:56,190 +واضح؟ بلاش هونداي، لو أنا عندي مصنع سيارات BMWماشي + +383 +00:31:56,190 --> 00:32:03,790 +واحدة في كمات العسابي الميتال أزهار عندها معرض في + +384 +00:32:03,790 --> 00:32:09,110 +البلد لسيارات BMW إذن هى تهجرى بدها تبيع عشان تربح + +385 +00:32:09,110 --> 00:32:14,150 +ابتجي أزهار عندي تاخد السيارات و بتحطهم في معرضها + +386 +00:32:14,150 --> 00:32:21,000 +أزهارها بنسميها عميلة فاضح؟ طيبواحدة في كونها ما + +387 +00:32:21,000 --> 00:32:25,300 +تشتريلها سيارة خاصة تروح وتيجي فيها مش هتروح على + +388 +00:32:25,300 --> 00:32:29,240 +المصنع هتروح على الوكالة أو على المعرب هتروح على + +389 +00:32:29,240 --> 00:32:33,760 +أزهار تتفرج و تناقش و تفهم و تختار سيارة معينة + +390 +00:32:33,760 --> 00:32:38,060 +حلوة تاخدها و تطلع فيها الأخت اللي اشترت السيارة + +391 +00:32:38,060 --> 00:32:43,860 +لاستخدامها الشخص اللي بنسميها مستخدم واضح؟ اللي + +392 +00:32:43,860 --> 00:32:47,880 +احنا بنسميه المستهلك النهائي مين اللي هيركب + +393 +00:32:47,880 --> 00:32:51,130 +السيارة و روح و يجي فيها؟واللي خبطها وابصها ليش؟ + +394 +00:32:51,130 --> 00:32:54,170 +المستخدم كان هي اللي هو المستخدم الزبون طب مين + +395 +00:32:54,170 --> 00:32:58,630 +اللي شار السيارة عشان يبيعها ويربح؟ بالعامين واضحة + +396 +00:32:58,630 --> 00:33:02,510 +ولا عيدها؟ عيدها تاني؟ بنعيدها مش مشكلة الناس اللي + +397 +00:33:02,510 --> 00:33:10,470 +ورا عيدها تاني؟ ايضا من أصحاب المصالح الراعي اتفضل + +398 +00:33:10,470 --> 00:33:14,550 +يا أسيا أصحاب المصالح في المشروع الراعي وهو الشخص + +399 +00:33:14,550 --> 00:33:17,550 +اللي هو الشخص أو المجموعة اللتي توفر الموارد اللي + +400 +00:33:17,910 --> 00:33:23,930 +سميناه ممول، ممول باللام مش ممون، ممون اشي كان، + +401 +00:33:23,930 --> 00:33:28,450 +ممول شوية + +402 +00:33:28,450 --> 00:33:33,030 +شوية، بيحكينا توفير المواد المالية بشكل مالي، بشكل + +403 +00:33:33,030 --> 00:33:39,850 +نقضي، مصاري كاش على الطاولة أو شكات، او عيني، + +404 +00:33:39,850 --> 00:33:45,740 +لنعمل مشروع رصف شارع البحر، لنحط رصيفبدل ما + +405 +00:33:45,740 --> 00:33:49,740 +اعطيكوا مساري انا الممول و تروحوا تشتروا لأ + +406 +00:33:49,740 --> 00:33:53,900 +انجيبلي حجارة مرة واحدة فاضح؟ هذا المقصود بعيني، + +407 +00:33:53,900 --> 00:33:58,300 +تفضل اللتي يتم فيها وضع تصور عن المشروع و يشتمل + +408 +00:33:58,300 --> 00:34:01,380 +ذلك على العمل كمتحدث رسمي في مستويات أعلى في + +409 +00:34:01,380 --> 00:34:04,880 +الإدارة طبعا يا أخوات الممول بيكون صناع القرار في + +410 +00:34:04,880 --> 00:34:13,000 +المشروع عادة ال ممول بيكون مؤسسة دولية عسى بالمثال + +411 +00:34:14,190 --> 00:34:17,990 +خدي هاي أربع مليون دولار طبعا هدولة مابنحطوش على + +412 +00:34:17,990 --> 00:34:21,470 +الطاولة لإن هم ترفشيك، ماشي؟ ايه بنتفج هل احنا + +413 +00:34:21,470 --> 00:34:25,510 +ناخدهم مرة واحدة و لا بالتقصيد؟ معاكي سنة واحدة + +414 +00:34:25,510 --> 00:34:31,550 +تكوني مبنية مبنى دراسي، إذا واضح إن صاحب المصاري + +415 +00:34:31,550 --> 00:34:36,310 +اتحكم في أنا اللي بدي أعمل مشروع، حددلي المبلة حسب + +416 +00:34:36,310 --> 00:34:40,880 +ما عايز و الوقتلو انا اتأخرك بعد سنة لأ هيك هيصير + +417 +00:34:40,880 --> 00:34:44,280 +مشاكل ومساءلة عشان هيك هو يعتبر من صناع القرار في + +418 +00:34:44,280 --> 00:34:47,360 +إيش؟ في المشروع لأنه صاحب المال؟ لأ صاحب إيش؟ + +419 +00:34:47,360 --> 00:34:51,760 +المال تفضلي يتم تجميع الدعم من جميع أنحاء المؤسسة + +420 +00:34:51,760 --> 00:34:55,400 +والترويج للأرباح التي يستحقها المشروع إذا كان قطاع + +421 +00:34:55,400 --> 00:35:02,030 +خاص الأرباح إذا كان قطاع إيش خاصيقوم الراعي في + +422 +00:35:02,030 --> 00:35:05,490 +قيادة المشروع من خلال عملية التعهد أو الانتخاب، + +423 +00:35:05,490 --> 00:35:09,730 +حتى يتم التصريح له رسمياً بذلك، ويرعب دورة هامة في + +424 +00:35:09,730 --> 00:35:13,330 +تطبيق .. في .. في تطبيق .. في تطبيق النطاق .. في + +425 +00:35:13,330 --> 00:35:17,310 +تطبيق النطاق الأولي وميثاب تأسيس المشروعطبعا يا + +426 +00:35:17,310 --> 00:35:21,850 +أخواتها لأن الممول صانع قرار يحق له اتخاذ قرارات، + +427 +00:35:21,850 --> 00:35:24,610 +يحق له التحكم في نضام، يحق له التحكم في الاتفاق + +428 +00:35:24,610 --> 00:35:28,570 +اللي بيننا، احنا بنحكي مثلا سنة مدة قصيرة لحتى متى + +429 +00:35:28,570 --> 00:35:30,990 +أنا أخلص مبلغ الخمس طوابق للمدرسة، بيقوللي لأ + +430 +00:35:30,990 --> 00:35:34,350 +السنة متكافي، ع سبيل الميدالي، يحق له التصرف لأن + +431 +00:35:34,350 --> 00:35:37,870 +هو صاحب ايش؟ المادة، لو احنا أصحاب المشروع رفضنا، + +432 +00:35:37,870 --> 00:35:41,520 +عادي، بيسحب المسار ويروح عن ناس تانية، فضليعمل + +433 +00:35:41,520 --> 00:35:45,160 +الرعي كمثال تصعيدي في القضايا التي تقع خارج نطاق + +434 +00:35:45,160 --> 00:35:49,160 +السيطرة، سيطرة المدير المشروع أما أن الرعي فيتدخل + +435 +00:35:49,160 --> 00:35:52,720 +في قضايا هامة أخرى مثل التصديق على التغييرات التي + +436 +00:35:52,720 --> 00:35:55,460 +تحدث في النطاق والمراجعات التي تتم في نهاية + +437 +00:35:55,460 --> 00:35:59,280 +المرحلة وقرارات الاستمرار، التوقف عندما تدفع + +438 +00:35:59,280 --> 00:36:03,760 +المخاطر إلى درجة معينة يعني حق لرعي أو نمو لاتخد + +439 +00:36:03,760 --> 00:36:08,100 +عدة قرارات خارج سيطرة المدير المشروع، هي أخوات + +440 +00:36:08,100 --> 00:36:13,020 +العوامل الخارجيةماشي احنا اتفرجنا ننجز المبنى خلال + +441 +00:36:13,020 --> 00:36:17,500 +عام صار فيه اغلاق من معبر كرم ابو سالم ومافيش مواد + +442 +00:36:17,500 --> 00:36:21,900 +بناء هو اتخذ قرار بالتواقف عن انجاز المشروع هذا + +443 +00:36:21,900 --> 00:36:26,960 +المقصود بالقرار خارج الشيء السيطرة ايضا اذا بنعمل + +444 +00:36:26,960 --> 00:36:30,880 +تغيرات في المشروع هو بتدخل ويبدأ رأيه ممكن يتدخل + +445 +00:36:30,880 --> 00:36:37,090 +في انهاء المشروع او البدء فيهواضح؟ مثلا احنا بنظبط + +446 +00:36:37,090 --> 00:36:40,850 +في البحر جاعدين نعمل في شارع البحر جامعة الحرب + +447 +00:36:40,850 --> 00:36:44,430 +فالطبيعي ان ممولين المشروع هدا يطلبوا يقرأ في + +448 +00:36:44,430 --> 00:36:49,130 +العمل ليش؟ لأنه فيه مخات مرتفعة يعني ممكن نكل + +449 +00:36:49,130 --> 00:36:58,590 +العمل و نحط فيه مصايره فبنوقف إيش العمل أصحاب + +450 +00:36:58,590 --> 00:37:01,850 +المصالح رقم 3 تفضلي يا نورة + +451 +00:37:11,960 --> 00:37:15,200 +الحقيبة الاستثمارية بتكون من 3 شغلات، مين فاكرها؟ + +452 +00:37:15,200 --> 00:37:25,640 +مشروع برنامج، عملوك، مشروع برنامج، عملوك، مشروع + +453 +00:37:25,640 --> 00:37:27,620 +برنامج، عملوك، مشروع برنامج، عملوك، مشروع برنامج، + +454 +00:37:27,620 --> 00:37:28,580 +عملوك، مشروع برنامج، عملوك، مشروع برنامج، عملوك، + +455 +00:37:28,580 --> 00:37:29,400 +مشروع برنامج، عملوك، مشروع برنامج، عملوك، مشروع + +456 +00:37:29,400 --> 00:37:35,360 +عملوك، مشروع برنامج، عملوك، مشروع + +457 +00:37:35,360 --> 00:37:39,660 +برنامج، + +458 +00:37:39,660 --> 00:37:48,180 +عملوك، مشروأما في المشاريع أو في البرامج فضل + +459 +00:37:48,180 --> 00:37:51,600 +في مجموع المشواق أو البرامج التي قد تكون متوقفة + +460 +00:37:51,600 --> 00:37:55,580 +على بعضها الضعف الهيئات مهاجرة الحقيقة الاستثمارية + +461 +00:37:55,580 --> 00:37:58,660 +هي عبارة عن الجانف الأقل في عادة من الموظفين + +462 +00:37:58,660 --> 00:38:02,500 +التنقيدين في المؤسسة الذين يقومون بوظيفة طريقة + +463 +00:38:02,500 --> 00:38:10,560 +الانتخاب في أحد المشواق إذا السؤال ما هي؟وظيفة + +464 +00:38:10,560 --> 00:38:19,960 +خُلي بالك إما مدير الحقيبة أو اللجنة إن وجدت مش + +465 +00:38:19,960 --> 00:38:27,300 +شتقة موجودة أول + +466 +00:38:27,300 --> 00:38:31,670 +حاجة مراجعة إيش المشروعمش هو ضمن الحقيبة في عندنا + +467 +00:38:31,670 --> 00:38:35,950 +مشاريع بيرجعوها هل في إنجاز ولا المصاري انسرجت ولا + +468 +00:38:35,950 --> 00:38:39,090 +إيش صار فيها؟ هي رقم واحد، بدوا متعابفوا على + +469 +00:38:39,090 --> 00:38:44,750 +العائد، اللي هو الإنجاز أيضا قيمة المشروع، المشروع + +470 +00:38:44,750 --> 00:38:51,470 +مستهل ينكمل فيه ولا إيش صار معناه؟ المخاطر طبعا + +471 +00:38:51,470 --> 00:38:57,250 +السماعات الأخرى زي الجودة زي الموازنة، اللي هي + +472 +00:38:57,250 --> 00:39:03,830 +التكاليف زي الوقتكأنه مدير الحقيبة الاستثمارية أو + +473 +00:39:03,830 --> 00:39:06,710 +هيئة المراجعة طبعا يا أخوات هيئة المراجعة لمشاريع + +474 +00:39:06,710 --> 00:39:10,490 +ضخمة جدا في عندنا مشاريع بتكلف مليارات الدولارات + +475 +00:39:10,490 --> 00:39:14,550 +واضح؟ هذه بدها لجنة أو هيئة لما يكون مشاريع بسيط + +476 +00:39:14,550 --> 00:39:20,840 +نخليله مديرأيش مهامهم؟ رقم واحد مراجعة هل المشروع + +477 +00:39:20,840 --> 00:39:25,600 +ناجح و لا مش ناجح التعرف على عوائد المشروع هل + +478 +00:39:25,600 --> 00:39:29,560 +المشروع له قيمة و لا فقط قيمته المخاطر اللي بتعرض + +479 +00:39:29,560 --> 00:39:35,360 +لها المشروع طبعا اتخذ قرار إيقافإعمار شارع البحر + +480 +00:39:35,360 --> 00:39:39,640 +أثناء الحرب هما إيش؟ من مدرع الحقيبات الاستثمارية + +481 +00:39:39,640 --> 00:39:43,040 +شافوا المخاطر و قاسوا الأمر جالوا لأ خلنا نواجه + +482 +00:39:43,040 --> 00:39:46,780 +أفضل أيضا بيتعرفوا على الجودة بيتعرفوا على + +483 +00:39:46,780 --> 00:39:50,580 +الموازنة على الوقت مين هذا؟ مدير الحقيبة + +484 +00:39:50,580 --> 00:39:55,060 +الاستثمارية مدير الحقيبة الاستثمارية نتوقف عند + +485 +00:39:55,060 --> 00:39:56,160 +مدير البرامج + diff --git a/PL9fwy3NUQKwYZU2ezHFq-UK19TEyZdOHs/MUeHnCZPd-4_raw.srt b/PL9fwy3NUQKwYZU2ezHFq-UK19TEyZdOHs/MUeHnCZPd-4_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..ed1001302807ff84fbd45b61024313e7fb4a2c2f --- /dev/null +++ b/PL9fwy3NUQKwYZU2ezHFq-UK19TEyZdOHs/MUeHnCZPd-4_raw.srt @@ -0,0 +1,1720 @@ +1 +00:00:20,700 --> 00:00:23,180 +أعوذ بالله من الشيطان الرجيم بسم الله الرحمن + +2 +00:00:23,180 --> 00:00:26,860 +الرحيم الحمد لله والصلاة والسلام على مصطفى الأمين + +3 +00:00:26,860 --> 00:00:30,820 +سيدنا محمد وعلى آله ومن ساره عبدالحسين المدين في + +4 +00:00:30,820 --> 00:00:34,400 +بداية السلام عليكم ورحمة الله عليكم كيف حالكم؟ كيف + +5 +00:00:34,400 --> 00:00:38,800 +أصبحت اليوم؟ ان شاء الله بخير بتقري المحاضرة + +6 +00:00:38,800 --> 00:00:42,840 +الماضية في الحديث عن كيفية كتابة proposal أو مقترح + +7 +00:00:42,840 --> 00:00:46,580 +لمشروع تعرفنا عن مواصفاته + +8 +00:00:49,000 --> 00:00:55,860 +أخدنا مثال لبعض المنظمات الدولية عليش بتركز تعرفنا + +9 +00:00:55,860 --> 00:01:04,220 +على عناصر المقترحات و ترتيب الصفحات توقفنا + +10 +00:01:04,220 --> 00:01:10,680 +عند وصف تفصيلي للمشروع هان يا أخوات هنبدأ نفصل في + +11 +00:01:10,680 --> 00:01:15,640 +مشروعنا تعالوا ناخد مع بعض مثال و نشرح عنه اذا + +12 +00:01:15,640 --> 00:01:17,420 +هناخد example على مشروعنا + +13 +00:01:21,340 --> 00:01:26,420 +المثال اسم المشروع إعادة + +14 +00:01:26,420 --> 00:01:35,440 +تأهيل جرح الحرب 2014 + +15 +00:01:35,440 --> 00:01:42,460 +أخدتي بالك من اسم المشروع كان اسمه إعادة تأهيل جرح + +16 +00:01:42,460 --> 00:01:47,350 +الحرب العام 2014 لأن في سنوات حروب سابقةكتبنا + +17 +00:01:47,350 --> 00:01:54,330 +الاسم نطلع العنوان باللي جيه مختصر واضح مفهوم أنه + +18 +00:01:54,330 --> 00:01:57,810 +بيحكي عن فئة معينة اللي هي جارها إيش الحرب العام + +19 +00:01:57,810 --> 00:02:02,670 +2014 يعني لو جان حد من 2008 من جارها الحرب لأ + +20 +00:02:02,670 --> 00:02:09,530 +بظبطش بس 2014 السؤال لماذا تم اختيار هذا المشروع + +21 +00:02:09,530 --> 00:02:13,370 +ما هي عوامل او عوامل اختيار المشروع أول حاجة + +22 +00:02:13,370 --> 00:02:20,370 +المبررات أو الأسباب نفس الشغلما هي أسباب اختيار + +23 +00:02:20,370 --> 00:02:26,030 +هذا المشروع؟ شو معناه هذا يعني؟ + +24 +00:02:26,030 --> 00:02:38,150 +شو هي أسباب اختيار هذا المشروع؟ واحد، + +25 +00:02:38,150 --> 00:02:45,590 +اتنين، تلت مين ممكن يساعد نفسه ياخد سبب؟أسباب + +26 +00:02:45,590 --> 00:02:49,690 +اختيارها، ماشي معناها ده المشكلة يعنى؟ انه تنجحوا + +27 +00:02:49,690 --> 00:02:59,930 +في المجتمع و .. مساعدة جرح الحرب على الاندماج في + +28 +00:02:59,930 --> 00:03:05,030 +المجتمع العدد الكبير، أيوة العدد الكبير، تزايد + +29 +00:03:05,030 --> 00:03:12,110 +أعداد الجرحة طبعا من حرب لأخر، كل ما العدد بزيت، + +30 +00:03:12,110 --> 00:03:13,250 +أيضا + +31 +00:03:16,440 --> 00:03:26,080 +مشكلة مشكلة رئيسية شعور بتهنيش هذه الفئة يعني أنت + +32 +00:03:26,080 --> 00:03:28,800 +شعر أن الفئة هذه ماحدش مدور عليها مابدك تدور انت + +33 +00:03:28,800 --> 00:03:35,680 +هذه بنسميها من برات إيش اختيار المشروع نكتب كمان؟ + +34 +00:03:35,680 --> 00:03:40,500 +ممكن نكتب كمان واحدة تحويل + +35 +00:03:40,500 --> 00:03:49,630 +هذه الفئة إلى فئةمنتجة في المجتمع بدل ما بيستنوا + +36 +00:03:49,630 --> 00:03:52,510 +معاونات ومساعدات لهم يصيروا يعطوا هم منتجين في + +37 +00:03:52,510 --> 00:03:57,590 +المجتمع هذا بالنسبة للمبادرات او ايش او الأسباب في + +38 +00:03:57,590 --> 00:04:01,830 +عندنا .. الماضي حكينا ان المشاريع يجب ان تعالج + +39 +00:04:01,830 --> 00:04:08,330 +مشكلات ايش المشكلات اللي ممكن تعالجها هذه .. هذا + +40 +00:04:08,330 --> 00:04:19,160 +المشروع واحد عدم تحول هذه الفئةلبطالة مش عشان جهود + +41 +00:04:19,160 --> 00:04:24,480 +مايشتغلش لأ ماشي مايسيش هو بطالة يعني كأنه تقليل + +42 +00:04:24,480 --> 00:04:29,580 +عدد البطالة واضح؟ احنا ايه؟ من عنصر خامل لعنصر + +43 +00:04:29,580 --> 00:04:37,780 +مبدل ماشي يعني مساعدتهم في التخلص من الدخول في + +44 +00:04:37,780 --> 00:04:43,290 +حالة اكتئابأو إحباط واحد من الصاروخ بعد ما كان + +45 +00:04:43,290 --> 00:04:45,610 +يشتغل حين الصاروخ بطل يشتغل ممكن يساعده بإحباط أو + +46 +00:04:45,610 --> 00:04:51,550 +اكتئاب أيضا ايش المشكلات الممكن تساعد في حالها بعد + +47 +00:04:51,550 --> 00:04:57,390 +المشروع؟ تلاتة تعزز من الثقة بالنفس فيهم ماشي + +48 +00:04:57,390 --> 00:05:05,230 +تعزيز، ثقة، قدر المصابين بأنفسهم أن يصلوا شغل و + +49 +00:05:05,230 --> 00:05:09,060 +مكان و يروحوا يجي عليه و يجيب مصاري و الكل عملنشر + +50 +00:05:09,060 --> 00:05:12,280 +التوعية حول حالته في المجتمع، يعني إن المجتمع + +51 +00:05:12,280 --> 00:05:26,040 +يدعمه نشر التوعية بأهمية الاهتمام بهذه الفئة خاصة + +52 +00:05:26,040 --> 00:05:32,440 +من ناحية وطنيةإنهم قدّموا للوطن و هايهم مصاب و + +53 +00:05:32,440 --> 00:05:35,120 +سواء كذا كذا خُد يبقى لك كل هذا أنا قاعد أكتبه من + +54 +00:05:35,120 --> 00:05:38,160 +المخ بعصره في المخ و بطلع مش بس هذا ممكن تكون برضه + +55 +00:05:38,160 --> 00:05:42,180 +أسباب يعني ممكن من ناحية وطنك خُد يبقى لك المشروع + +56 +00:05:42,180 --> 00:05:45,420 +الناجح يكون متكامل يعني ماكتبش حاجة ماهاش علاقة + +57 +00:05:45,420 --> 00:05:48,460 +بالمشروع كله تمام فبتلاحظيه داخل في بعض يعني هو + +58 +00:05:48,460 --> 00:05:50,760 +أصلا بالمشكلات إن احنا لو ماعملناش هذا المشروع + +59 +00:05:50,760 --> 00:05:53,560 +إشعار لو ماعملناش هيصير عندنا بطالة لو ماعملناش + +60 +00:05:53,560 --> 00:05:58,700 +هيصير عندنا ناس منخل في حالة اكتئاب ايحاسينا نقص + +61 +00:05:58,700 --> 00:06:06,620 +ثقة؟ الناس هتجهلهم؟ ايضا يا أخوات التقليل من + +62 +00:06:06,620 --> 00:06:13,500 +شعورهم بأنهم عبارة عن المجتمع هذه مشكلة بدل علاج + +63 +00:06:13,500 --> 00:06:17,300 +تفضلي على ايش حكيتها انت ممكن تزيد حالة الفقر يعني + +64 +00:06:17,300 --> 00:06:20,060 +ممكن فيه بطالة ايه البطالة اللي بتبقى علاقة؟ اللي + +65 +00:06:20,060 --> 00:06:23,260 +علاقة بالبطالة يعني هذه كلها مشكلات + +66 +00:06:26,390 --> 00:06:36,750 +انه معيب على المجتمع هدف حدثها مشكلة اه طبعا رقم + +67 +00:06:36,750 --> 00:06:39,930 +اتنين رقم تلاتة اهداف المشروع اهداف المشروع عندنا + +68 +00:06:39,930 --> 00:06:47,070 +اهداف عامة عندنا اهداف عامة بشكل عام يعني وهداف + +69 +00:06:47,070 --> 00:06:54,190 +فرعية الاهداف العامة واحد + +70 +00:06:55,140 --> 00:07:08,340 +تسليط الضغط على هذه الفئة وأهميتها في المجتمع إذن + +71 +00:07:08,340 --> 00:07:11,640 +أحد الأهداف أنه نسلط ضغط على جرح الحرب وإن الناس + +72 +00:07:11,640 --> 00:07:18,060 +مهمين في المجتمع مش عشان جرح خلاص دنين من الأهداف + +73 +00:07:18,060 --> 00:07:29,890 +المساعدة في تأهيل هذه الفئةلتصبح فئة فاعلة في + +74 +00:07:29,890 --> 00:07:34,870 +المجتمع تلاتة + +75 +00:07:34,870 --> 00:07:43,770 +طبعا هذه هدف المشروع تقديم دعم نفسي وجسدي اللي هو + +76 +00:07:43,770 --> 00:07:47,330 +العلاج لهذه + +77 +00:07:47,330 --> 00:07:56,300 +الفئة هذه هدف، هدف ايش مالها؟ عامة هدف عامةطب إيش + +78 +00:07:56,300 --> 00:08:00,340 +أهدافنا الفرعية أو الأهداف الخاصة؟ بس الأهداف + +79 +00:08:00,340 --> 00:08:03,300 +الفرعية أو الخاصة ممكن نحددها بأرقام ممكن يعني + +80 +00:08:03,300 --> 00:08:06,220 +مثلا تأهيل مثلا مكان جريح أو .. ممكن .. ممكن .. + +81 +00:08:06,220 --> 00:08:11,100 +ممكن تحددها بأرقام أهداف فرعية أهداف فرعية أهدافنا + +82 +00:08:11,100 --> 00:08:13,960 +إحنا على صعيدنا إحنا يعني أصحاب المقترح الناس بنفع + +83 +00:08:13,960 --> 00:08:18,000 +للأهداف العامة عامة مبادرات الهدف .. مبادرة هدف + +84 +00:08:18,000 --> 00:08:22,680 +الفئة هم يكونوا يعني القادة فيها أه أه ليه تأهيل؟ + +85 +00:08:22,680 --> 00:08:26,470 +بندم الشحن تأهيل أو بندم الشحن تأهيل؟أهداف صراعية + +86 +00:08:26,470 --> 00:08:31,670 +واحد المساعدة + +87 +00:08:31,670 --> 00:08:41,810 +في خلق فرص عمل فرص عمل لهذه الفئة أنا هدفي كصاحب + +88 +00:08:41,810 --> 00:08:48,370 +المقترح أني أشوف لهم فرص عمل تاني تعزيز + +89 +00:08:48,370 --> 00:08:55,940 +دور هذه الفئة في خدمة المجتمعشايفة الخاصة في قصة + +90 +00:08:55,940 --> 00:09:00,040 +الفرعية ان يكون لهم دور في خدمة المجتمع نفس + +91 +00:09:00,040 --> 00:09:03,160 +الأشياء هدفها انتوا مفكرين الفرعية انها هتيجي من + +92 +00:09:03,160 --> 00:09:05,980 +وين مثلا؟ لأ مثلا هداف الفرعية تكون بالنسبة للي + +93 +00:09:05,980 --> 00:09:08,680 +عاملين المشروع أه الأصحاب المقترح فممكن يكون خلق + +94 +00:09:08,680 --> 00:09:11,980 +فرص عامل مش لهد الفئة اللي هم اللي بيبقوا بيشتغلوا + +95 +00:09:11,980 --> 00:09:14,940 +اه اللي مثلا هيعملوا الدعم النفسي الرحيم علشان + +96 +00:09:14,940 --> 00:09:18,580 +طبيعيلهذه الفئة؟ لأ خد بالك هدول هيكونوا فريق + +97 +00:09:18,580 --> 00:09:22,560 +العمل اه مش هيك انا هدف ان انا بجيب فرص عمل لهذه + +98 +00:09:22,560 --> 00:09:26,260 +الفراق العمل مثلا كان جاعد لهذه الفئة ممكن نقوله + +99 +00:09:26,260 --> 00:09:30,960 +لفئات أخرى فئة العاملة ناس ثانين يعني ماشي هدف + +100 +00:09:30,960 --> 00:09:33,960 +هيجينا الفريق العامل شكرا لانه مش الأهداف العاملة + +101 +00:09:33,960 --> 00:09:36,120 +في كل المجتمع مش هدف العامل الأهداف الفرعية ممكن + +102 +00:09:36,120 --> 00:09:39,240 +تكون على سعيد الفئة المستهدفة او على سعيد أصحاب + +103 +00:09:39,240 --> 00:09:44,770 +المختلفة ايوه هذا المقصد فيهتعزيز دور الفئة في + +104 +00:09:44,770 --> 00:09:47,270 +خدمة المجتمع طبعا هذا الهدف رقم 2 ممكن نجيبه على + +105 +00:09:47,270 --> 00:09:52,150 +الهدف العام بظبط ممكن نخليه مكانه برضه صح ماشي في + +106 +00:09:52,150 --> 00:09:54,970 +كمان عندنا هدف خاص عشان نعمل تطبيق تمويل لهذه + +107 +00:09:54,970 --> 00:10:04,010 +الفئة لمشاريع خاصة لهذه الفئة البحث عن مصادر تمويل + +108 +00:10:04,010 --> 00:10:06,490 +لإنجاز هذا المشروع + +109 +00:10:09,950 --> 00:10:13,910 +أحد هدافي إن ألاقي حد يعطيني إيش تموي مثلا كمان + +110 +00:10:13,910 --> 00:10:18,470 +فيه ممكن هدف؟ ممكن أه توفير الأجهزة .. أجهزة خاصة + +111 +00:10:18,470 --> 00:10:22,590 +بتنقل هؤلاء المصابين زي .. حسب الفئة حسب .. حسب + +112 +00:10:22,590 --> 00:10:25,730 +الجرحة و هم مين طب نحكي عن التوفير .. احتياجات + +113 +00:10:25,730 --> 00:10:29,350 +الخاصة .. احتياجات الطبية الخاصة بالجرحة ب .. بهذه + +114 +00:10:29,350 --> 00:10:33,690 +الفئة المستهدفة؟ ما هو حسب الان احنا عندنا الفئة + +115 +00:10:33,690 --> 00:10:38,790 +اللي أخدناها هي فئة ممكن تتعالج و ممكن تشتغلفعلنا + +116 +00:10:38,790 --> 00:10:41,430 +فعلها خلاص يعني اللي هو متى اللي لسه محلصها عنده + +117 +00:10:41,430 --> 00:10:44,950 +مشغولة كامل هدى .. هدى بده مجنون لحاله هدى مشغول + +118 +00:10:44,950 --> 00:10:54,510 +لوحده واضح يا جماعة؟ واضح نعيدها تانى ممكن + +119 +00:10:54,510 --> 00:11:01,090 +نكتفدها في حماية الجرحة من + +120 +00:11:06,700 --> 00:11:11,960 +حماية الجرحى من الأمراض النفسية هذا + +121 +00:11:11,960 --> 00:11:21,520 +هدف خاص كتبنا + +122 +00:11:21,520 --> 00:11:26,740 +الأهداف ولا نعيدها؟ نعيد الأهداف يا أخوات؟ طبعا + +123 +00:11:26,740 --> 00:11:31,600 +انا اكتبي زي ما أنتي عايزةفي رقم أربع الفئات + +124 +00:11:31,600 --> 00:11:35,360 +المستهدفة تعالوا نشوف من الفئة بتاعتنا هل أي حد + +125 +00:11:35,360 --> 00:11:40,880 +بيجيبلي تقرير بيقولي أنا جارحة حرب ينفع ولا نشوف + +126 +00:11:40,880 --> 00:11:43,480 +من الفئة المستهدفة بتاعتنا اللي هو البنت الظابط + +127 +00:11:43,480 --> 00:11:51,800 +الجارحة + +128 +00:11:51,800 --> 00:11:59,400 +الذين تعرضوا للقصف + +129 +00:12:01,490 --> 00:12:12,470 +في الحرب الأخيرة و بطرت أعضاءهم مع إمكانية الحركة + +130 +00:12:12,470 --> 00:12:16,770 +إذا أنا هتحددت مش اي حد ييجي يقولي أنا جريح حرب + +131 +00:12:16,770 --> 00:12:21,030 +الله تعالى، الناس اللي راحت أعضاءهم سواء الأيدين + +132 +00:12:21,030 --> 00:12:25,530 +أو الرجلين و بيقدر يتحرك و في الحرب الأخيرة ماشي + +133 +00:12:25,530 --> 00:12:30,610 +لو ركبنا له درع أو ركبنا له رجل عادي يعنيو في + +134 +00:12:30,610 --> 00:12:34,410 +الحرب الأخيرة هذا كان ظهر في العنوان ماشي كنا + +135 +00:12:34,410 --> 00:12:40,490 +كاتبين حرب 2014 إذا هذه الفئة بتاعتي كيف هنساعدهم؟ + +136 +00:12:40,490 --> 00:12:45,810 +كيف سنساعدهم؟ مشروع نتابع كيف نساعدهم؟ واحد + +137 +00:12:45,810 --> 00:12:51,170 +المساعدة أو أشكال المساعدة احنا + +138 +00:12:51,170 --> 00:12:56,790 +هاللي سراندي لسه في أربعة احنا أربعة شغلتين واحد + +139 +00:12:56,790 --> 00:13:05,480 +تقديم دوراتتأهيلية في الجانب النفسي بدنا نجيب + +140 +00:13:05,480 --> 00:13:12,260 +مشارين نفسي نين يحكوا ماموياها نين هي ممكن تكون مش + +141 +00:13:12,260 --> 00:13:15,380 +تقديم دلوقت تقديم جلسات يا أخوات هاي بيسموها جلسة + +142 +00:13:15,380 --> 00:13:26,000 +في علم النفس جلسات نين إعطاء دورات مهنية حسبمؤهل + +143 +00:13:26,000 --> 00:13:31,820 +كل جريح أو حسب ميوله او ميوله كل واحد إيش اللي + +144 +00:13:31,820 --> 00:13:38,880 +بقدرش شغله حسب إعاقته ثلاثة إيش كده ممكن إحنا + +145 +00:13:38,880 --> 00:13:43,540 +نساعدهم إجراء + +146 +00:13:43,540 --> 00:13:50,680 +أو إعداد جدول لرحلات للترفيه خاصة لما يوم يدرب ناس + +147 +00:13:50,680 --> 00:13:55,670 +الجانبي يوم اللي هم رحلة يطلعوا رحلات مثلااقدملهم + +148 +00:13:55,670 --> 00:13:59,370 +الأجهزة اللى بتساعدهم على الحركة محاولة .. انتي + +149 +00:13:59,370 --> 00:14:10,190 +هذه مكلفة محاولة إيجاد مؤسسات للحصول على أطراف + +150 +00:14:10,190 --> 00:14:19,750 +وزراعتها أو الحصول على أجهزة لنفتح قوس كرسي متحرك + +151 +00:14:19,750 --> 00:14:20,750 +كهربائي + +152 +00:14:24,830 --> 00:14:29,760 +لمساعدتهم في الحركةإذا أنا بدأ أحاول أشوف ناس + +153 +00:14:29,760 --> 00:14:34,160 +مؤسسات تانية تعطينا أجهزة كهربائية أو ناس يزرعوا + +154 +00:14:34,160 --> 00:14:37,560 +لهم أطراف، هذه مكلفة جدا هتكون ليش محاولة؟ مش هو + +155 +00:14:37,560 --> 00:14:40,320 +الهدف الأساسي من المشروع نفسه؟ محاولة معناها ممكن + +156 +00:14:40,320 --> 00:14:44,440 +ننجح وممكن لأ، ليش؟ لأن في بعض الأطراف مش موجودة + +157 +00:14:44,440 --> 00:14:47,820 +أصلا، أنا بدأ أحاول يعني هو الهدف الأساسي من + +158 +00:14:47,820 --> 00:14:51,720 +المشروع أني أجيب أطراف أساسية، التأهيل، إذا كان + +159 +00:14:51,720 --> 00:14:55,390 +الهدف الأساسي أني أجيب أطراف، هذا مشروع تانيإحنا + +160 +00:14:55,390 --> 00:14:59,050 +هدفنا إيش كتبنا تأهيل عشان هي كتبنا يعني جانب نفسي + +161 +00:14:59,050 --> 00:15:02,050 +و جانب اللي هو العلاج أو العلاج الطبيعي حتى لوش يا + +162 +00:15:02,050 --> 00:15:05,050 +أبو أطرافك في ناس مابتظبط ما .. ما .. كل حالة على + +163 +00:15:05,050 --> 00:15:07,710 +حدا و حتى لو في أطراف بدي حد يزرعها يعني بدي + +164 +00:15:07,710 --> 00:15:11,730 +متخصصين عشان يجينا نحاول هي ممكن تظبط هي ممكن تظبط + +165 +00:15:11,730 --> 00:15:15,370 +معانا في جثة الأجهزة course متحرك ممكن نلاقي هذه + +166 +00:15:15,370 --> 00:15:19,500 +لكن مثلا زراعة الأطراف هي مش شئ للهل يعنيهذه مشروع + +167 +00:15:19,500 --> 00:15:23,180 +اللي أنا مضطبطة أنه نحاول نسافرهم برا البلد لأنه + +168 +00:15:23,180 --> 00:15:26,040 +خصائين زراعة الأطراف مش دايما موجودين في البلد + +169 +00:15:26,040 --> 00:15:29,080 +بعدين هذا مشروع كبير يعني بتلاقي .. بتلاقي زراعة + +170 +00:15:29,080 --> 00:15:32,940 +الأطراف؟ هذا ممكن في جدا يكون و بعدين بده حد متخصص + +171 +00:15:32,940 --> 00:15:37,740 +يعني احنا ممكن نكتب المقترح لكن هو مو متخصصية لأ + +172 +00:15:37,740 --> 00:15:41,980 +مش كتير هنفتح فيهاالأعصاب و الأطلاف و الشغلات هذه + +173 +00:15:41,980 --> 00:15:47,000 +هذا علم بحد ذاته يا جماعة هذا علم كتبنا مع بعض كيف + +174 +00:15:47,000 --> 00:15:51,800 +هنساعد حد عنده فكرة كمان فضلي ممكن اللي هو انه ال + +175 +00:15:51,800 --> 00:15:55,480 +.. ال .. المصابين دول في منهم عذبين نجوزهم نعملهم + +176 +00:15:55,480 --> 00:16:01,760 +مفرحون ماشاء الله اتجوز + +177 +00:16:01,760 --> 00:16:08,560 +كل واحد بجريب البحث عن إمكانية + +178 +00:16:11,200 --> 00:16:21,300 +مساعدة البعض منهم على الزواج، البعض منهم حسنًا كل + +179 +00:16:21,300 --> 00:16:25,320 +واحد متزوج، شجوا يتزوجوا و هيك و تعملوا مشان، صار + +180 +00:16:25,320 --> 00:16:30,200 +لنا جمعيات و تيسير زواج و كذا يعني، بعين في + +181 +00:16:30,200 --> 00:16:34,060 +أخواتهم بيحبوا يتزوجوا مصابين حرب أو أسرى زي هيك + +182 +00:16:36,960 --> 00:16:42,740 +كتبنا كيف سنساعد، في حد عنده فكرة؟ و لا خلاص؟ خلاص + +183 +00:16:42,740 --> 00:16:50,040 +و لا فكرة، ماشي؟ لو + +184 +00:16:50,040 --> 00:16:53,460 +فكرنا هل هم قايل هم مقوا مناسب او مش مناسب، هذا + +185 +00:16:53,460 --> 00:16:57,240 +مشروع جديد، هذا مشروع جديد، لأنه دايما متبطين + +186 +00:16:57,240 --> 00:17:01,660 +بالتمويل احنا إيش بنتوقع من مشروعنا، لو مشروعنا + +187 +00:17:01,660 --> 00:17:02,860 +نجح إيش هنجنى؟ + +188 +00:17:07,650 --> 00:17:14,730 +إيش التمار؟ فكروا معايا لو سمحتوا تمار + +189 +00:17:14,730 --> 00:17:20,490 +المشروع أخدت مصاري و عملت الفكرة و بعدين فئة منتجة + +190 +00:17:20,490 --> 00:17:36,390 +واحد تحويل جرحى الحرب من فئة تحتاج إلى فئة منتجة + +191 +00:17:36,980 --> 00:17:42,140 +أو يحتاج إليها يعني العكس من جهة ال .. واحد نين + +192 +00:17:42,140 --> 00:17:49,900 +تقليل نسبة البطالة البطالة هتقول أنا ماحي أشتغل + +193 +00:17:49,900 --> 00:17:55,720 +ومش هيصيرهم بطالة مع صفوف البطالة نين تلاتة دمج + +194 +00:17:55,720 --> 00:18:03,440 +هذه الفئة في المجتمع أصلي زيها زي باقية الناس + +195 +00:18:03,440 --> 00:18:15,460 +تندمج واضح؟اربع تسليط تضغ على معاناتهملما نعمل + +196 +00:18:15,460 --> 00:18:18,060 +مشروع ينجح بصير الناس سامعين عنهم، عن المعانات، عن + +197 +00:18:18,060 --> 00:18:22,280 +ألمها، مش أنه خلصت الحرب، خلاص ننسى اللي .. أنه في + +198 +00:18:22,280 --> 00:18:26,180 +ناس بتدفع تمن ما زالت وسد أصدر، واضح؟ في ناس + +199 +00:18:26,180 --> 00:18:30,980 +اتصابتها، بضالها طول عمرها، تدفع أو تعانى، ممتاز، + +200 +00:18:30,980 --> 00:18:34,760 +تمن الحرب، سواء جسدي أو نفسي، جسدي أو نفسي، هم + +201 +00:18:34,760 --> 00:18:37,120 +اللي بدفعوا أزاي التمن، الناس اللي اتضرروا، نعم، + +202 +00:18:37,120 --> 00:18:39,840 +طبعا، بحكي هم اللي بدفعوا التمن، هم اللي بدفعوا، + +203 +00:18:39,840 --> 00:18:43,440 +صحيح، واضح، واضح يا جماعة؟ واضح، ان المجتمع + +204 +00:18:50,980 --> 00:18:55,540 +امبره كانت ذكرا يوم الجريح الفلسطينى 13 فلسطين هذا + +205 +00:18:55,540 --> 00:19:02,580 +جزء من الاهتمام جزء من الاهتمام ماشى ما هو يقعد ان + +206 +00:19:02,580 --> 00:19:06,780 +كان خلص من البطالة خلص يعنى السنة بتاع حاله بستند + +207 +00:19:06,780 --> 00:19:12,620 +على نفسه لما يصير الشغل اللى هو يعطى يعنى واضح هل + +208 +00:19:12,620 --> 00:19:18,910 +مشروعك ملائم لأولويات المجتمع ولا بعدين؟بدل إننا + +209 +00:19:18,910 --> 00:19:23,130 +حرب وحكي إننا حرب 2014 بيكون ملائم ده ما إيش هنكتب + +210 +00:19:23,130 --> 00:19:35,610 +هنا؟ المشروع هام جدا ويناسب احتياجات المجتمع وعلى + +211 +00:19:35,610 --> 00:19:43,150 +سلم أولوياتها بسبب ازدياد جرح الحروب + +212 +00:19:50,560 --> 00:19:56,440 +أيضا تهميش هذه الفئة انت شايف ان في طول ما لو + +213 +00:19:56,440 --> 00:20:02,360 +دالهم مهمشين محش مدور عليهم محش ساقس سبعة + +214 +00:20:02,360 --> 00:20:05,200 +هل أستنى شوية + +215 +00:20:12,550 --> 00:20:15,070 +طبعا يا أخوات احنا ماننساش برضه مثلا علاج و + +216 +00:20:15,070 --> 00:20:20,950 +الأدوية ممكن نوفر علاج و أدوية إن كان مطلوب في بعض + +217 +00:20:20,950 --> 00:20:25,630 +الحالات بدها أدوية باستمرار أمسح + +218 +00:20:25,630 --> 00:20:31,830 +الأسود هذا؟ هاي + +219 +00:20:31,830 --> 00:20:36,110 +المشروع بمواهب .. بملاهن لو لجأت الجهة المموالة + +220 +00:20:36,110 --> 00:20:40,650 +هنقول نعم نعم هيتقلنا + +221 +00:20:41,860 --> 00:20:50,480 +الجهة الممولة تركز على الفئات المهمشة في المجتمعات + +222 +00:20:50,480 --> 00:20:53,820 +والجرحة + +223 +00:20:53,820 --> 00:21:00,830 +من هذه الفئةإذا أنا شايفة إنه مشروعي إن شاء الله + +224 +00:21:00,830 --> 00:21:04,410 +هياخد تمويل و يوافقوا عليه و يعطوني مصاري لأن + +225 +00:21:04,410 --> 00:21:07,390 +المؤسسة اللي أنا مقدمة إليها المشروع بتهتم بالفئات + +226 +00:21:07,390 --> 00:21:12,470 +المهمشة و أنا من وجهة نظري إنه الجارحة من إيش؟ من + +227 +00:21:12,470 --> 00:21:20,470 +الفئات المهمشة واضح؟ عيدة تانية؟ أيضا ممكن نكتب + +228 +00:21:20,470 --> 00:21:31,630 +لدى صاحب المقترح اللي هو أنتيالمؤهلات والخبرة على + +229 +00:21:31,630 --> 00:21:38,490 +انجاح هذا المشروع انت عندك خبرة ان مشروعك اشمله + +230 +00:21:38,490 --> 00:21:44,310 +ينجح نكمل + +231 +00:21:44,310 --> 00:21:50,090 +ايضا يا أخوات لان كتابة المقترحات كيف هتنفذ + +232 +00:21:50,090 --> 00:21:56,460 +المشروعالواجهة دول زميلة التوزيع الأنشطة أول حاجة + +233 +00:21:56,460 --> 00:22:06,720 +الأنشطة بالترتيب واحد الحصول على إحصائية بأعداد + +234 +00:22:06,720 --> 00:22:13,320 +جرح حرب 2014 وبيانات + +235 +00:22:13,320 --> 00:22:18,400 +عنهم إذا نجيب أول نشاط أني أشوف كيف ممكن أوصل + +236 +00:22:18,400 --> 00:22:24,170 +لإحصائية عن جرح الجرح الحرب وبياناتهلحتى أعرف أكم + +237 +00:22:24,170 --> 00:22:32,390 +واحد ممكن ينطبق عليه معاييرنا أو شروطنا اتنين فرز + +238 +00:22:32,390 --> 00:22:37,250 +الجارحة إلى ملاهم وغير ملاهم في ناس بتلاهم وفي ناس + +239 +00:22:37,250 --> 00:22:40,790 +لا تلاتة + +240 +00:22:40,790 --> 00:22:48,210 +تكوين فريق عمل نبدأ نشكل فريق عمل طبعا ممكن أنا + +241 +00:22:48,210 --> 00:22:57,980 +أجيب الحصائيةوبياناتها ممكن ننجول سبوع وبيانات + +242 +00:22:57,980 --> 00:23:01,440 +فرز الجرحى إلى ملائم أو غير ملائم ركزوا معايا + +243 +00:23:01,440 --> 00:23:05,240 +الحصول على حصائية بعداد جرحى الحرب 2014 وبيانات + +244 +00:23:05,240 --> 00:23:09,600 +عنهم دي data هذا رقم واحد نشاط التاني فرز الجرحى + +245 +00:23:09,600 --> 00:23:15,310 +إلى ملائم ومش ملائم تلاتة تكوين فريق عملوببدأ اقدر + +246 +00:23:15,310 --> 00:23:19,730 +المدة خد بالك اش كتبلك مدة التنفيذ المتوقع ممكن + +247 +00:23:19,730 --> 00:23:23,830 +نقعد أسبوع ممكن شهر الله وعلا فرز هاد ممكن نقعد + +248 +00:23:23,830 --> 00:23:33,950 +فيها يوميا تكوين الفريق على ممكن شهر و هكذا الحصول + +249 +00:23:33,950 --> 00:23:37,190 +على الحصائية انا بتوقع بدي أسبوع بس اجيب حصائيات + +250 +00:23:37,190 --> 00:23:41,550 +دقيقة و اعتمد عليها فرز الحصائية ملائمة و مش + +251 +00:23:41,550 --> 00:23:45,820 +ملائمة ممكن اقعد يومينلأن المعيار عندنا تكوين فريق + +252 +00:23:45,820 --> 00:23:49,080 +عمل ممكن نقعد فيها شهر ننزل إعلانات و تيجي الناس و + +253 +00:23:49,080 --> 00:23:53,920 +هكذا واضحة + +254 +00:23:53,920 --> 00:23:59,100 +ولا نعيدها؟ واضحة من هي الجهات الشريكة في تنفيذ + +255 +00:23:59,100 --> 00:24:05,760 +مشروعك إن وجدت؟ هل أنت لحالك؟ ولا هيكون معاكي حدا؟ + +256 +00:24:05,760 --> 00:24:11,400 +نفض أنه معانا حدا مؤسسة الجريح الفلسطيني + +257 +00:24:13,670 --> 00:24:18,330 +إذن؟ شو بتكون الشراكة هنا؟ هل هيكون شركات في + +258 +00:24:18,330 --> 00:24:25,970 +التنفيذ ولا في التمويل؟ متبرر ولا ممكن تطور منهم؟ + +259 +00:24:25,970 --> 00:24:29,990 +الجهاد قولنا مؤسسة الجريح الفلسطيني ممكن يبنى يكون + +260 +00:24:29,990 --> 00:24:34,150 +رائع؟ ممكن، لأ الرائع هو اللي هيعطينا المصاري، + +261 +00:24:34,150 --> 00:24:39,090 +الممول ممكن يعطينا 50% من المصاري و 50% من الشركة + +262 +00:24:39,090 --> 00:24:43,750 +أو من المؤسسة اللي أنا باعتقلهاماشي ما هو ممكن + +263 +00:24:43,750 --> 00:24:48,430 +يشترك في الإدارة، ماشي ممكن الدول اللي هتقوم فيه، + +264 +00:24:48,430 --> 00:24:54,130 +مؤسسة الجريحة، فهي ممكن نقول داعمة هتقدملنا الدعم + +265 +00:24:54,130 --> 00:25:00,230 +مثلا، دعم معنى ويه؟ دعم، مادي الله أعلم، ماشي إيش + +266 +00:25:00,230 --> 00:25:07,910 +مسئوليتها؟ المساعدة في إقناع الجرحة في الانضمام + +267 +00:25:07,910 --> 00:25:13,780 +إلينامثلا إنها تساعد الجرحى اللي بنطبق عليهم + +268 +00:25:13,780 --> 00:25:24,780 +المعيير إنهم ينتسبوا إلى هنا الممول + +269 +00:25:24,780 --> 00:25:29,640 +أخرى + +270 +00:25:29,640 --> 00:25:33,980 +يا أخوات في المنهجية ما زلنا فيهاكيف مشروعك هي + +271 +00:25:33,980 --> 00:25:37,820 +استدام، خدي بالك، في عندنا مشاريع بنكتب شهادي لأنه + +272 +00:25:37,820 --> 00:25:42,040 +مؤقتة، في مشاريع بتكون تلت شهور بس، في مشاريع + +273 +00:25:42,040 --> 00:25:46,240 +شهرين، مشاريع تشغل مؤقت سنة وخلاص، نكتب الشهادة، + +274 +00:25:46,240 --> 00:25:49,900 +فده أكتر مينكتبهاش، الأصل إحنا مشروع اللي بنحكي + +275 +00:25:49,900 --> 00:25:55,200 +عنه إنه استدام، كيف هيتم استدامة المشروع عن طريق + +276 +00:25:55,200 --> 00:25:59,330 +متابعة أحوال الجرحة بعد انتهام البرنامج مثلاهل + +277 +00:25:59,330 --> 00:26:03,110 +استمروا في الشغل؟ هل أمورهم اترتبت؟ إيش صار معاهم؟ + +278 +00:26:03,110 --> 00:26:06,930 +وممكن أحكي لأ، و مجرد انتهى المشروع و أفكاره، + +279 +00:26:06,930 --> 00:26:09,870 +خلاص، احنا مالناش علاقة إذا الاستدامة، مافي + +280 +00:26:09,870 --> 00:26:12,390 +مشاريعنا بتستديموا في مشاريعنا، حسب طبيعة إيش + +281 +00:26:12,390 --> 00:26:18,710 +المشاريع أعيدها تاني؟ IMS إذا الاستدامة، مافي + +282 +00:26:18,710 --> 00:26:22,630 +عندنا يا أخوات مشاريع مؤقتة، و بيكون الكلام هذا + +283 +00:26:22,630 --> 00:26:28,990 +واضح، أنا بقول فيهلأ في مشاريع بيبقى مستمرة زي + +284 +00:26:28,990 --> 00:26:31,850 +مثلا مشروع تأهيل المرأة مثلا، هذا بيبقى ماشي طول + +285 +00:26:31,850 --> 00:26:37,870 +وقت، مشروع تأهيل الطفل، مشروع محو الأمية، هذه + +286 +00:26:37,870 --> 00:26:41,930 +بيبقى ماشية المشاريع، في مشاريع تالت شهور أو في + +287 +00:26:41,930 --> 00:26:45,710 +مشاريع عندنا سنةبمجرد Mcdonalds خلاص سلام عليكم زى + +288 +00:26:45,710 --> 00:26:49,490 +مشروع مثلا إعادة عمار بحر غزة متوقعين هذا مشروع + +289 +00:26:49,490 --> 00:26:55,370 +مدى الحياة؟ بس يخلصوا ان شاء الله خلاص ماشي لهم + +290 +00:26:55,370 --> 00:27:00,790 +بدأوا بس ما خلصوش صار في مشاكل عندهم إذا بالنسبة + +291 +00:27:00,790 --> 00:27:03,390 +للستة مافيعنا مشاريع دائمة واخدنا همت لو فيعنا + +292 +00:27:03,390 --> 00:27:08,550 +مشاريع مجدد ما أسلم ما أقفل مشروع خلصنابدي أشوف + +293 +00:27:08,550 --> 00:27:12,870 +أنا هل حاب علاقة تستمر مع الجرحى اللي أهلناهم و لا + +294 +00:27:12,870 --> 00:27:15,950 +بمجرد ما أنتهي من التمويل و أهداف المشروع خلاص + +295 +00:27:15,950 --> 00:27:22,630 +مالناش علاقة رقم أربع بياناتنا احنا لازم بياناتنا + +296 +00:27:22,630 --> 00:27:25,930 +تكون مقنعة لصاحب الممول لصاحب التمويل أنه احنا + +297 +00:27:25,930 --> 00:27:30,210 +الناس فعلا بنفهم في المشروع و ممكن ننجحوا خبراتنا + +298 +00:27:30,210 --> 00:27:35,960 +خُدلي بالك خبراتك اللي لها علاقة بالمقترحما تكتبيش + +299 +00:27:35,960 --> 00:27:40,420 +خبرات مالهاش علاقة بالموضوع تعالوا أنا وياك و نكتب + +300 +00:27:40,420 --> 00:27:49,520 +خبراتنا التطوع في مؤسسة الجريحة عصب المثال أنا + +301 +00:27:49,520 --> 00:27:54,240 +متطوعة كائنة قبل هيك في مؤسستاش الجريحة ماشي + +302 +00:27:54,240 --> 00:27:55,960 +الحصول + +303 +00:27:59,480 --> 00:28:03,540 +أو بلاش الحصول دورات اعطاء مافي فرق بين حصول و + +304 +00:28:03,540 --> 00:28:08,320 +اعطاء اعطاء دورات كمدرب ان انت قبلها مدربة في + +305 +00:28:08,320 --> 00:28:15,140 +التأهيل النفسي او في علاج الطبيعي حسب عمل خاص صعب + +306 +00:28:15,140 --> 00:28:19,540 +كائن عامل ندوات كائن عامل دورات في هذا المجال فانت + +307 +00:28:19,540 --> 00:28:27,260 +عندك خبرة عشان هي أشترك الفكرة مؤهلاتنا باكالوريو + +308 +00:28:29,570 --> 00:28:40,550 +إدارة عمل دورة في مجال التأهيل النفسي دورة + +309 +00:28:40,550 --> 00:28:45,490 +في مجال عداد المشاريع ماشي يعني عداد المشاريع + +310 +00:28:45,490 --> 00:28:51,550 +وهكذا هذه إيش هتكون مؤهلاتنا طبعا إذا أعطينا جدول + +311 +00:28:51,550 --> 00:28:56,450 +إسمنا مؤهلنا كيف هنستفيد منها في إيش؟ في المشروع + +312 +00:28:56,450 --> 00:29:02,210 +فبنكتب هذه الدوراتأو الدكتورات تبعي هيساعدني في + +313 +00:29:02,210 --> 00:29:06,070 +إنجاح المشروع أنه أنا هسخر عينيه بتاعي في إنجاح + +314 +00:29:06,070 --> 00:29:12,670 +إيش؟ المشروع .. المشروع تبعي كيف + +315 +00:29:12,670 --> 00:29:20,310 +هنعرف إنه مشروعك ناجح ولا فاشر؟ كيف نحكم على نجاح + +316 +00:29:20,310 --> 00:29:27,630 +مشروع؟ أول حاجة كيف أنتي هتراقب المشروع؟ + +317 +00:29:30,470 --> 00:29:37,150 +ممكن نقول تقديم تقارير دورية، والله أنا هضل أكتب + +318 +00:29:37,150 --> 00:29:41,190 +تقارير، إيش مصار معي أكتب تقارير أزهر؟ اتنين، + +319 +00:29:41,190 --> 00:29:45,650 +الملاحظة الشخصية، + +320 +00:29:45,650 --> 00:29:50,290 +إنه أنا هضل ألاحظ يعنيمن تابع إيش المشروع تبعي، + +321 +00:29:50,290 --> 00:29:54,730 +لأن هذه طريقة إيش التقييم، تنصقه مع فريق العمل + +322 +00:29:54,730 --> 00:29:57,930 +مشروعه، ممكن تفتيشه، و تنصقه مع .. و التواصل مع + +323 +00:29:57,930 --> 00:30:00,190 +فريق العمل مشروعه، ممكن .. ليه التقاليد ده و دي + +324 +00:30:00,190 --> 00:30:03,430 +هالي يعني، من فريق العمل متجيبه، إن ضلنا نتفتش على + +325 +00:30:03,430 --> 00:30:06,610 +مشروع طبعا مشروع مشروع بتكلف الوقابة، كل مشروع + +326 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--> 00:31:12,940 +المكتب بتاعك أو المواسع بتاعك كيف بيكون شكلها؟ أو + +339 +00:31:12,940 --> 00:31:17,900 +هل في مكان .. هل في مكان جاهز أنت هيتأجريه؟ بختلف + +340 +00:31:17,900 --> 00:31:22,240 +المشروع لآخر أيضا يا أخوات في عندنا اللي هو النظام + +341 +00:31:22,240 --> 00:31:26,580 +الإداري اللي هو الهيكل التنظيمي + +342 +00:31:26,580 --> 00:31:31,340 +النظام الإداري اللي هو إيش؟ الهيكل التنظيمي مين + +343 +00:31:31,340 --> 00:31:35,000 +المدير؟ صاحب المقترح اللي هو أنتي طب مين فريق + +344 +00:31:35,000 --> 00:31:39,850 +العمل؟هل انت في ناس معينين حطاهم في بالك عندهم + +345 +00:31:39,850 --> 00:31:43,710 +خبرة و مشجعينك ولا لسه هتنزل إعلان و ييجوا ناس + +346 +00:31:43,710 --> 00:31:47,870 +بتعمل مقابلات و هكذا نفسي هنا الأجزة و الترتيبات + +347 +00:31:47,870 --> 00:31:50,810 +على مظام إدارة ايه كم جهاز إلكتروني بده و ماهوش أه + +348 +00:31:50,810 --> 00:31:55,690 +بالتفصيل، هذي بيعملها جدول أه فريق العمل أسماء + +349 +00:31:55,690 --> 00:31:59,570 +الناس اللي هابين يشتغلوا معاكي إيش مؤهلاتهم، إيش + +350 +00:31:59,570 --> 00:32:02,750 +خبراتهم، بنفع و لا بنفعوش، هذه الأمور بنكتبها + +351 +00:32:06,350 --> 00:32:12,850 +أخر حاجة عن الموازنة أخر حاجة عندي الموازنة أو قبل + +352 +00:32:12,850 --> 00:32:17,090 +الأخيرة للموازنة الموازنة يا أخوات أحد أشكال + +353 +00:32:17,090 --> 00:32:22,330 +الرقابة نجاح مشروعك إذا أنت قدمت موازنة و أخدت + +354 +00:32:22,330 --> 00:32:26,010 +تمويل و التزمت فيها ان شاء الله المشروع ناجح و + +355 +00:32:26,010 --> 00:32:30,630 +ممكن تحصلي على تمويل لمشروع أخرى أما إذا عملتي + +356 +00:32:30,630 --> 00:32:33,270 +موازنة و أخدتي أمال و مالتزمتش فيها معناها فيها + +357 +00:32:33,270 --> 00:32:40,060 +مشكلةناخد ميتال على الموازنة هنقول ال band واحد + +358 +00:32:40,060 --> 00:32:46,960 +أجهزة computer لو حكينا بدنا قاعد تدريب بدنا أجهزة + +359 +00:32:46,960 --> 00:32:51,160 +computer قداش بكلفك الجهاز خمسمية دولار عسب + +360 +00:32:51,160 --> 00:32:57,720 +الميتال أكم جهاز بدك؟ بدي عشرة أو بدي خمستاشر هل + +361 +00:32:57,720 --> 00:33:00,540 +طبعا خمسمية في عشرة خمسين ألف + +362 +00:33:03,960 --> 00:33:09,480 +نسبة مصاحب خمس ألف هل أنتي .. خمس ألف أيوة هل أنتي + +363 +00:33:09,480 --> 00:33:14,880 +هتاخد الخمس ألف هذه خليني أكتر شوية خليني أكتر مية + +364 +00:33:14,880 --> 00:33:21,240 +جهاز هل هتاخدي الخمسين ألف دولار تمان المية جهاز + +365 +00:33:21,240 --> 00:33:26,640 +مني أنا كلها ولا أنتي حابة تدفعي حاجة والله احنا + +366 +00:33:26,640 --> 00:33:33,410 +مش حابين ماعناش يعني ماشيإذا أنا مش حابة، جداش + +367 +00:33:33,410 --> 00:33:43,230 +هتفيل ع سين ألف؟ مبلغ كله، واضح؟ المبلغ كله نعيدها + +368 +00:33:43,230 --> 00:33:49,890 +تاني؟ مثلا، بدنا نجيب أتات مكتبي زي اللي إحنا + +369 +00:33:49,890 --> 00:33:56,990 +جاعدين في القاعة هذه طاولات مكتب مثلا، جداش بتكلف + +370 +00:33:56,990 --> 00:34:01,210 +الواحدة ع سبيل المثال؟ مية دولار، أكم طاولة بدك؟ + +371 +00:34:01,210 --> 00:34:07,410 +تلاتةماشي مية في تلاتة تلات مية انا بدي اعطيكوا + +372 +00:34:07,410 --> 00:34:12,330 +مني خمسين في المية كده الناس بدهم يدفعوا لنا خمسين + +373 +00:34:12,330 --> 00:34:18,970 +و هكذا طبعا هذه موازنة مفصلة يا أخوات طبعا + +374 +00:34:18,970 --> 00:34:23,450 +الموازنات لها أشكال مختلفة هذه مفصلة خلصوا ولا + +375 +00:34:23,450 --> 00:34:30,670 +استنوا؟ خلصت هذا موازنة مقتضبة او مقتصرةأجهزة + +376 +00:34:30,670 --> 00:34:34,090 +التكلفة 50 ألف 100% عليك و خلاص تدفعولنا 50 ألف و + +377 +00:34:34,090 --> 00:34:40,530 +خلاصناه ماشي إذا نعبيها أجهزة كمبيوتر هيكلفوني 50 + +378 +00:34:40,530 --> 00:34:46,990 +ألف أنا أنتوا هتدفعوا كل حاجة هتقولنا 50 ألف أتات + +379 +00:34:46,990 --> 00:34:52,730 +هي أتات 300 دولار أنا هدفع 50% هتقولي 150 + +380 +00:34:57,860 --> 00:35:05,400 +أخر حاجة لازم نوقّى أنه + +381 +00:35:05,400 --> 00:35:07,700 +فعلا أنت كتبت أنه معاكي بكالورا أسكتا يكون معاكي + +382 +00:35:07,700 --> 00:35:10,540 +أدلة أنه معاكي بكالورا أسكتا، شهادة ماخد دورات + +383 +00:35:10,540 --> 00:35:13,380 +يكون معاكي أدلة، مطوع يكون معاكي دليل، مافعش نكتب + +384 +00:35:13,380 --> 00:35:17,220 +حاجات وما نجيبش إتباتات نعم البيانات صحيحة بننضي + +385 +00:35:17,220 --> 00:35:25,240 +قدمنا الطلب يوم 14.03.2015 رأي رجال ممولة إن شاء + +386 +00:35:25,240 --> 00:35:25,820 +الله مقبول + +387 +00:35:28,580 --> 00:35:32,380 +إذا كان الكلام اللي انت كنت بقى مقنع بيكون مقبول + +388 +00:35:32,380 --> 00:35:44,260 +السؤال ماذا يكون مرفض؟ سؤال اذكري أسباب رفض + +389 +00:35:44,260 --> 00:35:54,420 +المقترح وقتها إيش بيقولك no؟ الله يعنينشوف مع بعض + +390 +00:35:54,420 --> 00:35:59,980 +ما هي أسباب رفض المشاريع أو المقترحات ماذا يتم رفض + +391 +00:35:59,980 --> 00:36:05,020 +المقترح؟ بالطريقة اللي كتبناها هذي ان شاء الله + +392 +00:36:05,020 --> 00:36:09,180 +هيكون مقبول، طبقتش برفضه، اتفضل ممكن عدم صحيح + +393 +00:36:09,180 --> 00:36:12,460 +البيانات، ممتاز، رقم واحد عدم صحيح البيانات، اكتب + +394 +00:36:12,460 --> 00:36:17,040 +issue in case تاني، اكتب اجمال المشارع، ايوة، + +395 +00:36:17,040 --> 00:36:20,820 +ممتاز، خاطة في الموازنة، او تانية، ممتاز، شكرا، + +396 +00:36:20,820 --> 00:36:25,570 +اتفضلي انتي، انا مش سامعةممتاز إنه رقم واحد عدم + +397 +00:36:25,570 --> 00:36:29,230 +صحة البيانات ورقم اتنين المقترح المشروع غير مقنع + +398 +00:36:29,230 --> 00:36:33,850 +ممكن عدم وضوح الأهداف نقص عن البيانات نقص عن + +399 +00:36:33,850 --> 00:36:39,030 +البيانات؟ في حاجات فلتهك المقترح ليس من ضمن + +400 +00:36:39,030 --> 00:36:43,050 +المشاريع الممتاز المقترح مش من ضمن أولويات المؤسسة + +401 +00:36:43,050 --> 00:36:49,430 +المانحة بالناشية أيضا المقترح ليس من ضمن أولويات + +402 +00:36:49,430 --> 00:36:50,110 +المجتمع + +403 +00:36:53,780 --> 00:36:58,320 +هو مش ضمنه نفسه يعني مش من ضمن أولوياته او مقترحك + +404 +00:36:58,320 --> 00:37:01,360 +ناقص او مقترحك غير مقنع اذا دي مشروع أعلى من + +405 +00:37:01,360 --> 00:37:05,540 +المبلغ المحدد عملالنا موازنة احنا مثلا هنقول نحن + +406 +00:37:05,540 --> 00:37:08,920 +هنعطيكي لهذا المشروع نص مليون دولار انت عمللي + +407 +00:37:08,920 --> 00:37:12,320 +موازنة من مليون وانت كاتبة كل التنوين عن جهة + +408 +00:37:12,320 --> 00:37:15,620 +المانح هقول لنفسي طب هدولة معاهم مش مصارنة وانا + +409 +00:37:15,620 --> 00:37:19,240 +هجيب و بجيت نص مليون تانية إذا ما تكون الشغلات + +410 +00:37:22,150 --> 00:37:26,850 +تؤدي إلى فشل و أيضا يا أخوات المشروع مخالف لقوالين + +411 +00:37:26,850 --> 00:37:33,170 +البلد انت مقدمالنا مشروع لأ فيه مخالف واضح انه لا + +412 +00:37:33,170 --> 00:37:38,010 +يتناسب مع الواقع اللي بنالش اه اه المشروع اما + +413 +00:37:38,010 --> 00:37:41,030 +مخالف القانون او العادات والتقاليد جايبالنا حاجة + +414 +00:37:41,030 --> 00:37:49,760 +هتدخلنا في مشاكل المجتمع بيرفض عمامي نعم انت؟أنا + +415 +00:37:49,760 --> 00:37:52,920 +بحكي عن كل مشروع أن المجتمع بيرفض هيك مشاريع، هذا + +416 +00:37:52,920 --> 00:38:00,720 +ما اقصد فيه، طبعا يا أخوات في قاعدة عندما يرفض + +417 +00:38:00,720 --> 00:38:09,020 +المشروع لا يحق لطالب المقترح السؤال لماذا، عملنالك + +418 +00:38:09,020 --> 00:38:14,300 +إشارة، حملة مرفوضخلاص بيبحث عن جهة أخرة، بيشوف لو + +419 +00:38:14,300 --> 00:38:16,960 +إما ببحث عن جهة أخرة أو بياخد مقترح و يطلع عليه + +420 +00:38:16,960 --> 00:38:19,560 +تاني، عيد النظر طب هو لازم يحكوا له إنه هذا السبب + +421 +00:38:19,560 --> 00:38:22,560 +عشان .. هو الفهالة اللي بديه يعرف، و زي ما عرفتاش؟ + +422 +00:38:22,560 --> 00:38:26,100 +والله دي مشكلته يعني، مش هو اللي كاتب؟ يعني effort + +423 +00:38:26,100 --> 00:38:31,640 +تم رفض مقترح مشروع غدير، و تم الموافقة على مشروع + +424 +00:38:31,640 --> 00:38:35,540 +كفاية ع سبيل المتعةانت ممكن تسألها وتعرف انت ليش + +425 +00:38:35,540 --> 00:38:40,300 +رفعتتي هي تقولك والله هم انا عملتلهم موازنة بنص + +426 +00:38:40,300 --> 00:38:44,280 +مليون زي المبلغ بالظبط انت بيقولها انا عمللها من + +427 +00:38:44,280 --> 00:38:49,080 +ستمية ألف دولار القطاع اللي بقعدنا فيه مشروعها كل + +428 +00:38:49,080 --> 00:38:53,720 +مشاريع زيها تم الاستغناء عنها او خلاص يعني قتلت + +429 +00:38:53,720 --> 00:38:57,220 +يعني اتفنن مشاريع من النوعية هذه بدنا حاجة جديدة + +430 +00:38:57,220 --> 00:39:01,240 +واضح يا جماعة؟ في سؤال؟ في اي سؤال؟ + diff --git 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المنظمة .. المنفذة أن يتم تحقيق أهداف المشروع لماذا يتم تعيين مدراء المشروع؟ طبعا لتحقيق أهداف إيش المشروع", "tokens": [27842, 31439, 3714, 3215, 13546, 9673, 8592, 32887, 3615, 22807, 6055, 5172, 11242, 1211, 5551, 11622, 3224, 2288, 7251, 39237, 37279, 1829, 9957, 3714, 3215, 2288, 16606, 9673, 8592, 32887, 3615, 4724, 2304, 3615, 28480, 3660, 9673, 33604, 3794, 3794, 3660, 9673, 1863, 19913, 46007, 4386, 9673, 1863, 5172, 8848, 3660, 14739, 7251, 39237, 6055, 5016, 38436, 4587, 5551, 3224, 28259, 5172, 9673, 8592, 32887, 3615, 32767, 45636, 995, 7251, 39237, 37279, 1829, 9957, 3714, 3215, 2288, 16606, 9673, 8592, 32887, 3615, 22807, 23032, 3555, 3615, 995, 5296, 2655, 5016, 38436, 4587, 5551, 3224, 28259, 5172, 11933, 1829, 8592, 9673, 8592, 32887, 3615], "avg_logprob": -0.12056790886876675, "compression_ratio": 2.1266666666666665, "no_speech_prob": 8.940696716308594e-07, "words": [{"start": 656.6, "end": 656.88, "word": "من", "probability": 0.81005859375}, {"start": 656.88, "end": 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مدير المشروع قدرة على التحمل المسئولة واحد مرونة في اتخاذ التحرار المسئولية المرونة نين كون عنده مرونة قدرة على التخيل تلاتة", "tokens": [2304, 8592, 32887, 3615, 9154, 32771, 13546, 3714, 3215, 13546, 6156, 33599, 1211, 9122, 3794, 1829, 9640, 3660, 9154, 32771, 13546, 8608, 16373, 4587, 9122, 3794, 1829, 9640, 3660, 9154, 32771, 13546, 11933, 1829, 8592, 22807, 8608, 16373, 4587, 21136, 33604, 6027, 1975, 3215, 9778, 20292, 3714, 3224, 9640, 9307, 3714, 3215, 13546, 9673, 8592, 32887, 3615, 1975, 3215, 9778, 20292, 3714, 3224, 9640, 9307, 3714, 3215, 13546, 9673, 8592, 32887, 3615, 12174, 3215, 25720, 15844, 16712, 35571, 1211, 9673, 3794, 19986, 12610, 3660, 36764, 24401, 3714, 2288, 11536, 3660, 8978, 1975, 2655, 9778, 45636, 16712, 5016, 2288, 9640, 9673, 3794, 19986, 12610, 10632, 9673, 2288, 11536, 3660, 8717, 9957, 9122, 11536, 43242, 3224, 3714, 2288, 11536, 3660, 12174, 3215, 25720, 15844, 16712, 9778, 26895, 6055, 1211, 9307, 3660], "avg_logprob": -0.1519230754329608, 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عليكم ورحمة الله، + +4 +00:00:27,030 --> 00:00:31,290 +كيف حالكم؟ كيف أصبحتم اليوم؟ من ضمن الأنشطة + +5 +00:00:31,290 --> 00:00:33,730 +المنهجية لمساق أداة المشاريع، اليوم إن شاء الله + +6 +00:00:33,730 --> 00:00:38,490 +سنستضيف بصحبتكم المهندس باسل قنديل إن شاء الله نُضبط + +7 +00:00:38,490 --> 00:00:41,490 +بين اللي درسناه من ناحية النظرية في هذا المشاريع و + +8 +00:00:41,490 --> 00:00:44,830 +الأمور الواقعية في المجتمع، سأترك المجال لباسم + +9 +00:00:44,830 --> 00:00:49,250 +مهندس يعطينا إن شاء الله المحاضرة والودار كمان + +10 +00:00:49,250 --> 00:00:52,270 +المحاضرة حابب إن تلقى الأسئلة أثناء الشرح أو بعد + +11 +00:00:52,270 --> 00:00:54,710 +برجع للموضوع، تفضل يا مهندس شكرًا، الذي الله + +12 +00:00:54,710 --> 00:00:57,790 +يعطيكم العافية، أنا اسمي باسل قنديل، مدير دورات + +13 +00:00:57,790 --> 00:01:00,550 +حضرة الأعمال والمشاريع بالتعليم المستمر هنا + +14 +00:01:00,550 --> 00:01:04,350 +بالجامعة، طبعًا أنا الـ 7 سنوات بشتغل في الجامعة مشرف + +15 +00:01:04,350 --> 00:01:06,990 +كنت بشكل أساسي فقط على الـ proposal .. الـ proposal + +16 +00:01:06,990 --> 00:01:09,630 +writing والـ fundraising يعني كل المشاريع اللي + +17 +00:01:09,630 --> 00:01:11,870 +اُنْكتبت .. المشاريع المجتمعية اللي انكتبت خلال + +18 +00:01:11,870 --> 00:01:14,910 +السبع سنوات الماضية حتى الآن طلعت من عندي من القسم + +19 +00:01:14,910 --> 00:01:17,770 +اللي أنا فيه حاليًا، أنا بشرف على المشاريع المجتمعية + +20 +00:01:17,770 --> 00:01:22,310 +أو المشاريع التنموية واللي حضنت الأعمال، طبعًا احنا + +21 +00:01:22,310 --> 00:01:25,090 +بما أني أنا بمثل عمادة خدمة المجتمع والتعليم المستمر + +22 +00:01:25,090 --> 00:01:28,210 +أنت عارف .. عارفين اللي هو الجامعة بتقدم ثلاث خدمات + +23 +00:01:28,210 --> 00:01:30,850 +للمجتمع، الخدمة الأولى تتعلق بالتعليم الأكاديمي + +24 +00:01:30,850 --> 00:01:33,630 +اللي هو أنتم من خلاله لمنح درجات بكالوريوس وماجستير + +25 +00:01:33,630 --> 00:01:36,310 +ودكتوراه والآخرة والـ .. الـ .. الضلع الثاني من + +26 +00:01:36,310 --> 00:01:38,930 +الخدمات تقدمها الجامعة اللي هي البحث العلمي وإجراء + +27 +00:01:38,930 --> 00:01:41,770 +بحث علمي، المفروض اللي بتساعد في تنمية .. تنمية + +28 +00:01:41,770 --> 00:01:44,490 +وتطوير المجتمع، الضلع الثالث اللي بتقدمه الجامعة + +29 +00:01:44,490 --> 00:01:47,090 +اللي هي خدمة المجتمع، لمهوه انخلاع العمادة داخل + +30 +00:01:47,090 --> 00:01:49,910 +المجتمع بتاع المستمر، الهدف من .. من .. من وجود + +31 +00:01:49,910 --> 00:01:53,010 +العمادة في الجامعة إنه تسخر أو تستثمر كل القدرات + +32 +00:01:53,010 --> 00:01:57,230 +وموارد الجامعة وتخدم فيها المجتمع، العمادة بتتكون + +33 +00:01:57,230 --> 00:02:00,410 +من عدة دوائر، أهم دائرة تبعتنا اللي هي دائرة حضنة + +34 +00:02:00,410 --> 00:02:04,080 +الأعمال والمشاريع، احنا بشكل أساسي كدائرة بنختص في + +35 +00:02:04,080 --> 00:02:07,980 +تجنيد الأموال ومن ثم من خلال طبعًا كتابة مقترحات + +36 +00:02:07,980 --> 00:02:10,840 +مشاريع وتسويقها والحصول على تمويل هذه المشاريع + +37 +00:02:10,840 --> 00:02:14,400 +بأساس نخدم المجتمع، نخدم فئات متعددة من المجتمع، + +38 +00:02:14,400 --> 00:02:17,340 +نخدم فئات الشباب طبعًا و نركز من الشباب على + +39 +00:02:17,340 --> 00:02:21,200 +الخريجين، نخدم فئات الـ .. الـ .. الـ .. فئات .. نشتغل + +40 +00:02:21,200 --> 00:02:23,320 +على قطاع الطاقة، نشتغل على قطاع المرأة، قطاع + +41 +00:02:23,320 --> 00:02:26,470 +الطفولة، علاقة الفئات المهمشة، القطاع ذوي الإعاقة + +42 +00:02:26,470 --> 00:02:30,270 +من فئات المهمشة، للعائلات الفقيرة كل هذه الفئات + +43 +00:02:30,270 --> 00:02:33,350 +اللي بنشتغلها من خلال عمدتنا وعنا أمثلة كثير أنتم + +44 +00:02:33,350 --> 00:02:35,530 +ممكن تسمعوا فيها نربطها مع شغلنا اللي احنا + +45 +00:02:35,530 --> 00:02:38,070 +بنستخدمه، عساوي مثال مشروع إرادة بتعرفوه لتأهيل + +46 +00:02:38,070 --> 00:02:40,570 +ذوي الإعاقة هذا أحد المشروع .. المشروعات اللي + +47 +00:02:40,570 --> 00:02:44,270 +احنا كتبناها يعني مباشرة بعد حرب الفرقان، يعني بعد + +48 +00:02:44,270 --> 00:02:48,730 +الـ 2009 وحصلنا على تمويل ليله من 2012، يعني هذا + +49 +00:02:48,730 --> 00:02:52,410 +مشروع مجتمعي احنا اشتغلناه كقسم مشاريع لمكان قسم + +50 +00:02:52,410 --> 00:02:55,720 +سابق، مشاريع مبادَرُون واحد واثنين وثلاثة، مشروع + +51 +00:02:55,720 --> 00:02:58,960 +مبدعون، مشروع Seed One، مشروع Seed Two، مشروع ريادة + +52 +00:02:58,960 --> 00:03:03,120 +كل مشاريع لريادة العمل اللي بتستهدف لتمكين الشباب + +53 +00:03:03,120 --> 00:03:06,420 +لعمل مشاريعهم الخاصة، هذه برضه مشروعاتنا، مشاريع + +54 +00:03:06,420 --> 00:03:08,400 +منظمة العمل الدولية اللي نفذناها خلال السنتين + +55 +00:03:08,400 --> 00:03:10,840 +الماضيتين، اللي هي هدفنا فيها طلاب وطالبات كلية + +56 +00:03:10,840 --> 00:03:14,140 +الهندسات، اللي عملنا لهم بناء قدرات ومن ثم شغلناهم + +57 +00:03:14,140 --> 00:03:18,130 +في المؤسسات ودكتور أكرم كان معنا في المشروع، كل ما + +58 +00:03:18,130 --> 00:03:21,190 +يتعلق بالمشاريع المجتمعية اللي الجامعة بتروح بتبذل + +59 +00:03:21,190 --> 00:03:23,950 +فيها جهد لتخدم المجتمع، هذه بتكون من عندنا من خلال + +60 +00:03:23,950 --> 00:03:27,430 +عمادة خدمة المجتمع، وشكل آخر اللي هو من خلال + +61 +00:03:27,430 --> 00:03:30,710 +دائرتنا، إيش احنا بنشتغل؟ احنا بنشتغل زي ما حكيت + +62 +00:03:30,710 --> 00:03:32,550 +قبل شوية، بنعمل Fundraising، شو يعني Fundraising؟ + +63 +00:03:32,550 --> 00:03:35,470 +بنعمل تجنيد أموال، بنجيب فلوس عشان نفذ مشاريع تخدم + +64 +00:03:35,470 --> 00:03:39,090 +المجتمع، وبالتالي عندنا مجموعة مهمات إحنا بنشتغلها في + +65 +00:03:39,090 --> 00:03:42,830 +دائرتنا، المهمة الأساسية اللي هي إحنا بنعيد + +66 +00:03:42,830 --> 00:03:47,810 +مقترحات مشاريع، بنصمم مشاريع ومن ثم بنسوقها، شو يعني + +67 +00:03:47,810 --> 00:03:50,490 +مشروع، شو تفاصيل وكيف .. إيش يعني Proposal، هذه + +68 +00:03:50,490 --> 00:03:52,790 +الكلام على وجه الخصوص .. يعني على وجه السرعة أنا + +69 +00:03:52,790 --> 00:03:56,010 +همشي فيه، بالمناسبة أنا مدرب Fundraising Proposal + +70 +00:03:56,010 --> 00:03:59,430 +writing من تقريبًا ست سنوات، عطيت أكثر من اثنين + +71 +00:03:59,430 --> 00:04:01,850 +وعشرين، ثلاثة وعشرين دورة تدريبية في الموضوع الـ + +72 +00:04:01,850 --> 00:04:04,610 +Proposal writing والـ Fundraising، أنا الآن سأركز + +73 +00:04:04,610 --> 00:04:07,270 +على الجوانب العملية، إحنا كيف نشتغل بشكل عملي، كيف + +74 +00:04:07,270 --> 00:04:10,530 +أنا في دائرتي في العمادة أو كيف الناس بتشتغل في + +75 +00:04:10,530 --> 00:04:14,770 +سوق المشاريع التنموية، درسنا جاب شوية، حكيت إنه + +76 +00:04:14,770 --> 00:04:18,150 +درسنا احنا في كتاب إدارة المشاريع زمان، أنا لما كنت + +77 +00:04:18,150 --> 00:04:21,410 +في كلية الهندسة درسنا المواد النظرية ناحية تعريف + +78 +00:04:21,410 --> 00:04:24,370 +المشروع، شو الـ Project Resources، Project Life Cycle، + +79 +00:04:24,370 --> 00:04:27,590 +Gantt Chart كل هذه الأمور درسناها، كنا نعتقد إنه + +80 +00:04:27,590 --> 00:04:30,130 +لن نستفيد منها لإن عبارة عن تطبيقات علمية بحتة + +81 +00:04:30,320 --> 00:04:33,740 +لكن فيما بعد التطبيقات العملية فادتنا أن نطبقها + +82 +00:04:33,740 --> 00:04:38,240 +بشكل عملي، أخذنا منها ما يتلاقم مع الواقع اللي احنا + +83 +00:04:38,240 --> 00:04:40,980 +بنعيشه وما يتلاقم مع قدرات الناس اللي مستخدم معهم + +84 +00:04:40,980 --> 00:04:43,020 +الـ Stakeholders، اللي كما شوية موضوع الـ + +85 +00:04:43,020 --> 00:04:46,140 +Stakeholders اللي سنتعرف عليه، تمام؟ سأمشي أنا + +86 +00:04:46,140 --> 00:04:50,280 +بالترتيب يعني هيك مقدمة بسيطة ستكون شوية تعريفات، + +87 +00:04:50,280 --> 00:04:54,320 +مصطلحات أو مفردات لازم أنتم تكونوا عارفينها، سأعلمكم + +88 +00:04:54,320 --> 00:04:56,820 +كيف يعني .. بشكل سريع كيف احنا بنكتب الـ Proposal + +89 +00:04:56,820 --> 00:04:59,740 +وكيف الـ Cycle بتاعة المشروع التنموي، أنا الآن سأركز + +90 +00:04:59,740 --> 00:05:02,280 +فقط على نموذج المشاريع التنموية، ماذا يعني المشاريع + +91 +00:05:02,280 --> 00:05:04,960 +المجتمعية؟ المشاريع التي تستهدف المجتمع سواء كان بناء + +92 +00:05:04,960 --> 00:05:08,800 +قدرات الشباب اللي هي تمكين اقتصاد المرأة أو تمكين + +93 +00:05:08,800 --> 00:05:12,540 +الاجتماعي للمرأة أو مثلًا تطوير منطقة مهمشة من + +94 +00:05:12,540 --> 00:05:15,700 +المناطق المهمشة، سأعلمكم كيف إحنا بنشتغل هذا الشغل + +95 +00:05:15,700 --> 00:05:18,220 +ما أعرف واضح إليكم الـ Slides ولا ممكن تطفو شيء + +96 +00:05:18,220 --> 00:05:23,120 +من هنا، واضح، طيب تمام، أول شيء لو احنا هيك نسأل + +97 +00:05:23,120 --> 00:05:25,920 +سؤال، يعني نبدأ إجابة أو إجابتين، إيش يعني مشروع؟ + +98 +00:05:25,920 --> 00:05:32,020 +إيش تعريف كلمة مشروع؟ تفضلي، 100% حلو، من كمان؟ + +99 +00:05:32,020 --> 00:05:39,260 +كمان تعريف، من؟ طيب، عادة لما إحنا نحكي مشروع، + +100 +00:05:39,260 --> 00:05:43,120 +لازم نأخذ بالنا أربع شغلات رئيسية، احنا لما بقولكم + +101 +00:05:43,120 --> 00:05:45,980 +مشروع رياضة أو مشروع إرادة أو مشروع اللي هو بناء + +102 +00:05:45,980 --> 00:05:49,440 +قدرات اللي مش عارف أيش، دائمًا المشروع فيه له هدف، + +103 +00:05:49,440 --> 00:05:52,420 +تمام؟ وبالتالي أول شيء لازم نأخذ بالنا عشان أعرف + +104 +00:05:52,420 --> 00:05:55,160 +المشروع أنه بيكون في عندي إيش هدف، ولا ليش نعمل + +105 +00:05:55,160 --> 00:05:58,960 +مشروع، لتحقيق هدف ما، مضبوط؟ طيب، تحقيق الهدف يلزم + +106 +00:05:58,960 --> 00:06:04,480 +ماذا؟ يلزم .. يلزم فئة مستهدفة ويلزم أنشطة، يعني الهدف + +107 +00:06:04,480 --> 00:06:08,980 +لن يتحقق إلا بتنفيذ أنشطة، مضبوط؟ طيب عشان أنا + +108 +00:06:08,980 --> 00:06:13,740 +أحقق الأنشطة هذه، أنفذها، ماذا يلزمي؟ فريق عمل و + +109 +00:06:13,740 --> 00:06:16,700 +ماكينات ومعدات وقرطاسية، هذه كلها بنسميها باسم + +110 +00:06:16,700 --> 00:06:21,040 +واحد، ما هو؟ موارد، Resources، يعني يلزمي موارد، + +111 +00:06:21,040 --> 00:06:25,250 +تمام؟ طيب، أنا عندي هدف بدي أحققه من خلال تنفيذ + +112 +00:06:25,250 --> 00:06:28,030 +مجموعة من الأنشطة وباستخدام مجموعة من الموارد، هذا + +113 +00:06:28,030 --> 00:06:31,610 +كله لازم يكون في نطاق محدد، لا هو .. زي ما حكيت، + +114 +00:06:31,610 --> 00:06:34,310 +لا هو بداية ولا هو نهاية، وبالتالي لازم يكون عندي + +115 +00:06:34,310 --> 00:06:40,240 +ماذا؟ إطار زمني، تمام؟ هذه الأربع مكونات الرئيسية + +116 +00:06:40,240 --> 00:06:43,280 +لازم تكون بالي عند تعريف للمشروع، أنا المشروع بعمله + +117 +00:06:43,280 --> 00:06:46,020 +عشان أحقق هدف باستخدام موارد من خلال تنفيذ مجموعة + +118 +00:06:46,020 --> 00:06:49,820 +من الأنشطة في إطار زمني محدد، تمام؟ ولو بدنا نأخذ + +119 +00:06:49,820 --> 00:06:53,260 +مجموعة تعريفات، تمام؟ سأجد مثلًا هي تعريف إنه + +120 +00:06:53,260 --> 00:06:56,380 +عبارة عن سلسلة من الأنشطة المترابطة مع بعضها، لها + +121 +00:06:56,380 --> 00:06:59,800 +أهداف محددة تم تصميمها للحصول على نتاج محدد، تمام؟ طيب + +122 +00:07:00,240 --> 00:07:03,760 +طبعًا لو بنحكي عن أمثلة مشاريع، مشاريع كثير، حكيت + +123 +00:07:03,760 --> 00:07:05,980 +أنا مجموعة، نأخذ أمثلة ثانية مختلفة تمامًا عن + +124 +00:07:05,980 --> 00:07:08,540 +مشاريع تعليمية، بناء المبنى هذا كان عبارة عن مشروع، + +125 +00:07:08,540 --> 00:07:10,560 +له بداية وله نهاية، الهدف النهائي كان أن يطلع + +126 +00:07:10,560 --> 00:07:13,720 +المبنى كامل ومجهز، تمام؟ الأنشطة اللي عملت تصميم + +127 +00:07:13,720 --> 00:07:16,440 +المبنى وبعدين حفر الأساسات وبنائه وتشطيبه والآخر، نِعم؟ +129 +00:07:19,650 --> 00:07:21,990 +التجارة دي عبارة عن مشروع له بداية ونهاية من سنة + +130 +00:07:21,990 --> 00:07:25,450 +أولى لغاية التخرج، الهدف أطلع بشهادة، الأنشطة درسنا + +131 +00:07:25,450 --> 00:07:28,450 +وأخذنا امتحانات وسجلتنا ونجحنا والآخر، تمام + +132 +00:07:28,450 --> 00:07:34,410 +فالأمثلة على المشاريع كثير، الزواج، الحمل، تطوير + +133 +00:07:34,410 --> 00:07:37,630 +شارع الرشيد أو تطوير شارع صلاح الدين، بناء مدينة + +134 +00:07:37,630 --> 00:07:40,590 +حمد، كلها دي عبارة عن مشاريع، فيه مشاريع هندسية + +135 +00:07:40,590 --> 00:07:43,850 +مشاريع تكنولوجية، مشاريع مختلفة لكن احنا بنركز نوعًا + +136 +00:07:43,850 --> 00:07:47,240 +ما على المشاريع المجتمعية نحو أو التنمو التنموية + +137 +00:07:47,240 --> 00:07:50,920 +المجتمعية، طيب قاموس أكسفورد يعرف المشروع أنه عمل + +138 +00:07:50,920 --> 00:07:55,900 +فردي أو جماعي، تمام، طبعًا أكيد مخطط ومصمم لأنه + +139 +00:07:55,900 --> 00:08:00,360 +ما فيش مشروع ينفذ عشوائيًا، تمام، أو بمحض الصدفة + +140 +00:08:00,360 --> 00:08:06,440 +المشروع ينفذ بتصميمه بخطة، طبعًا بهدف أو بسبب التحقيق + +128 +00:07:16,440 --> 00:07:19,650 +والآخر، نعم؟ إن أنت كونك بتدرس أربع سنوات في كلية + +141 +00:08:06,440 --> 00:08:10,000 +هدف أو غرض محدد طبعا طيب منون اجت كلمة project in + +142 +00:08:10,000 --> 00:08:12,580 +English الـمشروع عبارة عن ايش project منون اجت في + +143 +00:08:12,580 --> 00:08:16,100 +اللاتيني أصلها كلمة لاتينية هي projector لدراسة + +144 +00:08:16,100 --> 00:08:18,880 +physics لدراسة فيزيا ممكن بتوجيهها أو بقول أتاني + +145 +00:08:18,880 --> 00:08:22,860 +واخدتها بعرفش زمان كنا ناخد الاسقاط اللي كان نرمى + +146 +00:08:22,860 --> 00:08:26,460 +كرة من مكان لمكان أو هدف من مكان لمكان فالكرة لما + +147 +00:08:26,460 --> 00:08:29,780 +كنا نرميها لها بداية تطلع أنا هنا قذفتها وبتنزل + +148 +00:08:29,780 --> 00:08:33,230 +في نهاية فهي عبارة عن إسقاط وprojector في اللاتيني + +149 +00:08:33,230 --> 00:08:37,190 +فالمشروع فعليا هو إسقاط شيء يعني بنطلق من بداية + +150 +00:08:37,190 --> 00:08:40,190 +لنهاية لتحقيق هدف فمن هنا اجت أصل كلمة الـproject + +151 +00:08:40,190 --> 00:08:44,430 +طبعا طيب الـمشروع التنموي اللي إحنا بنشتغله هو عبارة + +152 +00:08:44,430 --> 00:08:47,790 +عن ايش مجموعة من أنشطة مع بعض مترابطة تؤدي إلى + +153 +00:08:47,790 --> 00:08:51,470 +تحقيق هدف الهدف طبعا أكيد بيسعى أو يعني هدفه + +154 +00:08:51,470 --> 00:08:55,010 +الأساسي لتنمية المجتمع وطبعا أكيد بيحده اللي هو + +155 +00:08:55,010 --> 00:08:58,090 +إطار زمني وله ميزانية وهيكل تنظيمي لهذا اللي نطلق + +156 +00:08:58,090 --> 00:09:03,570 +عليه الـموارد طبعا طيب تعريفات كتيرة يعني أنه أنتو + +157 +00:09:03,570 --> 00:09:05,970 +الآن طالما بس أي تعريف أخدته في بعين الاعتبار هذه + +158 +00:09:05,970 --> 00:09:09,090 +الأربع مفردات أنتو بتكونوا عرفته عملته تعريف + +159 +00:09:09,090 --> 00:09:12,250 +متكامل للمشروع طيب لما نيجي نحكي ايش خصائص المشروع + +160 +00:09:12,250 --> 00:09:14,930 +التنموي يعني ايش اللي بيميز الـمشروع التنموي عن + +161 +00:09:14,930 --> 00:09:17,650 +المشاريع اللي من أنواع الأخرى أول شيء الـمشروع + +162 +00:09:17,650 --> 00:09:21,050 +التنموي محدد بغرض يعني فيه هدف واضح أو فيه نتاج + +163 +00:09:21,050 --> 00:09:24,650 +واضح لازم تحقق إحنا في شغلنا في المشاريع التنموية + +164 +00:09:24,650 --> 00:09:27,830 +بنهاية الـمشروع بيجينا الممول اللي مولنا الـمشروع + +165 +00:09:27,830 --> 00:09:32,360 +بيجي بيعمل ايش التقييم بيكون هدفه؟ تقييم يشوف هل + +166 +00:09:32,360 --> 00:09:34,960 +الأهداف اللي انحطت في بداية الـمشروع تم تحقيقها ولا + +167 +00:09:34,960 --> 00:09:38,960 +لأ؟ وبالتالي كل مشروع لازم يكون فيه نتائج واضحة، + +168 +00:09:38,960 --> 00:09:42,080 +والنتائج هذه أو الهدف أصلا انوضعت في البداية لايش؟ + +169 +00:09:42,560 --> 00:09:46,900 +لسد احتياج الـمشروع أصلا ما انعمل إلا لسد احتياج + +170 +00:09:46,900 --> 00:09:49,820 +يعني لما تيجي تحكي ليه انعمل مشروع إرادة هذا انعمل + +171 +00:09:49,820 --> 00:09:52,860 +مشروع إرادة لأن أنا في عندي في ذاك الوقت أكثر من + +172 +00:09:52,860 --> 00:09:56,220 +600 حالة ذوي إعاقة نتجت من الحرب إعاقة حركية + +173 +00:09:56,220 --> 00:09:59,960 +وسمعية وبصرية فكان لازم نستهدفهم هذول ذوي الإعاقة + +174 +00:09:59,960 --> 00:10:03,000 +بحيث نمكنهم أولا ندربهم ونأهلهم وهذه الممكنة + +175 +00:10:03,000 --> 00:10:06,200 +اقتصادية نصيروا يشتغلوا وبالتالي في سد لاحتياج + +176 +00:10:06,200 --> 00:10:08,960 +مجتمعي لأن هذول فئة ذوي الإعاقة لو سيبناهم هيك + +177 +00:10:08,960 --> 00:10:13,930 +هيكون فيه أثر نفسي عليهم وعلينا احنا صار في ساعتها + +178 +00:10:13,930 --> 00:10:17,090 +أنه في توجه أنه لأ نستفيد منهم ونشجعهم أنهم + +179 +00:10:17,090 --> 00:10:19,530 +يفتحوا مشاريعهم ويتضاربوا والحمد لله نجحنا في هذا + +180 +00:10:19,530 --> 00:10:23,470 +الشيء طيب من خصائص الـمشروع أنه أهداف واقعية لما بدي + +181 +00:10:23,470 --> 00:10:25,490 +أعمل مشروع تنموية أنا بديش أعمل مشروع والله بدي + +182 +00:10:25,490 --> 00:10:28,370 +أعمل أنا مركبة فضائية وأطلقها على الفضاء هذا .. أنا + +183 +00:10:28,370 --> 00:10:30,290 +بالنسبة اللي بحكي .. أنا في نطاق جغرافي في قطاع + +184 +00:10:30,290 --> 00:10:33,610 +غزة أو على فلسطين تمام؟ بديش أحكي والله بدي أولد + +185 +00:10:33,610 --> 00:10:36,030 +طاقة .. لأنه أنا مثلا من ضمن الاحتياجات اللي عندي + +186 +00:10:36,030 --> 00:10:39,630 +ماعنديش كهربا والله بدي أنا أولد طاقة كهربائية + +187 +00:10:39,630 --> 00:10:42,510 +باستخدام مفاعل نووي هذا شيء غير واقعي على مستوى + +188 +00:10:42,510 --> 00:10:45,610 +قدراتي ومقدراتي وبالتالي اختياري للمشروع اللي أنا + +189 +00:10:45,610 --> 00:10:47,530 +بدي أصممه عشان نفسي لازم ي + +190 +00:10:52,350 --> 00:10:55,630 +ومشروعي لازم يكون محدد بوقت ونطاق جغرافي زي ما + +191 +00:10:55,630 --> 00:10:58,210 +حكينا محدد بزمن خلاص انتهينا منها ونطاق جغرافي + +192 +00:10:58,210 --> 00:11:00,330 +لازم أقول أنا وين الفئة اللي بستهدفها والله + +193 +00:11:00,330 --> 00:11:02,690 +بيستهدف الخريجين فقط في المنطقة الجنوبية أو + +194 +00:11:02,690 --> 00:11:05,930 +بيستهدف الخريجين في كل قطاع غزة ولا بيستهدف النساء + +195 +00:11:05,930 --> 00:11:08,250 +المهمشات في المناطق اللي هي الحدودية والمناطق + +196 +00:11:08,250 --> 00:11:11,850 +المهمشة لازم يكون مشروعي محدد بمنطقة جغرافية غير + +197 +00:11:11,850 --> 00:11:16,290 +النطاق الزمني تمام؟ من خصائص المشاريع التنموية أنه + +198 +00:11:16,290 --> 00:11:19,270 +معقد، مايعني معقد؟ مش معقد أنه صعب الحل زي ما + +199 +00:11:19,270 --> 00:11:21,850 +بتاخدوا بعض التمرينات في الامتحانات، لا معقد أنه + +200 +00:11:21,850 --> 00:11:24,590 +بحتاج مهارات متعددة في التخطيط وفي التنفيذ وفي + +201 +00:11:24,590 --> 00:11:28,150 +المتابعة يعني أنا لما باجي بدرب في دورة إدارة + +202 +00:11:28,150 --> 00:11:31,730 +المشاريع باجي بحكي لمنسق المشروع اللي بتشتر منسق + +203 +00:11:31,730 --> 00:11:35,140 +المشروع لازم يكون اتعلم يكون محاسب ومحاميويكون + +204 +00:11:35,140 --> 00:11:38,720 +بيشتغل في المشتريات ويكون فني مبيعات ويعرف بالأكل + +205 +00:11:38,720 --> 00:11:41,560 +كل هذه المهام لازم يشتغلها ليش؟ أنا لما .. لما + +206 +00:11:41,560 --> 00:11:44,660 +يجي منسق مشروع مثلا مشروع مبادرون منسق مشروع + +207 +00:11:44,660 --> 00:11:47,140 +مبادرون هو بيساعد في اختيار الفئة وبالتالي لازم + +208 +00:11:47,140 --> 00:11:50,180 +يكون خبير تقييم هو بيروح يتعقد مع المطاعم وبالتالي + +209 +00:11:50,180 --> 00:11:53,200 +بيكون يعرف أنواع الأكل هو بيعمل العقود مع المدربين + +210 +00:11:53,200 --> 00:11:55,680 +وبالتالي بيكون محامي هو اللي بيشتغل القرطاسية + +211 +00:11:55,680 --> 00:11:58,740 +ويحاسب ويدفع ال .. ويخلص الفواتير وبالتالي بيكون + +212 +00:11:58,740 --> 00:12:04,140 +متخصص في الأمور .. يعني لازم لأن هو المشروع بتطلب + +213 +00:12:04,140 --> 00:12:08,480 +عدة أنشطة مختلفة عشان هيك بيسميه معقد وبالتالي + +214 +00:12:08,480 --> 00:12:13,240 +يحتاج مهارات متعددة تمام؟ طيب الـمشروع جماعي من + +215 +00:12:13,240 --> 00:12:18,180 +الصعب أنه مشروع ينفذه شخص واحد هو مستحيل بس مش صعب + +216 +00:12:18,180 --> 00:12:21,680 +حتى لو كان بيشتغل على مشروع منسق لكن المنصق عنده + +217 +00:12:21,680 --> 00:12:24,820 +فئة مستهدفة عنده موردين بيشتري منهم، عنده مدربين + +218 +00:12:24,820 --> 00:12:27,360 +بتعقد معاهم، عنده استشارين، عنده اللي هو يسميه + +219 +00:12:27,360 --> 00:12:30,140 +الـStakeholders، وبالتالي الـمشروع لا ينفذه شخص + +220 +00:12:30,140 --> 00:12:33,340 +واحد، هو دائما مشروع جماعي، من خصائص الـمشروع أنه + +221 +00:12:33,340 --> 00:12:36,320 +فريد، فريد معناه أنه يعني يفضل، احنا دائما نسي على + +222 +00:12:36,320 --> 00:12:39,720 +إله، الـمشروع يكون فكرة جديدة، فكرة إبداعية، مش + +223 +00:12:39,720 --> 00:12:44,560 +تقليد، يعني لما انتهت الحرب الأخيرة، الحرب 2014، + +224 +00:12:44,560 --> 00:12:47,380 +طبعا احنا مشاركين عادة مرتبطة بالتغيرات اللي هي + +225 +00:12:47,380 --> 00:12:52,310 +الواقعية اللي بنصير فيها، خلصت الحرب من هنا بلشت + +226 +00:12:52,310 --> 00:12:54,950 +الناس تعمل proposals و تروح تسوقها ايش كان أول + +227 +00:12:54,950 --> 00:12:58,830 +مشاريع نوعين مشروع الأول اللي هو relief غاثة و + +228 +00:12:58,830 --> 00:13:00,290 +المشروع النوع الثاني من المشاريع اللي هو + +229 +00:13:00,290 --> 00:13:04,530 +psychological support دعم نفسي واجتماعي للفئات + +230 +00:13:04,530 --> 00:13:07,460 +اللي اتضررت نفسيا من الحرب الأخيرة كل الناس started + +231 +00:13:07,460 --> 00:13:10,840 +proposal وإبعت proposal وصرت موضة الممولين + +232 +00:13:10,840 --> 00:13:14,040 +مش أغبياء كل الدنيا بتقدر تشتغل الـpsychosocial + +233 +00:13:14,040 --> 00:13:16,720 +support بس لما ييجي يقولك الممول بيقولك عندك مشروع + +234 +00:13:16,720 --> 00:13:19,340 +psychosocial support بتقوله آه بيقولك ايش الفكرة + +235 +00:13:19,340 --> 00:13:22,580 +الجديدة؟ إما تقولي والله أخدهم على المدرسة الوكالة + +236 +00:13:22,580 --> 00:13:24,740 +وأعمل games ومش عارف ايش هذا صارت فكرة تقليدية + +237 +00:13:24,740 --> 00:13:27,660 +هاتلي فكرة جديدة وبالتالي دائما نسعى أن يكون + +238 +00:13:27,660 --> 00:13:32,740 +الـمشروع فريد، يعني فيه فكرة إبداعية لحل اللي هي + +239 +00:13:32,740 --> 00:13:34,820 +المشكلة أو الأوضاع اللي احتياجها، تمام؟ المشاريع + +240 +00:13:34,820 --> 00:13:37,700 +هي عبارة عن مغامرة، لأن احنا بنشتغل ببيئة عدم + +241 +00:13:37,700 --> 00:13:42,260 +تأكد، احنا آه خططنا وعملنا خطة وعنا موارد وعنا + +242 +00:13:42,260 --> 00:13:45,550 +فتاقم وعنا كل شيء لكن أنا بشغل بيئة عدم تأكيد + +243 +00:13:45,550 --> 00:13:48,870 +وبالتالي احتمال .. ونسعى لتحقيق الأهداف مية بالمية + +244 +00:13:48,870 --> 00:13:52,310 +لكن العوامل الخارجية على الأغلب اللي هي اللي بتأثر + +245 +00:13:52,310 --> 00:13:55,630 +بشكل سلبي بتخلينا نمشي في جو المغامرة وممكن ما + +246 +00:13:55,630 --> 00:13:59,330 +نقدرش نحقق كل اللي بدناياه في اللي .. اللي هي ما + +247 +00:13:59,330 --> 00:14:03,570 +خططنا ليه من ناحية أهداف ونتائج تمام؟ الـمشروع لازم + +248 +00:14:03,570 --> 00:14:08,200 +يكون قابل للتقييم فيش ممول بالدنيا بوافق على تمويل + +249 +00:14:08,200 --> 00:14:11,640 +مشروع إلا لما يكون فيه ايش اسمه indicators شو يعني + +250 +00:14:11,640 --> 00:14:15,380 +indicators؟ مؤشرات الإنجاز أنه أنا المفروض في + +251 +00:14:15,380 --> 00:14:19,060 +نهاية الـمشروع شو هيتحقق عنده؟ كم واحد هيتدرب؟ كم + +252 +00:14:19,060 --> 00:14:22,600 +واحد هيشتغل؟ كم مادة تدريبية هعمل؟ كم مختبر هجهز؟ + +253 +00:14:22,600 --> 00:14:26,140 +كم شارع هطوره؟ عشان ييجي بعد سنة أو بعد سنتين بعد + +254 +00:14:26,140 --> 00:14:29,440 +نهاية الـمشروع يكون ماسك الـtime sheet أو الـ + +255 +00:14:29,440 --> 00:14:32,060 +evaluation sheet اللي هي ورقة التقييم يجي يقول اه و + +256 +00:14:32,060 --> 00:14:34,220 +الله أنت قلت فيه 200 واحد اتدربوا فعلا هاي 201 + +257 +00:14:34,220 --> 00:14:38,460 +اتدربوا من الـ225 اشتغلوا آه 25 اشتغلوا وبالتالي أي + +258 +00:14:38,460 --> 00:14:42,120 +مشروع بالدنيا لازم يكون قابل للتقييم عشان هيك عند + +259 +00:14:42,120 --> 00:14:46,460 +وضعكم للأهداف دائما بقولولكم مدرسينكم الهدف + +260 +00:14:46,460 --> 00:14:50,280 +should .. الهدف should be ايش smart شو يعني smart + +261 +00:14:50,280 --> 00:14:54,640 +specific, measurable, realistic المحددة بذمن، كل هذه + +262 +00:14:54,640 --> 00:14:57,440 +الأمور عارفينها أنتو آه؟ طيب، عيدنا هننسألكوا سؤال + +263 +00:14:57,440 --> 00:15:01,480 +عن موضوع الأهداف المفروض عارفينها آه؟ طيب، الـمشروع + +264 +00:15:01,480 --> 00:15:04,260 +من خصائصه أنه مرحلي، يعني بتكون من عدة مراحل، وهو + +265 +00:15:04,260 --> 00:15:07,460 +أصلا بتكون من تلت مراحل رئيسية، تمام؟ كمان شوية + +266 +00:15:07,460 --> 00:15:10,540 +هنحكي عنهم هذه المراحل، تمام؟ طيب، اتعرفنا على + +267 +00:15:10,540 --> 00:15:14,780 +مفهوم الـمشروع في ايش اسمه برنامج، شو يعني برنامج؟ + +268 +00:15:14,780 --> 00:15:18,300 +Program، مجموعة المشاريع وبالتالي الـبرنامج هو أشمل + +269 +00:15:18,300 --> 00:15:22,180 +من الـمشروع يعني لتحقيق البرنامج بتنفذ مجموعة من + +270 +00:15:22,180 --> 00:15:25,740 +المشاريع تمام 100% طب لو بنقارن بين الاتنين، بين + +271 +00:15:25,740 --> 00:15:29,240 +مشروع البرنامج، شو رأيكم؟ على السريع نحكي، الـمشروع + +272 +00:15:29,240 --> 00:15:31,420 +طبعا بيكون مجموعة من العمليات، الـبرنامج مجموعة من + +273 +00:15:31,420 --> 00:15:35,780 +مشاريع، الـمشروع عادة فترة زمنية محددة، الـبرنامج + +274 +00:15:35,780 --> 00:15:39,140 +ممكن تكون فترة طويلة مستمرة، يعني مش محددة بزمن، + +275 +00:15:39,140 --> 00:15:42,240 +دائما الـمشروع أهدافه قصيرة، محددة بوقت الـمشروع، + +276 +00:15:42,240 --> 00:15:45,320 +ممكن تكون ست شهور، تلات شهور، سنة، سنتين، أما + +277 +00:15:45,320 --> 00:15:49,980 +البرنامج دائما بيساعد في تحقيق أهداف استراتيجية، + +278 +00:15:49,980 --> 00:15:53,180 +بيساعد في تحقيق أهداف طويلة المدى، اللي هي goals + +279 +00:15:54,630 --> 00:15:57,370 +مدير الـمشروع بتنحصر مسئوليته فقط في الـمشروع أما + +280 +00:15:57,370 --> 00:16:00,050 +مدير الـبرنامج يحرم بيكون بيشرف على عدة مشاريع بنفس + +281 +00:16:00,050 --> 00:16:03,450 +الوقت المشروع بتكون من عدة نشاطات حكية أما + +282 +00:16:03,450 --> 00:16:09,630 +البرنامج من عدة مشاريع نشرح لكم كيف بالظبط الفرق + +283 +00:16:09,630 --> 00:16:13,060 +بين البرنامج و المشروع، أنا في مثال دائماً بضربه، + +284 +00:16:13,060 --> 00:16:16,140 +بتعمد أن أضرب نفس المثال على مؤسسة اسمها مؤسسة + +285 +00:16:16,140 --> 00:16:18,880 +التعاون و quite a few of you كلكم تعرفوها، نحن؟ + +286 +00:16:18,880 --> 00:16:22,260 +مؤسسة التعاون or welfare association هي مؤسسة + +287 +00:16:22,260 --> 00:16:25,700 +فلسطينية أنشئت في الثمانينات أو أوائل الثمانينات + +288 +00:16:25,700 --> 00:16:28,720 +أسسها مجموعة من رجال أعمال فلسطينيين من داخل فلسطين + +289 +00:16:28,720 --> 00:16:32,140 +وخارج فلسطين، هدفها كان أن رجال الأعمال يحطوا جزء + +290 +00:16:32,140 --> 00:16:35,140 +من أموالهم ويجيبوا كمان أموال مؤسسات أخرى بحيث أن + +291 +00:16:35,140 --> 00:16:38,760 +تتحقق تنمية في مناطق فلسطينية في القدس وفي الضفة + +292 +00:16:38,760 --> 00:16:42,300 +الغربية وفي قطاع غزة وفي مناطق اللي هي لبنان + +293 +00:16:42,300 --> 00:16:45,420 +وسوريا والأردن، مناطق تواجد فلسطينيين لاجئين، تمام؟ + +294 +00:16:45,630 --> 00:16:49,550 +فكل ثلاث سنوات .. بالمناسبة اليوم حفل إطلاق الخطة + +295 +00:16:49,550 --> 00:16:53,750 +الاستراتيجية السنوية .. الخطة الاستراتيجية لمؤسسة + +296 +00:16:53,750 --> 00:16:58,270 +التعاون اليوم في المطعم اللي هو المشتلة كل ثلاث + +297 +00:16:58,270 --> 00:17:01,170 +سنوات مؤسسة التعاون بتطلق خطة وبتحط أهداف عامة + +298 +00:17:01,170 --> 00:17:05,710 +لتحقيقها، على سبيل المثال، بكون أهداف مثلًا نفترض أنه + +299 +00:17:05,710 --> 00:17:09,310 +عنده أربعة أهداف، هدف أول يتعلق ببناء قدرات الشباب + +300 +00:17:09,310 --> 00:17:12,390 +خلال ثلاث سنوات، هدف ثاني يتعلق اللي هو بتطوير + +301 +00:17:12,390 --> 00:17:15,110 +البنية التحتية في المناطق الفلسطينية، هدف ثالث + +302 +00:17:15,110 --> 00:17:19,090 +يتعلق مثلًا بتطوير قطاع الطفولة أو الأيتام، هدف + +303 +00:17:19,090 --> 00:17:21,910 +رابع يتعلق مثلًا في اللي هي تطوير موارد الطاقة + +304 +00:17:21,910 --> 00:17:26,440 +فبيحط ال the most، مؤسسة التعاون كل ثلاث سنوات هدف عام وبإمكانية + +305 +00:17:26,440 --> 00:17:29,980 +تحقيقه بيحطه طبعاً لكل هدف عام برنامج، بيقولوا الله + +306 +00:17:29,980 --> 00:17:33,060 +هذا برنامج الشباب، هذا بيسموله يعني ممكن يحطوله + +307 +00:17:33,060 --> 00:17:35,580 +أسماء هيك تكون attractive شوية، برنامج الأطفال + +308 +00:17:35,580 --> 00:17:38,160 +عندهم كانوا بيسمونه برنامج السكر، ممكن مثلًا برنامج + +309 +00:17:38,160 --> 00:17:40,800 +الثقافة يسمونه برنامج القدس على سبيل المثال، فكل + +310 +00:17:40,800 --> 00:17:43,840 +برنامج بيحطوله اسم، تمام؟ يعني لهدف العام عملوله + +311 +00:17:43,840 --> 00:17:47,460 +برنامج مخصص، وعساسي لما عملوله برنامج مخصص + +312 +00:17:47,460 --> 00:17:50,120 +بيعملوله budget مخصصة allocated budget يعني + +313 +00:17:50,120 --> 00:17:53,160 +بيحطوله فلوس محددة لتنفيذه خلال الثلاث سنوات اللي + +314 +00:17:53,160 --> 00:17:57,300 +جايه، منيح؟ وعساسي نفسه كل برنامج من البرامج، وعساسي + +315 +00:17:57,300 --> 00:18:00,560 +يحققوا الهدف العام، لكل برنامج لازم ينفذوا مشاريع + +316 +00:18:00,560 --> 00:18:04,320 +خلال الثلاث سنوات هدول، فبروح مؤسسة التعاون كل سنة + +317 +00:18:04,320 --> 00:18:07,920 +بنزله شيء بيسموه call for proposal اللي عنده فكرة + +318 +00:18:07,920 --> 00:18:11,640 +.. يعني اللي هو استدراج اللي هي مقترحات مشاريع + +319 +00:18:11,640 --> 00:18:14,370 +اللي عنده بيقوله مثلًا والله في قطاع الشباب اللي + +320 +00:18:14,370 --> 00:18:17,310 +عنده أفكار تسعى إلى تطوير قطاع الشباب يقدم لنا + +321 +00:18:17,310 --> 00:18:20,170 +إياها، فبروح احنا المؤسسات اللي صغار في الشباب نعمل + +322 +00:18:20,170 --> 00:18:22,770 +proposals ونقدمها، احنا بالمناسبة أخذنا مؤسسات + +323 +00:18:22,770 --> 00:18:25,110 +التعاون مشروع مبادرون واحد ومبادرون اثنين ومبادرون ثلاثة، مشروع رياضة ومشروع مبدعون، المبنى + +324 +00:18:25,110 --> 00:18:27,550 +اللي احنا فيه، تمويل مؤسسات التعاون، مبنى التعليم + +325 +00:18:27,550 --> 00:18:29,430 +المستمر، تمام؟ عشان تتخيلوا جديش اللي بصمات واضحة + +326 +00:18:29,430 --> 00:18:33,150 +في البلد وفي الجامعة على وجه الخصوص، فكل سنة بتطلق + +327 +00:18:33,150 --> 00:18:36,390 +مؤسسة التعاون مثلًا أنه كل برنامج من البرامج التابعة لها + +328 +00:18:36,390 --> 00:18:39,910 +أنه اللي عنده أفكار مشاريع في هذا الموضوع يقدم + +329 +00:18:39,910 --> 00:18:42,690 +وبالتالي خلال ثلاث سنوات بيكونوا نفذوا مثلًا عشر + +330 +00:18:42,690 --> 00:18:45,450 +مشاريع في البرنامج هذا وخمسة في هذا و16 في هذا حسب + +331 +00:18:45,450 --> 00:18:49,470 +الأموال المتاحة لكل برنامج، تمام؟ هذا باختصار كيف + +332 +00:18:49,470 --> 00:18:53,530 +الفرق بين البرنامج والمشروع، طيب يعني صح صح معي + +333 +00:18:53,530 --> 00:18:56,750 +بهذه المفردات، كثير مهمة نعرفها، منيح؟ تعرفوا يعني + +334 +00:18:56,750 --> 00:18:59,920 +مشروع in English project واتعرفنا عليه، مين هو + +335 +00:18:59,920 --> 00:19:03,260 +المانح، ال donor بيسميه اللي هي احنا دائمًا .. + +336 +00:19:03,260 --> 00:19:07,460 +الراعي، الرائع، شوفوا الرائع نطلقه عليه اللي هي sponsor + +337 +00:19:07,460 --> 00:19:10,380 +تمام، أما المانح اللي هي ال donor الفرق بين الاثنين + +338 +00:19:10,380 --> 00:19:13,240 +المانح هو مانح مشروع كامل لكن الراعي ممكن يمول + +339 +00:19:13,240 --> 00:19:15,400 +الرائع ممكن يرعى جزء محدد زي يرعى حفل ختامي، جزء من + +340 +00:19:15,400 --> 00:19:19,860 +الضيافة، شيء بسيط، ففي فرق بين الاثنين، الآن هنا + +341 +00:19:19,860 --> 00:19:23,260 +السؤال، المستفيدين أو الفئة المستهدفة اللي هي + +342 +00:19:23,260 --> 00:19:26,580 +بيسميها target group، في مفردة ثانية in English + +343 +00:19:26,580 --> 00:19:30,980 +مستخدمة؟ شو رأيكم غير ال target group؟ مين هم ال + +344 +00:19:30,980 --> 00:19:34,440 +target group بالمناسبة أو الفئة المستهدفة؟ اللي + +345 +00:19:34,440 --> 00:19:36,840 +أنا عامل مشروع عشانه، ال beneficiaries راضوا + +346 +00:19:36,840 --> 00:19:39,160 +وبالتالي أن هي أنا اللي بدي أنا أفيدهم في المشروع + +347 +00:19:39,160 --> 00:19:42,100 +ال target group يعني في أيش اسم اسمهم باسم آخر + +348 +00:19:42,100 --> 00:19:46,000 +اللي هو أيش؟ beneficiaries أو المستفيدين + +349 +00:19:46,000 --> 00:19:48,280 +اللي هو أيش؟ beneficiaries أو المستفيدين + +350 +00:19:51,760 --> 00:19:55,120 +طيب هدول ال beneficiaries احنا في مشاريعنا بكونوا + +351 +00:19:55,120 --> 00:19:57,820 +direct و indirect + +352 +00:20:02,020 --> 00:20:04,820 +direct beneficiaries و indirect beneficiaries، أخذ + +353 +00:20:04,820 --> 00:20:07,600 +مثال وأنت تجاوبوني عليه الآن مثلًا مشروع مبادرون + +354 +00:20:07,600 --> 00:20:10,420 +مشروع مبادرون اللي هو دعم اللي هي أفكار رياضية + +355 +00:20:10,420 --> 00:20:13,360 +للشباب يعني تمكين الشباب في عمل مشاريع بالخاصة، مين + +356 +00:20:13,360 --> 00:20:15,780 +ال direct beneficiaries في الحالة هذه أو + +357 +00:20:15,780 --> 00:20:19,400 +المستفيدين بشكل مباشر من هذا المشروع؟ مين؟ الشباب + +358 +00:20:19,400 --> 00:20:22,340 +اللي هو الطلاب اللي احنا اللي مستهدفينه عشان يعمل + +359 +00:20:22,340 --> 00:20:24,600 +مشاريع، طب مين ال indirect beneficiaries في هذه + +360 +00:20:24,600 --> 00:20:29,300 +الحالة؟ المدرب ليس مستفيد، المدرب يعني ضمن ال + +361 +00:20:29,300 --> 00:20:32,000 +resources اللي هستخدمها، المجتمع indirect + +362 +00:20:32,000 --> 00:20:34,800 +beneficiaries لأن الشباب لما يعملوا مشاريعهم + +363 +00:20:34,800 --> 00:20:37,700 +الخاصة، هتصير تشتغل في المجتمع، هتحرك شوية من عجلة + +364 +00:20:37,700 --> 00:20:40,640 +اقتصادية، فالتالي المجتمع كله هستفيد، مين كمان من + +365 +00:20:40,640 --> 00:20:44,080 +ال indirect beneficiaries؟ أهليهم، أهالي هذول + +366 +00:20:44,080 --> 00:20:46,600 +الشباب، الشاب هيعمل مشروع، هيدخل الفلوس، هيفيد + +367 +00:20:46,600 --> 00:20:50,420 +أسرته، تمام؟ وبالتالي الممول، أنا في صياغتي لل + +368 +00:20:50,420 --> 00:20:52,780 +proposal دائمًا بيسألني، بيقول مين ال direct + +369 +00:20:52,780 --> 00:20:54,260 +beneficiaries؟ ال direct beneficiaries سهلة، + +370 +00:20:54,260 --> 00:20:56,620 +معروفة، أنا أعمل المشروع عشانه، سواء كان خريجين + +371 +00:20:56,620 --> 00:20:59,420 +أو أطفال أو المرأة، حسب الفئة اللي أنا مستهدفها، + +372 +00:20:59,420 --> 00:21:02,320 +لكن بيسألني مين هم ال indirect beneficiaries؟ ليش + +373 +00:21:02,320 --> 00:21:04,880 +بيسأل هذا السؤال؟ بيسألني هذا السؤال عشان يشوف + +374 +00:21:04,880 --> 00:21:09,000 +قديش هو هيفيد أكبر عدد ممكن من الناس من خلال + +375 +00:21:09,000 --> 00:21:13,670 +المشروع، منيح؟ طيب فينا المصطلح عندنا اسمه ال + +376 +00:21:13,670 --> 00:21:17,050 +stakeholders أو ذوي العلاقة، أصحاب المصالح، مين هم + +377 +00:21:17,050 --> 00:21:20,050 +ال stakeholders في المشاريع؟ مدير المشروع، ايوا + +378 +00:21:22,600 --> 00:21:25,360 +لحظة، احنا ممكن نحكي عن مشروع التنمية اللي بيستهدف + +379 +00:21:25,360 --> 00:21:29,060 +المجتمع، تمام؟ كلامك سليم، باختصار اللي هو الـ + +380 +00:21:29,060 --> 00:21:31,400 +stakeholders اللي بنحكي عنه كل من يؤثر ويتأثر + +381 +00:21:31,400 --> 00:21:35,360 +بالمشروع، مين؟ ممول، فريق المشروع اللي هو المدير + +382 +00:21:35,360 --> 00:21:38,980 +والمُنسّقين والمحاسبين والآخرين، الفئة المستهدفة، + +383 +00:21:38,980 --> 00:21:42,140 +الموردين، إذا في معي partners أو شركاء، كل هدول + +384 +00:21:42,140 --> 00:21:45,660 +بنطلق عليهم مصطلح أيش بنسميه stakeholders، تمام؟ + +385 +00:21:45,660 --> 00:21:51,770 +طيب، هذه مهمة، مخرجات المشروع، هي اللي هي نتيجة + +386 +00:21:51,770 --> 00:21:54,690 +نهائية، اللي هي انعكاسات الأهداف، طيب في عندي يا + +387 +00:21:54,690 --> 00:21:57,610 +جماعة الخير أنا ثلاث مفردات في هذه الحالة، في عندي + +388 +00:21:57,610 --> 00:22:01,930 +ايش اسمه results وفي + +389 +00:22:01,930 --> 00:22:06,030 +عندي outcomes وفي + +390 +00:22:06,030 --> 00:22:09,940 +عندي outputs كلهم اسمهم مخرجات، يمكن بس هذه بيسميها + +391 +00:22:09,940 --> 00:22:12,620 +نتائج بالعربية، مخرجات، مخرجات، أيش الفرق بينهم؟ + +392 +00:22:12,620 --> 00:22:15,740 +ال results بتشمل اثنين، يعني أنا في نهاية المشروع، + +393 +00:22:15,740 --> 00:22:20,000 +في عندي نتائج هتطلع، اللي هي من انعكاسات الأهداف، + +394 +00:22:20,000 --> 00:22:22,640 +يعني الأهداف لما تتحقق نهاية المشروع، هذه بيسميها + +395 +00:22:22,640 --> 00:22:25,960 +نتائج المشروع، طيب النتائج بنقسمها لقسمين عادة ال + +396 +00:22:25,960 --> 00:22:28,720 +outputs و ال outcomes للي شاف مشاريع الاتحاد + +397 +00:22:28,720 --> 00:22:32,020 +الأوروبي، ال proposal ساعة الاتحاد الأوروبي بدّه + +398 +00:22:32,020 --> 00:22:35,980 +على أنه تكتب لي توضح لي بالظبط أيش ال outcomes وايش + +399 +00:22:35,980 --> 00:22:38,120 +ال outputs اللي هتطلع من المشروع، حدث المخرجات و + +400 +00:22:38,120 --> 00:22:43,540 +حدث المخرجات، مين يعرف الفرق بينهم؟ أيش رأيكم؟ طيب + +401 +00:22:43,540 --> 00:22:46,520 +عادة نهاية المشروع احنا أيش اللي بتطلع؟ أيش + +402 +00:22:46,520 --> 00:22:48,660 +النتائج اللي بتطلع في نهاية المشروع؟ ناخذ مثل + +403 +00:22:48,660 --> 00:22:52,000 +مشروع مثلًا بناء قدرات وتشغيل الشباب، أيش المخرجات؟ + +404 +00:22:52,630 --> 00:22:57,090 +ايش نتائج المشروع بالنهاية؟ الشباب يعني قدراته + +405 +00:22:57,090 --> 00:22:59,910 +تنمت، يعني اكتسبوا خبرات أو مهارات جديدة، واحد، + +406 +00:22:59,910 --> 00:23:03,650 +اثنين، + +407 +00:23:03,650 --> 00:23:07,850 +Bravo عليك، إذا كان في إطار المشروع اللي بندربه فيه + +408 +00:23:07,850 --> 00:23:10,070 +الشباب، نعمل مختبر أو مبنى، حيكون المبنى جاهز، بنية + +409 +00:23:10,070 --> 00:23:13,950 +المشروع، حلو، غيره، فرص عمل، أن الشباب اللي + +410 +00:23:13,950 --> 00:23:16,670 +دربناهم صاروا يشتغلوا، هي النتيجة الثالثة، غيره + +411 +00:23:17,670 --> 00:23:20,250 +الدخل من خلال فرصة العمل، طيب أيش نتيجة رابعة؟ + +412 +00:23:20,250 --> 00:23:23,350 +الشباب لما دربناهم مش طلعت مادة تدريبية معهم، كتاب + +413 +00:23:23,350 --> 00:23:26,650 +واخذ وصاروا كمرجع لإلهم، هاي أربعة، هاي أربعة من + +414 +00:23:26,650 --> 00:23:29,450 +نتائج هذا طلعت معنا نهاية المشروع، كيف نجسمهم + +415 +00:23:29,450 --> 00:23:32,290 +هدول؟ يعني نقسمه على ال Outputs و Outcomes، الـ + +416 +00:23:32,290 --> 00:23:35,590 +Outputs دائمًا هي بيسميها الشغلات tangible، tangible + +417 +00:23:35,590 --> 00:23:39,470 +اللي هي الشغلات الملموسة أو المحسوسة، هذه مباشرة + +418 +00:23:39,470 --> 00:23:42,950 +تظهر في نهاية المشروع زي مادة تدريبية نمسكها + +419 +00:23:42,950 --> 00:23:45,250 +بأيدينا، اه والله مادة تدريبية جاهزة ومصممة 100% + +420 +00:23:45,250 --> 00:23:47,990 +المبنى صار جاهز، المختبر صار جاهز، هذه الشغلات + +421 +00:23:47,990 --> 00:23:51,990 +الملموسة واللي بيسميها يعني بتكون في نهاية + +422 +00:23:51,990 --> 00:23:54,860 +المشروع بتكون واضحة أما الـ Outcomes الشغلات الـ + +423 +00:23:54,860 --> 00:23:59,600 +Intangible تمام؟ هي عادة بتكون غير ملموسة معنوية + +424 +00:23:59,600 --> 00:24:03,740 +زي إيش؟ بناء القدرات والمهارات والخبرات هذه عادة + +425 +00:24:03,740 --> 00:24:07,120 +بعد فترة من نهاية المشروع بنبدأ نكتشفها، نيح؟ هذه + +426 +00:24:07,120 --> 00:24:10,820 +الفرق بين الإثنين لازم طبعا .. احنا بالنسبالنا مش + +427 +00:24:10,820 --> 00:24:13,400 +.. يعني مش كل proposal بنفرق بين الإثنين نقول إيش + +428 +00:24:13,400 --> 00:24:16,580 +الـ Outputs وإيش الـ Outcomes تمام؟ عادة نحن بنحكي إيش + +429 +00:24:16,580 --> 00:24:19,760 +.. خلاص إيش المخرجات أو نتائج المشروع، بنسردها + +430 +00:24:19,760 --> 00:24:22,380 +كلها مع بعض مبنى ومختبر ومادة تدريبية وبناء + +431 +00:24:22,380 --> 00:24:26,100 +قدرات الشباب بناء قدراتهم اللي هي تطورت بالنسبة + +432 +00:24:26,100 --> 00:24:29,660 +لكذا خمسة وعشرين في المائة من الشباب حصلوا على فرص + +433 +00:24:29,660 --> 00:24:33,020 +عمل كلهم سردوها مع بعض لكن في بعض المؤولين بيجبرني + +434 +00:24:33,020 --> 00:24:35,800 +أن أفرّق بين الإثنين عشان يعرف كده هيطلع شغلات + +435 +00:24:35,800 --> 00:24:38,620 +Outputs أو ملموسة وشغلات غير ملموسة تمام؟ في سؤال + +436 +00:24:38,620 --> 00:24:42,960 +حتى الآن؟ طيب إيش المقصود بإدارة المشروع الـ + +437 +00:24:42,960 --> 00:24:47,090 +Project Management؟ Project Management هناخدها من + +438 +00:24:47,090 --> 00:24:51,410 +منظورين مختلفين منظور اللي هو الـ Staff أو الفريق + +439 +00:24:51,410 --> 00:24:54,190 +اللي بدا يشتغل هذا بيسميه إدارة المشروع Project + +440 +00:24:54,190 --> 00:24:58,190 +Management وناخدها من ناحية إيش منهجية أو + +441 +00:24:58,190 --> 00:25:01,910 +Methodology أو Approach اللي هتنفذ المشروع تمام؟ + +442 +00:25:01,910 --> 00:25:04,250 +وبالتالي على الحالتين أنا لازم أكون عندي إدارة + +443 +00:25:04,250 --> 00:25:07,630 +مشروع على كفاءة وعلى مستوى عالي لتنفيذ المشروع + +444 +00:25:07,630 --> 00:25:11,690 +ونفس الوقت أكون عندي منهجية أو Approach كتير كويس + +445 +00:25:11,690 --> 00:25:15,880 +إن أنا أطبقه لتنفيذ المشروع وكل هذا في سبيل إيش؟ + +446 +00:25:15,880 --> 00:25:19,020 +تحقيق .. في سبيل تحقيق عملية .. الهدف اللي يعني + +447 +00:25:19,020 --> 00:25:22,400 +اللي هو تحقيق عملية تغيير الهدف لما نعمل .. نعمل + +448 +00:25:22,400 --> 00:25:25,240 +على أساس أنه مثلا أسد احتياج .. أسد احتياج أنا + +449 +00:25:25,240 --> 00:25:28,440 +بتغير يعني بتغير حالة الشباب من الشباب بطالة إلى + +450 +00:25:28,440 --> 00:25:32,060 +شباب اللي هو حاصلين على فرص عمل وبالتالي في عندي + +451 +00:25:32,060 --> 00:25:35,240 +عملية تغيير يدير عملية التغيير هدول الإثنين اللي هو + +452 +00:25:35,240 --> 00:25:39,370 +إدارة المشروع من ناحية Staff أو من ناحية بشرية أو + +453 +00:25:39,370 --> 00:25:42,350 +Human Resources ومن ناحية Methodology أو من ناحية + +454 +00:25:42,350 --> 00:25:46,010 +منهجية تمام طيب وبالتالي التغيير بيكون عندي أنا + +455 +00:25:46,010 --> 00:25:51,530 +وضع تمام بتغير مع الوقت لوضع ثاني خالص في ثلاثة + +456 +00:25:51,530 --> 00:25:54,990 +Three Constraints أو ثلاثة معيقات أنا مش مهندس عشان + +457 +00:25:54,990 --> 00:26:00,570 +وقتك أنا بآثر كمان على الـ Practical أكثر لأنه معظم + +458 +00:26:00,570 --> 00:26:04,530 +هذه الشغلات يعني أحيانا في أشياء أكيد أن في أشياء + +459 +00:26:04,530 --> 00:26:07,730 +جديدة يعني على سبيل المثال الـ Outcomes وكذا أروح + +460 +00:26:07,730 --> 00:26:14,050 +على كتابة التقرير مائة في المائة وخبرتك يعني العملية + +461 +00:26:14,050 --> 00:26:17,610 +في الموضوع طيب لما ندخل على بس الـ Proposal اللي + +462 +00:26:17,610 --> 00:26:23,590 +هي كـ Slide سريع شويّة دور حياة المشروع من لحظة بدء + +463 +00:26:23,590 --> 00:26:34,590 +المشروع تفضلي اه اللي هي إيش هي المراحل؟ 100% + +464 +00:26:34,590 --> 00:26:37,290 +في مشاريعنا التنموية طبعا هذه اللي هي الـ Project + +465 +00:26:37,290 --> 00:26:40,150 +Life Cycle اللي عامل المشاريع كلها بأنواعها إحنا + +466 +00:26:40,150 --> 00:26:42,450 +كيف نشتغل مشاريع تنموية؟ كيف الـ Project Life Cycle + +467 +00:26:42,450 --> 00:26:45,350 +تبعنا؟ إحنا أي مشروع عندنا بيبدأ من خلال خطة + +468 +00:26:45,350 --> 00:26:47,170 +استراتيجية أو من خلال اللي هي البرنامج، برنامج يعني + +469 +00:26:47,170 --> 00:26:49,970 +فاكرين Tool ما حطينا البرامج؟ قولنا إنه برنامج + +470 +00:26:49,970 --> 00:26:52,740 +الشباب، برنامج المرأة وبرنامج كذا؟ من خلال وجود + +471 +00:26:52,740 --> 00:26:55,200 +الـ أربع برامج تبعنا أو من خلال برامجنا بنبدأ نحدد + +472 +00:26:55,200 --> 00:26:58,040 +احتياجات كل قطعة، قطعة الشباب، إيش احتياجاته، قطعة + +473 +00:26:58,040 --> 00:27:00,960 +المرأة، قطعة الطفولة، وباقي ديها بنبدأ نصمم المشاريع + +474 +00:27:00,960 --> 00:27:03,860 +أو نحصل على التمويل وبتصير تنفيذه متابع ومثبت من + +475 +00:27:03,860 --> 00:27:06,820 +قائمة المشروع وبنشوف هل الاحتياجات تم تحديدها أو لا، + +476 +00:27:06,820 --> 00:27:09,380 +هذه الـ Cycle اللي إحنا بنشتغل فيها على يعني على + +477 +00:27:09,380 --> 00:27:13,000 +السريع التنموية بالضبط طيب مشاريعنا إحنا حكيتلكوا + +478 +00:27:13,000 --> 00:27:15,820 +قبل شويّة بننفذها بثلاث مراحل، مرحلة الأولى بداية + +479 +00:27:15,820 --> 00:27:16,240 +الـ +480 +00:27:20,160 --> 00:27:22,740 +اللي هي مرحلة التنفيذ أو مرحلة البداية في الـ + +481 +00:27:22,740 --> 00:27:25,480 +Inception هات إيش بنسوّي فيها، بنعين فريق المشروع، + +482 +00:27:25,480 --> 00:27:28,560 +بنعمل تجهيز المكاتب، التأثير، بنحط خطط العمل، + +483 +00:27:28,560 --> 00:27:30,720 +الأخرى، الفترة الثانية اللي هي فترة التنفيذ + +484 +00:27:30,720 --> 00:27:34,280 +الرئيسية اللي بننفذ فيها كل اللي هي مراحل المشروع، + +485 +00:27:34,280 --> 00:27:36,340 +الفترة الثالثة اللي هي بيسميها فترة إيش، فترة + +486 +00:27:36,340 --> 00:27:39,120 +نهائية أو Closing للمشروع، اللي من خلالها بنعمل + +487 +00:27:39,120 --> 00:27:43,740 +Closing للمشروع وبنختمه وبصير الإغلاق له وتقييم + +488 +00:27:43,740 --> 00:27:46,540 +لنتاجه طيب نبدأ الآن الجزء المهم اللي هو طلبه + +489 +00:27:46,540 --> 00:27:50,160 +الدكتور أكرم تصميم مشروع مين تحكيلي كيف إحنا بنصمم + +490 +00:27:50,160 --> 00:27:53,720 +المشروع؟ شو المراحل تصميم المشروع؟ يلا على السريع + +491 +00:27:53,720 --> 00:27:58,180 +على أساس معانا لسه ثلاث ساعات تفضلي أول أشياء اللي + +492 +00:27:58,180 --> 00:28:01,620 +بيبقى حاجة مثلا تحديد الفكرة لهاد المشروع 100% + +493 +00:28:01,620 --> 00:28:06,160 +برافو تحديد أجهزة المشكلة لهاد المشروع برافو + +494 +00:28:06,160 --> 00:28:09,000 +عليكي لهذا المشروع أو لهذا المشروع حلو إثنين؟ + +495 +00:28:12,410 --> 00:28:16,410 +أيوة من خلال أول تخطيط اه تمام من خلال تخطيط .. من + +496 +00:28:16,410 --> 00:28:17,330 +خلال تخطيط .. من خلال تخطيط .. من خلال تخطيط .. من + +497 +00:28:17,330 --> 00:28:17,570 +خلال تخطيط .. من خلال تخطيط .. من خلال تخطيط .. من + +498 +00:28:17,570 --> 00:28:18,310 +خلال تخطيط .. من خلال تخطيط .. من خلال تخطيط .. من + +499 +00:28:18,310 --> 00:28:18,510 +خلال تخطيط .. من خلال تخطيط .. من خلال تخطيط .. من + +500 +00:28:18,510 --> 00:28:20,050 +خلال تخطيط .. من خلال تخطيط .. من خلال تخطيط .. من + +501 +00:28:20,050 --> 00:28:28,110 +خلال تخطيط .. من خلال تخطيط .. من + +502 +00:28:28,110 --> 00:28:31,670 +خلال تخطيط + +503 +00:28:31,670 --> 00:28:41,290 +.. من خلال تخطيط .. من + +504 +00:28:41,290 --> 00:28:45,450 +خلال لما نصمم المشروع بنمر بهذه الخمس مراحل، خمس + +505 +00:28:45,450 --> 00:28:48,510 +مراحل أساسية، أول مرحلة عندنا .. أي مشروع في + +506 +00:28:48,510 --> 00:28:52,190 +الدنيا زي ما حكيت بيبدأ بإيش؟ فكرة فكرة والفكرة جاي + +507 +00:28:52,190 --> 00:28:56,310 +عشان إيش؟ تسد احتياج أكيد، نيح؟ طيب المرحلة + +508 +00:28:56,310 --> 00:28:59,550 +الثانية بعمل إيش اسمه إيش؟ Concept Paper أو + +509 +00:28:59,550 --> 00:29:02,810 +Concept Note اللي هي ورقة مفهوم هذه أول وسيلة + +510 +00:29:02,810 --> 00:29:06,390 +اتصال وتواصل بينه وبين الممول، نيح؟ يعني أنا بتكون + +511 +00:29:06,390 --> 00:29:09,410 +قاعد في المكتب، تجيني فكرة مشروع، بتصل على الممول + +512 +00:29:09,410 --> 00:29:11,890 +X، بقول والله عندي فكرة مشروع والله كذا كذا بسهولة + +513 +00:29:11,890 --> 00:29:14,310 +في الشباب، بقول ابعتلي إشي مكتوب، الإشي المكتوب + +514 +00:29:14,310 --> 00:29:17,070 +هذا عبارة عن إيش؟ ورقة مفهوم، نيح؟ أو Concept + +515 +00:29:17,070 --> 00:29:21,380 +Paper؟ الخطوة الثالثة بعد ما أجهز ورقة المفهوم بعمل + +516 +00:29:21,380 --> 00:29:24,480 +اللي هي الـ Proposal المبدئي الـ Draft Proposal بعد + +517 +00:29:24,480 --> 00:29:26,260 +ما أقرأ الورقة المفهوم اللي هو اللي بيقول والله + +518 +00:29:26,260 --> 00:29:29,060 +المشروع شكله كويس اعمله Proposal فبروح نعمله + +519 +00:29:29,060 --> 00:29:33,420 +Proposal ونبعته له نيح؟ بيبدأ يراجع فيه اه + +520 +00:29:33,420 --> 00:29:36,060 +بيقولك لأ والله نعدل في خطة العمل نعدل في الـ + +521 +00:29:36,060 --> 00:29:39,360 +Budget نعدل في الـ Log Frame نعدل في الأهداف فبطلب + +522 +00:29:39,360 --> 00:29:41,760 +مننا شويّة تعديلات بروح بحط التعديلات وبطلع + +523 +00:29:41,760 --> 00:29:45,040 +المقترح بشكله النهائي بعد ما يصير المقترح بشكله + +524 +00:29:45,040 --> 00:29:47,980 +النهائي بتيجينا الموافقة النهائية على التمويل + +525 +00:29:47,980 --> 00:29:51,260 +بيبعثلها رسالة Email أو ورقية على المشروع تعالوا + +526 +00:29:51,260 --> 00:29:55,000 +ناخد المراحل مرحلة مرحلة أول مرحلة اللي هي الفكرة + +527 +00:29:55,000 --> 00:29:59,320 +عادة فكرة المشروع من وين بتيجي عندي ثلاثة مصادر + +528 +00:29:59,320 --> 00:30:05,450 +لأفكار المشاريع المصدر الأول بيجي الممول بيكون هو + +529 +00:30:05,450 --> 00:30:08,950 +عنده فكرة وبيقولنا اعمللي مشروع وانفذليها يعني + +530 +00:30:08,950 --> 00:30:12,270 +أساس المثال في الـ 2011 إجتنا لغاية الإسلامية قالوا + +531 +00:30:12,270 --> 00:30:15,330 +يا جامعة الخير ما بعد الأحداث الانقسام بالـ 2007 + +532 +00:30:15,330 --> 00:30:18,110 +اتعينوا كتير من اللي هي المدرسين ومدرسات المساندين + +533 +00:30:18,110 --> 00:30:20,910 +محتاجين نبني قدراتهم فتعالوا يا جامعة إسلامية + +534 +00:30:20,910 --> 00:30:23,970 +صممولنا مشروع عشان إحنا بدنا ندرب هدول المساندين + +535 +00:30:23,970 --> 00:30:26,090 +جينا لهم حاضر روحنا عملنا الـ Proposal وبعثنا لهم + +536 +00:30:26,090 --> 00:30:28,970 +إياه وعدلوا عليه واخدنا التمويل ونفذناه في الحالة + +537 +00:30:28,970 --> 00:30:33,260 +هذه إجا الممول هون نيح واقتراح القطاع طبعا اللي هو + +538 +00:30:33,260 --> 00:30:36,780 +قطاع التعليم المصدر الثاني للفكرة أن الممول + +539 +00:30:36,780 --> 00:30:39,940 +بيستهدف قطاع معين وبطلب من الجهات اللي هي زينا + +540 +00:30:39,940 --> 00:30:43,320 +جهات التنفيذ أنه هتلي أفكار زي قبل شويّة ما حطينا + +541 +00:30:43,320 --> 00:30:45,740 +البرامج الأربع برامج مؤسسة تعاون قلتلك كل ثلاث + +542 +00:30:45,740 --> 00:30:48,480 +سنوات بتعمل خطة استراتيجية بتقول مثلا والله أنا + +543 +00:30:48,480 --> 00:30:51,540 +خلال السنة هاي بدي أستهدف قطاع الشباب بتنزل إعلان + +544 +00:30:51,540 --> 00:30:53,400 +Call for a Proposal يا جماعة الخير اللي عنده أفكار + +545 +00:30:53,400 --> 00:30:56,080 +في قطاع الشباب بيقدمها فبروح احنا الجهات زي + +546 +00:30:56,080 --> 00:30:59,380 +الجامعة بنقدّم الفكرة تبعيتنا في شكل Proposal عشان + +547 +00:30:59,380 --> 00:31:01,980 +نستهدف قطاع الشباب زي مشروع مبتعثون وبادرون + +548 +00:31:01,980 --> 00:31:06,860 +وغيرهم، تمام؟ المصدر الثالث للفكرة أنه أنا كجهة + +549 +00:31:06,860 --> 00:31:09,680 +منفذة والله أنا حاسس أنه في عندي مشكلة أنا والله + +550 +00:31:09,680 --> 00:31:12,940 +في قطاع الطاقة فبروح بكتب فكرة في مشروع الطاقة، + +551 +00:31:12,940 --> 00:31:16,100 +تمام؟ في .. في .. في قطاع الطاقة وبروح بقدمها + +552 +00:31:16,100 --> 00:31:19,820 +لمين؟ للجهة اللي ممكن تشتغل عليه طبعا الممولين يا + +553 +00:31:19,820 --> 00:31:22,640 +جماعة الخير كل ممول الـ Scope عمل خاص فيه يعني في + +554 +00:31:22,640 --> 00:31:24,760 +ممولين بتشتغل مع الطفولة، في ممولين بتشتغل مع + +555 +00:31:24,760 --> 00:31:26,980 +المرأة، في ممولين بتشتغل مع قطاع الشباب، في مع + +556 +00:31:26,980 --> 00:31:30,540 +كبار السن، في بتستهدف فقط البلديات، فأنا بختار + +557 +00:31:30,540 --> 00:31:33,760 +الـ ممول الصح لما أنا أختار الفكرة أموّلها، تمام؟ أو + +558 +00:31:33,760 --> 00:31:37,380 +عفواً أجيب لها التمويل، طيب، فبالتالي المصدر الثالث + +559 +00:31:37,380 --> 00:31:40,240 +أنا كجامعة إسلامية في خطة الاستراتيجية، اللي هي كل + +560 +00:31:40,240 --> 00:31:43,080 +خمس سنوات، إن والله أن أنا مثلاً بستهدف قطاع + +561 +00:31:43,080 --> 00:31:46,620 +الشباب، بدي أطور القطاع الأكاديمي، عندنا بدي أعمل، + +562 +00:31:46,620 --> 00:31:48,100 +بدي أعمل، ومن خلال خططي + +563 +00:31:52,190 --> 00:31:54,570 +أو ما هو المناسب وأديه له الفكرة فهذه ثلاث مصادر + +564 +00:31:54,570 --> 00:31:57,350 +للأفكار تمام؟ هذه المرحلة الأولى لمراحل تصميم + +565 +00:31:57,350 --> 00:32:01,450 +المشروع بس عند اختيارنا للفكرة احنا طبعاً هذه + +566 +00:32:01,450 --> 00:32:04,950 +السريع احنا كيف بنشتغلها؟ يعني أولاً لما نختار فكرة + +567 +00:32:04,950 --> 00:32:09,670 +جامعة الخير لازم يكون فيه حاجة للفكرة ما حدش ييجي + +568 +00:32:09,670 --> 00:32:12,410 +يقولي والله أنا بناء على خبرتي بقول والله احنا في + +569 +00:32:12,410 --> 00:32:15,690 +حاجة نعمل مشروع كذا أو بناء على قدراتي التفكيرية + +570 +00:32:15,690 --> 00:32:19,490 +الخارقة أنه بحاجة إلى مشروع تنفيذ كذا لازم دائماً + +571 +00:32:19,490 --> 00:32:22,730 +لما نختار فكرة تكون مستندة على إيش؟ على أبحاث، على + +572 +00:32:22,730 --> 00:32:27,450 +دراسات، على شيء موثق يعني والله وفق تقرير الـ + +573 +00:32:27,450 --> 00:32:31,130 +UNRWA وفق تقرير سلطة جودة البيئة أن المياه 90% + +574 +00:32:31,130 --> 00:32:34,010 +منها غير صالح للاستخدام الآدمي وبالتالي هذا رقم أو + +575 +00:32:34,010 --> 00:32:37,270 +إحصائية أنا بعتمد عليه عشان أروح أقدم مشروع لتحلية + +576 +00:32:37,270 --> 00:32:39,510 +مثلاً مياه البحر أو لعمل مشروع مستند في المياه + +577 +00:32:39,510 --> 00:32:42,170 +تمام؟ وبالتالي اختيار الفكرة لما أقول بناء على + +578 +00:32:42,170 --> 00:32:46,130 +الاحتياج ما تكونش عشوائية إلا لازم تكون مستندة على + +579 +00:32:46,130 --> 00:32:49,700 +إيش؟ على أدلة. طيب الفكرة لازم تكون مميزة وفريدة زي + +580 +00:32:49,700 --> 00:32:52,780 +شوية ما حكينا عن موضوع الـ social support لازم + +581 +00:32:52,780 --> 00:32:55,760 +الفكرة تكون تتطابق مع الممول. يعني من الكارثة إن + +582 +00:32:55,760 --> 00:32:58,340 +أنا أكتب مشروع علاقة بالطفولة وأجد ممول بتعامل + +583 +00:32:58,340 --> 00:33:02,160 +مثلاً مع قطاع كبار السن أو إن ممول بيشتغل في قطاع + +584 +00:33:02,160 --> 00:33:05,100 +البلدية، scope of work عنده في البلدية وأجدنه + +585 +00:33:05,100 --> 00:33:08,180 +مشروع بناء قدرات أو تمكين اقتصادي للمرأة فلازم + +586 +00:33:08,180 --> 00:33:11,430 +تكون ... وطبعاً مش بس هيك ... مش بس scope of work كل + +587 +00:33:11,430 --> 00:33:15,030 +ممول، كل سنة أو كل ثلاث سنوات، كل خطة ... كل خطة + +588 +00:33:15,030 --> 00:33:18,230 +استراتيجية بيعملها، بكون حاطة إيش اللي هي الـ + +589 +00:33:18,230 --> 00:33:21,550 +priorities اللي بيشتغل عليها، تمام؟ بقول والله أنا + +590 +00:33:21,550 --> 00:33:24,050 +خلال السنة أبدأ أستهدف الشباب، بس بتستهدف مش ... + +591 +00:33:24,050 --> 00:33:26,890 +أدعم مشاريع تشغيل الشباب، اللي هي من خلال مشاريع + +592 +00:33:26,890 --> 00:33:30,210 +خاصة، مش بناء قدرات واضحة في المؤسسات، وبالتالي + +593 +00:33:30,210 --> 00:33:33,150 +المشروع ده جداً مهمول، لازم يكون بالطبق مع أولوياته + +594 +00:33:33,150 --> 00:33:37,050 +الحالية. نيجي عشان هيك كتير من الأحيان بنقدم مشروع + +595 +00:33:37,050 --> 00:33:42,030 +لممول بيقول والله بدنا ننفذ مشروع كذا كذا بيقولك + +596 +00:33:42,030 --> 00:33:44,810 +آه أنا بشتغل عامة مع الشباب لكن أنا مش أولويات + +597 +00:33:44,810 --> 00:33:48,130 +السنة إن أدعم مشاريع تشغيل صغيرة لأ أنا السنة + +598 +00:33:48,130 --> 00:33:52,150 +أولوياتي أدعم مناحٍ طلابية للشباب تمام فحسب أولوياته + +599 +00:33:52,150 --> 00:33:55,450 +لازم يكون المشروع. طيب المشاريع طبعاً لازم يكون + +600 +00:33:55,450 --> 00:33:58,430 +واقعية ومنطقية زي ما حكينا قبل شوي ولازم تكون فيه + +601 +00:33:58,430 --> 00:34:01,670 +مقاومات أنا ما بينفعش أروح أبعث للحصول على تمويل على + +602 +00:34:01,670 --> 00:34:03,890 +مشروع أنا ما عنديش إمكانية تنفذه من ناحية كوادر + +603 +00:34:03,890 --> 00:34:06,790 +البشرية. يعني أنا كجامعة إسلامية مثلاً ما عنديش خبرة + +604 +00:34:06,790 --> 00:34:08,810 +في المجال اللي هي صيانة السيارات والإلكترونية، + +605 +00:34:08,810 --> 00:34:10,730 +موجودة عند الكلية الجامعية مثل المثال، أروح أقدم + +606 +00:34:10,730 --> 00:34:14,390 +المشروع للتعاون وأقوله والله بتدعم المشروع أني + +607 +00:34:14,390 --> 00:34:17,250 +أعمل صيانة لمجموعة من السيارات مش عارف إيش، مش + +608 +00:34:17,250 --> 00:34:19,870 +منطقي حيكون، فلازم عندي اختيار الفكرة أخد هذه + +609 +00:34:19,870 --> 00:34:23,270 +الشغلات بعين الاعتبار، تمام؟ طيب، المرحلة الثانية + +610 +00:34:23,270 --> 00:34:25,710 +ببدأ أجهز ورقة المفهوم أو الـ concept paper + +611 +00:34:29,200 --> 00:34:32,340 +ورقة المفهوم إيش العناصر الرئيسية اللي بتكون + +612 +00:34:32,340 --> 00:34:35,420 +موجودة؟ لاحظوا إن هي هذه أول وسيلة تواصل بينه وبين + +613 +00:34:35,420 --> 00:34:37,900 +بين الممول يعني لما أقول للممول في عندك فكرة مشروع + +614 +00:34:37,900 --> 00:34:40,520 +بيقولي بعتلي إيش مكتوب؟ فببعتله هذا الإيش اللي هو + +615 +00:34:40,520 --> 00:34:43,680 +ورقة المفهوم إيش تبعتله للممول؟ الشغلات المعلومات + +616 +00:34:43,680 --> 00:34:47,460 +المقتصرة، تفضلي أول إيش اسم المدير المشروع؟ لأ، إيش + +617 +00:34:47,460 --> 00:34:50,160 +المدير المشروع؟ أو إيش أول إيش؟ الشخص اللي ... قولي + +618 +00:34:50,160 --> 00:34:53,360 +... أجملها عندك شوية اللي هو شخص التواصل، هذا بيكون + +619 +00:34:53,360 --> 00:34:54,780 +آخر معلومة، مش أول إيش، طيب + +620 +00:34:58,780 --> 00:35:01,760 +مُقتصر مُقتصر مُقتصر مُقتصر مُقتصر مُقتصر مُقتصر مُقتصر + +621 +00:35:01,760 --> 00:35:02,800 +مُقتصر مُقتصر مُقتصر مُقتصر مُقتصر مُقتصر مُقتصر مُقتصر + +622 +00:35:02,800 --> 00:35:06,540 +مُقتصر مُقتصر مُقتصر مُقتصر مُقتصر مُقتصر مُقتصر مُقتصر + +623 +00:35:06,540 --> 00:35:09,680 +مُقتصر مُقتصر مُقتصر مُقتصر مُقتصر مُقتصر مُقتصر مُقتصر + +624 +00:35:09,680 --> 00:35:09,760 +مُقتصر مُقتصر مُقتصر مُقتصر مُقتصر مُقتصر مُقتصر مُقتصر + +625 +00:35:09,760 --> 00:35:13,060 +مُقتصر مُقتصر مُقتصر مُقتصر مُقتصر مُقتصر مُقتصر مُقتصر + +626 +00:35:13,060 --> 00:35:18,200 +مُقتصر مُقتصر مُقتصر مُقتصر مُقتصر + +627 +00:35:18,200 --> 00:35:20,640 +مُقتصر مُقتصر مُقتصر + +628 +00:35:22,380 --> 00:35:25,740 +كل شيخ وله طريقته، كل ممول بيفرض علينا نموذج + +629 +00:35:25,740 --> 00:35:28,000 +الخاص فيه، وبالعكس احنا عاملين نموذج خاص فينا هنا + +630 +00:35:28,000 --> 00:35:30,960 +في العمدة، تمام؟ وبالتالي ما فيش نموذج بيقول والله + +631 +00:35:30,960 --> 00:35:34,060 +هذا النموذج اللي مطبق في كل العالم، الاتحاد + +632 +00:35:34,060 --> 00:35:36,600 +الأوروبي اللي له نموذج، البرنامج أبير نفسه له + +633 +00:35:36,600 --> 00:35:39,920 +نموذج، القنصلية الفرنسية لها نموذج، القنصلية الأمريكية + +634 +00:35:39,920 --> 00:35:43,380 +لها نموذج، التعاون له نموذج، كل ممول له نموذج خاص + +635 +00:35:43,380 --> 00:35:47,030 +فيه، وبالتالي ما فيش شيء مثالي، لكن لازم يكون عندي + +636 +00:35:47,030 --> 00:35:51,170 +قدرة إن أنا أوصل فكرة المشروع بطريقة سليمة في + +637 +00:35:51,170 --> 00:35:54,670 +حالة إن الممول فرض عليّ نموذج template أو + +638 +00:35:54,670 --> 00:35:58,090 +application form سهّل عليّ المعلومة لأن في الحالة + +639 +00:35:58,090 --> 00:36:00,530 +هذه بيكون الممول طلب معلومات محددة فأنا بشتغل + +640 +00:36:00,530 --> 00:36:04,250 +عليها. في حال ما طلبش معلومات محددة أنا لو بدعم + +641 +00:36:04,250 --> 00:36:07,010 +لحالي الـ concept paper بدون ما أحد فرض عليّ نموذج + +642 +00:36:07,010 --> 00:36:09,970 +لازم يكون في عندي عنوان للمشروع ولاحظوا لما أقول + +643 +00:36:09,970 --> 00:36:12,390 +عنوان المشروع يعني اسم المشروع لازم يكون يا جماعة + +644 +00:36:12,390 --> 00:36:15,910 +الخير عنوان المشروع الـ title تبعه مميز تسمعوا كتير + +645 +00:36:15,910 --> 00:36:19,010 +احنا ليش بنسمي المشروعات كلها باسم واحد، يعني كلمة + +646 +00:36:19,010 --> 00:36:23,030 +واحد، مفروضة واحدة أو بالأغلب مفروضة واحدة، مشروع + +647 +00:36:23,030 --> 00:36:25,370 +مبادرون، مشروع إرادة، مشروع كذا، دائماً بندور على + +648 +00:36:25,370 --> 00:36:28,350 +اسم يكون attractive، نحن؟ لسببين، السبب الأول + +649 +00:36:28,350 --> 00:36:31,450 +فعلاً، عشان لما أحكي الكلمة أنا، الشيء الجديد، إن + +650 +00:36:31,450 --> 00:36:34,530 +أنت دغري تعطيني إنصاتك عشان تفهم إيش فيه، إيش هذا + +651 +00:36:34,530 --> 00:36:37,980 +المشروع، والشغل الثاني أسهل التعامل. طبعاً كل + +652 +00:36:37,980 --> 00:36:40,340 +مشاريعنا الاتحاد الأوروبي بينقدمها بكون اسم المشروع + +653 +00:36:40,340 --> 00:36:43,080 +بالـ English هالجديد ست سبع جمل زي مشروع bears + +654 +00:36:43,080 --> 00:36:46,560 +تاعينكوا في كل التجارة طبعاً لكن نختصره ناخد الحرف + +655 +00:36:46,560 --> 00:36:49,940 +الأول من كل كلمة بنحطه في الـ mixer بنطلع اسم مشروع + +656 +00:36:49,940 --> 00:36:51,660 +step اللي هو مثلاً اللي كنا نشتغله من الاتحاد + +657 +00:36:51,660 --> 00:36:55,100 +الأوروبي هو ربط القطاع الأكاديمي بالقطاع بالقطاع + +658 +00:36:55,100 --> 00:36:58,900 +الخاص. أخذنا الحرف الأول من كل اسم وربطناهم طبعاً + +659 +00:36:58,900 --> 00:37:02,120 +فدائماً نختصر الأسماء يكون اسم رنان عشان إنه أنا + +660 +00:37:02,120 --> 00:37:06,200 +أجذب سماع الإنسان اللي قبالي وثاني أسهل التعامل + +661 +00:37:06,200 --> 00:37:12,100 +طيب بكون عادة ممكن مقدمة تكون بسيطة عن اللي هي فكرة + +662 +00:37:12,100 --> 00:37:14,960 +المشروع اللي أنا أقدمه يعني أو مقدمة عن الفئة اللي + +663 +00:37:14,960 --> 00:37:18,080 +أنا بستهدفها كمان ممكن بحط وصف مُقتصر على المشروع + +664 +00:37:18,080 --> 00:37:20,960 +والله المشروع يسعى لبناء قدرات الشباب وتشغيلهم من + +665 +00:37:20,960 --> 00:37:24,120 +خلال التعاون مع مؤسسات القطاع الخاص والأغرب تمام؟ + +666 +00:37:24,120 --> 00:37:28,120 +وجزء مهم بكون حاطط إيش مبررات المشروع شوفوا لو بين + +667 +00:37:28,120 --> 00:37:30,460 +الفاضل مثلاً بين مبررات المشروع المقدمة المبررات + +668 +00:37:30,460 --> 00:37:34,790 +المشروع أهم أنا وصفت المشروع ومهم إن بعد هيك أنا + +669 +00:37:34,790 --> 00:37:37,610 +أكتب إيش المبررات ولما أجي أحكي عن المبررات لازم + +670 +00:37:37,610 --> 00:37:40,870 +نتوجه في عندها كتير هذه النقطة لأن هذه أخطر نقطة + +671 +00:37:40,870 --> 00:37:42,850 +اللي ثلاث أرباع الناس اللي بيشتغلوا في المشاريع + +672 +00:37:42,850 --> 00:37:45,490 +التنموية بيغلطوا فيها. كمان شوية هنحكي وإن الخطأ في + +673 +00:37:45,490 --> 00:37:48,330 +هذا الموضوع لما نيجي على الـ proposal تمام؟ لما + +674 +00:37:48,330 --> 00:37:51,190 +أكتب الـ concept لازم أحط الهدف العام والهدف + +675 +00:37:51,190 --> 00:37:54,190 +المحدد عارفين أنتو أه؟ عارفين الفرق بين الهدف + +676 +00:37:54,190 --> 00:37:56,530 +العام والهدف المحدد؟ مين يحكي لموضع إيش هدف عام + +677 +00:38:00,770 --> 00:38:03,950 +على القطاع اللي بتقوليها، على الفئة اللي بتقوليها الـ + +678 +00:38:03,950 --> 00:38:09,550 +goal. طب هدف محدد الـ goal والـ objectives يعني آه + +679 +00:38:09,550 --> 00:38:13,870 +الـ goal والـ objectives ما فيش حد يحكينا هدف عام + +680 +00:38:13,870 --> 00:38:19,570 +طيب أنا بدي أحكي هدفين نيجي وأنتم تحكولي مين فيهم + +681 +00:38:19,570 --> 00:38:21,710 +الهدف العام وليش الهدف المحدد بس أخلص الاتنين + +682 +00:38:21,710 --> 00:38:29,430 +أحكيهم. واحد اللي هو بناء قدرات 200 من خريجي كلية + +683 +00:38:29,430 --> 00:38:40,130 +التجارة. هذا محدد؟ طيب وهيك مش محدد؟ طيب خلينا نكمل + +684 +00:38:40,130 --> 00:38:45,690 +مثال التالي. آه كمان مرة الهدف الأول بناء قدرات 200 + +685 +00:38:45,690 --> 00:38:48,930 +من الخريجين كلية التجارة ممكن يعني أكمل أقول مثلاً + +686 +00:38:48,930 --> 00:38:55,350 +هي خلال مثلاً العام 2017 تمام. الهدف الثاني المساهمة + +687 +00:38:55,350 --> 00:38:59,190 +في حل أو المساهمة في تخفيض معدلات البطالة بين قطاع + +688 +00:38:59,190 --> 00:39:05,210 +الخريجين من العام المحدد. الأول محدد. طب ليش من + +689 +00:39:05,210 --> 00:39:09,040 +الأول ما حكيته الأمثلة صعب لاحظوا دائماً في + +690 +00:39:09,040 --> 00:39:11,400 +صياغتنا الأهداف العامة وأهداف المحددة الهدف العام + +691 +00:39:11,400 --> 00:39:15,840 +طبعاً بكون شيء أشماله واسع broad الـ objective أو + +692 +00:39:15,840 --> 00:39:19,940 +wide objective ولاحظوا لما صياغته أنا ... أنا مش + +693 +00:39:19,940 --> 00:39:24,640 +هأحل المشكلة كلها أنا بساهم ... أنا بساهم مساهمة في + +694 +00:39:24,640 --> 00:39:27,500 +حل مشكلة البطالة أو مساهمة في تطوير البناء التحتية + +695 +00:39:27,500 --> 00:39:31,830 +مش بقول والله الهدف العام حل مشكلة البطالة بالخرجين + +696 +00:39:31,830 --> 00:39:34,610 +هو أنا مشروعي أنا بدي أحل كل مشكلة أنا بحل بجزء + +697 +00:39:34,610 --> 00:39:38,350 +نسبة مئوية بسيطة تمام فدائماً لازم أحطش الهدف العام + +698 +00:39:38,350 --> 00:39:41,410 +والهدف المحدد اللي لازم تكون أشماله smart smart + +699 +00:39:41,410 --> 00:39:44,070 +يعني فيه محددة قد إيش الفئة اللي بتستفيد ومتى حين + +700 +00:39:44,070 --> 00:39:46,870 +ينفذها وتكون واقعية زي ما أنتو تعلمتو ومنيح إن + +701 +00:39:46,870 --> 00:39:48,530 +أنتم لسه fresh المعلومات اللي أنكم خذتوها يعني + +702 +00:39:48,530 --> 00:39:51,990 +المحاضرة الماضية تمام فلازم أكون محدد إيش الهدف + +703 +00:39:51,990 --> 00:39:56,600 +العام والهدف المحدد ده وعشان أحكيلكم 99% من + +704 +00:39:56,600 --> 00:40:00,840 +بيصيغوا الأهداف بيصيغوها غلط الأهداف المحددة أضرب + +705 +00:40:00,840 --> 00:40:06,280 +لكم مثال عن طواش قلتلكوا بناء قدرات الخريجين من كلية + +706 +00:40:06,280 --> 00:40:10,940 +التجارة في ناس إيش بيحكوا بيصيغوا الأهداف تدريب 200 + +707 +00:40:10,940 --> 00:40:15,880 +من خريجي كلية التجارة هذا صح ولا غلط هذا الهدف؟ + +708 +00:40:17,340 --> 00:40:22,680 +هذا خطأ هذا نشاط هذا activity تمام تمام لاحظوا لما + +709 +00:40:22,680 --> 00:40:25,620 +تصيغ الهدف الهدف أذكره يعني أن أنا فيه شيء يعني + +710 +00:40:25,620 --> 00:40:29,200 +لاحقا هيتحقق وبالتالي الصياغة تقوله لازم تكون + +711 +00:40:29,200 --> 00:40:35,120 +سليمة تجي تقولي والله مثلا هدفي هي تشغيل 200 من + +712 +00:40:35,120 --> 00:40:38,630 +خريجي كلية التجارة هي المعنى دُغري أنا زمان كنت + +713 +00:40:38,630 --> 00:40:40,350 +زيكم يعني أنا جاب أول ما دهيت في المشاريع أجيب + +714 +00:40:40,350 --> 00:40:42,990 +العشرة أثنين كنت أكتب أه الهدف الآخر الثاني له + +715 +00:40:42,990 --> 00:40:46,070 +تشغيل 200 خريج كلية التجارة لأ هي هدف التشغيل هي + +716 +00:40:46,070 --> 00:40:48,830 +عبارة عن نشاط التشغيل هو نشاط لما أجي أكتب ال .. + +717 +00:40:48,830 --> 00:40:51,990 +ال .. ال .. ال- log frame أو خطة العمل هذا بيسميه + +718 +00:40:51,990 --> 00:40:55,030 +نشاط لكن كيف التشغيل الـ 200 خريج يبقى على كثرة + +719 +00:40:55,030 --> 00:40:58,750 +فسورة هدف خلق فرصة عمل يعني أنا نهاية المشروع هكون + +720 +00:40:58,750 --> 00:41:03,210 +خلقت 200 فرصة عمل لاحظوا كيف صيغت الهدف بقول أن أه + +721 +00:41:03,210 --> 00:41:07,620 +نهاية المشروع عالصياغة هذه مهمة جدا، لاتخلط بين + +722 +00:41:07,620 --> 00:41:10,980 +الـ Activity والـ Objective طيب، فلازم نحط في ال + +723 +00:41:10,980 --> 00:41:12,960 +.. ال .. ال .. ال- concept paper هدف العمل وهدف + +724 +00:41:12,960 --> 00:41:15,400 +المحدد لازم نحط مين هي الفئة المستهدفة أو ال + +725 +00:41:15,400 --> 00:41:18,400 +beneficiaries ولازم تكون specific كام واحد، قد إيش + +726 +00:41:18,400 --> 00:41:21,560 +عددهم، من أي فئة، فترة التنفيذ المتوقعة من إلى + +727 +00:41:21,560 --> 00:41:24,340 +مثلا تمشي شهور، تسعة شهور، إذا أنا عارف ال- budget + +728 +00:41:24,340 --> 00:41:27,590 +بشكل كويس، بحطها مش عارفها بخليها تكون roughly + +729 +00:41:27,590 --> 00:41:31,430 +estimated بقوله .. بوضح للممول أن هي يعني مقدرة + +730 +00:41:31,430 --> 00:41:34,830 +بشكل تقديري ومعلومات التواصل اسم اللي هو الشخص و + +731 +00:41:34,830 --> 00:41:37,130 +email ورقم جواله وتليفونه ويا ريت الجوال اللي برد + +732 +00:41:37,130 --> 00:41:39,590 +عليه والـ email برد عليه لإنه لو اتصل عليك مرة + +733 +00:41:39,590 --> 00:41:42,530 +مرتين ومرديتش عليه مش هي اتصل عليك تاني تمام؟ طيب + +734 +00:41:42,950 --> 00:41:45,550 +باسم الطالبات وباسم الجامعة الإسلامية بشكر .. + +735 +00:41:45,550 --> 00:41:48,270 +بشكر الباشمهندس باسل على هذه المعلومات القيّمة و + +736 +00:41:48,270 --> 00:41:51,370 +إن شاء الله لأن المحاضرة كتير ممتعة وشايفة هنعمل + +737 +00:41:51,370 --> 00:41:54,170 +لقاء آخر إن شاء الله في مواعيد آخر شكرا يا باشمهندس + +738 +00:41:54,170 --> 00:41:56,070 +مهندس ويعطيك العافية إن شاء الله حياك الله عطيكم + +739 +00:41:56,070 --> 00:41:57,830 +العافية بالتوفيق .. بالتوفيق إن شاء الله diff --git a/PL9fwy3NUQKwYZU2ezHFq-UK19TEyZdOHs/XLmlAlP9dHg_postprocess.srt b/PL9fwy3NUQKwYZU2ezHFq-UK19TEyZdOHs/XLmlAlP9dHg_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..5151b56428213e7bfe2c63ba17958bf96b082262 --- /dev/null +++ b/PL9fwy3NUQKwYZU2ezHFq-UK19TEyZdOHs/XLmlAlP9dHg_postprocess.srt @@ -0,0 +1,2216 @@ +1 +00:00:21,080 --> 00:00:23,240 +عوضوا بالله من الشيطان الرجيم بسم الله الرحمن + +2 +00:00:23,240 --> 00:00:25,960 +الرحيم والحمد لله والصلاة والسلام عن مصطفى الأمين + +3 +00:00:25,960 --> 00:00:29,600 +سيدنا محمد وعلى أهله ومن ساره عبد الحسين الدين في + +4 +00:00:29,600 --> 00:00:32,820 +البداية السلام عليكم ورحمة الله كيف حالكم؟ كيف + +5 +00:00:32,820 --> 00:00:36,220 +أصبحت اليوم؟ اليوم إن شاء الله راح ناخد مع بعض + +6 +00:00:36,220 --> 00:00:41,680 +ورشة عمل تحت عنوان قصة نشاح مشروعي مع أزملتنا نور + +7 +00:00:41,680 --> 00:00:43,500 +البيارة إن شاء الله، خدّلي نور + +8 +00:00:48,780 --> 00:00:55,000 +معانا اليوم قصة نجاح مشروع خاص معاكم نور البياري + +9 +00:00:55,000 --> 00:01:00,540 +في البداية حابة أعرض عنكم المشروع الخاص لإلي و كيف + +10 +00:01:00,540 --> 00:01:05,870 +قدرت أنجح فيه من بعد التخرج في الجامعةفقري تعرفيها + +11 +00:01:05,870 --> 00:01:11,690 +في البداية فكرة أصبحت مشروع، مشروعي أنا خاص على ال + +12 +00:01:11,690 --> 00:01:15,410 +internet و استغلت فيه ال internet مانيش أنا لأ أي + +13 +00:01:15,410 --> 00:01:19,310 +محل أو أي مكان على أرض الواقع، أرض الواقع تبعي هو + +14 +00:01:19,310 --> 00:01:24,690 +ال internet، عالم ال facebookحاب أعرفكم عن نفسي + +15 +00:01:24,690 --> 00:01:28,970 +اسمي نور البياري المؤهل تبعي baccalaureate إدارة + +16 +00:01:28,970 --> 00:01:32,730 +أعمال اتخرجت عام 2013 من الجامعة الإسلامية بغزا + +17 +00:01:32,730 --> 00:01:37,170 +اسم مشروعي routage online صبايا وسيدات routage + +18 +00:01:37,170 --> 00:01:42,670 +onlineفي البداية .. بداية المشروع كانت عبارة عن + +19 +00:01:42,670 --> 00:01:46,590 +تخطيط، عندي أنا هواية صغيرة هيكي عبارة عن ال + +20 +00:01:46,590 --> 00:01:50,570 +crochet، حبيت أنا أشتغل بالصوف، فماكنش عندي أي حد + +21 +00:01:50,570 --> 00:01:53,670 +يعلمني أو ماكنش في عندي .. حواليا يعني أي حد بيارا + +22 +00:01:53,670 --> 00:01:58,160 +فيشتغل فيهفانتقلت لعالم الانترنت و اليوتيوب بشكل + +23 +00:01:58,160 --> 00:02:02,480 +خاص تعلمت فيه شوية ورز و شوية مهارات قدرت أشتغل + +24 +00:02:02,480 --> 00:02:06,180 +فيه بالصوف بشكل ممتاز و إشي جديد و إشي مبدأ و + +25 +00:02:06,180 --> 00:02:09,260 +ألوانات و شغلات حلوة و هيك و للصبايا و السيدات و + +26 +00:02:09,260 --> 00:02:14,800 +الأطفال صار عندي منتج حابة أسوقهفكان في عندي حساب + +27 +00:02:14,800 --> 00:02:19,140 +على الفيسبوك حولت الحساب هذا لحساب تجاري أصبحت أني + +28 +00:02:19,140 --> 00:02:23,380 +أسوق للمنتج اللي قدامي للناس بشكل جديد لأنه مافي + +29 +00:02:23,380 --> 00:02:27,700 +محل صار تسويق عن طريق الانترنت عرض بداع توصيل + +30 +00:02:27,700 --> 00:02:32,180 +لعنوان لزبون وأخدت طريق جديد بعدها كان المشروع في + +31 +00:02:32,180 --> 00:02:36,660 +بدايته شهر تلاتة طبعا شهر تلاتة أخيرته هيبدأ الصيف + +32 +00:02:37,600 --> 00:02:41,640 +فيش كتير شغل لصوف و أخي و بينام كتير و بيصير فيه + +33 +00:02:41,640 --> 00:02:45,520 +ركود في هالفترة فحولت اني أنتقل لشغل جديدة هي + +34 +00:02:45,520 --> 00:02:48,900 +باقرا عن ال accessoires accessoires جاسة طبعا مش + +35 +00:02:48,900 --> 00:02:53,280 +handmade فصرت أجيب قطعة جديدة و مميزة مش موجودة + +36 +00:02:53,280 --> 00:02:57,740 +بالسوق و أعرضها كان هالكلام في 2013 في أثناء + +37 +00:02:57,740 --> 00:03:00,340 +الدراسة برضه أنا بدأت في أثناء الدراسة وكنت أوقف + +38 +00:03:00,340 --> 00:03:05,060 +شوية و أعرضها تاني لدراسة و هكذاطبعا بما أنه خلصنا + +39 +00:03:05,060 --> 00:03:09,560 +حكاية السوق فهلأ بدي قراءة smile جديد ومشروع جديد + +40 +00:03:09,560 --> 00:03:14,900 +وهينقل لمجال تاني مجال آخر تغير الاتجار أول الفكرة + +41 +00:03:14,900 --> 00:03:18,220 +كانت في 2012 فتحت رسميا صفحة اسمها Rotage Online + +42 +00:03:18,220 --> 00:03:23,330 +على ال Facebook وبدأت فعليا في الشغل2013 طبعا كنت + +43 +00:03:23,330 --> 00:03:26,590 +اوقف شويه لدراسة و ارجع من تاني فكان توسيع الفكرة + +44 +00:03:26,590 --> 00:03:29,950 +اتوسعت الفكرة من مجال ال crochet لمجال تاني مجال + +45 +00:03:29,950 --> 00:03:34,330 +اكسسوار ملابس ادوات منزلية شغلات تانية بس المهم في + +46 +00:03:34,330 --> 00:03:37,030 +الموضوع ان شغلات مش منتشرة في السوق شغلات جديدة + +47 +00:03:37,030 --> 00:03:42,210 +فاتوسعت لتصبيق لمجالات تانيةبعدها كان في عندي طبعا + +48 +00:03:42,210 --> 00:03:45,290 +من قبل ما أنا بخطط هذا المشروع أكيد في إيه الأهداف + +49 +00:03:45,290 --> 00:03:48,490 +أنه أبدأ فيها، كان الأهداف أنه أنا بدي أخلص + +50 +00:03:48,490 --> 00:03:51,650 +الجامعة، بدي ألاقي لي وظيفة، مش هستنى إن مش جيني + +51 +00:03:51,650 --> 00:03:54,190 +الوظيفة اللي عندي، لأ أنا بدي أخطط أني أنا أخلق + +52 +00:03:54,190 --> 00:03:57,890 +لنفس الوظيفة و يكون في إيه مصدر دخل، سواء مصدر دخل + +53 +00:03:57,890 --> 00:04:00,790 +قليل، مصدر دخل كتير، اللي هم يكون فيه مصدر دخل + +54 +00:04:00,790 --> 00:04:05,690 +لالمشروعطبعا شغلت في هواية وعمل مفيد اللي هي هواية + +55 +00:04:05,690 --> 00:04:09,050 +ال .. ال crochet و الشغلات هاي بعد هيك شوية شوية + +56 +00:04:09,050 --> 00:04:11,510 +أغلب اهتمامات الصباب بتكون في الأزياء في ال + +57 +00:04:11,510 --> 00:04:15,210 +accessoires و الشغلات هاي انتقلت لشغلة جديدة و بال + +58 +00:04:15,210 --> 00:04:18,410 +.. بعد هيك أكيد اكتسبت أنه بدي أنا من هذا المشروع + +59 +00:04:18,410 --> 00:04:21,570 +أكتف خبرات حتى لو روحت لتلعطلي وظيفة في مكان + +60 +00:04:21,570 --> 00:04:24,410 +حكومي، مكان خاص، هيكون في عندى خبرات و فعلا + +61 +00:04:24,410 --> 00:04:27,630 +المشروع أعطانى خبرات سواء مع الناس مع الاتصال، + +62 +00:04:27,630 --> 00:04:34,220 +التواصل، شغلات كتيربعد هيك بالنسبة لإدارة المشروع، + +63 +00:04:34,220 --> 00:04:38,780 +في بداية المشروع الفكرة جديدة، مش منتشرة، الناس + +64 +00:04:38,780 --> 00:04:41,480 +لسه جديدة على إنه يعرفوا إشي اسمه تسوق عن طريق + +65 +00:04:41,480 --> 00:04:45,760 +الإنترنت وعال Facebook، مافيش محل خاصة، كله على + +66 +00:04:45,760 --> 00:04:49,500 +شغل الفاس، كله تعامل online، كتابة، اتصال، تليفون، + +67 +00:04:49,500 --> 00:04:53,560 +مافيش أي تعامل شخصي، من وجه لوجه، فكان طبيعي إنه + +68 +00:04:53,560 --> 00:04:56,380 +الإشي اللي هيميز المشروع ومين مدير المشروع هو + +69 +00:04:56,380 --> 00:05:00,430 +التعاملمباني و بانك هيكون بس اتصال يعني بدها تعامل + +70 +00:05:00,430 --> 00:05:02,670 +فكان اول اشي طريق انا مشيت فيه اللي هو دين + +71 +00:05:02,670 --> 00:05:05,650 +المعاملة المعاملة الطيبة، المعاملة حسنة مع الناس، + +72 +00:05:05,650 --> 00:05:10,810 +مع الزباين الإدار كله، هذا الإطار كله حول التعامل، + +73 +00:05:10,810 --> 00:05:14,630 +هذا اهم اشي عمل في نجاح المشروع بعد هك شخصية + +74 +00:05:14,630 --> 00:05:19,270 +المشروع إدارة المشروع أكيد ده مدير ناجح، مدير أوي + +75 +00:05:19,270 --> 00:05:23,490 +عايزة ثبات، عايزة إصرار، قوة في الشخصية، هذا شغلات + +76 +00:05:23,490 --> 00:05:27,340 +كتير مهمة علشان المشروع بعد هك ينجحفي عندنا الصبر + +77 +00:05:27,340 --> 00:05:31,500 +لأن أي مشروع في الأول فكرة جديدة، مونتاج جديد، إشي + +78 +00:05:31,500 --> 00:05:34,680 +لسه جديد على البنات فبده صبر، أي حد هتلاقي + +79 +00:05:34,680 --> 00:05:38,360 +استفسارات كتير، أي حد هتلاقي كلام كتير، تعليقات + +80 +00:05:38,360 --> 00:05:41,800 +كتير، ناس كتير، كلها بدها صبر، بدها تحمل، بدها + +81 +00:05:41,800 --> 00:05:45,740 +قدرة، تحمل الضغوط، هتلاقي ضغوط كتير قدامكخاصة في + +82 +00:05:45,740 --> 00:05:48,880 +بداية أي مشروع هذا أشي طبيعي لأنه لسه في مرحلة + +83 +00:05:48,880 --> 00:05:52,520 +الانتشار فطبيعي هتلاقي ضغوط كتير و أفراد من + +84 +00:05:52,520 --> 00:05:56,860 +مستويات مختلفة حتى عقليات مختلفة كلها عايزة تحمل + +85 +00:05:56,860 --> 00:06:00,880 +هتتحمل كل واحد على حسب طاقته حسب القدرة تبعته + +86 +00:06:00,880 --> 00:06:06,960 +العقلية تبعتهبعد هيك طبعا انتقلت المشروع من فكرة + +87 +00:06:06,960 --> 00:06:10,680 +أصبحت واقع ونشهرت أهم إشي كان في المشروع علشان + +88 +00:06:10,680 --> 00:06:15,120 +ينجح الإبداع لما تيش تحط فكرة فكرة مشروع هتكون + +89 +00:06:15,120 --> 00:06:19,520 +عايزة حاجة مميزة التمييز يعني مثلا ال crochet أكيد + +90 +00:06:19,520 --> 00:06:21,980 +في ناس كتير في البلد مش شغله crochet و مش شغله صوف + +91 +00:06:21,980 --> 00:06:26,300 +بس إيش اللي نجح الفكرة كنت مثلا أعمل محافظ مافيش + +92 +00:06:26,300 --> 00:06:30,260 +مش موجود فيها بالسوق الألوانات تبعتها مختلفةمثلا، + +93 +00:06:30,260 --> 00:06:33,000 +لما أجي أعمل طواقي للأطفال، كانت الطواقي على شكل + +94 +00:06:33,000 --> 00:06:36,540 +ميديا، على شكل Spongebob، شغلات يعني حلوة و جديدة، + +95 +00:06:36,540 --> 00:06:39,500 +مش منتشرة، هذه هي الفكرة بالموضوع، أنه فيه إشي + +96 +00:06:39,500 --> 00:06:43,780 +متميز، الشغلات كمان اللي قدت للنجاح اللي هو + +97 +00:06:43,780 --> 00:06:46,980 +الإصرار، لأنه لما بتكتيش تعمل مشروع، هتلاقي عقبات + +98 +00:06:46,980 --> 00:06:50,640 +كتير، يا بتقدر تكملي، يا بتقدر توقفي، بس إذا بتصري + +99 +00:06:50,640 --> 00:06:54,790 +و بتثبتي، بتكملي المشروع اللي في النهايةالصبر كمان + +100 +00:06:54,790 --> 00:06:59,130 +عامل كتير كتير مهم لأنه هيكون فيه ضغوط كتير، هيكون + +101 +00:06:59,130 --> 00:07:02,150 +في أفراد بشكليات مختلفة، وإحنا كمان إذا كنا نتعامل + +102 +00:07:02,150 --> 00:07:06,590 +مع ناس online، يعني كل الكلام هيكون كلام، كلام في + +103 +00:07:06,590 --> 00:07:10,970 +كلام، هتسمع كلام كتير، هتشوف ردود فعل كتير، لازم + +104 +00:07:10,970 --> 00:07:14,090 +تصبري، هذا أهم إشي في المشاريع، سواء حتى على + +105 +00:07:14,090 --> 00:07:17,290 +الانترنت أو حتى على الواقع، لو بدأنا في مشروع جديد + +106 +00:07:17,290 --> 00:07:22,000 +على أرض الواقع، برضه محتاج للصبر والقوةبعد ما طبعا + +107 +00:07:22,000 --> 00:07:27,400 +ابتدت في شغلات مميزة و أصبح فيه إبداع انتقلت روتاج + +108 +00:07:27,400 --> 00:07:30,900 +online تصبح من الصفحات المعروفة على ال facebook + +109 +00:07:30,900 --> 00:07:34,480 +بدل من أنه كونها مجرد فكرة صغيرة كانت في البداية + +110 +00:07:34,480 --> 00:07:38,640 +على فكرة هي بداية إنتاج مجموعةفقط للأشغال اليدوية + +111 +00:07:38,640 --> 00:07:42,800 +فمن أخر شهر تلاتة و ركود السوق الصوف أصبحت لصفحة + +112 +00:07:42,800 --> 00:07:46,560 +اسمها Rotage Online وقفت طبعا فيها فترات و رجعت + +113 +00:07:46,560 --> 00:07:51,060 +بعد هيك لفترات تانية و بعد هيك أصبحت مشبوعة اسمها + +114 +00:07:51,060 --> 00:07:56,170 +صبايا وسيدات Rotage Onlineهلأ الواجهة المالية + +115 +00:07:56,170 --> 00:08:00,430 +للمشروع التمويل للمشروع كان عبارة عن تخطيط من + +116 +00:08:00,430 --> 00:08:04,510 +البداية و أنا في الجامعة مدرستي و فدحت المشروع حتى + +117 +00:08:04,510 --> 00:08:07,870 +لو كنت بوقف كنت بخطط أنه لما أخلص بدي أمول المشروع + +118 +00:08:07,870 --> 00:08:11,090 +التمويل كان تمويل ذاتي و بعدين انتقلت في نهاية + +119 +00:08:11,090 --> 00:08:17,220 +للقروضموازنتى المشروع طبعا فى البداية كانت المشروع + +120 +00:08:17,220 --> 00:08:20,320 +عبارة كان فى البداية صوف ماكانش بكلف كتير وكان + +121 +00:08:20,320 --> 00:08:23,620 +الاشي متوفر فى السوق الألورات والشغلات هاى فكان ال + +122 +00:08:23,620 --> 00:08:27,360 +rest المال تبعه صغير وكمان بيكون حسب طلب لزبون + +123 +00:08:27,360 --> 00:08:32,140 +المنتج فبيكون سهل انه يتوفر بسعر قليل و تكلفة + +124 +00:08:32,140 --> 00:08:36,350 +قليلةبعد هيك لما صار الموضوع بدو اكسوارات بدو + +125 +00:08:36,350 --> 00:08:40,410 +ملابس بدو اشي صار محتاج توسيع، توسيع في رأس المال، + +126 +00:08:40,410 --> 00:08:44,110 +بطل ينفع التمويل الذاتي اقعد طبعا انا كنت في .. و + +127 +00:08:44,110 --> 00:08:47,730 +انا في الجامعة كنت بعمل جمعيات مع العائلة بالمصروف + +128 +00:08:47,730 --> 00:08:50,910 +تبع الجامعة لحد ما أكونت اتلت من الجامعة مبلغ + +129 +00:08:50,910 --> 00:08:54,860 +تقريبا 2500 شكلكنت قدرت أفوض فيه بمشروع ال + +130 +00:08:54,860 --> 00:08:58,420 +accessoires أول ما فتحت Rotage بعد ما خلصت الجامعة + +131 +00:08:58,420 --> 00:09:02,160 +كان الشغل كله على ال accessoires كان .. ماكنتش + +132 +00:09:02,160 --> 00:09:05,140 +عايزة كتير يعني رسم مال و شوي شوي بيع و ربح و شوي + +133 +00:09:05,140 --> 00:09:07,940 +شوي بيك و ارسل مال بس بعد ما انتقلت لفت ل + +134 +00:09:07,940 --> 00:09:13,000 +accessoires بالملابس بالأدوات المنزلية الوضع صار + +135 +00:09:13,000 --> 00:09:17,420 +بده مجال أكبر و توصية أكتر و رسمة الأكبر فوصلت + +136 +00:09:17,420 --> 00:09:22,840 +لقرود في النهايةبعد هي كانت تحديات إنشاء المشروع + +137 +00:09:22,840 --> 00:09:27,740 +طبعا وضع البلد كان كتير كتير ما بيشجعش في الأحيان + +138 +00:09:27,740 --> 00:09:30,380 +أن الواحد يفتح مشروع يقولوا لأ أن الواحد هو لازم + +139 +00:09:30,380 --> 00:09:33,440 +يصمم من نفسه و يخلق هذا المشروع يعني مثلا عدم + +140 +00:09:33,440 --> 00:09:37,240 +الاستقرار كنا نطلع من حرب ندخل في حرب قبل الحرب + +141 +00:09:37,240 --> 00:09:40,060 +يكون في خوف من القدرة الشرائية بعد الحرب يكون في + +142 +00:09:40,060 --> 00:09:43,280 +خسارة كتير عند الناس فكانش في كتير قدرة شرائية + +143 +00:09:43,280 --> 00:09:48,830 +للمشروعالرواتب كمان، الرواتب كتير مهمة، يعني احنا + +144 +00:09:48,830 --> 00:09:51,930 +بدأنا مثلا من السنة الفاترة في انقطاع رواتب مافيش + +145 +00:09:51,930 --> 00:09:56,710 +رواتب ساعات الرواتب بتقل، كان هذا عامل كتير لإنه + +146 +00:09:56,710 --> 00:10:01,090 +بتحديات في المشروع نفسه إغلاق المعامر أثر بشكل + +147 +00:10:01,090 --> 00:10:05,890 +كبير على المشروع لأنه أنا مثلا حاليا بشغل على منتج + +148 +00:10:05,890 --> 00:10:09,810 +أو منتجاناللي هم مثلا ملابس وشوية شغلات منزلي + +149 +00:10:09,810 --> 00:10:12,770 +وشوية إكسسوار لكن لو وضع المعابر هو مفتوح بشكل + +150 +00:10:12,770 --> 00:10:16,070 +أكبر وشكل أحسن من اللي إحنا فيه حتى سواء معابر .. + +151 +00:10:16,070 --> 00:10:19,010 +معابر رفح أو معابر كرم أبو سالم كان حيصير في عندي + +152 +00:10:19,010 --> 00:10:23,050 +مثلا عشر منتجات مش حيصير عندي منتج أو اتنين، هيصير + +153 +00:10:23,050 --> 00:10:26,970 +الشراء هيكون أفضل من هك، أفضل من الوضع الحالي يعني + +154 +00:10:26,970 --> 00:10:30,030 +مثلا أنا لما بدي أجي أسوق لإكسسوار مش كل الزبائن + +155 +00:10:30,030 --> 00:10:33,090 +عندي عايز إكسسوارلما بدي أجي أسويك مثلا لصوف، مش + +156 +00:10:33,090 --> 00:10:36,470 +الكل عايز صوف، الملابس مش الكل عايز يشتري الملابس، + +157 +00:10:36,470 --> 00:10:40,570 +لكن لما تدخلي بكذا اتجاه، ملابس، accessory، صوف، + +158 +00:10:40,570 --> 00:10:44,610 +تستخلي مثلا في أدوات منزلية، هتلاقي كل واحد عايز + +159 +00:10:44,610 --> 00:10:48,370 +حاجة و بتقدر تستفيد من كل طبقة العملاء والزبائن + +160 +00:10:48,370 --> 00:10:54,820 +اللي قدامكبعد هيك المشروع و الزبائن نفسهم في + +161 +00:10:54,820 --> 00:10:59,060 +البداية بدنا نجذب الزبون للمونتاج المونتاج لازم + +162 +00:10:59,060 --> 00:11:03,640 +يكون مبتكر و فيه إبداع و فيه إنتاج جديد علشان أنا + +163 +00:11:03,640 --> 00:11:06,720 +أقدر أجذبه ليله و اللي هي السوق مليان هيلقوا كتير + +164 +00:11:06,720 --> 00:11:09,430 +شغلات هيلقوا كتير accessoiresهيلاقوا كتير ملابس، + +165 +00:11:09,430 --> 00:11:12,250 +هيلاقوا كتير شغلات، فاش اللي هيميزك اللي هو + +166 +00:11:12,250 --> 00:11:15,850 +التمييز في المونتاج تبعك هو هذا الهجز بالزبائن + +167 +00:11:15,850 --> 00:11:20,590 +كمان بدنا نشجعهم على الشراء التشجيع على الشراء عن + +168 +00:11:20,590 --> 00:11:24,530 +طريق مثلا عملية التوصيل للزبون مثلا أنا لما كنت + +169 +00:11:24,530 --> 00:11:28,370 +أبدأ ألأ بشتغل أوصل لزبون المونتاج من بيتي لبيته + +170 +00:11:28,370 --> 00:11:31,890 +عن طريق شركة توصيل تيجي تاخد الطلب مني، توصل لبيته + +171 +00:11:31,890 --> 00:11:35,060 +طبعا أنا ماعنديش محلو مش كل الزباينة بتقدر تجيلي + +172 +00:11:35,060 --> 00:11:37,960 +مثلا تسلم من عندي من البيت فبروح مكان بعتي لها + +173 +00:11:37,960 --> 00:11:42,280 +خدمة توصيل بالمقابل خدمة توصيل هيبسع الرمزي بتشجع + +174 +00:11:42,280 --> 00:11:45,160 +الزبون مثلا إما هو يجي يدفع مواصلات لعندي رايح جاي + +175 +00:11:45,160 --> 00:11:49,020 +يكون بوصله بنفس سعر المواصلات لعنوانه فهيك بتشجع + +176 +00:11:49,020 --> 00:11:52,380 +الزبون إنه ياخد الشغلة لعنوانه بسهولة و بينجح + +177 +00:11:52,380 --> 00:11:55,420 +المنتج و أنا بنفس الوقت بكون حققت رباع و حققت ربح + +178 +00:11:55,420 --> 00:12:00,080 +و أنا في مكانياللي هي عملية هاي التوصيل للمونتاج، + +179 +00:12:00,080 --> 00:12:03,360 +كمان العروض المختلفة، كل فترة لما أجي أعمل عروض + +180 +00:12:03,360 --> 00:12:07,320 +لزبائن، بشجعهم إنهم يشتريوا، بشجعهم إنهم حتى لو + +181 +00:12:07,320 --> 00:12:10,160 +بسعر أقل من التكلفة أو بسعر التكلفة، بشجعهم إنهم + +182 +00:12:10,160 --> 00:12:12,620 +يشوفوا المونتاج على الطبيعة، على الطبيعة، لما تشوف + +183 +00:12:12,620 --> 00:12:17,130 +المونتاج، بتعرف إنه هو مثل الصورةمافيش انخداع إن + +184 +00:12:17,130 --> 00:12:19,670 +هذا المنتج غير عن الصورة، لأ أنا بخاف أشتي عن + +185 +00:12:19,670 --> 00:12:22,190 +الفاس، لأ ممكن يسحقوا علي ومنها الكلام، لأ بتشوف + +186 +00:12:22,190 --> 00:12:24,870 +المنتج على الطبيعة كيف و بعد ذلك بيصير في ثقة + +187 +00:12:24,870 --> 00:12:29,590 +تتعامل لمرة تانية إرضاء الزبون عامل مهم في النجاح + +188 +00:12:29,590 --> 00:12:33,570 +طبعا لأن إرضاء الزبون أنا في أي حال عشان أكسب + +189 +00:12:33,570 --> 00:12:37,190 +الزبون لازم أرضى، سواء هو عنده حق أو ماعندهش حق + +190 +00:12:37,700 --> 00:12:40,820 +لأنه أنا بالنهاية الزبون هو نجاح مشروع، هو اللي + +191 +00:12:40,820 --> 00:12:44,740 +هيجيبلي تموين للمشروع، هو اللي راح يديني النجاح في + +192 +00:12:44,740 --> 00:12:48,480 +الباع و الربح و الشغل تهيأ. و بعد هيك لازم أحافظ + +193 +00:12:48,480 --> 00:12:53,220 +على الزبائن، عقليت الزبون .. أنا قدام زبون فاهمان، + +194 +00:12:53,220 --> 00:12:55,400 +فاهم إيش فيه في السوق، فاهم إيش فيه أسعار في السوق + +195 +00:12:55,400 --> 00:12:59,480 +و عارف إيش الكويس و إيش المش كويس، فلازم أنا أحافظ + +196 +00:12:59,480 --> 00:13:02,160 +عليه و أعرف إن اللي قدامي زبون فاهمان، ماأضحكش + +197 +00:13:02,160 --> 00:13:06,260 +عليهميعني مثلا انا عايزة اجيب مونتاج مايكونش مثلا + +198 +00:13:06,260 --> 00:13:09,580 +بالسوق ال .. الراجل مش طبعه مثلا ميت شاكل اروح أنا + +199 +00:13:09,580 --> 00:13:12,320 +أبقى عايزة أبقى 200 طب ما هو عارف اللي في السوق + +200 +00:13:12,320 --> 00:13:15,820 +هيك انا هضر المشروع و هضر الصفحة تبعتين + +201 +00:13:18,740 --> 00:13:24,400 +المشروع بديل للوظيفة أو لا في وضع قبل الرواتب قبل + +202 +00:13:24,400 --> 00:13:28,720 +ما تصير مشاكل في الحركة الموجودة مرة انقطع الرواتب + +203 +00:13:28,720 --> 00:13:32,240 +مرة اتأخر مرة مافيش اصلا رواتب كان المشروع ماشي + +204 +00:13:32,240 --> 00:13:36,120 +تمام وكان ممكن يكون بديل للوظيفة سواء حتى الدخل + +205 +00:13:36,120 --> 00:13:40,600 +تبعه قليل سواء كتير كوظيفة كان بحد ذاته كويس شغل + +206 +00:13:40,600 --> 00:13:45,870 +في البيت مريح تعمل هواية شغل حلو مستمتعيعني شغلات + +207 +00:13:45,870 --> 00:13:49,750 +هاي حلوة بيكون يعني كويس وماشي أما في وضع اللي + +208 +00:13:49,750 --> 00:13:53,990 +رواتي بالحالية للأسف المشروع ممكن مايكونش بديل + +209 +00:13:53,990 --> 00:13:58,910 +بشكل كويس ولكن أفضل من أن الواحدة تستنى لوظيفة + +210 +00:13:58,910 --> 00:14:02,470 +تجيلها حتى لو بأقل .. بأقل شيء في الوضع الحالي + +211 +00:14:02,470 --> 00:14:05,190 +أفضل من أن الواحدة تستنى الواحدة بتخلق لنفسها + +212 +00:14:05,190 --> 00:14:08,990 +وظيفة من نفسها و بتحضر حالها و بتهيأ حالها لبعد + +213 +00:14:08,990 --> 00:14:11,670 +التخرج لأن انتوا عارفين وضع البلد و وضع البطالات و + +214 +00:14:11,670 --> 00:14:14,810 +الشغلات هايالواحد بيستنى كتير فالواحد من نفسه + +215 +00:14:14,810 --> 00:14:22,010 +بيخلق لنفسه الفرص اللي ساعدت في انتشار المشروع كان + +216 +00:14:22,010 --> 00:14:26,110 +في معارض مختلفة كنت أشارك فيها أغلبها المعارض اللي + +217 +00:14:26,110 --> 00:14:30,410 +تابعة لمراكز هاي فرصة في فعلا انتشار أي مشروع + +218 +00:14:30,410 --> 00:14:34,110 +موجود على الأرض وكنت أشارك في معارض فردية أعمل + +219 +00:14:34,110 --> 00:14:39,330 +معارض فردية من غير ما تتبع لجمعيات أو خلافهبالنسبة + +220 +00:14:39,330 --> 00:14:44,150 +لنجاح المشروع في عام 2013 تم تصنيفي كأصغر تاجرة في + +221 +00:14:44,150 --> 00:14:48,070 +فلسطين، هذه النقطة كانت تحول كبير في المشروع وكانت + +222 +00:14:48,070 --> 00:14:53,330 +يعني إشي في النجاح يعني إشي كبير، إشي حلو مين + +223 +00:14:53,330 --> 00:14:58,190 +الاسم؟هلأ بدي أعرضلكم بعض من منتجات Rotage Online + +224 +00:14:58,190 --> 00:15:02,890 +على فكرة Rotage Online صفحة خاصة لشباب، لرجال، + +225 +00:15:02,890 --> 00:15:05,630 +لنساء، صبايا، سيدات أما صبايا و سيدات Rotage + +226 +00:15:05,630 --> 00:15:09,770 +Online لأن أنا المغلب أغلب توجهاتي للسيدة، للست، + +227 +00:15:09,770 --> 00:15:14,750 +للصبايا، للسيدات ماليش أنا في جانب الرجال فقررت أن + +228 +00:15:14,750 --> 00:15:18,390 +أعمل مجموعة فقط أعضاءها من الصبايا والسيدات يعني + +229 +00:15:18,390 --> 00:15:22,860 +ماحدش من الرجال بيقدر يفوتهاالأعضاء اللي فيها كلهم + +230 +00:15:22,860 --> 00:15:27,160 +ستات ليش؟ لأنه لما تيجي تتعاملي مع سيدات بيكون + +231 +00:15:27,160 --> 00:15:31,080 +أفضل من واحدة لواحدة يعني الأشي محدود ما بينك و + +232 +00:15:31,080 --> 00:15:34,380 +بينها مافيش داعي مدام المنتج مالوش جوا في حتة تاني + +233 +00:15:34,380 --> 00:15:38,660 +من الرجال مافيش داعي أنه ينضعف مثلا أو يشوف + +234 +00:15:38,660 --> 00:15:42,680 +التعاملات هاي فإحنا عملنا صفحة للجميع و المجموعة + +235 +00:15:42,680 --> 00:15:45,840 +فقط للصباي والسيدات مثلا بعرض فيها بريحت المنتجات + +236 +00:15:45,840 --> 00:15:51,080 +التعامل فيها بريحتنا بيكون كل إشي بريحي أفضلهلأ من + +237 +00:15:51,080 --> 00:15:55,000 +بعد المنتجات هاي أول شانطة أنا اشتغلتها من + +238 +00:15:55,000 --> 00:15:57,700 +الكروشيه طبعا الشانطة حاجة و الفيديو اللي اتعلمت + +239 +00:15:57,700 --> 00:16:02,700 +منه حاجة تانية بس طلعت يعني الحمد لله هي عبارة عن + +240 +00:16:02,700 --> 00:16:07,200 +شانطة صغيرة و فيها زركشة شوية و إلها إيدي عملتلها + +241 +00:16:07,200 --> 00:16:10,840 +و وضيتها لخياتي بطللياها و صارت يعني شانطة حلوة + +242 +00:16:10,840 --> 00:16:15,640 +كويسة لأطفال ولا لناس؟ لأ لصبايا + +243 +00:16:18,490 --> 00:16:22,390 +هنا طاقية ميكي ماحنا قولنا أول إشي إنه المنتج لازم + +244 +00:16:22,390 --> 00:16:26,930 +يكون مميز مش منتشر طاقية ميكي للبوانيت الأصغر وفيه + +245 +00:16:26,930 --> 00:16:33,290 +الكلاكيل على شكل الألعاب وفيه الشنطة عالم فلسطين، + +246 +00:16:33,290 --> 00:16:35,910 +هاي الشنطة أنا عملتها في الحرب التانية، في أثناء + +247 +00:16:35,910 --> 00:16:39,110 +الحرب، كان الواحد بشوية ضغوط وشوية stressات وشغلات + +248 +00:16:39,110 --> 00:16:42,420 +..فالواحد عايز يطلع من الجو اللي كان فيه فقبل ان + +249 +00:16:42,420 --> 00:16:45,900 +اتعملت اللي هي الشنطة و خلصتها و بطنتها الحمد لله + +250 +00:16:45,900 --> 00:16:48,780 +في الحرب في البيت و قفلت بسحاب بعد الحرب خلصنا و + +251 +00:16:48,780 --> 00:16:50,360 +روحنا الجامعة فطلعت فيها + +252 +00:16:57,240 --> 00:17:00,860 +بعدها هي من المنتجات المنزلية اللى أنا بعرضها، هي + +253 +00:17:00,860 --> 00:17:05,260 +علاقة شناط، الحلو فيها إنه أشهر جديد مبتكر، مش + +254 +00:17:05,260 --> 00:17:08,340 +مليئا بالسوق، مش منتشر، بتتعلق هي على الباب و + +255 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بقدونس أو أيا كان لسلطات + +267 +00:18:01,040 --> 00:18:04,600 +مشغلات بتروح بتجيب المقص و بتقصه على طول و بيطلع + +268 +00:18:04,600 --> 00:18:08,840 +معاها حلقات صغيرة و مشرنفة و بالآخر بتكون اتكومت + +269 +00:18:08,840 --> 00:18:12,800 +اللي هي عايزة و في فرشة بالآخر بتنظف فيها المقص + +270 +00:18:12,800 --> 00:18:15,820 +بسهولة زي ما أنتوا شايفين المقصة بارع الحواف و كذا + +271 +00:18:15,820 --> 00:18:20,100 +طبقة مع بعض عشان يقص اللي هو أكتر من طبقه الافكار + +272 +00:18:20,100 --> 00:18:23,860 +اللي وجهيهم المنتى بتشوفينا منهماه صحيح، هلأ + +273 +00:18:23,860 --> 00:18:26,960 +الموقع اللي انا بشتري منه بيكون في عنده مجموعة + +274 +00:18:26,960 --> 00:18:30,160 +شغلات فانا بختار منها، طبعا احنا في وضع البلد في + +275 +00:18:30,160 --> 00:18:37,090 +شغلات مسموح تدخل وشغلات ممنوعة فانا ب ..أه صحيح فى + +276 +00:18:37,090 --> 00:18:42,530 +شغلات ممنوعة تفوت من عند اليهود هى + +277 +00:18:42,530 --> 00:18:45,890 +الشغلات المسموحة الشغلات اللى ممنوعة اللى ممكن + +278 +00:18:45,890 --> 00:18:50,130 +يدخل فيها مثلا فى طقم للبنار اسمه طقم ال body care + +279 +00:18:50,130 --> 00:18:55,650 +عبارة عن جهاز وفى معاه الأدوات اللى بتلف و بتعمل + +280 +00:18:55,650 --> 00:18:58,870 +الأدافر و الشغلات هاي هاي بيشتغل على البطارية فأى + +281 +00:18:58,870 --> 00:19:01,270 +شغلة بتشتغل على البطارية أو بتشتغل على الكهرة بعد + +282 +00:19:01,270 --> 00:19:04,030 +مانعونى أنى أدخلها هى من الشغلات اللى اتمنعت أنها + +283 +00:19:04,030 --> 00:19:08,090 +تدخلمش .. مثلا مش كل مواد التجميل بتدخل، في شغلات + +284 +00:19:08,090 --> 00:19:11,110 +كتير اتمنعت أنها تدخل، جربت فيها قبلهاك و اليهود + +285 +00:19:11,110 --> 00:19:14,470 +منعوها، فعشان هيك أنا بقول لو وضع المعبر أخضر، + +286 +00:19:14,470 --> 00:19:16,710 +هيصير المنتج .. بدل ما هو منتج و اتنين، هيصيروا + +287 +00:19:16,710 --> 00:19:22,820 +عشرةبعد هي .. هي الشنطة ال .. اسمها الشنطة الموفرة + +288 +00:19:22,820 --> 00:19:26,460 +هي فكرتها مثلا اللي عندها أطفال مابتحطش أغراضها + +289 +00:19:26,460 --> 00:19:29,400 +كتير على التسريحة فبتروح بتلمهم كلهم بشنطة واحدة و + +290 +00:19:29,400 --> 00:19:31,720 +الشنطة بالآخر بدل من هي كبيرة بتصير حجمها صغير + +291 +00:19:31,720 --> 00:19:35,240 +كتير و بتلم كمان لو واحدة مسافرة لما تاخد معاها + +292 +00:19:35,240 --> 00:19:38,300 +كيس كبير أغراضها و ال make up و ال accessory بتروح + +293 +00:19:38,300 --> 00:19:41,600 +كلهم بتلفهم بشنطة واحدة صغيرة و بتاخد .. يعني + +294 +00:19:41,600 --> 00:19:47,220 +مساحتها كتير كتير صغيرة بتوفر عليها كتيرمثلا هذه + +295 +00:19:47,220 --> 00:19:51,440 +المحافظ المحافظ على اليمين محافظ الفكه هي محافظ + +296 +00:19:51,440 --> 00:19:54,700 +السيليكون هي شغله كتير حلو بيحبوها الصبايا و اللي + +297 +00:19:54,700 --> 00:19:59,420 +تحت محافظ الجوالات ممكن تحط فيها جوال أو ممكن تحط + +298 +00:19:59,420 --> 00:20:04,380 +فيها كم قطعة مكياج على كم مثلا الأكل تبع الأصغار + +299 +00:20:04,380 --> 00:20:07,740 +الأطفال الحمض حلو الشغلات الحلويات و هاي الشغلات + +300 +00:20:07,740 --> 00:20:11,260 +بنحطوا فيها على اليمين مثلا قطعة من ال accessoire + +301 +00:20:13,580 --> 00:20:20,640 +بعد هيك الساعات كذا نوع ال accessoire كذا نوعأهم + +302 +00:20:20,640 --> 00:20:24,780 +شئ في المنتج أنه مايكونش منتشر في السوق إشي جديد، + +303 +00:20:24,780 --> 00:20:29,920 +إشي داخل على يعني كيف بحبوا البنات بتلاقيه أهم .. + +304 +00:20:29,920 --> 00:20:32,680 +أهم .. أهم عامل أنه فاتلها ده مايكونش منتشر لأنه + +305 +00:20:32,680 --> 00:20:35,700 +لو منتشر في السوق أنت مافيش داعي تفتحلي لمشروعك + +306 +00:20:35,700 --> 00:20:39,080 +هذا وإلا الناس تروح على السوق و تشتري بسهولة و + +307 +00:20:39,080 --> 00:20:42,240 +هتلاقي كمان صعوبة في رجود الفعل لو شافوا الإشي + +308 +00:20:42,240 --> 00:20:44,800 +موجود عندك و موجود برا هيقولوا إيش في إشي عندها + +309 +00:20:44,800 --> 00:20:51,040 +مميز يعني مافيش داعي للتعامل معهامثلا هاي المقص، + +310 +00:20:51,040 --> 00:20:55,220 +مقص البيتزا بتقطيع، هو عبارة عن مقص و من تحته له + +311 +00:20:55,220 --> 00:20:59,100 +القاعدة بتحطي فيه البيتزا و بتقطع على طول فبتطلع + +312 +00:20:59,100 --> 00:21:03,880 +معاكي اللي تحت خالص قطعة الخضار، هاي بتحطي فيها + +313 +00:21:03,880 --> 00:21:07,660 +الخضار بس بتضغطي عليها كل نزلات كلها اطع مشارب نفا + +314 +00:21:07,660 --> 00:21:11,480 +وفي لها كذا اطع، اشي مثلا اطع مستطيل، اشي اطع + +315 +00:21:11,480 --> 00:21:15,040 +مربع، حسب الشكل اللي انت عايزا بتستخدميها اللي + +316 +00:21:15,040 --> 00:21:19,260 +عاليمين هاي كفكير للمكارونة، كفكير هذا حراريبدل ما + +317 +00:21:19,260 --> 00:21:22,280 +تجيب المصفية أو إشي هو ع شكل معين بتصفف فيه، هاي + +318 +00:21:22,280 --> 00:21:29,060 +أفكار جديدة، آخر شيء المناقشة شكرا جزيلا لك، في أي + +319 +00:21:29,060 --> 00:21:34,020 +سؤال يقع؟طب طب يا عزيزي أنت بتقول إن مشروعك online + +320 +00:21:34,020 --> 00:21:35,980 +بتتعامل على طريق العالم، افترض إن هو ال facebook + +321 +00:21:35,980 --> 00:21:39,240 +أو ال internet، طيب بتلاقي .. هتلاقي كتير ناس .. + +322 +00:21:39,240 --> 00:21:42,900 +بس هتاخد طبعا تعليق أو رسالة أو أرقام مهمية أو + +323 +00:21:42,900 --> 00:21:46,020 +أسماء مهمية أو .. افرد اعطشك عنوان و .. و روحت + +324 +00:21:46,020 --> 00:21:49,020 +ودديلها لقطع .. يعني أكيد صارت معاكي عمليات نصيب و + +325 +00:21:49,020 --> 00:21:51,930 +عمليات مش عارفة إيشإيه المشروع؟ إيه لقى معوقات و + +326 +00:21:51,930 --> 00:21:54,650 +هيك؟ ممكن تجميلي لقاش معوقات اللي .. اللي تواجهت + +327 +00:21:54,650 --> 00:21:58,270 +مشروعك من .. من القداية و ببحث .. بحث عن تمويل ك + +328 +00:21:58,270 --> 00:22:00,950 +.. كطلب تدارك أعمال، يعني بتلاقي في أماكن كتير + +329 +00:22:00,950 --> 00:22:04,850 +مؤسسات الأقراض، الجامعات بتعمل مشاريع ما لجتش هذه + +330 +00:22:04,850 --> 00:22:08,110 +الأرض، يعني هيك أماكن تبحث لمش .. لتمويلها مشروع + +331 +00:22:08,140 --> 00:22:10,780 +ماشي و في أول نقطة أنت حكتيها عن نسبون، النسبون + +332 +00:22:10,780 --> 00:22:14,360 +هيما اللي عماليني في مصر في البداية دي بتحجزي حاجة + +333 +00:22:14,360 --> 00:22:17,580 +راح أخد منك مثلا، هقولك مثلا إذا موجودة، تستلميها، + +334 +00:22:17,580 --> 00:22:20,340 +في حال موجودة إنك هتستلميها، معايا رقمك، أنا قبل + +335 +00:22:20,340 --> 00:22:23,400 +ما أجي أبعتلك الطلب، أنا هكلمك، ماقدرش أطلع أي طلب + +336 +00:22:23,400 --> 00:22:26,200 +من عندي إلى اللي مقصد فيك، لأن هو أنت تتأكد إن أنت + +337 +00:22:26,200 --> 00:22:29,180 +موجودة مثلا في العنوان أو لأ، هتردي عليّ ولا لأ، + +338 +00:22:29,180 --> 00:22:32,720 +هو إذا انت ماردتيش عليّ، أنا مش هبعتلك الطلبفاهمة + +339 +00:22:32,720 --> 00:22:36,820 +كيف؟ و أقولك شغالة إحنا في قطاع غزة كقطاع صغير + +340 +00:22:36,820 --> 00:22:40,460 +عمليات الناس في الشغلات هاي قليلة إحنا قطاع صغير و + +341 +00:22:40,460 --> 00:22:43,260 +ممكن تقولي عينينا من منطقة صغيرة صعب إنه تلاقي + +342 +00:22:43,260 --> 00:22:45,200 +الاحتياط في شغلاتها هاي الحمد لله ما ماتش معايا + +343 +00:22:45,200 --> 00:22:48,340 +لإن أنا بكلم نسبونة قبل ما أبعتلها إيش فإفريدي + +344 +00:22:48,340 --> 00:22:52,040 +مثلا هي ماردتش علي و أنا بعت التلب فهيرجع للتلب و + +345 +00:22:52,040 --> 00:22:55,120 +أنا اللي هتفعل التوصيل فاهمة كيف؟ فصعب فأنا اللي + +346 +00:22:55,120 --> 00:22:58,580 +بكلمها بالنسبة للإقراد و الشغلات هاي أنا أخدت + +347 +00:22:58,580 --> 00:23:03,800 +الإقراد من العائلةمن حواليا، تمام؟ فماحبتش أني + +348 +00:23:03,800 --> 00:23:08,540 +أروح لمؤسسة أو إشي مش عايزة ألتزن في فترة مثلا في + +349 +00:23:08,540 --> 00:23:12,800 +المؤسسة ممكن ماقدرش ألتزن فيها، أما سواء فوائد أو + +350 +00:23:12,800 --> 00:23:17,060 +حتى مدة الالتزام لتصديد القرد، ممكن ماقدرش، يعني + +351 +00:23:17,060 --> 00:23:20,150 +تديني سنة وماقدرش أصدق فيهبس لما يكون مثلا arrived + +352 +00:23:20,150 --> 00:23:23,450 +و الناس بتعرفيهم تسمحولك مثلا في فترة أكتر عادي + +353 +00:23:23,450 --> 00:23:27,290 +تتأخر براحتك فهذه الطريقة أفضل بكتير أما بالنسبة + +354 +00:23:27,290 --> 00:23:30,510 +لأكتر المعويقات اللي أنا ماريت فيها هي معويقات ال + +355 +00:23:30,510 --> 00:23:35,510 +.. وضع البلد و الحروب و المعابر بس أما معويقات + +356 +00:23:35,510 --> 00:23:41,890 +الزبائن لأ ما ماريتش فيها فقدرت أتنافع عنهاطيب انت + +357 +00:23:41,890 --> 00:23:46,630 +حكيتين انه تم تصنيفك كأصغر تاجرة في اسمها مين + +358 +00:23:46,630 --> 00:23:49,190 +الجهات اللي كانت مسئولة عن هذا الاشي أو ايش + +359 +00:23:49,190 --> 00:23:53,530 +المستوى اللي كان محدد توصليه لحد ما تم تصنيفك في + +360 +00:23:53,530 --> 00:23:57,750 +هذا ال .. في المعيار مركز شؤون المرأة في غزة كان + +361 +00:23:57,750 --> 00:24:01,690 +بيعمل معرض سنة لكل سنة بيشتركوا فيه حوالي أربعين + +362 +00:24:01,690 --> 00:24:05,990 +وخمسين شخص من أفراد ومؤسسات اشتركت انا أول مرة كان + +363 +00:24:05,990 --> 00:24:10,910 +في عام 2013كان كل اللي هناك سيدات و كمار في السن + +364 +00:24:10,910 --> 00:24:15,990 +فكنت انا كأصغر تاجرة موجودة في العمر اللي انا + +365 +00:24:15,990 --> 00:24:18,750 +موجودة فيه وقتها فكانت .. كنت من التصنيف على هذا + +366 +00:24:18,750 --> 00:24:23,090 +الأساس و من هذا المركز .. المركز رون المرأة لأ لأ + +367 +00:24:23,090 --> 00:24:26,830 +ما أخدتش أي شهادات، لأ لأ، صحيح، اه هم كان في إلهم + +368 +00:24:26,830 --> 00:24:30,630 +فيديو نشرته عن المعرض، المركز نفسه نشر فيديو عن + +369 +00:24:30,630 --> 00:24:33,390 +المشاركين في المعرض و عن إيش بيحت في المعرض و + +370 +00:24:33,390 --> 00:24:36,670 +جابوا فقرة فيها أصغر تاجرة في فلسطينيعني انت عرضت + +371 +00:24:36,670 --> 00:24:39,410 +.. عرضت مواجهتك في هذا .. صحيح اه اه كل سنة بقى + +372 +00:24:39,410 --> 00:24:45,150 +شارك معهم من 2013 ل .. كان اخر اشتراك السنة هاي في + +373 +00:24:45,150 --> 00:24:48,710 +شهر تلاتة كل سنة بقى عرض معاهم شهر تلاتة شهر + +374 +00:24:48,710 --> 00:24:52,970 +الانجازات تعدد؟ ممكن .. بدنا .. مقظين يعني + +375 +00:24:56,230 --> 00:25:00,990 +بتسأل كيف يتصير قلية الاستراد؟ يعني كيف بتصير؟ و + +376 +00:25:00,990 --> 00:25:04,270 +لما اليهود بيرفضوا أي شغلة، كيف؟ يعني بعد ما أنت + +377 +00:25:04,270 --> 00:25:07,390 +بتصلع عندهم بيرفضوها ولا جابل تختم موافقتهم وبعدين + +378 +00:25:07,390 --> 00:25:10,570 +بتجيبيها؟ لأ شوفي أنا العمل كمان المهم في نجاح + +379 +00:25:10,570 --> 00:25:14,870 +مشروع فضل بعد لربنا arrived لي برا، في إني قريب + +380 +00:25:14,870 --> 00:25:18,250 +برا هو اللي بيسلم عن الإبداع، تمام؟ هو اللي + +381 +00:25:18,250 --> 00:25:22,020 +هيبعتلي إياهاففيه ليه طرف برا لأنه أنا مقدرش مثلا + +382 +00:25:22,020 --> 00:25:24,960 +تقعد تتفقى مع شركات أو ناس ينصبوا عليك ويقولوا + +383 +00:25:24,960 --> 00:25:28,100 +هالكلام ويتلاقي حد برا يسلم عنك هو اللي يبعتك + +384 +00:25:28,100 --> 00:25:32,460 +طريقة أنه أنا أاخد الإبداع قبل ما توصل لليهود طبعا + +385 +00:25:32,460 --> 00:25:34,480 +أنا ماكنتش عارفة مثلا عن التقم اللي أنا حكيت عنه + +386 +00:25:34,480 --> 00:25:37,530 +البديكيري لإنه ممنوعفكنت رايحة شاي و جايبة الكيمية + +387 +00:25:37,530 --> 00:25:42,510 +و كله تمام قصدت إنه هيفوت عادي فقبل ما أبعت للشخص + +388 +00:25:42,510 --> 00:25:45,110 +اللي هيجيبلي التاجر اللي هو اللي هيدخليه من اليهود + +389 +00:25:45,110 --> 00:25:48,550 +المعاقزين فحكى لي كذا كذا ممنوع فراحة قريبة يقضلهم + +390 +00:25:48,550 --> 00:25:52,150 +عنده يعني مش بس المنتج هذا فيه يمكن كتير كتير + +391 +00:25:52,150 --> 00:25:56,030 +منتجات ضايلة عنده لحد الآن ممنوع إنها تفوت تمام؟ + +392 +00:25:56,030 --> 00:25:59,320 +فقبل ما يبعتلي إياها أنا عرفتفمش انه بتوصل لليهود + +393 +00:25:59,320 --> 00:26:02,700 +و بيمنعوها و بترجع تاني هيك هتسير تكلف التواصل + +394 +00:26:02,700 --> 00:26:06,440 +تاني و مواصلات شحن كبيرة فلأ في الناس برا هم اللي + +395 +00:26:06,440 --> 00:26:11,900 +هيبعتولي و هم اللي هيوصلولي و بتوصلنا هم اللي هم + +396 +00:26:11,900 --> 00:26:11,960 +اللي هم اللي هم اللي هم اللي هم اللي هم اللي هم + +397 +00:26:11,960 --> 00:26:12,700 +اللي هم اللي هم اللي هم اللي هم اللي هم اللي هم + +398 +00:26:12,700 --> 00:26:14,640 +اللي هم اللي هم اللي هم اللي هم اللي هم اللي هم + +399 +00:26:14,640 --> 00:26:24,160 +اللي هم اللي + +400 +00:26:24,160 --> 00:26:27,570 +هم اللهو البديل مابرفح بس حاليا .. بس صعب هذا + +401 +00:26:27,570 --> 00:26:31,210 +البديل كتير يعني شوفي شغل .. في حاجات ما كلها + +402 +00:26:31,210 --> 00:26:37,730 +مضاقت فإلا .. و موجودة عيل ناس مطمونين + +403 +00:26:41,490 --> 00:26:44,010 +عمول قبل ما تجيبيها؟ لما يطلبها الزبون يعني هم + +404 +00:26:44,010 --> 00:26:46,890 +يطفلوا إياها، تاخدي نصف عمول قبل ما تتيجي؟ قصدك + +405 +00:26:46,890 --> 00:26:50,690 +عربون؟ عربون أه المونتجات بشكل عام مابخدش عليها + +406 +00:26:50,690 --> 00:26:53,350 +عربونات، هتيجي بعد شهر، هتيجي بعد أسبوع، مابخدش + +407 +00:26:53,350 --> 00:26:56,690 +عليها إلا شغل واحدة، هي الملابس، قطع الملابس اللي + +408 +00:26:56,690 --> 00:27:00,830 +عندي لما بجيب مونتاج، ملابس، بيكون مميز، وكل إش + +409 +00:27:00,830 --> 00:27:03,990 +مميز مش موجود ومنتشر بالسوق، بيكون نوعا ما السعر + +410 +00:27:03,990 --> 00:27:08,430 +تبعه مرتفعمش زي مثلا الصيني لإنه قشر القشر حكاية + +411 +00:27:08,430 --> 00:27:11,930 +السوق أنه مثلا تاجر جملة بروح بجيب كمية كبيرة و + +412 +00:27:11,930 --> 00:27:15,110 +بوزها على السوق لما تجيب كمية كبيرة تاخد سعر رخيص + +413 +00:27:15,110 --> 00:27:18,210 +طب هلأ السوق هيك انتشر طب أنا بدي أجيب إشي كمية + +414 +00:27:18,210 --> 00:27:21,650 +قليلة و منتج مميز فشوية ال range مرتفعة أول ما + +415 +00:27:21,650 --> 00:27:26,070 +بدأت في حجز الملابس طبعا أنا بعرض صور الإطار و + +416 +00:27:26,070 --> 00:27:29,510 +اللي بدها بتحجز في البداية ماكنتش أخد عربوناتكنت + +417 +00:27:29,510 --> 00:27:32,270 +أحجز للكل وحتى لو بتطلبي تلت أربع قطعة كنت أحجزلك + +418 +00:27:32,270 --> 00:27:39,210 +مافيش مشكلة بس لاقيت أنه في ناس مابتستلمش تتهرب في + +419 +00:27:39,210 --> 00:27:42,090 +قطعة الملابس لأنه بقى المنتجات مابيهنيش حتى لو ما + +420 +00:27:42,090 --> 00:27:45,430 +استلمتيش سعرها بيكون مقدور عليها خمس أشهر و أشرين + +421 +00:27:45,430 --> 00:27:48,490 +تلاتين مابقدر أبيها لحد غيرك أما منتج الملابس + +422 +00:27:48,490 --> 00:27:51,690 +بتاخديه مقاسك معين إليك مقاس ممكن مايجيش على صبونة + +423 +00:27:51,690 --> 00:27:54,810 +تانية انت زوأك اللي اختارتيه ممكن مش زوء حد تاني + +424 +00:27:54,810 --> 00:27:58,760 +فبترمى بالآخر بوشيفما كيف أول مرة أنا جبت فيها + +425 +00:27:58,760 --> 00:28:03,640 +الملابس كمية ناس كتير ما تسمتش فمن بعدها صار أي حد + +426 +00:28:03,640 --> 00:28:07,640 +بده ملابس الملابس إلها واربون طبعا علشان إنه في + +427 +00:28:07,640 --> 00:28:11,780 +ناس لسه جدد مابيعرفونيش طب ممكن هي تنصب علينا ومين + +428 +00:28:11,780 --> 00:28:17,660 +هالكلام؟ تعرفي إحنا في مجتمع إلا التفكير هذا فالحل + +429 +00:28:17,660 --> 00:28:21,280 +إنه تدفع مثلا قيمة صغيرة من السعر اللي هو عشرين + +430 +00:28:21,280 --> 00:28:25,620 +شكلطبعا عشرين شركة يعني سعر مش مستاهل، المبلغ مش + +431 +00:28:25,620 --> 00:28:29,280 +مستاهل لإني أنصب عليك و لإني أدور في شغلين، فبتيجي + +432 +00:28:29,280 --> 00:28:32,520 +ال .. بتبعتلي عشرين شركة مع التوصيل تبعي أو + +433 +00:28:32,520 --> 00:28:35,180 +بتيجيني على بيتي، بتدفعلي إياهم و أنا بحجز لها + +434 +00:28:35,180 --> 00:28:38,440 +الغرض، في حال كانت مثلا من برة غزة صعب إنها تيجي + +435 +00:28:38,440 --> 00:28:41,740 +عشان عشرين، فبسهيلهم اللي من برة غزة عن طريق رسيد + +436 +00:28:41,740 --> 00:28:47,400 +جوالفي حل لما توصل القطعة بسلمها إياها لو لصمح + +437 +00:28:47,400 --> 00:28:52,580 +الله حصلت معايا مرة في بعض الزبائن كانت طلباتهم ان + +438 +00:28:52,580 --> 00:28:56,560 +سرقت من ناحية اليهود الملابس سبعتهم ان فقدت من + +439 +00:28:56,560 --> 00:28:59,660 +ناحية اليهود من ناحية الشحن أي أن كان القطعة + +440 +00:28:59,660 --> 00:29:05,420 +ماوصلتش فأنا بروح بوصلها الفلوس لبيتها لعنوانها و + +441 +00:29:05,420 --> 00:29:08,640 +أنا بتكلف بالتوصيل لأن مش معقول البعتاد اللي هي + +442 +00:29:08,640 --> 00:29:11,340 +كمان هتتكلف بالتوصيل تاني و أنا بوصلها المبلغ زي + +443 +00:29:11,340 --> 00:29:14,110 +ما هو لإلهاهذه الطريقة اللي هي فيها، بس هذا + +444 +00:29:14,110 --> 00:29:17,910 +الارضون لقصة الملابس فقط، لأنه بتعرفي أسواق مختلفة + +445 +00:29:17,910 --> 00:29:20,670 +ومقاسات مختلفة، مش معقول يعني أستنى لأسبونة تانية + +446 +00:29:20,670 --> 00:29:23,970 +تيجي تاخدها ومنها الأوضاع أخر سؤال، فكرتش تدخلي + +447 +00:29:23,970 --> 00:29:26,690 +شريك معاكي غير لأ، غير نطق لعائلة يعني أو حد من + +448 +00:29:26,690 --> 00:29:29,370 +برا، تفتحي محل و تكون على أرض بما هو على عالم + +449 +00:29:29,370 --> 00:29:33,270 +افتراضي، أرض واقعي، كل القسم و المكان شراكة مع حد + +450 +00:29:33,270 --> 00:29:39,890 +خارجي لأالواحد مش عايز يدخل في متهات و تعب و قصص و + +451 +00:29:39,890 --> 00:29:44,370 +مشاكل أكيد أنا بتمنى أنه يصير إيه من المشروع اللي + +452 +00:29:44,370 --> 00:29:48,530 +هو محل على أرض الواقع ولكن التمويل حاليا ما بيسمحش + +453 +00:29:48,530 --> 00:29:52,410 +و لأ بفكر أنه أدخل شراكة لأنه الواحد لما بيمشي + +454 +00:29:52,410 --> 00:29:55,670 +لحاله في مشروعه أفضل ما تدخلي حد يتحكم معاكي و + +455 +00:29:55,670 --> 00:29:58,510 +هتصير مشاكل كتير و قصة و خلافات فالواحد أفغن عنها + +456 +00:30:14,830 --> 00:30:17,450 +الناس اللي مش مشاركينها ممكن تشاركوا ان شاء الله + +457 +00:30:17,450 --> 00:30:22,910 +يعني أكيد مش هتوقفي لحدها يعني أكيد هتوري من حالك + +458 +00:30:29,920 --> 00:30:34,160 +أنا حاليا في الوضع الحالي بأثرني بس أشوف أوضاع + +459 +00:30:34,160 --> 00:30:37,480 +البلد و أوضاع المعابر لأنه هي الأساس في شغله، هو + +460 +00:30:37,480 --> 00:30:40,320 +مش معقول المعابر مسكرة، أنا مش عارفة أجيب إبداع + +461 +00:30:40,320 --> 00:30:42,940 +مثلا، مش معقول هروح أفكر أنه أطور في مشروع مثلا + +462 +00:30:42,940 --> 00:30:47,000 +أرض الواقع في المحل، المحل عايز تمويل، أنا بفكر في + +463 +00:30:47,000 --> 00:30:50,140 +الفترة اللوية أنه ألاقي تمويل، تمام؟ بس مش تمويل + +464 +00:30:50,140 --> 00:30:54,770 +قروض ولا تمويل شراكةهذا الأفضل لأنه في وضع الحالي + +465 +00:30:54,770 --> 00:30:58,270 +لما دي بتش فتح المحل دي بتستردى مثلا تكاريفه على + +466 +00:30:58,270 --> 00:31:01,910 +سنة سنتين فصعب بالوقت الحالي أنه تفتح المحل بسهولة + +467 +00:31:01,910 --> 00:31:04,510 +فالرؤية المستقبلية ان شاء الله اللي هو التفكير في + +468 +00:31:04,510 --> 00:31:06,530 +إيجاد تمويل لالمخالي + +469 +00:31:19,530 --> 00:31:22,710 +هو شوفي الأكسسوارات أنا مش هان المادة اللي هو، + +470 +00:31:22,710 --> 00:31:26,230 +القطعة جاهزة، أنا عليا يا إما أجيب صورها للشركة + +471 +00:31:26,230 --> 00:31:30,700 +جاهزة وأعرضها، يا إما أنا بصورهاأه و زي ما هي + +472 +00:31:30,700 --> 00:31:34,180 +بستوردها أنا ماشتغلش أهل من ال accessoires الصوف + +473 +00:31:34,180 --> 00:31:36,900 +مثلا أنا كنت في البداية أشتغل بعد هات لما أصار فيه + +474 +00:31:36,900 --> 00:31:40,960 +طلب صرت أشغل حدا معايا عندى صديقة بتشتغل بالصوف + +475 +00:31:40,960 --> 00:31:43,580 +صرت أعطيها الطلبات لإنه بتعرف أنه لما ماتيش تدخل + +476 +00:31:43,580 --> 00:31:46,540 +بمجال الصوف و الشغل اليدوى عايز وقت وعايز أقعدش + +477 +00:31:46,540 --> 00:31:49,420 +شغلى فمش معقول هشتغل أهل مثلا بالصوف وفيه عندى + +478 +00:31:49,420 --> 00:31:51,780 +مجالات تانية accessoires و ملابس و أدوات منزلية + +479 +00:31:51,780 --> 00:31:54,950 +فمش هوفقفبعطي الشغل اللي يدوي لصاحبيتي هي اللي + +480 +00:31:54,950 --> 00:31:57,710 +تشتغل هلأ حاليا و أنا بكون أتأكدة منها و من جودتي + +481 +00:31:57,710 --> 00:32:00,350 +في الشغل و جودة ال .. المنتج في النهاية زي ما أنا + +482 +00:32:00,350 --> 00:32:03,110 +عايزة و زي ما أنا بشتغله و أنا بتكمل في شغلات + +483 +00:32:03,110 --> 00:32:06,330 +الدراسة طب المدة يعني ممكن عايزي طلبات في مدة + +484 +00:32:06,330 --> 00:32:07,670 +معينة مثلا بصوف يعني؟ + +485 +00:32:11,540 --> 00:32:15,720 +هو شوفي شغل الصوف مبتسر عليه الشتاء من شهر 12 لشهر + +486 +00:32:15,720 --> 00:32:19,920 +2 قبل بتكون نايم كتير و بعد نايم كتير و .. وكمان + +487 +00:32:19,920 --> 00:32:21,980 +يعني بتطلبي شغلة بتكوني محاضرة مع الاسبونة أنا + +488 +00:32:21,980 --> 00:32:25,020 +ماتفق معاكي انت مثلا عايزة طريقة أطفال ماتفق معاكي + +489 +00:32:25,020 --> 00:32:28,000 +يومين، تلاتة، أسبوع هتستلميها في بيني و بينك موعد + +490 +00:32:28,000 --> 00:32:32,580 +هعديكي موعد و هنلزم فيه أما أنه مثلا كمية كبيرة + +491 +00:32:32,580 --> 00:32:37,300 +ممكن أوزيها على كذا شخص كذا حد بيشتغل، بيعملها بس + +492 +00:32:37,300 --> 00:32:40,000 +في موضع الحي لازم كله يكون له موعدة بس أخر سؤال + +493 +00:32:40,000 --> 00:32:40,580 +إيه لو أنا + +494 +00:32:45,210 --> 00:32:48,410 +كيف يعني؟ انا فصلت مثلا مستان معين كتاب و عايز + +495 +00:32:48,410 --> 00:32:51,770 +اكسف ورق، انا فصلته سيادة عايز اعمل شوية شغلات + +496 +00:32:51,770 --> 00:32:54,630 +علاجية .. الحركات .. الحركات .. ده .. ده .. ده .. + +497 +00:32:54,630 --> 00:32:54,970 +ده .. ده .. ده .. ده .. ده .. ده .. ده .. ده .. ده + +498 +00:32:54,970 --> 00:32:56,470 +ده .. ده .. ده .. ده .. ده .. ده .. ده .. ده .. ده + +499 +00:32:56,470 --> 00:32:56,550 +.. ده .. ده .. ده .. ده .. ده .. ده .. ده .. ده .. + +500 +00:32:56,550 --> 00:33:03,380 +.. ده .. ده .. ده .. ده .. ده .. ده .. دهلو قبل ما + +501 +00:33:03,380 --> 00:33:06,960 +تجيب الاشي من برا بتكوني عرضة على الصفحة الملابس + +502 +00:33:06,960 --> 00:33:09,900 +مثلا لو اتيجي بالطلاب بعرض بتاعها مثلا الأدوات + +503 +00:33:09,900 --> 00:33:12,600 +المنزلية ساعات بتكون موجودة عندي حاليا أنا فيها + +504 +00:33:12,600 --> 00:33:15,060 +عندي شوية ممتجات ببعرضها على طول أول و أول عندي + +505 +00:33:15,060 --> 00:33:19,230 +أنا متوفرةلما تقريب تخلص أو لا الشركة نزلت شغلات + +506 +00:33:19,230 --> 00:33:21,470 +جديدة و أنا بكون عارفاها و شايفة جودتها قبلهاك + +507 +00:33:21,470 --> 00:33:24,670 +بروح بنزل ألبوم بقولها ده بالطلب بالحجز معاكم مثلا + +508 +00:33:24,670 --> 00:33:27,830 +3 او 4 أيام بتشوفيه و بتحجز بالمدة هاي و بسكر + +509 +00:33:27,830 --> 00:33:30,530 +الحجز و ببعته للشركة و بيجي بالفترة اللي أنا بقولك + +510 +00:33:30,530 --> 00:33:33,750 +عليها طبعا مثلا أنا بدي أكل مثلا بعد شهرإيجي بعد + +511 +00:33:33,750 --> 00:33:36,550 +شهر بتستلمي، إيجي قبل شهر بتستلمي، حسب وضع المعبر، + +512 +00:33:36,550 --> 00:33:39,610 +ممكن ساعتي تأخر أسبوع، هتأخر أسبوعين الطلب، ساعات + +513 +00:33:39,610 --> 00:33:42,410 +بيجي قبل المواعيد، على حسب يعني وضع المعبر بالظبط، + +514 +00:33:42,410 --> 00:33:44,670 +لإن أنت عارفة إحنا في مامتي أو بلد مش مستقل، + +515 +00:33:44,670 --> 00:33:48,890 +ساعات، مش دايما، ساعات الإيش موفرلك، هبقولك هيو + +516 +00:33:48,890 --> 00:33:52,290 +يتوفر، ساعات بقولك بالحجز بتقدري تحجزك، مش على + +517 +00:33:52,290 --> 00:33:57,970 +طول، حسب أنا عنده سؤال؟فضل يا لأ، إذا كنت بتجيب + +518 +00:33:57,970 --> 00:34:00,850 +منتجات مش موجودة في المدرسة، كم أنت بتحدد السعر أو + +519 +00:34:00,850 --> 00:34:04,790 +الربح أو كم بتستكفي بربح معينة؟ حسب التكلفة، حسب + +520 +00:34:04,790 --> 00:34:07,610 +التكلفة، بصدافة كم هي الكلفانة، خديف عليها كم ممكن + +521 +00:34:07,610 --> 00:34:11,670 +أخد شحن، وبقى أخدت ربح، تمام؟أنا بحط الشحن بزيادة + +522 +00:34:11,670 --> 00:34:14,950 +شوية عشان لو التهال لقت معايا، اتصابت معايا، بكون + +523 +00:34:14,950 --> 00:34:18,470 +أنه ماقدرتش لأ أضر حالي و بنفس الوقت ماقلش مثلا + +524 +00:34:18,470 --> 00:34:21,170 +للزبون هتلاقيتها حق أو عشرة و أنا مش حاسبة كويس و + +525 +00:34:21,170 --> 00:34:23,730 +لما ييجي مثلا يكالفني 15، مش حاجة أقول للزبون + +526 +00:34:23,730 --> 00:34:27,260 +هتلاقى تختيب 15 بعد أن هي حاجة 16فماعيكي فبقرا بحط + +527 +00:34:27,260 --> 00:34:31,500 +ربح بزيادة .. مهامش التوصيل بزيادة تكلفة الشحن و + +528 +00:34:31,500 --> 00:34:35,440 +بحدد الربح في أغلب الأحيان تكلفة .. يعني قد ما + +529 +00:34:35,440 --> 00:34:39,140 +بحسبها بتطلع صح لأنه أول مرة و تاني مرة بالشغل هو + +530 +00:34:39,140 --> 00:34:42,200 +ده لسه اللي مش عارفه فيه كيف ترفد الطريق، قدش + +531 +00:34:42,200 --> 00:34:44,980 +هيتكلف و شغلته هاي بعدين بيصيحي عندك range محدد + +532 +00:34:44,980 --> 00:34:48,100 +للشحن تقلد الشغل على أساسه و أساس تكلفة المنتج + +533 +00:34:48,100 --> 00:34:54,300 +نفسهفنتس هل وجدتي تشجيع من قبل العائلة و الأسرة أو + +534 +00:34:54,300 --> 00:34:58,540 +البيئة المحيطة ده المشروع لممكن عقبات؟ والله هو + +535 +00:34:58,540 --> 00:35:01,960 +أنا مالاقيتش فارع بس بنفس الوقت مالاقيتش القبول + +536 +00:35:01,960 --> 00:35:06,160 +المشجع يعني مش على طول مشجع يعني ساعات يقولولي لأ + +537 +00:35:06,160 --> 00:35:08,840 +ساكري لأ الوضع البلد لأ مافيش الناس نايمة مافيش + +538 +00:35:08,840 --> 00:35:13,300 +منها الكلام بس أنا أصرت احباط يعني بس اه بكتير بس + +539 +00:35:13,300 --> 00:35:17,200 +كملت لإن الواحد اللي عايزه هو اللي بيكمل فيه مش حد + +540 +00:35:17,200 --> 00:35:19,840 +على حسب الناسهل ممكن في المستقبل نجيك ان شاء الله + +541 +00:35:19,840 --> 00:35:23,680 +قصيدة تعماية في المجال ده؟ والله .. الله أعلم ممكن + +542 +00:35:23,680 --> 00:35:27,340 +ان شاء الله مع الاصطناعات بس .. ان شاء الله بس على + +543 +00:35:27,340 --> 00:35:32,120 +حسب يعني انه قصة المشروع المحل وشغلات هاي فهي اللي + +544 +00:35:32,120 --> 00:35:33,220 +بتقرر بعد هيك + +545 +00:35:36,750 --> 00:35:41,070 +أه أكيد، أه صحيح، هلأ مثلا احنا أخدنا مثلا مدارس + +546 +00:35:41,070 --> 00:35:44,410 +الأعمال التخطيط، أنا خططت من و أنا بالجامعة، من + +547 +00:35:44,410 --> 00:35:48,710 +قبل ما أبدأ على أرض الواقع، راس المال، خططت أني + +548 +00:35:48,710 --> 00:35:51,790 +أكونه من أولها، و أنا في الجامعة برضه، من قبل ما + +549 +00:35:51,790 --> 00:35:55,850 +أبدأ على أرض الواقع، لما خلصت مثلا إبتديت الشغل، + +550 +00:35:55,850 --> 00:35:59,710 +اتصال معاي الزبائن، إرضاء الزبائن، كتير شغلات اللي + +551 +00:35:59,710 --> 00:36:02,390 +أنا درستها، لقيتها الحمد لله في ال .. في أنا + +552 +00:36:02,390 --> 00:36:07,570 +المشروع اللي أنا فيهبارك الله فيك يا وسادة و على + +553 +00:36:07,570 --> 00:36:12,510 +هدف تقديم إضاءة و شكرا إن شاء الله و بدمنالك إن + +554 +00:36:12,510 --> 00:36:13,490 +شاء الله مستقبل زهر + diff --git a/PL9fwy3NUQKwYZU2ezHFq-UK19TEyZdOHs/bWcoGEV7XPY.srt b/PL9fwy3NUQKwYZU2ezHFq-UK19TEyZdOHs/bWcoGEV7XPY.srt new file mode 100644 index 0000000000000000000000000000000000000000..8461adbcdad0f7d83f480b76cf6361298e9018c6 --- /dev/null +++ b/PL9fwy3NUQKwYZU2ezHFq-UK19TEyZdOHs/bWcoGEV7XPY.srt @@ -0,0 +1,2083 @@ +1 +00:00:21,410 --> 00:00:23,610 +اعوذ بالله من الشيطان الرجيم، بسم الله الرحمن + +2 +00:00:23,610 --> 00:00:26,090 +الرحيم، الحمد لله والصلاة والسلام على المصطفى + +3 +00:00:26,090 --> 00:00:29,230 +الأمين، سيدنا محمد وعلى آله ومن ساعده وبه وسلم + +4 +00:00:29,230 --> 00:00:32,950 +الدين، نبدأ السلام عليكم ورحمة الله، كيف حالكم؟ + +5 +00:00:32,950 --> 00:00:36,610 +كيف أصبحتم اليوم؟ هنحن نقترب من نهاية هذه المادة و + +6 +00:00:36,610 --> 00:00:40,210 +من نهاية هذه الرحلة أتمنى الجميع يصل لبر الأمان إن + +7 +00:00:40,210 --> 00:00:43,250 +شاء الله و أتمنى أن ما ألاقي أي طالبة لسمح الله + +8 +00:00:43,250 --> 00:00:46,010 +تحمل هذه المادة، المادة زي ما أنتم شايفين مادة + +9 +00:00:46,010 --> 00:00:49,310 +عملية و مادة واقعية و المجتمع كله قائم على إدارة + +10 +00:00:49,310 --> 00:00:53,170 +المشاريع و كتابتها و تنسيق المشاريع، ما زلنا في + +11 +00:00:53,170 --> 00:00:56,290 +الجزء الثاني من عرض مقترحات المشاريع اللي أنتم + +12 +00:00:56,290 --> 00:00:58,930 +كتبتوها بناء على الاستفادة من هذه المادة إن شاء + +13 +00:00:58,930 --> 00:01:03,380 +الله، اليوم هنكون مع زميلتكم آية جميلة في مشروعها + +14 +00:01:03,380 --> 00:01:07,740 +مستشفى بسمة حياة لأطفال السرطان، تفضلي يا + +15 +00:01:07,740 --> 00:01:11,460 +آية، أول شيء أنا طالبة يا آية جميلة طالبة في قسم إدارة + +16 +00:01:11,460 --> 00:01:16,080 +الأعمال، طبعاً طلبت مننا أن نعمل مقترح مشروع طبعاً + +17 +00:01:16,080 --> 00:01:20,420 +أنا عملت فكرة جديدة هي فكرة مستشفى بسمة حياة، أنه + +18 +00:01:20,420 --> 00:01:22,940 +كلكم ما هتسألوا ليش أنا اخترت هذا المشروع بالذات + +19 +00:01:22,940 --> 00:01:26,760 +هو مشروع خيري خدمي، مش مشروع تجاري، رح أستعرض هلأ + +20 +00:01:26,760 --> 00:01:30,300 +ليش أنا عملت هذا المشروع و ليش أهدافه، رح أحكي عن + +21 +00:01:30,300 --> 00:01:33,780 +المقدمة، رح أحكي عن كثير شغلات أنه خطرة في بالكم + +22 +00:01:33,780 --> 00:01:38,600 +أول شيء المقدمة بديتها في قول مأثور اللي هو في + +23 +00:01:38,600 --> 00:01:42,300 +مكان ما ينعم الأطفال ببهجة الحياة في مكان آخر + +24 +00:01:42,300 --> 00:01:45,320 +يصارعون للبقاء على قيد الحياة، في النهاية كلهم + +25 +00:01:45,320 --> 00:01:49,140 +أطفالنا، هلأ بيحكي عن الطفل الطبيعي كأي شخص طبيعي + +26 +00:01:49,140 --> 00:01:52,380 +أنه بيعيش ببهجة حياته، وعن الشخص اللي هو بيصارع + +27 +00:01:52,380 --> 00:01:58,620 +الموت عشان... أنه بيصارع البقاء على قيد الحياة، هلأ + +28 +00:01:58,620 --> 00:02:04,440 +أنا بدأت المقدمة بنسب بقد إيش عدد مرضى السرطان ونسب من + +29 +00:02:04,440 --> 00:02:08,080 +2007 من مركز الإحصاء الفلسطيني، وقد إيش متوقع يصير عدد + +30 +00:02:08,080 --> 00:02:13,600 +الوفيات من مرض السرطان، حكيت عنه يعني بصورة سريعة بس + +31 +00:02:13,600 --> 00:02:17,920 +في معلومة أنا أخذتها أنه في قطاع غزة بينتشر مرض + +32 +00:02:17,920 --> 00:02:20,560 +السرطان، وخصوصاً سرطان الأطفال على منطقة الحدود + +33 +00:02:20,560 --> 00:02:24,640 +أكثر من مناطق الداخلية، لأن منطقة الحدود كثير قريبة + +34 +00:02:24,640 --> 00:02:28,740 +من... من اليهود، ولما اليهود يرموا الغازات فبيأثر + +35 +00:02:28,740 --> 00:02:31,480 +على مناطق الحدودية أكثر ما هي مناطق الداخلية، قالوا إن + +36 +00:02:31,480 --> 00:02:36,660 +مفاعل ديمونة، مفاعل ديمونة، أنه صلاحية انتهت، عشان + +37 +00:02:36,660 --> 00:02:43,280 +هيك زادت نسبة عنا، فهم... هم بعيد عنهم، مش بعيدة نفس + +38 +00:02:43,280 --> 00:02:46,990 +الأشياء، هلأ أنا في تلاتين... فاهمين شوية إنتي؟ + +39 +00:02:46,990 --> 00:02:49,930 +ملاحظيني، ما تنزلي، وأسبوع، وإنتوا رايحين جايين على + +40 +00:02:49,930 --> 00:02:52,830 +الجامعة؟ في بعض اللوحات مكتوبة في الشارع، مين سليم؟ + +41 +00:02:52,830 --> 00:02:54,750 +مين سليم؟ اه، مين سليم؟ مين بيعرف مين سليم؟ في + +42 +00:02:54,750 --> 00:02:57,930 +السرطان، مين سليم؟ ولما اشتغلت فيها، مين سليم يعني + +43 +00:02:57,930 --> 00:03:01,450 +مين السليم صحياً؟ مين سليم من المرض صحياً؟ كده اللي... + +44 +00:03:01,450 --> 00:03:03,250 +...كده اللي... كده اللي... كده اللي... كده اللي... + +45 +00:03:03,250 --> 00:03:04,910 +كده اللي... كده اللي... كده اللي... كده اللي... + +46 +00:03:04,910 --> 00:03:10,510 +كده اللي... كده + +47 +00:03:10,510 --> 00:03:13,770 +اللي... كده اللي... ك + +48 +00:03:17,180 --> 00:03:19,660 +أيضاً الطعام اللي إحنا بناكله، طعام مش صحي اللي هو + +49 +00:03:19,660 --> 00:03:24,020 +اللي منفسه، هو ملون، فهذا كله بيؤثر بشكل سلبي على + +50 +00:03:24,020 --> 00:03:27,480 +الإنسان، وبيخلق في جميع الأمراض، وبنعمل أمراض خطيرة + +51 +00:03:27,480 --> 00:03:32,160 +هذه إن شاء الله، فضل فكرتي طبعاً مستشفى بسمة حياة + +52 +00:03:32,160 --> 00:03:35,440 +لمرضى... لمرضى السرطان، اخترت بالضبط الاسم هذا + +53 +00:03:35,440 --> 00:03:40,730 +لأنه هي بسمة... بسمة حياة، هي أنه صفة للحياة، هلأ طفل + +54 +00:03:40,730 --> 00:03:44,010 +السرطان معروف أن هو كأي طفل طبيعي، ما بيعملوش أن هو + +55 +00:03:44,010 --> 00:03:47,890 +كطفل طبيعي، هو بيحتاج إلى رعاية خاصة، غير هيك أنه + +56 +00:03:47,890 --> 00:03:52,330 +ما بي... بيخلق أن الجانب النفسي لما نعزز للمريض + +57 +00:03:52,330 --> 00:03:55,510 +السرطان الجانب النفسي بيكون أقوى من الجانب العلاجي + +58 +00:03:55,510 --> 00:03:59,850 +فأنا المستشف... المستشفى اللي بدي أعملها هي بتعزز + +59 +00:03:59,850 --> 00:04:02,950 +الجانب النفسي أكثر من الجانب العلاجي، في عندنا حملة + +60 +00:04:02,950 --> 00:04:06,630 +يوم الثلاثاء هدى إن شاء الله تضامن مع أطفال، الأطفال + +61 +00:04:08,700 --> 00:04:12,320 +طبعاً هي للشباب أنهم يحرقوا شعرهم يوم الثلاثاء إن + +62 +00:04:12,320 --> 00:04:17,220 +شاء الله، الإنسان بيجيله الماضي الخطير مع الكيماوي + +63 +00:04:17,220 --> 00:04:23,360 +وفي الشعر، ففي حملة تضامنية مع مرضى السرطان مع الناس + +64 +00:04:23,360 --> 00:04:26,540 +المصابين فيها، بقيم حرق الشعر، يعني الناس تستلمين + +65 +00:04:26,540 --> 00:04:30,420 +يحرقوا شعورهم عشان يتضامنوا مع أشخاص مع مرضى السرطان + +66 +00:04:30,420 --> 00:04:33,920 +هلأ المستشفى حتكون فيها قسم طبعاً... ده أحد + +67 +00:04:33,920 --> 00:04:38,490 +العلاجات النفسية، المستشفى للعلاج طبعاً حيكون فيها + +68 +00:04:38,490 --> 00:04:42,230 +مدرسة صغيرة، بيتعلم الطفل فيها أنه كأي منهج طبيعي + +69 +00:04:42,230 --> 00:04:47,510 +زي أي طفل طبيعي، بس أنه حتكون منهج سلسة، أنه قادر أن + +70 +00:04:47,510 --> 00:04:52,690 +يستوعبها، قادر على قدراته العقلية، طبعاً حيكون فيها + +71 +00:04:52,690 --> 00:04:57,230 +ملعب صغير، حيكون فيها مكان لجمع التبرعات، قاعة + +72 +00:04:57,230 --> 00:05:00,990 +صغيرة لتوعية الأهالي بتجنب المرض وكيفية التعامل + +73 +00:05:00,990 --> 00:05:05,460 +مع الطفل المصاب، وكمان هي... هي هي حيكون فيها مكتبة + +74 +00:05:05,460 --> 00:05:09,240 +صغيرة، حيكون فيها ملعب، أنه ينعزز الجانب النفسي + +75 +00:05:09,240 --> 00:05:11,340 +لله أكثر من الجانب... ماشي يعني، ال... ال... ال + +76 +00:05:11,340 --> 00:05:13,100 +...ال... ال... ال... ال... ال... ال... ال... ال... + +77 +00:05:13,100 --> 00:05:13,380 +ال... ال... ال... ال... ال... ال... ال... ال... ال + +78 +00:05:13,380 --> 00:05:13,740 +...ال... ال... ال... ال... ال... ال... ال... ال... + +79 +00:05:13,740 --> 00:05:14,700 +...ال... ال... ال... ال... ال... ال... ال... ال... + +80 +00:05:14,700 --> 00:05:15,680 +ال... ال... ال... ال... ال... ال... ال... ال... ال + +81 +00:05:15,680 --> 00:05:17,600 +...ال... ال... ال... ال... ال... ال... ال... ال... + +82 +00:05:17,600 --> 00:05:17,880 +ال... ال... ال... ال... ال... ال... ال... ال... ال + +83 +00:05:17,880 --> 00:05:22,000 +...ال... ال... ال... ال... ال... ال... ال... ال... + +84 +00:05:22,000 --> 00:05:24,320 +ال... ال... ال... + +85 +00:05:27,570 --> 00:05:31,030 +و بعيدة عن الضوضاء وضوضاء الناس، لإنه في هنا كمان + +86 +00:05:31,030 --> 00:05:34,530 +مستشفى ومستشفى القدس بعيدة عن... في منطقة يعني + +87 +00:05:34,530 --> 00:05:39,090 +هدوء وبعيدة عن السكان وهكذا، هلأ الأهداف اللي + +88 +00:05:39,090 --> 00:05:43,530 +خلتني أعمل هذا المشروع هي... هي حتكون أكبر... كأول + +89 +00:05:43,530 --> 00:05:47,070 +مستشفى وأكبر مستشفى متكامل لعلاج السرطان في + +90 +00:05:47,070 --> 00:05:51,450 +فلسطين، وحتقدم كل خدمات العلاج واستشارات مجانية + +91 +00:05:51,450 --> 00:05:55,050 +دون أن يتحمل المريض عناء وتكليف العلاج، لإنه حتكون + +92 +00:05:55,050 --> 00:06:01,170 +مشروع خيري، هي مشروع خيري ممول، الأهداف تبعي هي + +93 +00:06:01,170 --> 00:06:04,870 +تقديم خدمة العلاج والتشخيص، الرعاية التامة + +94 +00:06:04,870 --> 00:06:08,570 +بالأطفال حتكون رعاية فائقة الجودة، تما بالجانب + +95 +00:06:08,570 --> 00:06:12,070 +الأسرة، يعني نعرف الأسرة كيف أنهم يتعاملوا مع + +96 +00:06:12,070 --> 00:06:16,250 +الطفل، مؤسسة للعلم والتعلم، يتعلم فيها الطفل + +97 +00:06:16,250 --> 00:06:20,350 +المنهج الدراسي كطفل طبيعي، لكن بطريقة سلسة وأشياء + +98 +00:06:20,350 --> 00:06:23,980 +بسيطة، وبتعلم الأسرة فيها كمان أنه كيف يتعاملوا مع + +99 +00:06:23,980 --> 00:06:27,220 +الطفل، كيف أنهم يتجنبوا الطفل... كيف أنه يتجنبوا + +100 +00:06:27,220 --> 00:06:30,100 +المرض وكيف أنهم يتعاملوا... يعرفوا أن هذا الطفل + +101 +00:06:30,100 --> 00:06:34,000 +مصاب بهذا المرض، هلأ وبنعرف كمان كيف أنه ممكن نقوم + +102 +00:06:34,000 --> 00:06:38,360 +الوقاية من هذا المرض، وبنعمل عن طريق ورشات عمل + +103 +00:06:38,360 --> 00:06:42,300 +ودورات تدريبية عشان نتبادل المعرفة ونعرف أنه إيش + +104 +00:06:42,300 --> 00:06:45,100 +...إيش هم بدهم يعطونا الآباء والأمهات، وإيش إحنا + +105 +00:06:45,100 --> 00:06:49,940 +بنعطيهم، هلأ حيكون هدفنا شامل للمجتمع، لإن إحنا حنتعامل + +106 +00:06:49,940 --> 00:06:54,020 +بالمجتمع ككل، بدنا نعرفه بكيفية حماية البيئة من + +107 +00:06:54,020 --> 00:06:57,780 +خاطر السرطان، بدنا نعمل كيف لإنه نوقي من هذا + +108 +00:06:57,780 --> 00:07:01,260 +المرض، طبعاً ضمن الأهداف كمان تقليل عدد المصابين من + +109 +00:07:01,260 --> 00:07:05,660 +الأطفال بمرض السرطان، وتغليب الجانب النفسي اللي + +110 +00:07:05,660 --> 00:07:10,320 +الطفل بيشغله بأنشطة مفيدة، وأنه ينسى فيها هم + +111 +00:07:10,320 --> 00:07:16,070 +العلاج وهم المرض، وهيصير كأي شخص طبيعي، مبرراتي إن + +112 +00:07:16,070 --> 00:07:20,330 +أنا عملت هاي المشروع، أول شيء رعاية تامة والدعم + +113 +00:07:20,330 --> 00:07:25,330 +جاءت هي الفكرة لقلة اهتمام الناس بسرطان الأطفال، ومافيش + +114 +00:07:25,330 --> 00:07:29,170 +مستشفى متخصصي كامل لرعاية الأطفال المصابين، وطبعاً + +115 +00:07:29,170 --> 00:07:33,670 +الأطفال هم فئة وهي أضعف فئة في المجتمع، حتكون + +116 +00:07:33,670 --> 00:07:37,950 +أنه هي اللي هيتلعب فيها المجتمع، وبنفس الوقت إنه + +117 +00:07:37,950 --> 00:07:45,410 +طفل السرطان ما بيلاقيش أنه... بالضبط، دعم نفسي له، + +118 +00:07:45,410 --> 00:07:48,450 +وهلأ لنشر التوعية بين الناس بكيفية المحافظة على + +119 +00:07:48,450 --> 00:07:50,970 +البيئة، تجنب السرطان وكيفية التعامل مع الطفل + +120 +00:07:50,970 --> 00:07:54,710 +المصاب، ولتقليل نسبة المصابين، والشهير مرض + +121 +00:07:54,710 --> 00:08:00,180 +السرطان، مخرجاتي راح تكون بأطفال قادرين على تأهيل + +122 +00:08:00,180 --> 00:08:03,500 +أطفال قادرين على تحمل المرض، التكيف معه، التخفيف + +123 +00:08:03,500 --> 00:08:06,780 +عنهم، تعزيز الجانب النفسي لهم، تقليل نسبة + +124 +00:08:06,780 --> 00:08:10,420 +الإصابة بمرض السرطان، ويكون مجتمعنا قادر على تحمل + +125 +00:08:10,420 --> 00:08:14,280 +المرض وقادر على التعامل مع الطفل المصاب، للوصول إلى + +126 +00:08:14,280 --> 00:08:18,250 +الشفاء بإذن الله، أما الفئات المستهدفة، مشروع يستهدف + +127 +00:08:18,250 --> 00:08:23,310 +الأطفال زي ما إحنا حكينا أطفال السرطان من سن سنة + +128 +00:08:23,310 --> 00:08:27,770 +لحد 16 سنة، والآباء والأمهات عشان نوعيهم، وكأنّه + +129 +00:08:27,770 --> 00:08:31,770 +ممكن نحكي المجتمع بشكل عام، أما المنهجية والأنشطة + +130 +00:08:31,770 --> 00:08:36,960 +اللي راح أبدأ فيها المشروع، المنهجية حتكون مرحلة + +131 +00:08:36,960 --> 00:08:39,640 +الأولى، بإنه نحصل على الترخيص، هي أهم مرحلة من + +132 +00:08:39,640 --> 00:08:44,460 +المراحل، هنحصل على الترخيص من وزارة الصحة، هاي + +133 +00:08:44,460 --> 00:08:47,540 +بدأ أحكي اللي سيلزم من ال... من الوقت، إن يوم أو + +134 +00:08:47,540 --> 00:08:51,020 +يومين أو ممكن أسبوع، رح أستعرضها بالجدول الزمني + +135 +00:08:51,020 --> 00:08:54,160 +المرحلة الثانية، التخطيط وحصر ما سيلزم المشروع من + +136 +00:08:54,160 --> 00:08:58,080 +المعدات، بدنا نخطط إن إحنا إيش بلزمنا عشان نكون في + +137 +00:08:58,080 --> 00:09:02,190 +المشروع، بنعرف قد إيش التكاليف المالية إلى آخره، أما + +138 +00:09:02,190 --> 00:09:04,730 +المرحلة الثالثة اللي هي التمويل، أنه مين هي الجهة + +139 +00:09:04,730 --> 00:09:08,550 +اللي ممولة اللي حتمول المشروع، وبنعرف كل كافة المعدات + +140 +00:09:08,550 --> 00:09:11,990 +مين اللي حتمولها، وهذا بده يلزم من أسبوع لأكثر + +141 +00:09:11,990 --> 00:09:18,290 +أما المرحلة الثالثة .. بس هذه ممولة يعني جايب ليها و + +142 +00:09:18,290 --> 00:09:22,050 +أنا بدي أستفيد .. آه يعني في مصاريف .. آه .. أما + +143 +00:09:22,050 --> 00:09:28,190 +المرحلة الرابعة .. المرحلة الرابعة بالبناء، هلأ + +144 +00:09:28,190 --> 00:09:31,310 +المكتب الاستشارات الهندسي اللي هو Home إذا بتعرفوا + +145 +00:09:31,310 --> 00:09:34,670 +هو اللي راح يقوم في هذا المشروع كمقاول، هلأ راح + +146 +00:09:34,670 --> 00:09:38,470 +يأخذ المشروع من الصفر و يجهزه و بعد ما يخلص بناءه + +147 +00:09:38,470 --> 00:09:41,010 +راح يسلمّنيه جاهز، هذا المشروع .. أنا مش فاهم اسمه + +148 +00:09:41,010 --> 00:09:45,110 +بالتمويل، يعني هو عارض عليك .. يعني أنت مبلغ من + +149 +00:09:45,110 --> 00:09:47,970 +المال؟ حق، جايب التمويل قبل بدء المشروع، هو بالأصل + +150 +00:09:51,100 --> 00:09:54,160 +ممكن نكفل مشروع يتحدى أحلام مواطني المشروع اللي زي + +151 +00:09:54,160 --> 00:09:56,400 +هيك لأ بدنا نجيب الأموال عشان نعمل مشروع مشروع + +152 +00:09:56,400 --> 00:09:58,580 +مبنى مبنى مبنى مبنى مبنى مبنى مبنى مبنى + +153 +00:09:58,580 --> 00:10:01,020 +مبنى مبنى مبنى مبنى مبنى مبنى مبنى مبنى + +154 +00:10:01,020 --> 00:10:01,480 +مبنى مبنى مبنى مبنى مبنى مبنى مبنى مبنى + +155 +00:10:01,480 --> 00:10:07,400 +مبنى مبنى مبنى مبنى مبنى مبنى مبنى مبنى + +156 +00:10:07,400 --> 00:10:11,440 +مبنى + +157 +00:10:11,440 --> 00:10:19,600 +مبنى + +158 +00:10:19,600 --> 00:10:25,120 +فالأنشطة اللي راح يكون فيها طبعًا قسم للمستشفى + +159 +00:10:25,120 --> 00:10:28,720 +لتلقي العلاج، غرف .. عبارة عن غرف وأجهزة طبية + +160 +00:10:28,720 --> 00:10:32,360 +مجهزة بكاملها، نادي صغير .. صغير للقيام بالأنشطة + +161 +00:10:32,360 --> 00:10:35,560 +الرياضية اللي هو بيقدروا يعملوها، ملعب صغير لكرة + +162 +00:10:35,560 --> 00:10:39,380 +القدم أو كرة السلة للتدريب واستقبال + +163 +00:10:39,380 --> 00:10:42,340 +الأهالي لتعليمهم كيفية التعامل مع الطفل وتجنب + +164 +00:10:42,340 --> 00:10:46,320 +انتشار المرض، مدرسة صغيرة مكونة من ثلاث صفوف بتعلم + +165 +00:10:46,320 --> 00:10:49,780 +فيها المهارات وبتعلم فيها المنهج الدراسي بطريقة سلسة + +166 +00:10:49,780 --> 00:10:53,600 +وبسيطة، مكان كافتيريا صغير لتناول الطعام، غرفة + +167 +00:10:53,600 --> 00:10:58,000 +لاستقبال الزوار والاستشارات المقدمة منهم، وصندوق + +168 +00:10:58,000 --> 00:11:02,510 +للشكاوى، وآخر للتبرعات، سيقوم المشروع بحملة + +169 +00:11:02,510 --> 00:11:06,490 +توعية بنشر بروشورات إعلانية أو بالشوارع أو + +170 +00:11:06,490 --> 00:11:10,790 +إعلانات إذاعية أو .. المشروع هو طبعًا خيري قائم على + +171 +00:11:10,790 --> 00:11:15,530 +جمع التبرعات لتحسين أداء المستشفى، وفيه جهات + +172 +00:11:15,530 --> 00:11:19,570 +أخرى خارجية قائمة عليه، طبعًا الأصل يا أمة اللي .. + +173 +00:11:19,570 --> 00:11:21,830 +اللي كمان يكون ضمن الشغلات هذه يكون في مكان زي + +174 +00:11:21,830 --> 00:11:25,960 +حديقة، ما هو أنا كاتبة إنه في ملعب فما هيكون فيه + +175 +00:11:25,960 --> 00:11:30,400 +حديقة، الموارد + +176 +00:11:30,400 --> 00:11:35,380 +البشرية، المشروع يحتاج ممرضين، أطباء، معلمين أكفاء + +177 +00:11:35,380 --> 00:11:39,660 +بأنهم .. لهم قدرة على إنهم يتعاملوا مع الطفل، مدرب + +178 +00:11:39,660 --> 00:11:43,040 +رياضي لمتابعة الأطفال، محاسب عدد اثنين، سكرتير على + +179 +00:11:43,040 --> 00:11:46,900 +اثنين، موظف استقبال عدد خمسة لإنّه رح يكون عدة طوابق + +180 +00:11:46,900 --> 00:11:50,990 +فكل طابق تقريبًا بده واحد، خبير نفسي لقيادة قاعدة + +181 +00:11:50,990 --> 00:11:55,450 +تدريب، عامل نظافة من عشرة إلى خمسة عشر، وطباخ من واحد + +182 +00:11:55,450 --> 00:11:58,330 +إلى ثلاثة، وحارس عدد اثنين، ما في دكاترة يحاولوا + +183 +00:11:58,330 --> 00:12:02,470 +يشتغلوا؟ مدير، أنا .. ما في مستشفى بدون دكاترة يعني؟ + +184 +00:12:02,470 --> 00:12:08,530 +ممكنش .. ولا تعني إنك بتتوظف فيه خلاص يعني؟ مش + +185 +00:12:08,530 --> 00:12:12,230 +عارف إنك تحت المحاسب لأ المحاسب مش عارف إنك مش + +186 +00:12:12,230 --> 00:12:14,550 +عارف إنك مش عارف إنك مش عارف إنك مش عارف إنك مش + +187 +00:12:14,550 --> 00:12:15,150 +عارف إنك مش عارف إنك مش عارف إنك مش عارف إنك مش + +188 +00:12:15,150 --> 00:12:15,610 +عارف إنك مش عارف إنك مش عارف إنك مش عارف إنك مش + +189 +00:12:15,610 --> 00:12:16,050 +عارف إنك مش عار + +190 +00:12:22,190 --> 00:12:25,630 +الجدول الزمني طبعًا حكيت عنه في المنهجية، الجدول + +191 +00:12:25,630 --> 00:12:28,370 +الزمني هيبدأ من الحصول .. المرحلة .. الحصول على + +192 +00:12:28,370 --> 00:12:32,070 +الترخيص، طبعًا هلأ هي هادي فوق أشهر هي بالضبط سنتين + +193 +00:12:32,070 --> 00:12:36,130 +كاملتين من واحد إلى اثنين من واحد إلى اثنين فلأ أنا حكيت + +194 +00:12:36,130 --> 00:12:38,810 +الحصول على الترخيص هيلزم من أسبوع من يوم أو يومين + +195 +00:12:38,810 --> 00:12:41,770 +إلى أسبوع، بس أنا حاطّاها هنا شهر إنّه من ضمن + +196 +00:12:41,770 --> 00:12:47,480 +الشهور لإن في مشروع رح يكون سنة ونصف البناء فعلًا + +197 +00:12:47,480 --> 00:12:52,260 +عشان هيك عملتها بالشهور وطبعًا هي موضّح إنّه بالضبط + +198 +00:12:52,260 --> 00:12:54,720 +كيف كل مرحلة قد إيش بدها تأخذ وقت. + +199 +00:12:57,870 --> 00:13:01,270 +هلأ استمرارية المشروع راح أحكي عن ثلاث شغلات، أول + +200 +00:13:01,270 --> 00:13:05,110 +شيء الكوادر البشرية، راح أحكي عن الأنظمة الإدارية، + +201 +00:13:05,110 --> 00:13:10,810 +راح أحكي عن التمويل أو الموارد المالية، هلأ + +202 +00:13:10,810 --> 00:13:14,530 +الكوادر البشرية راح تكون طول ما في دعم وتحفيز + +203 +00:13:14,530 --> 00:13:19,770 +لهم دائم، إنّه راح يكونوا هم مستفيدين منه وراح + +204 +00:13:19,770 --> 00:13:26,720 +إنّه نوصل للهدف المطلوب، بالضبط، المهم هو الأنظمة + +205 +00:13:26,720 --> 00:13:30,860 +الإدارية، هتكون إلينا خطة استراتيجية واضحة لجميع + +206 +00:13:30,860 --> 00:13:35,680 +العاملين، وتعريفهم بمهامهم وواجباتهم اتجاه العمل، + +207 +00:13:35,680 --> 00:13:39,220 +تدريب العاملين في صورة دورية وتجديد الخطة + +208 +00:13:39,220 --> 00:13:44,760 +ومواكبتها للتطور والتقدم، طبعًا كمان بنحكي عن الممول، + +209 +00:13:44,760 --> 00:13:48,100 +طول ما في ممول للمشروع رح يكون مشروعي ناجح وماشي + +210 +00:13:48,100 --> 00:13:52,870 +شو هو، ما في أحد مضلل ممول مشروع معين أو مشهور منها، + +211 +00:13:52,870 --> 00:13:55,450 +أصلًا التبرعات هتمنع التبادلات من الناس .. بقى أنا + +212 +00:13:55,450 --> 00:13:58,170 +حاكية إنّه هيكون لما التبرعات تكون من جهات أخرى .. + +213 +00:13:58,170 --> 00:13:59,950 +الجامعات الخيرية، بس الجامعات الخيرية هتمنع + +214 +00:13:59,950 --> 00:14:02,330 +التبادلات، ممكن تلاقي الناس أو المواطنين العاديين + +215 +00:14:02,330 --> 00:14:05,950 +هم اللي هيتبرعوا، عشان، يعني ممكن تقول التبرعات + +216 +00:14:05,950 --> 00:14:07,950 +سنة وخمسة .. بقى أنا مكتوب إنّه في من ضمن ال .. + +217 +00:14:07,950 --> 00:14:11,850 +الأنشطة إنّه في صندوق للشكاوى .. للتبرعات، فرح + +218 +00:14:11,850 --> 00:14:14,410 +الناس اللي .. بس بخطة معينة لجامعة التبرعات، يجب + +219 +00:14:14,410 --> 00:14:18,030 +أن تشوفهم في واحدة فضائية باستماع، بيجيبوا تبرعة + +220 +00:14:18,030 --> 00:14:20,850 +على المستشفى، كذا كذا، ومكان تاني لمدة سابقة، زي + +221 +00:14:20,850 --> 00:14:23,530 +هيك يعني، تبتعد تبرعة بشكل أساسي، أما جماعة خيرية + +222 +00:14:23,530 --> 00:14:29,300 +أو مواطن، أما الشركاء، هلأ مشروعي خيري فبالدرجة + +223 +00:14:29,300 --> 00:14:32,800 +الأولى إنّه ما بيحتاجش لشركاء، لكن ممكن أعتبر إنّ + +224 +00:14:32,800 --> 00:14:35,720 +المقاول اللي هو مكتب الاستشارات الهندسي أحد + +225 +00:14:35,720 --> 00:14:38,740 +الشركاء، ممكن أعتبر الناس اللي راح تعملي فعالية في + +226 +00:14:38,740 --> 00:14:41,840 +الأنشطة والنشاطات اللي بتاعتها من ضمن الشركاء + +227 +00:14:41,840 --> 00:14:45,860 +ممكن أعتبر مؤسسة Interval اللي هي مؤسسة للدول + +228 +00:14:45,860 --> 00:14:49,760 +الاحتياجات الخاصة، ممول وممكن أعتبر وزارة الصحة + +229 +00:14:49,760 --> 00:14:53,500 +النرويجية، بس يا Miss كيف المقاول يعتبر شريكًا + +230 +00:14:53,500 --> 00:14:59,500 +بالأصل؟ أنا قلت إنّه .. إنّه أنا ممكن .. ممكن اعتباره + +231 +00:14:59,500 --> 00:15:04,900 +.. ممكن اعتباره كمان ممكن .. ممكن اعتباره كمان + +232 +00:15:04,900 --> 00:15:11,620 +ممكن .. ممكن اعتباره كمان ممكن .. ممكن اعتباره + +233 +00:15:11,620 --> 00:15:13,140 +كمان ممكن .. ممكن اعتباره كمان ممكن .. ممكن + +234 +00:15:13,140 --> 00:15:14,220 +اعتباره كمان ممكن اعتباره كمان ممكن اعتباره كمان + +235 +00:15:14,220 --> 00:15:14,320 +ممكن اعتباره كمان ممكن اعتباره كمان ممكن اعتباره + +236 +00:15:14,320 --> 00:15:15,120 +كمان ممكن اعتباره كمان ممكن اعتباره كمان ممكن + +237 +00:15:15,120 --> 00:15:15,760 +اعتباره كمان ممكن اعتباره كمان ممكن اعتباره كمان + +238 +00:15:15,760 --> 00:15:20,040 +ممكن اعتباره كمان ممكن اعتباره + +239 +00:15:20,040 --> 00:15:23,110 +كمان ممكن اعتبار، بس اشتغلوا يعني كأنهم .. لأ الشريك + +240 +00:15:23,110 --> 00:15:26,950 +اشتغل .. آه هم يعني كأنّه اشتغل بس بالمشروع .. آه + +241 +00:15:26,950 --> 00:15:30,090 +آه بيجهز المشروع وبيسحب حلو دلوقت .. الشريك بدونه + +242 +00:15:30,090 --> 00:15:33,770 +معاك يعني .. زي لو معاكيش مثلًا تاكم كنب بيجي صاحب + +243 +00:15:33,770 --> 00:15:36,530 +النجارة أو صاحب المكان بيصفط وبيرد وبيسحب حلو و + +244 +00:15:36,530 --> 00:15:39,760 +بيطلع، مش شريك خاص، أنت ما بحتاج مكان، ممكن يا ناس أصلًا + +245 +00:15:39,760 --> 00:15:43,680 +إنّ الشريك إنّه قدامها أفضل خدمات عن غيره، يعني هي + +246 +00:15:43,680 --> 00:15:47,300 +اختارت شركات .. الحاجات من المناقصات، وهم في بلدنا، + +247 +00:15:47,300 --> 00:15:49,740 +والحاجات الصحيحة من المناقصات هياخدهم، خلاص، يعني + +248 +00:15:49,740 --> 00:15:52,580 +شغل عادي .. شغل عادي، ليس شغل شركة، هو تبرع ببناء + +249 +00:15:52,580 --> 00:15:56,750 +مستشفى منّنا يعني، هنبقى محكمة مستشفى، لكن تقصد يعني + +250 +00:15:56,750 --> 00:16:00,250 +.. لأ هو أخذ أجرة وخلصنا .. لأ مش أجرة وهذا + +251 +00:16:00,250 --> 00:16:03,530 +مناقصتنا يعني، بياخد الفوز عليه بالمال، عشان يعني + +252 +00:16:03,530 --> 00:16:07,330 +.. يعني أخذ مقابل وخلصنا .. لكن إنّه يبني مبنى + +253 +00:16:07,330 --> 00:16:14,560 +كامل، لأ مش هأجر، طب الموازنة، طبعًا قلنا المشروع خيري + +254 +00:16:14,560 --> 00:16:18,160 +قائم على التبرعات والتمويل من الخارج، طبعًا أنا + +255 +00:16:18,160 --> 00:16:21,420 +اخترت النرويج لأن النرويج كثير بتعمل مساعدة للأطفال + +256 +00:16:21,420 --> 00:16:25,080 +وخصوصًا أطفال السرطان، مؤسسة إنترفال ومكتب + +257 +00:16:25,080 --> 00:16:29,010 +الاستشارات الهندسية المتكفل بالبناء وتكاليفه، هلأ حصّرت + +258 +00:16:29,010 --> 00:16:32,650 +التكاليف لتكاليف إنشاء من منذ .. قبل البدء + +259 +00:16:32,650 --> 00:16:35,670 +بالاستخدام للمش .. المشروع لحد ما يبدأ شراء الأرض + +260 +00:16:35,670 --> 00:16:38,690 +حتى البدء بالتشغيل، تكاليف إنشاء وتكاليف تشغيل؟ + +261 +00:16:38,690 --> 00:16:42,450 +ممتازة، 250 ألف دولار لتكاليف ال .. الإنشاء .. أكثر + +262 +00:16:42,450 --> 00:16:45,870 +من مليون، آه كم طاقة هيكون؟ خمسة .. خمس طاقات، خمس + +263 +00:16:45,870 --> 00:16:51,730 +طاقات، فضل، تقولي لحظة المساحة دول؟ آه أنا واحدة + +264 +00:16:51,730 --> 00:16:56,300 +مهندسة عملت ليها .. ممتازة، تكاليف التشغيل اللي هي + +265 +00:16:56,300 --> 00:17:02,100 +ستدفع منذ البدء بتشغيل المشروع حتى .. واستخدام + +266 +00:17:02,100 --> 00:17:06,060 +الكلّيات والعمال و أجور العمال، وقدرنا تكاليفها 150 ألف + +267 +00:17:06,060 --> 00:17:10,060 +دولار منذ لحظة تبدأ باستقبال الأطفال وتسجيلهم + +268 +00:17:10,060 --> 00:17:12,860 +هتبدأ علينا تكاليفها، الشركة التشغيلية، التقديرات + +269 +00:17:12,860 --> 00:17:16,900 +المبدئية هي طبعًا تقديرات يعني مش .. مش بالضبط، آه + +270 +00:17:16,900 --> 00:17:20,520 +حوالي .. ال .. ال .. طبعًا اخترت الجهاز الطبي وحدة + +271 +00:17:20,520 --> 00:17:24,260 +واحدة ده كلّفتها سبعين ألف دولار، عدد الوحدات هي .. + +272 +00:17:24,260 --> 00:17:29,060 +يلزم نمّيت وحدة، طبعًا إجمالي سبعة .. سبعة ملايين، + +273 +00:17:29,060 --> 00:17:32,780 +أساس، سرير، مفروشات، تجهيز مكتبة، موارد تعليمية، + +274 +00:17:32,780 --> 00:17:35,640 +ألعاب أطفال وغرفة ألعاب، بالآخر طبعًا معايا إجمال + +275 +00:17:35,640 --> 00:17:39,400 +التكاليف عشرة ملايين وستمائة وتسعة وستين ألف وخمسمائة + +276 +00:17:39,400 --> 00:17:43,220 +دولار أمريكي، من أولها من أولى؟ من أين الـ Interview + +277 +00:17:43,220 --> 00:17:46,440 +كانت؟ من مؤسسات دولية، يعني أكيد بتنقل .. لأ، في + +278 +00:17:46,440 --> 00:17:47,580 +ناس مستعدين .. لأ، في ناس مستعدين .. لأ، في ناس + +279 +00:17:47,580 --> 00:17:48,800 +مستعدين .. لأ، في ناس مستعدين .. لأ، في ناس + +280 +00:17:48,800 --> 00:17:49,740 +مستعدين .. لأ، في ناس مستعدين .. لأ، في ناس + +281 +00:17:49,740 --> 00:17:50,740 +مستعدين .. لأ، في ناس مستعدين .. لأ، في ناس + +282 +00:17:50,740 --> 00:17:51,580 +مستعدين .. لأ، في ناس مستعدين .. لأ، في ناس + +283 +00:17:51,580 --> 00:17:54,620 +مستعدين .. لأ، في ناس مستعدين .. لأ، في ناس + +284 +00:17:54,620 --> 00:17:56,080 +مستعدين .. لأ، في ناس مستعدين .. لأ، في ناس + +285 +00:17:56,080 --> 00:18:04,840 +مستعدين .. لأ، في ناس مستعدين .. لأ، في ناس + +286 +00:18:04,840 --> 00:18:10,350 +مستعدين ..بيلزمني عشر أطباء، راح يكون راتب الواحد + +287 +00:18:10,350 --> 00:18:14,470 +منهم 1500 كيلو دولار، مدير العام هيكون عندي واحد، + +288 +00:18:14,470 --> 00:18:17,690 +التكلفة .. طبعًا هي اسمتهم فاصلات شريح نوعية لطباء + +289 +00:18:17,690 --> 00:18:21,570 +ايش تخصصاتهم؟ وانت تخصصاتهم على أساس الرواتب، مش + +290 +00:18:21,570 --> 00:18:25,470 +شغل عادة الممرضين راح يلزمني ثلاثين ممرض، انه تكلف + +291 +00:18:25,470 --> 00:18:28,630 +.. التكلفة الواحدة .. برضه مش حاطة يا عزيزي؟ يعني + +292 +00:18:28,630 --> 00:18:32,150 +.. هو عشان .. بين ما بين نخلص مشاكل إنت إيش هتكون + +293 +00:18:32,150 --> 00:18:32,910 +وظيفتك؟ + +294 +00:18:44,680 --> 00:18:48,120 +ما في مستشفيات يا مس يعني أحد الأطباء هو بيكون المدير + +295 +00:18:48,120 --> 00:18:51,860 +أكيد + +296 +00:18:51,860 --> 00:18:58,660 +اه طيب مثلًا إذا ما انتبهت داد و كده عشان موظفينه، + +297 +00:18:58,660 --> 00:19:02,300 +هدايدارد هو اسمه، مدير المالية، هدايدارد، و أسالته + +298 +00:19:02,300 --> 00:19:05,980 +أقصر كلها، يدارينه، بنطقهم كام من اللي داروا يعني، + +299 +00:19:05,980 --> 00:19:10,480 +فطبعًا طيب الممرض دي راح يلزم منه ثلاثين ممرض، + +300 +00:19:10,480 --> 00:19:13,960 +مراتب الواحد منهم ستمية و خمسين دولار، المعلمين + +301 +00:19:13,960 --> 00:19:17,120 +راح يكون عنده ثلاث معلمين و راتب الواحد منهم ستمية + +302 +00:19:17,120 --> 00:19:21,690 +و خمسين دولار؟ في سؤال كده شهد الأطفال؟ 200 تقريبًا، + +303 +00:19:21,690 --> 00:19:25,610 +بس هو انه لحسب ما يجيني، بس هو أنا حاطة انه كعدد + +304 +00:19:25,610 --> 00:19:35,310 +.. مهو أنا حاطة من 200 انه حد الأقل إشي لأنك + +305 +00:19:35,310 --> 00:19:38,730 +بتحكيلنا عن مستشفى خمس طوابق بتكلفة عشان مليون، بس + +306 +00:19:38,730 --> 00:19:43,430 +أقل تعمل، مهو أنا حاطة حد الأقل .. + +307 +00:19:45,570 --> 00:19:49,030 +طبعًا الممرضين رح يلزمنوا ثلاثي .. قولنا المرشد + +308 +00:19:49,030 --> 00:19:52,150 +النفس هيال .. عندي واحد تكلفة الواحدة خمسماية + +309 +00:19:52,150 --> 00:19:55,290 +دولار، الـ secretary رح يكون عنده اثنين، أربعماية + +310 +00:19:55,290 --> 00:19:58,690 +دولار، فعامل النظافة هيكون عمال نظافة عشرة و + +311 +00:19:58,690 --> 00:20:02,610 +ثلاثمية و خمسين دولار و حارس .. الحارس اللي هيكون + +312 +00:20:02,610 --> 00:20:05,890 +على الباب طبعًا اثنين رح .. و ثلاثمية و خمسين دولار + +313 +00:20:05,890 --> 00:20:11,460 +رح ياخد الواحد و طباخ عدد ثلاثة راح يكون 350 دولار + +314 +00:20:11,460 --> 00:20:14,640 +و المدرب اثنين في 400 دولار، الإجمالي راح يطلع + +315 +00:20:14,640 --> 00:20:18,860 +عندي 45 ألف و ثمانمية دولار في الشهر؟ أه تحتاج 45 + +316 +00:20:18,860 --> 00:20:21,460 +ألف و ثمانمية دولار لغواطك في الشهر؟ أنه في أي + +317 +00:20:21,460 --> 00:20:26,560 +سؤال؟ في أي سؤال يا إخوان؟ في أي سؤال؟ سألناها + +318 +00:20:26,560 --> 00:20:30,660 +أتنال عامة هلأ، أنا كده بدي أسألها بالفعل، أهل جهة + +319 +00:20:30,660 --> 00:20:34,600 +ال ممول أنه أكيد مش هيجي يمول أي حد يعني بتوقيف + +320 +00:20:34,600 --> 00:20:38,870 +تحقيق الحشفةلأ ناس يقولوا يعملوا اتصال و يشوفوا + +321 +00:20:38,870 --> 00:20:41,250 +المشروع و يتأكدوا أن هو صدقوا البيانات و صدقوا + +322 +00:20:41,250 --> 00:20:44,210 +الشخص اللي بيبتابعه مش هيك يعني الناس يقولوا + +323 +00:20:44,210 --> 00:20:48,800 +اعطينا عشر مليون و أخدها يعني عشر مليون لما حد ييجي + +324 +00:20:48,800 --> 00:20:51,980 +يجمع تواجعات، بيكون عارف الجهة اللي بديها .. اه + +325 +00:20:51,980 --> 00:20:56,600 +صحيح و مضمونة و عارف .. بيكون هنا بمستشار يسار في + +326 +00:20:56,600 --> 00:21:00,360 +الـ bank اللي بيتفرع يتخيل، فبيجيها تبرعات من كل + +327 +00:21:00,360 --> 00:21:03,820 +الخيالة .. بيجيها تبرعات من كل الخيالة .. فهذه + +328 +00:21:03,820 --> 00:21:06,900 +التبرعات بالنسبة لي بتروح لصالح المشروع .. اه اه + +329 +00:21:06,900 --> 00:21:08,200 +في حساب المشروع .. اه + +330 +00:21:11,480 --> 00:21:16,000 +بس هي مش .. مشكلة إيه ده ينظفيهم لإن وجودهم عنصر + +331 +00:21:16,000 --> 00:21:19,580 +أساسي و معايير اختيار أفضل ما كانت عليهم لإن قولوا + +332 +00:21:19,580 --> 00:21:22,120 +لها قبل تدخلها فسامس بتقدرش تحدد يعني قد إيش بدها + +333 +00:21:22,120 --> 00:21:25,980 +account طفل هي ولا بيلا تحددها لإنها أفضل هي حاطة + +334 +00:21:25,980 --> 00:21:28,900 +.. بيتها مجال لإن أفضل أن هي بدأت تعمل مشروع على + +335 +00:21:28,900 --> 00:21:35,300 +الواقع لفكرة طبعًا، ماشي، لو أنت على الواقع بدها + +336 +00:21:35,300 --> 00:21:38,640 +تنزل، لو أنت في الصحة تجيب حصة أيام، صحيح، اه، وإن + +337 +00:21:38,640 --> 00:21:42,520 +أنا عليها تبدأ تخطط، يعني ما سخش مش صحفة بيحدده لإن + +338 +00:21:42,520 --> 00:21:46,320 +كان مريض يفوتها، اه ما سخش، لأ معايير، مثلًا إذا + +339 +00:21:46,320 --> 00:21:49,740 +كانت معايير يفوت، مش كل حلقة سرطان مش حاجة فعلًا، + +340 +00:21:49,740 --> 00:21:56,580 +اه لإن فيه سرطان يكون رح يطول في مستشفى .. مصر + +341 +00:21:56,580 --> 00:22:01,280 +مستشفى .. مصر مستشفى .. مصر مستشفى .. + +342 +00:22:05,970 --> 00:22:11,950 +فيه .. فيه بلا .. مستشفى .. مستشفى .. هو عبد + +343 +00:22:11,950 --> 00:22:15,330 +العزيزي الهندسي اللي موجود في العيون لأ غير .. عبد + +344 +00:22:15,330 --> 00:22:17,250 +العزيزي الهندسي لكل الأطفال في تلك العالم مش + +345 +00:22:17,250 --> 00:22:21,930 +هالسرطان بس بسم + +346 +00:22:21,930 --> 00:22:26,290 +الله الرحمن الرحيم معك أبطال البهاية فلافل هلأ + +347 +00:22:26,290 --> 00:22:30,750 +هقدملكم مقترح تطوير أساليب التدريس و المناهج + +348 +00:22:30,750 --> 00:22:36,700 +العلمية مقدمة عن المؤسسة أنا كتبت عن مؤسسة القطان + +349 +00:22:36,700 --> 00:22:41,000 +هي مؤسسة تلموية مستقلة غير ربحية تعمل على تطوير + +350 +00:22:41,000 --> 00:22:43,720 +الثقافة و التربية في فلسطين و العالم العربي تقوم + +351 +00:22:43,720 --> 00:22:47,300 +بتركيز على الأطفال و المعلمين و المبدعين الشباب + +352 +00:22:47,300 --> 00:22:52,060 +الرؤية تاعة مؤسسة القطان مجتمع معرفي يتسم بالعدل و + +353 +00:22:52,060 --> 00:22:55,420 +الحرية و التسامح و يتبنى الحوار و يقدر العلم و + +354 +00:22:55,420 --> 00:23:00,610 +الفن و الأداب و ينتجها و تحضر عالمي وفاعلة ماشي أنت + +355 +00:23:00,610 --> 00:23:03,150 +هتعمل مؤسسة زيه و لا تبقى طوية و ما لاقاش مشكلة؟ و + +356 +00:23:03,150 --> 00:23:07,210 +لا مع المشروع؟ مع المشروع مش عارف معاه اه الشركة + +357 +00:23:07,210 --> 00:23:13,400 +يعني؟ اه ماشي المهمة مهمة مؤسسة هي مستقلة تعمل في + +358 +00:23:13,400 --> 00:23:17,160 +مجال المعرفة والإبداع على أسس تكاملية مع فئات + +359 +00:23:17,160 --> 00:23:21,400 +مجتمعية متنوعة لاسم الأطفال والفنانين والمعلمين + +360 +00:23:21,400 --> 00:23:25,560 +الشباب تسعى إلى إنسان حر وثقافة فلسطينية عربية + +361 +00:23:25,560 --> 00:23:30,700 +حيوية بأفق إنسان تشاركي طويل المدى عبر برامج تحفظ + +362 +00:23:30,700 --> 00:23:33,200 +التساؤل والبحث والإبداع وإنتاج المعرفة + +363 +00:23:35,740 --> 00:23:39,740 +منخص مشروعي بناء على فقر المناهج وعدد التدريس + +364 +00:23:39,740 --> 00:23:43,420 +و قطاع التعليم في فلسطين قد وضعت مؤسسة قطان بعض + +365 +00:23:43,420 --> 00:23:46,900 +الأساليب و التقنيات الجديدة التي تهدف و تبحث عن + +366 +00:23:46,900 --> 00:23:50,080 +تحسين و تطوير تلك السلوكيات من أجل خلق بيئة + +367 +00:23:50,080 --> 00:23:54,180 +تعليمية فعالة أنا المشروع استهدفت فيه خمس مدارس + +368 +00:23:54,180 --> 00:23:59,390 +حكومية في مدينة غزة تركز على العديد بتعمل يعني + +369 +00:23:59,390 --> 00:24:02,310 +دورات تدريبية للمعلمين تعزيز مهارتهم في أكثر من + +370 +00:24:02,310 --> 00:24:06,090 +المواد الدراسية المواد الدراسية اختارت الرياضيات و + +371 +00:24:06,090 --> 00:24:08,990 +المواد الاجتماعية و اللغة الإنجليزية و العربية و + +372 +00:24:08,990 --> 00:24:13,390 +العلوم مدة المشروع خمس مشاريع و نص .. خمس أشهر و + +373 +00:24:13,390 --> 00:24:17,850 +نص داخل مبنى القطان قدرة الميزانية بـ 148 ألف و + +374 +00:24:17,850 --> 00:24:23,310 +ثمانية و عشرين كده بمبلغ اللي عادي؟ لأ بـ .. أنا فاصلة + +375 +00:24:23,310 --> 00:24:28,190 +بالموازنة كثير الأهداف احنا هدفنا في المشروع أن + +376 +00:24:28,190 --> 00:24:32,490 +نحسن التحسين الأكاديمي للطلاب بالنسبة لـ 80% تحسين + +377 +00:24:32,490 --> 00:24:35,310 +قدرات ومهارات المعلمين فيهم يتعلق بكيفية التعامل + +378 +00:24:35,310 --> 00:24:39,490 +مع الطلاب من المستويات العلمية المختلفة وتحسين + +379 +00:24:39,490 --> 00:24:42,470 +البيئة التعليمية من خلال تحسين الظروف التي من + +380 +00:24:42,470 --> 00:24:47,410 +خلالها يتعلم الطلاب ندخل مثلًا أجهزة الحاسوب الـ LCD + +381 +00:24:47,410 --> 00:24:51,550 +الأجهزة العارضة ندخلها في العملية التعليمية وتحسين + +382 +00:24:51,550 --> 00:24:57,530 +المناهج التعليمية من خلال تسهيلها على الطلاب مبررات + +383 +00:24:57,530 --> 00:25:03,410 +المشروع؟ مبررات المشروع؟ مبررات المشروع؟ مبررات + +384 +00:25:03,410 --> 00:25:07,790 +المشروع؟ مبررات المشروع؟ مبررات المشروع؟ مبررات + +385 +00:25:07,790 --> 00:25:15,830 +المشروع؟ مبررات المشروع؟ مبررات المشروع؟ مبررات + +386 +00:25:15,830 --> 00:25:20,390 +المشروع؟ مبررات المشروع؟ مبررات المشروع؟ مبررات + +387 +00:25:20,390 --> 00:25:24,680 +المشروع؟ مبررات المشروع؟ مبررات المشروع؟ كذلك + +388 +00:25:24,680 --> 00:25:27,780 +المعلمين غير المؤهلين يفتقرون إلى القدرة على + +389 +00:25:27,780 --> 00:25:31,040 +التدريس بطريقة فعالة وعلى الشرح و التبغير و + +390 +00:25:31,040 --> 00:25:35,600 +التوضيح ما هي مشكلة في الطلاب؟ لأ يعني أنا شايف + +391 +00:25:35,600 --> 00:25:38,320 +المشاكل كلها من الأساس أو .. طب ما هو .. ما هو تطور + +392 +00:25:38,320 --> 00:25:42,380 +الطلاب؟ ما هو تطور .. ما هو .. ما هو .. ما هو .. ما هو + +393 +00:25:42,380 --> 00:25:42,480 +.. ما هو .. ما هو .. ما هو .. ما هو .. ما هو .. ما هو .. + +394 +00:25:42,480 --> 00:25:43,020 +ما هو .. ما هو .. ما هو .. ما هو .. ما هو .. ما هو .. + +395 +00:25:43,020 --> 00:25:43,160 +ما هو .. ما هو .. ما هو .. ما هو .. ما هو .. ما هو .. + +396 +00:25:43,160 --> 00:25:44,560 +ما هو .. ما هو .. ما هو .. ما هو .. ما هو .. ما هو .. + +397 +00:25:44,560 --> 00:25:48,300 +ما هالانتحانات الصعبة بسبب الأسئلة الغامضة و غير + +398 +00:25:48,300 --> 00:25:51,620 +المباشرة، بيئة علمية غير فعالة، عدم وجود ظروف + +399 +00:25:51,620 --> 00:25:55,240 +التدريس الجيدة و عدم وجود عوامل التحكيز عدد + +400 +00:25:55,240 --> 00:25:58,640 +التدريس السيئة، الاتصال من جانب واحد، يكون التدريس + +401 +00:25:58,640 --> 00:26:02,280 +من جانب واحد، تدريس قائم على العقاب، عدم وجود + +402 +00:26:02,280 --> 00:26:06,440 +للطلاب معلومات بشأن باستقبالهم، بسبب نقص الوعي عن + +403 +00:26:06,440 --> 00:26:10,120 +أهمية أن يكون الشخص متعلم و ذو معرفة الفئة + +404 +00:26:10,120 --> 00:26:10,860 +المستهدفة + +405 +00:26:13,210 --> 00:26:18,450 +الفئة المستهدفة طلبت المدارس الحكومية المعلمين + +406 +00:26:18,450 --> 00:26:21,010 +الموظفين من المدارس ووزارة التربية و التعليم + +407 +00:26:25,150 --> 00:26:28,990 +ممكن المدرس مش فيها إداريين عشان هكذا. أه بس هم + +408 +00:26:28,990 --> 00:26:30,730 +الإداريين ممكنش يلاقوا مباشرة بالطلب. + +409 +00:26:33,470 --> 00:26:35,910 +أنت مخزع سنة بتعلم تطور المنهج، عشان هلاكوا + +410 +00:26:35,910 --> 00:26:37,870 +إداريين. بس هو اللي بتطور المنهج المشرفين، مش + +411 +00:26:37,870 --> 00:26:40,610 +المعلم كمان. المعلم ممكن يساعد المشرف أحنا. أه بس + +412 +00:26:40,610 --> 00:26:43,270 +ممكن أنت جيل المنهج في جينه. ممكن، أه ممكن يحط في + +413 +00:26:43,270 --> 00:26:45,710 +.. المعلم ممكن يحط في المنهج. بالأصل المريح مضطر + +414 +00:26:45,710 --> 00:26:47,150 +أن يراجع المعلمين يحصروا. + +415 +00:26:51,840 --> 00:26:54,920 +المنحازية، المشروع يتكون من ثلاث مراحل مبدئية، + +416 +00:26:54,920 --> 00:26:56,820 +المرحلة الأولى من الحصول على الموافقة + +417 +00:27:00,500 --> 00:27:03,500 +هذه المرحلة أكثر أهمية لإن هو بدهوا موافقة لإن هو + +418 +00:27:03,500 --> 00:27:10,820 +مستطيع تركيز المشروع شراء + +419 +00:27:10,820 --> 00:27:14,800 +المعدات هذه المرحلة تعتبر أعلى تكلفة لإن هو بحاجة + +420 +00:27:14,800 --> 00:27:18,200 +لشراء معدات تعليمية جديدة مثل الـ LCD و أجهزة + +421 +00:27:18,200 --> 00:27:22,000 +الكمبيوتر و أجهزة العالم المرحلة الثالثة التدريب + +422 +00:27:22,000 --> 00:27:25,080 +هذه المرحلة تركز على الحصول على مدربين وتوفير + +423 +00:27:25,080 --> 00:27:29,360 +التدريب للمعلمين الحصول على المدربين وعلى المواد + +424 +00:27:29,360 --> 00:27:32,140 +التدريبية و الحصول على مكان للتدريب وتوفير التدريب + +425 +00:27:32,140 --> 00:27:36,920 +للمعلمين المرحلة الرابعة التقييم لضمان تنفيذ + +426 +00:27:36,920 --> 00:27:40,120 +مشروعنا بنجاح وحصولنا على نتائج المرجوة سنقوم + +427 +00:27:40,120 --> 00:27:43,600 +بتوزيع استبانات على طلاب للتأكد من أن تحصيلهم + +428 +00:27:43,600 --> 00:27:46,800 +الدراسي قد تحسن و.. و للتأكد من أن المناهج + +429 +00:27:46,800 --> 00:27:50,340 +والامتحانات وشروط التعليم وآداب التدريس قد تم + +430 +00:27:50,340 --> 00:27:54,000 +تحسينها عمل .. ماشي وبالنسبة للتقييم يوميا دي 200 + +431 +00:27:54,000 --> 00:27:59,420 +ملاحظة تحصيل الطلبة قبل المشروع وبعده إذا تحسن + +432 +00:27:59,420 --> 00:28:02,120 +مناهج ما تحسّنشها لكن وزّعناهم استبانة + +433 +00:28:09,380 --> 00:28:13,040 +عمل مقاربة مع المعلمين للتأكد بأنهم حصلوا على + +434 +00:28:13,040 --> 00:28:18,540 +الاستفادة المرجوة من التدريب أم لا وتحديد ما إن تم + +435 +00:28:18,540 --> 00:28:22,780 +تعزيز مهاراتهم التعليمية أم لا فريق العمل، مدير + +436 +00:28:22,780 --> 00:28:26,520 +المشروع، منسق المشروع، سكرتار، المحاسبين والمدربين + +437 +00:28:30,030 --> 00:28:33,050 +استمرارية المشروع بعد أن يتم تنفيذ مشروعنا + +438 +00:28:33,050 --> 00:28:35,590 +المعلمين الذين يجب أن يتم تدريبهم في هذا المشروع + +439 +00:28:35,590 --> 00:28:39,190 +سيدرسون في المدارس؟ ماشي لأ، هل استمرارية ثانية + +440 +00:28:39,190 --> 00:28:42,670 +منكم مشكلة ضخمة؟ لا شيء استمرارية .. أنا ما أتكلم عن + +441 +00:28:42,670 --> 00:28:44,990 +استمرارية المعلم في تعليم المدرسة، أتكلم عن + +442 +00:28:44,990 --> 00:28:47,510 +استمرارية المشروع نفسه .. نفسه .. هي في الخطوات + +443 +00:28:47,510 --> 00:28:50,390 +التي .. استمرارية المشروع، إذا نجح المشروع مع + +444 +00:28:50,390 --> 00:28:54,040 +المعلمين والطلبة، بن carry نفس التجارب على المدارس + +445 +00:28:54,040 --> 00:28:56,280 +الثانية أو بنطوره .. أو بنطوره .. بنطلع في الـ feedbacks + +446 +00:28:56,280 --> 00:28:57,700 +الثانية .. اه من عن طريق التجارب .. و + +447 +00:28:57,700 --> 00:28:59,780 +بناخذ الـ feedbacks زي ما حكينا استفادة من التجارب السابقة + +448 +00:28:59,780 --> 00:29:02,760 +.. صحيح إذا مش إما هيك هيك أصلاً هيظلوا في مدارسهم + +449 +00:29:02,760 --> 00:29:05,580 +سواء استفادوا أو لا سواء أنا مشروع ناجح أو official + +450 +00:29:05,580 --> 00:29:10,130 +هيظلوا في مدارسهم اسمياً يسمى المشروع تطوير المدرسة + +451 +00:29:10,130 --> 00:29:13,350 +تطوير المشروع هل فعلاً في تطوير ما المفترض؟ مناحي + +452 +00:29:13,350 --> 00:29:16,370 +التعليم التي تم تحسينها في المشروع صفّتين تدرسها + +453 +00:29:16,370 --> 00:29:19,890 +في المدارس زيادة قدرات المعلمين في المشروع هذا + +454 +00:29:19,890 --> 00:29:22,870 +سيؤدي إلى تعزيز وتحسين الدراسة للطلاب ممتاز من + +455 +00:29:22,870 --> 00:29:27,170 +الأربع أو الخمسة بس كيف تتابع التعليم ستتبنى المشروع + +456 +00:29:27,170 --> 00:29:31,310 +تبنى المشروع من خلاله سيبقى لنا تنفيذ المشروع + +457 +00:29:31,310 --> 00:29:35,820 +وممارسته من قبل مدارس أخرى أصحاب المصلحة، عندنا + +458 +00:29:35,820 --> 00:29:38,400 +أصحاب المصلحة الرئيسيين هي وزارة التربية والتعليم + +459 +00:29:38,400 --> 00:29:41,560 +والجهات المانحة والحكومة، في عندنا جهات معينة + +460 +00:29:41,560 --> 00:29:44,740 +رئيسية هم الطلاب والمعلمين والموظفين الإداريين + +461 +00:29:44,740 --> 00:29:47,860 +والجهات المعنية، المجتمع والقطاع الخاص + +462 +00:29:47,860 --> 00:29:52,980 +ومؤلف وكتابهم عامة المؤلفين، كتبهم دي هذا الـ .. + +463 +00:29:52,980 --> 00:29:55,880 +في المدرسة بيوزعوهم على طبعة توزيعي، بياخدوا اجتماع + +464 +00:29:55,880 --> 00:29:59,820 +مزيد، ماشي، فمش كثير المؤلفين ستكون بوجودهم + +465 +00:29:59,820 --> 00:30:03,900 +داخلكم هلأ أنا عندي جدول زمني، إن المشروع خمس + +466 +00:30:03,900 --> 00:30:07,280 +أشهر ونصف، سيطلع 22 أسبوع، موضح في + +467 +00:30:07,280 --> 00:30:10,880 +الجدول الزمني كل نشاط قد إيش بده مدة، هيجي مثلاً + +468 +00:30:10,880 --> 00:30:17,460 +الترخيص بده أسبوع واحد، تنظيم القاعات بده مثلاً + +469 +00:30:17,460 --> 00:30:20,720 +أسبوع واحد فكرة ترخيص ياخد شهر لإن الحكومة مثلاً + +470 +00:30:20,720 --> 00:30:23,420 +كما أنتم عارفين عاملها بتسمى بالبيروقراطية، فبتنخيص + +471 +00:30:23,420 --> 00:30:27,100 +الواقع، الواقع بتخدم الأسوم، هتلفّ السبع ملفّات بس + +472 +00:30:27,100 --> 00:30:27,880 +تجيب الترخيص + +473 +00:30:32,220 --> 00:30:37,640 +عندي بالآخر الموازنة، بتوضح أنه احنا نحتاج إلى LCD + +474 +00:30:37,640 --> 00:30:41,480 +وحاسوب وprojector ومدير المشروع قد إيش هيبقى راتبه + +475 +00:30:41,480 --> 00:30:44,520 +منسق المشروع كده عشان المعلمين هندّربهم أول حاجة + +476 +00:30:44,520 --> 00:30:53,540 +أنت كده 100 LCD هتكون لـ 100 معلم؟ مش كده مدير + +477 +00:30:53,540 --> 00:30:57,540 +المشروع منسق المشروع فيه السكرتير محاسب فيه يعني + +478 +00:30:57,540 --> 00:31:01,270 +موضّح كل شيء هو بس فعلاً حيث أنت بتعزز الناس في + +479 +00:31:01,270 --> 00:31:06,550 +الرواد بعد كده في أي سؤال لهاية؟ في النهاية مثلاً + +480 +00:31:06,550 --> 00:31:10,770 +حابة أنا وصديقتي أية نشكرك على تعليمك عن جد يعني + +481 +00:31:10,770 --> 00:31:14,030 +كل كفاءة وفعالية كان له لجهودك لما نتج هذا + +482 +00:31:14,030 --> 00:31:16,970 +المشروع عمل تميزك لو لما .. لو لما .. لو لما .. + +483 +00:31:16,970 --> 00:31:21,510 +لو لما الوقت الذي .. شكراً لهاية وأية الصديقات على + +484 +00:31:21,510 --> 00:31:25,610 +هذا العرض الشيق بتمنّى لهم التوفيق في أي سؤال و + +485 +00:31:25,610 --> 00:31:30,030 +استفسار؟ أخذتم بعضكم من الملاحظات التي حكيناها أنا + +486 +00:31:30,030 --> 00:31:33,430 +وإياكم على المشاريع، والله يا أخوات لازم نكتب + +487 +00:31:33,430 --> 00:31:37,990 +كلام منطقي لحتى المشروع ينال القبول وينال التمويل + +488 +00:31:37,990 --> 00:31:41,710 +إذا جهة التمويل هذه رفضتنا، لا يعني نقصّ ونحطّ + +489 +00:31:41,710 --> 00:31:44,530 +المشروع تبعنا في الدرج ونسكر عليه، لا، نبحث عن + +490 +00:31:44,530 --> 00:31:49,620 +جهة جهات تمويل أخرى الشطارة إنه جهة التمويل التي + +491 +00:31:49,620 --> 00:31:52,920 +أنا أقدّمها يكون لها علاقة بالمشروع زي ما حكينا + +492 +00:31:52,920 --> 00:31:56,340 +قبل هيك إنه يكون هذا اهتمامهم من أولوياتهم زي ماذا + +493 +00:31:56,340 --> 00:32:01,860 +عن مؤسسات الدفاع أو مناهضة العنف ضد المرأة ما أروحش + +494 +00:32:01,860 --> 00:32:06,860 +أقدّم إليهم مستشفى تاع قايا مش هيموّلّوه لأن هذا + +495 +00:32:06,860 --> 00:32:11,960 +بعيد عن شغلهم ماشي ولا أروح أقدّم لهم المدارس أو + +496 +00:32:11,960 --> 00:32:16,580 +التعليم تبعها احنا بنحكي مناهضة العنف ضد المرأة لو + +497 +00:32:16,580 --> 00:32:21,320 +أجأت أخت قالت مثلاً إعادة تأهيل النساء المعنّفات، اه + +498 +00:32:21,320 --> 00:32:24,540 +بيقبلّوه بسرعة، إذا أنا الشطارة أني أقدر أبحث عن + +499 +00:32:24,540 --> 00:32:29,140 +تمويل لمشروع عند ناس بهمّهم المشروع، والكلام هذا + +500 +00:32:29,140 --> 00:32:32,180 +حكيناه نتناشر، تفضلي يا فاطمة أنا كنت أسأل عن نفسي + +501 +00:32:32,180 --> 00:32:35,680 +الموضوع، هل يعني في جد في غزة مؤسسات ممكن تحتضن + +502 +00:32:35,680 --> 00:32:39,480 +أعمالنا التي نحن نترحّى هنا؟ اه في، في على .. في + +503 +00:32:39,480 --> 00:32:43,370 +في البلد وفي كمان على الـ net في كثير مؤسسات تتبنى + +504 +00:32:43,370 --> 00:32:45,410 +لمشاريع هذه ممكن لو أخذنا مشروعنا وروحنا قدّمناه + +505 +00:32:45,410 --> 00:32:49,950 +لأساسات بتنولنا ممكن يقبلّوا، أنت جهّزي مشروعك و + +506 +00:32:49,950 --> 00:32:54,110 +اتّجهي لي أنا أو لدكتور خالد دليّز أو لدكتور والد + +507 +00:32:54,110 --> 00:32:58,130 +دا يساعدوكي في التوجيه ناحية التمويل تفسرحي شغل + +508 +00:32:58,130 --> 00:33:00,230 +الذي أنت فَتِسْرَحْتي هتضيع وجهتك ماشي في عندنا جهات + +509 +00:33:00,230 --> 00:33:03,330 +داخل الجامعة بتنوّل في جهات في البلد وفي جهات على + +510 +00:33:03,330 --> 00:33:06,850 +مستوى العالم، في طبيعة التمويل اقتراض ولا منحة؟ حسب + +511 +00:33:06,850 --> 00:33:11,470 +في منح وفي قروض، إذا كان المشروع ربحي بيكون قروض + +512 +00:33:11,470 --> 00:33:16,150 +هذا، أما إذا كان مشروع خيري زي تاع المستشفى لأ + +513 +00:33:16,150 --> 00:33:18,730 +بيكون منحة، تكون أصلاً المؤسسة نفسها وممكن يكون + +514 +00:33:18,730 --> 00:33:22,310 +ربحي ويكون منحة حسب الناس يعني حسب الناس حسب + +515 +00:33:22,310 --> 00:33:28,870 +فكرتها ممكن تكون لأ في مؤسسة بتاعة القروض يعني + +516 +00:33:28,870 --> 00:33:34,650 +قروض حسبها أو بسعر فائدة بسيط ممكن يكونوا أشخاص + +517 +00:33:36,090 --> 00:33:39,890 +ممكن، موجود، التمويل مش مشكلة، المشكلة عندنا احنا + +518 +00:33:39,890 --> 00:33:42,410 +في قوة الإرادة والصبر والتحدي، لكن التمويل عمره + +519 +00:33:42,410 --> 00:33:46,230 +ما كان مشكلة، يعني كثير ناس بدوا من الصفر، وتوقعوا + +520 +00:33:46,230 --> 00:33:50,390 +الله، الحمد لله، أي سؤال أو استفسار؟ شكراً يا فاتن، + +521 +00:33:50,390 --> 00:33:51,170 +يعطيكم العافية diff --git a/PL9fwy3NUQKwYZU2ezHFq-UK19TEyZdOHs/bWcoGEV7XPY_raw.json b/PL9fwy3NUQKwYZU2ezHFq-UK19TEyZdOHs/bWcoGEV7XPY_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..dbeaa3c1cc65746e5913046d39b84da7cec155d7 --- /dev/null +++ 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دقة في الملاحظة تنمية التفكير لدى + +85 +00:05:13,060 --> 00:05:16,300 +الطلبة برضه في أسلوب حل المشكلات و الاستقرار و + +86 +00:05:16,300 --> 00:05:17,020 +البحث العلمي + +87 +00:05:19,950 --> 00:05:22,890 +تعزز الانتماء لدى الطلاب اللى حبوا المدرسة احنا + +88 +00:05:22,890 --> 00:05:25,450 +حكينا ان هذا المشروع قائم على أسلوب الفريق يعني + +89 +00:05:25,450 --> 00:05:28,310 +بنجيب مجموع الطلاب بنخليهم هم اللى يفكروا مع بعض + +90 +00:05:28,310 --> 00:05:32,810 +فبالتالي اكيد هيكون فينا تعليم تعاوني تشاركي هناخد + +91 +00:05:32,810 --> 00:05:35,430 +من المزايا كل طالب وكل طالب اشهر انه مميزات + +92 +00:05:35,430 --> 00:05:37,990 +وهيستفيدوا وهيتبادلوا الطلاب خبراتهم مع بعض + +93 +00:05:41,190 --> 00:05:43,990 +طبعا هذا النقطة مهمة كتير، الوصول بالطالب، من طالب + +94 +00:05:43,990 --> 00:05:47,390 +متلقي للمعلومة إلى طالب مبادر، بمعنى إحنا بنعرف إن + +95 +00:05:47,390 --> 00:05:50,550 +الطالب بيجي على المدرسة أو على الحصة بس بتلقى من + +96 +00:05:50,550 --> 00:05:53,470 +مدرسته، طبعا إحنا لأ هادر نخل الطالب هو اللي بادر، + +97 +00:05:53,470 --> 00:05:56,290 +هو اللي يقدم أفكار، يعني نغير اللي إحنا بنعرفه أو + +98 +00:05:56,290 --> 00:06:00,250 +الفكرة المعروفة عنه مبررات القيام بالمشرح، يعني + +99 +00:06:00,250 --> 00:06:06,000 +إيش الأسباب اللي خلتني أعمل هذا المقترح أوأول سجن، + +100 +00:06:06,000 --> 00:06:09,060 +اعتمد الطالب كلياً على المعلم داخل غرفة الصفية + +101 +00:06:09,060 --> 00:06:12,580 +وهذه مشكلة بحد ذاتها أن الطالب بس بيستنى المدرس + +102 +00:06:12,580 --> 00:06:14,820 +ييجي يشرحله وياخد منه بس يعني الطالب ماعندهوش + +103 +00:06:14,820 --> 00:06:17,780 +مبادرة، ماعندهوش أفكار، ماعندهوش شغلات هو يعرضها + +104 +00:06:17,780 --> 00:06:20,320 +لمدرسه يعني ممكن يكون .. ممكن المدرس ياخد من + +105 +00:06:20,320 --> 00:06:23,260 +الطالب ويستفيد من تجارب الطالب الشغل التاني، + +106 +00:06:23,260 --> 00:06:25,640 +الخروج عن المقلوف في العملية التعليمية إلى غير + +107 +00:06:25,640 --> 00:06:28,740 +المقلوف المقلوف اللي هو المدرس هو اللي بيعطيه غير + +108 +00:06:28,740 --> 00:06:33,260 +المقلوف انه يخل الطالب هذا هو مركز العملية الت + +109 +00:06:34,430 --> 00:06:37,330 +تحضر فرصة لأكبر عدد من الطلاب المشاركة في حل + +110 +00:06:37,330 --> 00:06:41,010 +المشكلات التعاملية الأكبر عدد من الطلاب لأننا + +111 +00:06:41,010 --> 00:06:43,290 +سنستهدف فئة كبيرة من الطلاب، لأننا لن نستهدف طالب + +112 +00:06:43,290 --> 00:06:45,970 +ولا اثنين، لأ، سيكون لدينا فئة مستهدفة، ثم سنوضحها + +113 +00:06:45,970 --> 00:06:49,550 +خلق فرص عمل للمنشطين والميسرين القائمين على + +114 +00:06:49,550 --> 00:06:52,590 +المشروع من قبل المؤسسات الدعمة في عين المؤسسة هذه + +115 +00:06:52,590 --> 00:06:55,170 +اللي بتوفرنا هدول المدربين والمنشطين هم اللي + +116 +00:06:55,170 --> 00:06:57,590 +بتفعلوا مع الطلاب، مع الطلاب هم اللي بيعرضولهم + +117 +00:06:57,590 --> 00:07:01,770 +الأمشطة ومسابقاتتدعين أواصل التعاون والشراكة من + +118 +00:07:01,770 --> 00:07:04,090 +المؤسسات المرحلة، من المشروع والمؤسسات العامة، + +119 +00:07:04,090 --> 00:07:06,430 +اللي هي المدارس الحكومية، بمعنى إحنا عندنا مؤسسة + +120 +00:07:06,430 --> 00:07:08,030 +فيها بتدعم المشاريع، وفي عندنا مؤسسة اللي هي + +121 +00:07:08,030 --> 00:07:10,930 +المدارس الحكومية، كيف بدنا نعزز الثقة بينها؟ لازم + +122 +00:07:10,930 --> 00:07:13,770 +هذه المؤسسة تجي تمول هذه المدارس، تجي تمول مشاريع + +123 +00:07:13,770 --> 00:07:18,470 +تستهدف فيها المدارس، في سبب في عندنا في تعاون وفي + +124 +00:07:18,470 --> 00:07:22,340 +تنفيق بينهممخرجات المشروع، مخرجات المشروع عن بعد + +125 +00:07:22,340 --> 00:07:25,020 +ما .. يعني إحنا نطبق مشروعنا، إيش بنتوقع نحصل من + +126 +00:07:25,020 --> 00:07:28,040 +المشروع؟ أكيد في عندنا تغيير واضح وملموس في أداء + +127 +00:07:28,040 --> 00:07:31,680 +الطلب التحصيلي، بمعنى الطالب لو نغير طريقة تفكيره، + +128 +00:07:31,680 --> 00:07:34,820 +بطلت طريقة تقليدية، روتينية، أكيد هذا هينعكس على + +129 +00:07:34,820 --> 00:07:37,300 +أداء التحصيل في العلمات وفي المواد بعد كده، لإن + +130 +00:07:37,300 --> 00:07:40,220 +الهدف بعد كده إحنا مش بس إنه يلعب ويفكر، لأ، + +131 +00:07:40,220 --> 00:07:45,200 +بالأخر فإن هذا ينعكس بأثر ملموس على أداءهاعداد + +132 +00:07:45,200 --> 00:07:48,960 +1500 طالب لإن احنا الفئة المستهدفة عندنا 1500 طالب + +133 +00:07:48,960 --> 00:07:52,660 +من الطلاب يمتلكون أساليب تعليمية فريدة ومبتكرة في + +134 +00:07:52,660 --> 00:07:57,590 +مجالات التفكير المعقد وحل المشكلةتعزيز الثقة، احنا + +135 +00:07:57,590 --> 00:08:00,270 +حكينا من هدف المشروع أنه لازم يكون في علنا ثقة و + +136 +00:08:00,270 --> 00:08:02,690 +تنثيق بين هذه المؤسسات و بين المجتمع المحلي كمان + +137 +00:08:02,690 --> 00:08:05,390 +كيف يعني المجتمع المحلي؟ لأنه احنا لما قدمنا + +138 +00:08:05,390 --> 00:08:08,350 +لأولادهم و لبناتهم أفكار ريادية أو أفكار إبداعية + +139 +00:08:08,350 --> 00:08:11,730 +أكيد صار في ثقة بين المدرسة اللي هي قدمت هذا .. عن + +140 +00:08:11,730 --> 00:08:14,450 +طريق ليها الجهة الممولة طبعا و المجتمع نفسه اللي + +141 +00:08:14,450 --> 00:08:16,910 +هو بيشمل الأهالي و المحيط .. الأهالي و المجتمع + +142 +00:08:16,910 --> 00:08:19,910 +المحيط بهذه الفئات لإنه من خلال .. قداش هو يعني + +143 +00:08:19,910 --> 00:08:22,310 +قدم هذا المشروع أفكار للأول + +144 +00:08:26,000 --> 00:08:29,080 +اعداد طالب أو طالبة يتميز بعلاقة تعاونية يسودها + +145 +00:08:29,080 --> 00:08:32,240 +الحب والأولفة بينه وبين المعلمين داخل الغرفة + +146 +00:08:32,240 --> 00:08:36,040 +الصفوية وخارجها أكيد احنا حكينا أنه طالما المشروع + +147 +00:08:36,040 --> 00:08:40,200 +بيتعامل على فريق العمل أكيد الطالب هيتفاعل ويتواصل + +148 +00:08:40,200 --> 00:08:47,010 +مع المدرس أو مع زملاءالتلاميذ، فبالتالي انه نهاية + +149 +00:08:47,010 --> 00:08:49,790 +من خلال العمل بيروح الفريق و التعلم و التعاون و + +150 +00:08:49,790 --> 00:08:52,430 +التشارك اكيد حاسسه فيه علاقة عاونية، يعني حققته + +151 +00:08:52,430 --> 00:08:55,070 +للعلاقة علاقة ان انا جاية المدرسة بس هي، لأ في + +152 +00:08:55,070 --> 00:09:00,070 +علاقة حب و ألفة بينه و بين المعلمينالفئة المستهدفة + +153 +00:09:00,070 --> 00:09:03,630 +من المشروع، عنا فئة مستهدفة مباشرة، اللي هي هتكون + +154 +00:09:03,630 --> 00:09:07,530 +25 مدرسة من المدارس الحكومية، احنا بعد كده هنختار + +155 +00:09:07,530 --> 00:09:12,130 +من هدول الـ25 مدرسة 1500 طالب، هدى فئة بشكل مباشر، + +156 +00:09:12,130 --> 00:09:14,790 +الفئة غير المباشرة، المعلمين والمعلمات، احنا كيف + +157 +00:09:14,790 --> 00:09:18,550 +هنستهدف المعلم؟ احنا عارفين ان الطالب هو فئة + +158 +00:09:18,550 --> 00:09:21,170 +مباشرة، بشكل مباشر، احنا هنجلب طالب ونحكي له فكر + +159 +00:09:21,170 --> 00:09:25,480 +ويلعب وتعلم وشوف نقش طريقة تفكيرة جديدةلكن كمعلم + +160 +00:09:25,480 --> 00:09:28,560 +كيف هيستفيد من هذا المشروع؟ المعلم لما احنا نقدم + +161 +00:09:28,560 --> 00:09:31,060 +للطالب مشاريع رياضية ونطبقها على الطلبة أكيد + +162 +00:09:31,060 --> 00:09:34,780 +المعلم بيسهل عليه أن يواصل سرقة داقة بيخلط طالب .. + +163 +00:09:34,780 --> 00:09:37,380 +يعني لما نخلط طالب جعل محور العملية التعليمية + +164 +00:09:37,380 --> 00:09:40,140 +بمعنى إن أنا خسرت عبء كبير عن المعلم يعني بدل + +165 +00:09:40,140 --> 00:09:42,520 +المعلم ما يظل هو اللي بيعطي الطالب هو اللي هيبقى + +166 +00:09:42,520 --> 00:09:46,500 +عليه كله، لأ بيصير الطالب إن هو يقدم للمدرس ويساعد + +167 +00:09:46,500 --> 00:09:49,320 +هذا المدرس فبصير الأشي تعاون وتشارك بينه و بين + +168 +00:09:49,320 --> 00:09:51,020 +معلمه فعشان كده احنا هيك نكون + +169 +00:09:58,440 --> 00:10:01,120 +طبعا أكيد احنا عشان نعمل المشروع فيه أنشطة، فيه + +170 +00:10:01,120 --> 00:10:04,940 +منهجية لتنفيذ هذا المشروع، الأنشطة المتابعة لتنفيذ + +171 +00:10:04,940 --> 00:10:08,300 +هذا المشروع أول نشاط أنه احنا هنصف مع وزارة + +172 +00:10:08,300 --> 00:10:10,780 +التربية والتعليم عشان نحدد الفئة المستهدفة من + +173 +00:10:10,780 --> 00:10:13,380 +المدارس، بالنهاية هي التربية والتعليم هي اللي + +174 +00:10:13,380 --> 00:10:16,970 +بتعرف مدارسها مش احناأحنا كمؤسسة أو كجهة مقدمة + +175 +00:10:16,970 --> 00:10:20,310 +مقترح لمؤسسة، المؤسسة هذه هتروح لبزارة التربي + +176 +00:10:20,310 --> 00:10:23,670 +والتعليم وترشح لعدد المدارس والمواقع الجغرافية + +177 +00:10:23,670 --> 00:10:26,950 +والمواقع التعليمية، لازم هي تركز على المدارس اللي + +178 +00:10:26,950 --> 00:10:29,690 +مافيش فيها أداء، أداءها بيكون أضعف من المدارس + +179 +00:10:29,690 --> 00:10:32,510 +التانية أكيد لإن هي بتعرف المدارس وأدائهم ومستوى + +180 +00:10:32,510 --> 00:10:35,640 +الفروق بينهمالنشاط التاني، بدنا نعمل زيارات + +181 +00:10:35,640 --> 00:10:38,180 +ميدانية للمدارس بعد وزارة التربية والتعليم ورشحات + +182 +00:10:38,180 --> 00:10:40,340 +النقائمة باسمها المدارس، ان احنا هنطبق عليها + +183 +00:10:40,340 --> 00:10:43,780 +مشروعنا، لازم نروح للمدارس عشان نختار الطلبة طبعا + +184 +00:10:43,780 --> 00:10:46,020 +نختار الطلبة اللي هم من خلال المدارسين هم + +185 +00:10:46,020 --> 00:10:48,980 +بتعاونهم، بيعرفوا طلبتهم الشغل التالت، أعداد + +186 +00:10:48,980 --> 00:10:51,360 +المادة التدريبية للمشروع، أكيد في مواد تدريبية + +187 +00:10:51,360 --> 00:10:55,560 +للمشروع، تحتاجة على أنشطة أو دورات وهدف المشروع + +188 +00:10:55,560 --> 00:10:59,220 +وشكل عام كله، كل ما يتعلق بالمشروع، احنا هنطبعه + +189 +00:11:02,250 --> 00:11:05,850 +النقطة التالتة والرابعة .. التالتة والرابعة هم صلب + +190 +00:11:05,850 --> 00:11:08,130 +عامة للمشروع اللي هو التمارين الرياضية و الحصص + +191 +00:11:08,130 --> 00:11:10,950 +الترفيهية داخل ساحة المدرسة، يعني هم اللي هياخدوا + +192 +00:11:10,950 --> 00:11:13,190 +الوقت الكبير منها زي ما نشوف الجدول الزمن إن شاء + +193 +00:11:13,190 --> 00:11:17,810 +الله، همارس تمارين رياضية وحصص ترفيهية، طبعا مش شد + +194 +00:11:17,810 --> 00:11:19,990 +ال stuff يعني، ممكن في ساحة المدرسة، يعني هو اسمه + +195 +00:11:19,990 --> 00:11:23,690 +أصلا مشروع ترفيه للطلبةوعشان يهيئهم تهيئة ذهنية + +196 +00:11:23,690 --> 00:11:26,190 +فيما بعد لممارسة الـ .. يعني أول حاجة هنعمل تهيئة + +197 +00:11:26,190 --> 00:11:28,890 +ذهنية للطالب أنه من خلالها التمارين الرياضي + +198 +00:11:28,890 --> 00:11:31,910 +والشغلات .. بعد كده هنبدأ في اللي هو موضوع المشروع + +199 +00:11:31,910 --> 00:11:35,010 +نفسه هو المشروع كان اسمه ألعاب فاكر تعلم فالان + +200 +00:11:35,010 --> 00:11:38,450 +احنا هنقدم لهم الألعاب التربوية هذه الألعاب بت .. + +201 +00:11:38,450 --> 00:11:40,870 +يعني بتنمي التفكير عندهم طبعا في عندنا أمثل على + +202 +00:11:40,870 --> 00:11:44,340 +هذه الألعاب في عندنا أحجي إنشتاينهنقدمها للطالب + +203 +00:11:44,340 --> 00:11:47,960 +كيف يحلها و قعدتنا بنشوف إذا بنحلها و فينا كمال + +204 +00:11:47,960 --> 00:11:50,940 +لعبة اسمها take-quest قعدت بتخلي الطالب كيف يفكر و + +205 +00:11:50,940 --> 00:11:56,460 +كيف يجمع و يركب حروف مع بعض زي + +206 +00:11:56,460 --> 00:11:59,460 +ما قولنا هدول التان تان هم عقل يعني هم صلب عمل + +207 +00:11:59,460 --> 00:12:03,940 +المشروعبعد كده أكيد بعد ما الطالب .. يعني حل .. + +208 +00:12:03,940 --> 00:12:06,940 +يعني في .. احنا هنقدم هذه للطلاب وفي طلاب حلوا أو + +209 +00:12:06,940 --> 00:12:09,040 +ما .. أو في طلاب ماحلوش، بإن هي الطالب اللي لازم + +210 +00:12:09,040 --> 00:12:12,000 +نشجعه، فمن ضمن أنشطة المشروع أن أحنا لازم نحقد + +211 +00:12:12,000 --> 00:12:15,320 +مسابقات، نقدم جواز للطالب اللي استفاد من المشروع + +212 +00:12:15,320 --> 00:12:18,000 +ولي أصلا يعني عرف إيش .. إيش الهدف من المشروع، + +213 +00:12:18,000 --> 00:12:21,450 +وليساعدنا إن أحنا نحقق هدف المشروعبالنهاية إحنا + +214 +00:12:21,450 --> 00:12:24,410 +كيف بدنا نقيم مشروع؟ أكيد كل مشروع .. يعني مش .. + +215 +00:12:24,410 --> 00:12:27,510 +مش كل مشروع يُكتب له نجاح، فعشان إحنا نقيم مشروع، + +216 +00:12:27,510 --> 00:12:29,830 +أنا لازم نعقد امتحان تحريضي، هذا الامتحان كيف + +217 +00:12:29,830 --> 00:12:32,710 +نمضى؟ إحنا بنعمل أسئلة بعد ما ننتهي من فترة + +218 +00:12:32,710 --> 00:12:35,170 +المشروع، اللي هي ست شهور، إحنا بنعمل أسئلة، + +219 +00:12:35,170 --> 00:12:38,150 +الاسئلة هذه بتقيس مهارات معينة لدى الطبيعني بمعنى + +220 +00:12:38,150 --> 00:12:41,950 +الطالب إيش تفكيره؟ يعني إيش المهارات اللي تضمنها + +221 +00:12:41,950 --> 00:12:44,390 +المشروع؟ وبنشوف هل الطالب فعلا اكتسبها ولا لأ + +222 +00:12:44,390 --> 00:12:47,450 +فبنخل الطالب يجاوب على أسئلة الأسئلة هذه بتحتوى + +223 +00:12:47,450 --> 00:12:50,650 +مهارات تفكير عشان نشوف قداش المشروع يعني قدر أن + +224 +00:12:50,650 --> 00:12:53,690 +يوصل للطالب أو يكسب الطالب هذه المهارات اللي ركز + +225 +00:12:53,690 --> 00:12:58,630 +عليها أصلا المشروع من البداية الجدول + +226 +00:12:58,630 --> 00:13:02,210 +الزمني للمشروع طبعا احنا المشروع مقسم لست شهور + +227 +00:13:02,210 --> 00:13:05,510 +طبعا الأنشطة هذه بنوزحها على فترات زمنية هنوضحها + +228 +00:13:07,910 --> 00:13:10,390 +لما بدنا نعمل قائمة باسماء المدارس المستهدفة، اللي + +229 +00:13:10,390 --> 00:13:13,470 +كانت 25 مدرسة بتنصق مع وزارة التربية والتعليم، + +230 +00:13:13,470 --> 00:13:16,170 +بدنا أسبوع، بعد كده هنعمل قائمة باسماء الطلب + +231 +00:13:16,170 --> 00:13:18,850 +المستهدفين بعد معرفة المدارس، هنعرف إيش هم الطالب + +232 +00:13:18,850 --> 00:13:21,830 +.. الطلبة منهم ونعرف هو الطلب .. هو المسجر في كل + +233 +00:13:21,830 --> 00:13:24,810 +مدرسة، بدنا أسبوعين، بعد كده لازم نعمل زيارة + +234 +00:13:24,810 --> 00:13:27,870 +ميدانيةالزيارة مدنية للمداسة، إنه إحنا بعد ما + +235 +00:13:27,870 --> 00:13:30,770 +اختارنا طلاب لازم نعرف أداء الطالب قبل و بعد، يعني + +236 +00:13:30,770 --> 00:13:33,110 +ممكن إحنا نسأل الطالب أسئلة برضه في مجلة قبل ما + +237 +00:13:33,110 --> 00:13:35,950 +نطبق المشروع عليه، عشان نشوف هل المشروع فعلا أثر + +238 +00:13:35,950 --> 00:13:38,490 +على أدائهم، على تفكيرهم ولا لأ، وإلا كيف هنعرف، + +239 +00:13:38,490 --> 00:13:41,250 +لازم نقارن، يعني فيه أنه يكون قبل ما نعمل المشروع + +240 +00:13:41,250 --> 00:13:44,450 +أو بعد ما نعمل المشروع، إنه نطبع المواد التدريبية + +241 +00:13:44,450 --> 00:13:46,370 +و الشغلات هذه و نوزحها عليهم، اللي هي تحتاجة عن + +242 +00:13:46,370 --> 00:13:49,700 +المشروع و وصفها المشروعاحنا زي قلنا إن هدول هم + +243 +00:13:49,700 --> 00:13:52,240 +مصالي بالمشروع و هم اللي بياخدوا الفترة الأكبر من + +244 +00:13:52,240 --> 00:13:54,220 +المشروع اللي هي الأنشطة الترفيهية طبعا هذا + +245 +00:13:54,220 --> 00:13:56,980 +بالتعاون مع المنشطين اللي هم من المؤسسة المانحة + +246 +00:13:56,980 --> 00:14:00,480 +لمدة تلات شهور و أكيد هم هيكونوا يعني بتنصقوا مع + +247 +00:14:00,480 --> 00:14:03,060 +المدارس في كل قداش ييجوا و إيش الأوقات المناسبة + +248 +00:14:03,060 --> 00:14:06,020 +للمدارس و وقتاش يكون الطالب فاضي عشان يمارس هذه + +249 +00:14:06,020 --> 00:14:09,000 +الأنشطة بعد كده هنوزلهم الجواز زي ما قلنا عشان + +250 +00:14:09,000 --> 00:14:11,460 +نحفظهم على الاستمرار يعني معناه أن الطالب لما هو + +251 +00:14:11,460 --> 00:14:13,640 +يعني صح فكر و هو حق الخدف + +252 +00:14:17,110 --> 00:14:20,030 +و يستخدم الشغلات اللي احنا محددينها له فكيف بده + +253 +00:14:20,030 --> 00:14:22,690 +يستمر لو احنا مثلا أجينا نعمل مشروع تاني أو بدنا + +254 +00:14:22,690 --> 00:14:26,290 +.. او بدنا يعني نفر نفس المشروع بألعاب جديدة أكيد + +255 +00:14:26,290 --> 00:14:29,490 +بده مسابقات و بده جوائز تشجعه بعد كده حكينا اللي + +256 +00:14:29,490 --> 00:14:32,510 +هو مرحلة التقييم لازم كل مشروع لابد أن يقيم لابد + +257 +00:14:32,510 --> 00:14:35,490 +أن يعرف يعني مدى اللي هو الخلل فيه أو قداش هو يعني + +258 +00:14:35,490 --> 00:14:39,090 +ناجح أو فاشل أو قداش نسبة نجاحه على الأقل تغليه ال + +259 +00:14:39,090 --> 00:14:41,030 +feedback احنا هناخدها عن طريق الأسئلة اللي احنا + +260 +00:14:41,030 --> 00:14:47,130 +هنقدمها للطالب و هو هيجيبنا عليها عشان نطبعا فعلا + +261 +00:14:47,130 --> 00:14:50,370 +موارد بشرية لازمة للأعمال في المشروع، الموارد + +262 +00:14:50,370 --> 00:14:52,810 +البشرية أول حاجة بدنا منصق المشروع اللي هو هيكون + +263 +00:14:52,810 --> 00:14:56,890 +أنا ان شاء الله طبعا بكلورس إدارة أعمال تخصص، أكيد + +264 +00:14:56,890 --> 00:15:01,450 +المؤهل العلمي اللي هو بكلورس إدارة الأعمال دور .. + +265 +00:15:01,450 --> 00:15:04,230 +دور منصق المشروع اللي هو دوره في تنفيذ المشروع + +266 +00:15:04,230 --> 00:15:07,320 +اللي هو دور المواصقهنكون منصق مشروع، هنتابع أداء + +267 +00:15:07,320 --> 00:15:09,680 +تنفيذ المشروع، منذ البداية حاجة تنهائية، هنشوف + +268 +00:15:09,680 --> 00:15:12,520 +فريق العمل كيف بيعمل، هنكون بإدارة المشروع، يعني + +269 +00:15:12,520 --> 00:15:15,420 +المنصق هو المدير، المدير المشروع، شغل تاني، بدنا + +270 +00:15:15,420 --> 00:15:18,540 +محاسب أكيد، كل مشروع لازم لإنه أموال وصرف وصاحب + +271 +00:15:18,540 --> 00:15:21,440 +للأموال، لازم هذا المحاسب يصرف الأموال، يسجلها + +272 +00:15:21,440 --> 00:15:24,920 +ويطلعنا في سندات قبض ودفع، احنا حكينا إنه بالآخر + +273 +00:15:24,920 --> 00:15:28,160 +لما نسلمنيش تقرير بعد ما نحقق يعني المشروع أو أنه + +274 +00:15:28,160 --> 00:15:31,560 +يعني بعد ال .. ال .. المشروع مالازم احنا نعمل تق + +275 +00:15:31,560 --> 00:15:34,420 +.. يعني مقترح أو تقرير لهذه الجهة، يعني نشوف إيه + +276 +00:15:34,420 --> 00:15:36,940 +الأموال اللي أعطتنا إيها إحنا سرفناها زي ما .. ما + +277 +00:15:36,940 --> 00:15:40,340 +إحنا قدمناها و لا لأ، فبد .. طبعا بده إش يكبد ذلك، + +278 +00:15:40,340 --> 00:15:42,040 +بنشوف إيه ثاندات القبد اللي كانت عندنا في المشروع، + +279 +00:15:42,040 --> 00:15:44,920 +إيه ثاندات الدفع، كل ما يلزم للإنفاق على المشروع، + +280 +00:15:44,920 --> 00:15:47,260 +لأنه المشروع بده مواد تدريبية و بده جوائز و بده + +281 +00:15:47,260 --> 00:15:51,410 +ألعاب و بده شغلات كتيرةميسرين ومنشطين، طبعا هدول + +282 +00:15:51,410 --> 00:15:53,810 +متطوعين من مؤسسة النايزاك، يعني هدول مش .. احنا .. + +283 +00:15:53,810 --> 00:15:56,930 +احنا مش هنقبضهم، يعني المؤسسة نفسها هي ممولة، هي + +284 +00:15:56,930 --> 00:15:59,770 +مالفة، يعني هدول من عندهم، مش شاكل متطوعة، أكيد + +285 +00:15:59,770 --> 00:16:02,310 +ببقى إنهم هي .. يعني اللي مارس أنشطة ترفيهية + +286 +00:16:02,310 --> 00:16:05,930 +للطفل، هيكون عندهم تخاص اللي هو مؤهل العلم تبعهم، + +287 +00:16:05,930 --> 00:16:09,410 +بكالوارث، خدمة اجتماعية، ممكن إرشاد نفسه، هم .. هم + +288 +00:16:09,410 --> 00:16:11,290 +اللي هيقوموا بمشروع .. يعني هم اللي هينفذوا مشروع + +289 +00:16:11,290 --> 00:16:13,350 +المشروع، هيقدموا المواد المستخ + +290 +00:16:16,810 --> 00:16:19,650 +احنا قولنا إن المشروع بده ينفذه على المدارس، طبعا + +291 +00:16:19,650 --> 00:16:22,570 +المدارس بتنصيق معذرت التربية والتعليم، فأكيد + +292 +00:16:22,570 --> 00:16:25,750 +كطالب، احنا من اللي بيعرف الطالب، مش المنشط اللي + +293 +00:16:25,750 --> 00:16:27,830 +هو جاي من المدرسة، هو المعلم، فلازم يكونوا عندنا + +294 +00:16:27,830 --> 00:16:31,290 +معلمين ومعلمات، يعني عدد خمسة، مش كتير هم، العدد + +295 +00:16:31,290 --> 00:16:34,530 +مش كتير، لإن هو المعلم بس هيقدم يعني شغلات بسيطة + +296 +00:16:34,530 --> 00:16:37,750 +بس إنها ترشد المنشط إنه يقدي دورة، يعني بمعنى لما + +297 +00:16:37,750 --> 00:16:40,550 +يجي المنشط على المدرسة يسأل الطالب أو يسأل يعني + +298 +00:16:40,550 --> 00:16:41,430 +بيده الطلاب نفسه + +299 +00:16:45,310 --> 00:16:49,090 +تهيأت المناخ الغرف الصفية لدى المنشط عشان يمارس + +300 +00:16:49,090 --> 00:16:52,090 +النشاط أو يعقد المصابق للطالب لإنه احنا قلنا إن + +301 +00:16:52,090 --> 00:16:54,670 +المنشط هو اللي بدي يعمل هذا النشاط التعاون مع + +302 +00:16:54,670 --> 00:16:58,370 +المنشط، توجيه طلاب ومساعدتهم للتكيف مع البرنامج + +303 +00:16:58,370 --> 00:17:01,230 +أكيد المعنى بأثر على طالبه يعني، فلازم يساعدوا كيف + +304 +00:17:01,230 --> 00:17:04,110 +يتكيفوا مع البرنامج ويقنعوا إن هذا البرنامج هيخليه + +305 +00:17:04,110 --> 00:17:07,730 +يعني يفكر بطريقة أسرع أو هيخليه أشطر وتفكيره هيكون + +306 +00:17:07,730 --> 00:17:12,000 +إبداعيتقديم تغذية راجعة لمدير المؤسسة التعليمية + +307 +00:17:12,000 --> 00:17:15,020 +حول أداء الطلبة مدى استفادتهم من المشروع أكيد + +308 +00:17:15,020 --> 00:17:17,720 +بالنهاية اللي بيعرف أداء طالب هو المعلم لإنه بعد + +309 +00:17:17,720 --> 00:17:21,060 +ما يتم انهاء المشروع عشان يعرف قداش انعكاس هذا + +310 +00:17:21,060 --> 00:17:23,920 +المشروع على أداء الطالب المعلم هو اللي على لقاء + +311 +00:17:23,920 --> 00:17:27,480 +مباشر يعني مع الطالب فلازم المعلم هذا يقدم التغذية + +312 +00:17:27,480 --> 00:17:30,200 +راجعة يشوف قداش هو اتغير في مستوى التحصيل طبع + +313 +00:17:30,200 --> 00:17:34,360 +طلابه لما هو كالة بعد تم ممارسة المشروع على طلابه + +314 +00:17:34,360 --> 00:17:38,210 +طبعا جتنا مشرف مشروعأكيد المشرف هيكون على درجة + +315 +00:17:38,210 --> 00:17:42,950 +أعلى من المنصق، المؤهل العلمي للمشرف ماجستير إدارة + +316 +00:17:42,950 --> 00:17:46,470 +مشاريع، المشرف المشروع هو هيتابع بداية المشروع، + +317 +00:17:46,470 --> 00:17:48,970 +هيشوف إيش بده المشروع المواد، إيش بده ممارس، إيش + +318 +00:17:48,970 --> 00:17:52,070 +بده مواد، هيتابع كمان أداء المنصق نفسه، له أمن + +319 +00:17:57,690 --> 00:18:00,430 +استمرارية المشروع احنا بنقول انه مشروع ست شهور لكن + +320 +00:18:00,430 --> 00:18:03,030 +ممكن يعني انا بطرح سؤال هل انه ممكن هذا المشروع + +321 +00:18:03,030 --> 00:18:06,510 +يتكرر يعني احنا بنتوقع هان او بنفترض انه هو هينجح + +322 +00:18:06,510 --> 00:18:09,570 +طبعا هينجح ليش؟ لأنه فيه أهداف احنا انحددينها من + +323 +00:18:09,570 --> 00:18:12,510 +البداية من الأول فكيف ممكن يستمر هذا المشروع او + +324 +00:18:12,510 --> 00:18:14,730 +كيف ممكن يتكرر يعني مش شرط على نفس المدرسة احنا + +325 +00:18:14,730 --> 00:18:18,150 +استهدفنا بالبداية 25 مدرسة لكن بعد ما ننتهي لمدة + +326 +00:18:18,150 --> 00:18:20,970 +ست شهور ايش ال .. يعني ايش الأفكار او ايش + +327 +00:18:20,970 --> 00:18:23,490 +المقترحات اللي ممكن احنا نقدمها يعني في نفس فكرة + +328 +00:18:26,490 --> 00:18:29,270 +أنا بنتوقع أن يستمر المشروع أو أن يتكرر نفسي، يعني + +329 +00:18:29,270 --> 00:18:32,370 +بعد ما ينتهي، حد إذا ان شاء الله يكتب له النجاح + +330 +00:18:32,370 --> 00:18:37,510 +لكن طبعا هو مش .. مش هيضل زي ما هو، أكيد هيتطور، + +331 +00:18:37,510 --> 00:18:39,670 +يعني مافيش إشي يضل زي ما هو، ما هو كيف هيتطور، عن + +332 +00:18:39,670 --> 00:18:41,890 +طريق التغذية الراجعة، إحنا أخدناها أصلا من الطلاب + +333 +00:18:41,890 --> 00:18:45,840 +و من المدرسينبحيث يتم إضافة بعض البرامج يتشغل يعني + +334 +00:18:45,840 --> 00:18:48,440 +هو الطالب نفسه صار هو اللي بده يشترك هو اللي بده + +335 +00:18:48,440 --> 00:18:53,500 +يعني يقترح شغلات لهذا المشروع حتى تستثير هم مطلوب، + +336 +00:18:53,500 --> 00:18:56,360 +حتى توجه الطالب لهو الإبتكار كيف؟ هنخل الطالب + +337 +00:18:56,360 --> 00:18:59,140 +يقدّم مشاريع علمية مبتكرة يعني الطالب نفسه إيش فيه + +338 +00:18:59,140 --> 00:19:01,220 +شغلات ممكن هو يضيفها، حابب يضيفها، ناخد رأي + +339 +00:19:01,220 --> 00:19:03,640 +الطالب، مش غلط إنه ناخد رأيه، لأن هو اتطبق عليه + +340 +00:19:03,640 --> 00:19:07,100 +المشروع بشكل مباشر وطبعا ما نتجهلش هذه الاقتراحات + +341 +00:19:07,100 --> 00:19:08,360 +مش لإنه طالب، انها مش .. لأ + +342 +00:19:11,600 --> 00:19:14,320 +اللي قيمة وبيعطي قيمة كبيرة للمشروع وبيغير في هذا + +343 +00:19:14,320 --> 00:19:17,240 +المشروع الشغل التاني المعلم نفسه يعني إحنا لازم + +344 +00:19:17,240 --> 00:19:19,520 +ناخد رأي المعلم إحنا حكينا إن المعلم هو اللي بدي + +345 +00:19:19,520 --> 00:19:23,500 +تواصل مع طلاميده فبنعرف إنه .. إن المعلم نفسه إيش + +346 +00:19:23,500 --> 00:19:27,040 +ممكن يقدمنا أفكار جديدة بحيث إنه هذا المشروع يتلقى + +347 +00:19:27,040 --> 00:19:29,920 +إثراء يعني مايضلش زي ما هو يعني لما نجي نطبقه كمان + +348 +00:19:29,920 --> 00:19:34,680 +مرة مايضلش زي ما هو لكن اللي هو تطوير الجهات + +349 +00:19:34,680 --> 00:19:36,980 +المشاركة الجهات هذه الجهات .. + +350 +00:19:41,470 --> 00:19:44,610 +الجهات المشاركة في تنفيذ المشروع، طبعا هذه الجهات + +351 +00:19:44,610 --> 00:19:48,390 +مش جهات شريكة، هي مشاركة، هي فقط تقدم خدمات دعم، + +352 +00:19:48,390 --> 00:19:51,390 +أي إن كان هذا الدعم logistic، إداري، فني، احنا حتى + +353 +00:19:51,390 --> 00:19:54,710 +وذكرناهم، أول حاجة وزارة التربي والتعليم، وزارة + +354 +00:19:54,710 --> 00:19:58,410 +التربي والتعليم إيش دورها؟ يعني كإيش تقدمنا خدمة + +355 +00:19:58,410 --> 00:20:01,530 +لهذه المؤسسة اللي هتعمل المشروع؟ إنه هتكون بدور + +356 +00:20:01,530 --> 00:20:04,470 +الميسر والمساهر، يعني هتقدم تسهيلات، يعني هتسهل + +357 +00:20:04,470 --> 00:20:09,640 +عمل المشروع، ليش لإن ..هو اللي بسمه مشروع؟ اه صحيح + +358 +00:20:09,640 --> 00:20:13,260 +مشروع مشروع مشروع اه و بالاضافة انه هذه برضه دورها + +359 +00:20:13,260 --> 00:20:16,960 +اللي هو الحصول على استفغاء قانونية للمشروع الشغل + +360 +00:20:16,960 --> 00:20:19,020 +التالت المدرس الحكومية اللي هي بتندرس تحت الذارة + +361 +00:20:19,020 --> 00:20:21,520 +التارية و اتعالى اللي هي اللي هتتعاون مع المنشطين + +362 +00:20:21,520 --> 00:20:24,440 +هي اللي هتوفر الأماكن اللي هون هي اللي هتعطينا + +363 +00:20:24,440 --> 00:20:27,520 +قائمة احنا حكينا انه بدنا مدرسين بدنا معالمين من + +364 +00:20:27,520 --> 00:20:30,520 +هو من المدرسة المدرسة هترشحنا قائمة ايش المعالمين + +365 +00:20:30,520 --> 00:20:32,920 +يعني افضل معالمين عليها اللي ممكن يلاحظوا أداء + +366 +00:20:32,920 --> 00:20:35,060 +طلبات طلابهم يساعد + +367 +00:20:38,420 --> 00:20:41,320 +عنا المؤسسة الممولة والمؤسسة المانحة للمشروع ليها + +368 +00:20:41,320 --> 00:20:45,020 +مؤسسة NYSEC طبعا هي مؤسسة خيرية غير ربحية، هتقدم + +369 +00:20:45,020 --> 00:20:49,040 +المشروع، دورها يعني دور الممول الرائع للمشروع، دور + +370 +00:20:49,040 --> 00:20:51,420 +الممول الرائع ليها، هتعطينا الفلوس واحنا هنعمل + +371 +00:20:51,420 --> 00:20:53,740 +المشروع علينا واحنا هنقدم المقترح إليها وهنشوف وين + +372 +00:20:53,740 --> 00:20:57,220 +أوجه انفاق هذه الفلوس تبعتها، طبعا هنذكر كله في + +373 +00:20:57,220 --> 00:20:57,780 +الموازنة + +374 +00:21:03,000 --> 00:21:05,820 +الموازنة الإجمالية للمشروع الموازنة الإجمالية اللى + +375 +00:21:05,820 --> 00:21:08,540 +إحنا هنطلبها منهم هي نفسها وممكن يعني إحنا يعني + +376 +00:21:08,540 --> 00:21:11,220 +نتوقع أنه نطلب كمان بشكل أكتر ليش؟ لإنه على أساس + +377 +00:21:11,220 --> 00:21:13,540 +لو نقص علينا يعني ماينقصش علينا نكون عاملين + +378 +00:21:13,540 --> 00:21:16,020 +احتياطاتنا من الأول لإنه ممكن يكون فيش .. ممكن + +379 +00:21:16,020 --> 00:21:18,380 +يتغلى الأسعار ممكن ي .. يعني لازم الواحد يعمل + +380 +00:21:18,380 --> 00:21:20,820 +احتياطاته من البداية طبعا أكيد أنا هشارك في + +381 +00:21:20,820 --> 00:21:23,930 +التنمول مع المؤسسة ممتازة ليش هتدفعين؟هيو أنا + +382 +00:21:23,930 --> 00:21:26,670 +انحدد او مصدر تمويل هيكون موزع ما بين الجهة + +383 +00:21:26,670 --> 00:21:29,290 +المانحة او الدعم او الممولة ليها مؤسسة الناس ذات + +384 +00:21:29,290 --> 00:21:32,450 +الخيرية و هيكون تمويل ذاتي من مدير المشروع اللي هو + +385 +00:21:32,450 --> 00:21:35,890 +انا طبعا احنا مواضحينها، نسبة تموي المنصق المشروع + +386 +00:21:35,890 --> 00:21:38,270 +يعني مستعدة تدفع مبلغ 8000 و 100 دولار؟ ان شاء + +387 +00:21:38,270 --> 00:21:44,640 +الله معاك يعني ان شاء اللهنسبة تمويل منصقي المشروع + +388 +00:21:44,640 --> 00:21:47,960 +هيكون حسبناها 31% من إجمال الموازن يعني هي من + +389 +00:21:47,960 --> 00:21:52,320 +الـ26000 تطلع 8100 دولار نسبة تمويل مؤسسة النازر + +390 +00:21:52,320 --> 00:21:56,280 +أو المؤسسة المانحة 69% هاي المطبخ انت محسوب بالدقة + +391 +00:21:56,280 --> 00:21:59,500 +ولا بشوية؟ لأ بالدقة يعني، هو فيه شوية مرونة، ان + +392 +00:21:59,500 --> 00:22:03,060 +احنا زوّات شوية احتياط، من باب التحوط و الاحتياط + +393 +00:22:03,490 --> 00:22:07,150 +قيمة 18 ألف، يعني هي هتدعمنا بس 18 ألف، احنا قولنا + +394 +00:22:07,150 --> 00:22:10,790 +مافيش شركاء للمشروع، الجهات هذه كانت جهات مشاركة + +395 +00:22:10,790 --> 00:22:14,510 +أو مساعدة فقط، يعني لا، مش هتش .. أيوة عن إداري، + +396 +00:22:14,510 --> 00:22:17,370 +logistic، خدمات، فني، مش هتشارك، انه لا في ربح ولا + +397 +00:22:17,370 --> 00:22:19,810 +في خسارة مين زي .. مين زي أزاهة كمان هو بدون الدفع + +398 +00:22:19,810 --> 00:22:20,870 +من جايب في هذا المشروع؟ + +399 +00:22:23,930 --> 00:22:29,970 +كله علشان .. كله عمليال؟ ممتاز حاجة بسيطة يعني، + +400 +00:22:29,970 --> 00:22:32,890 +حاجة بيعملها، حاجة فضلة، حلو أقدرنا نعرض الموازنة + +401 +00:22:32,890 --> 00:22:36,190 +التفصيلية، أحنا أعطينا كورة قطعة جمالةعنا كتب و + +402 +00:22:36,190 --> 00:22:39,670 +مطبعه .. هيك يا أخوات مواسم زي ما بتاخدوها عنا عدد + +403 +00:22:39,670 --> 00:22:43,790 +الوحدات 1500 لإن و احنا استهدفنا 1500 طالب تكلف كل + +404 +00:22:43,790 --> 00:22:46,730 +واحد اتنين، هتطلع 3000 دولار، هذي كل حاجة أنا + +405 +00:22:46,730 --> 00:22:51,490 +هجيبها، بيها 3000، 3000 منهم، من ال 8000 اللي احنا + +406 +00:22:51,490 --> 00:22:55,130 +توحدتهم، 1100 عندنا الخزانات، هذي هم منهم طبعا، + +407 +00:22:55,130 --> 00:22:57,990 +منهم منهم، هذي هي أصلا هي أنشطة المشروع، اللاعاب + +408 +00:22:57,990 --> 00:23:01,090 +اللي بيقدموها الشغلات هذي، الخزانة .. نعطي كل + +409 +00:23:01,090 --> 00:23:04,670 +مدرسة خزان تانياحنا عندنا خمسة وعشرين مدرسة، خمسين + +410 +00:23:04,670 --> 00:23:07,610 +بواقع خزانتين لكل مدرسة الخزانة الواحدة؟ تلاتمية + +411 +00:23:07,610 --> 00:23:10,770 +دولار الواحدة تلاتة وخمسين؟ أه هي قيمتها الإجمالية + +412 +00:23:10,770 --> 00:23:13,130 +خمستاشر ألف أه تلاتة وخمسة وخمستاشر وخمستاشر؟ أه + +413 +00:23:13,130 --> 00:23:15,590 +احنا ه .. انا همول بالنسبة تلاتين في المية من + +414 +00:23:15,590 --> 00:23:17,890 +الخمستاشر ألف اللي هي أربع تلاف وخمسمية دولار + +415 +00:23:17,890 --> 00:23:20,330 +ممتاز وهم هيمولونا بالنسبة سبعين في المية من + +416 +00:23:20,330 --> 00:23:23,110 +الخمستاشر ألف تطلع عشر تلاف وخمسمية دولار نجمعهم + +417 +00:23:23,110 --> 00:23:26,080 +بطلع خمستاشر ألفعند الجوائزة دي احنا حاولنا لازم + +418 +00:23:26,080 --> 00:23:28,860 +نحفظهم يعني الطالب إذا ما تحفظش مش هيستمر ولا + +419 +00:23:28,860 --> 00:23:32,400 +هينجح ألف و خمسمية طالب لإن احنا عنا ألف و خمسمية + +420 +00:23:32,400 --> 00:23:34,400 +جائزة لألف و خمسمية طالب طبعا هذا الجوائز + +421 +00:23:34,400 --> 00:23:37,720 +بالكردرنزية يعني تكلفة الجائزة الواحدة واحد دولار + +422 +00:23:37,720 --> 00:23:41,220 +ألف و خمسمية في واحدة و خمسمية جائزة هيكون ألف و + +423 +00:23:41,220 --> 00:23:43,560 +خمسمية دولار لإن الواحدة واحد دولار أنا همول + +424 +00:23:43,560 --> 00:23:47,860 +تلاتين في المية ليها بقيمة ستمية دولار و المؤسسة + +425 +00:23:47,860 --> 00:23:50,780 +المانحة تسعمية تسعمية و ستمية ألف و خمسمية دولار + +426 +00:23:51,120 --> 00:23:53,500 +راتب المشرفين هو مشرف المشروع اللي احنا كنا + +427 +00:23:53,500 --> 00:23:56,900 +محددناه اكيد هياخد .. انا محددله راتب 700 دولار + +428 +00:23:56,900 --> 00:24:01,680 +شهري هو 6 شهور 706 4200 دولار هتمولها المؤسسة + +429 +00:24:01,680 --> 00:24:07,940 +كلها، المعنى 100% راتب مدير المشروع .. 400 دولار + +430 +00:24:07,940 --> 00:24:12,120 +.. هتعطي حالها 400 دولار؟ طب المشرفين 700؟ او 1؟ + +431 +00:24:12,120 --> 00:24:18,020 +هو مشرف 1 للمشروع، لأ اكيد هنعندق على المشرفراتب + +432 +00:24:18,020 --> 00:24:21,520 +مدير المشروع .. مدير واحد لمدة ست شهور أربعمائة + +433 +00:24:21,520 --> 00:24:24,080 +دولار، أربعمائة في ستة، ألفين واربعمائة هتقدمها + +434 +00:24:24,080 --> 00:24:27,280 +نظرية لو احنا جمعنا قدش .. انا دفعت قدش، اللي هو + +435 +00:24:27,280 --> 00:24:37,740 +زي ما حددناهم في البداية شكرا + +436 +00:24:37,740 --> 00:24:38,300 +يا زهر + +437 +00:24:45,660 --> 00:24:50,040 +تعينة .. تعينة .. هي لعبة ال T-Quest .. إذا بدكوا + +438 +00:24:50,040 --> 00:24:53,380 +قاعدة تعالوا قبلنا .. مارجينا بس الشكل .. إنه كيف + +439 +00:24:53,380 --> 00:24:56,700 +الطالب يفكر .. هاد أحجية Einstein .. قصة أنا بحاول + +440 +00:24:56,700 --> 00:25:03,220 +فيها .. صعبة شوية .. هي عينة .. أحجية Einstein .. + +441 +00:25:03,220 --> 00:25:06,500 +إنه كيف الطالب يرتب هدول بشكل .. يعني بدها تفكير + +442 +00:25:06,500 --> 00:25:09,520 +.. اسمها أحجية Einstein .. هتعملها العين .. + +443 +00:25:09,520 --> 00:25:17,920 +Einstein ..هى هى اللعبة هى تعليمات اللعبة هى + +444 +00:25:17,920 --> 00:25:24,450 +اللعبةهنا الأطفال بناعزنا الأطفال يعني ماعشني إيش + +445 +00:25:24,450 --> 00:25:28,190 +بدنا تلعبها دي؟ اللي كيف نطب ال .. بنرتب هدول، + +446 +00:25:28,190 --> 00:25:30,730 +بدنا نرتبهم بس بترتبهم يعني التعايدات، هي + +447 +00:25:30,730 --> 00:25:33,610 +التعالمات كلها، إنه فينا متغنطة بيبقى 3 أو 4 + +448 +00:25:33,610 --> 00:25:35,870 +تعالمات معايا، همال الأطفال أتوقع سنة أو أربع + +449 +00:25:35,870 --> 00:25:40,070 +سنوات هدوت؟ لأ أكتر يعني، أكتر لو أنا شوفت NGR، + +450 +00:25:40,070 --> 00:25:42,170 +لأ، لأ هذه كانت أربع سنة و عادي لأ مش أربع سنة و + +451 +00:25:42,170 --> 00:25:46,010 +عادي، هذه اللعبة برضه line up for، يعني كيف ن .. + +452 +00:25:46,010 --> 00:25:46,870 +هذ اللعبة نفسها + +453 +00:25:51,400 --> 00:25:57,800 +ماشي يعني؟ لسه ماساعدليش يعني؟ اه اي سؤال هذه T + +454 +00:25:57,800 --> 00:26:01,060 +-quest لعبة يعني تقريبا مش صعبة كتير كيف هيجمع حرف + +455 +00:26:01,060 --> 00:26:06,800 +ال T من هدول؟ تجمع حرف ال T من القطع هذه تعالي + +456 +00:26:06,800 --> 00:26:11,600 +أسرع جمالي يعني تعاليحلو؟ تعالى يا عزيزي جمعى + +457 +00:26:11,600 --> 00:26:16,080 +تلعبى هنا خاصة .. تلعب بكتير .. كتير ما جيبتش تكون + +458 +00:26:16,080 --> 00:26:19,360 +طالبة أو هي قاعدة السنة .. تلعب بكتير .. تلعب + +459 +00:26:19,360 --> 00:26:20,900 +بكتير .. تلعب بكتير .. تلعب بكتير .. تلعب بكتير .. + +460 +00:26:20,900 --> 00:26:23,800 +تلعب بكتير .. تلعب بكتير .. تلعب بكتير .. تلعب + +461 +00:26:23,800 --> 00:26:25,020 +بكتير .. تلعب بكتير .. تلعب بكتير .. تلعب بكتير .. + +462 +00:26:25,020 --> 00:26:28,740 +تلعب بكتير .. تلعب بكتير .. تلعب بكتير .. تلعب + +463 +00:26:28,740 --> 00:26:34,180 +بكتير .. تلعب بكتير .. تلعب بكتير .. تل + +464 +00:26:42,260 --> 00:26:46,020 +عشان .. اه كيف .. هاد اتنين بلعبوا واحد .. اتنين + +465 +00:26:46,020 --> 00:26:53,780 +.. اه .. لأ مش معرفة .. اعملليها لأ .. أساقل + +466 +00:26:53,780 --> 00:27:01,780 +بالتلس .. أساقل بالتلس .. وقعدت كسريها لأ .. حيأنا + +467 +00:27:01,780 --> 00:27:08,360 +بتعمليها .. حيأنا بتعمليها .. + +468 +00:27:08,360 --> 00:27:10,340 +حيأسي انا مش معرفة إيش بتعمليها .. تحكي ده أربع + +469 +00:27:10,340 --> 00:27:15,620 +سنة؟مش شايفة أن المقترح طويل يا ميز؟ على حسب طبيعة + +470 +00:27:15,620 --> 00:27:18,360 +المشروع يعني أنا مش طويل صوت شوية أنا بعرف .. أنا + +471 +00:27:18,360 --> 00:27:21,980 +بعرف أن المقترح لازم لما تناقشيه أقصى حد خمس دقائق + +472 +00:27:21,980 --> 00:27:26,420 +بس هي أخدت نص ساعة .. احنا ماكناش وقت معين احنا + +473 +00:27:26,420 --> 00:27:30,720 +كان اختصار ده .. ده أنا بعرف ان .. مقترح مانا بدك + +474 +00:27:30,720 --> 00:27:35,100 +تذكرين؟ ماشي أه خمس دقائق .. احنا ماكناش وقت معين + +475 +00:27:35,100 --> 00:27:40,720 +احنا ماكناش وقت معين احنا ماكناش وقت معين احنا + +476 +00:27:40,720 --> 00:27:41,220 +ماكناش وقت معين احنا ماكناش وقت معين احنا ماكناش + +477 +00:27:41,220 --> 00:27:41,480 +وقت معين احنا ماكناش وقت معين احنا ماكناش وقت مع + +478 +00:27:46,280 --> 00:27:51,780 +مس هاي هم أربعة و هاي أربعة مافيش عشان انا .. أي + +479 +00:27:51,780 --> 00:27:55,440 +سؤال؟ + +480 +00:27:55,440 --> 00:27:59,920 +بقى + +481 +00:27:59,920 --> 00:28:03,860 +أسهل في الاس؟ سهلة، أربعة قطعة بس تساومي بحرف ال + +482 +00:28:03,860 --> 00:28:10,100 +K، بس تزعج ال جنة تعالي و أنتي هدول أربعة ساومي + +483 +00:28:10,100 --> 00:28:14,310 +بحرف ال K و هدول 4؟ مش صعبة هي مش صعبةحاسبتي يعني + +484 +00:28:14,310 --> 00:28:17,210 +انت شو .. انا عارفة لأ ان انا حاسبت انك مش فاكرت + +485 +00:28:17,210 --> 00:28:19,690 +.. مش فاكرت .. فاكرت انا شوفت و عملت ايوة .. انا + +486 +00:28:19,690 --> 00:28:26,130 +عملت اوه انت معاكي انت .. انت .. خسر عالمك بس .. + +487 +00:28:26,130 --> 00:28:27,190 +بس .. بس .. بس .. بس .. بس .. بس .. بس .. بس .. بس + +488 +00:28:27,190 --> 00:28:27,810 +.. بس .. بس .. بس .. بس .. بس .. بس .. بس .. بس .. + +489 +00:28:27,810 --> 00:28:27,930 +بس .. بس .. بس .. بس .. بس .. بس .. بس .. بس .. بس + +490 +00:28:27,930 --> 00:28:27,930 +.. بس .. بس .. بس .. بس .. بس .. بس .. بس .. بس .. + +491 +00:28:27,930 --> 00:28:29,370 +بس .. بس .. بس .. بس .. بس .. بس .. بس .. بس .. بس + +492 +00:28:29,370 --> 00:28:35,670 +.. بس .. + +493 +00:28:35,670 --> 00:28:43,010 +بس .. بسهل بتعمل مشهودة طالبة في الجامعة؟ أنا بصرا + +494 +00:28:43,010 --> 00:28:47,730 +بتقليلي أربع سنين طب يالها نفسها أربع سنين هل هي + +495 +00:28:47,730 --> 00:28:50,190 +أحجة قنيشتان؟ قولتي عنها؟ لأ أحجة قنيشتان أصعب + +496 +00:28:50,190 --> 00:28:55,190 +شوية بالآخر بدها اش + +497 +00:28:55,190 --> 00:28:58,770 +في أزهار؟ تصوير يعني تصوير تصوير انا أتعرف على + +498 +00:28:58,770 --> 00:29:03,170 +تصوير انا اتعرف على تصوير انا اتعرف على تصوير انا + +499 +00:29:03,170 --> 00:29:04,310 +اتعرف على تصوير انا اتعرف على تصوير انا اتعرف على + +500 +00:29:04,310 --> 00:29:04,970 +تصوير انا اتعرف على تصوير انا اتعرف على تصوير انا + +501 +00:29:04,970 --> 00:29:12,670 +اتعرف على تصوير انا اتعرف على تصوير انا اتأي سؤال؟ + +502 +00:29:12,670 --> 00:29:22,510 +سهل .. سهل .. سهل .. سهل .. سهل .. سهل .. سهل .. + +503 +00:29:22,510 --> 00:29:22,570 +سهل .. سهل .. سهل .. سهل .. سهل .. سهل .. سهل .. + +504 +00:29:22,570 --> 00:29:24,870 +سهل .. سهل .. سهل .. سهل .. سهل .. سهل .. سهل .. + +505 +00:29:24,870 --> 00:29:25,170 +سهل .. سهل .. سهل .. سهل .. سهل .. سهل .. سهل .. + +506 +00:29:25,170 --> 00:29:26,650 +سهل .. سهل .. سهل .. سهل .. سهل .. سهل .. سهل .. + +507 +00:29:26,650 --> 00:29:26,650 +سهل .. سهل .. سهل .. سهل .. سهل .. سهل .. سهل .. + +508 +00:29:26,650 --> 00:29:30,790 +سهل .. سهل .. سهل .. سهل .. سهل .. سهل .. سهل .. + +509 +00:29:30,790 --> 00:29:39,830 +سهل .. سهل .. سهل .. سهل .. سهل .. سه + +510 +00:29:56,670 --> 00:30:02,150 +كلمات؟ هى محرفش هى كلمات، خلاص + +511 +00:30:06,620 --> 00:30:12,180 +العملية فلسطين على حرف التين؟ هاي الحقيقة، أنتوا + +512 +00:30:12,180 --> 00:30:17,260 +قاعدين بتبوشوا وعملوا ولا احترقوا؟ جديد الأعضاء، + +513 +00:30:17,260 --> 00:30:23,700 +من عنده 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شاء الله راح نبدأ مع + +6 +00:00:35,950 --> 00:00:39,110 +بعض في ال chapter التامي لمساق إدارة مشاريع اللي + +7 +00:00:39,110 --> 00:00:45,410 +هو تحت عنوان دورة حياة المشاريع ال life circleفي + +8 +00:00:45,410 --> 00:00:48,930 +عندنا سؤال بيطرح نفسه ما المقصود بدورة حياة + +9 +00:00:48,930 --> 00:00:52,890 +المشروع زي ما هو كاتب إنها دورة حياة المشروع عبارة + +10 +00:00:52,890 --> 00:00:57,350 +عن مجموعة من مراحل المشروع اللي هي تكون متسلسلة، + +11 +00:00:57,350 --> 00:01:05,290 +إذن أول حاجة تكون متسلسلة تتعم في وقت واحد، نفس + +12 +00:01:05,290 --> 00:01:06,490 +الوقت + +13 +00:01:08,800 --> 00:01:14,160 +لها اسم و المراحل هذه لها عدد معين في عندنا تعريف + +14 +00:01:14,160 --> 00:01:27,540 +اخر وهو نقطة بداية و نهاية المشروعإذن مراحل حياة + +15 +00:01:27,540 --> 00:01:31,280 +المشروع أو دورة حياة المشروع عبارة عن نقطة بدء + +16 +00:01:31,280 --> 00:01:35,460 +المشروع إلى نهايته بنسميها .. بنسميها دورة حياة + +17 +00:01:35,460 --> 00:01:46,380 +المشروع في عندنا تعريف أخر وهي المراحل التي يمر + +18 +00:01:46,380 --> 00:01:52,220 +بها المشروع من حياته التخطيط + +19 +00:01:52,220 --> 00:02:00,620 +أو قبل التخطيط هو التفكيرالتفكير والتخطيط والتنفيذ + +20 +00:02:00,620 --> 00:02:09,810 +والمتابعة بنسميها هذه دورة حياة المشروعفي عندنا + +21 +00:02:09,810 --> 00:02:16,370 +سؤال بيطرح نفسه على أي أساس يتم تحديد دورة حياة + +22 +00:02:16,370 --> 00:02:20,870 +المشروع، إذا عندنا سؤال بيطرح نفسه على أي أساس يتم + +23 +00:02:20,870 --> 00:02:26,270 +تحديد دورة حياة المشروع، زي ما هو موضح أمامنا، على + +24 +00:02:26,270 --> 00:02:31,560 +أساسنوع الصياء الصناعة أو التكنولوجيا المستخدمة + +25 +00:02:31,560 --> 00:02:36,160 +فيه نوع الصناعة بناء عليها بحدد دورة حياة هذا + +26 +00:02:36,160 --> 00:02:41,080 +المشروع طبعا كل مشروع له نقطة بداية ونقطة نهاية + +27 +00:02:41,080 --> 00:02:49,960 +ضمن البداية والنهاية بيكون عندنا أنشطةوبكون عندنا + +28 +00:02:49,960 --> 00:02:56,700 +أعمال بس نخلصها بنكون خلصنا هذا المشروع أخدنا في + +29 +00:02:56,700 --> 00:03:00,920 +مساق بحوث العمليات اللي هي شبكة الأعمال الشكل هذا + +30 +00:03:00,920 --> 00:03:08,140 +ومجرد + +31 +00:03:08,140 --> 00:03:11,040 +النظر لهذا الشكل بنعرف أن المشروع ببدأ في واحد + +32 +00:03:11,040 --> 00:03:15,400 +وبنتهي في النشاط رقم أربعة من واحد لأربعة عندنا + +33 +00:03:15,400 --> 00:03:17,340 +نشاطين أن هما اتنين وتلاتة + +34 +00:03:19,830 --> 00:03:25,070 +في سؤال بيترح نفسه ادخلي خصائص دورة حياة المشروع + +35 +00:03:25,070 --> 00:03:31,650 +ادخلي خصائص دورة حياة المشروع بيحكينا المشروع + +36 +00:03:31,650 --> 00:03:35,510 +بتفاوت في الحجم والتعقيد في عندنا مشاريع صغيرة + +37 +00:03:35,510 --> 00:03:39,270 +الحجم في عندنا مشاريع متوسطة في عندنا مشاريع كبيرة + +38 +00:03:39,270 --> 00:03:44,090 +الحجم أيضا في عندنا مشاريع بسيطة بتتم إنجازها + +39 +00:03:44,090 --> 00:03:46,670 +بسرعة وفي مشاريع معقدة + +40 +00:03:51,270 --> 00:03:54,810 +المشروعات لازم تخطط لأربع أمور مرة واحدة قبل هيك + +41 +00:03:54,810 --> 00:03:59,250 +أول حاجة بدء المشروع اتنين التنظيم والاعدال + +42 +00:03:59,250 --> 00:04:03,830 +للمشروع التنفيذ أخر حاجة إقفال المشروع اللي هو + +43 +00:04:03,830 --> 00:04:08,730 +الإغلاق إقفال المشروع المقصود بها عملية إغلاق + +44 +00:04:08,730 --> 00:04:13,400 +المشروع يعني نهاية المشاريعإنه احنا نسلم المشروع + +45 +00:04:13,400 --> 00:04:18,840 +ومجرد ما نقفل المشروع معناها أغلقنا أو المشروع هذا + +46 +00:04:18,840 --> 00:04:25,220 +فكرته تم تنفيذها وانتهت إذن خصاص المشروع كل مشريع + +47 +00:04:25,220 --> 00:04:27,760 +لازم تشتغل في أربع شغلات اللي هي البدء التنظيم + +48 +00:04:27,760 --> 00:04:37,700 +التنفيذ والإغلاق عندنا سؤال ما هي المراحل + +49 +00:04:39,210 --> 00:04:42,990 +المرتبطة في دورة الحياة العامة للمشروع نشوف مع بعض + +50 +00:04:42,990 --> 00:04:54,130 +يلاحظ واحد في بداية المشروع تكون ال risk أو + +51 +00:04:54,130 --> 00:04:59,850 +المخاطر مرتفعة إذن في أول مشروع بيكون عندنا + +52 +00:04:59,850 --> 00:05:01,450 +المخاطر مرتفعة + +53 +00:05:07,730 --> 00:05:15,410 +هذا بالنسبة لل risk رقم اتنين في بداية المشروع + +54 +00:05:15,410 --> 00:05:25,230 +تكون التكاليف مخفضة لأنه ما زالت فكرة ثم ترتفع اذا + +55 +00:05:25,230 --> 00:05:30,370 +يلاحظ انه المخاطر والتكاليف عكس بعضها المخاطر + +56 +00:05:30,370 --> 00:05:39,100 +والتكاليف عكس بعضها ايضا القدرةرقم تلاتة قدرة صناع + +57 +00:05:39,100 --> 00:05:50,180 +القرار على التأثير في مرحلة البدء تكون أعلى بعد + +58 +00:05:50,180 --> 00:05:54,660 +التنفيذ .. قبل عملية التنفيذ تكون أعلى قبل عملية + +59 +00:05:54,660 --> 00:06:00,720 +التنفيذ إذن لاحظنا مع بعض أنه عندنا المخاطر + +60 +00:06:00,720 --> 00:06:08,140 +والتأثير علىالمشروع في البداية بيكون مرتفعة ثم + +61 +00:06:08,140 --> 00:06:15,700 +تنخفض التكاليف العكس بيكون مخفضة ثم ترتفع في عندنا + +62 +00:06:15,700 --> 00:06:22,050 +رسم ع الصبورة بوضحنا الكلام هذافي البداية هذه + +63 +00:06:22,050 --> 00:06:27,730 +التكاليف cost في البداية كانت مخفضة ثم ارتفعت وصلت + +64 +00:06:27,730 --> 00:06:32,710 +للقمة في مرحلة التنفيذ وبعدين بدأت تنخفض عندنا + +65 +00:06:32,710 --> 00:06:36,570 +المخاطر لأ المخاطر بتبدأ مرتفعة وبعدين بتنخفض + +66 +00:06:36,570 --> 00:06:43,190 +الشكل هذا أيضا بوضح هذه التكاليف بدأت مرتفعة هي + +67 +00:06:43,190 --> 00:06:46,330 +عندنا المخاطر والتأثير + +68 +00:06:47,880 --> 00:06:51,880 +بدأ مرتفع بعدين بدأ ينزل ينخفض مع تنفيذ إيش + +69 +00:06:51,880 --> 00:06:58,300 +المشروع عندنا المتغيرات اللي هي هذا الوقت وهذه + +70 +00:06:58,300 --> 00:07:03,800 +الدرجة درجة المخاطر بتبدأ مرتفعة ثم تنخفض مع إنجاز + +71 +00:07:03,800 --> 00:07:09,220 +المشروع التكلفة تبدأ low أو منخفضة ثم ترتفع طبعا + +72 +00:07:09,220 --> 00:07:14,020 +الرسومات هذه مهمة الرسومات هذه مهمة + +73 +00:07:18,880 --> 00:07:24,280 +ما هي علاقات المنتج مقابل دورة حياة المشروع ما هي + +74 +00:07:24,280 --> 00:07:29,800 +علاقات المنتج مقابل دورة حياة المشروع بيحكينا دورة + +75 +00:07:29,800 --> 00:07:33,580 +حياة المنتج تتكوّن من مراحل إنتاجية إذا إحنا بنفرج + +76 +00:07:33,580 --> 00:07:41,340 +بين دورة حياة المنتج ودورة حياة المشروع إذا ظهر + +77 +00:07:41,340 --> 00:07:45,840 +عندنا مصطلح جديد دورة + +78 +00:07:47,720 --> 00:07:56,720 +حياة المنتج ودورة حياة المشروع الاتنين بيختلفوا عن + +79 +00:07:56,720 --> 00:08:02,480 +بعض بيحكينا تتكون دورة حياة المنتج من مراحل + +80 +00:08:02,480 --> 00:08:08,580 +إنتاجية تتكون مراحل إنتاجية لإنتاج المنتج بتاعنا + +81 +00:08:08,580 --> 00:08:14,920 +تكون عرضاً تسلسلية معنا ورا بعضها البعض لها تحدث + +82 +00:08:14,920 --> 00:08:19,730 +فرقة واحدةتكون هذه المراحل حسب احتياجات المؤسسة + +83 +00:08:19,730 --> 00:08:23,590 +لما نوصل لمرحلة استرداد المنتج فهي المرحلة الأخيرة + +84 +00:08:23,590 --> 00:08:29,930 +في دورة حياة المنتج اذا اخر مرحلة عندنا استرداد + +85 +00:08:29,930 --> 00:08:36,010 +منتجنا من السوق بتكون اخر مرحلة المشروع ممكن يدخل + +86 +00:08:36,010 --> 00:08:42,460 +ضمن دورة حياة المنتجمن الممكن أن تكون دورة حياة + +87 +00:08:42,460 --> 00:08:46,420 +المشروع جزء من دورة حياة المونتاج زي ما و كتبنا + +88 +00:08:46,420 --> 00:08:50,540 +تدخل دورة حياة المشروع في واحدة أو أكتر من دورات + +89 +00:08:50,540 --> 00:08:54,740 +حياة المونتاج لازم نميز بين هل المرحلة اللي أنا + +90 +00:08:54,740 --> 00:09:00,680 +فيها حياة مشروع او حياة مونتاج طبعا المشاريع + +91 +00:09:00,680 --> 00:09:07,040 +جميعها تسعى تحقيق عدة أهداف في حالة إنجازها ينتهي + +92 +00:09:07,040 --> 00:09:08,800 +هذا المشروع + +93 +00:09:10,710 --> 00:09:16,850 +من الممكن أن يكون أحد هدف المشروع الوصول أو تقديم + +94 +00:09:16,850 --> 00:09:23,350 +منتج فبنلاحظ هنا أن هدف المشروع هذا اندرج ضمن دورة + +95 +00:09:23,350 --> 00:09:32,270 +حياة المنتج إذا + +96 +00:09:32,270 --> 00:09:38,940 +عندنا مشروعهدف الأساسي تقديم منتج ممكن يكون ضمن + +97 +00:09:38,940 --> 00:09:47,660 +دورة حياة المنتج في + +98 +00:09:47,660 --> 00:09:53,000 +عنا علاقات عديدة ومحتملة بين حياة المنتج وحياة + +99 +00:09:53,000 --> 00:10:02,020 +المشروع مثلا واحد تقديم منتج + +100 +00:10:02,020 --> 00:10:13,740 +جديد هدف حدات ومشروعع سبيل المثال مصنع سيارات يرغب + +101 +00:10:13,740 --> 00:10:23,800 +في تقديم نوع جديد من السيارات تقديم نوع جديد من + +102 +00:10:23,800 --> 00:10:29,840 +السيارات هذا بنسميه مشروع هذا رقم واحد رقم اتنين + +103 +00:10:29,840 --> 00:10:35,080 +الاستفادة من احد المنتجات الموجودة في المشاريع + +104 +00:10:35,750 --> 00:10:39,450 +اكتنين الاستفادة + +105 +00:10:39,450 --> 00:10:49,690 +من المنتجات الموجودة في المشروع بمعنى لدينا مشروع + +106 +00:10:49,690 --> 00:10:56,190 +المشروع يقدم منتج المنتج هذا ممكن نعمل عليه عملية + +107 +00:10:56,190 --> 00:11:00,130 +تطوير او + +108 +00:11:00,130 --> 00:11:08,760 +بشكل اخر مثل اخر على شركة جوال شركة جوالهناك محل + +109 +00:11:08,760 --> 00:11:21,760 +super market يقوم ببيع كروت جوال للمستهلكين اذا + +110 +00:11:21,760 --> 00:11:25,840 +صاحب المحل ال super market استفاد من شركة جوال انه + +111 +00:11:25,840 --> 00:11:30,460 +صار يبيعلها كروت هذا معناه عندي منتج موجود + +112 +00:11:30,460 --> 00:11:33,880 +فاستفدنا بعمل مشروع لابيعاش كروت الجوال + +113 +00:11:37,680 --> 00:11:47,240 +ما هي مراحل المشروع؟ ما هي مراحل المشروع؟ بنشوف مع + +114 +00:11:47,240 --> 00:11:53,740 +بعض، سؤال ما المقصود بمراحل المشروع؟ زي ما هو + +115 +00:11:53,740 --> 00:11:58,520 +مكتوب أمامنا عبارة عن أقسام داخل أحد المشروعات حيث + +116 +00:11:58,520 --> 00:12:02,660 +تكون هناك حاجة إلى مزيد من السيطرة والتحكم لإنهاء + +117 +00:12:02,660 --> 00:12:09,600 +أحد النتائج الكبرى بمعنى المقصود بهاهي مجموعة من + +118 +00:12:09,600 --> 00:12:15,060 +المراحل التي تنبتق عن مراحل المشروع الأساسي بمجرد + +119 +00:12:15,060 --> 00:12:19,520 +الانتهاء منها لا يعني انتهاء من المشروع مجموعة من + +120 +00:12:19,520 --> 00:12:22,740 +المراحل تنبتق عن إيش؟ عن المشروع الأساسي أو مراحل + +121 +00:12:22,740 --> 00:12:26,420 +المشروع الأساسي اللي لها علاقة بالسيطرة على + +122 +00:12:26,420 --> 00:12:30,820 +المشروعالانتهاء منها لا يعني انتهاء من المشروع + +123 +00:12:30,820 --> 00:12:34,360 +ولكن من الممكن ان ننتهي من هذا المشروع في نفس + +124 +00:12:34,360 --> 00:12:39,280 +الوقت انجاز هذه المرحلة في عندنا سؤال يقول وضحي + +125 +00:12:39,280 --> 00:12:51,220 +بالرسم وضحي بالرسم مراحل المشروع بالشكل + +126 +00:12:51,220 --> 00:13:06,150 +هذا اول حاجة عندنافكرة المشروع اعمار بحر او اعمار + +127 +00:13:06,150 --> 00:13:14,890 +الطريق الساحلي في غزة هذا مشروع فكرة بتاعته بعمل + +128 +00:13:14,890 --> 00:13:19,570 +عملية تخطيط بعدين + +129 +00:13:19,570 --> 00:13:21,190 +بعمل عملية تنفيذ + +130 +00:13:24,460 --> 00:13:28,880 +جبل التنفيذ طبعا بيقول هي عملية إيصال الموارد أو + +131 +00:13:28,880 --> 00:13:37,540 +رصدها بعدين تنفيذ بعد التنفيذ عملية متابعة وبعدين + +132 +00:13:37,540 --> 00:13:41,820 +عملية تقييم هل إحنا نجحنا وطبقنا المتفق عليه ولا + +133 +00:13:41,820 --> 00:13:47,340 +ماطبقناش إذا لاحظنا عندنا ست مراحل أول حاجة الفكرة + +134 +00:13:47,340 --> 00:13:53,520 +بعدين التخطيط بعدين الرصدبعدين تنفيذ المشروع أو + +135 +00:13:53,520 --> 00:13:59,820 +تنفيذ الفكرة وبعدين متابعتها وبعدين تقييمها في أي + +136 +00:13:59,820 --> 00:14:04,140 +نقطة صعبة ولا أعيد تاني؟ في أي نقطة صعبة أعيدها؟ + +137 +00:14:04,140 --> 00:14:08,040 +ده مرة تانية واضحي بالرأس المراحل المشروع زي ما هو + +138 +00:14:08,040 --> 00:14:12,440 +أماننا على الصابورة الفكرة التهطيط توفير الموارد + +139 +00:14:12,440 --> 00:14:19,560 +التنفيذ المتابعة والتقييم أيضا نكمل في نفس الموضوع + +140 +00:14:21,150 --> 00:14:26,870 +ما هي الخصائص المتشابهة لمراحل المشروع؟ ما هي + +141 +00:14:26,870 --> 00:14:33,150 +الخصائص المتشابهة لمراحل المشروع؟ أول شي عند + +142 +00:14:33,150 --> 00:14:38,270 +الانتهاء من مرحلة فإننا نبدأ بمرحلة جديدة، إذا رقم + +143 +00:14:38,270 --> 00:14:44,570 +واحد في حالة وجود مراحل متسلسلة فعند الانتهاء اللي + +144 +00:14:44,570 --> 00:14:48,150 +هو الإغلاق من مرحلة، من الممكن أن نبدأ في مرحلة + +145 +00:14:48,150 --> 00:14:57,170 +جديدة2 هي رقم 1 رقم 2 نهاية المرحلة تعتبر نقطة + +146 +00:14:57,170 --> 00:15:02,270 +طبيعية لإعادة تقييم الجهد إذا أنا رقم 1 عند إغلاق + +147 +00:15:02,270 --> 00:15:08,130 +مرحلة نبدأ بأخرى جديدة إذا ماكنتش هذه هي المرحلة + +148 +00:15:08,130 --> 00:15:16,910 +النهائية 2 بعد الإغلاق تبدأ عملية التقييم هل وضع + +149 +00:15:16,910 --> 00:15:22,160 +المرحلة كان جيد أم لاهذه الأمور بنسميها مخارج + +150 +00:15:22,160 --> 00:15:26,840 +المراحل، اللي لها كذا اسم، مخارج المراحل إذا ممكن + +151 +00:15:26,840 --> 00:15:32,240 +يجينا سؤال بيقول عرفي مخارج المراحل أو المعلامات + +152 +00:15:32,240 --> 00:15:38,160 +أو بوابات المراحل أو منافذ القرارات أو منافذ + +153 +00:15:38,160 --> 00:15:42,980 +المراحل أو نقاط القتل، نقاط القتل مجرد ترجمة فقط، + +154 +00:15:42,980 --> 00:15:48,780 +مجرد مصطلحإذا ما المقصود بنقاط القتل في المشاريع + +155 +00:15:48,780 --> 00:15:56,200 +عبارة عن إغلاق أحد مراحل المشاريع والبدء بمرحلة + +156 +00:15:56,200 --> 00:16:02,400 +جديدة مما يتيح لدينا فرصة لعملية تقييم المرحلة + +157 +00:16:02,400 --> 00:16:08,840 +التي تم انتهاءها يتيح لنا فرصة لـعملية تقييم هذه + +158 +00:16:08,840 --> 00:16:13,540 +المرحلة من الممكن أن نعرف مع بعض مخرج المراحل أو + +159 +00:16:13,540 --> 00:16:17,560 +نقاط القتل أو منافذ المراحل كالقاتل يلّا نكتب مع + +160 +00:16:17,560 --> 00:16:21,100 +بعض مخرج + +161 +00:16:21,100 --> 00:16:29,880 +المراحل هي المرحلة التي ينتهي فيها مدير المشروع من + +162 +00:16:29,880 --> 00:16:40,310 +مرحلة ويبدأ بمرحلة أخرىأي ينتهي من مرحلة التنفيذ + +163 +00:16:40,310 --> 00:16:47,370 +ويبدأ بالإقفال من + +164 +00:16:47,370 --> 00:16:55,610 +الضروري أن يكون في جميع مراحل حياة المشروع عملية + +165 +00:16:55,610 --> 00:16:59,050 +السيطرة والمتابعة + +166 +00:16:59,990 --> 00:17:03,050 +إذا كان ضروري في كل مرحل و مراحل حياة المشروع يكون + +167 +00:17:03,050 --> 00:17:07,330 +عندنا السيطرة والمتابعة اللي هي عملية الرقابة أننا + +168 +00:17:07,330 --> 00:17:13,670 +راقب إنجازنا للمشروع إذا كتبنا مع بعض تعريف مخرج + +169 +00:17:13,670 --> 00:17:18,770 +المراحل اللي هو عبارة عن عند انتهاء من مرحلة + +170 +00:17:18,770 --> 00:17:23,910 +التنفيذ تبدأ مرحلة الإغفار أو بشكل آخر عند انتهاء + +171 +00:17:23,910 --> 00:17:28,790 +من مرحلة التخطيط تبدأ مرحلة رصد الموارديجب في كل + +172 +00:17:28,790 --> 00:17:32,570 +مرحلة من المراحل أن يكون لدينا عملية الصيدرة + +173 +00:17:32,570 --> 00:17:42,410 +والمتابعة سؤال وضحي بالرسم مثال + +174 +00:17:42,410 --> 00:17:49,210 +على مشروع ليس له إلا مرحلة واحدة فقط إذا لاحظنا مع + +175 +00:17:49,210 --> 00:17:52,930 +بعض أنه في عنا مشاريع بتكونش غير من مرحلة واحدة بس + +176 +00:17:52,930 --> 00:17:58,140 +مش شرط جميع المراحلعلى سبيل المثال نكتب مع بعض + +177 +00:17:58,140 --> 00:18:07,080 +مثال قبل ما نشوف الرسم نكتب سوا اتخذ المدير قرار + +178 +00:18:07,080 --> 00:18:10,120 +بالاتصال + +179 +00:18:10,120 --> 00:18:17,700 +على أحد موظفيه وإخباره بقرار معين بمجرد انتهاء + +180 +00:18:17,700 --> 00:18:22,600 +المدير من عملية الاتصال مع هذا الموظف تنتهي الفكرة + +181 +00:18:22,600 --> 00:18:28,610 +تماما هذا تقريبا يعنينشوف مع بعض إيش كاتبلنا هان + +182 +00:18:28,610 --> 00:18:31,390 +لإن هاد فكرة مشروع بقى مرحلة واحدة فقط علنا اللي + +183 +00:18:31,390 --> 00:18:35,970 +هي البدء التخطيط + +184 +00:18:35,970 --> 00:18:39,190 +التنفيذ + +185 +00:18:39,190 --> 00:18:43,010 +الغلاق + +186 +00:18:43,010 --> 00:18:49,610 +هاد مرحلة واحدة فقط لإن هذا علنا مشروع بسيط هذا + +187 +00:18:49,610 --> 00:18:55,430 +مشروع بسيط شو يعني مشروع مرحلة واحدة؟ ببساطة دمج + +188 +00:18:56,460 --> 00:19:09,960 +جميع مراحل دورة حياة المشروع في مرحلة واحدة دون + +189 +00:19:09,960 --> 00:19:20,400 +الحاجة لفترة زمنية تُذكربمعنى بأعمل المشروع تبعي + +190 +00:19:20,400 --> 00:19:25,600 +في فترة زمانية قياسية عشان يكسب منها مشروع بمرحلة + +191 +00:19:25,600 --> 00:19:30,020 +واحدة فقط بمعنى مافيش فترة زمانية بين البدء وبين + +192 +00:19:30,020 --> 00:19:36,120 +إقفال المشروع أخر حاجة في المحاضرة اليوم إن شاء + +193 +00:19:36,120 --> 00:19:40,860 +الله كيف يتم عملية التحكم في المشروع قوال دورة + +194 +00:19:40,860 --> 00:19:47,530 +حياته أتناء الشرحة كامة إنهالمشروع الناجح في جميع + +195 +00:19:47,530 --> 00:19:52,890 +مراحل حياة المشروع تتم عملية المتابعة والسيطرة + +196 +00:19:52,890 --> 00:20:00,770 +والتقييم كيف يتم ذلك بيحكينا يجبأن تتناسب خطة + +197 +00:20:00,770 --> 00:20:05,030 +التحكم في المشروع مع أهداف المشروع أدنى رقم واحد + +198 +00:20:05,030 --> 00:20:11,590 +خطة السيدرة أو التحكم لازم تتناسب مع هدف المشروع + +199 +00:20:11,590 --> 00:20:15,070 +المقصود بالسياق الأكتر الخاص بالسياق الأكتر هو + +200 +00:20:15,070 --> 00:20:22,950 +أهداف المشروع اتنين او واحد اتنين يجب تحديد أنسب + +201 +00:20:22,950 --> 00:20:27,910 +الطرق لتنفيذ المشروع + +202 +00:20:29,600 --> 00:20:33,760 +إيش أنسب الطرق لتنفيذ المشروع في إطار القيود + +203 +00:20:33,760 --> 00:20:37,300 +القيود اللي طرقنا اليها قبل هيك اللي هي قيود + +204 +00:20:37,300 --> 00:20:46,520 +الموازنة التكلفة الإطار الجودة هذا المقصود بالقيود + +205 +00:20:46,520 --> 00:20:51,500 +لأن أنا بحدد أفضل طرق التنفيذ حسب القيود اللي + +206 +00:20:51,500 --> 00:20:56,880 +موجودة عندي رقم تلاتة في عملية السيطرة لازم يكون + +207 +00:20:56,880 --> 00:21:02,030 +عندنا الإدارة بالمشاركةما المقصود لدار المشاركة؟ + +208 +00:21:02,030 --> 00:21:07,450 +اللي هي اتخاذ قرارات بالاستعانة مع المشاركين في + +209 +00:21:07,450 --> 00:21:11,490 +انهاء العمل ومفريض العمل، يتم التشارع ومن ثم صناعة + +210 +00:21:11,490 --> 00:21:12,310 +القرار + +211 +00:21:16,470 --> 00:21:22,130 +أخر حاجة إذا كان المشروع بيحتوي على أكتر مرحلة + +212 +00:21:22,130 --> 00:21:27,250 +واحدة يجب أخذ ذلك بعين الاعتبار إذا بحنكتب في + +213 +00:21:27,250 --> 00:21:35,650 +الرقم أربعة بالنسبة للتحكم الأخد بعين الاعتبار هل + +214 +00:21:35,650 --> 00:21:42,830 +المشروع مكوّن من مرحلة واحدة كما رأينا قبل قليل أم + +215 +00:21:42,830 --> 00:21:48,270 +عدة مراحللأن في عملية السيطرة والتحكم تختلف سواء + +216 +00:21:48,270 --> 00:21:53,010 +كانت مرحلة أو عدة مراحل ده مرة تانية السؤال كيف + +217 +00:21:53,010 --> 00:21:56,210 +يتم عملية التحكم في المشروع طوال دورة حياته من + +218 +00:21:56,210 --> 00:22:00,050 +مرحلة البدء لحد مرحلة الأقفال أول حاجة بيعمل خطة + +219 +00:22:00,050 --> 00:22:03,450 +للتحكم والسيطرة لازم تتناسب مع هدف المشروع رقم + +220 +00:22:03,450 --> 00:22:08,370 +اتنين تحديد أنسب الطرق لتنفيذ هذه الخطة حسب القيود + +221 +00:22:08,370 --> 00:22:13,270 +المناخسة اللي هي موازنة تكلف إطار جودة رقم تلاتة + +222 +00:22:14,730 --> 00:22:19,050 +الإطار اللي هو النطاق الاعتماد على مبدأ الإدارة + +223 +00:22:19,050 --> 00:22:24,730 +بالمشاركة أخر حاجة لازم أراعي هل المشروع بتكون من + +224 +00:22:24,730 --> 00:22:30,630 +مرحلة واحدة ام ان المشروع بتكون من عدة مراحل في اي + +225 +00:22:30,630 --> 00:22:33,590 +سؤال في النقطة هذه او في الشريحة هذه ان شاء الله + +226 +00:22:33,590 --> 00:22:41,120 +اذا انا اكتفي لغايةهذه النقطة في الشرح نتوقف عند + +227 +00:22:41,120 --> 00:22:45,000 +محاضراتنا القادمة ان شاء الله أنواع العلاقات بين + +228 +00:22:45,000 --> 00:22:47,240 +المراحل يعطيكوا العافية + diff --git a/PL9fwy3NUQKwYZU2ezHFq-UK19TEyZdOHs/lMgnDZv94tc_raw.srt b/PL9fwy3NUQKwYZU2ezHFq-UK19TEyZdOHs/lMgnDZv94tc_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..bda35906afb38259b36c31c3dc074f2904b97ad8 --- /dev/null +++ b/PL9fwy3NUQKwYZU2ezHFq-UK19TEyZdOHs/lMgnDZv94tc_raw.srt @@ -0,0 +1,2260 @@ +1 +00:00:20,750 --> 00:00:23,650 +عوض بالله من الشيطان الرجيم بسم الله الرحمن الرحيم + +2 +00:00:23,650 --> 00:00:27,110 +الحمد لله والصلاة والسلام على مصطفى الأمين سيدنا + +3 +00:00:27,110 --> 00:00:30,910 +محمد وعلى آله ومن ساره عنده السلام الدين في + +4 +00:00:30,910 --> 00:00:33,450 +البداية السلام عليكم ورحمة الله وبركاته كيف حالكم؟ + +5 +00:00:33,450 --> 00:00:37,710 +كيف أصبحت اليوم؟ أصبحت حنبدأ اليوم إن شاء الله مع + +6 +00:00:37,710 --> 00:00:41,130 +الفصل التالت في موضوع أو في مساق إدارة المشاريع ل + +7 +00:00:41,130 --> 00:00:44,850 +project management اللي هو عمليات إدارة المشاريع + +8 +00:00:44,850 --> 00:00:53,430 +تفضل يا كفايةإدارة المشروعات هي استعمال المعرفة، + +9 +00:00:53,430 --> 00:00:57,350 +المهارات، الأدوات والأساليب حتى تفي أنشطة المشروع + +10 +00:00:57,350 --> 00:01:00,430 +بمتطلبات عروفنا قبل ذلك مع بعض إدارة المشاريع + +11 +00:01:00,430 --> 00:01:03,550 +عبارة عن كيف يتم استخدام المعرفة والمهارات + +12 +00:01:03,550 --> 00:01:06,850 +والأدوات والأساليب حتى نستطيع تسليم المشروع في + +13 +00:01:06,850 --> 00:01:12,800 +وقته المحددبحكينا عشان احنا نقدر نستعمل هذه الأمور + +14 +00:01:12,800 --> 00:01:16,580 +اللي هي المعرفة و المهارات بنحتاج لإدارة فعالة + +15 +00:01:16,580 --> 00:01:22,170 +للعمليات اللي بتندرج ضمن إدارة المشاريعأيضا تفضلي + +16 +00:01:22,170 --> 00:01:26,550 +يتطلب استعمال هذه المعرفة الإدارة الفعالة للعمليات + +17 +00:01:26,550 --> 00:01:32,430 +المناسبة المشروع بأنه وظيفة متعددة، متعددة المهام، + +18 +00:01:32,430 --> 00:01:36,690 +لها طريقة أداء و تكلفة و وقت ومتطلبات محددة يتم + +19 +00:01:36,690 --> 00:01:39,790 +تنفيذها لمرة واحدة فقط طبعا أي مشروع يخوت في + +20 +00:01:39,790 --> 00:01:43,470 +العالم إيه طريقة العمل؟ اللي هو الأداء؟طبعا بده + +21 +00:01:43,470 --> 00:01:47,710 +موازنة ويله وقت معين ووقت البداية و النهاية وفيه + +22 +00:01:47,710 --> 00:01:51,430 +كمان اليه ايش وطلبات تختلف حسب اختلاف المشاريع + +23 +00:01:52,180 --> 00:01:56,580 +بحكينا المشروع هو حلول مجدولة لمشكلة معينة بمعنى + +24 +00:01:56,580 --> 00:02:01,300 +يا أخوات البساطة المشاريع تحتاج إلى جداء والزمانية + +25 +00:02:01,300 --> 00:02:04,040 +لإنجازها زي ما درستوا في بحث الأعماليات اللي هي + +26 +00:02:04,040 --> 00:02:08,140 +شبكة الأعمال المرحلة الأولى المرحلة التانية و هكذا + +27 +00:02:08,140 --> 00:02:14,020 +عندنا سؤال بيقول على ماذا تحتوي العمليات أو على + +28 +00:02:14,020 --> 00:02:19,850 +ماذا تحتوي عمليات إدارة المشاريععلى مادة تفضلي + +29 +00:02:19,850 --> 00:02:23,690 +فديل تحتوى العملية على مجموعة من الإجراءات واحد + +30 +00:02:23,690 --> 00:02:27,430 +إجراءات والانشطة وانتشابكة العلاقات التي تم تصنيع + +31 +00:02:27,430 --> 00:02:31,070 +بها نين انشطة طبعا يا أخوات المشروع الناجح إجراءات + +32 +00:02:31,070 --> 00:02:35,710 +وانشطة تكون متداخلة صعب نفصلهم تفضلي انتشابكة + +33 +00:02:35,710 --> 00:02:39,590 +العلاقات التي تم تصنيع بها للحصول على منتج لتيجة + +34 +00:02:39,590 --> 00:02:44,030 +أو ختمة محددة مسبقا بتميز بتميز العملية باتخاذاتها + +35 +00:02:44,030 --> 00:02:49,140 +والأدوات والأسائد اللتي يجون فيهاشكرا يا عزيزي إذا + +36 +00:02:49,140 --> 00:02:56,180 +تحتوي عمليات إدارة إدارة المشاريع على الإجراءات + +37 +00:02:56,180 --> 00:03:01,560 +والأنشطة التي يجب أن تكون شمالها متشابقة ناخد مثال + +38 +00:03:01,560 --> 00:03:09,140 +إجراءات اختيار وتعيين فريق عمل المشروع هذا بدون + +39 +00:03:09,140 --> 00:03:13,560 +إجراءات إجراءات عملية اختيار وتعيين فريق عمل إيش + +40 +00:03:13,560 --> 00:03:17,980 +المشروعطبعا نازل إعلان في الجريدة، بتقدمولنا ناس، + +41 +00:03:17,980 --> 00:03:21,740 +نعمل معاهم مقابلات، الشغلات هذه الجزرية نشطة، نشاط + +42 +00:03:21,740 --> 00:03:26,340 +المقابلات، ماشي، لكن بالتسلسل اسمها إيش؟ إجراءات، + +43 +00:03:26,340 --> 00:03:29,300 +من لحظة ما نازل الإعلان في الجريدة أو على موقع + +44 +00:03:29,300 --> 00:03:32,400 +الانترنت لغاية ما نقول بدنا فلان وفلان، هذه + +45 +00:03:32,400 --> 00:03:38,380 +إجراءات، لكن إزال الإعلان لحاله نشاطتقديم الطلبات + +46 +00:03:38,380 --> 00:03:42,980 +نشاط، فرز الطلبات نشاط، المقابلات نشاط، الاختيار + +47 +00:03:42,980 --> 00:03:46,600 +نشاط، كلهم مع بعض بنسميهم إجراءات، كلهم مع بعض + +48 +00:03:46,600 --> 00:03:52,820 +بنسميهم إجراءات سؤال، + +49 +00:03:52,820 --> 00:03:58,780 +أدكري متطلبات نجاح عمليات إدارة المشروع، يا ترى هل + +50 +00:03:58,780 --> 00:04:01,620 +كل عملية بنعملها في المشروع بتنجح؟ ولا بيقولوا لأ + +51 +00:04:01,620 --> 00:04:06,380 +في متطلبات ألا أشرفها؟لتأمين نجاح المشروع يجب على + +52 +00:04:06,380 --> 00:04:10,300 +فريق المشروع ان واحد يحدد العمليات المناسبة + +53 +00:04:10,300 --> 00:04:12,160 +اللازمة لتحقيق أهداف المشروع + +54 +00:04:15,180 --> 00:04:18,280 +أهداف المشروع، بمعنى إيش العمليات اللي بتنسبني؟ + +55 +00:04:18,280 --> 00:04:21,480 +لما يقوللي تحدد عمليات، معناها كل مشروع له عمليات + +56 +00:04:21,480 --> 00:04:25,440 +خاصة فيه، تختلف عن إيش؟ تختلف عن المشاريع الأخرى + +57 +00:04:25,440 --> 00:04:30,540 +يستخدم طريقة محددة يمكن تكييفها للإيفأ بالمتطلبات + +58 +00:04:30,540 --> 00:04:35,030 +بعد ما نحدد العمليات، هنحدد طرق إنجاز العملياتما + +59 +00:04:35,030 --> 00:04:38,910 +هي الطريقة الملائمة؟ تلاتة يلتزم بالمتطلبات + +60 +00:04:38,910 --> 00:04:42,590 +اللازمة للإيفاء باحتياجات وتوقعات أصحاب المسلحة + +61 +00:04:42,590 --> 00:04:48,540 +المتطلبات يا أخوات اللي هي العمل ضمنموارد المشروع + +62 +00:04:48,540 --> 00:04:53,600 +نفس الموازنة مخرجش عنها الوقت المحدد ماتأخرش هذا + +63 +00:04:53,600 --> 00:04:58,200 +المقصود فيها أربع يوازن بين احتياجات المطاق الوقت + +64 +00:04:58,200 --> 00:05:02,160 +التكلفة الجودة الموارد والمخاطر لإنتاج الحصيلة أو + +65 +00:05:02,160 --> 00:05:05,900 +الخدمة أو النتيجة المتحدة طبعا يجب الموازنة بين + +66 +00:05:05,900 --> 00:05:08,560 +اللي هي مكونات المشروع اللي هي المجال والوقت + +67 +00:05:08,560 --> 00:05:13,890 +والتكلفة والجودة والمخاطرإذا فبعينا سؤال بيقول + +68 +00:05:13,890 --> 00:05:20,620 +اتكوين متطلبات نجاح عمليات إدارة مشاريع، تفضلييحدد + +69 +00:05:20,620 --> 00:05:23,380 +العمليات المناسبة لازمة لتحقيق أهداف المشروع واحد + +70 +00:05:23,380 --> 00:05:27,660 +تحديد العمليات الملائمة للأهداف اتنين يستخدم طريقة + +71 +00:05:27,660 --> 00:05:31,740 +محددة يمكن تكييف الإفاء بالمتطلبات ما هي الطرق + +72 +00:05:31,740 --> 00:05:36,500 +المناسبة لإنجاز العمليات تلاتة يلتزم بالمتطلبات + +73 +00:05:36,500 --> 00:05:39,680 +اللازمة للإفاء باحتياجات المتطلبات اللي هي شروط + +74 +00:05:39,680 --> 00:05:43,460 +المشروع او معينه حكينا معزن معين ماخروشش عنها وقت + +75 +00:05:43,460 --> 00:05:47,510 +معين ماتأخرش عنه أخر حاجةيوازن بين احتياجات + +76 +00:05:47,510 --> 00:05:51,550 +النطاق، الوقت، التكلفة، الجودة، الموارد والمخاطر + +77 +00:05:51,550 --> 00:05:55,130 +لإنتاج الحصيلة أو الخدمة شكرا يوان ممكن يا أخوات + +78 +00:05:55,130 --> 00:06:02,330 +يجينا سؤال وضحي بالرسم متطلبات نجاح عمليات إدارة + +79 +00:06:02,330 --> 00:06:13,410 +المشاريع وضحي بالرسم متطلبات نجاح عمليات إدارة أي + +80 +00:06:13,410 --> 00:06:15,650 +مشاريع يا نصف؟ + +81 +00:06:18,490 --> 00:06:22,490 +أول حاجة عندنا طبعا لازم يكون عندى فريق عمل، ايه + +82 +00:06:22,490 --> 00:06:26,990 +فريق عمل؟ فريق عمل اللي هم ناس، واحد، اتنين، تلاتة + +83 +00:06:26,990 --> 00:06:38,730 +فريق + +84 +00:06:38,730 --> 00:06:44,290 +العمل لازم يقدم لنا سلعة أو خدمة + +85 +00:06:48,190 --> 00:06:53,570 +عنا فريق عمل لازم يقدم إلنا سلعة أو خدمة إيش مطلوب + +86 +00:06:53,570 --> 00:07:01,550 +إنه يعمل؟ واحد ال processing أو العمليات الملائمة + +87 +00:07:01,550 --> 00:07:07,770 +لأن رقم واحد لازم يكون عندنا إيش؟ عمليات رقم اتنين + +88 +00:07:07,770 --> 00:07:14,890 +لازم يكون عندنا طرقرقم تلاتة الالتزام من المطالبات + +89 +00:07:14,890 --> 00:07:20,090 +اللي هي الأمور الموجودة في كل مشروع بيحكينا + +90 +00:07:20,090 --> 00:07:27,130 +الأخوات لازم يكون عندنا الموازنة مع أياش الموازنة + +91 +00:07:27,130 --> 00:07:39,250 +هتكون؟ اللي هي التكلفة الوقت الجودة النطاق + +92 +00:07:39,250 --> 00:07:40,450 +ال risk + +93 +00:07:44,300 --> 00:07:52,860 +لحد إيش صير؟ إنتج سلعة أو خدمة، سلعة أو خدمة، + +94 +00:07:52,860 --> 00:07:56,340 +تحقيق + +95 +00:07:56,340 --> 00:07:56,900 +الأهداف يعني + +96 +00:08:37,270 --> 00:08:41,730 +كمل؟ آه كمل؟ + +97 +00:08:41,730 --> 00:08:46,570 +آه طبعاً + +98 +00:08:46,570 --> 00:08:49,930 +تطبيق العمليات يا أخوات يمتاز بالتكرارية أنه كل ما + +99 +00:08:49,930 --> 00:08:52,710 +احتجنا لعمل عملية معاينة روح نعيدها تاني آه في + +100 +00:08:52,710 --> 00:08:56,870 +المشكلة إذا يمتاز تطبيق العمليات بالإيش بالتكرارية + +101 +00:08:56,870 --> 00:09:01,030 +بتكرارية بالعادلة و نضلنا نعيد و نزيد فيه في عين + +102 +00:09:01,030 --> 00:09:03,690 +رسمة، مالهاش ده ع الرسمة + +103 +00:09:10,800 --> 00:09:14,820 +ترتبط مجموعات عمليات عملية إدارة المشروع بالمخرجات + +104 +00:09:14,820 --> 00:09:18,360 +اللي بتنتج عنها المخرجات اللي هي نتائج المخرجات + +105 +00:09:18,360 --> 00:09:21,260 +اللي هي إيش؟ النتائج فتنادر لما تكون مجموعات + +106 +00:09:21,260 --> 00:09:25,380 +العمليات أحداث منفصلة أو تتم في آن واحد ده نادر + +107 +00:09:25,380 --> 00:09:28,080 +لما تكون كل عملية أو في عند عمليات ماهاش علاقة + +108 +00:09:28,080 --> 00:09:31,400 +بمشروع الكلام ده مصيرش لازم العمليات تكون متبطأ + +109 +00:09:31,400 --> 00:09:35,830 +بالإيش بإدارة المشروعفهي عبارة عن أنشطة متداخلة + +110 +00:09:35,830 --> 00:09:39,310 +تحدث على مدار فترة المشروع، يكون عادة ناتج إحدى + +111 +00:09:39,310 --> 00:09:44,350 +العمليات و أحد إدخالات لعمليات لعملية أخرى أو أحد + +112 +00:09:44,350 --> 00:09:47,970 +إنجازات المشروع التي تم تسليمها إبساطة يا خواتها + +113 +00:09:47,970 --> 00:09:52,570 +مخرجات عملية هي مدخلات العملية التاليةومدخلات + +114 +00:09:52,570 --> 00:09:55,310 +العملية التالية هي مخرجات العملية اللي بعدها وهكذا + +115 +00:09:55,310 --> 00:09:59,630 +تقوم مجموعة عمليات التخطيط بإمداد مجموعة .. مجموعة + +116 +00:09:59,630 --> 00:10:03,010 +عمليات التنفيذ بخطة إدارة المشروع ومستندات المشروع + +117 +00:10:03,010 --> 00:10:06,130 +هذا مثال كيف مخرجات واحدة مدخلات التانية، الحين + +118 +00:10:06,130 --> 00:10:09,450 +مخرجات التخطيط بتكون مدخلات التنفيذمخرجات + +119 +00:10:09,450 --> 00:10:13,990 +التخطيزات معاها و مدخلات التنفيذ تفضلي و هي تحتاج + +120 +00:10:13,990 --> 00:10:17,070 +إلى تحديث خطة إدارة المشروع يوضح الطريقة اللي + +121 +00:10:17,070 --> 00:10:22,610 +تتفاعل بيها مجموعات العمليات و يبين و مستنداته مع + +122 +00:10:22,610 --> 00:10:26,690 +التقدم في تنفيذ المشروعمستوى التداخل في أوقات + +123 +00:10:26,690 --> 00:10:30,310 +متباينة إذا كان المشروع مقسمًا إلى مراحل، فإن + +124 +00:10:30,310 --> 00:10:33,370 +مجموعات العملية تتفاعل مع بعضها البعض في كل مرحلة + +125 +00:10:33,370 --> 00:10:36,570 +شكوانية لأ، إذا نجحكنا في الشريحة هذه، أول حاجة، + +126 +00:10:36,570 --> 00:10:38,590 +مستحيل يكون في إنك عملية ما لهاش أي علاقة + +127 +00:10:38,590 --> 00:10:41,530 +بالمشروع، مستحيل، لازم يكون عملية إلها علاقة + +128 +00:10:41,530 --> 00:10:45,730 +بالمشروع، اتنين، وجود عمليتان في نفس الوقت لها دي + +129 +00:10:45,730 --> 00:10:51,290 +الصعبة، ليها جمع علاقة سلسليةتلاتة مدخلات عملية هي + +130 +00:10:51,290 --> 00:10:55,310 +مخرجات العملية التالية وأخدنا مثال مخرجات التخطيط + +131 +00:10:55,310 --> 00:11:02,470 +هي مدخلات إيش التنفيذ واضح فقط سؤال واضح بالرسم + +132 +00:11:02,470 --> 00:11:05,510 +كيف + +133 +00:11:05,510 --> 00:11:10,710 +من الممكن أن تفاعل عمليات المشروعات + +134 +00:11:25,980 --> 00:11:30,060 +فيه النهان ع الصابورة هيه، هي البدء، هي النهاية، + +135 +00:11:30,060 --> 00:11:33,620 +هاد مشروع يا أخوان، بدأنا منها و خلصنا منها، خدوا + +136 +00:11:33,620 --> 00:11:36,420 +بعدك مكتوب هاني ب closing، انه بتعمل اقفال action، + +137 +00:11:36,420 --> 00:11:43,150 +المشروعهذا level مستويات التفاعل مستويات إيش؟ + +138 +00:11:43,150 --> 00:11:46,510 +التفاعل عندنا أول حاجة الفيديو في المشروع طبعا + +139 +00:11:46,510 --> 00:11:50,170 +هيبدأ من نقطة الصفر تخطيط للمشروع نفس الموضوع + +140 +00:11:50,170 --> 00:11:56,330 +هنبدأ من نقطة الصفر التنفيذ بعد ما نخطط و نبدأ و + +141 +00:11:56,330 --> 00:11:58,810 +نكون بدأنا في التنفيذ زي ما أنت شايفه ماببدأش من + +142 +00:11:58,810 --> 00:12:02,860 +الصفر للتنفيذ اللي هو هذا الخططبعا الرقابة + +143 +00:12:02,860 --> 00:12:06,200 +والسيطرة على المشروع تبدأ من البداية، الرقابة + +144 +00:12:06,200 --> 00:12:10,480 +والسيطرة على مشروع أشمالها تبدأ من البداية، أخر + +145 +00:12:10,480 --> 00:12:13,780 +حاجة عندي بتكون اللي هي عملية الإقفال، أخر حاجة + +146 +00:12:13,780 --> 00:12:18,920 +الإقفال، ماخد بالك أن في بعض الأماكن على الرسم + +147 +00:12:18,920 --> 00:12:22,960 +اتقطعت الخطوط مع بعض، طبعا هم ماجتمعوش في نقطة + +148 +00:12:22,960 --> 00:12:28,940 +واحدةلكن في أماكن إشمالها اجتماعوا فيها هذا اللي + +149 +00:12:28,940 --> 00:12:32,680 +هي علاقة إيش؟ التفاعل علاقة التفاعل نفرض التفاعل + +150 +00:12:32,680 --> 00:12:37,900 +إذا عندنا هنا البداية التخطيط التنفيذ طبعا رقمه + +151 +00:12:37,900 --> 00:12:41,120 +والسيطرة أخر حاجة إيش؟ التفاعل المشروع التفاعل + +152 +00:12:41,120 --> 00:12:44,160 +يعني التداخل العملية أه التفاعل التداخل علاقتها + +153 +00:12:44,160 --> 00:12:50,460 +يعني التفاعل يا أخواتنا متداخلة من إلى إلى هذا + +154 +00:12:50,460 --> 00:12:54,910 +المقصودأخدت بالك من علاقة التسلسل الواضحة في + +155 +00:12:54,910 --> 00:12:57,990 +الرسم، ما بدأوش كلهم النقطة و خلصوا مع بعض، لأ ورا + +156 +00:12:57,990 --> 00:13:02,350 +بعض، مثلا هذا الخط اللي هو ال planning الأسود، + +157 +00:13:02,350 --> 00:13:06,430 +بعده بشوية بدأ الخط اللي هو المتقطع هذا، بعدين + +158 +00:13:06,430 --> 00:13:11,350 +النقط، هذا سميها متسلسلة، سميها إيش؟ متسلسلة، + +159 +00:13:11,350 --> 00:13:19,330 +واضحة الرسم ولا عيدها؟ تعني أتعمق شوية في الموضوع، + +160 +00:13:19,330 --> 00:13:25,060 +ما المقصود؟بالبدء بالمشروع او شو يعني عمليات البدء + +161 +00:13:25,060 --> 00:13:30,540 +انا وياك و هنبدأ اليوم نعمل مشروع مشروع ايش لها ده + +162 +00:13:30,540 --> 00:13:34,680 +هنبدأ و هنسميه مشروع تأهيل خريجي إدارة الأعمال + +163 +00:13:34,680 --> 00:13:39,340 +لسوق العمل مشروع تأهيل خريجي إدارة الأعمال لسوق + +164 +00:13:39,340 --> 00:13:46,100 +العمل هذا المشروع كيف هنبدأ فيه كيف هنبدأ في + +165 +00:13:46,100 --> 00:13:50,930 +المشروع هذا تفضلي يا ناديرتتكوّن مجموعة عمليات + +166 +00:13:50,930 --> 00:13:54,290 +البدء من تلك العمليات التي يتم تنفيذها لتحديد + +167 +00:13:54,290 --> 00:13:57,790 +مشروع جديد أو مرحلة جديدة في مشروع موجود بالفعل عن + +168 +00:13:57,790 --> 00:14:00,530 +طريق الحصول على قيمة البدء طبعا إحنا، برك الله + +169 +00:14:00,530 --> 00:14:05,470 +فيكي، المشروع اللي كتبنا تأهيل خدرجي دا تلعمل نسوق + +170 +00:14:05,470 --> 00:14:09,650 +العمل هو مش موجود لأن هنبدأ بالبدأ اللي هو البدء + +171 +00:14:09,650 --> 00:14:15,010 +بعمليات لمشروع جديد لو كان مشروع تأهيل خدرجي دا + +172 +00:14:15,010 --> 00:14:19,090 +تلعمل موجود وأنا بدي أطورههيختلف الموضوع، هيصير + +173 +00:14:19,090 --> 00:14:23,230 +عندنا عملية إيش، تطوير مشروع موجود أول حاجة يا + +174 +00:14:23,230 --> 00:14:27,190 +أخوات في عملية البدء، الحصول على تصريح من الجهات + +175 +00:14:27,190 --> 00:14:31,390 +المعنية، اللي هي الحصول على الموافقة، أن يأخذ + +176 +00:14:31,390 --> 00:14:35,770 +موافقة الحصول، الموافقة اللي بنت بإيش بالمشروع، + +177 +00:14:35,770 --> 00:14:36,530 +تفضل يكملي + +178 +00:14:39,830 --> 00:14:43,090 +يتم تحديد النطاق أول حاجة قصري تاني حاجة يتم تحديد + +179 +00:14:43,090 --> 00:14:45,670 +نطاق المبدأ أيه والتعاهد النطاق اللي هو المجال + +180 +00:14:45,670 --> 00:14:49,770 +اللي إحنا فيه أخدنا مثال على مشروع تأهيل خارجية + +181 +00:14:49,770 --> 00:14:53,690 +أطلع العمال يعني مجال التدريب مجال إيه إيش؟ + +182 +00:14:53,690 --> 00:14:59,830 +التدريب أو التطوع النطاق اللي هو التدريب أو إيش؟ + +183 +00:14:59,830 --> 00:15:04,810 +أو التطوع تلاتة أما يتم تحديد أصحاب المصلحة + +184 +00:15:04,810 --> 00:15:07,550 +الداخليين والخارجين بعد النطاق يا أنت اللي هي + +185 +00:15:07,550 --> 00:15:12,370 +المواد المالية اللي هي الموازنةجداش متوقع مشروع + +186 +00:15:12,370 --> 00:15:17,610 +تأهيل الخدرجين يكلفك بتكون حاسبها بعدين رقم أربع + +187 +00:15:17,610 --> 00:15:20,310 +أصحاب ايش .. المصلحة .. أصحاب المصلحة أشرحناها + +188 +00:15:20,310 --> 00:15:25,210 +المرة الماضية مين هيستفيد و مين هيكون معاه ع سبيل + +189 +00:15:25,210 --> 00:15:28,550 +المثال عندنا اللي هو الرعي، الرعي قولنا اللي هو + +190 +00:15:28,550 --> 00:15:32,150 +الممول ممكن يكون الممول تبعنا البنك الإسلامي + +191 +00:15:32,150 --> 00:15:36,450 +للتاني ممكن يقول هذا إيش؟ الممول ع سبيل المثال + +192 +00:15:36,450 --> 00:15:44,090 +ممكن يكون الممول بنك فلسطينأيضا من أصحاب المصلحة + +193 +00:15:44,090 --> 00:15:48,670 +اللي هم مين المستفيد من المشروع؟ فيها المستفيدة، + +194 +00:15:48,670 --> 00:15:52,710 +خريجي مين؟ إيدات العمل، مين المستفيد؟ خريجين إيدات + +195 +00:15:52,710 --> 00:15:58,550 +العمل، بعدين و + +196 +00:15:58,550 --> 00:16:02,350 +سيتأثرون في النتيجة الكلية للمشروع؟ سيؤثرون في + +197 +00:16:02,350 --> 00:16:06,290 +النتيجة المقصود فيها صناع قرار، الممول هيتاخد + +198 +00:16:06,290 --> 00:16:10,800 +قراراتماشي الخراجين نفسهم هل هيستمنظوا معانا ولا + +199 +00:16:10,800 --> 00:16:14,900 +مايعجبهمش الوضع؟ هيقتلوا عليا سيتم اختيار مدير + +200 +00:16:14,900 --> 00:16:18,600 +المشروع إذا لم يكن قد تم تعيينه من قبل مدير + +201 +00:16:18,600 --> 00:16:21,540 +المشروع في المرحلة هذه لازم يا أخوات يكون معروف هو + +202 +00:16:21,540 --> 00:16:25,860 +مين محمد ولا أحمد ولا مونة ولا مين بالظبط إذا يجب + +203 +00:16:25,860 --> 00:16:29,540 +تعيين و تحديد مين مدير المشروع وقتهش في مرحلة + +204 +00:16:29,540 --> 00:16:34,010 +البدايةلسه احنا قاعدين نرتف أمورنا، فعليا ماعملناش + +205 +00:16:34,010 --> 00:16:37,730 +حاجة، قاعدين نرتف إيه إيش أمورنا، بنحاول إنها تكون + +206 +00:16:37,730 --> 00:16:41,650 +الصورة متضحية أمامنا، مين مدير المشروع، مين أصحاب + +207 +00:16:41,650 --> 00:16:45,970 +المصالح، إيش الفكرة، إيه بتاعتي، تفضلي يتم تخزين + +208 +00:16:45,970 --> 00:16:49,250 +هذه المعلومات في وثيق تأسيس المشروع وسجل أصحاب + +209 +00:16:49,250 --> 00:16:52,730 +المصالح، يكون المشروع قد تم ترخيصه رسميا عند + +210 +00:16:52,730 --> 00:16:55,810 +الموافقة على وثيق التأسيس طيب هالكلام هذا لازم + +211 +00:16:55,810 --> 00:17:00,560 +يتسجل؟ آه لازم يتوتق، يكتب يعني أو ينطبع الجهازطب + +212 +00:17:00,560 --> 00:17:05,880 +و انك في ملف بنسميه وثيقة التأسيس، إذا كل مشروع + +213 +00:17:05,880 --> 00:17:11,060 +عندنا الوثيقة إيش؟ تأسيس، تأسيس، تأسيس، تأسيس، + +214 +00:17:11,060 --> 00:17:11,540 +تأسيس، تأسيس، تأسيس، تأسيس، تأسيس، تأسيس، تأسيس، + +215 +00:17:11,540 --> 00:17:11,780 +تأسيس، تأسيس، تأسيس، تأسيس، تأسيس، تأسيس، تأسيس، + +216 +00:17:11,780 --> 00:17:11,880 +تأسيس، تأسيس، تأسيس، تأسيس، تأسيس، تأسيس، تأسيس، + +217 +00:17:11,880 --> 00:17:19,720 +تأسيس، تأسيس، تأسيس، تأسيس، تأسيس، + +218 +00:17:19,720 --> 00:17:26,940 +تأسيس + +219 +00:17:31,410 --> 00:17:33,370 +ايش المعلومات اللي لازم تكون موجودة في وثيقة + +220 +00:17:33,370 --> 00:17:37,210 +التأسيس؟ طبعا حكيناها اسم المشروع .. اسم المشروع + +221 +00:17:37,210 --> 00:17:41,450 +تبعنا وديه المشروع اللي هو مشروع تأهيل خرجي إدارة + +222 +00:17:41,450 --> 00:17:46,810 +الأعمال لازم يكون مكتوب الاسم اتنين مصدر التمويل + +223 +00:17:46,810 --> 00:17:52,070 +اللي هو الراعي مين هيعطينا المصاد لازم يكون اسمه + +224 +00:17:52,070 --> 00:17:57,630 +ايش مكتوب ايضا نقطة مهمة الفئة لمين انت موجهة + +225 +00:17:57,630 --> 00:18:02,930 +المشروع تبعك؟ مين هيخدم؟أيضا يا أخوات لازم يكتب + +226 +00:18:02,930 --> 00:18:08,950 +من؟ من مدير المشروع، من هو مدير إيش المشروع، إذا + +227 +00:18:08,950 --> 00:18:15,480 +إيرادة كم حاجة كتبنا؟ أربعة، إيش هي؟إيش كتبناه؟ + +228 +00:18:15,480 --> 00:18:24,520 +اسم المشروع، الممول، الفئة المستخدمة، المدير + +229 +00:18:24,520 --> 00:18:27,540 +المشروع وقت إيش كتبناهم هدولة؟ كتبناهم في مراحة + +230 +00:18:27,540 --> 00:18:31,560 +البدء، لسه بدنا نبدأ كنا كاتبينها أو مراحة تأسيس، + +231 +00:18:31,560 --> 00:18:35,950 +فرق الله فيناالكامل مع بعض؟ على الرغم من أن فريق + +232 +00:18:35,950 --> 00:18:38,870 +إدارة المشروع قد يساعد في سياغة وثقة تأسيس + +233 +00:18:38,870 --> 00:18:42,190 +المشروع، فإن الموافقة والتمويل تتم على جهة خارج + +234 +00:18:42,190 --> 00:18:46,230 +حلول المشروع الموافقة يا أخوات اللي هي الجهة اللي + +235 +00:18:46,230 --> 00:18:50,390 +هتعطينا الترخيص، لو أنا عاملة مشروع زي هذا لازم + +236 +00:18:50,390 --> 00:18:54,050 +أجيب موافقة من وزارة التربية والتعليمأو من الجامعة + +237 +00:18:54,050 --> 00:18:56,650 +اللى هعمل فيها المشروع ده الموافقة المقصود فيها + +238 +00:18:56,650 --> 00:18:59,490 +الموافقة على ترخيص مبدأ المشروع اه انتوا مشروع + +239 +00:18:59,490 --> 00:19:03,110 +ممتاز اتفضلوا التمويل اللى هو الممول قولنا + +240 +00:19:03,110 --> 00:19:06,310 +الإسلامي للتنمية او بنك فلسطين او مين الممول + +241 +00:19:06,310 --> 00:19:10,450 +الاتنين جهات خارجية الاتنين ايش مالهم؟ جهات خارجية + +242 +00:19:10,450 --> 00:19:13,770 +يعني الاتنين مش ال .. مش أصحاب المشروع او مش مدير + +243 +00:19:13,770 --> 00:19:18,570 +المشروع هو جهة خارجية اذا نستعرض مع بعض ايش أخدمك + +244 +00:19:18,570 --> 00:19:22,960 +من حالة البدايةحكينا إما نبدأ مشروع جديد من الأول + +245 +00:19:22,960 --> 00:19:29,780 +مش موجود أو مشروع موجود ننكمل أو نطور واضح؟ مثلا + +246 +00:19:29,780 --> 00:19:33,080 +عندنا مشروعة تعمل شارع البحر، شارع البحر هذا موجود + +247 +00:19:33,080 --> 00:19:39,080 +طب بنكمل، بناخدها من المحافظة الوسطى لغاية الجنوب، + +248 +00:19:39,080 --> 00:19:43,280 +هذا تطوير اسمه واضح؟ تكميل يعني لكن لو المشروع + +249 +00:19:43,280 --> 00:19:46,020 +أصلا مش موجود، مافيش حد بيعمل تطوير لشارع البحر، + +250 +00:19:46,020 --> 00:19:50,290 +بصير حاجة جديدةهي رقم 1 رقم 2 حكينا لازم يا أخوات + +251 +00:19:50,290 --> 00:19:53,870 +ناخد تصريح من الجهات المعنية و عادة بتكون جهات + +252 +00:19:53,870 --> 00:19:58,090 +حكومية إذا كان مشروع عن تدريب ناخد تصريح من وزارة + +253 +00:19:58,090 --> 00:20:05,050 +التعليم إذا كان مشروع عن صناعة حاجة معينة لازم + +254 +00:20:05,050 --> 00:20:08,130 +ناخد اللي هو تصريح من وزارة الاقتصاد أو وزارة + +255 +00:20:08,130 --> 00:20:13,790 +الصناعة بعدين لازم نحدد عدة أمور أساسية أول حاجة + +256 +00:20:13,790 --> 00:20:19,930 +اسم المشروع الراحة نينمين؟ النطاق تبعه، يعني هو في + +257 +00:20:19,930 --> 00:20:23,850 +أي مجال هيكون تعليمي، خدمي، صناعي، بعدين مين + +258 +00:20:23,850 --> 00:20:26,110 +الراعي اللي هو الممول، يعني المشروع بده مصارى، مين + +259 +00:20:26,110 --> 00:20:30,670 +هو الحاج بيها؟ آخر حاجة، يجب تحديد مين مدير + +260 +00:20:30,670 --> 00:20:33,370 +المشروع، لازم يكون في المرحلة هذه مدير المشروع + +261 +00:20:33,370 --> 00:20:36,730 +الشغلات هذه بنجمعها و بنخزنها في ملف بنسميه واتيقة + +262 +00:20:36,730 --> 00:20:39,730 +تأسيس، بنسميه واتيقة إيش؟ تأسيس المشروع + +263 +00:20:43,210 --> 00:20:46,890 +شكرا يا غادير، نكمل ايضا، تفضل يا سهل مجموعة + +264 +00:20:46,890 --> 00:20:50,330 +عمليات البدء يمكن تقسيم العديد من المشروعات الضخمة + +265 +00:20:50,330 --> 00:20:54,050 +أو المعقدة إلى مراحل منفصلة إذا نسأل أنفسنا سؤال + +266 +00:20:54,050 --> 00:21:00,830 +في حالة وجود مشروع ضخم يعني ناس ماله ضخم وعمليات + +267 +00:21:00,830 --> 00:21:09,750 +معقدة في حالة وجود مشروع ضخم ما هو الحل المقترح؟ + +268 +00:21:09,750 --> 00:21:17,060 +إيش نسوي؟لعلاج هذه الحالة يعني لو أنا عندي مشروع + +269 +00:21:17,060 --> 00:21:22,080 +ضخم أمسكه مرة واحدة ولا في حل ولا كده تقسيم .. + +270 +00:21:22,080 --> 00:21:24,940 +تقسيم العديد من المشروعات الضخمة أو المعقدة إلى + +271 +00:21:24,940 --> 00:21:28,660 +مراحل منفصلة ويأتي ذلك كجزء من مجموعة عمليات + +272 +00:21:28,660 --> 00:21:32,360 +البترول إذا المشاريع الضخمة زي مشروع التنقيب عن + +273 +00:21:32,360 --> 00:21:35,020 +البترول أو عن غاز في البحر ع سبيل المثال هذا + +274 +00:21:35,020 --> 00:21:39,340 +مشاريع ضخمة لأن رأس مالها ضخم بيكون بنقسمها لمراحل + +275 +00:21:39,340 --> 00:21:45,110 +منفصلةمتعامل مع كل مرحلة على إيش؟ على حده طيب + +276 +00:21:45,110 --> 00:21:48,430 +مشروعنا الأصغنون اللي توا حكينا عنه تع تأهيل + +277 +00:21:48,430 --> 00:21:52,450 +الخرجين هده ده اسمه لمراحل؟ مرحلة صغيرة، مش + +278 +00:21:52,450 --> 00:21:56,850 +مستاهلة، واضح؟ إذا مات يتم تقسيم المشاريع إلى + +279 +00:21:56,850 --> 00:22:01,750 +مراحل منفصلة، إذا كانت أشملها تطورماشي إذا كانت + +280 +00:22:01,750 --> 00:22:04,870 +مشاريع دخلة أو معقدة، عمليتها معقدة يعني، اتفضل يا + +281 +00:22:04,870 --> 00:22:08,290 +تيم تنفيذ عمليات البدأ في مثل تلك المشروعات أثناء + +282 +00:22:08,290 --> 00:22:11,930 +المراحل التالية لتصديق على القرارات التي تمت خادها + +283 +00:22:11,930 --> 00:22:15,570 +أثناء وثيقة تأسيس المشروع الأصلية وعمليات تحديد + +284 +00:22:15,570 --> 00:22:18,370 +أصحاب المصلحة؟ ببساطة يا أخوات، هان طبعا عشان + +285 +00:22:18,370 --> 00:22:21,650 +قسرنا المشروع الدخل لمراحل، بنعتبر أن كل مرحلة + +286 +00:22:21,650 --> 00:22:26,330 +بدها نقطة بدايةكل مرحلة شمالها بدها بداية لحالها + +287 +00:22:26,330 --> 00:22:29,690 +ممكن اوضح الكلام ان هذا فريق التأسيس انه هيتم + +288 +00:22:29,690 --> 00:22:35,570 +تقسيم مشاريعنا الضخم لقاش إلى مراحل فضلي بساعد + +289 +00:22:35,570 --> 00:22:38,850 +تنفيذ عمليات في بداية كل مرحلة في الاحتفاظ + +290 +00:22:38,850 --> 00:22:43,010 +بالمشروع متمركزا حول الحاجة التجارية التي تعهد + +291 +00:22:43,010 --> 00:22:46,650 +المشروع بالتعامل معها طبعا تعهد المشروع بالتعامل + +292 +00:22:46,650 --> 00:22:50,390 +معنا اللي هم الممولين اللي هم مين اللي هم الممولين + +293 +00:22:50,390 --> 00:22:54,510 +فضلييتم التحقق من معايير النجاح وتخضع تأثيرات + +294 +00:22:54,510 --> 00:22:58,570 +وأهداف وأصحاب المصلحة في المشروع للمراجعة والتنقية + +295 +00:22:58,570 --> 00:23:04,470 +سؤال ادخل معايير نجاح عملية بدء المشروع كيف نقول + +296 +00:23:04,470 --> 00:23:07,490 +والله العمليات البدء موفقين واتوقعوا الله يكملوا + +297 +00:23:07,490 --> 00:23:15,610 +ادخل معايير نجاح عملية بدء المشروع واحد، ان تكون + +298 +00:23:15,610 --> 00:23:21,420 +مطابقة لأهداف المصالحأن تكون مطابقة لأهداف أصحاب + +299 +00:23:21,420 --> 00:23:28,400 +المصالح لأن رقم واحد أن تكون مطابقة لأهداف أصحاب + +300 +00:23:28,400 --> 00:23:37,640 +المصالح نين أن يكون هناك التزام بمواعيد البدء ماشي + +301 +00:23:37,640 --> 00:23:41,020 +اتفاقنا نبدأ يوم واحد تلاتة و يوم واحد تاتة بنبدأ + +302 +00:23:41,020 --> 00:23:46,400 +و نخلص الناس أن يكون هناك اتفاق بمواعيد إيش البدء + +303 +00:23:46,400 --> 00:23:51,450 +مايكونوش فيه تأخير يعني ماتأخريشتلاتة من المعارير + +304 +00:23:51,450 --> 00:23:56,350 +مشاركة فريق العمل في البداية في البداية يعني + +305 +00:23:56,350 --> 00:24:01,970 +مشاركة فريق العمل في البداية اللي هي الدار المشارك + +306 +00:24:01,970 --> 00:24:05,250 +يعني مافيش داعي مدير مشارك كل حاجة يعملها بنفسه + +307 +00:24:05,250 --> 00:24:08,610 +وده؟ عيدة تاني؟ + +308 +00:24:11,230 --> 00:24:13,610 +إذا انت عرفنا تشريحها هذه على المشاريع الضخمة كيف + +309 +00:24:13,610 --> 00:24:17,310 +نتعامل معاها ماشي كل مرحلة من مراحل المشاريع + +310 +00:24:17,310 --> 00:24:20,470 +الضخمة بيكون لها نقطة بداية معينة وبعد ذلك أخدنا + +311 +00:24:20,470 --> 00:24:24,810 +مع بعض معين نجاح عملية بدء المشاريع متى نحكم عليها + +312 +00:24:24,810 --> 00:24:38,890 +بالنجاح ناخد مثال على مشروع بخر مشروع تأهيل طلاب + +313 +00:24:40,100 --> 00:24:45,820 +مش طلب من تلاميذ، مشروع تأهيل تلاميذ مرحلات + +314 +00:24:45,820 --> 00:24:50,240 +الإعدادية في + +315 +00:24:50,240 --> 00:24:58,720 +مجال اللغة الإنجليزية والاستمرار + +316 +00:24:58,720 --> 00:25:06,620 +معاهم بعد تخرجهم من الجامعة، هذا مشروع معقد، بدو + +317 +00:25:06,620 --> 00:25:11,930 +فترة زمان طويلةبنمسك طلاب أو طلاميد الإعدادي و + +318 +00:25:11,930 --> 00:25:15,450 +نبدأ ناهلهم في اللغة الإنجليزية و اكتشف هنخلص + +319 +00:25:15,450 --> 00:25:17,710 +معاهم بس يتخرجوا من الجامعة، شوفوا يا كام سنة + +320 +00:25:17,710 --> 00:25:25,160 +هنقعد، ماشي؟ نقول من تماني لعشرة سنواتلأ طلاب + +321 +00:25:25,160 --> 00:25:28,400 +الاعدادى لو بدأنا من تالت اعدادى هاي سبع سنوات + +322 +00:25:28,400 --> 00:25:32,800 +طبعا فلبدأنا من تان اعدادى هاي تمانية منون اعدادى + +323 +00:25:32,800 --> 00:25:37,240 +هاي تسعة هذا سميناه معقد وكمان بده موازنة كويسة + +324 +00:25:37,240 --> 00:25:41,440 +يعني ضخمة عشان هيك يفضل تقسميه لمراحل يفضل تقسميه + +325 +00:25:41,440 --> 00:25:46,360 +لإيش؟ لمراحل واضح؟ + +326 +00:25:46,360 --> 00:25:52,390 +عيننا على الصبورة رسمة نشوفها مع بعضطبعا هذه يا + +327 +00:25:52,390 --> 00:25:56,290 +أخوات الدائرة هذه بس تشوفوها على طول هذا مشروع، + +328 +00:25:56,290 --> 00:26:03,270 +هذا مين؟ مشروع، بيحكينا كل مشروع يلو حدود نشوف + +329 +00:26:03,270 --> 00:26:07,010 +مع بعض؟ عندنا هذه الدائرة مكتوب فيها الـapproval + +330 +00:26:07,010 --> 00:26:11,310 +اللي هو الكفالة، الكفالة اللي هم الرعون أو الممول، + +331 +00:26:11,310 --> 00:26:17,630 +ماشي و هنا؟ ها الدائرة الأولى، اللي هي؟ الكفيل، + +332 +00:26:17,630 --> 00:26:23,150 +الممول، الممول، صاحب الفكرةببدأ الفكرة في مشروع + +333 +00:26:23,150 --> 00:26:28,030 +يقدم لنا إيش مدخلات، هندخل في المشروع، هاي ندخلنا + +334 +00:26:28,030 --> 00:26:31,610 +هان، و الأصل أني لما أنهي المشروع عشان أكون إما + +335 +00:26:31,610 --> 00:26:37,930 +قدمت مونتاج أو خدمة، واضح؟ اللي هو قصده هان لما + +336 +00:26:37,930 --> 00:26:42,750 +نقدم مونتاج أو خدمة، اللي هو نسلم المشروع، اتفضلوا + +337 +00:26:42,750 --> 00:26:45,910 +هاي المشروع، هاي مفاتيح البناية أو هاي الشارع، + +338 +00:26:45,910 --> 00:26:50,990 +وكمان مستنداتمش احنا بدأنا المشروع بوثيقة تأسيس + +339 +00:26:50,990 --> 00:26:54,470 +لما ناخد مفاد و نكون عندنا مستندات اللي هي فيها + +340 +00:26:54,470 --> 00:26:58,110 +الموازنة و مين اشتغل و مين لا و ايش صار لمن تقدم + +341 +00:26:58,110 --> 00:27:00,870 +هذه؟ تقدم لأ اللي هو المستخدمين اللي هى ايه ال end + +342 +00:27:00,870 --> 00:27:05,830 +users ال end user و كمان لازم يكون عندنا ايش أصول + +343 +00:27:05,830 --> 00:27:10,830 +الشركة او المسؤولين عن العمل اللي هم أصحاب المشروع + +344 +00:27:10,830 --> 00:27:15,270 +ده نعيدها تاني شوه أننا ناخد المشروع؟ هذا الصندوق + +345 +00:27:15,270 --> 00:27:21,020 +الخطوط المتقاطعةبس نوصل هان دخلنا في المشروع، بس + +346 +00:27:21,020 --> 00:27:24,640 +نوصل هان خلصنا المشروع فعلا، هان دخلنا و هان + +347 +00:27:24,640 --> 00:27:30,800 +خرجنا، هان اللي هي الممولين، الممول أو صاحب الفكرة + +348 +00:27:30,800 --> 00:27:36,120 +لازم يقدملنا مدخلات إذا عجبتنا الفكرة بتاعته، + +349 +00:27:36,120 --> 00:27:40,500 +بندخل في المشروعأخر حاجة في المشروع اللي هي + +350 +00:27:40,500 --> 00:27:44,780 +اليقفار خلاص يعني خلصنا احنا ايش في المشروع هنطلع + +351 +00:27:44,780 --> 00:27:49,700 +في المرحلة هادى من حدود المشروع بيحكي انها بدك + +352 +00:27:49,700 --> 00:27:54,280 +تسلم المشروع او المنتج وكمان في معاه سجلات في معاه + +353 +00:27:54,280 --> 00:28:01,320 +ايش سجلات المشروع يسلم للمستهلك النهائى بمعنى ناخد + +354 +00:28:01,320 --> 00:28:07,160 +مثال نكتب مثال لو سمحت مثال القيام + +355 +00:28:08,260 --> 00:28:17,340 +ببناء وحدات سكنية لمتضاري الحرب، هذا مشروع + +356 +00:28:20,850 --> 00:28:24,090 +وقتاش بيقول المشروع هذا خلص خلاص لما يسكنوا الناس + +357 +00:28:24,090 --> 00:28:28,690 +لما نسلم مفاتيح الشقة او المنزل للناس اللي بني + +358 +00:28:28,690 --> 00:28:32,730 +نقلهم طبعا هم يسكنوا او نفرشوه هل موجود في المشروع + +359 +00:28:32,730 --> 00:28:36,510 +ان احنا نفرش حسب مراحل المشروع اذا موجود؟ ماشي و + +360 +00:28:36,510 --> 00:28:39,290 +اللي هتسلم المفاتيح و خلاص هم حرين يفرشوه مش ما + +361 +00:28:39,290 --> 00:28:43,570 +يفرشوش ما نرجعه حسب الاتفاق هذا المقصود بالمستهلك + +362 +00:28:43,570 --> 00:28:48,810 +النهائي زي مثلا شارع عمار البحر البحر وقتاش + +363 +00:28:48,810 --> 00:28:52,970 +بيسلموهبقوله خلصنا لما تصير السيارات المواطنين + +364 +00:28:52,970 --> 00:28:56,370 +تمشي عليهم خلاص هذا المقصود بالمستخد اللي قاش + +365 +00:28:56,370 --> 00:29:00,850 +قالني يعني نعم هو اللي هيستخدمه الناس اللي هتستفيد + +366 +00:29:00,850 --> 00:29:05,630 +منه هذا المقصود فيه واضح يا أخوات عيلة تاني طبعا + +367 +00:29:05,630 --> 00:29:07,830 +دول لو ذكرتهم بالإنجليزي صح لو بالعربي صح مش + +368 +00:29:07,830 --> 00:29:13,610 +هتختلف عن اللغة سؤال + +369 +00:29:13,610 --> 00:29:20,810 +اذكري مكوناتعمليات الفيديو و اتاو شروحناها دى بس + +370 +00:29:20,810 --> 00:29:26,650 +هي فى الرسمة فى عنا يا أخوات كلمة charter + +371 +00:29:26,650 --> 00:29:35,090 +شايفينها؟ charter بلعب معناها عقد التأسيس charter + +372 +00:29:35,090 --> 00:29:42,030 +بلعب اش معناها؟ عقد التأسيس charter + +373 +00:29:42,030 --> 00:29:53,220 +c h a r t e rتشبه لايكا التنظيم؟ اتشارت المخطط نعم + +374 +00:29:53,220 --> 00:29:56,520 +اتشارت اللي هو المخطط طبعا ماشي بس هاللي فيها ER + +375 +00:29:56,520 --> 00:30:00,860 +بتحكي عن الإنسان هاني يا أخوات اتوا أخدناها عمليات + +376 +00:30:00,860 --> 00:30:04,900 +اللي بدنا تبدأ بعقد رشد تأسيس اللي بتاخده مصالح + +377 +00:30:04,900 --> 00:30:08,620 +أصحاب مصالح المشروع هذا المقصود فيها ده كلهم + +378 +00:30:08,620 --> 00:30:11,880 +كلمتين عقد تأسيس اللي بيخدم أصحاب من المصالح + +379 +00:30:17,520 --> 00:30:23,640 +ما المقصود بوضع وثيقة تأسيس المشروع او ما المقصود + +380 +00:30:23,640 --> 00:30:27,860 +بوضع charter project charter اللي هي ايش وثيقة + +381 +00:30:27,860 --> 00:30:40,020 +التأسيس نور اعمال اتفضلي وثيقة + +382 +00:30:40,020 --> 00:30:46,760 +تأسيس المشروع هي عملية مدى وظيفة ترخص ترخيص ترخص + +383 +00:30:50,210 --> 00:30:54,070 +مراحل والوثق والوثق من الطلبات المبدئية للتفليق + +384 +00:30:54,070 --> 00:30:57,610 +اتياجات أصحاب المصاريف وقالقرارات ووظاق عامة ووظاق + +385 +00:30:57,610 --> 00:31:02,650 +عامة ووظاق عامة تستخدم في هذه العملية في المشروعات + +386 +00:31:02,650 --> 00:31:06,250 +مراحل تعدّل التصديق أو التنفيذ للقرارات التي قد تم + +387 +00:31:06,250 --> 00:31:10,230 +انتخابها أثناء الإعادة السابقة لوضع وظيفة التأسيس + +388 +00:31:10,230 --> 00:31:15,970 +المشروعية شكرا يا أنتي في نفس مثلنا التاع اللي هو + +389 +00:31:15,970 --> 00:31:20,390 +الوحدات السكنية يا غدير أنتوا كفايةنفس المثال، + +390 +00:31:20,390 --> 00:31:24,010 +بنعمل وثيقة تأسيس، لازم نحصل على ترخيص من وزارة + +391 +00:31:24,010 --> 00:31:29,210 +الشغال، ماشي؟ ونشوف من الممول، هل هي الوكالة، + +392 +00:31:29,210 --> 00:31:32,630 +المؤسسة الدولية، مين هي مولنا؟ هذه بيسميها وثيقة + +393 +00:31:32,630 --> 00:31:37,610 +إيش؟ تأسيس، وثيقة تأسيس زي عقد تأسيس؟ أه، زي + +394 +00:31:37,610 --> 00:31:41,390 +التفاعل، زي ترخيص يعني، وثيقة التأسيس ليه ترخيص + +395 +00:31:41,390 --> 00:31:43,890 +يعني، بناخد ترخيص ببناء المشروع + +396 +00:31:46,910 --> 00:31:50,730 +فى عندنا دى المدخلاتها ومخرجاتها طبعا المخرجات + +397 +00:31:50,730 --> 00:31:56,950 +سهلة اللى هى الوثيقة الورق اللى فى دكها ده اللى هى + +398 +00:31:56,950 --> 00:32:00,210 +الوثيقة عشان صارت وثيقة إيش كان عندك؟ أول حاجة + +399 +00:32:00,210 --> 00:32:04,210 +هيكون عندك اللى هى قائمة بالعمل يعنى إنتوا مين تاو + +400 +00:32:04,210 --> 00:32:08,830 +شرحناها اللى هى اسم المشروع والمنوّل والمستهدفة + +401 +00:32:08,830 --> 00:32:12,390 +ومدير المشروع هذا المقصود فيها كمان إيش طبيعة + +402 +00:32:12,390 --> 00:32:17,410 +الشغل يعنى خدمي صناعي مساعدة خيرىcontract اللي هو + +403 +00:32:17,410 --> 00:32:21,670 +العقد، contract اللي هو إيش؟ العقد، ايضا يا أخوات + +404 +00:32:21,670 --> 00:32:27,590 +بيكون ضمن .. بيكون ضمن وثيفة التأسيس في ممكنية + +405 +00:32:27,590 --> 00:32:33,670 +يكون العمل في مخاطر، ليه risk يعني؟ إيش المخاطر + +406 +00:32:33,670 --> 00:32:37,330 +اللي ممكن تأثر على المشروع؟كتبنا كل هدول، إيش + +407 +00:32:37,330 --> 00:32:41,290 +بيطلع معايا؟ الترخيص اللي هو الوثيقة اللي هو إيش + +408 +00:32:41,290 --> 00:32:47,810 +الوثيقة أصول + +409 +00:32:47,810 --> 00:32:53,810 +المشروع انطلب ماشي مثلا أنا مشروعي دورات تدريبية + +410 +00:32:53,810 --> 00:32:58,410 +بدي أجزة computer ممكن أضيفها ممكن لأ حسب القانون + +411 +00:32:58,410 --> 00:33:01,450 +بتاع البلد هو اللي بيحكمني هل مطلوب ولا مش مطلوب + +412 +00:33:04,300 --> 00:33:11,560 +عيدها تاني؟ عيدها؟ لأ، لأ، + +413 +00:33:11,560 --> 00:33:14,700 +لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، + +414 +00:33:14,700 --> 00:33:15,420 +لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، + +415 +00:33:15,420 --> 00:33:15,900 +لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، + +416 +00:33:15,900 --> 00:33:17,440 +لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، + +417 +00:33:17,440 --> 00:33:17,440 +لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، + +418 +00:33:17,440 --> 00:33:23,060 +لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، + +419 +00:33:24,800 --> 00:33:28,120 +تحديد أصحاب المصالح هي عملية تحديد جميع الأفراد + +420 +00:33:28,120 --> 00:33:31,640 +والمنظومات التي تقع في نطاق تأثير المشروع وتوثيق + +421 +00:33:31,640 --> 00:33:35,440 +المعلومات المناسبة المتعلقة باهتماماتهم واشتراكهم + +422 +00:33:35,440 --> 00:33:38,540 +وتأثيرهم في نجاح المشروع ناخد مثال يا أخوات على + +423 +00:33:38,540 --> 00:33:45,860 +أصحاب المصالح ليه مشروع بناء وحدة السكنية لمضاري + +424 +00:33:45,860 --> 00:33:48,480 +الحرب؟ عشان أخدنا المشروع على طول؟ مين أصحاب + +425 +00:33:48,480 --> 00:33:53,220 +المصالح؟ مين الناس اللي هتفيد و هتستفيد؟ مضارين + +426 +00:33:53,220 --> 00:33:58,890 +الحرب نفسهاهذا الفئة المستهدفة واحد طبعا انا هحط + +427 +00:33:58,890 --> 00:34:03,670 +شروط او معيار هل كل واحد وجع من بيته شباك او باب + +428 +00:34:03,670 --> 00:34:08,810 +نعطيه واحدة؟ طب هل كل واحد الدقر كان عنده جزيه + +429 +00:34:08,810 --> 00:34:13,850 +هنعطيه واحدة؟ ولا هندرس بشكل عام؟ هنعمل دراسة ممكن + +430 +00:34:13,850 --> 00:34:19,930 +نحط معايرها هل اللي راحت بيوتهم بشكل كامل هم اللي + +431 +00:34:19,930 --> 00:34:25,520 +دخلهم ضمن أصحاب المصالح؟طب لو قولنا نعم، هل عدد + +432 +00:34:25,520 --> 00:34:29,740 +أفراد الأسرة هادي أو العائل هادي، إله علاقه ولا + +433 +00:34:29,740 --> 00:34:34,070 +مالهوش علاقة؟ هو هيكون له دور في المساحةبعض + +434 +00:34:34,070 --> 00:34:37,010 +المشاريع بتقول مايزدوش عن أربعة أو مايزدوش عن + +435 +00:34:37,010 --> 00:34:40,570 +خمسة، في عندنا عادات بتسميها العادة الممتدة، اللي + +436 +00:34:40,570 --> 00:34:44,430 +هي الجد و الجدة و الأب و الأم و الأعمام كلهم + +437 +00:34:44,430 --> 00:34:46,870 +بيكونوا في نفس البيت، هذه عادة بتكون أنت كبير و + +438 +00:34:46,870 --> 00:34:50,710 +الأحفال واضح، هل هدول الناس أنا معنية فيهم ولا + +439 +00:34:50,710 --> 00:34:54,030 +معنية أعمل وحدة سكنية يدور بغرفتين و بمنافعهم و + +440 +00:34:54,030 --> 00:34:58,200 +خلاص، كل هذا بيكون واضح عماميعشان ماكونش عندي + +441 +00:34:58,200 --> 00:35:03,420 +مشكلة في الحديث مع أصحاب المصالح، طبعا يا أخوات كل + +442 +00:35:03,420 --> 00:35:09,460 +ما كان حجم الوحدة السكنية كبير كل ما زاد التمويل، + +443 +00:35:09,460 --> 00:35:12,620 +إذا هاي في كمان نقطة مش بس كمان عرض الأسرة أو + +444 +00:35:12,620 --> 00:35:18,280 +الأدرار الموازنةبدي أبني لأكبر عدد ممكن من الناس + +445 +00:35:18,280 --> 00:35:21,700 +عشان تستفيد و في نفس الوجد ضمن الموازنة الاش + +446 +00:35:21,700 --> 00:35:26,440 +المحددة ضمن الموازنة المحددة إذا نشوفنا مع بعض + +447 +00:35:26,440 --> 00:35:30,960 +حددنا الفئة المستهدفة اتعمقنا في التفكير طبعا لازم + +448 +00:35:30,960 --> 00:35:34,360 +أكون عندي معلومات مموزات لأشغل حتى أقدر أشغل رقم + +449 +00:35:34,360 --> 00:35:41,040 +اتنين شوفنا الموازنة هل الممول جدش بقدر يبعتلي رقم + +450 +00:35:41,040 --> 00:35:46,370 +تلاتة الوحدة السكنية بتاعتنا هتكون خشبولا كرفنان + +451 +00:35:46,370 --> 00:35:55,790 +ولا بطون ولا إيش بالظبط؟ ولا خيمة؟ إيش بدها تكون؟ + +452 +00:35:55,790 --> 00:35:58,310 +كل هذا إيه علاقة بالتمويل يا جماعة؟ كل هذا إيه + +453 +00:35:58,310 --> 00:36:01,550 +إيش؟ علاقة بالتمويل وإيه علاقة بتوفر المواد الخام + +454 +00:36:01,550 --> 00:36:05,530 +في البلد؟ ممكن يكون عندنا مصاري وبدنا نعمل بطون ون + +455 +00:36:05,530 --> 00:36:09,950 +راتب لكن مافيش مواد خام طب هنظلنا نستنى وبدأ أشوف + +456 +00:36:09,950 --> 00:36:15,450 +لحل هذه بنسميها أصحاب إيش المصالحفي الشريحة هذه + +457 +00:36:15,450 --> 00:36:20,350 +اكتفوا بالشرح لو سمحتوا في الشريحة هذه ايش؟ اكتفوا + +458 +00:36:20,350 --> 00:36:24,070 +بأنهم أصحاب المصالح و أخدم عليهم متل يعني أصحاب + +459 +00:36:24,070 --> 00:36:29,930 +المصالح كذا كذا و المتل شرحنا عمليات + +460 +00:36:29,930 --> 00:36:34,270 +التخطيط، الحين يا أخوات احنا بدأنا خلاص خلصنا + +461 +00:36:34,270 --> 00:36:38,010 +البداية، في المرحلة التانية هنبدأ عملية إيش؟ تخطيط + +462 +00:36:38,010 --> 00:36:39,750 +نبدأ نخطط، فضل يا وي داد + +463 +00:36:45,160 --> 00:36:51,040 +سؤال، مين ما يتكوّن عمليات التخطيط؟ + +464 +00:36:51,040 --> 00:36:55,020 +أيوة + +465 +00:36:55,020 --> 00:36:59,780 +تتكوّن مجموعة عمليات تخطيط ملتقف العمليات التي يتم + +466 +00:36:59,780 --> 00:37:04,280 +تنفيذها بترسيخ المطاب لكل الجمهور تحديد وتنقح + +467 +00:37:04,280 --> 00:37:07,620 +الأهداف وتطوير الإجراءات لازمة لتحقيق هذه الأهداف + +468 +00:37:10,200 --> 00:37:13,860 +إذن رقم واحد التخطيط لازم يشمل العمليات اللى + +469 +00:37:13,860 --> 00:37:17,620 +هنفدها في المستقبل اللى هتنفدها يعني في المستقبل + +470 +00:37:17,620 --> 00:37:23,940 +ماشي اتنين ترقب عمليات التخطيط شويان في التخطيط + +471 +00:37:23,940 --> 00:37:29,400 +بنشوف الأهداف بتاعتناطبعا الأهداف المفروض كانت + +472 +00:37:29,400 --> 00:37:32,780 +تظهر في التأسيس، في التخطيط اللي نبدأ نفسر أيش + +473 +00:37:32,780 --> 00:37:36,600 +فيها، تلاتة التطوير، يعني التطوير اللي مقصود فيها + +474 +00:37:36,600 --> 00:37:40,000 +أنا عندي أهداف، كيف بدأ أصير على أرض الواقع حقيقة، + +475 +00:37:40,000 --> 00:37:43,860 +هذا المقصود بالتطوير، فضليه، تقوم عمليات التطوير و + +476 +00:37:43,860 --> 00:37:47,420 +وضع خطة .. إذا رقم واحد قلنا عمليات التنفيذ، كيف + +477 +00:37:47,420 --> 00:37:53,210 +هنشتغل، رقم اتنين الأهداف و كيفية إنجازهارقم تلاتة + +478 +00:37:53,210 --> 00:37:57,630 +المستندات اللي هي أوراقنا تكون سليمة، إيش يعني + +479 +00:37:57,630 --> 00:38:01,370 +مستندات؟ عندنا سؤال بيقول ادخلي أنت لع مستندات + +480 +00:38:01,370 --> 00:38:07,950 +المشروع، زي إيش مستندات؟ إذا عندنا عقد إيجار، يكون + +481 +00:38:07,950 --> 00:38:12,790 +جاهز، موتق قانوني، إذا كان عندنا سندات قبض وصرف و + +482 +00:38:12,790 --> 00:38:16,050 +لازم يكون عندنايعني كل إيش هي أخوات المقصود فيها + +483 +00:38:16,050 --> 00:38:19,950 +يكون بشكل قانوني و رسمي إذا في أنا عاملة عقود مع + +484 +00:38:19,950 --> 00:38:24,070 +مدربين أو خبراء أو مستشارين لو كان عندي برنامج أو + +485 +00:38:24,070 --> 00:38:27,630 +مشروع تنمية المهارات أو التدريب فيبقى عندنا عقود + +486 +00:38:27,630 --> 00:38:32,470 +لازم تكون كل يكون أمامي جاهز تفضلي تعمل طبيعة + +487 +00:38:32,470 --> 00:38:33,690 +متعددة الأبعاد + +488 +00:38:39,600 --> 00:38:43,180 +هان يا أخوان بتكلم عن التغذية الراجعة بتكلم عناش + +489 +00:38:43,180 --> 00:38:48,300 +هان؟ بتكلم عن التغذية الراجعة قد تكون هناك حاجة + +490 +00:38:48,300 --> 00:38:52,680 +إلى مزيد من الطبمن التخطيط كلما .. كلما .. كلما تم + +491 +00:38:52,680 --> 00:38:56,240 +جمع و تمل مزيد من معلومات المشروع و خصائصه كل يا + +492 +00:38:56,240 --> 00:38:59,980 +أخوات متعمقنا في المشروع كل مشروعنا اللي احنا + +493 +00:38:59,980 --> 00:39:04,040 +محتاجين الخطط من أول و جديد كل ما اتعمقت في + +494 +00:39:04,040 --> 00:39:07,000 +المشروع كل ما زالت حاجة لاشه للتخطيط تفضلي + +495 +00:39:07,000 --> 00:39:10,980 +التغييرات الواضحة اللتي تحدث طوال .. طوال دور حياة + +496 +00:39:10,980 --> 00:39:14,740 +المشروع تستنى الحاجة إلى الرجوع مرة أخرى إلى واحدة + +497 +00:39:14,740 --> 00:39:15,700 +أو أخرى من عمليات + +498 +00:39:20,420 --> 00:39:25,220 +إذن التغيير الحاصل + +499 +00:39:25,220 --> 00:39:30,960 +في البيئة يختم + +500 +00:39:30,960 --> 00:39:38,820 +علينا مضونة التخطيط إذن ليش كل شوية هترجع لخطط + +501 +00:39:38,820 --> 00:39:42,900 +بتاعك تطلع عليها؟ عشان التغيير اللي جاي من البيئة + +502 +00:39:42,900 --> 00:39:45,240 +مش مننا احنا التغيير اللي جاي من إيش من البيئة + +503 +00:39:45,240 --> 00:39:46,120 +فضلي + +504 +00:39:57,280 --> 00:40:02,440 +إذا ما المقصود بالتخطيط الموج متغير هي عملية وضع + +505 +00:40:02,440 --> 00:40:07,160 +خطة والعودة لها من وقت إلى أخر لعادة الصياغة أو + +506 +00:40:07,160 --> 00:40:11,320 +للتفصيل إذا ما المقصود يا أسماء بالتخطيط الموج + +507 +00:40:11,320 --> 00:40:17,320 +المتغير وضع خطة لمشروع والعودة لها من وقت إيش لأخر + +508 +00:40:17,320 --> 00:40:24,530 +هذا المقصود فيهافي حاجة قاعدة، في حاجة قاعدة يا + +509 +00:40:24,530 --> 00:40:34,350 +غاليا؟ اه تخطط الموج و تعريفهاش وضع خطة للمشرون + +510 +00:40:34,350 --> 00:40:46,570 +و العودة إليها من وقت لآخر بسبب التغيير الحاصل في + +511 +00:40:46,570 --> 00:40:50,710 +البيئة أو في المجتمعبسبب التغيير الحاصل في البيئة + +512 +00:40:50,710 --> 00:40:56,670 +أو إيش أو في المجتمع شكرا + +513 +00:40:56,670 --> 00:41:06,910 +لك في عنا رسم لا داعي نزلنا في نفس الموضوع تفضلي + +514 +00:41:06,910 --> 00:41:13,030 +إيرادة ستقوم + +515 +00:41:13,030 --> 00:41:17,570 +.. ستقوم في جدات المشروع السنة دا دي اللتي يدين + +516 +00:41:17,570 --> 00:41:23,400 +موضعهاكان مخرجا من صناعة عملية التخطيطباستكشاف + +517 +00:41:23,400 --> 00:41:27,480 +جميع جوالب النطاق، الزمن، التكلفة، الجودة، + +518 +00:41:27,480 --> 00:41:30,880 +الاتصال، المخاطر والمشتريات إذا يا أخوات التخطيط + +519 +00:41:30,880 --> 00:41:35,840 +لازم يشمل على نطاق مشروعنا، وقت بدء ونهاية + +520 +00:41:35,840 --> 00:41:40,100 +مشروعنا، بداش تكلفته اللي هو الموازنة، معيير + +521 +00:41:40,100 --> 00:41:44,060 +الجودة المطلوبة، كيف هيتم الاتصال من أعلى أسفل من + +522 +00:41:44,060 --> 00:41:48,460 +أسفل لإعلى، المخاطر اللي بتتعرض لها، والمشتريات + +523 +00:41:48,460 --> 00:41:53,540 +اللي محتاجة لها، فضلواقد تؤثر التهديثات اللاجمة عن + +524 +00:41:53,540 --> 00:41:57,360 +التغييرات المعتمدة أثناء المشروع تأثيرا موضحا في + +525 +00:41:57,360 --> 00:42:02,110 +أجزاء خطة إدارة المشروع ومصطندات المشروعتوفر + +526 +00:42:02,110 --> 00:42:06,530 +التحديثات التي تدخلها على هذه المستندات تفق أكبر + +527 +00:42:06,530 --> 00:42:11,010 +فيما يتعلق بمتطلبات جدول الزمن والتكاليف والموارد + +528 +00:42:11,010 --> 00:42:15,930 +لملائمة النطاق المحددة للمشروع ببساطة يا أخوات يجب + +529 +00:42:15,930 --> 00:42:20,070 +تحديث الخطط أول بأول خططنا لازم تتحدث أول بأول + +530 +00:42:20,070 --> 00:42:24,010 +لسبب بسيط اللي هو سبب التغيير في البيئة بسبب + +531 +00:42:24,010 --> 00:42:27,210 +التغيير في البيئة تظهر مننا ذلك التحديث أول بأول + +532 +00:42:27,210 --> 00:42:31,920 +فضلواينبغي أن يكون فريق المشروع بتشجيع مشاركة جميع + +533 +00:42:31,920 --> 00:42:36,640 +أصحاب المصلحة عند تخطيط المشروع ووضع خطة .. خطة + +534 +00:42:36,640 --> 00:42:39,780 +إدارة المشروع وسنداتها اللي هي الإدارة والمشاركة + +535 +00:42:39,780 --> 00:42:44,820 +الإجراءات التي تقوم بها المؤسسة هي التي تحدد موقع + +536 +00:42:44,820 --> 00:42:48,900 +انتهاء جهد التخطيط الأولي بسبب تعذر استمرار عملية + +537 +00:42:48,900 --> 00:42:56,120 +التغذية الاسترجاعية شغال متى يفشل التخطيط؟أو مثلا + +538 +00:42:56,120 --> 00:42:58,180 +انت وقف عن التخطيط احنا قولنا تخطيط مشروع عملية + +539 +00:42:58,180 --> 00:43:01,540 +مستمرة كل ما احنا عندنا مشروع لازم نضال نرجع للخطط + +540 +00:43:01,540 --> 00:43:07,020 +و نغير و نبدل طب متى نفشل في التخطيط للمشاريع؟ + +541 +00:43:07,020 --> 00:43:11,580 +واحد إذا ماكانش عندي تغذية راجعة يعني احنا ماشيين + +542 +00:43:11,580 --> 00:43:15,480 +صح ماشيين غلط انا مش عارف هاي رقم واحد رقم اتواقع + +543 +00:43:15,480 --> 00:43:20,400 +واحد إذا ماكانش عندنا ايش تغذية راجعة اثنين + +544 +00:43:20,400 --> 00:43:29,040 +والتلقيح بشكل غير محدوداتنين يا أخوات اللي هي دروف + +545 +00:43:29,040 --> 00:43:36,220 +البيئة الغامضة تحتم علينا التوقف عن التخطيط زي ايش + +546 +00:43:36,220 --> 00:43:41,900 +دروف قائمة غامضة قيم حرب الحصاية ..لأ ..معروف يعني + +547 +00:43:41,900 --> 00:43:45,580 +..لأ الحصاية اذا انت سافر تكيّف معاك ..كواسيه + +548 +00:43:45,580 --> 00:43:50,580 +طبيعية اه ..لو قامت حرب فجأه و عندنا مشروع ..اصلا + +549 +00:43:50,580 --> 00:43:53,180 +احنا مش عارفين احنا الحين نعيش ولا لأ فبنوقف + +550 +00:43:53,180 --> 00:43:57,920 +التخطيط معناها فشلناهافهذا المقصود بظروف رمضان أو + +551 +00:43:57,920 --> 00:44:02,920 +زلزال دمر المراسل اللي بنبني فيه، فحنخطط تقاش، هذا + +552 +00:44:02,920 --> 00:44:06,900 +المقصود فيه أما شغلة دلت ماشية زي أزمة الكهرم أو + +553 +00:44:06,900 --> 00:44:13,040 +الحصار، هذه ممكن تتأقلم معاه إذا السؤال مرة تانية، + +554 +00:44:13,040 --> 00:44:17,840 +متى أو متى يفشع أو متى يتوقف تخطيط المشاريع؟ وكتشف + +555 +00:44:17,840 --> 00:44:21,960 +تقدريش تخطط للمشروع في حالتين؟إذا ماعننا تغضي أو + +556 +00:44:21,960 --> 00:44:24,840 +راجع، دروف البيئة الغامضة، يعني إحنا لو وصلنا إيش + +557 +00:44:24,840 --> 00:44:27,680 +صار معانا معاناش، فن run بفحصا، بقى من هنا خد + +558 +00:44:27,680 --> 00:44:30,560 +بالك، دروف البيئة ما هي إلها عدة احتمالات، دروف + +559 +00:44:30,560 --> 00:44:35,800 +البيئة الغامضة، لأن ممكن تكون دروف البيئة كويسة، + +560 +00:44:35,800 --> 00:44:40,060 +دروف البيئة الغامضة، هذه بتخليني أوقف عن إيش + +561 +00:44:40,060 --> 00:44:45,460 +التقلب، قولنا زي نشو بحر، أمور طبيعية، بلزال، + +562 +00:44:45,460 --> 00:44:51,300 +فيضان، بركان، هذا المصطلحو ده نكتب سؤال و بنجاب + +563 +00:44:51,300 --> 00:44:56,360 +المحادثة ان شاء الله عظم + +564 +00:44:56,360 --> 00:45:04,100 +فيه مال المقصود بوضع + +565 +00:45:04,100 --> 00:45:11,360 +خطة BM مال المقصود بوضع خطة BM + diff --git a/PL9fwy3NUQKwYZU2ezHFq-UK19TEyZdOHs/lw0BNA_FnIg.srt b/PL9fwy3NUQKwYZU2ezHFq-UK19TEyZdOHs/lw0BNA_FnIg.srt new file mode 100644 index 0000000000000000000000000000000000000000..5b7cdadf4326ae5c62a47e9c3100942973064fd9 --- /dev/null +++ b/PL9fwy3NUQKwYZU2ezHFq-UK19TEyZdOHs/lw0BNA_FnIg.srt @@ -0,0 +1,1667 @@ +1 +00:00:21,130 --> 00:00:23,430 + أعوذ بالله من الشيطان الرجيم بسم الله الرحمن + +2 +00:00:23,430 --> 00:00:26,650 +الرحيم، الحمد لله والصلاة والسلام على مصطفى الأمين + +3 +00:00:26,650 --> 00:00:30,430 +سيدنا محمد وعلى آله ومن ساره على درج يَحسنهم + +4 +00:00:30,430 --> 00:00:33,470 +الدين، بالبداية السلام عليكم ورحمة الله وبركاته، + +5 +00:00:33,470 --> 00:00:37,680 +كيف حالكم؟ اليوم إن شاء الله هنكمل مع بعض ونخلص مع + +6 +00:00:37,680 --> 00:00:40,420 +بعض اللي هو الـ chapter الأول في مسرح إدارة + +7 +00:00:40,420 --> 00:00:43,860 +المشاريع هنحكي اليوم عن الـ project management and + +8 +00:00:43,860 --> 00:00:47,040 +processes management إدارة المشروع وإدارة إيش + +9 +00:00:47,040 --> 00:00:50,740 +العمليات تفضلي يا غدير قرأينا إيش كاتب في الفقرة + +10 +00:00:50,740 --> 00:00:54,460 +الأول لو سمحت العمليات هي عبارة عن وظيفة تنظيمية + +11 +00:00:54,460 --> 00:00:57,840 +تقوم بالتنفيذ المستمر للأنشطة التي من شأنها أن + +12 +00:00:57,840 --> 00:01:02,720 +تنتج نفس المنتج أو توفر خدمة متكاملة، إذا ما المقصود + +13 +00:01:02,720 --> 00:01:07,280 +بالـ processing أو العمليات؟ العمليات عبارة عن وظيفة + +14 +00:01:07,280 --> 00:01:10,020 +تنظيمية، شو يعني وظيفة تنظيمية؟ يعني وظيفة من وظائف + +15 +00:01:10,020 --> 00:01:19,300 +الإدارة، ده شو يعني عمليات؟ أحد وظائف الإدارة ماذا + +16 +00:01:19,300 --> 00:01:22,240 +تقوم؟ تقوم بالتنفيذ المستمر للأنشطة + +17 +00:01:27,330 --> 00:01:31,050 +طبعا الأنشطة هي أنشطة المشاريع، الأنشطة هذه بتقدم + +18 +00:01:31,050 --> 00:01:41,390 +إما منتج أو خدمة، مثال القيام + +19 +00:01:41,390 --> 00:01:44,750 +بعملية + +20 +00:01:44,750 --> 00:01:56,070 +متابعة حضور فريق العمل للمشروع في الوقت المناسب + +21 +00:01:58,920 --> 00:02:02,280 +هذا مثال على إيش؟ على عملية، طبعا القيام بعملية + +22 +00:02:02,280 --> 00:02:06,140 +متابعة هذه اللي هي ملامح الرقابة هذه وظيفة + +23 +00:02:06,140 --> 00:02:11,020 +أنظمية هل فريق العمل التابع للمشروع بيحضر في الوقت + +24 +00:02:11,020 --> 00:02:14,460 +المناسب ولا بيحضرش؟ طبعا حضور فريق العمل في + +25 +00:02:14,460 --> 00:02:17,940 +الوقت المناسب بيُقود للتقديم المنتج أو الخدمة، أما + +26 +00:02:17,940 --> 00:02:20,480 +تأخروا أو تغيبوا معناها لا عندنا منتج ولا عندنا + +27 +00:02:20,480 --> 00:02:27,440 +إيش خدمة، على سبيل المثال في مشروع إعمار شارع بحر غزة + +28 +00:02:28,840 --> 00:02:32,440 +نقول تجاوز إنجاز هو بحر اللي قبل متوسط مشروع + +29 +00:02:32,440 --> 00:02:37,220 +إعمار شارع بحر غزة، إذا إجا العمال اليوم هيكون + +30 +00:02:37,220 --> 00:02:42,980 +عندنا إنجاز، هنشغل ونقترب من تسليم المشروع، إذا كان + +31 +00:02:42,980 --> 00:02:43,820 +في عندنا غياب + +32 +00:02:46,450 --> 00:02:50,010 +مش هيكون إنجاز معناها هنتأخر، القاعدة بيسميها إيش؟ + +33 +00:02:50,010 --> 00:02:54,490 +عمليات، وهأعيدها، ما أعطينا قامة الإعلاميات طبعا + +34 +00:02:54,490 --> 00:02:57,850 +علامات كثيرة زي الـ Intel زي التصنيع زي المحاسبة و + +35 +00:02:57,850 --> 00:03:02,270 +هذا تفضلي يا غدير تستطيع المشروعات رغم طبيعتها + +36 +00:03:02,270 --> 00:03:05,710 +المؤقتة أن تساعد في تحقيق أهداف المؤسسة عندما يتم + +37 +00:03:05,710 --> 00:03:11,950 +ضبطها مع استراتيجية المؤسسة، لما نربط المشروع مع + +38 +00:03:11,950 --> 00:03:19,180 +الخطط طويلة الأجل اللي هي الاستراتيجيات من الممكن + +39 +00:03:19,180 --> 00:03:26,020 +أن إيش؟ أن نصل للهدف، خليني أحط hands-up أفضل، إذا + +40 +00:03:26,020 --> 00:03:31,460 +لما أربط مشروع مع استراتيجياتي هذا بساعدنا لوصول + +41 +00:03:31,460 --> 00:03:38,340 +لإيش؟ للهدف، أخدنا مع بعض تعريف المشروع، استراتيجيات + +42 +00:03:38,340 --> 00:03:43,750 +ببساطة، خطط طويلة الأجل ببساطة يعني الاتنين سوا، لو + +43 +00:03:43,750 --> 00:03:47,890 +ماشيين في نفس المسار هيقدر الوصول لإيش؟ لهدف، تفضلي + +44 +00:03:47,890 --> 00:03:51,450 +تقوم المؤسسات أحيانا بتغيير العمليات .. خد بالك من + +45 +00:03:51,450 --> 00:03:56,430 +إيش؟ أحيانا .. ممتاز، بتغيير + +46 +00:03:56,430 --> 00:03:59,570 +العمليات أو المنتجات أو الأنظمة الخاصة بها عن طريق + +47 +00:03:59,570 --> 00:04:05,670 +إنشاء مبادرات تجارية استراتيجية، بنكتبها المرونة، إذا + +48 +00:04:05,670 --> 00:04:10,910 +تقوم المؤسسة بتغيير العملية بتاعتها أو حتى المنتج + +49 +00:04:10,910 --> 00:04:15,710 +أو النظام إذا كان عندها مبادرة تجارية استراتيجية + +50 +00:04:15,710 --> 00:04:18,850 +شو معنى مبادرة تجارية استراتيجية؟ معناه يا أخوات + +51 +00:04:18,850 --> 00:04:26,870 +فرصة لتحقيق ربح أو فرصة للتمييز، لأن شو معنى مبادرة + +52 +00:04:26,870 --> 00:04:30,210 +تجارية استراتيجية؟ بترتب عليها تغيير العملية + +53 +00:04:30,210 --> 00:04:34,710 +والأنشطة أنه ممكن نحقق أرباح زيادة، ممكن نتميز في + +54 +00:04:34,710 --> 00:04:38,770 +السوق أكثر هذا بعض الأوقات بترتب علينا نغير شغل، + +55 +00:04:38,770 --> 00:04:43,970 +نغير إيش؟ شغلنا، تبقوا معانا، فضلا تحتاج المشروعات + +56 +00:04:43,970 --> 00:04:47,330 +إدارة المشروعات بينما تحتاج العمليات إدارة العملية + +57 +00:04:47,330 --> 00:04:51,570 +التجارية أو إدارة العمليات، سهل هذي، المشاريع إيش + +58 +00:04:51,570 --> 00:04:57,020 +لها؟ لا، العمليات إيش إلها؟ ده عملية طبعا هو مش + +59 +00:04:57,020 --> 00:05:00,140 +دايما عملية تجارية لأن في قطاعات ما فيش فيها تجارة + +60 +00:05:00,140 --> 00:05:05,980 +زي الـ NGOs مثلا بشكل عام، ده تقاش عملية عبارة صح و + +61 +00:05:05,980 --> 00:05:11,860 +غطى لو سمحت، من الممكن أن + +62 +00:05:11,860 --> 00:05:19,140 +يكون من الممكن أن يكون المشرف + +63 +00:05:21,970 --> 00:05:33,310 +على أحد المشروعات هو مدير العمليات، صوابي صح ولا + +64 +00:05:33,310 --> 00:05:40,490 +غلط، اقرأ + +65 +00:05:40,490 --> 00:05:45,690 +العبارة بصوت + +66 +00:05:45,690 --> 00:05:46,390 +عالي لو سمحت + +67 +00:05:49,530 --> 00:05:55,570 +حط خط تحت كلمة مشروع، حبتدي خط؟ طيب، بأخد عبارة؟ هو + +68 +00:05:55,570 --> 00:05:59,610 +خطأ، هو خطأ؟ لأ، يعني تلك كلمة ليه بأخد عبارة؟ هو + +69 +00:05:59,610 --> 00:06:04,270 +المدير العملية، احنا إيش قولنا تو؟ مشروع إدارة + +70 +00:06:04,270 --> 00:06:09,970 +مشاريع، مشروع، مشروع إدارة مشاريع، مشروع، مشروع، + +71 +00:06:09,970 --> 00:06:11,370 +مشروع، مشروع، مشروع مشروع مشروع مشروع مشروع مشروع + +72 +00:06:11,370 --> 00:06:12,170 +مشروع مشروع مشروع مشروع مشروع مشروع مشروع مشروع + +73 +00:06:12,170 --> 00:06:14,540 +مشروع مشروع مشروع مشروع مشروعات، مدير عمليات، لو + +74 +00:06:14,540 --> 00:06:17,700 +جيبنا هادي هان و هادي هان غلط، العبارة صح ولا غطي + +75 +00:06:17,700 --> 00:06:22,560 +هانتي؟ العبارة خاطئة، ليش خاطئة؟ أهلنا ببساطة مشروع + +76 +00:06:22,560 --> 00:06:27,710 +اسم المسئول تبعه ومدير المشروعات، عملية صغيرة اسم + +77 +00:06:27,710 --> 00:06:30,490 +المسؤول تبعها مدير العمليات، هذا ما بيجيش هنا، ما + +78 +00:06:30,490 --> 00:06:34,690 +بيجيش هنا، أخر فقرة يا غدير؟ قد تقطع المشروعات مع + +79 +00:06:34,690 --> 00:06:37,370 +العمليات في العديد من النقاط أثناء دورة حياة + +80 +00:06:37,370 --> 00:06:41,610 +المنتج، دورة حياة المشروع أو المنتج أخدتوها قبل هيك + +81 +00:06:41,610 --> 00:06:44,330 +وهناخدها الـ chapter الثاني إن شاء الله، حاجة + +82 +00:06:44,330 --> 00:06:49,500 +سهلة، نشوف إيش جزء بالفقرة هذه، على سبيل المثال؟ مثل + +83 +00:06:49,500 --> 00:06:54,840 +عند مرحلة الإغلاق، عند تصنيف مرحلة الإغلاق هي مرحلة + +84 +00:06:54,840 --> 00:07:02,380 +إقفال المشاريع، شارع البحر جاهز ورصفناه وحطينا الـ + +85 +00:07:02,380 --> 00:07:08,400 +Asphalt وحطينا الأشجار زي الخطة بالظبط، إغلاق معناه + +86 +00:07:08,400 --> 00:07:11,700 +أقفل الحسابات خلاص، هاي الحسابات جاهزة، هاي + +87 +00:07:11,700 --> 00:07:14,000 +المصاري بتاعة وهي موجودة على الأرض زي ما أنتم + +88 +00:07:14,000 --> 00:07:18,290 +شايفينها في المشروع، غفلنا المشروع، بدأ أروح مثلا + +89 +00:07:18,290 --> 00:07:20,810 +أعمل شارع صلاح الدين، لأ هذا مشروع ثاني ما عنوش + +90 +00:07:20,810 --> 00:07:25,410 +علاقة بالأولان، إذا ما المقصود بإغلاق المشروع، + +91 +00:07:25,410 --> 00:07:29,150 +انتهى المشروع، إيش يعني انتهى المشروع؟ تم تسليم، + +92 +00:07:29,150 --> 00:07:33,230 +تم إنجازه، بدأ نعمل مبنى في الجامعة مثلا لكلية + +93 +00:07:33,230 --> 00:07:37,970 +التجارة، هذا مشروع، هاي المبنى بدأ .. بدنا .. عفوا + +94 +00:07:39,250 --> 00:07:43,310 +كله، وقد تتناقض تفضل و هايلنا فاتحة، ده إيش بنسميها + +95 +00:07:43,310 --> 00:07:48,370 +تقلقة؟ تفضلي، عند تصنيع منتج جديد وترقب أحد + +96 +00:07:48,370 --> 00:07:52,070 +المنتجات أو توسيع المخرجات، تحسين العمليات أو عملية + +97 +00:07:52,070 --> 00:07:55,350 +تطوير المنتج أو حتى تصفية العمليات في نهاية دورة + +98 +00:07:55,350 --> 00:07:58,810 +حياة المنتج يتم نقل التسليمات والمعرفة في كل نقطة + +99 +00:07:58,810 --> 00:08:01,150 +ما بين المشروع والعمليات من أجل التطبيق، عملية + +100 +00:08:01,150 --> 00:08:09,100 +تبادلية من المشروع للعملية ومن العملية للمشروع + +101 +00:08:09,100 --> 00:08:12,480 +خذ يبقى، قبل شوية احنا صحيح حكينا أن المشروع له + +102 +00:08:12,480 --> 00:08:15,640 +مدير مشروع، والعملية لها إدارة عملية، لكن كلهم جزء + +103 +00:08:15,640 --> 00:08:18,660 +من بعض، ما أقدرش أفصلهم عن بعض ليش؟ لأن المشروع + +104 +00:08:18,660 --> 00:08:22,980 +مجموعة عمليات، إذا ماشي قصده في محطة الإغلاق؟ بدي + +105 +00:08:22,980 --> 00:08:27,420 +أعمل عملية إغلاق الحسابات، قبل شوية أخدنا مثال على + +106 +00:08:27,420 --> 00:08:34,120 +العمليات، عمليات المحاسبة، بدي أعمل عملية إغلاق + +107 +00:08:34,120 --> 00:08:39,400 +قوائم المالية للمشروع تبع إعمار بحر غزة، ماشي، هذه + +108 +00:08:39,400 --> 00:08:45,280 +عملية، العملية هذه لمن تابعة؟ لمشروع أو لمرحلة إغلاق + +109 +00:08:45,280 --> 00:08:49,360 +مشروع إعمار بحر غزة، إذا واضح أن الاتنين جزء من بعض + +110 +00:08:49,360 --> 00:08:52,960 +ما بينفصلوش، المشروع عبارة عن مجموعة من إيش؟ من + +111 +00:08:52,960 --> 00:09:00,320 +العمليات، أعيد ثاني، لو بدنا نقدم منتج جديد ليس + +112 +00:09:00,320 --> 00:09:06,640 +مدرج ضمن المشروع بدنا نعمل عملية بالتخطيط، طيب، عاملة + +113 +00:09:06,640 --> 00:09:09,560 +التخطيط لإيش هذه؟ للمشروع القائم اللي عملوا منتج + +114 +00:09:09,560 --> 00:09:13,140 +جديد، متداخلين، إذن واضح إنهم مترابطين ومتداخلين فيما + +115 +00:09:13,140 --> 00:09:16,740 +بعضهم البعض، ياريت يا أخوات إذا كانت الشريحة مش + +116 +00:09:16,740 --> 00:09:20,340 +واضحة إنك تأخذ بالأمثلة لحتى تساعدك في فهم + +117 +00:09:20,340 --> 00:09:27,600 +الشريحة، واضح؟ أكمل ولا أعيد؟ أكمل، البساطة يا + +118 +00:09:27,600 --> 00:09:32,240 +أخوات، إدارة المشاريع هي جوانب العمل الأساسية في + +119 +00:09:32,240 --> 00:09:38,840 +المشروع، واضح؟ لو غاب اليوم فريق العمل ما فيش مشروع، + +120 +00:09:38,840 --> 00:09:42,200 +لو عمال البحر ماكانوش موجودين في شيء عامة، مين + +121 +00:09:42,200 --> 00:09:49,300 +بيشتغل؟ عمل أساسي، ولكن إدارة العمليات لأمور + +122 +00:09:49,300 --> 00:09:53,040 +داعمة، قلنا زي العمليات المحاسبية، لو ما إجاش + +123 +00:09:53,040 --> 00:09:56,140 +المحاسب المشروع اليوم مش مشكلة، حيضلهم العمال + +124 +00:09:56,140 --> 00:09:58,880 +يشتغلوا، على سبيل المثال + +125 +00:10:01,470 --> 00:10:06,330 +لو اجيت أنا اليوم على المحاضرة وما اجيتوا كلكوا، + +126 +00:10:06,330 --> 00:10:11,110 +ما أعطي محاضرة، إذا وجود الطالبات في المحاضرة أمر + +127 +00:10:11,110 --> 00:10:17,770 +أساسي، ممكن نشبهه ببدء المشروع، واضح؟ لو اجيتوا + +128 +00:10:17,770 --> 00:10:21,740 +أنتم وأنا اعتذرت، في محاضرة ولا ما فيش؟ يعني ما في + +129 +00:10:21,740 --> 00:10:25,940 +مشروع واضح لو شبهناه، طب لو اجيت أنا وإياكوا + +130 +00:10:25,940 --> 00:10:29,380 +وما لقيناش تصوير، تمشي اللي وإنها ده ولا تمشي اللي + +131 +00:10:29,380 --> 00:10:35,620 +وإنها ده، إذا إيش ممكن نسمي التصوير؟ ثانوي، مساند، + +132 +00:10:35,620 --> 00:10:39,820 +مساعد، مش جوهر وده ولا إيه؟ هيك وضهر ولا إيه ده + +133 +00:10:39,820 --> 00:10:43,900 +ثاني؟ لكن ما أقدرش أفصل الاثنين مع بعض، ما أقدرش أفصل + +134 +00:10:43,900 --> 00:10:46,140 +الاثنين مع بعض، لازم يكون عندي محاسب في المشروع + +135 +00:10:46,140 --> 00:10:49,520 +لازم صح غاب يومين تلاتة عنده حالة وراهة ولا إيش بس + +136 +00:10:49,520 --> 00:10:57,130 +لازم أكون موجود، واضح؟ نكمل، من هو الـ project manager + +137 +00:10:57,130 --> 00:11:01,670 +أو ما هو دور مدير المشروع على الشرفة؟ مدير المشروع + +138 +00:11:01,670 --> 00:11:05,690 +هو الشخص الذي يتم تعيينه من قبل المؤسسة المنفذة + +139 +00:11:05,690 --> 00:11:09,370 +لتحقيق أهداف المشروع، طبعا عادي المدير مشروع + +140 +00:11:09,370 --> 00:11:13,840 +بيكون خارج إدارة الأعمال، بيكون مهندس حسب الشروط + +141 +00:11:13,840 --> 00:11:17,000 +والمواصفات اللي بتنزل في قاش في الوظيفة في عندنا + +142 +00:11:17,000 --> 00:11:19,840 +بعض الناس بيسموه مدير المشروع في ناس بيسموه مناسق + +143 +00:11:19,840 --> 00:11:24,740 +مشروع مدير أو قاش أو مناسق نشوف مع بعض، فضليه + +144 +00:11:24,740 --> 00:11:28,480 +ويختلف دور مدير المشروع عن دور المدير الوظيفي أو + +145 +00:11:28,480 --> 00:11:36,160 +المدير العمليات عادة ما يفرق بينه ومدير المشروع + +146 +00:11:36,160 --> 00:11:40,080 +ومدير العمليات يا ترى الاثنين زي بعض طبعًا بالمخ + +147 +00:11:40,080 --> 00:11:44,050 +المشروع اللي احنا فرّقنا بينه بالأصل إن المخ يقول إن + +148 +00:11:44,050 --> 00:11:47,930 +أكيد في فرق، نشوف مع بعض عادة ما يركز المدير + +149 +00:11:47,930 --> 00:11:51,670 +الوظيفي على الإشراف على الإدارة في منطقة إدارية ما + +150 +00:11:51,670 --> 00:11:56,810 +بينما بينما يطلع مدير العمليات بمسؤولية جوانب + +151 +00:11:56,810 --> 00:12:01,290 +العمل مدير العمليات زي ما حكينا إن ده مشروع زي + +152 +00:12:01,290 --> 00:12:04,930 +المحاسبة لازم يركز على القوائم المالية على سبيل + +153 +00:12:04,930 --> 00:12:08,270 +المثال القوائم المالية أمور أساسية في المشروع، + +154 +00:12:08,270 --> 00:12:12,230 +ما فيش مشروع من غير أمان طيب، بينما المدير الوظيفي + +155 +00:12:12,230 --> 00:12:17,050 +ممكن يشرف على الإدارة، ناخد مثلًا، أعيدها هلّقيت + +156 +00:12:17,050 --> 00:12:19,710 +احنا بنفرّق بين مدير المشروع ومدير العملية؟ و + +157 +00:12:19,710 --> 00:12:22,870 +العملية، ظهر عندنا مصطلح اللي هو المدير الوظيفي، + +158 +00:12:22,870 --> 00:12:26,510 +يعني زي مدير التسويق، مدير العمليات، طيب لشويه + +159 +00:12:26,510 --> 00:12:30,830 +شويه المدير الوظيفي هو نفسه المدير العمل؟ مش المدير + +160 +00:12:30,830 --> 00:12:33,690 +الوظيفي هو نفسه المدير العمل؟ لأ مش قاعدة لأ مش + +161 +00:12:33,690 --> 00:12:37,270 +قاعدة المدير الوظيفي زي المدير التسويق الإنتاج + +162 +00:12:37,270 --> 00:12:41,410 +اللي هو المشروع مش كلها فيها المدراء دول المشروع + +163 +00:12:41,410 --> 00:12:44,610 +كلها بتتفق في شغلة إن كلهم عندهم مدير مشروع أو + +164 +00:12:44,610 --> 00:12:48,990 +منسق مشروع لكن المدير الوظيفي في عمليات لأ حسب حجم + +165 +00:12:48,990 --> 00:12:53,940 +التمويل واحنا مين المدير الوظيفي المشتق من لأ، تابع + +166 +00:12:53,940 --> 00:12:56,860 +للمشروع هذا، للمشروع، بقى ممكن نحكي إن مدير + +167 +00:12:56,860 --> 00:12:59,460 +المشروع أعلى مرتبة من المدير العملية؟ آه، آه، + +168 +00:12:59,460 --> 00:13:01,920 +المدير المشروع بيكون مسؤول عنه، المدير المشروع + +169 +00:13:01,920 --> 00:13:04,180 +مسؤول عن كل المدير هو المشروع مجموعة عاملين، هو + +170 +00:13:04,180 --> 00:13:09,000 +المسؤول، هو ... بس لك بيقل، لأ مش عايز أقسم إنه أنت + +171 +00:13:09,000 --> 00:13:12,360 +مدير المشروع، يعني هو ماسك كل الشغل، المدير الوظيفي + +172 +00:13:12,360 --> 00:13:16,340 +يقولنا زي تسويق الأفراد مدير الشغل والموظفين اللي + +173 +00:13:16,340 --> 00:13:19,360 +هو الأفراد، بيكون مسؤول على الشرف على إيش؟ على + +174 +00:13:19,360 --> 00:13:22,020 +الإدارة في منطقة معينة، مدير العمليات بيكون مسؤول + +175 +00:13:22,020 --> 00:13:27,720 +عن مين؟ العمل الأساسي، قولنا زي العمليات المحاسبية، + +176 +00:13:27,720 --> 00:13:30,300 +قبل شوية حكينا يا أخوات، لو المحاسب غاب، الشغل + +177 +00:13:30,300 --> 00:13:34,890 +بييجي له مش مسموح للمحاسب يغيب المشروع كله، من وين + +178 +00:13:34,890 --> 00:13:39,830 +هعمل حسابات أنا؟ إذًا عمل الحسابات عمل أساسي، واضح؟ + +179 +00:13:39,830 --> 00:13:42,490 +مع وجود بعض المرونة، إيش المرونة؟ إنه لو المحاسب + +180 +00:13:42,490 --> 00:13:44,610 +ما جاش اليوم، بكرة يجيبلنا الشغل، هذا المقصود + +181 +00:13:44,610 --> 00:13:48,890 +فيه، ثانيًا، هتجي تقوم مدير المشروع بمرسلة المدير + +182 +00:13:48,890 --> 00:13:52,290 +الوظيفي ويتوقف ذلك على الهيكل التنظيمي شوي شوي + +183 +00:13:52,290 --> 00:13:55,230 +أنت، الهيكل التنظيمي يا أخوات زي ما أخذتو أنتوا + +184 +00:13:55,230 --> 00:14:00,430 +قبل هيك؟ بنحدد فيه المسؤوليات أول حاجة؟ + +185 +00:14:02,930 --> 00:14:07,030 +السلطات والصلاحيات بنسميها يا أنت اللي هي + +186 +00:14:07,030 --> 00:14:12,930 +الاتصالات أكيد عارفين المصطلحات الأربعة هذه أشياء + +187 +00:14:12,930 --> 00:14:17,290 +شو معنى مسؤولية اللي + +188 +00:14:17,290 --> 00:14:27,670 +حكوا آه أخذتوها في المستوى الأولي عبارة عن التزام + +189 +00:14:27,670 --> 00:14:29,110 +أخلاقي + +190 +00:14:31,310 --> 00:14:36,090 +بطاقة ديانات المهام لما + +191 +00:14:36,090 --> 00:14:38,910 +نقول فلانة مسؤولة بتحمل مسؤولية نفسها يعني عندك + +192 +00:14:38,910 --> 00:14:44,010 +التزام أخلاقي بتحمل مسؤولية نفسك سلطات القوة ماشي + +193 +00:14:44,010 --> 00:14:47,190 +يعني اتقي سلطات الحق الحق في الظاهر الأول ممتاز في + +194 +00:14:47,190 --> 00:14:51,650 +تلقاء القرار لأ ممتاز مسؤولية التفويض ده يحق لمدير + +195 +00:14:51,650 --> 00:14:56,510 +المشروع حسب الهيكل التنظيمي يطلب من المدير الوظيفة + +196 +00:14:56,510 --> 00:15:01,110 +يعمل أو ما يعملش تلاتة صلاحيات ليه الواجبات؟ أو إيش + +197 +00:15:01,110 --> 00:15:07,610 +تسوي عامة؟ إيش صلاحيات؟ الاتصالات ليه؟ إما من أعلى + +198 +00:15:07,610 --> 00:15:10,750 +لأسفل أو من أسفل لأعلى أو بشكل أفقي أو أفقي بين + +199 +00:15:10,750 --> 00:15:15,510 +مستويات مختلفة نفس مستويات إدارة، إذا كل مدير عنده + +200 +00:15:15,510 --> 00:15:21,840 +مسؤولية، سلطة صلاحية واتصالاته، حسب ... هذا بنسميه + +201 +00:15:21,840 --> 00:15:24,980 +هيكل التنظيم البصري والسلطة تفويض لكن ... آه ممتاز + +202 +00:15:24,980 --> 00:15:27,840 +شكرًا، السلطة تفويض، المشروع يتفوض، حسب الأربعة + +203 +00:15:27,840 --> 00:15:31,500 +هدول، هل بيقدر مدير المشروع يتحكم في المشروع كله + +204 +00:15:31,500 --> 00:15:35,540 +ولا صلاحياته محددة، حسب الـ هيكل التنظيمي، ممكن + +205 +00:15:35,540 --> 00:15:38,500 +نلاقي مدير المشروع عنده حرية مطلقة في التصرف، ممكن + +206 +00:15:38,500 --> 00:15:42,760 +نلاقي شخص آخر، حسب الـ هيكل التنظيمي، علشان تمردوا + +207 +00:15:43,430 --> 00:15:47,350 +فضلي في حالات أخرى قد يكون مدير المشروع من أحد + +208 +00:15:47,350 --> 00:15:51,410 +العديد من مديري المشروع الذين يقومون برفع التطارير + +209 +00:15:51,410 --> 00:15:57,710 +لما حكى عن مدير المشاريع وهذا المدير هذا واحد وهذا + +210 +00:15:57,710 --> 00:16:02,950 +مجموعة مشاريع يعني المدير المشروع ألف باء جيم حكى عن + +211 +00:16:02,950 --> 00:16:07,430 +إيش على طول ممتاز مدير الحقيبة أو مدير البرنامج + +212 +00:16:08,400 --> 00:16:11,660 +شرحنا قبل هيك الحقيبة الاستثمارية عبارة عن مجموعة + +213 +00:16:11,660 --> 00:16:16,000 +مشاريع لما يقول لك مدير مشروع واحد معناه ما فيش حقيبة + +214 +00:16:16,000 --> 00:16:20,300 +لكن لما يقول مجموعة مدراء مشاريع معناه عندي حقيبة + +215 +00:16:20,300 --> 00:16:25,360 +ممكن تكون الصلاحية لمدير المشروع الواحد يصلح في + +216 +00:16:25,360 --> 00:16:29,040 +زمن مدة وممكن لأ وكتيرش لأ لما يكون مدير المشروع + +217 +00:16:29,040 --> 00:16:33,700 +له زملاء لمدراء مشاريع أخرى بمعنى عندنا مشروع إعمار + +218 +00:16:33,700 --> 00:16:37,820 +البحر هاي مشروع لحد عندنا مشروع تشجير شارع البحر، هذا + +219 +00:16:37,820 --> 00:16:43,200 +مشروع ثاني، ماشي؟ رقم تلاتة، عندنا مشروع مثلًا، اللي + +220 +00:16:43,200 --> 00:16:46,700 +هي تقديم مرافق عامة في المكان، مشروع رقم تلاتة، + +221 +00:16:46,700 --> 00:16:49,820 +بدا المشروع ألف وباء وجيم، لنفس المؤسسة، إيش + +222 +00:16:49,820 --> 00:16:53,780 +بنسميها؟ الحقيبة الاستثمارية أو برنامج، حسبك، + +223 +00:16:53,780 --> 00:16:57,740 +واضح؟ لكن ما فيش غير هذا المشروع الوحيد، ما فيش لا + +224 +00:16:57,740 --> 00:17:02,640 +حقيبة ولا غير، فضلي برفع التقارير إلى مدير الحقيبة + +225 +00:17:02,640 --> 00:17:05,660 +الاستثمارية أو مدير البرنامج الذي يكون مسؤول ... + +226 +00:17:05,660 --> 00:17:10,280 +خدي بالك هدا يهاد تستطيع اللي لما يكون واحد، قولنا + +227 +00:17:10,280 --> 00:17:15,940 +مصرف حسب صلاحيته، طب هدا لما يكون مجموع، إيش بصير؟ + +228 +00:17:17,390 --> 00:17:20,890 +فضلي الكاملة في مثل هذا نوع من الهيكل التنظيمي يكون + +229 +00:17:20,890 --> 00:17:23,890 +مدير المشروع يتعامل عن قرب مع مدير الحقيبة + +230 +00:17:23,890 --> 00:17:27,810 +الاستثمارية أو مدير البرنامج لتحقيق أهداف المشروع + +231 +00:17:27,810 --> 00:17:31,870 +ولضمان تنسيق خطة المشروع مع خطة البرنامج الفائضة + +232 +00:17:31,870 --> 00:17:36,090 +بارك الله فيك، بعيدة؟ إذا لما يكون مدير مشروع واحد + +233 +00:17:36,090 --> 00:17:38,990 +فقط زي مثلًا مشروع إعادة إعمار البحر فشغل هذا + +234 +00:17:38,990 --> 00:17:42,550 +المشروع وما فيش برنامج ولا حقيبة ولا حاجة، بيكون + +235 +00:17:42,550 --> 00:17:45,980 +المدير مشروع مسؤل عن كل حاجة وكاملته؟ مسؤول عن كل + +236 +00:17:45,980 --> 00:17:48,460 +حاجة، قلنا هذا حسب الهيكلات التنظيمية، قلنا + +237 +00:17:48,460 --> 00:17:50,340 +الهيكلات التنظيمية اللي هم المسؤوليات السلطات + +238 +00:17:50,340 --> 00:17:54,060 +الصلاحيات الاقتصادية، لكن لما يكون عندنا أكثر من + +239 +00:17:54,060 --> 00:17:58,480 +مشروع لنفس الحقيبة أو لنفس البرنامج، ما بيكون مدير + +240 +00:17:58,480 --> 00:18:02,000 +مشروع لكل ... لكل واحد من هدول، مثلًا أندي أربعة في + +241 +00:18:02,000 --> 00:18:06,040 +الرسم هذه، يعني أربعة مجرد مشاريع، بيكونون أربعة + +242 +00:18:06,040 --> 00:18:09,280 +على علاقة تنسيق مع مدير الحقيبة الاستثمارية أو مدير + +243 +00:18:09,280 --> 00:18:14,340 +إيش البرنامج، ما يحق لمدير المشروع ألف يعطي أوامر + +244 +00:18:14,340 --> 00:18:17,930 +لمدير المشروع باء، ما بيحقله ما يحق لمدير المشروع باء + +245 +00:18:17,930 --> 00:18:22,170 +يعطي أوامر لمدير المشروع جيم، ولكن يحق لمدير + +246 +00:18:22,170 --> 00:18:26,350 +الحقيبة الاستثمارية يعطي أوامر لأي واحد من مجردها + +247 +00:18:26,350 --> 00:18:30,540 +المشاريع، لأنه أعلى إذا مين أعلى من مين؟ مدير + +248 +00:18:30,540 --> 00:18:35,360 +الحقيبة أو البرنامج، أعلى من مدير إيش؟ المشاريع، + +249 +00:18:35,360 --> 00:18:38,900 +كيف استنتجناها؟ جاب شوية حكاية إن إن الحقيبة + +250 +00:18:38,900 --> 00:18:42,920 +الاستثمارية عبارة عن مجموع المشاريع، إذا بالعقل + +251 +00:18:42,920 --> 00:18:48,660 +مدير الحقيبة الاستثمارية، علي مثلًا، بيكون أعلى من + +252 +00:18:48,660 --> 00:18:53,220 +مديري المشاريع محمد وأحمد ومصطفى عيدها ثاني؟ لما + +253 +00:18:53,220 --> 00:18:56,620 +يكون مشروع واحد فاضي اللي هو ولا في عندي حقيبة ولا + +254 +00:18:56,620 --> 00:19:03,400 +برنامج ما فيش عندنا الكلام هذا عيدها؟ عيدها ثاني؟ + +255 +00:19:03,400 --> 00:19:07,340 +عيدها يا جماعة؟ لأ لأ أبقى عاطفة تفضلي يا أهسي + +256 +00:19:07,340 --> 00:19:12,880 +أعيدنا إياها لما يكون عندك مدير مشروع مع مين بننسق؟ + +257 +00:19:12,880 --> 00:19:18,940 +طبعًا المدير المشروع واحد نستعين بـ + +258 +00:19:18,940 --> 00:19:26,380 +بصداقة ولا إيش؟ ماشي، ماشي؟ ماشي؟ ماشي؟ ماشي؟ ماشي؟ + +259 +00:19:26,380 --> 00:19:26,700 +ماشي؟ ماشي؟ ماشي؟ ماشي؟ ماشي؟ ماشي؟ ماشي؟ ماشي؟ + +260 +00:19:26,700 --> 00:19:27,700 +ماشي؟ ماشي؟ ماشي؟ ماشي؟ ماشي؟ ماشي؟ ماشي؟ ماشي؟ + +261 +00:19:27,700 --> 00:19:31,380 +ماشي؟ ماشي؟ ماشي؟ مع من بننسق؟ من نفسه مع نفسه لأن + +262 +00:19:31,380 --> 00:19:35,120 +هو ... ممتاز لكن لما يكون ... ما فيش حد هو تابع له حسب + +263 +00:19:35,120 --> 00:19:38,060 +صلاحياته وهيك طبعًا لأن هو نفسه واحد وهو واحد + +264 +00:19:38,060 --> 00:19:40,780 +مدير واحد لكن لما يكون مجموعة مشرع ... مجموعة مدراء + +265 +00:19:40,780 --> 00:19:44,240 +مع مدير الحكمة لازم ينسق مع الحقيبة اللي اسميها أو + +266 +00:19:44,240 --> 00:19:46,900 +مدير الحكمة ... إيش؟ لأن الحقيبة هيك مشارعة واضحة + +267 +00:19:46,900 --> 00:19:49,000 +ولا عيدة؟ يكون عندي مشروع، يكون عندي برنامج مش + +268 +00:19:49,000 --> 00:19:53,080 +سامعة؟ يكون في عندي مشروع، يكون عندي برنامج حكينا + +269 +00:19:53,080 --> 00:19:57,660 +في النقطة هذه قبلك يعني؟ لأ في بعض الكتب إنه علاقة + +270 +00:19:57,660 --> 00:20:00,780 +متداخلة يعني أنا عندي مشروع يكون عندي برنامج لهذا + +271 +00:20:00,780 --> 00:20:04,360 +المشروع حكينا قبل هيك آه أنت البرنامج عبارة عن + +272 +00:20:04,360 --> 00:20:07,280 +مجموعة من مشاريع خذي يا عكوا إن آه البرنامج ... خذي + +273 +00:20:07,280 --> 00:20:11,540 +بالك الحقيبة مكونة من ثلاث شغلات فوضى برامج و + +274 +00:20:11,540 --> 00:20:16,720 +مشاريع مشاريع أو برامج ومشاريع وعمليات آخر واضح + +275 +00:20:16,720 --> 00:20:22,220 +البرنامج لبرنامج عفوا عبارة عن مجموعة مشاريع + +276 +00:20:22,220 --> 00:20:26,620 +فبنأخذ بالك من التابع ومن المتبوع ماشي، بعض الكتب + +277 +00:20:26,620 --> 00:20:29,240 +بيقولوا مش مشكلة، ممكن المشروع يتقبل مش محتمال، مش + +278 +00:20:29,240 --> 00:20:33,980 +ممكن احنا هنمشي على إن البرنامج أكبر منهم أيوة، + +279 +00:20:33,980 --> 00:20:40,220 +فممكن زميلتكم نور مديرة مشروع ألف وزميلتكم + +280 +00:20:40,220 --> 00:20:43,800 +فلسطين مديرة مشروع باء، الاثنين ممكن يكونوا تابعين + +281 +00:20:43,800 --> 00:20:47,060 +لمدير برنامج أو تابعين لمدير حقيبة استثمارية حسب + +282 +00:20:47,060 --> 00:20:50,560 +المؤسسة المعنية حل الأموال هي بتقول، هل هذا + +283 +00:20:50,560 --> 00:20:53,780 +برنامج؟ تسأل، تفرق البرنامج عن أيه؟ عن حقيبة + +284 +00:20:53,780 --> 00:20:55,860 +استثمارية؟ آه يعني أنت الحقيبة لازم تبني أوسع و + +285 +00:20:55,860 --> 00:20:59,400 +أشمع برنامج جزء من الحقيبة؟ ممتاز الحقيبة زي ما + +286 +00:20:59,400 --> 00:21:01,220 +قلنا شرحنا الكلام هذا قبل دقيقة في المحاضرة + +287 +00:21:01,220 --> 00:21:04,880 +السابقة عامة زي الشنطة فيها عدة حاجات واضح البرنامج + +288 +00:21:04,880 --> 00:21:09,240 +بس فيه مشاريع، المشاريع شوية أنشطة واضح يا جماعة + +289 +00:21:09,240 --> 00:21:19,260 +شكرا على السؤال أكمل ولا أعيد؟ أدخلي أبعاد + +290 +00:21:19,260 --> 00:21:25,320 +معناها مهارات Audrey Abad أو مهارات يجب... مش عارفه + +291 +00:21:25,320 --> 00:21:28,640 +يفضل، لأ يجب على مدير المشروع اللي بتسابها، ماريا + +292 +00:21:28,640 --> 00:21:33,160 +مالهاجين يتفضلي واحد المعرفة، ليش إلا ما يعرفه + +293 +00:21:33,160 --> 00:21:37,520 +المدير عن إدارة المشروع؟ المعرفة طبعا لازم، اللي + +294 +00:21:37,520 --> 00:21:41,180 +هي أخوات إيه كتبوا جنبها الخبر؟ المعرفة ليه إيه + +295 +00:21:41,180 --> 00:21:45,680 +إيش؟ الخبر، الخبر ما يجب أن يعرفه المدير عن إدارة + +296 +00:21:45,680 --> 00:21:48,760 +المشروع، يعني ما يجيبش واحد جديد يجرب في مشروعنا + +297 +00:21:48,760 --> 00:21:53,450 +احنا لأ، خاصة اللي بتكون أموال ضخمة آه الخبرة تجي + +298 +00:21:53,450 --> 00:21:58,590 +مع التجارب ومع الاطلاع اثنين الأداء البشري لما + +299 +00:21:58,590 --> 00:22:02,070 +يستطيع مدير المشروع أن يقوم بفعل أو بتنفيذ اثنين + +300 +00:22:02,070 --> 00:22:10,010 +ممتاز الأداء مدى قدرة مدير المشروع على تطبيق + +301 +00:22:10,010 --> 00:22:15,330 +المعرفة أي معرفة اللي احنا قلنا خبرة إدارة مشاريع، + +302 +00:22:15,330 --> 00:22:20,490 +إذا ما مدى قدرة مدير المشروع على تطبيق خبرته في + +303 +00:22:20,490 --> 00:22:24,050 +إدارة المشاريع، إيش بنسميه؟ بنسميه الأداء، ثلاثة + +304 +00:22:26,120 --> 00:22:29,960 +تشير إلى الطريقة التي يُسلّط بها المدير المشروع + +305 +00:22:29,960 --> 00:22:33,900 +لتنفيذ المشروع أو أحد الأنشطة المتعلقة بها، تجتمل + +306 +00:22:33,900 --> 00:22:37,480 +الكفاءة الشرطية، الماضي الماضي يا أخوات فضّلنا بين + +307 +00:22:37,480 --> 00:22:42,220 +الكفاءة والفعلي، الكفاءة استغلال المواد للوصول + +308 +00:22:42,220 --> 00:22:47,840 +للأهداف بأقل واحد وقت عفواً وجود وتكلفة، الفعلي + +309 +00:22:47,840 --> 00:22:54,020 +إنجاز الهدف زي طالبة بالجيب 60 ناجحة، طالبة بالجيب + +310 +00:22:54,020 --> 00:23:03,130 +95، الطالبة M60 فعلية، M95 كفاءة، واضح؟ احنا ما بدنا + +311 +00:23:03,130 --> 00:23:05,850 +مدير المشروع اللي يكون عنده فعلية، هاي مشروعك + +312 +00:23:05,850 --> 00:23:11,010 +وخلاص، لأ، بدنا المدير اللي يسلمنا المشروع يكون كل + +313 +00:23:11,010 --> 00:23:16,810 +شوية 100% بجودة عالية، أيوة، كل حاجة ركز عليها، + +314 +00:23:16,810 --> 00:23:20,870 +أما يعمل الشغل مش تمام ولا إتقانه، هاي المشروع و + +315 +00:23:20,870 --> 00:23:24,890 +سلامها ده اسمه فعلية، لأنه في مشروع لكن بصراحة مش + +316 +00:23:24,890 --> 00:23:29,410 +عاجبنا المشروع عملوا شرع البحر لكن مكسّر، هذا اسمه + +317 +00:23:29,410 --> 00:23:32,950 +فعليه، لكن عملوا شرع البحر فش فيه ولا أي مشكلة ليش + +318 +00:23:32,950 --> 00:23:37,790 +بنسميها كفاءة، تفضلي كمّي، تشتم الكفاءة الشخصية عن + +319 +00:23:37,790 --> 00:23:42,250 +الاتجاه والخصائص الشخصية الرئيسية والقيادة، القدرة + +320 +00:23:42,250 --> 00:23:45,390 +على التوجيه لطريق المشروع، أثناء تحقيق أهداف + +321 +00:23:45,390 --> 00:23:48,570 +المشروع، وموازنة قيمة المشروع إذاً يا أخوات + +322 +00:23:48,570 --> 00:23:52,980 +الكفاءة من وين تأتي؟ تأتي من خصائص الشخصية ل... + +323 +00:23:52,980 --> 00:23:58,200 +لمدير المشروع ما هي الخصائص الشخصية؟ قوة الشخصية + +324 +00:23:58,200 --> 00:24:02,840 +لازم مدير المشروع يكون شخصيته قوية عشان يتاخد + +325 +00:24:02,840 --> 00:24:07,560 +قرار، ماشي؟ اثنين المبادرة + +326 +00:24:07,560 --> 00:24:12,360 +يعني القيادة بعد، القيادة جاي بعد واق يعني، ماشي؟ + +327 +00:24:12,360 --> 00:24:19,640 +القدرة على اتخاذ القرارات decision making ماشي؟ + +328 +00:24:19,640 --> 00:24:29,890 +الصبر، التحمل، الشجاعة، الحاجة المهمة، الأمانة عشان فيه + +329 +00:24:29,890 --> 00:24:36,370 +موانع تتعامل معاه، الشفافية، ماشي يعني الحيادية + +330 +00:24:36,370 --> 00:24:40,730 +والموضوعية كل هذه صفات شخصية لازم تكون موجودة في + +331 +00:24:40,730 --> 00:24:45,410 +مدير المشروع هذه مين؟ هذه صفات شخصية ما عندهوش صفات + +332 +00:24:45,410 --> 00:24:51,290 +شخصية هيصير لنا مشاكل اثنين القيادة أن يمتلك مدير + +333 +00:24:51,290 --> 00:24:58,470 +المشروع صفات القائد الناجح، ما هي صفات القائد + +334 +00:24:58,470 --> 00:25:01,170 +الناجح؟ قدرة على التأثير على الآخرين هذا تعرف + +335 +00:25:01,170 --> 00:25:03,710 +القيادة، يعني القيادة هي فن التأثير على الآخرين + +336 +00:25:03,710 --> 00:25:08,290 +القائد الناجح ذكي، طموح + +337 +00:25:13,990 --> 00:25:18,390 +و ها كده، عنده ساعة فقط، ماشي ممكن في القاعدة عنده + +338 +00:25:18,390 --> 00:25:23,510 +قدر شخصي، مغامر، عنده قدرة على الإقناع كمان، هد صفات + +339 +00:25:23,510 --> 00:25:27,950 +القائد ولا هد مين؟ ولا نزلين تحكولي صفاته فلس، + +340 +00:25:27,950 --> 00:25:35,150 +ماشي، ثلاثة القدرة على التوجيه، عنده قدر علشان + +341 +00:25:35,150 --> 00:25:40,990 +التوجيه و ليش راف؟ لأنه هو رئيس فريق عمل، موازنة قيود + +342 +00:25:40,990 --> 00:25:46,250 +المشروع أخدناهم قبل هيك هدول، أن طاق الجودة التكلفة + +343 +00:25:46,250 --> 00:25:51,690 +جدول الزمن هدول أخدناهم... قيود التنافسية... آه + +344 +00:25:51,690 --> 00:25:57,110 +قيود التنافسية ماضوا عينا وهناخدهم بالتفصيل إذا + +345 +00:25:57,110 --> 00:26:02,710 +إيش آخر سؤال كتبتيه؟ مجتملين؟ + +346 +00:26:02,710 --> 00:26:07,830 +هذا آخر سؤال كتبتيه أنا... لكن ما كانش آخر سؤال... + +347 +00:26:07,830 --> 00:26:12,900 +أعطوها خلاصة السؤال الرئيسي واتقر إيه أشهر؟ طبعا يجب + +348 +00:26:12,900 --> 00:26:17,240 +بقى تتقرّ أبادش بعد مدير المشروع نفسها، ليه المعرفة + +349 +00:26:17,240 --> 00:26:20,720 +وليه الخبرة والأداء والكفاءة الشخصية؟ الخبرة هي + +350 +00:26:20,720 --> 00:26:24,320 +الأداء يا عزيزي والكفاءة الشخصية قسمناها في قوة + +351 +00:26:24,320 --> 00:26:30,660 +شخصية أو قيادة، التوجيه والإشراف وموازنة القيود في + +352 +00:26:30,660 --> 00:26:35,520 +أي سؤال؟ لأ أعيد ثاني؟ آخر حاجة في هذا ال chapter + +353 +00:26:35,520 --> 00:26:40,840 +أذكري العوامل البيئية المؤثرة في المشاريع وفي + +354 +00:26:40,840 --> 00:26:49,780 +نجاحها هنقسم + +355 +00:26:49,780 --> 00:26:55,820 +مع بعض العوامل لنوعين، عوامل داخلية وعوامل خارجية + +356 +00:26:56,950 --> 00:27:00,690 +معاكي يا أنتِ دجاجتين تطلعي على ال slide وتقولي + +357 +00:27:00,690 --> 00:27:05,450 +لحالك هذا داخل ولا خارج؟ طبعا عارفين إيش معنى داخل + +358 +00:27:05,450 --> 00:27:07,530 +وخارج؟ طيب فضلوا + +359 +00:27:44,260 --> 00:27:48,020 +العوامل البيئية الداخلية بتكون تحت سيطرة أصحاب + +360 +00:27:48,020 --> 00:27:53,480 +المشروع بتحكموا في الخارجية اللي جايانة من الخارج، + +361 +00:27:53,480 --> 00:27:56,640 +متكيف معاه، ممتاز عشان نسيطر عليها، فضلي اسمع + +362 +00:27:56,640 --> 00:28:02,920 +ممتاز + +363 +00:28:02,920 --> 00:28:07,680 +عوامل داخلية، داد، مين حضرها داخلية؟ أنا، وباقي + +364 +00:28:07,680 --> 00:28:12,360 +الشعب؟ عوامل داخلية لو سمحتوا شاركوا كنتوا في + +365 +00:28:12,360 --> 00:28:15,660 +الشغلات هذه شكرا يا أسماء، نهي، فضلا المعايير + +366 +00:28:15,660 --> 00:28:18,020 +الحكومية أو الصناعية، قوانين الهيئات التنظيمية + +367 +00:28:18,020 --> 00:28:21,720 +ومدونة قواعد السلوك ومعايير المونتاج، هذه عوامل + +368 +00:28:21,720 --> 00:28:26,670 +خارجية، هذه معها يعني ومعايير الجودة آه ومعايير + +369 +00:28:26,670 --> 00:28:31,190 +براعة العمل الخارجية فأدي خارجي فضل الجودة ومعايير + +370 +00:28:31,190 --> 00:28:35,970 +براعة العمل داخل ماهي معهم؟ رقم البنية البنية + +371 +00:28:35,970 --> 00:28:38,310 +التحتية مثل المرافق الهوليندو واتجاهات الرقصمانية + +372 +00:28:38,310 --> 00:28:44,710 +برضه داخل فاكر فيه البنية التحتية للمشروع نفسه هو + +373 +00:28:44,710 --> 00:28:47,510 +مش كاتب المشروع، البنية التحتية عادة نتيجة البلد + +374 +00:28:47,510 --> 00:28:55,120 +المرافق يا أخوات المقصود فيها هل في عندنا صرف صحي؟ + +375 +00:28:55,120 --> 00:28:59,060 +كهرباء، تليفونات، هذا مش داخل خارج، خارج، خارج، + +376 +00:28:59,060 --> 00:29:00,000 +خارج، خارج، خارج، خارج، خارج، خارج، خارج، خارج، + +377 +00:29:00,000 --> 00:29:02,340 +خارج، خارج، خارج، خارج، خارج، خارج، خارج، خارج، + +378 +00:29:02,340 --> 00:29:04,340 +خارج، خارج، خارج، خارج، خارج، خارج، خارج، خارج، + +379 +00:29:04,340 --> 00:29:04,720 +خارج، خارج، خارج، خارج، خارج، خارج، خارج، خارج، + +380 +00:29:04,720 --> 00:29:11,900 +خارج، خارج، خارج، خارج، خارج، خارج، خارج، خارج، + +381 +00:29:11,900 --> 00:29:24,820 +خارج، خارج، خارج، خارج، خار لأنّه احنا صاحب المشروع + +382 +00:29:24,820 --> 00:29:27,820 +أو الممول هو اللي بيعمل عقد لموجودة المشروع بهم + +383 +00:29:27,820 --> 00:29:31,480 +تعالى ما فيش عقد من البلد أو الحكومة يزرزبه صح يا + +384 +00:29:31,480 --> 00:29:33,640 +miss بس هاي الموارد البشرية هم اللي بتكون موجودة + +385 +00:29:33,640 --> 00:29:35,660 +في ال... لأ اللي ورا هم اللي... آه كل مؤسسة فيها + +386 +00:29:35,660 --> 00:29:38,180 +موارد بشرية اللي هو فريق العمل miss هاي التانية + +387 +00:29:38,180 --> 00:29:40,480 +اللي ورا هم اللي بيحكوا عليها ليه؟ هم التدبير... هم + +388 +00:29:40,480 --> 00:29:43,220 +هم... لأ التانية هم الإجراءات التوظيف واللي بتكون + +389 +00:29:43,220 --> 00:29:45,020 +... لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ + +390 +00:29:45,020 --> 00:29:47,060 +لأ لأ لأ لأ لأ ل + +391 +00:29:50,140 --> 00:29:52,860 +ماشي، هادي يا auntie عشان ما يصيرش لبس ممكن نخليها + +392 +00:29:52,860 --> 00:29:57,260 +خارجي، عشان ما يصيرش لبس لو سمحتوا، هادي خليها + +393 +00:29:57,260 --> 00:30:04,080 +خارجي، المهارات الأمثلة السلوكية اللي موجودة + +394 +00:30:04,080 --> 00:30:13,070 +في سوق العمل، ماشي بس عشان ما يصيرش لبس احسميها + +395 +00:30:13,070 --> 00:30:17,010 +خارجي؟ آه لأن ما... نحكي عن عبارة مثلا داخلي خارجي + +396 +00:30:17,010 --> 00:30:21,490 +هادي ولا هادي؟ لأ نفس العبارة ممكن تهتمي على داخلي + +397 +00:30:21,490 --> 00:30:24,250 +وخارجي لو فصلناها باللي لقينها شغلاتيا وشغلاتيا؟ + +398 +00:30:24,250 --> 00:30:27,630 +آه الواحد المشرية داخلي والباقي الخارجي ماشي إن + +399 +00:30:27,630 --> 00:30:31,410 +شاء الله، طب هادي؟ داخلي، داخلي هادي العبارة + +400 +00:30:31,410 --> 00:30:35,050 +التالية، آسيا؟ أنظمة تركيز العمل في الشركة، داخلي + +401 +00:30:35,750 --> 00:30:39,770 +لأ خارج... خارج... خارج... خارج... خارج... خارج... + +402 +00:30:39,770 --> 00:30:40,150 +خارج... خارج... خارج... خارج... خارج... خارج... + +403 +00:30:40,150 --> 00:30:42,090 +خارج... خارج... خارج... خارج... خارج... خارج... + +404 +00:30:42,090 --> 00:30:47,310 +خارج... خارج... خارج... خارج... + +405 +00:30:47,310 --> 00:30:51,510 +خارج... خارج... خارج... خارج... خارج... خارج... + +406 +00:30:51,510 --> 00:30:53,370 +خارج... خارج... خارج... خارج... خارج... خارج... + +407 +00:30:53,370 --> 00:30:54,890 +خارج... خارج... خارج... خارج... خارج... خارج... + +408 +00:30:54,890 --> 00:30:56,750 +خارج... خارج... خارج... خار + +409 +00:31:02,040 --> 00:31:10,640 +ممتاز يا auntie، تفضلي سماء؟ ممتاز، ميز؟ تفضلي + +410 +00:31:10,640 --> 00:31:20,700 +آلاء؟ داخل، في حد أجابهم كلهم صح؟ ممتاز، ماشي يعني، + +411 +00:31:20,700 --> 00:31:27,150 +فيهم أي مشكلة؟ هذه العوامل يجب أن تكون تحت سيطرة + +412 +00:31:27,150 --> 00:31:32,970 +المؤسسة أو خارج سيطرتها، إذا كانت تحت السيطرة + +413 +00:31:32,970 --> 00:31:39,470 +نستطيع التحكم فيها كيفما نشاء ونتاخد قرارات إذا + +414 +00:31:39,470 --> 00:31:45,590 +كانت خارج السيطرة يجب علينا التكيف معاها زي + +415 +00:31:45,590 --> 00:31:51,740 +المرافق اللي توعدتش هذه زي بنية تحتية أو تضغط في + +416 +00:31:51,740 --> 00:31:59,140 +السوق، وقعدها يا جماعة؟ وقعدها ولا أعيدها؟ هيك + +417 +00:31:59,140 --> 00:32:00,940 +بنكون خلصنا مع بعض الشاب تلوى diff --git a/PL9fwy3NUQKwYZU2ezHFq-UK19TEyZdOHs/mc6Av40tMV4_raw.srt b/PL9fwy3NUQKwYZU2ezHFq-UK19TEyZdOHs/mc6Av40tMV4_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..0899b9609bee3cd8d09c67339d57b2fd815e7072 --- /dev/null +++ b/PL9fwy3NUQKwYZU2ezHFq-UK19TEyZdOHs/mc6Av40tMV4_raw.srt @@ -0,0 +1,1632 @@ +1 +00:00:21,230 --> 00:00:23,670 +عودوا بالله من الشيطان الرجيم، بسم الله الرحمن + +2 +00:00:23,670 --> 00:00:26,950 +الرحيم، الحمد لله والصلاة والسلام على المصطفى + +3 +00:00:26,950 --> 00:00:30,750 +الأمين سيدنا محمد وعلى أهلي ومنصر على الرحيم + +4 +00:00:30,750 --> 00:00:33,710 +السيوم الدين، بالبداية السلام عليكم ورحمة الله، + +5 +00:00:33,710 --> 00:00:37,670 +كيف حالكم؟ كيف أصبحتم اليوم؟ كويسة إن شاء الله؟ + +6 +00:00:38,370 --> 00:00:41,210 +هنكمل مع بعض ان شاء الله أخر حاجة في ال processing + +7 +00:00:41,210 --> 00:00:46,050 +management إدارة عمليات المشاريع اللي هي عملية ash + +8 +00:00:46,050 --> 00:00:51,690 +التنفيذ أخدنا مع بعض نستذكر سوية إيش شرحنا أخدنا + +9 +00:00:51,690 --> 00:00:58,950 +مع بعض أول حاجة البدء البدء كان في الوثيقة بعد ذلك + +10 +00:00:58,950 --> 00:01:03,740 +أخدنا التخطيط التخطيط عشرين عاملينكان عنده عدة + +11 +00:01:03,740 --> 00:01:05,760 +عملية أخدناها اللي كان فيها المحاضرة الماضية اللي + +12 +00:01:05,760 --> 00:01:09,480 +هي الجودة و الوقت و الفريق اللي عملوها اليوم هناخد + +13 +00:01:09,480 --> 00:01:15,680 +قبل الأخير ليه التنفيذ عملية إيش التنفيذ التنفيذ + +14 +00:01:15,680 --> 00:01:24,600 +طبعا هو التشغيل أو التنفيذ تحويل الخطة للواقع أن + +15 +00:01:24,600 --> 00:01:28,480 +الخطة تتحول على قد الواقع لحاجة إيش ملوثة نشوف مع + +16 +00:01:28,480 --> 00:01:34,620 +بعض إيش كتبلنا تفضلي يا ريتشتتجول مجموعة عمليات + +17 +00:01:34,620 --> 00:01:38,360 +التنفيذ من تلك العمليات التي يتم إجراءها لإكمال + +18 +00:01:38,360 --> 00:01:42,440 +العمل المحدد ممتازة في خطة إدارة المشروع العمليات + +19 +00:01:42,440 --> 00:01:44,740 +اللي هنعملها لحتى تصبح لنا الخطة على قد الواقع + +20 +00:01:44,740 --> 00:01:48,460 +أتفضلي؟ أي يتم الإفاء بمواصلة المشروع تشمل هذه + +21 +00:01:48,460 --> 00:01:52,620 +المجموعة العملياتية على تنسيق الأفراد والموارد + +22 +00:01:52,620 --> 00:01:55,980 +بالإضافة إلى تنش وإجراء انشطة المشروع وفقًا مع خطة + +23 +00:01:55,980 --> 00:01:59,920 +إدارة المشروعطبعا يا أخوات أثناء .. شكرا يا ريش + +24 +00:01:59,920 --> 00:02:05,280 +أثناء تحويل الخطة لتنفيذ على أرض الواقع اللي هو + +25 +00:02:05,280 --> 00:02:08,880 +التشغيل لازم نحافظ على المعايير والإيش والمواصفات + +26 +00:02:08,880 --> 00:02:12,840 +اللي احنا حطناها في مرحلة التخطيط بيحكي إن في + +27 +00:02:12,840 --> 00:02:16,260 +العمليات لازم نهتم بعمليات اللي هي فريق العمل + +28 +00:02:16,260 --> 00:02:19,480 +التنصيق تبعه كمان لازم نهتم بالموارد سواء كانت + +29 +00:02:19,480 --> 00:02:24,500 +مالدية أو بشرية أيضا نهتم بأنشرة إيش المشروع إذا + +30 +00:02:24,500 --> 00:02:28,390 +في التنفيذ يهتمينا في هذه الشغلاتالأفراد و ده أهم + +31 +00:02:28,390 --> 00:02:34,170 +شغلة الموارد ال active أو الأنشطة اهتمين انا + +32 +00:02:34,170 --> 00:02:41,330 +بتلاقى شغلات نكمل + +33 +00:02:41,330 --> 00:02:42,490 +مع بعض فضل يا شروق + +34 +00:02:46,820 --> 00:02:49,940 +محتاج النتائج إلى إدخال محكمة كتاب على التطبيق و + +35 +00:02:49,940 --> 00:02:54,660 +إعادة التجارب الأساسية لهم أثناء تدفين المشروع إذن + +36 +00:02:54,660 --> 00:03:01,180 +هان يا أخوات هنكتب الملونةأثناء التنفيذ ممكن هشعر + +37 +00:03:01,180 --> 00:03:05,340 +أن الخطة تحتاج لملونة، ادخل شغلات جديدة، ألغى + +38 +00:03:05,340 --> 00:03:09,240 +شغلات، مش غلط، نسميها إيش الملونة، تفضلي مقد يشتمل + +39 +00:03:09,240 --> 00:03:12,260 +ذلك على التغييرات التي يتم إدخالها على الفترة + +40 +00:03:12,260 --> 00:03:15,800 +الزمنية عن خصصها للنشاط والتغييرات التي يتم + +41 +00:03:15,800 --> 00:03:19,480 +إدخالها على إنتاجية الموارد وذواطرها والمخاطر غير + +42 +00:03:19,480 --> 00:03:23,980 +المتوقعةالمرونة على إيش ممكن تكون على خطوط المؤسسة + +43 +00:03:23,980 --> 00:03:25,960 +زي ما حكينا أو خطوط المشروع زي ما حكينا قبل شوية + +44 +00:03:25,960 --> 00:03:30,360 +كمان بتكون على الزمن أن نتأخر نتقدم كمان على + +45 +00:03:30,360 --> 00:03:33,540 +الجودة اللي هي الإنتاجية الجودة اللي هي الإنتاجية + +46 +00:03:33,540 --> 00:03:38,320 +أيضا على المخاطر ممكن تقابلني مخاطر غير ما اتوقع + +47 +00:03:38,320 --> 00:03:40,700 +فلازم نكون عنده إيش مرونة تفضلي + +48 +00:03:46,730 --> 00:03:50,650 +إجراء تحليل تفصيلي بوضع الاستجابات المناسبة لإدارة + +49 +00:03:50,650 --> 00:03:54,910 +المشروع، تعمل نتائج ذلك التحليل على تشغيل طلبات + +50 +00:03:54,910 --> 00:03:58,670 +التغيير، والتي تعدل خطة إدارة المشروع أو باقي + +51 +00:03:58,670 --> 00:04:02,510 +المستندات، ودي دا تمت الموافقة عليها، ومن المحتمل + +52 +00:04:02,510 --> 00:04:05,050 +.. ماشي شوية أنتي، هان يا أخوات، في عندنا سؤال، + +53 +00:04:05,050 --> 00:04:08,630 +بترح نفسه، هل احنا لما نعمل مضونة، في عندنا، ده + +54 +00:04:08,630 --> 00:04:10,670 +بتتذكر، أول حاجة خدمتها في دات المشروع، يعني + +55 +00:04:10,670 --> 00:04:16,120 +الوثيقة، في الفصل هذا، في عندنا مستندات،هل أنا لما + +56 +00:04:16,120 --> 00:04:18,760 +يكون عندى مرونة على الخطة والمخاطر والزمن والجودة + +57 +00:04:18,760 --> 00:04:22,600 +لازم ناخد بالاعتبار المستندات ولا نتركها؟ طبعا + +58 +00:04:22,600 --> 00:04:26,300 +لازم تكون المرونة أو التغيير ماشي مع المستندات + +59 +00:04:26,300 --> 00:04:29,380 +ماينفعش نتطلق على المستندات القديمة لأنها بتبت أنه + +60 +00:04:29,380 --> 00:04:32,860 +في خلل في الحق في الشغل، إذا لازم نغير الاشي + +61 +00:04:32,860 --> 00:04:37,180 +المستندات، نعم؟ المستندات تتمتع بنوع من المرونة مع + +62 +00:04:37,180 --> 00:04:40,470 +مرود الزمنهم الأتنين لازم يكون فيهم مرونة بس + +63 +00:04:40,470 --> 00:04:43,270 +أحيانا الواحد بركز على الاشي الملموس زي الزمن أو + +64 +00:04:43,270 --> 00:04:47,370 +المخاطر وبينسى المستندات الأصل الأتنين يمشوا سواء + +65 +00:04:47,370 --> 00:04:50,850 +عندما ونا في الزمن يظهر في المستندات واضح؟ يعني + +66 +00:04:50,850 --> 00:04:53,330 +قولنا بإننا كمان أسوأ لتسليم المشروع يكون واضح في + +67 +00:04:53,330 --> 00:04:56,090 +المستندات أن أحنا مددنا بس من الواحد ممكن مع ضغط + +68 +00:04:56,090 --> 00:04:59,910 +الشغل ينسى الموضوع هذا، فضلوا ومن المحتمل أن تتطلب + +69 +00:04:59,910 --> 00:05:03,950 +تحديد فئة قاعدية جديدة يتم انتقالها بالكبير من + +70 +00:05:03,950 --> 00:05:05,050 +ميزانية المشروع + +71 +00:05:08,560 --> 00:05:13,080 +شكرا يا auntie ممكن يا أخوات أيضا الملونة تتطلب + +72 +00:05:13,080 --> 00:05:17,940 +منا موازنة أو ميزانية طبعا أي حاجة بده اشتريها، + +73 +00:05:17,940 --> 00:05:24,820 +بده ابيعها، بده يكون عندي اش، ميزانية أكبر مبالغ + +74 +00:05:24,820 --> 00:05:34,520 +تنفق في المشاريعتكون في مرحلة إيش؟ مرحلة التنفيذ، + +75 +00:05:34,520 --> 00:05:37,580 +ممتاز تكون في مرحلة إيش؟ التنفيذ الحاجة ده إنه + +76 +00:05:37,580 --> 00:05:39,960 +التكلفة تصل ضرورها بالتنفيذ أه، ممتاز، ممتاز + +77 +00:05:39,960 --> 00:05:44,340 +بالمدعية بسهولة أقل أيوة تلفز بشكل مصري كل المصاري + +78 +00:05:44,340 --> 00:05:47,080 +تعوين التمويل أو تعوين الميزانيون هيروحوا على + +79 +00:05:47,080 --> 00:05:51,860 +مرحلة التنفيذ حاصر نشتري و نجيب رواتب و أجور و + +80 +00:05:51,860 --> 00:05:56,620 +نشتغل واضح؟ مرحلة التخطيط تاخد تكلف بسيطة مرحلة + +81 +00:05:56,620 --> 00:05:59,240 +الأغفال تكلف بسيطة يعني لو بننا نرسمها بتكون + +82 +00:05:59,240 --> 00:05:59,840 +بالشكل هذا + +83 +00:06:02,960 --> 00:06:16,640 +هذه التنفيذ هذه البدأ لقفل شكرا + +84 +00:06:16,640 --> 00:06:20,380 +يا شلوك، تفضل يا سابريكومجموعة عمليات التنفيذ، + +85 +00:06:20,380 --> 00:06:23,560 +التوجيه و إدارة تنفيذ المشروع هو عملية تنفيذ العمل + +86 +00:06:23,560 --> 00:06:27,540 +محدد في خطة إدارة المشروع لتعقق أهداف المشروع طبعا + +87 +00:06:27,540 --> 00:06:30,580 +يا أخوات إحنا عانينا خطة حاطيناها في الخطوة رقم + +88 +00:06:30,580 --> 00:06:34,160 +اتنين، في مهر رقم اتنين، بنشتغل حسبها ما بنفع أعمل + +89 +00:06:34,160 --> 00:06:37,600 +خطة و أتعب و أتركها على جنب و أشتغل بشكل عشوائي + +90 +00:06:37,600 --> 00:06:41,280 +لازم نتلازم بتنفيذ إيش الخطة إيه بتاعتنا المتفق + +91 +00:06:41,280 --> 00:06:45,410 +عليها و اللي حصلنا عليها على موافقةإذا هان في + +92 +00:06:45,410 --> 00:06:50,050 +الشريحة هذه البساطة يجب أن يكون التنفيذ مطابق + +93 +00:06:50,050 --> 00:06:54,850 +للخطة مين الخطة؟ الخطة اللي وضعناها في المرحلة + +94 +00:06:54,850 --> 00:06:59,450 +السابقة هذا + +95 +00:06:59,450 --> 00:07:04,990 +تنفيذ إيش؟ العملية الجودة حكينا قبل هيك في حاجة + +96 +00:07:04,990 --> 00:07:07,890 +اسمها شرحناها قبل هيك اللي هي خدناها في الشبات + +97 +00:07:07,890 --> 00:07:12,990 +السابق اللي هي القيود التنافسية ممتاز التنافسيةهذه + +98 +00:07:12,990 --> 00:07:18,210 +الأصل تعرفيها زي اسمك؟ اه القيود + +99 +00:07:18,210 --> 00:07:23,530 +الاش التنافسية زي + +100 +00:07:23,530 --> 00:07:27,010 +ايش يا أزهر عصبي الميتال؟ جدول الزمني الجود و + +101 +00:07:27,010 --> 00:07:31,970 +المخاطر و الموازنة و الجدول ال risk النطاق النطاق + +102 +00:07:31,970 --> 00:07:38,730 +ماشي موارده فريق العمل جدول الزمن التكلفة جدول + +103 +00:07:38,730 --> 00:07:43,380 +الزمن الوقتهدولة بنسميهم قيود نفسية شحنانة قبل + +104 +00:07:43,380 --> 00:07:47,260 +هدولة في التنفيذ لازم أخدهم بعيد الاعتبار طبعا أول + +105 +00:07:47,260 --> 00:07:53,540 +حاجة عيننا الجودة الجودة اللي هي إيش؟ يجب أن تكون + +106 +00:07:53,540 --> 00:08:05,340 +مواصفات التنفيذ مطابقة لمواصفات ما وضع في الخطة + +107 +00:08:08,460 --> 00:08:12,960 +أنا عاملة مواصفات في الخطة لازم تكون هي نفسها لما + +108 +00:08:12,960 --> 00:08:18,080 +عيش أجي أنفذ نشوف إيش كاتبنا يا فاتن تنفيذ توقيت + +109 +00:08:18,080 --> 00:08:21,860 +الجودة هي عملية مراجعة مطالبات الجودة ونتائج + +110 +00:08:21,860 --> 00:08:25,940 +إجراءات مراقبتها التأكد من استخدام معايير جودة + +111 +00:08:25,940 --> 00:08:29,420 +وحدود تشغيل مناسب التأكد من استخدام معايير الجودة + +112 +00:08:29,420 --> 00:08:35,980 +التي وضعت في + +113 +00:08:35,980 --> 00:08:41,690 +مرحلة التخطيطواضح؟ إيه ده المطابقة؟ المعايير اللي + +114 +00:08:41,690 --> 00:08:45,090 +في الخطة بمعايير التنفيذ مايكونش في عندى انحراف + +115 +00:08:45,090 --> 00:08:54,180 +شكرا يا فاتن اتفضلى يا كفايةتكوين فريق المشروع هو + +116 +00:08:54,180 --> 00:08:58,660 +عملية + +117 +00:08:58,660 --> 00:09:03,940 +التأكد من توافر الموارد البشرية و الحصول على + +118 +00:09:03,940 --> 00:09:07,980 +الفريق اللازم لإنهاء مهام المشروع في مرحلة التنفيذ + +119 +00:09:07,980 --> 00:09:11,860 +لازم أتأكد من شغلتين أن فريق العمل اللي هي الموارد + +120 +00:09:11,860 --> 00:09:16,520 +البشرية العدد اللي كتبناه في الخطة هو نفس العدد + +121 +00:09:16,520 --> 00:09:21,380 +اللي بنشتغل هو نفس اللي جبته أيضا زائد المراحلات + +122 +00:09:23,300 --> 00:09:27,140 +الناس اللي كتبنا مطلوب مؤهلتهم في الخطة هم نفسهم + +123 +00:09:27,140 --> 00:09:30,540 +اللي أجوا معايا مرحلة إيش؟ التنفيذ هم نفسهم مرحلة + +124 +00:09:30,540 --> 00:09:37,240 +التنفيذ عادة؟ الكمية والنقش، أيضا + +125 +00:09:39,460 --> 00:09:43,060 +غادير؟ تطوير فريق المشروع تطوير فريق المشروع هو + +126 +00:09:43,060 --> 00:09:46,360 +عملية تحسين الكفاءات والتفاعل بين أعضاء فريق العمل + +127 +00:09:46,360 --> 00:09:49,720 +والمحيط اللي يعمل فيه جميع أعضاء فريق العمل لتعزيز + +128 +00:09:49,720 --> 00:09:52,120 +أداء المشروع شكرا يا عزيزي تطوير فريق المشروع + +129 +00:09:52,120 --> 00:09:59,440 +المقصود فيه التدريب المستمر للفريق مين قوسين عند + +130 +00:09:59,440 --> 00:10:04,580 +الحاجة يعني ممكن أنا يا جونا في المشروع عمال + +131 +00:10:04,580 --> 00:10:09,220 +مدربين ومؤهلين يعني مش محتاجين عندهم خبرلكن لا + +132 +00:10:09,220 --> 00:10:12,400 +يعني دارك ان احنا ننسى عملية إيش التدريب نضلنا + +133 +00:10:12,400 --> 00:10:17,900 +ندرب و نهتم أول بأول بعد ما حكينا عن التدريب + +134 +00:10:17,900 --> 00:10:21,180 +تعالوا نحكي عن إدارة فريق إيش إدارة فريق العمل + +135 +00:10:21,180 --> 00:10:24,580 +تفضلي إدارة فريق المشروع إدارة فريق المشروع هي + +136 +00:10:24,580 --> 00:10:27,840 +عملية تتبع أداء الفريق و تقدم التعليقات و حل + +137 +00:10:27,840 --> 00:10:30,960 +المشاكل و تنسيق التغييرات من أجل تحسين أداء + +138 +00:10:30,960 --> 00:10:33,960 +المشروع شكرا يا انتي إدارة فريق العمل هى ليه شرف؟ + +139 +00:10:36,390 --> 00:10:39,750 +أه العملات الإدارية عندنا الحين العمار قاعدين مش + +140 +00:10:39,750 --> 00:10:43,750 +شغلوا في شرع البحر لازم يكون فيه شراف لازم يكون + +141 +00:10:43,750 --> 00:10:49,730 +عندنا متابع لازم يكون عندنا حل المشاكل و لازم يكون + +142 +00:10:49,730 --> 00:10:56,870 +عندنا إيش تقييم كده تقييم الأداء يعني إذا إدارة + +143 +00:10:56,870 --> 00:11:02,070 +فريق العمل إيش بتشمل؟ بتشملاشرف عليهم، متابعتهم، + +144 +00:11:02,070 --> 00:11:06,130 +حل مشاكلهم، تقييمهش، الاداء ع سبيل متار في + +145 +00:11:06,130 --> 00:11:10,230 +المتابعة، موعد بدء العمل سبعة و نص صباحا لساعة + +146 +00:11:10,230 --> 00:11:14,570 +خمسة ع سبيل متار، لازم أتابع، مين بيحضر، مين + +147 +00:11:14,570 --> 00:11:15,430 +بتأخر، و هكذا + +148 +00:11:21,010 --> 00:11:26,310 +بعد ما حكينا عن فريق العمل والجودة تعالوا نحكي عن + +149 +00:11:26,310 --> 00:11:31,490 +توزيع المعلومات توزيع المعلومات المقصود فيها نقل + +150 +00:11:31,490 --> 00:11:36,970 +اتخاذ القرارات يعني كيف نعرف ايش القرارات اتخدوه + +151 +00:11:36,970 --> 00:11:39,770 +ضمن المشروع اتفضل يوميا + +152 +00:11:49,410 --> 00:11:53,930 +ببساطة يا أخوات، اللي هو الاتصال، توزيع المعلومات + +153 +00:11:53,930 --> 00:11:57,530 +اللي هو الاش، الاتصال، كيف تمرسال المعلومات أو + +154 +00:11:57,530 --> 00:12:02,350 +التقارير لأصحاب المصالح، هعملي أسم المشروع اللي هم + +155 +00:12:02,350 --> 00:12:05,210 +مين أصحاب المصالح، هذا المقصود فيها + +156 +00:12:08,760 --> 00:12:13,240 +مازلنا في أصحاب المصالح، تفضلي ألا أشوفها إدارة + +157 +00:12:13,240 --> 00:12:17,060 +توفيق أصحاب المصالح، إدارة توفيق أصحاب المصالح في + +158 +00:12:17,060 --> 00:12:20,000 +عملين التواصل مع أصحاب المصالح والتقاوم معاهم + +159 +00:12:20,000 --> 00:12:24,020 +للإيثاء باحتياجاتهم ومواجهة المشاكل عندهم كلهم + +160 +00:12:24,020 --> 00:12:28,600 +شكرا، طبعا أصحاب المصالح لهم علاقة بعلاقات العمل، + +161 +00:12:28,600 --> 00:12:33,230 +دي للجانب، بنشوف العلاقات إيش؟ العاملةالعلاقات + +162 +00:12:33,230 --> 00:12:35,670 +اللي عامة معاهم، نتواصل مع أصحاب المصالح اللي + +163 +00:12:35,670 --> 00:12:39,030 +شرحناها قبل هيك، نتعاون معاهم إذا في عندهم مشاكل + +164 +00:12:39,030 --> 00:12:42,490 +أو استفسارات، لازم إدارة المشروع يشملها، لازم + +165 +00:12:42,490 --> 00:12:45,890 +نتجاوب عليها، ما زلنا يا أخوات في مرحلة التنفيذ + +166 +00:12:45,890 --> 00:12:50,910 +مريم؟ + +167 +00:12:50,910 --> 00:12:57,350 +إدارة + +168 +00:12:57,350 --> 00:13:00,110 +المشتريات، يعني عملين تتصل على الاتجابات في + +169 +00:13:00,110 --> 00:13:00,670 +براواتها + +170 +00:13:03,720 --> 00:13:06,140 +إذا انت دلوقت المشتريات عايزة تتركز هذه يا اخوات + +171 +00:13:06,140 --> 00:13:09,920 +إذا تركز على العقود شرهنا اجهزة الكمبيوتر لازم + +172 +00:13:09,920 --> 00:13:13,760 +يكون عقودنا واضحة فواتيرنا جاهزة السداد التقصيد + +173 +00:13:13,760 --> 00:13:18,360 +لازم كله إشماله يكون واضحاتأجرت مبنى الأصل يكون + +174 +00:13:18,360 --> 00:13:22,980 +ماضي عقد هذا المقصود فيها اللي هي تجهيز المستندات + +175 +00:13:22,980 --> 00:13:27,660 +المطلوبة في أي عملية شراء أوامر الشراء أوامر الصرف + +176 +00:13:27,660 --> 00:13:30,520 +التويه ده لازم يكون كلها جاهزة هذا المقصود فيها + +177 +00:13:30,520 --> 00:13:38,340 +هيك بيكون شغلنا إيش معله شغلنا سليم ناخد سؤال ناخد + +178 +00:13:38,340 --> 00:13:43,620 +سؤال ما + +179 +00:13:43,620 --> 00:13:43,920 +هي + +180 +00:13:48,980 --> 00:13:54,180 +مشتريات مشروع موائم + +181 +00:13:54,180 --> 00:13:57,220 +مهارات + +182 +00:13:57,220 --> 00:14:03,520 +طلاب إدارة الأعمال باحتياجات السوق عند مشروع + +183 +00:14:03,520 --> 00:14:06,240 +الموائم اللي أنتوا عارفينه، طب إيش مشترياته هتكون؟ + +184 +00:14:06,240 --> 00:14:06,880 +زي إيش؟ + +185 +00:14:09,650 --> 00:14:13,450 +القاعات التدريبية نشتري قاعة ..لأ هنجهز القاعات + +186 +00:14:13,450 --> 00:14:16,910 +التدريبية لثقم المحاضرات ..ماشاء الله السؤال بيقول + +187 +00:14:16,910 --> 00:14:20,070 +إيش المشتريات؟ قرطسية .. قرطسية .. القرطسية .. + +188 +00:14:20,070 --> 00:14:20,490 +القرطسية .. القرطسية .. القرطسية .. القرطسية .. + +189 +00:14:20,490 --> 00:14:20,490 +القرطسية .. القرطسية .. القرطسية .. القرطسية .. + +190 +00:14:20,490 --> 00:14:21,350 +القرطسية .. القرطسية .. القرطسية .. القرطسية .. + +191 +00:14:21,350 --> 00:14:21,450 +القرطسية .. القرطسية .. القرطسية .. القرطسية .. + +192 +00:14:21,450 --> 00:14:21,450 +القرطسية .. القرطسية .. القرطسية .. القرطسية .. + +193 +00:14:21,450 --> 00:14:31,170 +القرطسية .. القرطسية .. القرطسية + +194 +00:14:31,170 --> 00:14:33,390 +.. القرطسية .. الق + +195 +00:14:38,700 --> 00:14:44,320 +بدنا كراسي و طاولات ولا موجود؟ بدنا LCD؟ هل بدنا + +196 +00:14:44,320 --> 00:14:46,940 +أجزة التهويل ولا بدنا اشهر؟ كلها اللي بنسميها + +197 +00:14:46,940 --> 00:14:54,080 +مشتريات ماشي يا جماعة؟ رجعونا + +198 +00:14:54,080 --> 00:14:58,120 +بس لأصحاب المصالح، في عندناك سؤال، نطلع عليه، في + +199 +00:14:58,120 --> 00:15:02,560 +أصحاب المصالح في سؤال وسط الموضوع، سؤال اذكروا .. + +200 +00:15:02,560 --> 00:15:06,660 +رجعونا شريحة 840 لو سمحتوا، اذكروا التوقعات + +201 +00:15:08,780 --> 00:15:14,840 +ممول المشروع من أصحاب المصالح اللي هو الممول الفعل + +202 +00:15:14,840 --> 00:15:18,600 +الخير اللي أعطانا المبلغ لحتى نسوي المشروع زي + +203 +00:15:18,600 --> 00:15:21,480 +الفعل الخير مثلا هاي أربع مليون دولار ساولكوا مثلا + +204 +00:15:21,480 --> 00:15:25,260 +مشروع تشغيل مواقع تعسيب الميتال هذا الممول إيش + +205 +00:15:25,260 --> 00:15:29,440 +توقعاته منه؟ يعني واحد جالك اتفضلي هاي مليون دولار + +206 +00:15:29,440 --> 00:15:32,800 +اعمل فيه مشروع هو إيش متوقع أن تسوي؟ + +207 +00:15:45,290 --> 00:15:51,090 +واحد وضع المال في المكان المتفق عليه أو وضع المال + +208 +00:15:51,090 --> 00:15:54,530 +حسب الهدف الاستفادة من المال + +209 +00:15:57,180 --> 00:16:01,080 +ماشي يعني، إذا نقم واحد المصاري تنحط في الشغل اللي + +210 +00:16:01,080 --> 00:16:07,560 +اتفقنا فيه، اتفقنا عليها، اتنين الأمانة، + +211 +00:16:07,560 --> 00:16:13,820 +هو متوقع إن يكون عندك أمانةهاي مليون وين راح وهاي + +212 +00:16:13,820 --> 00:16:17,420 +المستندات و الفواتير ماعنديش أي مشاكل، ماشي، ايضا + +213 +00:16:17,420 --> 00:16:23,160 +يا أخوات ارسال تقرير دولية، عفوا، دورية، circle + +214 +00:16:23,160 --> 00:16:27,080 +يعني باستمرار، ارسال تقرير اشمالها دورية + +215 +00:16:29,700 --> 00:16:32,440 +كل شهر نبعتله المصارع إيش صار فيه و مصرفنا و عملنا + +216 +00:16:32,440 --> 00:16:36,820 +لغاية خلاص الموازنات واضح جماعة و الوقت مهم + +217 +00:16:36,820 --> 00:16:41,260 +بالنسبة له أنه ينجز الهدف حسب الاتفاق هل اتفق + +218 +00:16:41,260 --> 00:16:46,340 +معانا من البداية على وقت أو ماتتفقش ماشي إذا + +219 +00:16:46,340 --> 00:16:50,480 +اتفقنا على سنة لإنجاز المشروع مثلا ع سبيل المثال + +220 +00:16:50,480 --> 00:16:56,260 +كان في مشروع لتشغيل مؤقت كل تلت شهور جددوه واضح؟ + +221 +00:16:56,260 --> 00:16:59,750 +الاصل كل تلت شهور تم إرسال تقاريرو اذا احنا + +222 +00:16:59,750 --> 00:17:02,710 +محتاجين التجارب نخدرهم بالاشي هذا، بحسب اشي اللي + +223 +00:17:02,710 --> 00:17:04,170 +تفضح، نقوم بشرحهم التغيرات اللي حصلت، نقوم بشرحهم + +224 +00:17:04,170 --> 00:17:04,450 +التغيرات اللي حصلت، نقوم بشرحهم التغيرات اللي + +225 +00:17:04,450 --> 00:17:05,630 +حصلت، نقوم بشرحهم التغيرات اللي حصلت، نقوم بشرحهم + +226 +00:17:05,630 --> 00:17:06,570 +التغيرات اللي حصلت، نقوم بشرحهم التغيرات اللي + +227 +00:17:06,570 --> 00:17:09,130 +حصلت، نقوم بشرحهم التغيرات اللي حصلت، نقوم بشرحهم + +228 +00:17:09,130 --> 00:17:14,270 +التغيرات اللي حصلت، نقوم بشرحهم التغيرات اللي + +229 +00:17:14,270 --> 00:17:19,570 +حصلت، نقوم بشرحهم التغيرات اللي حصلت، نقوم بشرحهم + +230 +00:17:19,570 --> 00:17:25,020 +التغيرات اللي حصلممكن يكون معاد تسليمنا لمشروع + +231 +00:17:25,020 --> 00:17:29,160 +واحد تلاتة صار إشي في البلد نبعتله بلأ بنسلم يوم + +232 +00:17:29,160 --> 00:17:33,920 +15 تلاتة مثلا نواجهها مع بعض، الآن إحنا وصلنا خطوة + +233 +00:17:33,920 --> 00:17:36,420 +جديدة اللي هي رقم 4 حكينا مع بعض في البدء اللي هي + +234 +00:17:36,420 --> 00:17:39,820 +العقد .. اللي هي عفوان .. العقد حكينا مع بعض في + +235 +00:17:39,820 --> 00:17:44,460 +التخطيط حكينا قبل شوية في التنفيذ أخر حاجة في + +236 +00:17:44,460 --> 00:17:48,960 +عملية المشروع الإغفال إن أحنا نجيب مفتاحماعنش زي + +237 +00:17:48,960 --> 00:17:52,560 +هدف و نقفل مشروع، لا يعني اقفال المشروع و لا + +238 +00:17:52,560 --> 00:17:57,620 +كمفاتيح ال .. يعني الاشي بحرفي لأ، اقفال المشروع، + +239 +00:17:57,620 --> 00:18:02,780 +قص الشريط، شو يعني قص الشريط؟ حققنا الهدف، باضح؟ + +240 +00:18:02,780 --> 00:18:05,940 +لما يخلصوا شارع البحر ان شاء الله، هتلاقيهم عاملين + +241 +00:18:05,940 --> 00:18:09,140 +حفلة و جايبين ناس و بيقصوا الشريط، هذا المقصود + +242 +00:18:09,140 --> 00:18:11,460 +بالاقفال ايش؟ اقفال المشروع + +243 +00:18:14,380 --> 00:18:18,560 +قبل الإخفال يا أخوات في حاجة مهمة من أول خطوة لأخر + +244 +00:18:18,560 --> 00:18:21,580 +خطوة لازم يكون معي عملية مراقبة اللي هي الرصد + +245 +00:18:21,580 --> 00:18:26,800 +والتحكر من أول لحظة في المشروع بجد مبدأ فاكر لغاية + +246 +00:18:26,800 --> 00:18:30,280 +ما أقفل لازم يكون عندي عملية إيش رقابة وإلا الشغل + +247 +00:18:30,280 --> 00:18:33,340 +هيك هيكون فيه مشكلة نشوف مع بعض يا فلسطين إيش + +248 +00:18:33,340 --> 00:18:36,220 +كتبنا؟ بس بالتغيرات + +249 +00:18:41,110 --> 00:18:44,090 +التغييرات والتوصية من إجراءات الوقائية عند التوقع + +250 +00:18:44,090 --> 00:18:47,830 +أو المشاركة للمجتمع؟ طب عنا يا أخوات كلمة اللي هي + +251 +00:18:47,830 --> 00:18:52,970 +التوصية بالإجراءات الوقائية عند التوقع هذا + +252 +00:18:52,970 --> 00:18:56,950 +بنتسميها scenario شو يعني ال scenario؟ لو صار كذا + +253 +00:18:56,950 --> 00:18:59,090 +بناعمل كذا، هذا المفروض يكون في الخطة اللي هي + +254 +00:18:59,090 --> 00:19:01,810 +تقطية الوقائة؟ أي و تقطية الوقائة، بارك الله فيك، + +255 +00:19:01,810 --> 00:19:08,330 +لو حصل كذا يصير كذا، فضليه كلمة trust كلها معناها + +256 +00:19:08,330 --> 00:19:08,930 +مراقبة + +257 +00:19:11,970 --> 00:19:16,750 +رقضنا البيئة اللي هي التغيرات، رقضنا الأنشطة أيضًا + +258 +00:19:16,750 --> 00:19:29,090 +خدت + +259 +00:19:29,090 --> 00:19:33,750 +بالك؟ يكون عندنا رقابة، بعض الأوقات بترتب على + +260 +00:19:33,750 --> 00:19:39,820 +رقابة علاجعلاج ايش؟ الانحراف أو المشاكل اكتشفنا + +261 +00:19:39,820 --> 00:19:44,920 +فيه خلال بحكينا في اخر فقرة يجب ان يكون العلاج حسب + +262 +00:19:44,920 --> 00:19:48,940 +المتفق عليه لازم + +263 +00:19:48,940 --> 00:19:53,680 +نعالج او نحل المشاكل بتاعتنا حسب ايش حسب الاتفاق + +264 +00:19:53,680 --> 00:20:01,060 +ابتعد مازلنا + +265 +00:20:01,060 --> 00:20:06,670 +في نفس النقطة سؤالما المقصود برصد العمل في المشروع + +266 +00:20:06,670 --> 00:20:11,250 +تفضلي أسيا رصد العمل في المشروع واتحكم .. واتحكم + +267 +00:20:11,250 --> 00:20:15,150 +فيه رصد العمل في المشروع هو عملية .. عملية مثابرة + +268 +00:20:15,150 --> 00:20:19,650 +ومرقبة وضبط العمليات اللازمة لبدء المشروع وضغطته + +269 +00:20:19,650 --> 00:20:23,490 +وتنفيذه وإنهاءه للوفاء بأهداف الأداء المحددة في + +270 +00:20:23,490 --> 00:20:27,370 +خطة إدارة المشروع شوي شوي يعني رصد العمل مقصود فيه + +271 +00:20:27,370 --> 00:20:35,460 +اللي هي رقابة المتابعة التضبطماشي من لحظة بدء + +272 +00:20:35,460 --> 00:20:42,080 +المشروع لا يغفله ده نعمل تلاتة هدول نراقب و نضبط و + +273 +00:20:42,080 --> 00:20:45,820 +نتابع شغلنا و لا الوضع هيكون سيء سؤال على ماذا + +274 +00:20:45,820 --> 00:20:52,980 +يشتمل ال rust على ماذا يشتمل رصد المشاريع تفضلي و + +275 +00:20:52,980 --> 00:20:56,380 +يشتمل ال rust على صياغ التقارير الحالة أول حاجة + +276 +00:20:56,380 --> 00:20:59,800 +التقارير زي ما توحك هنا نضع نكتب تقرير اول تقارير + +277 +00:20:59,800 --> 00:21:04,810 +يومية يعني اتنينوقياس التقدم والتنبؤ هل احنا نتقدم + +278 +00:21:04,810 --> 00:21:10,330 +في المشروع و لا زي ما احنا تلاتة التنبؤ تلاتة ايش + +279 +00:21:10,330 --> 00:21:14,910 +التنبؤ اذا يا أخوات الرصد او الرقاب عاشوا اجتماع + +280 +00:21:14,910 --> 00:21:20,010 +التحشرات تقرير الحال ماشي قياس هل انا بتقدم في + +281 +00:21:20,010 --> 00:21:23,550 +مشروع ولا قاعد ابرش على ورا رقم تلاتة التنبؤ + +282 +00:21:23,550 --> 00:21:27,250 +التقارير يا أخوات هذه هتشمل شغلة وكنا كاتبينها + +283 +00:21:27,250 --> 00:21:34,010 +ومسحناها اللي هي القيود التنافسيةتوفر تقارير لأداء + +284 +00:21:34,010 --> 00:21:37,930 +المعلومات المتعلقة بأداء المشروع، بخصوص النطاق، + +285 +00:21:37,930 --> 00:21:42,070 +الجدول الزمني، التكلفة، الموارد، الجودة والمخاطر + +286 +00:21:42,070 --> 00:21:45,910 +ويمكن استخدام هذه المعلومات كمدخلات لعمليات أخرى + +287 +00:21:45,910 --> 00:21:49,770 +شكرا، إذا التقارير اللي عناش هتكون عن جودتنا، طريق + +288 +00:21:49,770 --> 00:21:54,170 +عملنا، زماننا، مخاطرنا، مواردنا، ميزانياتنا + +289 +00:21:54,170 --> 00:21:57,350 +التقارير بشمن الشغلات هذه اللي احنا سميناها قبلها + +290 +00:21:57,350 --> 00:22:02,240 +إيه؟ القيود التنافسية القيود التنافسية أعيدها؟انت + +291 +00:22:02,240 --> 00:22:06,320 +تاني؟ كيف + +292 +00:22:06,320 --> 00:22:14,340 +هل نفت؟ تفضلي الطالب اللي وضع لها تنفيذ + +293 +00:22:14,340 --> 00:22:18,080 +المراقب اللي ممكن تعمله تتغيير تنفيذ المراقب هو + +294 +00:22:18,080 --> 00:22:21,500 +عملية تراجع جميع طلبات التغيير وإعتمادها وإداراتها + +295 +00:22:21,500 --> 00:22:22,620 +عندما تطرع على التغيير + +296 +00:22:27,330 --> 00:22:30,710 +تنفيذ هان يا أخوات أي تقرير يطلع إذا كان فيه علاج + +297 +00:22:30,710 --> 00:22:34,770 +أو تغيير وكان مرفق مع هذا الأمر مستندات يجب + +298 +00:22:34,770 --> 00:22:39,430 +إرفاقهم إلى البساطة إرفاق أي مستندات لها علاقة + +299 +00:22:39,430 --> 00:22:43,970 +بإيش بعملية العلاج أو عملية المراجعة إن وجدت مثلا + +300 +00:22:43,970 --> 00:22:49,230 +إحنا قدمنا الميزانية وكان مكتوب فيها مليون دولار + +301 +00:22:50,130 --> 00:22:54,430 +لمّا ودّيناها عفوا أو أرسلناها للمدقّق الخارجي + +302 +00:22:54,430 --> 00:22:57,770 +اللي هو الشخص الخارجي المشروع طلعت الميزانية مش + +303 +00:22:57,770 --> 00:23:02,250 +المليون دولار أكتر، واضح؟ فبأرفق الخيار اللي صار + +304 +00:23:02,250 --> 00:23:05,610 +للجهات المعنية اللي هم أصحاب المصالح مع التقرير + +305 +00:23:05,610 --> 00:23:08,390 +اللي أبعته إنه صار عندي أخبطة في الحسابات صار عندي + +306 +00:23:08,390 --> 00:23:11,650 +أخبطة في إيش؟ في الحسابات، إذن تنفيذ المراقبة + +307 +00:23:11,650 --> 00:23:16,540 +ببساطة إنه إحنا نراجع جميع الطلباتأي خلل أو أي + +308 +00:23:16,540 --> 00:23:20,680 +انحراف احنا علشناه يجب إرفاق مستندات تثبت هذا + +309 +00:23:20,680 --> 00:23:25,640 +الأمر أيضا + +310 +00:23:25,640 --> 00:23:30,380 +عندنا النطاق + +311 +00:23:30,380 --> 00:23:35,000 +ما المقصود بتحقيق النطاق في عملية التنفيذ خدي بالك + +312 +00:23:35,000 --> 00:23:41,200 +من السؤال ما المقصود طبعا النطاق اللي هو المجازي + +313 +00:23:41,200 --> 00:23:45,880 +اشرحناه قبلك خدمي، سلعي، أفكارشو يعني تحقيق + +314 +00:23:45,880 --> 00:23:50,740 +النطاق؟ فضلي انت .. فضلي .. اه .. وعمليتك هو تشكيل + +315 +00:23:50,740 --> 00:23:54,820 +الإنجازات اللي فيها المشروع المتحقق ببساطة هل + +316 +00:23:54,820 --> 00:23:59,940 +التزامنا بالنطاق ام هناك انحراف؟ هذا المقصود فيها + +317 +00:23:59,940 --> 00:24:05,740 +هل تم الالتزام بالنطاق او بالمجال المتفق عليه ام + +318 +00:24:05,740 --> 00:24:10,360 +ان هناك انحراف؟إذا ماخدين بقى كنا إحنا لما رقبنا + +319 +00:24:10,360 --> 00:24:13,540 +رقبنا على كل حاجة في المشروع من لحظة البدا إلى + +320 +00:24:13,540 --> 00:24:18,460 +لحظة إيش الإقفال تعالوا + +321 +00:24:18,460 --> 00:24:23,270 +نشوف ما المقصودبالإقفال، نجيب مفتاح و نسكر المكان + +322 +00:24:23,270 --> 00:24:27,330 +و لا إيش بالظبط، تفضل يا نورا تكون مجموعات عملية + +323 +00:24:27,330 --> 00:24:30,370 +الإقفال، ستكون مجموعة .. مجموعة عمليات الإقفال من + +324 +00:24:30,370 --> 00:24:33,790 +تلك العمليات التي يتم إجراءها لإنهاء جميع الأنشطة + +325 +00:24:33,790 --> 00:24:37,310 +في جميع مجموعات عمليات إدارة المشروع، المقصود + +326 +00:24:37,310 --> 00:24:40,670 +بجميع الأنشطة جميع اللي شرحناها في ال chapter هذا، + +327 +00:24:40,670 --> 00:24:43,890 +كل هذا لازم تم إقفال، و طبعا كل حاجة إلها طريقة + +328 +00:24:43,890 --> 00:24:47,670 +معينة للإقفال، تفضل، لإكمال المشروع أو المرحلة أو + +329 +00:24:47,670 --> 00:24:51,740 +الاتزامات التعاقدية بشكل رسميعند انهاء مجموعة + +330 +00:24:51,740 --> 00:24:55,660 +العمليات هذه تحقق العمليات المحددة ويتم الانتهاء + +331 +00:24:55,660 --> 00:24:59,080 +منها في جميع مجموعات العمليات لإقفال المشروع أو + +332 +00:24:59,080 --> 00:25:03,520 +إحدى مراحلها ويثبت بشكل رسمي المشروع أو إحدى + +333 +00:25:03,520 --> 00:25:07,260 +مراحله بأنه اكتمل قد يحدث ميالي عند إقفال المشروع + +334 +00:25:07,260 --> 00:25:10,720 +أو المرحلة سؤال أذكر الأمور التي تحدث عند إقفال + +335 +00:25:10,720 --> 00:25:20,050 +المشاريع، إيش ممكن يصير؟ أذكري الأمور التي تحدثعند + +336 +00:25:20,050 --> 00:25:25,410 +أقفال المشاريع أولا الحصول على الموافقة من قبل + +337 +00:25:25,410 --> 00:25:29,290 +العميل أو الراعي خد بالك هذه اسمها يا أخوات خلو + +338 +00:25:29,290 --> 00:25:35,990 +طرف أو براء الدم فإيش + +339 +00:25:35,990 --> 00:25:42,720 +يعني خلو طرف؟أيوة سلمناكوا مشروعكوا تمام و هاي + +340 +00:25:42,720 --> 00:25:46,260 +مصاريكوا في الفواتير و المستندات مافيش اي مشاكل هو + +341 +00:25:46,260 --> 00:25:50,020 +بيمضي ان هو مالوش عندى اي حاجة ان هو استلم ماشي + +342 +00:25:50,020 --> 00:25:53,060 +استلم المشروع تماما مافيش اي مشاكل هذا اسم خلوق + +343 +00:25:53,060 --> 00:25:57,440 +ايش طبعا القيام بالمراجعة بعد انتهاء المشروع او + +344 +00:25:57,440 --> 00:26:00,520 +المرحلة انشيك على المشروع اه والله هاي المشروع هل + +345 +00:26:00,520 --> 00:26:04,570 +هو مطبق المواصفات ولا لأ؟ثالثًا تسجيل تأثيرات + +346 +00:26:04,570 --> 00:26:09,550 +تخصيص أي عملية ما المقصود بتخصيص أي عملية سؤال + +347 +00:26:09,550 --> 00:26:16,230 +ادخل مثال على + +348 +00:26:16,230 --> 00:26:23,430 +تخصيص عمليات + +349 +00:26:23,430 --> 00:26:27,230 +في + +350 +00:26:27,230 --> 00:26:35,290 +مشروع إعادة إعمار البحرهذه السؤال زي ايش تأثيرات + +351 +00:26:35,290 --> 00:26:38,610 +تخصيص على سبيل المثال الحين يا أخوات انتوا بيشوفوا + +352 +00:26:38,610 --> 00:26:43,450 +في عرب في مشروع عمار الشارع البخر في عندنا سيارات + +353 +00:26:43,450 --> 00:26:50,210 +معينة او سيارات مخصصة للاسفلت و الشوارط هذه الحين + +354 +00:26:50,210 --> 00:26:53,190 +احنا مشروعنا خلص و الناس فتحنا الشارع و الناس راح + +355 +00:26:53,190 --> 00:26:56,990 +تجيب ما مصير هذه السيارات؟ + +356 +00:27:01,200 --> 00:27:04,180 +نبيعها، هنأجرها، هنحطها في مشروع تاني، إيش هنساو + +357 +00:27:04,180 --> 00:27:08,220 +فيها؟ إذا ما مصيرها دي إيش، السيارات هذي من طالع + +358 +00:27:08,220 --> 00:27:12,820 +على تأثير التخصيص يعني، في السيارات هذه خاصة فقط + +359 +00:27:12,820 --> 00:27:16,440 +في وضع ال asphalt في الطريق، تنفعش تشتغل على الخط + +360 +00:27:16,440 --> 00:27:19,480 +أو أعمل فيها حاجة تانية، همش هنساو فيها، بدي أشوف + +361 +00:27:19,480 --> 00:27:23,500 +هل ببيعها، بأجرها، بخزنها، أه خلصنا، بعلمتيها من + +362 +00:27:23,500 --> 00:27:27,600 +المشروع، الحين مادهاش لازمة، إيش مصيرها بعدك، إيش + +363 +00:27:27,600 --> 00:27:34,660 +هنساو فيها؟واضح؟ ماشي، الحين إحنا عندنا آلات معينة + +364 +00:27:34,660 --> 00:27:41,720 +أو سيارات معينة فقط تصنع لوضع ال asphalt في الشارع + +365 +00:27:41,720 --> 00:27:47,360 +أو على الشارع الرميم، الآن تم سفلة أنجزنا الشارع، + +366 +00:27:47,360 --> 00:27:51,380 +سلمنا المشروع، مش ضالعنا حاجة السؤال اللي بطلح + +367 +00:27:51,380 --> 00:27:56,080 +نفسه، إيش مصير الآلات المخصصة هذه؟ إيش نسوا فيها؟ + +368 +00:27:56,080 --> 00:28:00,640 +أبيعها؟ أجرها؟ أخبيها؟أفكّكها، هذا اللي مبسوط فيا + +369 +00:28:00,640 --> 00:28:04,200 +ممكن يتم استخدامها في مشاريع مشاهدة بقى أنا + +370 +00:28:04,200 --> 00:28:08,340 +بحكيلك، نفكر، نأشجرها، لأ في ألات غير قابلة + +371 +00:28:08,340 --> 00:28:13,500 +للتطوير يعنى، إيش ننطور فيها سوي مثلا؟ يعني عندك + +372 +00:28:13,500 --> 00:28:16,700 +آلة مثلا بالسهم السماد بعد ما وحطوها على الاسفلت + +373 +00:28:16,700 --> 00:28:23,190 +أو مادة اللي هي الاسفلت، كيف ننطورها؟ممكن أجرها، + +374 +00:28:23,190 --> 00:28:27,170 +ممكن أبيعها لمشروع تاني، ممكن أخزنها للمستقبل، حسب + +375 +00:28:27,170 --> 00:28:31,510 +قطعة غيارة مثلا، هذا المقصود بالفقرة هذه، هذا + +376 +00:28:31,510 --> 00:28:35,710 +المقصود بإيش، تخصيص، يعني شغلات خاصة، بقدرش أصلا + +377 +00:28:35,710 --> 00:28:39,110 +فيها زي ما أنا عايزة، أيضا الرقم الأربعة الطالبة + +378 +00:28:39,110 --> 00:28:42,690 +اللي كانت تقرا توفيق الدروس المستفادة، الدروس + +379 +00:28:42,690 --> 00:28:52,180 +المستفادة للاستفادة منها للمستقبلاللي هي التجربة + +380 +00:28:52,180 --> 00:28:55,960 +اللي خدناها مع بعض كيف ممكن نستفيد منها في + +381 +00:28:55,960 --> 00:29:00,560 +المستقبل ايضا تطبيق التحديثات المناسبة على أصول + +382 +00:29:00,560 --> 00:29:05,840 +العملية التنظيمية ما المقصود بتطبيق التحديدات + +383 +00:29:05,840 --> 00:29:08,800 +المناسبة طبعا هذه يا أخوات ماعليش النقطة السابقة + +384 +00:29:08,800 --> 00:29:14,040 +اللي هي ال feedback كيف نستفيد من الساعة أخر حاجة + +385 +00:29:14,040 --> 00:29:18,840 +كيف ب ..بتعمل تطبيق التحديثات المناسبة المقصود + +386 +00:29:18,840 --> 00:29:23,340 +فيها على سبيل المثال ع سبيل المثال مش الحصر توزيع + +387 +00:29:23,340 --> 00:29:37,740 +أو إرسال شهادات شكر للممولين أو لفريق العمل باشي + +388 +00:29:39,210 --> 00:29:43,990 +أبعت رسالة شكر الممول اللى ساعدنا على نجاح هذا + +389 +00:29:43,990 --> 00:29:48,250 +المشروع او اللى دعمنا او فريق العمل المدرأ و + +390 +00:29:48,250 --> 00:29:55,350 +المناسقين اللى كانوا معانا فى المشروع بعدك بجين + +391 +00:29:55,350 --> 00:29:58,970 +الانتقام المشروع ايه كتبي جانبه لو سمحتى الافتتاح + +392 +00:29:58,970 --> 00:30:05,450 +قص الشريط نعمل حفلة و بنقص شريط شارع البحر بعد ما + +393 +00:30:05,450 --> 00:30:11,640 +خلصناماشي يعني، بجيبولك شريطة و خدها تقصه تقص أي + +394 +00:30:11,640 --> 00:30:26,420 +شرق؟ في سؤال؟ تفضل يعني شكرا + +395 +00:30:26,420 --> 00:30:31,560 +يا عزيزي قصّقنا الشريط ولا لسه؟ كل مشروع بعد ما + +396 +00:30:31,560 --> 00:30:38,030 +نخلص منه بنعمله حفلة حفلة إيش؟ افتتحهاحاجة مهمة + +397 +00:30:38,030 --> 00:30:44,390 +اللي هي نرجع مرتان للأموال ما ننساش الفواتير، + +398 +00:30:44,390 --> 00:30:48,450 +ثاندات القبض، ثاندات الدفع تكون كلها مية في المية + +399 +00:30:48,450 --> 00:30:54,310 +مافيش فيها أي خلط الميزانية بتاعتي والموازنة إذا + +400 +00:30:54,310 --> 00:30:57,770 +زي عشان المشترات اللي هو المال يعني زي ثاندات + +401 +00:30:57,770 --> 00:31:00,390 +القبض، ثاندات الدفع أو من الشراء الفواتير لازم + +402 +00:31:00,390 --> 00:31:05,900 +تكون كلها مية المية جاهزة من ناحية محاسبيةما أسلمش + +403 +00:31:05,900 --> 00:31:08,480 +المشروع و أقص الشريط و أقولهم يعطيكوا العافية خلاص + +404 +00:31:08,480 --> 00:31:13,760 +هاي خلصنا شغلكوا و أنا أمور المالية ملخبطة أو فيها + +405 +00:31:13,760 --> 00:31:18,740 +مشاكل فيجب أن تكون الأمور المالية سليمة يجب أن + +406 +00:31:18,740 --> 00:31:24,380 +تكون الأمور المالية شمالها سليمة نتوقف + +407 +00:31:24,380 --> 00:31:29,120 +عندنا الشبط الرابع إدارة + +408 +00:31:29,120 --> 00:31:30,520 +تكامن المشروع + diff --git a/PL9fwy3NUQKwYZU2ezHFq-UK19TEyZdOHs/o3dWOcjDDOQ_raw.srt b/PL9fwy3NUQKwYZU2ezHFq-UK19TEyZdOHs/o3dWOcjDDOQ_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..9c5c01d99e4d9be5c3fbaf729fef5c86e5237626 --- /dev/null +++ b/PL9fwy3NUQKwYZU2ezHFq-UK19TEyZdOHs/o3dWOcjDDOQ_raw.srt @@ -0,0 +1,3368 @@ +1 +00:00:20,700 --> 00:00:23,160 +عودوا بالله السميع لعليه من الشيطان الرجيم بسم + +2 +00:00:23,160 --> 00:00:26,100 +الله الرحمن الرحيم الحمد لله والصلاة والسلام على + +3 +00:00:26,100 --> 00:00:30,580 +المصطفى العميل سيدنا محمد وعلى آله ومن سرع على + +4 +00:00:30,580 --> 00:00:32,860 +درجة حساب الدين في البداية السلام عليكم ورحمة الله + +5 +00:00:32,860 --> 00:00:38,850 +كيف حالكم؟برحب باسم قسم إدارة الأعمال وباسم طالبات + +6 +00:00:38,850 --> 00:00:42,990 +إدارة المشاريع بالباشر المهندس Bassel Ferskandel + +7 +00:00:42,990 --> 00:00:47,510 +في الجزء التالي من ورشة عمل كيف واقع إدارة + +8 +00:00:47,510 --> 00:00:50,470 +المشاريع وكيف كتبت مقترحات المشاريع للحصول على + +9 +00:00:50,470 --> 00:00:53,990 +التمويل ساعتقل الفرصة لإدارة هذه المحاضرة، تفضل يا + +10 +00:00:53,990 --> 00:00:59,970 +باشر المهندسعطيكم العافية استكمالا لمحاضرة المرة + +11 +00:00:59,970 --> 00:01:02,690 +الماضية احنا المحاضرة المارة الماضية ركزنا اخر شيء + +12 +00:01:02,690 --> 00:01:05,390 +كان باخر عشر دقائق اللي هي مراحل تصميم المشروع + +13 +00:01:05,390 --> 00:01:08,230 +حكينا انه في ان عدة مراحل تصميم المشروع المرحلة + +14 +00:01:08,230 --> 00:01:10,550 +الأولى قلنا اختيار الفكرة واتعرفنا كيه من أين تيجي + +15 +00:01:10,550 --> 00:01:12,790 +مصادر الفكرة اللي هي قلنا فيه تلت مصادر لاختيار + +16 +00:01:12,790 --> 00:01:15,930 +الفكرة بعدها قلنا المرحلة التانية اللي هي تجهيز + +17 +00:01:15,930 --> 00:01:18,840 +الفكرة في صورة شيء مكتوباللي هي أول وسيلة التواصل + +18 +00:01:18,840 --> 00:01:21,960 +بيني وبين الممول اللي هي سمناها ورقة مفهوم أو + +19 +00:01:21,960 --> 00:01:24,720 +concept paper أو concept note واتعرفنا كيف ايش + +20 +00:01:24,720 --> 00:01:28,900 +العناص الرئيسية لـ ال concept paper بعد ما ابعت ال + +21 +00:01:28,900 --> 00:01:31,520 +concept للممول ابعتله إياها ال email بياخد فكرة + +22 +00:01:31,520 --> 00:01:34,900 +عنها إذا اقتنع بالفكرة أو حابب الممول يعني هو + +23 +00:01:34,900 --> 00:01:37,600 +interested إنه يمول المشروع بيبعت بيحكي لي ابعتلي + +24 +00:01:37,600 --> 00:01:41,880 +ال proposal ابعتلي المقترح الأولي فبروح أنا بجهز + +25 +00:01:41,880 --> 00:01:45,400 +المقترح و ببعتله إياه تمام كيف إحنا بنجهز مقترحات + +26 +00:01:45,400 --> 00:01:48,760 +المشاريع كيف بنكتبهاوإيش هي العناصر الرئيسية؟ قبل + +27 +00:01:48,760 --> 00:01:51,480 +ما أشوف العناصر الرئيسية في إحنا عندنا طريقتين + +28 +00:01:51,480 --> 00:01:54,740 +لتقديم المقترحات يعني أنا كيف أروح أقدم مقترح + +29 +00:01:54,740 --> 00:01:58,380 +للممول؟ أحد في ضمن إحدى الطريقتين الطريقة الأولى + +30 +00:01:58,380 --> 00:02:01,720 +بنسميها طريقة مستدرجة الطريقة المستدرجة هي أو + +31 +00:02:01,720 --> 00:02:05,540 +Solicited Proposals يعني المقترحات المستدرجة في + +32 +00:02:05,540 --> 00:02:09,060 +الحالة هذه الممول بنزل إعلان بتلاقيه بنزل إعلان + +33 +00:02:09,060 --> 00:02:12,320 +مثلا على موقع jobs.bs بتشوفوه أو على جارية فلسطين + +34 +00:02:12,320 --> 00:02:15,440 +أو جارية القدس بيحكي إعلان استقطاب مقترحات مشاريع + +35 +00:02:16,160 --> 00:02:18,760 +وتحت هذه الإعلانه بيكون حاطة مجموعة شروط و معايير + +36 +00:02:18,760 --> 00:02:23,820 +تمام؟ أنا هجيبلكم عينة تفضل دكتورة تتطلع عليها كيف + +37 +00:02:23,820 --> 00:02:27,920 +تنزل الإعلانات في شروط طبعا لهذه الطريقة لما ينزل + +38 +00:02:27,920 --> 00:02:31,500 +الممول يطلب مني أن أقدم اقتراحات بهذه الطريقة لهذه + +39 +00:02:31,500 --> 00:02:36,190 +الطريقة المستدرجةفي الحالة هذه بالغالب 90% بيفرض + +40 +00:02:36,190 --> 00:02:39,130 +عليا هو كيف شكل ال proposal ايش النموذج اللي انا + +41 +00:02:39,130 --> 00:02:42,370 +بدي اعبيه ايش ال application form يعني مايعطنيش + +42 +00:02:42,370 --> 00:02:45,870 +انا الحرية اكتب ال proposal بطريقة خاصة بيفرض عليا + +43 +00:02:45,870 --> 00:02:48,410 +معلومات محددة هو بطلبها و بقوللي عبيلي هذه + +44 +00:02:48,410 --> 00:02:51,310 +المعلومات تمام ففي الغالب هو بيفرض عليا نموذج + +45 +00:02:51,310 --> 00:02:57,020 +template او application form اويعني عدة أسماء + +46 +00:02:57,020 --> 00:03:02,720 +application form template نموذج قالب standard form + +47 +00:03:02,720 --> 00:03:06,360 +الاخر تمام في الحالة هذه طبعا ممكن يكون حاططنا + +48 +00:03:06,360 --> 00:03:09,980 +رابط زي ما هتشوفه في المثال الموجود معكم انه بيكون + +49 +00:03:09,980 --> 00:03:12,520 +حاططنا link بيحكينا فوت على website عشان تعرفوا + +50 +00:03:12,520 --> 00:03:15,600 +إيش الشروطيعني ممكن هو يحط شروط إيه شروط المؤسسات + +51 +00:03:15,600 --> 00:03:18,920 +المتقدمة، هل تكون جمعية، تكون مؤسسة أكاديمية، تكون + +52 +00:03:18,920 --> 00:03:22,700 +مرخصة إليها كام سنة، تستهدف قطاع الشباب، عندها + +53 +00:03:22,700 --> 00:03:26,420 +مثلا تزودنا بتقريرها للمالي و تقريرها لإدارة، + +54 +00:03:26,420 --> 00:03:29,000 +بيكون طالب شروط معينة بتكون موجودة على هذا ال + +55 +00:03:29,000 --> 00:03:32,490 +websiteوطالما .. خلّيكم معي .. طالما أنه بنحكي عن + +56 +00:03:32,490 --> 00:03:35,170 +المقترحات المستدرجة لازم يكون فيه deadline ايش هو + +57 +00:03:35,170 --> 00:03:37,830 +يعني deadline؟ يعني فيه تاريخ نهائي لاستقبال + +58 +00:03:37,830 --> 00:03:40,910 +الطلبات اتحاد الأوروبي لما جدّم اتحاد الأوروبي كل + +59 +00:03:40,910 --> 00:03:44,110 +سنة بفتح باب التسجيل تقديم المقترحات المشروعية في + +60 +00:03:44,110 --> 00:03:47,970 +اتحاد الأوروبي من تقريبا من 1-11 ل 14-2 أو ل 15-2 + +61 +00:03:47,970 --> 00:03:51,730 +بيحكون كتبنا أن ال deadline يوم 14-2 الساعة 3 + +62 +00:03:51,730 --> 00:03:55,360 +بتوقيت برسل .. بتوقيت بلجيكاتلاتة ودقيقة لو عملنا + +63 +00:03:55,360 --> 00:03:59,560 +submission لل proposal بصير فيه failure بال 2014 + +64 +00:03:59,560 --> 00:04:03,320 +قدمنا .. طبعا احنا عشان نكتب proposal واحد للاتحاد + +65 +00:04:03,320 --> 00:04:06,640 +الأوروبي بنكون تلت شهور متواصلي نكتب فيه تخيلوا من + +66 +00:04:06,640 --> 00:04:09,580 +كتر ما هو معقد تلت شهور نكتب في ال proposal ممكن + +67 +00:04:09,580 --> 00:04:13,180 +يطلع 40، 50، 60، 70 ورقة و بعد ما نجهز بنعمله + +68 +00:04:13,180 --> 00:04:15,400 +submission online على ال website التابع اللي هو + +69 +00:04:15,400 --> 00:04:18,840 +الممول للاتحاد الأوروبيفي 2014 عملنا proposal + +70 +00:04:18,840 --> 00:04:22,140 +جعدنا تلت شهور و نص و احنا نكتب فيه و معانا تلت + +71 +00:04:22,140 --> 00:04:25,800 +شركاء من اوروبا و اربع من فلسطين من دفة و غزة و + +72 +00:04:25,800 --> 00:04:30,180 +نشتغلناه كان ال deadline ساعة 2 و نص في يوم 14 + +73 +00:04:30,180 --> 00:04:33,460 +اتنين عملنا submission انه عمله submission ساعة 2 + +74 +00:04:33,460 --> 00:04:37,800 +و نص و خمس ذجاجةبعتلنا انه نأسف انه احنا مابنقدرش + +75 +00:04:37,800 --> 00:04:40,840 +ناخد ال proposal و بعتنا رسائل على بلجيكا و على + +76 +00:04:40,840 --> 00:04:42,940 +الهدي كوردك اتحاد الأوروبيه يا جماعة يهديك ويرضيك + +77 +00:04:42,940 --> 00:04:45,980 +وقال ابدا تنتين و نص يعني تنتين و نص تمام فمشان + +78 +00:04:45,980 --> 00:04:48,400 +هيك موضوع ال deadline او التاريخ النهائي لتقتل + +79 +00:04:48,400 --> 00:04:50,860 +مقترحات المشاريع هاد بالنسبة إيه اللي بيعملنا هاجس + +80 +00:04:51,330 --> 00:04:54,870 +لأن هذا أنا بدي أتعب شهر و لا شهرين و لا تلاتة، + +81 +00:04:54,870 --> 00:04:57,190 +هيروحها بقى المنظر لو أنا متزامش بهذا التاريخ + +82 +00:04:57,190 --> 00:05:01,050 +التقديمي نهائي، تمام؟ طيب، من الإعلان، في طرق + +83 +00:05:01,050 --> 00:05:03,590 +الإعلان المستدرجة، في الغالب برضه الممول بيفرض + +84 +00:05:03,590 --> 00:05:06,110 +علينا، بيقولنا إن المقترحات اللي جدموها تكون + +85 +00:05:06,110 --> 00:05:08,630 +تستهدف قطاع الشباب مثلا أو قطاع المرأة أو قطاع + +86 +00:05:08,630 --> 00:05:12,260 +الطفولة، ممكن أحدد الفئةيحكي قطاع الشباب بس من ضمن + +87 +00:05:12,260 --> 00:05:15,040 +فئة الخريجين أو خريجي الـ TVET اللي هي المرايكز + +88 +00:05:15,040 --> 00:05:17,660 +التدريب المهنو والكليات التقنية فبكون محدد من + +89 +00:05:17,660 --> 00:05:20,580 +الفئة المستهدفة أو الأولويات اللي بشتغل عليها + +90 +00:05:20,580 --> 00:05:23,200 +وكتير من الأحيان بكون حاططنا الموال صقف أعلى + +91 +00:05:23,200 --> 00:05:26,440 +للتمويل ممكن يحكي أي مشروع هتقدمونليه ما يتجاوز + +92 +00:05:26,440 --> 00:05:30,700 +مثلا 500 ألف دولار تمام؟وكمان طبعا زى ما حكيت قبل + +93 +00:05:30,700 --> 00:05:33,180 +شوية الإعلان بتضمن مين مؤسسات اللى هى بيسميها + +94 +00:05:33,180 --> 00:05:35,820 +eligible انه هى to submit ال proposal eligible + +95 +00:05:35,820 --> 00:05:39,140 +يعني ايش according لكريتيرة تكون محتوطة انه يعني + +96 +00:05:39,140 --> 00:05:42,860 +هى مستوفية لشروط معينة مؤسسة مرخصة إلى خمس سنين + +97 +00:05:42,860 --> 00:05:45,460 +مثلا وعندها خبرة في المجال ووالاخر ويكون حاطة + +98 +00:05:45,460 --> 00:05:50,840 +مجموعة شروط تمام؟ وكمانفي الإعلان يقول إن المؤسسة + +99 +00:05:50,840 --> 00:05:54,040 +اللي هتقدم proposal بتقدم معاها عدة وثائق مثلا + +100 +00:05:54,040 --> 00:05:58,060 +شهادة تلخيص المؤسسة، نموذج عن آخر ميزانية، آخر + +101 +00:05:58,060 --> 00:06:00,940 +تقرير مالي انعمل، يعني عدة وثائق، إيش الهدف من هذه + +102 +00:06:00,940 --> 00:06:05,020 +الوثائق بيطلبها الممول؟ شو رأيكم؟ ليش بيطلب هذه + +103 +00:06:05,020 --> 00:06:09,160 +الوثائق مع ال proposal؟يتأكد من وضع القانون + +104 +00:06:09,160 --> 00:06:12,660 +للمؤسسة و هي eligible فعلا إنها تستفيد و وضحها + +105 +00:06:12,660 --> 00:06:15,300 +القانون سليم و مافيش عليها مشاكل مالية و مش انفلسة + +106 +00:06:15,300 --> 00:06:19,320 +و عندها خبرات سابقة فمن خلال وثائق بتقدم بتأكد من + +107 +00:06:19,320 --> 00:06:22,220 +مصداقيتها للمؤسسات فهذه الطريقة الأولى بسميها + +108 +00:06:22,220 --> 00:06:27,630 +طريقة إيشكتير في مؤسسات وهمية بتكون عاملة في + +109 +00:06:27,630 --> 00:06:31,270 +website وصفحات على فيسبوك واحنا بنشتغل وكذا، طب قد + +110 +00:06:31,270 --> 00:06:34,430 +مين الوثائق القانونية تثبت هذا الكلام؟ مافي، طبعا، + +111 +00:06:34,430 --> 00:06:37,110 +طيب فهذه الطريقة الأولى، يسميها طريقة مستدرجة + +112 +00:06:37,110 --> 00:06:39,270 +لتقدي المقترحات، الطريقة التانية إيش هيكون اسمها + +113 +00:06:39,270 --> 00:06:42,950 +برأيكم؟ غير مستدرجة، شو بتخلف الغير مستدرجة على + +114 +00:06:42,950 --> 00:06:46,750 +مستدرجة؟ الإختلاف الجوهر الوحيد أن هنا مافي + +115 +00:06:46,750 --> 00:06:51,630 +deadlineالممولة بيقيدنيش تاريخ محدد لتقديم الطلب + +116 +00:06:51,630 --> 00:06:55,210 +يعني المؤسسة الممولة بتكون طول السنة فاتحة باب + +117 +00:06:55,210 --> 00:06:58,450 +استقبال طلبات أو مقترحات مشاريع أي وقت من السنة + +118 +00:06:58,450 --> 00:07:03,130 +عندكم مقترح مشروع جدبولنا إياه بس بشرط أن يكون ضمن + +119 +00:07:03,130 --> 00:07:06,450 +scope عملنا مثلا أنه أنا كمثلا نرجع لمؤسسة عاون + +120 +00:07:06,450 --> 00:07:09,110 +أنا كمؤسسة عاون بشغل في قطاع الشباب و الطفولة و + +121 +00:07:09,110 --> 00:07:12,090 +المرأة مثلا جدبولي أي مقترح ضمن هدول الفئات + +122 +00:07:12,090 --> 00:07:14,800 +التلاتةماتيجيش تقدملي مقترح في البيئة لإن أنا خطط + +123 +00:07:14,800 --> 00:07:16,760 +للستراتيجية للتلات سنوات الجاية اللي هي علاقة مثلا + +124 +00:07:16,760 --> 00:07:19,480 +بس في هدول التلات قطعات مش هتقدملي واحد في البيئة + +125 +00:07:19,480 --> 00:07:23,380 +وممكن يكون إنه في الحالة هذه فرضين عليها نموذج، + +126 +00:07:23,380 --> 00:07:27,190 +قالب، template أو application form أو ممكن لايعني + +127 +00:07:27,190 --> 00:07:29,930 +ممكن يكون على ال website مكتوب لو فتحته على مؤسسة + +128 +00:07:29,930 --> 00:07:34,090 +تعاون في عنوان بيكون مكتوب المؤسسات اللي لديها + +129 +00:07:34,090 --> 00:07:36,950 +أفكار لتنفيذ مشاريع مجتمعية في قطاعات واحد اتنين + +130 +00:07:36,950 --> 00:07:40,850 +تلاتة اتجدم وعشان اتجدم اتنزل هذا ال application + +131 +00:07:40,850 --> 00:07:43,990 +form و اتعبيه و تبعته تمام لكن في موالين لأ + +132 +00:07:43,990 --> 00:07:46,530 +باطلبوش بيقولك عندك مقترح مشروع بعتليها فبالتالي + +133 +00:07:46,530 --> 00:07:50,750 +بيكون عندك حرية في كتابة ال proposal تمام طيب + +134 +00:07:52,050 --> 00:07:55,550 +وبالتالي للأنواع النماذج المقترحات خلاص في عندي + +135 +00:07:55,550 --> 00:07:58,850 +template أو application form أو طريقة حرة اللي انا + +136 +00:07:58,850 --> 00:08:01,910 +بكون ليها حرية ان اكتبه نيجي نشوف كيف نكتب مقترح + +137 +00:08:01,910 --> 00:08:05,450 +مشروع لو انا انطلب مني اكتب مقترح مشروع متكامل + +138 +00:08:05,450 --> 00:08:10,270 +بطريقة الخاصة يعني الممول ما فرض علي النموذج كيف + +139 +00:08:10,270 --> 00:08:15,280 +انا بدأ اكتبه اول اشيشي يعني مقترح مشروعهو عبارة + +140 +00:08:15,280 --> 00:08:19,700 +عن مجموعة أوراق document مجموعة مستندات بترجم من + +141 +00:08:19,700 --> 00:08:24,060 +خلالها فكرة المشروع وقاليه التنفيذ و أهميته و + +142 +00:08:24,060 --> 00:08:27,300 +مبرراته و الأنشطة اللي هتم تنفيذها كل ما يتعلق في + +143 +00:08:27,300 --> 00:08:30,260 +المشروع بحطه في صورة أوراق أو documents و بسميها + +144 +00:08:30,260 --> 00:08:33,200 +proposal شو بحتويات ال proposal؟ شو هي العناصر + +145 +00:08:33,200 --> 00:08:35,800 +الرئيسية اللي هتكون موجودة في ال proposal؟ شوفوا + +146 +00:08:35,800 --> 00:08:41,770 +عليهاهتلاقوا نماذج كتير لمقترحات المشاريع سواء + +147 +00:08:41,770 --> 00:08:46,170 +كانت من خلال نماذج application forms أو templates + +148 +00:08:46,170 --> 00:08:49,930 +أو ناس بتوا بطريقتهم الخاصة زي ما بقولك كل شيء + +149 +00:08:49,930 --> 00:08:53,370 +يخلو طريقته لكن في عناصر أساسية لازم تكون موجودة + +150 +00:08:53,370 --> 00:08:56,740 +في ال proposalيعني مثلًا من خلال خبرتنا أنا اللي + +151 +00:08:56,740 --> 00:08:59,900 +بشتغل في مجال المشاريع أكتر من عشر سنين منهم سبعة + +152 +00:08:59,900 --> 00:09:03,400 +في الجامعة و أربعة برا الجامعة تمام؟ من خلال + +153 +00:09:03,400 --> 00:09:06,960 +خبرتنا في كتابة موضوعات المشاريع في عناوين محددة + +154 +00:09:06,960 --> 00:09:09,820 +لازم تكون موجودة و ضمن هذه العناوين لازم في + +155 +00:09:09,820 --> 00:09:13,160 +معلومات محددة هي دايما اللي بتفرج كيف بيقولوها + +156 +00:09:13,160 --> 00:09:16,240 +مثلًا بيجدبوا الله 1200 واحد كل سنة بيجدبوا 1200 + +157 +00:09:16,240 --> 00:09:19,850 +proposal للاتحاد الأوروبيبياخدوا منهم 115، 120، + +158 +00:09:19,850 --> 00:09:24,050 +130 في ال range هذا تخيلوا كام واحد بيكون ال out + +159 +00:09:24,050 --> 00:09:27,650 +طب إيش اللي بيفرج؟ في بعض ال skills اللي بتكون + +160 +00:09:27,650 --> 00:09:30,950 +موجودة في ال proposal نفسه مش الكل بيقدر يشتغل على + +161 +00:09:30,950 --> 00:09:32,470 +هذا ال issue وإحنا هذا الكلام ماوصلناش إلا بعد + +162 +00:09:32,470 --> 00:09:35,570 +خدرات و تجارب و failure يعني في السنة عفوا يعني + +163 +00:09:35,570 --> 00:09:38,110 +إحنا كنا نقدم في السنة مثلا مئة مشروع ناخد واحد + +164 +00:09:38,110 --> 00:09:41,480 +منهميعني نثبت واحد في المية و نكتفي و نكون مبسوطين + +165 +00:09:41,480 --> 00:09:44,280 +يعني واحد مثلا بميزانية مليون دولار و لا نص مليون + +166 +00:09:44,280 --> 00:09:47,480 +بالنسبالي ليش كويس مع التجارب الكتيرة هيتعلمنا كيف + +167 +00:09:47,480 --> 00:09:51,140 +نكتب مقترح بطريقة كويسة طيب، شو هي العناصر اللازم + +168 +00:09:51,140 --> 00:09:54,840 +تكون موجودة او ناس يقول لازم يفضل تكون موجودة في + +169 +00:09:54,840 --> 00:09:57,600 +ال proposal لو انا بدأ اكتبه بطريقة الخاصة بطريقة + +170 +00:09:57,600 --> 00:10:01,690 +حرة بدون ما الممول يفرض عليا نموذج أول شيءأول عنصر + +171 +00:10:01,690 --> 00:10:04,830 +من ضمن العناصر الـ 14 هدول لازم يكون أي proposal + +172 +00:10:04,830 --> 00:10:08,430 +له cover page له صفحة غلاف عادة صفحة الغلاف بتاعة + +173 +00:10:08,430 --> 00:10:11,350 +ال proposal شو بيكون مكتوب فيها؟ شو محتوياتها؟ + +174 +00:10:11,350 --> 00:10:14,730 +عنوان المشروع، أهم شيء عنوان المشروع الـ project + +175 +00:10:14,730 --> 00:10:18,590 +title تمام؟ و لما حط عنوان المشروع يا جماعة الخير + +176 +00:10:18,590 --> 00:10:24,740 +قراعه اختيار عنوان يكون attractive ايش يكون؟جذاب، + +177 +00:10:24,740 --> 00:10:28,680 +أشي يكون unique، أشي يكون مميز، فريد، ما تتبعه + +178 +00:10:28,680 --> 00:10:31,320 +اللي هو أسلوب، تلاقي ناس، يعني أنا لما أروح أقيم + +179 +00:10:31,320 --> 00:10:33,800 +مشاريع مثلا، بيجي ويكون كثير منهم مشروع عبارة عن + +180 +00:10:33,800 --> 00:10:37,540 +سطرين، مشروع، تنفيذ، خطة، مش عارف إيش، مش عارف + +181 +00:10:37,540 --> 00:10:39,540 +إيش، مش عارف إيش، مش عارف إيش، مش عارف إيش، مش + +182 +00:10:39,540 --> 00:10:39,540 +عارف إيش، مش عارف إيش، مش عارف إيش، مش عارف إيش، + +183 +00:10:39,540 --> 00:10:40,620 +مش عارف إيش، مش عارف إيش، مش عارف إيش، مش عارف + +184 +00:10:40,620 --> 00:10:45,980 +إيش، مش عارف إيش، مش عارف إيش، مش عارفممكن يكون + +185 +00:10:45,980 --> 00:10:49,280 +كلمة أو كلمتين ويله كمالية ويله subtitle زعنق + +186 +00:10:49,280 --> 00:10:52,780 +مشروع إرادة لتأهيل ذوي الإعاقة سأل مثال مشروع + +187 +00:10:52,780 --> 00:10:56,680 +مبادرون اللي هو لدعم الأفكار الرياضية تمام فأنا + +188 +00:10:56,680 --> 00:10:59,840 +باختارله كلمة أو كلمة تسمع مثلا مشروع تمكين مشروع + +189 +00:10:59,840 --> 00:11:02,120 +صامت مشروع واعد مشروع مش عارف كلها يبقى عن + +190 +00:11:02,120 --> 00:11:05,350 +المشاريعبيضطرها اسم واحدة واسمه للتسهيل وعشان يكون + +191 +00:11:05,350 --> 00:11:07,810 +attractive ويكون له subtitle أساسي اللي يحب يفهم + +192 +00:11:07,810 --> 00:11:09,710 +أن هذا المشروع عبارة عن أيش وبالتالي اختيار + +193 +00:11:09,710 --> 00:11:13,070 +المشروع له دور كبير في القبول مشروع مكتب الموال + +194 +00:11:13,070 --> 00:11:16,190 +تمام ال cover page برضه بتحتوي من اسم المؤسسة أو + +195 +00:11:16,190 --> 00:11:19,210 +الجامعية اللي هي بتقدم المشروع مثلا إحنا الجامعة + +196 +00:11:19,210 --> 00:11:20,690 +الإسلامية أو عماد خدم المجتمع التعليم الإسلامي + +197 +00:11:20,690 --> 00:11:23,410 +الجامعة الإسلامية تاريخ إعداد المقترح مثلا اللي هو + +198 +00:11:23,410 --> 00:11:27,470 +April 2017 طبعا حكينا اسم المشروع إذا أنا عارف + +199 +00:11:27,470 --> 00:11:31,200 +الممولبكون كاتب انه submitted مثلا to UNICEF على + +200 +00:11:31,200 --> 00:11:35,740 +سبيل المثال مش عارفه مش مشكلة بخليها بدون ما يعني + +201 +00:11:35,740 --> 00:11:39,400 +اكتبها في شغلة من الشغلات اللي كتير من الخريجين + +202 +00:11:39,400 --> 00:11:42,100 +الجدد زي حلقتكم بيجوعوا فيها من الأغلاط اللي + +203 +00:11:42,100 --> 00:11:44,180 +بيجوعوا فيها لما مثلا انا اطلب من حد من الخريجين + +204 +00:11:44,180 --> 00:11:46,280 +الجدد من اللي بتدربوا عندنا يجوه يعمل ال proposal + +205 +00:11:46,280 --> 00:11:49,020 +فبروح بعمل cover page شو بعمل بلون ال cover page + +206 +00:11:49,020 --> 00:11:53,430 +بحط وردة ومزهرية وكذا هذا كلامأحنا بنشتغل formal + +207 +00:11:53,430 --> 00:11:55,790 +.. احنا بنشتغل اشي formal .. اشي رسمي .. اشي + +208 +00:11:55,790 --> 00:11:58,310 +professional .. بنشتغل اشي professional فبالتالي + +209 +00:11:58,310 --> 00:12:01,810 +اه .. ممكن أحط صورة تعبيرية بتعبر عن الموضوع إذا + +210 +00:12:01,810 --> 00:12:04,370 +أنا مشروع عن الطاقة بحط صورة related لل energy أو + +211 +00:12:04,370 --> 00:12:08,370 +للطاقة أو للكهربا أو لكذا عامل مشروع عليا بالبيئة + +212 +00:12:08,370 --> 00:12:10,590 +بحط صورة من .. من إيش؟ من ال green .. من بيئة + +213 +00:12:10,590 --> 00:12:14,590 +خضراء أما أروح و أطل صورة زهور و أعمل الإطار مورد + +214 +00:12:14,590 --> 00:12:17,900 +و أحمر و أخضر هذا الكلام مرفوض عنهاماشي حتى في .. + +215 +00:12:17,900 --> 00:12:20,800 +حتى في نطاق تقاريركم انتوا و أبحاث التخرج و كذا + +216 +00:12:20,800 --> 00:12:23,600 +هذا الكلام بلاش تعملوا منها و تحطوا sponge bob و + +217 +00:12:23,600 --> 00:12:27,260 +مش عارف ايش طيب هذا العنصر الأول لازم يكون موجود + +218 +00:12:27,260 --> 00:12:31,220 +عنصر التاني هذه الصفحة رقم 2 مباشرة تيجي بعد ال + +219 +00:12:31,220 --> 00:12:35,420 +cover page هنا عندي two options عندي خيارين في + +220 +00:12:35,420 --> 00:12:39,440 +الحلقة هذهوانا بفضل واحد منهم أنا كباسل مكتب + +221 +00:12:39,440 --> 00:12:42,620 +مقترحاتي في الجامعة بختار اللي هو المقترح التاني + +222 +00:12:42,620 --> 00:12:45,660 +انا عند المقترح الأول ان احط الصفحة دي اسمها + +223 +00:12:45,660 --> 00:12:47,960 +executive summary او انتوا بتسموها ال abstract + +224 +00:12:47,960 --> 00:12:52,680 +اللي هي عبارة عن صفحة بتلخص اللي هي ملخص تنفيذي + +225 +00:12:52,680 --> 00:12:57,120 +بتلخص المشروع كله في صفحةهنا أنا مافضلهاش هاي، + +226 +00:12:57,120 --> 00:13:00,700 +ليش؟ هاي أفضل تكون وين؟ في أبحاث التخرج برسالة + +227 +00:13:00,700 --> 00:13:04,640 +للماجستير، هذه related أكتر لإلهم الخيار التاني + +228 +00:13:04,640 --> 00:13:07,500 +اللي أنا بفضله وهذا الأصح أني بعمل إش بسميه + +229 +00:13:07,500 --> 00:13:10,700 +project information sheet اللي هي ورقة معلومات عن + +230 +00:13:10,700 --> 00:13:14,140 +المشروع عبارة عن جدولفي الجدول هذا ما يكون موجود + +231 +00:13:14,140 --> 00:13:17,340 +ومكتوب فيه اسم المشروع يعني يكون عمودين الجدول + +232 +00:13:17,340 --> 00:13:19,980 +العمود الأول عنوان المشروع مكتوب عنوان المشروع + +233 +00:13:19,980 --> 00:13:23,920 +مبادرون لكذا مدت المشروع 12 شهر الميزانية المشروع + +234 +00:13:23,920 --> 00:13:28,720 +300 ألف دولار تاريخ بداية المشروع 1.1.2017 تاريخ + +235 +00:13:28,720 --> 00:13:34,140 +انتهاء المشروع مثلا 1.2.2018 تمام معلومات أساسية + +236 +00:13:34,140 --> 00:13:36,680 +يكون حاططها إيش الهدف من هذه ال project + +237 +00:13:36,680 --> 00:13:42,870 +information sheetبالظبط الممول اللي بيراجع ال + +238 +00:13:42,870 --> 00:13:46,950 +proposal أول ما يفتح بتطلع الورقة هاي بتأكد أنه + +239 +00:13:46,950 --> 00:13:49,530 +والله أولا ال budget within ال allocated budget + +240 +00:13:49,530 --> 00:13:52,710 +تلاقيلنا ال project title مقبول تاريخ البدا + +241 +00:13:52,710 --> 00:13:55,670 +والانتهاء مقبول بالنسبة إلينا وكمان في معلوم مهمة + +242 +00:13:55,670 --> 00:13:57,830 +سوري نسيت أحكيها فلو project information sheet + +243 +00:13:57,830 --> 00:14:01,270 +لازم إجباري لازم تحطه اللي هي ال contact + +244 +00:14:01,270 --> 00:14:07,380 +informationاسم الشخص، منصبه، تليفونه، جواله، + +245 +00:14:07,380 --> 00:14:13,240 +إيميله والمعلومات هاي لازم تكون 24 ساعة شغالة يعني + +246 +00:14:13,240 --> 00:14:16,440 +أنا بالنسبة لي من ضمن الأمثلة إنه مرة حصلني على + +247 +00:14:16,440 --> 00:14:19,940 +مشروع اتصلوا علينا قبل صلاة الجمعة بمص ساعة اتصل + +248 +00:14:19,940 --> 00:14:22,340 +عليها تليفون من القدس قال انتوا حصلتوا على موافقة + +249 +00:14:22,340 --> 00:14:25,020 +مشروع وكذا كذامش منطق إن أنا بشتغل في المشاريع أو + +250 +00:14:25,020 --> 00:14:27,260 +أطفى جوالي أو بردش على email احنا اللي بنشتغل في + +251 +00:14:27,260 --> 00:14:29,980 +المشاريع بنرد يوم الخميس يوم إجازتنا أو يوم الجمعة + +252 +00:14:29,980 --> 00:14:32,000 +أو بنشتغل يوم الخميس أو بنشتغل يوم الجمعة بنرد + +253 +00:14:32,000 --> 00:14:35,140 +عاملات أو تلفونات لإنه شغلنا هيك لإنه في ممولين + +254 +00:14:35,140 --> 00:14:37,520 +احنا بنأجز الخميس كل الممولين بتشتغل يوم الخميس + +255 +00:14:37,520 --> 00:14:41,140 +بنأجز الجمعة ال GIZ وال BTC وكتير المؤسسات بتشتغل + +256 +00:14:41,140 --> 00:14:44,360 +يوم الجمعة تمام؟ فمشان هيك احنا شغلنا في المشاريع + +257 +00:14:44,360 --> 00:14:48,370 +ماعناش أوقات إجازاتأذكر مرة بالمرات كانت فيه .. + +258 +00:14:48,370 --> 00:14:50,550 +كانت الجامعة كلها مسكرة كان إعصار Alexa جابت تلت + +259 +00:14:50,550 --> 00:14:53,450 +سنوات هذا الغرقت فيه النفج ونفج احنا كنا مدومي لأن + +260 +00:14:53,450 --> 00:14:55,690 +كان عندنا submission ل proposal مرة كان في عيد + +261 +00:14:55,690 --> 00:14:58,030 +مولدنا بواسطة .. أنا كنت الوحيد مدوم فيه .. مدوم + +262 +00:14:58,030 --> 00:15:00,630 +في الجامعة لإن في كان مشروع بنقدمه لمؤسسة .. + +263 +00:15:00,630 --> 00:15:03,310 +لجامعة القاضي ال .. مش عارف إيش save the children + +264 +00:15:03,310 --> 00:15:06,090 +هاي تمام؟ وبالتالي إن احنا في المشاريع ماعناش + +265 +00:15:06,090 --> 00:15:10,200 +أوقاتطيب هي العنصر التاني اللي هو ملخصة فيه + +266 +00:15:10,200 --> 00:15:12,240 +project information sheet وانا بفضل project + +267 +00:15:12,240 --> 00:15:15,780 +information sheet تكون في هذه الصفحة طيب العنصر + +268 +00:15:15,780 --> 00:15:18,520 +التالت اللي لازم يكون طبعا انتوا عارفين ال table + +269 +00:15:18,520 --> 00:15:20,700 +of contents و list of figures و list مش عارفهاش + +270 +00:15:20,700 --> 00:15:23,300 +يعني اللي هو الفهارس هذه اه انتوا شاطرين فيها + +271 +00:15:23,300 --> 00:15:28,160 +العنصر الرابع مقدمةالـ introduction المقدمة لازم + +272 +00:15:28,160 --> 00:15:31,340 +انا احكي مقدمة عن اللي هو موضوع المشروع تبعي + +273 +00:15:31,340 --> 00:15:34,460 +المشروع تبعي والله بيحكي عن الطاقة باجي بحكي مقدمة + +274 +00:15:34,460 --> 00:15:39,580 +عن الطاقة قبل شوية حكيت ان الدكتورة عاملة جابل هي + +275 +00:15:39,580 --> 00:15:42,360 +كدراسة أو بحث على موضوع البطالة كإن المقدمة كانت + +276 +00:15:42,360 --> 00:15:45,100 +صفحة و نص بتهيل أو صفحة و تلت تقريبا ان البطالة + +277 +00:15:45,100 --> 00:15:47,900 +حكينا أثرها على المجتمعات بشكل عام و بعدين أثرها + +278 +00:15:47,900 --> 00:15:50,980 +على غزة و بعدين نسب و حصيات و أرقام فالمقدمة لازم + +279 +00:15:50,980 --> 00:15:54,880 +تكون مصادرة بطريقة جيدة عشان تعكس الموضوعفي خيار + +280 +00:15:54,880 --> 00:15:59,520 +بالنسبة إلينا ضمن المقدمة أحط عنوان اللي هو نبذة + +281 +00:15:59,520 --> 00:16:05,040 +عن مؤسستي عن جمعيتي ممكن أه ممكن لأ ليش ممكن لأ؟ + +282 +00:16:05,040 --> 00:16:10,830 +هتبيعرف؟لأنه أنا لما أقدم ال proposal هجدم معه ملف + +283 +00:16:10,830 --> 00:16:15,130 +اسمه إيش ملف تعريفي ال profile اللي هو ال CV تبع + +284 +00:16:15,130 --> 00:16:17,730 +المؤسسة تبعتي ال profile اللي هو الملف التعريفي عن + +285 +00:16:17,730 --> 00:16:21,130 +مؤسستي بيختصر كل ما يتعلق في مؤسستي سنة تأسيسها + +286 +00:16:21,130 --> 00:16:23,430 +رؤيتها و أهدافها و رسالتها و خبراتها كل هذه + +287 +00:16:23,430 --> 00:16:25,950 +المعلومات بتكون موجودة في ال profile فأنا لما أقدم + +288 +00:16:25,950 --> 00:16:28,690 +للمول بقدمله ملفين بال email بكون two attachments + +289 +00:16:28,690 --> 00:16:31,710 +ملفين الملف الأول ال proposal الملف التاني بنسميه + +290 +00:16:31,710 --> 00:16:35,340 +إيشprofile أو ملف تعريف على المؤسسة وبالتالي مافيش + +291 +00:16:35,340 --> 00:16:37,840 +داعي ان اكتب مقدم على المؤسسة او الجمهير حبيت احط + +292 +00:16:37,840 --> 00:16:43,540 +ايش مقتصر حطه لا بس طيب العنصر الخامس هذه يعني + +293 +00:16:43,540 --> 00:16:48,300 +تأثيرها على التمويل اكتر من 60%هذا العنصر اللي هو + +294 +00:16:48,300 --> 00:16:52,080 +المشكلة أو المبررات بنسميها احنا ال problem + +295 +00:16:52,080 --> 00:16:55,660 +statement او ال justification او ممكن بعض الأحيان + +296 +00:16:55,660 --> 00:16:59,780 +نسميه ال rational يعني ايش مبرراتك انك انت مقدملي + +297 +00:16:59,780 --> 00:17:03,980 +هذه الفكرة عشان نفذه انا كممول كيف تقنعني انه انا + +298 +00:17:03,980 --> 00:17:08,000 +من خلال هذا المشروع هحل المشكلة فبالتالي هذه 90% + +299 +00:17:08,000 --> 00:17:10,860 +من المكتب و المقترحات بفشلوا في الحصول على التمويل + +300 +00:17:10,860 --> 00:17:15,350 +بسبب هذا العنصر ليش؟من طريقة الصياغة وطريقة + +301 +00:17:15,350 --> 00:17:20,230 +الإقناع للممول في صياغة مبررات المشروع المبررات يا + +302 +00:17:20,230 --> 00:17:22,670 +جماعة الخير لما انا احكي مبررات او مشكلة مشروع + +303 +00:17:22,670 --> 00:17:28,630 +لازم احكي اشي سلبي تمام او مشكلة بدي اذكر المشكلة + +304 +00:17:28,630 --> 00:17:34,890 +تمام واش سببها تمام وكيف حالهاطيب، لما قد يحكي + +305 +00:17:34,890 --> 00:17:37,710 +المشكلة على سبيل المثال مثلا، تعالى نفترض إحنا + +306 +00:17:37,710 --> 00:17:40,590 +مشكلة إيش؟ إنا مشكلة في الكهرة، بس سببها إن في إنا + +307 +00:17:40,590 --> 00:17:43,150 +نقص وفي إنا الأسباب السياسية وما السياسية ومش عارف + +308 +00:17:43,150 --> 00:17:46,310 +إيش، طب هاي الأسباب اللي قد أتلاقلها طيب، كيف + +309 +00:17:46,310 --> 00:17:49,050 +الحل؟ الحل والله مثلا مثلا إنه نستعين في اللي هي + +310 +00:17:49,050 --> 00:17:51,350 +مصادر الطاقة الشمسية وإلى أخر وكذا، هذا السياغة + +311 +00:17:51,350 --> 00:17:55,850 +هيك صحيح، لكن ناقص، وين النقص هنا في هذا الموضوع؟ + +312 +00:17:55,850 --> 00:18:00,250 +الممول مش هيبدأ يفتح ديناه لو يسمع المشكلة إلا + +313 +00:18:00,250 --> 00:18:04,170 +بلغة الأرقامما عمرنا نذكر مشكلة بدون أرقام تيجي + +314 +00:18:04,170 --> 00:18:06,710 +تقولي والله بلغة الأرقام حسب التقرير الصادر عن + +315 +00:18:06,710 --> 00:18:09,950 +سلطة الطاقة أنه مثلا عندنا عاجزة أكتر من 40% في + +316 +00:18:09,950 --> 00:18:14,570 +الطاقة وعندنا مثلا كذا حالات مرضية بتتوفى سنويا + +317 +00:18:14,570 --> 00:18:18,030 +حسب تقرير ال WHO بسبب نقص الكهرباء وانقطاعها عن + +318 +00:18:18,030 --> 00:18:21,690 +العنايات المركزة والآخرين لازم أحط أرقام والأرقام + +319 +00:18:21,690 --> 00:18:26,630 +تكون بمصادر موثوقة مصادر قويةالسلطة الوطنية من + +320 +00:18:26,630 --> 00:18:29,010 +خلال الوزارات، من خلال مراكز أبحاث قوية، من خلال + +321 +00:18:29,010 --> 00:18:32,790 +مؤسسات الأمم المتحدة، فبالتالي، هيك لازم تحط + +322 +00:18:32,790 --> 00:18:36,390 +المبررات، وما تكتروش كتير، ويفضل تكون عبارة عن + +323 +00:18:36,390 --> 00:18:40,110 +نقاط، لأن كما شوية، احنا اللي احوز عليكم نموذج + +324 +00:18:40,110 --> 00:18:42,970 +لأحد المؤسسات، انه كيف طالبا معلومات تتعلق في + +325 +00:18:42,970 --> 00:18:46,130 +المبررات، بقولك إيش المشكلة؟ كيف استنتاجة المشكلة؟ + +326 +00:18:46,130 --> 00:18:49,270 +وإيش الحل؟هي هيك الطريقة السليمة لصياغة المشكلة أو + +327 +00:18:49,270 --> 00:18:53,450 +المبررات كتير من اللي بيغلطوا في صياغة المشكلة + +328 +00:18:53,450 --> 00:18:56,730 +أثناء تجهيزهم لـ Proposals ومش بيقولك حسب خبراتنا + +329 +00:18:56,730 --> 00:19:00,530 +السابقة أنه في عنا مشكلة مثلا في أن الشباب بيعانوا + +330 +00:19:00,530 --> 00:19:03,430 +من نقص في مهارات اللي مش عارف إيش، تمام؟ بدون + +331 +00:19:03,430 --> 00:19:05,830 +أرقام، بدون أدلة أو تلك، الممول مش هيتطلع عليه + +332 +00:19:05,830 --> 00:19:08,690 +لأنه ده الممول بيدور على مصادر، ماتقوليش مثلا حسب + +333 +00:19:08,690 --> 00:19:12,110 +البحث اللي أجرى في الـ2011، هذا كلام لأ زي ما + +334 +00:19:12,110 --> 00:19:13,810 +أنتوا في البحث العلمي، بتقولوا لكوا مدرسينكوا + +335 +00:19:13,810 --> 00:19:20,180 +استخدم مصادهنا تكون أشياء 2015 أو 2016 وما بعد + +336 +00:19:20,180 --> 00:19:23,800 +يعني لما استرشد في مصادر أو مراجع عند ذكر المشكلة + +337 +00:19:23,800 --> 00:19:26,780 +والمبررات وبالتالي ركزوا أثناء ال proposal على + +338 +00:19:26,780 --> 00:19:30,560 +كيفية صياغة المشكلة أو مبررات المشروع تمام؟ الهدف + +339 +00:19:30,560 --> 00:19:33,140 +العام والاهداف المحددة طبعا هذه بتاخد دور كبير + +340 +00:19:33,140 --> 00:19:35,860 +برضه في الحصول على التمويل وعرفنا المرة الماضية + +341 +00:19:35,860 --> 00:19:38,940 +كيف تصيغ الهدف العام وكيف الاهداف المحددة وهنا + +342 +00:19:38,940 --> 00:19:44,100 +طبعا في نصيحة أن ما تكتروا هدف محددة تلاتةأربعة + +343 +00:19:44,100 --> 00:19:49,560 +maximum خمسة ليش؟ حد بيعرف ليش؟ الكتير من اللي + +344 +00:19:49,560 --> 00:19:52,860 +بيكتب proposals بيروح ويقولك الأهداف المشروع وممكن + +345 +00:19:52,860 --> 00:19:55,680 +يكون طريقهم .. يعني صيغهم طريقة ممتازة طريقة smart + +346 +00:19:55,680 --> 00:19:58,840 +يعني تكون specific و .. و الاخرين و يكون حاطلك + +347 +00:19:58,840 --> 00:20:02,440 +سبعة و تمان أهداف هذا كلام مش منطقي مش منطقي ليش؟ + +348 +00:20:02,440 --> 00:20:05,760 +تفضل يا عزيزي أهداف المشروع اللي أفق واسعها لما + +349 +00:20:05,760 --> 00:20:08,740 +يكون محددها بأهداف محددة و يكتر الأهداف المحددة + +350 +00:20:08,740 --> 00:20:12,800 +بقلل من الأفقتمام هو في عندها يعني ممكن تكون افق + +351 +00:20:12,800 --> 00:20:16,840 +واسعة ولا مش واسعة لكن احنا كناس اللي اللي هنفذ + +352 +00:20:16,840 --> 00:20:20,900 +المشروع كل ما كترت الأهداف المحددة كل ما كتر اللي + +353 +00:20:20,900 --> 00:20:25,660 +عبق علينا لإنه عدي كمان شوية لما بدي ابدأ اكتب في + +354 +00:20:25,660 --> 00:20:30,390 +ال proposal كل هدف بالنسبة ليههتم تنفيذه طبعا من + +355 +00:20:30,390 --> 00:20:32,050 +خلال مجموعة من الأنشطة لما نعمل الـ Logical + +356 +00:20:32,050 --> 00:20:35,850 +Framework أو الإطار المنطقي وبالتالي عشان انا + +357 +00:20:35,850 --> 00:20:38,630 +انافذ كل الهدف في مجموعة أنشطة لما يكون عندى سبعة + +358 +00:20:38,630 --> 00:20:42,510 +أو تمان أهداف يعني فارق بدي جيش عشان أفذه وبكون في + +359 +00:20:42,510 --> 00:20:47,090 +صعوبة في الحالة هي ان اقدر اوفي كل الأهداف هذه + +360 +00:20:47,090 --> 00:20:50,210 +واطلع مخرجاتهم نحن دايما نحن نحكي عن تلت او اربع + +361 +00:20:50,210 --> 00:20:55,160 +هدف فقط لغير ماشي طيبهذه الأهداف بعد هيك الفئة + +362 +00:20:55,160 --> 00:20:58,260 +المستهدفة أو المستفيدون وحكينا في عندي direct + +363 +00:20:58,260 --> 00:21:00,880 +beneficiaries و indirect beneficiaries تمام وحكينا + +364 +00:21:00,880 --> 00:21:03,040 +المرة الماضية عنهم و لما أجي أصيغهم الفئة + +365 +00:21:03,040 --> 00:21:06,400 +المستهدفة أو المستفيدون بدي أحكي كم عند المستفيدين + +366 +00:21:06,400 --> 00:21:09,240 +200 من أي تخصيات على سبيل المثال إذا أنا بستهدف + +367 +00:21:09,240 --> 00:21:11,740 +خرجين والله من تخصيات ال IT وكلية التجارة على سبيل + +368 +00:21:11,740 --> 00:21:14,800 +المثال من مثلا 100 من الذكور و100 من الاناث من + +369 +00:21:14,800 --> 00:21:18,640 +ملطقة مثلا جنوب قطاع غزة بدي أحدد بالظبط مين هي + +370 +00:21:18,640 --> 00:21:21,410 +الفئةمش أقول والله الفئة المستهدفة خريجي كولية + +371 +00:21:21,410 --> 00:21:24,230 +التجارة يا سلابي عم تستهدف كل خريجي كولية التجارة + +372 +00:21:24,230 --> 00:21:27,570 +خلال خمسين سنة الماضية في مشروعك؟ مش منطق فلازم + +373 +00:21:27,570 --> 00:21:31,530 +أكون أنا محدد في شرحي لمين هي الفئة المستهدفة تمام + +374 +00:21:31,530 --> 00:21:36,490 +طيب تمانية هذا العنصر بياخد الكم الأكبر من المشروع + +375 +00:21:37,230 --> 00:21:40,730 +أنتوا الكل حرية تستخدموا عنوان وصف المشروع أو + +376 +00:21:40,730 --> 00:21:44,810 +مهنجية التنفيذ أو الأنشطة الرئيسية أو ال project + +377 +00:21:44,810 --> 00:21:46,510 +description أو ال methodology أو ال activities + +378 +00:21:46,510 --> 00:21:51,610 +كلها يعنوين صحيحة ممكن تستخدموها في اللي هو يعني + +379 +00:21:51,610 --> 00:21:55,050 +في وصف هذا ال band تمام؟ في ال band هذا ايش بهمني؟ + +380 +00:21:55,050 --> 00:21:58,690 +بهمني ان احدد ايش الأنشطة اللي هيتم تنفيذه خلال + +381 +00:21:58,690 --> 00:22:03,020 +المشروعومين اللي هيقوم بتنفيذ المشروع، عفوًا تنفيذ + +382 +00:22:03,020 --> 00:22:06,380 +كل النشاط، وقداش مدة كل النشاط، شهر، شهرين، + +383 +00:22:06,380 --> 00:22:09,700 +أسبوعين، تلاتة، ومين المستهدف من كل النشاط، وقداش + +384 +00:22:09,700 --> 00:22:12,780 +إذا أنا محتاج فنيين أو خبراء أو consultants + +385 +00:22:12,780 --> 00:22:15,640 +يشتغلوا معاه، وإذا في تدريب لازم لتنفيذ هذه + +386 +00:22:15,640 --> 00:22:19,360 +الأنشطة. هذول يا جماعة الخير كلهم بنحطهم في صورة + +387 +00:22:19,360 --> 00:22:24,860 +إشي بنسميه عبارة عن إيش؟ خطة عملما هي خطة العمل؟ + +388 +00:22:24,860 --> 00:22:27,540 +طبعاً أنا كيف هذا الـ band بدي أكتبه في المقترح + +389 +00:22:27,540 --> 00:22:31,280 +بكتب إنه سيتم تنفيذ المشروع من خلال التالي واحد + +390 +00:22:31,280 --> 00:22:34,060 +تنفيذ برنامج تدريب يستهدف الخريجين اللي هي الفئة + +391 +00:22:34,060 --> 00:22:37,660 +المستهدفة اتنين اللي هو تنفيذ برنامج تشغيل موقّط + +392 +00:22:37,660 --> 00:22:39,800 +لمدة تلت شهور للخراجين في المؤسسات القطاع الخاص + +393 +00:22:39,800 --> 00:22:43,160 +أربعة اللي هو عمل حفل ختائي يعني أنا بحط العنوان + +394 +00:22:43,160 --> 00:22:46,840 +الرئيسية بعد هيك التفصيل وين بيكونوين التفصيل + +395 +00:22:46,840 --> 00:22:50,620 +بيكون؟ خطة العمل كيف تصحيح خطة العمل؟ لو كان عندنا + +396 +00:22:50,620 --> 00:22:53,400 +واجهة أنا هشرحلكوا إياها بالتفصيل لكن باختصار خطة + +397 +00:22:53,400 --> 00:22:56,680 +العمل بجيب التلات أهداف أو الأربعة أهداف اللي توا + +398 +00:22:56,680 --> 00:23:01,540 +حكيتها بحط كل هدف في صف أو في raw وجنب ال raw بكتب + +399 +00:23:01,540 --> 00:23:04,600 +كيف الأنشطة، إيش الأنشطة بالتفصيل اللي بتنفذها + +400 +00:23:04,600 --> 00:23:08,070 +عشان أحقق هذا الهدف يعنيلو كان مثلًا من ضمن + +401 +00:23:08,070 --> 00:23:11,230 +أهدافنا بناء قدرات 200 من الخريجين كلية التجارة + +402 +00:23:11,230 --> 00:23:14,630 +وكلية تكنولوجيا المعلومات، هذا الهدف كيف بدأ نفذه؟ + +403 +00:23:14,630 --> 00:23:18,110 +بحجب أحط الأنشطة، واحد الإعلان عن الاستقطاب اللي + +404 +00:23:18,110 --> 00:23:20,670 +هو خريجين للاستفادة من المشروع، اتنين الإعلان عن + +405 +00:23:20,670 --> 00:23:23,710 +استقطاب مدربين، تلاتة مقابلة الخريجين واختيار 200 + +406 +00:23:23,710 --> 00:23:27,330 +منهم، أربعة اللي هو عمل مقابلة لمدربين ومراجعة + +407 +00:23:27,330 --> 00:23:30,030 +الـCV سبعتهم عشان استخدار الأفضل، خمسة تجهيز + +408 +00:23:30,030 --> 00:23:32,450 +المادة الترابية، ستة لو اتعاقد مع مؤسسة عشان + +409 +00:23:32,450 --> 00:23:36,200 +نستخدم القاعة الترابسبعة اللي هو طبعة المادة + +410 +00:23:36,200 --> 00:23:38,740 +التدريبية تمانية التنفيذ تمام ببدأ السوروتيش + +411 +00:23:38,740 --> 00:23:41,520 +الأنشطة بالظروف اللي هيعملها وجانب الأنشطة هدول + +412 +00:23:41,520 --> 00:23:44,860 +بتقول مين المسؤول عنهم مين المسؤول عنهم والمدة + +413 +00:23:44,860 --> 00:23:47,720 +طبعا مين المسؤول عنهم والله مناصق المشروع أو + +414 +00:23:47,720 --> 00:23:50,960 +المساعد الإداري أو مدير المشروع تمام اللي هو + +415 +00:23:50,960 --> 00:23:53,920 +المسؤول عن التنفيذ و بعدهم أو جاب ليهم بيقول المدة + +416 +00:23:53,920 --> 00:23:57,340 +التنفيذ والله البرنامج التدريبية هيتم تنفيذه من 1 + +417 +00:23:57,340 --> 00:24:02,040 +.1.2017 لغاية 1.4.2017 تمام ليش هذه المعلومات مهمة + +418 +00:24:02,830 --> 00:24:05,730 +ليش مهمة أن أحطها؟ إن هو إيش الأنشطة بالتفصيل؟ + +419 +00:24:05,730 --> 00:24:08,570 +ومين الشخص المسؤول؟ وإيش المدة؟ وطبعاً في عمود + +420 +00:24:08,570 --> 00:24:12,530 +رابع ممكن أحطه مسميه إيش؟ مخرجات، مخرجات الأنشطة + +421 +00:24:12,530 --> 00:24:14,890 +يعني المفروض من نهاية النشاط هذا إيش يطلع عندي؟ + +422 +00:24:14,890 --> 00:24:18,150 +مخرج، نتيجة، من نهاية والله البرنامج التدريبي حتى + +423 +00:24:18,150 --> 00:24:21,670 +يطلع عندي مادة تدريبية مجهزة وإن الشباب المستهدفين + +424 +00:24:21,670 --> 00:24:24,350 +تم بناء قدراتهم والآخرين طيب، إيش الهدف في هذه + +425 +00:24:24,350 --> 00:24:27,870 +المعلومات؟ هدفين، الهدف الأول عشان أنا كمنصق مشروع + +426 +00:24:27,870 --> 00:24:34,940 +يكون فيلأن أي عمل تنفيذه بدون خطة هيفشل وإذا نجح + +427 +00:24:34,940 --> 00:24:38,440 +يكون إشياء بالحظ أنت محظوظ تمام؟ وبالتالي الخطة + +428 +00:24:38,440 --> 00:24:42,940 +عشان أنا أنجح فيها والسبب التاني لحاجة إيش + +429 +00:24:42,940 --> 00:24:47,380 +للمستخدمين المقيمين بيجي المقيم بيقولك والله حسب + +430 +00:24:47,380 --> 00:24:51,280 +خطة العمل احنا اليوم 1.4.2017 المفروض أنت مسلم + +431 +00:24:51,280 --> 00:24:54,240 +المادة التدريبية وين المادة التدريبية؟وبالتالي + +432 +00:24:54,240 --> 00:24:56,860 +الخطة أيضًا تستخدم لعينية التقييم لـ Progress + +433 +00:24:56,860 --> 00:25:00,520 +تقييم الإنجاز في العمل لمشروع، تمام؟ طيب، هذا كل + +434 +00:25:00,520 --> 00:25:04,800 +ما يتعلق في وصف المشروع وخطة العمل طيب، العنصر رقم + +435 +00:25:04,800 --> 00:25:10,120 +9 لازم أحكي إيش المخرجات الناتجة من المشروع تذكروا + +436 +00:25:10,120 --> 00:25:13,280 +المحاضرة الماضية قلنا إحنا المفروض نكتب Results + +437 +00:25:13,280 --> 00:25:16,240 +والـ Results تتكون من Outcomes أو Outputs وفرجنا + +438 +00:25:16,240 --> 00:25:18,660 +بالاتنين، فاكرين؟ شو الفرق بالاتنين؟ شو ال + +439 +00:25:18,660 --> 00:25:24,680 +Outputs؟الـ Outputs هي أيش؟ الـ Tangible المباشرة + +440 +00:25:24,680 --> 00:25:28,340 +أما الـ Outcomes اللي هي Intangible اللي هي أيش؟ + +441 +00:25:28,340 --> 00:25:33,240 +طيب فأنا لازم عشان الممول .. الممول بيدور على اللي + +442 +00:25:33,240 --> 00:25:37,120 +هي بيسموها Success Indicators أو مؤشرات النجاح، + +443 +00:25:37,120 --> 00:25:40,440 +تمام؟ مؤشرات النجاح بيش بيدور على كده أنا يكون + +444 +00:25:40,440 --> 00:25:43,980 +عندى فيه مخرجات هتطلع من نهاية المشروع فأنا بقول + +445 +00:25:43,980 --> 00:25:46,360 +والله هاي ال Outcomes اللي هتطلع هاي ال Outputs + +446 +00:25:46,360 --> 00:25:50,580 +هاي ال impactلو عندنا وجهة احنا كان عملنا تمرين + +447 +00:25:50,580 --> 00:25:52,440 +انه كيف احنا نصيغي ال outputs وكيف نصيغي ال + +448 +00:25:52,440 --> 00:25:55,100 +outcomes و ال impact على أجال ال outputs حكينا + +449 +00:25:55,100 --> 00:25:57,220 +اللي هي الشغلات المباشرة زي المادة التدريبية زي + +450 +00:25:57,220 --> 00:25:59,680 +مختبر إشي ملموس بيكونوا سريع نهاية المشروع بيبين + +451 +00:25:59,680 --> 00:26:02,160 +ال outcomes اللي هي عادة تتعلق في الخبرات و + +452 +00:26:02,160 --> 00:26:05,190 +المهارات اللي بيكتسبهاالشباب اللي هي بتبين بعد + +453 +00:26:05,190 --> 00:26:09,270 +شهرين، تلاتة، أربعة، خمس، ستة ال impact هذا اللي + +454 +00:26:09,270 --> 00:26:12,730 +هو انعكاس ال main goal أو الهدف العام الهذا عادة + +455 +00:26:12,730 --> 00:26:15,350 +بيبين بعد فترات طويلة يعني لو كان ال main goal + +456 +00:26:15,350 --> 00:26:19,050 +عندنا المساعدة في تقليل معدلات البطالة مثلا هذا + +457 +00:26:19,050 --> 00:26:21,490 +الكلام بيبين بعد سنة أو سنتين ان هو والله مشروع + +458 +00:26:21,490 --> 00:26:25,270 +عمل صدرأنا مشروع الإيرادة بدأنا نحس إنه له صدق في + +459 +00:26:25,270 --> 00:26:28,250 +البلد بعد أربع سنين إنه اللي هي صرنا مأثرين على + +460 +00:26:28,250 --> 00:26:30,470 +ذوي الإعاقة صرنا نشوف ذوي الإعاقة بيشتغلوا هان و + +461 +00:26:30,470 --> 00:26:35,590 +هان وخففنا أو قللنا معدلات البطالة بين هذه الفئة + +462 +00:26:35,590 --> 00:26:39,530 +بعد سنتين أو تلاتة من انتهاء المشروعتمام؟ طيب + +463 +00:26:39,530 --> 00:26:43,050 +فبالتالي كويس ان انا اوضح للممول ايش هي المخرجات + +464 +00:26:43,050 --> 00:26:45,930 +اللي هتطلع في نهاية المشروع و اذكرله إياها عشان + +465 +00:26:45,930 --> 00:26:48,810 +الممول مش هيحطلك 200 ألف دولار ولا تلاتمية ولا نص + +466 +00:26:48,810 --> 00:26:52,470 +مليون على كلام فاضي بده شيء مخرجات تكون فعلا + +467 +00:26:52,470 --> 00:26:56,030 +حقيقية و يقيس هذه المخرجات و يقيس هذه المؤشرات في + +468 +00:26:56,030 --> 00:26:59,370 +نهاية المشروع انه تحققت او لا تمام؟ طيب العنصر + +469 +00:26:59,370 --> 00:27:04,710 +الرقم عشرهذه ممكن نحطها وممكن لا، تمام؟ لو أنا + +470 +00:27:04,710 --> 00:27:08,770 +يعني بدي أقنع أن الممول بأهمية وجود فريق متكامل + +471 +00:27:08,770 --> 00:27:11,630 +وفريق كبير، يعني أنا بتستخدم مثلا تلت مناصقين + +472 +00:27:11,630 --> 00:27:14,510 +ميدانيين واتنين مناصقين وتلت مساعدين إداريين ومدير + +473 +00:27:14,510 --> 00:27:17,710 +مشروع، فنيين، فريق كبير، بالحالة هذه بالزمن أعمل + +474 +00:27:17,710 --> 00:27:20,490 +ال matrix هذه، أقول كل واحد أيش دورة في المشروع، + +475 +00:27:20,490 --> 00:27:23,010 +وإيش المسؤليات اللي هشتغلها، أيش المهام، أما إذا + +476 +00:27:23,010 --> 00:27:25,970 +فريق المشروع عبارة عن مناصق أو اتنين، مش بضروري + +477 +00:27:25,970 --> 00:27:30,990 +كتير أن أحطها، نيح؟ طيبرقم 11 المتابعة والتقييم + +478 +00:27:30,990 --> 00:27:33,430 +طبعا هي من الشغلات المهمة جدا اللي بدور عليها + +479 +00:27:33,430 --> 00:27:36,510 +الممول إن أنا كيف بدأ أضمن سهر العمل بطريقة + +480 +00:27:36,510 --> 00:27:40,030 +smoothly يكون إن المشروع ينفذ بطريقة ممتازة بدون + +481 +00:27:40,030 --> 00:27:44,110 +أي خلال هنقوله والله إنه من خلال عدة أمور أولا إن + +482 +00:27:44,110 --> 00:27:47,250 +المشروع هيكون فيه يعني فيه رقابة أو متابعة يومية + +483 +00:27:47,250 --> 00:27:50,440 +من خلال إدارة المؤسسة للمشروعهيكون فيه طبعا + +484 +00:27:50,440 --> 00:27:55,080 +الأدوار والمهام موزعة على الفريق العمل هيكون عمل + +485 +00:27:55,080 --> 00:27:58,380 +تقرير دورية والتقرير الدورية هادي عندنا في شغلنا + +486 +00:27:58,380 --> 00:28:02,360 +احنا تلت أنواع تمام بيعملها مناسق المشروع بيقدمها + +487 +00:28:02,360 --> 00:28:05,240 +تمام؟ يعني أو ممكن نكون عاملين مثلا الـ Sealing + +488 +00:28:05,240 --> 00:28:07,400 +Committee أو لجنة شرفية بتشرف على تنفيذ المشروع + +489 +00:28:07,650 --> 00:28:11,970 +فأنا بوضحله من خلال هذا العنوان أنه أنا كيف أضمن + +490 +00:28:11,970 --> 00:28:14,990 +أنه سير العمل في المشروع من خلال عملية المتابعة + +491 +00:28:14,990 --> 00:28:17,590 +الدورية ومن خلال التقييم اللي هي الدورية طيب، شو + +492 +00:28:17,590 --> 00:28:20,830 +أنواع التقرير اللي بيكتبها المنصق المشروع، اللي + +493 +00:28:20,830 --> 00:28:25,780 +بيشتغل منصق المشروع؟ حد بيعرف؟تقرير إيش؟ دورية + +494 +00:28:25,780 --> 00:28:29,960 +تقرير دورية إيش كمان؟ اللي هي اليومية أو الأسبوعية + +495 +00:28:29,960 --> 00:28:32,520 +أو الأشهرية بيسميها دورية تمام؟ هاي النوع ليه تقرر + +496 +00:28:32,520 --> 00:28:36,720 +دورية؟ التقرير الدورية بيسميها اللي هي تقرير + +497 +00:28:36,720 --> 00:28:39,820 +الإنجاز progress report نيح؟ progress report اللي + +498 +00:28:39,820 --> 00:28:41,900 +هي تقرير الإنجاز أو تقرير الدورية طيب، هاي النوع + +499 +00:28:41,900 --> 00:28:45,140 +لو .. شو نوع التاني غير تقرر دورية؟السنوية يعني + +500 +00:28:45,140 --> 00:28:48,680 +دورية، تمام؟ طيب، المقصود في تقرية دورية أنه أنا + +501 +00:28:48,680 --> 00:28:52,080 +حسب اتفاقي أنا والممول أبعتله تقرير الإنجاز أو + +502 +00:28:52,080 --> 00:28:55,300 +تقرير متابع مثلا كل شهر أو كل شهرين أو كل تلات + +503 +00:28:55,300 --> 00:28:59,260 +شهور أو كل أسبوع، حسب إيش أنا بحدد الفترة، حسب + +504 +00:28:59,260 --> 00:29:02,280 +أولا الفترة الكلية للمشروع وتانيا حسب اتفاقي مع + +505 +00:29:02,280 --> 00:29:08,200 +الممول، نعم؟الغالب حسب مدت المشروع الكلية يعني + +506 +00:29:08,200 --> 00:29:10,580 +مثلا لو كان المشروع مدته سنتين بقدم كل شهرين + +507 +00:29:10,580 --> 00:29:13,400 +progress report لو كان المشروع ست شهور بقدم مثلا + +508 +00:29:13,400 --> 00:29:16,180 +كل سبوعين أو كل شهر حسب الفترة كلية المشروع طيب + +509 +00:29:16,180 --> 00:29:22,140 +هذا نوع سميته قردورية فيه نوع تانيمثلا طرق معينة + +510 +00:29:22,140 --> 00:29:25,520 +مثلا لما يساكن المعبر فيش مواد مش جاهزة لتبرسله بس + +511 +00:29:25,520 --> 00:29:28,660 +احنا نتفرج هذا نوع من أنواع ال report informal ان + +512 +00:29:28,660 --> 00:29:32,120 +انا ببعدله تقارير حسب الحاجة تقرير طريق عن مشكلة + +513 +00:29:32,120 --> 00:29:35,300 +عن موضوع معين لكن التقارير ال formal المعروفة يعني + +514 +00:29:35,300 --> 00:29:38,520 +اللي هي الثابت اللي بيستخدم عليها المنصق المشروع + +515 +00:29:38,520 --> 00:29:43,220 +هم تلاتة أساسيين الأول حكيته عنه اللي هو تقرير إيش + +516 +00:29:43,220 --> 00:29:47,180 +اللي هو مرحلي أو دوري أو متابعة في تقرير تاني + +517 +00:29:47,180 --> 00:29:50,670 +بيسميه تقرير إيش نهائيالتقرير النهائي هذا اللي + +518 +00:29:50,670 --> 00:29:56,090 +بيجمع كل .. كل بالظبط يعني معنى أخر لو جبتي + +519 +00:29:56,090 --> 00:29:58,490 +التقارير المتابعة كلهم التقارير الدورية كلهم و + +520 +00:29:58,490 --> 00:30:01,250 +لزجتيهم في بعض هدول بطلع تقرير نهائي بالإضافة + +521 +00:30:01,250 --> 00:30:03,610 +لشوية معلومات تتعلق في نهاية المشروع تمام؟ + +522 +00:30:03,610 --> 00:30:06,150 +وبالتالي التقرير النهائي هذا بيجمع نهاية كل + +523 +00:30:06,150 --> 00:30:09,770 +المشروع تمام؟ هذا مش نوع تقرير هذا ممكن أنا إذا + +524 +00:30:09,770 --> 00:30:12,290 +فيه تقييم أنا بدي أعمل عاملة تقييم بيعملها تقرير + +525 +00:30:12,290 --> 00:30:14,750 +لكن في نوع تالت لأنواع التقارير اللي بيشتغلها + +526 +00:30:14,750 --> 00:30:19,150 +مناصق المشروعنيح تعرفوه اسمه inception report + +527 +00:30:19,150 --> 00:30:22,750 +تقرير استهلالي او تقرير بدء المرحلة inception + +528 +00:30:22,750 --> 00:30:26,430 +report تعرفوا inception اه تمام استهلال شو يعني + +529 +00:30:26,430 --> 00:30:29,730 +inception report و متى يقدم هذا التقريرالـ + +530 +00:30:29,730 --> 00:30:31,590 +Inception Report هذا يقدم في الفترة الأولى من + +531 +00:30:31,590 --> 00:30:35,370 +تنفيذ المشروع بعد أسبوعين أو بعد شهر هذا الهدف منه + +532 +00:30:35,370 --> 00:30:39,110 +عشان أنه نوضح في التقرير إيش الأنشطة اللي + +533 +00:30:39,110 --> 00:30:41,210 +اشتغلناهم بأول تلات أسابيع أو أول شهر في فترة + +534 +00:30:41,210 --> 00:30:44,350 +المشروع ونأكد من خلاله على خطة العمل اللي هنشتغل + +535 +00:30:44,350 --> 00:30:47,690 +فيها ومن الفريق اللي هنشتغل فيه كتير من مقابلات + +536 +00:30:47,690 --> 00:30:49,970 +التوظيف لملاصقين المشاريع بسأله بشو يعني Inception + +537 +00:30:49,970 --> 00:30:52,850 +Report تمام؟ فبيعرفوش فانتوا وانتوا لما تفضوا يعني + +538 +00:30:52,850 --> 00:30:56,010 +و تخلصوا فس فس أو كذا بتفتحوا عن Inception Report + +539 +00:30:56,010 --> 00:31:01,340 +كويس و تاكتير كويس انا هنا بحكيلكوا انا اللي بعمل + +540 +00:31:01,340 --> 00:31:04,320 +مقابلات انا اللي بقابل اوظف ناس عنا بقولك شو يعني + +541 +00:31:04,320 --> 00:31:06,360 +ال inception report اللي يقابل عندي يكون جاهز في + +542 +00:31:06,360 --> 00:31:08,920 +هذا السؤال ماشي واش محتوياته واش العناصر الرسية لل + +543 +00:31:08,920 --> 00:31:13,280 +inception report طبعا المهم حكينا تقريت .. خليكم + +544 +00:31:13,280 --> 00:31:18,070 +معاهتقرير متابعة و تقرير inception و تقرير مهم + +545 +00:31:18,070 --> 00:31:20,830 +طبعا غير تقرير نهائي كمان يعني تقرير متابعة و + +546 +00:31:20,830 --> 00:31:22,550 +تقرير نهائي و تقرير inception هدول بيسميهم + +547 +00:31:22,550 --> 00:31:27,530 +technical reports شو بيسميهم تقارير فنية اللي هي + +548 +00:31:27,530 --> 00:31:30,490 +تقرير المتابعة و ال inception و ال final report او + +549 +00:31:30,490 --> 00:31:33,810 +تقرير نهائي هسم technical reports في نوع تاني من + +550 +00:31:33,810 --> 00:31:38,050 +التقارير بيسميه financial reports اللي هو تقرير + +551 +00:31:38,050 --> 00:31:42,710 +المالي او تقرير مالية تقرير مالي عبارة عن ايشأنا + +552 +00:31:42,710 --> 00:31:46,990 +كم صرفت من موازنة المشروع مرفقة فيها إيش يعني تقري + +553 +00:31:46,990 --> 00:31:50,470 +مرة عبارة عن صفحة عبارة عن صفحة بالظبط أنا تقري + +554 +00:31:50,470 --> 00:31:53,410 +مرة عبارة عن صفحة بحطله budget ميزانية المشروع + +555 +00:31:53,410 --> 00:31:57,590 +بحطله إياها وكل band أنا كم صرفت من ال band هذامن + +556 +00:31:57,590 --> 00:32:01,410 +بنتها تصرفت والله ألفين دولار من قصر الـ 3500 صفحة + +557 +00:32:01,410 --> 00:32:06,370 +لكن الملحقات الملحقات الفواتير السندات الصرف + +558 +00:32:06,370 --> 00:32:11,090 +العقود كل هذه الأمور الهدف منه الهدف منه إن + +559 +00:32:11,090 --> 00:32:14,410 +المموّب يتأكد وان فلوسه انصرفت من خلال الوثائق هذه + +560 +00:32:14,410 --> 00:32:20,130 +حلو؟ طيب هذه أنواع التقارير ومن خلال طبعا المتابعة + +561 +00:32:20,130 --> 00:32:24,070 +والتقييم وانا عشان أحكيلكوا بس معلومة مهمة أكتر من + +562 +00:32:24,070 --> 00:32:26,270 +70% من اللي بيشتغل من صفقين مشاريع يعرفوش كتبوا + +563 +00:32:26,270 --> 00:32:31,320 +تقاريرنهائي لا عرب ولا انجليزي و طبعا هذه الكلام + +564 +00:32:31,320 --> 00:32:35,200 +يعني ما ببالغ فيه اللي بنزل على الميدان بنزل و + +565 +00:32:35,200 --> 00:32:39,300 +بشوف ما بيعرفوش العناصر الرئيسية للتقرير للأسف + +566 +00:32:39,300 --> 00:32:42,020 +يعني فعشان هيك اتعلموا كويس كيف تكتبوا تقرير جاي + +567 +00:32:42,020 --> 00:32:45,680 +لما تنزلوا على سوق العمل طيبSustainability أو + +568 +00:32:45,680 --> 00:32:49,380 +استمرار المشروع هنا انا بدأ اقعد يعني اتفلسف شوية + +569 +00:32:49,380 --> 00:32:53,620 +على الممول اه ادى اقوله يعني احسسه بقيمته اقوله + +570 +00:32:53,620 --> 00:32:57,040 +فيها تحت العنوان استمرار المشروع اقوله والله يا + +571 +00:32:57,040 --> 00:33:00,600 +ممول انه انت لما تمول المشروع ويطلع عندى المخرجات + +572 +00:33:00,600 --> 00:33:03,480 +هدول ال outputs و ال outcomes المفروضالمادة + +573 +00:33:03,480 --> 00:33:05,940 +التدريبية اللي هتطلع تستفيد منها كتير من الخريجين + +574 +00:33:05,940 --> 00:33:10,060 +للكليات المختبر اللي هيتم إنشاءه في نهاية المشروع + +575 +00:33:10,060 --> 00:33:12,920 +هيتم استخدامه لسنوات طويلة من قبل خريجين الجامعة + +576 +00:33:12,920 --> 00:33:16,080 +أو طلاب الجامعة الخبرات والمهارات اللي اكتسبوها + +577 +00:33:16,080 --> 00:33:18,400 +الشباب هيتم استخدامها في سوق العمل وبتوايا بالتالي + +578 +00:33:18,400 --> 00:33:24,100 +هتفتح لهم أفاق يعني بهمه أنه يشوف ثمرة جهده وفلوسه + +579 +00:33:24,100 --> 00:33:27,260 +أنه هتم استخدامه في أطول فترة ممكنة يعني فيه + +580 +00:33:27,260 --> 00:33:32,050 +ديمومة في الاستفادة من المشروعأفشى المشروع بالدنيا + +581 +00:33:32,050 --> 00:33:35,410 +اللى تنتهى الاستفادة منه بالنهاية المشروع اليوم + +582 +00:33:35,410 --> 00:33:38,030 +صار closing لأ المشروع خلص خلص الاستفادة هذا مشروع + +583 +00:33:38,030 --> 00:33:42,760 +فاشلولا مول بالدنيا برضه يموله المشروع اللي بيقول + +584 +00:33:42,760 --> 00:33:45,020 +اه والله فيه sustainability فيه استمرارية يعني + +585 +00:33:45,020 --> 00:33:48,120 +الناس هتظل تستفيد من ورا هذا المشروع عشرات السنوات + +586 +00:33:48,120 --> 00:33:52,140 +زميج يقولك والله انه انا .. يعني اللي انا بيقارنه + +587 +00:33:52,140 --> 00:33:54,900 +بين مشاريع اللي هي البطالة المؤقتة ومشاريع اللي هي + +588 +00:33:54,900 --> 00:33:57,700 +دعم المشاريع الصغيرة او ريادة الأعمال بيقولك مشروع + +589 +00:33:57,700 --> 00:34:01,000 +البطالة انا بفيده لست شهور و بقعد بالدار خلاص بس + +590 +00:34:01,000 --> 00:34:03,240 +انا مدي اربع تلاف دولار او خمس تلاف يعمل مشروع + +591 +00:34:03,240 --> 00:34:06,240 +يعمل شيء صغير انا بكون فيته لطول العمر انه شيء + +592 +00:34:06,240 --> 00:34:10,220 +sustainable شيء دائمتمام؟ فهذا اللي بيدوروا عليه + +593 +00:34:10,220 --> 00:34:13,380 +الممول للاستمرارية والاستفادة من مخرجات مشاريحه + +594 +00:34:13,380 --> 00:34:16,880 +ومن اللي هي تنفيذ المشاريع اللي بيمولوها تمام طيب + +595 +00:34:16,880 --> 00:34:20,620 +13 ال budget أو ميزانية المشروع وطبعا هنا ال + +596 +00:34:20,620 --> 00:34:26,940 +budget شيء يعني حرج في وضعه كتير بفشله في تحديد + +597 +00:34:26,940 --> 00:34:31,260 +الميزانية الصحيحة للمشروع وطبعا يعني أنه أحيانا + +598 +00:34:31,260 --> 00:34:34,860 +أغلط في صفر في رقم في شيء ممكن نسفل كل ال budget + +599 +00:34:34,860 --> 00:34:38,230 +يعني مثلا عندنالما أقول أنا عندي مشروع يبدأ درب + +600 +00:34:38,230 --> 00:34:42,710 +مثلا 200 خريجة لمدة 6 شهور تمام؟ والـ 200 خريجة + +601 +00:34:42,710 --> 00:34:46,110 +خلال 6 شهور هيتضربوا مثلا 300 ساعة وهيجوا يداوموا + +602 +00:34:46,110 --> 00:34:48,210 +عندى تقريبا كل يوم أو كل يوم بعد يوم فيه اللي هم + +603 +00:34:48,210 --> 00:34:51,050 +واجبات طبعا وفيه قاعات تدربية وفيه أجار المدربين + +604 +00:34:51,910 --> 00:34:57,350 +كيف نحسب كم واجبة انا 200 خريج في 200 واجبة في + +605 +00:34:57,350 --> 00:35:02,690 +اليوم في حوالي مثلا 80 يوم في 15$ للواجبة كيف بدأ + +606 +00:35:02,690 --> 00:35:05,910 +أحسب هذه الشغلات كثير بيغلطوا فيها فبدل ما يكون + +607 +00:35:05,910 --> 00:35:10,050 +مثلا هذا ال item للواجبات قيمته مثلا 15 أف دولار + +608 +00:35:10,050 --> 00:35:13,270 +بيكون غلطان مش ضارف العدد الإجمالي في 200 خريج أو + +609 +00:35:13,270 --> 00:35:16,190 +مش ضارف عدد الأيام الإجمالي فبتلاقيه مثلا 3000$ + +610 +00:35:16,590 --> 00:35:20,010 +وبتروح تتقدم ال budget عند التنفيذ بتورطه المؤسسة + +611 +00:35:20,010 --> 00:35:22,710 +بروح يبعتله مول يقول والله يا مول احنا متأسفين + +612 +00:35:22,710 --> 00:35:25,630 +يغلطنا في ال budget ايش هيقول الموال باعرف cash + +613 +00:35:25,630 --> 00:35:29,450 +لإن احنا اجت الموافقة من ال headquarter من مقر + +614 +00:35:29,450 --> 00:35:32,650 +رئيسي للمؤسسة من أوروبا مثلا انه على 500 ألف مقدرش + +615 +00:35:32,650 --> 00:35:36,070 +ازيدك ولا دولار شو الحال اتحملها انتمن يتحمل هذه + +616 +00:35:36,070 --> 00:35:38,770 +المسئولية ساعتها؟ العامل الـ Budget المنصق اللي هو + +617 +00:35:38,770 --> 00:35:41,510 +أنت اللي كتب الـ Budget اللي كتب الميزانية عشان + +618 +00:35:41,510 --> 00:35:44,630 +هيك you should be careful enough أثناء إيه إعداد + +619 +00:35:44,630 --> 00:35:47,210 +ال .. ال .. ال .. ال .. أو you must مش you should + +620 +00:35:47,210 --> 00:35:51,410 +كمان أثناء إعداد الميزانية، تمام؟ طيب، رقم 14 + +621 +00:35:51,410 --> 00:35:55,630 +وأخيرا اللي هو الملاحقعادة انا شوف الملاحق اللي + +622 +00:35:55,630 --> 00:35:57,970 +بحطها في ال proposal بحط ملف تعريفي زي ما حكينا + +623 +00:35:57,970 --> 00:36:00,750 +قبل شويه عن المؤسسة و عن الجامعية الملف التعريفي + +624 +00:36:00,750 --> 00:36:03,950 +باختصر خبرات المؤسسة related للمشروع و أهدافها و + +625 +00:36:03,950 --> 00:36:07,690 +سياساتها و رؤيتها و متى تأسست إيه و آخره إذا أنا + +626 +00:36:07,690 --> 00:36:10,190 +عارف مين فريق اللي عمل اللي حاجة تشغل على المشروع + +627 +00:36:10,190 --> 00:36:14,310 +بحط ال CVs تبعتهم إذا مش عارف طبعا مش هحطهم و بحط + +628 +00:36:14,310 --> 00:36:17,640 +أي ملحقات بطلبها مني الممولاللي هي زي ما في كل + +629 +00:36:17,640 --> 00:36:21,420 +شهادة ترخيص المؤسسة أخر تقرير مالي ال budget كل + +630 +00:36:21,420 --> 00:36:24,900 +هذه الأمور تمام هذه يا جماعة الأربعة عشر عنصر + +631 +00:36:24,900 --> 00:36:29,760 +اللازم أنا أكون عندي قدرة عالية وممتازة في كتابتهم + +632 +00:36:29,760 --> 00:36:34,720 +عند كتابتنا لأي مقترح مشروع تمامطيب قبل ما أشوف + +633 +00:36:34,720 --> 00:36:41,000 +النصائح هذا نموذج يعني مش مقترح متكامل يعني + +634 +00:36:41,000 --> 00:36:44,400 +أحكيلكوا المؤسسة اسمها مؤسسة أمان ماليزيا موجودة + +635 +00:36:44,400 --> 00:36:50,460 +هنا في غزة في ال 2013 عملت call for proposal طلبت + +636 +00:36:50,460 --> 00:36:54,220 +أن تستقبل أفكار مشارية تستهدف قطاع الشباب تمام؟ + +637 +00:36:54,550 --> 00:36:58,770 +ولأن هم متوقعين أنه يقدم مئات المؤسسات من غزة يعني + +638 +00:36:58,770 --> 00:37:03,170 +ممكن يقدموا له 500 مشروع تمام فهم عساس يعرفوا أنه + +639 +00:37:03,170 --> 00:37:05,810 +كيف يقيموا ويطلبوا ويقالوا اللي بتقدم يعدي نموذج + +640 +00:37:05,810 --> 00:37:09,090 +هذا هو هذا لا full proposal ولا concept paper يعني + +641 +00:37:09,090 --> 00:37:11,910 +أنا أبيع الأتنين هم عملوا وظبطوا ووزعوا وقالوا + +642 +00:37:11,910 --> 00:37:14,590 +اللي بتقدم مشروع يعبوه نرجع تاني الهدف يا جماعة + +643 +00:37:14,590 --> 00:37:18,930 +الخير أن الممول يعني ليش اتحاد الأوروبيبطلب + +644 +00:37:18,930 --> 00:37:21,470 +معلومات محددة ليش يعني اللي بيقولنا أنه اللي + +645 +00:37:21,470 --> 00:37:23,750 +بيدقدّم لاتحاد الأوروبي يعابى بال application form + +646 +00:37:23,750 --> 00:37:27,730 +هذا طبعا يعني عدة أسباب سبب الأول أنه في الناس + +647 +00:37:27,730 --> 00:37:31,050 +بتترسل و هي بتكتب بضلها تكتب تكتب تكتب تكتب و هذا + +648 +00:37:31,050 --> 00:37:34,190 +.. و هذا إش مش منطقي عشان هيك للي اشتغل أو للي بيع + +649 +00:37:34,190 --> 00:37:37,410 +في نموذج اتحاد الأوروبي إيش بنسوي؟ يعني لما يتيجي + +650 +00:37:37,410 --> 00:37:40,270 +عنوان introduction في مشروع اتحاد الأوروبي بنكتب + +651 +00:37:40,270 --> 00:37:43,410 +online طبعا الكتابة بنضلها نكتب نكتب بيصل لمرحلة + +652 +00:37:43,410 --> 00:37:48,860 +بواجه فاطل يكتب بقولك الحد الأقصى المسمنيح + +653 +00:37:48,860 --> 00:37:52,080 +وبالتالي هو بدوش يعطيه فرصة للناس تسترسل ويتكتب + +654 +00:37:52,080 --> 00:37:55,200 +خلاص بده معلومات قصيرة ومحددة فهذا هدف من الأهداف + +655 +00:37:55,200 --> 00:37:57,700 +أنه يفرض علينا الممولين نموذج أنه يطلبوا معلومات + +656 +00:37:57,700 --> 00:38:03,060 +محددة الهدف التاني مهم أنه في ممولين يعني بحتاجين + +657 +00:38:03,060 --> 00:38:05,160 +معلومات محددة أكتر من التانية أنا بقولك أنا مش + +658 +00:38:05,160 --> 00:38:07,720 +محتاج تكتبلي introduction ومش محتاج تكتبلي مثلا + +659 +00:38:07,720 --> 00:38:10,840 +يتفصل كتير بالخطة وكتير لأ أنا محتاج المبررات + +660 +00:38:10,840 --> 00:38:16,620 +والأهداف سبب تالت وأهمإنه عشان يكون فيه موضوعية + +661 +00:38:16,620 --> 00:38:21,700 +وفيه عدل في التقييم إنه أنا بنقش الأهداف لكل + +662 +00:38:21,700 --> 00:38:24,620 +المؤسسات المبررات الموضوعية الـ Introductions + +663 +00:38:24,620 --> 00:38:26,940 +مايديش حد يكون حاطط معلومات أكتر من التاني + +664 +00:38:26,940 --> 00:38:28,940 +فبالتالي أنا بطلب معلومات محددة و بين عليها أقيم + +665 +00:38:28,940 --> 00:38:31,920 +والتالي فيه مصداقية أو فيه موضوعية في الحكم على + +666 +00:38:31,920 --> 00:38:34,480 +المشاريع طيب، في مؤسسة Man Malaysia بعت هذا + +667 +00:38:34,480 --> 00:38:36,900 +المقترح أو نزلته على الـ Website لمن عنده مقترح + +668 +00:38:36,900 --> 00:38:41,630 +مشروع يعبي هذا الـForm ويبعته لنااتفرجوا عليه طبعا + +669 +00:38:41,630 --> 00:38:44,310 +التعبية مش على النموذج، هذا النموذج يمكن يصير سبعة + +670 +00:38:44,310 --> 00:38:46,970 +أو تمام صفحات أو تسعة صفحات، بس هذا مختصر يعني أه؟ + +671 +00:38:46,970 --> 00:38:49,570 +يعني و أنت بتكتبوا على ال word و تنزلوا space و + +672 +00:38:49,570 --> 00:38:52,590 +enter أه؟ يعني تفكروش المقترح بينكتب صفحتين، ال + +673 +00:38:52,590 --> 00:38:54,670 +concept paper بينكتب تلت صفحات أو أربع .. أربع، + +674 +00:38:54,670 --> 00:38:57,210 +فال proposal بيكون أكتر، بس هذا باب اللي هو اللي + +675 +00:38:57,210 --> 00:38:59,330 +تاخدوا فكرة عنه، تمام؟ طيب + +676 +00:39:02,680 --> 00:39:06,740 +إذا انتوا لكوا مثلا group أو إشي online أو ممكن + +677 +00:39:06,740 --> 00:39:08,900 +أبعتلكوا لدكتورة خلود ماببعتلكوا نموذج مشروع اتحاد + +678 +00:39:08,900 --> 00:39:11,520 +القرابي نموذج اللي هو ال application farm بتاع + +679 +00:39:11,520 --> 00:39:13,620 +اتحاد القرابي ال application farm بتاع مؤسسات + +680 +00:39:13,620 --> 00:39:16,520 +تعاون يعني عدة مؤسسات ممكن أبعتلكيا و خلينا نتطلع + +681 +00:39:16,520 --> 00:39:19,860 +عليهم ال application farm بتاع اتحاد القرابي + +682 +00:39:19,860 --> 00:39:24,130 +عارفينه؟طيب ببعتلك إياه ببعتلك إياه و في كمان + +683 +00:39:24,130 --> 00:39:28,370 +appear نمساوي شوفته ببعتلكوا هدول اتنين نحن هم + +684 +00:39:28,370 --> 00:39:33,970 +بياخدوا فكرة عنهم طبعا طيب أخر شيء يعني ال one أو + +685 +00:39:33,970 --> 00:39:37,730 +two slides شوية نصائح تاخدوها بعين الاعتبار مش بس + +686 +00:39:37,730 --> 00:39:41,350 +مش بس لمقترحات المشاريع كمان لتقاريركم لو كنتم + +687 +00:39:41,350 --> 00:39:46,150 +تعملوها أو أبحاثكم طبعازي ما حكينا قبل شوية لما + +688 +00:39:46,150 --> 00:39:49,030 +انا اجاكت مقترح المشروع ما اتفصلش كتير و ما اتجنب + +689 +00:39:49,030 --> 00:39:51,750 +.. ما .. ما اتسرشلش كتير بالحكي و دايما اكون إجابة + +690 +00:39:51,750 --> 00:39:55,390 +محددة و اوضح الفكرة بشكل مباشر وهذه النقطة طبعا + +691 +00:39:55,390 --> 00:40:01,070 +التالتة مهمةأه خلّيكم معاه اللي حابب يكمل في + +692 +00:40:01,070 --> 00:40:03,810 +المشاريع اللي حابب يصير خبير في ال proposal + +693 +00:40:03,810 --> 00:40:07,750 +writing كويس في اشي اسمه اللي هي انا اعزف للممول + +694 +00:40:07,750 --> 00:40:11,910 +على وطر الحساس أو الشيء اللي بحبه يعني جابل ما + +695 +00:40:11,910 --> 00:40:15,050 +نكتب ال proposal شو بنعمله نمسك ال website تبع + +696 +00:40:15,050 --> 00:40:19,300 +الممول بنفليه تفلاية نقرأهبشوف إيش المفرضات اللي + +697 +00:40:19,300 --> 00:40:22,420 +هم مستخدمها مثلا بيكون الممول مش كاتب بيقولك + +698 +00:40:22,420 --> 00:40:25,280 +الشباب هم عماد الأمة و هم مصدر مش عارف إيش باخد + +699 +00:40:25,280 --> 00:40:28,460 +نفس الجملة و بحطها عندى في المقترح ليش؟ عشان أوضح + +700 +00:40:28,460 --> 00:40:32,480 +للممول أن أنا و أنت بنحقق نفس الهدف عنا نفس الرؤية + +701 +00:40:32,480 --> 00:40:34,620 +تضحك عليه نحن نحن نحن نحن نحن نحن نحن نحن نحن نحن + +702 +00:40:34,620 --> 00:40:34,620 +نحن نحن نحن نحن نحن نحن نحن نحن نحن نحن نحن نحن + +703 +00:40:34,620 --> 00:40:34,620 +نحن نحن نحن نحن نحن نحن نحن نحن نحن نحن نحن نحن نح + +704 +00:40:34,640 --> 00:40:39,240 +فمنيح ان انا اقرا اشوف المول ايش بيحكي ايش بده و + +705 +00:40:39,240 --> 00:40:43,500 +اغنيله زي ما بده تمام؟ و هذا كلام مش غلط و يعني .. + +706 +00:40:43,500 --> 00:40:47,500 +يعني هذا .. هذا الصح الصح ان انا اوضح للمول انا + +707 +00:40:47,500 --> 00:40:50,200 +متبني نفس الرؤية و الرسالة اللي انت متبنيها تمام؟ + +708 +00:40:50,200 --> 00:40:53,440 +طيب من ضمن النصائح يا جماعة في ربنا ميعطيهم قدرة + +709 +00:40:53,440 --> 00:40:55,340 +في الكتابة سواء باللغة العربية او باللغة + +710 +00:40:55,340 --> 00:40:58,600 +الإنجليزية ماتقدش تتفلسفوااللي في اللغة العربية + +711 +00:40:58,600 --> 00:41:01,460 +بيستخدم مفردات من الشعر الجاهل والأدب الجاهل وكذا + +712 +00:41:01,460 --> 00:41:04,500 +أو باللغة الإنجليزية بيستخدم لغة أدبية صعبة احنا + +713 +00:41:04,500 --> 00:41:06,680 +هم أكثر من المفرضة اللي حافظينهم بال project + +714 +00:41:06,680 --> 00:41:09,460 +management و بنكتبهم تيجي تجيبلي مصطلحات جديدة مش + +715 +00:41:09,460 --> 00:41:13,700 +الممكن الممول البقية من المشروع بعرفهاش مش هيفضّح + +716 +00:41:13,700 --> 00:41:16,240 +حاله يروح يترجمها عشان تكون بالصورة يقولك أنا مش + +717 +00:41:16,240 --> 00:41:19,920 +فاهم و هذا خلاص rejected انسى مرفوض علشان هيك + +718 +00:41:19,920 --> 00:41:22,300 +يستخدموا اللغة السهلة و البسيطة و المتعرف عليها + +719 +00:41:22,300 --> 00:41:27,270 +تمام؟ المظهر مهممش مهم انه يروح يلون ويعمل خط + +720 +00:41:27,270 --> 00:41:31,030 +الاندلسي والكوفي ولا لا مهم ان يكون الشكل مرتب + +721 +00:41:31,030 --> 00:41:34,050 +الخطوط الرسمية المتعرف عليها اللي هي 12 او 14 + +722 +00:41:34,050 --> 00:41:36,430 +بالعربي مثلا simplified Arabic في ال English Arial + +723 +00:41:36,430 --> 00:41:39,730 +او Times New Roman تكون فيه هوامش يكون الاشي واضح + +724 +00:41:39,730 --> 00:41:45,340 +تمام؟بالظبط الشيء يمنصق يكون بشكل كويس وهمش يتأكد + +725 +00:41:45,340 --> 00:41:47,880 +معلومات التواصل اللي تكون موجودة تليفون الإيميل + +726 +00:41:47,880 --> 00:41:51,060 +الأمور هاي تمام وزي ما حكينا قبل شوية أي شيء بدأ + +727 +00:41:51,060 --> 00:41:54,120 +قدمه خاصة في المباراة لازم أكون باستخدام اللي هي + +728 +00:41:54,120 --> 00:41:59,110 +الأدلة والبراهين والأرقام والإحصائياتو كما قلت انا + +729 +00:41:59,110 --> 00:42:02,770 +اختصر تبحث كثير تقول انا بعتله proposal مكوّن من + +730 +00:42:02,770 --> 00:42:05,290 +50 صفحة مش هيجيه جراء كله وبالتالي هتكون كل شيء + +731 +00:42:05,290 --> 00:42:09,630 +سلبي عليك اثر سلبي يعني يجلب يقرأ 5 او 10 صفحة من + +732 +00:42:09,630 --> 00:42:11,550 +اقصر الخمسين وبالتالي مقرأش الشيء المهم وبالتالي + +733 +00:42:11,550 --> 00:42:15,450 +بتروح عليك فكرة المشروع وهذه النقطة اتوقعوا يصير + +734 +00:42:15,450 --> 00:42:19,400 +تعديلات خدوا هذا المثاليعني انت بتقدمه ال proposal + +735 +00:42:19,400 --> 00:42:22,840 +الأولي بقراه ممكن يعدل عليها مرة للممول و بعتلك + +736 +00:42:22,840 --> 00:42:25,140 +إياه فانت بتروح بتعدله عليها و بصير ال proposal + +737 +00:42:25,140 --> 00:42:27,560 +بشكل نهائي تمام؟ و ممكن مرتين يعدل عليه و ممكن + +738 +00:42:27,560 --> 00:42:31,020 +تلاتةمشروع منظمة العمل الدولية اللى خلصناه بشهر + +739 +00:42:31,020 --> 00:42:34,500 +سبعة السنة الماضية سنتين و احنا نعدل على proposal + +740 +00:42:34,500 --> 00:42:38,880 +سنتين عدل و شيل و عدل و شيل و عدل و شيل اه و طبعا + +741 +00:42:38,880 --> 00:42:42,520 +احنا دلنا متحملين يعني انا لإني بدي التمويل و بدي + +742 +00:42:42,520 --> 00:42:44,840 +انافذ المش... اه بالظبط بدي انافذ ماكنترش اقول اه + +743 +00:42:44,840 --> 00:42:47,920 +انت زهجتنا يا زلم كنتوا بتقول لا حاضر شيل المقدمة + +744 +00:42:47,920 --> 00:42:51,240 +شيل رجع المقدمة حاضر شيل ال budget ل 2 مليون فاصلة + +745 +00:42:51,240 --> 00:42:54,780 +مية حاضر نزلها لمليون حاضر خليها نص مليون ماشي + +746 +00:42:55,040 --> 00:42:58,200 +هيشيل الأهداف، اللي صار في انكو حرب، يعني خلّي + +747 +00:42:58,200 --> 00:43:01,940 +المشروع يتواقم مع عادة الإعمار، ماشي فعليا أنا + +748 +00:43:01,940 --> 00:43:06,220 +عددت مقترح المشروع هذا أكتر من 26 مرة لغاية أني ما + +749 +00:43:06,220 --> 00:43:09,380 +بطلت عارف وين النسخة الأصلية بتاعة الملف، بس + +750 +00:43:09,380 --> 00:43:11,500 +بالنهاية الحمد لله أجا المشروع نفذناه وخلصنا + +751 +00:43:11,500 --> 00:43:18,520 +تنفيذه، تمام؟ طيبكمان من ضمن النصائح، احنا اخر شيء + +752 +00:43:18,520 --> 00:43:21,480 +ممكن نحكيه، انا حكيت طبعا على موضوع اللي هي دايما + +753 +00:43:21,480 --> 00:43:23,760 +اعتمد على قاعدة ثلاث نقاط، اللي هي ثلاث اهداف + +754 +00:43:23,760 --> 00:43:25,260 +مثلا، او لو ما احكي على مشكلة احكي على ثلاث + +755 +00:43:25,260 --> 00:43:27,960 +مشكلات، استراتيجية المثلث المعكوس، يمكن الدكتور + +756 +00:43:27,960 --> 00:43:30,760 +يقول ان كما تحكي القرآن باستفادة، اعتماد على مصادر + +757 +00:43:30,760 --> 00:43:35,580 +موثوقةفي صياغتنا للمشكلة احنا بنستخدم مفارضات + +758 +00:43:35,580 --> 00:43:40,540 +معينة مثلا هي نقص، غياب، قلة، نضرة وطبعا بيكون هذا + +759 +00:43:40,540 --> 00:43:43,040 +النقص أو الغياب أو القلة في الكفاءات، في الخبرات، + +760 +00:43:43,040 --> 00:43:46,600 +في الموارد فهذه الكلمات بتعمل shock للممول إنه في + +761 +00:43:46,600 --> 00:43:50,100 +نقص في الموارد البشرية، في قلة، في كذا فمنيح إنه + +762 +00:43:50,100 --> 00:43:54,180 +يستخدمها تمام؟ آخر شيء صياغة الأهداف اللي كلكم + +763 +00:43:54,180 --> 00:43:57,000 +بتغرطوا فيها أو بلاش معظمكم بيغرطوا فيها بالعربي و + +764 +00:43:57,000 --> 00:44:01,350 +بال English كيف تصاغ الأهداف الأهداف المحددةكثير + +765 +00:44:01,350 --> 00:44:05,930 +من المقترحات و المشاريع يجدون أنه لا يوجد انسيابية + +766 +00:44:05,930 --> 00:44:09,950 +أو لا يوجد تجانس في صياغة الأهداف سواء بالإنجليش + +767 +00:44:09,950 --> 00:44:13,550 +أو بالعربي يعني لا يمكن أن يكون كاتب الهدف الأول + +768 +00:44:13,550 --> 00:44:16,750 +من الأهداف المحددة ببناء قدرات 200 خريجي الهدف + +769 +00:44:16,750 --> 00:44:20,730 +الثاني يقول المساعدة في تقليل المشاعر كذا بعد ذلك + +770 +00:44:20,730 --> 00:44:25,870 +يقول التدعيم .. هذا كلام خطأ يجب أن يكونوا نفسي + +771 +00:44:25,870 --> 00:44:30,870 +الصياغةتعزيز تقليل تحسين تطوير نفس الصياغة أو + +772 +00:44:30,870 --> 00:44:35,950 +المساعدة في كذا أو يعني يا بس مصدر أو اللي هي في + +773 +00:44:35,950 --> 00:44:38,670 +ال English كيف نستخدمها في ال English عندي طرقتين + +774 +00:44:38,670 --> 00:44:41,470 +بال English مين بيعرف كيف تصيغى الأهداف المحددة + +775 +00:44:41,470 --> 00:44:45,730 +بال English عندي طرقتين يا إما بستخدم ING اللي هي + +776 +00:44:45,730 --> 00:44:48,210 +promoting developing enhancing increasing + +777 +00:44:48,210 --> 00:44:52,190 +decreasing ING أو to develop to increase to + +778 +00:44:52,190 --> 00:44:55,430 +decrease بس لازم يكونوا كلهم نفساللي اللي هي + +779 +00:44:55,430 --> 00:45:01,090 +الصياغة تمام واضح خلاص بكتفل هذا للحد وحكينالكم عن + +780 +00:45:01,090 --> 00:45:03,630 +خطوة العمل بالشيء من التيسير ان شاء الله شوية + +781 +00:45:03,630 --> 00:45:06,290 +نماذج لمقترحات مشاريع مؤسسات دولية هبعتهم لدكتورة + +782 +00:45:06,290 --> 00:45:10,200 +خلود بتعطلوا إياها بتمنى لكم التوفيق جميعاشكرا + +783 +00:45:10,200 --> 00:45:12,780 +جزيلا لكم، شكرا للمشمهندس على هذه المعلومات + +784 +00:45:12,780 --> 00:45:15,900 +المقيمة اللتي قدمها لنا و لتي عززت مساق إدارة + +785 +00:45:15,900 --> 00:45:20,060 +المشاريع، نفتح الآن المجال للنقاش، بس أنا عندي + +786 +00:45:20,060 --> 00:45:23,860 +سؤال، الآن احنا بلاخد المشمهندس أنه غالبيت مناسقي + +787 +00:45:23,860 --> 00:45:27,680 +المشاريع عندنا في البلد من خريجي الهندسة، فما هي + +788 +00:45:27,680 --> 00:45:31,240 +المقومات المتوفرة لخريجي الهندسة لحتى يمسكوهم + +789 +00:45:31,240 --> 00:45:34,330 +مناسقي المشاريع؟سؤال رائع، أيوة ركزوا كتير معايا + +790 +00:45:34,330 --> 00:45:38,770 +أنا هذا السؤال بسأله في كل دورة دربية بعطيها بجي + +791 +00:45:38,770 --> 00:45:42,170 +بحكي للشباب و للصبايا المتدربين شو أحسن تخصص + +792 +00:45:42,170 --> 00:45:46,010 +لإنجاح الإنسان يشتغل كمنصق مشاريع الكل بيحكوا يا + +793 +00:45:46,010 --> 00:45:49,850 +هندسة يا إدارة الكل بيحكي أكتر ألاحظ الماكل السوق + +794 +00:45:49,850 --> 00:45:53,650 +الهندسة أه الماكل السوق فأحنا المهندسين مميزين يا + +795 +00:45:53,650 --> 00:45:59,200 +دكتورة مضروف الله أننا مميزينخلّيكم معاه، أبدا مش + +796 +00:45:59,200 --> 00:46:02,540 +معيار، لا هندسة ولا إدارة ولا غيره، كتير بعرف + +797 +00:46:02,540 --> 00:46:05,840 +نماذج شباب مخلصين صيدلة ومناسقين مبدعين، مخلصين + +798 +00:46:05,840 --> 00:46:08,920 +زراعة ومبدعين، مخلصين طبريض ومبدعين، مخلصين قانون + +799 +00:46:08,920 --> 00:46:11,880 +ومبدعين، ما إلها علاقة أبدا بالتخصص يا دكتورة، + +800 +00:46:11,880 --> 00:46:15,540 +إلها علاقة بشغلتين رئيسيتينالشغل الأولى طبعا هي + +801 +00:46:15,540 --> 00:46:18,960 +مهارات شخصية عند الشاب مهارات شخصية زي إيش؟ يعني + +802 +00:46:18,960 --> 00:46:23,700 +عنده leadership اللي هي شخصية قيادية بتحمل الضغط و + +803 +00:46:23,700 --> 00:46:25,740 +بشتغل ماعندهوش مثلا أولا الساعة تلاتة خلاص دوام + +804 +00:46:25,740 --> 00:46:29,620 +بيدروع عنده قدرة اللي هي الحلول الإبداعية للمشاكل + +805 +00:46:29,620 --> 00:46:33,320 +مبادر بيقدر يحل المشاكل يعني شغلات بشخصيته نفسه + +806 +00:46:33,690 --> 00:46:36,750 +والشغلة التانية اللي بيشغلنا في المشاريع انا يعني + +807 +00:46:36,750 --> 00:46:40,010 +لما اعين عندي حد مناسقي المشاريع قدرته على الكتابة + +808 +00:46:40,010 --> 00:46:42,630 +باللغة الإنجليزية أو يعني ما بديش أقول محادثة، + +809 +00:46:42,630 --> 00:46:45,030 +الكتابة و القراءة هدول أهم الشغلات اللي بيطلبوها + +810 +00:46:45,030 --> 00:46:48,210 +عننا في السوق الآن يا دكتورة موضوع استخدام برامج + +811 +00:46:48,210 --> 00:46:50,970 +الحسوب وموضوع اللي هي كيف أن تكتب proposal أنا + +812 +00:46:50,970 --> 00:46:53,990 +بدوره واحد، أي حد، أي حد ماعندهش أي خبرة بوضوع + +813 +00:46:53,990 --> 00:46:56,490 +إدارة المشاريع أو كتابة مقترحات المشاريع بقعد معاه + +814 +00:46:56,490 --> 00:46:59,250 +أسبوع زمنهذا الكلام اللي حكيتكوا إياه بعلمه إياه + +815 +00:46:59,250 --> 00:47:02,270 +بخلّيه فالتة أنا عندى منصقتين اللي هم بشتغلوا + +816 +00:47:02,270 --> 00:47:05,310 +معايا تقريبا سبع سنوات ماكانوش بعرفوش زيكوا يعني + +817 +00:47:05,310 --> 00:47:08,110 +لسه جداد على المجال هذا اللي أنا اللي بكتبش لتالت + +818 +00:47:08,110 --> 00:47:11,450 +سنين مشاريع نهائي بكتبش هم اللي بكتبوا صاروا أشثر + +819 +00:47:11,450 --> 00:47:13,690 +مني في الكتابة وبالتالي هذه شغلات مكتسبة ممارسة + +820 +00:47:13,690 --> 00:47:17,370 +وبالتالي فيش تخصص محدد يمكن المهندسين أحسن شوية + +821 +00:47:17,370 --> 00:47:21,350 +لإن شخصيتهم اللي اكتسبوا أثناء دراستهم خلتهم هيك + +822 +00:47:21,350 --> 00:47:23,670 +بس مين عنده سؤ + +823 +00:47:27,030 --> 00:47:31,830 +طيب عندك سؤال؟ مافيش أسئلة؟ ماشي باسم قصة مدارس + +824 +00:47:31,830 --> 00:47:35,630 +العاملية ومش تجارة طالبات المساء واسم الدكتوراه + +825 +00:47:35,630 --> 00:47:38,590 +أكرمه سموه واسمي أنا الأستاذ أخوه الفريد حابين + +826 +00:47:38,590 --> 00:47:43,810 +نقدم لحدثك كشهادة شكر صوروني بنات عزيزي الصوروني + +827 +00:47:44,770 --> 00:47:47,010 +عشان احنا بننزل خبر عن موقع الجامعة .. سلام عليك + +828 +00:47:47,010 --> 00:47:50,190 +.. سلام عليك .. مين .. بدنا ايفون ولا إيش .. يعني + +829 +00:47:50,190 --> 00:47:56,210 +ال resolution عال .. مش بكشاف تيجي تصورونا .. يللا + +830 +00:47:56,210 --> 00:48:00,530 +.. عايش .. ممتاز .. يللا .. الصورة حلوة يا جماعة + +831 +00:48:08,890 --> 00:48:20,950 +أنا اتطلع اتما شفت كيش ايش + +832 +00:48:20,950 --> 00:48:24,090 +نزل هيك؟ عشان ال course مش مشكلة + +833 +00:48:36,670 --> 00:48:41,480 +مشكورة .. شهادة لو سمحت .. شهادة بسبالنسبة لكم + +834 +00:48:41,480 --> 00:48:45,760 +عندكم اي سؤال او استفسار اليوم بكرة بعد ما تتخرجوا + +835 +00:48:45,760 --> 00:48:47,600 +احنا مكتبنا في عماد التعليم السامر مفتوح على + +836 +00:48:47,600 --> 00:48:50,860 +الجميع يعني حتى لو مثلا في يوم من الأيام حد منكم + +837 +00:48:50,860 --> 00:48:54,120 +عنده مقابلة كمنصخ مشاريع او اشي ماعناش مشكلة + +838 +00:48:54,120 --> 00:48:56,900 +تتفضلوا عنا و تتخدمونا شوية استشارات معلومات احنا + +839 +00:48:56,900 --> 00:49:00,400 +جاهزين انتوا لإنكوا طلابنا و احنا يعني لكوا زي ما + +840 +00:49:00,400 --> 00:49:03,740 +يقولوها او لو .. طبعا اكيد فاحنا مستعدين بوابنا + +841 +00:49:03,740 --> 00:49:06,400 +مفتوح لإلكم بأي وجهة و اتمنى لكوا التوفيق ان شاء + +842 +00:49:06,400 --> 00:49:06,460 +الله + diff --git a/PL9fwy3NUQKwYZU2ezHFq-UK19TEyZdOHs/yVF31myah-4_raw.json b/PL9fwy3NUQKwYZU2ezHFq-UK19TEyZdOHs/yVF31myah-4_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..330e1355646aed6456058572efffaf006a20c16d --- /dev/null +++ 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00:00:46,550 +children hypermetropia tends normally to decrease + +8 +00:00:46,550 --> 00:00:51,330 +with age and consequently the refraction usually + +9 +00:00:51,330 --> 00:00:54,710 +approaches emmetropia gradually until adolescence + +10 +00:00:54,710 --> 00:01:00,650 +is passed يعني يجب أن نتذكر أن congenital + +11 +00:01:00,650 --> 00:01:05,870 +hypermetropia تقل بالتدريج مع الزمن وفي كثير من + +12 +00:01:05,870 --> 00:01:10,990 +الحالات بنهاية الـ .. الـ .. الـ .. البلوغ أو المراهقة + +13 +00:01:10,990 --> 00:01:16,930 +بتكون تمت انتهت طب ما الذي يترتب على هذا في تصحيح + +14 +00:01:16,930 --> 00:01:26,050 +النضارة يترتب على هذا في تصحيح النظارة أني أتابع + +15 +00:01:26,050 --> 00:01:32,650 +الـ examination for vision يعني الـ refraction every + +16 +00:01:32,650 --> 00:01:33,030 +year + +17 +00:01:36,460 --> 00:01:40,640 +لماذا؟ to check up on the change in refractive power + +18 +00:01:40,640 --> 00:01:48,720 +يعني مثلًا، انتبهوا معي طفل أعطيته glasses + +19 +00:01:48,720 --> 00:01:53,480 +في العينين في العينين بقوة plus three، هذا يترتب + +20 +00:01:53,480 --> 00:02:01,440 +لما كان عمره خمس سنوات و الـ IPD بتاعه خمسين، + +21 +00:02:01,440 --> 00:02:06,060 +انتبهوا كويسًا لكلامي الـ IPD يساوي خمسين + +22 +00:02:10,530 --> 00:02:19,570 +لما صار عمره ست سنوات جئت + +23 +00:02:19,570 --> 00:02:25,730 +الـ refraction بتاعه اثنان ونصف plus two point five و + +24 +00:02:25,730 --> 00:02:34,510 +الـ IPD اثنان وخمسون مثلًا اثنان وخمسون طيب + +25 +00:02:34,510 --> 00:02:43,870 +في سن سبع سنوات جئتُه plus two و الـ IPD 53 + +26 +00:02:43,870 --> 00:02:53,630 +millimeter في سن عشر سنوات لقيته plus one و الـ IPD + +27 +00:02:53,630 --> 00:03:01,570 +بتاعه ستة وخمسين الآن + +28 +00:03:01,570 --> 00:03:07,730 +لو الـ parents are + +29 +00:03:07,730 --> 00:03:10,170 +ignorant جهلة + +30 +00:03:12,140 --> 00:03:18,520 +أو ألزموا their child to use the same glass for + +31 +00:03:18,520 --> 00:03:28,260 +these years خمس سنوات أي نعم + +32 +00:03:28,260 --> 00:03:32,000 +هذا for discussion الآن لو ألزموه من خمسة عشر + +33 +00:03:32,000 --> 00:03:39,660 +سنة أنه يلبس نفس النظارة عشان ما ؟ إيش أول حاجة ل + +34 +00:03:39,660 --> 00:03:46,510 +plus العالي هذا الثلاث، وهو plus عالي ثلاث الآن + +35 +00:03:46,510 --> 00:03:50,430 +ولد في عشر سنوات وصل للواحد يعني معه كم زيادة؟ + +36 +00:03:50,430 --> 00:03:57,610 +اثنان اثنان إيش هيقل له؟ Artificial Myopia + +37 +00:03:57,610 --> 00:04:04,190 +Artificial Myopia يعني يا بناتي لما كان صغير و كان + +38 +00:04:04,190 --> 00:04:10,390 +الضوء بيسقط وراء الشبكية هكذا كانت العدسة الثلاث + +39 +00:04:11,640 --> 00:04:16,740 +بتخليها على الشبكية لما صار عمره عشر سنين صارت + +40 +00:04:16,740 --> 00:04:21,820 +بتدخل بتخلي الـ focus هنا artificial myopia + +41 +00:04:21,820 --> 00:04:29,680 +artificial لأنه دي glasses عالية + +42 +00:04:29,680 --> 00:04:37,080 +التاني شكرًا جزيلًا الـ IPD كان في خمس سنين خمسين في + +43 +00:04:37,080 --> 00:04:41,910 +عشر سنين صارت ستة وخمسين يبقى أنا عندي ثلاث milli + +44 +00:04:41,910 --> 00:04:48,710 +هنا وثلاث milli هنا فرق آه base in base in شكرًا + +45 +00:04:48,710 --> 00:04:52,850 +شكرًا يا عزيزي شكرًا خلبتك أنا شوف الله يبارك فيك + +46 +00:04:52,850 --> 00:04:56,410 +شكرًا يبقى + +47 +00:04:56,410 --> 00:04:59,470 +pragmatic effect إيش الـ pragmatic effect بيعمل + +48 +00:04:59,470 --> 00:05:03,450 +بيعمل + +49 +00:05:03,450 --> 00:05:10,060 +deviation بيعمل squint حسوبية headache pain in the + +50 +00:05:10,060 --> 00:05:16,780 +eyes يبقى عشان هيك الموضوع مش موضوع نظارة وأمشي + +51 +00:05:16,780 --> 00:05:22,340 +موضوع ثقافة مجتمع لازم نقف المجتمع for this reason + +52 +00:05:22,340 --> 00:05:27,300 +من أجل هذا السبب it is the rule that spectacles of + +53 +00:05:27,300 --> 00:05:33,360 +progressively decreasing strength are used عدسات + +54 +00:05:33,360 --> 00:05:39,570 +متناقصة القوة كان ثلاثة صار اثنان ونصف صار اثنان صار + +55 +00:05:39,570 --> 00:05:44,750 +اثنان ونصف صار واحد اثنان واحد ونصف واحد وهكذا + +56 +00:05:44,750 --> 00:05:48,650 +until + +57 +00:05:48,650 --> 00:05:53,930 +finally في النهاية in many cases they may safely + +58 +00:05:53,930 --> 00:05:59,850 +be discarded altogether يترك النظارة في النهاية + +59 +00:06:03,280 --> 00:06:06,880 +لأننا نتكلم عن الـ Congenital Hyponotropia التي + +60 +00:06:06,880 --> 00:06:12,280 +ولد بها الطفل Refraction + +61 +00:06:12,280 --> 00:06:20,520 +كل سنة ومتابعة للـ IPD ومتابعة القوة وإلا بيصير + +62 +00:06:20,520 --> 00:06:25,440 +معه مشاكل Artificial Myopia و Prismatic Effect + +63 +00:06:25,440 --> 00:06:36,200 +طيب In older people بعد الطفولة the advisability of + +64 +00:06:36,200 --> 00:06:38,200 +wearing spectacles depends upon the degree of + +65 +00:06:38,200 --> 00:06:45,060 +vision and symptoms يعني عندهم مشكلتين الـ vision و + +66 +00:06:45,060 --> 00:06:52,660 +الـ comfort طالما في symptoms في discomfort تعب + +67 +00:06:52,660 --> 00:06:59,360 +يبقى أنا بدي أعطيه شوف صحيح بغض النظر لكن في حدود أن + +68 +00:06:59,360 --> 00:07:05,300 +يرتاح ممكن أعطيه 6 ع 5 ويتعب أو لا أعطيه 6 ع 6 و + +69 +00:07:05,300 --> 00:07:12,500 +يرتاح 6 ع 6 إلا ويرتاح الراحة مهمة بل بالعكس + +70 +00:07:12,500 --> 00:07:18,740 +بيقولوا الراحة مقدمة على النظر إذا كان الطفل بيشكوا + +71 +00:07:18,740 --> 00:07:25,180 +من صداع ومن ألم فإشاره young adults البالغين + +72 +00:07:26,660 --> 00:07:30,020 +مش كبار كثير في السن with an error less than three + +73 +00:07:30,020 --> 00:07:33,360 +diopters who have normal vision and are without + +74 +00:07:33,360 --> 00:07:37,800 +symptoms should rarely be corrected يبقى أنا عندي + +75 +00:07:37,800 --> 00:07:46,640 +طفلة ستة عشر سنة في ثانوية وعندها اثنان ونصف or + +76 +00:07:46,640 --> 00:07:51,220 +two diopters hypermetropia ما فيش أي complaint + +77 +00:07:51,220 --> 00:07:56,090 +ما فيش شكوى يعني ما فيش symptoms تقرأ تمام وتشوف + +78 +00:07:56,090 --> 00:08:00,270 +الطريق تمام والتلفزيون تمام والجوال تمام كنت خلاص + +79 +00:08:00,270 --> 00:08:06,490 +لازم أقول أن أنا هي الموضوع موضوع يعني شفافية أنا + +80 +00:08:06,490 --> 00:08:12,970 +مش موظف أفرض على الناس نظارات بس أنا علمي أن أريح الناس + +81 +00:08:12,970 --> 00:08:20,950 +العلم الطبي اللي بتعلمه أنه how to make my people + +82 +00:08:20,950 --> 00:08:27,690 +comfortable comfortable مرتاحين طيب الآن انتبهوا + +83 +00:08:27,690 --> 00:08:33,490 +للناقض إيش النقض لهؤلاء الأطفال in congenital + +84 +00:08:33,490 --> 00:08:39,450 +في acquired hypermetropia إيش هي الـ acquired + +85 +00:08:39,450 --> 00:08:46,630 +presbyopia في الـ presbyopia في الـ middle and + +86 +00:08:46,630 --> 00:08:53,490 +later life بعد الأربعين والخمسين makes lenses for + +87 +00:08:53,490 --> 00:08:59,570 +reading of gradually increasing strength necessary + +88 +00:08:59,570 --> 00:09:05,930 +عدسات متزايدة القوة اللي في الأربعين كان بيقرأ بنصف + +89 +00:09:05,930 --> 00:09:16,250 +في أربعين سنة فالخمسين بيقرأ بواحد ونصف في الستين + +90 +00:09:16,250 --> 00:09:22,250 +بدي أقرأ باثنين ونصف على سبيل المثال وإلا لو كل + +91 +00:09:22,250 --> 00:09:26,850 +واحد بيفحص لحاله بس على سبيل المثال لو أنا خليت + +92 +00:09:26,850 --> 00:09:38,810 +الستين على نصف زي ما هو إيش بصير؟ هيفشل في القراءة + +93 +00:09:40,400 --> 00:09:43,940 +يعني لو واحد إجا و عمره أربعين سنة مر علينا وعمل له + +94 +00:09:43,940 --> 00:09:51,580 +examination reflection للبعيد بدهوش حاجة وللقريب + +95 +00:09:51,580 --> 00:09:58,900 +بده نصف فالنصف في الأربعين كيف شاف وضوح وهو الراجل + +96 +00:09:58,900 --> 00:10:02,600 +اللي هاد اعتبر النظارات هذه خلاص هي منتهية الأمل + +97 +00:10:02,600 --> 00:10:07,260 +فاش غيرها وعاش لخمسين وعاش لستين وهو لابس النصف + +98 +00:10:07,260 --> 00:10:09,680 +مزودهاش + +99 +00:10:10,960 --> 00:10:19,640 +هل سيقرأ بوضوح أو لا؟ يقينًا لا يبقى الـ + +100 +00:10:19,640 --> 00:10:23,560 +congenital hypermetropia تتناقض مع الـ acquired + +101 +00:10:23,560 --> 00:10:30,080 +hypermetropia تناقض واضح المفروض يجيبوا لي في الـ + +102 +00:10:30,080 --> 00:10:35,620 +homework comparison كامل comparison كامل between + +103 +00:10:35,620 --> 00:10:40,630 +congenital hypermetropia and Acquired وأنا أقول + +104 +00:10:40,630 --> 00:10:47,090 +homework يعني عليه درجات من ترسل شيء مقنع رجاءً + +105 +00:10:47,090 --> 00:10:55,430 +بكتب لها يعني ما إن شاء الله ما أضيع تعبها واللي هي + +106 +00:10:55,430 --> 00:11:01,330 +يعني مستغنية عن الدرجة هي حرة full + +107 +00:11:01,330 --> 00:11:07,150 +comparison between congenital hypermetropia and + +108 +00:11:08,420 --> 00:11:14,420 +أقوى يا عزيزي أرجوك هنا متزايدة القوة وهناك + +109 +00:11:14,420 --> 00:11:24,580 +متناقصة القوة هنا الـ accommodation بينفقد خالصًا + +110 +00:11:24,580 --> 00:11:32,820 +وهنا الـ accommodation بيقل في الـ congenital كل ما + +111 +00:11:32,820 --> 00:11:36,880 +كبر بيقل + +112 +00:11:38,780 --> 00:11:42,780 +الطفل الصغير عمره عنده اثنا عشر وانتم الآن كده عندكم + +113 +00:11:42,780 --> 00:11:49,920 +تسعة أو ثمانية يبقى بيسقط أو لا طب هو لماذا يسيب + +114 +00:11:49,920 --> 00:11:57,400 +النظارة عشان صار عنده normal vision آه أنا هي قصدي + +115 +00:11:57,400 --> 00:12:00,460 +فعملوا لكم comparison ما ليش أطيل في الموضوع حاجة + +116 +00:12:00,460 --> 00:12:07,940 +طيب مثلًا في الـ price buy وبيع الآن جامل الأسباب وبيه + +117 +00:12:07,940 --> 00:12:12,400 +adult عادي عنده three diopters of hypermetropia + +118 +00:12:12,400 --> 00:12:17,500 +ممكن يقرأ من twenty five centimeter في twenty five + +119 +00:12:17,500 --> 00:12:24,980 +years بـ three diopters خمسة وعشرين سنة عنده three + +120 +00:12:24,980 --> 00:12:28,620 +diopters of hypermetropia ممكن بثلاثة diopters + +121 +00:12:28,620 --> 00:12:34,940 +يقرأ ويشوف المعيد ويشوف التلفزيون والكمبيوتر و + +122 +00:12:34,940 --> 00:12:41,080 +الجامعة وكل حاجة شوفوا الآن الفرق كبر هذا الشخص صار + +123 +00:12:41,080 --> 00:12:47,720 +خمسة وثلاثين سنة الآن بالخمسة والثلاثين هيفضل زائد + +124 +00:12:47,720 --> 00:12:56,040 +ثلاثة كافي لكل شيء أو لا؟ لماذا؟ لماذا + +125 +00:12:56,040 --> 00:13:03,640 +اللي حيزين؟ هتيجي الـ acquired بدري yearly برسبي + +126 +00:13:03,640 --> 00:13:11,440 +يوميًا بس plus three is enough for distance لكن + +127 +00:13:11,440 --> 00:13:20,200 +insufficient for reading مش كافية للقراءة، كويس؟ + +128 +00:13:20,200 --> 00:13:26,260 +يبقى هذا أنا هأعطيه في الخمسة والثلاثين عشان يعني + +129 +00:13:26,260 --> 00:13:29,690 +بقى الإضافة هتيجي correcting lenses for reading plus + +130 +00:13:29,690 --> 00:13:33,690 +three بعد شوية أعطيه plus four ممكن أعطيه plus + +131 +00:13:33,690 --> 00:13:37,910 +four point five in such case في حالة الـ early + +132 +00:13:37,910 --> 00:13:43,430 +presbyopia يوميًا وهذا اللي احنا قلنا عنه شوية عدسات + +133 +00:13:43,430 --> 00:13:50,290 +متزايدة القوة القوة + +134 +00:13:50,290 --> 00:13:53,890 +هذا + +135 +00:13:53,890 --> 00:13:56,270 +ضد وإيش عكس وإيش + +136 +00:13:59,090 --> 00:14:06,910 +في الـ congenital عدسات تناقصية القوة if the + +137 +00:14:06,910 --> 00:14:11,310 +spectacles نظارات don't improve his distant vision + +138 +00:14:11,310 --> 00:14:17,530 +and there are no symptoms of a stenopia they need + +139 +00:14:17,530 --> 00:14:21,350 +not to be worn constantly but only for close work + +140 +00:14:21,350 --> 00:14:26,740 +يعني واحد إيش اللي بيعاني من برث بيوبيا؟ اللي بعيد بسوق سيارة + +141 +00:14:26,740 --> 00:14:31,480 +تمام وبشوف ستة على تسعة ستة على اثنا عشر تمام لك + +142 +00:14:31,480 --> 00:14:34,640 +عنده قراءة القراءة مش واضحة بعطينا الله القراءة + +143 +00:14:34,640 --> 00:14:39,940 +طالما أن الـ distant vision is good بس كأنه good + +144 +00:14:39,940 --> 00:14:47,960 +خلاص بس كان مش good مصلّح + +145 +00:14:47,960 --> 00:14:55,290 +إما نظارة القريب ونظارة البعيد أو بعيد فوقها + +146 +00:14:55,290 --> 00:14:59,610 +الأفضل progressive خذتم الـ progressive؟ خذتم + +147 +00:14:59,610 --> 00:15:07,270 +أكيد هتذكروا بعدين but in later life لما أقول + +148 +00:15:07,270 --> 00:15:11,510 +later life بعد الستين يعني in later life when his + +149 +00:15:11,510 --> 00:15:21,790 +accommodation has gone إيش has gone انتهى اختفى في + +150 +00:15:21,790 --> 00:15:26,760 +السبعين الـ accommodation أصبح zero صح؟ وكل + +151 +00:15:26,760 --> 00:15:32,280 +هيبرمتروبيا تصبح absolute ماهو absolute hypermetropia؟ + +152 +00:15:32,280 --> 00:15:37,240 +absolute مجزرة + +153 +00:15:37,240 --> 00:15:46,380 +من التعامل اللي لم يتم تحريرها من خلال تحرير + +154 +00:15:46,380 --> 00:15:52,160 +السلريمسل ممكن تحريرها من خلال سلريمسل؟ + +155 +00:15:52,160 --> 00:15:59,430 +facultative facultative طب ليش في سن السبعين كل + +156 +00:15:59,430 --> 00:16:04,970 +accumulation بيصير absolute؟ الـ hypermetropia كلها + +157 +00:16:04,970 --> 00:16:10,250 +بيصير absolute؟ لأنه .. لأن الـ accommodation zero + +158 +00:16:10,250 --> 00:16:15,670 +accommodation zero ما عدش عندي في الـ facultative الـ + +159 +00:16:15,670 --> 00:16:20,770 +facultative انتهى الـ cell muscle أصبحت floppy + +160 +00:16:20,770 --> 00:16:26,650 +relaxed بطلت الـ cell muscle تعمل effort فالفكرة + +161 +00:16:26,650 --> 00:16:33,450 +تمّنتها كله صار Absolute يعتمد على glasses بطل + +162 +00:16:33,450 --> 00:16:37,730 +الـ cinema ماس يتصلح حاجة كما قال الله عز وجل لكي لا + +163 +00:16:37,730 --> 00:16:45,630 +يعلم بعد علم شيئا صورة إيش لكي + +164 +00:16:45,630 --> 00:16:49,630 +لا يعلم بعد علم شيئا صورة الحاجة صح + +165 +00:16:52,770 --> 00:16:59,310 +طيب يبقى هنا كله صار absolute الآن + +166 +00:16:59,310 --> 00:17:07,690 +أنا مضطر أن الآن أعطيه full correction لـ الـ near و + +167 +00:17:07,690 --> 00:17:11,630 +partial correction لـ الـ distance إذا كان بطلب الـ + +168 +00:17:11,630 --> 00:17:16,710 +distance يعني بأعمله visual equity لـ الـ distance و + +169 +00:17:16,710 --> 00:17:24,330 +refraction إذا كانوا في عداد 6 على 9 6 على 12 C بحر + +170 +00:17:24,330 --> 00:17:30,650 +بدون تدخل لكن الـ reading بده full correction ممكن + +171 +00:17:30,650 --> 00:17:34,730 +يأخذ plus three من هنا طب إذا كان الـ distance + +172 +00:17:34,730 --> 00:17:39,610 +between مش نافع والـ near مش نافع بده correction + +173 +00:17:39,610 --> 00:17:49,050 +للاثنين إما بـ two pairs أو bifocal أو progressive مش + +174 +00:17:49,050 --> 00:17:55,950 +كل الكلام مكتوب هنا كويس؟ طيب if the complaint in + +175 +00:17:55,950 --> 00:18:00,190 +adult is made only for visual symptoms إيش visual + +176 +00:18:00,190 --> 00:18:05,410 +symptoms يعني؟ visual symptoms يعني impaired + +177 +00:18:05,410 --> 00:18:11,470 +vision لأ لأ visual impaired vision شوف أنا + +178 +00:18:14,220 --> 00:18:19,660 +الكلام الـ words والـ letters بيمشوا running بيخشوا + +179 +00:18:19,660 --> 00:18:26,940 +في بعض بيحكوا في عينيه عشان يشوف بيجربوا بعض هذه + +180 +00:18:26,940 --> 00:18:31,640 +فيديوهات أما الصداع والألم هذول حاجات ocular و + +181 +00:18:31,640 --> 00:18:35,480 +referral and the reflection is not done under + +182 +00:18:35,480 --> 00:18:43,090 +Cycloplegia يعني زمان زمان قبل ثلاثين سنة مثلاً كان + +183 +00:18:43,090 --> 00:18:46,670 +الـ routine بيعملوا Cycloplegia بعدين بتقدم العلم + +184 +00:18:46,670 --> 00:18:55,690 +صار الـ Cycloplegia أقل من twelve years أقل من + +185 +00:18:55,690 --> 00:18:59,030 +اثنا عشر سنة بطلنا اللي بعد اثنا عشر نعمله إلا في + +186 +00:18:59,030 --> 00:19:03,930 +حالات يكون عنده Spasm مجهد تعبان كثير لكن في + +187 +00:19:03,930 --> 00:19:08,710 +الحاجات العادية الـ Cycloplegia لأنه مش شيء بسيط + +188 +00:19:10,400 --> 00:19:14,740 +خاصة الـ atropine يعني أنا بأتحكم على أن العين تفضل + +189 +00:19:14,740 --> 00:19:19,220 +relaxed استخدام نفس الأسبوعين مثلاً واحد بجامعة + +190 +00:19:19,220 --> 00:19:24,340 +بيقرأ واحد محاسب سكرتير ما أقدر أعمله الـ + +191 +00:19:24,340 --> 00:19:28,700 +Cycloplegia حتى الـ Cycloplegia اللي هي within + +192 +00:19:28,700 --> 00:19:36,180 +twelve hours برضه صعبة شوية فبقولي عبدا عن الـ + +193 +00:19:36,180 --> 00:19:41,900 +Cycloplegia صاروا بأعطوا maximal non-cycloplegic + +194 +00:19:41,900 --> 00:19:47,880 +correction يعني أنا عملته refraction + +195 +00:19:47,880 --> 00:19:55,300 +طلع plus 3 without + +196 +00:19:55,300 --> 00:20:02,100 +cycloplegic بقول الأفضل أعطيه الـ full زائد 3 + +197 +00:20:03,790 --> 00:20:08,230 +ما أعطيوش أجل ما حطيشه اثنين مثلاً أو اثنين ونصف بقول + +198 +00:20:08,230 --> 00:20:11,510 +إيش الحكمة أن أعطيه full non-cycloplegic + +199 +00:20:11,510 --> 00:20:16,690 +correction الـ maximum لأنك بتكون بيرتفع الشدر والمصر الشخصي عشان ما أعطيوش الشدر والمصر فرصة لأنه + +200 +00:20:16,690 --> 00:20:20,250 +هنا هيبقى المتروب العضل دائماً إيش relatable يعني + +201 +00:20:20,250 --> 00:20:24,150 +بدها تنطلق فأنا بالـ full correction هذا بأعمله + +202 +00:20:29,310 --> 00:20:36,220 +suppression بفضل ضجة عليها زي الزنبرة وفي الـ + +203 +00:20:36,220 --> 00:20:41,180 +Refraction 1 إحنا قلنا Golden Rule Plus Lenses + +204 +00:20:41,180 --> 00:20:46,520 +Suppress The Serial Muscle While Minus Lenses + +205 +00:20:46,520 --> 00:20:51,740 +Stimulate .. Stimulate Serial Muscle لو بدى الـ + +206 +00:20:51,740 --> 00:20:56,020 +accumulation فيه بأعطيه minus لو بدي أعمله ضغط لتحت + +207 +00:20:56,020 --> 00:21:00,620 +suppression بأعطيه plus يبقى أن إما أعطيت ثلاثة من + +208 +00:21:00,620 --> 00:21:07,190 +ثلاثة إيش عملت؟ عملت separation بقدر الإمكان مع أن أنا + +209 +00:21:07,190 --> 00:21:11,910 +مش عامل Cycloplegia يمكن لو عامل Cycloplegia + +210 +00:21:11,910 --> 00:21:15,430 +يبدو أكثر من ثلاثة فأنا احتياطاً أعطيته ثلاثة full + +211 +00:21:15,430 --> 00:21:24,310 +dose بس non-cycloplegic طيب ستة الـ children رجعنا + +212 +00:21:24,310 --> 00:21:28,530 +للأطفال ثاني وإحنا حقيقة في الـ hypermetropia وفي + +213 +00:21:28,530 --> 00:21:32,160 +البريسبيوميا موضوعنا الـ hypermetropia يعني أنت + +214 +00:21:32,160 --> 00:21:36,240 +تكلّمت عن أطفال تحت العشرة وفي التعليم الخدمي هذا + +215 +00:21:36,240 --> 00:21:39,900 +بيكون واضح أن أنا بأبحث على أطفال الرياضي الأطفال + +216 +00:21:39,900 --> 00:21:44,420 +وأوائل المدارس أول وثاني وثالث ابتدائي هم الـ + +217 +00:21:44,420 --> 00:21:47,900 +hypermetropic وهم الحوال وهم اللي فيهم الـ + +218 +00:21:47,900 --> 00:21:53,840 +stenopia والـ symptoms ما بأبحث على الـ myopia في + +219 +00:21:53,840 --> 00:21:58,480 +هذا السن الـ myopia في الثانويات والجامعات بأبحث + +220 +00:21:58,480 --> 00:22:04,850 +عنهم وكبار السن بعد الخمسين اللي هو acquired + +221 +00:22:04,850 --> 00:22:08,770 +hypermetropia لبريسبيوبيا في عامين قطاعين والناس + +222 +00:22:08,770 --> 00:22:14,430 +ما كانتش تشتغلوا الـ children if circumstances + +223 +00:22:14,430 --> 00:22:18,550 +indicate that cycloplegic drugs should be used + +224 +00:22:18,550 --> 00:22:22,710 +والله أنا في الطفل مش كل طفل بأعمله Cycloplegia + +225 +00:22:22,710 --> 00:22:29,050 +بأعملش إلا في حالات في عنده intermittent .. + +226 +00:22:29,050 --> 00:22:33,490 +intermittent convergence insufficiency عنده Asthenopia + +227 +00:22:33,490 --> 00:22:40,490 +عنده difficult reading ثلاث حاجات difficult reading + +228 +00:22:40,490 --> 00:22:46,490 +معناها في حاجة سينماسية زي .. زي .. يعني بقرا .. + +229 +00:22:46,490 --> 00:22:53,840 +بقرأ مش واضح، بكتب مش واضح، آه، بصدّع، متقلب، آه + +230 +00:22:53,840 --> 00:22:59,860 +بعدين عين وأخر اليوم تعمل cross .. آه crossing + +231 +00:22:59,860 --> 00:23:04,800 +لأن حتة يعني اللي هو اسمه الـ intermittent + +232 +00:23:04,800 --> 00:23:10,020 +convergent insufficiency اللي بيسموه إيش manifest .. + +233 +00:23:10,020 --> 00:23:15,580 +manifest esotropia .. esotropia لما أقول esotropia + +234 +00:23:15,580 --> 00:23:18,660 +يعني manifest convergent insufficiency + +236 +00:23:22,230 --> 00:23:27,690 +في هذا الطفل اضطرتني ظروف الطفل أن أعمل + +237 +00:23:27,690 --> 00:23:30,270 +Cycloplegia there is some difference of + +238 +00:23:30,270 --> 00:23:35,210 +opinion فيه اختلاف في وجهات النظر as to the amount + +239 +00:23:35,210 --> 00:23:37,630 +of the total hypermetropia which should be + +240 +00:23:37,630 --> 00:23:41,670 +corrected فيه + +241 +00:23:41,670 --> 00:23:47,230 +رأي يعني وفيه رأي ثالث واثق بينهم اسمع مني الرأي + +242 +00:23:47,230 --> 00:23:50,650 +الأول بيقول صلّح مئة في المئة + +243 +00:23:54,370 --> 00:23:57,790 +it might be thought that it would be advisable to + +244 +00:23:57,790 --> 00:24:02,210 +correct the whole of hypermetropia and thus place + +245 +00:24:02,210 --> 00:24:09,870 +the patient in the position of the ametropia يعني + +246 +00:24:09,870 --> 00:24:16,130 +هذا رأي رأي جذري اسمه radical opinion رأي متطرف + +247 +00:24:16,130 --> 00:24:21,130 +يعني يعني إن شاء الله plus ten أعطيه plus ten + +248 +00:24:21,130 --> 00:24:28,030 +وخلاص بتقولش بس قال عشان أخلي emmetropia الآن في ناس + +249 +00:24:28,030 --> 00:24:34,190 +علماء ردّوا عليه قالوا أنت رأيك هذا يعني بندرسهم + +250 +00:24:34,190 --> 00:24:40,510 +قالوا الأول شيء تذكرنا remember that such a course + +251 +00:24:40,510 --> 00:24:45,390 +هذا المنح في العلاج نعطيه عشرة من عشرة أو ثمانية من + +252 +00:24:45,390 --> 00:24:49,040 +ثمانية أو سبعة من سبعة frequently results in the + +253 +00:24:49,040 --> 00:24:54,240 +patient being unable to see at all بالمطلق + +254 +00:24:54,240 --> 00:24:59,480 +efficiently whenever he removes or is deprived of + +255 +00:24:59,480 --> 00:25:04,460 +his eyesight عارفين ليش؟ لو شال نظارة لا بيقرأ + +256 +00:25:04,460 --> 00:25:09,340 +كويس ولا بيشوف بعيد كويس لأن العضلة في مصر مع + +257 +00:25:09,340 --> 00:25:15,260 +الأيام صار لها غياب atrophy + +258 +00:25:17,630 --> 00:25:23,630 +غيّبها من مرة لفترة طويلة ثانوية فترة الآن الـ .. + +259 +00:25:23,630 --> 00:25:29,370 +الناس اللي بيصير معاه fracture للتيبيا في رجله أو + +260 +00:25:29,370 --> 00:25:34,330 +الـ humorous في إيده بيحطوا in cast cast يعني + +261 +00:25:34,330 --> 00:25:42,010 +gypsum for one to two months إيش اللي بيصير في + +262 +00:25:42,010 --> 00:25:48,890 +العضلات تتيبس لأ بترجع ت .. بيصير relaxed بدليل أنه + +263 +00:25:48,890 --> 00:25:53,350 +ما يقدرش يمشي أو ما يقدرش يحرك إيده العضلة الهيكلية مش + +264 +00:25:53,350 --> 00:25:59,810 +قادرة تحرك المفصل طب إيش بده يعمله بيودّيه فيزيو + +265 +00:25:59,810 --> 00:26:06,230 +therapy for one to two months حتى يرجع نشاط العضلة + +266 +00:26:06,230 --> 00:26:15,110 +ثاني يعني بمعنى الكلام لو واحد bedridden يعني طريق + +267 +00:26:15,110 --> 00:26:21,460 +الفرّاش لمدة سنة وجفنا على الأرض هيوجع لأن العضلات + +268 +00:26:21,460 --> 00:26:28,220 +أصبحت atrophied complete relaxed complete إيش؟ + +269 +00:26:28,220 --> 00:26:33,880 +relaxed وهنا نفس الحاجة لما أنا بأعطيه full + +270 +00:26:33,880 --> 00:26:38,860 +correction على الآخر لمدة طويلة بيصير اعتماد هو على + +271 +00:26:38,860 --> 00:26:44,960 +الـ glasses بس عينه في إجازة يعني كـ .. كـ .. كـ + +272 +00:26:44,960 --> 00:26:51,210 +muscle cell muscle يبقى هيردّوا عليه يعني قالوا صحيح + +273 +00:26:51,210 --> 00:26:56,050 +لو بنلبس نظارة بنبسط لكن لو نشيل نظارة مش هشوف + +274 +00:26:56,050 --> 00:27:03,830 +واضح خالص يبقى هذا ملزم ننجلن صح؟ الرأي الثاني it + +275 +00:27:03,830 --> 00:27:07,910 +would seem advisable to under correct the total + +276 +00:27:07,910 --> 00:27:12,370 +hypermetropia in cycloplegic refraction قالوا لأ + +277 +00:27:12,370 --> 00:27:17,300 +تعطيوش عشرة من عشرة تعطيه ثمانية من عشرة أو تعطيه + +278 +00:27:17,300 --> 00:27:26,680 +سبعة من ثمانية أو تعطيه ستة من ثمانية حسب الحاجة و + +279 +00:27:26,680 --> 00:27:31,460 +ده درهان it frequently happens that الـ headaches + +280 +00:27:31,460 --> 00:27:38,260 +الـ headache بينافع symptoms of eye strain + +281 +00:27:38,260 --> 00:27:42,820 +والأسنوبية برضه عند إعادة إعادة إعادة إعادة إعادة + +282 +00:27:42,820 --> 00:27:45,700 +إعادة إعادة إعادة إعادة إعادة إعادة إعادة إعادة + +283 +00:27:45,700 --> 00:27:45,980 +إعادة إعادة إعادة إعادة إعادة إعادة إعادة إعادة + +284 +00:27:45,980 --> 00:27:47,540 +إعادة إعادة إعادة إعادة إعادة إعادة إعادة إعادة + +285 +00:27:47,540 --> 00:27:48,080 +إعادة إعادة إعادة إعادة إعادة إعادة إعادة إعادة + +286 +00:27:48,080 --> 00:27:51,060 +إعادة إعادة إعادة إعادة إعادة إعادة إعادة إعادة + +287 +00:27:51,060 --> 00:27:59,720 +إعادة إعادة إعادة إعادة إعادة إعادة إعادة إعادة + +288 +00:27:59,720 --> 00:28:07,680 +إعادة إعادة إع + +289 +00:28:09,740 --> 00:28:12,900 +بقول if a part of hypermetropia remains + +290 +00:28:12,900 --> 00:28:20,540 +uncorrected يعني لو واحد عادي عمره عشرين سنة جيسنا + +291 +00:28:20,540 --> 00:28:25,380 +له طلع five diopters of hypermetropia احنا أعطينا + +292 +00:28:25,380 --> 00:28:30,640 +اتنين هل + +293 +00:28:30,640 --> 00:28:37,400 +حلنا المشكلة؟ لأ، ليش؟ لأن في uncorrected بقى، و + +294 +00:28:37,400 --> 00:28:41,060 +أكتر، ستين في المائة من uncorrected يبقى هو بيقوللي + +295 +00:28:41,060 --> 00:28:48,920 +انه يعني زي العطشان اللي أنا أعطيته ربع ال .. أو + +296 +00:28:48,920 --> 00:28:57,280 +تلك الشربة بعد ساعة هيقوللي بدي العين تتطلب ما زال + +297 +00:28:57,280 --> 00:29:02,580 +فيها أعراض لأستنوبيا في عنده headache، blurring of + +298 +00:29:02,580 --> 00:29:07,180 +vision في عنده دوخة، كلام زي هذا in such cases it + +299 +00:29:07,180 --> 00:29:12,170 +is quite inadequate غير كافي to be guided by hard + +300 +00:29:12,170 --> 00:29:16,110 +and fast rules such for example as deduction from + +301 +00:29:16,110 --> 00:29:23,130 +the total hypermetropia of one diopter مثلا اه one + +302 +00:29:23,130 --> 00:29:28,410 +diopter scan تحت الأتروبيل و نص ديوبتر تحت الcycle + +303 +00:29:28,410 --> 00:29:34,510 +of religion وهذا ما كنت أقولكوا أنه منح كبير في + +304 +00:29:34,510 --> 00:29:39,090 +المحاضرة المفاتيك وقالتوا منح كبير كام أخزهم ولا + +305 +00:29:39,090 --> 00:29:44,210 +مين أخزهم فقلنا في الآخر أنه حسب الشخصية + +306 +00:29:44,210 --> 00:29:50,710 +individual individual يعني يمكن أنا الآن عندي طفل + +307 +00:29:50,710 --> 00:29:56,590 +عمره خمس سنوات واحد عنده عشرة وواحد عنده خمستاشر + +308 +00:29:56,590 --> 00:30:03,710 +وواحد عنده عشرين عشرين سنة وكلهم طلع عندهم plus 7 + +309 +00:30:03,710 --> 00:30:08,990 +الخمسة ممكن أعطيه سبعة من سبعة والعشرة ممكن أعطيه + +310 +00:30:08,990 --> 00:30:14,550 +ستة والخمستاشر ممكن أعطيه خمسة والعشرين ممكن أعطيه + +311 +00:30:14,550 --> 00:30:20,810 +اربعة ال age بتدخل في الموضوع لأن ال age بيبتدى + +312 +00:30:20,810 --> 00:30:25,430 +قوة العضلة الهدوية سلبا أو ايجابا كل ما كان أكبر + +313 +00:30:25,430 --> 00:30:30,920 +كل ما ضعفت العضلة فالعشرين عطيتوا أربعة من سبعة + +314 +00:30:30,920 --> 00:30:34,700 +والخمسة عطيتوا سبعة من سبعة خاصة إذا كان عنده + +315 +00:30:34,700 --> 00:30:48,240 +Intermittent Esotropia عطيته + +316 +00:30:48,240 --> 00:30:55,220 +full correction في حالتين هل أنت هتشوفهم؟ هاي + +317 +00:30:55,220 --> 00:30:56,620 +الحالتين، هاي هم جايين + +318 +00:31:01,990 --> 00:31:06,730 +الطريقة العاملية أكتر اللي هي individual + +319 +00:31:06,730 --> 00:31:15,530 +individual correction لا بقول واحد ولا نص ولا واحد + +320 +00:31:15,530 --> 00:31:23,710 +ونص أنا لما العياني دي بشوف وضعه كاملا أنا والله + +321 +00:31:23,710 --> 00:31:27,270 +إذا كان cover test بيبين فيه ازوترابيا لو latent + +322 +00:31:28,240 --> 00:31:32,780 +طبعا بيختلف ال manifest بيختلف و ال age بيختلف و + +323 +00:31:32,780 --> 00:31:39,340 +ال vision بيختلف يبقى في أنا ال answer يعني عندي + +324 +00:31:39,340 --> 00:31:46,780 +good assessment تقييم جيد لما أشوف العيالة ماحد + +325 +00:31:46,780 --> 00:31:50,820 +يقولي بالتليفون جدش أعطيه ما بكتب في كتاب جدش أعطيه + +326 +00:31:50,820 --> 00:31:56,460 +زي ما قالك يعني الوصفة اللي بالتليفون بطلت ما يعني + +327 +00:31:56,460 --> 00:32:02,610 +وصفة بالتليفون بنفحص الآن لأن أجال الخطأ ينسى في + +328 +00:32:02,610 --> 00:32:13,290 +الموضوع مافيه IPD يبقى on its own merit مزايا أو + +329 +00:32:13,290 --> 00:32:20,960 +صفات كل واحد حسب صفاته كيف عضلاته كيف نظره كيف عمره + +330 +00:32:20,960 --> 00:32:26,340 +كيف ال IPD بتاعه to determine the manifest + +331 +00:32:26,340 --> 00:32:30,180 +hypermetropia and order glasses بعد هيك أو lenses + +332 +00:32:30,180 --> 00:32:37,320 +on his this basis على هذا القاعدة individual ممكن + +333 +00:32:37,320 --> 00:32:43,060 +اتنين plus سبعة لكن عمرهم ونظرهم باختلف أعطي واحد + +334 +00:32:43,060 --> 00:32:45,400 +خمسة واحد ستة ونص + +335 +00:32:48,200 --> 00:32:51,540 +correcting the patient as nearly to his total + +336 +00:32:51,540 --> 00:32:54,800 +hypermetropia as possible هو remaining within the + +337 +00:32:54,800 --> 00:32:59,420 +limits of يعني أنا ببحث عن ال comfort وعن ال good + +338 +00:32:59,420 --> 00:33:06,360 +vision وال age يعني التلاتة هدولة مهمين جدا ال + +339 +00:33:06,360 --> 00:33:12,260 +comfort ما أشكليش بعد ما ألبس نضارة مصدع قلم بحول + +340 +00:33:12,260 --> 00:33:13,340 +بشوفش + +341 +00:33:16,950 --> 00:33:21,190 +بما يتناسب ال comfort مع ال good vision و مع ال + +342 +00:33:21,190 --> 00:33:29,330 +age وهذا بدوره يعتمد على ال accommodation كيف + +343 +00:33:29,330 --> 00:33:34,030 +ال accommodation؟ symptoms ما فيش symptoms muscle + +344 +00:33:34,030 --> 00:33:39,450 +balance ما فيش إيزوترابيا ولا إيزوترابيا وعلى + +345 +00:33:39,450 --> 00:33:42,970 +الحالة النفسية والحالة العصبية والحالة + +346 +00:33:42,970 --> 00:33:45,310 +الفيزيائية صحة العامة + +347 +00:33:49,850 --> 00:33:54,930 +يبقى ليس الموضوع موضوع أن أنا بحط العيال على الـ + +348 +00:33:54,930 --> 00:33:58,370 +auto refractometer و أعطيه نضارة، لأ، لأ، لأ، لأ، + +349 +00:33:58,370 --> 00:33:59,750 +لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، + +350 +00:33:59,750 --> 00:34:00,090 +لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، + +351 +00:34:00,090 --> 00:34:00,910 +لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، + +352 +00:34:00,910 --> 00:34:03,870 +لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، + +353 +00:34:03,870 --> 00:34:18,890 +لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، ل + +354 +00:34:19,470 --> 00:34:23,950 +لكن شاكوالي اللي هو نهار كنا نحطه 6 على 9 و هو + +355 +00:34:23,950 --> 00:34:30,570 +مرتاح و .. و بنام طوال اللي طويل كيف نعمل balance + +356 +00:34:30,570 --> 00:34:33,310 +بين accommodation و ال symptoms و ال muscle + +357 +00:34:33,310 --> 00:34:39,910 +balance و ال physical unnervous state هذه مش حاجة + +358 +00:34:39,910 --> 00:34:43,950 +و كلام ال physical unnervous state يعني واحد مصدع + +359 +00:34:43,950 --> 00:34:49,150 +مريض يعني واحد مصدع مريض طيب واحد عنده loss of + +360 +00:34:49,150 --> 00:34:54,270 +appetite فقدانة شهية يعني ما .. يعني واحد عنده + +361 +00:34:54,270 --> 00:34:59,250 +vomiting بيراجع .. بيراجع من الأراضي أو النظارة + +362 +00:34:59,250 --> 00:35:03,690 +غلط طيب + +363 +00:35:03,690 --> 00:35:15,430 +سؤال عملت أنت وصفة و بعتيها لل optician نفذها + +364 +00:35:17,760 --> 00:35:24,920 +العين بعد أسبوع وجاهي قال لك sorry I am discomfort + +365 +00:35:24,920 --> 00:35:30,760 +discomfortable discomfortable يعني غير مرتاح تعبان + +366 +00:35:30,760 --> 00:35:39,020 +يعني bloody no rest what is your behavior in such + +367 +00:35:39,020 --> 00:35:39,500 +cases + +368 +00:35:47,440 --> 00:35:56,160 +your behavior the + +369 +00:35:56,160 --> 00:36:00,580 +first + +370 +00:36:00,580 --> 00:36:04,940 +behavior is to examine the lenses in the spectacle + +371 +00:36:04,940 --> 00:36:10,800 +أول behavior يعني أمسك نظارة و أحطها على ال + +372 +00:36:10,800 --> 00:36:16,240 +lensmeter و أشوفه هو يعني من النكتة أني مرة أتعلم + +373 +00:36:16,240 --> 00:36:22,400 +في حياتنا كم .. كم .. كم .. كم .. كم .. كم .. + +374 +00:36:22,400 --> 00:36:25,360 +كم .. كم .. كم .. كم .. كم .. كم .. كم .. كم .. كم + +375 +00:36:25,360 --> 00:36:27,000 +.. كم .. كم .. كم .. كم .. كم .. كم .. كم .. كم .. + +376 +00:36:27,000 --> 00:36:28,460 +كم .. كم .. كم .. كم .. كم .. كم .. كم .. كم .. كم + +377 +00:36:28,460 --> 00:36:29,140 +.. كم .. كم .. كم .. كم .. كم .. كم .. كم .. كم .. + +378 +00:36:29,140 --> 00:36:31,120 +كم .. كم .. كم .. كم .. كم .. كم .. كم .. كم .. كم + +379 +00:36:31,120 --> 00:36:31,160 +.. كم .. كم .. كم .. كم .. كم .. كم .. كم .. كم .. + +380 +00:36:31,160 --> 00:36:31,260 +كم .. كم .. كم .. كم .. كم .. كم .. كم .. كم .. كم + +381 +00:36:31,260 --> 00:36:39,140 +.. كم .. كم .. كم .. كم .. كم .. كم .. كم .. كم + +382 +00:36:39,140 --> 00:36:42,600 +.. + +383 +00:36:49,460 --> 00:36:52,240 +من النكتة اللي صارت معايا أنا يعني ممكن أكتر من مرة + +384 +00:36:52,240 --> 00:36:57,080 +أن الراجل بيقوللي بيقوللي أنا هيك مش شايف كويس + +385 +00:36:57,080 --> 00:37:04,480 +راح طلع النضارة هي هي قاللي أنا هيك مش شايف لكن + +386 +00:37:04,480 --> 00:37:10,120 +لما بعمل هيك بشوف الله هيك قاللي هيك تمام أما هيك + +387 +00:37:10,120 --> 00:37:13,520 +مش تمام طبعا واضح أنه جالب يمين شمال و شمال يمين + +388 +00:37:18,250 --> 00:37:24,290 +أيجا سؤال مرة في دورة لأطباء اللي + +389 +00:37:24,290 --> 00:37:28,890 +بيجيس الضغط blood pressure nurse شاب أو بنت يعني + +390 +00:37:28,890 --> 00:37:36,690 +فبقول ليه nurse أيجاك قالك blood pressure of this + +391 +00:37:36,690 --> 00:37:43,750 +patient is 200 on على 120 + +392 +00:37:45,060 --> 00:37:55,360 +200 على 120 ملي متر زي ابقى إيش تعمل؟ تكتب علاج؟ + +393 +00:37:55,360 --> 00:38:04,360 +و كتاب تعلاج؟ فيه علم مسئولية يعني و لا إيش تعمل؟ + +394 +00:38:04,360 --> 00:38:12,780 +تتحرك من مكانك و روح تجيس الداخل توتق يمكن جهاز + +395 +00:38:12,780 --> 00:38:17,830 +عطلان يمكن الشاب لسه تحت التدريب أو البنت تحت + +396 +00:38:17,830 --> 00:38:25,530 +التدريب يمكن المريض خايف كتير وضغطه رامي فوق هذا + +397 +00:38:25,530 --> 00:38:32,690 +إنسان خايف وهكذا يبقى + +398 +00:38:32,690 --> 00:38:36,430 +كتير بيجي مش مبسوط من النضارة يمكن السبب من + +399 +00:38:36,430 --> 00:38:41,990 +optician غفلة أو أنا ما جسته كنت أنا مش مركز كتير + +400 +00:38:41,990 --> 00:38:48,550 +أعيده الفحص وهكذا أو في مريض بهول لما حطيته على ال + +401 +00:38:48,550 --> 00:38:51,470 +chart شاف فيها 6 ع 6 قله يا عم والله أنك أنت كويس + +402 +00:38:51,470 --> 00:38:55,170 +بستعود عليك من سبوع وهتجمع 100% المهم في الآخر + +403 +00:38:55,170 --> 00:39:02,950 +المشكلة عند الـ optometrist المشكلة مشكلتك حتى لو + +404 +00:39:02,950 --> 00:39:10,310 +غيرك غلط المشكلة مشكلتك إلى أن يثبت العكس طيب + +405 +00:39:12,190 --> 00:39:18,090 +عندي a rule قاعدة إيش القاعدة بتقول the younger a + +406 +00:39:18,090 --> 00:39:23,430 +patient is the more active is his accommodation + +407 +00:39:23,430 --> 00:39:28,770 +إيش القاعدة يعني بتقول كل ما كان المريض أصغر في + +408 +00:39:28,770 --> 00:39:34,570 +السن كل ما كان ال accommodation أكبر أقوى طب إيش + +409 +00:39:34,570 --> 00:39:42,250 +بترتب عليه لما عملوا correction أيوة أن أعطيه نضارة + +410 +00:39:42,250 --> 00:39:50,210 +أقوى عدسات أقوى and the more we may under correct + +411 +00:39:50,210 --> 00:39:54,010 +of the sacrilege يعني زي ما قلنا احنا قبل شوية + +412 +00:39:54,010 --> 00:40:03,030 +زائد سبعة في سنة خمس سنوات وعشر سنوات وخمستاشر سنة + +413 +00:40:03,030 --> 00:40:14,530 +هنا أعطيت ستة وهنا أعطيت خمسة وهنا أعطيك أربعة هذه + +414 +00:40:14,530 --> 00:40:21,130 +معناها diopter السن الأصغر العضلات ده أقوى وال + +415 +00:40:21,130 --> 00:40:25,670 +condition أكتر .. قوة وبالتالي أنا عشان أعمل + +416 +00:40:25,670 --> 00:40:29,550 +suppression للcell in my muscle بدي أعطيها عدسة + +417 +00:40:29,550 --> 00:40:35,650 +أقوى بدي أعطيها عدسة إيش؟ أقوى والعكس صحيح إيش + +418 +00:40:35,650 --> 00:40:45,900 +العكس الصحيح؟ يلا مين يصيغلي إياها بدد هذا الكلام يلا + +419 +00:40:45,900 --> 00:40:51,520 +يا آيات قولي .. قولي بالإنجليزي يلا the older .. + +420 +00:40:51,520 --> 00:41:01,860 +the older a patient is the more .. less active his + +421 +00:41:01,860 --> 00:41:03,680 +accommodation and + +422 +00:41:18,060 --> 00:41:26,020 +تاني كمان قاعدة ده latent hypermetropia + +423 +00:41:35,050 --> 00:41:38,090 +The greater the residual accommodation + +424 +00:41:38,090 --> 00:41:43,410 +and the more we under correct after cycloplegia + +425 +00:41:43,410 --> 00:41:46,710 +يعني + +426 +00:41:46,710 --> 00:41:54,630 +واحد عنده plus two without + +427 +00:41:54,630 --> 00:42:00,210 +cycloplegia لما عملنا cycloplegia وجسنا لقينا + +428 +00:42:00,210 --> 00:42:00,850 +plus seven + +429 +00:42:03,640 --> 00:42:10,660 +طب هذا ال difference اللي قاله وين كان؟ حقيقة + +430 +00:42:10,660 --> 00:42:13,500 +هذا ال contraction هو ال ciliary muscle ال ciliary + +431 +00:42:13,500 --> 00:42:15,880 +muscle مغطية هذا .. هذا ال latent مغطية + +432 +00:42:15,880 --> 00:42:19,120 +ال hypermetropia بهذا مغطية بال ciliary muscle لما + +433 +00:42:19,120 --> 00:42:27,600 +ال ciliary muscle شلت بالقطرة بيان خمسة زيادة طيب، + +434 +00:42:27,600 --> 00:42:35,170 +الآن أنا بقدر أعطي اثنين بس؟ لأ، لا أعطيشبقى أعطي + +435 +00:42:35,170 --> 00:42:41,150 +تلاتة لأ اكتر من خمسة و فوق يبقى كل ما كانت ال + +436 +00:42:41,150 --> 00:42:45,770 +latent hypermetropia اللي كشفها قطرة ال cycloplegia + +437 +00:42:45,770 --> 00:42:52,030 +أكبر كل ما كان ال residual accommodation المختبئ + +438 +00:42:52,030 --> 00:42:57,870 +أو المتبقى عشان ايه أنا بعطي عدسات أقوى و أقوى و + +439 +00:42:57,870 --> 00:43:03,350 +أقوى عشان أقضي على اللي هو ال latent hypermetropia + +440 +00:43:05,370 --> 00:43:10,150 +خاصة إذا كانت تعملني intermittent و أعراض + +441 +00:43:10,150 --> 00:43:18,450 +السينوميا طيب on the other hand if the symptoms of + +442 +00:43:18,450 --> 00:43:25,070 +any strain are marked كبيرة يعني ملحوظة صورة + +443 +00:43:25,070 --> 00:43:30,510 +كبيرة يعني especially if indicated by mental or + +444 +00:43:30,510 --> 00:43:34,590 +general physical state دائما أقول physical جسمانية + +445 +00:43:34,590 --> 00:43:41,450 +و mental ذهنية بينهم علاقة ال physical state و ال + +446 +00:43:41,450 --> 00:43:45,830 +mental state اه بينهم علاقة يعني بالله يقولولي + +447 +00:43:45,830 --> 00:43:51,730 +يعني واحد مصدع بقدر يقدر يركز في القراءة لأ يقين + +448 +00:43:51,730 --> 00:43:56,130 +لأ واحد عنده أبضمن الكليك + +449 +00:43:59,030 --> 00:44:04,770 +بيقدر يفكر سليم و يحلل مسائل الرياضيات، بقدرش، + +450 +00:44:04,770 --> 00:44:09,450 +وهكذا، يبقى أنا عندي physical جسمانية تنعكس على + +451 +00:44:09,450 --> 00:44:12,530 +الذهنية و تنعكس على النفسية على ال psychic state + +452 +00:44:12,530 --> 00:44:19,390 +يعني واحد عنده + +453 +00:44:19,390 --> 00:44:26,050 +قلم ممكن تقول يتهيأله أنه هيموت، بطنه فيه مصيبة، + +454 +00:44:26,050 --> 00:44:28,950 +فيه سرطان، فيه .. فيه .. فيه .. فيه بتنفجر زي ده + +455 +00:44:28,950 --> 00:44:32,830 +عنده شيء، تلاقي حالته النفسية حالة واحد بده يموت، + +456 +00:44:32,830 --> 00:44:36,670 +و لا أنا خلاص، خلاص، خلاص، و ببكي و بعمل، مهلك يا + +457 +00:44:36,670 --> 00:44:39,590 +راجل، قال خلاص والله أنا مش راضين يقولولي أنا وضعي + +458 +00:44:39,590 --> 00:44:43,670 +خطير، حالته النفسية سيئة كمان، يبدأ هنا مش قادر + +459 +00:44:43,670 --> 00:44:48,550 +يفكر ولا يقرأ ولا حاجة، حالته النفسية سيئة جدا، من + +460 +00:44:48,550 --> 00:44:53,970 +ال physical state، من ال physical state وتلاقيها + +461 +00:44:53,970 --> 00:44:58,350 +هي من hypermetropia من أستجماتيزم من حاجة يعني أصل + +462 +00:44:58,350 --> 00:45:03,370 +الإنسان ضعيف وخلقة الإنسان ضعيفة إنسان ضعيف يبقى + +463 +00:45:03,370 --> 00:45:08,670 +في الحالة هذه إذا كان ال symptoms جوية جوية ومؤثرة + +464 +00:45:08,670 --> 00:45:12,270 +على ال physical و ال mental state we correct as + +465 +00:45:12,270 --> 00:45:16,710 +much as of the total hypermetropia as possible ايش + +466 +00:45:16,710 --> 00:45:20,350 +يعني نصلح + +467 +00:45:20,350 --> 00:45:26,350 +إلى حد الأقصى من الـ Total Hypermetropia طبعاً و + +468 +00:45:26,350 --> 00:45:30,670 +الـ cycloplegia trying + +469 +00:45:30,670 --> 00:45:36,870 +محاولين as far as we can كل ما نقدر عمله to + +470 +00:45:36,870 --> 00:45:41,750 +relieve ايش relieve البنودول + +471 +00:45:41,750 --> 00:45:50,210 +relieves سيليك يخفف يخفف + +472 +00:45:52,850 --> 00:45:57,850 +relieve يخفف The accommodation that produced by + +473 +00:45:57,850 --> 00:46:00,730 +excessive contraction of ciliary muscle كل هذا احنا + +474 +00:46:00,730 --> 00:46:04,810 +شرحناه بالتفصيل في Refraction 1 بس هي ما بنقل فيه + +475 +00:46:04,810 --> 00:46:12,170 +كل هذا شرحناه بالتفصيل في ال accommodation صح؟ طيب + +476 +00:46:12,170 --> 00:46:18,250 +الآن في حالتين زي ما قلتلكم قبل شوية في exception + +477 +00:46:18,250 --> 00:46:26,420 +فيهم حالة Spasm وحالة ال intermittent convergence + +478 +00:46:26,420 --> 00:46:30,060 +point الحالتين هدول .. الحالتين هدول فيهم + +479 +00:46:30,060 --> 00:46:39,800 +exception حالة Spasm of accommodation يعني + +480 +00:46:39,800 --> 00:46:45,460 +السيارة المصل عملت Spasm وعملته + +481 +00:46:45,460 --> 00:46:51,260 +ايه أنا refraction لقيته high .. high ايه ايش أنا + +482 +00:46:56,790 --> 00:47:01,770 +high myopia ولا hypermetropia artificial myopia + +483 +00:47:01,770 --> 00:47:09,750 +ولا artificial hypermetropia myopia تنسوش في + +484 +00:47:09,750 --> 00:47:14,210 +الحالة هذه we correct the whole of the error as + +485 +00:47:14,210 --> 00:47:22,110 +can as possible يعني حتى لو لقيته زاد عشرة ten ده + +486 +00:47:22,110 --> 00:47:30,500 +يبقى بدي أعطيه عشرة من عشرة عشان أرخي خلي + +487 +00:47:30,500 --> 00:47:35,980 +تحت الأتروبين فترة تقلل عن أسبوعين وبعدين أعطيه + +488 +00:47:35,980 --> 00:47:41,660 +full atropine correction لفترة دعونا نشوف كيف وده + +489 +00:47:41,660 --> 00:47:45,480 +من وجه ال plus بيعمل suppression لل accommodation + +490 +00:47:45,480 --> 00:47:52,660 +تنسوش طيب وقت ايش أيضا بعطي أنصات تساوي كل الفحص + +491 +00:47:52,660 --> 00:47:56,510 +البصري بالأتروبين في حالات أنه بيصير معه + +492 +00:47:56,510 --> 00:48:01,450 +intermittent esotropia لأنه لو هذا ما اتصلح ندير + +493 +00:48:01,450 --> 00:48:07,250 +شؤم ممكن ايش يعمل constant esotropia ايش constant + +494 +00:48:07,250 --> 00:48:13,770 +يعني ثابت ثابت ما بعش اصلح و هو متقطع بيجي و بيروح + +495 +00:48:13,770 --> 00:48:19,750 +ولا خلينا ما يثبت ويصير طبيعة لأ اصلح + +496 +00:48:21,960 --> 00:48:25,320 +و if you in the first case طبعا first case is + +497 +00:48:25,320 --> 00:48:29,640 +spasm ليش بأعطي العدسات ال full atropine + +498 +00:48:29,640 --> 00:48:34,020 +correction to force rest on ciliary muscle using + +499 +00:48:34,020 --> 00:48:37,580 +atropine؟ أنا بريح ال ciliary muscle المكمشة في ال + +500 +00:48:37,580 --> 00:48:41,780 +spasm بال atropine طب في الحالة التانية ال + +501 +00:48:41,780 --> 00:48:48,120 +convergence ليش بأعطي ال full atropine؟ ايش خاص ال + +502 +00:48:48,120 --> 00:48:49,660 +full atropine في ال convergence؟ + +503 +00:48:56,660 --> 00:48:59,680 +يعني الأتروبين ليه علاقة مباشرة بال convergence + +504 +00:48:59,680 --> 00:49:03,400 +أحسنت + +505 +00:49:03,400 --> 00:49:07,920 +indirect الأتروبين + +506 +00:49:07,920 --> 00:49:13,560 +correction هيعمل relaxation و accommodation بجلله + +507 +00:49:13,560 --> 00:49:16,620 +يعني وبالتالي ال convergence برتاح ببطء ال + +508 +00:49:16,620 --> 00:49:23,070 +convergence كتير يبقى هنا بقول لي هنا في to relieve + +509 +00:49:23,070 --> 00:49:28,010 +يخفف ال convergence indirectly by relieving + +510 +00:49:28,010 --> 00:49:35,090 +accommodation with plus lenses بقول + +511 +00:49:35,090 --> 00:49:41,170 +في الحالتين ال a و ال b we insist that the + +512 +00:49:41,170 --> 00:49:45,110 +spectacles are worn constantly طول ما الطفل صاحي و + +513 +00:49:45,110 --> 00:49:51,850 +هو لبسها وإلا لن يجد الراحة لا في ال spasm ولا في + +514 +00:49:51,850 --> 00:49:55,430 +ال esotropia هنا + +515 +00:49:55,430 --> 00:49:58,830 +مش موضوع اختياري موضوع إجباري obligatory + +516 +00:49:58,830 --> 00:50:04,550 +obligatory use constant use of ايش اللي هو glasses + +517 +00:50:04,550 --> 00:50:09,110 +eleven conversely + +518 +00:50:09,110 --> 00:50:14,370 +على العكس من ذلك if there is a latent divergent + +519 +00:50:14,370 --> 00:50:16,530 +squint what is divergent + +520 +00:50:19,510 --> 00:50:27,490 +يعني Exotropia يعني زي ما تشوفين هنا عندي + +521 +00:50:27,490 --> 00:50:30,550 +exodeviation + +522 +00:50:30,550 --> 00:50:38,930 +شوفين انحراف .. انحراف وحش للخارج .. انحراف وحش + +523 +00:50:38,930 --> 00:50:47,610 +للخارج في عندي divergence و under correct .. under + +524 +00:50:47,610 --> 00:50:48,550 +correct ايش؟ + +525 +00:50:52,200 --> 00:51:00,020 +ال power ال power بتاع الأتروبيل يعني مثلا واحد + +526 +00:51:00,020 --> 00:51:10,700 +طلع plus 4 وعنده divergent زي هى بعطيه plus 2 بس + +527 +00:51:10,700 --> 00:51:15,660 +يعني أنا بعطيه plus 2 كان عطيته ايش كان عطيته + +528 +00:51:15,660 --> 00:51:19,540 +minus 2 خصمت من 4 اتنين + +529 +00:51:22,690 --> 00:51:24,650 +يعني لما أعطيهم minus ايش بعمل في ال + +530 +00:51:24,650 --> 00:51:29,710 +accommodation؟ بزيده .. بزيده .. ولما زيده بزيد + +531 +00:51:29,710 --> 00:51:33,350 +ايش؟ convergence .. convergence .. بدل ما هو ضعيف + +532 +00:51:33,350 --> 00:51:36,910 +.. أساعد شوية .. هذه القاعدة مهمة جدا تشتغلوا + +533 +00:51:36,910 --> 00:51:41,610 +عليها لأن ما بدي ايه أكون technicians فسر و اركب + +534 +00:51:41,610 --> 00:51:46,790 +.. نعد العدد .. عملنا خمسة .. عملنا ستة .. وصفة .. + +535 +00:51:46,790 --> 00:51:49,870 +لا .. أنا بدي الوصفة تكون effective + +536 +00:51:53,570 --> 00:51:58,810 +ال esotropia غير عن exotropia في ال esotropia بحط ال full أو + +537 +00:51:58,810 --> 00:52:03,630 +حواليها في ال exotropia لازم أجلل أجلل أجلل جدا ما أكتر + +538 +00:52:03,630 --> 00:52:11,970 +طيب يعني واحد جيني استجماتيزم يلا استجماتيزم مش لاقي عنده + +539 +00:52:11,970 --> 00:52:16,550 +أي عيب بصري بس عنده divergence + +540 +00:52:22,380 --> 00:52:28,200 +أنا جريء بعطيه minus 2 و + +541 +00:52:28,200 --> 00:52:32,320 +بشوف ال vision بال minus 2 عارف أنه بال minus 2 + +542 +00:52:32,320 --> 00:52:40,460 +شاف 6 على 9 بالعين 2 بس ال divergence اتحسن بخليه + +543 +00:52:40,460 --> 00:52:46,220 +يمشي ب 2 شهر و بعدين بشوف كيف أحيانا في قرار بده + +544 +00:52:46,220 --> 00:52:48,140 +جرقة تشتري الدولة + +545 +00:52:53,270 --> 00:52:56,790 +وعن .. بيقولوا أنت لما تتبلش تقول .. ماتقولش بسم + +546 +00:52:56,790 --> 00:53:01,090 +الله الرحمن الرحيم تقول + +547 +00:53:01,090 --> 00:53:07,630 +الله أكبر جال لو رحم ما دبح الإنسان لو رحم ما دبح + +548 +00:53:07,630 --> 00:53:14,050 +الدبح بده جرأة فبيقول الله أكبر الله أكبر يعني + +549 +00:53:14,050 --> 00:53:19,550 +للحسم أما بسم الله الرحمن الرحيم ليش ده الرحمة اه + +550 +00:53:19,550 --> 00:53:20,810 +صح؟ + +551 +00:53:24,540 --> 00:53:28,180 +ليش أنا عطيته under correction يعني ميناسات يعني + +552 +00:53:28,180 --> 00:53:34,900 +أنه by stimulating accommodation we may + +553 +00:53:34,900 --> 00:53:41,400 +stimulate convergence اصلا ما نفعش كده هينفع ال + +554 +00:53:41,400 --> 00:53:46,960 +surgery ان ما نفعش كده يعني أنت الخط الأول اللي + +555 +00:53:46,960 --> 00:53:51,980 +بعالجه بالحاجات ال medical الطبية + +556 +00:53:53,450 --> 00:53:58,990 +اللي ما ينفع فيه المناعة الطبية السلمية ما ينفع فيه + +557 +00:53:58,990 --> 00:54:03,810 +ال surgeon و + +558 +00:54:03,810 --> 00:54:09,370 +أقولكوا كتير من ال surgeons بتنعمل لخطأ ال + +559 +00:54:09,370 --> 00:54:14,130 +optometrist أنا + +560 +00:54:14,130 --> 00:54:18,960 +قارف أبحاث جديدة إن الـFull Atropine Correction لما + +561 +00:54:18,960 --> 00:54:23,700 +نعطيها بتوفر 50% من عملية الجراحية للإيزوتروبيا + +562 +00:54:23,700 --> 00:54:30,180 +صدقوني 50% لو احنا قدرنا المعركة بثبات سنة كاملة + +563 +00:54:30,180 --> 00:54:35,680 +بتوفر عمل عملية جراحية من أحسن أعطي نضارة سنة + +564 +00:54:35,680 --> 00:54:40,420 +بإحكام وبعدها يطلع سيف ولا أرمي في عملية وممكن + +565 +00:54:40,420 --> 00:54:46,250 +العملية تعمله مشاكل تعمله بدل إيزو تعمله إكزوبعد + +566 +00:54:46,250 --> 00:54:51,950 +ال ISO العملية كتير منهم بيجيوا EXO جص أكثر من + +567 +00:54:51,950 --> 00:54:56,950 +لزومها في ال surgery أنا + +568 +00:54:56,950 --> 00:55:01,550 +قارئ في آراء جديدة أن موضوع ال full atropine + +569 +00:55:01,550 --> 00:55:06,810 +correction أو حواليها أنه بعطي نتيجة خمسين في + +570 +00:55:06,810 --> 00:55:13,090 +المئة لمنع الجراحة في الـ .. في الـ .. in the + +571 +00:55:13,090 --> 00:55:14,170 +strabismus surgery + +572 +00:55:17,760 --> 00:55:22,360 +مش كله مش كله المهم أنه يعني احنا نحاول ندير + +573 +00:55:22,360 --> 00:55:28,580 +الموضوع بأقل قدر من الخسارة طيب الآن بدأ أقارن من + +574 +00:55:28,580 --> 00:55:34,620 +الحاجتين بين إنسان active وعنده status life + +575 +00:55:34,620 --> 00:55:42,960 +status من قراء يعني مُلَقَّط للدراسة وبين واحد عنده + +576 +00:55:42,960 --> 00:55:50,960 +no study ولا نقل على ديسك ولا إيه هو خاصة خاصة + +577 +00:55:50,960 --> 00:55:56,780 +وبيشتغل out of doors مراعي + +578 +00:55:56,780 --> 00:56:07,100 +القبل مراعي البقر صياد زراعي بناء سقاية ما بيشتغل +579 +00:56:07,100 --> 00:56:12,020 +القريب أبداً ما هو الفرق بينهم في ال correction؟ + +580 +00:56:12,020 --> 00:56:15,880 +بين الإنسان الأول المَلَقَّط للدراسة ومن الذين عملوا + +581 +00:56:15,880 --> 00:56:24,800 +كله outdoors خارج الأبواب يعني ال + +582 +00:56:24,800 --> 00:56:32,220 +active والمَلَقَّط للدراسة بدوا ال hypermetropia a + +583 +00:56:32,220 --> 00:56:38,660 +full correction عشان أرخي ال accommodation طب + +584 +00:56:38,660 --> 00:56:41,320 +والإنسان ليه؟ بتاع المراعي والثقايا والزراعة + +585 +00:56:41,320 --> 00:56:47,740 +والصيادة No correction واشهله في النضارة؟ واشهله + +586 +00:56:47,740 --> 00:56:54,060 +في النضارة؟ أنا إجاني واحد ميكانيكي سيارة ولقيت + +587 +00:56:54,060 --> 00:56:59,840 +عنده عيوب بصرية زي هذه فقول والله أنت علاجك لازم + +588 +00:56:59,840 --> 00:57:04,620 +عنك نضارة، قعد يضحك قال يا دكتور أنا بتاع النضارة؟ + +589 +00:57:04,620 --> 00:57:07,860 +قلت له قال ليه أنا في زيوت السيارات من الصبح + +590 +00:57:07,860 --> 00:57:14,590 +للمساء؟ أنا بروح كل وشي أسود أسود يعني النضارة كل + +591 +00:57:14,590 --> 00:57:18,970 +... كل خمس دقايق بدي أمسحها يعني ف أنا اختلعت بكلامه + +592 +00:57:18,970 --> 00:57:23,450 +قال كيف يعني أنا ... كيف ده يعني بدك يعني ألبس + +593 +00:57:23,450 --> 00:57:28,150 +نضارة ... ألبس نضارة تحت السيارات يعني والغبرة وال + +594 +00:57:28,150 --> 00:57:34,090 +الهدا والزيت فقلت له أه صحيح يعني هذه نضارة + +595 +00:57:34,090 --> 00:57:37,790 +استعمال مؤقت لكن إذا كنت بدك شيء أكثر بدك لاصق أو + +596 +00:57:37,790 --> 00:57:43,830 +بدك شيء وهو مالوش في الحاجات القريبة هذه شيء طيب + +597 +00:57:43,830 --> 00:57:47,550 +عشان أخلص بس نقطتين تلاتة فيما تبقى من الوقت + +598 +00:57:47,550 --> 00:57:56,670 +generally قاعدة برضه قاعدة the more fully the + +599 +00:57:56,670 --> 00:57:58,630 +error is corrected + +600 +00:58:01,130 --> 00:58:06,130 +the better the result إيش يعني؟ يعني كل ما صححنا + +601 +00:58:06,130 --> 00:58:09,410 +أكثر كل ما كانت النتيجة أفضل هذا الكلام كل ما + +602 +00:58:09,410 --> 00:58:14,410 +صححنا الخطأ الانكساري بتاع ال hypermetropia أكثر كل + +603 +00:58:14,410 --> 00:58:21,090 +ما كانت النتيجة أفضل بس always provided that بشرط + +604 +00:58:21,090 --> 00:58:25,650 +provided that يعني بشرط the lenses are compatible + +605 +00:58:25,650 --> 00:58:30,370 +with good vision compatible تتجارة أو تتماشى مع ال + +606 +00:58:30,370 --> 00:58:35,680 +good vision يعني أنا ما أقبلش أحسن correction وشوف + +607 +00:58:35,680 --> 00:58:42,160 +6 على 24 لأ هذا مش مقبول منطقيًا 6 + +608 +00:58:42,160 --> 00:58:50,560 +على 24 يعني 6 على 9 plus 2 صغار يعني 6 على 9 6 على + +609 +00:58:50,560 --> 00:58:55,820 +9 وشيء ماشي إما 6 على 24 لأ يعني balance كفّتين + +610 +00:58:55,820 --> 00:59:01,160 +ميزان كفّ يمين وكفّ شمال ال vision مع الراحة ال + +611 +00:59:01,160 --> 00:59:07,190 +vision مع الراحة 14 إذا إيش compromise؟ حال وسط + +612 +00:59:07,190 --> 00:59:10,690 +تسوية يعني .. compromise تسوية أو حال وسط in a + +613 +00:59:10,690 --> 00:59:13,990 +difficult case like high hypermetropia يعني افرض + +614 +00:59:13,990 --> 00:59:20,510 +واحد طالع عنده plus 12 فيه + +615 +00:59:20,510 --> 00:59:24,510 +مرة علينا وأكثر من هيك it may be will to under + +616 +00:59:24,510 --> 00:59:29,930 +correct considerably at first آه يعني مثلًا أنا + +617 +00:59:29,930 --> 00:59:38,430 +والله لما طلع 12 أعطيته 8 وبعدين كل شهر to + +618 +00:59:38,430 --> 00:59:42,570 +strengthen the lenses at intervals gradually بعد + +619 +00:59:42,570 --> 00:59:47,210 +شهر بعطيه 7 بعد شهر .. آسف بعطيه 9 بعد شهر + +620 +00:59:47,210 --> 00:59:51,910 +بعطيه 10 ممكن لو احتاج 10 ونص أو 11 + +621 +00:59:51,910 --> 00:59:56,690 +gradually of a few months until the full + +622 +00:59:56,690 --> 01:00:02,390 +correction is comfortably born ليش؟ لو أعطيته من + +623 +01:00:02,390 --> 01:00:08,330 +أول مرة ال 12 من ال 12 يعني + +624 +01:00:08,330 --> 01:00:19,610 +زي ما يقولونه نه من ال heavy correction ونه من ال + +625 +01:00:19,610 --> 01:00:29,990 +sudden change تغيير مفاجئ أنت لربما غير محتمل أو لا + +626 +01:00:29,990 --> 01:00:37,830 +يتحمله العين لذلك إنشاءً بعطي الجرعة في الدفعات شهر + +627 +01:00:37,830 --> 01:00:43,210 +شهر شهر شهر لما يكون هو هضم الجرعة الأولى تحملها + +628 +01:00:43,210 --> 01:00:49,750 +بعطيه ثانية تحملها بعطيه ثالثة وكذا طيب آخر شيء or + +629 +01:00:49,750 --> 01:00:55,550 +it may help to advise weaker lenses for distance + +630 +01:00:56,570 --> 01:01:00,170 +and full correction for closed work يعني two pairs + +631 +01:01:00,170 --> 01:01:06,330 +of glasses يعني ممكن أعطيه plus 3 للشارع و + +632 +01:01:06,330 --> 01:01:13,410 +أعطيه plus 4 نضارة ثانية للإيش؟ للقراءة طيب + +633 +01:01:13,410 --> 01:01:18,850 +شابة عمرها 20 سنة أعطيها نضارتين صعب طب لو + +634 +01:01:18,850 --> 01:01:24,730 +أعطيتها bifocal يعني نوعًا ما أحسن أرقى bifocal + +635 +01:01:24,730 --> 01:01:31,160 +أرقى صح؟ طيب لو أعطيها progressive اه progressive + +636 +01:01:31,160 --> 01:01:36,700 +أفضل وأفضل بس حسب الحالة المادية والنفسية كمان + +637 +01:01:36,700 --> 01:01:46,520 +progressive 600 شكل bifocal متين و two pairs of + +638 +01:01:46,520 --> 01:01:52,580 +glasses في حدود متين يعني + +639 +01:01:52,580 --> 01:01:59,460 +الموضوع .. الموضوع كبير لأنه يتعلق بإنسان، يتعلق + +640 +01:01:59,460 --> 01:02:05,520 +براحة، يتعلق بنفسية، يتعلق بمستقبل، يتعلق بدراسة، + +641 +01:02:05,520 --> 01:02:11,560 +يتعلق بأهل ومجتمع، وليس مجرد إن أنا technician + +642 +01:02:11,560 --> 01:02:16,880 +إن زبطت زبطت، ما زبطت يروح لغيري، كان هذا مبدأي + +643 +01:02:16,880 --> 01:02:22,540 +فاشل، كان مبدأي أن أنا أبدأ أشتغل professional + +644 +01:02:22,540 --> 01:02:32,260 +بصورة مهنية، بنجح وبريح الناس وأرجو أن أكون ممن + +645 +01:02:32,260 --> 01:02:41,620 +يعمل وينفع ممن يعمل ويفيد، وقل اعملوا فسير الله + +646 +01:02:41,620 --> 01:02:46,140 +عملكم ورسوله والمؤمنين صدق الله العظيم وبارك + +647 +01:02:46,140 --> 01:02:46,540 +الله فيكم diff --git a/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/-9PIQUj9fwg_postprocess.srt b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/-9PIQUj9fwg_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..74e6121315c144268b2198d571d32a714ef65289 --- /dev/null +++ b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/-9PIQUj9fwg_postprocess.srt @@ -0,0 +1,2588 @@ +1 +00:00:21,010 --> 00:00:23,730 +أعوذ بالله من الشيطان الرجيم بسم الله الرحمن + +2 +00:00:23,730 --> 00:00:25,990 +الرحيم الحمد لله و بكفه و أصلي و أسلم على النبي + +3 +00:00:25,990 --> 00:00:31,010 +المصطفى في هذا اليوم ان شاء الله سنكمل موضوع علاج + +4 +00:00:31,010 --> 00:00:38,210 +طول الندر hypermetropia thirsty with glasses with + +5 +00:00:38,210 --> 00:00:38,790 +glasses + +6 +00:00:41,410 --> 00:00:44,070 +It is important to remember that in all these + +7 +00:00:44,070 --> 00:00:46,550 +children hypermetropia tends normally to decrease + +8 +00:00:46,550 --> 00:00:51,330 +with age and consequently the refraction usually + +9 +00:00:51,330 --> 00:00:54,710 +approaches emetropia gradually until adolescence + +10 +00:00:54,710 --> 00:01:00,650 +is passed يعني يجب نتذكر أن congenital + +11 +00:01:00,650 --> 00:01:05,870 +hypermetropia تقل بالتدريج مع الزمنوفي كثير من + +12 +00:01:05,870 --> 00:01:10,990 +الحلات بنهاية ال .. ال .. ال .. البلوغ او المراهقة + +13 +00:01:10,990 --> 00:01:16,930 +بتكون تمت انتهت طب ماللي اترتب على هذا في تصحيح + +14 +00:01:16,930 --> 00:01:26,050 +النضارة اترتب على هذا في تصحيح النضارة اني اتابع + +15 +00:01:26,050 --> 00:01:32,650 +ال examination for vision يعني ال fraction every + +16 +00:01:32,650 --> 00:01:33,030 +year + +17 +00:01:36,460 --> 00:01:40,640 +ليش؟ to check up in exchange for refractive power + +18 +00:01:40,640 --> 00:01:48,720 +يعني مثلا، الأن انتبهوا معايا طفل أعطيته glasses + +19 +00:01:48,720 --> 00:01:53,480 +في العين .. في العينتين بقوة plus three، ده يبتر + +20 +00:01:53,480 --> 00:02:01,440 +لما كان عمره خمس سنوات وال IPD بتاعه خمسين، + +21 +00:02:01,440 --> 00:02:06,060 +انتبهوا كويس لكلامي ال IPD يساوي خمسين + +22 +00:02:10,530 --> 00:02:19,570 +لما صار عمره ست سنوات لجيت + +23 +00:02:19,570 --> 00:02:25,730 +ال fraction بتاعه اتنين و نص plus two point five و + +24 +00:02:25,730 --> 00:02:34,510 +ال IPD اتنين و خمسين مثلا اتنين و خمسين طيب + +25 +00:02:34,510 --> 00:02:43,870 +في سن سبعة سنوات لجيته plus twoوال IPD 53 + +26 +00:02:43,870 --> 00:02:53,630 +Millimeter في سن عشر سنوات لقيته plus one و IPD + +27 +00:02:53,630 --> 00:03:01,570 +بتاعه ستة و خمسين الآن + +28 +00:03:01,570 --> 00:03:07,730 +لو ال parents are + +29 +00:03:07,730 --> 00:03:10,170 +ignorant جهلة + +30 +00:03:12,140 --> 00:03:18,520 +أو ألزموا their child to use the same glass for + +31 +00:03:18,520 --> 00:03:28,260 +these years خمس سنوات ايوة + +32 +00:03:28,260 --> 00:03:32,000 +هذا for discussion الان لو ألزموه من خمسة عشر + +33 +00:03:32,000 --> 00:03:39,660 +سنوات انه يلبس نفسه نظارة عشان ما ايش اول حاجة ل + +34 +00:03:39,660 --> 00:03:46,510 +plus العالي هذا التلاتةو هو plus عالي تلاتة الان + +35 +00:03:46,510 --> 00:03:50,430 +ولد في عشر سنوات وصل الواحد يعني معاه كم زيادة؟ + +36 +00:03:50,430 --> 00:03:57,610 +اتنين اتنين ايش هيقلوله؟ Artificial Myopia + +37 +00:03:57,610 --> 00:04:04,190 +Artificial Myopia يعني يا بناتي لما كان صغير و كان + +38 +00:04:04,190 --> 00:04:10,390 +الضوء بجع و وراي الشبكية هيك كانت العدسة التلاتة + +39 +00:04:11,640 --> 00:04:16,740 +بتخليها على الشبكية لما صار عمره عشر سنين صارت + +40 +00:04:16,740 --> 00:04:21,820 +بتدخل بتخلي ال focus هنا artificial my love + +41 +00:04:21,820 --> 00:04:29,680 +artificial لأنه دي glasses هاي + +42 +00:04:29,680 --> 00:04:37,080 +التاني شكرا جزيلا ال IPD كان في خمس سنين خمسين في + +43 +00:04:37,080 --> 00:04:41,910 +عشر سنين صارت ستة وخمسينيبقى انا عندي تلاتة milli + +44 +00:04:41,910 --> 00:04:48,710 +هنا و تلاتة milli هنا فرق اه base in base in شكرا + +45 +00:04:48,710 --> 00:04:52,850 +شكرا يا عزيزي شكرا خلبتك انا شوف الله يبارك فيك + +46 +00:04:52,850 --> 00:04:56,410 +شكرا يبقى + +47 +00:04:56,410 --> 00:04:59,470 +pragmatic effect ايش ال pragmatic effect بيعمل + +48 +00:04:59,470 --> 00:05:03,450 +بيعمل + +49 +00:05:03,450 --> 00:05:10,060 +deviation بيعمل squint أسنوبية headachepain in the + +50 +00:05:10,060 --> 00:05:16,780 +eyes يبقى عشان هيك الموضوع مش موضوع نضارة وامشي + +51 +00:05:16,780 --> 00:05:22,340 +موضوع ثقافة مجتمع لازم تقف المجتمع for this reason + +52 +00:05:22,340 --> 00:05:27,300 +من أجل هذا السبب it is the rule that spectacles of + +53 +00:05:27,300 --> 00:05:33,360 +progressively decreasing strength are cured عدسات + +54 +00:05:33,360 --> 00:05:39,570 +متناقصة القوةكان تلاتة صار تين و نص صار اتنين صار + +55 +00:05:39,570 --> 00:05:44,750 +اتنين و نص صار واحد اتنين واحد و نص واحد و هكذا + +56 +00:05:44,750 --> 00:05:48,650 +until + +57 +00:05:48,650 --> 00:05:53,930 +finally في النهاية in many cases they may safely + +58 +00:05:53,930 --> 00:05:59,850 +be discarded altogether يترك النضارة بالنهاية + +59 +00:06:03,280 --> 00:06:06,880 +لأننا نتكلم عن الـ Congenital Hyponotropia التي + +60 +00:06:06,880 --> 00:06:12,280 +ولد بها الطفل Refraction + +61 +00:06:12,280 --> 00:06:20,520 +كل سنة ومتابعة لل IPD ومتابعة القوة وإلا بيصير + +62 +00:06:20,520 --> 00:06:25,440 +معاه مشاكل Artificial Myopia و Prismatic Effect + +63 +00:06:25,440 --> 00:06:36,200 +طيب In older peopleبعد الطفولة the advisability of + +64 +00:06:36,200 --> 00:06:38,200 +winning spectacles depends upon the degree of + +65 +00:06:38,200 --> 00:06:45,060 +vision and symptoms يعني عندهم مشكلتين ال vision و + +66 +00:06:45,060 --> 00:06:52,660 +ال comfort طالما في symptoms في discomfort تعب + +67 +00:06:52,660 --> 00:06:59,360 +يبقى انا بدي اعطيه شوف صح بغضوب لكن في حدود ان + +68 +00:06:59,360 --> 00:07:05,300 +يرتاحممكن اعطيه 6 ع 5 و يتعبى و لا اعطيه 6 ع 6 و + +69 +00:07:05,300 --> 00:07:12,500 +يرتاح 6 ع 6 الا و يرتاح الراحة مهمة بل بالعكس + +70 +00:07:12,500 --> 00:07:18,740 +بيقولوا الراح مقدمة على النظر اذا كان الطفل بيشكوا + +71 +00:07:18,740 --> 00:07:25,180 +من صداع و من قلم فاشراحه young adults البالغين + +72 +00:07:26,660 --> 00:07:30,020 +مش كبار كتير في السن with an error less than three + +73 +00:07:30,020 --> 00:07:33,360 +diopters who have normal vision and are without + +74 +00:07:33,360 --> 00:07:37,800 +symptoms should rarely be corrected يبقى أنا عندي + +75 +00:07:37,800 --> 00:07:46,640 +طفلة ستة عشر سنة في ثانوية و عندها اتنين و نص or + +76 +00:07:46,640 --> 00:07:51,220 +two diopters hypermetropia مافيش اي complaint + +77 +00:07:51,220 --> 00:07:56,090 +مافيش شكوى يعني مافيش symptomsتقرأ تمام و تشوف + +78 +00:07:56,090 --> 00:08:00,270 +الطريق تمام و تلفزيون تمام و الجوال تمام كنت خلاص + +79 +00:08:00,270 --> 00:08:06,490 +لازم اقول ان انا هي الموضوع موضوع يعني شفافية انا + +80 +00:08:06,490 --> 00:08:12,970 +مش موظف افصل الناس نضرات بس انا علمى ان اريح الناس + +81 +00:08:12,970 --> 00:08:20,950 +العلم الطبي اللى بتعلمه انه how to makemy people + +82 +00:08:20,950 --> 00:08:27,690 +comfortable comfortable مرتاحين طيب الان انتبهوا + +83 +00:08:27,690 --> 00:08:33,490 +للناقيد ايش الناقيد لهؤلاء الأطفال in congenital + +84 +00:08:33,490 --> 00:08:39,450 +في acquired hypermetropia ايش هي ال acquired + +85 +00:08:39,450 --> 00:08:46,630 +breast biopia في ال breast biopiaفي الـ middle and + +86 +00:08:46,630 --> 00:08:53,490 +later life بعد الأربعين والخمسين makes lenses for + +87 +00:08:53,490 --> 00:08:59,570 +reading of gradually increasing strength necessary + +88 +00:08:59,570 --> 00:09:05,930 +عدسات متزايدة القوة اللي في الأربعين كان بيقرأ بنص + +89 +00:09:05,930 --> 00:09:16,250 +في أربعين سنة فالخمسين بيقرأ بواحد ونصفي الستين + +90 +00:09:16,250 --> 00:09:22,250 +بدي أقرأ باتنين و نص على سبيل المثال و إلا لو كل + +91 +00:09:22,250 --> 00:09:26,850 +واحد بيفحص لحاله بس على سبيل المثال لو أنا خلت + +92 +00:09:26,850 --> 00:09:38,810 +الستين على نص زي ما هو إيش بصير؟ هيفشل في القراءة + +93 +00:09:40,400 --> 00:09:43,940 +يعني لو واحد إجا و ممر أربعين سنة مر علينا وعملاله + +94 +00:09:43,940 --> 00:09:51,580 +examination reflection للبعيد بدهوش حاجة و للقريب + +95 +00:09:51,580 --> 00:09:58,900 +بده نص فالنص فالاربعين كيف شافوا وضوح و هو الراجل + +96 +00:09:58,900 --> 00:10:02,600 +اللي هاد اعتبر ال glasses هذه خلاص هي منتهي الأمل + +97 +00:10:02,600 --> 00:10:07,260 +فش غيرها و عاش لخمسين و عش لستين و هو لابس النص + +98 +00:10:07,260 --> 00:10:09,680 +مزودهاش + +99 +00:10:10,960 --> 00:10:19,640 +هل هيقرأ بوضوح ولا لأ؟ يقيناً لأ يبقى ال + +100 +00:10:19,640 --> 00:10:23,560 +congenital hypermetropia تتناقض مع ال acquired + +101 +00:10:23,560 --> 00:10:30,080 +hypermetropia تناقض واضح المفروض يجيبولي في ال + +102 +00:10:30,080 --> 00:10:35,620 +homework comparison كامل comparison كامل between + +103 +00:10:35,620 --> 00:10:40,630 +congenital hypermetropia andAcquired وانا بقول + +104 +00:10:40,630 --> 00:10:47,090 +homework يعني عليه درجات من ترسل اشي مقنع رجالا + +105 +00:10:47,090 --> 00:10:55,430 +بكتبلها يعني ما ان شاء الله ما بضيع تعبها واللي هي + +106 +00:10:55,430 --> 00:11:01,330 +يعني مستغنية عن الدرجة هي حرة full + +107 +00:11:01,330 --> 00:11:07,150 +comparison between congenital hypermetropia and + +108 +00:11:08,420 --> 00:11:14,420 +أقوى يا عزيزي ارجوك هنا متزايدة القوة وهناك + +109 +00:11:14,420 --> 00:11:24,580 +متناقصة القوة هنا ال accommodation بينفقد خالص + +110 +00:11:24,580 --> 00:11:32,820 +وهنا ال accommodation بيقل في ال congenital كل ما + +111 +00:11:32,820 --> 00:11:36,880 +كبر بقل + +112 +00:11:38,780 --> 00:11:42,780 +الطفل الصغير عمره عنده 12 وانتوا الان كده عندكم + +113 +00:11:42,780 --> 00:11:49,920 +تسعة او تمانية يبقى بجل و لا لأ طب هو ليش بسيب + +114 +00:11:49,920 --> 00:11:57,400 +النضارة عشان صار عنده normal vision اه انا هى قصدي + +115 +00:11:57,400 --> 00:12:00,460 +فعملوا لكم comparison ماليش اطول في الموضوع حاجة + +116 +00:12:00,460 --> 00:12:07,940 +طيب مثلا في الprice buy وبيعالان جامل الاسبابيوبيه + +117 +00:12:07,940 --> 00:12:12,400 +adult عادي عنده three diopters of hypermetropia + +118 +00:12:12,400 --> 00:12:17,500 +ممكن يقرأ من twenty five centimeter في twenty five + +119 +00:12:17,500 --> 00:12:24,980 +years ب three diopters خمسة و عشرين سنة عنده three + +120 +00:12:24,980 --> 00:12:28,620 +diopters of hypermetropia ممكن بتلاتة diopters + +121 +00:12:28,620 --> 00:12:34,940 +يقرأ و يشوف المعيد و يشوف التلفزيون و الكمبيوتر و + +122 +00:12:34,940 --> 00:12:41,080 +الجامعة و كل حاجةشوفوا الانفرق كبر هذا الشخص صار + +123 +00:12:41,080 --> 00:12:47,720 +خمسة و تلاتين سنة الان بالخمسة و تلاتين هيفضل زائد + +124 +00:12:47,720 --> 00:12:56,040 +تلاتة كافي لكل شي ولا لأ؟ ليش؟ ليش + +125 +00:12:56,040 --> 00:13:03,640 +اللي حيزين؟ هتجي ال acquired بدري yearly برسفا + +126 +00:13:03,640 --> 00:13:11,440 +يوميابس plus three is enough for distance لكن + +127 +00:13:11,440 --> 00:13:20,200 +insufficient for reading مش كافية للقراءة، كويس؟ + +128 +00:13:20,200 --> 00:13:26,260 +يبقى هذا أنا هعطيه في الخمسة و تلاتين عشان يعني + +129 +00:13:26,260 --> 00:13:29,690 +بقى الإضافة إيجاcorrecting lenses for reading plus + +130 +00:13:29,690 --> 00:13:33,690 +three بعد شوية اعطيه plus four ممكن اعطيه plus + +131 +00:13:33,690 --> 00:13:37,910 +four point five in such case في حالة ال ear lay + +132 +00:13:37,910 --> 00:13:43,430 +بسم يومي وهذا اللي احنا قلنا عنه شوية عدسات + +133 +00:13:43,430 --> 00:13:50,290 +متزايدة القوة القوة + +134 +00:13:50,290 --> 00:13:53,890 +هذا + +135 +00:13:53,890 --> 00:13:56,270 +ضد وإيش عكس وإيش + +136 +00:13:59,090 --> 00:14:06,910 +في الـ congenital عدسات تنخسط القوة if the + +137 +00:14:06,910 --> 00:14:11,310 +spectacles نضارات don't improve his distant vision + +138 +00:14:11,310 --> 00:14:17,530 +and there are no symptoms of a stenopia they need + +139 +00:14:17,530 --> 00:14:21,350 +not to be worn constantly but only for close work + +140 +00:14:21,350 --> 00:14:26,740 +يعني واحد إيه اللي برث بيوبيا؟اللي بعيد بسوق سيارة + +141 +00:14:26,740 --> 00:14:31,480 +تمام و بشوف ستة على تسعة ستة على اتناش تمام لك + +142 +00:14:31,480 --> 00:14:34,640 +عنده قراءة القراءة مش واضح بعطينا الله القراءة + +143 +00:14:34,640 --> 00:14:39,940 +طالما ان ال distant vision is good بس كانه good + +144 +00:14:39,940 --> 00:14:47,960 +خلاص بس كان مش good مصلح + +145 +00:14:47,960 --> 00:14:55,290 +اما نضارة القريب و نضارة البعيد او بعيد فوقو + +146 +00:14:55,290 --> 00:14:59,610 +الأفضل progressive خدتوا ال progressive؟ خدتوا + +147 +00:14:59,610 --> 00:15:07,270 +أكيد اتذكروا بعدين but in later life لما اقول + +148 +00:15:07,270 --> 00:15:11,510 +later life بعد الستين يعني in later life when his + +149 +00:15:11,510 --> 00:15:21,790 +accommodation has gone ايش has gone انتهى اختفى في + +150 +00:15:21,790 --> 00:15:26,760 +السبعين ال accommodation أصبح zero صح؟وكل + +151 +00:15:26,760 --> 00:15:32,280 +هيبرمتروبيا تصبح أبسلوت ماهو أبسلوت هيبرمتروبيا؟ + +152 +00:15:32,280 --> 00:15:37,240 +أبسلوت مجزرة + +153 +00:15:37,240 --> 00:15:46,380 +من التعامل اللي لم يتم تحريرها من خلال تحرير + +154 +00:15:46,380 --> 00:15:52,160 +السلريمسل ممكن تحريرها من خلال سلريمسل؟ + +155 +00:15:52,160 --> 00:15:59,430 +facultative facultativeطب ليش في سن السمعين كل + +156 +00:15:59,430 --> 00:16:04,970 +accumulation بيصير absolute؟ الhypermetra كلها + +157 +00:16:04,970 --> 00:16:10,250 +بيصير absolute؟ لأنه .. لأن accommodation zero + +158 +00:16:10,250 --> 00:16:15,670 +accommodation zero ماعدش عندي في facultative ال + +159 +00:16:15,670 --> 00:16:20,770 +facultative انتهى الcell muscle أصبت floppy + +160 +00:16:20,770 --> 00:16:26,650 +relaxed بطل ال cell muscle تعمل effortفالفكرة + +161 +00:16:26,650 --> 00:16:33,450 +تمنتها كله صار Absolute يعتمد على glasses بطل + +162 +00:16:33,450 --> 00:16:37,730 +السينما ماس يتصلح حاجة كما قال الله عز وجل لكي لا + +163 +00:16:37,730 --> 00:16:45,630 +يعلم بعد علم شيئا صورة ايش لكي + +164 +00:16:45,630 --> 00:16:49,630 +لا يعلم بعد علم شيئا صورة الحاجة صح + +165 +00:16:52,770 --> 00:16:59,310 +طيب يبقى هنا كله صار absolute الان + +166 +00:16:59,310 --> 00:17:07,690 +انا مضطر ان الان اعطيه full correction ل ال near و + +167 +00:17:07,690 --> 00:17:11,630 +partial correction ل ال distance اذا كان بطلب ال + +168 +00:17:11,630 --> 00:17:16,710 +distance يعني بعمله visual equity ل ال distance و + +169 +00:17:16,710 --> 00:17:24,330 +refraction اذا كانوا في عدود6 على 9 6 على 12 C بحر + +170 +00:17:24,330 --> 00:17:30,650 +بدون تدخل لكن ال reading بده full correction ممكن + +171 +00:17:30,650 --> 00:17:34,730 +ياخد plus three من هنا طب إذا كان ال distance + +172 +00:17:34,730 --> 00:17:39,610 +between مش نافع و ال near مش نافع بده correction + +173 +00:17:39,610 --> 00:17:49,050 +لتنين اما ب two pairs او bifocal او progressiveمش + +174 +00:17:49,050 --> 00:17:55,950 +كل الكلام مكتوب هنا كويس؟ طيب if the complaint in + +175 +00:17:55,950 --> 00:18:00,190 +adult is made only for visual symptoms ايش visual + +176 +00:18:00,190 --> 00:18:05,410 +symptoms يعني؟ visual symptoms يعني impaired + +177 +00:18:05,410 --> 00:18:11,470 +vision لأ لأ visual impaired vision شوف انا + +178 +00:18:14,220 --> 00:18:19,660 +الكلام ال words و ال letters بيمشوا running بيخشوا + +179 +00:18:19,660 --> 00:18:26,940 +في بعض بيحكوا في عينيه عشان يشوف بيجربوا بعض هذي + +180 +00:18:26,940 --> 00:18:31,640 +فيديوهات أما الصداع و الألم هذوله حاجات ocular و + +181 +00:18:31,640 --> 00:18:35,480 +referral and the reflection is not done under + +182 +00:18:35,480 --> 00:18:43,090 +Cyclopidemia يعني زمان زمان قبل تلاتين سنة مثلاكان + +183 +00:18:43,090 --> 00:18:46,670 +الـ routine بيعملوا Psychoblasia بعدين بتقدم العلم + +184 +00:18:46,670 --> 00:18:55,690 +صار ال Psychoblasia أقل من twelve years أقل من + +185 +00:18:55,690 --> 00:18:59,030 +اتناشر سنة بطلنا اللي بعد اتناشر نعمله إلا في + +186 +00:18:59,030 --> 00:19:03,930 +حالات يكون عنده Spasm مجهد تعبان كتير لكن في + +187 +00:19:03,930 --> 00:19:08,710 +الحاجات العادية ال Psychoblasia لأنه مش شيء بسيط + +188 +00:19:10,400 --> 00:19:14,740 +خاصة الأطرابين يعني انا بتحكم على انهالي ان تفضل + +189 +00:19:14,740 --> 00:19:19,220 +relaxed استخدام نفس الاسبوعين مثلا واحد بجامعة + +190 +00:19:19,220 --> 00:19:24,340 +بيقرأ واحد محاسب سيكرتير ما بقدر اعمله ال + +191 +00:19:24,340 --> 00:19:28,700 +sacroblasia حتى ال sacroblasia اللي هي within + +192 +00:19:28,700 --> 00:19:36,180 +twelve hours برضه صعبة شوية فبقولي عبدا عن ال + +193 +00:19:36,180 --> 00:19:41,900 +sacroblasiaصاروا باعطوا maximal non-cyclobalgic + +194 +00:19:41,900 --> 00:19:47,880 +correction يعني انا عملته refraction + +195 +00:19:47,880 --> 00:19:55,300 +طلع plus 3 without + +196 +00:19:55,300 --> 00:20:02,100 +non-cyclobalgic بقول الأفضل اعطيه ال full زائد 3 + +197 +00:20:03,790 --> 00:20:08,230 +ماعطيوش أجل ماحطيشه اتنين مثلا او اتنين و نص بقول + +198 +00:20:08,230 --> 00:20:11,510 +ايش الحكمة ان اعطيه full non-cyclobelgic + +199 +00:20:11,510 --> 00:20:16,690 +correction ال maximum لأنك بتكون بيرتفع الشدر و + +200 +00:20:16,690 --> 00:20:20,250 +المصر الشخصي عشان ماعطيش الشدر و المصر فرصة لانه + +201 +00:20:20,250 --> 00:20:24,150 +هنا هيبقى المتروب العضل دايما ايش relatable يعني + +202 +00:20:24,150 --> 00:20:29,310 +بدها تنطلق فانا بال full correction هذا بعمله + +203 +00:20:29,310 --> 00:20:36,220 +suppression بفضل ضجة عليها زي الزنبرةوفي الـ + +204 +00:20:36,220 --> 00:20:41,180 +Refraction 1 احنا قلنا Golden Rule Plus Lenses + +205 +00:20:41,180 --> 00:20:46,520 +Suppress The Serial Muscle While Minus Lenses + +206 +00:20:46,520 --> 00:20:51,740 +Stimulate .. Stimulate Serial Muscle لو بدى ال + +207 +00:20:51,740 --> 00:20:56,020 +accumulation فيه بعطي minus لو بدى اعمله ضغط لتحت + +208 +00:20:56,020 --> 00:21:00,620 +suppression بعطي plus يبقى ان اما اعطيت تلاتة من + +209 +00:21:00,620 --> 00:21:07,190 +تلاتة ايش عملت؟عمل separation بقدر امكان مع ان انا + +210 +00:21:07,190 --> 00:21:11,910 +مش عامل psychoplegia يمكن لو عامل psychoplegia + +211 +00:21:11,910 --> 00:21:15,430 +يبدو اكتر من تلاتة فانا احتياطا اعطيته تلاتة full + +212 +00:21:15,430 --> 00:21:24,310 +dose بس non-cycloplegic طيب ستة ال children رجعنا + +213 +00:21:24,310 --> 00:21:28,530 +لأطفال تاني و احنا حقيقة في الhypermetropia و في + +214 +00:21:28,530 --> 00:21:32,160 +البريسبيوميا موضوعنا ال hypermetropiaيعني انت + +215 +00:21:32,160 --> 00:21:36,240 +تكلمتي عن أطفال تحت العشرة وفي التعليم الخدمي هذا + +216 +00:21:36,240 --> 00:21:39,900 +بيكون واضح ان انا ببحث على أطفال الرياضي الأطفال + +217 +00:21:39,900 --> 00:21:44,420 +وأوائل المدارس أول و تاني و تالت ابتدائي هم ال + +218 +00:21:44,420 --> 00:21:47,900 +hyper metroid و هم الحوال و هم اللي فيهم ال + +219 +00:21:47,900 --> 00:21:53,840 +stenopia و ال symptoms ما ببحث على ال myopia في + +220 +00:21:53,840 --> 00:21:58,480 +هذا السن ال myopia في الثانويات و الجامعات ببحث + +221 +00:21:58,480 --> 00:22:04,850 +عنهموكبار السن بعد الخمسين اللي هو acquired + +222 +00:22:04,850 --> 00:22:08,770 +hyponotropia لبريقس بيوبيا في عامين قطاعين والناس + +223 +00:22:08,770 --> 00:22:14,430 +ماكنتش تشتغلوا ال children if circumstances + +224 +00:22:14,430 --> 00:22:18,550 +indicate that cyclopidic drugs should be used + +225 +00:22:18,550 --> 00:22:22,710 +والله أنا في الطفل مش كل طفل بعمله cyclopidemia + +226 +00:22:22,710 --> 00:22:29,050 +بعملش إلا في حالاتفي عنده intermittent .. + +227 +00:22:29,050 --> 00:22:33,490 +intermittent convergence sequence عنده Asinopia + +228 +00:22:33,490 --> 00:22:40,490 +عنده difficult reading تلت حاجة difficult reading + +229 +00:22:40,490 --> 00:22:46,490 +معناها في حاجة سينماسية زي .. زي .. يعني بقرا .. + +230 +00:22:46,490 --> 00:22:53,840 +بقرا مش واضح، بكتب مش واضح، اه، بصدح، متقلم، اهو + +231 +00:22:53,840 --> 00:22:59,860 +بعدين عين و اخر اليوم تعمل cross .. اه crossing + +232 +00:22:59,860 --> 00:23:04,800 +لان حتة يعني اللي هو اسمه a intermittent + +233 +00:23:04,800 --> 00:23:10,020 +convergent sequence اللي بيسموه إيش manifest .. + +234 +00:23:10,020 --> 00:23:15,580 +manifest esotropia .. esotropia لما أقول esotropia + +235 +00:23:15,580 --> 00:23:18,660 +يعني manifest a convergent sequence + +236 +00:23:22,230 --> 00:23:27,690 +في هذا الطفل اضطرتني الظروف بتاعة الطفل ان اعمل + +237 +00:23:27,690 --> 00:23:30,270 +Cycle of Malaysia there is some difference of + +238 +00:23:30,270 --> 00:23:35,210 +opinion فيه اختلاف في وجهات النظر as to the amount + +239 +00:23:35,210 --> 00:23:37,630 +of the total hypermetropia which should be + +240 +00:23:37,630 --> 00:23:41,670 +corrected فيه + +241 +00:23:41,670 --> 00:23:47,230 +رأي يعني وفيه رأي تالت واثق بينهم اسمع مني الرأي + +242 +00:23:47,230 --> 00:23:50,650 +الأول بيقول صلح مية في المية + +243 +00:23:54,370 --> 00:23:57,790 +it might be thought that it would be advisable to + +244 +00:23:57,790 --> 00:24:02,210 +correct the whole of hypermetropia and thus place + +245 +00:24:02,210 --> 00:24:09,870 +the patient in the position of the ametropia يعني + +246 +00:24:09,870 --> 00:24:16,130 +هذا رأي رأي جذري اسمه radical opinion رأي متطرف + +247 +00:24:16,130 --> 00:24:21,130 +يعني يعني ان شاء الله plus ten اعطيه plus ten + +248 +00:24:21,130 --> 00:24:28,030 +وخلاصبتقولش بس قال عشان أخلي إمترون الآن في ناس + +249 +00:24:28,030 --> 00:24:34,190 +علماء ردوا عليه قالوا انت رأيك هذا يعني بندرسهم + +250 +00:24:34,190 --> 00:24:40,510 +قالوا الأول اشي تذكرنا remember that such a course + +251 +00:24:40,510 --> 00:24:45,390 +هذا المنح في العلاج نعطيه عشرة من عشر أو تمانية من + +252 +00:24:45,390 --> 00:24:49,040 +تمانية أو سبعة من سبعةfrequently results in the + +253 +00:24:49,040 --> 00:24:54,240 +patient being unable to see at all بالمطلق + +254 +00:24:54,240 --> 00:24:59,480 +efficiently whenever he removes or is deprived of + +255 +00:24:59,480 --> 00:25:04,460 +his eyesight عارفين ليش؟ لو شال نضارة لا بيقرا + +256 +00:25:04,460 --> 00:25:09,340 +كويس ولا بيشوف بعيد كويس لأن السنة في مصر مع + +257 +00:25:09,340 --> 00:25:15,260 +الأيام صار لها غياب atrophy + +258 +00:25:17,630 --> 00:25:23,630 +غيبها من مرة لفترة طويلة ثانوية فترة الآن ال .. + +259 +00:25:23,630 --> 00:25:29,370 +الناس اللي بيصير معاه fracture للتيبيا في رجله او + +260 +00:25:29,370 --> 00:25:34,330 +ال humorous في ايده بيحطوا in cast cast يعني + +261 +00:25:34,330 --> 00:25:42,010 +gypsum for one to two months ايش اللي بيصير في + +262 +00:25:42,010 --> 00:25:48,890 +العضلات تتيبس لأ بترجع ت .. بيصير relaxedبدليل انه + +263 +00:25:48,890 --> 00:25:53,350 +مقدرش يمشي او مقدرش يحرك ايده العضلة الهيكلية مش + +264 +00:25:53,350 --> 00:25:59,810 +قادرة تحرك المفصل طب ايش بده يعمله بيوديه فيزيو + +265 +00:25:59,810 --> 00:26:06,230 +ثيرابي for one to two months حتى يرجع نشاط العضلة + +266 +00:26:06,230 --> 00:26:15,110 +تاني يعني بمعنى الكلام لو واحد bedridden يعني طريق + +267 +00:26:15,110 --> 00:26:21,460 +الفراش لمدة سنةووجفنا على الأرض هيوجع لأن العضلات + +268 +00:26:21,460 --> 00:26:28,220 +أصبحت atrophied complete relaxed complete ايش؟ + +269 +00:26:28,220 --> 00:26:33,880 +relaxed وهنا نفس الحاجة لما أنا بعطيه full + +270 +00:26:33,880 --> 00:26:38,860 +correction على الآخر لمدة طويلة بصير اعتماد هو على + +271 +00:26:38,860 --> 00:26:44,960 +ال glasses بس عينه في إجازة يعني ك .. ك .. ك + +272 +00:26:44,960 --> 00:26:51,210 +muscle cell muscleيبقى هيردوا عليه يعني قالوا صحيح + +273 +00:26:51,210 --> 00:26:56,050 +لو بنلبس نضارة بنبسط لكن لو نشيل نضارة مش هشوف + +274 +00:26:56,050 --> 00:27:03,830 +واضح خالص يبقى هذا ملزم ننجلن صح؟ الرأي التاني it + +275 +00:27:03,830 --> 00:27:07,910 +would seem advisable to under correct the total + +276 +00:27:07,910 --> 00:27:12,370 +hypermetropia in cyclopidic refraction قالوا لأ + +277 +00:27:12,370 --> 00:27:17,300 +تعطيوش عشرة من عشرة تعطيه تمانية من عشرةأو تعطيه + +278 +00:27:17,300 --> 00:27:26,680 +سبعة من تمانية أو تعطيه ستة من تمانية حسب الحاجة و + +279 +00:27:26,680 --> 00:27:31,460 +ده درهان it frequently happens that ال headaches + +280 +00:27:31,460 --> 00:27:38,260 +ال headache بينافع symptoms of eye strain + +281 +00:27:38,260 --> 00:27:42,820 +والأسنوبية برضهعند إعادة إعادة إعادة إعادة إعادة + +282 +00:27:42,820 --> 00:27:45,700 +إعادة إعادة إعادة إعادة إعادة إعادة إعادة إعادة + +283 +00:27:45,700 --> 00:27:45,980 +إعادة إعادة إعادة إعادة إعادة إعادة إعادة إعادة + +284 +00:27:45,980 --> 00:27:47,540 +إعادة إعادة إعادة إعادة إعادة إعادة إعادة إعادة + +285 +00:27:47,540 --> 00:27:48,080 +إعادة إعادة إعادة إعادة إعادة إعادة إعادة إعادة + +286 +00:27:48,080 --> 00:27:51,060 +إعادة إعادة إعادة إعادة إعادة إعادة إعادة إعادة + +287 +00:27:51,060 --> 00:27:59,720 +إعادة إعادة إعادة إعادة إعادة إعادة إعادة إعادة + +288 +00:27:59,720 --> 00:28:07,680 +إعادة إعادة إع + +289 +00:28:09,740 --> 00:28:12,900 +بقول if a part of hypermetropia remains + +290 +00:28:12,900 --> 00:28:20,540 +uncorrected يعني لو واحد عادي عمره عشرين سنة جيسنا + +291 +00:28:20,540 --> 00:28:25,380 +له طلع five diopters of hypermetropia احنا أعطينا + +292 +00:28:25,380 --> 00:28:30,640 +اتنين هل + +293 +00:28:30,640 --> 00:28:37,400 +حلنا المشكلة؟ لأ، ليش؟ لأن في uncorrected بقى، و + +294 +00:28:37,400 --> 00:28:41,060 +أكتر، ستين في المائة من uncorrectedيبقى هو بيقوللي + +295 +00:28:41,060 --> 00:28:48,920 +انه يعني زي العطشان اللي انا اعطيته ربع ال .. او + +296 +00:28:48,920 --> 00:28:57,280 +تلك الشربة بعد ساعة هيقوللي بدي العين تتطلب ما زال + +297 +00:28:57,280 --> 00:29:02,580 +فيها أعراض لأستنوبيا في عنده headache، blurring of + +298 +00:29:02,580 --> 00:29:07,180 +vision في عنده دوخة، كلام زي هذا in such cases it + +299 +00:29:07,180 --> 00:29:12,170 +is quite inadequateغير كافي to be guided by hard + +300 +00:29:12,170 --> 00:29:16,110 +and fast rules such for example as deduction from + +301 +00:29:16,110 --> 00:29:23,130 +the total hypermetropia of one diopter مثلا اه one + +302 +00:29:23,130 --> 00:29:28,410 +diopter scan تحت الأتروبيل و نص ديوبتر تحت الcycle + +303 +00:29:28,410 --> 00:29:34,510 +of religionوهذا ما كنت أقولكوا انه منح كبير في + +304 +00:29:34,510 --> 00:29:39,090 +المحاضرة المفاتيك وقالتوا منح كبير كام أخزهم ولا + +305 +00:29:39,090 --> 00:29:44,210 +مين أخزهم فقلنا في الآخر انه حسب الشخصية + +306 +00:29:44,210 --> 00:29:50,710 +individual individual يعني يمكن أنا الآن عندي طفل + +307 +00:29:50,710 --> 00:29:56,590 +عمره خمس سنوات واحد عنده عشرة وواحد عنده خمستاشر + +308 +00:29:56,590 --> 00:30:03,710 +وواحد عنده عشرين عشرين سنةوكلهم طلع عندهم plus 7 + +309 +00:30:03,710 --> 00:30:08,990 +الخمسة ممكن اعطيه سبعة من سبعة والعشر ممكن اعطيه + +310 +00:30:08,990 --> 00:30:14,550 +ستة والخمستاشر ممكن اعطيه خمسة والعشرين ممكن اعطيه + +311 +00:30:14,550 --> 00:30:20,810 +اربعة ال age بتدخل في الموضوع لأن ال age بيبتدى + +312 +00:30:20,810 --> 00:30:25,430 +قوة العضلة الهدوية سلبا او ايجابا كل ما كان اكبر + +313 +00:30:25,430 --> 00:30:30,920 +كل ما ضعفت العضلةفالعشرين عطيتوا أربعة من سبعة + +314 +00:30:30,920 --> 00:30:34,700 +والخمسة عطيتوا سبعة من سبعة خاصة إذا كان عنده + +315 +00:30:34,700 --> 00:30:48,240 +Intermittent Esotropia عطيته + +316 +00:30:48,240 --> 00:30:55,220 +full correction في حالتين هل أنت هتشوفهم؟ هاي + +317 +00:30:55,220 --> 00:30:56,620 +الحالتين، هاي هم جايين + +318 +00:31:01,990 --> 00:31:06,730 +الطريقة العاملية اكتر اللي هي individual + +319 +00:31:06,730 --> 00:31:15,530 +individual correction لا بقول واحد ولا نص ولا واحد + +320 +00:31:15,530 --> 00:31:23,710 +ونص انا لما العياني دي بشوف وضعه كاملا انا والله + +321 +00:31:23,710 --> 00:31:27,270 +اذا كان cover test بيبين فيه ازوترابيا لو latent + +322 +00:31:28,240 --> 00:31:32,780 +طبعا بيختلف ال manifest بيختلف و ال age بيختلف و + +323 +00:31:32,780 --> 00:31:39,340 +ال vision بيختلف يبقى في أنا ال answer يعني عندي + +324 +00:31:39,340 --> 00:31:46,780 +good assessment تقييم جيد لما أشوف العيالة ماحد + +325 +00:31:46,780 --> 00:31:50,820 +يقولي بالتليفون جدش أعطيه مابكتب في كتاب جدش أعطيه + +326 +00:31:50,820 --> 00:31:56,460 +زي ما قالك يعني الوصفة اللي بالتليفون بطلت مايعني + +327 +00:31:56,460 --> 00:32:02,610 +وصفة بالتليفونبنفحص الآن لأن أجال الخطأ ينسى في + +328 +00:32:02,610 --> 00:32:13,290 +الموضوع مافيه IPD يبقى on its own merit مزايا أو + +329 +00:32:13,290 --> 00:32:20,960 +صفات كل واحد حسب صفاتهكيف عضلاته كيف نظره كيف عمره + +330 +00:32:20,960 --> 00:32:26,340 +كيف ال IPD بتاعه to determine the manifest + +331 +00:32:26,340 --> 00:32:30,180 +hypermetropia and order glasses بعد هيك او lenses + +332 +00:32:30,180 --> 00:32:37,320 +on his this basis على هذا القاعدة individual ممكن + +333 +00:32:37,320 --> 00:32:43,060 +اتنين plus سبعة لكن عمرهم ونظرهم باختلف اعطي واحد + +334 +00:32:43,060 --> 00:32:45,400 +خمسة واحد ستة ونص + +335 +00:32:48,200 --> 00:32:51,540 +correcting the patient as nearly to his total + +336 +00:32:51,540 --> 00:32:54,800 +hypermetropia as possible هو remaining within the + +337 +00:32:54,800 --> 00:32:59,420 +limits of يعني أنا ببحث عن ال comfort وعن ال good + +338 +00:32:59,420 --> 00:33:06,360 +vision وال age يعني التلاتة هدولة مهمين جدا ال + +339 +00:33:06,360 --> 00:33:12,260 +comfort ماشكليش بعد ما ألبس نضارة مصدع قلم بحول + +340 +00:33:12,260 --> 00:33:13,340 +بشوفش + +341 +00:33:16,950 --> 00:33:21,190 +بما يتناسب ال comfort مع ال good vision و مع ال + +342 +00:33:21,190 --> 00:33:29,330 +age وهذا بدوره يعتمد على ال accommodation كيف + +343 +00:33:29,330 --> 00:33:34,030 +ال accommodation؟ symptoms مافيش symptoms muscle + +344 +00:33:34,030 --> 00:33:39,450 +balance مافيش إيزوترابيا ولا إيزوترابيا وعلى + +345 +00:33:39,450 --> 00:33:42,970 +الحالة النفسية و الحالة العصبية و الحالة + +346 +00:33:42,970 --> 00:33:45,310 +الفيزيائية صحة العامة + +347 +00:33:49,850 --> 00:33:54,930 +يبقى ليس الموضوع موضوع ان انا بحط العيال على الـ + +348 +00:33:54,930 --> 00:33:58,370 +auto refractometer و اعطيه نضارة، لأ، لأ، لأ، لأ، + +349 +00:33:58,370 --> 00:33:59,750 +لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، + +350 +00:33:59,750 --> 00:34:00,090 +لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، + +351 +00:34:00,090 --> 00:34:00,910 +لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، + +352 +00:34:00,910 --> 00:34:03,870 +لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، + +353 +00:34:03,870 --> 00:34:18,890 +لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، ل + +354 +00:34:19,470 --> 00:34:23,950 +لكن شاكوالي اللي هو نهار كنا نحطه 6 على 9 و هو + +355 +00:34:23,950 --> 00:34:30,570 +مرتاح و .. و بنام طوال اللي طويل كيف نعمل balance + +356 +00:34:30,570 --> 00:34:33,310 +بين accommodation و ال symptoms و ال muscle + +357 +00:34:33,310 --> 00:34:39,910 +balance و ال physical unnervous state هذه مش حاجة + +358 +00:34:39,910 --> 00:34:43,950 +و كلام ال physical unnervous state يعني واحد مصدع + +359 +00:34:43,950 --> 00:34:49,150 +مريض يعني واحد مصدع مريضطيب واحد عنده loss of + +360 +00:34:49,150 --> 00:34:54,270 +appetite فقدانة شهية يعني ما .. يعني واحد عنده + +361 +00:34:54,270 --> 00:34:59,250 +vomiting بيراجع .. بيراجع من الأراضي أو النظارة + +362 +00:34:59,250 --> 00:35:03,690 +غلط طيب + +363 +00:35:03,690 --> 00:35:15,430 +سؤال عملت انت وصفة و بعتيها لل optician نفذها + +364 +00:35:17,760 --> 00:35:24,920 +العين بعد أسبوع وجاهي قال لك sorry I am discomfort + +365 +00:35:24,920 --> 00:35:30,760 +discomfortable discomfortable يعني غير مرتاح تعبان + +366 +00:35:30,760 --> 00:35:39,020 +يعني bloody no rest what is your behavior in such + +367 +00:35:39,020 --> 00:35:39,500 +cases + +368 +00:35:47,440 --> 00:35:56,160 +your behavior the + +369 +00:35:56,160 --> 00:36:00,580 +first + +370 +00:36:00,580 --> 00:36:04,940 +behavior is to examine the lenses in the spectacle + +371 +00:36:04,940 --> 00:36:10,800 +أول behavior يعني أمسك نظارة و أحطها على ال + +372 +00:36:10,800 --> 00:36:16,240 +lensmeter و أشوفه هو يعني من النكتة أني مرة أتعلم + +373 +00:36:16,240 --> 00:36:22,400 +في حياتناكم .. كم .. كم .. كم .. كم .. كم .. كم .. + +374 +00:36:22,400 --> 00:36:25,360 +كم .. كم .. كم .. كم .. كم .. كم .. كم .. كم .. كم + +375 +00:36:25,360 --> 00:36:27,000 +.. كم .. كم .. كم .. كم .. كم .. كم .. كم .. كم .. + +376 +00:36:27,000 --> 00:36:28,460 +كم .. كم .. كم .. كم .. كم .. كم .. كم .. كم .. كم + +377 +00:36:28,460 --> 00:36:29,140 +.. كم .. كم .. كم .. كم .. كم .. كم .. كم .. كم .. + +378 +00:36:29,140 --> 00:36:31,120 +كم .. كم .. كم .. كم .. كم .. كم .. كم .. كم .. كم + +379 +00:36:31,120 --> 00:36:31,160 +.. كم .. كم .. كم .. كم .. كم .. كم .. كم .. كم .. + +380 +00:36:31,160 --> 00:36:31,260 +كم .. كم .. كم .. كم .. كم .. كم .. كم .. كم .. كم + +381 +00:36:31,260 --> 00:36:39,140 +.. كم .. كم .. كم .. كم .. كم .. كم .. كم .. كم + +382 +00:36:39,140 --> 00:36:42,600 +.. + +383 +00:36:49,460 --> 00:36:52,240 +من النكة اللى صارت معايا انا يعني ممكن اكتر من مرة + +384 +00:36:52,240 --> 00:36:57,080 +ان الراجل بيقوللي بيقوللي انا هيك مش شايفي كويس + +385 +00:36:57,080 --> 00:37:04,480 +راح طلع النضارة هي هي قاللي انا هيك مش شايف لكن + +386 +00:37:04,480 --> 00:37:10,120 +لما بعمل هيك بشوف الله هيك قاللي هيك تمام اما هيك + +387 +00:37:10,120 --> 00:37:13,520 +مش تمام طبعا واضح انه جالب يمين شمال و شمال يمين + +388 +00:37:18,250 --> 00:37:24,290 +أيجا سؤال مرة في دورة لأطباء اللي + +389 +00:37:24,290 --> 00:37:28,890 +بيجيس الضغط blood pressure nurse شاب أو بنت يعني + +390 +00:37:28,890 --> 00:37:36,690 +فبقول ليه nurse ايجاك قالك blood pressure of this + +391 +00:37:36,690 --> 00:37:43,750 +patient is 200 on على 120 + +392 +00:37:45,060 --> 00:37:55,360 +200 على 120 ملي متر زي ابقى إيش تعمل؟ تكتب علاج؟ + +393 +00:37:55,360 --> 00:38:04,360 +و كتاب تعلاج؟ فيه علم مسئولية يعني و لا إيش تعمل؟ + +394 +00:38:04,360 --> 00:38:12,780 +تتحرك من مكانك و روح تجيس الداخل توتق يمكن جهاز + +395 +00:38:12,780 --> 00:38:17,830 +عطلانيمكن الشاب لسه تحت التدريب أو البنت تحت + +396 +00:38:17,830 --> 00:38:25,530 +التدريب يمكن المريض خايف كتير وضغطه رامي فوق هذا + +397 +00:38:25,530 --> 00:38:32,690 +إنسان خايف و هكذا يبقى + +398 +00:38:32,690 --> 00:38:36,430 +كتير بيجي مش مبسوط من النضارة يمكن السبب من + +399 +00:38:36,430 --> 00:38:41,990 +optician غفلة او انا ماجسته كنت انا مش مركز كتير + +400 +00:38:41,990 --> 00:38:48,550 +اعيده الفحص و هكذاأو في مريض بهول لما حطيته على ال + +401 +00:38:48,550 --> 00:38:51,470 +chart شاف فيها 6 ع 6 قوله يا عم والله انك انت كويس + +402 +00:38:51,470 --> 00:38:55,170 +بستعود عليك من سبوع و هتجمع 100% المهم في الآخر + +403 +00:38:55,170 --> 00:39:02,950 +المشكلة عند الـ optometrist المشكلة مشكلتك حتى لو + +404 +00:39:02,950 --> 00:39:10,310 +غيرك غلط المشكلة مشكلتك إلى أن يثبت العكس طيب + +405 +00:39:12,190 --> 00:39:18,090 +عندي a rule قاعدة إيش القاعدة بتقول the younger a + +406 +00:39:18,090 --> 00:39:23,430 +patient is the more active is his accommodation + +407 +00:39:23,430 --> 00:39:28,770 +إيش القاعدة يعني بتقول كل ما كان المريض أصغر في + +408 +00:39:28,770 --> 00:39:34,570 +السن كل ما كان ال accommodation أكبر أقوى طب إيش + +409 +00:39:34,570 --> 00:39:42,250 +بترتب عليه لما عملوا correctionايوة ان اعطيه نضارة + +410 +00:39:42,250 --> 00:39:50,210 +اقوى عدسات اقوى and the more we may under correct + +411 +00:39:50,210 --> 00:39:54,010 +of the sacrilege يعني زي ما قلنا احنا قبل شوية + +412 +00:39:54,010 --> 00:40:03,030 +زائد سبعة في سنة خمس سنوات وعشر سنوات وخمستاشر سنة + +413 +00:40:03,030 --> 00:40:14,530 +هنا اعطيت ستة وهنا اعطيت خمسةو هنا اعطيك اربعة هذه + +414 +00:40:14,530 --> 00:40:21,130 +معناها diopter السن الأصغر العضلات ده اقوى و ال + +415 +00:40:21,130 --> 00:40:25,670 +condition اكتر .. قوة وبالتالي انا عشان اعمل + +416 +00:40:25,670 --> 00:40:29,550 +suppression للcell in my muscle بدي اعطيها عدسة + +417 +00:40:29,550 --> 00:40:35,650 +اقوى بدي اعطيها عدسة ايش؟ اقوى و العكس صحيح ايش + +418 +00:40:35,650 --> 00:40:45,900 +العكس الصحيح؟ يلا مين يصيغليهاببدد هذا الكلام يالا + +419 +00:40:45,900 --> 00:40:51,520 +يا أيات قولي .. قولي بالإنجليزي يالا the older .. + +420 +00:40:51,520 --> 00:41:01,860 +the older a patient is the more .. less active his + +421 +00:41:01,860 --> 00:41:03,680 +accommodation and + +422 +00:41:18,060 --> 00:41:26,020 +تاني كمان قاعدة ده latent hypermetropia + +423 +00:41:35,050 --> 00:41:38,090 +There is the greater the residual accommodation + +424 +00:41:38,090 --> 00:41:43,410 +and the more we under correct after cycloplasia + +425 +00:41:43,410 --> 00:41:46,710 +يعني + +426 +00:41:46,710 --> 00:41:54,630 +واحد عنده plus two without + +427 +00:41:54,630 --> 00:42:00,210 +cycloplasia لما عملنا في cycloplasia وجسنا لقنا + +428 +00:42:00,210 --> 00:42:00,850 +plus seven + +429 +00:42:03,640 --> 00:42:10,660 +طب هذا ال difference اللي قاله وين كان؟ حقيقة + +430 +00:42:10,660 --> 00:42:13,500 +هذا ال contraction هو الcellular muscle الcellular + +431 +00:42:13,500 --> 00:42:15,880 +muscle مغطية هذا .. هذا ال latent مغطية + +432 +00:42:15,880 --> 00:42:19,120 +الhypermotor بهذا مغطية بالcellular muscle لما + +433 +00:42:19,120 --> 00:42:27,600 +الcellular muscle شلت بالقطرة بيان خمسة زيادة طيب، + +434 +00:42:27,600 --> 00:42:35,170 +الآن أنا بقدر أعطي اثنين بس؟ لأ، لا أعطيشبقى اعطي + +435 +00:42:35,170 --> 00:42:41,150 +تلاتة لأ اكتر من خمسة و فوق يبقى كل ما كانت ال + +436 +00:42:41,150 --> 00:42:45,770 +latent hypermetropia اللي كشفها قطرة ال cyclone + +437 +00:42:45,770 --> 00:42:52,030 +اكبر كل ما كان ال residual accommodation المختبئ + +438 +00:42:52,030 --> 00:42:57,870 +او المتبقى عشان ايه انا بعطي عدسات اقوى و اقوى و + +439 +00:42:57,870 --> 00:43:03,350 +اقوى عشان اقضي على اللي هو ال latent hypermetropia + +440 +00:43:05,370 --> 00:43:10,150 +خاصة إذا كانت تعملني intermittent و أعراض + +441 +00:43:10,150 --> 00:43:18,450 +السينوميا طيب on dollar hand if the symptoms of + +442 +00:43:18,450 --> 00:43:25,070 +any strain are marked كبيرة يعني ماركت ملحوظة صورة + +443 +00:43:25,070 --> 00:43:30,510 +كبيرة يعنيespecially if indicated by mental or + +444 +00:43:30,510 --> 00:43:34,590 +general physical state دايما أقول physical جسمانية + +445 +00:43:34,590 --> 00:43:41,450 +و mental ذهنية بينهم علاقة ال physical state و ال + +446 +00:43:41,450 --> 00:43:45,830 +mental state أه بينهم علاقة يعني بالله يقولولي + +447 +00:43:45,830 --> 00:43:51,730 +يعني واحد مصدع بقدر بيقدر يركز في القراءة لأ يقين + +448 +00:43:51,730 --> 00:43:56,130 +لأ واحد عنده أبضمن الكليك + +449 +00:43:59,030 --> 00:44:04,770 +بيقدر يفكر سليم و يحلل مسائل الرياضيات، بقدرش، + +450 +00:44:04,770 --> 00:44:09,450 +وهكذا، يبقى انا عندي physical جسمانية تنعكس على + +451 +00:44:09,450 --> 00:44:12,530 +الدهنية و تنعكس على النفسية ع ال psychic state + +452 +00:44:12,530 --> 00:44:19,390 +يعني واحد عنده + +453 +00:44:19,390 --> 00:44:26,050 +قلم ممكن تقول يتهيأله ان هو هيموتبطنه فيه مصيبة، + +454 +00:44:26,050 --> 00:44:28,950 +فيه سرطان، فيه .. فيه .. فيه .. فيه بتنفجر زي ده + +455 +00:44:28,950 --> 00:44:32,830 +عنده إشي، تلاقي حالته النفسية حالة واحد بده يموت، + +456 +00:44:32,830 --> 00:44:36,670 +و لا أنا خلاص، خلاص، خلاص، و ببكي و بعمل، مهلك يا + +457 +00:44:36,670 --> 00:44:39,590 +راجل، قال خلاص والله أنا مش راضين يقولولي أنا وضعي + +458 +00:44:39,590 --> 00:44:43,670 +خطير، حالته النفسية سأت كمان، يبدأ هنا مش قادر + +459 +00:44:43,670 --> 00:44:48,550 +يفكر ولا يقرأ ولا حاجة، حالته النفسية سأت جدا، من + +460 +00:44:48,550 --> 00:44:53,970 +ال physical state، من ال physical stateو تلاقيها + +461 +00:44:53,970 --> 00:44:58,350 +هي من hypermetropia من أستجماتيزم من حاجة يعني أصل + +462 +00:44:58,350 --> 00:45:03,370 +الإنسان ضعيف وخلقة الإنسان ضعيفة إنسان ضعيف يبقى + +463 +00:45:03,370 --> 00:45:08,670 +في الحالة هذه إذا كان ال symptoms جوية جوية ومأثرة + +464 +00:45:08,670 --> 00:45:12,270 +على ال physical و ال mental state we correct as + +465 +00:45:12,270 --> 00:45:16,710 +much as of the total hypermetropia as possible إيش + +466 +00:45:16,710 --> 00:45:20,350 +يعني نصلح + +467 +00:45:20,350 --> 00:45:26,350 +إلى حد الأقصىمن الـ Total Hypermetropia طبعاً و + +468 +00:45:26,350 --> 00:45:30,670 +الـ Cyclopidemia trying + +469 +00:45:30,670 --> 00:45:36,870 +محاولين as far as we can كل ما نقدر عمله to + +470 +00:45:36,870 --> 00:45:41,750 +relieve ايش relieve البنودول + +471 +00:45:41,750 --> 00:45:50,210 +relieves سيليك يخفف يخفف + +472 +00:45:52,850 --> 00:45:57,850 +Relieve يخفف The accommodation that produced by + +473 +00:45:57,850 --> 00:46:00,730 +excessive contraction of synapses كل هذا احنا + +474 +00:46:00,730 --> 00:46:04,810 +شرحناه بالتفصيل في Refraction 1 بس هي ما بنقل فيه + +475 +00:46:04,810 --> 00:46:12,170 +كل هذا شرحناه بالتفصيل في ال accommodation صح؟ طيب + +476 +00:46:12,170 --> 00:46:18,250 +الان في حالتين زي ما قلتلكم قبل شوية في exception + +477 +00:46:18,250 --> 00:46:26,420 +فيهم حالة Spasmوحالة ال intermittent convergence + +478 +00:46:26,420 --> 00:46:30,060 +point الحالتين هدولة .. الحالتين هدولة فيهم + +479 +00:46:30,060 --> 00:46:39,800 +exception حالة Spasm of accommodation يعني + +480 +00:46:39,800 --> 00:46:45,460 +السيارة المصل عملت Spasm وعملته + +481 +00:46:45,460 --> 00:46:51,260 +ايه انا reflection رجيته high .. high ايه ايش انا + +482 +00:46:56,790 --> 00:47:01,770 +high myopia ولا hypermetropia artificial myopia + +483 +00:47:01,770 --> 00:47:09,750 +ولا artificial hypermetropia myopia تنسوش في + +484 +00:47:09,750 --> 00:47:14,210 +الحالة هذه we correct the whole of the error as + +485 +00:47:14,210 --> 00:47:22,110 +can as possible يعني حتى لو لجيته زاد عشرة ten ده + +486 +00:47:22,110 --> 00:47:30,500 +يبتر بدي أعطيه عشرة من عشرعشان أرخي خلّي + +487 +00:47:30,500 --> 00:47:35,980 +تحت الأتروبيين فترة تقلل عن سبوعين وبعدين أعطيه + +488 +00:47:35,980 --> 00:47:41,660 +full atrobin correction لفترة دعونا نشوف كيف وده + +489 +00:47:41,660 --> 00:47:45,480 +من وجه ال plus بيعمل suppression لل accommodation + +490 +00:47:45,480 --> 00:47:52,660 +تنسوش طيب وقت إيش أيضا بعطي أنصات تساوي كل الفحص + +491 +00:47:52,660 --> 00:47:56,510 +البصري بالأتروبيينفي حالات انه بيصير معاه + +492 +00:47:56,510 --> 00:48:01,450 +intermittent aestropia لأنه لو هذا ما اتصلح ندير + +493 +00:48:01,450 --> 00:48:07,250 +شؤم ممكن ايش يعمل constant aestropia ايش constant + +494 +00:48:07,250 --> 00:48:13,770 +يعني ثابت ثابت مابعش اصلح و هو متقطع بيجي و بروح + +495 +00:48:13,770 --> 00:48:19,750 +ولا خلينا ما يثبت و يصير طبيعة لأ صلح + +496 +00:48:21,960 --> 00:48:25,320 +و if you in the first case طبعا first case is + +497 +00:48:25,320 --> 00:48:29,640 +spasm ليش باعطي العدسات ال full atropine + +498 +00:48:29,640 --> 00:48:34,020 +connection to force rest on ciliary muscle using + +499 +00:48:34,020 --> 00:48:37,580 +atropine؟ أنا بريح الcellar muscle المكمشة في ال + +500 +00:48:37,580 --> 00:48:41,780 +spasm بال atropine طب في الحالة التانية ال + +501 +00:48:41,780 --> 00:48:48,120 +convergence ليش باعطي ال full atropine؟ إيش خاص ال + +502 +00:48:48,120 --> 00:48:49,660 +full atropine في ال convergence؟ + +503 +00:48:56,660 --> 00:48:59,680 +يعني الاتروبيين ليه علاقة مباشرة بال convergence + +504 +00:48:59,680 --> 00:49:03,400 +احسنته + +505 +00:49:03,400 --> 00:49:07,920 +indirect الاتروبيين + +506 +00:49:07,920 --> 00:49:13,560 +correction هيعمل relaxation و accommodation بجلله + +507 +00:49:13,560 --> 00:49:16,620 +يعني وبالتالي ال convergence برتاح ببطء ال + +508 +00:49:16,620 --> 00:49:23,070 +convergence كتير يبقى هنا بقول لي هنا فيto relieve + +509 +00:49:23,070 --> 00:49:28,010 +يخفف ال convergence indirectly by relieving + +510 +00:49:28,010 --> 00:49:35,090 +accommodation with plus limits بقول + +511 +00:49:35,090 --> 00:49:41,170 +في الحالتين ال a و ال b we insist that the + +512 +00:49:41,170 --> 00:49:45,110 +spectacles are worn constantly طوله الطفل صاحي و + +513 +00:49:45,110 --> 00:49:51,850 +هو لبسهاوإلا لن يجد الراحة لا في ال spasm ولا في + +514 +00:49:51,850 --> 00:49:55,430 +الisotropy هنا + +515 +00:49:55,430 --> 00:49:58,830 +مش موضوع اختياري موضوع إجباري obligatory + +516 +00:49:58,830 --> 00:50:04,550 +obligatory use constant use of إيش اللي هو glasses + +517 +00:50:04,550 --> 00:50:09,110 +eleven conversely + +518 +00:50:09,110 --> 00:50:14,370 +على العكس من ذلك if there is a latent divergent + +519 +00:50:14,370 --> 00:50:16,530 +squint what is divergent + +520 +00:50:19,510 --> 00:50:27,490 +يعني Exotropia يعني زي ما تشوفين هنا عندي + +521 +00:50:27,490 --> 00:50:30,550 +Exodeviation + +522 +00:50:30,550 --> 00:50:38,930 +شوفين انحراف .. انحراف وحش للخارج .. انحراف وحش + +523 +00:50:38,930 --> 00:50:47,610 +للخارج في عندي divergence و under correct .. under + +524 +00:50:47,610 --> 00:50:48,550 +correct ايش؟ + +525 +00:50:52,200 --> 00:51:00,020 +ال power ال power بتاع الأتروبيل يعني مثلا واحد + +526 +00:51:00,020 --> 00:51:10,700 +طلع plus 4 و عنده divergent زي هى بعطيه plus 2 بس + +527 +00:51:10,700 --> 00:51:15,660 +يعني أنا بعطيه plus 2 كان عطيته ايش كان عطيته + +528 +00:51:15,660 --> 00:51:19,540 +minus 2 خصمت من 4 اتنين + +529 +00:51:22,690 --> 00:51:24,650 +يعني لما أعطيهم minus ايش بعمل في ال + +530 +00:51:24,650 --> 00:51:29,710 +accommodation؟ بزيده .. بزيده .. و لما زيده بزيد + +531 +00:51:29,710 --> 00:51:33,350 +أيش؟ convergence .. convergence .. بدل ما هو ضعيف + +532 +00:51:33,350 --> 00:51:36,910 +.. سزاوى شوية .. هذه القاعدة مهمة جدا تشتغلوا + +533 +00:51:36,910 --> 00:51:41,610 +عليها لأن ما بدي ايه اكون technicians فسر و اركب + +534 +00:51:41,610 --> 00:51:46,790 +.. نعد العدد .. عملنا خمسة .. عملنا ستة .. وصفة .. + +535 +00:51:46,790 --> 00:51:49,870 +لا .. انا بدي الوصفة تكون effective + +536 +00:51:53,570 --> 00:51:58,810 +ال إجزو غير عن إيزو في الإيزو بحط ال full أو + +537 +00:51:58,810 --> 00:52:03,630 +حواليها في الإجزو لازم أجلل أجلل أجلل جد ما أكتر + +538 +00:52:03,630 --> 00:52:11,970 +طيب يعني واحد جيني إمتروب يلا إمتروب مش لاجي عنده + +539 +00:52:11,970 --> 00:52:16,550 +أي عيب بصري بس عنده divergence + +540 +00:52:22,380 --> 00:52:28,200 +انا جريق بعطيه minus 2 و + +541 +00:52:28,200 --> 00:52:32,320 +بشوف ال vision بال minus 2 عارف انه بال minus 2 + +542 +00:52:32,320 --> 00:52:40,460 +شاف 6 على 9 بالعين 2 بس ال divergence اتحسن بخليه + +543 +00:52:40,460 --> 00:52:46,220 +يمشي ب2 شهر و بعدين بشوف كيف أحيانا في قرار بده + +544 +00:52:46,220 --> 00:52:48,140 +جرقة تشتر الدولة + +545 +00:52:53,270 --> 00:52:56,790 +وعن .. بيقولوا انت لما تتبلش تقول .. ماتقولش بسم + +546 +00:52:56,790 --> 00:53:01,090 +الله الرحمن الرحيم تقول + +547 +00:53:01,090 --> 00:53:07,630 +الله أكبر جال لو رحم ما دبح الإنسان لو رحم ما دبح + +548 +00:53:07,630 --> 00:53:14,050 +الدبح بده جرأة فبيقول الله أكبر الله أكبر يعني + +549 +00:53:14,050 --> 00:53:19,550 +للحسم اما بسم الله الرحمن الرحيم ليش ده الرحمة اه + +550 +00:53:19,550 --> 00:53:20,810 +صح؟ + +551 +00:53:24,540 --> 00:53:28,180 +ليش انا اعطيته under correction يعني ميناسات يعني + +552 +00:53:28,180 --> 00:53:34,900 +ان هو by stimulating accommodation we may + +553 +00:53:34,900 --> 00:53:41,400 +stimulate blood balance اصلا مانفعش كده هينفع ال + +554 +00:53:41,400 --> 00:53:46,960 +surgery ان مانفعش كده يعني انت الخط الأول اللي + +555 +00:53:46,960 --> 00:53:51,980 +بعارك الحاجات ال medical الطبية + +556 +00:53:53,450 --> 00:53:58,990 +اللي مينفعش فيه المناحة الطبية السلمية مينفع فيه + +557 +00:53:58,990 --> 00:54:03,810 +ال surgeon و + +558 +00:54:03,810 --> 00:54:09,370 +أقولكوا كتير من ال surgeons بتنعمل لخطأ ال + +559 +00:54:09,370 --> 00:54:14,130 +optometrist أنا + +560 +00:54:14,130 --> 00:54:18,960 +قارف أبحاث جديدةإن الـFull Atropine Correction لما + +561 +00:54:18,960 --> 00:54:23,700 +نعطيها بتوفر 50% من عملية الجراحية للإيزوتروبيا + +562 +00:54:23,700 --> 00:54:30,180 +صدقوني 50% لو احنا قدرنا المعركة بثبات سنة كاملة + +563 +00:54:30,180 --> 00:54:35,680 +بتوفر عمل عملية الجراحية من أحسن أعطي نضارة سنة + +564 +00:54:35,680 --> 00:54:40,420 +بإحكام وبعدها يطلع سيف ولا أرمي في عملية وممكن + +565 +00:54:40,420 --> 00:54:46,250 +العملية تعمله مشاكل تعمله بدل إيزو تعمله إجزوبعد + +566 +00:54:46,250 --> 00:54:51,950 +ال ISO العملية كتير منهم بيجيوا EXO جص أكتر من + +567 +00:54:51,950 --> 00:54:56,950 +لزومة في ال surgery أنا + +568 +00:54:56,950 --> 00:55:01,550 +قارئ في أباحة جديد أنه موضوع ال full atropine + +569 +00:55:01,550 --> 00:55:06,810 +correction أو حواليها أنه بعطي نتيجة خمسين في + +570 +00:55:06,810 --> 00:55:13,090 +المية لمنع الجراحة في ال .. في ال .. in the + +571 +00:55:13,090 --> 00:55:14,170 +strabismus surgery + +572 +00:55:17,760 --> 00:55:22,360 +مش كله مش كله المهم انه يعني احنا نحاول ندير + +573 +00:55:22,360 --> 00:55:28,580 +الموضوع بأقل قدر من خسارة طيب الان بدأ اقارن من + +574 +00:55:28,580 --> 00:55:34,620 +الحاجتين بين انسان active و عنده status life + +575 +00:55:34,620 --> 00:55:42,960 +status من قراء يعني ملقطع للدراسة و بين واحد عنده + +576 +00:55:42,960 --> 00:55:50,960 +no studyولا نقل على ديسك ولا إيه هو خاصة خاصة + +577 +00:55:50,960 --> 00:55:56,780 +وبشتغل out of doors مراعي + +578 +00:55:56,780 --> 00:56:07,100 +القبل مراعي البقر صياد زراعي بناء سقاية ما بيشتغل + +579 +00:56:07,100 --> 00:56:12,020 +القريب أبداًما هو الفرق بينهم في الـ correction؟ + +580 +00:56:12,020 --> 00:56:15,880 +بين الإنسان الأول المقطع للدراسة ومن الذين عملوا + +581 +00:56:15,880 --> 00:56:24,800 +كله outdoors خارج الأبواب يعني الـ + +582 +00:56:24,800 --> 00:56:32,220 +active و المقطع للدراسة بدوا الـ hypermetropia a + +583 +00:56:32,220 --> 00:56:38,660 +full correction عشان أرخي ال accommodationطب + +584 +00:56:38,660 --> 00:56:41,320 +والانسان ليه؟ بتاع المراعي والثقايا والزراعة + +585 +00:56:41,320 --> 00:56:47,740 +والصيادة No correction واشهله في النضارة؟ واشهله + +586 +00:56:47,740 --> 00:56:54,060 +في النضارة؟ انا إيجاني واحد ميكانيكي سيارة ولقيت + +587 +00:56:54,060 --> 00:56:59,840 +عنده عيوب بصري زي هذه فقول والله أنت علاجك لازم + +588 +00:56:59,840 --> 00:57:04,620 +عنك نضارة، قعد يضحك قال يا دكتور أنا بتاع النضارة؟ + +589 +00:57:04,620 --> 00:57:07,860 +قلتلها قال ليه أنا في زيات السيارات من الصبح + +590 +00:57:07,860 --> 00:57:14,590 +للمساء؟أنا بروح كل وشي أسود أسود يعني النضارة كل + +591 +00:57:14,590 --> 00:57:18,970 +.. كل خمس داكي بدي أمسحها يعني فانا اختلعت بكلامه + +592 +00:57:18,970 --> 00:57:23,450 +قال كيف يعني انا .. كيف ده يعني بدك يعني ألبس + +593 +00:57:23,450 --> 00:57:28,150 +نضارة .. ألبس نضارة تحت السيارات يعني و الغبرة و + +594 +00:57:28,150 --> 00:57:34,090 +الهدا و الزيت فقلت له أه صحيحيعني هذه نظارة + +595 +00:57:34,090 --> 00:57:37,790 +استعمال مؤقت لكن إذا كنت بدك اشي أكتر بدك لزج أو + +596 +00:57:37,790 --> 00:57:43,830 +بدك اشي و هو مالوش في الحاجات القريبة هذه اشي طيب + +597 +00:57:43,830 --> 00:57:47,550 +عشان أخلص بس نقطتين تلاتة فيما تبقى من الوقت + +598 +00:57:47,550 --> 00:57:56,670 +generally قاعدة برضه قاعدة the more fully the + +599 +00:57:56,670 --> 00:57:58,630 +error is corrected + +600 +00:58:01,130 --> 00:58:06,130 +the better the result إيش يعني؟ يعني كل ما صححنا + +601 +00:58:06,130 --> 00:58:09,410 +أكتر كل ما كانت النتيجة أفضل هاي الكلام كل ما + +602 +00:58:09,410 --> 00:58:14,410 +صححنا الخطأ الإنكساري بتاع الhypermetropia أكتر كل + +603 +00:58:14,410 --> 00:58:21,090 +ما كانت النتيجة أفضل بس always provided that بشرط + +604 +00:58:21,090 --> 00:58:25,650 +provided that يعني بشرط the lenses are compatible + +605 +00:58:25,650 --> 00:58:30,370 +with good vision compatible تتجارة أو تتماشى مع ال + +606 +00:58:30,370 --> 00:58:35,680 +good visionيعني أنا ماعقبوش الأحسن correction وشوف + +607 +00:58:35,680 --> 00:58:42,160 +6 على 24 لأ هذا مش مقبول منطقيا 6 + +608 +00:58:42,160 --> 00:58:50,560 +على 24 يعني 6 على 9 plus 2 صغار يعني 6 على 9 6 على + +609 +00:58:50,560 --> 00:58:55,820 +9 وشويه ماشي إما 6 على 24 لأ يعني balance كف تين + +610 +00:58:55,820 --> 00:59:01,160 +ميزان كف يمين و كف شمال ال vision مع الراحة ال + +611 +00:59:01,160 --> 00:59:07,190 +vision مع الراحة14 اذا ايه compromise؟ حال وسط + +612 +00:59:07,190 --> 00:59:10,690 +تسوي يعنى .. compromise تسوي او حال وسط in a + +613 +00:59:10,690 --> 00:59:13,990 +difficult case like high hypermetropia يعني افرض + +614 +00:59:13,990 --> 00:59:20,510 +واحد طالع عنده plus 12 فيه + +615 +00:59:20,510 --> 00:59:24,510 +مرة علينا و اكتر من هيك it may be will to under + +616 +00:59:24,510 --> 00:59:29,930 +correct considerably at first اه يعني مثلا انا + +617 +00:59:29,930 --> 00:59:38,430 +والله لما طلع 12عطيته تمانية و بعدين كل شهر to + +618 +00:59:38,430 --> 00:59:42,570 +strengthen the lenses at intervals gradually بعد + +619 +00:59:42,570 --> 00:59:47,210 +شهر بعطيه سبعة بعد شهر .. آسف بعطيه تسعة بعد شهر + +620 +00:59:47,210 --> 00:59:51,910 +بعطيه عشرة ممكن لو احتاج عشر و نص او احداش + +621 +00:59:51,910 --> 00:59:56,690 +gradually of a few months until the full + +622 +00:59:56,690 --> 01:00:02,390 +correction is comfortably born ليش؟لو أعطيته من + +623 +01:00:02,390 --> 01:00:08,330 +أول مرة ال 12 من ال 12 يعني + +624 +01:00:08,330 --> 01:00:19,610 +زي ما يقولونه نه من ال heavy correction و نه من ال + +625 +01:00:19,610 --> 01:00:29,990 +sudden change تعيير مفاجئ انت لربول غيرمحتمل او لا + +626 +01:00:29,990 --> 01:00:37,830 +يتحمله العين لذلك انش بعطي الجرعة في الدفعات شهر + +627 +01:00:37,830 --> 01:00:43,210 +شهر شهر شهر لما يكون هو هضم الجرعة الأولى تحملها + +628 +01:00:43,210 --> 01:00:49,750 +بعطيه تاني تحملها بعطيه تالتة وكذا طيب اخر شيء or + +629 +01:00:49,750 --> 01:00:55,550 +it may help to advise weaker lenses for distance + +630 +01:00:56,570 --> 01:01:00,170 +and full correction for closed work يعني two pairs + +631 +01:01:00,170 --> 01:01:06,330 +of glasses يعني ممكن أعطيه plus تلاتة للشارع و + +632 +01:01:06,330 --> 01:01:13,410 +أعطيه plus four نضارة تانية للإيش لل reading طيب + +633 +01:01:13,410 --> 01:01:18,850 +شابة عمرها عشرين سنة أعطيها نضارتين صعب طب لو + +634 +01:01:18,850 --> 01:01:24,730 +أعطيتها bifocal يعني نوعا ما أحسن أرقى bifocal + +635 +01:01:24,730 --> 01:01:31,160 +أرقى صح؟طيب لو أعطيتها progressive اه progressive + +636 +01:01:31,160 --> 01:01:36,700 +أفضل و أفضل بس حسب الحالة المنوية و المادية كمان + +637 +01:01:36,700 --> 01:01:46,520 +progressive ستمية شكل bifocal متين و two pairs of + +638 +01:01:46,520 --> 01:01:52,580 +glasses في حدود متين فيعني + +639 +01:01:52,580 --> 01:01:59,460 +الموضوع .. الموضوع كبيرلأنه يتعلق بإنسان، يتعلق + +640 +01:01:59,460 --> 01:02:05,520 +براحة، يتعلق بنفسية، يتعلق بمستقبل، يتعلق بدراسة، + +641 +01:02:05,520 --> 01:02:11,560 +يتعلق بأهل و بمجتمع، وليس مجرد إن أنا technician + +642 +01:02:11,560 --> 01:02:16,880 +إن زبطت، زبطت، ما زبطت يروح لغيري، كان هذا مبدأي + +643 +01:02:16,880 --> 01:02:22,540 +فاشل، كان مبدأي إن أنا بدأ أشتغل professional + +644 +01:02:22,540 --> 01:02:32,260 +بصورة مهنية،بنجح و بريح الناس و أرجو أن أكون ممن + +645 +01:02:32,260 --> 01:02:41,620 +يعمل و ينفع ممن يعمل و يفيد و قول اعملوا فسر الله + +646 +01:02:41,620 --> 01:02:46,140 +عملكم و رسوله و المؤمنين صدق الله العظيم و بارك + +647 +01:02:46,140 --> 01:02:46,540 +الله فيكم + diff --git a/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/-hLujqqGVV0_postprocess.srt b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/-hLujqqGVV0_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..b3cc54b9ec0b645cf66abbb1d2a97e2224d723d8 --- /dev/null +++ b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/-hLujqqGVV0_postprocess.srt @@ -0,0 +1,2564 @@ +1 +00:00:21,260 --> 00:00:23,580 +أعوذ بالله من الشيطان الرجيم بسم الله الرحمن + +2 +00:00:23,580 --> 00:00:29,440 +الرحيم هذه الدراسه الثانيه في إخطارات رفراكتفية + +3 +00:00:29,440 --> 00:00:37,180 +سنكملها Hypermetropia كما ذكرنا قبل أن + +4 +00:00:37,180 --> 00:00:42,720 +Hypermetropia مختلفة في ثلاث مجالين أولاً هو الـ + +5 +00:00:42,720 --> 00:00:50,880 +Axial ثانياً كيرفتشر ثالثاً هو Index Hypermetropia + +6 +00:00:52,850 --> 00:00:57,870 +في جميع هذه الثلاث مرات، النتيجة هي نفسها + +7 +00:00:57,870 --> 00:01:03,350 +Hypermetropia اكسيال او كيربيتشار او اندكس، + +8 +00:01:03,350 --> 00:01:09,250 +Hypermetropia ومشكلة Hypermetropia بالنسبة للظهر + +9 +00:01:09,250 --> 00:01:21,270 +والرؤية والقياس والقراءة في Hypermetropia، الناس + +10 +00:01:21,270 --> 00:01:21,610 +متعادلة + +11 +00:01:24,410 --> 00:01:35,730 +احدث على العيون سيأتي خلف الرتينة بينما يترك + +12 +00:01:35,730 --> 00:01:46,250 +الرتينة تجاه الكورنية ستترك العيون تتحرك هذا بس + +13 +00:01:46,250 --> 00:01:50,150 +لماذا؟ + +14 +00:01:50,150 --> 00:01:57,390 +لأنالقوة التحريكية للعين المتروبيكية أقل من + +15 +00:01:57,390 --> 00:02:02,990 +الطبيعي ويمكن + +16 +00:02:02,990 --> 00:02:07,090 +أن يجعل + +17 +00:02:07,090 --> 00:02:11,830 +الحيوانات اللي يتركن يتركنوا يتركنوا يتركنوا + +18 +00:02:11,830 --> 00:02:16,670 +يتركنوا يتركنوا يتركنوا + +19 +00:02:16,670 --> 00:02:19,250 +يتركنوا + +20 +00:02:20,550 --> 00:02:25,030 +while in myopia the rays leaving the eye will be + +21 +00:02:25,030 --> 00:02:31,670 +convergent the + +22 +00:02:31,670 --> 00:02:38,170 +hypermetropic eye sees the size of things smaller + +23 +00:02:38,170 --> 00:02:44,050 +than normal while the myopic eye sees the size of + +24 +00:02:44,050 --> 00:02:50,190 +objects relatively larger than normal + +25 +00:02:55,850 --> 00:03:04,170 +في الحيوانات و الحيوانات الحيوانات و + +26 +00:03:04,170 --> 00:03:07,710 +الحيوانات + +27 +00:03:07,710 --> 00:03:08,270 +و الحيوانات و الحيوانات و الحيوانات و الحيوانات و + +28 +00:03:08,270 --> 00:03:08,510 +الحيوانات و الحيوانات و الحيوانات و الحيوانات و + +29 +00:03:08,510 --> 00:03:08,530 +الحيوانات و الحيوانات و الحيوانات و الحيوانات و + +30 +00:03:08,530 --> 00:03:09,170 +الحيوانات و الحيوانات و الحيوانات و الحيوانات و + +31 +00:03:09,170 --> 00:03:10,730 +الحيوانات و الحيوانات و الحيوانات و الحيوانات و + +32 +00:03:10,730 --> 00:03:12,970 +الحيوانات و الحيوانات و الحيوانات و الحيوانات و + +33 +00:03:12,970 --> 00:03:18,410 +الحيوانات و + +34 +00:03:18,410 --> 00:03:28,030 +الحيأ as parallel parallel like light comes on + +35 +00:03:28,030 --> 00:03:37,290 +إيش؟ On mirror شوفي ال light طالع من عين القطة أو + +36 +00:03:37,290 --> 00:03:39,790 +الكلب diverge + +37 +00:03:46,020 --> 00:03:50,540 +تتبع بأن الأشياء التي تتبع بإمترابيا في الانفينيتي + +38 +00:03:50,540 --> 00:03:55,680 +أو في التعامل في فترة من 6 متر تتبع بشكل مستقل + +39 +00:03:55,680 --> 00:04:01,600 +عندما يكون العين في الاسترالية يعني الاشخاص الذين + +40 +00:04:01,600 --> 00:04:11,860 +يمتلون إمترابيا يأتي من 6 متر أو أكتر سيجعل + +41 +00:04:13,070 --> 00:04:18,410 +focus on the retina on the retina at rest لأنه + +42 +00:04:18,410 --> 00:04:24,610 +مافيش accommodation no accommodation while in + +43 +00:04:24,610 --> 00:04:34,190 +hypermetropia clear image is impossible unless he + +44 +00:04:34,190 --> 00:04:40,730 +use plus lenses to complete the deficiency of the + +45 +00:04:40,730 --> 00:04:41,990 +refractive system + +46 +00:04:45,920 --> 00:04:55,100 +هنا In this shape, this is a hypermetropic eye The + +47 +00:04:55,100 --> 00:05:02,020 +parallel rays make focus behind the retina This + +48 +00:05:02,020 --> 00:05:09,720 +person or this eye can't see clearly If + +49 +00:05:09,720 --> 00:05:20,270 +we use a converging lensin a glass with the I we + +50 +00:05:20,270 --> 00:05:26,890 +add plus حط plus to the refractive system القورنيا + +51 +00:05:26,890 --> 00:05:33,950 +and this يعني theoretically مثلا في theory لو ال + +52 +00:05:33,950 --> 00:05:39,270 +power of this I fifty + +53 +00:05:39,270 --> 00:05:40,390 +six + +54 +00:05:43,780 --> 00:05:51,120 +We need for two or three plus addition to this + +55 +00:05:51,120 --> 00:05:58,120 +fifty six to make the eye like imitropic في الحالة + +56 +00:05:58,120 --> 00:06:01,980 +هذه نضيف + +57 +00:06:01,980 --> 00:06:08,060 +two or three حتى العين تصير artificial imitropic + +58 +00:06:08,060 --> 00:06:18,000 +artificial يعني و ننزل في ال secondفي حالة مايوبيك + +59 +00:06:18,000 --> 00:06:25,440 +ايه الفوكس في أمام الرتينة طيب ال converting power + +60 +00:06:25,440 --> 00:06:33,220 +of this eye increased or decreased? increased يبقى + +61 +00:06:33,220 --> 00:06:42,020 +we must add minus يعني بدنا نسلبها نقللها نحط + +62 +00:06:42,020 --> 00:06:48,320 +minus lensesلـ Refractive power of the myopic eye + +63 +00:06:48,320 --> 00:06:54,120 +to make it Artificial Emetropia Artificial + +64 +00:06:54,120 --> 00:07:03,980 +Emetropia Clear واضح واضح طيب + +65 +00:07:03,980 --> 00:07:11,940 +accommodation in hypermetropia يعني + +66 +00:07:11,940 --> 00:07:13,880 +و thinking + +67 +00:07:17,020 --> 00:07:24,000 +هل الـ hypermetropic I تستخدم accommodation like + +68 +00:07:24,000 --> 00:07:31,660 +in metropic I ولا أقل ولا أكتر؟ ال .. ال .. ال + +69 +00:07:31,660 --> 00:07:36,740 +hypermetropic I تستخدم accommodation in excess ولا + +70 +00:07:36,740 --> 00:07:42,000 +in less؟ in excess in + +71 +00:07:42,000 --> 00:07:50,590 +fraction oneو يقول هذا الـ hypermetropic I تستخدم + +72 +00:07:50,590 --> 00:07:59,670 +التعامل في إكساس التعامل بينما الـ myopic I تستخدم + +73 +00:07:59,670 --> 00:08:05,510 +التعامل في إكساس التعامل الـ hypermetropic I + +74 +00:08:05,510 --> 00:08:09,910 +تستخدم التعامل أكتر من التعامل بينما الـ myopic I + +75 +00:08:09,910 --> 00:08:14,800 +تستخدم التعاملاكتر من ال accommodation طب و ال + +76 +00:08:14,800 --> 00:08:21,240 +immetropic I the same the same magnitude نفس + +77 +00:08:21,240 --> 00:08:25,200 +الحالة يبقى ان انا لما اتكلم عن ال accommodation + +78 +00:08:25,200 --> 00:08:27,280 +ان ال hypermetropic I بقول ده contraction of every + +79 +00:08:27,280 --> 00:08:31,660 +muscle of the eye occurs so that it can correct a + +80 +00:08:31,660 --> 00:08:35,560 +certain amount of hypermetropia يعني لو ال + +81 +00:08:35,560 --> 00:08:38,840 +immetropic I تستخدم + +82 +00:08:40,510 --> 00:08:45,830 +in reading four diopters of accommodation واحد + +83 +00:08:45,830 --> 00:08:51,430 +عنده hypermetropia plus two بديه يقرأ بكم؟ plus + +84 +00:08:51,430 --> 00:08:58,830 +two plus four six بديه يستخدم ستة مش اربعة زي + +85 +00:08:58,830 --> 00:09:02,590 +الامترون ليه؟ لأنه ال reproductive power بتاعته + +86 +00:09:02,590 --> 00:09:06,210 +اقل من الامترون فالامترون بيقرأ باربعة هو بديه + +87 +00:09:06,210 --> 00:09:08,290 +يقرأ بالاربعة plus + +88 +00:09:10,730 --> 00:09:14,550 +ده ايش؟ ده hypermetropia كام عنده hypermetropia + +89 +00:09:14,550 --> 00:09:23,010 +value of his hypermetropia normally there is an + +90 +00:09:23,010 --> 00:09:27,490 +appreciable amount of hypermetropia corrected by + +91 +00:09:27,490 --> 00:09:31,570 +the contraction involved in the physiological tone + +92 +00:09:31,570 --> 00:09:36,890 +of the ciliary muscle يعني normally حتى أثناء + +93 +00:09:36,890 --> 00:09:46,330 +sleepingthere is a small amount of contraction of + +94 +00:09:46,330 --> 00:09:54,250 +ciliary muscle equals one diopter حتى في ال eye at + +95 +00:09:54,250 --> 00:10:00,490 +rest في ال eye at rest وهذا يفرق بين ال normal + +96 +00:10:00,490 --> 00:10:06,800 +muscle وبين ال paralyzed or dead muscleالـ muscle + +97 +00:10:06,800 --> 00:10:12,520 +الميتة أو المشلونة هي الملهج توم هل هذا التوم فقط + +98 +00:10:12,520 --> 00:10:16,720 +في الcellular muscle ولا in other muscles؟ كل ال + +99 +00:10:16,720 --> 00:10:21,300 +muscles اللي في الجسم كلها حتى كل سليطة ال muscles + +100 +00:10:21,300 --> 00:10:28,220 +حتى ال muscles of respirationحتى ال muscles اللي + +101 +00:10:28,220 --> 00:10:32,780 +هي في ال intestine كله كله كله فيه إلو tone و هذا + +102 +00:10:32,780 --> 00:10:36,660 +الفرق الأحياء عن ال ammonia يبقى ال celery muscle + +103 +00:10:36,660 --> 00:10:40,480 +في الحالة العادية إلها tone اسمه ال celery tone + +104 +00:10:40,480 --> 00:10:45,540 +equals about one diopter اذا كان احنا بنتخلص من ال + +105 +00:10:45,540 --> 00:10:50,260 +diopter هذا بنحط أتروبيل يبقى الأتروبيل drops ممكن + +106 +00:10:50,260 --> 00:10:57,810 +تلغي كل ال toneطيب الساكلو بنتو ليه؟ بتضيع نصه مش + +107 +00:10:57,810 --> 00:11:03,710 +كله أو تلت أربع طبعا هذا ال shape واضح شفناه كتير + +108 +00:11:03,710 --> 00:11:09,450 +بين ال accommodation و relaxation كيف وضع ال + +109 +00:11:09,450 --> 00:11:13,990 +muscle celery muscle في ال contraction البرتقالي + +110 +00:11:13,990 --> 00:11:18,470 +الارنج وفي ال relaxation اللي بتكون ال red color + +111 +00:11:18,470 --> 00:11:26,180 +كيف وضعال lens لما تكون flat في ال infinity vision + +112 +00:11:26,180 --> 00:11:29,800 +و لما تكون thick في ال accommodations during + +113 +00:11:29,800 --> 00:11:36,500 +reading و ايضا ال zenules بتكون long في ال + +114 +00:11:36,500 --> 00:11:41,880 +infinity و بتكون short في ال reading بتكون short + +115 +00:11:41,880 --> 00:11:44,220 +في ال reading ليش بتكون short في ال reading؟ لأن + +116 +00:11:44,220 --> 00:11:48,940 +التنقض بقطع short في ال reading ليش؟ لأ لو تعمل + +117 +00:11:48,940 --> 00:11:49,860 +مشاركة الشدد + +118 +00:11:53,050 --> 00:11:58,110 +شرط في ال reading عشان attraction on the equator + +119 +00:11:58,110 --> 00:12:05,290 +of the lens يضيع attraction لو في شد على ال + +120 +00:12:05,290 --> 00:12:10,410 +equator بتاع ال lens بتصير flat لكن لما نرخص in + +121 +00:12:10,410 --> 00:12:17,370 +walls ال lens بتصير free ال lens ايش بتصير free + +122 +00:12:17,370 --> 00:12:23,050 +لما تصير free بتصير thickلكن لو جينا على محيط + +123 +00:12:23,050 --> 00:12:28,390 +العدسة و شدنا، إيش هسير؟ هتصير flat سبحان الله + +124 +00:12:28,390 --> 00:12:35,490 +يعني الذي أحسن كل شيء ان خلقه يعني هنا لما نقرأ + +125 +00:12:35,490 --> 00:12:41,310 +لازم نقول دايما why في القراءة why مش هنفهم إن لو + +126 +00:12:41,310 --> 00:12:50,790 +سألنا لماذا why ليش is the news قصيرة؟عشان لزوم + +127 +00:12:50,790 --> 00:12:58,890 +ارتخاء الشد اللي على equator خط استواء بتاع ال + +128 +00:12:58,890 --> 00:13:03,610 +lens وبتاع ال lens ايش بتصير؟ ثقيل طب لو شدنا على + +129 +00:13:03,610 --> 00:13:07,590 +مفينة العدسات ايش هيصير؟ سيصير flat وعشان ايه انتم + +130 +00:13:07,590 --> 00:13:13,330 +لاحظين celery musclecelery muscle في حالة ال + +131 +00:13:13,330 --> 00:13:18,010 +contraction هي جاية قريبة على العدسة عشان ترخل + +132 +00:13:18,010 --> 00:13:23,270 +الزنوز الزرقاء وفي حتة الارتخاء ابتعدت الحمراء + +133 +00:13:23,270 --> 00:13:27,310 +ابتعدت عن محيط العدسة وبالتالي الزنوز الخضراء ايه + +134 +00:13:27,310 --> 00:13:33,760 +صار فيها زادت طولةهذا متكرر دايما عملية ال + +135 +00:13:33,760 --> 00:13:39,800 +accommodation عند help holds هي الأساس تي الناس + +136 +00:13:39,800 --> 00:13:44,980 +بيخلقوا ما بين إيش بيصير في العدسة و إيش بيصير في + +137 +00:13:44,980 --> 00:13:47,920 +ال muscle و إيش بيصير في ال zonules و هذا احنا + +138 +00:13:47,920 --> 00:13:51,460 +شرحناه في ال anatomy و في ال refraction و هي في + +139 +00:13:51,460 --> 00:13:54,140 +refraction 2 و هنشرحه ان شاء الله كم مرة في + +140 +00:13:54,140 --> 00:13:58,860 +refraction 3 و كل إنسان يفهم إيش المقصود + +141 +00:14:01,560 --> 00:14:04,760 +طيب، الأن نتكلم عن ال accommodation، ليس ما + +142 +00:14:04,760 --> 00:14:09,240 +خلصناش، ال accommodation، بيقوللي ال tone .. the + +143 +00:14:09,240 --> 00:14:14,800 +tone of every muscle بيغطي hypermetropia اسمها + +144 +00:14:14,800 --> 00:14:20,240 +latent، latent hypermetropia، what is the meaning + +145 +00:14:20,240 --> 00:14:26,520 +of latent hypermetropia؟ خافيةin contradistinction + +146 +00:14:26,520 --> 00:14:30,940 +على النقيد the remaining portion which in normal + +147 +00:14:30,940 --> 00:14:35,740 +circumstances is uncorrected is termed manifest + +148 +00:14:35,740 --> 00:14:41,240 +hypermetropia يعني ال tone بيغطي واحد ولو واحد + +149 +00:14:41,240 --> 00:14:45,710 +عنده hypermetropia أكتر من واحد بصير manifestلو + +150 +00:14:45,710 --> 00:14:49,530 +حطنا على الـ autorefractometer أو على الريتنوسكوبي + +151 +00:14:49,530 --> 00:14:53,850 +أو على الفيربتر، هيبين إنه عنده plus one أو اتنين + +152 +00:14:53,850 --> 00:14:56,790 +أو تلاتة أو اربعة، كل هذا اسمه manifest، حتى لو + +153 +00:14:56,790 --> 00:15:04,710 +عشر، لو eight ديوبترز، كلها إيش؟ manifest، لكن + +154 +00:15:04,710 --> 00:15:10,450 +الواحد بغطيتهم، ده two together، إيش two together؟ + +155 +00:15:11,820 --> 00:15:15,200 +الجامعه بتاعهم اسمه total hypermetropia + +156 +00:15:24,260 --> 00:15:29,560 +من الهيبرمتروبيا واحد فقط واحد دكتور لذلك لكي + +157 +00:15:29,560 --> 00:15:33,220 +تحاول أن تحصل على صورة أمامية وإحدى الناس مع خطأ + +158 +00:15:33,220 --> 00:15:36,960 +الهيبرمتروبيا أكبر من هذا سيساعد عادةً على صوت + +159 +00:15:36,960 --> 00:15:43,520 +السلري المصلي بمجرد اتصال اتصال من ماذا؟ السلري + +160 +00:15:43,520 --> 00:15:49,480 +المصلي يعني اللي عنده اكتر من واحد مثلا عنده واحد + +161 +00:15:49,480 --> 00:15:55,420 +في ال tone وعنده كمان واحد السلري المصلي هتعملmild + +162 +00:15:55,420 --> 00:16:01,720 +contraction عشان يقرأ طب لو عنده ال two شوية more + +163 +00:16:01,720 --> 00:16:04,980 +contraction لو عنده three more and more + +164 +00:16:04,980 --> 00:16:10,360 +contraction طب لو عنده five severe contraction ستة + +165 +00:16:10,360 --> 00:16:14,800 +و سبعة more severe contraction يبقى على قدر ال + +166 +00:16:14,800 --> 00:16:20,580 +manifest hypermetropia بيكون ال contraction of + +167 +00:16:20,580 --> 00:16:26,020 +ciliary muscle ليش يا أسماءcontraction of cellular + +168 +00:16:26,020 --> 00:16:32,060 +muscle بيزيد مع الhypermetropia بيزيد عشان يحاول + +169 +00:16:32,060 --> 00:16:37,620 +يعوض hypermetropia عشان يعمل clear vision clear + +170 +00:16:37,620 --> 00:16:44,260 +vision during reading او close word صح يعني اللي + +171 +00:16:44,260 --> 00:16:46,480 +عنده واحد مازال عنده خمسة او ستة او سبعة + +172 +00:16:46,480 --> 00:16:52,760 +الcellular muscle هذه انا بسميها الأم الحنون للعين + +173 +00:16:54,370 --> 00:17:00,430 +كلنا و احنا أطفال الأم تأتي تتفقد في البرد أطفالها + +174 +00:17:00,430 --> 00:17:05,030 +تغطي هذا و تعدل هذا و اللي طالع و اللي نازل تطمأن + +175 +00:17:05,030 --> 00:17:09,010 +عليهم هم نايمين السنة الماضية اللي هذه أول ما اترى + +176 +00:17:09,010 --> 00:17:15,590 +شيء حول العين تشتغل ولا ترتخى إلا لما شيء مافيش + +177 +00:17:15,590 --> 00:17:21,670 +طالع و الطالع هو قرب الأشياء عليها من خطر من قراءة + +178 +00:17:22,470 --> 00:17:29,170 +من أشياء اي حادو غبار حشرات اول ما تبدأ تقترب من + +179 +00:17:29,170 --> 00:17:36,050 +العين تستعد العضله عشان ايش تعمل clear vision تعمل + +180 +00:17:36,050 --> 00:17:40,390 +clear vision الصاحب + +181 +00:17:40,390 --> 00:17:43,790 +هذا العين may correct only a part of his + +182 +00:17:43,790 --> 00:17:50,430 +hypermetropy والله مثلامش حدود plus two plus three + +183 +00:17:50,430 --> 00:17:56,850 +تقدر ال cellular muscle تغطيهم منافسة صغيرة طب لو + +184 +00:17:56,850 --> 00:18:04,950 +المنافسة كبيرة سبعة تمانية تقدرش بده plus يعني حتى + +185 +00:18:04,950 --> 00:18:08,890 +اللي عنده adult و عنده two or three ممكن يغطيه بس + +186 +00:18:08,890 --> 00:18:15,510 +بيغطيه بتعب لأنه زي ما قلنا قبل قليل انه اذا كان + +187 +00:18:15,510 --> 00:18:22,580 +امتراضبيقرأ باربعة الhypermetropia بيقرأ بستة أو + +188 +00:18:22,580 --> 00:18:29,960 +سبعة أو تمانية بدون نظارة وبالتالي العين فيها حالة + +189 +00:18:29,960 --> 00:18:36,820 +توتر مش عين مرتاح مش عين طبيعي في حالة توتر يقرأ + +190 +00:18:36,820 --> 00:18:41,520 +لكن ال contraction of every muscle كثير ال muscles + +191 +00:18:41,520 --> 00:18:46,940 +يعني مين بتحملانه ال muscle بتاعته تكون مثلا ال + +192 +00:18:46,940 --> 00:18:51,960 +biceps او ال triceps او ال pronators او ال + +193 +00:18:51,960 --> 00:18:56,280 +subpenators انه يعني فيها contraction لمدة طويلة + +194 +00:18:56,280 --> 00:19:03,500 +بس ده fatigue صح؟ و نفس الشيء hyper metroid و عنده + +195 +00:19:03,500 --> 00:19:10,070 +manifest hyper metroid عاليةأكيد لو مالبسش نضارة + +196 +00:19:10,070 --> 00:19:16,370 +هيتعب و ربما لا يستمر أكتر من نصف ساعة أو ساعة + +197 +00:19:16,370 --> 00:19:20,310 +بالكثير طيب + +198 +00:19:20,310 --> 00:19:26,410 +يبقى الأن احنا بنقسم ال manifest hypermetropia إلى + +199 +00:19:26,410 --> 00:19:33,350 +two types فيه type اسمه facultative وفيه type اسمه + +200 +00:19:33,350 --> 00:19:40,600 +absolutefacultative hypermetropia is the part of + +201 +00:19:40,600 --> 00:19:48,480 +hypermetropia corrected by ciliary muscle بس يبقى + +202 +00:19:48,480 --> 00:19:51,680 +ال facultative hypermetropia هو الجزء of + +203 +00:19:51,680 --> 00:19:54,940 +hypermetropia corrected by contraction of ciliary + +204 +00:19:54,940 --> 00:19:56,980 +muscle طب و ال absolute؟ + +205 +00:19:59,910 --> 00:20:03,750 +العكس is that part of hypernotropia that can't be + +206 +00:20:03,750 --> 00:20:08,750 +corrected by ciliary muscle contraction and is in + +207 +00:20:08,750 --> 00:20:15,230 +need for correction by lenses لازمس له correction + +208 +00:20:15,230 --> 00:20:20,530 +فاهمنا أيش ال facultative و ال absolute هما اتنين + +209 +00:20:20,530 --> 00:20:24,190 +منافسة اللي في سطعة ال ciliary muscle اسمه + +210 +00:20:24,190 --> 00:20:26,670 +facultative و اللي خارج سطعة ال ciliary muscle + +211 +00:20:26,670 --> 00:20:36,120 +اسمه absoluteمطلق مطلق طيب يبقى الأن نيجي نعمل + +212 +00:20:36,120 --> 00:20:42,020 +احنا collection summary يعني للموضوع total + +213 +00:20:42,020 --> 00:20:45,740 +hypermetropia may therefore be divided into latent + +214 +00:20:45,740 --> 00:20:53,600 +وmanifest latent physiology ال tone بيغطي + +215 +00:20:53,600 --> 00:20:59,660 +hypermetropia قدرها one diameter ال latentالـ + +216 +00:20:59,660 --> 00:21:04,160 +Manifest تنقسم إلى facultative or absolute + +217 +00:21:04,160 --> 00:21:07,860 +facultative + +218 +00:21:07,860 --> 00:21:11,820 +and absolute ال facultative that part of the + +219 +00:21:11,820 --> 00:21:17,640 +hypertrophy compensated by cell muscle contraction + +220 +00:21:17,640 --> 00:21:25,520 +هو ال absolute which is not covered by cell muscle + +221 +00:21:25,520 --> 00:21:29,950 +contraction as in made forConvex lens corruption + +222 +00:21:29,950 --> 00:21:34,810 +Convex floor reading It does appear that high + +223 +00:21:34,810 --> 00:21:39,970 +hypermetropia or a low hypermetropia can see + +224 +00:21:39,970 --> 00:21:44,610 +nothing distinctly but if the accommodation is + +225 +00:21:44,610 --> 00:21:48,510 +active and the error is low and within this + +226 +00:21:48,510 --> 00:21:54,530 +facultative limits he can see clearly يبقى لو ال + +227 +00:21:54,530 --> 00:21:57,770 +facultative هذا قليل + +228 +00:22:00,160 --> 00:22:08,900 +لو ال facultative قليل ممكن تسير المثل تكفي لو + +229 +00:22:08,900 --> 00:22:17,740 +ال facultative كبير لا يغطى إلا بعد ثانية طيب + +230 +00:22:17,740 --> 00:22:21,220 +لو أثر صاحب الhypermetropia مهما كانت أن يقرأ بدون + +231 +00:22:21,220 --> 00:22:25,980 +نضارة؟ رح يزيد .. رح يزيد ال issue اللي قلته؟ + +232 +00:22:25,980 --> 00:22:32,210 +حيكون فيه حاجة تانيةأول إشي unclear reading و + +233 +00:22:32,210 --> 00:22:44,030 +fatigue حاجتين حيكون حاجتين طيب + +234 +00:22:44,030 --> 00:22:49,790 +يبقى قولنا احنا constant a constant thought which + +235 +00:22:49,790 --> 00:22:53,520 +is made automaticallyIn an attempt to obtain this + +236 +00:22:53,520 --> 00:22:57,960 +next vision may result in fatigue and distress due + +237 +00:22:57,960 --> 00:23:03,440 +to a disorientation between accommodation and + +238 +00:23:03,440 --> 00:23:10,520 +hunger هيفضل يعمل accommodation أكتر يبقى if a + +239 +00:23:10,520 --> 00:23:15,560 +hypermetropic eye reads + +240 +00:23:15,560 --> 00:23:21,100 +without correction and the value of hypermetropia + +241 +00:23:22,310 --> 00:23:29,710 +is relatively high more than the facultative more + +242 +00:23:29,710 --> 00:23:33,850 +than the facultative value what is the result؟ + +243 +00:23:33,850 --> 00:23:39,890 +بدون correction هيصير fatigue أستنوبيا لأنه في + +244 +00:23:39,890 --> 00:23:44,350 +انفصال بين accommodation و ال convergence ال + +245 +00:23:44,350 --> 00:23:47,790 +accommodation بزيد و ال convergence قادر يزيد فده + +246 +00:23:47,790 --> 00:23:52,650 +هيؤدي إلى إيه؟ ان هو من thisorientation what is + +247 +00:23:52,650 --> 00:24:00,450 +this how هي و هي و هي و هي و هي و هي و + +248 +00:24:00,450 --> 00:24:00,630 +هي و هي و هي و هي و هي و هي و هي و هي و هي و هي و + +249 +00:24:00,630 --> 00:24:01,370 +هي و هي و هي و هي و هي و هي و هي و هي و هي و هي و + +250 +00:24:01,370 --> 00:24:16,230 +هي و هي و + +251 +00:24:16,230 --> 00:24:20,370 +هي والطبيعي هو التغيير الـ A مع الهيبرمتروبيا في + +252 +00:24:20,370 --> 00:24:27,530 +الفيرس ديكتشار قد قلنا ان الهيبرمتروبيا هي المخطط + +253 +00:24:27,530 --> 00:24:31,950 +الهيبرمتروبيا كله + +254 +00:24:31,950 --> 00:24:37,990 +عالميا في كل أنحاء العالم وفسرنا لماذا؟ لماذا؟ لأن + +255 +00:24:37,990 --> 00:24:44,970 +الهيبرمتروبيا تعتبر مرحلة التطور من الوظيفة + +256 +00:24:46,790 --> 00:24:50,750 +hypermetropic thus he may be slightly + +257 +00:24:50,750 --> 00:24:53,630 +hypermetropic in the first years of life السنة + +258 +00:24:53,630 --> 00:24:56,970 +التانية و التالتة و الرابعة و الخمسة لسه هو بيسحب + +259 +00:24:56,970 --> 00:25:01,350 +من الhypermetropia شوية شوية but thereafter + +260 +00:25:01,350 --> 00:25:06,530 +gradually as eye growth proceeds until after + +261 +00:25:06,530 --> 00:25:09,990 +puberty the refraction tends to become + +262 +00:25:09,990 --> 00:25:18,280 +hypermetropic يبقى هو يستهلك من التلاتة درجةربع و + +263 +00:25:18,280 --> 00:25:26,420 +تمن و نص تلت و نص الى انه لما يصل بيوبرتي نظريا + +264 +00:25:26,420 --> 00:25:35,720 +بيصير ايش امتروب نظريا + +265 +00:25:35,720 --> 00:25:41,680 +برضه 90% of children at the age of five years في + +266 +00:25:41,680 --> 00:25:43,820 +سن الخمس سنين تسعين في المية من الأطفال + +267 +00:25:43,820 --> 00:25:50,310 +hypermetroidطيب و نظريا fifty percent at the age + +268 +00:25:50,310 --> 00:25:55,810 +of sixteen years قروا hypermetroid يعني في ست عشر + +269 +00:25:55,810 --> 00:26:00,510 +سنة نظريا نص الأطفال صاروا hypermetroid و نصهم + +270 +00:26:00,510 --> 00:26:09,710 +صاروا emetroid و نصهم فضل ال hypermetroid نصهم فضل + +271 +00:26:09,710 --> 00:26:15,030 +ال hypermetroid في سن ست عشر سنة خمسية في المية ما + +272 +00:26:15,030 --> 00:26:19,210 +زالوا hypermetroidوالخمسين في المئة التانية تفرعت + +273 +00:26:19,210 --> 00:26:24,950 +إلى myopia واشياء تانية امتروبيا وكلام زي هذا + +274 +00:26:24,950 --> 00:26:32,470 +امتروبيا وhypermetrobia طيب الآن عوض على بدء after + +275 +00:26:32,470 --> 00:26:39,330 +the middle age بعد نصف العمر there is another + +276 +00:26:39,330 --> 00:26:44,920 +hypermetrobia will comeCalled presbyopia or + +277 +00:26:44,920 --> 00:26:53,100 +acquired hypermetropia طيب after 40 years age the + +278 +00:26:53,100 --> 00:26:57,920 +hypermetropia is acquired طب what is the name of + +279 +00:26:57,920 --> 00:27:05,820 +the hypermetropia in newly born in newly born + +280 +00:27:05,820 --> 00:27:07,680 +congenital خلقية + +281 +00:27:11,180 --> 00:27:15,480 +الهايبانمتروبيا since birth called congenital، + +282 +00:27:15,480 --> 00:27:20,540 +هيبانمتروبيا after forty years is acquired or + +283 +00:27:20,540 --> 00:27:27,180 +presbyopia طب ما الفرق بينهما؟ مش الفرق بين + +284 +00:27:27,180 --> 00:27:33,000 +congenital و ال acquired؟ ال acquired بتكون من ال + +285 +00:27:33,000 --> 00:27:36,660 +sclerosis of the crystal lining مع الزمن، لأ أنا + +286 +00:27:36,660 --> 00:27:40,840 +بدي من ناحية النقص والزيادةيلا خليني احدد ايش طلبي + +287 +00:27:40,840 --> 00:27:46,840 +من ناحية ال increase or decrease power of + +288 +00:27:46,840 --> 00:27:53,220 +hypermetropia relative to age يعني + +289 +00:27:53,220 --> 00:27:59,720 +بده اقول انا congenital hypermetropia decreases + +290 +00:27:59,720 --> 00:28:05,670 +ولا increases with agedecreases with age طيب تاني + +291 +00:28:05,670 --> 00:28:10,290 +سطر تاني acquired hypermetropia increases ولا + +292 +00:28:10,290 --> 00:28:14,610 +decreases with age لا increases with age يبقى هذا + +293 +00:28:14,610 --> 00:28:20,250 +الفرق جوهري هذا الفرق جوهري انه hypermetropia + +294 +00:28:20,250 --> 00:28:28,130 +للولادة تنقص مع الأيام وفي نصف الناس تتلاشى لكن + +295 +00:28:29,480 --> 00:28:36,760 +hypermetropia بتاعت بعد منتصف الأمر تزيد مع السن + +296 +00:28:36,760 --> 00:28:44,140 +ولا تتناشى الا بال cataract او sclerosis طالما + +297 +00:28:44,140 --> 00:28:47,940 +مافيش sclerosis او cataract و هي ماشية تزيد يعني + +298 +00:28:47,940 --> 00:28:51,420 +واحد يبدأ بنص ديوبتر بيفرح بعد سنة سنتين بيصير + +299 +00:28:51,420 --> 00:28:57,550 +ديوبتر بعد سنتين تلاتة بده واحد و نصممكن للسبعين + +300 +00:28:57,550 --> 00:29:03,130 +ممكن للسبعين في السبعين our accommodation becomes + +301 +00:29:03,130 --> 00:29:08,670 +zero مافيش يعني .. يعني احنا بنقرأ بدون اي + +302 +00:29:08,670 --> 00:29:11,630 +accommodation في السبعين كل هذا بده ايش + +303 +00:29:11,630 --> 00:29:19,130 +compensation بالناس طيب + +304 +00:29:19,130 --> 00:29:26,720 +الان بنحاول نفسر causes of breast biopsycauses of + +305 +00:29:26,720 --> 00:29:32,960 +respiration ال cause الأول على + +306 +00:29:32,960 --> 00:29:38,600 +الأقل نظرية نظرية يعني in the continuous growth of + +307 +00:29:38,600 --> 00:29:41,820 +the lens which you carry throughout life احنا قلنا + +308 +00:29:41,820 --> 00:29:48,600 +انه من مزايا ال lens انه في زيادة في الحجم والوزن + +309 +00:29:48,600 --> 00:29:53,000 +مدى الحياة شوفوا يعني newly born كام ال lens + +310 +00:29:53,000 --> 00:29:57,890 +بتاعته وزنها وقدش حجمهاوالآن ملايين تزداد تزداد + +311 +00:29:57,890 --> 00:30:05,330 +حتى يبلغ آخر عمره وهي في زيادة في الوزن وفي الحجم + +312 +00:30:05,330 --> 00:30:09,810 +يبقى هي في continuous growth of the lens which + +313 +00:30:09,810 --> 00:30:12,930 +occurs throughout life the outer cortical layers + +314 +00:30:12,930 --> 00:30:16,750 +of the lens have a smaller curvature than the + +315 +00:30:16,750 --> 00:30:23,330 +inner nuclear curvature يعني لو أنا بدي أرسم بدي + +316 +00:30:23,330 --> 00:30:33,250 +أقول أنههي ال lens هيك وهي + +317 +00:30:33,250 --> 00:30:44,050 +ال nucleus و الكيربتشار هنا واضح انه اقل من هذا ال + +318 +00:30:44,050 --> 00:30:50,510 +curvature الكيربتشار هذا دائري الكيربتشار هذا يعني + +319 +00:30:50,510 --> 00:30:54,130 +elliptical واضح انه elliptical قوس + +320 +00:30:56,960 --> 00:31:01,780 +this will decrease the converging power of the + +321 +00:31:01,780 --> 00:31:05,700 +lens يعني ال lens cortex curvature هذا على قاعدة + +322 +00:31:05,700 --> 00:31:12,620 +إيه ال curvature hypermetropia قولنا احنا في المرة + +323 +00:31:12,620 --> 00:31:19,040 +الماضية لو انا عندي قرانية هيك و قرانية هيك + +324 +00:31:19,040 --> 00:31:23,900 +القرانية اللي more flat تعمل hypermetropia + +325 +00:31:26,200 --> 00:31:31,400 +والقرانية الاسفلات تعمل myopia بنقوله احنا بنكمل + +326 +00:31:31,400 --> 00:31:42,680 +الدائرة تحت التحدب وبناخد نصف قطر التحدب نصف قطر + +327 +00:31:42,680 --> 00:31:48,440 +التحدب وهنا بنكمل الدائرة وبناخد نصف قطر التحدب + +328 +00:31:48,440 --> 00:31:56,520 +وقلنا بالنسبة القرانية كل واحد مليمترزيادة في نصف + +329 +00:31:56,520 --> 00:32:02,200 +كتر التحدب تعمل ستة diopters hypermetropia بينما + +330 +00:32:02,200 --> 00:32:07,120 +في ال myopia كل واحد مليمتر نقص في نصف كتر التحدب + +331 +00:32:07,120 --> 00:32:16,700 +تعمل six diopters myopia وقلنا إنها تناسب عكس نصحى + +332 +00:32:16,700 --> 00:32:22,320 +للموضوع هذا موضوع مهم نصف كتر التحدب الآن في ال + +333 +00:32:22,320 --> 00:32:27,980 +news نفس الشيءكل الليز مع السن ما تنمو .. ما تنمو + +334 +00:32:27,980 --> 00:32:35,220 +.. ما تنمو ال .. ال nucleus بتاخد شكل دائري بينما + +335 +00:32:35,220 --> 00:32:42,100 +ال cortex بتاخد شكل .. فلات اه شوية flat فالليز + +336 +00:32:42,100 --> 00:32:48,700 +كل ما نمت اكتر سطحها الخارجي بيكون اه less curved + +337 +00:32:48,700 --> 00:32:57,000 +يعني شوية more flatوبالتالي قوتها الانكسارية حسب + +338 +00:32:57,000 --> 00:33:02,360 +ال curvature بتجلب لأنه بزيد نصف قطر التحدق بتاعها + +339 +00:33:02,360 --> 00:33:07,860 +كل ما كانت يعني flat نصف قطر التحدق بيجلب بزيد + +340 +00:33:07,860 --> 00:33:11,860 +وبزيد بعمل hypermetroidية هي احدى النظريات ليش مع + +341 +00:33:11,860 --> 00:33:17,820 +السن عدستنا قوتها بتجلب واحنا قولنا لكم انتوا الآن + +342 +00:33:17,820 --> 00:33:25,480 +في سن العشرينفي سنة عشرين مش زي سنة ستاشر جلت لما + +343 +00:33:25,480 --> 00:33:29,240 +كنتش عندك و جلت قوة العدسة كانت جلت في سنة اتناشر + +344 +00:33:29,240 --> 00:33:32,640 +كوانايا كانت اقوى من ستاشر و في سنة تمانية كانت + +345 +00:33:32,640 --> 00:33:39,640 +اقوى من سنة اتناشر ليش لأن نمو العدسة بيخلي سطحها + +346 +00:33:39,640 --> 00:33:45,920 +الخارجي شوية flat شوية flat وبتقلي قوتها هذا تفسير + +347 +00:33:45,920 --> 00:33:52,070 +من التفسيرالتفسير التاني ويمكن يكون يعني أوضح + +348 +00:33:52,070 --> 00:33:59,410 +بيقول لي في الشباب او + +349 +00:33:59,410 --> 00:34:07,270 +في الأطفال شوية بعد عشر سنوات انه في ال refractive + +350 +00:34:07,270 --> 00:34:15,090 +index تاع ال cortex بختلف عن ال nucleus هيقول ال + +351 +00:34:15,090 --> 00:34:15,470 +nucleus + +352 +00:34:26,150 --> 00:34:35,190 +النسبة للنسبة للنسبة + +353 +00:34:35,190 --> 00:34:42,390 +للنسبة للنسبة للنسبة + +354 +00:34:42,390 --> 00:34:42,890 +للنسبة للنسبة للنسبة للنسبة للنسبة للنسبة للنسبة + +355 +00:34:42,890 --> 00:34:46,820 +للنسبة للنسبة للنسبةمتجانس اه يعني بصير انا عندي + +356 +00:34:46,820 --> 00:34:51,480 +بدل ما يكون في الشباب one lens متجانسة بصير عندي + +357 +00:34:51,480 --> 00:34:55,980 +three lenses three lenses زي انا ماضحهم هنا ال + +358 +00:34:55,980 --> 00:34:59,140 +meniscus اللي قداماني بتاع ال cortex و ال meniscus + +359 +00:34:59,140 --> 00:35:04,640 +الخلفي الخلف ال nucleus يعني بتاع ال cortex و اللي + +360 +00:35:04,640 --> 00:35:10,000 +هو ال nucleus نفسها الكورة هذه فبصير + +361 +00:35:11,150 --> 00:35:17,950 +الـ Lens consists of three lenses نظريًا وبالتالي + +362 +00:35:17,950 --> 00:35:23,090 +ال power بتاع ال tone sky مع نيوكلياس في النص أقوى + +363 +00:35:23,090 --> 00:35:29,230 +من one lens وبالتالي في الشباب العدسة القوية طيب + +364 +00:35:29,230 --> 00:35:34,070 +نشوف في ال old age أو بعد الأربعين بعد الأربعين + +365 +00:35:34,070 --> 00:35:40,700 +بقول لي إنه ال refractive indexال .. اه ال cortex + +366 +00:35:40,700 --> 00:35:48,420 +بزيه يساوي ال refractive index of ال nucleus يبقى + +367 +00:35:48,420 --> 00:35:51,780 +بيصير ال nucleus و ال cortex اللي أمامها و وراها + +368 +00:35:51,780 --> 00:35:57,340 +homogenous و .. و .. و في equality في refractive + +369 +00:35:57,340 --> 00:36:03,960 +index وبالتالي العدسة بتصير one single lens single + +370 +00:36:03,960 --> 00:36:07,920 +lens و refractive power بتجيه + +371 +00:36:11,690 --> 00:36:19,550 +فتصير breast biopia لأنه التلاتة اقوى من ايش من + +372 +00:36:19,550 --> 00:36:23,310 +واحد في الأول كانوا تلاتة في الشباب هايهم تلاتة + +373 +00:36:23,310 --> 00:36:29,490 +الانصار هنا واحد التلاتة اقوى من واحد كيف النظرية + +374 +00:36:29,490 --> 00:36:34,070 +هذه يعني تستوعب + +375 +00:36:34,070 --> 00:36:41,700 +يعني تدخل عقل النظرية هذهأوضح ولا نظرية الأولى + +376 +00:36:41,700 --> 00:36:49,720 +بتاعة ال surface وال curvature هذي + +377 +00:36:49,720 --> 00:36:54,960 +أوضح التاني أوضح كلكم جمعين يعني ولا في تبايم + +378 +00:36:54,960 --> 00:37:01,480 +الأولى أوضح اه انا بدي اكون في نقاش جريد يعني في + +379 +00:37:01,480 --> 00:37:04,500 +مبني على القناعة مش الناس قالوا انه هذه أوضح بقوم + +380 +00:37:04,500 --> 00:37:09,960 +زيهم لألازم الإنسان يهمه يكون له فيه نوع من + +381 +00:37:09,960 --> 00:37:14,660 +الاستقلالية، لأ و بدافع عن رأيه كمان، أنا بقتنع + +382 +00:37:14,660 --> 00:37:20,060 +بالنظرية و بدافع عنها، إما أنت بتقنعني برأيك أو + +383 +00:37:20,060 --> 00:37:25,440 +تقتنع أنت برأيه، أو هنفضل مختلفين، إن ماقنعتنيش + +384 +00:37:25,440 --> 00:37:28,540 +ولا أقنعتك، هنفضل مختلفين، لكن المهم في الآخر إن + +385 +00:37:28,540 --> 00:37:32,020 +الإنسان يكون له رأيه اللي يدافع عنه،مايكونش إمعة + +386 +00:37:32,020 --> 00:37:37,080 +وهذا في الحديث الشريف لا يكن أحدكم إمعة يقول إن + +387 +00:37:37,080 --> 00:37:44,720 +أحسن الناس أحسنت وإن أساء أسأت ولكن أن توطنوا + +388 +00:37:44,720 --> 00:37:50,000 +أنفسكم إذا أحسن الناس أن تحسنوا وإن أساءوا أن + +389 +00:37:50,000 --> 00:37:59,960 +تجتنبوا إساءتهم أو كما قال صلى الله عليه وسلم طيب + +390 +00:38:03,020 --> 00:38:10,140 +بيقول لي it is to be noted هنتقل لحاجة تالتة في ال + +391 +00:38:10,140 --> 00:38:15,860 +old age في الهرم كبر السن if the nucleus also + +392 +00:38:15,860 --> 00:38:20,550 +increases in optical densityيعني النيوكلياس زاد + +393 +00:38:20,550 --> 00:38:24,170 +اللي هو ال optical density الكثافة الضوئية بتاعتها + +394 +00:38:24,170 --> 00:38:32,390 +الاختلاف الاصطناعي سيبقى أو ربما يزداد و يؤثر على + +395 +00:38:32,390 --> 00:38:36,670 +ما يشهد انه مركز درجة في نيوكلياريس الكليروزيز + +396 +00:38:36,670 --> 00:38:40,710 +اللي أحيانًا يحدث في القطر الأولي عندما يحدث تغيير + +397 +00:38:40,710 --> 00:38:47,450 +الميوبيا المعارفالحقيقة أنا جاني بعض الناس كان برس + +398 +00:38:47,450 --> 00:38:52,310 +بيوم وكل مثلا أربع سنوات أو شيء بنغيرله شوية قوة + +399 +00:38:52,310 --> 00:38:56,750 +في القوة بزيد بزيد قوة ال .. ال .. اللي هو ال + +400 +00:38:56,750 --> 00:39:02,350 +adding هذه ال lenses وقعد عمره حوالي خمسة و سبعين + +401 +00:39:02,350 --> 00:39:06,930 +سنة فجاني بشيء قال لي يا دكتور تفضل النظارة اللي + +402 +00:39:06,930 --> 00:39:11,590 +قمتها بطلت أقرأ فيها قلت له أكيد قال لها والله + +403 +00:39:11,590 --> 00:39:17,840 +هتقم فعلا وريته الجاجرتشارت فين قرأ الخط صغير بدون + +404 +00:39:17,840 --> 00:39:25,560 +نضارة طبعا هي الواحدة الأولى شوية شوكي يعني ستنا + +405 +00:39:25,560 --> 00:39:31,880 +لكن لما المرأو دايلاتيشن حاطنا اسيتلام فعلا بدأ + +406 +00:39:31,880 --> 00:39:39,280 +عنده شوية cataract تسلب في العدسة مع بداية تغيير + +407 +00:39:39,280 --> 00:39:46,710 +نحو ال cataract اللي صاب ان ال nucleusتصلبت بشكل + +408 +00:39:46,710 --> 00:39:51,590 +قوي في عادة difference بينها وبين ال cortex زي + +409 +00:39:51,590 --> 00:39:55,550 +اللي هو الشباب طبعاً + +410 +00:39:55,550 --> 00:40:00,610 +في ظاهرها هو بيفرح هيك انا يا عمي خلاص أصبحت حرة + +411 +00:40:00,610 --> 00:40:05,010 +ليش النضارة معايا و النضارة و مافيش نضارة و رحت + +412 +00:40:05,010 --> 00:40:12,100 +النضارة صرت أقرأ من وراهابعد سنة اتغير الوضع وصار + +413 +00:40:12,100 --> 00:40:16,840 +لا يتصل حتى بنضارة ولمن غير نضارة، بعد سنة تانية + +414 +00:40:16,840 --> 00:40:22,300 +بده عملت cataract extraction cataract extraction + +415 +00:40:22,300 --> 00:40:32,340 +فهذا يعني زي الشيء يعني باطنه فيه الرحمة وظاهره من + +416 +00:40:32,340 --> 00:40:39,870 +قبله العذاب عارفين الاية؟ينادونهم ألمنكم معاكم + +417 +00:40:39,870 --> 00:40:46,050 +قالوا بلى ولكنكم + +418 +00:40:46,050 --> 00:40:50,150 +فتنتم أنفسكم وتربصتم هي أولها يوم يقول منافقون + +419 +00:40:50,150 --> 00:40:55,450 +والمنفقات والذين آمنوا تنظرون لقطة باسم نوركم قيل + +420 +00:40:55,450 --> 00:40:59,990 +ارجعوا وراكم فالتمسوا نورا على الصراعات هذا على + +421 +00:40:59,990 --> 00:41:03,190 +الصراعات المحدثة على الصراعات المستقيم قيل ارجعوا + +422 +00:41:03,190 --> 00:41:09,650 +وراكم فالتمسوا نورافضلوا ببينهم بصور له باب باطنه + +423 +00:41:09,650 --> 00:41:13,950 +في الرحمة نحو المؤمنين وضايقه من قبله العذاب نحو + +424 +00:41:13,950 --> 00:41:18,450 +المنافسين ينادونهم ألمناكم معاكم مش كنا في الدنيا + +425 +00:41:18,450 --> 00:41:22,410 +نصلي و نصوم معاكم قالوا بلى إلى أخر الأيام في سورة + +426 +00:41:22,410 --> 00:41:30,250 +الحديث سورة الحديث طيب هنتكلم الآن شوية على + +427 +00:41:30,250 --> 00:41:39,510 +clinical pathology of hypermetropiaسرير يعني علم + +428 +00:41:39,510 --> 00:41:43,350 +اللي هو ال .. ال .. ال .. المرض السرير اللي بث .. + +429 +00:41:43,350 --> 00:41:49,650 +اللي هو ال hypermetropia بقوللي التطبيق المرضي + +430 +00:41:49,650 --> 00:41:56,210 +للhypermetropia انه hypermetropic I is small صح؟ + +431 +00:41:56,210 --> 00:41:59,850 +وكل hypermetropia ما كانت أكبر كل العلم ما كانت + +432 +00:41:59,850 --> 00:42:10,300 +أصغر تناسب عكسي طيبهل هذا الصغر في حجم العين هو + +433 +00:42:10,300 --> 00:42:16,380 +فقط في الانتروبستوري اكسس ولا في كل ال diameters؟ + +434 +00:42:16,380 --> 00:42:19,880 +فقط يعني هذه العين هيبرمتروب يعني هي العين ال + +435 +00:42:19,880 --> 00:42:23,420 +هيبرمتروب؟ هذه العين هيبرمتروب وهذا العين امتروب + +436 +00:42:23,420 --> 00:42:27,880 +طبعا لو أنا مايوبيا العين كمان أكبر اكبر فإحنا + +437 +00:42:27,880 --> 00:42:32,940 +بنقول ان الهيبرمتوربك I is small هل small in the + +438 +00:42:32,940 --> 00:42:41,700 +antropostorial axis؟و ال all diameters و + +439 +00:42:41,700 --> 00:42:49,460 +من ضمن الحاجات اللي هي صغيرة عنده ال cornea و ال + +440 +00:42:49,460 --> 00:42:58,760 +lens و ال angle of AC ال AC بتكون shallow و ال + +441 +00:42:58,760 --> 00:43:05,630 +angle of AC بتكون narrowفاكرين مقاس space عشرين + +442 +00:43:05,630 --> 00:43:11,950 +تلاتين اربعين للانجل ما ننسى العلم هذا متركب على + +443 +00:43:11,950 --> 00:43:22,610 +بعض طيب الآن ايش التطبيق الاقلينيكي لضيق ال angle + +444 +00:43:22,610 --> 00:43:28,650 +of anterochamber التطبيق الاقلينيكي خوف من ايش؟ + +445 +00:43:28,650 --> 00:43:28,990 +Glucoma + +446 +00:43:32,370 --> 00:43:39,730 +في narrow angle طيب إجاني إنسان عملته refraction + +447 +00:43:39,730 --> 00:43:46,590 +طالع plus 6 يعني واضح أن هذا high hypermetropia + +448 +00:43:46,590 --> 00:43:54,190 +طيب وانا الآن مطلوب مني لسبب أو لآخر أني أشوف + +449 +00:43:54,190 --> 00:44:00,230 +الفندس بتاعه عشان مرض معين زي ضيبة Smellitus ضيبة + +450 +00:44:00,230 --> 00:44:09,200 +الكريكنوبفيابدي اوسعله عشان افحص الفندس الانش الحل + +451 +00:44:09,200 --> 00:44:12,320 +انا + +452 +00:44:12,320 --> 00:44:18,340 +لو وسعتله ممكن ال iris هذا ييجي كده peripheral و + +453 +00:44:18,340 --> 00:44:25,440 +يسكر angle و ادخل في دايلمة اسمها closure angle + +454 +00:44:25,440 --> 00:44:31,200 +-glucoma ادخل في closure angle-glucoma وهذا ال + +455 +00:44:31,200 --> 00:44:40,930 +disasterمصيبة لو صارت لإنه may increase up to + +456 +00:44:40,930 --> 00:44:47,510 +sixty millimeter HD زئبق بدل ما هو ten to twenty + +457 +00:44:47,510 --> 00:44:54,310 +normal يصير ستين والستين معناها إيه؟ انه لو + +458 +00:44:54,310 --> 00:45:00,490 +بتكنيرف can leave much much much much of his + +459 +00:45:00,490 --> 00:45:02,590 +fibers المليد + +460 +00:45:04,620 --> 00:45:09,820 +to blindness عشان + +461 +00:45:09,820 --> 00:45:13,340 +هيك closure of angry glaucoma حدث خطير في حيات + +462 +00:45:13,340 --> 00:45:22,140 +الإنسان الأكتر أرضة له هم ال high hypermetropia + +463 +00:45:22,140 --> 00:45:26,040 +الإنسان اللي عنده high hypermetropia لازم نثقفه + +464 +00:45:26,040 --> 00:45:30,460 +إحنا إنه إذا ذهبت إلى فحص نظرة أو إشي أول إشي + +465 +00:45:30,460 --> 00:45:39,950 +أقوله أنا عنديطول نظر عالي عشان يتعامل معاك، بحذر، + +466 +00:45:39,950 --> 00:45:44,150 +بدي يوسّلك، بديه يتحمل المسئولية، بديه يوسّلك + +467 +00:45:44,150 --> 00:45:51,310 +البقبق من الرياتيكس زي المدرمايد أو أي نوع من + +468 +00:45:51,310 --> 00:45:58,470 +الموسيعات، بديه يتحمل المسئولية طبعا في ناس بيرفض + +469 +00:45:58,470 --> 00:46:04,070 +تماما ان يوسعالبقبو .. الناس يعني بيحاول يشوف طب + +470 +00:46:04,070 --> 00:46:09,830 +إذا في شوية كترة كده كيف يشوف؟ كيف يفحص الشبكية؟ + +471 +00:46:09,830 --> 00:46:16,610 +في ناس عندهم دكاء بيجي .. بيجيب exhaust ال .. + +472 +00:46:16,610 --> 00:46:21,210 +المدرمايب الموسع و + +473 +00:46:21,210 --> 00:46:27,550 +بيحط في جنبها Pyrocarbine و بيحط Pyrocarbine + +474 +00:46:30,140 --> 00:46:38,220 +بيلو كربين مضيق بعد ما يحط القطرة بتاعة التوسيع و + +475 +00:46:38,220 --> 00:46:42,400 +يعمل فحص مثلا بعد نصف ساعة شاف الشبكية تمام و يعمل + +476 +00:46:42,400 --> 00:46:50,500 +كم من بيحط بيلو كربين عشان يرجع ال pupil ال normal + +477 +00:46:50,500 --> 00:46:59,480 +size مش يقوله روح أبيتك و في الليل تيجي الشرطةأه + +478 +00:46:59,480 --> 00:47:03,400 +لإن هو هيقول لما أروح المستشفى ألم ووجع و إشي إيش + +479 +00:47:03,400 --> 00:47:09,380 +أنا روحت عيادة أو روحت على مستوصف و حطوني موسع و + +480 +00:47:09,380 --> 00:47:17,720 +أنا الآن بشوفش تفقد البصر كان في دكتور الله سبحانه + +481 +00:47:17,720 --> 00:47:22,100 +و تعالى يعني معلمنا في الدكتوراه كان يقول يا ابني + +482 +00:47:22,100 --> 00:47:29,470 +عشان تنام مرتاح اللي وسعتله ضايقلهما تبعدوش على + +483 +00:47:29,470 --> 00:47:35,950 +البيت موسع، تضمنش، ولو صرت مرة في العمر، الإنسان + +484 +00:47:35,950 --> 00:47:42,530 +بيبقى في إحراج شديد، صح؟ هي dilemma اسمها يبقى the + +485 +00:47:42,530 --> 00:47:45,970 +I is therefore of the type which is predisposed + +486 +00:47:45,970 --> 00:47:52,950 +قابل ليه closure angioglucosea point which should + +487 +00:47:52,950 --> 00:47:58,510 +be remembered نتذكرها in the administration and + +488 +00:47:58,510 --> 00:48:03,830 +إعطاء of drugs which dilate the pupil like + +489 +00:48:03,830 --> 00:48:12,950 +midriotics موسعين في ناس برفض يعطيك موسع الإطلاق + +490 +00:48:12,950 --> 00:48:19,870 +في واحد موسعله لكن مجرد ما يفحصو روح مضايقله عشان + +491 +00:48:19,870 --> 00:48:23,750 +يصير balance هو يكون ضغط من فترة الربع ساعة اللي + +492 +00:48:23,750 --> 00:48:26,990 +بيستنقل بعدين نص ساعة تفحص انه ما يصير ارتفاع + +493 +00:48:26,990 --> 00:48:31,590 +بالضغط؟ ايه في فترة معينة يمكن؟ يعني هو انا ابدأ + +494 +00:48:31,590 --> 00:48:38,010 +اقول الحاجة يعني هو توسيع دي صار توسيع ميكانيكي و + +495 +00:48:38,010 --> 00:48:45,670 +تدخل الصار بده يصير ميكانيكي فهو يعني في فترة + +496 +00:48:45,670 --> 00:48:50,240 +النصف ساعة فحصيعني لا شك انه ممكن الضغط بده يبدأ + +497 +00:48:50,240 --> 00:48:55,020 +يرتفع لكن مجرد انا ما جريت استعرا تاني لل center + +498 +00:48:55,020 --> 00:49:01,220 +جريت ال iris لل center تاني اللي كان قنابه بده + +499 +00:49:01,220 --> 00:49:09,040 +يتسكر وفتحتها وفتحتها طيب هذا clinical pathology + +500 +00:49:09,040 --> 00:49:14,190 +يعني التطبيقات المرضيةالسريرية لغهيبر متروبي اكتر + +501 +00:49:14,190 --> 00:49:21,370 +شيء بيخاف منه closure angle glucoma طيب الان فاندس + +502 +00:49:21,370 --> 00:49:25,810 +examination فاندس examination يعني شفتوا ال + +503 +00:49:25,810 --> 00:49:30,030 +epsilon mesh code فحصته الفاندس لا شك ان الفاندس + +504 +00:49:30,030 --> 00:49:34,560 +هو غهيبر متروبي اللي هو special characteristicsالو + +505 +00:49:34,560 --> 00:49:37,540 +ايش؟ special characteristics ايوة من ال special + +506 +00:49:37,540 --> 00:49:41,340 +characteristics ان ال retina لها peculiar .. + +507 +00:49:41,340 --> 00:49:49,480 +peculiar sheen like short silk ويقولولها short + +508 +00:49:49,480 --> 00:49:55,100 +silk كرتين لو انا ادي بالضوء في الظلام و اضوي على + +509 +00:49:55,100 --> 00:50:00,760 +قميص حرير هلاجي فيه تلقله دي الدوء الدوء اللي انا + +510 +00:50:00,760 --> 00:50:08,110 +سقطه على الحريرهيتلقلق هيك .. هيبرق البرق هذا بتاع + +511 +00:50:08,110 --> 00:50:13,430 +.. بتاع الضوء هذا خاص بالhypermetropia يعني ال + +512 +00:50:13,430 --> 00:50:19,150 +myopia و الimetropia مالهمش shot silk كريتنا هاي + +513 +00:50:19,150 --> 00:50:27,270 +أول ميزة لما تنزل الضوء الشبكية تتلقلق واحد لما + +514 +00:50:27,270 --> 00:50:35,110 +تطلع في ال optic disk هلاجيه mildly swollenأه كأنه + +515 +00:50:35,110 --> 00:50:39,130 +pseudopapillitis بيقولوا عنها هي pseudopapillitis + +516 +00:50:39,130 --> 00:50:49,190 +أصل papillitis لحالها I T I S التهابي تونسليتس، + +517 +00:50:49,190 --> 00:50:55,830 +sinusitis، conductivitis I T I S لحالها التهابي هي + +518 +00:50:55,830 --> 00:50:59,990 +suffix ولا prefix؟ لأ suffix بداية ولا نهاية + +519 +00:50:59,990 --> 00:51:06,710 +الكلمة؟ نهايةاه suffix suffix هذا i-t-i-s معناه + +520 +00:51:06,710 --> 00:51:12,670 +inflammation يبقى papillitis papilla رأس العصب + +521 +00:51:12,670 --> 00:51:16,230 +البصري ال papilla رأس العصب البصري لما يقول + +522 +00:51:16,230 --> 00:51:20,510 +papillitis التهاب رأس العصب البصري وهذا حاجة خطير + +523 +00:51:20,510 --> 00:51:25,210 +لو صار ممكن يؤدي إلى العمى التهاب رأس العصب البصري + +524 +00:51:25,210 --> 00:51:30,450 +قليل لكن لما يصير يعني شيء خطير + +525 +00:51:33,570 --> 00:51:38,530 +pseudopapilitis يعني كاريبة مش حقية يعني الشكل + +526 +00:51:38,530 --> 00:51:43,990 +يشبه التهاب العصب لكن هو حقيقة مش التهاب بس شكلا + +527 +00:51:43,990 --> 00:51:51,830 +مش مضمونا شكلا وليس ايش مضمونا يبقى الآن لاجيه انه + +528 +00:51:51,830 --> 00:51:55,210 +الرأس العصب might be swollen which may resemble + +529 +00:51:55,210 --> 00:51:59,460 +optic neuritis بيقولون هو pseudopapilitisيعني مش + +530 +00:51:59,460 --> 00:52:04,820 +ال hyper metroid يشبه أحيانا التهاب العصب لكنه مش + +531 +00:52:04,820 --> 00:52:13,240 +التهاب عصب الشترت أنه optic disc assumes + +532 +00:52:13,240 --> 00:52:21,200 +a dark grayish red color with indistinct and + +533 +00:52:21,200 --> 00:52:28,990 +sometimes irregular margins يبقى الرأس العصبلونه + +534 +00:52:28,990 --> 00:52:39,550 +رمادي أسود معرض والحواف بتاعة رأس العصب غير منتظمة + +535 +00:52:39,550 --> 00:52:44,290 +يعني هنا هاي + +536 +00:52:44,290 --> 00:52:54,630 +الحواف هاي الحواف فيها بعض التعرج غير منتظمة لو + +537 +00:52:54,630 --> 00:52:57,910 +شفنا ال normal eye هناهي ال normal قاعدة مش شايفين + +538 +00:52:57,910 --> 00:53:02,750 +أصل العصب كيف؟ كيف حوافه؟ مش شايفين مش شايفين ليه؟ + +539 +00:53:02,750 --> 00:53:09,550 +هو سلق ضهر اه هو شوية لأ أنا عندي هي واضح حواف + +540 +00:53:09,550 --> 00:53:14,830 +العصب محددة و مرسومة كان مرسومة بيكار كان مرسومة + +541 +00:53:14,830 --> 00:53:19,610 +بيكار هذا ال normal normal phantasm ال .. ال .. ال + +542 +00:53:19,610 --> 00:53:25,990 +retina short cell retina اللي لها بريقو ال optic + +543 +00:53:25,990 --> 00:53:31,750 +disc شوية swollen مش بال pseudo papulitis و لون + +544 +00:53:31,750 --> 00:53:37,690 +العصب أسود على أحمر و ال margins irregular ال + +545 +00:53:37,690 --> 00:53:44,330 +margins إيش؟ irregular ال condition is congenital + +546 +00:53:48,170 --> 00:53:52,350 +والظهورة الهيبرمتروبية هي أكسنتويتها بشكل كبير + +547 +00:53:52,350 --> 00:53:56,290 +بشكل رفليكس والتغييرات وليس هناك تغيير مستقبلي + +548 +00:53:56,290 --> 00:54:01,890 +بالطبع يعني الهيبرمتروب مع انه له هذه ال + +549 +00:54:01,890 --> 00:54:08,570 +characteristics لكن النظر بتاعه ثابتيعني ليس معنا + +550 +00:54:08,570 --> 00:54:13,790 +فيه ورم أو irregular margins أو في ال color متغير + +551 +00:54:13,790 --> 00:54:19,070 +انه فيه تدهور واضح في ال visual equity لأ ال + +552 +00:54:19,070 --> 00:54:22,110 +visual equity جيدة الا ان كان very high + +553 +00:54:22,110 --> 00:54:25,290 +hypermetropia طبعا ماهي مشاكل القراءة و ال + +554 +00:54:25,290 --> 00:54:32,590 +accommodation اللي ذكرناها طيب what is about blood + +555 +00:54:32,590 --> 00:54:37,360 +vessels تعرفين في الشبكية arteriesوفيه veins + +556 +00:54:37,360 --> 00:54:39,880 +واخدناها الـ central retinal artery وفرونه + +557 +00:54:39,880 --> 00:54:44,800 +وcentral retinal vein وفرونه بقوللي الباسكويل + +558 +00:54:44,800 --> 00:54:50,700 +reflexes may be accentuated لما اوقع عليها ضوء + +559 +00:54:50,700 --> 00:54:55,760 +بيجيها أيضا تلمع and the vessels may show undue + +560 +00:54:55,760 --> 00:55:01,700 +torchicity torchicity اللي هو تعروج يعني ال blood + +561 +00:55:01,700 --> 00:55:05,940 +vessels هذه فيها التقاطعات والتعروجات أكتر من + +562 +00:55:05,940 --> 00:55:12,320 +اللازمأيضا هذا مش مرضي ربما التعرُج هذا لأنه + +563 +00:55:12,320 --> 00:55:19,440 +الشبكية صغيرة و الحبال طويلة فالحبال عشان توصل ايش + +564 +00:55:19,440 --> 00:55:26,240 +بيصير فيها تعرُج وفي abnormal branching يعني كتير + +565 +00:55:26,240 --> 00:55:34,840 +الفروق طيب الشيء العجيب it sometimes happensوهذه + +566 +00:55:34,840 --> 00:55:40,200 +ملاحظة تلاحظوها that the face of hypermetroid + +567 +00:55:40,200 --> 00:55:47,980 +الوجه بتاعه is asymmetrical نصفه هذا فيه تغير عن + +568 +00:55:47,980 --> 00:55:53,380 +وجه نصفه هذا يعني لو وضعنا قاطع معين زي كتاب + +569 +00:55:53,380 --> 00:56:02,680 +ونظرنا في النصف الأيمن هنجي و هننظر يختلف قليلا عن + +570 +00:56:03,520 --> 00:56:08,440 +النصف الأيسر كلام + +571 +00:56:08,440 --> 00:56:15,440 +أخرى لو كان في hypermetropia هنا أقل من هنا يعني + +572 +00:56:15,440 --> 00:56:20,480 +النمو بتاع العين هذه أقل شوية من هنا ربما نلاقي + +573 +00:56:20,480 --> 00:56:25,800 +نصف الوجه اللي في الناحية هذه أصغر قليلا من النصف + +574 +00:56:25,800 --> 00:56:33,700 +اللي هنا بما فيها palpibral fissure بما فيهانص في + +575 +00:56:33,700 --> 00:56:38,660 +الـ nose و مافيها ال cheek و مافيها ال lip، كون + +576 +00:56:38,660 --> 00:56:45,120 +نصف أصغر قليلا من نصف، ولا تتعجبوا منها فبقول it + +577 +00:56:45,120 --> 00:56:49,900 +sometimes happens that the face is asymmetrical in + +578 +00:56:49,900 --> 00:56:53,700 +which case the most markedly affected eye is + +579 +00:56:53,700 --> 00:56:59,680 +usually found on the side which shows the least + +580 +00:56:59,680 --> 00:57:04,770 +perfect developmentيعني كل ما ال hypermetropia + +581 +00:57:04,770 --> 00:57:11,230 +كانت أعلى كل ما ال development أقل و احنا قلنا + +582 +00:57:11,230 --> 00:57:14,730 +يعني لو واحد بلغ العشرين و عنده hypermetropia + +583 +00:57:14,730 --> 00:57:19,490 +بشخصه انه imperfect eye أي انه العين لم تبلغ + +584 +00:57:19,490 --> 00:57:24,950 +الكمال مافيه خجل العين لم تبلغ الكمال imperfect + +585 +00:57:24,950 --> 00:57:32,340 +eye يبقى لو انا عندي هناplus two وهنا plus four + +586 +00:57:32,340 --> 00:57:39,760 +بين العين التي تقل الكمال أكتر الشمال الشمال هنا + +587 +00:57:39,760 --> 00:57:44,520 +اتنين وهنا أربعة plus يعني اللي هنا لسه أصغر في + +588 +00:57:44,520 --> 00:57:48,860 +حجمها العين و في أقطارها من اللي هنا فبقول احتمال + +589 +00:57:48,860 --> 00:57:55,960 +ألاقي نصف وجهي لأيسر أصغر نسبيا نسبيا يعني بدا دقة + +590 +00:57:55,960 --> 00:58:01,460 +ملاحظة بدا دقة ملاحظةفي كيف الأنف، كيف الخد، كيف + +591 +00:58:01,460 --> 00:58:09,520 +الشفة، كيف فتحة العين، هنا أصغر من هنا أحيانا، مش + +592 +00:58:09,520 --> 00:58:12,100 +دايما طب دكتور هاي بتكون لما يكون congenital + +593 +00:58:12,100 --> 00:58:16,120 +hypermetropia؟ أه congenital hypermetropia مش + +594 +00:58:16,120 --> 00:58:20,940 +acquired مش acquired ال acquired أصله ال face كبر + +595 +00:58:20,940 --> 00:58:24,880 +و خلص طيب + +596 +00:58:30,790 --> 00:58:36,810 +7- This asymmetry is often seen in the eye itself + +597 +00:58:36,810 --> 00:58:41,330 +for the condition of hypermetropia is more often + +598 +00:58:41,330 --> 00:58:45,950 +than not associated with astigmatism يعني لما تكون + +599 +00:58:45,950 --> 00:58:49,450 +pure hypermetropia أكبر من العين التانية بيكون نصف + +600 +00:58:49,450 --> 00:58:54,810 +الوجه اللي فيه العين اللي نموها أقل بيكون واضح + +601 +00:58:54,810 --> 00:59:04,150 +أكتر من نصف الوجه الآخرالـ macula هي عامة موجودة + +602 +00:59:04,150 --> 00:59:10,770 +أكتر من الكتابة اللي هي عامة في عين إمتروبية يعني + +603 +00:59:10,770 --> 00:59:16,110 +خليني انا ارسم رسمة و تشوفوا احنا أخدنا هي ريتنا + +604 +00:59:16,110 --> 00:59:24,850 +وهي ال optic disk وهي الماكينة قلنا المسافة بينهم + +605 +00:59:25,380 --> 00:59:33,020 +حوالي two point five millimeter من الماكولا حفة + +606 +00:59:33,020 --> 00:59:37,340 +الماكولا و حفة ال optic disc طيب نجيب عين + +607 +00:59:37,340 --> 00:59:43,960 +hypermetral أصغر شوية ال optic disc هنا أصغر طبعا + +608 +00:59:43,960 --> 00:59:48,860 +و الماكولا هنا ممكن المسافة بينهم تكون تلاتة و نص + +609 +00:59:48,860 --> 00:59:52,600 +أو + +610 +00:59:52,600 --> 00:59:56,530 +أقل أو أكتر حسب درجة الhypermetralطب العين .. طب + +611 +00:59:56,530 --> 01:00:04,270 +العين أصغر؟ أه هي العين أصغر لكن بتقول لي يعني ال + +612 +01:00:04,270 --> 01:00:09,810 +diameters بتاعة ال optic disk أصغر من العادي كمان + +613 +01:00:09,810 --> 01:00:18,730 +و الماكولا أصغر فالمسافة بينهم أبعد بتزيد طب + +614 +01:00:18,730 --> 01:00:22,210 +هذه المشكلة إيش بنبني عليها؟ + +615 +01:00:25,810 --> 01:00:29,890 +الـ disk جاعت بيشتغل تمام و ال macro بتعمل تمام بس + +616 +01:00:29,890 --> 01:00:35,410 +ال .. ال .. ال papillomacular bundle أطول من ال + +617 +01:00:35,410 --> 01:00:41,970 +papillomacular bundle بتاعة ال emetro طيب + +618 +01:00:41,970 --> 01:00:50,550 +بنبني عليها حاجة تانية large positive angle alpha + +619 +01:00:55,610 --> 01:01:00,770 +خاتم ال angle alpha و angel kappa يعني + +620 +01:01:00,770 --> 01:01:06,090 +بيقول الآن في الحالة الأولى هنا فنرجع للحالة + +621 +01:01:06,090 --> 01:01:15,550 +الأولى لو ال .. الآن في حاجة اسمها visual + +622 +01:01:15,550 --> 01:01:23,110 +axis اه في حاجة اسمها visual axis و في حاجة اسمها + +623 +01:01:23,110 --> 01:01:28,620 +optical axis و بينهم زاويةالـ visual axis اللي + +624 +01:01:28,620 --> 01:01:33,780 +بيجي على ال macula و ال optical axis اللي بيجي على + +625 +01:01:33,780 --> 01:01:38,160 +ال optic disk صح؟ + +626 +01:01:38,160 --> 01:01:44,700 +بينهم زاوية الآن هدف الإيمتروب هذه الزاوية هيك + +627 +01:01:44,700 --> 01:01:50,900 +Alpha في حالة ال hypermetroid الزاوية هتكون أوسع + +628 +01:01:50,900 --> 01:01:57,280 +ولا أضيقبالتأكيد هتكون أوسع لأن المسافة بينهم أكبر + +629 +01:01:57,280 --> 01:02:04,400 +فبقول ليه انه هتكون الزاوية أوسع وبيكون فيه شعور + +630 +01:02:04,400 --> 01:02:09,080 +انه فيه exotropia + +631 +01:02:09,080 --> 01:02:17,160 +في شعور انه فيه divergent squint في شعور انه فيه + +632 +01:02:17,160 --> 01:02:23,030 +divergent squint عكس الناس اللي ايه ايش؟اللي عندهم + +633 +01:02:23,030 --> 01:02:27,230 +myopia في عندهم ايزوتروبيا او convergence square + +634 +01:02:27,230 --> 01:02:32,830 +هذا يعني مش true لأ، pseudo + +635 +01:02:35,680 --> 01:02:39,660 +divergent squint وفي الميوبيا pseudo convergent + +636 +01:02:39,660 --> 01:02:44,880 +squint هذا الفرق بين الحاجتين وبنكون احنا انتهينا + +637 +01:02:44,880 --> 01:02:48,280 +من ال fundus examination in hypermetropia المرة + +638 +01:02:48,280 --> 01:02:51,120 +القادمة هنتكلم ان شاء الله عنها clinical features + +639 +01:02:51,120 --> 01:02:55,340 +of hypermetropia clinical features يعني symptoms + +640 +01:02:55,340 --> 01:02:59,480 +of hypermetropia نشكر لكم وحسن الاستماع والسلام + +641 +01:02:59,480 --> 01:03:01,780 +عليكم ورحمة الله وبركاته + diff --git a/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/-hLujqqGVV0_raw.json b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/-hLujqqGVV0_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..de664a834d809c2f8bd547e820385bb264bde46c --- /dev/null +++ b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/-hLujqqGVV0_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 5088, "start": 21.26, "end": 50.88, "text": "أعوذ بالله من الشيطان الرجيم بسم الله الرحمن الرحيم هذه الدراسه الثانيه في إخطارات رفراكتفية سنكملها Hypermetropia كما ذكرنا قبل أن Hypermetropia مختلفة في ثلاث مجالين أولاً هو الـ Axial ثانياً كيرفتشر ثالثاً هو Index Hypermetropia", "tokens": [10721, 3615, 2407, 8848, 20666, 43761, 9154, 25124, 1829, 9566, 7649, 34892, 7435, 32640, 4724, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 8032, 8848, 3224, 32748, 23557, 3794, 3224, 6024, 104, 7649, 1829, 3224, 8978, 11933, 9778, 9566, 9640, 9307, 12602, 5172, 23557, 4117, 2655, 5172, 10632, 8608, 1863, 24793, 1211, 11296, 29592, 5537, 1513, 654, 9122, 15042, 29910, 37983, 8315, 12174, 36150, 14739, 29592, 5537, 1513, 654, 3714, 46456, 46538, 3660, 8978, 38637, 1211, 5718, 104, 3714, 7435, 6027, 9957, 5551, 12610, 995, 14111, 31439, 2423, 39184, 20118, 831, 38637, 7649, 25528, 14111, 9122, 13546, 5172, 2655, 8592, 2288, 38637, 6027, 12984, 995, 14111, 31439, 2333, 3121, 29592, 5537, 1513, 654], "avg_logprob": -0.5696272201705397, "compression_ratio": 1.7181818181818183, "no_speech_prob": 2.384185791015625e-07, "words": [{"start": 21.26, "end": 21.6, "word": "أعوذ", "probability": 0.679931640625}, {"start": 21.6, "end": 21.82, "word": " بالله", "probability": 0.982177734375}, {"start": 21.82, "end": 21.98, "word": " من", "probability": 0.96435546875}, {"start": 21.98, "end": 22.2, "word": " الشيطان", "probability": 0.945556640625}, {"start": 22.2, "end": 22.56, "word": " الرجيم", "probability": 0.8356119791666666}, {"start": 22.56, "end": 23.1, "word": " بسم", "probability": 0.837890625}, {"start": 23.1, "end": 23.32, "word": " الله", "probability": 0.953125}, {"start": 23.32, "end": 23.58, "word": " الرحمن", "probability": 0.98095703125}, {"start": 23.58, "end": 23.96, "word": " الرحيم", "probability": 0.9925130208333334}, {"start": 23.96, "end": 24.8, "word": " هذه", "probability": 0.4559326171875}, {"start": 24.8, "end": 25.06, "word": " الدراسه", "probability": 0.50439453125}, {"start": 25.06, "end": 26.36, "word": " الثانيه", "probability": 0.760107421875}, {"start": 26.36, "end": 27.66, "word": " في", "probability": 0.59716796875}, {"start": 27.66, "end": 27.92, "word": " إخطارات", "probability": 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free ال lens ايش بتصير free لما تصير free بتصير thick", "tokens": [8592, 2288, 9566, 8978, 2423, 3760, 6225, 8592, 7649, 17672, 322, 264, 45544, 295, 264, 6765, 7251, 11242, 40228, 17672, 45164, 8978, 13412, 3215, 15844, 2423, 45544, 39894, 45761, 2423, 6765, 39894, 9381, 13546, 4962, 44381, 5296, 15042, 8717, 2288, 9778, 9381, 294, 7920, 2423, 6765, 39894, 9381, 13546, 1737, 2423, 6765, 1975, 1829, 8592, 39894, 9381, 13546, 1737, 5296, 15042, 6055, 9381, 13546, 1737, 39894, 9381, 13546, 5060], "avg_logprob": -0.24441963966403688, "compression_ratio": 1.7469879518072289, "no_speech_prob": 0.0, "words": [{"start": 713.05, "end": 713.73, "word": "شرط", "probability": 0.6832682291666666}, {"start": 713.73, "end": 714.01, "word": " في", "probability": 0.875}, {"start": 714.01, "end": 714.03, "word": " ال", "probability": 0.82568359375}, {"start": 714.03, "end": 714.39, "word": " reading", "probability": 0.87353515625}, {"start": 714.39, "end": 715.85, "word": " عشان", "probability": 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"end": 752.61, "word": " يعني", "probability": 0.888671875}, {"start": 752.61, "end": 754.21, "word": " هنا", "probability": 0.336669921875}, {"start": 754.21, "end": 754.79, "word": " لما", "probability": 0.96337890625}, {"start": 754.79, "end": 755.49, "word": " نقرأ", "probability": 0.97265625}, {"start": 755.49, "end": 755.79, "word": " لازم", "probability": 0.8570963541666666}, {"start": 755.79, "end": 756.17, "word": " نقول", "probability": 0.693359375}, {"start": 756.17, "end": 756.69, "word": " دايما", "probability": 0.857421875}, {"start": 756.69, "end": 757.37, "word": " why", "probability": 0.8193359375}, {"start": 757.37, "end": 758.33, "word": " في", "probability": 0.52978515625}, {"start": 758.33, "end": 758.85, "word": " القراءة", "probability": 0.9007568359375}, {"start": 758.85, "end": 759.45, "word": " why", "probability": 0.919921875}, {"start": 759.45, "end": 760.59, "word": " مش", "probability": 0.86376953125}, {"start": 760.59, "end": 760.95, "word": " هنفهم", 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lens ايش بتصير؟ ثقيل طب لو شدنا على مفينة العدسات ايش هيصير؟ سيصير flat وعشان ايه انتم لاحظين celery muscle", "tokens": [3615, 8592, 7649, 5296, 11622, 20498, 1975, 43500, 9778, 16606, 25124, 3215, 13672, 1829, 15844, 45544, 16490, 9566, 44713, 2407, 16606, 39894, 45761, 2423, 6765, 46599, 2655, 45761, 2423, 6765, 1975, 1829, 8592, 39894, 9381, 13546, 22807, 38637, 4587, 26895, 23032, 3555, 45164, 13412, 3215, 8315, 15844, 3714, 5172, 9957, 3660, 18863, 3215, 3794, 9307, 1975, 1829, 8592, 39896, 9381, 13546, 22807, 8608, 1829, 9381, 13546, 4962, 4032, 3615, 8592, 7649, 1975, 1829, 3224, 16472, 39237, 20193, 5016, 19913, 9957, 37643, 8679], "avg_logprob": -0.3102409624191652, "compression_ratio": 1.5783783783783785, "no_speech_prob": 2.384185791015625e-07, "words": [{"start": 769.43, "end": 770.11, "word": "عشان", "probability": 0.9288736979166666}, {"start": 770.11, "end": 770.79, "word": " لزوم", "probability": 0.9573567708333334}, {"start": 770.79, "end": 772.41, "word": " ارتخاء", 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tone of every muscle بيغطي hypermetropia اسمها latent، latent hypermetropia، what is the meaning of latent hypermetropia؟ خافية", "tokens": [9566, 1829, 3555, 12399, 16247, 1863, 8717, 2655, 4117, 19528, 18871, 2423, 27363, 12399, 32239, 3794, 19446, 16490, 1211, 9381, 1863, 33599, 12399, 2423, 27363, 12399, 4724, 1829, 39648, 20292, 2423, 8027, 4386, 264, 8027, 295, 633, 8679, 4724, 1829, 17082, 9566, 1829, 9848, 5537, 1513, 654, 24525, 2304, 11296, 48994, 12399, 48994, 9848, 5537, 1513, 654, 12399, 437, 307, 264, 3620, 295, 48994, 9848, 5537, 1513, 654, 22807, 16490, 31845, 10632], "avg_logprob": -0.21960616438356165, "compression_ratio": 1.5053763440860215, "no_speech_prob": 0.0, "words": [{"start": 841.5600000000001, "end": 842.58, "word": "طيب،", "probability": 0.8956298828125}, {"start": 842.58, "end": 843.4, "word": " الأن", "probability": 0.6334228515625}, {"start": 843.4, "end": 843.68, "word": " نتكلم", "probability": 0.86151123046875}, {"start": 843.68, "end": 843.84, 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sclerosis او cataract و هي ماشية تزيد يعني واحد يبدأ بنص ديوبتر بيفرح بعد سنة سنتين بيصير ديوبتر بعد سنتين تلاتة بده واحد و نص", "tokens": [3495, 610, 5537, 1513, 654, 39894, 995, 34268, 39182, 9154, 2655, 9381, 5172, 16247, 29973, 6055, 11622, 25708, 20449, 21136, 1863, 49429, 6055, 2655, 1863, 33599, 7578, 42963, 20666, 3857, 289, 578, 1975, 2407, 795, 1918, 8211, 23032, 6027, 15042, 19446, 41185, 8592, 795, 1918, 8211, 1975, 2407, 3857, 289, 578, 4032, 39896, 3714, 33599, 10632, 6055, 11622, 25708, 37495, 22653, 36764, 24401, 7251, 44510, 10721, 44945, 9381, 11778, 1829, 37746, 2655, 2288, 4724, 33911, 2288, 5016, 39182, 8608, 1863, 3660, 8608, 29399, 9957, 4724, 1829, 9381, 13546, 11778, 1829, 37746, 2655, 2288, 39182, 8608, 29399, 9957, 6055, 1211, 9307, 3660, 47525, 3224, 36764, 24401, 4032, 8717, 9381], "avg_logprob": -0.17101490552272272, "compression_ratio": 1.7523809523809524, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1709.48, "end": 1710.32, "word": 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"probability": 0.8899332682291666}, {"start": 3023.45, "end": 3024.77, "word": " واحد", "probability": 0.8974609375}, {"start": 3024.77, "end": 3027.27, "word": " لما", "probability": 0.921875}, {"start": 3027.27, "end": 3027.59, "word": " تطلع", "probability": 0.973876953125}, {"start": 3027.59, "end": 3027.69, "word": " في", "probability": 0.97265625}, {"start": 3027.69, "end": 3027.75, "word": " ال", "probability": 0.9853515625}, {"start": 3027.75, "end": 3027.93, "word": " optic", "probability": 0.689453125}, {"start": 3027.93, "end": 3028.47, "word": " disk", "probability": 0.57080078125}, {"start": 3028.47, "end": 3029.65, "word": " هلاجيه", "probability": 0.724365234375}, {"start": 3029.65, "end": 3030.51, "word": " mildly", "probability": 0.867919921875}, {"start": 3030.51, "end": 3030.99, "word": " swollen", "probability": 0.9072265625}], "temperature": 1.0}, {"id": 109, "seek": 306189, "start": 3032.99, "end": 3061.89, "text": "أه كأنه pseudopapillitis بيقولوا عنها هي pseudopapillitis أصل papillitis لحالها I T I S التهابي تونسليتس، sinusitis، conductivitis I T I S لحالها التهابي هي suffix ولا prefix؟ لأ suffix بداية ولا نهاية الكلمة؟ نهاية", "tokens": [10721, 3224, 9122, 33456, 3224, 25505, 532, 404, 569, 373, 16074, 4724, 1829, 39648, 14407, 18871, 11296, 39896, 25505, 532, 404, 569, 373, 16074, 5551, 36520, 5806, 373, 16074, 5296, 5016, 6027, 11296, 286, 314, 286, 318, 16712, 3224, 16758, 1829, 6055, 11536, 3794, 20292, 2655, 3794, 12399, 3343, 301, 16074, 12399, 416, 5020, 592, 16074, 286, 314, 286, 318, 5296, 5016, 6027, 11296, 16712, 3224, 16758, 1829, 39896, 3889, 970, 49429, 46969, 22807, 5296, 10721, 3889, 970, 4724, 28259, 10632, 49429, 8717, 11296, 10632, 33251, 19528, 3660, 22807, 8717, 11296, 10632], "avg_logprob": -0.3044354813073271, "compression_ratio": 1.6630434782608696, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 3032.99, "end": 3033.45, "word": "أه", "probability": 0.7344970703125}, {"start": 3033.45, "end": 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0.95166015625}, {"start": 3045.47, "end": 3045.67, "word": " S", "probability": 0.9853515625}, {"start": 3045.67, "end": 3046.99, "word": " التهابي", "probability": 0.598419189453125}, {"start": 3046.99, "end": 3049.19, "word": " تونسليتس،", "probability": 0.6460832868303571}, {"start": 3049.19, "end": 3050.65, "word": " sinusitis،", "probability": 0.750335693359375}, {"start": 3050.65, "end": 3051.63, "word": " conductivitis", "probability": 0.5587615966796875}, {"start": 3051.63, "end": 3052.41, "word": " I", "probability": 0.74658203125}, {"start": 3052.41, "end": 3052.87, "word": " T", "probability": 0.978515625}, {"start": 3052.87, "end": 3053.13, "word": " I", "probability": 0.9814453125}, {"start": 3053.13, "end": 3053.43, "word": " S", "probability": 0.99609375}, {"start": 3053.43, "end": 3054.33, "word": " لحالها", "probability": 0.9892578125}, {"start": 3054.33, "end": 3055.51, "word": " التهابي", "probability": 0.95166015625}, {"start": 3055.51, "end": 3055.83, "word": " هي", "probability": 0.52490234375}, {"start": 3055.83, "end": 3056.35, "word": " suffix", "probability": 0.955810546875}, {"start": 3056.35, "end": 3056.49, "word": " ولا", "probability": 0.9208984375}, {"start": 3056.49, "end": 3057.23, "word": " prefix؟", "probability": 0.816650390625}, {"start": 3057.23, "end": 3057.63, "word": " لأ", "probability": 0.84228515625}, {"start": 3057.63, "end": 3058.15, "word": " suffix", "probability": 0.842041015625}, {"start": 3058.15, "end": 3059.41, "word": " بداية", "probability": 0.9064127604166666}, {"start": 3059.41, "end": 3059.59, "word": " ولا", "probability": 0.8173828125}, {"start": 3059.59, "end": 3059.99, "word": " نهاية", "probability": 0.92578125}, {"start": 3059.99, "end": 3060.53, "word": " الكلمة؟", "probability": 0.87109375}, {"start": 3060.53, "end": 3061.89, "word": " نهاية", "probability": 0.7434895833333334}], "temperature": 1.0}, {"id": 110, "seek": 309045, "start": 3062.49, "end": 3090.45, "text": "اه suffix suffix هذا i-t-i-s معناه inflammation يبقى papillitis papilla رأس العصب البصري ال papilla رأس العصب البصري لما يقول papillitis التهاب رأس العصب البصري وهذا حاجة خطير لو صار ممكن يؤدي إلى العمى التهاب رأس العصب البصري قليل لكن لما يصير يعني شيء خطير", "tokens": [40294, 3889, 970, 3889, 970, 23758, 741, 12, 83, 12, 72, 12, 82, 20449, 8315, 3224, 21613, 7251, 3555, 4587, 7578, 5806, 373, 16074, 5806, 5291, 12602, 10721, 3794, 18863, 9381, 3555, 29739, 9381, 16572, 2423, 5806, 5291, 12602, 10721, 3794, 18863, 9381, 3555, 29739, 9381, 16572, 5296, 15042, 7251, 39648, 5806, 373, 16074, 16712, 11296, 3555, 12602, 10721, 3794, 18863, 9381, 3555, 29739, 9381, 16572, 37037, 15730, 11331, 26108, 3660, 16490, 9566, 13546, 45164, 20328, 9640, 3714, 43020, 7251, 33604, 16254, 30731, 18863, 2304, 7578, 16712, 11296, 3555, 12602, 10721, 3794, 18863, 9381, 3555, 29739, 9381, 16572, 12174, 20292, 1211, 44381, 5296, 15042, 7251, 9381, 13546, 37495, 22653, 44049, 38207, 16490, 9566, 13546], "avg_logprob": 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"probability": 0.867431640625}, {"start": 3082.25, "end": 3082.47, "word": " يؤدي", "probability": 0.8140462239583334}, {"start": 3082.47, "end": 3082.65, "word": " إلى", "probability": 0.857421875}, {"start": 3082.65, "end": 3083.11, "word": " العمى", "probability": 0.9075520833333334}, {"start": 3083.11, "end": 3084.21, "word": " التهاب", "probability": 0.9646809895833334}, {"start": 3084.21, "end": 3084.45, "word": " رأس", "probability": 0.9947916666666666}, {"start": 3084.45, "end": 3084.73, "word": " العصب", "probability": 0.98876953125}, {"start": 3084.73, "end": 3085.21, "word": " البصري", "probability": 0.99072265625}, {"start": 3085.21, "end": 3086.61, "word": " قليل", "probability": 0.9912109375}, {"start": 3086.61, "end": 3086.89, "word": " لكن", "probability": 0.82763671875}, {"start": 3086.89, "end": 3087.43, "word": " لما", "probability": 0.94873046875}, {"start": 3087.43, "end": 3087.91, "word": " يصير", "probability": 0.8821614583333334}, {"start": 3087.91, "end": 3088.91, "word": " يعني", "probability": 0.958984375}, {"start": 3088.91, "end": 3090.05, "word": " شيء", "probability": 0.816650390625}, {"start": 3090.05, "end": 3090.45, "word": " خطير", "probability": 0.9879557291666666}], "temperature": 1.0}, {"id": 111, "seek": 311773, "start": 3093.57, "end": 3117.73, "text": "pseudopapilitis يعني كاريبة مش حقية يعني الشكل يشبه التهاب العصب لكن هو حقيقة مش التهاب بس شكلا مش مضمونا شكلا وليس ايش مضمونا يبقى الآن لاجيه انه الرأس العصب might be swollen which may resemble optic neuritis بيقولون هو pseudopapilitis", "tokens": [17738, 532, 404, 569, 388, 16074, 37495, 22653, 9122, 9640, 1829, 49401, 37893, 11331, 4587, 10632, 37495, 22653, 25124, 28820, 7251, 8592, 3555, 3224, 16712, 11296, 3555, 18863, 9381, 3555, 44381, 31439, 11331, 38436, 28671, 37893, 16712, 11296, 3555, 4724, 3794, 13412, 28820, 995, 37893, 3714, 11242, 2304, 11536, 995, 13412, 28820, 995, 4032, 20292, 3794, 1975, 1829, 8592, 3714, 11242, 2304, 11536, 995, 7251, 3555, 4587, 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margins يبقى الرأس العصب", "tokens": [40228, 22653, 37893, 2423, 9848, 1131, 6490, 7251, 8592, 3555, 3224, 5551, 5016, 1829, 7649, 995, 16712, 11296, 3555, 18863, 9381, 3555, 44381, 3224, 37893, 16712, 11296, 3555, 6225, 9381, 3555, 25124, 2655, 43500, 14739, 3224, 48269, 2983, 37808, 257, 2877, 10855, 742, 2182, 2017, 365, 1016, 13986, 293, 2171, 29349, 30317, 7251, 3555, 4587, 7578, 34892, 10721, 3794, 18863, 9381, 3555], "avg_logprob": -0.26612103458434816, "compression_ratio": 1.408839779005525, "no_speech_prob": 0.0, "words": [{"start": 3118.48, "end": 3118.9, "word": "يعني", "probability": 0.8193359375}, {"start": 3118.9, "end": 3119.46, "word": " مش", "probability": 0.87890625}, {"start": 3119.46, "end": 3120.3, "word": " ال", "probability": 0.83544921875}, {"start": 3120.3, "end": 3120.48, "word": " hyper", "probability": 0.50927734375}, {"start": 3120.48, "end": 3121.02, "word": " metroid", "probability": 0.27032470703125}, {"start": 3121.02, "end": 3121.68, "word": " يشبه", 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يعني النمو بتاع العين هذه أقل شوية من هنا ربما نلاقي نصف الوجه اللي في الناحية هذه أصغر قليلا من النصف اللي هنا بما فيها palpibral fissure بما فيها", "tokens": [6027, 1863, 9381, 5172, 16247, 1829, 3794, 2288, 28242, 10943, 5551, 34740, 7578, 45164, 25961, 8978, 9848, 5537, 1513, 654, 34105, 5551, 4587, 1211, 9154, 34105, 37495, 22653, 28239, 2304, 2407, 39894, 45761, 18863, 9957, 29538, 5551, 4587, 1211, 13412, 2407, 10632, 9154, 34105, 12602, 3555, 15042, 8717, 15040, 38436, 8717, 9381, 5172, 2423, 29245, 3224, 13672, 1829, 8978, 2423, 8315, 5016, 10632, 29538, 5551, 9381, 17082, 2288, 12174, 20292, 15040, 9154, 28239, 9381, 5172, 13672, 1829, 34105, 4724, 15042, 8978, 11296, 3984, 79, 6414, 304, 283, 891, 540, 4724, 15042, 8978, 11296], "avg_logprob": -0.1695478728159945, "compression_ratio": 1.7537688442211055, "no_speech_prob": 3.2186508178710938e-06, "words": [{"start": 3363.52, "end": 3364.34, "word": "النصف", "probability": 0.885986328125}, {"start": 3364.34, "end": 3364.82, 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"text": "الـ disk جاعت بيشتغل تمام و ال macro بتعمل تمام بس ال .. ال .. ال papillomacular bundle أطول من ال papillomacular bundle بتاعة ال emetro طيب بنبني عليها حاجة تانية large positive angle alpha", "tokens": [6027, 39184, 12355, 10874, 995, 34268, 4724, 1829, 8592, 2655, 17082, 1211, 46811, 10943, 4032, 2423, 7912, 340, 39894, 25957, 1211, 46811, 10943, 4724, 3794, 2423, 4386, 2423, 4386, 2423, 5806, 373, 298, 14700, 24438, 5551, 9566, 12610, 9154, 2423, 5806, 373, 298, 14700, 24438, 39894, 995, 27884, 2423, 846, 302, 340, 23032, 1829, 3555, 44945, 3555, 22653, 25894, 11296, 11331, 26108, 3660, 6055, 7649, 10632, 2416, 3353, 5802, 8961], "avg_logprob": -0.2442781627178192, "compression_ratio": 1.5260115606936415, "no_speech_prob": 0.0, "words": [{"start": 3625.81, "end": 3626.09, "word": "الـ", "probability": 0.440216064453125}, {"start": 3626.09, "end": 3626.33, "word": " disk", "probability": 0.6240234375}, {"start": 3626.33, "end": 3626.79, "word": " جاعت", "probability": 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{"id": 32, "seek": 90520, "start": 880.5, "end": 905.2, "text": "في الـ minus سلندر وفي الـ plus سلندر بيختلفوا عن بعض جاهز نتكلم عنهم ان شاء الله طيب الان فى سؤال بتكونوا جاوبوا انتوا عليه what is the difference between meridian and axis بتسمعوا كلمة meridian وكلمة axis هم نفس الاشي ولا بينهم فارق", "tokens": [41185, 2423, 39184, 3175, 8608, 1211, 41260, 2288, 4032, 41185, 2423, 39184, 1804, 8608, 1211, 41260, 2288, 4724, 1829, 46456, 46538, 14407, 18871, 45030, 11242, 10874, 40294, 11622, 8717, 2655, 4117, 19528, 18871, 16095, 16472, 13412, 16606, 21984, 23032, 1829, 3555, 2423, 7649, 6156, 7578, 8608, 33604, 6027, 39894, 30544, 14407, 10874, 995, 37746, 14407, 16472, 2655, 14407, 47356, 437, 307, 264, 2649, 1296, 3551, 34681, 293, 10298, 39894, 38251, 3615, 14407, 9122, 19528, 3660, 3551, 34681, 4032, 4117, 19528, 3660, 10298, 8032, 2304, 8717, 36178, 2423, 33599, 1829, 49429, 49374, 16095, 6156, 9640, 4587], "avg_logprob": -0.2117512964953979, "compression_ratio": 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"word": " هذه؟", "probability": 0.4366455078125}, {"start": 1021.19, "end": 1021.65, "word": " plus", "probability": 0.78662109375}, {"start": 1021.65, "end": 1022.29, "word": " a", "probability": 0.62548828125}, {"start": 1022.29, "end": 1023.81, "word": " perpendicular", "probability": 0.9375}, {"start": 1023.81, "end": 1024.21, "word": " to", "probability": 0.9814453125}, {"start": 1024.21, "end": 1024.41, "word": " M", "probability": 0.51416015625}], "temperature": 1.0}, {"id": 37, "seek": 105283, "start": 1026.54, "end": 1052.84, "text": "رمز هذا إيش معناه؟ في ال plus سرندر ال axis أحط وين؟ عمودي على ال meridian اللي أنا بدأ أشتغل عليه طب أنا قبل هيك شرحتلكوا إن الدوء إيش وضعه الدوء؟ بيكون على ال meridian دوء أنا اللي بطلع من التنسكوب يعني أنا الآن", "tokens": [2288, 2304, 11622, 23758, 11933, 1829, 8592, 20449, 8315, 3224, 22807, 8978, 2423, 1804, 8608, 2288, 1863, 3215, 2288, 2423, 10298, 5551, 5016, 9566, 4032, 9957, 22807, 6225, 2304, 2407, 16254, 15844, 2423, 3551, 34681, 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"probability": 0.9796142578125}, {"start": 2181.1, "end": 2184.24, "word": " الشدّة", "probability": 0.9788818359375}, {"start": 2184.24, "end": 2185.3, "word": " الشدّة", "probability": 0.9791259765625}, {"start": 2185.3, "end": 2187.56, "word": " الشدّة", "probability": 0.978515625}, {"start": 2187.56, "end": 2190.48, "word": " الشدّة", "probability": 0.9775390625}, {"start": 2190.48, "end": 2191.26, "word": " الشدّة", "probability": 0.9755859375}, {"start": 2191.26, "end": 2191.56, "word": " الش", "probability": 0.9267578125}], "temperature": 1.0}, {"id": 78, "seek": 222225, "start": 2196.39, "end": 2222.25, "text": "الان احنا ليش بنعمل اربعة؟ بس عشان نعرف وين نحط ال axis الان ده ال thickness الان بقوللي انا ابدأ بهذا ال narrow ولا ابدأ بالwide هذا؟ ابدأ بال narrow", "tokens": [6027, 7649, 1975, 5016, 8315, 32239, 8592, 44945, 25957, 1211, 1975, 25513, 27884, 22807, 4724, 3794, 6225, 8592, 7649, 8717, 3615, 28480, 4032, 9957, 8717, 5016, 9566, 2423, 10298, 2423, 7649, 11778, 3224, 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appears to be narrowest when we are streaking ايش streaking يعني؟ احده ايه يعني؟ streaking احده ايه؟ هاي streaking طب هو اسمه ال retroscope اللي أنا بشتغل فيه، ايش اسمه؟ streak retroscope", "tokens": [1211, 33456, 3224, 8717, 9640, 3224, 5551, 4587, 25513, 5296, 1211, 10721, 23032, 3555, 5551, 44510, 10721, 4724, 1829, 3224, 4724, 32277, 5172, 13546, 49429, 4724, 3794, 26895, 41260, 2288, 22807, 4724, 32277, 5172, 13546, 7251, 3555, 4587, 7578, 264, 35634, 23802, 7038, 281, 312, 9432, 377, 562, 321, 366, 2242, 2456, 1975, 1829, 8592, 2242, 2456, 37495, 22653, 22807, 1975, 5016, 3215, 3224, 1975, 1829, 3224, 37495, 22653, 22807, 2242, 2456, 1975, 5016, 3215, 3224, 1975, 1829, 3224, 22807, 8032, 47302, 2242, 2456, 23032, 3555, 31439, 24525, 2304, 3224, 2423, 1533, 2635, 13960, 13672, 1829, 41850, 4724, 8592, 2655, 17082, 1211, 8978, 3224, 12399, 1975, 1829, 8592, 24525, 2304, 3224, 22807, 35634, 1533, 2635, 13960], "avg_logprob": -0.2801816167994442, "compression_ratio": 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"probability": 0.916015625}], "temperature": 1.0}, {"id": 80, "seek": 228081, "start": 2252.25, "end": 2280.81, "text": "أصل قبل streak كان perforated mirror ماكانش فيه streak لما طلع streak هذا يمكن في سنة التسعين مثلا أو الخمسة و تمانين كان فتحة مبينة احنا أيامنا اتعلمنا في الجامعة في الطب العادي لأ لأ لأ كانوا يقولون اخرم امرأة ينكسر خمسة ستة عشان نقدر نخرم واحدة و نجيب عن حركة", "tokens": [10721, 36520, 12174, 36150, 35634, 25961, 680, 2994, 770, 8013, 19446, 41361, 8592, 8978, 3224, 35634, 5296, 15042, 23032, 1211, 3615, 35634, 23758, 7251, 43020, 8978, 8608, 1863, 3660, 16712, 3794, 3615, 9957, 50113, 15040, 34051, 33962, 2304, 3794, 3660, 4032, 46811, 7649, 9957, 25961, 6156, 2655, 5016, 3660, 3714, 3555, 9957, 3660, 1975, 5016, 8315, 36632, 10943, 8315, 1975, 2655, 3615, 19528, 8315, 8978, 25724, 10943, 27884, 8978, 41950, 3555, 18863, 995, 16254, 5296, 10721, 5296, 10721, 5296, 10721, 25961, 14407, 7251, 39648, 11536, 1975, 34740, 2304, 1975, 29973, 10721, 3660, 7251, 1863, 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streaking لـ meridian of the correct axis as you move away from the correct axis the streak reflex becomes wider بيقول ليه ان انا لو اشتغل في الاتجاه الصحيح بلاجد ضوء ضيق لو انا ابعت ضوءي و خلته يعني بعيد مثلا بدل 90 خلته 60 او 50", "tokens": [10721, 8315, 4724, 25957, 1211, 2242, 2456, 5296, 39184, 3551, 34681, 295, 264, 3006, 10298, 382, 291, 1286, 1314, 490, 264, 3006, 10298, 264, 35634, 23802, 3643, 11842, 4724, 1829, 39648, 32239, 3224, 16472, 1975, 8315, 45164, 1975, 8592, 2655, 17082, 1211, 8978, 2423, 9307, 7435, 40294, 31767, 5016, 1829, 5016, 4724, 15040, 7435, 3215, 48812, 2407, 38207, 48812, 1829, 4587, 45164, 1975, 8315, 48127, 34268, 48812, 2407, 38207, 1829, 4032, 16490, 1211, 47395, 37495, 22653, 45030, 25708, 50113, 15040, 47525, 1211, 4289, 16490, 1211, 47395, 4060, 1975, 2407, 2625], "avg_logprob": -0.23437500491247074, "compression_ratio": 1.4478260869565218, "no_speech_prob": 0.0, "words": [{"start": 2306.86, "end": 2307.62, "word": "أنا", "probability": 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"probability": 0.9482421875}], "temperature": 1.0}, {"id": 83, "seek": 236241, "start": 2333.37, "end": 2362.41, "text": "بل اجيب وشعر اعود احط على التسعين بصير ضيق احط في التلاتين والاربعين بصير واشعر هذا ليه علاش ان انا اعدل او اعدل ضوئي ليتماشى مع طبيعة ال meridian طبيعة ال meridian ان هذا يعني ال reflex بتاعه بطريقة معينة يعني هو كأنه دليل ليه بضيق بالغلط", "tokens": [36150, 1975, 7435, 1829, 3555, 4032, 8592, 3615, 2288, 1975, 3615, 23328, 1975, 5016, 9566, 15844, 16712, 3794, 3615, 9957, 4724, 9381, 13546, 48812, 1829, 4587, 1975, 5016, 9566, 8978, 16712, 1211, 9307, 9957, 16070, 9640, 3555, 3615, 9957, 4724, 9381, 13546, 4032, 33599, 3615, 2288, 23758, 32239, 3224, 11203, 33599, 16472, 1975, 8315, 1975, 22488, 1211, 1975, 2407, 1975, 22488, 1211, 48812, 2407, 19986, 1829, 32239, 39237, 33599, 7578, 20449, 23032, 21292, 27884, 2423, 3551, 34681, 23032, 21292, 27884, 2423, 3551, 34681, 16472, 23758, 37495, 22653, 2423, 23802, 39894, 45761, 3224, 4724, 9566, 16572, 28671, 20449, 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"word": " wide", "probability": 0.70849609375}, {"start": 2383.35, "end": 2383.81, "word": " و", "probability": 0.96875}, {"start": 2383.81, "end": 2384.05, "word": " narrow", "probability": 0.8779296875}, {"start": 2384.05, "end": 2385.03, "word": " wide", "probability": 0.80859375}, {"start": 2385.03, "end": 2385.61, "word": " بالخطأ", "probability": 0.990234375}, {"start": 2385.61, "end": 2386.37, "word": " و", "probability": 0.9697265625}, {"start": 2386.37, "end": 2386.59, "word": " narrow", "probability": 0.91015625}, {"start": 2386.59, "end": 2388.07, "word": " بالصح", "probability": 0.9925130208333334}, {"start": 2388.07, "end": 2390.61, "word": " طب", "probability": 0.86767578125}, {"start": 2390.61, "end": 2390.83, "word": " انت", "probability": 0.81591796875}, {"start": 2390.83, "end": 2391.17, "word": " نستي", "probability": 0.6871744791666666}], "temperature": 1.0}, {"id": 85, "seek": 242092, "start": 2393.08, "end": 2420.92, "text": "طبعا معروف بقول the streak reflex appears brightest when you are streaking the meridian ال correct axis طب لو انت روحت بعيد عنه او ايه بصير ايش دم؟ بصير دم وهذا صح يعني انا لما اوجه ضوءي صح صح صح بصير bright كل ما ابد بصير دم دم دم دم", "tokens": [9566, 3555, 3615, 995, 20449, 32887, 5172, 4724, 39648, 264, 35634, 23802, 7038, 36271, 562, 291, 366, 2242, 2456, 264, 3551, 34681, 2423, 3006, 10298, 23032, 3555, 45164, 16472, 2655, 12602, 2407, 33753, 45030, 25708, 18871, 3224, 1975, 2407, 1975, 1829, 3224, 4724, 9381, 13546, 1975, 1829, 8592, 11778, 2304, 22807, 4724, 9381, 13546, 11778, 2304, 37037, 15730, 20328, 5016, 37495, 22653, 1975, 8315, 5296, 15042, 1975, 29245, 3224, 48812, 2407, 38207, 1829, 20328, 5016, 20328, 5016, 20328, 5016, 4724, 9381, 13546, 4730, 28242, 19446, 1975, 44510, 4724, 9381, 13546, 11778, 2304, 11778, 2304, 11778, 2304, 11778, 2304], "avg_logprob": -0.19302398267418447, "compression_ratio": 1.6161137440758293, "no_speech_prob": 0.0, "words": [{"start": 2393.08, "end": 2393.48, "word": "طبعا", 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"probability": 0.7401123046875}, {"start": 2415.34, "end": 2415.84, "word": " صح", "probability": 0.990478515625}, {"start": 2415.84, "end": 2416.12, "word": " صح", "probability": 0.9609375}, {"start": 2416.12, "end": 2416.54, "word": " صح", "probability": 0.96875}, {"start": 2416.54, "end": 2417.18, "word": " بصير", "probability": 0.9723307291666666}, {"start": 2417.18, "end": 2417.52, "word": " bright", "probability": 0.93994140625}, {"start": 2417.52, "end": 2419.1, "word": " كل", "probability": 0.53955078125}, {"start": 2419.1, "end": 2419.22, "word": " ما", "probability": 0.79541015625}, {"start": 2419.22, "end": 2419.58, "word": " ابد", "probability": 0.6290283203125}, {"start": 2419.58, "end": 2420.18, "word": " بصير", "probability": 0.9820963541666666}, {"start": 2420.18, "end": 2420.4, "word": " دم", "probability": 0.953369140625}, {"start": 2420.4, "end": 2420.58, "word": " دم", "probability": 0.97265625}, {"start": 2420.58, "end": 2420.74, "word": " دم", "probability": 0.993408203125}, {"start": 2420.74, "end": 2420.92, "word": " دم", "probability": 0.962158203125}], "temperature": 1.0}, {"id": 86, "seek": 244966, "start": 2422.98, "end": 2449.66, "text": "وهي ظاهرة انتوا جربوها جربوها في أي عين فيها استجماتيزي و ستيف فيها أصبعك ال index finger وشوفي وقتش بصير more dim وقتش بصير more bright طيب ال break فين هنا؟ ايش انتوا ملاحظينه؟ لما يكون بين ال reflex وبين ضوء زاوية", "tokens": [2407, 3224, 1829, 1357, 116, 40294, 25720, 16472, 2655, 14407, 10874, 25513, 2407, 11296, 10874, 25513, 2407, 11296, 8978, 36632, 6225, 9957, 8978, 11296, 44713, 7435, 2304, 9307, 1829, 11622, 1829, 4032, 8608, 31371, 5172, 8978, 11296, 5551, 9381, 3555, 3615, 4117, 2423, 8186, 5984, 4032, 8592, 38688, 1829, 4032, 38149, 8592, 4724, 9381, 13546, 544, 5013, 4032, 38149, 8592, 4724, 9381, 13546, 544, 4730, 23032, 1829, 3555, 2423, 1821, 8978, 1863, 34105, 22807, 1975, 1829, 8592, 16472, 2655, 14407, 3714, 15040, 5016, 19913, 9957, 3224, 22807, 5296, 15042, 7251, 30544, 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dim", "probability": 0.94921875}, {"start": 2435.56, "end": 2436.18, "word": " وقتش", "probability": 0.8553059895833334}, {"start": 2436.18, "end": 2436.92, "word": " بصير", "probability": 0.8982747395833334}, {"start": 2436.92, "end": 2437.42, "word": " more", "probability": 0.93701171875}, {"start": 2437.42, "end": 2438.28, "word": " bright", "probability": 0.9453125}, {"start": 2438.28, "end": 2442.0, "word": " طيب", "probability": 0.92919921875}, {"start": 2442.0, "end": 2442.1, "word": " ال", "probability": 0.93505859375}, {"start": 2442.1, "end": 2442.34, "word": " break", "probability": 0.88671875}, {"start": 2442.34, "end": 2442.58, "word": " فين", "probability": 0.9599609375}, {"start": 2442.58, "end": 2444.44, "word": " هنا؟", "probability": 0.350341796875}, {"start": 2444.44, "end": 2444.78, "word": " ايش", "probability": 0.7701822916666666}, {"start": 2444.78, "end": 2444.96, "word": " انتوا", "probability": 0.8717447916666666}, {"start": 2444.96, "end": 2446.12, "word": " ملاحظينه؟", "probability": 0.8746861049107143}, {"start": 2446.12, "end": 2446.34, "word": " لما", "probability": 0.9326171875}, {"start": 2446.34, "end": 2446.58, "word": " يكون", "probability": 0.9599609375}, {"start": 2446.58, "end": 2446.76, "word": " بين", "probability": 0.537109375}, {"start": 2446.76, "end": 2446.86, "word": " ال", "probability": 0.89990234375}, {"start": 2446.86, "end": 2447.3, "word": " reflex", "probability": 0.7578125}, {"start": 2447.3, "end": 2448.36, "word": " وبين", "probability": 0.6942138671875}, {"start": 2448.36, "end": 2448.66, "word": " ضوء", "probability": 0.7428385416666666}, {"start": 2448.66, "end": 2449.66, "word": " زاوية", "probability": 0.91845703125}], "temperature": 1.0}, {"id": 87, "seek": 248276, "start": 2453.84, "end": 2482.76, "text": "هذا الـ break لما أعدّل ضوءي و أصبح موازي سيصبح ما؟ سيصبح مافيش break بل ال break التكسر هذا in higher amounts of astigmatism the red reflex will tend to stay on axis even if the streak is rotated أكثر بقول إن هذا هو ال reflex وهذا هو ال streak", "tokens": [3224, 15730, 2423, 39184, 1821, 5296, 15042, 5551, 22488, 11703, 1211, 48812, 2407, 38207, 1829, 4032, 5551, 9381, 49628, 3714, 2407, 31377, 1829, 8608, 1829, 9381, 49628, 19446, 22807, 8608, 1829, 9381, 49628, 19446, 41185, 8592, 1821, 4724, 1211, 2423, 1821, 16712, 4117, 3794, 2288, 23758, 294, 2946, 11663, 295, 5357, 46496, 1434, 264, 2182, 23802, 486, 3928, 281, 1754, 322, 10298, 754, 498, 264, 35634, 307, 42146, 5551, 4117, 49115, 4724, 39648, 36145, 23758, 31439, 2423, 23802, 37037, 15730, 31439, 2423, 35634], "avg_logprob": -0.31677827132599695, "compression_ratio": 1.5185185185185186, "no_speech_prob": 0.0, "words": [{"start": 2453.84, "end": 2454.2, "word": "هذا", "probability": 0.667724609375}, {"start": 2454.2, "end": 2454.3, "word": " الـ", "probability": 0.564453125}, {"start": 2454.3, "end": 2454.52, "word": " break", "probability": 0.69189453125}, {"start": 2454.52, "end": 2455.62, "word": " لما", "probability": 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واحد جايبليها بينهم مثلا عشرين سانتي لأ لكن بينهم خمس سانتي بيقول لك هاني هي اللي بتجيبها هادي بالتجارب و هانا زيك how to diagnose the correct location or axis of ده ايش ده اللي هو axis of a cylinder", "tokens": [1211, 19452, 28242, 3714, 41361, 34051, 3794, 3615, 9122, 29399, 6156, 995, 37983, 3224, 16472, 3224, 39894, 7435, 1829, 3555, 3224, 16490, 9566, 10721, 36764, 24401, 10874, 47302, 3555, 20292, 11296, 49374, 16095, 50113, 15040, 6225, 46309, 9957, 8608, 7649, 31371, 5296, 10721, 44381, 49374, 16095, 16490, 2304, 3794, 8608, 7649, 31371, 4724, 1829, 39648, 5296, 4117, 8032, 7649, 1829, 39896, 13672, 1829, 39894, 7435, 1829, 3555, 11296, 8032, 995, 16254, 20666, 2655, 7435, 9640, 3555, 4032, 8032, 7649, 995, 30767, 1829, 4117, 577, 281, 36238, 264, 3006, 4914, 420, 10298, 295, 11778, 3224, 1975, 1829, 8592, 11778, 3224, 13672, 1829, 31439, 10298, 295, 257, 17884], "avg_logprob": -0.33352805019539095, "compression_ratio": 1.6379310344827587, "no_speech_prob": 0.0, "words": 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شايفين؟ مش عارف شايفين؟ not genuine لأنه مش genuine يا أبو حمزة بيغلب مش أصلي بيقولك طيب", "tokens": [3224, 15730, 2423, 26890, 8315, 2304, 7435, 4724, 1829, 17082, 46152, 5296, 33456, 3224, 28242, 13412, 2407, 10632, 4724, 1829, 39648, 4117, 16472, 3224, 37893, 5551, 9381, 20292, 406, 16699, 13412, 995, 33911, 9957, 22807, 37893, 6225, 9640, 5172, 13412, 995, 33911, 9957, 22807, 406, 16699, 5296, 33456, 3224, 37893, 16699, 35186, 5551, 3555, 2407, 11331, 2304, 11622, 3660, 4724, 1829, 17082, 46152, 37893, 5551, 9381, 20292, 4724, 1829, 39648, 4117, 23032, 1829, 3555], "avg_logprob": -0.11906249841054281, "compression_ratio": 1.703448275862069, "no_speech_prob": 0.0, "words": [{"start": 3165.98, "end": 3166.3, "word": "هذا", "probability": 0.95751953125}, {"start": 3166.3, "end": 3166.82, "word": " البرنامج", "probability": 0.959765625}, {"start": 3166.82, "end": 3167.4, "word": " بيغلب", "probability": 0.9547119140625}, {"start": 3167.4, "end": 3167.9, "word": " لأنه", "probability": 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"word": " طيب", "probability": 0.8216959635416666}, {"start": 3201.37, "end": 3202.77, "word": " خلصت", "probability": 0.881103515625}, {"start": 3202.77, "end": 3204.45, "word": " straddling؟", "probability": 0.540985107421875}, {"start": 3204.45, "end": 3205.35, "word": " the", "probability": 0.2415771484375}, {"start": 3205.35, "end": 3205.65, "word": " next", "probability": 0.95361328125}, {"start": 3205.65, "end": 3206.21, "word": " step", "probability": 0.9609375}, {"start": 3206.21, "end": 3206.49, "word": " is", "probability": 0.9423828125}, {"start": 3206.49, "end": 3206.69, "word": " to", "probability": 0.9345703125}, {"start": 3206.69, "end": 3207.49, "word": " neutralize", "probability": 0.888916015625}, {"start": 3207.49, "end": 3207.89, "word": " the", "probability": 0.71826171875}, {"start": 3207.89, "end": 3209.07, "word": " astigmatism", "probability": 0.9482421875}, {"start": 3209.07, "end": 3209.57, "word": " with", "probability": 0.9169921875}, {"start": 3209.57, "end": 3210.09, "word": " plus", "probability": 0.6220703125}, {"start": 3210.09, "end": 3210.61, "word": " cylinder", "probability": 0.66943359375}, {"start": 3210.61, "end": 3211.15, "word": " power", "probability": 0.92236328125}, {"start": 3211.15, "end": 3213.33, "word": " حددنا", "probability": 0.953125}, {"start": 3213.33, "end": 3213.41, "word": " ال", "probability": 0.94482421875}, {"start": 3213.41, "end": 3213.73, "word": " access", "probability": 0.32861328125}, {"start": 3213.73, "end": 3214.29, "word": " يلا", "probability": 0.4840087890625}, {"start": 3214.29, "end": 3214.75, "word": " بنبدأ", "probability": 0.9000651041666666}, {"start": 3214.75, "end": 3215.15, "word": " نحط", "probability": 0.9471028645833334}, {"start": 3215.15, "end": 3216.13, "word": " عدسات", "probability": 0.9456787109375}, {"start": 3216.13, "end": 3217.65, "word": " تقول", "probability": 0.700927734375}, {"start": 3217.65, "end": 3218.25, "word": " remember", "probability": 0.78369140625}, {"start": 3218.25, "end": 3219.13, "word": " تذكر", "probability": 0.8720703125}, {"start": 3219.13, "end": 3219.89, "word": " ايش؟", "probability": 0.8519287109375}, {"start": 3219.89, "end": 3220.67, "word": " ان", "probability": 0.79638671875}, {"start": 3220.67, "end": 3221.33, "word": " المريض", "probability": 0.7330729166666666}, {"start": 3221.33, "end": 3221.49, "word": " انا", "probability": 0.41015625}, {"start": 3221.49, "end": 3221.71, "word": " اول", "probability": 0.927490234375}, {"start": 3221.71, "end": 3221.91, "word": " اعني", "probability": 0.42822265625}, {"start": 3221.91, "end": 3223.07, "word": " خلصناها", "probability": 0.90966796875}, {"start": 3223.07, "end": 3223.57, "word": " بايش؟", "probability": 0.82611083984375}], "temperature": 1.0}, {"id": 114, "seek": 324859, "start": 3224.15, "end": 3248.59, "text": "بسفير في الأول already بسفير خلصنا الأولاني the meridian ninety degree away العمودي عليه still ما with motion we begin by streaking the meridian that has the brightest narrowest reflex خلصناها هذا أه ولكن since we are using plus cylinder lens يالا إيش هنحط ال axis بتاعها", "tokens": [3555, 3794, 5172, 13546, 8978, 16247, 12610, 1217, 4724, 3794, 5172, 13546, 16490, 1211, 9381, 8315, 16247, 12610, 7649, 1829, 264, 3551, 34681, 25063, 4314, 1314, 18863, 2304, 2407, 16254, 47356, 920, 19446, 365, 5394, 321, 1841, 538, 2242, 2456, 264, 3551, 34681, 300, 575, 264, 36271, 9432, 377, 23802, 16490, 1211, 9381, 8315, 11296, 23758, 5551, 3224, 35525, 19452, 1670, 321, 366, 1228, 1804, 17884, 6765, 7251, 6027, 995, 11933, 1829, 8592, 8032, 1863, 5016, 9566, 2423, 10298, 39894, 45761, 11296], "avg_logprob": -0.2654367441154388, "compression_ratio": 1.4663865546218486, "no_speech_prob": 0.0, "words": [{"start": 3224.15, "end": 3224.87, "word": "بسفير", "probability": 0.643341064453125}, {"start": 3224.87, "end": 3225.01, "word": " في", "probability": 0.5068359375}, {"start": 3225.01, "end": 3225.21, "word": " الأول", "probability": 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"probability": 0.923828125}, {"start": 3238.09, "end": 3238.45, "word": " brightest", "probability": 0.93701171875}, {"start": 3238.45, "end": 3239.39, "word": " narrowest", "probability": 0.7548828125}, {"start": 3239.39, "end": 3240.15, "word": " reflex", "probability": 0.9345703125}, {"start": 3240.15, "end": 3241.07, "word": " خلصناها", "probability": 0.87890625}, {"start": 3241.07, "end": 3241.33, "word": " هذا", "probability": 0.3916015625}, {"start": 3241.33, "end": 3242.83, "word": " أه", "probability": 0.7015380859375}, {"start": 3242.83, "end": 3243.23, "word": " ولكن", "probability": 0.828857421875}, {"start": 3243.23, "end": 3243.53, "word": " since", "probability": 0.8583984375}, {"start": 3243.53, "end": 3243.71, "word": " we", "probability": 0.94384765625}, {"start": 3243.71, "end": 3243.95, "word": " are", "probability": 0.951171875}, {"start": 3243.95, "end": 3244.43, "word": " using", "probability": 0.95849609375}, {"start": 3244.43, "end": 3245.35, "word": " plus", "probability": 0.90234375}, {"start": 3245.35, "end": 3245.95, "word": " cylinder", "probability": 0.7001953125}, {"start": 3245.95, "end": 3246.43, "word": " lens", "probability": 0.51708984375}, {"start": 3246.43, "end": 3247.15, "word": " يالا", "probability": 0.6896158854166666}, {"start": 3247.15, "end": 3247.37, "word": " إيش", "probability": 0.8603515625}, {"start": 3247.37, "end": 3247.75, "word": " هنحط", "probability": 0.9544677734375}, {"start": 3247.75, "end": 3247.87, "word": " ال", "probability": 0.93603515625}, {"start": 3247.87, "end": 3248.09, "word": " axis", "probability": 0.796875}, {"start": 3248.09, "end": 3248.59, "word": " بتاعها", "probability": 0.9905598958333334}], "temperature": 1.0}, {"id": 115, "seek": 326658, "start": 3249.78, "end": 3266.58, "text": "عمودي على ال meridian in other words يعني هنا في ال مية و تمانين هاي حطيها في المية و تمانين اه و ضوءي هنا و meridianي هنا في التسعين انا ال meridian بتاعي مع ضوءي", "tokens": [3615, 2304, 2407, 16254, 15844, 2423, 3551, 34681, 294, 661, 2283, 37495, 22653, 34105, 8978, 2423, 3714, 10632, 4032, 46811, 7649, 9957, 8032, 47302, 11331, 9566, 1829, 11296, 8978, 9673, 10632, 4032, 46811, 7649, 9957, 1975, 3224, 4032, 48812, 2407, 38207, 1829, 34105, 4032, 3551, 34681, 1829, 34105, 8978, 16712, 3794, 3615, 9957, 1975, 8315, 2423, 3551, 34681, 39894, 45761, 1829, 20449, 48812, 2407, 38207, 1829], "avg_logprob": -0.25629665424574666, "compression_ratio": 1.7414965986394557, "no_speech_prob": 0.0, "words": [{"start": 3249.7799999999997, "end": 3250.54, "word": "عمودي", "probability": 0.8450927734375}, {"start": 3250.54, "end": 3251.3, "word": " على", "probability": 0.81640625}, {"start": 3251.3, "end": 3251.46, "word": " ال", "probability": 0.90576171875}, {"start": 3251.46, "end": 3251.98, "word": " meridian", "probability": 0.618408203125}, {"start": 3251.98, "end": 3252.86, "word": " in", "probability": 0.399658203125}, {"start": 3252.86, "end": 3253.1, "word": " other", "probability": 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0.7017822265625}, {"start": 3257.52, "end": 3257.6, "word": " و", "probability": 0.95556640625}, {"start": 3257.6, "end": 3258.48, "word": " تمانين", "probability": 0.9905598958333334}, {"start": 3258.48, "end": 3259.68, "word": " اه", "probability": 0.6328125}, {"start": 3259.68, "end": 3259.8, "word": " و", "probability": 0.9482421875}, {"start": 3259.8, "end": 3260.18, "word": " ضوءي", "probability": 0.67681884765625}, {"start": 3260.18, "end": 3260.52, "word": " هنا", "probability": 0.99560546875}, {"start": 3260.52, "end": 3261.48, "word": " و", "probability": 0.95166015625}, {"start": 3261.48, "end": 3262.06, "word": " meridianي", "probability": 0.6907552083333334}, {"start": 3262.06, "end": 3262.36, "word": " هنا", "probability": 0.98486328125}, {"start": 3262.36, "end": 3262.72, "word": " في", "probability": 0.81298828125}, {"start": 3262.72, "end": 3263.26, "word": " التسعين", "probability": 0.9803466796875}, {"start": 3263.26, "end": 3265.36, "word": " انا", "probability": 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00:00:52,280 +ندركأو نلمس أن في هذه العين استجباتيزم قلنا في عدة + +6 +00:00:52,280 --> 00:00:59,980 +طرق الطريقة الأولى إن و ناجد one meridian of the + +7 +00:00:59,980 --> 00:01:09,200 +cornea is neutral and the perpendicular with it + +8 +00:01:09,200 --> 00:01:17,780 +has with or against momentيعني زي الصورة هذه واحد + +9 +00:01:17,780 --> 00:01:24,740 +يجيب نيوترال ان نيوترال والتاني + +10 +00:01:24,740 --> 00:01:28,980 +العمودي عليه يكون with or against يبقى أنا هنا + +11 +00:01:28,980 --> 00:01:37,640 +فاعل استجماتيزم واضح او اول حالة الحالة الثانية ان + +12 +00:01:37,640 --> 00:01:43,290 +يكون one meridian against و one meridian withيعني + +13 +00:01:43,290 --> 00:01:47,610 +بحرك هيك واحد بتحرك with و العمودي عليه بتحرك + +14 +00:01:47,610 --> 00:01:54,730 +against يبقى أنا في أستجماتيزم الحالة التانية ان + +15 +00:01:54,730 --> 00:02:01,610 +واحد يكون wide reflex والتاني narrow reflex يبقى + +16 +00:02:01,610 --> 00:02:06,610 +أنا في أستجماتيزمالمرهانة ممكن التانية تكون well + +17 +00:02:06,610 --> 00:02:12,270 +أو تانية تكون against لكن واحد wild يعني عنده high + +18 +00:02:12,270 --> 00:02:16,050 +refractive error والتاني narrow يعني معاه small + +19 +00:02:16,050 --> 00:02:21,190 +refractive error هذا برضه ممكن ألجيه + +20 +00:02:26,610 --> 00:02:30,690 +الاستيجماتيزم بتنوع ممكن يكون low myopia high + +21 +00:02:30,690 --> 00:02:34,210 +myopia low hypermetropia high hypermetropia في نفس + +22 +00:02:34,210 --> 00:02:40,430 +العين بقول الحقيقة ان قليل هي العيون اللي هي + +23 +00:02:40,430 --> 00:02:45,210 +استيجماتيك اش استيجماتيك يعني نوع استيجماتيزم قليل + +24 +00:02:45,210 --> 00:02:52,830 +جدا و لو حتى one quarter لو حتى ربع فرق بين ال two + +25 +00:02:52,830 --> 00:02:59,010 +medians يبقى الاستيجماتيزم موجودوقابل الذيادة بعد + +26 +00:02:59,010 --> 00:03:04,150 +هيك Infectedroscopy can save time during + +27 +00:03:04,150 --> 00:03:08,030 +subjective refinement in eyes with very low + +28 +00:03:08,030 --> 00:03:12,090 +amounts of astigmatism يعني أنا والله ماثبتش أنه + +29 +00:03:12,090 --> 00:03:16,230 +ال astigmatism بيصيد الربع يعني مختلف في الربع + +30 +00:03:16,230 --> 00:03:20,810 +النص يعني بنجيبه بصعوبة لكن كل ما زاد ال + +31 +00:03:20,810 --> 00:03:23,890 +astigmatism كل ما رتنسكوب جابه أحسن كويس هو هيك + +32 +00:03:23,890 --> 00:03:27,750 +بقولSubjectively, locating the axis with minimal + +33 +00:03:27,750 --> 00:03:31,170 +cylinder power can be time-consuming and sometimes + +34 +00:03:31,170 --> 00:03:34,730 +confusing a confusing task for a patient during + +35 +00:03:34,730 --> 00:03:39,210 +refractometry يعني هو بيقوللي subjective أحيانا + +36 +00:03:39,210 --> 00:03:42,750 +بيسعى في الوضع يعني لو الريتنيسكوب ماجيبش الربع أو + +37 +00:03:42,750 --> 00:03:48,930 +ماجيبش النص فال subjective correction بعد + +38 +00:03:48,930 --> 00:03:54,930 +هيك يعني على a chartممكن أني أضيف ربع أو أحذف ربع + +39 +00:03:54,930 --> 00:04:00,210 +بحيث أنه أصحح الراحة مع ال good vision ال good + +40 +00:04:00,210 --> 00:04:05,310 +vision مع ال comfort لأن مش دائما ال retroscope + +41 +00:04:05,310 --> 00:04:14,050 +بيجيب 100% power سيلندر ولا 100% access عشان هيك + +42 +00:04:14,050 --> 00:04:16,750 +ال subjective بيبقى ال refinement + +43 +00:04:19,760 --> 00:04:25,480 +اللي هو ال .. ال .. ال subjective subjective يعني + +44 +00:04:25,480 --> 00:04:32,160 +أحيان بيكون يعني بزيد تحسين على ال objective the + +45 +00:04:32,160 --> 00:04:34,760 +middle of the eyes have with the role a stigmatism + +46 +00:04:34,760 --> 00:04:38,500 +ايش with the role؟ يعني قريب عن ال night يعني ب .. + +47 +00:04:38,500 --> 00:04:44,460 +ال vertical أقوى شويةplus cylinder axis close to + +48 +00:04:44,460 --> 00:04:47,520 +90 degree or minus cylinder axis to .. هنقولها + +49 +00:04:47,520 --> 00:04:51,040 +Therefore it is probably best to first assess the + +50 +00:04:51,040 --> 00:04:54,580 +vertical meridian أبدأ فيه when they're using plus + +51 +00:04:54,580 --> 00:04:57,900 +cylinder or horizontal when using minus cylinder + +52 +00:04:57,900 --> 00:05:02,700 +أنا بالنسبالي بتقولكوا حاجة باختصار في قطاع غزة + +53 +00:05:02,700 --> 00:05:10,550 +دقبوا الناس على تصليح السيلندر بسفير سفيرماذا يعني + +54 +00:05:10,550 --> 00:05:14,890 +سفير سفير؟ يعني المدينة الأول سفير بيكتب المدينة + +55 +00:05:14,890 --> 00:05:20,170 +الأول مثلا plus two و بعدين بيشيل plus two و بيبدأ + +56 +00:05:20,170 --> 00:05:26,350 +يشتغل ع العمودي عليه بسفير تاني و طريقة هذه طريقة + +57 +00:05:26,350 --> 00:05:32,110 +تقريبية و أظنك في المعمل مستعملينها كيف تشتغلوا في + +58 +00:05:32,110 --> 00:05:39,980 +المعمل لا stigmatism؟ سفير سفيرالطريقة هذه طريقة + +59 +00:05:39,980 --> 00:05:44,220 +المبتدئين مع الأسف يعني ان هي طريقة المبتدئين + +60 +00:05:44,220 --> 00:05:51,880 +طريقة اللي عنده experience بيبدأ يشتغل أولاني + +61 +00:05:51,880 --> 00:05:58,220 +بسفير و العمودي عليه بسلندر لما يشتغل بالسلندر + +62 +00:05:58,220 --> 00:06:03,080 +بيوفر مجهود السفير اللي حطه في الأول بيشتغل على + +63 +00:06:03,080 --> 00:06:10,130 +360 درجة بيشيل هاش والسلندر بيشتغلعمودي عليها الـ + +64 +00:06:10,130 --> 00:06:13,990 +Axis Zero والـ Power عمودي عليه فانا بحط سيلندر أو + +65 +00:06:13,990 --> 00:06:16,610 +بعمل neutralization لما أخلص ال neutralization + +66 +00:06:16,610 --> 00:06:21,650 +بالسيلندر بيكون كلهم neutral لكن لو اشتغلت سفير + +67 +00:06:21,650 --> 00:06:26,070 +سفير حتى رأشي السيلندر الأول يعني السفير الأول + +68 +00:06:26,070 --> 00:06:32,950 +يعني بخلفوش يعني بشتغل بسفير لواحد وسفير لغيرهلأ + +69 +00:06:32,950 --> 00:06:37,270 +لو عمودي عليه لكن في حالة السيلندر التاني سفير + +70 +00:06:37,270 --> 00:06:41,670 +سيلندر لأ بخل السفير مكانه مابشيه مش فده بوفر + +71 +00:06:41,670 --> 00:06:48,550 +معايا وقت وجهد هتشوفه الآن طيب بقول الـastigmatism + +72 +00:06:48,550 --> 00:06:52,090 +is recognized as a source of confusion for + +73 +00:06:52,090 --> 00:06:57,010 +beginning refractionists او retinoscopists يعني + +74 +00:06:57,010 --> 00:07:02,740 +المتدقيين بخافوا من السيلندر بصير معاكم؟لما تلاقي + +75 +00:07:02,740 --> 00:07:12,360 +حالة astigmatism فيه رهبة اه هو الحل ان اتعامل مع + +76 +00:07:12,360 --> 00:07:22,180 +العين ك two eyes مش اي واحدة I اشتغلها باسفير وال + +77 +00:07:22,180 --> 00:07:25,940 +I التانية اقصد ال meridian التاني العمودي عليه + +78 +00:07:25,940 --> 00:07:35,860 +سيلندرسفيره سلندر يبقى الآن احنا بتعلم سفير سلندر + +79 +00:07:35,860 --> 00:07:43,720 +والنتيجة سفيره سلندر ايش + +80 +00:07:43,720 --> 00:07:50,000 +السفير اللي في الأول ال meridian الأقل ametropia + +81 +00:07:50,000 --> 00:07:55,350 +طب ايش السلندر ال meridian العمودي عليهطب ايش الـ + +82 +00:07:55,350 --> 00:07:58,130 +spherical cylinder؟ النتيجة النتيجة نهائية الـ + +83 +00:07:58,130 --> 00:08:02,530 +spherical cylinder طيب بيقوللي هو انا .. و انا + +84 +00:08:02,530 --> 00:08:09,990 +بشتغل في الملعب فيه لعيبون نحن بيقول اننا لعيبة + +85 +00:08:09,990 --> 00:08:17,350 +ايش هم اللاعبون اللي في المعمل؟ فيه الضوء بتاعي + +86 +00:08:17,350 --> 00:08:22,710 +اللي اسمه intercept او streak ضوء ايه؟ انا مش + +87 +00:08:22,710 --> 00:08:27,410 +مانازل ضوءضوئيها ده و اين بروحها نعم فالضوء اللي + +88 +00:08:27,410 --> 00:08:32,750 +بضوئيه على عين العيّن و اين بروحه؟ بروح ع ريتناه و + +89 +00:08:32,750 --> 00:08:40,890 +ريتناه إيش بتعمل؟ reflection انعكاس الانعكاس + +90 +00:08:40,890 --> 00:08:44,110 +بتاعها بيعمل لـreflex إيه اللي بيقولوا عنه red + +91 +00:08:44,110 --> 00:08:52,170 +reflex؟ الانعكاس اللي بيجيني اسمه reflex طب هل كل + +92 +00:08:52,170 --> 00:08:56,060 +العيون reflex بتاعهم واحد؟طب ال reflex بيعتمد على + +93 +00:08:56,060 --> 00:09:02,680 +إيش هذا؟ ع ال optical power of the eye ال reflex + +94 +00:09:02,680 --> 00:09:06,760 +اللي بيطلعليه بيعتمد على ال optical power of the + +95 +00:09:06,760 --> 00:09:10,540 +eye طيب، + +96 +00:09:10,540 --> 00:09:17,060 +الآن في عيون كل سفير و في عيون سفير و سيندر مش + +97 +00:09:17,060 --> 00:09:21,940 +بيدي أنا ال optical power في واحد pure myopia، + +98 +00:09:21,940 --> 00:09:27,450 +simple myopiaفي واحد simple hypermetropia بس طب + +99 +00:09:27,450 --> 00:09:29,750 +انا كنت بعرف ان هو هذا simple myopia او simple + +100 +00:09:29,750 --> 00:09:33,530 +hypermetropia من ايش بحط ال streak بتاعي و بعمل + +101 +00:09:33,530 --> 00:09:36,570 +هيك بحط ال streak بتاعي و بعمل امودة عليه بحط ال + +102 +00:09:36,570 --> 00:09:41,290 +streak بتاعي في ال 45 في ال 135 والله ان اجت كله + +103 +00:09:41,290 --> 00:09:45,330 +زي بعض في الاتجاه زي بعض في ال brightness زي بعض + +104 +00:09:45,330 --> 00:09:49,670 +في السرعة زي بعض في ال wideness زي بعض بقول خلاص + +105 +00:09:49,670 --> 00:09:54,640 +الحمد لله هذا العين هذا سفير سفير كله سفيرلكن إن + +106 +00:09:54,640 --> 00:09:59,960 +لجيت هك و هك against لأ يبقى انا في المشكلة بتاعة + +107 +00:09:59,960 --> 00:10:03,320 +الastigmatism ان لجيت واحد wide واحد narrow واحد + +108 +00:10:03,320 --> 00:10:09,320 +سريع واحد بطيق بيبين معايا يبقى انا اللاعب الثالث + +109 +00:10:09,320 --> 00:10:15,480 +انه في cylinder axis ولا لا التلاتة دول لازم انا + +110 +00:10:15,480 --> 00:10:18,580 +امشيهم بحيث انا اخد في الآخر ال neutral point منهم + +111 +00:10:20,420 --> 00:10:22,420 +The refractive error will not be probably + +112 +00:10:22,420 --> 00:10:26,820 +neutralized if any one of the three components is + +113 +00:10:26,820 --> 00:10:32,060 +not aligned. بيقول إذا كان أنا لما أراعي الثلاثة + +114 +00:10:32,060 --> 00:10:38,200 +أو واضحهم خطأ في العين ممكن أنا لا أخد نتيجة ولا + +115 +00:10:38,200 --> 00:10:43,680 +أصل إلى نقطة تعادل واضح؟ + +116 +00:10:43,680 --> 00:10:51,620 +طيب الآن بيقول لي أنا المفروضإن أحط الـ exact axis + +117 +00:10:51,620 --> 00:10:55,360 +of primary median can be difficult when there is + +118 +00:10:55,360 --> 00:11:00,560 +small astigmatism يعني يعني الله عز و جل بقول يعني + +119 +00:11:00,560 --> 00:11:07,080 +الذين يجي تنبونا كبائر الإثم والفوحش إلا اللمم إيش + +120 +00:11:07,080 --> 00:11:14,400 +لجينا اللمم في التفسير؟ سائر الذنوب الذين يجي + +121 +00:11:14,400 --> 00:11:22,560 +تنبونا كبائر الإثم والفوحش إلا اللمماللمم صغير منه + +122 +00:11:22,560 --> 00:11:31,680 +اللجوان يعني حاجة نظرة حاجة هذه يعني اللمم فربنا + +123 +00:11:31,680 --> 00:11:36,840 +يعني يقول يعني يغفر اللمم أما كبائر أثمة في الوحش + +124 +00:11:36,840 --> 00:11:43,400 +الفوحش الكبائر هذه يعني شيء صعب هنا small + +125 +00:11:43,400 --> 00:11:48,000 +astigmatism صعبة علينا ان نكتشفه بت نفسنا + +126 +00:11:50,820 --> 00:11:56,240 +طب كيف نحاول اننا الصعب نجعله سهل نعمل enhancing + +127 +00:11:56,240 --> 00:12:02,380 +or narrowing يعني الان انتوا بتشتغلوا sleeve down + +128 +00:12:02,380 --> 00:12:09,480 +في الويلش ألين الويتنوسكوب صح؟ sleeve down هو + +129 +00:12:09,480 --> 00:12:17,340 +بيقوللي حاول تطلع شوية لفوق ال sleeve بصير دوئك + +130 +00:12:17,340 --> 00:12:23,580 +ضيقبعد هيك ممكن لما تشتغل هيك على اللي هو الكورنيا + +131 +00:12:23,580 --> 00:12:29,220 +انه يعطيك تصور أحسن لل access في الناس اللي + +132 +00:12:29,220 --> 00:12:34,840 +بيشتغلوا شغل كوبلاند style لأ هم بيعملوا lowering + +133 +00:12:34,840 --> 00:12:38,140 +لل sleep شوية عكسنا احنا الناس اللي بيشتغل في ال + +134 +00:12:38,140 --> 00:12:42,240 +wish island طريقة sleep down لما انا بدي اعمل + +135 +00:12:42,240 --> 00:12:47,700 +enhancing يعني توضيح ليه + +136 +00:12:49,500 --> 00:12:54,580 +الـ streak كويس بديقوا هنا لفوق شوية بحاولوا + +137 +00:12:54,580 --> 00:12:58,140 +تجربوا الكلام هذا اللي بتسمعوه نظري تجربوه عملي + +138 +00:12:58,140 --> 00:13:05,780 +وشوفوا بقول ليه until أفضل أضيق الـ streak أو الـ + +139 +00:13:05,780 --> 00:13:09,780 +intercept is enhanced صار أوضح this narrowing of + +140 +00:13:09,780 --> 00:13:14,580 +the intercept will make it easier to see the axis + +141 +00:13:14,580 --> 00:13:20,120 +of astigmatismشوية صغيرة يعني ملي مترات احركه لفوق + +142 +00:13:20,120 --> 00:13:26,040 +if the sleeve is lower too far يعني عكسنا هم بيقول + +143 +00:13:26,040 --> 00:13:29,000 +lower يعني اعلي احنا عندنا بنعلي و هم بوطوا في + +144 +00:13:29,000 --> 00:13:35,560 +كوبلاند لأ لو انا اعلي على الاخر sleeve لأ بصير + +145 +00:13:35,560 --> 00:13:42,120 +واشر انا اجرب على الحائط الظلامي الحائط هيكعالي + +146 +00:13:42,120 --> 00:13:46,520 +واطي لما شوفوا أثار أضيق إشي أضيق إشي بيجيب نتيجة + +147 +00:13:46,520 --> 00:13:53,780 +أحسن خاصة في تحديد ال axis of astigmatism أو اللي + +148 +00:13:53,780 --> 00:13:58,680 +هو cylinder هاي بقولي بقولي بدك تلاحظ أن ضوئك + +149 +00:13:58,680 --> 00:14:03,260 +streak و ال reflex اللي طالع من العين و ال axis of + +150 +00:14:03,260 --> 00:14:07,780 +cylinder يكونوا في بينهم علاقة تطابقين + +151 +00:14:09,820 --> 00:14:23,560 +شايفين كيف؟ هاي A وهذا A وهي B وهي B وهي C وهي C + +152 +00:14:23,560 --> 00:14:30,400 +ولكن وإحنا بنشتغل لازم نكون عارفين إيش بنشتغل في + +153 +00:14:30,400 --> 00:14:37,300 +ضوءي وفيه reflex والتالتة إذا كان فيه سلندر إلها + +154 +00:14:37,300 --> 00:14:44,220 +axis وحنشرح الآنفي الـ minus سلندر وفي الـ plus + +155 +00:14:44,220 --> 00:14:49,120 +سلندر بيختلفوا عن بعض جاهز نتكلم عنهم ان شاء الله + +156 +00:14:49,120 --> 00:14:56,300 +طيب الان فى سؤال بتكونوا جاوبوا انتوا عليه what is + +157 +00:14:56,300 --> 00:15:00,680 +the difference between meridian and axis بتسمعوا + +158 +00:15:00,680 --> 00:15:04,740 +كلمة meridian وكلمة axis هم نفس الاشي ولا بينهم + +159 +00:15:04,740 --> 00:15:05,200 +فارق + +160 +00:15:10,070 --> 00:15:18,610 +فضّالي ال meridian للكور يعني و ال axis لسلندر و + +161 +00:15:18,610 --> 00:15:25,250 +ال axis لسلندر يعني كل عين فيها meridians لكن مش + +162 +00:15:25,250 --> 00:15:29,590 +كل عين فيها axis يعني + +163 +00:15:29,590 --> 00:15:34,390 +ال meridian الله خلقه سبحانه وتعالى لكن ال axis + +164 +00:15:34,390 --> 00:15:38,870 +حسب هد العين فيها astigmatism ولا لأ بس كان فيها + +165 +00:15:38,870 --> 00:15:44,090 +astigmatismبدوش يعمل ياسيدي correction يبقى أنا مش + +166 +00:15:44,090 --> 00:15:48,350 +هحطله access أصلا مش هحطله نضارة ولا هحطله + +167 +00:15:48,350 --> 00:15:52,130 +contactless لكن إذا كان بده يعمل correction بده + +168 +00:15:52,130 --> 00:15:56,310 +يكون له access يبقى ال access صناعي artificial + +169 +00:15:56,310 --> 00:16:02,250 +بينما ال meridian natural إيش natural؟ طبيعي كل + +170 +00:16:02,250 --> 00:16:05,750 +واحد فينا إيه ال meridian شاء من شاء ولا إياش + +171 +00:16:05,750 --> 00:16:16,250 +وأبقى من أبقى صحك؟ طيبيبقى الـ Meridian هو الخط + +172 +00:16:16,250 --> 00:16:20,650 +اللي يحرك عليه ضوئي في القرنية اسمه Meridian بينما + +173 +00:16:20,650 --> 00:16:25,790 +الـ Axis يعتمد على وجود Astigmatism هل أنا بدي أضع + +174 +00:16:25,790 --> 00:16:30,410 +Plus Cylinder ولا بدي أضع Minus Cylinder؟ طيب، هو + +175 +00:16:30,410 --> 00:16:34,210 +قالك فيه قاعدة إذا كان أنا بدي أضع Minus Cylinder + +176 +00:16:35,810 --> 00:16:42,670 +بدي أحط الـ axis بتاعي عمودي على ال meridian يعني + +177 +00:16:42,670 --> 00:16:53,790 +أنا بقول plus ال axis perpendicular to meridian + +178 +00:16:53,790 --> 00:17:00,290 +إيش + +179 +00:17:00,290 --> 00:17:07,540 +يعني هذه؟ plus a perpendicular to Mرمز هذا إيش + +180 +00:17:07,540 --> 00:17:17,640 +معناه؟ في ال plus سرندر ال axis أحط وين؟ عمودي على + +181 +00:17:17,640 --> 00:17:23,400 +ال meridian اللي أنا بدأ أشتغل عليه طب أنا قبل هيك + +182 +00:17:23,400 --> 00:17:27,300 +شرحتلكوا إن الدوء إيش وضعه الدوء؟ بيكون على ال + +183 +00:17:27,300 --> 00:17:32,420 +meridian دوء أنا اللي بطلع من التنسكوب يعني أنا + +184 +00:17:32,420 --> 00:17:38,580 +الآنلو بدى أعمل الـ streaking لـ meridian الـ 180 + +185 +00:17:38,580 --> 00:17:45,220 +كيف أنا دلوقتي بدي أحطه؟ أحطه في ال 180 ولا أحطه + +186 +00:17:45,220 --> 00:17:51,720 +في ال 90؟ في ال 90 عمودي عليه و أبدأ أخد مرة شمال + +187 +00:17:51,720 --> 00:17:55,340 +و مرة يمين مرة شمال و مرة يمين مرة شمال و مرة يمين + +188 +00:17:55,340 --> 00:18:00,420 +عشان أبين الحركة with و لا against طب العكس المرة + +189 +00:18:00,420 --> 00:18:04,720 +اللى بدي أعمل على القرانية ال meridian ال 90high + +190 +00:18:04,720 --> 00:18:08,620 +ال meridian انتبه يا بناتي هذا كلام مهم ان ان high + +191 +00:18:08,620 --> 00:18:12,700 +ال meridian في التسعين و انا احط ضوء ايه احطه في + +192 +00:18:12,700 --> 00:18:17,280 +التسعين في ال مية و تمانين عمودي عليه هو افضل اعمل + +193 +00:18:17,280 --> 00:18:22,020 +up و down up و down up و down up و down لما ابين + +194 +00:18:22,020 --> 00:18:30,400 +ان الحركة with ولا against طيب الان لو ثبت ان فيه + +195 +00:18:31,810 --> 00:18:35,510 +astigmatism في العين هذه ان واحد يكون with و واحد + +196 +00:18:35,510 --> 00:18:38,390 +يكون against لو واحد يكون wide و واحد يكون narrow + +197 +00:18:38,390 --> 00:18:43,710 +و واحد يكون bright و واحد يكون dim بيقول + +198 +00:18:43,710 --> 00:18:50,470 +في الحالة هذه لو انا اخترت ان اشتغل ب plus + +199 +00:18:50,470 --> 00:18:56,660 +cylinder او minus cylinderهذا خيار انا اللي بدي + +200 +00:18:56,660 --> 00:18:59,280 +اختاره في واحد طول عمره بيشتغل بال plus سيلندر + +201 +00:18:59,280 --> 00:19:02,800 +خلاص بقولك انا انا ارتاح بال plus في واحد بيقولك + +202 +00:19:02,800 --> 00:19:06,020 +لأ يا عمي ال minus لها مزايا اكتر وانا بدي امشي + +203 +00:19:06,020 --> 00:19:10,280 +على ال minus بقوله افهمها وامشي عليها بس التزام في + +204 +00:19:10,280 --> 00:19:14,480 +واحد عقله اكبر بيقول يعني ليش انا اربط حالي وقت ما + +205 +00:19:14,480 --> 00:19:18,600 +بدي بحط plus ووقت ما بدي بحط سيلندر انا انسان زي + +206 +00:19:18,600 --> 00:19:23,300 +ما يقولوا يعني بنفع على كل المواقفالمواقف السهلة + +207 +00:19:23,300 --> 00:19:28,580 +والمواقف الصعبة بقول و الله انت ممتاز فكل انسان بس + +208 +00:19:28,580 --> 00:19:33,960 +يحاول يتقن ما يعمل الان اول شي اللي هم هنشرحه + +209 +00:19:33,960 --> 00:19:39,020 +لجينا استجماتيزم بقولك و الله نشتغل في الأول بال + +210 +00:19:39,020 --> 00:19:46,660 +plus نتعلم نشتغل لو انا اخترت ال plus بتقول دائما + +211 +00:19:47,580 --> 00:19:51,160 +أضع ال axis بتاعها و مبين ال axis يعني العادة ساوي + +212 +00:19:51,160 --> 00:19:55,180 +لها خطين يعني هذا ال axis كام القوة في الخطين + +213 +00:19:55,180 --> 00:20:05,160 +هذولها؟ ال قوة كام؟ zero طب و ال full power وين؟ + +214 +00:20:05,160 --> 00:20:11,480 +perpendicular to it يبقى بيقوللي انا حط ال zero ال + +215 +00:20:11,480 --> 00:20:18,940 +axis عمودي على ال meridianطيب بالنسبة للضوء إيش + +216 +00:20:18,940 --> 00:20:23,880 +هيكون وضعه؟ الـ X السادس موازي لضوء لأنه ضوء أيضا + +217 +00:20:23,880 --> 00:20:29,340 +عمودي يعني هو ضوء مع بعض و هو مليديان هما اتنين + +218 +00:20:29,340 --> 00:20:34,900 +عمودين عليهم طيب طيب لو انا بدى اشتغل بالـ minus + +219 +00:20:34,900 --> 00:20:41,140 +cylinder الطريقة التانية يعني البرض بدى يكون عكس + +220 +00:20:41,140 --> 00:20:48,540 +انا قلت الـ plusa axis عمودي على meridian الان هيك + +221 +00:20:48,540 --> 00:20:54,340 +بتقول minus a parallel + +222 +00:20:54,340 --> 00:21:00,820 +to meridian كيف + +223 +00:21:00,820 --> 00:21:05,420 +رايكم؟ + +224 +00:21:05,420 --> 00:21:07,500 +والله انت مش مجتمعين تشتغلون بالطريقة تانية + +225 +00:21:07,500 --> 00:21:13,760 +تشتغلون في الطريقة واحدةبس يمكنه يفضل سفير سفير + +226 +00:21:13,760 --> 00:21:19,760 +طريقة المبتدئين يعني اللي طلع اول درجة .. اول دور + +227 +00:21:19,760 --> 00:21:22,780 +يعني + +228 +00:21:22,780 --> 00:21:28,900 +لو انه من اهل العزائم بيقول انا بدي اطلع التاني و + +229 +00:21:28,900 --> 00:21:30,660 +لو طلعت التاني عنده اهزم يقول انا بدي اطلع التالت + +230 +00:21:30,660 --> 00:21:37,480 +و بدي اشوف السطوح فوق بس كان هو سفير سفير يعني و + +231 +00:21:37,480 --> 00:21:41,680 +اما اللي يحب يصعد الجبال يعيش أبدا دهر بناه + +232 +00:21:51,000 --> 00:22:08,420 +لما تكون شهادتنا + +233 +00:22:08,420 --> 00:22:13,780 +شهادة فيها علم؟صح طالما مااخدنا شهادة ناخدها أيش؟ + +234 +00:22:13,780 --> 00:22:19,800 +سطر يبقى بقولني في الحالة التانية اه لو بدأ اشتغل + +235 +00:22:19,800 --> 00:22:24,320 +انا ب minus cylinder اه + +236 +00:22:24,320 --> 00:22:28,720 +the axis is parallel to the meridian that we are + +237 +00:22:28,720 --> 00:22:32,100 +streaking ال meridian اللي احنا بنعمله streaking + +238 +00:22:32,100 --> 00:22:36,760 +بنحط أيش موازيه له لأنه معروف ال plus عكس ال minus + +239 +00:22:36,760 --> 00:22:42,370 +و ال minus عكس ال plusطيب السؤال في ال minus + +240 +00:22:42,370 --> 00:22:53,570 +cylinder axis أيش علاقته ب streak الضوء بتاعي؟ أيش + +241 +00:22:53,570 --> 00:22:58,150 +علاقته بالضوء بتاعي؟ ضوءي بالنسبة لل axis بتاع ال + +242 +00:22:58,150 --> 00:22:58,950 +minus cylinder + +243 +00:23:04,810 --> 00:23:13,830 +عمودي عليه؟ عكس؟ تماما عكس ال .. عكس ال plus صح + +244 +00:23:13,830 --> 00:23:19,490 +صح شوية طيب + +245 +00:23:19,490 --> 00:23:26,810 +انتبهوا معايا الان هنشوف الان هنا أنا ناسي الان ال + +246 +00:23:26,810 --> 00:23:31,830 +median هذا مية و تمانين في القرنية هذا مية و + +247 +00:23:31,830 --> 00:23:32,170 +تمانين + +248 +00:23:36,080 --> 00:23:43,520 +هي التفسير الان انا هنا اخترت احط plus cylinder + +249 +00:23:43,520 --> 00:23:49,980 +بقولي حط ال axis بتاع ال plus cylinder وين عمودي + +250 +00:23:49,980 --> 00:23:54,980 +على ال meridian هاي قدناكوا الصورة الخط الأحمر هو + +251 +00:23:54,980 --> 00:24:01,760 +ال meridian و ال plus عمودي عليه طب وضهروا + +252 +00:24:04,690 --> 00:24:08,770 +الضوء parallel ال axis و عمودي على ال meridian + +253 +00:24:08,770 --> 00:24:15,210 +اصلا خلاص احنا حاسبين الضوء من اول بناتي انتبهوا + +254 +00:24:15,210 --> 00:24:19,090 +ال meridian احنا حاسبينه من اول الضوء دائما عمودي + +255 +00:24:19,090 --> 00:24:24,290 +على ال meridian الان في ال plus بس حطينا ال axis + +256 +00:24:24,290 --> 00:24:28,210 +مع الضوء و التانين عمودي على مين؟ على ال meridian + +257 +00:24:28,210 --> 00:24:32,770 +طيب اجلبولي يا أبو الله اجلبولي هذا الرسمي خطو + +258 +00:24:32,770 --> 00:24:45,500 +minus اشوفحطه minus cylinder axis و لا في ال 180 + +259 +00:24:45,500 --> 00:24:51,260 +بس احنا مانقولاش حاجة بعيدة يعني بل انا بقولكوا + +260 +00:24:51,260 --> 00:24:56,160 +اللي منكم بيحفظ هذه بيعمل عكسها وين ما راح الأولى + +261 +00:24:56,160 --> 00:25:01,200 +نهيها في ال plus ال axis عمودي على ال minus بس لو + +262 +00:25:01,200 --> 00:25:05,650 +تيجي ال minus عكسها خلاص يعني تهينخلاص ليش نحفظ + +263 +00:25:05,650 --> 00:25:09,750 +كتير؟ انا زمان في ال effectivity وقت نزل جال و + +264 +00:25:09,750 --> 00:25:14,470 +بنبعد و بنجرب لما نبعد اشي بزيد و لما نبعد اشي + +265 +00:25:14,470 --> 00:25:18,810 +بنجص و العكس صحيح انا حفظت حرفين زمان زمان زمان + +266 +00:25:18,810 --> 00:25:24,690 +قبل اكتر من عشرين سنة قلت انا ال minus ال minus ال + +267 +00:25:24,690 --> 00:25:27,570 +power ال minus ال sphere كل ما اجربها العيني بتزيد + +268 +00:25:27,570 --> 00:25:31,550 +و بس و انسيت الباقي لما اقولوا ليه ال plus بقولوا + +269 +00:25:31,550 --> 00:25:38,200 +عكسهعارفين كيف حتى في القرآن الكريم في حفظ الآيات + +270 +00:25:38,200 --> 00:25:46,080 +برضه في تكتيك يعني تكتيك للحفظ مش طبب يعني لأ في + +271 +00:25:46,080 --> 00:25:54,920 +فن يعني و في أي اشي الفن بخفف العمل و بخليه مقبول + +272 +00:25:54,920 --> 00:26:00,740 +لكن شغل ال .. ال .. ال .. فيش فيه عجل عالفاضي يعني + +273 +00:26:02,050 --> 00:26:08,130 +في دراسة الدكتورة كان معنا طالب عراقي فيعني + +274 +00:26:08,130 --> 00:26:11,890 +الإنسان دائما مع أصحابه بيقلب المناهج يعني بقول + +275 +00:26:11,890 --> 00:26:15,870 +والله الليلة الماضية أنا يعني جريت جراية كاملة + +276 +00:26:15,870 --> 00:26:20,130 +وكويسة وأنجزت إنجازك بيها جالكيف جريت؟ قولت والله + +277 +00:26:20,130 --> 00:26:24,010 +قرأت أربعين صفحة من كتاب كنسكي مشهور كنسكي هذا + +278 +00:26:24,010 --> 00:26:31,720 +كتاب كنسكي clinical ophthalmologyمعروف هذا اللي هو + +279 +00:26:31,720 --> 00:26:36,740 +كتاب العيون كتاب دولي يعني و الآن عندنا أحدث طبعة + +280 +00:26:36,740 --> 00:26:45,860 +وصلتنا يمكن 2014 فهو أنكر عليّ الدكتور سمين يقول + +281 +00:26:45,860 --> 00:26:51,920 +لي لأ أنا لأ أتفق معاك لأ لأ لأ مش هيك صح قلت و + +282 +00:26:51,920 --> 00:27:00,850 +هايش الصح قال الصح كام فكرة صحيحة رسخت عندكمهو + +283 +00:27:00,850 --> 00:27:05,690 +الصفحات فيها صور و فيها رسوم و فيها أشي مكرر + +284 +00:27:05,690 --> 00:27:12,770 +أربعين صفحة كام الصافي؟ + +285 +00:27:12,770 --> 00:27:16,370 +عارفين الصافي؟ كام الصافي؟ والله أنا أخدت من + +286 +00:27:16,370 --> 00:27:20,210 +الكلمة هذه يعني حقيقة فعلا يعني أخدت درس كبير من + +287 +00:27:20,210 --> 00:27:23,110 +زميل إلي معايا يعني ماشي معايا لإن أنا أخدت .. + +288 +00:27:23,110 --> 00:27:29,190 +أخدت دفعة فعلا قولت آه فعلا أنا بدي أخدشيء صافي في + +289 +00:27:29,190 --> 00:27:34,090 +الآخر الكم طلعت بإيش؟ أنا درست أربعين صفحة لكن إيش + +290 +00:27:34,090 --> 00:27:39,190 +اللي ثابت منهم هنا؟ يمكن اللي ثابت منهم أربع في + +291 +00:27:39,190 --> 00:27:42,650 +حين أنا لو درست عشرة كل العشرة يكونوا موجودين + +292 +00:27:42,650 --> 00:27:50,530 +فالآن بس بحفظ إنه في ال plus cylinder بحط ال axis + +293 +00:27:50,530 --> 00:27:55,550 +عمودي على ال meridian خلاص أنسى الباقي لأن الباقي + +294 +00:27:55,550 --> 00:28:05,300 +بيجي عكسهانتهينا هيك؟ فهمتي يا بنتي؟ طيب how to + +295 +00:28:05,300 --> 00:28:13,120 +neutralize a stigmatic eye؟ هذا سؤال كبير كيف + +296 +00:28:13,120 --> 00:28:17,700 +أعادل العين اللي فيها أستجماتيزم؟ هذا تحدي، + +297 +00:28:17,700 --> 00:28:28,350 +challenge أنا بدي أحاول أقتصر بيقوللي إن أناألمت + +298 +00:28:28,350 --> 00:28:34,850 +من الأول بال first retinoscopic examination بدون + +299 +00:28:34,850 --> 00:28:39,390 +لنزل انه + +300 +00:28:39,390 --> 00:28:44,710 +مش زي بعض شيء with وشيء against شيء سريع وشيء + +301 +00:28:44,710 --> 00:28:48,370 +بطيعي شيء واسع وشيء ضيق شيء bright وشيء dim إذا + +302 +00:28:48,370 --> 00:28:53,170 +العين فيها stillness طب من أين أبدأ؟ + +303 +00:28:55,310 --> 00:28:59,990 +بالـ less ametropic axis إيش يعني less ametropic + +304 +00:28:59,990 --> 00:29:11,790 +axis؟ الأقل خطأ الأقل خطأ أبدأ فيه خاصة لما يكون + +305 +00:29:11,790 --> 00:29:18,130 +width بريحني لما يكون width على طول أبدأ مثلا ال + +306 +00:29:18,130 --> 00:29:22,490 +meridian ال 180 بحط الضوء عمودي عليه و أبدأ أحط نص + +307 +00:29:22,490 --> 00:29:29,360 +واحد و واحد و نصكله طالما هو فيه حركة وانا بحطله + +308 +00:29:29,360 --> 00:29:34,940 +بحطله لما يجرب خلاص بحطله ربع لما غاب ال movement + +309 +00:29:34,940 --> 00:29:38,840 +بجفنله وبعدين بعمل verification بعدين بسجن ان + +310 +00:29:38,840 --> 00:29:43,240 +النقطة هذه وصلنا مثلا plus two plus two نص خلاص + +311 +00:29:43,240 --> 00:29:49,240 +sphere يبقى انا ال meridian الأقل خطأ اللي لسه + +312 +00:29:49,240 --> 00:29:58,690 +ametropic عدالته بإيش؟يا جماعة بيش فين؟ طيب .. طيب + +313 +00:29:58,690 --> 00:30:03,350 +يبقى the meridian with the narrow fast reflex will + +314 +00:30:03,350 --> 00:30:07,370 +neutralize first، this meridian will be ninety + +315 +00:30:07,370 --> 00:30:10,490 +degree away from the meridian with the widest + +316 +00:30:10,490 --> 00:30:16,310 +slowest .. أنا أي واحد عندي، عندي هذا الأضيق + +317 +00:30:16,310 --> 00:30:17,690 +الأسرع ال more bright + +318 +00:30:20,860 --> 00:30:28,220 +هيو وعندي العمودي عليه ال white و الدم و ال slow + +319 +00:30:28,220 --> 00:30:35,580 +أبدأ في مين؟ أبدأ في هذا و أحط له هذا إيش؟ سفير + +320 +00:30:35,580 --> 00:30:45,060 +طيب قلت أحطه السفير لما صار neutral صار neutral + +321 +00:30:45,060 --> 00:30:50,450 +صح؟ طيب السفير اللي حطيتهعشان هدى صار ال neutral + +322 +00:30:50,450 --> 00:30:58,630 +اللى هناك هو عيمينكو طبعا هل + +323 +00:30:58,630 --> 00:31:05,870 +اشتغل سفير عالعمودي عليه ولا مخصوش فيه بس اشتغل + +324 +00:31:05,870 --> 00:31:15,690 +على هدى اللى هناك الرأي + +325 +00:31:15,690 --> 00:31:23,370 +السديدالان انا بدأت بهذا بصفير هايو S واحد بصفير + +326 +00:31:23,370 --> 00:31:31,730 +هل التاني هذا اتأثر بصفير ولا مخصوش؟ مخصوش؟ مخصوش؟ + +327 +00:31:31,730 --> 00:31:40,850 +ايش رأيك؟ الصفير اللي حطيته هنا اتأثر + +328 +00:31:40,850 --> 00:31:44,510 +في هذا ولا كل واحد لحاله؟ dream + +329 +00:31:47,820 --> 00:31:51,020 +الباور على كل المحاول على أثرها .. إذا شعرت قلبت + +330 +00:31:51,020 --> 00:31:56,360 +ال .. طيب يعني بقى ثرش .. لأ بقى ثرش .. حق .. إلا + +331 +00:31:56,360 --> 00:31:59,360 +إذا قلبت ال .. أنا مبسوط أن يكون في أراء مختلفة + +332 +00:31:59,360 --> 00:32:05,060 +عارفين إن ال .. اسمه إيش هذا القاسم الفيصل و لا + +333 +00:32:05,060 --> 00:32:08,360 +فيصل قاسم .. فيصل الفاصل في الرأي التجاه المعاكس + +334 +00:32:08,360 --> 00:32:15,070 +بوليها و بصير يضحكأه ما شاطر فيصل اه ايش رأيك يا + +335 +00:32:15,070 --> 00:32:21,430 +بنتي اه ال sphere ال sphere + +336 +00:32:21,430 --> 00:32:25,410 +هذا بيشتغل في ال مية و تمانين degree تلت مية و + +337 +00:32:25,410 --> 00:32:30,210 +ستين اسف degree بيشتغل في التلت مية و ستين degree + +338 +00:32:30,210 --> 00:32:36,190 +يبقى هذا لما وصل صار neutral هذا صار less wide + +339 +00:32:36,190 --> 00:32:45,640 +أيوة شايفين؟أيوة بهمش يمكن واحد يردك في حرف عمرك + +340 +00:32:45,640 --> 00:32:49,760 +ما تنساه مرة + +341 +00:32:49,760 --> 00:32:53,100 +واحد ردني قال اقرا قرآن هذا قبل خمسة و تلاتين سنة + +342 +00:32:53,100 --> 00:32:59,480 +و في سورة يونس اما لا يهدي قال لأ عيد لا يهدي قال + +343 +00:32:59,480 --> 00:33:03,380 +لأ انا بقول يهدي قلت و اكيد يهدي و يومين هو متعرفت + +344 +00:33:03,380 --> 00:33:08,980 +ان انا عندي لازم اتعلم يهدي مش يهديخمس مرات و اقول + +345 +00:33:08,980 --> 00:33:14,060 +يا هدي قال لي لأ يا هدي او جدت مثلا يعني فالواحد + +346 +00:33:14,060 --> 00:33:20,220 +بتعلم لما يختار يبقى ال sphere بيشتغل في 360 + +347 +00:33:20,220 --> 00:33:29,120 +degree دائرة فاللي كان ضيق صار neutral واللي كان + +348 +00:33:29,120 --> 00:33:36,020 +wide صار less wide او صار narrow مش بيدي هذه + +349 +00:33:36,020 --> 00:33:40,890 +القاعدة هيك الأشياء بتشتغلالقوانين ال physics هيك + +350 +00:33:40,890 --> 00:33:45,630 +بتستجيب القوانين هذه احنا أخدنا الفيزيا و خلّينها + +351 +00:33:45,630 --> 00:33:49,910 +طبية ايش بتكون أحسن من هيك حتى جهاز ال LASIK اللي + +352 +00:33:49,910 --> 00:33:55,150 +بضربه فيه المثل هو يعني فكرة الفيزيائيين بس جاله + +353 +00:33:55,150 --> 00:33:58,170 +لطب ايش بدكوا و جاله لهم بدنا كده كده كده راحوا و + +354 +00:33:58,170 --> 00:34:00,770 +عملوا أجهزة ات مليون و اتنين مليون و تلت مليون + +355 +00:34:00,770 --> 00:34:05,190 +دولار الفيزيائيين و جابوا الناس الصانعين يعني + +356 +00:34:05,190 --> 00:34:11,260 +فالتقى الصانعمع الفيزيائي، مع الطبيب، مع الـ + +357 +00:34:11,260 --> 00:34:17,440 +optometrist و طلعولنا الـ laser يبقى بقوللي as we + +358 +00:34:17,440 --> 00:34:23,820 +.. as add plus sphere power the reflex at 90 نرز + +359 +00:34:23,820 --> 00:34:31,660 +هذا هذا نرز and the reflex 180 quickly widens و + +360 +00:34:31,660 --> 00:34:33,420 +بصل هذا ال neutrality + +361 +00:34:36,200 --> 00:34:41,620 +يبقى هذا بتاع ال 180 سلم و بتاع التسعين ما زال فيه + +362 +00:34:41,620 --> 00:34:48,680 +حراك بس أقرب لـ neutralة لسه موصلش بس بده طيب الآن + +363 +00:34:48,680 --> 00:34:54,660 +اللغز لما هذا صار خلاص neutral فاضل هذا في حركة + +364 +00:34:54,660 --> 00:35:02,360 +هنا أحط أنا cylinder ما احتفظي بكل ال sphere كما + +365 +00:35:02,360 --> 00:35:03,640 +هو ماشيلوش + +366 +00:35:06,030 --> 00:35:10,690 +هيرقي في الحالة هذه ان انا مش باهدم عشان ابني جديد + +367 +00:35:10,690 --> 00:35:15,410 +لأ اللي بنيته خليه مكانها سفير لأنها ليه اعتبار + +368 +00:35:15,410 --> 00:35:21,410 +ضيقت الواسع ضيقته لو شيلت بعض بصير واسع لأ خليه + +369 +00:35:21,410 --> 00:35:27,550 +طيب الخطوة اللي بعدها ال next step is to identify + +370 +00:35:27,550 --> 00:35:33,190 +the axis of اللي هو a stigmatism طيب الآن ال + +371 +00:35:33,190 --> 00:35:38,400 +identificationوين احط انا ال axis بتاعي بالظبط + +372 +00:35:38,400 --> 00:35:48,300 +بيقوللي في several clues ايش clues خيوط تشخيصية + +373 +00:35:48,300 --> 00:35:59,420 +clues خيوط تشخيص خيوط تشخيصية clues اول خيط اسمه + +374 +00:35:59,420 --> 00:36:04,060 +thickness phenomena ظاهرة السماكة + +375 +00:36:06,980 --> 00:36:14,640 +to intensity phenomena ظاهرة الشدّة + +376 +00:36:14,640 --> 00:36:16,040 +الشدّة الشدّة الشدّة الشدّة الشدّة الشدّة الشدّة + +377 +00:36:16,040 --> 00:36:18,500 +الشدّة الشدّة الشدّة الشدّة الشدّة الشدّة الشدّة + +378 +00:36:18,500 --> 00:36:18,500 +الشدّة الشدّة الشدّة الشدّة الشدّة الشدّة الشدّة + +379 +00:36:18,500 --> 00:36:19,640 +الشدّة الشدّة الشدّة الشدّة الشدّة الشدّة الشدّة + +380 +00:36:19,640 --> 00:36:19,640 +الشدّة الشدّة الشدّة الشدّة الشدّة الشدّة الشدّة + +381 +00:36:19,640 --> 00:36:19,640 +الشدّة الشدّة الشدّة الشدّة الشدّة الشدّة الشدّة + +382 +00:36:19,640 --> 00:36:24,240 +الشدّة الشدّة الشدّة الشدّة الشدّة الشدّة الشدّة + +383 +00:36:24,240 --> 00:36:31,560 +الشدّة الشدّة الشدّة الشدّة الش + +384 +00:36:36,390 --> 00:36:43,570 +الان احنا ليش بنعمل اربعة؟ بس عشان نعرف وين نحط ال + +385 +00:36:43,570 --> 00:36:47,890 +axis الان + +386 +00:36:47,890 --> 00:36:56,530 +ده ال thickness الان بقوللي انا ابدأ بهذا ال + +387 +00:36:56,530 --> 00:37:04,170 +narrow ولا ابدأ بالwide هذا؟ ابدأ بال narrowلأنه + +388 +00:37:04,170 --> 00:37:09,750 +ناره أقرب للأ طب أبدأ بيه باسفير ولا بسيلندر؟ + +389 +00:37:09,750 --> 00:37:15,030 +باسفير يبقى + +390 +00:37:15,030 --> 00:37:20,030 +the streak reflex appears to be narrowest when we + +391 +00:37:20,030 --> 00:37:22,930 +are streaking ايش streaking يعني؟ احده ايه يعني؟ + +392 +00:37:22,930 --> 00:37:27,130 +streaking احده ايه؟ هاي streaking طب هو اسمه ال + +393 +00:37:27,130 --> 00:37:30,110 +retroscope اللي أنا بشتغل فيه، ايش اسمه؟ streak + +394 +00:37:30,110 --> 00:37:36,930 +retroscopeأصل قبل streak كان perforated mirror + +395 +00:37:36,930 --> 00:37:41,470 +ماكانش + +396 +00:37:41,470 --> 00:37:46,470 +فيه streak لما طلع streak هذا يمكن في سنة التسعين + +397 +00:37:46,470 --> 00:37:52,410 +مثلا أو الخمسة و تمانين كان فتحة مبينة احنا أيامنا + +398 +00:37:52,410 --> 00:37:55,610 +اتعلمنا في الجامعة في الطب العادي لأ لأ لأ كانوا + +399 +00:37:55,610 --> 00:37:59,230 +يقولون اخرم امرأة ينكسر خمسة ستة عشان نقدر نخرم + +400 +00:37:59,230 --> 00:38:06,020 +واحدة و نجيب عن حركةو نحط ضوء و نحط عليه الألمنيوم + +401 +00:38:06,020 --> 00:38:11,480 +هذا عشان يجيب ورا العيان و يجيب الضوء يسقط عليه + +402 +00:38:11,480 --> 00:38:14,600 +المرايا و المرايا تسقط عليه العيان و احنا بالخنم + +403 +00:38:14,600 --> 00:38:18,360 +بتاع المرايا المستديرة نستقبل ال reflex و نحركه + +404 +00:38:18,360 --> 00:38:24,220 +يمين و يشمال و يشمال يمين لأستريك هذا يعني حقيقة + +405 +00:38:24,220 --> 00:38:29,300 +شيء عظيم يعني صحيحأنا بعمل streaking لـ meridian + +406 +00:38:29,300 --> 00:38:33,720 +of the correct axis as you move away from the + +407 +00:38:33,720 --> 00:38:37,600 +correct axis the streak reflex becomes wider بيقول + +408 +00:38:37,600 --> 00:38:44,460 +ليه ان انا لو اشتغل في الاتجاه الصحيح بلاجد ضوء + +409 +00:38:44,460 --> 00:38:50,680 +ضيق لو انا ابعت ضوءي و خلته يعني بعيد مثلا بدل 90 + +410 +00:38:50,680 --> 00:38:56,190 +خلته 60 او 50بل اجيب وشعر اعود احط على التسعين + +411 +00:38:56,190 --> 00:39:02,450 +بصير ضيق احط في التلاتين والاربعين بصير واشعر هذا + +412 +00:39:02,450 --> 00:39:09,270 +ليه علاش ان انا اعدل او اعدل ضوئي ليتماشى مع طبيعة + +413 +00:39:09,270 --> 00:39:14,390 +ال meridian طبيعة ال meridian ان هذا يعني ال + +414 +00:39:14,390 --> 00:39:20,070 +reflex بتاعه بطريقة معينة يعني هو كأنه دليل ليه + +415 +00:39:20,070 --> 00:39:27,610 +بضيق بالغلطبيضيق بالصح وبيتوسع بالخطأ لما أهرّك في + +416 +00:39:27,610 --> 00:39:34,070 +الصح ضوئي ما هو ضوئي بتحرك صح ب sleep لما أهركه مع + +417 +00:39:34,070 --> 00:39:39,410 +الوضع الصحيح بصير narrow لما أبيضه عن الوضع الصحيح + +418 +00:39:39,410 --> 00:39:46,370 +بصير wide زي هنا wide و narrow wide بالخطأ و + +419 +00:39:46,370 --> 00:39:55,920 +narrow بالصح طب انت نستيطبعا معروف بقول the streak + +420 +00:39:55,920 --> 00:39:59,760 +reflex appears brightest when you are streaking + +421 +00:39:59,760 --> 00:40:04,320 +the meridian ال correct axis طب لو انت روحت بعيد + +422 +00:40:04,320 --> 00:40:12,600 +عنه او ايه بصير ايش دم؟ بصير دم وهذا صح يعني انا + +423 +00:40:12,600 --> 00:40:20,180 +لما اوجه ضوءي صح صح صح بصير bright كل ما ابد بصير + +424 +00:40:20,180 --> 00:40:26,140 +دم دم دم دموهي ظاهرة انتوا جربوها جربوها في أي عين + +425 +00:40:26,140 --> 00:40:30,620 +فيها استجماتيزي و ستيف فيها أصبعك ال index finger + +426 +00:40:30,620 --> 00:40:42,000 +وشوفي وقتش بصير more dim وقتش بصير more bright طيب + +427 +00:40:42,000 --> 00:40:46,760 +ال break فين هنا؟ ايش انتوا ملاحظينه؟ لما يكون بين + +428 +00:40:46,760 --> 00:40:49,660 +ال reflex وبين ضوء زاوية + +429 +00:40:53,840 --> 00:41:01,440 +هذا الـ break لما أعدّل ضوءي و أصبح موازي سيصبح + +430 +00:41:01,440 --> 00:41:08,940 +ما؟ سيصبح مافيش break بل ال break التكسر هذا in + +431 +00:41:08,940 --> 00:41:11,900 +higher amounts of astigmatism the red reflex will + +432 +00:41:11,900 --> 00:41:16,460 +tend to stay on axis even if the streak is rotated + +433 +00:41:16,460 --> 00:41:22,760 +أكثر بقول إن هذا هو ال reflex وهذا هو ال streak + +434 +00:41:24,290 --> 00:41:31,050 +بيقول حتى لو أنا عملت اتجاه خطأ فلا أغير من ال + +435 +00:41:31,050 --> 00:41:34,890 +reflex أنا + +436 +00:41:34,890 --> 00:41:41,790 +بضطر أن أعمل ضوء صح عشان يكونوا مع بعض هل ي break؟ + +437 +00:41:41,790 --> 00:41:47,870 +في زاوية بينهم، إذا خطأ، مافي زاوية بينهم، إذا صح + +438 +00:41:47,870 --> 00:41:56,370 +هل ي break؟أما skew فهي في التطبيق الآن هذا اللي + +439 +00:41:56,370 --> 00:42:05,670 +شايفينه متحرك هذا في انحراف مافيش توافق بين ضوءي + +440 +00:42:05,670 --> 00:42:10,390 +وبين ال reflex skew + +441 +00:42:10,390 --> 00:42:18,750 +اسمه الحين اعرف طب ايش الحل ل skew انا اعدل ضوءي + +442 +00:42:18,750 --> 00:42:25,550 +في الجهة الصحيحةبختفي skill هو بيقولك الان انت + +443 +00:42:25,550 --> 00:42:33,670 +بتعمل verification انت بتعمل اثبات وبرهان على انك + +444 +00:42:33,670 --> 00:42:39,230 +في ال good axis او في ال correct axis فالطريقة + +445 +00:42:39,230 --> 00:42:44,210 +هتطلعلك مشاكل انت كل ما تغلبت عن المشاكل بتصل لل + +446 +00:42:44,210 --> 00:42:51,820 +axis الصحيح بتعرفه زي نشان بتعرف النشانإن كنتوا + +447 +00:42:51,820 --> 00:43:01,160 +أطفال مار عليكوا نشان كنا زي ما نجيب خشب شعبة ونحط + +448 +00:43:01,160 --> 00:43:05,180 +فيها الحجر + +449 +00:43:05,180 --> 00:43:12,940 +الصغير ونشوف العصفور ونحطه في النص نقدره عشرة واحد + +450 +00:43:12,940 --> 00:43:17,780 +يصيب فكانوا يقولوا أه كل ما كانت أضيق كل ما كانت + +451 +00:43:17,780 --> 00:43:23,520 +أحسن كيف تقصها من الشجرة أضيقلكن كل مكان أوسع كنت + +452 +00:43:23,520 --> 00:43:26,360 +فاكره انه بتجيبه خطأ واحد جايبليها بينهم مثلا + +453 +00:43:26,360 --> 00:43:30,200 +عشرين سانتي لأ لكن بينهم خمس سانتي بيقول لك هاني + +454 +00:43:30,200 --> 00:43:36,500 +هي اللي بتجيبها هادي بالتجارب و هانا زيك how to + +455 +00:43:36,500 --> 00:43:45,080 +diagnose the correct location or axis of ده ايش ده + +456 +00:43:45,080 --> 00:43:48,600 +اللي هو axis of a cylinder + +457 +00:43:52,080 --> 00:43:57,000 +يبقى أسكيه بقول if we streak a meridian that is + +458 +00:43:57,000 --> 00:44:02,040 +away from the meridian بعيدا عن ال meridian of the + +459 +00:44:02,040 --> 00:44:04,900 +correct axis the reflex will tend to travel along + +460 +00:44:04,900 --> 00:44:07,140 +correct meridian rather than follow the streak + +461 +00:44:07,140 --> 00:44:11,480 +يعني ال reflex ما بيطوعني ال reflex هذا شايفينه + +462 +00:44:11,480 --> 00:44:18,400 +هذا بيفضل هو صح ماشي صح وخطأ وين في ضوء انا خطأ في + +463 +00:44:18,400 --> 00:44:20,580 +ضوء انا يعني كأنه شيء بيقوللي + +464 +00:44:23,520 --> 00:44:28,560 +اعدل اعدل يعني الطريق لها رصيف انا بسوق سيارة انا + +465 +00:44:28,560 --> 00:44:30,540 +بدرب في الرصيف طب و رصيف بيقولي يعني ايه ايه ايه + +466 +00:44:30,540 --> 00:44:34,220 +ايه ايه ايه ايه ايه ايه ايه ايه ايه ايه ايه ايه + +467 +00:44:34,220 --> 00:44:34,360 +ايه ايه ايه ايه ايه ايه ايه ايه ايه ايه ايه ايه + +468 +00:44:34,360 --> 00:44:34,540 +ايه ايه ايه ايه ايه ايه ايه ايه ايه ايه ايه ايه + +469 +00:44:34,540 --> 00:44:35,540 +ايه ايه ايه ايه ايه ايه ايه ايه ايه ايه ايه ايه + +470 +00:44:35,540 --> 00:44:43,320 +ايه ايه ايه ايه ايه ايه ايه ايه + +471 +00:44:43,320 --> 00:44:47,840 +اي + +472 +00:44:48,790 --> 00:44:53,530 +طيب هاي الظواهر اللي احنا أخدناها فضل Struggling + +473 +00:44:53,530 --> 00:45:00,290 +Struggling طريقة عجيبة يعني باختصار بقول افرض اني + +474 +00:45:00,290 --> 00:45:08,330 +انا ضننت ان احسن شي هو التسعين ال axis في التسعين + +475 +00:45:08,330 --> 00:45:15,110 +90 degree good axis انا بقولك اه كويس بس بتجرى + +476 +00:45:15,110 --> 00:45:18,480 +تثبتها دهبيقولي كيف اثبت هذا؟ بيقولي اعمل + +477 +00:45:18,480 --> 00:45:23,440 +straddling ايش يعني straddling؟ بيقولي اعمل على + +478 +00:45:23,440 --> 00:45:29,220 +جانبيه في الخمسة واربعين والجانب التالي مية وخمسة + +479 +00:45:29,220 --> 00:45:35,100 +وتلاتين مية وخمسة وتلاتين مرة + +480 +00:45:35,100 --> 00:45:40,060 +حط ضؤاك هنا وحط ضؤاك هنا على جانبيه اللي انت + +481 +00:45:40,060 --> 00:45:53,140 +اخترته التسعينوقارن هل الـ 135 مرة أوضح وأسرع من + +482 +00:45:53,140 --> 00:45:59,200 +ال 90 ولا ال 90 هو الأوضح وأسرع و more bright + +483 +00:45:59,200 --> 00:46:03,300 +تعرفين + +484 +00:46:03,300 --> 00:46:07,670 +ضدها تعرفوا الأشياءيعني واحد خمن قال أنا والله + +485 +00:46:07,670 --> 00:46:10,750 +التسعين هذا تمام إجا هاي ال axis اللي أنا بدأ + +486 +00:46:10,750 --> 00:46:15,110 +أشتغل فيه لسه بدي أحطله عدسات يعني مش بحط العدسات + +487 +00:46:15,110 --> 00:46:18,090 +و بعدين بدور على ال axis لأ في الأول بدور على ال + +488 +00:46:18,090 --> 00:46:23,930 +axis بعدين بحط ال lenses فانا المهم و أين ال axis + +489 +00:46:23,930 --> 00:46:28,090 +هذه مشكلة المشاكل اللي جتها ال axis بعد هي كان إشي + +490 +00:46:28,090 --> 00:46:33,620 +سهل ال neutral point بالتدريج بصل إليهافبقولي انت + +491 +00:46:33,620 --> 00:46:37,400 +اخترت التسعين قبل فترة دي ساعة بقوله اه بقول طب + +492 +00:46:37,400 --> 00:46:41,200 +الله اطلعلي على الجانب اليمين خمسة و أربعين هيو + +493 +00:46:41,200 --> 00:46:46,120 +اطلعلي على الجانب اليمين و اعملي ايش struggling + +494 +00:46:46,120 --> 00:46:51,700 +اعملي streaking للخمسة و أربعين قارن بين الخمسة و + +495 +00:46:51,700 --> 00:46:55,640 +أربعين وضوحه و شرعته و ال thickness بتاعه و + +496 +00:46:55,640 --> 00:47:02,620 +التسعين مين أحسن؟التسعين بيقولوا انت من التسعين + +497 +00:47:02,620 --> 00:47:13,400 +اطلعلى 135 على الشمال على الشمال وشوف ليه السرعة و + +498 +00:47:13,400 --> 00:47:18,220 +الوضوح و ال thickness أحسن في التسعين و لا 135؟ + +499 +00:47:18,220 --> 00:47:25,760 +اللي قال لأ 135 أحسن بقول اه شايف ال 135 أحسن إذا + +500 +00:47:25,760 --> 00:47:32,260 +عدل التسعين ل 135هذا اسمه Struggling على جانبيه + +501 +00:47:32,260 --> 00:47:39,740 +مقارنة وانا عجبني شعر زمان قال لا يسلم الشرف + +502 +00:47:39,740 --> 00:47:48,640 +الرفيع من الأذى حتى يراقع على جوانبه الدم كيف؟ قال + +503 +00:47:48,640 --> 00:47:53,960 +الشرف الرفية الحرية والاستقلال والسيادة لا يسلم + +504 +00:47:53,960 --> 00:47:58,930 +الشرف الرفيع من الأذىحتى إيش صاحب يعمل Escape Dam + +505 +00:47:58,930 --> 00:48:06,970 +حتى يراقى على جوانبه الدم وهذا Straddling على + +506 +00:48:06,970 --> 00:48:13,790 +جوانبه الدم يعني أنا اختارت ال 90 بدي مرة أقارنه + +507 +00:48:13,790 --> 00:48:19,110 +بال 45 جاب نحط عدسات و مرة أقارنه 125 والله هنا + +508 +00:48:19,110 --> 00:48:24,170 +جيت ال 90 هو المية المية خلاص كف الله المؤمنين + +509 +00:48:25,200 --> 00:48:32,820 +القتال لكن لو رجيت ال 45 او 135 احسن فالرجوم + +510 +00:48:32,820 --> 00:48:40,060 +للحق فضيلة بدرجة على الحق و اختار الأحسن جاب ما حط + +511 +00:48:40,060 --> 00:48:44,720 +العدسات المشكلة تانية بقول طب انت افرض طالماك ال + +512 +00:48:44,720 --> 00:48:50,780 +45 احسن جال الآن اعمل straddling ل 45 طب و اين ال + +513 +00:48:50,780 --> 00:48:52,120 +straddling هيكون في ال 45 + +514 +00:48:56,210 --> 00:49:03,490 +هيكون في المية و تمانين و في التسعين أحسن في المية + +515 +00:49:03,490 --> 00:49:09,130 +و تمانين و في التسعين بس يعني لو طلع المية و + +516 +00:49:09,130 --> 00:49:13,570 +تمانين هو الصح بكون أنا من أساس بشتغل بعيد بعيد + +517 +00:49:13,570 --> 00:49:19,610 +يعني أنا نايم يعني معقول أن أنا أختار التسعين و + +518 +00:49:19,610 --> 00:49:26,500 +يطلع الصح مية و تمانين جريب ولا بعيد هذا؟يعني انا + +519 +00:49:26,500 --> 00:49:30,960 +اتحملت تكون اه 45 يعني انا غلط في ال 45 درجة لكن + +520 +00:49:30,960 --> 00:49:34,080 +انا غلط في 90 درجة كاملين معناه ان انا مش كاين + +521 +00:49:34,080 --> 00:49:42,280 +مركز عرفتوا ايش struggling على جانبيه اه طبعا هذا + +522 +00:49:42,280 --> 00:49:46,420 +مش ملزم لكم صح ملزم في الامتحان لكن هل ملزم ان + +523 +00:49:46,420 --> 00:49:51,220 +تشتغلوا فيه كل مرة لأ بعد الواحد مايعرف ميه + +524 +00:49:51,220 --> 00:49:56,100 +الطريقة في الآخر بيكيف نفسه مع طريقة واحدةبس يالما + +525 +00:49:56,100 --> 00:50:01,180 +يسأله في العلم الأكاديمي لازم يكون عارف الكل طيب + +526 +00:50:01,180 --> 00:50:08,900 +هاي ال 45 و 135 و هذا شرحناه كله هاي شوف الأول + +527 +00:50:08,900 --> 00:50:14,400 +مثلا هاي هاي + +528 +00:50:14,400 --> 00:50:19,320 +الأول طلع + +529 +00:50:19,320 --> 00:50:24,910 +هنا بعدين أخدنا ع جنبه 45 وع جنبه 45وعملنا إيش؟ + +530 +00:50:24,910 --> 00:50:31,850 +straddling تنسوش كلمة straddling على جانبيه مرة + +531 +00:50:31,850 --> 00:50:37,770 +كده و مرة كده هذا + +532 +00:50:37,770 --> 00:50:45,010 +لسه قبل ما أحط سفير .. هذا قبل ما أحط .. أه أه هذا + +533 +00:50:45,010 --> 00:50:45,710 +لسه بدري + +534 +00:50:48,890 --> 00:50:54,790 +أنا سفير ..ماشي شكرا لكم أنا سفير خلصت منه اشتغلت + +535 +00:50:54,790 --> 00:50:59,210 +بسفير و الآن خلصت واحد meridian اللي هو صار + +536 +00:50:59,210 --> 00:51:04,010 +نيوترال قبل شوية هيه يعني هذا هيه خلاص وصل نيوترال + +537 +00:51:04,010 --> 00:51:07,270 +اللي أنا بدي أستغل في التاني هنا هذا بدي أستغله + +538 +00:51:07,270 --> 00:51:11,610 +أنا بسفير قبل ما انا أحط السفير ..أسف سلندر قبل ما + +539 +00:51:11,610 --> 00:51:15,030 +أحط السلندر بدي أعرف أين أحط ال axis بتاعها + +540 +00:51:17,670 --> 00:51:21,990 +عشان أحط ال axis بتاعها صح ان اشتغلت كل الشغل هذا + +541 +00:51:21,990 --> 00:51:28,050 +شايفين اشتغلت على أربع هذه وين هم الأربع؟ هذا هاي + +542 +00:51:28,050 --> 00:51:33,950 +الأربع هذه ممكن تشتغل على واحدة منهم او اتنين او + +543 +00:51:33,950 --> 00:51:40,590 +تلاتة او على أربعة المهم في الآخر تحطيلي ال axis + +544 +00:51:40,590 --> 00:51:47,980 +أو cylinder صح وبعدين تبدأي تحطييعني هذا أساس لسه + +545 +00:51:47,980 --> 00:51:51,020 +قبل ما أضع السليندر يعني قبل ما أضع السليندر وكيف + +546 +00:51:51,020 --> 00:51:58,140 +أضع السليندر هذا لسه تأسيس له يعني عرفته كيف ال + +547 +00:51:58,140 --> 00:52:05,640 +thickness phenomenon عالسريعة ال intensity skew لو + +548 +00:52:05,640 --> 00:52:10,940 +اخترت حسب التلات الأولى بعمل struggling و بعدين + +549 +00:52:10,940 --> 00:52:16,120 +لما أحد ال axis بالظبط و أن هو أبدأ أفضلمثلا plus + +550 +00:52:16,120 --> 00:52:20,180 +أفضت نص ثم واحد ثم واحد و نص ثم ايش الـ streaking + +551 +00:52:20,180 --> 00:52:24,060 +لما انا اعمل اتنين مثلا ايجا نيوترال تمام خلصنا + +552 +00:52:24,060 --> 00:52:28,800 +يبقى خلصنا التاني بـ cylinder والأولان زي ما هو + +553 +00:52:28,800 --> 00:52:32,900 +بسفير النتيجة سفيره cylinder الأول بسفير والتاني + +554 +00:52:32,900 --> 00:52:42,440 +cylinder هي الطريقة الرقية مش كتير صعبة طيب هذا ال + +555 +00:52:45,980 --> 00:52:49,360 +هذا البرنامج بيغلب لأنه كل شوية بيقولك انه مش أصلي + +556 +00:52:49,360 --> 00:52:54,860 +not genuine شايفين؟ + +557 +00:52:54,860 --> 00:53:00,820 +مش عارف شايفين؟ + +558 +00:53:00,820 --> 00:53:08,260 +not genuine لأنه مش genuine يا أبو حمزة بيغلب مش + +559 +00:53:08,260 --> 00:53:10,920 +أصلي بيقولك طيب + +560 +00:53:15,750 --> 00:53:21,370 +الان احنا خلصنا للاخر لما خلصنا ايش؟ اخر حاجة طيب + +561 +00:53:21,370 --> 00:53:27,490 +خلصت straddling؟ the next step is to neutralize + +562 +00:53:27,490 --> 00:53:33,410 +the astigmatism with plus cylinder power حددنا ال + +563 +00:53:33,410 --> 00:53:39,890 +access يلا بنبدأ نحط عدسات تقول remember تذكر ايش؟ + +564 +00:53:39,890 --> 00:53:45,210 +ان المريض انا اول اعني خلصناها بايش؟بسفير في الأول + +565 +00:53:45,210 --> 00:53:49,130 +already بسفير خلصنا الأولاني the meridian ninety + +566 +00:53:49,130 --> 00:53:55,410 +degree away العمودي عليه still ما with motion we + +567 +00:53:55,410 --> 00:53:58,090 +begin by streaking the meridian that has the + +568 +00:53:58,090 --> 00:54:03,230 +brightest narrowest reflex خلصناها هذا أه ولكن + +569 +00:54:03,230 --> 00:54:07,370 +since we are using plus cylinder lens يالا إيش + +570 +00:54:07,370 --> 00:54:13,100 +هنحط ال axis بتاعهاعمودي على ال meridian in other + +571 +00:54:13,100 --> 00:54:17,360 +words يعني هنا في ال مية و تمانين هاي حطيها في + +572 +00:54:17,360 --> 00:54:22,720 +المية و تمانين اه و ضوءي هنا و meridianي هنا في + +573 +00:54:22,720 --> 00:54:29,890 +التسعين انا ال meridian بتاعي مع ضوءيأسف اللي هو + +574 +00:54:29,890 --> 00:54:34,970 +ال .. ال meridian هنا وضوءي مع ال .. ضوءي هذا مع + +575 +00:54:34,970 --> 00:54:38,150 +ال axis عمودي عليه ضوءي مع ال axis عمودي عليه زي + +576 +00:54:38,150 --> 00:54:43,530 +ما تقولنا نحن نستخدم ال 90 اه بط ال axis of سيلندر + +577 +00:54:43,530 --> 00:54:47,910 +في ال 180 هذه ال axis هنا هنا ال axis وهنا الأحمر + +578 +00:54:47,910 --> 00:54:52,970 +هذا ال meridian خلاص الأحمر ال meridian طيب + +579 +00:54:56,860 --> 00:55:07,060 +بنحط plus cylinder نص نص نص نص نص نص نص نص نص نص + +580 +00:55:07,060 --> 00:55:09,940 +نص نص نص نص نص نص نص نص نص نص نص نص نص نص نص نص نص + +581 +00:55:09,940 --> 00:55:09,940 +نص نص نص نص نص نص نص نص نص نص نص نص نص نص نص نص نص + +582 +00:55:09,940 --> 00:55:09,940 +نص نص نص نص نص نص نص نص نص نص نص نص نص نص نص نص نص + +583 +00:55:09,940 --> 00:55:10,380 +نص نص نص نص نص نص نص نص نص نص نص نص نص نص نص نص نص + +584 +00:55:10,380 --> 00:55:11,800 +نص نص نص نص نص نص نص نص نص نص نص نص نص نص نص نص نص + +585 +00:55:11,800 --> 00:55:14,300 +نص نص نص نص نص نص نص نص نص نص نص نص نص نص + +586 +00:55:22,160 --> 00:55:30,900 +الأقل وبحط الأكتر لمثل ايش approaching neutral + +587 +00:55:30,900 --> 00:55:37,440 +point أو neutrality by plus cylinder power ايش + +588 +00:55:37,440 --> 00:55:45,320 +ال end point neutral point صرت انا يعني مش مقدر + +589 +00:55:45,320 --> 00:55:49,440 +احدد ال reflex هل هو with ولا against بقولي هنا + +590 +00:55:49,440 --> 00:55:57,350 +أقفولا أتقدم ماتقدمش ليش؟ لأنه بيقوللي ال neutral + +591 +00:55:57,350 --> 00:56:01,850 +point هذه شيء واسع neutral point أو reflex the + +592 +00:56:01,850 --> 00:56:05,390 +reflex may appear neutral over a wide range ايش + +593 +00:56:05,390 --> 00:56:13,710 +wide range؟ مدى بعيد كبير of power settings يبقى + +594 +00:56:13,710 --> 00:56:17,050 +الآن أنا الناس بيقولولي أمامك حفرة + +595 +00:56:19,720 --> 00:56:26,100 +هل أنا أمضي إلى إن قدمي تصبح داخل الحفرة؟ و لا + +596 +00:56:26,100 --> 00:56:32,700 +قريب على الحافة هنا و أقف و أنظر بعدين الحفرة كم + +597 +00:56:32,700 --> 00:56:37,700 +هي؟ كيف هي؟ أما لو ضقت قدمي داخل الحفرة فمعناه إن + +598 +00:56:37,700 --> 00:56:44,440 +رأسي حصير داخل الحفرة الـ neutral point بدا شيء من + +599 +00:56:44,440 --> 00:56:48,880 +الحذر يقول لي إن أصبعت على الحافة كيف؟ لا تكمل + +600 +00:56:49,740 --> 00:56:55,760 +بعدين بيجي verification بعدين، هنقوله بعدين طيب + +601 +00:56:55,760 --> 00:57:02,660 +طيب + +602 +00:57:02,660 --> 00:57:12,220 +الآن الأفضل أنه أعادل least with least with هذي + +603 +00:57:12,220 --> 00:57:19,470 +لما يكون hypermetrop أو حتى امتروبleast with طب لو + +604 +00:57:19,470 --> 00:57:28,270 +كان عندي against ما يقبل لو كان عندي against + +605 +00:57:28,270 --> 00:57:36,810 +بقوللي ال most against أعده في الأول يبقى أنا اللي + +606 +00:57:36,810 --> 00:57:43,630 +بعده في الأول ال least with أو ال most againstوهذا + +607 +00:57:43,630 --> 00:57:48,370 +يعني طريقة تستخدم من الناس اللي عندهم خبرة most + +608 +00:57:48,370 --> 00:57:55,370 +experienced heteroscopist أنه شوف ال width مين + +609 +00:57:55,370 --> 00:57:59,590 +أقرب لل width و بياخده في الأول و if كانوا against + +610 +00:57:59,590 --> 00:58:07,150 +مين أبعد و بياخده في الأول أسهل يعني طيب the + +611 +00:58:07,150 --> 00:58:10,730 +meridian that has thinnest quickest + +612 +00:58:12,090 --> 00:58:22,670 +with movement ويحطوا معها brightest وthinnest + +613 +00:58:22,670 --> 00:58:26,650 +وquickest is the appropriate meridian to + +614 +00:58:26,650 --> 00:58:29,950 +neutralize the first biosphere هاي بنتكلم + +615 +00:58:29,950 --> 00:58:36,590 +biosphere this will make the second narrow + +616 +00:58:39,090 --> 00:58:42,410 +يعني لما أعمل ال neutrality بالسفير لواحد إيش + +617 +00:58:42,410 --> 00:58:51,710 +الثاني حيصير فيه؟ هاي الكلام نحنا لما الأولاني صار + +618 +00:58:51,710 --> 00:58:58,290 +neutral التاني جرب بعد ما كان .. شايفين هنا كيف؟ + +619 +00:58:58,290 --> 00:59:04,810 +كان واحد منهم ضيق كتير واسع لما خلصنا إحنا هذا + +620 +00:59:04,810 --> 00:59:10,290 +بالسلامة هذا إيش بدأ يقترباللي بدأ يقترب هذا + +621 +00:59:10,290 --> 00:59:18,070 +التاني بده سلندر هذا بده سفير هذا بده سلندر واضح + +622 +00:59:18,070 --> 00:59:30,450 +طيب plus + +623 +00:59:30,450 --> 00:59:34,890 +سلندر طيب + +624 +00:59:34,890 --> 00:59:38,850 +الان انا في درس تاني اللي هو minus مش هخش في اليوم + +625 +00:59:40,770 --> 00:59:44,750 +مش هدخل في ال minus cylinder عشان ما ندخلش نلعب في + +626 +00:59:44,750 --> 00:59:47,590 +بعضه بس بنا المرة اللي جاي ان شاء الله نعمل + +627 +00:59:47,590 --> 00:59:53,410 +discussion ليه ال plus cylinder تكونوا جانينه كويس + +628 +00:59:53,410 --> 00:59:57,910 +و عاملينه زي quiz صغير يعني تكونوا عرفتوا إيش ال + +629 +00:59:57,910 --> 01:00:02,850 +plus cylinder تمام و كيف نعمل الظواهر الأربعة هذه + +630 +01:00:02,850 --> 01:00:08,610 +اللي كنا عنهاالـ intensity و ال thickness و ال + +631 +01:00:08,610 --> 01:00:13,950 +intensity و ال skew و ال break و straddling عشان + +632 +01:00:13,950 --> 01:00:18,570 +نعمل discussion عشان لما نيدي لل minus ان يكون سهل + +633 +01:00:18,570 --> 01:00:23,770 +الوضع ان احنا نعمل مقارنة شكرا لكم و السلام عليكم + diff --git a/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/2SWj8fUNUL4_postprocess.srt b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/2SWj8fUNUL4_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..45eae4c56997a80c21b57922e28be7c9ca0eb132 --- /dev/null +++ b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/2SWj8fUNUL4_postprocess.srt @@ -0,0 +1,2572 @@ +1 +00:00:21,350 --> 00:00:23,550 +أعوذ بالله من الشيطان الرجيم بسم الله الرحمن + +2 +00:00:23,550 --> 00:00:26,790 +الرحيم الحمد لله رب العالمين وأصلي وأسلم على النبي + +3 +00:00:26,790 --> 00:00:29,890 +الأمين وعلى أهلي وأصحابي وأتابين السلام عليكم + +4 +00:00:29,890 --> 00:00:33,230 +ورحمة الله وبركاته في هذا اليوم سوف نتاول موضوعا + +5 +00:00:33,230 --> 00:00:40,330 +هاما جدا اللي هو anisoconia anisoconia in Arabic + +6 +00:00:40,330 --> 00:00:52,120 +عدم تساوي حجم الصورتين في مركز الإبصار في المخوهذا + +7 +00:00:52,120 --> 00:00:58,100 +موضوع في الحياة العملية كثير ما يتكرر ناس كتير + +8 +00:00:58,100 --> 00:01:04,480 +عندهم refractive errors بيروح فن البصريات بديوم ال + +9 +00:01:04,480 --> 00:01:13,600 +full correction بينسى انه ال concave lens تعمل + +10 +00:01:13,600 --> 00:01:17,240 +minification و ال convex lens تعمل magnification + +11 +00:01:19,510 --> 00:01:23,070 +العدسة الموجبة بتعمل magnification والعدسة السابقة + +12 +00:01:23,070 --> 00:01:27,190 +بتعمل minification يعني تلقائيًا مجرد ما حطيته + +13 +00:01:27,190 --> 00:01:31,830 +نضارة بهذه الوصفية أصبحت اختلاف الصورة في مركز + +14 +00:01:31,830 --> 00:01:36,790 +الإبصار في المخ حتمي والقاعدة + +15 +00:01:36,790 --> 00:01:43,310 +بتقول in adults a difference between the size of + +16 +00:01:43,310 --> 00:01:47,370 +the two images more than five percentis difficult + +17 +00:01:47,370 --> 00:01:52,010 +or impossible to be fused صعب انه يعمل fusion + +18 +00:01:52,010 --> 00:01:57,950 +بالصورة تانية يبقى الناس مش فاهمة يعني الموضوع + +19 +00:01:57,950 --> 00:02:02,350 +بحساب الموضوع بس correction و بعدين مش مهم بعدين + +20 +00:02:02,350 --> 00:02:10,930 +لأ مهم بعد هي اي فرق في الصور ايه مشاكل واضح طيب + +21 +00:02:10,930 --> 00:02:13,370 +يبقى انا اذا كنت في ال type بتاعها that is the + +22 +00:02:13,370 --> 00:02:18,980 +condition wherein the sizeمش بس size and shape of + +23 +00:02:18,980 --> 00:02:23,400 +the two images in the two eyes are unequal shape + +24 +00:02:23,400 --> 00:02:29,780 +وsize يعني مش بس ال size الحجم و الحجم أهم كمان + +25 +00:02:29,780 --> 00:02:34,620 +الشكل يعني متلف مع مستطيل كيف ينطبقوا على بعض مثلا + +26 +00:02:36,290 --> 00:02:39,450 +it occurs commonly and probably can give rise to a + +27 +00:02:39,450 --> 00:02:42,630 +distressing symptoms يعني قصده بقول distressing + +28 +00:02:42,630 --> 00:02:51,350 +يعني مزعجة أو يعني متعبة او محزن its importance in + +29 +00:02:51,350 --> 00:02:54,530 +the causation of ice strain is difficult to assess + +30 +00:02:54,530 --> 00:02:59,830 +يعني مش صعب ان واحد يوصفلك ايش بيسووا من ناحية ال + +31 +00:02:59,830 --> 00:03:04,060 +ice strain يعني ايش كتيرعدم تساوي حجم الصورتين + +32 +00:03:04,060 --> 00:03:11,980 +بيعمل اللي هو ice train صورة كبيرة طيب causes ما + +33 +00:03:11,980 --> 00:03:16,500 +هي الأسباب الأسباب + +34 +00:03:16,500 --> 00:03:23,960 +بقول أول سبب refractive يعني refractive difference + +35 +00:03:23,960 --> 00:03:31,150 +between the refraction of the two ice عينmyop وعين + +36 +00:03:31,150 --> 00:03:34,590 +hypermetropia عين low myop و high myop و العين + +37 +00:03:34,590 --> 00:03:38,190 +التانية high myop عين low hypermetropia وعين high + +38 +00:03:38,190 --> 00:03:42,610 +hypermetropia عين emetropia وعين astigmatic يعني + +39 +00:03:42,610 --> 00:03:46,010 +زي احنا بقولنا زي ال anisometropia ال + +40 +00:03:46,010 --> 00:03:51,290 +anisometropia مختلفة جدا طيب اللي احنا بنأكد عليه + +41 +00:03:51,290 --> 00:03:58,930 +ان كل ما زاد الفرق بينالقوة البصرية للعين تاني زاد + +42 +00:03:58,930 --> 00:04:02,110 +الفرق كلما زادت الانزيكونيا والعكس صحيح التنازع + +43 +00:04:02,110 --> 00:04:10,130 +بإيش؟ طردي بقول كلما زاد الفرق بين الصورتين .. حجم + +44 +00:04:10,130 --> 00:04:13,770 +الصورتين .. كلما زاد الفرق بين القوة البصرية للعين + +45 +00:04:13,770 --> 00:04:18,910 +تاني كلما زاد اختلاف الحجم الانزيكونيا والعكس + +46 +00:04:18,910 --> 00:04:24,200 +الصحيح يعني مثلاالعين اليمين minus one العين + +47 +00:04:24,200 --> 00:04:32,920 +الشمال plus one هذه فرق طيب العكس هذه minus two + +48 +00:04:32,920 --> 00:04:39,600 +العين التانية plus two الفرق أكبر في ال reflection + +49 +00:04:39,600 --> 00:04:43,000 +و الفرق أكبر في حجم الصورة طبعا هذه حتى ال + +50 +00:04:43,000 --> 00:04:46,680 +correction لما بلبس نضارة ايش مصححة و اعطيها ال + +51 +00:04:46,680 --> 00:04:51,100 +full dose طب لان هذه minus three وهذه plus three + +52 +00:04:52,310 --> 00:04:56,890 +طبعا ال optical power صار فرق فيها أكبر في + +53 +00:04:56,890 --> 00:04:59,830 +reflection وبالتالي في حجم الصورة لو أعطيته نضارة + +54 +00:04:59,830 --> 00:05:04,810 +هيكون أكبر لسبب أن هذه العدسات اللي بيعطيها هنا لل + +55 +00:05:04,810 --> 00:05:09,450 +right eye بتعمل minification والعدسات اللي بتعمل + +56 +00:05:09,450 --> 00:05:14,450 +هنا إيش بتعمل magnification يبقى احنا الآن نقول + +57 +00:05:14,450 --> 00:05:19,190 +حتى بدون تصحيح الميوب بيشوف صورة أكبر من + +58 +00:05:19,190 --> 00:05:25,580 +الhypermetraالمايوب شوف صورة أكبر من + +59 +00:05:25,580 --> 00:05:29,820 +الhypermetropia، يبقى أنا الآن أول ما لاجي + +60 +00:05:29,820 --> 00:05:33,280 +anisometropia أقول حتى بدون تصحيح أنه في + +61 +00:05:33,280 --> 00:05:39,200 +anisoconia، قليلة بتكون الفرق الكبير، الفرق في + +62 +00:05:39,200 --> 00:05:42,880 +الrefraction بيكون الفرق إيش في ال anisoconia + +63 +00:05:42,880 --> 00:05:49,670 +كبير، وهكذا، هي السبب الأول، وهذا المش كومةطيب أنا + +64 +00:05:49,670 --> 00:05:55,430 +بدأ أسأل، هل في ناس في ال refraction ال two eyes + +65 +00:05:55,430 --> 00:06:00,250 +equal hundred percent؟ بالكده لأ مافيش .. ما تقولي + +66 +00:06:00,250 --> 00:06:03,010 +بشوف ستة ع ستة، هالستة ع ستة و هالستة ع ستة، في + +67 +00:06:03,010 --> 00:06:06,230 +فرقة كبيرة بين الستة ع ستة و الستة ع ستة، يلا فرقة + +68 +00:06:06,230 --> 00:06:09,790 +كبيرة، طب لو عملت انت refraction، refraction + +69 +00:06:09,790 --> 00:06:15,830 +مظبوط، إلا يكون في quarter diopter، half diopter0 + +70 +00:06:15,830 --> 00:06:22,830 +.75 ديوبتر one ديوبتر فاش ناس isometrope مية + +71 +00:06:22,830 --> 00:06:28,170 +فالمية وبالتالي فاش ناس اللي هو isometrope و + +72 +00:06:28,170 --> 00:06:35,150 +isoconia مية فالمية يعني لأنه ال isometropia بتعني + +73 +00:06:35,150 --> 00:06:40,970 +ال isoconia سيبيكمل ال n الحزف isometropia عكس + +74 +00:06:40,970 --> 00:06:46,830 +anisometropia ال isometropia rareوال isoconial مش + +75 +00:06:46,830 --> 00:06:51,670 +بقول مش موجود اما واحد في العشر ثلاث اضحى زي ال + +76 +00:06:51,670 --> 00:06:59,050 +orthophoria كام ال orthophoria في الناس ال + +77 +00:06:59,050 --> 00:07:04,110 +orthophoria جنينة جدا معظم الناس عندهم + +78 +00:07:04,110 --> 00:07:08,630 +heterophoria مابدوش اقول انا يعني hetero .. ا .. + +79 +00:07:08,630 --> 00:07:12,170 +tropia heterophoria معظم الناس عندهم heterophoria + +80 +00:07:12,170 --> 00:07:17,810 +صح؟Latent sequence of deviation exo او ايزو + +81 +00:07:27,910 --> 00:07:31,490 +يعني بيقول لي في direct proportion and is the + +82 +00:07:31,490 --> 00:07:35,210 +forward present in some degree or in most cases of + +83 +00:07:35,210 --> 00:07:38,250 +anisotropy the diametric image is formed on the + +84 +00:07:38,250 --> 00:07:42,090 +retina إلا ما يكون فيه فرق في ال optical power + +85 +00:07:42,090 --> 00:07:47,730 +وبالتالي في حجم الصورة السبب التاني size of the + +86 +00:07:47,730 --> 00:07:54,210 +image are polygovan essentially + +87 +00:07:55,080 --> 00:08:00,200 +في موقع ال second nodal point from the retina، وين + +88 +00:08:00,200 --> 00:08:07,780 +ال second nodal point هذه؟ احنا عندنا two nodal + +89 +00:08:07,780 --> 00:08:13,580 +points في العين، anterior و فيه posterior، مرات، + +90 +00:08:13,580 --> 00:08:19,060 +ال posterior بكون هنا أو هنا أو هنا أو هنا + +91 +00:08:22,110 --> 00:08:24,630 +موقع الـ posterior nodal point أو الـ second nodal + +92 +00:08:24,630 --> 00:08:30,070 +point قدام الشبكية شوية أكتر أكتر أو ورا الشبكية + +93 +00:08:30,070 --> 00:08:36,110 +أقل أكتر أكتر و هكذا second + +94 +00:08:36,110 --> 00:08:40,410 +nodal point طبعا يختلف من إنسان لإنسان موقع ال + +95 +00:08:40,410 --> 00:08:45,530 +second nodal point لأن هذه تعتمد على الموضوع ال + +96 +00:08:45,530 --> 00:08:46,490 +magnification + +97 +00:08:49,160 --> 00:08:55,200 +يعني لما تكون second nodal point قدام الشبكية ا + +98 +00:08:55,200 --> 00:08:58,400 +بتكون فيه magnification ورا الشبكية بتكون فيه + +99 +00:08:58,400 --> 00:09:02,040 +minification اللي هو hypermetropia يعني + +100 +00:09:02,040 --> 00:09:08,500 +hypermetropia وبالتالي ينبني على هذا انه احنا + +101 +00:09:08,500 --> 00:09:14,480 +بنعمله correction باللي هو lenses ال lenses اللي + +102 +00:09:14,480 --> 00:09:18,760 +بنعمل فيها correctionهي هذي مهمة جدا في ال + +103 +00:09:18,760 --> 00:09:22,120 +effectivity of correcting lenses what is the + +104 +00:09:22,120 --> 00:09:27,980 +effectivity of correcting lenses؟ ايش ال + +105 +00:09:27,980 --> 00:09:32,280 +effectivity of correcting lenses؟ effectivity، + +106 +00:09:32,280 --> 00:09:38,400 +lens effectivity الموضوع + +107 +00:09:38,400 --> 00:09:45,580 +العدسة عندما تقترب من العين أو تبتعد من العينالـ + +108 +00:09:45,580 --> 00:09:49,560 +plus lenses كل ما اقتربت من العين كل ما ال + +109 +00:09:49,560 --> 00:09:55,860 +effectivity بتاعتها قلت ولا زادت؟ قلت و ال plus + +110 +00:09:55,860 --> 00:09:59,140 +lenses كل ما ابعتها عن العين كل ما زادت ال + +111 +00:09:59,140 --> 00:10:03,300 +effectivity طيب ال minus lenses تكون كيف؟ كل ما + +112 +00:10:03,300 --> 00:10:07,320 +قربتها من العين كل ما ال effectivity زادت كل ما + +113 +00:10:07,320 --> 00:10:11,780 +ابعتها من العين كل ما ال effectivity جلت وهكذا + +114 +00:10:16,240 --> 00:10:19,820 +ال effectivity of the lens ل correcting lenses مهم + +115 +00:10:19,820 --> 00:10:26,080 +جدا وبالتالي هذا توجيه للناس ال practitioners في + +116 +00:10:26,080 --> 00:10:31,280 +الoptometry ان ارحموا الناس لما تلبسوهم نضارات + +117 +00:10:31,280 --> 00:10:34,440 +لتجعلوا + +118 +00:10:34,440 --> 00:10:41,530 +همكوا جمع النقوديعني أول ما تشوف في واحد طفلة أو + +119 +00:10:41,530 --> 00:10:44,750 +طفل minus three في عين و plus three في عين لا + +120 +00:10:44,750 --> 00:10:49,310 +تتسرع ينحو تعمل ال full correction لأنه انت بال + +121 +00:10:49,310 --> 00:10:54,110 +plus three كبرت كتير و بال minus three زغرت كتير + +122 +00:10:54,110 --> 00:11:00,390 +حجم الصورة طلع مش مؤتلف أبدا حجم الصورتين في المخ + +123 +00:11:00,390 --> 00:11:04,670 +مش مؤتلف وبالتالي ال fusion هيبقى very difficult + +124 +00:11:04,670 --> 00:11:09,500 +or impossible فالتاني و انا يزوكونالموضوع مش بيع + +125 +00:11:09,500 --> 00:11:14,760 +.. مش بيع .. احنا مش تجار بدنا نبيعه، احنا نازم + +126 +00:11:14,760 --> 00:11:21,440 +نريح الناس، نريح المرضى، فإما نريحهم بحق و إما + +127 +00:11:21,440 --> 00:11:26,460 +نتركهم لغيرنا يريحهم، وهذا من أخلاقية المهنة بنا، + +128 +00:11:26,460 --> 00:11:33,120 +من أخلاقية المهنة، إما أنه احنا نريح الناس بحق أو + +129 +00:11:33,120 --> 00:11:37,140 +لا نفعل شيء و نتركهم لمن يستطيع أن يريحهم + +130 +00:11:40,190 --> 00:11:43,910 +والله عز و جل بيقول ايش و فوقه كل دي علمين عليه + +131 +00:11:43,910 --> 00:11:49,310 +مافيش واحد يدعي ان هو ال super في العلم الاشي اللي + +132 +00:11:49,310 --> 00:11:53,830 +احنا قادرين عليه نعمله و اللي مش قادرين عليه ندل + +133 +00:11:53,830 --> 00:12:06,010 +الناس على من يستطيع ان يعمله صحك؟ طيب السبب + +134 +00:12:06,010 --> 00:12:09,730 +الثالث وهذا سبب Anatomy + +135 +00:12:12,880 --> 00:12:19,140 +Anatomycal هو بيقول لي يعني ثابت في الدراسات أنه + +136 +00:12:19,140 --> 00:12:27,900 +عدد ال cones في العين كل ما زاد كل ما أدى إلى صورة + +137 +00:12:27,900 --> 00:12:34,540 +أكبر وكل ما قل العدد كل ما أدى إلى صورة أصغر فهي + +138 +00:12:34,540 --> 00:12:42,090 +مثلا صورةال cones more widely separated يعني شوف + +139 +00:12:42,090 --> 00:12:47,550 +ال .. ال .. اللي هو المسافة بين الكون والكون كبيرة + +140 +00:12:47,550 --> 00:12:57,410 +نسبيا، هذا بيطلع منه smaller .. smaller image ع + +141 +00:12:57,410 --> 00:13:06,050 +الشبكية، smaller image صورة إيش؟ مصغرة طيب، نشوف + +142 +00:13:06,050 --> 00:13:10,060 +ال cones اللي هناواضح انها ليش less widely + +143 +00:13:10,060 --> 00:13:16,660 +separated يعني مزدحمة او متقاربة مزدحمة او متقاربة + +144 +00:13:16,660 --> 00:13:31,000 +هيعطي هذا larger image ع الشبكية larger image يبقى + +145 +00:13:31,000 --> 00:13:36,970 +هو بتقول ليفي موضوع الاناتومي ان ممكن ان يكون ال + +146 +00:13:36,970 --> 00:13:42,550 +refractive power نفس الشيء يعني ممكن تكون مثلا هذه + +147 +00:13:42,550 --> 00:13:49,830 +plus one وهذه plus one ال refractive power ده same + +148 +00:13:49,830 --> 00:13:58,550 +لكن عدد ال cones في عين اليمين مثلا أكتر من عدد ال + +149 +00:13:58,550 --> 00:14:02,890 +conesفي الشمال العدد ال cones الأكبر في اليمين + +150 +00:14:02,890 --> 00:14:08,850 +أعطى صورة أكبر نسبيا لكن بقولش أنا نسبيا يعني مائة + +151 +00:14:08,850 --> 00:14:14,230 +بالمائة لأ واحد بالمية اتنين بالمية عن التانية + +152 +00:14:14,230 --> 00:14:17,550 +فتجي تعبان تعمل نفس ال refraction نفس ال + +153 +00:14:17,550 --> 00:14:21,070 +refraction ال correction نفس ال correction لكن لأ + +154 +00:14:21,070 --> 00:14:25,590 +بقولك أنا لأ عيني هذي أوضح كتير عيّن بيقولوا بيبقى + +155 +00:14:25,590 --> 00:14:28,490 +اعطيه ال correction هنامهما اتحاول مرة تانية + +156 +00:14:28,490 --> 00:14:35,350 +بقولها بقوله انا اللي عينها دي dominant I اكتر من + +157 +00:14:35,350 --> 00:14:39,850 +هذيك dominant يعني ايش سائدة زي اللي بكتب اليمين + +158 +00:14:39,850 --> 00:14:44,330 +وبيكتب الشمال اللي بكتب اليمين بقوله right handle + +159 +00:14:44,330 --> 00:14:52,270 +اللي بكتب الشمال بقوله left handle وهي عمليا فعلا + +160 +00:14:52,270 --> 00:14:55,910 +يعني ال .. ال .. اليد اليمينفي الناس اليمينية زي + +161 +00:14:55,910 --> 00:14:59,650 +حالتي أقوى بكتير من الشمال حتى لو بدي أنا أعمل عمل + +162 +00:14:59,650 --> 00:15:03,870 +مش كتابة عمل مركز ماقدرش أعمله بالشمال يعني موس ال + +163 +00:15:03,870 --> 00:15:08,010 +.. موس ال .. ال computer الآن صعب إن أنا أمسكه + +164 +00:15:08,010 --> 00:15:12,590 +بالشمال يعني أني أوجه بالظبط بالشمال كل التوجيه + +165 +00:15:12,590 --> 00:15:18,590 +باليمين فهن فعلا في عين تستلم ولربما أنه الموضوع + +166 +00:15:18,590 --> 00:15:24,380 +هذا الموضوع عدد أو تقارب ال cones يكون هويعني هو + +167 +00:15:24,380 --> 00:15:27,920 +السبب يبقى ما هي أسباب الانزو .. ال .. + +168 +00:15:27,920 --> 00:15:32,660 +الانزوكونيا؟ حسب ال cones و ال .. ال refraction + +169 +00:15:32,660 --> 00:15:36,300 +أول حاجة refractive اه أول إيش refractive؟ اه + +170 +00:15:36,300 --> 00:15:38,560 +بعدين ال cones .. ال cones .. ال number of cones + +171 +00:15:38,560 --> 00:15:42,360 +بعدين ال number of cones ال magnification و ال + +172 +00:15:42,360 --> 00:15:45,920 +magnification بتاع ال correcting lenses بتاع ال + +173 +00:15:45,920 --> 00:15:48,400 +correcting lenses دي يربغالكوا ال correcting + +174 +00:15:48,400 --> 00:15:53,670 +lenses الأمن أنا مرايح أعملوا حسابها مية مرةجانب + +175 +00:15:53,670 --> 00:15:57,270 +تحط ال lens افهمى هتكبر ولا هتصغر و الفرق بينها و + +176 +00:15:57,270 --> 00:16:00,450 +بين التانية تنسوش الكلام هذا .. هذا امان معاك + +177 +00:16:00,450 --> 00:16:04,650 +الموضوع مش بيع .. بيع .. بيع نضارات احنا مش ناس + +178 +00:16:04,650 --> 00:16:10,250 +يعنين بدنا ناكل بس يعني عيشنا من .. من النضارة يا + +179 +00:16:10,250 --> 00:16:14,390 +نعطي النضارة بحاجة ربنا يا بلاش منها التالت ايش؟ + +180 +00:16:14,390 --> 00:16:17,670 +ال anatomy عدد ال cones طبعا ال cones بتبعوا + +181 +00:16:17,670 --> 00:16:22,130 +bipolar و بتبعوا ganglion cells طيب .. + +182 +00:16:26,650 --> 00:16:30,350 +بقولي في الناس ان slight changes موجودة عند معظم + +183 +00:16:30,350 --> 00:16:36,950 +الناس في حدود واحد في حدود واحد في المية نصف في + +184 +00:16:36,950 --> 00:16:40,750 +المية تلت اربع في المية واحد في المية لأ هو بيقولي + +185 +00:16:40,750 --> 00:16:45,470 +slight changes في size و shape في ال image are of + +186 +00:16:45,470 --> 00:16:50,930 +constant occurrence ايش constant occurrence؟شائعة + +187 +00:16:50,930 --> 00:16:55,530 +الحدوث and are responsible for stereoscopic + +188 +00:16:55,530 --> 00:17:00,050 +interpretation اللي هو three D's العبادة الثلاثية + +189 +00:17:00,050 --> 00:17:06,190 +but these are of very small order order درجة يعني + +190 +00:17:06,190 --> 00:17:16,410 +يعني بين العنتين ربع من المية في المية إلى واحد في + +191 +00:17:16,410 --> 00:17:24,490 +الميةأه لأن دلوقت هذا اسمه slighted changes خليني + +192 +00:17:24,490 --> 00:17:30,270 +أقول هنا درجات الانيزو اه ال grades of anisoconia + +193 +00:17:30,270 --> 00:17:38,130 +في slide نين noticeable degree noticeable أعلى من + +194 +00:17:38,130 --> 00:17:44,930 +ال slide ملحوظ ملحوظ يعني أكبر of anisoconiaموجود + +195 +00:17:44,930 --> 00:17:48,870 +في ال twenty to thirty percent of people who wear + +196 +00:17:48,870 --> 00:17:50,550 +spectacles موجود في ال twenty to thirty percent of + +197 +00:17:50,550 --> 00:17:52,390 +people who wear spectacles موجود في ال twenty to + +198 +00:17:52,390 --> 00:17:52,570 +في ال twenty to thirty percent of people who wear + +199 +00:17:52,570 --> 00:17:52,650 +people who wear spectacles موجود في ال twenty to + +200 +00:17:52,650 --> 00:17:52,730 +thirty percent of people who wear spectacles موجود + +201 +00:17:52,730 --> 00:17:53,170 +people who wear spectacles موجود في ال twenty to + +202 +00:17:53,170 --> 00:17:53,510 +thirty percent of people who wear spectacles موجود + +203 +00:17:53,510 --> 00:17:56,610 +في ال twenty to thirty percent of people who wear + +204 +00:17:56,610 --> 00:18:04,010 +spectacles موجود في ال twenty + +205 +00:18:04,010 --> 00:18:07,610 +to thirty percent of people who wear spectacles + +206 +00:18:12,250 --> 00:18:17,510 +بقول أنا عملت نضارتين هو بتهم الأخصائي اللي عملله + +207 +00:18:17,510 --> 00:18:23,470 +أنه ماعمله الصح هو الأخصائي اللي عملله مش فاهم + +208 +00:18:23,470 --> 00:18:28,830 +الأنزقوني هو الأخصائي اللي عملله بحساب أنه مجرد + +209 +00:18:28,830 --> 00:18:32,650 +أنه ماحطله ال glasses حسب ما ال computer قاله ال + +210 +00:18:32,650 --> 00:18:37,140 +auto refractometer أنه ماعمل اللي عليهومش فاهم + +211 +00:18:37,140 --> 00:18:40,500 +حكاية ال magnification و ال magnification لو حط + +212 +00:18:40,500 --> 00:18:43,680 +plus واحد هنا و minus واحد هنا، هى سهر؟ two w's + +213 +00:18:43,680 --> 00:18:50,460 +فرق؟ جديش two w's عملوه؟ جديش فرق؟ حوالي أربعة في + +214 +00:18:50,460 --> 00:18:54,860 +المية، هى مصيبة، عملوا أربعة في المية؟ طبعا مش + +215 +00:18:54,860 --> 00:18:58,400 +هرتاح، و هو بيشكوا، ماسك نضارة، بيقول يا عم و الله + +216 +00:18:58,400 --> 00:19:01,340 +أنا عملت نضرتين و لا تلاتة و أنا .. اني تعبان، أنا + +217 +00:19:01,340 --> 00:19:07,550 +مش مرتاح بنضاراتكوا هذهمين اليد الحانية اليد + +218 +00:19:07,550 --> 00:19:11,970 +الحانية اللي هي تمسك النضارة و تعيد ال assessment + +219 +00:19:11,970 --> 00:19:17,450 +التقييم و تحطه في وضع ال comfort انتوا؟ ان شاء + +220 +00:19:17,450 --> 00:19:23,270 +الله انتوا طبعا هذا يعني اشي انا فخور فيه انا فخور + +221 +00:19:23,270 --> 00:19:28,070 +فيه ان يكونوا طالباتي هم سبب الراحة في المجتمع + +222 +00:19:28,070 --> 00:19:32,990 +دائما اتمنالكوا ان شاء الله يعني ال .. ال .. اليد + +223 +00:19:32,990 --> 00:19:39,550 +البيضاء يعني ان شاء اللهطيب، أين توجد أو في من + +224 +00:19:39,550 --> 00:19:47,670 +توجد الانيزوكونيا؟ هلات تواجديها؟ توجد بكثرة حيث + +225 +00:19:47,670 --> 00:19:54,270 +توجد الانيزومتروبيا وكأنه التنتين توققان، + +226 +00:19:54,270 --> 00:20:00,690 +التنتين توققان، لو وجدوا الانيزومتروبيا، هجدوا + +227 +00:20:00,690 --> 00:20:06,950 +معها الاش؟ الانيزوكونيا جاعةلأن اختلاف الـ + +228 +00:20:06,950 --> 00:20:11,510 +refractive power سواء عملنا correction أو ما عملنا + +229 +00:20:11,510 --> 00:20:18,130 +correction هيبقى كل عين صورة في الحجم والشكل تختلف + +230 +00:20:18,130 --> 00:20:23,430 +عن العين التانية، يبقى وجد يبقى مرضى + +231 +00:20:23,430 --> 00:20:28,550 +الانيزومتروبيا هم مرضى الانيزاكونة + +232 +00:20:28,550 --> 00:20:39,490 +أينما وجدت الانيزومتروبياووجدت الانيزوكونيا الطيب + +233 +00:20:39,490 --> 00:20:47,010 +التانية squint strabismus بقول + +234 +00:20:47,010 --> 00:20:50,450 +ال differences from five to fifteen patients have + +235 +00:20:50,450 --> 00:20:54,110 +been found in which case anizokonia has an + +236 +00:20:54,110 --> 00:20:59,090 +important difficulty on treatment and prognosis of + +237 +00:20:59,090 --> 00:21:04,200 +condition وعايز أسأل حضراتكممافيش الملاقة بين + +238 +00:21:04,200 --> 00:21:17,980 +Strabismus وبين ال anizoconia طيب، + +239 +00:21:17,980 --> 00:21:23,880 +ما هو لو عين طالعة exo أو ezo خالص، ما هو يونيو .. + +240 +00:21:23,880 --> 00:21:29,640 +يونيو كله مرتاحة مافيش anizoconia وكتير ما تيجي + +241 +00:21:29,640 --> 00:21:34,980 +anizoconiaلو كانوا بتطلع على نفس الاشياء يعني بس + +242 +00:21:34,980 --> 00:21:43,560 +الحاجة محتاجة .. difference في ايش؟ من وين بيجي ال + +243 +00:21:43,560 --> 00:21:47,320 +difference هدا؟ اللي عندك trapezomas بيكون كل عين + +244 +00:21:47,320 --> 00:21:51,280 +فيه بتبطلع على صورة مختلفة عن العين طيب و بتتعريف + +245 +00:21:51,280 --> 00:21:58,980 +ال accommodation مختلف و ال connection مختلف + +246 +00:22:01,010 --> 00:22:04,490 +وبالتالي استرابيزمس انا لو بدي انا اجي اعمله + +247 +00:22:04,490 --> 00:22:11,930 +correction اكيد هيكون فيه اختلاف في ال power of + +248 +00:22:11,930 --> 00:22:17,030 +glasses يعني بعد ان انا مامته cycle وما cycle لجيت + +249 +00:22:17,030 --> 00:22:21,930 +عين + +250 +00:22:21,930 --> 00:22:28,010 +plus five وعين plus seven انا + +251 +00:22:28,010 --> 00:22:34,530 +عشان اعملبينوكرا single vision لستر بيزمك بدي يعطي + +252 +00:22:34,530 --> 00:22:38,270 +الـ full correction هذه خاصة الأطفال اللي معهم ISO + +253 +00:22:38,270 --> 00:22:43,330 +بدي اعطي هنا plus five وهنا plus seven ايش عملوا + +254 +00:22:43,330 --> 00:22:49,090 +plus five و seven؟ عملوا anisoconia في بينهم two + +255 +00:22:49,090 --> 00:22:55,610 +diopters يبقى أصبح الآن هو بيقول ليه من الأسباب أو + +256 +00:22:55,610 --> 00:23:00,160 +الحالات اللي ال anisoconia common فيها موجودةحالات + +257 +00:23:00,160 --> 00:23:08,280 +الحول حالات الحول الحالة بتاع التصاريخة uniocular + +258 +00:23:08,280 --> 00:23:17,800 +aphasia يعني العين ال .. اليمين العين + +259 +00:23:17,800 --> 00:23:24,780 +اليمين تبارك الله العدسة فيها و إمتروك العين + +260 +00:23:24,780 --> 00:23:32,100 +التانية الملاكم بلاكمو بدرب راح سقطت العدسة صار + +261 +00:23:32,100 --> 00:23:36,440 +plus fourteen hypermetropia + +262 +00:23:36,440 --> 00:23:41,620 +plus fourteen إيش؟ hypermetropia في حين إنه هدا + +263 +00:23:41,620 --> 00:23:49,720 +emetropia طيب لو سبناها من غير correction فالعينة + +264 +00:23:49,720 --> 00:23:54,140 +دي شايفة ستة ع ستة وصورتها تمام والعينة شايفة + +265 +00:23:54,140 --> 00:23:55,680 +تلاتة ع ستين + +266 +00:23:58,520 --> 00:24:05,480 +قصرتها صغيرة تلاتة ستة طيب لو مات correction أعطيه + +267 +00:24:05,480 --> 00:24:11,860 +أقل إشي plus two twelve plus twelve أعطي له هذا دي + +268 +00:24:11,860 --> 00:24:17,980 +S وهذا أعطيه plano ليش plano لأنه مش محتاج العدسة + +269 +00:24:17,980 --> 00:24:23,260 +في عينه الشمال قاعدة كويس الأصلية crystalline S + +270 +00:24:23,260 --> 00:24:27,320 +طيب لكن هذا أعطيته plus twelve إيش عملت plus + +271 +00:24:27,320 --> 00:24:31,700 +twelvemagnification magnification جليل ولا كتير؟ + +272 +00:24:31,700 --> 00:24:39,640 +كتير كتير high magnification طيب يلّا هل ال visual + +273 +00:24:39,640 --> 00:24:45,920 +cortex ال center بتاع ال vision في ال cortex بيقدر + +274 +00:24:45,920 --> 00:24:50,520 +يعمل fusion لل right و لل left في الحنة؟ لأ لأ لأ + +275 +00:24:50,520 --> 00:24:52,900 +لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ + +276 +00:24:52,900 --> 00:24:53,540 +لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ + +277 +00:24:53,540 --> 00:24:53,840 +لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ + +278 +00:24:53,840 --> 00:24:56,860 +لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ + +279 +00:24:58,580 --> 00:25:03,500 +أينما وجدت .. وجدت الانازوكونيا أينما .. أينما + +280 +00:25:03,500 --> 00:25:09,980 +وجدت سواء مصححة أو مش مصححة فأنا سميتها ال + +281 +00:25:09,980 --> 00:25:15,100 +conditions in which anazokonia is present أو حالة + +282 +00:25:15,100 --> 00:25:18,900 +تواجد الانازوكونيا الحالة الأولى، انازومتروبيا، + +283 +00:25:18,900 --> 00:25:23,740 +ملازمة لها في انازومتروبيا في انازوكونيا زغرة + +284 +00:25:23,740 --> 00:25:26,040 +الانازومتروبيا زغرة الانازوكونيا كبرت + +285 +00:25:26,040 --> 00:25:31,600 +الانازومتروبيا كبرت ال .. إيش؟التانية أسكنت + +286 +00:25:31,600 --> 00:25:35,560 +صححناها و أنا ما صححناها في اللي هو anisoconia + +287 +00:25:35,560 --> 00:25:41,720 +اللي أفيكيا لازم يكون في anisoconia uni أو كلها في + +288 +00:25:41,720 --> 00:25:49,600 +عين واحدة طيب الآن بدنا نشوف من حق السيمتري + +289 +00:25:49,600 --> 00:25:57,300 +التنادر ما هي أنواع التنادر anisoconia differences + +290 +00:25:59,400 --> 00:26:03,960 +أنا في عندي حاجة اسمها symmetrical anisoconia و ال + +291 +00:26:03,960 --> 00:26:08,980 +symmetrical anisoconia symmetrical و ال + +292 +00:26:08,980 --> 00:26:15,200 +symmetrical symmetrical anisoconia بيقوللي one + +293 +00:26:15,200 --> 00:26:19,820 +image is larger than the other واضح انه الصورة + +294 +00:26:19,820 --> 00:26:21,240 +اتنين اكبر من واحد + +295 +00:26:24,440 --> 00:26:28,100 +في ال dimensions القطر و القطر و القطر و القطر و + +296 +00:26:28,100 --> 00:26:33,620 +الضلع و الضلع و الضلع كله أكبر لكن فيه نوع من ال + +297 +00:26:33,620 --> 00:26:39,640 +symmetry تنادر يعني تنادر انه تشابه كبير زي ما دي + +298 +00:26:39,640 --> 00:26:46,610 +بصورة برواز و حط فيه الصورة داخلهصح إنه البرواز + +299 +00:26:46,610 --> 00:26:53,690 +أكبر من الصورة لكن واضح إنهم ماشيين مع بعض، ماشيين + +300 +00:26:53,690 --> 00:26:59,810 +مع بعض بنفس الانتظام، مافيش واحد فيهم يعني مثلث و + +301 +00:26:59,810 --> 00:27:04,410 +واحد مربع مثلا، مش جايب مثلث و مربع في بعض أنا، مش + +302 +00:27:04,410 --> 00:27:09,150 +جايب متوازي أطلع و جايب دائرة جوا، نفس الشكل بس + +303 +00:27:09,150 --> 00:27:13,290 +الحجم، ايوة الحجم، بس هذا اسمه symmetry، symmetry + +304 +00:27:13,290 --> 00:27:18,230 +التناظروربنا سبحانه وتعالى خلق الإنسان في أحسن + +305 +00:27:18,230 --> 00:27:23,830 +تقويم، أي متنهضة، symmetrical، العين زي العين، + +306 +00:27:23,830 --> 00:27:29,830 +تمنن، هذا الأنف، اه اليد زي اليد، فيه لو احنا بدنا + +307 +00:27:29,830 --> 00:27:36,870 +نجيس بالمتر، لأ فيه فروق، في نفس الإنسانإنما تلاقي + +308 +00:27:36,870 --> 00:27:43,330 +قدم نص سانتي، ربع سانتي، سانتي، إنما تلاقي الكف، + +309 +00:27:43,330 --> 00:27:51,170 +تلاقي الـhumerus، الـ forearm، هتلاقي فيه حاجة لكن + +310 +00:27:51,170 --> 00:27:56,450 +في النهاية، هذا كله في إطار الـsymmetry، حتى في + +311 +00:27:56,450 --> 00:28:06,780 +الأخلاق في symmetry، حتى يعني في الصداقاتفي + +312 +00:28:06,780 --> 00:28:12,520 +الصداقات يعني قال النبي صلى الله عليه وسلم الأرواح + +313 +00:28:12,520 --> 00:28:18,720 +جنود مجندة فما تعرف منها اقتلف وما تناكر منها + +314 +00:28:18,720 --> 00:28:26,560 +اختلف كيف هذا؟ فيه symmetry واحد بيقولك والله أنا + +315 +00:28:26,560 --> 00:28:30,280 +صديق فلان أنا منسجن معاه 100% انسجام هو ال + +316 +00:28:30,280 --> 00:28:36,020 +symmetryبعد فترة تلاقي تركوا بعض، ليش بقولك والله + +317 +00:28:36,020 --> 00:28:42,400 +خلاص بطلت أنساجي معاه، صار asymmetry، يبقى النوع + +318 +00:28:42,400 --> 00:28:47,260 +التاني ال asymmetrical، asymmetrical the image + +319 +00:28:47,260 --> 00:28:52,340 +being distorted، مشوهة، + +320 +00:28:52,340 --> 00:28:59,100 +مطعجة، مبعجة، in some degree it may for example be + +321 +00:28:59,100 --> 00:29:02,900 +progressively larger in one meridiansmaller in + +322 +00:29:02,900 --> 00:29:05,880 +another the effect resembling that produced by a + +323 +00:29:05,880 --> 00:29:09,200 +prism كأنه لبس a prism its shape may be + +324 +00:29:09,200 --> 00:29:12,760 +progressively distorted هذه الصورة هذه مثلا الشكل + +325 +00:29:12,760 --> 00:29:19,220 +الأول واضح أنه مربع إلى حد ما لكن مشوّه من هنا مش + +326 +00:29:19,220 --> 00:29:23,900 +.. مش .. مش ماشي صح هيك جاي طب الشكل التاني مخمس + +327 +00:29:23,900 --> 00:29:31,590 +عين نقلة واحد وعين نقلة اتنينهذه الصورة + +328 +00:29:31,590 --> 00:29:35,990 +symmetrical ولا asymmetrical؟ asymmetrical على + +329 +00:29:35,990 --> 00:29:40,050 +بالك ال brain عشان يعمل fusion، بيعمل fusion + +330 +00:29:40,050 --> 00:29:44,230 +لسymmetry ولا لأسymmetry؟ لسymmetry طبعا، بقبل هذه + +331 +00:29:44,230 --> 00:29:49,730 +على بعض العلال مش مية المية، في فرق يعني، مبين، بس + +332 +00:29:49,730 --> 00:29:55,910 +هي يعني قادر ال brain أنه يتغلب عليه، لكن هنا لا + +333 +00:29:55,910 --> 00:30:01,430 +لا لا لا ينكر، لا لا ينكر، لا برضهاشبرضاش الصورة + +334 +00:30:01,430 --> 00:30:06,370 +هذه طب الدكتور إيش بيشوف بالـ asymmetry؟ في الـ + +335 +00:30:06,370 --> 00:30:10,730 +asymmetry بيشوف دبلوبيا أو suppression هتشوفوا جاي + +336 +00:30:10,730 --> 00:30:16,710 +يعني لأ بيرضاش بيرضاش خلاص يا عين بتشكرها عشان + +337 +00:30:16,710 --> 00:30:21,390 +تشوف الدبتين واضحة يا مصري يشوف صورتين متنقضتين اه + +338 +00:30:21,390 --> 00:30:26,630 +طيب symptoms of anisoconia ما هي أعراض + +339 +00:30:26,630 --> 00:30:32,110 +الانيزوكونيا؟ وهذا صار مرض صح؟صارت مرض بس إيه في + +340 +00:30:32,110 --> 00:30:37,730 +ال visual system صار مرض الآن اللي هو ال symptoms + +341 +00:30:37,730 --> 00:30:46,170 +يعني احنا لأن في مرض في عندي five types of + +342 +00:30:46,170 --> 00:30:54,050 +symptoms خمس أنواع من الأعراض في + +343 +00:30:54,050 --> 00:31:00,830 +أعراض بصرية visualواحد في أعراض ال ice train + +344 +00:31:00,830 --> 00:31:11,890 +وثوابعها اتنين في أعراض الزمان أو الظروف المكان + +345 +00:31:11,890 --> 00:31:16,350 +والزمان اللي بتزيد الاليزومتروبيا + +346 +00:31:35,650 --> 00:31:43,190 +طيب النقلون الرابع من الأعراض، أعراض الـbinocular + +347 +00:31:43,190 --> 00:31:48,650 +single vision، failure وspecial perception الإدراك + +348 +00:31:48,650 --> 00:31:56,970 +المكاني، آخر شيء اللي هو appearance of an isoconic + +349 +00:31:56,970 --> 00:32:02,350 +patient المظهر الخارجي، طيب، ديشوف، هبدأ بواحدة + +350 +00:32:02,350 --> 00:32:09,830 +واحدةvisual disturbances اضطرابات بصرية هذا نوع + +351 +00:32:09,830 --> 00:32:15,550 +الأول blurring of vision تشويش difficulty of + +352 +00:32:15,550 --> 00:32:19,310 +fixation لاستطيع ان يعمل fixation البعيد او القريب + +353 +00:32:19,310 --> 00:32:27,050 +لمدة بتعب برضهاش لاستطيع التركيز تلاتة tendency to + +354 +00:32:27,050 --> 00:32:32,490 +diplopia يعني intermittent أحيانا مع التعب بيشوف + +355 +00:32:32,490 --> 00:32:39,130 +double visionو tendency to squint intermittent + +356 +00:32:39,130 --> 00:32:45,210 +strabismus intermittent في آخر يوم اللي انا اذا + +357 +00:32:45,210 --> 00:32:50,530 +كنت شوف الصورة اتنين شوية صغيرة و يروح لما يرتاح + +358 +00:32:50,530 --> 00:32:55,130 +هيك يضايق يقول انا ابصر شمالي و لما يرتاح بتروح + +359 +00:32:55,130 --> 00:32:59,910 +intermittent يبقى اربع أشياء blooding of vision + +360 +00:33:00,890 --> 00:33:04,990 +difficulty of fixation وتندسي مرة لديبلوبيا وتندسي + +361 +00:33:04,990 --> 00:33:10,530 +مرة لسكنت طيب النوع التاني بالأعراض ال ice train و + +362 +00:33:10,530 --> 00:33:14,470 +توابعها ال consequences و توابعها طبعا عام مشكلة + +363 +00:33:14,470 --> 00:33:19,370 +من photophobia بيحبش الضوء و general ocular + +364 +00:33:19,370 --> 00:33:23,630 +discomfort هو بيقولك عينيا مش مرتاحين عينيا + +365 +00:33:23,630 --> 00:33:26,830 +تعبانين مش عارف أقرأ مش عارف أشوف التلفزيون أنا + +366 +00:33:26,830 --> 00:33:31,340 +تعبان عينيا تعبانينبعد هيك لو استمر، هيلاقي فيه + +367 +00:33:31,340 --> 00:33:34,400 +headaches و headaches في جامع، headache لأنه مش في + +368 +00:33:34,400 --> 00:33:38,100 +مكان واحد، في frontal headache، في occipital + +369 +00:33:38,100 --> 00:33:40,920 +headache، في vertical headache، في temporal + +370 +00:33:40,920 --> 00:33:48,040 +headache، واضح؟ يعني أحيان بيجي بقول أنا عيني و + +371 +00:33:48,040 --> 00:33:53,980 +جبيني بجعلي، أحيان بيقول أنا الجنبين اللي هم + +372 +00:33:53,980 --> 00:33:57,420 +بالبداية إيش بيقولوا عنهم؟ المدغات، بيقول أنا + +373 +00:33:57,420 --> 00:34:02,180 +المدغات اتنين بجعونيواحد بيجي بيقولك انا في جافة + +374 +00:34:02,180 --> 00:34:08,960 +راسي فيه ألم في مرات بيقول كل راسي فيها ألم يعني + +375 +00:34:08,960 --> 00:34:14,040 +هو بتناوب .. اه حسب اه بتناوب مرة .. مرة متغير + +376 +00:34:14,040 --> 00:34:18,460 +يعني من ال .. I strain انه general nervous + +377 +00:34:18,460 --> 00:34:20,980 +manifestations وهذه احنا أخدناها في ال fraction + +378 +00:34:20,980 --> 00:34:26,640 +المهم تلاقي هو nervous loss of sleep في عنده + +379 +00:34:26,640 --> 00:34:29,160 +nightmares في عنده .. + +380 +00:34:32,570 --> 00:34:37,070 +يعني un .. un .. un patience الصبر و إشي و كده، هو + +381 +00:34:37,070 --> 00:34:42,010 +متوتر، زعلان، إشي كده دكتور الهدد ممكن يكون + +382 +00:34:42,010 --> 00:34:47,690 +constant و intermittent؟ آه حسب scan high + +383 +00:34:47,690 --> 00:34:51,710 +anazokonia بيكون constant scan low بيكون + +384 +00:34:51,710 --> 00:34:56,830 +intermittent شكرا على السؤال طيب + +385 +00:34:56,830 --> 00:35:02,870 +من ال symptoms حسب الظروفكلمة aggravation أي تفاقم + +386 +00:35:02,870 --> 00:35:08,190 +وزيادة، إيش اللي بيعمل frequent aggravation لل + +387 +00:35:08,190 --> 00:35:11,990 +-anisocopia؟ frequent aggravation، excessive + +388 +00:35:11,990 --> 00:35:16,330 +reading، excessive watching of television and + +389 +00:35:16,330 --> 00:35:23,440 +cinema، كمان moving objectsmoving objects يعني + +390 +00:35:23,440 --> 00:35:28,980 +واحد في السفر قاعد مثلا في شبكة السيارة يشوف + +391 +00:35:28,980 --> 00:35:33,400 +الطريق وبيناجح حاله أنه ازداد مع الأعراض اللي + +392 +00:35:33,400 --> 00:35:39,120 +شفناها قبل ال diplopia ال uncomfortable ال + +393 +00:35:39,120 --> 00:35:42,640 +tiredness ال blurring of vision كلام زهاب ازداد + +394 +00:35:42,640 --> 00:35:47,180 +يبقى دي انا سميتها يعني في symptoms الظروف + +395 +00:35:47,180 --> 00:35:54,250 +الزمانية والمكانيةبقرأ كتير، شوف شاية تلفزيون متل + +396 +00:35:54,250 --> 00:35:59,690 +ساعتين تلاتة، بسافر، في رحلة في سيارة سريعة، بشوف + +397 +00:35:59,690 --> 00:36:07,510 +جنب الطريق الأراضي الرابعة ال .. ال binocular + +398 +00:36:07,510 --> 00:36:12,870 +single vision، بشوف، بقول small differences within + +399 +00:36:12,870 --> 00:36:25,180 +0.25%يعني ربع كوارتر فيلمية .. ربع فيلمية فرق are + +400 +00:36:25,180 --> 00:36:29,180 +generally appreciated هذا no effect يعني كل هيتنا + +401 +00:36:29,180 --> 00:36:34,680 +عندنا ربع أو نص احنا احنا عندنا كلنا عندنا mild + +402 +00:36:34,680 --> 00:36:43,320 +anisotropyشي عالي يعني في حدود ربع في المية من مية + +403 +00:36:43,320 --> 00:36:50,400 +لعند واحد في الميةعادي يعني ممكن نحملها طيب + +404 +00:36:50,400 --> 00:36:56,960 +القاعدة بتقول ان ال difference up to 5% can be + +405 +00:36:56,960 --> 00:37:01,340 +compensated by the plasticity of the + +406 +00:37:01,340 --> 00:37:07,220 +videoreceptive system يعني جهاز الإبصار ممكن أن + +407 +00:37:07,220 --> 00:37:16,460 +يتغلب على فرق أقصى 5% بين حجم الصورتين أقصى 5%خاصة + +408 +00:37:16,460 --> 00:37:19,940 +في الأطفال كل ما كان أصغر في السن كل ما تغلب أكتر + +409 +00:37:19,940 --> 00:37:24,340 +على الخمسة في المية بس هذا بتقولك أنه هذا ال upper + +410 +00:37:24,340 --> 00:37:28,780 +limit إيش upper limit؟ الحد الأعلى .. الحد الأعلى + +411 +00:37:28,780 --> 00:37:35,920 +طيب بس السؤال اللي بدي أسألكه يعني هل أنه هو بتغلب + +412 +00:37:35,920 --> 00:37:40,180 +على الخمسة في المية بسهولة + +413 +00:37:40,180 --> 00:37:44,960 +ولا بصعوبة؟ بصعوبة يعني أقدر أبقى مثلا مثلا + +414 +00:37:48,910 --> 00:37:57,190 +بيت فيه أب و أم كل يوم مشكلة المشكلة + +415 +00:37:57,190 --> 00:38:01,850 +يعني ربع ساعة بتنحلل نص ساعة بتنحلل لكن تاني يوم + +416 +00:38:01,850 --> 00:38:07,790 +هتيجي المشكلة تاني تالت يوم هتيجي المشكلة تاني إلى + +417 +00:38:07,790 --> 00:38:14,230 +إنه تجد حلال بترفع حلال مشاكل؟ حلال + +418 +00:38:16,930 --> 00:38:24,730 +يعني خبير بالمشاكل ييجي يقعد يحل المشكلة من أساسها + +419 +00:38:24,730 --> 00:38:32,730 +وإلا هتفضل المشكلة .. لكن لا تؤدي إلى الطلاق .. لا + +420 +00:38:32,730 --> 00:38:36,210 +تؤدي إلى الطلاق .. إيش الله عز و جل قال في هذا؟ + +421 +00:38:36,210 --> 00:38:42,540 +قال وإن خفتم شقاقة بينهمافبعثوا حكما من أهله وحكما + +422 +00:38:42,540 --> 00:38:48,780 +من أهلها، أي يريد إصلاحا يوفق الله بينهم، أي يريد + +423 +00:38:48,780 --> 00:38:52,580 +إصلاحا يوفق الله بينهم، يبقى لازم المشاكل هذه بدأ + +424 +00:38:52,580 --> 00:38:57,980 +حلالة، إذا لم تجد الحلالة فتبقها الخمسة بالمئة صح + +425 +00:38:57,980 --> 00:39:02,040 +ال visual system أو ال visual receptive system + +426 +00:39:02,040 --> 00:39:12,590 +قادر يستوقبها، لكن بتعب، لكن بتعبطيب الآن + +427 +00:39:12,590 --> 00:39:17,130 +الحالة التالتة when the difference is in excess of + +428 +00:39:17,130 --> 00:39:22,890 +five percent بيقوللي في impossible fusion + +429 +00:39:22,890 --> 00:39:28,370 +impossible أو very difficult أو impossible fusion + +430 +00:39:28,370 --> 00:39:38,400 +طيب ..طيب الأراضي الخامسةاللي هي appearance of an + +431 +00:39:38,400 --> 00:39:44,060 +isoconic patient يعني إيش هيكون مظهره؟ الآن .. + +432 +00:39:44,060 --> 00:39:50,640 +خلّيني مثلا أقولكوا مثلا .. الآن واحد ال big toe + +433 +00:39:50,640 --> 00:39:57,180 +.. إيش big toe؟ الأصبع الكبير في قدمه مكسور بيمشي + +434 +00:39:57,180 --> 00:40:00,580 +.. هو بيمشي .. بقدر يمشي لكن بالك .. يعني بيمشي + +435 +00:40:00,580 --> 00:40:05,860 +طبيعياللي يقصه بعدين يقولي كمير مكسور، كيف بيمشي؟ + +436 +00:40:05,860 --> 00:40:11,480 +بيرث إيه اللي هي بيرث؟ يبقى هذا فيه appearance فيه + +437 +00:40:11,480 --> 00:40:20,480 +مظهر .. لأ فيه مظهر لـ fracture of big toe بيرث بس + +438 +00:40:20,480 --> 00:40:24,480 +أنا قولتلكوا كيف يعني طيب الإنسان اللي عنده + +439 +00:40:24,480 --> 00:40:26,500 +influenza كيف مظهره؟ + +440 +00:40:29,000 --> 00:40:31,660 +انت باينك ماني باين؟ هايو، من هناك مفلوز جاعد، إيش + +441 +00:40:31,660 --> 00:40:35,900 +بتسأل .. إيه .. إيه الشفاء؟ في up nose، مالنظر، مش + +442 +00:40:35,900 --> 00:40:41,880 +واسمه أحمر، في red face وفي sneezing، frequent + +443 +00:40:41,880 --> 00:40:46,220 +sneezing بتعطيس وفي running nose، ال nose بنزل + +444 +00:40:46,220 --> 00:40:50,220 +إيش؟ إفرازات وماسك ال tissue الورق ل ال clinics + +445 +00:40:50,220 --> 00:40:56,280 +مفلوز بدعني، وجهه أحمر و بعطس و .. اه .. في tears + +446 +00:40:56,280 --> 00:41:02,260 +كمان اه و في tears صحيحيبقى هذا اسمه appearance + +447 +00:41:02,260 --> 00:41:09,800 +مظهر كل شيء له مظهر زمان قبل يمكن اكتر من تلاتين + +448 +00:41:09,800 --> 00:41:15,300 +سنة في علم إندس موداس كان مؤلف كتب جراحية واشي + +449 +00:41:15,300 --> 00:41:24,340 +فكان يقولنا ان التشخيص بالعين وهو الاكثر ثم + +450 +00:41:24,340 --> 00:41:28,840 +التشخيص باليدوهو أقل، ثم التشخيص بالجهاز و هو + +451 +00:41:28,840 --> 00:41:35,040 +لأقل، هو كان هيك قولنا، انه التشخيصك بالعين، بعدين + +452 +00:41:35,040 --> 00:41:40,580 +باليد، بعدين بالجهاز، لأ هو بالخبرة يعني، الخبرة + +453 +00:41:40,580 --> 00:41:43,700 +يعني ال experience، لكن طبعا الان احنا مابننكر ان + +454 +00:41:43,700 --> 00:41:50,560 +الأجهزة الان وصلت مواصل، لكن انا بأكد ان الأجهزة + +455 +00:41:50,560 --> 00:41:52,800 +بدون خبرة تبقى حديد + +456 +00:41:56,080 --> 00:42:04,720 +الأجهزة بدون خبرة وخبراء لأن الإنسان هو الأصل يعني + +457 +00:42:04,720 --> 00:42:08,660 +أنا بتجيب أحسن أجهزة لبلد مش فيها علماء، إيش + +458 +00:42:08,660 --> 00:42:13,880 +هيساووا فيها؟ هيغطوها كويس، هيدفوها، لكن بتجيب + +459 +00:42:13,880 --> 00:42:20,700 +أجهزة قديمة لعلماء، هيجددوها مقتنعين بالكلمة دول + +460 +00:42:20,700 --> 00:42:29,020 +لا؟ المهم إيش؟ الإنسان خبيروده جيت الخبير سلمله + +461 +00:42:29,020 --> 00:42:37,640 +بالفتوى صح؟ الان نرجع للمظهر المظهر + +462 +00:42:37,640 --> 00:42:44,700 +انه هلاقي احيانا الطفل بيعمل suppression بيغمض عين + +463 +00:42:44,700 --> 00:42:50,920 +وفتح عين عشان يركز وما كده نفس العين مش مرة هيك + +464 +00:42:50,920 --> 00:42:57,550 +ومرة هيك لأ بس ال left eye عنده ضعيفةفهو أخد واضع + +465 +00:42:57,550 --> 00:43:04,470 +إنه دايماً لما بده يركز يعمل كده كأنه + +466 +00:43:04,470 --> 00:43:09,990 +حسب الخبرة للطفل هذا إنه تغميض العين الشمال أعطى + +467 +00:43:09,990 --> 00:43:15,490 +اليمين good chance for clear vision هذا اسمه + +468 +00:43:15,490 --> 00:43:21,670 +suppression of one eye ليهرب من ال binocular + +469 +00:43:21,670 --> 00:43:24,870 +single vision اللي هي عملاله مش هاجر لأنه في أناس + +470 +00:43:24,870 --> 00:43:30,580 +الكونمش جاية الشمال تندمج مع اليمين في الحجم في + +471 +00:43:30,580 --> 00:43:34,480 +الشكل فراح هو cancel واحدة منهم عشان ناخد التانية + +472 +00:43:34,480 --> 00:43:40,780 +الفرصة كاملة at any stage in life خاصة في بداية + +473 +00:43:40,780 --> 00:43:45,940 +الحياة Uncomfort is obtained in uniocularity ايش + +474 +00:43:45,940 --> 00:43:52,700 +uniocularity؟ بعين واحدة اللي هي mono vision تساوي + +475 +00:43:52,700 --> 00:43:54,900 +ايش؟ mono vision + +476 +00:43:57,580 --> 00:44:04,860 +طيب في ناس سلم العين الضعيفة سلمت للقوية في ناس لأ + +477 +00:44:04,860 --> 00:44:13,360 +العين مش ضعيفة كتير عشان تسلم يعني مثلا الفرق + +478 +00:44:13,360 --> 00:44:23,200 +بينهم يعني خلنا نقولك عشر في المية عين + +479 +00:44:23,200 --> 00:44:31,670 +شوف ستة على ستةوعين بتشوف 6 على 12 السلة 6 على 12 + +480 +00:44:31,670 --> 00:44:36,290 +هذه العين ما سلمت ل 6 على 6 ان هي تاخد الطريق + +481 +00:44:36,290 --> 00:44:43,210 +لحالها لأ بتنفسها فبصير هنا double vision وهذا ال + +482 +00:44:43,210 --> 00:44:50,170 +double vision is يعني very distressing مزعج وبيعمل + +483 +00:44:50,170 --> 00:45:00,740 +anxiety بيجيني واحدمغطى عين وفتح عين انا أخدت فكرة + +484 +00:45:00,740 --> 00:45:04,460 +ان العين اللى مغطيها اللى مضروبة او مخبوشة او عمل + +485 +00:45:04,460 --> 00:45:09,100 +عملية فيها او واجه عليها او مكن فيها ضربة مغطيها + +486 +00:45:09,100 --> 00:45:12,100 +ليش؟ فتحها قال لي يا دكتور الآن انا شافت كل اش + +487 +00:45:12,100 --> 00:45:18,120 +اتنين ولا اش مكان كل اش اتنين هايه هذه واضحة + +488 +00:45:18,120 --> 00:45:22,280 +الصورة وهذه مش واضحة هيها وهي الأسر جدا طب ليش + +489 +00:45:22,280 --> 00:45:26,870 +مغطى عينك؟ قال انا مغطى عيني برتاحبعرف أمشي، بعرف + +490 +00:45:26,870 --> 00:45:30,870 +أقرا، بعرف أعمل، أشوف التلفزيون، لكن فتحت عيني + +491 +00:45:30,870 --> 00:45:37,490 +بتصير الدنيا مشوشة قدامي، في حاجة تانية واضح؟ + +492 +00:45:37,490 --> 00:45:42,210 +طيب مين أفضل ال separation ولا ال diplopia؟ ال + +493 +00:45:42,210 --> 00:45:46,710 +separation هي في .. في .. في ظاهرها ال separation + +494 +00:45:46,710 --> 00:45:52,030 +أحسن، لكن في بطنها مش أحسن، في ظاهرها أحسن لأنه + +495 +00:45:52,030 --> 00:45:58,260 +مرتاحبعمل هيك و مرتاح خلاص سايجي بعين واحدة لكن مش + +496 +00:45:58,260 --> 00:46:00,940 +أحسن إن العين هذه اللي بيعمل فيها suppression مع + +497 +00:46:00,940 --> 00:46:05,360 +الأيام هتضيع خاصة الأطفال مع الأيام هتموت هتموت + +498 +00:46:05,360 --> 00:46:09,320 +functionally مش Anatomy، اللي هالأناطومي موجود + +499 +00:46:09,320 --> 00:46:16,680 +الحمد لله شكلها عين بس ال function .. طيب Lazy eye + +500 +00:46:16,680 --> 00:46:22,560 +Deep Amyloid Deep Amyloid طيب + +501 +00:46:24,120 --> 00:46:32,760 +Treatment of Anisocopia وحقيقة أنه قبل مثلا 40 + +502 +00:46:32,760 --> 00:46:36,680 +years ماكانوش + +503 +00:46:36,680 --> 00:46:44,460 +لاجيين علاج للـ Anisocopia ماكانوش + +504 +00:46:44,460 --> 00:46:53,170 +لاجيين علاج بعدين بعد هيك فكرت في فكرة جيدة جداإن + +505 +00:46:53,170 --> 00:47:01,530 +هما وجدوا نوع من ال lenses تعمل magnification بدون + +506 +00:47:01,530 --> 00:47:11,650 +power يعني powerless lenses powerless lenses + +507 +00:47:11,650 --> 00:47:17,210 +إيش powerless؟ يعني فيش فيها power، بس فيها + +508 +00:47:17,210 --> 00:47:24,480 +magnification فصاروا يقولوا مثلاإن العين الـ left + +509 +00:47:24,480 --> 00:47:35,640 +eye و ال right eye بينهم مثلا 4% فرق في حجم الصورة + +510 +00:47:35,640 --> 00:47:41,300 +العين هذه هي العين الطبيعية مثلا left eye normal + +511 +00:47:41,300 --> 00:47:49,020 +وهذا العين فيها صورة أكبر فصاروا + +512 +00:47:49,020 --> 00:47:56,650 +يقولوااحنا لو حطينا العدسة للعين هذه، هنساوي بين + +513 +00:47:56,650 --> 00:48:02,290 +التنتين، يعني الموضوع موضوع بس في تكبير أو تصغير، + +514 +00:48:02,290 --> 00:48:06,330 +في عدسات بتكبر وعدسات بتصغر، هذه العدسات اسمها + +515 +00:48:06,330 --> 00:48:13,990 +anisoconic lenses اسمها ايش؟ anisoconic lenses + +516 +00:48:13,990 --> 00:48:17,030 +بنحل + +517 +00:48:17,030 --> 00:48:22,980 +مش بالإنطلاق؟ بنحل، أيوةيعني هذه زي ما أنا شايف + +518 +00:48:22,980 --> 00:48:29,160 +هنا اللي هو الناس ساموها Size Lenses Size Lenses + +519 +00:48:29,160 --> 00:48:33,640 +أو Anisoconic Lenses اللي هي الحجم عدسات الحجم are + +520 +00:48:33,640 --> 00:48:38,240 +lenses without refractive power but with an + +521 +00:48:38,240 --> 00:48:41,920 +optical magnification هذه الحيلة يعني اللي وصلوها + +522 +00:48:41,920 --> 00:48:45,960 +they may provide the patient with a sense تعطيه + +523 +00:48:45,960 --> 00:48:52,440 +شعور انه فيه equal imageوبالتالي الصورة اللى بتصل + +524 +00:48:52,440 --> 00:48:56,640 +لل brain بتكون صورة متساومة حسب trial معين يعني + +525 +00:48:56,640 --> 00:48:59,680 +حسب trial معين طب دكتور على أساس شو من .. انه + +526 +00:48:59,680 --> 00:49:02,180 +نعطيه ال lens حسب ال magnification يعني كيف + +527 +00:49:02,180 --> 00:49:07,720 +نحددها؟ والله أنا شايف حسب ال reflection يعني حسب + +528 +00:49:07,720 --> 00:49:13,080 +reflection reflection طبعا؟ اه لو انا الآن ال .. + +529 +00:49:13,080 --> 00:49:17,590 +العين ال .. ال .. هذه minus و هذه plusلو أعطيت ال + +530 +00:49:17,590 --> 00:49:21,250 +minus minus و ال plus plus ال minus هتزجر و هذي + +531 +00:49:21,250 --> 00:49:25,010 +هتكمل و هيعمله المشكلة فهو بيقولك لأ يعني أنا بدي + +532 +00:49:25,010 --> 00:49:30,250 +أقعد أعطي عدسات اللي تساوي التكميل بدون ما تدخل + +533 +00:49:30,250 --> 00:49:31,230 +reflection + +534 +00:49:33,560 --> 00:49:36,300 +بقولك how to use size lenses كيف نستعملها لـ + +535 +00:49:36,300 --> 00:49:40,460 +anisoconic lenses if an anisoconia test show that + +536 +00:49:40,460 --> 00:49:43,700 +the patient has four percent anisoconia فرق أربعة + +537 +00:49:43,700 --> 00:49:46,980 +في المية this means that the image in the right + +538 +00:49:46,980 --> 00:49:50,900 +eye مثلا OD ال right eye needs to be magnified + +539 +00:49:50,900 --> 00:49:55,750 +أربعة في الميةيبقى انا عرفت العين اللي بدها اللي + +540 +00:49:55,750 --> 00:50:01,230 +هو تكبير عشان تصير جد التانية أسويها to see what + +541 +00:50:01,230 --> 00:50:04,510 +the effect of four piercing anisoconia correction + +542 +00:50:04,510 --> 00:50:09,070 +is for the patient بقولك بحط أربعة في المية size + +543 +00:50:09,070 --> 00:50:12,930 +lens can be held in front of the right eye with + +544 +00:50:12,930 --> 00:50:16,300 +the concave side towards the eyeأه Note that + +545 +00:50:16,300 --> 00:50:19,540 +anisoconia is a binocular condition and therefore + +546 +00:50:19,540 --> 00:50:22,260 +a relative measure between the two eyes in a state + +547 +00:50:22,260 --> 00:50:25,760 +of magnifying the image in the right eye equal + +548 +00:50:25,760 --> 00:50:29,260 +image size are also obtained by minifying the + +549 +00:50:29,260 --> 00:50:33,040 +image of the left eye يعني أنا ممكن إنه مرات + +550 +00:50:33,040 --> 00:50:37,720 +أستخدم magnifying lenses أو minifying lenses أشوف + +551 +00:50:37,720 --> 00:50:41,560 +وين الصورة الكبيرة أزغرها أو وين الصورة الزغيرة + +552 +00:50:41,560 --> 00:50:42,860 +أكبرها + +553 +00:50:44,620 --> 00:50:50,060 +طبعا هذا مضى فترة عشرين سنة عليه و بعدين وجدوا + +554 +00:50:50,060 --> 00:50:57,040 +الحل الأسهل لأنه بتظلها برضه lens و glasses وجدوا + +555 +00:50:57,040 --> 00:51:03,440 +الحل في ال contact lenses contact lenses لأنه + +556 +00:51:03,440 --> 00:51:08,440 +مالهاش back vertex مالهاش effectivity و قاعدة على + +557 +00:51:08,440 --> 00:51:14,910 +الكورنية و لإن conclusionيجب أن نقول إن موضوع + +558 +00:51:14,910 --> 00:51:19,950 +الانيزوكونيا و بعض المشكلات من الانيزومتروبيا + +559 +00:51:19,950 --> 00:51:26,350 +أصبحت بالنسبة لدرجة معينة، انتهى يعني نسبيا، بسبب + +560 +00:51:26,350 --> 00:51:30,810 +استخدام الانتاج المتوسطيبقى ال contact lenses + +561 +00:51:30,810 --> 00:51:35,350 +مانساش ال contact lenses إلها ميزة إنه مالهاش back + +562 +00:51:35,350 --> 00:51:40,230 +vertex ومالهاش effectivity حط على هنا لكن أيضا ال + +563 +00:51:40,230 --> 00:51:44,650 +contact lenses إلها بعض المشاكل إلها بعض المشاكل + +564 +00:51:44,650 --> 00:51:49,550 +اللي هتاخدوها في اللي هو مساط ال contact lenses + +565 +00:51:49,550 --> 00:51:53,890 +هنبدأ في الموضوع الجديد آخر نوع من refractive + +566 +00:51:53,890 --> 00:51:55,850 +errors اللي هو breast fire + +567 +00:51:59,390 --> 00:52:05,830 +أخر اللي هو شيء هو يعني ال bisbiopia فيها أكتر من + +568 +00:52:05,830 --> 00:52:11,570 +حاجة أول شيء age-related إيش يعني؟ age-related + +569 +00:52:11,570 --> 00:52:19,910 +تعلق بالسنة طيب الشيء التاني progressive إيش يعني؟ + +570 +00:52:19,910 --> 00:52:31,380 +تتقدم مش واقفة، بتجفش الحاجة التالتةإنها تعني في + +571 +00:52:31,380 --> 00:52:37,820 +المقام الأول a decrease of accommodation decrease + +572 +00:52:37,820 --> 00:52:43,720 +of accommodation كويس؟ هذه تعريفات يعني مهمة if a + +573 +00:52:43,720 --> 00:52:46,480 +breast biopia is characterized as a progressive + +574 +00:52:46,480 --> 00:52:50,580 +age-related loss of accommodation or accommodative + +575 +00:52:50,580 --> 00:52:53,820 +amplitude progression of breast biopia begins + +576 +00:52:53,820 --> 00:52:56,980 +early in life possibly soon after ocular growth is + +577 +00:52:56,980 --> 00:53:01,110 +completeيعني ما أقول أنتوا الآن بادية معاكم + +578 +00:53:01,110 --> 00:53:04,410 +بالنسبة ليه قبل أنكم مش دارين؟ لا طبعا، لا طبعا، + +579 +00:53:04,410 --> 00:53:09,590 +لا هو صح، لأ هي بادية، بادية، بادية، بادية، بادية، + +580 +00:53:09,590 --> 00:53:10,190 +بادية، بادية، بادية، بادية، بادية، بادية، بادية، + +581 +00:53:10,190 --> 00:53:10,430 +بادية، بادية، بادية، بادية، بادية، بادية، بادية، + +582 +00:53:10,430 --> 00:53:13,090 +بادية، بادية، بادية، بادية، بادية، بادية، بادية، + +583 +00:53:13,090 --> 00:53:19,190 +بادية، بادية، بادية، بادية، بادية، بادية، بادية، + +584 +00:53:19,190 --> 00:53:22,430 +بادية، + +585 +00:53:22,430 --> 00:53:27,310 +بادية، بادية، + +586 +00:53:27,310 --> 00:53:31,370 +بيبقى عشان هيك هو بيقوللي presbiopia is the most + +587 +00:53:31,370 --> 00:53:34,770 +prevalent of all ocular afflictions، كل مشاكل + +588 +00:53:34,770 --> 00:53:40,010 +البصر يعني، هي الأكثر حدوثا، صحيح؟ في العدد يعني؟ + +589 +00:53:40,010 --> 00:53:44,070 +عدديا أكتر حدوثا؟ أكتر من myopia و الhypermetropia + +590 +00:53:44,070 --> 00:53:47,530 +و الastigmatism؟ بيقولي أه، إذا كانت هي بادية من + +591 +00:53:47,530 --> 00:53:53,730 +18 سنة، يبقى كل البشر اللي بيعيش و بصل بعد ال 18 + +592 +00:53:53,730 --> 00:53:55,670 +يعني هو صار يخضع لها + +593 +00:53:59,870 --> 00:54:06,490 +يعني زي ما اقوله يعني ال .. الماء تجري تحت القش، + +594 +00:54:06,490 --> 00:54:11,430 +انت شايف القش عايم، يعني مش واضح انه تحته ميه، لكن + +595 +00:54:11,430 --> 00:54:17,280 +هو تحته ميهفهي من ناحية ال prevalence كثرة الحدوث + +596 +00:54:17,280 --> 00:54:23,140 +of all ocular afflictions مشاكل البصر ultimately + +597 +00:54:23,140 --> 00:54:27,500 +affecting 100% of the population during the normal + +598 +00:54:27,500 --> 00:54:33,700 +human lifespan تؤثر 100% من البشر عبر دورة الحياة + +599 +00:54:33,700 --> 00:54:41,680 +بتاعته، تاريخه في الحياة طيب الناس اللي قمت راب؟ + +600 +00:54:41,680 --> 00:54:46,610 +كتير ناس قمت راب؟بينتهي بنير Spectacle Correction + +601 +00:54:46,610 --> 00:54:50,350 +لا أنا بريح نفسي كتير من الناس اللي بعد الخمسة و + +602 +00:54:50,350 --> 00:54:53,810 +أربعين و خمسين بيجي معي نضارة لقراها، نضارة لقراها + +603 +00:54:53,810 --> 00:55:01,130 +طيب الناس الميوب لأ الناس الميوب تؤجل كل ما زادت + +604 +00:55:01,130 --> 00:55:10,390 +الميوب كل ما أجل استعمال نضارة للقرا كويس؟ طيب ما + +605 +00:55:10,390 --> 00:55:16,700 +هي الخيارات للتصحيح؟خلاص التصحيح bifocal reading + +606 +00:55:16,700 --> 00:55:23,020 +glasses واحد هذه أظن شائعة bifocal وفي ناس + +607 +00:55:23,020 --> 00:55:27,220 +progressive طيب في ناس عندهم contact lenses بيقرا + +608 +00:55:27,220 --> 00:55:32,920 +ب contact lenses جليل في ناس عنده mono vision + +609 +00:55:32,920 --> 00:55:41,660 +intraocular lens بيحط داخل العين بتاعته يعنيعدسة + +610 +00:55:41,660 --> 00:55:48,600 +plus كابيرلو في عين واحدة بس هذه طبعا قليل في + +611 +00:55:48,600 --> 00:55:56,860 +intraocular lens مع contact lens برضه خاصة إذا كان + +612 +00:55:56,860 --> 00:56:00,000 +هو أساسا كان cataract و لا cataract في multifocal + +613 +00:56:00,000 --> 00:56:07,580 +IOLs الآن بدل من ميزرع اللي هو mono focal لأ + +614 +00:56:07,580 --> 00:56:12,310 +multifocal intraocular lensالان ال برس بيوميا + +615 +00:56:12,310 --> 00:56:18,310 +صاروا يحلوها ب .. اللي هو PRK و Blazic، PRK و + +616 +00:56:18,310 --> 00:56:25,230 +Blazic، خير اكتر، هتعود ترجع، بس هو بيقولك يعني + +617 +00:56:25,230 --> 00:56:31,410 +ألوان الطيف، و الناس أزواق و ميول، بنلبي هذا و هذا + +618 +00:56:32,600 --> 00:56:37,980 +طيب ما هي ال ميكانيزم القالية طبعا .. ماشي احنا + +619 +00:56:37,980 --> 00:56:41,360 +القالية اتكلمنا عنها كتير اتكلمنا عنها كتير، هاي + +620 +00:56:41,360 --> 00:56:48,800 +مثلا الصورة هاي الوضع .. اه الوضع الأول relax + +621 +00:56:48,800 --> 00:56:54,840 +الوضع التاني accommodative يلا + +622 +00:56:54,840 --> 00:56:56,280 +لخصوني إيش بصير؟ + +623 +00:56:59,770 --> 00:57:08,490 +الأولى الcell muscle relaxed زنيولز long، long، + +624 +00:57:08,490 --> 00:57:10,830 +long، long، long، long، long، long، long، long، + +625 +00:57:10,830 --> 00:57:11,250 +long، long، long، long، long، long، long، long، + +626 +00:57:11,250 --> 00:57:12,870 +long، long، long، long، long، long، long، long، + +627 +00:57:12,870 --> 00:57:14,150 +long، long، long، long، long، long، long، long، + +628 +00:57:14,150 --> 00:57:14,870 +long، long، long، long، long، long، long، long، + +629 +00:57:14,870 --> 00:57:17,230 +long، long، long، long، long، long، long، long، + +630 +00:57:17,230 --> 00:57:18,030 +long، long، long، long، long، long، long، long، + +631 +00:57:18,030 --> 00:57:27,430 +long، long، long، long، long، long، long، + +632 +00:57:27,430 --> 00:57:29,190 +long، + +633 +00:57:30,620 --> 00:57:36,040 +اه مش long زينا، اه ترخي، و ال lens more sphere، + +634 +00:57:36,040 --> 00:57:42,780 +more sphere طيب، هذا لل distance و هذا لنير، + +635 +00:57:42,780 --> 00:57:48,980 +لجراية، طيب و هاي نفس الشيء، الصورة هذه نفس الشيء، + +636 +00:57:48,980 --> 00:57:52,880 +هاي البطن الأول، السينماصل relaxed و أنا السينماصل + +637 +00:57:52,880 --> 00:58:00,370 +contracted، و كيف ال renewals؟ هنااه طويلة و كيف + +638 +00:58:00,370 --> 00:58:06,350 +ال lens flat و هنا contracted كيف ال lens thick + +639 +00:58:06,350 --> 00:58:13,590 +وزنيوز قصيرة حنجفحان + +640 +00:58:13,590 --> 00:58:17,490 +ان شاء الله aging + +641 +00:58:17,490 --> 00:58:21,790 +of accumulative mechanism نشوف عدس سنهيخلّي هذا + +642 +00:58:21,790 --> 00:58:26,810 +الكلام هو الموجود ولا هيغير في السن شكرا لكم على + +643 +00:58:26,810 --> 00:58:31,990 +حسن اجتماع والسلام عليكم ورحمة الله وبركاته + diff --git a/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/Ggkg4esR5fM.srt b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/Ggkg4esR5fM.srt new file mode 100644 index 0000000000000000000000000000000000000000..de3113c4a583f96f2a13108ea68468cd6d2ca89a --- /dev/null +++ b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/Ggkg4esR5fM.srt @@ -0,0 +1,2015 @@ +1 +00:00:20,650 --> 00:00:23,150 +أعوذ بالله بسم الله الرحمن الرحيم الحمد لله يا رب + +2 +00:00:23,150 --> 00:00:28,670 +العالمين وأصلي وأسلم معانا بينا هذه المحاضرة قد + +3 +00:00:28,670 --> 00:00:31,390 +تكون المحاضرة الأخيرة إن شاء الله إن شاء الله إن + +4 +00:00:31,390 --> 00:00:32,710 +شاء الله إن شاء الله إن شاء الله إن شاء الله إن + +5 +00:00:32,710 --> 00:00:33,230 +شاء الله إن شاء الله إن شاء الله إن شاء الله إن + +6 +00:00:33,230 --> 00:00:33,410 +شاء الله إن شاء الله إن شاء الله إن شاء الله إن + +7 +00:00:33,410 --> 00:00:33,630 +شاء الله إن شاء الله إن شاء الله إن شاء الله إن + +8 +00:00:33,630 --> 00:00:34,010 +شاء الله إن شاء الله إن شاء الله إن شاء الله إن + +9 +00:00:34,010 --> 00:00:38,190 +شاء الله إن شاء الله إن شاء الله إن شاء الله إن + +10 +00:00:38,190 --> 00:00:42,950 +شاء الله + +11 +00:00:42,950 --> 00:00:46,030 +إن شاء الله + +12 +00:00:49,430 --> 00:00:56,350 +mini automated devices فهل الرتينوسكوب ما زال له دور + +13 +00:00:56,350 --> 00:01:03,570 +في هذه العيادات والمستشفيات الحديثة؟ هذا ما سنجيب عنه + +14 +00:01:03,570 --> 00:01:10,330 +يقول في القرن الـ 21 يتجه العالم صوب الـ automation + +15 +00:01:10,330 --> 00:01:17,240 +كل شيء automatic و digital، المجال الـ ophthalmology + +16 +00:01:17,240 --> 00:01:20,920 +والـ optometry ما هو إلا واحد من هذه المجالات الـ + +17 +00:01:20,920 --> 00:01:24,840 +ophthalmic practice has parallel this move toward + +18 +00:01:24,840 --> 00:01:31,600 +automation. طبعًا الرتينوسكوب هو لا يعدو عن كونه + +19 +00:01:31,600 --> 00:01:44,480 +بطارية ولمبة وmirror ولنز، فهل هذا الجهاز البسيط + +20 +00:01:45,370 --> 00:01:50,210 +الرخيص نسبيًا سيواجه عالم الـ automation وما زال له + +21 +00:01:50,210 --> 00:02:07,690 +وجود أم لا؟ بقولي طبعًا + +22 +00:02:07,690 --> 00:02:10,770 +الـ auto reflectometer هو الآن الجهاز اللي بيستخدم + +23 +00:02:11,810 --> 00:02:22,090 +في قياس القوة البصرية بطريقة الـ اشارة، print out + +24 +00:02:22,090 --> 00:02:29,670 +بطريقة الاشارة، no light reflex but just to press a + +25 +00:02:29,670 --> 00:02:35,550 +button، يعني تقص على كبس زر يعطيك النتيجة، والنتيجة + +26 +00:02:35,550 --> 00:02:36,830 +هذه تكون مطبوعة + +27 +00:02:41,910 --> 00:02:47,410 +آه، يبقى الـ auto reflectometer طبعًا له مزايا كثيرة + +28 +00:02:47,410 --> 00:02:52,810 +لأنه ممكن أنّه، مزايا من مزايا بتاعته آه أنّه سهل + +29 +00:02:52,810 --> 00:02:57,250 +الاستعمال، من مزايا بتاعته أنّه سريع وأنّه مريح + +30 +00:02:57,250 --> 00:03:03,470 +للمريض ومريح للعامل وأن نتاجه قريب من نتاج + +31 +00:03:03,470 --> 00:03:10,930 +الرتينوسكوب، إيه أكثر أو أقل، zero point diopter صحيح. + +32 +00:03:13,650 --> 00:03:19,110 +طيب من الأخطاء بتاعته أنه بيعمل accommodation زائد + +33 +00:03:19,110 --> 00:03:27,210 +لشعور المريض أو الشخص المفحوص يعني أنّه في شيء قريب + +34 +00:03:27,210 --> 00:03:32,570 +بيتحرك، يعني الآن أصبحوا بيحطوا حاجة اسمها out of + +35 +00:03:32,570 --> 00:03:38,070 +fogging to relax accommodation في الجهاز، من عيوبه + +36 +00:03:38,070 --> 00:03:42,670 +اللي هناخدها أنّه لو فيه irregular astigmatism أو + +37 +00:03:42,670 --> 00:03:49,670 +scar أو keratoconus أو بعد العملية الليزك، صعب الـ + +38 +00:03:49,670 --> 00:03:55,950 +auto reflectometer يشتغل، وبس هو كل بيعطيه أنّه no + +39 +00:03:55,950 --> 00:04:00,730 +target، no center أو over cylinder، نقول no target + +40 +00:04:00,730 --> 00:04:05,590 +طالع من النتيجة أو no center شايفه أو over + +41 +00:04:05,590 --> 00:04:10,710 +cylinder، في حين أن الرتينوسكوب في هذه الحالات يعمل + +42 +00:04:10,710 --> 00:04:16,370 +يعني لو قطعنا من الـ LASIK بعد ست ساعات بيعمل + +43 +00:04:16,370 --> 00:04:20,630 +الرتينوسكوب، لكن مايعملوش auto refractometer، فهذا من ضمن + +44 +00:04:20,630 --> 00:04:24,870 +الأشياء، كيراتوكونس خاصة الـ high keratoconus أو الـ + +45 +00:04:24,870 --> 00:04:28,130 +severe keratoconus، ما بيطلع النتيجة، والأمراض + +46 +00:04:28,130 --> 00:04:30,450 +المشابهة زي الـ pellucid marginal degeneration في + +47 +00:04:30,450 --> 00:04:35,290 +القرنية، بيقول + +48 +00:04:35,290 --> 00:04:44,950 +ليالـ pupil of the patient لو كان صغير صغير، صعب + +49 +00:04:44,950 --> 00:04:52,550 +نعمل له auto refractometer وكذلك في اللي هو ريتينوسكوب + +50 +00:04:52,550 --> 00:04:57,350 +إلا لو عملنا له dilatation، بيقول + +51 +00:04:57,350 --> 00:05:01,430 +skilled retinoscopist اللي عنده مهارة، usually can + +52 +00:05:01,430 --> 00:05:05,690 +deduce quantities and qualities of astigmatism in + +53 +00:05:05,690 --> 00:05:08,790 +patients for whom automated refractor fails، يعني + +54 +00:05:08,790 --> 00:05:13,590 +موضوع الـ astigmatism بالذات خاصة الـ high زي + +55 +00:05:13,590 --> 00:05:17,050 +الـ keratoconus، ممكن جدًا أنّه بالرتينوسكوب نتغلب عليه + +56 +00:05:17,050 --> 00:05:23,770 +ونجب له نتيجة بينما الـ auto لأ، الكيرتوميتر + +57 +00:05:23,770 --> 00:05:31,310 +اشتغلته عليه اللي بيطلع K1 وK2، مفروض أنّه يشتغلوا + +58 +00:05:31,310 --> 00:05:36,270 +عليه، المهمة بتاعته مش مهمة بصرية، يعني هو بيحدد + +59 +00:05:36,270 --> 00:05:41,450 +اللي هو الـ cards of refraction أو الـ curvature of + +60 +00:05:41,450 --> 00:05:45,790 +the cornea، في التسعين والمئة وثمانية ماخصوش موضوع + +61 +00:05:45,790 --> 00:05:51,470 +refraction، بيبقى الآن أن إحنا بنعمل comparison + +62 +00:05:51,470 --> 00:05:59,240 +between a microscope and these instruments that are + +63 +00:05:59,240 --> 00:06:04,760 +very sophisticated، يعني معقدة جدًا، فنجد أن + +64 +00:06:04,760 --> 00:06:10,380 +الرتينوسكوب ما زال له دور حتى في الـ corneal + +65 +00:06:10,380 --> 00:06:15,700 +topography أو الـ topographers اللي بتقدم رسم أو + +66 +00:06:15,700 --> 00:06:20,720 +تقدير سطح قرنية لتقوم مقام الرتينوسكوب في + +67 +00:06:20,720 --> 00:06:23,980 +تقدير القوة البصرية وعمل الـ correction + +68 +00:06:23,980 --> 00:06:29,700 +objectively، يعني كل هذه الأجهزة لاتقوم مقام + +69 +00:06:29,700 --> 00:06:35,640 +الرتينوسكوب في حالات معينة وهنقولها إيش الحالات طيب + +70 +00:06:35,640 --> 00:06:41,700 +الآن السؤال يقول الرتينوسكوب has been shown to be + +71 +00:06:41,700 --> 00:06:46,120 +accurate in evaluating post-operative patients، إيش + +72 +00:06:46,120 --> 00:06:51,880 +post-operative؟ بعد العملية، هل أي جهاز غير + +73 +00:06:51,880 --> 00:06:55,340 +الرتينوسكوب بيقدر يقيم الحالة البصرية بعد العملية + +74 +00:06:55,340 --> 00:06:59,510 +الجراحية؟ بعد الـ cataract surgery وبعد الليزك بيقول + +75 +00:06:59,510 --> 00:07:03,710 +لأ، بس اللي هو الرتينوسكوب، لذلك بيعتمدوا كتير على + +76 +00:07:03,710 --> 00:07:07,110 +الرتينوسكوب في الـ pre and post operative refractive + +77 +00:07:07,110 --> 00:07:13,230 +surgery patients، يعني قبل المريض مينام للعملية + +78 +00:07:13,230 --> 00:07:16,910 +بتاعة الليزك بيعملوا الرتينوسكوبي وبعدها بيعملوا + +79 +00:07:16,910 --> 00:07:20,110 +الرتينوسكوبي ويطلقوا الفرق اللي صار، هل صار good + +80 +00:07:20,110 --> 00:07:24,850 +correction ولا لأ، يعني واحد مثلًا عنده minus six + +81 +00:07:24,850 --> 00:07:25,430 +myopia + +82 +00:07:28,640 --> 00:07:32,340 +بيعمله ريتينوسكوبي وبعدين بيدخله لعملية، بعد العملية + +83 +00:07:32,340 --> 00:07:36,260 +بساعة ساعتين بيعمله ريتينوسكوبي بيشوف هل الستة + +84 +00:07:36,260 --> 00:07:41,200 +فاضلين أو بعضهم فاضل أو zero، ممكن في حين أن + +85 +00:07:41,200 --> 00:07:46,820 +باقي الأجهزة لا تعمل هذا العمل، يبقى + +86 +00:07:46,820 --> 00:07:51,820 +الأجهزة الـ automated اللي تشتغل automatic can't + +87 +00:07:51,820 --> 00:07:55,810 +accurately evaluate the refractive state أو someone + +88 +00:07:55,810 --> 00:08:02,830 +with surgically altered cornea، قرنية اللي حصل + +89 +00:08:02,830 --> 00:08:07,250 +فيها تغيير جراحي، and therefore believe that they + +90 +00:08:07,250 --> 00:08:10,850 +have no role in providing data on these patients + +91 +00:08:16,490 --> 00:08:19,890 +في دراسات أخرى بيقول الـ topography alone is not + +92 +00:08:19,890 --> 00:08:22,670 +adequate in evaluating patient satisfaction after + +93 +00:08:22,670 --> 00:08:26,730 +laser surgical، اللي هو refractive surgery، يعني حتى + +94 +00:08:26,730 --> 00:08:32,530 +الـ corneal topography ممكن نعمل corneal topography ونشوف قبل + +95 +00:08:32,530 --> 00:08:38,550 +وبعد، لكن حتى الـ corneal topography اللي بعد العملية مش + +96 +00:08:38,550 --> 00:08:42,790 +هيكون واضح كويس، بعدين مش دليل على أنّه مشوف ستة ع + +97 +00:08:42,790 --> 00:08:48,820 +ستة، مش دليل يعني هو باطين الألوان، الـ .. الـ .. الـ + +98 +00:08:48,820 --> 00:08:52,680 +more steep، steep، الـ more curved بالأحمر، بالأزرق + +99 +00:08:52,680 --> 00:08:59,520 +بالأخضر، لكن وين الـ net result كـ refractive error + +100 +00:08:59,520 --> 00:09:06,240 +قاعدة عند اللي هو الرتينوسكوب، طيب في حد بيقول أنّه + +101 +00:09:06,240 --> 00:09:10,260 +إحنا لما نعمل الـ .. الرتينوسكوب بنعمله على الـ + +102 +00:09:10,260 --> 00:09:14,320 +central three millimeters، بينما لما نعمل الـ LASIK + +103 +00:09:15,410 --> 00:09:21,590 +بنعمل على الـ central 6 مليمتر، يعني الـ LASIK 6 + +104 +00:09:21,590 --> 00:09:25,030 +مليمتر بنعمل ريتينوسكوب على الـ 3، على قدر البؤبؤ + +105 +00:09:25,030 --> 00:09:32,370 +يعني العادي بدون توسيع وبالتالي بيقولي يعني سهل + +106 +00:09:32,370 --> 00:09:37,430 +أنّه إحنا بعد ما نعمل LASIK نعمل ريتينوسكوبي للـ + +107 +00:09:37,430 --> 00:09:40,530 +central بتاعه اللي هو 3 مليمتر الدائرة الأضيق يعني + +108 +00:09:40,530 --> 00:09:44,350 +الدائرة الأضيق سهلة، بيقول حتى لو هذا اللي عمله + +109 +00:09:44,350 --> 00:09:49,690 +إحنا بنعمل ريتينوسكوبي أو نعمله LASIK فيما بعد وصار + +110 +00:09:49,690 --> 00:09:52,290 +معاه الـ cataract، وشن الـ cataract ما زال بعد الـ + +111 +00:09:52,290 --> 00:09:57,010 +cataract ممكن نعمل له ريتينوسكوبي لأنه بنشتغل على الـ + +112 +00:09:57,010 --> 00:10:02,850 +central 3 مليمتر، بس central 3 مليمتر يعني ما نمتدش للـ + +113 +00:10:02,850 --> 00:10:07,030 +6 أو للـ 7 مليمتر، ريتينوسكوبي بنعمل للـ central وهذا + +114 +00:10:07,030 --> 00:10:12,710 +شيء سهل نقيم حتى عملية الـ cataract كم له النتيجة + +115 +00:10:12,710 --> 00:10:13,630 +البصرية بتاعتها + +116 +00:10:16,980 --> 00:10:22,960 +الآن هو بيعمل خيال، حلم، بيقول لي ربما أتى يوم أو + +117 +00:10:22,960 --> 00:10:30,340 +سيأتي يوم أن هنستغني عن قياس الـ IOL اللي بنزرعها + +118 +00:10:30,340 --> 00:10:35,180 +calculation، نستغني عن الكيرتوميتر ونستغني عن الـ + +119 +00:10:35,180 --> 00:10:41,160 +ultrasound أو الـ base scan، إحنا أخذنا المعادلة للـ + +120 +00:10:41,160 --> 00:10:46,070 +equation لحساب الـ IOL اللي بنزرعها عن طريق الـ + +121 +00:10:46,070 --> 00:10:49,630 +axial length والـ curvature بتاع القرنية بنعمل + +122 +00:10:49,630 --> 00:10:52,950 +equation معينة نطلع الـ power بتاع الـ intraocular + +123 +00:10:52,950 --> 00:10:57,830 +lens اللي عايزين إيه؟ نزرعها في عين العيان، هو + +124 +00:10:57,830 --> 00:11:04,590 +اللي الآن في خيال أن إحنا ندخل عين العيان بالـ + +125 +00:11:04,590 --> 00:11:10,990 +probe of FACO، تعرفوا جهاز الـ FACO؟ FACO + +126 +00:11:10,990 --> 00:11:16,350 +emulsification عن طريق الـ ultrasound، نطلق الـ lens + +127 +00:11:16,350 --> 00:11:22,850 +من مكانها، يعني نفض الـ capsular bag والعيان نايم + +128 +00:11:22,850 --> 00:11:27,870 +ونعمل الرتينوسكوب بيه، نشوف كام الـ refractive power + +129 +00:11:27,870 --> 00:11:37,290 +بتاعته وهو aphakic بدون عدسة ونشوف في الحالة هذه + +130 +00:11:37,290 --> 00:11:43,350 +كام قوة العدسة اللي مفروض نزرعها في عين العيان، هذا + +131 +00:11:43,350 --> 00:11:47,490 +هو اللي بيقول intraoperative retinoscopy، إيش يعني + +132 +00:11:47,490 --> 00:11:52,230 +intraoperative؟ خلال العملية، يعني يكون العيان نايم + +133 +00:11:52,230 --> 00:11:58,950 +في العملية وإحنا طلعنا العدسة الـ nucleus والـ + +134 +00:11:58,950 --> 00:12:05,270 +cortex، ريتينوسكوب عندنا معقم مسكوا الجراح عمل + +135 +00:12:05,270 --> 00:12:11,830 +ريتينوسكوبي للـ aphakic eye في اللحظة، قاس القوة البصرية + +136 +00:12:11,830 --> 00:12:18,830 +بدون عدسة، وجدها عايزة عدسة 17 أو 18 أو 19 ديوبتر + +137 +00:12:18,830 --> 00:12:24,790 +طبعًا مجموعة الـ IOL موجودة عنده كمان، راح فتحها + +138 +00:12:24,790 --> 00:12:28,370 +ودخلها في العين فاستغنى عن الـ base scan وعن + +139 +00:12:28,370 --> 00:12:35,340 +الكيرتوميتر، retinoscope، طبعًا هذا خيال جيد، خيال + +140 +00:12:35,340 --> 00:12:41,860 +جيد من المؤلف يعني، خيال جيد أنّه يعتبر أن الرتينوسكوب + +141 +00:12:41,860 --> 00:12:52,160 +هيدخل فيه قياس الـ IOL's ممكن هذا؟ ممكن بس صعب صح؟ + +142 +00:12:52,160 --> 00:12:57,880 +هو قبل واحد ولا trend ولا trend يعني زي ما هو بقياس + +143 +00:12:57,880 --> 00:13:02,940 +العين، فكك بديه قياس العين اللي أفكك،وبالتالي يبدو + +144 +00:13:02,940 --> 00:13:05,840 +أنه ينزل على عدسة ويعاوز بعضها، أيش يعمل؟ ريتينوسكوبي + +145 +00:13:05,840 --> 00:13:11,260 +ويشوف أن العدسة الجديدة أنه عاملة المطلوب، عاملة + +146 +00:13:11,260 --> 00:13:14,560 +المطلوب بدون مايوبيا، وبدون هايبرمتروبيا، وممكن بدون + +147 +00:13:14,560 --> 00:13:18,420 +الـstigmatism، طيب. + +148 +00:13:18,420 --> 00:13:22,320 +هذا بيثبت أيش؟ أو أيش من وراء؟ يعني هذا الخيال + +149 +00:13:22,320 --> 00:13:30,700 +الجيد، بيثبت أن الريتينوسكوب ما زال له دور مهم جداً + +150 +00:13:30,700 --> 00:13:35,800 +معنى أن العالم اتجه للـ automation، أنه لغينا + +151 +00:13:35,800 --> 00:13:43,080 +الريتروسكوب؟ ما لغيناش الريتينوسكوب، قلتوا؟ + +152 +00:13:43,080 --> 00:13:54,990 +أشعر جميلة، خاصة الثانية دي ولادك أمكيوم وولدتك + +153 +00:13:54,990 --> 00:14:01,110 +وأمك باكيا والقوم حولك يضحكون سروراً، فعمل يوم أن + +154 +00:14:01,110 --> 00:14:07,430 +تكون إذا بكوا في يوم موتك ضاحكا مسروراً، هذا أيش فيه؟ + +155 +00:14:07,430 --> 00:14:11,250 +صورة بلاغية في + +156 +00:14:11,250 --> 00:14:16,790 +حيث ما مقابلة لما، جملة مع جملة، بتكون مقابلة وكلمة + +157 +00:14:16,790 --> 00:14:22,230 +مع كلمة، بتكون طباق،يعني في الأول يوم الولادة كنت + +158 +00:14:22,230 --> 00:14:30,050 +تباكي والناس يضحكون سروراً ويوم موتك يبكون وأنت + +159 +00:14:30,050 --> 00:14:39,390 +تضحك سروراً إذا كنت عملت وكصالحاً، طيب احنا اتكلمنا بس + +160 +00:14:39,390 --> 00:14:43,150 +كلمة على الحجاب الشرعي، كويس؟ قرأتوها دي عندكم ولا + +161 +00:14:43,150 --> 00:14:45,330 +لأ؟ طيب + +162 +00:14:48,330 --> 00:14:57,490 +إيش الحكمة من الحجاب الشرعي؟ طبعاً عفة صون الفتاة + +163 +00:14:57,490 --> 00:15:05,050 +المسلمة من عيون اللي هو أهل الشهوات، والمحافظة على + +164 +00:15:05,050 --> 00:15:11,830 +أطر المجتمع، هذا يعني حكمة موجودة، طيب الآن + +165 +00:15:16,040 --> 00:15:21,120 +زي ما قلنا قبل قليل، الـ IOL اللي بدنا نزرعها شيء + +166 +00:15:21,120 --> 00:15:26,100 +مهم، في ناس بيزرع الـ IOL غلط، وفي ناس بيزرعها over + +167 +00:15:26,100 --> 00:15:31,600 +أو under correction، فهو بيقولك احتمال كبير أن وجود + +168 +00:15:31,600 --> 00:15:36,960 +erroneous scope في الموضوع، أنه يعمل dub من أي over + +169 +00:15:36,960 --> 00:15:41,560 +correction أو under correction، طبعاً مستخدم آليات + +170 +00:15:41,560 --> 00:15:45,320 +معقدة في الموضوع، فربما أقول لك ريتينوسكوب يكون أدق + +171 +00:15:45,320 --> 00:15:51,060 +لأنه بيشتغل على القوة البصرية، ما بيشتغل على اللي + +172 +00:15:51,060 --> 00:15:55,000 +هو Altered Ocular Anatomy يعني على Anatomy متغير + +173 +00:15:55,000 --> 00:15:59,140 +طيب اللي أنا دي احنا منافس للريتينوسكوب اسمه إيش؟ + +174 +00:15:59,140 --> 00:16:03,660 +Auto Refractometer، احنا مش هنتكلم على تركيب أو + +175 +00:16:03,660 --> 00:16:07,520 +Anatomy of Auto Refractometer، هذا تركناه لدكتور + +176 +00:16:07,520 --> 00:16:14,930 +الفاضل،حمد اللي بيدرس مساق اللي هو الـ .. الـ + +177 +00:16:14,930 --> 00:16:19,750 +instruments، فكنا نتكلم على الـ characteristics، إيش الـ + +178 +00:16:19,750 --> 00:16:26,770 +الخصائص، الخصائص أنه بيستخدم infrared radiation NIR + +179 +00:16:26,770 --> 00:16:32,490 +infrared radiation يعني أشعة فوق الحمراء، طبعاً هذه + +180 +00:16:32,490 --> 00:16:40,390 +طول موجي طويل ولا قصير؟ طويل، أطول شيء الأحمر من + +181 +00:16:40,390 --> 00:16:45,850 +seven hundred eighty to nine hundred fifty نانو + +182 +00:16:45,850 --> 00:16:50,250 +متر، أطول شيء اللي هو الأحمر على قاعدة الـ Vibguar، + +183 +00:16:50,250 --> 00:16:57,490 +طب ليش بيستخدموا اللي هو infrared radiation؟ عشان + +184 +00:16:57,490 --> 00:17:01,910 +حاجتين، أول شيء بيصيروا minimum absorption في + +185 +00:17:01,910 --> 00:17:05,870 +العين، أنتم عارفين العين فيها pigments زي الـ + +186 +00:17:05,870 --> 00:17:09,810 +xanthophyll وفيها + +187 +00:17:09,810 --> 00:17:13,610 +other pigments في الـ iris كمان ميلانيين وشيء + +188 +00:17:13,610 --> 00:17:19,590 +فبيقول لي نسبة الامتصاص عن الضوء الأحمر العادي 1 to + +189 +00:17:19,590 --> 00:17:21,390 +9. + +190 +00:17:24,270 --> 00:17:28,250 +يبقى الامتصاص أقل وبالتالي باعطي الفاحص فرصة أكثر + +191 +00:17:28,250 --> 00:17:34,370 +في أنه يقرأ الـ details بتاع اللي هو إيش؟ اللي هو الـ + +192 +00:17:34,370 --> 00:17:39,890 +reflex اللي جاي من عين، العين اتنين، invisible to + +193 +00:17:39,890 --> 00:17:45,570 +visual system of the patient يعني هو المريض ما قدرش + +194 +00:17:45,570 --> 00:17:49,940 +يشوف اللون الأحمر، هذاهو الانفراد، وبالتالي أن هو + +195 +00:17:49,940 --> 00:17:55,120 +photophobia، الضوء العادي لو دخلنا ضوء عادي أحمر في + +196 +00:17:55,120 --> 00:17:58,200 +عين عيان بيعمل فوتوفوبيا، بيخاف من الضوء، بينما + +197 +00:17:58,200 --> 00:18:01,480 +الضوء اللي بيستخدمه الـ auto refractometer، الانفراد + +198 +00:18:01,480 --> 00:18:06,340 +هذا تحت الحمراء بيكون مش ملموس، أن هو بالتالي بيكون + +199 +00:18:06,340 --> 00:18:06,760 +مرتاح + +200 +00:18:09,750 --> 00:18:12,670 +الخاصية الثانية الـ intensity of primary source + +201 +00:18:12,670 --> 00:18:15,310 +and reflections almost all automated objective + +202 +00:18:15,310 --> 00:18:20,150 +refractors، وبالتالي بيعمل minimum adverse effects + +203 +00:18:20,150 --> 00:18:23,470 +on the cornea، يعني بيقول لإن الأضواء اللي بتطلعها + +204 +00:18:23,470 --> 00:18:28,110 +الـ autorefractometer تحدث لحد أدنى الضار على الـ + +205 +00:18:28,110 --> 00:18:33,310 +cornea of the patient، بتعرفين الـ cornea بتتأثر + +206 +00:18:33,310 --> 00:18:38,090 +بالضوء، فلما يكون البُقب Infrared، يقول لي ضرره أقل + +207 +00:18:38,090 --> 00:18:45,650 +شيء على عين أو على القرنية المريضة، Pupil Size، + +208 +00:18:45,650 --> 00:18:49,750 +أحياناً + +209 +00:18:49,750 --> 00:18:56,390 +لما يكون البُقب ضيق، نضطر نضع موسع، موسع، موسع، موسع + +210 +00:18:56,390 --> 00:18:58,030 +موسع، موسع، موسع، موسع، موسع، موسع، موسع، موسع، موسع + +211 +00:18:58,030 --> 00:19:00,430 +موسع، موسع، موسع، موسع، موسع، موسع، موسع، موسع، موسع + +212 +00:19:00,430 --> 00:19:00,450 +موسع، موسع، موسع، موسع، موسع، موسع، موسع، موسع، موسع + +213 +00:19:00,450 --> 00:19:01,510 +موسع، موسع، موسع، موسع، موسع، موسع، موسع، موسع، موسع + +214 +00:19:01,510 --> 00:19:06,040 +موسع، موسع، موسع، موسع، موسع، موسع، موسع، موسع، مأه في الـ + +215 +00:19:06,040 --> 00:19:09,100 +auto reflectometer يعني واحد البُقب بتاعه very + +216 +00:19:09,100 --> 00:19:13,400 +narrow أو small، طبعاً هيعمل لي مشكلة، وبالتالي أنا قد + +217 +00:19:13,400 --> 00:19:18,880 +أضطر أن أعطي إيش؟ موسع، طيب الخاصية الرابعة الـ + +218 +00:19:18,880 --> 00:19:26,860 +back vertex distance بيقول لي الـ الـ الـ auto + +219 +00:19:26,860 --> 00:19:31,880 +reflector الموجود بيعمل plane واهمي أمام القرنية + +220 +00:19:31,880 --> 00:19:40,640 +وبيقيس منه، هذا التجارب الثاني الوهمي للقياس اسمه + +221 +00:19:40,640 --> 00:19:45,040 +plane refraction، ممكن يعمل بعض الخطأ، نسبة من الخطأ + +222 +00:19:45,040 --> 00:19:50,760 +يعني ليس بالدقة بتاعة الريتينوسكوب، كمان في خاصية + +223 +00:19:50,760 --> 00:19:58,600 +خامسة، ممكن يعمل auto fogging، إيش auto fogging؟ دخلي + +224 +00:19:58,600 --> 00:20:04,460 +plus lenses قدام العين حتى ما يش accommodation، وهذه + +225 +00:20:04,460 --> 00:20:08,700 +ميزة من المزايا أنه بيعمل auto-fogging في العين + +226 +00:20:08,700 --> 00:20:11,480 +اللي هي examined، الـ right eye، بيعمل auto-fogging، + +227 +00:20:11,480 --> 00:20:13,980 +بعدين الـ tingle على الـ left بيعملوا auto-fogging، + +228 +00:20:13,980 --> 00:20:17,200 +طبعاً + +229 +00:20:17,200 --> 00:20:20,520 +الـ auto-fogging هذا بيجلل الـ accumulation، هذه + +230 +00:20:20,520 --> 00:20:25,020 +المزايا، أو خلّيني أقول الخصائص، طب فما هي الـ + +231 +00:20:25,020 --> 00:20:27,140 +advantage of auto-refractometer؟ + +232 +00:20:30,790 --> 00:20:37,190 +أكبر ميزة بتاعته أنه time-saving، إيش time-saving؟ + +233 +00:20:37,190 --> 00:20:42,670 +باختصار الوقت، لو في مستشفى مثلاً أنا عندي one + +234 +00:20:42,670 --> 00:20:48,090 +hundred patient واللي عندي بيشتغل one optometrist، + +235 +00:20:48,090 --> 00:20:52,990 +هل الـ optometrist لو كان هو جني بيقدر يعمل + +236 +00:20:52,990 --> 00:20:58,880 +ريتينوسكوبي؟ بيقدر، بينما ممكن أن الـ Optometrist + +237 +00:20:58,880 --> 00:21:05,940 +يجيب له خمسة nurses، ممرضين ويعمل لهم على five + +238 +00:21:05,940 --> 00:21:11,200 +autorefractometers وهو يعمل subjective فقط، هو يعمل + +239 +00:21:11,200 --> 00:21:17,520 +subjective، فهي لما يكون فيه busy optometrist أو + +240 +00:21:17,520 --> 00:21:22,380 +clinician، بيعمله time saving، هذه ميزة لا شك في + +241 +00:21:22,380 --> 00:21:27,610 +الزحام ممتازة، الريتينوسكوب عايز عدد قليل وشغل هاديء + +242 +00:21:27,610 --> 00:21:33,970 +ثاني أنه بيقول لي المريض بيحس أنه more comfortable + +243 +00:21:33,970 --> 00:21:40,590 +أكثر من الريتينوسكوب، الريتينوسكوب أول شيء الـ light + +244 +00:21:40,590 --> 00:21:45,590 +بتاعه أحمر، بعدين عايز time أكثر أطول، بعدين عايز + +245 +00:21:45,590 --> 00:21:52,740 +fixation أبعد، صحيح؟ بينما لأ، هذا يعني few time spent + +246 +00:21:52,740 --> 00:21:56,780 +in the test، patient will be more comfortable، so he + +247 +00:21:56,780 --> 00:22:00,500 +will more cooperative، لما يكون مرتاح أكثر بيكون + +248 +00:22:00,500 --> 00:22:06,720 +متعاون معايا أكثر، الميزة الثالثة أنه لا يحتاج إلى + +249 +00:22:06,720 --> 00:22:13,840 +أي مشاركة كلامية من المريض، بس هو objective، فهو بيقول + +250 +00:22:13,840 --> 00:22:18,120 +يعني ما شايف، مش شايف، طالع بعيد، طالع قريب، بس هي + +251 +00:22:18,120 --> 00:22:23,280 +أنه مجرد أنه يحط الـ head في المكان يفتح عينه وبس + +252 +00:22:23,280 --> 00:22:28,140 +كل جهاز بيتولد كل حاجة، فهو not require a verbal + +253 +00:22:28,140 --> 00:22:32,800 +response from patients، مالوش أي يعني مشاركة كلامية + +254 +00:22:32,800 --> 00:22:40,660 +وهذه ميزة كمان، في ميزة بيقول some automatic method + +255 +00:22:40,660 --> 00:22:44,940 +of indicating the unreliability + +256 +00:22:44,940 --> 00:22:49,740 +of result، يعني هو بيعطيك رسائل أحياناً لو كان مش + +257 +00:22:49,740 --> 00:22:54,880 +قادر يمشي في القياس بيعطيك no center أو no target + +258 +00:22:54,880 --> 00:23:00,620 +يعني بيعطيك رسالة للكمبيوتر بيكتب لك رسالة no target + +259 +00:23:00,620 --> 00:23:03,460 +أو no center، تفهم أنه مش قادر يقيسها، لو واحد عنده + +260 +00:23:03,460 --> 00:23:07,580 +cataract مثلاً، الواحد بيغمض كتير، مش قادر يعمل + +261 +00:23:07,580 --> 00:23:12,200 +fixation بيقول لك no target، الريتينوسكوب ما بيعطيك كلام + +262 +00:23:12,200 --> 00:23:16,280 +زي هذا، ما بيعطيك رسائل يعني الكمبيوتر، يعني في كمان + +263 +00:23:16,280 --> 00:23:19,560 +ميزة لا يستهان بها اللي هو print out paper، إيش + +264 +00:23:19,560 --> 00:23:23,120 +print out paper؟ ورقة مطبوعة، ورقة مطبوعة في طابعة + +265 +00:23:23,120 --> 00:23:26,540 +فيه لما تعمل print بيعطيك print وبالتالي الـ print + +266 +00:23:26,540 --> 00:23:32,500 +هذا هو وثيقة في التاريخ اليوم، + +267 +00:23:33,840 --> 00:23:39,280 +في الـ IPD، في الـ sphere، في الـ cylinder، في spherical + +268 +00:23:39,280 --> 00:23:42,880 +equivalent، ممكن contact lens، soft contact lens، + +269 +00:23:42,880 --> 00:23:51,740 +يعني بيعطيك مسائل زي هذه، يعني مسائل + +270 +00:23:51,740 --> 00:23:59,740 +زي هذه، back vertex، الـ PD، sphere، cylinder، spherical + +271 +00:23:59,740 --> 00:24:04,380 +equivalent، الـ date حتى الـ serial number بتاع + +272 +00:24:04,380 --> 00:24:07,780 +المريض في هذا الجهاز والساعة اللي أنا أعمل فيها + +273 +00:24:07,780 --> 00:24:11,800 +بالضبط، حتى أني لو بدي أعمل recall في يوم من الأيام + +274 +00:24:11,800 --> 00:24:16,080 +ممكن يتبرمج أني أعطيك .. بس أعطيك تاريخ، ممكن + +275 +00:24:16,080 --> 00:24:20,480 +تطلع لك كل ذلك اليوم مين اللي .. حتى ممكن أبرمج + +276 +00:24:20,480 --> 00:24:26,100 +أسماء المرضى، بتبرمج يعني، فالـ + +277 +00:24:26,100 --> 00:24:29,660 +print out paper هذا مش موجود في إيش؟ في الـ + +278 +00:24:29,660 --> 00:24:36,180 +retroscope، كمان لا يحتاج إلى dark room أو dim room، + +279 +00:24:36,180 --> 00:24:41,920 +ممكن في الـ light العادي ينعمل، يعني مش لازم يعمل + +280 +00:24:41,920 --> 00:24:45,880 +طبارق dark room وكلام زي هذا، وهذه ميزة لا شك أنها + +281 +00:24:45,880 --> 00:24:54,560 +ميزة كمان ميزة السادسة اه ان ال access of the cylinder + +282 +00:24:54,560 --> 00:24:58,900 +سهل يطلعوا طبعا الأكسس و السليندر و احنا اخذنا + +283 +00:24:58,900 --> 00:25:03,100 +الأكسس و السليندر في الريتنسكوب عايز مهارة خاصة و + +284 +00:25:03,100 --> 00:25:07,540 +الخطأ فيه طبعا الأكسس خطأ فيه صعب فكيف نجيب ال + +285 +00:25:07,540 --> 00:25:11,840 +cross cylinder و غير و كده يعني نتعب لما نحصل + +286 +00:25:11,840 --> 00:25:20,320 +الأكسس مظبوط لأ هذا بيطلع الأكسس كشيء ضمن العمل لا + +287 +00:25:20,320 --> 00:25:26,010 +شك احنا الشيء الكويس ناخد يعني كمان نيزة تامة ومهمة + +288 +00:25:26,010 --> 00:25:29,390 +أنه مافيش عنده working distance الريتنسكوب فيه + +289 +00:25:29,390 --> 00:25:32,050 +working distance لازم في الأخر اعمل subtraction + +290 +00:25:32,050 --> 00:25:35,310 +لمقلوب ال working distance بالديوبتر هنا مافيش + +291 +00:25:35,310 --> 00:25:39,990 +working distance يعني مابعطيك هو صافي يعني ماعطاك + +292 +00:25:39,990 --> 00:25:48,390 +في ال .. هنا خلاص هذا عنده 0.5 سفيل بالـ minus one + +293 +00:25:48,390 --> 00:25:54,600 +minus one point five في one hundred اللي هو fifty + +294 +00:25:54,600 --> 00:26:03,500 +six خلاص هذا نتيجة net ايش net صافي نتيجة صافي مش + +295 +00:26:03,500 --> 00:26:09,500 +عايز ان اعمل minus كده مقلوب ال working distance + +296 +00:26:09,500 --> 00:26:15,840 +طبعا يعني انتوا اللي عندنا هنا مرتاحين طيب فما هي + +297 +00:26:15,840 --> 00:26:21,010 +ال disadvantage عشان تعملوا balance يعني المرء مننا + +298 +00:26:21,010 --> 00:26:26,710 +يصر لما يذكر ايش المزايا بتاعه ولكن لما تذكر عيوبه + +299 +00:26:26,710 --> 00:26:33,130 +يغص و ما فيش واحد فينا معصوم صح كل البشر اللي زينا مش + +300 +00:26:33,130 --> 00:26:40,250 +معصومين الا الأنبياء عليهم السلام بس طيب هذا جهاز + +301 +00:26:40,250 --> 00:26:44,270 +مصنوع البشر صنعه و بما أن البشر فيه عيوب اذا صنع + +302 +00:26:44,270 --> 00:26:49,320 +البشرهيكون فيه أول شيء not be accurate as written + +303 +00:26:49,320 --> 00:26:54,040 +score يعني موضوع ال accommodation و غير + +304 +00:26:54,040 --> 00:26:57,040 +accommodation و خوف العيان و بعضه و جربه و كده و + +305 +00:26:57,040 --> 00:27:03,580 +تركيزه باثر يعني هيكون أقل شيء 0.5 ديوبتر خطأ + +306 +00:27:03,580 --> 00:27:09,040 +زيادة أو نقصان، واحد تاني شعور المريض بال nearness + +307 +00:27:09,040 --> 00:27:13,780 +هيثر ال accommodation خاصة في الأطفال و الصغار + +308 +00:27:16,340 --> 00:27:22,280 +أول ما يحس انه في تكتكة قريبة لعينه في تكتكة لأن + +309 +00:27:22,280 --> 00:27:25,920 +المسافة كلها ما فيش تلاتين سنتم بين عين المريض + +310 +00:27:25,920 --> 00:27:33,260 +وعين الفاحس فحاسس في حركة يعني بتخلي شويه في رهبة + +311 +00:27:33,260 --> 00:27:39,860 +الا إذا انا عملته ايش نوع من يعني ال assurance و + +312 +00:27:39,860 --> 00:27:43,890 +اهدأته يعني بقول له انه induce proximal + +313 +00:27:43,890 --> 00:27:48,450 +accommodation leading to too much minus or not + +314 +00:27:48,450 --> 00:27:51,710 +enough plus طبعا لما يعمل ال accommodation بيعمل + +315 +00:27:51,710 --> 00:27:56,770 +في ال plus و ال jazz بيعادله بال minus يعني بيعطيه + +316 +00:27:56,770 --> 00:28:00,360 +نتيجة من ال minus و لو كان هو high hypermetrope + +317 +00:28:00,360 --> 00:28:04,240 +هيعطينا less high hypermetrope لأنه أضفنا له minus + +318 +00:28:04,240 --> 00:28:09,220 +الجهاز عادل و لحاله اعطانا الحل يعني الجهاز اقترح + +319 +00:28:09,220 --> 00:28:13,920 +و اعطانا ال result بتاعته كان بده تعديل بس في ال + +320 +00:28:13,920 --> 00:28:18,060 +subjective انا احط له عدسات و أطلع جاهز يبقى أي + +321 +00:28:18,060 --> 00:28:22,140 +عيب تاني العيب هذا قليل ولا كبير كبير + +322 +00:28:26,180 --> 00:28:30,880 +طبعا صاروا يعملوا auto-fogging هم الجهاز بيغبّش + +323 +00:28:30,880 --> 00:28:36,180 +وبعدين بيوضّح بيغبّش وبعدين بيوضّح بدخل بلصات حتى + +324 +00:28:36,180 --> 00:28:39,900 +يرخي ciliary muscle وهذا شيء يعني في الأجهزة + +325 +00:28:39,900 --> 00:28:43,420 +الحديثة واضح يعني في الأجهزة الحديثة قبل عشر سنوات + +326 +00:28:43,420 --> 00:28:48,540 +و جاي دخلوا ال auto-fogging العيب التالت high + +327 +00:28:48,540 --> 00:28:55,720 +expensive price سعره عشر ألف دولار وفوق مش أي واحد + +328 +00:28:55,720 --> 00:29:00,040 +مختنيه يعني لو كان حتى عندك مهارات في ال + +329 +00:29:00,040 --> 00:29:05,540 +refraction كده و هذا يعني جهاز و لو فتحت مركز + +330 +00:29:05,540 --> 00:29:12,000 +مافيش فيه auto refractometer الناس بدهم يعني اه + +331 +00:29:12,000 --> 00:29:17,620 +بدهم وجهات يعني جهاز و حاجات زيها يعني فال .. انه + +332 +00:29:17,620 --> 00:29:24,960 +ال price غالي جدا طيب كمان يحتاج إلى ال cooperation + +333 +00:29:24,960 --> 00:29:32,020 +يعني لو العيان غير صاحي ان يعمل cooperation ولا + +334 +00:29:32,020 --> 00:29:36,940 +ويده يعمل cooperation إذا كل ال test خطأ فمثلا في + +335 +00:29:36,940 --> 00:29:40,380 +ال infants الرضع و small children و ناس ال + +336 +00:29:40,380 --> 00:29:46,010 +unconscious مش unconscious اللي فاقدين الوعي يعني + +337 +00:29:46,010 --> 00:29:49,230 +واحد تحت ال بنج بقدر اعمله auto-fractometer طب انا + +338 +00:29:49,230 --> 00:29:52,990 +بقدر اللي تحت ال بنج اعمله retroscope اه بعمله + +339 +00:29:52,990 --> 00:30:01,590 +بعمله حتى ال infant يعني لو هدأته شوية بقطرات أو + +340 +00:30:01,590 --> 00:30:08,130 +تحميلة ممكن اعمله الطفل الصغير لو his mother مسكها + +341 +00:30:08,130 --> 00:30:15,780 +كويس ممكن اعملهلو شعور كثير مثار بقدرش اعمله لكن + +342 +00:30:15,780 --> 00:30:22,360 +under general anesthesia بعمله طب لو فيه media من + +343 +00:30:22,360 --> 00:30:28,760 +كترك أو corneal opacity هيعملي no target أو no + +344 +00:30:28,760 --> 00:30:36,920 +center هذا عيب صغير ولا كبير؟ هذا عيب كبير طيب it + +345 +00:30:36,920 --> 00:30:40,680 +forms an objective method of refraction و I + +346 +00:30:40,680 --> 00:30:46,500 +subjective يعني انا مقدر اخد هذه الورقة و اكتبها + +347 +00:30:46,500 --> 00:30:55,520 +prescription هذا عيب كبير طيب + +348 +00:30:55,520 --> 00:31:02,180 +شوف الريترسكوب الهدراء هذا بس اللي فيه البطارية + +349 +00:31:02,180 --> 00:31:09,230 +واللمبة ال head مجرد كنا بنعمل كده و نعمل كده بنقرأ + +350 +00:31:09,230 --> 00:31:15,490 +20 حاجة نقرأ مايوبيك ولا هايبرمتروبيا أستيجماتيك + +351 +00:31:15,490 --> 00:31:22,230 +ولا لا عيب كبير ولا bright ولا لا faint نقرأ سريع + +352 +00:31:22,230 --> 00:31:30,730 +نقرا بطيء نقطة أنايزومتروبيا ولا لا كمان هل إن هذا + +353 +00:31:30,730 --> 00:31:34,350 +الجهاز اللي مثمن عشر ألف دولار بيقدر يعطينا هذه + +354 +00:31:34,350 --> 00:31:34,830 +المعلومات + +355 +00:31:40,080 --> 00:31:45,740 +لاحظين؟ كثير من الناس بيحب الوجهات المهم كون إش + +356 +00:31:45,740 --> 00:31:53,020 +جديد إذا إجه لجديد كل القديم ماروش لزوم لا أحيانا + +357 +00:31:53,020 --> 00:32:01,440 +لأ انت شوف النتائج شوف النتائج هذا عامل لك طيب لو في + +358 +00:32:01,440 --> 00:32:05,420 +أي corner opacity أو ال lenticular opacity في ال + +359 +00:32:05,420 --> 00:32:11,730 +lens أو في البتريز حتى جالك نقطة او لا ما اعرفش هل + +360 +00:32:11,730 --> 00:32:14,770 +هذا اللي معاه شوية cataract أو حتى كون ال obesity + +361 +00:32:14,770 --> 00:32:20,750 +ممكن بال written scope يكمل اه يقول لك يكمل يبقى + +362 +00:32:20,750 --> 00:32:29,650 +الآن من ال disadvantage انه + +363 +00:32:29,650 --> 00:32:33,760 +في ال hazy media ما بيشتغل هو objective عايز + +364 +00:32:33,760 --> 00:32:36,980 +subjective زي retroscope يعني هم اشتركوا في انه هم + +365 +00:32:36,980 --> 00:32:42,220 +objective كلهم عايزين بعد هيك subjective طيب ايه + +366 +00:32:42,220 --> 00:32:50,440 +أوجه الشبح بين الديهازين؟ في أوجه الشبح أول أوجه + +367 +00:32:50,440 --> 00:32:54,140 +الشبح انه very small pupil بشكل عقبة في التانين + +368 +00:32:54,140 --> 00:33:01,300 +بشكل difficult كمان ال opacity في ال media بتشكل + +369 +00:33:01,300 --> 00:33:05,360 +opacity سواء في الكورنية أو في ال lens في ال + +370 +00:33:05,360 --> 00:33:09,540 +retroscope و في ال auto reflectometer اتنين small + +371 +00:33:09,540 --> 00:33:16,520 +pupil ساعات ضايلتيش لو في opacity الحق ان ال + +372 +00:33:16,520 --> 00:33:20,980 +opacity البسيطة في الكورنية أو في ال lens ممكن + +373 +00:33:20,980 --> 00:33:23,220 +اتغلب عليها بال retroscope لكن بال auto لا + +374 +00:33:26,720 --> 00:33:30,320 +الـ patients alignment و ال cooperation و ال + +375 +00:33:30,320 --> 00:33:33,040 +relaxation و ال accommodation هم المهمين في + +376 +00:33:33,040 --> 00:33:37,440 +الaccuracy of results يعني قعدة المريض يكون قاعدة + +377 +00:33:37,440 --> 00:33:43,960 +سوية في ال retroscope و في ال face to face و برضه + +378 +00:33:43,960 --> 00:33:47,320 +في ال autorefractometer يعني فيه تلاقي واحد حاطط + +379 +00:33:47,320 --> 00:33:53,620 +يعني وشه في ال autorefractometer غلط تاني حاله أو + +380 +00:33:53,620 --> 00:34:02,570 +عامل heat أو عامل بنفعش لازم ال alignment طريقة وضع + +381 +00:34:02,570 --> 00:34:08,810 +ال head و وضع ال face تكون correct ما تكونش deviated + +382 +00:34:08,810 --> 00:34:14,330 +لا تحت لا فوق لا جنب بنفعش الفاتحين لازم يكونوا + +383 +00:34:14,330 --> 00:34:19,210 +مركز معايا هذه الاجزة بتحتاج إلى cooperation يعني + +384 +00:34:19,210 --> 00:34:25,600 +خليني أقولك يعني بالإنه هي كعقد بين الفاحس + +385 +00:34:25,600 --> 00:34:33,100 +و المبحوث إذا كان أي طرف منهم أخل بالعقد النتيجة + +386 +00:34:33,100 --> 00:34:41,900 +سيئة لذلك كثير من الفاحس مطلوب و في أخلاقية المهنة + +387 +00:34:41,900 --> 00:34:48,660 +ان أعمل assurance طمأنينة للمبحوث و أفهم ايش بده + +388 +00:34:48,660 --> 00:34:54,280 +اعمله أريد أن أعمل لك قياس القوة البصرية و هذا يحتاج + +389 +00:34:54,280 --> 00:34:57,920 +إلى أن تكون ناضج و فاتح عينك و مركز في الصورة اللي + +390 +00:34:57,920 --> 00:35:06,140 +قدامك و تقولي أي شيء بيغلبك يقولي بس لازم يكون هو + +391 +00:35:06,140 --> 00:35:14,360 +طرف مهم و شريك كيف الشريك مع شريكه في أي عمل لازم + +392 +00:35:14,360 --> 00:35:17,720 +يكون فيه تفاهم عشان ال cooperation يكون كامل + +393 +00:35:17,720 --> 00:35:25,180 +و النتيجة تكون ايش صح طيب كمان في تشابه ان الاتنين + +394 +00:35:25,180 --> 00:35:27,560 +ما يعطوش video ال equity عشان هيك ال video ال + +395 +00:35:27,560 --> 00:35:31,020 +equity لازم تكون في الأول يعني أول مريض مدي و اخذ + +396 +00:35:31,020 --> 00:35:35,120 +منه ال history بحطه على ال chart right eye لحالة و + +397 +00:35:35,120 --> 00:35:39,340 +بعدين left eye لحالة ال video ال equity مهمة جدا + +398 +00:35:39,340 --> 00:35:44,040 +كنا في residency لما اروح لسينور بتاعنا بنقول له + +399 +00:35:44,040 --> 00:35:46,540 +الحالة هذه غلبتني، هذا تنسكت وبعشان ماشي، كده، + +400 +00:35:46,540 --> 00:35:47,340 +كده، كده، كده، كده، كده، كده، كده، كده، كده، كده، + +401 +00:35:47,340 --> 00:35:47,440 +كده، كده، كده، كده، كده، كده، كده، كده، كده، كده، + +402 +00:35:47,440 --> 00:35:48,360 +كده، كده، كده، كده، كده، كده، كده، كده، كده، كده، + +403 +00:35:48,360 --> 00:35:56,800 +كده، كده، كده، كده، كده، كده، كده، + +404 +00:35:56,800 --> 00:36:02,580 +كده، كده، كده، كده، كده، كده، كده، كده، كده، كده، + +405 +00:36:02,580 --> 00:36:04,060 +كده + +406 +00:36:14,270 --> 00:36:18,150 +فلازم اللي بدي أقول لك إنتي تتاخد في الأول قبل و + +407 +00:36:18,150 --> 00:36:22,790 +بعدين subjectively بعد ال result subjectively بعد + +408 +00:36:22,790 --> 00:36:26,190 +الترسكومي و العدسات الموجودة بعد مقسم و قلب ال + +409 +00:36:26,190 --> 00:36:31,650 +work distance و في ال auto reflectometer بعد ما + +410 +00:36:31,650 --> 00:36:36,530 +اخد النتيجة النتيجة هذه تتدبس و بمشي انا بحاول + +411 +00:36:36,530 --> 00:36:40,450 +أقربه شيء لأنه ممكن لو النتائج اللي بتاعت ال auto + +412 +00:36:40,450 --> 00:36:45,350 +هذه أخدتها يعني ساعة ده هيك ممكن تخرب الدنيا ممكن + +413 +00:36:45,350 --> 00:36:48,490 +يكون عامل accommodation ممكن يكون عامل deviation + +414 +00:36:48,490 --> 00:36:55,330 +مغمض مفتح ممكن يكون وضعه صعب كثير كثير نتائج بتطلع + +415 +00:36:55,330 --> 00:36:59,910 +غلط يبقى + +416 +00:36:59,910 --> 00:37:03,030 +عايزة بعدها ايه ال subjective verification اثبات + +417 +00:37:03,030 --> 00:37:12,010 +و برهنة على صحة المعلومة طيب ان المشترك منهم ايضا in + +418 +00:37:12,010 --> 00:37:13,870 +high refractive error it is difficult to get + +419 +00:37:13,870 --> 00:37:18,170 +results from a retroscope or autorefractive يعني + +420 +00:37:18,170 --> 00:37:23,630 +high refractive سواء سفير او سيلندر بعد ال 10 مثلا + +421 +00:37:23,630 --> 00:37:28,650 +أو بعد الـ 12 صعب التنين أنه ياخدوا نتائج accurate + +422 +00:37:28,650 --> 00:37:35,830 +كمان التنين بيشتركوا أنه في الأطفال الصغار صعبة + +423 +00:37:35,830 --> 00:37:40,110 +أداء الرتنوسكوب وصعب أداء الـ autorefractive لأن + +424 +00:37:40,110 --> 00:37:49,310 +الطفل شكاك أو جبان، طفل تحت الأربع سنوات شكاك يعني هو + +425 +00:37:49,310 --> 00:37:54,650 +بيعتبر أن وسط الطبي agressive عايز يؤذيه أول ما + +426 +00:37:54,650 --> 00:37:59,110 +أدخل من بابه أقول بدي شبرة بدي شبرة هيدربوني إيه + +427 +00:37:59,110 --> 00:38:02,010 +برا؟ آه بصير .. آه على طول يعني ماسك إمه، بدونش + +428 +00:38:02,010 --> 00:38:05,330 +يفت عناه، بدونش يشوف اللي حوالاه مغمض .. هو مغمض + +429 +00:38:05,330 --> 00:38:11,970 +العين أساسا عامل closure of eyes لذلك هو في الأطفال + +430 +00:38:11,970 --> 00:38:16,950 +وفي أي ناس ليس عندهم cooperation أو adequate + +431 +00:38:16,950 --> 00:38:20,850 +cooperation يكون الرتنوسكوب صعب والفرقتوميتر صعب + +432 +00:38:20,850 --> 00:38:25,650 +هو المهمة كلها صعبة كل مهمة تلقى أطباء والـ + +433 +00:38:25,650 --> 00:38:31,270 +paramedical هي صعبة مش شيء سهل يعني فإقناع المريض + +434 +00:38:31,270 --> 00:38:35,570 +وأهل المريض له في الموضوع شكل يعني مهم + +435 +00:38:38,760 --> 00:38:42,700 +فاكرين شاكوته ولا وكينس هو الحفظي؟ هذه الأبيات + +436 +00:38:42,700 --> 00:38:47,580 +جميلة جدا، من قائل هذه الأبيات؟ الإمام الشافعي، + +437 +00:38:47,580 --> 00:38:52,240 +رحمه الله، بقولك يروى أن الشافعي الإمام محمد بن + +438 +00:38:52,240 --> 00:39:00,000 +إدريس كان إذا قرأ الصفحة يقول وغيبا، ويقول كتاب + +439 +00:39:00,000 --> 00:39:03,600 +بعد هيك كل يوم كتاب يقول غيبا، من يحفظ الكتب، + +440 +00:39:03,600 --> 00:39:10,310 +الكتب العلمية، فنظر يوما إلى ساق جارية، نظر إلى ساق + +441 +00:39:10,310 --> 00:39:16,150 +جارية وتأمل فيه فذهب يحفظ فلم يحفظ، سكرّ، فذهب إلى + +442 +00:39:16,150 --> 00:39:20,910 +الشيخ وكيع اللي كان بدرسه واعترف له بالذنب فاستغفر + +443 +00:39:20,910 --> 00:39:26,890 +الله آلافًا من المرات ثم عاد للحفظ هذه حقيقة يعني + +444 +00:39:26,890 --> 00:39:30,090 +من الحكم اللي مش شافه وعلى فكرة له ديوان منشور + +445 +00:39:30,090 --> 00:39:36,650 +يعني مش كبير هو اللي قال يعني بيت الشعر الجميل و + +446 +00:39:36,650 --> 00:39:43,150 +لو لأن الشعر بالعلماء يزري .. إيش يزري؟ بيهينهم + +447 +00:39:43,150 --> 00:39:48,950 +يعني، بنزر جيمتهم ولو لأن الشعر بالعلماء يزري، + +448 +00:39:48,950 --> 00:39:54,910 +لكنت اليوم أشعر من لبيد سمعتوا لبيد؟ قولناها قبل + +449 +00:39:54,910 --> 00:40:00,150 +فترة، آه لبيد بن ربيع اللي قال الحمد لله لم يأتني + +450 +00:40:00,150 --> 00:40:05,530 +أجلي حتى اكتسيته من الإسلام سربالة، وهو كان صاحب + +451 +00:40:05,530 --> 00:40:11,030 +المعلقة كان صاحب المعلقة لما أسلم لم يقول شعرا إلا + +452 +00:40:11,030 --> 00:40:14,670 +هذا البيت، قال خلاص خلصنا وأمر بخطاب رضي الله عنه + +453 +00:40:14,670 --> 00:40:19,450 +يعني دعاه يوما فقال قولي من شعرك يا لبيد فاخد يقرأ + +454 +00:40:19,450 --> 00:40:24,090 +سورة البقرة قال له أنا طلبته منك أن تقوله من شعرك + +455 +00:40:24,090 --> 00:40:30,390 +قال أبدلني ربي خيرا منه، أيش أبدله؟ قرآن الكلمة + +456 +00:40:30,390 --> 00:40:36,210 +سورة البقرة طيب شروط الحجاب الشرعي باختصار أن يكون + +457 +00:40:36,210 --> 00:40:40,790 +ساترا لجميع الأوراق ماعدا الوجه والكفين، أنا أنتم + +458 +00:40:40,790 --> 00:40:45,050 +عارفين بالكلام؟ هل يكون زينة في نفسه أو مباهرة ذات + +459 +00:40:45,050 --> 00:40:49,940 +ألوان جذابة تلفت الأنظار، وهذا يعني مش شرعي هذا + +460 +00:40:49,940 --> 00:41:01,140 +الملون ألوان غير شكل والديج اللي بيفصل مش شرعي، طيب + +461 +00:41:01,140 --> 00:41:06,940 +الآن احنا وصلنا إلى نقطة الفوربتر أو الـ + +462 +00:41:06,940 --> 00:41:11,480 +refractometer هذا + +463 +00:41:11,480 --> 00:41:15,600 +مؤجل إلى + +464 +00:41:17,420 --> 00:41:24,420 +الفصل القادم، تكلمنا + +465 +00:41:24,420 --> 00:41:29,240 +مع الدكتور جمعة أن بدرسكوا reflection عملي فقال + +466 +00:41:29,240 --> 00:41:33,440 +أنا مافيش امكانية لأن واحنا في الأسبوع الأخير صعب + +467 +00:41:33,440 --> 00:41:40,460 +ندخل آه آيوة فحنأجله للفصل القادم وهو سيبرب وعده + +468 +00:41:40,460 --> 00:41:45,090 +إن شاء الله لأن هو موضوع عملي بالأساس، موضوع طويل + +469 +00:41:45,090 --> 00:41:49,030 +وموضوع عملي بس خليني أكمل كلمتين أن يكون سميكا + +470 +00:41:49,030 --> 00:41:55,190 +ليشف ما تحته من الجسم يعني مهما كان واسع وكان شفاف + +471 +00:41:55,190 --> 00:41:59,970 +فهو غير شرعي غير مقبول يعني وموضوع الكاسيات + +472 +00:41:59,970 --> 00:42:08,190 +العاريات، سمعتوا فيه؟ رؤوسهن كقسمة البخ؟ لا يجدن + +473 +00:42:08,190 --> 00:42:16,060 +ريح الجنة، وريح الجنة يوجد من خمسمائة عام، الشفاف مش + +474 +00:42:16,060 --> 00:42:32,800 +شرعي والضيق مش شرعي وأنا + +475 +00:42:32,800 --> 00:42:37,780 +صفات + +476 +00:42:37,780 --> 00:42:38,240 +التانية + +477 +00:42:43,730 --> 00:42:49,210 +خلاص معايا، طيب + +478 +00:42:49,210 --> 00:42:53,910 +أنا في نهاية الـ .. يعني هذا المساق الطويل حقيقة + +479 +00:42:53,910 --> 00:42:59,290 +أشكر ربي أن أعطانا يعني + +480 +00:42:59,290 --> 00:43:05,510 +العافية وأعطانا العزيمة على الاستمرار حتى النهاية + +481 +00:43:06,950 --> 00:43:12,010 +لازم أني أشكر ربي كما شكر يوسف عليه السلام في آخر + +482 +00:43:12,010 --> 00:43:15,890 +الصورة، ربي قد آتيتني من الملك وأعلمتني من تقوين + +483 +00:43:15,890 --> 00:43:20,290 +الأحدث، فاطر السماوات والأرض، أنت ولي في الدنيا + +484 +00:43:20,290 --> 00:43:24,890 +والآخرة، توفني مسلمًا وألحقني بالصالحين، روحني على + +485 +00:43:24,890 --> 00:43:29,790 +الله بما هو أهل له، نين مشكركوا كتير على المتابع + +486 +00:43:29,790 --> 00:43:34,030 +رغم الشتاء والبرد والظروف والامتحانات والنصفي + +487 +00:43:34,030 --> 00:43:40,230 +والحقيقة يعني أنتم يعني بدأتوا مجهود يعني مشكورين + +488 +00:43:40,230 --> 00:43:44,450 +في الحضور رغم بعض المشاكل اللي كانت لكن الحمد لله + +489 +00:43:44,450 --> 00:43:50,770 +الله مكننا جميعًا من اجتياز هذه العقبات نحو تحقيق + +490 +00:43:51,380 --> 00:43:58,080 +يعني المراد في بناء العلم الصحيح القائم على الدليل + +491 +00:43:58,080 --> 00:44:04,320 +والبرهان أمامكم حتى تكونوا يعني على مستوى أداء + +492 +00:44:04,320 --> 00:44:12,060 +خدمة لمرضى اللي هو فلسطين تناسب ما يعني هم في + +493 +00:44:12,060 --> 00:44:19,280 +حاجتهم، الشيء الثالث أنه أنا بوصيكم، لا تتأخروا في + +494 +00:44:19,280 --> 00:44:26,040 +سؤالي أو سؤال أي دكتور في أيٍّ من مساقات، الشيء + +495 +00:44:26,040 --> 00:44:30,480 +الرابع، تعليم الخدمة شيء مهم جدا ولازم ننقل هذا + +496 +00:44:30,480 --> 00:44:33,900 +العلم إلى المجتمع لأن المجتمع في حاجة إليه و + +497 +00:44:33,900 --> 00:44:38,640 +التوعية بهذا العلم مطلوبة يا بناتي، الشيء الخامس + +498 +00:44:38,640 --> 00:44:43,800 +أنه تقرأوا امتحان قراءة متقدمة مش قراية ثانوية عامة + +499 +00:44:45,060 --> 00:44:49,880 +لا يعني بلوكات هذا الموضوع بلوك بدي أنا أفهمه كويس + +500 +00:44:49,880 --> 00:44:55,580 +بعد ما أفهم بروح لغيره، ما أدخل علم في بعضه وأخل + +501 +00:44:55,580 --> 00:44:59,480 +المواضيع، مش واضحة، وأنا طبعا أتمنى لكوا دوام الصحة + +502 +00:44:59,480 --> 00:45:03,120 +والعافية والتوفيق والسداد والقبول من الله عز وجل + +503 +00:45:03,120 --> 00:45:08,160 +ولا تنسونا من خالص الدعاء، وشكرا والسلام عليكم + +504 +00:45:08,160 --> 00:45:08,960 +ورحمة الله وبركاته diff --git a/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/Ggkg4esR5fM_postprocess.srt b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/Ggkg4esR5fM_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..11b26ffb6148c959ea2c9d3d92b6f46a1ebf316c --- /dev/null +++ b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/Ggkg4esR5fM_postprocess.srt @@ -0,0 +1,2016 @@ +1 +00:00:20,650 --> 00:00:23,150 +أعوذ بالله بسم الله الرحمن الرحيم الحمد لله يا رب + +2 +00:00:23,150 --> 00:00:28,670 +العالمين و أصلي و أسلم معانا بينا هذه المحاضرة قد + +3 +00:00:28,670 --> 00:00:31,390 +تكون المحاضرة الأخيرة ان شاء الله ان شاء الله ان + +4 +00:00:31,390 --> 00:00:32,710 +شاء الله ان شاء الله ان شاء الله ان شاء الله ان + +5 +00:00:32,710 --> 00:00:33,230 +شاء الله ان شاء الله ان شاء الله ان شاءالله ان + +6 +00:00:33,230 --> 00:00:33,410 +شاءالله ان شاءالله ان شاءالله ان شاءالله ان + +7 +00:00:33,410 --> 00:00:33,630 +شاءالله ان شاءالله ان شاءالله ان شاءالله ان + +8 +00:00:33,630 --> 00:00:34,010 +شاءالله ان شاءالله ان شاءالله ان شاءالله ان + +9 +00:00:34,010 --> 00:00:38,190 +شاءالله ان شاءالله ان شاءالله ان شاءالله ان + +10 +00:00:38,190 --> 00:00:42,950 +شاءالله + +11 +00:00:42,950 --> 00:00:46,030 +ان ش + +12 +00:00:49,430 --> 00:00:56,350 +mini automated devices فهل الاتنسكوب ما زال له دور + +13 +00:00:56,350 --> 00:01:03,570 +في هذه العيادات ومستشفيات الحديثة هذا ما سنجيب عنه + +14 +00:01:03,570 --> 00:01:10,330 +يقول في القرن ال 21 يتجه العالم صوب ال automation + +15 +00:01:10,330 --> 00:01:17,240 +كل شيء automatic و digitalالمجال الـ ophthalmology + +16 +00:01:17,240 --> 00:01:20,920 +و الـ optometry ما هو إلا واحد من هذه المجالات الـ + +17 +00:01:20,920 --> 00:01:24,840 +ophthalmic practice has parallel this move toward + +18 +00:01:24,840 --> 00:01:31,600 +automation طبعاً الاترسكوب هو لا يعدو عن كونه + +19 +00:01:31,600 --> 00:01:44,480 +بطارية و لمبا و mirror و لنز فهل هذا الجهاز البصير + +20 +00:01:45,370 --> 00:01:50,210 +الرخيص نسبيا سيواجه عالم ال automation وما زال له + +21 +00:01:50,210 --> 00:02:07,690 +وجود ولا لا بقولي طبعا + +22 +00:02:07,690 --> 00:02:10,770 +ال auto reflectometer هو الآن الجهاز اللي بيستخدم + +23 +00:02:11,810 --> 00:02:22,090 +في قياس القوة البصرية بطريقة الاش ال print out + +24 +00:02:22,090 --> 00:02:29,670 +بطريقة الاش ال no light reflex but just to press a + +25 +00:02:29,670 --> 00:02:35,550 +button يعني تقص على كبس زر يعطيك النتيجة والنتيجة + +26 +00:02:35,550 --> 00:02:36,830 +هذه تكون مطموعة + +27 +00:02:41,910 --> 00:02:47,410 +أه يبقى ال auto reflectometer طبعا له مزايا كثيرة + +28 +00:02:47,410 --> 00:02:52,810 +لانه ممكن انه مزايا من مزايا بتاعته اه انه سهل + +29 +00:02:52,810 --> 00:02:57,250 +الاستعمال من مزايا بتاعته انه سريع و انه مريح + +30 +00:02:57,250 --> 00:03:03,470 +للمريض و مريح للعامل و ان نتاجه قريبا من نتاج + +31 +00:03:03,470 --> 00:03:10,930 +الريتنسكوب ايه اكتر او اقل zero point diopter صحيح + +32 +00:03:13,650 --> 00:03:19,110 +طيب من الأخطاء بتاعته أنه بيعمل accommodation زائد + +33 +00:03:19,110 --> 00:03:27,210 +لشعور المريض أو الشخص المفحوظ يعني أنه في شي قريب + +34 +00:03:27,210 --> 00:03:32,570 +بيتحرك فيعني الآن أصبحوا بيحطوا حاجة اسمها out of + +35 +00:03:32,570 --> 00:03:38,070 +fogging to relax accommodation في الجهازمن عيوبه + +36 +00:03:38,070 --> 00:03:42,670 +اللي هناخدها انه لو فيه irregular astigmatism او + +37 +00:03:42,670 --> 00:03:49,670 +scar او keratoconus او بعد العملية الليزك صعب ال + +38 +00:03:49,670 --> 00:03:55,950 +auto reflectometer يشتغل و بس هو كل بيعطيه انه no + +39 +00:03:55,950 --> 00:04:00,730 +target , no center او over cylinder نقول no target + +40 +00:04:00,730 --> 00:04:05,590 +طالع من النتيجة او no center شايفه او over + +41 +00:04:05,590 --> 00:04:10,710 +cylinderفي حين ان الويترسكوب في هذه الحالات يعمل + +42 +00:04:10,710 --> 00:04:16,370 +يعني لو قطعنا من ال LASIK بعد ست ساعات بيعمل + +43 +00:04:16,370 --> 00:04:20,630 +الويترسكوب لكن مايعملوش اوتريفرتوميه فهذا من ضمن + +44 +00:04:20,630 --> 00:04:24,870 +الأسياء كيراتوكونس خاصة ال high keratoconus او ال + +45 +00:04:24,870 --> 00:04:28,130 +severe keratoconus ما بيطلع المتيجة والأمراض + +46 +00:04:28,130 --> 00:04:30,450 +المشابهة زي الplucid marginal degeneration في + +47 +00:04:30,450 --> 00:04:35,290 +الكورنيا بيقول + +48 +00:04:35,290 --> 00:04:44,950 +ليالـ pupil of the patient لو كان صغير صغير صعب + +49 +00:04:44,950 --> 00:04:52,550 +نعمله auto refractometer وكذلك في اللي هو ريتنسكوب + +50 +00:04:52,550 --> 00:04:57,350 +إلا لو نعمله dilatation بيقول + +51 +00:04:57,350 --> 00:05:01,430 +skilled retinoscopistاللي عنده مهارة usually can + +52 +00:05:01,430 --> 00:05:05,690 +deduce quantities and qualities of astigmatism in + +53 +00:05:05,690 --> 00:05:08,790 +patients for whom automated refractor fails يعني + +54 +00:05:08,790 --> 00:05:13,590 +موضوع الـastigmatism بالذات خاصة الـhigh زي + +55 +00:05:13,590 --> 00:05:17,050 +الـkeratoconus ممكن جدا أنه بالرتنسكوب نتغلب عليه + +56 +00:05:17,050 --> 00:05:23,770 +ونجيب له نتيجة بينما الـauto لأ الكيروتسكوب + +57 +00:05:23,770 --> 00:05:31,310 +اشتغلته عليه اللي بطلع K1 وK2مفروض انه تشتغلوا + +58 +00:05:31,310 --> 00:05:36,270 +عليه المهمة بتاعته مش مهمة بصرية يعني هو بيحدد + +59 +00:05:36,270 --> 00:05:41,450 +اللي هو ال cards of refraction او ال curvature of + +60 +00:05:41,450 --> 00:05:45,790 +the cornea في التسعين والمئة وثمانية ماخصوش موضوع + +61 +00:05:45,790 --> 00:05:51,470 +refraction بيبقى الآن ان احنا بنعمل comparison + +62 +00:05:51,470 --> 00:05:59,240 +between a microscope and these instrumentsthat are + +63 +00:05:59,240 --> 00:06:04,760 +very sophisticated يعني معقدة جداً فنجد ان + +64 +00:06:04,760 --> 00:06:10,380 +الريتروسكوب ما زال له دورة حتى في الـ corneal + +65 +00:06:10,380 --> 00:06:15,700 +topography او الـ topographers اللي بتقدي رسم او + +66 +00:06:15,700 --> 00:06:20,720 +تقدير سطحة رتفانانية لتقوم مقام الريتروسكوب في + +67 +00:06:20,720 --> 00:06:23,980 +تقدير القوة البصرية وعمل الـ correction + +68 +00:06:23,980 --> 00:06:29,700 +objectivelyيعني كل هذه الأجزة لاتقوم مقام + +69 +00:06:29,700 --> 00:06:35,640 +الريتنسكوب في حالات معينة وحنقولها إيش الحالات طيب + +70 +00:06:35,640 --> 00:06:41,700 +الآن السؤال يقول الريتنسكوبي has been shown to be + +71 +00:06:41,700 --> 00:06:46,120 +accurate in evaluating post-operative patients إيش + +72 +00:06:46,120 --> 00:06:51,880 +post-operative؟ بعد العملية هل أي جهاز غير + +73 +00:06:51,880 --> 00:06:55,340 +ريتنسكوب بيقدر يقيم الحالة البصرية بعد العملية + +74 +00:06:55,340 --> 00:06:59,510 +الجراحية؟بعد الكاتركت سيرجيري وبعد الليزيك بيقول + +75 +00:06:59,510 --> 00:07:03,710 +لأ بس اللي هو ريتنسكوب لذلك بيعتمدوا كتير على + +76 +00:07:03,710 --> 00:07:07,110 +الريتنسكوب في ال pre and post operative refractive + +77 +00:07:07,110 --> 00:07:13,230 +surgery patients يعني قبل المريض مينام للعملية + +78 +00:07:13,230 --> 00:07:16,910 +بتاعة الليزيك بيعملوا الريتنسكومي وبعدها بيعملوا + +79 +00:07:16,910 --> 00:07:20,110 +الريتنسكومي وبيطلقوا الفرق اللي صار هل صار good + +80 +00:07:20,110 --> 00:07:24,850 +correction ولا لأ يعني واحد مثلا عنده minus six + +81 +00:07:24,850 --> 00:07:25,430 +myopia + +82 +00:07:28,640 --> 00:07:32,340 +بيعمله ريتنوسكوبي وبعدين بداخله لعملية بعد العملية + +83 +00:07:32,340 --> 00:07:36,260 +بساعة ساعتين بيعمله ريتنوسكوبي بيشوف هل الستة + +84 +00:07:36,260 --> 00:07:41,200 +فاضلين ولا بعضهم فاضل و لا zero ممكن في حين ان + +85 +00:07:41,200 --> 00:07:46,820 +باقي الأجزة لا تعمل هذا العمل يبقى + +86 +00:07:46,820 --> 00:07:51,820 +الأجزة ال automated اللي تشتغل automatic can't + +87 +00:07:51,820 --> 00:07:55,810 +accurately evaluate the refractive stateاو someone + +88 +00:07:55,810 --> 00:08:02,830 +with surgically altered cornea قرانيا اللي حصل + +89 +00:08:02,830 --> 00:08:07,250 +فيها تغيير جراحي، and therefore believe that they + +90 +00:08:07,250 --> 00:08:10,850 +have no role in providing data on these patients + +91 +00:08:16,490 --> 00:08:19,890 +في دراسات أخرى بيقول الـ topography alone is not + +92 +00:08:19,890 --> 00:08:22,670 +adequate in evaluating patient satisfaction after + +93 +00:08:22,670 --> 00:08:26,730 +laser surgical اللي هو refractive surgery يعني حتى + +94 +00:08:26,730 --> 00:08:32,530 +الكون التوبغرافي ممكن يعمل كون توبغرافي و نشوف قبل + +95 +00:08:32,530 --> 00:08:38,550 +وبعد لكن حتى الكون التوبغرافي اللي بعد الأعملية مش + +96 +00:08:38,550 --> 00:08:42,790 +هيكون واضح كويس بعدين مش دليل على إنه مشوف ستة ع + +97 +00:08:42,790 --> 00:08:48,820 +ستة مش دليل يعني هو باطين الألوانالـ .. ال .. ال + +98 +00:08:48,820 --> 00:08:52,680 +more steep .. steep ال more curved بالأحمر بالأزرق + +99 +00:08:52,680 --> 00:08:59,520 +بالأخضر لكن وين ال net result كrefractive error + +100 +00:08:59,520 --> 00:09:06,240 +قاعدة عند اللي هو الرتنسكوب طيب في حد بيقول انه + +101 +00:09:06,240 --> 00:09:10,260 +احنا لما نعمل ال .. الرتنسكوب بنعمله على ال + +102 +00:09:10,260 --> 00:09:14,320 +central three millimeters بينما لما نعمل ال ASIC + +103 +00:09:15,410 --> 00:09:21,590 +بنعمل على الـ Central 6 مليمتر يعني الـ LASIK 6 + +104 +00:09:21,590 --> 00:09:25,030 +مليمتر بنعمل ريتروسكوب على الـ 3 على قدر البقبق + +105 +00:09:25,030 --> 00:09:32,370 +يعني العادي بدون توسيع وبالتالي بيقولي يعني سهل + +106 +00:09:32,370 --> 00:09:37,430 +انه احنا بعد ما نعمل LASIK نعمل ريتروسكوبي للـ + +107 +00:09:37,430 --> 00:09:40,530 +Central بتاعه اللي هو 3 مليمتر الدائرة الأضيق يعني + +108 +00:09:40,530 --> 00:09:44,350 +الدائرة الأضيق سهلة بيقول حتى لو هذا اللي عمله + +109 +00:09:44,350 --> 00:09:49,690 +احنابنعمل ريتنوسكوبي أو نعمله LASIK فيما بعد وصار + +110 +00:09:49,690 --> 00:09:52,290 +معاه الـ cataract وشن الـ cataract ما زال بعد الـ + +111 +00:09:52,290 --> 00:09:57,010 +cataract ممكن نعمله ريتنوسكوبي لأنه بنشتغل على الـ + +112 +00:09:57,010 --> 00:10:02,850 +central 3 مليمتر بس central 3 مليمتر يعني نمتدش لل + +113 +00:10:02,850 --> 00:10:07,030 +6 أو لل 7 مليمتر ريتنوسكوبي بنعمل للـ central وهذا + +114 +00:10:07,030 --> 00:10:12,710 +شيء سهل نقيم حتى عملية الـ cataract كم له النتيجة + +115 +00:10:12,710 --> 00:10:13,630 +البصرية بتاعتها + +116 +00:10:16,980 --> 00:10:22,960 +الان هو بيعمل خيال حلم بيقول لي ربما اتى يوم او + +117 +00:10:22,960 --> 00:10:30,340 +سيأتي يوم انه هنستغني على قياس ال IOL اللي بنزرعها + +118 +00:10:30,340 --> 00:10:35,180 +calculation نستغني عن الكيراتوميتر ونستغني عن ال + +119 +00:10:35,180 --> 00:10:41,160 +ultrasound او ال base scan احنا اخدنا المعادة لل + +120 +00:10:41,160 --> 00:10:46,070 +equation لحساب ال IOL اللي بنزرعهاعن طريق الـ + +121 +00:10:46,070 --> 00:10:49,630 +Axial Length والـ Curvature بتاع الكورنيا بنعمل + +122 +00:10:49,630 --> 00:10:52,950 +equation معينة نطلع ال power بتاع الـ Intraocular + +123 +00:10:52,950 --> 00:10:57,830 +Length اللي عايزين إيه؟ نزرعها في عين العيان هو + +124 +00:10:57,830 --> 00:11:04,590 +اللي الآن في خيال أنه إحنا ندخل عين العيان بال + +125 +00:11:04,590 --> 00:11:10,990 +probe of FACO تعرفوا جهاز الـ FACO؟ FACO + +126 +00:11:10,990 --> 00:11:16,350 +EMOSIFICATION عن طريق الـ ultrasoundنطلّق الـ Lens + +127 +00:11:16,350 --> 00:11:22,850 +من مكانها يعني نفض الكابسولار باج والعيال نايم + +128 +00:11:22,850 --> 00:11:27,870 +ونعمل الروتنسكو بيه نشوف كام ال refractive power + +129 +00:11:27,870 --> 00:11:37,290 +بتاعته وهو apicic بدون عدسة ونشوف في الحالة هذه + +130 +00:11:37,290 --> 00:11:43,350 +كام قوة العدسة اللي مفروض نزراعها في عين العيالهذا + +131 +00:11:43,350 --> 00:11:47,490 +هو اللي بيقول Intraoperative Retinoscopy إيش يعني + +132 +00:11:47,490 --> 00:11:52,230 +Intraoperative؟ خلال العملية يعني يكون العيان نايم + +133 +00:11:52,230 --> 00:11:58,950 +في العملية و احنا طلعنا العدسة النيوكلياس و ال + +134 +00:11:58,950 --> 00:12:05,270 +cortex رتسكوب عندنا معقّم مسكوا الجراح عمل + +135 +00:12:05,270 --> 00:12:11,830 +رتنوسكوبي للـAphic Eye في لحظاتقاس القوة البصرية + +136 +00:12:11,830 --> 00:12:18,830 +بدون عدسة وجدها عايزة عدسة 17 أو 18 أو 19 ديوبتر + +137 +00:12:18,830 --> 00:12:24,790 +طبعا مجموعة ال IOL موجودة عنده كمان راح فتحها + +138 +00:12:24,790 --> 00:12:28,370 +ودخلها في العين فاستغنى على ال بيسكاين وعلى + +139 +00:12:28,370 --> 00:12:35,340 +الكرامتوميتر Britain's scopeطبعا هذا خيال جيد خيال + +140 +00:12:35,340 --> 00:12:41,860 +جيد من المؤلف يعني خيال جيد انه يعتبر ان الروتسكوب + +141 +00:12:41,860 --> 00:12:52,160 +هيدخل فيه قياس ال IOL's ممكن هذا؟ ممكن بس صعب صح؟ + +142 +00:12:52,160 --> 00:12:57,880 +هو قبل واحد ولا trend ولا trend يعني زي هو بقياس + +143 +00:12:57,880 --> 00:13:02,940 +العين الفكك بديه قياس العين اللي أفككوبالتالي يبدو + +144 +00:13:02,940 --> 00:13:05,840 +أنه ينزل علي عدسة ويعاوز بعضه أيش يعمل ريتنوسكوبي + +145 +00:13:05,840 --> 00:13:11,260 +ويشوف أن العدسة الجديدة أنه عاملة المطلوب عاملة + +146 +00:13:11,260 --> 00:13:14,560 +المطلوب بدون مايوبيا وبدون هايبرمتروبيا وممكن بدون + +147 +00:13:14,560 --> 00:13:18,420 +الـstigmatism طيب + +148 +00:13:18,420 --> 00:13:22,320 +هذا بيثبت أيش؟ أو أيش من ورا؟ يعني هذا الخيال + +149 +00:13:22,320 --> 00:13:30,700 +الجيد بيثبت أن الريتنوسكوب ما زال له دور مهممش + +150 +00:13:30,700 --> 00:13:35,800 +معنى ان العالم اتجه الـ automation انه لغينا + +151 +00:13:35,800 --> 00:13:43,080 +الريتروسكوب مالغيناش الريتروسكوب جالتوا؟ + +152 +00:13:43,080 --> 00:13:54,990 +أشعر جميلة خاصة التانية دي ولادك أمكيوم وولدتك + +153 +00:13:54,990 --> 00:14:01,110 +وأمك باكيا والقوم حولك يضحكون سرورا فعمل يوم أن + +154 +00:14:01,110 --> 00:14:07,430 +تكون إذا بكوا في يوم موتك ضاحكا مسرورا هذا ايش فيه + +155 +00:14:07,430 --> 00:14:11,250 +صورة بلغية في + +156 +00:14:11,250 --> 00:14:16,790 +حيث ما مقابلة لما جملة مع جملة بتكون مقابلة وكلمة + +157 +00:14:16,790 --> 00:14:22,230 +مع كلمة بتكون طباقيعني في الأول يوم الولادة كنت + +158 +00:14:22,230 --> 00:14:30,050 +تباكي والناس يضحكون سرورة ويوم موتك يبكون وانت + +159 +00:14:30,050 --> 00:14:39,390 +تضحك سرورة اذا كنت عمل وكصالحا طيب احنا اتكلمنا بس + +160 +00:14:39,390 --> 00:14:43,150 +كلمة على الحجاب الشرعي كويس؟ قرأتوها ده عندكم ولا + +161 +00:14:43,150 --> 00:14:45,330 +لأ؟ طيب + +162 +00:14:48,330 --> 00:14:57,490 +إيش الحكمة من الحجاب الشرعي؟ طبعاً عفة صوم الفتاة + +163 +00:14:57,490 --> 00:15:05,050 +المسلمة من عيون اللي هو أهل الشهوات والمحافظة على + +164 +00:15:05,050 --> 00:15:11,830 +أطارة المجتمع هذا يعني حكمة موجودة طيب الآن + +165 +00:15:16,040 --> 00:15:21,120 +زي ما قلنا قبل قليل ال IOL اللي بدنا نزرعها شيء + +166 +00:15:21,120 --> 00:15:26,100 +مهم في ناس بيزرع ال IOL غلط وفي ناس بيزرعها over + +167 +00:15:26,100 --> 00:15:31,600 +أو under correction فهو بيقولك احتمال كبير ان وجود + +168 +00:15:31,600 --> 00:15:36,960 +erroneous scope في الموضوع انه يعمل dub من اي over + +169 +00:15:36,960 --> 00:15:41,560 +correction او under correctionطبعا مستخدم ايديزيا + +170 +00:15:41,560 --> 00:15:45,320 +معقدة في الموضوع فربما اقول لك ريترسكوب يكون ادق + +171 +00:15:45,320 --> 00:15:51,060 +لأنه بيشتغل على القوة البصرية ما بيشتغل على اللي + +172 +00:15:51,060 --> 00:15:55,000 +هو Altered Ocular Anatomy يعني على Anatomy متغير + +173 +00:15:55,000 --> 00:15:59,140 +طيب اللي انا دي احنا منافس للريترسكوب اسمه ايش + +174 +00:15:59,140 --> 00:16:03,660 +Auto Refractometer احنا مش هتكلم على تركيب او + +175 +00:16:03,660 --> 00:16:07,520 +Anatomy of Auto Refractometer هذا تركناه لدكتور + +176 +00:16:07,520 --> 00:16:14,930 +الفاضلحمد اللي بدرس مساق اللي هو ال .. ال + +177 +00:16:14,930 --> 00:16:19,750 +instruments فكه اتكلم على ال characteristics ايهش + +178 +00:16:19,750 --> 00:16:26,770 +الخصائص الخصائص انه بيستخدم infrared radiation NIR + +179 +00:16:26,770 --> 00:16:32,490 +infrared radiation يعني أشعة فوق الحمراء طبعا هذه + +180 +00:16:32,490 --> 00:16:40,390 +طول موجي طويل ولا قصير طويلأطول الشيء الأحمر من + +181 +00:16:40,390 --> 00:16:45,850 +seven hundred eighty to nine hundred fifty نانو + +182 +00:16:45,850 --> 00:16:50,250 +متر أطول الشيء اللي هو الأحمر على قاعدة ال Vibguar + +183 +00:16:50,250 --> 00:16:57,490 +طب ليش بيستخدموا اللي هو infrared radiation عشان + +184 +00:16:57,490 --> 00:17:01,910 +حاجتيه؟ أول شيء بيصيروا minimum absorption في + +185 +00:17:01,910 --> 00:17:05,870 +العينانتوا عارفين العين فيها pigments زي الـ + +186 +00:17:05,870 --> 00:17:09,810 +xanthophyll وفيها + +187 +00:17:09,810 --> 00:17:13,610 +other pigments في ال iris كمان ميلانيين وشيء + +188 +00:17:13,610 --> 00:17:19,590 +فبقوللي نسبة الامتصاص عن الضوء الأحمر العادي 1 to + +189 +00:17:19,590 --> 00:17:21,390 +9 + +190 +00:17:24,270 --> 00:17:28,250 +يبقى الإمتصاص أقل وبالتالي باعطي الفاحس فرصة أكتر + +191 +00:17:28,250 --> 00:17:34,370 +في أنه يقرأ ال details بتاع اللي هو إيش اللي هو ال + +192 +00:17:34,370 --> 00:17:39,890 +reflex اللي جاي من عين العين اتنين invisible to + +193 +00:17:39,890 --> 00:17:45,570 +visual system of the patient يعني هو المريض ماقدرش + +194 +00:17:45,570 --> 00:17:49,940 +يشوف اللون الأحمر هذاهو الانفراد وبالتالي ان هو + +195 +00:17:49,940 --> 00:17:55,120 +photophobia الضوء العادي لو دخلنا ضوء عادي أحمر في + +196 +00:17:55,120 --> 00:17:58,200 +عين عيان بيعمل فوتوفوبيا بيخاف من الضوء بينما + +197 +00:17:58,200 --> 00:18:01,480 +الضوء اللي بيستخدمه ال auto refractometer الانفراد + +198 +00:18:01,480 --> 00:18:06,340 +هذا تحت الحمراء بيكون مش ملموس ان هو بالتالي بيكون + +199 +00:18:06,340 --> 00:18:06,760 +مرتاح + +200 +00:18:09,750 --> 00:18:12,670 +الخاصية التانية الـ intensity of primary source + +201 +00:18:12,670 --> 00:18:15,310 +and reflections almost all automated objective + +202 +00:18:15,310 --> 00:18:20,150 +refractors وبالتالي بيعمل minimum adverse effects + +203 +00:18:20,150 --> 00:18:23,470 +on the cornea يعني بيقول لإن الأضواء اللي بتطلعها + +204 +00:18:23,470 --> 00:18:28,110 +ال autorefractometer تحدث لحد بالأدنى الضار على ال + +205 +00:18:28,110 --> 00:18:33,310 +cornea of the patient بتعرفين ال cornea بتتأثر + +206 +00:18:33,310 --> 00:18:38,090 +بالضوءفلما يكون البُقب Infrared يقول لي ضرره أقل + +207 +00:18:38,090 --> 00:18:45,650 +شيء على عين أو على القرنية المريضة Pupil Size + +208 +00:18:45,650 --> 00:18:49,750 +احيانا + +209 +00:18:49,750 --> 00:18:56,390 +لما يكون البُقب ضيق نضطر نضعه موسة موسة موسة موسة + +210 +00:18:56,390 --> 00:18:58,030 +موسة موسة موسة موسة موسة موسة موسة موسة موسة موسة + +211 +00:18:58,030 --> 00:19:00,430 +موسة موسة موسة موسة موسة موسة موسة موسة موسة موسة + +212 +00:19:00,430 --> 00:19:00,450 +موسة موسة موسة موسة موسة موسة موسة موسة موسة موسة + +213 +00:19:00,450 --> 00:19:01,510 +موسة موسة موسة موسة موسة موسة موسة موسة موسة موسة + +214 +00:19:01,510 --> 00:19:06,040 +موسة موسة موسة موسة موسة موسة موسة موسة مأه في الـ + +215 +00:19:06,040 --> 00:19:09,100 +auto reflectometer يعني واحد البقب بتاعه very + +216 +00:19:09,100 --> 00:19:13,400 +narrow او small طبعا هيعمللي مشكلة وبالتالي انا قد + +217 +00:19:13,400 --> 00:19:18,880 +اضطر ان اعطي ايش موسيقى طيب الخاصية الرابعة ال + +218 +00:19:18,880 --> 00:19:26,860 +back vertex distance بيقوللي ال ال ال auto + +219 +00:19:26,860 --> 00:19:31,880 +reflector الموجود بيعمل plane واهمي امام القرانية + +220 +00:19:31,880 --> 00:19:40,640 +وبيقيس منههذا التجارب التاني الوهمي للقياس اسمه + +221 +00:19:40,640 --> 00:19:45,040 +plane refraction ممكن يعمل بعض الخطأ نسبة من الخطأ + +222 +00:19:45,040 --> 00:19:50,760 +يعني ليس بالدقة بتاعة الريتنسكوب كمان في خاصية + +223 +00:19:50,760 --> 00:19:58,600 +خامسة ممكن يعمل auto fogging ايش auto fogging دخلي + +224 +00:19:58,600 --> 00:20:04,460 +plus lenses جدام العيال حتى مايش accommodationوهذه + +225 +00:20:04,460 --> 00:20:08,700 +ميزة من المزايا أنه بيعمل auto-fogging في العين + +226 +00:20:08,700 --> 00:20:11,480 +اللي هي examined ال right eye بيعمل auto-fogging، + +227 +00:20:11,480 --> 00:20:13,980 +بعدين ال tingle على ال left بيعملوا auto-fogging + +228 +00:20:13,980 --> 00:20:17,200 +طبعا + +229 +00:20:17,200 --> 00:20:20,520 +ال auto-fogging هذا بيجلل ال accumulation هذه + +230 +00:20:20,520 --> 00:20:25,020 +المزايا أو خلّيني أقول الخصائص طب فما هي ال + +231 +00:20:25,020 --> 00:20:27,140 +advantage of auto-refractometer + +232 +00:20:30,790 --> 00:20:37,190 +أكبر ميزة بتاعته انه time-saving ايش time-saving؟ + +233 +00:20:37,190 --> 00:20:42,670 +باختصار الوقت لو في مستشفى مثلا انا عندي one + +234 +00:20:42,670 --> 00:20:48,090 +hundred patient واللي عندي بيشتغل one optometrist + +235 +00:20:48,090 --> 00:20:52,990 +هل الoptometrist لو كان هو جني بيقدر يعمل + +236 +00:20:52,990 --> 00:20:58,880 +ريتروناسكوبي؟ بيقدرشبينما ممكن ان الـ Optometrist + +237 +00:20:58,880 --> 00:21:05,940 +يجيبله خمسة nurses ممرضين ويعملهم على five + +238 +00:21:05,940 --> 00:21:11,200 +autorefractometers وهو يعمل subjective فقط هو يعمل + +239 +00:21:11,200 --> 00:21:17,520 +subjective فهي لما يكون فيه busy optometrist او + +240 +00:21:17,520 --> 00:21:22,380 +clinician بيعمله time saving هذه ميزة لا شك في + +241 +00:21:22,380 --> 00:21:27,610 +الزحام ممتازةالريتنسكوب عايز عدد قليل وشغل هادي + +242 +00:21:27,610 --> 00:21:33,970 +تاني انه بيقوللي المريض بيحس انه more comfortable + +243 +00:21:33,970 --> 00:21:40,590 +اكتر من الريتنسكوب الريتنسكوب اول شي ال light + +244 +00:21:40,590 --> 00:21:45,590 +بتاعه احمر بعدين عايز time اكتر اطول بعدين عايز + +245 +00:21:45,590 --> 00:21:52,740 +fixation ابعد صحيحبينما لأ هذا يعني few time spent + +246 +00:21:52,740 --> 00:21:56,780 +in the test patient will be more comfortable so he + +247 +00:21:56,780 --> 00:22:00,500 +will more cooperative لما يكون مرتاح اكتر بيكون + +248 +00:22:00,500 --> 00:22:06,720 +متعاون معايا اكتر الميزة التالتة انه لا يحتاج الى + +249 +00:22:06,720 --> 00:22:13,840 +اي مشاركة كلاميةمن المريض بس هو objective فهو بقول + +250 +00:22:13,840 --> 00:22:18,120 +يعني ما شايف مش شايف طالع بعيد طالع جاريد بس هي + +251 +00:22:18,120 --> 00:22:23,280 +انه مجرد انه يحط ال head في المكان يفتح عينه و بس + +252 +00:22:23,280 --> 00:22:28,140 +كل جهاز بتولد كل حاجة فهو not require a verbal + +253 +00:22:28,140 --> 00:22:32,800 +response from patients مالوش اي يعني مشاركة كلامية + +254 +00:22:32,800 --> 00:22:40,660 +وهذه ميزة كمان في ميزةبقول some automatic method + +255 +00:22:40,660 --> 00:22:44,940 +of indicating the unreliability + +256 +00:22:44,940 --> 00:22:49,740 +of result يعني هو بعطيك رسائل أحيانا لو كان مش + +257 +00:22:49,740 --> 00:22:54,880 +قادر يمشي في القياس بيعطيك no center أو no target + +258 +00:22:54,880 --> 00:23:00,620 +يعني بيعطيك رسالة لكمبيوتر بكتب لك رسالة no target + +259 +00:23:00,620 --> 00:23:03,460 +أو no center تفهم انه مش قادر يجيسها لو واحد عنده + +260 +00:23:03,460 --> 00:23:07,580 +cataract مثلاالواحد بيغمض كتير مش قادر يعمل + +261 +00:23:07,580 --> 00:23:12,200 +fixation بيقولك no target الارترسكوب مابعطيك كلام + +262 +00:23:12,200 --> 00:23:16,280 +زي هذا مابعطيك رسائل يعني الكمبيوتر يعني في كمان + +263 +00:23:16,280 --> 00:23:19,560 +ميزة لا يستهان بها اللي هو print out paper ايش + +264 +00:23:19,560 --> 00:23:23,120 +print out paper ورقة مطبوعة ورقة مطبوعة في طابعة + +265 +00:23:23,120 --> 00:23:26,540 +فيه لما تعمل print بعطيك print وبالتالي ال print + +266 +00:23:26,540 --> 00:23:32,500 +هذا هو ثيقة في التاريخ اليوم + +267 +00:23:33,840 --> 00:23:39,280 +في ال IPD في ال sphere في ال cylinder في spherical + +268 +00:23:39,280 --> 00:23:42,880 +equivalent ممكن contact lens soft contact lens + +269 +00:23:42,880 --> 00:23:51,740 +يعني بيعطيك مسائل زي هذه يعني مسائل + +270 +00:23:51,740 --> 00:23:59,740 +زي هذه back vertex ال PD sphere cylinder spherical + +271 +00:23:59,740 --> 00:24:04,380 +equivalentالـ date حتى الـ serial number بتاع + +272 +00:24:04,380 --> 00:24:07,780 +المريض في هذا الجهاز والساعة اللي انا اعمل فيها + +273 +00:24:07,780 --> 00:24:11,800 +بالظبط حتى اني لو بدي اعمل recall في يوم من الأيام + +274 +00:24:11,800 --> 00:24:16,080 +ممكن يتبرمج اني اعطيك .. بس اعطيك تاريخ ممكن + +275 +00:24:16,080 --> 00:24:20,480 +تطلعلك كل ذلك اليوم مين اللي .. حتى ممكن ابرمج + +276 +00:24:20,480 --> 00:24:26,100 +أسماء المرضى بتبرمج يعني فال + +277 +00:24:26,100 --> 00:24:29,660 +print out paper هذا مش موجود في ايش؟ في ال + +278 +00:24:29,660 --> 00:24:36,180 +retroscopeكمان لا يحتاج الى dark room او dim room + +279 +00:24:36,180 --> 00:24:41,920 +ممكن في ال light العادي ينعمل يعني مش حازن يعمل + +280 +00:24:41,920 --> 00:24:45,880 +طبارق dark room وكلام زي هذا وهذه ميزة لا شك انها + +281 +00:24:45,880 --> 00:24:54,560 +ميزة كمان ميزة السادسة اه ان ال access of cylinder + +282 +00:24:54,560 --> 00:24:58,900 +سهل يطلعواطبعا الأكسس و السليندر و أحنا أخدنا + +283 +00:24:58,900 --> 00:25:03,100 +الأكسس و السليندر في الريتنسكوب عايز مهارة خاصة و + +284 +00:25:03,100 --> 00:25:07,540 +الخطأ فيه طبعا الأكسس خطأ فيه صعب فكيف نجيب ال + +285 +00:25:07,540 --> 00:25:11,840 +cross cylinder و غير و كده يعني نتعب لما نحصل + +286 +00:25:11,840 --> 00:25:20,320 +الأكسس مظبوط لأ هذا بيطلع الأكسس كشيء ضمن العمل لا + +287 +00:25:20,320 --> 00:25:26,010 +شك احنا الشيء الكويس ناخد يعنيكمان نيزة تامة ومهمة + +288 +00:25:26,010 --> 00:25:29,390 +أنه مافيش عنده working distance رتنسكوب فيه + +289 +00:25:29,390 --> 00:25:32,050 +working distance لازم في الأخر أعمل subtraction + +290 +00:25:32,050 --> 00:25:35,310 +لمقلوب ال working distance بالديوبتر هنا مافيش + +291 +00:25:35,310 --> 00:25:39,990 +working distance يعني مابعطيك هو صافي يعني ماعطاك + +292 +00:25:39,990 --> 00:25:48,390 +في ال .. هنا خلاص هذا عنده 0.5 سفيل بالـ minus one + +293 +00:25:48,390 --> 00:25:54,600 +minus one point fiveفي one hundred اللي هو fifty + +294 +00:25:54,600 --> 00:26:03,500 +six خلاص هذا نتيجة net ايش net صافي نتيجة صافي مش + +295 +00:26:03,500 --> 00:26:09,500 +عايز ان اعمل minus كده مقلوب ال working distance + +296 +00:26:09,500 --> 00:26:15,840 +طبعا يعني انتوا اللي عندنا هنا مرتاحين طيب فما هي + +297 +00:26:15,840 --> 00:26:21,010 +ال disadvantage عشان تعملوا balanceيعني المرء مننا + +298 +00:26:21,010 --> 00:26:26,710 +يصر لما يذكر ايش المزايا بتاعه ولكن لما تذكر عيوبه + +299 +00:26:26,710 --> 00:26:33,130 +يغص وفيش واحد فينا معصوم صح كل البشر اللي زينا مش + +300 +00:26:33,130 --> 00:26:40,250 +معصومين الا الأنبياء عليهم السلام بس طيب هذا جهاز + +301 +00:26:40,250 --> 00:26:44,270 +مصنوع البشر صنعه وبما أن البشر فيه عيوب اذا صنع + +302 +00:26:44,270 --> 00:26:49,320 +البشرهيكون فيه أول شيء not be accurate as written + +303 +00:26:49,320 --> 00:26:54,040 +score يعني موضوع ال accommodation و غير + +304 +00:26:54,040 --> 00:26:57,040 +accommodation و خوف العيان و بعضه و جربه و كده و + +305 +00:26:57,040 --> 00:27:03,580 +تركيزه بأثر يعني هيكون أقل شيء 0.5 ديوب تل خطأ + +306 +00:27:03,580 --> 00:27:09,040 +زيادة أو نقصان، واحد تاني شعور المريض بال nearness + +307 +00:27:09,040 --> 00:27:13,780 +هيثير ال accommodation خاصة في الأطفال والصغار + +308 +00:27:16,340 --> 00:27:22,280 +أول ما يحس أنه في تكتكة جريبة لعينه في تكتكة لأن + +309 +00:27:22,280 --> 00:27:25,920 +المسافة كلها مافيش تلاتين صنطين بين عين المريض + +310 +00:27:25,920 --> 00:27:33,260 +وعين الفاحس فحاسس في حركة يعني بتخلي شويه في رهبه + +311 +00:27:33,260 --> 00:27:39,860 +إلا إذا أنا عملته إيش نوع من يعني ال assurance و + +312 +00:27:39,860 --> 00:27:43,890 +أهدأته يعنيفبقول لي انه induce proximal + +313 +00:27:43,890 --> 00:27:48,450 +accommodation leading to too much minus or not + +314 +00:27:48,450 --> 00:27:51,710 +enough plus طبعا لما يعمل ال accommodation بيعمل + +315 +00:27:51,710 --> 00:27:56,770 +في ال plus و ال jazz بيعادله بال minus يعني بيعطيه + +316 +00:27:56,770 --> 00:28:00,360 +نتيجة من ال minusو لو كان هو high barometrope + +317 +00:28:00,360 --> 00:28:04,240 +هيعطينا less high barometrope لأنه أضفنا له minus + +318 +00:28:04,240 --> 00:28:09,220 +الجهاز عادل و لحاله أعطانا الحل يعني الجهاز اقترح + +319 +00:28:09,220 --> 00:28:13,920 +و أعطانا ال result بتاعته كان بده تعديل بس في ال + +320 +00:28:13,920 --> 00:28:18,060 +subjective أنا أحط له عدسات و أطلع جاهز يبقى أي + +321 +00:28:18,060 --> 00:28:22,140 +عيب تاني العيب هذا قليل ولا كبير كبير + +322 +00:28:26,180 --> 00:28:30,880 +طبعا صاروا يعملوا auto-fogging هم الجهاز بيغبّش + +323 +00:28:30,880 --> 00:28:36,180 +وبعدين بيوضّح بيغبّش وبعدين بيوضّح بدخل بلصات حتى + +324 +00:28:36,180 --> 00:28:39,900 +يرخي celery muscle وهذا شيء يعني في الأجهزة + +325 +00:28:39,900 --> 00:28:43,420 +الحديثة واضح يعني في الأجهزة الحديثة قبل عشر سنوات + +326 +00:28:43,420 --> 00:28:48,540 +و جاي دخلوا ال auto-fogging العيب التالت high + +327 +00:28:48,540 --> 00:28:55,720 +expensive price سعره عشر ألف دولار وفوقمش اي واحد + +328 +00:28:55,720 --> 00:29:00,040 +مختنيه يعني لو كان حتى عندك مهارات في ال + +329 +00:29:00,040 --> 00:29:05,540 +refraction كده و هذا يعني جهاز و لو فتحت مركز + +330 +00:29:05,540 --> 00:29:12,000 +مافيش فيه auto refractometer الناس بدهم يعني اه + +331 +00:29:12,000 --> 00:29:17,620 +بدهم وجهات يعني جهاز و حاجات زيها يعني فال .. انه + +332 +00:29:17,620 --> 00:29:24,960 +ال price غالي جداطيب كمان يحتاج إلى ال cooperation + +333 +00:29:24,960 --> 00:29:32,020 +يعني لو العيان غير صاحي ان يعمل cooperation ولا + +334 +00:29:32,020 --> 00:29:36,940 +ويده يعمل cooperation إذا كل ال test خطأ فمثلا في + +335 +00:29:36,940 --> 00:29:40,380 +ال infants ردع و small children و ناس ال + +336 +00:29:40,380 --> 00:29:46,010 +unconscious مش unconsciousاللي فاقضين الوعي يعني + +337 +00:29:46,010 --> 00:29:49,230 +واحد تحت ال بنج بقدر اعمله auto-fractometer طب انا + +338 +00:29:49,230 --> 00:29:52,990 +بقدر اللي تحت ال بنج اعمله retroscope اه بعمله + +339 +00:29:52,990 --> 00:30:01,590 +بعمله حتى ال infant يعني لو هدأته شوية بقطرات او + +340 +00:30:01,590 --> 00:30:08,130 +تحميلة ممكن اعمله الطفل الصغير لو his mother مسكها + +341 +00:30:08,130 --> 00:30:15,780 +كويس ممكن اعملهلو اشعار كثير مثار بقدرش اعمله لكن + +342 +00:30:15,780 --> 00:30:22,360 +under general anesthesia بعمله طب لو فيه media من + +343 +00:30:22,360 --> 00:30:28,760 +كترك او corneal opacity هيعملي no target او no + +344 +00:30:28,760 --> 00:30:36,920 +center هذا عيب صغير ولا كبير؟ هذا عيب كبير طيب it + +345 +00:30:36,920 --> 00:30:40,680 +forms an objective methodoblifraction و I + +346 +00:30:40,680 --> 00:30:46,500 +subjective يعني انا مقدر اخد هذه الورقة و اكتبها + +347 +00:30:46,500 --> 00:30:55,520 +prescription هذا عيب كبير طيب + +348 +00:30:55,520 --> 00:31:02,180 +شوف الريترسكوب الهدراء هذا بس اللي فيه البطارية + +349 +00:31:02,180 --> 00:31:09,230 +واللمبة ال head مجرد كنا بنعمل كده و نعمل كدهبنقرأ + +350 +00:31:09,230 --> 00:31:15,490 +20 حاجة نقرأ مايوبيك ولا هايبرمتروبيا أستيجماتيك + +351 +00:31:15,490 --> 00:31:22,230 +ولا لا عيب كبير ولا bright ولا لا faint نقرأ سريع + +352 +00:31:22,230 --> 00:31:30,730 +نقرأ بطيء نقطة أنايزومتروبيا ولا لا كمان هل إن هذا + +353 +00:31:30,730 --> 00:31:34,350 +الجهاز اللي مثمن عشر ألف دولار بيقدر يعطينا هذه + +354 +00:31:34,350 --> 00:31:34,830 +المعلومات + +355 +00:31:40,080 --> 00:31:45,740 +لاحظين؟ كثير من الناس بيحب الوجهات المهم كون إش + +356 +00:31:45,740 --> 00:31:53,020 +جديد إذا إجه لجديد كل القديم ماروش لزوم لا أحيانا + +357 +00:31:53,020 --> 00:32:01,440 +لأ انت شوف النتائج شوف النتائج هذا عاملك طيب لو في + +358 +00:32:01,440 --> 00:32:05,420 +أي corner opacity أو الـ lenticular opacity في ال + +359 +00:32:05,420 --> 00:32:11,730 +lensأو في البتريز حتى جالك نقطة او لا ماعرفش هل + +360 +00:32:11,730 --> 00:32:14,770 +هذا اللي معاه شوية cataract او حتى كون ال obesity + +361 +00:32:14,770 --> 00:32:20,750 +ممكن بال written scope يكمل اه يقول لك يكمل يبقى + +362 +00:32:20,750 --> 00:32:29,650 +الآن من ال disadvantage انه + +363 +00:32:29,650 --> 00:32:33,760 +في ال hazy media مابيشتغلوهو objective عايز + +364 +00:32:33,760 --> 00:32:36,980 +subjective زي retroscope يعني هم اشتركوا في انه هم + +365 +00:32:36,980 --> 00:32:42,220 +objective كلهم عايزين بعد هيك subjective طيب ايه + +366 +00:32:42,220 --> 00:32:50,440 +اوجه الشبح بين الديهازين؟ في اوجه الشبح اول اوجه + +367 +00:32:50,440 --> 00:32:54,140 +الشبح انه very small pupil بشكل عقبة في التانين + +368 +00:32:54,140 --> 00:33:01,300 +بشكل difficultكمان ال opacity في ال media بتشكل + +369 +00:33:01,300 --> 00:33:05,360 +opacity سواء في الكورنية او في ال lens في ال + +370 +00:33:05,360 --> 00:33:09,540 +retroscope و في ال auto reflectometer اتنين small + +371 +00:33:09,540 --> 00:33:16,520 +pupil ساعات ضايلتيش لو في opacity الحق ان ال + +372 +00:33:16,520 --> 00:33:20,980 +opacity البسيطة في الكورنية او في ال lens ممكن + +373 +00:33:20,980 --> 00:33:23,220 +اتغلب عليها بال retroscope لكن بال auto لا + +374 +00:33:26,720 --> 00:33:30,320 +الـ patients alignment و ال cooperation و ال + +375 +00:33:30,320 --> 00:33:33,040 +relaxation و ال accommodation هم المهمين في + +376 +00:33:33,040 --> 00:33:37,440 +الaccuracy of results يعني قعدة المريض يكون قاعدة + +377 +00:33:37,440 --> 00:33:43,960 +سوية في ال retroscope و في ال face to face و برضه + +378 +00:33:43,960 --> 00:33:47,320 +في ال autorefractometer يعني فيه تلاقي واحد حاطط + +379 +00:33:47,320 --> 00:33:53,620 +يعني وشه في ال autorefractometer غلط تاني حاله أو + +380 +00:33:53,620 --> 00:34:02,570 +عامل heat أو عاملبنفعش لازم ال alignment طريقة وضع + +381 +00:34:02,570 --> 00:34:08,810 +ال head ووضع ال face تكون correct ماتكونش deviated + +382 +00:34:08,810 --> 00:34:14,330 +لا تحت لا فوق لا جنب بنفعش الفاتحين لازم يكونوا + +383 +00:34:14,330 --> 00:34:19,210 +مركز معايا هذه الاجزة بتحتاج إلى cooperation يعني + +384 +00:34:19,210 --> 00:34:25,600 +خليني أقولك يعني بالإنه هي كعقد بين الفاحس + +385 +00:34:25,600 --> 00:34:33,100 +والمبحوث إذا كان أي طرف منهم أخل بالعقد النتيجة + +386 +00:34:33,100 --> 00:34:41,900 +سيئة لذلك كثير من الفاحس مطلوب وفي أخلاقية المهنة + +387 +00:34:41,900 --> 00:34:48,660 +أن أعمل assurance طمأنينة للمبحوث و أفهم إيش بده + +388 +00:34:48,660 --> 00:34:54,280 +أعملهأريد أن أعمل لك قياس القوة البصرية وهذا يحتاج + +389 +00:34:54,280 --> 00:34:57,920 +إلى أن تكون ناضي وفاتح عينك و مركز في الصورة اللي + +390 +00:34:57,920 --> 00:35:06,140 +قدامك و تقولي أي شيء بغلبك يقولي بس لازم يكون هو + +391 +00:35:06,140 --> 00:35:14,360 +طرف مهم وشريك كيف الشريك مع شريكه في أي عمللازم + +392 +00:35:14,360 --> 00:35:17,720 +يكون فيه تفاهم عشان ال cooperation يكون كامل + +393 +00:35:17,720 --> 00:35:25,180 +والنتيجة تكون ايش صح طيب كمان في تشابه ان الاتنين + +394 +00:35:25,180 --> 00:35:27,560 +مايعطوش video ال equity عشان هيك ال video ال + +395 +00:35:27,560 --> 00:35:31,020 +equity لازم تكون في الأول يعني اول مريض ميدي و اخد + +396 +00:35:31,020 --> 00:35:35,120 +منه ال history بحطه على ال chart right eye لحالة و + +397 +00:35:35,120 --> 00:35:39,340 +بعدين left eye لحالة ال video ال equity مهمة جدا + +398 +00:35:39,340 --> 00:35:44,040 +كنا في residency لما روح لسينور بتاعنابنقول له + +399 +00:35:44,040 --> 00:35:46,540 +الحالة هذه غلبتني، هذا تنسكت وبعشان ماشي، كده، + +400 +00:35:46,540 --> 00:35:47,340 +كده، كده، كده، كده، كده، كده، كده، كده، كده، كده، + +401 +00:35:47,340 --> 00:35:47,440 +كده، كده، كده، كده، كده، كده، كده، كده، كده، كده، + +402 +00:35:47,440 --> 00:35:48,360 +كده، كده، كده، كده، كده، كده، كده، كده، كده، كده، + +403 +00:35:48,360 --> 00:35:56,800 +كده، كده، كده، كده، كده، كده، كده، + +404 +00:35:56,800 --> 00:36:02,580 +كده، كده، كده، كده، كده، كده، كده، كده، كده، كده، + +405 +00:36:02,580 --> 00:36:04,060 +كده + +406 +00:36:14,270 --> 00:36:18,150 +فلازم اللي بدي أقول لك انتي تتاخد في الأول قبل و + +407 +00:36:18,150 --> 00:36:22,790 +بعدين subjectively بعد ال result subjectively بعد + +408 +00:36:22,790 --> 00:36:26,190 +الترسكومي و العدسات الموجودة بعد مقسم و قلوب ال + +409 +00:36:26,190 --> 00:36:31,650 +work distance و في ال auto reflectometer بعد ما + +410 +00:36:31,650 --> 00:36:36,530 +أخد النتيجة النتيجة هذه تتدبس و بمشي انا بحاول + +411 +00:36:36,530 --> 00:36:40,450 +أقربه شيء لأنه ممكن لو النتائج اللي بتاعت ال auto + +412 +00:36:40,450 --> 00:36:45,350 +هذه أخدتهايعني ساعة ده هيك ممكن تخرب الدنيا ممكن + +413 +00:36:45,350 --> 00:36:48,490 +يكون عامل accommodation ممكن يكون عامل deviation + +414 +00:36:48,490 --> 00:36:55,330 +مغمض مفتح ممكن يكون وضعه صعب كتير كتير نتائج بتطلع + +415 +00:36:55,330 --> 00:36:59,910 +غلط يبقى + +416 +00:36:59,910 --> 00:37:03,030 +عايزة بعدها ايه ال subjective verification اثبات + +417 +00:37:03,030 --> 00:37:12,010 +وبرهنة على صحة المعلومة طيب ان المشترك منهم ايضاIn + +418 +00:37:12,010 --> 00:37:13,870 +high refractive error it is difficult to get + +419 +00:37:13,870 --> 00:37:18,170 +results from a retroscope or autorefractive يعني + +420 +00:37:18,170 --> 00:37:23,630 +high refractive سواء سفير او سيلندر بعد ال 10 مثلا + +421 +00:37:23,630 --> 00:37:28,650 +او بعد ال 12 صعب التنين انه ياخدوا نتائج accurate + +422 +00:37:28,650 --> 00:37:35,830 +كمان التنين بيشتركوا انه في الأطفال الصغار صعبة + +423 +00:37:35,830 --> 00:37:40,110 +أداء الرتنوسكوب وصعب أداء ال autorefractive لأن + +424 +00:37:40,110 --> 00:37:49,310 +الطفل شكاكو جبان طفل تحت الأربع سنوات شكاك يعني هو + +425 +00:37:49,310 --> 00:37:54,650 +بيعتبر أن وسط الطبي agressive عايز يؤذيه أول ما + +426 +00:37:54,650 --> 00:37:59,110 +أدخل من بابه أقول بدي شبرة بدي شبرة هيدربوني إيه + +427 +00:37:59,110 --> 00:38:02,010 +برا؟ أه بصير .. أه على طول يعني ماسك إمه، بدونش + +428 +00:38:02,010 --> 00:38:05,330 +يفت عناه، بدونش يشوف اللي حوالاه مغمض .. هو مغمض + +429 +00:38:05,330 --> 00:38:11,970 +العين أساسا عامل closure of eyesلذلك هو في الاطفال + +430 +00:38:11,970 --> 00:38:16,950 +و في أي ناس ليس عندهم cooperation او adequate + +431 +00:38:16,950 --> 00:38:20,850 +cooperation يكون الريتنسكوب صعب و الفرقتوميتر صعب + +432 +00:38:20,850 --> 00:38:25,650 +هو المهمة كلها صعبة كل مهمة تلقى طباء و ال + +433 +00:38:25,650 --> 00:38:31,270 +paramedical هي صعبة مش شيء سهل يعني فإقناع المريض + +434 +00:38:31,270 --> 00:38:35,570 +و أهل المريض له في الموضوع شكل يعني مهم + +435 +00:38:38,760 --> 00:38:42,700 +فاكرين شاكوته ولا وكينس هو الحفظي؟ هذه الأبيات + +436 +00:38:42,700 --> 00:38:47,580 +جميلة جدا، من قائل هذه الأبيات؟ الإمام الشافعي، + +437 +00:38:47,580 --> 00:38:52,240 +رحمه الله، بقولك يروى إن الشافعي الإمام محمد بن + +438 +00:38:52,240 --> 00:39:00,000 +إدريس كان إذا قرأ الصفحة يقول وغيبا، ويقول كتاب + +439 +00:39:00,000 --> 00:39:03,600 +بعد هيك كل يوم كتاب يقول غيبا، من يحفظ الكتب، + +440 +00:39:03,600 --> 00:39:10,310 +الكتب العلميةفنظر يوما إلى ساق جارية نظر إلى ساق + +441 +00:39:10,310 --> 00:39:16,150 +جارية و تأمل فيه فذهب يحفظ فلم يحفظ سكّر فذهب إلى + +442 +00:39:16,150 --> 00:39:20,910 +الشيخ وكيع اللي كان بدرسه واعترف له بالذنب فاستغفر + +443 +00:39:20,910 --> 00:39:26,890 +الله ألافا من المرات ثم عاد للحفظ هذه حقيقة يعني + +444 +00:39:26,890 --> 00:39:30,090 +من الحكم اللي مش شافه وعلى فكرة له ديوان منشور + +445 +00:39:30,090 --> 00:39:36,650 +يعني مش كبيروهو اللي قال يعني بيت الشعر الجميل و + +446 +00:39:36,650 --> 00:39:43,150 +لو لأن الشعر بالعلماء يزري .. إيش يزري؟ بيهينهم + +447 +00:39:43,150 --> 00:39:48,950 +يعني، بنزر جيمتهم و لو لأن الشعر بالعلماء يزري، + +448 +00:39:48,950 --> 00:39:54,910 +لكنت اليوم أشعر من لبيدي سمعتوا لبيد؟ قولناها قبل + +449 +00:39:54,910 --> 00:40:00,150 +فترةأه لبيد بن ربيع اللي قال الحمد لله لم يأتني + +450 +00:40:00,150 --> 00:40:05,530 +أجلي حتى اكتسيته من الإسلام سربالة وهو كان صاحب + +451 +00:40:05,530 --> 00:40:11,030 +المعلقة كان صاحب المعلقة لما أسلم لم يقول شعرا إلا + +452 +00:40:11,030 --> 00:40:14,670 +هذا البيت قال خلاص خلصنا وامر بخطاب رضي الله عنه + +453 +00:40:14,670 --> 00:40:19,450 +يعني دعاه يوما فقال قولي من شعرك يا لبيد فاخد يقرأ + +454 +00:40:19,450 --> 00:40:24,090 +سورة البقرةقال له أنا طلبته منك أن تقوله من شعرك + +455 +00:40:24,090 --> 00:40:30,390 +قال أبدلني ربي خيرا منه أيش أبدله؟ قرآن الكلمة + +456 +00:40:30,390 --> 00:40:36,210 +سورة البخرة طيب شروط الحجاب الشرعي باختصار أن يكون + +457 +00:40:36,210 --> 00:40:40,790 +ساترا لجميع الأوراق ماعدا الوجه والكفين أنا أنتوا + 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0000000000000000000000000000000000000000..e91e31eebb0bdc499986ddff9d3d5c1628df03a7 --- /dev/null +++ b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/LoobKdSAHEA_postprocess.srt @@ -0,0 +1,2656 @@ +1 +00:00:21,190 --> 00:00:25,630 +بسم الله الرحمن الرحيم الحمد لله و أكفى و أصلي و + +2 +00:00:25,630 --> 00:00:28,770 +أسلم على النبي المصطفى السلام عليكم ورحمة الله + +3 +00:00:28,770 --> 00:00:33,650 +وبركاته في هذا اليوم سوف نتكلم فيما يتعلق ال + +4 +00:00:33,650 --> 00:00:39,110 +myopia قصر النظر ماهي الوضع الوضع الوضع الوضع + +5 +00:00:39,110 --> 00:00:44,290 +الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع + +6 +00:00:44,290 --> 00:00:50,050 +الوضع الوضع + +7 +00:00:52,020 --> 00:00:55,960 +Parallel rays come to a focus in front of the + +8 +00:00:55,960 --> 00:01:04,100 +retina in cases of rest Thus in myopia the focus + +9 +00:01:04,100 --> 00:01:11,920 +will come in front of the retina in a distance + +10 +00:01:11,920 --> 00:01:17,620 +related to degree of myopia يعني كل ما كانت myopia + +11 +00:01:17,620 --> 00:01:25,690 +أكبر كل ما كانتالـ Focus أبعد عن الـ Retina + +12 +00:01:25,690 --> 00:01:32,470 +forwards وكل ما كانت الميوبيا أقل درجة كل ما كانت + +13 +00:01:32,470 --> 00:01:38,830 +الـ Focus أقرب إلى الـ Retina هذه + +14 +00:01:38,830 --> 00:01:45,270 +الـ Parallel rays وهذه الـ F focus واضح أنها بعيدة + +15 +00:01:45,270 --> 00:01:51,320 +نسبيا عن إيش؟ عن اللي هو الـ Retinaوهنا بعيد نسبيا + +16 +00:01:51,320 --> 00:01:59,980 +عن ال retina طيب + +17 +00:01:59,980 --> 00:02:04,400 +ما + +18 +00:02:04,400 --> 00:02:14,480 +يترتب على ذلك هو انه امتداد ال focus هنا مثلا لعند + +19 +00:02:14,480 --> 00:02:23,340 +ال retina المسافة هذه تتألف منcircles of diffusion + +20 +00:02:23,340 --> 00:02:27,420 +يعني + +21 +00:02:27,420 --> 00:02:32,260 +ال focus بعيدة هنا طيب من عند ال focus لعند ال + +22 +00:02:32,260 --> 00:02:35,880 +retina ال distance هذه عبارة عن إيش عبارة عن + +23 +00:02:35,880 --> 00:02:44,960 +circles of diffusion يعني هي دوائر انتشارية طيب + +24 +00:02:44,960 --> 00:02:49,300 +لما الدوائر انتشارية تصل لل retina بتكون blurry + +25 +00:02:51,030 --> 00:02:57,590 +والوجه بتكون in this nectar غير واضحة كما في حالة + +26 +00:02:57,590 --> 00:03:00,430 +الـhypermetropia كنا برضه في الـhypermetropia + +27 +00:03:00,430 --> 00:03:05,790 +بنقول إن يعني هي ال retina مثلا هنا وهي الصورة ال + +28 +00:03:05,790 --> 00:03:10,590 +focus جاية ورا هنا المسافة + +29 +00:03:10,590 --> 00:03:14,450 +المسافة + +30 +00:03:14,450 --> 00:03:17,770 +هذه اللي عند ال retina أيضا diffusion circles + +31 +00:03:18,620 --> 00:03:24,700 +Diffusion Circles هنا بتقدي إلى رؤية غير واضحة في + +32 +00:03:24,700 --> 00:03:28,440 +الhypermetropia ولو انه ال focus behind ال retina + +33 +00:03:28,440 --> 00:03:33,220 +هنا ال focus in front of the retina كامل لل retina + +34 +00:03:33,220 --> 00:03:39,480 +بتكون هالات ودوائر انتشارية غير واضحة فمش هيشوف + +35 +00:03:39,480 --> 00:03:39,980 +البعيد + +36 +00:03:42,550 --> 00:03:45,630 +يبقى it follows that distant objects can't be seen + +37 +00:03:45,630 --> 00:03:49,410 +clearly only more divergent rays will meet at the + +38 +00:03:49,410 --> 00:03:53,430 +macula and thus in order to see clearly an object + +39 +00:03:53,430 --> 00:03:57,850 +must be brought close to the eye يعني الآن واحد + +40 +00:03:57,850 --> 00:04:04,130 +ميوم من بعد ستة متر مش شافه كويس طيب أحد أمرين، يا + +41 +00:04:04,130 --> 00:04:09,390 +بنقرب ال object إيه؟ يا بنقربه من ال object في + +42 +00:04:09,390 --> 00:04:10,190 +الحالة هذه + +43 +00:04:13,820 --> 00:04:21,800 +وR1 الـ R اللي هو ستة متر بعيد عن العين بيطلع ريز + +44 +00:04:21,800 --> 00:04:26,580 +Parallel الرجل ال Parallel هذي وقعت ال focus + +45 +00:04:26,580 --> 00:04:32,700 +بتاعتها F in front of the retina لما قربناها ده + +46 +00:04:32,700 --> 00:04:39,980 +مثلا صار خمسين سانتي من العين ساعة الأشعة تطلع + +47 +00:04:39,980 --> 00:04:47,470 +إيش؟ Divergentالـ Divergent هذه جهاز البصر قوي انه + +48 +00:04:47,470 --> 00:04:52,430 +يجمعها على الشبكة فاربوينت قريبة ايوة صار فاربوينت + +49 +00:04:52,430 --> 00:04:57,430 +قريبة وبتحكم فيها اللي هو اللي هو القورنيا واللنز + +50 +00:04:57,430 --> 00:05:02,170 +في العين بيجيبها بالظبط عشان ايه كان قاسر يرى + +51 +00:05:02,170 --> 00:05:05,590 +الأشياء بعيدة فاضطر انه يقترب لما تشوف الطفل + +52 +00:05:05,590 --> 00:05:10,450 +الصغير يعني يجلس جوان التلفزيون كل ما تبعده عن + +53 +00:05:10,450 --> 00:05:15,100 +التلفزيونيتسلل ويأتي في جنب التلفزيون هذه علامة عن + +54 +00:05:15,100 --> 00:05:21,460 +انه قصر النظر لو كان هو شايف الصور المتحركة من + +55 +00:05:21,460 --> 00:05:26,080 +بعيد لفضل بعيد لكنه مش شايف فهو في حاجة إلى انه + +56 +00:05:26,080 --> 00:05:31,900 +يسير في شوية متر او اقل حتى انه صورة هذه الأشياء + +57 +00:05:31,900 --> 00:05:35,420 +تأتي على الشبكة ويشوفها بغضوء في الحالة الأولى هو + +58 +00:05:35,420 --> 00:05:39,520 +شايف diffusion circles مش شايف واضحشايفين ال R لما + +59 +00:05:39,520 --> 00:05:44,360 +قررناها عند R1 صارت اللي هو ال focus وين بالظبط + +60 +00:05:44,360 --> 00:05:48,720 +على ال retina في الحالة الأولى وان كانت in front + +61 +00:05:48,720 --> 00:05:54,180 +of the retina طيب + +62 +00:05:54,180 --> 00:05:59,660 +يبقى في الmyopic eye incident القرار الرز لشعة + +63 +00:05:59,660 --> 00:06:03,540 +الساقطة متوازية being focused in front of the + +64 +00:06:03,540 --> 00:06:07,440 +retina طيب in frontطب عشان احنا نخليها على ال + +65 +00:06:07,440 --> 00:06:13,300 +retina بالظبط ايش نعمل نحط minus طيب ال minus lens + +66 +00:06:13,300 --> 00:06:20,240 +هذه هل جميع ال myopsياخدوا نفس ال minus و لا + +67 +00:06:20,240 --> 00:06:29,940 +according to refraction في منهم ناس بياخد 0.5 و + +68 +00:06:29,940 --> 00:06:33,940 +امشي one واحد و نص اتنين و نص تلاتة زي هيك حتى + +69 +00:06:33,940 --> 00:06:35,080 +ممكن ياخد خمستاشر + +70 +00:06:38,110 --> 00:06:42,170 +مش كل الـ minus according to refraction + +71 +00:06:42,170 --> 00:06:46,110 +وrefraction هذا لازم يكون good refraction accurate + +72 +00:06:46,110 --> 00:06:50,910 +refraction يبقى divergence may be given to + +73 +00:06:50,910 --> 00:06:54,870 +parallel rays by addition of concave lens so that + +74 +00:06:54,870 --> 00:06:59,970 +a focus is formed upon the retina exactly حسب اللي + +75 +00:06:59,970 --> 00:07:04,990 +هو إيش ال refraction طيب كل كبيرة في ال far point + +76 +00:07:04,990 --> 00:07:13,510 +far point isthe furthest point at which the person + +77 +00:07:13,510 --> 00:07:17,970 +can see objects clearly هي أبعد نسافة يرى منها + +78 +00:07:17,970 --> 00:07:26,870 +المريض بوضوح طب احنا ممكن نعمل relation between + +79 +00:07:26,870 --> 00:07:35,150 +degree of myopia and this distance يعني مثلا انا + +80 +00:07:35,150 --> 00:07:41,770 +ممكن اقول ان واحد myopia عندهone degree myopia ال + +81 +00:07:41,770 --> 00:07:47,690 +far point بتاعته كده؟ واحد عنده two diopter myopia + +82 +00:07:47,690 --> 00:07:53,650 +بيشوف من كده بوضوح مثلا اربعة diopter myopia بيشوف + +83 +00:07:53,650 --> 00:08:03,050 +من كده؟ اه كويس في عندي rule ال rule هذه بتقول انه + +84 +00:08:03,690 --> 00:08:10,970 +P equals one over F القوة مقلوبة بالمسافة او + +85 +00:08:10,970 --> 00:08:16,170 +المسافة مقلوبة بالقوة يبقى لو انا بدي اعوض في + +86 +00:08:16,170 --> 00:08:27,570 +المسألة هذه اقول القوة واحد بتساوي واحد على S يبقى + +87 +00:08:27,570 --> 00:08:29,490 +ال S تساوي واحد + +88 +00:08:32,930 --> 00:08:41,190 +القوة بالديوبتر والمسافة بالميتر طيب + +89 +00:08:41,190 --> 00:08:44,710 +بدنا نعود احنا ال P المرة هذه انا عارفه اتنين + +90 +00:08:44,710 --> 00:08:54,490 +equals واحد على F على المسافة المسافة S مثلا سيبقى + +91 +00:08:54,490 --> 00:09:01,270 +S equals نص متر نص متر نص متر خمسين سانت يعني و + +92 +00:09:01,270 --> 00:09:08,490 +هكذايبقى أنا ممكن أني أتوقع لواحد + +93 +00:09:08,490 --> 00:09:12,970 +من معرفتي للمسافة اللي بشوف منها بوضوح أتوقع جديش + +94 +00:09:12,970 --> 00:09:18,410 +عنده ميوبيا أو لو قلتلي عنده ميوبيا كذا أن أقول + +95 +00:09:18,410 --> 00:09:21,730 +لجديش المسافة اللي بشوف منها بوضوح بعوض في + +96 +00:09:21,730 --> 00:09:31,290 +المعادلة لكن هل هذا دائما دقيق؟ لأ، شئ نسبيهذا شيء + +97 +00:09:31,290 --> 00:09:36,770 +نسبي لأن في عوامل أخرى تدخل على الخطب منها ال age + +98 +00:09:36,770 --> 00:09:41,690 +ومنها ال accommodation ومنها disease لو كان high + +99 +00:09:41,690 --> 00:09:46,610 +myopia كتركت كده تدخل فيها عوامل أخرى لكن هذا + +100 +00:09:46,610 --> 00:09:54,610 +انطباع أن أنا ممكن أتوقع توقع لكن بيظل الفيصل هو + +101 +00:09:54,610 --> 00:09:57,530 +ال subjective reflection subjective reflection + +102 +00:10:03,030 --> 00:10:08,650 +طيب قلنا احنا حطينا minus و ال minus هذه مش minus + +103 +00:10:08,650 --> 00:10:13,530 +ارتجالية minus حسب ال good refraction accurate + +104 +00:10:13,530 --> 00:10:18,570 +refraction لما احط diverging lens طب القهر فيه + +105 +00:10:18,570 --> 00:10:27,830 +قاعدة ذهبية لازم انا افهم دايما ان الmyope has + +106 +00:10:33,860 --> 00:10:41,720 +over power ليش يعني over power ال refractive power + +107 +00:10:41,720 --> 00:10:49,500 +عنده في axis طيب الآن ال over power هذه ليش انا + +108 +00:10:49,500 --> 00:10:55,120 +بعمله addition ل minus lenses عشان + +109 +00:10:55,120 --> 00:11:02,450 +اسلب و اقلل الزيادة بقلل اه الزيادةعشان في الأخر + +110 +00:11:02,450 --> 00:11:06,910 +أخليه Artificial .. إيه Metrop؟ أخليه Artificial + +111 +00:11:06,910 --> 00:11:13,670 +Metrop يعيش بصر عادي طيب عوضوني الآن Hyper Metrop + +112 +00:11:13,670 --> 00:11:21,650 +has low power أقول + +113 +00:11:21,650 --> 00:11:30,550 +weak power أو low power وبالتالي أنا إيش بيعطيه؟ + +114 +00:11:32,060 --> 00:11:35,640 +ايش بعمل بال plus؟ بزود القوة عشان تصير artificial + +115 +00:11:35,640 --> 00:11:40,760 +امترو ايوة انا بزود القوة الناجسة حتى تصير normal + +116 +00:11:40,760 --> 00:11:47,800 +artificial امترو يبقى هي القاعدة القوي بقلله + +117 +00:11:47,800 --> 00:11:55,040 +والقليل بقويه وصدق ابو بكر صديق رضي الله عنه في + +118 +00:11:55,040 --> 00:12:03,090 +خطاب الخلافةبقولهم لما خطب خطاب يعني بيعه قال + +119 +00:12:03,090 --> 00:12:12,970 +القوي فيكم عندي ضعيف حتى أخد الحق منه والضعيف فيكم + +120 +00:12:12,970 --> 00:12:18,990 +عندي قوي حتى أخد الحق لهم شوف الله يعني انه يعني + +121 +00:12:18,990 --> 00:12:25,810 +كلام مختصر لكن يدل على إيش فهم عميق الجو الطاغي + +122 +00:12:25,810 --> 00:12:33,270 +لازم أخد من الحقو اخليه يمشي normal وضعيف لازم + +123 +00:12:33,270 --> 00:12:39,570 +اخده الحق حتى يصير normal فش عندي طبقية طبقية في + +124 +00:12:39,570 --> 00:12:45,550 +الماركسية في طبقة العمال + +125 +00:12:45,550 --> 00:12:50,350 +الدياليكتيك و في طبقة البرجوازيين رؤوس الأموال + +126 +00:12:50,350 --> 00:12:54,630 +البرجوازيين وقال يعني هدولة بينهم يعني حرب ضروس + +127 +00:12:54,630 --> 00:12:58,230 +حتى يفني واحد منهم التاني قالهم لا انا ماعنديش شيء + +128 +00:12:59,150 --> 00:13:03,850 +يبقى إذا كان الهيبان متروب ضعيف أنا بدأ أقويه وإذا + +129 +00:13:03,850 --> 00:13:10,470 +كان الميوب قوي أنا بدي أضعفه طيب + +130 +00:13:10,470 --> 00:13:15,210 +في حاجة احنا قلناها قبل هيك أنه الهيبان متروب يرى + +131 +00:13:15,210 --> 00:13:22,270 +الأشياء نسبيا صغيرة وانا قلنا mycropsia mycropsia + +132 +00:13:22,270 --> 00:13:29,040 +الميوب لأالمايوب بيقرأ من قريب فبيكبر الصورة + +133 +00:13:29,040 --> 00:13:35,420 +مكروبسيا بتكون مكروبسيا عنده مكروبسيا كمان في + +134 +00:13:35,420 --> 00:13:38,720 +المقارنة الكبرى اللى هتعملوها ان شاء الله بدأتوا + +135 +00:13:38,720 --> 00:13:44,640 +فيها و لسه اه المقارنة الكبرى قولنا عنها في ال .. + +136 +00:13:44,640 --> 00:13:53,460 +ال hypermetroid في عند ال angle alpha ايش white + +137 +00:13:53,460 --> 00:13:55,060 +كبيرة + +138 +00:13:57,140 --> 00:14:03,080 +وبالتالي ال person الهيبرمتروب عنده apparent + +139 +00:14:03,080 --> 00:14:08,060 +divergence يعني + +140 +00:14:08,060 --> 00:14:10,500 +يُعطي انطباع أن الواد الصغير اللي عنده هيبرمتروب + +141 +00:14:10,500 --> 00:14:19,720 +عالي انه عنده حواله برا شوية هنا الزاوية الزاوية + +142 +00:14:19,720 --> 00:14:26,390 +هذه هنا عكس الهيبرمتروب اه بتكون negativeوبالتالي + +143 +00:14:26,390 --> 00:14:31,210 +فيه impression أنه عنده إيش convergence point، + +144 +00:14:31,210 --> 00:14:35,390 +apparent، ظاهري، هو مش حقيقي هذا طبعا، apparent + +145 +00:14:35,390 --> 00:14:39,510 +convergence point، والزاوية هذه بتيجي من تقاطع ال + +146 +00:14:39,510 --> 00:14:44,870 +visual axis مع ال optic axis، مع ال optic axis، + +147 +00:14:44,870 --> 00:14:48,970 +يبقى هاي فرق، هناك بشوف مكروبسيا، هنا بشوف إيش + +148 +00:14:48,970 --> 00:14:54,850 +مكروبسياهناك عنده Apparent Divergence Quint وهنا + +149 +00:14:54,850 --> 00:14:58,230 +عنده Apparent Convergence Quint في المقارنة هذه + +150 +00:14:58,230 --> 00:15:04,870 +كله يدخل في المقارنة طيب موضوع هام Clinical + +151 +00:15:04,870 --> 00:15:13,570 +Features of Myopia ما هي الصورة الإقليكية لمريض + +152 +00:15:13,570 --> 00:15:16,730 +الميوبيا وهذا هام + +153 +00:15:20,510 --> 00:15:26,650 +the most important and prominent symptom is the + +154 +00:15:26,650 --> 00:15:34,450 +first which is blurry distance vision وهذا عكس + +155 +00:15:34,450 --> 00:15:41,070 +تماما الhypermetropia عنده blurring of near vision + +156 +00:15:41,070 --> 00:15:46,690 +ال near vision عنده blurry لأ هنا ال distance + +157 +00:15:46,690 --> 00:15:51,210 +vision عنده blurryيعني اي واحد بيجي بسمع منه ال + +158 +00:15:51,210 --> 00:15:55,670 +complaint شكوه بيقولك انا لا اقرا التلفزيون واضح + +159 +00:15:55,670 --> 00:15:58,850 +لا اقرا الأشياء اللي بيجي ده واضحة خاطر التلفزيون + +160 +00:15:58,850 --> 00:16:03,290 +مغبش في الصف الولد بيشوفش كويس كده كده كله هذا + +161 +00:16:03,290 --> 00:16:10,150 +معناه ان ال distance between ايش ملري مغبش لكن + +162 +00:16:10,150 --> 00:16:13,390 +لو واحد بيقول ان انا لأ انا ماعرفش عنده مشكلة بشوف + +163 +00:16:13,390 --> 00:16:20,940 +البعيد والقريب لأمش عنده myopia prominent symptom + +164 +00:16:20,940 --> 00:16:25,600 +أو myopia most prominent ال bears أو الأبرز أو + +165 +00:16:25,600 --> 00:16:29,880 +الأكثر frozen اللي هو ال distance between blurring + +166 +00:16:29,880 --> 00:16:35,600 +طبعا انا عندي ال myopia اما بتكون smaller error يا + +167 +00:16:35,600 --> 00:16:40,260 +larger error والله اذا كان smaller error بتكون + +168 +00:16:40,260 --> 00:16:46,190 +الاعاقة او العدس قليل اهفي الـ Myopic Error لما + +169 +00:16:46,190 --> 00:16:53,410 +يكون صغير الـ incapacity تجبه صغير لكن إذا كان + +170 +00:16:53,410 --> 00:16:59,210 +ماركد Myopia بيكون عنده market degree of this + +171 +00:16:59,210 --> 00:17:05,950 +ability يعني أكبر عن الوضوح يعني صحيح إنه ال minus + +172 +00:17:05,950 --> 00:17:10,950 +one زي ال minus ten طبعاً لأ أقولكوا يعني في ناس + +173 +00:17:10,950 --> 00:17:14,930 +كتير عايشين بال minus one بدون أي correctionعادي + +174 +00:17:14,930 --> 00:17:18,470 +بيشتغل بسوق سيارة و بيروح و بيجي بال minus one + +175 +00:17:18,470 --> 00:17:22,470 +طبعا عنده بعض المعاناة القليلة اللي هو متغلب عليها + +176 +00:17:22,470 --> 00:17:27,450 +لكن ال minus ten impossible .. impossible ما بيقدر + +177 +00:17:27,450 --> 00:17:33,630 +يشوف ولا يطلع ولا يعمل إلا بال correction يبقى + +178 +00:17:33,630 --> 00:17:38,650 +حسب درجة الميوب يعني اذا كان small او large او + +179 +00:17:38,650 --> 00:17:43,260 +marketأه ال market بيكون serious disability + +180 +00:17:43,260 --> 00:17:47,280 +serious و ال physical disability physical + +181 +00:17:47,280 --> 00:17:52,740 +disability حركة الجسم النشاط العمل الإنتاج بيكون + +182 +00:17:52,740 --> 00:17:56,900 +subnormal أقل من العادي وبالتالي هذا بتبعه + +183 +00:17:56,900 --> 00:18:06,900 +economic disadvantage يعني ايش عواقب اقتصادية زي + +184 +00:18:06,900 --> 00:18:10,750 +ايش عواقب اقتصادية العملهل الـ minus 10 هذا الـ + +185 +00:18:10,750 --> 00:18:17,230 +uncorrected هل هيستطيع أنه يذهب إلى سوق العمل و أن + +186 +00:18:17,230 --> 00:18:23,450 +يكون من المنتجين؟ لا هذا بده جورنا يقعد فيها و + +187 +00:18:23,450 --> 00:18:29,070 +كمبيوتر و إش تاني و بس لأنه يستطيع أن يذهب فينافس + +188 +00:18:29,070 --> 00:18:34,070 +في سوق العمل و سوق العمل مش اختياري هيكون إجباري + +189 +00:18:34,070 --> 00:18:41,730 +حتى في مجال الدراسةطالب جامعي في مختبرات في + +190 +00:18:41,730 --> 00:18:47,950 +مستشفيات في أعمال في زيارات ميدانية في تعليم خدمة + +191 +00:18:47,950 --> 00:18:53,250 +كيف الـ minus 10 الـ uncorrected يقوم بإنجاز هذه + +192 +00:18:53,250 --> 00:18:57,270 +الأعمال يبقى الموضوع مش صار بس physical disability + +193 +00:18:57,270 --> 00:19:03,450 +قلة الحركة لأ وصارت الإنتاج ال economy عنده في + +194 +00:19:03,450 --> 00:19:08,640 +مشكلة الإنسان يعني عنده العجز أوضحبحيث أنه لا + +195 +00:19:08,640 --> 00:19:15,140 +يستطيع أن ينافس هذا العرض الأول أعراض العرض الثاني + +196 +00:19:15,140 --> 00:19:22,220 +psychological outlook النواحي + +197 +00:19:22,220 --> 00:19:28,900 +النفسية النواحي النفسية نقول + +198 +00:19:28,900 --> 00:19:35,200 +إن النواحي النفسية أبرز في الأطفال most strikingسن + +199 +00:19:35,200 --> 00:19:40,760 +الاطفال اللي ماركت ميوبيا أكتر من ستة و يسمحوا + +200 +00:19:40,760 --> 00:19:45,280 +لتطوروا و ليسوا مخططين حاكم تعليم الظروف + +201 +00:19:45,280 --> 00:19:50,680 +الاقتصادية جاهل الأهل الظروف الاقتصادية أول عدده + +202 +00:19:50,680 --> 00:20:00,120 +التقاليد يعني طالبة ابتدائية شخص عند ميوبيا طلبوا + +203 +00:20:00,120 --> 00:20:03,920 +أهلها من نضارة و قالوا مستحيل ما بنلبس البنات + +204 +00:20:03,920 --> 00:20:11,060 +نضارةهي مثلا مانع من المواد او ان مافيش مسار يجيب + +205 +00:20:11,060 --> 00:20:15,140 +نضارة خاصة ان الطفل بيكسل نضارات كل شهر او شهرين + +206 +00:20:15,140 --> 00:20:20,760 +مافيش او نهيك ان مايكون فيش فحص ابدا واحد جاعد في + +207 +00:20:20,760 --> 00:20:27,400 +الريف ولاده اكتر بس يطعمهم خبز مابيسأل على ناحية + +208 +00:20:27,400 --> 00:20:33,160 +المرضية هذه طب هذا الطفل اللي هو صانوا neglection + +209 +00:20:33,160 --> 00:20:42,460 +يعني اهمالهل هذا فقط هيأثر على إنجازه وعلى ذهابه + +210 +00:20:42,460 --> 00:20:47,000 +للمدرسة وعلى دراسته ولا في شيء نفسي أيضا في شيء + +211 +00:20:47,000 --> 00:20:52,860 +نفسي الشيء النفسي طبعا في عدة حاجة أول شيء انه + +212 +00:20:52,860 --> 00:20:58,580 +they develop in a limited world wherein they are + +213 +00:20:58,580 --> 00:21:02,760 +at a considerable disadvantage in comparison with + +214 +00:21:02,760 --> 00:21:07,490 +other childrenيعني هو يعيش في دائرة ضيقة في الغرفة + +215 +00:21:07,490 --> 00:21:12,190 +بيقرأ في الغرفة و بينام في الغرفة بيتكلم في الغرفة + +216 +00:21:12,190 --> 00:21:18,010 +هي الدائرة بتاعه طيب لو قررنا احنا بأمثاله his + +217 +00:21:18,010 --> 00:21:23,990 +fellows لا his fellows في الشارع أولاد صغار + +218 +00:21:23,990 --> 00:21:27,230 +بيلعبوا كورة في الشارع طب جيب هذا يلعب بكورة معاهم + +219 +00:21:27,230 --> 00:21:36,560 +بيوجع عشان المرة اذا مثلالبيت جريبك يالا برضهاش + +220 +00:21:36,560 --> 00:21:42,440 +خاصة في الليل هو يمكن مايعبر مابيعبر انه في + +221 +00:21:42,440 --> 00:21:47,540 +difficulty in vision هو مابيعبر لكن هي الحقيقة ان + +222 +00:21:47,540 --> 00:21:53,440 +هو ال vision عنده يعني low vision اقصد انه + +223 +00:21:53,440 --> 00:21:59,180 +defective vision مش low، defective vision طيب + +224 +00:22:00,130 --> 00:22:04,850 +هذا اللي بيعيش في دائرة ضيقة و لا يتحرك مع الناس + +225 +00:22:04,850 --> 00:22:09,330 +اللي هم في سنه بيصير انه عنده limitation of + +226 +00:22:09,330 --> 00:22:17,050 +intelligence دكائه بيجب محدد قليل و عنده شيء من + +227 +00:22:17,050 --> 00:22:23,010 +فقد الاهتمامات يعني interest بيقول عنها او + +228 +00:22:23,010 --> 00:22:29,800 +curtailment curtailment او interestفي ال interests + +229 +00:22:29,800 --> 00:22:38,580 +عنده اه فيها قلة اه يعني اتمام احنا بيقول عنه كمان + +230 +00:22:38,580 --> 00:22:44,680 +careless مش careless غير معتنف اه غير معتنف فيه + +231 +00:22:44,680 --> 00:22:53,280 +حتى ال careless هذا في شكله في لبسه في شعره في + +232 +00:22:53,280 --> 00:22:56,480 +результат الجسماني يعني careless مهمل + +233 +00:22:59,600 --> 00:23:04,520 +هذه أول شيء نفسي انعكس على ذكائه وانعكس على + +234 +00:23:04,520 --> 00:23:11,480 +اهتماماته طيب التاني في النفسية في عنده شيء واضح + +235 +00:23:11,480 --> 00:23:19,140 +من stupidity و ال backwardness stupidity يعني غباء + +236 +00:23:19,140 --> 00:23:23,780 +عكس الذكاء في عنده شيء من الغباء و عنده شيء من + +237 +00:23:23,780 --> 00:23:29,350 +التخلف اه احنا بيقول عنه mental retardationلو + +238 +00:23:29,350 --> 00:23:32,010 +حقيقي بيقول انه mental retardation لكن هذا + +239 +00:23:32,010 --> 00:23:37,430 +backwards هذا تخلف عن أقرابه يعني في الصفر مثلا + +240 +00:23:37,430 --> 00:23:45,450 +المدرس او المدرسة تكتب المسألة حلوها خلال دقائق + +241 +00:23:45,450 --> 00:23:48,670 +بيبدأ الأولاد يطلعوا يصلحوا اللي .. اللي .. اللي + +242 +00:23:48,670 --> 00:23:53,250 +هو جاعد الحرمان ليش؟ + +243 +00:23:53,250 --> 00:24:00,480 +هو مش عارف ليش مشافش وبتاني محلشالكل حيقول عنه + +244 +00:24:00,480 --> 00:24:07,700 +stupid الواضح الغبي هذا محدش ويمكن ينضرب ضرب جامد + +245 +00:24:07,700 --> 00:24:12,160 +ويمكن يعمله انذار ويبعت لأهله وهو مش عارف إيش + +246 +00:24:12,160 --> 00:24:15,940 +المشكلة المشكلة + +247 +00:24:15,940 --> 00:24:19,780 +بقولك when the error is adequately corrected these + +248 +00:24:19,780 --> 00:24:25,720 +considerations don't necessarily apply طيب لو + +249 +00:24:25,720 --> 00:24:33,610 +اكتشفوا المشكلة وعملوا له حلبجلاسيس ممكن جدا هذا + +250 +00:24:33,610 --> 00:24:40,090 +يصير الأول ويصير الشارك أحسن من العادية يبقى مش هو + +251 +00:24:40,090 --> 00:24:46,570 +stupid من الأساس ولا retarded من الأساس لكن هو في + +252 +00:24:46,570 --> 00:24:56,090 +مشكلة بصرية انعكست نفسيا وانعد الأخطر الأخطر مات + +253 +00:24:56,090 --> 00:25:01,870 +في صوم المدرسة وجود في البيت للضربوصير عامل وهو مش + +254 +00:25:01,870 --> 00:25:08,830 +شايف يعني بتحطم تماما كم احنا بنقدر نساعد الناس + +255 +00:25:08,830 --> 00:25:17,490 +اسمه الاية الكريمة الله وليه الذين آمنوا يخرجهم من + +256 +00:25:17,490 --> 00:25:23,610 +الظلمات إلى النور والذين كفروا هؤلاء هم الطاغوت + +257 +00:25:23,610 --> 00:25:27,590 +يخرجونهم من النور إلى الظلمات هؤلاء أصحاب نارهم + +258 +00:25:27,590 --> 00:25:34,440 +فيها خالدونالنور هنا نور معنوي طبعا الهدايا + +259 +00:25:34,440 --> 00:25:37,540 +الإسلامية الهدايا الربانية التوحيد هذا هو النور + +260 +00:25:37,540 --> 00:25:44,700 +والظلمات هي الكفر والشرك والنفاق لكن احنا الحقيقة + +261 +00:25:44,700 --> 00:25:50,120 +النور اللي احنا بنجيبه للناس بالفحص هذا وبالتصحيح + +262 +00:25:50,120 --> 00:25:56,000 +هو نور حقيقي نور حقيقي اقصد يعني ملموس مش معنوي + +263 +00:25:56,000 --> 00:26:01,200 +مادينقر مادى، واحد بيشوف واحدة على ستين لما يشوف + +264 +00:26:01,200 --> 00:26:06,400 +ستة على ستة يا سلام، شوف ستة على ستين وشوف ستة على + +265 +00:26:06,400 --> 00:26:13,820 +خمسة، إيش يعني؟ يعني شيء فوري، شيء dramatic، طردت + +266 +00:26:13,820 --> 00:26:23,000 +عنه التخلف، وطردت عنه الغباء ولسة كمان الطفل هذا + +267 +00:26:23,000 --> 00:26:26,900 +بيميل إلى الـ introspectionintrospection + +268 +00:26:26,900 --> 00:26:32,800 +الانطوائية الانطواء ايش واحد منطوي يعني فاهموني + +269 +00:26:32,800 --> 00:26:39,460 +واحد منطوي يعني انسان يعيش وحده بحب مش يتكلم مع + +270 +00:26:39,460 --> 00:26:45,700 +الناس بحب مش يعامل الناس ولا يتكلمهم جاعد في نفسه + +271 +00:26:45,700 --> 00:26:50,580 +خلاص بحب انه انطوي طبعا واضح انه في شيء يأي مزعلان + +272 +00:26:52,250 --> 00:27:00,530 +يا إما يعني في شيء نفسي عنده، يا مجنون، يا مصدوم، + +273 +00:27:00,530 --> 00:27:06,510 +أيش اللي جاعد لحاله هذا؟ يعني الإنسان + +274 +00:27:06,510 --> 00:27:10,610 +طبيته اجتماعي، بطبعه، هيك الله فتره، لما ربنا + +275 +00:27:10,610 --> 00:27:15,010 +سبحانه وتعالى خلق آدم، كان ممكن آدم ينجئ إنه يفضل + +276 +00:27:15,010 --> 00:27:21,040 +في الأرض لحاله، يسور وجور فيها، لكن لاالله عز وجل + +277 +00:27:21,040 --> 00:27:29,260 +خلق له من نفسه زوجة ليسكن إليها وبعد ما جعله زوجة + +278 +00:27:29,260 --> 00:27:34,680 +جعله أولاد وبنين وجعل + +279 +00:27:34,680 --> 00:27:39,980 +لكم من أنفسكم بنين وحفدة كمان مش بس بنين وحفدة + +280 +00:27:39,980 --> 00:27:45,140 +فهذا الإنسان اللي عنده ما يوم و uncorrected و + +281 +00:27:45,140 --> 00:27:51,200 +neglected مهمل بيصير introspectiveand finding free + +282 +00:27:51,200 --> 00:27:55,720 +intercourse with their fellows difficult بيحبش + +283 +00:27:55,720 --> 00:28:01,000 +يتكلم مع جيله ولا مع الناس ولا يلعب معهم ولا يمشي + +284 +00:28:01,000 --> 00:28:06,880 +معهم ولا يدرس معهم شكاك they frequently tend to + +285 +00:28:06,880 --> 00:28:10,220 +grow up with this nicked mental habits and + +286 +00:28:10,220 --> 00:28:14,500 +peculiarities لأن هو عنده خصوصيات يصير هذا عنده + +287 +00:28:14,500 --> 00:28:20,790 +خصوصيات دائما حتى في الصف جاعد لحالهشنطته دائما في + +288 +00:28:20,790 --> 00:28:28,710 +حضنه، بيحبش يتكلم الناس، مناسوس، حتى لو طلع بين + +289 +00:28:28,710 --> 00:28:32,190 +الحصص برا، بيقعد في غرفة لحاله أو بيفطر في الصف و + +290 +00:28:32,190 --> 00:28:36,110 +يقعد لحاله، بيشتركش مع الولاد، بيحبش يتكلمهم، + +291 +00:28:36,110 --> 00:28:41,610 +يتعرفش يتعرف فيهم، خصوصيات في حياته، كله ناتج عن + +292 +00:28:41,610 --> 00:28:46,700 +إن هو عنده defective vision اللي هو الmyopiaكله + +293 +00:28:46,700 --> 00:28:51,500 +هنا A وB وC وD psychological outlook النواحي + +294 +00:28:51,500 --> 00:28:59,880 +النفسية طيب تلاتة ليس كل حياة الميوب disadvantage + +295 +00:28:59,880 --> 00:29:05,400 +زي ما شوفنا وان كانت خطيرة صحيح لكن لابد في أخر + +296 +00:29:05,400 --> 00:29:12,160 +نفق من بصيص نور عنده بعض المزايا من المزايا انه + +297 +00:29:12,160 --> 00:29:17,620 +عنده easy readingReading more easy عكس + +298 +00:29:17,620 --> 00:29:21,840 +الhypermetrope الhypermetrope هو active و إشي و + +299 +00:29:21,840 --> 00:29:28,120 +كده لكن عنده قراءة بقرا بيه بيمدده هيك شوفش الخط + +300 +00:29:28,120 --> 00:29:33,540 +الصغير بده correction للقراية لأ هذا الميوب حطيله + +301 +00:29:33,540 --> 00:29:37,980 +جرايد و مجالات و كتب و سيبين او حطله ال tablet هذا + +302 +00:29:37,980 --> 00:29:43,120 +بتاعته و يقرأ ليش لأن ال near point بتاعته قصيرة + +303 +00:29:44,480 --> 00:29:50,180 +فهو يعني بتعدىها شوية و بيقرا خليه يقرا حتى انه + +304 +00:29:50,180 --> 00:29:56,960 +كانوا زمان يقولوا انه الميوب is a genius one انسان + +305 +00:29:56,960 --> 00:30:03,280 +عبقري وهي راجت فعلا يعني بين الناس انه قصير النظر + +306 +00:30:03,280 --> 00:30:10,500 +انسان عبقري وحقيقة يعني هو مش عبقريلأن القرية هذه + +307 +00:30:10,500 --> 00:30:17,160 +يعني إلها أساسات في ال .. في الوراثة، لكن هو إنسان + +308 +00:30:17,160 --> 00:30:23,760 +وقته قيلوم، يعني سعر الأطفال العاديين يعني لا يهتم + +309 +00:30:23,760 --> 00:30:28,640 +بالدراسة، يعني تسعين في المية من حياته لعب، حتى في + +310 +00:30:28,640 --> 00:30:33,060 +المدرسة، حتى في الحصة بيلعب، كل شيء من تحت بيلعب + +311 +00:30:33,990 --> 00:30:39,670 +لكن هذا لأ جدي قصير نظره جدي لأنه يعني حاسس إنه + +312 +00:30:39,670 --> 00:30:44,550 +الناس بعيدين عنه و هو بعيد عنهم فهو وين بودي وقته + +313 +00:30:44,550 --> 00:30:50,510 +في الدراسة بشتهد أكتر و بجيب يعني تحسين أحسن نسبيا + +314 +00:30:50,510 --> 00:30:54,570 +فبيقولوا عنه عبقري هو حقيقة مش عبقري إلا سكان نور + +315 +00:30:54,570 --> 00:30:59,990 +من وراته عبقري لأن هذه من الأشياء اللي هي محتوطة + +316 +00:30:59,990 --> 00:31:06,480 +على ال chromosomes في نوات الخليةبس انا بقول ان مش + +317 +00:31:06,480 --> 00:31:12,020 +كل حياته disadvantage هاي disadvantage واحد هتشوفه + +318 +00:31:12,020 --> 00:31:18,420 +الآن ان الطفل هذا فيه some clarity لل fire objects + +319 +00:31:18,420 --> 00:31:24,340 +لكن ال degree هيك واضحة جدا، هي واحدة خاصة في ال + +320 +00:31:24,340 --> 00:31:30,240 +milder degrees او ميوبيا يعني minus one to minus + +321 +00:31:30,240 --> 00:31:30,540 +two + +322 +00:31:34,250 --> 00:31:38,090 +طيب واحد إلى اتنين هل ممكن الواحد إلى اتنين انه + +323 +00:31:38,090 --> 00:31:43,870 +يعيش uncorrected ممكن يعيش uncorrected ممكن يعيش + +324 +00:31:43,870 --> 00:31:55,370 +uncorrected ال distance في relative clarity وضوح + +325 +00:31:55,370 --> 00:32:02,290 +نسبي يعني ممكن يكون هو بيشوف ستة على تمانتاش او + +326 +00:32:02,290 --> 00:32:08,760 +ستة على اربع عشرينماشي يعني + +327 +00:32:08,760 --> 00:32:13,660 +في ناس كتير بتمنى يكون 6 ع 18 أنا مره عليا ناس مش + +328 +00:32:13,660 --> 00:32:19,060 +شوفوش 66 حتى بال correction فاللي من غير + +329 +00:32:19,060 --> 00:32:22,700 +correction مش شوف 6 ع 24 أو 6 ع 18 لهذا king يعني + +330 +00:32:22,700 --> 00:32:28,300 +بالنسبة للدرجات اللي شوفناها لكن عند القراءة بقرأ + +331 +00:32:28,300 --> 00:32:35,750 +جيدكونوا بقرأ جيد وبشوف البعيد ببعض الوضوح بقولوا + +332 +00:32:35,750 --> 00:32:42,070 +هذه advantage وإن كان طبعا مش advantage advantage + +333 +00:32:42,070 --> 00:32:48,750 +لكن يعني بقرأ أحسن من ال hyper metroid طيب الآن + +334 +00:32:48,750 --> 00:32:54,970 +العرد الرابع بيقول + +335 +00:32:54,970 --> 00:32:55,170 +لي + +336 +00:32:58,900 --> 00:33:04,840 +المريض يختار المهنة ذات العمل القريب يعني + +337 +00:33:04,840 --> 00:33:10,440 +لو انت الآن خري جامعي و ببحث عن عمل و ورد عليه + +338 +00:33:10,440 --> 00:33:18,220 +أعمال هل يكون سيكرتير؟ هل يكون مساح؟ او مراقب + +339 +00:33:18,220 --> 00:33:26,800 +مباني؟ او مراقب شواطئ؟ هيختار ايش؟ سيكرتير، ليش؟ + +340 +00:33:26,800 --> 00:33:31,270 +عشان تنبيهلأنه هذا توافق مع إمكانياته في الـ + +341 +00:33:31,270 --> 00:33:35,150 +defective vision تلقائيًا + +342 +00:33:35,150 --> 00:33:43,010 +و لو بدنا نوزّي حتى الطلاب إجرابات يعني الـ group + +343 +00:33:43,010 --> 00:33:46,590 +هذا مثلا في عمل قريب أو بعيد تلقائيًا هو بنساب + +344 +00:33:46,590 --> 00:33:55,650 +للناس بتاعين عمل قريب بيحبش يكون يعني يجمع ورقفي + +345 +00:33:55,650 --> 00:33:59,230 +.. في المدرسة أو بيحبش مثلا يطلع إلى أدوار عليا + +346 +00:33:59,230 --> 00:34:04,830 +لأنه بيعاني بيحب يكون العمل قريب و في يعني في + +347 +00:34:04,830 --> 00:34:09,990 +corner بس محدد يبقى he begins to look upon the + +348 +00:34:09,990 --> 00:34:13,430 +world the myopic frequently fails to recognize his + +349 +00:34:13,430 --> 00:34:16,800 +surroundings especiallywhen his close work + +350 +00:34:16,800 --> 00:34:20,480 +attention is required largely for near work as so + +351 +00:34:20,480 --> 00:34:23,580 +often happens in the conditions of civilized life + +352 +00:34:23,580 --> 00:34:28,560 +he accepts as normal and neglects the blurring of + +353 +00:34:28,560 --> 00:34:36,400 +distant objects تبحث عنها من القريب العرض الخامس + +354 +00:34:36,400 --> 00:34:44,060 +هذه advantage كلنا الناس الامتروببعد الاربعين يعني + +355 +00:34:44,060 --> 00:34:49,940 +اربعين سنة وبعد بنبتدي لحاجة اسمها breast biopia + +356 +00:34:49,940 --> 00:34:59,280 +قص و النذر بعد الاربعين او acquired hypermetropia + +357 +00:34:59,280 --> 00:35:07,200 +طب الناس اللي عندهم myopia هيتأخر + +358 +00:35:07,200 --> 00:35:12,480 +ل breast biopiaلأن مثلا هو عنده minus five minus + +359 +00:35:12,480 --> 00:35:16,940 +five ديوبتر الآن + +360 +00:35:16,940 --> 00:35:23,840 +في الاربعين ماحسش حاجة في الخمسة واربعين يعني هذا + +361 +00:35:23,840 --> 00:35:31,980 +مثلا اجا ديوبتر في الخمسين كمان ديوبتر في الخمسة + +362 +00:35:31,980 --> 00:35:37,620 +وخمسين كمان ديوبتر في الستين يعني في النهاية انه + +363 +00:35:37,620 --> 00:35:42,460 +موصش الخمسةواصل تلاتة، طب التلاتة و هو عنده خمسة + +364 +00:35:42,460 --> 00:35:52,360 +لسه فيه اتنين بيفضل يقرأ بدون نضارة كل ما كانت ال + +365 +00:35:52,360 --> 00:35:56,640 +myopia أكتر كل ما اتأخرت ال resbiopia ولربما بعد + +366 +00:35:56,640 --> 00:36:04,060 +الخمسة انه لا تأتيه أبدًا will never suffer from + +367 +00:36:04,060 --> 00:36:09,250 +resbiopiaيبقى أقل من خمسة بتجي late بعد الخمسين أو + +368 +00:36:09,250 --> 00:36:14,250 +بعد الستين لكن أكتر من خمسة مش هيعاني أبدا من + +369 +00:36:14,250 --> 00:36:17,370 +breast biopia طب هذي advantage ولا disadvantage؟ + +370 +00:36:17,370 --> 00:36:23,850 +advantage احنا كتير بنقول مثل فلسطيني بيقول الله + +371 +00:36:23,850 --> 00:36:32,910 +عز وجل لما يبتلي بعيد أو بجبر فاشي مقابل اشي هاي + +372 +00:36:32,910 --> 00:36:37,670 +في الأول كان و هو ولد بجرةإيه كويس عن غيره؟ في هذا + +373 +00:36:37,670 --> 00:36:40,090 +الوقت حتى لما صار بعد الأربعين وبعد الخمسين + +374 +00:36:40,090 --> 00:36:47,110 +ماحتاجش نظارة لقراها طيب لسه مش .. في كمان حاجة في + +375 +00:36:47,110 --> 00:36:54,310 +advantage تالتة لما تشيل old age سبعين سنة مثلا في + +376 +00:36:54,310 --> 00:37:03,830 +حاجة اسمها sclerosis of sphincter pupil مثلااه ال + +377 +00:37:03,830 --> 00:37:08,110 +muscle نفسها بتاعت ال vector pupillary تسيبها شيء + +378 +00:37:08,110 --> 00:37:17,410 +من الشد فبتعمل pinholing، pinholing اش pinholing؟ + +379 +00:37:17,410 --> 00:37:23,340 +اش زغّر بابا طب انتوا عارفين ال pinhole؟إنه بيقطع + +380 +00:37:23,340 --> 00:37:26,540 +كل الـ peripheral و البرا الـ central race و + +381 +00:37:26,540 --> 00:37:31,360 +بيخلّي فقط الـ central race إذا تخش فبعطي best + +382 +00:37:31,360 --> 00:37:37,020 +vision يعني كنا احنا في الدكتوراه صحيح كنا في + +383 +00:37:37,020 --> 00:37:40,680 +الدكتوراه هنعد + +384 +00:37:40,680 --> 00:37:43,280 +حلوات احنا لغاية أول ما تيجي حلوات ال reflection + +385 +00:37:43,280 --> 00:37:48,300 +هالي يقعد نحطله pen hole هنا و pen hole هنا نشوف + +386 +00:37:48,960 --> 00:37:52,340 +والله اذا كان بالبين هول اتحسن مثلا هو جامل كان + +387 +00:37:52,340 --> 00:37:55,600 +ستة ع ستين صار ستة ع ستين ستة ع تسعة وهنا نفس + +388 +00:37:55,600 --> 00:37:59,020 +الاشي حالة refraction اذا كان بالبين هول فضل ازاي + +389 +00:37:59,020 --> 00:38:05,700 +ما هو اذا حالة medicine خلاص نشوف عنده cataract + +390 +00:38:05,700 --> 00:38:09,540 +نشوف عنده glaucoma عنده ضيقة ال creatinopathy كده + +391 +00:38:09,540 --> 00:38:12,920 +كده كده كده هذه حالة طبية بعدين بنوسعله و نشوفه + +392 +00:38:12,920 --> 00:38:16,880 +بعدين اما انبرر الحياة ال refraction بالبين هول + +393 +00:38:16,880 --> 00:38:23,830 +سهل ممتنعفهذا بسيلو pin hauling contracting the + +394 +00:38:23,830 --> 00:38:27,830 +pupil cuts down the diffusion circles كل ال rays + +395 +00:38:27,830 --> 00:38:33,670 +ال paracentral و ال peripheral and as the senile + +396 +00:38:33,670 --> 00:38:38,430 +changes in his lens bring on relative + +397 +00:38:38,430 --> 00:38:42,130 +hypermetropia يعني حاسير عنده shots sclerosis وين + +398 +00:38:43,710 --> 00:38:47,670 +he is in the happy position advantage يعني يصير + +399 +00:38:47,670 --> 00:38:51,010 +فرحان of finding his vision gradually improving + +400 +00:38:51,010 --> 00:38:57,150 +يبدأ يتحسن يقرأ من غير نضارة، يشوف من غير نضارة + +401 +00:38:57,150 --> 00:39:01,750 +and so it happens that at eighty لو عشت ال 80 سنة + +402 +00:39:01,750 --> 00:39:05,830 +he is the envy of his hypermetropic quantum + +403 +00:39:05,830 --> 00:39:09,010 +pirates quantum pirates اللي أصحابه اللي جدوا في + +404 +00:39:09,010 --> 00:39:14,280 +السن أصحابه اللي زينا امترابيعني بدهم نضارة قريبة + +405 +00:39:14,280 --> 00:39:16,800 +و نضارة بعيدة و بدهم progressive و بدهم .. و هذا + +406 +00:39:16,800 --> 00:39:21,680 +لأ مكيف .. هذا الميوب صار بقرأ من غير نضارة و بشوف + +407 +00:39:21,680 --> 00:39:25,200 +بعيد نسبيا .. نسبيا من غير نضارة فهذه advantage + +408 +00:39:25,200 --> 00:39:32,220 +كمان يعني هو أول عمره عانى في أخر عمره الأمور + +409 +00:39:32,220 --> 00:39:41,600 +بتلخى شوية بصيره advantage طيب ..في العرض السابع + +410 +00:39:41,600 --> 00:39:48,020 +لو فيه low او small myopia low degree of myopia + +411 +00:39:48,020 --> 00:39:54,780 +symptoms of eye strain are evident يعني لو واحد + +412 +00:39:54,780 --> 00:40:01,000 +عنده two three four degrees of myopia uncorrected + +413 +00:40:01,000 --> 00:40:06,500 +وطلب منه يقرأ الامتحان سبعين امتحان هل بصيبوا eye + +414 +00:40:06,500 --> 00:40:06,800 +strain + +415 +00:40:10,500 --> 00:40:15,240 +هو في الظاهر انه بيقول لأ لكن في الواقع انه مصيبه + +416 +00:40:15,240 --> 00:40:21,880 +ice cream طب السبب السبب عدة أسباب منها انه قريب + +417 +00:40:21,880 --> 00:40:25,920 +عن your point هذا مقرا هيك مقرايش زي التلاتين + +418 +00:40:25,920 --> 00:40:31,160 +اربعين الاربعين سنتين ايوة اللي هو ال ال normal + +419 +00:40:31,160 --> 00:40:35,520 +reading distance thirty to forty centimeters + +420 +00:40:38,060 --> 00:40:41,200 +لأ هذا بيقرأ قريب من ال near point يعني مثلا انا + +421 +00:40:41,200 --> 00:40:45,880 +من خمستاشر او من عشرين من عشرين centimeter فهذا + +422 +00:40:45,880 --> 00:40:50,640 +بيعمل إجهاد عليه هذه واحدة الحاجة التانية اللي + +423 +00:40:50,640 --> 00:40:55,220 +هنقولها بعد شوية ان ال convergence بتعب لأن مافيش + +424 +00:40:55,220 --> 00:40:59,740 +شيء مساعدة له من accommodation الcellular muscle + +425 +00:40:59,740 --> 00:41:05,700 +في ال myopsy غالبا at rest حتى في ال high myopia + +426 +00:41:05,700 --> 00:41:06,920 +ممكن تكون atrophied + +427 +00:41:10,160 --> 00:41:18,680 +فبقول انه صح انه هو my mom لكن لو عنده يعني study + +428 +00:41:18,680 --> 00:41:26,140 +for long periods أو time ممكن يصيبه I strain وإن + +429 +00:41:26,140 --> 00:41:30,400 +كان less than hypermetropes less than + +430 +00:41:30,400 --> 00:41:36,560 +hypermetropes طيب eight وهذا اللي بدنا نفهمه كويس + +431 +00:41:38,970 --> 00:41:44,830 +في excess convergence for close work this + +432 +00:41:44,830 --> 00:41:52,130 +orientates the accommodation بدنا نفهم هذا احنا في + +433 +00:41:52,130 --> 00:41:56,110 +reflection one اتكلمنا ان الناس اللي هيبقى المترو + +434 +00:41:56,110 --> 00:42:01,490 +apps uses accommodation in excess of convergence + +435 +00:42:01,490 --> 00:42:07,730 +اكتر من convergence while my apps use + +436 +00:42:08,870 --> 00:42:16,250 +convergence in excess of accommodation in parallel + +437 +00:42:16,250 --> 00:42:20,530 +in parallel using accommodation and convergence in + +438 +00:42:20,530 --> 00:42:23,630 +parallel equal يعني كل واحد meter angle + +439 +00:42:23,630 --> 00:42:27,330 +convergence مع one diameter ايش اللي هو + +440 +00:42:27,330 --> 00:42:36,280 +accommodationالان في حالة الميوب و عنده يعني good + +441 +00:42:36,280 --> 00:42:40,860 +effort في ال reading studying for examination مثلا + +442 +00:42:40,860 --> 00:42:48,920 +عنده ال convergence شغال ال convergence شغال و ال + +443 +00:42:48,920 --> 00:42:54,020 +accommodation at rest طيب، يبقى صار منهم فكرتبط + +444 +00:42:54,020 --> 00:42:59,260 +disorientation فكرتبطأحنا كنا في المترو بمشيين + +445 +00:42:59,260 --> 00:43:04,240 +براليل مع بعض طب إيش معنى الآن في الميوب ال + +446 +00:43:04,240 --> 00:43:08,920 +convergence شغال على الأخر عشان يقرأ بينما ال + +447 +00:43:08,920 --> 00:43:12,020 +accommodation at rest يبقى مش مشيين مع بعض صار + +448 +00:43:12,020 --> 00:43:19,020 +disorientation أو dissociation طيب الآن في + +449 +00:43:19,020 --> 00:43:22,040 +physiological impulse for the two related + +450 +00:43:22,040 --> 00:43:24,280 +functions ال convergence و ال accommodation to + +451 +00:43:24,280 --> 00:43:27,850 +work together may have one of two oppositeيبقى + +452 +00:43:27,850 --> 00:43:32,290 +الآن إيش النتيجة هذه إن واحد صاحي عن آخر و واحد + +453 +00:43:32,290 --> 00:43:39,790 +نايم بيطلع نتيجة من نتيجتها النتيجة الأولى أنه + +454 +00:43:39,790 --> 00:43:44,450 +ربما ان الcellar muscle تتأثر ب convergence وتشعر + +455 +00:43:44,450 --> 00:43:51,610 +بهي زي استغاثة لأن في حلف فإذا استغاثت بيها و قامت + +456 +00:43:51,610 --> 00:43:57,010 +تساعد بcellar spasmcelery spasm and artificial + +457 +00:43:57,010 --> 00:44:03,530 +myopia زيادة كمان لكن هذا بقول أنا قليلا ما يحدث + +458 +00:44:03,530 --> 00:44:10,090 +في قصار نظر لأن السليمات الخاصة في الهاي ميوبيا + +459 +00:44:10,090 --> 00:44:16,610 +نامت دهرا فلما نيجي نصحيها مش سهل تصحي تخلي ال + +460 +00:44:16,610 --> 00:44:21,350 +convergence لحاله في الميدان يقرأ ال convergence + +461 +00:44:21,350 --> 00:44:26,980 +عمل العين واحدة ولا عينتين both eyesboth eyes طيب + +462 +00:44:26,980 --> 00:44:35,720 +الأكثر حدوثان most frequent event اش هو ان ال + +463 +00:44:35,720 --> 00:44:41,440 +convergence يتعمق ال convergence ساعة ساعتين تلاتة + +464 +00:44:41,440 --> 00:44:46,100 +اربعة وفيش له تأييد من accommodation ال + +465 +00:44:46,100 --> 00:44:51,680 +convergence يصير tired طيب ايش في الحالة هذه هيصير + +466 +00:44:53,570 --> 00:45:01,410 +فكرت بقى بين ال both eyes فكرت بقى يعني هذه عين + +467 +00:45:01,410 --> 00:45:09,830 +وهذه عين وهذه البق أو ال object طبعا هذه بتعمل كده + +468 +00:45:09,830 --> 00:45:17,830 +وهذه بتعمل كده وهذه اللي هو البق يعني + +469 +00:45:17,830 --> 00:45:20,890 +معنى آخر أن هذه بتعمل adoption وهذه بتعمل adoption + +470 +00:45:22,190 --> 00:45:28,830 +عشان يقرأوا مع بعض طيب ال unconvergence لأنه وحيد + +471 +00:45:28,830 --> 00:45:34,470 +تعب ايش هيسوي؟ فعالفكرة بقى فهيصير المريض يقرأ + +472 +00:45:34,470 --> 00:45:40,430 +بعين واحدة والعين التانية يصيرها divergence في + +473 +00:45:40,430 --> 00:45:45,530 +الطفل يقرأ بعين العين الأحسن ال more immature + +474 +00:45:45,530 --> 00:45:51,840 +هيقرأ فيها والتانية هصير unbiliableهيصير + +475 +00:45:51,840 --> 00:45:57,960 +divergence تطلع طب انا انا ده اسأل الان لما العين + +476 +00:45:57,960 --> 00:46:02,180 +هذه يقرب فيها و الان هذه divergent ايش اللي هيصير + +477 +00:46:02,180 --> 00:46:08,040 +يعني انا بدأ اغطي هذه و بدأ اقرب عين هذا + +478 +00:46:08,040 --> 00:46:15,620 +convergence هذا convergence طب ممكن تقرأ هيك و حتى + +479 +00:46:15,620 --> 00:46:20,900 +لو قرأت هيك اسمه adoption اسمه adoption ال one eye + +480 +00:46:22,300 --> 00:46:28,180 +inward movement هي abduction والـ outward اسمها + +481 +00:46:28,180 --> 00:46:31,640 +abduction يبقى ال convergence يجب أن يكون في both + +482 +00:46:31,640 --> 00:46:37,400 +eyes فإذا كان ال both eyes سواء لهم separation أو + +483 +00:46:37,400 --> 00:46:43,720 +function أو dissociation أو disorientationof + +484 +00:46:43,720 --> 00:46:48,840 +convergence كمان هتصير العين الدراسة بعين واحدة + +485 +00:46:48,840 --> 00:46:56,620 +والتانية at rest وهذا في الأطفال شيء صعب تلاقي ان + +486 +00:46:56,620 --> 00:47:01,420 +ال binocular single vision is + +487 +00:47:01,420 --> 00:47:09,330 +abandoned ألغيت خلاص استغنى عنهاأه one eye alone + +488 +00:47:09,330 --> 00:47:14,030 +is relied upon يعتمد على عين واحدة بس and the + +489 +00:47:14,030 --> 00:47:20,190 +other deviates outwards leading to amblyopia + +490 +00:47:20,190 --> 00:47:25,330 +والother eye اللي هي ال amblyopic eye true + +491 +00:47:25,330 --> 00:47:30,830 +diversifies true مش apparent true لكن amblyopia + +492 +00:47:33,900 --> 00:47:37,520 +ليش احنا أكدنا عن النقطة هذه؟ لأن بعض الناس بيقولك + +493 +00:47:37,520 --> 00:47:44,900 +الميوب بيقرأ لحاله، سيبك منه، وهذا خطأ، هذا .. هذا + +494 +00:47:44,900 --> 00:47:55,040 +خطأ، لازم احنا نفهم أنه الميوب حالة مرضية خاصة كل + +495 +00:47:55,040 --> 00:48:00,420 +ما زادت القيمة أو القوةوبالتالي ان احنا ما صلحناها + +496 +00:48:00,420 --> 00:48:05,380 +مبكرا ومكننا الطفل يقرأ في ال normal distance + +497 +00:48:05,380 --> 00:48:09,880 +تلاتين او اربعين سانتي ومكننا ال accommodation + +498 +00:48:09,880 --> 00:48:14,060 +يشتغل تعرفين + +499 +00:48:14,060 --> 00:48:16,900 +ال minus lenses اللي محطها تعمل ايش لل + +500 +00:48:16,900 --> 00:48:22,540 +accommodation stimulation حركنا احنا ال + +501 +00:48:22,540 --> 00:48:26,820 +accommodation بال lenses خلاناه يشتغلما خناش ال + +502 +00:48:26,820 --> 00:48:32,960 +celery muscle غايبة و at rest لأ حركناها شغلناها + +503 +00:48:32,960 --> 00:48:38,420 +دفعناها للعمل فصار balance بين ال accommodation و + +504 +00:48:38,420 --> 00:48:45,900 +ال convergence ما خناش الطفل المسكين يعني يعاني و + +505 +00:48:45,900 --> 00:48:53,940 +ممكن انه مستقبل يكون مستقبل صعب دراسيا و بصرياو + +506 +00:48:53,940 --> 00:49:00,220 +اقتصاديا لو احنا اهملناه اصلا في بعض المجتمعات + +507 +00:49:00,220 --> 00:49:08,580 +الفقيرة كثيرة العيال بيصيرش في طاقتها صحية .. صحية + +508 +00:49:08,580 --> 00:49:16,340 +و باعتمدوا على يعني المؤسسات و على الوكالات و + +509 +00:49:16,340 --> 00:49:19,460 +انتوا عارفين الغني ماذا يعطي الفقير ايش بيعطي + +510 +00:49:19,460 --> 00:49:21,340 +الفتاة + +511 +00:49:23,540 --> 00:49:28,400 +الغني بيعطي الفقير الفتاة فاحنا + +512 +00:49:28,400 --> 00:49:34,400 +بنشر الواعي نشر الواعي في هذا المجتمع الطيب في هذا + +513 +00:49:34,400 --> 00:49:41,080 +المجتمع المسلم في هذا المجتمع يعني الفقير بنشر + +514 +00:49:41,080 --> 00:49:45,560 +الواعي وبعدين نيسر الخدمة بقدر ما نستطيع حتى + +515 +00:49:45,560 --> 00:49:48,860 +الخدمات ممكن نيسرها أو نساعد عليها تيسيرها + +516 +00:49:51,380 --> 00:49:59,440 +طيب complications of myopia ما هي مضاعفات قصر + +517 +00:49:59,440 --> 00:50:05,400 +النظر طب انا بتكلم في حالة ال uncorrection + +518 +00:50:05,400 --> 00:50:12,880 +uncorrection لو سبنا الطفل هذا ينمو من ال + +519 +00:50:12,880 --> 00:50:16,060 +correction و أصبح بلغ و كبير + +520 +00:50:20,170 --> 00:50:25,970 +أول شي في حاجة اسمها scotoma انا بقول scotoma بقعة + +521 +00:50:25,970 --> 00:50:38,890 +عمياء بقعة عمياء ماذا يعني بقعة عمياء الان + +522 +00:50:38,890 --> 00:50:46,070 +الماكلة الماكلة اللي هي مركز الشبكية اكتر + +523 +00:50:46,070 --> 00:50:47,490 +شي فيها ال cones + +524 +00:50:50,210 --> 00:50:56,630 +وال cones هذا نيرون الأول لكن في نيرون تاني + +525 +00:50:56,630 --> 00:51:04,830 +bipolar في نيرون تالت ganglion sense في ال high + +526 +00:51:04,830 --> 00:51:08,270 +myopia زي ما شوفت الصورة انه بيصير atrophy ايش + +527 +00:51:08,270 --> 00:51:14,250 +atrophy دمور دمور معناه death يعني دمور death يعني + +528 +00:51:14,250 --> 00:51:22,340 +في الجهاز العصبيالضمور معنى الموت عكس العضلة + +529 +00:51:22,340 --> 00:51:28,180 +العضلة مش عصبي نتيجي عضلي يعني لو ضمرت العضلة + +530 +00:51:28,180 --> 00:51:32,260 +نتيجي عدم استعمال ومرنت تاني وغزيتها تاني بتنمو + +531 +00:51:32,260 --> 00:51:38,180 +تاني لكن في الجهاز العصبي لأ الضمور معنى الموت انا + +532 +00:51:38,180 --> 00:51:41,320 +optic atrophy يعني رأس العصب البصري ضمر يعني ميت + +533 +00:51:41,320 --> 00:51:46,180 +يعني و هذا بيصير في الجلوكومة و بعض الأمراضطيب + +534 +00:51:46,180 --> 00:51:50,640 +الآن الـ high myopia كل ما كبر الإنسان كل ما ال + +535 +00:51:50,640 --> 00:51:54,200 +cones و ال rods ال cones و ال bipolar و ال + +536 +00:51:54,200 --> 00:52:00,700 +ganglion يصيرها atrophy death يعني فنفترض + +537 +00:52:00,700 --> 00:52:09,460 +مثلا أنه في 50% من هذه الخلايا صاروا death هذا + +538 +00:52:09,460 --> 00:52:14,880 +هيتبعه أنه في ال visual axis في بقعة سودة ثابتة + +539 +00:52:17,500 --> 00:52:21,740 +هو شايف قدامه القصر ده، حواليها، يمين و شمال و فوق + +540 +00:52:21,740 --> 00:52:28,120 +و تحت، شايف لكن إذا كان إجا إشي وراها، بالظبط + +541 +00:52:28,120 --> 00:52:36,320 +مابشوفوش scotoma، scotoma one، scotometa multiple، + +542 +00:52:36,320 --> 00:52:42,160 +ممكن تنتين أو تلاتة أو أكتر وكل ما اتقدم السن في + +543 +00:52:42,160 --> 00:52:45,800 +ال high myopes كل ما scotometa زادت + +544 +00:52:48,550 --> 00:52:52,470 +A complication which is seen in its more + +545 +00:52:52,470 --> 00:52:56,630 +incapacitating form when the macular region is + +546 +00:52:56,630 --> 00:53:00,230 +affected and central vision is lost كل ما تقدم + +547 +00:53:00,230 --> 00:53:05,130 +السن و الماكولا اتأثرت كل ما ال visual axis صار + +548 +00:53:05,130 --> 00:53:15,080 +عنده بقى عميا طبعا هذا خطير ولاخطير لما الواحد + +549 +00:53:15,080 --> 00:53:21,240 +يشوف اشي أسود قدامه وهذا ممحاش يعني ثابت عكس + +550 +00:53:21,240 --> 00:53:25,980 +الاتنين الماسكابوليتانس لأ الماسكابوليتانس و + +551 +00:53:25,980 --> 00:53:31,060 +floating opacities هدف البترياس يعني انا خليني + +552 +00:53:31,060 --> 00:53:37,800 +اقولكوا انا حاجة علمية المرض بتاع ال high myopia + +553 +00:53:37,800 --> 00:53:39,040 +ببدأ من ورقة + +554 +00:53:41,930 --> 00:53:47,370 +ببدأ من عند ال pool اللي ورا و بمشي لقدام، يعني + +555 +00:53:47,370 --> 00:53:56,150 +مثلا optic disc، macula، بصيستافيلوما و atrophy، + +556 +00:53:56,150 --> 00:54:01,330 +بعدين ال anterior retina، ال periphery عند ال + +557 +00:54:01,330 --> 00:54:05,690 +orisserata، جنها بيسيبها تغيرات مرضية، بعدين لما + +558 +00:54:05,690 --> 00:54:09,910 +retina اتتم، بيخش على ال vitreousبصير liquid و في + +559 +00:54:09,910 --> 00:54:15,330 +floaters و deposits لما + +560 +00:54:15,330 --> 00:54:20,210 +يتم مرض ال vitreous بيجي عليها قدام بيصل ال lens + +561 +00:54:20,210 --> 00:54:23,370 +ال lens بيبدأ فيها opacities اللي هي ال cataract + +562 +00:54:23,370 --> 00:54:32,570 +خلصت اللي هي ال lens بدأنا في ال angle OAC + +563 +00:54:32,570 --> 00:54:39,420 +ترابيكرا مشوارك عرفين ترابيكرا مشوارك؟بصيبها نوع + +564 +00:54:39,420 --> 00:54:47,960 +من ال disease بصير فيها نوع من ال hypertrophy تضخم + +565 +00:54:47,960 --> 00:54:54,560 +وال pores ثقوب صغيرة اللي بتصفي ال aqueous humor و + +566 +00:54:54,560 --> 00:54:59,640 +هو طالع سكر بصير + +567 +00:54:59,640 --> 00:55:02,540 +في ocular hypertension أي اللي بيقولوا عن ال + +568 +00:55:02,540 --> 00:55:07,690 +glucoma ocular hypertensionملاحظين يعني المرض من + +569 +00:55:07,690 --> 00:55:13,930 +ورا ماشي لك قدام مع السن عشان هيك احنا قولنا يعني + +570 +00:55:13,930 --> 00:55:20,690 +ال high myopia مستقبله مضلم هتشوفوا بعد شوية بقولك + +571 +00:55:20,690 --> 00:55:28,910 +يعني انه في العلم يعني المفروض ان واحد high myopia + +572 +00:55:28,910 --> 00:55:36,380 +مايتزوج واحدة high myopiaواذ كان قدر الله ويزوّلوا + +573 +00:55:36,380 --> 00:55:41,560 +ما يخلفوش لأن كل ولادهم و بناتهم هيكونوا مصابين + +574 +00:55:41,560 --> 00:55:47,000 +متأثر في الوراثة يبقى + +575 +00:55:47,000 --> 00:55:51,340 +الآن جان مصكفوليتنز في ال complications المضاعفات + +576 +00:55:51,340 --> 00:55:59,680 +المضاعفات لل high myopia مضاعفات مصكفوليتنز أدواب + +577 +00:55:59,680 --> 00:56:06,260 +الطائرة نتيجة لإن في floaters هيهافي الفيترياس هو + +578 +00:56:06,260 --> 00:56:11,060 +يرى أشياء عائمة هيك بيقول عنه جناح دبابة كجناح + +579 +00:56:11,060 --> 00:56:17,420 +دبابة حتى ان بعضهم بيقول ايوه ايوه ماشي لأ نزل + +580 +00:56:17,420 --> 00:56:23,480 +حساب اتكلم نفسه يعني هو حقيقة فعلا شايف يعني Musk + +581 +00:56:23,480 --> 00:56:29,020 +and volatance و floating opacity يعني فيه بيقول + +582 +00:56:29,020 --> 00:56:34,380 +عنه السوابح أو العواماتالأجسام اللي بتسبح ليش؟ لأن + +583 +00:56:34,380 --> 00:56:39,420 +ال vitreous هلامي بتحرك لما .. بعضها يتيجي في ال + +584 +00:56:39,420 --> 00:56:43,360 +video axis بيشوفها لما تروح ال video axis بتروح مش + +585 +00:56:43,360 --> 00:56:48,260 +زي اللي جابلها scotoma لأ scotoma ثابتة المسكة .. + +586 +00:56:48,260 --> 00:56:54,820 +مسكة عن دبابة بالإنجليزي الطائرة لأ المسكة متحركة + +587 +00:56:54,820 --> 00:56:59,520 +لأنها vitreous هناك لأ macula لإنها macula ثابتة + +588 +00:56:59,520 --> 00:57:01,040 +هنا ال vitreous بتحرك + +589 +00:57:03,860 --> 00:57:08,020 +بقول and this throwing abnormally large images + +590 +00:57:08,020 --> 00:57:10,820 +upon the retina although their significance + +591 +00:57:10,820 --> 00:57:14,180 +الدلالة بتاعتها is small cause a great deal of + +592 +00:57:14,180 --> 00:57:19,820 +annoyance and anxiety annoyance ال إزعاج وال + +593 +00:57:19,820 --> 00:57:24,220 +anxiety القلق أنا يعني بيجيوني ناس و ال دكتور أنا + +594 +00:57:24,220 --> 00:57:29,060 +بدعمه فيه إشي قدامي مش عارف أمسكه يعني أنا خايف + +595 +00:57:29,060 --> 00:57:34,010 +أنه يصير معايا انفصال شبكي وكلام زي هذاطبعا بنشوف + +596 +00:57:34,010 --> 00:57:38,830 +من طمنه يعني أحيانا بيكون فعلا في high myopia و + +597 +00:57:38,830 --> 00:57:45,210 +أحيانا بيكون السن عامل السن مش high myopia طيب + +598 +00:57:45,210 --> 00:57:53,050 +المضاعفة اللي بعدها أن الأمور تتقدم باستمرار ال + +599 +00:57:53,050 --> 00:57:59,910 +progress تتقدم slowly و relentlessly بدون توقف + +600 +00:58:02,590 --> 00:58:05,030 +يعني مقدرش نقول عند خمسة و عشرين عند تلاتين عند + +601 +00:58:05,030 --> 00:58:12,030 +اربعين هيجف لأ لهاي ميوب عمل المرض ماشي اه قوله + +602 +00:58:12,030 --> 00:58:14,250 +why never using the eyes with comfort until + +603 +00:58:14,250 --> 00:58:17,850 +finally no useful vision may remain طب لو انا بقول + +604 +00:58:17,850 --> 00:58:23,830 +no useful vision يعني الإصابة وين؟ في الماكولا ال + +605 +00:58:23,830 --> 00:58:28,290 +useful vision في الماكولا طيب لما الماكولا تروح + +606 +00:58:28,290 --> 00:58:35,050 +ويفضل ال peripheryof retina البرفري عند الماكولا + +607 +00:58:35,050 --> 00:58:42,970 +سرّاته ورا شوية هذا كله روز و هال حتى البرفري و + +608 +00:58:42,970 --> 00:58:48,650 +الرتنا بيسلم برضه بتولد لكن بيصير بيشوف الضوء على + +609 +00:58:48,650 --> 00:58:52,730 +الأقل بيقول لك أنا شاف الضوء شاف الخيال هذا مش + +610 +00:58:52,730 --> 00:58:55,630 +useful vision ال useful vision هو ال clear vision + +611 +00:58:55,630 --> 00:58:59,330 +اللي هو جاي من وين من الماكولا + +612 +00:59:02,060 --> 00:59:06,920 +يا ريت الوضع بيجي فضل ع هيك بيمشي الـ gross + +613 +00:59:06,920 --> 00:59:13,000 +macular lesion وحتى retinal detachment ممكن ننتهي + +614 +00:59:13,000 --> 00:59:16,620 +من فصال شبكي about a more dramatic crisis crisis + +615 +00:59:16,620 --> 00:59:22,920 +يعني اللي هي المصيبة الأكبر لنصيبه انفصال شبكي قبل + +616 +00:59:22,920 --> 00:59:30,240 +حوالى شهر زارتني حالة طفلة 14 سنة مايوم بيها 6-7 + +617 +00:59:30,240 --> 00:59:37,270 +ديوبترزone eye فيه marked loss of vision sudden + +618 +00:59:37,270 --> 00:59:40,870 +انا + +619 +00:59:40,870 --> 00:59:48,990 +كنت اظن انها تشوف يعني 360 260 160 ماشيفتش طيب + +620 +00:59:48,990 --> 00:59:53,150 +counting fingers ماشيفتش طب hand movement ماشيفتش + +621 +00:59:53,150 --> 00:59:57,370 +بين الشمال قلت خلاص يا عزيزي الحالة الا تكون + +622 +00:59:57,370 --> 01:00:04,810 +written attachment طيب light perception شافتعملت + +623 +01:00:04,810 --> 01:00:09,250 +dilatation للبيوت توسيع والفترة المسكوبة على طول + +624 +01:00:09,250 --> 01:00:12,270 +شفناه massive retinal detachment يعني ال retinal + +625 +01:00:12,270 --> 01:00:19,210 +detachment أجال ال ICU قله أسبوع و أهل ال ICU + +626 +01:00:19,210 --> 01:00:24,150 +careless مش مخنن بقى بعد تلت أيام كانت في القدس + +627 +01:00:24,150 --> 01:00:27,070 +اتصل فيها من القدس جاله عمال بتعمل عملية + +628 +01:00:30,400 --> 01:00:34,940 +طبعا هذه اكيد عندها اي trauma وولو مش مقصودة ضربة + +629 +01:00:34,940 --> 01:00:39,460 +يعني او حاجة او واجعة او اشي لانه ال retina في حد + +630 +01:00:39,460 --> 01:00:42,960 +stretch كل ما تكبر ال retina ت stretch و بيصير + +631 +01:00:42,960 --> 01:00:45,900 +more thin .. more thin .. more thin اجل ال trauma + +632 +01:00:45,900 --> 01:00:53,400 +تخليها .. تصير فيها detachment طيب في كمان مضاعفة + +633 +01:00:53,400 --> 01:00:54,900 +رابعة اللي هو ال cataract + +634 +01:00:58,630 --> 01:01:02,070 +بيسألوني يعني طب ليش الكاتركت؟ بقولوا هي الـI كلها + +635 +01:01:02,070 --> 01:01:08,150 +disease الـI كلها، بس بدأت ورا، و هو صغير و كل ما + +636 +01:01:08,150 --> 01:01:11,130 +اتبر في السن تمشي خطوة، خطوة، خطوة، خطوة وصلنا + +637 +01:01:11,130 --> 01:01:17,350 +الآن الدور على العدسة فال disease بتاع العدسة هو + +638 +01:01:17,350 --> 01:01:23,290 +الكاتركت، ملاقش disease تانية ملاقش disease تانية، + +639 +01:01:23,290 --> 01:01:27,510 +ال disease هو الكاتركتوالكاتركت تابع طبعا مش من + +640 +01:01:27,510 --> 01:01:30,270 +أوله أول شيء بيكون early cataract progressive + +641 +01:01:30,270 --> 01:01:35,730 +cataract اه بعدين بيصير mature cataract مابين + +642 +01:01:35,730 --> 01:01:40,830 +بداية الكاتركت ونهايته ممكن تاخد أربع خمسة ستة + +643 +01:01:40,830 --> 01:01:48,430 +سنوات مش على طول يعني بيصير أعمى لأ يعني بالتدريج + +644 +01:01:48,430 --> 01:01:50,770 +الكاتركت بياخد another بالتدريج + +645 +01:01:54,590 --> 01:02:00,290 +طبعا بعد هيك في غلوكومة غلوكومة هي تقولنا أحلى + +646 +01:02:00,290 --> 01:02:04,370 +جاية من إيش ترابيكولامش وارك اللي أخدناها في ال + +647 +01:02:04,370 --> 01:02:10,490 +angle of AC وصيرها hypertrophy تتضخم على محيط 360 + +648 +01:02:10,490 --> 01:02:17,410 +درجة و بتسكر ال pores ال pores بتاعة اللي هو + +649 +01:02:17,410 --> 01:02:26,370 +ترابيكولامش وارك بتسكرها وبالتاليالـ Out of law of + +650 +01:02:26,370 --> 01:02:32,450 +aqueous humor بيقل بشكل و بتدريج و بيصير + +651 +01:02:32,450 --> 01:02:37,270 +oculohypertension بيصير chronic simple glaucoma ما + +652 +01:02:37,270 --> 01:02:40,150 +بيسكر مرة واحدة يعني بالتدريج chronic simple + +653 +01:02:40,150 --> 01:02:44,390 +glaucoma طبعا هذه disaster لأن هذه هتنعكس على ال + +654 +01:02:44,390 --> 01:02:50,670 +optic nerve بتعمل optic atrophy بتعمل loss of + +655 +01:02:50,670 --> 01:02:56,820 +visionيعني صح إنه هي ال .. ال .. المرض الآن انتقل + +656 +01:02:56,820 --> 01:03:01,440 +إلى ترابيكرو مش وارك، لكن ال .. ال .. الـ ocular + +657 +01:03:01,440 --> 01:03:06,300 +hypertension reflected backward على العصب البصري + +658 +01:03:06,300 --> 01:03:10,420 +Sir Macielnau العصب البصري + +659 +01:03:13,900 --> 01:03:17,560 +بقول cataract and glaucoma are well-known + +660 +01:03:17,560 --> 01:03:23,980 +complications of high myopia هاي ال cataract واضحة + +661 +01:03:23,980 --> 01:03:28,260 +يعني هذولها اشي معروفات في ال high myopia انه + +662 +01:03:28,260 --> 01:03:34,460 +بيصير cataract بيصير glaucoma هذه فقط اللي هي ال + +663 +01:03:34,460 --> 01:03:37,700 +complications five complications thank you very + +664 +01:03:37,700 --> 01:03:39,260 +much والسلام عليكم + diff --git a/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/NPqxDEiPb4I_postprocess.srt b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/NPqxDEiPb4I_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..303d2cb62992216c8711ecfc629d382ba7730760 --- /dev/null +++ b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/NPqxDEiPb4I_postprocess.srt @@ -0,0 +1,2316 @@ +1 +00:00:20,240 --> 00:00:23,600 +أعوذ بالله من الشيطان الرجيم بسم الله الرحمن + +2 +00:00:23,600 --> 00:00:27,360 +الرحيم الحمد لله وكفا وأصلي وأسلم على النبي مصطفى + +3 +00:00:27,360 --> 00:00:31,480 +السلام عليكم ورحمة الله وبركاتهلأن احنا عندنا + +4 +00:00:31,480 --> 00:00:36,260 +موضوع هام و كثير ما هي تكرر الموضوع هذا اسمه the + +5 +00:00:36,260 --> 00:00:40,860 +return of the glasses return of the glasses يعني + +6 +00:00:40,860 --> 00:00:47,900 +ارجاع النضارة بعدها يوم او يومين او تلاتة بشكل + +7 +00:00:47,900 --> 00:00:52,600 +احتجاجي يعني + +8 +00:00:54,400 --> 00:00:57,880 +بقول despite the best efforts to prescribe the + +9 +00:00:57,880 --> 00:01:01,580 +ideal combination of lenses for a patient some + +10 +00:01:01,580 --> 00:01:05,100 +people will return to the office بيجيك على المكتب + +11 +00:01:05,100 --> 00:01:12,100 +with a frown on their face يعني واضح الغضب في وجهه + +12 +00:01:12,100 --> 00:01:19,220 +and the spectacles in his hand و النضارة في إيدي + +13 +00:01:19,220 --> 00:01:30,240 +موالبا عن غضبهان هو uncomfortable يعني مش مرتاح + +14 +00:01:30,240 --> 00:01:40,140 +طيب الان هنا الخصائي في البصريات يجب ان يتحمل + +15 +00:01:40,140 --> 00:01:45,340 +مسئولية يكون عمل prescription او examination then + +16 +00:01:45,340 --> 00:01:51,400 +prescription بده هو يوجد حل لراحت من المريض + +17 +00:01:53,450 --> 00:01:57,870 +كيف نريح المريض في مثل هذه الحالات اللي هو تعبان و + +18 +00:01:57,870 --> 00:02:04,370 +غضبان بعد الفحص و بعد ال prescription و بعد ال + +19 +00:02:04,370 --> 00:02:11,770 +money paying، دافع، كمان تعبان، بقول التالي أوش + +20 +00:02:11,770 --> 00:02:19,010 +تشخص الأسباب ما هي الأسباب التي أفضت إلى هذا بقول + +21 +00:02:19,010 --> 00:02:25,080 +لي الاحتمال أولإن الـ Optician لم ينفذ الـ + +22 +00:02:25,080 --> 00:02:33,180 +prescription وضع شيء آخر أو شيء تقريبي أقل في الـ + +23 +00:02:33,180 --> 00:02:36,460 +power أو أكتر في الـ power يبقى it could be that + +24 +00:02:36,460 --> 00:02:42,760 +the lenses were made incorrectly في حاجة غلط في + +25 +00:02:42,760 --> 00:02:46,740 +النزل أو + +26 +00:02:46,740 --> 00:02:54,880 +لو في سلندر في ال axis of سلندرفي shifting أو + +27 +00:02:54,880 --> 00:03:02,760 +تغيير مثلا بدل 90 يعمل 60 بعد 180 يعمل 150 + +28 +00:03:02,760 --> 00:03:06,280 +والحقيقة + +29 +00:03:06,280 --> 00:03:12,900 +أن موضوع axis of cylinder مهم جدا لأنه لايعرف قيمة + +30 +00:03:12,900 --> 00:03:19,120 +axis of cylinder إلا الأخ الصحيولمّا كانت المحلات + +31 +00:03:19,120 --> 00:03:23,140 +أو المراكز بتشغل ناس مش أخصائين ولا خبرة لهم + +32 +00:03:23,140 --> 00:03:29,220 +بموضوع الـ optometry بالمرة فإنه مش مهم عنده هو + +33 +00:03:29,220 --> 00:03:32,460 +يحط التسعين تمانين ولا يحط التمانين مية وستين مش + +34 +00:03:32,460 --> 00:03:39,660 +مهم عنده وبالتالي التغيير في ال axis of cylinder + +35 +00:03:39,660 --> 00:03:46,120 +ضار جدا لأنه بتعرفوا في ال axis ال power zero + +36 +00:03:46,120 --> 00:03:54,060 +وعمودي عليه fullفالـ change من الـ zero إلى ال + +37 +00:03:54,060 --> 00:03:58,660 +power أو من ال power إلى ال zero هذه مشكلة السبب + +38 +00:03:58,660 --> 00:04:05,420 +التالت different base curve ال base curve بتاع أي + +39 +00:04:05,420 --> 00:04:10,320 +lens بيأثر على اللي هو ال effectivity بتاعتها + +40 +00:04:10,320 --> 00:04:16,860 +بيأثر على ال power يعني of that lens في + +41 +00:04:16,860 --> 00:04:22,300 +changeفي ال base curve عن ال standard اللي هو + +42 +00:04:22,300 --> 00:04:27,900 +الموضوع الشيء الرابع significant change in lens + +43 +00:04:27,900 --> 00:04:35,140 +power يعني مثلا في حدود 0.25 + +44 +00:04:35,140 --> 00:04:45,240 +ديوبتر سفير او سيلندر يعني ممكن يكون فش فرق كبير + +45 +00:04:45,240 --> 00:04:47,480 +لكن + +46 +00:04:48,480 --> 00:04:53,520 +يكون فيه significant difference يعني بداية مثلا + +47 +00:04:53,520 --> 00:05:00,380 +for موضوع ال two or six هذا اسمه significant + +48 +00:05:00,380 --> 00:05:10,460 +difference يعني فرق كبير أو فرق ملحوظ هذا بيعمل + +49 +00:05:10,460 --> 00:05:16,900 +uncomfortable يبقى هذه الأسباب اللي عندنابدنا + +50 +00:05:16,900 --> 00:05:23,280 +نناقش لماذا يأتي المريض يحمل نضارة ويبدي أسفه وغضب + +51 +00:05:23,280 --> 00:05:27,660 +علينا وإحنا بنتحمل المسئولية في إيجاد الراحة + +52 +00:05:27,660 --> 00:05:35,120 +اللازمة لهذا المسكين طيب الشي الأول اللي هنعمله + +53 +00:05:35,120 --> 00:05:43,520 +أول شي ناخد spectacle lenses هذه النضارة ونروح ل + +54 +00:05:43,520 --> 00:05:49,690 +lensmeter نقيسهاالنزمتر ونقارن نعمل comparison + +55 +00:05:49,690 --> 00:05:56,550 +between the prescription and the nizmeter values + +56 +00:05:56,550 --> 00:05:59,950 +هل + +57 +00:05:59,950 --> 00:06:06,630 +ال prescription اللي أنا كتبته هو اللي موجود في ال + +58 +00:06:06,630 --> 00:06:12,350 +spectacle سهل ولا فيه change طبعا + +59 +00:06:12,350 --> 00:06:19,970 +ممكن أراجع ال change هو ال changequarter سير + +60 +00:06:19,970 --> 00:06:27,610 +او سلندر يعني مابيعملش متعب كتير لكن اكتر من هيك + +61 +00:06:27,610 --> 00:06:34,270 +بيعمل نصف من فوق بيعمل نهيك عن ال axis of cylinder + +62 +00:06:34,270 --> 00:06:43,150 +بيعمل اكتر بيعمل اكتر يبقى الآن انا بتعمل + +63 +00:06:43,150 --> 00:06:52,190 +comparisonمقارنة بين my prescription وبين اللي هو + +64 +00:06:52,190 --> 00:06:57,730 +ال lensmeter values لأنه ممكن اللي نفذ الوصفة مش + +65 +00:06:57,730 --> 00:07:03,950 +انا نفذها اي محل بصريا وممكن واحد ماشي specialist + +66 +00:07:03,950 --> 00:07:08,510 +بالمرة وممكن + +67 +00:07:08,510 --> 00:07:16,250 +يكون ال specialist يغلب عليهالشعور التجاري يعني + +68 +00:07:16,250 --> 00:07:21,990 +خسارة البيعة تروح من عندنا يعني وولّف حاجة بدل + +69 +00:07:21,990 --> 00:07:27,650 +حاجة يعني ممنوع أي بيعة تطلع من عندنا وهذا أنا + +70 +00:07:27,650 --> 00:07:33,670 +بشوفه كتير في موضوع ال Transposition أنا كاتب وصفة + +71 +00:07:33,670 --> 00:07:37,250 +بمعنى السيلندر لأن أنا بظن في العلم أن معنى + +72 +00:07:37,250 --> 00:07:41,540 +السيلندر بريح الهيان أكتر من plus cylinderبروح بتن + +73 +00:07:41,540 --> 00:07:45,260 +العنق و بيحولها to transposition و يريد حتى + +74 +00:07:45,260 --> 00:07:49,220 +transposition كامل لأ يعني بيعمل modification يعني + +75 +00:07:49,220 --> 00:07:55,480 +بالعربي بيغلغ الوصفة بتاعتي و بفت وصفة من هنا هذه + +76 +00:07:55,480 --> 00:07:59,140 +طبعا المشكلة المشكلة أولا في أن المريض تعبان + +77 +00:07:59,140 --> 00:08:06,020 +المشكلة التانية أنه بعرف تعبه مني أنا مش تعبه من + +78 +00:08:06,020 --> 00:08:11,840 +الليل اللي هو طلعله ال spectaclesفي مشكلة تالتة + +79 +00:08:11,840 --> 00:08:14,820 +المشكلة التالتة انا عندي lazy minotaur لما انا + +80 +00:08:14,820 --> 00:08:20,820 +بجيسه و بلاقي اختلاف مش قادر انا اعمل مشكلة بين + +81 +00:08:20,820 --> 00:08:26,220 +المريض و بين ال optician في المركز لأن معناه ان + +82 +00:08:26,220 --> 00:08:31,440 +اقوله ان ال glasses هذه غلط مش انا اللي عملتها و + +83 +00:08:31,440 --> 00:08:34,600 +هي الدليل اللي عملتها هي مامله في ال trial frame + +84 +00:08:34,600 --> 00:08:38,800 +بشوف فيها تمام بينما التاني مش شايفها كويس و تعبان + +85 +00:08:38,800 --> 00:08:42,270 +منهامعنى اني اقوله لأ مش هذي اللي انا عملتها معناه + +86 +00:08:42,270 --> 00:08:49,630 +انه انا عملت مشكلة بين مين ومين بين المريض وبين ال + +87 +00:08:49,630 --> 00:08:57,750 +مركز الoptician هي تلت مشاكل صارت والمريض مش مقتنع + +88 +00:08:57,750 --> 00:09:02,730 +الا بده يرتاح وكيف + +89 +00:09:02,730 --> 00:09:09,990 +نحل المشكلة نكتب رسالة مغلقة للأخ الكريمو نوريه + +90 +00:09:09,990 --> 00:09:13,990 +المقارنة و نرجوه فيها ان هو يريح العيان و نقوله + +91 +00:09:13,990 --> 00:09:16,890 +لعيان ان شاء الله هتلاقي راحة بس انت اسأله احنا + +92 +00:09:16,890 --> 00:09:19,890 +عملنا توصية معينة و مانقولوش غلط ولا صح ولا بصح + +93 +00:09:19,890 --> 00:09:25,710 +عشان نحافظ على شعور مين؟ الزملاء و الأصحاب و انا + +94 +00:09:25,710 --> 00:09:30,170 +مين معلموني بعد التخرج في الدكتوراه انه لا تظهر + +95 +00:09:30,170 --> 00:09:35,770 +عيبا لزميلك ابدا مش من أخلاقية المهنة مش من + +96 +00:09:35,770 --> 00:09:39,030 +أخلاقية المهنة ابدا ان انا اكشف عيب زميلي + +97 +00:09:41,720 --> 00:09:48,220 +لحاجتين وهذه من أخلاقية المهنة أول شيء أن زميلي + +98 +00:09:48,220 --> 00:09:54,800 +هضطر ينتقم في أقرب فرصة ويبحث على عيوب إلي لينشرها + +99 +00:09:54,800 --> 00:09:59,980 +في السوق الشيء التاني اللي أنا مقتنع فيها أنه تجعل + +100 +00:09:59,980 --> 00:10:06,900 +المريض يحزق مننا جميعا المريض يقول كلهم مش نافعين + +101 +00:10:06,900 --> 00:10:13,620 +كلهم بسوش كلهم مش كويسينفمن أخلاقها تلمنا أننا + +102 +00:10:13,620 --> 00:10:18,320 +نحترم الزمالة و حق الزمالة حتى لو كان في أخطأ و من + +103 +00:10:18,320 --> 00:10:28,360 +منا لا يخطئ صحيك؟ طيب الآن في قصة صغيرة حصلت معنا + +104 +00:10:28,360 --> 00:10:36,120 +وسألونا فيها أن طبيب مشهور في علم القلب و الأوراق + +105 +00:10:36,120 --> 00:10:43,450 +الدموية عنده ممرضة حادقةقاس الضغط .. قاس الضغط + +106 +00:10:43,450 --> 00:10:52,410 +للناس اللي عنده فجأة أخبرته أنه هذا المسن ضغطه + +107 +00:10:52,410 --> 00:10:59,030 +مثلا 200 على 140 عالي ولا واطي؟ عالي عالي إيش + +108 +00:10:59,030 --> 00:11:06,690 +الطبيب بده يتصرف؟ بده يتصرف مع هذا المسن وضغطه 200 + +109 +00:11:06,690 --> 00:11:07,270 +على 140 + +110 +00:11:11,990 --> 00:11:20,630 +لازم يتحرك عن مكتبه ويدهب إلى سرير المريض ويقيس + +111 +00:11:20,630 --> 00:11:28,430 +الضغط بنفسه احتمال واحد في المية ان تكون الممرضة + +112 +00:11:28,430 --> 00:11:35,090 +اخطر هو هيك بيكون ادقت المريض من ورطة هتلازمه طول + +113 +00:11:35,090 --> 00:11:40,950 +عمره ايش هي الورطة انه هذا hypertensive يعني هذا + +114 +00:11:40,950 --> 00:11:46,870 +مريض ضغطإن هو كتب له الدواء انتهى هيفضل وين ما راح + +115 +00:11:46,870 --> 00:11:51,210 +الدوارة ليش هيبقى intensive مين اللي بده يجرّع + +116 +00:11:51,210 --> 00:11:54,290 +بعدين وقف العلاج لحظة يموت هذا المريض بيقولك إن + +117 +00:11:54,290 --> 00:12:00,790 +وقفناه العلاج بيموت خلاص في أخصائي كتب له وإحنا في + +118 +00:12:00,790 --> 00:12:08,530 +موضوع ال description لازم تكون دقيقين لو إجا و هو + +119 +00:12:08,530 --> 00:12:14,930 +مش مرتاح لأنجيزه عن الونشوف فعلا هل ال description + +120 +00:12:14,930 --> 00:12:20,570 +اللي كتبناها توافق اللي هو ال spectacle اللي + +121 +00:12:20,570 --> 00:12:26,210 +موجودة في إيده و هل سبب تعبه و عدم راحته هو هذا + +122 +00:12:26,210 --> 00:12:31,770 +ولا شيء آخر طيب في الغالب والله و أنا أحيان تبقى + +123 +00:12:31,770 --> 00:12:36,370 +بنلاقي اختلاف بين الاختلاف ناليه بطريقة الحكيمة صح + +124 +00:12:36,370 --> 00:12:40,870 +طيب لو لجينا دسيل إذا نستعمل مشكلة قائمة + +125 +00:12:44,940 --> 00:12:50,740 +بقول لي بدي اقيس ال inter pupillary distance في + +126 +00:12:50,740 --> 00:12:56,420 +النضارة هذه لأن هذا ال IPD سهل ممتنع معظم الناس + +127 +00:12:56,420 --> 00:13:02,860 +مايعرفوا ايش معناه معظم الناس مايعرفوش IPD و فرق + +128 +00:13:02,860 --> 00:13:05,820 +يعني بين الإنسان اللي مش ممارس أساسا بصريات مش + +129 +00:13:05,820 --> 00:13:10,720 +قارئ بصريات أو بين الإنسان التكنيشن البسيط وبين + +130 +00:13:10,720 --> 00:13:15,230 +الإنسان ال academicبيعرف ان انتر بيوبيو ديستانس لو + +131 +00:13:15,230 --> 00:13:20,430 +زوغنا عنه بيعمل بريزماتيك افكت اما في ناحية ال + +132 +00:13:20,430 --> 00:13:27,790 +plus او في ناحية ال minus صحيح؟ لان ال plus lens + +133 +00:13:27,790 --> 00:13:33,950 +فيها two prisms منشورين base to base وال minus + +134 +00:13:33,950 --> 00:13:42,270 +lens فيها two منشورين apex to apexال IPD زغرت أو + +135 +00:13:42,270 --> 00:13:48,570 +كبرت عن المطلوب دخلتني في .. في Prismatic Effect + +136 +00:13:48,570 --> 00:13:55,710 +وشعور بالحول وشعور ما بيقبر عنه عيان أحيانا إلا + +137 +00:13:55,710 --> 00:13:59,870 +إنه مش مرتاح واحد بيقول عيني بدأ تطلع من وجهي واحد + +138 +00:13:59,870 --> 00:14:02,390 +بيقولك راسي بده ينفجر وواحد بيقولك في إشي بشدني + +139 +00:14:02,390 --> 00:14:06,430 +وفي إشي بقولك حس حالي بحول وكل الشكاوي هذه المرة + +140 +00:14:06,430 --> 00:14:12,410 +تعنييبقى انا بتجيس ال IPD في النضارة هذه و اشوف + +141 +00:14:12,410 --> 00:14:19,110 +هال IPD اللي انا كاتبها له تحت IPD بمثال 60 احنا + +142 +00:14:19,110 --> 00:14:24,430 +بتجيه 70 حتتها و احنا بتجيه حتتها 55 التانية غلط + +143 +00:14:24,430 --> 00:14:28,090 +طيب + +144 +00:14:28,090 --> 00:14:33,550 +لو انا جيت ال IPD سليمة ملاحظين ان انا بعمل تشخيص + +145 +00:14:33,550 --> 00:14:40,030 +من اول جديد اناواحدة واحدة prescription عملتها IPD + +146 +00:14:40,030 --> 00:14:45,270 +عملته اي تغيير بدي اعتبره الان طيب لو لجيت ال IPD + +147 +00:14:45,270 --> 00:14:52,150 +طبيعي عادي كويس بيهاجيه لو النضارة bifocal بيفوكل + +148 +00:14:52,150 --> 00:15:00,290 +مزدوجة بيقول فيه قاعدة ان ال line شايفينوا هذا ال + +149 +00:15:00,290 --> 00:15:05,620 +line اللي between ال upper segment لل distanceو ال + +150 +00:15:05,620 --> 00:15:10,640 +lower segment للنير هذا ال line يجب أن يمشي مع + +151 +00:15:10,640 --> 00:15:18,360 +الحافة الجفن السفلية السفلية مع الشعر هذا طيب + +152 +00:15:18,360 --> 00:15:27,040 +لو وضعوا الحز هذا علويا هنا أو وضعوه سفليا هنا + +153 +00:15:27,040 --> 00:15:36,190 +هيعمل متاعي بالمريض في الحالة الأولى اههيصير + +154 +00:15:36,190 --> 00:15:41,770 +المريض يعمل هيك عشان يشوف البعيد اه و لو كانت فوق + +155 +00:15:41,770 --> 00:15:47,410 +هتطلع يعمل هيك يعني عشان يشوف البعيد و كلهم بيعمل + +156 +00:15:47,410 --> 00:15:52,650 +تعب و بيعمل إرهاق على المريض فطبعا انا بلبس وياها + +157 +00:15:52,650 --> 00:15:58,490 +و أشوف هل فعلا ال line between two segments فعلا + +158 +00:15:58,490 --> 00:16:05,590 +ماشي مع ال lowermargin of lower eyelid مع lower + +159 +00:16:05,590 --> 00:16:13,630 +margin of eyelid طيب انا لجيتها صح بدي امشي طب ايه + +160 +00:16:13,630 --> 00:16:18,730 +سبب التعب حتى الآن مش لاجي سبب بخش في النقطة + +161 +00:16:18,730 --> 00:16:25,290 +الرابعة بقول النقطة الرابعة ان انا اخد المريض او + +162 +00:16:25,290 --> 00:16:33,430 +المريضة الى ال darkroom و اعملهAccurate Refraction + +163 +00:16:33,430 --> 00:16:37,050 +Refraction + +164 +00:16:37,050 --> 00:16:42,490 +أدق من Refraction و Time Consuming أكتر من + +165 +00:16:42,490 --> 00:16:48,230 +Refraction الأول ربما ال Refraction الأول كان جاي + +166 +00:16:48,230 --> 00:16:54,250 +في crowdings زحمة مرضى فبيكون ال Refractionist + +167 +00:16:54,250 --> 00:16:59,190 +يعني بيخلص من الحالات و أنا شفت يعنيفي ال + +168 +00:16:59,190 --> 00:17:02,050 +examination room كان عندنا في جامعة الخرطوم يعني + +169 +00:17:02,050 --> 00:17:10,050 +يكون مثلا مائة مريض على غرف تشوف يعني مين هي وعلى + +170 +00:17:10,050 --> 00:17:14,190 +مثلا خمس غرف يعني كل وقع بينهم العشرين حالة ورا + +171 +00:17:14,190 --> 00:17:17,330 +بعض عشرين حالة reflection عشان بيلاكوا روحهم على + +172 +00:17:17,330 --> 00:17:22,930 +العيادات ومعهم ال reflection بتاعهم فاحيانا اضطر + +173 +00:17:22,930 --> 00:17:28,670 +reflectionist انه يسرعحتى ايش يشهر الحالات هذه + +174 +00:17:28,670 --> 00:17:32,710 +السرعة بتعمل بعض الأخطاء لأ انا المريض ده اللي جاي + +175 +00:17:32,710 --> 00:17:37,670 +يشكو ع حالة خاصة special case بدل انا احطه ايش في + +176 +00:17:37,670 --> 00:17:42,230 +dark room و اعمله يعني reflection يختلف عن + +177 +00:17:42,230 --> 00:17:47,830 +الأولاني و time consuming و اعمله يعني نتيجة جديدة + +178 +00:17:47,830 --> 00:17:52,110 +طيب و اقارن النتيجة اللي طلعت لها جديد بدون تأثر + +179 +00:17:52,110 --> 00:17:58,360 +في الجديدألس القديم الـ a نتيجة اللي طلعت جديد في + +180 +00:17:58,360 --> 00:18:03,300 +ال subjective و جابلها ال objective refraction هل + +181 +00:18:03,300 --> 00:18:07,660 +هي the same ولا في اختلاف؟ طب انا في الحلقة هذه ما + +182 +00:18:07,660 --> 00:18:12,460 +اتمنى اللاجئ في difference ليش؟ لان اللاجئ في + +183 +00:18:12,460 --> 00:18:18,440 +difference هذا هو الحل هذا هو الحل والاعتراف بالحق + +184 +00:18:18,440 --> 00:18:25,120 +فضيلة و العودة إلى الحق فضيلةيعني ليش انا اعاند + +185 +00:18:25,120 --> 00:18:29,560 +الحق و اقول لأ لأ كله تمام ولا حاجة لأ مش من عندنا + +186 +00:18:29,560 --> 00:18:35,000 +احنا ماخصنعش لأ و زي ما قلت في القرآن الإنسان يعني + +187 +00:18:35,000 --> 00:18:38,560 +بيعامل الله عز و جل قبل ما عامل البشر في حد فينا + +188 +00:18:38,560 --> 00:18:43,940 +باختئش مافي حد فينا ماختئش ماختئش من الإنسان او + +189 +00:18:43,940 --> 00:18:47,280 +واحد يعني جاله خطأ يعني بارك الله فيه رحم الله من + +190 +00:18:47,280 --> 00:18:53,960 +أن أهدى إليه عيوبالان انا اعملت reflection دقيق + +191 +00:18:53,960 --> 00:18:59,160 +slow متأني يختلف عن ال reflection و ليش لغرض راحة + +192 +00:18:59,160 --> 00:19:03,000 +المرضى هو احنا كلهيتنا في السلكة الطبية اذا احنا + +193 +00:19:03,000 --> 00:19:11,760 +مانعملش راحة المرضى فشغلنا مش نافع شغلنا باطل اذا + +194 +00:19:11,760 --> 00:19:15,360 +كان كل من هو في السلكة الطبية ال medicine و ال + +195 +00:19:15,360 --> 00:19:20,940 +para medicineما بيعمل ال comfort of patients يبقى + +196 +00:19:20,940 --> 00:19:25,480 +احنا useless ده رايح عن نفسنا يعني؟ ليش احنا بنروح + +197 +00:19:25,480 --> 00:19:30,460 +لأي طبيب و واحد مننا و احنا طباء بيتمنى يقدمله + +198 +00:19:30,460 --> 00:19:36,440 +احسن ما عنده و يطلع من عنده مرتاح و الناس هيك هو + +199 +00:19:36,440 --> 00:19:41,410 +بيجيك ينشط الراحةواحد مصدق وواحد تعبان وواحد ما + +200 +00:19:41,410 --> 00:19:46,530 +بيجراش وواحد يعني دايخ وواحد كده عنده errors بده + +201 +00:19:46,530 --> 00:19:52,630 +راحة طيب بقول في الغالب ان ال result is the same + +202 +00:19:52,630 --> 00:19:59,610 +او very close ل الأول ال difference كبير يعني هو + +203 +00:19:59,610 --> 00:20:04,790 +السبب التعب بيعمله لكن ان ال result is the same + +204 +00:20:06,170 --> 00:20:12,350 +بقول لي إن هذا wandering، شيء عجيب، بقول لي هذا + +205 +00:20:12,350 --> 00:20:18,290 +will leave the examiner scratching her head، إيش + +206 +00:20:18,290 --> 00:20:28,010 +يعني؟ شد شعره من التعجب، وين أو أين السبب في تعب + +207 +00:20:28,010 --> 00:20:32,670 +المريض من هذه النظارة؟مش بنعمل نضارة و بقولوا بس + +208 +00:20:32,670 --> 00:20:36,710 +لأ لأ هذه نضارة علاج علاجية هذه مش .. مش cosmetic + +209 +00:20:36,710 --> 00:20:41,230 +مش زينة وبالتالي المريض بعد هذه الرحلة هذه يطلع + +210 +00:20:41,230 --> 00:20:48,750 +تعبان و انا افعل كل هذا ولا اجد حالة اذا المريض + +211 +00:20:48,750 --> 00:20:53,490 +يعني هيفضل تعبان فقول لها تئس رغم التعجب و شد + +212 +00:20:53,490 --> 00:20:58,570 +الشعر اه و ال wondering ما .. ما تتعجب الان بقول + +213 +00:20:58,570 --> 00:21:05,680 +في لغز في الموضوعاللغز في الموضوع في A و في B في A + +214 +00:21:05,680 --> 00:21:16,340 +و في B اه اللي قال اولاني ان واحد مالبس نظارة قبل + +215 +00:21:16,340 --> 00:21:20,440 +ذلك و انا اكتشفت عنده reflective errors و هي سبب + +216 +00:21:20,440 --> 00:21:25,640 +تعبه و عملته glasses هيتعب منها لفترة من الزمن + +217 +00:21:25,640 --> 00:21:34,280 +بسبب ان ال visual center اهnot adapted for this + +218 +00:21:34,280 --> 00:21:45,440 +corruption يعني تماما إنسان داري على الشموع وعلى + +219 +00:21:45,440 --> 00:21:49,160 +السراج وفجأة + +220 +00:21:49,160 --> 00:21:56,930 +أوقض له bright light زي اللي عندنا هنا هل فيشعور + +221 +00:21:56,930 --> 00:22:03,270 +بتغيير مفاجئ عنده وشئ من عدم الراحة ولا لأ؟ طبعا + +222 +00:22:03,270 --> 00:22:09,070 +هو قبل سنين ضال على السيراج وعلى الشمس وبيقرأ + +223 +00:22:09,070 --> 00:22:14,490 +وبيقوم وكل حياته على هذا طب إن أنا أضأت له هذه + +224 +00:22:14,490 --> 00:22:18,730 +النيونات الكثيرة في الغرفة لأ لأ لأ لأ لأ لأ لأ لأ + +225 +00:22:18,730 --> 00:22:19,870 +لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ + +226 +00:22:19,870 --> 00:22:20,390 +لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ + +227 +00:22:20,390 --> 00:22:23,520 +لأ لأ لأ لأ لأ لأ لأ لأ لأفاللي تعود على ال + +228 +00:22:23,520 --> 00:22:29,880 +reflective errors من ميوب و من astigmatism فادئة + +229 +00:22:29,880 --> 00:22:36,800 +ان انا اعطيه full correction هذا شيء يعني متعب له + +230 +00:22:36,800 --> 00:22:42,640 +فانا بدي اناوه له هذه و اعمله hint ال hint هذه + +231 +00:22:42,640 --> 00:22:49,560 +مراحظة before using هذه glasses ان اقوله ايهان + +232 +00:22:49,560 --> 00:22:54,780 +اقول له هذه النضارة اللى هتلبسها تحتاج الى تعود + +233 +00:22:54,780 --> 00:22:58,980 +منذ اسبوعين تلبسها بالتدريج اول اول يوم ساعة بعدين + +234 +00:22:58,980 --> 00:23:01,560 +ساعتين بعدين تلاتة بعدين اربع بعدين خمسة بعدين ستة + +235 +00:23:01,560 --> 00:23:07,160 +وبعد اسبوعين هنراجب نشوف الرحل بتاعنا يمكن ال + +236 +00:23:07,160 --> 00:23:14,120 +precaution التحذير هذا اللى انا عملتهإنه يريحني من + +237 +00:23:14,120 --> 00:23:17,260 +إنه يجيني بعد يومين تلاتة و هو مكشر و غضبان و يرمي + +238 +00:23:17,260 --> 00:23:21,840 +النضارة و يذاعج عليها و يضرب على المكتب خاصة في + +239 +00:23:21,840 --> 00:23:30,180 +شعب الذعماء من هو شعب الذعماء الشعب + +240 +00:23:30,180 --> 00:23:38,280 +الغزي الشعب الذعماء طيب الشيء + +241 +00:23:38,280 --> 00:23:42,430 +التانيإن لو واحد متعود على نضارة بيه متعود على + +242 +00:23:42,430 --> 00:23:47,970 +نضارة لمدة طويلة و جيت انا اعملته new refraction و + +243 +00:23:47,970 --> 00:23:54,050 +لجيت عنده change عن الوضع الأولاني و أعطيته ال + +244 +00:23:54,050 --> 00:23:59,170 +correction الجديد أيضا هيعاني لأنه متعود على limit + +245 +00:23:59,170 --> 00:24:03,510 +معين بالنضارة الأولانية و أنا كتير صحيح يعني مثلا + +246 +00:24:03,510 --> 00:24:07,950 +واحد عنده كاين minus one minus one minus one minus + +247 +00:24:07,950 --> 00:24:12,740 +oneأو فيه شوية سيلندر وبعدين انا بعطيه واحد و نص + +248 +00:24:12,740 --> 00:24:19,240 +جديد واحد و نص بيقول لأ نضارتي أحسن و بيحس فيها + +249 +00:24:19,240 --> 00:24:24,720 +مكابرة بيقول لأ نضارتي أحسن خلاص هو حتى نضارته + +250 +00:24:24,720 --> 00:24:28,840 +وضها على عينيه و وضها على عنفه هو مخد الـlance هذا + +251 +00:24:28,840 --> 00:24:32,700 +يعني بقى لما تراي ال frame حاسسه ان الجيل مش عاجبه + +252 +00:24:32,700 --> 00:24:36,000 +كتير بيقول لأ نضارتي أحسن انا كتير اسمعت من المرضى + +253 +00:24:36,000 --> 00:24:41,620 +هيكونمع انه نضارته هي under correction عند الوضع + +254 +00:24:41,620 --> 00:24:46,140 +الجديد لكنه لأ نضارتي أحسن و اتمنى انه خلاص انه + +255 +00:24:46,140 --> 00:24:51,160 +مابديش اي تغيير فلأ انا ان صار و اعطيته تغيير عن + +256 +00:24:51,160 --> 00:24:55,580 +النضارة الأولى أيضا حيواني و ممكن جدا يجد من يكبر + +257 +00:24:55,580 --> 00:24:58,900 +له الوضع ويقول لا لا لا لا ها دي هتعمق ها دي + +258 +00:24:58,900 --> 00:25:04,680 +هتوديك ويجي ان هو يضرب عن مكتب و يزعج و crying وش + +259 +00:25:06,290 --> 00:25:10,450 +فبقولي ال precautions هذه اللي .. اللي هي + +260 +00:25:10,450 --> 00:25:17,170 +التحذيرات أو التوضيحات للمريض قبل سواء عمره ما عمل + +261 +00:25:17,170 --> 00:25:20,350 +نضارة أو عمل لأول مرة أو كان يلبس نضارة لسنوات و + +262 +00:25:20,350 --> 00:25:25,790 +بده يغيرها قد تريحني من النارفزة اللي هي جايانة في + +263 +00:25:25,790 --> 00:25:35,240 +الطريق كايس؟ هذا في علم الحياة تعالي ..بقول ليه + +264 +00:25:35,240 --> 00:25:46,820 +وما ذلك إذا بقى المريض مصرا على انه تعبان في مريض + +265 +00:25:46,820 --> 00:25:53,180 +عنده أسباب خاصة عنده مثلا changeable accommodation + +266 +00:25:53,180 --> 00:25:57,460 +changeable refraction كل يوم refraction بتاعه شكل + +267 +00:25:57,460 --> 00:26:01,360 +كل يوم accommodation بتاعه شكل هو إنسان nervous + +268 +00:26:01,360 --> 00:26:08,740 +عصبيالإنسان شكاك ..الإنسان عنده وسوسة هذه بيقولك + +269 +00:26:08,740 --> 00:26:14,360 +تحتاج إلى another .. أو other investigations هذا + +270 +00:26:14,360 --> 00:26:18,860 +يعني أشياء ما ورا ال optometry ممكن يوديها يعني + +271 +00:26:18,860 --> 00:26:28,540 +لطبيب نفسي اه ممكن يوديها يعني .. إنسان خبير يعني + +272 +00:26:28,540 --> 00:26:35,550 +.. اه بالاجتماعيةحتى ان حد له مشكلة هذه المهم انه + +273 +00:26:35,550 --> 00:26:40,350 +يكون علميا انا ماعنديش مشكلة اذا كان علميا ماعنديش + +274 +00:26:40,350 --> 00:26:45,690 +مشكلة باقى المواضيع بدها investigations خارج + +275 +00:26:45,690 --> 00:26:51,170 +الإطار ومادر يقول لي في common situations that + +276 +00:26:51,170 --> 00:26:58,170 +cause temporary problems يعني في بعض المواضيع او + +277 +00:26:58,170 --> 00:27:09,220 +الأسباب اللي هي بتعملمشاكل مؤقتة اهمها انه لما + +278 +00:27:09,220 --> 00:27:14,540 +يكون hyper metroid اعمله over correction more plus + +279 +00:27:14,540 --> 00:27:19,980 +يعني over correction of hyper mode ايش + +280 +00:27:19,980 --> 00:27:25,860 +هتعملي هذا hyper mode اللي over corrected هتعملي + +281 +00:27:25,860 --> 00:27:28,700 +suppression لل accommodation و للcellular muscle + +282 +00:27:30,310 --> 00:27:35,690 +الاخر هتعمل بعض ال magnification اعمل المكيف بالله + +283 +00:27:35,690 --> 00:27:42,650 +يا أستاذ اه هتعمل supprition لل accommodation + +284 +00:27:42,650 --> 00:27:46,410 +هتعمل ال magnification وبالتالي العيان مش هيرتاح + +285 +00:27:46,410 --> 00:27:53,150 +في حلقة ال hyper مترو مش لازم اعملها over plus أي + +286 +00:27:53,150 --> 00:27:59,800 +واحد two changing the cylindrical axisزي ما + +287 +00:27:59,800 --> 00:28:06,160 +قلتلكوا في المقدمة ان السيلندر فيه secret قليل من + +288 +00:28:06,160 --> 00:28:11,020 +الناس اللي بيعرفه الاهواء هو ان الـ axis ال power + +289 +00:28:11,020 --> 00:28:16,840 +is zero وال full power is perpendicular to the + +290 +00:28:16,840 --> 00:28:24,340 +axis perpendicular to the axis اي shifting لل + +291 +00:28:24,340 --> 00:28:31,230 +right او لل left عن ال axis المطلوبتعطيني + +292 +00:28:31,230 --> 00:28:38,250 +discomfort تعطيني تعب وبالتالي + +293 +00:28:38,250 --> 00:28:44,890 +الـ optometrist الهارق + +294 +00:28:44,890 --> 00:28:52,530 +هو اللي في حالة ال astigmatism بيوصف ال access + +295 +00:28:52,530 --> 00:28:58,530 +correctly أو perfectly لأن + +296 +00:28:58,530 --> 00:29:05,000 +ما معنىانه بعد كل ال examination ودفع ال money انه + +297 +00:29:05,000 --> 00:29:11,180 +يجي العيان واكتشف ان ال axis غلط صحيك؟ + +298 +00:29:11,180 --> 00:29:19,240 +صح طيب three increasing the cylinder power يعني + +299 +00:29:19,240 --> 00:29:26,160 +بدأ مثلا one ثور two ده ال two تصبح ال three وانا + +300 +00:29:26,160 --> 00:29:37,380 +بدأ أسأل سؤال الآنواحد عنده minus two DC مين + +301 +00:29:37,380 --> 00:29:44,440 +أصعب أعطيه minus one ولا أعطيه minus three + +302 +00:29:55,260 --> 00:29:59,520 +لما اعطيه under correction بكون حلية نفس المشكلة + +303 +00:29:59,520 --> 00:30:04,660 +لكن لما اعطيه minus three بكون صناعة عنده مشكلة + +304 +00:30:04,660 --> 00:30:10,760 +جديدة المشكلة الجديدة أصعب فال over correction of + +305 +00:30:10,760 --> 00:30:20,040 +cylinder انا فقمتله المشكلة زوّت في الألم طيب كمان + +306 +00:30:20,040 --> 00:30:26,020 +سبب رابعchanging the base curve of the lens or the + +307 +00:30:26,020 --> 00:30:28,000 +material of the lens ال material of the lens احنا + +308 +00:30:28,000 --> 00:30:33,260 +عندنا حاجتين اجزاز glass و انا plastic الحقيقة ان + +309 +00:30:33,260 --> 00:30:40,480 +احنا ال plastic ما بنحبه كتير لانه اول شي انه + +310 +00:30:40,480 --> 00:30:44,180 +scratching بتاعه سهل يعني انا حاطينا على مكتب على + +311 +00:30:44,180 --> 00:30:50,180 +اي سطح خشن بتجرح التجريح هذا معناه انه لو ايجا في + +312 +00:30:50,180 --> 00:30:54,490 +ال centerراح يعمل ايه على ال video access مشاكل + +313 +00:30:54,490 --> 00:31:04,050 +الشغل التاني انه بيحمل dirt يعني وساخة اول بس ال + +314 +00:31:04,050 --> 00:31:07,430 +mouse بيجي عليه اول ما اي حاجة تيجي عليه على طول + +315 +00:31:07,430 --> 00:31:14,170 +بيحمل dirt و بتغير شكله و لونه و بيصير ايش بيعمل + +316 +00:31:14,170 --> 00:31:18,970 +blurring of video طبقة عازلة يعني تمام يعني لو + +317 +00:31:18,970 --> 00:31:25,240 +احنا نحط على الزجاجيعني أي طبقة مثلا زي بلاستر + +318 +00:31:25,240 --> 00:31:30,700 +شفاف حتى ويلبسها .. هشوف إيش .. اه لو حطينا طبق + +319 +00:31:30,700 --> 00:31:35,800 +الزيت مثلا خاصة الأطفال بيأكل يعني بعض المأكلات و + +320 +00:31:35,800 --> 00:31:40,300 +بيمسك نضارة و إشي لكن إيه هنعطيها للأطفال لسببين + +321 +00:31:40,300 --> 00:31:47,740 +السبب الأول لأنه ال breakdown صعبفي بلاستيك و شهر + +322 +00:31:47,740 --> 00:31:54,160 +في الجزاز والطفل يعني أكتر ناس بيستحقه اللي هو إيش + +323 +00:31:54,160 --> 00:31:58,520 +اللي هو glasses في طفل يعني معدل مرتين أو تلاتة في + +324 +00:31:58,520 --> 00:32:04,020 +الشهر بيكسر نظارات و بيكسر عدسات فالبلاستيك بيصمد + +325 +00:32:04,020 --> 00:32:10,880 +للتكسير أكتر بكتير من إيش من الجزاز الشغلة التانية + +326 +00:32:11,610 --> 00:32:15,250 +إن كتير من الأطفال اللي عندهم convergence point + +327 +00:32:15,250 --> 00:32:20,950 +مضطر نعطيهم heavy plus، تقيلة، فلما تكون plastic + +328 +00:32:20,950 --> 00:32:25,790 +بتكون light، lightweight، يعني وزنها إيش؟ خفيف + +329 +00:32:25,790 --> 00:32:30,310 +لسه، يفالأن + +330 +00:32:30,310 --> 00:32:34,650 +احنا مشكلة the return of the glasses لازم نكون + +331 +00:32:34,650 --> 00:32:41,190 +مستعدين لحالهاما نكونش جبناء و نواجهها بمصداقية و + +332 +00:32:41,190 --> 00:32:46,910 +أريحية و نحترم المريض و نقدر شكواه .. نقدر شكواه + +333 +00:32:46,910 --> 00:32:52,190 +ما نكون جبناء و نقول ماخصنيش ولا نقوله روح للي + +334 +00:32:52,190 --> 00:32:57,290 +عملك و أنا ماخصنيش ولا نقوله أنت متواهم أبعد عني + +335 +00:32:57,290 --> 00:33:04,890 +.. لأ لازم أفتح صدري .. قصدي للحقوان اكون انسان + +336 +00:33:04,890 --> 00:33:12,290 +عندى قيم و عندى مصداقية و المريض بني انسان لما + +337 +00:33:12,290 --> 00:33:17,670 +يشوفني ان انا مهتم بألمه مهتم بالشكوى بتاعته + +338 +00:33:17,670 --> 00:33:26,530 +بيحترمني و بيعملي دعاية طيبة في المجتمع صحيك؟ اه + +339 +00:33:26,530 --> 00:33:31,770 +هذا ال terminology ال abbreviationsفاحنا في سنة + +340 +00:33:31,770 --> 00:33:37,210 +تانية كان زمان عندنا مساق ساعة اسمه optometric + +341 +00:33:37,210 --> 00:33:41,830 +terminology كل الحاجات اللي بنعطيها، الآن احنا + +342 +00:33:41,830 --> 00:33:46,910 +لصالح ال .. لصالح الأخلاقيات المهنة، المساق الجديد + +343 +00:33:48,070 --> 00:33:53,050 +ساعتين طرينا نترك ال terminology بعيد ان كل .. + +344 +00:33:53,050 --> 00:33:57,770 +يعني lecturer في محاضرته يوضح ال terminology الخاص + +345 +00:33:57,770 --> 00:34:01,750 +فيه فال terminology هذا مر عليكم كتير في ال + +346 +00:34:01,750 --> 00:34:05,990 +reflection خاصة العملي فانا يعني بطلب منكوا يعني + +347 +00:34:05,990 --> 00:34:11,930 +تدرسوا هذا و تحفظوه و داخل معاكم في القاش المساق + +348 +00:34:11,930 --> 00:34:13,530 +مش كتير + +349 +00:34:18,250 --> 00:34:24,890 +طيب احنا في reflection one تنولنا الريتنوسكوبي + +350 +00:34:24,890 --> 00:34:28,290 +بشيء + +351 +00:34:28,290 --> 00:34:34,690 +من التبسيط يعني كان بسيط شوية لأن هنعمل revision + +352 +00:34:34,690 --> 00:34:39,650 +بس على مستوى أعلى شوية لأنه بيبقى الريتنوسكوبي + +353 +00:34:39,650 --> 00:34:44,720 +يعني شيء أساسي في العمل بتاعناالان ايش ال + +354 +00:34:44,720 --> 00:34:49,440 +conditions for good retinoscopy؟ معايا الشروط + +355 +00:34:49,440 --> 00:34:55,460 +اللازم توافرها في الفحص الصحيح للريتنسكوب، ذا + +356 +00:34:55,460 --> 00:35:07,740 +كرونين، dark room، work distance، relaxation of + +357 +00:35:07,740 --> 00:35:09,220 +accommodation + +358 +00:35:11,280 --> 00:35:16,820 +يركز في ال infinity اه ال تالت word distance اه + +359 +00:35:16,820 --> 00:35:21,720 +word distance اه six meters او three meters مع + +360 +00:35:21,720 --> 00:35:27,580 +plain mirror ايش كمان ال word distance ال word + +361 +00:35:27,580 --> 00:35:33,640 +distance طب و children children ايش نعمل معهم + +362 +00:35:33,640 --> 00:35:39,100 +sacrifice ال infants و children ماينفعهم ال + +363 +00:35:39,100 --> 00:35:44,430 +fixation في ال infinityما بيقدروش أو لا يستطيعون و + +364 +00:35:44,430 --> 00:35:49,990 +بعدين ال good training of the examiner هنا بقولك + +365 +00:35:49,990 --> 00:35:53,190 +يعني في experience الريتنسكوب ب one hand مش + +366 +00:35:53,190 --> 00:36:01,230 +بالثانيه كويس؟ طيب هو ال .. الريتنسكوب فيه many + +367 +00:36:01,230 --> 00:36:08,670 +functions function انه يكون في handle كويس؟وفي + +368 +00:36:08,670 --> 00:36:18,310 +function ايش انه فيه sleeve اه كويس طيب هو بمسك + +369 +00:36:18,310 --> 00:36:27,010 +بال fingers هالي و بحرك ال sleeve اما بال index و + +370 +00:36:27,010 --> 00:36:31,690 +اما بال thumb مين هالسهل؟ + +371 +00:36:31,690 --> 00:36:35,950 +حط ال index هيك و ال thumb هيك + +372 +00:36:38,610 --> 00:36:44,330 +ولا هيك، بنفعت وما أنت ماسكاها، هيك، يعني ها، الآن + +373 +00:36:44,330 --> 00:36:50,490 +هينقماسك من تحت هال handle، الآن أنا هتحكم، تقف + +374 +00:36:50,490 --> 00:36:56,970 +هنا، الحمد لله، لا يا شيخ، الان هيك، هتحكم هيك ولا + +375 +00:36:56,970 --> 00:36:57,650 +هتحكم هيك؟ + +376 +00:37:02,120 --> 00:37:08,380 +هو انا بقولك develop .. develop a style that is + +377 +00:37:08,380 --> 00:37:14,700 +most comfortable for you يعني لا مشاحة كل إنسان + +378 +00:37:14,700 --> 00:37:18,360 +يختار الطريقة المناسبة له هذا ال principle الأول + +379 +00:37:18,360 --> 00:37:26,080 +طبعا مسك ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +380 +00:37:26,080 --> 00:37:26,340 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +381 +00:37:26,340 --> 00:37:26,440 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +382 +00:37:26,440 --> 00:37:28,060 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +383 +00:37:28,060 --> 00:37:28,760 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +384 +00:37:28,760 --> 00:37:28,840 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +385 +00:37:28,840 --> 00:37:36,410 +.. ال .. ال .. ال ..أه قبضة حديدية ماشي في القبضة + +386 +00:37:36,410 --> 00:37:44,370 +كمان ان في relation between the + +387 +00:37:44,370 --> 00:37:53,250 +hand catching the latent scope the + +388 +00:37:53,250 --> 00:38:01,560 +eye of the examiner and the eye ofthe patient or + +389 +00:38:01,560 --> 00:38:07,360 +the person الولاء اللي قايحناها دي وضحناها left + +390 +00:38:07,360 --> 00:38:12,440 +left left و right right right طب إيش الحكمة من + +391 +00:38:12,440 --> 00:38:18,280 +left left left و right right right حتى + +392 +00:38:18,280 --> 00:38:24,630 +لا أوليق الفيديو ولا accessبتاع المريض نحو أيهاش + +393 +00:38:24,630 --> 00:38:29,950 +الـ infinity لما ناخد مثلا ال right بتكون ال right + +394 +00:38:29,950 --> 00:38:36,770 +هناك بخلي ال left بتاعته تتطلع على ال infinity لكن + +395 +00:38:36,770 --> 00:38:41,650 +لو أنا جيت في وجهه باخدت انا right left الجبالي + +396 +00:38:41,650 --> 00:38:45,930 +على طول معناه وشي و وشي و سكر على بعض ماخلتلهوش + +397 +00:38:45,930 --> 00:38:51,610 +أيهاش واسع ينظر إلى البعيد بصورة مستقيمة واضح؟ + +398 +00:38:55,230 --> 00:39:01,710 +طيب المبدأ التاني fogging of accommodation how to + +399 +00:39:01,710 --> 00:39:09,310 +fog the accommodation of the patients eyes hot + +400 +00:39:09,310 --> 00:39:20,650 +eye plus lens on both eyes اه ولا one eye one eye + +401 +00:39:21,980 --> 00:39:28,300 +طيب و التانية؟ يعني هتعمل accommodation و المفروض + +402 +00:39:28,300 --> 00:39:33,060 +أنه يعمل مثلا plus five أو plus six أو seven right + +403 +00:39:33,060 --> 00:39:36,960 +و left طيب + +404 +00:39:36,960 --> 00:39:41,000 +و الآن أخلي كده و قاعد أفحص كيف أفحص؟ + +405 +00:39:43,900 --> 00:39:47,380 +هل اخلي ال plus و افحص ولا اشيل ال plus و بحط من + +406 +00:39:47,380 --> 00:39:59,960 +عندى lenses بيقولوا + +407 +00:39:59,960 --> 00:40:06,720 +انه بحط انا مثلا plus one و بشيل ال plus five و + +408 +00:40:06,720 --> 00:40:11,820 +بعدين بعمل التنسكيبرية with لسه with بال one بروح + +409 +00:40:11,820 --> 00:40:18,360 +انا احط واحد و نصو بعدين بشيل الواحد و بعمل ريتن + +410 +00:40:18,360 --> 00:40:23,400 +اسكوب اللي جات ليسوا ايه بحط اتنين و بشيل واحد و + +411 +00:40:23,400 --> 00:40:28,540 +نص و بعمل ايش؟ ريتن اسكوب اللي جات ماني اعمل ايش؟ + +412 +00:40:28,540 --> 00:40:32,740 +اصل اصلة اللي هو neutral point فانا بخليش العين + +413 +00:40:32,740 --> 00:40:37,520 +exposed to light of ريتن اسكوب ولا في مرحلة من + +414 +00:40:37,520 --> 00:40:43,540 +المراحل فالأول حطيت خمسة و خمسة عملت foggingبعد + +415 +00:40:43,540 --> 00:40:49,340 +كده بحط ال lens الجديدة و بشيل الجديمة كل مرة بحط + +416 +00:40:49,340 --> 00:40:53,340 +ال lens الجديدة بشتموا مع بعض لحظات و بعدين بشيل + +417 +00:40:53,340 --> 00:40:58,020 +الجديمة فبكون انا حافظت على ال fogging بقدر الممكن + +418 +00:40:58,020 --> 00:41:02,040 +طيب الأطفال + +419 +00:41:04,960 --> 00:41:09,220 +الأطفال مابنفهمش ان هما .. مابنفهمش إلا paralysis + +420 +00:41:09,220 --> 00:41:15,080 +of ciliary muscle paralysis of ciliary muscle طيب + +421 +00:41:15,080 --> 00:41:22,400 +طيب + +422 +00:41:22,400 --> 00:41:29,540 +الآن هي عيش الفكرة في موضوع ريتروسكوبي انا عندي + +423 +00:41:29,540 --> 00:41:38,920 +light source في إيديبطلّق ال light من تخب معين في + +424 +00:41:38,920 --> 00:41:45,920 +ال head of retinascope و بعمله incidence يقع على + +425 +00:41:45,920 --> 00:41:51,080 +ال pupil of the person or patient ال light هذا + +426 +00:41:51,080 --> 00:41:59,000 +هيسافر وين؟ هيروح على ال retina of the patient طب + +427 +00:41:59,000 --> 00:42:03,110 +ال retina هتستقبل الضوء حساسة، إيش هتسوي؟تعمل + +428 +00:42:03,110 --> 00:42:12,750 +رفليكشن هترجع ال life رفليكشن هذا هيطلع من البقبق + +429 +00:42:12,750 --> 00:42:20,590 +of the patient's eye as red reflex الان انا في + +430 +00:42:20,590 --> 00:42:25,730 +ثقوب في ال head oparoscope لعيني ك examiner اني + +431 +00:42:25,730 --> 00:42:31,030 +التقت صورة الضوء الراجع من الشبكة + +432 +00:42:34,100 --> 00:42:40,600 +الضوء الراجع من الشبكية اني اشوف الان ببدأ احرك + +433 +00:42:40,600 --> 00:42:49,300 +مرة لل left و مرة لل right و اقارب بين حاجتين بين + +434 +00:42:49,300 --> 00:42:55,000 +ضوء الريتنسكوب الواقع على العين و بين ال red + +435 +00:42:55,000 --> 00:43:00,000 +reflex بدأ اقارن زي الصورة هذه مثلا + +436 +00:43:11,480 --> 00:43:16,600 +فاهم هل الضوء + +437 +00:43:16,600 --> 00:43:21,980 +اللي جاي من داخل العين يتطابق + +438 +00:43:21,980 --> 00:43:28,520 +مع الضوء اللي انا بوقعه و بحركه يمين و شمال هاي + +439 +00:43:28,520 --> 00:43:32,340 +مرة تانية can with + +440 +00:43:36,720 --> 00:43:47,560 +يبقى انا الآن زي ما قلت في نمرة تلاتة انه + +441 +00:43:47,560 --> 00:43:55,200 +في angle بيقع فيها الضوء على عين المريض وعين + +442 +00:43:55,200 --> 00:43:58,000 +المريض بترجع الضوء بنفس ال angle + +443 +00:44:01,360 --> 00:44:05,120 +يعني أنا خدت الآن عين اليمين مع عين ال .. ال .. ال + +444 +00:44:05,120 --> 00:44:08,180 +إيش؟ اليمين بتاعة المريض طبعا واضح أنه في angle + +445 +00:44:08,180 --> 00:44:14,360 +هيك مش هيك يعني أنا عملته ب angle معين ماعملتش + +446 +00:44:14,360 --> 00:44:18,940 +right .. right مع left خديني باليكم؟ لأ أنا عملت + +447 +00:44:18,940 --> 00:44:25,260 +right مع right الدوق اللي حيرجع .. حيرجع إيش؟ بنفس + +448 +00:44:25,260 --> 00:44:31,660 +الزاويةعشان هيك المطلوب بقدر إمكاني يكون فحصي مع + +449 +00:44:31,660 --> 00:44:37,520 +المريض face to face مايكونش المريض هناك وانا هناك، + +450 +00:44:37,520 --> 00:44:43,420 +مايكونش المريض هنا وانا هناك، ماينفعش لأن كل ما + +451 +00:44:43,420 --> 00:44:49,660 +دخلت الضوء ومس الماكولا والفوفيا كل مكان ب + +452 +00:44:49,660 --> 00:44:55,160 +fraction more correctوكل ما كان الضوء طالع ال + +453 +00:44:55,160 --> 00:44:59,060 +periphery of the retina برّه برّه برّه برّه كل ما + +454 +00:44:59,060 --> 00:45:03,360 +كان incorrect واضح + +455 +00:45:03,360 --> 00:45:09,840 +هو لسه يعني كل ما كان أنا ضوءي جاي على الماكلة + +456 +00:45:09,840 --> 00:45:14,220 +بتاعة العين في زاوية هيك بس على الماكلة كل ما كان + +457 +00:45:14,220 --> 00:45:21,150 +أحسن وكل ما ال reflex اللي إجاني كان معبرتماما عن + +458 +00:45:21,150 --> 00:45:29,050 +الحالة البصرية ليه هذا المريض؟ لأنه جايين مركزي + +459 +00:45:29,050 --> 00:45:39,410 +مركز من أبعد منطقة في الشبكية في القطب الخلفي إيه + +460 +00:45:39,410 --> 00:45:45,370 +القطب الخلفي الشبكية؟ إيه الماكيونة؟ لكن لو إجاني + +461 +00:45:46,390 --> 00:45:51,470 +من منطقة deviated يمين عنها سانتي أو شمال عنها + +462 +00:45:51,470 --> 00:45:56,030 +سانتي أو فوقها سانتي أو تحتها سانتي يعني تمام مثلا + +463 +00:45:56,030 --> 00:46:00,510 +لو واحد يقف على مكتب و المريض جاعد هيك هو ننزله + +464 +00:46:00,510 --> 00:46:06,670 +الضوء و هو واقف على عينه هل هذا صح؟ لا نفس الشيء + +465 +00:46:06,670 --> 00:46:13,250 +لو انا رفعت المريض على منصفه و انا تحت و اعمله هيك + +466 +00:46:13,250 --> 00:46:20,190 +هل هذا صح؟لأن وقل ضوئي يبدرب تحت في قاع الشبكية في + +467 +00:46:20,190 --> 00:46:24,290 +الحالة الأولى، هيك وانا اللي واقف فوق، يا إما لو + +468 +00:46:24,290 --> 00:46:28,910 +العين هو اللي فوق، ضوئي بدرب في رأس الشبكية، فوق، + +469 +00:46:28,910 --> 00:46:34,110 +مش ع القطب، وهدي مهم يا بناتي اسمه foveal + +470 +00:46:34,110 --> 00:46:43,690 +refraction، جميل اسم، صح؟ فهو بشبهلي شغلي في + +471 +00:46:43,690 --> 00:46:51,170 +رتنسكوب شغل كاميراالكاميرا بتطلع دوء بنزل على + +472 +00:46:51,170 --> 00:46:58,570 +العين والعين بترجعه اه وبصير بعد هيك المنظر اللي + +473 +00:46:58,570 --> 00:47:02,430 +بتطلع عشان تقولي كل انت ما قربت على عين بتلاقي + +474 +00:47:02,430 --> 00:47:09,030 +البقبق بتاعه أحمر فرتنسكوب يعني إلى حد بعيد بيشتغل + +475 +00:47:09,030 --> 00:47:14,830 +بنفس طريقة الكاميرا الكاميرا طيب + +476 +00:47:16,970 --> 00:47:25,670 +الان movement over الاتنسكوب و انا ليش بعمل حركة + +477 +00:47:25,670 --> 00:47:30,110 +مرة شمال و مرة يمين يعني ماذا لو انا اضغط + +478 +00:47:30,110 --> 00:47:35,630 +الاتنسكوب و حطيته في عين العيان static هيك بس هل + +479 +00:47:35,630 --> 00:47:40,290 +static هيك بطلع نتيجة لأ لأ طب ليش انا بعمل مرة + +480 +00:47:40,290 --> 00:47:45,940 +هيك left و مرة right مرة up و مرة downعشان اعرف + +481 +00:47:45,940 --> 00:47:51,040 +الحالة المريضية اللي عندها ايوة الحالة البصرية انا + +482 +00:47:51,040 --> 00:47:56,320 +بعمل movement لان ال movement تعبر على الحالة + +483 +00:47:56,320 --> 00:48:05,140 +البصرية لهذه العين الوقت اللي اضيف عدسات لمعادرة + +484 +00:48:05,140 --> 00:48:13,560 +الخلل البصري في عين هذا الشخص او المريضوقوف هذه + +485 +00:48:13,560 --> 00:48:21,160 +الحركة هو علامة ليه؟ نقطة التعدد + +486 +00:48:21,160 --> 00:48:27,800 +neutral point يبقى كل اللي بيعملوا movement left و + +487 +00:48:27,800 --> 00:48:32,680 +right و up و down و بيضعوا عدسات و بيعيدوا الفحص و + +488 +00:48:32,680 --> 00:48:36,760 +بيضعوا عدسات جديدة و بيعيدوا الفحص هدفهم واحد + +489 +00:48:36,760 --> 00:48:45,170 +الأهم بتاعهم واحدإن يصل إلى point of no movement + +490 +00:48:45,170 --> 00:48:52,270 +which is called neutral point يبقى اسمه neutral + +491 +00:48:52,270 --> 00:49:02,350 +point طيب طب نبدأ السؤال ال light + +492 +00:49:02,350 --> 00:49:12,530 +اللي بيغادر عين المريض ال مايومهل هو divergent ولا + +493 +00:49:12,530 --> 00:49:19,090 +parallel ولا convergent؟ convergent + +494 +00:49:19,090 --> 00:49:24,470 +طب ليش؟ ليش convergent؟ أنا عاد بدأ أفهم ليش + +495 +00:49:24,470 --> 00:49:28,310 +convergent ليش؟ + +496 +00:49:28,310 --> 00:49:36,710 +ليش؟ الدوء الذي يغادر عين المريض الميوب يكون + +497 +00:49:36,710 --> 00:49:44,900 +convergentلأ ليش؟ ليش تفسيره؟ + +498 +00:49:44,900 --> 00:49:48,280 +بدي + +499 +00:49:48,280 --> 00:49:54,460 +أرسم رسمة أنا بدي أرسم رسمة بدي أرسم رسمة ولعل من + +500 +00:49:54,460 --> 00:49:59,660 +الرسمة هذه نفهة طيب الله سامحني بدي أرسم رسمة أنا + +501 +00:49:59,660 --> 00:50:03,380 +العين هذا الآن my world why less + +502 +00:50:09,860 --> 00:50:17,320 +أنا بدأ أقول إن الكورنيا هذه يعني فقط 45 + +503 +00:50:17,320 --> 00:50:31,680 +ديوبتر واللنز هذه 19 كله كده اشتنع 64 64 ديوبتر + +504 +00:50:31,680 --> 00:50:34,900 +plus + +505 +00:50:36,130 --> 00:50:42,470 +طيب هتوقع هذا مايوب ولا hypermetrope؟ مايوب طيب + +506 +00:50:42,470 --> 00:50:50,290 +الضوء اللي سقطته أنا على عين العيان اللي + +507 +00:50:50,290 --> 00:50:54,110 +سقطته براي على عين العيان تجمع وين؟ في نقطة هنا + +508 +00:50:54,110 --> 00:50:57,630 +مثلا كويس؟ هذا ال focus + +509 +00:51:00,380 --> 00:51:06,020 +طيب مقصش يعني الشبكية صح؟ لأ طيب لو هذا الضوء الآن + +510 +00:51:06,020 --> 00:51:10,400 +بده يغادر العين مرّا + +511 +00:51:10,400 --> 00:51:15,120 +بالإيش؟ بالـ lens بعدين بال retina بال .. بال + +512 +00:51:15,120 --> 00:51:21,840 +cornea أولا هيجعب؟ هيجعب هنا هاي .. هاي هيجعب هنا + +513 +00:51:21,840 --> 00:51:28,420 +يبقى هو ليش وجعب هنا؟ لأن ال lens و ال corneaأقوى + +514 +00:51:28,420 --> 00:51:34,580 +من اللازم أقوى من العادي الـ METRO هيك أنا بقدر + +515 +00:51:34,580 --> 00:51:39,800 +أفهم النضالية طيب بنفس الطريقة الـ HYPERMETROPE + +516 +00:51:39,800 --> 00:51:48,300 +الضوء بيغادر العين الـ DIVERGENT ليش؟ لأن + +517 +00:51:48,300 --> 00:51:54,940 +القوة بتاعة الكورميا والـ LENS أصغر من اللازم + +518 +00:51:55,760 --> 00:52:01,400 +فالضوء إجا من ورا هنا اتجمع الضوء واش ساقط وين ورا + +519 +00:52:01,400 --> 00:52:09,300 +الشبكية فلمّا إجا يرجع أ ليجي هذه ضعيفة و ليجي هنا + +520 +00:52:09,300 --> 00:52:16,160 +الكون ضعيفة فاطلأ أ diverge و هذا كويس المفاهيم + +521 +00:52:16,160 --> 00:52:22,420 +كان دكتور بدارسنا زمان يقول please tell me why the + +522 +00:52:22,420 --> 00:52:32,120 +night at night yousee the light from the cat's a + +523 +00:52:32,120 --> 00:52:36,140 +diverging + +524 +00:52:36,140 --> 00:52:41,300 +mirror في الليل لما تضو عليها عين القطة بتلاقيها + +525 +00:52:41,300 --> 00:52:49,000 +diverging like mirror لأن كلهم hypermetrophy ليش + +526 +00:52:49,000 --> 00:52:53,500 +كل hypermetrophy هذهالحيوانات كلها كلها الـ lion و + +527 +00:52:53,500 --> 00:53:00,960 +ال camel و ال horse و ال cats و ال dogs ليش hyper + +528 +00:53:00,960 --> 00:53:07,700 +metroid؟ لأنها تعتمد على fight and flight تعتمد + +529 +00:53:07,700 --> 00:53:13,940 +على إما إما هي مفترسة أو ضحية فيعني إذا كنت بتفترس + +530 +00:53:13,940 --> 00:53:16,720 +تبتدى تشوف اللي بعيد إذا كان هي بدها + +531 +00:53:23,970 --> 00:53:30,310 +الغزالة تقف على مرتفع وتطلق صوتا فتسمعه أولادها + +532 +00:53:30,310 --> 00:53:35,470 +فياتون جريا إلى الغزالة من أقاس الغابة اللي هم + +533 +00:53:35,470 --> 00:53:39,710 +عالم غير عالمنا لكن الحمد لله لإننا القريب والبعيد + +534 +00:53:40,370 --> 00:53:44,890 +وهذا نعمة من الله عز وجل ولقد كرمنا بني آدمة + +535 +00:53:44,890 --> 00:53:48,950 +وحملناهم في البري والبحري ورزقناهم من الطيبات + +536 +00:53:48,950 --> 00:53:54,890 +وفضلناهم على كثير ممن خلقنا تفضيلة مافيش يعني الله + +537 +00:53:54,890 --> 00:54:00,050 +أكرم إنسان أكتر من الملائكة بتعرفوا أن ربنا أكرمنا + +538 +00:54:00,050 --> 00:54:04,850 +أكتر من الملائكة ليش؟ لأن الملائكة ربنا أعطاهم عقل + +539 +00:54:04,850 --> 00:54:10,790 +ونزع منهم الشهوةفيش حاجة مش هم لا أكل ولا شرب ولا + +540 +00:54:10,790 --> 00:54:15,610 +جنس ولا حاجة ولا حيوانات الله نزع منها العقل و + +541 +00:54:15,610 --> 00:54:18,770 +أطلع الشهوة بس مين ده جماعة بين العقل و الشهوة + +542 +00:54:18,770 --> 00:54:24,090 +الانسان مش الله أكرمه هيك و عليه أنه أشكر الله عز + +543 +00:54:24,090 --> 00:54:29,070 +وجل على يعني انه جماعة في هذه ال .. يعني ال .. + +544 +00:54:29,070 --> 00:54:34,410 +الأشياء اللي .. اللي .. اللي هي حرم منها غيره طيب + +545 +00:54:36,140 --> 00:54:42,540 +الويندوز هذا is not genuine ميت مرة بطلعتي طيب + +546 +00:54:42,540 --> 00:54:49,760 +الان ان اللهم سمى father واخد اسمه sleep position + +547 +00:54:52,150 --> 00:54:57,230 +طيب sleep position بتحطه up ولا down ولا .. down + +548 +00:54:57,230 --> 00:55:00,850 +خلاص يعني مش هندخل .. يعني في مدرسة بتقول up + +549 +00:55:00,850 --> 00:55:05,030 +position و في ناس بيحطه down position خلينا على ال + +550 +00:55:05,030 --> 00:55:10,790 +down position و بداشي نغير طيب ال rotation .. ال + +551 +00:55:10,790 --> 00:55:15,260 +rotation بتاع .. بتاع ال sleepفي three hundred and + +552 +00:55:15,260 --> 00:55:18,520 +sixty ايش بيفيد ؟ الاسلينيوماتيكي الاسلينيوماتيكي + +553 +00:55:18,520 --> 00:55:24,380 +axis طيب لو احنا لوقفنا في تلات مئو ستين وعملنا + +554 +00:55:24,380 --> 00:55:31,320 +movement ولاجينا the same the same reflex في ال + +555 +00:55:31,320 --> 00:55:39,180 +brightness وفي ال speed اه بيكون ايش سفير سفير + +556 +00:55:39,180 --> 00:55:46,570 +مافي error يعني لو وقفنا احناأه sleeve حطينا مرة + +557 +00:55:46,570 --> 00:55:48,390 +في التسعين مرة في المية و تمانين و مرة في المية و + +558 +00:55:48,390 --> 00:55:52,610 +باشين و مرة في المية و ستين و نحرك كل مرة بنحرك و + +559 +00:55:52,610 --> 00:56:00,090 +لجينا same brightness and speed of reflex بيكون + +560 +00:56:00,090 --> 00:56:10,110 +speed اما with او against لكن لو لجينا change في + +561 +00:56:10,110 --> 00:56:18,940 +ال brightnessأو في ال speed او حتى شوية في ال + +562 +00:56:18,940 --> 00:56:24,560 +direction زي الصورة هذه كنا قبل شوية نشوف الصورة + +563 +00:56:24,560 --> 00:56:29,940 +هذه جربنا + +564 +00:56:29,940 --> 00:56:37,600 +هنا ايوة اه + +565 +00:56:37,600 --> 00:56:45,190 +هي شايفين هي ضوءي و ال reflexواضح انهم مش متطابقين + +566 +00:56:45,190 --> 00:56:53,890 +فهو بيقول ايش عدل اللي هو الاتجاه الضوء اتجاه + +567 +00:56:53,890 --> 00:57:03,290 +الضوء عشان يتطابق مع ايش مع ال red reflex طيب + +568 +00:57:03,290 --> 00:57:11,590 +احنا + +569 +00:57:11,590 --> 00:57:12,270 +عملنا خمسة + +570 +00:57:15,510 --> 00:57:20,710 +طيب بس اخر حاجة انا بدي اعمل ال neutralization + +571 +00:57:20,710 --> 00:57:27,410 +للكورنيال vertical meridian والتاني horizontal + +572 +00:57:27,410 --> 00:57:32,130 +meridian كيف بدي اعمل انا هاي مثلا محور القنية + +573 +00:57:32,130 --> 00:57:39,350 +الرأسي وين اودي دو ايه عمودي عليهيعني هاي ال + +574 +00:57:39,350 --> 00:57:43,510 +medium القنانية الرأسي بدي أحرك أنا right and left + +575 +00:57:43,510 --> 00:57:52,410 +طيب و العكس صحيح لما يكون محور قنانية الأفقي بداوة + +576 +00:57:52,410 --> 00:58:00,450 +neutralization هو أفقي هيكبدي اعمل up و down و هذا + +577 +00:58:00,450 --> 00:58:06,510 +مهم جدا انه دايما ضوءي بتاع الريتنسكوب عمودي على + +578 +00:58:06,510 --> 00:58:12,710 +meridian of the cornea that must be neutralized + +579 +00:58:12,710 --> 00:58:16,570 +شكرا لكم على حسن استماع والسلام عليكم + diff --git a/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/NPqxDEiPb4I_raw.srt b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/NPqxDEiPb4I_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..1155b3e5c9fb21342358842eb178b0ddc827e90a --- /dev/null +++ b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/NPqxDEiPb4I_raw.srt @@ -0,0 +1,2336 @@ +1 +00:00:20,240 --> 00:00:23,600 +أعوذ بالله من الشيطان الرجيم بسم الله الرحمن + +2 +00:00:23,600 --> 00:00:27,360 +الرحيم الحمد لله وكفا وأصلي وأسلم على النبي مصطفى + +3 +00:00:27,360 --> 00:00:31,480 +السلام عليكم ورحمة الله وبركاتهلأن احنا عندنا + +4 +00:00:31,480 --> 00:00:36,260 +موضوع هام و كثير ما هي تكرر الموضوع هذا اسمه the + +5 +00:00:36,260 --> 00:00:40,860 +return of the glasses return of the glasses يعني + +6 +00:00:40,860 --> 00:00:47,900 +ارجاع النضارة بعدها يوم او يومين او تلاتة بشكل + +7 +00:00:47,900 --> 00:00:52,600 +احتجاجي يعني + +8 +00:00:54,400 --> 00:00:57,880 +بقول despite the best efforts to prescribe the + +9 +00:00:57,880 --> 00:01:01,580 +ideal combination of lenses for a patient some + +10 +00:01:01,580 --> 00:01:05,100 +people will return to the office بيجيك على المكتب + +11 +00:01:05,100 --> 00:01:12,100 +with a frown on their face يعني واضح الغضب في وجهه + +12 +00:01:12,100 --> 00:01:19,220 +and the spectacles in his hand و النضارة في إيدي + +13 +00:01:19,220 --> 00:01:30,240 +موالبا عن غضبهان هو uncomfortable يعني مش مرتاح + +14 +00:01:30,240 --> 00:01:40,140 +طيب الان هنا الخصائي في البصريات يجب ان يتحمل + +15 +00:01:40,140 --> 00:01:45,340 +مسئولية يكون عمل prescription او examination then + +16 +00:01:45,340 --> 00:01:51,400 +prescription بده هو يوجد حل لراحت من المريض + +17 +00:01:53,450 --> 00:01:57,870 +كيف نريح المريض في مثل هذه الحالات اللي هو تعبان و + +18 +00:01:57,870 --> 00:02:04,370 +غضبان بعد الفحص و بعد ال prescription و بعد ال + +19 +00:02:04,370 --> 00:02:11,770 +money paying، دافع، كمان تعبان، بقول التالي أوش + +20 +00:02:11,770 --> 00:02:19,010 +تشخص الأسباب ما هي الأسباب التي أفضت إلى هذا بقول + +21 +00:02:19,010 --> 00:02:25,080 +لي الاحتمال أولإن الـ Optician لم ينفذ الـ + +22 +00:02:25,080 --> 00:02:33,180 +prescription وضع شيء آخر أو شيء تقريبي أقل في الـ + +23 +00:02:33,180 --> 00:02:36,460 +power أو أكتر في الـ power يبقى it could be that + +24 +00:02:36,460 --> 00:02:42,760 +the lenses were made incorrectly في حاجة غلط في + +25 +00:02:42,760 --> 00:02:46,740 +النزل أو + +26 +00:02:46,740 --> 00:02:54,880 +لو في سلندر في ال axis of سلندرفي shifting أو + +27 +00:02:54,880 --> 00:03:02,760 +تغيير مثلا بدل 90 يعمل 60 بعد 180 يعمل 150 + +28 +00:03:02,760 --> 00:03:06,280 +والحقيقة + +29 +00:03:06,280 --> 00:03:12,900 +أن موضوع axis of cylinder مهم جدا لأنه لايعرف قيمة + +30 +00:03:12,900 --> 00:03:19,120 +axis of cylinder إلا الأخ الصحيولمّا كانت المحلات + +31 +00:03:19,120 --> 00:03:23,140 +أو المراكز بتشغل ناس مش أخصائين ولا خبرة لهم + +32 +00:03:23,140 --> 00:03:29,220 +بموضوع الـ optometry بالمرة فإنه مش مهم عنده هو + +33 +00:03:29,220 --> 00:03:32,460 +يحط التسعين تمانين ولا يحط التمانين مية وستين مش + +34 +00:03:32,460 --> 00:03:39,660 +مهم عنده وبالتالي التغيير في ال axis of cylinder + +35 +00:03:39,660 --> 00:03:46,120 +ضار جدا لأنه بتعرفوا في ال axis ال power zero + +36 +00:03:46,120 --> 00:03:54,060 +وعمودي عليه fullفالـ change من الـ zero إلى ال + +37 +00:03:54,060 --> 00:03:58,660 +power أو من ال power إلى ال zero هذه مشكلة السبب + +38 +00:03:58,660 --> 00:04:05,420 +التالت different base curve ال base curve بتاع أي + +39 +00:04:05,420 --> 00:04:10,320 +lens بيأثر على اللي هو ال effectivity بتاعتها + +40 +00:04:10,320 --> 00:04:16,860 +بيأثر على ال power يعني of that lens في + +41 +00:04:16,860 --> 00:04:22,300 +changeفي ال base curve عن ال standard اللي هو + +42 +00:04:22,300 --> 00:04:27,900 +الموضوع الشيء الرابع significant change in lens + +43 +00:04:27,900 --> 00:04:35,140 +power يعني مثلا في حدود 0.25 + +44 +00:04:35,140 --> 00:04:45,240 +ديوبتر سفير او سيلندر يعني ممكن يكون فش فرق كبير + +45 +00:04:45,240 --> 00:04:47,480 +لكن + +46 +00:04:48,480 --> 00:04:53,520 +يكون فيه significant difference يعني بداية مثلا + +47 +00:04:53,520 --> 00:05:00,380 +for موضوع ال two or six هذا اسمه significant + +48 +00:05:00,380 --> 00:05:10,460 +difference يعني فرق كبير أو فرق ملحوظ هذا بيعمل + +49 +00:05:10,460 --> 00:05:16,900 +uncomfortable يبقى هذه الأسباب اللي عندنابدنا + +50 +00:05:16,900 --> 00:05:23,280 +نناقش لماذا يأتي المريض يحمل نضارة ويبدي أسفه وغضب + +51 +00:05:23,280 --> 00:05:27,660 +علينا وإحنا بنتحمل المسئولية في إيجاد الراحة + +52 +00:05:27,660 --> 00:05:35,120 +اللازمة لهذا المسكين طيب الشي الأول اللي هنعمله + +53 +00:05:35,120 --> 00:05:43,520 +أول شي ناخد spectacle lenses هذه النضارة ونروح ل + +54 +00:05:43,520 --> 00:05:49,690 +lensmeter نقيسهاالنزمتر ونقارن نعمل comparison + +55 +00:05:49,690 --> 00:05:56,550 +between the prescription and the nizmeter values + +56 +00:05:56,550 --> 00:05:59,950 +هل + +57 +00:05:59,950 --> 00:06:06,630 +ال prescription اللي أنا كتبته هو اللي موجود في ال + +58 +00:06:06,630 --> 00:06:12,350 +spectacle سهل ولا فيه change طبعا + +59 +00:06:12,350 --> 00:06:19,970 +ممكن أراجع ال change هو ال changequarter سير + +60 +00:06:19,970 --> 00:06:27,610 +او سلندر يعني مابيعملش متعب كتير لكن اكتر من هيك + +61 +00:06:27,610 --> 00:06:34,270 +بيعمل نصف من فوق بيعمل نهيك عن ال axis of cylinder + +62 +00:06:34,270 --> 00:06:43,150 +بيعمل اكتر بيعمل اكتر يبقى الآن انا بتعمل + +63 +00:06:43,150 --> 00:06:52,190 +comparisonمقارنة بين my prescription وبين اللي هو + +64 +00:06:52,190 --> 00:06:57,730 +ال lensmeter values لأنه ممكن اللي نفذ الوصفة مش + +65 +00:06:57,730 --> 00:07:03,950 +انا نفذها اي محل بصريا وممكن واحد ماشي specialist + +66 +00:07:03,950 --> 00:07:08,510 +بالمرة وممكن + +67 +00:07:08,510 --> 00:07:16,250 +يكون ال specialist يغلب عليهالشعور التجاري يعني + +68 +00:07:16,250 --> 00:07:21,990 +خسارة البيعة تروح من عندنا يعني وولّف حاجة بدل + +69 +00:07:21,990 --> 00:07:27,650 +حاجة يعني ممنوع أي بيعة تطلع من عندنا وهذا أنا + +70 +00:07:27,650 --> 00:07:33,670 +بشوفه كتير في موضوع ال Transposition أنا كاتب وصفة + +71 +00:07:33,670 --> 00:07:37,250 +بمعنى السيلندر لأن أنا بظن في العلم أن معنى + +72 +00:07:37,250 --> 00:07:41,540 +السيلندر بريح الهيان أكتر من plus cylinderبروح بتن + +73 +00:07:41,540 --> 00:07:45,260 +العنق و بيحولها to transposition و يريد حتى + +74 +00:07:45,260 --> 00:07:49,220 +transposition كامل لأ يعني بيعمل modification يعني + +75 +00:07:49,220 --> 00:07:55,480 +بالعربي بيغلغ الوصفة بتاعتي و بفت وصفة من هنا هذه + +76 +00:07:55,480 --> 00:07:59,140 +طبعا المشكلة المشكلة أولا في أن المريض تعبان + +77 +00:07:59,140 --> 00:08:06,020 +المشكلة التانية أنه بعرف تعبه مني أنا مش تعبه من + +78 +00:08:06,020 --> 00:08:11,840 +الليل اللي هو طلعله ال spectaclesفي مشكلة تالتة + +79 +00:08:11,840 --> 00:08:14,820 +المشكلة التالتة انا عندي lazy minotaur لما انا + +80 +00:08:14,820 --> 00:08:20,820 +بجيسه و بلاقي اختلاف مش قادر انا اعمل مشكلة بين + +81 +00:08:20,820 --> 00:08:26,220 +المريض و بين ال optician في المركز لأن معناه ان + +82 +00:08:26,220 --> 00:08:31,440 +اقوله ان ال glasses هذه غلط مش انا اللي عملتها و + +83 +00:08:31,440 --> 00:08:34,600 +هي الدليل اللي عملتها هي مامله في ال trial frame + +84 +00:08:34,600 --> 00:08:38,800 +بشوف فيها تمام بينما التاني مش شايفها كويس و تعبان + +85 +00:08:38,800 --> 00:08:42,270 +منهامعنى اني اقوله لأ مش هذي اللي انا عملتها معناه + +86 +00:08:42,270 --> 00:08:49,630 +انه انا عملت مشكلة بين مين ومين بين المريض وبين ال + +87 +00:08:49,630 --> 00:08:57,750 +مركز الoptician هي تلت مشاكل صارت والمريض مش مقتنع + +88 +00:08:57,750 --> 00:09:02,730 +الا بده يرتاح وكيف + +89 +00:09:02,730 --> 00:09:09,990 +نحل المشكلة نكتب رسالة مغلقة للأخ الكريمو نوريه + +90 +00:09:09,990 --> 00:09:13,990 +المقارنة و نرجوه فيها ان هو يريح العيان و نقوله + +91 +00:09:13,990 --> 00:09:16,890 +لعيان ان شاء الله هتلاقي راحة بس انت اسأله احنا + +92 +00:09:16,890 --> 00:09:19,890 +عملنا توصية معينة و مانقولوش غلط ولا صح ولا بصح + +93 +00:09:19,890 --> 00:09:25,710 +عشان نحافظ على شعور مين؟ الزملاء و الأصحاب و انا + +94 +00:09:25,710 --> 00:09:30,170 +مين معلموني بعد التخرج في الدكتوراه انه لا تظهر + +95 +00:09:30,170 --> 00:09:35,770 +عيبا لزميلك ابدا مش من أخلاقية المهنة مش من + +96 +00:09:35,770 --> 00:09:39,030 +أخلاقية المهنة ابدا ان انا اكشف عيب زميلي + +97 +00:09:41,720 --> 00:09:48,220 +لحاجتين وهذه من أخلاقية المهنة أول شيء أن زميلي + +98 +00:09:48,220 --> 00:09:54,800 +هضطر ينتقم في أقرب فرصة ويبحث على عيوب إلي لينشرها + +99 +00:09:54,800 --> 00:09:59,980 +في السوق الشيء التاني اللي أنا مقتنع فيها أنه تجعل + +100 +00:09:59,980 --> 00:10:06,900 +المريض يحزق مننا جميعا المريض يقول كلهم مش نافعين + +101 +00:10:06,900 --> 00:10:13,620 +كلهم بسوش كلهم مش كويسينفمن أخلاقها تلمنا أننا + +102 +00:10:13,620 --> 00:10:18,320 +نحترم الزمالة و حق الزمالة حتى لو كان في أخطأ و من + +103 +00:10:18,320 --> 00:10:28,360 +منا لا يخطئ صحيك؟ طيب الآن في قصة صغيرة حصلت معنا + +104 +00:10:28,360 --> 00:10:36,120 +وسألونا فيها أن طبيب مشهور في علم القلب و الأوراق + +105 +00:10:36,120 --> 00:10:43,450 +الدموية عنده ممرضة حادقةقاس الضغط .. قاس الضغط + +106 +00:10:43,450 --> 00:10:52,410 +للناس اللي عنده فجأة أخبرته أنه هذا المسن ضغطه + +107 +00:10:52,410 --> 00:10:59,030 +مثلا 200 على 140 عالي ولا واطي؟ عالي عالي إيش + +108 +00:10:59,030 --> 00:11:06,690 +الطبيب بده يتصرف؟ بده يتصرف مع هذا المسن وضغطه 200 + +109 +00:11:06,690 --> 00:11:07,270 +على 140 + +110 +00:11:11,990 --> 00:11:20,630 +لازم يتحرك عن مكتبه ويدهب إلى سرير المريض ويقيس + +111 +00:11:20,630 --> 00:11:28,430 +الضغط بنفسه احتمال واحد في المية ان تكون الممرضة + +112 +00:11:28,430 --> 00:11:35,090 +اخطر هو هيك بيكون ادقت المريض من ورطة هتلازمه طول + +113 +00:11:35,090 --> 00:11:40,950 +عمره ايش هي الورطة انه هذا hypertensive يعني هذا + +114 +00:11:40,950 --> 00:11:46,870 +مريض ضغطإن هو كتب له الدواء انتهى هيفضل وين ما راح + +115 +00:11:46,870 --> 00:11:51,210 +الدوارة ليش هيبقى intensive مين اللي بده يجرّع + +116 +00:11:51,210 --> 00:11:54,290 +بعدين وقف العلاج لحظة يموت هذا المريض بيقولك إن + +117 +00:11:54,290 --> 00:12:00,790 +وقفناه العلاج بيموت خلاص في أخصائي كتب له وإحنا في + +118 +00:12:00,790 --> 00:12:08,530 +موضوع ال description لازم تكون دقيقين لو إجا و هو + +119 +00:12:08,530 --> 00:12:14,930 +مش مرتاح لأنجيزه عن الونشوف فعلا هل ال description + +120 +00:12:14,930 --> 00:12:20,570 +اللي كتبناها توافق اللي هو ال spectacle اللي + +121 +00:12:20,570 --> 00:12:26,210 +موجودة في إيده و هل سبب تعبه و عدم راحته هو هذا + +122 +00:12:26,210 --> 00:12:31,770 +ولا شيء آخر طيب في الغالب والله و أنا أحيان تبقى + +123 +00:12:31,770 --> 00:12:36,370 +بنلاقي اختلاف بين الاختلاف ناليه بطريقة الحكيمة صح + +124 +00:12:36,370 --> 00:12:40,870 +طيب لو لجينا دسيل إذا نستعمل مشكلة قائمة + +125 +00:12:44,940 --> 00:12:50,740 +بقول لي بدي اقيس ال inter pupillary distance في + +126 +00:12:50,740 --> 00:12:56,420 +النضارة هذه لأن هذا ال IPD سهل ممتنع معظم الناس + +127 +00:12:56,420 --> 00:13:02,860 +مايعرفوا ايش معناه معظم الناس مايعرفوش IPD و فرق + +128 +00:13:02,860 --> 00:13:05,820 +يعني بين الإنسان اللي مش ممارس أساسا بصريات مش + +129 +00:13:05,820 --> 00:13:10,720 +قارئ بصريات أو بين الإنسان التكنيشن البسيط وبين + +130 +00:13:10,720 --> 00:13:15,230 +الإنسان ال academicبيعرف ان انتر بيوبيو ديستانس لو + +131 +00:13:15,230 --> 00:13:20,430 +زوغنا عنه بيعمل بريزماتيك افكت اما في ناحية ال + +132 +00:13:20,430 --> 00:13:27,790 +plus او في ناحية ال minus صحيح؟ لان ال plus lens + +133 +00:13:27,790 --> 00:13:33,950 +فيها two prisms منشورين base to base وال minus + +134 +00:13:33,950 --> 00:13:42,270 +lens فيها two منشورين apex to apexال IPD زغرت أو + +135 +00:13:42,270 --> 00:13:48,570 +كبرت عن المطلوب دخلتني في .. في Prismatic Effect + +136 +00:13:48,570 --> 00:13:55,710 +وشعور بالحول وشعور ما بيقبر عنه عيان أحيانا إلا + +137 +00:13:55,710 --> 00:13:59,870 +إنه مش مرتاح واحد بيقول عيني بدأ تطلع من وجهي واحد + +138 +00:13:59,870 --> 00:14:02,390 +بيقولك راسي بده ينفجر وواحد بيقولك في إشي بشدني + +139 +00:14:02,390 --> 00:14:06,430 +وفي إشي بقولك حس حالي بحول وكل الشكاوي هذه المرة + +140 +00:14:06,430 --> 00:14:12,410 +تعنييبقى انا بتجيس ال IPD في النضارة هذه و اشوف + +141 +00:14:12,410 --> 00:14:19,110 +هال IPD اللي انا كاتبها له تحت IPD بمثال 60 احنا + +142 +00:14:19,110 --> 00:14:24,430 +بتجيه 70 حتتها و احنا بتجيه حتتها 55 التانية غلط + +143 +00:14:24,430 --> 00:14:28,090 +طيب + +144 +00:14:28,090 --> 00:14:33,550 +لو انا جيت ال IPD سليمة ملاحظين ان انا بعمل تشخيص + +145 +00:14:33,550 --> 00:14:40,030 +من اول جديد اناواحدة واحدة prescription عملتها IPD + +146 +00:14:40,030 --> 00:14:45,270 +عملته اي تغيير بدي اعتبره الان طيب لو لجيت ال IPD + +147 +00:14:45,270 --> 00:14:52,150 +طبيعي عادي كويس بيهاجيه لو النضارة bifocal بيفوكل + +148 +00:14:52,150 --> 00:15:00,290 +مزدوجة بيقول فيه قاعدة ان ال line شايفينوا هذا ال + +149 +00:15:00,290 --> 00:15:05,620 +line اللي between ال upper segment لل distanceو ال + +150 +00:15:05,620 --> 00:15:10,640 +lower segment للنير هذا ال line يجب أن يمشي مع + +151 +00:15:10,640 --> 00:15:18,360 +الحافة الجفن السفلية السفلية مع الشعر هذا طيب + +152 +00:15:18,360 --> 00:15:27,040 +لو وضعوا الحز هذا علويا هنا أو وضعوه سفليا هنا + +153 +00:15:27,040 --> 00:15:36,190 +هيعمل متاعي بالمريض في الحالة الأولى اههيصير + +154 +00:15:36,190 --> 00:15:41,770 +المريض يعمل هيك عشان يشوف البعيد اه و لو كانت فوق + +155 +00:15:41,770 --> 00:15:47,410 +هتطلع يعمل هيك يعني عشان يشوف البعيد و كلهم بيعمل + +156 +00:15:47,410 --> 00:15:52,650 +تعب و بيعمل إرهاق على المريض فطبعا انا بلبس وياها + +157 +00:15:52,650 --> 00:15:58,490 +و أشوف هل فعلا ال line between two segments فعلا + +158 +00:15:58,490 --> 00:16:05,590 +ماشي مع ال lowermargin of lower eyelid مع lower + +159 +00:16:05,590 --> 00:16:13,630 +margin of eyelid طيب انا لجيتها صح بدي امشي طب ايه + +160 +00:16:13,630 --> 00:16:18,730 +سبب التعب حتى الآن مش لاجي سبب بخش في النقطة + +161 +00:16:18,730 --> 00:16:25,290 +الرابعة بقول النقطة الرابعة ان انا اخد المريض او + +162 +00:16:25,290 --> 00:16:33,430 +المريضة الى ال darkroom و اعملهAccurate Refraction + +163 +00:16:33,430 --> 00:16:37,050 +Refraction + +164 +00:16:37,050 --> 00:16:42,490 +أدق من Refraction و Time Consuming أكتر من + +165 +00:16:42,490 --> 00:16:48,230 +Refraction الأول ربما ال Refraction الأول كان جاي + +166 +00:16:48,230 --> 00:16:54,250 +في crowdings زحمة مرضى فبيكون ال Refractionist + +167 +00:16:54,250 --> 00:16:59,190 +يعني بيخلص من الحالات و أنا شفت يعنيفي ال + +168 +00:16:59,190 --> 00:17:02,050 +examination room كان عندنا في جامعة الخرطوم يعني + +169 +00:17:02,050 --> 00:17:10,050 +يكون مثلا مائة مريض على غرف تشوف يعني مين هي وعلى + +170 +00:17:10,050 --> 00:17:14,190 +مثلا خمس غرف يعني كل وقع بينهم العشرين حالة ورا + +171 +00:17:14,190 --> 00:17:17,330 +بعض عشرين حالة reflection عشان بيلاكوا روحهم على + +172 +00:17:17,330 --> 00:17:22,930 +العيادات ومعهم ال reflection بتاعهم فاحيانا اضطر + +173 +00:17:22,930 --> 00:17:28,670 +reflectionist انه يسرعحتى ايش يشهر الحالات هذه + +174 +00:17:28,670 --> 00:17:32,710 +السرعة بتعمل بعض الأخطاء لأ انا المريض ده اللي جاي + +175 +00:17:32,710 --> 00:17:37,670 +يشكو ع حالة خاصة special case بدل انا احطه ايش في + +176 +00:17:37,670 --> 00:17:42,230 +dark room و اعمله يعني reflection يختلف عن + +177 +00:17:42,230 --> 00:17:47,830 +الأولاني و time consuming و اعمله يعني نتيجة جديدة + +178 +00:17:47,830 --> 00:17:52,110 +طيب و اقارن النتيجة اللي طلعت لها جديد بدون تأثر + +179 +00:17:52,110 --> 00:17:58,360 +في الجديدألس القديم الـ a نتيجة اللي طلعت جديد في + +180 +00:17:58,360 --> 00:18:03,300 +ال subjective و جابلها ال objective refraction هل + +181 +00:18:03,300 --> 00:18:07,660 +هي the same ولا في اختلاف؟ طب انا في الحلقة هذه ما + +182 +00:18:07,660 --> 00:18:12,460 +اتمنى اللاجئ في difference ليش؟ لان اللاجئ في + +183 +00:18:12,460 --> 00:18:18,440 +difference هذا هو الحل هذا هو الحل والاعتراف بالحق + +184 +00:18:18,440 --> 00:18:25,120 +فضيلة و العودة إلى الحق فضيلةيعني ليش انا اعاند + +185 +00:18:25,120 --> 00:18:29,560 +الحق و اقول لأ لأ كله تمام ولا حاجة لأ مش من عندنا + +186 +00:18:29,560 --> 00:18:35,000 +احنا ماخصنعش لأ و زي ما قلت في القرآن الإنسان يعني + +187 +00:18:35,000 --> 00:18:38,560 +بيعامل الله عز و جل قبل ما عامل البشر في حد فينا + +188 +00:18:38,560 --> 00:18:43,940 +باختئش مافي حد فينا ماختئش ماختئش من الإنسان او + +189 +00:18:43,940 --> 00:18:47,280 +واحد يعني جاله خطأ يعني بارك الله فيه رحم الله من + +190 +00:18:47,280 --> 00:18:53,960 +أن أهدى إليه عيوبالان انا اعملت reflection دقيق + +191 +00:18:53,960 --> 00:18:59,160 +slow متأني يختلف عن ال reflection و ليش لغرض راحة + +192 +00:18:59,160 --> 00:19:03,000 +المرضى هو احنا كلهيتنا في السلكة الطبية اذا احنا + +193 +00:19:03,000 --> 00:19:11,760 +مانعملش راحة المرضى فشغلنا مش نافع شغلنا باطل اذا + +194 +00:19:11,760 --> 00:19:15,360 +كان كل من هو في السلكة الطبية ال medicine و ال + +195 +00:19:15,360 --> 00:19:20,940 +para medicineما بيعمل ال comfort of patients يبقى + +196 +00:19:20,940 --> 00:19:25,480 +احنا useless ده رايح عن نفسنا يعني؟ ليش احنا بنروح + +197 +00:19:25,480 --> 00:19:30,460 +لأي طبيب و واحد مننا و احنا طباء بيتمنى يقدمله + +198 +00:19:30,460 --> 00:19:36,440 +احسن ما عنده و يطلع من عنده مرتاح و الناس هيك هو + +199 +00:19:36,440 --> 00:19:41,410 +بيجيك ينشط الراحةواحد مصدق وواحد تعبان وواحد ما + +200 +00:19:41,410 --> 00:19:46,530 +بيجراش وواحد يعني دايخ وواحد كده عنده errors بده + +201 +00:19:46,530 --> 00:19:52,630 +راحة طيب بقول في الغالب ان ال result is the same + +202 +00:19:52,630 --> 00:19:59,610 +او very close ل الأول ال difference كبير يعني هو + +203 +00:19:59,610 --> 00:20:04,790 +السبب التعب بيعمله لكن ان ال result is the same + +204 +00:20:06,170 --> 00:20:12,350 +بقول لي إن هذا wandering، شيء عجيب، بقول لي هذا + +205 +00:20:12,350 --> 00:20:18,290 +will leave the examiner scratching her head، إيش + +206 +00:20:18,290 --> 00:20:28,010 +يعني؟ شد شعره من التعجب، وين أو أين السبب في تعب + +207 +00:20:28,010 --> 00:20:32,670 +المريض من هذه النظارة؟مش بنعمل نضارة و بقولوا بس + +208 +00:20:32,670 --> 00:20:36,710 +لأ لأ هذه نضارة علاج علاجية هذه مش .. مش cosmetic + +209 +00:20:36,710 --> 00:20:41,230 +مش زينة وبالتالي المريض بعد هذه الرحلة هذه يطلع + +210 +00:20:41,230 --> 00:20:48,750 +تعبان و انا افعل كل هذا ولا اجد حالة اذا المريض + +211 +00:20:48,750 --> 00:20:53,490 +يعني هيفضل تعبان فقول لها تئس رغم التعجب و شد + +212 +00:20:53,490 --> 00:20:58,570 +الشعر اه و ال wondering ما .. ما تتعجب الان بقول + +213 +00:20:58,570 --> 00:21:05,680 +في لغز في الموضوعاللغز في الموضوع في A و في B في A + +214 +00:21:05,680 --> 00:21:16,340 +و في B اه اللي قال اولاني ان واحد مالبس نظارة قبل + +215 +00:21:16,340 --> 00:21:20,440 +ذلك و انا اكتشفت عنده reflective errors و هي سبب + +216 +00:21:20,440 --> 00:21:25,640 +تعبه و عملته glasses هيتعب منها لفترة من الزمن + +217 +00:21:25,640 --> 00:21:34,280 +بسبب ان ال visual center اهnot adapted for this + +218 +00:21:34,280 --> 00:21:45,440 +corruption يعني تماما إنسان داري على الشموع وعلى + +219 +00:21:45,440 --> 00:21:49,160 +السراج وفجأة + +220 +00:21:49,160 --> 00:21:56,930 +أوقض له bright light زي اللي عندنا هنا هل فيشعور + +221 +00:21:56,930 --> 00:22:03,270 +بتغيير مفاجئ عنده وشئ من عدم الراحة ولا لأ؟ طبعا + +222 +00:22:03,270 --> 00:22:09,070 +هو قبل سنين ضال على السيراج وعلى الشمس وبيقرأ + +223 +00:22:09,070 --> 00:22:14,490 +وبيقوم وكل حياته على هذا طب إن أنا أضأت له هذه + +224 +00:22:14,490 --> 00:22:18,730 +النيونات الكثيرة في الغرفة لأ لأ لأ لأ لأ لأ لأ لأ + +225 +00:22:18,730 --> 00:22:19,870 +لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ + +226 +00:22:19,870 --> 00:22:20,390 +لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ + +227 +00:22:20,390 --> 00:22:20,390 +لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ + +228 +00:22:20,390 --> 00:22:23,520 +لأ لأ لأ لأ لأ لأ لأ لأ لأفاللي تعود على ال + +229 +00:22:23,520 --> 00:22:29,880 +reflective errors من ميوب و من astigmatism فادئة + +230 +00:22:29,880 --> 00:22:36,800 +ان انا اعطيه full correction هذا شيء يعني متعب له + +231 +00:22:36,800 --> 00:22:42,640 +فانا بدي اناوه له هذه و اعمله hint ال hint هذه + +232 +00:22:42,640 --> 00:22:49,560 +مراحظة before using هذه glasses ان اقوله ايهان + +233 +00:22:49,560 --> 00:22:54,780 +اقول له هذه النضارة اللى هتلبسها تحتاج الى تعود + +234 +00:22:54,780 --> 00:22:58,980 +منذ اسبوعين تلبسها بالتدريج اول اول يوم ساعة بعدين + +235 +00:22:58,980 --> 00:23:01,560 +ساعتين بعدين تلاتة بعدين اربع بعدين خمسة بعدين ستة + +236 +00:23:01,560 --> 00:23:07,160 +وبعد اسبوعين هنراجب نشوف الرحل بتاعنا يمكن ال + +237 +00:23:07,160 --> 00:23:14,120 +precaution التحذير هذا اللى انا عملتهإنه يريحني من + +238 +00:23:14,120 --> 00:23:17,260 +إنه يجيني بعد يومين تلاتة و هو مكشر و غضبان و يرمي + +239 +00:23:17,260 --> 00:23:21,840 +النضارة و يذاعج عليها و يضرب على المكتب خاصة في + +240 +00:23:21,840 --> 00:23:30,180 +شعب الذعماء من هو شعب الذعماء الشعب + +241 +00:23:30,180 --> 00:23:38,280 +الغزي الشعب الذعماء طيب الشيء + +242 +00:23:38,280 --> 00:23:42,430 +التانيإن لو واحد متعود على نضارة بيه متعود على + +243 +00:23:42,430 --> 00:23:47,970 +نضارة لمدة طويلة و جيت انا اعملته new refraction و + +244 +00:23:47,970 --> 00:23:54,050 +لجيت عنده change عن الوضع الأولاني و أعطيته ال + +245 +00:23:54,050 --> 00:23:59,170 +correction الجديد أيضا هيعاني لأنه متعود على limit + +246 +00:23:59,170 --> 00:24:03,510 +معين بالنضارة الأولانية و أنا كتير صحيح يعني مثلا + +247 +00:24:03,510 --> 00:24:07,950 +واحد عنده كاين minus one minus one minus one minus + +248 +00:24:07,950 --> 00:24:12,740 +oneأو فيه شوية سيلندر وبعدين انا بعطيه واحد و نص + +249 +00:24:12,740 --> 00:24:19,240 +جديد واحد و نص بيقول لأ نضارتي أحسن و بيحس فيها + +250 +00:24:19,240 --> 00:24:24,720 +مكابرة بيقول لأ نضارتي أحسن خلاص هو حتى نضارته + +251 +00:24:24,720 --> 00:24:28,840 +وضها على عينيه و وضها على عنفه هو مخد الـlance هذا + +252 +00:24:28,840 --> 00:24:32,700 +يعني بقى لما تراي ال frame حاسسه ان الجيل مش عاجبه + +253 +00:24:32,700 --> 00:24:36,000 +كتير بيقول لأ نضارتي أحسن انا كتير اسمعت من المرضى + +254 +00:24:36,000 --> 00:24:41,620 +هيكونمع انه نضارته هي under correction عند الوضع + +255 +00:24:41,620 --> 00:24:46,140 +الجديد لكنه لأ نضارتي أحسن و اتمنى انه خلاص انه + +256 +00:24:46,140 --> 00:24:51,160 +مابديش اي تغيير فلأ انا ان صار و اعطيته تغيير عن + +257 +00:24:51,160 --> 00:24:55,580 +النضارة الأولى أيضا حيواني و ممكن جدا يجد من يكبر + +258 +00:24:55,580 --> 00:24:58,900 +له الوضع ويقول لا لا لا لا ها دي هتعمق ها دي + +259 +00:24:58,900 --> 00:25:04,680 +هتوديك ويجي ان هو يضرب عن مكتب و يزعج و crying وش + +260 +00:25:06,290 --> 00:25:10,450 +فبقولي ال precautions هذه اللي .. اللي هي + +261 +00:25:10,450 --> 00:25:17,170 +التحذيرات أو التوضيحات للمريض قبل سواء عمره ما عمل + +262 +00:25:17,170 --> 00:25:20,350 +نضارة أو عمل لأول مرة أو كان يلبس نضارة لسنوات و + +263 +00:25:20,350 --> 00:25:25,790 +بده يغيرها قد تريحني من النارفزة اللي هي جايانة في + +264 +00:25:25,790 --> 00:25:35,240 +الطريق كايس؟ هذا في علم الحياة تعالي ..بقول ليه + +265 +00:25:35,240 --> 00:25:46,820 +وما ذلك إذا بقى المريض مصرا على انه تعبان في مريض + +266 +00:25:46,820 --> 00:25:53,180 +عنده أسباب خاصة عنده مثلا changeable accommodation + +267 +00:25:53,180 --> 00:25:57,460 +changeable refraction كل يوم refraction بتاعه شكل + +268 +00:25:57,460 --> 00:26:01,360 +كل يوم accommodation بتاعه شكل هو إنسان nervous + +269 +00:26:01,360 --> 00:26:08,740 +عصبيالإنسان شكاك ..الإنسان عنده وسوسة هذه بيقولك + +270 +00:26:08,740 --> 00:26:14,360 +تحتاج إلى another .. أو other investigations هذا + +271 +00:26:14,360 --> 00:26:18,860 +يعني أشياء ما ورا ال optometry ممكن يوديها يعني + +272 +00:26:18,860 --> 00:26:28,540 +لطبيب نفسي اه ممكن يوديها يعني .. إنسان خبير يعني + +273 +00:26:28,540 --> 00:26:35,550 +.. اه بالاجتماعيةحتى ان حد له مشكلة هذه المهم انه + +274 +00:26:35,550 --> 00:26:40,350 +يكون علميا انا ماعنديش مشكلة اذا كان علميا ماعنديش + +275 +00:26:40,350 --> 00:26:45,690 +مشكلة باقى المواضيع بدها investigations خارج + +276 +00:26:45,690 --> 00:26:51,170 +الإطار ومادر يقول لي في common situations that + +277 +00:26:51,170 --> 00:26:58,170 +cause temporary problems يعني في بعض المواضيع او + +278 +00:26:58,170 --> 00:27:09,220 +الأسباب اللي هي بتعملمشاكل مؤقتة اهمها انه لما + +279 +00:27:09,220 --> 00:27:14,540 +يكون hyper metroid اعمله over correction more plus + +280 +00:27:14,540 --> 00:27:19,980 +يعني over correction of hyper mode ايش + +281 +00:27:19,980 --> 00:27:25,860 +هتعملي هذا hyper mode اللي over corrected هتعملي + +282 +00:27:25,860 --> 00:27:28,700 +suppression لل accommodation و للcellular muscle + +283 +00:27:30,310 --> 00:27:35,690 +الاخر هتعمل بعض ال magnification اعمل المكيف بالله + +284 +00:27:35,690 --> 00:27:42,650 +يا أستاذ اه هتعمل supprition لل accommodation + +285 +00:27:42,650 --> 00:27:46,410 +هتعمل ال magnification وبالتالي العيان مش هيرتاح + +286 +00:27:46,410 --> 00:27:53,150 +في حلقة ال hyper مترو مش لازم اعملها over plus أي + +287 +00:27:53,150 --> 00:27:59,800 +واحد two changing the cylindrical axisزي ما + +288 +00:27:59,800 --> 00:28:06,160 +قلتلكوا في المقدمة ان السيلندر فيه secret قليل من + +289 +00:28:06,160 --> 00:28:11,020 +الناس اللي بيعرفه الاهواء هو ان الـ axis ال power + +290 +00:28:11,020 --> 00:28:16,840 +is zero وال full power is perpendicular to the + +291 +00:28:16,840 --> 00:28:24,340 +axis perpendicular to the axis اي shifting لل + +292 +00:28:24,340 --> 00:28:31,230 +right او لل left عن ال axis المطلوبتعطيني + +293 +00:28:31,230 --> 00:28:38,250 +discomfort تعطيني تعب وبالتالي + +294 +00:28:38,250 --> 00:28:44,890 +الـ optometrist الهارق + +295 +00:28:44,890 --> 00:28:52,530 +هو اللي في حالة ال astigmatism بيوصف ال access + +296 +00:28:52,530 --> 00:28:58,530 +correctly أو perfectly لأن + +297 +00:28:58,530 --> 00:29:05,000 +ما معنىانه بعد كل ال examination ودفع ال money انه + +298 +00:29:05,000 --> 00:29:11,180 +يجي العيان واكتشف ان ال axis غلط صحيك؟ + +299 +00:29:11,180 --> 00:29:19,240 +صح طيب three increasing the cylinder power يعني + +300 +00:29:19,240 --> 00:29:26,160 +بدأ مثلا one ثور two ده ال two تصبح ال three وانا + +301 +00:29:26,160 --> 00:29:37,380 +بدأ أسأل سؤال الآنواحد عنده minus two DC مين + +302 +00:29:37,380 --> 00:29:44,440 +أصعب أعطيه minus one ولا أعطيه minus three + +303 +00:29:55,260 --> 00:29:59,520 +لما اعطيه under correction بكون حلية نفس المشكلة + +304 +00:29:59,520 --> 00:30:04,660 +لكن لما اعطيه minus three بكون صناعة عنده مشكلة + +305 +00:30:04,660 --> 00:30:10,760 +جديدة المشكلة الجديدة أصعب فال over correction of + +306 +00:30:10,760 --> 00:30:20,040 +cylinder انا فقمتله المشكلة زوّت في الألم طيب كمان + +307 +00:30:20,040 --> 00:30:26,020 +سبب رابعchanging the base curve of the lens or the + +308 +00:30:26,020 --> 00:30:28,000 +material of the lens ال material of the lens احنا + +309 +00:30:28,000 --> 00:30:33,260 +عندنا حاجتين اجزاز glass و انا plastic الحقيقة ان + +310 +00:30:33,260 --> 00:30:40,480 +احنا ال plastic ما بنحبه كتير لانه اول شي انه + +311 +00:30:40,480 --> 00:30:44,180 +scratching بتاعه سهل يعني انا حاطينا على مكتب على + +312 +00:30:44,180 --> 00:30:50,180 +اي سطح خشن بتجرح التجريح هذا معناه انه لو ايجا في + +313 +00:30:50,180 --> 00:30:54,490 +ال centerراح يعمل ايه على ال video access مشاكل + +314 +00:30:54,490 --> 00:31:04,050 +الشغل التاني انه بيحمل dirt يعني وساخة اول بس ال + +315 +00:31:04,050 --> 00:31:07,430 +mouse بيجي عليه اول ما اي حاجة تيجي عليه على طول + +316 +00:31:07,430 --> 00:31:14,170 +بيحمل dirt و بتغير شكله و لونه و بيصير ايش بيعمل + +317 +00:31:14,170 --> 00:31:18,970 +blurring of video طبقة عازلة يعني تمام يعني لو + +318 +00:31:18,970 --> 00:31:25,240 +احنا نحط على الزجاجيعني أي طبقة مثلا زي بلاستر + +319 +00:31:25,240 --> 00:31:30,700 +شفاف حتى ويلبسها .. هشوف إيش .. اه لو حطينا طبق + +320 +00:31:30,700 --> 00:31:35,800 +الزيت مثلا خاصة الأطفال بيأكل يعني بعض المأكلات و + +321 +00:31:35,800 --> 00:31:40,300 +بيمسك نضارة و إشي لكن إيه هنعطيها للأطفال لسببين + +322 +00:31:40,300 --> 00:31:47,740 +السبب الأول لأنه ال breakdown صعبفي بلاستيك و شهر + +323 +00:31:47,740 --> 00:31:54,160 +في الجزاز والطفل يعني أكتر ناس بيستحقه اللي هو إيش + +324 +00:31:54,160 --> 00:31:58,520 +اللي هو glasses في طفل يعني معدل مرتين أو تلاتة في + +325 +00:31:58,520 --> 00:32:04,020 +الشهر بيكسر نظارات و بيكسر عدسات فالبلاستيك بيصمد + +326 +00:32:04,020 --> 00:32:10,880 +للتكسير أكتر بكتير من إيش من الجزاز الشغلة التانية + +327 +00:32:11,610 --> 00:32:15,250 +إن كتير من الأطفال اللي عندهم convergence point + +328 +00:32:15,250 --> 00:32:20,950 +مضطر نعطيهم heavy plus، تقيلة، فلما تكون plastic + +329 +00:32:20,950 --> 00:32:25,790 +بتكون light، lightweight، يعني وزنها إيش؟ خفيف + +330 +00:32:25,790 --> 00:32:30,310 +لسه، يفالأن + +331 +00:32:30,310 --> 00:32:34,650 +احنا مشكلة the return of the glasses لازم نكون + +332 +00:32:34,650 --> 00:32:41,190 +مستعدين لحالهاما نكونش جبناء و نواجهها بمصداقية و + +333 +00:32:41,190 --> 00:32:46,910 +أريحية و نحترم المريض و نقدر شكواه .. نقدر شكواه + +334 +00:32:46,910 --> 00:32:52,190 +ما نكون جبناء و نقول ماخصنيش ولا نقوله روح للي + +335 +00:32:52,190 --> 00:32:57,290 +عملك و أنا ماخصنيش ولا نقوله أنت متواهم أبعد عني + +336 +00:32:57,290 --> 00:33:04,890 +.. لأ لازم أفتح صدري .. قصدي للحقوان اكون انسان + +337 +00:33:04,890 --> 00:33:12,290 +عندى قيم و عندى مصداقية و المريض بني انسان لما + +338 +00:33:12,290 --> 00:33:17,670 +يشوفني ان انا مهتم بألمه مهتم بالشكوى بتاعته + +339 +00:33:17,670 --> 00:33:26,530 +بيحترمني و بيعملي دعاية طيبة في المجتمع صحيك؟ اه + +340 +00:33:26,530 --> 00:33:31,770 +هذا ال terminology ال abbreviationsفاحنا في سنة + +341 +00:33:31,770 --> 00:33:37,210 +تانية كان زمان عندنا مساق ساعة اسمه optometric + +342 +00:33:37,210 --> 00:33:41,830 +terminology كل الحاجات اللي بنعطيها، الآن احنا + +343 +00:33:41,830 --> 00:33:46,910 +لصالح ال .. لصالح الأخلاقيات المهنة، المساق الجديد + +344 +00:33:48,070 --> 00:33:53,050 +ساعتين طرينا نترك ال terminology بعيد ان كل .. + +345 +00:33:53,050 --> 00:33:57,770 +يعني lecturer في محاضرته يوضح ال terminology الخاص + +346 +00:33:57,770 --> 00:34:01,750 +فيه فال terminology هذا مر عليكم كتير في ال + +347 +00:34:01,750 --> 00:34:05,990 +reflection خاصة العملي فانا يعني بطلب منكوا يعني + +348 +00:34:05,990 --> 00:34:11,930 +تدرسوا هذا و تحفظوه و داخل معاكم في القاش المساق + +349 +00:34:11,930 --> 00:34:13,530 +مش كتير + +350 +00:34:18,250 --> 00:34:24,890 +طيب احنا في reflection one تنولنا الريتنوسكوبي + +351 +00:34:24,890 --> 00:34:28,290 +بشيء + +352 +00:34:28,290 --> 00:34:34,690 +من التبسيط يعني كان بسيط شوية لأن هنعمل revision + +353 +00:34:34,690 --> 00:34:39,650 +بس على مستوى أعلى شوية لأنه بيبقى الريتنوسكوبي + +354 +00:34:39,650 --> 00:34:44,720 +يعني شيء أساسي في العمل بتاعناالان ايش ال + +355 +00:34:44,720 --> 00:34:49,440 +conditions for good retinoscopy؟ معايا الشروط + +356 +00:34:49,440 --> 00:34:55,460 +اللازم توافرها في الفحص الصحيح للريتنسكوب، ذا + +357 +00:34:55,460 --> 00:35:07,740 +كرونين، dark room، work distance، relaxation of + +358 +00:35:07,740 --> 00:35:09,220 +accommodation + +359 +00:35:11,280 --> 00:35:16,820 +يركز في ال infinity اه ال تالت word distance اه + +360 +00:35:16,820 --> 00:35:21,720 +word distance اه six meters او three meters مع + +361 +00:35:21,720 --> 00:35:27,580 +plain mirror ايش كمان ال word distance ال word + +362 +00:35:27,580 --> 00:35:33,640 +distance طب و children children ايش نعمل معهم + +363 +00:35:33,640 --> 00:35:39,100 +sacrifice ال infants و children ماينفعهم ال + +364 +00:35:39,100 --> 00:35:44,430 +fixation في ال infinityما بيقدروش أو لا يستطيعون و + +365 +00:35:44,430 --> 00:35:49,990 +بعدين ال good training of the examiner هنا بقولك + +366 +00:35:49,990 --> 00:35:53,190 +يعني في experience الريتنسكوب ب one hand مش + +367 +00:35:53,190 --> 00:36:01,230 +بالثانيه كويس؟ طيب هو ال .. الريتنسكوب فيه many + +368 +00:36:01,230 --> 00:36:08,670 +functions function انه يكون في handle كويس؟وفي + +369 +00:36:08,670 --> 00:36:18,310 +function ايش انه فيه sleeve اه كويس طيب هو بمسك + +370 +00:36:18,310 --> 00:36:27,010 +بال fingers هالي و بحرك ال sleeve اما بال index و + +371 +00:36:27,010 --> 00:36:31,690 +اما بال thumb مين هالسهل؟ + +372 +00:36:31,690 --> 00:36:35,950 +حط ال index هيك و ال thumb هيك + +373 +00:36:38,610 --> 00:36:44,330 +ولا هيك، بنفعت وما أنت ماسكاها، هيك، يعني ها، الآن + +374 +00:36:44,330 --> 00:36:50,490 +هينقماسك من تحت هال handle، الآن أنا هتحكم، تقف + +375 +00:36:50,490 --> 00:36:56,970 +هنا، الحمد لله، لا يا شيخ، الان هيك، هتحكم هيك ولا + +376 +00:36:56,970 --> 00:36:57,650 +هتحكم هيك؟ + +377 +00:37:02,120 --> 00:37:08,380 +هو انا بقولك develop .. develop a style that is + +378 +00:37:08,380 --> 00:37:14,700 +most comfortable for you يعني لا مشاحة كل إنسان + +379 +00:37:14,700 --> 00:37:18,360 +يختار الطريقة المناسبة له هذا ال principle الأول + +380 +00:37:18,360 --> 00:37:26,080 +طبعا مسك ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +381 +00:37:26,080 --> 00:37:26,340 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +382 +00:37:26,340 --> 00:37:26,440 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +383 +00:37:26,440 --> 00:37:28,060 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +384 +00:37:28,060 --> 00:37:28,760 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +385 +00:37:28,760 --> 00:37:28,840 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +386 +00:37:28,840 --> 00:37:28,840 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +387 +00:37:28,840 --> 00:37:28,840 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +388 +00:37:28,840 --> 00:37:28,840 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +389 +00:37:28,840 --> 00:37:28,840 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +390 +00:37:28,840 --> 00:37:36,410 +.. ال .. ال .. ال ..أه قبضة حديدية ماشي في القبضة + +391 +00:37:36,410 --> 00:37:44,370 +كمان ان في relation between the + +392 +00:37:44,370 --> 00:37:53,250 +hand catching the latent scope the + +393 +00:37:53,250 --> 00:38:01,560 +eye of the examiner and the eye ofthe patient or + +394 +00:38:01,560 --> 00:38:07,360 +the person الولاء اللي قايحناها دي وضحناها left + +395 +00:38:07,360 --> 00:38:12,440 +left left و right right right طب إيش الحكمة من + +396 +00:38:12,440 --> 00:38:18,280 +left left left و right right right حتى + +397 +00:38:18,280 --> 00:38:24,630 +لا أوليق الفيديو ولا accessبتاع المريض نحو أيهاش + +398 +00:38:24,630 --> 00:38:29,950 +الـ infinity لما ناخد مثلا ال right بتكون ال right + +399 +00:38:29,950 --> 00:38:36,770 +هناك بخلي ال left بتاعته تتطلع على ال infinity لكن + +400 +00:38:36,770 --> 00:38:41,650 +لو أنا جيت في وجهه باخدت انا right left الجبالي + +401 +00:38:41,650 --> 00:38:45,930 +على طول معناه وشي و وشي و سكر على بعض ماخلتلهوش + +402 +00:38:45,930 --> 00:38:51,610 +أيهاش واسع ينظر إلى البعيد بصورة مستقيمة واضح؟ + +403 +00:38:55,230 --> 00:39:01,710 +طيب المبدأ التاني fogging of accommodation how to + +404 +00:39:01,710 --> 00:39:09,310 +fog the accommodation of the patients eyes hot + +405 +00:39:09,310 --> 00:39:20,650 +eye plus lens on both eyes اه ولا one eye one eye + +406 +00:39:21,980 --> 00:39:28,300 +طيب و التانية؟ يعني هتعمل accommodation و المفروض + +407 +00:39:28,300 --> 00:39:33,060 +أنه يعمل مثلا plus five أو plus six أو seven right + +408 +00:39:33,060 --> 00:39:36,960 +و left طيب + +409 +00:39:36,960 --> 00:39:41,000 +و الآن أخلي كده و قاعد أفحص كيف أفحص؟ + +410 +00:39:43,900 --> 00:39:47,380 +هل اخلي ال plus و افحص ولا اشيل ال plus و بحط من + +411 +00:39:47,380 --> 00:39:59,960 +عندى lenses بيقولوا + +412 +00:39:59,960 --> 00:40:06,720 +انه بحط انا مثلا plus one و بشيل ال plus five و + +413 +00:40:06,720 --> 00:40:11,820 +بعدين بعمل التنسكيبرية with لسه with بال one بروح + +414 +00:40:11,820 --> 00:40:18,360 +انا احط واحد و نصو بعدين بشيل الواحد و بعمل ريتن + +415 +00:40:18,360 --> 00:40:23,400 +اسكوب اللي جات ليسوا ايه بحط اتنين و بشيل واحد و + +416 +00:40:23,400 --> 00:40:28,540 +نص و بعمل ايش؟ ريتن اسكوب اللي جات ماني اعمل ايش؟ + +417 +00:40:28,540 --> 00:40:32,740 +اصل اصلة اللي هو neutral point فانا بخليش العين + +418 +00:40:32,740 --> 00:40:37,520 +exposed to light of ريتن اسكوب ولا في مرحلة من + +419 +00:40:37,520 --> 00:40:43,540 +المراحل فالأول حطيت خمسة و خمسة عملت foggingبعد + +420 +00:40:43,540 --> 00:40:49,340 +كده بحط ال lens الجديدة و بشيل الجديمة كل مرة بحط + +421 +00:40:49,340 --> 00:40:53,340 +ال lens الجديدة بشتموا مع بعض لحظات و بعدين بشيل + +422 +00:40:53,340 --> 00:40:58,020 +الجديمة فبكون انا حافظت على ال fogging بقدر الممكن + +423 +00:40:58,020 --> 00:41:02,040 +طيب الأطفال + +424 +00:41:04,960 --> 00:41:09,220 +الأطفال مابنفهمش ان هما .. مابنفهمش إلا paralysis + +425 +00:41:09,220 --> 00:41:15,080 +of ciliary muscle paralysis of ciliary muscle طيب + +426 +00:41:15,080 --> 00:41:22,400 +طيب + +427 +00:41:22,400 --> 00:41:29,540 +الآن هي عيش الفكرة في موضوع ريتروسكوبي انا عندي + +428 +00:41:29,540 --> 00:41:38,920 +light source في إيديبطلّق ال light من تخب معين في + +429 +00:41:38,920 --> 00:41:45,920 +ال head of retinascope و بعمله incidence يقع على + +430 +00:41:45,920 --> 00:41:51,080 +ال pupil of the person or patient ال light هذا + +431 +00:41:51,080 --> 00:41:59,000 +هيسافر وين؟ هيروح على ال retina of the patient طب + +432 +00:41:59,000 --> 00:42:03,110 +ال retina هتستقبل الضوء حساسة، إيش هتسوي؟تعمل + +433 +00:42:03,110 --> 00:42:12,750 +رفليكشن هترجع ال life رفليكشن هذا هيطلع من البقبق + +434 +00:42:12,750 --> 00:42:20,590 +of the patient's eye as red reflex الان انا في + +435 +00:42:20,590 --> 00:42:25,730 +ثقوب في ال head oparoscope لعيني ك examiner اني + +436 +00:42:25,730 --> 00:42:31,030 +التقت صورة الضوء الراجع من الشبكة + +437 +00:42:34,100 --> 00:42:40,600 +الضوء الراجع من الشبكية اني اشوف الان ببدأ احرك + +438 +00:42:40,600 --> 00:42:49,300 +مرة لل left و مرة لل right و اقارب بين حاجتين بين + +439 +00:42:49,300 --> 00:42:55,000 +ضوء الريتنسكوب الواقع على العين و بين ال red + +440 +00:42:55,000 --> 00:43:00,000 +reflex بدأ اقارن زي الصورة هذه مثلا + +441 +00:43:11,480 --> 00:43:16,600 +فاهم هل الضوء + +442 +00:43:16,600 --> 00:43:21,980 +اللي جاي من داخل العين يتطابق + +443 +00:43:21,980 --> 00:43:28,520 +مع الضوء اللي انا بوقعه و بحركه يمين و شمال هاي + +444 +00:43:28,520 --> 00:43:32,340 +مرة تانية can with + +445 +00:43:36,720 --> 00:43:47,560 +يبقى انا الآن زي ما قلت في نمرة تلاتة انه + +446 +00:43:47,560 --> 00:43:55,200 +في angle بيقع فيها الضوء على عين المريض وعين + +447 +00:43:55,200 --> 00:43:58,000 +المريض بترجع الضوء بنفس ال angle + +448 +00:44:01,360 --> 00:44:05,120 +يعني أنا خدت الآن عين اليمين مع عين ال .. ال .. ال + +449 +00:44:05,120 --> 00:44:08,180 +إيش؟ اليمين بتاعة المريض طبعا واضح أنه في angle + +450 +00:44:08,180 --> 00:44:14,360 +هيك مش هيك يعني أنا عملته ب angle معين ماعملتش + +451 +00:44:14,360 --> 00:44:18,940 +right .. right مع left خديني باليكم؟ لأ أنا عملت + +452 +00:44:18,940 --> 00:44:25,260 +right مع right الدوق اللي حيرجع .. حيرجع إيش؟ بنفس + +453 +00:44:25,260 --> 00:44:31,660 +الزاويةعشان هيك المطلوب بقدر إمكاني يكون فحصي مع + +454 +00:44:31,660 --> 00:44:37,520 +المريض face to face مايكونش المريض هناك وانا هناك، + +455 +00:44:37,520 --> 00:44:43,420 +مايكونش المريض هنا وانا هناك، ماينفعش لأن كل ما + +456 +00:44:43,420 --> 00:44:49,660 +دخلت الضوء ومس الماكولا والفوفيا كل مكان ب + +457 +00:44:49,660 --> 00:44:55,160 +fraction more correctوكل ما كان الضوء طالع ال + +458 +00:44:55,160 --> 00:44:59,060 +periphery of the retina برّه برّه برّه برّه كل ما + +459 +00:44:59,060 --> 00:45:03,360 +كان incorrect واضح + +460 +00:45:03,360 --> 00:45:09,840 +هو لسه يعني كل ما كان أنا ضوءي جاي على الماكلة + +461 +00:45:09,840 --> 00:45:14,220 +بتاعة العين في زاوية هيك بس على الماكلة كل ما كان + +462 +00:45:14,220 --> 00:45:21,150 +أحسن وكل ما ال reflex اللي إجاني كان معبرتماما عن + +463 +00:45:21,150 --> 00:45:29,050 +الحالة البصرية ليه هذا المريض؟ لأنه جايين مركزي + +464 +00:45:29,050 --> 00:45:39,410 +مركز من أبعد منطقة في الشبكية في القطب الخلفي إيه + +465 +00:45:39,410 --> 00:45:45,370 +القطب الخلفي الشبكية؟ إيه الماكيونة؟ لكن لو إجاني + +466 +00:45:46,390 --> 00:45:51,470 +من منطقة deviated يمين عنها سانتي أو شمال عنها + +467 +00:45:51,470 --> 00:45:56,030 +سانتي أو فوقها سانتي أو تحتها سانتي يعني تمام مثلا + +468 +00:45:56,030 --> 00:46:00,510 +لو واحد يقف على مكتب و المريض جاعد هيك هو ننزله + +469 +00:46:00,510 --> 00:46:06,670 +الضوء و هو واقف على عينه هل هذا صح؟ لا نفس الشيء + +470 +00:46:06,670 --> 00:46:13,250 +لو انا رفعت المريض على منصفه و انا تحت و اعمله هيك + +471 +00:46:13,250 --> 00:46:20,190 +هل هذا صح؟لأن وقل ضوئي يبدرب تحت في قاع الشبكية في + +472 +00:46:20,190 --> 00:46:24,290 +الحالة الأولى، هيك وانا اللي واقف فوق، يا إما لو + +473 +00:46:24,290 --> 00:46:28,910 +العين هو اللي فوق، ضوئي بدرب في رأس الشبكية، فوق، + +474 +00:46:28,910 --> 00:46:34,110 +مش ع القطب، وهدي مهم يا بناتي اسمه foveal + +475 +00:46:34,110 --> 00:46:43,690 +refraction، جميل اسم، صح؟ فهو بشبهلي شغلي في + +476 +00:46:43,690 --> 00:46:51,170 +رتنسكوب شغل كاميراالكاميرا بتطلع دوء بنزل على + +477 +00:46:51,170 --> 00:46:58,570 +العين والعين بترجعه اه وبصير بعد هيك المنظر اللي + +478 +00:46:58,570 --> 00:47:02,430 +بتطلع عشان تقولي كل انت ما قربت على عين بتلاقي + +479 +00:47:02,430 --> 00:47:09,030 +البقبق بتاعه أحمر فرتنسكوب يعني إلى حد بعيد بيشتغل + +480 +00:47:09,030 --> 00:47:14,830 +بنفس طريقة الكاميرا الكاميرا طيب + +481 +00:47:16,970 --> 00:47:25,670 +الان movement over الاتنسكوب و انا ليش بعمل حركة + +482 +00:47:25,670 --> 00:47:30,110 +مرة شمال و مرة يمين يعني ماذا لو انا اضغط + +483 +00:47:30,110 --> 00:47:35,630 +الاتنسكوب و حطيته في عين العيان static هيك بس هل + +484 +00:47:35,630 --> 00:47:40,290 +static هيك بطلع نتيجة لأ لأ طب ليش انا بعمل مرة + +485 +00:47:40,290 --> 00:47:45,940 +هيك left و مرة right مرة up و مرة downعشان اعرف + +486 +00:47:45,940 --> 00:47:51,040 +الحالة المريضية اللي عندها ايوة الحالة البصرية انا + +487 +00:47:51,040 --> 00:47:56,320 +بعمل movement لان ال movement تعبر على الحالة + +488 +00:47:56,320 --> 00:48:05,140 +البصرية لهذه العين الوقت اللي اضيف عدسات لمعادرة + +489 +00:48:05,140 --> 00:48:13,560 +الخلل البصري في عين هذا الشخص او المريضوقوف هذه + +490 +00:48:13,560 --> 00:48:21,160 +الحركة هو علامة ليه؟ نقطة التعدد + +491 +00:48:21,160 --> 00:48:27,800 +neutral point يبقى كل اللي بيعملوا movement left و + +492 +00:48:27,800 --> 00:48:32,680 +right و up و down و بيضعوا عدسات و بيعيدوا الفحص و + +493 +00:48:32,680 --> 00:48:36,760 +بيضعوا عدسات جديدة و بيعيدوا الفحص هدفهم واحد + +494 +00:48:36,760 --> 00:48:45,170 +الأهم بتاعهم واحدإن يصل إلى point of no movement + +495 +00:48:45,170 --> 00:48:52,270 +which is called neutral point يبقى اسمه neutral + +496 +00:48:52,270 --> 00:49:02,350 +point طيب طب نبدأ السؤال ال light + +497 +00:49:02,350 --> 00:49:12,530 +اللي بيغادر عين المريض ال مايومهل هو divergent ولا + +498 +00:49:12,530 --> 00:49:19,090 +parallel ولا convergent؟ convergent + +499 +00:49:19,090 --> 00:49:24,470 +طب ليش؟ ليش convergent؟ أنا عاد بدأ أفهم ليش + +500 +00:49:24,470 --> 00:49:28,310 +convergent ليش؟ + +501 +00:49:28,310 --> 00:49:36,710 +ليش؟ الدوء الذي يغادر عين المريض الميوب يكون + +502 +00:49:36,710 --> 00:49:44,900 +convergentلأ ليش؟ ليش تفسيره؟ + +503 +00:49:44,900 --> 00:49:48,280 +بدي + +504 +00:49:48,280 --> 00:49:54,460 +أرسم رسمة أنا بدي أرسم رسمة بدي أرسم رسمة ولعل من + +505 +00:49:54,460 --> 00:49:59,660 +الرسمة هذه نفهة طيب الله سامحني بدي أرسم رسمة أنا + +506 +00:49:59,660 --> 00:50:03,380 +العين هذا الآن my world why less + +507 +00:50:09,860 --> 00:50:17,320 +أنا بدأ أقول إن الكورنيا هذه يعني فقط 45 + +508 +00:50:17,320 --> 00:50:31,680 +ديوبتر واللنز هذه 19 كله كده اشتنع 64 64 ديوبتر + +509 +00:50:31,680 --> 00:50:34,900 +plus + +510 +00:50:36,130 --> 00:50:42,470 +طيب هتوقع هذا مايوب ولا hypermetrope؟ مايوب طيب + +511 +00:50:42,470 --> 00:50:50,290 +الضوء اللي سقطته أنا على عين العيان اللي + +512 +00:50:50,290 --> 00:50:54,110 +سقطته براي على عين العيان تجمع وين؟ في نقطة هنا + +513 +00:50:54,110 --> 00:50:57,630 +مثلا كويس؟ هذا ال focus + +514 +00:51:00,380 --> 00:51:06,020 +طيب مقصش يعني الشبكية صح؟ لأ طيب لو هذا الضوء الآن + +515 +00:51:06,020 --> 00:51:10,400 +بده يغادر العين مرّا + +516 +00:51:10,400 --> 00:51:15,120 +بالإيش؟ بالـ lens بعدين بال retina بال .. بال + +517 +00:51:15,120 --> 00:51:21,840 +cornea أولا هيجعب؟ هيجعب هنا هاي .. هاي هيجعب هنا + +518 +00:51:21,840 --> 00:51:28,420 +يبقى هو ليش وجعب هنا؟ لأن ال lens و ال corneaأقوى + +519 +00:51:28,420 --> 00:51:34,580 +من اللازم أقوى من العادي الـ METRO هيك أنا بقدر + +520 +00:51:34,580 --> 00:51:39,800 +أفهم النضالية طيب بنفس الطريقة الـ HYPERMETROPE + +521 +00:51:39,800 --> 00:51:48,300 +الضوء بيغادر العين الـ DIVERGENT ليش؟ لأن + +522 +00:51:48,300 --> 00:51:54,940 +القوة بتاعة الكورميا والـ LENS أصغر من اللازم + +523 +00:51:55,760 --> 00:52:01,400 +فالضوء إجا من ورا هنا اتجمع الضوء واش ساقط وين ورا + +524 +00:52:01,400 --> 00:52:09,300 +الشبكية فلمّا إجا يرجع أ ليجي هذه ضعيفة و ليجي هنا + +525 +00:52:09,300 --> 00:52:16,160 +الكون ضعيفة فاطلأ أ diverge و هذا كويس المفاهيم + +526 +00:52:16,160 --> 00:52:22,420 +كان دكتور بدارسنا زمان يقول please tell me why the + +527 +00:52:22,420 --> 00:52:32,120 +night at night yousee the light from the cat's a + +528 +00:52:32,120 --> 00:52:36,140 +diverging + +529 +00:52:36,140 --> 00:52:41,300 +mirror في الليل لما تضو عليها عين القطة بتلاقيها + +530 +00:52:41,300 --> 00:52:49,000 +diverging like mirror لأن كلهم hypermetrophy ليش + +531 +00:52:49,000 --> 00:52:53,500 +كل hypermetrophy هذهالحيوانات كلها كلها الـ lion و + +532 +00:52:53,500 --> 00:53:00,960 +ال camel و ال horse و ال cats و ال dogs ليش hyper + +533 +00:53:00,960 --> 00:53:07,700 +metroid؟ لأنها تعتمد على fight and flight تعتمد + +534 +00:53:07,700 --> 00:53:13,940 +على إما إما هي مفترسة أو ضحية فيعني إذا كنت بتفترس + +535 +00:53:13,940 --> 00:53:16,720 +تبتدى تشوف اللي بعيد إذا كان هي بدها + +536 +00:53:23,970 --> 00:53:30,310 +الغزالة تقف على مرتفع وتطلق صوتا فتسمعه أولادها + +537 +00:53:30,310 --> 00:53:35,470 +فياتون جريا إلى الغزالة من أقاس الغابة اللي هم + +538 +00:53:35,470 --> 00:53:39,710 +عالم غير عالمنا لكن الحمد لله لإننا القريب والبعيد + +539 +00:53:40,370 --> 00:53:44,890 +وهذا نعمة من الله عز وجل ولقد كرمنا بني آدمة + +540 +00:53:44,890 --> 00:53:48,950 +وحملناهم في البري والبحري ورزقناهم من الطيبات + +541 +00:53:48,950 --> 00:53:54,890 +وفضلناهم على كثير ممن خلقنا تفضيلة مافيش يعني الله + +542 +00:53:54,890 --> 00:54:00,050 +أكرم إنسان أكتر من الملائكة بتعرفوا أن ربنا أكرمنا + +543 +00:54:00,050 --> 00:54:04,850 +أكتر من الملائكة ليش؟ لأن الملائكة ربنا أعطاهم عقل + +544 +00:54:04,850 --> 00:54:10,790 +ونزع منهم الشهوةفيش حاجة مش هم لا أكل ولا شرب ولا + +545 +00:54:10,790 --> 00:54:15,610 +جنس ولا حاجة ولا حيوانات الله نزع منها العقل و + +546 +00:54:15,610 --> 00:54:18,770 +أطلع الشهوة بس مين ده جماعة بين العقل و الشهوة + +547 +00:54:18,770 --> 00:54:24,090 +الانسان مش الله أكرمه هيك و عليه أنه أشكر الله عز + +548 +00:54:24,090 --> 00:54:29,070 +وجل على يعني انه جماعة في هذه ال .. يعني ال .. + +549 +00:54:29,070 --> 00:54:34,410 +الأشياء اللي .. اللي .. اللي هي حرم منها غيره طيب + +550 +00:54:36,140 --> 00:54:42,540 +الويندوز هذا is not genuine ميت مرة بطلعتي طيب + +551 +00:54:42,540 --> 00:54:49,760 +الان ان اللهم سمى father واخد اسمه sleep position + +552 +00:54:52,150 --> 00:54:57,230 +طيب sleep position بتحطه up ولا down ولا .. down + +553 +00:54:57,230 --> 00:55:00,850 +خلاص يعني مش هندخل .. يعني في مدرسة بتقول up + +554 +00:55:00,850 --> 00:55:05,030 +position و في ناس بيحطه down position خلينا على ال + +555 +00:55:05,030 --> 00:55:10,790 +down position و بداشي نغير طيب ال rotation .. ال + +556 +00:55:10,790 --> 00:55:15,260 +rotation بتاع .. بتاع ال sleepفي three hundred and + +557 +00:55:15,260 --> 00:55:18,520 +sixty ايش بيفيد ؟ الاسلينيوماتيكي الاسلينيوماتيكي + +558 +00:55:18,520 --> 00:55:24,380 +axis طيب لو احنا لوقفنا في تلات مئو ستين وعملنا + +559 +00:55:24,380 --> 00:55:31,320 +movement ولاجينا the same the same reflex في ال + +560 +00:55:31,320 --> 00:55:39,180 +brightness وفي ال speed اه بيكون ايش سفير سفير + +561 +00:55:39,180 --> 00:55:46,570 +مافي error يعني لو وقفنا احناأه sleeve حطينا مرة + +562 +00:55:46,570 --> 00:55:48,390 +في التسعين مرة في المية و تمانين و مرة في المية و + +563 +00:55:48,390 --> 00:55:52,610 +باشين و مرة في المية و ستين و نحرك كل مرة بنحرك و + +564 +00:55:52,610 --> 00:56:00,090 +لجينا same brightness and speed of reflex بيكون + +565 +00:56:00,090 --> 00:56:10,110 +speed اما with او against لكن لو لجينا change في + +566 +00:56:10,110 --> 00:56:18,940 +ال brightnessأو في ال speed او حتى شوية في ال + +567 +00:56:18,940 --> 00:56:24,560 +direction زي الصورة هذه كنا قبل شوية نشوف الصورة + +568 +00:56:24,560 --> 00:56:29,940 +هذه جربنا + +569 +00:56:29,940 --> 00:56:37,600 +هنا ايوة اه + +570 +00:56:37,600 --> 00:56:45,190 +هي شايفين هي ضوءي و ال reflexواضح انهم مش متطابقين + +571 +00:56:45,190 --> 00:56:53,890 +فهو بيقول ايش عدل اللي هو الاتجاه الضوء اتجاه + +572 +00:56:53,890 --> 00:57:03,290 +الضوء عشان يتطابق مع ايش مع ال red reflex طيب + +573 +00:57:03,290 --> 00:57:11,590 +احنا + +574 +00:57:11,590 --> 00:57:12,270 +عملنا خمسة + +575 +00:57:15,510 --> 00:57:20,710 +طيب بس اخر حاجة انا بدي اعمل ال neutralization + +576 +00:57:20,710 --> 00:57:27,410 +للكورنيال vertical meridian والتاني horizontal + +577 +00:57:27,410 --> 00:57:32,130 +meridian كيف بدي اعمل انا هاي مثلا محور القنية + +578 +00:57:32,130 --> 00:57:39,350 +الرأسي وين اودي دو ايه عمودي عليهيعني هاي ال + +579 +00:57:39,350 --> 00:57:43,510 +medium القنانية الرأسي بدي أحرك أنا right and left + +580 +00:57:43,510 --> 00:57:52,410 +طيب و العكس صحيح لما يكون محور قنانية الأفقي بداوة + +581 +00:57:52,410 --> 00:58:00,450 +neutralization هو أفقي هيكبدي اعمل up و down و هذا + +582 +00:58:00,450 --> 00:58:06,510 +مهم جدا انه دايما ضوءي بتاع الريتنسكوب عمودي على + +583 +00:58:06,510 --> 00:58:12,710 +meridian of the cornea that must be neutralized + +584 +00:58:12,710 --> 00:58:16,570 +شكرا لكم على حسن استماع والسلام عليكم + diff --git a/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/Q5UHxCA1zdo.srt b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/Q5UHxCA1zdo.srt new file mode 100644 index 0000000000000000000000000000000000000000..fa52d9ab6fbf1515e2d262a14c22b846cb080cf6 --- /dev/null +++ b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/Q5UHxCA1zdo.srt @@ -0,0 +1,3191 @@ +1 +00:00:20,620 --> 00:00:23,060 +أعوذ بالله من الشيطان الرجيم بسم الله الرحمن الرحيم + +2 +00:00:23,060 --> 00:00:27,400 +الحمد لله رب العالمين و أصلي و أسلم على + +3 +00:00:27,400 --> 00:00:30,860 +النبي الأمين السلام عليكم و رحمة الله وبركاته + +4 +00:00:30,860 --> 00:00:40,220 +اليوم سنبدأ بالتوقعات عن ميوبيا التوقعات عن ميوبيا + +5 +00:00:40,220 --> 00:00:44,460 +هناك + +6 +00:00:44,460 --> 00:00:52,220 +تغيير في التوقعات عن ميوبيا بحسب نقطة واحدة نقطة + +7 +00:00:52,220 --> 00:01:01,990 +Myopia to age of the patient any + +8 +00:01:01,990 --> 00:01:09,850 +degree of myopia under the age of four years is + +9 +00:01:09,850 --> 00:01:18,370 +looked as serious potentially serious and in need + +10 +00:01:18,370 --> 00:01:25,310 +for observation أي درجة من قصر النظر قبل سن الرابعة + +11 +00:01:25,310 --> 00:01:37,270 +من الأمر يُنظر له نظرة جدية ومستقبل خطير أي + +12 +00:01:37,270 --> 00:01:41,610 +درجة minus one minus two minus three قبل أربع + +13 +00:01:41,610 --> 00:01:47,270 +سنوات it is a serious degree or serious thing + +14 +00:01:48,610 --> 00:01:52,530 +related to prognosis للمستقبل يعني المقال بتاعه + +15 +00:01:52,530 --> 00:01:57,770 +above + +16 +00:01:57,770 --> 00:02:04,990 +the age of eight to ten a low degrees + +17 +00:02:04,990 --> 00:02:10,590 +physiological myopia يعني may be looked upon with + +18 +00:02:10,590 --> 00:02:20,150 +less alarm less alarm يعني بخطورة أقل إذا تعد الطفل + +19 +00:02:20,150 --> 00:02:28,730 +الثامنة إلى العاشرة وبدأت الميوبيا تظهر عليه فإن + +20 +00:02:28,730 --> 00:02:36,090 +الموضوع أقل خطورة أقل خطورة مش يعني مافيش خطورة بس + +21 +00:02:36,090 --> 00:02:40,810 +أقل من الأربع أو أقل من الأربع سنين وقبل لأخطر شيء + +22 +00:02:40,810 --> 00:02:46,310 +هذا يعني ترى إذا كان الميوبيا بدأت في سن تلت سنين + +23 +00:02:46,310 --> 00:02:52,590 +كيف تطور راح يكون؟أيوة تطوره بيه لكن مثلا صار + +24 +00:02:52,590 --> 00:02:56,490 +عشرة عشر سنوات و بدأت مع الميوبيا يعني أخف احتمال + +25 +00:02:56,490 --> 00:03:00,850 +أخف والله أعلم أيوة + +26 +00:03:00,850 --> 00:03:05,770 +follow up should be exercised especially about the + +27 +00:03:05,770 --> 00:03:09,610 +age of puberty يعني نفضل هذا الطفل اللي بدأت مع + +28 +00:03:09,610 --> 00:03:13,390 +الميوبيا في سن اربع او خمسة او ستة تمانية الى عشرة + +29 +00:03:13,390 --> 00:03:16,670 +نفضل نعمله follow up زيارة كل تلت شهور + +30 +00:03:16,670 --> 00:03:25,950 +للـ optometrist لغاية ما يتعدى البلوغ 16 سنة والله + +31 +00:03:25,950 --> 00:03:28,570 +إذا كان في 16 سنة كان وضعه خطير بده متابعة لكن إذا + +32 +00:03:28,570 --> 00:03:36,430 +كان صار stationary وتوقف هنا خلاص بسيط خلاص عرفت + +33 +00:03:36,430 --> 00:03:40,130 +أنا المقال بتاعه God's Prognosis يبقى الـ prognosis + +34 +00:03:40,130 --> 00:03:47,100 +هذا هذا الـ prognosis ممكن نقول God's Prognosis و + +35 +00:03:47,100 --> 00:03:53,940 +ممكن يكون bad prognosis ممكن + +36 +00:03:53,940 --> 00:03:59,560 +يكون good ممكن يكون bad في الحالة هذه لو وصل ال + +37 +00:03:59,560 --> 00:04:05,760 +priority و توقف و يكون good الـ prognosis تمام واحد + +38 +00:04:05,760 --> 00:04:09,960 +يعمل عملية جراحية و بعدها باسبوعين أكل و شرب و + +39 +00:04:09,960 --> 00:04:12,200 +بعدها تحرك و بعدها ماشي و رجع للأعلى منه و يقول + +40 +00:04:12,200 --> 00:04:16,530 +good الـ prognosis خلاص لكن واحد فضل بدردن في السرير + +41 +00:04:16,530 --> 00:04:19,550 +اللي بيقوم ولا هذا و اللي بيأكل ولا .. لأ bad + +42 +00:04:19,550 --> 00:04:26,470 +prognosis طيب حاجة تانية if the age of twenty one + +43 +00:04:26,470 --> 00:04:30,410 +years is passed without serious progression the + +44 +00:04:30,410 --> 00:04:32,810 +condition may be expected to be remain stationary + +45 +00:04:32,810 --> 00:04:38,010 +and the prognosis may be taken also as good يعني + +46 +00:04:38,010 --> 00:04:42,510 +واحد وصل ما يقارب هو ما يقارب وصلت twenty one years + +47 +00:04:43,700 --> 00:04:48,920 +مافيش معاه choreo-retinal-degeneration مافيش معاه + +48 +00:04:48,920 --> 00:04:54,780 +loss of central vision اللي أخذناها قبل هيك هذا + +49 +00:04:54,780 --> 00:04:58,440 +مافيش منه و لو انه ما يقارب الـ fundus عنده كويس الـ + +50 +00:04:58,440 --> 00:05:03,120 +vision عنده fully corrected لما عملوا glasses مثلا + +51 +00:05:03,120 --> 00:05:08,520 +بيكون ايش الوضع good prognosis هم يقولوا مقالات + +52 +00:05:08,520 --> 00:05:13,550 +اسمها الواحد في مقال حسن في مقال سيء ونسأل الله انه + +53 +00:05:13,550 --> 00:05:20,650 +مقالنا يكون في الجنة ليس في النار يا رب طيب + +54 +00:05:20,650 --> 00:05:24,250 +in the higher degrees of myopia الآن بدنا نجي للي + +55 +00:05:24,250 --> 00:05:28,650 +بعد بعد البرقنوز عندي higher degrees يعني فوق + +56 +00:05:28,650 --> 00:05:34,250 +العشرة above than ten degree او degrees البرقنوز + +57 +00:05:34,250 --> 00:05:38,130 +should always be guarded it must be based on the + +58 +00:05:38,130 --> 00:05:40,790 +appearance of fondous uncorrected visual equity + +59 +00:05:42,580 --> 00:05:47,680 +يبقى في الحالات الـ high degrees of myopia دائما + +60 +00:05:47,680 --> 00:05:52,960 +في الـ follow-up في الزيارات المتابعة وهذه مشتركة + +61 +00:05:52,960 --> 00:05:56,780 +بين الـ ophthalmologist و بين الـ optometrist الـ + +62 +00:05:56,780 --> 00:06:01,340 +optometrist بده يركز على الـ unaided video الـ + +63 +00:06:01,340 --> 00:06:07,340 +equity و بده يركز على الـ reflection كل 6 شهور + +64 +00:06:07,340 --> 00:06:14,180 +زيارة يعني أنا اليوم لجيت 10degrees الـ visual + +65 +00:06:14,180 --> 00:06:20,300 +equity corrected ستة على تسعة بعد ست شهور لجيت له + +66 +00:06:20,300 --> 00:06:25,080 +eleven والـ best corrected visual equity six twelve + +67 +00:06:25,080 --> 00:06:33,300 +في تراجع ولا لأ في تراجع في تراجع طيب كمان ست شهور + +68 +00:06:33,300 --> 00:06:41,110 +تانية لجيت له عنده أحد عشر ونصف عنده 6 على 18 + +69 +00:06:41,110 --> 00:06:51,270 +تراجع آخر ايش فائدة الـ follow-up الـ follow-up تعطي + +70 +00:06:51,270 --> 00:06:57,470 +فكرة تماما في ملف معين للمريض حرام المريض انه يضيع + +71 +00:06:57,470 --> 00:07:05,850 +بين عدة أشخاص وبين عدة مراكز حرام ما فيش علم ان هذا + +72 +00:07:05,850 --> 00:07:12,530 +المريض ايش قصتهوهم الهوف بدوا يخمن نفسه دائما من + +73 +00:07:12,530 --> 00:07:17,590 +مركز لمركز، من طبيب لطبيب، وما حدش عامله ملف، لأ، + +74 +00:07:17,590 --> 00:07:21,810 +لازم وزارة الصحة تهتم بهؤلاء الناس الهامليوبز، + +75 +00:07:21,810 --> 00:07:31,050 +بعيد ان كلهم عيادة واحدة أو مكان واحد أو طبيب واحد + +76 +00:07:31,050 --> 00:07:33,950 +او optometrist واحد اللي هو مسؤول عنهم، فكرة المنطقة + +77 +00:07:35,170 --> 00:07:39,010 +عشان لما يعمل follow-up يدخل في الـ file معلومة + +78 +00:07:39,010 --> 00:07:43,590 +جديدة في الـ file نفسه معلومة جديدة أنا كتير مجيومي + +79 +00:07:43,590 --> 00:07:48,970 +ناس late بقولوا طب جيبلي الـ prescriptions اللي + +80 +00:07:48,970 --> 00:07:52,510 +قابله، بقول فيش طب وأنا كنت أعمل؟ قال مرة عملت عند + +81 +00:07:52,510 --> 00:07:56,010 +فلان، مرة عند المركز الفلاني و المركز الفلاني طب + +82 +00:07:56,010 --> 00:08:00,690 +روح بقى، يمكن ما ألاقيش data أو بدهم ما يعطوه أصبح + +83 +00:08:00,690 --> 00:08:05,630 +المريض أنا شايفه بعد العشرين، أول مرة بدي أبدأ أعمل + +84 +00:08:05,630 --> 00:08:10,490 +follow-up طب ايه يفضل ييجي follow-up هو floating + +85 +00:08:10,490 --> 00:08:20,090 +بدوش يلتزم بناحية واحدة وهذا بيزيد المرض مرض طيب لما + +86 +00:08:20,090 --> 00:08:24,830 +يكون في follow-up محدد كل مرة بدي أعمله refraction + +87 +00:08:24,830 --> 00:08:31,070 +un-aided visual acuity و aided visual acuity و + +88 +00:08:31,070 --> 00:08:38,010 +أعمله فاندسكوب فاندسكوبي يعني فحص قاع العين طب ايه + +89 +00:08:38,010 --> 00:08:44,350 +الفاندسكوبي؟ زي المناطق بيب طب ايه بدو يشوف فيها؟ + +90 +00:08:44,350 --> 00:08:48,790 +ايه الـ fundus اللي بدو يشوف فيها؟ optic disk و + +91 +00:08:48,790 --> 00:08:56,050 +الـ macula و الـ blood vessels و الـ background باجر + +92 +00:08:56,050 --> 00:09:01,090 +الشبكية يعني في أربع أشياء أساسية الشبكية عموما + +93 +00:09:01,090 --> 00:09:04,070 +هيك، هل فيها Correlation و لا، اللي شفتوها الـ + +94 +00:09:04,070 --> 00:09:07,190 +batches و الـ pigmentation الموضح هذا، هذه الـ + +95 +00:09:07,190 --> 00:09:12,050 +background الـ optic disk، بشوفوا، في حواليه + +96 +00:09:12,050 --> 00:09:19,090 +Decrescent و لا لأ، كيف وضع الـ optic disk؟ و الـ + +97 +00:09:19,090 --> 00:09:21,690 +macular فيها degeneration و لا لأ؟ و الـ blood + +98 +00:09:21,690 --> 00:09:26,770 +vessels كيف وضعها؟ in all cases the possibility of + +99 +00:09:26,770 --> 00:09:30,590 +sudden retinal hemorrhage أو sudden retinal + +100 +00:09:30,590 --> 00:09:35,690 +detachment should be born in mind دائما أنا خايف + +101 +00:09:35,690 --> 00:09:42,350 +من ايش؟ خايف من مصيبة لهؤلاء الـ high myopes تتمثل + +102 +00:09:42,350 --> 00:09:49,350 +في نزيف شبكي أو انفصال شبكي عشان هيك لازم يكون + +103 +00:09:49,350 --> 00:09:54,770 +عنده وعند أهله إن في الوقت اللي هو بيصير فيه + +104 +00:09:54,770 --> 00:10:02,290 +sudden loss of vision يتحرك فورا فورا فورا إلى جهة + +105 +00:10:02,290 --> 00:10:11,370 +المعالجة يبقى هاي المقالات إما good وإما bad كل ما + +106 +00:10:11,370 --> 00:10:15,490 +كانت الدرجة أقل إن شاء الله يكون good كل ما كان + +107 +00:10:15,490 --> 00:10:19,850 +السن أكبر كل ما كان أما السن أصغر وفيه myopia + +108 +00:10:19,850 --> 00:10:23,450 +غالبا bad كل ما كان الدرجة أكبر كل ما كان bad + +109 +00:10:23,450 --> 00:10:28,050 +prognosis وبيحتاج إلى متابعة وإلى فحص دوري كل ست + +110 +00:10:28,050 --> 00:10:31,770 +شهور تلت شهور حسب طب دكتور إذا دل الإزدياد + +111 +00:10:31,770 --> 00:10:34,970 +بالـ myopia كل ست شهور يعني الـ up normal ممكن يكون + +112 +00:10:34,970 --> 00:10:38,350 +من الـ fungus مش من الـ refractive errors؟ طبعا ما + +113 +00:10:38,350 --> 00:10:41,750 +هو الـ fundus يصير تماما refractive error الـ fundus الـ + +114 +00:10:41,750 --> 00:10:44,610 +Staphyloma اللي ورا اه اه و الـ degeneration اه طب + +115 +00:10:44,610 --> 00:10:47,030 +عادي ممكن يكون refractive error عادي ان العين كل + +116 +00:10:47,030 --> 00:10:49,770 +ما عنها بتسوق .. اه بتسوق بتكبر في الـ dimensions + +117 +00:10:49,770 --> 00:10:54,210 +الـ diameters بتاعتها صحيح طيب profile axis الوقاية + +118 +00:10:54,210 --> 00:11:00,270 +قالوا في الزمن درهم وقاية خير من قنطان علاج بس + +119 +00:11:00,270 --> 00:11:04,330 +كيف اعمل وقاية للميوبيا هذه هي المشكلة + +120 +00:11:07,390 --> 00:11:11,670 +احنا بنعمل وقاية لزي + +121 +00:11:11,670 --> 00:11:15,750 +أقول له النسل love spring اللي صار فيه myopia ما هو + +122 +00:11:15,750 --> 00:11:24,570 +صار فيه لكن مادة بعد المستقبل no restraint لا قيود + +123 +00:11:24,570 --> 00:11:31,410 +on marriage and procreation among simple myopes + +124 +00:11:32,780 --> 00:11:37,400 +اللي عندهم ميوب one, two, three, four, five اللي + +125 +00:11:37,400 --> 00:11:43,680 +عنده six لا قيود على الزواج والإنجاب حتى لو + +126 +00:11:43,680 --> 00:11:49,580 +simple ميوب الزواج واحدة عندها simple ميوب هيطلع + +127 +00:11:49,580 --> 00:11:54,700 +ولادهم simple ميوب هم غالبين فما بنحطش قيود على + +128 +00:11:54,700 --> 00:12:01,940 +الناس لكن القيود وين في الحالات المرضية الآن a + +129 +00:12:01,940 --> 00:12:06,280 +parent واحد من الزوجين عنده high myopia + +130 +00:12:06,280 --> 00:12:11,000 +pathological يقول هنا degenerative myopia يعني في + +131 +00:12:11,000 --> 00:12:16,880 +تآكل في مكونات الشبكية should be warned يجب أن + +132 +00:12:16,880 --> 00:12:24,280 +يكون عنده إنذار that any offspring النسل will be + +133 +00:12:24,280 --> 00:12:29,620 +liable to the same disability نفس المنظر According + +134 +00:12:29,620 --> 00:12:32,660 +to the Laws of Ressive Mendelian Inheritance حسب + +135 +00:12:32,660 --> 00:12:41,500 +القوانين مندل ليه الوراثة السلبية من القوانين يعني + +136 +00:12:41,500 --> 00:12:50,560 +حتى لو شاب عنده high myopia و بده يزوج شابة امتراب + +137 +00:12:50,560 --> 00:12:58,560 +بدهم يحسبوا انه في نسبة من الأطفال اللي هيجوا عندهم + +138 +00:12:58,560 --> 00:13:04,800 +pathological myopia فيه نسبة ممكن تيجي 25 او أكثر + +139 +00:13:04,800 --> 00:13:10,240 +او أقل مش + +140 +00:13:10,240 --> 00:13:15,620 +هذا الأخطر بدنا نضحي بالـ 25% الأخطر انه two + +141 +00:13:15,620 --> 00:13:21,880 +highly myopic adults الـ parents شاب و شابة بدهم + +142 +00:13:21,880 --> 00:13:25,710 +يزودوا وهم عندهم pathological myopia والـ + +143 +00:13:25,710 --> 00:13:32,390 +degenerated myopia should never have children الصح + +144 +00:13:32,390 --> 00:13:41,310 +إنهم مزوجوش في زواج بالعقل في زواج بالقلب يعني + +145 +00:13:41,310 --> 00:13:46,730 +واحد عيلته فيها severe diabetes mellitus واحدة + +146 +00:13:46,730 --> 00:13:51,870 +بيسأل أهله فيهم severe diabetes mellitus عشان + +147 +00:13:51,870 --> 00:13:57,960 +أجربته أو عشان في معرفة صداقة مع أهله بهم مش + +148 +00:13:57,960 --> 00:14:01,720 +يزوجهم المرض والصحة من الله طب هي المرض والصحة من + +149 +00:14:01,720 --> 00:14:07,240 +الله لو مش فيه أسباب هذه العيلة فيها سكر عالي + +150 +00:14:07,240 --> 00:14:14,560 +وفيها سكر عالي خاصة type 1 diabetes mellitus هل + +151 +00:14:14,560 --> 00:14:19,040 +يزوجوا هدول الناس؟ بالعقل لأ هيجنوا على النسل + +152 +00:14:19,040 --> 00:14:24,730 +بقولك مش مهم النسل لأ، خرامعلاقات لا ضرر ولا ضرار، + +153 +00:14:24,730 --> 00:14:31,010 +ولا تضر نفسك ولا تضر غيرك طيب، يبقى الـ two highly + +154 +00:14:31,010 --> 00:14:35,750 +myopic adults with degenerated myopia أو في + +155 +00:14:35,750 --> 00:14:39,730 +الـ fundus should never have children إيه رأيكوا؟ + +156 +00:14:39,730 --> 00:14:46,010 +وصار؟ ويقولهم، هتخلفوا احتمالات العمى أكثر من + +157 +00:14:46,010 --> 00:14:52,600 +البصر، إيش رأيكوا؟ طيب ما ردوش علينا خلفوا children + +158 +00:14:52,600 --> 00:14:57,300 +وهي اللي هيصير طبعًا هذه اللي هيصير الفطرة هيك + +159 +00:14:57,300 --> 00:15:04,120 +بتقول الطيور والزواحف بتنجب والحيوانات بتنجب + +160 +00:15:04,120 --> 00:15:09,580 +والسمك بنجب هذه الفطرة في المخلوقات يعني المخلوقات + +161 +00:15:09,580 --> 00:15:14,760 +هذه الفطرة فيهم فبقول الـ children of such parents + +162 +00:15:14,760 --> 00:15:19,680 +should be closely supervised from their earliest years + +163 +00:15:20,920 --> 00:15:24,940 +يعني من السنة التانية والتالتة الولد اللي أبوه أمه + +164 +00:15:24,940 --> 00:15:29,800 +high myopia بدأ نحطه تحت الملاحظة، اتكلم على دول + +165 +00:15:29,800 --> 00:15:36,300 +راقية بقدر قيمة الإنسان زي + +166 +00:15:36,300 --> 00:15:40,520 +طفل أبوه أمه type 1 diabetes mellitus طب ما هو + +167 +00:15:40,520 --> 00:15:44,400 +يُطلع زيهم يبقى احنا نحطه كل شوية نحلله سكري ون + +168 +00:15:44,400 --> 00:15:48,200 +بحث وكده وكده لأنه إن ما جااش اليوم جاى بكرا و + +169 +00:15:48,200 --> 00:15:55,600 +هال زي هيكالطفل هذا اللي من والدين high myopia + +170 +00:15:55,600 --> 00:16:00,680 +هو جاي على الـ myopia يعني هيقولوا ليه عمره تلت + +171 +00:16:00,680 --> 00:16:03,340 +سنين ما بين أشعر، هيبين في الرابع، في الرابع + +172 +00:16:03,340 --> 00:16:06,980 +ما بين أشعر، هيبين في الخامسة، ما يبقاش صح إن أنا + +173 +00:16:06,980 --> 00:16:12,280 +أحطه تحت الـ supervision every six months كل ست + +174 +00:16:12,280 --> 00:16:16,820 +شهور، أنا ما بخسرش حاجة، بحاول أعمل له vision على + +175 +00:16:16,820 --> 00:16:22,870 +الـ card، فعلوا dilatation للـ pupil وعملوا + +176 +00:16:22,870 --> 00:16:27,210 +ophthalmoscopy بالـ ophthalmoscope وإله + +177 +00:16:27,210 --> 00:16:31,730 +ملف في الدول الراقية، مريض القلب الصغير إله ملف + +178 +00:16:31,730 --> 00:16:36,350 +مريض السكري إله ملف ومريض البصر إله ملف ومريض + +179 +00:16:36,350 --> 00:16:40,450 +الكبد إله ملف، ليش يكون الـ higher biologists إله + +180 +00:16:40,450 --> 00:16:44,310 +ملف؟ ليش يضيع في المراكز ومش فاهم إيش اللي عندهم + +181 +00:16:44,310 --> 00:16:51,950 +انتقل في الناسيبقى هذا أنا بعمله close supervision + +182 +00:16:51,950 --> 00:16:58,070 +من قرب يعني ما يبعدوش كل ست شهور في مساحة في وحدة + +183 +00:16:58,070 --> 00:17:03,990 +صحية في مستشفى ما يروحوا لها لأطفال and if an + +184 +00:17:03,990 --> 00:17:07,850 +increase in refractivity occurs more rapidly than + +185 +00:17:07,850 --> 00:17:10,490 +would be normally expected they should be + +186 +00:17:10,490 --> 00:17:15,130 +considered as if they are pathological myopes طيب + +187 +00:17:15,130 --> 00:17:25,380 +في سنة تلاتةبدأ معاه نص ديوبتر مايوبيا سن الأربع + +188 +00:17:25,380 --> 00:17:32,140 +سنين صار واحد ديوبتر + +189 +00:17:32,140 --> 00:17:38,900 +مايوبيا في سن الخمس سنين صار معاه اتنين ديوبتر + +190 +00:17:38,900 --> 00:17:48,470 +مايوبيا في الست سنين صار معاه تلاتة، قلنا تلاتة + +191 +00:17:48,470 --> 00:17:53,410 +ديوبتر المايوپيا يعني، اه يبقى هنا في increase + +192 +00:17:53,410 --> 00:17:59,090 +refractivity، القوة الإبصرية عامة بتزيد، من نص + +193 +00:17:59,090 --> 00:18:04,130 +لواحد لاثنين لتلاتة وها كده، أنا أعتبره + +194 +00:18:04,130 --> 00:18:07,610 +pathological myopia، هذا الطفل + +195 +00:18:10,530 --> 00:18:16,090 +خاصة if the early clinical signs suggestive of + +196 +00:18:16,090 --> 00:18:19,590 +degenerative myopia خاصة إذا كان في الـ fundus بيان + +197 +00:18:19,590 --> 00:18:26,030 +معه crescent، بيان معه pigmentation مختلف، تيجريت + +198 +00:18:26,030 --> 00:18:30,690 +بيان معه myopic crescent أي حاجة من هذه كوريوتنا + +199 +00:18:30,690 --> 00:18:36,690 +الـ degeneration بدأ معاها بس في بداية بأكدلي إن هو رايح + +200 +00:18:36,690 --> 00:18:39,470 +على الـ high pathological myopia + +201 +00:18:47,130 --> 00:18:57,390 +طيب خلصناها الـ profile access الوقاية يبقى + +202 +00:18:57,390 --> 00:19:07,770 +الـ myopia هو مشكلة لو اتزوج لـ myope في مشكلة + +203 +00:19:07,770 --> 00:19:13,870 +صغيرة لو اتزوج high myope مشكلة كبيرة لو + +204 +00:19:13,870 --> 00:19:21,150 +أنجب، عدة مشاكل، تنتشر المشاكل طب treatment of myopia + +205 +00:19:21,150 --> 00:19:26,930 +الآن نيجي على العلاج شخصنا احنا تمامًا طبعًا the + +206 +00:19:26,930 --> 00:19:34,350 +first treatment is optical glasses احنا + +207 +00:19:34,350 --> 00:19:38,910 +لازم نكون مقتنعين ونقنع الناس أن استعمال النضارة + +208 +00:19:38,910 --> 00:19:45,590 +ليس لـ إيقاف progress of myopia استعمال النضارة لن + +209 +00:19:45,590 --> 00:19:50,910 +يوقف الـ myopia لأن هذه عملية داخل العين خاصة في الـ + +210 +00:19:50,910 --> 00:19:58,150 +posterior pole وفيها تمدل طيب إذا كان النضارة لن + +211 +00:19:58,150 --> 00:20:03,710 +توقف المايوپيا فما فائدتها؟ تصليح القوة، تحسن القوة، + +212 +00:20:03,710 --> 00:20:09,670 +تزود القبضاش؟ اسمع بجد، يعني + +213 +00:20:09,670 --> 00:20:14,630 +كانت فوائد النضارة في قصار النظر، خاصة الصغار أول + +214 +00:20:14,630 --> 00:20:20,860 +شيء eliminate the visual strainالـ eye strain زي ما + +215 +00:20:20,860 --> 00:20:24,380 +اتكلمنا في المحاضرة الماضية أنه قصير النظر يقرأ + +216 +00:20:24,380 --> 00:20:28,540 +near the near point، close to the near point بيجرب على + +217 +00:20:28,540 --> 00:20:33,320 +عينين وهذا بيعمل disorientation between + +218 +00:20:33,320 --> 00:20:40,000 +convergence and accommodation، فش accommodation و + +219 +00:20:40,000 --> 00:20:45,180 +بيعمل convergence كثير، فيصير معاه إما spasm بعدين + +220 +00:20:45,180 --> 00:20:51,260 +أو amblyopia، اتكلمنا على amblyopia لأن لما أعطيه + +221 +00:20:51,260 --> 00:20:55,780 +glasses بيخليه يقرأ normally، thirty to forty + +222 +00:20:55,780 --> 00:21:01,880 +centimeters بيكون فيه balance between the + +223 +00:21:01,880 --> 00:21:06,820 +convergence and accommodation، فيه balance كويس + +224 +00:21:06,820 --> 00:21:11,820 +هيك؟ هي فائدة هدفها صغيرة ولا كبيرة؟ كبيرة، طب + +225 +00:21:11,820 --> 00:21:16,720 +الفائدة التانية can give a proper training of the + +226 +00:21:16,720 --> 00:21:22,080 +visual habits especially in children اه الآن طفل + +227 +00:21:22,080 --> 00:21:30,000 +عنده two to three diopters مايوبيا و uncorrected + +228 +00:21:30,000 --> 00:21:35,740 +كيف الـ visual habits بتاعته تتطلع في دائرة صغيرة + +229 +00:21:35,740 --> 00:21:43,380 +narrow circle ما يقدر يفتح الشباك وينظر إلى السماء + +230 +00:21:43,380 --> 00:21:50,000 +أو إلى الفضاء دائمًا هو داري على إيش الحركة اللي هي + +231 +00:21:50,000 --> 00:21:54,140 +في خلال دائرة ضيقة لأن لما لابس نظارة لابس أقف + +232 +00:21:54,140 --> 00:22:00,400 +نفسه، ببدأ عنده good visual habits طب الفائدة + +233 +00:22:00,400 --> 00:22:06,500 +التالتة وهذه مهمة أنه أنا بساعده على الـ mental and + +234 +00:22:06,500 --> 00:22:08,820 +educational development + +235 +00:22:11,520 --> 00:22:19,820 +يعني لما هو بيلبس النضارة بيبدأ يشوف الصبورة ويحل + +236 +00:22:19,820 --> 00:22:29,280 +مسائل ويجيب على أسئلة ويفكر ويشارك ويعلم ويتعلم + +237 +00:22:29,280 --> 00:22:35,880 +بيبدأ الولد إن هو النواحي الذهنية والنواحي + +238 +00:22:35,880 --> 00:22:43,900 +التعليمية عنده تنمو عكس الولد المخطط ما يشوفش + +239 +00:22:43,900 --> 00:22:51,080 +الصبورة مش مشارك في الحل الإنسان مش شايف البعيد مش + +240 +00:22:51,080 --> 00:22:56,480 +عنده مبادرة عنده انطوائية وبعدين عنده غباء مصطنع + +241 +00:22:56,480 --> 00:23:04,900 +وعنده يأس مش هيك احنا قلناه يعني هذي benefits of + +242 +00:23:04,900 --> 00:23:14,900 +glasses in myopic children A وB وC بعد + +243 +00:23:14,900 --> 00:23:19,840 +أن + +244 +00:23:19,840 --> 00:23:23,340 +تنتهي الوقت التطوري والعادلات + +245 +00:23:23,340 --> 00:23:26,580 +الوضعية تم إصلاحها إذا كان لأي سبب أن المشاهدين + +246 +00:23:26,580 --> 00:23:30,820 +ليسوا مرتبطين وإذا كانت كلمة مفهومة مقبولة بدون + +247 +00:23:30,820 --> 00:23:36,060 +تجارب التواصل الوضعي لكي تتعامل مع التعامل مع + +248 +00:23:36,060 --> 00:23:36,940 +التعامل مع التعامل مع التعامل مع التعامل مع + +249 +00:23:36,940 --> 00:23:36,980 +التعامل مع التعامل مع التعامل مع التعامل مع + +250 +00:23:36,980 --> 00:23:41,490 +التعامل مع التعامل مع التعامل مع التعامل مع result + +251 +00:23:41,490 --> 00:23:49,450 +طيب لنفرض أنه هذا الطفل استعمل النضارة سنتين أو + +252 +00:23:49,450 --> 00:23:53,130 +تلاتة وانتفع + +253 +00:23:53,130 --> 00:24:02,330 +وتعلم وأصبح مبادر، لسبب ما خرج عن إرادته أوقف + +254 +00:24:02,330 --> 00:24:04,690 +استعمال النضارة بعد سنتين أو تلاتة + +255 +00:24:07,700 --> 00:24:11,000 +سبب مالي، أهله معاهمش، بيكسل نضارة كل شهر.. كل + +256 +00:24:11,000 --> 00:24:16,700 +شهرين، بيكسل نضارة، معاهمش يغطوا أو أنه اتعرض إلى + +257 +00:24:16,700 --> 00:24:23,320 +إساءات في الطريق عشان نضارته وهو جم أكتر من مرة، فاتعقد + +258 +00:24:23,320 --> 00:24:27,580 +ما بدوش يلبس نضارة، بقول هذا الآن مش هضره كثير هضره بس + +259 +00:24:27,580 --> 00:24:32,410 +مش هضره زي لو هو ما استعملش في الطفولة الأولى، سن + +260 +00:24:32,410 --> 00:24:36,610 +خمسة وستة وسبعة، هذه السنين مهمة جدًا لأنها فتحت + +261 +00:24:36,610 --> 00:24:42,170 +الطفل على العالم، بدأ الطفل في الأول بالنضارة إنه + +262 +00:24:42,170 --> 00:24:47,490 +يشوف البعيد يشوف القريب يشوف الصبورة ويروح في طريق + +263 +00:24:47,490 --> 00:24:51,350 +المدرسة ويساهم مع زملاءه ويلعب ويله صداقات معينة + +264 +00:24:51,350 --> 00:24:59,270 +كون جو بعد ما هو نجح في تكوين هذا الجو بدأ يكتسب + +265 +00:24:59,270 --> 00:25:04,190 +صفات جيدة وتعلم وذهنه كبر، لو بعد تلت أو أربع + +266 +00:25:04,190 --> 00:25:08,930 +سنوات اضطر إلى عدم استعمال نظارة فهو هيعني أقل من + +267 +00:25:08,930 --> 00:25:14,530 +لو من الأساس ما استعملش نظارة، طيب + +268 +00:25:14,530 --> 00:25:19,270 +الآن في العلاج لو degrees of myopia up to 6 in + +269 +00:25:19,270 --> 00:25:22,950 +young subjects while the defect should never be + +270 +00:25:22,950 --> 00:25:25,610 +over corrected a full correction should be ordered + +271 +00:25:25,610 --> 00:25:32,320 +and advised for constant use طيب احنا الآن خلصنا + +272 +00:25:32,320 --> 00:25:36,040 +الطفولة وجينا الـ young adults، young adults يعني + +273 +00:25:36,040 --> 00:25:43,240 +سبع عشر ثمان عشر up to six myopia diopters + +274 +00:25:43,240 --> 00:25:55,100 +could be fully corrected هنعطيه 100% تصحيح لأن ستة + +275 +00:25:55,100 --> 00:26:02,210 +الـ full correction is well tolerated بتحمله بسهولة + +276 +00:26:02,210 --> 00:26:10,390 +ليش؟ لأنه الـ aberrations قليلة والـ weight خفيف + +277 +00:26:10,390 --> 00:26:16,230 +نسبياً يعني نضارة خمسة ديوبتر وخمسة ديوبتر بتحملها + +278 +00:26:16,230 --> 00:26:20,190 +أربع ديوبتر وأربع ديوبتر بتحملها، الـ thickness + +279 +00:26:20,190 --> 00:26:27,770 +بتاعتها mild يعني mild thickness مش مشكلة يعني فيش + +280 +00:26:27,770 --> 00:26:36,270 +aberration كثير وlightweight، تاني حاجة اه فهو + +281 +00:26:36,270 --> 00:26:43,390 +بتحملها وهو ممكن يشوف fully ستة على ستة طيب + +282 +00:26:43,390 --> 00:26:47,850 +بقول لي أنا لما بعطي ال young adult ال full + +283 +00:26:47,850 --> 00:26:52,890 +correction بعمل balance between convergence and + +284 +00:26:52,890 --> 00:26:56,370 +accommodation بيبطل ال convergence تشتغل وال + +285 +00:26:56,370 --> 00:27:00,290 +accommodation في راحة لأن ال minus lenses اللي + +286 +00:27:00,290 --> 00:27:06,390 +أعطيتها لهذا الشخص عملت stimulation to + +287 +00:27:06,390 --> 00:27:10,390 +accommodation فصار فيه balance بال full correction + +288 +00:27:10,390 --> 00:27:12,930 +up to 6 طيب + +289 +00:27:23,670 --> 00:27:32,270 +نقول إنه احنا لازم نركز على إنه بيعطاه ال mild + +290 +00:27:32,270 --> 00:27:39,090 +myopia up to 6 full correction إنه في فائدة كبرى + +291 +00:27:39,090 --> 00:27:46,690 +اللي هو reading at normal distance 30 to 40 + +292 +00:27:46,690 --> 00:27:53,370 +centimeters ثلاثين إلى أربعين وبالتالي دائماً إنه + +293 +00:27:53,370 --> 00:27:56,570 +فيه good relation between convergence and + +294 +00:27:56,570 --> 00:28:03,470 +accommodation هذه يعني مهمة جداً أي طفل بيقرأ أقل من + +295 +00:28:03,470 --> 00:28:07,890 +ثلاثين سنتي حاسه بتعب و eye strain هو أي + +296 +00:28:07,890 --> 00:28:11,390 +طفل بيقرأ بعد الأربعين حاسه بتعب و eye + +297 +00:28:11,390 --> 00:28:14,710 +strain أصلاً + +298 +00:28:14,710 --> 00:28:18,870 +هو في شيء.. في شيء شائع في بعض المراكز البصرية + +299 +00:28:18,870 --> 00:28:26,930 +عندنا إن الميوب لا بد أن يقرأ بنظارة، يقولوا الميوب + +300 +00:28:26,930 --> 00:28:33,010 +بدوش نظارة، آه الميوب ولابد يبتَر، آه ماشي بيمشّي + +301 +00:28:33,010 --> 00:28:37,830 +إياها، لكن ميوب بعد الثلاثة والأربعة والخمسة، لأ، + +302 +00:28:37,830 --> 00:28:45,110 +لأن ال near point قريبة، تسع سنتي، عشر سنتي وهو + +303 +00:28:45,110 --> 00:28:49,730 +حيحاول يكبر لحاله يقرأ من عشر سنتي أو اثني عشر + +304 +00:28:49,730 --> 00:28:55,150 +سنتي هذا اللي حيعمله tiredness و fatigue و + +305 +00:28:55,150 --> 00:29:00,250 +extreme يبقى كوني إن أنا عملت له full correction أنا + +306 +00:29:00,250 --> 00:29:06,910 +حطيته في موضوع ال artificial emetropia صنعت له + +307 +00:29:06,910 --> 00:29:10,690 +emetropia وهذا صحيح إن أنا عملت له artificial + +308 +00:29:10,690 --> 00:29:13,990 +emetropia بقى أخليه لسه كما ميوب + +309 +00:29:17,110 --> 00:29:22,470 +طيب تعدينا ال young adults وجئنا الآن على adults + +310 +00:29:22,470 --> 00:29:35,430 +الكبار 25 to 30 ال HBF طبعاً طيب الآن في adult عمره + +311 +00:29:35,430 --> 00:29:41,130 +30 سنة وأول مرة for the first time يستعمل نظارة + +312 +00:29:41,130 --> 00:29:48,210 +كان في الريف وجه عن المدينة وأقارب وأخذوه على + +313 +00:29:48,210 --> 00:29:55,030 +الـ.. اللي هو المراكز بتاعة البصريات وجدوا عنده + +314 +00:29:55,030 --> 00:30:00,490 +مثلاً minus + +315 +00:30:00,490 --> 00:30:06,410 +six ده يبتَرِزّ في كل عين و + +316 +00:30:06,410 --> 00:30:13,470 +لهذا المشكلة إنه حيصير intolerance for spectacle + +317 +00:30:13,470 --> 00:30:19,920 +glasses مش هيتحملها وليه مش هيتحملها لأن ال ciliary + +318 +00:30:19,920 --> 00:30:25,680 +muscle اللي نامت دهراً خمسة وعشرين سنة مش بتعود on + +319 +00:30:25,680 --> 00:30:33,220 +a custom task of accommodation ال ciliary muscle سايبة + +320 +00:30:33,220 --> 00:30:38,300 +ال accommodation هو حتى لو بيقرأ بيقرأ بال + +321 +00:30:38,300 --> 00:30:44,890 +convergence في اللي فات كون أعطيته ال full dose ستة + +322 +00:30:44,890 --> 00:30:53,070 +من ستة مش هيتحمل تماماً زي إنسان ترك الرياضة سنوات + +323 +00:30:53,070 --> 00:31:01,810 +وبعدين فجأة ذهب مع الناس إلى البحر شاف البحر مغري + +324 +00:31:01,810 --> 00:31:07,090 +نزل البحر وقاعد يسبح ويلعب و يسبح ويلعب ويجري + +325 +00:31:07,090 --> 00:31:14,480 +فات آخر نهار ثم ده بليل جاله آية ثاني يوم أكثر ثالث + +326 +00:31:14,480 --> 00:31:18,780 +يوم صابوا stiffness في عضلاته وبدأ علاج بدأ شهر + +327 +00:31:18,780 --> 00:31:24,720 +سايب العمل عشان يوم تعب لإنه سنوات ترك الرياضة + +328 +00:31:24,720 --> 00:31:30,840 +ما مش تسخين وأحمق وتدريجياً يعني كل يوم نصف ساعة + +329 +00:31:30,840 --> 00:31:36,400 +نصف ساعة نصف ساعة لسنة اللي مصر زهر سايب ال + +330 +00:31:36,400 --> 00:31:38,120 +accommodation سنوات + +331 +00:31:41,460 --> 00:31:44,440 +فهذه الوقت هنعملها full correction يعمل لها + +332 +00:31:44,440 --> 00:31:49,300 +stimulation لل accommodation السنة الماضية الآن + +333 +00:31:49,300 --> 00:31:58,020 +هتعرضني أو هتتعب هتتعب فهو بيقول لي الحكمة هنا ال + +334 +00:31:58,020 --> 00:32:08,240 +wisdom إن أنا أعطي بشيء من ال under correction + +335 +00:32:09,280 --> 00:32:13,180 +under correction ال under correction هذا بيقول لي + +336 +00:32:13,180 --> 00:32:18,360 +one or two diopters less minus than those four + +337 +00:32:18,360 --> 00:32:23,040 +distance especially for reading especially for + +338 +00:32:23,040 --> 00:32:26,240 +reading لأن accommodation one بيكون في ال near + +339 +00:32:26,240 --> 00:32:32,080 +word في ال near word فمثلاً لو هو طلع عنده minus + +340 +00:32:32,080 --> 00:32:34,620 +six أعطيه minus four + +341 +00:32:37,450 --> 00:32:43,790 +لو هتقرأ بيكون فيه تدرج especially if engaged in a + +342 +00:32:43,790 --> 00:32:47,850 +great extent of reading خاصة إذا كان هذا عنده + +343 +00:32:47,850 --> 00:32:50,730 +امتحانات وعنده دراسة لمدة طويلة أو عمل كمبيوتر + +344 +00:32:50,730 --> 00:32:55,310 +سكرتارية أو ما شابه ده ما أقدرش أعطيه ال full dose + +345 +00:32:55,310 --> 00:33:04,530 +من أول مرة طيب نشوف ال group اللي هي above 40 + +346 +00:33:04,530 --> 00:33:09,620 +years بعد الأربعين طبعاً بعد الأربعين إيش اللي بيصير + +347 +00:33:09,620 --> 00:33:15,960 +ال accommodation بيبدأ يصير له إيش weakness آه و + +348 +00:33:15,960 --> 00:33:23,900 +decrease الآن واحد minus ستة وعمره مثلاً خمسة و + +349 +00:33:23,900 --> 00:33:31,980 +أربعين سنة إيش أعمل له الآن هذا بده يقرأ ممكن أنا بس + +350 +00:33:31,980 --> 00:33:34,440 +أعطيه ثلاثة + +351 +00:33:36,260 --> 00:33:44,400 +أو أعطيه أربعة ثلاثة إلى أربعة بالمينوس diopters طب + +352 +00:33:44,400 --> 00:33:46,820 +أنا إيش عملت لما أعطيته ثلاثة أو أربعة diopters + +353 +00:33:46,820 --> 00:33:53,380 +أعطيت له + +354 +00:33:53,380 --> 00:34:02,420 +plus two to plus four عشان ال reading عشان ال + +355 +00:34:02,420 --> 00:34:08,640 +reading يعني أنا حقيقة أعطيته less minus يعني أنا + +356 +00:34:08,640 --> 00:34:15,180 +أعطيت له بالعربي plus less minus يعني plus بس مش + +357 +00:34:15,180 --> 00:34:21,880 +أعطيت له plus plus قللت ال minus كويس هيك ناتج + +358 +00:34:21,880 --> 00:34:27,240 +الجامعة less minus هو + +359 +00:34:27,240 --> 00:34:32,700 +بيجي له presbyopia مش ما بيجي له بس ال presbyopia مش زي + +360 +00:34:32,700 --> 00:34:39,150 +ال M3 آه واحد متر أربعة زيرو نعطيه واحد وبعد سنة + +361 +00:34:39,150 --> 00:34:43,510 +نعطيه كمان نصف وكمان نصف وكمان نصف ماشي زي هذا لكن + +362 +00:34:43,510 --> 00:34:49,950 +واحد في وضع إنه ميوب ستة أو ميوب خمسة بنبدأ + +363 +00:34:49,950 --> 00:34:58,630 +نخصم لهم الميوب بالتدريج ويمكن يموت بعد السبعين وهو + +364 +00:34:58,630 --> 00:35:04,560 +الساعة ما خلص الخمسة أو الستة اللي هو تايم الميوبيا + +365 +00:35:04,560 --> 00:35:08,900 +يبقى أنا بعطيه ال reading less ميوبيا بعد ال 45 أو + +366 +00:35:08,900 --> 00:35:12,620 +بعد ال 40 فيه + +367 +00:35:12,620 --> 00:35:16,800 +جزئية نفسنا نتكلم فيها ال night myopia لاحظنا على + +368 +00:35:16,800 --> 00:35:21,040 +بعض الناس مش كل الناس يعني مثلاً واحد معه برضه + +369 +00:35:21,040 --> 00:35:29,880 +minus 6 في كل عين DS لما يطلع في العتمة من نور + +370 +00:35:29,880 --> 00:35:37,200 +العتمة بيلاقي difficulty in walking أو difficulty + +371 +00:35:37,200 --> 00:35:41,120 +in vision هو + +372 +00:35:41,120 --> 00:35:44,880 +لابس النظارة لابس ال correction بس بيقول لك لأ أنا + +373 +00:35:44,880 --> 00:35:48,700 +عمي لما أطلع من الضوء إلى العتمة والله أنا بجعب + +374 +00:35:48,700 --> 00:35:56,960 +بخاف مش كل الناس يعني في بعض الناس وهذا item لحاله + +375 +00:35:56,960 --> 00:35:59,120 +اسمه night myopia + +376 +00:36:01,470 --> 00:36:05,790 +يقول الحقيقة إنه حاولوا يفهموا ال causes of + +377 +00:36:05,790 --> 00:36:10,810 +nightmare يقولوا له في التفكير الأول إنه في حاجة + +378 +00:36:10,810 --> 00:36:16,270 +اسمها ال cone rod shift إن ده written at night لأن + +379 +00:36:16,270 --> 00:36:24,830 +نطلع من ال light إلى ال darkness ال cause بيصير لها + +380 +00:36:24,830 --> 00:36:28,230 +off وال loss بيصير لها on + +381 +00:36:31,610 --> 00:36:35,390 +فهو حتى لو لبس ال correction هي علاج صعوبة لأن + +382 +00:36:35,390 --> 00:36:41,550 +scotopic vision هي اللي شغالة كمان + +383 +00:36:41,550 --> 00:36:45,250 +في أمر ثاني pupillary dilatation in darkness + +384 +00:36:45,250 --> 00:36:54,030 +بيعمل aberrations بيعمل صورة هي ال lens في حالة ال + +385 +00:36:54,030 --> 00:36:57,610 +light وهي + +386 +00:36:57,610 --> 00:37:04,260 +ال iris constricted iris الـ rays اللي نازلة بتنزل + +387 +00:37:04,260 --> 00:37:14,980 +محورية و para axial محورية و para axial طيب نجي + +388 +00:37:14,980 --> 00:37:26,440 +وضع ال light ال lens هيك وال iris هيك ال + +389 +00:37:26,440 --> 00:37:31,520 +incident rays تدخل من ال periphery خلّيني أرسم هيك + +390 +00:37:31,520 --> 00:37:36,680 +من ال periphery ومن ال periphery من هنا وبتبدأ + +391 +00:37:36,680 --> 00:37:42,400 +تصير para axial para axial para axial وبعدين تصير + +392 +00:37:42,400 --> 00:37:46,640 +axial دخول + +393 +00:37:46,640 --> 00:37:52,840 +ال light من عدة مناطق مختلفة في ال body of the + +394 +00:37:52,840 --> 00:37:59,540 +lens بيعمل شيء اسمه aberrations حيود ضوئية حيود + +395 +00:37:59,540 --> 00:38:07,500 +نوائية وهذا يتقلل من ال vision ال clear vision + +396 +00:38:07,500 --> 00:38:11,160 +حاجة + +397 +00:38:11,160 --> 00:38:16,760 +ثالثة ciliary muscle خاصة إذا كنت تشوف شيء قريب في + +398 +00:38:16,760 --> 00:38:21,400 +ال light في ال darkness بيصير لها إيش reduced + +399 +00:38:21,400 --> 00:38:27,980 +activity إنما يبسّط أكثر من العادي يعني ال ciliary muscle + +400 +00:38:27,980 --> 00:38:34,300 +هي في ال myopia relaxed وفي العتمة بيصير more + +401 +00:38:34,300 --> 00:38:38,660 +relaxation لها مما يؤدي إلى serious impairment + +402 +00:38:38,660 --> 00:38:42,980 +تراجع impairment مش أعمى يعني لأ تراجع يعني مثلاً + +403 +00:38:42,980 --> 00:38:47,830 +إيه اللي بيشوفه في الوضع اللي حاجب نظارته 6 على 6 + +404 +00:38:47,830 --> 00:38:53,030 +ممكن في العتمة يصير شوف 6 على 12 هذا اسمه + +405 +00:38:53,030 --> 00:38:57,890 +impairment مش عامة يعني تراجع deterioration أو + +406 +00:38:57,890 --> 00:39:01,490 +impairment of night vision appropriately + +407 +00:39:01,490 --> 00:39:05,270 +appropriately increase myopic correction should be + +408 +00:39:05,270 --> 00:39:09,610 +given آه هذا ال myopia اللي بال correction بتاعه + +409 +00:39:09,610 --> 00:39:19,070 +مش شايف كويس ممكن أعطيه خصم مجاز معين نصف إلى واحد + +410 +00:39:19,070 --> 00:39:27,330 +صحيح to one TS زيادة بالمينوس يعني لو هو نأخذ + +411 +00:39:27,330 --> 00:39:31,850 +minus five أعطينا اللي عاتنا minus six minus six + +412 +00:39:31,850 --> 00:39:37,510 +وأجرب أجرب كيف اللي هو ال feedback يعني هل إنه + +413 +00:39:37,510 --> 00:39:43,520 +حيُلبس نظارة للنهار ونظارة للليل بيقول والله حسب ال + +414 +00:39:43,520 --> 00:39:52,360 +job حسب ال job يعني يعني في واحد يحرس مجلس الوزراء + +415 +00:39:52,360 --> 00:39:57,680 +أو ما يوم بال correction بتاع النهار بتاعه مش كافي + +416 +00:39:57,680 --> 00:40:02,760 +مش شايف البعيد مش شايف الدنيا ليه يعني لما أعطينا + +417 +00:40:02,760 --> 00:40:06,800 +minus six شخص صار يشوف أحسن آه والله ال job بتاعته + +418 +00:40:06,800 --> 00:40:12,080 +مهم هذا سيريف نظارة في الليل نظارة في النهار نظارة + +419 +00:40:12,080 --> 00:40:12,340 +في الليل + +420 +00:40:15,590 --> 00:40:19,910 +واحد مرابط، واحد عنده حراسة معينة، واحد عامل + +421 +00:40:19,910 --> 00:40:25,010 +بتطلب إنه يمشي في الليل، اه نعمله نضارة بالليل، + +422 +00:40:25,010 --> 00:40:29,770 +night myopia طب دكتورنا ليه شغله ما بيحتاج هاي + +423 +00:40:29,770 --> 00:40:34,690 +الأشياء؟ ما بيعمله أي strain إذا زوّلها؟ ما بتعبه + +424 +00:40:34,690 --> 00:40:37,890 +أو بيحس ع الضغط على عينه؟ لأ هي بس هي دي لل + +425 +00:40:37,890 --> 00:40:43,370 +darkness، بس لل darkness يعني مش مطلوبة لما يكون في + +426 +00:40:43,370 --> 00:40:52,270 +light أو قراءة، لأ، بس يعني لجو العكمة دارك طيب + +427 +00:40:52,270 --> 00:41:01,790 +نرجع ثاني للـ high myop high myop أكثر من ten more + +428 +00:41:01,790 --> 00:41:08,070 +than ten ديوبتر هل الـ full correction tolerated + +429 +00:41:08,070 --> 00:41:12,210 +easily ولا with difficulty؟ لو أعطيته عشرة من + +430 +00:41:12,210 --> 00:41:20,140 +عشرة؟ أو واحد خمسة عشر اعطيه خمسة عشر من خمسة عشر طيب + +431 +00:41:20,140 --> 00:41:25,360 +ماذا يمنع أن أعطيه full correction أول + +432 +00:41:25,360 --> 00:41:35,560 +شيء heavy weight ثاني شيء fake lenses بتعملي + +433 +00:41:35,560 --> 00:41:41,700 +aberrations و بتعملي prismatic effect ثالث حاجة + +434 +00:41:45,360 --> 00:41:49,660 +فيش accommodation بالمرة ولا في accommodation؟ + +435 +00:41:49,660 --> 00:41:53,140 +تعمل accommodations طيب بس في مشكلة ال + +436 +00:41:53,140 --> 00:42:00,560 +accommodation في مشكلة أخرى في موضوع اللي .. اللي + +437 +00:42:00,560 --> 00:42:05,400 +.. اللي هو heavy .. heavy glasses في شيء من دس فيه + +438 +00:42:05,400 --> 00:42:10,400 +garment بصيتنا في شيء من دس فيه garment يعني بتضغط + +439 +00:42:10,400 --> 00:42:18,130 +كتير على الوش عشان هيك نعمل compromise للناس هذه حل + +440 +00:42:18,130 --> 00:42:27,090 +وسط أو تسوية والحل الوسط أن أنا بعمل reduction of + +441 +00:42:27,090 --> 00:42:29,890 +the correction as little as it is compatible with + +442 +00:42:29,890 --> 00:42:36,970 +comfort and good vision يبقى + +443 +00:42:36,970 --> 00:42:44,570 +أنا الآن في يعني موضوعين أو شرطين لازم أراعيهم في + +444 +00:42:44,570 --> 00:42:52,010 +الـ correction الوضع الأول الراحة الوضع الثاني الـ + +445 +00:42:52,010 --> 00:43:01,310 +vision قدمنا إيش على إيش قدمنا الراحة يعني واحد لو + +446 +00:43:01,310 --> 00:43:07,690 +عملنا الـ correction ستة على خمسة بس في discomfort + +447 +00:43:10,980 --> 00:43:17,220 +this comfort واحد + +448 +00:43:17,220 --> 00:43:23,040 +ثاني بيشوف ستة على تسعة بالـ correction بس في + +449 +00:43:23,040 --> 00:43:31,200 +comfort comfort إيش يا ربّي أختار إيه؟ أختار ستة على + +450 +00:43:31,200 --> 00:43:38,160 +تسعة مع الـ comfort الراحة مقدمة على الـ best vision + +451 +00:43:38,730 --> 00:43:42,990 +ممكن أتنازل شوية بس شوية محدودة يعني عن الـ best + +452 +00:43:42,990 --> 00:43:48,210 +vision على أساس إنّي أوفر الراحة لأنّ الراحة حالة + +453 +00:43:48,210 --> 00:43:53,550 +جسدية و نفسية جسدية و نفسية و الإنسان إذا كان حاسس + +454 +00:43:53,550 --> 00:43:59,590 +إنّ هذه النضارة هتعمله discomfort برميها يعني ما فيش + +455 +00:43:59,590 --> 00:44:02,750 +أمر إسكاري أني مفضل إيش إن هو يحملها يعني برميها + +456 +00:44:02,750 --> 00:44:07,490 +ما بدوها لذلك أنا لازم أراعي الـ comfort في الأول + +457 +00:44:09,070 --> 00:44:13,570 +لبسه الـ correction و هو لابسه لسه الـ correction لسه + +458 +00:44:13,570 --> 00:44:18,310 +و هو في الـ frame الـ trial frame و أقوله امشي روح + +459 +00:44:18,310 --> 00:44:21,430 +تعال اقعد هناك طلع على التلفزيون إذا كان فيه + +460 +00:44:21,430 --> 00:44:25,650 +تلفزيون جابي اللي ما أعمله prescription اللي ما + +461 +00:44:25,650 --> 00:44:28,970 +أعمله prescription أنقصه و .. و .. و لابسه في عينيه + +462 +00:44:28,970 --> 00:44:34,810 +لو تعب بعد هيك أنا المسؤول فأنا أحيانًا بخليها على + +463 +00:44:34,810 --> 00:44:37,570 +عينيه بهمش و يصوروا هو لابسها يعني + +464 +00:44:43,140 --> 00:44:48,460 +ما هو احنا بنجتهد، يمشي برا، لف لك لفة، اقعد + +465 +00:44:48,460 --> 00:44:53,320 +على التليفزيون، اقرأ حاجة، ما هي ربع الساعة، في حد + +466 +00:44:53,320 --> 00:44:57,300 +إنّي أنا شاكك إنّ الحالة احتمال تفضي إلى discomfort، + +467 +00:44:57,300 --> 00:45:01,620 +اه إلى discomfort، يعني الـ comfort مقدم على الفجر + +468 +00:45:01,620 --> 00:45:03,140 +طيب + +469 +00:45:13,950 --> 00:45:21,610 +the amount which has been deducted كم أخصهم والله + +470 +00:45:21,610 --> 00:45:26,270 +بقولك هذا individually يعني احنا نقول اللي عنده + +471 +00:45:26,270 --> 00:45:33,990 +ستة نعطيه full طب اللي عنده تسعة اه و الله ممكن + +472 +00:45:33,990 --> 00:45:40,170 +أعطيه ثمانية طب اثنا عشر ديوبتر ده اعطيه عشرة طب + +473 +00:45:40,170 --> 00:45:43,650 +خمسة عشر ديوبتر ده أعطيه أحد عشر + +474 +00:45:47,180 --> 00:45:54,000 +في adjustment اه في نوع من الاجتهاد بقول من واحد + +475 +00:45:54,000 --> 00:45:56,580 +إلى ثلاثة ممكن أعطيه أكثر but in the highest + +476 +00:45:56,580 --> 00:46:00,820 +degrees lenses even weaker than this will be found + +477 +00:46:00,820 --> 00:46:06,700 +زي الخمسة عشر اعطيها عشرة الستة اعطيناها ستة من ستة + +478 +00:46:06,700 --> 00:46:09,680 +التسعة اعطيناها ثمانية اثنا عشر اعطيناها عشرة + +479 +00:46:09,680 --> 00:46:16,660 +الخمسة عشر اعطيناها أحد عشر طب لو أكثر هنجلّل أكثر طيب + +480 +00:46:16,660 --> 00:46:21,080 +حتى أنا لو أعطيهم الخمسة عشر أحد عشر هالهادي سهلة + +481 +00:46:21,080 --> 00:46:28,080 +يعني؟ يعني في انسان بيلبس هنا أحد عشر و هنا أحد عشر + +482 +00:46:28,080 --> 00:46:35,780 +و بيكون مرتاح لأ heavy and thick طب إيش عامل؟ + +483 +00:46:35,780 --> 00:46:39,320 +بيقول لي شوف له طريقة في الـ dispensing في عداد + +484 +00:46:39,320 --> 00:46:45,040 +النظارة special technique والـ index flint والـ super + +485 +00:46:45,040 --> 00:46:51,820 +flint هو السقل يعني بيجيز مضغوط مضغوط سوبر كمان كل + +486 +00:46:51,820 --> 00:46:55,220 +three diopters في ديوبتر وفي كل four diopters + +487 +00:46:55,220 --> 00:47:00,360 +ديوبتر تجبى يعني هو لابس twelve كانوا لابس ثلاثة + +488 +00:47:00,360 --> 00:47:04,500 +three فانا + +489 +00:47:04,500 --> 00:47:10,980 +هيك الـ light weight وزن خفيف الـ aberrations قليلة + +490 +00:47:10,980 --> 00:47:16,690 +و الـ visual field لو عامة واسعة لأنه لو أنا لابسه + +491 +00:47:16,690 --> 00:47:23,490 +اثنا عشر الـ peripheral بتاعها thick لو أطلع هنا فهو + +492 +00:47:23,490 --> 00:47:26,770 +بس بيطلع على الـ senator يعني narrow visual field + +493 +00:47:26,770 --> 00:47:31,270 +الميدان البصري أو الساحة البصرية narrow لأنّه مش + +494 +00:47:31,270 --> 00:47:39,470 +يقدر يطلع side and side صعب عليه فأنا عشان أخفف في + +495 +00:47:39,470 --> 00:47:44,010 +الوزن و أقلل الـ aberrations أو أوسع الـ visual field + +496 +00:47:44,010 --> 00:47:51,950 +إيش بتعمله؟ special dispensing technique منها الـ + +497 +00:47:51,950 --> 00:47:57,350 +super flint و منها الـ high index glasses و منها الـ + +498 +00:47:57,350 --> 00:48:04,070 +plastic lenses الحقيقة أن الـ plastic lenses هي + +499 +00:48:04,070 --> 00:48:06,910 +light weight لكن thick + +500 +00:48:10,520 --> 00:48:17,560 +طيب الـ normal lenses العادية heavy and thick يعني + +501 +00:48:17,560 --> 00:48:21,640 +فيها إيش disadvantage اتنين البلاستيك فيها + +502 +00:48:21,640 --> 00:48:27,680 +disadvantage واحدة اللي هي إيش thick بس light في + +503 +00:48:27,680 --> 00:48:30,180 +الـ .. في الـ .. في البتاني طب الـ super reflect + +504 +00:48:30,180 --> 00:48:33,560 +light + +505 +00:48:33,560 --> 00:48:43,810 +in weight and thin فنّ مش تك فنّ بس طبعًا expensive + +506 +00:48:43,810 --> 00:49:00,030 +صح؟ فيعني كل إنسان حسب ظروفه المادية و الصحية طيب + +507 +00:49:00,030 --> 00:49:08,940 +دائمًا الـ network بظهر مشكلة في الـ high lenses يعني + +508 +00:49:08,940 --> 00:49:16,600 +الإنسان اللي ماشي بتن للـ distance ده ديوبتر لو إيجي + +509 +00:49:16,600 --> 00:49:22,700 +يقرأ فيه في الـ ten مش هي ارتاح خاصة في الـ adults طب + +510 +00:49:22,700 --> 00:49:27,040 +إيش عامل هذا لازم + +511 +00:49:27,040 --> 00:49:30,680 +للـ reading في الحالة هذه عشان أشغل الـ ciliary + +512 +00:49:30,680 --> 00:49:35,720 +muscle و الـ minification يكون أقل بقول + +513 +00:49:35,720 --> 00:49:41,530 +minification التصغير العدسة السالبة كل ما كانت أعلى + +514 +00:49:41,530 --> 00:49:48,010 +كل ما عملت تصغير أكثر و كل ما كانت صغيرة كل ما + +515 +00:49:48,010 --> 00:49:54,230 +تصغير كان أقل عكس العدسة الموجبة العدسة الموجبة كل + +516 +00:49:54,230 --> 00:49:58,570 +ما زوّدت فيها تعمل magnification و كل ما قلت منها + +517 +00:49:58,570 --> 00:50:03,370 +تعمل less magnification طيب + +518 +00:50:03,370 --> 00:50:09,760 +هو لا distance هذا للبعيد الـ 10 كويسة معاها شوف + +519 +00:50:09,760 --> 00:50:16,480 +تمامًا طب دي اقرأ مش هشوفه هيجي يتهم يقول اه و الله + +520 +00:50:16,480 --> 00:50:19,820 +نظارتك ما بفجر أنا أقرأ فيها بقول نظارتك على طول + +521 +00:50:19,820 --> 00:50:25,740 +بتتهمّني أنا فأنا من البداية كنت عندي سياسة ليش أنا + +522 +00:50:25,740 --> 00:50:31,200 +ما أقلّل الـ minification يعني أعمله indirect + +523 +00:50:31,200 --> 00:50:37,730 +magnification يبقى هذا أن أنا بعطيه ثمانية للـ + +524 +00:50:37,730 --> 00:50:45,690 +reading للقراءة هيكيف كأنّني + +525 +00:50:45,690 --> 00:50:52,110 +أعطيته plus two كأنّي أعطيته زائد اثنين كيف زائد + +526 +00:50:52,110 --> 00:51:00,310 +اثنين بس قلنا طبعًا impossible to be in one lens + +527 +00:51:00,310 --> 00:51:07,640 +لازم يكون إمّا two glasses يعني نضارتين أو by vocal + +528 +00:51:07,640 --> 00:51:16,620 +و الأفضل من الكل progressive بس هي progressive في + +529 +00:51:16,620 --> 00:51:22,840 +الـ function و progressive في الـ money صح + +530 +00:51:22,840 --> 00:51:27,220 +progressive في الـ money لأنه أقول لكم يعني حاجة + +531 +00:51:27,220 --> 00:51:33,220 +يعني شاب أو شابة عمره عشرين سنة أنّه يحط نضارة في + +532 +00:51:33,220 --> 00:51:36,350 +اليمين و نضارة في اليسار نضارة للبعيد و نضارة + +533 +00:51:36,350 --> 00:51:42,530 +القراءة تجيله عليها حتى دوقيًا مش جميلة لو واحد + +534 +00:51:42,530 --> 00:51:46,550 +كبير في السن يعني الناس بيبقى بيقول والله يا نظرة + +535 +00:51:46,550 --> 00:51:50,950 +مع الزمن صاروا تراجعوا و بهمش نضارتين بعوض الله + +536 +00:51:50,950 --> 00:51:59,910 +طيب لو لبس by focal هيك هيشوف الـ distance تمام و + +537 +00:51:59,910 --> 00:52:03,190 +هنا هيشوف الـ near them طيب و الـ intermediate + +538 +00:52:03,190 --> 00:52:08,390 +distances للـ intermediate مش هشوفها خاصة صعود + +539 +00:52:08,390 --> 00:52:12,030 +الدرج و نزول الدرج يعني و أنا أطلع الدرج بعيدة + +540 +00:52:12,030 --> 00:52:17,570 +ثلاثة متر يعني ممكن أصلم في الناس أيوة أيوة أو نزل + +541 +00:52:17,570 --> 00:52:22,850 +الدرج لو في حاجة على الدرج ممكن تزحلك يعني مش شايف + +542 +00:52:22,850 --> 00:52:28,150 +فهو بدوا الـ intermediate distances اللي هو + +543 +00:52:28,150 --> 00:52:32,630 +المسافات البينية between distance and near بدون + +544 +00:52:32,630 --> 00:52:38,420 +إيش يغطيها، ما بتغطيها إلا progressive جايس هيك؟ و + +545 +00:52:38,420 --> 00:52:40,500 +هذا طبعًا في الدورة الرقية هو اللي .. اللي مطلوب + +546 +00:52:40,500 --> 00:52:48,920 +يعني، في الدورة الرقية هو المطلوب ستة متشكل بالقليل + +547 +00:52:48,920 --> 00:52:53,400 +مئة و خمسين دولار، بالقليل مئة و خمسين دولار مش + +548 +00:52:53,400 --> 00:52:58,920 +أ خسارة .. مش خسارة في خاصة طلاب الجامعة، طلاب + +549 +00:52:58,920 --> 00:53:04,240 +الجامعة احنا بنعطيهم بكرم اه + +550 +00:53:04,240 --> 00:53:08,500 +لما بدوا تغيير بياخد الـ frame و بيغير العدسات و هم + +551 +00:53:08,500 --> 00:53:16,940 +الأقلّ طيب لسه مش هذا الأسوأ شوف يا بناتي أي شيء + +552 +00:53:16,940 --> 00:53:23,440 +له solution مش .. مش غريب كثير الشيء اللي له حل + +553 +00:53:23,440 --> 00:53:28,640 +خاصة بالنضارة أو بالـ .. بالبياسترز كما يقولون بالـ + +554 +00:53:28,640 --> 00:53:34,220 +money مش هو الصعب الصعب لما حتى ما يلاقيش الـ + +555 +00:53:34,220 --> 00:53:38,970 +correction in most pronounced cases especially when + +556 +00:53:38,970 --> 00:53:42,750 +more pathological changes is present in the fundus + +557 +00:53:42,750 --> 00:53:46,630 +و منها الـ macular degeneration macular atrophy + +558 +00:53:46,630 --> 00:53:51,270 +little benefit may result from the use of + +559 +00:53:51,270 --> 00:53:59,310 +inespectacular lenses و أنا low vision patient ليش؟ + +560 +00:53:59,310 --> 00:54:07,560 +المشكلة في الشبكية مرض الشبكية لو صحي هو نضارة مرض في + +561 +00:54:07,560 --> 00:54:13,700 +الحلقات هذه نستخدم compound telescopic spectacles + +562 +00:54:13,700 --> 00:54:19,720 +مساعدات بصرية اسمها visual aids بيمسك العدسة بيده + +563 +00:54:19,720 --> 00:54:26,060 +ويمشيها على كل كلمة بالدور على كل سطر وعلى كل كلمة + +564 +00:54:26,060 --> 00:54:31,220 +يعني إيه؟ بيشوفهم العدسة الـ aid الكلمة اللي واجه + +565 +00:54:31,220 --> 00:54:34,980 +عليها العدسة بيشوفها مكبرة والكلمة اللي برا لأ + +566 +00:54:37,650 --> 00:54:41,910 +جدّي الصعبة دي which reduce the field of vision + +567 +00:54:41,910 --> 00:54:46,850 +يعني من إزاي أنا بيقرا هيك بعرض الصفحة طول الصفحة + +568 +00:54:46,850 --> 00:54:53,770 +لأ لأ بيقرا كلمة كلمة كلمة كلمة بس by magnify + +569 +00:54:53,770 --> 00:54:57,070 +objects considerably while others appear to get + +570 +00:54:57,070 --> 00:55:00,730 +about more comfortable and aided في بعض الناس + +571 +00:55:00,730 --> 00:55:05,490 +بيقولك لأ لأ لأ أمسك عدسة وهذه بعض النضارات مكبرة + +572 +00:55:05,490 --> 00:55:11,430 +برضه بعض النضارات ملبسها مكبرة للأشياء هذه طيب + +573 +00:55:11,430 --> 00:55:16,030 +الناس اللي هم بيرفضوا المساعدة البصرية عندهم عادة + +574 +00:55:16,030 --> 00:55:20,450 +طبيعي بيقرأ من قريب بحط النضارة .. الكتاب على + +575 +00:55:20,450 --> 00:55:24,910 +عينيه ليش بحط الكتاب على عينيه؟ في محاولة ياما الـ + +576 +00:55:24,910 --> 00:55:29,370 +magnification الـ magnification هذا بيجي يعني + +577 +00:55:29,370 --> 00:55:36,920 +تلقائيًا لما هو يقربأه وهم يبقى بتكبر الصورة فهو + +578 +00:55:36,920 --> 00:55:41,300 +بيقولك بحط في كتاب بصعوبة شوف بعض الكلام وبمشي + +579 +00:55:41,300 --> 00:55:45,820 +حالته طبعًا الـ visual aid دلّاسة أحسن للناس اللي هم مع + +580 +00:55:45,820 --> 00:55:50,460 +السن يسألهم إيش core uretinal degeneration خاصة + +581 +00:55:50,460 --> 00:55:56,200 +البقعية طبعًا العلاج الثاني بعد النضارة contact + +582 +00:55:56,200 --> 00:56:01,540 +lenses العدسات اللاصقة طبعًا internationally العدسات + +583 +00:56:01,540 --> 00:56:06,620 +اللاصقة أثبتت فعالية كبيرة جدا في إيش؟ في علاج + +584 +00:56:06,620 --> 00:56:10,580 +الميُوبيا أكثر من الهيبيرميتروبيا والميزة زي ما قلنا + +585 +00:56:10,580 --> 00:56:17,300 +إحنا أن هي القرنية وهي الـ tear film عليها الـ tear + +586 +00:56:17,300 --> 00:56:22,840 +film وبتيجي الـ contact lens بيصيروا ثلاثة one + +587 +00:56:22,840 --> 00:56:27,500 +surface الـ surface هذا هو الـ contact lens يعني لو + +588 +00:56:27,500 --> 00:56:30,960 +القرنية فيها استجماتيزم، القرنية فيها شوية + +589 +00:56:30,960 --> 00:56:36,480 +irregularity، حاجة مع الـ tear film والـ contact + +590 +00:56:36,480 --> 00:56:44,220 +lens بيصيروا سطحًا واحدًا، سطح، آه واحد، one + +591 +00:56:44,220 --> 00:56:51,020 +surface، one surface يبقى دي have their most + +592 +00:56:51,020 --> 00:56:53,920 +important role in optical correction وميُوبيا، آه + +593 +00:56:53,920 --> 00:56:57,050 +دورها كبير في علاج الميُوبيا They have undoubtedly + +594 +00:56:57,050 --> 00:57:02,270 +cosmetic advantage أجمل من نضارة لشك لأنه هي + +595 +00:57:02,270 --> 00:57:11,230 +الأقرب إلى الـ natural appearance المنظر for simple + +596 +00:57:11,230 --> 00:57:14,550 +myopia and in the much higher degrees of myopia + +597 +00:57:14,550 --> 00:57:17,270 +with considerable superior optical benefits يعني + +598 +00:57:17,270 --> 00:57:22,030 +إلها superior optical benefits على الـ glasses لسبب + +599 +00:57:22,030 --> 00:57:29,200 +بسيط أنه فيش back vertex مافيش back vertex زي + +600 +00:57:29,200 --> 00:57:37,260 +النضارة يعني مافيش lens effectivity إيش يعني + +601 +00:57:37,260 --> 00:57:43,140 +lens effectivity الـ minus lens كل ما قربها للعين + +602 +00:57:43,140 --> 00:57:48,860 +أكثر كل ما زادت الـ power بتاعتها طب كل ما بعيدها + +603 +00:57:48,860 --> 00:57:56,140 +عن العين بتقل طب الـ plus lens كل ما قربها بتقل كل ما + +604 +00:57:56,140 --> 00:58:02,110 +بعيدها عن العين يعني المسافة بتلعب في قوة العدسة + +605 +00:58:02,110 --> 00:58:09,530 +أما الـ contact lens في مكانها الصحيح عارفين إيش + +606 +00:58:09,530 --> 00:58:16,610 +أحسن من contact lens عشان effectivity الـ intra + +607 +00:58:16,610 --> 00:58:23,890 +-aquarian lens الآن في بيزرعوا + +608 +00:58:23,890 --> 00:58:27,070 +lens plus lens في الـ AC + +609 +00:58:34,740 --> 00:58:43,520 +بيزرعوا جوا الـ a c a minus lens minus lens مفرقة + +610 +00:58:43,520 --> 00:58:49,860 +minus lens للميُوبيا و plus lens للهيبيرميتروبيا جوا ورا + +611 +00:58:49,860 --> 00:58:58,840 +القرنية أمام الـ ايرس أمام الـ ايرس دي لها haptics، + +612 +00:58:58,840 --> 00:59:04,420 +لها أقدام، والله لشك إنه فيه شوية disadvantage طب + +613 +00:59:04,420 --> 00:59:09,460 +وين بيروح الأكل وزيهم؟ ما أنا بقولك هي لها + +614 +00:59:09,460 --> 00:59:14,680 +haptics، يعني لها متكاءات معينة، في نقطة معينة على + +615 +00:59:14,680 --> 00:59:18,520 +الزاوية، لكن مش كل الزاوية، مش كل الـ angle of AC + +616 +00:59:18,520 --> 00:59:24,970 +شوف تكتير هذه، يعني intraocular implantation بدأ + +617 +00:59:24,970 --> 00:59:30,630 +اللي ما يحط contact ويشيلها بيحطها دول الـ AC عشان + +618 +00:59:30,630 --> 00:59:40,030 +يكفشي موضوع الـ effectivity منتهي contact + +619 +00:59:40,030 --> 00:59:46,070 +lenses are free of aberrations which are + +620 +00:59:46,070 --> 00:59:48,750 +unavoidable بالنسبة للميزة الثالثة اسمها optical + +621 +00:59:48,750 --> 00:59:53,130 +defects of thick periphery of the spectacles + +622 +00:59:53,130 --> 00:59:56,970 +ماعندناش الـ aberrations ولا لأننا بريزماتيك effect + +623 +00:59:56,970 --> 01:00:02,130 +ميزة + +624 +01:00:02,130 --> 01:00:12,170 +الثالثة ميزة الثالثة + +625 +01:00:13,970 --> 01:00:19,670 +يعني هنا في balance hundred percent between + +626 +01:00:19,670 --> 01:00:25,570 +convergence and accommodation يعني الـ minus lens + +627 +01:00:25,570 --> 01:00:32,830 +اللي أنا حاططها في النضارة لم تستوفي القوة عشان + +628 +01:00:32,830 --> 01:00:38,670 +توازن الـ convergence لأنها لسه قدام العين ما أصلت + +629 +01:00:38,670 --> 01:00:39,430 +القرنية + +630 +01:00:41,690 --> 01:00:46,810 +خاصة لما يكون عشر وفوق يعني في الواحد يمكن يطلع + +631 +01:00:46,810 --> 01:00:54,010 +كسر صغير مثلا عشر ديوبتر في الاتنين يمكن يطلع ربع + +632 +01:00:54,010 --> 01:01:00,950 +ديوبتر في الثلاثة يمكن يطلع ديوبتر إلى ربع في + +633 +01:01:00,950 --> 01:01:04,870 +الأربعة أكثر في الخامس أكثر طب في العشرة الحركة هي + +634 +01:01:04,870 --> 01:01:07,850 +الـ back vertex بينها وبين القرنية ممكن تطلع + +635 +01:01:07,850 --> 01:01:10,870 +بالجليل ديوبتر أو ديوبتر ونصف + +636 +01:01:14,650 --> 01:01:19,930 +ففيها تفاوت between convergence and accommodation + +637 +01:01:19,930 --> 01:01:25,330 +في النضارة لسه فيه شوية لكن في الـ contact lens لأ + +638 +01:01:25,330 --> 01:01:32,530 +زي الـ normal زي العين الطبيعية العادية 100% يعني + +639 +01:01:32,530 --> 01:01:38,530 +النضارات لسه موصلوش كمال في الـ function صح هو بيشوف + +640 +01:01:38,530 --> 01:01:44,750 +فيها صحيح لكن عند القراءة فيه مشكلة طيب العلاج + +641 +01:01:44,750 --> 01:01:49,350 +الثالث بعد النظارات ونقص اللاصقة general hygiene + +642 +01:01:49,350 --> 01:01:54,850 +treatment الاهتمام بالصحة العامة طبعًا تشوفوا إحنا + +643 +01:01:54,850 --> 01:01:58,530 +لدينا الصحة العامة متوسطة لا أريد أن أقول أن أنا + +644 +01:01:58,530 --> 01:02:05,410 +جليل كثير ولا عادية أقل من العادية subnormal بقول + +645 +01:02:05,410 --> 01:02:10,710 +أن الـ general hygiene treatment not less important + +646 +01:02:10,710 --> 01:02:16,030 +than provision of spectacles وعايز أسأل طالباتي إيش + +647 +01:02:16,030 --> 01:02:21,290 +provision what + +648 +01:02:21,290 --> 01:02:27,210 +is provision إيش + +649 +01:02:27,210 --> 01:02:33,670 +تزويد يبقى هي noun of provide provide noun of + +650 +01:02:33,670 --> 01:02:39,030 +provide فبقول اللي واتمام بالـ general health لا + +651 +01:02:39,030 --> 01:02:45,860 +يقل أهمية عن تزويده بالإيش؟ من النضارة طب إيش هي يا + +652 +01:02:45,860 --> 01:02:51,140 +ربّي الـ general hygiene هذه؟ الصحة العامة؟ بقولي + +653 +01:02:51,140 --> 01:02:55,240 +fresh air الهواء + +654 +01:02:55,240 --> 01:03:03,480 +المتجدد exercise لحد الأدم من الرياضة الأهم الـ + +655 +01:03:03,480 --> 01:03:09,910 +food whole sum يعني كامل food كامل طب عن الـ food + +656 +01:03:09,910 --> 01:03:14,410 +الكامل بيحتوي خمس عناصر غذائية proteins + +657 +01:03:14,410 --> 01:03:23,270 +carbohydrates lipids vitamins and minerals للملح + +658 +01:03:23,270 --> 01:03:29,610 +المعدني minerals يعني الآن لو طفل عايش على + +659 +01:03:29,610 --> 01:03:38,430 +النشويات اللي هي الككسة والشوكولاتة فقط لإن وأنا + +660 +01:03:38,430 --> 01:03:41,570 +هأبقى شوكولاتة بس مافيش بروتين مافيش لبس مافيش + +661 +01:03:41,570 --> 01:03:49,150 +vitamins طبعًا هسيبه مرض معين آه طيب واحد عايش على + +662 +01:03:49,150 --> 01:03:56,050 +الدهون هسيبه أمراض واحد عايش على البروتينات بس و + +663 +01:03:56,050 --> 01:04:00,340 +بكل شبكة العناصر الحاسبة وهكذا كل فيتامين بنقص عند + +664 +01:04:00,340 --> 01:04:09,080 +الإنسان فيه على طول symptoms of deficiency يبقى + +665 +01:04:09,080 --> 01:04:13,920 +خاصة للبروتينات والفيتامينات للأطفال لأنه عناصر بناء + +666 +01:04:22,800 --> 01:04:26,260 +طبعًا واحد بتصور طيب يعني ليش الغذاء اللي .. هو + +667 +01:04:26,260 --> 01:04:29,960 +بيعمل good development ومنها العين العين بتصيرها + +668 +01:04:29,960 --> 01:04:33,340 +إيش normal development ما داعي إنه يصير معاه + +669 +01:04:33,340 --> 01:04:36,800 +refractive error كبير و pathology وكلام زي هذا و + +670 +01:04:36,800 --> 01:04:39,480 +أنتوا عارفين vitamin A مهم جدا في علاج أمراض + +671 +01:04:39,480 --> 01:04:45,520 +الشبكية vitamin A خاصة واللي هو الـ precursor + +672 +01:04:45,520 --> 01:04:48,460 +بتاعه زي الجزر والمانجا والـ .. والحاجات اللي هي + +673 +01:04:48,460 --> 01:04:54,640 +بيقولوا عن الفواكه الصفراء طيب العلاج كمان الرابع + +674 +01:04:54,640 --> 01:05:03,500 +visual hygiene صحة العين طبعًا كتير من هو لو بيقرأ + +675 +01:05:03,500 --> 01:05:09,300 +optometry لكن بخطأ في موضوع الاهتمام بصحة العين + +676 +01:05:09,300 --> 01:05:15,200 +أقدر أن أقول مثلا مثلا illumination الإضاءة طبعًا + +677 +01:05:15,200 --> 01:05:22,980 +إحنا في مجتمع عندنا قطع كهرباء كثير شائعة الآن الشموع + +678 +01:05:22,980 --> 01:05:33,840 +وبعدين شائعة اللمبات وشائعة ضوء القمر وشائعة + +679 +01:05:33,840 --> 01:05:39,440 +إنارة الشوارع آه في شباب .. في شباب مستني الـC + +680 +01:05:39,440 --> 01:05:43,400 +الساعة مثلا التاسعة كده ياخد كتابه ويروح يقعد تحت + +681 +01:05:43,400 --> 01:05:50,540 +عمود الكهرباء في والله كان زمان معجزة .. آه ولا مافيش + +682 +01:05:50,540 --> 01:05:55,740 +إحنا واقفين ونقول يعني الله عارف يعني واللي ادّعى هذه + +683 +01:05:55,740 --> 01:06:00,140 +بتضعف كمان ومافيش مشاكل فبقولي الـ elimination + +684 +01:06:00,140 --> 01:06:06,820 +important خاصة during close work خاصة أثناء القراءة + +685 +01:06:06,820 --> 01:06:09,740 +يعني اللي .. اللي .. اللي بيشتغل شغل عام مش زي اللي + +686 +01:06:09,740 --> 01:06:15,560 +بيقرأ الـ elimination should be good في مستواها and + +687 +01:06:15,560 --> 01:06:21,520 +adequately arranged ما تكونش مركزة في جانب غرفة أو + +688 +01:06:21,520 --> 01:06:24,200 +على حائط معين أو شيء لازم تكون الـ university زي + +689 +01:06:24,200 --> 01:06:32,060 +ذلك كل الحجرة مضاءة المشي مهم جدا الزيادة في الـ + +690 +01:06:32,060 --> 01:06:36,040 +elimination بيعمل إجهاد والنقص في الـ elimination + +691 +01:06:36,040 --> 01:06:45,500 +بيعمل إجهاد مافيش بعد اللي هو الـ good normal وفي + +692 +01:06:45,500 --> 01:06:50,880 +arrangement و distribution تكون equal في كل مكان + +693 +01:06:50,880 --> 01:06:57,920 +أي واحد الشيء الثاني الـ posture القامة قامة البقرة + +694 +01:06:57,920 --> 01:07:02,540 +عشان يحافظ على عينيه وعلى جسمه كمان إنه زي ما + +695 +01:07:02,540 --> 01:07:07,200 +يقولوا يعني يكون في استقامة الرأس مع الرقبة مع الـ + +696 +01:07:07,200 --> 01:07:14,790 +vertebral column أي واحدة بعد هيك thighs الفخذين + +697 +01:07:14,790 --> 01:07:21,350 +يعملوا زاوية قائمة زاوية قائمة مع الـ trunk مع + +698 +01:07:21,350 --> 01:07:26,710 +الجذع بتاع الجسم زاوية قائمة ثاني شيء أن الـ thighs + +699 +01:07:26,710 --> 01:07:34,790 +والـ legs الساقين يكونوا زاوية قائمة والـ foot يكون + +700 +01:07:34,790 --> 01:07:44,030 +على إيه؟ الـ diagram كويس هيك؟ طيب الآن واحد بيقرأ إلى + +701 +01:07:44,030 --> 01:07:51,190 +الأمام هيك خطأ طب واحد بيقرأ من هيك فيقعد بيحط رجل + +702 +01:07:51,190 --> 01:07:56,350 +على رجل و بيقرأ من بينهم طب واحد حط لي كتاب و بيقرأ + +703 +01:07:56,350 --> 01:08:03,830 +هيك طب واحد نايم و بيقرأ بالكتاب هيك نايم نايم + +704 +01:08:03,830 --> 01:08:13,340 +واحد نايم مستلقي و بيقرأ بالكتاب هيك كله خطأ كله .. + +705 +01:08:13,340 --> 01:08:18,360 +ليش؟ لأن بعد شوية اليد هتتعب ليش احنا بنجلس على + +706 +01:08:18,360 --> 01:08:26,080 +كرسي و مكتب؟ لأنه المكتب حامل الكتاب أو الكمبيوتر + +707 +01:08:26,080 --> 01:08:33,160 +ارتاحنا من ناحية هذه و الكرسي حامل الجسم فتوزيع + +708 +01:08:33,160 --> 01:08:43,070 +الزوايا و الأحمال صح أي وضع آخر و كلنا جربناه + +709 +01:08:43,070 --> 01:08:47,950 +احنا نحمل بدينا الكتاب اه و الأرض تحملنا هيك بدون + +710 +01:08:47,950 --> 01:08:56,190 +كرسي هذا شيء صعب شيء صعب على + +711 +01:08:56,190 --> 01:09:02,310 +الكرسي بتعمل؟ + +712 +01:09:02,310 --> 01:09:08,030 +طب ايش البديل؟ + +713 +01:09:18,340 --> 01:09:23,800 +ماشي هو أنا بقول يعني في بعض الناس بيقرأ و هو ماشي + +714 +01:09:23,800 --> 01:09:31,300 +و أنا شخصيا جربت حفظ القرآن الكريم في المشي + +715 +01:09:31,300 --> 01:09:37,190 +لجدة افضل وسيلة خاصة بعد صلاة الفجر حفظ القرآن + +716 +01:09:37,190 --> 01:09:43,850 +الكريم، هذه تجربة شخصية، كل صباح صفحة جديدة، كل + +717 +01:09:43,850 --> 01:09:47,530 +صباح صفحة جديدة، كل صباح صفحة جديدة، و لمدة أربع وعشرين + +718 +01:09:47,530 --> 01:09:52,370 +ساعة تكرار للصفحة، لأ أنا صحيح، يعني لو كنت بتمشي + +719 +01:09:52,370 --> 01:09:58,350 +في الهواء الطلق، في الجو البارد، كان أفضل شيء، + +720 +01:09:58,350 --> 01:10:04,080 +لكن طالب يقرأ لساعات متأخرة من الليل، لا يقدر يمشي + +721 +01:10:04,080 --> 01:10:08,780 +كثير، بده يقرأ لأنه بده برضه يحط ملاحظات و يكتب و + +722 +01:10:08,780 --> 01:10:13,580 +يخربش، بده مكتب فقرأت المكتب و أهميته للقراءة و + +723 +01:10:13,580 --> 01:10:17,740 +الاستيعاب كطالب، لأ هي أفضل شيء طيب في كمان حاجة + +724 +01:10:17,740 --> 01:10:25,120 +اسمها clarity of print وضوح الطباعة وضوح الطباعة و + +725 +01:10:25,120 --> 01:10:32,370 +the size of letters العادة السيئة أنه في كتاب مفقود + +726 +01:10:32,370 --> 01:10:36,810 +الناس بتصور منه بياخدوا الصورة الجيل اللي بعده + +727 +01:10:36,810 --> 01:10:40,750 +بيصور من الصورة والجيل اللي بعده بيصور من صورة + +728 +01:10:40,750 --> 01:10:49,050 +الصورة فبصير في ال print ضعيف هذا بقى تلاصق + +729 +01:10:49,050 --> 01:10:54,670 +العينين وبخلي ال image دائما big و ال size كل ما + +730 +01:10:54,670 --> 01:10:59,580 +كان ال size أكبر كل ما كان أحسن عشان الكبار السن + +731 +01:10:59,580 --> 01:11:02,620 +بريسبيوبيا احنا بنقاوم البريسبيوبيا في كبار السن نقوله + +732 +01:11:02,620 --> 01:11:07,060 +اقرأ من مصحف كبير يا أخي بيروح بيجيب مصحف كبير بيحطه + +733 +01:11:07,060 --> 01:11:12,140 +من غير نضارة شايف خلاص حلينا المشكلة المشكلة هي مشكلة + +734 +01:11:12,140 --> 01:11:18,600 +vision إنما أنا عايز أجيب له مصحف صغير يعني خمس + +735 +01:11:18,600 --> 01:11:20,920 +سنتي في خمس سنتي وأقول اقرأ من هذا بتعزف حتى + +736 +01:11:20,920 --> 01:11:28,960 +الشباب حتى اللي هو نظره أحسن شيء تغلب أيضا انديو + +737 +01:11:28,960 --> 01:11:34,660 +أكولر فاتين انديو اللي يدعى له تجي الطفل قاعد + +738 +01:11:34,660 --> 01:11:41,420 +بالكمبيوتر قاعد يتكلم في الصفحات يفضل يتكلم في + +739 +01:11:41,420 --> 01:11:45,120 +الصفحات لغاية ما نعيش و ننام على الكرسي يجي يشيله + +740 +01:11:45,120 --> 01:11:48,060 +الساعة اثنتا عشر الليل و يجي ينام على الكرسي طب ما + +741 +01:11:48,060 --> 01:11:53,960 +هذا يعني يؤثر على عينيه وجود صفحات كثيرة و ألوان + +742 +01:11:53,960 --> 01:11:58,340 +كثيرة وخطوط متفاوتة بيقتل عن ايه؟ وممكن يشجع ال + +743 +01:11:58,340 --> 01:12:06,680 +myopia وهذا ضد صحة العين والبصر the amount + +744 +01:12:06,680 --> 01:12:10,420 +of work should be adjusted to the general physical + +745 +01:12:10,420 --> 01:12:17,940 +and mental development يعني بيقول لي لازم أن أنا + +746 +01:12:17,940 --> 01:12:24,700 +أشوف حجم الطفل واستيعابه و أعطيه عمل على قدره مش أقل + +747 +01:12:24,700 --> 01:12:29,820 +طالب الروضة أن أعطيه مناهج رياضيات و أعطيه حساب و + +748 +01:12:29,820 --> 01:12:34,680 +أعطيه مسار كبير وكذلك ما أعرضوش أنا لصفحات كمبيوتر + +749 +01:12:34,680 --> 01:12:39,280 +أكبر منه بكثير وساعات طويلة يبقى حجم الطفل و وزن + +750 +01:12:39,280 --> 01:12:44,860 +الطفل و عقله هو اللي بتحكم في كمية العمل the choice of + +751 +01:12:44,860 --> 01:12:50,540 +career اختيار المهنة يعني خرج الجامعة عنده ميوبيا + +752 +01:12:50,540 --> 01:12:54,780 +سبعة ثمانية تسعة و بده يشتغل بالكمبيوتر واحنا بنشغله + +753 +01:12:54,780 --> 01:13:01,880 +يعني طابع سكرتير أو شغله في شغل عام مريح للنظر + +754 +01:13:01,880 --> 01:13:09,600 +شغل مريح للنظر أفضل من شغل يحمل على النظر كثير حتى + +755 +01:13:09,600 --> 01:13:15,840 +يستهلك شوية ال cones اللي فاضلة في الماكولا بدري + +756 +01:13:15,840 --> 01:13:20,860 +ويصبح عمى من أربعين أو خمسين سنة يبقى الأفضل أن أنا + +757 +01:13:20,860 --> 01:13:30,420 +أعطيه عمل ما يتعبش النظر ما يتعبش النظر طيب + +758 +01:13:30,420 --> 01:13:34,080 +الآن الأطفال اللي عندهم progressive myopia + +759 +01:13:34,080 --> 01:13:36,200 +pathological myopia + +760 +01:13:39,430 --> 01:13:43,390 +وهو الطفل هذا مش قادر إنه ينتمج في مدارس ابتدائية + +761 +01:13:43,390 --> 01:13:49,710 +وإعدادية مع طلاب الأصحاء هؤلاء عملوا لهم مدارس خاصة أو + +762 +01:13:49,710 --> 01:13:55,170 +معاهد خاصة بتعتمد على non-visual educational + +763 +01:13:55,170 --> 01:14:00,570 +methods يعني بتعتمد على تنمية الذاكرة وعلى اللمس + +764 +01:14:00,570 --> 01:14:06,830 +والسمع مدارس خاصة في كل محافظة أو بلاد راقية وكل + +765 +01:14:06,830 --> 01:14:14,630 +في هذه المدارس the education بيعتمد على associative + +766 +01:14:14,630 --> 01:14:21,230 +memory وبعتمد على ال touch زي طريقة braille وبعتمد + +767 +01:14:21,230 --> 01:14:29,950 +على ال oral education بدل ال books بدل الكتب يعني + +768 +01:14:29,950 --> 01:14:33,690 +بيعتمد على اللمس بتعمل على الشفاهة وبتعمل على + +769 +01:14:33,690 --> 01:14:39,610 +السمع بيشغل عنده حواس أخرى غير حاسة البصر اللي هي + +770 +01:14:39,610 --> 01:14:46,590 +فيها تدهور أو فيها تراجع ويكتفى بما تبقى من البصر + +771 +01:14:46,590 --> 01:14:55,370 +في إنه يرى ال board blackboard drawings وال large + +772 +01:14:55,370 --> 01:15:02,970 +type well spaced printing يعني على السبورة بنجيب له + +773 +01:15:02,970 --> 01:15:11,970 +الصورة المكبرة بطة هجيب له rabbit هجيب له monkey + +774 +01:15:11,970 --> 01:15:19,190 +وبالنظر أعلمه أن هذا هيك الأسد أو هيك الليون أو + +775 +01:15:19,190 --> 01:15:23,870 +هيك الصور هذه أعرض عليه الصور في projector على + +776 +01:15:23,870 --> 01:15:31,020 +السبورة هو بنظره البسيط الفاضل شوية مع السمع ممكن + +777 +01:15:31,020 --> 01:15:36,300 +أن يفهم وفي مرة ثانية مع لمس ال garden hose مثلا + +778 +01:15:36,300 --> 01:15:40,840 +أو التفاحة أو البرتقالة يمسكها ويتفقدها ويشوفها + +779 +01:15:40,840 --> 01:15:47,260 +هيك يحفظها أفضل أن أقرأ له ايش أن أكتب له في الكتاب + +780 +01:15:47,260 --> 01:15:49,860 +ايش البرتقالة أو ايش التفاحة أو ايش كده كده كده + +781 +01:15:49,860 --> 01:15:57,100 +كده كلمة well spaced متباعدة يعني مثلا بدي مثلا أن + +782 +01:15:57,100 --> 01:16:07,380 +أكتب له كلمة رجل الراء هيك على السبورة والجم هيك + +783 +01:16:07,380 --> 01:16:15,300 +على السبورة واللام هيك على السبورة أحرف متباعدة أو مكبرة + +784 +01:16:16,410 --> 01:16:20,430 +عشان ما تبقى من البصر أن هو يشوفه آخر حاجة نتكلم + +785 +01:16:20,430 --> 01:16:25,010 +عنها اللي هو ال pharmacology طبعا بده vitamins + +786 +01:16:25,010 --> 01:16:31,270 +أقراص خاصة vitamin A و B complex و multivitamins + +787 +01:16:31,270 --> 01:16:36,650 +عشان أنا أدعم ال cause عنده و أدعم ال retinal + +788 +01:16:36,650 --> 01:16:41,450 +metabolism شوية لازم أعطيه فيتامينات إذا كانوا طفل + +789 +01:16:41,450 --> 01:16:46,250 +صغير بياخد شراب إذا كانوا كبار شوية بياخدوا أقراص في + +790 +01:16:46,250 --> 01:16:50,950 +ناس بيقولوا أعطيه Cyclobentrolate عند النوم قال + +791 +01:16:50,950 --> 01:16:54,190 +Cyclobentrolate في الليل بيعمل Cycloblegia بيُريح + +792 +01:16:54,190 --> 01:16:57,210 +ال ciliary muscle بيُريح ال accommodation في الليل + +793 +01:16:59,600 --> 01:17:05,400 +وفي النهار بيكون عنده شيء من الراحة في البصر لكن + +794 +01:17:05,400 --> 01:17:11,580 +هذا الكلام مايل يعني confirmation ما لهوش تأكيد أو + +795 +01:17:11,580 --> 01:17:17,220 +تأييد حتى الآن أن أعطيه cyclopentolate قبل النوم + +796 +01:17:17,220 --> 01:17:23,030 +لكن أعطيه vitamins اه هذا شيء مفيد وممكن نحافظ عليه + +797 +01:17:23,030 --> 01:17:29,570 +يعني سلامة اللي هو ال retina of myopes شكرا لكم + +798 +01:17:29,570 --> 01:17:31,650 +على فترة الاستماع و السلام عليكم diff --git a/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/Q5UHxCA1zdo_postprocess.srt b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/Q5UHxCA1zdo_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..afb1b70af3d56b06cf10fe4712973b4fdbfafeb4 --- /dev/null +++ b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/Q5UHxCA1zdo_postprocess.srt @@ -0,0 +1,3192 @@ +1 +00:00:20,620 --> 00:00:23,060 +أعوذ بالله من الشيطان الرجيم بسم الله أن أحنا + +2 +00:00:23,060 --> 00:00:27,400 +راحيينالحمد لله رب العالمين و أصلي و أسلم على + +3 +00:00:27,400 --> 00:00:30,860 +النبي الأمين السلام عليكم و رحمة الله وبركاته + +4 +00:00:30,860 --> 00:00:40,220 +اليوم سنبدأ بالتوقعات عن ميوبيا التوقعات عن ميوبيا + +5 +00:00:40,220 --> 00:00:44,460 +هناك + +6 +00:00:44,460 --> 00:00:52,220 +تغيير في التوقعات عن ميوبيا بحسب نقطة واحدة نقطة + +7 +00:00:52,220 --> 00:01:01,990 +ميوبياto age of the patient any + +8 +00:01:01,990 --> 00:01:09,850 +degree of myopia under the age of four years is + +9 +00:01:09,850 --> 00:01:18,370 +looked as serious potentially serious and in need + +10 +00:01:18,370 --> 00:01:25,310 +for observationأي درجة من قصر النظر قبل سن الرابعة + +11 +00:01:25,310 --> 00:01:37,270 +من الأمر يُنظر له نظرة جدية ومستقبل خطير أي + +12 +00:01:37,270 --> 00:01:41,610 +درجة minus one minus two minus three قبل أربع + +13 +00:01:41,610 --> 00:01:47,270 +سنوات it is a serious degree or serious thing + +14 +00:01:48,610 --> 00:01:52,530 +related to prognosis للمستقبل يعني المقال بتاعه + +15 +00:01:52,530 --> 00:01:57,770 +above + +16 +00:01:57,770 --> 00:02:04,990 +the age of eight to ten a low degrees + +17 +00:02:04,990 --> 00:02:10,590 +physiological myopia يعني may be locked upon with + +18 +00:02:10,590 --> 00:02:20,150 +less alarm less alarm يعني بخطورة أقلإذا تعد الطفل + +19 +00:02:20,150 --> 00:02:28,730 +الثامنة إلى العاشرة وبدأت الميوبيا تظهر عليه فإن + +20 +00:02:28,730 --> 00:02:36,090 +الموضوع أقل خطورة أقل خطورة مش يعني مافيش خطورة بس + +21 +00:02:36,090 --> 00:02:40,810 +أقل من الأربع أو أقل من الأربع سنين وقبل لأخطر شيء + +22 +00:02:40,810 --> 00:02:46,310 +هذا يعني ترى إذا كان الميوبيا بدأت في سن تلت سنين + +23 +00:02:46,310 --> 00:02:52,590 +كيف تطور راح يكون؟أيوة اتطورك بيه لكن مثلا صار + +24 +00:02:52,590 --> 00:02:56,490 +عشرة عشر سنوات و بدأت مع الميوبيا يعني اخف احتمال + +25 +00:02:56,490 --> 00:03:00,850 +اخف والله اعلم ايوة + +26 +00:03:00,850 --> 00:03:05,770 +follow up should be exercised especially about the + +27 +00:03:05,770 --> 00:03:09,610 +age of puberty يعني نفضل هذا الطفل اللي بدأت مع + +28 +00:03:09,610 --> 00:03:13,390 +الميوبيا في سن اربع او خمسة او ستة تمانية الى عشرة + +29 +00:03:13,390 --> 00:03:16,670 +نفضل نعمله follow up زيارة كل تلت شهور + +30 +00:03:16,670 --> 00:03:25,950 +للoptometristلغاية ما يتعدى البلوغ 16 سنة والله + +31 +00:03:25,950 --> 00:03:28,570 +إذا كان في 16 سنة كان وضعه خطير بده متابعة لكن إذا + +32 +00:03:28,570 --> 00:03:36,430 +كان صار stationary وتوقف هنا خلاص بسيط خلاص عرفت + +33 +00:03:36,430 --> 00:03:40,130 +أنا المقال بتاعه God's Prognosis يبقى ال prognosis + +34 +00:03:40,130 --> 00:03:47,100 +هذا هذا ال prognosis ممكن نقول God's Prognosisو + +35 +00:03:47,100 --> 00:03:53,940 +ممكن يكون bad prognosis ممكن + +36 +00:03:53,940 --> 00:03:59,560 +يكون good ممكن يكون bad في الحالة هذه لو وصل ال + +37 +00:03:59,560 --> 00:04:05,760 +priority و توقف و يكون good ال prognosis تمام واحد + +38 +00:04:05,760 --> 00:04:09,960 +يعمل عملية جراحية و بعدها باسبوعين أكل و شرب و + +39 +00:04:09,960 --> 00:04:12,200 +بعدها تحرك و بعدها ماشي و رجع للأعلى منه و يقول + +40 +00:04:12,200 --> 00:04:16,530 +good ال prognosis خلاصلكن واحد فضل بدردن في السرير + +41 +00:04:16,530 --> 00:04:19,550 +اللي بيقوم ولا هذا و اللي بيأكل ولا .. لأ bad + +42 +00:04:19,550 --> 00:04:26,470 +prognosis طيب حاجة تانية if the age of twenty one + +43 +00:04:26,470 --> 00:04:30,410 +years is passed without serious progression the + +44 +00:04:30,410 --> 00:04:32,810 +condition may be expected to be remain stationary + +45 +00:04:32,810 --> 00:04:38,010 +and the prognosis may be taken also as good يعني + +46 +00:04:38,010 --> 00:04:42,510 +واحد وصل ما يقب هو ما يقب وصلت twenty one years + +47 +00:04:43,700 --> 00:04:48,920 +مافيش معاه choreo-retinal-degeneration مافيش معاه + +48 +00:04:48,920 --> 00:04:54,780 +loss of central vision اللي أخدناها قبل هيك هذا + +49 +00:04:54,780 --> 00:04:58,440 +مافيش منه و لو انه مايقاب ال fundus عنده كويس ال + +50 +00:04:58,440 --> 00:05:03,120 +vision عنده fully corrected لما عملوا glasses مثلا + +51 +00:05:03,120 --> 00:05:08,520 +بيكون ايش الوضع good prognosis هم يقول مقالات + +52 +00:05:08,520 --> 00:05:13,550 +اسمها الواحد في مقال حسنفي مقال سيء ونسأل الله انه + +53 +00:05:13,550 --> 00:05:20,650 +مقالنا يكون في الجنة ليس في النار يا رب طيب + +54 +00:05:20,650 --> 00:05:24,250 +in the higher degrees of myopia الان بدنا نجي للي + +55 +00:05:24,250 --> 00:05:28,650 +بعد بعد البرقنوز عندي higher degrees يعني فوق + +56 +00:05:28,650 --> 00:05:34,250 +العشرة above than ten degree او degrees البرقنوز + +57 +00:05:34,250 --> 00:05:38,130 +should always be guarded it must be based on the + +58 +00:05:38,130 --> 00:05:40,790 +appearance of fondous uncorrected visual equity + +59 +00:05:42,580 --> 00:05:47,680 +يبقى في الحالات الـ high degrees of myopia دائما + +60 +00:05:47,680 --> 00:05:52,960 +في الـ follow-up في الزيارات المتابعة وهذه مشتركة + +61 +00:05:52,960 --> 00:05:56,780 +بين الـ ophthalmologist و بين الـ optometrist الـ + +62 +00:05:56,780 --> 00:06:01,340 +optometrist بده يركز على الـ unaided video الـ + +63 +00:06:01,340 --> 00:06:07,340 +equity و بده يركز على الـ reflection كل 6 شهور + +64 +00:06:07,340 --> 00:06:14,180 +زيارة يعني انا اليوم لجيه 10degrees ال visual + +65 +00:06:14,180 --> 00:06:20,300 +equity corrected ستة على تسعة بعد ست شهور لجيته + +66 +00:06:20,300 --> 00:06:25,080 +eleven وال best corrected visual equity six twelve + +67 +00:06:25,080 --> 00:06:33,300 +في تراجع ولا لأ في تراجع في تراجع طيب كمان ست شهور + +68 +00:06:33,300 --> 00:06:41,110 +تانية لجيته عنده احد عاشر و نصو عنده 6 على 18 + +69 +00:06:41,110 --> 00:06:51,270 +تراجع آخر ايش فائدة ال follow-up ال follow-up تعطي + +70 +00:06:51,270 --> 00:06:57,470 +فكرة تماما في ملف معين للمريض حرام المريض انه يضيع + +71 +00:06:57,470 --> 00:07:05,850 +بين عدة أشخاص وبين عدة مراكز حرام مافيش علم ان هذا + +72 +00:07:05,850 --> 00:07:12,530 +المريض ايش قصتهوهم الهوف بدوا يخمنع نفسه دائما من + +73 +00:07:12,530 --> 00:07:17,590 +مركز لمركز، من طبيب لطبيب، وماحدش عامله ملف، لأ، + +74 +00:07:17,590 --> 00:07:21,810 +لازم وزارة الصحة تهتم بهؤلاء الناس الهامليوبز، + +75 +00:07:21,810 --> 00:07:31,050 +بعيد ان كلهم عيادة واحدة أو مكان واحد أو طبيب واحد + +76 +00:07:31,050 --> 00:07:33,950 +او optometrist واحد اللي هو مسؤول عنهم، فك المنطقة + +77 +00:07:35,170 --> 00:07:39,010 +عشان لما يعمل follow-up يدخن في ال file معنومة + +78 +00:07:39,010 --> 00:07:43,590 +جديدة في ال file نفسه معنومة جديدة انا كتير مجيومي + +79 +00:07:43,590 --> 00:07:48,970 +ناس late بقولوا طب جيبلي ال prescriptions اللي + +80 +00:07:48,970 --> 00:07:52,510 +قابل، بقول فيش طب وانا كنت اعمل؟ قال مرة عملت عند + +81 +00:07:52,510 --> 00:07:56,010 +فلان، مرة عند المركز الفلاني و المركز الفلاني طب + +82 +00:07:56,010 --> 00:08:00,690 +روح بقى، يمكن مالاقيش data او بدهم مش يعطوه أصبح + +83 +00:08:00,690 --> 00:08:05,630 +المريض انا شايفه بعد العشرين، اول مرةبدي أبدأ أعمل + +84 +00:08:05,630 --> 00:08:10,490 +follow-up طب إيه يفضل ييجي follow-up هو floating + +85 +00:08:10,490 --> 00:08:20,090 +بدوش يلتزم بناحي واحدة وهذا بزيد المرض مرض طيب لما + +86 +00:08:20,090 --> 00:08:24,830 +يكون في follow-up محدد كل مرة بدي أعمله refraction + +87 +00:08:24,830 --> 00:08:31,070 +un-aided visual acuity و aided visual acuity و + +88 +00:08:31,070 --> 00:08:38,010 +أعمله فاندسكوبفاندسكوبي يعني فحص قاعد عيني طب ايه + +89 +00:08:38,010 --> 00:08:44,350 +الفاندسكوبي؟ زي المناطق بيب طب ايه بدو يشوف فيها؟ + +90 +00:08:44,350 --> 00:08:48,790 +ايه الفاندس اللي بدو يشوف فيها؟ object disk و + +91 +00:08:48,790 --> 00:08:56,050 +الماكولا و ال blood vessels و ال background باجر + +92 +00:08:56,050 --> 00:09:01,090 +الشبكية يعني في أربع أشياء أساسيةالشبكية عموما + +93 +00:09:01,090 --> 00:09:04,070 +هيك، هل فيها Correlation و لا، اللي شفتواها ال + +94 +00:09:04,070 --> 00:09:07,190 +batches و ال pigmentation الموزّح هذا، هذه ال + +95 +00:09:07,190 --> 00:09:12,050 +background ال optic disk، بشوفوا، في حواليه + +96 +00:09:12,050 --> 00:09:19,090 +Decrescent و لا لأ، كيف وضعوا ال optic disk؟ و ال + +97 +00:09:19,090 --> 00:09:21,690 +macular فيها degeneration و لا لأ؟ و ال blood + +98 +00:09:21,690 --> 00:09:26,770 +vessels كيف وضعها؟in all cases the possibility of + +99 +00:09:26,770 --> 00:09:30,590 +sudden retinal hemorrhage أو sudden retinal + +100 +00:09:30,590 --> 00:09:35,690 +detachment should be born in mind دائما أنا خايف + +101 +00:09:35,690 --> 00:09:42,350 +من إيش؟ خايف من مصيبة لهؤلاء ال high myopes تتمثل + +102 +00:09:42,350 --> 00:09:49,350 +في نزيف شبكي أو انفصال شبكي عشان هيك لازم يكون + +103 +00:09:49,350 --> 00:09:54,770 +عنده و عند أهلهإن في الوقت اللي هو بيصير فيه + +104 +00:09:54,770 --> 00:10:02,290 +sudden loss of vision يتحرك فورا فورا فورا إلى جهة + +105 +00:10:02,290 --> 00:10:11,370 +المعالجة يبقى هاي المقالات إما good وإما bad كل ما + +106 +00:10:11,370 --> 00:10:15,490 +كانت الدرجة أقلإن شاء الله يكون good، كل ما كان + +107 +00:10:15,490 --> 00:10:19,850 +السن أكبر كل ما كان، أما السن أصغر وفيه myopia + +108 +00:10:19,850 --> 00:10:23,450 +غالبا bad، كل ما كان الدرجة أكبر كل ما كان bad + +109 +00:10:23,450 --> 00:10:28,050 +prognosis وبيحتاج إلى متابعة وإلى فحص دوري، كل ست + +110 +00:10:28,050 --> 00:10:31,770 +شهور، تلت شهور، حسب طب دكتور إذا دل الإزدياد + +111 +00:10:31,770 --> 00:10:34,970 +بالmyopia كل ست شهور يعني ال up normal ممكن يكون + +112 +00:10:34,970 --> 00:10:38,350 +من ال fungus مش من ال refractive errors؟طبعا، ما + +113 +00:10:38,350 --> 00:10:41,750 +هو الفاندس يصير تماما refractive error الفاندس الـ + +114 +00:10:41,750 --> 00:10:44,610 +Staphyloma اللي ورا اه اه و ال degeneration اه طب + +115 +00:10:44,610 --> 00:10:47,030 +عادي ممكن يكون refractive error عادي ان العين كل + +116 +00:10:47,030 --> 00:10:49,770 +ما عنها بتسوق .. اه بتسوق بتكبر في ال dimensions + +117 +00:10:49,770 --> 00:10:54,210 +ال diameters بتاعتها صحيح طيب profile axis الوقاية + +118 +00:10:54,210 --> 00:11:00,270 +قالوا في الزمن درهم وقاية خير من قنطان علاجي بس + +119 +00:11:00,270 --> 00:11:04,330 +كيف اعمل وقاية للميوبيا هذه هي المشكلة + +120 +00:11:07,390 --> 00:11:11,670 +احنا بنعمل وقاعة لزي + +121 +00:11:11,670 --> 00:11:15,750 +أقوله النسل love spring اللي صار فيه myopia ما هو + +122 +00:11:15,750 --> 00:11:24,570 +صار فيه لكن مادة بعد المستقبل no restraint لا قيود + +123 +00:11:24,570 --> 00:11:31,410 +on marriage and procreation among simple myopes + +124 +00:11:32,780 --> 00:11:37,400 +اللي عندهم ميوب one, two, three, four, five، اللي + +125 +00:11:37,400 --> 00:11:43,680 +عنده six، لا قيود على الزواج والإنجاب، حتى لو + +126 +00:11:43,680 --> 00:11:49,580 +simple ميوب، الزواج واحدة عندها simple ميوب، هيطلع + +127 +00:11:49,580 --> 00:11:54,700 +ولادهم simple ميوب، هم غالبين، فمابنحطش قيود على + +128 +00:11:54,700 --> 00:12:01,940 +الناس، لكن القيود وين؟ في الحالات المرضيةالآن a + +129 +00:12:01,940 --> 00:12:06,280 +parent واحد من الزوجين عنده high myopia + +130 +00:12:06,280 --> 00:12:11,000 +pathological يقول هنا degenerative myopia يعني في + +131 +00:12:11,000 --> 00:12:16,880 +تآكل في مكونات الشبكية should be warned يجب أن + +132 +00:12:16,880 --> 00:12:24,280 +يكون عنده انذار that any offspring النسل will be + +133 +00:12:24,280 --> 00:12:29,620 +liable to the same disability نفس المنظرAccording + +134 +00:12:29,620 --> 00:12:32,660 +to the Laws of Ressive Mendelian Inheritance حسب + +135 +00:12:32,660 --> 00:12:41,500 +القوانين مندل ليه الوراثة السلبية من القوانين يعني + +136 +00:12:41,500 --> 00:12:50,560 +حتى لو شاب عنده high myopia و بده يزوج شاب امتراب + +137 +00:12:50,560 --> 00:12:58,560 +بدهم يحسبوا انه في نسبة منالاطفال اللي هيجوا عندهم + +138 +00:12:58,560 --> 00:13:04,800 +pathological myopia فيه نسبة ممكن تيجي 25 او اكتر + +139 +00:13:04,800 --> 00:13:10,240 +او اقل مش + +140 +00:13:10,240 --> 00:13:15,620 +هذا الأخطر، بدنا نضحي بال 25% الأخطر انه two + +141 +00:13:15,620 --> 00:13:21,880 +highly myopic adults ال parents شاب و شابة بدهم + +142 +00:13:21,880 --> 00:13:25,710 +يزودوا و هم عندهم pathological myopiaو الـ + +143 +00:13:25,710 --> 00:13:32,390 +generated fungi should never have children الصح + +144 +00:13:32,390 --> 00:13:41,310 +إنهم مزوجوش في زواج بالعقل في زواج بالقلب يعني + +145 +00:13:41,310 --> 00:13:46,730 +واحد عيلته فيها severe diabetes mellitus واحدة + +146 +00:13:46,730 --> 00:13:51,870 +بيسأل أهلة فيهم severe diabetes mellitus عشان + +147 +00:13:51,870 --> 00:13:57,960 +أجريبتهأو عشان في معرفة صداقة مع أهله بهم مش + +148 +00:13:57,960 --> 00:14:01,720 +يزوجهم المرض والصحة من الله طب هى المرض والصحة من + +149 +00:14:01,720 --> 00:14:07,240 +الله لو مش فيه أسباب هذه العيلة فيها سكر عالى + +150 +00:14:07,240 --> 00:14:14,560 +وفيها سكر عالى خاصة type 1 diabetes mellitus هل + +151 +00:14:14,560 --> 00:14:19,040 +يزوجوا هدول الناس؟ بالعقل لأ هيجنوا على النسل + +152 +00:14:19,040 --> 00:14:24,730 +بقولك مش مهم النسل لأ خرامعلاقات لا ضرر ولا ضرار، + +153 +00:14:24,730 --> 00:14:31,010 +ولا تضر نفسك ولا تضر غيرك طيب، يبقى الـ two highly + +154 +00:14:31,010 --> 00:14:35,750 +myopic adults with degenerated myopia أو في + +155 +00:14:35,750 --> 00:14:39,730 +الفنداي should never have children إيه الزولوا؟ + +156 +00:14:39,730 --> 00:14:46,010 +وصار؟ ويقولهم، هتخلفوا احتمالات العمى أكتر من + +157 +00:14:46,010 --> 00:14:52,600 +البصر، إيش رأيكوا؟ طيبما ردوش علينا خلفوا children + +158 +00:14:52,600 --> 00:14:57,300 +وهي اللي هيصير طبعا هذه اللي هيصير الفطرة هيك + +159 +00:14:57,300 --> 00:15:04,120 +بتقول الطيور والزواحف بتنجب والحيوانات بتنجب + +160 +00:15:04,120 --> 00:15:09,580 +والسمك بنجب هذه الفطرة في المخلوقات يعني المخلوقات + +161 +00:15:09,580 --> 00:15:14,760 +هذه الفطرة فيهم فبقول ال children of such parents + +162 +00:15:14,760 --> 00:15:19,680 +should closely supervise from their earliest years + +163 +00:15:20,920 --> 00:15:24,940 +يعني من السنة التانية والتالتة الولد اللي أبوه أمه + +164 +00:15:24,940 --> 00:15:29,800 +high my hopes بدأ نحطه تحت الملاحظة اتكلم على دول + +165 +00:15:29,800 --> 00:15:36,300 +راقعة بقدر قيمة الإنسان زي + +166 +00:15:36,300 --> 00:15:40,520 +طفل أبوه أمه type 1 diabetes malatus طب ما هو + +167 +00:15:40,520 --> 00:15:44,400 +يحطلع زيهم يبقى احنا نحطه كل شوية نحلله سكري و + +168 +00:15:44,400 --> 00:15:48,200 +نبحث و كده و كده لأنه إن ما جايش اليوم جاى بكرا و + +169 +00:15:48,200 --> 00:15:55,600 +هال زي هيكالطفل هذا اللي من والدين high my hopes + +170 +00:15:55,600 --> 00:16:00,680 +هو جاي على ال my hope يعني هيقولوا ليه عمره تلت + +171 +00:16:00,680 --> 00:16:03,340 +سنين مابيين أشعر، هيبين في الرابع، في الرابع + +172 +00:16:03,340 --> 00:16:06,980 +مابيين أشعر، هيبين في الخامسة، يبقاش صح إن أنا + +173 +00:16:06,980 --> 00:16:12,280 +أحطه تحت ال super vision every six months كل ست + +174 +00:16:12,280 --> 00:16:16,820 +شهور، أنا بخسرش حاجة، بحاول أعمله vision على + +175 +00:16:16,820 --> 00:16:22,870 +الكاردفوعملوا dilatation لل pupil وعملوا + +176 +00:16:22,870 --> 00:16:27,210 +phantoscopy بالفطنسكوب وإله + +177 +00:16:27,210 --> 00:16:31,730 +ملف في الدول الراقية مريض القلب الصغير إله ملف + +178 +00:16:31,730 --> 00:16:36,350 +مريض السكري إله ملف ومريض البصر إله ملف ومريض + +179 +00:16:36,350 --> 00:16:40,450 +الكبد إله ملف ليش يكون ال higher biologists إله + +180 +00:16:40,450 --> 00:16:44,310 +ملف ليش يضيع في المراكز ومش فاهم إيش اللي عندهم + +181 +00:16:44,310 --> 00:16:51,950 +انتقل في الناسيبقى هذا أنا بعمله close supervision + +182 +00:16:51,950 --> 00:16:58,070 +من قرب يعني مايبعدوش كل ست شهور في مساحة في وحدة + +183 +00:16:58,070 --> 00:17:03,990 +صحية في مستشفى ما يروحوا لها لأطفال and if an + +184 +00:17:03,990 --> 00:17:07,850 +increase in refractivity occurs more rapidly than + +185 +00:17:07,850 --> 00:17:10,490 +would be normally expected they should be + +186 +00:17:10,490 --> 00:17:15,130 +considered as if they are pathological myopes طيب + +187 +00:17:15,130 --> 00:17:25,380 +في سنة تلاتةبدأ معاه نص ديوبتر مايوبيا سن الأربع + +188 +00:17:25,380 --> 00:17:32,140 +سنين صار واحد ديوبتر + +189 +00:17:32,140 --> 00:17:38,900 +مايوبيا في سن الخمس سنين صار معاه اتنين ديوبتر + +190 +00:17:38,900 --> 00:17:48,470 +مايوبيا في الست سنين صار معاه ستالتلاتة قلنا تلاتة + +191 +00:17:48,470 --> 00:17:53,410 +ضيوب ت الميوب يعني، اه يبقى هنا في increase + +192 +00:17:53,410 --> 00:17:59,090 +refractivity، القوة الإبصرية عامة بتزيد، من نص + +193 +00:17:59,090 --> 00:18:04,130 +لواحد لاثنين لتلاتة وها كده، انا اعتبره + +194 +00:18:04,130 --> 00:18:07,610 +pathological myoeb، هذا الطفل + +195 +00:18:10,530 --> 00:18:16,090 +خاصة if the early clinical signs suggestive of + +196 +00:18:16,090 --> 00:18:19,590 +degenerative myopia خاصة إذا كان في الفندس بيان + +197 +00:18:19,590 --> 00:18:26,030 +معه crescent بيان معه pigmentation مختلف تيجريت + +198 +00:18:26,030 --> 00:18:30,690 +بيان معه myopic crescent أي حاجة من هذه كوريوتنا + +199 +00:18:30,690 --> 00:18:36,690 +الديجينيشن بدأ معاها بس في بداية بأكدلي إن هو رايح + +200 +00:18:36,690 --> 00:18:39,470 +على ال high pathological myopia + +201 +00:18:47,130 --> 00:18:57,390 +طيب خلصناها ال profile access الوقاية يبقى + +202 +00:18:57,390 --> 00:19:07,770 +ال hamayob هو مشكلة لو اتزوج ل متروب في مشكلة + +203 +00:19:07,770 --> 00:19:13,870 +صغيرة لو اتزوج high high by متروب مشكلة كبيرة لو + +204 +00:19:13,870 --> 00:19:21,150 +أنجب عدة مشاكلتنتشر المشاكل طب treatment of myopia + +205 +00:19:21,150 --> 00:19:26,930 +الان نيجي على العلاج شخصنا احنا تماما طبعا the + +206 +00:19:26,930 --> 00:19:34,350 +first treatment is optical glasses احنا + +207 +00:19:34,350 --> 00:19:38,910 +لازم نكون مقتنعين و نقنع الناس ان استعمال النضارة + +208 +00:19:38,910 --> 00:19:45,590 +ليس لقيقاف progress of myopia استعمال النضارة لن + +209 +00:19:45,590 --> 00:19:50,910 +يوقف ال myopiaلأن هذه عملية داخل العين خاصة في ال + +210 +00:19:50,910 --> 00:19:58,150 +posterior pole وفيها تمدل طيب إذا كان النضارة لن + +211 +00:19:58,150 --> 00:20:03,710 +توقف الميوجيا فما فائدتها تصليح القوة، تحسن القوة، + +212 +00:20:03,710 --> 00:20:09,670 +تزود القبضاش؟ اسمع بجد، يعني + +213 +00:20:09,670 --> 00:20:14,630 +كانت فوائد النضارة في قصار النظر، خاصة الصغار أول + +214 +00:20:14,630 --> 00:20:20,860 +شيء eliminate the visual strainال ice train زي ما + +215 +00:20:20,860 --> 00:20:24,380 +اتكلمنا في المحاضرة الماضية انه قصير نادر يقرأ + +216 +00:20:24,380 --> 00:20:28,540 +near the near point close to near point بيجرب على + +217 +00:20:28,540 --> 00:20:33,320 +عينين وهذا بيعمل disorientation between + +218 +00:20:33,320 --> 00:20:40,000 +convergence and accommodation فش accommodation و + +219 +00:20:40,000 --> 00:20:45,180 +بيعمل convergence كتيرفبصير معاه اما Spasm بعدين + +220 +00:20:45,180 --> 00:20:51,260 +او Embryopia اتكلمنا على Embryopia لان لما اعطيه + +221 +00:20:51,260 --> 00:20:55,780 +glasses بيخليه يقرأ normally thirty to forty + +222 +00:20:55,780 --> 00:21:01,880 +centimeters بيكون فيه balance between the + +223 +00:21:01,880 --> 00:21:06,820 +convergence and accommodation فيه balance كويس + +224 +00:21:06,820 --> 00:21:11,820 +هيك؟ هى فائدة هدفها صغيرة ولا كبيرة؟كبيرة طب + +225 +00:21:11,820 --> 00:21:16,720 +الفائدة التانية can give a proper training of the + +226 +00:21:16,720 --> 00:21:22,080 +visual habits especially in children اه الان طفل + +227 +00:21:22,080 --> 00:21:30,000 +عنده two to three diopters ميوبيا و uncorrected + +228 +00:21:30,000 --> 00:21:35,740 +كيف ال visual habits بتاعته تتطلع في دائرة صغيرة + +229 +00:21:35,740 --> 00:21:43,380 +narrow circleماقدر يفتح الشباك و ينظر إلى السماء + +230 +00:21:43,380 --> 00:21:50,000 +أو إلى الفضاء دائما هو داري على إيش الحركة اللي هي + +231 +00:21:50,000 --> 00:21:54,140 +في خلال دائرة ضيقة لأن لما لابس نظارة لابس أقف + +232 +00:21:54,140 --> 00:22:00,400 +نفسه ببدأ عنده good visual habits طب الفائدة + +233 +00:22:00,400 --> 00:22:06,500 +التالتة وهذه مهمة أنه أنا بساعده على ال mental and + +234 +00:22:06,500 --> 00:22:08,820 +educational development + +235 +00:22:11,520 --> 00:22:19,820 +يعني لما هو بيلبس النضارة بيبدأ يشوف الصبورة و يحل + +236 +00:22:19,820 --> 00:22:29,280 +مسائل و يجيب على أسئلة و يفكر و يشارك و يعلم و + +237 +00:22:29,280 --> 00:22:35,880 +يتعلم بيبدأ الولد ان هو النواحي الذهنية و النواحي + +238 +00:22:35,880 --> 00:22:43,900 +التعليمية عنده تنمو عكسالطفل المخطط لا يشايف + +239 +00:22:43,900 --> 00:22:51,080 +الصبورة مش مشارك في الحل الإنسان مش شايف البعيد مش + +240 +00:22:51,080 --> 00:22:56,480 +عنده مبادرة عنده انطوائية و بعدين عنده غباء مصطنع + +241 +00:22:56,480 --> 00:23:04,900 +و عنده يأس مش هيك احنا قلناه يعني هذي benefits of + +242 +00:23:04,900 --> 00:23:14,900 +glasses in myopic childrenA وB وC بعد + +243 +00:23:14,900 --> 00:23:19,840 +أن + +244 +00:23:19,840 --> 00:23:23,340 +تنتهي الوقت التطوري والعادلات + +245 +00:23:23,340 --> 00:23:26,580 +الوضعية تم إصلاحها إذا كان لأي سبب أن المشاهدين + +246 +00:23:26,580 --> 00:23:30,820 +ليسوا مرتبطين وإذا كانت كلمة مفهومة مقبلة بدون + +247 +00:23:30,820 --> 00:23:36,060 +تجارب التواصل الوضعي لكي تتعامل مع التعامل مع + +248 +00:23:36,060 --> 00:23:36,940 +التعامل مع التعامل مع التعامل مع التعامل مع + +249 +00:23:36,940 --> 00:23:36,980 +التعامل مع التعامل مع التعامل مع التعامل مع + +250 +00:23:36,980 --> 00:23:41,490 +التعامل مع التعامل مع التعامل مع التعامل معresult + +251 +00:23:41,490 --> 00:23:49,450 +طيب لنفرض انه هذا الطفل استعمل النضارة سنتين او + +252 +00:23:49,450 --> 00:23:53,130 +تلاتة وانتفع + +253 +00:23:53,130 --> 00:24:02,330 +واتعلم واصبح مبادر لسبب ما خرج عن إيرادته اوقف + +254 +00:24:02,330 --> 00:24:04,690 +استعمال النضارة بعد سنتين او تلاتة + +255 +00:24:07,700 --> 00:24:11,000 +سبب مالي أهله معاهمش بيكسل نضارة كل شهر .. كل + +256 +00:24:11,000 --> 00:24:16,700 +شهرين بيكسل نضارة معاهمش يغطوا أو أنه اتعرض إلى + +257 +00:24:16,700 --> 00:24:23,320 +إساءات في الطريق عشان نضارته وهوجم أكتر مرة فاتعقد + +258 +00:24:23,320 --> 00:24:27,580 +بدوش يلبس نضارة بقول هذا الآن مش هضره كتير هضره بس + +259 +00:24:27,580 --> 00:24:32,410 +مش هضره زي لو هو ما استعملش في الطفولة الأولىسن + +260 +00:24:32,410 --> 00:24:36,610 +خمسة و ستة و سبعة هذه السنين مهمة جدا لأنها فتحت + +261 +00:24:36,610 --> 00:24:42,170 +الطفل على العالم بدأ الطفل في الأول بالنضارة انه + +262 +00:24:42,170 --> 00:24:47,490 +يشوف البعيد يشوف القريب يشوف الصبورة ويروح في طريق + +263 +00:24:47,490 --> 00:24:51,350 +المدرسة ويساهم مع زملاءه ويلعب ويله صداقات معينة + +264 +00:24:51,350 --> 00:24:59,270 +كون جوه بعد ما هو نجح في تكوين هذا الجوو بدأ يكتسب + +265 +00:24:59,270 --> 00:25:04,190 +صفات جيدة و اتعلم و ذهنه كبر لو بعد تلت او اربع + +266 +00:25:04,190 --> 00:25:08,930 +سنوات اضطر إلى عدم استعمال نظارة فهو هيعني اقل من + +267 +00:25:08,930 --> 00:25:14,530 +لو من الأساس ما استعملش نظارة طيب + +268 +00:25:14,530 --> 00:25:19,270 +الان في العلاج لو degrees of myopia up to 6 in + +269 +00:25:19,270 --> 00:25:22,950 +young subjects while the defect should never be + +270 +00:25:22,950 --> 00:25:25,610 +over corrected a full correction should be ordered + +271 +00:25:25,610 --> 00:25:32,320 +and advised for constant useطيب احنا الآن خلصنا + +272 +00:25:32,320 --> 00:25:36,040 +الطفولة و جينا ال young adults young adults يعني + +273 +00:25:36,040 --> 00:25:43,240 +سبتاشر سبتاشر تمنتاشر up to six myopia ديوبترز + +274 +00:25:43,240 --> 00:25:55,100 +could be fully corrected هنعطيه 100% تصحيح لأن ستة + +275 +00:25:55,100 --> 00:26:02,210 +ال full correction iswell tolerated بتحمله بسهولة + +276 +00:26:02,210 --> 00:26:10,390 +ليش؟ لأنه ال aberrations جليلة و ال weight خفيف + +277 +00:26:10,390 --> 00:26:16,230 +نسبيا يعني نضارة خمسة ديوبتر و خمسة ديوبتر بتحملها + +278 +00:26:16,230 --> 00:26:20,190 +أربع ديوبتر و أربع ديوبتر بتحملها ال thickness + +279 +00:26:20,190 --> 00:26:27,770 +بتاعتها mild يعني mild thickness مش مشكلة يعنيفيش + +280 +00:26:27,770 --> 00:26:36,270 +abrasive كتير و lightweight تاني حاجة اه فهو + +281 +00:26:36,270 --> 00:26:43,390 +بتحملها و هو ممكن يشوف fully ستة ع ستة طيب + +282 +00:26:43,390 --> 00:26:47,850 +بقولي انا لما بعطي ال young adult ال full + +283 +00:26:47,850 --> 00:26:52,890 +correction بعمل balance between convergenceand + +284 +00:26:52,890 --> 00:26:56,370 +accommodation بيبطل ال convergence تشتغل وال + +285 +00:26:56,370 --> 00:27:00,290 +accommodation في راحة لأن ال minus lenses اللي + +286 +00:27:00,290 --> 00:27:06,390 +اعطيتها لهذا الشخص عملت stimulation to + +287 +00:27:06,390 --> 00:27:10,390 +accommodation فصار فيه balance بال full correction + +288 +00:27:10,390 --> 00:27:12,930 +up to 6 طيب + +289 +00:27:23,670 --> 00:27:32,270 +نقول انه احنا لازم نركز على انه بيعطاه ال mild + +290 +00:27:32,270 --> 00:27:39,090 +myopia up to 6 full correction انه في فائدة كبرى + +291 +00:27:39,090 --> 00:27:46,690 +اللي هو reading at normal distance 30 to 40 + +292 +00:27:46,690 --> 00:27:53,370 +centimeters تلاتين الى أربعينوبالتالي دائما انه + +293 +00:27:53,370 --> 00:27:56,570 +فيه good relation between convergence and + +294 +00:27:56,570 --> 00:28:03,470 +accumulation هذه يعني مهمة جدا اي طفل بيقرأ اقل من + +295 +00:28:03,470 --> 00:28:07,890 +تلاتين سانتي حاسيله tiredness و ice train هو اي + +296 +00:28:07,890 --> 00:28:11,390 +طفل بيقرأ بعد الأربعين حاسيله tiredness و ice + +297 +00:28:11,390 --> 00:28:14,710 +train اصلا + +298 +00:28:14,710 --> 00:28:18,870 +هو في شيء .. في شيء شائع في بعض المراكز البصرية + +299 +00:28:18,870 --> 00:28:26,930 +عندناإن الميوب لداي أن يقرأ بنضارة، يقولوا الميوب + +300 +00:28:26,930 --> 00:28:33,010 +بدوش نضارة، اه الميوب واندا يبتر، اه ماشي بمشيله + +301 +00:28:33,010 --> 00:28:37,830 +إياها، لكن ميوب بعد التلاتة والاربعة والخمسة، لأ، + +302 +00:28:37,830 --> 00:28:45,110 +لأن ال near point جريبة، تسع سنتي، عشرة سنتيهو + +303 +00:28:45,110 --> 00:28:49,730 +هيحاول يتكبر لحاله يقرأ من عشر سنتين او اتناشر + +304 +00:28:49,730 --> 00:28:55,150 +سنتين هذا اللي هيعمله tiredness و fatigue و + +305 +00:28:55,150 --> 00:29:00,250 +extreme يبقى كوني ان انا عملته full correction انا + +306 +00:29:00,250 --> 00:29:06,910 +حاطيته في موضوع ال artificial emetropia صنعته + +307 +00:29:06,910 --> 00:29:10,690 +emetropia وهذا صحيح ان انا عمله artificial + +308 +00:29:10,690 --> 00:29:13,990 +emetropia بقى اخليه لسه كمنميوب + +309 +00:29:17,110 --> 00:29:22,470 +طيب تعدينا ال young adults و جينا الآن على adults + +310 +00:29:22,470 --> 00:29:35,430 +الكبار 25 to 30 ال HBF طبعا طيب الآن في adult عمره + +311 +00:29:35,430 --> 00:29:41,130 +30 سنة و أول مرة force the first time يستعمل نضارة + +312 +00:29:41,130 --> 00:29:48,210 +كان في الريح و جه عن المدينةالو أقارب و أخدوه على + +313 +00:29:48,210 --> 00:29:55,030 +ال .. اللي هو المراكز بتاعة البصريات وجدوا عنده + +314 +00:29:55,030 --> 00:30:00,490 +مثلا minus + +315 +00:30:00,490 --> 00:30:06,410 +six ده يبترز في كل عين و + +316 +00:30:06,410 --> 00:30:13,470 +لهذا المشكلة انه هيصير intolerance for spectacular + +317 +00:30:13,470 --> 00:30:19,920 +glassesمش هيتحملها و ليش مش هيتحملها لأن السيارة + +318 +00:30:19,920 --> 00:30:25,680 +muscle اللي نامت دهرا خمسة و عشرين سنة مش بتعود on + +319 +00:30:25,680 --> 00:30:33,220 +a custom task of accommodation السيارة muscle سايب + +320 +00:30:33,220 --> 00:30:38,300 +ال accommodation هو حتى لو بقرأ بقرأ بال + +321 +00:30:38,300 --> 00:30:44,890 +convergence في اللي فات كون اعطيته ال full doseستة + +322 +00:30:44,890 --> 00:30:53,070 +من ستة مش هيتحمل تماما زي إنسان ترك الرياضة سنوات + +323 +00:30:53,070 --> 00:31:01,810 +و بعدين فجأة دهب مع الناس إلى البحر شاف البحر مغري + +324 +00:31:01,810 --> 00:31:07,090 +نزل البحر و قاعد يسبح و يلعب و يسبح و يلعب و يجري + +325 +00:31:07,090 --> 00:31:14,480 +فات اخر نهارثم ده بليل جال أيه تاني يوم اكتر تالت + +326 +00:31:14,480 --> 00:31:18,780 +يوم صابوا stiff في عضلاته و بدوا علاج بدوا شهر + +327 +00:31:18,780 --> 00:31:24,720 +سايب العمل عشان يوم تعب لإنه سنوات ترك الرياضة + +328 +00:31:24,720 --> 00:31:30,840 +مامش تسخين و احمق و بالتدريج يعني كل يوم نص ساعة + +329 +00:31:30,840 --> 00:31:36,400 +نص ساعة نص ساعة لأ السنة اللي مصر زهر سايب ال + +330 +00:31:36,400 --> 00:31:38,120 +accommodation سنوات + +331 +00:31:41,460 --> 00:31:44,440 +فهذه الوقت هنعملها full correction يعملّها + +332 +00:31:44,440 --> 00:31:49,300 +stimulation لل accommodation السنة الماضية الآن + +333 +00:31:49,300 --> 00:31:58,020 +هتعرضني أو هتتعب هتتعب فهو بيقولّي الحكمة هنا ال + +334 +00:31:58,020 --> 00:32:08,240 +wisdom ان انا اعطي بشيء من ال under correction + +335 +00:32:09,280 --> 00:32:13,180 +under correction ال under correction هذا بيقولي + +336 +00:32:13,180 --> 00:32:18,360 +one or two diopters less minus than those four + +337 +00:32:18,360 --> 00:32:23,040 +distance especially for reading especially for + +338 +00:32:23,040 --> 00:32:26,240 +reading لأن accommodation one بيكون في ال near + +339 +00:32:26,240 --> 00:32:32,080 +word في ال near word فمثلا لو هو طلع عنده minus + +340 +00:32:32,080 --> 00:32:34,620 +six اعطيه minus four + +341 +00:32:37,450 --> 00:32:43,790 +لو هتقرأ بيكون فيه تدرج especially if engaged in a + +342 +00:32:43,790 --> 00:32:47,850 +great extent of reading خاصة إذا كان هذا عنده + +343 +00:32:47,850 --> 00:32:50,730 +امتحانات و عنده دراسة لمدة طويلة أو عمل كمبيوتر + +344 +00:32:50,730 --> 00:32:55,310 +سيكرتاريا أو ما شابه ده مقدرش أعطيه ال full dose + +345 +00:32:55,310 --> 00:33:04,530 +من أول مرة طيب نشوف ال group اللي هي above 40 + +346 +00:33:04,530 --> 00:33:09,620 +years بعد الأربعينطبعا بعد الاربعين ايش اللي بصير + +347 +00:33:09,620 --> 00:33:15,960 +ال accommodation بيبدأ يصير له ايش weakness اه و + +348 +00:33:15,960 --> 00:33:23,900 +decrease الان واحد minus ستة و عمره مثلا خمسة و + +349 +00:33:23,900 --> 00:33:31,980 +اربعين سنة ايش عمله الان هذا بده يقرأ ممكن انا بس + +350 +00:33:31,980 --> 00:33:34,440 +اعطيه تلاتة + +351 +00:33:36,260 --> 00:33:44,400 +او اعطيه اربع تلاتة الى اربع بالمينوس diopters طب + +352 +00:33:44,400 --> 00:33:46,820 +انا ايش عملت لما اعطيته تلاتة او اربع diopters + +353 +00:33:46,820 --> 00:33:53,380 +اعطيتله + +354 +00:33:53,380 --> 00:34:02,420 +plus two to plus four عشان ال reading عشان ال + +355 +00:34:02,420 --> 00:34:08,640 +readingيعني انا حقيقة اعطيته less minus يعني انا + +356 +00:34:08,640 --> 00:34:15,180 +اعطيته بالعربي plus less minus يعني plus بس مش + +357 +00:34:15,180 --> 00:34:21,880 +اعطيته plus plus جللت ال minus كويس هيك ناتج + +358 +00:34:21,880 --> 00:34:27,240 +الجامعه less minus هو + +359 +00:34:27,240 --> 00:34:32,700 +بيجيه بريس بيوب مش ما بيجيه بس ال بريس بيوب مش زي + +360 +00:34:32,700 --> 00:34:39,150 +ال M3أه واحد مترو اربعة زيرو نعطيه واحد و بعد سنة + +361 +00:34:39,150 --> 00:34:43,510 +نعطيه كمان نص و كمان نص و كمان نص ماشي زي هذا لكن + +362 +00:34:43,510 --> 00:34:49,950 +واحد في وضع ان هو ميوب ستة او ميوب خمسة بنبدأ + +363 +00:34:49,950 --> 00:34:58,630 +نخصمهم الميوب بالتدريج ويمكن يموت بعد السبعين و هو + +364 +00:34:58,630 --> 00:35:04,560 +الساعة ما خلص الخمسة او الستةاللي هو تاين الميوبي + +365 +00:35:04,560 --> 00:35:08,900 +يبقى أنا بعطيه ال reading less ميوبي بعد ال 45 أو + +366 +00:35:08,900 --> 00:35:12,620 +بعد ال 40 في + +367 +00:35:12,620 --> 00:35:16,800 +جزئية نفسنا نتكلم فيها ال night myopia لاحظنا على + +368 +00:35:16,800 --> 00:35:21,040 +بعض الناس مش كل الناس يعني مثلا واحد معاه برضه + +369 +00:35:21,040 --> 00:35:29,880 +minus 6 في كل عين DS لما يطلع في العكمة من نور + +370 +00:35:29,880 --> 00:35:37,200 +العكمةبيلاقي difficulty in walking أو difficulty + +371 +00:35:37,200 --> 00:35:41,120 +in vision هو + +372 +00:35:41,120 --> 00:35:44,880 +لابس النضارة لابس ال correction بس بيقولك لأ أنا + +373 +00:35:44,880 --> 00:35:48,700 +عمي لما أطلع من الضوء إلى العتمة والله أنا بجعب + +374 +00:35:48,700 --> 00:35:56,960 +بخاف مش كل الناس يعني في بعض الناس وهذا item لحاله + +375 +00:35:56,960 --> 00:35:59,120 +اسمه night myopia + +376 +00:36:01,470 --> 00:36:05,790 +يقول الحقيقة انه حاولوا يفهموا ال causes of + +377 +00:36:05,790 --> 00:36:10,810 +nightmare يقولوا له في التفكير الأول انه في حاجة + +378 +00:36:10,810 --> 00:36:16,270 +اسمها الكون road shift ان ده written ات night لان + +379 +00:36:16,270 --> 00:36:24,830 +نطلع من ال light الى ال darkness ال cause بيصيلها + +380 +00:36:24,830 --> 00:36:28,230 +off وال loss بيصيلها on + +381 +00:36:31,610 --> 00:36:35,390 +فهو حتى لو لبس ال correction هي علاج صعوبة لأن + +382 +00:36:35,390 --> 00:36:41,550 +scotopic vision هي اللي شغالة كمان + +383 +00:36:41,550 --> 00:36:45,250 +في أنصر تاني pupillary dilatation in darkness + +384 +00:36:45,250 --> 00:36:54,030 +بيعمل aberrations بيعمل صورة هي ال lens في حالة ال + +385 +00:36:54,030 --> 00:36:57,610 +light وهي + +386 +00:36:57,610 --> 00:37:04,260 +ال iris constricted irisالـ rays اللي نزل بتنزل + +387 +00:37:04,260 --> 00:37:14,980 +أكزيال و بارا أكزيال أكزيال و بارا أكزيال طيب نيجي + +388 +00:37:14,980 --> 00:37:26,440 +وضع ال light ال lens هيك و ال iris هيك ال + +389 +00:37:26,440 --> 00:37:31,520 +incident raysتخش من ال periphery خلّيني أرسم هيك + +390 +00:37:31,520 --> 00:37:36,680 +من ال periphery و من ال periphery من هنا و بتبدأ + +391 +00:37:36,680 --> 00:37:42,400 +تصير para axial para axial para axial و بعدين تصير + +392 +00:37:42,400 --> 00:37:46,640 +axial دخول + +393 +00:37:46,640 --> 00:37:52,840 +ال light من عدة مناطق مختلفة في ال body of the + +394 +00:37:52,840 --> 00:37:59,540 +lens بيعمل شيء اسمه aberrations حيود ضوئيةحيود + +395 +00:37:59,540 --> 00:38:07,500 +نوائية وهذا يتقلل من ال vision ال clear vision + +396 +00:38:07,500 --> 00:38:11,160 +حاجة + +397 +00:38:11,160 --> 00:38:16,760 +تالتة celery muscle خاصة اذا كنت تشوف شيء قريب في + +398 +00:38:16,760 --> 00:38:21,400 +ال light في ال darkness بيصيرها ايش reduced + +399 +00:38:21,400 --> 00:38:27,980 +activity انما يبسط اكتر من العادىيعني السيريو ماصل + +400 +00:38:27,980 --> 00:38:34,300 +هي في ال myopsis relaxed وفي العتمة بيصير more + +401 +00:38:34,300 --> 00:38:38,660 +relaxation لها مما يؤدي إلى serious impairment + +402 +00:38:38,660 --> 00:38:42,980 +تراجع impairment مش أعمى يعني لأ تراجع يعني مثلا + +403 +00:38:42,980 --> 00:38:47,830 +إيه اللي بيشوففي الوضع اللي حاجب نضارته 6 على 6 + +404 +00:38:47,830 --> 00:38:53,030 +ممكن في العتمة يصير شوف 6 على 12 هذا اسمه + +405 +00:38:53,030 --> 00:38:57,890 +impairment مش عامة يعني تراجع deterioration او + +406 +00:38:57,890 --> 00:39:01,490 +impairment of night vision appropriately + +407 +00:39:01,490 --> 00:39:05,270 +appropriately increase myopic correction should be + +408 +00:39:05,270 --> 00:39:09,610 +given اه هذا ال myopic اللي بال correction بتاعه + +409 +00:39:09,610 --> 00:39:19,070 +مش شوفش كويسممكن اعطيه خصم مجاز معين نص الى واحد + +410 +00:39:19,070 --> 00:39:27,330 +صحيح to one TS زيادة بالمينوس يعني لو هو ناخد + +411 +00:39:27,330 --> 00:39:31,850 +minus five اعطينا اللي عاتنا minus six minus six + +412 +00:39:31,850 --> 00:39:37,510 +واجرب اجرب كيف اللي هو ال feedback يعني هل انه + +413 +00:39:37,510 --> 00:39:43,520 +هيلبس نضارة للنهار ونضارة للليلبقول والله حسب ال + +414 +00:39:43,520 --> 00:39:52,360 +job حسب ال job يعني يعني في واحد يحرص مجلس الوزراء + +415 +00:39:52,360 --> 00:39:57,680 +او ما يوم بال correction بتاع النهار بتاعه مش كافي + +416 +00:39:57,680 --> 00:40:02,760 +مش شايف البعيد مش شايف الدنيا ليه يعني لما أعطينا + +417 +00:40:02,760 --> 00:40:06,800 +minus six شخص صار يشوف أحسن اه والله ال job بتاعته + +418 +00:40:06,800 --> 00:40:12,080 +مهم هذا سريف نضارة في الليل نضارة في النهار نضارة + +419 +00:40:12,080 --> 00:40:12,340 +في الليل + +420 +00:40:15,590 --> 00:40:19,910 +واحد مرابط، واحد عنده حراسة معينة، واحد عامله + +421 +00:40:19,910 --> 00:40:25,010 +بتطلب انه يمشي في الليل، اه نعمله نضارة بالليل، + +422 +00:40:25,010 --> 00:40:29,770 +night myopia طب دكتورنا ليه شغله مابيحتاج هاي + +423 +00:40:29,770 --> 00:40:34,690 +الأشياء؟ مابيعمله أي strain إذا زوّلانه؟ مابتعبه + +424 +00:40:34,690 --> 00:40:37,890 +أو بيحس ع الضغط على عينه؟ لأ هي بس هي دي لل + +425 +00:40:37,890 --> 00:40:43,370 +darkness، بس لل darkness يعني مش مطوبة لما يكون في + +426 +00:40:43,370 --> 00:40:52,270 +lightأو قراءة، لأ، بس يعني لجو العكمة دارك طيب + +427 +00:40:52,270 --> 00:41:01,790 +نرجع تاني للhigh myop high myop أكتر من ten more + +428 +00:41:01,790 --> 00:41:08,070 +than ten ديوبتر هل ال full correction tolerated + +429 +00:41:08,070 --> 00:41:12,210 +easily ولا with difficulty؟ لو أعطيته عشرة من + +430 +00:41:12,210 --> 00:41:20,140 +عشرة؟او واحد خمستاشر اعطيه خمستاشر من خمستاشر طيب + +431 +00:41:20,140 --> 00:41:25,360 +ماذا يمنع ان اعطيه full correction اول + +432 +00:41:25,360 --> 00:41:35,560 +شي heavy weight تاني شي fake lenses بتعملي + +433 +00:41:35,560 --> 00:41:41,700 +aberrations و بتعملي prismatic effect تالت حاجة + +434 +00:41:45,360 --> 00:41:49,660 +فيش accommodation بالمرة و لا في accommodation؟ + +435 +00:41:49,660 --> 00:41:53,140 +تعمل accommodations طيب بس في مشكلة ال + +436 +00:41:53,140 --> 00:42:00,560 +accommodation في مشكلة أخرى في موضوع اللي .. اللي + +437 +00:42:00,560 --> 00:42:05,400 +.. اللي هو heavy .. heavy glasses في شيء من دس فيه + +438 +00:42:05,400 --> 00:42:10,400 +garment بصيتنا في شيء من دس فيه garment يعني بتضغط + +439 +00:42:10,400 --> 00:42:18,130 +كتير على الوشعشان هيك نعمل compromise للناس هذه حل + +440 +00:42:18,130 --> 00:42:27,090 +وسط أو تسوية والحل وسط ان انا بعمل reduction of + +441 +00:42:27,090 --> 00:42:29,890 +the correction as little as it is compatible with + +442 +00:42:29,890 --> 00:42:36,970 +comfort and good vision يبقى + +443 +00:42:36,970 --> 00:42:44,570 +انا الآن فييعني موضوعين أو شرطين ألازم أراعيهم في + +444 +00:42:44,570 --> 00:42:52,010 +ال correction الوضع الأول الراحة الوضع التاني ال + +445 +00:42:52,010 --> 00:43:01,310 +vision قدمنا إيش على إيش قدمنا الراحة يعني واحد لو + +446 +00:43:01,310 --> 00:43:07,690 +اعملنا ال correction ستة على خمسة بس في discomfort + +447 +00:43:10,980 --> 00:43:17,220 +this comfort واحد + +448 +00:43:17,220 --> 00:43:23,040 +تاني بيشوف ستة على تسعة بال correction بس في + +449 +00:43:23,040 --> 00:43:31,200 +comfort comfort ايش يا ربي اختار ايه اختار ستة على + +450 +00:43:31,200 --> 00:43:38,160 +تسعة مع ال comfort الراحة مقدمة على ال best vision + +451 +00:43:38,730 --> 00:43:42,990 +ممكن أتنازل شوية بس شوية محدودة يعني عن ال best + +452 +00:43:42,990 --> 00:43:48,210 +vision على أساس إن أوفر الراحة لأن الراحة حالة + +453 +00:43:48,210 --> 00:43:53,550 +جسدية و نفسية جسدية و نفسية و الإنسان إذا كان حاسس + +454 +00:43:53,550 --> 00:43:59,590 +إن هذه النضارة هتعمله discomfort برميها يعني مافيش + +455 +00:43:59,590 --> 00:44:02,750 +أمر أسكري أني مفضل إيش إن هو أحملها يعني برميها + +456 +00:44:02,750 --> 00:44:07,490 +مابدوها لذلك أنا لازم أراعي ال comfort في الأول + +457 +00:44:09,070 --> 00:44:13,570 +لبسه ال correction و هو لبسه لسه ال correction لسه + +458 +00:44:13,570 --> 00:44:18,310 +و هو في ال frame ال trial frame و اقوله امشي روح + +459 +00:44:18,310 --> 00:44:21,430 +تعال اقعد هناك طلع على التلفزيون اذا كان فيه + +460 +00:44:21,430 --> 00:44:25,650 +تلفزيون جابي اللي ما اعمله prescription اللي ما + +461 +00:44:25,650 --> 00:44:28,970 +اعمله prescription انجصك و .. و .. و لبسك في عينيه + +462 +00:44:28,970 --> 00:44:34,810 +لو تعب بعد هيك انا المسؤول فانا أحيان بخليها على + +463 +00:44:34,810 --> 00:44:37,570 +عينيه بهمش و يصوروا هو لبسها يعني + +464 +00:44:43,140 --> 00:44:48,460 +ما هو احنا بنجتهد، انجل ويمشي برا، لف لك لفة، اقعد + +465 +00:44:48,460 --> 00:44:53,320 +على التليفزيون، اقرأ حاجة، ما هي ربع الساعة، في حد + +466 +00:44:53,320 --> 00:44:57,300 +اني انا شاكك ان الحالة احتمال تفضي الى discomfort، + +467 +00:44:57,300 --> 00:45:01,620 +اه الى discomfort، يعني ال comfort مقدم على الفجر + +468 +00:45:01,620 --> 00:45:03,140 +طيب + +469 +00:45:13,950 --> 00:45:21,610 +the amount which has been deducted كم أخصهم والله + +470 +00:45:21,610 --> 00:45:26,270 +بقولك هذا individually يعني احنا نقول اللي عنده + +471 +00:45:26,270 --> 00:45:33,990 +ستة نعطيه full طب اللي عنده تسعة اه و الله ممكن + +472 +00:45:33,990 --> 00:45:40,170 +اعطيه تمانين طب اتناشر ده يبتر ده اعطيه عشرة طب + +473 +00:45:40,170 --> 00:45:43,650 +خمستاشر ده يبتر ده اعطيه حداشر + +474 +00:45:47,180 --> 00:45:54,000 +في adjustment اه في نوع من الاجتهاد بقول من واحد + +475 +00:45:54,000 --> 00:45:56,580 +الى تلاتة ممكن اعطيه اكتر but in the highest + +476 +00:45:56,580 --> 00:46:00,820 +degrees lenses even weaker than this will be found + +477 +00:46:00,820 --> 00:46:06,700 +زي الخمستاشر اعطيها عشرة الستة اعطيناها ستة من ستة + +478 +00:46:06,700 --> 00:46:09,680 +التسعة اعطيناها تمانية اتناشر اعطيناها عشرة + +479 +00:46:09,680 --> 00:46:16,660 +الخمستاشر اعطيناها احداشر طب لو اكتر هنجلل اكترطيب + +480 +00:46:16,660 --> 00:46:21,080 +حتى انا لو اعطيهم الخمستاشر احداشر هالهادي سهلة + +481 +00:46:21,080 --> 00:46:28,080 +يعنى؟ يعني في انسان بيلبس هنا احداشر و هنا احداشر + +482 +00:46:28,080 --> 00:46:35,780 +و بيكون مرتاح لأ heavy and thick طب ايش عمال؟ + +483 +00:46:35,780 --> 00:46:39,320 +بيقوللي شوفله طريقة في ال dispensing فيعداد + +484 +00:46:39,320 --> 00:46:45,040 +النظارة special techniqueوالانلي فليند والسوبر + +485 +00:46:45,040 --> 00:46:51,820 +فليند هو السقل يعني بيجيز مضغوط مضغوط سوبر كمان كل + +486 +00:46:51,820 --> 00:46:55,220 +three diopters في ديوبتر وفي كل four diopters + +487 +00:46:55,220 --> 00:47:00,360 +ديوبتر تجبى يعني هو لابس twelve كانوا لابس تلاتة + +488 +00:47:00,360 --> 00:47:04,500 +three فانا + +489 +00:47:04,500 --> 00:47:10,980 +هيك ال light weight وزن خفيف ال aberrations جليلة + +490 +00:47:10,980 --> 00:47:16,690 +و ال visual fieldلو عامة واسعة لأنه لو أنا لابسه + +491 +00:47:16,690 --> 00:47:23,490 +اتناش ال peripheral بتاعها thick لو اتطلع هنا فهو + +492 +00:47:23,490 --> 00:47:26,770 +بس بيطلع على ال senator يعني narrow visual field + +493 +00:47:26,770 --> 00:47:31,270 +الميدان البصر أو الساحة البصرية narrow لأنه مش + +494 +00:47:31,270 --> 00:47:39,470 +يقدر يطلع side and side صعب عليه فأنا عشان أخف في + +495 +00:47:39,470 --> 00:47:44,010 +الوزنو اقل ال aberrations او اوسع ال visual field + +496 +00:47:44,010 --> 00:47:51,950 +ايش بتعمله special dispensing technique منها ال + +497 +00:47:51,950 --> 00:47:57,350 +super flint و منها ال high index glasses و منها ال + +498 +00:47:57,350 --> 00:48:04,070 +plastic lenses الحقيقة ان ال plastic lenses هي + +499 +00:48:04,070 --> 00:48:06,910 +light weight لكن thick + +500 +00:48:10,520 --> 00:48:17,560 +طيب ال normal lenses العادية heavy and thick يعني + +501 +00:48:17,560 --> 00:48:21,640 +فيها ايش disadvantage اتنين البلاستيك فيها + +502 +00:48:21,640 --> 00:48:27,680 +disadvantage واحدة اللي هي ايش thick بس light في + +503 +00:48:27,680 --> 00:48:30,180 +ال .. في ال .. في البتاني طب ال super reflect + +504 +00:48:30,180 --> 00:48:33,560 +light + +505 +00:48:33,560 --> 00:48:43,810 +in weight and thinفن مش تك فن بس طبعا expensive + +506 +00:48:43,810 --> 00:49:00,030 +صح؟ فيعني كل إنسان حسب ظروفه المادية والصحية طيب + +507 +00:49:00,030 --> 00:49:08,940 +دائما ال network بظهر مشكلة في ال high lensesيعني + +508 +00:49:08,940 --> 00:49:16,600 +الإنسان اللي ماشي بتن لل distance ده يبترز لو إيجي + +509 +00:49:16,600 --> 00:49:22,700 +يقرأ فيه في ال ten مش هيرتاح خاصة في ال adults طب + +510 +00:49:22,700 --> 00:49:27,040 +إيش عمله هذا لازم + +511 +00:49:27,040 --> 00:49:30,680 +لل reading في الحالة هذه عشان أشغل ال celery + +512 +00:49:30,680 --> 00:49:35,720 +muscle و ال minification يكون أقل بقول + +513 +00:49:35,720 --> 00:49:41,530 +minification التصغيرالعدسة السالبة كل ما كانت أعلى + +514 +00:49:41,530 --> 00:49:48,010 +كل ما عملت تصغير أكتر وكل ما كانت صغيرة كل ما + +515 +00:49:48,010 --> 00:49:54,230 +تصغير كان أقل عكس العدسة الموجبة العدسة الموجبة كل + +516 +00:49:54,230 --> 00:49:58,570 +ما زوّت فيها تعمل magnification وكل ما قلت منها + +517 +00:49:58,570 --> 00:50:03,370 +تعمل less magnification طيب + +518 +00:50:03,370 --> 00:50:09,760 +هو لا distance هذا للبعيدال 10 كويسة معاها شوف + +519 +00:50:09,760 --> 00:50:16,480 +تماما طب دي اقرأ مش هشوفه هيجي يتهم يقول اه و الله + +520 +00:50:16,480 --> 00:50:19,820 +نظارتك مابفجر انا اقرا فيها بقول نظارتك على طول + +521 +00:50:19,820 --> 00:50:25,740 +باتهمني انا فانا من البداية كنت عندي سياسة ليش انا + +522 +00:50:25,740 --> 00:50:31,200 +ما اقلل ال minification يعني اعمله indirect + +523 +00:50:31,200 --> 00:50:37,730 +magnification يبقى هذا ان انا بعطيه تمانيةلل + +524 +00:50:37,730 --> 00:50:45,690 +reading للقراة هيكيف كأنني + +525 +00:50:45,690 --> 00:50:52,110 +أعطيته plus two كأن أعطيته زائد اتنين كيف زائد + +526 +00:50:52,110 --> 00:51:00,310 +اتنين بس قللنا طبعا impossible to be in one lens + +527 +00:51:00,310 --> 00:51:07,640 +لازم يكون اما two glasses يعني نضرتينأو by vocal + +528 +00:51:07,640 --> 00:51:16,620 +والأفضل من الكل progressive بس هي progressive في + +529 +00:51:16,620 --> 00:51:22,840 +ال function و progressive في ال money صح + +530 +00:51:22,840 --> 00:51:27,220 +progressive في ال money لأنه أقولكوا يعني حاجة + +531 +00:51:27,220 --> 00:51:33,220 +يعني شاب أو شابة عمره عشرين سنة أنه يحط نضارة في + +532 +00:51:33,220 --> 00:51:36,350 +اليمين و نضارة في الشمالنضارة للبعيد و نضارة + +533 +00:51:36,350 --> 00:51:42,530 +القراءة تجيلة عليها حتى دوقيا مش جميلة لو واحد + +534 +00:51:42,530 --> 00:51:46,550 +كبير في السن يعني الناس بيبقى بيقول والله يا نظرة + +535 +00:51:46,550 --> 00:51:50,950 +مع الزمن صاروا تراجعوا و بهمش نضارتين بعوض الله + +536 +00:51:50,950 --> 00:51:59,910 +طيب لو لبس by focal هيك هيشوف ال distance تمام و + +537 +00:51:59,910 --> 00:52:03,190 +هنا هيشوف ال near them طيب و ال intermediate + +538 +00:52:03,190 --> 00:52:08,390 +distancesللـ intermediate مش هشوفها خاصة صعود + +539 +00:52:08,390 --> 00:52:12,030 +الدرج و نزول الدرج يعني و أنا أطالع الدرج بعيدة + +540 +00:52:12,030 --> 00:52:17,570 +تلاتي متر يعني ممكن أصلم في الناس أيوة أيوة أو نزل + +541 +00:52:17,570 --> 00:52:22,850 +الدرج لو في حاجة على الدرج ممكن تزحلك يعني مش شايف + +542 +00:52:22,850 --> 00:52:28,150 +فهو بدوا ال intermediate distances اللي هو + +543 +00:52:28,150 --> 00:52:32,630 +المسافات البينية between distance and near بدون + +544 +00:52:32,630 --> 00:52:38,420 +إيش يغطيها، مابتغطيش إلى progressiveجايس هيك؟ و + +545 +00:52:38,420 --> 00:52:40,500 +هذا طبعا في الدورة الرقية هو اللي .. اللي مطلوب + +546 +00:52:40,500 --> 00:52:48,920 +يعنى، في الدورة الرقية هو المطلوب ست متشكل بالقليل + +547 +00:52:48,920 --> 00:52:53,400 +مية و خمسين دولار، بالقليل مية و خمسين دولار مش + +548 +00:52:53,400 --> 00:52:58,920 +اخسارة .. مش اخسارة في خاصة طلاب الجامعة، طلاب + +549 +00:52:58,920 --> 00:53:04,240 +الجامعة احنا بنعطيهم بكرم اه + +550 +00:53:04,240 --> 00:53:08,500 +لما بدوا تغييربياخد ال frame و بيغير العدسات و هم + +551 +00:53:08,500 --> 00:53:16,940 +الأقلر طيب لسه مش هذا الأسوأ شوف يا بناتي أي شيء + +552 +00:53:16,940 --> 00:53:23,440 +له solution مش .. مش غريب كتير الشيء اللي له حل + +553 +00:53:23,440 --> 00:53:28,640 +خاصة بالنضارة او بال .. بالبياسترز كما يقولون بال + +554 +00:53:28,640 --> 00:53:34,220 +money مش هو الصعب الصعب لما حتى مايلاجيش ال + +555 +00:53:34,220 --> 00:53:38,970 +correctionin most pronounced cases especially when + +556 +00:53:38,970 --> 00:53:42,750 +more pathological changes is present in the fundus + +557 +00:53:42,750 --> 00:53:46,630 +ومنها ال macular degeneration macular atrophy + +558 +00:53:46,630 --> 00:53:51,270 +little benefit may result from the use of + +559 +00:53:51,270 --> 00:53:59,310 +inespectacular lenses وانا low vision patient ليش؟ + +560 +00:53:59,310 --> 00:54:07,560 +المشكلة في الشبكة مرض الشبكة لو صحي هو نضار مرضفي + +561 +00:54:07,560 --> 00:54:13,700 +الحلقات هذه نستخدم compound telescopic spectacles + +562 +00:54:13,700 --> 00:54:19,720 +مساعدات بصرية اسمها visual aids بيمسك العدسة بيده + +563 +00:54:19,720 --> 00:54:26,060 +ويمشيها على كل كلمة بالدور على كل سطر وعلى كل كلمة + +564 +00:54:26,060 --> 00:54:31,220 +يعني ايه؟ بيشوفهم العدسة ال aid الكلمة اللي واجه + +565 +00:54:31,220 --> 00:54:34,980 +عليها العدسة بيشوفها مكبرها والكلمة اللي برا لأ + +566 +00:54:37,650 --> 00:54:41,910 +جدّي الصعبة دي which reduce the field of vision + +567 +00:54:41,910 --> 00:54:46,850 +يعني من إزاي أنا بيقرا هيك بعرض الصفحة طول الصفحة + +568 +00:54:46,850 --> 00:54:53,770 +لأ لأ بيقرا كلمة كلمة كلمة كلمة بس ا by magnify + +569 +00:54:53,770 --> 00:54:57,070 +objects considerably while others appear to get + +570 +00:54:57,070 --> 00:55:00,730 +about more comfortable and aided في بعض الناس + +571 +00:55:00,730 --> 00:55:05,490 +بيقولك لأ لأ لأ أمسك عدسة و هذابعض النضارات مكبرة + +572 +00:55:05,490 --> 00:55:11,430 +برضه بعض النضارات ملبسها مكبرة للاشي هذا طيب + +573 +00:55:11,430 --> 00:55:16,030 +الناس اللي هم بيرفضوا المساعدة البصرية عندهم عادة + +574 +00:55:16,030 --> 00:55:20,450 +طبيعي بيقرأ من قريب بحط النضارة .. الكتاب على + +575 +00:55:20,450 --> 00:55:24,910 +عينيه ليش بحط الكتاب على عينيه؟ في محاولة ياما ال + +576 +00:55:24,910 --> 00:55:29,370 +magnification ال magnification هذا بيجي يعني + +577 +00:55:29,370 --> 00:55:36,920 +تلقائيا لما هو يقربأه و هم يبقى بتكبر الصورة فهو + +578 +00:55:36,920 --> 00:55:41,300 +بيقولك بحط في كتاب بصعوبة شوف بعض الكلام و بمشي + +579 +00:55:41,300 --> 00:55:45,820 +حاله طبعا ال visual aid دلسة أحسن للناس اللي هم مع + +580 +00:55:45,820 --> 00:55:50,460 +السن يسألهم ايش core uretinal degeneration خاصة + +581 +00:55:50,460 --> 00:55:56,200 +المكيولة طبعا العلاج التاني بعد النضارة contact + +582 +00:55:56,200 --> 00:56:01,540 +lensesالعدسات النسخة طبعا internationally العدسات + +583 +00:56:01,540 --> 00:56:06,620 +النسخة أثبتت فعالية كبيرة جدا في إيش؟ في علاج + +584 +00:56:06,620 --> 00:56:10,580 +الميوبيا أكتر من هيبانوتروبيا والميزة زي ما قلنا + +585 +00:56:10,580 --> 00:56:17,300 +احنا ان هي الكورنيا وهي ال tear film عليها ال tear + +586 +00:56:17,300 --> 00:56:22,840 +film وبتيجي ال contact lens بيصيروا تلاتة one + +587 +00:56:22,840 --> 00:56:27,500 +surface ال surface هذا هو ال contact lensيعني لو + +588 +00:56:27,500 --> 00:56:30,960 +الكورنيا فيها استجماتيزم، الكورنيا فيها شوية + +589 +00:56:30,960 --> 00:56:36,480 +irregularity، حاجة مع الـ tear film و ال contact + +590 +00:56:36,480 --> 00:56:44,220 +lens بيصيروا سطحا واحدا، سطح، اه واحد، one + +591 +00:56:44,220 --> 00:56:51,020 +surface، one surface يبقى دي have their most + +592 +00:56:51,020 --> 00:56:53,920 +important role in optical correction وميوبيا، اه + +593 +00:56:53,920 --> 00:56:57,050 +دورها كبير في علاج الميوبياThey have undoubtedly + +594 +00:56:57,050 --> 00:57:02,270 +cosmetic advantage أجمل من نضارة لشك لأنه هي + +595 +00:57:02,270 --> 00:57:11,230 +الأقرب إلى ال natural appearance المنظر for simple + +596 +00:57:11,230 --> 00:57:14,550 +myopia and in the much higher degrees of myopia + +597 +00:57:14,550 --> 00:57:17,270 +with considerable superior optical benefits يعني + +598 +00:57:17,270 --> 00:57:22,030 +إلها superior optical benefits على ال glasses لسبب + +599 +00:57:22,030 --> 00:57:29,200 +بسيط أنه فيش back vertexمافيش back vertex زي + +600 +00:57:29,200 --> 00:57:37,260 +النضارة يعني مافيششي lens effectivity ايش يعني + +601 +00:57:37,260 --> 00:57:43,140 +lens effectivity ال minus lens كل ما قربها العين + +602 +00:57:43,140 --> 00:57:48,860 +اكتر كل ما زادت ال power بتاعتها طب كل ما بعيدها + +603 +00:57:48,860 --> 00:57:56,140 +العين بتقل طب ال plus lens كل ما قربها بتقل كل ما + +604 +00:57:56,140 --> 00:58:02,110 +بعيدها عن العينيعني المسافة بتلعب في قوة العدسة + +605 +00:58:02,110 --> 00:58:09,530 +أما ال contact lens في مكانها الصحيح عارفين إيش + +606 +00:58:09,530 --> 00:58:16,610 +أحسن من contact lens عشان effectivity ال intra + +607 +00:58:16,610 --> 00:58:23,890 +-aquarian lens الآن في بيزرعوا + +608 +00:58:23,890 --> 00:58:27,070 +lens plus lens في ال AC + +609 +00:58:34,740 --> 00:58:43,520 +بيزرع جوا ال a c a minus lens minus lens مفرقة + +610 +00:58:43,520 --> 00:58:49,860 +minus lens للميوب و plus lens لهيبروتوم جوا ورا + +611 +00:58:49,860 --> 00:58:58,840 +القرانية امام ال ايرس امام ال ايرسده لها haptics، + +612 +00:58:58,840 --> 00:59:04,420 +لها أقدام، والله لشك إنه فيه شوية disadvantage طب + +613 +00:59:04,420 --> 00:59:09,460 +وين بيروح الأكل وزيهم؟ ما أنا بقولك هي لها + +614 +00:59:09,460 --> 00:59:14,680 +haptics، يعني لها متكاءات معينة، في نقطة معينة على + +615 +00:59:14,680 --> 00:59:18,520 +الزاوية، لكن مش كل الزاوية، مش كل ال angle of AC + +616 +00:59:18,520 --> 00:59:24,970 +شوف تكتير هذه، يعني intraocular implantationبدأ + +617 +00:59:24,970 --> 00:59:30,630 +اللي ما يحط contact ويشيلها بيحطها دُول ال AC عشان + +618 +00:59:30,630 --> 00:59:40,030 +يكفشي موضوع ال effectivity منتهي contact + +619 +00:59:40,030 --> 00:59:46,070 +lenses are free of aberrations which are + +620 +00:59:46,070 --> 00:59:48,750 +unavoidableبالنسبة للميزة التالتة الاسمها optical + +621 +00:59:48,750 --> 00:59:53,130 +defects of thick periphery of the spectacles + +622 +00:59:53,130 --> 00:59:56,970 +ماعناش ال aberrations ولا لأننا بريزماتيك effect + +623 +00:59:56,970 --> 01:00:02,130 +ميزة + +624 +01:00:02,130 --> 01:00:12,170 +تلتة ميزة تلتة + +625 +01:00:13,970 --> 01:00:19,670 +يعني هنا في balance hundred percent between + +626 +01:00:19,670 --> 01:00:25,570 +convergence and accommodation يعني ال minus lens + +627 +01:00:25,570 --> 01:00:32,830 +اللي أنا حاططها في النضارة لم تستوفي القوة عشان + +628 +01:00:32,830 --> 01:00:38,670 +توازن ال convergence لأنها لسه قدام العين ما أصلت + +629 +01:00:38,670 --> 01:00:39,430 +القرانية + +630 +01:00:41,690 --> 01:00:46,810 +خاصة لما يكون عشر وفوق يعني في الواحد يمكن يطلع + +631 +01:00:46,810 --> 01:00:54,010 +كسر صغير مثلا عشر ديوبتر في الاتنين يمكن يطلع ربع + +632 +01:00:54,010 --> 01:01:00,950 +ديوبتر في التلاتة يمكن يطلع ديوبتر إلى ربع في + +633 +01:01:00,950 --> 01:01:04,870 +الأربعة أكتر في الخمس أكتر طب في العشرة الحركة هي + +634 +01:01:04,870 --> 01:01:07,850 +ال back vertex بينها وبين القرنية ممكن تطلع + +635 +01:01:07,850 --> 01:01:10,870 +بالجليل ديوبتر أو ديوبتر و نص + +636 +01:01:14,650 --> 01:01:19,930 +ففيها تفاوت between convergence and accommodation + +637 +01:01:19,930 --> 01:01:25,330 +في النضارة لسه فيه شويه لكن في ال contact lens لأ + +638 +01:01:25,330 --> 01:01:32,530 +زي ال normal زي العين الامترون العادية 100% يعني + +639 +01:01:32,530 --> 01:01:38,530 +النضارات لسه موصوش كمال في ال function صح هو بشوف + +640 +01:01:38,530 --> 01:01:44,750 +فيها صحيح لكن عند القراية فيه مشكلةطيب العلاج + +641 +01:01:44,750 --> 01:01:49,350 +التالت بعد النضرات ونقص اللاسقة general hygiene + +642 +01:01:49,350 --> 01:01:54,850 +treatment الاهتمام بالصحة العامة طبعا تشوفوا احنا + +643 +01:01:54,850 --> 01:01:58,530 +لدينا الصحة العامة متوسطة لا أريد ان اقول ان انا + +644 +01:01:58,530 --> 01:02:05,410 +جليل كثير ولا عادية اقل من العادية subnormal بقول + +645 +01:02:05,410 --> 01:02:10,710 +ان ال general hygiene treatment not less important + +646 +01:02:10,710 --> 01:02:16,030 +than provision ofspectacles وعايز أسأل طالباتي إيش + +647 +01:02:16,030 --> 01:02:21,290 +provision what + +648 +01:02:21,290 --> 01:02:27,210 +is provision إيش + +649 +01:02:27,210 --> 01:02:33,670 +تزويد يبقى هي noun of provide provide noun of + +650 +01:02:33,670 --> 01:02:39,030 +provide فبقول اللي واتمام بال general health لا + +651 +01:02:39,030 --> 01:02:45,860 +يقل أهمية عن تزويدهبالإيش؟ من النضارة طب إيش هي يا + +652 +01:02:45,860 --> 01:02:51,140 +ربي ال general hygiene هذه؟ الصحة العامة؟ بقولي + +653 +01:02:51,140 --> 01:02:55,240 +fresh air الهواء + +654 +01:02:55,240 --> 01:03:03,480 +المتجدد exercise لحد الأدم من الرياضة الأهم ال + +655 +01:03:03,480 --> 01:03:09,910 +foodwhole sum يعني كامل food كامل طب عن ال food + +656 +01:03:09,910 --> 01:03:14,410 +كامل بيحتوي خمس عناصر غدائية proteins + +657 +01:03:14,410 --> 01:03:23,270 +carbohydrates lipids vitamins and minerals لملح + +658 +01:03:23,270 --> 01:03:29,610 +المعدنية minerals يعني الآن لو طفل عايش على + +659 +01:03:29,610 --> 01:03:38,430 +النشويات اللي هي الككسةع الشوكولاتة فقط لإن و انا + +660 +01:03:38,430 --> 01:03:41,570 +هأبقى شوكولاتة بس مافي بروتيم مافي لبس مافي + +661 +01:03:41,570 --> 01:03:49,150 +vitamins طبعا هسيبه مرض معين اه طيب واحد عايش على + +662 +01:03:49,150 --> 01:03:56,050 +الدهون هسيبه أمراض واحد عايش على البروتينات بس و + +663 +01:03:56,050 --> 01:04:00,340 +بكل شبكة العناصر الحاسيب و هكذاكل فيتامين بنقص عند + +664 +01:04:00,340 --> 01:04:09,080 +الإنسان فيه على طول symptoms of deficiency يبقى + +665 +01:04:09,080 --> 01:04:13,920 +خاصة لبروتينز والفيتامز للأطفال لأنه عناصر بناء + +666 +01:04:22,800 --> 01:04:26,260 +طبعا واحد بتصور طيب يعني ليش الغذاء اللي .. هو + +667 +01:04:26,260 --> 01:04:29,960 +بيعمل good development و منها العين العين بصيرها + +668 +01:04:29,960 --> 01:04:33,340 +ايش normal development ما داعي انه يصير معاه + +669 +01:04:33,340 --> 01:04:36,800 +refractive error كبير و pathology وكلام زي هذا و + +670 +01:04:36,800 --> 01:04:39,480 +انتوا عارفين vitamin A مهم جدا في علاج أمراض + +671 +01:04:39,480 --> 01:04:45,520 +الشبكية vitamin A خاصة و اللي هو ال precursor + +672 +01:04:45,520 --> 01:04:48,460 +بتاعه زي الجزر و المانجا و ال .. و الحاجات اللي هي + +673 +01:04:48,460 --> 01:04:54,640 +بيقولوا عن الفاكس الصفراءطيب العلاج كمان الرابع + +674 +01:04:54,640 --> 01:05:03,500 +visual hygiene صحة العين طبعا كتير من هو لو بقرأ + +675 +01:05:03,500 --> 01:05:09,300 +optometry لكن بخطأ في موضوع الاهتمام بصحة العين + +676 +01:05:09,300 --> 01:05:15,200 +اقدر ان اقول مثلا مثلا illumination الإضاءة طبعا + +677 +01:05:15,200 --> 01:05:22,980 +احنا في مجتمع عندنا قطع كهربا كثير شاعة الآنالشموع + +678 +01:05:22,980 --> 01:05:33,840 +وبعدين شاعة اللدات وشاعة ضوء القمر وشاعة + +679 +01:05:33,840 --> 01:05:39,440 +إنارة الشوارع اه في شباب .. في شباب مستنى الـC + +680 +01:05:39,440 --> 01:05:43,400 +الساعة مثلا التسعة كده ياخد كتابه ويروح يقعد تحت + +681 +01:05:43,400 --> 01:05:50,540 +عمود الكهربا في والله كان زمان معجز .. اه ولا مافي + +682 +01:05:50,540 --> 01:05:55,740 +احنا واقف ونقول يعنيالله عارف يعني و اللي ادعت هذه + +683 +01:05:55,740 --> 01:06:00,140 +بتضعف كمان و مافي مشاكل فبقوللي ال elimination + +684 +01:06:00,140 --> 01:06:06,820 +important خاصة during close work خاصة أثناء القراع + +685 +01:06:06,820 --> 01:06:09,740 +يعني اللي .. اللي .. اللي بشتغل شغل عام مش زي اللي + +686 +01:06:09,740 --> 01:06:15,560 +بقراه ال elimination should be good في مستواها and + +687 +01:06:15,560 --> 01:06:21,520 +adequately arranged ماتكونش مركزة في جانب غرفةأو + +688 +01:06:21,520 --> 01:06:24,200 +على حيطة معينة أو شيء لازم تكون ال university زي + +689 +01:06:24,200 --> 01:06:32,060 +ذلك كل الحجرة مضاءة المشي مهم جدا الزيادة في ال + +690 +01:06:32,060 --> 01:06:36,040 +elimination بيعمل إجهاد والنقص في ال elimination + +691 +01:06:36,040 --> 01:06:45,500 +بيعمل إجهاد مافيش بعد اللي هو ال good normalوفي + +692 +01:06:45,500 --> 01:06:50,880 +arrangement و distribution تكون equal في كل مكان + +693 +01:06:50,880 --> 01:06:57,920 +أي واحد الشيء التاني ال posture القامة قامة البقرة + +694 +01:06:57,920 --> 01:07:02,540 +عشان يحافظ على عينيه وعلى جسمه كمان انه زي ما + +695 +01:07:02,540 --> 01:07:07,200 +يقولوا يعني يكون في استقامة الرأس مع الرقبة مع ال + +696 +01:07:07,200 --> 01:07:14,790 +vertebral column أي واحدةبعد هيك thighs الفخاد + +697 +01:07:14,790 --> 01:07:21,350 +يعملوا زاوية قائمة زاوية قائمة مع ال trunk مع + +698 +01:07:21,350 --> 01:07:26,710 +الجذع بتاع الجسم زاوية قائمة تاني شيء ان ال thighs + +699 +01:07:26,710 --> 01:07:34,790 +و ال legs السيقان يكونوا زاوية قائمة وال foot يكون + +700 +01:07:34,790 --> 01:07:44,030 +على إيه؟ الagram كويس هيك؟ طيبالان واحد بيقرأ إلى + +701 +01:07:44,030 --> 01:07:51,190 +الأمام هيك خطأ طب واحد بيقرأ من هيك فيقعد بيحط رجل + +702 +01:07:51,190 --> 01:07:56,350 +ع رجل و بيقرأ من بينهم طب واحد حط لي كتاب و بيقرأ + +703 +01:07:56,350 --> 01:08:03,830 +هيك طب واحد نايم و بيقرأ بالكتاب هيك نايم نايم + +704 +01:08:03,830 --> 01:08:13,340 +واحد نايم مستلقي و بيقرأ بالكتاب هيك كله خطأكله .. + +705 +01:08:13,340 --> 01:08:18,360 +ليش؟ لأن بعد شوية اليد هتتعب ليش احنا بنجلس على + +706 +01:08:18,360 --> 01:08:26,080 +كرسي و مكتب؟ لأنه المكتب حامل الكتاب أو الكمبيوتر + +707 +01:08:26,080 --> 01:08:33,160 +ارتاحنا من ناحية هذه و الكرسي حامل الجسم فتوزيع + +708 +01:08:33,160 --> 01:08:43,070 +الزوايا و الأحمال صحك أي وضع آخر و كلنا جربناانه + +709 +01:08:43,070 --> 01:08:47,950 +احنا نحمل بدينا الكتاب اه و الأرض تحملنا هيك بدون + +710 +01:08:47,950 --> 01:08:56,190 +كرسي هذا شيء صعب شيء صعب ع + +711 +01:08:56,190 --> 01:09:02,310 +الكرسي بتعم؟ + +712 +01:09:02,310 --> 01:09:08,030 +طب ايش البديل؟ + +713 +01:09:18,340 --> 01:09:23,800 +ماشي هو انا بقول يعني في بعض الناس بيقرأ و هو ماشي + +714 +01:09:23,800 --> 01:09:31,300 +و انا شخصيا جربت حفظ القرآن الكريم في الماشي + +715 +01:09:31,300 --> 01:09:37,190 +لجلبته افضل وسيلة خاصة بعد صلاة الفجرحفظ القرآن + +716 +01:09:37,190 --> 01:09:43,850 +الكريم، هذه تجربة شخصية، كل صباح صفحة جديدة، كل + +717 +01:09:43,850 --> 01:09:47,530 +صباح صفحة جديدة، كل صباح صفحة جديدة، ولأربع وعشرين + +718 +01:09:47,530 --> 01:09:52,370 +ساعة تكرار للصفحة، لأ أنا صحيح، يعني لو كنت بتمشي + +719 +01:09:52,370 --> 01:09:58,350 +في الهواء الطالق، في الجو البارد، كان أفضل شيء، + +720 +01:09:58,350 --> 01:10:04,080 +لكن طالب يقرأ لساعات متأخرة من الليل،بقدرش يمشي + +721 +01:10:04,080 --> 01:10:08,780 +كتير، بده يقرأ لأنه بده برضه يحط ملاحظات و يكتب و + +722 +01:10:08,780 --> 01:10:13,580 +يخربش، بده مكتب فقرأت المكتب و أنودتها للقراء و + +723 +01:10:13,580 --> 01:10:17,740 +الاستيعاب كطالب، لأ هي أفضل شيء طيب في كمان حاجة + +724 +01:10:17,740 --> 01:10:25,120 +اسمها clarity of print وضوح الطابعة وضوح الطابعة و + +725 +01:10:25,120 --> 01:10:32,370 +ال size of lettersالعادة السيّه انه في كتاب مفقود + +726 +01:10:32,370 --> 01:10:36,810 +الناس بتصور منه بياخدوا الصورة الجيل اللي بعده + +727 +01:10:36,810 --> 01:10:40,750 +بيصور من الصورة والجيل اللي بعده بيصور من صورة + +728 +01:10:40,750 --> 01:10:49,050 +الصورة فبصير في ال print دار هذا بقى تلاصحة + +729 +01:10:49,050 --> 01:10:54,670 +العينين وبخلّي ال image دايما big و ال size كل ما + +730 +01:10:54,670 --> 01:10:59,580 +كان ال size أكبر كل ما كان أحسنعشان الكبار السن + +731 +01:10:59,580 --> 01:11:02,620 +برس بيوب احنا بنقاوم البرس بيوب في كبار السن نقوله + +732 +01:11:02,620 --> 01:11:07,060 +اقرأ من مصحف كبير يا أخي بروح بجيب مصحف كبير بحطه + +733 +01:11:07,060 --> 01:11:12,140 +من غير نضارة شايف خلاص حلينا الجثة الجثة هي جثة + +734 +01:11:12,140 --> 01:11:18,600 +vision انما انا عازفه اجيبه مصحف صغير يعني خمس + +735 +01:11:18,600 --> 01:11:20,920 +سنتي في خمس سنتي و اقول اقرأ من هذا بتعزف حتى + +736 +01:11:20,920 --> 01:11:28,960 +الشباب حتى اللي هو نظره أحسن شيء تغلبأيضا انديو + +737 +01:11:28,960 --> 01:11:34,660 +اكولار فتين انديو اللي يدعي له تجي الطفل قاعد + +738 +01:11:34,660 --> 01:11:41,420 +بالكمبيوتر قاعد يتكلم في الصفحات فضل يتكلم في + +739 +01:11:41,420 --> 01:11:45,120 +الصفحات لغاية ما نعيش و ننام على الكرسي يجي يشيله + +740 +01:11:45,120 --> 01:11:48,060 +الساعة اتنان عشر الليل و يجي ينام على الكرسي طب ما + +741 +01:11:48,060 --> 01:11:53,960 +هذا يعني بأثر على عينيه وجود صفحات كتيرة و ألوان + +742 +01:11:53,960 --> 01:11:58,340 +كتيرة وخطوط متفاوتةبيقتل عن أيه؟ وممكن يشجع ال + +743 +01:11:58,340 --> 01:12:06,680 +myopia وهذا ضد صحة العين والبصر amount + +744 +01:12:06,680 --> 01:12:10,420 +of work should be adjusted to the general physical + +745 +01:12:10,420 --> 01:12:17,940 +and mental development يعني بيقول لي لازم ان انا + +746 +01:12:17,940 --> 01:12:24,700 +اشوف حجم الطفلواستيعابه و اعطيه عمل على جده مش مقل + +747 +01:12:24,700 --> 01:12:29,820 +طالب الروضة ان اعطيه مناهج رياضيات و اعطيه حساب و + +748 +01:12:29,820 --> 01:12:34,680 +اعطيه مسار كبير و كذلك ماعرضوش انا لصفحات كمبيوتر + +749 +01:12:34,680 --> 01:12:39,280 +اكبر منه بكتير و ساعات طويلة يبقى حجم الطفل و وزن + +750 +01:12:39,280 --> 01:12:44,860 +الطفل و عقله هو اللي بتحكم في كمية العمل choice of + +751 +01:12:44,860 --> 01:12:50,540 +careerاختيار المهنة يعني خرج الجامعة عنده ميوب + +752 +01:12:50,540 --> 01:12:54,780 +سبعة تمانية تسعة و بده يشتغل بالك و احنا بنشغله + +753 +01:12:54,780 --> 01:13:01,880 +يعني طابع سيكرتير ولا شغله في شغل عام مريح للنظر + +754 +01:13:01,880 --> 01:13:09,600 +شغل مريح للنظر أفضل من شغل يحمل على النظر كتير حتى + +755 +01:13:09,600 --> 01:13:15,840 +يستهلك شوية ال coins اللي فاضلةفي الماكولا بدري + +756 +01:13:15,840 --> 01:13:20,860 +وصبح عمى من اربعين او خمسين سنة يبقى الأفضل ان انا + +757 +01:13:20,860 --> 01:13:30,420 +اعطيه عمل مايتعابش النظر مايتعابش النظر طيب + +758 +01:13:30,420 --> 01:13:34,080 +الان الأطفال اللي عندهم progressive myopia + +759 +01:13:34,080 --> 01:13:36,200 +pathological myopia + +760 +01:13:39,430 --> 01:13:43,390 +وهو الطفل هذا مش قادر إنه ينتمج في مدارس ابتدائية + +761 +01:13:43,390 --> 01:13:49,710 +وإعدادية مع طلاب الأصحى هولاء عملوهم مدارس خاصة أو + +762 +01:13:49,710 --> 01:13:55,170 +معاهد خاصة بتعتمد على non-visual educational + +763 +01:13:55,170 --> 01:14:00,570 +methods يعني بتعتمد على تنمية الذاكرة وعلى اللمس + +764 +01:14:00,570 --> 01:14:06,830 +والسمر مدارس خاصة في كل محافظة أو بلاد راقعة وكل + +765 +01:14:06,830 --> 01:14:14,630 +في هذه المدارسال education بيعتمد على associative + +766 +01:14:14,630 --> 01:14:21,230 +memory وبعتمد على ال touch زي طريقة braille وبعتمد + +767 +01:14:21,230 --> 01:14:29,950 +على ال oral education بدل ال books بدل الكتب يعني + +768 +01:14:29,950 --> 01:14:33,690 +بيعتمد على اللمسبتعمل على الشفاهة وبتعمل على + +769 +01:14:33,690 --> 01:14:39,610 +السماء بيشغل عنده حواس أخرى غير حاسس البصر اللي هي + +770 +01:14:39,610 --> 01:14:46,590 +فيها تدهور أو فيها تراجع ويكتفى بما تبقى من البصر + +771 +01:14:46,590 --> 01:14:55,370 +في إنه يرى ال board blackboard drawings وال large + +772 +01:14:55,370 --> 01:15:02,970 +type well spaced printingيعني ع الصبورة بنجيبله + +773 +01:15:02,970 --> 01:15:11,970 +الصورة المكبرة بطة هجيبله rabbit هجيبله monkey + +774 +01:15:11,970 --> 01:15:19,190 +وبالنظر أعلمه إن هذا هيك الأسد أو هيك الليون أو + +775 +01:15:19,190 --> 01:15:23,870 +هيك الصور هذه أعرض عليه الصور في projector ع + +776 +01:15:23,870 --> 01:15:31,020 +الصبورةهو بنظره البسيط الفاضل شوية مع السماء ممكن + +777 +01:15:31,020 --> 01:15:36,300 +ان يفهم وفي مرة تانية مع النمس ال garden hose مثلا + +778 +01:15:36,300 --> 01:15:40,840 +او التفاحة او البرتقالة يمسكها و يتفقدها و يشوفها + +779 +01:15:40,840 --> 01:15:47,260 +هيك يحفظها افضل ان اقراه ايش ان اكتبله في الكتاب + +780 +01:15:47,260 --> 01:15:49,860 +ايش البرتقالة او ايش التفاحة او ايش كده كده كده + +781 +01:15:49,860 --> 01:15:57,100 +كده كلمة wood spaced متباعديعني مثلا بدي مثلا أن + +782 +01:15:57,100 --> 01:16:07,380 +اكتبله كلمة رجل الرا هيك الصبورة و الجيم هيك + +783 +01:16:07,380 --> 01:16:15,300 +الصبورة و اللام هيك الصبورة أحرف متباعدة أو مكبرة + +784 +01:16:16,410 --> 01:16:20,430 +عشان ما تبقى من البصر ان هو يشوفه اخر حاجة نتكلم + +785 +01:16:20,430 --> 01:16:25,010 +عنها اللي هو ال pharmacology طبعا بده vitamins + +786 +01:16:25,010 --> 01:16:31,270 +اقراص خاصة vitamin A و B complex و multivitamins + +787 +01:16:31,270 --> 01:16:36,650 +عشان انا ادعم ال cause عنده و ادعم ال retinal + +788 +01:16:36,650 --> 01:16:41,450 +metabolism شوية لازم اعطيه فيتامينات اذا كانوا طفل + +789 +01:16:41,450 --> 01:16:46,250 +صغير بياخد شراب اذا كانوا كبير شوية باخد اقراصفي + +790 +01:16:46,250 --> 01:16:50,950 +ناس بيقولوا اعطيه Cyclobentrolate عند النوم قال + +791 +01:16:50,950 --> 01:16:54,190 +Cyclobentrolate في الليل بيعمل Cycloblegia بيريح + +792 +01:16:54,190 --> 01:16:57,210 +ال celery muscle بيريح ال accommodation في الليل + +793 +01:16:59,600 --> 01:17:05,400 +وفي النهار بيكون عنده شيء من الراحة في البصر لكن + +794 +01:17:05,400 --> 01:17:11,580 +هذا الكلام مايله يعني confirmation مالوش تأكيد أو + +795 +01:17:11,580 --> 01:17:17,220 +تأيد حتى الآن ان اعطيه cyclopentolate قبل النوم + +796 +01:17:17,220 --> 01:17:23,030 +لكن اعطيه vitaminsاه هذا شيء مفيد وممكن نحافظ عليه + +797 +01:17:23,030 --> 01:17:29,570 +يعني سلامة اللي هو ال retina of my obes شكرا لكم + +798 +01:17:29,570 --> 01:17:31,650 +على فترة الاستماع و السلام عليكم + diff --git a/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/S35SCPyTX7Q.srt b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/S35SCPyTX7Q.srt new file mode 100644 index 0000000000000000000000000000000000000000..771d6f4f71ab765a67ae688d32c35730b16a3c65 --- /dev/null +++ b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/S35SCPyTX7Q.srt @@ -0,0 +1,1335 @@ +1 +00:00:37,300 --> 00:00:41,140 +طيب نبدأ اليوم إن شاء الله هذه المحاضرة في the course + +2 +00:00:41,140 --> 00:00:47,540 +operative optics يعني بعد العملية الجراحية في + +3 +00:00:47,540 --> 00:00:53,320 +العين أشهر الـ optics اللي بتبقى خاصة بالـ cataract + +4 +00:00:53,320 --> 00:00:59,380 +إكستراكشن هي الـ most common intraocular surgery is + +5 +00:00:59,380 --> 00:01:03,300 +cataract extraction and IOL implantation ال + +6 +00:01:03,300 --> 00:01:08,420 +most common optical problem is astigmatism + +7 +00:01:08,420 --> 00:01:15,120 +طبعا لو كان أفكيا بس هيكون فيه high hypermetropia + +8 +00:01:15,120 --> 00:01:18,840 +عند astigmatism فكالس الأفكيا هيكون فيها + +9 +00:01:18,840 --> 00:01:23,870 +astigmatism وممكن مايوبيا أو هيربياندروفيا + +10 +00:01:23,870 --> 00:01:28,790 +فاحنا نتكلم على سيرفكة الأفكيا نتكلم عنها هيها + +11 +00:01:28,790 --> 00:01:34,530 +هيبراندروفيا و زي الاستيغماطيزم فعندي two problems + +12 +00:01:34,530 --> 00:01:43,890 +بيعملوا visual disability يعني عاقة بصرية طيب + +13 +00:01:43,890 --> 00:01:50,830 +لو عملنا للأفكيا correction with glasses high + +14 +00:01:50,830 --> 00:01:53,310 +-hypermetropia high-flux plants + +15 +00:02:15,670 --> 00:02:21,250 +حتى عندما هو micro surgery يعني اللي هو اللي راحة + +16 +00:02:21,250 --> 00:02:24,370 +الميكروسكوبية بالميكروسكوب operating microscope + +17 +00:02:24,370 --> 00:02:29,010 +لازال الـ astigmatism مشكل مشكلة صح أنه في some + +18 +00:02:29,010 --> 00:02:33,950 +reduction of the problem بالتقنية الجديدة اللي هو + +19 +00:02:33,950 --> 00:02:37,990 +surgical اللي هو micro surgery لكن لازال + +20 +00:02:37,990 --> 00:02:44,860 +الـ astigmatism برضه أيضا مشكل عقبالعشان هي هم صاروا + +21 +00:02:44,860 --> 00:02:49,980 +يتبنوا pseudo-phakic external يعني in the same + +22 +00:02:49,980 --> 00:02:53,860 +session بيعملوا extraction و بيعملوا intra ocular + +23 +00:02:53,860 --> 00:02:57,980 +lens implantation عشان يدفعوا الـ high hyper- + +24 +00:02:57,980 --> 00:03:04,840 +metropia طيب الآن السؤال ما هي العوامل التي تودي + +25 +00:03:04,840 --> 00:03:09,090 +إلى الـ astigmatism في عملية الـ extraction ماذا يعني + +26 +00:03:09,090 --> 00:03:14,470 +عوامل؟ علينا أن نعرفها لكي نتفادىها أول عامل لنعرف + +27 +00:03:14,470 --> 00:03:20,890 +incision القطع الكبير يعني أقل ما نعمله في .. كان في + +28 +00:03:20,890 --> 00:03:26,390 +الـ limbus دلوقتي؟ أو في القرن؟ كلما كبر القطع + +29 +00:03:41,310 --> 00:03:44,470 +اللي هو corneal rather than limbal or sclerotic + +30 +00:03:44,470 --> 00:03:50,470 +يعني كل ما كان القطر في القرنية كل ما كان أكثر + +31 +00:03:50,470 --> 00:03:57,150 +أمانًا وكل ما كان أقرب إلى الـ limbus أو كان scleral + +32 +00:03:57,150 --> 00:04:02,830 +من فوق كل ما كان أقرب يعني القطر في جسم القرنية أي + +33 +00:04:02,830 --> 00:04:08,290 +قطر في جسم القرنية مش آمن مش آمن، بيعمل high + +34 +00:04:08,290 --> 00:04:13,270 +continuity irregularity وأمانًا والسبب الثالث قريبًا هو + +35 +00:04:13,270 --> 00:04:19,210 +وضع غرز طويلة وقوية الجراح يحاول عندما يعمل + +36 +00:04:19,210 --> 00:04:28,190 +الجراح أن يعمل غرز طويلة وقوية وأحيانًا + +37 +00:04:28,190 --> 00:04:29,570 +يعملها بجانب بعضها + +38 +00:04:49,250 --> 00:04:56,530 +الجرح الثاني إذا عامل عكس فهي عامل ورزة ورزة + +39 +00:04:56,530 --> 00:04:59,190 +ورزة ورزة ورزة ورزة ورزة ورزة ورزة ورزة + +40 +00:04:59,190 --> 00:05:01,710 +ورزة ورزة ورزة ورزة ورزة ورزة ورزة ورزة + +41 +00:05:01,710 --> 00:05:06,560 +ورزة إيش ليك يعني؟ تسرع وقضية خطيرة ليه؟ فهو ولا + +42 +00:05:06,560 --> 00:05:13,760 +هذا صح ولا هذا صح ما هو الصح اللي بيننا؟ طيب كيف + +43 +00:05:13,760 --> 00:05:21,820 +أنا أتفادى هذه الأشياء؟ واحدة بدلًا من أن نسجن نعمل + +44 +00:05:21,820 --> 00:05:29,740 +small incision بدلًا من يكون كورنيا نعمل scleral + +45 +00:05:29,740 --> 00:05:37,560 +أه طيب بدأ يكون الـ .. الغرز tight و متعددة نعمل + +46 +00:05:37,560 --> 00:05:42,540 +single or suture less يعني غرزة واحدة هذه أو بلاش + +47 +00:05:42,540 --> 00:05:48,780 +غرزة من sclera و كده بيعملوا كده بسيط وخلاص بدأوا + +48 +00:05:48,780 --> 00:05:53,800 +يعملوا الـ decision هيك لأ هم بيجيبوا جهاز اسمه FAB + +49 +00:05:53,800 --> 00:05:58,340 +ب يفكروا الـ probe بيشبه الـ book كرام الجدران الـ proof + +50 +00:05:58,340 --> 00:05:59,380 +هي ده هيك + +51 +00:06:02,670 --> 00:06:12,950 +بيدخل من أبيض المنطقة الـ 2 mm الجدران وبيعمل + +52 +00:06:12,950 --> 00:06:18,490 +تفتيته بمعنى suction سهبو بعدين هم ليش بيعملوا + +53 +00:06:18,490 --> 00:06:23,350 +الجرح الكبير؟ عشان يعملوا delivery for ذلك + +54 +00:06:23,350 --> 00:06:30,570 +الاسم، إيش delivery؟ توليد، تلعوة يعني، فهي عشان + +55 +00:06:30,570 --> 00:06:35,290 +يعني هيك بدأ أقل شيء واحد سنتي عشان تطلع من هنا + +56 +00:06:38,620 --> 00:06:42,760 +فالناس اللي فاكوا بيعملوا يعني fragmentation of + +57 +00:06:42,760 --> 00:06:46,880 +the nucleus inside the capsular bag + +58 +00:06:46,880 --> 00:06:52,620 +fragmentation تبسيد inside ده بقى ونفس اللي فاكوا + +59 +00:06:52,620 --> 00:06:56,740 +بيعملوا suction فالمش + +60 +00:06:56,740 --> 00:07:01,340 +عايزين جهة كبيرة cinema delivery جهة صغيرة بس عشان + +61 +00:07:01,340 --> 00:07:05,980 +الـ probe يخش يخش بتاع الفرق used foldable or + +62 +00:07:05,980 --> 00:07:12,870 +injectable IOLيعني نفس الـ lens تبقى الـ lens مطوية + +63 +00:07:12,870 --> 00:07:17,930 +لإننا نزرعها بحيث نمسكها طرف على طرف وندخلها الـ + +64 +00:07:17,930 --> 00:07:22,250 +2mm شايفين كيف يعني؟ لما نضمها زي الورقة مثلا و + +65 +00:07:22,250 --> 00:07:26,190 +نضمها على بعضها بتظهر كثيرا صح؟ foldable في نقطة + +66 +00:07:26,190 --> 00:07:32,250 +أخرى بس مش موجودة هنا injectable يعني إيه؟ بيكون + +67 +00:07:32,250 --> 00:07:40,680 +مادة لزجة داخل اللي هو الـ wire ساعة ما يسحب يكون + +68 +00:07:40,680 --> 00:07:47,080 +فيه حالة لزجة ساعة ما يضغطوا في اللي هو حطوا فيه + +69 +00:07:47,080 --> 00:07:54,040 +كمية جليد بتشكل عدسة وبصير صلبة طبعًا هذا يعني + +70 +00:07:54,040 --> 00:07:57,580 +مش موجود هنا injectable فحينها تشتغل الـ foldable + +71 +00:07:57,580 --> 00:08:01,620 +foldable يعني إكس من ثانية لثانية هيك مدورة هيك + +72 +00:08:01,620 --> 00:08:06,600 +ودخلها من جديد هيبقى هاي أسباب الـ astigmatism في + +73 +00:08:06,600 --> 00:08:12,110 +العملية تلاقي الـ Intraocular Surgery وهاي الأربع + +74 +00:08:12,110 --> 00:08:16,450 +اللي هو الـ techniques عشان نتفادى أسباب الـ stigma + +75 +00:08:16,450 --> 00:08:20,990 +طيب + +76 +00:08:20,990 --> 00:08:27,230 +إذا كنا هذه المرة الماضية يعني اللي جراح ممكن أن + +77 +00:08:27,230 --> 00:08:33,250 +يعمل compromise استفادة هو إنه جالس يعني .. ش اللي + +78 +00:08:33,250 --> 00:08:37,290 +بيصير بعد الأربعين في الناس العاديين breast biopsy + +79 +00:08:38,850 --> 00:08:43,830 +بتشي بيصير بالضبط كده لإن هو لا condition بيجيب و + +80 +00:08:43,830 --> 00:08:48,710 +بعد الـ 40 42 43 تبدأ يعني الـ difficulty في الـ + +81 +00:08:48,710 --> 00:08:52,330 +relay فباستفادة من هذه الإدارة طب إحنا بنعمل كترة + +82 +00:08:52,330 --> 00:08:56,690 +ليش بنحط علاقة أقوى شوية بحيث نطلقه في الـ fraction + +83 +00:08:56,690 --> 00:09:02,150 +بتاعه minus one يعني بدل ما إحنا بنزرعه plus twenty + +84 +00:09:02,150 --> 00:09:05,170 +بنزرعه + +85 +00:09:05,170 --> 00:09:06,470 +plus twenty one + +86 +00:09:10,870 --> 00:09:16,030 +لو حطيناها بدل العدسة اللي فيها كترة هتعمل more + +87 +00:09:16,030 --> 00:09:19,250 +convergence يعني more convergence السيارة + +88 +00:09:19,250 --> 00:09:26,170 +ما تواجهها ما تواجهها طيب الـ IOLs هذي plus high plus + +89 +00:09:26,170 --> 00:09:31,810 +هل ممكن الـ IOLs هذي يتم الـ magnification الـ plus + +90 +00:09:31,810 --> 00:09:33,970 +يتم الـ magnification و لا magnification + +91 +00:09:36,620 --> 00:09:40,040 +يبقى هو استفاد إنه شوية myopia لإن هو حاسس إن myopia + +92 +00:09:40,040 --> 00:09:45,100 +بيجري بدون نظارة إيه myopia؟ بيجري بدون نظارة + +93 +00:09:45,100 --> 00:09:49,960 +فادوني اعمل شوية myopia وشوية magnification يعني + +94 +00:09:49,960 --> 00:09:54,600 +ممكن يقرأ بدون نظارة كويسة كتير طيب المعنى Swan + +95 +00:09:54,600 --> 00:09:58,540 +هذا اللي طالع بعد العملية هل ممكن يشوف الـ distance + +96 +00:09:58,540 --> 00:10:04,010 +كويس؟ distance between سوق سيارة مثلا بالـ minus one + +97 +00:10:04,010 --> 00:10:09,230 +بسوق سيارة يبقى هو واضح إنه أنا لما طلعه من عملية + +98 +00:10:09,230 --> 00:10:14,430 +الـ cataract mile-mile إنه بنفعله distance قريبة + +99 +00:10:14,430 --> 00:10:18,790 +يبقى أنا صرت عملت refractive surgery يعني حولت + +100 +00:10:18,790 --> 00:10:22,370 +عملية الـ pseudo-phakia pseudo-phakic surgery اللي + +101 +00:10:22,370 --> 00:10:26,390 +عملت refractive surgery مش فقط إن أنا شلتله الـ + +102 +00:10:26,390 --> 00:10:32,220 +cataract لأ شلتله الـ cataract وعملت له new + +103 +00:10:32,220 --> 00:10:38,880 +refraction تغيرت عينه صار كمبرميز يشوف البيت ويغيره + +104 +00:10:38,880 --> 00:10:42,600 +ثاني واحد يقول ده فما هو الـ minus one برضه مش مية + +105 +00:10:42,600 --> 00:10:46,480 +المية اللي بقيت ولا مية المية اللي بقيت بقوله صح + +106 +00:10:46,480 --> 00:10:50,120 +الـ minus one مش مية المية اللي بقيت ولا مية المية + +107 +00:10:50,120 --> 00:10:54,800 +اللي بقيت لكن من الأفضل أخليه بالـ cataract أحسن أنت + +108 +00:10:54,800 --> 00:11:02,070 +الـ cataract أحسن؟ طب أخليه أفكيا أحسن؟ أيوة أحسن حاجة + +109 +00:11:02,070 --> 00:11:06,650 +متوفرة؟ حاجة أيوة المثالية المطلوبة مش مش ملزمة + +110 +00:11:06,650 --> 00:11:10,990 +مافيش حاجة إيدالية أنا لما قرأ الواحد minus واحد + +111 +00:11:10,990 --> 00:11:16,490 +سوق سيارة ويقرأ بنسبة سبعين بالمائة ثمانين بالمائة + +112 +00:11:16,490 --> 00:11:21,110 +خمسة بالمائة كويس ما يكونش أحسن طماع يعني 200% 100% + +113 +00:11:21,110 --> 00:11:26,110 +يعني واحد ألوذ يروح يخلي شباب شو كده الست يا شباب + +114 +00:11:26,110 --> 00:11:29,450 +أقول رأيني اه من حاجة رايحة اما نخليك شباب + +115 +00:11:36,190 --> 00:11:40,870 +يعني بعد العملية تبقى مستخدم ومستخدم تبقى مستخدم + +116 +00:11:40,870 --> 00:11:48,330 +ومستخدم طبعا نتكلم بسرعة زمان كان لما يعمل extra + +117 +00:11:48,330 --> 00:11:53,170 +capsular يعني صح فتحناه لو إحنا في كوريا + +118 +00:12:03,230 --> 00:12:06,230 +يأخذ شهرين أو ثلاثة لما يصير stability أو + +119 +00:12:06,230 --> 00:12:09,210 +refraction كل أربع سبعين أو ثلاثة سبعين مروا إن + +120 +00:12:09,210 --> 00:12:12,710 +أنا ما بي refraction يقولوا اه اتحسن بس لسه اتحسن + +121 +00:12:12,710 --> 00:12:17,690 +بس لسه طبقتين يقولوا لما استفاد من الورس لما استفاد + +122 +00:12:17,690 --> 00:12:23,030 +من الورس الـ corner بتاعها دي ليس ترتاح طبعًا إيه + +123 +00:12:23,030 --> 00:12:30,280 +اللي صار فاك وصارت إنه يخرج ويدخل من وين لو بتحسن + +124 +00:12:30,280 --> 00:12:35,520 +وقت، يعني ممكن خلال أسبوعين إنه .. فلو كان العيار + +125 +00:12:35,520 --> 00:12:38,340 +عامل extra capsular work، بدي أعمله follow-up في الـ + +126 +00:12:38,340 --> 00:12:41,860 +reflection، كل أسبوعين أو ثلاثة، أعمله reflection، + +127 +00:12:41,860 --> 00:12:45,280 +أعمله reflection، أعمله reflection، لما ينضي وقت + +128 +00:12:45,280 --> 00:12:48,960 +يصير في stable reflection، بعدين بعمله classes، لو + +129 +00:12:48,960 --> 00:12:52,390 +كان فيه defect معين، بعمله classes إنما مش طريقة + +130 +00:12:52,390 --> 00:12:55,370 +علمانية بعد ثلاثة أيام أعمله classes لسه يعني .. + +131 +00:12:55,370 --> 00:13:00,190 +هالطريقة علمانية بياخد علاج بياخد أقراص كورتيزون + +132 +00:13:00,190 --> 00:13:06,270 +و antibiotic لسه والقرنية يعني صعبها ما صعبها من + +133 +00:13:06,270 --> 00:13:11,770 +الـ .. من اللي هو surgical technique دخلت ملابس + +134 +00:13:11,770 --> 00:13:13,050 +منجسار فيني وفي دوها + +135 +00:13:17,430 --> 00:13:20,690 +و Stability of Refraction طبعًا هذا بيعتمد على Size + +136 +00:13:20,690 --> 00:13:26,570 +of Incision كلما كان الـ Size of Incision كبير كلما + +137 +00:13:26,570 --> 00:13:33,610 +الـ healing أو الـ Healing كان Slow يبقى + +138 +00:13:33,610 --> 00:13:38,830 +كلمة Section بقوا جالسة Large Section Methods The + +139 +00:13:38,830 --> 00:13:45,290 +Refraction May Alter Until Six Weeks Possible ست + +140 +00:13:45,290 --> 00:13:50,800 +أسابيع يبقى في delay until the day فيه spectacle + +141 +00:13:50,800 --> 00:13:57,060 +prescription لو ليش prescription خلاص ايه ال + +142 +00:13:57,060 --> 00:14:00,900 +spectacle خلاص أقول لك أنا والله مش فاضي و بدي + +143 +00:14:00,900 --> 00:14:04,260 +أطلع على الأسواق و أعمل و ورايا عمل و هذا ملي و + +144 +00:14:04,260 --> 00:14:10,940 +بعدين بغير عملي اه و مش هبنيجي أكل مطعم بناعك + +145 +00:14:10,940 --> 00:14:13,260 +اللي بفعلها لأن في واحد بيقول أنا مقدرش يا عم ايه + +146 +00:14:13,260 --> 00:14:17,970 +أتحرك ثلاثة و أربع أيام الأمنية و بده ينش مانو صايم + +147 +00:14:17,970 --> 00:14:24,650 +و هو ينتهي لما العلاج ينتهي يعني هو على كل ثلاثة + +148 +00:14:24,650 --> 00:14:27,350 +أو أربع أسابيع و أنا بتعمل refresh و لما ال + +149 +00:14:27,350 --> 00:14:31,350 +refresh مستقل بعمله description يعني هو عمل يكون + +150 +00:14:31,350 --> 00:14:37,770 +انتهى انتهى وضعه لذا لازم يبقى نعمل follow up طيب + +151 +00:14:37,770 --> 00:14:44,130 +المشكلة الثالثة كنت أنا أحيانا + +152 +00:15:21,830 --> 00:15:25,190 +طبعا الطرق التاريخية بطلوا منها بطلوا يعملوا غرز + +153 +00:15:25,190 --> 00:15:30,250 +زيادة وانتقلوا لـ غرز بديل لأن الـ قرنية أنا باسفلة + +154 +00:15:30,250 --> 00:15:35,450 +أنا باسفلة organ عايزة وقت حتى تعمل هي لو فكت وجه + +155 +00:15:35,450 --> 00:15:42,390 +ممكن لاكو سي فلاك يتخصص كل بشري لبركة الصح إذا كان + +156 +00:15:42,390 --> 00:15:47,460 +فيه استigmatism عالي فيما بعد يعملوا ليزك بس ال + +157 +00:15:47,460 --> 00:15:52,480 +Lasik هنعملش بقى مانعملش إلا بعد الـ good + +158 +00:15:52,480 --> 00:15:59,780 +healing يعني أي جراح في الجراحة بجعله شوية ثلاثة لو + +159 +00:15:59,780 --> 00:16:05,420 +صابوا و ضربوا احنا بيفهم صح؟ فنفس هيك القرنية طيب + +160 +00:16:05,420 --> 00:16:09,320 +قرنية مفتوحة ومعمل فيها عملية جراحية أنا أسنة + +161 +00:16:09,320 --> 00:16:13,580 +أبقى أربع أشهر أعمل فيها Lasik لأ ولا بعد سنة ولا + +162 +00:16:13,580 --> 00:16:19,010 +بعد سنة طيب الآن هندخل في موضوع جديد اسمه + +163 +00:16:19,010 --> 00:16:25,710 +انيزوميروبيا انيزوميروبيا مختلفة كلمة ISO أو أنا + +164 +00:16:25,710 --> 00:16:34,670 +معاهم ISO يعني وافقة للمقاييس العالمية ال ISO + +165 +00:16:34,670 --> 00:16:39,950 +موافقة للمقاييس العالمية الآن انيزوم مختلف في العين + +166 +00:16:39,950 --> 00:16:45,320 +الانيزوميروبيا معناه في unequality and the + +167 +00:16:45,320 --> 00:16:51,540 +refractive power in both eyes unequal إيش ال + +168 +00:16:51,540 --> 00:16:54,960 +unequality ممكن تكون in different paradigms + +169 +00:16:54,960 --> 00:17:02,840 +امترابية وامترابية لو امترابية وهاي امترابية ممكن + +170 +00:17:02,840 --> 00:17:07,620 +تكون هيبرمترابية وميوبية ممكن تكون لو ميوبية وهاي + +171 +00:17:07,620 --> 00:17:12,180 +ميوبية ممكن امترابية أو استجماتيزم مشكلة المهم في + +172 +00:17:12,180 --> 00:17:15,480 +الأخر أن هذا الـ project هو عبارة عن مختلفة و بيحتل + +173 +00:17:15,480 --> 00:17:24,840 +الـ vision مختلفة vision مختلفة طيب ما هي أسباب ال + +174 +00:17:24,840 --> 00:17:32,180 +anisotropia caused لسه أول سبب كونجنيتال إيش + +175 +00:17:32,180 --> 00:17:43,580 +كونجنيتال خلاص خلاص هو كلي يعني مية المية ISO يكاد + +176 +00:17:43,580 --> 00:17:51,640 +يكون معاكم مية المية ISO كمان كمان أن الـ symmetry + +177 +00:17:51,640 --> 00:17:57,640 +of both sides of the face is very right يعني لو + +178 +00:17:57,640 --> 00:18:01,660 +نحن طلعنا في نص الوش اليمين ونص الوش الشمال إلا + +179 +00:18:01,660 --> 00:18:06,210 +ليه some differenceفي كل جزء الجزء اللي .. إلا + +180 +00:18:06,210 --> 00:18:11,530 +نلاقي some difference على الأنف الفولد هذه الشعر + +181 +00:18:11,530 --> 00:18:17,210 +اللي هنا ممكن جدا نلاقي بعض الفولد هنا الجبهة هنا + +182 +00:18:17,210 --> 00:18:21,830 +إلا نلاقي شوية difference وقول بين الأنتين أن فكرة + +183 +00:18:21,830 --> 00:18:28,250 +طارتك مش مية مية لو غشر ده يبطل بس هذا في سويسيا + +184 +00:18:38,390 --> 00:18:44,710 +أقل شيء واحد يعني أنا زائد واحد و أنا مثلا زائد + +185 +00:18:44,710 --> 00:18:51,070 +اثنين اه لأ هالي نداشت نمشيها أن physiology لأ + +186 +00:18:51,070 --> 00:18:56,370 +هالي مش physiology طيب كمان سبب تاني unequal race + +187 +00:18:56,370 --> 00:19:05,470 +of work يعني طفل صغير هو 3 سنوات هذا زي 2 وهذا زي 2 + +188 +00:19:05,470 --> 00:19:15,430 +هو نفس الطفل بعد سنتين هذه فترة زي 2 وهذا زي 1 + +189 +00:19:15,430 --> 00:19:23,550 +كمان سنتين هذه فترة زي 2 وهذا زي 0 بعد سنتين هذه + +190 +00:19:23,550 --> 00:19:34,610 +فترة زي 1.5 هل ينقص واحد؟ هزمه هل ينقص واحد؟ وهكذا + +191 +00:19:34,610 --> 00:19:40,750 +مين اللي تموم أسرع؟ العين اليسرى، left eye في نمو + +192 +00:19:40,750 --> 00:19:49,230 +في عين أسرع من العين لهذا محيط ليش إن في عين تخضر + +193 +00:19:49,230 --> 00:19:55,370 +للهوامل تنمو في ال diameters أكبر من إنتو ال + +194 +00:19:55,370 --> 00:19:59,550 +practice part بتاعة تبتدي أكتر من التانية تستغرب + +195 +00:19:59,550 --> 00:20:07,750 +اللحظة في الآخر يجيكي أن هذه امتراب اليمين و أنا + +196 +00:20:07,750 --> 00:20:12,830 +أخذ ستة يا ساتر إيش ناخد ناخد ستة over growth + +197 +00:20:12,830 --> 00:20:17,210 +و محدش + +198 +00:20:17,210 --> 00:20:23,070 +مننا عرفتش و أنا كده اللي مفهمتش طيب + +199 +00:20:23,710 --> 00:20:31,690 +في سبب تالي Surgery في سبب Trauma ايه سبب من ال + +200 +00:20:31,690 --> 00:20:36,750 +Surgery و Trauma فاسألكوا Surgery و Trauma ضربة + +201 +00:20:36,750 --> 00:20:41,090 +يعني صعبة ضربة + +202 +00:20:41,090 --> 00:20:46,170 +الـ Surgery ده كل مشروع تعمل Surgery و Trauma ايه + +203 +00:20:46,170 --> 00:20:49,230 +الفرق بين واحد اللي جرى يعمله هيك عشان يطلعله + +204 +00:20:52,980 --> 00:21:01,720 +و هو ماشي تجيبك حليضة أو ضربة فتحكي و كده ال + +205 +00:21:01,720 --> 00:21:10,740 +surgery intended مخطف ده مقصودة ال trauma are non + +206 +00:21:10,740 --> 00:21:16,240 +intended أو not intended مش مخطف يعني جاية + +207 +00:21:16,240 --> 00:21:21,280 +accident يقول إيش accident حاجة عربي الكثير من احنا + +208 +00:21:21,280 --> 00:21:25,140 +في المطبخ الواحد نكشر حاجبنا معايا بتتبس اللي هو + +209 +00:21:25,140 --> 00:21:27,440 +الروحانة اللي حاولها منيه و بيصرفها هذه accident + +210 +00:21:27,440 --> 00:21:33,640 +لكن الجراح لأ هو زينها وين بنعمل جريح و كان غرزة و + +211 +00:21:33,640 --> 00:21:39,700 +ينظفها و يطهرها و يدرسها خلطة لكن هناك ما فيش خلطة + +212 +00:21:39,700 --> 00:21:42,600 +فالعيب ممكن أن نعمل فيها surgery حسب الخطة + +213 +00:21:49,400 --> 00:21:51,640 +زي الـ Cervical Aphasia مثلا، الـ Aphasia ممكن + +214 +00:21:51,640 --> 00:21:54,800 +تكون Surgical أو تكون Traumatic واحد طلب واحد Box + +215 +00:21:54,800 --> 00:21:57,580 +على وجهه، واحد جهنم على جهنم، هذه مش سيئة، + +216 +00:21:57,580 --> 00:22:03,480 +accident طيب، في I-Diseases، I-Diseases، زي + +217 +00:22:03,480 --> 00:22:11,000 +الـ كيروتاكونس و الـ كيروتايدس اه و opacity في one + +218 +00:22:11,000 --> 00:22:11,420 +lens + +219 +00:22:22,320 --> 00:22:26,120 +بقى الولادة كل شيء بقى من ولادها أقوى والحمض لله + +220 +00:22:26,120 --> 00:22:33,460 +اللي يعرف عنه أقوى يبقى هذه أربع أسباب لـ Horizon + +221 +00:22:33,460 --> 00:22:39,260 +Pro في شيء بيقولك مختلفين خالص وفي شيء بيأخذنا من + +222 +00:22:39,260 --> 00:22:42,660 +الزواج وفي شيء بيمرض عينه وتنجحش زي عينك الثانية + +223 +00:22:42,660 --> 00:22:48,500 +وعينك الثانية خي الآن احنا عادش بهمنا في Horizon Pro + +224 +00:22:48,500 --> 00:22:52,040 +بهمنا في شيء تقفزه Binoculars + +225 +00:22:59,180 --> 00:23:04,460 +هذه هي يعني خلينا نقول أن الجوهر + +226 +00:23:28,270 --> 00:23:32,390 +فأنا سيرت ال fusion و هسير يا أنا بشوف صورتين يا + +227 +00:23:32,390 --> 00:23:34,490 +أنا بشوف أربعين واحدة يا أنا بشوف أربعين مرة و + +228 +00:23:34,490 --> 00:23:39,910 +أربعين مرة لص و بنات يبقى الآن أنا بدي أشوف ال + +229 +00:23:39,910 --> 00:23:42,410 +energy بترجع و بتيش بتأثر على ال beneficiary + +230 +00:23:42,410 --> 00:23:46,510 +الجانب والله إذا كان + +231 +00:24:02,190 --> 00:24:08,950 +5% in others فرق + +232 +00:24:08,950 --> 00:24:17,030 +5% في الأطفال لأ أكتر شوية لعين 8% يبقى في ال + +233 +00:24:17,030 --> 00:24:27,330 +children 8% يقول يبقى فيه قاعدة أن every quarter + +234 +00:24:33,000 --> 00:24:42,780 +بعطي 0.5% difference في الـ size of image يعني + +235 +00:24:42,780 --> 00:24:48,120 +كل واحد ده يكتر difference تعطي + +236 +00:24:48,120 --> 00:24:55,440 +كده إيش؟ two ده يكتر two percent difference in + +237 +00:24:55,440 --> 00:24:57,320 +size واحد إلى اثنين + +238 +00:25:00,930 --> 00:25:08,030 +يبقى الأطفال بيستورد 4 دايوبتر فلين بينما الكبار + +239 +00:25:08,030 --> 00:25:16,750 +بيستورد 2.5 دايوبتر بس يعني الطفل لو كان فيه عين + +240 +00:25:16,750 --> 00:25:26,730 +minus 2 و فيه عين plus 2 و عطيل full correction جهاز + +241 +00:25:26,730 --> 00:25:33,520 +الإفسار هنا بيستورد فرق أربع درجات لكن الكبير لا + +242 +00:25:33,520 --> 00:25:39,880 +مابسوف بيشوف نفره بيه طب ليش؟ يا عم يا ال minus + +243 +00:25:39,880 --> 00:25:43,120 +بتعمل modification و ال plus بتعمل magnification + +244 +00:25:43,120 --> 00:25:52,160 +مفيش مش كان من الطارق أن أنا متروح مش هزمك طيب + +245 +00:25:52,160 --> 00:25:54,320 +تقولي + +246 +00:25:58,030 --> 00:26:02,770 +الكامل إشي أكبر بصير dissociation of binoculars، + +247 +00:26:02,770 --> 00:26:06,630 +the image of one eye is always blurred by the + +248 +00:26:06,630 --> 00:26:10,830 +patient by superimposing the indistinct upon the + +249 +00:26:10,830 --> 00:26:15,230 +distinct image tries to combine the eye and obtain + +250 +00:26:15,230 --> 00:26:16,310 +stereoscopic + +251 +00:26:52,100 --> 00:26:56,760 +لكن الآن لما .. لما طبقناهم مع بعض الفرق اللي زي + +252 +00:26:56,760 --> 00:27:01,140 +في المحيط زي الفرق في نقوة البصرية البسيطة + +253 +00:27:01,140 --> 00:27:04,920 +استوعابها تحتوط اثنين و نصف دا يبترد في الإكبار + +254 +00:27:04,920 --> 00:27:10,100 +استوعابها .. طيب حطيلي shake مع الفمسان كم سنة + +255 +00:27:10,100 --> 00:27:17,060 +اللي يمشي هنا؟ ما ده اجابك؟ هل الشكل مع الخمسة .. + +256 +00:27:17,060 --> 00:27:24,650 +اه الشكل مع الخمسة بيطلع؟ لطبوش لأ لأ فريق أيوة طيب + +257 +00:27:24,650 --> 00:27:29,050 +هنجرب الصورة هذه إيش الصورة هتكون انتبه الأحمر و + +258 +00:27:29,050 --> 00:27:34,510 +الفاة small size difference between the image in + +259 +00:27:34,510 --> 00:27:42,030 +the two واحد و اثنين small difference ممكن تصير له + +260 +00:27:42,030 --> 00:27:47,630 +إيش few days بس بصعوبة يعني مش هيكون العيالي مرتاح + +261 +00:27:47,630 --> 00:27:53,930 +هيكون عشقي راضي لو فرح مدت ساعتين راح يصدق ويتقلق + +262 +00:27:53,930 --> 00:27:59,710 +ويغطش لكن يعني مرتاح شوية بعد مدت العيالي يتعكس + +263 +00:27:59,710 --> 00:28:09,250 +اسكال الفرق في البدود كانتش 2.5 دايوبتر إن أما في + +264 +00:28:09,250 --> 00:28:11,590 +البدود 5 دايوبتر أو 4 دايوبتر + +265 +00:28:16,510 --> 00:28:21,750 +الحالة الثانية الشكل مع الخمسة الـ possible of u + +266 +00:28:21,750 --> 00:28:26,630 +with + +267 +00:28:26,630 --> 00:28:31,950 +the higher grades of error اه بيقول لي احتمال واحد + +268 +00:28:31,950 --> 00:28:38,810 +من التلاسينا الاحتمال الأول alternating value يعني + +269 +00:28:38,810 --> 00:28:41,990 +مثلا العين هذه minus 3 + +270 +00:28:50,000 --> 00:28:56,260 +لأ طيب الآن احكي المعنى مثلي الاحتمال الأول أن + +271 +00:28:56,260 --> 00:29:03,040 +mango alternation يعني توزيع أدوار توزيع أدوار كيف + +272 +00:29:03,040 --> 00:29:10,480 +أن العين اليمنى للـ near middle و العين اليسرى لل + +273 +00:29:10,480 --> 00:29:18,670 +distant middle لما بشوف بعيد بشوف بالعين البلاستوف + +274 +00:29:18,670 --> 00:29:25,630 +لو تشوف قريب بيجرح تشوف بالميزة يعني + +275 +00:29:25,630 --> 00:29:29,970 +البلاستوف بتجرحش و المرأة سيطرية تشوفش بالعين ال + +276 +00:29:29,970 --> 00:29:36,770 +former for distance اللي هي هالي distance و ال + +277 +00:29:36,770 --> 00:29:44,210 +later for mirror واضح بناتي؟ هذا اسم alternation + +278 +00:29:44,210 --> 00:29:46,150 +تبادل تبادل الأدوار + +279 +00:29:50,840 --> 00:29:57,020 +مش كبير بحيث أن ال fusion مابتمش بس مش كبير جدا + +280 +00:29:57,020 --> 00:30:05,140 +جدا فرق عشرة لأ إذا كان فرق كبير بصير عادي الاشي + +281 +00:30:05,140 --> 00:30:10,460 +التالت أو الدور الثاني إنه العين اللي فيها high + +282 +00:30:10,460 --> 00:30:14,400 +anisometropia أو very high anisometropia يصير لها exclusion + +283 +00:30:16,970 --> 00:30:23,030 +تستبعد all together رياليًا تطلع من البيت و تصير + +284 +00:30:23,030 --> 00:30:26,950 +أم اليوم و تصير الإنسان اللي اللي قريب والقريب + +285 +00:30:26,950 --> 00:30:34,190 +معتمد على ال less ametropine يعني مثلاً واحد عنده + +286 +00:30:34,190 --> 00:30:45,390 +plus one و minus six أخذ فلس أم اليوم تتقنصر وتفضل + +287 +00:30:45,390 --> 00:30:53,110 +ال plus one ل near زائد distance near زائد is زائد + +288 +00:30:53,110 --> 00:30:56,430 +distance واضح بنا دي بس لما يكون بيتم عليها بشكل + +289 +00:30:56,430 --> 00:31:00,970 +قديم بس بزيزه اه بزيزه هيقولك بزيزه هذه ال + +290 +00:31:00,970 --> 00:31:06,330 +amblyopia بتاعة ال disuse الترك اسم ال amblyopia + +291 +00:31:06,330 --> 00:31:14,240 +is an option الهجم is an option الترك، قال الله عز و + +292 +00:31:14,240 --> 00:31:23,420 +جل فلا تميلوا كل الميلي فتدروا فاك المعنى حرام هذه + +293 +00:31:23,420 --> 00:31:29,300 +سرق ميل العين الكويسة أخدت كل الدور بيبقى والثانية + +294 +00:31:29,300 --> 00:31:35,080 +ضاعة خاصة في الأطفال طب هذي ال amblyopia + +295 +00:31:35,080 --> 00:31:40,780 +preventable condition ولا non preventable ممكن + +296 +00:31:40,780 --> 00:31:42,380 +استدراجها ولا لا؟ + +297 +00:31:45,680 --> 00:31:55,340 +يعني ممكن هالي إنه يصير لها تضاعف ولا ضاعف ممكن + +298 +00:31:55,340 --> 00:32:03,520 +as early as possible بيقدر الأطفال كده كده هيبقى + +299 +00:32:03,520 --> 00:32:08,540 +as early as possible يبقى إذا كان احنا عملنا early + +300 +00:32:08,540 --> 00:32:14,040 +recognition أو diagnosis عملنا exercises عملنا + +301 +00:32:14,040 --> 00:32:17,720 +optical correction أو closing of normal eye أو + +302 +00:32:17,720 --> 00:32:25,400 +صينة آي طيب لو طرفنا after 7 or 8 years طولي .. + +303 +00:32:25,400 --> 00:32:32,400 +خلاص .. خلاص يبقى preventable في إشي ممكن تضعفه وفي + +304 +00:32:32,400 --> 00:32:37,180 +في none preventable هاني preventable أشاركني أنا في + +305 +00:32:37,180 --> 00:32:39,620 +الحفظ تقريباً خلّيني اشتغلوا في رياض الأطفال اللي + +306 +00:32:39,620 --> 00:32:42,560 +بيشتغل يشتغل في الطفولة المبكرة مايجيليش بعد عشر + +307 +00:32:42,560 --> 00:32:44,940 +سنين في العدالية وثلاث وثلاث وثلاث وثلاث و + +308 +00:32:44,940 --> 00:32:46,020 +ثلاث وثلاث وثلاث وثلاث وثلاث وثلاث وثلاث و + +309 +00:32:46,020 --> 00:32:47,300 +ثلاث وثلاث وثلاث وثلاث وثلاث وثلاث وثلاث و + +310 +00:32:47,300 --> 00:32:52,540 +ثلاث وثلاث وثلاث وثلاث وثلاث وثلاث وثلاث و + +311 +00:32:52,540 --> 00:32:58,780 +ثلاث وثلاث وثلاث وثلاث و + +312 +00:32:58,780 --> 00:33:02,260 +ثلاث و ث + +313 +00:33:12,290 --> 00:33:17,590 +اليمين بييجي عن مركز أنا ملاقيش بيجي على هنا طب + +314 +00:33:17,590 --> 00:33:22,910 +العين هذه حياتها الضوء احنا ايش اللي بيخلع عينينا + +315 +00:33:22,910 --> 00:33:26,530 +vital؟ اللي هو خشهروف ايش المعنى for stimulation؟ + +316 +00:33:26,530 --> 00:33:30,370 +للإكتفنات؟ للمركز بتاع ال .. الoccipital cortex؟ + +317 +00:33:30,370 --> 00:33:36,350 +هو الارض لو أنا يا أمرت عيد بفل صغير عمره مثلاً خمس + +318 +00:33:36,350 --> 00:33:43,450 +سنوات مدة أسبوع أو ساعتها إنتهى لأجل سبب في أهل + +319 +00:33:43,450 --> 00:33:48,870 +يعني بصير خالقة من ضرب على عينه يعني حاجة إشي كده + +320 +00:33:48,870 --> 00:33:53,450 +موديه وغط عينه يوم وغط عينه أسبوعين راح انتهى + +321 +00:33:53,450 --> 00:34:00,250 +المرشوفة بسرعة بعدها يعني بصورة meticulous جادة + +322 +00:34:00,250 --> 00:34:07,330 +جداً ضاعت طيب العين هال بصير surface + +323 +00:34:16,940 --> 00:34:23,660 +عشان يبقى amblyopia وهذا + +324 +00:34:23,660 --> 00:34:29,720 +كله بيصير لأن المخ قرر أن يتخلص منها يتخلص من هذه + +325 +00:34:29,720 --> 00:34:37,040 +العين الضعيفة عشان يبني amblyopia بدونش يبقى + +326 +00:34:37,040 --> 00:34:40,920 +amblyopia فصار إنه يطلعها شوية شوية شوية تماما لو + +327 +00:34:40,920 --> 00:34:42,860 +سيارة أطلانة في نص الطريق + +328 +00:34:45,380 --> 00:34:51,100 +بزوكها كام؟ وبخلف الرصيف دلوقتي؟ أي أطفال زي سبع + +329 +00:34:51,100 --> 00:34:55,440 +أطفال فبزوكها بجنبها بطا على الرصيف عشان يرتاح + +330 +00:34:55,440 --> 00:35:02,880 +دلوقتي لأ هو يقرا ويسوق سيارته من العين هذه يمارس + +331 +00:35:02,880 --> 00:35:07,160 +حتى في الصف أحسن أن تفضل هذه عملاله وبيستجروا + +332 +00:35:14,810 --> 00:35:19,290 +أنا هجيح حلقة جديدة من الموضوع دلوقت عشان يعني + +333 +00:35:19,290 --> 00:35:23,290 +treatment of anisometropia حاجة ده يعني إن شاء الله + +334 +00:35:23,290 --> 00:35:24,830 +في المحاضرة سنة بالإنسان diff --git a/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/S35SCPyTX7Q_postprocess.srt b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/S35SCPyTX7Q_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..2184458260dcdf241304f3bd5885505115ccdbcf --- /dev/null +++ b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/S35SCPyTX7Q_postprocess.srt @@ -0,0 +1,1336 @@ +1 +00:00:37,300 --> 00:00:41,140 +طيب نبدأ اليوم ان شاء الله هذه المحاضرة في course + +2 +00:00:41,140 --> 00:00:47,540 +operative optics يعني بعد العملية الجرافية في + +3 +00:00:47,540 --> 00:00:53,320 +العين اشهر ال optics اللي بتبقىخاصة بالكتركت + +4 +00:00:53,320 --> 00:00:59,380 +إكستركشن هي ال most common intraocular surgery is + +5 +00:00:59,380 --> 00:01:03,300 +cataract extraction and IV oil implantation ال + +6 +00:01:03,300 --> 00:01:08,420 +most common problem optical problem is astigmatism + +7 +00:01:08,420 --> 00:01:15,120 +طبعا لو كان أفكيا بس هيكون فيه high hypermetropia + +8 +00:01:15,120 --> 00:01:18,840 +عند astigmatism فكالس الأفكيا هيكون فيها + +9 +00:01:18,840 --> 00:01:23,870 +astigmatism وممكن مالايوبيا او برهيبراندروفيا + +10 +00:01:23,870 --> 00:01:28,790 +فاحنا نتكلم على سيرفكة الأفريقيا نتكلم عنها هيها + +11 +00:01:28,790 --> 00:01:34,530 +هيبراندروفيا و زي الاستيغماطيز فعندي two problems + +12 +00:01:34,530 --> 00:01:43,890 +بيعملوا visual disability يعني عاقة بصري طيب + +13 +00:01:43,890 --> 00:01:50,830 +لو عملنا للأفريقيا correction with glasseshigh + +14 +00:01:50,830 --> 00:01:53,310 +-hyperhidrogen high-flux plants + +15 +00:02:15,670 --> 00:02:21,250 +حتى عندما هو micro surgery يعني اللي هو اللي راحة + +16 +00:02:21,250 --> 00:02:24,370 +الميكروسكوبية بالميكروسكوب operating microscope + +17 +00:02:24,370 --> 00:02:29,010 +لازال الastigmatism مشكل مشكلة صح أنه في some + +18 +00:02:29,010 --> 00:02:33,950 +reduction of the problem بالتقنية الجديدة اللي هو + +19 +00:02:33,950 --> 00:02:37,990 +surgical اللي هو micro surgery لكن لازال + +20 +00:02:37,990 --> 00:02:44,860 +الastigmatism برضه أيضا مشكل عقبالعشان هي هم صاروا + +21 +00:02:44,860 --> 00:02:49,980 +يتبنوا pseudo-fake external يعني in the same + +22 +00:02:49,980 --> 00:02:53,860 +session بيعملوا extraction و بيعملوا intra upper + +23 +00:02:53,860 --> 00:02:57,980 +lens implantation عشان يدفعوا ال high-hyper + +24 +00:02:57,980 --> 00:03:04,840 +-microbial طيب الان السؤال ما هي العوامل التي تودي + +25 +00:03:04,840 --> 00:03:09,090 +إلى الastigmatism في عملية ال extractionماذا يعني + +26 +00:03:09,090 --> 00:03:14,470 +عوامل؟ علينا أن نعرفها لكي نتفادىها أول عامل لعرف + +27 +00:03:14,470 --> 00:03:20,890 +incidents القطع الكبير يعني أقل نعمله في .. كان في + +28 +00:03:20,890 --> 00:03:26,390 +ال limbus دلوقتي؟ أو في القرن؟ كلما كبر القطع + +29 +00:03:41,310 --> 00:03:44,470 +اللي هو coherent rather than limbal or sclerotic + +30 +00:03:44,470 --> 00:03:50,470 +يعني كل ما كان القطر في القرنية كل ما كان أكتر + +31 +00:03:50,470 --> 00:03:57,150 +أسلمت وكل ما كان أقرب إلى ال limbus أو كان scleral + +32 +00:03:57,150 --> 00:04:02,830 +من فوق كل ما كان أقرب يعني القطر في جسم القرنية أي + +33 +00:04:02,830 --> 00:04:08,290 +قطر في جسم القرنية مش يسلم مش يسلم، بيعمل high + +34 +00:04:08,290 --> 00:04:13,270 +continuity regularity واسلمتالسبب التالت قريبًا هو + +35 +00:04:13,270 --> 00:04:19,210 +وضع سيوترات طويلة و قوية الجراح يحاول عندما يعمل + +36 +00:04:19,210 --> 00:04:28,190 +الجريح أن يعمل سيوترات طويلة و قوية و أحيانًا + +37 +00:04:28,190 --> 00:04:29,570 +يعملها بجانب بعضها + +38 +00:04:49,250 --> 00:04:56,530 +الجرح التاني إذا عامل عكس فهي عامل ورزة وورزة + +39 +00:04:56,530 --> 00:04:59,190 +وورزة وورزة وورزة وورزة وورزة وورزة وورزة وورزة + +40 +00:04:59,190 --> 00:05:01,710 +وورزة وورزة وورزة وورزة وورزة وورزة وورزة وورزة + +41 +00:05:01,710 --> 00:05:06,560 +وورزةإيش ليك يعني؟ تسرع و قضة خطيرة ليه؟ فهو ولا + +42 +00:05:06,560 --> 00:05:13,760 +هذا صح ولا هذا صح ماهو الصح اللي بيننا؟ طيب كيف + +43 +00:05:13,760 --> 00:05:21,820 +أنا أتفادى هذه الأشياء؟ واحدة بدلا من انسجين نعمل + +44 +00:05:21,820 --> 00:05:29,740 +small insulin بدلا من يكون كوريا نعمل sclera + +45 +00:05:29,740 --> 00:05:37,560 +أه طيببدأ يكون ال .. الغرز tight و متعددة نعمل + +46 +00:05:37,560 --> 00:05:42,540 +single or future less يعني غرزة واحدة ده او بلاش + +47 +00:05:42,540 --> 00:05:48,780 +غرزة من sclera و كده بيعملوا كده بسيط و خلاص بدأوا + +48 +00:05:48,780 --> 00:05:53,800 +يعملوا ال decision هيك لأ هم بيجيبوا جهاز اسمه FAB + +49 +00:05:53,800 --> 00:05:58,340 +بيفكروا ال probe بيشبه ال book كرام الجدر ال proof + +50 +00:05:58,340 --> 00:05:59,380 +هي ده هيك + +51 +00:06:02,670 --> 00:06:12,950 +بيدخل من أبيض المنطقة الـ 2 mm الجردين وبيعمل + +52 +00:06:12,950 --> 00:06:18,490 +تفتيته بمعنى suction سهبو بعدين هم ليش بيعملوا + +53 +00:06:18,490 --> 00:06:23,350 +الجرحى الكبير؟ عشان يعملوا delivery for ذالك + +54 +00:06:23,350 --> 00:06:30,570 +الاسم، ايش delivery؟ توليد، تلعوة يعني، فهي عشان + +55 +00:06:30,570 --> 00:06:35,290 +يعني هيك بدأ أقل شيء واحد صنتي عشان تطلع من هنا + +56 +00:06:38,620 --> 00:06:42,760 +فالناس اللي فاكوا بيعملوا يعني fragmentation of + +57 +00:06:42,760 --> 00:06:46,880 +the nucleus inside the capsular sphincter + +58 +00:06:46,880 --> 00:06:52,620 +fragmentation تبسيد inside ده بقى ونفس اللي فاكوا + +59 +00:06:52,620 --> 00:06:56,740 +بيعملوا suction فالمش + +60 +00:06:56,740 --> 00:07:01,340 +عايزين جهة كبيرة cinema delivery جهة صغيرة بس عشان + +61 +00:07:01,340 --> 00:07:05,980 +البروبي يخش يخش بتاع الفرق used foldable or + +62 +00:07:05,980 --> 00:07:12,870 +injectable IOLيعني نفس ال lens تبقى ال lens ملنة + +63 +00:07:12,870 --> 00:07:17,930 +لإننا نزرعها بحيث نمسكها طرف على طرف و ندخلها ال + +64 +00:07:17,930 --> 00:07:22,250 +2mm شايفين كيف يعني؟ لما نضمها زي الورقة مثلا و + +65 +00:07:22,250 --> 00:07:26,190 +نضمها علي بعضها بتظهر كتير صح؟ holdable في نقطة + +66 +00:07:26,190 --> 00:07:32,250 +أخرى بس مش موجودة هنا injectable يعني ايه؟ بيكون + +67 +00:07:32,250 --> 00:07:40,680 +مادة لازجة داخل اللي هو ال wireساعة ما يسحب يكون + +68 +00:07:40,680 --> 00:07:47,080 +فيه حالة لازمة ساعة ما يضرقوا في اللي هو حطوا فيه + +69 +00:07:47,080 --> 00:07:54,040 +كمشة جدد بتشكل عدسة و بصير صلب صلبة طبعا هذا يعني + +70 +00:07:54,040 --> 00:07:57,580 +مش موجود هنا rejectable فحينها تشتغل ال foldable + +71 +00:07:57,580 --> 00:08:01,620 +foldable يعني اكسك من تانية لتانية هك مدورة هك + +72 +00:08:01,620 --> 00:08:06,600 +ودخلها من جدد هيبقى هاي أسباب الastigmatism في + +73 +00:08:06,600 --> 00:08:12,110 +العمليةتلاقى الـ Intraocular Surgery و هاي الأربع + +74 +00:08:12,110 --> 00:08:16,450 +اللي هو ال techniques عشان نتفادى أدت ال stigma + +75 +00:08:16,450 --> 00:08:20,990 +طيب + +76 +00:08:20,990 --> 00:08:27,230 +إذا كنا هذه المرة الماضية يعني اللي جراح ممكن أن + +77 +00:08:27,230 --> 00:08:33,250 +يعمل compromise استفادة هو انه جالس يعني ..ش اللي + +78 +00:08:33,250 --> 00:08:37,290 +بيصير بعد الأربعين في الناس العاديين breast biopsy + +79 +00:08:38,850 --> 00:08:43,830 +بتشي بيصير بالظبط كده لإن هو لا condition بيجيب و + +80 +00:08:43,830 --> 00:08:48,710 +بعد ال 40 42 43 تبدأ يعني ال difficulty في ال + +81 +00:08:48,710 --> 00:08:52,330 +relay فباستفادة من هذه الادارة طب احنا بنعمل كترة + +82 +00:08:52,330 --> 00:08:56,690 +ليش بنحط علاسة أقوى شوية بحيث نطلقه في ال fraction + +83 +00:08:56,690 --> 00:09:02,150 +بتاعه minus one يعني بدلاش احنا بنزرعه plus twenty + +84 +00:09:02,150 --> 00:09:05,170 +بنزرعه + +85 +00:09:05,170 --> 00:09:06,470 +plus twenty one + +86 +00:09:10,870 --> 00:09:16,030 +لو حطيناها بدل العدسة اللي فيها كتره هتعمل more + +87 +00:09:16,030 --> 00:09:19,250 +convergence يعني more convergence السيارة + +88 +00:09:19,250 --> 00:09:26,170 +مايواجهها مايواجهها طيب ال lips هذي plus high plus + +89 +00:09:26,170 --> 00:09:31,810 +هل ممكن ال lips هذي يتم ال magnification ال plus + +90 +00:09:31,810 --> 00:09:33,970 +يتم ال magnification و لا magnification + +91 +00:09:36,620 --> 00:09:40,040 +يبقى هو استفاد انه شوية myopia لانه حاسس ان myopia + +92 +00:09:40,040 --> 00:09:45,100 +بيجرى بدون نضارة ايه myopia؟ بيجرى بدون نضارة + +93 +00:09:45,100 --> 00:09:49,960 +فدوني اعمل شوية myopia و شوية magnification يعني + +94 +00:09:49,960 --> 00:09:54,600 +ممكن يقرأ بدون نضارة كويسة كتير طيب المعنى Swan + +95 +00:09:54,600 --> 00:09:58,540 +هذا اللي طالع بعد العملية هل ممكن يشوف ال distance + +96 +00:09:58,540 --> 00:10:04,010 +كويس؟ distance betweenسوق سيارة مثلا بال minus one + +97 +00:10:04,010 --> 00:10:09,230 +بسوق سيارة يبقى هو واضح انه انا لما طلعه من عملية + +98 +00:10:09,230 --> 00:10:14,430 +ال cataract mile-mile انه بنفعلك distance قلبيه + +99 +00:10:14,430 --> 00:10:18,790 +يبقى انا صرت عملت refractive surgery يعني حولت + +100 +00:10:18,790 --> 00:10:22,370 +عملية ال pseudo-phakia pseudo-phakic surgery اللي + +101 +00:10:22,370 --> 00:10:26,390 +عملت refractive surgery مش فقط ان انا شلتله ال + +102 +00:10:26,390 --> 00:10:32,220 +cataract لأ شلتله ال cataractو اعملت له new + +103 +00:10:32,220 --> 00:10:38,880 +refraction تغيرتك صار كمبرميز تشوف البيت و تغيره + +104 +00:10:38,880 --> 00:10:42,600 +تاني واحد يقول ده فما هو ال minus one برضه مش مية + +105 +00:10:42,600 --> 00:10:46,480 +المية اللي بقيت و لا مية المية اللي بقيت بقوله صح + +106 +00:10:46,480 --> 00:10:50,120 +ال minus one مش مية المية اللي بقيت و لا مية المية + +107 +00:10:50,120 --> 00:10:54,800 +اللي بقيت لكن من الأفضل اخليه بالكتركت احسن انت + +108 +00:10:54,800 --> 00:11:02,070 +الكتركت احسن ؟ طب اخليه افككأحسن؟ ايوة أحسن حاجة + +109 +00:11:02,070 --> 00:11:06,650 +متوفر؟ حاجة ايوة المثالية المغضبة مش مش ملومة + +110 +00:11:06,650 --> 00:11:10,990 +مافيش حاجة ميادية انا لما قرأ الواحد minus واحد + +111 +00:11:10,990 --> 00:11:16,490 +سوق سيارة و يدرع بنسبة سبعين تلمية تمانين تلمية + +112 +00:11:16,490 --> 00:11:21,110 +خمسة تلمية كويس مايكونش احسن طماع يعني 200% 100% + +113 +00:11:21,110 --> 00:11:26,110 +يعني واحد ألوز يروح يخلي شباب شو كده الست يا شباب + +114 +00:11:26,110 --> 00:11:29,450 +اقول راياني اه من حاجة رايحة اما نخليك شباب + +115 +00:11:36,190 --> 00:11:40,870 +يعني بعد العملية تبقى مستخدم و مستخدم تبقى مستخدم + +116 +00:11:40,870 --> 00:11:48,330 +و مستخدم طبعا نتكلم بسرعة زمان كان لما يعمل extra + +117 +00:11:48,330 --> 00:11:53,170 +capsula يعني صح فتحناه لو احنا في كوريا + +118 +00:12:03,230 --> 00:12:06,230 +يأخذ شهرين او تلاتة لما يصير stability او + +119 +00:12:06,230 --> 00:12:09,210 +refraction كل اربع سبيعي او تلاتة سبيعي مروا ان + +120 +00:12:09,210 --> 00:12:12,710 +انا مابي refraction يقولوا اه اتحسن بس لسه اتحسن + +121 +00:12:12,710 --> 00:12:17,690 +بس لسه طبقتين يقولوا لما اتفيد من الورس لما اتفيد + +122 +00:12:17,690 --> 00:12:23,030 +من الورس ال corner بتاع ما دي ليس ترتاح طبعا ايه + +123 +00:12:23,030 --> 00:12:30,280 +اللي صار فاك وصار انه اخرج و يدخل من وينلو بتحسن + +124 +00:12:30,280 --> 00:12:35,520 +وقت، يعني ممكن خلال أسبوعين أنه .. فلو كان العيار + +125 +00:12:35,520 --> 00:12:38,340 +عامل extra capsule work، بدي أعمله follow-up في ال + +126 +00:12:38,340 --> 00:12:41,860 +reflection، كل أسبوعين أو تلاتة، أعمله reflection، + +127 +00:12:41,860 --> 00:12:45,280 +أعمله reflection، أعمله reflection، لما ينضي وقت + +128 +00:12:45,280 --> 00:12:48,960 +يصير في stable reflection، بعدين بعمله classes، لو + +129 +00:12:48,960 --> 00:12:52,390 +كان فيه defect معين، بعمله classesإنما مش طريقة + +130 +00:12:52,390 --> 00:12:55,370 +علمانية بعد تلاتي أيام أعمله classes لسه يعني .. + +131 +00:12:55,370 --> 00:13:00,190 +هالطريقة علمانية بياخد علاج بياخد أفطرات كورتازون + +132 +00:13:00,190 --> 00:13:06,270 +و antibiotic لسه و الكورنيا يعني صعبها ما صعبها من + +133 +00:13:06,270 --> 00:13:11,770 +ال .. من اللي هو surgical technique دخلت ملابس + +134 +00:13:11,770 --> 00:13:13,050 +منجسار فيني و في دوها + +135 +00:13:17,430 --> 00:13:20,690 +و Stability of Refraction طبعا هذا بيعتمد على Size + +136 +00:13:20,690 --> 00:13:26,570 +of Incision كلما كان ال Size of Incision كبير كلما + +137 +00:13:26,570 --> 00:13:33,610 +المضطر أو ال Healing كان Slow يبقى + +138 +00:13:33,610 --> 00:13:38,830 +كلمة Section بقوا جالسة Large Section Methods The + +139 +00:13:38,830 --> 00:13:45,290 +Refraction May Alter Until Six Weeks Possible ست + +140 +00:13:45,290 --> 00:13:50,800 +سابقينيبقى في delay until the day فيه spectacle + +141 +00:13:50,800 --> 00:13:57,060 +prescription لو ليش prescription خلاص ايه ال + +142 +00:13:57,060 --> 00:14:00,900 +spectacle خلاص اقول لك انا والله مش فاضي و بدي + +143 +00:14:00,900 --> 00:14:04,260 +اطلع على الأسوق و اعمل و ورايا عمل و هذا ملي و + +144 +00:14:04,260 --> 00:14:10,940 +بعدين بغير عمهدي اه و مش هبنيجي اكل مطعم بناعك + +145 +00:14:10,940 --> 00:14:13,260 +اللي بفعلها لأن في واحد بيقول انا مقدرش يا عم ايه + +146 +00:14:13,260 --> 00:14:17,970 +اتحركثلاثة و أربع أيام الأمنية و بده ينش مانو صايم + +147 +00:14:17,970 --> 00:14:24,650 +و هو ينتهي لما العلاج ينتهي يعني هو علي كل ثلاثة + +148 +00:14:24,650 --> 00:14:27,350 +أو أربع أسامية و أنا بتعمل و refresh و لما ال + +149 +00:14:27,350 --> 00:14:31,350 +refresh مستقل بعمله description يعني هو عمل يكون + +150 +00:14:31,350 --> 00:14:37,770 +انتهى انتهى وضعه لذا لازم يبقى نعمل follow up طيب + +151 +00:14:37,770 --> 00:14:44,130 +المشكلة التالتة كنت أنا أحيانا + +152 +00:15:21,830 --> 00:15:25,190 +طبعا الطرق التاريخية بطلوا منها بطلوا يعملوا غراز + +153 +00:15:25,190 --> 00:15:30,250 +زيادة وانتقلوا غراز بديل لان الكورنيا انا باسفلة + +154 +00:15:30,250 --> 00:15:35,450 +انا باسفلة organ عايزة وقت حتى تعمل هيه لو فكت وجه + +155 +00:15:35,450 --> 00:15:42,390 +ممكن لاكو سي فلاك يتخصص كل بشري لبركة الصح اذا كان + +156 +00:15:42,390 --> 00:15:47,460 +فيه استigmatism عالي فيما بعد اعملوا ليزيكبس ال + +157 +00:15:47,460 --> 00:15:52,480 +Lasik هان مانعملش بقى مانعملش إلا بعد ال good + +158 +00:15:52,480 --> 00:15:59,780 +healing يعني أي جراح في الجنة بجعله شويه تلاتة لو + +159 +00:15:59,780 --> 00:16:05,420 +صابوا و ضربوا احنا بيفهم صح؟ فنفس هيك الكوريا طيب + +160 +00:16:05,420 --> 00:16:09,320 +كوريا مفتوحة و معمل فيها عملية جراحية أنا أسنة + +161 +00:16:09,320 --> 00:16:13,580 +أبقى أربع أشهر عمل فيها Lasik لأ ولا بعد سنة ولا + +162 +00:16:13,580 --> 00:16:19,010 +بعد سنةطيب الآن هندخل في موضوع جديد اسمه + +163 +00:16:19,010 --> 00:16:25,710 +انازوميتروبيا انازوميتروبيا مختلفة كلمة ISO او انا + +164 +00:16:25,710 --> 00:16:34,670 +معاهم ISO يعني وافقة للمقاييس العالمي ال ISO + +165 +00:16:34,670 --> 00:16:39,950 +موافقة للمقاييس العالمي الانازوم مختلف في العين + +166 +00:16:39,950 --> 00:16:45,320 +الانازوميتروبيا معناه في unequalityand the + +167 +00:16:45,320 --> 00:16:51,540 +refractive power in both eyes unequal إيش ال + +168 +00:16:51,540 --> 00:16:54,960 +unequality ممكن تكون in different paradigms + +169 +00:16:54,960 --> 00:17:02,840 +امترابية وامترابية لو امترابية وهاي امترابية ممكن + +170 +00:17:02,840 --> 00:17:07,620 +تكون هيبرمترابية وميوبية ممكن تكون لو ميوبية وهاي + +171 +00:17:07,620 --> 00:17:12,180 +ميوبية ممكن امترابية او أستجماتيزي مشكلةالمهم في + +172 +00:17:12,180 --> 00:17:15,480 +الآخر ان هذا ال project هو عبارة عن مختلفة و بيحتل + +173 +00:17:15,480 --> 00:17:24,840 +ال vision مختلفة vision مختلفة طيب ما هي أسباب ال + +174 +00:17:24,840 --> 00:17:32,180 +anisotropia caused لسه أول سبب كونجيريتال ايش + +175 +00:17:32,180 --> 00:17:43,580 +كونجيريتال خلاص خلاص هو كليعني مية المية ISO يكاد + +176 +00:17:43,580 --> 00:17:51,640 +يكون معاكم مية المية ISO كمان كمان انه ال symmetry + +177 +00:17:51,640 --> 00:17:57,640 +of both sides of the face is very right يعني لو + +178 +00:17:57,640 --> 00:18:01,660 +نحن طلعنا في نص الوش اليمين و نص الوش الشمال إلا + +179 +00:18:01,660 --> 00:18:06,210 +ليه some differenceفي كل جزء الجزء اللي .. إلا + +180 +00:18:06,210 --> 00:18:11,530 +نلاقي some difference على الانف الفولد هذه الشعر + +181 +00:18:11,530 --> 00:18:17,210 +اللي هنا ممكن جدا نلاقي بعض الفولد هنا الجبهة هنا + +182 +00:18:17,210 --> 00:18:21,830 +إلا نلاقي شوية difference وقول بين الانتين ان فكرة + +183 +00:18:21,830 --> 00:18:28,250 +طارتك مش مية ميقل لو غشر ده يبطل بس هذا في سويسيا + +184 +00:18:38,390 --> 00:18:44,710 +أقل شي واحد يعني انا زائد واحد و انا مثلا زائد + +185 +00:18:44,710 --> 00:18:51,070 +اتنين اه لأ هالي نداشت نمشيها انه physiology لأ + +186 +00:18:51,070 --> 00:18:56,370 +هالي مش physiology طيب كمان سبب تاني unequal race + +187 +00:18:56,370 --> 00:19:05,470 +of workيعني طفل صغير هو 3 سنوات هذا زي 2 وهذا زي 2 + +188 +00:19:05,470 --> 00:19:15,430 +هو نفس الطفل بعد سنتين هذه فترة زي 2 وهذا زي 1 + +189 +00:19:15,430 --> 00:19:23,550 +كمان سنتين هذه فترة زي 2 وهذا زي 0 بعد سنتين هذه + +190 +00:19:23,550 --> 00:19:34,610 +فترة زي 1.5هل ينقص واحد؟ هزمه هل ينقص واحد؟ و هكذا + +191 +00:19:34,610 --> 00:19:40,750 +مين اللي تموم أسرع؟ العين الشمال، left eye في نمو + +192 +00:19:40,750 --> 00:19:49,230 +في عين أسرع من العين لهذا محيط ليش إن في عين تخضر + +193 +00:19:49,230 --> 00:19:55,370 +للهوامل تنمو في ال diameters أكبر من إنتو ال + +194 +00:19:55,370 --> 00:19:59,550 +practice part بتاعة تبتدي اكتر من التانية تستغرب + +195 +00:19:59,550 --> 00:20:07,750 +اللحظة في الآخر يجيكي ان هذه إمتراب اليمين وانا + +196 +00:20:07,750 --> 00:20:12,830 +أخذ ستة يا ساتر ايش ناخد ناخد ستة over growth + +197 +00:20:12,830 --> 00:20:17,210 +ومحدش + +198 +00:20:17,210 --> 00:20:23,070 +مننا عرفتش وانا كده اللي مفهمتش طيب + +199 +00:20:23,710 --> 00:20:31,690 +في سبب تالي Surgery في سبب Trauma ايه سبب من ال + +200 +00:20:31,690 --> 00:20:36,750 +Surgery و Trauma فاسألكوا Surgery و Trauma ضربة + +201 +00:20:36,750 --> 00:20:41,090 +يعني صعبة ضربة + +202 +00:20:41,090 --> 00:20:46,170 +ال Surgery ده كل مشروع تعمل Surgery و Trauma ايه + +203 +00:20:46,170 --> 00:20:49,230 +الفرق بين واحد اللي جرى يعمله هيك عشان يطلعله + +204 +00:20:52,980 --> 00:21:01,720 +و هو ماشي تجيبك حليضة أو ضربة فتحكي و كده ال + +205 +00:21:01,720 --> 00:21:10,740 +surgery intended مخطف ده مقصودة ال trauma are non + +206 +00:21:10,740 --> 00:21:16,240 +intended او not intended مش مخطف يعني جاية + +207 +00:21:16,240 --> 00:21:21,280 +accident يقول ايش accident حاجة عربيالكثير من احنا + +208 +00:21:21,280 --> 00:21:25,140 +في المطبخ الواحد نكشر حاجبنا معايا بتتبس اللي هو + +209 +00:21:25,140 --> 00:21:27,440 +الروحانة اللي حاولها منيه و بيصرفها هذي accident + +210 +00:21:27,440 --> 00:21:33,640 +لكن الجراح لأ هو زينها وين بنعمل جريح و كان غرزة و + +211 +00:21:33,640 --> 00:21:39,700 +ينظفها و يطهرها و يدرسها خلطة لكن هناك مافيش خلطة + +212 +00:21:39,700 --> 00:21:42,600 +فالعيب ممكن انه نعمل فيها surgery حسب الخطة + +213 +00:21:49,400 --> 00:21:51,640 +زي الـ Cervical Aphasia مثلا، الـ Aphasia ممكن + +214 +00:21:51,640 --> 00:21:54,800 +تكون Surgical أو تكون Traumatic، واحد طلب واحد Box + +215 +00:21:54,800 --> 00:21:57,580 +على وجهه، واحد جهنم على جهنم، هذه مش سيئة، + +216 +00:21:57,580 --> 00:22:03,480 +accident طيب، في I-Diseases، I-Diseases، زي + +217 +00:22:03,480 --> 00:22:11,000 +الكيروتاكونس و الكيروتايدس، اه و opacity في one + +218 +00:22:11,000 --> 00:22:11,420 +lens + +219 +00:22:22,320 --> 00:22:26,120 +بقى الولادة كل شيء بقى من ولادها أقوى والحمض لله + +220 +00:22:26,120 --> 00:22:33,460 +اللي يعرف عنه أقوى يبقى هذه أربع أسباب لـ Horizon + +221 +00:22:33,460 --> 00:22:39,260 +Pro في شيء بيقولك مختلفين خالص وفي شيء بيأخذنا من + +222 +00:22:39,260 --> 00:22:42,660 +الزواج وفي شيء بيمرض عينه وتنجحش زي عينك تانية + +223 +00:22:42,660 --> 00:22:48,500 +وعينك تانية خي الان احنا عادش بهمنا في Horizon Pro + +224 +00:22:48,500 --> 00:22:52,040 +بهمنا في شيء تقفزه Binoculars + +225 +00:22:59,180 --> 00:23:04,460 +هذه هي يعني خلنا نقول أن الجوهر + +226 +00:23:28,270 --> 00:23:32,390 +فانا سيرت ال fusion و هسير يا انا بشوف سورتين يا + +227 +00:23:32,390 --> 00:23:34,490 +انا بشوف اربعين واحدة يا انا بشوف اربعين مرة و + +228 +00:23:34,490 --> 00:23:39,910 +اربعين مرة لص و بنات يبقى الان انا بدني اشوف ال + +229 +00:23:39,910 --> 00:23:42,410 +energy بترجع و بتيش بتأثر على ال beneficiary + +230 +00:23:42,410 --> 00:23:46,510 +الجانب والله اذا كان + +231 +00:24:02,190 --> 00:24:08,950 +5% in others فرق + +232 +00:24:08,950 --> 00:24:17,030 +5% في الأطفال لأ أكتر شوية لعين 8% يبقى في ال + +233 +00:24:17,030 --> 00:24:27,330 +children 8% يقول يبقى فيه قاعدة ان every quarter + +234 +00:24:33,000 --> 00:24:42,780 +بعطي 0.5% difference في ال size of image يعني + +235 +00:24:42,780 --> 00:24:48,120 +كل واحد ده يكتر difference تعطي + +236 +00:24:48,120 --> 00:24:55,440 +كده إيش؟ two ده يكتر two percent difference in + +237 +00:24:55,440 --> 00:24:57,320 +size واحد إلى اتنين + +238 +00:25:00,930 --> 00:25:08,030 +يبقى الأطفال بيستورد 4 ديوتر فلين بينما الكبار + +239 +00:25:08,030 --> 00:25:16,750 +بيستورد 2.5 ديوتر بس يعني الطفل لو كان فيه عين + +240 +00:25:16,750 --> 00:25:26,730 +minus 2 وفيه عين plus 2 وعطيل full correction جهاز + +241 +00:25:26,730 --> 00:25:33,520 +الإفسار هنا بيستوردفارق أربعة درجة لكن الكبير لا + +242 +00:25:33,520 --> 00:25:39,880 +مابسوف بيشوف نفره بيه طب ليش؟ يا عم يا ال minus + +243 +00:25:39,880 --> 00:25:43,120 +بتعمل modification و ال plus بتعمل magnification + +244 +00:25:43,120 --> 00:25:52,160 +مفهش مش كان من الطارق ان انا متروح مش هزمك طيب + +245 +00:25:52,160 --> 00:25:54,320 +تقولي + +246 +00:25:58,030 --> 00:26:02,770 +الكامل إشي أكبر بصير dissociation of binoculars، + +247 +00:26:02,770 --> 00:26:06,630 +the image of one eye is always blurred by the + +248 +00:26:06,630 --> 00:26:10,830 +patient by superimposing the indistinct upon the + +249 +00:26:10,830 --> 00:26:15,230 +distinct image tries to combine the eye and obtain + +250 +00:26:15,230 --> 00:26:16,310 +stereoscopic + +251 +00:26:52,100 --> 00:26:56,760 +لكن الآن لما .. لما طبقناهم مع بعض الفرق اللي زيه + +252 +00:26:56,760 --> 00:27:01,140 +في المحيط زي الفرق في نقوة البصرية البسيطة + +253 +00:27:01,140 --> 00:27:04,920 +استوعابها تحتوط اتنين و نصف دا يبترد في الإكبار + +254 +00:27:04,920 --> 00:27:10,100 +استوعابها .. طيب حطيلي shake مع الفمسان كم سنة + +255 +00:27:10,100 --> 00:27:17,060 +اللي يمشي هنا؟ ما ده اجابك؟ هل الشكل مع الخمسة .. + +256 +00:27:17,060 --> 00:27:24,650 +اه الشكل مع الخمسة بطلع؟لطبوش لأ لأ فريق ايوة طيب + +257 +00:27:24,650 --> 00:27:29,050 +هنجرب الصورة هذه ايش الصورة هتكون انتبه الأحمر و + +258 +00:27:29,050 --> 00:27:34,510 +الفاتح small size difference between the image in + +259 +00:27:34,510 --> 00:27:42,030 +the two واحد و اتنين small difference ممكن تصير له + +260 +00:27:42,030 --> 00:27:47,630 +ايش few days بس بصعوبةيعني مش هيكون العيالي مرتاح + +261 +00:27:47,630 --> 00:27:53,930 +هيكون عشقي راضي لو فرح مدت ساعتين راح يصدق ويتقلق + +262 +00:27:53,930 --> 00:27:59,710 +ويغطش لكن يعني مرتاح شويه بعد مدت العيالي يتعكس + +263 +00:27:59,710 --> 00:28:09,250 +اسكال الفرق في البدود كانتش 2.5 ديوتر ان اما في + +264 +00:28:09,250 --> 00:28:11,590 +البدود 5 ديوتر او 4 ديوتر + +265 +00:28:16,510 --> 00:28:21,750 +الحالة التانية الشكل مع الخمسة ال possible of u + +266 +00:28:21,750 --> 00:28:26,630 +with + +267 +00:28:26,630 --> 00:28:31,950 +the higher grades of error اه بقول لي احتمال واحد + +268 +00:28:31,950 --> 00:28:38,810 +من التلاسينا الاحتمال اول alternating value يعني + +269 +00:28:38,810 --> 00:28:41,990 +مثلا العين هذه minus 3 + +270 +00:28:50,000 --> 00:28:56,260 +لأ طيب الان احكي المعنى مثلي الاحتمال الاول انه + +271 +00:28:56,260 --> 00:29:03,040 +mango alternation يعني توزيع ادوار توزيع ادوار كيف + +272 +00:29:03,040 --> 00:29:10,480 +انه العين اليامين لل near middle و العين الشمال لل + +273 +00:29:10,480 --> 00:29:18,670 +distant middle لما بشوف بعيد بشوفبالعين البلاستوف + +274 +00:29:18,670 --> 00:29:25,630 +لو تشوف قريب بيجرح تشوف بالميزة يعني + +275 +00:29:25,630 --> 00:29:29,970 +البلاستوف بتجرحش و المرأة سيطرية تشوفش بالعين ال + +276 +00:29:29,970 --> 00:29:36,770 +former for distance اللي هي هالي distance وال + +277 +00:29:36,770 --> 00:29:44,210 +later for mirror واضح بناتي؟ هذا اسم alternation + +278 +00:29:44,210 --> 00:29:46,150 +تبادل تبادل الأضواع + +279 +00:29:50,840 --> 00:29:57,020 +مش كبير بحيث انه ال fusion مابتمش بس مش كبير جدا + +280 +00:29:57,020 --> 00:30:05,140 +جدا فرق عشرة لأ اذا كان فرق كبير بصير عادي الاشي + +281 +00:30:05,140 --> 00:30:10,460 +التالت او الدور التاني انه العين اللي فيها high + +282 +00:30:10,460 --> 00:30:14,400 +anidropia او very high anidropia يصيرها exclusion + +283 +00:30:16,970 --> 00:30:23,030 +تستبعد all together رياليًا تطلع من البيت و تصير + +284 +00:30:23,030 --> 00:30:26,950 +أم اليوم و تصير الإنسان اللي اللي قريب و القريب + +285 +00:30:26,950 --> 00:30:34,190 +معتمد على ال less ametropine يعني مثلا واحد عنده + +286 +00:30:34,190 --> 00:30:45,390 +plus one و minus six أخد فلس أم اليوم تتقنصرو تفضل + +287 +00:30:45,390 --> 00:30:53,110 +ال plus one ل near زائد distance near زائد is زائد + +288 +00:30:53,110 --> 00:30:56,430 +distance واضح بنا دي بس لما يكون بيتم عليها بشكل + +289 +00:30:56,430 --> 00:31:00,970 +قديم بس بزيزه اه بزيزه هيقولك بزيزه هذه ال + +290 +00:31:00,970 --> 00:31:06,330 +amblyopia بتاعة ال disuse الترك اسم ال amblyopia + +291 +00:31:06,330 --> 00:31:14,240 +is an option الهجم is an option التركقال الله عز و + +292 +00:31:14,240 --> 00:31:23,420 +جل فلا تميلوا كل الميلي فتدروا فاك المعنى حرام هذه + +293 +00:31:23,420 --> 00:31:29,300 +سرميل العين الكويسة أخدت كل الدور بيبقى و التانية + +294 +00:31:29,300 --> 00:31:35,080 +ضاعة خاصة في الأطفال طب هذي ال amygdala + +295 +00:31:35,080 --> 00:31:40,780 +preventable condition ولا non preventable ممكن + +296 +00:31:40,780 --> 00:31:42,380 +استدراجها ولا لا؟ + +297 +00:31:45,680 --> 00:31:55,340 +يعني ممكن هالي انه يصير لها تضاعف ولا ضاعف ممكن + +298 +00:31:55,340 --> 00:32:03,520 +as early as possible بيقدر الأطفال كده كده هيبقى + +299 +00:32:03,520 --> 00:32:08,540 +as early as possible يبقى اذا كان احنا عملنا early + +300 +00:32:08,540 --> 00:32:14,040 +recognition او diagnosisعملنا exercises عملنا + +301 +00:32:14,040 --> 00:32:17,720 +optical correction أو closing of normal eye أو + +302 +00:32:17,720 --> 00:32:25,400 +صينة آي طيب لو طرفنا after 7 or 8 years طولي .. + +303 +00:32:25,400 --> 00:32:32,400 +خلاص .. خلاص يبقى preventable فى إشي ممكن تضعفه و + +304 +00:32:32,400 --> 00:32:37,180 +فى none preventable هاني preventableأشاركني أنا في + +305 +00:32:37,180 --> 00:32:39,620 +الحفظ تقريبا خلّيني اشتغلوا في رياض الأطفال اللي + +306 +00:32:39,620 --> 00:32:42,560 +بيشتغل يشتغل في الطفول المباكر مايجيليش بعد عشر + +307 +00:32:42,560 --> 00:32:44,940 +سنين في العدالية و ثلاث و ثلاث و ثلاث و ثلاث و + +308 +00:32:44,940 --> 00:32:46,020 +ثلاث و ثلاث و ثلاث و ثلاث و ثلاث و ثلاث و ثلاث و + +309 +00:32:46,020 --> 00:32:47,300 +ثلاث و ثلاث و ثلاث و ثلاث و ثلاث و ثلاث و ثلاث و + +310 +00:32:47,300 --> 00:32:52,540 +ثلاث و ثلاث و ثلاث و ثلاث و ثلاث و ثلاث و ثلاث و + +311 +00:32:52,540 --> 00:32:58,780 +ثلاث و ثلاث و ثلاث و ثلاث و + +312 +00:32:58,780 --> 00:33:02,260 +ثلاث و ث + +313 +00:33:12,290 --> 00:33:17,590 +اليمين بييجي عن مركز أنا ملاقيش بيجي على هنا طب + +314 +00:33:17,590 --> 00:33:22,910 +العين هذه حياتها الضوء احنا ايش اللي بيخلع عينينا + +315 +00:33:22,910 --> 00:33:26,530 +vital؟ اللي هو خشهروف ايش المعنى for stimulation؟ + +316 +00:33:26,530 --> 00:33:30,370 +للاكتفنات؟ للمركز بتاع ال .. الoccipital cortex؟ + +317 +00:33:30,370 --> 00:33:36,350 +هو الارض لو انا يا أمرت عيد بفل صغير عمره مثلا خمس + +318 +00:33:36,350 --> 00:33:43,450 +سنوات مدة اسبوع او ساعتهاإنتهى لأجل سبب في أهل + +319 +00:33:43,450 --> 00:33:48,870 +يعني بصير خالقة من ضرب على عينه يعني حاجة اشي كده + +320 +00:33:48,870 --> 00:33:53,450 +موديه و غط عينه يوم و غط عينه أسبوعين راح انتهى + +321 +00:33:53,450 --> 00:34:00,250 +المرشوفة بسرعة بعدها يعني بصورة meticulous جادة + +322 +00:34:00,250 --> 00:34:07,330 +جدا ضاعت طيب العين هال بصير surface + +323 +00:34:16,940 --> 00:34:23,660 +عشان يبقى اندليوبيا وهذا + +324 +00:34:23,660 --> 00:34:29,720 +كله بيصير لأن المخ قرر ان يتخلص منها يتخلص من هذه + +325 +00:34:29,720 --> 00:34:37,040 +العيلة الضعيفة عشان يبنع اندليوبيا بدونش يبقى + +326 +00:34:37,040 --> 00:34:40,920 +اندليوبيا فصار انه يطلعها شويه شويه شويه تماما لو + +327 +00:34:40,920 --> 00:34:42,860 +سيارة أطلانة في نص الطريق + +328 +00:34:45,380 --> 00:34:51,100 +بزوكها كام؟ و بخلف الرصيف دلوقتي؟ اي أطفال زي سبع + +329 +00:34:51,100 --> 00:34:55,440 +أطفال فبزوكها بجنبها بطا على الرصيف عشان يرتاح + +330 +00:34:55,440 --> 00:35:02,880 +دلوقتي لأ هو يقرا و يسوق سيارته من العين هذه يمارس + +331 +00:35:02,880 --> 00:35:07,160 +حتى في الصف أحسن ان تفضل هذه عملاله و بيستجروا + +332 +00:35:14,810 --> 00:35:19,290 +أنا هجيح حلقة جديد من الموضوع دلوقت عشان يعني + +333 +00:35:19,290 --> 00:35:23,290 +treatment of anemotropia حاجة ده يعني ان شاء الله + +334 +00:35:23,290 --> 00:35:24,830 +في المحاضرة سنة بالإنسان + diff --git a/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/S35SCPyTX7Q_raw.srt b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/S35SCPyTX7Q_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..2184458260dcdf241304f3bd5885505115ccdbcf --- /dev/null +++ b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/S35SCPyTX7Q_raw.srt @@ -0,0 +1,1336 @@ +1 +00:00:37,300 --> 00:00:41,140 +طيب نبدأ اليوم ان شاء الله هذه المحاضرة في course + +2 +00:00:41,140 --> 00:00:47,540 +operative optics يعني بعد العملية الجرافية في + +3 +00:00:47,540 --> 00:00:53,320 +العين اشهر ال optics اللي بتبقىخاصة بالكتركت + +4 +00:00:53,320 --> 00:00:59,380 +إكستركشن هي ال most common intraocular surgery is + +5 +00:00:59,380 --> 00:01:03,300 +cataract extraction and IV oil implantation ال + +6 +00:01:03,300 --> 00:01:08,420 +most common problem optical problem is astigmatism + +7 +00:01:08,420 --> 00:01:15,120 +طبعا لو كان أفكيا بس هيكون فيه high hypermetropia + +8 +00:01:15,120 --> 00:01:18,840 +عند astigmatism فكالس الأفكيا هيكون فيها + +9 +00:01:18,840 --> 00:01:23,870 +astigmatism وممكن مالايوبيا او برهيبراندروفيا + +10 +00:01:23,870 --> 00:01:28,790 +فاحنا نتكلم على سيرفكة الأفريقيا نتكلم عنها هيها + +11 +00:01:28,790 --> 00:01:34,530 +هيبراندروفيا و زي الاستيغماطيز فعندي two problems + +12 +00:01:34,530 --> 00:01:43,890 +بيعملوا visual disability يعني عاقة بصري طيب + +13 +00:01:43,890 --> 00:01:50,830 +لو عملنا للأفريقيا correction with glasseshigh + +14 +00:01:50,830 --> 00:01:53,310 +-hyperhidrogen high-flux plants + +15 +00:02:15,670 --> 00:02:21,250 +حتى عندما هو micro surgery يعني اللي هو اللي راحة + +16 +00:02:21,250 --> 00:02:24,370 +الميكروسكوبية بالميكروسكوب operating microscope + +17 +00:02:24,370 --> 00:02:29,010 +لازال الastigmatism مشكل مشكلة صح أنه في some + +18 +00:02:29,010 --> 00:02:33,950 +reduction of the problem بالتقنية الجديدة اللي هو + +19 +00:02:33,950 --> 00:02:37,990 +surgical اللي هو micro surgery لكن لازال + +20 +00:02:37,990 --> 00:02:44,860 +الastigmatism برضه أيضا مشكل عقبالعشان هي هم صاروا + +21 +00:02:44,860 --> 00:02:49,980 +يتبنوا pseudo-fake external يعني in the same + +22 +00:02:49,980 --> 00:02:53,860 +session بيعملوا extraction و بيعملوا intra upper + +23 +00:02:53,860 --> 00:02:57,980 +lens implantation عشان يدفعوا ال high-hyper + +24 +00:02:57,980 --> 00:03:04,840 +-microbial طيب الان السؤال ما هي العوامل التي تودي + +25 +00:03:04,840 --> 00:03:09,090 +إلى الastigmatism في عملية ال extractionماذا يعني + +26 +00:03:09,090 --> 00:03:14,470 +عوامل؟ علينا أن نعرفها لكي نتفادىها أول عامل لعرف + +27 +00:03:14,470 --> 00:03:20,890 +incidents القطع الكبير يعني أقل نعمله في .. كان في + +28 +00:03:20,890 --> 00:03:26,390 +ال limbus دلوقتي؟ أو في القرن؟ كلما كبر القطع + +29 +00:03:41,310 --> 00:03:44,470 +اللي هو coherent rather than limbal or sclerotic + +30 +00:03:44,470 --> 00:03:50,470 +يعني كل ما كان القطر في القرنية كل ما كان أكتر + +31 +00:03:50,470 --> 00:03:57,150 +أسلمت وكل ما كان أقرب إلى ال limbus أو كان scleral + +32 +00:03:57,150 --> 00:04:02,830 +من فوق كل ما كان أقرب يعني القطر في جسم القرنية أي + +33 +00:04:02,830 --> 00:04:08,290 +قطر في جسم القرنية مش يسلم مش يسلم، بيعمل high + +34 +00:04:08,290 --> 00:04:13,270 +continuity regularity واسلمتالسبب التالت قريبًا هو + +35 +00:04:13,270 --> 00:04:19,210 +وضع سيوترات طويلة و قوية الجراح يحاول عندما يعمل + +36 +00:04:19,210 --> 00:04:28,190 +الجريح أن يعمل سيوترات طويلة و قوية و أحيانًا + +37 +00:04:28,190 --> 00:04:29,570 +يعملها بجانب بعضها + +38 +00:04:49,250 --> 00:04:56,530 +الجرح التاني إذا عامل عكس فهي عامل ورزة وورزة + +39 +00:04:56,530 --> 00:04:59,190 +وورزة وورزة وورزة وورزة وورزة وورزة وورزة وورزة + +40 +00:04:59,190 --> 00:05:01,710 +وورزة وورزة وورزة وورزة وورزة وورزة وورزة وورزة + +41 +00:05:01,710 --> 00:05:06,560 +وورزةإيش ليك يعني؟ تسرع و قضة خطيرة ليه؟ فهو ولا + +42 +00:05:06,560 --> 00:05:13,760 +هذا صح ولا هذا صح ماهو الصح اللي بيننا؟ طيب كيف + +43 +00:05:13,760 --> 00:05:21,820 +أنا أتفادى هذه الأشياء؟ واحدة بدلا من انسجين نعمل + +44 +00:05:21,820 --> 00:05:29,740 +small insulin بدلا من يكون كوريا نعمل sclera + +45 +00:05:29,740 --> 00:05:37,560 +أه طيببدأ يكون ال .. الغرز tight و متعددة نعمل + +46 +00:05:37,560 --> 00:05:42,540 +single or future less يعني غرزة واحدة ده او بلاش + +47 +00:05:42,540 --> 00:05:48,780 +غرزة من sclera و كده بيعملوا كده بسيط و خلاص بدأوا + +48 +00:05:48,780 --> 00:05:53,800 +يعملوا ال decision هيك لأ هم بيجيبوا جهاز اسمه FAB + +49 +00:05:53,800 --> 00:05:58,340 +بيفكروا ال probe بيشبه ال book كرام الجدر ال proof + +50 +00:05:58,340 --> 00:05:59,380 +هي ده هيك + +51 +00:06:02,670 --> 00:06:12,950 +بيدخل من أبيض المنطقة الـ 2 mm الجردين وبيعمل + +52 +00:06:12,950 --> 00:06:18,490 +تفتيته بمعنى suction سهبو بعدين هم ليش بيعملوا + +53 +00:06:18,490 --> 00:06:23,350 +الجرحى الكبير؟ عشان يعملوا delivery for ذالك + +54 +00:06:23,350 --> 00:06:30,570 +الاسم، ايش delivery؟ توليد، تلعوة يعني، فهي عشان + +55 +00:06:30,570 --> 00:06:35,290 +يعني هيك بدأ أقل شيء واحد صنتي عشان تطلع من هنا + +56 +00:06:38,620 --> 00:06:42,760 +فالناس اللي فاكوا بيعملوا يعني fragmentation of + +57 +00:06:42,760 --> 00:06:46,880 +the nucleus inside the capsular sphincter + +58 +00:06:46,880 --> 00:06:52,620 +fragmentation تبسيد inside ده بقى ونفس اللي فاكوا + +59 +00:06:52,620 --> 00:06:56,740 +بيعملوا suction فالمش + +60 +00:06:56,740 --> 00:07:01,340 +عايزين جهة كبيرة cinema delivery جهة صغيرة بس عشان + +61 +00:07:01,340 --> 00:07:05,980 +البروبي يخش يخش بتاع الفرق used foldable or + +62 +00:07:05,980 --> 00:07:12,870 +injectable IOLيعني نفس ال lens تبقى ال lens ملنة + +63 +00:07:12,870 --> 00:07:17,930 +لإننا نزرعها بحيث نمسكها طرف على طرف و ندخلها ال + +64 +00:07:17,930 --> 00:07:22,250 +2mm شايفين كيف يعني؟ لما نضمها زي الورقة مثلا و + +65 +00:07:22,250 --> 00:07:26,190 +نضمها علي بعضها بتظهر كتير صح؟ holdable في نقطة + +66 +00:07:26,190 --> 00:07:32,250 +أخرى بس مش موجودة هنا injectable يعني ايه؟ بيكون + +67 +00:07:32,250 --> 00:07:40,680 +مادة لازجة داخل اللي هو ال wireساعة ما يسحب يكون + +68 +00:07:40,680 --> 00:07:47,080 +فيه حالة لازمة ساعة ما يضرقوا في اللي هو حطوا فيه + +69 +00:07:47,080 --> 00:07:54,040 +كمشة جدد بتشكل عدسة و بصير صلب صلبة طبعا هذا يعني + +70 +00:07:54,040 --> 00:07:57,580 +مش موجود هنا rejectable فحينها تشتغل ال foldable + +71 +00:07:57,580 --> 00:08:01,620 +foldable يعني اكسك من تانية لتانية هك مدورة هك + +72 +00:08:01,620 --> 00:08:06,600 +ودخلها من جدد هيبقى هاي أسباب الastigmatism في + +73 +00:08:06,600 --> 00:08:12,110 +العمليةتلاقى الـ Intraocular Surgery و هاي الأربع + +74 +00:08:12,110 --> 00:08:16,450 +اللي هو ال techniques عشان نتفادى أدت ال stigma + +75 +00:08:16,450 --> 00:08:20,990 +طيب + +76 +00:08:20,990 --> 00:08:27,230 +إذا كنا هذه المرة الماضية يعني اللي جراح ممكن أن + +77 +00:08:27,230 --> 00:08:33,250 +يعمل compromise استفادة هو انه جالس يعني ..ش اللي + +78 +00:08:33,250 --> 00:08:37,290 +بيصير بعد الأربعين في الناس العاديين breast biopsy + +79 +00:08:38,850 --> 00:08:43,830 +بتشي بيصير بالظبط كده لإن هو لا condition بيجيب و + +80 +00:08:43,830 --> 00:08:48,710 +بعد ال 40 42 43 تبدأ يعني ال difficulty في ال + +81 +00:08:48,710 --> 00:08:52,330 +relay فباستفادة من هذه الادارة طب احنا بنعمل كترة + +82 +00:08:52,330 --> 00:08:56,690 +ليش بنحط علاسة أقوى شوية بحيث نطلقه في ال fraction + +83 +00:08:56,690 --> 00:09:02,150 +بتاعه minus one يعني بدلاش احنا بنزرعه plus twenty + +84 +00:09:02,150 --> 00:09:05,170 +بنزرعه + +85 +00:09:05,170 --> 00:09:06,470 +plus twenty one + +86 +00:09:10,870 --> 00:09:16,030 +لو حطيناها بدل العدسة اللي فيها كتره هتعمل more + +87 +00:09:16,030 --> 00:09:19,250 +convergence يعني more convergence السيارة + +88 +00:09:19,250 --> 00:09:26,170 +مايواجهها مايواجهها طيب ال lips هذي plus high plus + +89 +00:09:26,170 --> 00:09:31,810 +هل ممكن ال lips هذي يتم ال magnification ال plus + +90 +00:09:31,810 --> 00:09:33,970 +يتم ال magnification و لا magnification + +91 +00:09:36,620 --> 00:09:40,040 +يبقى هو استفاد انه شوية myopia لانه حاسس ان myopia + +92 +00:09:40,040 --> 00:09:45,100 +بيجرى بدون نضارة ايه myopia؟ بيجرى بدون نضارة + +93 +00:09:45,100 --> 00:09:49,960 +فدوني اعمل شوية myopia و شوية magnification يعني + +94 +00:09:49,960 --> 00:09:54,600 +ممكن يقرأ بدون نضارة كويسة كتير طيب المعنى Swan + +95 +00:09:54,600 --> 00:09:58,540 +هذا اللي طالع بعد العملية هل ممكن يشوف ال distance + +96 +00:09:58,540 --> 00:10:04,010 +كويس؟ distance betweenسوق سيارة مثلا بال minus one + +97 +00:10:04,010 --> 00:10:09,230 +بسوق سيارة يبقى هو واضح انه انا لما طلعه من عملية + +98 +00:10:09,230 --> 00:10:14,430 +ال cataract mile-mile انه بنفعلك distance قلبيه + +99 +00:10:14,430 --> 00:10:18,790 +يبقى انا صرت عملت refractive surgery يعني حولت + +100 +00:10:18,790 --> 00:10:22,370 +عملية ال pseudo-phakia pseudo-phakic surgery اللي + +101 +00:10:22,370 --> 00:10:26,390 +عملت refractive surgery مش فقط ان انا شلتله ال + +102 +00:10:26,390 --> 00:10:32,220 +cataract لأ شلتله ال cataractو اعملت له new + +103 +00:10:32,220 --> 00:10:38,880 +refraction تغيرتك صار كمبرميز تشوف البيت و تغيره + +104 +00:10:38,880 --> 00:10:42,600 +تاني واحد يقول ده فما هو ال minus one برضه مش مية + +105 +00:10:42,600 --> 00:10:46,480 +المية اللي بقيت و لا مية المية اللي بقيت بقوله صح + +106 +00:10:46,480 --> 00:10:50,120 +ال minus one مش مية المية اللي بقيت و لا مية المية + +107 +00:10:50,120 --> 00:10:54,800 +اللي بقيت لكن من الأفضل اخليه بالكتركت احسن انت + +108 +00:10:54,800 --> 00:11:02,070 +الكتركت احسن ؟ طب اخليه افككأحسن؟ ايوة أحسن حاجة + +109 +00:11:02,070 --> 00:11:06,650 +متوفر؟ حاجة ايوة المثالية المغضبة مش مش ملومة + +110 +00:11:06,650 --> 00:11:10,990 +مافيش حاجة ميادية انا لما قرأ الواحد minus واحد + +111 +00:11:10,990 --> 00:11:16,490 +سوق سيارة و يدرع بنسبة سبعين تلمية تمانين تلمية + +112 +00:11:16,490 --> 00:11:21,110 +خمسة تلمية كويس مايكونش احسن طماع يعني 200% 100% + +113 +00:11:21,110 --> 00:11:26,110 +يعني واحد ألوز يروح يخلي شباب شو كده الست يا شباب + +114 +00:11:26,110 --> 00:11:29,450 +اقول راياني اه من حاجة رايحة اما نخليك شباب + +115 +00:11:36,190 --> 00:11:40,870 +يعني بعد العملية تبقى مستخدم و مستخدم تبقى مستخدم + +116 +00:11:40,870 --> 00:11:48,330 +و مستخدم طبعا نتكلم بسرعة زمان كان لما يعمل extra + +117 +00:11:48,330 --> 00:11:53,170 +capsula يعني صح فتحناه لو احنا في كوريا + +118 +00:12:03,230 --> 00:12:06,230 +يأخذ شهرين او تلاتة لما يصير stability او + +119 +00:12:06,230 --> 00:12:09,210 +refraction كل اربع سبيعي او تلاتة سبيعي مروا ان + +120 +00:12:09,210 --> 00:12:12,710 +انا مابي refraction يقولوا اه اتحسن بس لسه اتحسن + +121 +00:12:12,710 --> 00:12:17,690 +بس لسه طبقتين يقولوا لما اتفيد من الورس لما اتفيد + +122 +00:12:17,690 --> 00:12:23,030 +من الورس ال corner بتاع ما دي ليس ترتاح طبعا ايه + +123 +00:12:23,030 --> 00:12:30,280 +اللي صار فاك وصار انه اخرج و يدخل من وينلو بتحسن + +124 +00:12:30,280 --> 00:12:35,520 +وقت، يعني ممكن خلال أسبوعين أنه .. فلو كان العيار + +125 +00:12:35,520 --> 00:12:38,340 +عامل extra capsule work، بدي أعمله follow-up في ال + +126 +00:12:38,340 --> 00:12:41,860 +reflection، كل أسبوعين أو تلاتة، أعمله reflection، + +127 +00:12:41,860 --> 00:12:45,280 +أعمله reflection، أعمله reflection، لما ينضي وقت + +128 +00:12:45,280 --> 00:12:48,960 +يصير في stable reflection، بعدين بعمله classes، لو + +129 +00:12:48,960 --> 00:12:52,390 +كان فيه defect معين، بعمله classesإنما مش طريقة + +130 +00:12:52,390 --> 00:12:55,370 +علمانية بعد تلاتي أيام أعمله classes لسه يعني .. + +131 +00:12:55,370 --> 00:13:00,190 +هالطريقة علمانية بياخد علاج بياخد أفطرات كورتازون + +132 +00:13:00,190 --> 00:13:06,270 +و antibiotic لسه و الكورنيا يعني صعبها ما صعبها من + +133 +00:13:06,270 --> 00:13:11,770 +ال .. من اللي هو surgical technique دخلت ملابس + +134 +00:13:11,770 --> 00:13:13,050 +منجسار فيني و في دوها + +135 +00:13:17,430 --> 00:13:20,690 +و Stability of Refraction طبعا هذا بيعتمد على Size + +136 +00:13:20,690 --> 00:13:26,570 +of Incision كلما كان ال Size of Incision كبير كلما + +137 +00:13:26,570 --> 00:13:33,610 +المضطر أو ال Healing كان Slow يبقى + +138 +00:13:33,610 --> 00:13:38,830 +كلمة Section بقوا جالسة Large Section Methods The + +139 +00:13:38,830 --> 00:13:45,290 +Refraction May Alter Until Six Weeks Possible ست + +140 +00:13:45,290 --> 00:13:50,800 +سابقينيبقى في delay until the day فيه spectacle + +141 +00:13:50,800 --> 00:13:57,060 +prescription لو ليش prescription خلاص ايه ال + +142 +00:13:57,060 --> 00:14:00,900 +spectacle خلاص اقول لك انا والله مش فاضي و بدي + +143 +00:14:00,900 --> 00:14:04,260 +اطلع على الأسوق و اعمل و ورايا عمل و هذا ملي و + +144 +00:14:04,260 --> 00:14:10,940 +بعدين بغير عمهدي اه و مش هبنيجي اكل مطعم بناعك + +145 +00:14:10,940 --> 00:14:13,260 +اللي بفعلها لأن في واحد بيقول انا مقدرش يا عم ايه + +146 +00:14:13,260 --> 00:14:17,970 +اتحركثلاثة و أربع أيام الأمنية و بده ينش مانو صايم + +147 +00:14:17,970 --> 00:14:24,650 +و هو ينتهي لما العلاج ينتهي يعني هو علي كل ثلاثة + +148 +00:14:24,650 --> 00:14:27,350 +أو أربع أسامية و أنا بتعمل و refresh و لما ال + +149 +00:14:27,350 --> 00:14:31,350 +refresh مستقل بعمله description يعني هو عمل يكون + +150 +00:14:31,350 --> 00:14:37,770 +انتهى انتهى وضعه لذا لازم يبقى نعمل follow up طيب + +151 +00:14:37,770 --> 00:14:44,130 +المشكلة التالتة كنت أنا أحيانا + +152 +00:15:21,830 --> 00:15:25,190 +طبعا الطرق التاريخية بطلوا منها بطلوا يعملوا غراز + +153 +00:15:25,190 --> 00:15:30,250 +زيادة وانتقلوا غراز بديل لان الكورنيا انا باسفلة + +154 +00:15:30,250 --> 00:15:35,450 +انا باسفلة organ عايزة وقت حتى تعمل هيه لو فكت وجه + +155 +00:15:35,450 --> 00:15:42,390 +ممكن لاكو سي فلاك يتخصص كل بشري لبركة الصح اذا كان + +156 +00:15:42,390 --> 00:15:47,460 +فيه استigmatism عالي فيما بعد اعملوا ليزيكبس ال + +157 +00:15:47,460 --> 00:15:52,480 +Lasik هان مانعملش بقى مانعملش إلا بعد ال good + +158 +00:15:52,480 --> 00:15:59,780 +healing يعني أي جراح في الجنة بجعله شويه تلاتة لو + +159 +00:15:59,780 --> 00:16:05,420 +صابوا و ضربوا احنا بيفهم صح؟ فنفس هيك الكوريا طيب + +160 +00:16:05,420 --> 00:16:09,320 +كوريا مفتوحة و معمل فيها عملية جراحية أنا أسنة + +161 +00:16:09,320 --> 00:16:13,580 +أبقى أربع أشهر عمل فيها Lasik لأ ولا بعد سنة ولا + +162 +00:16:13,580 --> 00:16:19,010 +بعد سنةطيب الآن هندخل في موضوع جديد اسمه + +163 +00:16:19,010 --> 00:16:25,710 +انازوميتروبيا انازوميتروبيا مختلفة كلمة ISO او انا + +164 +00:16:25,710 --> 00:16:34,670 +معاهم ISO يعني وافقة للمقاييس العالمي ال ISO + +165 +00:16:34,670 --> 00:16:39,950 +موافقة للمقاييس العالمي الانازوم مختلف في العين + +166 +00:16:39,950 --> 00:16:45,320 +الانازوميتروبيا معناه في unequalityand the + +167 +00:16:45,320 --> 00:16:51,540 +refractive power in both eyes unequal إيش ال + +168 +00:16:51,540 --> 00:16:54,960 +unequality ممكن تكون in different paradigms + +169 +00:16:54,960 --> 00:17:02,840 +امترابية وامترابية لو امترابية وهاي امترابية ممكن + +170 +00:17:02,840 --> 00:17:07,620 +تكون هيبرمترابية وميوبية ممكن تكون لو ميوبية وهاي + +171 +00:17:07,620 --> 00:17:12,180 +ميوبية ممكن امترابية او أستجماتيزي مشكلةالمهم في + +172 +00:17:12,180 --> 00:17:15,480 +الآخر ان هذا ال project هو عبارة عن مختلفة و بيحتل + +173 +00:17:15,480 --> 00:17:24,840 +ال vision مختلفة vision مختلفة طيب ما هي أسباب ال + +174 +00:17:24,840 --> 00:17:32,180 +anisotropia caused لسه أول سبب كونجيريتال ايش + +175 +00:17:32,180 --> 00:17:43,580 +كونجيريتال خلاص خلاص هو كليعني مية المية ISO يكاد + +176 +00:17:43,580 --> 00:17:51,640 +يكون معاكم مية المية ISO كمان كمان انه ال symmetry + +177 +00:17:51,640 --> 00:17:57,640 +of both sides of the face is very right يعني لو + +178 +00:17:57,640 --> 00:18:01,660 +نحن طلعنا في نص الوش اليمين و نص الوش الشمال إلا + +179 +00:18:01,660 --> 00:18:06,210 +ليه some differenceفي كل جزء الجزء اللي .. إلا + +180 +00:18:06,210 --> 00:18:11,530 +نلاقي some difference على الانف الفولد هذه الشعر + +181 +00:18:11,530 --> 00:18:17,210 +اللي هنا ممكن جدا نلاقي بعض الفولد هنا الجبهة هنا + +182 +00:18:17,210 --> 00:18:21,830 +إلا نلاقي شوية difference وقول بين الانتين ان فكرة + +183 +00:18:21,830 --> 00:18:28,250 +طارتك مش مية ميقل لو غشر ده يبطل بس هذا في سويسيا + +184 +00:18:38,390 --> 00:18:44,710 +أقل شي واحد يعني انا زائد واحد و انا مثلا زائد + +185 +00:18:44,710 --> 00:18:51,070 +اتنين اه لأ هالي نداشت نمشيها انه physiology لأ + +186 +00:18:51,070 --> 00:18:56,370 +هالي مش physiology طيب كمان سبب تاني unequal race + +187 +00:18:56,370 --> 00:19:05,470 +of workيعني طفل صغير هو 3 سنوات هذا زي 2 وهذا زي 2 + +188 +00:19:05,470 --> 00:19:15,430 +هو نفس الطفل بعد سنتين هذه فترة زي 2 وهذا زي 1 + +189 +00:19:15,430 --> 00:19:23,550 +كمان سنتين هذه فترة زي 2 وهذا زي 0 بعد سنتين هذه + +190 +00:19:23,550 --> 00:19:34,610 +فترة زي 1.5هل ينقص واحد؟ هزمه هل ينقص واحد؟ و هكذا + +191 +00:19:34,610 --> 00:19:40,750 +مين اللي تموم أسرع؟ العين الشمال، left eye في نمو + +192 +00:19:40,750 --> 00:19:49,230 +في عين أسرع من العين لهذا محيط ليش إن في عين تخضر + +193 +00:19:49,230 --> 00:19:55,370 +للهوامل تنمو في ال diameters أكبر من إنتو ال + +194 +00:19:55,370 --> 00:19:59,550 +practice part بتاعة تبتدي اكتر من التانية تستغرب + +195 +00:19:59,550 --> 00:20:07,750 +اللحظة في الآخر يجيكي ان هذه إمتراب اليمين وانا + +196 +00:20:07,750 --> 00:20:12,830 +أخذ ستة يا ساتر ايش ناخد ناخد ستة over growth + +197 +00:20:12,830 --> 00:20:17,210 +ومحدش + +198 +00:20:17,210 --> 00:20:23,070 +مننا عرفتش وانا كده اللي مفهمتش طيب + +199 +00:20:23,710 --> 00:20:31,690 +في سبب تالي Surgery في سبب Trauma ايه سبب من ال + +200 +00:20:31,690 --> 00:20:36,750 +Surgery و Trauma فاسألكوا Surgery و Trauma ضربة + +201 +00:20:36,750 --> 00:20:41,090 +يعني صعبة ضربة + +202 +00:20:41,090 --> 00:20:46,170 +ال Surgery ده كل مشروع تعمل Surgery و Trauma ايه + +203 +00:20:46,170 --> 00:20:49,230 +الفرق بين واحد اللي جرى يعمله هيك عشان يطلعله + +204 +00:20:52,980 --> 00:21:01,720 +و هو ماشي تجيبك حليضة أو ضربة فتحكي و كده ال + +205 +00:21:01,720 --> 00:21:10,740 +surgery intended مخطف ده مقصودة ال trauma are non + +206 +00:21:10,740 --> 00:21:16,240 +intended او not intended مش مخطف يعني جاية + +207 +00:21:16,240 --> 00:21:21,280 +accident يقول ايش accident حاجة عربيالكثير من احنا + +208 +00:21:21,280 --> 00:21:25,140 +في المطبخ الواحد نكشر حاجبنا معايا بتتبس اللي هو + +209 +00:21:25,140 --> 00:21:27,440 +الروحانة اللي حاولها منيه و بيصرفها هذي accident + +210 +00:21:27,440 --> 00:21:33,640 +لكن الجراح لأ هو زينها وين بنعمل جريح و كان غرزة و + +211 +00:21:33,640 --> 00:21:39,700 +ينظفها و يطهرها و يدرسها خلطة لكن هناك مافيش خلطة + +212 +00:21:39,700 --> 00:21:42,600 +فالعيب ممكن انه نعمل فيها surgery حسب الخطة + +213 +00:21:49,400 --> 00:21:51,640 +زي الـ Cervical Aphasia مثلا، الـ Aphasia ممكن + +214 +00:21:51,640 --> 00:21:54,800 +تكون Surgical أو تكون Traumatic، واحد طلب واحد Box + +215 +00:21:54,800 --> 00:21:57,580 +على وجهه، واحد جهنم على جهنم، هذه مش سيئة، + +216 +00:21:57,580 --> 00:22:03,480 +accident طيب، في I-Diseases، I-Diseases، زي + +217 +00:22:03,480 --> 00:22:11,000 +الكيروتاكونس و الكيروتايدس، اه و opacity في one + +218 +00:22:11,000 --> 00:22:11,420 +lens + +219 +00:22:22,320 --> 00:22:26,120 +بقى الولادة كل شيء بقى من ولادها أقوى والحمض لله + +220 +00:22:26,120 --> 00:22:33,460 +اللي يعرف عنه أقوى يبقى هذه أربع أسباب لـ Horizon + +221 +00:22:33,460 --> 00:22:39,260 +Pro في شيء بيقولك مختلفين خالص وفي شيء بيأخذنا من + +222 +00:22:39,260 --> 00:22:42,660 +الزواج وفي شيء بيمرض عينه وتنجحش زي عينك تانية + +223 +00:22:42,660 --> 00:22:48,500 +وعينك تانية خي الان احنا عادش بهمنا في Horizon Pro + +224 +00:22:48,500 --> 00:22:52,040 +بهمنا في شيء تقفزه Binoculars + +225 +00:22:59,180 --> 00:23:04,460 +هذه هي يعني خلنا نقول أن الجوهر + +226 +00:23:28,270 --> 00:23:32,390 +فانا سيرت ال fusion و هسير يا انا بشوف سورتين يا + +227 +00:23:32,390 --> 00:23:34,490 +انا بشوف اربعين واحدة يا انا بشوف اربعين مرة و + +228 +00:23:34,490 --> 00:23:39,910 +اربعين مرة لص و بنات يبقى الان انا بدني اشوف ال + +229 +00:23:39,910 --> 00:23:42,410 +energy بترجع و بتيش بتأثر على ال beneficiary + +230 +00:23:42,410 --> 00:23:46,510 +الجانب والله اذا كان + +231 +00:24:02,190 --> 00:24:08,950 +5% in others فرق + +232 +00:24:08,950 --> 00:24:17,030 +5% في الأطفال لأ أكتر شوية لعين 8% يبقى في ال + +233 +00:24:17,030 --> 00:24:27,330 +children 8% يقول يبقى فيه قاعدة ان every quarter + +234 +00:24:33,000 --> 00:24:42,780 +بعطي 0.5% difference في ال size of image يعني + +235 +00:24:42,780 --> 00:24:48,120 +كل واحد ده يكتر difference تعطي + +236 +00:24:48,120 --> 00:24:55,440 +كده إيش؟ two ده يكتر two percent difference in + +237 +00:24:55,440 --> 00:24:57,320 +size واحد إلى اتنين + +238 +00:25:00,930 --> 00:25:08,030 +يبقى الأطفال بيستورد 4 ديوتر فلين بينما الكبار + +239 +00:25:08,030 --> 00:25:16,750 +بيستورد 2.5 ديوتر بس يعني الطفل لو كان فيه عين + +240 +00:25:16,750 --> 00:25:26,730 +minus 2 وفيه عين plus 2 وعطيل full correction جهاز + +241 +00:25:26,730 --> 00:25:33,520 +الإفسار هنا بيستوردفارق أربعة درجة لكن الكبير لا + +242 +00:25:33,520 --> 00:25:39,880 +مابسوف بيشوف نفره بيه طب ليش؟ يا عم يا ال minus + +243 +00:25:39,880 --> 00:25:43,120 +بتعمل modification و ال plus بتعمل magnification + +244 +00:25:43,120 --> 00:25:52,160 +مفهش مش كان من الطارق ان انا متروح مش هزمك طيب + +245 +00:25:52,160 --> 00:25:54,320 +تقولي + +246 +00:25:58,030 --> 00:26:02,770 +الكامل إشي أكبر بصير dissociation of binoculars، + +247 +00:26:02,770 --> 00:26:06,630 +the image of one eye is always blurred by the + +248 +00:26:06,630 --> 00:26:10,830 +patient by superimposing the indistinct upon the + +249 +00:26:10,830 --> 00:26:15,230 +distinct image tries to combine the eye and obtain + +250 +00:26:15,230 --> 00:26:16,310 +stereoscopic + +251 +00:26:52,100 --> 00:26:56,760 +لكن الآن لما .. لما طبقناهم مع بعض الفرق اللي زيه + +252 +00:26:56,760 --> 00:27:01,140 +في المحيط زي الفرق في نقوة البصرية البسيطة + +253 +00:27:01,140 --> 00:27:04,920 +استوعابها تحتوط اتنين و نصف دا يبترد في الإكبار + +254 +00:27:04,920 --> 00:27:10,100 +استوعابها .. طيب حطيلي shake مع الفمسان كم سنة + +255 +00:27:10,100 --> 00:27:17,060 +اللي يمشي هنا؟ ما ده اجابك؟ هل الشكل مع الخمسة .. + +256 +00:27:17,060 --> 00:27:24,650 +اه الشكل مع الخمسة بطلع؟لطبوش لأ لأ فريق ايوة طيب + +257 +00:27:24,650 --> 00:27:29,050 +هنجرب الصورة هذه ايش الصورة هتكون انتبه الأحمر و + +258 +00:27:29,050 --> 00:27:34,510 +الفاتح small size difference between the image in + +259 +00:27:34,510 --> 00:27:42,030 +the two واحد و اتنين small difference ممكن تصير له + +260 +00:27:42,030 --> 00:27:47,630 +ايش few days بس بصعوبةيعني مش هيكون العيالي مرتاح + +261 +00:27:47,630 --> 00:27:53,930 +هيكون عشقي راضي لو فرح مدت ساعتين راح يصدق ويتقلق + +262 +00:27:53,930 --> 00:27:59,710 +ويغطش لكن يعني مرتاح شويه بعد مدت العيالي يتعكس + +263 +00:27:59,710 --> 00:28:09,250 +اسكال الفرق في البدود كانتش 2.5 ديوتر ان اما في + +264 +00:28:09,250 --> 00:28:11,590 +البدود 5 ديوتر او 4 ديوتر + +265 +00:28:16,510 --> 00:28:21,750 +الحالة التانية الشكل مع الخمسة ال possible of u + +266 +00:28:21,750 --> 00:28:26,630 +with + +267 +00:28:26,630 --> 00:28:31,950 +the higher grades of error اه بقول لي احتمال واحد + +268 +00:28:31,950 --> 00:28:38,810 +من التلاسينا الاحتمال اول alternating value يعني + +269 +00:28:38,810 --> 00:28:41,990 +مثلا العين هذه minus 3 + +270 +00:28:50,000 --> 00:28:56,260 +لأ طيب الان احكي المعنى مثلي الاحتمال الاول انه + +271 +00:28:56,260 --> 00:29:03,040 +mango alternation يعني توزيع ادوار توزيع ادوار كيف + +272 +00:29:03,040 --> 00:29:10,480 +انه العين اليامين لل near middle و العين الشمال لل + +273 +00:29:10,480 --> 00:29:18,670 +distant middle لما بشوف بعيد بشوفبالعين البلاستوف + +274 +00:29:18,670 --> 00:29:25,630 +لو تشوف قريب بيجرح تشوف بالميزة يعني + +275 +00:29:25,630 --> 00:29:29,970 +البلاستوف بتجرحش و المرأة سيطرية تشوفش بالعين ال + +276 +00:29:29,970 --> 00:29:36,770 +former for distance اللي هي هالي distance وال + +277 +00:29:36,770 --> 00:29:44,210 +later for mirror واضح بناتي؟ هذا اسم alternation + +278 +00:29:44,210 --> 00:29:46,150 +تبادل تبادل الأضواع + +279 +00:29:50,840 --> 00:29:57,020 +مش كبير بحيث انه ال fusion مابتمش بس مش كبير جدا + +280 +00:29:57,020 --> 00:30:05,140 +جدا فرق عشرة لأ اذا كان فرق كبير بصير عادي الاشي + +281 +00:30:05,140 --> 00:30:10,460 +التالت او الدور التاني انه العين اللي فيها high + +282 +00:30:10,460 --> 00:30:14,400 +anidropia او very high anidropia يصيرها exclusion + +283 +00:30:16,970 --> 00:30:23,030 +تستبعد all together رياليًا تطلع من البيت و تصير + +284 +00:30:23,030 --> 00:30:26,950 +أم اليوم و تصير الإنسان اللي اللي قريب و القريب + +285 +00:30:26,950 --> 00:30:34,190 +معتمد على ال less ametropine يعني مثلا واحد عنده + +286 +00:30:34,190 --> 00:30:45,390 +plus one و minus six أخد فلس أم اليوم تتقنصرو تفضل + +287 +00:30:45,390 --> 00:30:53,110 +ال plus one ل near زائد distance near زائد is زائد + +288 +00:30:53,110 --> 00:30:56,430 +distance واضح بنا دي بس لما يكون بيتم عليها بشكل + +289 +00:30:56,430 --> 00:31:00,970 +قديم بس بزيزه اه بزيزه هيقولك بزيزه هذه ال + +290 +00:31:00,970 --> 00:31:06,330 +amblyopia بتاعة ال disuse الترك اسم ال amblyopia + +291 +00:31:06,330 --> 00:31:14,240 +is an option الهجم is an option التركقال الله عز و + +292 +00:31:14,240 --> 00:31:23,420 +جل فلا تميلوا كل الميلي فتدروا فاك المعنى حرام هذه + +293 +00:31:23,420 --> 00:31:29,300 +سرميل العين الكويسة أخدت كل الدور بيبقى و التانية + +294 +00:31:29,300 --> 00:31:35,080 +ضاعة خاصة في الأطفال طب هذي ال amygdala + +295 +00:31:35,080 --> 00:31:40,780 +preventable condition ولا non preventable ممكن + +296 +00:31:40,780 --> 00:31:42,380 +استدراجها ولا لا؟ + +297 +00:31:45,680 --> 00:31:55,340 +يعني ممكن هالي انه يصير لها تضاعف ولا ضاعف ممكن + +298 +00:31:55,340 --> 00:32:03,520 +as early as possible بيقدر الأطفال كده كده هيبقى + +299 +00:32:03,520 --> 00:32:08,540 +as early as possible يبقى اذا كان احنا عملنا early + +300 +00:32:08,540 --> 00:32:14,040 +recognition او diagnosisعملنا exercises عملنا + +301 +00:32:14,040 --> 00:32:17,720 +optical correction أو closing of normal eye أو + +302 +00:32:17,720 --> 00:32:25,400 +صينة آي طيب لو طرفنا after 7 or 8 years طولي .. + +303 +00:32:25,400 --> 00:32:32,400 +خلاص .. خلاص يبقى preventable فى إشي ممكن تضعفه و + +304 +00:32:32,400 --> 00:32:37,180 +فى none preventable هاني preventableأشاركني أنا في + +305 +00:32:37,180 --> 00:32:39,620 +الحفظ تقريبا خلّيني اشتغلوا في رياض الأطفال اللي + +306 +00:32:39,620 --> 00:32:42,560 +بيشتغل يشتغل في الطفول المباكر مايجيليش بعد عشر + +307 +00:32:42,560 --> 00:32:44,940 +سنين في العدالية و ثلاث و ثلاث و ثلاث و ثلاث و + +308 +00:32:44,940 --> 00:32:46,020 +ثلاث و ثلاث و ثلاث و ثلاث و ثلاث و ثلاث و ثلاث و + +309 +00:32:46,020 --> 00:32:47,300 +ثلاث و ثلاث و ثلاث و ثلاث و ثلاث و ثلاث و ثلاث و + +310 +00:32:47,300 --> 00:32:52,540 +ثلاث و ثلاث و ثلاث و ثلاث و ثلاث و ثلاث و ثلاث و + +311 +00:32:52,540 --> 00:32:58,780 +ثلاث و ثلاث و ثلاث و ثلاث و + +312 +00:32:58,780 --> 00:33:02,260 +ثلاث و ث + +313 +00:33:12,290 --> 00:33:17,590 +اليمين بييجي عن مركز أنا ملاقيش بيجي على هنا طب + +314 +00:33:17,590 --> 00:33:22,910 +العين هذه حياتها الضوء احنا ايش اللي بيخلع عينينا + +315 +00:33:22,910 --> 00:33:26,530 +vital؟ اللي هو خشهروف ايش المعنى for stimulation؟ + +316 +00:33:26,530 --> 00:33:30,370 +للاكتفنات؟ للمركز بتاع ال .. الoccipital cortex؟ + +317 +00:33:30,370 --> 00:33:36,350 +هو الارض لو انا يا أمرت عيد بفل صغير عمره مثلا خمس + +318 +00:33:36,350 --> 00:33:43,450 +سنوات مدة اسبوع او ساعتهاإنتهى لأجل سبب في أهل + +319 +00:33:43,450 --> 00:33:48,870 +يعني بصير خالقة من ضرب على عينه يعني حاجة اشي كده + +320 +00:33:48,870 --> 00:33:53,450 +موديه و غط عينه يوم و غط عينه أسبوعين راح انتهى + +321 +00:33:53,450 --> 00:34:00,250 +المرشوفة بسرعة بعدها يعني بصورة meticulous جادة + +322 +00:34:00,250 --> 00:34:07,330 +جدا ضاعت طيب العين هال بصير surface + +323 +00:34:16,940 --> 00:34:23,660 +عشان يبقى اندليوبيا وهذا + +324 +00:34:23,660 --> 00:34:29,720 +كله بيصير لأن المخ قرر ان يتخلص منها يتخلص من هذه + +325 +00:34:29,720 --> 00:34:37,040 +العيلة الضعيفة عشان يبنع اندليوبيا بدونش يبقى + +326 +00:34:37,040 --> 00:34:40,920 +اندليوبيا فصار انه يطلعها شويه شويه شويه تماما لو + +327 +00:34:40,920 --> 00:34:42,860 +سيارة أطلانة في نص الطريق + +328 +00:34:45,380 --> 00:34:51,100 +بزوكها كام؟ و بخلف الرصيف دلوقتي؟ اي أطفال زي سبع + +329 +00:34:51,100 --> 00:34:55,440 +أطفال فبزوكها بجنبها بطا على الرصيف عشان يرتاح + +330 +00:34:55,440 --> 00:35:02,880 +دلوقتي لأ هو يقرا و يسوق سيارته من العين هذه يمارس + +331 +00:35:02,880 --> 00:35:07,160 +حتى في الصف أحسن ان تفضل هذه عملاله و بيستجروا + +332 +00:35:14,810 --> 00:35:19,290 +أنا هجيح حلقة جديد من الموضوع دلوقت عشان يعني + +333 +00:35:19,290 --> 00:35:23,290 +treatment of anemotropia حاجة ده يعني ان شاء الله + +334 +00:35:23,290 --> 00:35:24,830 +في المحاضرة سنة بالإنسان + diff --git a/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/SVEp-Mubs0M_postprocess.srt b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/SVEp-Mubs0M_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..a62f81e52b76c595a7dac66afb8025d467dc15b5 --- /dev/null +++ b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/SVEp-Mubs0M_postprocess.srt @@ -0,0 +1,2956 @@ +1 +00:00:20,890 --> 00:00:24,830 +أعود بالعين بسم الله الرحمن الرحيم الحمد لله رب + +2 +00:00:24,830 --> 00:00:28,910 +العالمين وأصلي وأسلم على النبي الأمين محمد وعلى + +3 +00:00:28,910 --> 00:00:31,370 +آله وأصحابه والتابعين السلام عليكم ورحمة الله + +4 +00:00:31,370 --> 00:00:38,090 +وبركاته سنكمل treatment of regular astigmatism لأن + +5 +00:00:38,090 --> 00:00:41,670 +انا احنا بنعمل treatment ل regular astigmatism as + +6 +00:00:41,670 --> 00:00:45,920 +you know the first treatment wasglasses the second + +7 +00:00:45,920 --> 00:00:49,620 +contact lenses .. contact lenses of different + +8 +00:00:49,620 --> 00:00:55,740 +types .. different types in many cases the optical + +9 +00:00:55,740 --> 00:01:00,140 +treatment using glasses or contact lenses is + +10 +00:01:00,140 --> 00:01:05,140 +unsatisfactory .. unsatisfactory thus the surgical + +11 +00:01:05,140 --> 00:01:09,600 +treatment is efficient and effective in such cases + +12 +00:01:13,220 --> 00:01:18,580 +in many cases the cause of astigmatism is surgery + +13 +00:01:18,580 --> 00:01:26,040 +أساسا كان جاي من surgery زي cataract extraction أو + +14 +00:01:26,040 --> 00:01:31,080 +corneal transplantation surgery يعني هاي الشكل + +15 +00:01:31,080 --> 00:01:35,780 +هذا، هاي مثلا corneal sutures after teratoplasty، + +16 +00:01:35,780 --> 00:01:42,320 +نقل قرنية، كام suture، كام غرزة؟ عدنا من 16 قسم، + +17 +00:01:42,320 --> 00:01:51,510 +16هل after this operation انه هيكون سطح القرانية + +18 +00:01:51,510 --> 00:01:55,490 +منتظم ولا غير منتظم؟ غير منتظم، هيكون irregular + +19 +00:01:55,490 --> 00:01:59,370 +نفس الشيء عن ال cataract، هاي after cataract + +20 +00:01:59,370 --> 00:02:02,830 +extraction، هاي الغرز هنا في ال upper limb بس، هاي + +21 +00:02:02,830 --> 00:02:06,650 +واحد، اتنين، تلاتة، اربع، خمس، ستة، هل انه هيكون + +22 +00:02:06,650 --> 00:02:11,750 +هنا في أستيغماطيزم ولا .. انه أستيغماطيزم؟ + +23 +00:02:11,750 --> 00:02:16,190 +أستيغماطيزم طبعا هيكون في أستيغماطيزمالان في مثل + +24 +00:02:16,190 --> 00:02:25,530 +هذه الحالات يعني ثبت انه removal of some sutures + +25 +00:02:25,530 --> 00:02:36,710 +may improve the astigmatism كيف يعني؟ لما يكون + +26 +00:02:36,710 --> 00:02:42,070 +القرنية فيها 16 غرزة هيك وعملنا reflection لجينا + +27 +00:02:42,070 --> 00:02:48,480 +فيه high astigmatismبيقولوا إنه لو فكّينا مثلا ال + +28 +00:02:48,480 --> 00:02:53,120 +.. بعض الغرز اللي هي في الاتجاه الأقوى أو في ال + +29 +00:02:53,120 --> 00:02:55,640 +meridian الأقوى، يعني ال meridian اللي فيه شد + +30 +00:02:55,640 --> 00:03:00,660 +أكتر، مثلا ال meridian الرأسي هنا أقوى، لو كسرنا + +31 +00:03:00,660 --> 00:03:06,100 +هذه و كسرنا هذه الغرزة، بيبدأ يصير نوع من ال + +32 +00:03:06,100 --> 00:03:11,080 +release أو relaxation of the tension على + +33 +00:03:11,080 --> 00:03:11,680 +الكونانسينات + +34 +00:03:14,480 --> 00:03:18,420 +في حياتي ال cataract جالو نفس الاشي مثلا ال + +35 +00:03:18,420 --> 00:03:22,260 +meridian هذا قوي كتير لما نشيل غرزة هذي بالذات + +36 +00:03:22,260 --> 00:03:26,320 +بتريح + +37 +00:03:26,320 --> 00:03:30,900 +شوية ال astigmatism بيجل مش بتختفي بيجل عشانك في + +38 +00:03:30,900 --> 00:03:35,480 +حالات كتيرة خاصة في حياتي ال keratoplasty بصير + +39 +00:03:35,480 --> 00:03:41,580 +كلام على انه فكر ورز خلال سنة او خلال تمام شهور + +40 +00:03:43,650 --> 00:03:47,250 +العيار مش شافي كويس و بيغير نضارة و نضارة بيقوله + +41 +00:03:47,250 --> 00:03:51,330 +بعد بتفكر غرز بتحسن أما في بعض الناس مثلا بعد ست + +42 +00:03:51,330 --> 00:03:54,990 +شهور بيبدأ يفكر غرز هنا، غرز هنا، غرز هنا، حسب وين + +43 +00:03:54,990 --> 00:04:00,590 +ما في أستجماتيزم، يعني بحيث يفكر غرز و يخلي غرز، + +44 +00:04:00,590 --> 00:04:04,330 +لأ في بعض الناس كان نظرته أصعب شوية، انه مثلا إذا + +45 +00:04:04,330 --> 00:04:11,010 +كان هذا أقوى، انه لأ أنا أعمل غرز جديدة عمودي + +46 +00:04:11,010 --> 00:04:18,760 +عليه، مثلا هناعشان اوازن ال .. اللي هو الشد ال + +47 +00:04:18,760 --> 00:04:24,300 +tension هذا، اني انا اوازن، فسواء اني انا اعملت + +48 +00:04:24,300 --> 00:04:30,580 +release ب removal او اعملت extra C والشر عمودي + +49 +00:04:30,580 --> 00:04:32,940 +عليه، هذه كانت الطريقة الخديمة + +50 +00:04:36,490 --> 00:04:43,010 +ويعني بيخلي العيان to wait for time to remove such + +51 +00:04:43,010 --> 00:04:48,890 +sutures to improve the degree of astigmatism هذا + +52 +00:04:48,890 --> 00:04:52,970 +جمهور من الجراحة طبعا + +53 +00:04:52,970 --> 00:04:59,280 +في جراحة تانية اللي هو XMR Laserالـ XMR Laser ثبت + +54 +00:04:59,280 --> 00:05:06,060 +إنه فيه ممكن يكون عنده خاصية إنه to act on some + +55 +00:05:06,060 --> 00:05:11,440 +meridians more than others في السطح القناني اللي + +56 +00:05:11,440 --> 00:05:16,420 +هو يعني ياخد من meridian thickness أكتر من + +57 +00:05:16,420 --> 00:05:21,560 +meridian تاني العمودي عليه وبالتالي هو يعني + +58 +00:05:21,560 --> 00:05:26,870 +selective surgery إيش selective surgery؟انتقائية + +59 +00:05:26,870 --> 00:05:34,430 +اختيارية يعني هي القرنية مثلا هيك في Meridian هنا + +60 +00:05:34,430 --> 00:05:41,950 +القوة بتاعته مثلا ستين أسف + +61 +00:05:41,950 --> 00:05:49,390 +يعني ممكن تكون مثلا هنا أقول أربعين لأنه كوريا + +62 +00:05:49,390 --> 00:05:57,780 +اللي هنا مثلا أربع و أربعين forty-four ديوبترالان + +63 +00:05:57,780 --> 00:06:03,520 +ثبت الآن في الـ XMR Laser الحديث انه ممكن يشتغل + +64 +00:06:03,520 --> 00:06:07,700 +على الـ 44 أكتر من مش راح يشتغل على ال 40 بحيث انه + +65 +00:06:07,700 --> 00:06:15,200 +يعمل نوع من ال balance او ال equality او ال + +66 +00:06:15,200 --> 00:06:23,560 +equality فسواء اعمل PRK بال XMR Laser او LASIK + +67 +00:06:23,560 --> 00:06:28,140 +insight في و كيراته من ال uses LASIKيعني ممكن ان + +68 +00:06:28,140 --> 00:06:35,060 +هو يسوي الastigmatism في حدود معينة في حدود three + +69 +00:06:35,060 --> 00:06:41,240 +to four diopters يعني بيدي مريض عنده high + +70 +00:06:41,240 --> 00:06:47,820 +astigmatism six .. seven diopters وبيطلب ان ال X + +71 +00:06:47,820 --> 00:06:52,460 +-ray laser انه يصلحله اللي هو full correction of + +72 +00:06:52,460 --> 00:06:57,550 +astigmatism بيقوله sorryحتى الآن الاكتشاف لسه الله + +73 +00:06:57,550 --> 00:07:01,250 +أعلم من ال future بشو صير انه في حدود three to + +74 +00:07:01,250 --> 00:07:09,490 +four diopters correction of astigmatism الآن + +75 +00:07:09,490 --> 00:07:15,210 +زي ما قلنا انه حديثا لان الجراحة في القرنية لما + +76 +00:07:15,210 --> 00:07:20,230 +تكون corneal اي جراحة في القرنية زي مثلا ال cut + +77 +00:07:20,230 --> 00:07:24,530 +-rect extraction زي ما شفته هنا بالغرز هذهإلا يعمل + +78 +00:07:24,530 --> 00:07:30,290 +Astigmatism فهم يعني من عشرين سنة أو أكتر شوية + +79 +00:07:30,290 --> 00:07:35,690 +بدأوا يعتمدوا على ال tunnel approach of + +80 +00:07:35,690 --> 00:07:39,370 +التيروتشيمبر شايفين يعني هو بيجي في sclera .. + +81 +00:07:39,370 --> 00:07:46,090 +sclera بيفتح اللي هو في sclera فتحة وبينزل اه + +82 +00:07:46,090 --> 00:07:50,090 +بالcannula بتاعته أو ال probe بتاع الجراحة من + +83 +00:07:50,090 --> 00:07:56,950 +scleraوبيعمل bypassing للكونيا بصيبش الكونيا يعني + +84 +00:07:56,950 --> 00:08:00,990 +بيعمل sclera من فوق بيعمل tunnel نفق half + +85 +00:08:00,990 --> 00:08:05,210 +thickness scleral incision جوه جوه جوه جوه هيك + +86 +00:08:05,210 --> 00:08:10,790 +وبينزل في ال AC بدون ما يسيب الكونيا وبالتالي هو + +87 +00:08:10,790 --> 00:08:14,870 +مش مضطر انه يعمل astigmatism لأنه مش هيعمل اي نوع + +88 +00:08:14,870 --> 00:08:19,590 +من غرز sutures في الكونيا في the corner واضح؟ + +89 +00:08:21,980 --> 00:08:27,560 +طبعا هذه طريقة تحسينية لأنه كان في الزمن إلا يعمل + +90 +00:08:27,560 --> 00:08:31,280 +غرز في ال core يعني في ال cataract extraction إلا + +91 +00:08:31,280 --> 00:08:35,680 +يعمل غرز والغرز هذي كل غرزة لإن هو الجراح مافيش + +92 +00:08:35,680 --> 00:08:42,900 +فيه يعني ميزان أو ريتنوسكوب يجيس يعني وقلتلكوا أنا + +93 +00:08:42,900 --> 00:08:46,720 +يعني الغرزة هو بيأمنها تلت أربع مرات ال ligation + +94 +00:08:46,720 --> 00:08:52,250 +بتاعها في ال rabbitفكل ما ربط أكتر كل ما جاب + +95 +00:08:52,250 --> 00:08:59,130 +أستجماتيزم أكتر وهو بيعمل نقمن ال safe أو ال + +96 +00:08:59,130 --> 00:09:03,290 +safety لل students وباقى الشغل على ال optometrist + +97 +00:09:05,280 --> 00:09:12,120 +ما بخسوش هو بده يعمل strong safe sutures عشان + +98 +00:09:12,120 --> 00:09:16,720 +ماتعملش أي leak من ال anterior chamber ل ال + +99 +00:09:16,720 --> 00:09:20,080 +aqueous هو هي اللي يعني ايه؟ انه بده يأمل ورزه + +100 +00:09:20,080 --> 00:09:24,700 +بتاعته أما إيش عملت astigmatism؟ إيش عملت + +101 +00:09:24,700 --> 00:09:30,360 +irregularity؟ هذا دور مين؟ ال optometrist وعشان + +102 +00:09:30,360 --> 00:09:35,500 +هيك أنتوا أقولكوا شغل كتير الحمد لله، خير كتيرأكتر + +103 +00:09:35,500 --> 00:09:38,700 +عملية في العيون في العالم internationally بتنعمل + +104 +00:09:38,700 --> 00:09:41,740 +الكاتراكت + +105 +00:09:41,740 --> 00:09:45,140 +كاتراكت + +106 +00:09:45,140 --> 00:09:48,660 +بتاع ال senility مش هيقولها لأ لأ في كاتراكت pre + +107 +00:09:48,660 --> 00:09:52,100 +-senile في كاتراكت في الشباب ال traumatic في + +108 +00:09:52,100 --> 00:09:56,380 +كاتراكت congenital و في كاتراكت developmental أي + +109 +00:09:56,380 --> 00:10:02,490 +اعتماد على العدسة اي اعتمادطالما في شغل في ال + +110 +00:10:02,490 --> 00:10:05,510 +surgery في شغل في ال optometry هدول هي companions + +111 +00:10:05,510 --> 00:10:10,510 +يعني شغالين معاهم طيب يبقى هم صاروا بيعملوا حاجة + +112 +00:10:10,510 --> 00:10:16,350 +اسمها scleral tunnel approach with the use of FACO + +113 +00:10:16,350 --> 00:10:23,890 +FACO probe يعني فوق صوتية بيكسر العدسة و بيعملها + +114 +00:10:23,890 --> 00:10:28,920 +suctionmachine for cataract surgery proved to + +115 +00:10:28,920 --> 00:10:32,600 +produce less hydrogenic astigmatism يعني + +116 +00:10:32,600 --> 00:10:35,320 +الastigmatism ينتج عن الجراحة بيكون قليل نسبيا + +117 +00:10:35,320 --> 00:10:42,500 +ممكن مايكونش فيه أي نوع من الastigmatism اتكلم + +118 +00:10:42,500 --> 00:10:48,880 +على يعني هذه جراحة نقدر نقول عنها وقائية + +119 +00:10:48,880 --> 00:10:54,560 +prophylactic surgery ان احنا نعمل بطريقةلأ to see + +120 +00:10:54,560 --> 00:11:04,400 +إيه القانونية و curvature of القانونية طيب + +121 +00:11:04,400 --> 00:11:07,240 +الآن فيه band مهم اسمه irregular astigmatism احنا + +122 +00:11:07,240 --> 00:11:12,300 +كل اللي فات كان regular ال irregular عنده two + +123 +00:11:12,300 --> 00:11:16,780 +difficulties in diagnosis و difficulty تاني in + +124 +00:11:16,780 --> 00:11:23,090 +treatment يعني regular astigmatismسواء كان simple + +125 +00:11:23,090 --> 00:11:28,170 +astigmatism ، compound astigmatism هذا سهل لكن + +126 +00:11:28,170 --> 00:11:33,650 +المشكلة في ال irregular ال irregular بيقول + +127 +00:11:33,650 --> 00:11:41,650 +لي انه في irregularity in whole meridians on the + +128 +00:11:41,650 --> 00:11:43,550 +surface of the corner كل ال meridians فيها + +129 +00:11:43,550 --> 00:11:48,050 +irregularity احنا + +130 +00:11:48,050 --> 00:11:57,440 +حقيقة كل هيتنافي أن refractive astigmatism + +131 +00:11:57,440 --> 00:12:04,080 +يعني إن ده lens زي ما قولنا يعني ال .. ال lens + +132 +00:12:04,080 --> 00:12:08,780 +فيها nucleus و ال nucleus هذه فيها أكتر من واحد + +133 +00:12:08,780 --> 00:12:11,880 +وأربعة من عشرة refractive index في حين إنه ال + +134 +00:12:11,880 --> 00:12:20,020 +cortex بس one point three four مثلافحوالي ستة من + +135 +00:12:20,020 --> 00:12:28,900 +مية فرق بين اللي هو ال nucleus وبين ال cortex هذا + +136 +00:12:28,900 --> 00:12:33,820 +بيقولونه physiological astigmatism وهذا بيعملش + +137 +00:12:33,820 --> 00:12:42,550 +يعني astigmatism يعني of effectof يعني high value + +138 +00:12:42,550 --> 00:12:46,150 +يعني احنا عايشين زي ما قلنا قبل ذلك فيه + +139 +00:12:46,150 --> 00:12:50,510 +astigmatism with the rule كل هيتنا بنعاني منه + +140 +00:12:50,510 --> 00:12:53,570 +نتيجة pressure of the upper eyelid on the + +141 +00:12:53,570 --> 00:13:01,790 +kunasipisمعايشين تمام ماحاسين فيهفي حدود 0.25 to 0 + +142 +00:13:01,790 --> 00:13:08,870 +.5 ديوبتر كلنا يعني عايشين في عالم و كذلك الناس في + +143 +00:13:08,870 --> 00:13:15,870 +refractive astigmatism index astigmatism فيسيولوجي + +144 +00:13:15,870 --> 00:13:19,250 +ماقلت أنا pathology ماقلت في diabetes mellitus + +145 +00:13:19,250 --> 00:13:22,690 +مثلا او قلت في اي مرض systemic تاني لأ انا بتكلم + +146 +00:13:22,690 --> 00:13:29,360 +عليش فيسيولوجي لكن وين المتعب بتيجيتيجي في الـ + +147 +00:13:29,360 --> 00:13:33,320 +incipient cataract the + +148 +00:13:33,320 --> 00:13:36,100 +symptoms are caused indeed in this condition the + +149 +00:13:36,100 --> 00:13:40,660 +distortion may be so great as to produce polyopia + +150 +00:13:40,660 --> 00:13:48,480 +يعني الآن هاي الناس و بدأت عملية ال cataract حتى + +151 +00:13:48,480 --> 00:13:56,470 +cataract و هنا cataractو هنا كتركت و هنا كتركت و + +152 +00:13:56,470 --> 00:14:03,610 +هنا كتركت و هنا كتركت و هنا كتركت و هنا كتركت و + +153 +00:14:03,610 --> 00:14:07,270 +هنا كتركت و هنا كتركت و هنا كتركت و هنا كتركت و + +154 +00:14:07,270 --> 00:14:07,510 +هنا كتركت و هنا كتركت و هنا كتركت و هنا كتركت و + +155 +00:14:07,510 --> 00:14:09,590 +هنا كتركت و هنا كتركت و هنا كتركت و هنا كتركت و + +156 +00:14:09,590 --> 00:14:16,490 +هنا كتركت و هنا كتركت و هنا كتركت و هنا كتركت و + +157 +00:14:16,490 --> 00:14:19,090 +هنا كتركت و هنا كتركت و هنا كتركت و هنا كتركت و + +158 +00:14:19,090 --> 00:14:24,760 +هنا كتركت و هنا كتركتوكل ما الـ iris كان dilated + +159 +00:14:24,760 --> 00:14:31,040 +كل ما كانت فيه mini refractions فيه refraction + +160 +00:14:31,040 --> 00:14:35,040 +بيكون سليم وrefraction نصف وrefraction absorb + +161 +00:14:35,040 --> 00:14:41,820 +light في العتامة بتاعة ال lens فلا + +162 +00:14:41,820 --> 00:14:45,460 +شك يعني انه اللي بدي معاكى تركت و بتقدم شوية شوية + +163 +00:14:45,460 --> 00:14:52,670 +انه يعني بصير multi-fossaimultifocal refraction + +164 +00:14:52,670 --> 00:14:56,570 +يعني مش الـrefraction بيجي على مركز شبكية في focus + +165 +00:14:56,570 --> 00:14:59,650 +واحدة point focus لا لا لا في إشي بيكون قدام، إشي + +166 +00:14:59,650 --> 00:15:03,130 +ورا، إشي كسر، إشي absorbed فهذه اللي بيقول عنه + +167 +00:15:03,130 --> 00:15:10,770 +polyopia polyopia mixed errors بتاعة الكتركتر لكن + +168 +00:15:10,770 --> 00:15:16,130 +على الأمم هذا نوع من ال irregular stigma هل هذا + +169 +00:15:16,130 --> 00:15:21,630 +بتصلح؟لأ هو جاي على زيادة بس ال cataract لو بدأ + +170 +00:15:21,630 --> 00:15:25,910 +خاصة في ال old age هو جاي على زيادة جاي كمان زيد و + +171 +00:15:25,910 --> 00:15:29,870 +زيد و زيد كمان إلى أنه يصير mature cataract with + +172 +00:15:29,870 --> 00:15:33,650 +loss .. complete loss of vision of visual equity + +173 +00:15:33,650 --> 00:15:37,110 +يبقى + +174 +00:15:37,110 --> 00:15:41,050 +هي أول سبب لأن ال Ergonomic astigmatism lenticular + +175 +00:15:41,050 --> 00:15:44,110 +لنس خاصة ال cataract يقول ال cataract ممكن يكون + +176 +00:15:44,110 --> 00:15:46,730 +senile + +177 +00:15:48,120 --> 00:15:53,260 +ممكن يكون congenital، ممكن يكون traumatic، ممكن + +178 +00:15:53,260 --> 00:15:58,720 +يكون complicated، نتيجة عن مرض، complicated زي + +179 +00:15:58,720 --> 00:16:01,320 +مثلا diabetes mellitus، بيجي yearly، diabetes + +180 +00:16:01,320 --> 00:16:06,080 +mellitus بيعمل yearly cataract نسبيةو في ناس بيجي + +181 +00:16:06,080 --> 00:16:12,220 +developmental نواتج وراثية يعني من عشرين بيبدأ + +182 +00:16:12,220 --> 00:16:14,960 +وبعدين في التلاتين بيكون صار mature لسه عمره + +183 +00:16:14,960 --> 00:16:18,060 +تلاتين سنة شباب صار معاه بيقول هذا developmental + +184 +00:16:18,060 --> 00:16:23,400 +خلاص الجين بتاعه حامل كترة ال mark degree of + +185 +00:16:23,400 --> 00:16:27,400 +regular astigmatism is commonly found لسبب + +186 +00:16:27,400 --> 00:16:32,140 +pathology in the colon و بعدين احنا يعني خلينا + +187 +00:16:32,140 --> 00:16:39,190 +صريحينيعني ال lens في موضوع ال astigmatism حالتها + +188 +00:16:39,190 --> 00:16:46,770 +قليل لأنه refractive power بتاعتها نسبيا 17-18 + +189 +00:16:46,770 --> 00:16:53,730 +ديوبترز لكن ال cornea أي خلل في ال cornea ال power + +190 +00:16:53,730 --> 00:16:59,050 +بتاعتها أكتر من 42 أكتر من 42 فأي خلل في السطح + +191 +00:16:59,050 --> 00:17:03,530 +القناني بيعمل يعني market astigmatism + +192 +00:17:06,130 --> 00:17:10,890 +مثلا احنا بتكلم على ال corneal pathology فيه + +193 +00:17:10,890 --> 00:17:15,810 +corneal inflammation ايش inflammation؟ keratitis + +194 +00:17:15,810 --> 00:17:22,890 +فيه corneal trauma اه ال corneal trauma بصيانة + +195 +00:17:22,890 --> 00:17:27,210 +healing يعني واحد مثلا هاي القرنية صاب و قطع و + +196 +00:17:27,210 --> 00:17:31,510 +أخده غرزة فيها غرزة طبعا مع الأيام هتصير healed + +197 +00:17:31,510 --> 00:17:35,910 +healed ب scar لأنه ال biomass من ال brainما + +198 +00:17:35,910 --> 00:17:39,870 +بتجددش؟ بتجددش، بيعمل scar، هذا scar .. طب إذا + +199 +00:17:39,870 --> 00:17:46,070 +كانه central، ال visual axis بيمر .. مابقدرش يمر + +200 +00:17:46,070 --> 00:17:49,630 +.. ال .. ال .. ال light مابقدرش يمر و بالتالي + +201 +00:17:49,630 --> 00:17:53,470 +هيعمل .. يعني market deterioration of it .. market + +202 +00:17:53,470 --> 00:17:57,220 +deterioration of itلكن if كانوا peripheral كل مكان + +203 +00:17:57,220 --> 00:18:01,060 +أبعد على .. عن ال center كل مكان أقل تأثيرا فيه + +204 +00:18:01,060 --> 00:18:05,920 +astigmatism ده شك لأنه تحد بالقانونية حتى في ال + +205 +00:18:05,920 --> 00:18:10,460 +periphery لو صارله أي مشكلة في scar هيعمل + +206 +00:18:10,460 --> 00:18:14,520 +astigmatism لكن مش هيعمل vision رغم وجود + +207 +00:18:14,520 --> 00:18:18,360 +الastigmatism لكن لو كان central عمله opacity ب + +208 +00:18:18,360 --> 00:18:22,920 +scar هنا ممكن يعمل إيش very market يعني و لو يشوف + +209 +00:18:22,920 --> 00:18:24,840 +واحدة ع ستين مشكلة + +210 +00:18:26,830 --> 00:18:30,470 +يبقى القنانية شوفنا كيف فيها scar أو healing of + +211 +00:18:30,470 --> 00:18:33,630 +trauma وشوفنا فيها ال inflammation وشوفنا فيها + +212 +00:18:33,630 --> 00:18:36,990 +corner ulceration ايش ulceration؟ تقرر .. تقرر في + +213 +00:18:36,990 --> 00:18:40,630 +القنانية طبعا تقرر في القنانية ان وجع العلاج + +214 +00:18:40,630 --> 00:18:44,850 +effective حسيله healing بس healing بإيش؟ ب scar زي + +215 +00:18:44,850 --> 00:18:49,230 +الصورة هذه شايف؟ high corner ulcer high corner + +216 +00:18:49,230 --> 00:18:51,350 +ulcer صار له healing كيف؟ + +217 +00:18:53,460 --> 00:18:58,220 +مشكلة كبيرة يعني احنا صاحب نفرح ان قرحة القرنية + +218 +00:18:58,220 --> 00:19:03,960 +صارها healing لكن ما بعد ال healing فيه scars .. + +219 +00:19:03,960 --> 00:19:08,980 +فيه scars اذا كان ال scar central لازم القرنية هذه + +220 +00:19:08,980 --> 00:19:14,900 +تنشال او ترتقع تترقع لازم نروحها و هنتكلم مع + +221 +00:19:14,900 --> 00:19:20,360 +الرقعة منفعش يفضل scar اذا كانوا central انه موجود + +222 +00:19:23,780 --> 00:19:30,080 +يبقى الكونيا هي مصدر الخطر أكتر شيء حقيقة في + +223 +00:19:30,080 --> 00:19:37,700 +الكونيا كمان في pathology هتكلم عنه في ما يسمى بال + +224 +00:19:37,700 --> 00:19:44,940 +keratokonas keratokonas حقيقة هذا مرض not uncommon + +225 +00:19:44,940 --> 00:19:50,100 +condition شائع إلى حد ما في مجتمعنا في مجتمعات + +226 +00:19:50,100 --> 00:19:56,740 +كثيرةأغرب حاجة فيه يعني هاي الكون يا مثلا الكون يا + +227 +00:19:56,740 --> 00:20:04,200 +normal انه بيصير كون تحت ال center شايفين؟ مش + +228 +00:20:04,200 --> 00:20:08,880 +central هنا لأ تحت ال center وهي مناقشة .. يعني + +229 +00:20:08,880 --> 00:20:13,600 +السبب بتاع ال irregular astigmatism ال catacombs + +230 +00:20:13,600 --> 00:20:20,420 +بيعمل irregular astigmatism لأن الكون أ أ below + +231 +00:20:20,420 --> 00:20:22,020 +the center تحت ال center + +232 +00:20:25,280 --> 00:20:30,220 +يبقى الكون يعني bulged forwards يعني تتمدد إلى + +233 +00:20:30,220 --> 00:20:36,740 +الأمام into the shape of a كون في شكل مخرج ..شكل + +234 +00:20:36,740 --> 00:20:41,700 +مخرج the apex being slightly below the center طبعا + +235 +00:20:41,700 --> 00:20:47,600 +هذا حينتهج عنه irregular myopic astigmatism + +236 +00:20:47,600 --> 00:20:53,200 +irregular myopic astigmatism أي حاجة كده تكونش + +237 +00:20:55,380 --> 00:20:58,480 +الشيء العجيب أن هذا المرض Progressive يعني + +238 +00:20:58,480 --> 00:21:03,260 +Progressive nature يعني انا شوف المرضى و ربنا + +239 +00:21:03,260 --> 00:21:08,980 +هيالي اني اتبعه يعني اول ما بدأ ست يعني و امرها + +240 +00:21:08,980 --> 00:21:19,860 +اشرين سنة مثلا اجت بنص طيوبتر Astigmatism طبعا .. + +241 +00:21:19,860 --> 00:21:27,960 +ايه لأ .. هذي ..وصلحناها إلى نص نص بعد سنة إجت + +242 +00:21:27,960 --> 00:21:41,860 +واحد و نص DC بعد سنة إجت Nanorobot DC غابت سنتين + +243 +00:21:41,860 --> 00:21:50,100 +إجت أربعة four DC الفرق + +244 +00:21:50,100 --> 00:21:53,060 +بين نص و أربعة تمان أضعاف + +245 +00:21:57,260 --> 00:22:01,680 +يعني لما كانت هنا مثلا خمسة و عشرين سنة، ستة و + +246 +00:22:01,680 --> 00:22:09,900 +عشرين سنة، سبعة و عشرين سنة، سنة و تلاتين سنة واضح + +247 +00:22:09,900 --> 00:22:18,520 +أنه في progressive increase in the astigmatism و + +248 +00:22:18,520 --> 00:22:23,700 +في الأيلاد هنشوف احنا كيف نتصرف يعنيبفي promising + +249 +00:22:23,700 --> 00:22:26,120 +nature of the disease so that the optical + +250 +00:22:26,120 --> 00:22:29,980 +conditions tend constantly to change حتى لما قلت + +251 +00:22:29,980 --> 00:22:38,160 +له نضارة اليوم بعد تلت شهور هاجيه يقولك في new + +252 +00:22:38,160 --> 00:22:44,360 +decrease of visual ability تعملوا كمان نضارة بعد + +253 +00:22:44,360 --> 00:22:49,480 +ست شهور معاك اه في new or more decrease و + +254 +00:22:49,480 --> 00:22:55,600 +deterioration of visionالانسان الجاهد بيقول انه + +255 +00:22:55,600 --> 00:23:01,320 +هاد هيك طبيعي، انه هذا الإنسان يعني عينه بتتطلب + +256 +00:23:01,320 --> 00:23:05,520 +نظارة جديدة، عدسات جديدة، عدسات جديدة، إذا كان + +257 +00:23:05,520 --> 00:23:09,960 +الهدف تجاري بيعملنا عن التشخيصإذا كان أدب تجاري + +258 +00:23:09,960 --> 00:23:14,220 +بيمينة عن التشخيص لازم التشخيص يكون واضح إن احنا + +259 +00:23:14,220 --> 00:23:19,520 +متعامل مع حالة غير ثابتة وحالة تتقدم باستمرار + +260 +00:23:19,520 --> 00:23:25,880 +وحالة تؤثر على مجمل function of the eye Diagnosis + +261 +00:23:25,880 --> 00:23:30,080 +of irregular astigmatism must be done with corneal + +262 +00:23:30,080 --> 00:23:30,880 +topography + +263 +00:23:33,360 --> 00:23:38,860 +سطح العين conia topography that reveals سأكشف a + +264 +00:23:38,860 --> 00:23:42,620 +red circle in the lower half of the affected conia + +265 +00:23:42,620 --> 00:23:50,700 +يبقى هنلاقي احنا في الأول ال conia هنلاقي دائرة + +266 +00:23:50,700 --> 00:23:55,120 +صغيرة ولها أحمر بعد + +267 +00:23:55,120 --> 00:24:03,040 +سنة هنلاقي هذه كبرت بعد سنة كبرت كمانبعد سنين هنجي + +268 +00:24:03,040 --> 00:24:10,040 +أحتلت كل النصف الصوفي من القرارات على طول شفنا + +269 +00:24:10,040 --> 00:24:14,600 +الدائرة بتكبر كل شوية إذا إحنا في حالة keratocosis + +270 +00:24:14,940 --> 00:24:21,240 +و هذا ينسجم تماما مع ال power of astigmatism كل ما + +271 +00:24:21,240 --> 00:24:27,840 +ال circle في النصف السفلي القرنية increase in size + +272 +00:24:27,840 --> 00:24:34,980 +كل ما اللي هو ال power of astigmatism هذا ال + +273 +00:24:34,980 --> 00:24:43,200 +diagnosis تشخيص تشخيص بدون corner topography هو + +274 +00:24:43,200 --> 00:24:44,040 +ضيع للوقت + +275 +00:24:47,230 --> 00:24:51,270 +يعني لا يكفي انه الإنسان في حالات في الكيراتو كونس + +276 +00:24:51,270 --> 00:24:56,470 +بتتشخص صحيح يعني بال experience و بال sit lamp و + +277 +00:24:56,470 --> 00:25:02,890 +.. و .. و بعض ال science الأخرى لكن بيجي الكورنة + +278 +00:25:02,890 --> 00:25:08,550 +ال topography can detect early keratoconus early + +279 +00:25:08,550 --> 00:25:14,280 +keratoconusلذلك لو أول مرة كان أسطيجماتيزم و يجي + +280 +00:25:14,280 --> 00:25:20,360 +بعد هيك ست شهور أو سنة زايد أحاوله على كونه تبقى و + +281 +00:25:20,360 --> 00:25:24,440 +هنجيب ان شاء الله نجيب صور و نوريكم كيف اللي هو + +282 +00:25:24,440 --> 00:25:34,200 +بيزيد كيف بيزيد اللي هو الكيراتوكونس بالتدريج طيب + +283 +00:25:34,200 --> 00:25:40,740 +الآن بدنا نعالج احنا شخصنا بدنا نعالج هو هقوللي + +284 +00:25:42,220 --> 00:25:49,300 +أشاسا الهندسة اللي قايم عليها القرنية في أبعادها + +285 +00:25:49,300 --> 00:25:56,400 +وغير موجودة هنا طالما + +286 +00:25:56,400 --> 00:26:03,260 +صار irregular astigmatism من scar أو + +287 +00:26:03,260 --> 00:26:11,100 +من keratokonas وفي أمراض أخرىزي keratoglobus او او + +288 +00:26:11,100 --> 00:26:16,920 +او الـ geometrical figure او design او the cornea + +289 +00:26:16,920 --> 00:26:23,460 +ا is no more regular مافيش شي دلوقتي وبالتالي + +290 +00:26:23,460 --> 00:26:26,740 +العلاج + +291 +00:26:26,740 --> 00:26:34,200 +بالجلوس و بالkotak lenses هيكون difficult حتى + +292 +00:26:34,200 --> 00:26:41,990 +التشخيص باستخدام ال retinascopeهو difficult و + +293 +00:26:41,990 --> 00:26:47,430 +scissor shadow اللي خدتوه عنده scissor shadow ايضا + +294 +00:26:47,430 --> 00:26:57,470 +عملية مرهقة و trial and error method هي يعني عملية + +295 +00:26:57,470 --> 00:27:03,590 +معقولة يعني التجريب والخطأ يعني انا حاطله مثلا + +296 +00:27:03,590 --> 00:27:14,080 +minus cylinderو ألف في أكتر من محور في سبيل أنه + +297 +00:27:14,080 --> 00:27:20,780 +المريض يشوف تحسن فإنه بدأ يتحسن أعطيه مثلا بدأ 1 1 + +298 +00:27:20,780 --> 00:27:26,060 +.5 اتحسن أكتر أعطيه 2 اتحسن أعطيه 2.5 أعطيه 3 لما + +299 +00:27:26,060 --> 00:27:32,520 +يبطل التحسن هذه trial and error لأن أنا بعطيه إيش؟ + +300 +00:27:32,520 --> 00:27:37,850 +بعطيه سلندرو بخليه هو يلف في ال 360 ده مثلا وين + +301 +00:27:37,850 --> 00:27:44,050 +بال one مثلا شارت على شارت سنين أحسن ببدأ أزيده + +302 +00:27:44,050 --> 00:27:51,030 +إيش قوة العدسة و هكذا بقولي spectacle lenses غالبا + +303 +00:27:51,030 --> 00:27:55,230 +ما بتجيب نتيجة و هي بتعمل disappointment يعني + +304 +00:27:55,230 --> 00:28:02,670 +إحباط أو خيبة أمل أه و نجاح small لكن أحيانا يصدف + +305 +00:28:03,300 --> 00:28:09,100 +occasionally صدفة انه تعمل a factory في ال + +306 +00:28:09,100 --> 00:28:13,660 +improvement النضارة خاصة في keratoconus يعني انا + +307 +00:28:13,660 --> 00:28:20,080 +بعرف ناس keratoconus يعني في حدود minus two DC + +308 +00:28:20,080 --> 00:28:25,400 +وقدر الله عز وجل انه توقف في سن معين وعايش بال two + +309 +00:28:25,400 --> 00:28:35,240 +تمام سلندر في ناس عايشصح إنه ال correction six + +310 +00:28:35,240 --> 00:28:43,120 +eighteen، six twelve أو بينهم، بس، لكن يعني أحسن + +311 +00:28:43,120 --> 00:28:51,440 +من بلاش، تفضل ال glasses هي أسهل في ال use و أرخص + +312 +00:28:51,440 --> 00:28:57,680 +في ال price، أرخص في ال price، لكن هذه قلال، قلة + +313 +00:28:57,680 --> 00:28:58,900 +اللي برتاح للنظارة + +314 +00:29:01,250 --> 00:29:05,570 +نيجي لموضوع ال rigid gas permeable contact lenses + +315 +00:29:05,570 --> 00:29:08,990 +ال hard contact lenses may have an effect + +316 +00:29:08,990 --> 00:29:12,710 +relatively better than spectacle lenses وقلنا ليش + +317 +00:29:12,710 --> 00:29:19,850 +وضربنا مثال بالروز كيه فاكر روز كيه ضربنا مثال + +318 +00:29:19,850 --> 00:29:25,090 +بالروز كيه ان هي بتعمل new surface new surface + +319 +00:29:25,090 --> 00:29:29,670 +يعني هاي الكوميةهى ال .. هى ال .. ال cone شايفين + +320 +00:29:29,670 --> 00:29:33,410 +ال cone؟ هى عملت a new surface وهنا اللى هو ال + +321 +00:29:33,410 --> 00:29:37,990 +tear film هنا نفس الحاجة هى ال cone وهى عملت a new + +322 +00:29:37,990 --> 00:29:41,510 +surface هنا هى ال cone وهى عملت ال fitting بتاعها + +323 +00:29:41,510 --> 00:29:46,310 +الكامل وع فكرة يعني اكتر من over eighty percent of + +324 +00:29:46,310 --> 00:29:49,630 +patients internationally عملوا اللى هو successful + +325 +00:29:49,630 --> 00:29:53,890 +fitting successful fitting و good vision وحقيقة + +326 +00:29:53,890 --> 00:30:02,060 +انه يعنيجيدة أو جيدة جدا روسكي contact lens خاصة + +327 +00:30:02,060 --> 00:30:07,460 +في الكارتكونات و برضه في ال another او other اللي + +328 +00:30:07,460 --> 00:30:14,640 +هو regular astigmatism إلى حد ما جيدة طبعا + +329 +00:30:14,640 --> 00:30:20,420 +في ناس ولا بيقتنع بهذا ولا بهذا ولا بهذا ولا بال + +330 +00:30:20,420 --> 00:30:23,700 +.. بال glasses ولا بال legit gas permeable contact + +331 +00:30:23,700 --> 00:30:28,910 +lens ولا بروسكيإذا هو رايح على surgery surgery + +332 +00:30:28,910 --> 00:30:32,830 +يعني جرح in + +333 +00:30:32,830 --> 00:30:36,310 +other + +334 +00:30:36,310 --> 00:30:39,590 +cases, operative measures may be indicated and + +335 +00:30:39,590 --> 00:30:42,810 +where the condition is serious انا عندى + +336 +00:30:42,810 --> 00:30:47,270 +keratoplasty ال keratoplasty transplantation نقل + +337 +00:30:47,270 --> 00:30:57,630 +قرنية قسم نقل القرنية إلى نوعية إلى كلو جزءى + +338 +00:30:57,630 --> 00:31:07,510 +penetrating keratoplasty هو ان انا اجى اشيل الجزء + +339 +00:31:07,510 --> 00:31:12,050 +التالف من القرانية للعيانة + +340 +00:31:12,050 --> 00:31:19,210 +اعمل refining جصف و اخلى bid هذه المنطقة bid عشان + +341 +00:31:19,210 --> 00:31:23,920 +ألحم فيها القرانية الجديدةو أجيب من donor، donor + +342 +00:31:23,920 --> 00:31:35,580 +غالبا بيكون يعني died man او woman ميت جديد يعني و + +343 +00:31:35,580 --> 00:31:43,580 +بعمل refining لقنية بتاعته و أشيل اللي هو ال + +344 +00:31:43,580 --> 00:31:48,760 +central part و أجيب أحط بدل ال .. إيش؟ بدل اللي .. + +345 +00:31:48,760 --> 00:31:50,300 +اللي شيل مثلا زي هيك + +346 +00:31:53,250 --> 00:32:00,890 +زي هي، يعني أنا هدت جزء مريض، روحت قصيته و طلعته و + +347 +00:32:00,890 --> 00:32:06,790 +جبت جزء جديد، new من دونر و حطيته ورز و لزجته في + +348 +00:32:06,790 --> 00:32:11,350 +تلت من ستين درجة و الورز هيمكن تكون interrupted كل + +349 +00:32:11,350 --> 00:32:17,610 +واحد لحالي يعني أو continuous running نفس الخيار، + +350 +00:32:17,610 --> 00:32:20,390 +mean يعني أحسن كل واحد إله يعني + +351 +00:32:23,530 --> 00:32:28,710 +هذا بيقولوا penetrating لأنه نقل كله جزء من + +352 +00:32:28,710 --> 00:32:33,870 +القانونية بدل الجزء التاني خلاص هيك برتاح و هذا + +353 +00:32:33,870 --> 00:32:38,050 +حقيقي و مطبق في العالم في موضوع ال keratoconus و + +354 +00:32:38,050 --> 00:32:45,330 +موضوع ال scars و الكلام التاني أحيانا بصير النقل + +355 +00:32:45,330 --> 00:32:55,410 +طبقي أو جزئي بحيث أنهلأنه من عيب الكل حاجة اسمها + +356 +00:32:55,410 --> 00:33:00,430 +graft rejection، ايش graft rejection؟ ازاها .. + +357 +00:33:00,430 --> 00:33:07,730 +graft .. graft .. الرجع يعني rejection، ايش + +358 +00:33:07,730 --> 00:33:17,170 +rejection؟ طرد، الجسم يطرد القرنية الجديدة، لأن + +359 +00:33:17,170 --> 00:33:22,050 +مافيش matchingفش انسجام جهاز المناع عن الانفوسايتز + +360 +00:33:22,050 --> 00:33:29,670 +بيهاجم الـ new graft اللي احنا نجلناها و بيعملها ك + +361 +00:33:29,670 --> 00:33:34,170 +foreign protein foreign body يفضل يرسللها + +362 +00:33:34,170 --> 00:33:38,110 +الانفوسايتز و يدمر فيها و يدمر فيها و يدمر فيها + +363 +00:33:38,110 --> 00:33:44,910 +لغاية ما تصير opaque و تصير failed operation تفشع + +364 +00:33:44,910 --> 00:33:52,280 +بيسيبهاش إلي عامةالحين هذه بيحكوا أسهل عملية هي + +365 +00:33:52,280 --> 00:33:56,340 +زراعة القرانية ناجل القرانية ناجل القرانية ناجل + +366 +00:33:56,340 --> 00:33:57,300 +القرانية ناجل القرانية ناجل القرانية ناجل القرانية + +367 +00:33:57,300 --> 00:33:57,600 +ناجل القرانية ناجل القرانية ناجل القرانية ناجل + +368 +00:33:57,600 --> 00:33:57,640 +ناجل القرانية ناجل القرانية ناجل القرانية ناجل + +369 +00:33:57,640 --> 00:33:59,140 +القرانية ناجل القرانية ناجل القرانية ناجل القرانية + +370 +00:33:59,140 --> 00:34:00,780 +ناجل القرانية ناجل القرانية ناجل القرانية ناجل + +371 +00:34:00,780 --> 00:34:06,080 +القرانية ناجل القرانية ناجل القرانية ناجل القرانية + +372 +00:34:06,080 --> 00:34:11,840 +ناجل القرانية + +373 +00:34:11,840 --> 00:34:16,000 +ناجل الق + +374 +00:34:20,050 --> 00:34:31,090 +كيف ال quamia of the donor الميت احنا يعني سلبنا + +375 +00:34:31,090 --> 00:34:36,470 +منها ال endothelium مع ال dismis جشرناها يعني + +376 +00:34:36,470 --> 00:34:41,150 +أخدنا بس منها ال epithelium و ال bowmans و ال + +377 +00:34:41,150 --> 00:34:47,150 +stroma تلاتة و شيلنا منها حدفنا منها ال + +378 +00:34:47,150 --> 00:34:56,330 +endotheliumو ال dismiss الان المريض اللي بنجله + +379 +00:34:56,330 --> 00:35:03,970 +العكس حدفنا منه ال epithelium و ال bowmans و ال + +380 +00:35:03,970 --> 00:35:11,270 +trauma و خلينا مكانه ال dismiss و ال endothelium + +381 +00:35:11,270 --> 00:35:16,130 +خليني أقول ذلك و جيبنا الرجعة الثلاثية هذه و + +382 +00:35:16,130 --> 00:35:21,620 +حطيناها عليهاوخيطناها و اكتبت انه احسن طريقة لمنع + +383 +00:35:21,620 --> 00:35:28,320 +ال rejection و انا اوريكوا الصورة هاي القرنة + +384 +00:35:28,320 --> 00:35:34,020 +المريضة بتاعة العيانة الان احنا خلين ال death mix + +385 +00:35:34,020 --> 00:35:38,440 +مع ال endothelium هيه وشيلنا الباقي من هنا لهنا + +386 +00:35:38,440 --> 00:35:45,240 +شيلناه خلاص برا هيه الجزء هذا خلاص رمناه لانه تالف + +387 +00:35:46,010 --> 00:35:52,710 +وخلّينا شايفين خطين؟ Endothelium مع Desmites الآن + +388 +00:35:52,710 --> 00:35:57,770 +اللي هي ال .. ال pinkish هذه أو ال violet هذه اللي + +389 +00:35:57,770 --> 00:36:03,170 +هو donor corneal button is stripped سلخنا منه + +390 +00:36:03,170 --> 00:36:07,610 +Desmites membrane و ال endothelium and placed in + +391 +00:36:07,610 --> 00:36:16,470 +host اللي هنجيبه وين لانه؟ مكان هنا في المريميبقى + +392 +00:36:16,470 --> 00:36:24,290 +هجيبنا من المية كوريا بدون اندوثيليام و بدون .. + +393 +00:36:24,290 --> 00:36:28,450 +Desmets و حطناها و خيطناها في تاتمين و ستين درجة + +394 +00:36:28,450 --> 00:36:32,750 +دون الكوريا البطون سيوشارد in place خيطناها بقول + +395 +00:36:32,750 --> 00:36:37,050 +أن هذه أفضل طريقة لملر كرياتوبلاستي اللي تمنع عيش + +396 +00:36:37,050 --> 00:36:44,690 +rejection graft rejectionليش؟ لأنه يعني .. كأنه .. + +397 +00:36:44,690 --> 00:36:49,070 +يعني ال .. ال dismits و ال endothelium و الأصليين + +398 +00:36:49,070 --> 00:36:53,350 +أعطوا إشارة جهاز المناعة إنه احنا بخير، اقررني أم + +399 +00:36:53,350 --> 00:36:59,490 +أحكي؟ اخدين بالكوا؟ هم الأصليين، إيش ركّبنا عالم + +400 +00:36:59,490 --> 00:37:04,790 +جديد؟ مش هو مفتاح السر، كلمة السر في ال + +401 +00:37:04,790 --> 00:37:09,780 +endothelium و ال dismitsلأن هم الأصليين، فهم أعطوا + +402 +00:37:09,780 --> 00:37:15,660 +إشارة إنه احنا بخير و كويسين، بس المشكلة إن أحيانا + +403 +00:37:15,660 --> 00:37:23,560 +بيكون قرانية المريض كلها تالفةيعني مثلا أكلت ضربة + +404 +00:37:23,560 --> 00:37:30,140 +هنا فصار كله scar full thickness opacity .. full + +405 +00:37:30,140 --> 00:37:35,900 +thickness opacity مش هينفع فيها إلا ملا .. مش + +406 +00:37:35,900 --> 00:37:39,280 +هينفع فيها إلا إيش؟ إلا ال penetrating + +407 +00:37:39,280 --> 00:37:45,740 +keratoplasty، نجل القرنية؟ طبعا برضه يعني الأطباء + +408 +00:37:45,740 --> 00:37:51,940 +ما بيجسروابيعطوا أشياء تقلل هجوم جهاز المناعة على + +409 +00:37:51,940 --> 00:37:58,700 +القرانين خاصة قطرات الكورتيزون steroidal eye drops + +410 +00:37:58,700 --> 00:38:07,300 +و لو زاد ممكن يعطوا systemic كورتيزون أقراس كمان و + +411 +00:38:07,300 --> 00:38:20,040 +ممكن لو زاد يعطواحاجات زي anti-cancer drugs يعني + +412 +00:38:20,040 --> 00:38:29,000 +حاجات بتجلل المناعة، اه زي CycloSporane و مثلًا + +413 +00:38:29,000 --> 00:38:33,720 +Methotrexate لو + +414 +00:38:33,720 --> 00:38:38,380 +كان هجوم المناعة شاسع على اللي هو لجرافة جديدة طب + +415 +00:38:38,380 --> 00:38:42,120 +يعني هذا يعني مسكين بتدمر حياته يعني في بعض الناس + +416 +00:38:42,120 --> 00:38:48,710 +يعني حط كل ما يملك من الأموال و نمل عمليةو الأمل + +417 +00:38:48,710 --> 00:38:56,790 +خاص إذا كانوا سن صغير يعني عشرين اتنين عشرين صبايا + +418 +00:38:56,790 --> 00:39:02,270 +شباب يعني مهندس طبيب يكمل حياته يعني أو إذا كانوا + +419 +00:39:02,270 --> 00:39:07,830 +optometrist مثلا فيعني احنا بنقاوم جهاز المنع أنه + +420 +00:39:07,830 --> 00:39:13,030 +يغزولـ new graft هذه اللي عملناها بكل الوسائل، + +421 +00:39:13,030 --> 00:39:17,030 +يعني frequent drops كورتازون، ممكن tablets + +422 +00:39:17,030 --> 00:39:21,830 +كورتازون، لو ما نجحنا ممكن نضيفلهم anti-cancer + +423 +00:39:21,830 --> 00:39:27,150 +drugs ورقم هيك فيه خمسة في المية ما بيصير عندهم؟ + +424 +00:39:27,150 --> 00:39:31,430 +اه فيه نسبة مرفض الجسم، رفضا تماما انه هذه الغريب + +425 +00:39:31,430 --> 00:39:39,790 +يسكن هنا، مرفضه، طيب هو فيه قاعدة حقيقيةاحنا + +426 +00:39:39,790 --> 00:39:42,430 +بنتكلم على irregular astigmatism أشمال من + +427 +00:39:42,430 --> 00:39:48,050 +keratoconus الkeratoconus نوع واحد يعني في عدة + +428 +00:39:48,050 --> 00:39:51,110 +أسباب لل irregular astigmatism لكن أشهرها و أكتر + +429 +00:39:51,110 --> 00:40:00,050 +انتشرا هي keratoconus طب هو أنا مدفن بس يعني متوسط + +430 +00:40:00,050 --> 00:40:06,130 +ال thickness of the cornea هنا حوالي خمسمية micron + +431 +00:40:08,630 --> 00:40:12,530 +طبعا هذا في ال center و في ال periphery أكتر شويه + +432 +00:40:12,530 --> 00:40:17,570 +سبعة و ستين تقريبا في ال periphery ممكن نصير ستمية + +433 +00:40:17,570 --> 00:40:21,670 +و خمسين أو ستمية و سبعين micron في ال periphery + +434 +00:40:21,670 --> 00:40:28,470 +صح؟ تعالى في الكراتو كونس بالكوا يعني .. كل ما + +435 +00:40:28,470 --> 00:40:33,610 +اتقدم الكراتو كونس، ايش اللي بيصير؟ تنس للكورنيا + +436 +00:40:33,610 --> 00:40:35,990 +تنس + +437 +00:40:38,300 --> 00:40:42,340 +يعني ممكن ال .. الخمسمية هالي أجيها مثلا بعد سنة + +438 +00:40:42,340 --> 00:40:47,500 +.. سنة أربعمية و خمسين، بعد سنة تانية أجيها + +439 +00:40:47,500 --> 00:40:53,960 +أربعمية و ممكن تصل لتلتمية في بعض الحالات، severe + +440 +00:40:53,960 --> 00:40:58,680 +كده تكون مثلا أجيها تلتمية، تلتمية إيش؟ micron، + +441 +00:40:58,680 --> 00:41:05,060 +micron طيب، الآن يا طالباتي + +442 +00:41:07,580 --> 00:41:12,920 +الموضوع ال LASIK و ال PRK محتمد على إيش؟ Cornea + +443 +00:41:12,920 --> 00:41:20,480 +thickness Cornea thickness يعني إنه أنا بدي أحاول + +444 +00:41:20,480 --> 00:41:26,740 +أصحى العيب البصري ب reformation of corneal surface + +445 +00:41:26,740 --> 00:41:33,500 +عن طريق لإن أعمل ablationلجزء من thickness of the + +446 +00:41:33,500 --> 00:41:38,180 +stroma thickness of the stroma بدي انا احرق جزء من + +447 +00:41:38,180 --> 00:41:42,800 +ال stroma وبالتالي اعمل deformation يعني ال curved + +448 +00:41:42,800 --> 00:41:49,480 +corner هاني اخليها بطريقة less curved شوية flat + +449 +00:41:49,480 --> 00:41:56,120 +less curved وبالتالي ال axis هذا انا على الأقل + +450 +00:41:56,120 --> 00:42:03,940 +أخرته واحد ملي او اتنين ملي عن مكانطيب، لكن في + +451 +00:42:03,940 --> 00:42:08,480 +حاجة إنه ال keratoconus ال thickness بتاعه تلتمية، + +452 +00:42:08,480 --> 00:42:13,840 +إيش أعمل أنا؟ مش راح يظبط اللازم لذاك في ناس في .. + +453 +00:42:13,840 --> 00:42:19,620 +يعني كتب في جامعات عالمية أكدوا إنه يجب تجنيب + +454 +00:42:19,620 --> 00:42:24,860 +العين اللي فيها ال keratoconus أي نوع من ال + +455 +00:42:24,860 --> 00:42:30,120 +ablation أقولك أي نوع من ال surgery، أي نوع من ال + +456 +00:42:30,120 --> 00:42:37,590 +surgeryلأنه تماما مشبه البلون اللي أنا بنفخ فيه كل + +457 +00:42:37,590 --> 00:42:42,810 +ما أنفخ فيه أو الطفل اللي بنفخ فيه بيفرح أنه كبر + +458 +00:42:42,810 --> 00:42:49,450 +حجمه لكن هو لا يدري هذا كبر الحجم على حسب إيش؟ على + +459 +00:42:49,450 --> 00:42:57,030 +حسب ال thickness إلى أن يصل حد وعيّن ينفجر و + +460 +00:42:57,030 --> 00:43:04,500 +القنيزةإذا ما هذا keratoconus تقدم إلى حدود أكتر + +461 +00:43:04,500 --> 00:43:08,240 +من اللازم فضغط العين الداخلي intraacral pressure + +462 +00:43:08,240 --> 00:43:13,380 +هيعمل يعني اكتزية أكتر تمدد أكتر أكتر أكتر ممكن + +463 +00:43:13,380 --> 00:43:19,260 +تصير yielding أو rapture of the colon طيب واحد + +464 +00:43:19,260 --> 00:43:26,690 +إيجاني أناما astigmatism و ما عملتله انا يعني + +465 +00:43:26,690 --> 00:43:31,830 +pacimetry اسمه اللي بيجيس ال .. ال CCTV ال center + +466 +00:43:31,830 --> 00:43:37,230 +of control يعني لقيته 300 و انا عارف انه عشان انا + +467 +00:43:37,230 --> 00:43:42,650 +عمله full correction يمكن بتاخد كمان متين عشان + +468 +00:43:42,650 --> 00:43:45,630 +اعمله full correction بتاخده 200 طب ماذا ابقيت في + +469 +00:43:45,630 --> 00:43:49,930 +القرنية؟ بتروح القاعدة بتقولك إذا كان القرنية أقل + +470 +00:43:49,930 --> 00:43:52,090 +من 400 ممنوع تصيبها + +471 +00:43:55,320 --> 00:44:03,820 +لأنه أي قلة عن الاربعمية بيخلي في weak conia weak + +472 +00:44:03,820 --> 00:44:06,120 +conia، thin conia، لو صارت تلت مية وخمسين أو تلت + +473 +00:44:06,120 --> 00:44:11,940 +مية بيصير weak conia وبالتالي أنا مش ملزم أن أعمل + +474 +00:44:11,940 --> 00:44:15,680 +عملية لهذا الانسان، هذا الشيء، نهيك عن حاجة تانية + +475 +00:44:15,680 --> 00:44:21,560 +إن الكيروتوكونس هو progressive disease، إيش + +476 +00:44:21,560 --> 00:44:27,300 +progressive؟يتقدم كل شوية بيمشي لبنان وبالتالي انا + +477 +00:44:27,300 --> 00:44:36,560 +لا آمن انه لو تقدم بعد العملية ان يقضي على ما تبقى + +478 +00:44:36,560 --> 00:44:39,960 +لان كل تقدم بيخليه more than .. more than .. more + +479 +00:44:39,960 --> 00:44:45,240 +than وبالتالي ال Lasik العادي ممنوع و ال PRK + +480 +00:44:45,240 --> 00:44:51,470 +العادي ممنوع طلعوا الآن جائز اسمه Lasikبقول عنه + +481 +00:44:51,470 --> 00:44:57,250 +laser epithelial keratomyosis وهذا حقيقة يعني + +482 +00:44:57,250 --> 00:45:01,470 +باستخدم سكين أفضل من ال LASIK من ال micro keratome + +483 +00:45:01,470 --> 00:45:06,810 +اسمه Trefine و Trefine هذا بيعمل very thin + +484 +00:45:06,810 --> 00:45:11,750 +epithelial flap this makes LASIK ideal for people + +485 +00:45:11,750 --> 00:45:18,570 +whose corneas are too thin for LASIK موضوع موضوع + +486 +00:45:18,570 --> 00:45:24,150 +انه يعنيإنه احنا ال .. ال .. ال flap بتاعتنا more + +487 +00:45:24,150 --> 00:45:29,950 +thin والسكين بتاعنا يعني حال جدا و very thin و إشي + +488 +00:45:29,950 --> 00:45:35,770 +لكن هذه risky، risky يعني إيش؟ مجازفة، هذه risky + +489 +00:45:35,770 --> 00:45:43,030 +مجازفة طبعا هذا باللغةاليابانية Japanese language + +490 +00:45:43,030 --> 00:45:51,690 +كيف؟ يعني بيعملوا LASIK كيف بيعملوا LASIK؟ اه اللي + +491 +00:45:51,690 --> 00:45:56,790 +هو بيقولوا انه بيعمل very thin flap of epithelium + +492 +00:45:56,790 --> 00:46:02,070 +بنفعل ال .. الastigmatism اللي مش keratokonus + +493 +00:46:02,070 --> 00:46:06,610 +بنفعل الastigmatism اللي مش فيه thin cornea، كويس + +494 +00:46:06,610 --> 00:46:11,320 +يعنيطيب هنتقل على موضوع جديد Refractive Error + +495 +00:46:11,320 --> 00:46:17,740 +الجديد Africa و حابب انا ب question شهير لأن احنا + +496 +00:46:17,740 --> 00:46:25,100 +لو شوفنا واحد في car accident و + +497 +00:46:25,100 --> 00:46:33,520 +طبعا هم علجوا في المستشفى العمومي من جراحهإذا كان + +498 +00:46:33,520 --> 00:46:36,260 +في ال head إذا كان في ال face غرزوله و عملوله و + +499 +00:46:36,260 --> 00:46:39,800 +إشي لما صحي العيانة اللي بقول أنا والله عيني ما + +500 +00:46:39,800 --> 00:46:45,480 +بتشوف طبعا الجرحين بتاع ال general surgery ما + +501 +00:46:45,480 --> 00:46:49,560 +بيعرفوا في العين راحوا طلبوا طبيب العيون إلحقوني + +502 +00:46:49,560 --> 00:46:54,520 +يا عم شوفوا عينه و إشي لجي عينه مش فيها عدسة + +503 +00:46:54,520 --> 00:47:00,280 +العدسة ساقطة في البتريا السؤال + +504 +00:47:00,280 --> 00:47:06,680 +الآنإنه إيش ال expectation بتاعك؟ اتوقع أنه يكون + +505 +00:47:06,680 --> 00:47:11,600 +refractive power of this eye refractive power of + +506 +00:47:11,600 --> 00:47:18,680 +this eye ال lens بتاعه وقعت وين؟ خلعت dislocated + +507 +00:47:18,680 --> 00:47:24,020 +أو falling بستيروري in the petris chamber إيش اللي + +508 +00:47:24,020 --> 00:47:24,500 +صار؟ + +509 +00:47:37,490 --> 00:47:41,230 +hypermetropia طيب احنا خليني احسبها خليني احسبها + +510 +00:47:41,230 --> 00:47:44,950 +خليني احسبها احنا بدنا نقنعكوا اقنع بدنا عشان + +511 +00:47:44,950 --> 00:47:56,230 +نجيبلكوا إجابة في بعض الاقناع؟ لأ طيب الان ايه ال + +512 +00:47:56,230 --> 00:48:01,290 +anatomy بيقول لي ان هنا انا عندي حواليتان و + +513 +00:48:01,290 --> 00:48:06,250 +أربعين، في ال normal اتن و أربعين، تلات و أربعين و + +514 +00:48:06,250 --> 00:48:10,750 +عندي هنا تمانتاش، تساعتاش، يعني بتختلف شوية من + +515 +00:48:10,750 --> 00:48:16,870 +واحد لواحد المجموع قاعدين بصاروا إيش؟ تسعة و خمسين + +516 +00:48:19,970 --> 00:48:24,310 +طبعا ال incident light أو ال rays اللي واجه على + +517 +00:48:24,310 --> 00:48:29,310 +القرنية عملته convergence على العدسة و العدسة + +518 +00:48:29,310 --> 00:48:35,170 +عملته convergence على ال .. إيش؟ ال macula point + +519 +00:48:35,170 --> 00:48:41,830 +focus هاي الإتفة طيب اللي أنا انضرب العدسة وجهت + +520 +00:48:41,830 --> 00:48:46,230 +هنا سرقة + +521 +00:48:46,230 --> 00:48:55,010 +فيكالقرن اللي موجودة هتعمل تجميع لإشواء، + +522 +00:48:55,010 --> 00:49:03,170 +مش هتلاقي عدسة، الاشواء أين هيروح؟ هينطلق، مافيش + +523 +00:49:03,170 --> 00:49:09,690 +إشي جامعه، وياه ياخد راحته هنا، يبقى هيبرمترو بلا + +524 +00:49:09,690 --> 00:49:18,370 +ميوب؟ هاي هيبرمترو، بلقنا، صحك؟ طيبيبقى although + +525 +00:49:18,370 --> 00:49:21,570 +the term suggests the absence يعني الأفكيه معناها + +526 +00:49:21,570 --> 00:49:25,530 +absence of the lens from the eye is usually taken + +527 +00:49:25,530 --> 00:49:29,490 +to embrace يحتوي those conditions wherein the lens + +528 +00:49:29,490 --> 00:49:32,970 +is absent from pupillary area مش بس أنه ال lens + +529 +00:49:32,970 --> 00:49:39,330 +وقعت أماما أو خلفا، لأ كونه ال lens وزيحت من هذه + +530 +00:49:39,330 --> 00:49:44,390 +المنطقة في ال visual axis سميت أفكيه، يعني توسعنا + +531 +00:49:44,390 --> 00:49:50,130 +في المصطلح أو في تعريف المصطلحطيب ما هي أسباب + +532 +00:49:50,130 --> 00:49:55,730 +الأفكيه؟ أسباب كثيرة يعني الملاكمين واحد ضرب box + +533 +00:49:55,730 --> 00:50:01,130 +في ال face وجعت العناصر هاي مثلا traumatic هذي + +534 +00:50:01,130 --> 00:50:05,890 +شائعة شائعة عشان هناك في .. يعني الملاكم بيحمي وشه + +535 +00:50:05,890 --> 00:50:12,310 +كتير الملاكم دايما .. دايما بيدافع عن وجهه بشكل و + +536 +00:50:12,310 --> 00:50:16,130 +احنا في الإسلام نهينا عن ضرب الوجه + +537 +00:50:19,040 --> 00:50:26,760 +الوجه يعني رمز الكرامة، رمز الكرامة، وفيه العين + +538 +00:50:26,760 --> 00:50:36,480 +وفيه الأنف وفيه الأسنان وبعده المخ، أي تلف في + +539 +00:50:36,480 --> 00:50:43,640 +الوجه ممكن يعمل شيء كبير يعني، منهينا عن ضرب ليش؟ + +540 +00:50:43,640 --> 00:50:50,040 +الوجه، يبقى traumatic، هذا اسمه traumatic Apneaهذه + +541 +00:50:50,040 --> 00:50:53,220 +كتير في ال car accidents مثلا حوارات السيارات صحيح + +542 +00:50:53,220 --> 00:51:04,380 +في surgical apnea surgical apnea احنا + +543 +00:51:04,380 --> 00:51:12,260 +اخدناها في .. لما يكون في عندنا high myopia احيانا + +544 +00:51:12,260 --> 00:51:17,820 +بنعمل عملية removalof the clear crystalline lens + +545 +00:51:17,820 --> 00:51:22,800 +to make balance between اللي هو الhypermetropia + +546 +00:51:22,800 --> 00:51:27,160 +اللي جاءت جديد والmyopia اللي أساساً خاصة إن يكون + +547 +00:51:27,160 --> 00:51:30,640 +في high myopia إيش high myopia؟ إحنا بنعمل lesic + +548 +00:51:30,640 --> 00:51:33,960 +يعني بدنا نشيل نص القرانية عشان نصلح الخمستاشر أو + +549 +00:51:33,960 --> 00:51:37,840 +الستاشر أو العشرين ذيوبتر myopia لأ القرانية مش + +550 +00:51:37,840 --> 00:51:42,580 +شيء رخيص لأ القرانية شيء بناء كبير جدا في العين + +551 +00:51:42,580 --> 00:51:49,330 +ممكن مالاجيش في بلادنايعني ..كونوا ال banks أو ال + +552 +00:51:49,330 --> 00:51:53,990 +bank اللي .. القرانية .. القرانية و حتى لو لجي + +553 +00:51:53,990 --> 00:51:59,230 +وزرع نقل القرانية ممكن تصير rejected تصير مطرود و + +554 +00:51:59,230 --> 00:52:04,670 +بعدين .. يصيرنا احنا في عمل ففي ناس بيقولك لأ يا + +555 +00:52:04,670 --> 00:52:08,830 +عمي انا اشيل العدسة و بضح فيها و بعمل surgical + +556 +00:52:08,830 --> 00:52:09,570 +aphemia + +557 +00:52:12,560 --> 00:52:17,620 +بحيث أعمل balance ويخلق القرانية بصحة وعافية في + +558 +00:52:17,620 --> 00:52:24,180 +كنتين تلاقى فاكهة في newborn بيلاقوا مش عنده عدسة + +559 +00:52:24,180 --> 00:52:29,740 +طيب في traumatic dislocation اللي هو بنضرب ضربة + +560 +00:52:29,740 --> 00:52:34,960 +اتجاه وادي موجودة كتير inside the eye مش بتطلع برا + +561 +00:52:34,960 --> 00:52:40,120 +يعني ال trauma الأولانية في wound مثلا في القرانية + +562 +00:52:40,120 --> 00:52:44,320 +طلعت منه عدسةلكن أحيانا ضربة بتيجي بتسقط العدسة + +563 +00:52:44,320 --> 00:52:50,340 +الخاصة في ال vitreous بتلاقي العدسة يعني ball + +564 +00:52:50,340 --> 00:52:55,420 +صغيرة في ال .. في ال vitreous طيب + +565 +00:52:55,420 --> 00:53:01,600 +في حاجة معينة يعني + +566 +00:53:01,600 --> 00:53:03,700 +اه + +567 +00:53:08,060 --> 00:53:13,680 +طيب هاي .. يعني أنتوا في التشخيص ملاحظين ال .. ال + +568 +00:53:13,680 --> 00:53:21,280 +.. ال .. ال .. ال AC يعني واضحة أنه هنا جت black + +569 +00:53:21,280 --> 00:53:27,920 +أسود غامض ملاحظين هنا ال .. في slit lamp أخدتوا + +570 +00:53:27,920 --> 00:53:30,680 +slit lamp ال AC very deep + +571 +00:53:33,760 --> 00:53:41,400 +very deep يعني فشي لنز تعمل support ل ال iris هي + +572 +00:53:41,400 --> 00:53:48,980 +ورا فشي لنز فصارت deep a c وقلنا tremulous iris في + +573 +00:53:48,980 --> 00:53:52,120 +ال anatomy tremulous يعني لو ضويت عليه بصير يرجف + +574 +00:53:52,120 --> 00:53:58,500 +ال iris فهذه surgical affect طيب + +575 +00:53:58,500 --> 00:54:06,160 +أي عين بتكون واحد من ثلاثةيا بتكون ا فاكهة واحد، + +576 +00:54:06,160 --> 00:54:15,080 +يا بتكون فاكهة .. فاكهة اتنين، + +577 +00:54:15,080 --> 00:54:21,260 +هاي اتنين، فاكهة .. يا بتكون صدوا فاكهة، قولولي + +578 +00:54:21,260 --> 00:54:24,780 +بالله حضراتكوا و قللي جالسين أمامي أنتوا أي نوع من + +579 +00:54:24,780 --> 00:54:33,500 +التلاتة؟ فاكهة فاكهة اكيد؟ اه اكيدطيب و ال + +580 +00:54:33,500 --> 00:54:39,120 +pseudophytic ايش يعني؟ كادب اصلا ايه ال + +581 +00:54:39,120 --> 00:54:42,280 +pseudophytic؟ كادب اصلا ايش يعني كادب؟ كان باين + +582 +00:54:42,280 --> 00:54:46,920 +انه عنده عدسة بس عنداه ايش عنده؟ كان باين انه عنده + +583 +00:54:46,920 --> 00:54:54,100 +عدسة بس هو .. لأ اللي بيسرها عدسة .. ايوة ايوة حط + +584 +00:54:54,100 --> 00:54:58,940 +في عينه بدل العدسة ال cataractis هذه حط I O L + +585 +00:55:00,090 --> 00:55:03,750 +intraocular lens اللي هي من poly methyl مثل + +586 +00:55:03,750 --> 00:55:09,990 +اكريليت، مادة مش بالزجاج، اه، يبقى .. احنا سألنا + +587 +00:55:09,990 --> 00:55:14,590 +انتوا من أي نوع من ال ice كول كول كول؟ فاكك، فاكك + +588 +00:55:14,590 --> 00:55:21,450 +ice، الحمد لله، اللي شال العدسة وماحطش عدسة بدلها؟ + +589 +00:55:21,450 --> 00:55:25,030 +applicant، واللي شال عدسة وحط بدلها عدسة؟ + +590 +00:55:25,030 --> 00:55:30,510 +Sodofacic، Sodofacicطبعا انا مابدش اقرر بس اقول + +591 +00:55:30,510 --> 00:55:36,830 +انه العين strongly hypermetropic والأنتيرو focal + +592 +00:55:36,830 --> 00:55:45,410 +point آسف الفوكس تيجي على واحد و تلاتين ميلي بدل + +593 +00:55:45,410 --> 00:55:48,790 +اربع و عشرين يعني احنا عندنا ابتقاع الشبكية في + +594 +00:55:48,790 --> 00:55:52,750 +اربع و عشرين ميلي خارج القانونية الناس هذول عشان + +595 +00:55:52,750 --> 00:55:57,640 +مافيش لاز ابتقى وينأه طب في الstudio fake يوما + +596 +00:55:57,640 --> 00:56:02,960 +بتيجي اعمل ع الشبكية ع الشبكية لأنه العدسة ال IOL + +597 +00:56:02,960 --> 00:56:06,800 +ال reflection بتاعها زي ال reflection اصلا زي ال + +598 +00:56:06,800 --> 00:56:13,780 +reflection بس مافيش فيها opacity طيب + +599 +00:56:13,780 --> 00:56:16,940 +يبقى احنا اذا كان احنا بدنا نصلح العين هالي بدنا + +600 +00:56:16,940 --> 00:56:21,580 +نحط اقل اشي 10 ديوبتر حسب ال reflection this 10 + +601 +00:56:21,580 --> 00:56:25,300 +ديوبتر plus ولا minus + +602 +00:56:28,820 --> 00:56:31,480 +plus انا هو minus نحطه في النضارة plus ولا minus + +603 +00:56:31,480 --> 00:56:37,280 +plus plus عشان عدسة مجمعة لإنه شوية ورا الشبكة + +604 +00:56:37,280 --> 00:56:41,060 +يابنان جمعه على الشبكة تزود القوة طيب in Africa + +605 +00:56:41,060 --> 00:56:43,940 +the optical conditions are completely changed for + +606 +00:56:43,940 --> 00:56:47,400 +diopetric apparatus has been reduced to a single + +607 +00:56:47,400 --> 00:56:50,320 +refractive surface ايش ال single refractive + +608 +00:56:50,320 --> 00:56:56,640 +surface اللي في الظلم كورنياالكونيا ومافيش شي ورا + +609 +00:56:56,640 --> 00:57:03,480 +الا سطح اللي هو aqueous اللي هو و اللي هو vitreous + +610 +00:57:03,480 --> 00:57:06,900 +هل ال aqueous و ال vitreous reflecting surfaces + +611 +00:57:06,900 --> 00:57:13,450 +ولا لأ؟ ال aqueous، ماشيالـ Refractive Surface + +612 +00:57:13,450 --> 00:57:17,950 +اللى كان بعد القرنية هو اللنز واللنز غايبة واللنز + +613 +00:57:17,950 --> 00:57:22,590 +غايبة يبقى الـ aqueous و ال vitreous هم ال + +614 +00:57:22,590 --> 00:57:26,550 +refractive index بتاعهم قريب من واحد تلاتة من عشرة + +615 +00:57:26,550 --> 00:57:30,670 +وما اللي هم مش فالموضوع فصار انه single refractive + +616 +00:57:30,670 --> 00:57:36,330 +surface اللى هو الكهربا وبالتالي احنا اكتر اشي + +617 +00:57:36,330 --> 00:57:41,340 +بتتحول اللى هو ال anterior focal point بتصير23 + +618 +00:57:41,340 --> 00:57:48,100 +وكسر بدل 17 و12 يعني احنا في ال normal check I ال + +619 +00:57:48,100 --> 00:57:51,790 +anterior focal point بتاعتناأه سبعتاش و اتنين و + +620 +00:57:51,790 --> 00:57:55,750 +عشرة قريبا من ال back vertex لكن ناس ال aficic + +621 +00:57:55,750 --> 00:57:59,490 +بصير تلاتة و عشرين و كاسر و هذا الكلام ال cardinal + +622 +00:57:59,490 --> 00:58:02,030 +points of reduced I أخدته مع الدكتور عمر في + +623 +00:58:02,030 --> 00:58:06,810 +geometrical optics يبقى ال aficic I سبعتاش و اتنين + +624 +00:58:06,810 --> 00:58:10,930 +و عشرة و ال aficic I تلاتة و عشرين و اتنين و عشرة + +625 +00:58:10,930 --> 00:58:17,270 +هذه ال slide مثلا جبت optics of unaficic I و هذه + +626 +00:58:17,270 --> 00:58:25,540 +مهمةالـ optics فيه ست مقاطع مهمة جدا اللي عينا + +627 +00:58:25,540 --> 00:58:29,940 +high hypermetropia قولناها ال total power of the + +628 +00:58:29,940 --> 00:58:35,280 +eye forty-five .. forty-four ليش؟ لأنه مش حاسس + +629 +00:58:35,280 --> 00:58:39,740 +الادسة لأنه مش حاسس الادسة اللي كانت بتكمل ال + +630 +00:58:39,740 --> 00:58:45,220 +power طيب ال affective eye consists of single + +631 +00:58:45,220 --> 00:58:50,450 +refracting surface اللي هو الكونيةA consists of + +632 +00:58:50,450 --> 00:58:55,130 +curved surface للكونية A separating two media of + +633 +00:58:55,130 --> 00:58:58,950 +different refractive indices الأكيوس والبتريس + +634 +00:58:58,950 --> 00:59:04,350 +قريبين من بعض في المعامل الإنكسار الـ anterior + +635 +00:59:04,350 --> 00:59:12,490 +focal point بصير 23.2 بدل 17.2 اللي في normal eye + +636 +00:59:12,490 --> 00:59:20,260 +الـ posterior focal pointبدالة 24 صارت 31 يعني خلف + +637 +00:59:20,260 --> 00:59:26,460 +الشبكية علما انه كل واحد millimeter زيادة بيعمل + +638 +00:59:26,460 --> 00:59:30,980 +three diopters hyper metropia total loss of + +639 +00:59:30,980 --> 00:59:36,180 +accumulation ليش؟ لأن راحت الادرسة طب السر يبقى + +640 +00:59:36,180 --> 00:59:40,240 +سليمة طب + +641 +00:59:40,240 --> 00:59:43,360 +لو حتى الذنوب السليمما هي مرتبطة ب تلات شغلات ال + +642 +00:59:43,360 --> 00:59:47,640 +zeniots و ال .. ال cellulite .. ادات التنفيذ .. + +643 +00:59:47,640 --> 00:59:53,060 +ادات التنفيذ هي ال lens، ادات الأمر هي ال + +644 +00:59:53,060 --> 00:59:58,520 +cellulite، و الموصل ال zeniots زي اللي هو + +645 +00:59:58,520 --> 01:00:05,220 +التليفونات، في اللي هو مصدر .. مصدر الإرسال + +646 +01:00:05,220 --> 01:00:11,750 +الحراري في المحطةالاسلاك على الأعمدة إلى أن تدخل + +647 +01:00:11,750 --> 01:00:18,690 +البيت هذه اسلاك ال news والتليفون + +648 +01:00:18,690 --> 01:00:24,750 +هو البنجل والسماعات بتاعك لو كل الحرارة والاسلاك + +649 +01:00:24,750 --> 01:00:30,530 +تمام والجهاز عطلان مش هتسمع حاجة هذه هي ال lens + +650 +01:00:30,530 --> 01:00:36,250 +بشيلوا ال lens وحتى لو حطوا lens صناعية مكانها مش + +651 +01:00:36,250 --> 01:00:46,940 +هتقدرواهذا خلق الله فاروني ماذا حلق الذين من دونه + +652 +01:00:46,940 --> 01:00:54,300 +سورة ايش؟ لقمان، صحيح طيب، الآن هنمشي بس بسرعة + +653 +01:00:54,300 --> 01:01:00,980 +كلمتين صغار على disadvantages of Africa ما هي + +654 +01:01:00,980 --> 01:01:06,440 +مساوئ الأفريقيا طيب، + +655 +01:01:06,440 --> 01:01:12,700 +بس أنا بتسأل جاملة سؤاللواحد أفاكية ولبسناها نظارة + +656 +01:01:12,700 --> 01:01:16,880 +بتفضل أفاكية ولا .. ولا بتروح الأفاكية؟ لأ بتظل + +657 +01:01:16,880 --> 01:01:21,340 +برضه أفاكية لإن ال lens مش موجودة طيب، واحد أفاكية + +658 +01:01:21,340 --> 01:01:24,940 +ولبسناها contact lens لأ برضه نفس الشيء برضه + +659 +01:01:24,940 --> 01:01:31,540 +الأفاكية في فرق بين uncorrected أفاكية وفي فرق بين + +660 +01:01:31,540 --> 01:01:35,680 +corrected أفاكية لكن كله أفاكية في uncorrected + +661 +01:01:35,680 --> 01:01:39,980 +خلاص الشيء اللي عادة ساومشيhigh hypertrophy وخبص + +662 +01:01:39,980 --> 01:01:44,780 +زي منكم لكن فيه خففنا عنه الأفكيه انه حطينا له + +663 +01:01:44,780 --> 01:01:50,700 +نضارة او عدسة لصحى طب لو زرعناله عدسة جوا في عينه + +664 +01:01:50,700 --> 01:02:00,480 +بصير صد أفكيه ماصارش fake it مارجعش مارجعش انشلنا + +665 +01:02:00,480 --> 01:02:03,140 +العدسة الأصلية لايمكن يرجع fake it و لو حطيناله كل + +666 +01:02:03,140 --> 01:02:03,480 +عدسة + +667 +01:02:08,620 --> 01:02:17,440 +أول عيب enlargement of the image طبعا + +668 +01:02:17,440 --> 01:02:21,140 +هذا اللابس نضارة الراديو لهذا لابس نضارة corrected + +669 +01:02:21,140 --> 01:02:28,860 +ع فكرك I عنده التكميل من واحد في الناس العاديين + +670 +01:02:28,860 --> 01:02:32,280 +إلى واحد وستة وتلاتين نسبة + +671 +01:02:33,890 --> 01:02:40,270 +يعني .. يعني هذا هيشوف الساعة جدنا احنا بنشوفها + +672 +01:02:40,270 --> 01:02:44,370 +واحد و تلت هل + +673 +01:02:44,370 --> 01:02:51,970 +تكبير ولا مش تكبير؟ تكبير طيب هو عروف انه ال + +674 +01:02:51,970 --> 01:02:56,470 +lenses اللي هو لابسها كل ما ابعدها عن عينه كل ما + +675 +01:02:56,470 --> 01:03:01,370 +شاف أكبر كل ما جربها عن عينه يشوف أقللذلك انا بشوف + +676 +01:03:01,370 --> 01:03:08,630 +بعض الناس حتى الفاكهة لابس نضارة plus زي هذه هو + +677 +01:03:08,630 --> 01:03:14,390 +لابس نضارة plus لما بديه يقرأ بيعمل هيكدا ليش + +678 +01:03:14,390 --> 01:03:21,110 +هو عامل كده؟ بتكبر اكتر لما بيعمل plus شايفين؟ هيك + +679 +01:03:21,110 --> 01:03:25,730 +يعني تلاقي بنفسك اكتر شوف اكبر وهذا وضع ال + +680 +01:03:25,730 --> 01:03:30,050 +corrected affect يعنيكل ما نزل عدسة شويه كل ما كان + +681 +01:03:30,050 --> 01:03:40,030 +براتله اكتر 35 او 30 او 25% طيب بيقول من العيوب ان + +682 +01:03:40,030 --> 01:03:42,990 +ممكن انا اعمله refraction و احطله عدسة يشوف فيها 6 + +683 +01:03:42,990 --> 01:03:47,490 +او 9 لكن في الحقيقة العملية هو شوف 6 او 12 عشان ال + +684 +01:03:47,490 --> 01:03:49,970 +aberrations و ال thickness و ال prismatic effect + +685 +01:03:49,970 --> 01:03:56,630 +مش حقيقية 6 او 9 طب العيب التاني false spatial + +686 +01:03:56,630 --> 01:03:57,250 +orientation + +687 +01:04:01,830 --> 01:04:06,670 +يعني الآن هذا اللي أنا لبسته نضارة عشر أو أحداش أو + +688 +01:04:06,670 --> 01:04:13,350 +اتناش plus كل ما زاد ال plus كل ما كبر أكتر، يعني + +689 +01:04:13,350 --> 01:04:17,710 +لو حطيته خمستاشر ممكن تكبره واحد و نص طيب في + +690 +01:04:17,710 --> 01:04:26,710 +الحياة العملية، الآن هو ماسك يعني بيقولوا الكاسة + +691 +01:04:26,710 --> 01:04:31,190 +.. ال .. ال .. الجازة و صوب ميه، صوب ميه في الكاسة + +692 +01:04:32,360 --> 01:04:38,100 +هو شايف الزيادة كبيرة و شايف الكاسة كبيرة بيصب ميه + +693 +01:04:38,100 --> 01:04:44,520 +و يصبها الطاولة مصبهاش في الكاسة يبقى هاي ال + +694 +01:04:44,520 --> 01:04:49,780 +orientation غلط نتيجة تكبير طيب هذا لابس نضارة ال + +695 +01:04:49,780 --> 01:04:54,940 +12 plus و نادر على الدرج down stair هو شايف الدرج + +696 +01:04:54,940 --> 01:04:58,680 +كبير ساعة + +697 +01:04:58,680 --> 01:05:05,670 +ماني و أحط رجلهبيظن إن هو وصل لدرج شاف كبير بيحط + +698 +01:05:05,670 --> 01:05:13,470 +رجله في الهوا بيقعد و جيس عليه إحراج في إحراج و + +699 +01:05:13,470 --> 01:05:21,210 +مرات بنكسر و بنجرح فبقول إن هو تحديد المكان عنده + +700 +01:05:21,210 --> 01:05:25,670 +صعبthe rate of magnification just noted introduces + +701 +01:05:25,670 --> 01:05:30,870 +a force spatial orientation ادراكه للمكان او + +702 +01:05:30,870 --> 01:05:36,770 +للمسافات خطأ لو adjustment of surroundings ما + +703 +01:05:36,770 --> 01:05:42,090 +يوحيط بيه انه كيف يعني هو يعمل اتقال معاهكما في + +704 +01:05:42,090 --> 01:05:48,890 +القراءة كما في ال .. ال text أو ال picture الصورة + +705 +01:05:48,890 --> 01:05:53,970 +كل الحاجات هذه عنده خطأ فيها ال orientation في خطأ + +706 +01:05:53,970 --> 01:05:59,290 +في تحديد المكان هذا هيمنه مشاكل زي knocking over + +707 +01:05:59,290 --> 01:06:04,750 +China مش China الصين الشعبية لأ كراميكا يعني + +708 +01:06:04,750 --> 01:06:10,710 +كراميكايعني هو في الحمام مثلا لابس نضارة مثلا أو + +709 +01:06:10,710 --> 01:06:19,290 +في المطبخ بيحط رجله .. بيحطه غلط بحساب الدرج واصل + +710 +01:06:19,290 --> 01:06:21,930 +واصل و هو ماوصلش و هذا لأنه في الليل بتصير معنا + +711 +01:06:21,930 --> 01:06:25,230 +احنا في الليل بتصير معنا و في أحداث خطيرة بتصير + +712 +01:06:25,230 --> 01:06:30,210 +الصين مع كبار السن مع كبار السن يعني هو يظن انه + +713 +01:06:30,210 --> 01:06:35,930 +واصل الدرج و هو ماوصل بيحط رجله بيجعبknocking يعني + +714 +01:06:35,930 --> 01:06:43,050 +يتزحلق على كراميكا و فيه بيصب الميه على الطاولة + +715 +01:06:43,050 --> 01:06:50,450 +بدل ما يصبها في الكاسة أو في كوبة الإجزاز يعني و + +716 +01:06:50,450 --> 01:06:57,850 +disastrous إذا كان وجع انكسر أوHamilitating our + +717 +01:06:57,850 --> 01:07:01,330 +results until eventually he learns a new visual + +718 +01:07:01,330 --> 01:07:05,710 +coordination of eye and hand لغاية ما يتعلم من + +719 +01:07:05,710 --> 01:07:10,550 +غلطة اتنين تلاتة اربع يصير يعني يقدر المسافات + +720 +01:07:10,550 --> 01:07:15,450 +الصحة الأفريقية مسكين حتى لو عملنا له نضارة أو .. + +721 +01:07:15,450 --> 01:07:21,010 +All accommodation is abolished what is abolished؟ + +722 +01:07:21,010 --> 01:07:22,250 +يشطب + +723 +01:07:26,220 --> 01:07:33,100 +لوش طب خلاص، ليش؟ لأنه no lens وماوصلوش للناس حتى + +724 +01:07:33,100 --> 01:07:38,600 +الآن تعمل good accommodation بس consequently the + +725 +01:07:38,600 --> 01:07:42,100 +patient should theoretically be proved with a pair + +726 +01:07:42,100 --> 01:07:46,460 +of spectacles for eye distancedistant vision and + +727 +01:07:46,460 --> 01:07:49,620 +near vision يعني هذا بده يلبس نضارتين which he + +728 +01:07:49,620 --> 01:07:53,400 +desires to see clearly إذا كان بده يشوف صحيح بده + +729 +01:07:53,400 --> 01:07:58,520 +نضارة لقراءة و نضارة للبعيد و الأحسن أنه يعمل + +730 +01:07:58,520 --> 01:08:02,120 +progressive لأنه بده بعيد و قريب و intermediate + +731 +01:08:02,120 --> 01:08:08,040 +فالأحسن يعمل progressive pair of lenses البعيد و + +732 +01:08:08,040 --> 01:08:12,780 +المتوسط و القريب بده progressive عشان هو affected + +733 +01:08:14,870 --> 01:08:19,350 +يعني الناس اللي مشيلهم clear lens removal عشان هو + +734 +01:08:19,350 --> 01:08:25,310 +high myopia بديهم ورمى المرحلة هذه المرة وحتى + +735 +01:08:25,310 --> 01:08:31,390 +لو كان هو immature لو كان هو immature في ال + +736 +01:08:31,390 --> 01:08:36,910 +refraction هيكون فيه loss of كل ال accommodation + +737 +01:08:36,910 --> 01:08:44,090 +وبده يعني glass مظبط علشى ليه اللي هو ال reading + +738 +01:08:47,150 --> 01:08:51,810 +خلاص خلاص انتهينا شكرا لكم على حسن اجتماع والسلام + +739 +01:08:51,810 --> 01:08:53,050 +عليكم وانا طول وايه وراك + diff --git a/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/SVEp-Mubs0M_raw.srt b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/SVEp-Mubs0M_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..db2ba06ffe468c2ccc3b31c68765e36da9deed38 --- /dev/null +++ b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/SVEp-Mubs0M_raw.srt @@ -0,0 +1,2964 @@ +1 +00:00:20,890 --> 00:00:24,830 +أعود بالعين بسم الله الرحمن الرحيم الحمد لله رب + +2 +00:00:24,830 --> 00:00:28,910 +العالمين وأصلي وأسلم على النبي الأمين محمد وعلى + +3 +00:00:28,910 --> 00:00:31,370 +آله وأصحابه والتابعين السلام عليكم ورحمة الله + +4 +00:00:31,370 --> 00:00:38,090 +وبركاته سنكمل treatment of regular astigmatism لأن + +5 +00:00:38,090 --> 00:00:41,670 +انا احنا بنعمل treatment ل regular astigmatism as + +6 +00:00:41,670 --> 00:00:45,920 +you know the first treatment wasglasses the second + +7 +00:00:45,920 --> 00:00:49,620 +contact lenses .. contact lenses of different + +8 +00:00:49,620 --> 00:00:55,740 +types .. different types in many cases the optical + +9 +00:00:55,740 --> 00:01:00,140 +treatment using glasses or contact lenses is + +10 +00:01:00,140 --> 00:01:05,140 +unsatisfactory .. unsatisfactory thus the surgical + +11 +00:01:05,140 --> 00:01:09,600 +treatment is efficient and effective in such cases + +12 +00:01:13,220 --> 00:01:18,580 +in many cases the cause of astigmatism is surgery + +13 +00:01:18,580 --> 00:01:26,040 +أساسا كان جاي من surgery زي cataract extraction أو + +14 +00:01:26,040 --> 00:01:31,080 +corneal transplantation surgery يعني هاي الشكل + +15 +00:01:31,080 --> 00:01:35,780 +هذا، هاي مثلا corneal sutures after teratoplasty، + +16 +00:01:35,780 --> 00:01:42,320 +نقل قرنية، كام suture، كام غرزة؟ عدنا من 16 قسم، + +17 +00:01:42,320 --> 00:01:51,510 +16هل after this operation انه هيكون سطح القرانية + +18 +00:01:51,510 --> 00:01:55,490 +منتظم ولا غير منتظم؟ غير منتظم، هيكون irregular + +19 +00:01:55,490 --> 00:01:59,370 +نفس الشيء عن ال cataract، هاي after cataract + +20 +00:01:59,370 --> 00:02:02,830 +extraction، هاي الغرز هنا في ال upper limb بس، هاي + +21 +00:02:02,830 --> 00:02:06,650 +واحد، اتنين، تلاتة، اربع، خمس، ستة، هل انه هيكون + +22 +00:02:06,650 --> 00:02:11,750 +هنا في أستيغماطيزم ولا .. انه أستيغماطيزم؟ + +23 +00:02:11,750 --> 00:02:16,190 +أستيغماطيزم طبعا هيكون في أستيغماطيزمالان في مثل + +24 +00:02:16,190 --> 00:02:25,530 +هذه الحالات يعني ثبت انه removal of some sutures + +25 +00:02:25,530 --> 00:02:36,710 +may improve the astigmatism كيف يعني؟ لما يكون + +26 +00:02:36,710 --> 00:02:42,070 +القرنية فيها 16 غرزة هيك وعملنا reflection لجينا + +27 +00:02:42,070 --> 00:02:48,480 +فيه high astigmatismبيقولوا إنه لو فكّينا مثلا ال + +28 +00:02:48,480 --> 00:02:53,120 +.. بعض الغرز اللي هي في الاتجاه الأقوى أو في ال + +29 +00:02:53,120 --> 00:02:55,640 +meridian الأقوى، يعني ال meridian اللي فيه شد + +30 +00:02:55,640 --> 00:03:00,660 +أكتر، مثلا ال meridian الرأسي هنا أقوى، لو كسرنا + +31 +00:03:00,660 --> 00:03:06,100 +هذه و كسرنا هذه الغرزة، بيبدأ يصير نوع من ال + +32 +00:03:06,100 --> 00:03:11,080 +release أو relaxation of the tension على + +33 +00:03:11,080 --> 00:03:11,680 +الكونانسينات + +34 +00:03:14,480 --> 00:03:18,420 +في حياتي ال cataract جالو نفس الاشي مثلا ال + +35 +00:03:18,420 --> 00:03:22,260 +meridian هذا قوي كتير لما نشيل غرزة هذي بالذات + +36 +00:03:22,260 --> 00:03:26,320 +بتريح + +37 +00:03:26,320 --> 00:03:30,900 +شوية ال astigmatism بيجل مش بتختفي بيجل عشانك في + +38 +00:03:30,900 --> 00:03:35,480 +حالات كتيرة خاصة في حياتي ال keratoplasty بصير + +39 +00:03:35,480 --> 00:03:41,580 +كلام على انه فكر ورز خلال سنة او خلال تمام شهور + +40 +00:03:43,650 --> 00:03:47,250 +العيار مش شافي كويس و بيغير نضارة و نضارة بيقوله + +41 +00:03:47,250 --> 00:03:51,330 +بعد بتفكر غرز بتحسن أما في بعض الناس مثلا بعد ست + +42 +00:03:51,330 --> 00:03:54,990 +شهور بيبدأ يفكر غرز هنا، غرز هنا، غرز هنا، حسب وين + +43 +00:03:54,990 --> 00:04:00,590 +ما في أستجماتيزم، يعني بحيث يفكر غرز و يخلي غرز، + +44 +00:04:00,590 --> 00:04:04,330 +لأ في بعض الناس كان نظرته أصعب شوية، انه مثلا إذا + +45 +00:04:04,330 --> 00:04:11,010 +كان هذا أقوى، انه لأ أنا أعمل غرز جديدة عمودي + +46 +00:04:11,010 --> 00:04:18,760 +عليه، مثلا هناعشان اوازن ال .. اللي هو الشد ال + +47 +00:04:18,760 --> 00:04:24,300 +tension هذا، اني انا اوازن، فسواء اني انا اعملت + +48 +00:04:24,300 --> 00:04:30,580 +release ب removal او اعملت extra C والشر عمودي + +49 +00:04:30,580 --> 00:04:32,940 +عليه، هذه كانت الطريقة الخديمة + +50 +00:04:36,490 --> 00:04:43,010 +ويعني بيخلي العيان to wait for time to remove such + +51 +00:04:43,010 --> 00:04:48,890 +sutures to improve the degree of astigmatism هذا + +52 +00:04:48,890 --> 00:04:52,970 +جمهور من الجراحة طبعا + +53 +00:04:52,970 --> 00:04:59,280 +في جراحة تانية اللي هو XMR Laserالـ XMR Laser ثبت + +54 +00:04:59,280 --> 00:05:06,060 +إنه فيه ممكن يكون عنده خاصية إنه to act on some + +55 +00:05:06,060 --> 00:05:11,440 +meridians more than others في السطح القناني اللي + +56 +00:05:11,440 --> 00:05:16,420 +هو يعني ياخد من meridian thickness أكتر من + +57 +00:05:16,420 --> 00:05:21,560 +meridian تاني العمودي عليه وبالتالي هو يعني + +58 +00:05:21,560 --> 00:05:26,870 +selective surgery إيش selective surgery؟انتقائية + +59 +00:05:26,870 --> 00:05:34,430 +اختيارية يعني هي القرنية مثلا هيك في Meridian هنا + +60 +00:05:34,430 --> 00:05:41,950 +القوة بتاعته مثلا ستين أسف + +61 +00:05:41,950 --> 00:05:49,390 +يعني ممكن تكون مثلا هنا أقول أربعين لأنه كوريا + +62 +00:05:49,390 --> 00:05:57,780 +اللي هنا مثلا أربع و أربعين forty-four ديوبترالان + +63 +00:05:57,780 --> 00:06:03,520 +ثبت الآن في الـ XMR Laser الحديث انه ممكن يشتغل + +64 +00:06:03,520 --> 00:06:07,700 +على الـ 44 أكتر من مش راح يشتغل على ال 40 بحيث انه + +65 +00:06:07,700 --> 00:06:15,200 +يعمل نوع من ال balance او ال equality او ال + +66 +00:06:15,200 --> 00:06:23,560 +equality فسواء اعمل PRK بال XMR Laser او LASIK + +67 +00:06:23,560 --> 00:06:28,140 +insight في و كيراته من ال uses LASIKيعني ممكن ان + +68 +00:06:28,140 --> 00:06:35,060 +هو يسوي الastigmatism في حدود معينة في حدود three + +69 +00:06:35,060 --> 00:06:41,240 +to four diopters يعني بيدي مريض عنده high + +70 +00:06:41,240 --> 00:06:47,820 +astigmatism six .. seven diopters وبيطلب ان ال X + +71 +00:06:47,820 --> 00:06:52,460 +-ray laser انه يصلحله اللي هو full correction of + +72 +00:06:52,460 --> 00:06:57,550 +astigmatism بيقوله sorryحتى الآن الاكتشاف لسه الله + +73 +00:06:57,550 --> 00:07:01,250 +أعلم من ال future بشو صير انه في حدود three to + +74 +00:07:01,250 --> 00:07:09,490 +four diopters correction of astigmatism الآن + +75 +00:07:09,490 --> 00:07:15,210 +زي ما قلنا انه حديثا لان الجراحة في القرنية لما + +76 +00:07:15,210 --> 00:07:20,230 +تكون corneal اي جراحة في القرنية زي مثلا ال cut + +77 +00:07:20,230 --> 00:07:24,530 +-rect extraction زي ما شفته هنا بالغرز هذهإلا يعمل + +78 +00:07:24,530 --> 00:07:30,290 +Astigmatism فهم يعني من عشرين سنة أو أكتر شوية + +79 +00:07:30,290 --> 00:07:35,690 +بدأوا يعتمدوا على ال tunnel approach of + +80 +00:07:35,690 --> 00:07:39,370 +التيروتشيمبر شايفين يعني هو بيجي في sclera .. + +81 +00:07:39,370 --> 00:07:46,090 +sclera بيفتح اللي هو في sclera فتحة وبينزل اه + +82 +00:07:46,090 --> 00:07:50,090 +بالcannula بتاعته أو ال probe بتاع الجراحة من + +83 +00:07:50,090 --> 00:07:56,950 +scleraوبيعمل bypassing للكونيا بصيبش الكونيا يعني + +84 +00:07:56,950 --> 00:08:00,990 +بيعمل sclera من فوق بيعمل tunnel نفق half + +85 +00:08:00,990 --> 00:08:05,210 +thickness scleral incision جوه جوه جوه جوه هيك + +86 +00:08:05,210 --> 00:08:10,790 +وبينزل في ال AC بدون ما يسيب الكونيا وبالتالي هو + +87 +00:08:10,790 --> 00:08:14,870 +مش مضطر انه يعمل astigmatism لأنه مش هيعمل اي نوع + +88 +00:08:14,870 --> 00:08:19,590 +من غرز sutures في الكونيا في the corner واضح؟ + +89 +00:08:21,980 --> 00:08:27,560 +طبعا هذه طريقة تحسينية لأنه كان في الزمن إلا يعمل + +90 +00:08:27,560 --> 00:08:31,280 +غرز في ال core يعني في ال cataract extraction إلا + +91 +00:08:31,280 --> 00:08:35,680 +يعمل غرز والغرز هذي كل غرزة لإن هو الجراح مافيش + +92 +00:08:35,680 --> 00:08:42,900 +فيه يعني ميزان أو ريتنوسكوب يجيس يعني وقلتلكوا أنا + +93 +00:08:42,900 --> 00:08:46,720 +يعني الغرزة هو بيأمنها تلت أربع مرات ال ligation + +94 +00:08:46,720 --> 00:08:52,250 +بتاعها في ال rabbitفكل ما ربط أكتر كل ما جاب + +95 +00:08:52,250 --> 00:08:59,130 +أستجماتيزم أكتر وهو بيعمل نقمن ال safe أو ال + +96 +00:08:59,130 --> 00:09:03,290 +safety لل students وباقى الشغل على ال optometrist + +97 +00:09:05,280 --> 00:09:12,120 +ما بخسوش هو بده يعمل strong safe sutures عشان + +98 +00:09:12,120 --> 00:09:16,720 +ماتعملش أي leak من ال anterior chamber ل ال + +99 +00:09:16,720 --> 00:09:20,080 +aqueous هو هي اللي يعني ايه؟ انه بده يأمل ورزه + +100 +00:09:20,080 --> 00:09:24,700 +بتاعته أما إيش عملت astigmatism؟ إيش عملت + +101 +00:09:24,700 --> 00:09:30,360 +irregularity؟ هذا دور مين؟ ال optometrist وعشان + +102 +00:09:30,360 --> 00:09:35,500 +هيك أنتوا أقولكوا شغل كتير الحمد لله، خير كتيرأكتر + +103 +00:09:35,500 --> 00:09:38,700 +عملية في العيون في العالم internationally بتنعمل + +104 +00:09:38,700 --> 00:09:41,740 +الكاتراكت + +105 +00:09:41,740 --> 00:09:45,140 +كاتراكت + +106 +00:09:45,140 --> 00:09:48,660 +بتاع ال senility مش هيقولها لأ لأ في كاتراكت pre + +107 +00:09:48,660 --> 00:09:52,100 +-senile في كاتراكت في الشباب ال traumatic في + +108 +00:09:52,100 --> 00:09:56,380 +كاتراكت congenital و في كاتراكت developmental أي + +109 +00:09:56,380 --> 00:10:02,490 +اعتماد على العدسة اي اعتمادطالما في شغل في ال + +110 +00:10:02,490 --> 00:10:05,510 +surgery في شغل في ال optometry هدول هي companions + +111 +00:10:05,510 --> 00:10:10,510 +يعني شغالين معاهم طيب يبقى هم صاروا بيعملوا حاجة + +112 +00:10:10,510 --> 00:10:16,350 +اسمها scleral tunnel approach with the use of FACO + +113 +00:10:16,350 --> 00:10:23,890 +FACO probe يعني فوق صوتية بيكسر العدسة و بيعملها + +114 +00:10:23,890 --> 00:10:28,920 +suctionmachine for cataract surgery proved to + +115 +00:10:28,920 --> 00:10:32,600 +produce less hydrogenic astigmatism يعني + +116 +00:10:32,600 --> 00:10:35,320 +الastigmatism ينتج عن الجراحة بيكون قليل نسبيا + +117 +00:10:35,320 --> 00:10:42,500 +ممكن مايكونش فيه أي نوع من الastigmatism اتكلم + +118 +00:10:42,500 --> 00:10:48,880 +على يعني هذه جراحة نقدر نقول عنها وقائية + +119 +00:10:48,880 --> 00:10:54,560 +prophylactic surgery ان احنا نعمل بطريقةلأ to see + +120 +00:10:54,560 --> 00:11:04,400 +إيه القانونية و curvature of القانونية طيب + +121 +00:11:04,400 --> 00:11:07,240 +الآن فيه band مهم اسمه irregular astigmatism احنا + +122 +00:11:07,240 --> 00:11:12,300 +كل اللي فات كان regular ال irregular عنده two + +123 +00:11:12,300 --> 00:11:16,780 +difficulties in diagnosis و difficulty تاني in + +124 +00:11:16,780 --> 00:11:23,090 +treatment يعني regular astigmatismسواء كان simple + +125 +00:11:23,090 --> 00:11:28,170 +astigmatism ، compound astigmatism هذا سهل لكن + +126 +00:11:28,170 --> 00:11:33,650 +المشكلة في ال irregular ال irregular بيقول + +127 +00:11:33,650 --> 00:11:41,650 +لي انه في irregularity in whole meridians on the + +128 +00:11:41,650 --> 00:11:43,550 +surface of the corner كل ال meridians فيها + +129 +00:11:43,550 --> 00:11:48,050 +irregularity احنا + +130 +00:11:48,050 --> 00:11:57,440 +حقيقة كل هيتنافي أن refractive astigmatism + +131 +00:11:57,440 --> 00:12:04,080 +يعني إن ده lens زي ما قولنا يعني ال .. ال lens + +132 +00:12:04,080 --> 00:12:08,780 +فيها nucleus و ال nucleus هذه فيها أكتر من واحد + +133 +00:12:08,780 --> 00:12:11,880 +وأربعة من عشرة refractive index في حين إنه ال + +134 +00:12:11,880 --> 00:12:20,020 +cortex بس one point three four مثلافحوالي ستة من + +135 +00:12:20,020 --> 00:12:28,900 +مية فرق بين اللي هو ال nucleus وبين ال cortex هذا + +136 +00:12:28,900 --> 00:12:33,820 +بيقولونه physiological astigmatism وهذا بيعملش + +137 +00:12:33,820 --> 00:12:42,550 +يعني astigmatism يعني of effectof يعني high value + +138 +00:12:42,550 --> 00:12:46,150 +يعني احنا عايشين زي ما قلنا قبل ذلك فيه + +139 +00:12:46,150 --> 00:12:50,510 +astigmatism with the rule كل هيتنا بنعاني منه + +140 +00:12:50,510 --> 00:12:53,570 +نتيجة pressure of the upper eyelid on the + +141 +00:12:53,570 --> 00:13:01,790 +kunasipisمعايشين تمام ماحاسين فيهفي حدود 0.25 to 0 + +142 +00:13:01,790 --> 00:13:08,870 +.5 ديوبتر كلنا يعني عايشين في عالم و كذلك الناس في + +143 +00:13:08,870 --> 00:13:15,870 +refractive astigmatism index astigmatism فيسيولوجي + +144 +00:13:15,870 --> 00:13:19,250 +ماقلت أنا pathology ماقلت في diabetes mellitus + +145 +00:13:19,250 --> 00:13:22,690 +مثلا او قلت في اي مرض systemic تاني لأ انا بتكلم + +146 +00:13:22,690 --> 00:13:29,360 +عليش فيسيولوجي لكن وين المتعب بتيجيتيجي في الـ + +147 +00:13:29,360 --> 00:13:33,320 +incipient cataract the + +148 +00:13:33,320 --> 00:13:36,100 +symptoms are caused indeed in this condition the + +149 +00:13:36,100 --> 00:13:40,660 +distortion may be so great as to produce polyopia + +150 +00:13:40,660 --> 00:13:48,480 +يعني الآن هاي الناس و بدأت عملية ال cataract حتى + +151 +00:13:48,480 --> 00:13:56,470 +cataract و هنا cataractو هنا كتركت و هنا كتركت و + +152 +00:13:56,470 --> 00:14:03,610 +هنا كتركت و هنا كتركت و هنا كتركت و هنا كتركت و + +153 +00:14:03,610 --> 00:14:07,270 +هنا كتركت و هنا كتركت و هنا كتركت و هنا كتركت و + +154 +00:14:07,270 --> 00:14:07,510 +هنا كتركت و هنا كتركت و هنا كتركت و هنا كتركت و + +155 +00:14:07,510 --> 00:14:07,510 +هنا كتركت و هنا كتركت و هنا كتركت و هنا كتركت و + +156 +00:14:07,510 --> 00:14:09,590 +هنا كتركت و هنا كتركت و هنا كتركت و هنا كتركت و + +157 +00:14:09,590 --> 00:14:16,490 +هنا كتركت و هنا كتركت و هنا كتركت و هنا كتركت و + +158 +00:14:16,490 --> 00:14:19,090 +هنا كتركت و هنا كتركت و هنا كتركت و هنا كتركت و + +159 +00:14:19,090 --> 00:14:24,760 +هنا كتركت و هنا كتركتوكل ما الـ iris كان dilated + +160 +00:14:24,760 --> 00:14:31,040 +كل ما كانت فيه mini refractions فيه refraction + +161 +00:14:31,040 --> 00:14:35,040 +بيكون سليم وrefraction نصف وrefraction absorb + +162 +00:14:35,040 --> 00:14:41,820 +light في العتامة بتاعة ال lens فلا + +163 +00:14:41,820 --> 00:14:45,460 +شك يعني انه اللي بدي معاكى تركت و بتقدم شوية شوية + +164 +00:14:45,460 --> 00:14:52,670 +انه يعني بصير multi-fossaimultifocal refraction + +165 +00:14:52,670 --> 00:14:56,570 +يعني مش الـrefraction بيجي على مركز شبكية في focus + +166 +00:14:56,570 --> 00:14:59,650 +واحدة point focus لا لا لا في إشي بيكون قدام، إشي + +167 +00:14:59,650 --> 00:15:03,130 +ورا، إشي كسر، إشي absorbed فهذه اللي بيقول عنه + +168 +00:15:03,130 --> 00:15:10,770 +polyopia polyopia mixed errors بتاعة الكتركتر لكن + +169 +00:15:10,770 --> 00:15:16,130 +على الأمم هذا نوع من ال irregular stigma هل هذا + +170 +00:15:16,130 --> 00:15:21,630 +بتصلح؟لأ هو جاي على زيادة بس ال cataract لو بدأ + +171 +00:15:21,630 --> 00:15:25,910 +خاصة في ال old age هو جاي على زيادة جاي كمان زيد و + +172 +00:15:25,910 --> 00:15:29,870 +زيد و زيد كمان إلى أنه يصير mature cataract with + +173 +00:15:29,870 --> 00:15:33,650 +loss .. complete loss of vision of visual equity + +174 +00:15:33,650 --> 00:15:37,110 +يبقى + +175 +00:15:37,110 --> 00:15:41,050 +هي أول سبب لأن ال Ergonomic astigmatism lenticular + +176 +00:15:41,050 --> 00:15:44,110 +لنس خاصة ال cataract يقول ال cataract ممكن يكون + +177 +00:15:44,110 --> 00:15:46,730 +senile + +178 +00:15:48,120 --> 00:15:53,260 +ممكن يكون congenital، ممكن يكون traumatic، ممكن + +179 +00:15:53,260 --> 00:15:58,720 +يكون complicated، نتيجة عن مرض، complicated زي + +180 +00:15:58,720 --> 00:16:01,320 +مثلا diabetes mellitus، بيجي yearly، diabetes + +181 +00:16:01,320 --> 00:16:06,080 +mellitus بيعمل yearly cataract نسبيةو في ناس بيجي + +182 +00:16:06,080 --> 00:16:12,220 +developmental نواتج وراثية يعني من عشرين بيبدأ + +183 +00:16:12,220 --> 00:16:14,960 +وبعدين في التلاتين بيكون صار mature لسه عمره + +184 +00:16:14,960 --> 00:16:18,060 +تلاتين سنة شباب صار معاه بيقول هذا developmental + +185 +00:16:18,060 --> 00:16:23,400 +خلاص الجين بتاعه حامل كترة ال mark degree of + +186 +00:16:23,400 --> 00:16:27,400 +regular astigmatism is commonly found لسبب + +187 +00:16:27,400 --> 00:16:32,140 +pathology in the colon و بعدين احنا يعني خلينا + +188 +00:16:32,140 --> 00:16:39,190 +صريحينيعني ال lens في موضوع ال astigmatism حالتها + +189 +00:16:39,190 --> 00:16:46,770 +قليل لأنه refractive power بتاعتها نسبيا 17-18 + +190 +00:16:46,770 --> 00:16:53,730 +ديوبترز لكن ال cornea أي خلل في ال cornea ال power + +191 +00:16:53,730 --> 00:16:59,050 +بتاعتها أكتر من 42 أكتر من 42 فأي خلل في السطح + +192 +00:16:59,050 --> 00:17:03,530 +القناني بيعمل يعني market astigmatism + +193 +00:17:06,130 --> 00:17:10,890 +مثلا احنا بتكلم على ال corneal pathology فيه + +194 +00:17:10,890 --> 00:17:15,810 +corneal inflammation ايش inflammation؟ keratitis + +195 +00:17:15,810 --> 00:17:22,890 +فيه corneal trauma اه ال corneal trauma بصيانة + +196 +00:17:22,890 --> 00:17:27,210 +healing يعني واحد مثلا هاي القرنية صاب و قطع و + +197 +00:17:27,210 --> 00:17:31,510 +أخده غرزة فيها غرزة طبعا مع الأيام هتصير healed + +198 +00:17:31,510 --> 00:17:35,910 +healed ب scar لأنه ال biomass من ال brainما + +199 +00:17:35,910 --> 00:17:39,870 +بتجددش؟ بتجددش، بيعمل scar، هذا scar .. طب إذا + +200 +00:17:39,870 --> 00:17:46,070 +كانه central، ال visual axis بيمر .. مابقدرش يمر + +201 +00:17:46,070 --> 00:17:49,630 +.. ال .. ال .. ال light مابقدرش يمر و بالتالي + +202 +00:17:49,630 --> 00:17:53,470 +هيعمل .. يعني market deterioration of it .. market + +203 +00:17:53,470 --> 00:17:57,220 +deterioration of itلكن if كانوا peripheral كل مكان + +204 +00:17:57,220 --> 00:18:01,060 +أبعد على .. عن ال center كل مكان أقل تأثيرا فيه + +205 +00:18:01,060 --> 00:18:05,920 +astigmatism ده شك لأنه تحد بالقانونية حتى في ال + +206 +00:18:05,920 --> 00:18:10,460 +periphery لو صارله أي مشكلة في scar هيعمل + +207 +00:18:10,460 --> 00:18:14,520 +astigmatism لكن مش هيعمل vision رغم وجود + +208 +00:18:14,520 --> 00:18:18,360 +الastigmatism لكن لو كان central عمله opacity ب + +209 +00:18:18,360 --> 00:18:22,920 +scar هنا ممكن يعمل إيش very market يعني و لو يشوف + +210 +00:18:22,920 --> 00:18:24,840 +واحدة ع ستين مشكلة + +211 +00:18:26,830 --> 00:18:30,470 +يبقى القنانية شوفنا كيف فيها scar أو healing of + +212 +00:18:30,470 --> 00:18:33,630 +trauma وشوفنا فيها ال inflammation وشوفنا فيها + +213 +00:18:33,630 --> 00:18:36,990 +corner ulceration ايش ulceration؟ تقرر .. تقرر في + +214 +00:18:36,990 --> 00:18:40,630 +القنانية طبعا تقرر في القنانية ان وجع العلاج + +215 +00:18:40,630 --> 00:18:44,850 +effective حسيله healing بس healing بإيش؟ ب scar زي + +216 +00:18:44,850 --> 00:18:49,230 +الصورة هذه شايف؟ high corner ulcer high corner + +217 +00:18:49,230 --> 00:18:51,350 +ulcer صار له healing كيف؟ + +218 +00:18:53,460 --> 00:18:58,220 +مشكلة كبيرة يعني احنا صاحب نفرح ان قرحة القرنية + +219 +00:18:58,220 --> 00:19:03,960 +صارها healing لكن ما بعد ال healing فيه scars .. + +220 +00:19:03,960 --> 00:19:08,980 +فيه scars اذا كان ال scar central لازم القرنية هذه + +221 +00:19:08,980 --> 00:19:14,900 +تنشال او ترتقع تترقع لازم نروحها و هنتكلم مع + +222 +00:19:14,900 --> 00:19:20,360 +الرقعة منفعش يفضل scar اذا كانوا central انه موجود + +223 +00:19:23,780 --> 00:19:30,080 +يبقى الكونيا هي مصدر الخطر أكتر شيء حقيقة في + +224 +00:19:30,080 --> 00:19:37,700 +الكونيا كمان في pathology هتكلم عنه في ما يسمى بال + +225 +00:19:37,700 --> 00:19:44,940 +keratokonas keratokonas حقيقة هذا مرض not uncommon + +226 +00:19:44,940 --> 00:19:50,100 +condition شائع إلى حد ما في مجتمعنا في مجتمعات + +227 +00:19:50,100 --> 00:19:56,740 +كثيرةأغرب حاجة فيه يعني هاي الكون يا مثلا الكون يا + +228 +00:19:56,740 --> 00:20:04,200 +normal انه بيصير كون تحت ال center شايفين؟ مش + +229 +00:20:04,200 --> 00:20:08,880 +central هنا لأ تحت ال center وهي مناقشة .. يعني + +230 +00:20:08,880 --> 00:20:13,600 +السبب بتاع ال irregular astigmatism ال catacombs + +231 +00:20:13,600 --> 00:20:20,420 +بيعمل irregular astigmatism لأن الكون أ أ below + +232 +00:20:20,420 --> 00:20:22,020 +the center تحت ال center + +233 +00:20:25,280 --> 00:20:30,220 +يبقى الكون يعني bulged forwards يعني تتمدد إلى + +234 +00:20:30,220 --> 00:20:36,740 +الأمام into the shape of a كون في شكل مخرج ..شكل + +235 +00:20:36,740 --> 00:20:41,700 +مخرج the apex being slightly below the center طبعا + +236 +00:20:41,700 --> 00:20:47,600 +هذا حينتهج عنه irregular myopic astigmatism + +237 +00:20:47,600 --> 00:20:53,200 +irregular myopic astigmatism أي حاجة كده تكونش + +238 +00:20:55,380 --> 00:20:58,480 +الشيء العجيب أن هذا المرض Progressive يعني + +239 +00:20:58,480 --> 00:21:03,260 +Progressive nature يعني انا شوف المرضى و ربنا + +240 +00:21:03,260 --> 00:21:08,980 +هيالي اني اتبعه يعني اول ما بدأ ست يعني و امرها + +241 +00:21:08,980 --> 00:21:19,860 +اشرين سنة مثلا اجت بنص طيوبتر Astigmatism طبعا .. + +242 +00:21:19,860 --> 00:21:27,960 +ايه لأ .. هذي ..وصلحناها إلى نص نص بعد سنة إجت + +243 +00:21:27,960 --> 00:21:41,860 +واحد و نص DC بعد سنة إجت Nanorobot DC غابت سنتين + +244 +00:21:41,860 --> 00:21:50,100 +إجت أربعة four DC الفرق + +245 +00:21:50,100 --> 00:21:53,060 +بين نص و أربعة تمان أضعاف + +246 +00:21:57,260 --> 00:22:01,680 +يعني لما كانت هنا مثلا خمسة و عشرين سنة، ستة و + +247 +00:22:01,680 --> 00:22:09,900 +عشرين سنة، سبعة و عشرين سنة، سنة و تلاتين سنة واضح + +248 +00:22:09,900 --> 00:22:18,520 +أنه في progressive increase in the astigmatism و + +249 +00:22:18,520 --> 00:22:23,700 +في الأيلاد هنشوف احنا كيف نتصرف يعنيبفي promising + +250 +00:22:23,700 --> 00:22:26,120 +nature of the disease so that the optical + +251 +00:22:26,120 --> 00:22:29,980 +conditions tend constantly to change حتى لما قلت + +252 +00:22:29,980 --> 00:22:38,160 +له نضارة اليوم بعد تلت شهور هاجيه يقولك في new + +253 +00:22:38,160 --> 00:22:44,360 +decrease of visual ability تعملوا كمان نضارة بعد + +254 +00:22:44,360 --> 00:22:49,480 +ست شهور معاك اه في new or more decrease و + +255 +00:22:49,480 --> 00:22:55,600 +deterioration of visionالانسان الجاهد بيقول انه + +256 +00:22:55,600 --> 00:23:01,320 +هاد هيك طبيعي، انه هذا الإنسان يعني عينه بتتطلب + +257 +00:23:01,320 --> 00:23:05,520 +نظارة جديدة، عدسات جديدة، عدسات جديدة، إذا كان + +258 +00:23:05,520 --> 00:23:09,960 +الهدف تجاري بيعملنا عن التشخيصإذا كان أدب تجاري + +259 +00:23:09,960 --> 00:23:14,220 +بيمينة عن التشخيص لازم التشخيص يكون واضح إن احنا + +260 +00:23:14,220 --> 00:23:19,520 +متعامل مع حالة غير ثابتة وحالة تتقدم باستمرار + +261 +00:23:19,520 --> 00:23:25,880 +وحالة تؤثر على مجمل function of the eye Diagnosis + +262 +00:23:25,880 --> 00:23:30,080 +of irregular astigmatism must be done with corneal + +263 +00:23:30,080 --> 00:23:30,880 +topography + +264 +00:23:33,360 --> 00:23:38,860 +سطح العين conia topography that reveals سأكشف a + +265 +00:23:38,860 --> 00:23:42,620 +red circle in the lower half of the affected conia + +266 +00:23:42,620 --> 00:23:50,700 +يبقى هنلاقي احنا في الأول ال conia هنلاقي دائرة + +267 +00:23:50,700 --> 00:23:55,120 +صغيرة ولها أحمر بعد + +268 +00:23:55,120 --> 00:24:03,040 +سنة هنلاقي هذه كبرت بعد سنة كبرت كمانبعد سنين هنجي + +269 +00:24:03,040 --> 00:24:10,040 +أحتلت كل النصف الصوفي من القرارات على طول شفنا + +270 +00:24:10,040 --> 00:24:14,600 +الدائرة بتكبر كل شوية إذا إحنا في حالة keratocosis + +271 +00:24:14,940 --> 00:24:21,240 +و هذا ينسجم تماما مع ال power of astigmatism كل ما + +272 +00:24:21,240 --> 00:24:27,840 +ال circle في النصف السفلي القرنية increase in size + +273 +00:24:27,840 --> 00:24:34,980 +كل ما اللي هو ال power of astigmatism هذا ال + +274 +00:24:34,980 --> 00:24:43,200 +diagnosis تشخيص تشخيص بدون corner topography هو + +275 +00:24:43,200 --> 00:24:44,040 +ضيع للوقت + +276 +00:24:47,230 --> 00:24:51,270 +يعني لا يكفي انه الإنسان في حالات في الكيراتو كونس + +277 +00:24:51,270 --> 00:24:56,470 +بتتشخص صحيح يعني بال experience و بال sit lamp و + +278 +00:24:56,470 --> 00:25:02,890 +.. و .. و بعض ال science الأخرى لكن بيجي الكورنة + +279 +00:25:02,890 --> 00:25:08,550 +ال topography can detect early keratoconus early + +280 +00:25:08,550 --> 00:25:14,280 +keratoconusلذلك لو أول مرة كان أسطيجماتيزم و يجي + +281 +00:25:14,280 --> 00:25:20,360 +بعد هيك ست شهور أو سنة زايد أحاوله على كونه تبقى و + +282 +00:25:20,360 --> 00:25:24,440 +هنجيب ان شاء الله نجيب صور و نوريكم كيف اللي هو + +283 +00:25:24,440 --> 00:25:34,200 +بيزيد كيف بيزيد اللي هو الكيراتوكونس بالتدريج طيب + +284 +00:25:34,200 --> 00:25:40,740 +الآن بدنا نعالج احنا شخصنا بدنا نعالج هو هقوللي + +285 +00:25:42,220 --> 00:25:49,300 +أشاسا الهندسة اللي قايم عليها القرنية في أبعادها + +286 +00:25:49,300 --> 00:25:56,400 +وغير موجودة هنا طالما + +287 +00:25:56,400 --> 00:26:03,260 +صار irregular astigmatism من scar أو + +288 +00:26:03,260 --> 00:26:11,100 +من keratokonas وفي أمراض أخرىزي keratoglobus او او + +289 +00:26:11,100 --> 00:26:16,920 +او الـ geometrical figure او design او the cornea + +290 +00:26:16,920 --> 00:26:23,460 +ا is no more regular مافيش شي دلوقتي وبالتالي + +291 +00:26:23,460 --> 00:26:26,740 +العلاج + +292 +00:26:26,740 --> 00:26:34,200 +بالجلوس و بالkotak lenses هيكون difficult حتى + +293 +00:26:34,200 --> 00:26:41,990 +التشخيص باستخدام ال retinascopeهو difficult و + +294 +00:26:41,990 --> 00:26:47,430 +scissor shadow اللي خدتوه عنده scissor shadow ايضا + +295 +00:26:47,430 --> 00:26:57,470 +عملية مرهقة و trial and error method هي يعني عملية + +296 +00:26:57,470 --> 00:27:03,590 +معقولة يعني التجريب والخطأ يعني انا حاطله مثلا + +297 +00:27:03,590 --> 00:27:14,080 +minus cylinderو ألف في أكتر من محور في سبيل أنه + +298 +00:27:14,080 --> 00:27:20,780 +المريض يشوف تحسن فإنه بدأ يتحسن أعطيه مثلا بدأ 1 1 + +299 +00:27:20,780 --> 00:27:26,060 +.5 اتحسن أكتر أعطيه 2 اتحسن أعطيه 2.5 أعطيه 3 لما + +300 +00:27:26,060 --> 00:27:32,520 +يبطل التحسن هذه trial and error لأن أنا بعطيه إيش؟ + +301 +00:27:32,520 --> 00:27:37,850 +بعطيه سلندرو بخليه هو يلف في ال 360 ده مثلا وين + +302 +00:27:37,850 --> 00:27:44,050 +بال one مثلا شارت على شارت سنين أحسن ببدأ أزيده + +303 +00:27:44,050 --> 00:27:51,030 +إيش قوة العدسة و هكذا بقولي spectacle lenses غالبا + +304 +00:27:51,030 --> 00:27:55,230 +ما بتجيب نتيجة و هي بتعمل disappointment يعني + +305 +00:27:55,230 --> 00:28:02,670 +إحباط أو خيبة أمل أه و نجاح small لكن أحيانا يصدف + +306 +00:28:03,300 --> 00:28:09,100 +occasionally صدفة انه تعمل a factory في ال + +307 +00:28:09,100 --> 00:28:13,660 +improvement النضارة خاصة في keratoconus يعني انا + +308 +00:28:13,660 --> 00:28:20,080 +بعرف ناس keratoconus يعني في حدود minus two DC + +309 +00:28:20,080 --> 00:28:25,400 +وقدر الله عز وجل انه توقف في سن معين وعايش بال two + +310 +00:28:25,400 --> 00:28:35,240 +تمام سلندر في ناس عايشصح إنه ال correction six + +311 +00:28:35,240 --> 00:28:43,120 +eighteen، six twelve أو بينهم، بس، لكن يعني أحسن + +312 +00:28:43,120 --> 00:28:51,440 +من بلاش، تفضل ال glasses هي أسهل في ال use و أرخص + +313 +00:28:51,440 --> 00:28:57,680 +في ال price، أرخص في ال price، لكن هذه قلال، قلة + +314 +00:28:57,680 --> 00:28:58,900 +اللي برتاح للنظارة + +315 +00:29:01,250 --> 00:29:05,570 +نيجي لموضوع ال rigid gas permeable contact lenses + +316 +00:29:05,570 --> 00:29:08,990 +ال hard contact lenses may have an effect + +317 +00:29:08,990 --> 00:29:12,710 +relatively better than spectacle lenses وقلنا ليش + +318 +00:29:12,710 --> 00:29:19,850 +وضربنا مثال بالروز كيه فاكر روز كيه ضربنا مثال + +319 +00:29:19,850 --> 00:29:25,090 +بالروز كيه ان هي بتعمل new surface new surface + +320 +00:29:25,090 --> 00:29:29,670 +يعني هاي الكوميةهى ال .. هى ال .. ال cone شايفين + +321 +00:29:29,670 --> 00:29:33,410 +ال cone؟ هى عملت a new surface وهنا اللى هو ال + +322 +00:29:33,410 --> 00:29:37,990 +tear film هنا نفس الحاجة هى ال cone وهى عملت a new + +323 +00:29:37,990 --> 00:29:41,510 +surface هنا هى ال cone وهى عملت ال fitting بتاعها + +324 +00:29:41,510 --> 00:29:46,310 +الكامل وع فكرة يعني اكتر من over eighty percent of + +325 +00:29:46,310 --> 00:29:49,630 +patients internationally عملوا اللى هو successful + +326 +00:29:49,630 --> 00:29:53,890 +fitting successful fitting و good vision وحقيقة + +327 +00:29:53,890 --> 00:30:02,060 +انه يعنيجيدة أو جيدة جدا روسكي contact lens خاصة + +328 +00:30:02,060 --> 00:30:07,460 +في الكارتكونات و برضه في ال another او other اللي + +329 +00:30:07,460 --> 00:30:14,640 +هو regular astigmatism إلى حد ما جيدة طبعا + +330 +00:30:14,640 --> 00:30:20,420 +في ناس ولا بيقتنع بهذا ولا بهذا ولا بهذا ولا بال + +331 +00:30:20,420 --> 00:30:23,700 +.. بال glasses ولا بال legit gas permeable contact + +332 +00:30:23,700 --> 00:30:28,910 +lens ولا بروسكيإذا هو رايح على surgery surgery + +333 +00:30:28,910 --> 00:30:32,830 +يعني جرح in + +334 +00:30:32,830 --> 00:30:36,310 +other + +335 +00:30:36,310 --> 00:30:39,590 +cases, operative measures may be indicated and + +336 +00:30:39,590 --> 00:30:42,810 +where the condition is serious انا عندى + +337 +00:30:42,810 --> 00:30:47,270 +keratoplasty ال keratoplasty transplantation نقل + +338 +00:30:47,270 --> 00:30:57,630 +قرنية قسم نقل القرنية إلى نوعية إلى كلو جزءى + +339 +00:30:57,630 --> 00:31:07,510 +penetrating keratoplasty هو ان انا اجى اشيل الجزء + +340 +00:31:07,510 --> 00:31:12,050 +التالف من القرانية للعيانة + +341 +00:31:12,050 --> 00:31:19,210 +اعمل refining جصف و اخلى bid هذه المنطقة bid عشان + +342 +00:31:19,210 --> 00:31:23,920 +ألحم فيها القرانية الجديدةو أجيب من donor، donor + +343 +00:31:23,920 --> 00:31:35,580 +غالبا بيكون يعني died man او woman ميت جديد يعني و + +344 +00:31:35,580 --> 00:31:43,580 +بعمل refining لقنية بتاعته و أشيل اللي هو ال + +345 +00:31:43,580 --> 00:31:48,760 +central part و أجيب أحط بدل ال .. إيش؟ بدل اللي .. + +346 +00:31:48,760 --> 00:31:50,300 +اللي شيل مثلا زي هيك + +347 +00:31:53,250 --> 00:32:00,890 +زي هي، يعني أنا هدت جزء مريض، روحت قصيته و طلعته و + +348 +00:32:00,890 --> 00:32:06,790 +جبت جزء جديد، new من دونر و حطيته ورز و لزجته في + +349 +00:32:06,790 --> 00:32:11,350 +تلت من ستين درجة و الورز هيمكن تكون interrupted كل + +350 +00:32:11,350 --> 00:32:17,610 +واحد لحالي يعني أو continuous running نفس الخيار، + +351 +00:32:17,610 --> 00:32:20,390 +mean يعني أحسن كل واحد إله يعني + +352 +00:32:23,530 --> 00:32:28,710 +هذا بيقولوا penetrating لأنه نقل كله جزء من + +353 +00:32:28,710 --> 00:32:33,870 +القانونية بدل الجزء التاني خلاص هيك برتاح و هذا + +354 +00:32:33,870 --> 00:32:38,050 +حقيقي و مطبق في العالم في موضوع ال keratoconus و + +355 +00:32:38,050 --> 00:32:45,330 +موضوع ال scars و الكلام التاني أحيانا بصير النقل + +356 +00:32:45,330 --> 00:32:55,410 +طبقي أو جزئي بحيث أنهلأنه من عيب الكل حاجة اسمها + +357 +00:32:55,410 --> 00:33:00,430 +graft rejection، ايش graft rejection؟ ازاها .. + +358 +00:33:00,430 --> 00:33:07,730 +graft .. graft .. الرجع يعني rejection، ايش + +359 +00:33:07,730 --> 00:33:17,170 +rejection؟ طرد، الجسم يطرد القرنية الجديدة، لأن + +360 +00:33:17,170 --> 00:33:22,050 +مافيش matchingفش انسجام جهاز المناع عن الانفوسايتز + +361 +00:33:22,050 --> 00:33:29,670 +بيهاجم الـ new graft اللي احنا نجلناها و بيعملها ك + +362 +00:33:29,670 --> 00:33:34,170 +foreign protein foreign body يفضل يرسللها + +363 +00:33:34,170 --> 00:33:38,110 +الانفوسايتز و يدمر فيها و يدمر فيها و يدمر فيها + +364 +00:33:38,110 --> 00:33:44,910 +لغاية ما تصير opaque و تصير failed operation تفشع + +365 +00:33:44,910 --> 00:33:52,280 +بيسيبهاش إلي عامةالحين هذه بيحكوا أسهل عملية هي + +366 +00:33:52,280 --> 00:33:56,340 +زراعة القرانية ناجل القرانية ناجل القرانية ناجل + +367 +00:33:56,340 --> 00:33:57,300 +القرانية ناجل القرانية ناجل القرانية ناجل القرانية + +368 +00:33:57,300 --> 00:33:57,600 +ناجل القرانية ناجل القرانية ناجل القرانية ناجل + +369 +00:33:57,600 --> 00:33:57,600 +القرانية ناجل القرانية ناجل القرانية ناجل القرانية + +370 +00:33:57,600 --> 00:33:57,640 +ناجل القرانية ناجل القرانية ناجل القرانية ناجل + +371 +00:33:57,640 --> 00:33:59,140 +القرانية ناجل القرانية ناجل القرانية ناجل القرانية + +372 +00:33:59,140 --> 00:34:00,780 +ناجل القرانية ناجل القرانية ناجل القرانية ناجل + +373 +00:34:00,780 --> 00:34:06,080 +القرانية ناجل القرانية ناجل القرانية ناجل القرانية + +374 +00:34:06,080 --> 00:34:11,840 +ناجل القرانية + +375 +00:34:11,840 --> 00:34:16,000 +ناجل الق + +376 +00:34:20,050 --> 00:34:31,090 +كيف ال quamia of the donor الميت احنا يعني سلبنا + +377 +00:34:31,090 --> 00:34:36,470 +منها ال endothelium مع ال dismis جشرناها يعني + +378 +00:34:36,470 --> 00:34:41,150 +أخدنا بس منها ال epithelium و ال bowmans و ال + +379 +00:34:41,150 --> 00:34:47,150 +stroma تلاتة و شيلنا منها حدفنا منها ال + +380 +00:34:47,150 --> 00:34:56,330 +endotheliumو ال dismiss الان المريض اللي بنجله + +381 +00:34:56,330 --> 00:35:03,970 +العكس حدفنا منه ال epithelium و ال bowmans و ال + +382 +00:35:03,970 --> 00:35:11,270 +trauma و خلينا مكانه ال dismiss و ال endothelium + +383 +00:35:11,270 --> 00:35:16,130 +خليني أقول ذلك و جيبنا الرجعة الثلاثية هذه و + +384 +00:35:16,130 --> 00:35:21,620 +حطيناها عليهاوخيطناها و اكتبت انه احسن طريقة لمنع + +385 +00:35:21,620 --> 00:35:28,320 +ال rejection و انا اوريكوا الصورة هاي القرنة + +386 +00:35:28,320 --> 00:35:34,020 +المريضة بتاعة العيانة الان احنا خلين ال death mix + +387 +00:35:34,020 --> 00:35:38,440 +مع ال endothelium هيه وشيلنا الباقي من هنا لهنا + +388 +00:35:38,440 --> 00:35:45,240 +شيلناه خلاص برا هيه الجزء هذا خلاص رمناه لانه تالف + +389 +00:35:46,010 --> 00:35:52,710 +وخلّينا شايفين خطين؟ Endothelium مع Desmites الآن + +390 +00:35:52,710 --> 00:35:57,770 +اللي هي ال .. ال pinkish هذه أو ال violet هذه اللي + +391 +00:35:57,770 --> 00:36:03,170 +هو donor corneal button is stripped سلخنا منه + +392 +00:36:03,170 --> 00:36:07,610 +Desmites membrane و ال endothelium and placed in + +393 +00:36:07,610 --> 00:36:16,470 +host اللي هنجيبه وين لانه؟ مكان هنا في المريميبقى + +394 +00:36:16,470 --> 00:36:24,290 +هجيبنا من المية كوريا بدون اندوثيليام و بدون .. + +395 +00:36:24,290 --> 00:36:28,450 +Desmets و حطناها و خيطناها في تاتمين و ستين درجة + +396 +00:36:28,450 --> 00:36:32,750 +دون الكوريا البطون سيوشارد in place خيطناها بقول + +397 +00:36:32,750 --> 00:36:37,050 +أن هذه أفضل طريقة لملر كرياتوبلاستي اللي تمنع عيش + +398 +00:36:37,050 --> 00:36:44,690 +rejection graft rejectionليش؟ لأنه يعني .. كأنه .. + +399 +00:36:44,690 --> 00:36:49,070 +يعني ال .. ال dismits و ال endothelium و الأصليين + +400 +00:36:49,070 --> 00:36:53,350 +أعطوا إشارة جهاز المناعة إنه احنا بخير، اقررني أم + +401 +00:36:53,350 --> 00:36:59,490 +أحكي؟ اخدين بالكوا؟ هم الأصليين، إيش ركّبنا عالم + +402 +00:36:59,490 --> 00:37:04,790 +جديد؟ مش هو مفتاح السر، كلمة السر في ال + +403 +00:37:04,790 --> 00:37:09,780 +endothelium و ال dismitsلأن هم الأصليين، فهم أعطوا + +404 +00:37:09,780 --> 00:37:15,660 +إشارة إنه احنا بخير و كويسين، بس المشكلة إن أحيانا + +405 +00:37:15,660 --> 00:37:23,560 +بيكون قرانية المريض كلها تالفةيعني مثلا أكلت ضربة + +406 +00:37:23,560 --> 00:37:30,140 +هنا فصار كله scar full thickness opacity .. full + +407 +00:37:30,140 --> 00:37:35,900 +thickness opacity مش هينفع فيها إلا ملا .. مش + +408 +00:37:35,900 --> 00:37:39,280 +هينفع فيها إلا إيش؟ إلا ال penetrating + +409 +00:37:39,280 --> 00:37:45,740 +keratoplasty، نجل القرنية؟ طبعا برضه يعني الأطباء + +410 +00:37:45,740 --> 00:37:51,940 +ما بيجسروابيعطوا أشياء تقلل هجوم جهاز المناعة على + +411 +00:37:51,940 --> 00:37:58,700 +القرانين خاصة قطرات الكورتيزون steroidal eye drops + +412 +00:37:58,700 --> 00:38:07,300 +و لو زاد ممكن يعطوا systemic كورتيزون أقراس كمان و + +413 +00:38:07,300 --> 00:38:20,040 +ممكن لو زاد يعطواحاجات زي anti-cancer drugs يعني + +414 +00:38:20,040 --> 00:38:29,000 +حاجات بتجلل المناعة، اه زي CycloSporane و مثلًا + +415 +00:38:29,000 --> 00:38:33,720 +Methotrexate لو + +416 +00:38:33,720 --> 00:38:38,380 +كان هجوم المناعة شاسع على اللي هو لجرافة جديدة طب + +417 +00:38:38,380 --> 00:38:42,120 +يعني هذا يعني مسكين بتدمر حياته يعني في بعض الناس + +418 +00:38:42,120 --> 00:38:48,710 +يعني حط كل ما يملك من الأموال و نمل عمليةو الأمل + +419 +00:38:48,710 --> 00:38:56,790 +خاص إذا كانوا سن صغير يعني عشرين اتنين عشرين صبايا + +420 +00:38:56,790 --> 00:39:02,270 +شباب يعني مهندس طبيب يكمل حياته يعني أو إذا كانوا + +421 +00:39:02,270 --> 00:39:07,830 +optometrist مثلا فيعني احنا بنقاوم جهاز المنع أنه + +422 +00:39:07,830 --> 00:39:13,030 +يغزولـ new graft هذه اللي عملناها بكل الوسائل، + +423 +00:39:13,030 --> 00:39:17,030 +يعني frequent drops كورتازون، ممكن tablets + +424 +00:39:17,030 --> 00:39:21,830 +كورتازون، لو ما نجحنا ممكن نضيفلهم anti-cancer + +425 +00:39:21,830 --> 00:39:27,150 +drugs ورقم هيك فيه خمسة في المية ما بيصير عندهم؟ + +426 +00:39:27,150 --> 00:39:31,430 +اه فيه نسبة مرفض الجسم، رفضا تماما انه هذه الغريب + +427 +00:39:31,430 --> 00:39:39,790 +يسكن هنا، مرفضه، طيب هو فيه قاعدة حقيقيةاحنا + +428 +00:39:39,790 --> 00:39:42,430 +بنتكلم على irregular astigmatism أشمال من + +429 +00:39:42,430 --> 00:39:48,050 +keratoconus الkeratoconus نوع واحد يعني في عدة + +430 +00:39:48,050 --> 00:39:51,110 +أسباب لل irregular astigmatism لكن أشهرها و أكتر + +431 +00:39:51,110 --> 00:40:00,050 +انتشرا هي keratoconus طب هو أنا مدفن بس يعني متوسط + +432 +00:40:00,050 --> 00:40:06,130 +ال thickness of the cornea هنا حوالي خمسمية micron + +433 +00:40:08,630 --> 00:40:12,530 +طبعا هذا في ال center و في ال periphery أكتر شويه + +434 +00:40:12,530 --> 00:40:17,570 +سبعة و ستين تقريبا في ال periphery ممكن نصير ستمية + +435 +00:40:17,570 --> 00:40:21,670 +و خمسين أو ستمية و سبعين micron في ال periphery + +436 +00:40:21,670 --> 00:40:28,470 +صح؟ تعالى في الكراتو كونس بالكوا يعني .. كل ما + +437 +00:40:28,470 --> 00:40:33,610 +اتقدم الكراتو كونس، ايش اللي بيصير؟ تنس للكورنيا + +438 +00:40:33,610 --> 00:40:35,990 +تنس + +439 +00:40:38,300 --> 00:40:42,340 +يعني ممكن ال .. الخمسمية هالي أجيها مثلا بعد سنة + +440 +00:40:42,340 --> 00:40:47,500 +.. سنة أربعمية و خمسين، بعد سنة تانية أجيها + +441 +00:40:47,500 --> 00:40:53,960 +أربعمية و ممكن تصل لتلتمية في بعض الحالات، severe + +442 +00:40:53,960 --> 00:40:58,680 +كده تكون مثلا أجيها تلتمية، تلتمية إيش؟ micron، + +443 +00:40:58,680 --> 00:41:05,060 +micron طيب، الآن يا طالباتي + +444 +00:41:07,580 --> 00:41:12,920 +الموضوع ال LASIK و ال PRK محتمد على إيش؟ Cornea + +445 +00:41:12,920 --> 00:41:20,480 +thickness Cornea thickness يعني إنه أنا بدي أحاول + +446 +00:41:20,480 --> 00:41:26,740 +أصحى العيب البصري ب reformation of corneal surface + +447 +00:41:26,740 --> 00:41:33,500 +عن طريق لإن أعمل ablationلجزء من thickness of the + +448 +00:41:33,500 --> 00:41:38,180 +stroma thickness of the stroma بدي انا احرق جزء من + +449 +00:41:38,180 --> 00:41:42,800 +ال stroma وبالتالي اعمل deformation يعني ال curved + +450 +00:41:42,800 --> 00:41:49,480 +corner هاني اخليها بطريقة less curved شوية flat + +451 +00:41:49,480 --> 00:41:56,120 +less curved وبالتالي ال axis هذا انا على الأقل + +452 +00:41:56,120 --> 00:42:03,940 +أخرته واحد ملي او اتنين ملي عن مكانطيب، لكن في + +453 +00:42:03,940 --> 00:42:08,480 +حاجة إنه ال keratoconus ال thickness بتاعه تلتمية، + +454 +00:42:08,480 --> 00:42:13,840 +إيش أعمل أنا؟ مش راح يظبط اللازم لذاك في ناس في .. + +455 +00:42:13,840 --> 00:42:19,620 +يعني كتب في جامعات عالمية أكدوا إنه يجب تجنيب + +456 +00:42:19,620 --> 00:42:24,860 +العين اللي فيها ال keratoconus أي نوع من ال + +457 +00:42:24,860 --> 00:42:30,120 +ablation أقولك أي نوع من ال surgery، أي نوع من ال + +458 +00:42:30,120 --> 00:42:37,590 +surgeryلأنه تماما مشبه البلون اللي أنا بنفخ فيه كل + +459 +00:42:37,590 --> 00:42:42,810 +ما أنفخ فيه أو الطفل اللي بنفخ فيه بيفرح أنه كبر + +460 +00:42:42,810 --> 00:42:49,450 +حجمه لكن هو لا يدري هذا كبر الحجم على حسب إيش؟ على + +461 +00:42:49,450 --> 00:42:57,030 +حسب ال thickness إلى أن يصل حد وعيّن ينفجر و + +462 +00:42:57,030 --> 00:43:04,500 +القنيزةإذا ما هذا keratoconus تقدم إلى حدود أكتر + +463 +00:43:04,500 --> 00:43:08,240 +من اللازم فضغط العين الداخلي intraacral pressure + +464 +00:43:08,240 --> 00:43:13,380 +هيعمل يعني اكتزية أكتر تمدد أكتر أكتر أكتر ممكن + +465 +00:43:13,380 --> 00:43:19,260 +تصير yielding أو rapture of the colon طيب واحد + +466 +00:43:19,260 --> 00:43:26,690 +إيجاني أناما astigmatism و ما عملتله انا يعني + +467 +00:43:26,690 --> 00:43:31,830 +pacimetry اسمه اللي بيجيس ال .. ال CCTV ال center + +468 +00:43:31,830 --> 00:43:37,230 +of control يعني لقيته 300 و انا عارف انه عشان انا + +469 +00:43:37,230 --> 00:43:42,650 +عمله full correction يمكن بتاخد كمان متين عشان + +470 +00:43:42,650 --> 00:43:45,630 +اعمله full correction بتاخده 200 طب ماذا ابقيت في + +471 +00:43:45,630 --> 00:43:49,930 +القرنية؟ بتروح القاعدة بتقولك إذا كان القرنية أقل + +472 +00:43:49,930 --> 00:43:52,090 +من 400 ممنوع تصيبها + +473 +00:43:55,320 --> 00:44:03,820 +لأنه أي قلة عن الاربعمية بيخلي في weak conia weak + +474 +00:44:03,820 --> 00:44:06,120 +conia، thin conia، لو صارت تلت مية وخمسين أو تلت + +475 +00:44:06,120 --> 00:44:11,940 +مية بيصير weak conia وبالتالي أنا مش ملزم أن أعمل + +476 +00:44:11,940 --> 00:44:15,680 +عملية لهذا الانسان، هذا الشيء، نهيك عن حاجة تانية + +477 +00:44:15,680 --> 00:44:21,560 +إن الكيروتوكونس هو progressive disease، إيش + +478 +00:44:21,560 --> 00:44:27,300 +progressive؟يتقدم كل شوية بيمشي لبنان وبالتالي انا + +479 +00:44:27,300 --> 00:44:36,560 +لا آمن انه لو تقدم بعد العملية ان يقضي على ما تبقى + +480 +00:44:36,560 --> 00:44:39,960 +لان كل تقدم بيخليه more than .. more than .. more + +481 +00:44:39,960 --> 00:44:45,240 +than وبالتالي ال Lasik العادي ممنوع و ال PRK + +482 +00:44:45,240 --> 00:44:51,470 +العادي ممنوع طلعوا الآن جائز اسمه Lasikبقول عنه + +483 +00:44:51,470 --> 00:44:57,250 +laser epithelial keratomyosis وهذا حقيقة يعني + +484 +00:44:57,250 --> 00:45:01,470 +باستخدم سكين أفضل من ال LASIK من ال micro keratome + +485 +00:45:01,470 --> 00:45:06,810 +اسمه Trefine و Trefine هذا بيعمل very thin + +486 +00:45:06,810 --> 00:45:11,750 +epithelial flap this makes LASIK ideal for people + +487 +00:45:11,750 --> 00:45:18,570 +whose corneas are too thin for LASIK موضوع موضوع + +488 +00:45:18,570 --> 00:45:24,150 +انه يعنيإنه احنا ال .. ال .. ال flap بتاعتنا more + +489 +00:45:24,150 --> 00:45:29,950 +thin والسكين بتاعنا يعني حال جدا و very thin و إشي + +490 +00:45:29,950 --> 00:45:35,770 +لكن هذه risky، risky يعني إيش؟ مجازفة، هذه risky + +491 +00:45:35,770 --> 00:45:43,030 +مجازفة طبعا هذا باللغةاليابانية Japanese language + +492 +00:45:43,030 --> 00:45:51,690 +كيف؟ يعني بيعملوا LASIK كيف بيعملوا LASIK؟ اه اللي + +493 +00:45:51,690 --> 00:45:56,790 +هو بيقولوا انه بيعمل very thin flap of epithelium + +494 +00:45:56,790 --> 00:46:02,070 +بنفعل ال .. الastigmatism اللي مش keratokonus + +495 +00:46:02,070 --> 00:46:06,610 +بنفعل الastigmatism اللي مش فيه thin cornea، كويس + +496 +00:46:06,610 --> 00:46:11,320 +يعنيطيب هنتقل على موضوع جديد Refractive Error + +497 +00:46:11,320 --> 00:46:17,740 +الجديد Africa و حابب انا ب question شهير لأن احنا + +498 +00:46:17,740 --> 00:46:25,100 +لو شوفنا واحد في car accident و + +499 +00:46:25,100 --> 00:46:33,520 +طبعا هم علجوا في المستشفى العمومي من جراحهإذا كان + +500 +00:46:33,520 --> 00:46:36,260 +في ال head إذا كان في ال face غرزوله و عملوله و + +501 +00:46:36,260 --> 00:46:39,800 +إشي لما صحي العيانة اللي بقول أنا والله عيني ما + +502 +00:46:39,800 --> 00:46:45,480 +بتشوف طبعا الجرحين بتاع ال general surgery ما + +503 +00:46:45,480 --> 00:46:49,560 +بيعرفوا في العين راحوا طلبوا طبيب العيون إلحقوني + +504 +00:46:49,560 --> 00:46:54,520 +يا عم شوفوا عينه و إشي لجي عينه مش فيها عدسة + +505 +00:46:54,520 --> 00:47:00,280 +العدسة ساقطة في البتريا السؤال + +506 +00:47:00,280 --> 00:47:06,680 +الآنإنه إيش ال expectation بتاعك؟ اتوقع أنه يكون + +507 +00:47:06,680 --> 00:47:11,600 +refractive power of this eye refractive power of + +508 +00:47:11,600 --> 00:47:18,680 +this eye ال lens بتاعه وقعت وين؟ خلعت dislocated + +509 +00:47:18,680 --> 00:47:24,020 +أو falling بستيروري in the petris chamber إيش اللي + +510 +00:47:24,020 --> 00:47:24,500 +صار؟ + +511 +00:47:37,490 --> 00:47:41,230 +hypermetropia طيب احنا خليني احسبها خليني احسبها + +512 +00:47:41,230 --> 00:47:44,950 +خليني احسبها احنا بدنا نقنعكوا اقنع بدنا عشان + +513 +00:47:44,950 --> 00:47:56,230 +نجيبلكوا إجابة في بعض الاقناع؟ لأ طيب الان ايه ال + +514 +00:47:56,230 --> 00:48:01,290 +anatomy بيقول لي ان هنا انا عندي حواليتان و + +515 +00:48:01,290 --> 00:48:06,250 +أربعين، في ال normal اتن و أربعين، تلات و أربعين و + +516 +00:48:06,250 --> 00:48:10,750 +عندي هنا تمانتاش، تساعتاش، يعني بتختلف شوية من + +517 +00:48:10,750 --> 00:48:16,870 +واحد لواحد المجموع قاعدين بصاروا إيش؟ تسعة و خمسين + +518 +00:48:19,970 --> 00:48:24,310 +طبعا ال incident light أو ال rays اللي واجه على + +519 +00:48:24,310 --> 00:48:29,310 +القرنية عملته convergence على العدسة و العدسة + +520 +00:48:29,310 --> 00:48:35,170 +عملته convergence على ال .. إيش؟ ال macula point + +521 +00:48:35,170 --> 00:48:41,830 +focus هاي الإتفة طيب اللي أنا انضرب العدسة وجهت + +522 +00:48:41,830 --> 00:48:46,230 +هنا سرقة + +523 +00:48:46,230 --> 00:48:55,010 +فيكالقرن اللي موجودة هتعمل تجميع لإشواء، + +524 +00:48:55,010 --> 00:49:03,170 +مش هتلاقي عدسة، الاشواء أين هيروح؟ هينطلق، مافيش + +525 +00:49:03,170 --> 00:49:09,690 +إشي جامعه، وياه ياخد راحته هنا، يبقى هيبرمترو بلا + +526 +00:49:09,690 --> 00:49:18,370 +ميوب؟ هاي هيبرمترو، بلقنا، صحك؟ طيبيبقى although + +527 +00:49:18,370 --> 00:49:21,570 +the term suggests the absence يعني الأفكيه معناها + +528 +00:49:21,570 --> 00:49:25,530 +absence of the lens from the eye is usually taken + +529 +00:49:25,530 --> 00:49:29,490 +to embrace يحتوي those conditions wherein the lens + +530 +00:49:29,490 --> 00:49:32,970 +is absent from pupillary area مش بس أنه ال lens + +531 +00:49:32,970 --> 00:49:39,330 +وقعت أماما أو خلفا، لأ كونه ال lens وزيحت من هذه + +532 +00:49:39,330 --> 00:49:44,390 +المنطقة في ال visual axis سميت أفكيه، يعني توسعنا + +533 +00:49:44,390 --> 00:49:50,130 +في المصطلح أو في تعريف المصطلحطيب ما هي أسباب + +534 +00:49:50,130 --> 00:49:55,730 +الأفكيه؟ أسباب كثيرة يعني الملاكمين واحد ضرب box + +535 +00:49:55,730 --> 00:50:01,130 +في ال face وجعت العناصر هاي مثلا traumatic هذي + +536 +00:50:01,130 --> 00:50:05,890 +شائعة شائعة عشان هناك في .. يعني الملاكم بيحمي وشه + +537 +00:50:05,890 --> 00:50:12,310 +كتير الملاكم دايما .. دايما بيدافع عن وجهه بشكل و + +538 +00:50:12,310 --> 00:50:16,130 +احنا في الإسلام نهينا عن ضرب الوجه + +539 +00:50:19,040 --> 00:50:26,760 +الوجه يعني رمز الكرامة، رمز الكرامة، وفيه العين + +540 +00:50:26,760 --> 00:50:36,480 +وفيه الأنف وفيه الأسنان وبعده المخ، أي تلف في + +541 +00:50:36,480 --> 00:50:43,640 +الوجه ممكن يعمل شيء كبير يعني، منهينا عن ضرب ليش؟ + +542 +00:50:43,640 --> 00:50:50,040 +الوجه، يبقى traumatic، هذا اسمه traumatic Apneaهذه + +543 +00:50:50,040 --> 00:50:53,220 +كتير في ال car accidents مثلا حوارات السيارات صحيح + +544 +00:50:53,220 --> 00:51:04,380 +في surgical apnea surgical apnea احنا + +545 +00:51:04,380 --> 00:51:12,260 +اخدناها في .. لما يكون في عندنا high myopia احيانا + +546 +00:51:12,260 --> 00:51:17,820 +بنعمل عملية removalof the clear crystalline lens + +547 +00:51:17,820 --> 00:51:22,800 +to make balance between اللي هو الhypermetropia + +548 +00:51:22,800 --> 00:51:27,160 +اللي جاءت جديد والmyopia اللي أساساً خاصة إن يكون + +549 +00:51:27,160 --> 00:51:30,640 +في high myopia إيش high myopia؟ إحنا بنعمل lesic + +550 +00:51:30,640 --> 00:51:33,960 +يعني بدنا نشيل نص القرانية عشان نصلح الخمستاشر أو + +551 +00:51:33,960 --> 00:51:37,840 +الستاشر أو العشرين ذيوبتر myopia لأ القرانية مش + +552 +00:51:37,840 --> 00:51:42,580 +شيء رخيص لأ القرانية شيء بناء كبير جدا في العين + +553 +00:51:42,580 --> 00:51:49,330 +ممكن مالاجيش في بلادنايعني ..كونوا ال banks أو ال + +554 +00:51:49,330 --> 00:51:53,990 +bank اللي .. القرانية .. القرانية و حتى لو لجي + +555 +00:51:53,990 --> 00:51:59,230 +وزرع نقل القرانية ممكن تصير rejected تصير مطرود و + +556 +00:51:59,230 --> 00:52:04,670 +بعدين .. يصيرنا احنا في عمل ففي ناس بيقولك لأ يا + +557 +00:52:04,670 --> 00:52:08,830 +عمي انا اشيل العدسة و بضح فيها و بعمل surgical + +558 +00:52:08,830 --> 00:52:09,570 +aphemia + +559 +00:52:12,560 --> 00:52:17,620 +بحيث أعمل balance ويخلق القرانية بصحة وعافية في + +560 +00:52:17,620 --> 00:52:24,180 +كنتين تلاقى فاكهة في newborn بيلاقوا مش عنده عدسة + +561 +00:52:24,180 --> 00:52:29,740 +طيب في traumatic dislocation اللي هو بنضرب ضربة + +562 +00:52:29,740 --> 00:52:34,960 +اتجاه وادي موجودة كتير inside the eye مش بتطلع برا + +563 +00:52:34,960 --> 00:52:40,120 +يعني ال trauma الأولانية في wound مثلا في القرانية + +564 +00:52:40,120 --> 00:52:44,320 +طلعت منه عدسةلكن أحيانا ضربة بتيجي بتسقط العدسة + +565 +00:52:44,320 --> 00:52:50,340 +الخاصة في ال vitreous بتلاقي العدسة يعني ball + +566 +00:52:50,340 --> 00:52:55,420 +صغيرة في ال .. في ال vitreous طيب + +567 +00:52:55,420 --> 00:53:01,600 +في حاجة معينة يعني + +568 +00:53:01,600 --> 00:53:03,700 +اه + +569 +00:53:08,060 --> 00:53:13,680 +طيب هاي .. يعني أنتوا في التشخيص ملاحظين ال .. ال + +570 +00:53:13,680 --> 00:53:21,280 +.. ال .. ال .. ال AC يعني واضحة أنه هنا جت black + +571 +00:53:21,280 --> 00:53:27,920 +أسود غامض ملاحظين هنا ال .. في slit lamp أخدتوا + +572 +00:53:27,920 --> 00:53:30,680 +slit lamp ال AC very deep + +573 +00:53:33,760 --> 00:53:41,400 +very deep يعني فشي لنز تعمل support ل ال iris هي + +574 +00:53:41,400 --> 00:53:48,980 +ورا فشي لنز فصارت deep a c وقلنا tremulous iris في + +575 +00:53:48,980 --> 00:53:52,120 +ال anatomy tremulous يعني لو ضويت عليه بصير يرجف + +576 +00:53:52,120 --> 00:53:58,500 +ال iris فهذه surgical affect طيب + +577 +00:53:58,500 --> 00:54:06,160 +أي عين بتكون واحد من ثلاثةيا بتكون ا فاكهة واحد، + +578 +00:54:06,160 --> 00:54:15,080 +يا بتكون فاكهة .. فاكهة اتنين، + +579 +00:54:15,080 --> 00:54:21,260 +هاي اتنين، فاكهة .. يا بتكون صدوا فاكهة، قولولي + +580 +00:54:21,260 --> 00:54:24,780 +بالله حضراتكوا و قللي جالسين أمامي أنتوا أي نوع من + +581 +00:54:24,780 --> 00:54:33,500 +التلاتة؟ فاكهة فاكهة اكيد؟ اه اكيدطيب و ال + +582 +00:54:33,500 --> 00:54:39,120 +pseudophytic ايش يعني؟ كادب اصلا ايه ال + +583 +00:54:39,120 --> 00:54:42,280 +pseudophytic؟ كادب اصلا ايش يعني كادب؟ كان باين + +584 +00:54:42,280 --> 00:54:46,920 +انه عنده عدسة بس عنداه ايش عنده؟ كان باين انه عنده + +585 +00:54:46,920 --> 00:54:54,100 +عدسة بس هو .. لأ اللي بيسرها عدسة .. ايوة ايوة حط + +586 +00:54:54,100 --> 00:54:58,940 +في عينه بدل العدسة ال cataractis هذه حط I O L + +587 +00:55:00,090 --> 00:55:03,750 +intraocular lens اللي هي من poly methyl مثل + +588 +00:55:03,750 --> 00:55:09,990 +اكريليت، مادة مش بالزجاج، اه، يبقى .. احنا سألنا + +589 +00:55:09,990 --> 00:55:14,590 +انتوا من أي نوع من ال ice كول كول كول؟ فاكك، فاكك + +590 +00:55:14,590 --> 00:55:21,450 +ice، الحمد لله، اللي شال العدسة وماحطش عدسة بدلها؟ + +591 +00:55:21,450 --> 00:55:25,030 +applicant، واللي شال عدسة وحط بدلها عدسة؟ + +592 +00:55:25,030 --> 00:55:30,510 +Sodofacic، Sodofacicطبعا انا مابدش اقرر بس اقول + +593 +00:55:30,510 --> 00:55:36,830 +انه العين strongly hypermetropic والأنتيرو focal + +594 +00:55:36,830 --> 00:55:45,410 +point آسف الفوكس تيجي على واحد و تلاتين ميلي بدل + +595 +00:55:45,410 --> 00:55:48,790 +اربع و عشرين يعني احنا عندنا ابتقاع الشبكية في + +596 +00:55:48,790 --> 00:55:52,750 +اربع و عشرين ميلي خارج القانونية الناس هذول عشان + +597 +00:55:52,750 --> 00:55:57,640 +مافيش لاز ابتقى وينأه طب في الstudio fake يوما + +598 +00:55:57,640 --> 00:56:02,960 +بتيجي اعمل ع الشبكية ع الشبكية لأنه العدسة ال IOL + +599 +00:56:02,960 --> 00:56:06,800 +ال reflection بتاعها زي ال reflection اصلا زي ال + +600 +00:56:06,800 --> 00:56:13,780 +reflection بس مافيش فيها opacity طيب + +601 +00:56:13,780 --> 00:56:16,940 +يبقى احنا اذا كان احنا بدنا نصلح العين هالي بدنا + +602 +00:56:16,940 --> 00:56:21,580 +نحط اقل اشي 10 ديوبتر حسب ال reflection this 10 + +603 +00:56:21,580 --> 00:56:25,300 +ديوبتر plus ولا minus + +604 +00:56:28,820 --> 00:56:31,480 +plus انا هو minus نحطه في النضارة plus ولا minus + +605 +00:56:31,480 --> 00:56:37,280 +plus plus عشان عدسة مجمعة لإنه شوية ورا الشبكة + +606 +00:56:37,280 --> 00:56:41,060 +يابنان جمعه على الشبكة تزود القوة طيب in Africa + +607 +00:56:41,060 --> 00:56:43,940 +the optical conditions are completely changed for + +608 +00:56:43,940 --> 00:56:47,400 +diopetric apparatus has been reduced to a single + +609 +00:56:47,400 --> 00:56:50,320 +refractive surface ايش ال single refractive + +610 +00:56:50,320 --> 00:56:56,640 +surface اللي في الظلم كورنياالكونيا ومافيش شي ورا + +611 +00:56:56,640 --> 00:57:03,480 +الا سطح اللي هو aqueous اللي هو و اللي هو vitreous + +612 +00:57:03,480 --> 00:57:06,900 +هل ال aqueous و ال vitreous reflecting surfaces + +613 +00:57:06,900 --> 00:57:13,450 +ولا لأ؟ ال aqueous، ماشيالـ Refractive Surface + +614 +00:57:13,450 --> 00:57:17,950 +اللى كان بعد القرنية هو اللنز واللنز غايبة واللنز + +615 +00:57:17,950 --> 00:57:22,590 +غايبة يبقى الـ aqueous و ال vitreous هم ال + +616 +00:57:22,590 --> 00:57:26,550 +refractive index بتاعهم قريب من واحد تلاتة من عشرة + +617 +00:57:26,550 --> 00:57:30,670 +وما اللي هم مش فالموضوع فصار انه single refractive + +618 +00:57:30,670 --> 00:57:36,330 +surface اللى هو الكهربا وبالتالي احنا اكتر اشي + +619 +00:57:36,330 --> 00:57:41,340 +بتتحول اللى هو ال anterior focal point بتصير23 + +620 +00:57:41,340 --> 00:57:48,100 +وكسر بدل 17 و12 يعني احنا في ال normal check I ال + +621 +00:57:48,100 --> 00:57:51,790 +anterior focal point بتاعتناأه سبعتاش و اتنين و + +622 +00:57:51,790 --> 00:57:55,750 +عشرة قريبا من ال back vertex لكن ناس ال aficic + +623 +00:57:55,750 --> 00:57:59,490 +بصير تلاتة و عشرين و كاسر و هذا الكلام ال cardinal + +624 +00:57:59,490 --> 00:58:02,030 +points of reduced I أخدته مع الدكتور عمر في + +625 +00:58:02,030 --> 00:58:06,810 +geometrical optics يبقى ال aficic I سبعتاش و اتنين + +626 +00:58:06,810 --> 00:58:10,930 +و عشرة و ال aficic I تلاتة و عشرين و اتنين و عشرة + +627 +00:58:10,930 --> 00:58:17,270 +هذه ال slide مثلا جبت optics of unaficic I و هذه + +628 +00:58:17,270 --> 00:58:25,540 +مهمةالـ optics فيه ست مقاطع مهمة جدا اللي عينا + +629 +00:58:25,540 --> 00:58:29,940 +high hypermetropia قولناها ال total power of the + +630 +00:58:29,940 --> 00:58:35,280 +eye forty-five .. forty-four ليش؟ لأنه مش حاسس + +631 +00:58:35,280 --> 00:58:39,740 +الادسة لأنه مش حاسس الادسة اللي كانت بتكمل ال + +632 +00:58:39,740 --> 00:58:45,220 +power طيب ال affective eye consists of single + +633 +00:58:45,220 --> 00:58:50,450 +refracting surface اللي هو الكونيةA consists of + +634 +00:58:50,450 --> 00:58:55,130 +curved surface للكونية A separating two media of + +635 +00:58:55,130 --> 00:58:58,950 +different refractive indices الأكيوس والبتريس + +636 +00:58:58,950 --> 00:59:04,350 +قريبين من بعض في المعامل الإنكسار الـ anterior + +637 +00:59:04,350 --> 00:59:12,490 +focal point بصير 23.2 بدل 17.2 اللي في normal eye + +638 +00:59:12,490 --> 00:59:20,260 +الـ posterior focal pointبدالة 24 صارت 31 يعني خلف + +639 +00:59:20,260 --> 00:59:26,460 +الشبكية علما انه كل واحد millimeter زيادة بيعمل + +640 +00:59:26,460 --> 00:59:30,980 +three diopters hyper metropia total loss of + +641 +00:59:30,980 --> 00:59:36,180 +accumulation ليش؟ لأن راحت الادرسة طب السر يبقى + +642 +00:59:36,180 --> 00:59:40,240 +سليمة طب + +643 +00:59:40,240 --> 00:59:43,360 +لو حتى الذنوب السليمما هي مرتبطة ب تلات شغلات ال + +644 +00:59:43,360 --> 00:59:47,640 +zeniots و ال .. ال cellulite .. ادات التنفيذ .. + +645 +00:59:47,640 --> 00:59:53,060 +ادات التنفيذ هي ال lens، ادات الأمر هي ال + +646 +00:59:53,060 --> 00:59:58,520 +cellulite، و الموصل ال zeniots زي اللي هو + +647 +00:59:58,520 --> 01:00:05,220 +التليفونات، في اللي هو مصدر .. مصدر الإرسال + +648 +01:00:05,220 --> 01:00:11,750 +الحراري في المحطةالاسلاك على الأعمدة إلى أن تدخل + +649 +01:00:11,750 --> 01:00:18,690 +البيت هذه اسلاك ال news والتليفون + +650 +01:00:18,690 --> 01:00:24,750 +هو البنجل والسماعات بتاعك لو كل الحرارة والاسلاك + +651 +01:00:24,750 --> 01:00:30,530 +تمام والجهاز عطلان مش هتسمع حاجة هذه هي ال lens + +652 +01:00:30,530 --> 01:00:36,250 +بشيلوا ال lens وحتى لو حطوا lens صناعية مكانها مش + +653 +01:00:36,250 --> 01:00:46,940 +هتقدرواهذا خلق الله فاروني ماذا حلق الذين من دونه + +654 +01:00:46,940 --> 01:00:54,300 +سورة ايش؟ لقمان، صحيح طيب، الآن هنمشي بس بسرعة + +655 +01:00:54,300 --> 01:01:00,980 +كلمتين صغار على disadvantages of Africa ما هي + +656 +01:01:00,980 --> 01:01:06,440 +مساوئ الأفريقيا طيب، + +657 +01:01:06,440 --> 01:01:12,700 +بس أنا بتسأل جاملة سؤاللواحد أفاكية ولبسناها نظارة + +658 +01:01:12,700 --> 01:01:16,880 +بتفضل أفاكية ولا .. ولا بتروح الأفاكية؟ لأ بتظل + +659 +01:01:16,880 --> 01:01:21,340 +برضه أفاكية لإن ال lens مش موجودة طيب، واحد أفاكية + +660 +01:01:21,340 --> 01:01:24,940 +ولبسناها contact lens لأ برضه نفس الشيء برضه + +661 +01:01:24,940 --> 01:01:31,540 +الأفاكية في فرق بين uncorrected أفاكية وفي فرق بين + +662 +01:01:31,540 --> 01:01:35,680 +corrected أفاكية لكن كله أفاكية في uncorrected + +663 +01:01:35,680 --> 01:01:39,980 +خلاص الشيء اللي عادة ساومشيhigh hypertrophy وخبص + +664 +01:01:39,980 --> 01:01:44,780 +زي منكم لكن فيه خففنا عنه الأفكيه انه حطينا له + +665 +01:01:44,780 --> 01:01:50,700 +نضارة او عدسة لصحى طب لو زرعناله عدسة جوا في عينه + +666 +01:01:50,700 --> 01:02:00,480 +بصير صد أفكيه ماصارش fake it مارجعش مارجعش انشلنا + +667 +01:02:00,480 --> 01:02:03,140 +العدسة الأصلية لايمكن يرجع fake it و لو حطيناله كل + +668 +01:02:03,140 --> 01:02:03,480 +عدسة + +669 +01:02:08,620 --> 01:02:17,440 +أول عيب enlargement of the image طبعا + +670 +01:02:17,440 --> 01:02:21,140 +هذا اللابس نضارة الراديو لهذا لابس نضارة corrected + +671 +01:02:21,140 --> 01:02:28,860 +ع فكرك I عنده التكميل من واحد في الناس العاديين + +672 +01:02:28,860 --> 01:02:32,280 +إلى واحد وستة وتلاتين نسبة + +673 +01:02:33,890 --> 01:02:40,270 +يعني .. يعني هذا هيشوف الساعة جدنا احنا بنشوفها + +674 +01:02:40,270 --> 01:02:44,370 +واحد و تلت هل + +675 +01:02:44,370 --> 01:02:51,970 +تكبير ولا مش تكبير؟ تكبير طيب هو عروف انه ال + +676 +01:02:51,970 --> 01:02:56,470 +lenses اللي هو لابسها كل ما ابعدها عن عينه كل ما + +677 +01:02:56,470 --> 01:03:01,370 +شاف أكبر كل ما جربها عن عينه يشوف أقللذلك انا بشوف + +678 +01:03:01,370 --> 01:03:08,630 +بعض الناس حتى الفاكهة لابس نضارة plus زي هذه هو + +679 +01:03:08,630 --> 01:03:14,390 +لابس نضارة plus لما بديه يقرأ بيعمل هيكدا ليش + +680 +01:03:14,390 --> 01:03:21,110 +هو عامل كده؟ بتكبر اكتر لما بيعمل plus شايفين؟ هيك + +681 +01:03:21,110 --> 01:03:25,730 +يعني تلاقي بنفسك اكتر شوف اكبر وهذا وضع ال + +682 +01:03:25,730 --> 01:03:30,050 +corrected affect يعنيكل ما نزل عدسة شويه كل ما كان + +683 +01:03:30,050 --> 01:03:40,030 +براتله اكتر 35 او 30 او 25% طيب بيقول من العيوب ان + +684 +01:03:40,030 --> 01:03:42,990 +ممكن انا اعمله refraction و احطله عدسة يشوف فيها 6 + +685 +01:03:42,990 --> 01:03:47,490 +او 9 لكن في الحقيقة العملية هو شوف 6 او 12 عشان ال + +686 +01:03:47,490 --> 01:03:49,970 +aberrations و ال thickness و ال prismatic effect + +687 +01:03:49,970 --> 01:03:56,630 +مش حقيقية 6 او 9 طب العيب التاني false spatial + +688 +01:03:56,630 --> 01:03:57,250 +orientation + +689 +01:04:01,830 --> 01:04:06,670 +يعني الآن هذا اللي أنا لبسته نضارة عشر أو أحداش أو + +690 +01:04:06,670 --> 01:04:13,350 +اتناش plus كل ما زاد ال plus كل ما كبر أكتر، يعني + +691 +01:04:13,350 --> 01:04:17,710 +لو حطيته خمستاشر ممكن تكبره واحد و نص طيب في + +692 +01:04:17,710 --> 01:04:26,710 +الحياة العملية، الآن هو ماسك يعني بيقولوا الكاسة + +693 +01:04:26,710 --> 01:04:31,190 +.. ال .. ال .. الجازة و صوب ميه، صوب ميه في الكاسة + +694 +01:04:32,360 --> 01:04:38,100 +هو شايف الزيادة كبيرة و شايف الكاسة كبيرة بيصب ميه + +695 +01:04:38,100 --> 01:04:44,520 +و يصبها الطاولة مصبهاش في الكاسة يبقى هاي ال + +696 +01:04:44,520 --> 01:04:49,780 +orientation غلط نتيجة تكبير طيب هذا لابس نضارة ال + +697 +01:04:49,780 --> 01:04:54,940 +12 plus و نادر على الدرج down stair هو شايف الدرج + +698 +01:04:54,940 --> 01:04:58,680 +كبير ساعة + +699 +01:04:58,680 --> 01:05:05,670 +ماني و أحط رجلهبيظن إن هو وصل لدرج شاف كبير بيحط + +700 +01:05:05,670 --> 01:05:13,470 +رجله في الهوا بيقعد و جيس عليه إحراج في إحراج و + +701 +01:05:13,470 --> 01:05:21,210 +مرات بنكسر و بنجرح فبقول إن هو تحديد المكان عنده + +702 +01:05:21,210 --> 01:05:25,670 +صعبthe rate of magnification just noted introduces + +703 +01:05:25,670 --> 01:05:30,870 +a force spatial orientation ادراكه للمكان او + +704 +01:05:30,870 --> 01:05:36,770 +للمسافات خطأ لو adjustment of surroundings ما + +705 +01:05:36,770 --> 01:05:42,090 +يوحيط بيه انه كيف يعني هو يعمل اتقال معاهكما في + +706 +01:05:42,090 --> 01:05:48,890 +القراءة كما في ال .. ال text أو ال picture الصورة + +707 +01:05:48,890 --> 01:05:53,970 +كل الحاجات هذه عنده خطأ فيها ال orientation في خطأ + +708 +01:05:53,970 --> 01:05:59,290 +في تحديد المكان هذا هيمنه مشاكل زي knocking over + +709 +01:05:59,290 --> 01:06:04,750 +China مش China الصين الشعبية لأ كراميكا يعني + +710 +01:06:04,750 --> 01:06:10,710 +كراميكايعني هو في الحمام مثلا لابس نضارة مثلا أو + +711 +01:06:10,710 --> 01:06:19,290 +في المطبخ بيحط رجله .. بيحطه غلط بحساب الدرج واصل + +712 +01:06:19,290 --> 01:06:21,930 +واصل و هو ماوصلش و هذا لأنه في الليل بتصير معنا + +713 +01:06:21,930 --> 01:06:25,230 +احنا في الليل بتصير معنا و في أحداث خطيرة بتصير + +714 +01:06:25,230 --> 01:06:30,210 +الصين مع كبار السن مع كبار السن يعني هو يظن انه + +715 +01:06:30,210 --> 01:06:35,930 +واصل الدرج و هو ماوصل بيحط رجله بيجعبknocking يعني + +716 +01:06:35,930 --> 01:06:43,050 +يتزحلق على كراميكا و فيه بيصب الميه على الطاولة + +717 +01:06:43,050 --> 01:06:50,450 +بدل ما يصبها في الكاسة أو في كوبة الإجزاز يعني و + +718 +01:06:50,450 --> 01:06:57,850 +disastrous إذا كان وجع انكسر أوHamilitating our + +719 +01:06:57,850 --> 01:07:01,330 +results until eventually he learns a new visual + +720 +01:07:01,330 --> 01:07:05,710 +coordination of eye and hand لغاية ما يتعلم من + +721 +01:07:05,710 --> 01:07:10,550 +غلطة اتنين تلاتة اربع يصير يعني يقدر المسافات + +722 +01:07:10,550 --> 01:07:15,450 +الصحة الأفريقية مسكين حتى لو عملنا له نضارة أو .. + +723 +01:07:15,450 --> 01:07:21,010 +All accommodation is abolished what is abolished؟ + +724 +01:07:21,010 --> 01:07:22,250 +يشطب + +725 +01:07:26,220 --> 01:07:33,100 +لوش طب خلاص، ليش؟ لأنه no lens وماوصلوش للناس حتى + +726 +01:07:33,100 --> 01:07:38,600 +الآن تعمل good accommodation بس consequently the + +727 +01:07:38,600 --> 01:07:42,100 +patient should theoretically be proved with a pair + +728 +01:07:42,100 --> 01:07:46,460 +of spectacles for eye distancedistant vision and + +729 +01:07:46,460 --> 01:07:49,620 +near vision يعني هذا بده يلبس نضارتين which he + +730 +01:07:49,620 --> 01:07:53,400 +desires to see clearly إذا كان بده يشوف صحيح بده + +731 +01:07:53,400 --> 01:07:58,520 +نضارة لقراءة و نضارة للبعيد و الأحسن أنه يعمل + +732 +01:07:58,520 --> 01:08:02,120 +progressive لأنه بده بعيد و قريب و intermediate + +733 +01:08:02,120 --> 01:08:08,040 +فالأحسن يعمل progressive pair of lenses البعيد و + +734 +01:08:08,040 --> 01:08:12,780 +المتوسط و القريب بده progressive عشان هو affected + +735 +01:08:14,870 --> 01:08:19,350 +يعني الناس اللي مشيلهم clear lens removal عشان هو + +736 +01:08:19,350 --> 01:08:25,310 +high myopia بديهم ورمى المرحلة هذه المرة وحتى + +737 +01:08:25,310 --> 01:08:31,390 +لو كان هو immature لو كان هو immature في ال + +738 +01:08:31,390 --> 01:08:36,910 +refraction هيكون فيه loss of كل ال accommodation + +739 +01:08:36,910 --> 01:08:44,090 +وبده يعني glass مظبط علشى ليه اللي هو ال reading + +740 +01:08:47,150 --> 01:08:51,810 +خلاص خلاص انتهينا شكرا لكم على حسن اجتماع والسلام + +741 +01:08:51,810 --> 01:08:53,050 +عليكم وانا طول وايه وراك + diff --git a/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/Sm5mkAPXElo_raw.json b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/Sm5mkAPXElo_raw.json new file mode 100644 index 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بتروح العدسة بتاعته بيصير high high برمتروب صح طيب هو بتصير high high برمتروب و هو أساسا مايوب فبتعادل مع بعض مش بالظبط ممكن يكون واحد او اتنين هنا او هنا high برمتروب او مايوب يظلون", "tokens": [28820, 11296, 8032, 7578, 11778, 3224, 8032, 7578, 4032, 15042, 30767, 2288, 3615, 1863, 33599, 15844, 21136, 3555, 3555, 11778, 3224, 3714, 43020, 7251, 9381, 13546, 4772, 7251, 9381, 13546, 4772, 1975, 5016, 8315, 6225, 9640, 5172, 9957, 13672, 7578, 39894, 32887, 5016, 18863, 3215, 3794, 3660, 39894, 995, 34268, 3224, 4724, 1829, 9381, 13546, 1090, 1090, 4724, 2288, 2304, 2655, 32887, 3555, 20328, 5016, 23032, 1829, 3555, 31439, 39894, 9381, 13546, 1090, 1090, 4724, 2288, 2304, 2655, 32887, 3555, 4032, 31439, 5551, 3794, 32277, 995, 19446, 1829, 37746, 6156, 3555, 2655, 3615, 18513, 1211, 20449, 45030, 11242, 37893, 20666, 19913, 3555, 9566, 3714, 43020, 7251, 30544, 36764, 24401, 1975, 2407, 1975, 2655, 1863, 9957, 34105, 1975, 2407, 34105, 1090, 4724, 2288, 2304, 2655, 32887, 3555, 1975, 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"probability": 0.822998046875}, {"start": 1753.79, "end": 1754.49, "word": " انه", "probability": 0.845458984375}, {"start": 1754.49, "end": 1754.81, "word": " بقول", "probability": 0.982177734375}, {"start": 1754.81, "end": 1755.21, "word": " زيادة", "probability": 0.9610595703125}, {"start": 1755.21, "end": 1756.01, "word": " الكيربيتشار", "probability": 0.906494140625}, {"start": 1756.01, "end": 1757.25, "word": " leads", "probability": 0.1829833984375}, {"start": 1757.25, "end": 1757.63, "word": " in", "probability": 0.833984375}, {"start": 1757.63, "end": 1758.17, "word": " myopia", "probability": 0.83837890625}, {"start": 1758.17, "end": 1758.81, "word": " بقول", "probability": 0.90380859375}, {"start": 1758.81, "end": 1759.17, "word": " صح", "probability": 0.97412109375}], "temperature": 1.0}, {"id": 61, "seek": 178891, "start": 1760.33, "end": 1788.91, "text": "وهي الغلط تناسب عكسي وان عشان دي بنصف قطر التحدب بتكملي circle بتكملي circle in these cases a stigmatism is almost 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1788.25, "end": 1788.39, "word": " في", "probability": 0.734375}, {"start": 1788.39, "end": 1788.91, "word": " الغالب", "probability": 0.9937744140625}], "temperature": 1.0}, {"id": 62, "seek": 181858, "start": 1790.22, "end": 1818.58, "text": "إن الـ Hypermetropia الـ curvature الـ curvature بتاع القنانية لما بزيد أو بجل بيكونش منتظر مليان مليان فبيصير معاه أستيجماتيزم فتلاقي في حالة الـ Hypermetropia Hypermetropic أستيجماتيزم وفي حالة الـ Myopia Myopic أستيجماتيزم أخدتوا بالكم؟ يعني القبة هذه بتاعة القنانية", "tokens": [28814, 1863, 2423, 39184, 29592, 5537, 1513, 654, 2423, 39184, 37638, 2423, 39184, 37638, 39894, 45761, 25062, 1863, 7649, 10632, 5296, 15042, 4724, 11622, 25708, 34051, 4724, 7435, 1211, 4724, 1829, 30544, 8592, 9154, 2655, 19913, 2288, 3714, 20292, 7649, 3714, 20292, 7649, 6156, 21292, 9381, 13546, 20449, 40294, 5551, 14851, 1829, 7435, 2304, 9307, 1829, 11622, 2304, 6156, 2655, 15040, 38436, 8978, 11331, 6027, 3660, 2423, 39184, 29592, 5537, 1513, 654, 29592, 5537, 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"probability": 0.677734375}, {"start": 1811.5, "end": 1811.84, "word": " Myopia", "probability": 0.78076171875}, {"start": 1811.84, "end": 1813.02, "word": " Myopic", "probability": 0.924560546875}, {"start": 1813.02, "end": 1814.4, "word": " أستيجماتيزم", "probability": 0.9715169270833334}, {"start": 1814.4, "end": 1815.86, "word": " أخدتوا", "probability": 0.8578125}, {"start": 1815.86, "end": 1816.44, "word": " بالكم؟", "probability": 0.5419921875}, {"start": 1816.44, "end": 1816.88, "word": " يعني", "probability": 0.975830078125}, {"start": 1816.88, "end": 1817.26, "word": " القبة", "probability": 0.775634765625}, {"start": 1817.26, "end": 1817.64, "word": " هذه", "probability": 0.84521484375}, {"start": 1817.64, "end": 1817.96, "word": " بتاعة", "probability": 0.92724609375}, {"start": 1817.96, "end": 1818.58, "word": " القنانية", "probability": 0.9322509765625}], "temperature": 1.0}, {"id": 63, "seek": 184787, "start": 1819.73, "end": 1847.87, "text": "إذا كانت طلعت إلى الخارج أو دخلت إلى الداخل ممكن أنه ما تكونش دخولها وخروجها منتظم في بعض التلويح الخفيفة أو السكاج سكاج يعني عوج بقول عنه سكاج فبيكونش منتظم السكاج أه فبيعمل أستجمتز", "tokens": [28814, 15730, 25961, 2655, 23032, 1211, 34268, 30731, 33962, 9640, 7435, 34051, 11778, 9778, 1211, 2655, 30731, 32748, 47283, 1211, 3714, 43020, 14739, 3224, 19446, 6055, 30544, 8592, 11778, 9778, 12610, 11296, 4032, 34740, 29245, 11296, 9154, 2655, 19913, 2304, 8978, 45030, 11242, 16712, 1211, 45865, 5016, 33962, 5172, 33911, 3660, 34051, 21136, 4117, 26108, 8608, 4117, 26108, 37495, 22653, 6225, 29245, 4724, 39648, 18871, 3224, 8608, 4117, 26108, 6156, 21292, 30544, 8592, 9154, 2655, 19913, 2304, 21136, 4117, 26108, 5551, 3224, 6156, 21292, 25957, 1211, 5551, 14851, 7435, 2304, 2655, 11622], "avg_logprob": -0.20850133767691992, "compression_ratio": 1.8595505617977528, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1819.73, "end": 1820.03, "word": "إذا", "probability": 0.854248046875}, {"start": 1820.03, 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concave ال concave لما نجربها للعين بتزيد لما نبعدها للعين بتجل فهذه العدسة عدسة plus اذا كان احنا رجعناها لورا", "tokens": [10721, 3224, 12174, 35473, 11296, 39894, 7435, 1211, 12174, 35473, 11296, 39894, 7435, 1211, 11778, 47302, 15042, 18863, 3215, 3794, 3660, 9673, 29245, 49401, 5296, 15042, 8717, 7435, 25513, 11296, 9154, 18863, 9957, 39894, 7435, 1211, 12174, 35473, 11296, 4032, 5296, 15042, 8717, 3555, 22488, 11296, 24976, 3615, 9957, 12174, 35473, 11296, 39894, 11622, 25708, 6225, 4117, 3794, 2423, 33599, 2423, 3175, 2423, 1588, 946, 2423, 1588, 946, 5296, 15042, 8717, 7435, 25513, 11296, 24976, 3615, 9957, 39894, 11622, 25708, 5296, 15042, 8717, 3555, 22488, 11296, 24976, 3615, 9957, 39894, 7435, 1211, 6156, 3224, 24192, 18863, 3215, 3794, 3660, 6225, 3215, 3794, 3660, 1804, 1975, 15730, 25961, 1975, 5016, 8315, 12602, 7435, 3615, 8315, 11296, 5296, 13063, 995], "avg_logprob": -0.1395745763257772, "compression_ratio": 2.281767955801105, "no_speech_prob": 5.960464477539063e-08, 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lens وهذا بيصير نتيجة ضربة trauma او disease مرض زي مثلا", "tokens": [7435, 23557, 5016, 25528, 1975, 2407, 9154, 48812, 25513, 3660, 1975, 2407, 11331, 26108, 3660, 39896, 4117, 12174, 35473, 11296, 1975, 1829, 8592, 8032, 2655, 4587, 1211, 12174, 35473, 11296, 8032, 2655, 4587, 1211, 1802, 4253, 295, 264, 6765, 37037, 15730, 4724, 1829, 9381, 13546, 8717, 31371, 7435, 3660, 48812, 25513, 3660, 11407, 1975, 2407, 4752, 3714, 43042, 30767, 1829, 50113, 15040], "avg_logprob": -0.17051091506367638, "compression_ratio": 1.3972602739726028, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 2113.04, "end": 2113.86, "word": "جراحيا", "probability": 0.81201171875}, {"start": 2113.86, "end": 2114.12, "word": " او", "probability": 0.797607421875}, {"start": 2114.12, "end": 2114.28, "word": " من", "probability": 0.96875}, {"start": 2114.28, "end": 2114.62, "word": " ضربة", "probability": 0.9479166666666666}, {"start": 2114.62, "end": 2114.74, "word": " او", "probability": 0.93359375}, 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"word": " جيد", "probability": 0.990478515625}, {"start": 2398.79, "end": 2399.13, "word": " جدا", "probability": 0.995361328125}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2399.34125, "duration_after_vad": 2249.756874999995} \ No newline at end of file diff --git a/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/TsfJHi90ra8.srt b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/TsfJHi90ra8.srt new file mode 100644 index 0000000000000000000000000000000000000000..9ade4e63636b9ad6fbeee3f2168ea920e28e8112 --- /dev/null +++ b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/TsfJHi90ra8.srt @@ -0,0 +1,2347 @@ +1 +00:00:20,670 --> 00:00:25,590 +بسم الله الرحمن الرحيم الحمد لله وكفى وأصلي و + +2 +00:00:25,590 --> 00:00:27,910 +أسلم على النبي المصطفى السلام عليكم ورحمة الله و + +3 +00:00:27,910 --> 00:00:36,510 +بركاته اليوم سنبدأ في تجارب أنيزوميتربيا تجارب + +4 +00:00:36,510 --> 00:00:45,050 +أنيزوميتربيا عندما الفرق في القوة العلوية في + +5 +00:00:45,050 --> 00:01:00,610 +عينينها ضخمة أو صغيرة بين 1 إلى 2 ديوبتر الوصفة + +6 +00:01:00,610 --> 00:01:10,670 +العلوية للمشاهدات بسهولة وفقًا لجهة + +7 +00:01:10,670 --> 00:01:15,030 +المريض الطفلين + +8 +00:01:15,030 --> 00:01:18,390 +لديهم + +9 +00:01:18,390 --> 00:01:27,960 +فرصة جيدة for full correction as their optical + +10 +00:01:27,960 --> 00:01:40,220 +system is plastic. Plastic means flexible optical + +11 +00:01:40,220 --> 00:01:52,390 +system in children is plastic and can overcome some + +12 +00:01:52,390 --> 00:02:02,530 +difference in the size of image from the two eyes. + +13 +00:02:02,530 --> 00:02:11,810 +You know fusion ability is high theoretically + +14 +00:02:11,810 --> 00:02:20,550 +نظريًا أي فرق could be fully corrected نظريًا + +15 +00:02:20,550 --> 00:02:31,110 +على الورق لكن in practice only small difference in + +16 +00:02:31,110 --> 00:02:35,390 +the optical power between the two eyes is easily + +17 +00:02:35,390 --> 00:02:44,410 +corrected, while high differences are difficult to + +18 +00:02:44,410 --> 00:02:45,470 +be tolerated. + +19 +00:02:50,590 --> 00:02:57,710 +طيب what is the problem؟ الـproblem أن الـminus + +20 +00:02:57,710 --> 00:03:01,690 +lenses are + +21 +00:03:01,690 --> 00:03:08,870 +minifying lenses, while the plus lenses are + +22 +00:03:08,870 --> 00:03:14,130 +magnifying lenses. طيب + +23 +00:03:14,130 --> 00:03:16,010 +in the right eye. + +24 +00:03:18,940 --> 00:03:30,800 +القوة هي ماينوس اتس اتس اتس اتس اتس اتس اتس اتس + +25 +00:03:30,800 --> 00:03:35,100 +اتس اتس اتس اتس اتس اتس اتس + +26 +00:03:35,100 --> 00:03:36,260 +اتس اتس اتس اتس اتس اتس اتس اتس اتس اتس اتس اتس + +27 +00:03:36,260 --> 00:03:36,620 +اتس اتس اتس اتس اتس اتس اتس اتس اتس اتس اتس اتس + +28 +00:03:36,620 --> 00:03:45,420 +اتس اتس اتس اتس اتس اتس اتس اتس اتس + +29 +00:03:46,660 --> 00:03:54,720 +والعين اليسرى سترسل صورة كبيرة للـ occipital + +30 +00:03:54,720 --> 00:03:59,580 +في الـbrain الآن. + +31 +00:03:59,580 --> 00:04:05,240 +لدينا صورة كبيرة وصورة صغيرة. الصعوبة في الـbrain هي + +32 +00:04:05,240 --> 00:04:12,440 +كيف تفيز هذه الصورتين المختلفة؟ كيف؟ + +33 +00:04:14,090 --> 00:04:24,290 +يعني الآن في صورة ثانية عندي صورة كده أو صورة كده + +34 +00:04:24,290 --> 00:04:28,170 +هل ممكن؟ إيه مالك في وجهك؟ احنا قلنا في الـadults + +35 +00:04:28,170 --> 00:04:35,490 +أقصى شيء الـdifference 8% وفي الـchildren في الـ + +36 +00:04:35,490 --> 00:04:41,390 +adult 5% difference. يعني هنا أربع ديوبتر وهنا + +37 +00:04:41,390 --> 00:04:49,310 +اتنين ونصف ديوبتر على قاعدة واحد في اتنين يبقى + +38 +00:04:49,310 --> 00:04:53,330 +القلم يكون الـdifference عالي يستحيل أن الـbrain + +39 +00:04:53,330 --> 00:04:58,190 +يقدر يعمل fusion وبالتالي لازم العين الـmore + +40 +00:04:58,190 --> 00:05:08,110 +ametropic eye will become neglected and amblyopic + +41 +00:05:08,110 --> 00:05:15,280 +in children. Amblyopic: lazy in children. My English + +42 +00:05:15,280 --> 00:05:21,280 +clear to you? طيب + +43 +00:05:21,280 --> 00:05:28,980 +وين الـproblem؟ لأن before correction one eye + +44 +00:05:28,980 --> 00:05:36,820 +has the upper hand on the other eye. أحب أقول عنها + +45 +00:05:36,820 --> 00:05:42,850 +الـdominant eye. What is dominant؟ سائدة بينما في عين + +46 +00:05:42,850 --> 00:05:48,710 +recessive eye: weak eye. يبقى before correction + +47 +00:05:48,710 --> 00:05:53,510 +المشكلة before correction أن الـpatient مرتاح + +48 +00:05:53,510 --> 00:06:00,210 +comfortable, comfortable خلاص في عين أذأنت للضعف + +49 +00:06:00,210 --> 00:06:09,250 +وعين أخدت القوة فهو عاملًا عايش غالبًا بعين واحدة أو + +50 +00:06:09,250 --> 00:06:14,410 +على الأقل عين ترى البعيد وعين ترى القريب. طب after + +51 +00:06:14,410 --> 00:06:19,570 +correction اللي صحينا نايم. احنا لما صحينا نايم + +52 +00:06:19,570 --> 00:06:28,670 +أصبح الـneed for his request عايز ينبي مطالب يعني + +53 +00:06:28,670 --> 00:06:32,810 +الآن أنا هذه plus two شاف اللي بقيت تمامًا هذه + +54 +00:06:32,810 --> 00:06:38,200 +minus two بشوف الجريمة لو أنا عملت هذه متروة تصير + +55 +00:06:38,200 --> 00:06:44,900 +تنافس هذه عايزة منها حجب بس اللي بيبنى أخد الحجب + +56 +00:06:44,900 --> 00:06:51,320 +الـSize اسمها Anisoconia عدم تساوي الحجب فهتصير + +57 +00:06:51,320 --> 00:06:56,960 +منافسة بين العينين والعين يشعر بتعب وربما بـ + +58 +00:06:56,960 --> 00:07:03,420 +Diplopia وربما Asthenopia يبقى من أفضل before + +59 +00:07:03,420 --> 00:07:08,690 +correction ولا after correction؟ قبل الثورة ولا بعد + +60 +00:07:08,690 --> 00:07:13,390 +الثورة؟ اتنين سايقين قبل + +61 +00:07:13,390 --> 00:07:25,150 +الثورة في استسلام وبعد الثورة في تنافس طبعًا + +62 +00:07:25,150 --> 00:07:31,550 +هذا هيعمل annoyance التصريح الكامل and their fusion + +63 +00:07:31,550 --> 00:07:36,070 +may become difficult or impossible. Difficult إذا + +64 +00:07:36,070 --> 00:07:40,530 +كان الفرق خمسة في المئة في الأصغر وimpossible إذا + +65 +00:07:40,530 --> 00:07:44,750 +كان أكثر من خمسة في المئة أو ثمانية في المئة في + +66 +00:07:44,750 --> 00:07:52,950 +الأطفال. طيب هذه صعوبة. الصعوبة الثانية أن بما أن + +67 +00:07:52,950 --> 00:07:57,930 +الـlenses أحيانًا بتجبه thick ففيه prismatic effect + +68 +00:07:59,180 --> 00:08:10,020 +خاصة لما يشوف في الـsites بتاع العدسة. طيب + +69 +00:08:10,020 --> 00:08:18,240 +أحيانًا بيكون في latent squint عند العيال. Latent + +70 +00:08:18,240 --> 00:08:25,900 +squint كافية لما يلبس الـfull correction ممكن يصير + +71 +00:08:25,900 --> 00:08:27,300 +manifest squint. + +72 +00:08:31,140 --> 00:08:35,660 +وثيرة breakdown of binocular single vision انكسر + +73 +00:08:35,660 --> 00:08:41,220 +وحدة العينين may lead to the patient experiencing + +74 +00:08:41,220 --> 00:08:47,380 +يعني يعاني من double vision اه for the first time. + +75 +00:08:47,380 --> 00:08:50,860 +يعني قبل التصحيح ما كانش مع double vision ما كانش + +76 +00:08:50,860 --> 00:08:58,320 +يشوف اثنين لما صلّح وصارت العين ضعيفة عايزة تساوي + +77 +00:08:58,320 --> 00:09:01,860 +القوية وتنافسها بدأ مرات يشوف double vision ومرات + +78 +00:09:01,860 --> 00:09:05,520 +يعمل manifest squint ومرات يعمل أسينوبيا + +79 +00:09:05,520 --> 00:09:11,300 +وannoyance ويجي على الأرض. طب على شك أن كل ما كان + +80 +00:09:11,300 --> 00:09:19,280 +السن أصغر اه younger children ممكن أن يعمل over + +81 +00:09:19,280 --> 00:09:27,600 +coming للظاهرة هذه وكل ما كان more all كل ما كان + +82 +00:09:27,600 --> 00:09:30,680 +فيه failure في موضوع الـbinocular single vision + +83 +00:09:30,680 --> 00:09:35,700 +وموضوع الـfull correction of anisometropia الأمور مش + +84 +00:09:35,700 --> 00:09:43,060 +سهلة. يعني احنا لأن بتكلم على تناقض كيف نصحي + +85 +00:09:43,060 --> 00:09:51,740 +التناقض زي تمامًا أخوة اثنين أشقاء متنافرين تيجي + +86 +00:09:51,740 --> 00:09:57,300 +لهذا بدوش يتنزل تيجي لهذا بدوش يتنزل إذا كانت أنت + +87 +00:09:57,300 --> 00:10:02,900 +يعني ذكي وعندك نية صالحة كما قال الله عز وجل يريد + +88 +00:10:02,900 --> 00:10:08,060 +إصلاحا يوافق اللي هما ينقل بدك توفق بينهم. التوفيق + +89 +00:10:08,060 --> 00:10:14,060 +بينهم اسمه compromise. الحل الوسط اسمه compromise + +90 +00:10:14,060 --> 00:10:20,700 +بس أنا قبل compromise بدي أقول أنه لازم أعمل + +91 +00:10:20,700 --> 00:10:25,520 +comparison between the + +92 +00:10:25,520 --> 00:10:29,020 +situation before and situation after correction + +93 +00:10:29,020 --> 00:10:35,140 +قبل ما أقرر الـprescription هل + +94 +00:10:35,140 --> 00:10:43,320 +هنا before أحسن ولا after أحسن؟ وهذا مش مزاج علم + +95 +00:10:43,320 --> 00:10:50,870 +يعني مثلًا أنا أجان العيال minus two وplus two سن + +96 +00:10:50,870 --> 00:10:57,950 +عشر سنين اتناشر سنة اتناشر سنة يعني late childhood + +97 +00:10:57,950 --> 00:11:02,150 +بدأ الـchildhood بيودعها يعني في الاربعتاش بيصير + +98 +00:11:02,150 --> 00:11:07,610 +adolescent الآن أنا بعرف أن العيال هذه الـminus + +99 +00:11:07,610 --> 00:11:10,790 +two بيجرى فيها والـplus two بيشوف فيها بعيد + +100 +00:11:10,790 --> 00:11:15,010 +بالطبيعة هيك. طيب + +101 +00:11:16,030 --> 00:11:20,710 +الآن بدي أعمل له تصحيح أعطي هنا plus له وهنا minus + +102 +00:11:20,710 --> 00:11:25,910 +له عشان أعمل لهم متساوين قبل ما أعمل prescription و + +103 +00:11:25,910 --> 00:11:34,390 +أقول مع السلامة أقول لا اجلس هنا شوف الناس شوف + +104 +00:11:34,390 --> 00:11:37,430 +التلفزيون اقرأ امشي في الممر. + +105 +00:11:40,730 --> 00:11:46,370 +أسيبه نصف ساعة في وضع... يعني خليني أقول... اه test + +106 +00:11:46,370 --> 00:11:53,330 +إيش test؟ فجأة و + +107 +00:11:53,330 --> 00:12:00,350 +بعد نصف ساعة... والـframe على وجهه كيف الوضع يعني، + +108 +00:12:00,350 --> 00:12:04,450 +اقرأ شوف، شوف في التليفزيون كيف الناس، مرتاح بعد + +109 +00:12:04,450 --> 00:12:10,630 +نصف ساعة والله يجليه okay اه كله تمام. بتأمل أنا أنه + +110 +00:12:10,630 --> 00:12:19,330 +في بداية exception قبول للحالة اللي بتعطيها بقول + +111 +00:12:19,330 --> 00:12:25,450 +أنا بقوله أنا هعطيك glasses for two weeks. ترجع + +112 +00:12:25,450 --> 00:12:32,060 +للثاني اه دلوقتِ احتمال أغير فيهم حسب راحتك بعد + +113 +00:12:32,060 --> 00:12:36,180 +سنوات أدرس مع الموضوع إذا كان بيجرى تمام في مهمته + +114 +00:12:36,180 --> 00:12:40,940 +home work في المدرسة كله تمام ممكن أقرر هذا لأنه + +115 +00:12:40,940 --> 00:12:46,280 +خلاص جهازه البصري accepted + +116 +00:12:46,280 --> 00:12:54,740 +أو accepted دي الـsolution هل كاسم؟ يبقى أنا هاي + +117 +00:12:54,740 --> 00:12:59,080 +ثاني بقول الموضوع مش موضوع prescription وروح + +118 +00:13:00,180 --> 00:13:06,000 +الموضوع موضوع الـresult يا بناتي وضمير. عشان هيك الـ + +119 +00:13:06,000 --> 00:13:11,880 +follow up نصف العلاج. الـfollow up المتابعة لازم أنا + +120 +00:13:11,880 --> 00:13:17,600 +اجذب المريض بقدر ما أستطيع إليه وخليه يجيني وزي ما + +121 +00:13:17,600 --> 00:13:20,840 +أقول له أحيانًا أنا عشان أعمل experience بدي أدفع مني + +122 +00:13:20,840 --> 00:13:22,480 +مش آخذ من المريض. + +123 +00:13:26,200 --> 00:13:29,060 +هيبقى attention being paid to the amount of + +124 +00:13:29,060 --> 00:13:34,500 +discomfort and disability from which the patient + +125 +00:13:34,500 --> 00:13:37,280 +is suffering without correction. في الأول الوضع + +126 +00:13:37,280 --> 00:13:42,380 +الأول without correction كم هو تعبان وكم في عنده + +127 +00:13:42,380 --> 00:13:50,380 +نوع من العجز عن أداء مهمة العين أو تنين ووضع + +128 +00:13:50,380 --> 00:13:53,640 +الثاني and the amount he is likely to experience + +129 +00:13:54,590 --> 00:13:58,670 +يعاني منه with correction. هذا الوضع الثاني يبقى + +130 +00:13:58,670 --> 00:14:04,990 +هذا الوضع الثاني وهذا الوضع الأول with always + +131 +00:14:04,990 --> 00:14:08,970 +bearing in mind حطي في مخك the advantage of + +132 +00:14:08,970 --> 00:14:13,790 +binocular single vision. ما بديش أعطي تصليح وكل + +133 +00:14:13,790 --> 00:14:16,890 +عين تصير تشوف لحالها مرة هنا ومرة هنا. لا بدي + +134 +00:14:16,890 --> 00:14:23,070 +أشوفهم مع بعض كويس. الـcomparison أحاول آخد انطباع + +135 +00:14:23,810 --> 00:14:28,550 +الآن عارفه فيما بعد التصحيح كيف هيكون هو لازم أنا + +136 +00:14:28,550 --> 00:14:35,350 +أحطه تحت النظر supervision كل + +137 +00:14:35,350 --> 00:14:40,370 +شوية بيعطينا رسالة هذه بتاعتنا not genuine. طيب + +138 +00:14:40,370 --> 00:14:44,270 +الآن عشان هي أهم الـguiding lines which must be + +139 +00:14:44,270 --> 00:14:47,770 +found in treatment of anisometropia. ما هي الخطوط + +140 +00:14:47,770 --> 00:14:54,340 +العريضة لتصحيح أو علاج الـanisometropia؟ خلّيني أبدأ + +141 +00:14:54,340 --> 00:15:00,060 +بـ children children under twelve years فيه فرق + +142 +00:15:00,060 --> 00:15:04,960 +بين قبل اتناش و بعد اتناش every attempt should be + +143 +00:15:04,960 --> 00:15:10,440 +made to induce أن أجعل أو أعطي full correction to + +144 +00:15:10,440 --> 00:15:18,180 +be warned أن أعطي ال full correction القاعدة بتقول + +145 +00:15:18,180 --> 00:15:25,190 +اسمها القاعدة the younger the child كل ما كان أصغر، + +146 +00:15:25,190 --> 00:15:42,030 +the more persistent the attempt، أربع + +147 +00:15:42,030 --> 00:15:47,670 +أشياء كل ما كان أصغر الطفل في السن كل ما كانت + +148 +00:15:47,670 --> 00:15:55,770 +المحاولة لتصحيحه أكثر جدية وكل ما برهنت على التحسن + +149 +00:15:55,770 --> 00:16:04,310 +وكل ما كانت النتائج أفضل كايس؟ مين الصيغة بالعكس؟ + +150 +00:16:04,310 --> 00:16:08,490 +يعني كيسها شوف The + +151 +00:16:08,490 --> 00:16:15,150 +older the child the less persistent should be the attempt + +152 +00:16:15,150 --> 00:16:16,970 +the attempt + +153 +00:16:22,290 --> 00:16:27,710 +the difficult it will prove and the less successful + +154 +00:16:27,710 --> 00:16:35,710 +or more failed more failure will be the result شيء + +155 +00:16:35,710 --> 00:16:42,850 +وضده سيبلي طالب الآن في توجيهي وده في الجامعة و + +156 +00:16:42,850 --> 00:16:48,470 +معانا أنيزومتروبيا وجايين الآن نصحى نصلح بعد + +157 +00:16:48,470 --> 00:16:56,800 +ثمانية عشر سنة ولا راحوله على الروضة في خمس سنين وفي + +158 +00:16:56,800 --> 00:17:06,020 +أول ابتدائي في ست سنين مين أفضل؟ الروضة صح؟ طيب + +159 +00:17:06,020 --> 00:17:11,060 +in adults لدينا على الكبار الوضع أسهل ولا أصعب؟ أصح + +160 +00:17:11,060 --> 00:17:15,280 +أصح احنا قلنا القاعدة جلبناها ال adults والـ small + +161 +00:17:15,280 --> 00:17:19,380 +grades of anihilometrobia يعني minus one والعين + +162 +00:17:19,380 --> 00:17:22,920 +الثانية plus one مثلا هاي مثل ولا في أمثلة كتيرة + +163 +00:17:22,920 --> 00:17:30,680 +هاني minus one plus one و minus one and any degree + +164 +00:17:30,680 --> 00:17:33,480 +of binocular vision موجودة certainly those with + +165 +00:17:33,480 --> 00:17:39,280 +difference of two and up to four يعني ال + +166 +00:17:39,280 --> 00:17:45,430 +difference هنا two والعين minus two plus twofour + +167 +00:17:45,430 --> 00:17:50,750 +يعني الـ minus هنا الفرق أربعة وهنا ايش اثنين + +168 +00:17:50,750 --> 00:17:57,170 +بيقول أقصى شيء a determined attempt should be made + +169 +00:17:57,170 --> 00:18:00,850 +to wear the full correction طبعا هذا attempt + +170 +00:18:00,850 --> 00:18:06,310 +محاولة المحاولة ممكن تكون ناجحة ممكن تكون فاشلة + +171 +00:18:06,310 --> 00:18:11,640 +and a spectacle should be used constantly بصورة + +172 +00:18:11,640 --> 00:18:15,000 +دائمة when the symptoms of eye strain are present + +173 +00:18:15,000 --> 00:18:19,120 +or muscular imbalance is evident فيه شوية حول يعني + +174 +00:18:19,120 --> 00:18:29,580 +بعطي هنا النضارات كله صح طيب أنا أتأمل النجاح لكن + +175 +00:18:29,580 --> 00:18:35,960 +أحيانا النجاح بعيد المنال يكون بعيد المنال طيب in + +176 +00:18:35,960 --> 00:18:41,090 +older patients فيه فرق بين ال adult يعني من 16 سنة + +177 +00:18:41,090 --> 00:18:46,210 +صار adult young adult أما ال older لأ ال older + +178 +00:18:46,210 --> 00:18:50,030 +يعني بعدين خمسة وعشرين بعدين ثلاثين all it may be + +179 +00:18:50,030 --> 00:18:52,810 +found that the correction involves headache and + +180 +00:18:52,810 --> 00:18:57,890 +disease لو أعطيته الجرعة هذه constant full لأ + +181 +00:18:57,890 --> 00:19:04,750 +بيقبلش بسيبه صداع ودوار and that some compromise + +182 +00:19:04,750 --> 00:19:07,490 +will be necessary ال compromise اللي قلتلكوا عنه + +183 +00:19:07,490 --> 00:19:19,960 +إيه الحل الوسط الحل الوسطى طيب ايش الحل الوسطه؟ ضربني + +184 +00:19:19,960 --> 00:19:27,040 +مثل واحد مريض عنده العين اليمنى plus two والعين + +185 +00:19:27,040 --> 00:19:35,040 +الشمال plus four الفرق بينهم قداش؟ اثنين بقول ليه + +186 +00:19:35,040 --> 00:19:40,660 +لراحته هذا كبير في السن أعطيه plus two في اليمين و + +187 +00:19:40,660 --> 00:19:46,540 +plus three point five في الشمال يعني بدل الفرق + +188 +00:19:46,540 --> 00:19:52,800 +يكون اثنين أعطيه واحد ونصف عشان الصورة هذه في هذا + +189 +00:19:52,800 --> 00:19:58,940 +الحجم والصورة الأربعة في هذا الحجم كيف ألزق هذه + +190 +00:19:58,940 --> 00:20:05,560 +مع هذه صعب فبقول لو هذه أنا صغرت شوية تصير أسهل لها + +191 +00:20:05,560 --> 00:20:11,320 +دي تتطلب عليها وكل ما كبر كل ما جهاز ال fusion + +192 +00:20:11,320 --> 00:20:20,280 +كان أدق يعني استوى صار mature واضح؟ + +193 +00:20:20,280 --> 00:20:27,080 +طيب عيّن ثاني عنده العين اليمنى minus هو عنده + +194 +00:20:27,080 --> 00:20:32,060 +العين الشمال minus هو طبعا هو قاعد يشوف فيه هنا + +195 +00:20:32,060 --> 00:20:37,680 +اللي بعيد بصعوبة وقاعد يجرب هذه بصعوبة تنسق بينهم + +196 +00:20:37,680 --> 00:20:42,720 +بدي أعطيه في ال compromise الحل الوسط minus two و + +197 +00:20:42,720 --> 00:20:47,060 +minus two يعني + +198 +00:20:47,060 --> 00:20:53,860 +الأولى هذه صلحتها fully و ثم صلحتها partially أخد + +199 +00:20:53,860 --> 00:21:02,260 +minus two minus two ال weak لا near work والجوية + +200 +00:21:02,260 --> 00:21:08,540 +كثير لـ distance صار alternation alternation تبادل + +201 +00:21:08,540 --> 00:21:14,520 +عين بتلعب دور البعيد وعين بتلعب دور القريب هذه ال + +202 +00:21:14,520 --> 00:21:20,340 +compromise يعني في لجان الإصلاح المنتشرة مش قضاء + +203 +00:21:20,340 --> 00:21:27,100 +هذا لجان إصلاح جاروا جاروا في بينهم مشكلة واحد ضرب + +204 +00:21:27,100 --> 00:21:35,020 +واحد اعتدى واحد هدم حاجة إشي كده كسر هذا بيقولك أنا + +205 +00:21:35,020 --> 00:21:40,080 +والله حاجة عشرة آلاف دينار تيجي لجنة إصلاح بتجرب في + +206 +00:21:40,080 --> 00:21:43,980 +الأخر بتطلع حاجة بألفين ترضي صاحب الحاجة بألفين + +207 +00:21:43,980 --> 00:21:50,540 +وفي الآخر بتوقع الإصلاح وإنه خلاص يعني ما كل ما + +208 +00:21:50,540 --> 00:21:53,800 +يتمنى المرء يدريكه تأتي الرياح بما لا تشتهي السفن + +209 +00:21:56,430 --> 00:22:00,670 +يعني الآن أحسن أعطيه اثنين واثنين ويجرى في واحدة + +210 +00:22:00,670 --> 00:22:03,950 +وأشوف البعيد في واحدة ولا أخليه يعيش لاهو شايف + +211 +00:22:03,950 --> 00:22:10,210 +قريب ولا بقيت زي الناس الوضع الأولاني لاهو اثنين خد + +212 +00:22:10,210 --> 00:22:15,110 +مافيه في البعيد زي الناس لأنه مايهم ولا الأربعة كثير + +213 +00:22:15,110 --> 00:22:20,250 +على الأربعة إنه يجرى هيك من حط الكراسة على عينيه + +214 +00:22:20,250 --> 00:22:24,210 +فلما أعطيته minus two الأولانية صار يشوف البعيد + +215 +00:22:24,210 --> 00:22:29,520 +كويس وأعطيته الـ minus two في الثانية خففت شوية ال + +216 +00:22:29,520 --> 00:22:35,120 +myopia سارقة هذا ال compromise كثير هتعيشوا إن شاء + +217 +00:22:35,120 --> 00:22:39,100 +الله وتشوفوا إنه يختفي حاجات لا نأخذ فيها + +218 +00:22:39,100 --> 00:22:44,300 +المثالية ولا يختفي فيها بالحالة الوسط مرغمين وأصبح + +219 +00:22:44,300 --> 00:22:50,020 +عنا المثالية يعني شيء بس موجود في القرآن وفي + +220 +00:22:50,020 --> 00:22:53,680 +الأحاديث النبوية في الصدر الأول من الصحابة رضوان + +221 +00:22:53,680 --> 00:22:54,220 +الله عليه + +222 +00:22:58,320 --> 00:23:02,380 +طيب الآن في تجربة لل contact lenses في حد + +223 +00:23:02,380 --> 00:23:05,860 +الأنيزومتروبيا الحقيقة أثبتت نجاعتها أكثر من ال + +224 +00:23:05,860 --> 00:23:11,320 +glasses أكثر من النضارات ليش؟ ليش أن ال contact + +225 +00:23:11,320 --> 00:23:18,040 +lenses خدمت في الموضوع ده أكثر من النضارات؟ + +226 +00:23:18,040 --> 00:23:27,100 +كثير شرحناها يعني هتكون والناير مع ال call هذه + +227 +00:23:27,100 --> 00:23:31,440 +المقصودة تكون مليار مع ال call مافيش .. مافيش .. + +228 +00:23:31,440 --> 00:23:36,460 +مافيش .. مافيش .. مافيش .. مافيش .. مافيش .. مافيش + +229 +00:23:36,460 --> 00:23:39,760 +.. مافيش .. مافيش .. مافيش .. مافيش .. مافيش .. + +230 +00:23:39,760 --> 00:23:42,360 +مافيش .. مافيش .. مافيش .. مافيش .. مافيش .. مافيش + +231 +00:23:42,360 --> 00:23:42,660 +.. مافيش .. مافيش .. مافيش .. مافيش .. مافيش .. + +232 +00:23:42,660 --> 00:23:43,580 +مافيش .. مافيش .. مافيش .. مافيش .. مافيش .. مافيش + +233 +00:23:43,580 --> 00:23:51,800 +مافيش .. مافيش .. مافيش .. مافيش .. مافيش .. مافيش + +234 +00:23:51,800 --> 00:23:58,050 +..هذه contact lens وهذه ال lens بتاعة spectacle + +235 +00:23:58,050 --> 00:24:06,370 +glasses وهذه عبارة عن 17.2 ميلي متر ماهي الفرق بين + +236 +00:24:06,370 --> 00:24:10,910 +هذه وبين هذه ال contact lens ألغينا ال back vertex + +237 +00:24:10,910 --> 00:24:16,450 +ممتاز وبالتالي ألغينا إشي اسمه lens effectivity يا + +238 +00:24:16,450 --> 00:24:21,090 +جماعة lens effectivity كثير قلنا إنه plus lenses + +239 +00:24:21,910 --> 00:24:26,490 +كل ما قربت على العين كل ما زغرت كل ما ابتعدت على + +240 +00:24:26,490 --> 00:24:31,570 +العين كل ما كبرت يبقى أنا لأن رجعت من 17 مليار + +241 +00:24:31,570 --> 00:24:35,350 +القرن هي كأنني ألغيت التكبير بتاعها إلى حد بعيد مش + +242 +00:24:35,350 --> 00:24:40,030 +مئة بالمئة لكن قللته كثير وبالتالي قللت الانيزو + +243 +00:24:40,030 --> 00:24:47,250 +كونيا فالمقل والعكس اللي هو ال ال minus ال minus + +244 +00:24:47,250 --> 00:24:51,930 +أنا لما أقربه يعني بيصير أقوى وبيصغر لما أبعده + +245 +00:24:51,930 --> 00:24:55,890 +بيصير أقل تصغيرا في الصورة + +246 +00:24:58,140 --> 00:25:00,920 +Contact lens for anemotropia is now widespread + +247 +00:25:00,920 --> 00:25:04,680 +يعني واسعة الانتشار and they have been recommended + +248 +00:25:04,680 --> 00:25:09,920 +for many young subjects and sometimes quite small + +249 +00:25:09,920 --> 00:25:14,340 +children حتى الأطفال أمه بيحطوا إيها who might + +250 +00:25:14,340 --> 00:25:17,880 +otherwise become amylobic عشان نحميهم من الأمبيوبيا + +251 +00:25:17,880 --> 00:25:22,520 +on the side of more amyotropic eye عشان نحميه أن + +252 +00:25:22,520 --> 00:25:26,700 +العين الأسوأ أن تدخل فيها أمبيوبيا والأمبريوبيا + +253 +00:25:26,700 --> 00:25:36,000 +disaster مصيبة كبيرة صح طبعا + +254 +00:25:36,000 --> 00:25:39,880 +الكلام اللي قلته موضوع squint بده تصليح لو فيه + +255 +00:25:39,880 --> 00:25:46,120 +squint في الأول وبعدين squint عايز اللي هو + +256 +00:25:46,120 --> 00:25:51,660 +presence إما base in أو base out حسب إنه ال + +257 +00:25:51,660 --> 00:25:59,410 +deviation اه عشان أحمي العيان من ال amblyopia لازم + +258 +00:25:59,410 --> 00:26:06,510 +في الأول أجيبهم العينتين إيش يكونوا in center صح + +259 +00:26:06,510 --> 00:26:13,110 +يكونوا العينتين إيش يعني مثلا الآن العين هادي كده + +260 +00:26:13,110 --> 00:26:17,630 +والعين هادي كده ما ننفع نعطيهم glasses لأنه العين + +261 +00:26:17,630 --> 00:26:22,440 +هادي out of center فأنا بدي أعطيها prism حتى أجيبها + +262 +00:26:22,440 --> 00:26:25,740 +في ال center ويبدأ الشغل على ال binocular single + +263 +00:26:25,740 --> 00:26:30,940 +vision ما أخليها اقعد هنا وأقول إنّي بعمل تصليح ولا + +264 +00:26:30,940 --> 00:26:35,920 +أنضحك فبضطر أعطيها prism صح بضطر أعطيها prism عشان + +265 +00:26:35,920 --> 00:26:39,240 +تيجي في ال center عشان تصير binocular single + +266 +00:26:39,240 --> 00:26:44,680 +vision طيب + +267 +00:26:48,060 --> 00:26:52,520 +الآن ال compromise لما يكون في زي ما قلنا يعني + +268 +00:26:52,520 --> 00:26:58,280 +اثنين واثنين واحد ونصف واثنين يعني بنعمل حال وصف + +269 +00:26:58,280 --> 00:27:01,460 +زي ما شفنا في ال minus وفي ال plus شفتوا أنتو + +270 +00:27:01,460 --> 00:27:06,940 +اللي هي هنا هي المرة هذه عطينا بدل أربعة اثنين و + +271 +00:27:06,940 --> 00:27:10,380 +المرة هذه عطينا بدل الأربعة ثلاثة ونصف هذه ال + +272 +00:27:10,380 --> 00:27:15,420 +compromise طب افرض الفرق أعلى من إنه تجيبه ال + +273 +00:27:15,420 --> 00:27:22,160 +compromise يعني الآن مثلا عين plus one و minus six + +274 +00:27:22,160 --> 00:27:29,460 +قداش الفرق بينهم سبعة ايش هأعمل compromise هيك صعب + +275 +00:27:29,460 --> 00:27:33,000 +أن أعمل compromise لأن خلاص العين هي dominant والعين + +276 +00:27:33,000 --> 00:27:39,680 +هي recessive تلاحية يبقى هو بقول هنا و in the + +277 +00:27:39,680 --> 00:27:45,400 +difference between the two eyes is marked كبير + +278 +00:27:45,400 --> 00:27:49,540 +أكثر من ثمانية في المائة the patient should be + +279 +00:27:49,540 --> 00:27:52,760 +advised to turn his head instead of his eyes + +280 +00:27:52,760 --> 00:27:55,700 +looking to the side in order to avoid the + +281 +00:27:55,700 --> 00:28:03,780 +prismatic effect حتى يحرك يعني يحرك رأسه بدل من + +282 +00:28:03,780 --> 00:28:11,330 +يحرك عينيه، وفي الحالة هذه أو في كل الحالات لازم أعطي + +283 +00:28:11,330 --> 00:28:15,430 +نظارة قراءة reading spectacles carefully centered + +284 +00:28:15,430 --> 00:28:19,030 +so that the visual axis in the reading position + +285 +00:28:19,030 --> 00:28:23,370 +passes normally through them. بناتنا إحنا في البعيد في + +286 +00:28:23,370 --> 00:28:29,670 +الـ distance هيك الـ IPD مثلًا سبعة، طب في الـ reading + +287 +00:28:29,670 --> 00:28:35,690 +ستة وخمسين، في حالات الـ انيزوميوتروبيا بالذات من + +288 +00:28:35,690 --> 00:28:39,780 +الصعب إنه يقرأ بنظارة البعيد عشان موضوع الـ IPD + +289 +00:28:39,780 --> 00:28:46,560 +وحقيقة أنا يعني بحثت موضوع الـ .. الـ .. الـ glasses + +290 +00:28:46,560 --> 00:28:51,080 +اللي بنعطيها للناس العاديين للـ distance والـ + +291 +00:28:51,080 --> 00:28:55,300 +reading فيها بعض الصواب لا شك، لأنه مجرد ما يبدأ + +292 +00:28:55,300 --> 00:28:59,820 +يقرأ، البقبة بنزلهيب ويعمل convergence والـ IPD + +293 +00:28:59,820 --> 00:29:04,700 +بيقل اتنين واتنين أربعة millimeter بيقل أربعة + +294 +00:29:04,700 --> 00:29:10,940 +millimeter لكن هذا بصير إيه ميوتروب ومافيش + +295 +00:29:10,940 --> 00:29:16,320 +انيزوميوتروبيا كبيرة، يعني the visual system can + +296 +00:29:16,320 --> 00:29:21,200 +overcome this difficulty، لكن المشكلة وين إنه يكون + +297 +00:29:21,200 --> 00:29:29,880 +انيزوميوتروب في درجة من الدرجات وإنه يقرأ بنفس + +298 +00:29:29,880 --> 00:29:34,380 +النضارة صعب، فأنا أحسن إن أعطي نظارة القراءة خاصة + +299 +00:29:34,380 --> 00:29:40,970 +لما يكون عنده إجهاد يعني إضافي في الدراسة، طيب + +300 +00:29:40,970 --> 00:29:44,090 +الآن + +301 +00:29:44,090 --> 00:29:49,710 +في الـ compromise أنا رضيت alternating vision، أقصدت + +302 +00:29:49,710 --> 00:29:51,930 +بالـ alternating vision، one eye for distance + +303 +00:29:51,930 --> 00:30:00,150 +another eye for reading، طيب هو أساسًا يعني وعد عايش + +304 +00:30:00,150 --> 00:30:07,750 +في minus one وplus one عامل plus one للـ distance + +305 +00:30:07,750 --> 00:30:14,990 +وعامل هذه للنيل، بيقول لي هو مرتاح جدًا، جيت أنا + +306 +00:30:14,990 --> 00:30:18,370 +أصلحه، لقيته بدأ يتعب، أصيبه أسرابيا وكده وكده + +307 +00:30:18,370 --> 00:30:23,570 +فبقول له no attempt، سيبه مدام هو عايش عشرات السنين + +308 +00:30:23,570 --> 00:30:30,510 +بهذا الوضع تلاتين سنة في هذا الوضع، سيبه كمان واحد + +309 +00:30:30,510 --> 00:30:36,060 +تاني، بدي أنا أتركه برضه، إن واحد عايش بعين واحدة + +310 +00:30:36,060 --> 00:30:42,220 +monocular vision يعني هذه مثلًا زائد واحد وهذه + +311 +00:30:42,220 --> 00:30:48,780 +minus six وإنه تلاتين سنة عايش هيك، هذه صارت deep + +312 +00:30:48,780 --> 00:30:57,020 +amblyopia، deep، إيش deep متطورة وصلت لمرحلة كبير + +313 +00:30:57,020 --> 00:31:03,680 +عميق يعني مش سهل تصحى يعني لو قعدت فين ينام هينام + +314 +00:31:03,680 --> 00:31:09,980 +بعد تعب تعب وصهر بقوله deep sleeping مين صحيه؟ + +315 +00:31:09,980 --> 00:31:18,740 +تعبان جدًا، اه لكن هذه العين تستخدم for distant and + +316 +00:31:18,740 --> 00:31:26,220 +near وهذه العين رايحة، هل من حكم إنك ولا صحى هني؟ + +317 +00:31:26,910 --> 00:31:31,990 +32 سنة عايش هيك، فبقولك إنه no attempt paying me to + +318 +00:31:31,990 --> 00:31:40,030 +correct the weak eye، سيبقى خلاص هو عايش هيك يبقى + +319 +00:31:40,030 --> 00:31:44,490 +إحنا الحال الوسط لما يكون الوضع يعني محتعل الـ + +320 +00:31:44,490 --> 00:31:50,370 +alternation، لكن إذا كان هو alternated جاهز وموزع + +321 +00:31:50,370 --> 00:31:55,970 +الأدوار بين عينيه أو إنه في عين مسحوبة من الـ field + +322 +00:31:56,910 --> 00:32:02,810 +متروكة وما لهاش، الأفضل إني أسيبه بدون محاولة وأنا + +323 +00:32:02,810 --> 00:32:08,630 +اتعلمت من التجربة إنه ليس كل المشاكل لها حل، في بعض + +324 +00:32:08,630 --> 00:32:16,770 +المشاكل impossible to be solved، ما لها حل، طيب + +325 +00:32:16,770 --> 00:32:22,450 +if there is symptoms of eye strain، كلكم تعرفوا الـ + +326 +00:32:22,450 --> 00:32:28,060 +eye strain ولا أستينوبيا and the patient is young + +327 +00:32:28,060 --> 00:32:32,780 +لسه يعني he is young تلاتاش أربعتاش and + +328 +00:32:32,780 --> 00:32:35,720 +attempt may be made to induce him for full + +329 +00:32:35,720 --> 00:32:39,420 +correction، وهذا المفروض تكون تابع لإيش للأول خالص + +330 +00:32:39,420 --> 00:32:42,560 +المفروض + +331 +00:32:42,560 --> 00:32:47,360 +تكون تابع خالص يعني الـ children والـ young هي + +332 +00:32:47,360 --> 00:32:53,720 +تابعة، تمانية تابعة للأول خالص، طيب إذا لم ننجح no + +333 +00:32:53,720 --> 00:32:58,250 +succeed he should be proved with spectacles would + +334 +00:32:58,250 --> 00:33:01,810 +enable each eye to perform separate functions + +335 +00:33:01,810 --> 00:33:06,630 +ومعروف إيه separate functions واحدة للـ distance + +336 +00:33:06,630 --> 00:33:09,510 +وواحدة للـ near وواحدة للـ near، الـ most older + +337 +00:33:09,510 --> 00:33:12,310 +cases، الأكبر، أكبر الخمسة وعشرين وتلاتين الـ last + +338 +00:33:12,310 --> 00:33:17,150 +solution will be found، the only useful plan to + +339 +00:33:17,150 --> 00:33:22,210 +adopt إنه أنا أتبنى الـ separate functions توزيع + +340 +00:33:22,210 --> 00:33:26,090 +الأدوار واحدة للبعيد واحدة للـ near وهو مرتاح لعينه + +341 +00:33:26,820 --> 00:33:31,020 +لو أنا كرهته إن هو يعمل full correction لتنين + +342 +00:33:31,020 --> 00:33:37,060 +حيصير له Asthenopia حيصير له drowsy و dizziness و + +343 +00:33:37,060 --> 00:33:41,920 +headache والكلام مثل هذا، أصعب مرحلة الإنسان فينا + +344 +00:33:41,920 --> 00:33:50,280 +بتعرض لها لما المريض يعاني ويجي غاضب وساخط على + +345 +00:33:50,280 --> 00:33:55,400 +الوضع اللي إحنا بنعرفه لازم إحنا يعني وإحنا بنعمل + +346 +00:33:55,400 --> 00:34:00,780 +الـ prescription نفكر في المقالات خلال يوم إلى + +347 +00:34:00,780 --> 00:34:06,200 +أسبوع، ممكن إنه يكون الوضع صعب من الـ anisometropia + +348 +00:34:06,200 --> 00:34:12,920 +الـ extreme، المكر الصارخ يعني هو الـ uniocular + +349 +00:34:12,920 --> 00:34:19,820 +aphakia يعني واحد بيلعب مع أطفال طفل بيلعب مع أطفال + +350 +00:34:19,820 --> 00:34:27,560 +بيضربوا على بعض كورة حجر حاجة كده اه ضرب إشي سقطت + +351 +00:34:27,560 --> 00:34:34,600 +العدسة بتاعته، الحقيقة إن هذه يعني severe problem أو + +352 +00:34:34,600 --> 00:34:43,120 +big problem، المشكلة ليش إن سيبناها بدون عدسة هيكون + +353 +00:34:43,120 --> 00:34:46,440 +high high problem والفرق بين الـ high والـ high متروب + +354 +00:34:46,440 --> 00:34:52,640 +والـ ametropia very high يعني هذه المحكمة عليها إنها + +355 +00:34:52,640 --> 00:35:00,380 +تضيع في deep envelope، طيب لبسنا glasses وهذه plano + +356 +00:35:00,380 --> 00:35:07,300 +وهذه plus twelve أو eleven أو ten في + +357 +00:35:07,300 --> 00:35:13,530 +severe anisoconia، العدسة هذه جايبة صورة كبيرة + +358 +00:35:13,530 --> 00:35:19,210 +والعدسة هذه صورة عادية، كيف المخ يعملهم fusion، هذه + +359 +00:35:19,210 --> 00:35:26,230 +المشكلة، المشكلة التالتة، الأولى إنه تركناها بدون + +360 +00:35:26,230 --> 00:35:33,510 +correction، التانية حطينا له glasses ما نفعش مرة، طيب + +361 +00:35:33,510 --> 00:35:39,930 +التالتة حتى لو حطينا له contact lens عشان + +362 +00:35:39,930 --> 00:35:44,530 +magnification نجلله إنه هيكون no accommodation + +363 +00:35:44,530 --> 00:35:48,950 +حيقرأ + +364 +00:35:48,950 --> 00:35:56,410 +بهذه وبهذه بس هي كانت الرابعة + +365 +00:35:56,410 --> 00:36:03,090 +إنه يعملوا secondary IOL في + +366 +00:36:03,090 --> 00:36:06,530 +الـ anterior chamber وبرضه هذه لها مالها لأنه مش + +367 +00:36:06,530 --> 00:36:10,870 +هتعمل accommodation ومش ممكن تكون زي العين الأصلية + +368 +00:36:10,870 --> 00:36:17,830 +فشف زي ما أقولك يعني وقال أقصى إحابي الفرار أو + +369 +00:36:17,830 --> 00:36:24,970 +الردع فقلت هم أمراني أحلى هم مرر هم أحلى هم هم + +370 +00:36:24,970 --> 00:36:28,190 +مرر هم أحلى هم هم هم هم هم هم هم هم هم هم هم هم + +371 +00:36:28,190 --> 00:36:28,310 +هم هم هم هم هم هم هم هم هم هم هم هم هم هم هم هم + +372 +00:36:28,310 --> 00:36:28,430 +هم هم هم هم هم هم هم هم هم هم هم هم هم هم هم هم + +373 +00:36:35,790 --> 00:36:40,850 +إنما الـ uniocular aphasia في الـ adult واحد كبير + +374 +00:36:40,850 --> 00:36:44,570 +يعني وانضرب بعد الـ binocular single vision وما + +375 +00:36:44,570 --> 00:36:48,930 +تصير مؤسسة يعني هتصير weak vision لكن مابيبصرش + +376 +00:36:48,930 --> 00:36:54,670 +amblyopia، no amblyopia after مثلًا 10 years، خلاص + +377 +00:36:54,670 --> 00:36:58,690 +بعد عشر سنين الـ binocular single vision انحسمت، + +378 +00:36:58,690 --> 00:37:02,340 +بيفضل عن موضوع correction يعني ممكن استعادة في + +379 +00:37:02,340 --> 00:37:07,300 +النظر بـ IOL أو Contact Lens وإشي لأن الـ biohazard + +380 +00:37:07,300 --> 00:37:12,020 +billion، إنما إذا كان أقل مثلًا من سبعة سنوات هي هذه + +381 +00:37:12,020 --> 00:37:16,690 +المشكلة المشكلة إن وعين الطفل حساسة جدًا لموضوع + +382 +00:37:16,690 --> 00:37:20,350 +الامبليوبيا طب هو أولًا بيصير معه أفكيه ولا حاجة + +383 +00:37:20,350 --> 00:37:26,550 +بس بيصيره أبراجين في عينه وبيروح المستشفى بغفطوله + +384 +00:37:26,550 --> 00:37:30,150 +عينه مثلًا تلت أربع أيام وهذه تلت أربع أيام صارت + +385 +00:37:30,150 --> 00:37:35,710 +كفيرة تعمله amblyopia مدى الحياة حساسة جدًا الموضوع + +386 +00:37:35,710 --> 00:37:39,930 +اللي باينوكا single vision ثمينة جدًا وحساسة جدًا + +387 +00:37:39,930 --> 00:37:44,100 +وسريعة الضياع في الأطفال عشان هيك لازم يكون إحنا + +388 +00:37:44,100 --> 00:37:48,080 +عندنا awareness how to keep كيف نحافظ على الـ + +389 +00:37:48,080 --> 00:37:55,800 +binocular single vision، يبقى uniocular aphasia is + +390 +00:37:55,800 --> 00:38:03,540 +an extreme انيزوميوتروبيا مثل صارخ extreme يعني + +391 +00:38:03,540 --> 00:38:09,240 +متناهي متطرف انيزوميوتروبيا ليش؟ لأنه عين مثلًا plus + +392 +00:38:09,240 --> 00:38:18,890 +one وعين plus fourteen، إيش يجمعهم مع بعض أي نظارة + +393 +00:38:18,890 --> 00:38:22,590 +تجمعهم مع بعض بقول + +394 +00:38:22,590 --> 00:38:26,190 +partly owing to the total lack of accommodation + +395 +00:38:26,190 --> 00:38:30,830 +طبعًا العين هذه مافيها سفر accommodation and partly + +396 +00:38:30,830 --> 00:38:34,050 +owing to the increased size of written image، إذا + +397 +00:38:34,050 --> 00:38:37,950 +كان عملنا correction عملنا correction plus مثلًا + +398 +00:38:37,950 --> 00:38:39,890 +ten، eleven، twelve + +399 +00:38:42,620 --> 00:38:45,860 +مش هيعمل المخ fusion للصورة اليمين مع الصورة + +400 +00:38:45,860 --> 00:38:50,760 +الشمالي واضح؟ an aphakic eye connected by spectacles + +401 +00:38:50,760 --> 00:38:55,160 +نضارات can rarely be used in association with + +402 +00:38:55,160 --> 00:39:02,040 +normal eye، يعني في دوش الشاشة كيف نجمع الكبير + +403 +00:39:02,040 --> 00:39:07,860 +بالنضارة مع العادي؟ طيب + +404 +00:39:10,690 --> 00:39:17,310 +بيقول لي إن هذا المثل extreme a accentuated example + +405 +00:39:17,310 --> 00:39:22,090 +of anisometropia inevitable بيقدر إليها inevitable + +406 +00:39:22,090 --> 00:39:27,310 +anisoconia، إيش inevitable حتمية يعني anisoconia + +407 +00:39:27,310 --> 00:39:33,870 +حتمية الحدوث ولا يمكن بالنضارة أن تنحل أبدا لأن الـ + +408 +00:39:33,870 --> 00:39:39,230 +plus في وضعها العادي في نظارة high plus هتعطي big + +409 +00:39:42,760 --> 00:39:46,040 +image، يبقى هذا makes fusion of the two images + +410 +00:39:46,040 --> 00:39:50,820 +difficult أو حتى impossible and attempt to obtain + +411 +00:39:50,820 --> 00:39:53,140 +binocular vision may be possible in small + +412 +00:39:53,140 --> 00:39:57,080 +differences، بس لما يكون في حدود one two three + +413 +00:39:57,080 --> 00:40:05,080 +diopters إنما ten وفور impossible، طيب + +414 +00:40:05,080 --> 00:40:12,720 +بيقول هنا الـ high regrets are several difficulties + +415 +00:40:12,720 --> 00:40:19,420 +present، إيش الـ difficulties؟ في الفرق الكبير أول + +416 +00:40:19,420 --> 00:40:29,780 +difficulty هو إنه لما نصلح الـ high hypermetropic + +417 +00:40:29,780 --> 00:40:33,080 +eye، الأفكك eye يعني are placed في الـ anterior + +418 +00:40:33,080 --> 00:40:35,600 +focal plane of the eye it will be seen that there + +419 +00:40:35,600 --> 00:40:39,340 +is no change in the size of that image from that + +420 +00:40:39,340 --> 00:40:43,900 +formed by the emmetropic fake eye، يعني الأفكك eye + +421 +00:40:43,900 --> 00:40:46,940 +الصورة + +422 +00:40:46,940 --> 00:40:53,500 +طبيعية طب الأفكك eye الصورة آه big وكبيرة جدا هاي + +423 +00:40:53,500 --> 00:41:02,440 +واحدة الثانية أن enlargementهيكون واحد إلى واحد + +424 +00:41:02,440 --> 00:41:06,160 +وخمسة + +425 +00:41:06,160 --> 00:41:15,120 +وتلاتين يعني العين الأفكك في التكبير واحد العين + +426 +00:41:15,120 --> 00:41:20,020 +الأفكك في التكبير واحد وخمسة وتلاتين وهذا هيعمل + +427 +00:41:20,020 --> 00:41:25,960 +many problems في موضوع ال orientation special + +428 +00:41:25,960 --> 00:41:32,720 +orientationزي مثلا يضع قدمه على الأرض خطأ فممكن + +429 +00:41:32,720 --> 00:41:37,940 +يجعل لأنه مصور له الأرض كبيرة والبلّاط عالي بيجعل + +430 +00:41:37,940 --> 00:41:43,400 +ممكن لما بده يصوب مية أو شاي في ال cups أنه يصوبها + +431 +00:41:43,400 --> 00:41:47,400 +برا لأنه يحس أن ال cup كبير وهكذا وهكذا وهكذا + +432 +00:41:47,400 --> 00:41:51,960 +حتى الطعام يعني يضع يده في الهواء قبل أن يصل إلى + +433 +00:41:51,960 --> 00:41:56,220 +الطبق وهكذا هذا + +434 +00:41:57,650 --> 00:42:02,190 +يعني لو كان adult وراحت العدسة لكن إذا كان child + +435 +00:42:02,190 --> 00:42:07,530 +لأ على طول العين هذه هتسافر على أمبيوبيا خلال one + +436 +00:42:07,530 --> 00:42:11,430 +to two weeks في خلال أسبوع أو أسبوعين هتخش في + +437 +00:42:11,430 --> 00:42:14,930 +أمبيوبيا والأمبيوبيا تتطور إلى أن تصير severe + +438 +00:42:14,930 --> 00:42:19,710 +أمبيوبيا وممكن تصير squint خاصة لو إيش إكزوتروبيا + +439 +00:42:19,710 --> 00:42:24,210 +طيب + +440 +00:42:24,210 --> 00:42:30,520 +الآن بدكوا تعملوا نصيحة بلاش ال child ال child طبعا + +441 +00:42:30,520 --> 00:42:33,380 +هو ال cataract لو صار يعني واحد انضرب في عينه + +442 +00:42:33,380 --> 00:42:39,280 +بالإن وبدأ يخف نظره شوية شوية شوية لما صار اتنين + +443 +00:42:39,280 --> 00:42:43,280 +ع ستين تلاتة ع ستين واحدة ع ستين counting fingers + +444 +00:42:43,280 --> 00:42:50,100 +hand movement بعد شهور يعني العين عامية صار طبعا + +445 +00:42:50,100 --> 00:42:55,120 +سواء صغير ولا كبير حاطين صحونه مبقاش cataract + +446 +00:42:57,300 --> 00:43:01,780 +extraction وهتخلوها عامية ما إحنا بيقولهم بيقولهم + +447 +00:43:01,780 --> 00:43:08,320 +يعني أي وضع جاي هيكون بصورة صغيرة أو كبيرة أحسن من + +448 +00:43:08,320 --> 00:43:16,240 +العمل كله يعني كاتركت واحد انضرب في عينه وصابوا + +449 +00:43:16,240 --> 00:43:22,240 +كاتركت لازم يشيلوا كاتركت فرق بين من شيل كاتركت و + +450 +00:43:22,240 --> 00:43:25,940 +بين ما تكون هي سقطت العدسة أساسا من الأول لأن كان + +451 +00:43:25,940 --> 00:43:29,860 +سقطت تلقائيًا في خلال دقائق تحولت إلى high-hyper + +452 +00:43:29,860 --> 00:43:33,860 +-metropole بس كان عدسة سقطت لأن الـrefractive + +453 +00:43:33,860 --> 00:43:41,800 +power بتاعتها ذهبت فسّرها على المكان أنا بتقول + +454 +00:43:41,800 --> 00:43:46,760 +القصة من بارح صرت معايا في يعني ست.. يمكن أمر + +455 +00:43:46,760 --> 00:43:55,140 +ستين سنة، اتنين وستين سنة جاءت تشكو من التالي + +456 +00:43:55,140 --> 00:44:01,240 +بتقول لي هيك بالبلد كريشة كبيرة إيش الكريشة؟ + +457 +00:44:01,240 --> 00:44:07,120 +بتعرفيش الكريش؟ هذه لغة التبرجية الخشب اللي بيحطوه + +458 +00:44:07,120 --> 00:44:16,640 +في سجوفها ده عشان يصبه فوجه بطون في خشب بيكون كبير + +459 +00:44:16,640 --> 00:44:21,300 +هيك بيحطوه تحت وفي خشب مسطح بيحطوه في جانب بعضه + +460 +00:44:21,300 --> 00:44:26,990 +عشان يصب فوجه ال Baton الحديد الكريشة عادة هذه + +461 +00:44:26,990 --> 00:44:31,010 +بتكون الخشب الخميلة الطويلة أربعة متر وخمسة متر + +462 +00:44:31,010 --> 00:44:37,790 +هذه بيقول وجعت على راسي وعيني شيء عجيب الآن اللي + +463 +00:44:37,790 --> 00:44:42,470 +صارت كانت تالي جيت ل right eye لجيتها minus + +464 +00:44:42,470 --> 00:44:49,030 +fourteen وشوية astigmatism ال left eye لجيتها plus + +465 +00:44:49,030 --> 00:44:52,650 +four يا + +466 +00:44:52,650 --> 00:44:59,040 +سلام الـ right eye هذه لما جينا على ال vision يعني + +467 +00:44:59,040 --> 00:45:10,720 +تقريبا 660 تقريبا بقول أنا ال plus هذه 624 + +468 +00:45:10,720 --> 00:45:17,900 +plus بخلصناش + +469 +00:45:17,900 --> 00:45:24,580 +لسه بحط أصل slam اللي هي جاي تلاعين هذه أفكك + +470 +00:45:27,740 --> 00:45:33,120 +فيكك فش فيها عدسة العين + +471 +00:45:33,120 --> 00:45:39,440 +هذه فيكك فيها عدسة فيكك + +472 +00:45:39,440 --> 00:45:42,560 +والله + +473 +00:45:42,560 --> 00:45:48,180 +هذه حالة يعني عجيبة طيب طبعا أنا أتوجه للحرمة يا + +474 +00:45:48,180 --> 00:45:51,620 +مدام عمرك عملتي في العين الشمال عملية جت عمره ما + +475 +00:45:51,620 --> 00:45:52,780 +طبيب عيون شاف عيني + +476 +00:45:57,240 --> 00:46:02,520 +وأنا بروح لأطفال على طول أنا أدرك ال people اللي + +477 +00:46:02,520 --> 00:46:10,840 +عندي jet black غامج أسود غامج وال A C D ومافيش + +478 +00:46:10,840 --> 00:46:15,420 +عدسة طول اللي أنا استنتجت أن ال creature اللي جات + +479 +00:46:15,420 --> 00:46:20,200 +عنها وجعت عليّنها شالت لها العدسة خلتها hyper + +480 +00:46:20,200 --> 00:46:25,000 +metropolitan بس ليش ما خلتاش hyper metropolitan 12 + +481 +00:46:25,000 --> 00:46:31,700 +و13 لأن زي هي أساسا Myopia عادة لو بعض هذا اللي + +482 +00:46:31,700 --> 00:46:36,880 +بدرسه كله أنا مش في إحدى علاج ال high myopia + +483 +00:46:36,880 --> 00:46:41,360 +extraction وب clear ال lens ال lens أنا أعملها وهي + +484 +00:46:41,360 --> 00:46:44,800 +هي clear يعني هي نظيفة مافيش فيها حاجة أشيلها عشان + +485 +00:46:44,800 --> 00:46:50,000 +أعادل بدل ما أعمل ليزك وأقص من سماكة القرنية أني + +486 +00:46:50,000 --> 00:46:51,180 +أنا فارق جات لحالها + +487 +00:46:54,360 --> 00:46:58,280 +هي لأ هي من أساس عينيها هي high myopia فأنا + +488 +00:46:58,280 --> 00:47:00,580 +استنتجت أن عينيها تانية high myopia ووجعت العدسة + +489 +00:47:00,580 --> 00:47:06,880 +خلتها some hyper metroid some mild يعني حاجة عجيبة + +490 +00:47:06,880 --> 00:47:10,800 +صحية هنا طيب + +491 +00:47:10,800 --> 00:47:21,680 +طيب الآن الآن خلينا في ال cataract هل ممكن العين + +492 +00:47:21,680 --> 00:47:26,340 +ال cataract تانية عين الكتركت سواء في الأطفال أو في + +493 +00:47:26,340 --> 00:47:30,460 +الكبار أني أنا أخليها فوري برا سيبقى وهيعيش + +494 +00:47:30,460 --> 00:47:35,240 +بالعين هذه حلوة العين هذه حلوة أخليها دي كتركت + +495 +00:47:35,240 --> 00:47:41,260 +وشينا فيها هل ممكن هذا التفكير يكون تفكير سليم ولا + +496 +00:47:41,260 --> 00:47:45,720 +في ما يعارضهم إذا كان معرضوا تفضلوا قولوا إيش ما + +497 +00:47:45,720 --> 00:47:51,560 +يعارضهم طيب + +498 +00:47:53,290 --> 00:47:58,030 +خلّي أقولكوا الآن مين أوسع ال visual field in one + +499 +00:47:58,030 --> 00:48:03,250 +eye ولا in both eyes فبقولك آه يا عم هذه cataract + +500 +00:48:03,250 --> 00:48:07,310 +يعني ال visual field بتاع مسكر وهنا يعني ال + +501 +00:48:07,310 --> 00:48:11,690 +visual field narrow إلا العين هذه مثلا وهذه عمياء + +502 +00:48:11,690 --> 00:48:17,390 +لو أنا أشيل cataract بفتح ال visual field بصير نوع + +503 +00:48:17,390 --> 00:48:21,750 +ما وإن كانت هذه weak one billion لكن بتساعد شوية + +504 +00:48:21,750 --> 00:48:26,730 +في أن ال visual field هنا يفتح واحدة الشيء الثاني + +505 +00:48:26,730 --> 00:48:30,150 +والمهم أنه أنا لو سبت ال cataract for many years + +506 +00:48:30,150 --> 00:48:33,870 +for many years هصير hyper محروق mature cataract + +507 +00:48:33,870 --> 00:48:42,170 +يعني مثلا هاي ال lens هاي ال lens كبسول وهي ال + +508 +00:48:42,170 --> 00:48:48,770 +cortex وهي ال nucleus وبدأت شوية إيش عتمات عتمات + +509 +00:48:48,770 --> 00:48:53,750 +وزادت ولو أنا سبت many many years ممكن يصير الـ + +510 +00:48:53,750 --> 00:49:01,730 +mature hyper mature يصير ال protein of the lens + +511 +00:49:01,730 --> 00:49:08,190 +liquefied وهذا البروتين يبدأ يتسرب عبر الكبسولة + +512 +00:49:08,190 --> 00:49:13,210 +إلى الخارج lens protein طب اللي يتسرب عبر + +513 +00:49:13,210 --> 00:49:16,670 +الكبسولة إلى الخارج واحد هيروح في الأكي و أس ال + +514 +00:49:16,670 --> 00:49:24,740 +humor ال humor one هيحمله ترابيكور مشوارك ترابيكور + +515 +00:49:24,740 --> 00:49:32,440 +مشوارك ترابيكور + +516 +00:49:32,440 --> 00:49:36,900 +مشوارك ترابيكور مشوارك ترابيكور مشوارك ترابيكور + +517 +00:49:36,900 --> 00:49:42,320 +مشوارك ترابيكور + +518 +00:49:42,320 --> 00:49:51,220 +مشوارك ترابيكور مشوارك ترابيكور مشوارك حتى لو عين + +519 +00:49:51,220 --> 00:49:57,540 +عمياء من أفضل عين عمياء بلا ألم ولا عين عمياء بألم + +520 +00:49:57,540 --> 00:50:03,780 +بلا ألم لأ والله من غير ألمك يبقى أنا لما عملت + +521 +00:50:03,780 --> 00:50:08,200 +العين العمياء عملت cataract extraction عشان أعمل + +522 +00:50:08,200 --> 00:50:14,380 +profilaxis وقاية من الجلوكوما complete الجلوكوما + +523 +00:50:14,380 --> 00:50:18,840 +وصير painful eye صير فيها ألم العلم بيركب على بعضه + +524 +00:50:18,840 --> 00:50:29,210 +صح؟ يعني إحنا بنعمل شيء حتى ما يجي شيء أصعب صح يبقى + +525 +00:50:29,210 --> 00:50:35,950 +أنا فتحت ال visual field آه حتى في العين ال blind + +526 +00:50:35,950 --> 00:50:43,550 +هذه وأنا منعت ال hyper maturity of cataract لأنه + +527 +00:50:43,550 --> 00:50:46,650 +ممكن يعمل subsequence complications ومنها + +528 +00:50:46,650 --> 00:50:53,210 +phagolitic glucomafacultic glucoma glucoma due to + +529 +00:50:53,210 --> 00:50:58,890 +اللي هو hyper mature cataract بروتين اللينز + +530 +00:50:58,890 --> 00:51:02,410 +بتتسرب عبر الكبسولة وبروح في الاكيوس إلى + +531 +00:51:02,410 --> 00:51:06,570 +الترابيكرو مشهور في ال angle of anterior إيش + +532 +00:51:06,570 --> 00:51:15,170 +anterior إيش chamber طيب + +533 +00:51:17,690 --> 00:51:21,510 +طبعا ال contact lenses إحنا قلنا أنها مهمة أحيانا + +534 +00:51:21,510 --> 00:51:27,450 +في الناس اللي مابدوش يعمل عملية بعد هيك contact + +535 +00:51:27,450 --> 00:51:31,350 +lenses يعني هي البديل الأفضل عن النضارة لكن البديل + +536 +00:51:31,350 --> 00:51:35,890 +الأفضل عن contact lens اللي هو إيش ال IOL + +537 +00:51:35,890 --> 00:51:47,290 +implantation طبعا لو أنه سبق أنه ال lens ضاعت كلها + +538 +00:51:48,530 --> 00:51:52,830 +فأنا مافيش عندي capsular bag يعني في العين العادية + +539 +00:51:52,830 --> 00:51:56,690 +لو + +540 +00:51:56,690 --> 00:52:00,770 +أنه + +541 +00:52:00,770 --> 00:52:08,050 +هاي ال salary body وهاي ال zonules وهاي ال lens + +542 +00:52:08,050 --> 00:52:14,140 +جايدة هنا في العين العادية يقول أن إحنا بنفتح في + +543 +00:52:14,140 --> 00:52:19,560 +الـ interior surface of capsule وبنفضّي ال..ال + +544 +00:52:19,560 --> 00:52:24,280 +..ال..اللي هو إيش؟ ال cortex و nucleus عن طريق + +545 +00:52:24,280 --> 00:52:30,380 +ال probe of phacoemulsification وبنيديه بنزرع لنز + +546 +00:52:30,380 --> 00:52:34,980 +في ال posterior chamber in place لها optics و + +547 +00:52:34,980 --> 00:52:40,220 +haptics زرعناها ارتحنا شيلنا لنزnatural + +548 +00:52:40,220 --> 00:52:45,100 +crystalline بحط هنا إيش؟ synthetic artificial lens + +549 +00:52:45,100 --> 00:52:49,920 +هذه طبعا أحسن وضع في ال effectivity في ال + +550 +00:52:49,920 --> 00:52:53,140 +effectivity of the lens ال lens مادة من ال lens + +551 +00:52:53,140 --> 00:52:57,900 +مافيش magnification ولا أي نيزيوكونيا ولا حاجة لكن + +552 +00:52:57,900 --> 00:53:03,780 +أحيانا ال lens هذه صار لسبب أنه وجعت ضاعت فأنا + +553 +00:53:03,780 --> 00:53:09,000 +مضطر أزرع وين في ال antero chain anterior chamber + +554 +00:53:09,000 --> 00:53:16,020 +lens plus lens ويلها haptics perpixial angle of + +555 +00:53:16,020 --> 00:53:20,560 +anterior chamber مش كل ال anterior chamber لأ في + +556 +00:53:20,560 --> 00:53:25,460 +موضعين معينين والباقي مفتوح في موضعين معينين يعني + +557 +00:53:25,460 --> 00:53:30,220 +لو هي كان anterior chamber angle أنا حطيت ال lens + +558 +00:53:30,220 --> 00:53:35,620 +هنا وال haptics بتاعتها عند الساعة اتناش والساعة + +559 +00:53:35,620 --> 00:53:44,640 +ستة twelve o'clock و 6 o'clock واضح يا بناتي؟ بس + +560 +00:53:44,640 --> 00:53:50,320 +أنا يعني حاسرة على الأطفال غالبا العين اللي ضاعت + +561 +00:53:50,320 --> 00:53:53,920 +منها الكريستالينز غالبًا تدخل في دي أمبيوبيا حتى + +562 +00:53:53,920 --> 00:54:00,580 +رغم كل الجراحات لأن هذا بده program for restoring + +563 +00:54:00,580 --> 00:54:04,560 +the binocular single vision الطفل اللي انضرب في + +564 +00:54:04,560 --> 00:54:08,540 +أربع سنين وخمس سنين وضعت العدسة وما عملت ماعمله وش + +565 +00:54:08,540 --> 00:54:14,220 +هذه مشكلة كبيرة بده program كامل لعادة تأهيل كيف + +566 +00:54:14,220 --> 00:54:20,220 +نعيد ال binocular single vision قبل أن تذهب إلى + +567 +00:54:20,220 --> 00:54:28,780 +الأبد لذا بلد السبعة أو فوق طيب + +568 +00:54:28,780 --> 00:54:35,030 +أحيانًا واحد عنده أفيامدة عشر سنوات long standing + +569 +00:54:35,030 --> 00:54:39,910 +مثلًا فهذا إلا أعمله secondary IOL implantation + +570 +00:54:39,910 --> 00:54:44,150 +secondary يعني مش في نفس الوجبة يعني مرضى ال + +571 +00:54:44,150 --> 00:54:49,990 +cataract الآن هي في نفس ال session بيبدأ بال + +572 +00:54:49,990 --> 00:54:54,230 +cataract extraction وبيخلص وبينجل على طول لل IOL + +573 +00:54:54,230 --> 00:55:00,650 +implantation في نفس ال session في نفس يعني العملية + +574 +00:55:00,650 --> 00:55:10,840 +الجراحية لكن ال .. لو صار الفاكهة في وقت وتأخر + +575 +00:55:10,840 --> 00:55:18,240 +الحل عدة سنوات فممكن يعمل secondary intraocular + +576 +00:55:18,240 --> 00:55:22,820 +implantation طبعًا غالبًا هيكون في ال AC لأن بتكون ال + +577 +00:55:22,820 --> 00:55:27,960 +lens ذهبت وال zone of use ذهبت ففيش أحسن شيء نعمل + +578 +00:55:27,960 --> 00:55:32,140 +في ال شيء بعض الناس بيقول لك ممكن أحطه بغرز في + +579 +00:55:32,140 --> 00:55:35,660 +ال ciliary body أحطه في ال ciliary body بغرز وأنا + +580 +00:55:35,660 --> 00:55:41,200 +بقول هذه risky مجازفة يعني مش سهلة إني أدخل ال + +581 +00:55:41,200 --> 00:55:45,400 +lens وأخيط ال haptics بتاعتها في ال ciliary body + +582 +00:55:45,400 --> 00:55:52,510 +يعني بعملية risky يعني هي ممكن تتم لكن بدها يعني + +583 +00:55:52,510 --> 00:55:58,690 +high accuracy و high magnification و experience + +584 +00:55:58,690 --> 00:56:03,670 +عالية عند من؟ عند الجراح فهي بدل ال AC + +585 +00:56:03,670 --> 00:56:09,270 +implantation حل محترم حنجف عند ال anisokonia إن + +586 +00:56:09,270 --> 00:56:13,650 +شاء الله ال anisokonia موضوع برضه جيد شكرًا لكم + +587 +00:56:13,650 --> 00:56:15,610 +والسلام عليكم ونحن في الله يبارك diff --git a/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/TsfJHi90ra8_raw.json b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/TsfJHi90ra8_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..8633c96a6faf36cc1583e0e9086cc295b50714b3 --- /dev/null +++ b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/TsfJHi90ra8_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 5011, "start": 20.67, "end": 50.11, "text": "بسم الله الرحمن الرحيم الحمد لله و كفا و أصلي و أسلم على النبي المصطفى السلام عليكم و رحمة الله و بركاته اليوم سنبدأ في تجارب ايزومتروبيا تجارب ايزومتروبيا عندما الفرق في القوة العلوية في عينينها ضخمة أو صغيرة", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 21542, 2304, 3215, 24976, 3224, 4032, 9122, 5172, 995, 4032, 5551, 9381, 20292, 4032, 5551, 3794, 19528, 15844, 28239, 21292, 9673, 9381, 9566, 5172, 7578, 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856.89, "word": " بدي", "probability": 0.8046875}, {"start": 856.89, "end": 857.17, "word": " أشوفهم", "probability": 0.85986328125}, {"start": 857.17, "end": 857.29, "word": " مع", "probability": 0.99072265625}, {"start": 857.29, "end": 858.11, "word": " بعض", "probability": 0.9814453125}, {"start": 858.11, "end": 860.03, "word": " كويس", "probability": 0.8605143229166666}, {"start": 860.03, "end": 860.13, "word": " ال", "probability": 0.912109375}, {"start": 860.13, "end": 860.87, "word": " comparison", "probability": 0.708984375}, {"start": 860.87, "end": 862.17, "word": " أحاول", "probability": 0.9654541015625}, {"start": 862.17, "end": 862.67, "word": " أخد", "probability": 0.91552734375}, {"start": 862.67, "end": 863.07, "word": " انطباع", "probability": 0.8677978515625}], "temperature": 1.0}, {"id": 31, "seek": 89235, "start": 863.81, "end": 892.35, "text": "الان عارفه فيما بعد التصحيح كيف هيكون هو لازم انا احطه تحت النظر supervision كل شوية بيعطينا رسالة هذي بتاعتنا not genuine طيب الان عشان هي أهم ال guiding lines which must be found in treatment of anisometropia ما هي الخطوط العريضة لتصحيح أو علاج ال anisometropia", "tokens": [6027, 7649, 6225, 9640, 5172, 3224, 8978, 15042, 39182, 16712, 9381, 5016, 1829, 5016, 9122, 33911, 39896, 30544, 31439, 5296, 31377, 2304, 1975, 8315, 1975, 5016, 9566, 3224, 6055, 33753, 28239, 19913, 2288, 32675, 28242, 13412, 2407, 10632, 4724, 40228, 9566, 1829, 8315, 12602, 3794, 6027, 3660, 8032, 8848, 1829, 39894, 995, 34268, 8315, 406, 16699, 23032, 1829, 3555, 2423, 7649, 6225, 8592, 7649, 39896, 5551, 16095, 2423, 25061, 3876, 597, 1633, 312, 1352, 294, 5032, 295, 364, 271, 649, 1513, 654, 19446, 39896, 33962, 9566, 2407, 9566, 18863, 16572, 11242, 3660, 5296, 2655, 9381, 5016, 1829, 5016, 34051, 11203, 26108, 2423, 364, 271, 649, 1513, 654], "avg_logprob": -0.19733796213512067, "compression_ratio": 1.5433070866141732, "no_speech_prob": 0.0, "words": [{"start": 863.81, "end": 864.21, "word": "الان", "probability": 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885.57, "end": 886.27, "word": " anisometropia", "probability": 0.687353515625}, {"start": 886.27, "end": 887.11, "word": " ما", "probability": 0.9326171875}, {"start": 887.11, "end": 887.31, "word": " هي", "probability": 0.896484375}, {"start": 887.31, "end": 887.77, "word": " الخطوط", "probability": 0.8336181640625}, {"start": 887.77, "end": 888.67, "word": " العريضة", "probability": 0.970458984375}, {"start": 888.67, "end": 889.69, "word": " لتصحيح", "probability": 0.9922688802083334}, {"start": 889.69, "end": 890.53, "word": " أو", "probability": 0.73828125}, {"start": 890.53, "end": 891.13, "word": " علاج", "probability": 0.97607421875}, {"start": 891.13, "end": 891.45, "word": " ال", "probability": 0.90673828125}, {"start": 891.45, "end": 892.35, "word": " anisometropia", "probability": 0.82421875}], "temperature": 1.0}, {"id": 32, "seek": 92220, "start": 893.78, "end": 922.2, "text": "خلّيني ابدأ بـ children children under twelve years فيه فرق بين قبل اتناش و بعد اتناش every attempt should be made to induce ان اجعل او اعطي full correction to be warned ان اعطي ال full correction القاعدة بتقول اسمها القاعدة the younger the child", "tokens": [9778, 1211, 11703, 9957, 1829, 48127, 3215, 10721, 4724, 39184, 2227, 2227, 833, 14390, 924, 8978, 3224, 6156, 2288, 4587, 49374, 12174, 36150, 1975, 2655, 1863, 33599, 4032, 39182, 1975, 2655, 1863, 33599, 633, 5217, 820, 312, 1027, 281, 41263, 16472, 1975, 7435, 30241, 1975, 2407, 1975, 3615, 9566, 1829, 1577, 19984, 281, 312, 21284, 16472, 1975, 3615, 9566, 1829, 2423, 1577, 19984, 25062, 995, 22488, 3660, 39894, 39648, 24525, 2304, 11296, 25062, 995, 22488, 3660, 264, 7037, 264, 1440], "avg_logprob": -0.20640432098765432, "compression_ratio": 1.539906103286385, "no_speech_prob": 0.0, "words": [{"start": 893.78, "end": 894.12, "word": "خلّيني", "probability": 0.844921875}, {"start": 894.12, "end": 894.34, "word": " ابدأ", "probability": 0.648681640625}, {"start": 894.34, "end": 894.48, "word": " بـ", "probability": 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2990.52, "end": 3019.28, "text": "حتى لو عين عمياء من أفضل عين عمياء بلا ألم ولا عين عمياء بألم بلا ألم لأ والله من غير ألمك يبقى أنا لما عملت العين العمياء عملت cataract extraction عشان أعمل profilaxis وقايا من الجلوكومة complete الجلوكومة وصير painful eye صير فيها ألم العلم بتركب على بعضه صح؟", "tokens": [33753, 7578, 45164, 6225, 9957, 6225, 2304, 1829, 16606, 9154, 5551, 5172, 11242, 1211, 6225, 9957, 6225, 2304, 1829, 16606, 4724, 15040, 5551, 19528, 49429, 6225, 9957, 6225, 2304, 1829, 16606, 4724, 10721, 19528, 4724, 15040, 5551, 19528, 5296, 10721, 16070, 43761, 9154, 32771, 13546, 5551, 19528, 4117, 7251, 3555, 4587, 7578, 41850, 5296, 15042, 6225, 42213, 2655, 18863, 9957, 18863, 2304, 1829, 16606, 6225, 42213, 2655, 3857, 289, 578, 30197, 6225, 8592, 7649, 5551, 25957, 1211, 1740, 388, 24633, 4032, 4587, 995, 25528, 9154, 25724, 1211, 2407, 4117, 20498, 3660, 3566, 25724, 1211, 2407, 4117, 20498, 3660, 4032, 9381, 13546, 11697, 3313, 20328, 13546, 8978, 11296, 5551, 19528, 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قلنا انها مهمة احيانا في الناس اللي مابدوش يعمل عملية بعد هيك contact lenses يعني هي البديل الأفضل عن النضارة لكن البديل الأفضل عن contact lens اللي هو ايش ال IOL implantation طبعا لو انه سبق انه ال lens ضاعت كلها", "tokens": [9566, 3555, 3615, 995, 2423, 3385, 18059, 1975, 5016, 8315, 12174, 1211, 8315, 16472, 11296, 3714, 16095, 3660, 1975, 5016, 1829, 7649, 995, 8978, 2423, 8315, 3794, 13672, 1829, 3714, 16758, 3215, 2407, 8592, 7251, 25957, 1211, 6225, 42213, 10632, 39182, 39896, 4117, 3385, 18059, 37495, 22653, 39896, 29739, 16254, 1211, 16247, 5172, 11242, 1211, 18871, 28239, 11242, 9640, 3660, 44381, 29739, 16254, 1211, 16247, 5172, 11242, 1211, 18871, 3385, 6765, 13672, 1829, 31439, 1975, 1829, 8592, 2423, 286, 5046, 28309, 399, 23032, 3555, 3615, 995, 45164, 16472, 3224, 8608, 3555, 4587, 16472, 3224, 2423, 6765, 48812, 995, 34268, 28242, 11296], "avg_logprob": -0.14659926251453512, "compression_ratio": 1.8585365853658538, "no_speech_prob": 0.0, "words": [{"start": 3077.69, 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00:00:25,590 +بسم الله الرحمن الرحيم الحمد لله و كفا و أصلي و + +2 +00:00:25,590 --> 00:00:27,910 +أسلم على النبي المصطفى السلام عليكم و رحمة الله و + +3 +00:00:27,910 --> 00:00:36,510 +بركاته اليوم سنبدأ في تجارب ايزومتروبيا تجارب + +4 +00:00:36,510 --> 00:00:45,050 +ايزومتروبيا عندما الفرق في القوة العلوية في + +5 +00:00:45,050 --> 00:01:00,610 +عينينها ضخمة أو صغيرةبين 1 إلى 2 ديوبتر الوصفة + +6 +00:01:00,610 --> 00:01:10,670 +العلوية للمشاهدات بسهولة وفقًا لجهة + +7 +00:01:10,670 --> 00:01:15,030 +المريض الطفلين + +8 +00:01:15,030 --> 00:01:18,390 +لديهم + +9 +00:01:18,390 --> 00:01:27,960 +فرصة جيدةfor full correction as their optical + +10 +00:01:27,960 --> 00:01:40,220 +system is plastic plastic means flexible optical + +11 +00:01:40,220 --> 00:01:52,390 +system in children is plastic and canovercome some + +12 +00:01:52,390 --> 00:02:02,530 +difference in the size of image from the two eyes + +13 +00:02:02,530 --> 00:02:11,810 +you know fusion ability is high theoretically + +14 +00:02:11,810 --> 00:02:20,550 +نظريا any difference could befully corrected نظريا + +15 +00:02:20,550 --> 00:02:31,110 +على الورق لكن in practice only small difference in + +16 +00:02:31,110 --> 00:02:35,390 +the optical power between the two eyes is easily + +17 +00:02:35,390 --> 00:02:44,410 +corrected while high differences are difficult to + +18 +00:02:44,410 --> 00:02:45,470 +be tolerated + +19 +00:02:50,590 --> 00:02:57,710 +طيب what is the problem؟ ال problem ان ال minus + +20 +00:02:57,710 --> 00:03:01,690 +lenses are + +21 +00:03:01,690 --> 00:03:08,870 +minifying lenses while the plus lenses are + +22 +00:03:08,870 --> 00:03:14,130 +magnifying lenses طيب + +23 +00:03:14,130 --> 00:03:16,010 +in the right eye + +24 +00:03:18,940 --> 00:03:30,800 +القوة هي ماينوس اتس اتس اتس اتس اتس اتس اتس اتس + +25 +00:03:30,800 --> 00:03:35,100 +اتس اتس اتس اتس اتس اتس اتس + +26 +00:03:35,100 --> 00:03:36,260 +اتس اتس اتس اتس اتس اتس اتس اتس اتس اتس اتس اتس + +27 +00:03:36,260 --> 00:03:36,620 +اتس اتس اتس اتس اتس اتس اتس اتس اتس اتس اتس اتس + +28 +00:03:36,620 --> 00:03:36,620 +اتس اتس اتس اتس اتس اتس اتس اتس اتس اتس اتس اتس + +29 +00:03:36,620 --> 00:03:36,620 +اتس اتس اتس اتس اتس اتس اتس اتس اتس اتس اتس اتس + +30 +00:03:36,620 --> 00:03:45,420 +اتس اتس اتس اتس اتس اتس اتس اتس اتس + +31 +00:03:46,660 --> 00:03:54,720 +والعين اليسارة سترسل صورة كبيرة للقلعب + +32 +00:03:54,720 --> 00:03:59,580 +الأكسيبيتالي في العقل الآن + +33 +00:03:59,580 --> 00:04:05,240 +لدينا صورة كبيرة وصورة صغيرة الصعوبة في العقل هي + +34 +00:04:05,240 --> 00:04:12,440 +كيف تفيز هذه الصورتين المختلفة كيف؟ + +35 +00:04:14,090 --> 00:04:24,290 +يعني الان في صورة تانية عندي صورة كده او صورة كده + +36 +00:04:24,290 --> 00:04:28,170 +هل ممكن ايه مالك في وجهك؟ احنا قولنا في ال adults + +37 +00:04:28,170 --> 00:04:35,490 +أقصى شيء ال difference 8% وفي ال children في ال + +38 +00:04:35,490 --> 00:04:41,390 +adult 5% difference يعني هنا أربع ديوتر و هنا + +39 +00:04:41,390 --> 00:04:49,310 +اتنين و نص ديوترعلى قاعدة واحد في اتنين يبقى + +40 +00:04:49,310 --> 00:04:53,330 +القلم يكون ال difference عالي يستحيل انه ال brain + +41 +00:04:53,330 --> 00:04:58,190 +يقدر يعمل fusion وبالتالي لازم العين ال more + +42 +00:04:58,190 --> 00:05:08,110 +ametropic eye will become neglected and amblyopic + +43 +00:05:08,110 --> 00:05:15,280 +in children amblyopic lazy in childrenmy English + +44 +00:05:15,280 --> 00:05:21,280 +clear to you طيب + +45 +00:05:21,280 --> 00:05:28,980 +وين ال problem لان انه before correction one eye + +46 +00:05:28,980 --> 00:05:36,820 +has the upper hand on the other eye احب اقول عنها + +47 +00:05:36,820 --> 00:05:42,850 +ال dominant eye what is dominant سائدةبينما في عين + +48 +00:05:42,850 --> 00:05:48,710 +Recessive eye weak eye يبقى before correction + +49 +00:05:48,710 --> 00:05:53,510 +المشكلة before correction ان ال patient مرتاح + +50 +00:05:53,510 --> 00:06:00,210 +comfortable comfortable خلاص في عين أذأنت للضعف + +51 +00:06:00,210 --> 00:06:09,250 +وعين أخدت القوة فهو عامليا عايش غالبا بعين واحدةأو + +52 +00:06:09,250 --> 00:06:14,410 +على الأقل عين ترى البعيد وعين ترى القريب طب after + +53 +00:06:14,410 --> 00:06:19,570 +correction اللي صحينا نايم احنا لما صحينا نايم + +54 +00:06:19,570 --> 00:06:28,670 +اصبح ال need for his request عايز ينبي مطالب يعني + +55 +00:06:28,670 --> 00:06:32,810 +الان انا هذه plus two شاف اللي بقيت تماما هذه + +56 +00:06:32,810 --> 00:06:38,200 +minus two بشوف الجريمة لو انا عملت هذه متروهتصير + +57 +00:06:38,200 --> 00:06:44,900 +تنافس هذه عايزة منها حجب بس اللي بيبنى أخد الحجب + +58 +00:06:44,900 --> 00:06:51,320 +الـ Size اسمها Anisoconia عدم تساوي الحجب فهتصير + +59 +00:06:51,320 --> 00:06:56,960 +منافسة بين الانتين ولعيان يشعر بتعب وربما ب + +60 +00:06:56,960 --> 00:07:03,420 +Diplopia وربما Astinopia يبقى من أفضل before + +61 +00:07:03,420 --> 00:07:08,690 +correction ولا after correctionقبل الثورة ولا بعد + +62 +00:07:08,690 --> 00:07:13,390 +الثورة؟ اتنين سايقين قبل + +63 +00:07:13,390 --> 00:07:25,150 +الثورة في استسلام وبعد الثورة في تنافس طبعا + +64 +00:07:25,150 --> 00:07:31,550 +هذا هيعمل annoyance التصريحالكامل and their fusion + +65 +00:07:31,550 --> 00:07:36,070 +may become difficult or impossible difficult اذا + +66 +00:07:36,070 --> 00:07:40,530 +كان الفرق خمسة في المية في الأصغر و impossible اذا + +67 +00:07:40,530 --> 00:07:44,750 +كان اكتر من خمسة في المية او تمانية في المية في + +68 +00:07:44,750 --> 00:07:52,950 +الأطفال طيب هذه صعوبة الصعوبة التانية انه بما ان + +69 +00:07:52,950 --> 00:07:57,930 +ال lenses احيانا بتجبه thick ففيه prismatic effect + +70 +00:07:59,180 --> 00:08:10,020 +خاصة لما يشوف في ال sites بتاع العدسة طيب + +71 +00:08:10,020 --> 00:08:18,240 +أحيانا بيكون في latent squint عند العيال latent + +72 +00:08:18,240 --> 00:08:25,900 +squint كافية لما يلبس ال full correction ممكن يصير + +73 +00:08:25,900 --> 00:08:27,300 +manifest squint + +74 +00:08:31,140 --> 00:08:35,660 +وثير breakdown of binocular single vision انكسر + +75 +00:08:35,660 --> 00:08:41,220 +وحدة العينتين may lead to the patient experiencing + +76 +00:08:41,220 --> 00:08:47,380 +يعني يعاني من double vision اه for the first time + +77 +00:08:47,380 --> 00:08:50,860 +يعني قبل التصريح ماكانش مع double vision ماكانش + +78 +00:08:50,860 --> 00:08:58,320 +يشوف اتنينلما صلّح وصارت العين ضعيفة عايزة تساوي + +79 +00:08:58,320 --> 00:09:01,860 +القوية وتنافسها بدأ مرات يشوف double vision ومرات + +80 +00:09:01,860 --> 00:09:05,520 +يعمل manifest squint ومرات يعمل أسينوبيا + +81 +00:09:05,520 --> 00:09:11,300 +وannoyance ويجي على الأرض طب على شك أنه كل ما كان + +82 +00:09:11,300 --> 00:09:19,280 +السن أصغر أه younger children ممكن أنه يعمل over + +83 +00:09:19,280 --> 00:09:27,600 +coming للظاهرة هذهوكل ما كان more all كل ما كان + +84 +00:09:27,600 --> 00:09:30,680 +فيه failure في موضوع الـbinocular single body + +85 +00:09:30,680 --> 00:09:35,700 +وموضوع الـfull correction of anisometry الأمور مش + +86 +00:09:35,700 --> 00:09:43,060 +سهلة يعني احنا لان بتكلم على تناقض كيف نصحي + +87 +00:09:43,060 --> 00:09:51,740 +التناقض زي تماما اخوة اتنين أشقاء متنافرينتيجي + +88 +00:09:51,740 --> 00:09:57,300 +لهذا بدوش يتنزل تيجي لهذا بدوش يتنزل إذا كانت انت + +89 +00:09:57,300 --> 00:10:02,900 +يعني ذكي و عندك نية صالحة كما قال الله عز وجل يريد + +90 +00:10:02,900 --> 00:10:08,060 +إصلاحا يوافق اللي هما ينقل بدك توفق بينهم التوفيق + +91 +00:10:08,060 --> 00:10:14,060 +بينهم اسمه compromise الحل الوسط اسمه compromise + +92 +00:10:14,060 --> 00:10:20,700 +بس أنا قبل compromise بدي أقول انهلازم اعمل + +93 +00:10:20,700 --> 00:10:25,520 +comparison between the + +94 +00:10:25,520 --> 00:10:29,020 +situation before and situation after correction + +95 +00:10:29,020 --> 00:10:35,140 +قبل ما اقرر ال prescription هل + +96 +00:10:35,140 --> 00:10:43,320 +هنا before أحسن ولا after أحسن وهذا مش مزاج علم + +97 +00:10:43,320 --> 00:10:50,870 +يعني مثلاأنا اجان العيال minus two و plus two سن + +98 +00:10:50,870 --> 00:10:57,950 +عشر سنين اتناشر سنة اتناشر سنة يعني late childhood + +99 +00:10:57,950 --> 00:11:02,150 +بدأ ال childhood بيودعها يعني في الاربعتاش بيصير + +100 +00:11:02,150 --> 00:11:07,610 +adolescent الان انا بعرف ان العيال هذه ال minus + +101 +00:11:07,610 --> 00:11:10,790 +two بيجرى فيها و ال plus two بيشوف فيها بعيد + +102 +00:11:10,790 --> 00:11:15,010 +بالطبيعة هيك طيب + +103 +00:11:16,030 --> 00:11:20,710 +الان بدي اعمله تصحيح اعطي هنا plus له وهنا minus + +104 +00:11:20,710 --> 00:11:25,910 +له عشان اعملهم متساوين قبل ما اعمل prescription و + +105 +00:11:25,910 --> 00:11:34,390 +اقول مع السلامة اقول لأ اجلس هنا شوف الناس شوف + +106 +00:11:34,390 --> 00:11:37,430 +التلفزيون اقرأ امشي في الممر + +107 +00:11:40,730 --> 00:11:46,370 +أسيبه نص ساعة في وضع .. يعني خليني أقول .. اه test + +108 +00:11:46,370 --> 00:11:53,330 +ايش test؟ فجأة و + +109 +00:11:53,330 --> 00:12:00,350 +بعد نص ساعة .. و ال frame على وجهه كيف الوضع يعني، + +110 +00:12:00,350 --> 00:12:04,450 +اقرأ شوف، شوف في التليفزيون، كيف الناس، مرتاح بعد + +111 +00:12:04,450 --> 00:12:10,630 +نص ساعة و الله يجليه okay اه كله تمامبتأمل انا انه + +112 +00:12:10,630 --> 00:12:19,330 +في بداية exception قبول للحالة اللي بتعطيها بقول + +113 +00:12:19,330 --> 00:12:25,450 +انا بقوله انا هعطيك glasses for two weeks ترجع + +114 +00:12:25,450 --> 00:12:32,060 +للتاني اه دلوقتي احتمال اغير فيهم حسب راحتكبعد + +115 +00:12:32,060 --> 00:12:36,180 +سنوات ادرس مع الموضوع اذا كان بيجرى تمام في مهمته + +116 +00:12:36,180 --> 00:12:40,940 +home work في المدرسة كله تمام ممكن اقر هذا لانه + +117 +00:12:40,940 --> 00:12:46,280 +خلاص جهازه البصري accepted + +118 +00:12:46,280 --> 00:12:54,740 +او accepted دي ال solution هل كاسم يبقى انا هاي + +119 +00:12:54,740 --> 00:12:59,080 +تاني بقول الموضوع مش موضوع prescription و روح + +120 +00:13:00,180 --> 00:13:06,000 +الموضوع موضوع ال result يا بناتي وضمير عشان هيك ال + +121 +00:13:06,000 --> 00:13:11,880 +follow up نصف العلاج ال follow up المتابع لازم انا + +122 +00:13:11,880 --> 00:13:17,600 +اجذب المريض بقدر ما استطيع اليه وخليه يجيني وزي ما + +123 +00:13:17,600 --> 00:13:20,840 +اقوله احيانا انا عشان اعمل experience بدي ادفع مني + +124 +00:13:20,840 --> 00:13:22,480 +مش ااخد من المريض + +125 +00:13:26,200 --> 00:13:29,060 +هيبقى attention being paid to the amount of + +126 +00:13:29,060 --> 00:13:34,500 +discomfort and disability from which the patient + +127 +00:13:34,500 --> 00:13:37,280 +is suffering without correction في الأول الوضع + +128 +00:13:37,280 --> 00:13:42,380 +الأول without correction كم هو تعبان وكم في عنده + +129 +00:13:42,380 --> 00:13:50,380 +نوع من العجز عن أداء مهمة العين أو تنين ووضع + +130 +00:13:50,380 --> 00:13:53,640 +التاني and the amount he is likely to experience + +131 +00:13:54,590 --> 00:13:58,670 +يعاني منه with correction هذا الوضع التاني يبقى + +132 +00:13:58,670 --> 00:14:04,990 +هذا الوضع التاني وهذا الوضع الأول with always + +133 +00:14:04,990 --> 00:14:08,970 +bearing in mind حُطي في مخك the advantage of + +134 +00:14:08,970 --> 00:14:13,790 +binocular single vision ما بديش أعطي تصليح و كل + +135 +00:14:13,790 --> 00:14:16,890 +عين تصير تشوف لحالها مرة هنا و مرة هنا لأ بدي + +136 +00:14:16,890 --> 00:14:23,070 +أشوفهم مع بعض كويس ال comparison أحاول أخد انطباع + +137 +00:14:23,810 --> 00:14:28,550 +الان عارفه فيما بعد التصحيح كيف هيكون هو لازم انا + +138 +00:14:28,550 --> 00:14:35,350 +احطه تحت النظر supervision كل + +139 +00:14:35,350 --> 00:14:40,370 +شوية بيعطينا رسالة هذي بتاعتنا not genuine طيب + +140 +00:14:40,370 --> 00:14:44,270 +الان عشان هي أهم ال guiding lines which must be + +141 +00:14:44,270 --> 00:14:47,770 +found in treatment of anisometropia ما هي الخطوط + +142 +00:14:47,770 --> 00:14:54,340 +العريضة لتصحيح أو علاج ال anisometropiaخلّيني ابدأ + +143 +00:14:54,340 --> 00:15:00,060 +بـ children children under twelve years فيه فرق + +144 +00:15:00,060 --> 00:15:04,960 +بين قبل اتناش و بعد اتناش every attempt should be + +145 +00:15:04,960 --> 00:15:10,440 +made to induce ان اجعل او اعطي full correction to + +146 +00:15:10,440 --> 00:15:18,180 +be warned ان اعطي ال full correction القاعدة بتقول + +147 +00:15:18,180 --> 00:15:25,190 +اسمها القاعدة the younger the childكل ما كان أصغر، + +148 +00:15:25,190 --> 00:15:42,030 +the more persistent the attempt، اربع + +149 +00:15:42,030 --> 00:15:47,670 +أشياء كل ما كان أصغر الطفل في السن كل ما كانت + +150 +00:15:47,670 --> 00:15:55,770 +المحاولة لتصحيحه أكتر جديةو كل ما برهنت على التحسن + +151 +00:15:55,770 --> 00:16:04,310 +و كل ما كانت النتائج أفضل كايس؟ مين الصيغة بالعكس؟ + +152 +00:16:04,310 --> 00:16:08,490 +يعني كيسها شوف The + +153 +00:16:08,490 --> 00:16:15,150 +older the child the less be resistant should be + +154 +00:16:15,150 --> 00:16:16,970 +the attempt + +155 +00:16:22,290 --> 00:16:27,710 +the difficult it will prove and the less success + +156 +00:16:27,710 --> 00:16:35,710 +or more failed more failure will be the result شيء + +157 +00:16:35,710 --> 00:16:42,850 +و ضده سيبلي طالب الآن في توجيهي و ده في الجامعة و + +158 +00:16:42,850 --> 00:16:48,470 +معانا يزومتروبيا و جايين الآن نصحى نصلح بعد + +159 +00:16:48,470 --> 00:16:56,800 +تمانتاشر سنةولا راحوله على الراوضة في خمس سنين وفي + +160 +00:16:56,800 --> 00:17:06,020 +أول ابتدائيه في ست سنين مين أفضل؟ الراوضة صح؟ طيب + +161 +00:17:06,020 --> 00:17:11,060 +in adults دينا على الكبار الوضع أسهل ولا أصعب؟ أصح + +162 +00:17:11,060 --> 00:17:15,280 +أصح احنا جولنا القاعدة جلبناها ال adultsوالـ small + +163 +00:17:15,280 --> 00:17:19,380 +grades of anihilometrobia يعني minus one والعين + +164 +00:17:19,380 --> 00:17:22,920 +التانية plus one مثلا هاي مثل ولا في أمثلة كتيرة + +165 +00:17:22,920 --> 00:17:30,680 +هاني minus one plus one و minus one and any degree + +166 +00:17:30,680 --> 00:17:33,480 +of binocular vision موجودة certainly those with + +167 +00:17:33,480 --> 00:17:39,280 +difference of two and up to four يعني ال + +168 +00:17:39,280 --> 00:17:45,430 +difference هنا two والعين minus two plus twofour + +169 +00:17:45,430 --> 00:17:50,750 +يعني الـ minus هنا الفرق أربعة وهنا ايش اتنين + +170 +00:17:50,750 --> 00:17:57,170 +بيقول اقصى شيء a determined attempt should be made + +171 +00:17:57,170 --> 00:18:00,850 +to wear the full collection طبعا هذا attempt + +172 +00:18:00,850 --> 00:18:06,310 +محاولة المحاولة ممكن تكون ناجحة ممكن تكون فاشلة + +173 +00:18:06,310 --> 00:18:11,640 +and a spectacle should be used constantlyبصورة + +174 +00:18:11,640 --> 00:18:15,000 +دائمة when the symptoms of eye strain are present + +175 +00:18:15,000 --> 00:18:19,120 +or muscular imbalance is evident فيه شوية حول يعني + +176 +00:18:19,120 --> 00:18:29,580 +بعطي هنا النضارات كله صح طيب أنا أتأمل النجاح لكن + +177 +00:18:29,580 --> 00:18:35,960 +أحيان النجاح بعيد المنال يكون بعيد المنال طيب in + +178 +00:18:35,960 --> 00:18:41,090 +older patients فيه فرق بين ال adultيعني من 16 سنة + +179 +00:18:41,090 --> 00:18:46,210 +صار adult young adult أما ال older لأ ال older + +180 +00:18:46,210 --> 00:18:50,030 +يعني بعدين خمسة و عشرين بعدين تلاتين all it may be + +181 +00:18:50,030 --> 00:18:52,810 +found that the correction involves headache and + +182 +00:18:52,810 --> 00:18:57,890 +disease لو أعطيته الجرعة هذه constant full لأ + +183 +00:18:57,890 --> 00:19:04,750 +بيقبلش بسيبه صداع ودوخة and that some compromise + +184 +00:19:04,750 --> 00:19:07,490 +will be necessary ال compromise اللي قلتلكوا عنه + +185 +00:19:07,490 --> 00:19:19,960 +إيه الحل الوسطالحل الوسطى طيب ايش الحل وسطه؟ ضربني + +186 +00:19:19,960 --> 00:19:27,040 +مثل واحد مريض عنده العين اليمين plus two والعين + +187 +00:19:27,040 --> 00:19:35,040 +الشمال plus four الفرق بينهم جداش؟Two بقول ليه + +188 +00:19:35,040 --> 00:19:40,660 +لراحته هذا كبير في السن أعطيه plus two في اليمين و + +189 +00:19:40,660 --> 00:19:46,540 +plus three point five في الشمال يعني بدل الفرق + +190 +00:19:46,540 --> 00:19:52,800 +يكون اتنين أعطيه واحد و نص عشان الصورة هذه في هذا + +191 +00:19:52,800 --> 00:19:58,940 +الحجم و الصورة الأربعة في هذا الحجم كيف ألزج هذه + +192 +00:19:58,940 --> 00:20:05,560 +مع هذه صعبفبقول لو هذه أنا صغرت شوية تصير أسهل لها + +193 +00:20:05,560 --> 00:20:11,320 +دي تتطلب عليها و كل ما كبر كل ما جهاز ال fusion + +194 +00:20:11,320 --> 00:20:20,280 +كان أدق يعني استوى صار mature واضح؟ + +195 +00:20:20,280 --> 00:20:27,080 +طيب عيّن تاني عنده العين اليمين minus هو عنده + +196 +00:20:27,080 --> 00:20:32,060 +العين الشمال minus هوطبعا هو قاعد يشوف فيه هنا + +197 +00:20:32,060 --> 00:20:37,680 +اللي بعيد بصعوبة وقاعد يجرب هذه بصعوبة تنسع بينهم + +198 +00:20:37,680 --> 00:20:42,720 +بدي أعطيه في ال compromise الحل وسط minus two و + +199 +00:20:42,720 --> 00:20:47,060 +minus two يعني + +200 +00:20:47,060 --> 00:20:53,860 +الأولة هذه صلحتها fully و ثم صلحتها partially أخد + +201 +00:20:53,860 --> 00:21:02,260 +minus two minus two ال weak لا نير workوالجوية + +202 +00:21:02,260 --> 00:21:08,540 +كتير لـ distance صار alternation alternation تبادل + +203 +00:21:08,540 --> 00:21:14,520 +عين بتلعب دور البعيد وعين بتلعب دور القريب هذه ال + +204 +00:21:14,520 --> 00:21:20,340 +compromise يعني في لجان الإصلحة المنتشرة مش قضاء + +205 +00:21:20,340 --> 00:21:27,100 +هذا لجان إصلحة جاروا جاروا في بينهم مشكلة واحد ضرب + +206 +00:21:27,100 --> 00:21:35,020 +واحداعتدى واحد هدم حاجة اشي كده كسر هذا بيقولك انا + +207 +00:21:35,020 --> 00:21:40,080 +والله حاجة عشر تلاف دينار تيجي جان اصلاح بتجرب في + +208 +00:21:40,080 --> 00:21:43,980 +الاخر بتطلع حاجة بألفين ترضى صاحب الحاجة بألفين + +209 +00:21:43,980 --> 00:21:50,540 +وفي الاخر بوقع الإصلاح وانه خلاص يعني ما كل ما + +210 +00:21:50,540 --> 00:21:53,800 +يتمنى المرء يدريكه تأتى الرياحه + +211 +00:21:56,430 --> 00:22:00,670 +يعني الآن أحسن أعطيه اتنين و اتنين و يجرى في واحدة + +212 +00:22:00,670 --> 00:22:03,950 +و أشوف البعيد في واحدة ولا أخليه يعيش لاهو شايف + +213 +00:22:03,950 --> 00:22:10,210 +جريب ولا بقيت زي الناس الوضع الأولاني لاهو تنين خد + +214 +00:22:10,210 --> 00:22:15,110 +ماب في البعيد زي الناس لأنه مايهم ولا الأربعة كتير + +215 +00:22:15,110 --> 00:22:20,250 +على الأربعة أنه يجرى هيك من حط الكراسة على عينيه + +216 +00:22:20,250 --> 00:22:24,210 +فلما أعطيته minus two الأولانية صار يشوف البعيد + +217 +00:22:24,210 --> 00:22:29,520 +كويسو أعطيته الـ minus two في التانية خففت شوية ال + +218 +00:22:29,520 --> 00:22:35,120 +myopia سارقة هذا ال compromise كتير هتعيشوا ان شاء + +219 +00:22:35,120 --> 00:22:39,100 +الله و تشوفوا انه يختفي حاجات لا نأخذ فيها + +220 +00:22:39,100 --> 00:22:44,300 +المثالية ولا يختفي فيها بالحالة الوسط مرغمين واصبل + +221 +00:22:44,300 --> 00:22:50,020 +عنا المثالية يعني شيء بس موجود في القرآن وفي + +222 +00:22:50,020 --> 00:22:53,680 +الأحاديث النبوية في الصدر الأول من الصحابة رضوان + +223 +00:22:53,680 --> 00:22:54,220 +الله عليه + +224 +00:22:58,320 --> 00:23:02,380 +طيب الان فى تجربة لل contact lenses فى حد + +225 +00:23:02,380 --> 00:23:05,860 +الأينزومتروبيا الحقيقة أثبتت نجاعتها أكتر من ال + +226 +00:23:05,860 --> 00:23:11,320 +glasses أكتر من النضارات ليش؟ ليش أن ال contact + +227 +00:23:11,320 --> 00:23:18,040 +lenses خدمت في الموضوع ده أكتر من النضارات؟ + +228 +00:23:18,040 --> 00:23:27,100 +كتير شرحناها يعنى هتكون والناير مع المش هذه + +229 +00:23:27,100 --> 00:23:31,440 +المقصودة تكون مليار مع ال call مافيش .. مافيش .. + +230 +00:23:31,440 --> 00:23:36,460 +مافيش .. مافيش .. مافيش .. مافيش .. مافيش .. مافيش + +231 +00:23:36,460 --> 00:23:39,760 +.. مافيش .. مافيش .. مافيش .. مافيش .. مافيش .. + +232 +00:23:39,760 --> 00:23:42,360 +مافيش .. مافيش .. مافيش .. مافيش .. مافيش .. مافيش + +233 +00:23:42,360 --> 00:23:42,660 +.. مافيش .. مافيش .. مافيش .. مافيش .. مافيش .. + +234 +00:23:42,660 --> 00:23:43,580 +مافيش .. مافيش .. مافيش .. مافيش .. مافيش .. مافيش + +235 +00:23:43,580 --> 00:23:43,580 +.. مافيش .. مافيش .. مافيش .. مافيش .. مافيش .. + +236 +00:23:43,580 --> 00:23:43,580 +مافيش .. مافيش .. مافيش .. مافيش .. مافيش .. مافيش + +237 +00:23:43,580 --> 00:23:43,580 +.. مافيش .. مافيش .. مافيش .. مافيش .. مافيش .. + +238 +00:23:43,580 --> 00:23:51,800 +مافيش .. مافيش .. مافيش .. مافيش .. مافيش .. مافيش + +239 +00:23:51,800 --> 00:23:58,050 +..هذه contact lens وهذه ال lens بتاعة spectacle + +240 +00:23:58,050 --> 00:24:06,370 +glasses وهذه عبارة عن 17.2 ميلي متر ماهي الفرق بين + +241 +00:24:06,370 --> 00:24:10,910 +هذه وبين هذه ال contact lens ألغينا ال back vertex + +242 +00:24:10,910 --> 00:24:16,450 +ممتاز وبالتالي ألغينا اشي اسمه lens effectivity يا + +243 +00:24:16,450 --> 00:24:21,090 +جماعة lens effectivity كتير قولنا انه plus lenses + +244 +00:24:21,910 --> 00:24:26,490 +كل ما قربت على العين كل ما زغرت كل ما ابعدت على + +245 +00:24:26,490 --> 00:24:31,570 +العين كل ما كبرت يبقى انا لان رجعت من 17 مليار + +246 +00:24:31,570 --> 00:24:35,350 +القرن هي كأنني ألغيت التكبير بتاعها إلى حد بعيد مش + +247 +00:24:35,350 --> 00:24:40,030 +مية لمية لكن قللته كتير وبالتالي قللت الانيزو + +248 +00:24:40,030 --> 00:24:47,250 +كونيا فالمقل والعكس اللي هو ال ال minus ال minus + +249 +00:24:47,250 --> 00:24:51,930 +انا لما قربهيعني بيصير أقوى و بيزغر لما أبعده + +250 +00:24:51,930 --> 00:24:55,890 +بيصير أقل تصغيرا في الصورة + +251 +00:24:58,140 --> 00:25:00,920 +Contact lens for anemotropia is now widespread + +252 +00:25:00,920 --> 00:25:04,680 +يعني واسعة الانتشار and they have been recommended + +253 +00:25:04,680 --> 00:25:09,920 +for many young subjects and sometimes quite small + +254 +00:25:09,920 --> 00:25:14,340 +children حتى الأطفال أمه بيحطوا إيها who might + +255 +00:25:14,340 --> 00:25:17,880 +otherwise become amylobic عشان نحميهم الأمبيوبيا + +256 +00:25:17,880 --> 00:25:22,520 +on the side of more amyotropic eye عشان نحميه أن + +257 +00:25:22,520 --> 00:25:26,700 +العين الأسوأ أن تدخل فيه أمبيوبياوالامبريوبيا + +258 +00:25:26,700 --> 00:25:36,000 +disaster مصيبة كبيرة صح طبعا + +259 +00:25:36,000 --> 00:25:39,880 +الكلام اللي قلته موضوع squint بده تصليح لو فيه + +260 +00:25:39,880 --> 00:25:46,120 +squint في الأول و بعدين squint عايز اللي هو + +261 +00:25:46,120 --> 00:25:51,660 +presence اما base in او base out حسب انه ال + +262 +00:25:51,660 --> 00:25:59,410 +deviationأه عشان أحمي العيان من ال amblyopia لازم + +263 +00:25:59,410 --> 00:26:06,510 +في الأول أجيبهم العينتين إيش يكونوا in center صح + +264 +00:26:06,510 --> 00:26:13,110 +يكونوا العينتين إيش يعني مثلا الآن العين هادى كده + +265 +00:26:13,110 --> 00:26:17,630 +و العين هادى كده مابنفع نعطيهم glasses لأنه العين + +266 +00:26:17,630 --> 00:26:22,440 +هادىout of center فانا بدي اعطيها prism حتى اجيبها + +267 +00:26:22,440 --> 00:26:25,740 +في ال center ويبدأ الشغل على ال binocular single + +268 +00:26:25,740 --> 00:26:30,940 +vision مااخليها اقعد هنا و اقول اني بعمل تصليح ولا + +269 +00:26:30,940 --> 00:26:35,920 +انضحك فبضطر اعطيها prism صح بضطر اعطيها prism عشان + +270 +00:26:35,920 --> 00:26:39,240 +تيجي في ال center عشان تصير binocular single + +271 +00:26:39,240 --> 00:26:44,680 +vision طيب + +272 +00:26:48,060 --> 00:26:52,520 +الان ال compromise لما يكون في زي ما قلنا يعني + +273 +00:26:52,520 --> 00:26:58,280 +اتنين و اتنين واحد و نص و اتنين يعني بنعمل حال وصف + +274 +00:26:58,280 --> 00:27:01,460 +زي ما شفنا في ال minus و في ال plus شفتوا انتوا + +275 +00:27:01,460 --> 00:27:06,940 +اللي هي هنا هي المرة هذه عطينا بدل اربعة اتنين و + +276 +00:27:06,940 --> 00:27:10,380 +المرة هذه عطينا بدل الاربعة تلاتة و نص هذه ال + +277 +00:27:10,380 --> 00:27:15,420 +compromiseطب افرض الفرق اعلى من انه تجيبه ال + +278 +00:27:15,420 --> 00:27:22,160 +compromise يعني الآن مثلا عين plus one و minus six + +279 +00:27:22,160 --> 00:27:29,460 +قداش الفرق بينهم seven ايش هعمل compromise هيك صعب + +280 +00:27:29,460 --> 00:27:33,000 +ان اعمل compromise لان خلاص العين هي dominant و + +281 +00:27:33,000 --> 00:27:39,680 +العين هي recessive تلاحية يبقى هو بقول هناو in the + +282 +00:27:39,680 --> 00:27:45,400 +difference between the two eyes is marked كبير + +283 +00:27:45,400 --> 00:27:49,540 +أكتر من تمانية في المية the patient should be + +284 +00:27:49,540 --> 00:27:52,760 +advised to turn his head instead of his eyes + +285 +00:27:52,760 --> 00:27:55,700 +looking to the side in order to avoid the + +286 +00:27:55,700 --> 00:28:03,780 +prismatic effect حتى يحرك يعني يحرك راسه بدل من + +287 +00:28:03,780 --> 00:28:11,330 +يحرك عينيه و في الحالة هذهأو في كل حالات لازم اعطي + +288 +00:28:11,330 --> 00:28:15,430 +نظارة قراءة reading spectacles carefully centered + +289 +00:28:15,430 --> 00:28:19,030 +so that the visual axis in the reading position + +290 +00:28:19,030 --> 00:28:23,370 +pass normally through them بناتي احنا في البعيد في + +291 +00:28:23,370 --> 00:28:29,670 +ال distance هيك ال IPD مثلا سبتين طب في ال reading + +292 +00:28:29,670 --> 00:28:35,690 +ستة و خمسين في حالات الانهيزو بتروبيا بالذات من + +293 +00:28:35,690 --> 00:28:39,780 +الصعب انه يقرأ بنظارة البعيدعشان موضوع ال IPD + +294 +00:28:39,780 --> 00:28:46,560 +وحقيقة انا يعني بحثت موضوع ال .. ال .. ال glass + +295 +00:28:46,560 --> 00:28:51,080 +اللي بنعطيها للناس العاديين لل distance و ال + +296 +00:28:51,080 --> 00:28:55,300 +reading فيها بعض الصواب لا شك لأنه مجرد ما يبدأ + +297 +00:28:55,300 --> 00:28:59,820 +يقرأ البقبه بنزلهيب و بعمل convergence و ال IPD + +298 +00:28:59,820 --> 00:29:04,700 +بيقل اتنين و اتنين اربعة millimeter بيقل اربعة + +299 +00:29:04,700 --> 00:29:10,940 +millimeter لكن هذابصير إيه متروب وفيش + +300 +00:29:10,940 --> 00:29:16,320 +انايزومتروبية كبيرة يعني the visual system can + +301 +00:29:16,320 --> 00:29:21,200 +overcome this difficulty لكن المشكلة وين انه يكون + +302 +00:29:21,200 --> 00:29:29,880 +انايزومتروب في درجة من الدرجات وإنه يقرأ بنفس + +303 +00:29:29,880 --> 00:29:34,380 +النضارة صعب فأنا أحسن إن أعطي نضارة القراءة خاصة + +304 +00:29:34,380 --> 00:29:40,970 +لما يكون عنده إيشمجهود يعني إضافي في الدراسة طيب + +305 +00:29:40,970 --> 00:29:44,090 +الآن + +306 +00:29:44,090 --> 00:29:49,710 +في ال compromise أنا رضيت alternating vision أقصدت + +307 +00:29:49,710 --> 00:29:51,930 +بال alternating vision one eye for distance + +308 +00:29:51,930 --> 00:30:00,150 +another eye for reading طيب هو أساسا يعني وعد عايش + +309 +00:30:00,150 --> 00:30:07,750 +في minus one و plus oneعامل plus one للـ distance + +310 +00:30:07,750 --> 00:30:14,990 +و عامل هذه للنيل بقول لي هو مرتاح جدا جيت انا + +311 +00:30:14,990 --> 00:30:18,370 +اصلحه لقيته بدأ يتعب أصيبه أسرابيا و كده و كده + +312 +00:30:18,370 --> 00:30:23,570 +فبقول له no attempt سيبه مدام هو عايش عشرات السنين + +313 +00:30:23,570 --> 00:30:30,510 +بهذا الوضع تلاتين سنة في هذا الوضع سيبه كمان واحد + +314 +00:30:30,510 --> 00:30:36,060 +تاني بدي انا اتركه برضهإن واحد عايش بعين واحدة + +315 +00:30:36,060 --> 00:30:42,220 +monoocular vision يعني هذه مثلا زائد واحد وهذه + +316 +00:30:42,220 --> 00:30:48,780 +minus six وإنه تلاتين سنة عايش هيك هذه صارت deep + +317 +00:30:48,780 --> 00:30:57,020 +amblyopia deep إيش deep متطورة وصلت لمرحل كبير + +318 +00:30:57,020 --> 00:31:03,680 +عميق يعني مش سهل تصحىيعني لو قعدت فين انام هينام + +319 +00:31:03,680 --> 00:31:09,980 +بعد تعب تعب و صهر بقوله deep sleeping مين صحيه؟ + +320 +00:31:09,980 --> 00:31:18,740 +تعبان جدا، اه لكن هذه العين تستخدم for distant and + +321 +00:31:18,740 --> 00:31:26,220 +near وهذه العين رايحة، هل من حكم انك ولا صحي هني؟ + +322 +00:31:26,910 --> 00:31:31,990 +32 سنة عايش هيك فبقولك انه no attempt paying me to + +323 +00:31:31,990 --> 00:31:40,030 +correct the weak eye سيبقى خلاص هو عايش هيك يبقى + +324 +00:31:40,030 --> 00:31:44,490 +احنا الحال الوسط لما يكون الوضع يعني محتعل ال + +325 +00:31:44,490 --> 00:31:50,370 +alternation لكن اذا كان هو alternated جاهز وموزع + +326 +00:31:50,370 --> 00:31:55,970 +الأدوار بين عينيه او انه في عين مسحوبة من ال field + +327 +00:31:56,910 --> 00:32:02,810 +متروكة ومالهاش الأفضل اني اسيبه بدون محاولة وانا + +328 +00:32:02,810 --> 00:32:08,630 +اتعلمت من التجربة انه ليس كل المشاكل لها حل في بعض + +329 +00:32:08,630 --> 00:32:16,770 +المشاكل impossible to be solved ما اله حل طيب + +330 +00:32:16,770 --> 00:32:22,450 +if there is symptoms of ice train كلكم تعرفوا ال + +331 +00:32:22,450 --> 00:32:28,060 +ice train ولا أستينوبياand the patient is young + +332 +00:32:28,060 --> 00:32:32,780 +لسه يعني he is young ال young تلتاش اربعتاش and + +333 +00:32:32,780 --> 00:32:35,720 +attempt may be made to induce him for full + +334 +00:32:35,720 --> 00:32:39,420 +correction وهذا المفروض تكون تابع لإيش للأول خالص + +335 +00:32:39,420 --> 00:32:42,560 +المفروض + +336 +00:32:42,560 --> 00:32:47,360 +تكون تابع خالص يعني ال children و ال young هي + +337 +00:32:47,360 --> 00:32:53,720 +تابعة تمانية تابعة للأول خالص طيب اذا لم ننجح no + +338 +00:32:53,720 --> 00:32:58,250 +succeed he should be provedwith spectacles would + +339 +00:32:58,250 --> 00:33:01,810 +enable each eye to perform separate functions + +340 +00:33:01,810 --> 00:33:06,630 +ومعروف ايه separate functions واحدة للـ distance + +341 +00:33:06,630 --> 00:33:09,510 +وواحدة للانهيار وواحدة للانهيار ال most older + +342 +00:33:09,510 --> 00:33:12,310 +cases الأكبر أكبر الخمسة وعشرين وتلاتين ال last + +343 +00:33:12,310 --> 00:33:17,150 +solution will be found the only useful plan to + +344 +00:33:17,150 --> 00:33:22,210 +adopt انه انا اتبنى ال separate functions توزيع + +345 +00:33:22,210 --> 00:33:26,090 +الأدوار واحدة للبعيد واحدة للخارج وهو مرتاح لعينة + +346 +00:33:26,820 --> 00:33:31,020 +لو انا اكرهته ان هو يعمل full correction لتنين + +347 +00:33:31,020 --> 00:33:37,060 +حيصيرله asinopia ويصيرله drowsy و dizziness و + +348 +00:33:37,060 --> 00:33:41,920 +headache و الكلام مثل هذا أصعب مرحلة الانسان فينا + +349 +00:33:41,920 --> 00:33:50,280 +بتعرض لها لما المريض يعاني ويجي غاضب و ساخطعلى + +350 +00:33:50,280 --> 00:33:55,400 +الوضع اللي احنا بنعرفه لازم احنا يعني و احنا بنعمل + +351 +00:33:55,400 --> 00:34:00,780 +ال prescription نفكر في المقالات خلال يوم إلى + +352 +00:34:00,780 --> 00:34:06,200 +اسبوع ممكن انه يكون الوضع صعب من ال anisometropia + +353 +00:34:06,200 --> 00:34:12,920 +ال extreme المكر الصارخ يعني هو ال uniocular + +354 +00:34:12,920 --> 00:34:19,820 +aphemiaيعني واحد بيلعب مع اطفال طفل بيلعب مع اطفال + +355 +00:34:19,820 --> 00:34:27,560 +بضربوا على بعض كورة حجر حاجة كده اه ضرب اشي سقطت + +356 +00:34:27,560 --> 00:34:34,600 +العدسة بتاعه الحقيقة ان هذي يعني severe problem او + +357 +00:34:34,600 --> 00:34:43,120 +big problem المشكلة ليش ان سيبناها بدون عدسة هيكون + +358 +00:34:43,120 --> 00:34:46,440 +high high problemوالفرق بين ال high و high متروب + +359 +00:34:46,440 --> 00:34:52,640 +وال امتروب very high يعني هذه المحكمة عليها انها + +360 +00:34:52,640 --> 00:35:00,380 +تضيع في deep envelope طيب لبسنا glasses وهذه plano + +361 +00:35:00,380 --> 00:35:07,300 +وهذه plus twelve او eleven او ten في + +362 +00:35:07,300 --> 00:35:13,530 +severe anisoconiaالعدسة هذه جايبة صورة كبيرة + +363 +00:35:13,530 --> 00:35:19,210 +والعدسة هذه صورة عادية كيف المخ يعملهم fusion هذه + +364 +00:35:19,210 --> 00:35:26,230 +المشكلة المشكلة التالتة الأولى أنه تركناها بدون + +365 +00:35:26,230 --> 00:35:33,510 +correction التانية حطينا له glasses مانفعش مرة طيب + +366 +00:35:33,510 --> 00:35:39,930 +التالتة حتى لو حطينا له contact lensعشان + +367 +00:35:39,930 --> 00:35:44,530 +magnification نجلله انه هيكون no accommodation + +368 +00:35:44,530 --> 00:35:48,950 +حيقرأ + +369 +00:35:48,950 --> 00:35:56,410 +بهذه و هذه بس هي كانت الرابعة + +370 +00:35:56,410 --> 00:36:03,090 +انه يعملوا secondary IOL في + +371 +00:36:03,090 --> 00:36:06,530 +ال antelope chamber و برضه هذه لها ماليا لانه مش + +372 +00:36:06,530 --> 00:36:10,870 +هتعمل accommodationو مش ممكن تكون زي العين الأصلية + +373 +00:36:10,870 --> 00:36:17,830 +فشوف زي ما أقولك يعني و قال أقصى إحابي الفرار أو + +374 +00:36:17,830 --> 00:36:24,970 +الردع فقولت هم أمراني أحلى هم مرر هم أحلى هم هم + +375 +00:36:24,970 --> 00:36:28,190 +مرر هم أحلى هم هم هم هم هم هم هم هم هم هم هم هم هم + +376 +00:36:28,190 --> 00:36:28,310 +هم هم هم هم هم هم هم هم هم هم هم هم هم هم هم هم هم + +377 +00:36:28,310 --> 00:36:28,430 +هم هم هم هم هم هم هم هم هم هم هم هم هم هم هم هم هم + +378 +00:36:28,430 --> 00:36:28,430 +هم هم هم هم هم هم هم هم هم هم هم هم هم هم هم هم هم + +379 +00:36:28,430 --> 00:36:28,430 +هم هم هم هم هم هم هم هم هم هم + +380 +00:36:35,790 --> 00:36:40,850 +إنما الـ uniocular aphasia في الـ adult واحد كبير + +381 +00:36:40,850 --> 00:36:44,570 +يعني وانضرب بعد الـ binocular single vision وما + +382 +00:36:44,570 --> 00:36:48,930 +تصير مؤسسة يعني هتصير weak vision لكن مابيبصرش + +383 +00:36:48,930 --> 00:36:54,670 +amblyopia، no amblyopia after مثلا 10 years، خلاص + +384 +00:36:54,670 --> 00:36:58,690 +بعد عشر سنين ال binocular single vision انحسمت، + +385 +00:36:58,690 --> 00:37:02,340 +بيفضل عن موضوع correctionيعني ممكن استعادة في + +386 +00:37:02,340 --> 00:37:07,300 +النظر ب IOL أو Contact Lens و إشي لأن الـBiohazard + +387 +00:37:07,300 --> 00:37:12,020 +Billion إنما إذا كان أقل مثلا من سبعة سنوات هي هذه + +388 +00:37:12,020 --> 00:37:16,690 +المشكلةالمشكلة أن وعين الطفل حساسة جدا لموضوع + +389 +00:37:16,690 --> 00:37:20,350 +الامبليوبيا طب هو أولا بيصير معاه أفكيه ولا حاجة + +390 +00:37:20,350 --> 00:37:26,550 +بس بيصيره أبراجين في عينه و بيروح المستشفى بغفطوله + +391 +00:37:26,550 --> 00:37:30,150 +عينه مثلا تلت أربع أيام وهذه تلت أربع أيام صارت + +392 +00:37:30,150 --> 00:37:35,710 +كفيرة تعمله امبليوبيا مدى الحياة حساسة جدا الموضوع + +393 +00:37:35,710 --> 00:37:39,930 +اللي باينوكا single vision ثمينة جدا وحساسة جدا + +394 +00:37:39,930 --> 00:37:44,100 +وسريعة الضياع في الأطفالعشان هيك لازم يكون احنا + +395 +00:37:44,100 --> 00:37:48,080 +عندنا awareness how to keep كيف نحافظ على ال + +396 +00:37:48,080 --> 00:37:55,800 +binocular single vision يبقى uniocular aphasia is + +397 +00:37:55,800 --> 00:38:03,540 +an extreme أنيزومتروبيا مثل صارخ extreme يعني + +398 +00:38:03,540 --> 00:38:09,240 +متناهي متطرف أنيزومتروبيا ليش؟ لأنه عين مثلا plus + +399 +00:38:09,240 --> 00:38:18,890 +oneوعين plus fourteen ايش يجمعهم مع بعض اي نظارة + +400 +00:38:18,890 --> 00:38:22,590 +تجمعهم مع بعض بقول + +401 +00:38:22,590 --> 00:38:26,190 +partly owing to the total lack of accommodation + +402 +00:38:26,190 --> 00:38:30,830 +طبعا العين هذه مافي سفر accommodation and partly + +403 +00:38:30,830 --> 00:38:34,050 +owing to the increased size of written image اذا + +404 +00:38:34,050 --> 00:38:37,950 +كان عملنا correction عملنا correction plus مثلا + +405 +00:38:37,950 --> 00:38:39,890 +ten, eleven, twelve + +406 +00:38:42,620 --> 00:38:45,860 +مش هيعمل المخ fusion للصورة اليمين مع الصورة + +407 +00:38:45,860 --> 00:38:50,760 +الشمالي واضح؟ an epic eye connected by spectacles + +408 +00:38:50,760 --> 00:38:55,160 +نضارات can rarely be used in association with + +409 +00:38:55,160 --> 00:39:02,040 +normal eye يعني في دوش الشاشة كيف نجمع الكبير + +410 +00:39:02,040 --> 00:39:07,860 +بالنضارة مع العادي؟ طيب + +411 +00:39:10,690 --> 00:39:17,310 +بقول لي إن هذا المثل extreme a accentuated example + +412 +00:39:17,310 --> 00:39:22,090 +of anisometropia inevitable بيقدر إليها inevitable + +413 +00:39:22,090 --> 00:39:27,310 +anisocony إيش inevitable حتمية يعني anisocony + +414 +00:39:27,310 --> 00:39:33,870 +حتمية الحدوث ولا يمكن بالنضارة أن تنحل أبدا لأن ال + +415 +00:39:33,870 --> 00:39:39,230 +plus في وضعها العادى في نضارة high plus هتعطي big + +416 +00:39:42,760 --> 00:39:46,040 +image يبقى هذا makes fusion of the two images + +417 +00:39:46,040 --> 00:39:50,820 +difficult أو حتى impossible and attempt to obtain + +418 +00:39:50,820 --> 00:39:53,140 +binocular vision may be possible in small + +419 +00:39:53,140 --> 00:39:57,080 +differences بس لما يكون في حدود one two three + +420 +00:39:57,080 --> 00:40:05,080 +diopters انما ten وفور impossible طيب + +421 +00:40:05,080 --> 00:40:12,720 +بقول هناالـ high regrets are several difficulties + +422 +00:40:12,720 --> 00:40:19,420 +present إيش ال difficulties؟ في الفرق الكبير أول + +423 +00:40:19,420 --> 00:40:29,780 +difficulty هو إنه لما نصلح ال highhypermetropic + +424 +00:40:29,780 --> 00:40:33,080 +eye الأفكك eye يعني are placed في الـ anterior + +425 +00:40:33,080 --> 00:40:35,600 +focal plane of the eye it will be seen that there + +426 +00:40:35,600 --> 00:40:39,340 +is no change in the size of that image from that + +427 +00:40:39,340 --> 00:40:43,900 +formed by the emetropic fake eye يعني الفكك eye + +428 +00:40:43,900 --> 00:40:46,940 +الصورة + +429 +00:40:46,940 --> 00:40:53,500 +طبيعية طب الأفكك eye الصورة اه big وكبيرة جدا هاي + +430 +00:40:53,500 --> 00:41:02,440 +واحدة التانية ان ال enlargementهيكون واحد إلى واحد + +431 +00:41:02,440 --> 00:41:06,160 +وخمسة + +432 +00:41:06,160 --> 00:41:15,120 +وتلاتين يعني العين الفكك في التكبير واحد العين + +433 +00:41:15,120 --> 00:41:20,020 +الافكك في التكبير واحد وخمسة وتلاتين وهذا هيعمل + +434 +00:41:20,020 --> 00:41:25,960 +many problems في موضوع ال orientation special + +435 +00:41:25,960 --> 00:41:32,720 +orientationزي مثلا يضع قدمه على الأرض خطأ فممكن + +436 +00:41:32,720 --> 00:41:37,940 +يجعل لأنه مصور له الأرض كبيرة و البلاط عالي بيجعل + +437 +00:41:37,940 --> 00:41:43,400 +ممكن لما بده يصوب ميا أو شاي في ال cups انه يصوبها + +438 +00:41:43,400 --> 00:41:47,400 +برا لأنه يحس ان ال cup كبير و هكذا و هكذا و هكذا + +439 +00:41:47,400 --> 00:41:51,960 +حتى الطعام يعني يضع يده في الهواء قبل أن يصل إلى + +440 +00:41:51,960 --> 00:41:56,220 +الطبق و هكذا هذا + +441 +00:41:57,650 --> 00:42:02,190 +يعني لو كان adult و راحت العدسة لكن اذا كان child + +442 +00:42:02,190 --> 00:42:07,530 +لأ على طول العين هادى هتسافر على أمبيوبيا خلال one + +443 +00:42:07,530 --> 00:42:11,430 +to two weeks في خلال أسبوع أو أسبوعين هتخش في + +444 +00:42:11,430 --> 00:42:14,930 +أمبيوبيا و الأمبيوبيا تتطور إلى أن تصير severe + +445 +00:42:14,930 --> 00:42:19,710 +أمبيوبيا وممكن تصير squint خاصة لو إيش إكزوتروبيا + +446 +00:42:19,710 --> 00:42:24,210 +طيب + +447 +00:42:24,210 --> 00:42:30,520 +الآن بدكوا تعملوا نصيحةبلاش ال child ال child طبعا + +448 +00:42:30,520 --> 00:42:33,380 +هو ال cataract لو صار يعني واحد انضرب في عينه + +449 +00:42:33,380 --> 00:42:39,280 +بالان و بدأ يخف نظره شوية شوية شوية لما صار اتنين + +450 +00:42:39,280 --> 00:42:43,280 +ع ستين تلاتة ع ستين واحدة ع ستين counting fingers + +451 +00:42:43,280 --> 00:42:50,100 +hand movement بعد شهور يعني العين عامية صار طبعا + +452 +00:42:50,100 --> 00:42:55,120 +سواء صغير ولا كبير حاطين صحونه مبقاش cataract + +453 +00:42:57,300 --> 00:43:01,780 +extraction و هتخلوها عامية ما احنا بيقولهم بيقولهم + +454 +00:43:01,780 --> 00:43:08,320 +يعني اي وضع جاي هيكون بصورة صغيرة او كبيرة احسن من + +455 +00:43:08,320 --> 00:43:16,240 +العمل كله يعني كاتركت واحد انضرب في عينه وصابوا + +456 +00:43:16,240 --> 00:43:22,240 +كاتركت لازم يشيلوا كاتركت فرق بين من شيل كاتركت و + +457 +00:43:22,240 --> 00:43:25,940 +بين ما تكون هي سقطت العدسة أساسا من الأول لإن كان + +458 +00:43:25,940 --> 00:43:29,860 +سقطتتلقائيًا في خلال دقائق اتحولت إلى high-hyper + +459 +00:43:29,860 --> 00:43:33,860 +-metropole بس كان عدسة سقطت لأن الـrefractive + +460 +00:43:33,860 --> 00:43:41,800 +power بتاعتها ذهبت فسرها على المكان انا بتقول + +461 +00:43:41,800 --> 00:43:46,760 +القصة من بارح صرت معايا في يعني ست .. يمكن أمر + +462 +00:43:46,760 --> 00:43:55,140 +ستين سنة، اتنين و ستين سنة جاءت تشكو من التاليهي + +463 +00:43:55,140 --> 00:44:01,240 +بتقول لي هيك بالبلد كريشة كبيرة إيش الكريشة؟ + +464 +00:44:01,240 --> 00:44:07,120 +بتعرفيش الكريش؟ هذه لغة التبرجية الخشب اللي بيحطوه + +465 +00:44:07,120 --> 00:44:16,640 +في سجوفها ده عشان يصبه فوجه بطون في خشب بيكون كبير + +466 +00:44:16,640 --> 00:44:21,300 +هيك بيحطوه تحت وفي خشب مسطح بيحطوه في جانب بعضه + +467 +00:44:21,300 --> 00:44:26,990 +عشان يصب فوجهالـ Baton الحديد الكريشة عادة هذه + +468 +00:44:26,990 --> 00:44:31,010 +بتكون الخشب الخميلة الطويلة أربعة متر وخمسة متر + +469 +00:44:31,010 --> 00:44:37,790 +هذه بيقول وجعت على راسي وعيني شيء عجيب الان اللي + +470 +00:44:37,790 --> 00:44:42,470 +صارت كانت تالي جيت ل right eye لجيتها minus + +471 +00:44:42,470 --> 00:44:49,030 +fourteen وشوية astigmatism ال left eye لجيتها plus + +472 +00:44:49,030 --> 00:44:52,650 +four يا + +473 +00:44:52,650 --> 00:44:59,040 +سلامالـ right eye هذه لما جينا على ال vision يعني + +474 +00:44:59,040 --> 00:45:10,720 +تقريبا 660 تقريبا بقول انا ال plus هذه 624 + +475 +00:45:10,720 --> 00:45:17,900 +plus بخلصناش + +476 +00:45:17,900 --> 00:45:24,580 +لسه بحط أصل slam اللي هي جاي تلاعين هذه افكك + +477 +00:45:27,740 --> 00:45:33,120 +فيكك فش فيها عدسة العين + +478 +00:45:33,120 --> 00:45:39,440 +هذه فيكك فيها عدسة فيكك + +479 +00:45:39,440 --> 00:45:42,560 +والله + +480 +00:45:42,560 --> 00:45:48,180 +هذه حالة يعني عجيبة طيب طبعا انا اتوجه للحرمة يا + +481 +00:45:48,180 --> 00:45:51,620 +مدام عمرك عملتي في العين الشمال عملية جت عمره ما + +482 +00:45:51,620 --> 00:45:52,780 +طبيب عيون شاف عيني + +483 +00:45:57,240 --> 00:46:02,520 +و انا بروح لأطفال على طول انا ادرك ال people اللي + +484 +00:46:02,520 --> 00:46:10,840 +عندي jet black غامج أسود غامج و ال A C D و مافيش + +485 +00:46:10,840 --> 00:46:15,420 +عدسة طوال اللي انا استنتجت ان ال creature اللي جات + +486 +00:46:15,420 --> 00:46:20,200 +عنها وجعت عليينها شالتلها العدسة خلتها hyper + +487 +00:46:20,200 --> 00:46:25,000 +metropolitan بس ليش ماخلتاش hyper metropolitan12 + +488 +00:46:25,000 --> 00:46:31,700 +و13 لأن زي هي أساسا Myopia عادة لو بعض هذا اللي + +489 +00:46:31,700 --> 00:46:36,880 +بدرسه كله أنا مش في إحدى علاج ال high myopia + +490 +00:46:36,880 --> 00:46:41,360 +extraction و ب clear ال lens ال lens أنا أعملها و + +491 +00:46:41,360 --> 00:46:44,800 +هي clear يعني هي نظيفة مافيش فيها حاجة أشيلها عشان + +492 +00:46:44,800 --> 00:46:50,000 +أعادل بدل ما أعمل ليزك و أقص من سماكة القرانية أني + +493 +00:46:50,000 --> 00:46:51,180 +أنا فارق جات لحالها + +494 +00:46:54,360 --> 00:46:58,280 +هي لأ هي من أساس عينيها هي high myopia فانا + +495 +00:46:58,280 --> 00:47:00,580 +استنتجت ان عينيها تانية high myopia ووجعت العدسة + +496 +00:47:00,580 --> 00:47:06,880 +خلتها some hyper metroid some mild يعني حاجة عجيبة + +497 +00:47:06,880 --> 00:47:10,800 +صحيه هنا طيب + +498 +00:47:10,800 --> 00:47:21,680 +طيب الان الان خلينا في ال cataract هل ممكن العين + +499 +00:47:21,680 --> 00:47:26,340 +ال cataract تانيةعين الكتركت سواء في الأطفال أو في + +500 +00:47:26,340 --> 00:47:30,460 +الكبار اني انا اخليها فوري برا سيبقى و هيعيش + +501 +00:47:30,460 --> 00:47:35,240 +بالعين هذه حلوة العين هذه حلوة اخليها دي كتركت + +502 +00:47:35,240 --> 00:47:41,260 +وشينا فيها هل ممكن هذا التفكير يكون تفكير سليم ولا + +503 +00:47:41,260 --> 00:47:45,720 +في ما يعارضهم اذا كان معرضوا اتفضلوا اقولوا ايش ما + +504 +00:47:45,720 --> 00:47:51,560 +يعارضهم طيب + +505 +00:47:53,290 --> 00:47:58,030 +خلّي أقولكوا الان مين أوسع ال visual field in one + +506 +00:47:58,030 --> 00:48:03,250 +eye ولا in both eyes فبقولك اه يا عم هذه cataract + +507 +00:48:03,250 --> 00:48:07,310 +يعني ال visual field بتاع مسكّر وهنا يعني ال + +508 +00:48:07,310 --> 00:48:11,690 +visual field narrow إلا العين هذه مثلا وهذه عمياء + +509 +00:48:11,690 --> 00:48:17,390 +لو أنا أشيل cataract بفتح ال visual field بصير نوع + +510 +00:48:17,390 --> 00:48:21,750 +ما وإن كانت هذه weak one billion لكن بتساعد شوية + +511 +00:48:21,750 --> 00:48:26,730 +في أن ال visual field هنايفتح واحدة الشيء التاني + +512 +00:48:26,730 --> 00:48:30,150 +والمهم انه انا لو سبت ال cataract for many years + +513 +00:48:30,150 --> 00:48:33,870 +for many years هصير hyper محروق mature cataract + +514 +00:48:33,870 --> 00:48:42,170 +يعني مثلا هاي ال lens هاي ال lens كبسول وهي ال + +515 +00:48:42,170 --> 00:48:48,770 +cortex وهي ال nucleus وبدأت شوية ايش عتمات عتمات + +516 +00:48:48,770 --> 00:48:53,750 +وزادت ولو انا سبت many many yearsممكن يصير الـ + +517 +00:48:53,750 --> 00:49:01,730 +mature hyper mature يصير ال protein of the lens + +518 +00:49:01,730 --> 00:49:08,190 +liquefied وهذا البروتين يبدأ يتسرب عبر الكابسولة + +519 +00:49:08,190 --> 00:49:13,210 +إلى الخارج lens protein طب اللي يتسرب عبر + +520 +00:49:13,210 --> 00:49:16,670 +الكابسولة إلى الخارج واحد هيروح في الأكي و أس ال + +521 +00:49:16,670 --> 00:49:24,740 +humor ال humor one هيحملهترابيكور مشوارك ترابيكور + +522 +00:49:24,740 --> 00:49:32,440 +مشوارك ترابيكور + +523 +00:49:32,440 --> 00:49:36,900 +مشوارك ترابيكور مشوارك ترابيكور مشوارك ترابيكور + +524 +00:49:36,900 --> 00:49:42,320 +مشوارك ترابيكور + +525 +00:49:42,320 --> 00:49:51,220 +مشوارك ترابيكور مشوارك ترابيكور مشواركحتى لو عين + +526 +00:49:51,220 --> 00:49:57,540 +عمياء من أفضل عين عمياء بلا ألم ولا عين عمياء بألم + +527 +00:49:57,540 --> 00:50:03,780 +بلا ألم لأ والله من غير ألمك يبقى أنا لما عملت + +528 +00:50:03,780 --> 00:50:08,200 +العين العمياء عملت cataract extraction عشان أعمل + +529 +00:50:08,200 --> 00:50:14,380 +profilaxis وقايا من الجلوكومة complete الجلوكومة + +530 +00:50:14,380 --> 00:50:18,840 +وصير painful eye صير فيها ألم العلم بتركب على بعضه + +531 +00:50:18,840 --> 00:50:29,210 +صح؟يعني احنا بنعمل شيء حتى مايجي شيء أصعب صح يبقى + +532 +00:50:29,210 --> 00:50:35,950 +أنا فتحت ال visual field اه حتى في العين ال blind + +533 +00:50:35,950 --> 00:50:43,550 +هذه وانا منعت ال hyper maturity of cataract لأنه + +534 +00:50:43,550 --> 00:50:46,650 +ممكن يعمل subsequence complications ومنها + +535 +00:50:46,650 --> 00:50:53,210 +phagolitic glucomafacultic glucoma glucoma due to + +536 +00:50:53,210 --> 00:50:58,890 +اللي هو hyper mature cataract بروتينا اللينز + +537 +00:50:58,890 --> 00:51:02,410 +بتتسرب عبر الكبسولة وبروح في الاكيوس الى + +538 +00:51:02,410 --> 00:51:06,570 +الترابيكرو مشهور في ال angle of anterior ايش + +539 +00:51:06,570 --> 00:51:15,170 +انتيرور ايش chamber طيب + +540 +00:51:17,690 --> 00:51:21,510 +طبعا ال contact lenses احنا قلنا انها مهمة احيانا + +541 +00:51:21,510 --> 00:51:27,450 +في الناس اللي مابدوش يعمل عملية بعد هيك contact + +542 +00:51:27,450 --> 00:51:31,350 +lenses يعني هي البديل الأفضل عن النضارة لكن البديل + +543 +00:51:31,350 --> 00:51:35,890 +الأفضل عن contact lens اللي هو ايش ال IOL + +544 +00:51:35,890 --> 00:51:47,290 +implantation طبعا لو انه سبق انه ال lens ضاعت كلها + +545 +00:51:48,530 --> 00:51:52,830 +فانا مافيش عندى capsular bag يعني في العين العادية + +546 +00:51:52,830 --> 00:51:56,690 +لو + +547 +00:51:56,690 --> 00:52:00,770 +انه + +548 +00:52:00,770 --> 00:52:08,050 +هاي ال salary body و هاي ال zonules و هاي ال lens + +549 +00:52:08,050 --> 00:52:14,140 +جاعدة هنا في العين العادية يقول ان احنا بنفتحفي + +550 +00:52:14,140 --> 00:52:19,560 +الـ interior surface of capsule وبنفضّي ال .. ال + +551 +00:52:19,560 --> 00:52:24,280 +.. ال .. اللي هو إيش؟ ال cortex و nucleus عن طريق + +552 +00:52:24,280 --> 00:52:30,380 +ال probe of phacoemulsification وبنيديه بنزرع لنز + +553 +00:52:30,380 --> 00:52:34,980 +في ال posterior chamber in place لها optics و + +554 +00:52:34,980 --> 00:52:40,220 +haptics زرعناها ارتحنا شيلنا لنزnatural + +555 +00:52:40,220 --> 00:52:45,100 +crystalline بحط هنا ايش؟ synthetic artificial lens + +556 +00:52:45,100 --> 00:52:49,920 +هذه طبعا احسن وضع في ال effectivity في ال + +557 +00:52:49,920 --> 00:52:53,140 +effectivity of the lens ال lens مادة من ال lens + +558 +00:52:53,140 --> 00:52:57,900 +مافيش magnification ولا اي نيزيوكونيا ولا حاجة لكن + +559 +00:52:57,900 --> 00:53:03,780 +احيانا ال lens هذه صار لسبب انه وجعت ضاعت فانا + +560 +00:53:03,780 --> 00:53:09,000 +مضطر ازرع وين في ال antero chainanterior chamber + +561 +00:53:09,000 --> 00:53:16,020 +lens plus lens ويلها haptics perpixial angle of + +562 +00:53:16,020 --> 00:53:20,560 +anterior chamber مش كل ال anterior chamber لأ في + +563 +00:53:20,560 --> 00:53:25,460 +موضعين معينين والباقي مفتوح في موضعين معينين يعني + +564 +00:53:25,460 --> 00:53:30,220 +لو هي كان anterior chamber angle انا حطيت ال lens + +565 +00:53:30,220 --> 00:53:35,620 +هنا و ال haptics بتاعتها عند الساعة اتناش و الساعة + +566 +00:53:35,620 --> 00:53:44,640 +ستة twelve o'clockو 6 o'clock واضح يا بناتي؟ بس + +567 +00:53:44,640 --> 00:53:50,320 +أنا يعني حصرة على الأطفال غالبا العين اللي ضاعت + +568 +00:53:50,320 --> 00:53:53,920 +منها الكريستانالينز غالب تدخل في دي أمبيوبيا حتى + +569 +00:53:53,920 --> 00:54:00,580 +رغم كل الجراحات لأن هذا بده program for restoring + +570 +00:54:00,580 --> 00:54:04,560 +the binuclear single billionالطفل اللي انضرب في + +571 +00:54:04,560 --> 00:54:08,540 +اربع سنين وخمس سنين وضعت العدسة وماعمله ماعمله وش + +572 +00:54:08,540 --> 00:54:14,220 +هذي مشكلة كبيرة بده program كامل لعادة تأهيل كيف + +573 +00:54:14,220 --> 00:54:20,220 +نعيد ال bionuclear single vision قبل أن تذهب إلى + +574 +00:54:20,220 --> 00:54:28,780 +الأبد لذا بلد السبعة أو فوق طيب + +575 +00:54:28,780 --> 00:54:35,030 +أحيانا واحد عنده أفيامدة عشر سنوات long standing + +576 +00:54:35,030 --> 00:54:39,910 +مثلا فهذا إلا أعمله secondary IOL implantation + +577 +00:54:39,910 --> 00:54:44,150 +secondary يعني مش في نفس الوجبة يعني مرضى ال + +578 +00:54:44,150 --> 00:54:49,990 +cataract الآن هي في نفس ال session بيبدأ بال + +579 +00:54:49,990 --> 00:54:54,230 +cataract extraction و بيخلص و بينجل على طول لل IOL + +580 +00:54:54,230 --> 00:55:00,650 +implantation في نفس ال session في نفس يعني العملية + +581 +00:55:00,650 --> 00:55:10,840 +الجراحيةلكن ال .. لو صار الفاكهة في وقت و تأخر + +582 +00:55:10,840 --> 00:55:18,240 +الحل عدة سنوات فممكن يعمل secondary intraocular + +583 +00:55:18,240 --> 00:55:22,820 +implantation طبعا غالبا هيكون في ال ACلأن بتكون ال + +584 +00:55:22,820 --> 00:55:27,960 +lens ذهبت و ال zone of use ذهبت ففيش احسن اشي نعمل + +585 +00:55:27,960 --> 00:55:32,140 +في الاشي بعض الناس بيقولك ممكن احطه بغرز في + +586 +00:55:32,140 --> 00:55:35,660 +الcellary body احطه في الcellary body بغرز و انا + +587 +00:55:35,660 --> 00:55:41,200 +بقول هذه risky مجازفة يعني مش سهلة اني ادخل ال + +588 +00:55:41,200 --> 00:55:45,400 +lens و اخيط ال haptics بتاعتها في الcellary body + +589 +00:55:45,400 --> 00:55:52,510 +يعنيبعملية risky يعني هي ممكن تتم لكن بدها يعني + +590 +00:55:52,510 --> 00:55:58,690 +high accuracy و high magnification و experience + +591 +00:55:58,690 --> 00:56:03,670 +عالية عند من؟ عند الجراح فهي بدل ال AC + +592 +00:56:03,670 --> 00:56:09,270 +implantation حل محترم حنجف عند ال anazokonia ان + +593 +00:56:09,270 --> 00:56:13,650 +شاء الله ال anazokonia موضوع برضه جيد شكرا لكم + +594 +00:56:13,650 --> 00:56:15,610 +والسلام عليكم ونحن في الله يبارك + diff --git a/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/VEw-gScKWqY_postprocess.srt b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/VEw-gScKWqY_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..eb92f26682098478a99206009614274cfa125760 --- /dev/null +++ b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/VEw-gScKWqY_postprocess.srt @@ -0,0 +1,2936 @@ +1 +00:00:00,000 --> 00:00:01,100 +موسيقى + +2 +00:00:21,040 --> 00:00:23,460 +أعوذ بالله من الشيطان الرجيم بسم الله الرحمن + +3 +00:00:23,460 --> 00:00:27,540 +الرحيم الحمد لله و أكفه و أصلي و أسلم على النبي + +4 +00:00:27,540 --> 00:00:32,100 +المصطفى السلام عليكم ورحمة الله وبركاته in this + +5 +00:00:32,100 --> 00:00:39,260 +lecture we will remain in treatment of + +6 +00:00:39,260 --> 00:00:46,340 +hypermetropia the first treatment was glasses and + +7 +00:00:46,340 --> 00:00:51,790 +we haveوانتهينا من اللاعبات وانتهينا من اللاعبات + +8 +00:00:51,790 --> 00:00:53,650 +وانتهينا من اللاعبات وانتهينا من اللاعبات وانتهينا + +9 +00:00:53,650 --> 00:00:56,610 +من اللاعبات وانتهينا من اللاعبات وانتهينا من + +10 +00:00:56,610 --> 00:00:57,550 +اللاعبات وانتهينا من اللاعبات وانتهينا من اللاعبات + +11 +00:00:57,550 --> 00:00:57,670 +من اللاعبات وانتهينا من اللاعبات وانتهينا من + +12 +00:00:57,670 --> 00:00:58,450 +اللاعبات وانتهينا من اللاعبات وانتهينا من اللاعبات + +13 +00:00:58,450 --> 00:01:00,650 +من اللاعبات وانتهينا من اللاعبات وانتهينا من + +14 +00:01:00,650 --> 00:01:10,970 +اللاعبات وانتهينا من اللاعبات وانتهي + +15 +00:01:11,800 --> 00:01:15,840 +in case of أفاكيا loss of the crystalline lens + +16 +00:01:15,840 --> 00:01:24,420 +from its place in the eye أفاكيا أفاكيا means + +17 +00:01:24,420 --> 00:01:29,820 +high, very high, high valmetropia and in such + +18 +00:01:29,820 --> 00:01:38,980 +cases glasses or lenses in spectacles will be too + +19 +00:01:38,980 --> 00:01:46,860 +heavyعلى الوجه وإلا إذا كنا نستخدم رصاصة الوضع في + +20 +00:01:46,860 --> 00:01:54,640 +حالات مثل هذه ستتسبب في رؤية أساسية أساسية واضحة + +21 +00:01:54,640 --> 00:01:58,040 +واضحة واضحة واضحة واضحة واضحة واضحة واضحة واضحة + +22 +00:01:58,040 --> 00:01:58,240 +واضحة واضحة واضحة واضحة واضحة واضحة واضحة واضحة + +23 +00:01:58,240 --> 00:02:00,080 +واضحة واضحة واضحة واضحة واضحة واضحة واضحة واضحة + +24 +00:02:00,080 --> 00:02:03,920 +واضحة + +25 +00:02:03,920 --> 00:02:08,300 +واضحة واضحة + +26 +00:02:11,130 --> 00:02:14,310 +الثانية، في حالات مثلها أيضًا لديها مظهر جمالي + +27 +00:02:14,310 --> 00:02:21,250 +لديها مظهر جمالي مظهر جمالي مظهر جمالي مظهر جمالي + +28 +00:02:21,250 --> 00:02:26,110 +مظهر جمالي مظهر جمالي مظهر جمالي مظهر جمالي مظهر + +29 +00:02:26,110 --> 00:02:27,510 +جمالي مظهر جمالي مظهر جمالي مظهر جمالي مظهر جمالي + +30 +00:02:27,510 --> 00:02:27,750 +مظهر جمالي مظهر جمالي مظهر جمالي مظهر جمالي مظهر + +31 +00:02:27,750 --> 00:02:33,130 +جمالي مظهر جمالي مظهر جمالي مظهر جمالي مظهر + +32 +00:02:33,130 --> 00:02:38,290 +جمالي مظهر جمالي + +33 +00:02:38,290 --> 00:02:45,790 +مظهر جمالي مظالان الهيبرمتروبيا + +34 +00:02:45,790 --> 00:02:48,850 +موجودة + +35 +00:02:48,850 --> 00:02:57,190 +بلس لينز بشكل مميز بالنسبة لي الهيبرمتروبيا + +36 +00:02:57,190 --> 00:02:58,230 +بشكل مميز بالنسبة لي الهيبرمتروبيا + +37 +00:03:00,490 --> 00:03:10,410 +هو سيغلق من أساس الـ clear vision لكن إذا كنت محب + +38 +00:03:10,410 --> 00:03:16,490 +أن تشاهد مجالات من الجانب مجالات من الجانب سيكون + +39 +00:03:16,490 --> 00:03:27,710 +هناك تغيير تغيير ماهو التغيير؟ رؤية .. رؤية + +40 +00:03:27,710 --> 00:03:28,190 +الأشياء + +41 +00:03:31,460 --> 00:03:38,920 +في شكل وصفة مختلفة ومقاس مختلفة ومقاس + +42 +00:03:38,920 --> 00:03:39,280 +مختلف ومقاس مختلف ومقاس مختلف ومقاس مختلف ومقاس + +43 +00:03:39,280 --> 00:03:40,840 +مختلف ومقاس مختلف ومقاس مختلف ومقاس مختلف ومقاس + +44 +00:03:40,840 --> 00:03:42,000 +مختلف ومقاس مختلف ومقاس مختلف ومقاس مختلف ومقاس + +45 +00:03:42,000 --> 00:03:42,880 +مختلف ومقاس مختلف ومقاس مختلف ومقاس مختلف ومقاس + +46 +00:03:42,880 --> 00:03:44,020 +مختلف ومقاس مختلف ومقاس مختلف ومقاس مختلف ومقاس + +47 +00:03:44,020 --> 00:03:50,160 +مختلف ومقاس مختلف ومقاس مختلف ومقاس مختلف ومقاس + +48 +00:03:50,160 --> 00:03:58,660 +مختلف وموانتقل السليندر هكذا و هكذا سترى هذه + +49 +00:03:58,660 --> 00:04:08,100 +الشكلة تأخذ شكلة مختلفة هكذا الانقل ستتغير مع + +50 +00:04:08,100 --> 00:04:17,220 +الانقلاع هذا هو الانتقال إيه بقى؟ عندما ينظر + +51 +00:04:17,220 --> 00:04:19,460 +الشخص من جانب عينته + +52 +00:04:22,470 --> 00:04:28,010 +الشكل من الأشياء سيكون مغلقًا بينما الـ contact + +53 +00:04:28,010 --> 00:04:33,970 +lens لن يكون كذلك، كيف؟ لأن ال contact lens تتحرك + +54 +00:04:33,970 --> 00:04:38,410 +مع القناة، عندما تتحرك القناة تنظر إلى الجانب، + +55 +00:04:38,410 --> 00:04:44,910 +تخرج، تتحرك مع العين، تنظر إلى الأعلى، تتحرك، تنظر + +56 +00:04:44,910 --> 00:04:48,770 +إلى الأسفل، تتحرك مع العين + +57 +00:04:53,620 --> 00:05:04,820 +حتى بيناكولار افكك بيناكولار كلا العيال يعني فإذا + +58 +00:05:04,820 --> 00:05:14,960 +كان يستخدم عيال التواصل سيشهر أكتر من أي عيال + +59 +00:05:14,960 --> 00:05:20,420 +عظيمة لماذا؟ + +60 +00:05:25,160 --> 00:05:31,700 +اللينز الاتصاليه من اللينز الاتصاليه اتصالين + +61 +00:05:31,700 --> 00:05:35,260 +اتصالين + +62 +00:05:35,260 --> 00:05:35,500 +اتصالين اتصالين اتصالين اتصالين اتصالين اتصالين + +63 +00:05:35,500 --> 00:05:35,840 +اتصالين اتصالين اتصالين اتصالين اتصالين اتصالين + +64 +00:05:35,840 --> 00:05:37,300 +اتصالين اتصالين اتصالين اتصالين اتصالين اتصالين + +65 +00:05:37,300 --> 00:05:42,980 +اتصالين اتصالين + +66 +00:05:42,980 --> 00:05:47,660 +اتصالين اتصالين اتصالين اتصالين اتصالين اتصالين + +67 +00:05:47,660 --> 00:05:54,200 +اتصال + +68 +00:05:56,360 --> 00:06:06,580 +كمباوند سيرفس كمباوند سيرفس ماذا + +69 +00:06:06,580 --> 00:06:13,260 +يعني كمباوند سيرفس؟ الوضع اللي يتواصل مع تيرفلم + +70 +00:06:13,260 --> 00:06:17,060 +وكوميا ستجعلها + +71 +00:06:17,060 --> 00:06:21,540 +مجموعة واحدة وهي + +72 +00:06:23,630 --> 00:06:34,450 +refractive surface as near as to emetropia the + +73 +00:06:34,450 --> 00:06:38,870 +refractive error in the cornea will be abolished، + +74 +00:06:38,870 --> 00:06:43,530 +ينتهي أستigmatism، + +75 +00:06:43,530 --> 00:06:48,790 +myopia، hypermetropia، irregularity in the corneal + +76 +00:06:48,790 --> 00:06:49,550 +surface + +77 +00:06:52,190 --> 00:06:59,670 +will be hidden with using the contact lens يعني + +78 +00:06:59,670 --> 00:07:08,470 +correction will come to as near as to Dimetropia + +79 +00:07:08,470 --> 00:07:12,850 +while the glass lens لما نستخدم ال glass lens في + +80 +00:07:12,850 --> 00:07:18,390 +النضارة ف the + +81 +00:07:18,390 --> 00:07:19,930 +correction + +82 +00:07:21,550 --> 00:07:30,790 +will not be full مش full especially in high myopes + +83 +00:07:30,790 --> 00:07:35,090 +or hypermetropes يعني مهما حاولنا في ال high + +84 +00:07:35,090 --> 00:07:40,270 +refractive iron بالنضارة نصلح hundred percent يعني + +85 +00:07:40,270 --> 00:07:47,890 +we will not reach اللي هو perfect vision بالنضارة + +86 +00:07:47,890 --> 00:07:50,590 +why؟ + +87 +00:07:51,980 --> 00:07:59,140 +لأنه في back vertex back vertex ايه distance + +88 +00:07:59,140 --> 00:08:07,660 +between the corneal surface and the back of the + +89 +00:08:07,660 --> 00:08:13,820 +spectacular this distance ال back vertex + +90 +00:08:17,710 --> 00:08:25,730 +لديه تأثير على قوة العدسة قوة العدسة قوة العدسة + +91 +00:08:25,730 --> 00:08:29,490 +قوة العدسة قوة العدسة قوة العدسة قوة العدسة قوة + +92 +00:08:29,490 --> 00:08:29,970 +العدسة قوة العدسة قوة العدسة قوة العدسة قوة العدسة + +93 +00:08:29,970 --> 00:08:30,870 +قوة العدسة قوة العدسة قوة العدسة قوة العدسة قوة + +94 +00:08:30,870 --> 00:08:35,250 +العدسة قوة العدسة قوة العدسة قوة العدسة قوة العدسة + +95 +00:08:35,250 --> 00:08:43,490 +العدسة قوة العدسة قوة العدسة قوة العدسة قوة + +96 +00:08:43,490 --> 00:08:52,670 +العدسة قوة العدسقريب من العين سيزداد افعالية او + +97 +00:08:52,670 --> 00:09:01,010 +قوة فهذا الـ back vertex مع انه مش مسافة كبيرة الا + +98 +00:09:01,010 --> 00:09:10,630 +انه لديه افعالية على قوة و افعالية اللينز واللينز + +99 +00:09:10,630 --> 00:09:19,090 +المتصل لديه لاباك فيرتكس مافيش back vertex لان هيك + +100 +00:09:19,090 --> 00:09:23,430 +ال contact lens is more effective and has more + +101 +00:09:23,430 --> 00:09:30,770 +clear vision than with glasses يبقى + +102 +00:09:30,770 --> 00:09:33,890 +حتى في ال binocular aethetics فيه better + +103 +00:09:33,890 --> 00:09:38,110 +peripheral vision فيه less distortion فيه reduced + +104 +00:09:38,110 --> 00:09:43,500 +magnificationطبعاً لما ال spectacle lens تجبع في + +105 +00:09:43,500 --> 00:09:46,620 +ال high hypermetropia high plus lens مثلا 10 plus + +106 +00:09:46,620 --> 00:09:54,420 +10 و ال magnify ده image في صورة مكبرة العدسة اللي + +107 +00:09:54,420 --> 00:10:00,040 +هو الموجبة بتكبر كل ما زاد النظارة فيها ال plusات + +108 +00:10:00,040 --> 00:10:04,460 +كل مكان في magnification أكبر while in contact + +109 +00:10:04,460 --> 00:10:09,180 +lens there is no magnificationالـ magnification + +110 +00:10:09,180 --> 00:10:11,500 +الناس بيعتمد على ال back vertex على ال distance + +111 +00:10:11,500 --> 00:10:15,040 +هنا فيش distance هنا في one surface compound + +112 +00:10:15,040 --> 00:10:20,020 +surface a form of the contract lens the tear film + +113 +00:10:20,020 --> 00:10:26,880 +and the cornea بيعمل يعني سطح كاسر واحد و هذا + +114 +00:10:26,880 --> 00:10:30,280 +بيكون يعني normal أو قريب لل normal + +115 +00:10:33,440 --> 00:10:37,100 +advantage of those engaged in hypermetropic + +116 +00:10:37,100 --> 00:10:41,820 +athletics or with special occupational needs are + +117 +00:10:41,820 --> 00:10:48,180 +obvious يعني استخدام العدسات اللاصقة في رياضيين + +118 +00:10:48,180 --> 00:10:52,880 +athletics اللي عندهم hypermetropia او اللي عندهم + +119 +00:10:52,880 --> 00:10:58,000 +myopia و athletics مثلا العدائين كرة القدم كرة + +120 +00:10:58,000 --> 00:11:04,370 +السلة كرة ال basket ball أفضل بكتيرو في بعض المهن + +121 +00:11:04,370 --> 00:11:08,770 +النضارة مابتخدمش فيها، بعض المهن الحرافية + +122 +00:11:08,770 --> 00:11:17,910 +والميكانيكية والهندسية استخدام العدسات الأصغر يعني + +123 +00:11:17,910 --> 00:11:24,590 +عملية أكتر more practical more practical clear؟ + +124 +00:11:24,590 --> 00:11:30,490 +طيب disadvantages of contact lensesهذه ال contact + +125 +00:11:30,490 --> 00:11:32,870 +lenses كعلاج لـ Reflective Error without + +126 +00:11:32,870 --> 00:11:36,810 +disadvantages؟ بدون عيوب؟ لأ كده يعني ماني + +127 +00:11:36,810 --> 00:11:39,390 +disadvantages the first contact lenses are + +128 +00:11:39,390 --> 00:11:46,850 +expensive يعني الناس ال poor فقراء can't use them + +129 +00:11:46,850 --> 00:11:50,970 +لأنه expensive طبعا + +130 +00:11:50,970 --> 00:11:57,310 +بغض النظر عن العدسات التجارية اللي هي بتعمل مرض + +131 +00:11:57,310 --> 00:12:01,310 +سريع في الحياةملوثة لأ العدسات اللي أسخة حقيقة + +132 +00:12:01,310 --> 00:12:10,050 +محترمة صناعات جيدة جدا لأ very expensive easily + +133 +00:12:10,050 --> 00:12:16,670 +lost easily destroyed تتمزق + +134 +00:12:16,670 --> 00:12:22,930 +بسهولة وتفقد بسهولة الفقدة بسهولة إذا وقعت على + +135 +00:12:22,930 --> 00:12:29,730 +مساحة الأرض لإن هي transparent شفافةسهلة تقريبا + +136 +00:12:29,730 --> 00:12:40,570 +كالإبرة يعني و easily tear تتمزق سهلة بعد شهور من + +137 +00:12:40,570 --> 00:12:46,970 +الاستعمال كقطعة من النيلون تتشقق تمزق هذه الأيوب + +138 +00:12:46,970 --> 00:12:54,410 +طبعا يعني في حادث تغيير هيكون و more expensive + +139 +00:12:54,410 --> 00:13:01,050 +more moneyمادي مشكلة two rigid lenses أحيانا + +140 +00:13:01,050 --> 00:13:04,710 +الastigmatism لا يصحح فقط بال soft contact lenses + +141 +00:13:04,710 --> 00:13:09,230 +إنما ال need for rigid contact lenses are + +142 +00:13:09,230 --> 00:13:14,710 +initially uncomfortable يعني hypermetropic + +143 +00:13:14,710 --> 00:13:19,270 +astigmatism أو myopic astigmatism طبعا تحطي rigid + +144 +00:13:19,270 --> 00:13:22,570 +contact lens hard contact lens في العين الإنسان + +145 +00:13:22,570 --> 00:13:26,110 +بيحس فيه foreign body بتحرك في عينهخاصة الإنسان + +146 +00:13:26,110 --> 00:13:29,930 +اللي مايتعود على الشيء هذه foreign body بتتحرك في + +147 +00:13:29,930 --> 00:13:37,030 +ناس can't tolerate them at all and require a + +148 +00:13:37,030 --> 00:13:42,290 +period of adaptation عايز فترة من إيه التعود كمان + +149 +00:13:42,290 --> 00:13:45,110 +disadvantage with exception of extended wear + +150 +00:13:45,110 --> 00:13:51,000 +lensesيعني بس باستثناء اللي هو العدسات اللي أسقى + +151 +00:13:51,000 --> 00:13:55,640 +اللتي توضع لمدة طويلة في منها تلت أيام منها أسبوع + +152 +00:13:55,640 --> 00:14:00,100 +منها أسبوعين لمدة طويلة يضعها الإنسان which are + +153 +00:14:00,100 --> 00:14:04,560 +replaced at prescribed intervals يعني بعد أسبوعين + +154 +00:14:04,560 --> 00:14:09,580 +سير ايش disposable نرميها ودي بغيرها في عندي ستة + +155 +00:14:09,580 --> 00:14:14,180 +تاجر يعني كل أسبوعين مثلا بحط واحدة جديدة مش عايزة + +156 +00:14:14,180 --> 00:14:22,130 +maintenance مش عايزة إيشصيانة غيرها باقى الأنواع + +157 +00:14:22,130 --> 00:14:29,570 +عايزة care and cleaning of daily wear contact + +158 +00:14:29,570 --> 00:14:33,950 +lenses كل يوم are important عن مصدن on a daily + +159 +00:14:33,950 --> 00:14:40,730 +basis يبقى عايزة اهتمام ونظافة ووضع في المحلول + +160 +00:14:40,730 --> 00:14:48,380 +وتطهير الإيدين والكلام هدق يومينوإلا هتعمل مشاكل + +161 +00:14:48,380 --> 00:14:55,860 +التانية بالمشاكل + +162 +00:14:55,860 --> 00:14:59,320 +wearing time may be limited by physiologic factors + +163 +00:14:59,320 --> 00:15:04,040 +and a patient may still have to wear glasses part + +164 +00:15:04,040 --> 00:15:12,860 +of that time في فترات خاصة عند ال females بيكون مش + +165 +00:15:12,860 --> 00:15:20,820 +مناسب يستخدم ال contact lensالـ hormonal change زي + +166 +00:15:20,820 --> 00:15:27,020 +الـ pregnancy و زي ال menstruation فترة العادة + +167 +00:15:27,020 --> 00:15:33,920 +الشهرية و فترات اللي هو ال delivery الولادة حتى + +168 +00:15:33,920 --> 00:15:39,160 +فترة الرضاعة بيكون فيه hormonal change بيدّي إلى + +169 +00:15:39,160 --> 00:15:44,660 +some increase elasticityof the corneal surface الـ + +170 +00:15:44,660 --> 00:15:46,960 +cornea نفسها مصير الناس لها فنبقى على ال + +171 +00:15:46,960 --> 00:15:50,160 +contactness طب فى الفترة هالى ال hyper metropole + +172 +00:15:50,160 --> 00:15:54,940 +أو الما يبقى يعمل أيش انه يدفع ال glasses لان ال + +173 +00:15:54,940 --> 00:16:00,360 +glasses يعني ال front الضائع تعملش contact مع ال + +174 +00:16:00,360 --> 00:16:05,020 +cornea وهذا يعني ان الإنسان يعني بده يلبس حاجة + +175 +00:16:05,020 --> 00:16:11,820 +معقدة أحيانا مش مناسب يستعملهاكمان في آية بخامس + +176 +00:16:11,820 --> 00:16:14,680 +Acuprofacial ocular infection becomes more + +177 +00:16:14,680 --> 00:16:19,520 +significant in contact lens patient يعني واحد نبس + +178 +00:16:19,520 --> 00:16:23,320 +العدسة اللي أسقى على عجلة كانت أيدي ملوثة مش نظيفة + +179 +00:16:23,320 --> 00:16:30,760 +مش عاملة بصبون و كحول و إشي بعد هيك بدأت عينه يعني + +180 +00:16:30,760 --> 00:16:35,960 +تلتهب بدأ الصديق يطلع من عينه Eucoperulent + +181 +00:16:35,960 --> 00:16:42,660 +Congenectivitisهذه common العدسة + +182 +00:16:42,660 --> 00:16:48,000 +اللازقة لها procedures معينة، خطوات، أن أهمالنا + +183 +00:16:48,000 --> 00:16:56,240 +فيها ممكن يصير في العين مش بس كونه + +184 +00:16:56,240 --> 00:16:58,020 +كونه كونه كونه كونه كونه كونه كونه كونه كونه كونه + +185 +00:16:58,020 --> 00:17:00,840 +كونه كونه كونه كونه كونه كونه كونه كونه كونه كونه + +186 +00:17:00,840 --> 00:17:01,880 +كونه كونه كونه كونه كونه كونه كونه كونه كونه كونه + +187 +00:17:01,880 --> 00:17:06,820 +كونه كونه كونه كونه كونه كونه كونه كونه كونه كونه + +188 +00:17:06,820 --> 00:17:06,920 +كونه كونه كونه كونه كونه كونه كونه كونه كونه كونه + +189 +00:17:06,920 --> 00:17:11,230 +كطبعاً لما تسمع كورنيا الالثر لازم الإنسان يخاف + +190 +00:17:11,230 --> 00:17:18,350 +ليش؟ لأنه a blinding disease يعني هاي ال كورنيا + +191 +00:17:18,350 --> 00:17:24,610 +normal healthy كورنيا healthy كورنيا هيك لما تصير + +192 +00:17:24,610 --> 00:17:30,270 +كورنيا الالثر منطقة في القرنية كلها بكتيريا أو + +193 +00:17:30,270 --> 00:17:38,140 +فيروسات تصبح هذه blindو لما يصيرها healing لو أخدت + +194 +00:17:38,140 --> 00:17:41,220 +معها ال biomass membrane ال biomass membrane ممكن + +195 +00:17:41,220 --> 00:17:46,860 +يصير scar حتى بأحسن علاج ممكن ينتهي ب scar لو ال + +196 +00:17:46,860 --> 00:17:53,070 +scar هذا central في ال visual axisloss of vision + +197 +00:17:53,070 --> 00:18:00,390 +and a need for corneal transplantation نقل القرنية + +198 +00:18:00,390 --> 00:18:07,430 +مش زراعة transplantation not implantation not + +199 +00:18:07,430 --> 00:18:10,310 +implantation but transplantation القرنية الصناعية + +200 +00:18:10,310 --> 00:18:14,110 +حتى الآن متعثرة القرنية الصناعية بيقول حتى الآن + +201 +00:18:14,110 --> 00:18:22,320 +متعثرة لأن القرنية الأدمية من أمواتموجودة في بنوك + +202 +00:18:22,320 --> 00:18:27,140 +العيون في العالم وان شاء الله في فلسطين يصبح عندنا + +203 +00:18:27,140 --> 00:18:30,700 +بنك العيون الفلسطيني نتأمل عليها تكون ميمون ان شاء + +204 +00:18:30,700 --> 00:18:34,880 +الله طب + +205 +00:18:34,880 --> 00:18:41,080 +لو كان في irregular corner بيبقى .. طبعا طبعا + +206 +00:18:41,080 --> 00:18:47,020 +keratoconus أشهر شئ كراتوكونس اللي طلعوا لها rose + +207 +00:18:47,020 --> 00:18:53,480 +k rose k contact lensesRose K يعني لو هنا في + +208 +00:18:53,480 --> 00:18:58,980 +keratoconus هي keratoconus الآن طلعوا نوع من + +209 +00:18:58,980 --> 00:19:08,540 +العدسات عجيبة جدا انها بتيجي كالمفتاح في القفل مش + +210 +00:19:08,540 --> 00:19:16,830 +كفن مفتاح في القفل على جد rose K too expensiveمن + +211 +00:19:16,830 --> 00:19:20,530 +أهم كان صفحة القنانية متعرجا ف ال rose cake كنت + +212 +00:19:20,530 --> 00:19:25,370 +اكل انس very good solution very good treatment for + +213 +00:19:25,370 --> 00:19:29,970 +it disadvantage + +214 +00:19:29,970 --> 00:19:40,590 +7 احنا normally كورنيا tear film باستمرار يتغير + +215 +00:19:40,590 --> 00:19:47,810 +tear film لو اي جعل قنانية dust او foreign bodyف + +216 +00:19:47,810 --> 00:19:57,110 +will be washed easily with a stream of tears يعني + +217 +00:19:57,110 --> 00:20:02,290 +هذا ال tear اللي ماشي جدول احنا مش شاعرين فيه من + +218 +00:20:02,290 --> 00:20:07,690 +فضل الله عز وجل مش شاعرين فيه ما بندمع في انه يعني + +219 +00:20:07,690 --> 00:20:14,870 +دورة دموع شغالة باستمرار فلو كانت القرانية مكشوفة + +220 +00:20:14,870 --> 00:20:20,610 +ف ال wash بيكون سهلطيب لو اجت foreign bodies صغيرة + +221 +00:20:20,610 --> 00:20:27,950 +او dust وفيه contact lens هينحشر هينحشر ال foreign + +222 +00:20:27,950 --> 00:20:31,850 +bodies او ال dust بين السطحين بين ال contact lens + +223 +00:20:31,850 --> 00:20:36,410 +outside و بين ال anterior coronal surface اه + +224 +00:20:36,410 --> 00:20:41,690 +backwards هينحشر و هيكون difficult to be removed + +225 +00:20:41,690 --> 00:20:46,310 +ايه لانشينا العلسة؟طب افرض هنا فيه فيروسات، افرض + +226 +00:20:46,310 --> 00:20:52,390 +فيه بكتيريا، افرض فيه شيء harmful دار، فهيعمللي + +227 +00:20:52,390 --> 00:20:58,210 +keratitis أو على الأقل هيعمللي abrasion للكون + +228 +00:20:58,210 --> 00:21:04,970 +يالسيافس، إيش abrasion؟ خدوش، خدوش، يبقى ال + +229 +00:21:04,970 --> 00:21:07,410 +foreign bodies may become entrapped + +230 +00:21:10,300 --> 00:21:13,640 +under contact lens instead of being immediately + +231 +00:21:13,640 --> 00:21:17,660 +washed out by tears عشان تقدر ال tears تم هوشها + +232 +00:21:17,660 --> 00:21:25,340 +طبعا هي lecture not for contact lenses contact + +233 +00:21:25,340 --> 00:21:31,920 +lenses are in يعني two topics contact lens one + +234 +00:21:31,920 --> 00:21:38,570 +contact lens two و ال practicalbut this is as يعني + +235 +00:21:38,570 --> 00:21:43,810 +a type of treatment فقط type of treatment طيب + +236 +00:21:43,810 --> 00:21:48,430 +advantage of contact lenses over spectacles مقارنة + +237 +00:21:48,430 --> 00:21:54,590 +نعم اه هي مقارنة يعني او يعني ميزات ال contact + +238 +00:21:54,590 --> 00:22:03,390 +lenses ميز عن .. اه ال contact lenses على ال نظارة + +239 +00:22:03,390 --> 00:22:08,680 +نشوفمش الميزات اتميز بيها العنصر التلاسقة احسن + +240 +00:22:08,680 --> 00:22:13,020 +يعني كل و مام ال vision و اشي بقول provide normal + +241 +00:22:13,020 --> 00:22:15,980 +visual field يعني مافي distortion؟ ايوة مافيش + +242 +00:22:15,980 --> 00:22:20,870 +distortion يعني ساعة اللي يابس contact lensesلو + +243 +00:22:20,870 --> 00:22:26,790 +نظر أعلى أسفل جانبا فإنه يرى الساحة البصرية كاملة + +244 +00:22:26,790 --> 00:22:32,630 +عكس اللي لابس نظارات لو نظر كذا يمين أو شمال أو + +245 +00:22:32,630 --> 00:22:38,750 +أعلى فال periphery بتاع العدسات يعني هو thick وبهم + +246 +00:22:38,750 --> 00:22:45,930 +ال distortion ايوة two aberrations associated with + +247 +00:22:45,930 --> 00:22:51,800 +spectacles prismatic distortionأه spherical and + +248 +00:22:51,800 --> 00:22:56,120 +chromatic aberrations are eliminated لما الآن ال + +249 +00:22:56,120 --> 00:23:00,280 +glasses على عينين الإنسان خاصة heavy glasses سواء + +250 +00:23:00,280 --> 00:23:04,440 +convex أو concave فال periphery بتاعها بالنظر + +251 +00:23:04,440 --> 00:23:09,600 +بيعمل distortion لكن بال contact lenses لأنه thin + +252 +00:23:09,600 --> 00:23:16,420 +periphery و بتحرك with the cornea ف no distortion + +253 +00:23:16,420 --> 00:23:23,380 +مافيش effect تعرفين effect تجي كيف؟لما مثلا يكون + +254 +00:23:23,380 --> 00:23:28,040 +في الحالة هذه plus lenses مكونة من two base to + +255 +00:23:28,040 --> 00:23:37,160 +base present base to base present فلما + +256 +00:23:37,160 --> 00:23:41,980 +الانسان يعني ينظر و يلابس نظارة في ال center هنا + +257 +00:23:41,980 --> 00:23:48,630 +بيشوف very clear كل نظارة نواحي القواعدهنا بزيد + +258 +00:23:48,630 --> 00:23:58,310 +وها كده في الجوانب فهذه ميزة ال contact lens اخر + +259 +00:23:58,310 --> 00:24:02,910 +شئ كوزموتيك contact lens are more pleasant اش more + +260 +00:24:02,910 --> 00:24:09,070 +pleasant سارة سارة يعني سارة than thick اللي هو + +261 +00:24:09,070 --> 00:24:14,810 +lens glasses والان يعني ممكن نكون comparison حتى + +262 +00:24:14,810 --> 00:24:21,830 +لل discussionwhich is you prefer glasses or + +263 +00:24:21,830 --> 00:24:31,750 +contact lenses؟ glasses contact lenses ما هو الناس + +264 +00:24:31,750 --> 00:24:36,050 +الناس الناس عندها مناحي في الفهم والذوق حتى + +265 +00:24:36,050 --> 00:24:41,910 +والبيئة حتى والبيئة في ناس عندهم الجمال is the + +266 +00:24:41,910 --> 00:24:48,670 +superior thing وفي حديث في say Muslimإن الله جميل + +267 +00:24:48,670 --> 00:24:56,370 +يحب الجمال والله عز وجل قال لقد خلقنا الإنسان في + +268 +00:24:56,370 --> 00:25:02,590 +أحسن تقويم أحسن تقويم بالأخلاق و بالمنظر و فعلا هو + +269 +00:25:02,590 --> 00:25:06,750 +مافيش أجمل من الإنسان في المخلوقات حتى في عالم + +270 +00:25:06,750 --> 00:25:11,550 +الطيور ولا في عالم الحيوانات + +271 +00:25:11,550 --> 00:25:18,110 +أجمل من الإنسان صحيح يعني فالجمال هو مرتبطلكن + +272 +00:25:18,110 --> 00:25:24,490 +الجمال له حدود له حدود يعني اذا رأيت انا ان يعني + +273 +00:25:24,490 --> 00:25:28,650 +انا بدي يعني احط contact lens و اخسر القرانية بعد + +274 +00:25:28,650 --> 00:25:36,750 +شهر ده خفر ان حاطيت contact lens و بدي انا لسه ما + +275 +00:25:36,750 --> 00:25:40,590 +.. ماذكرناش أشياء كتيرة سيبناها للأستاذ حاطيم + +276 +00:25:40,590 --> 00:25:45,270 +برهوم زي مثلا ال allergic reactions كتير بيعمل + +277 +00:25:45,270 --> 00:25:52,800 +allergic reactionsو أحيانا يعني ال contact lenses + +278 +00:25:52,800 --> 00:25:58,300 +لما يتركها لفترة و بدور جالها برضه بتعمل تغيرات + +279 +00:25:58,300 --> 00:26:01,680 +فيه اللي هو شكل القرانية، في أشياء كتيرة في ال + +280 +00:26:01,680 --> 00:26:10,360 +contact lenses يعني advantages و disadvantages اه + +281 +00:26:10,360 --> 00:26:17,560 +بيغيرطيب ال .. ال third part of treatment of + +282 +00:26:17,560 --> 00:26:21,140 +hypermetropia refractive surgery for hypermetropia + +283 +00:26:21,140 --> 00:26:27,980 +هو أنا هنا في question عايز أسأله في الأول في ال + +284 +00:26:27,980 --> 00:26:34,620 +myopia غالبا ال cornea more curved than + +285 +00:26:34,620 --> 00:26:39,020 +hypermetropia اللي هو more flat يبقى هنا + +286 +00:26:39,020 --> 00:26:40,020 +hypermetropia + +287 +00:26:42,750 --> 00:26:47,250 +وهنا myopia يبقى + +288 +00:26:47,250 --> 00:26:52,390 +هنا الكورنيا more flat more curved وهنا الكورنيا + +289 +00:26:52,390 --> 00:26:56,570 +more flat الان + +290 +00:26:56,570 --> 00:27:04,770 +بنعمل نستخدم ال XMAR laser ال XMAR laser القنانية + +291 +00:27:04,770 --> 00:27:12,420 +بيشتغل على ال centerبحيث انه يعمل reforming + +292 +00:27:12,420 --> 00:27:19,120 +للكورية من ال center ويحاول يرجعها في هذا الشكل + +293 +00:27:19,120 --> 00:27:25,520 +على قاعدة انه كل واحد millimeter بيعمل + +294 +00:27:25,520 --> 00:27:36,360 +تلاتة less than اللي هو myopia نص myopiaطيب الان + +295 +00:27:36,360 --> 00:27:42,040 +وجدوا انه من السهل على ال laser انه يعالج المنطقة + +296 +00:27:42,040 --> 00:27:49,200 +ال central part يعالج ال central part of the + +297 +00:27:49,200 --> 00:27:57,220 +cornea بحيث انه يرجع القرنية هيك وبالتالي ان ال + +298 +00:27:57,220 --> 00:28:02,920 +anthroposteric axis لعند الشبكية يصير shorter than + +299 +00:28:02,920 --> 00:28:11,150 +in my momيقصر نحنا مشكلتنا ان معظم أنواع ال myopia + +300 +00:28:11,150 --> 00:28:17,270 +اكزيان معظم أنواع ال myopia اكزيان فاحنا لما نرجع + +301 +00:28:17,270 --> 00:28:22,170 +القرنية ان الخلف ال center بتاعها بيصير المسافة + +302 +00:28:22,170 --> 00:28:25,170 +بين المركز القرنية و بين ال macula centralis ال + +303 +00:28:25,170 --> 00:28:28,870 +macula او ال phobia centralis بيصير shorter than + +304 +00:28:28,870 --> 00:28:36,530 +before وبالتالي بيصير ال focus تيجي وينعلى ال + +305 +00:28:36,530 --> 00:28:44,370 +macula او الفوفيا طيب وجد انه هنا اسهل من ان انا + +306 +00:28:44,370 --> 00:28:48,810 +في ال hypermetropia اجيب المركز center of the + +307 +00:28:48,810 --> 00:28:54,870 +cornea forward يعني + +308 +00:28:54,870 --> 00:28:59,970 +انه هنا ال laser يشتغل على ال central part of the + +309 +00:28:59,970 --> 00:29:04,450 +corneaبانما هنا بدّو يشتغل على ال peripheral part + +310 +00:29:04,450 --> 00:29:10,830 +of the cornea أملًا + +311 +00:29:10,830 --> 00:29:17,890 +في أن الجزء هذا يتقدم فاهمين + +312 +00:29:17,890 --> 00:29:25,910 +عليّ؟ الآن في شغل ال myopia هذا ال laser يعمل + +313 +00:29:25,910 --> 00:29:35,620 +بسهولة أكترلأنه بيدوّب منطقة هنا فشكل قرنية سهل + +314 +00:29:35,620 --> 00:29:45,720 +انه يعني يصبح less curved يصبح less curved في + +315 +00:29:45,720 --> 00:29:53,800 +الhypermetropia في flat cone how to make the + +316 +00:29:53,800 --> 00:29:59,200 +central partلتقدر تقدر تقدر تقدر تقدر تقدر تقدر + +317 +00:29:59,200 --> 00:29:59,780 +تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر + +318 +00:29:59,780 --> 00:30:02,360 +تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر + +319 +00:30:02,360 --> 00:30:02,560 +تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر + +320 +00:30:02,560 --> 00:30:05,520 +تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر + +321 +00:30:05,520 --> 00:30:07,020 +تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر + +322 +00:30:07,020 --> 00:30:09,440 +تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر + +323 +00:30:09,440 --> 00:30:23,700 +تقدر تقدر تقدر تقدر تقدر تقدر تقدر + +324 +00:30:23,700 --> 00:30:32,060 +تmore than 10 and in hypermetropia only up to 6 + +325 +00:30:32,060 --> 00:30:37,220 +diopters يعني + +326 +00:30:37,220 --> 00:30:41,780 +حتى في الميوبيا ممكن more than 10 يعني 12 .. 13 + +327 +00:30:41,780 --> 00:30:48,320 +ممكن يصبح بعض الحلقة لكن في ال hypermetropia + +328 +00:30:48,320 --> 00:30:53,750 +maximum 6 diopters عشان هذا الموضوعالموضوع ان انا + +329 +00:30:53,750 --> 00:31:01,730 +ارجع الكورينال سيرفس ورا اشهر من اقدمه قدام واضح + +330 +00:31:01,730 --> 00:31:10,750 +فاقيف احنا عندنا ان هو عدة انواع في ارجون فلورايد + +331 +00:31:12,940 --> 00:31:18,560 +الويب ليت بتاعه 193 نانومتر اكسيمار ليزر corrects + +332 +00:31:18,560 --> 00:31:22,140 +refractive errors by submicron precision tissue + +333 +00:31:22,140 --> 00:31:26,260 +removal from the cornea طبعا أجيال ال LASIK هذه + +334 +00:31:26,260 --> 00:31:30,880 +الان وصلت الرابع او الخامس في العالم احنا اننا + +335 +00:31:30,880 --> 00:31:37,160 +الحمد لله لسه نحبه مافيش عندنا أجيال متقدمة من هذا + +336 +00:31:37,160 --> 00:31:38,880 +ال laser + +337 +00:31:40,710 --> 00:31:46,310 +حقيقة فى نوعان من الجراحات البصرية فى نوع اسمه + +338 +00:31:46,310 --> 00:31:49,990 +photo refractive keratectomy وفى نوع اسمه exmer + +339 +00:31:49,990 --> 00:31:53,150 +laser in situ الكيراتيوم ال uses اللى هو ال LASIK + +340 +00:31:53,150 --> 00:32:01,110 +طبعا ال LASIK أحدث ايش الفرق بينهم الفرق بينهم انه + +341 +00:32:01,110 --> 00:32:06,630 +فى نوع ال PRK photo refractive keratectomy انه + +342 +00:32:06,630 --> 00:32:09,550 +احنا بنشيل ال epithelium من القرنية فى epithelium + +343 +00:32:25,420 --> 00:32:31,720 +بعدين نحرق جزء اه photo ablation اسمه photo + +344 +00:32:31,720 --> 00:32:36,420 +ablation حرق كهربائي وبعدين بنحط contact lens + +345 +00:32:36,420 --> 00:32:40,330 +therapeutic contact lens مؤقتةلغاية الابيثيريا + +346 +00:32:40,330 --> 00:32:46,270 +مايعود من أول و جديد من اللي هو البريفري يلمو و + +347 +00:32:46,270 --> 00:32:51,310 +يغطي وهذه عملية في ال healing بتاخد وقت أطول في ال + +348 +00:32:51,310 --> 00:32:54,470 +healing بتاخد وقت أطول photorefractive + +349 +00:32:54,470 --> 00:32:57,610 +keratectomyectomy + +350 +00:32:57,610 --> 00:33:00,570 +means cut + +351 +00:33:07,430 --> 00:33:11,530 +طبعا احنا لما اتكلم الان هتكلم عن hypermetropia و + +352 +00:33:11,530 --> 00:33:14,450 +بقولت انا استعماله في ال myopia في ال + +353 +00:33:14,450 --> 00:33:18,190 +hypermetropia ضيق بالأساس كان استعمال ال laser + +354 +00:33:18,190 --> 00:33:23,990 +لإيش؟ لل myopia لكن الان طوره انه يشتغل على + +355 +00:33:23,990 --> 00:33:24,650 +hypermetropia + +356 +00:33:27,840 --> 00:33:30,320 +وقول الـ photorefractive crotectomy has been used + +357 +00:33:30,320 --> 00:33:32,900 +successfully for myopia .. for hyperopia hyperopia + +358 +00:33:32,900 --> 00:33:35,180 +يعني hypermetropia، hyperopia هي الـ + +359 +00:33:35,180 --> 00:33:38,540 +hypermetropia، but has problems of regression، + +360 +00:33:38,540 --> 00:33:43,820 +regression إيش؟ الإلتيام أو الشفاء، زي شفاء + +361 +00:33:43,820 --> 00:33:49,860 +الجروح، لأنه هي جراحة يعني وكمان فيه induced + +362 +00:33:49,860 --> 00:33:54,720 +astigmatism، السبب فيه astigmatism، يعني دخل + +363 +00:33:54,720 --> 00:33:59,940 +بhypermetropiaيضيع الحيبروبي يظهر باستجماتيزم + +364 +00:33:59,940 --> 00:34:04,740 +وكومية الهز what is haze؟ + +365 +00:34:04,740 --> 00:34:10,660 +هزي مغبش يعنى، هزي مغبش، haziness تغبيش thereby + +366 +00:34:10,660 --> 00:34:14,380 +limiting its usefulness to the correction of mild + +367 +00:34:14,380 --> 00:34:21,930 +hyperobia today الآن هذا أدى إلى تقليصاستعملاته في + +368 +00:34:21,930 --> 00:34:25,070 +علاج الhypermetropia اللي هو بيعمل haziness و + +369 +00:34:25,070 --> 00:34:28,650 +بيعمل astigmatism و difficult healing يعني الواحد + +370 +00:34:28,650 --> 00:34:33,270 +بيبقى أسبوعين تلاتة لما نظره يبدأ يتحسن و مابناخدش + +371 +00:34:33,270 --> 00:34:38,830 +نتيجة نهائية إلا بعد تلت شهور حتى في الmyopia عنده + +372 +00:34:38,830 --> 00:34:45,290 +مشاكل اللي هو ال PRK لأنه اكتومي بيشيل كل القرنية + +373 +00:34:45,850 --> 00:34:50,710 +هو كل الكونها الابيثيليام و بيشتغل على السطح و + +374 +00:34:50,710 --> 00:34:54,830 +بيخلي مكشوف تحت ال contractions و بعدين قطرة ال + +375 +00:34:54,830 --> 00:35:00,830 +antibiotic و بعض العلاج الآخر شوية شوية شوية ال + +376 +00:35:00,830 --> 00:35:07,090 +healing بياخد وقت طويل الان طوروا الموضوع لل XMR + +377 +00:35:07,090 --> 00:35:09,470 +Laser اللي هو keratin meiosis + +378 +00:35:12,160 --> 00:35:18,440 +وهذا تغلب على الكثير من خاطرات الكراكبتينيو الفوتو + +379 +00:35:18,440 --> 00:35:23,900 +دفراكتيبية أصبحت + +380 +00:35:23,900 --> 00:35:29,420 +العملية الخيارة للتعامل مع الهيبروبيا حتى الـ plus + +381 +00:35:29,420 --> 00:35:40,970 +6 درجة يبقى ال LASIK تغلب على كثير من عيوباللي هو + +382 +00:35:40,970 --> 00:35:46,530 +ال photorefractive catagory و أنا الآن هوريكوا + +383 +00:35:46,530 --> 00:35:55,050 +حاجة بيعملها ال video يعني اللي هو ال LASIK فعلا + +384 +00:35:55,050 --> 00:36:07,250 +يعني شي متقدم متطور طبعا + +385 +00:36:07,250 --> 00:36:07,590 +هيو + +386 +00:36:15,950 --> 00:36:22,610 +بقطع شريحة قليلة من سطح القنانية الأمامي بيبقى فيه + +387 +00:36:22,610 --> 00:36:27,350 +الابيثينو والباومانز وبجلبه بعدين بتيب البروب هذا + +388 +00:36:27,350 --> 00:36:32,930 +الأخضر بتاع الليزر بيمشي على الجزء بتاع القنانية + +389 +00:36:32,930 --> 00:36:38,730 +اللي هو عايزه طبعا في حالة ال .. الmyopia بشغله + +390 +00:36:38,730 --> 00:36:43,140 +على المنطقة ال central في القنانيةعشان يعمل ايش؟ + +391 +00:36:43,140 --> 00:36:48,100 +اه شوية flattening طب في الhypermetropia بيشتغلوا + +392 +00:36:48,100 --> 00:36:52,480 +على ال periphery بيحرجوا من ال periphery عشان يعمل + +393 +00:36:52,480 --> 00:36:58,200 +ايش؟ ال apex of conya انه تصير جاية شوية curved + +394 +00:36:58,200 --> 00:37:03,820 +forward steep واضح الكلام هلأ؟ هنا بيشتغلوا في + +395 +00:37:03,820 --> 00:37:04,200 +الmyopia + +396 +00:37:25,080 --> 00:37:31,680 +حبينا بس نواليكوا شكل عامل يعني طيب + +397 +00:37:37,420 --> 00:37:40,300 +طبعا كلام هذا غالبا على الميوبيا بيقول surgical + +398 +00:37:40,300 --> 00:37:47,720 +reduction of hyperopia is an invasive جراح + +399 +00:37:47,720 --> 00:37:55,060 +يعني فيه شوية عدوانية but worthy هو إيش worthy؟ + +400 +00:37:55,060 --> 00:37:59,460 +valuable، valuable له قيمة؟ أه since hyperopia + +401 +00:37:59,460 --> 00:38:02,680 +affects both distance vision and ear vision يعني + +402 +00:38:02,680 --> 00:38:08,130 +عنده مثلا hypermetropia 5 أو 6 can't readand can't + +403 +00:38:08,130 --> 00:38:12,850 +see distant clearly يعني بيغلب في التنين and is + +404 +00:38:12,850 --> 00:38:15,970 +compounded by presbyopia لسه بتيجي presbyopia + +405 +00:38:15,970 --> 00:38:21,750 +early في السن at a time when patients are in their + +406 +00:38:21,750 --> 00:38:25,270 +vocational and personal life يسموه الفئز شبابه + +407 +00:38:25,270 --> 00:38:30,100 +بتيجي presbyopia لسه في الخمسة و تلاتين مثلالسه في + +408 +00:38:30,100 --> 00:38:33,280 +عزل العطاء والعمل a wide spectrum of refractive + +409 +00:38:33,280 --> 00:38:36,900 +surgeries has been applied over the years in the + +410 +00:38:36,900 --> 00:38:41,140 +relentless pursuit of hyperopia correction في + +411 +00:38:41,140 --> 00:38:44,500 +عملية اللي هو تصحيح ال hyperopia with the + +412 +00:38:44,500 --> 00:38:46,480 +introduction of the excimer laser the + +413 +00:38:46,480 --> 00:38:50,100 +possibilities of carving a positive lenticule into + +414 +00:38:50,100 --> 00:38:54,020 +the cornea were investigated الآن طبعا هم بيعتمدوا + +415 +00:38:54,020 --> 00:39:00,370 +على إيش خاصة في الmyopia أنه يجوا هنافي Lenticule + +416 +00:39:00,370 --> 00:39:06,390 +صغير جزء صغير من سماكة القرنية يدوبوا بالليزر + +417 +00:39:06,390 --> 00:39:13,570 +ويسحبوا برا ثقوب صغيرة اش هدا هيعمل مكانه فراغ + +418 +00:39:13,570 --> 00:39:22,090 +فالقرنية هترجع لأن هذا المتبع في الميوب يعني to + +419 +00:39:22,090 --> 00:39:26,620 +steepen an untreated corneal centerit is necessary + +420 +00:39:26,620 --> 00:39:30,840 +to have a relatively deep peripheral ablation with + +421 +00:39:30,840 --> 00:39:34,440 +a progressive steepening of the transition central + +422 +00:39:34,440 --> 00:39:39,560 +zone of the cornea يعني أنا عشان أخلي القرنية تيجي + +423 +00:39:39,560 --> 00:39:46,920 +لجدام هيك بدي أحرق هنا كتير في البريفري حتى أجعل + +424 +00:39:46,920 --> 00:39:51,920 +المنطقة هذه تصير more steep زي اللي هو الشكل هذا + +425 +00:39:55,270 --> 00:40:00,350 +هذه المنطقة هذه اللي الأحمر هذا يعني more steep + +426 +00:40:00,350 --> 00:40:05,790 +more steep والأزرق more flat فانا بجعل المنطقة ال + +427 +00:40:05,790 --> 00:40:13,010 +periphery هذه ا more flat بحرقها يعني أدخلها لجوة + +428 +00:40:13,010 --> 00:40:17,230 +تلقائي المنطقة اللي في ال center هصير more steep + +429 +00:40:17,230 --> 00:40:18,770 +more steep + +430 +00:40:29,490 --> 00:40:35,710 +طيب the last treatment for hyperopia is general + +431 +00:40:35,710 --> 00:40:44,150 +treatment علاج عام علاج عام وهو + +432 +00:40:44,150 --> 00:40:52,330 +في question is the cornea lives separately or in + +433 +00:40:52,330 --> 00:41:02,280 +the body هي يعني separate organوالا انتين انتين + +434 +00:41:02,280 --> 00:41:09,300 +يعني مثلًا مثلًا ايش مرض عام يؤثر على اللي هو + +435 +00:41:09,300 --> 00:41:12,680 +العين؟ مرض عام في الجسم سكر، ضغط الدم، + +436 +00:41:12,680 --> 00:41:16,940 +hypertension أو diabetes، diabetes mellitus, + +437 +00:41:17,080 --> 00:41:23,300 +rheumatoid arthritis, autoimmune diseases, cancer, + +438 +00:41:24,240 --> 00:41:25,520 +parasites + +439 +00:41:27,720 --> 00:41:35,000 +اليوكينيا مينجايتس مينجايتس أترسوكليروزيس + +440 +00:41:35,000 --> 00:41:40,340 +كثير من الأمراض العامة تؤثر علي نيبالعين هي مش + +441 +00:41:40,340 --> 00:41:43,900 +سيبرت لذلك احنا في موضوع الhypermetropia + +442 +00:41:43,900 --> 00:41:47,920 +والأستنوبية أستنوبية خاصة اللي ناتجة عن + +443 +00:41:47,920 --> 00:41:52,910 +الhypermetropia لازم ابحث على راحة الجسمmay + +444 +00:41:52,910 --> 00:41:57,470 +indicate a general constitutional state في الجسم + +445 +00:41:57,470 --> 00:42:00,310 +التركيبية يعني as a part of general body strength + +446 +00:42:00,310 --> 00:42:05,270 +its treatment is to be adequate بقول الشيء الأول + +447 +00:42:05,270 --> 00:42:07,870 +shall not be confined to the correction of optical + +448 +00:42:07,870 --> 00:42:15,230 +aperture تسألها يعني مثلا طفل في الإعدادية أكله + +449 +00:42:15,230 --> 00:42:19,790 +ضعيف جدافيش عنده بروتينات، فيش عنده فيتامينات، + +450 +00:42:19,790 --> 00:42:27,990 +عايش في بدروم، فيش عنده refresh air، فيش عنده نوم + +451 +00:42:27,990 --> 00:42:32,270 +كويس، فيش عنده إضاءة كويسة، هل لو أنا أعطيته + +452 +00:42:32,270 --> 00:42:36,450 +glasses for hypermetropia، هيكون يعني in a good + +453 +00:42:36,450 --> 00:42:41,850 +situation ولا لسه فيه عنده مشاكل؟ فيش أكل كويس، + +454 +00:42:41,850 --> 00:42:46,610 +فيش نوم كويس، فيش إضاءة كويسة، فيش يعني سكنة كويسة + +455 +00:42:47,430 --> 00:42:51,550 +يبقى الموضوع موضوع مش بس ان انا اعالج نظارة و بس + +456 +00:42:51,550 --> 00:42:57,990 +لأ في أشياء أخرى طيب أيضا بقولي لازم أعمل an + +457 +00:42:57,990 --> 00:43:02,870 +inquiry سؤال into the general physical and nervous + +458 +00:43:02,870 --> 00:43:07,730 +state general physical الصحة العامة يعني physical + +459 +00:43:07,730 --> 00:43:13,310 +المعدد بتاعته كيف؟ تنفس بتاعه كيف؟ عنده parasites + +460 +00:43:13,310 --> 00:43:20,200 +ال hemoglobin بتاعه ضعيف ولا .. ولا جوان؟اه يعني + +461 +00:43:20,200 --> 00:43:24,720 +عنده طعام، عنده شراب، عنده رومي كويس، في بعض + +462 +00:43:24,720 --> 00:43:31,680 +الأطفال أشقياء، نقف أحيانا بالسيارة على إشارة + +463 +00:43:31,680 --> 00:43:36,660 +ضوئيةشوفوا عند الصرايا مثلا أطفال صغار في الليل + +464 +00:43:36,660 --> 00:43:40,820 +ساعة تمانية في الليل تسعة في الليل بيبيع سجاير و + +465 +00:43:40,820 --> 00:43:44,460 +بيبيع ليدا و بيبيع شوكولات و بيبيع أي حاجة و بيجري + +466 +00:43:44,460 --> 00:43:49,600 +ورا السيارات بدل ما يدرس يعني هذا لو راح يدرس مش + +467 +00:43:49,600 --> 00:43:56,520 +هيكون وضع أهله و وضعه الشخصي اه يبقى الحالة + +468 +00:43:56,520 --> 00:44:01,060 +النفسية و الحالة العصبية و الحالة اللي هو الصحية + +469 +00:44:01,060 --> 00:44:09,480 +بتأثر على العلمالعين جزء و ليست كله شيء تالت حتى + +470 +00:44:09,480 --> 00:44:12,580 +في حاجة إنه عنده refractive error عنده مثلا + +471 +00:44:12,580 --> 00:44:16,600 +hypermetropia high hypermetropia أو hypermetropic + +472 +00:44:16,600 --> 00:44:23,720 +astigmatism بيقول أنا كمعالج لازم ال habits و ال + +473 +00:44:23,720 --> 00:44:29,160 +activities بتاعته تكون في حدود إمكانياته البصرية + +474 +00:44:29,160 --> 00:44:35,990 +إمكانياته البصريةيعني تبقى مثلا واحد باسم يوم انا + +475 +00:44:35,990 --> 00:44:41,650 +مثلا بجيبله خط صغير جدا عشان يقرأه و انا بجيبه خط + +476 +00:44:41,650 --> 00:44:47,170 +كبير و هذا نفس الشيء الطفل اللي عنده hypermetropia + +477 +00:44:47,170 --> 00:44:56,110 +او عنده أستنوبيا ال need for accommodation + +478 +00:44:56,110 --> 00:45:00,190 +or adaptation of his habits and activities + +479 +00:45:01,330 --> 00:45:06,810 +according to his abilities قدراته لأ و حمله من + +480 +00:45:06,810 --> 00:45:12,470 +الأمر اعطيه كتاب في خطوط صغيرة مثلا و اقوله حل + +481 +00:45:12,470 --> 00:45:16,490 +مسائل او انسخ الخطوط الصغيرة لأ هذا لازم يكون + +482 +00:45:16,490 --> 00:45:22,570 +اتكبرله و النظارة تتجددله و ساعات النوم بتاعته و + +483 +00:45:22,570 --> 00:45:27,010 +الطعام بتاعته كلها تكون في حدود إمكانياته لأ و + +484 +00:45:27,010 --> 00:45:34,630 +حمله من الأمر اكبر من مايستطيع أو يطيق طيب في + +485 +00:45:34,630 --> 00:45:40,510 +الhypermetropia في شيء اسمه أسينوبيا I strain what + +486 +00:45:40,510 --> 00:45:45,130 +is what are the predisposing factors for أسينوبيا + +487 +00:45:45,130 --> 00:45:51,250 +العوامل المساعدة عوامل مساعدة يعني أسينوبيا هي + +488 +00:45:51,250 --> 00:45:57,050 +نفسها distortion و tiredness what are the + +489 +00:45:57,050 --> 00:46:01,120 +predisposing factors for أسينوبياThere are four + +490 +00:46:01,120 --> 00:46:06,100 +factors that redispose to Asinopia one the child + +491 +00:46:06,100 --> 00:46:13,880 +starting school طفل في بداية حياته المدرسية طفل ست + +492 +00:46:13,880 --> 00:46:19,780 +سنوات يلعب و يمرح و يجري حتى في أسوأ الظروفوالان + +493 +00:46:19,780 --> 00:46:26,020 +دخل المدرسة اعطوه كتب و من أول أسبوع واجب، واجب + +494 +00:46:26,020 --> 00:46:32,820 +عربي، واجب انجليزي، واجب حساب، واجب يعني اللي هو + +495 +00:46:32,820 --> 00:46:37,640 +صحة و واجب طبعا انا حايب تقول عيني بتجاني و مش + +496 +00:46:37,640 --> 00:46:43,330 +شايف و مش يادر و هذا يعني انتقال صعبانتقال صعب من + +497 +00:46:43,330 --> 00:46:48,810 +لا مدرسة ولا دراسة وكتابة إلى كتابة عشان هيك + +498 +00:46:48,810 --> 00:46:53,650 +يصاروا بيعطيهم إيش اللي هو مستمع و بعدين روضة + +499 +00:46:53,650 --> 00:46:56,950 +عادية و في ناس جابله مستمع حتى بيحطهم تمهيدي و مش + +500 +00:46:56,950 --> 00:47:03,310 +عارف إيش و .. هم بدهم يخلصوا منهم الأم تبنيك خارج + +501 +00:47:03,310 --> 00:47:07,510 +البيت حتى تشتغل لعند الظهر بيكون إيجي الولد بيكون + +502 +00:47:07,510 --> 00:47:08,990 +ناهي + +503 +00:47:10,780 --> 00:47:16,080 +in the young studying for an examination young + +504 +00:47:16,080 --> 00:47:21,300 +studying for examination يعني أطفال تاتي عدالي و + +505 +00:47:21,300 --> 00:47:25,240 +سلسة ابتدائي بدرس الامتحان اه حتى لو انا corrected + +506 +00:47:25,240 --> 00:47:32,840 +اه برضه بيتعب three a girl living compared with + +507 +00:47:32,840 --> 00:47:42,050 +east ايش east او eastرغب الحياة سهولة الحياة + +508 +00:47:42,050 --> 00:47:50,070 +انتقلت وين هذه الفتاة اه في business وانا شوفت بعض + +509 +00:47:50,070 --> 00:47:53,030 +ال Secretariat في بعض مكاتب المحاماب والمهندسين + +510 +00:47:53,030 --> 00:48:00,790 +واشي بأبخص الأتمان يشغل 12 ساعة او 10 ساعات طباعة + +511 +00:48:00,790 --> 00:48:06,910 +ملفات وتنسيق ورش ورق فوق بعضه فترفعش راسها إلا في + +512 +00:48:06,910 --> 00:48:11,840 +المساء نفس الصباحكيف هيصير الوضع الحقيقي؟ أسترافية + +513 +00:48:11,840 --> 00:48:17,040 +طبعا، لأنه كام العمل كبير خاصة في البداية، خاصة + +514 +00:48:17,040 --> 00:48:21,140 +دايما في البداية، كمان unadult in periods of + +515 +00:48:21,140 --> 00:48:27,100 +overwork and anxiety حتى ال adults إزاينا، لو في + +516 +00:48:27,100 --> 00:48:31,640 +overwork يعني يوم محمل بالعمل من الثامنة للثامنة، + +517 +00:48:31,640 --> 00:48:39,120 +بصير أسنون، يعني اتعبانين، متقالمينلا يستطيع ان + +518 +00:48:39,120 --> 00:48:43,860 +يعمل زيادة يعني عايز راحة فعلا هذا عايز يعني نوم + +519 +00:48:43,860 --> 00:48:50,300 +او عايز ينظر بعيد يرخي في كل ال accommodation يذهب + +520 +00:48:50,300 --> 00:48:57,200 +الى ملفات جديدة يعني فوق العمل بتاعه وأخيرا all in + +521 +00:48:57,200 --> 00:49:00,440 +them all in states of physical debility physical + +522 +00:49:00,440 --> 00:49:03,760 +debility يعني systemic disease اضرب مثل ال + +523 +00:49:03,760 --> 00:49:09,050 +influenzaهذا systemic disease ولا local disease؟ + +524 +00:49:09,050 --> 00:49:14,310 +Influenza ليكون local، في ناس بيحسبوا بس هو في + +525 +00:49:14,310 --> 00:49:20,930 +الأنف، و ليش هو سخن؟ اه و ليش الفاصل بتجعه؟ و ليش + +526 +00:49:20,930 --> 00:49:27,650 +ضايق؟ اه إش كتير، مش بس الأنف، عشان running nose، + +527 +00:49:27,650 --> 00:49:33,450 +في water secretion، و ال cuff وين؟ bronchitis و + +528 +00:49:33,450 --> 00:49:40,900 +إشي؟طيب هل ال physical debility influenza ال + +529 +00:49:40,900 --> 00:49:48,240 +eyes are in rest ولا أسينوبيكا لو واحد بيدرس و هو + +530 +00:49:48,240 --> 00:49:52,560 +عنده influenza بيكون .. أه في أسينوبيا في ice + +531 +00:49:52,560 --> 00:50:01,300 +train ليش؟ لأن in blood في viruses و in blood في + +532 +00:50:01,300 --> 00:50:07,320 +toxinsو فيه high fever وهذا كله بيروح على العين و + +533 +00:50:07,320 --> 00:50:09,160 +بيروح على ال celery muscle اللي بتعمل + +534 +00:50:09,160 --> 00:50:12,460 +accommodation وبالتالي ال celery muscle يعني + +535 +00:50:12,460 --> 00:50:19,510 +unable to read يعني clearlyفهي يعني muscle .. + +536 +00:50:19,510 --> 00:50:22,670 +muscle بتعمل contraction فهي برضه disease يعني + +537 +00:50:22,670 --> 00:50:26,730 +عندها مشغلها في system of disease and mental + +538 +00:50:26,730 --> 00:50:31,350 +depression ايش depression اكتئاب .. اكتئاب .. + +539 +00:50:31,350 --> 00:50:35,630 +اكتئاب دهني و نفسي حاجات الاكتئاب حتى في ال adults + +540 +00:50:35,630 --> 00:50:42,710 +تأدي الى أسينوبيا الآن rapidly you will come to + +541 +00:50:42,710 --> 00:50:43,150 +myopia + +542 +00:50:46,330 --> 00:50:53,470 +في مقارنة بـhypermetropia في hypermetropia الوحوش + +543 +00:50:53,470 --> 00:50:56,970 +المعادلة تأتي + +544 +00:50:56,970 --> 00:51:05,450 +إلى مركز خلف مركز الفوبيا ولكن في ميوبيا تأتي في + +545 +00:51:05,450 --> 00:51:12,510 +أمام مركز الفوبيا عندما يترسم العيونwhen the eyes + +546 +00:51:12,510 --> 00:51:17,290 +at the sea.يبقى هذا ال definition شايفين؟ الشكل + +547 +00:51:17,290 --> 00:51:28,570 +هذا. Etiology الأسباب like in hypertropia there + +548 +00:51:28,570 --> 00:51:39,620 +are types and etiology إما axial myopiaاو + +549 +00:51:39,620 --> 00:51:46,520 +كيربيتشار مايوبيا او اندكس مايوبيا اندكس مايوبيا + +550 +00:51:46,520 --> 00:51:54,920 +ماهي الاختلافات؟ في اكسيل مايوبيا تشكل اكثر من 80% + +551 +00:51:54,920 --> 00:52:02,900 +من مايوبيا في كثير من الحالات بالتأكيد في اعلى + +552 +00:52:02,900 --> 00:52:08,890 +مستوى مايوبيا اكسيلوهو بسبب زيادة في اكسس + +553 +00:52:08,890 --> 00:52:17,270 +الانتروبستيريو للعين يبقى مثل هذه الفترة بين مركز + +554 +00:52:17,270 --> 00:52:25,570 +الكورنيا ومركز الرتينا هذه الفترة أكتر من عادي + +555 +00:52:25,570 --> 00:52:28,770 +عادي عادي عادي عادي عادي عادي عادي عادي عادي عادي + +556 +00:52:28,770 --> 00:52:31,010 +عادي عادي عادي عادي عادي عادي عادي عادي عادي عادي + +557 +00:52:31,010 --> 00:52:31,270 +عادي عادي عادي عادي عادي عادي عادي عادي عادي عادي + +558 +00:52:31,270 --> 00:52:31,330 +عادي عادي عادي عادي عادي عادي عادي عادي عادي عادي + +559 +00:52:31,330 --> 00:52:32,750 +عادي عادي عادي عادي عادي عادي عادي عادي عادي عادي + +560 +00:52:32,750 --> 00:52:40,420 +عادي عادي عاديتوينتي فور ملي ميتر ايش one + +561 +00:52:40,420 --> 00:52:48,920 +millimeter increase leads to three diopters .. + +562 +00:52:48,920 --> 00:52:58,520 +three .. three diopters myopia clear؟ + +563 +00:52:58,520 --> 00:53:02,460 +يبقى هذا ال axial اللي هو معظم الحالات axial طب + +564 +00:53:02,460 --> 00:53:02,920 +curvature + +565 +00:53:05,510 --> 00:53:12,130 +increase in the curvature of the cornea each + +566 +00:53:12,130 --> 00:53:19,290 +one millimeter decrease in the curvature of the + +567 +00:53:19,290 --> 00:53:29,730 +cornea will lead to six diopters myopia كيف نعتبر + +568 +00:53:29,730 --> 00:53:33,950 +ان هنا هاي ال cornea هنا + +569 +00:53:35,070 --> 00:53:43,870 +نكمل الدائرة ثم نقيس نصف القطر احنا هناك في ال .. + +570 +00:53:43,870 --> 00:53:49,390 +في ال hypermetropia كانت الكونيا flat صح فكنا لما + +571 +00:53:49,390 --> 00:53:59,550 +نكمل الدائرة نكمل الدائرة و نقيس نصف قطر التحدث + +572 +00:53:59,550 --> 00:54:02,330 +كبير + +573 +00:54:05,990 --> 00:54:12,950 +كل واحد millimeter increase in the radius of + +574 +00:54:12,950 --> 00:54:17,810 +curvature will lead to 6 diopters of hypermetropia + +575 +00:54:17,810 --> 00:54:27,670 +فهمونها هنا تناسب عكسي في ال myopia نصف كفر التحدب + +576 +00:54:27,670 --> 00:54:33,930 +بيزيد في ال hypermetropia نصف كفر التحدب بيزيدعشان + +577 +00:54:33,930 --> 00:54:39,690 +ليش؟ لأنه غالبا في الميوبيا فيه تحدد زائد مارستيبي + +578 +00:54:39,690 --> 00:54:50,550 +او كيرفتشار في الهيبرمتروبيا فلات فلات فاحنا بنكمل + +579 +00:54:50,550 --> 00:54:54,530 +الدائرة في الحالتين وبنقلس نصف قطر التحدد في + +580 +00:54:54,530 --> 00:54:59,070 +الميوبيا بيكون قصير وفي الهيبرمتروبيا بيكون طويل + +581 +00:54:59,070 --> 00:55:04,750 +عكس يعنيطيب يبقى في ال curvature ميوبيا may be + +582 +00:55:04,750 --> 00:55:07,210 +associated with an increase in curvature of the + +583 +00:55:07,210 --> 00:55:12,590 +cornea or one or both surfaces of the lens بغض + +584 +00:55:12,590 --> 00:55:19,030 +الرضا عن ال lens غالبا في ال cornea تحدي زائد بقول + +585 +00:55:19,030 --> 00:55:21,310 +في ال cornea an increased curvature of the cornea + +586 +00:55:21,310 --> 00:55:27,630 +not infrequently occurs يعني قليلا ما يحدثيحدث بس + +587 +00:55:27,630 --> 00:55:31,570 +يعني قليل من ما but it is usually evident as an + +588 +00:55:31,570 --> 00:55:36,990 +astigmatic error than spherical يعني لما القرانية + +589 +00:55:36,990 --> 00:55:44,070 +بيزيد تحضبها هكذا غالبا + +590 +00:55:44,070 --> 00:55:49,170 +هذا الزيادة متكونش منتظمة مائة بالمائة بيكون هذا + +591 +00:55:49,170 --> 00:55:53,890 +التحضب الزيادة بتاعته فيه شوية irregularity بما + +592 +00:55:53,890 --> 00:56:02,890 +يؤدي إلىmyopic astigmatism يعني القبة بتاعة السطح + +593 +00:56:02,890 --> 00:56:07,170 +القرنية الأمامي اندفعها إلى الأمام بيكون غير + +594 +00:56:07,170 --> 00:56:11,530 +منتظمة طب أنه أبرزها في Herotoconus أبرزها وين + +595 +00:56:11,530 --> 00:56:18,710 +Herotoconus بيقول irregular myopic astigmatism هذا + +596 +00:56:18,710 --> 00:56:24,570 +التحدي بالزائد إلى الأمام قليلا ما بيكون منتظمزي + +597 +00:56:24,570 --> 00:56:31,550 +في حالات الكيراتو جلوبس في الكيراتو جلوبس فيه تحدب + +598 +00:56:31,550 --> 00:56:36,990 +متساوي في كل الجهات في الكونرسيكس عشان يقولوا + +599 +00:56:36,990 --> 00:56:44,930 +كيراتو جلوبس لكن في الكيراتو كونرس لأ بيكون ال + +600 +00:56:44,930 --> 00:56:49,890 +center of the cornea downwards شوية تحت ال center + +601 +00:56:49,890 --> 00:56:55,820 +يعني في العادى هنا بتكون هنالكن هنا لو اعمل cone + +602 +00:56:55,820 --> 00:57:01,180 +بيكون تحت ال center بشوية يعني هاي ال center هو بي + +603 +00:57:01,180 --> 00:57:05,060 +.. ال cone تحت ال center عشان يقولوا irregular + +604 +00:57:05,060 --> 00:57:09,880 +myopic astigmatism واضح؟ + +605 +00:57:09,880 --> 00:57:15,840 +طيب increase of lenticular curvature .. lenticular + +606 +00:57:15,840 --> 00:57:21,030 +lens يعنيadjective lenticular curvature is also + +607 +00:57:21,030 --> 00:57:26,010 +rare in fact corresponding to the a state of the + +608 +00:57:26,010 --> 00:57:29,070 +cornea يعني هو ال curvature هذا غالبا في ال cornea + +609 +00:57:29,070 --> 00:57:36,290 +corneal وقليلا ما بيسيب الناس نوع من اللي هو + +610 +00:57:36,290 --> 00:57:43,560 +lenticonus اسمه lenticonusيبقى الانسان عادةً بطيئة + +611 +00:57:43,560 --> 00:57:49,160 +في اكسيا المايوبيا العادة لتحسن خطأ الانتقان + +612 +00:57:49,160 --> 00:57:56,680 +الانتقان يعني بدل الانس بتكون عادةً مثل هذا يصير + +613 +00:57:56,680 --> 00:58:03,550 +مثل هذايعني فيها cone غالبا في ال anterior surface + +614 +00:58:03,550 --> 00:58:06,090 +هنا في ال anterior surface يعني ال anterior + +615 +00:58:06,090 --> 00:58:09,930 +surface يكون هيك و ال anterior surface يكون لأنه + +616 +00:58:09,930 --> 00:58:14,870 +سهل أنه يطلع في ال AC و صعب أنه يروح على ال ايش + +617 +00:58:14,870 --> 00:58:19,170 +patellar fossa in the anterior cortex of the + +618 +00:58:19,170 --> 00:58:24,390 +petriusفهو بيقول أحيانا و rare هذا إشي لما يصير + +619 +00:58:24,390 --> 00:58:27,150 +الانتي كونس غالبا في ال antero surface of the lens + +620 +00:58:27,150 --> 00:58:30,930 +أو curve اه which may involve a marked degree of + +621 +00:58:30,930 --> 00:58:34,550 +myopic power of the lens طيب هو في الحالة العادية + +622 +00:58:34,550 --> 00:58:40,690 +لما تكون الكورنية like this و + +623 +00:58:40,690 --> 00:58:47,460 +ال lens تكون flatبتعادل قوة القرانية شوية يعني + +624 +00:58:47,460 --> 00:58:51,220 +القرانية مثلا كانت خمسة و أربعين forty-five ديوبتر + +625 +00:58:51,220 --> 00:58:54,600 +والليز + +626 +00:58:54,600 --> 00:59:00,120 +مثلا ال sixteen مجموعهم sixty-one على واحد ديوبتر + +627 +00:59:00,120 --> 00:59:05,640 +بس أه لكن وين المشكلة أنه لو كانت القرانية خمسة و + +628 +00:59:05,640 --> 00:59:12,500 +أربعين والليز conus التانية وصارت twenty صار عندنا + +629 +00:59:12,500 --> 00:59:18,760 +خمسة وستينالقوة الانكسرية للعين اه طبعا very + +630 +00:59:18,760 --> 00:59:24,340 +powerful very powerful لكن انا بأكد انه التحدي + +631 +00:59:24,340 --> 00:59:28,660 +القومي هو الأساس و هو الأكبر و هو الأكثر شيء عن + +632 +00:59:28,660 --> 00:59:33,560 +اكتر من ايه ال lenticular اللي هو conus او + +633 +00:59:33,560 --> 00:59:37,020 +lenticular curvature the curvature of the surface + +634 +00:59:37,020 --> 00:59:40,220 +of the lens may occur also whenever the suspensory + +635 +00:59:40,220 --> 00:59:42,400 +ligament what is suspensory ligament + +636 +00:59:45,330 --> 00:59:52,770 +suspensory ligament الزنيون الرباط المعلق اسمه + +637 +00:59:52,770 --> 00:59:58,370 +الزنيون الاسم التاني اسمه suspensory ligament is + +638 +00:59:58,370 --> 01:00:03,430 +relaxed as okayed in a spasm of accommodation يعني + +639 +01:00:03,430 --> 01:00:07,490 +لو الcellar muscle عملت very severe contraction + +640 +01:00:10,760 --> 01:00:18,900 +السيلاري رينج ضيق على الآخر يعني صير المسافة بين + +641 +01:00:18,900 --> 01:00:24,220 +السيلاري مسل وبين + +642 +01:00:24,220 --> 01:00:32,160 +ال lens صغيرة يعني هذا ال lens وهذا السيلاري مسل + +643 +01:00:32,160 --> 01:00:35,480 +قولولي + +644 +01:00:35,480 --> 01:00:41,890 +في الحالة هذهالزنوز ايش حاصر فيها relaxed relaxed + +645 +01:00:41,890 --> 01:00:48,290 +بس كان مسافة قريبة والحابل أساسا هو كده اه مافيش + +646 +01:00:48,290 --> 01:00:51,790 +عليه شد بالعكس لما الcellany muscle ترتخي تروح + +647 +01:00:51,790 --> 01:00:56,150 +بعيد اه + +648 +01:00:56,150 --> 01:01:01,270 +هو بيكون مجدود اه كويس هو بيكون مجدود لكن + +649 +01:01:01,270 --> 01:01:07,410 +الcellany muscle انكمشت واتت من البعيد من هنا إلى + +650 +01:01:07,410 --> 01:01:14,590 +هناالى هنا فهنا relaxed فهو الآن لما يصير relaxed + +651 +01:01:14,590 --> 01:01:19,350 +ايش هيصير في ال lens؟ sphere ال lens بتصير sphere + +652 +01:01:19,350 --> 01:01:22,450 +لأنه + +653 +01:01:22,450 --> 01:01:26,030 +فيش شد على ال periphery بتاع ال lens لما يكون فيه + +654 +01:01:26,030 --> 01:01:30,510 +شد على ال periphery بتاع ال lens بتكون flat لكن لو + +655 +01:01:30,510 --> 01:01:36,640 +فيش شد بيصير more sphere more sphereو في شرط بتكون + +656 +01:01:36,640 --> 01:01:41,960 +flat هذا كله في ال anatomy درسناها كويس لو تذكرون + +657 +01:01:41,960 --> 01:01:45,460 +درسناها كويس accommodation و leading يبقى في حالات + +658 +01:01:45,460 --> 01:01:51,020 +ال spasm of accommodation ال lens هتكون cared + +659 +01:01:51,020 --> 01:01:56,740 +surfaces cared قوتها بتزيد ولا بتنقص؟ بتزيد بتزيد + +660 +01:01:56,740 --> 01:02:02,580 +قولا واحد في ال spasm بتزيد بتزيد جداش plus ten او + +661 +01:02:02,580 --> 01:02:04,740 +اكتر بتزيد + +662 +01:02:06,850 --> 01:02:11,050 +الحالة دي مابترتبش إلا بال atropine drops for two + +663 +01:02:11,050 --> 01:02:18,030 +weeks or more two weeks or more إيش بتنسوا؟ طيب في + +664 +01:02:18,030 --> 01:02:26,510 +حالة إيجا الضربة قطعت الزنون وصارت dislocation لل + +665 +01:02:26,510 --> 01:02:30,670 +lens واللنز اللي وجناها احنا واجع في الفتريا السيك + +666 +01:02:30,670 --> 01:02:41,890 +كرة صغيرةعارفين الحبوب زيت السمك؟ طلعناها من ال AC + +667 +01:02:41,890 --> 01:02:46,550 +زي حب زيت السمك ليش؟ لأنه مافيش أي نوع ماتتشل + +668 +01:02:46,550 --> 01:02:55,590 +عليها فهي تاخد شكل كروي طبعا هي هنا damaged lens + +669 +01:02:55,590 --> 01:03:01,470 +خلاص مالهاش دور انكساري خلاص طيب بالنسبة لل index + +670 +01:03:03,540 --> 01:03:07,080 +إيش هي الأسطح الكاسرة في العلم؟ Deflective + +671 +01:03:07,080 --> 01:03:10,860 +surfaces؟ Conya mainly؟ then there is طب ال + +672 +01:03:10,860 --> 01:03:18,040 +aqueous؟ سطح كاسر؟ aqueous humor؟ طب ال matrius؟ + +673 +01:03:18,040 --> 01:03:21,900 +طب ال retina؟ + +674 +01:03:21,900 --> 01:03:31,790 +طب ال iris؟ وبكيبقى الأسطح الكاسرة هي mainly كوريا + +675 +01:03:31,790 --> 01:03:33,710 +الـ anterior surface و posterior surface لكوريا + +676 +01:03:33,710 --> 01:03:40,530 +وبعدين الانسان يبقى مهما تغير ال refractive index + +677 +01:03:40,530 --> 01:03:44,490 +المعامل للانكسار بتاع ال aqueous و الvitreous لا + +678 +01:03:44,490 --> 01:03:54,070 +اعتبر فش increase or change لrefractive power فش + +679 +01:03:54,070 --> 01:03:59,660 +appreciable effect فش تأثير يعنيمع الاخر، التغيير + +680 +01:03:59,660 --> 01:04:04,140 +في اللنز يمكن أن يدفع إلى ميوبيا وانا في هذا + +681 +01:04:04,140 --> 01:04:11,040 +المكان بدأ اقول ان الكوريا في موضوع ال index + +682 +01:04:11,040 --> 01:04:17,720 +ميوبيا مالهاش اعتبار مين طالب تقولي ليش؟ يعني + +683 +01:04:17,720 --> 01:04:23,900 +الاعتبار في ال index للنز اللي فيها كبسولة فيها + +684 +01:04:23,900 --> 01:04:30,790 +cortex and nucleusبينما الـ corneal مالهاش اعتبار + +685 +01:04:30,790 --> 01:04:35,850 +كتير ولا مذكور في ال refractive index exchange مين + +686 +01:04:35,850 --> 01:04:40,990 +يقول ليه؟ ليه ال corneal؟ يعني في ال axial اه + +687 +01:04:40,990 --> 01:04:46,230 +corneal في ال curvature اه corneal أساسا لكن ليش + +688 +01:04:46,230 --> 01:04:49,770 +في ال index mainly lenticular؟ + +689 +01:04:54,430 --> 01:05:01,630 +في ال .. في ال .. في الكورنيا في + +690 +01:05:01,630 --> 01:05:04,910 +الكورنيا + +691 +01:05:04,910 --> 01:05:13,650 +في ال least amount of fluids في الكورنيا في least + +692 +01:05:13,650 --> 01:05:22,090 +amount of fluids دكريه في القرانية هنا ورا في طبقة + +693 +01:05:22,090 --> 01:05:29,420 +واحدةمن الـ hexagonal endothelial cells ايش دورة + +694 +01:05:29,420 --> 01:05:35,600 +هي هذه الحارس الأميرة القرانية honest guard كل ما + +695 +01:05:35,600 --> 01:05:37,760 +ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال + +696 +01:05:37,760 --> 01:05:38,020 +ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال + +697 +01:05:38,020 --> 01:05:38,300 +ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال + +698 +01:05:38,300 --> 01:05:39,240 +ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال + +699 +01:05:39,240 --> 01:05:39,980 +ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال + +700 +01:05:39,980 --> 01:05:41,800 +ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال + +701 +01:05:41,800 --> 01:05:42,480 +ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال + +702 +01:05:42,480 --> 01:05:42,920 +ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال + +703 +01:05:42,920 --> 01:05:44,520 +ال ال ال ال + +704 +01:05:53,050 --> 01:06:00,350 +اكوا سخانة و لو الاندوثينام صار له damage او فقدنا + +705 +01:06:00,350 --> 01:06:09,450 +اكتر من half of its number ايش هيصير؟ هصير huge + +706 +01:06:09,450 --> 01:06:14,370 +amount of the fluids in the cornea corneal + +707 +01:06:14,370 --> 01:06:18,790 +hydration طب و هذا هيعمل ايش؟ damage of the cornea + +708 +01:06:20,320 --> 01:06:24,440 +يبقى ليش احنا مابنتكلمش على ال index myopia في + +709 +01:06:24,440 --> 01:06:30,060 +الكونيا لأن كونيا أساسا فيها الحد الأدنى من أيش؟ + +710 +01:06:30,060 --> 01:06:33,580 +من السوائل وهذا ال refractive index بتوع السوائل + +711 +01:06:33,580 --> 01:06:38,540 +السوائل أين موجودة؟ في ال lens أحسن في ال lens، + +712 +01:06:38,540 --> 01:06:42,680 +السطح الأخر it is possible that a decrease of + +713 +01:06:42,680 --> 01:06:44,500 +refractive index of the cortex + +714 +01:06:53,490 --> 01:06:58,230 +أيضًا بيعمل ميوبيا وممكن بعد ذلك يعمل cataract + +715 +01:06:58,230 --> 01:07:01,450 +يعمل cataract لما ال refractive index يصبح + +716 +01:07:01,450 --> 01:07:04,270 +sclerosis نيوكليار نيوكليار نيوكليار نيوكليار + +717 +01:07:04,270 --> 01:07:06,190 +نيوكليار نيوكليار نيوكليار نيوكليار نيوكليار + +718 +01:07:06,190 --> 01:07:08,810 +نيوكليار نيوكليار نيوكليار نيوكليار نيوكليار + +719 +01:07:08,810 --> 01:07:09,070 +نيوكليار نيوكليار نيوكليار نيوكليار نيوكليار + +720 +01:07:09,070 --> 01:07:13,110 +نيوكليار نيوكليار نيوكليار نيوكليار نيوكليار + +721 +01:07:13,110 --> 01:07:14,110 +نيوكليار نيوكليار نيوكليار نيوكليار نيوكليارa + +722 +01:07:14,110 --> 01:07:18,330 +sclerosis or hyperrefringent + +723 +01:07:18,330 --> 01:07:24,750 +يعني more hard nuclear sclerosis بالوقت periperson + +724 +01:07:24,750 --> 01:07:28,810 +with which there develops a progressive myopia + +725 +01:07:28,810 --> 01:07:35,970 +يبقى لو واحد اجاني انا امتراب امتراب + +726 +01:07:35,970 --> 01:07:40,390 +و كبر في السن صار seventy five years + +727 +01:07:42,860 --> 01:07:49,000 +وهنا وجدت انه عنده minus to diopter myopia بعد خمس + +728 +01:07:49,000 --> 01:07:55,680 +وسبعين سنة من اين اتجت هذه من sclerosis يبقى هو مش + +729 +01:07:55,680 --> 01:08:00,940 +corneal لأ هذا index index myopia في هذا السن + +730 +01:08:00,940 --> 01:08:07,880 +نتيجة لتصلب نوات العدسة مع السن ولن يلبس طويلا سنة + +731 +01:08:07,880 --> 01:08:10,960 +او سنتين حتى يعان من senile cataract + +732 +01:08:14,300 --> 01:08:18,360 +هتوقف هنا وان شاء الله نكمل في المرة القادمة شكرا + +733 +01:08:18,360 --> 01:08:22,220 +لكم وبرك الله فيكم و السلام عليكم ورحمة الله + +734 +01:08:22,220 --> 01:08:23,040 +وبركاته + diff --git a/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/VEw-gScKWqY_raw.json b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/VEw-gScKWqY_raw.json new file mode 100644 index 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اللي عندهم myopia و athletics مثلا العدائين كرة القدم كرة السلة كرة ال basket ball أفضل بكتير", "tokens": [345, 23408, 295, 729, 8237, 294, 9848, 5537, 1513, 299, 37964, 420, 365, 2121, 43544, 2203, 366, 6322, 37495, 22653, 44713, 9778, 3215, 10943, 18863, 3215, 3794, 9307, 13672, 33546, 28671, 8978, 12602, 1829, 46958, 1829, 9957, 37964, 13672, 1829, 43242, 16095, 9848, 5537, 1513, 654, 1975, 2407, 13672, 1829, 43242, 16095, 452, 22376, 4032, 37964, 50113, 15040, 18863, 3215, 16373, 9957, 9122, 25720, 25062, 40448, 9122, 25720, 21136, 37977, 9122, 25720, 2423, 8390, 2594, 5551, 5172, 11242, 1211, 4724, 4117, 2655, 13546], "avg_logprob": -0.21874999645210447, "compression_ratio": 1.6043478260869566, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 633.44, "end": 634.08, "word": "advantage", "probability": 0.29217529296875}, {"start": 634.08, "end": 634.46, "word": " of", "probability": 0.92041015625}, {"start": 634.46, "end": 635.08, "word": " those", "probability": 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0.924560546875}], "temperature": 1.0}, {"id": 41, "seek": 112970, "start": 1100.6, "end": 1129.7, "text": "موجودة في بنوك العيون في العالم وان شاء الله في فلسطين يصبح عندنا بنك العيون الفلسطيني نتأمل عليها تكون ميمون ان شاء الله طب لو كان في irregular corner بيبقى .. طبعا طبعا keratoconus أشهر شئ كراتوكونس اللي طلعوا لها rose k rose k contact lenses", "tokens": [2304, 29245, 23328, 3660, 8978, 44945, 2407, 4117, 18863, 1829, 11536, 8978, 18863, 45340, 4032, 7649, 13412, 16606, 21984, 8978, 6156, 1211, 3794, 9566, 9957, 7251, 9381, 49628, 43242, 8315, 44945, 4117, 18863, 1829, 11536, 27188, 1211, 3794, 9566, 9957, 1829, 8717, 2655, 10721, 42213, 25894, 11296, 6055, 30544, 3714, 32640, 11536, 16472, 13412, 16606, 21984, 23032, 3555, 45164, 25961, 8978, 29349, 4538, 4724, 1829, 3555, 4587, 7578, 4386, 23032, 3555, 3615, 995, 23032, 3555, 3615, 995, 19377, 267, 905, 266, 301, 5551, 8592, 3224, 2288, 13412, 19986, 9122, 2288, 9307, 2407, 30544, 3794, 13672, 1829, 23032, 1211, 3615, 14407, 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lenses", "probability": 0.90869140625}], "temperature": 1.0}, {"id": 42, "seek": 115470, "start": 1130.54, "end": 1154.7, "text": "Rose K يعني لو هنا في keratoconus هي keratoconus الآن طلعوا نوع من العدسات عجيبة جدا انها بتيجي كالمفتاح في القفل مش كفن مفتاح في القفل على جد rose K too expensive", "tokens": [49, 541, 591, 37495, 22653, 45164, 34105, 8978, 19377, 267, 905, 266, 301, 39896, 19377, 267, 905, 266, 301, 6024, 48506, 23032, 1211, 3615, 14407, 8717, 45367, 9154, 18863, 3215, 3794, 9307, 6225, 7435, 1829, 49401, 10874, 28259, 16472, 11296, 4724, 31371, 7435, 1829, 9122, 45340, 5172, 2655, 39319, 8978, 25062, 5172, 1211, 37893, 9122, 5172, 1863, 3714, 5172, 2655, 39319, 8978, 25062, 5172, 1211, 15844, 10874, 3215, 10895, 591, 886, 5124], "avg_logprob": -0.19531249346798413, "compression_ratio": 1.5120481927710843, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1130.54, "end": 1131.02, "word": "Rose", "probability": 0.45458984375}, {"start": 1131.02, "end": 1131.26, 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" العدسات", "probability": 0.982177734375}, {"start": 1139.86, "end": 1142.02, "word": " عجيبة", "probability": 0.977294921875}, {"start": 1142.02, "end": 1142.44, "word": " جدا", "probability": 0.99169921875}, {"start": 1142.44, "end": 1143.88, "word": " انها", "probability": 0.6900634765625}, {"start": 1143.88, "end": 1144.48, "word": " بتيجي", "probability": 0.88427734375}, {"start": 1144.48, "end": 1146.12, "word": " كالمفتاح", "probability": 0.97392578125}, {"start": 1146.12, "end": 1146.96, "word": " في", "probability": 0.9189453125}, {"start": 1146.96, "end": 1147.4, "word": " القفل", "probability": 0.98681640625}, {"start": 1147.4, "end": 1148.54, "word": " مش", "probability": 0.83984375}, {"start": 1148.54, "end": 1148.78, "word": " كفن", "probability": 0.8084309895833334}, {"start": 1148.78, "end": 1149.02, "word": " مفتاح", "probability": 0.9825439453125}, {"start": 1149.02, "end": 1149.12, "word": " في", "probability": 0.9677734375}, {"start": 1149.12, "end": 1149.68, "word": " القفل", "probability": 0.9949544270833334}, {"start": 1149.68, "end": 1151.64, "word": " على", "probability": 0.7216796875}, {"start": 1151.64, "end": 1151.92, "word": " جد", "probability": 0.99365234375}, {"start": 1151.92, "end": 1152.88, "word": " rose", "probability": 0.38818359375}, {"start": 1152.88, "end": 1153.38, "word": " K", "probability": 0.61865234375}, {"start": 1153.38, "end": 1154.2, "word": " too", "probability": 0.716796875}, {"start": 1154.2, "end": 1154.7, "word": " expensive", "probability": 0.93798828125}], "temperature": 1.0}, {"id": 43, "seek": 118499, "start": 1156.63, "end": 1184.99, "text": "من أهم كان صفحة القنانية متعرجا ف ال rose cake كنت اكل انس very good solution very good treatment for it disadvantage 7 احنا normally كورنيا tear film باستمرار يتغير tear film لو اي جعل قنانية dust او foreign body", "tokens": [27842, 5551, 16095, 25961, 20328, 5172, 5016, 3660, 25062, 1863, 7649, 10632, 44650, 3615, 2288, 7435, 995, 6156, 2423, 10895, 5908, 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distortion يعني ساعة اللي يابس contact lenses", "tokens": [2304, 8592, 9673, 1829, 11622, 9307, 1975, 39237, 1829, 11622, 4724, 1829, 11296, 18863, 1863, 9381, 2288, 16712, 1211, 32277, 28671, 1975, 5016, 3794, 1863, 37495, 22653, 28242, 4032, 3714, 10943, 2423, 5201, 4032, 1975, 8592, 1829, 4724, 39648, 2893, 2710, 5056, 2519, 37495, 22653, 19446, 41185, 28426, 22807, 1975, 1829, 2407, 3660, 19446, 41185, 8592, 28426, 37495, 22653, 8608, 995, 27884, 13672, 1829, 7251, 16758, 3794, 3385, 18059], "avg_logprob": -0.3363839328289032, "compression_ratio": 1.4972677595628416, "no_speech_prob": 0.0, "words": [{"start": 1325.48, "end": 1325.76, "word": "مش", "probability": 0.23870849609375}, {"start": 1325.76, "end": 1326.3, "word": " الميزات", "probability": 0.939453125}, {"start": 1326.3, "end": 1326.82, "word": " اتميز", "probability": 0.77252197265625}, {"start": 1326.82, "end": 1327.2, "word": " بيها", "probability": 0.81494140625}, {"start": 1327.2, "end": 1327.8, "word": " العنصر", 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periphery بتاعها بالنظر بيعمل distortion لكن بال contact lenses لأنه thin periphery و بتحرك with the cornea ف no distortion مافيش effect تعرفين effect تجي كيف؟", "tokens": [10721, 3224, 37300, 293, 16209, 2399, 4340, 12154, 366, 20308, 5296, 15042, 6024, 48506, 2423, 10812, 15844, 6225, 9957, 9957, 33688, 1863, 3794, 7649, 16490, 33546, 3660, 4676, 10812, 8608, 2407, 16606, 42432, 34051, 416, 50126, 6156, 6027, 26807, 88, 39894, 45761, 11296, 20666, 1863, 19913, 2288, 4724, 1829, 25957, 1211, 28426, 44381, 20666, 3385, 18059, 5296, 33456, 3224, 5862, 26807, 88, 4032, 39894, 5016, 31747, 365, 264, 1181, 22160, 6156, 572, 28426, 19446, 41185, 8592, 1802, 6055, 3615, 28480, 9957, 1802, 6055, 7435, 1829, 9122, 33911, 22807], "avg_logprob": -0.27492976724431756, "compression_ratio": 1.503875968992248, "no_speech_prob": 0.0, "words": [{"start": 1370.64, "end": 1371.0, "word": "أه", "probability": 0.5428466796875}, {"start": 1371.0, "end": 1371.34, "word": " spherical", "probability": 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plus lenses مكونة من two base to base present base to base present فلما الانسان يعني ينظر و يلابس نظارة في ال center هنا بيشوف very clear كل نظارة نواحي القواعد", "tokens": [1211, 15042, 50113, 15040, 7251, 30544, 8978, 21542, 6027, 3660, 29538, 1804, 18059, 3714, 30544, 3660, 9154, 732, 3096, 281, 3096, 1974, 3096, 281, 3096, 1974, 6156, 1211, 15042, 2423, 7649, 3794, 7649, 37495, 22653, 7251, 1863, 19913, 2288, 4032, 7251, 15040, 3555, 3794, 8717, 19913, 9640, 3660, 8978, 2423, 3056, 34105, 4724, 1829, 8592, 38688, 588, 1850, 28242, 8717, 19913, 9640, 3660, 8717, 14407, 5016, 1829, 25062, 14407, 22488], "avg_logprob": -0.20235475729888594, "compression_ratio": 1.6257309941520468, "no_speech_prob": 0.0, "words": [{"start": 1400.34, "end": 1402.12, "word": "لما", "probability": 0.813720703125}, {"start": 1402.12, "end": 1402.58, "word": " مثلا", "probability": 0.987060546875}, {"start": 1402.58, "end": 1403.38, "word": " يكون", "probability": 0.804443359375}, {"start": 1403.38, "end": 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نعتبر ان هنا هاي ال cornea هنا", "tokens": [4647, 265, 651, 294, 264, 37638, 295, 264, 1181, 22160, 1184, 472, 17942, 11514, 294, 264, 37638, 295, 264, 1181, 22160, 486, 1477, 281, 2309, 1026, 404, 1559, 452, 22376, 9122, 33911, 8717, 34268, 26890, 16472, 34105, 8032, 47302, 2423, 1181, 22160, 34105], "avg_logprob": -0.2460937581279061, "compression_ratio": 1.46875, "no_speech_prob": 0.0, "words": [{"start": 3185.51, "end": 3186.39, "word": "increase", "probability": 0.7100830078125}, {"start": 3186.39, "end": 3186.67, "word": " in", "probability": 0.92431640625}, {"start": 3186.67, "end": 3186.83, "word": " the", "probability": 0.7734375}, {"start": 3186.83, "end": 3187.27, "word": " curvature", "probability": 0.984375}, {"start": 3187.27, "end": 3187.97, "word": " of", "probability": 0.96533203125}, {"start": 3187.97, "end": 3188.23, "word": " the", "probability": 0.86376953125}, {"start": 3188.23, "end": 3188.73, "word": " cornea", "probability": 0.95166015625}, {"start": 3188.73, 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3576.64, "word": " of", "probability": 0.97119140625}, {"start": 3576.64, "end": 3576.78, "word": " the", "probability": 0.9248046875}, {"start": 3576.78, "end": 3577.02, "word": " surface", "probability": 0.7802734375}, {"start": 3577.02, "end": 3577.22, "word": " of", "probability": 0.97412109375}, {"start": 3577.22, "end": 3577.34, "word": " the", "probability": 0.8701171875}, {"start": 3577.34, "end": 3577.66, "word": " lens", "probability": 0.93701171875}, {"start": 3577.66, "end": 3578.08, "word": " may", "probability": 0.900390625}, {"start": 3578.08, "end": 3578.38, "word": " occur", "probability": 0.525390625}, {"start": 3578.38, "end": 3578.74, "word": " also", "probability": 0.83544921875}, {"start": 3578.74, "end": 3579.1, "word": " whenever", "probability": 0.9375}, {"start": 3579.1, "end": 3579.5, "word": " the", "probability": 0.85888671875}, {"start": 3579.5, "end": 3580.22, "word": " suspensory", "probability": 0.83642578125}, {"start": 3580.22, "end": 3580.74, "word": " ligament", "probability": 0.9619140625}, {"start": 3580.74, "end": 3581.44, "word": " what", "probability": 0.60009765625}, {"start": 3581.44, "end": 3581.62, "word": " is", "probability": 0.95849609375}, {"start": 3581.62, "end": 3582.08, "word": " suspensory", "probability": 0.9617513020833334}, {"start": 3582.08, "end": 3582.4, "word": " ligament", "probability": 0.96923828125}], "temperature": 1.0}, {"id": 132, "seek": 360749, "start": 3585.33, "end": 3607.49, "text": "suspensory ligament الزنيون الرباط المعلق اسمه الزنيون الاسم التاني اسمه suspensory ligament is relaxed as okayed in a spasm of accommodation يعني لو الcellar muscle عملت very severe contraction", "tokens": [31065, 694, 827, 11742, 2466, 6024, 110, 22653, 11536, 34892, 3555, 41193, 9673, 30241, 4587, 24525, 2304, 3224, 6024, 110, 22653, 11536, 2423, 32277, 2304, 16712, 7649, 1829, 24525, 2304, 3224, 6535, 694, 827, 11742, 2466, 307, 14628, 382, 1392, 292, 294, 257, 637, 14774, 295, 27363, 37495, 22653, 45164, 2423, 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surface و posterior surface لكوريا وبعدين الانسان يبقى مهما تغير ال refractive index المعامل للانكسار بتاع ال aqueous و الvitreous لا اعتبر فش increase or change لrefractive power فش appreciable effect فش تأثير يعني", "tokens": [1829, 3555, 4587, 7578, 16247, 3794, 9566, 5016, 33251, 32277, 25720, 39896, 8704, 9122, 13063, 25528, 2423, 39184, 22272, 3753, 4032, 33529, 3753, 5296, 4117, 13063, 25528, 46599, 22488, 9957, 2423, 7649, 3794, 7649, 7251, 3555, 4587, 7578, 3714, 3224, 15042, 6055, 17082, 13546, 2423, 45353, 488, 8186, 9673, 3615, 10943, 1211, 24976, 7649, 4117, 3794, 9640, 39894, 45761, 2423, 257, 1077, 563, 4032, 2423, 10398, 265, 563, 20193, 1975, 34268, 26890, 6156, 8592, 3488, 420, 1319, 5296, 33115, 1897, 488, 1347, 6156, 8592, 3616, 712, 1802, 6156, 8592, 6055, 10721, 12984, 13546, 37495, 22653], "avg_logprob": -0.36263019933054846, "compression_ratio": 1.5564853556485356, "no_speech_prob": 0.0, "words": [{"start": 3808.01, "end": 3808.51, "word": "يبقى", "probability": 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-0,0 +1,2523 @@ +1 +00:00:20,990 --> 00:00:23,850 +عودوا بالله مش فارغين بسم الله الرحمن الرحيم الحمد + +2 +00:00:23,850 --> 00:00:28,370 +لله و أُكَبِّرُهُ و أُسَلِّمُ و أسلم على الحبيب المصطفى السلام + +3 +00:00:28,370 --> 00:00:33,090 +عليكم و رحمة الله و بركاته في المحاضرة السابقة كنا + +4 +00:00:33,090 --> 00:00:37,530 +نتكلم على Neutralization of the reflex using plus + +5 +00:00:37,530 --> 00:00:47,930 +cylinder lens and we have shown that the axis الـ + +6 +00:00:47,930 --> 00:00:53,370 +Plus Cylinder يجب أن يكون مرتبط على المجال اللي + +7 +00:00:53,370 --> 00:01:00,170 +قمنا بتحريكه أو نتراليزه اليوم بدأنا نتراليزه + +8 +00:01:00,170 --> 00:01:05,330 +باستخدام الـ Minus Cylinder Lens والأحداث هي + +9 +00:01:05,330 --> 00:01:12,410 +عكسة الـ Plus Cylinder Lens يجب أن نضع + +10 +00:01:16,830 --> 00:01:23,550 +the axis of the Minus cylinder parallel + +11 +00:01:23,550 --> 00:01:31,810 +to the meridian we will neutralize موازي له و + +12 +00:01:31,810 --> 00:01:38,030 +بالمناسبة مش شرط دائماً أن يكون ninety or one + +13 +00:01:38,030 --> 00:01:43,290 +hundred eighty لا ممكن يكون Oblique ممكن يكون ستين + +14 +00:01:43,290 --> 00:01:47,270 +أربعين مائة وعشرين مائة وأربعين بالمناسبة أنا حبيت + +15 +00:01:47,270 --> 00:01:50,550 +فعلاً إذا أذكركم مواحد يقول يعني هذه زي ما قال الدكتور + +16 +00:01:50,550 --> 00:01:54,310 +أنه دائماً تسعين أو دائماً مية وثمانين لأ بس احنا + +17 +00:01:54,310 --> 00:01:58,890 +نستسهل في التدريس التسعين والمية وثمانين لأن لو + +18 +00:01:58,890 --> 00:02:03,590 +كانت قبلها تلاتين أربعين مائة وعشرين مائة وخمسين + +19 +00:02:03,590 --> 00:02:11,370 +عادي جداً المهم وين ما في Meridian أنا أحط معه الـ + +20 +00:02:11,370 --> 00:02:17,080 +Axis في الـ Minus اللي هو ايش Cylinder وعمودي عليه + +21 +00:02:17,080 --> 00:02:23,040 +في الـ Plus وممكن ثاني احفظناهم وماشي يبقى the + +22 +00:02:23,040 --> 00:02:26,320 +axis is parallel to the meridian that we are + +23 +00:02:26,320 --> 00:02:32,300 +streaking we will line up another occur our + +24 +00:02:32,300 --> 00:02:35,580 +cylinder axis perpendicular to the orientation of + +25 +00:02:35,580 --> 00:02:40,960 +the streak يعني بما أنه Streak ال Light بتاعنا + +26 +00:02:40,960 --> 00:02:45,890 +دائماً عمودي على الـ Meridian عمودي على الـ Meridian + +27 +00:02:45,890 --> 00:02:49,830 +يعني الـ Meridian 180 بحط ضوء يواجه في التسعين و + +28 +00:02:49,830 --> 00:02:53,570 +العكس لو الـ Meridian بتاعي 90 بحط الـ Light بتاعي + +29 +00:02:53,570 --> 00:02:58,050 +عمودي عليه ما ينفعش يكونوا اثنين متوازيين دائماً هو + +30 +00:02:58,050 --> 00:03:03,790 +العمودي عَامِدِين فهو عمل بس Relation للـ Axis of + +31 +00:03:03,790 --> 00:03:09,910 +Cylinder إذا كانوا Plus بيكونوا مع الضوء إذا كانوا + +32 +00:03:09,910 --> 00:03:16,950 +Minus بيكون عمودي على الضوء وخلصنا in our words 90 + +33 +00:03:16,950 --> 00:03:21,650 +degrees in this example اللي هي إيش؟ هالي يبقى + +34 +00:03:21,650 --> 00:03:29,550 +الآن أنا بما أني حاطط الـ Axis في التسعين الـ + +35 +00:03:29,550 --> 00:03:34,690 +Meridian في التسعين اضغط في الـ 180 عمودي + +36 +00:03:34,690 --> 00:03:39,050 +عليه يبقى الضوء وين؟ عمودي على اثنين عمودي على الـ + +37 +00:03:39,050 --> 00:03:44,160 +Meridian وعمودي عليه إيش؟ على الـ Axis في الـ Minus + +38 +00:03:44,160 --> 00:03:47,100 +يعني هذا غير عن الكلام اللي تكلمنا في المحاضرة + +39 +00:03:47,100 --> 00:03:51,960 +الماضية طيب الآن + +40 +00:03:51,960 --> 00:04:03,560 +بقول إيه؟ في كل مرة هأضع Minus Cylinder 0.5 وأعمل + +41 +00:04:03,560 --> 00:04:09,100 +Streaking لسه في حركة Movement مثلاً with بشيل النص + +42 +00:04:09,100 --> 00:04:18,050 +وبحط واحد وأعمل أيضاً Streaking لسه في حركة إيش بدي + +43 +00:04:18,050 --> 00:04:24,210 +أعمل بدي أشيل الواحد وآخذ واحد ونص وأعمل Streaking في + +44 +00:04:24,210 --> 00:04:28,670 +حركة بشيل واحد ونص وآخذ اثنين من نفس الطراز Minus + +45 +00:04:28,670 --> 00:04:35,830 +Cylinder إلى أن يصل إيش as near as the Neutral + +46 +00:04:35,830 --> 00:04:43,160 +Point يعني أن وصلت الحفة بتاعتها ما أضيش بجف أعمل + +47 +00:04:43,160 --> 00:04:48,620 +Verification ببدأ أنا أبرهن أو أثبت أن أنا في الـ + +48 +00:04:48,620 --> 00:04:52,600 +Neutral Point لكن لو فضلت أحط نص ونص ونص ونص و + +49 +00:04:52,600 --> 00:04:52,640 +نص ونص ونص ونص ونص ونص ونص ونص ونص ونص ونص و + +50 +00:04:52,640 --> 00:04:52,700 +نص ونص ونص ونص ونص ونص ونص ونص ونص ونص ونص و + +51 +00:04:52,700 --> 00:04:52,740 +نص ونص ونص ونص ونص ونص ونص ونص ونص ونص ونص و + +52 +00:04:52,740 --> 00:04:52,880 +نص ونص ونص ونص ونص ونص ونص ونص ونص ونص ونص و + +53 +00:04:52,880 --> 00:04:52,940 +نص ونص ونص ونص ونص ونص ونص ونص ونص ونص ونص و + +54 +00:04:52,940 --> 00:05:00,840 +نص ونص ونص ونص ونص ونص + +55 +00:05:00,840 --> 00:05:04,940 +و + +56 +00:05:04,940 --> 00:05:12,900 +الـ Reflex الأولاني خلص بسفير هذا خلصنا بسفير + +57 +00:05:12,900 --> 00:05:19,100 +زمان صح؟ لكن هذا فاضل ومؤمن صح ضاق لكن لسه + +58 +00:05:19,100 --> 00:05:26,040 +استدلّت أحطه Cylinder نص نص نص Cylinder يا ناس الـ + +59 +00:05:26,040 --> 00:05:31,420 +Minus Cylinder هذه اللي أنا بحطها بتأثر على السفير + +60 +00:05:31,420 --> 00:05:32,260 +هذا ولا لا؟ + +61 +00:05:40,450 --> 00:05:50,910 +خليني أقول بالعربي أن القوة هنا Zero و + +62 +00:05:50,910 --> 00:05:58,890 +الـ Power اللي بتيجي بتاعة السيلندر عمودي هنا علماً + +63 +00:05:58,890 --> 00:06:05,980 +أن هذا أنا خلصت منه بالسفير فالـ Power الـ Minus + +64 +00:06:05,980 --> 00:06:11,740 +اللي عمودي على الـ Zero الـ Axis هتأثر على قوة + +65 +00:06:11,740 --> 00:06:15,540 +السفير اللي خلصت منها ولا لأ؟ لأ لأ لإيش؟ لأنه + +66 +00:06:15,540 --> 00:06:18,220 +العشقانات اللي ... اللي ... اللي ... اللي ... اللي ... + +67 +00:06:18,220 --> 00:06:20,420 +اللي ... اللي ... اللي ... اللي ... اللي ... اللي ... + +68 +00:06:20,420 --> 00:06:20,540 +اللي ... اللي ... اللي ... اللي ... اللي ... اللي ... + +69 +00:06:20,540 --> 00:06:20,800 +اللي ... اللي ... اللي ... اللي ... اللي ... اللي ... + +70 +00:06:20,800 --> 00:06:20,880 +اللي ... اللي ... اللي ... اللي ... اللي ... اللي ... + +71 +00:06:20,880 --> 00:06:20,900 +اللي ... اللي ... اللي ... اللي ... اللي ... اللي ... + +72 +00:06:20,900 --> 00:06:21,060 +اللي ... اللي ... اللي ... اللي ... اللي ... اللي ... + +73 +00:06:21,060 --> 00:06:23,960 +اللي ... اللي ... اللي ... اللي ... اللي ... اللي ... + +74 +00:06:23,960 --> 00:06:23,980 +اللي ... اللي ... اللي ... اللي ... اللي ... اللي ... + +75 +00:06:23,980 --> 00:06:32,900 +اللي ... اللي ... اللي + +76 +00:06:32,900 --> 00:06:34,760 +... الل + +77 +00:06:36,750 --> 00:06:42,610 +و الـ Power عمودي بقول الـ Axis الأولاني أنا خلصت + +78 +00:06:42,610 --> 00:06:47,250 +منه أو الـ Meridian الأولاني الـ 180 هذا أنا خلصت + +79 +00:06:47,250 --> 00:06:53,490 +منه وصار Neutral خلاص الآن أنا لما جئت أحط Cylinder + +80 +00:06:53,490 --> 00:06:59,710 +عمودي عليه السيلندر هنا Zero والقوة بتاعته هنا أما + +81 +00:06:59,710 --> 00:07:04,910 +هنا Zero دائماً الـ Axis Zero والـ Power هنا الـ Power + +82 +00:07:04,910 --> 00:07:10,950 +اتعلت عادلسلبت منه نص وسلبت منه واحد وسلبت منه + +83 +00:07:10,950 --> 00:07:17,390 +واحد ونص وسلبت منه اثنين هل لما تسلب منه بجلّ ولا + +84 +00:07:17,390 --> 00:07:19,790 +بيظل زي ما هو؟ بيظل زي ما هو زي ما هو زي ما هو زي + +85 +00:07:19,790 --> 00:07:20,970 +ما هو زي ما هو زي ما هو زي ما هو زي ما هو زي ما هو + +86 +00:07:20,970 --> 00:07:20,990 +هو زي ما هو زي ما هو زي ما هو زي ما هو زي ما هو زي + +87 +00:07:20,990 --> 00:07:22,810 +ما هو زي ما هو زي ما هو زي ما هو زي ما هو زي ما هو + +88 +00:07:22,810 --> 00:07:25,290 +زي ما هو زي ما هو زي ما هو زي ما هو زي ما هو زي ما + +89 +00:07:25,290 --> 00:07:27,970 +هو زي ما هو زي ما هو زي ما هو زي ما هو زي ما هو زي + +90 +00:07:27,970 --> 00:07:31,010 +ما هو زي ما هو زي + +91 +00:07:31,010 --> 00:07:32,950 +ما هو زي ما هو ز + +92 +00:07:35,100 --> 00:07:43,660 +أنه بتأثر ترفع يدها أنه بخس يعني واحد اثنين ثلاثة + +93 +00:07:43,660 --> 00:07:47,640 +أربعة اللي مش عارفة لا هيك ولا هيك ترفع يدها طبعاً + +94 +00:07:47,640 --> 00:07:55,700 +مش حادث يرفع يدها الحقيقة أنه بتأثر اه بتأثر القوة + +95 +00:07:55,700 --> 00:08:00,120 +السالبة اللي اجت على المريض يعني اللي اتعادل تأثرت + +96 +00:08:00,120 --> 00:08:07,130 +سلباً طب والحلبنرجع نقسم الأشياء اللي قلنا أن أنا + +97 +00:08:07,130 --> 00:08:14,290 +الـ Compensation إيش Compensation تعويض مع كل + +98 +00:08:14,290 --> 00:08:23,810 +ديوبتر Minus في ديوبتر Plus Sphere مع كل ديوبتر + +99 +00:08:23,810 --> 00:08:27,910 +ديوبتر مع كل نص ديوبتر نص ديوبتر إلى أن اصل أنا + +100 +00:08:27,910 --> 00:08:36,830 +Neutralization بسفير معادله هذه الصعوبة الإضافية + +101 +00:08:36,830 --> 00:08:42,370 +في الـ Minus Cylinder في الـ Plus ما كناش حاسبين في + +102 +00:08:42,370 --> 00:08:46,370 +الـ Plus ما كناش حاسبين في الـ Plus ما كناش ... ليش + +103 +00:08:46,370 --> 00:08:49,950 +ما كناش حاسبين؟ + +104 +00:08:49,950 --> 00:08:59,310 +اه لأنه القوة وين جاية؟ كانت القوة عمودي على الـ + +105 +00:08:59,310 --> 00:09:05,250 +Meridian عمودي على الـ Meridian اللي هو الـ Axis كان + +106 +00:09:05,250 --> 00:09:09,030 +عمودي عن الـ Meridian فالقوة في الـ Meridian القوة + +107 +00:09:09,030 --> 00:09:12,330 +في الـ Meridian اللي أنا ... يعني إيه إيش هذا + +108 +00:09:12,330 --> 00:09:15,490 +المعارف مش المعارف اللي بتعدل اه اللي بتعدل لكن + +109 +00:09:15,490 --> 00:09:20,190 +هنا القوة ... القوة بتيجي في الـ Meridian الأولاني + +110 +00:09:20,190 --> 00:09:24,670 +الـ Meridian اللي اتعدل أساساً القوة هنا في الـ + +111 +00:09:24,670 --> 00:09:32,300 +Minus جاية عمودي على الـ Axis هذافهذا المريض اللي + +112 +00:09:32,300 --> 00:09:41,420 +اتعادل اللي صار هيّه متعدل اهتزّ هنا انسلب زغر عشان + +113 +00:09:41,420 --> 00:09:47,080 +هي كان بيقول لي هنا في خطوة إضافية There is one + +114 +00:09:47,080 --> 00:09:52,220 +Extra Step إيش يعني Extra Step خطوة إضافية As + +115 +00:09:52,220 --> 00:09:58,700 +compared to Plus Cylinder Neutralization إيش هي We + +116 +00:09:58,700 --> 00:10:07,200 +must add 0.5 ديوبتر of Plus Sphere power for each 0 + +117 +00:10:07,200 --> 00:10:12,340 +.5 Minus Cylinder power that we add to compensate + +118 +00:10:12,340 --> 00:10:16,500 +يقعود النقص اللي صار في المحور الأول الـ First axis + +119 +00:10:16,500 --> 00:10:24,260 +the Sphere power must be added as we go along in + +120 +00:10:24,260 --> 00:10:28,180 +Other words you will add كمان مرة بأكّد التوضيح في + +121 +00:10:28,180 --> 00:10:36,380 +كل Minus Cylinder نص Plus Sphere نص حتى أصل + +122 +00:10:36,380 --> 00:10:44,360 +النهاية عشان يكون فيه عدل ليش أصلح الجديد والقديم + +123 +00:10:44,360 --> 00:10:49,820 +يخس لأ طيب هذا هو الـ Control of Streaking the + +124 +00:10:49,820 --> 00:10:55,920 +Meridian with Motion إلى أن أصل إيش الـ Neutrality + +125 +00:10:55,920 --> 00:11:00,780 +أو أكثر منها إن أكثر منها طبعاً احنا بنذكر كل الطرق + +126 +00:11:00,780 --> 00:11:06,920 +لكن للطالبة في النهاية أن تعمل بما تريد أي طريقة + +127 +00:11:06,920 --> 00:11:13,400 +منهم أما لما تسأل في الامتحان بيتجيب على الكل لكن + +128 +00:11:13,400 --> 00:11:20,270 +في الطريقة العملية في الحياة هي تختار في حرية أما + +129 +00:11:20,270 --> 00:11:22,990 +القصور أن هي تكون عارفة طريقة واحدة مش عارفة غيرها + +130 +00:11:22,990 --> 00:11:26,910 +لأ تكون عارفة الطرق الثانية لكن الطريقة الأريحيه + +131 +00:11:26,910 --> 00:11:31,030 +اللي أنا بشتغل فيها Once the Neutral Reflex we + +132 +00:11:31,030 --> 00:11:33,990 +have reached the end point Neutrality can be + +133 +00:11:33,990 --> 00:11:38,270 +assumed when any motion just disappears اه بقول لي + +134 +00:11:38,270 --> 00:11:44,830 +مجرد أخر ربع أن أنا يبقى عندي Neutrality أو قرب الـ + +135 +00:11:44,830 --> 00:11:50,910 +Neutrality أتوقف ولا أمضي في الإضافة ولا أمضي في + +136 +00:11:50,910 --> 00:11:56,390 +الإضافة لأن هذا بيعطيني Wide Range of Power لو + +137 +00:11:56,390 --> 00:12:01,370 +فضلت أضيف Wide Range of Power فهذا مش كويس ممكن + +138 +00:12:01,370 --> 00:12:06,990 +ندينه على اتجاه المعاكس لكن أنا لما وصلت حفة الحفة + +139 +00:12:06,990 --> 00:12:12,670 +بتاعة الحفرة أتوقف ومن الحفة ممكن أنظر لكن لو + +140 +00:12:12,670 --> 00:12:17,490 +اتقدمت مجنب في الحفرة مش سهل أن أقفز للنحو الثاني + +141 +00:12:17,490 --> 00:12:24,390 +فأحسن أن أتوقف وبعد ما أتوقف تبدأ خطوات أخرى طيب + +142 +00:12:24,390 --> 00:12:28,670 +أنا بشتغل objective ولا subjective الآن كله + +143 +00:12:28,670 --> 00:12:36,470 +objective ما دخلت الساعة في الـ subjective أول + +144 +00:12:36,470 --> 00:12:42,030 +خطوة في الـ subjective أن أخسم مقلوب الـ working + +145 +00:12:42,030 --> 00:12:53,260 +distance طيب أنا أشتغل سفير وسيلندر والآن بطلع + +146 +00:12:53,260 --> 00:12:58,580 +نتيجة SC سفير وسيلندر أنا من النتيجة هذه أخس من + +147 +00:12:58,580 --> 00:13:03,150 +السفير ولا أخصه من السيلندر ولا أخصه من اتنين؟ + +148 +00:13:03,150 --> 00:13:07,210 +السفير، السفير، السفير، السفير، السفير، السفير، + +149 +00:13:07,210 --> 00:13:07,250 +السفير، السفير، السفير، السفير، السفير، السفير، + +150 +00:13:07,250 --> 00:13:08,310 +السفير، السفير، السفير، السفير، السفير، السفير، + +151 +00:13:08,310 --> 00:13:15,090 +السفير، السفير، السفير، السفير، السفير، السفير، + +152 +00:13:15,090 --> 00:13:21,050 +السفير، السفير، السفير، السفير، السفير، السفير، + +153 +00:13:21,050 --> 00:13:22,150 +السفير، السفير، السفير، السفير، السفير، السفير، + +154 +00:13:22,150 --> 00:13:23,510 +السفير، السفير، السفير، السفير، السفير، السفير، + +155 +00:13:23,510 --> 00:13:28,650 +السفير، السفير، السفير أما السيلندر ما بيشتغلش إلا في + +156 +00:13:28,650 --> 00:13:33,430 +أكسس واحد بس يبقى + +157 +00:13:33,430 --> 00:13:39,210 +بيقول لي لما أعمل subtraction خاصة this is usually + +158 +00:13:39,210 --> 00:13:43,170 +الناس اللي بتشتغل بدراها ودراها خمسة وستين أو ستة و + +159 +00:13:43,170 --> 00:13:48,670 +ستين سنتي بيخسم واحد ونصف لكن مش معناه ذلك واحد + +160 +00:13:48,670 --> 00:13:52,330 +يلتزم بالـ working distance أقل أو أكثر يلتزم في + +161 +00:13:52,330 --> 00:13:58,130 +مقلوبها هتشوفوا الآن إيش تأثير المسافة طيب طالع الآن + +162 +00:13:58,130 --> 00:14:02,830 +عندي أنا في الـ objective في الـ objective minus one + +163 +00:14:02,830 --> 00:14:10,810 +minus one point five multiplied by ninety في تسعين + +164 +00:14:10,810 --> 00:14:18,530 +الآن بدي أنا أخسم الواحد ونصف مقلب المسافة يعني + +165 +00:14:18,530 --> 00:14:24,240 +الواحد ونصف كمان minus one point five بيصير الاسفير + +166 +00:14:24,240 --> 00:14:29,700 +كمان؟ ناقص نصف أما السيلندر ما قصبتهاش السيلندر + +167 +00:14:29,700 --> 00:14:37,180 +كما هي ما غيرتها يبقى خاصة فقط وين؟ طيب لو بدي أعمل + +168 +00:14:37,180 --> 00:14:43,060 +transposition ليه هذه؟ بجمع السفير مع السيلندر + +169 +00:14:43,060 --> 00:14:52,380 +بيصير كم؟ أربعة على نص واحد بغير إشارة السيلندر بيصير + +170 +00:14:52,380 --> 00:15:00,300 +واحد ونصف والأكس بضيء 90 بيصير 180 180 degree 180 + +171 +00:15:00,300 --> 00:15:09,900 +degree خلاص هيك؟ خلاص طيب، الآن كل co-slip تحت + +172 +00:15:09,900 --> 00:15:13,850 +الـ astroscope ما تشتغلوش down، صح؟ نفس كوبلاند في + +173 +00:15:13,850 --> 00:15:17,750 +بريطانيا بيشتغل عليه up إحنا ولش ألين إحنا جامعة + +174 +00:15:17,750 --> 00:15:24,170 +ولش ألين للامريكا ولش ألين كله تبع تحت طيب في + +175 +00:15:24,170 --> 00:15:32,330 +حالات معينة بيقول لي أنا بضطر أن أعمل sleep up فأبدأ + +176 +00:15:32,330 --> 00:15:39,410 +أعرف إيش هي sleep up بيقول لي أنا في حالتين بستخدم + +177 +00:15:39,410 --> 00:15:45,540 +sleep up حسب اللي عندنا ولش ألين أول شيء to verify + +178 +00:15:45,540 --> 00:15:52,380 +neutrality أن أتأكد من صحة الـ neutral point وهذه + +179 +00:15:52,380 --> 00:15:58,200 +كيف تيجي ولو أنا neutral point بتاعتي true إيش + +180 +00:15:58,200 --> 00:16:05,920 +true يعني صحيحة سواء كان slave down أو up لا فرق + +181 +00:16:05,920 --> 00:16:10,020 +بينهما يعني + +182 +00:16:10,020 --> 00:16:15,540 +أنا بـ slave down وصرت neutral point أنا بدي أصحح + +183 +00:16:15,540 --> 00:16:20,400 +نفسي أشوف شغلي صح ولا لأ بعمله up و بعمله إيه إن + +184 +00:16:20,400 --> 00:16:24,440 +لجيته neutral من هنا ومن هنا ومن كل الـ meridians + +185 +00:16:24,440 --> 00:16:28,960 +بكون شغله صح فلكن إذا كان عملته up ولجيته فيه حركة + +186 +00:16:28,960 --> 00:16:35,710 +إذا الشغل ما صح يعني جد نتأكد نعمله أه أه + +187 +00:16:35,710 --> 00:16:43,310 +تعملوه أنا بقول لكم عشان تعملوه أه طيب بيقول لي أول + +188 +00:16:43,310 --> 00:16:47,570 +إيش to verify أن أثبت صحة الـ neutral point بتاعتي + +189 +00:16:47,570 --> 00:16:52,530 +عشان هيك بعمل step up الثانية while others use to + +190 +00:16:52,530 --> 00:16:57,950 +switch the movement of the reflex بيقول لي والله + +191 +00:16:57,950 --> 00:17:03,550 +أنا جيت أعمل بالـ down هيك لجيت very slow dim + +192 +00:17:03,550 --> 00:17:09,820 +movement يعني في الحالة دي إيش كنا بنعمل في high + +193 +00:17:09,820 --> 00:17:14,780 +refractive error عندي إيش أعمل بقيت يا plus five + +194 +00:17:14,780 --> 00:17:19,620 +يا minus five حسب اللي هو الـ error بعد الـ minus أو + +195 +00:17:19,620 --> 00:17:24,500 +plus five يبدأ الـ reflex يتحرك وشوية bright و + +196 +00:17:24,500 --> 00:17:30,680 +أسرع بيقول لي بدل عن هذه الـ plus أو minus five لأ + +197 +00:17:30,680 --> 00:17:40,040 +أعمل اللي هو up لما أعمل up تبدأ الأمور تمشي في + +198 +00:17:40,040 --> 00:17:47,660 +يعني سرعة و brightness أحسن يعني بدل أن أنا أضغط + +199 +00:17:47,660 --> 00:17:51,900 +high plus أو high minus عشان reflect بقرار عالي لأ + +200 +00:17:51,900 --> 00:17:59,590 +بيقول أنه أعمل up مستغرر عالي up يبقى بيقول لي أن + +201 +00:17:59,590 --> 00:18:03,570 +أقلب الـ .. أقلب من مثلا من with إلى against أو من + +202 +00:18:03,570 --> 00:18:06,390 +against إلى with by reversing the moment it is no + +203 +00:18:06,390 --> 00:18:11,150 +longer necessary to add too much minus اه to + +204 +00:18:11,150 --> 00:18:14,730 +produce with moment يعني أنا استغنيت عن الخركة + +205 +00:18:14,730 --> 00:18:17,970 +اللي كنت بعملها في الأول زائد خمسة أو ناقص خمسة + +206 +00:18:17,970 --> 00:18:22,810 +طبعا صعب عليكم شوية لكن الأولى هنشرحها إن شاء + +207 +00:18:22,810 --> 00:18:22,830 +الله + +208 +00:18:26,310 --> 00:18:33,110 +بريفاق الـ neutrality الأولى هذه بس + +209 +00:18:33,110 --> 00:18:36,630 +اختصارها when a high refractive error is present + +210 +00:18:36,630 --> 00:18:41,550 +the reflex may be moving slowly that it appears to + +211 +00:18:41,550 --> 00:18:44,570 +be neutralized however the reflex will also appear + +212 +00:18:44,570 --> 00:18:51,290 +quite dim in this case neutrality has اه بيقول في + +213 +00:18:51,290 --> 00:18:55,660 +الحالة أن في high refractive error أنا لما أقلب الـ + +214 +00:18:55,660 --> 00:19:02,000 +sleeve فوق بدل تحت بساعدني في أني أعرف أين أنا على + +215 +00:19:02,000 --> 00:19:07,820 +الأقل أني أنا بالحركة بتاعتي اكتشفت أنه في high + +216 +00:19:07,820 --> 00:19:12,740 +error ممكن أرجعها ثاني تحت وأبدأ إيش أعمل أحط + +217 +00:19:12,740 --> 00:19:19,870 +خمسة مثلا minus ويبين وأبدأ أضيف نص نص نص اللي هو + +218 +00:19:19,870 --> 00:19:23,310 +minus لما أصل الـ neutral point يعني الحركة هذه + +219 +00:19:23,310 --> 00:19:27,950 +بتاع تسليف إيش عملت ليه كشفت لي الطريق بتعرف + +220 +00:19:27,950 --> 00:19:35,170 +الواحد في الظلام مش شايفه قدامه مع كشاف صغير ضاوة + +221 +00:19:35,170 --> 00:19:40,630 +مش شايفه على الأقل وين هو ماشي فلما حطيت الـ + +222 +00:19:40,630 --> 00:19:44,970 +sleeve بدل down حطيته فوق ولجيته الأمور اتسهلت + +223 +00:19:44,970 --> 00:19:51,450 +الـ reflex صار واضح صار مثلا against واضح و bright + +224 +00:19:51,450 --> 00:19:56,930 +والسرعة جيدة مش سريعة كثير لكن جيدة بعود أرجع تحت + +225 +00:19:56,930 --> 00:20:04,230 +وأحط minus five أو minus six أو minus seven و + +226 +00:20:04,230 --> 00:20:11,130 +أبدأ أشتغل يعني كأنها myopia صغيرة يعني بعد الإضافة + +227 +00:20:11,130 --> 00:20:14,350 +الكبيرة بيصير خلاص الأمور يعني جربت طب دكتور لما + +228 +00:20:14,350 --> 00:20:17,010 +نيجي نحط الـ sleeve up وتبين معنا الحركة لما نيجي + +229 +00:20:17,010 --> 00:20:19,830 +ننزل الـ sleeve بتكون عكس الحركة اللي ظهرت معنا + +230 +00:20:19,830 --> 00:20:24,270 +فوق؟ اه عكسها اه عكسها الفوق جلبت لي الحركة وخلتها + +231 +00:20:24,270 --> 00:20:29,530 +أوضح فأنا بقى اه رجع تحت وصرت أعرف حالي أنا وين + +232 +00:20:31,400 --> 00:20:35,840 +صرت أنا عارف حاليا والله إذا كان بالـ هذا يعني بالـ + +233 +00:20:35,840 --> 00:20:41,040 +sleeve up صارت with إذا اللي تحت against كان + +234 +00:20:41,040 --> 00:20:46,420 +sleeve up عملت لي against + +235 +00:20:46,420 --> 00:20:52,820 +إذا أنا كان with يعني عكس الموضوع خلاص أنا ممكن + +236 +00:20:52,820 --> 00:20:56,300 +إيه خلاص آخذ مثلا إذا كان hypermetropia آخذ plus + +237 +00:20:56,300 --> 00:21:04,800 +مثلا أربعة أو خمسة أو ستة وأكمله يعني اختصر الوقت و + +238 +00:21:04,800 --> 00:21:10,180 +أريح ليه هاي اللزوم اللزوم الثاني أن أعمل + +239 +00:21:10,180 --> 00:21:13,360 +verification الـ neutral point زي اللي قلت قبل شوية + +240 +00:21:13,360 --> 00:21:17,440 +والله الـ neutral point إذا كانتها أصلية وصادقة ما + +241 +00:21:17,440 --> 00:21:22,980 +بيهمها أن تكون تحت أو فوق يعني أنا بالليل down + +242 +00:21:22,980 --> 00:21:27,580 +sleeve وصرت الـ neutral point عشان أصدق حالي بروح + +243 +00:21:27,580 --> 00:21:31,000 +أنا أعمل فوق وأعمل إن أجيت كله neutral إذا أنا + +244 +00:21:31,000 --> 00:21:35,900 +شغلي صح طيب لجيت في حركة إذا أنا شغلي غلط عاوز + +245 +00:21:35,900 --> 00:21:40,060 +أعيده في + +246 +00:21:40,060 --> 00:21:44,460 +واحد بيقول إنه يعني واحد ممكن يعلم حاله أو يعاتب + +247 +00:21:44,460 --> 00:21:49,000 +حاله كيف بيقول لك ما عاتب المرأة الكريمة كنفسه + +248 +00:21:50,950 --> 00:21:56,070 +والمرء يصلح القرين والصالح هذا بيت شعر له مناسبة + +249 +00:21:56,070 --> 00:22:02,130 +جوية هذا كان في واحد من صاحب المعلقات مشهور اسمه + +250 +00:22:02,130 --> 00:22:07,190 +لبيد بن عمر لبيد بن عمر هذا مشهور يعني كان شاعر + +251 +00:22:07,190 --> 00:22:14,070 +كبير بالجاهلية فبيقول لك لما أسلم تبترجوا الشعر + +252 +00:22:14,070 --> 00:22:15,170 +ومسكوا القرآن يحفظوا + +253 +00:22:18,070 --> 00:22:22,290 +فمختلفين إيش البيت اللي جاله؟ وسكت عن الشارع في + +254 +00:22:22,290 --> 00:22:24,730 +ناس بيقولوا جاله هذا البيت معتب المرأة الكريمة + +255 +00:22:24,730 --> 00:22:29,290 +كنفسه والمرء يصلح القرين والصالحين في ناس + +256 +00:22:29,290 --> 00:22:33,770 +قالوا لأ البيت اللي جاله هو الحمد لله إذ لم يأتني + +257 +00:22:33,770 --> 00:22:39,810 +أجل حتى اكتسيته من الإسلام سربالة إيه سربالة + +258 +00:22:39,810 --> 00:22:44,930 +يعني؟ ما الاسم؟ صور الإسلام سربالة بالك ومين أصدق + +259 +00:22:44,930 --> 00:22:49,880 +البيت الأول ولا الثاني؟ الحمد لله لما قدني اجري + +260 +00:22:49,880 --> 00:22:54,220 +حتى اكتسيته من الإسلام سيبقى فهو إذا كان واحد قادر + +261 +00:22:54,220 --> 00:23:01,900 +يعدي الحالة ليش ما يعدي الحالة طيب بيقول لي أنا بدي + +262 +00:23:01,900 --> 00:23:04,240 +أعمل confirmation لـ neutral point إيش + +263 +00:23:04,240 --> 00:23:09,780 +confirmation تأكيد بدي أكد الـ neutral point بتاعتي + +264 +00:23:09,780 --> 00:23:12,380 +طب قول له neutral point يعني مهم اللي هقدر أجعله + +265 +00:23:14,200 --> 00:23:20,120 +طبعا هي أصول شغلي هو أنا كل تعبي على إيش؟ كل تعبي + +266 +00:23:20,120 --> 00:23:24,680 +بالريتروسكوب والعدسات وكل الشغل هذا عشان أصلي + +267 +00:23:24,680 --> 00:23:27,900 +نترابونو في واحد بيصلي في دقيقة وواحد بيصلي في نص + +268 +00:23:27,900 --> 00:23:33,360 +ساعة أنتم من أي نوع؟ نص ساعة ونص دقيقة ونص + +269 +00:23:33,360 --> 00:23:38,880 +ساعتين والله يا حسب الموجهين إذا كانوا صحيين + +270 +00:23:38,880 --> 00:23:43,260 +بدي لهم الموجهين في كل شيء بتخلهم يشجعهم أنا بقول لكم + +271 +00:23:43,260 --> 00:23:49,080 +أنا دائما بحرض على الـ directors بقول أنا لو الطلبة + +272 +00:23:49,080 --> 00:23:54,020 +أدقاء ما بيخلوكوا قدر دقيقة الموجهين + +273 +00:23:54,020 --> 00:23:59,640 +لكن إذا كان طالب خجول وجائع بيشتغل غلط واحدها + +274 +00:23:59,640 --> 00:24:06,340 +كان مركز أن هو بيشتغل صح ما فيش اتصال نعم + +275 +00:24:06,340 --> 00:24:09,720 +إيش + +276 +00:24:09,720 --> 00:24:11,440 +التسعة مش الملموعة تسعة؟ + +277 +00:24:14,020 --> 00:24:18,600 +طيب لأ لأ لأ بقول لكم ثلاث ساعات لازم يكونوا ثلاث + +278 +00:24:18,600 --> 00:24:22,840 +ساعات ليس ساعة تفكروا عليها الحالات هم برضه + +279 +00:24:22,840 --> 00:24:26,260 +يحكمونا إذا كان عندها محابر أو .. المهم أنا في + +280 +00:24:26,260 --> 00:24:31,760 +الآخر بشتر الصحيح ولا غلط أنا لازم أأسس الصحيح وبعدين + +281 +00:24:31,760 --> 00:24:35,700 +بشتر الصح لكن إذا أنا ما أسست الصح بفضل أشتر الغلط + +282 +00:24:35,700 --> 00:24:42,200 +ما تتخذروا من حقه اللي بيخذر من حقه بضيع عليه أسسه + +283 +00:24:42,200 --> 00:24:46,280 +الصح في الأول اعرف الحل والمسائل صح لو أحل المسائل + +284 +00:24:46,280 --> 00:24:49,360 +تانية تلقاه صح بفضل أنا امشي في اللي بعدهم صح لكن + +285 +00:24:49,360 --> 00:24:52,700 +أنا كان حتى الآن في نهاية ال fraction two و أنا بحل + +286 +00:24:52,700 --> 00:24:57,280 +غلط وما عملش neutral point صح وخجلانة هفضل طول عمري + +287 +00:24:57,280 --> 00:25:03,680 +حرين أنا بأنصحكم اشتغلوا صح طيب ال neutral point + +288 +00:25:03,680 --> 00:25:07,460 +أنا بتأكدها بتلات حاجات أول شيء reversing the + +289 +00:25:07,460 --> 00:25:17,510 +sleeve اتنين ب addition of extraneous تلاتة moving + +290 +00:25:17,510 --> 00:25:22,910 +toward أو away from the patient مرة بجربنه ومرة + +291 +00:25:22,910 --> 00:25:26,790 +لا يعني طيب نبدأ بواحدة واحدة reversing the sleeve + +292 +00:25:26,790 --> 00:25:32,930 +إن الآن اتكلمت فيها بقول أنا إنه إذا كان neutral + +293 +00:25:32,930 --> 00:25:37,510 +point صحيحة it will be neutral دائماً regardless + +294 +00:25:37,510 --> 00:25:42,230 +ايش regardless بقدر النظر يعني بقدر النظر أقضي step + +295 +00:25:42,230 --> 00:25:46,610 +position فوق ولا تحت خلاص ال neutral point بس تحت + +296 +00:25:46,610 --> 00:25:51,670 +ولا فوق هي neutral إذا كان شغلي صح أنا بأقصيكوا + +297 +00:25:51,670 --> 00:25:56,530 +في ما تبقى هي أسبوعين فاضل في هذه وفاصل + +298 +00:25:56,530 --> 00:26:00,890 +reflection from الجامعة من فصل الجامعة وبعدها اللي + +299 +00:26:00,890 --> 00:26:07,410 +ما تعلم ضقت عليه هو الملامر لأنهم ما اشتغلوا مع الله + +300 +00:26:07,410 --> 00:26:11,190 +أنا مطلوب مني أن أمر في المجتمع كله أقول لوحد إيش + +301 +00:26:11,190 --> 00:26:17,250 +بتشكي من عينك؟ إيش يقوله عن الناس؟ ليش بتشكي؟ ليش + +302 +00:26:17,250 --> 00:26:21,130 +عينك خامرة؟ ليش عينك واسعة؟ ليش عينك ديقة؟ ليش + +303 +00:26:21,130 --> 00:26:25,770 +البقبق بتاعك كده؟ أنا ما هيك الأسلوب في complaint + +304 +00:26:25,770 --> 00:26:32,010 +في شكوى في examination في complaint في examination + +305 +00:26:32,010 --> 00:26:38,120 +يبقى طالما أنت ما بتشكّيش للآخرون اللي هم المشرفين + +306 +00:26:38,120 --> 00:26:45,300 +عليكِ بحسابه بتشتغلي صح صحك؟ طيب يبقى إيه شريف + +307 +00:26:45,300 --> 00:26:53,940 +يالزينج sleep position؟ فاهمين إيش؟ كمبيوتر + +308 +00:26:53,940 --> 00:26:56,940 +الهولت هتكون سابته سابته يعني أنا الآن برتنسكوب + +309 +00:26:56,940 --> 00:27:03,130 +العادي sleep بتاعي تحتو بعدين عملت وصلت neutral + +310 +00:27:03,130 --> 00:27:10,410 +point هنا سفير والعكس سلندر هتختاروا بعدين plus + +311 +00:27:10,410 --> 00:27:14,550 +سلندر ولا minus سلندر فاشتغلوا فاهموني بعد إحنا ما + +312 +00:27:14,550 --> 00:27:21,250 +خلصنا ال plus سفير وال minus سفير لو إحنا اشتغلنا + +313 +00:27:21,250 --> 00:27:25,430 +بسلندر لو اشتغلوا بسلندر اشتغلوا ب plus سلندر ولا + +314 +00:27:25,430 --> 00:27:26,330 +minus سلندر + +315 +00:27:29,120 --> 00:27:37,400 +عشان ما تطرش إن أضيف .. آه يعني هو يعني أنا معايا + +316 +00:27:37,400 --> 00:27:43,480 +في سفير أولاني وفي سيلندر ثاني وأحط كمان سفير + +317 +00:27:43,480 --> 00:27:51,740 +أشدّيد صعب فأحسن نشتغل ب plus cylinder والله لو أنا + +318 +00:27:51,740 --> 00:27:58,570 +في الآخر بدي أعمل transposition هذا شغلي ممكن أني + +319 +00:27:58,570 --> 00:28:01,410 +شغلي بس أنا بقى حب دائماً transmission أني أعمله + +320 +00:28:01,410 --> 00:28:05,390 +trial كمان ماشي على الورق ما بحبش اللي بعمل + +321 +00:28:05,390 --> 00:28:08,510 +transmission على الورق كام من عيان عملوا + +322 +00:28:08,510 --> 00:28:11,690 +transmission على الورق لهدف تجاري لأن ما فيش غيرها + +323 +00:28:11,690 --> 00:28:18,570 +عند ال optician وما يشوفش كويس ويتعب كمان + +324 +00:28:18,570 --> 00:28:22,190 +transmission ما يكونش على الورق أحط له transmission + +325 +00:28:22,190 --> 00:28:24,750 +وأقول له شايف وأقول له مش شايف وأين شايف جدش شايف + +326 +00:28:25,660 --> 00:28:30,880 +نصيحة تعملوش transposition ع الورق تعملوش يعني ع + +327 +00:28:30,880 --> 00:28:34,560 +الورق وبس لأ لأن كله trial .. trial والله أنا + +328 +00:28:34,560 --> 00:28:39,840 +مصحى أحياناً transposition بعمل مشاكل لم يكن في + +329 +00:28:39,840 --> 00:28:47,580 +trial وفي تثبيت طيب الوضع الثاني أن والله أنا + +330 +00:28:47,580 --> 00:28:53,180 +with بفضل آخذ ال plus لما + +331 +00:28:53,180 --> 00:29:00,030 +أسأل ال against لأ لأ لأ أنا وصلت ال against ارجع + +332 +00:29:00,030 --> 00:29:04,690 +ثاني فوراً ارجع لوضع الهدف آخر واحدة كانت معي with + +333 +00:29:04,690 --> 00:29:10,430 +ارجع لها لأ ما اسمحش ال against يخش عليها لأنه أنا لو + +334 +00:29:10,430 --> 00:29:14,430 +مضيت في ال against رايح في حارة ثانية بعيدة عن + +335 +00:29:14,430 --> 00:29:22,850 +neutral وهي موضوع addition of lens power بتنتقل من + +336 +00:29:22,850 --> 00:29:27,970 +حارة لحارة لأ ارجع ثاني خليك في الحارة الأولى طيب + +337 +00:29:27,970 --> 00:29:33,410 +moving in or out from the initial working distance + +338 +00:29:33,410 --> 00:29:39,570 +من ناحية المريض أما أقرب للمريض مثلاً أنا بشتغل من + +339 +00:29:39,570 --> 00:29:45,010 +خمسة وستون سنتي العادية في مرة أنا بدأ أجرب + +340 +00:29:45,010 --> 00:29:52,720 +أربعين وفي مرة بدأ أجرب سبعين مرة بدأ أذهب ناحية + +341 +00:29:52,720 --> 00:29:58,500 +العيان هاي ال patient هنا مرة بدأ أقرب له ومرة + +342 +00:29:58,500 --> 00:30:04,180 +بدأ أبعد عنه يقول القاعدة إن أنا قصرت ال working + +343 +00:30:04,180 --> 00:30:09,220 +distance اللي حركة هتكون وإن طولت ال working + +344 +00:30:09,220 --> 00:30:15,100 +distance هتصبح against يبقى أنا عند ال neutral + +345 +00:30:15,100 --> 00:30:20,520 +point أنا وصلت لها باجتهاد الشخص تعبت فيها إن أنا + +346 +00:30:20,520 --> 00:30:23,360 +جالس على الكرسي مرة باتني حاجة لقدام وبعمل هك + +347 +00:30:23,360 --> 00:30:30,420 +برتن اسكوب سارة with و بقت مرة ضاري اك وما تش كده + +348 +00:30:30,420 --> 00:30:36,640 +إذا كان أولاني يخلق الحركة ال reflex with الجريبة + +349 +00:30:36,640 --> 00:30:42,400 +ولما بعت سارة against يبقى أنا شغلي صح يبقى + +350 +00:30:42,400 --> 00:30:45,820 +الآن هذا الموضوع بتاع verification of neutrality + +351 +00:30:45,820 --> 00:30:47,600 +هام جداً + +352 +00:30:50,780 --> 00:30:55,560 +أنا ما أخبي عنكم الهم جداً هذا الهم جداً لأن اللي + +353 +00:30:55,560 --> 00:31:04,000 +بيعرّفوش بتوقف وبنفس حين التوقف طيب + +354 +00:31:04,000 --> 00:31:10,380 +في رتنسكوبي هد عجيب في عندي حاجة اسمها radical + +355 +00:31:10,380 --> 00:31:13,860 +retinoscope إيش radical retinoscope الشغل عم يتحفّ + +356 +00:31:13,860 --> 00:31:19,840 +قريباً يقول لي في أحيان بعض المرضى عنده + +357 +00:31:21,740 --> 00:31:27,800 +Pupil narrow خلجة خاصة كبار السن في كبار السن + +358 +00:31:27,800 --> 00:31:30,300 +سفينتر pupillary بيصير أقوى من ال dilator عكس + +359 +00:31:30,300 --> 00:31:35,080 +الأطفال في الأطفال ال dilator أقوى تلاقي الواحد + +360 +00:31:35,080 --> 00:31:39,360 +الصغير ما شاء الله البقبه بتاعه واسع هيك ولطيف في + +361 +00:31:39,360 --> 00:31:43,580 +الأكبر سن لأ تلاقي البقبه بتاعه دي و pin hole + +362 +00:31:43,580 --> 00:31:50,090 +طبعاً هذه له حكمة كل شيء له حكمة بتكبر السن عشان + +363 +00:31:50,090 --> 00:31:52,550 +السن عنده مشاكل في النظر أو شيء فال bone hauling + +364 +00:31:52,550 --> 00:31:56,090 +بيساعده طيب + +365 +00:31:56,090 --> 00:32:02,510 +بيقول لي أنا مضطر إن عشان أشوف ال reflex تمام أقرب + +366 +00:32:02,510 --> 00:32:05,850 +للمريض أقرب للمريض أقرب للمريض يمكن عشرين أو + +367 +00:32:05,850 --> 00:32:12,010 +ثلاثين سنتي عشان أشوف ال reflex ثاني ممكن واحد + +368 +00:32:12,010 --> 00:32:16,290 +يكون عنده opacity bad cataract برضه أنا ال 65 + +369 +00:32:16,290 --> 00:32:23,030 +سنتي ما تخيلش أشوف صح طب والحل Radical بيقول لي اعمل + +370 +00:32:23,030 --> 00:32:29,170 +Radical أقرب عليه Radical أقرب يعني وهشوف وأعمل + +371 +00:32:29,170 --> 00:32:36,170 +neutralization قريب 30 cm أو 20 cm أو 40 cm بس + +372 +00:32:36,170 --> 00:32:40,110 +بيقول لي هنا في محذورين لازم أراعي عشان ما أقعش فيهم + +373 +00:32:40,110 --> 00:32:45,750 +المحذور الأول إنّي لما أقرب على المريض أقرب في خط + +374 +00:32:45,750 --> 00:32:53,560 +المستقيم ما أطلعش كده ولا أطلع كده لأن أي انحراف دا + +375 +00:32:53,560 --> 00:32:59,120 +اليمين أو دا الشمال بيعمل لي ع ال result مشكلة بيصير + +376 +00:32:59,120 --> 00:33:06,660 +الضوء اللي دخل ضوء عين العيان ماشي على ال macula + +377 +00:33:06,660 --> 00:33:10,020 +هاي + +378 +00:33:10,020 --> 00:33:14,560 +عين العيان والله أنا إذا كان في ال visual axis فال + +379 +00:33:14,560 --> 00:33:18,960 +visual axis هيوديني على ال macula لكن أنا إن رحت + +380 +00:33:18,960 --> 00:33:21,980 +دااعة اليمين أو دااعة الشمال هأ سير أما ضاوء المنطقة + +381 +00:33:21,980 --> 00:33:27,500 +هالي أو ضاوء المنطقة هالي أو ال parapovial أو + +382 +00:33:27,500 --> 00:33:32,600 +paramacular بعيد يبقى إن أنا لما ضاوء المنطقة هالي + +383 +00:33:32,600 --> 00:33:39,100 +هيك ال reflex أو القوة البصرية مش هتكون زي ما كانت + +384 +00:33:39,100 --> 00:33:44,160 +في الماكولا ال reflex بتاعي يعني pseudo + +385 +00:33:48,640 --> 00:33:55,220 +صح هيك؟ لأن ال video axis هو لا يربط Center of the + +386 +00:33:55,220 --> 00:34:00,440 +cornea with the center of the fovea وهذا بيجيب + +387 +00:34:00,440 --> 00:34:07,700 +أفضل description أو refraction لل optical power of + +388 +00:34:07,700 --> 00:34:13,370 +this eye فبيقول لي وأنا داخل أقرب من مسافة 65 سنتي + +389 +00:34:13,370 --> 00:34:19,230 +إلى عين العيان أحاول أكون أنا منتبه للإستقامة على + +390 +00:34:19,230 --> 00:34:26,310 +طول أصل صحيح لكن لو عملت كده أو عملت كده هأضوي + +391 +00:34:26,310 --> 00:34:33,010 +مناطق في الشبكية الأخرى هاي + +392 +00:34:33,010 --> 00:34:38,680 +أول محضور لل radical retroscope المحلول الثاني وهو + +393 +00:34:38,680 --> 00:34:44,320 +الأهم يعني هذا هيجيبني نص الديوبتر إلى ديوبتر خطأ + +394 +00:34:44,320 --> 00:34:49,120 +يعني الضلالة هذه ال string الضلالة على الجانبين + +395 +00:34:49,120 --> 00:34:57,240 +لكن الأخطر فيه قياس مقلوب ال working distance قياس + +396 +00:34:57,240 --> 00:35:00,920 +المقلوب فهو + +397 +00:35:00,920 --> 00:35:06,340 +بدور من المثال يقول لي أنا انتقلت من ستة وستين + +398 +00:35:06,340 --> 00:35:11,240 +سنتي إلى ثلاثة وستين سنتي كام الفرق بينهم ثلاثة + +399 +00:35:11,240 --> 00:35:15,700 +سنتي بيقول لي شوف المسافة بتاعة الثلاث سنتي هذه من + +400 +00:35:15,700 --> 00:35:21,820 +ستة وستين إلى ثلاثة وستين عملت لي 0.07 ديوبتر + +401 +00:35:21,820 --> 00:35:28,140 +error يعني سبعة من عالمية من الديوبتر جريمة ولا + +402 +00:35:28,140 --> 00:35:35,670 +كتير جريمة طيب شوفوا لو أنا بأعمل Radical من 12 + +403 +00:35:35,670 --> 00:35:39,910 +سنتي و + +404 +00:35:39,910 --> 00:35:47,970 +حسبت 9 سنتي يعني أنا بشتغل من 9 وحسبت 12 الفرق + +405 +00:35:47,970 --> 00:35:56,070 +72.78% error ديوبتر يعني ثلاثة يعني في المسافات + +406 +00:35:56,070 --> 00:36:02,440 +القريبة ال سنتي عمل ديوبتر في المسافات الباقية ده + +407 +00:36:02,440 --> 00:36:12,420 +الـ Santi عمل 2 من 100 على 100 ديوبتر شيء بسيط + +408 +00:36:12,420 --> 00:36:16,820 +فبيقول لي إن المحادر كل ما اقتربنا إلى الأمام كل ما + +409 +00:36:16,820 --> 00:36:23,100 +الخطر زاد في الحساب لذلك هو ينصح إنه الإنسان + +410 +00:36:23,100 --> 00:36:28,240 +اللي بده يعمل radical إنه حقيقة يتواضع يستخدم + +411 +00:36:28,240 --> 00:36:36,130 +مصطرة لأنه خطر كل centimeter يبدأ يفتر خطأ يعني + +412 +00:36:36,130 --> 00:36:39,150 +أنا بنفع أعمله prescription على ال radical مثلاً + +413 +00:36:39,150 --> 00:36:46,830 +أقول إن هذا minus three وهو minus مثلاً four أو + +414 +00:36:46,830 --> 00:36:51,010 +minus five أو minus six أحياناً لا + +415 +00:36:53,850 --> 00:36:58,570 +فبيقول لي إنه هذا اللي هو عنده cataract شوية مش + +416 +00:36:58,570 --> 00:37:03,650 +mature طبعاً أو عنده small pupil وبده تعمله + +417 +00:37:03,650 --> 00:37:11,830 +radical امسك مصطرع يعني ما تجسّش لأنه ممكن المقلوب + +418 +00:37:11,830 --> 00:37:16,090 +المسافة اللي بده يبتر يكون أضعف أضعف وهذا شيء صعب + +419 +00:37:16,090 --> 00:37:22,050 +طبعاً والحل الأحسن أن أعمله dilatation of the + +420 +00:37:22,050 --> 00:37:22,290 +pupil + +421 +00:37:25,400 --> 00:37:31,660 +dilatation of the pupil اوسع له البؤبؤ ابن ريتك اه + +422 +00:37:31,660 --> 00:37:38,020 +تحت إشراف الطبيب طبعا تحت إشراف الطبيب وحتى هذه + +423 +00:37:38,020 --> 00:37:41,700 +التوسيع برضه بدأ أكون أنا حذر فيها شوية لأنه + +424 +00:37:41,700 --> 00:37:47,560 +هتعملي scissor shadow أحيانا لو تسع الآخر هتعملي + +425 +00:37:47,560 --> 00:37:51,960 +scissor shadow ولو عملته التوسيع أحيانا بدهم يعملي + +426 +00:37:51,960 --> 00:37:56,130 +أثر على الـ accommodation لأن الـ Mediatic برضه نوع + +427 +00:37:56,130 --> 00:38:00,710 +من الـ Cycloplegic الضعيف برضه هيعمل يجلّلي أو + +428 +00:38:00,710 --> 00:38:12,490 +يخيلي ال accommodation فاهمين ولا نائمون؟ طيب + +429 +00:38:12,490 --> 00:38:18,650 +هذا اسمه Radical طيب بالـ Radical + +430 +00:38:22,740 --> 00:38:30,500 +قصة إن ال power equals one divided by distance D + +431 +00:38:30,500 --> 00:38:36,400 +equals one divided by F اللي هو قوة دلوقتي واحد + +432 +00:38:36,400 --> 00:38:40,680 +مقلوب اللي هو واحد على المسافة الـ working distance + +433 +00:38:40,680 --> 00:38:48,440 +twenty بدأ خمس سنين يكتر اللي بيشتغل من عشرين كل ما + +434 +00:38:48,440 --> 00:38:51,560 +قربنا المقلوب بيكون أكبر طب واحد بيشتغل من + +435 +00:38:51,560 --> 00:38:57,170 +خمسة عشر؟ مقلوب خمسة عشر إيش؟ ستة وسبعين طب واحد + +436 +00:38:57,170 --> 00:39:01,430 +بيشتغل من عشرة؟ عشرة، مقلوب عشرة، يا سلام يعني + +437 +00:39:01,430 --> 00:39:05,870 +واحد بيشتغل من عشرة سنتي بده المقلوب يكون عشرة، + +438 +00:39:05,870 --> 00:39:14,150 +ده يبقى فاهمين القصة؟ فإنما أكون مستغلت أبعد من + +439 +00:39:14,150 --> 00:39:20,750 +مترين بقسم نص ومن متر بقسم واحد لكن من عشرة سنتي + +440 +00:39:20,750 --> 00:39:25,430 +بقسم عشرة وده يبقى من أسهل نشتغل بعيد ولا قريب؟ + +441 +00:39:25,430 --> 00:39:32,690 +نشتغل بعيد بس في إطار إن أنا أشوف الـ reflex صح مش + +442 +00:39:32,690 --> 00:39:36,990 +علومة برضه أنا ممكن أشتغل من مترين بس صعب الـ + +443 +00:39:36,990 --> 00:39:42,590 +reflex أشوفه كويس أنا وجدت شغل من متر تمام من متر + +444 +00:39:42,590 --> 00:39:47,690 +بس حالات الكبار في السن اللي عندهم narrow pupil + +445 +00:39:47,690 --> 00:39:53,470 +وشوية opacity opacity بدي أستغل من خمسين وأكون + +446 +00:39:53,470 --> 00:39:58,890 +صاحي إنه خمسين خمسين اللي بيغلب الناس اللي زيكوا + +447 +00:39:58,890 --> 00:40:03,110 +هو المسافة لأن واحد بيقول هذه ستين وواحد بيقول لأ + +448 +00:40:03,110 --> 00:40:05,430 +هي خمسين وواحد بيقول هي أربعين طب إيش الـ .. إيش + +449 +00:40:05,430 --> 00:40:11,930 +الفيصل بيننا الفيصل القياس ما أستحين القياس القياس + +450 +00:40:11,930 --> 00:40:15,610 +المفروض كل واحدة منكوا تكون قاسة دراعها قاسة + +451 +00:40:15,610 --> 00:40:17,210 +دراعها من الآن وعارفة جديش + +452 +00:40:22,810 --> 00:40:30,830 +متر الخشب مش متر الجماش متر الخشبي مش متر الخماش + +453 +00:40:30,830 --> 00:40:36,150 +متر الخياطين + +454 +00:40:36,150 --> 00:40:43,810 +متر الخياطين بالتنة لكن متر المسطرة الخشبية أكتر + +455 +00:40:43,810 --> 00:40:48,480 +ماشي؟ دكتوري الـ radical ريتينوسكوبي الصعب إن تكون + +456 +00:40:48,480 --> 00:40:52,740 +دقيقة الصعب إن نحققها ونحصل على الشيء بالظبط أنا معاك + +457 +00:40:52,740 --> 00:40:58,380 +الـ radical صعبة لك بالانتباه لو أنا كنت حاضر بصي + +458 +00:40:58,380 --> 00:41:02,420 +اللي أنا أؤتيه حاضر في الـ reflex وحاضر في المسافة + +459 +00:41:02,420 --> 00:41:07,980 +ومقلوبها أما ما أسيب الأمور تمشي هي تمشي الأمور لأ + +460 +00:41:07,980 --> 00:41:12,620 +أنا ماشيها طيب سيبنا الـ radical دينا على الـ + +461 +00:41:12,620 --> 00:41:21,150 +dynamic إيش الـ dynamic ريتينوسكوب؟ لأ أسهل مين + +462 +00:41:21,150 --> 00:41:23,570 +بقى off-issue الدايناميكي الريتنوسكو؟ لأ برتشل + +463 +00:41:23,570 --> 00:41:29,070 +شغال على نيربورتشل شوف + +464 +00:41:29,070 --> 00:41:35,870 +كلمتان صغار يا بنات كلمتان صغار أنا + +465 +00:41:35,870 --> 00:41:39,170 +عملت ريتينوسكو بالعادي اسمه static static لما يكون + +466 +00:41:39,170 --> 00:41:44,230 +المريض ينظر في الـ infinity طالما بنظر في انفتي و + +467 +00:41:44,230 --> 00:41:50,490 +أنا بشتغل استاتيك استاتيك يعني ثابت بعد ما أعمل + +468 +00:41:50,490 --> 00:41:55,110 +استاتيك بطلع النتيجة مثلا العين اليمين plus one + +469 +00:41:55,110 --> 00:42:05,210 +العين الثاني مثلا plus two هذا الـ right eye وهذا + +470 +00:42:05,210 --> 00:42:09,910 +الـ left eye طبعا + +471 +00:42:09,910 --> 00:42:10,410 +هذا objective + +472 +00:42:14,050 --> 00:42:20,970 +الآن أنا بدي أعمل dynamic بخليه يطلع في ضوء بشيء + +473 +00:42:20,970 --> 00:42:25,450 +بعيد يطلع في ضوء طب ولما عملت يطلع في ضوء إيش صار + +474 +00:42:25,450 --> 00:42:29,990 +في الـ accommodation؟ اكتيفتي سرير الـ muscle بدأت + +475 +00:42:29,990 --> 00:42:35,890 +إيه؟ تعمل contraction حسب سنه مثلا واحد طفل عمره + +476 +00:42:35,890 --> 00:42:39,990 +عشر سنوات ممكن إنه يضيف لي أربع علاجي هنا plus five + +477 +00:42:39,990 --> 00:42:48,260 +وأنا plus six ولو واحد في سنّي ممكن يصير أنا plus + +478 +00:42:48,260 --> 00:42:55,660 +مثلا three وأنا plus four واحد في سنّي ممكن plus + +479 +00:42:55,660 --> 00:43:00,980 +two plus three بقول + +480 +00:43:00,980 --> 00:43:05,860 +هذا الـ plus اللي أجي جديد indication of addition + +481 +00:43:05,860 --> 00:43:14,660 +of breast biopia breast biopia اه لو بتعمل باي فوكل + +482 +00:43:14,660 --> 00:43:20,080 +مثلا اللي فوق static واللي تحت dynamic كويس؟ + +483 +00:43:20,080 --> 00:43:25,420 +عارفة ديناميك؟ ما تخبطه من الـ dynamic وبين الـ + +484 +00:43:25,420 --> 00:43:30,120 +radical الـ radical لناس اللي عندهم البو وديج او + +485 +00:43:30,120 --> 00:43:34,460 +في opacity الـ dynamic لناس الـ breast biome الغلبة + +486 +00:43:34,460 --> 00:43:41,080 +اللي هو معظم سكان العالم طيب الآن + +487 +00:43:42,040 --> 00:43:45,300 +لما طلع النتائج هذه الإضافية بتاعة الـ dynamical + +488 +00:43:45,300 --> 00:43:50,980 +كيف أنا أحسبها في الـ prescription؟ بدي أكتب الآن، + +489 +00:43:50,980 --> 00:43:55,480 +ودول بالكم الـ prescription وثيقة يا بناتي، أنتم + +490 +00:43:55,480 --> 00:44:00,140 +معنيين تعملوا prescription؟ + +491 +00:44:00,140 --> 00:44:06,970 +يعني في غيركم الـ paramedicals؟ لأ، ودّ النتيجة ليه + +492 +00:44:06,970 --> 00:44:10,370 +الطبيب الـ physician والـ physician هو مسؤول إيش + +493 +00:44:10,370 --> 00:44:16,230 +يعطي علاج إيش يعمل كده مش authorized paramedical + +494 +00:44:16,230 --> 00:44:20,990 +مثلا أخصائي الأشعة أخصائي الأشعة بيصور ويحط في + +495 +00:44:20,990 --> 00:44:26,510 +الكيس ويكتب اسم المريض وبرّده على الطبيب بعده + +496 +00:44:26,510 --> 00:44:31,410 +تحليل بطلع التحليل ويكتب اسم المريض عليها وبرّده + +497 +00:44:31,410 --> 00:44:36,170 +على الطبيب هو حر لكن دُكوا أنتوَ لأ في الـ + +498 +00:44:36,170 --> 00:44:38,210 +prescription أنتو مخاولين تكتبوا prescription + +499 +00:44:38,210 --> 00:44:41,490 +فأنّتوَ + +500 +00:44:41,490 --> 00:44:45,990 +اللي فحصتوه وأنّتو الآن اللي بتكون قرّروا الـ + +501 +00:44:45,990 --> 00:44:50,110 +prescription من صلاحياتكم وحتى الـ contact lenses + +502 +00:44:50,110 --> 00:44:53,490 +أنّتو من صلاحياتكم بتكتبوا مش في حاجة ترجعونا + +503 +00:44:53,490 --> 00:44:58,890 +الوصفة مش في حاجة ترجعونا لأ خلاص احنا مخاولين + +504 +00:44:58,890 --> 00:45:05,470 +تكتبوا prescription بس بالحق اتعلموا الحق يعني الآن + +505 +00:45:05,470 --> 00:45:08,850 +بيقول لي لما نعمل الـ description فيه تلات طرق الـ + +506 +00:45:08,850 --> 00:45:15,350 +dynamic أول طريقة بيقول لي + +507 +00:45:15,350 --> 00:45:20,370 +إنك أفضل حط plus على عين العيان الـ dynamic اللي + +508 +00:45:20,370 --> 00:45:24,830 +بتطلع فيه لغاية ما يصير reverse of movement + +509 +00:45:28,570 --> 00:45:32,550 +يعني أنا with بفضل أضع زيادة في الـ dynamic وهو + +510 +00:45:32,550 --> 00:45:37,870 +بتطلع فيه مباشرة في ضوءي بطلع شبعيد وأحط له plus + +511 +00:45:37,870 --> 00:45:42,610 +plus plus plus أول ما يصير minus بتكون هذه الوصفة + +512 +00:45:42,610 --> 00:45:47,050 +أول درجة في الـ minus أول درجة في الـ against أول + +513 +00:45:47,050 --> 00:45:50,970 +درجة في الـ against هي الـ prescription هذه الطريقة + +514 +00:45:50,970 --> 00:46:00,470 +الطريقة الثانية لأشيرتس هذا أو shirts قال لأ يا + +515 +00:46:00,470 --> 00:46:06,310 +عمي هو في نظره إنه بيقول لي ما تحط كل مسافة بيقول لي + +516 +00:46:06,310 --> 00:46:11,850 +على الأقل قلل بنص يعني مثلا في العين اليمين كانت + +517 +00:46:11,850 --> 00:46:18,730 +plus one والآن صارت مثلا plus three قال لأ تحطش + +518 +00:46:18,730 --> 00:46:24,490 +تحطش اتنين الفريق تحط واحد ونص قال عشان تخلي الـ + +519 +00:46:24,490 --> 00:46:30,610 +ciliary muscle عند activity لو حطيت اتنين كلهم نيمت + +520 +00:46:30,610 --> 00:46:38,710 +خلاص خلّي فيه نشاط يبقى الطريقة الثانية بتقول لي إنه + +521 +00:46:38,710 --> 00:46:43,610 +بدل ما تحط اتنين كاملين أخصم على الأقل نص وفي ناس + +522 +00:46:43,610 --> 00:46:48,190 +بيقولوا أخصم أكتر هنا في الحالة هذه بيقول up to + +523 +00:46:48,190 --> 00:46:55,070 +one يعني بدل التلاتة تحط واحد ونص أو تحط واحد بس + +524 +00:46:55,070 --> 00:47:01,830 +في الـ addition near addition يبدو + +525 +00:47:01,830 --> 00:47:06,030 +أنّني ما كنت أستخدم لإيش لخياس + +526 +00:47:06,030 --> 00:47:09,470 +جديش الـ accommodation جوي أنا أزعم إن الـ + +527 +00:47:09,470 --> 00:47:16,190 +accommodation لما كان بتطلع far كان zero أو قريب من + +528 +00:47:16,190 --> 00:47:19,970 +الـ zero يعني عشان أكون محتاط قريب من الـ zero لكن + +529 +00:47:19,970 --> 00:47:27,630 +لما كان بتطلع في ضوئيفى الاتنسكوب صار ماكسيما أو + +530 +00:47:27,630 --> 00:47:34,810 +جانب الماكسيما طبعا هنا كل إنسان حسب كام الـ ciliary + +531 +00:47:34,810 --> 00:47:40,350 +muscle تقدر تعمل contraction وبالتالي + +532 +00:47:40,350 --> 00:47:46,530 +إنّه يعني .. يعني أنا بده أهون في الـ .. الـ .. الـ .. + +533 +00:47:46,530 --> 00:47:51,030 +اللي جاني يعني من الـ .. الـ dynamic إنّي ما أحطه كله + +534 +00:47:51,030 --> 00:47:56,910 +أحط بعضه في واحد بيقول يفضّطوا كله على الآخر الطريقة + +535 +00:47:56,910 --> 00:47:59,570 +الأولى الطريقة الثانية جات لي أخصم نص الطريقة + +536 +00:47:59,570 --> 00:48:04,170 +التالية جات لي أخصم واحد أنتوَ معاني أي طريقة النص + +537 +00:48:04,170 --> 00:48:07,290 +خارج + +538 +00:48:07,290 --> 00:48:12,810 +الأمور الوسط حقيقة أنا قرأت شيء جديد فيه موضوع + +539 +00:48:12,810 --> 00:48:19,690 +بيقول لك صورة اللي بقرأ آياتها كم؟ 286 + +540 +00:48:24,170 --> 00:48:30,410 +بتعرف ستة وثمانين بيقول لي لو شيلت الستة بيظل + +541 +00:48:30,410 --> 00:48:36,510 +ثمانين وعشرون عدد الصور المدنية بيقول لي لو شيلت + +542 +00:48:36,510 --> 00:48:42,930 +اثنين وبقيت ستة وثمانين الصور المكية احفظوا عني + +543 +00:48:42,930 --> 00:48:49,250 +بس بيقول لو جسمت اثنين بيطلع مية وأربع عشرة صح؟ مية + +544 +00:48:49,250 --> 00:48:51,810 +وأربع عشرة صحيح ولا مية وأربع وثلاثين؟ + +545 +00:48:54,910 --> 00:49:01,490 +286 143 أحسنتِ الـ 143 هي الآية اللي في سورة البقرة + +546 +00:49:01,490 --> 00:49:05,190 +بتقول وكذلك جعلناكم أمة وسطًا ليه تكون مش ودّاء على + +547 +00:49:05,190 --> 00:49:10,850 +الناس الـ 143 بس كان معكوا قرآن على الهدى افتحوا + +548 +00:49:10,850 --> 00:49:15,090 +على الـ 143 سورة البقرة وشوفوها صحيح ولا لأ وكذلك + +549 +00:49:15,090 --> 00:49:20,250 +جعلناكم أمة وسطًا فاللي اختار الثانية هذه هو اختار + +550 +00:49:20,250 --> 00:49:27,770 +الوسط أي الخير أو الأفضل ماشي؟ طيب فأقدر بس نقطتين + +551 +00:49:27,770 --> 00:49:32,330 +على السريع عشان نخلص المحاضرة ونقديها الهجوم الـ + +552 +00:49:32,330 --> 00:49:37,770 +estimation technique إيش estimation تقدير أول شيء الـ + +553 +00:49:37,770 --> 00:49:43,290 +myopia الـ myopia less than five وأنا myopia more + +554 +00:49:43,290 --> 00:49:49,010 +than five يعني بالعربي بنوع ثاني أنا ما أعيش إلا + +555 +00:49:49,010 --> 00:49:51,910 +ريتينوسكوب ما أعيش صندوق عدسات + +556 +00:49:55,260 --> 00:50:01,020 +كيف بـ ريتينوسكوب لحاله أشخص + +557 +00:50:01,020 --> 00:50:06,640 +الـ myopia لمريض ميوبيا مرة تحت الخمسة ومرة فوق + +558 +00:50:06,640 --> 00:50:18,440 +الخمسة عن طريق الـ power مقلوب المسافة مرّ معاك وهذا + +559 +00:50:18,440 --> 00:50:23,500 +الشيء؟ لأ لأ طيب هو يقول إن أنا بدأ أعتمد على + +560 +00:50:23,500 --> 00:50:35,720 +الـ working distance أنا بدي أجيب الـ Welch ألن الـ Welch + +561 +00:50:35,720 --> 00:50:38,160 +ألن الويلش ألن الويلش ألن الويلش ألن الويلش ألن + +562 +00:50:38,160 --> 00:50:38,320 +الويلش ألن الويلش ألن الويلش ألن الويلش ألن الويلش + +563 +00:50:38,320 --> 00:50:41,100 +ألن الويلش ألن الويلش ألن الويلش ألن الويلش ألن + +564 +00:50:41,100 --> 00:50:41,600 +الويلش ألن الويلش ألن الويلش ألن الويلش ألن الويلش + +565 +00:50:41,600 --> 00:50:42,660 +الويلش ألن الويلش ألن الويلش ألن الويلش ألن الويلش + +566 +00:50:42,660 --> 00:50:52,700 +ألن الويلش ألن الويلش + +567 +00:50:52,700 --> 00:51:00,420 +أليعني أنا ما حطيت عدسات قبل أنا بس غيرت في ال + +568 +00:51:00,420 --> 00:51:09,600 +working distance بس من ال working distance أنا + +569 +00:51:09,600 --> 00:51:16,420 +قدرت أقرب جدّيش هو ميوب مثلاً واحد + +570 +00:51:16,420 --> 00:51:24,240 +وصل عشر سنين يكون عنده عشر ديوبتر ميوب يعني 12.5 + +571 +00:51:24,240 --> 00:51:29,800 +بيكون عنده ثمانية إذا كان نوتراتي صارت من سبع عشر + +572 +00:51:29,800 --> 00:51:37,720 +سنتي بيكون عنده ستة القوة مقلوب بالمسافة طيب من + +573 +00:51:37,720 --> 00:51:43,200 +عشرين سنتي خمسة ديوبتر من خمسة وعشرين أربعة + +574 +00:51:43,200 --> 00:51:47,500 +ديوبتر من ثلاثة وثلاثين ثلاثة ديوبتر من أربعين + +575 +00:52:02,720 --> 00:52:11,340 +تقريباً تقريباً تقريباً وبعدين أنا افترض أنه عدم + +576 +00:52:11,340 --> 00:52:15,340 +وجود عدسات ما فيش عندي lenses + +577 +00:52:18,770 --> 00:52:26,830 +يعني أنا لنفرض عندي تلسكوب ومريض ممكن أعرف قداش + +578 +00:52:26,830 --> 00:52:32,790 +قوته البصرية بالميوبيا بالتقدير estimation طب لو + +579 +00:52:32,790 --> 00:52:37,970 +ما عنديش تلسكوب إيش أعمل؟ لو ما عنديش تلسكوب بدي + +580 +00:52:37,970 --> 00:52:44,470 +أصنع تلسكوب أنا بدي أصنع تلسكوب بدي + +581 +00:52:44,470 --> 00:52:50,540 +من برايام مستدير كل بيت فيه مرآة مستديرة ولا مستحيل + +582 +00:52:50,540 --> 00:53:00,000 +وبخرمها كيف أخرمها أعدّها الشطار خرمها الشطار وأي + +583 +00:53:00,000 --> 00:53:03,680 +مصدر ضوئي فوق رأس العيالة أي مصدر ضوئي بس أزغره + +584 +00:53:03,680 --> 00:53:08,860 +شوية أغطيه وأزغره شوية وممكن إني أنا أفضل أقرب وأ + +585 +00:53:08,860 --> 00:53:14,300 +أعمل لغاية ما أعمل إيش أعمل neutralization المسافة + +586 +00:53:14,300 --> 00:53:25,920 +مقلوب القوة وبس فهمت ولا لسه؟ فهمت فاهمين؟ اه اه اه + +587 +00:53:25,920 --> 00:53:32,840 +اللي أصعب منها خلصنا بس اللي لما يكون أكثر من خمسة + +588 +00:53:32,840 --> 00:53:39,140 +أكثر من خمسة هو بيقولي في الطريقة هذه صعبة شوية + +589 +00:53:39,140 --> 00:53:43,780 +ملاحظين الرسم إيش بتقول؟ retinoscope وهي العين + +590 +00:53:45,570 --> 00:53:52,410 +بيقول لي أنا لما أصل أوضح reflex هجيب ورقة بيضاء + +591 +00:53:52,410 --> 00:53:57,610 +هي ال paper اسمها موجودة عندكم؟ وأحط ال paper + +592 +00:53:57,610 --> 00:54:04,310 +بجانب ال retinoscope قال هتجيني على + +593 +00:54:07,140 --> 00:54:10,180 +الصفحة البيضاء اللي حطيها في ورقة الكراسي يعني في + +594 +00:54:10,180 --> 00:54:14,120 +جانب الretinoscope صورة صغيرة الصورة الصغيرة هي صورة + +595 +00:54:14,120 --> 00:54:18,280 +اللامبا اللي جوا من الretinoscope هي يعني الصورة + +596 +00:54:18,280 --> 00:54:22,860 +الصغيرة اه أجيس قال المسافة من هنا لهنا للعين من + +597 +00:54:22,860 --> 00:54:28,800 +الورق للعين لعلامة الو أحطها مقلوب المسافة هي صعبة + +598 +00:54:28,800 --> 00:54:32,720 +يا عزيزي الورقة البيضاء بتاعة الretinoscope جاله هيبين + +599 +00:54:32,720 --> 00:54:37,700 +عليه خط ما هو dark room هيبين خط طبيعي خط ضوء ضوئي + +600 +00:54:37,700 --> 00:54:43,240 +أجيس من ورقة للعين وأحط مقلوب المسافة يعني أنا + +601 +00:54:43,240 --> 00:54:51,020 +زيكوا مش حاسسها إيش كتير هذه بقولش + +602 +00:54:51,020 --> 00:54:55,600 +أنا بحسّ فيها بس الطريقة بتاعة الأولانية ما أنتم + +603 +00:54:55,600 --> 00:54:59,540 +لاحظين لو أنتم لاحظين هنا هذه حتى جابت العشرة + +604 +00:54:59,540 --> 00:55:06,600 +والثمانية والستة اللي أكثر من الخمسة هيهم يعني هذه + +605 +00:55:06,600 --> 00:55:10,840 +الطريقة جابت الاثنين بس أنتم مش ماخذين بالكم يعني + +606 +00:55:10,840 --> 00:55:14,360 +هي less than less than five لكن حقيقة هذه جابت + +607 +00:55:14,360 --> 00:55:18,020 +تقدير estimation myopia without lenses يعني بدون + +608 +00:55:18,020 --> 00:55:23,020 +عدسات فهلوة يعني بس الطريقة هذه بقول أنا تقريباً + +609 +00:55:23,020 --> 00:55:29,110 +بعد موجود عدسات واللي هيكذب هذا أو هيصدقه ال + +610 +00:55:29,110 --> 00:55:35,190 +subjective هتوزن كتابك وعدسة وراح تجربها هيبين إنه + +611 +00:55:35,190 --> 00:55:40,170 +بيشوف 6 ع 6 ولا لأ؟ طيب آخر شيء بس بتكلم على شيء + +612 +00:55:40,170 --> 00:55:44,410 +بسيط هذا ال Welsh Allen اللي عندنا في المعمل وهذا + +613 +00:55:44,410 --> 00:55:49,630 +حقيقة heavy duty أمريكي 88 دولار ال written score + +614 +00:55:49,630 --> 00:55:54,370 +اللي بتشتغلوا عليه أفضل شيء في العالم هو هذا جبنا + +615 +00:55:54,370 --> 00:56:00,240 +كيلرغير كيلر ما خدمش عندنا، كله انكسر، ياباني + +616 +00:56:00,240 --> 00:56:04,000 +وغيره انكسر، بريطاني، الأمريكي والشعلن بتاع الشركة + +617 +00:56:04,000 --> 00:56:08,900 +هذه كان أفضل واحد خدم في معاملنا، اللي زيه في + +618 +00:56:08,900 --> 00:56:13,640 +بريطانيا قبلان، بس هذا sleeve up بيشتغل، مش موجود + +619 +00:56:13,640 --> 00:56:19,760 +عندنا، ولا لاجيناه في السوق، بس بتقول أنا ما هي + +620 +00:56:19,760 --> 00:56:30,890 +مزايا خلصنا مزايا التلسكوب اه + +621 +00:56:30,890 --> 00:56:35,130 +أنتم أخذتوا كثير مزايا التلسكوب easy to use و + +622 +00:56:35,130 --> 00:56:39,790 +portable وال handling وبدي بال reflex وبدي بالـ + +623 +00:56:39,790 --> 00:56:45,070 +stigmatism اه وفي ال children لما يمنفعش غيره هذه + +624 +00:56:45,070 --> 00:56:48,770 +الحاجات أنتم عارفينها كويس أو مش هضيف عليها حاجة + +625 +00:56:48,770 --> 00:56:56,690 +عشان أخلص عن صحيح طب ما هي ال disadvantage؟ + +626 +00:56:56,690 --> 00:56:59,490 +عارفينها وخلاص نجلب عليها؟ عارفينها ومش + +627 +00:56:59,490 --> 00:57:06,490 +عارفينها؟ لأن فاضل أنا عندي ربع الساعة أخذتها + +628 +00:57:06,490 --> 00:57:10,970 +كلها أجلب عليها خلصنا المرة الجاية في درس دين + +629 +00:57:10,970 --> 00:57:15,030 +شكرا + +630 +00:57:15,030 --> 00:57:17,410 +لكم وبارك الله فيكم والسلام عليكم و نحو الله + +631 +00:57:17,410 --> 00:57:17,810 +وبركاته diff --git a/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/YvTBmt9OHOU_postprocess.srt b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/YvTBmt9OHOU_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..6021013033512b8e47078ea2d03302c704b3d96d --- /dev/null +++ b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/YvTBmt9OHOU_postprocess.srt @@ -0,0 +1,2524 @@ +1 +00:00:20,990 --> 00:00:23,850 +عودوا بالله مش فارغين بسم الله الرحمن الرحيم الحمد + +2 +00:00:23,850 --> 00:00:28,370 +لله و أكفه و أسلم و أسلم على الحبيب المصطفى السلام + +3 +00:00:28,370 --> 00:00:33,090 +عليكم و رحمة الله و بركاته في المحاضرة السابقة كنا + +4 +00:00:33,090 --> 00:00:37,530 +نتكلم على neutralization of the reflex using plus + +5 +00:00:37,530 --> 00:00:47,930 +cylinder lens and we have shown that the axisالـ + +6 +00:00:47,930 --> 00:00:53,370 +Plus Cylinder يجب أن يكون مرتبط على المجال اللي + +7 +00:00:53,370 --> 00:01:00,170 +قمنا بتحريكه أو نتراليزه اليوم بدأنا نتراليزه + +8 +00:01:00,170 --> 00:01:05,330 +باستخدام الـ Minus Cylinder Length والأحداث هي + +9 +00:01:05,330 --> 00:01:12,410 +عكسة الـ Plus Cylinder Length يجب أن نضع + +10 +00:01:16,830 --> 00:01:23,550 +the axis of the cylinder minus cylinder parallel + +11 +00:01:23,550 --> 00:01:31,810 +to the median we will neutralize موازي له و + +12 +00:01:31,810 --> 00:01:38,030 +بالمناسبة مش شرط دايما ان يكون ninety or one + +13 +00:01:38,030 --> 00:01:43,290 +hundred eighty لا ممكن يكون Oblique ممكن يكون ستين + +14 +00:01:43,290 --> 00:01:47,270 +اربعين مائة و عشرين مائة و أربعينالمناسبة انا حبيت + +15 +00:01:47,270 --> 00:01:50,550 +فعلا اذاكركم مواحد يقول يعني هذه زي ما جال الدكتور + +16 +00:01:50,550 --> 00:01:54,310 +انه دايما تسعين او دايما مية و تمانين لأ بس احنا + +17 +00:01:54,310 --> 00:01:58,890 +بنستسهل في التدريس التسعين والمية و تمانين لإن لو + +18 +00:01:58,890 --> 00:02:03,590 +كانت قبليك تلاتين اربعين مية و عشرين مية و اخمسين + +19 +00:02:03,590 --> 00:02:11,370 +عادي جدا المهم وين مافيه meridian انا احط معه ال + +20 +00:02:11,370 --> 00:02:17,080 +axis في ال minus اللي هو اياش cylinderو عمودي عليه + +21 +00:02:17,080 --> 00:02:23,040 +في الـ plus و ممكن تاني احفظناهم و ماشي يبقى the + +22 +00:02:23,040 --> 00:02:26,320 +axis is parallel to the meridian that we are + +23 +00:02:26,320 --> 00:02:32,300 +streaking we will line up another occur our + +24 +00:02:32,300 --> 00:02:35,580 +cylinder axis perpendicular to the orientation of + +25 +00:02:35,580 --> 00:02:40,960 +the streak يعني بما انه streak ال light بتاعنا + +26 +00:02:40,960 --> 00:02:45,890 +دايما عمودي على ال meridianعمودي على الـ meridian + +27 +00:02:45,890 --> 00:02:49,830 +يعني الـ meridian 180 بحط ضوء يوايه في التسعين و + +28 +00:02:49,830 --> 00:02:53,570 +العكس لو ال meridian بتاعي 90 بحط ال light بتاعي + +29 +00:02:53,570 --> 00:02:58,050 +عمودي عليه ماينفعش يكونوا اتنين متوازين دائما هو + +30 +00:02:58,050 --> 00:03:03,790 +العمودي عامدين فهو عمل بس relation لل axis of + +31 +00:03:03,790 --> 00:03:09,910 +cylinder اذا كانوا plus بيكونوا مع الضوء اذا كانوا + +32 +00:03:09,910 --> 00:03:16,950 +minus بيكون عمودي على الضوء و خلصناin our words 90 + +33 +00:03:16,950 --> 00:03:21,650 +degrees in this example اللي هي إيش؟ هالي يبقى + +34 +00:03:21,650 --> 00:03:29,550 +الآن أنا بما اني حاطط ال axis في التسعين ال + +35 +00:03:29,550 --> 00:03:34,690 +meridian في التسعين اضغط في ال مية و تمانين عمودي + +36 +00:03:34,690 --> 00:03:39,050 +عالي يبقى الضوء وين؟ عمودي على اتنين عمودي على ال + +37 +00:03:39,050 --> 00:03:44,160 +meridianو عمودي عليه إيش؟ على ال axis في ال minus + +38 +00:03:44,160 --> 00:03:47,100 +يعني هذا غير عن الكلام اللي اتكلمناه في المحاضرة + +39 +00:03:47,100 --> 00:03:51,960 +الماضية طيب الان + +40 +00:03:51,960 --> 00:04:03,560 +بقول إيه؟ في كل مرة هأضع minus cylinder 0.5 و أعمل + +41 +00:04:03,560 --> 00:04:09,100 +streaking لسه في حركة movement مثلا with بشيل النص + +42 +00:04:09,100 --> 00:04:18,050 +و بحط واحدوبعمل أيضا streaking لسه فى حركة ايش بدى + +43 +00:04:18,050 --> 00:04:24,210 +اعمل بدى اشيل الواحد واخد واحد ونص وبعمل اشتريك فى + +44 +00:04:24,210 --> 00:04:28,670 +حركة بشيل واحد ونص واخد اتنين من نفس الطراز minus + +45 +00:04:28,670 --> 00:04:35,830 +cylinder الى ان يصل ايش as near as the neutral + +46 +00:04:35,830 --> 00:04:43,160 +point يعني ان وصلت الحفة بتاعتهابمضيش بجف بعمل + +47 +00:04:43,160 --> 00:04:48,620 +verification ببدأ انا ابرهن او اثبت ان انا في ال + +48 +00:04:48,620 --> 00:04:52,600 +neutral point لكن لو فضلت احط نص و نص و نص و نص و + +49 +00:04:52,600 --> 00:04:52,640 +نص و نص و نص و نص و نص و نص و نص و نص و نص و نص و + +50 +00:04:52,640 --> 00:04:52,700 +نص و نص و نص و نص و نص و نص و نص و نص و نص و نص و + +51 +00:04:52,700 --> 00:04:52,740 +نص و نص و نص و نص و نص و نص و نص و نص و نص و نص و + +52 +00:04:52,740 --> 00:04:52,880 +نص و نص و نص و نص و نص و نص و نص و نص و نص و نص و + +53 +00:04:52,880 --> 00:04:52,940 +نص و نص و نص و نص و نص و نص و نص و نص و نص و نص و + +54 +00:04:52,940 --> 00:05:00,840 +نص و نص و نص و نص و نص و نص + +55 +00:05:00,840 --> 00:05:04,940 +و + +56 +00:05:04,940 --> 00:05:12,900 +نالـ reflex الأولاني خلص بسفير هذا خلصنا بسفير + +57 +00:05:12,900 --> 00:05:19,100 +زمان، صح؟ لكن هذا فاضفي و مؤمن صح ضاق، لكن لسه + +58 +00:05:19,100 --> 00:05:26,040 +استدلت أحطه سلندر، نص، نص، نص، سلندر يا ناس الـ + +59 +00:05:26,040 --> 00:05:31,420 +minus سلندر هذه اللي أنا بحطها بتأثر على السفير + +60 +00:05:31,420 --> 00:05:32,260 +هذا ولا لا؟ + +61 +00:05:40,450 --> 00:05:50,910 +خلّيني أقول بالعربي ان القوة هنا zero و + +62 +00:05:50,910 --> 00:05:58,890 +ال power اللي بتيجي بتاعة السيلندر عمودي هنا علما + +63 +00:05:58,890 --> 00:06:05,980 +ان هذا انا خلصت منه بالسفير فال powerالـ minus + +64 +00:06:05,980 --> 00:06:11,740 +اللي عمودي على ال zero ال axis هتأثر على قوة + +65 +00:06:11,740 --> 00:06:15,540 +السفير اللي خلصت منها ولا لأ؟ لأ لأ لإيش؟ لإنه + +66 +00:06:15,540 --> 00:06:18,220 +العشقانات اللي .. اللي .. اللي .. اللي .. اللي .. + +67 +00:06:18,220 --> 00:06:20,420 +اللي .. اللي .. اللي .. اللي .. اللي .. اللي .. + +68 +00:06:20,420 --> 00:06:20,540 +اللي .. اللي .. اللي .. اللي .. اللي .. اللي .. + +69 +00:06:20,540 --> 00:06:20,800 +اللي .. اللي .. اللي .. اللي .. اللي .. اللي .. + +70 +00:06:20,800 --> 00:06:20,880 +اللي .. اللي .. اللي .. اللي .. اللي .. اللي .. + +71 +00:06:20,880 --> 00:06:20,900 +اللي .. اللي .. اللي .. اللي .. اللي .. اللي .. + +72 +00:06:20,900 --> 00:06:21,060 +اللي .. اللي .. اللي .. اللي .. اللي .. اللي .. + +73 +00:06:21,060 --> 00:06:23,960 +اللي .. اللي .. اللي .. اللي .. اللي .. اللي .. + +74 +00:06:23,960 --> 00:06:23,980 +اللي .. اللي .. اللي .. اللي .. اللي .. اللي .. + +75 +00:06:23,980 --> 00:06:32,900 +اللي .. اللي .. اللي + +76 +00:06:32,900 --> 00:06:34,760 +.. الل + +77 +00:06:36,750 --> 00:06:42,610 +و ال power عمودي بقول ال axis الأولاني أنا خلصت + +78 +00:06:42,610 --> 00:06:47,250 +منه او ال meridian الأولاني ال 180 هذا أنا خلصت + +79 +00:06:47,250 --> 00:06:53,490 +منه و صار neutral خلاص الان انا لما جيت احط سيلندر + +80 +00:06:53,490 --> 00:06:59,710 +عمودي عليه السيلندر هنا صفر و القوة بتاعته هنا اما + +81 +00:06:59,710 --> 00:07:04,910 +هنا صفر دايما ال axis صفر و ال power هنا ال power + +82 +00:07:04,910 --> 00:07:10,950 +اتعلت عادلسلبت منه نص وسلبت منه واحد وسلبت منه + +83 +00:07:10,950 --> 00:07:17,390 +واحد ونص وسلبت منه اتنين هل لما تسلب منه بجل ولا + +84 +00:07:17,390 --> 00:07:19,790 +بيظل زي ما هو؟ بيظل زي ما هو زي ما هو زي ما هو زي + +85 +00:07:19,790 --> 00:07:20,970 +ما هو زي ما هو زي ما هو زي ما هو زي ما هو زي ما هو + +86 +00:07:20,970 --> 00:07:20,990 +هو زي ما هو زي ما هو زي ما هو زي ما هو زي ما هو زي + +87 +00:07:20,990 --> 00:07:22,810 +ما هو زي ما هو زي ما هو زي ما هو زي ما هو زي ما هو + +88 +00:07:22,810 --> 00:07:25,290 +زي ما هو زي ما هو زي ما هو زي ما هو زي ما هو زي ما + +89 +00:07:25,290 --> 00:07:27,970 +هو زي ما هو زي ما هو زي ما هو زي ما هو زي ما هو زي + +90 +00:07:27,970 --> 00:07:31,010 +ما هو زي ما هو زي + +91 +00:07:31,010 --> 00:07:32,950 +ما هو زي ما هو ز + +92 +00:07:35,100 --> 00:07:43,660 +انه بتأثر ترفع يدها انه بخس يعني واحد اتنين تلاتة + +93 +00:07:43,660 --> 00:07:47,640 +اربعة اللي مش عارفة لا هيك ولا هيك ترفع يدها طبعا + +94 +00:07:47,640 --> 00:07:55,700 +مش حادث يرفع يدها الحقيقة انه بتأثر اه بتأثر القوة + +95 +00:07:55,700 --> 00:08:00,120 +السالبة اللي اجت على المريض يعني اللي اتعادل تأثرت + +96 +00:08:00,120 --> 00:08:07,130 +سلبا طب والحلبنرجع نقسم الاشياء اللي قلناه ان انا + +97 +00:08:07,130 --> 00:08:14,290 +ال compensation ايش compensation تعويض مع كل + +98 +00:08:14,290 --> 00:08:23,810 +ديوبتر minus في ديوبتر plus sphere مع كل ديوبتر + +99 +00:08:23,810 --> 00:08:27,910 +ديوبتر مع كل نص ديوبتر نص ديوبتر إلى ان اصل انا + +100 +00:08:27,910 --> 00:08:36,830 +neutralization بسفير معادلو هذه الصعوبة الإضافية + +101 +00:08:36,830 --> 00:08:42,370 +في ال minus cylinder في ال plus ماكناش حاسبين في + +102 +00:08:42,370 --> 00:08:46,370 +ال plus ماكناش حاسبين في ال plus ماكناش .. ليش + +103 +00:08:46,370 --> 00:08:49,950 +ماكناش حاسبين؟ + +104 +00:08:49,950 --> 00:08:59,310 +اه لأنه القوة وين جاية؟ كانت القوة عمودي على ال + +105 +00:08:59,310 --> 00:09:05,250 +meridian عمودي على ال meridianاللي هو ال axis كان + +106 +00:09:05,250 --> 00:09:09,030 +عمودي عن ال meridian فالقوة في ال meridian القوة + +107 +00:09:09,030 --> 00:09:12,330 +في ال meridian اللي انا .. يعني ايه ايش هذا + +108 +00:09:12,330 --> 00:09:15,490 +المعارف مش المعارف اللي بتعدل اه اللي بتعدل لكن + +109 +00:09:15,490 --> 00:09:20,190 +هنا القوة .. القوة بتيجي في ال meridian الأولاني + +110 +00:09:20,190 --> 00:09:24,670 +ال meridian اللي اتعدل أساساً القوة هنا في ال + +111 +00:09:24,670 --> 00:09:32,300 +minus جاية عمودي على ال axis هذافهذا المريض اللي + +112 +00:09:32,300 --> 00:09:41,420 +اتعادل اللي صار هيه متعدل اهتز هنا انسلب زغر عشان + +113 +00:09:41,420 --> 00:09:47,080 +هي كان بيقوللي هنا في خطوة إضافية there is one + +114 +00:09:47,080 --> 00:09:52,220 +extra step إيش يعني extra step خطوة إضافية as + +115 +00:09:52,220 --> 00:09:58,700 +compared to plus cylinder neutralization إيش هي we + +116 +00:09:58,700 --> 00:10:07,200 +must add0.5 ديوبتر of plus sphere power for each 0 + +117 +00:10:07,200 --> 00:10:12,340 +.5 minus cylinder power that we add to compensate + +118 +00:10:12,340 --> 00:10:16,500 +يقعود النقص اللي صار في المحور الأول ال first axis + +119 +00:10:16,500 --> 00:10:24,260 +the sphere power must be added as we go alongin + +120 +00:10:24,260 --> 00:10:28,180 +other words you will add كمان مرة بأكد التوضيح في + +121 +00:10:28,180 --> 00:10:36,380 +كل minus cylinder نص plus sphere نص حتى أصل + +122 +00:10:36,380 --> 00:10:44,360 +النهاية عشان يكون فيه عدل ليش أصلح الجديد والجديم + +123 +00:10:44,360 --> 00:10:49,820 +يخس لأ طيب هذا هو ال control of streaking the + +124 +00:10:49,820 --> 00:10:55,920 +meridianwith motion إلى إن أصل إيش الـ neutrality + +125 +00:10:55,920 --> 00:11:00,780 +أو أكتر منها إن أكتر منها طبعا احنا بنذكر كل الطرق + +126 +00:11:00,780 --> 00:11:06,920 +لكن للطالبة في النهاية أن تعمل بما تريد أي طريقة + +127 +00:11:06,920 --> 00:11:13,400 +منهم أما لما تسأل في الامتحان بيتجيب على الكل لكن + +128 +00:11:13,400 --> 00:11:20,270 +في الطريقة العملية في الحياة هي تختار في حريةأما + +129 +00:11:20,270 --> 00:11:22,990 +القصور ان هي تكون عارفة طريقة واحدة مش عارفة غيرها + +130 +00:11:22,990 --> 00:11:26,910 +لأ تكون عارفة الطرق التانية لكن الطريقة الأرياحية + +131 +00:11:26,910 --> 00:11:31,030 +اللي أنا بشتغل فيها once the neutral reflex we + +132 +00:11:31,030 --> 00:11:33,990 +have reached the end point neutrality can be + +133 +00:11:33,990 --> 00:11:38,270 +assumed when any motion just disappears اه بقولي + +134 +00:11:38,270 --> 00:11:44,830 +مجرد أخر ربع ان انا يبقى عندي neutrality او قرب ال + +135 +00:11:44,830 --> 00:11:50,910 +neutralityأتوقف ولا أمضي في الإضافة ولا أمضي في + +136 +00:11:50,910 --> 00:11:56,390 +الإضافة لأن هذا بيعطيني wide range of power لو + +137 +00:11:56,390 --> 00:12:01,370 +فضلت أضيف wide range of power فهذا مش كويس ممكن + +138 +00:12:01,370 --> 00:12:06,990 +ندينه على اتجاه المعاكس لكن أنا لما وصلت حفة الحفة + +139 +00:12:06,990 --> 00:12:12,670 +بتاعة الحفرة أتوقف ومن الحفة ممكن أنظر لكن لو + +140 +00:12:12,670 --> 00:12:17,490 +اتقدمت مجعب في الحفرةمش سهل ان اقفز للنحو التاني + +141 +00:12:17,490 --> 00:12:24,390 +فأحسن ان اتوقف وبعد ما اتوقف تبدأ خطوات اخرى طيب + +142 +00:12:24,390 --> 00:12:28,670 +انا بشتغل objective ولا subjective الان كله + +143 +00:12:28,670 --> 00:12:36,470 +objective ما دخلت الساعة في ال subjective اول + +144 +00:12:36,470 --> 00:12:42,030 +خطوة في ال subjective ان اخسم مقلوب ال working + +145 +00:12:42,030 --> 00:12:53,260 +distanceطيب انا اشتغل سفير وسيلندر والان بطلع + +146 +00:12:53,260 --> 00:12:58,580 +نتيجة sc سفير وسيلندر انا من النتيجة هذه اخس من + +147 +00:12:58,580 --> 00:13:03,150 +السفيرولا أخصه من السيلندر ولا أخصه من اتنين؟ + +148 +00:13:03,150 --> 00:13:07,210 +السفير، السفير، السفير، السفير، السفير، السفير، + +149 +00:13:07,210 --> 00:13:07,250 +السفير، السفير، السفير، السفير، السفير، السفير، + +150 +00:13:07,250 --> 00:13:08,310 +السفير، السفير، السفير، السفير، السفير، السفير، + +151 +00:13:08,310 --> 00:13:15,090 +السفير، السفير، السفير، السفير، السفير، السفير، + +152 +00:13:15,090 --> 00:13:21,050 +السفير، السفير، السفير، السفير، السفير، السفير، + +153 +00:13:21,050 --> 00:13:22,150 +السفير، السفير، السفير، السفير، السفير، السفير، + +154 +00:13:22,150 --> 00:13:23,510 +السفير، السفير، السفير، السفير، السفير، السفير، + +155 +00:13:23,510 --> 00:13:28,650 +السفير، السفير، السفأما السيلندر ما بيشتغلش إلا في + +156 +00:13:28,650 --> 00:13:33,430 +أكسس واحد بس يبقى + +157 +00:13:33,430 --> 00:13:39,210 +بيقوللي لما أعمل subtraction خاصة this is usually + +158 +00:13:39,210 --> 00:13:43,170 +الناس اللي بتشتغل بدراها ودراها خمس ستين أو ستة و + +159 +00:13:43,170 --> 00:13:48,670 +ستين سانتي بيخسم واحد و نص لكن مش معناه ذلك واحد + +160 +00:13:48,670 --> 00:13:52,330 +يلتزم بال working distance أقل أو أكتر يلتزم في + +161 +00:13:52,330 --> 00:13:58,130 +مقلوبةهتشوفوا الآن إيش تأثير المسافة طيب طالع الآن + +162 +00:13:58,130 --> 00:14:02,830 +عندي أنا في ال objective في ال objective minus one + +163 +00:14:02,830 --> 00:14:10,810 +minus one point five multiplied by ninety في تسعين + +164 +00:14:10,810 --> 00:14:18,530 +الآن بدي أنا أخسم الواحد و نص مقلب المسافة يعني + +165 +00:14:18,530 --> 00:14:24,240 +الواحد و نص كمان minus one point fiveبصير الاسفير + +166 +00:14:24,240 --> 00:14:29,700 +كمان؟ مانوس نصف اما السيلندر ماقصبتهاش السيلندر + +167 +00:14:29,700 --> 00:14:37,180 +كما هي ماغيرتها يبقى خاصة فقط وين؟ طيب لو بدي اعمل + +168 +00:14:37,180 --> 00:14:43,060 +transposition ليه هذه؟ بجمع السفير مع السيلندر + +169 +00:14:43,060 --> 00:14:52,380 +بصير كم؟ أربعةعلى نص واحد بغير إشارة السيلندر بصير + +170 +00:14:52,380 --> 00:15:00,300 +واحد و نص والأكس بضيء 90 بصير 180 180 degree 180 + +171 +00:15:00,300 --> 00:15:09,900 +degree خلاص هيك؟ خلاص طيب، الآن كل co-slip تحت + +172 +00:15:09,900 --> 00:15:13,850 +الastroscope تشتغلوش down، صح؟نفس كوبلاند في + +173 +00:15:13,850 --> 00:15:17,750 +بريطانيا بيشتغل عليه up احنا ولش ألين احنا جامعة + +174 +00:15:17,750 --> 00:15:24,170 +ولش ألين للامريكا ولش ألين كله تبع تحت طيب في + +175 +00:15:24,170 --> 00:15:32,330 +حالات معينة بقولي انا بضطر ان اعمل sleep up فابدى + +176 +00:15:32,330 --> 00:15:39,410 +اعرف ايش هي sleep up بقولي انا في حالتين بستخدم + +177 +00:15:39,410 --> 00:15:45,540 +sleep up حسب اللي عندنا ولش ألينأول اشي to verify + +178 +00:15:45,540 --> 00:15:52,380 +neutrality ان اتأكد من صحة ال neutral point وهذه + +179 +00:15:52,380 --> 00:15:58,200 +كيف تيجي و لو انا neutral point بتاعتي true اش + +180 +00:15:58,200 --> 00:16:05,920 +true يعني صحيحة سواء كان slave down او up لا فرق + +181 +00:16:05,920 --> 00:16:10,020 +بينهما يعني + +182 +00:16:10,020 --> 00:16:15,540 +انا ب slave down وصرت neutral pointأنا بدي أصحح + +183 +00:16:15,540 --> 00:16:20,400 +نفسي أشوف شغلي صح ولا لأ بعمله up و بعمله ايه ان + +184 +00:16:20,400 --> 00:16:24,440 +لجيته neutral من هنا و من هنا و من كل ال meridians + +185 +00:16:24,440 --> 00:16:28,960 +بكون شغله صح فلكن اذا كان عملته up و لجيت فيه حركة + +186 +00:16:28,960 --> 00:16:35,710 +اذا الشغل ما الصح يعني جد نتأكد نعملأه أه أه + +187 +00:16:35,710 --> 00:16:43,310 +تعملوه انا بقولكوا عشان تعملوه أه طيب بيقوللي أول + +188 +00:16:43,310 --> 00:16:47,570 +إيش to verify أن أثبت صحة ال neutral point بتاعتي + +189 +00:16:47,570 --> 00:16:52,530 +عشان هيك بعمل step up التانية while others use to + +190 +00:16:52,530 --> 00:16:57,950 +switch the movement of the reflex بيقوللي والله + +191 +00:16:57,950 --> 00:17:03,550 +أنا جيت أعمل بال down هيك لجيت very slow dim + +192 +00:17:03,550 --> 00:17:09,820 +movementيعني في الحالة دي إيش كنا بنعمل في high + +193 +00:17:09,820 --> 00:17:14,780 +refractive error عندي إيش بعمل بقيت يا plus five + +194 +00:17:14,780 --> 00:17:19,620 +يا minus five حسب اللي هو ال error بعد ال minus أو + +195 +00:17:19,620 --> 00:17:24,500 +plus five ببدأ ال reflex يتحرك و شوية bright و + +196 +00:17:24,500 --> 00:17:30,680 +أسرع بيقوللي بدل عن هذه ال plus أو minus five لأ + +197 +00:17:30,680 --> 00:17:40,040 +أعمل اللي هو up لما أعمل upتبدأ الأمور تمشي في + +198 +00:17:40,040 --> 00:17:47,660 +يعني سرعة و brightness أحسن يعني بدل ان انا اضغط + +199 +00:17:47,660 --> 00:17:51,900 +high plus او high minus عشان reflect بقرار عالي لأ + +200 +00:17:51,900 --> 00:17:59,590 +بقول انه اعمل up مستغرر عالي upيبقى بيقوللي ان + +201 +00:17:59,590 --> 00:18:03,570 +اقلب ال .. اقلب من مثلا من with إلى against او من + +202 +00:18:03,570 --> 00:18:06,390 +against إلى with by reversing the moment it is no + +203 +00:18:06,390 --> 00:18:11,150 +longer necessary to add too much minus اه to + +204 +00:18:11,150 --> 00:18:14,730 +produce with moment يعني انا استغنيت عن الخركة + +205 +00:18:14,730 --> 00:18:17,970 +اللي كنت بعملها في الأول زائد خمسة او ناقص خمسة + +206 +00:18:17,970 --> 00:18:22,810 +طبعا صعب عليكوا شوية لكن الأولة هنشرحها ان شاء + +207 +00:18:22,810 --> 00:18:22,830 +الله + +208 +00:18:26,310 --> 00:18:33,110 +بريفاق الـ neutrality الأولى هذه بس + +209 +00:18:33,110 --> 00:18:36,630 +اختصارها when a high refractive error is present + +210 +00:18:36,630 --> 00:18:41,550 +the reflex may be moving slowly that it appears to + +211 +00:18:41,550 --> 00:18:44,570 +be neutralized however the reflex will also appear + +212 +00:18:44,570 --> 00:18:51,290 +quite dim in this case neutrality has اه بيقول في + +213 +00:18:51,290 --> 00:18:55,660 +الحالة ان في high refractive errorأنا لما أقلب ال + +214 +00:18:55,660 --> 00:19:02,000 +sleeve فوق بدل تحت بساعدني في أني أعرف أين أنا على + +215 +00:19:02,000 --> 00:19:07,820 +الأقل أني أنا بالحركة بتاعتي اكتشفت أنه في high + +216 +00:19:07,820 --> 00:19:12,740 +error ممكن أرجعها تاني تحت و أبدأ إيش أعمل أحط + +217 +00:19:12,740 --> 00:19:19,870 +خمسةمثلا minus ويبين وابدأ اضيف نص نص نص اللي هو + +218 +00:19:19,870 --> 00:19:23,310 +minus لما اصل ال neutral point يعني الحركة هذه + +219 +00:19:23,310 --> 00:19:27,950 +بتاع تسليف ايش عملت ليه كشفت لي الطريق بتعرف + +220 +00:19:27,950 --> 00:19:35,170 +الواحد في الظلام مش شايفه قدامه مع كشاف صغير ضاوة + +221 +00:19:35,170 --> 00:19:40,630 +مش شايفه على الأقل وين هو ماشيفالان لما حطت ال + +222 +00:19:40,630 --> 00:19:44,970 +sleeve بدال down حطيته فوق و لاجيت الأمور اتسهلت + +223 +00:19:44,970 --> 00:19:51,450 +ال reflex صار واضح صار مثلا against واضح و bright + +224 +00:19:51,450 --> 00:19:56,930 +و السرعة جيدة مش سريعة كتير لكن جيدة بعود ارجع تحت + +225 +00:19:56,930 --> 00:20:04,230 +و احط minus five او minus six او minus seven و + +226 +00:20:04,230 --> 00:20:11,130 +ابدأ اشتغل يعني كأنها myopia صغيرة يعنيبعد الإضافة + +227 +00:20:11,130 --> 00:20:14,350 +الكبيرة بصير خلاص الأمور يعني جربت طب دكتور لما + +228 +00:20:14,350 --> 00:20:17,010 +نيجي نحط ال sleeve up و تبين معنا الحركة لما نيجي + +229 +00:20:17,010 --> 00:20:19,830 +ننزل ال sleeve بتكون عكس الحركة اللي زهرت معنا + +230 +00:20:19,830 --> 00:20:24,270 +فوق؟ اه عكسها اه عكسها الفوق جلبتلي الحركة و خلتها + +231 +00:20:24,270 --> 00:20:29,530 +أوضح فانا بقى اه رجع تحت و صرت اعرف حالي انا وين + +232 +00:20:31,400 --> 00:20:35,840 +صرت انا عارف حاليا و الله اذا كان بال هذا يعني بال + +233 +00:20:35,840 --> 00:20:41,040 +sleeve up صارت with اذا اللي تحت against كان + +234 +00:20:41,040 --> 00:20:46,420 +sleeve up عملتلي against + +235 +00:20:46,420 --> 00:20:52,820 +اذا انا كان with يعني عكس الموضوع خلاص انا ممكن + +236 +00:20:52,820 --> 00:20:56,300 +ايه خلاص اخد مثلا اذا كان hypermetropia اخد plus + +237 +00:20:56,300 --> 00:21:04,800 +مثلا اربعة او خمسة او ستة و اكمليعني اختصر الوقت و + +238 +00:21:04,800 --> 00:21:10,180 +اريح ليه هاي اللزوم اللزوم التاني ان اعمل + +239 +00:21:10,180 --> 00:21:13,360 +verification ال neutral point زي اللي قلت قبل شوية + +240 +00:21:13,360 --> 00:21:17,440 +والله ال neutral point اذا كانها أصلية و صادقة ما + +241 +00:21:17,440 --> 00:21:22,980 +بيهمها ان تكون تحت او فوقيعني أنا بالليل down + +242 +00:21:22,980 --> 00:21:27,580 +sleeve وصرت ال neutral point عشان أصدق حالي بروح + +243 +00:21:27,580 --> 00:21:31,000 +أنا أعمل فوق و أعمل إن أجيت كله neutral إذا أنا + +244 +00:21:31,000 --> 00:21:35,900 +شغلي صح طيب لجيت في حركة إذا أنا شغلي غلط عاوز + +245 +00:21:35,900 --> 00:21:40,060 +أعيد في + +246 +00:21:40,060 --> 00:21:44,460 +واحد بيقول إنه يعني واحد ممكن يعلم حاله أو يعاتب + +247 +00:21:44,460 --> 00:21:49,000 +حاله كيف بيقولك ما عاتب المرأة الكريمة كنفسه + +248 +00:21:50,950 --> 00:21:56,070 +والمرء يصليح القرين والصالح هذا بيت شعر له مناسبة + +249 +00:21:56,070 --> 00:22:02,130 +جوية هذا كان في واحد من صاحب المعلقات مشهور اسمه + +250 +00:22:02,130 --> 00:22:07,190 +لبيد ابن عمر لبيد ابن عمر هذا مشهور يعني كان شاعر + +251 +00:22:07,190 --> 00:22:14,070 +كبير بالجاهلية فبقولك لما أسلم تبترجوا الشعر + +252 +00:22:14,070 --> 00:22:15,170 +ومسكوا القرآن يحفظوا + +253 +00:22:18,070 --> 00:22:22,290 +فمختلفين إيش البيت اللي جاله؟ وسكت عن الشارع في + +254 +00:22:22,290 --> 00:22:24,730 +ناس بيقولوا جال هذا البيت معتب المرأة الكريمة + +255 +00:22:24,730 --> 00:22:29,290 +كنفسه والمرأة يسلحوا القارين والصالحين في ناس + +256 +00:22:29,290 --> 00:22:33,770 +قالوا لأ البيت اللي جاله هو الحمد لله إذ لم يأتني + +257 +00:22:33,770 --> 00:22:39,810 +أجلي حتى اكتسيته من الإسلام سربالة إيه سربالة + +258 +00:22:39,810 --> 00:22:44,930 +يعني؟ ما الاسم؟ صور الإسلام سربالة بالك ومين أصدق + +259 +00:22:44,930 --> 00:22:49,880 +البيت الأول ولا التاني؟الحمد لله لما قديني اجري + +260 +00:22:49,880 --> 00:22:54,220 +حتى اكتسيته من الإسلام سيبقى فهو اذا كان واحد قادر + +261 +00:22:54,220 --> 00:23:01,900 +يعدي الحاله ليش مايعدي الحاله طيب بقولي انا بدي + +262 +00:23:01,900 --> 00:23:04,240 +اعمل confirmation لا neutral point ايش + +263 +00:23:04,240 --> 00:23:09,780 +confirmation تأكيد بدي اكد ال neutral point بتاعتى + +264 +00:23:09,780 --> 00:23:12,380 +طب قوليه neutral point يعني مهم اللي هقدر اجعله + +265 +00:23:14,200 --> 00:23:20,120 +طبعا هي أصول شغلي هو أنا كل تعبي على أيش؟ كل تعبي + +266 +00:23:20,120 --> 00:23:24,680 +بالريتروسكوب و العدسات و كل الشغل هذا عشان أصلي + +267 +00:23:24,680 --> 00:23:27,900 +نترابونو في واحد بيصلي في دقيقة و واحد بيصلي في نص + +268 +00:23:27,900 --> 00:23:33,360 +ساعة انتوا من أي نوع؟ نص ساعة و نص دقيقة و نص + +269 +00:23:33,360 --> 00:23:38,880 +ساعتين و الله يا حسب الموجهين اذا كانوا صحيين + +270 +00:23:38,880 --> 00:23:43,260 +بديهم الموجهين في كل شي بتخلهم شجعهمو انا بقولكوا + +271 +00:23:43,260 --> 00:23:49,080 +انا دائما بحرض ع ال directors بقول انا لو الطلبة + +272 +00:23:49,080 --> 00:23:54,020 +أدقية مابيخلوكوا قدر دقيقة الموجهين + +273 +00:23:54,020 --> 00:23:59,640 +لكن اذا كان طالب خجلان و جاعت بيشتغل غلط واحدها + +274 +00:23:59,640 --> 00:24:06,340 +كان مركز ان هو بيشتغل صح مافيش اتصال نعم + +275 +00:24:06,340 --> 00:24:09,720 +ايش + +276 +00:24:09,720 --> 00:24:11,440 +التسعة مش الملموعة تسعة؟ + +277 +00:24:14,020 --> 00:24:18,600 +طيب لأ لأ لأ بقولكم تلت ساعات لازم يكونوا تلت + +278 +00:24:18,600 --> 00:24:22,840 +ساعات ليس ساعة تفكروا عليها الحالات هم برضه + +279 +00:24:22,840 --> 00:24:26,260 +تحكمونا اذا كان عندها محابر او .. المهم انا في + +280 +00:24:26,260 --> 00:24:31,760 +الآخر بشتر الصح ولا غلط انا لازم اأسس الصح و بعدين + +281 +00:24:31,760 --> 00:24:35,700 +بشتر الصح لكن اذا انا ما أسست الصح بفضل أشتر الغلط + +282 +00:24:35,700 --> 00:24:42,200 +ماتخذروا من حقه اللي بيخذر من حقه بضيع عليهأسسه + +283 +00:24:42,200 --> 00:24:46,280 +الصح في الأول اعرف الحل والمسائل صح لو أحل المسائل + +284 +00:24:46,280 --> 00:24:49,360 +تانية تلقاه صح بفضل انا امشي في اللي بعدهم صح لكن + +285 +00:24:49,360 --> 00:24:52,700 +انا كان حتى الآن في نهاية ال fraction two وانا بحل + +286 +00:24:52,700 --> 00:24:57,280 +غلط وماعملش neutral point صح وخجلانة هفضل طول عمري + +287 +00:24:57,280 --> 00:25:03,680 +حرين انا بانصحكم اشتغلوا صح طيب ال neutral point + +288 +00:25:03,680 --> 00:25:07,460 +انا بتأكدها بتلات حاجات اول اشي reversing the + +289 +00:25:07,460 --> 00:25:17,510 +sleeve اتنين بadditionof extraneous تلاتة moving + +290 +00:25:17,510 --> 00:25:22,910 +toward أو away from the patient مرة بجربنه و مرة + +291 +00:25:22,910 --> 00:25:26,790 +لا يعني طيب نبدأ بواحدة واحدة reversing the sleeve + +292 +00:25:26,790 --> 00:25:32,930 +ان الآن اتكلمت فيها بقول انا انه اذا كان neutral + +293 +00:25:32,930 --> 00:25:37,510 +point صحيحة it will be neutral دايما regardless + +294 +00:25:37,510 --> 00:25:42,230 +ايش regardlessبقدر النظر يعني بقدر النظر اقضى step + +295 +00:25:42,230 --> 00:25:46,610 +position فوق و لا تحت خلاص ال neutral point بس تحت + +296 +00:25:46,610 --> 00:25:51,670 +و لا فوق هي neutral اذا كان شغلي صح انا باقصيكوا + +297 +00:25:51,670 --> 00:25:56,530 +في ما تبقى هي أسبوعين فاضل في هذه و فاضل + +298 +00:25:56,530 --> 00:26:00,890 +reflection from الجامعه من فصل الجامعه وبعدها اللي + +299 +00:26:00,890 --> 00:26:07,410 +ما تعلم ضقت عليه هو الملامر لأنهم ماشتكموابالله + +300 +00:26:07,410 --> 00:26:11,190 +انا مطلوب مني ان امر في المجتمع كله اقول لوحد ايش + +301 +00:26:11,190 --> 00:26:17,250 +بتشكي من عينك؟ ايش يقوله عن الناس؟ ليش بتشكي؟ ليش + +302 +00:26:17,250 --> 00:26:21,130 +عينك خامرة؟ ليش عينك واسعة؟ ليش عينك ديقة؟ ليش + +303 +00:26:21,130 --> 00:26:25,770 +البقبق بتاعك كده؟ انا ما هيك الأسلوب في complaint + +304 +00:26:25,770 --> 00:26:32,010 +في شكوى في examination في complaint في examination + +305 +00:26:32,010 --> 00:26:38,120 +يبقى طالما انت مابتشكيشالآخرون اللي هم المشرفين + +306 +00:26:38,120 --> 00:26:45,300 +عليكي بحسابه بتشتغلي صح صحك؟ طيب يبقى ايه شريف + +307 +00:26:45,300 --> 00:26:53,940 +يالزينج sleep position؟ فاهمون ايش؟ كمبيوتر + +308 +00:26:53,940 --> 00:26:56,940 +الهولت هتكون سابته سابته يعني انا الان برتنسكوب + +309 +00:26:56,940 --> 00:27:03,130 +العادي sleep بتاعي تحتو بعدين عملت وصلت نترال + +310 +00:27:03,130 --> 00:27:10,410 +point هنا سفير و العكس سلندر هتختاروا بعدين plus + +311 +00:27:10,410 --> 00:27:14,550 +سلندر و لا minus سلندر فشغلوا فاهموني بعد احنا ما + +312 +00:27:14,550 --> 00:27:21,250 +خلصنا ال plus سفير و ال minus سفير لو احنا اشتغلوا + +313 +00:27:21,250 --> 00:27:25,430 +بسلندر لو اشتغلوا بسلندر اشتغلوا ب plus سلندر و لا + +314 +00:27:25,430 --> 00:27:26,330 +minus سلندر + +315 +00:27:29,120 --> 00:27:37,400 +عشان ماتطرش ان اضيف .. اه يعني هو يعني انا معايا + +316 +00:27:37,400 --> 00:27:43,480 +في سفير اولاني و في سيلندر تاني و احط كمان سفير + +317 +00:27:43,480 --> 00:27:51,740 +اشديد صعب فأحسن نشتغل ب plus cylinder والله لو انا + +318 +00:27:51,740 --> 00:27:58,570 +في الآخر بدي اعمل transposition هذا شغليممكن اني + +319 +00:27:58,570 --> 00:28:01,410 +شغلي بس انا بقى حب دايما transmission اني اعمله + +320 +00:28:01,410 --> 00:28:05,390 +trial كمان ماشي على الورق بحبش اللي بعمل + +321 +00:28:05,390 --> 00:28:08,510 +transmission على الورق كام من عيان عملوا + +322 +00:28:08,510 --> 00:28:11,690 +transmission على الورق لهدف تجاري لان مافيش غيرها + +323 +00:28:11,690 --> 00:28:18,570 +عند الoptician ومايشوفش كويس ويتعب كمان + +324 +00:28:18,570 --> 00:28:22,190 +transmission مايكونش على الورق احطله transmission + +325 +00:28:22,190 --> 00:28:24,750 +و اقوله شايف و اقوله مش شايف و اين شايف جدش شايف + +326 +00:28:25,660 --> 00:28:30,880 +نصيحة تعملوش transposition ع الورق تعملوش يعني ع + +327 +00:28:30,880 --> 00:28:34,560 +الورق و بس لأ لأن كله trial .. trial و الله أنا + +328 +00:28:34,560 --> 00:28:39,840 +مصحى أحيانًا transposition بعمل مشاكل لمكنش في + +329 +00:28:39,840 --> 00:28:47,580 +trial و في تثبيت طيب الوضع التاني أن والله أنا + +330 +00:28:47,580 --> 00:28:53,180 +with بفضل أخد ال plus لما + +331 +00:28:53,180 --> 00:29:00,030 +أسألالـ against لأ لأ لأ انا وصلت ال against ارجع + +332 +00:29:00,030 --> 00:29:04,690 +تاني فورا ارجع لوضع الهدف اخر واحدة كانت معي with + +333 +00:29:04,690 --> 00:29:10,430 +ارجع لها لأ مسمحش ال against يخش عليها لأنه انا لو + +334 +00:29:10,430 --> 00:29:14,430 +مضيت في ال against رايح في حارة تانية بعيدة عن + +335 +00:29:14,430 --> 00:29:22,850 +neutral وهي موضوع addition of lens powerبتنتقل من + +336 +00:29:22,850 --> 00:29:27,970 +حارة لحارة لأ ارجع تاني خليك في الحارة الأولى طيب + +337 +00:29:27,970 --> 00:29:33,410 +moving in or out from the initial working distance + +338 +00:29:33,410 --> 00:29:39,570 +من ناحية المريض اما اقرب للمريض مثلا انا بشتغل من + +339 +00:29:39,570 --> 00:29:45,010 +خمسة وستين سانتي العادية في مرة انا بدأ اجرب + +340 +00:29:45,010 --> 00:29:52,720 +اربعين وفي مرة بدأ اجرب سبعينمرة بدأ اذهب ناحية + +341 +00:29:52,720 --> 00:29:58,500 +العيان هاي ال patient هنا مرة بدأ اقرب له و مرة + +342 +00:29:58,500 --> 00:30:04,180 +بدأ ابعد عنه يقول القاعدة ان انا قصرت ال working + +343 +00:30:04,180 --> 00:30:09,220 +distance اللي حركة هتكون وانطولت ال working + +344 +00:30:09,220 --> 00:30:15,100 +distance هتصبح against يبقى انا عند ال neutral + +345 +00:30:15,100 --> 00:30:20,520 +point انا وصلت لها باجتهاد الشخص تعبت فيهاان انا + +346 +00:30:20,520 --> 00:30:23,360 +جاعد على الكرسي مرة باتني حاجة لقدام و بعمل هك + +347 +00:30:23,360 --> 00:30:30,420 +برتن اسكوب سارة with و بقت مرة ضاري اك و ماتش كده + +348 +00:30:30,420 --> 00:30:36,640 +اذا كان اولاني يخلق الحركة ال reflex with الجريبة + +349 +00:30:36,640 --> 00:30:42,400 +و لما بعت سارة against يبقى انا شغلي صح يبقى + +350 +00:30:42,400 --> 00:30:45,820 +الان هذا الموضوع بتاع verification of neutrality + +351 +00:30:45,820 --> 00:30:47,600 +هام جدا + +352 +00:30:50,780 --> 00:30:55,560 +أنا ما بخبّي عنكم الهم جدا هذا الهم جدا لأن اللي + +353 +00:30:55,560 --> 00:31:04,000 +بيعرفوش بتوقف وبنفس حين التوقف طيب + +354 +00:31:04,000 --> 00:31:10,380 +في رتنسكوبي هد عجيب في عندي حاجة اسمها radical + +355 +00:31:10,380 --> 00:31:13,860 +retinoscope ايش radical retinoscope الشغل عم يتحف + +356 +00:31:13,860 --> 00:31:19,840 +قريبا يقولني في أحيان بعض المرضى عنده + +357 +00:31:21,740 --> 00:31:27,800 +Pupil narrow خلجة خاصة كبار السن في كبار السن + +358 +00:31:27,800 --> 00:31:30,300 +سفينتر pupillary بيصير أقوى من ال dilator عكس + +359 +00:31:30,300 --> 00:31:35,080 +الأطفال في الأطفال ال dilator أقوى تلاقي الواحد + +360 +00:31:35,080 --> 00:31:39,360 +الصغير ما شاء الله البقبه بتاعه واسع هيك و لطيف في + +361 +00:31:39,360 --> 00:31:43,580 +الأكبر السن لأ تلاقي البقبه بتاعه دي و pin hole + +362 +00:31:43,580 --> 00:31:50,090 +طبعا هذه له حكمة كل إشي له حكمةبتكبر السن عشان + +363 +00:31:50,090 --> 00:31:52,550 +السن عنده مشاكل في النظر أو اشي فال bone hauling + +364 +00:31:52,550 --> 00:31:56,090 +بيساعده طيب + +365 +00:31:56,090 --> 00:32:02,510 +بقوللي انا مضطر ان عشان اشوف ال reflex تمام اقرب + +366 +00:32:02,510 --> 00:32:05,850 +للمريض اقرب للمريض اقرب للمريض يمكن عشرين او + +367 +00:32:05,850 --> 00:32:12,010 +تلاتين سانتي عشان اشوف ال reflex تاني ممكن واحد + +368 +00:32:12,010 --> 00:32:16,290 +يكون عنده opacity bad cataract برضه انا ال 65 + +369 +00:32:16,290 --> 00:32:23,030 +سانتي متخيلش اشوف صحطب و الحل Radical بقولي اعمل + +370 +00:32:23,030 --> 00:32:29,170 +Radical اقرب عليه Radical اقرب يعني و هشوف و اعمل + +371 +00:32:29,170 --> 00:32:36,170 +neutralization قريب 30 cm او 20 cm او 40 cm بس + +372 +00:32:36,170 --> 00:32:40,110 +بقولي هنا في محذورين لازم اراعي عشان ماجعش فيهم + +373 +00:32:40,110 --> 00:32:45,750 +المحذور الأول اني لما اقرب على المريض اقرب في خط + +374 +00:32:45,750 --> 00:32:53,560 +المستقيم ماطلعش كده ولا اطلع كدهلأن أي انحراف دا + +375 +00:32:53,560 --> 00:32:59,120 +اليمين أو دا الشمال بيعمللي ع ال result مشكلة بصير + +376 +00:32:59,120 --> 00:33:06,660 +الضوء اللي دخل ضوء عين العيان ماشي على ال macula + +377 +00:33:06,660 --> 00:33:10,020 +هاي + +378 +00:33:10,020 --> 00:33:14,560 +عين العيان والله انا اذا كان في ال visual axis فال + +379 +00:33:14,560 --> 00:33:18,960 +visual axis هيوديني على ال maculaلكن انا ان روحت + +380 +00:33:18,960 --> 00:33:21,980 +داعة اليمين او داعة الشمال هسير اما ضاوء المنطقة + +381 +00:33:21,980 --> 00:33:27,500 +هالي او ضاوء المنطقة هالي او ال parapovial او + +382 +00:33:27,500 --> 00:33:32,600 +paramacular بعيد يبقى ان انا لما ضاوء المنطقة هالي + +383 +00:33:32,600 --> 00:33:39,100 +هيك ال reflex او القوة البصرية مش هتكون زي ما كانت + +384 +00:33:39,100 --> 00:33:44,160 +في الماكولا ال reflex بتاعي يعني pseudo + +385 +00:33:48,640 --> 00:33:55,220 +صح هيك؟ لأن ال video axis هو لايربط Center of the + +386 +00:33:55,220 --> 00:34:00,440 +cornea with the center of the fovea وهذا بيجيب + +387 +00:34:00,440 --> 00:34:07,700 +أفضل description أو refraction لل optical power of + +388 +00:34:07,700 --> 00:34:13,370 +this eyeفبقولي و أنا داخل أقرب من مسافة 65 سانتي + +389 +00:34:13,370 --> 00:34:19,230 +إلى عين العيان أحاول أكون أنا منتبه للإستقامة على + +390 +00:34:19,230 --> 00:34:26,310 +طول أصل صحيح لكن لو عملت كده أو عملت كده هأضوي + +391 +00:34:26,310 --> 00:34:33,010 +مناطق في الشبكية أخرى هاي + +392 +00:34:33,010 --> 00:34:38,680 +أول محضور لل radical retroscopeالمحلول التاني وهو + +393 +00:34:38,680 --> 00:34:44,320 +الأهم يعني هذا هيجيبني نص الديوبتر إلى ديوبتر خطأ + +394 +00:34:44,320 --> 00:34:49,120 +يعني الضلالة هذه الـstring الضلالة على الجانبين + +395 +00:34:49,120 --> 00:34:57,240 +لكن الأخطر فيه قياس مقلوب ال working distance قياس + +396 +00:34:57,240 --> 00:35:00,920 +المقلوب فهو + +397 +00:35:00,920 --> 00:35:06,340 +بدور من المثال يقول لي أناانتقلت من ستة و ستين + +398 +00:35:06,340 --> 00:35:11,240 +سانتي الى تلاتة و ستين سانتي كام الفرق بينهم تلاتة + +399 +00:35:11,240 --> 00:35:15,700 +سانتي بقولي شوف المسافة بتاعة التلاتة سانتي هذه من + +400 +00:35:15,700 --> 00:35:21,820 +ستة و ستين الى تلاتة و ستين عملتلي 0.07 ديوبتر + +401 +00:35:21,820 --> 00:35:28,140 +error يعني سبعة من عالمية ا من الديوبتر جريم ولا + +402 +00:35:28,140 --> 00:35:35,670 +كتير جريم طيب شوفوالو أنا بأعمل Radical من 12 + +403 +00:35:35,670 --> 00:35:39,910 +سانتي و + +404 +00:35:39,910 --> 00:35:47,970 +حسبتم 9 سانتي يعني أنا بشتغل من 9 و حسبتم 12 الفرق + +405 +00:35:47,970 --> 00:35:56,070 +72.78% error ديوبتر يعني تلاتة يعني في المسافات + +406 +00:35:56,070 --> 00:36:02,440 +القريبة ال سانتي عمل ديوبترفي المسافات الباقية ده + +407 +00:36:02,440 --> 00:36:12,420 +الـ Santi عمل 2 من 100 على 100 ديوكتر، اشي بسيط، + +408 +00:36:12,420 --> 00:36:16,820 +فبقوللي إن المحادر كل ما اقتربنا إلى الأمام كل ما + +409 +00:36:16,820 --> 00:36:23,100 +الخطر زاد، في الحساب، لذلك هو ينصح إنه الإنسان + +410 +00:36:23,100 --> 00:36:28,240 +اللي بده يعمل radical إنه حقيقة يتواضع، يستخدم + +411 +00:36:28,240 --> 00:36:36,130 +مصطرةلأنه خطر، كل centimeter يبدأ يفتر، خطأ، يعني + +412 +00:36:36,130 --> 00:36:39,150 +أنا بنفع أعمله prescription على ال radical، مثلا + +413 +00:36:39,150 --> 00:36:46,830 +أقول إن هذا minus three و هو minus مثلا four أو + +414 +00:36:46,830 --> 00:36:51,010 +minus five أو minus six أحيانا، لا + +415 +00:36:53,850 --> 00:36:58,570 +فبقول لي إنه هذا اللي هو عنده cataract شوية مش + +416 +00:36:58,570 --> 00:37:03,650 +mature طبعا أو عنده small pupil و بده تعمله + +417 +00:37:03,650 --> 00:37:11,830 +radical امسك مصطرع يعني ما تجسش لأنه ممكن المقلوب + +418 +00:37:11,830 --> 00:37:16,090 +المسافة اللي بده يبتر يكون أضعف أضعف وهذا شيء صعب + +419 +00:37:16,090 --> 00:37:22,050 +طبعا و الحل الأحسن أن أعمله dilatation of the + +420 +00:37:22,050 --> 00:37:22,290 +pupil + +421 +00:37:25,400 --> 00:37:31,660 +dilatation of the pupil اوسعله البقبق ابن ريتك اه + +422 +00:37:31,660 --> 00:37:38,020 +تحت اشرف الطبيب طبعا تحت اشرف الطبيب وحتى هذه + +423 +00:37:38,020 --> 00:37:41,700 +التوسيق برضه بدأ اكون انا حذر فيها شوية لانه + +424 +00:37:41,700 --> 00:37:47,560 +هتعملي scissor shadow احيانا لو تسع الأخر هتعملي + +425 +00:37:47,560 --> 00:37:51,960 +scissor shadow ولو عملته التوسيق احيانا بدهم يعملي + +426 +00:37:51,960 --> 00:37:56,130 +اثر على ال accommodationلأن الـ Mediatic برضه نوع + +427 +00:37:56,130 --> 00:38:00,710 +من الـ Cycloblegic الضعيف برضه هيعمل يجلّلي أو + +428 +00:38:00,710 --> 00:38:12,490 +يخيلي ال accommodation فاهمون ولا نائمون؟ طيب + +429 +00:38:12,490 --> 00:38:18,650 +هذا اسمه Radical طيب بال Radical + +430 +00:38:22,740 --> 00:38:30,500 +قصة ان ال power equals one divided by distance D + +431 +00:38:30,500 --> 00:38:36,400 +equals one divided by F اللي هو قوة دلوقتي واحد + +432 +00:38:36,400 --> 00:38:40,680 +مقلوب اللي هو واحد على المسافة ال work in distance + +433 +00:38:40,680 --> 00:38:48,440 +twenty بدأ خمس سنة يكتر اللي بيشتغل من عشرين كل ما + +434 +00:38:48,440 --> 00:38:51,560 +قربنا المقلوب بيكون أكبر طب واحد بيشتغل من + +435 +00:38:51,560 --> 00:38:57,170 +خمستاشر؟مقلوب جد إيش؟ ستة و سبعة و ستين طب واحد + +436 +00:38:57,170 --> 00:39:01,430 +بيشتغل من عشرة؟ عشرة، مقلوب عشرة، يا سلام يعني + +437 +00:39:01,430 --> 00:39:05,870 +واحد بيشتغل من عشرة سانتي بده المقلوب يكون عشرة، + +438 +00:39:05,870 --> 00:39:14,150 +ده يبتر فاهمين قصة؟ فإنما أكون مستغلت أبعد من + +439 +00:39:14,150 --> 00:39:20,750 +مترين بقسم نص و من متر بقسم واحد لكن من عشرة سانتي + +440 +00:39:20,750 --> 00:39:25,430 +بقسم عشرة و ده يبترمن أسهل نشتغل بعيد ولا جريب؟ + +441 +00:39:25,430 --> 00:39:32,690 +نشتغل بعيد بس في إطار إن أنا أشوف ال reflex صح مش + +442 +00:39:32,690 --> 00:39:36,990 +علومة برضه أنا ممكن أشتغل من مترين بس صعب ال + +443 +00:39:36,990 --> 00:39:42,590 +reflex أشوفه كويس أنا وجدت شغل من متر تمام من متر + +444 +00:39:42,590 --> 00:39:47,690 +بس حالات الكبار في السن اللي عندهم narrow pupil + +445 +00:39:47,690 --> 00:39:53,470 +وشوية opacity opacityبدي أستغل من خمسين و أكون + +446 +00:39:53,470 --> 00:39:58,890 +صاحي أنه خمسين خمسين اللي بيغلب الناس اللي زيكوا + +447 +00:39:58,890 --> 00:40:03,110 +هو المسافة لأن واحد بيقول هذه ستين و واحد بيقول لأ + +448 +00:40:03,110 --> 00:40:05,430 +هي خمسين و واحد بيقول هي اربعين طب إيش ال .. إيش + +449 +00:40:05,430 --> 00:40:11,930 +الفيصل بيننا الفيصل القياس ما أستحين القياس القياس + +450 +00:40:11,930 --> 00:40:15,610 +المفروض كل واحدة منكوا تكون قاسة دراعها قاسة + +451 +00:40:15,610 --> 00:40:17,210 +دراعها من الآن و عارفها جديش + +452 +00:40:22,810 --> 00:40:30,830 +متر الخشب مش متر الجماش متر الخشبي مش متر الخماش + +453 +00:40:30,830 --> 00:40:36,150 +متر الخياطين + +454 +00:40:36,150 --> 00:40:43,810 +متر الخياطين بالتنة لكن متر المسطرة الخشبية أكتر + +455 +00:40:43,810 --> 00:40:48,480 +ماشي؟دكتوري ال radical ريتموسكوبي الصعب ان تكون + +456 +00:40:48,480 --> 00:40:52,740 +دقيقة الصعب ان نحققها و نجيب الاشي بالظبط انا معاك + +457 +00:40:52,740 --> 00:40:58,380 +ال radical صعبة لك بالانتباه لو انا كنت حاضر بصي + +458 +00:40:58,380 --> 00:41:02,420 +اللي انا اتيه حاضر في ال reflex و حاضر في المسافة + +459 +00:41:02,420 --> 00:41:07,980 +و مقلبها اما ما أسيب الأمور تمشي هي تمشي الأمور لأ + +460 +00:41:07,980 --> 00:41:12,620 +انا ماشيها طيب سيبنا ال radical دينا على ال + +461 +00:41:12,620 --> 00:41:21,150 +dynamic ايش ال dynamic ريتموسكوبيلأ لأ أسهل مين + +462 +00:41:21,150 --> 00:41:23,570 +بقى off-issue الدياناميكي الريتنوسكو؟ لأ بريتشل + +463 +00:41:23,570 --> 00:41:29,070 +شغال على نيربورتشل شوف + +464 +00:41:29,070 --> 00:41:35,870 +كلمتان صغار يا بنات كلمتان صغار أنا + +465 +00:41:35,870 --> 00:41:39,170 +عملت ريتنوسكو بالعادى اسمه static static لما يكون + +466 +00:41:39,170 --> 00:41:44,230 +المريض ينظر في ال infinityطالما بنظر في انفتي و + +467 +00:41:44,230 --> 00:41:50,490 +انا بشتغل استاتيك استاتيك يعني ثابت بعد ما اعمل + +468 +00:41:50,490 --> 00:41:55,110 +استاتيك بطلع النتيجة مثلا العين اليمين plus one + +469 +00:41:55,110 --> 00:42:05,210 +العين التاني مثلا plus two هذا ال right eye وهذا + +470 +00:42:05,210 --> 00:42:09,910 +ال left eye طبعا + +471 +00:42:09,910 --> 00:42:10,410 +هذا objective + +472 +00:42:14,050 --> 00:42:20,970 +الان انا بدي اعمل dynamic بخليه يطلع في ضوء باشي + +473 +00:42:20,970 --> 00:42:25,450 +بعيد طلع في ضوء طب و لمّا اعملت طلع في ضوء ايش صار + +474 +00:42:25,450 --> 00:42:29,990 +في ال accommodation؟ اكتيفتي سرير ال muscle بدأت + +475 +00:42:29,990 --> 00:42:35,890 +ايه؟ تعمل contraction حسب سنه مثلا واحد طفل عمره + +476 +00:42:35,890 --> 00:42:39,990 +عشر سنوات ممكن انه يضيفلي اربع علاجي هنا plus five + +477 +00:42:39,990 --> 00:42:48,260 +و انا plus6 و لو واحد في سنكه ممكن يصير انا plus + +478 +00:42:48,260 --> 00:42:55,660 +مثلا three و انا plus four واحد في سني ممكن plus + +479 +00:42:55,660 --> 00:43:00,980 +two plus three بقول + +480 +00:43:00,980 --> 00:43:05,860 +هذا ال plus اللي اجه جديد indication of addition + +481 +00:43:05,860 --> 00:43:14,660 +of breast biopia breast biopiaأه لو بتعمل باي فوكل + +482 +00:43:14,660 --> 00:43:20,080 +مثلا اللي فوق static و اللي تحت dynamic كويس؟ + +483 +00:43:20,080 --> 00:43:25,420 +عارفش ديناميك؟ ما بتخبطه من ال dynamic و بين ال + +484 +00:43:25,420 --> 00:43:30,120 +radical ال radical لناس اللي عندهم ال بو و ديج او + +485 +00:43:30,120 --> 00:43:34,460 +في opacity ال dynamic لناس ال breast biome الغلبة + +486 +00:43:34,460 --> 00:43:41,080 +اللي هو معظم سكان العالم طيب الان + +487 +00:43:42,040 --> 00:43:45,300 +لما طلع النتائج هذه الإضافية بتاعة ال dynamical + +488 +00:43:45,300 --> 00:43:50,980 +كيف أنا أحسبها في ال prescription؟ بدي أكتب الآن، + +489 +00:43:50,980 --> 00:43:55,480 +ودول بالكم ال prescription وثيقة يا بناتي، أنتم + +490 +00:43:55,480 --> 00:44:00,140 +معنيين تعملوا prescription؟ + +491 +00:44:00,140 --> 00:44:06,970 +يعني في غيركم ال paramedicals؟ لأ، ود النتيجةليه + +492 +00:44:06,970 --> 00:44:10,370 +الطبيب ال physician و ال physician هو مسئول ايش + +493 +00:44:10,370 --> 00:44:16,230 +يعطي علاج ايش يعمل كده مش authorized paramedical + +494 +00:44:16,230 --> 00:44:20,990 +مثلا أخصاء الأشعة أخصاء الأشعة بيصور و بيحط في + +495 +00:44:20,990 --> 00:44:26,510 +الكيس و بكتب اسم المريض و برديه على الطبيب بعده + +496 +00:44:26,510 --> 00:44:31,410 +تحليل بطلع التحليل و بكتب اسم المريض عليها و برديه + +497 +00:44:31,410 --> 00:44:36,170 +على الطبيب هو حرلكن دوكوا انتوا لأ في ال + +498 +00:44:36,170 --> 00:44:38,210 +prescription انتوا مخاولين تكتبوا prescription + +499 +00:44:38,210 --> 00:44:41,490 +فانتوا + +500 +00:44:41,490 --> 00:44:45,990 +اللي فحصته وانتوا الان اللي بتكون قرروا ال + +501 +00:44:45,990 --> 00:44:50,110 +prescription من صلاحياتكم وحتى ال contact lenses + +502 +00:44:50,110 --> 00:44:53,490 +انتوا من صلاحياتكم بتكتبوا مش في حاجة ترجعونا + +503 +00:44:53,490 --> 00:44:58,890 +الوصفة مش في حاجة ترجعونا لأ خلاص احنا مخاولين + +504 +00:44:58,890 --> 00:45:05,470 +تكتبوا prescription بس بالحق اتعلموا الحق يعنيالان + +505 +00:45:05,470 --> 00:45:08,850 +بقولي لما نعمل ال description فيه تلات طرق ال + +506 +00:45:08,850 --> 00:45:15,350 +dynamic أول طريقة بقولي + +507 +00:45:15,350 --> 00:45:20,370 +انك افضل حط plus على عين العيان ال dynamic اللي + +508 +00:45:20,370 --> 00:45:24,830 +بتطلع فيه لغاية ما يصير reverse of movement + +509 +00:45:28,570 --> 00:45:32,550 +يعني انا with بفضل اضع زيادة في ال dynamic و هو + +510 +00:45:32,550 --> 00:45:37,870 +بتطلع فيه مباشرة في ضوءي بطلع شبعيد و احطله plus + +511 +00:45:37,870 --> 00:45:42,610 +plus plus plus اول ما سير minus بتكون هذه الوصفة + +512 +00:45:42,610 --> 00:45:47,050 +اول درجة في ال minus اول درجة في ال against اول + +513 +00:45:47,050 --> 00:45:50,970 +درجة في ال against هي ال prescription هذه الطريقة + +514 +00:45:50,970 --> 00:46:00,470 +الطريقة التانية لأشيرتس هذا او shirts قال لأ يا + +515 +00:46:00,470 --> 00:46:06,310 +عمي هو في نظره انه بيقوللي ما تحط كل مسافة بيقوللي + +516 +00:46:06,310 --> 00:46:11,850 +على الأقل قلل بنص يعني مثلا في العين اليمين كانت + +517 +00:46:11,850 --> 00:46:18,730 +plus one والان صارت مثلا plus three قال لأ اتحطش + +518 +00:46:18,730 --> 00:46:24,490 +اتحطش اتنين الفريق اتحط واحد و نص قال عشان تخلي ال + +519 +00:46:24,490 --> 00:46:30,610 +celery muscleعند activity لو حطيت اتنين كلهم نيمت + +520 +00:46:30,610 --> 00:46:38,710 +خلاص خل فيه نشاط يبقى الطريقة التانية بتقولي انه + +521 +00:46:38,710 --> 00:46:43,610 +بدل ما تحط اتنين كاملين اخصم على الاقل نص وفي ناس + +522 +00:46:43,610 --> 00:46:48,190 +بيقولوا اخصم اكتر هنا في الحالة هذه بيقول up to + +523 +00:46:48,190 --> 00:46:55,070 +one يعني بدل التلاتة تحط واحد و نص او تحط واحد بس + +524 +00:46:55,070 --> 00:47:01,830 +في ال additionnear addition يبدو + +525 +00:47:01,830 --> 00:47:06,030 +أنني ماكنت أستخدم لإيش لخياس + +526 +00:47:06,030 --> 00:47:09,470 +جداش ال accumulation جوي أنا أزعم إن ال + +527 +00:47:09,470 --> 00:47:16,190 +accumulation لما كان بتطلع far كان zero أو قريب من + +528 +00:47:16,190 --> 00:47:19,970 +ال zero يعني عشان أكون محتاط أقريب من ال zero لكن + +529 +00:47:19,970 --> 00:47:27,630 +لما كان بتطلع في ضوءيفى الاتنسكوب صار ماكسيما او + +530 +00:47:27,630 --> 00:47:34,810 +جانب الماكسيما طبعا هنا كل انسان حسب كام الcellar + +531 +00:47:34,810 --> 00:47:40,350 +muscle تقدر تعمل contraction وبالتالي + +532 +00:47:40,350 --> 00:47:46,530 +انه يعني .. يعني انا بده اهون في ال .. ال .. ال .. + +533 +00:47:46,530 --> 00:47:51,030 +اللى جانى يعني من ال .. ال dynamic انى ماحطه كله + +534 +00:47:51,030 --> 00:47:56,910 +احط بعضهفي واحد بيقول يفضطوا كله على الآخر الطريقة + +535 +00:47:56,910 --> 00:47:59,570 +الأولى الطريقة التانية جاتلي اخصم نص الطريقة + +536 +00:47:59,570 --> 00:48:04,170 +التالية جاتلي اخصم واحد انتوا معاني اي طريقة النص + +537 +00:48:04,170 --> 00:48:07,290 +خارج + +538 +00:48:07,290 --> 00:48:12,810 +الأمور الوسط حقيقة انا قرأت اشي جديد فيه موضوع + +539 +00:48:12,810 --> 00:48:19,690 +بقولك صورة اللي بقرأ اياتها كم؟ 286 + +540 +00:48:24,170 --> 00:48:30,410 +بتعرف ستة و تمانين بقوللي لو شيلت الستة بيظال + +541 +00:48:30,410 --> 00:48:36,510 +تمانين و عشرين عدد الصور المدنية بقوللي لو شيلت + +542 +00:48:36,510 --> 00:48:42,930 +اتنين و فضلت ستة و تمانين الصور المكية تحفظوا عني + +543 +00:48:42,930 --> 00:48:49,250 +بس بقول لو جسمت اتنين بيطلع مية و أربع تاش صح؟ مية + +544 +00:48:49,250 --> 00:48:51,810 +و أربع تاش صحيح ولا مية و أربع و تلاتين؟ + +545 +00:48:54,910 --> 00:49:01,490 +286 143 أحسنتى ال 143 هي الآية اللى فى سورة البخرة + +546 +00:49:01,490 --> 00:49:05,190 +بتقول و كذلك جعلناكم أمة وسطة ليه تكون مش وداء على + +547 +00:49:05,190 --> 00:49:10,850 +الناس ال 143 بس كان معاكوا قرآن على الهدى افتحوا + +548 +00:49:10,850 --> 00:49:15,090 +على ال 143 سورة البخرة وشوفوها صحيح ولا لأ و كذلك + +549 +00:49:15,090 --> 00:49:20,250 +جعلناكم أمة وسطة فاللي اختار التانية هذه هو اختار + +550 +00:49:20,250 --> 00:49:27,770 +الوسط اي الخير او الأفضلماشي؟ طيب فأقدر بس نقطتين + +551 +00:49:27,770 --> 00:49:32,330 +على السريع عشان نخلص المحاضرة و نقديها الهجوم ال + +552 +00:49:32,330 --> 00:49:37,770 +estimation technique ايش estimation تقدير اولش ال + +553 +00:49:37,770 --> 00:49:43,290 +myopia ال myopia less than five و انا myopia more + +554 +00:49:43,290 --> 00:49:49,010 +than five يعني بالعربي بنوع تاني انا ماعيش الا + +555 +00:49:49,010 --> 00:49:51,910 +رتنسكوب ماعيش صندوق عدسات + +556 +00:49:55,260 --> 00:50:01,020 +كيف بريتروسكوب لحاله أشخص + +557 +00:50:01,020 --> 00:50:06,640 +الميوبيا لمريض ميوبيا مرة تحت الخمسة و مرة فوق + +558 +00:50:06,640 --> 00:50:18,440 +الخمسة عن طريق ال power مقلوب المسافة مر معاك و + +559 +00:50:18,440 --> 00:50:23,500 +هذا الشيء؟ لأ لأ طيب هو يقول ان انا بدأ اعتمد على + +560 +00:50:23,500 --> 00:50:35,720 +ال working distanceأنا بدي أجيب الويلش ألن الويلش + +561 +00:50:35,720 --> 00:50:38,160 +ألن الويلش ألن الويلش ألن الويلش ألن الويلش ألن + +562 +00:50:38,160 --> 00:50:38,320 +الويلش ألن الويلش ألن الويلش ألن الويلش ألن الويلش + +563 +00:50:38,320 --> 00:50:41,100 +ألن الويلش ألن الويلش ألن الويلش ألن الويلش ألن + +564 +00:50:41,100 --> 00:50:41,600 +الويلش ألن الويلش ألن الويلش ألن الويلش ألن الويلش + +565 +00:50:41,600 --> 00:50:42,660 +الويلش ألن الويلش ألن الويلش ألن الويلش ألن الويلش + +566 +00:50:42,660 --> 00:50:52,700 +ألن الويلش ألن الويلش + +567 +00:50:52,700 --> 00:51:00,420 +أليعني انا ماو حطيت عدسات قبل انا بس غيرت في ال + +568 +00:51:00,420 --> 00:51:09,600 +working distance بس من ال working distance انا + +569 +00:51:09,600 --> 00:51:16,420 +قدرت اقرب جديش هو ميوب مثلا واحد + +570 +00:51:16,420 --> 00:51:24,240 +وصل عشرة سنتين يكون عنده عشر ديوب تر ميوب يعني12.5 + +571 +00:51:24,240 --> 00:51:29,800 +بيكون عنده تمانية إذا كان نوتراتي صارت من سبت عشر + +572 +00:51:29,800 --> 00:51:37,720 +صنتي بيكون عنده ستة القوة مقلوب بالمسافة طيب من + +573 +00:51:37,720 --> 00:51:43,200 +عشرين صنتي خمسة ديوقتر من خمسة و عشرين أربعة + +574 +00:51:43,200 --> 00:51:47,500 +ديوقتر من تلاتة و تلاتين تلاتة ديوقتر من أربعين + +575 +00:52:02,720 --> 00:52:11,340 +تقريبا تقريبا تقريبا و بعدين انا افترض انه عدم + +576 +00:52:11,340 --> 00:52:15,340 +وجود عدسات مافيش عندي lenses + +577 +00:52:18,770 --> 00:52:26,830 +يعني انا لنفرض عندى لتنسكوب و مريض ممكن اعرف قداش + +578 +00:52:26,830 --> 00:52:32,790 +قوته البصرية بالوما بالتقدير estimation طب لو + +579 +00:52:32,790 --> 00:52:37,970 +ماعنديش لتنسكوب إيش أعمل؟ لو ماعنديش لتنسكوب بدي + +580 +00:52:37,970 --> 00:52:44,470 +أصنع لتنسكوب أنا بدي أصنع لتنسكوب بدي + +581 +00:52:44,470 --> 00:52:50,540 +من برايامستدير كل بيت فيه مرأة مستديرة و لا مستحيل + +582 +00:52:50,540 --> 00:53:00,000 +و بخرمها كيف اخرمها اعدها الشطار خرمها الشطار و اي + +583 +00:53:00,000 --> 00:53:03,680 +مصدر ضوئي فوق رأس العيالة اي مصدر ضوئي بس ازغره + +584 +00:53:03,680 --> 00:53:08,860 +شوية اغطيه و ازغره شوية و ممكن اني انا افضل اقرب و + +585 +00:53:08,860 --> 00:53:14,300 +اعمل لغاية ما اعمل ايش اعمل neutralization المسافة + +586 +00:53:14,300 --> 00:53:25,920 +مقلوب القوة و بسفهمت ولا لسه؟ فهمت فهمين؟ اه اه اه + +587 +00:53:25,920 --> 00:53:32,840 +اللي اصعب منها خلصنا بس اللي لما يكون اكتر من خمسة + +588 +00:53:32,840 --> 00:53:39,140 +اكتر من خمسة هو بيقولي في الطريقة هذه الصعبة شوية + +589 +00:53:39,140 --> 00:53:43,780 +ملاحظين الرسم ايش بتقول؟ Hierotoscope وهي العين + +590 +00:53:45,570 --> 00:53:52,410 +بيقول لي أنا لما أصل أوضح reflex هجيب ورقة بيضاء + +591 +00:53:52,410 --> 00:53:57,610 +هي ال paper اسمها موجودة عندكم؟ و أحط ال paper + +592 +00:53:57,610 --> 00:54:04,310 +بجانب ال retinoscope قال هتجيني على + +593 +00:54:07,140 --> 00:54:10,180 +الصفحة البيضة اللي حطيها في ورقة الكراسي يعني في + +594 +00:54:10,180 --> 00:54:14,120 +جانب الاتنسكوب صورة صغيرة الصورة الصغيرة هي صورة + +595 +00:54:14,120 --> 00:54:18,280 +اللامبا اللي جوا من الاتنسكوب هي يعني الصورة + +596 +00:54:18,280 --> 00:54:22,860 +الصغيرة اه اجيز قال المسافة من هنا ل هنا للعين من + +597 +00:54:22,860 --> 00:54:28,800 +الورق للعين لعلامة الو أحطها مقلوب المسافة هي صعبة + +598 +00:54:28,800 --> 00:54:32,720 +يا عزيزي الورقة البيضة بتاع البريتنسكوب جاله هيبين + +599 +00:54:32,720 --> 00:54:37,700 +عليه خط ما هو dark room هيبين خط طبيعي خط ضوء ضوئي + +600 +00:54:37,700 --> 00:54:43,240 +أجيس من ورقة للعين و أحط مقلوب المسافة يعني أنا + +601 +00:54:43,240 --> 00:54:51,020 +زيكوا مش حاسسها إش كتير هذه بقولش + +602 +00:54:51,020 --> 00:54:55,600 +أنا بحسي فيها بس الطريقة بتاعة الأولانيةمانتم + +603 +00:54:55,600 --> 00:54:59,540 +لاحظين لو انتم لاحظين هنا هذه حتى جابت العشرة + +604 +00:54:59,540 --> 00:55:06,600 +والتمانية والستة اللي أكتر من الخمسة هيهم يعني هذه + +605 +00:55:06,600 --> 00:55:10,840 +الطريقة جابت التنين بس انتم مش ماخنين بالكم يعني + +606 +00:55:10,840 --> 00:55:14,360 +هي less than less than five لكن حقيقة هذه جابت + +607 +00:55:14,360 --> 00:55:18,020 +تاكل estimation myopia without lenses يعني بدون + +608 +00:55:18,020 --> 00:55:23,020 +عدسات فهلوة يعني بس الطريقة هذه بقول انا تقريبا + +609 +00:55:23,020 --> 00:55:29,110 +بعد موجود عدساتواللي هيكذب هذا أو هيصدقه ال + +610 +00:55:29,110 --> 00:55:35,190 +subjective هتون كتابك و عدسة و راح جربها هيبين انه + +611 +00:55:35,190 --> 00:55:40,170 +بيشوف 6 ع 6 ولا لأ؟ طيب اخر اشي بس بتتكلم على اشي + +612 +00:55:40,170 --> 00:55:44,410 +بسيط هذا ال Welsh Allen اللي عندنا في المعمل وهذا + +613 +00:55:44,410 --> 00:55:49,630 +حقيقة heavy duty امريكي 88 دولار ال written score + +614 +00:55:49,630 --> 00:55:54,370 +اللي بتشتغلوا عليه افضل شي في العالم هو هذا جبنا + +615 +00:55:54,370 --> 00:56:00,240 +كيلروغير كيلر ما خدمش عندنا، كله اتكسر، يابان + +616 +00:56:00,240 --> 00:56:04,000 +وغيره متكسر، بريطاني، الامريكي والشعلن بتاع الشركة + +617 +00:56:04,000 --> 00:56:08,900 +هذه كان افضل واحد خدم في معاملنا، اللي زيه في + +618 +00:56:08,900 --> 00:56:13,640 +بريطانيا قبلان، بس هذا sleeve up بيشتغل، مش موجود + +619 +00:56:13,640 --> 00:56:19,760 +عندنا، ولا لاجيناه في السوق، بس بتقول انا ما هي + +620 +00:56:19,760 --> 00:56:30,890 +مزاياخلصنا مزايا الاتنسكوب اه + +621 +00:56:30,890 --> 00:56:35,130 +انتوا خدتوا كتير مزايا الاتنسكوب easy to use و + +622 +00:56:35,130 --> 00:56:39,790 +portable و ال handling و بدي بال reflex و بدي بالا + +623 +00:56:39,790 --> 00:56:45,070 +stigmatism اه و في ال children لما يمنفعش غيره هذه + +624 +00:56:45,070 --> 00:56:48,770 +الحاجات انتوا عارفينها كويس او مش هضيف عليها حاجة + +625 +00:56:48,770 --> 00:56:56,690 +عشان اخلص عن صحيحطب ما هي ال disadvantage؟ + +626 +00:56:56,690 --> 00:56:59,490 +عارفينها و خلاص نجلب عليها؟ عارفينها و مش + +627 +00:56:59,490 --> 00:57:06,490 +عارفينها؟ لأن فاضل أنا عندي ربع الساعة أخدتها + +628 +00:57:06,490 --> 00:57:10,970 +كلها أجلب عليها خلصنا المرة الجاية في دارس دين + +629 +00:57:10,970 --> 00:57:15,030 +شكرا + +630 +00:57:15,030 --> 00:57:17,410 +لكم و بارك الله فيكم و السلام عليكم و نحو الله + +631 +00:57:17,410 --> 00:57:17,810 +وبركاته + diff --git a/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/YvTBmt9OHOU_raw.srt b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/YvTBmt9OHOU_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..a8aaf74dd9925ae5e3b3a7a03c8538b5edef93a3 --- /dev/null +++ b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/YvTBmt9OHOU_raw.srt @@ -0,0 +1,2536 @@ +1 +00:00:20,990 --> 00:00:23,850 +عودوا بالله مش فارغين بسم الله الرحمن الرحيم الحمد + +2 +00:00:23,850 --> 00:00:28,370 +لله و أكفه و أسلم و أسلم على الحبيب المصطفى السلام + +3 +00:00:28,370 --> 00:00:33,090 +عليكم و رحمة الله و بركاته في المحاضرة السابقة كنا + +4 +00:00:33,090 --> 00:00:37,530 +نتكلم على neutralization of the reflex using plus + +5 +00:00:37,530 --> 00:00:47,930 +cylinder lens and we have shown that the axisالـ + +6 +00:00:47,930 --> 00:00:53,370 +Plus Cylinder يجب أن يكون مرتبط على المجال اللي + +7 +00:00:53,370 --> 00:01:00,170 +قمنا بتحريكه أو نتراليزه اليوم بدأنا نتراليزه + +8 +00:01:00,170 --> 00:01:05,330 +باستخدام الـ Minus Cylinder Length والأحداث هي + +9 +00:01:05,330 --> 00:01:12,410 +عكسة الـ Plus Cylinder Length يجب أن نضع + +10 +00:01:16,830 --> 00:01:23,550 +the axis of the cylinder minus cylinder parallel + +11 +00:01:23,550 --> 00:01:31,810 +to the median we will neutralize موازي له و + +12 +00:01:31,810 --> 00:01:38,030 +بالمناسبة مش شرط دايما ان يكون ninety or one + +13 +00:01:38,030 --> 00:01:43,290 +hundred eighty لا ممكن يكون Oblique ممكن يكون ستين + +14 +00:01:43,290 --> 00:01:47,270 +اربعين مائة و عشرين مائة و أربعينالمناسبة انا حبيت + +15 +00:01:47,270 --> 00:01:50,550 +فعلا اذاكركم مواحد يقول يعني هذه زي ما جال الدكتور + +16 +00:01:50,550 --> 00:01:54,310 +انه دايما تسعين او دايما مية و تمانين لأ بس احنا + +17 +00:01:54,310 --> 00:01:58,890 +بنستسهل في التدريس التسعين والمية و تمانين لإن لو + +18 +00:01:58,890 --> 00:02:03,590 +كانت قبليك تلاتين اربعين مية و عشرين مية و اخمسين + +19 +00:02:03,590 --> 00:02:11,370 +عادي جدا المهم وين مافيه meridian انا احط معه ال + +20 +00:02:11,370 --> 00:02:17,080 +axis في ال minus اللي هو اياش cylinderو عمودي عليه + +21 +00:02:17,080 --> 00:02:23,040 +في الـ plus و ممكن تاني احفظناهم و ماشي يبقى the + +22 +00:02:23,040 --> 00:02:26,320 +axis is parallel to the meridian that we are + +23 +00:02:26,320 --> 00:02:32,300 +streaking we will line up another occur our + +24 +00:02:32,300 --> 00:02:35,580 +cylinder axis perpendicular to the orientation of + +25 +00:02:35,580 --> 00:02:40,960 +the streak يعني بما انه streak ال light بتاعنا + +26 +00:02:40,960 --> 00:02:45,890 +دايما عمودي على ال meridianعمودي على الـ meridian + +27 +00:02:45,890 --> 00:02:49,830 +يعني الـ meridian 180 بحط ضوء يوايه في التسعين و + +28 +00:02:49,830 --> 00:02:53,570 +العكس لو ال meridian بتاعي 90 بحط ال light بتاعي + +29 +00:02:53,570 --> 00:02:58,050 +عمودي عليه ماينفعش يكونوا اتنين متوازين دائما هو + +30 +00:02:58,050 --> 00:03:03,790 +العمودي عامدين فهو عمل بس relation لل axis of + +31 +00:03:03,790 --> 00:03:09,910 +cylinder اذا كانوا plus بيكونوا مع الضوء اذا كانوا + +32 +00:03:09,910 --> 00:03:16,950 +minus بيكون عمودي على الضوء و خلصناin our words 90 + +33 +00:03:16,950 --> 00:03:21,650 +degrees in this example اللي هي إيش؟ هالي يبقى + +34 +00:03:21,650 --> 00:03:29,550 +الآن أنا بما اني حاطط ال axis في التسعين ال + +35 +00:03:29,550 --> 00:03:34,690 +meridian في التسعين اضغط في ال مية و تمانين عمودي + +36 +00:03:34,690 --> 00:03:39,050 +عالي يبقى الضوء وين؟ عمودي على اتنين عمودي على ال + +37 +00:03:39,050 --> 00:03:44,160 +meridianو عمودي عليه إيش؟ على ال axis في ال minus + +38 +00:03:44,160 --> 00:03:47,100 +يعني هذا غير عن الكلام اللي اتكلمناه في المحاضرة + +39 +00:03:47,100 --> 00:03:51,960 +الماضية طيب الان + +40 +00:03:51,960 --> 00:04:03,560 +بقول إيه؟ في كل مرة هأضع minus cylinder 0.5 و أعمل + +41 +00:04:03,560 --> 00:04:09,100 +streaking لسه في حركة movement مثلا with بشيل النص + +42 +00:04:09,100 --> 00:04:18,050 +و بحط واحدوبعمل أيضا streaking لسه فى حركة ايش بدى + +43 +00:04:18,050 --> 00:04:24,210 +اعمل بدى اشيل الواحد واخد واحد ونص وبعمل اشتريك فى + +44 +00:04:24,210 --> 00:04:28,670 +حركة بشيل واحد ونص واخد اتنين من نفس الطراز minus + +45 +00:04:28,670 --> 00:04:35,830 +cylinder الى ان يصل ايش as near as the neutral + +46 +00:04:35,830 --> 00:04:43,160 +point يعني ان وصلت الحفة بتاعتهابمضيش بجف بعمل + +47 +00:04:43,160 --> 00:04:48,620 +verification ببدأ انا ابرهن او اثبت ان انا في ال + +48 +00:04:48,620 --> 00:04:52,600 +neutral point لكن لو فضلت احط نص و نص و نص و نص و + +49 +00:04:52,600 --> 00:04:52,640 +نص و نص و نص و نص و نص و نص و نص و نص و نص و نص و + +50 +00:04:52,640 --> 00:04:52,700 +نص و نص و نص و نص و نص و نص و نص و نص و نص و نص و + +51 +00:04:52,700 --> 00:04:52,740 +نص و نص و نص و نص و نص و نص و نص و نص و نص و نص و + +52 +00:04:52,740 --> 00:04:52,880 +نص و نص و نص و نص و نص و نص و نص و نص و نص و نص و + +53 +00:04:52,880 --> 00:04:52,940 +نص و نص و نص و نص و نص و نص و نص و نص و نص و نص و + +54 +00:04:52,940 --> 00:05:00,840 +نص و نص و نص و نص و نص و نص + +55 +00:05:00,840 --> 00:05:04,940 +و + +56 +00:05:04,940 --> 00:05:12,900 +نالـ reflex الأولاني خلص بسفير هذا خلصنا بسفير + +57 +00:05:12,900 --> 00:05:19,100 +زمان، صح؟ لكن هذا فاضفي و مؤمن صح ضاق، لكن لسه + +58 +00:05:19,100 --> 00:05:26,040 +استدلت أحطه سلندر، نص، نص، نص، سلندر يا ناس الـ + +59 +00:05:26,040 --> 00:05:31,420 +minus سلندر هذه اللي أنا بحطها بتأثر على السفير + +60 +00:05:31,420 --> 00:05:32,260 +هذا ولا لا؟ + +61 +00:05:40,450 --> 00:05:50,910 +خلّيني أقول بالعربي ان القوة هنا zero و + +62 +00:05:50,910 --> 00:05:58,890 +ال power اللي بتيجي بتاعة السيلندر عمودي هنا علما + +63 +00:05:58,890 --> 00:06:05,980 +ان هذا انا خلصت منه بالسفير فال powerالـ minus + +64 +00:06:05,980 --> 00:06:11,740 +اللي عمودي على ال zero ال axis هتأثر على قوة + +65 +00:06:11,740 --> 00:06:15,540 +السفير اللي خلصت منها ولا لأ؟ لأ لأ لإيش؟ لإنه + +66 +00:06:15,540 --> 00:06:18,220 +العشقانات اللي .. اللي .. اللي .. اللي .. اللي .. + +67 +00:06:18,220 --> 00:06:20,420 +اللي .. اللي .. اللي .. اللي .. اللي .. اللي .. + +68 +00:06:20,420 --> 00:06:20,540 +اللي .. اللي .. اللي .. اللي .. اللي .. اللي .. + +69 +00:06:20,540 --> 00:06:20,800 +اللي .. اللي .. اللي .. اللي .. اللي .. اللي .. + +70 +00:06:20,800 --> 00:06:20,880 +اللي .. اللي .. اللي .. اللي .. اللي .. اللي .. + +71 +00:06:20,880 --> 00:06:20,900 +اللي .. اللي .. اللي .. اللي .. اللي .. اللي .. + +72 +00:06:20,900 --> 00:06:21,060 +اللي .. اللي .. اللي .. اللي .. اللي .. اللي .. + +73 +00:06:21,060 --> 00:06:23,960 +اللي .. اللي .. اللي .. اللي .. اللي .. اللي .. + +74 +00:06:23,960 --> 00:06:23,980 +اللي .. اللي .. اللي .. اللي .. اللي .. اللي .. + +75 +00:06:23,980 --> 00:06:32,900 +اللي .. اللي .. اللي + +76 +00:06:32,900 --> 00:06:34,760 +.. الل + +77 +00:06:36,750 --> 00:06:42,610 +و ال power عمودي بقول ال axis الأولاني أنا خلصت + +78 +00:06:42,610 --> 00:06:47,250 +منه او ال meridian الأولاني ال 180 هذا أنا خلصت + +79 +00:06:47,250 --> 00:06:53,490 +منه و صار neutral خلاص الان انا لما جيت احط سيلندر + +80 +00:06:53,490 --> 00:06:59,710 +عمودي عليه السيلندر هنا صفر و القوة بتاعته هنا اما + +81 +00:06:59,710 --> 00:07:04,910 +هنا صفر دايما ال axis صفر و ال power هنا ال power + +82 +00:07:04,910 --> 00:07:10,950 +اتعلت عادلسلبت منه نص وسلبت منه واحد وسلبت منه + +83 +00:07:10,950 --> 00:07:17,390 +واحد ونص وسلبت منه اتنين هل لما تسلب منه بجل ولا + +84 +00:07:17,390 --> 00:07:19,790 +بيظل زي ما هو؟ بيظل زي ما هو زي ما هو زي ما هو زي + +85 +00:07:19,790 --> 00:07:20,970 +ما هو زي ما هو زي ما هو زي ما هو زي ما هو زي ما هو + +86 +00:07:20,970 --> 00:07:20,970 +زي ما هو زي ما هو زي ما هو زي ما هو زي ما هو زي ما + +87 +00:07:20,970 --> 00:07:20,990 +هو زي ما هو زي ما هو زي ما هو زي ما هو زي ما هو زي + +88 +00:07:20,990 --> 00:07:22,810 +ما هو زي ما هو زي ما هو زي ما هو زي ما هو زي ما هو + +89 +00:07:22,810 --> 00:07:25,290 +زي ما هو زي ما هو زي ما هو زي ما هو زي ما هو زي ما + +90 +00:07:25,290 --> 00:07:27,970 +هو زي ما هو زي ما هو زي ما هو زي ما هو زي ما هو زي + +91 +00:07:27,970 --> 00:07:31,010 +ما هو زي ما هو زي + +92 +00:07:31,010 --> 00:07:32,950 +ما هو زي ما هو ز + +93 +00:07:35,100 --> 00:07:43,660 +انه بتأثر ترفع يدها انه بخس يعني واحد اتنين تلاتة + +94 +00:07:43,660 --> 00:07:47,640 +اربعة اللي مش عارفة لا هيك ولا هيك ترفع يدها طبعا + +95 +00:07:47,640 --> 00:07:55,700 +مش حادث يرفع يدها الحقيقة انه بتأثر اه بتأثر القوة + +96 +00:07:55,700 --> 00:08:00,120 +السالبة اللي اجت على المريض يعني اللي اتعادل تأثرت + +97 +00:08:00,120 --> 00:08:07,130 +سلبا طب والحلبنرجع نقسم الاشياء اللي قلناه ان انا + +98 +00:08:07,130 --> 00:08:14,290 +ال compensation ايش compensation تعويض مع كل + +99 +00:08:14,290 --> 00:08:23,810 +ديوبتر minus في ديوبتر plus sphere مع كل ديوبتر + +100 +00:08:23,810 --> 00:08:27,910 +ديوبتر مع كل نص ديوبتر نص ديوبتر إلى ان اصل انا + +101 +00:08:27,910 --> 00:08:36,830 +neutralization بسفير معادلو هذه الصعوبة الإضافية + +102 +00:08:36,830 --> 00:08:42,370 +في ال minus cylinder في ال plus ماكناش حاسبين في + +103 +00:08:42,370 --> 00:08:46,370 +ال plus ماكناش حاسبين في ال plus ماكناش .. ليش + +104 +00:08:46,370 --> 00:08:49,950 +ماكناش حاسبين؟ + +105 +00:08:49,950 --> 00:08:59,310 +اه لأنه القوة وين جاية؟ كانت القوة عمودي على ال + +106 +00:08:59,310 --> 00:09:05,250 +meridian عمودي على ال meridianاللي هو ال axis كان + +107 +00:09:05,250 --> 00:09:09,030 +عمودي عن ال meridian فالقوة في ال meridian القوة + +108 +00:09:09,030 --> 00:09:12,330 +في ال meridian اللي انا .. يعني ايه ايش هذا + +109 +00:09:12,330 --> 00:09:15,490 +المعارف مش المعارف اللي بتعدل اه اللي بتعدل لكن + +110 +00:09:15,490 --> 00:09:20,190 +هنا القوة .. القوة بتيجي في ال meridian الأولاني + +111 +00:09:20,190 --> 00:09:24,670 +ال meridian اللي اتعدل أساساً القوة هنا في ال + +112 +00:09:24,670 --> 00:09:32,300 +minus جاية عمودي على ال axis هذافهذا المريض اللي + +113 +00:09:32,300 --> 00:09:41,420 +اتعادل اللي صار هيه متعدل اهتز هنا انسلب زغر عشان + +114 +00:09:41,420 --> 00:09:47,080 +هي كان بيقوللي هنا في خطوة إضافية there is one + +115 +00:09:47,080 --> 00:09:52,220 +extra step إيش يعني extra step خطوة إضافية as + +116 +00:09:52,220 --> 00:09:58,700 +compared to plus cylinder neutralization إيش هي we + +117 +00:09:58,700 --> 00:10:07,200 +must add0.5 ديوبتر of plus sphere power for each 0 + +118 +00:10:07,200 --> 00:10:12,340 +.5 minus cylinder power that we add to compensate + +119 +00:10:12,340 --> 00:10:16,500 +يقعود النقص اللي صار في المحور الأول ال first axis + +120 +00:10:16,500 --> 00:10:24,260 +the sphere power must be added as we go alongin + +121 +00:10:24,260 --> 00:10:28,180 +other words you will add كمان مرة بأكد التوضيح في + +122 +00:10:28,180 --> 00:10:36,380 +كل minus cylinder نص plus sphere نص حتى أصل + +123 +00:10:36,380 --> 00:10:44,360 +النهاية عشان يكون فيه عدل ليش أصلح الجديد والجديم + +124 +00:10:44,360 --> 00:10:49,820 +يخس لأ طيب هذا هو ال control of streaking the + +125 +00:10:49,820 --> 00:10:55,920 +meridianwith motion إلى إن أصل إيش الـ neutrality + +126 +00:10:55,920 --> 00:11:00,780 +أو أكتر منها إن أكتر منها طبعا احنا بنذكر كل الطرق + +127 +00:11:00,780 --> 00:11:06,920 +لكن للطالبة في النهاية أن تعمل بما تريد أي طريقة + +128 +00:11:06,920 --> 00:11:13,400 +منهم أما لما تسأل في الامتحان بيتجيب على الكل لكن + +129 +00:11:13,400 --> 00:11:20,270 +في الطريقة العملية في الحياة هي تختار في حريةأما + +130 +00:11:20,270 --> 00:11:22,990 +القصور ان هي تكون عارفة طريقة واحدة مش عارفة غيرها + +131 +00:11:22,990 --> 00:11:26,910 +لأ تكون عارفة الطرق التانية لكن الطريقة الأرياحية + +132 +00:11:26,910 --> 00:11:31,030 +اللي أنا بشتغل فيها once the neutral reflex we + +133 +00:11:31,030 --> 00:11:33,990 +have reached the end point neutrality can be + +134 +00:11:33,990 --> 00:11:38,270 +assumed when any motion just disappears اه بقولي + +135 +00:11:38,270 --> 00:11:44,830 +مجرد أخر ربع ان انا يبقى عندي neutrality او قرب ال + +136 +00:11:44,830 --> 00:11:50,910 +neutralityأتوقف ولا أمضي في الإضافة ولا أمضي في + +137 +00:11:50,910 --> 00:11:56,390 +الإضافة لأن هذا بيعطيني wide range of power لو + +138 +00:11:56,390 --> 00:12:01,370 +فضلت أضيف wide range of power فهذا مش كويس ممكن + +139 +00:12:01,370 --> 00:12:06,990 +ندينه على اتجاه المعاكس لكن أنا لما وصلت حفة الحفة + +140 +00:12:06,990 --> 00:12:12,670 +بتاعة الحفرة أتوقف ومن الحفة ممكن أنظر لكن لو + +141 +00:12:12,670 --> 00:12:17,490 +اتقدمت مجعب في الحفرةمش سهل ان اقفز للنحو التاني + +142 +00:12:17,490 --> 00:12:24,390 +فأحسن ان اتوقف وبعد ما اتوقف تبدأ خطوات اخرى طيب + +143 +00:12:24,390 --> 00:12:28,670 +انا بشتغل objective ولا subjective الان كله + +144 +00:12:28,670 --> 00:12:36,470 +objective ما دخلت الساعة في ال subjective اول + +145 +00:12:36,470 --> 00:12:42,030 +خطوة في ال subjective ان اخسم مقلوب ال working + +146 +00:12:42,030 --> 00:12:53,260 +distanceطيب انا اشتغل سفير وسيلندر والان بطلع + +147 +00:12:53,260 --> 00:12:58,580 +نتيجة sc سفير وسيلندر انا من النتيجة هذه اخس من + +148 +00:12:58,580 --> 00:13:03,150 +السفيرولا أخصه من السيلندر ولا أخصه من اتنين؟ + +149 +00:13:03,150 --> 00:13:07,210 +السفير، السفير، السفير، السفير، السفير، السفير، + +150 +00:13:07,210 --> 00:13:07,250 +السفير، السفير، السفير، السفير، السفير، السفير، + +151 +00:13:07,250 --> 00:13:08,310 +السفير، السفير، السفير، السفير، السفير، السفير، + +152 +00:13:08,310 --> 00:13:15,090 +السفير، السفير، السفير، السفير، السفير، السفير، + +153 +00:13:15,090 --> 00:13:21,050 +السفير، السفير، السفير، السفير، السفير، السفير، + +154 +00:13:21,050 --> 00:13:21,050 +السفير، السفير، السفير، السفير، السفير، السفير، + +155 +00:13:21,050 --> 00:13:22,150 +السفير، السفير، السفير، السفير، السفير، السفير، + +156 +00:13:22,150 --> 00:13:23,510 +السفير، السفير، السفير، السفير، السفير، السفير، + +157 +00:13:23,510 --> 00:13:28,650 +السفير، السفير، السفأما السيلندر ما بيشتغلش إلا في + +158 +00:13:28,650 --> 00:13:33,430 +أكسس واحد بس يبقى + +159 +00:13:33,430 --> 00:13:39,210 +بيقوللي لما أعمل subtraction خاصة this is usually + +160 +00:13:39,210 --> 00:13:43,170 +الناس اللي بتشتغل بدراها ودراها خمس ستين أو ستة و + +161 +00:13:43,170 --> 00:13:48,670 +ستين سانتي بيخسم واحد و نص لكن مش معناه ذلك واحد + +162 +00:13:48,670 --> 00:13:52,330 +يلتزم بال working distance أقل أو أكتر يلتزم في + +163 +00:13:52,330 --> 00:13:58,130 +مقلوبةهتشوفوا الآن إيش تأثير المسافة طيب طالع الآن + +164 +00:13:58,130 --> 00:14:02,830 +عندي أنا في ال objective في ال objective minus one + +165 +00:14:02,830 --> 00:14:10,810 +minus one point five multiplied by ninety في تسعين + +166 +00:14:10,810 --> 00:14:18,530 +الآن بدي أنا أخسم الواحد و نص مقلب المسافة يعني + +167 +00:14:18,530 --> 00:14:24,240 +الواحد و نص كمان minus one point fiveبصير الاسفير + +168 +00:14:24,240 --> 00:14:29,700 +كمان؟ مانوس نصف اما السيلندر ماقصبتهاش السيلندر + +169 +00:14:29,700 --> 00:14:37,180 +كما هي ماغيرتها يبقى خاصة فقط وين؟ طيب لو بدي اعمل + +170 +00:14:37,180 --> 00:14:43,060 +transposition ليه هذه؟ بجمع السفير مع السيلندر + +171 +00:14:43,060 --> 00:14:52,380 +بصير كم؟ أربعةعلى نص واحد بغير إشارة السيلندر بصير + +172 +00:14:52,380 --> 00:15:00,300 +واحد و نص والأكس بضيء 90 بصير 180 180 degree 180 + +173 +00:15:00,300 --> 00:15:09,900 +degree خلاص هيك؟ خلاص طيب، الآن كل co-slip تحت + +174 +00:15:09,900 --> 00:15:13,850 +الastroscope تشتغلوش down، صح؟نفس كوبلاند في + +175 +00:15:13,850 --> 00:15:17,750 +بريطانيا بيشتغل عليه up احنا ولش ألين احنا جامعة + +176 +00:15:17,750 --> 00:15:24,170 +ولش ألين للامريكا ولش ألين كله تبع تحت طيب في + +177 +00:15:24,170 --> 00:15:32,330 +حالات معينة بقولي انا بضطر ان اعمل sleep up فابدى + +178 +00:15:32,330 --> 00:15:39,410 +اعرف ايش هي sleep up بقولي انا في حالتين بستخدم + +179 +00:15:39,410 --> 00:15:45,540 +sleep up حسب اللي عندنا ولش ألينأول اشي to verify + +180 +00:15:45,540 --> 00:15:52,380 +neutrality ان اتأكد من صحة ال neutral point وهذه + +181 +00:15:52,380 --> 00:15:58,200 +كيف تيجي و لو انا neutral point بتاعتي true اش + +182 +00:15:58,200 --> 00:16:05,920 +true يعني صحيحة سواء كان slave down او up لا فرق + +183 +00:16:05,920 --> 00:16:10,020 +بينهما يعني + +184 +00:16:10,020 --> 00:16:15,540 +انا ب slave down وصرت neutral pointأنا بدي أصحح + +185 +00:16:15,540 --> 00:16:20,400 +نفسي أشوف شغلي صح ولا لأ بعمله up و بعمله ايه ان + +186 +00:16:20,400 --> 00:16:24,440 +لجيته neutral من هنا و من هنا و من كل ال meridians + +187 +00:16:24,440 --> 00:16:28,960 +بكون شغله صح فلكن اذا كان عملته up و لجيت فيه حركة + +188 +00:16:28,960 --> 00:16:35,710 +اذا الشغل ما الصح يعني جد نتأكد نعملأه أه أه + +189 +00:16:35,710 --> 00:16:43,310 +تعملوه انا بقولكوا عشان تعملوه أه طيب بيقوللي أول + +190 +00:16:43,310 --> 00:16:47,570 +إيش to verify أن أثبت صحة ال neutral point بتاعتي + +191 +00:16:47,570 --> 00:16:52,530 +عشان هيك بعمل step up التانية while others use to + +192 +00:16:52,530 --> 00:16:57,950 +switch the movement of the reflex بيقوللي والله + +193 +00:16:57,950 --> 00:17:03,550 +أنا جيت أعمل بال down هيك لجيت very slow dim + +194 +00:17:03,550 --> 00:17:09,820 +movementيعني في الحالة دي إيش كنا بنعمل في high + +195 +00:17:09,820 --> 00:17:14,780 +refractive error عندي إيش بعمل بقيت يا plus five + +196 +00:17:14,780 --> 00:17:19,620 +يا minus five حسب اللي هو ال error بعد ال minus أو + +197 +00:17:19,620 --> 00:17:24,500 +plus five ببدأ ال reflex يتحرك و شوية bright و + +198 +00:17:24,500 --> 00:17:30,680 +أسرع بيقوللي بدل عن هذه ال plus أو minus five لأ + +199 +00:17:30,680 --> 00:17:40,040 +أعمل اللي هو up لما أعمل upتبدأ الأمور تمشي في + +200 +00:17:40,040 --> 00:17:47,660 +يعني سرعة و brightness أحسن يعني بدل ان انا اضغط + +201 +00:17:47,660 --> 00:17:51,900 +high plus او high minus عشان reflect بقرار عالي لأ + +202 +00:17:51,900 --> 00:17:59,590 +بقول انه اعمل up مستغرر عالي upيبقى بيقوللي ان + +203 +00:17:59,590 --> 00:18:03,570 +اقلب ال .. اقلب من مثلا من with إلى against او من + +204 +00:18:03,570 --> 00:18:06,390 +against إلى with by reversing the moment it is no + +205 +00:18:06,390 --> 00:18:11,150 +longer necessary to add too much minus اه to + +206 +00:18:11,150 --> 00:18:14,730 +produce with moment يعني انا استغنيت عن الخركة + +207 +00:18:14,730 --> 00:18:17,970 +اللي كنت بعملها في الأول زائد خمسة او ناقص خمسة + +208 +00:18:17,970 --> 00:18:22,810 +طبعا صعب عليكوا شوية لكن الأولة هنشرحها ان شاء + +209 +00:18:22,810 --> 00:18:22,830 +الله + +210 +00:18:26,310 --> 00:18:33,110 +بريفاق الـ neutrality الأولى هذه بس + +211 +00:18:33,110 --> 00:18:36,630 +اختصارها when a high refractive error is present + +212 +00:18:36,630 --> 00:18:41,550 +the reflex may be moving slowly that it appears to + +213 +00:18:41,550 --> 00:18:44,570 +be neutralized however the reflex will also appear + +214 +00:18:44,570 --> 00:18:51,290 +quite dim in this case neutrality has اه بيقول في + +215 +00:18:51,290 --> 00:18:55,660 +الحالة ان في high refractive errorأنا لما أقلب ال + +216 +00:18:55,660 --> 00:19:02,000 +sleeve فوق بدل تحت بساعدني في أني أعرف أين أنا على + +217 +00:19:02,000 --> 00:19:07,820 +الأقل أني أنا بالحركة بتاعتي اكتشفت أنه في high + +218 +00:19:07,820 --> 00:19:12,740 +error ممكن أرجعها تاني تحت و أبدأ إيش أعمل أحط + +219 +00:19:12,740 --> 00:19:19,870 +خمسةمثلا minus ويبين وابدأ اضيف نص نص نص اللي هو + +220 +00:19:19,870 --> 00:19:23,310 +minus لما اصل ال neutral point يعني الحركة هذه + +221 +00:19:23,310 --> 00:19:27,950 +بتاع تسليف ايش عملت ليه كشفت لي الطريق بتعرف + +222 +00:19:27,950 --> 00:19:35,170 +الواحد في الظلام مش شايفه قدامه مع كشاف صغير ضاوة + +223 +00:19:35,170 --> 00:19:40,630 +مش شايفه على الأقل وين هو ماشيفالان لما حطت ال + +224 +00:19:40,630 --> 00:19:44,970 +sleeve بدال down حطيته فوق و لاجيت الأمور اتسهلت + +225 +00:19:44,970 --> 00:19:51,450 +ال reflex صار واضح صار مثلا against واضح و bright + +226 +00:19:51,450 --> 00:19:56,930 +و السرعة جيدة مش سريعة كتير لكن جيدة بعود ارجع تحت + +227 +00:19:56,930 --> 00:20:04,230 +و احط minus five او minus six او minus seven و + +228 +00:20:04,230 --> 00:20:11,130 +ابدأ اشتغل يعني كأنها myopia صغيرة يعنيبعد الإضافة + +229 +00:20:11,130 --> 00:20:14,350 +الكبيرة بصير خلاص الأمور يعني جربت طب دكتور لما + +230 +00:20:14,350 --> 00:20:17,010 +نيجي نحط ال sleeve up و تبين معنا الحركة لما نيجي + +231 +00:20:17,010 --> 00:20:19,830 +ننزل ال sleeve بتكون عكس الحركة اللي زهرت معنا + +232 +00:20:19,830 --> 00:20:24,270 +فوق؟ اه عكسها اه عكسها الفوق جلبتلي الحركة و خلتها + +233 +00:20:24,270 --> 00:20:29,530 +أوضح فانا بقى اه رجع تحت و صرت اعرف حالي انا وين + +234 +00:20:31,400 --> 00:20:35,840 +صرت انا عارف حاليا و الله اذا كان بال هذا يعني بال + +235 +00:20:35,840 --> 00:20:41,040 +sleeve up صارت with اذا اللي تحت against كان + +236 +00:20:41,040 --> 00:20:46,420 +sleeve up عملتلي against + +237 +00:20:46,420 --> 00:20:52,820 +اذا انا كان with يعني عكس الموضوع خلاص انا ممكن + +238 +00:20:52,820 --> 00:20:56,300 +ايه خلاص اخد مثلا اذا كان hypermetropia اخد plus + +239 +00:20:56,300 --> 00:21:04,800 +مثلا اربعة او خمسة او ستة و اكمليعني اختصر الوقت و + +240 +00:21:04,800 --> 00:21:10,180 +اريح ليه هاي اللزوم اللزوم التاني ان اعمل + +241 +00:21:10,180 --> 00:21:13,360 +verification ال neutral point زي اللي قلت قبل شوية + +242 +00:21:13,360 --> 00:21:17,440 +والله ال neutral point اذا كانها أصلية و صادقة ما + +243 +00:21:17,440 --> 00:21:22,980 +بيهمها ان تكون تحت او فوقيعني أنا بالليل down + +244 +00:21:22,980 --> 00:21:27,580 +sleeve وصرت ال neutral point عشان أصدق حالي بروح + +245 +00:21:27,580 --> 00:21:31,000 +أنا أعمل فوق و أعمل إن أجيت كله neutral إذا أنا + +246 +00:21:31,000 --> 00:21:35,900 +شغلي صح طيب لجيت في حركة إذا أنا شغلي غلط عاوز + +247 +00:21:35,900 --> 00:21:40,060 +أعيد في + +248 +00:21:40,060 --> 00:21:44,460 +واحد بيقول إنه يعني واحد ممكن يعلم حاله أو يعاتب + +249 +00:21:44,460 --> 00:21:49,000 +حاله كيف بيقولك ما عاتب المرأة الكريمة كنفسه + +250 +00:21:50,950 --> 00:21:56,070 +والمرء يصليح القرين والصالح هذا بيت شعر له مناسبة + +251 +00:21:56,070 --> 00:22:02,130 +جوية هذا كان في واحد من صاحب المعلقات مشهور اسمه + +252 +00:22:02,130 --> 00:22:07,190 +لبيد ابن عمر لبيد ابن عمر هذا مشهور يعني كان شاعر + +253 +00:22:07,190 --> 00:22:14,070 +كبير بالجاهلية فبقولك لما أسلم تبترجوا الشعر + +254 +00:22:14,070 --> 00:22:15,170 +ومسكوا القرآن يحفظوا + +255 +00:22:18,070 --> 00:22:22,290 +فمختلفين إيش البيت اللي جاله؟ وسكت عن الشارع في + +256 +00:22:22,290 --> 00:22:24,730 +ناس بيقولوا جال هذا البيت معتب المرأة الكريمة + +257 +00:22:24,730 --> 00:22:29,290 +كنفسه والمرأة يسلحوا القارين والصالحين في ناس + +258 +00:22:29,290 --> 00:22:33,770 +قالوا لأ البيت اللي جاله هو الحمد لله إذ لم يأتني + +259 +00:22:33,770 --> 00:22:39,810 +أجلي حتى اكتسيته من الإسلام سربالة إيه سربالة + +260 +00:22:39,810 --> 00:22:44,930 +يعني؟ ما الاسم؟ صور الإسلام سربالة بالك ومين أصدق + +261 +00:22:44,930 --> 00:22:49,880 +البيت الأول ولا التاني؟الحمد لله لما قديني اجري + +262 +00:22:49,880 --> 00:22:54,220 +حتى اكتسيته من الإسلام سيبقى فهو اذا كان واحد قادر + +263 +00:22:54,220 --> 00:23:01,900 +يعدي الحاله ليش مايعدي الحاله طيب بقولي انا بدي + +264 +00:23:01,900 --> 00:23:04,240 +اعمل confirmation لا neutral point ايش + +265 +00:23:04,240 --> 00:23:09,780 +confirmation تأكيد بدي اكد ال neutral point بتاعتى + +266 +00:23:09,780 --> 00:23:12,380 +طب قوليه neutral point يعني مهم اللي هقدر اجعله + +267 +00:23:14,200 --> 00:23:20,120 +طبعا هي أصول شغلي هو أنا كل تعبي على أيش؟ كل تعبي + +268 +00:23:20,120 --> 00:23:24,680 +بالريتروسكوب و العدسات و كل الشغل هذا عشان أصلي + +269 +00:23:24,680 --> 00:23:27,900 +نترابونو في واحد بيصلي في دقيقة و واحد بيصلي في نص + +270 +00:23:27,900 --> 00:23:33,360 +ساعة انتوا من أي نوع؟ نص ساعة و نص دقيقة و نص + +271 +00:23:33,360 --> 00:23:38,880 +ساعتين و الله يا حسب الموجهين اذا كانوا صحيين + +272 +00:23:38,880 --> 00:23:43,260 +بديهم الموجهين في كل شي بتخلهم شجعهمو انا بقولكوا + +273 +00:23:43,260 --> 00:23:49,080 +انا دائما بحرض ع ال directors بقول انا لو الطلبة + +274 +00:23:49,080 --> 00:23:54,020 +أدقية مابيخلوكوا قدر دقيقة الموجهين + +275 +00:23:54,020 --> 00:23:59,640 +لكن اذا كان طالب خجلان و جاعت بيشتغل غلط واحدها + +276 +00:23:59,640 --> 00:24:06,340 +كان مركز ان هو بيشتغل صح مافيش اتصال نعم + +277 +00:24:06,340 --> 00:24:09,720 +ايش + +278 +00:24:09,720 --> 00:24:11,440 +التسعة مش الملموعة تسعة؟ + +279 +00:24:14,020 --> 00:24:18,600 +طيب لأ لأ لأ بقولكم تلت ساعات لازم يكونوا تلت + +280 +00:24:18,600 --> 00:24:22,840 +ساعات ليس ساعة تفكروا عليها الحالات هم برضه + +281 +00:24:22,840 --> 00:24:26,260 +تحكمونا اذا كان عندها محابر او .. المهم انا في + +282 +00:24:26,260 --> 00:24:31,760 +الآخر بشتر الصح ولا غلط انا لازم اأسس الصح و بعدين + +283 +00:24:31,760 --> 00:24:35,700 +بشتر الصح لكن اذا انا ما أسست الصح بفضل أشتر الغلط + +284 +00:24:35,700 --> 00:24:42,200 +ماتخذروا من حقه اللي بيخذر من حقه بضيع عليهأسسه + +285 +00:24:42,200 --> 00:24:46,280 +الصح في الأول اعرف الحل والمسائل صح لو أحل المسائل + +286 +00:24:46,280 --> 00:24:49,360 +تانية تلقاه صح بفضل انا امشي في اللي بعدهم صح لكن + +287 +00:24:49,360 --> 00:24:52,700 +انا كان حتى الآن في نهاية ال fraction two وانا بحل + +288 +00:24:52,700 --> 00:24:57,280 +غلط وماعملش neutral point صح وخجلانة هفضل طول عمري + +289 +00:24:57,280 --> 00:25:03,680 +حرين انا بانصحكم اشتغلوا صح طيب ال neutral point + +290 +00:25:03,680 --> 00:25:07,460 +انا بتأكدها بتلات حاجات اول اشي reversing the + +291 +00:25:07,460 --> 00:25:17,510 +sleeve اتنين بadditionof extraneous تلاتة moving + +292 +00:25:17,510 --> 00:25:22,910 +toward أو away from the patient مرة بجربنه و مرة + +293 +00:25:22,910 --> 00:25:26,790 +لا يعني طيب نبدأ بواحدة واحدة reversing the sleeve + +294 +00:25:26,790 --> 00:25:32,930 +ان الآن اتكلمت فيها بقول انا انه اذا كان neutral + +295 +00:25:32,930 --> 00:25:37,510 +point صحيحة it will be neutral دايما regardless + +296 +00:25:37,510 --> 00:25:42,230 +ايش regardlessبقدر النظر يعني بقدر النظر اقضى step + +297 +00:25:42,230 --> 00:25:46,610 +position فوق و لا تحت خلاص ال neutral point بس تحت + +298 +00:25:46,610 --> 00:25:51,670 +و لا فوق هي neutral اذا كان شغلي صح انا باقصيكوا + +299 +00:25:51,670 --> 00:25:56,530 +في ما تبقى هي أسبوعين فاضل في هذه و فاضل + +300 +00:25:56,530 --> 00:26:00,890 +reflection from الجامعه من فصل الجامعه وبعدها اللي + +301 +00:26:00,890 --> 00:26:07,410 +ما تعلم ضقت عليه هو الملامر لأنهم ماشتكموابالله + +302 +00:26:07,410 --> 00:26:11,190 +انا مطلوب مني ان امر في المجتمع كله اقول لوحد ايش + +303 +00:26:11,190 --> 00:26:17,250 +بتشكي من عينك؟ ايش يقوله عن الناس؟ ليش بتشكي؟ ليش + +304 +00:26:17,250 --> 00:26:21,130 +عينك خامرة؟ ليش عينك واسعة؟ ليش عينك ديقة؟ ليش + +305 +00:26:21,130 --> 00:26:25,770 +البقبق بتاعك كده؟ انا ما هيك الأسلوب في complaint + +306 +00:26:25,770 --> 00:26:32,010 +في شكوى في examination في complaint في examination + +307 +00:26:32,010 --> 00:26:38,120 +يبقى طالما انت مابتشكيشالآخرون اللي هم المشرفين + +308 +00:26:38,120 --> 00:26:45,300 +عليكي بحسابه بتشتغلي صح صحك؟ طيب يبقى ايه شريف + +309 +00:26:45,300 --> 00:26:53,940 +يالزينج sleep position؟ فاهمون ايش؟ كمبيوتر + +310 +00:26:53,940 --> 00:26:56,940 +الهولت هتكون سابته سابته يعني انا الان برتنسكوب + +311 +00:26:56,940 --> 00:27:03,130 +العادي sleep بتاعي تحتو بعدين عملت وصلت نترال + +312 +00:27:03,130 --> 00:27:10,410 +point هنا سفير و العكس سلندر هتختاروا بعدين plus + +313 +00:27:10,410 --> 00:27:14,550 +سلندر و لا minus سلندر فشغلوا فاهموني بعد احنا ما + +314 +00:27:14,550 --> 00:27:21,250 +خلصنا ال plus سفير و ال minus سفير لو احنا اشتغلوا + +315 +00:27:21,250 --> 00:27:25,430 +بسلندر لو اشتغلوا بسلندر اشتغلوا ب plus سلندر و لا + +316 +00:27:25,430 --> 00:27:26,330 +minus سلندر + +317 +00:27:29,120 --> 00:27:37,400 +عشان ماتطرش ان اضيف .. اه يعني هو يعني انا معايا + +318 +00:27:37,400 --> 00:27:43,480 +في سفير اولاني و في سيلندر تاني و احط كمان سفير + +319 +00:27:43,480 --> 00:27:51,740 +اشديد صعب فأحسن نشتغل ب plus cylinder والله لو انا + +320 +00:27:51,740 --> 00:27:58,570 +في الآخر بدي اعمل transposition هذا شغليممكن اني + +321 +00:27:58,570 --> 00:28:01,410 +شغلي بس انا بقى حب دايما transmission اني اعمله + +322 +00:28:01,410 --> 00:28:05,390 +trial كمان ماشي على الورق بحبش اللي بعمل + +323 +00:28:05,390 --> 00:28:08,510 +transmission على الورق كام من عيان عملوا + +324 +00:28:08,510 --> 00:28:11,690 +transmission على الورق لهدف تجاري لان مافيش غيرها + +325 +00:28:11,690 --> 00:28:18,570 +عند الoptician ومايشوفش كويس ويتعب كمان + +326 +00:28:18,570 --> 00:28:22,190 +transmission مايكونش على الورق احطله transmission + +327 +00:28:22,190 --> 00:28:24,750 +و اقوله شايف و اقوله مش شايف و اين شايف جدش شايف + +328 +00:28:25,660 --> 00:28:30,880 +نصيحة تعملوش transposition ع الورق تعملوش يعني ع + +329 +00:28:30,880 --> 00:28:34,560 +الورق و بس لأ لأن كله trial .. trial و الله أنا + +330 +00:28:34,560 --> 00:28:39,840 +مصحى أحيانًا transposition بعمل مشاكل لمكنش في + +331 +00:28:39,840 --> 00:28:47,580 +trial و في تثبيت طيب الوضع التاني أن والله أنا + +332 +00:28:47,580 --> 00:28:53,180 +with بفضل أخد ال plus لما + +333 +00:28:53,180 --> 00:29:00,030 +أسألالـ against لأ لأ لأ انا وصلت ال against ارجع + +334 +00:29:00,030 --> 00:29:04,690 +تاني فورا ارجع لوضع الهدف اخر واحدة كانت معي with + +335 +00:29:04,690 --> 00:29:10,430 +ارجع لها لأ مسمحش ال against يخش عليها لأنه انا لو + +336 +00:29:10,430 --> 00:29:14,430 +مضيت في ال against رايح في حارة تانية بعيدة عن + +337 +00:29:14,430 --> 00:29:22,850 +neutral وهي موضوع addition of lens powerبتنتقل من + +338 +00:29:22,850 --> 00:29:27,970 +حارة لحارة لأ ارجع تاني خليك في الحارة الأولى طيب + +339 +00:29:27,970 --> 00:29:33,410 +moving in or out from the initial working distance + +340 +00:29:33,410 --> 00:29:39,570 +من ناحية المريض اما اقرب للمريض مثلا انا بشتغل من + +341 +00:29:39,570 --> 00:29:45,010 +خمسة وستين سانتي العادية في مرة انا بدأ اجرب + +342 +00:29:45,010 --> 00:29:52,720 +اربعين وفي مرة بدأ اجرب سبعينمرة بدأ اذهب ناحية + +343 +00:29:52,720 --> 00:29:58,500 +العيان هاي ال patient هنا مرة بدأ اقرب له و مرة + +344 +00:29:58,500 --> 00:30:04,180 +بدأ ابعد عنه يقول القاعدة ان انا قصرت ال working + +345 +00:30:04,180 --> 00:30:09,220 +distance اللي حركة هتكون وانطولت ال working + +346 +00:30:09,220 --> 00:30:15,100 +distance هتصبح against يبقى انا عند ال neutral + +347 +00:30:15,100 --> 00:30:20,520 +point انا وصلت لها باجتهاد الشخص تعبت فيهاان انا + +348 +00:30:20,520 --> 00:30:23,360 +جاعد على الكرسي مرة باتني حاجة لقدام و بعمل هك + +349 +00:30:23,360 --> 00:30:30,420 +برتن اسكوب سارة with و بقت مرة ضاري اك و ماتش كده + +350 +00:30:30,420 --> 00:30:36,640 +اذا كان اولاني يخلق الحركة ال reflex with الجريبة + +351 +00:30:36,640 --> 00:30:42,400 +و لما بعت سارة against يبقى انا شغلي صح يبقى + +352 +00:30:42,400 --> 00:30:45,820 +الان هذا الموضوع بتاع verification of neutrality + +353 +00:30:45,820 --> 00:30:47,600 +هام جدا + +354 +00:30:50,780 --> 00:30:55,560 +أنا ما بخبّي عنكم الهم جدا هذا الهم جدا لأن اللي + +355 +00:30:55,560 --> 00:31:04,000 +بيعرفوش بتوقف وبنفس حين التوقف طيب + +356 +00:31:04,000 --> 00:31:10,380 +في رتنسكوبي هد عجيب في عندي حاجة اسمها radical + +357 +00:31:10,380 --> 00:31:13,860 +retinoscope ايش radical retinoscope الشغل عم يتحف + +358 +00:31:13,860 --> 00:31:19,840 +قريبا يقولني في أحيان بعض المرضى عنده + +359 +00:31:21,740 --> 00:31:27,800 +Pupil narrow خلجة خاصة كبار السن في كبار السن + +360 +00:31:27,800 --> 00:31:30,300 +سفينتر pupillary بيصير أقوى من ال dilator عكس + +361 +00:31:30,300 --> 00:31:35,080 +الأطفال في الأطفال ال dilator أقوى تلاقي الواحد + +362 +00:31:35,080 --> 00:31:39,360 +الصغير ما شاء الله البقبه بتاعه واسع هيك و لطيف في + +363 +00:31:39,360 --> 00:31:43,580 +الأكبر السن لأ تلاقي البقبه بتاعه دي و pin hole + +364 +00:31:43,580 --> 00:31:50,090 +طبعا هذه له حكمة كل إشي له حكمةبتكبر السن عشان + +365 +00:31:50,090 --> 00:31:52,550 +السن عنده مشاكل في النظر أو اشي فال bone hauling + +366 +00:31:52,550 --> 00:31:56,090 +بيساعده طيب + +367 +00:31:56,090 --> 00:32:02,510 +بقوللي انا مضطر ان عشان اشوف ال reflex تمام اقرب + +368 +00:32:02,510 --> 00:32:05,850 +للمريض اقرب للمريض اقرب للمريض يمكن عشرين او + +369 +00:32:05,850 --> 00:32:12,010 +تلاتين سانتي عشان اشوف ال reflex تاني ممكن واحد + +370 +00:32:12,010 --> 00:32:16,290 +يكون عنده opacity bad cataract برضه انا ال 65 + +371 +00:32:16,290 --> 00:32:23,030 +سانتي متخيلش اشوف صحطب و الحل Radical بقولي اعمل + +372 +00:32:23,030 --> 00:32:29,170 +Radical اقرب عليه Radical اقرب يعني و هشوف و اعمل + +373 +00:32:29,170 --> 00:32:36,170 +neutralization قريب 30 cm او 20 cm او 40 cm بس + +374 +00:32:36,170 --> 00:32:40,110 +بقولي هنا في محذورين لازم اراعي عشان ماجعش فيهم + +375 +00:32:40,110 --> 00:32:45,750 +المحذور الأول اني لما اقرب على المريض اقرب في خط + +376 +00:32:45,750 --> 00:32:53,560 +المستقيم ماطلعش كده ولا اطلع كدهلأن أي انحراف دا + +377 +00:32:53,560 --> 00:32:59,120 +اليمين أو دا الشمال بيعمللي ع ال result مشكلة بصير + +378 +00:32:59,120 --> 00:33:06,660 +الضوء اللي دخل ضوء عين العيان ماشي على ال macula + +379 +00:33:06,660 --> 00:33:10,020 +هاي + +380 +00:33:10,020 --> 00:33:14,560 +عين العيان والله انا اذا كان في ال visual axis فال + +381 +00:33:14,560 --> 00:33:18,960 +visual axis هيوديني على ال maculaلكن انا ان روحت + +382 +00:33:18,960 --> 00:33:21,980 +داعة اليمين او داعة الشمال هسير اما ضاوء المنطقة + +383 +00:33:21,980 --> 00:33:27,500 +هالي او ضاوء المنطقة هالي او ال parapovial او + +384 +00:33:27,500 --> 00:33:32,600 +paramacular بعيد يبقى ان انا لما ضاوء المنطقة هالي + +385 +00:33:32,600 --> 00:33:39,100 +هيك ال reflex او القوة البصرية مش هتكون زي ما كانت + +386 +00:33:39,100 --> 00:33:44,160 +في الماكولا ال reflex بتاعي يعني pseudo + +387 +00:33:48,640 --> 00:33:55,220 +صح هيك؟ لأن ال video axis هو لايربط Center of the + +388 +00:33:55,220 --> 00:34:00,440 +cornea with the center of the fovea وهذا بيجيب + +389 +00:34:00,440 --> 00:34:07,700 +أفضل description أو refraction لل optical power of + +390 +00:34:07,700 --> 00:34:13,370 +this eyeفبقولي و أنا داخل أقرب من مسافة 65 سانتي + +391 +00:34:13,370 --> 00:34:19,230 +إلى عين العيان أحاول أكون أنا منتبه للإستقامة على + +392 +00:34:19,230 --> 00:34:26,310 +طول أصل صحيح لكن لو عملت كده أو عملت كده هأضوي + +393 +00:34:26,310 --> 00:34:33,010 +مناطق في الشبكية أخرى هاي + +394 +00:34:33,010 --> 00:34:38,680 +أول محضور لل radical retroscopeالمحلول التاني وهو + +395 +00:34:38,680 --> 00:34:44,320 +الأهم يعني هذا هيجيبني نص الديوبتر إلى ديوبتر خطأ + +396 +00:34:44,320 --> 00:34:49,120 +يعني الضلالة هذه الـstring الضلالة على الجانبين + +397 +00:34:49,120 --> 00:34:57,240 +لكن الأخطر فيه قياس مقلوب ال working distance قياس + +398 +00:34:57,240 --> 00:35:00,920 +المقلوب فهو + +399 +00:35:00,920 --> 00:35:06,340 +بدور من المثال يقول لي أناانتقلت من ستة و ستين + +400 +00:35:06,340 --> 00:35:11,240 +سانتي الى تلاتة و ستين سانتي كام الفرق بينهم تلاتة + +401 +00:35:11,240 --> 00:35:15,700 +سانتي بقولي شوف المسافة بتاعة التلاتة سانتي هذه من + +402 +00:35:15,700 --> 00:35:21,820 +ستة و ستين الى تلاتة و ستين عملتلي 0.07 ديوبتر + +403 +00:35:21,820 --> 00:35:28,140 +error يعني سبعة من عالمية ا من الديوبتر جريم ولا + +404 +00:35:28,140 --> 00:35:35,670 +كتير جريم طيب شوفوالو أنا بأعمل Radical من 12 + +405 +00:35:35,670 --> 00:35:39,910 +سانتي و + +406 +00:35:39,910 --> 00:35:47,970 +حسبتم 9 سانتي يعني أنا بشتغل من 9 و حسبتم 12 الفرق + +407 +00:35:47,970 --> 00:35:56,070 +72.78% error ديوبتر يعني تلاتة يعني في المسافات + +408 +00:35:56,070 --> 00:36:02,440 +القريبة ال سانتي عمل ديوبترفي المسافات الباقية ده + +409 +00:36:02,440 --> 00:36:12,420 +الـ Santi عمل 2 من 100 على 100 ديوكتر، اشي بسيط، + +410 +00:36:12,420 --> 00:36:16,820 +فبقوللي إن المحادر كل ما اقتربنا إلى الأمام كل ما + +411 +00:36:16,820 --> 00:36:23,100 +الخطر زاد، في الحساب، لذلك هو ينصح إنه الإنسان + +412 +00:36:23,100 --> 00:36:28,240 +اللي بده يعمل radical إنه حقيقة يتواضع، يستخدم + +413 +00:36:28,240 --> 00:36:36,130 +مصطرةلأنه خطر، كل centimeter يبدأ يفتر، خطأ، يعني + +414 +00:36:36,130 --> 00:36:39,150 +أنا بنفع أعمله prescription على ال radical، مثلا + +415 +00:36:39,150 --> 00:36:46,830 +أقول إن هذا minus three و هو minus مثلا four أو + +416 +00:36:46,830 --> 00:36:51,010 +minus five أو minus six أحيانا، لا + +417 +00:36:53,850 --> 00:36:58,570 +فبقول لي إنه هذا اللي هو عنده cataract شوية مش + +418 +00:36:58,570 --> 00:37:03,650 +mature طبعا أو عنده small pupil و بده تعمله + +419 +00:37:03,650 --> 00:37:11,830 +radical امسك مصطرع يعني ما تجسش لأنه ممكن المقلوب + +420 +00:37:11,830 --> 00:37:16,090 +المسافة اللي بده يبتر يكون أضعف أضعف وهذا شيء صعب + +421 +00:37:16,090 --> 00:37:22,050 +طبعا و الحل الأحسن أن أعمله dilatation of the + +422 +00:37:22,050 --> 00:37:22,290 +pupil + +423 +00:37:25,400 --> 00:37:31,660 +dilatation of the pupil اوسعله البقبق ابن ريتك اه + +424 +00:37:31,660 --> 00:37:38,020 +تحت اشرف الطبيب طبعا تحت اشرف الطبيب وحتى هذه + +425 +00:37:38,020 --> 00:37:41,700 +التوسيق برضه بدأ اكون انا حذر فيها شوية لانه + +426 +00:37:41,700 --> 00:37:47,560 +هتعملي scissor shadow احيانا لو تسع الأخر هتعملي + +427 +00:37:47,560 --> 00:37:51,960 +scissor shadow ولو عملته التوسيق احيانا بدهم يعملي + +428 +00:37:51,960 --> 00:37:56,130 +اثر على ال accommodationلأن الـ Mediatic برضه نوع + +429 +00:37:56,130 --> 00:38:00,710 +من الـ Cycloblegic الضعيف برضه هيعمل يجلّلي أو + +430 +00:38:00,710 --> 00:38:12,490 +يخيلي ال accommodation فاهمون ولا نائمون؟ طيب + +431 +00:38:12,490 --> 00:38:18,650 +هذا اسمه Radical طيب بال Radical + +432 +00:38:22,740 --> 00:38:30,500 +قصة ان ال power equals one divided by distance D + +433 +00:38:30,500 --> 00:38:36,400 +equals one divided by F اللي هو قوة دلوقتي واحد + +434 +00:38:36,400 --> 00:38:40,680 +مقلوب اللي هو واحد على المسافة ال work in distance + +435 +00:38:40,680 --> 00:38:48,440 +twenty بدأ خمس سنة يكتر اللي بيشتغل من عشرين كل ما + +436 +00:38:48,440 --> 00:38:51,560 +قربنا المقلوب بيكون أكبر طب واحد بيشتغل من + +437 +00:38:51,560 --> 00:38:57,170 +خمستاشر؟مقلوب جد إيش؟ ستة و سبعة و ستين طب واحد + +438 +00:38:57,170 --> 00:39:01,430 +بيشتغل من عشرة؟ عشرة، مقلوب عشرة، يا سلام يعني + +439 +00:39:01,430 --> 00:39:05,870 +واحد بيشتغل من عشرة سانتي بده المقلوب يكون عشرة، + +440 +00:39:05,870 --> 00:39:14,150 +ده يبتر فاهمين قصة؟ فإنما أكون مستغلت أبعد من + +441 +00:39:14,150 --> 00:39:20,750 +مترين بقسم نص و من متر بقسم واحد لكن من عشرة سانتي + +442 +00:39:20,750 --> 00:39:25,430 +بقسم عشرة و ده يبترمن أسهل نشتغل بعيد ولا جريب؟ + +443 +00:39:25,430 --> 00:39:32,690 +نشتغل بعيد بس في إطار إن أنا أشوف ال reflex صح مش + +444 +00:39:32,690 --> 00:39:36,990 +علومة برضه أنا ممكن أشتغل من مترين بس صعب ال + +445 +00:39:36,990 --> 00:39:42,590 +reflex أشوفه كويس أنا وجدت شغل من متر تمام من متر + +446 +00:39:42,590 --> 00:39:47,690 +بس حالات الكبار في السن اللي عندهم narrow pupil + +447 +00:39:47,690 --> 00:39:53,470 +وشوية opacity opacityبدي أستغل من خمسين و أكون + +448 +00:39:53,470 --> 00:39:58,890 +صاحي أنه خمسين خمسين اللي بيغلب الناس اللي زيكوا + +449 +00:39:58,890 --> 00:40:03,110 +هو المسافة لأن واحد بيقول هذه ستين و واحد بيقول لأ + +450 +00:40:03,110 --> 00:40:05,430 +هي خمسين و واحد بيقول هي اربعين طب إيش ال .. إيش + +451 +00:40:05,430 --> 00:40:11,930 +الفيصل بيننا الفيصل القياس ما أستحين القياس القياس + +452 +00:40:11,930 --> 00:40:15,610 +المفروض كل واحدة منكوا تكون قاسة دراعها قاسة + +453 +00:40:15,610 --> 00:40:17,210 +دراعها من الآن و عارفها جديش + +454 +00:40:22,810 --> 00:40:30,830 +متر الخشب مش متر الجماش متر الخشبي مش متر الخماش + +455 +00:40:30,830 --> 00:40:36,150 +متر الخياطين + +456 +00:40:36,150 --> 00:40:43,810 +متر الخياطين بالتنة لكن متر المسطرة الخشبية أكتر + +457 +00:40:43,810 --> 00:40:48,480 +ماشي؟دكتوري ال radical ريتموسكوبي الصعب ان تكون + +458 +00:40:48,480 --> 00:40:52,740 +دقيقة الصعب ان نحققها و نجيب الاشي بالظبط انا معاك + +459 +00:40:52,740 --> 00:40:58,380 +ال radical صعبة لك بالانتباه لو انا كنت حاضر بصي + +460 +00:40:58,380 --> 00:41:02,420 +اللي انا اتيه حاضر في ال reflex و حاضر في المسافة + +461 +00:41:02,420 --> 00:41:07,980 +و مقلبها اما ما أسيب الأمور تمشي هي تمشي الأمور لأ + +462 +00:41:07,980 --> 00:41:12,620 +انا ماشيها طيب سيبنا ال radical دينا على ال + +463 +00:41:12,620 --> 00:41:21,150 +dynamic ايش ال dynamic ريتموسكوبيلأ لأ أسهل مين + +464 +00:41:21,150 --> 00:41:23,570 +بقى off-issue الدياناميكي الريتنوسكو؟ لأ بريتشل + +465 +00:41:23,570 --> 00:41:29,070 +شغال على نيربورتشل شوف + +466 +00:41:29,070 --> 00:41:35,870 +كلمتان صغار يا بنات كلمتان صغار أنا + +467 +00:41:35,870 --> 00:41:39,170 +عملت ريتنوسكو بالعادى اسمه static static لما يكون + +468 +00:41:39,170 --> 00:41:44,230 +المريض ينظر في ال infinityطالما بنظر في انفتي و + +469 +00:41:44,230 --> 00:41:50,490 +انا بشتغل استاتيك استاتيك يعني ثابت بعد ما اعمل + +470 +00:41:50,490 --> 00:41:55,110 +استاتيك بطلع النتيجة مثلا العين اليمين plus one + +471 +00:41:55,110 --> 00:42:05,210 +العين التاني مثلا plus two هذا ال right eye وهذا + +472 +00:42:05,210 --> 00:42:09,910 +ال left eye طبعا + +473 +00:42:09,910 --> 00:42:10,410 +هذا objective + +474 +00:42:14,050 --> 00:42:20,970 +الان انا بدي اعمل dynamic بخليه يطلع في ضوء باشي + +475 +00:42:20,970 --> 00:42:25,450 +بعيد طلع في ضوء طب و لمّا اعملت طلع في ضوء ايش صار + +476 +00:42:25,450 --> 00:42:29,990 +في ال accommodation؟ اكتيفتي سرير ال muscle بدأت + +477 +00:42:29,990 --> 00:42:35,890 +ايه؟ تعمل contraction حسب سنه مثلا واحد طفل عمره + +478 +00:42:35,890 --> 00:42:39,990 +عشر سنوات ممكن انه يضيفلي اربع علاجي هنا plus five + +479 +00:42:39,990 --> 00:42:48,260 +و انا plus6 و لو واحد في سنكه ممكن يصير انا plus + +480 +00:42:48,260 --> 00:42:55,660 +مثلا three و انا plus four واحد في سني ممكن plus + +481 +00:42:55,660 --> 00:43:00,980 +two plus three بقول + +482 +00:43:00,980 --> 00:43:05,860 +هذا ال plus اللي اجه جديد indication of addition + +483 +00:43:05,860 --> 00:43:14,660 +of breast biopia breast biopiaأه لو بتعمل باي فوكل + +484 +00:43:14,660 --> 00:43:20,080 +مثلا اللي فوق static و اللي تحت dynamic كويس؟ + +485 +00:43:20,080 --> 00:43:25,420 +عارفش ديناميك؟ ما بتخبطه من ال dynamic و بين ال + +486 +00:43:25,420 --> 00:43:30,120 +radical ال radical لناس اللي عندهم ال بو و ديج او + +487 +00:43:30,120 --> 00:43:34,460 +في opacity ال dynamic لناس ال breast biome الغلبة + +488 +00:43:34,460 --> 00:43:41,080 +اللي هو معظم سكان العالم طيب الان + +489 +00:43:42,040 --> 00:43:45,300 +لما طلع النتائج هذه الإضافية بتاعة ال dynamical + +490 +00:43:45,300 --> 00:43:50,980 +كيف أنا أحسبها في ال prescription؟ بدي أكتب الآن، + +491 +00:43:50,980 --> 00:43:55,480 +ودول بالكم ال prescription وثيقة يا بناتي، أنتم + +492 +00:43:55,480 --> 00:44:00,140 +معنيين تعملوا prescription؟ + +493 +00:44:00,140 --> 00:44:06,970 +يعني في غيركم ال paramedicals؟ لأ، ود النتيجةليه + +494 +00:44:06,970 --> 00:44:10,370 +الطبيب ال physician و ال physician هو مسئول ايش + +495 +00:44:10,370 --> 00:44:16,230 +يعطي علاج ايش يعمل كده مش authorized paramedical + +496 +00:44:16,230 --> 00:44:20,990 +مثلا أخصاء الأشعة أخصاء الأشعة بيصور و بيحط في + +497 +00:44:20,990 --> 00:44:26,510 +الكيس و بكتب اسم المريض و برديه على الطبيب بعده + +498 +00:44:26,510 --> 00:44:31,410 +تحليل بطلع التحليل و بكتب اسم المريض عليها و برديه + +499 +00:44:31,410 --> 00:44:36,170 +على الطبيب هو حرلكن دوكوا انتوا لأ في ال + +500 +00:44:36,170 --> 00:44:38,210 +prescription انتوا مخاولين تكتبوا prescription + +501 +00:44:38,210 --> 00:44:41,490 +فانتوا + +502 +00:44:41,490 --> 00:44:45,990 +اللي فحصته وانتوا الان اللي بتكون قرروا ال + +503 +00:44:45,990 --> 00:44:50,110 +prescription من صلاحياتكم وحتى ال contact lenses + +504 +00:44:50,110 --> 00:44:53,490 +انتوا من صلاحياتكم بتكتبوا مش في حاجة ترجعونا + +505 +00:44:53,490 --> 00:44:58,890 +الوصفة مش في حاجة ترجعونا لأ خلاص احنا مخاولين + +506 +00:44:58,890 --> 00:45:05,470 +تكتبوا prescription بس بالحق اتعلموا الحق يعنيالان + +507 +00:45:05,470 --> 00:45:08,850 +بقولي لما نعمل ال description فيه تلات طرق ال + +508 +00:45:08,850 --> 00:45:15,350 +dynamic أول طريقة بقولي + +509 +00:45:15,350 --> 00:45:20,370 +انك افضل حط plus على عين العيان ال dynamic اللي + +510 +00:45:20,370 --> 00:45:24,830 +بتطلع فيه لغاية ما يصير reverse of movement + +511 +00:45:28,570 --> 00:45:32,550 +يعني انا with بفضل اضع زيادة في ال dynamic و هو + +512 +00:45:32,550 --> 00:45:37,870 +بتطلع فيه مباشرة في ضوءي بطلع شبعيد و احطله plus + +513 +00:45:37,870 --> 00:45:42,610 +plus plus plus اول ما سير minus بتكون هذه الوصفة + +514 +00:45:42,610 --> 00:45:47,050 +اول درجة في ال minus اول درجة في ال against اول + +515 +00:45:47,050 --> 00:45:50,970 +درجة في ال against هي ال prescription هذه الطريقة + +516 +00:45:50,970 --> 00:46:00,470 +الطريقة التانية لأشيرتس هذا او shirts قال لأ يا + +517 +00:46:00,470 --> 00:46:06,310 +عمي هو في نظره انه بيقوللي ما تحط كل مسافة بيقوللي + +518 +00:46:06,310 --> 00:46:11,850 +على الأقل قلل بنص يعني مثلا في العين اليمين كانت + +519 +00:46:11,850 --> 00:46:18,730 +plus one والان صارت مثلا plus three قال لأ اتحطش + +520 +00:46:18,730 --> 00:46:24,490 +اتحطش اتنين الفريق اتحط واحد و نص قال عشان تخلي ال + +521 +00:46:24,490 --> 00:46:30,610 +celery muscleعند activity لو حطيت اتنين كلهم نيمت + +522 +00:46:30,610 --> 00:46:38,710 +خلاص خل فيه نشاط يبقى الطريقة التانية بتقولي انه + +523 +00:46:38,710 --> 00:46:43,610 +بدل ما تحط اتنين كاملين اخصم على الاقل نص وفي ناس + +524 +00:46:43,610 --> 00:46:48,190 +بيقولوا اخصم اكتر هنا في الحالة هذه بيقول up to + +525 +00:46:48,190 --> 00:46:55,070 +one يعني بدل التلاتة تحط واحد و نص او تحط واحد بس + +526 +00:46:55,070 --> 00:47:01,830 +في ال additionnear addition يبدو + +527 +00:47:01,830 --> 00:47:06,030 +أنني ماكنت أستخدم لإيش لخياس + +528 +00:47:06,030 --> 00:47:09,470 +جداش ال accumulation جوي أنا أزعم إن ال + +529 +00:47:09,470 --> 00:47:16,190 +accumulation لما كان بتطلع far كان zero أو قريب من + +530 +00:47:16,190 --> 00:47:19,970 +ال zero يعني عشان أكون محتاط أقريب من ال zero لكن + +531 +00:47:19,970 --> 00:47:27,630 +لما كان بتطلع في ضوءيفى الاتنسكوب صار ماكسيما او + +532 +00:47:27,630 --> 00:47:34,810 +جانب الماكسيما طبعا هنا كل انسان حسب كام الcellar + +533 +00:47:34,810 --> 00:47:40,350 +muscle تقدر تعمل contraction وبالتالي + +534 +00:47:40,350 --> 00:47:46,530 +انه يعني .. يعني انا بده اهون في ال .. ال .. ال .. + +535 +00:47:46,530 --> 00:47:51,030 +اللى جانى يعني من ال .. ال dynamic انى ماحطه كله + +536 +00:47:51,030 --> 00:47:56,910 +احط بعضهفي واحد بيقول يفضطوا كله على الآخر الطريقة + +537 +00:47:56,910 --> 00:47:59,570 +الأولى الطريقة التانية جاتلي اخصم نص الطريقة + +538 +00:47:59,570 --> 00:48:04,170 +التالية جاتلي اخصم واحد انتوا معاني اي طريقة النص + +539 +00:48:04,170 --> 00:48:07,290 +خارج + +540 +00:48:07,290 --> 00:48:12,810 +الأمور الوسط حقيقة انا قرأت اشي جديد فيه موضوع + +541 +00:48:12,810 --> 00:48:19,690 +بقولك صورة اللي بقرأ اياتها كم؟ 286 + +542 +00:48:24,170 --> 00:48:30,410 +بتعرف ستة و تمانين بقوللي لو شيلت الستة بيظال + +543 +00:48:30,410 --> 00:48:36,510 +تمانين و عشرين عدد الصور المدنية بقوللي لو شيلت + +544 +00:48:36,510 --> 00:48:42,930 +اتنين و فضلت ستة و تمانين الصور المكية تحفظوا عني + +545 +00:48:42,930 --> 00:48:49,250 +بس بقول لو جسمت اتنين بيطلع مية و أربع تاش صح؟ مية + +546 +00:48:49,250 --> 00:48:51,810 +و أربع تاش صحيح ولا مية و أربع و تلاتين؟ + +547 +00:48:54,910 --> 00:49:01,490 +286 143 أحسنتى ال 143 هي الآية اللى فى سورة البخرة + +548 +00:49:01,490 --> 00:49:05,190 +بتقول و كذلك جعلناكم أمة وسطة ليه تكون مش وداء على + +549 +00:49:05,190 --> 00:49:10,850 +الناس ال 143 بس كان معاكوا قرآن على الهدى افتحوا + +550 +00:49:10,850 --> 00:49:15,090 +على ال 143 سورة البخرة وشوفوها صحيح ولا لأ و كذلك + +551 +00:49:15,090 --> 00:49:20,250 +جعلناكم أمة وسطة فاللي اختار التانية هذه هو اختار + +552 +00:49:20,250 --> 00:49:27,770 +الوسط اي الخير او الأفضلماشي؟ طيب فأقدر بس نقطتين + +553 +00:49:27,770 --> 00:49:32,330 +على السريع عشان نخلص المحاضرة و نقديها الهجوم ال + +554 +00:49:32,330 --> 00:49:37,770 +estimation technique ايش estimation تقدير اولش ال + +555 +00:49:37,770 --> 00:49:43,290 +myopia ال myopia less than five و انا myopia more + +556 +00:49:43,290 --> 00:49:49,010 +than five يعني بالعربي بنوع تاني انا ماعيش الا + +557 +00:49:49,010 --> 00:49:51,910 +رتنسكوب ماعيش صندوق عدسات + +558 +00:49:55,260 --> 00:50:01,020 +كيف بريتروسكوب لحاله أشخص + +559 +00:50:01,020 --> 00:50:06,640 +الميوبيا لمريض ميوبيا مرة تحت الخمسة و مرة فوق + +560 +00:50:06,640 --> 00:50:18,440 +الخمسة عن طريق ال power مقلوب المسافة مر معاك و + +561 +00:50:18,440 --> 00:50:23,500 +هذا الشيء؟ لأ لأ طيب هو يقول ان انا بدأ اعتمد على + +562 +00:50:23,500 --> 00:50:35,720 +ال working distanceأنا بدي أجيب الويلش ألن الويلش + +563 +00:50:35,720 --> 00:50:38,160 +ألن الويلش ألن الويلش ألن الويلش ألن الويلش ألن + +564 +00:50:38,160 --> 00:50:38,320 +الويلش ألن الويلش ألن الويلش ألن الويلش ألن الويلش + +565 +00:50:38,320 --> 00:50:41,100 +ألن الويلش ألن الويلش ألن الويلش ألن الويلش ألن + +566 +00:50:41,100 --> 00:50:41,600 +الويلش ألن الويلش ألن الويلش ألن الويلش ألن الويلش + +567 +00:50:41,600 --> 00:50:41,600 +ألن الويلش ألن الويلش ألن الويلش ألن الويلش ألن + +568 +00:50:41,600 --> 00:50:42,660 +الويلش ألن الويلش ألن الويلش ألن الويلش ألن الويلش + +569 +00:50:42,660 --> 00:50:52,700 +ألن الويلش ألن الويلش + +570 +00:50:52,700 --> 00:51:00,420 +أليعني انا ماو حطيت عدسات قبل انا بس غيرت في ال + +571 +00:51:00,420 --> 00:51:09,600 +working distance بس من ال working distance انا + +572 +00:51:09,600 --> 00:51:16,420 +قدرت اقرب جديش هو ميوب مثلا واحد + +573 +00:51:16,420 --> 00:51:24,240 +وصل عشرة سنتين يكون عنده عشر ديوب تر ميوب يعني12.5 + +574 +00:51:24,240 --> 00:51:29,800 +بيكون عنده تمانية إذا كان نوتراتي صارت من سبت عشر + +575 +00:51:29,800 --> 00:51:37,720 +صنتي بيكون عنده ستة القوة مقلوب بالمسافة طيب من + +576 +00:51:37,720 --> 00:51:43,200 +عشرين صنتي خمسة ديوقتر من خمسة و عشرين أربعة + +577 +00:51:43,200 --> 00:51:47,500 +ديوقتر من تلاتة و تلاتين تلاتة ديوقتر من أربعين + +578 +00:52:02,720 --> 00:52:11,340 +تقريبا تقريبا تقريبا و بعدين انا افترض انه عدم + +579 +00:52:11,340 --> 00:52:15,340 +وجود عدسات مافيش عندي lenses + +580 +00:52:18,770 --> 00:52:26,830 +يعني انا لنفرض عندى لتنسكوب و مريض ممكن اعرف قداش + +581 +00:52:26,830 --> 00:52:32,790 +قوته البصرية بالوما بالتقدير estimation طب لو + +582 +00:52:32,790 --> 00:52:37,970 +ماعنديش لتنسكوب إيش أعمل؟ لو ماعنديش لتنسكوب بدي + +583 +00:52:37,970 --> 00:52:44,470 +أصنع لتنسكوب أنا بدي أصنع لتنسكوب بدي + +584 +00:52:44,470 --> 00:52:50,540 +من برايامستدير كل بيت فيه مرأة مستديرة و لا مستحيل + +585 +00:52:50,540 --> 00:53:00,000 +و بخرمها كيف اخرمها اعدها الشطار خرمها الشطار و اي + +586 +00:53:00,000 --> 00:53:03,680 +مصدر ضوئي فوق رأس العيالة اي مصدر ضوئي بس ازغره + +587 +00:53:03,680 --> 00:53:08,860 +شوية اغطيه و ازغره شوية و ممكن اني انا افضل اقرب و + +588 +00:53:08,860 --> 00:53:14,300 +اعمل لغاية ما اعمل ايش اعمل neutralization المسافة + +589 +00:53:14,300 --> 00:53:25,920 +مقلوب القوة و بسفهمت ولا لسه؟ فهمت فهمين؟ اه اه اه + +590 +00:53:25,920 --> 00:53:32,840 +اللي اصعب منها خلصنا بس اللي لما يكون اكتر من خمسة + +591 +00:53:32,840 --> 00:53:39,140 +اكتر من خمسة هو بيقولي في الطريقة هذه الصعبة شوية + +592 +00:53:39,140 --> 00:53:43,780 +ملاحظين الرسم ايش بتقول؟ Hierotoscope وهي العين + +593 +00:53:45,570 --> 00:53:52,410 +بيقول لي أنا لما أصل أوضح reflex هجيب ورقة بيضاء + +594 +00:53:52,410 --> 00:53:57,610 +هي ال paper اسمها موجودة عندكم؟ و أحط ال paper + +595 +00:53:57,610 --> 00:54:04,310 +بجانب ال retinoscope قال هتجيني على + +596 +00:54:07,140 --> 00:54:10,180 +الصفحة البيضة اللي حطيها في ورقة الكراسي يعني في + +597 +00:54:10,180 --> 00:54:14,120 +جانب الاتنسكوب صورة صغيرة الصورة الصغيرة هي صورة + +598 +00:54:14,120 --> 00:54:18,280 +اللامبا اللي جوا من الاتنسكوب هي يعني الصورة + +599 +00:54:18,280 --> 00:54:22,860 +الصغيرة اه اجيز قال المسافة من هنا ل هنا للعين من + +600 +00:54:22,860 --> 00:54:28,800 +الورق للعين لعلامة الو أحطها مقلوب المسافة هي صعبة + +601 +00:54:28,800 --> 00:54:32,720 +يا عزيزي الورقة البيضة بتاع البريتنسكوب جاله هيبين + +602 +00:54:32,720 --> 00:54:37,700 +عليه خط ما هو dark room هيبين خط طبيعي خط ضوء ضوئي + +603 +00:54:37,700 --> 00:54:43,240 +أجيس من ورقة للعين و أحط مقلوب المسافة يعني أنا + +604 +00:54:43,240 --> 00:54:51,020 +زيكوا مش حاسسها إش كتير هذه بقولش + +605 +00:54:51,020 --> 00:54:55,600 +أنا بحسي فيها بس الطريقة بتاعة الأولانيةمانتم + +606 +00:54:55,600 --> 00:54:59,540 +لاحظين لو انتم لاحظين هنا هذه حتى جابت العشرة + +607 +00:54:59,540 --> 00:55:06,600 +والتمانية والستة اللي أكتر من الخمسة هيهم يعني هذه + +608 +00:55:06,600 --> 00:55:10,840 +الطريقة جابت التنين بس انتم مش ماخنين بالكم يعني + +609 +00:55:10,840 --> 00:55:14,360 +هي less than less than five لكن حقيقة هذه جابت + +610 +00:55:14,360 --> 00:55:18,020 +تاكل estimation myopia without lenses يعني بدون + +611 +00:55:18,020 --> 00:55:23,020 +عدسات فهلوة يعني بس الطريقة هذه بقول انا تقريبا + +612 +00:55:23,020 --> 00:55:29,110 +بعد موجود عدساتواللي هيكذب هذا أو هيصدقه ال + +613 +00:55:29,110 --> 00:55:35,190 +subjective هتون كتابك و عدسة و راح جربها هيبين انه + +614 +00:55:35,190 --> 00:55:40,170 +بيشوف 6 ع 6 ولا لأ؟ طيب اخر اشي بس بتتكلم على اشي + +615 +00:55:40,170 --> 00:55:44,410 +بسيط هذا ال Welsh Allen اللي عندنا في المعمل وهذا + +616 +00:55:44,410 --> 00:55:49,630 +حقيقة heavy duty امريكي 88 دولار ال written score + +617 +00:55:49,630 --> 00:55:54,370 +اللي بتشتغلوا عليه افضل شي في العالم هو هذا جبنا + +618 +00:55:54,370 --> 00:56:00,240 +كيلروغير كيلر ما خدمش عندنا، كله اتكسر، يابان + +619 +00:56:00,240 --> 00:56:04,000 +وغيره متكسر، بريطاني، الامريكي والشعلن بتاع الشركة + +620 +00:56:04,000 --> 00:56:08,900 +هذه كان افضل واحد خدم في معاملنا، اللي زيه في + +621 +00:56:08,900 --> 00:56:13,640 +بريطانيا قبلان، بس هذا sleeve up بيشتغل، مش موجود + +622 +00:56:13,640 --> 00:56:19,760 +عندنا، ولا لاجيناه في السوق، بس بتقول انا ما هي + +623 +00:56:19,760 --> 00:56:30,890 +مزاياخلصنا مزايا الاتنسكوب اه + +624 +00:56:30,890 --> 00:56:35,130 +انتوا خدتوا كتير مزايا الاتنسكوب easy to use و + +625 +00:56:35,130 --> 00:56:39,790 +portable و ال handling و بدي بال reflex و بدي بالا + +626 +00:56:39,790 --> 00:56:45,070 +stigmatism اه و في ال children لما يمنفعش غيره هذه + +627 +00:56:45,070 --> 00:56:48,770 +الحاجات انتوا عارفينها كويس او مش هضيف عليها حاجة + +628 +00:56:48,770 --> 00:56:56,690 +عشان اخلص عن صحيحطب ما هي ال disadvantage؟ + +629 +00:56:56,690 --> 00:56:59,490 +عارفينها و خلاص نجلب عليها؟ عارفينها و مش + +630 +00:56:59,490 --> 00:57:06,490 +عارفينها؟ لأن فاضل أنا عندي ربع الساعة أخدتها + +631 +00:57:06,490 --> 00:57:10,970 +كلها أجلب عليها خلصنا المرة الجاية في دارس دين + +632 +00:57:10,970 --> 00:57:15,030 +شكرا + +633 +00:57:15,030 --> 00:57:17,410 +لكم و بارك الله فيكم و السلام عليكم و نحو الله + +634 +00:57:17,410 --> 00:57:17,810 +وبركاته + diff --git a/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/byTa_UODRdU_postprocess.srt b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/byTa_UODRdU_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..3cd972e231270766c344c18ca8e4152da02d023a --- /dev/null +++ b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/byTa_UODRdU_postprocess.srt @@ -0,0 +1,2748 @@ +1 +00:00:21,040 --> 00:00:23,800 +أعوذ بالله من الشيطان الرجيم بسم الله الرحمن + +2 +00:00:23,800 --> 00:00:27,100 +الرحيم الحمد لله و أكفأ و أصلي و أسلم على النبي + +3 +00:00:27,100 --> 00:00:33,960 +المصطفى السلام عليكم و رحمة الله وبركاته اليوم سوف + +4 +00:00:33,960 --> 00:00:38,560 +نشرح نظريات + +5 +00:00:38,560 --> 00:00:46,380 +التجلس هناك الكثير أو نظرية مختلفة تتعلق بالتجلس + +6 +00:00:49,410 --> 00:00:57,510 +became a fact still all of them is theory not + +7 +00:00:57,510 --> 00:01:06,090 +proven completely طيب احنا تكلمنا على ال aging + +8 +00:01:06,090 --> 00:01:11,430 +process فيه تأثيره على ال accommodation تأثير السن + +9 +00:01:11,430 --> 00:01:18,250 +على ال accommodation الآن في two من ال scientists + +10 +00:01:21,230 --> 00:01:24,930 +strength والكليزي بتاع عينه استخدموا ال MRI + +11 +00:01:24,930 --> 00:01:34,450 +magnetic resonance imaging الرنين المغناطيسي to + +12 +00:01:34,450 --> 00:01:37,810 +share important new insights on aging of the + +13 +00:01:37,810 --> 00:01:40,910 +accommodative apparatus based on direct + +14 +00:01:40,910 --> 00:01:45,110 +measurements in aging human eyes يعني هم استخدموا + +15 +00:01:45,110 --> 00:01:47,530 +الرنين المغناطيسي عشان يشوفوا العين أثناء القراءة + +16 +00:01:48,560 --> 00:01:54,080 +أيش اللي بيصير بالظبط في اللي هو الداخلها يعني + +17 +00:01:54,080 --> 00:02:00,360 +طالع بنتيجة بيقولوا with increasing age مثلا بعد + +18 +00:02:00,360 --> 00:02:03,960 +الاربعين أو بعد الخمسين the unaccommodated lens + +19 +00:02:03,960 --> 00:02:09,300 +thickness increases يبقى أول اشي اللينز في كبار + +20 +00:02:09,300 --> 00:02:11,800 +السن حتى من غير accommodation ال thickness بتاعها + +21 +00:02:11,800 --> 00:02:19,560 +بزيد يعني في الشباب تجبه اللينز thin زي هيكلما + +22 +00:02:19,560 --> 00:02:25,100 +تكون في ال rest في كبار السن هي تلقائيًا عاملة هيك + +23 +00:02:25,100 --> 00:02:32,120 +لأنه بتزيد في الوزن وفي الحجم in size and weight + +24 +00:02:32,120 --> 00:02:39,140 +فلا غرق أن تكون ال lens بتاعة كبار السن حتى في ال + +25 +00:02:39,140 --> 00:02:46,820 +resting أو rest stage تكون thick زي هيك في الرعين + +26 +00:02:46,820 --> 00:02:52,070 +المغناطيسي بينات هيكthe lens equatorial diameter + +27 +00:02:52,070 --> 00:02:55,510 +remains constant ال equatorial diameter اللي هو + +28 +00:02:55,510 --> 00:03:08,050 +المحيط اه المحيط هذا اه طول المحيط يعني بيفضل ايش + +29 +00:03:08,050 --> 00:03:13,650 +constant بزيدش عن الشباب الشيء التالت ان الcelar + +30 +00:03:13,650 --> 00:03:18,650 +ring decreases what is celar ring الحلقة الهدبية + +31 +00:03:23,140 --> 00:03:29,020 +the space between the lens and the ciliary muscle + +32 +00:03:29,020 --> 00:03:33,800 +هو هذا اللي احنا اتكلمنا عنه قبل ذلك الفرق هذا + +33 +00:03:33,800 --> 00:03:40,640 +اسمه ciliary ring و هيه شايفين كيف ال ring هنا في + +34 +00:03:40,640 --> 00:03:46,760 +ال condition صغر و في ال wrist كبير يبقى هذه ال + +35 +00:03:46,760 --> 00:03:53,370 +muscle و هنا ال lens و ما بينهم ايشما بينهما + +36 +00:03:53,370 --> 00:04:00,610 +سيلارينج سيلارينج يبين ان السيلارينج من كبار السن + +37 +00:04:00,610 --> 00:04:08,890 +تقل طيب التفسير كيف ان السيلارينج تقل مع ان ال + +38 +00:04:08,890 --> 00:04:15,550 +equator diameter ما زادش ال equator المحيط ما زادش + +39 +00:04:15,550 --> 00:04:18,710 +عشان يقللها اخدوا بالكم + +40 +00:04:23,370 --> 00:04:28,490 +يعني ال lens بتيجي من جدام لورا او من ورا لجدام ال + +41 +00:04:28,490 --> 00:04:34,670 +thickness بزيد هيك ما بزيد هيك فكيف مادام ما بزيد + +42 +00:04:34,670 --> 00:04:38,730 +هيك كيف ال ring بينها وبين ال ciliary muscle داج + +43 +00:04:38,730 --> 00:04:46,150 +أكيد أن هذا راجع العوامل في ال muscle راجع + +44 +00:04:46,150 --> 00:04:51,090 +العوامل في ال ciliary muscle وليس في ال .. في ال + +45 +00:04:51,090 --> 00:04:51,390 +lens + +46 +00:04:54,380 --> 00:04:59,040 +طيب هاي شايفين كيف ال anthropostolic thickness زاد + +47 +00:04:59,040 --> 00:05:04,280 +اه و ال equatorial اللي هو ال diameter لم يزد هنا + +48 +00:05:04,280 --> 00:05:10,180 +هاي ال equatorial diameter ما زال لم يزد في المحيط + +49 +00:05:10,180 --> 00:05:15,200 +طيب نشوف + +50 +00:05:15,200 --> 00:05:20,420 +ال adjustment of lens thickness the lens is + +51 +00:05:20,420 --> 00:05:25,640 +surrounded by a cerium body صح؟which contains a + +52 +00:05:25,640 --> 00:05:30,220 +ring of muscle called ciliary muscle المسل اللي + +53 +00:05:30,220 --> 00:05:34,540 +جوا ال body السلري اسمها ciliary muscle وحقيقة انه + +54 +00:05:34,540 --> 00:05:39,340 +السلري مسل بتشكل skeleton the skeleton of the + +55 +00:05:39,340 --> 00:05:44,200 +ciliary body صحيح سليم هيك يعني the lens is + +56 +00:05:44,200 --> 00:05:47,880 +attached to the ciliary muscle by اللي هو اساس + +57 +00:05:47,880 --> 00:05:53,480 +منصر الليجامنت هاي الليجامنت هذه وهذا معرفةيبقى + +58 +00:05:53,480 --> 00:05:59,140 +هنا ال lens لما تكون flat في ال wrist و هنا ال + +59 +00:05:59,140 --> 00:06:04,640 +lens لما تكون في ال accommodation و هنا في ال + +60 +00:06:04,640 --> 00:06:10,220 +wrist هذه اللي .. اللي هو ال zonule و هنا في ال + +61 +00:06:10,220 --> 00:06:14,060 +accommodation قصير .. قصير و هنا ال muscle في ال + +62 +00:06:14,060 --> 00:06:17,800 +accommodation تجيلة و أنا في ال wrist اللي هو + +63 +00:06:17,800 --> 00:06:20,380 +الجيجا طيب + +64 +00:06:22,740 --> 00:06:27,160 +الان هتكمل aging of augmented mechanism كلمة aging + +65 +00:06:27,160 --> 00:06:36,180 +يعني أثر السن بيقول aging process عملية السن هو + +66 +00:06:36,180 --> 00:06:41,760 +المشكلة ان علماء الoptometry و علماء + +67 +00:06:41,760 --> 00:06:46,320 +الophthalmology او المصيرون علماء بيكونوا داخلوا + +68 +00:06:46,320 --> 00:06:46,980 +في ال breast biopia + +69 +00:06:50,300 --> 00:06:54,520 +لما أصير عالم وامتاه مال في HED Optometry أو + +70 +00:06:54,520 --> 00:06:57,820 +أوثانمولوجيا بصير بعد الأربعين بيخش في ال .. في + +71 +00:06:57,820 --> 00:07:02,940 +البرسبيوبيا صار الأن التحدي، تحدي شخصي يعني أنت + +72 +00:07:02,940 --> 00:07:06,740 +عالم في هذا المجال و بتعاني من البرسبيوبيا، ممكن + +73 +00:07:06,740 --> 00:07:12,260 +تحل مشكلتك ولا لأ؟ نهيك أنك تحل مشكلة الآخرين، + +74 +00:07:12,260 --> 00:07:16,500 +هدين بالكوا؟ يعني زي واحد مثلا أخصائي في الجهاز + +75 +00:07:16,500 --> 00:07:22,670 +الهضمي و المعدد بتاعته تعبانةزي أخصائي في الجهاز + +76 +00:07:22,670 --> 00:07:26,610 +العصبي وعصابه تعبانة، زي أخصائي في القلب وقلبه + +77 +00:07:26,610 --> 00:07:30,310 +تعبانة، تحدي شخصي، ناس أقول الله أن ربنا ما + +78 +00:07:30,310 --> 00:07:35,170 +يبتلينا أكتر من هيك يعني، أن بيقولوا أنت يا أخصائي + +79 +00:07:35,170 --> 00:07:39,570 +القلب، عندك متاعي في القلب، هل تستطيع أن تحل + +80 +00:07:39,570 --> 00:07:42,650 +مشكلتك؟ إذا كان حالت مشكلتك، بتحل مشكلتك بشكل + +81 +00:07:42,650 --> 00:07:47,110 +آخرين، فانت يا أخصائي البصريات، دكتوراه في + +82 +00:07:47,110 --> 00:07:52,480 +البصريات،أو دكتورة في طب الأيون هل تستطيع أن تقرأ + +83 +00:07:52,480 --> 00:07:59,400 +بدون مساعدات أو تقرأ قراءة سهلة؟ جيبلي على السؤال + +84 +00:07:59,400 --> 00:08:03,780 +هذا This finding is in accordance with + +85 +00:08:03,780 --> 00:08:07,680 +histological studies يعني أخدوا الcellar muscle و + +86 +00:08:07,680 --> 00:08:11,120 +اللنزل و عملوها histological studies عارفين + +87 +00:08:11,120 --> 00:08:16,770 +الhistology؟ ترسل الشرائح تحت الميكروسكوببياخدوا + +88 +00:08:16,770 --> 00:08:22,070 +نسيج بياخدوا نسيج الصحي + +89 +00:08:22,070 --> 00:08:26,530 +أو نسيج المرضى و بيحطوه تلمسه اذا كان نسيج صحي + +90 +00:08:26,530 --> 00:08:29,430 +هستولوجيا اذا كان نسيج مرضى هستوباتولوجيا + +91 +00:08:29,430 --> 00:08:37,030 +هستوباتولوجيا عملوا studies واحد اسمه TAM show a + +92 +00:08:37,030 --> 00:08:43,330 +configurational change في تغير في التركيب في human + +93 +00:08:43,330 --> 00:08:48,390 +cellular muscleالسنة دي ماصلة نفسها فيها داخلها + +94 +00:08:48,390 --> 00:08:52,810 +تغيير في التركيب في كبار السن ايه ال string carry + +95 +00:08:52,810 --> 00:08:57,750 +أيضا هو عمل stimulation ليه اللي هو ايه ال + +96 +00:08:57,750 --> 00:09:01,810 +accommodation ايه ب تمانية دوابتر هل تمانية دوابتر + +97 +00:09:01,810 --> 00:09:10,830 +هي minus ولا plus عشان يعمل stimulation minus عمل + +98 +00:09:10,830 --> 00:09:18,910 +للعضلةStimulation in minus eight وبدأ يدرس اللي هو + +99 +00:09:18,910 --> 00:09:23,210 +ال accommodation في حد العين اللي هي مثلا ستين سنة + +100 +00:09:23,210 --> 00:09:30,810 +وجد التالي انه ال lens هذي في كبار السن أثناء ال + +101 +00:09:30,810 --> 00:09:34,950 +accommodation stimulated هذا بصير thick يبقى + +102 +00:09:34,950 --> 00:09:38,670 +accommodative lens thickening accommodative lens + +103 +00:09:38,670 --> 00:09:43,760 +thickening واحدto decreasing lengths equatorial + +104 +00:09:43,760 --> 00:09:51,200 +diameters both decline to zero by 50 years يبقى + +105 +00:09:51,200 --> 00:09:58,280 +بطل ال diameter يزيد في هذه الاتجاه نحو الcelery + +106 +00:09:58,280 --> 00:10:03,920 +ring طبعا في الصغار اه بيزيد اثناء ال + +107 +00:10:03,920 --> 00:10:11,320 +accommodation لما يكون في شباب و childrenبيقرأ آه + +108 +00:10:11,320 --> 00:10:17,020 +اللينزي بتاخد بجنب بتاخد طرفيا و بتاخد أنترو + +109 +00:10:17,020 --> 00:10:20,740 +باستيريو لكن في كيبار السين بتاخد أنترو باستيريو و + +110 +00:10:20,740 --> 00:10:26,040 +بتاخدش طرفيا بتاخدش + +111 +00:10:26,040 --> 00:10:31,260 +في الـcircumference انها تزيد three automotive + +112 +00:10:31,260 --> 00:10:33,980 +change in the cereal ring diameter although + +113 +00:10:33,980 --> 00:10:37,840 +reduced in inderly persons still occurs لكن + +114 +00:10:37,840 --> 00:10:46,010 +بيقولليفي الحلقة هذه الحلقة الهدبية salary rank ما + +115 +00:10:46,010 --> 00:10:53,750 +زالت هناك بعض أثار ال accommodation كيف يعني؟ is + +116 +00:10:53,750 --> 00:10:59,170 +not مرة بيطول و مرة بيقصر العضلة الهدبية مرات + +117 +00:10:59,170 --> 00:11:04,050 +بتطلع لبرا و مرات بتيجي لجوا يعني العضلة الهدبية + +118 +00:11:04,050 --> 00:11:10,810 +مرات بتقترب عن الناس بتضيق الحلقةومرات لما ترتخي + +119 +00:11:10,810 --> 00:11:15,110 +تبدأ الانس بتوسع الحلقة، أي أن الحلقة الهدبية ليست + +120 +00:11:15,110 --> 00:11:19,390 +ثابتة، حتى في كبير السن، الحلقة الهدبية ما زال + +121 +00:11:19,390 --> 00:11:27,130 +يعمل فيها ال accommodation سواء العضلة أو الذنيول، + +122 +00:11:27,130 --> 00:11:32,910 +أما العدسة لأ، في الشباب، أه العدسة بتلعب في + +123 +00:11:32,910 --> 00:11:38,290 +الحلقة الهدبية، هذه الحلقة الهدبية ملعبمين اللي + +124 +00:11:38,290 --> 00:11:42,890 +بلعب فيه اللعيبة؟ ال zoniole اللي بلعب فيه و ال + +125 +00:11:42,890 --> 00:11:50,310 +muscle اللي بتلعب فيه و ال zoniole ال lens اللي + +126 +00:11:50,310 --> 00:11:57,410 +عند الستين بتبطل تلعب خلاص بصير يابسة جابش جادرة + +127 +00:11:57,410 --> 00:12:00,510 +تاخد على الطرف تاخد بس إيش + +128 +00:12:05,610 --> 00:12:14,630 +يبقى بيقوللي الـ celery ring بديج وبتوسع حسب الاش + +129 +00:12:14,630 --> 00:12:21,730 +اللي هو نشاط العضلة ونشاط الذنوب وليس العدسة طيب + +130 +00:12:21,730 --> 00:12:28,310 +انا بعرفش احنا علمناكوا كيف نقيس ال amplitude و + +131 +00:12:28,310 --> 00:12:32,230 +accommodation وكيف نقيس refractive state of any + +132 +00:12:32,230 --> 00:12:32,490 +eye + +133 +00:12:36,900 --> 00:12:42,220 +اه هناك عدة وسائل في حاجة اسمها subjective + +134 +00:12:42,220 --> 00:12:48,840 +subjective ال person يعني بيتكلم الطريقة مشهورة + +135 +00:12:48,840 --> 00:12:54,140 +اسمها push up method ماعرفش + +136 +00:12:54,140 --> 00:12:58,240 +انتوا بتعرفوا ال jaguar chart jaguar chart بتاع + +137 +00:12:58,240 --> 00:13:04,230 +القراءة اه احنا بنجيب ال jaguarبنقربه على العين + +138 +00:13:04,230 --> 00:13:10,210 +لوقت ما يصير بلري يبطل يعرف يقرأ فيه بعدين نسحبه + +139 +00:13:10,210 --> 00:13:14,570 +على العين برا لما يصير يقرأ كويس بعدين نسحبه كمان + +140 +00:13:14,570 --> 00:13:21,130 +برا لما يصير بلري فاحنا بنقدر من المسافة نعرف وقت + +141 +00:13:21,130 --> 00:13:26,130 +إيش وصل ال near point وصار بلري وقت إيش وصل برا + +142 +00:13:26,130 --> 00:13:29,990 +برا برا برا reading distance صار بلري وقت إيش بين + +143 +00:13:29,990 --> 00:13:36,460 +أو ما صار يقرأ كويسوهذه طبعا المسافة مقلوب القوة + +144 +00:13:36,460 --> 00:13:44,140 +نقدر نعرف ال accommodation هو بيقول لي أن الطريقة + +145 +00:13:44,140 --> 00:13:50,800 +هذه مع أنها طريقة سهلة إلا إنها not actually a + +146 +00:13:50,800 --> 00:13:54,380 +major accommodation وإنها مش دقيقة مع أنها simple + +147 +00:13:54,380 --> 00:14:00,240 +وبسيطة لكنمش هي الطريقة الدقيقة خاصة في الناس اللي + +148 +00:14:00,240 --> 00:14:04,980 +عندهم multifocal IOL اللي زرعين عدسة فيها + +149 +00:14:04,980 --> 00:14:11,820 +multifocal تعدد وتعدد البؤر push-up method + +150 +00:14:11,820 --> 00:14:15,700 +although routinely used is not an appropriate مش + +151 +00:14:15,700 --> 00:14:19,260 +مناسبة method to major accommodation this method + +152 +00:14:19,260 --> 00:14:24,080 +ليش over estimates true accommodation + +153 +00:14:26,130 --> 00:14:36,870 +overestimation يعني تعطي قيم أعلى من الصحيح تعطي + +154 +00:14:36,870 --> 00:14:41,530 +قيم أعلى لأن في كبار السن ال depth of focus بزيد + +155 +00:14:41,530 --> 00:14:45,350 +فبعطي + +156 +00:14:45,350 --> 00:14:50,730 +في كبار السن قراءات false أو قراءات overestimated + +157 +00:14:50,730 --> 00:14:54,310 +زيادة عن نفسه يبقى أول طريقة ال subjective اللي + +158 +00:14:54,310 --> 00:15:00,150 +push upالتانية ال objective اللي هي ريتنسكوبي ال + +159 +00:15:00,150 --> 00:15:04,350 +objective ريتنسكوبي طبعا الريتنسكوب بيظل ال most + +160 +00:15:04,350 --> 00:15:11,950 +common approach يعني العلم تقدم جدا وصل ال OCT وصل + +161 +00:15:11,950 --> 00:15:18,230 +ال magnetic resonance لكن بيفضل الريتنسكوب هو + +162 +00:15:18,230 --> 00:15:22,090 +أساسي الoptometry و + +163 +00:15:22,090 --> 00:15:24,790 +احنا بنعرف الoptometrist + +164 +00:15:27,160 --> 00:15:35,720 +الهادق من ما سوا في مدى عملوا + +165 +00:15:35,720 --> 00:15:43,400 +بالريتروسكوب وإخراج ايش نتائج اه accurate results + +166 +00:15:43,400 --> 00:15:46,580 +يبقى + +167 +00:15:46,580 --> 00:15:50,780 +ال objective method of accommodation measurement + +168 +00:15:50,780 --> 00:15:58,060 +اه by using retroscopy وهي more accuratethis is + +169 +00:15:58,060 --> 00:16:02,220 +subjective مثلا ال bosh up لأ هذه أكتر with trial + +170 +00:16:02,220 --> 00:16:05,820 +lenses is perhaps the most common approach طيب + +171 +00:16:05,820 --> 00:16:14,680 +يعني احنا الآن عملنا static ريتنسكوبي كيف نصل لل + +172 +00:16:14,680 --> 00:16:18,900 +accommodation بريتنسكوب هاي الريتنسكوب لسه معايا + +173 +00:16:18,900 --> 00:16:24,780 +انا عملت static وفضل بطلع مثلا plus two plus two + +174 +00:16:24,780 --> 00:16:32,230 +واللي يمين والشمالكيف انا اعرف من الريتروسكوب اللي + +175 +00:16:32,230 --> 00:16:36,870 +لسه in my hand كم ال accommodation amplitude عند + +176 +00:16:36,870 --> 00:16:46,650 +هذا المريض سواء صغير او كبير المسألة سهلة انتقل من + +177 +00:16:46,650 --> 00:16:53,330 +static ل dynamic انتقل من static ل dynamic ايش + +178 +00:16:53,330 --> 00:16:54,130 +الفرق بينهم؟ + +179 +00:16:56,730 --> 00:17:00,050 +الـ fixation في الـ static بيكون في الـ fire point + +180 +00:17:00,050 --> 00:17:05,510 +بيكون infinity وفي ال dynamic ع نيربونت بتطلع في + +181 +00:17:05,510 --> 00:17:09,930 +اللي هو my light أنا بقوله تطلع في my light وأعمال + +182 +00:17:09,930 --> 00:17:13,730 +الوريتنيسكوب الجديد هلاجيه ايجاه كمان two or three + +183 +00:17:13,730 --> 00:17:19,270 +or four هم ال two or three or four حسب ال age + +184 +00:17:19,270 --> 00:17:22,530 +والشخص هم ال magnitude + +185 +00:17:25,190 --> 00:17:28,450 +يعني ما اتخلصش نفسي كتير في نفس ال session بعد ما + +186 +00:17:28,450 --> 00:17:31,450 +كان اتطلع بيت بس يتطلع قريب و احطله عدسات جديد و + +187 +00:17:31,450 --> 00:17:36,070 +بسرعة في دقائق اطلعله الفرق بين reflection static + +188 +00:17:36,070 --> 00:17:38,710 +و reflection dynamic هذا هو ال magnitude of + +189 +00:17:38,710 --> 00:17:43,110 +accommodation على بالك ان كل الناس نفس القيمة لأ + +190 +00:17:43,110 --> 00:17:50,710 +لأ مش نفس القيمة مش نفس القيمة لأنه الشباب او + +191 +00:17:50,710 --> 00:17:55,770 +الصغار السنمتوسطي السن اللي هم ده وكبار السن اللي + +192 +00:17:55,770 --> 00:18:01,590 +هم ده حسب نشاط العدسة هو مجرد ما انتقل من ال far + +193 +00:18:01,590 --> 00:18:07,550 +point او ال infinity الى ال .. اللي هو my light + +194 +00:18:07,550 --> 00:18:10,570 +الهولنز + +195 +00:18:10,570 --> 00:18:14,910 +عملت ايش accommodation وبالتالي بيان بدا المكان + +196 +00:18:14,910 --> 00:18:20,880 +with صار against مثلاعلى طول و لسه بدى أعمل عدسات + +197 +00:18:20,880 --> 00:18:23,920 +جديدة و أحط عدسات عدسات عدسات لما أصل ل neutral + +198 +00:18:23,920 --> 00:18:28,380 +point جديدة و + +199 +00:18:28,380 --> 00:18:33,940 +أطلع result جديدة فوق static retroscope و تحت + +200 +00:18:33,940 --> 00:18:38,960 +dynamic retroscope و اتنين objective انا بهيط بكون + +201 +00:18:38,960 --> 00:18:44,900 +احسن طريقة ان اطلعت الحلفي طرق أخرى انقس ال + +202 +00:18:44,900 --> 00:18:51,500 +accommodation زي refractometer و autorefractometer + +203 +00:18:51,500 --> 00:18:56,720 +هدولة اللي هو عبارة عن phoropter في phoropter يدوي + +204 +00:18:56,720 --> 00:19:01,980 +موجود هنا في المعمل و في phoropter آلي و احنا مش + +205 +00:19:01,980 --> 00:19:07,120 +موجودين هنا فيهم آلية نطلع اللي هو ال + +206 +00:19:07,120 --> 00:19:09,260 +accommodation + +207 +00:19:10,230 --> 00:19:15,150 +Infrared optometers الحقيقة هذا تحت الضوء تحت + +208 +00:19:15,150 --> 00:19:19,750 +الحمراء مش موجودة هنا او احنا يعني ماعرفنا عنه + +209 +00:19:19,750 --> 00:19:24,610 +قليل يعني ان شاء الله بيصير كلها facilitates + +210 +00:19:24,610 --> 00:19:28,910 +measurement of the reflection with relative ease + +211 +00:19:28,910 --> 00:19:32,930 +بسهولة and accuracy وبدقة and with minimal + +212 +00:19:32,930 --> 00:19:38,570 +expertise ال keyword وبقليل من الخبرة القليل من + +213 +00:19:38,570 --> 00:19:42,700 +الخبرة يعني الجهاز هو اللي بيشتغلطيب عندنا احنا + +214 +00:19:42,700 --> 00:19:48,480 +موجود auto refractometer كلكم بتعرفوا ال auto + +215 +00:19:48,480 --> 00:19:55,060 +refractometer سهل ممتنع هو بيقيص العيوب الانكسارية + +216 +00:19:55,060 --> 00:20:01,160 +بيقيص العيوب الانكسارية within limits يعني هو ما + +217 +00:20:01,160 --> 00:20:05,840 +بيقيص ال high astigmatism مثلا يعني astigmatism + +218 +00:20:05,840 --> 00:20:13,570 +فوق ال five ديوب ترز بس بيقولكhigh cylinder و بيجف + +219 +00:20:13,570 --> 00:20:19,130 +لو في irregular astigmatism بقولك no center أو no + +220 +00:20:19,130 --> 00:20:23,530 +target بعطيك رسالة لو في irregular astigmatism زي + +221 +00:20:23,530 --> 00:20:29,750 +ال keratoconus مثلا لو في high regular astigmatism + +222 +00:20:29,750 --> 00:20:36,930 +بقولك over cylinder مافي they are less accurate at + +223 +00:20:36,930 --> 00:20:37,810 +measuring and + +224 +00:20:40,970 --> 00:20:43,250 +The refractive changes in the eye with high + +225 +00:20:43,250 --> 00:20:46,470 +degrees of accommodation حتى لو الـ accommodation + +226 +00:20:46,470 --> 00:20:52,510 +عالي جدا هو ما بيقيصه طيب + +227 +00:20:52,510 --> 00:21:01,170 +الآن هنبدأ في موضوع نظريات قصو + +228 +00:21:01,170 --> 00:21:07,050 +النظر قصو قصور قصو النظر + +229 +00:21:09,440 --> 00:21:19,220 +بعد منتصف العمل منتصف العمل الحقيقة زي ما قلت انا + +230 +00:21:19,220 --> 00:21:24,480 +اكتر عيب بصري على مستوى العالم هو البرس بيوم + +231 +00:21:24,480 --> 00:21:27,480 +عارفين ليش؟ + +232 +00:21:30,700 --> 00:21:35,260 +كل إنسان بتخطى الأربعين تقريبا وانا بقول تقريبا + +233 +00:21:35,260 --> 00:21:39,460 +عشان في بعض الحالات إلا يغاني من هذا التغيير + +234 +00:21:39,460 --> 00:21:42,980 +وبالتالي + +235 +00:21:42,980 --> 00:21:49,100 +يعني لا يقف منه إلا اللي بموت قبل هذا السنة يبقى + +236 +00:21:49,100 --> 00:21:54,340 +جمهور البشرية فيه مجموعه و هتعرض لبس بيوبياإلا + +237 +00:21:54,340 --> 00:21:58,640 +اللي هو لسه موصلش الدور لكن لو وصل الدور و اتخطى + +238 +00:21:58,640 --> 00:22:03,940 +الاربعين هيبدأ يعانى بل إنه في نظرية احنا سمعناها + +239 +00:22:03,940 --> 00:22:09,620 +قبل المحاضرات لأ هو البرس بيوبي بتبدأ حتى في ال + +240 +00:22:09,620 --> 00:22:18,600 +youth بتبدأ في الشباب الآن في الطلبة بتعينى في برس + +241 +00:22:18,600 --> 00:22:21,760 +بيوبية لكن .. لكن كاملة + +242 +00:22:26,340 --> 00:22:31,980 +ليش كام من ال potential؟ يعني + +243 +00:22:31,980 --> 00:22:37,660 +ايه احنا شايفين كل اربع سنوات الشباب بيقل ديوبتر + +244 +00:22:37,660 --> 00:22:42,680 +من ال accumulation بتاعهم يعني جهد العضلة بيقل + +245 +00:22:42,680 --> 00:22:50,650 +ديوبتر طب قبل سنوات كام و الآن كام؟ و بعدها؟مثلا + +246 +00:22:50,650 --> 00:22:54,770 +عشرة سنوات كام يعني واضح ان انتوا ماشيين في طريق + +247 +00:22:54,770 --> 00:23:01,230 +ال breast biopia لكن لم تعلن وقت إيش تعلن بعد + +248 +00:23:01,230 --> 00:23:06,330 +الأربعة فالان هي potential breast biopia in youth + +249 +00:23:06,330 --> 00:23:10,230 +في الشباب potential كامنة لكن وقت إيش بتصير clear + +250 +00:23:10,230 --> 00:23:17,690 +بعد الأربعة يبقى هيك ال breast biopia أصبحت يعني + +251 +00:23:17,690 --> 00:23:27,400 +بلاء عامو البشرية تبحث عن العلاج لكنها لم تجد حتى + +252 +00:23:27,400 --> 00:23:32,560 +لها طيب ايش الحقيقة أساساً؟ الحقيقة هو مختلفين في + +253 +00:23:32,560 --> 00:23:37,680 +الحقيقة يعني في حقيقة مثلا احنا مش مختلفين عليها + +254 +00:23:37,680 --> 00:23:46,120 +أبدا انه the cornea is the first and the major + +255 +00:23:46,120 --> 00:23:52,340 +surface of refraction in humans eyeهل في عليه + +256 +00:23:52,340 --> 00:23:58,560 +خلاف؟ مافي عليه خلاف الـ crystalline lens is a + +257 +00:23:58,560 --> 00:24:05,580 +biconvex plus lens and is the second and the + +258 +00:24:05,580 --> 00:24:10,940 +weaker surface of refraction in the eye مافي عليه + +259 +00:24:10,940 --> 00:24:16,080 +خلاف البريس بيوب ماوصلناش فيها الحقيقة لسه فلجعنا + +260 +00:24:16,080 --> 00:24:20,950 +إلى أيش؟ إلى ال theoriesنظريات دعنا نشوف النظريات + +261 +00:24:20,950 --> 00:24:25,270 +النظرية الأولى أو قبل ما نخش في النظرية الأولى + +262 +00:24:25,270 --> 00:24:33,890 +بيقول ان أسباب ال breast biopia تنحصر في hardening + +263 +00:24:33,890 --> 00:24:37,650 +or sclerosis of the lens substance في ناس ركزوا + +264 +00:24:37,650 --> 00:24:42,910 +عليها تهم ال lens بيقول انت يا lens سبب ال breast + +265 +00:24:42,910 --> 00:24:50,040 +biopia لأنك انت كل ما كبر السن بتصيريmore hard and + +266 +00:24:50,040 --> 00:24:54,840 +sclerosis في + +267 +00:24:54,840 --> 00:24:59,260 +ناس لأ قالوا حرام ظلمته الناس صح الناس سبب لكن مش + +268 +00:24:59,260 --> 00:25:03,260 +كل السبب قالوا إيش السبب قالوا ال loss of ciliary + +269 +00:25:03,260 --> 00:25:10,140 +muscle and choroidal elasticity بما أنه ال ciliary + +270 +00:25:10,140 --> 00:25:16,860 +muscle هي جزء من ال yuvial tract of the eye yuvial + +271 +00:25:17,670 --> 00:25:20,470 +tract of the eye نحن نقول إن الـ celery muscle + +272 +00:25:20,470 --> 00:25:27,270 +بتشكل skeleton of celery body و ال body هو متصل + +273 +00:25:27,270 --> 00:25:33,310 +تماما بإيش بالكورويد يبقى الكورويد وجدوا كمان إنه + +274 +00:25:33,310 --> 00:25:38,930 +دخل في موضوع ال accommodation فهو + +275 +00:25:38,930 --> 00:25:45,730 +الآن يعني معظم نظريات حدور على sclerosis و + +276 +00:25:45,730 --> 00:25:53,050 +hardening of the neckلكن الناس اللي دارسين مايفلوش + +277 +00:25:53,050 --> 00:25:59,530 +دور ال salary, muscle و نص السن و الكبر و الهرم + +278 +00:25:59,530 --> 00:26:07,630 +أيضا يصيب salary, muscle and career وهي + +279 +00:26:07,630 --> 00:26:14,710 +هذه حقيقة يعني هل لاعب الكرة اللي كان في سن + +280 +00:26:14,710 --> 00:26:21,780 +العشرينأو الـ 25 يتقلق في الملاعب و يحوظ الكأس تلو + +281 +00:26:21,780 --> 00:26:28,420 +الكأس زي Maradona و الناس هادولة هل الآن Maradona + +282 +00:26:28,420 --> 00:26:33,380 +بيقدر يلعب ماتش زي ما كان قبل عشر سنوات هو اتقعد + +283 +00:26:33,380 --> 00:26:39,680 +من Maradona فاضل يلعب بطل أرجنتين الدولي هذا يعني + +284 +00:26:39,680 --> 00:26:48,780 +ل .. ليش؟ لأنه ال musclesسكشاد برضه هتدخل في العقل + +285 +00:26:48,780 --> 00:26:55,380 +تدخل في العقل لان هنبدأ في نظريات وجود نظرية ليست + +286 +00:26:55,380 --> 00:27:01,040 +حقيقة not fact not effect but theory أول نظرية + +287 +00:27:01,040 --> 00:27:08,200 +اسمها lenticular sclerosis نظرية تصلب العدسة ال + +288 +00:27:08,200 --> 00:27:13,140 +adjective من ال lens lenticular ال adjective الصفة + +289 +00:27:13,140 --> 00:27:17,320 +من ال lens lenticularطبعا هذه نظرية هي النظرية + +290 +00:27:17,320 --> 00:27:24,520 +القديمة وحقيقة هي بتتناشى مع فرضية من Helmholtz + +291 +00:27:24,520 --> 00:27:27,420 +فاكرينه Helmholtz هتكلمنا عنه في سنة ألف تسعة + +292 +00:27:27,420 --> 00:27:33,380 +وتسعة هايو هذا أبو ال refraction و أبو ال + +293 +00:27:33,380 --> 00:27:38,960 +accommodation ألماني قدير هو قال ان ال + +294 +00:27:38,960 --> 00:27:42,840 +accommodation جاي من كماشي ال celery muscle + +295 +00:27:42,840 --> 00:27:47,960 +وارتخاء ال zonulesوإن ال lens بتصير accommodated + +296 +00:27:47,960 --> 00:27:55,220 +تنسوش الأحداث اللي عملها Helmholtz هذا الآن + +297 +00:27:55,220 --> 00:27:58,320 +النظرية الأولى اللي هنتكلم عليها اليوم في الطليعة + +298 +00:27:58,320 --> 00:28:07,360 +بتقول إنه مع السن إن ال lens capsule اللي هي عبارة + +299 +00:28:07,360 --> 00:28:14,620 +عن mold قالب يعني mold قالب لل contents of the + +300 +00:28:14,620 --> 00:28:25,410 +lensاللي عمارة عن nucleus and cortex القالب + +301 +00:28:25,410 --> 00:28:36,590 +هذا هو الذي يشكل المادة of the lens when it is + +302 +00:28:36,590 --> 00:28:41,030 +elastic تماما + +303 +00:28:41,030 --> 00:28:43,410 +كالطين + +304 +00:28:46,020 --> 00:28:52,440 +اللي بنشكل منه الأشكال في المدارس لما نكون طين لين + +305 +00:28:52,440 --> 00:29:02,140 +ممكن نشكله احنا في شكل كرة أو في شكل bird أو في + +306 +00:29:02,140 --> 00:29:10,780 +شكل pencil أو في شكل circle + +307 +00:29:10,780 --> 00:29:21,230 +و هكذا طيبلما هذا الطين becomes + +308 +00:29:21,230 --> 00:29:30,730 +hard لو وضعناه في الشمس مثلا مدة ساعات، بعدين + +309 +00:29:30,730 --> 00:29:36,810 +أخدنا هذا الطين لنشكله مرة أخرى، هنجيش ايش؟ + +310 +00:29:36,810 --> 00:29:42,960 +resistant، it's resistant مقاوم، hardهو بيقوللي + +311 +00:29:42,960 --> 00:29:49,920 +هذه اليد هي الكبسول اليد هي الكبسول والطين هو الاش + +312 +00:29:49,920 --> 00:29:57,740 +هو الطين الطين هو ال cortex and اللي هو nucleus of + +313 +00:29:57,740 --> 00:30:03,900 +the lungs في الشباب والأطفال الكبسولة بتشكل المادة + +314 +00:30:03,900 --> 00:30:11,360 +كما تريد تعملها circle تعملها flat تعملها in + +315 +00:30:11,360 --> 00:30:21,380 +betweenحسب الـ effort of near work or far work طيب + +316 +00:30:21,380 --> 00:30:28,480 +في كبار السن النظرية هذه بتقول لأ بتقول انه a + +317 +00:30:28,480 --> 00:30:31,920 +hardening of the lens substance could cause breast + +318 +00:30:31,920 --> 00:30:36,060 +biopia as reported by Finsham في سنة تسعة سبعة و + +319 +00:30:36,060 --> 00:30:38,960 +تلاتين من القرن الماضي in breast biops when zone + +320 +00:30:38,960 --> 00:30:45,540 +wall art tension is releasedيعني يصير مافيش شد لما + +321 +00:30:45,540 --> 00:30:51,700 +العضلة بتتقمش بتقرب على ال lens ترتخى the nulls + +322 +00:30:51,700 --> 00:30:57,760 +the lens capsule is unable to exert what's exert؟ + +323 +00:30:57,760 --> 00:31:04,440 +تبذل بذل sufficient force on the hardened lens + +324 +00:31:04,440 --> 00:31:10,260 +substance to cause lens to become accumulatedفكرت + +325 +00:31:10,260 --> 00:31:15,260 +في موضوع الطين؟ الطين الآن جاف، هل ممكن أشكله كما + +326 +00:31:15,260 --> 00:31:19,480 +أريد؟ لأ، الآن حتى لو رخينا كل الشد على ال equator + +327 +00:31:19,480 --> 00:31:26,220 +of the lens، بطل قادر الكبسولة إنها تعمل في ال + +328 +00:31:26,220 --> 00:31:31,740 +accommodation الشكل الكروي، ليش؟ لأن محتويات ال + +329 +00:31:31,740 --> 00:31:38,700 +lens الداخلية أصبحت هذاطب النظرية هذه مين في + +330 +00:31:38,700 --> 00:31:46,520 +طالباتي بصدقها أو بأيدها ما + +331 +00:31:46,520 --> 00:31:51,780 +هي .. ما هي .. فاهم هنا هو وضع السبب بتاع ال + +332 +00:31:51,780 --> 00:32:02,020 +blasbiopia على صلابة محتويات ال lens الداخلية يعني + +333 +00:32:02,020 --> 00:32:06,500 +مائدة .. اه مش شغل .. اه + +334 +00:32:09,810 --> 00:32:14,790 +يعني مافيش وضوح عند الناس حقيقة ان هذا .. هذا أنا + +335 +00:32:14,790 --> 00:32:20,770 +بالنسبالي جزء من السبب مش كل السبب لأنه احنا قلنا + +336 +00:32:20,770 --> 00:32:24,090 +انه الناس .. ال .. ال .. ال .. ال .. ال .. ال .. + +337 +00:32:24,090 --> 00:32:24,270 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +338 +00:32:24,270 --> 00:32:24,330 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +339 +00:32:24,330 --> 00:32:24,370 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +340 +00:32:24,370 --> 00:32:25,350 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +341 +00:32:25,350 --> 00:32:25,770 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +342 +00:32:25,770 --> 00:32:25,970 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +343 +00:32:25,970 --> 00:32:26,190 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +344 +00:32:26,190 --> 00:32:31,890 +.. ال .. ال .. + +345 +00:32:31,890 --> 00:32:32,410 +ال + +346 +00:32:38,060 --> 00:32:43,620 +أيوة سيستم كامل وهي هذه أساس يعني هذه أساس في + +347 +00:32:43,620 --> 00:32:50,440 +عملية breast biopia طيب كمل هذه النظرية إيجا غلاسر + +348 +00:32:50,440 --> 00:32:54,840 +و كامبل اتنين باحثين demonstrated an age dependent + +349 +00:32:54,840 --> 00:32:58,080 +decline in the ability of the human lens to + +350 +00:32:58,080 --> 00:33:00,920 +undergo accumulative optical changes with + +351 +00:33:00,920 --> 00:33:06,060 +mechanical stretching أجوا هما بدوا يشدوا في + +352 +00:33:06,060 --> 00:33:11,960 +المعملعلى العيون اللي هي مشهولة يعني أو حتى عيون + +353 +00:33:11,960 --> 00:33:16,380 +الحيوانات بدأوا يعملوا التجربة على سن كده و سن كده + +354 +00:33:16,380 --> 00:33:22,040 +و سن كده وجدوا أن الـ older lenses في كبار السن + +355 +00:33:22,040 --> 00:33:29,660 +can undergo less change in power until age 60 + +356 +00:33:29,660 --> 00:33:36,550 +years يعني بيصير تغييرفي الـ power في الـ + +357 +00:33:36,550 --> 00:33:41,050 +accommodation حتى الـ 60% بعد الـ 60% لا تغير في + +358 +00:33:41,050 --> 00:33:46,030 +قوة اللينز يحدث مع الـ stretching مهما شد بعد الـ + +359 +00:33:46,030 --> 00:33:52,390 +60% تصل لبعض العدسة كانوا ياخدوا عيون مثلا سن + +360 +00:33:52,390 --> 00:33:56,890 +عشرين سن تلاتين سن أربعين سن خمسين لما يصيروا + +361 +00:33:56,890 --> 00:34:00,990 +يعملوا mechanical stretching كانوا يلاحظوا أنه فيه + +362 +00:34:00,990 --> 00:34:08,710 +تغييرفي اللي هو القوة بتاعة العين بعد 60 توقف + +363 +00:34:08,710 --> 00:34:13,510 +التغيير وهذا دليل أو بيدلل على sclerosis انه صار + +364 +00:34:13,510 --> 00:34:18,630 +بعد 60 غير قابلة قوة العين البصرية انها تزيد في + +365 +00:34:18,630 --> 00:34:24,180 +القريبمقارنة جسمية الإنسان لديها مقارنة بـPau + +366 +00:34:24,180 --> 00:34:29,700 +وKrantz وGlasser وCampbell أيضًا تظهر بالأحمر مزيد + +367 +00:34:29,700 --> 00:34:32,680 +من المزيد من مزيد من مزيد من مزيد من مزيد من مزيد + +368 +00:34:32,680 --> 00:34:33,380 +مزيد من مزيد من مزيد من مزيد من مزيد من مزيد من + +369 +00:34:33,380 --> 00:34:33,500 +مزيد من مزيد من مزيد من مزيد من مزيد من مزيد من + +370 +00:34:33,500 --> 00:34:38,640 +مزيد + +371 +00:34:38,640 --> 00:34:43,420 +من مزيد من مزيد من مزيد من مزيد من مزيد من مزيد من + +372 +00:34:43,420 --> 00:34:45,060 +مزيد من مزيد من مزيد من مزيد من مزيد من مزيد منthe + +373 +00:34:45,060 --> 00:34:48,460 +hardness of the lens occurs with age كل هؤلاء + +374 +00:34:48,460 --> 00:34:54,660 +الباحثين طلعوا بالنتيجة هذه انه فيه زيادة جوارية + +375 +00:34:54,660 --> 00:35:05,200 +في قساوة العدسة مع السن خاصة في الستين سنة طيب هذه + +376 +00:35:05,200 --> 00:35:10,360 +نظرية عليكوا تناقشوها وانتوا تقرأوا و تشوفوا كم + +377 +00:35:10,360 --> 00:35:16,130 +مؤيد و كم معارض النظرية التانيةلأ هي ركزت هذه بس + +378 +00:35:16,130 --> 00:35:21,170 +على الكبسولة قالوا لا يا عمي هو بيقول ان الكبسولة + +379 +00:35:21,170 --> 00:35:27,310 +هي السبب الكبسولة بتفضل تزيد في ال thickness + +380 +00:35:27,310 --> 00:35:31,630 +للستين وبعد الستين بتصير thin ولمّا تصير thin + +381 +00:35:31,630 --> 00:35:37,910 +بتقدرش تعمل ال accommodation الكبسولة الخارجية + +382 +00:35:37,910 --> 00:35:45,110 +كبسولة العدسة هذه هذه الكبسولةبعد الستين يعني هي + +383 +00:35:45,110 --> 00:35:56,770 +كانت مثلا كده خميلة بعد الستين صارت very thin بطلت + +384 +00:35:56,770 --> 00:36:03,750 +جادر ايش تعمل accommodation بس + +385 +00:36:03,750 --> 00:36:11,370 +الحقيقة ان انا ادميها ضعيفة لإن ما قالتلي كام + +386 +00:36:13,060 --> 00:36:19,960 +الـ thickness بتاعها بيكون وكم صار وهل هذا يعني + +387 +00:36:19,960 --> 00:36:23,660 +بيأثر مية في المية على ال accommodation ولا خمسية + +388 +00:36:23,660 --> 00:36:28,860 +في المية ولا أقل ولا أكتر فهو بيقوللي studies هذه + +389 +00:36:28,860 --> 00:36:33,620 +disagree لا تتفق on whether these experiments + +390 +00:36:33,620 --> 00:36:36,720 +demonstrate that the capsule becomes less elastic + +391 +00:36:37,870 --> 00:36:43,090 +الكبسولة نفسها or less extensible أقل تمددًا and + +392 +00:36:43,090 --> 00:36:48,410 +more brittle ولا هشة with age يعني النظرية هذه + +393 +00:36:48,410 --> 00:36:56,550 +أخدت الطرف و تركت المركز يعني يزعم صاحب عند + +394 +00:36:56,550 --> 00:37:00,330 +النظرية أن الـ lean substance + +395 +00:37:05,230 --> 00:37:12,110 +undergo no change with age but the change only in + +396 +00:37:12,110 --> 00:37:16,610 +the capsule of the lens بتصير thin و لاستطيع انها + +397 +00:37:16,610 --> 00:37:22,510 +تعمل molding or change of the lens substance + +398 +00:37:22,510 --> 00:37:27,650 +inside the capsule يبقى هذه حكاية الكبسول + +399 +00:37:27,650 --> 00:37:34,590 +elasticity نظريةفيها وهم عشان هي بيقول the + +400 +00:37:34,590 --> 00:37:38,310 +contradictory التناقض results obtained from these + +401 +00:37:38,310 --> 00:37:41,950 +three studies and the uncertainty عدم التأكد و + +402 +00:37:41,950 --> 00:37:45,010 +precise role of the capsule in accommodation makes + +403 +00:37:45,010 --> 00:37:50,590 +it unclear ايش unclear؟ how the capsule may be + +404 +00:37:50,590 --> 00:37:57,550 +involved in this pipe هذه النظرية التانية النظرية + +405 +00:37:57,550 --> 00:38:02,750 +التالتة أعجبgeometric theory نظرية الهندسية + +406 +00:38:02,750 --> 00:38:11,450 +باختصار في نظرية الهندسية هو يعني المعروف أن هاي + +407 +00:38:11,450 --> 00:38:18,290 +ال lens هيك و أن ال nules ماسكة في ال equator و + +408 +00:38:18,290 --> 00:38:21,170 +ماسكة في ال pre equator و ماسكة في ال post equator + +409 +00:38:21,170 --> 00:38:25,630 +وهذا أخدنا في ال anatomy of the lens هذا الكلام + +410 +00:38:25,630 --> 00:38:30,230 +صحيح هيك أنه في equatorial fiberspre equatorial + +411 +00:38:30,230 --> 00:38:36,810 +fibers و post equatorial fibers تمام ال lens هذه + +412 +00:38:36,810 --> 00:38:44,850 +بتقول انه مع تقدم السن و ان العدسة بتصير متضخمة مع + +413 +00:38:44,850 --> 00:38:51,790 +السن ان ال zonular attachment migrates + +414 +00:38:51,790 --> 00:38:58,670 +forwardsكل المجموعة هذه مش هتفضل مكانها لأ هتصير + +415 +00:38:58,670 --> 00:39:13,890 +بهنا وهنا وهنا وهنا وهنا وهنا وهنا يعني + +416 +00:39:13,890 --> 00:39:19,350 +هو بيقول ان ال anterior zonal attachment near the + +417 +00:39:19,350 --> 00:39:21,670 +equatorial edge of the lift shifts + +418 +00:39:24,290 --> 00:39:31,770 +forward with increasing edge طيب هذا هيأثر أيش هذا + +419 +00:39:31,770 --> 00:39:39,470 +الوضع الأول هذا و الوضع التاني هذا لأ + +420 +00:39:39,470 --> 00:39:43,450 +هو عادة عشان هندسية بقولك لأ يا عمي الزاوية هنا + +421 +00:39:43,450 --> 00:39:47,950 +أصغر من الزاوية هنا بشكل + +422 +00:39:49,800 --> 00:39:55,080 +الزاوية بتاعة التقاء ال .. ال .. ال .. اللي هو الـ + +423 +00:39:55,080 --> 00:40:00,600 +zonules مع ال anterior surface يعني هي بترحل .. + +424 +00:40:00,600 --> 00:40:03,900 +بتسير في ال anterior surface مش بس في ال equator + +425 +00:40:03,900 --> 00:40:10,820 +فبتصير الزاوية جاية هيك مائلة أصغر من لو كانت في + +426 +00:40:10,820 --> 00:40:15,780 +الوضع الأولاني طيب و لمّا تصير أصغر؟ هو بيزعم أنه + +427 +00:40:15,780 --> 00:40:21,690 +صغر ال angle هذهالتغيير في الانساشن انجل بصير + +428 +00:40:21,690 --> 00:40:26,870 +انساشن انجل انساشن + +429 +00:40:26,870 --> 00:40:30,810 +انجل بصير انساشن + +430 +00:40:30,810 --> 00:40:31,410 +انجل انساشن انجل انساشن انساشن انساشن انساشن + +431 +00:40:31,410 --> 00:40:31,430 +انساشن انساشن انساشن انساشن انساشن انساشن انساشن + +432 +00:40:31,430 --> 00:40:31,990 +انساشن انساشن انساشن انساشن انساشن انساشن انساشن + +433 +00:40:31,990 --> 00:40:32,310 +انساشن انساشن انساشن انساشن انساشن انساشن انساشن + +434 +00:40:32,310 --> 00:40:32,330 +انساشن انساشن انساشن انساشن انساشن + +435 +00:40:40,290 --> 00:40:43,070 +الزاوية اللي جاية على الـ anterior surface هيك من + +436 +00:40:43,070 --> 00:40:46,010 +جميع 360 درجة في الـ anterior surface زاوية صغيرة + +437 +00:40:46,010 --> 00:40:50,650 +هيك اللي جاية من الcellary muscle في المحيط و جاية + +438 +00:40:50,650 --> 00:40:53,530 +زيونيوز عاملة في الـ anterior surface ع محيطه شوية + +439 +00:40:53,530 --> 00:41:02,730 +انه لا تستطيع ان تحدث تغييرا في اللي هو شكل العدسة + +440 +00:41:02,730 --> 00:41:06,890 +أضعف منها تحدث تغييرا في شكل العدسة و تعمل + +441 +00:41:06,890 --> 00:41:09,430 +accommodation لنظر الهندسية + +442 +00:41:16,220 --> 00:41:22,400 +طيب تبقى لها بيقول ان مافيش experiments مافيش + +443 +00:41:22,400 --> 00:41:27,660 +دلائل مبنية على التجارب exists for this theory هل + +444 +00:41:27,660 --> 00:41:34,440 +يعني انه اتيوا ناس من دول تانية وقعدوا فعلا يجيبوا + +445 +00:41:34,440 --> 00:41:40,380 +lenses من الموتى كبار السن ويفحصوا ب microscope ان + +446 +00:41:40,380 --> 00:41:47,320 +ال zonules رحلت الى الأمام على السطح الأمامىيعني + +447 +00:41:47,320 --> 00:41:52,440 +هذه كتير نظرية جاية يعني .. يعني بدل ما كانت مثلا + +448 +00:41:52,440 --> 00:41:58,100 +هذه ال lens هيك و هم مسكين هنا و مسكين هنا انه + +449 +00:41:58,100 --> 00:42:03,100 +صاروا اتحولوا انهم يمسكوا هنا يعني في هذه المناطق، + +450 +00:42:03,100 --> 00:42:06,940 +بقول لأ مافيش دلائل مبنية على التجارب العلمية + +451 +00:42:06,940 --> 00:42:14,160 +بتأكد الكلام هذا وبالتاليحتى في ال eye bank human + +452 +00:42:14,160 --> 00:42:18,680 +eye bank في بنك العيون راح Campbell و Glaser + +453 +00:42:18,680 --> 00:42:25,260 +ويعملوا تجارب ولم يثبتوا هذا الرحيل لزنوز لل + +454 +00:42:25,260 --> 00:42:32,220 +anterior surface اه يعني ابحث لكن ما زالت theory + +455 +00:42:32,220 --> 00:42:36,660 +يعني ال theory زمان فهمونا أن داروان عمل theory أن + +456 +00:42:36,660 --> 00:42:42,800 +أساس الإنسان قردةوبعدين بعض الأيام ثمت أنه لأ + +457 +00:42:42,800 --> 00:42:48,320 +القرى ده إشي والبني آدم إشي فعلا أبونا آدم مش + +458 +00:42:48,320 --> 00:42:56,140 +أبونا جرد عمره بيكون أبونا جرد من أبوه ممكن لأ حتى + +459 +00:42:56,140 --> 00:43:00,160 +مش بالكرامة أنه الإنسان أكرم كما قال الله عز وجل + +460 +00:43:00,160 --> 00:43:03,740 +واللي قد كرمنا بني آدم وحملهم في البري و البحر + +461 +00:43:04,670 --> 00:43:10,150 +ورزقناهم من الطيبات وفضلناهم على كثير من من خلقنا + +462 +00:43:10,150 --> 00:43:15,730 +تفضيلة هذه الكرامة موجودة حتى إنه الإنسان السوي + +463 +00:43:15,730 --> 00:43:22,170 +اللي يعني عقله فاق شهوته فإنه أسمع من الملائكة + +464 +00:43:22,170 --> 00:43:27,310 +واحنا ما بعرف إلى أي مدى صحت أنه في ليلة الإسراء + +465 +00:43:27,310 --> 00:43:29,750 +والمعراجة متقدم النبي محمد صلى الله عليه وسلم بعد + +466 +00:43:29,750 --> 00:43:35,980 +سدرة المنتهى و بعدها اللي هو جبريل تركهفيقولوا يا + +467 +00:43:35,980 --> 00:43:40,780 +أخي جبريل أهذا مكان يترك الخليله فيه خليله؟ + +468 +00:43:40,780 --> 00:43:48,680 +فبيقولوا يا محمد صلى الله على محمد أنت إذا اقتربت + +469 +00:43:48,680 --> 00:43:53,840 +اخترقت وانا إذا اقتربت احترقت بيقولوا أنا مش مسموح + +470 +00:43:53,840 --> 00:43:58,620 +ليعدي المنطقة هذه خلاص هذه المنطقة بعد ذلك لا + +471 +00:43:58,620 --> 00:44:03,040 +يدخلها لا يدخله هو إلا رسل مثلك أما أنا هاي مهمتي + +472 +00:44:03,040 --> 00:44:10,890 +لعندنا هنافاحنا يعني مش بالكرامة أن أبونا آدم عليه + +473 +00:44:10,890 --> 00:44:16,730 +السلام وهو نبي عليه السلام يعني كبير، أبو البشرية، + +474 +00:44:16,730 --> 00:44:20,790 +لأ إن جينات القرد تختلف عن جينات الإنسان، حتى + +475 +00:44:20,790 --> 00:44:25,110 +بالعلم، هذه جينات القرد وهذه جينات الإنسان، هل + +476 +00:44:25,110 --> 00:44:30,390 +ممكن واحد يقول اضوف دعا تلقد حصان؟ مهما اتطورت + +477 +00:44:30,390 --> 00:44:34,310 +الاضوف دعا، ما بتجيب حصان، فكيف القرد يجيب إنسان؟ + +478 +00:44:36,470 --> 00:44:41,710 +هو القرد عنده عقل يفكر ويصنع ويبحث ويورس سفن + +479 +00:44:41,710 --> 00:44:46,150 +الفضاء ويغوص في أعماق المحيطات واستخرج القالة، + +480 +00:44:46,150 --> 00:44:49,290 +القرد، القرد بيغرق في المحار من أول ما يمشي له + +481 +00:44:49,290 --> 00:44:55,070 +مائة متر، ما بيقدر يغوص ولا يعمل الغوص ولا يعمل + +482 +00:44:55,070 --> 00:44:59,770 +الطيران في الفضاء، ما بيقدر القرد، بس كان هو + +483 +00:44:59,770 --> 00:45:03,930 +أبونا، يعني هو أبونا جاهلأبقوا هنا لازم يكون ايش؟ + +484 +00:45:03,930 --> 00:45:09,510 +عالم ف Geometric theory هذه حتى في بنوك العيون + +485 +00:45:09,510 --> 00:45:14,390 +طبعا انتوا عارفين في ال .. يعني في الدول المتقدمة + +486 +00:45:14,390 --> 00:45:20,410 +انه في ناس بيوصي ان مجرد ما اموت خدوا مني الأعضاء + +487 +00:45:20,410 --> 00:45:24,850 +التالية خدوا العيون خدوا القلب خدوا مثلا ال + +488 +00:45:24,850 --> 00:45:29,450 +بنكرياس خدوا الكبد خدوا مثلا بعض الأطراف هذه يعني + +489 +00:45:29,450 --> 00:45:35,680 +تنقل إلىبشر في حاجة إليها فراهوا على بنك الأيون + +490 +00:45:35,680 --> 00:45:39,600 +وعملوا التجارب و ال microscope ما نجوش الكلام صحيح + +491 +00:45:39,600 --> 00:45:46,200 +فالنظرية هذه مش نظرية طيب في نظرية رابعة اسمها + +492 +00:45:46,200 --> 00:45:49,840 +this accommodation theory of dysbiopia this + +493 +00:45:49,840 --> 00:45:52,520 +accommodation يعني هذا بينكر ال accommodation + +494 +00:45:52,520 --> 00:45:53,060 +أساسا + +495 +00:46:00,290 --> 00:46:04,870 +التغييرات المتوقعة التي حصلت مع تغيير الزيونويلار + +496 +00:46:04,870 --> 00:46:06,230 +في المنطقة الانتقالية التي حصلت مع تغيير زيونويلار + +497 +00:46:06,230 --> 00:46:08,650 +في المنطقة الانتقالية التي حصلت مع تغيير زيونويلار + +498 +00:46:08,650 --> 00:46:11,150 +في المنطقة الانتقالية التي حصلت مع تغيير زيونويلار + +499 +00:46:11,150 --> 00:46:14,830 +في المنطقة الانتقالية التي حصلت مع تغيير زيونويلار + +500 +00:46:14,830 --> 00:46:17,350 +في المنطقة الانتقالية التي حصلت مع تغيير زيونويلار + +501 +00:46:17,350 --> 00:46:20,850 +في المنطقة الانتقالية التي حصلت مع تغيير زيونويلار + +502 +00:46:20,850 --> 00:46:27,090 +في المنطقة الانتقالية التي حصلتعارفين يا شعني؟ هو + +503 +00:46:27,090 --> 00:46:37,150 +بقولك ان ال lens تزداد ال + +504 +00:46:37,150 --> 00:46:43,530 +lens لان في حديث الولادة صغيرة و + +505 +00:46:43,530 --> 00:46:50,430 +كل ما تقدم السن تزيد في الوزن و في الحجم في الوزن + +506 +00:46:50,430 --> 00:46:58,460 +و في الحجم شباباربعين خمسين حتى إذا بلغت مثلا + +507 +00:46:58,460 --> 00:47:07,240 +الستين وهو مثلا مضمون ستين نظرية بتزعم ان النيولز + +508 +00:47:07,240 --> 00:47:16,960 +في الستين و أكتر تعجز عن حمل وتحريك الليلز ليش؟ + +509 +00:47:16,960 --> 00:47:24,960 +لأن الليلز بلغت وزنا وحجما كبيرين جدابنامز و نجوز + +510 +00:47:24,960 --> 00:47:31,320 +مايكروسكوبية آه تماما كالأم اللتي تردع طفلها سنتين + +511 +00:47:31,320 --> 00:47:41,300 +فإذا بلغ يعني عقلا و بلغ جسما فاطمته طب لو هذه + +512 +00:47:41,300 --> 00:47:48,060 +الأم استمرت في الرضاعة أربع خمس ست سنوات فإنها + +513 +00:47:48,060 --> 00:47:50,700 +ستعجز عن حمل هذا أراضيها + +514 +00:47:53,950 --> 00:47:58,310 +هي هتهجز، هذه النظرية زي هيك، هو تصور صاحب هذه + +515 +00:47:58,310 --> 00:48:02,910 +النظرية انه في this accommodation انه the news مش + +516 +00:48:02,910 --> 00:48:11,030 +قادرة تحمل ال heavy big lens اه، + +517 +00:48:11,030 --> 00:48:17,510 +الآن اجوا ناس زي Smith مثلا، اه وبحثوا في هذا + +518 +00:48:17,510 --> 00:48:22,850 +الموضوع اهفبقولوا انه theoretical compensation + +519 +00:48:22,850 --> 00:48:26,310 +between refractive index and lens curvature but no + +520 +00:48:26,310 --> 00:48:30,690 +evidence demonstrates that the human zonule is + +521 +00:48:30,690 --> 00:48:34,410 +unable to maintain the lens in a flattened and + +522 +00:48:34,410 --> 00:48:40,300 +unaccommodated stateفيش دليل ربما في مابعد انه + +523 +00:48:40,300 --> 00:48:46,500 +الباحثين انه يجدوا يعني هذه العلاقة انه يعني ال + +524 +00:48:46,500 --> 00:48:50,960 +lens أصبح ثقيلة جدا لتستطيع ال microscopic + +525 +00:48:50,960 --> 00:48:57,280 +zinniolar fibers انها تحركها و تعملها tension او + +526 +00:48:57,280 --> 00:49:02,740 +تعملها accommodation لكن عايزين evidence وال + +527 +00:49:02,740 --> 00:49:09,480 +evidence مبني على الدليل التجريبييعني اه اه لسه هو + +528 +00:49:09,480 --> 00:49:14,320 +بيقولك انه يعني مافيش دلائل كافية على النظرية هذه + +529 +00:49:14,320 --> 00:49:22,200 +ربما ييجي يوم انه فعلا يثبت انه يعني كبر الوزن و + +530 +00:49:22,200 --> 00:49:26,700 +الحجم بتاع ال .. ال .. ال .. ال .. الناس انه تنوق + +531 +00:49:26,700 --> 00:49:33,540 +بهيش ال .. ال .. is unused ربما بيدخل العقل لكن ما + +532 +00:49:33,540 --> 00:49:44,980 +زالت theory لم تثبتطيب جربوه طيب in fact constancy + +533 +00:49:44,980 --> 00:49:49,120 +of adult lens nuclear thickness لد كوك هذا واحد + +534 +00:49:49,120 --> 00:49:52,280 +كوك اللي هو الباحث suggested that the lens is + +535 +00:49:52,280 --> 00:49:57,200 +under maximal tension throughout adulthood صح؟ + +536 +00:49:57,200 --> 00:50:01,360 +يعني الآن الزينيول قوية جدا بحيث طول فترة ال + +537 +00:50:01,360 --> 00:50:07,870 +adulthood منطقة البلوغ أكبر أن زينيولUnder tension + +538 +00:50:07,870 --> 00:50:13,470 +مظبوط، مافيش وسع وزنوز قوية كمان، the fact that as + +539 +00:50:13,470 --> 00:50:17,350 +shown by Glaser and Campbell, neither relaxing nor + +540 +00:50:17,350 --> 00:50:20,890 +increasing the zonar tension on a human eye bank + +541 +00:50:20,890 --> 00:50:24,670 +lenses can cause any optical change in older human + +542 +00:50:24,670 --> 00:50:32,120 +lensهذا أدى إلى تأييد أو وقوف برهان against theory + +543 +00:50:32,120 --> 00:50:35,160 +that the lens is unable to be maintained in an + +544 +00:50:35,160 --> 00:50:37,740 +unaccommodated state as suggested by this + +545 +00:50:37,740 --> 00:50:42,400 +accommodation theory راحوا على بنك العيون وحاولوا + +546 +00:50:42,400 --> 00:50:51,300 +ان هما شوفوا عيون كبار السن بعد الستين هل فعلا + +547 +00:50:52,740 --> 00:50:59,900 +زنيولز ضعيفة بحيث الناس لما يشدوا ال .. ال .. ال + +548 +00:50:59,900 --> 00:51:04,940 +.. اللي هو زنيول ويرخوه هل فعلا زنيولز أعجز من + +549 +00:51:04,940 --> 00:51:10,480 +أنها تؤثر في حركتها على اللي هو الناس وجدوا لأ + +550 +00:51:10,480 --> 00:51:16,780 +وهذا بقولك وقف دليل آخر ضد نظرية أنه كبار السن + +551 +00:51:16,780 --> 00:51:23,190 +يصير لديه disaccommodationمش كافية ضعف الذنيوز مع + +552 +00:51:23,190 --> 00:51:28,310 +كبر حجم العدسة مافيش تناسب يعني طيب أخر نظرية + +553 +00:51:28,310 --> 00:51:34,150 +اليوم هنشرحها ان شاء الله Scatcher Theory Scatcher + +554 +00:51:34,150 --> 00:51:43,270 +Theory لأ هذا خالف الجميع كيف خالف الجميع؟ خالف + +555 +00:51:43,270 --> 00:51:51,380 +الجميع بيقول لأ لأ لأ أنا ضد Helmholtzوكل ما نحن + +556 +00:51:51,380 --> 00:51:58,500 +نحوه ع تاني ايش هيلم هولتز جال في الأول 909؟ + +557 +00:51:58,500 --> 00:52:07,800 +ذكروني اسمها + +558 +00:52:07,800 --> 00:52:12,840 +جربي هنا عشان تجاوبي على السؤال هنا قولي ايش هيلم + +559 +00:52:12,840 --> 00:52:14,480 +هولتز جال شرحناها قبل شويه + +560 +00:52:19,590 --> 00:52:26,630 +احنا ماشي زيانالها و قولنا ايش اقال، Helmholtz؟ + +561 +00:52:26,630 --> 00:52:30,210 +او مستمعون انتم؟ + +562 +00:52:30,210 --> 00:52:37,970 +او في الاعدادية انتم؟ او في الجامعة؟ + +563 +00:52:37,970 --> 00:52:43,090 +انتم اين؟ بالاطلاقي فقط؟ + +564 +00:52:47,900 --> 00:52:56,100 +Helmholtz أول واحد أبوهم كلهم طيب + +565 +00:52:56,100 --> 00:53:02,580 +هو قال لما ال celery muscle contracts ال + +566 +00:53:02,580 --> 00:53:07,340 +zonular .. ال celery .. ال celery ring بتصير + +567 +00:53:07,340 --> 00:53:14,410 +narrow لما ال celery ..السيلري رينج بيصير narrow + +568 +00:53:14,410 --> 00:53:20,690 +الزينيوز بيصيرها relaxation بيصير short طب لما + +569 +00:53:20,690 --> 00:53:25,030 +تصير short مافيش traction على ال equator of ال + +570 +00:53:25,030 --> 00:53:30,330 +lens اللينز بيصير free of tension لما تصير free of + +571 +00:53:30,330 --> 00:53:36,390 +tension بتغير الشابع بتاعها من more flat إلى more + +572 +00:53:36,390 --> 00:53:40,990 +sphere بيصير ال accommodationطب و العكس؟ إيش + +573 +00:53:40,990 --> 00:53:46,910 +العكس؟ يلّا اعملوا العكس لما + +574 +00:53:46,910 --> 00:53:54,510 +السيلانه muscle إيش بيصير لها؟ relaxation بتروح + +575 +00:53:54,510 --> 00:53:58,570 +برا العضلة + +576 +00:53:58,570 --> 00:54:04,710 +بتصير برا بتروح عن محيط السيلاري رينج إيش بيصير + +577 +00:54:04,710 --> 00:54:09,150 +فيها؟ السيلاري رينج + +578 +00:54:13,030 --> 00:54:17,890 +بتكبر طيب لما ال salary بتكبر يعني بين محيط العدسة + +579 +00:54:17,890 --> 00:54:23,950 +ومحيط ال salary بيك بتكبر ايش بيصير في الزنيول؟ + +580 +00:54:23,950 --> 00:54:30,330 +بتنشد لأ بتصير طويلة طب لما تنشد؟ بتصير flat بتشد + +581 +00:54:30,330 --> 00:54:34,430 +على ايش؟ على ال equator of the lens لما ال equator + +582 +00:54:34,430 --> 00:54:37,810 +of the lens ينشد بتصير flat بتصير fish + +583 +00:54:37,810 --> 00:54:38,170 +accommodation + +584 +00:54:41,020 --> 00:54:47,860 +ما تزعلونى؟ بنشد المحيط، لما ينشد، بصير flat عليها + +585 +00:54:47,860 --> 00:54:52,400 +شد يعنى، على كترة مئو ستين درجة لما ال zonules + +586 +00:54:52,400 --> 00:54:59,540 +تروح برا و تصير طويلة، مش بتشد طب هي لو شدت، هتصير + +587 +00:54:59,540 --> 00:55:06,510 +ال lens كانت، مش .. لأ، بالعكس، حالة ال lens كدههو + +588 +00:55:06,510 --> 00:55:11,290 +ال lens كده و جيت انا على المحيط شد ايه هتقبض كده + +589 +00:55:11,290 --> 00:55:19,230 +على السير ايش يا جماعة هاي البلون المدور بدنا نيجي + +590 +00:55:19,230 --> 00:55:24,690 +البلون المدور نعمله شدات عشرة على محيطه و نشده + +591 +00:55:24,690 --> 00:55:28,650 +بخيط بالله كيف هسير البلون لما نشده هيك هسير flat + +592 +00:55:28,650 --> 00:55:33,570 +ولا لأ روحوا اشتغلوا في البلون اليوم جيبوا البلون + +593 +00:55:33,570 --> 00:55:41,220 +المدورو بس ربطوه من المحيط هيك من خمس ست أماكن و + +594 +00:55:41,220 --> 00:55:44,040 +شدوها مع بعض من هنا و من هنا و من هنا و شوفوا بصير + +595 +00:55:44,040 --> 00:55:50,140 +flat ولا لأ الله يساعدكوا يا رب طيب السكاتشر هذا + +596 +00:55:50,140 --> 00:55:54,800 +إيه جا إيش عمل؟ قال لأ لأ لأ أنا مش متعرف بكل كلام + +597 +00:55:54,800 --> 00:55:59,460 +كله اللي قلته أنا ضارب فيه عضل حاجة ليش يا أستاذ + +598 +00:55:59,460 --> 00:56:05,510 +السكاتشر قال يا عم الإشي مش زي ما بتقولهأنا بدي + +599 +00:56:05,510 --> 00:56:11,510 +أخلف الكلام هنا شوفوا إيش سوى قال لما ال celery + +600 +00:56:11,510 --> 00:56:17,170 +muscle بصيرها contraction مش بتجرب على الناس قال + +601 +00:56:17,170 --> 00:56:24,410 +لأ بتطلع برا بتروح ع ال sclera هاي ال sclera شافين + +602 +00:56:24,410 --> 00:56:29,270 +ال sclera كيف؟ لأ قال هذه راحت ع ال sclera و لما + +603 +00:56:29,270 --> 00:56:36,890 +راحت ع ال sclera عملت tension ع ال nervesطيب و لما + +604 +00:56:36,890 --> 00:56:41,350 +عملت .. لما عملتش انا عايز اقول اللي نزل الآن صار + +605 +00:56:41,350 --> 00:56:46,410 +لحاجتين البريفير بتاعها صار flat ال center بتاعها + +606 +00:56:46,410 --> 00:56:53,410 +صار more sphere و هيك صار accommodation ال + +607 +00:56:53,410 --> 00:56:59,730 +windows مش genuine مش genuine مسروق يعني طيب الان + +608 +00:56:59,730 --> 00:57:02,950 +هو هيك بيعمل الان بقول يا عم في ال accommodation + +609 +00:57:04,560 --> 00:57:13,500 +اللينز صارت هيك + +610 +00:57:13,500 --> 00:57:17,900 +والزنيول + +611 +00:57:17,900 --> 00:57:22,320 +طويل واللينز + +612 +00:57:22,320 --> 00:57:32,740 +هيها هنا وهيها هنا وهيها منقبضة و أي اتكلموابعد + +613 +00:57:32,740 --> 00:57:41,140 +منقض Helmholtz ونظريته جال عمل التالي افترض + +614 +00:57:41,140 --> 00:57:45,060 +suggest that this process would increase the lens + +615 +00:57:45,060 --> 00:57:49,280 +equatorial diameter يعني ال lens راحت على الطراف + +616 +00:57:49,280 --> 00:57:54,780 +كمان وإن ال periphery بتاعها صار flat peripheral + +617 +00:57:54,780 --> 00:57:58,980 +lens curvature بينما ال center of the lens صار + +618 +00:57:58,980 --> 00:58:01,180 +more curved زي ما رسمنا + +619 +00:58:04,650 --> 00:58:11,950 +طيب .. سكاتشر هذا نقض عكس .. بتتكلم .. بتتكلم عكس + +620 +00:58:11,950 --> 00:58:15,730 +Helmholtz انتوا بستنتبهوا .. ليش؟ أنا ركزت علي + +621 +00:58:15,730 --> 00:58:20,090 +Helmholtz عشان ما اتسهوش .. و هسأل فيه تاني .. كل + +622 +00:58:20,090 --> 00:58:23,450 +مرة هسأل فيه Helmholtz .. لأن هو ده أبو ال + +623 +00:58:23,450 --> 00:58:28,950 +accommodation .. هو المخترع قبل 107 سنوات .. أنا + +624 +00:58:28,950 --> 00:58:35,480 +بعتقد راجل عبقري .. سكاتشر هذا ..أتي ينقض كل مقال + +625 +00:58:35,480 --> 00:58:42,820 +إيش؟ هو بتصور إن البس بيومي is believed to occur + +626 +00:58:42,820 --> 00:58:45,960 +because of continued growth of the lens النمو + +627 +00:58:45,960 --> 00:58:53,140 +المتواصل لللنس وما ينتج عنه a consensual + +628 +00:58:53,140 --> 00:58:56,440 +slackening of zonular fibers which would prevent + +629 +00:58:56,440 --> 00:58:59,820 +the ciliary muscle from increasing equatorial + +630 +00:58:59,820 --> 00:59:03,330 +zonular tension during accommodationيبقى هو بفترض + +631 +00:59:03,330 --> 00:59:09,410 +ان ال lens تكبر بحيث انه بيجي وقت من اوقات بيصير + +632 +00:59:09,410 --> 00:59:13,510 +لا تخضع لل tension لا تخضع لل tension أثناء انكماش + +633 +00:59:13,510 --> 00:59:17,730 +العضلة اللي راحت periphery ع ال sclera بس مش هيك + +634 +00:59:17,730 --> 00:59:23,330 +الراجل مغامر اجى عمل surgery لبعض الحلالة ايش عمل + +635 +00:59:23,330 --> 00:59:28,050 +surgery يعني خليني انا اشوف صفحة بس فاضية هاي اجى + +636 +00:59:28,050 --> 00:59:30,270 +يعني هاي ال .. ال cornea + +637 +00:59:32,960 --> 00:59:41,840 +هو هاي ال iris هو هاي ال celery body اللي فيه ال + +638 +00:59:41,840 --> 00:59:49,920 +celery muscle هو هاي ال lens صحيك؟ إيه ده؟ هو عامل + +639 +00:59:49,920 --> 00:59:56,580 +جراحة في sclera هنا إيش + +640 +00:59:56,580 --> 00:59:59,600 +بده يعمل جراحة في sclera؟ بده يخلي العضلة تطلع + +641 +00:59:59,600 --> 01:00:01,620 +لبره في وسع أكتر + +642 +01:00:07,890 --> 01:00:15,010 +بيزعم هو أنه لما وسع للعضلة اللى هى أساسا تلكمش + +643 +01:00:15,010 --> 01:00:20,830 +لبرا .. تلكمش لبرا مش لجوا مش بتجرب للناس لأ تبعد + +644 +01:00:20,830 --> 01:00:24,010 +عن الناس أنه هذا في كبار السن بزيد ال + +645 +01:00:24,010 --> 01:00:31,670 +accommodation لأنه أعطى العضلة وسع تطلع على ال + +646 +01:00:31,670 --> 01:00:32,110 +periphery + +647 +01:00:34,790 --> 01:00:39,790 +يعني راجل مغامر هذا، صح؟ لأ صحيح قبل حوالي سنة، + +648 +01:00:39,790 --> 01:00:43,450 +سنة و نص في واحد ألقى نفسه من تلاتة و تلاتين الف + +649 +01:00:43,450 --> 01:00:49,790 +قدم ألقى نفسه في الفضاء و نزل على الأرض سمعتوا + +650 +01:00:49,790 --> 01:00:54,890 +فين؟ عملة هذه عمره ما أحد أعملهاالصحيح انه مغامر + +651 +01:00:54,890 --> 01:00:58,090 +هو بقول انا كنت هموت اكتر من مرة و انا نازل .. + +652 +01:00:58,090 --> 01:01:01,550 +نازل بجاذبية يعني .. بطارية جاذبية .. نازل سريع + +653 +01:01:01,550 --> 01:01:08,950 +جدا و قبل ما يصل الأرض بعرفش كام قدم فتح المنطاق + +654 +01:01:08,950 --> 01:01:13,610 +.. فتح المنطاق اللي .. اللي هو ال .. البراشوت هذا + +655 +01:01:13,610 --> 01:01:18,010 +و نزل فيه فالصحيح انه راجل مغامر الصحيح يعني .. مش + +656 +01:01:18,010 --> 01:01:22,870 +اشي بسيط .. السكاتشر هذا مغامريعني هو بحاول انه + +657 +01:01:22,870 --> 01:01:29,670 +الآن يعمل حاجة فإيجى عمل .. قولنا احنا surgery عمل + +658 +01:01:29,670 --> 01:01:37,590 +surgery و في sclera .. sclera ال diameter في الناس + +659 +01:01:37,590 --> 01:01:43,770 +ال breast biop و حاول يثبت انه هذه العملية هتعطي + +660 +01:01:43,770 --> 01:01:49,510 +ال celery muscle واسع تتمدد دي ورا و تزيد ال + +661 +01:01:49,510 --> 01:01:54,440 +accommodation في كبار السنفبقول انه اعطى الـ + +662 +01:01:54,440 --> 01:01:57,020 +zonular fibers and allowing the central muscle to + +663 +01:01:57,020 --> 01:02:00,500 +further increase the zonular tension at the lens + +664 +01:02:00,500 --> 01:02:03,260 +equator during accommodation سكتشار التيوري + +665 +01:02:03,260 --> 01:02:09,360 +Contradicts التناقض مع a countless study الكثيرة + +666 +01:02:09,360 --> 01:02:12,040 +يعني countless التي لها عدد لها of accommodation + +667 +01:02:12,040 --> 01:02:16,120 +that support the classic description of Helmholtz + +668 +01:02:16,120 --> 01:02:21,630 +انتصروه لـ Helmholtzجالوا لأ دراساتنا ما بتقول ان + +669 +01:02:21,630 --> 01:02:27,130 +العضلة بتطلع برا، العضلة لأ بتخش لجوه، لأ متنكمش + +670 +01:02:27,130 --> 01:02:33,290 +إيجا جلاسر و كوفمان showed that في ال monkeys، + +671 +01:02:33,290 --> 01:02:36,970 +عيون القردة، lens equator does not move towards + +672 +01:02:36,970 --> 01:02:42,050 +the scleraاللينز مش بتروح على السكريرة during + +673 +01:02:42,050 --> 01:02:45,490 +accommodation as predicted by the sketcher but it + +674 +01:02:45,490 --> 01:02:50,070 +moves away from the سكريرة، بالعكس بتخش لجوة to + +675 +01:02:50,070 --> 01:02:53,450 +decrease the lens diameter as described by + +676 +01:02:53,450 --> 01:02:57,910 +Helmholtz حتى في عملي القرار ده، انتصروا لهلمهولتز + +677 +01:02:57,910 --> 01:03:04,790 +احنا هنتوقف هنا، ماعرفش انا اش انطباعك وان خمسة يا + +678 +01:03:04,790 --> 01:03:15,670 +دولةهل يعني تؤيده نظرية الـ sclerosis of the lens + +679 +01:03:15,670 --> 01:03:19,070 +substance و لا نظرية الـ capsule و لا نظرية + +680 +01:03:19,070 --> 01:03:22,670 +الهندسية و لا نظرية الـ disaccommodation و لا + +681 +01:03:22,670 --> 01:03:26,230 +نظرية السكتشر؟ + +682 +01:03:26,230 --> 01:03:32,570 +مين مؤيد السكتشر هذا الأخير؟ ولا حدا فلسته؟ أنا + +683 +01:03:32,570 --> 01:03:37,060 +بقولكوا يعني الحقيقة هو Helmholtzبس بدوا إضافة + +684 +01:03:37,060 --> 01:03:42,080 +Helmholtz لألماني بتاع الف تسعمائة وتسعة لكن بدوا + +685 +01:03:42,080 --> 01:03:47,620 +إضافة يعتبر أنه برضه ال muscle و ال zonules أعضاء + +686 +01:03:47,620 --> 01:03:50,060 +في الموضوع شكرا لكم و بارك الله فيكم و السلام + +687 +01:03:50,060 --> 01:03:51,360 +عليكم ورحمة الله وبركاته + diff --git a/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/c2ebjXwR0kY.srt b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/c2ebjXwR0kY.srt new file mode 100644 index 0000000000000000000000000000000000000000..e3f49355e0b0f75e44412463d7fb6bfb50026336 --- /dev/null +++ b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/c2ebjXwR0kY.srt @@ -0,0 +1,2165 @@ +1 +00:00:21,230 --> 00:00:24,230 +أعوذ بالله من الشيطان الرجيم بسم الله الرحمن + +2 +00:00:24,230 --> 00:00:26,970 +الرحيم الحمد لله رب العالمين وأصلي وأسلم على النبي + +3 +00:00:26,970 --> 00:00:33,130 +المصطفى السلام عليكم ورحمة الله وبركاته في هذه + +4 +00:00:33,130 --> 00:00:37,490 +الدراسة سننتهي + +5 +00:00:37,490 --> 00:00:48,330 +من النتائج عن التعامل مع بريسبيوبيا بعد أشهر + +6 +00:00:48,330 --> 00:00:57,300 +طويلة عن سيرجيكال تجارب كيفية إصلاح بريسبيوبيا + +7 +00:00:57,300 --> 00:01:04,080 +سنأتي الآن لإتفاق كما + +8 +00:01:04,080 --> 00:01:12,300 +تعلمين حتى الآن لا يوجد طريقة جيدة + +9 +00:01:12,300 --> 00:01:17,800 +للتعامل مع بريسبيوبيا ولكن هناك الكثير من الحلول + +10 +00:01:20,420 --> 00:01:31,500 +الآن نستطيع أن نقول أن النظارة هي الحلقة الأفضل + +11 +00:01:31,500 --> 00:01:46,480 +للآن، للنظارة للقراءة الآن ولعدة سنوات للمستقبل + +12 +00:01:46,480 --> 00:01:54,670 +سوف يقدر The Better Solution يعني أنه بالرغم من أن + +13 +00:01:54,670 --> 00:01:58,690 +هذا التقدم وهذه التجارب الكبيرة في البحث عن حل + +14 +00:01:58,690 --> 00:02:05,450 +لقصر النظر بعد الأربعين لم يصلوا إلى حل حاسم وإنما + +15 +00:02:05,450 --> 00:02:14,850 +تبقى نظارة القراءة هي الحل الأنسب بعد كل المحاولات + +16 +00:02:14,850 --> 00:02:21,110 +هذا اللي هو مقولني، مقولني أنه it is especially + +17 +00:02:21,110 --> 00:02:26,030 +true as mainstay of near reading glasses has long + +18 +00:02:26,030 --> 00:02:30,050 +been and will continue to be a successful and + +19 +00:02:30,050 --> 00:02:34,290 +viable option for optical compensation for this + +20 +00:02:34,290 --> 00:02:38,370 +biome ما فيش علاج سحري حتى الآن + +21 +00:02:43,210 --> 00:02:51,810 +الآن يعني شفنا احنا أنه أي حل جراحي أو غيره مطلوب + +22 +00:02:51,810 --> 00:02:56,990 +أن يقدم at least three diopters for the presbiotic + +23 +00:02:56,990 --> 00:03:02,190 +eye to read good أو clear احنا نادين بس three + +24 +00:03:02,190 --> 00:03:08,290 +diopters أي حل بيقدم لنا three diopters في ال old + +25 +00:03:08,290 --> 00:03:13,950 +age to read is a good solution هذا اللي احنا + +26 +00:03:13,950 --> 00:03:17,610 +بندور عليه حتى + +27 +00:03:17,610 --> 00:03:21,690 +الآن الكلام + +28 +00:03:21,690 --> 00:03:26,170 +على ما هو السبب بعد سبع نظريات ما هو السبب في ال + +29 +00:03:26,170 --> 00:03:33,110 +بريسبيوبيا محترين بين الـ Lens Sclerosis وال + +30 +00:03:33,110 --> 00:03:37,970 +muscle weakness يبقى Lenticular Sclerosis هذا + +31 +00:03:37,970 --> 00:03:47,420 +بقوله سببه، السبب الثاني القدرة + +32 +00:03:47,420 --> 00:03:54,400 +أو القوة يعني الـ lens العدسة مع العضل الهدمية هما + +33 +00:03:54,400 --> 00:04:00,620 +الثانيين، طيب الـ lens احنا ممكن نصلح ايه بتاعها + +34 +00:04:00,620 --> 00:04:06,580 +نعملها IOL حتى نكون نعمل نوع من ال pseudo + +35 +00:04:06,580 --> 00:04:11,910 +accommodation لها لكن هل الـ Ciliary Muscle ممكن + +36 +00:04:11,910 --> 00:04:17,890 +نعمل حل؟ Ciliary Muscle هل العضلة الهدوية لو + +37 +00:04:17,890 --> 00:04:24,730 +ضعفت ممكن نقويها؟ هذا موضوع aging process عمره + +38 +00:04:24,730 --> 00:04:32,750 +يعني أو سن، يبقى الـ lenticular sclerosis ممكن جدا + +39 +00:04:32,750 --> 00:04:36,130 +أن أنا أفكر في الـ Accumulative IOLs مع أن حتى + +40 +00:04:36,130 --> 00:04:42,660 +الآن مش ناجح من جملته لسه كبديل أن العدسة الطبيعية + +41 +00:04:42,660 --> 00:04:46,340 +الـ Crystalline Lens أنه أعمل Extraction وأوضع + +42 +00:04:46,340 --> 00:04:51,280 +بدلها ايه؟ Accommodative IOL الـ IOL اللي فيها + +43 +00:04:51,280 --> 00:04:55,140 +المفاصل هذه لكن + +44 +00:04:55,140 --> 00:04:59,120 +الـ Reduce Ciliary Muscle Efficacy in Elderly + +45 +00:04:59,120 --> 00:05:04,240 +Patients should not discourage the force to + +46 +00:05:04,240 --> 00:05:07,100 +restore accommodation يعني مع أن الـ Ciliary + +47 +00:05:07,100 --> 00:05:13,440 +Muscle لو ضعفت فلا توقع، لكن محاولاتنا نحو + +48 +00:05:13,440 --> 00:05:22,460 +الـ Accumulative IOL مش لازم أن تتبطأ الآن + +49 +00:05:22,460 --> 00:05:29,120 +العالم متعلق بفرصة الـ Accumulative IOL اللي بتعمل + +50 +00:05:29,120 --> 00:05:37,420 +vaulting يعني هذه الـ lens وهنا في مفصل ساعة مثلاني + +51 +00:05:37,420 --> 00:05:46,120 +muscle تعمل contraction الـ lens تعمل vaulting نعمل + +52 +00:05:46,120 --> 00:05:54,720 +التحدب إلى الأمام، كل واحد مللي حركة إلى الأمام تعطي + +53 +00:05:54,720 --> 00:06:02,850 +واحد إلى اثنين diopter for reading هذا الآن الشغل + +54 +00:06:02,850 --> 00:06:08,330 +الحقيقي اللي شغالين عليه، هو لم يبلغ مرحلة التطبيق + +55 +00:06:08,330 --> 00:06:16,950 +على الإنسان لسه، لكن هي المشكلة وين؟ أن السن بمصل + +56 +00:06:16,950 --> 00:06:23,210 +مثلا بعد الستين سنة ممكن تبقى تمارس الـ contraction + +57 +00:06:23,210 --> 00:06:29,320 +strong contraction حتى تعمل الـ Vaulting للـ Lens + +58 +00:06:29,320 --> 00:06:34,840 +هذه بيقول لك لسه The success of augmented polymer + +59 +00:06:34,840 --> 00:06:42,040 +IOL is uncertain يعني نجاح هذه العدسات مش أكيد + +60 +00:06:42,040 --> 00:06:47,200 +للأسف But continued research may provide alternate + +61 +00:06:47,200 --> 00:06:51,620 +options for Presbyopia يعني مازال البحث عشان هيك + +62 +00:06:51,620 --> 00:06:57,800 +بكل أسف هو أنا بقول أنه ما زالت اللي هو نظارات + +63 +00:06:57,800 --> 00:07:06,880 +القراءة وستبقى هي الخيار الأمثل يعني الإنسان يتأمل + +64 +00:07:06,880 --> 00:07:11,380 +في شيء حديث لكن يعني مازال التقدم في هذا المجال + +65 +00:07:11,380 --> 00:07:17,020 +محدود، طيب لما إجوا الناس عملوا scleral expansion + +66 +00:07:17,020 --> 00:07:24,060 +فاكرين؟ شرّطوا القرنية مرة وضفولها pants أربع مرات + +67 +00:07:24,060 --> 00:07:31,220 +وزرعولها wool shape insert مرة حسب نظرية sketcher + +68 +00:07:31,220 --> 00:07:39,320 +أيضا ما نجحت هذه النظرية وينظر إليها بنوع من + +69 +00:07:39,320 --> 00:07:45,580 +skepticism skepticism doubt يعني يعني ما أخلط + +70 +00:07:45,580 --> 00:07:53,230 +ولاها كنظرية أو جراحة معتمدة لأنه أساسا النظرية + +71 +00:07:53,230 --> 00:07:58,430 +بتاعة سكتشر اللي بُنيت عليها نظرية مخالفة لكل ما + +72 +00:07:58,430 --> 00:08:05,590 +تعرف عليه العلماء منذ 200 سنة في قالية الـ + +73 +00:08:05,590 --> 00:08:09,530 +accommodation كلنا عارفين accommodation ايه اللي + +74 +00:08:09,530 --> 00:08:15,130 +بيصير فيه، سكتشر لأ نسف كل النظرية واتبع نظرية + +75 +00:08:15,130 --> 00:08:20,910 +مغيرة، وجد ناس في أكثر من دولة زي فرنسا وتايلاند + +76 +00:08:20,910 --> 00:08:28,330 +ومكسيك في أنهم يشتغلون جراحات، محاولات في أن السعر + +77 +00:08:28,330 --> 00:08:34,890 +المصل تتوسع ايه من الخارج عند الكماشة اه لكن هنا + +78 +00:08:34,890 --> 00:08:44,090 +ينظر له بشك يعني ما صارش حتى الآن فعلا أنه يعني جدر + +79 +00:08:44,090 --> 00:08:50,710 +يغير في الـ breast biopsy these procedures الجراحية + +80 +00:08:50,710 --> 00:08:53,550 +should be studied for possible unexpected + +81 +00:08:53,550 --> 00:08:55,950 +secondary contributions to improve near vision + +82 +00:08:55,950 --> 00:08:59,730 +which may occur through the introduction of + +83 +00:08:59,730 --> 00:09:09,090 +lenticular abrasions يعني مين أقرب ننظر إلى الـ + +84 +00:09:09,090 --> 00:09:13,990 +Accumulative IOL هو لنظر إلى الـ Scleral Expansion + +85 +00:09:13,990 --> 00:09:19,990 +أحسن في المستقبل فهو غالبا يقول لك انظر إلى الـ + +86 +00:09:19,990 --> 00:09:25,230 +Lens تغيير الـ Lens بحيث تصبح الـ Lens تعمل + +87 +00:09:25,230 --> 00:09:31,930 +Accumulation المزروعة أفضل من ما تشرط الـ Sclera + +88 +00:09:31,930 --> 00:09:36,290 +وتقول لها هتتوسع الـ Center Muscle اللي هنا مكتوبة + +89 +00:09:36,290 --> 00:09:37,090 +هتتوسع + +90 +00:09:40,600 --> 00:09:44,740 +طيب طيب بدنا الآن في الـ conclusion نستنتج ايه نعمل + +91 +00:09:44,740 --> 00:09:48,940 +لايه الـ pressure اليوم الآن + +92 +00:09:48,940 --> 00:09:53,240 +في كلام عن الـ mono vision يعني تصليح عين واحدة + +93 +00:09:53,240 --> 00:10:00,380 +للقراءة mono vision كيف أصلح الـ mono vision قال + +94 +00:10:00,380 --> 00:10:07,300 +يمكن تصليحها بثلاث حاجات تصليحها بلازق للقراءة واحد + +95 +00:10:09,850 --> 00:10:15,790 +IOL من داخل العين للقراءة + +96 +00:10:15,790 --> 00:10:22,030 +و Contact lens مره مره مره مره مره مره مره مره مره + +97 +00:10:22,030 --> 00:10:23,870 +مره مره مره مره مره مره مره مره مره مره مره مره + +98 +00:10:23,870 --> 00:10:24,970 +مره مره مره مره مره مره مره مره مره مره مره مره + +99 +00:10:24,970 --> 00:10:25,330 +مره مره مره مره مره مره مره مره مره مره مره مره + +100 +00:10:25,330 --> 00:10:38,190 +مره مره مره مره مره مره مره مره مره مره مره مره + +101 +00:10:38,190 --> 00:10:56,650 +معنى عين الإنسان مش قادرين نفتحها بس للتجارب يبقى + +102 +00:10:56,650 --> 00:11:00,790 +هذا في الـ conclusion أنه نعمل mono vision وال + +103 +00:11:00,790 --> 00:11:04,190 +mono vision هي نعمل refractive surgery على سطحها + +104 +00:11:04,190 --> 00:11:14,640 +القرنية IOL أو Contact lens طيب هي option طيب فيه + +105 +00:11:14,640 --> 00:11:21,040 +تفكير بس يعني بايد تفكير بايد بيقول استعمال أدوية + +106 +00:11:21,040 --> 00:11:27,700 +عضو الـ innovations technical innovations تستخدم + +107 +00:11:27,700 --> 00:11:33,740 +أدوية تحطه في العين تخليه نقرأ كويس، الحقيقة كلنا + +108 +00:11:33,740 --> 00:11:40,860 +بيعرف أن الـ miotic المضيق زي الـ pilocarpine طب هو + +109 +00:11:40,860 --> 00:11:48,080 +بيعمل ميوزس ليش؟ ليش بيعمل تضييق؟ بيحفظ العضلة + +110 +00:11:48,080 --> 00:11:55,420 +القابضة لايه؟ sphincter pupilla مش الـ iris فيه two + +111 +00:11:55,420 --> 00:11:59,240 +muscles فيه sphincter الـ ciliary اللي هي الـ circular + +112 +00:11:59,240 --> 00:12:04,920 +وفيه الـ radial طيب فهو الـ pilocarpine أو المضيق + +113 +00:12:04,920 --> 00:12:09,920 +بيحفظ Sphincter pupillary muscle بيحفظها بيخليها + +114 +00:12:09,920 --> 00:12:15,660 +ضامة الآن Sphincter pupillary اللي بيغذيها عصب اسمه + +115 +00:12:15,660 --> 00:12:24,280 +ايه؟ Parasympathetic طيب اللي بجوارها ووراها و + +116 +00:12:24,280 --> 00:12:30,260 +بيغذيها Parasympathetic اسمها ايه؟ وراها وبيغذيها + +117 +00:12:30,260 --> 00:12:37,220 +Parasympathetic ciliary muscle طيب، هل ممكن الـ + +118 +00:12:37,220 --> 00:12:41,520 +pilocarpine أنه يؤثر على الـ Ciliary muscle ويخليها + +119 +00:12:41,520 --> 00:12:47,220 +تعمل contraction؟ قال اه يعني ممكن أنه لو حاطين + +120 +00:12:47,220 --> 00:12:53,800 +pilocarpine نقرأ أحسن؟ قال اه تقرأ أحسن تعمل شيء + +121 +00:12:53,800 --> 00:12:59,800 +اسمه الـ Ciliary Spasm الـ pilocarpine المضيق لساعات + +122 +00:12:59,800 --> 00:13:04,480 +القطرة هذه بتعمل الـ Ciliary Spasm + +123 +00:13:06,590 --> 00:13:14,590 +Ciliary Spasm، ايه Spasm يعني تقلص يعني اللي بيحط + +124 +00:13:14,590 --> 00:13:23,770 +الـ pilocarpine هيعمله ميوزس pin hole pupil وهيعمله + +125 +00:13:23,770 --> 00:13:26,870 +increase accommodation بالـ increase accommodation + +126 +00:13:26,870 --> 00:13:32,850 +ممكن يقرأ بس طبعا لا يخلو من عيب، ايه العيب بتاعه + +127 +00:13:34,590 --> 00:13:41,390 +أنه بيعمل ايه؟ ميوزس شريط وبيعمل pseudo myopia + +128 +00:13:41,390 --> 00:13:47,950 +مثلا عنده minus two أو three myopia وبيعمل + +129 +00:13:47,950 --> 00:13:56,110 +narrowing للـ visual field يعني مثلا نقطة ممكن واحد + +130 +00:13:56,110 --> 00:14:01,110 +نلبسه pin hole و pin hole ونقوله سوق سيارة ليش؟ + +131 +00:14:03,510 --> 00:14:08,090 +مش هشوف الـ gems يعمل كده ويعمل كده يلف رقبته + +132 +00:14:08,090 --> 00:14:17,010 +لأنه في الـ hold لكن هي بدأت لفكرة أن بعض القطرات + +133 +00:14:17,010 --> 00:14:23,230 +من ما حسنها أنها بتمكن من القراءة حتى في السن + +134 +00:14:23,230 --> 00:14:29,560 +الكبير يعني هو الآن بدأ يفكر طب أنا ممكن أما + +135 +00:14:29,560 --> 00:14:36,480 +القطرات أتخلص منها من يعني العيوب واخد المحاسن لسه + +136 +00:14:36,480 --> 00:14:40,020 +هذا البحث فهو بيقول يعني البحث الآن على الـ + +137 +00:14:40,020 --> 00:14:43,860 +Pharmacological agents drops اللي ساعدة ايه + +138 +00:14:43,860 --> 00:14:49,280 +القراءة بل أكثر راحوا أنه يقولوا genetic + +139 +00:14:49,280 --> 00:14:55,260 +interventions التدخل الجيني جينية الإنسان الآن + +140 +00:14:55,260 --> 00:15:00,600 +الشجرة الجينية اكتشفت عند الإنسان صح؟ فهل ممكن بعد + +141 +00:15:00,600 --> 00:15:03,300 +اكتشاف الشجرة الجينية عند الإنسان، الخريطة + +142 +00:15:03,300 --> 00:15:10,720 +الجينية، genetic map، هل ممكن أنه نصل للجين بتاع + +143 +00:15:10,720 --> 00:15:17,420 +الـ breast cancer و نصلحه؟ كيف التفكير العلمي؟ يعني + +144 +00:15:17,420 --> 00:15:21,860 +الآن في ناس بيلعبوا في جين السرطان مثلا، في جين + +145 +00:15:21,860 --> 00:15:27,900 +السكري، الجينات هالي توصلولها يعني عرفوا الجين هذا + +146 +00:15:27,900 --> 00:15:34,540 +والجين هذا وإيش أثره على مرض معين، الصرع مثلا + +147 +00:15:34,540 --> 00:15:42,840 +السرطان مثلا، حتى الشيخوخة و الـ breast cancer فبقول + +148 +00:15:42,840 --> 00:15:49,200 +ممكن نحاول، نحاول علماء يعني عن طريق تشخيص جين الـ + +149 +00:15:49,200 --> 00:15:54,600 +breast cancer أنه معالجته بحيث ما يصيرش presbyopia + +150 +00:15:54,600 --> 00:16:03,840 +طبعا هذه نوع من أحلام، صح؟ و الأحلام كويسة، طيب + +151 +00:16:03,840 --> 00:16:10,260 +هيك احنا بنكون خلصنا presbyopia و بس فيها موضوع + +152 +00:16:10,260 --> 00:16:15,500 +متعلق اسمه near addition، أنا ما أعرفش حتى الآن أنتم + +153 +00:16:15,500 --> 00:16:21,640 +في الـ reflection 2 و بلقتوا مبلغ كويس، لو أجاك عجوز + +154 +00:16:21,640 --> 00:16:29,560 +مش أنا يعني، فهو قالك مش عارف أنا أقرأ، أنا ما بقراش + +155 +00:16:29,560 --> 00:16:34,140 +كنت و أنا شاب بقرأ كثير و بطالع مئات الكتب و الآن + +156 +00:16:34,140 --> 00:16:40,720 +مش عارف أقرأ، يعني يا أخصائية، خليني أقرأ، إيش + +157 +00:16:40,720 --> 00:16:45,600 +بتعملينه؟ + +158 +00:16:45,600 --> 00:16:46,620 +إيش بتعملينه؟ + +159 +00:16:58,650 --> 00:17:03,310 +حاولتوا أنتم تعالجوا ناس ولا واحد عملتوا غالبا + +160 +00:17:03,310 --> 00:17:08,850 +addition بس + +161 +00:17:08,850 --> 00:17:16,170 +أنا ما اشتريت منكم، طيب طيب لأ، هنعطيكوا حتى تكونوا + +162 +00:17:16,170 --> 00:17:23,990 +أنتم الآن تشترون منهم إن شاء الله، الآن مثال لو أنا + +163 +00:17:23,990 --> 00:17:34,290 +الآن بقدر أني أحمل عشرة كيلو هيك، أقصى شيء، وخطولي + +164 +00:17:34,290 --> 00:17:37,810 +عشرة كيلو و حملتهم هيك، بقدر أستمر قد إيش + +165 +00:17:41,400 --> 00:17:45,200 +عشرة كيلو، لأقصى، أقصى شيء عشرة كيلو وحطولي عشرة + +166 +00:17:45,200 --> 00:17:53,040 +كيلو هنا كم بقى، ثمن دقيقة أو أقل، أرميها، طب لو + +167 +00:17:53,040 --> 00:17:59,880 +حطولي خمسة كيلو، أطول أكثر، لو حطولي مثلا ثلاثة و + +168 +00:17:59,880 --> 00:18:06,920 +هكذا، إن أنا على المثال مضروب لـ accommodation، لو + +169 +00:18:06,920 --> 00:18:08,180 +أنا جبت أي انسان + +170 +00:18:10,870 --> 00:18:14,150 +وخلّيته يقرأ بكل الـ accommodation بتاع السليم + +171 +00:18:14,150 --> 00:18:22,470 +muscle هيفلس و يترك ويتعب خلال دقائق، يعني واحد مثلا + +172 +00:18:22,470 --> 00:18:27,330 +عنده خمسة و أنا جبته near point يقرأ على خمسة خط + +173 +00:18:27,330 --> 00:18:31,670 +صغير خلال خمس دقائق هيصير blurry ويتعب و يرمي + +174 +00:18:31,670 --> 00:18:37,390 +الكتاب، لكن إذا جبته خط كبير و مسافة محترمة و يقرأ + +175 +00:18:37,390 --> 00:18:46,130 +بتنين ونص، يقرأ ساعات طويلة، يبقى هذا المثال المضروب + +176 +00:18:46,130 --> 00:18:54,370 +لإنسان exert maximum accommodation to read هيفقد + +177 +00:18:54,370 --> 00:19:02,430 +الـ focus و يصيله tiredness، بينما الإنسان اللي + +178 +00:19:02,430 --> 00:19:07,250 +بيستخدم moderate accommodation to read، clear focus + +179 +00:19:07,250 --> 00:19:13,270 +can be maintained for a very long time، هذه مقدمة + +180 +00:19:13,270 --> 00:19:21,350 +لا يكلف الله نفسا إلا وسعا، طيب patients who have + +181 +00:19:21,350 --> 00:19:25,290 +expressed a concern about the ability to read + +182 +00:19:25,290 --> 00:19:28,630 +clearly should have their amplitude of + +183 +00:19:28,630 --> 00:19:32,330 +accommodation measured، يبقى أنا قبل ما أعمله + +184 +00:19:32,330 --> 00:19:36,130 +correction، أبدأ أعرف كام الـ amplitude of + +185 +00:19:36,130 --> 00:19:43,350 +accommodation؟ كده؟ كل واحد له amplitude لحاله، زي + +186 +00:19:43,350 --> 00:19:53,690 +وزنه و طوله و ذكائه و لونه و صفاته الشخصية، إيه الـ + +187 +00:19:53,690 --> 00:19:56,610 +amplitude of accommodation؟ حتى الإنسان اللي جاء من + +188 +00:19:56,610 --> 00:19:59,890 +أربع سنوات كان شيء اللي قلته شيء، وبعد أربع سنوات + +189 +00:19:59,890 --> 00:20:07,630 +شيء ثاني، هذه حاجات متغيرة في حياة الإنسان، طيب بقول + +190 +00:20:07,630 --> 00:20:19,270 +احنا أخذنا حاجة اسمها P equals one on F و كنا نقول + +191 +00:20:19,270 --> 00:20:26,730 +منها باختصار القوة مقلوب المسافة، مقلوب المسافة + +192 +00:20:26,730 --> 00:20:38,050 +يبقى احنا باختصار لو واحد يقرأ من أربعين سنتي، من + +193 +00:20:38,050 --> 00:20:42,950 +أربعين سنتي، بديوا يقرأ بقوة accommodation P بساوي + +194 +00:20:42,950 --> 00:20:51,570 +واحد على أربعين، بس بنحط إيش بالمتر، و هذه لو أضفتها + +195 +00:20:51,570 --> 00:21:00,490 +تساوي 2.5 ديوبتر لأن الديوبتر قوة، طيب + +196 +00:21:02,250 --> 00:21:07,290 +هل اللي بده يقرأ بـ 2.5 لازم تكون 2.5 كل + +197 +00:21:07,290 --> 00:21:14,210 +الـ accommodation بتاعه، ثلثين أو نص؟ طبعا ثلثين أو نص + +198 +00:21:14,210 --> 00:21:16,950 +اللي بده يقرأ 2.5، اللي بده يقرأ 2.5 + +199 +00:21:16,950 --> 00:21:18,970 +اللي بده يقرأ 2.5، اللي بده يقرأ 2.5 + +200 +00:21:18,970 --> 00:21:20,710 +اللي بده يقرأ 2.5، اللي بده يقرأ 2.5 + +201 +00:21:20,710 --> 00:21:22,990 +اللي بده يقرأ 2.5، اللي بده يقرأ 2.5 + +202 +00:21:22,990 --> 00:21:23,910 +اللي بده يقرأ 2.5، اللي بده يقرأ 2.5 + +203 +00:21:23,910 --> 00:21:24,110 +اللي بده يقرأ 2.5، اللي بده يقرأ 2.5 + +204 +00:21:24,110 --> 00:21:28,410 +اللي + +205 +00:21:28,410 --> 00:21:35,620 +بدأنا، ليش سميتها addition, near addition؟ ليش إضافة + +206 +00:21:35,620 --> 00:21:39,340 +يعني الـ addition إضافة، ليش سميتها إضافة، إضافة لإيش + +207 +00:21:39,340 --> 00:21:46,760 +distance، إيش distance؟ إيش correction؟ ممتازين، إيه + +208 +00:21:46,760 --> 00:21:53,080 +بقى احنا دخلنا صح الآن، بقى معقول إنه الإنسان اللي + +209 +00:21:53,080 --> 00:22:03,130 +عنده myopia 4، إنه أعطيه hypermetropia IV مجرد + +210 +00:22:03,130 --> 00:22:09,130 +ذلك؟ لأ، هذا له شأنه وهذا له شأنه، فعود كل شيء على + +211 +00:22:09,130 --> 00:22:14,790 +الجدر، فهو الآن عمل equation، معادلة، بيقول إن الـ + +212 +00:22:14,790 --> 00:22:18,530 +addition اللي أبدأ أحطه أنا قوته، الـ power بتاعه + +213 +00:22:18,530 --> 00:22:24,010 +equals ND minus AA + +214 +00:22:25,750 --> 00:22:34,970 +by 0.5، إيش الـ ND؟ بقول الـ ND القوة لمسافة معينة + +215 +00:22:34,970 --> 00:22:40,910 +أو مقلب القوة لمسافة القراءة، يقولنا + +216 +00:22:40,910 --> 00:22:48,370 +احنا الـ 40 مقلبها 2.5 و الـ 50 مقلبها 2 و ماشي على + +217 +00:22:48,370 --> 00:22:54,030 +هيك، يبقى الـ ND قوة مقلوبة لأي مسافة بقربها + +218 +00:22:58,340 --> 00:23:03,200 +AA، amplitude of accommodation، المعادلة سهلة صارت + +219 +00:23:03,200 --> 00:23:08,600 +يعني احنا لو مثلا بدنا نعود في المعادلة، بدنا نقول + +220 +00:23:08,600 --> 00:23:13,220 +إن واحد بده يقرأ من أربعين سنتي، بده 2.5، الـ + +221 +00:23:13,220 --> 00:23:16,440 +amplitude of accommodation من أساس هو عنده 2 + +222 +00:23:19,010 --> 00:23:27,690 +الذي أعود في الـ equation يكون 2، هذي 2.5 وهذه الـ + +223 +00:23:27,690 --> 00:23:42,610 +ND 2.5 ناقص الـ AA 2، معروف أنه 2 ضرب 0.5، 2 + +224 +00:23:42,610 --> 00:23:46,750 +تذهب معها 2 في ضرب 1، يبقى 2.5 minus 1 + +225 +00:23:48,250 --> 00:23:52,910 +يساوي 1.5، يبقى أنا أبدأ آخده الـ 1.5 بالـ + +226 +00:23:52,910 --> 00:23:58,810 +plus، بالإضافة إلى الـ distance بتاعه، جديت الـ + +227 +00:23:58,810 --> 00:24:02,310 +distance ناقص 4 زائد 4 زائد 2 ناقص 2 + +228 +00:24:02,310 --> 00:24:07,670 +حتى astigmatism، هل الـ astigmatism لازم أحطله اه؟ يعني + +229 +00:24:07,670 --> 00:24:16,010 +لو واحد عنده مثلا في الوصفة الـ distance DS على + +230 +00:24:17,260 --> 00:24:25,780 +مثلا 1 أو 1.5 DC في 80 مثلا و بتعمله + +231 +00:24:25,780 --> 00:24:35,660 +addition 1.5 هاني لازم أحطه 3، 3 DC + +232 +00:24:35,660 --> 00:24:42,340 +DS و السيلندر زي ما هو، ما بتغير السيلندر اللي في + +233 +00:24:42,340 --> 00:24:47,480 +البعيد هو لازم يفضل في القريب، طب لو أعطيته بس sphere + +234 +00:24:47,480 --> 00:24:52,540 +و سبت السيلندر، حياة تعب في القراءة، حياة تعب في + +235 +00:24:52,540 --> 00:24:58,140 +القراءة، تعب شديد، لأن الـ astigmatism بيعمل split focus + +236 +00:24:58,140 --> 00:25:05,340 +إيش split focus؟ يعني نقطة ثانية، يعني + +237 +00:25:05,340 --> 00:25:14,470 +بيشوفه بإيش؟ بـ circle of least confusion، فش clear focus، فكان + +238 +00:25:14,470 --> 00:25:18,970 +الـ Terms كنوين .. إيش فيها الـ Terms كنوين؟ + +239 +00:25:18,970 --> 00:25:26,270 +Vertical line, horizontal line و Vertical .. اه .. + +240 +00:25:26,270 --> 00:25:30,770 +Ellipse و Horizontal ellipse و Circle، فالنصف of + +241 +00:25:30,770 --> 00:25:35,190 +least confusion أو diffusion هو هشوف بالأقل غبشًا + +242 +00:25:35,190 --> 00:25:42,020 +لكن هل هذه تجنع الـ point focus لـ clear؟ لأ، يبقى + +243 +00:25:42,020 --> 00:25:45,560 +خطأ كبير بيمروا بعض الناس إنه بحسابه، لأن near + +244 +00:25:45,560 --> 00:25:49,700 +addition بدوش cylinder، لأ الـ cylinder اللي في + +245 +00:25:49,700 --> 00:25:58,260 +البعيد هو بنتجه للقريب مع إضافة، مع إضافة، حقيقة إنه + +246 +00:25:58,260 --> 00:26:04,060 +سهلوا عليكم، طلبوا لكم reading rod، مصطرة، لما + +247 +00:26:04,060 --> 00:26:09,340 +الناس بيقرأ من inch كده، بده تقريبا كده من inch كده + +248 +00:26:10,030 --> 00:26:14,210 +طبعا واضح إنه كل ما ابتعد بقل اللي هو الدكتور اللي + +249 +00:26:14,210 --> 00:26:18,130 +بدّه يعني كل مقترب بده أكثر، كل مقترب بده أكثر، كل + +250 +00:26:18,130 --> 00:26:26,030 +ما ابتعد بده أقل، هذه طبعا تقريبية، طيب + +251 +00:26:26,030 --> 00:26:32,790 +كيف نقيس الـ amplitude of accommodation جستوه قبل + +252 +00:26:32,790 --> 00:26:35,870 +هيك؟ فيش rule عندكم؟ + +253 +00:26:42,760 --> 00:26:45,440 +يقول الـ Amplitude of accommodation is measured in + +254 +00:26:45,440 --> 00:26:49,380 +diopters. This is typically translated from near + +255 +00:26:49,380 --> 00:26:53,680 +point of accommodation which is measuring how far + +256 +00:26:53,680 --> 00:26:57,480 +away from the eye focusing can be maintained, but + +257 +00:26:57,480 --> 00:27:01,540 +one must keep in mind an uncorrected refractive + +258 +00:27:01,540 --> 00:27:05,000 +error when calculating the amplitude، طبعا في عدة + +259 +00:27:05,000 --> 00:27:09,500 +مسائل في قياس amplitude of accommodation الآن + +260 +00:27:09,500 --> 00:27:16,160 +هنشوف في طريقتين، محتمدات، الطريقة الأولى لما فوق + +261 +00:27:16,160 --> 00:27:21,860 +الأربعين، الطريقة الثانية لما قبل الأربعين، طبعا + +262 +00:27:21,860 --> 00:27:27,520 +الطريقة الأولى هي المهتمة بها أكثر، لأن معظم الـ presbyopia + +263 +00:27:27,520 --> 00:27:33,700 +بيحصل بعد الأربعين، قال لما تجي تحت الأربعين إيه + +264 +00:27:33,700 --> 00:27:36,620 +الـ presbyopia؟ يعني إيه اللي يكون هو hypermetropic من + +265 +00:27:36,620 --> 00:27:41,580 +الأول ويعني من 35 بدأ ما يقرأش كويس، لكن + +266 +00:27:41,580 --> 00:27:47,840 +معظم الـ presbyopia المسجلين بعد الأربعين، بعد + +267 +00:27:47,840 --> 00:27:54,320 +الأربعين، بقول إيه اسمها push up method، استعمال plus + +268 +00:27:54,320 --> 00:28:02,400 +sphere from far to near، حلو، احنا بنقعد المريض + +269 +00:28:02,400 --> 00:28:06,360 +و بنعطيه + +270 +00:28:06,360 --> 00:28:13,460 +a chart of reading، اسمه جاجة، وهو + +271 +00:28:13,460 --> 00:28:19,460 +يحط على المسافة اللي تعود يقرا عليها، و آخر السطر + +272 +00:28:19,460 --> 00:28:25,260 +هشوفه blurry، هو مسألة الجيني، لأنه عنده مشكلة في + +273 +00:28:25,260 --> 00:28:29,660 +القراءة، أنا من هذه المسافة البعيدة 40 سنتي + +274 +00:28:29,660 --> 00:28:37,080 +مثلا بدي أبدأ أنا أضيف له فوق الـ distance بتاعه + +275 +00:28:37,080 --> 00:28:45,060 +plus بكسر، نص، 1، 1.5، 2، 2.5 + +276 +00:28:48,130 --> 00:28:55,670 +أشوف كلها، وهذه يعني بتجي بنوع من التدرج وعدم + +277 +00:28:55,670 --> 00:29:04,250 +المبالغة وعدم اتباع هوا المريض، يعني المريض أحيانًا + +278 +00:29:04,250 --> 00:29:06,910 +ممكن يقول اللي بده كمان و بده كمان، وأنا صارت معايا + +279 +00:29:06,910 --> 00:29:11,130 +يعني مشيت أعمل trial، كل ما قلّله كويس، يقول اللي بده + +280 +00:29:11,130 --> 00:29:16,370 +كمان، كل ما قلّله كويس، بده كمان، وصلته لـ plus ten، 10 + + + +281 +00:29:18,090 --> 00:29:21,970 +لما وصلت بلاستنجلي هذه أحسن واحدة تعملها ليش؟ + +282 +00:29:21,970 --> 00:29:27,010 +لأنه شاف الـ magnification ايش؟ زاد كثير حتى بقول + +283 +00:29:27,010 --> 00:29:34,770 +تلسكوب تلسكوب هذه طب علشان لو أعطيناها فعلا كان + +284 +00:29:34,770 --> 00:29:40,410 +مشكلتين، المشكلة الأولى هتغلق اه أنت هتعمل السيلة + +285 +00:29:40,410 --> 00:29:48,130 +المثل هتموت خالص ما فيش فيه أي حركة وبعدين بعد هيك + +286 +00:29:48,130 --> 00:29:54,870 +هيكون فيه depth of focus في حاجة اسمها depth of + +287 +00:29:54,870 --> 00:30:01,030 +focus هتكون شايلة ويكبر تعبان هيتعب يعني طيب المهم + +288 +00:30:01,030 --> 00:30:06,150 +في الـ push up method هذه اه عشان نقيس الـ amplitude + +289 +00:30:06,150 --> 00:30:10,400 +of accommodation using push up اه الطبيب يُطلب منه + +290 +00:30:10,400 --> 00:30:17,220 +أن يشير عندما يكتشف خط + +291 +00:30:17,220 --> 00:30:21,060 +صغير وخطه + +292 +00:30:21,060 --> 00:30:22,220 +صغيرة وخطه صغيرة وخطه صغيرة وخطه صغيرة وخطه صغيرة + +293 +00:30:22,220 --> 00:30:22,440 +وخطه صغيرة وخطه صغيرة وخطه صغيرة وخطه صغيرة وخطه + +294 +00:30:22,440 --> 00:30:22,600 +صغيرة وخطه صغيرة وخطه صغيرة وخطه صغيرة وخطه صغيرة + +295 +00:30:22,600 --> 00:30:24,660 +وخطه صغيرة وخطه صغيرة وخطه صغيرة وخطه صغيرة وخطه + +296 +00:30:24,660 --> 00:30:25,960 +صغيرة وخطه صغيرة وخطه صغيرة وخطه صغيرة وخطه صغيرة + +297 +00:30:25,960 --> 00:30:30,840 +وخطه صغيرة وخطه صغيرة وخطه صغيرة وخطه صغيرة وخطه + +298 +00:30:30,840 --> 00:30:34,200 +صغيرة وخط + +299 +00:30:34,700 --> 00:30:38,520 +is indicated on the reading rod if the patient is + +300 +00:30:38,520 --> 00:30:41,900 +blurred مثلا من أربعين اللي 16 inch أربعين سنتي + +301 +00:30:41,900 --> 00:30:46,380 +وسنتاشر انش على قاعدة اتنين و نصف plus sphere + +302 +00:30:46,380 --> 00:30:48,840 +is added until the print is clear يعني أنا بضحك + +303 +00:30:48,840 --> 00:30:54,680 +طول نص بقول واضح لأ واحد واحد واضح لأ واحد و نص و + +304 +00:30:54,680 --> 00:30:59,580 +واحد و نص زي هيك the amount of sphere added is + +305 +00:30:59,580 --> 00:31:05,330 +then subtracted from 2.5 ايش 2.5 يعني ايه الأصل + +306 +00:31:05,330 --> 00:31:07,890 +اللي تفكر فيه؟ على الأربعين أو نصف؟ على أربعين + +307 +00:31:07,890 --> 00:31:11,730 +قرأته على أربعين الأصل أنه بدأ على اتنين و نصف + +308 +00:31:11,730 --> 00:31:15,170 +الآن كده حاطيتله أنا مثلا حاطيتله كاميرا اتنين و + +309 +00:31:15,170 --> 00:31:22,130 +نصف بتصير اتنين و نصف مع اتنين و نصف خمسة هذا + +310 +00:31:22,130 --> 00:31:27,050 +الطريقة بستخدم للناس اللي بعد الأربعين يبقى بعد + +311 +00:31:27,050 --> 00:31:33,430 +الأربعين احنا بنحط على مسافة بحيث انه الخط صغير + +312 +00:31:33,430 --> 00:31:37,210 +لتحت خارص صغير بالنسبالي وابدأ أعمل gradual + +313 +00:31:37,210 --> 00:31:42,930 +addition نص واحد و واحد و نص نين لما يشوف واضح + +314 +00:31:42,930 --> 00:31:52,650 +وأسجل الـ addition هذه اللي انه هيحطها يعني في + +315 +00:31:52,650 --> 00:31:58,110 +النضارة الطريقة الثانية أصعب شوية بس هي لتحت + +316 +00:31:58,110 --> 00:32:02,780 +الأربعين وربما أن الـ minus هذا بيعمل stimulation + +317 +00:32:02,780 --> 00:32:08,680 +لايش؟ للـ accumulation هذا الـ minus بتستخدم minus + +318 +00:32:08,680 --> 00:32:16,280 +مش plus لما راح أقول بيقول إنه هنا أنا بحط الـ kart + +319 +00:32:16,280 --> 00:32:20,920 +على أربعين سنتي اه وببدأ أحط minus sphere lenses + +320 +00:32:20,920 --> 00:32:27,140 +are added اه كل ربع ده يبتر كشر يعني until the + +321 +00:32:27,140 --> 00:32:32,250 +print blurs اللي بالعكس مش أنا بدي أوضح له بدي + +322 +00:32:32,250 --> 00:32:38,730 +أغبّش له مثلا من أربعين سنتي اه اللي أنا بخلّق له + +323 +00:32:38,730 --> 00:32:48,770 +كويس بده أفضّل له minus ربع لسه بشوف minus نص أشيلها + +324 +00:32:48,770 --> 00:32:55,030 +بشوف minus تلت ربع minus واحد minus واحد وربع لما + +325 +00:32:55,030 --> 00:33:02,550 +يدي وقت بالكاد انه شوف أقصى minus اللي شاف فيه + +326 +00:33:02,550 --> 00:33:07,850 +يعني لو ضفت ربع مش هشوف باخد الـ minus هذا أنا + +327 +00:33:07,850 --> 00:33:16,790 +دلالة على أنه جدا هذا يغلب هذا الـ minus الكمية ال + +328 +00:33:16,790 --> 00:33:21,450 +minus هذه السنة الماضية جدا بتتغلب يعني أو تقرأ + +329 +00:33:21,450 --> 00:33:27,370 +بأقصى شيء minus في هذا بقول لي هنا the difference + +330 +00:33:27,370 --> 00:33:30,550 +between the resulting measurement and the original + +331 +00:33:30,550 --> 00:33:34,110 +distance measured is used سيبك من هذه في الخطوة + +332 +00:33:34,110 --> 00:33:38,890 +الثانية الـ minus 2.5 is added to the number of + +333 +00:33:38,890 --> 00:33:45,870 +اللي هو minus lenses أمام العين اتنين و نصف الأصل + +334 +00:33:45,870 --> 00:33:50,330 +هو بيقرأه باتنين و نص من أربعين سنتي أنا مثلا + +335 +00:33:50,330 --> 00:33:51,650 +حاطيته minus ثلاثة + +336 +00:33:54,700 --> 00:34:00,080 +يجد يقرأ بالكاد الـ -3 من 40 سنتي بدي أضيف له الـ + +337 +00:34:00,080 --> 00:34:03,520 +-3 مع اتنين وعصر الأساسيين بديوا يكونوا amplitude + +338 +00:34:03,520 --> 00:34:07,380 +و documentation بتاعه كم؟ خمسة و نصف خمسة و نصف + +339 +00:34:07,380 --> 00:34:12,520 +يبقى أنا هالوقت أنا بقيس ايش الـ amplitude مرة + +340 +00:34:12,520 --> 00:34:19,460 +قيسته بالـ Plus ومرة قيسته بالـ Minus مرة قيسته + +341 +00:34:19,460 --> 00:34:25,250 +بالـ Plus ومرة قيسته بالـ Minus طيب، بس السؤال ليش + +342 +00:34:25,250 --> 00:34:30,450 +أنا اللي فوق الأربعين أعطيتهم plus والفوق الخمسي + +343 +00:34:30,450 --> 00:34:37,170 +.. التحت الأربعين أعطيتهم minus؟ + +344 +00:34:37,170 --> 00:34:41,850 +غاضب؟ + +345 +00:34:41,850 --> 00:34:46,410 +أنه لبعد الأربعين الـ accumulation بتاعهم ضعيف فأنا + +346 +00:34:46,410 --> 00:34:52,090 +بعطيه magnifier، بعطيه magnifier لكن هنا هما لسه + +347 +00:34:52,090 --> 00:34:55,930 +فيه accommodation يُثار يعني ممكن أستفيد منه تحت + +348 +00:34:55,930 --> 00:35:02,790 +الأربعين طيب في تجربة تالتة حقيقة مش حابب أشرحها + +349 +00:35:02,790 --> 00:35:05,630 +دي dynamic cross cylinder ماشي + +350 +00:35:18,280 --> 00:35:23,740 +الرابعة بدل التالتة Adjusting sphere for best near + +351 +00:35:23,740 --> 00:35:28,320 +vision يعني كيف أنا أعمل تغيير لأحسن قراءة + +352 +00:35:28,320 --> 00:35:34,980 +بالعدسات بقول لي الـ distance correction in place + +353 +00:35:34,980 --> 00:35:38,000 +على عينه يعني سواء ميوب أو hypermetroid أو + +354 +00:35:38,000 --> 00:35:41,280 +astigmatism هو لبس الـ distance أساسا الـ vision is + +355 +00:35:41,280 --> 00:35:45,580 +instructed to hold the near target at the distance + +356 +00:35:45,580 --> 00:35:51,340 +ايش near target هنا بتاعي؟ في الجامعة، كويس؟ where + +357 +00:35:51,340 --> 00:35:55,520 +he or she prefers to read في ناس بيقرأ من تلاتين، + +358 +00:35:55,520 --> 00:35:58,680 +ناس بيقرأ من خمسة و تلاتين، ناس بيقرأ من أربعين، + +359 +00:35:58,680 --> 00:36:05,500 +something بقول لي الآن ضيفي plus sphere للـ distance + +360 +00:36:05,500 --> 00:36:09,280 +اللي على عينيه ضيفي plus sphere is added to the + +361 +00:36:09,280 --> 00:36:13,670 +distance correction to obtain sharpness لغاية ما + +362 +00:36:13,670 --> 00:36:19,430 +أشوف sharply ايش sharply يعني بوضوح حد تختلف عن الـ + +363 +00:36:19,430 --> 00:36:23,850 +push up الأولى plus three for distance collection + +364 +00:36:23,850 --> 00:36:29,750 +ان أنا باخد الـ lowest addition يعني في التجربة + +365 +00:36:29,750 --> 00:36:39,090 +الأولى هذه كنت باخد الحد الأعلى من العدسات مثلا + +366 +00:36:39,090 --> 00:36:44,980 +plus three وبضيفها ل 2.5 بيصير 5.5 هاي الـ amplitude + +367 +00:36:44,980 --> 00:36:55,460 +لأ في التجربة دي بتاعة الـ adjusting مجرد الشخص + +368 +00:36:55,460 --> 00:37:02,360 +يبدأ يقرأ الخط صغير بس تكفي مثلا + +369 +00:37:02,360 --> 00:37:10,600 +ممكن هو يقرأ ب 1.5 بقول لك + +370 +00:37:10,600 --> 00:37:14,880 +في عينه ليش؟ ليش ما بشتغلش لتلاتة أو اتنين و نصف + +371 +00:37:14,880 --> 00:37:19,740 +بيقول لي + +372 +00:37:19,740 --> 00:37:25,540 +أن أنا لما أعطي plus قليل بخلي الـ ciliary muscle + +373 +00:37:25,540 --> 00:37:33,040 +active بخليها ايش ناشطة تعمل لكن لما أعطيها plus + +374 +00:37:33,040 --> 00:37:37,700 +أكبر كان حكمت عليها بالايش بالنوم + +375 +00:37:44,000 --> 00:37:47,980 +شايفين؟ زي اللي بيمشي على كرسي متحرك بدون مشي على + +376 +00:37:47,980 --> 00:37:51,980 +relay لأفضل واحد بيطلع من العملية بعد ساعتين ويقول + +377 +00:37:51,980 --> 00:38:02,560 +ماشي و ليش ماشيها حتى عضلاته تاخد training وهو نفس + +378 +00:38:02,560 --> 00:38:06,620 +الشيء لو أنا الـ ciliary muscle أعطيها high plus + +379 +00:38:08,540 --> 00:38:12,320 +معناه أن أنا جديت على باقي الـ what الـ + +380 +00:38:12,320 --> 00:38:14,580 +accommodation وأنا حتى الناس اللي ما أعطيهم + +381 +00:38:14,580 --> 00:38:18,000 +atropine أو cyclopentolate في refraction لازم نحسب + +382 +00:38:18,000 --> 00:38:23,540 +حساب أجالش one for one ton of cereal مثلا لما تصحى + +383 +00:38:23,540 --> 00:38:30,060 +من الـ الـ الـ paralysis أن ايش تشتغل لكن لو أعطيها + +384 +00:38:30,060 --> 00:38:35,400 +الـ full dose معناها المصير اللي هتفضل نائما خاملة + +385 +00:38:36,630 --> 00:38:41,150 +في هذه الطريقة أن هو بيقول لي أني بأعطي الـ lowest + +386 +00:38:41,150 --> 00:38:47,810 +addition that provides clear vision should be used + +387 +00:38:47,810 --> 00:38:55,510 +الناس اللي بيبالغ في وصفات النضارة للقراءة يعني + +388 +00:38:55,510 --> 00:38:58,430 +بحساب أن أنا بحط زاد 4 وزاد 5 بريح العيال لأ هو + +389 +00:38:58,430 --> 00:39:02,910 +ما بريح العيال ما بريح العيال لأن هو يعني أصبح + +390 +00:39:02,910 --> 00:39:06,540 +العيال بيشتغل على الـ magnification بس أما الـ + +391 +00:39:06,540 --> 00:39:10,760 +accommodation لأ ما فيش accommodation the higher + +392 +00:39:10,760 --> 00:39:18,320 +the nearer add the smaller the depth of focus عمق + +393 +00:39:18,320 --> 00:39:23,600 +الَبَصَر بيقل لما أعطي أربعة أو خمسة أو ستة عمق + +394 +00:39:23,600 --> 00:39:29,120 +الصورة أو الَبَصَر بيقل وهذا بيعمل a loss of + +395 +00:39:29,120 --> 00:39:33,830 +satisfaction عند العيال لأنه بتعبه يعني كل مكان الـ + +396 +00:39:33,830 --> 00:39:37,950 +focal depth أكتر كل مكان أرياح العيان وهذا بيجي + +397 +00:39:37,950 --> 00:39:44,350 +بالأقل، بيجيش بالأكبر طيب، طيب سمعتوا شيء اسمه + +398 +00:39:44,350 --> 00:39:51,210 +vertex distance؟ ايش هي؟ بين سطح القرنية الأمامي و + +399 +00:39:51,210 --> 00:39:58,130 +سطح العدسة الخارجية طب هذا ايش أهميته؟ في التطبيق + +400 +00:39:58,130 --> 00:40:04,050 +كل مرة حصل مثلا، هو ايه؟ أيوة حكينا عليها يعني هذه + +401 +00:40:04,050 --> 00:40:09,970 +الكوميا الـ surface كل + +402 +00:40:09,970 --> 00:40:18,990 +ما الـ lens الـ minus قربتها كل ما زادت قوتها وكل + +403 +00:40:18,990 --> 00:40:25,390 +ما بعتها كل ما قلت قوتها تاني هذه سطح الكوميا وهذه + +404 +00:40:25,390 --> 00:40:30,550 +الـ plus lens كل ما بعدتها بالزيت قوتها وكل ما + +405 +00:40:30,550 --> 00:40:36,310 +قربتها بتقل قوتها و + +406 +00:40:36,310 --> 00:40:44,350 +هتشوفوا الآن في الكلام يبقى بقول ليه في شيء اسمه + +407 +00:40:44,350 --> 00:40:52,010 +lens effectivity وهذا بيعتمد على change in the + +408 +00:40:52,010 --> 00:40:59,980 +sight of the lens related to the cornea المقارنة من + +409 +00:40:59,980 --> 00:41:04,460 +الخلفية للعين إلى أمام العين تسمى كـ Back Vertex + +410 +00:41:04,460 --> 00:41:07,980 +Distance هذه المقارنة يجب أن تكون مقارنة عند + +411 +00:41:07,980 --> 00:41:16,160 +استخدام أي عين أكتر من 4 أكتر من أربعة طيب، الآن + +412 +00:41:16,160 --> 00:41:22,860 +هذه العين في وضعها ده إلها قوة لو أنا بدي أحركها + +413 +00:41:22,860 --> 00:41:29,420 +إلى الأمام أكيد بدي أزيد قوتها ولو أريد حركة أكتر + +414 +00:41:29,420 --> 00:41:34,420 +من الداخل أغير قوتها لا يمكن أن تبقى نفس القيمة + +415 +00:41:34,420 --> 00:41:42,520 +ولو أريد عمل contact lens أغير قوتها، صح؟ الآن كل + +416 +00:41:42,520 --> 00:41:49,200 +ما العدسة هذه كانت أقوى قوتها أكتر كل ما أي ملي له + +417 +00:41:49,200 --> 00:41:55,860 +حساب لكن تحت الأربعة يكون كسور كسور من الديوبتر عشر + +418 +00:41:55,860 --> 00:41:59,880 +ديوبتر واحدة على اتناش ديوبتر يعني اللي بتحرك مثلا + +419 +00:41:59,880 --> 00:42:05,800 +عدسة قوتها one ديوبتر التغيير بسيط لكن لو كانت + +420 +00:42:05,800 --> 00:42:10,060 +مثلا تين ديوبتر حتى + +421 +00:42:10,060 --> 00:42:14,280 +احنا الآن في اللي متوقع ينجح إن شاء الله الهجد + +422 +00:42:14,280 --> 00:42:21,100 +الـ Accumulative IOLs اللي لها مبسط بقول حركتها + +423 +00:42:21,100 --> 00:42:29,840 +واحد ملي إلى الأمام بِجيب two diopters للقراءة ليست + +424 +00:42:29,840 --> 00:42:33,480 +لأن قوتها above to twenty اللي هي العدسة اللي بدنا + +425 +00:42:33,480 --> 00:42:39,000 +نزرعها حوالي عشرين فكل ما زادت القوة كل ما الحركة + +426 +00:42:39,000 --> 00:42:49,940 +أثرت إيجابًا أو سلبًا إيجابًا أو سلبًا طيب كيف + +427 +00:42:49,940 --> 00:42:58,530 +نجيس الـ back vertex؟ خدتها؟ الـ Back Vertex لأ + +428 +00:42:58,530 --> 00:43:05,150 +ما بتتش ثابت يعني بدنا كل واحد مثلًا زي هيك شايفين؟ + +429 +00:43:05,150 --> 00:43:11,770 +اه فيها لازم أقول لك يعني roll-up صحيح؟ شايفين كده؟ + +430 +00:43:11,770 --> 00:43:17,450 +أو فيها هنا blank اه معين بيفتح بسكر بحيث يقيس + +431 +00:43:17,450 --> 00:43:23,570 +المسافة الأمر هذا يعني أمر علمي يعني يقاس يعني + +432 +00:43:23,570 --> 00:43:29,390 +بيكون له caliber تدريج والـ caliber هذا له بلانجر + +433 +00:43:29,390 --> 00:43:37,450 +بلانجر يعني زي إيش بيمسّ العدسة من مراه وبيمسّ + +434 +00:43:37,450 --> 00:43:45,870 +الجفون مغلقة وبنضيف واحد من ليه سماكة إيش الجفون؟ + +435 +00:43:45,870 --> 00:43:53,540 +واحد من ليه فالمسافة من قفل النضارة إلى سطح العين + +436 +00:43:53,540 --> 00:43:57,120 +المغرقة زائد واحد منه مثلًا طب أنا مش في حاجة أن + +437 +00:43:57,120 --> 00:44:04,460 +أمسك إيش سطح القرنية إلا باستخدام إيش قطرة بنج طيب + +438 +00:44:04,460 --> 00:44:09,280 +هنشوف معادلة ونشوف إيش أهمية قياس الـ back vertex + +439 +00:44:09,280 --> 00:44:13,720 +بقول to calculate the power of the lens at any + +440 +00:44:13,720 --> 00:44:16,500 +given distance the following formula can be used + +441 +00:44:16,500 --> 00:44:22,860 +عشان نعرف قوة العدسة في كل مسافة بينا نُعوّض في + +442 +00:44:22,860 --> 00:44:29,200 +المعادلة هذه N قوة العدسة equals one divided by + +443 +00:44:29,200 --> 00:44:37,600 +one divided by D minus VD1 VD2 باختصار الـ N + +444 +00:44:37,600 --> 00:44:46,020 +قوة العدسة الجديدة يعني عدسة في وضع و بده يحركها لو + +445 +00:44:46,020 --> 00:44:51,750 +بده يحركها جايه بده هتصير الـ N هي + +446 +00:44:51,750 --> 00:45:00,310 +القيمة الجديدة لها طيب هذا الـ N بالنسبة للـ D الـ + +447 +00:45:00,310 --> 00:45:05,710 +power of the trial lens نشوف قوة العدسة المجرمة طب + +448 +00:45:05,710 --> 00:45:14,150 +VD1 اللي هي الوضع الأول من مسافة الأولى مثلًا مسافة + +449 +00:45:14,150 --> 00:45:21,150 +17 مثلًا أو 12 الـ VD2 الوضع الجديد أبعد أو أقرب حسب + +450 +00:45:21,150 --> 00:45:27,830 +المسافة مقلوب المسافة مقلوب المسافة نشوف الآن ناخذ + +451 +00:45:27,830 --> 00:45:35,170 +مثلًا إذا كان لديك عدسة للميوبيا minus eight lens أنت + +452 +00:45:35,170 --> 00:45:41,190 +لابسة عدسة للميوبيا minus seven with a vertex + +453 +00:45:41,190 --> 00:45:44,630 +distance بعيدة عن العين عن سطح القرنية الـ six + +454 +00:45:44,630 --> 00:45:48,750 +millimeter الـ 6 من 100 على هذا الوضع الأول اللي + +455 +00:45:48,750 --> 00:45:52,770 +موجود الآن and you would انتبهوا بالله عشان تحلوا + +456 +00:45:52,770 --> 00:45:55,910 +المسألة اللي جايه and you would like to know that + +457 +00:45:55,910 --> 00:46:01,110 +the power should be the key word أصبح 13 سننقل من + +458 +00:46:01,110 --> 00:46:10,610 +6 لـ 13 تقدر تعطيني كام؟ التمانية هتصير؟ عوضنا في + +459 +00:46:10,610 --> 00:46:11,010 +المعادلة + +460 +00:46:17,050 --> 00:46:22,810 +طلعت ثمانية وسبعة وأربعين لما + +461 +00:46:22,810 --> 00:46:27,710 +نُنقلها من ستة لثلاثة عشر طلعت ثمانية وسبعة وأربعين + +462 +00:46:27,710 --> 00:46:31,530 +مين أقوى الثمانية وسبعة وأربعين ولا الثمانية؟ + +463 +00:46:38,920 --> 00:46:42,840 +بالـ minus هذه الثمانية أكبر العدسة السالبة لما + +464 +00:46:42,840 --> 00:46:50,600 +بُبعدها تضعف قدرتها ولما بجربها بتزيد طيب الآن بدي + +465 +00:46:50,600 --> 00:46:58,000 +من حضراتكم تقولوا لو خليناها من عشرين من ستة لعشرين + +466 +00:46:58,000 --> 00:47:05,120 +اعملوا ليها شوف يلا حلوليها من عشرين بدل ثلاثة عشر + +467 +00:47:06,880 --> 00:47:13,720 +عوّضوا في المعادلة بدل 13 من 100 أو من ألف خلوها + +468 +00:47:13,720 --> 00:47:27,120 +20 من 100 20 من 100 بدل 13 تصبح A minus A + +469 +00:47:36,310 --> 00:47:41,670 +طيب، أشوف غيرك، غيرك، إيش بقول؟ + +470 +00:47:41,670 --> 00:47:46,410 +يعني minus minus minus minus minus minus minus + +471 +00:47:46,410 --> 00:47:46,610 +minus minus minus minus minus minus minus minus + +472 +00:47:46,610 --> 00:47:46,630 +minus minus minus minus minus minus minus minus + +473 +00:47:46,630 --> 00:47:47,850 +minus minus minus minus minus minus minus minus + +474 +00:47:47,850 --> 00:47:48,890 +minus minus minus minus minus minus minus minus + +475 +00:47:48,890 --> 00:47:51,570 +minus minus minus minus minus minus minus minus + +476 +00:47:51,570 --> 00:47:56,350 +minus minus minus minus minus minus + +477 +00:47:56,350 --> 00:47:58,150 +minus minus minus minus + +478 +00:48:06,740 --> 00:48:20,600 +العشرين من المئة هذه + +479 +00:48:20,600 --> 00:48:25,800 +عدسة سالبة، نريد أن نبعدها كمان + +480 +00:48:25,800 --> 00:48:32,360 +يا ضايعة + +481 +00:48:32,360 --> 00:48:35,100 +ألف excellent + +482 +00:49:00,040 --> 00:49:02,840 +آه نعم + +483 +00:49:20,430 --> 00:49:27,130 +-6 ما يقول؟ مش منطقي لأ مش logic آخر الشيء 9 بقى + +484 +00:49:27,130 --> 00:49:32,850 +بقول عندي طيب + +485 +00:49:32,850 --> 00:49:43,490 +طيب طيب الآن آخر slide الآن هناك خرائط متوفرة + +486 +00:49:43,490 --> 00:49:47,670 +لتحويل الـ 50 قوة من مقارنة البرتقال إلى مقارنة + +487 +00:49:47,670 --> 00:49:53,170 +أخرى يعني إيه بقى معمولة لهذه العدسة الفلانية مثلًا + +488 +00:49:53,170 --> 00:50:00,170 +minus 4 مثلًا والمسافات اللي هي محتوطة مثلًا مسافة + +489 +00:50:00,170 --> 00:50:07,030 +مثلًا عشرة إثنا عشر خمسة عشر عشرين ومحتوطة القيم بتاعتها + +490 +00:50:07,030 --> 00:50:13,420 +مثلًا minus 5 minus 6 مينوس سبعة وبعدين في واحدة لل + +491 +00:50:13,420 --> 00:50:19,600 +plus في واحدة لل plus plus مثلًا أربعة plus خمسة وكل + +492 +00:50:19,600 --> 00:50:27,140 +مسافة في الـ back vertex طيب + +493 +00:50:27,140 --> 00:50:33,740 +الآن الـ reason for doing this is when converting a + +494 +00:50:33,740 --> 00:50:38,600 +spectacle description to contact lens power or + +495 +00:50:38,600 --> 00:50:45,350 +vice versa يعني الآن اللي بيلبس نضارة بقوة مثلًا زائد + +496 +00:50:45,350 --> 00:50:53,550 +ثلاثة لو بتحوّلها لـ contact lens فيه + +497 +00:50:53,550 --> 00:50:57,970 +back vertex؟ لأ بنعوّض بالصفر في الـ contact lens + +498 +00:50:57,970 --> 00:51:05,630 +بنعوّض بالصفر بنعوّض المسافة الأولى الـ VD1 + +499 +00:51:08,820 --> 00:51:15,760 +هذا سيكون مسافة صحيح نضارة لكن هنا صفر لأنه لا + +500 +00:51:15,760 --> 00:51:19,160 +يوجد back vertex في الـ contact والعكس لو واحد + +501 +00:51:19,160 --> 00:51:25,020 +contact لابس وبدنا نلبسه نضارة بدنا نجيب الـ + +502 +00:51:25,020 --> 00:51:31,300 +صفر لمسافة إيه جديدة؟ صح؟ وتكون هنا صفر الـ + +503 +00:51:31,300 --> 00:51:35,080 +contact lens هنا صفر بدنا هنا نخطّق قيمة اللي هي + +504 +00:51:35,080 --> 00:51:40,660 +مثلًا 12 كيف نحوّن من contact lens إلى نضارة ومن + +505 +00:51:40,660 --> 00:51:50,900 +نضارة إلى contact lens منطق الكلام؟ طيب if + +506 +00:51:50,900 --> 00:51:54,940 +the power of the lens is four or more, vertex + +507 +00:51:54,940 --> 00:51:59,100 +distance must be considered يبقى الحد اللي جاله + +508 +00:51:59,100 --> 00:52:04,510 +أربعة، تحت الأربعة ما فيش تغيير كبير كسور من الـ + +509 +00:52:04,510 --> 00:52:08,630 +diopter لكن فوق الأربعة كل ما زاد عن أربعة خمسة، + +510 +00:52:08,630 --> 00:52:14,730 +ستة، سبعة، ثمانية، تسعة، عشرة كل ما كانت القيمة + +511 +00:52:14,730 --> 00:52:20,850 +في الانتقال أو التغيير أكبر، كويس؟ هاي مثلًا ضرب + +512 +00:52:20,850 --> 00:52:27,850 +مثلًا واحد بيلبس نضارة بقوة minus four point twenty + +513 +00:52:27,850 --> 00:52:38,050 +five أربعة وربع من اثنا عشر ملي يريد أن يغيّر إلى + +514 +00:52:38,050 --> 00:52:45,590 +contact lens بس يحتاج أربعة بقى + +515 +00:52:45,590 --> 00:52:50,990 +نعمل في المعادلة في الجهة الثانية الـ plus الـ plus + +516 +00:52:50,990 --> 00:52:57,250 +بيختلف عن الـ minus في الـ effectivity يعني واحد بيلبس + +517 +00:52:57,250 --> 00:53:09,780 +plus 4.5 spectacle lens نضارة من 12 ملي سيحتاج 4.25 + +518 +00:53:09,780 --> 00:53:13,260 +بالـ Contact Lens الاختلاف في القوة بين الـ + +519 +00:53:13,260 --> 00:53:17,820 +Contact Lens و Spectacle Lens أكثر مع خطأ الـ + +520 +00:53:17,820 --> 00:53:20,640 +Refractive كل ما زاد خطأ الـ Refractive كل ما + +521 +00:53:20,640 --> 00:53:26,980 +زادت القيمة عرفتوا إيش فائدة الـ Back Vertex طيب + +522 +00:53:26,980 --> 00:53:35,110 +سؤال هل ممكن أعمل أنا Back Vertex 20 ملي متر حسب + +523 +00:53:35,110 --> 00:53:40,530 +الـ nose يعني ما فيش nose .. ما فيش nose .. ما فيش nose .. + +524 +00:53:40,530 --> 00:53:45,250 +ما فيش nose كبير هالجد صح؟ اه طب واحد ما فيش عنده nose + +525 +00:53:45,250 --> 00:53:53,310 +أساسًا طب + +526 +00:53:53,310 --> 00:53:58,610 +أنا في سر لي فترة شايفه بس مش عارف أعلق عليه هذا + +527 +00:53:58,610 --> 00:54:03,050 +المجلد الدولي في سوريا اسمه Demistora لأصلع هذا + +528 +00:54:03,050 --> 00:54:12,130 +هذا لابس نضارة عجيبة بس عدسات بس + +529 +00:54:12,130 --> 00:54:19,710 +عدسات في الهواء هيك شوفته ما لهاش + +530 +00:54:19,710 --> 00:54:25,750 +ما لهاش ما لهاش + +531 +00:54:25,750 --> 00:54:26,470 +في ال aids + +532 +00:54:29,680 --> 00:54:37,420 +يعني كده مثبتة أنا مش عارف مثبت هنا احتمال أن يكون + +533 +00:54:37,420 --> 00:54:43,100 +مثبت على المخدات هنا اه في حاجة هيك يعني من هنا ومن + +534 +00:54:43,100 --> 00:54:46,700 +هنا ما فيش حاجة مش عارف أنا ما فيش هنا أي حاجة + +535 +00:54:46,700 --> 00:54:50,020 +مثبت + +536 +00:54:50,020 --> 00:54:56,660 +هنا اه احتمال احتمال احتمال احتمال + +537 +00:54:59,250 --> 00:55:03,930 +المهم أن نكون فاهمين موضوع الـ Effectivity وإيش + +538 +00:55:03,930 --> 00:55:11,230 +الفرق بين الـ Contact Lens وبين الـ Lenses والأفضل + +539 +00:55:11,230 --> 00:55:17,410 +من الكل الـ Eye Oils ليش الـ Eye Oils؟ لأنه في + +540 +00:55:17,410 --> 00:55:22,590 +المكان الصحيح المكان العدسي الأساسي الـ Eye Oil هذه + +541 +00:55:22,590 --> 00:55:28,090 +ما فيش فيها يعني تغيير شكرًا لكم شكرًا لحسن الاستماع diff --git a/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/c2ebjXwR0kY_raw.srt b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/c2ebjXwR0kY_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..793e46fe40df7ea00633cce295aff5648e0ba780 --- /dev/null +++ b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/c2ebjXwR0kY_raw.srt @@ -0,0 +1,2240 @@ +1 +00:00:21,230 --> 00:00:24,230 +أعوذ بالله من الشيطان الرجيم بسم الله الرحمن + +2 +00:00:24,230 --> 00:00:26,970 +الرحيم الحمد لله وأكفه وأصلي وأسلم على النبي + +3 +00:00:26,970 --> 00:00:33,130 +المصطفى السلام عليكم ورحمة الله وبركاته في هذه + +4 +00:00:33,130 --> 00:00:37,490 +الدراسة سننتهي + +5 +00:00:37,490 --> 00:00:48,330 +من النتائج عن التعامل مع بريس بيوبيا بعد أشهر + +6 +00:00:48,330 --> 00:00:57,300 +طويلة عنسيرجيكال تجارب كيفية إصلاح بريسبيوبيا + +7 +00:00:57,300 --> 00:01:04,080 +سنأتي الآن لإتفاق كما + +8 +00:01:04,080 --> 00:01:12,300 +تعلمين حتى الآن لا يوجد طريقة جيدة + +9 +00:01:12,300 --> 00:01:17,800 +لتعامل بريسبيوبيا ولكن هناك الكثير من الحلول + +10 +00:01:20,420 --> 00:01:31,500 +الان نستطيع ان نقول ان العيشين هي الحلقة الأفضل + +11 +00:01:31,500 --> 00:01:46,480 +للان عيشين للقراءة الان و لعدة سنوات للمستقبل + +12 +00:01:46,480 --> 00:01:54,670 +سوف يقدرThe Better Solution يعني أنه بالرغم من أن + +13 +00:01:54,670 --> 00:01:58,690 +هذا التقدم وهذه التجارب الكبيرة في البحث عن حل + +14 +00:01:58,690 --> 00:02:05,450 +لقصه النظر بعد الأربعين لم يصلوا إلى حل حاسم وإنما + +15 +00:02:05,450 --> 00:02:14,850 +تبقى نظارة القراءة هي الحل الأنسببعد كل المحاولات + +16 +00:02:14,850 --> 00:02:21,110 +هذا اللي هو مقولني مقولني انه it is especially + +17 +00:02:21,110 --> 00:02:26,030 +true as mainstay of near reading glasses has long + +18 +00:02:26,030 --> 00:02:30,050 +been and will continue to be a successful and + +19 +00:02:30,050 --> 00:02:34,290 +viable option for optical compensation for this + +20 +00:02:34,290 --> 00:02:38,370 +biome مافيش علاج سحري حتى الآن + +21 +00:02:43,210 --> 00:02:51,810 +الآن يعني شفنا احنا انه اي حل جراحي او غيره مطلوب + +22 +00:02:51,810 --> 00:02:56,990 +ان يقدم at least three diopters for the presbiotic + +23 +00:02:56,990 --> 00:03:02,190 +eye to read good او clear احنا نادين بس three + +24 +00:03:02,190 --> 00:03:08,290 +diopters اي حل بيقدمنا three diopters في ال old + +25 +00:03:08,290 --> 00:03:13,950 +age to read is a good solutionهذا اللي احنا + +26 +00:03:13,950 --> 00:03:17,610 +بندورله حتى + +27 +00:03:17,610 --> 00:03:21,690 +الآن الكلام + +28 +00:03:21,690 --> 00:03:26,170 +على ما هو السبب بعد سبع نظريات ما هو السبب في ال + +29 +00:03:26,170 --> 00:03:33,110 +breast biopia محترين بين الـ Lens Sclerosis و ال + +30 +00:03:33,110 --> 00:03:37,970 +muscle weakness يبقى Lenticular Sclerosis هذا + +31 +00:03:37,970 --> 00:03:47,420 +بقوله سببوالسبب التاني القدرة + +32 +00:03:47,420 --> 00:03:54,400 +أو القوة يعني ال lens العدسة مع العضل الهدمية هما + +33 +00:03:54,400 --> 00:04:00,620 +التانيين طيب ال lens احنا ممكن نصلّح لايه بتاعها + +34 +00:04:00,620 --> 00:04:06,580 +نعملها IOL حتى نكون نعمل نوع من ال pseudo + +35 +00:04:06,580 --> 00:04:11,910 +accommodation لها لكن هلالـ Cellular Muscle ممكن + +36 +00:04:11,910 --> 00:04:17,890 +نعمل حل ؟ Cellular Muscle هل العضلة الهدوية لو + +37 +00:04:17,890 --> 00:04:24,730 +ضعفت ممكن نقوّيها ؟ هذا موضوع aging process عمره + +38 +00:04:24,730 --> 00:04:32,750 +يعني أو سن يبقى الـ lenticular sclerosis ممكن جدا + +39 +00:04:32,750 --> 00:04:36,130 +ان انا افكر في الـ Accumulative IOLs مع ان حتى + +40 +00:04:36,130 --> 00:04:42,660 +الآن مش ناجح من جلمي لسهكبديل ان العدسة الطبيعية + +41 +00:04:42,660 --> 00:04:46,340 +الـ Crystalline Lens انه اعمل Extraction و اوضع + +42 +00:04:46,340 --> 00:04:51,280 +بدلها ايش؟ Accommodative IOL الهجد IOL اللي فيها + +43 +00:04:51,280 --> 00:04:55,140 +المفاصل هذه لكن + +44 +00:04:55,140 --> 00:04:59,120 +الـ Reduce Ciliary Muscle Efficacy in Elderly + +45 +00:04:59,120 --> 00:05:04,240 +Patients should not discourage the force to + +46 +00:05:04,240 --> 00:05:07,100 +restore accommodation يعني مع ان الـ Ciliary + +47 +00:05:07,100 --> 00:05:13,440 +Muscleلو ضيع فلا توقّوع لكن محاولاتنا نحو + +48 +00:05:13,440 --> 00:05:22,460 +الaccumulative IOL مش لازم انها تتبطأ الان + +49 +00:05:22,460 --> 00:05:29,120 +العالم متعلق بفرصة الaccumulative IOL اللي بتعمل + +50 +00:05:29,120 --> 00:05:37,420 +vaulting يعني هذه ال lensوهنا في مفصل ساعة مثلاني + +51 +00:05:37,420 --> 00:05:46,120 +muscle تعمل contraction ال lens تعمل vaulting نعمل + +52 +00:05:46,120 --> 00:05:54,720 +التحدب إلى الأمام كل واحد ملي حركة إلى الأمام تعطي + +53 +00:05:54,720 --> 00:06:02,850 +واحد إلى اتنين diopter for readingهذا الآن الشغل + +54 +00:06:02,850 --> 00:06:08,330 +الحقيقي اللي شغالين عليه هو لم يبلغ مرحلة التطبيق + +55 +00:06:08,330 --> 00:06:16,950 +على الإنسان لسه لكن هي المشكلة وين؟ ان السنة بمصل + +56 +00:06:16,950 --> 00:06:23,210 +مثلا بعد الستين سنة ممكن تبقى تمارس ال contraction + +57 +00:06:23,210 --> 00:06:29,320 +strong contractionحتى تعمل الـ Vaulting للـ Lens + +58 +00:06:29,320 --> 00:06:34,840 +هذي بيقول لك لسه The success of augmented polymer + +59 +00:06:34,840 --> 00:06:42,040 +IOL is uncertain يعني نجاح هذه العدسات مش أكيد + +60 +00:06:42,040 --> 00:06:47,200 +للأسف But continued research may provide alternate + +61 +00:06:47,200 --> 00:06:51,620 +options for Presbyopiaيعني مازال البحث عشان هيك + +62 +00:06:51,620 --> 00:06:57,800 +بكل أسف هو أنا بقول أنه ما زالت اللي هو نضارات + +63 +00:06:57,800 --> 00:07:06,880 +القراءة وستبقى هي الخيار الأخضر يعني الإنسان يتأمل + +64 +00:07:06,880 --> 00:07:11,380 +في شيء حديث لكن يعني مازال التقدم في هذا المجال + +65 +00:07:11,380 --> 00:07:17,020 +محدود طيب لما إجوا الناس عملوا scleral expansion + +66 +00:07:17,020 --> 00:07:24,060 +فاكرين؟شرّط القرنية مرة وضفولها pants أربع مرة + +67 +00:07:24,060 --> 00:07:31,220 +وزرعولها wool shape insert مرة حسب نظرية sketcher + +68 +00:07:31,220 --> 00:07:39,320 +أيضا ما نجحت هذه النظرية وينظر إليها بنوع من + +69 +00:07:39,320 --> 00:07:45,580 +skepticism skepticism doubt يعني يعني ما أخلط + +70 +00:07:45,580 --> 00:07:53,230 +ولاها كنظرية أو جراحةمعتمدة لأنه أساساً النظرية + +71 +00:07:53,230 --> 00:07:58,430 +بتاعة سكتشر اللي بُنيت عليها نظرية مخالفة لكل ما + +72 +00:07:58,430 --> 00:08:05,590 +تعرف عليه العلماء منذ 200 سنة في قالية الـ + +73 +00:08:05,590 --> 00:08:09,530 +accommodation كلنا عارفين accommodation إيش اللي + +74 +00:08:09,530 --> 00:08:15,130 +بيصير فيهسكاتشر لأ نسف كل النظرية و اتبع نظرية + +75 +00:08:15,130 --> 00:08:20,910 +مغيرة وجد ناس في اكتر من دولة زي فرنسا و تايلاندا + +76 +00:08:20,910 --> 00:08:28,330 +و مكسيك في انهم يشتغلون جراحات محاولات في ان السعر + +77 +00:08:28,330 --> 00:08:34,890 +المصل تتوسع ايش من الخارج عند الكماش اه لكن هنا + +78 +00:08:34,890 --> 00:08:44,090 +ينظر له بشكيعني ماصارش حتى الآن فعلا انه يعني جدر + +79 +00:08:44,090 --> 00:08:50,710 +يغير في ال breast biopsy these procedures الجراحية + +80 +00:08:50,710 --> 00:08:53,550 +should be studied for possible unexpected + +81 +00:08:53,550 --> 00:08:55,950 +secondary contributions to improve near vision + +82 +00:08:55,950 --> 00:08:59,730 +which may occur through the introduction of + +83 +00:08:59,730 --> 00:09:09,090 +lenticular abrasions يعني مين أقرب ننظر إلىالـ + +84 +00:09:09,090 --> 00:09:13,990 +Accumulative IOL هو لنظر إلى الـ Scleral Expansion + +85 +00:09:13,990 --> 00:09:19,990 +أحسن في المستقبل فهو غالبا يقول لك انظر إلى الـ + +86 +00:09:19,990 --> 00:09:25,230 +Lens تغيير الـ Lens بحيث تصبح الـ Lens تعمل + +87 +00:09:25,230 --> 00:09:31,930 +Accumulation المزروعة أفضل من ما تشرّط الـ Sclera + +88 +00:09:31,930 --> 00:09:36,290 +وتقول لها هتتوسع الـ Center Muscle اللي هنا مكتفة + +89 +00:09:36,290 --> 00:09:37,090 +هتتوسع + +90 +00:09:40,600 --> 00:09:44,740 +طيب طيب بدنا الآن في ال conclusion نستنتج ايش نعمل + +91 +00:09:44,740 --> 00:09:48,940 +لإيه الpressure اليوم الان + +92 +00:09:48,940 --> 00:09:53,240 +في كلام عن ال mono vision يعني تصليح عين واحدة + +93 +00:09:53,240 --> 00:10:00,380 +للقراءة mono vision كيف أصلح ال mono vision قال + +94 +00:10:00,380 --> 00:10:07,300 +يمكن تصليحها بتلت حاجات تصليحها بلازق للقراءة واحد + +95 +00:10:09,850 --> 00:10:15,790 +Iol من داخل العين للقراءة + +96 +00:10:15,790 --> 00:10:22,030 +و Contact lens مره مره مره مره مره مره مره مره مره + +97 +00:10:22,030 --> 00:10:23,870 +مره مره مره مره مره مره مره مره مره مره مره مره + +98 +00:10:23,870 --> 00:10:24,970 +مره مره مره مره مره مره مره مره مره مره مره مره + +99 +00:10:24,970 --> 00:10:25,330 +مره مره مره مره مره مره مره مره مره مره مره مره + +100 +00:10:25,330 --> 00:10:25,330 +مره مره مره مره مره مره مره مره مره مره مره مره + +101 +00:10:25,330 --> 00:10:38,190 +مره مره مره مره مره مره مره مره مره مره مره مره + +102 +00:10:38,190 --> 00:10:56,650 +ميعني عين الإسان مش قادرين تفتحها بس للتجارب يبقى + +103 +00:10:56,650 --> 00:11:00,790 +هذا في ال conclusion إنه نعمل mono vision و ال + +104 +00:11:00,790 --> 00:11:04,190 +mono vision هي نعمل refractive surgery على سطحها + +105 +00:11:04,190 --> 00:11:14,640 +القنانيةIol او contact lens طيب هي option طيب فيه + +106 +00:11:14,640 --> 00:11:21,040 +تفكير بس يعني بايد تفكير بايد بيقول استعمال أدوية + +107 +00:11:21,040 --> 00:11:27,700 +عضو ال innovations technical innovations تستخدم + +108 +00:11:27,700 --> 00:11:33,740 +أدوية تحطه في العين تخليه نقرأ كويس الحقيقة كلنا + +109 +00:11:33,740 --> 00:11:40,860 +بيعرف ان ال mioticالمضيق زي الـ bilocarbine طب هو + +110 +00:11:40,860 --> 00:11:48,080 +بيعمل ميوز ليش؟ ليش بيعمل تضييق؟ بيحفظ العضلة + +111 +00:11:48,080 --> 00:11:55,420 +القابضة لإيش؟ sphincter pupilla مش ال iris فيه two + +112 +00:11:55,420 --> 00:11:59,240 +muscles فيه sphincter الcelery اللي هي الcircular + +113 +00:11:59,240 --> 00:12:04,920 +وفيه ال radial طل فهو ال bilocarbine أو المضيق + +114 +00:12:04,920 --> 00:12:09,920 +بيحفظSphincter pupillary muscle بيحفظها بيخليها + +115 +00:12:09,920 --> 00:12:15,660 +ضمع الان Sphincter pupillary اللي بيغزيها عصب اسمه + +116 +00:12:15,660 --> 00:12:24,280 +ايش؟ Parasympathetic طيب اللي بجوارها و وراها و + +117 +00:12:24,280 --> 00:12:30,260 +بيغزيها Parasympathetic اسمها ايش؟ وراها و بيغزيها + +118 +00:12:30,260 --> 00:12:37,220 +Parasympathetic cellar muscleطيب، هل ممكن الـ + +119 +00:12:37,220 --> 00:12:41,520 +Pyrocarbine أنه يؤثر على الـCiliary muscle ويخلقها + +120 +00:12:41,520 --> 00:12:47,220 +تعمل contraction؟ قال آه يعني ممكن أنه لو حاطين + +121 +00:12:47,220 --> 00:12:53,800 +Pyrocarbine نقرأ أحسن؟ قال آه تقرأ أحسن تعمل شيء + +122 +00:12:53,800 --> 00:12:59,800 +اسمه الـCiliary Spasm الـPyrocarbine المضيق لساعات + +123 +00:12:59,800 --> 00:13:04,480 +الجطرة هذه بتعمل الـCiliary Spasm + +124 +00:13:06,590 --> 00:13:14,590 +سياري اسبازم ايش اسبازم يعني تقلص يعني اللي بيحط + +125 +00:13:14,590 --> 00:13:23,770 +بالو كربين هيعمله ميوزس pin hole pupil و هيعمله + +126 +00:13:23,770 --> 00:13:26,870 +increase accommodation بال increase accommodation + +127 +00:13:26,870 --> 00:13:32,850 +ممكن يقرأ بس طبعا لا يخلو من عيب عيش العيب بتاعه + +128 +00:13:34,590 --> 00:13:41,390 +إنه بيعمل أويشي مايوزس شريط وبعمل pseudo myopia + +129 +00:13:41,390 --> 00:13:47,950 +مثلا عنده minus two أو three myopia وبعمل + +130 +00:13:47,950 --> 00:13:56,110 +narrowing لل visual field يعني مثلا نقطة ممكن واحد + +131 +00:13:56,110 --> 00:14:01,110 +نلبسه pin hole و pin hole و نقوله سوق سيارة ليش؟ + +132 +00:14:03,510 --> 00:14:08,090 +مش هشوف الـ gems يعمل كده و يعمل كده يلف رجبته + +133 +00:14:08,090 --> 00:14:17,010 +لأنه في ال hold لكن هي بدأت لفكرة ان بعض القطرات + +134 +00:14:17,010 --> 00:14:23,230 +من ما حسنها انها بتمكن من القرعة حتى في السن + +135 +00:14:23,230 --> 00:14:29,560 +الكبير يعني هو الآن بدأ يفكر طب انا ممكنأما + +136 +00:14:29,560 --> 00:14:36,480 +القطرار اتخلص منها من يعني العيوب واخد المحاسن لسه + +137 +00:14:36,480 --> 00:14:40,020 +هذا البحث فهو بيقول يعني البحث الآن على الـ + +138 +00:14:40,020 --> 00:14:43,860 +Pharmacological agents drops اللي ساعدة ايه + +139 +00:14:43,860 --> 00:14:49,280 +القراية بل اكتر راحوا انه يقولوا genetic + +140 +00:14:49,280 --> 00:14:55,260 +interventions التدخل الجيني جينية الإنسان الآن + +141 +00:14:55,260 --> 00:15:00,600 +الشجرة الجينية اكتشفت عند الإنسان صح؟فهل ممكن بعد + +142 +00:15:00,600 --> 00:15:03,300 +اكتشاف الشجرة الجينية عند الإنسان، الخريطة + +143 +00:15:03,300 --> 00:15:10,720 +الجينية، genetic map، هل ممكن أنه نصل للجين بتاع + +144 +00:15:10,720 --> 00:15:17,420 +ال breast biopia و نصلحه؟ كيف التفكير العلمي؟ يعني + +145 +00:15:17,420 --> 00:15:21,860 +الآن في ناس بيلعبوا في جين السرطان مثلا، في جين + +146 +00:15:21,860 --> 00:15:27,900 +السكريالجينات هالي توصلولها يعني عرفوا الجين هذا + +147 +00:15:27,900 --> 00:15:34,540 +والجين هذا وإيش أثره على برض معين الصرع مثلا + +148 +00:15:34,540 --> 00:15:42,840 +الشرطان مثلا حتى الشيخوخة و ال breast biopia فبقول + +149 +00:15:42,840 --> 00:15:49,200 +ممكن نحاول نحاول علماء يعني عن طريق تشخيص جين ال + +150 +00:15:49,200 --> 00:15:54,600 +breast biopiaإنه معالجته بحيث ماصيرش presbiopia + +151 +00:15:54,600 --> 00:16:03,840 +طبعا هذه نوع من أحلام صح؟ و الأحلام كويسة طيب + +152 +00:16:03,840 --> 00:16:10,260 +هيك احنا بنكون خلصنا presbiopia و بس فيها موضوع + +153 +00:16:10,260 --> 00:16:15,500 +متعلق اسمه near addition انا ماعرفش حتى الآن انتوا + +154 +00:16:15,500 --> 00:16:21,640 +في ال reflection 2 و بلقتوا مبلغ كويسلو أجاكه عجوز + +155 +00:16:21,640 --> 00:16:29,560 +مش أنا يعني فهو قالك مش عارف أنا أقرأ أنا بقراش + +156 +00:16:29,560 --> 00:16:34,140 +كنت و أنا شاب بقرأ كتير و بطالع مئات الكتب و الأن + +157 +00:16:34,140 --> 00:16:40,720 +مش عارف أقرأ يعني يا خصائية خليني أقرأ إيش + +158 +00:16:40,720 --> 00:16:45,600 +بتعملينه؟ + +159 +00:16:45,600 --> 00:16:46,620 +إيش بتعملينه؟ + +160 +00:16:58,650 --> 00:17:03,310 +حاولتوا انتوا تعالجوا ناس ولا واحد عملتوا غالبا + +161 +00:17:03,310 --> 00:17:08,850 +addition بس + +162 +00:17:08,850 --> 00:17:16,170 +أنا ماعشتر منكمطيب طيب لأ هنعطيكوا حتى تكونوا + +163 +00:17:16,170 --> 00:17:23,990 +انتوا الأن أشتر منهم ان شاء الله الأن مثال لو أنا + +164 +00:17:23,990 --> 00:17:34,290 +الأن بقدر أني أحمل عشرة كيلو هيك أقصى شيء وخطولي + +165 +00:17:34,290 --> 00:17:37,810 +عشرة كيلو و حملتهم هيك بقدر أستمر جداش + +166 +00:17:41,400 --> 00:17:45,200 +عشرة كيلو لأقصى اقصى اشي عشرة كيلو وحطولي عشرة + +167 +00:17:45,200 --> 00:17:53,040 +كيلو هنا كم بقى ثمن دقيقة او اقل ابرميها طب لو + +168 +00:17:53,040 --> 00:17:59,880 +حطولي خمسة كيلو اطول اكتر لو حطولي مثلا تلاتة و + +169 +00:17:59,880 --> 00:18:06,920 +هكذا ان انا على المثال مضروب لل accommodation لو + +170 +00:18:06,920 --> 00:18:08,180 +انا جبت اي انسان + +171 +00:18:10,870 --> 00:18:14,150 +وخلّته يقرأ بكل ال accommodation بتاع السلمي + +172 +00:18:14,150 --> 00:18:22,470 +muscle هيفلس ويترك ويتعب خلال دقائق يعني واحد مثلا + +173 +00:18:22,470 --> 00:18:27,330 +عنده خمسة وانا جبته near point يقرأ على خمسة خط + +174 +00:18:27,330 --> 00:18:31,670 +صغير خلال خمس دقائق هيصير blurry ويتعب ويرمى + +175 +00:18:31,670 --> 00:18:37,390 +الكتاب لكن اذا جبته خط كبير ومسافة محترمة ويقرأ + +176 +00:18:37,390 --> 00:18:46,130 +بتنين ونصهيقرأ ساعات طويلة يبقى هذا المثال المضروب + +177 +00:18:46,130 --> 00:18:54,370 +لإنسان exert maximum accommodation to read هيفقد + +178 +00:18:54,370 --> 00:19:02,430 +ال focus ويصيله tiredness بينما الإنسان اللي + +179 +00:19:02,430 --> 00:19:07,250 +بيستخدم moderate accommodation to readClear focus + +180 +00:19:07,250 --> 00:19:13,270 +can be maintained for a very long time هذه مقدمة + +181 +00:19:13,270 --> 00:19:21,350 +لا يكلف الله نفسا إلا وصلا طيب patients who have + +182 +00:19:21,350 --> 00:19:25,290 +expressed a concern about the ability to read + +183 +00:19:25,290 --> 00:19:28,630 +clearly should have their amplitude of + +184 +00:19:28,630 --> 00:19:32,330 +accumulation major يبقى أنا قبل ما أعمله + +185 +00:19:32,330 --> 00:19:36,130 +correction بدأ أعرفكام ال amplitude of + +186 +00:19:36,130 --> 00:19:43,350 +accumulation؟ كده؟ كل واحد له amplitude لحاله زي + +187 +00:19:43,350 --> 00:19:53,690 +وزنه وطوله ودكائه ولونه وصفاته الشخصية ايه ال + +188 +00:19:53,690 --> 00:19:56,610 +amplitude of accumulation؟ حتى الإنسان اللي جاء من + +189 +00:19:56,610 --> 00:19:59,890 +أربع سنوات كان إشي اللي قلته إشي وبعد أربع سنوات + +190 +00:19:59,890 --> 00:20:07,630 +إشي تاني هذه حاجات متغيرة في حياة الإنسانطيب بقول + +191 +00:20:07,630 --> 00:20:19,270 +احنا اخدنا حاجة اسمها P equals one on F وكنا نقول + +192 +00:20:19,270 --> 00:20:26,730 +منها باختصار القوة مقلوب المسافة مقلوب المسافة + +193 +00:20:26,730 --> 00:20:38,050 +يبقى احنا باختصار لو واحد يقرأ من اربعينسانتي ا من + +194 +00:20:38,050 --> 00:20:42,950 +اربعين سانتي بديوا يقرأ بقوة accommodation P بساوي + +195 +00:20:42,950 --> 00:20:51,570 +واحد على اربعين بس بنحط ايش بالمتر وهذه لو اديدها + +196 +00:20:51,570 --> 00:21:00,490 +تساوي two point five ا ديوبتر لان الديوبتر قوة طيب + +197 +00:21:02,250 --> 00:21:07,290 +هل اللي بده يقرأ بتنين و نص لازم تكون تنين و نص كل + +198 +00:21:07,290 --> 00:21:14,210 +ال accumulation بتاعه تلتين او نص طبعا تلتين او نص + +199 +00:21:14,210 --> 00:21:16,950 +اللي بده يقرأ تنين و نص اللي بده يقرأ تنين و نص + +200 +00:21:16,950 --> 00:21:18,970 +اللي بده يقرأ تنين و نص اللي بده يقرأ تنين و نص + +201 +00:21:18,970 --> 00:21:20,710 +اللي بده يقرأ تنين و نص اللي بده يقرأ تنين و نص + +202 +00:21:20,710 --> 00:21:22,990 +اللي بده يقرأ تنين و نص اللي بده يقرأ تنين و نص + +203 +00:21:22,990 --> 00:21:23,910 +اللي بده يقرأ تنين و نص اللي بده يقرأ تنين و نص + +204 +00:21:23,910 --> 00:21:24,110 +اللي بده يقرأ تنين و نص اللي بده يقرأ تنين و نص + +205 +00:21:24,110 --> 00:21:28,410 +اللي + +206 +00:21:28,410 --> 00:21:35,620 +بدأنا ليش سميتها addition, near addition ليش إضافة + +207 +00:21:35,620 --> 00:21:39,340 +يعني ال addition إضافة ليش سميتها إضافة إضافة لإيش + +208 +00:21:39,340 --> 00:21:46,760 +distance إيش distance إيش correction ممتازين إيه + +209 +00:21:46,760 --> 00:21:53,080 +بقى احنا دخلنا صح الآن بقى معقول إنه الإنسان اللي + +210 +00:21:53,080 --> 00:22:03,130 +عنده myopia fourإنه أعطيه Hypermetropia IV مجرد + +211 +00:22:03,130 --> 00:22:09,130 +ذلك؟ لأ هذا له شأنه وهذا له شأنه فعود كل شيء على + +212 +00:22:09,130 --> 00:22:14,790 +الجدر فهو الآن عمل equation معادلة بيقول إن ال + +213 +00:22:14,790 --> 00:22:18,530 +addition اللي بدأ أحطه أنا قوته ال power بتاعه + +214 +00:22:18,530 --> 00:22:24,010 +equals ND minus AA + +215 +00:22:25,750 --> 00:22:34,970 +by 0.5 ايش ال Indy بقول ال Indy القوة لمسافة معينة + +216 +00:22:34,970 --> 00:22:40,910 +او مقلب القوة لمسافة القراءة يقولنا + +217 +00:22:40,910 --> 00:22:48,370 +احنا ال 40 مقلبها 2.5 و ال 50 مقلبها 2 ومشي على + +218 +00:22:48,370 --> 00:22:54,030 +هيك يبقى ال Indy قوة مقلبة اي مسافة بقربها + +219 +00:22:58,340 --> 00:23:03,200 +AA amplitude of accommodation المعادلة سهلة صارت + +220 +00:23:03,200 --> 00:23:08,600 +يعني احنا لو مثلا بدنا نعود في المعادلة بدنا نقول + +221 +00:23:08,600 --> 00:23:13,220 +ان واحد بده يقرأ من اربعين سانتي بده اتنين و نص ال + +222 +00:23:13,220 --> 00:23:16,440 +amplitude of accommodation من أساس هو عنده اتنين + +223 +00:23:19,010 --> 00:23:27,690 +الذي أعود في الـ equation يكون 2 هذي 2.5 وهذه الـ + +224 +00:23:27,690 --> 00:23:42,610 +ND 2.5 ناقص الـ AA 2 معروف أنه اتنين ضرب نص اتنين + +225 +00:23:42,610 --> 00:23:46,750 +تذهب معها اتنين في ضرب واحد يبقى 2.5 minus one + +226 +00:23:48,250 --> 00:23:52,910 +يساوي واحد و نص يبقى انا بدأ اخده الواحد و نص بال + +227 +00:23:52,910 --> 00:23:58,810 +plus بالاضافة الى ال distance بتاعه جديت ال + +228 +00:23:58,810 --> 00:24:02,310 +distance ناجس اربع زاد اربع زاد اتنين ناجس اتنين + +229 +00:24:02,310 --> 00:24:07,670 +حتى استجماتيزم هل ال استجماتيزم لازم احطله اه يعني + +230 +00:24:07,670 --> 00:24:16,010 +لو واحد عنده مثلا في الوصفة ال distance DS على + +231 +00:24:17,260 --> 00:24:25,780 +مثلا one أو واحد و نص DC في تمانين مثلا وبتعمله + +232 +00:24:25,780 --> 00:24:35,660 +addition واحد و نص هاني لازم احطه تلاتة تلاتة DC + +233 +00:24:35,660 --> 00:24:42,340 +DS والسيلندر زي ما هو ما بتغير السيلندر اللي في + +234 +00:24:42,340 --> 00:24:47,480 +البعيد هو لازم يفضل في القريبطب لو أعطيته بس سفين + +235 +00:24:47,480 --> 00:24:52,540 +و سبت السيندر حياة تعب في القراءة حياة تعب في + +236 +00:24:52,540 --> 00:24:58,140 +القراءة تعب شديد لأن الastigmatism بعت split focus + +237 +00:24:58,140 --> 00:25:05,340 +ايش split focus يعني نقطة تانية يعني + +238 +00:25:05,340 --> 00:25:14,470 +بيشوفه بإيش بال circle of least فش clear focusفكان + +239 +00:25:14,470 --> 00:25:18,970 +الـ Terms كنوين .. ايش فيها الـ Terms كنوين؟ + +240 +00:25:18,970 --> 00:25:26,270 +Vertical line, Hosietal line و Vertical .. اه .. + +241 +00:25:26,270 --> 00:25:30,770 +Ellipse و Hosietal ellipse و Circle فالنصف of + +242 +00:25:30,770 --> 00:25:35,190 +least confusion أو diffusion هو هشوف بالأقل غبشا + +243 +00:25:35,190 --> 00:25:42,020 +لكن هل هذه تجنع الـ point focus لـ clear؟ لأيبقى + +244 +00:25:42,020 --> 00:25:45,560 +خطأ كبير بيمروا بعض الناس انه بحسابه لان near + +245 +00:25:45,560 --> 00:25:49,700 +addition بدوش cylinder لأ ال cylinder اللي في + +246 +00:25:49,700 --> 00:25:58,260 +البعيد هو بنتجه للقريب مع إضافة مع إضافة حقيقة انه + +247 +00:25:58,260 --> 00:26:04,060 +سهلوا عليكوا طلبوا لكوا reading rod مصطرة لما + +248 +00:26:04,060 --> 00:26:09,340 +الناس بيقرأ من inch كده بده تقريبا كده من inch كده + +249 +00:26:10,030 --> 00:26:14,210 +طبعا واضح انه كل ما ابتعد بقل اللي هو الدكتور اللي + +250 +00:26:14,210 --> 00:26:18,130 +بدوه يعني كل مقترب بده أكتر كل مقترب بده أكتر كل + +251 +00:26:18,130 --> 00:26:26,030 +مابتعد بده أقل هذه طبعا تقريبية طيب + +252 +00:26:26,030 --> 00:26:32,790 +كيف نقيس ال amplitude of accommodation جستوه قبل + +253 +00:26:32,790 --> 00:26:35,870 +هيك؟ فيش راف رول عندكم؟ + +254 +00:26:42,760 --> 00:26:45,440 +يقول الـ Amplitude of accumulation is measured in + +255 +00:26:45,440 --> 00:26:49,380 +diopters. This is typically translated from near + +256 +00:26:49,380 --> 00:26:53,680 +pointof accommodation which is measuring how far + +257 +00:26:53,680 --> 00:26:57,480 +away from the eye focusing can be maintained but + +258 +00:26:57,480 --> 00:27:01,540 +one must keep in mind an uncorrected refractive + +259 +00:27:01,540 --> 00:27:05,000 +error when calculating the amplitude طبعا في عدة + +260 +00:27:05,000 --> 00:27:09,500 +مسائل في قياس amplitude of accommodation الآن + +261 +00:27:09,500 --> 00:27:16,160 +هنشوف في طريقتين محتمدات الطريقة الأولى لما فوق + +262 +00:27:16,160 --> 00:27:21,860 +الأربعين الطريقة التانية لما قبل الأربعينطبعا + +263 +00:27:21,860 --> 00:27:27,520 +الطريقة الأولى هي المهتمة ده أكتر لأن معظم البريس + +264 +00:27:27,520 --> 00:27:33,700 +بيوب بعد الاربعين قال لما تجي تحت الاربعين ايه + +265 +00:27:33,700 --> 00:27:36,620 +البريس بيوب يعني ايه اللي يكون هو hypermotropic من + +266 +00:27:36,620 --> 00:27:41,580 +أول ويعني من خمسة و تلاتين بدأ مايقرأش الويس لكن + +267 +00:27:41,580 --> 00:27:47,840 +معظم البريس بيوب المسجلين بعد الاربعين بعد + +268 +00:27:47,840 --> 00:27:54,320 +الاربعينبقول إيه اسمها push up method استعمال plus + +269 +00:27:54,320 --> 00:28:02,400 +sphere from far to near حلو إحنا بنقعد المريض + +270 +00:28:02,400 --> 00:28:06,360 +وبنعطيه + +271 +00:28:06,360 --> 00:28:13,460 +a chart of reading اسمه جاجة وهو + +272 +00:28:13,460 --> 00:28:19,460 +يحط على المسافة اللي تعود يقرا عليهاو أخر السطر + +273 +00:28:19,460 --> 00:28:25,260 +هشوفه blurry هو مسأله الجيني لأنه عنده مشكلة في + +274 +00:28:25,260 --> 00:28:29,660 +القراءة انا من هذه المسافة البعيدة اربعين سانتي + +275 +00:28:29,660 --> 00:28:37,080 +مثلا بدي ابدأ انا اضيفله فوق ال distance بتاعه + +276 +00:28:37,080 --> 00:28:45,060 +plus بكسور نص واحد واحد ونص اتنين اتنين ونص + +277 +00:28:48,130 --> 00:28:55,670 +أشوف كلها وهذه يعني بتجي بنوع من التدرج وعدم + +278 +00:28:55,670 --> 00:29:04,250 +المبالغة وعدم اتباع هوا المريض يعني المريض أحيانا + +279 +00:29:04,250 --> 00:29:06,910 +ممكن يقول اللي بده كمان و بده كمان وأنا صارت معايا + +280 +00:29:06,910 --> 00:29:11,130 +يعني مشيت أعمل trial كل ما قلله كويس يقول اللي بده + +281 +00:29:11,130 --> 00:29:16,370 +كمان كل ما قلله كويس بده كمان وصلته لعشرة plus ten + +282 +00:29:18,090 --> 00:29:21,970 +لمّا وصلت بلاستنجلي هذه أحسن واحدة تعملها ليش؟ + +283 +00:29:21,970 --> 00:29:27,010 +لأنه شاف ال magnification ايش؟ زاد كتير حتى بقول + +284 +00:29:27,010 --> 00:29:34,770 +تلسكوب تلسكوب هذه طب علشان لو اعطيناها فعلا كان + +285 +00:29:34,770 --> 00:29:40,410 +مشكلتين، المشكلة الأولى هتغلق اه انت هتعمل السيلة + +286 +00:29:40,410 --> 00:29:48,130 +المثل هتموت خالص مافيش فيه أي حركةو بعدين بعد هيك + +287 +00:29:48,130 --> 00:29:54,870 +هيكون فيه depth of focus في حاجة اسمها depth of + +288 +00:29:54,870 --> 00:30:01,030 +focus هتكون شالو و يكبر تعبان هيتعب يعنى طيب المهم + +289 +00:30:01,030 --> 00:30:06,150 +في ال push up method هذه اه عشان جيس ال amplitude + +290 +00:30:06,150 --> 00:30:10,400 +of accommodation using push up اهالطبيب يُطلب منه + +291 +00:30:10,400 --> 00:30:17,220 +أن يشير عندما يكتش خط + +292 +00:30:17,220 --> 00:30:21,060 +صغير وخطه + +293 +00:30:21,060 --> 00:30:22,220 +صغيرة وخطه صغيرة وخطه صغيرة وخطه صغيرة وخطه صغيرة + +294 +00:30:22,220 --> 00:30:22,440 +وخطه صغيرة وخطه صغيرة وخطه صغيرة وخطه صغيرة وخطه + +295 +00:30:22,440 --> 00:30:22,600 +صغيرة وخطه صغيرة وخطه صغيرة وخطه صغيرة وخطه صغيرة + +296 +00:30:22,600 --> 00:30:24,660 +وخطه صغيرة وخطه صغيرة وخطه صغيرة وخطه صغيرة وخطه + +297 +00:30:24,660 --> 00:30:25,960 +صغيرة وخطه صغيرة وخطه صغيرة وخطه صغيرة وخطه صغيرة + +298 +00:30:25,960 --> 00:30:30,840 +وخطه صغيرة وخطه صغيرة وخطه صغيرة وخطه صغيرة وخطه + +299 +00:30:30,840 --> 00:30:34,200 +صغيرة وخط + +300 +00:30:34,700 --> 00:30:38,520 +is indicated on the reading rod if the patient is + +301 +00:30:38,520 --> 00:30:41,900 +blurred مثلا من أربعين اللي 16 inch أربعين سنتين + +302 +00:30:41,900 --> 00:30:46,380 +ساعة وستاشر انش على قاعدة اتنين و نص plus sphere + +303 +00:30:46,380 --> 00:30:48,840 +is added until the print is clear يعني أنا بضحك + +304 +00:30:48,840 --> 00:30:54,680 +طول نص بقول واضح لأ واحد واحد واضح لأ واحد و نص و + +305 +00:30:54,680 --> 00:30:59,580 +واحد و نص زي هيك the amount of sphere added is + +306 +00:30:59,580 --> 00:31:05,330 +then subtracted from 2.5 أيش 2.5 يعنيأيه الأصل + +307 +00:31:05,330 --> 00:31:07,890 +اللي تفكر فيه؟ على الأربعين أو نصف؟ على أربعين + +308 +00:31:07,890 --> 00:31:11,730 +قرأته على أربعين الأصل أنه بدأ على اتنين و نصف + +309 +00:31:11,730 --> 00:31:15,170 +الان كده حاطيتله أنا مثلا حاطيتله كميرة اتنين و + +310 +00:31:15,170 --> 00:31:22,130 +نصف بتصير اتنين و نصف مع اتنين و نصف خمسة هذا + +311 +00:31:22,130 --> 00:31:27,050 +الطريقة بستخدم للناس اللي بعد الأربعين يبقى بعد + +312 +00:31:27,050 --> 00:31:33,430 +الأربعين احنا بنحطعلى مسافة بحيث انه الخط صغير + +313 +00:31:33,430 --> 00:31:37,210 +لتحت خارص صغير بالنسبالي وابدأ اعمل gradual + +314 +00:31:37,210 --> 00:31:42,930 +addition نص واحد و واحد و نص نين لما يشوف واضح + +315 +00:31:42,930 --> 00:31:52,650 +واسجل ال addition هالي ا انه هيحطها ا يعني في + +316 +00:31:52,650 --> 00:31:58,110 +النضارة الطريقة التانية أصعب شوية بس هي لتحت + +317 +00:31:58,110 --> 00:32:02,780 +الأربعينهو ربما ان الـ minus هذا بيعمل stimulation + +318 +00:32:02,780 --> 00:32:08,680 +لإيش؟ لل accumulation هذا ال minus بتستخدم minus + +319 +00:32:08,680 --> 00:32:16,280 +مش plus لما راح أقول بيقول إنه هنا أنا بحط ال kart + +320 +00:32:16,280 --> 00:32:20,920 +على أربعين سانتي اه و ببدأ أحط minus sphere lenses + +321 +00:32:20,920 --> 00:32:27,140 +are added اه كل ربع ده يبتر كشر يعني until the + +322 +00:32:27,140 --> 00:32:32,250 +print blursاللي بالعكس مش انا بده اوضحله بده + +323 +00:32:32,250 --> 00:32:38,730 +اغبّشله مثلا من اربعين سانتي اه اللي انا بخلقه + +324 +00:32:38,730 --> 00:32:48,770 +كويس بده افضله minus ربع لسه بشوف minus نص اشيلها + +325 +00:32:48,770 --> 00:32:55,030 +بشوف minus تلت ربع minus واحد minus واحد واربعلما + +326 +00:32:55,030 --> 00:33:02,550 +يدي وقت بالكاد انه شوف اقصى minus اللي شوف فيه + +327 +00:33:02,550 --> 00:33:07,850 +يعني لو ضفت ربع مش هشوف باخد ال minus هذا انا + +328 +00:33:07,850 --> 00:33:16,790 +دلالة على انه جدا هذا يغلب هذا ال minus الكمية ال + +329 +00:33:16,790 --> 00:33:21,450 +minus هذه السنة الماضية جدا بتتغلب يعني او تقرأ + +330 +00:33:21,450 --> 00:33:27,370 +باقصى شيء minus في هذابقول لي هنا the difference + +331 +00:33:27,370 --> 00:33:30,550 +between the resulting measurement and the original + +332 +00:33:30,550 --> 00:33:34,110 +distance measured is used سيبك من هذه في الخطوة + +333 +00:33:34,110 --> 00:33:38,890 +التانية الـ minus 2.5 is added to the number of + +334 +00:33:38,890 --> 00:33:45,870 +اللي هو minus lenses أمام العين اتنين و نص الأصل + +335 +00:33:45,870 --> 00:33:50,330 +هو بقراه باتنين و نص من أربعين سنتين انا مثلا + +336 +00:33:50,330 --> 00:33:51,650 +حاطيته minus ثلاثة + +337 +00:33:54,700 --> 00:34:00,080 +جدر يقرأ بالكاد الـ-3 من 40 سنتين بدي أضيف له الـ + +338 +00:34:00,080 --> 00:34:03,520 +-3 مع اتنين وعصر الأساسيين بديوا يكونوا amplitude + +339 +00:34:03,520 --> 00:34:07,380 +و documentation بتاعه كم؟ خمسة و نصف خمسة و نصف + +340 +00:34:07,380 --> 00:34:12,520 +يبقى أنا هالوقت أنا بقيس إيش ال amplitude مرة + +341 +00:34:12,520 --> 00:34:19,460 +قيسته بالـPlus و مرة قيسته بالـMinus مرة قيسته + +342 +00:34:19,460 --> 00:34:25,250 +بالـPlus و مرة قيسته بالـMinusطيب، بس السؤال ليش + +343 +00:34:25,250 --> 00:34:30,450 +أنا اللي فوق الأربعين أعطيتهم plus والفوق الخمسي + +344 +00:34:30,450 --> 00:34:37,170 +.. التحت الأربعين أعطيتهم minus؟ + +345 +00:34:37,170 --> 00:34:41,850 +غاضب؟ + +346 +00:34:41,850 --> 00:34:46,410 +أنه لبعد الأربعين ال accumulation بتاعهم ضعيف فانا + +347 +00:34:46,410 --> 00:34:52,090 +بعطيه magnifier، بعطيه magnifierلكن هنا هما لسه + +348 +00:34:52,090 --> 00:34:55,930 +فيه accommodation يُثار يعني ممكن أستفيد منه تحت + +349 +00:34:55,930 --> 00:35:02,790 +الأربعين طيب في تجربة تالتة حقيقة مش حابب أشرحها + +350 +00:35:02,790 --> 00:35:05,630 +دي dynamic cross cylinder ماشي + +351 +00:35:18,280 --> 00:35:23,740 +الرابعة بدل التالتة Adjusting sphere for best near + +352 +00:35:23,740 --> 00:35:28,320 +vision يعني كيف انا اعمل تغيير لأحسن قراءة + +353 +00:35:28,320 --> 00:35:34,980 +بالعدسات بقول لي ال distance correction in place + +354 +00:35:34,980 --> 00:35:38,000 +على عينه يعني سواء ميوب أو hypermetroid أو + +355 +00:35:38,000 --> 00:35:41,280 +astigmatism هو لبس ال distance أساسا ال vision is + +356 +00:35:41,280 --> 00:35:45,580 +instructed to hold the near targetat the distance + +357 +00:35:45,580 --> 00:35:51,340 +ايش نير target هنا بتاعي؟ في الجامعة، كويس؟ where + +358 +00:35:51,340 --> 00:35:55,520 +he or she prefers to read في ناس بقرا من تلاتين، + +359 +00:35:55,520 --> 00:35:58,680 +ناس بقرا من خمسة و تلاتين، ناس بقرا من أربعين، + +360 +00:35:58,680 --> 00:36:05,500 +something بقوللي الآن ضيفي plus صفير لل distance + +361 +00:36:05,500 --> 00:36:09,280 +اللي على عينيه ضيفي plus صفير is added to the + +362 +00:36:09,280 --> 00:36:13,670 +distance correction to obtain sharpnessلغاية ما + +363 +00:36:13,670 --> 00:36:19,430 +اشوف sharply ايش sharply يعني بوضوح حد تختلف عن ال + +364 +00:36:19,430 --> 00:36:23,850 +push up الأولى plus three for distance collection + +365 +00:36:23,850 --> 00:36:29,750 +ان انا باخد ال lowest addition يعني في التجربة + +366 +00:36:29,750 --> 00:36:39,090 +الأولى هذه كنت باخد الحد الأعلى من العدسات مثلا + +367 +00:36:39,090 --> 00:36:44,980 +plus threeوبضيفها ل 2.5 بيصير 5.5 هاي ال amplitude + +368 +00:36:44,980 --> 00:36:55,460 +لأ في التجربة دي بتاعة ال adjusting مجرد الشخص + +369 +00:36:55,460 --> 00:37:02,360 +يبدأ يقرأ الخط صغير بس تكفي مثلا + +370 +00:37:02,360 --> 00:37:10,600 +ممكن هو يقرأ ب 1.5 بقولك + +371 +00:37:10,600 --> 00:37:14,880 +في عيها ليش؟ليش ما بشتش لب تلاتة او اتنين و نص + +372 +00:37:14,880 --> 00:37:19,740 +بقوللي + +373 +00:37:19,740 --> 00:37:25,540 +ان انا لما اعطيه plus جليل بخل السلري muscle + +374 +00:37:25,540 --> 00:37:33,040 +active بخلها ايش ناشطة تعمل لكن لما اعطيتها plus + +375 +00:37:33,040 --> 00:37:37,700 +اكبر كان حكمت عليها بالايش بالنوم + +376 +00:37:44,000 --> 00:37:47,980 +شايفين؟ زي اللي ممشي على كرسي متحرك بدون مشي على + +377 +00:37:47,980 --> 00:37:51,980 +relay لأفضل واحد بيطلع من العملية بعد ساعتين ويقول + +378 +00:37:51,980 --> 00:38:02,560 +ماشيوه ليش ماشيوه حتى عضلاته تاخد training وهو نفس + +379 +00:38:02,560 --> 00:38:06,620 +الاشي لو انا ال celery muscle اعطيتها high plus + +380 +00:38:08,540 --> 00:38:12,320 +معناه ان انا جديت على باقي ال what ال + +381 +00:38:12,320 --> 00:38:14,580 +accommodation و انا حتى الناس اللي ماعطيهم + +382 +00:38:14,580 --> 00:38:18,000 +atropine او cyclopentolate في refraction لازم نحسب + +383 +00:38:18,000 --> 00:38:23,540 +حساب اجالش one for one ton of cereal مثلا لما تصحى + +384 +00:38:23,540 --> 00:38:30,060 +من ال ال ال paralysis ان ايش تشتغل لكن لو اعطيتها + +385 +00:38:30,060 --> 00:38:35,400 +ال full dose معناها المصير اللي هتفضل نائما خاملة + +386 +00:38:36,630 --> 00:38:41,150 +في هذه الطريقة ان هو بيقول لي اني باعطي ال lowest + +387 +00:38:41,150 --> 00:38:47,810 +addition that provides clear vision should be used + +388 +00:38:47,810 --> 00:38:55,510 +الناس اللي بيبالغ في وصفات النضارة للقراءة يعني + +389 +00:38:55,510 --> 00:38:58,430 +بحساب ان انا بحط زاد 4 وزاد 5 بريح العيال لأ هو + +390 +00:38:58,430 --> 00:39:02,910 +مابريح العيال مابريح العيال لأن هو يعني أصبح + +391 +00:39:02,910 --> 00:39:06,540 +العيال بيشتغل ع ال magnification بسأما الـ + +392 +00:39:06,540 --> 00:39:10,760 +accommodation لأ مافيش accommodation the higher + +393 +00:39:10,760 --> 00:39:18,320 +the nearer add the smaller the depth of focus عمق + +394 +00:39:18,320 --> 00:39:23,600 +البقرة بيقل لما أعطيه أربعة أو خمسة أو ستة عمق + +395 +00:39:23,600 --> 00:39:29,120 +الصورة أو البقرة بيقل وهذا بيعمل a loss of + +396 +00:39:29,120 --> 00:39:33,830 +satisfaction عند العيال لأنه بتعبه يعني كل مكانالـ + +397 +00:39:33,830 --> 00:39:37,950 +focal depth أكتر كل مكان أرياح العيان وهذا بيجي + +398 +00:39:37,950 --> 00:39:44,350 +بالأقل، بيجيش بالأكبر طيب، طيب سمعتوا شيء اسمه + +399 +00:39:44,350 --> 00:39:51,210 +vertex distance؟ ايش هي؟ بين سطح القناة الأمامي و + +400 +00:39:51,210 --> 00:39:58,130 +سطح العدسة الخارجية طب هذا إيش أهمته؟ في التطبيق + +401 +00:39:58,130 --> 00:40:04,050 +كل مرة حصل مثلا، هو إيه؟أيوة حكينا عليها يعني هذه + +402 +00:40:04,050 --> 00:40:09,970 +الكوميا ال surface كل + +403 +00:40:09,970 --> 00:40:18,990 +ما ال lens ال minus قربتها كل ما زالت قوتها و كل + +404 +00:40:18,990 --> 00:40:25,390 +ما بعتها كل ما قلت قوتها تاني هذه سطح الكوميا وهذه + +405 +00:40:25,390 --> 00:40:30,550 +ال plus lensكل ما بعدتها بالزيت قوتها و كل ما + +406 +00:40:30,550 --> 00:40:36,310 +قربتها بتقل قوتها و + +407 +00:40:36,310 --> 00:40:44,350 +هتشوفوا الآن في الكلام يبقى بقول ليه في شيء اسمه + +408 +00:40:44,350 --> 00:40:52,010 +lens effectivity و هذا بعتمد على change in the + +409 +00:40:52,010 --> 00:40:59,980 +sight of the lens related to the corneaالمقارنة من + +410 +00:40:59,980 --> 00:41:04,460 +الخلفية للعين إلى أمام العين تسمى كـ Back Vertex + +411 +00:41:04,460 --> 00:41:07,980 +Distance هذه المقارنة يجب أن تكون مقارنة عند + +412 +00:41:07,980 --> 00:41:16,160 +استخدام أي عين أكتر من 4 أكتر من أربعة طيب، الآن + +413 +00:41:16,160 --> 00:41:22,860 +هذه العين في وضعها ده إلها قوة لو أنا بدي أحركها + +414 +00:41:22,860 --> 00:41:29,420 +إلى الأمام أكيد بدي أزيد قوتهاولو أريد حركة أكتر + +415 +00:41:29,420 --> 00:41:34,420 +من الداخل أغير قوتها لا يمكن أن تبقى نفس القيمة + +416 +00:41:34,420 --> 00:41:42,520 +ولو أريد عمل contact lens أغير قوتها، صح؟ الآن كل + +417 +00:41:42,520 --> 00:41:49,200 +ما العدسة هذه كانت أقوى قوتها أكتر كل ما أي ملي له + +418 +00:41:49,200 --> 00:41:55,860 +حساب لكن تحت الأربعة يكون كسوركسور من الديوبتر عشر + +419 +00:41:55,860 --> 00:41:59,880 +ديوبتر واحدة ع اتناش ديوبتر يعني اللي بتحرك مثلا + +420 +00:41:59,880 --> 00:42:05,800 +عدسة قوتها one ديوبتر التغيير بسيط لكن لو كانت + +421 +00:42:05,800 --> 00:42:10,060 +مثلا تين ديوبتر حتى + +422 +00:42:10,060 --> 00:42:14,280 +احنا الآن في اللي متوقع ينجح ان شاء الله الهجد + +423 +00:42:14,280 --> 00:42:21,100 +IOLs الـ Accumulative اللي لها مبسط بقول حركتها + +424 +00:42:21,100 --> 00:42:29,840 +واحد ملي إلى الأمامبجيب two diopters للقراءة ليست + +425 +00:42:29,840 --> 00:42:33,480 +لأن قوتها above to twenty اللي هي العدسة اللي بدنا + +426 +00:42:33,480 --> 00:42:39,000 +نزرعها حوالي عشرين فكل ما زات القوة كل ما الحركة + +427 +00:42:39,000 --> 00:42:49,940 +أثرت إيجابا أو سلبا إيجابا أو سلبا طيب كيف + +428 +00:42:49,940 --> 00:42:58,530 +نجيس ال back vertex؟ خدتها؟الـ Back Vertex لأ + +429 +00:42:58,530 --> 00:43:05,150 +ماتتش ثابت يعني بدنا كل واحد مثلا زي هيك شايفين؟ + +430 +00:43:05,150 --> 00:43:11,770 +اه فيها لازم أقولك يعني roll-up صحيح؟ شايفين كده؟ + +431 +00:43:11,770 --> 00:43:17,450 +أو فيها هنا blank اه معين بيفتح بسكر بحيث قيس + +432 +00:43:17,450 --> 00:43:23,570 +المسافة الأمر هذا يعني أمر علمييعني يقاس يعني + +433 +00:43:23,570 --> 00:43:29,390 +بيكون له caliber تدريج وال caliber هذا له بلانجر + +434 +00:43:29,390 --> 00:43:37,450 +بلانجر يعني زي إيش بيمس العدسة من مراه وبيمس + +435 +00:43:37,450 --> 00:43:45,870 +الجفون مغلقة و بنضيف واحد من ليه سماكة إيش الجفون + +436 +00:43:45,870 --> 00:43:53,540 +واحد من ليه فالمسافة من قفل النضارةإلى سطح العين + +437 +00:43:53,540 --> 00:43:57,120 +المغرقة زائد واحد منه مثلا طب أنا مش في حاجة أن + +438 +00:43:57,120 --> 00:44:04,460 +أمسك أيش سطح القرنية إلا باستخدام أيش قطرة بنج طيب + +439 +00:44:04,460 --> 00:44:09,280 +هنشوف معادلة ونشوف أيش أهمية قياس ال back vertex + +440 +00:44:09,280 --> 00:44:13,720 +بقول to calculate the power of the lens at any + +441 +00:44:13,720 --> 00:44:16,500 +given distance the following formula can be used + +442 +00:44:16,500 --> 00:44:22,860 +عشان نعرفقوة العدسة في كل مسافة بينا انعوض في + +443 +00:44:22,860 --> 00:44:29,200 +المعادلة هذه N قوة العدسة equals one divided by + +444 +00:44:29,200 --> 00:44:37,600 +one divided by D minus VD one VD two باختصار ال N + +445 +00:44:37,600 --> 00:44:46,020 +قوة العدسة الجديدة يعني عدسة في وضع و بده حركها لو + +446 +00:44:46,020 --> 00:44:51,750 +بده حركها جايش بده هتصيرالـ N هي + +447 +00:44:51,750 --> 00:45:00,310 +القيمة الجديدة لها طيب هذا الـ N بالنسبة لل D الـ + +448 +00:45:00,310 --> 00:45:05,710 +power of the trial lens نشوف قوة العدسة المجرمة طب + +449 +00:45:05,710 --> 00:45:14,150 +VD1 اللي هي الوضع الأول من مسافة الأولى مثلا مسافة + +450 +00:45:14,150 --> 00:45:21,150 +17 مثلا او 12الـ VD2 الوضع الجديد أبعد أو أقرب حسب + +451 +00:45:21,150 --> 00:45:27,830 +المسافة مقلوب المسافة مقلوب المسافة نشوف الان ناخد + +452 +00:45:27,830 --> 00:45:35,170 +مثال اذا كان لديك عدسة للميوب minus eight lens انت + +453 +00:45:35,170 --> 00:45:41,190 +لابسة عدسة للميوب minus seven with a vertex + +454 +00:45:41,190 --> 00:45:44,630 +distance بعيدة عن العين عن سطر القنية الـ six + +455 +00:45:44,630 --> 00:45:48,750 +millimeterالـ 6 من 100 على هذا الوضع الأول اللي + +456 +00:45:48,750 --> 00:45:52,770 +موجود الآن and you would انتبهوا بالله عشان تحلوا + +457 +00:45:52,770 --> 00:45:55,910 +المسألة اللي جاية and you would like to know that + +458 +00:45:55,910 --> 00:46:01,110 +the power should be the key word أصبح 13 سننقل من + +459 +00:46:01,110 --> 00:46:10,610 +6 ل 13 تقدر تعطيني كام التمانية هتصير؟ عوضنا في + +460 +00:46:10,610 --> 00:46:11,010 +المعادلة + +461 +00:46:17,050 --> 00:46:22,810 +طلعت تمانية و سبعة و أربعين لما + +462 +00:46:22,810 --> 00:46:27,710 +نجانا من ستة لتلت عشر طلعت تمانية و سبعة و أربعين + +463 +00:46:27,710 --> 00:46:31,530 +مين أقوى التمانية و سبعة و أربعين ولا التمانية + +464 +00:46:38,920 --> 00:46:42,840 +بالـ minus هذه تمانية أكبر العدسة السالبة لما + +465 +00:46:42,840 --> 00:46:50,600 +ببعدها تضعف قدرتها و لما بجربها بتزيد طيب الان بدي + +466 +00:46:50,600 --> 00:46:58,000 +من حضراتكم تقولوا لو خلناها من عشرين من ستة لعشرين + +467 +00:46:58,000 --> 00:47:05,120 +اعملوا ليها شوف يلا حلوليها من عشرين بدل تلتاشر + +468 +00:47:06,880 --> 00:47:13,720 +عوضوا في المعادلة بدل 13 من 100 او من الف خلّوها + +469 +00:47:13,720 --> 00:47:27,120 +20 من 100 20 من 100 بدل 13 تصبح A minus A + +470 +00:47:36,310 --> 00:47:41,670 +طيب، اشوف غيرك، غيرك، ايش بقول؟ + +471 +00:47:41,670 --> 00:47:46,410 +يعني minus minus minus minus minus minus minus + +472 +00:47:46,410 --> 00:47:46,610 +minus minus minus minus minus minus minus minus + +473 +00:47:46,610 --> 00:47:46,610 +minus minus minus minus minus minus minus minus + +474 +00:47:46,610 --> 00:47:46,610 +minus minus minus minus minus minus minus minus + +475 +00:47:46,610 --> 00:47:46,610 +minus minus minus minus minus minus minus minus + +476 +00:47:46,610 --> 00:47:46,610 +minus minus minus minus minus minus minus minus + +477 +00:47:46,610 --> 00:47:46,630 +minus minus minus minus minus minus minus minus + +478 +00:47:46,630 --> 00:47:47,850 +minus minus minus minus minus minus minus minus + +479 +00:47:47,850 --> 00:47:48,890 +minus minus minus minus minus minus minus minus + +480 +00:47:48,890 --> 00:47:48,890 +minus minus minus minus minus minus minus minus + +481 +00:47:48,890 --> 00:47:48,890 +minus minus minus minus minus minus minus minus + +482 +00:47:48,890 --> 00:47:48,890 +minus minus minus minus minus minus minus minus + +483 +00:47:48,890 --> 00:47:51,570 +minus minus minus minus minus minus minus minus + +484 +00:47:51,570 --> 00:47:51,570 +minus minus minus minus minus minus minus minus + +485 +00:47:51,570 --> 00:47:51,570 +minus minus minus minus minus minus minus minus + +486 +00:47:51,570 --> 00:47:51,570 +minus minus minus minus minus minus minus minus + +487 +00:47:51,570 --> 00:47:51,570 +minus minus minus minus minus minus minus minus + +488 +00:47:51,570 --> 00:47:51,570 +minus minus minus minus minus minus minus minus + +489 +00:47:51,570 --> 00:47:51,570 +minus minus minus minus minus minus minus minus + +490 +00:47:51,570 --> 00:47:51,570 +minus minus minus minus minus minus minus minus + +491 +00:47:51,570 --> 00:47:51,570 +minus minus minus minus minus minus minus minus + +492 +00:47:51,570 --> 00:47:51,570 +minus minus minus minus minus minus minus minus + +493 +00:47:51,570 --> 00:47:51,570 +minus minus minus minus minus minus minus minus + +494 +00:47:51,570 --> 00:47:51,570 +minus minus minus minus minus minus minus minus + +495 +00:47:51,570 --> 00:47:56,350 +minus minus minus minus minus minus + +496 +00:47:56,350 --> 00:47:58,150 +minus minus minus minus + +497 +00:48:06,740 --> 00:48:20,600 +العشرين من المئة هذه + +498 +00:48:20,600 --> 00:48:25,800 +عدسة سالبة، نريد أن نبعدها كمان + +499 +00:48:25,800 --> 00:48:32,360 +ياضيعة + +500 +00:48:32,360 --> 00:48:35,100 +ألف excellent + +501 +00:49:00,040 --> 00:49:02,840 +أه نعم + +502 +00:49:20,430 --> 00:49:27,130 +-6 مايقول؟ مش منطقي لأ مش logic أخر الشيء 9 بقى + +503 +00:49:27,130 --> 00:49:32,850 +بقول عندي طيب + +504 +00:49:32,850 --> 00:49:43,490 +طيب طيب الأن أخر slideالان هناك خرائط متوفرة + +505 +00:49:43,490 --> 00:49:47,670 +لتحويل الـ 50 قوات من مقارنة البرتقال إلى مقارنة + +506 +00:49:47,670 --> 00:49:53,170 +أخرى يعني ايه بقى معمولة لهذه العدسة الفلانية مثلا + +507 +00:49:53,170 --> 00:50:00,170 +minus 4 مثلا والمسافات اللي هي محتوطة مثلا مسافة + +508 +00:50:00,170 --> 00:50:07,030 +مثلا عشرة اتناش خمستاش عشرين ومحتوطة القيم بتاعتها + +509 +00:50:07,030 --> 00:50:13,420 +مثلا minus 5 minus 6مينوس سبعة و بعدين في واحدة لل + +510 +00:50:13,420 --> 00:50:19,600 +plus في واحدة لل plus plus مثلا أربعة plus خمسة و + +511 +00:50:19,600 --> 00:50:27,140 +كل مسافة في ال back vertex طيب + +512 +00:50:27,140 --> 00:50:33,740 +الان ال reason for doing this is when converting a + +513 +00:50:33,740 --> 00:50:38,600 +spectacle description to contact lens power or + +514 +00:50:38,600 --> 00:50:45,350 +vice versaيعني الآن اللي بلبس نضارة بقوة مثلا زائد + +515 +00:50:45,350 --> 00:50:53,550 +ثلاثة لو بتحولها لـ contact lens فيه + +516 +00:50:53,550 --> 00:50:57,970 +back vertex؟ لأ جدت بالكون في ال contact lens + +517 +00:50:57,970 --> 00:51:05,630 +بنعوض بالـ zero بنعوض المسافة الأولى الـ VD1 + +518 +00:51:08,820 --> 00:51:15,760 +هذا سيكون مسافة صحيح نضارة لكن هنا Zero لأنه لا + +519 +00:51:15,760 --> 00:51:19,160 +يوجد back vertex في ال contact و العكس لو واحد + +520 +00:51:19,160 --> 00:51:25,020 +contact لابس و بدنا نلابسه نضارة بدنا نجلب الـ + +521 +00:51:25,020 --> 00:51:31,300 +Zero لمسافة ايه جديدة؟ صح؟ و تكون هنا Zero ال + +522 +00:51:31,300 --> 00:51:35,080 +contact lens هنا Zero بدنا هنا نخطق قيمة اللي هي + +523 +00:51:35,080 --> 00:51:40,660 +مثلا 12كيف نحوّن من contact lens إلى نضارة ومن + +524 +00:51:40,660 --> 00:51:50,900 +نضارة إلى contact lens منطق الكلام؟ طيب if + +525 +00:51:50,900 --> 00:51:54,940 +the power of the lens is four or more, vertex + +526 +00:51:54,940 --> 00:51:59,100 +distance must be considered يبقى الحد اللي جاله + +527 +00:51:59,100 --> 00:52:04,510 +أربعة، تحت الأربعة مافيش تغيير كبيركسور من الـ + +528 +00:52:04,510 --> 00:52:08,630 +diopter لكن فوق الأربعة كل ما زاد عن أربعة خمسة، + +529 +00:52:08,630 --> 00:52:14,730 +ستة، سبعة، تمانية، تسعة، عشرة كل ما كان القيمة + +530 +00:52:14,730 --> 00:52:20,850 +في الانتقال أو التغيير أكبر، كويس؟ هاي مثلا ضرب + +531 +00:52:20,850 --> 00:52:27,850 +مثال واحد بلبس نضارة بقوة minus four point twenty + +532 +00:52:27,850 --> 00:52:38,050 +five أربعة و ربع من اتناشر ميليو يريد ان يغير الى + +533 +00:52:38,050 --> 00:52:45,590 +contact lens بس يحتاج اربعة بقى + +534 +00:52:45,590 --> 00:52:50,990 +نعمل في المعادلة في الجهة التانية ال plus ال plus + +535 +00:52:50,990 --> 00:52:57,250 +بختلف عن ال minus في ال effectivity يعني واحد بلبس + +536 +00:52:57,250 --> 00:53:09,780 +plus 4.5 spectacle lens نضارةمن 12 ملي سيحتاج 4.25 + +537 +00:53:09,780 --> 00:53:13,260 +بالـ Contact Lens الاختلاف في القوة بين الـ + +538 +00:53:13,260 --> 00:53:17,820 +Contact Lens و Spectacle Lens أكتر مع خطأ الـ + +539 +00:53:17,820 --> 00:53:20,640 +Refractive كل ما زادت خطأ الـ Refractive كل ما + +540 +00:53:20,640 --> 00:53:26,980 +زادت القيمة عرفتوا إيش فادة الـ Back Vertex طيب + +541 +00:53:26,980 --> 00:53:35,110 +سؤال هل ممكن أعمل أنا Back Vertex20 ميلي متر حسب + +542 +00:53:35,110 --> 00:53:40,530 +ال نوز يعني مافيش نوز .. مافيش نوز .. مافيش نوز .. + +543 +00:53:40,530 --> 00:53:45,250 +مافيش نوز كبير هالجد صح؟ اه طب واحد مافيش عنده نوز + +544 +00:53:45,250 --> 00:53:53,310 +أساساً طب + +545 +00:53:53,310 --> 00:53:58,610 +أنا في سر لي فترة شايفه بس مش عارف أعلق عليههذا + +546 +00:53:58,610 --> 00:54:03,050 +المجلد الدولي في سوريا اسمه Demistora لأصلع هذا + +547 +00:54:03,050 --> 00:54:12,130 +هذا لابس نضارة عجيبة بس عدسات بس + +548 +00:54:12,130 --> 00:54:19,710 +عدسات في الهواء هيك شوفته مالهاش + +549 +00:54:19,710 --> 00:54:25,750 +مالهاش مالهاش + +550 +00:54:25,750 --> 00:54:26,470 +في ال aids + +551 +00:54:29,680 --> 00:54:37,420 +يعني كده مثبتة أنا مش عارف مثبت هنا احتمال ان يكون + +552 +00:54:37,420 --> 00:54:43,100 +مثبت على المخدات هنا اه في حاجة هيك يعني من هنا و + +553 +00:54:43,100 --> 00:54:46,700 +من هنا مافيش حاجة مش عارف انا مافيش هنا اي حاجة + +554 +00:54:46,700 --> 00:54:50,020 +مثبت + +555 +00:54:50,020 --> 00:54:56,660 +هنا اه احتمال احتمال احتمال احتمال + +556 +00:54:59,250 --> 00:55:03,930 +المهم أن نكون فاهمين موضوع الـ Effectivity وش + +557 +00:55:03,930 --> 00:55:11,230 +الفرق بين الـ Contact Lens وبين الـ Lenses والأفضل + +558 +00:55:11,230 --> 00:55:17,410 +من الكل الـ Eye Oils ليش ال Eye Oils؟ لأنه في + +559 +00:55:17,410 --> 00:55:22,590 +المكان الصحيح المكان العدسي الأساسي ال Eye Oil هذه + +560 +00:55:22,590 --> 00:55:28,090 +مافيش فيها يعني تغيير شكرا لكم شكرا لحسن الاستماع + diff --git a/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/iDOPJXCnZx4.srt b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/iDOPJXCnZx4.srt new file mode 100644 index 0000000000000000000000000000000000000000..2203101d9e064f387f9dfd37f56a367ba876998d --- /dev/null +++ b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/iDOPJXCnZx4.srt @@ -0,0 +1,1203 @@ +1 +00:00:20,260 --> 00:00:25,680 +بسم الله الرحمن الرحيم نبدأ أبو حمزة + +2 +00:00:31,470 --> 00:00:33,750 +أعود بالنفس لترديد بسم الله الرحمن الرحيم الحمد + +3 +00:00:33,750 --> 00:00:36,130 +لله وأقف وأصلي وأصلي على النبي المصطفى عليه السلام + +4 +00:00:36,130 --> 00:00:39,530 +عليكم ورحمة الله وبركاته Astigmatism is the + +5 +00:00:39,530 --> 00:00:43,470 +third refractive error after hypermetropia and + +6 +00:00:43,470 --> 00:00:47,910 +myopia Definition + +7 +00:00:47,910 --> 00:00:54,550 +of astigmatism is that refractive error where no + +8 +00:00:54,550 --> 00:01:00,310 +focal point comes on the retina + +9 +00:01:03,630 --> 00:01:11,010 +في خطأ إضافي مثل مايوبيا أو هايبرمتروبيا، هناك مركز + +10 +00:01:11,010 --> 00:01:21,370 +مركزي يتشكل إما خلف أو أمام الشبكية، ولكن في + +11 +00:01:21,370 --> 00:01:28,130 +الاستجماتيزم، لا مركز مركزي، ولكن هناك الكثير من + +12 +00:01:28,130 --> 00:01:38,460 +النقاط اللي هم مخططينها، all of them is blurry، يبقى in + +13 +00:01:38,460 --> 00:01:41,060 +the condition of refraction wherein a point focus + +14 +00:01:41,060 --> 00:01:44,020 +of light can't be formed upon the retina + +15 +00:01:44,020 --> 00:01:47,280 +و theoretically + +16 +00:01:47,280 --> 00:01:57,000 +نظريا no eye is stigmatic، stigmatic بقرنية اه الـ + +17 +00:01:57,000 --> 00:02:05,470 +nothing, no, no, no focus اسمه بالعربي اللا بؤرية هو + +18 +00:02:05,470 --> 00:02:14,050 +بقولنا نظريا لو 0.5 ديوبتر اختلاف عن الاسفير + +19 +00:02:14,050 --> 00:02:22,670 +هيكون نوع من الاستجماتيزم ولو قتلنا عيون البشر + +20 +00:02:22,670 --> 00:02:30,900 +سوف نجد اختلاف يعني عشر ديوبتر أو خمس ديوبتر أو ربع + +21 +00:02:30,900 --> 00:02:36,000 +ديوبتر أو ثمان ديوبتر المهم فيه نوع من الـ + +22 +00:02:36,000 --> 00:02:41,560 +unequality of the power of the meridians of the + +23 +00:02:41,560 --> 00:02:47,700 +cornea يبقى السبب بتاع الاستجماتيزم إن القرنية + +24 +00:02:47,700 --> 00:02:56,620 +is formed of meridians in hemotropes، هناك إيقاعية + +25 +00:02:56,620 --> 00:03:06,560 +من قوة هذه الميريديانز في جميع عصرها + +26 +00:03:06,560 --> 00:03:12,920 +أو عصر القرنية، ولكن في الاستجماتيزم هناك مختلفة، هذه + +27 +00:03:12,920 --> 00:03:19,460 +المختلفة هي السبب في الاستجماتيزم، أتيولوجيا ما الأسباب + +28 +00:03:19,460 --> 00:03:19,960 +الأسباب + +29 +00:03:22,920 --> 00:03:31,300 +TWO MAIN CAUSES، CURVATURE AND INDEX، CURVATURE AND + +30 +00:03:31,300 --> 00:03:36,620 +INDEX، لاحظين هنا ما فيش Axial زي الهايبروبي ومتروبيا والـ + +31 +00:03:36,620 --> 00:03:40,120 +مايوبيا، لا Axial أو Astigmatism، أخر Curvature + +32 +00:03:40,120 --> 00:03:45,740 +ويعني به mainly corner Curvature أو Index يعني + +33 +00:03:45,740 --> 00:03:51,240 +بيه Index of the lens of the lens، يبقى the first + +34 +00:03:52,840 --> 00:04:02,280 +السبب هو تغيير في تغيير القناة، تغيير في تغيير + +35 +00:04:02,280 --> 00:04:03,840 +القناة، تغيير في تغيير القناة، تغيير في تغيير + +36 +00:04:03,840 --> 00:04:03,900 +القناة، تغيير في تغيير القناة، تغيير في تغيير + +37 +00:04:03,900 --> 00:04:04,420 +القناة، تغيير في تغيير القناة، تغيير في تغيير + +38 +00:04:04,420 --> 00:04:05,960 +القناة، تغيير في تغيير القناة، تغيير في تغيير + +39 +00:04:05,960 --> 00:04:06,180 +القناة، تغيير في تغيير القناة، تغيير في تغيير + +40 +00:04:06,180 --> 00:04:12,680 +القناة، تغيير في تغيير القناة + +41 +00:04:13,360 --> 00:04:20,080 +either congenital or acquired، أما خلقي أو مكتسب + +42 +00:04:20,080 --> 00:04:30,900 +أما خلقي أو مكتسب، طيب خلقي يعني since birth، منذ + +43 +00:04:30,900 --> 00:04:37,100 +ولادة، هو حقيقة يعني وجدوا له تفسير إن العلوي الجفن العلوي + +44 +00:04:37,100 --> 00:04:45,590 +بيعمل نوع من ال pressure upon the cornea، البرليد + +45 +00:04:45,590 --> 00:04:49,950 +هنا الجفن العلوي بيعمل شوية pressure on the cornea + +46 +00:04:49,950 --> 00:04:58,410 +وبالتالي وبالتالي بيعمل ال vertical meridian أقوى + +47 +00:04:58,410 --> 00:05:03,530 +شوية من ال horizontal meridian يبقى + +48 +00:05:03,530 --> 00:05:12,920 +وجدوا إن في 0.25 ديوبتر، ربع ديوبتر فرق بين الـ + +49 +00:05:12,920 --> 00:05:18,240 +vertical meridian وال horizontal meridian في + +50 +00:05:18,240 --> 00:05:25,380 +الأطفال الصغار، وهذا ال congenital هما سموه + +51 +00:05:25,380 --> 00:05:30,840 +physiological not pathological يعني لم ينتج عن مرض + +52 +00:05:30,840 --> 00:05:37,140 +إنما هو طبيعي، وجدوا + +53 +00:05:37,140 --> 00:05:43,790 +إن at birth the cornea is normally almost spherical. + +54 +00:05:43,790 --> 00:05:47,170 +أكبر + +55 +00:05:47,170 --> 00:05:55,350 +لسه ال upper lid يعني ال weight بتاعه are very + +56 +00:05:55,350 --> 00:06:05,090 +mild، وال function of lid muscles is fresh يعني + +57 +00:06:05,090 --> 00:06:11,680 +لسه ما صاروش يعني ... يعني good function، وجدوا إنه في + +58 +00:06:11,680 --> 00:06:24,100 +سن الأربع سنوات، في الأربع سنوات، في الأربع + +59 +00:06:24,100 --> 00:06:32,340 +سنوات، في السبع سنوات وجدوا إن ال 95% of children + +60 +00:06:32,340 --> 00:06:39,320 +في السبع سنوات، يبقى هذا قابل للتغيير، عند الولادة + +61 +00:06:39,320 --> 00:06:44,320 +لسه ما كانش موضوع، في الأربع سنوات بدأ يكون موضوع في + +62 +00:06:44,320 --> 00:06:47,440 +السبع سنوات، زادوا عدد الأطفال اللي فيهم هذا + +63 +00:06:47,440 --> 00:06:53,820 +الاستجماتيزم، بقول في ما بعد ممكن + +64 +00:06:53,820 --> 00:07:01,560 +أنه يزيد اه في السنوات بعد السبع سنوات وممكن في سن + +65 +00:07:01,560 --> 00:07:06,540 +متقدمة في الأربعين والخمسين إن ينعكس ويصير + +66 +00:07:06,540 --> 00:07:11,530 +indirect، ويعني بال indirect إن يصير ال horizontal + +67 +00:07:11,530 --> 00:07:22,350 +meridian is more powerful than in about 0.25 + +68 +00:07:22,350 --> 00:07:26,290 +diopter، يبقى + +69 +00:07:26,290 --> 00:07:33,570 +عبر السن بيزيد شوية بيتغير ال axis لكن في النهاية + +70 +00:07:33,570 --> 00:07:38,900 +كله في الفسيولوجيا عشان إيه يسموه congenital + +71 +00:07:38,900 --> 00:07:46,540 +congenital كله physiology أما ال acquired المكتسب + +72 +00:07:46,540 --> 00:07:52,900 +هو اللي فيه ال pathology، يبقى ال acquired اللي هو + +73 +00:07:52,900 --> 00:07:58,400 +دلالة مرضية أكثر بكثير من ال physiology يعني أنا + +74 +00:07:58,400 --> 00:08:03,100 +ممكن أني أقضي الطرف عن ال weight of upper eyelid + +75 +00:08:03,100 --> 00:08:07,850 +اللي بيمارس بعض الضغط على القرنية أو سطح القرنية + +76 +00:08:07,850 --> 00:08:13,430 +و أعتبره physiology لأنه يعني 99% + +77 +00:08:13,430 --> 00:08:17,770 +و 9 من عشرة في المية من البشر فيهم اللي هو إيش + +78 +00:08:17,770 --> 00:08:24,510 +الضغط هذا في حدود ربع أو ثلث ديوبتر عادي physiology + +79 +00:08:24,510 --> 00:08:28,650 +فالمهم أقول إن أخلص الناس من ال upper lid عشان + +80 +00:08:28,650 --> 00:08:35,380 +يصيروا stigmatic، لأ ما أخلصهم لأن ال upper lid هو جمال + +81 +00:08:35,380 --> 00:08:40,760 +و حماية مع بعض، جمال و حماية العين مع بعض لذلك كل + +82 +00:08:40,760 --> 00:08:43,880 +الناس مضطرين إنه يعتبروا physiology، ما فيش واحد + +83 +00:08:43,880 --> 00:08:47,100 +ما فيه عيب بصري يعني بهذا المقياس كلنا يتنافسون عن + +84 +00:08:47,100 --> 00:08:53,240 +عيوب بصرية، لكن عيب physiology غير عن عيب pathology + +85 +00:08:53,240 --> 00:09:03,240 +طيب يبقى المكتسب معظمه مرضي، بدأنا بأول سبب للمكتسب + +86 +00:09:03,240 --> 00:09:11,520 +diseases مثل الصارخ لـ diseases of the cornea + +87 +00:09:11,520 --> 00:09:16,380 +اللي بتعمل acquired astigmatism هو الكيراتوكونوس + +88 +00:09:16,380 --> 00:09:21,360 +و كلكم بتعرف الكيراتوكونوس، كلكم بتعرف إن في cone في + +89 +00:09:21,360 --> 00:09:26,160 +lower part of the cornea، cone in the lower part of + +90 +00:09:26,160 --> 00:09:31,470 +the cornea، وهذا myopic astigmatism يبقى conical + +91 +00:09:31,470 --> 00:09:36,250 +cornea، في بعض الناس بيسمع كيراتايتس inflammation + +92 +00:09:36,250 --> 00:09:44,550 +في سطح القرنية، كيراتايتس كيرا تايتس + +93 +00:09:44,550 --> 00:09:50,970 +كيرا تايتس التهاب، trauma بتاعة القرنية مع + +94 +00:09:50,970 --> 00:09:58,530 +الظهارية، طبعا في ناس بيسمع conial ulcer، قرحة في + +95 +00:09:58,530 --> 00:10:06,120 +سطح القرنية، طبعا لما القرنية بيبدأ فيها ال ulcer + +96 +00:10:06,120 --> 00:10:12,480 +قد يكون Epithelial وقد يمتد إلى Stroma، لو ممتد + +97 +00:10:12,480 --> 00:10:16,580 +إلى Stroma وأخد معاه ال Bowmans Membrane بعد تحت + +98 +00:10:16,580 --> 00:10:18,820 +ال Epithelial فيه Bowmans Membrane إحنا أخدنا الـ + +99 +00:10:18,820 --> 00:10:23,580 +Bowmans Membrane if damaged or once damaged there + +100 +00:10:23,580 --> 00:10:31,540 +is no regeneration but the healing is with scar، + +101 +00:10:31,540 --> 00:10:39,500 +scar يعني الندبة، نتبه يعني قرنية صابها ulcer والـ + +102 +00:10:39,500 --> 00:10:44,020 +ulcer ديب وعالجناه لمدة شهر أو شهرين أو ثلاثة + +103 +00:10:44,020 --> 00:10:48,900 +بكافة العلاجات سواء viral، antiviral أو + +104 +00:10:48,900 --> 00:10:53,420 +antibacterial أو antivagal وفي الآخر صار له إيش + +105 +00:10:53,420 --> 00:11:05,320 +healing يعني إيش؟ تأم، مش هيلتئم بال same cells لأ + +106 +00:11:05,320 --> 00:11:10,680 +هيدي scar عليها، هل ال curvature بتاع القرنية هذا + +107 +00:11:10,680 --> 00:11:18,160 +هيكون سليم زي أول؟ لأ، لأ، لأ، لأ، أقل شي هيكون معاه + +108 +00:11:18,160 --> 00:11:24,540 +five or six or seven cylinder ديوبتر cylinder + +109 +00:11:27,710 --> 00:11:31,290 +لكن إذا كان الندبة هذه الندبة كانت في ال center + +110 +00:11:31,290 --> 00:11:38,150 +لأ هيعمل عمل، لكن إن كان في ال periphery هتعمل الـ + +111 +00:11:38,150 --> 00:11:41,650 +astigmatism لكن في ال center هيكون astigmatism + +112 +00:11:41,650 --> 00:11:46,510 +with a blocking of the visual axis of the eye، الـ + +113 +00:11:46,510 --> 00:11:50,750 +visual axis هيضيع مني لو كان في ال center of القرنية + +114 +00:11:53,190 --> 00:11:57,030 +يبقى هاي ال corneal ulcer وقلنا منه أنواع فيه + +115 +00:11:57,030 --> 00:12:02,830 +منه bacterial وال most common هو وفيه منه viral + +116 +00:12:02,830 --> 00:12:07,330 +خاصة herpes simplex.. herpes simplex keratitis و + +117 +00:12:07,330 --> 00:12:13,190 +فيه fungal زي ال.. ال amoebic اللي هو corneal + +118 +00:12:13,190 --> 00:12:18,390 +اللي هو ulcer أو abscess يبقى أي واحد من التلاتة + +119 +00:12:18,390 --> 00:12:25,050 +يُعتبر disease، بما إن acquired acquired astigmatism + +120 +00:12:25,050 --> 00:12:32,690 +السبب الثاني traumatic astigmatism بإصابات وهذا + +121 +00:12:32,690 --> 00:12:43,010 +أرضة خاصة بالأطفال، طفل بيلعب pencil fork بالبيكار + +122 +00:12:43,010 --> 00:12:46,330 +knife + +123 +00:12:46,330 --> 00:12:54,920 +شوكة سكينة قلم رصاص.. بشفت القرنية يعني ويعني + +124 +00:12:54,920 --> 00:12:58,800 +إحنا مرت علينا أشياء زي هذه اسمها traumatic، إصابات + +125 +00:12:58,800 --> 00:13:07,600 +يعني wound are كون يعني تير ماقودش، تير تير مش تير + +126 +00:13:07,600 --> 00:13:13,400 +تير دموع وتير مزق مع إنه نفس ال spelling بس الـ + +127 +00:13:13,400 --> 00:13:20,320 +تير رايحين على مزق وتير دموع اه tear of the cornea + +128 +00:13:20,320 --> 00:13:25,140 +may bring about the same result كل الإصابات يعني + +129 +00:13:25,140 --> 00:13:32,020 +طفل بيلعب في جلده مش واخد باله بس يعني مجرد مقطع + +130 +00:13:32,020 --> 00:13:37,720 +القرنية قطعة صغيرة وحتى لو ما احتاجت إلى غرز ولا + +131 +00:13:37,720 --> 00:13:43,160 +حاجة وعملت healing لنباومز ال Bowman’s في النقطة دي + +132 +00:13:43,160 --> 00:13:50,010 +ضاع هذه السكانة، ما دخلتش جوه لسه بس القرنية ودخلت + +133 +00:13:50,010 --> 00:13:52,510 +على ال Bowman’s من براين اللي هي اللي هيكون بإيش؟ + +134 +00:13:52,510 --> 00:13:58,270 +بندبة إلا ما سطح القرنية يصير فيه irregularity + +135 +00:13:58,270 --> 00:14:06,590 +درجة صغيرة مش هيعود يكون regular خلاص هي + +136 +00:14:06,590 --> 00:14:14,290 +همشي من هيك إنه إيش؟ إنه يكون القطع يعني آسف يكون + +137 +00:14:14,290 --> 00:14:20,830 +القطع مثلا هيك بدل ما الأكيواس يطلع من القرنية لما تكون + +138 +00:14:20,830 --> 00:14:26,710 +perforated wound مثلا بشيء حاد، حيبدل ما الأكيواس يطلع + +139 +00:14:26,710 --> 00:14:30,470 +برا، يروح المستشفى على طول، بيقولك اه والله هذا + +140 +00:14:30,470 --> 00:14:36,150 +الـ Santi هنعمله three stitches تلت غرز صغيرة على الـ + +141 +00:14:36,150 --> 00:14:43,910 +microscope طبعا اهله فرحه انه تغرس ويمكن + +142 +00:14:45,360 --> 00:14:50,800 +السيرجون فرح انه غرز لكن الـ optometrist ما كانش مرتاح + +143 +00:14:50,800 --> 00:14:57,360 +ليش؟ الـ optometrist هو بتاع الـ vision الجراح عمل + +144 +00:14:57,360 --> 00:15:02,680 +stitches و روح خلاص كتب علاج و بعد هيك بعد شهرين + +145 +00:15:02,680 --> 00:15:06,940 +تلاتة بالفكر غرز مع السلامة و بعدين هذا عمله + +146 +00:15:06,940 --> 00:15:12,460 +الجارح الصغير ابو تلات غرز عمله اقل اشي five DC + +147 +00:15:12,460 --> 00:15:20,040 +cylinder دوبتر سيلندر حط + +148 +00:15:20,040 --> 00:15:24,500 +كل النظارات بيجيبوش six ستة ع ستة بده hard contact + +149 +00:15:24,500 --> 00:15:30,440 +lens شافين كيف حادثة صغيرة إيش عملت في مستقبل هذا + +150 +00:15:30,440 --> 00:15:38,810 +الطفل أو الطفلة هذا traumatic طيب surgical لما + +151 +00:15:38,810 --> 00:15:44,530 +تكون عملية جراحية داخل العين بتكون intended + +152 +00:15:44,530 --> 00:15:48,730 +intended يعني مخطط لها اللهم صلي الله عليه وسلم + +153 +00:15:48,730 --> 00:15:54,330 +عملية intended مخطط لها أكتر عملية في العين بتنعمل + +154 +00:15:54,330 --> 00:15:58,810 +internationally هي الـ cataract extraction cataract + +155 +00:15:58,810 --> 00:16:03,310 +extraction طيب هنوريكم مثال للـ cataract extraction + +156 +00:16:03,310 --> 00:16:11,790 +ييجي الجراح هنا في الـ limbus upper limbus يعمل + +157 +00:16:11,790 --> 00:16:20,090 +incision مش incision الجراح بيقطع الآن بعد الـ incision + +158 +00:16:20,090 --> 00:16:26,110 +هذا هو بده يفتح القنانية و يجيبها إلى الأمام برا + +159 +00:16:26,110 --> 00:16:35,030 +شوية عشان يفتح a gap يدخل منه أو يدخل منه الـ lens + +160 +00:16:36,530 --> 00:16:40,990 +طبعا الـ pupil بيكون fully dilated بيعمل هو + +161 +00:16:40,990 --> 00:16:48,830 +capsulohexes لسطح الـ interior capsule و بيبدأ هو + +162 +00:16:48,830 --> 00:16:55,870 +يتعامل مع الـ cortex و مع nucleus of the lens طبعا + +163 +00:16:55,870 --> 00:17:03,970 +المجرحات الحديثة في يعني FACO immersification بروب + +164 +00:17:03,970 --> 00:17:12,150 +زي أنبوب قلم الجهاز بيدخل و بيعمل fragmentation لـ + +165 +00:17:12,150 --> 00:17:17,390 +الـ matter of the lens fragmentation تكسير و بعدين + +166 +00:17:17,390 --> 00:17:24,310 +بيعمل suction نفس الجهاز بيعمل suction بفضلي الـ + +167 +00:17:24,310 --> 00:17:31,040 +capsular bag يعني بس هو أخد من الـ anterior capsule + +168 +00:17:31,040 --> 00:17:36,740 +الحتة هذه و ساب كل الـ posterior capsule زي ما هي و + +169 +00:17:36,740 --> 00:17:39,760 +الـ zonules اللي متصلة بالـ ciliary muscle زي ما هي + +170 +00:17:39,760 --> 00:17:46,440 +مامساش بسوء الحمد لله بس فضأ المحفظة كيف المحفظة + +171 +00:17:46,440 --> 00:17:52,360 +بتاعتنا لما نفضيها فاضية فضأ المحفظة استعدادا + +172 +00:17:52,360 --> 00:18:00,900 +ليزرع هنا intraocular lens implantation لها haptics + +173 +00:18:00,900 --> 00:18:04,920 +و optics الأقدام اسمها haptics والجزء اللي في + +174 +00:18:04,920 --> 00:18:10,280 +الوسط هذا اسمه optics الجزء اللي بيعمل انكسار الضوء + +175 +00:18:10,280 --> 00:18:17,460 +لأن لعينتي لأن ما فيش مشكلة المشكلة وين لما بدنا + +176 +00:18:17,460 --> 00:18:23,600 +نعمل repair ليه الـ corneal incision تصور كل عملية + +177 +00:18:23,600 --> 00:18:30,130 +ما عملتليمشاكل من ناحية الـ Refraction لأن الـ + +178 +00:18:30,130 --> 00:18:36,550 +Implanted Lens هي الـ .. الـ power بتاعتها معروفة + +179 +00:18:36,550 --> 00:18:41,190 +يعني في جهاز بيجيبها بيعمل calculation قبل العملية + +180 +00:18:41,190 --> 00:18:45,730 +بيقول مثلا عايز 19 عايز 20 عايز 21 حسب + +181 +00:18:47,810 --> 00:18:52,150 +الآن وين المشكلة؟ لما بدو يزرع العدسة هنا في الـ + +182 +00:18:52,150 --> 00:18:57,010 +posterior chamber و بده يعمل repair يعني تخيط غرزة + +183 +00:18:57,010 --> 00:19:08,770 +نين تلاتة أربع خمسة ستة طبعا أي suture اسمه بده + +184 +00:19:08,770 --> 00:19:15,310 +أنه من أن يكون tight الـ ligation ربط بتاعه يكون + +185 +00:19:15,310 --> 00:19:20,190 +tightبعرفش أنتو بتنارسوا الخياطة العادية في + +186 +00:19:20,190 --> 00:19:25,050 +القماش ولا لأ؟ ما فيش واحد اللي عنده امرأة بخير، آه + +187 +00:19:25,050 --> 00:19:29,310 +الغرزة، بنفع الغرزة أعملها مرة هيك و بس؟ ولا + +188 +00:19:29,310 --> 00:19:34,950 +أربطها رابطة، اتنين، تلاتة، و فيه بعملها خمسة، آه، + +189 +00:19:34,950 --> 00:19:40,170 +يعني حسب آه، بربط و بممكن، حتى في خياطة الجروح، + +190 +00:19:40,170 --> 00:19:44,130 +بنفعش أعملها مرة و قولوا لأ، بتفك، آه لازم أمنها + +191 +00:19:44,130 --> 00:19:50,380 +بتلاتة، و الـ وتر أحسن من إيش؟ الشفع الـ وتر أنا يعني + +192 +00:19:50,380 --> 00:19:58,140 +علمت إنه صلاة الـ وتر أعلى من السنة هي ليست فرضا + +193 +00:19:58,140 --> 00:20:04,620 +وليست سنة هي أقل أهمية من الفرض لكن أكثر أهمية من + +194 +00:20:04,620 --> 00:20:11,240 +السنة عشان هيك الـ وتر لا يسقط في السفر في السفر + +195 +00:20:11,240 --> 00:20:19,260 +الـ وتر لا يسقط السنة تسقط والفرض قد يقصر لكن الـ وتر + +196 +00:20:19,260 --> 00:20:25,180 +لا يصيب لأن الـ وتر أعلى من السنة هو يعني أقل من + +197 +00:20:25,180 --> 00:20:32,040 +الفرض و أهم من السنة إن الله وتر يحب الـ وتر المهم + +198 +00:20:32,040 --> 00:20:40,380 +لما عمل ستة أو خمسة أو سبعة stitches غرزهم في الـ + +199 +00:20:40,380 --> 00:20:45,060 +limbus و ده كعين طبعا هذا عمله high astigmatism + +200 +00:20:46,500 --> 00:20:51,880 +لما تتصوروا إنه سطح القرنية كيف هو سابي و regular + +201 +00:20:51,880 --> 00:20:58,140 +و كيف لما أنا قاعدي أخيط فيه و أشده الجراح بيكون + +202 +00:20:58,140 --> 00:21:08,560 +همه إنه يعمل نوع من الـ tight و الـ safe و يأمن أن + +203 +00:21:08,560 --> 00:21:14,520 +ما فيش leak of aqueous ما فيش leak؟ ما فيش تسرب للـ + +204 +00:21:14,520 --> 00:21:18,900 +aqueous من الـ AC إلى الـ outside و ما فيش أي خطر + +205 +00:21:18,900 --> 00:21:25,500 +لدخول microorganisms من الـ surface إلى الداخل يعني + +206 +00:21:25,500 --> 00:21:29,790 +لو ده .. لو .. لو في أي فتحة صغيرة يعني اتصال بين + +207 +00:21:29,790 --> 00:21:34,810 +جوا الـ AC و برا ممكن جدا إنه الـ aqueous يطلع برا و + +208 +00:21:34,810 --> 00:21:38,770 +هذا خطر شديد لأن الـ aqueous هو اللي بيعمل الـ + +209 +00:21:38,770 --> 00:21:44,630 +intra-aquary pressure لو الـ aqueous فضل ينزل يعني + +210 +00:21:44,630 --> 00:21:49,070 +دقت العنحة ينزل و العنحة سيلها collapse عارفين الـ + +211 +00:21:49,070 --> 00:21:53,350 +collapse؟ البلون بنفخه بهواء لو طلعنا الـ هواء منه + +212 +00:21:53,350 --> 00:21:56,290 +شوية شوية شوية شوية بيقولوا إيش؟ صار الـ collapse + +213 +00:21:56,290 --> 00:22:01,100 +نفس يعني و العين لو طلب منها الـ .. الـ aqueous شوية + +214 +00:22:01,100 --> 00:22:05,100 +شوية شوية شوية بدون ما نعلم ممكن يصير للعين إيش + +215 +00:22:05,100 --> 00:22:12,260 +pull ups خطير كمان اتصال الـ interior chamber + +216 +00:22:12,260 --> 00:22:19,680 +بالخارج ممكن يدخل لإيش ميكروبات خاصة البكتيريا سطح + +217 +00:22:19,680 --> 00:22:24,260 +العين هذا الجفون و الملتحمة هذه كثير فيها من + +218 +00:22:24,260 --> 00:22:30,320 +الميكروبات المتعايشة commensals commensals or + +219 +00:22:30,320 --> 00:22:35,280 +flora bacterial flora عايشة متعايشة لكن إذا دخلت + +220 +00:22:35,280 --> 00:22:40,300 +جوا بصير viral land اندخلت لأنها مش بقتها بصير شرسة + +221 +00:22:40,300 --> 00:22:45,640 +و ممكن تعملي endophthalmitis endo .. عارفين الـ + +222 +00:22:45,640 --> 00:22:46,420 +endophthalmitis + +223 +00:22:48,760 --> 00:22:54,200 +ال التهاب داخل العين وهذا ممكن إنه يعدم العين كلها + +224 +00:22:54,200 --> 00:23:03,600 +Endothalmitis العين تصير bag of pus bag of pus ولو + +225 +00:23:03,600 --> 00:23:09,030 +صار الحادث الأليم هذا معناه إن العين كلها هتنجرف + +226 +00:23:09,030 --> 00:23:12,990 +إلى الخارج في عمل اسم اسمها evacuation evacuation + +227 +00:23:12,990 --> 00:23:18,290 +كيف المعلجة تتفضى بالمعلجة العين تتفضى كل العين + +228 +00:23:18,290 --> 00:23:23,290 +تعمل اسم evacuation loss of the eye طيب يبقى هو + +229 +00:23:23,290 --> 00:23:31,850 +السيرجون قصده إنه يعمل safe sutures غرزة اتنين + +230 +00:23:31,850 --> 00:23:39,210 +تلاتة أربع ويشد تلاتة أربع مرات على كل واحدة و أمن + +231 +00:23:39,210 --> 00:23:45,530 +و بحط antibiotic و عمل patching اه و لزجها و الحمد + +232 +00:23:45,530 --> 00:23:49,750 +لله العملية كويسة بيجي تاني يوم بفك عن عينه بوريه + +233 +00:23:49,750 --> 00:23:53,710 +chart اه بشوف والله ستة ع ستة و تلاتين ستة ع أربع + +234 +00:23:53,710 --> 00:23:59,430 +و عشرين بوزروا حلو الناس و تمام و بعدين بياخد علاج + +235 +00:23:59,430 --> 00:24:02,310 +سبعين تلاتة و مع السلامة بيجي دور مين دور الـ + +236 +00:24:02,310 --> 00:24:04,370 +ultimate risk بناجي high stigma test + +237 +00:24:08,680 --> 00:24:14,600 +طبعا بعد شهرين أو تلاتة بيبدأ يفك الغرز يعني نوعا + +238 +00:24:14,600 --> 00:24:20,700 +ما القنية بتريح شوية لكن ما تصيرش إمتروم minus two + +239 +00:24:20,700 --> 00:24:26,520 +minus three حسب لأن الجرّاه هو بخيط ما كانش مع حساب + +240 +00:24:26,520 --> 00:24:30,540 +إلكتروني على الكمبيوتر كام سنة من الـ astigmatism + +241 +00:24:30,540 --> 00:24:38,320 +اللي بدفع التمن العيان و المعالج من البصريات لأن في + +242 +00:24:38,320 --> 00:24:45,280 +الآخر الـ astigmatism هذا بده سيلندر، بده نظارة أو + +243 +00:24:45,280 --> 00:24:49,740 +بده contact lens الآن اتجهوا في العلم الحديث، في + +244 +00:24:49,740 --> 00:24:54,080 +الجراحات الحديثة، لأ، لأنه ما بيعملوش incision قطع + +245 +00:24:54,080 --> 00:25:00,480 +في القرنية، لأ، بيعملوا sclera، ييجي الـ sclera من + +246 +00:25:00,480 --> 00:25:07,260 +هنا، يفتح فتحة صغيرة، و يخش بـ tunnel هيك + +247 +00:25:09,620 --> 00:25:15,840 +داخل الـ AC من فوق بيقولوا half thickness scleral + +248 +00:25:15,840 --> 00:25:22,160 +tunnel في نص scleral نص sclera يعني thickness مش + +249 +00:25:22,160 --> 00:25:26,700 +sclera حوالي واحد مليمتر يعني هو يفتح ايه و ينزل في + +250 +00:25:26,700 --> 00:25:31,140 +نص sclera شوية شوية يعني حوالي سانتي بيكون دخل في + +251 +00:25:31,140 --> 00:25:37,500 +الـ AC عمل bypass للـ Limbus ما صابوش الـ Limbus ما + +252 +00:25:37,500 --> 00:25:46,700 +خسوشوعمل عملية من فوق شال وزرع وطلع وعمل غرزتين في + +253 +00:25:46,700 --> 00:25:51,360 +اسكليرة من فوق Spearing + +254 +00:25:51,360 --> 00:26:01,580 +ده كورنية عفى الكورنية من الـ astigmatism عفاها + +255 +00:26:01,580 --> 00:26:07,000 +من أن يكون فيها تجعيد كرمشة احنا في البلد بيقول + +256 +00:26:07,000 --> 00:26:14,190 +مكرمش صح؟ مش مكرمش لإنه إيجي من فوق ت معيد شوية + +257 +00:26:14,190 --> 00:26:22,450 +شوية وهالج الوضع نعم طبعا أنا شخصيا اه عملت trans + +258 +00:26:22,450 --> 00:26:29,510 +plural عديد من المرات صحيح طيب كمان أسباب للـ + +259 +00:26:29,510 --> 00:26:36,390 +acquired astigmatism تورم الجفون و أنا بدأ أريكم + +260 +00:26:36,390 --> 00:26:41,360 +مثال تورم الجفون بعرفش أنا لو الإضاءة هذه تكون أخفت + +261 +00:26:41,360 --> 00:26:45,940 +شوية شايفين هنا الـ .. شايفين؟ شايفين؟ شايفين؟ + +262 +00:26:45,940 --> 00:26:48,820 +شايفين؟ علموا هذا كله عندكوا على الكمبيوتر الفلاش + +263 +00:26:48,820 --> 00:26:54,120 +أخدتوه من أول فصل عشان أنا .. الآن لو واحد طالعله + +264 +00:26:54,120 --> 00:26:59,160 +كيس ذهني ملتهب خاصة في الـ upper eyelid و الـ upper + +265 +00:26:59,160 --> 00:27:08,150 +eyelid صار تقيل و أرم و Red في Pass طبعا هيضرّط على + +266 +00:27:08,150 --> 00:27:14,390 +القرنية الواحد هسير مش شافه كويس بعينه مش شافه + +267 +00:27:14,390 --> 00:27:20,050 +كويس فترة إلى أن يعالج و يزال السبب لكن أخطر من + +268 +00:27:20,050 --> 00:27:25,690 +ذلك أن إذا كان الـ lid صاب نيوبلازم أقصد به سرطان + +269 +00:27:25,690 --> 00:27:32,880 +tumor سرطان طب أن هالـ tumor progressive growth كل + +270 +00:27:32,880 --> 00:27:40,840 +يوم بيرمو كمان في الـ LED و بيضغط على الكورنية تقع + +271 +00:27:40,840 --> 00:27:44,020 +تصير لعينها استيجماتيكي هذا اسمه mechanical + +272 +00:27:44,020 --> 00:27:51,080 +astigmatism إيش يعني إيه؟ ميكانيكي من الوزن يعني + +273 +00:27:51,080 --> 00:27:54,980 +mechanical astigmatism مثال الـ mechanical + +274 +00:27:54,980 --> 00:28:02,190 +astigmatism الآن أنتو هتعملوه test آه أنت هتغطي + +275 +00:28:02,190 --> 00:28:06,510 +عين و العين التانية هتغطي تحت كيك عليها بأصبع بـ + +276 +00:28:06,510 --> 00:28:13,410 +your finger تغطي عين تغطي على أسفل العين بالـ + +277 +00:28:13,410 --> 00:28:18,170 +finger و شوفولي إيش بتشوفوا هنا شوفوا إيش اللي + +278 +00:28:18,170 --> 00:28:25,950 +بيصير ايوه تغطي عين و تغطي على أسفل العين بالأصبع + +279 +00:28:25,950 --> 00:28:31,600 +بالـ finger كمان أكتر أكتر شوف إيش بصير blurring + +280 +00:28:31,600 --> 00:28:36,540 +بيصير diplopia or + +281 +00:28:36,540 --> 00:28:46,300 +polyopia مش بس صورة عدة صور عدة + +282 +00:28:46,300 --> 00:28:53,260 +صور شوف الكلام كيف صار مفرج كويس + +283 +00:28:53,260 --> 00:28:58,430 +الـ test شوفي عدة صور حتى مش صورة واحدة يبقى هذا + +284 +00:28:58,430 --> 00:29:03,370 +transient هذا مؤقت لأنه finger pressure on the eye + +285 +00:29:03,370 --> 00:29:08,170 +هذا الـ astigmatism عشان أنتِ تعيشي بشعور كيف الـ + +286 +00:29:08,170 --> 00:29:11,150 +astigmatic عايشة عايشة بالصورة هذه الـ high + +287 +00:29:11,150 --> 00:29:19,890 +astigmatism في أحيانًا في مرض اسمه blepharospasm في + +288 +00:29:19,890 --> 00:29:24,310 +في الـ .. في الـ eyelid three types of muscles هذه لسبب + +289 +00:29:25,700 --> 00:29:30,100 +عصبي أو نفسي أو شيء يصيبها spasm بقول liver و spasm + +290 +00:29:30,100 --> 00:29:35,680 +لو الـ upper lid و الـ eyelid الـ muscles فيهم عملت + +291 +00:29:35,680 --> 00:29:40,780 +spasm بيضغطوا على سطح العين بصير شوف زي أنتِ بتشوفي + +292 +00:29:40,780 --> 00:29:46,480 +إيه لما تضغطي بالأصابع إنه إنه علاج السبب بيصير + +293 +00:29:46,480 --> 00:29:52,020 +relaxation of the eyelids بيحاول دي رجعتها في شيء + +294 +00:29:52,020 --> 00:29:52,920 +أخطر أحيانًا + +295 +00:29:56,050 --> 00:30:01,530 +extraocular muscle spasm spasm of the whole + +296 +00:30:01,530 --> 00:30:08,670 +extraocular muscles or some of them يعني ممكن جدًا + +297 +00:30:08,670 --> 00:30:15,690 +الـ obliques لسبب ما يعملوا spasm أو recti + +298 +00:30:15,690 --> 00:30:21,890 +المستقيمات muscles الأربع تعملوا spasm أنتو + +299 +00:30:21,890 --> 00:30:23,310 +جربتوا عمركم ما يسمى muscle spasm + +300 +00:30:26,620 --> 00:30:30,400 +إلا أنك جربت مثلًا الـ Spy game في واحد أحمق بيجي + +301 +00:30:30,400 --> 00:30:31,740 +من النوم العضل diff --git a/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/iDOPJXCnZx4_raw.json b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/iDOPJXCnZx4_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..bb1e58efb2babf88a8b0f04ba64f689b30884431 --- /dev/null +++ b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/iDOPJXCnZx4_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 2568, "start": 20.26, "end": 25.68, "text": "بسم الله الرحمن الرحيم نبدأ أبو حمزة", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 8717, 44510, 10721, 5551, 3555, 2407, 11331, 2304, 11622, 3660], "avg_logprob": -0.23574219420552253, "compression_ratio": 1.0819672131147542, "no_speech_prob": 0.0, "words": [{"start": 20.259999999999998, "end": 20.9, "word": "بسم", "probability": 0.72509765625}, {"start": 20.9, "end": 21.04, "word": " الله", "probability": 0.955078125}, {"start": 21.04, "end": 21.3, "word": " الرحمن", "probability": 0.96240234375}, {"start": 21.3, "end": 21.6, "word": " الرحيم", "probability": 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253.36, "end": 280.84, "text": "either congenital or acquired اما خلقي او مكتسب اما خلقي او مكتسب طيب خلقي يعني since birth منذ ولادة هو حقيقة يعني وجدوا له تفسير ان ال upper leg بيعمل نوع من ال pressure", "tokens": [68, 1839, 416, 1766, 1686, 420, 17554, 1975, 15042, 16490, 1211, 38436, 1975, 2407, 3714, 4117, 2655, 35457, 1975, 15042, 16490, 1211, 38436, 1975, 2407, 3714, 4117, 2655, 35457, 23032, 1829, 3555, 16490, 1211, 38436, 37495, 22653, 1670, 3965, 9154, 8848, 49429, 41891, 31439, 11331, 38436, 28671, 37495, 22653, 49610, 3215, 14407, 46740, 6055, 36178, 13546, 16472, 2423, 6597, 1676, 4724, 1829, 25957, 1211, 8717, 45367, 9154, 2423, 3321], "avg_logprob": -0.1521205416747502, "compression_ratio": 1.5297619047619047, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 253.36, "end": 253.7, "word": "either", "probability": 0.80029296875}, {"start": 253.7, "end": 254.42, "word": " congenital", "probability": 0.7054036458333334}, {"start": 254.42, "end": 255.42, "word": " or", "probability": 0.8759765625}, {"start": 255.42, "end": 256.1, "word": " acquired", "probability": 0.87451171875}, {"start": 256.1, "end": 257.3, "word": " اما", "probability": 0.58514404296875}, {"start": 257.3, "end": 258.24, "word": " خلقي", "probability": 0.9156901041666666}, {"start": 258.24, "end": 259.26, "word": " او", "probability": 0.95068359375}, {"start": 259.26, "end": 260.08, "word": " مكتسب", "probability": 0.9012451171875}, {"start": 260.08, "end": 261.18, "word": " اما", "probability": 0.73828125}, {"start": 261.18, "end": 261.82, "word": " خلقي", "probability": 0.9716796875}, {"start": 261.82, "end": 262.96, "word": " او", "probability": 0.98828125}, {"start": 262.96, "end": 263.56, "word": " مكتسب", "probability": 0.9866943359375}, {"start": 263.56, "end": 266.46, "word": " طيب", "probability": 0.85009765625}, {"start": 266.46, "end": 267.74, "word": " خلقي", "probability": 0.8453776041666666}, {"start": 267.74, "end": 269.38, "word": " يعني", "probability": 0.90966796875}, {"start": 269.38, "end": 269.7, "word": " since", "probability": 0.85107421875}, {"start": 269.7, "end": 270.14, "word": " birth", "probability": 0.9677734375}, {"start": 270.14, "end": 270.9, "word": " منذ", "probability": 0.9150390625}, {"start": 270.9, "end": 271.28, "word": " ولادة", "probability": 0.666259765625}, {"start": 271.28, "end": 273.2, "word": " هو", "probability": 0.8720703125}, {"start": 273.2, "end": 273.72, "word": " حقيقة", "probability": 0.9466145833333334}, {"start": 273.72, "end": 273.98, "word": " يعني", "probability": 0.936767578125}, {"start": 273.98, "end": 274.3, "word": " وجدوا", "probability": 0.84326171875}, {"start": 274.3, "end": 274.4, "word": " له", "probability": 0.86572265625}, {"start": 274.4, "end": 274.96, "word": " تفسير", "probability": 0.99658203125}, {"start": 274.96, "end": 276.26, "word": " ان", "probability": 0.8525390625}, {"start": 276.26, "end": 276.4, "word": " ال", "probability": 0.9443359375}, {"start": 276.4, "end": 276.72, "word": " upper", "probability": 0.79638671875}, {"start": 276.72, "end": 277.1, "word": " leg", "probability": 0.41943359375}, {"start": 277.1, "end": 279.64, "word": " بيعمل", "probability": 0.9697265625}, {"start": 279.64, "end": 279.84, "word": " نوع", "probability": 0.995361328125}, {"start": 279.84, "end": 279.98, "word": " من", "probability": 0.98974609375}, {"start": 279.98, "end": 280.48, "word": " ال", "probability": 0.79541015625}, {"start": 280.48, "end": 280.84, "word": " pressure", "probability": 0.9912109375}], "temperature": 1.0}, {"id": 11, "seek": 31114, "start": 282.33, "end": 311.15, "text": "upon the cornea البرليد هنا الجفن العلوي بيعمل شوية pressure on the cornea وبالتالي وبالتالي بيعمل ال vertical meridian أقوى شوية من ال horizontal meridian يبقى وجدوا ان في 0.25 ديوبتر رابع ديوبتر فرق", "tokens": [1010, 266, 264, 1181, 22160, 2423, 26890, 20292, 3215, 34105, 25724, 5172, 1863, 18863, 1211, 45865, 4724, 1829, 25957, 1211, 13412, 2407, 10632, 3321, 322, 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0.6611328125}, {"start": 295.55, "end": 296.59, "word": " meridian", "probability": 0.939208984375}, {"start": 296.59, "end": 298.41, "word": " أقوى", "probability": 0.8935546875}, {"start": 298.41, "end": 298.75, "word": " شوية", "probability": 0.9049479166666666}, {"start": 298.75, "end": 298.93, "word": " من", "probability": 0.9912109375}, {"start": 298.93, "end": 299.01, "word": " ال", "probability": 0.8662109375}, {"start": 299.01, "end": 299.37, "word": " horizontal", "probability": 0.1895751953125}, {"start": 299.37, "end": 300.05, "word": " meridian", "probability": 0.974609375}, {"start": 300.05, "end": 303.53, "word": " يبقى", "probability": 0.941650390625}, {"start": 303.53, "end": 303.97, "word": " وجدوا", "probability": 0.9601236979166666}, {"start": 303.97, "end": 304.23, "word": " ان", "probability": 0.48486328125}, {"start": 304.23, "end": 304.59, "word": " في", "probability": 0.54541015625}, {"start": 304.59, "end": 306.41, "word": " 0", "probability": 0.71044921875}, {"start": 306.41, "end": 307.67, "word": ".25", "probability": 0.985595703125}, {"start": 307.67, "end": 308.27, "word": " ديوبتر", "probability": 0.8908203125}, {"start": 308.27, "end": 309.41, "word": " رابع", "probability": 0.8243815104166666}, {"start": 309.41, "end": 310.01, "word": " ديوبتر", "probability": 0.98134765625}, {"start": 310.01, "end": 311.15, "word": " فرق", "probability": 0.97509765625}], "temperature": 1.0}, {"id": 12, "seek": 33908, "start": 312.46, "end": 339.08, "text": "بين ال vertical meridian و ال horizontal meridian في الأطفال الصغار و هذا ال congenital هما سموه physiological not pathological يعني لم ينتج عن مرض انما هو طبيعي وجدوا ان ال birth", "tokens": [3555, 9957, 2423, 9429, 3551, 34681, 4032, 2423, 12750, 3551, 34681, 8978, 16247, 9566, 5172, 6027, 31767, 17082, 9640, 4032, 23758, 2423, 416, 1766, 1686, 8032, 15042, 8608, 2304, 2407, 3224, 41234, 406, 3100, 4383, 37495, 22653, 32767, 7251, 29399, 7435, 18871, 3714, 43042, 16472, 15042, 31439, 23032, 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318.68, "end": 319.24, "word": " الصغار", "probability": 0.9791666666666666}, {"start": 319.24, "end": 321.6, "word": " و", "probability": 0.458740234375}, {"start": 321.6, "end": 321.9, "word": " هذا", "probability": 0.81884765625}, {"start": 321.9, "end": 322.04, "word": " ال", "probability": 0.93408203125}, {"start": 322.04, "end": 322.62, "word": " congenital", "probability": 0.9069010416666666}, {"start": 322.62, "end": 324.7, "word": " هما", "probability": 0.733154296875}, {"start": 324.7, "end": 325.38, "word": " سموه", "probability": 0.91650390625}, {"start": 325.38, "end": 326.48, "word": " physiological", "probability": 0.96484375}, {"start": 326.48, "end": 328.2, "word": " not", "probability": 0.517578125}, {"start": 328.2, "end": 328.84, "word": " pathological", "probability": 0.98681640625}, {"start": 328.84, "end": 329.82, "word": " يعني", "probability": 0.858154296875}, {"start": 329.82, "end": 329.96, "word": " لم", "probability": 0.9384765625}, {"start": 329.96, "end": 330.32, "word": " ينتج", "probability": 0.9850260416666666}, {"start": 330.32, "end": 330.48, "word": " عن", "probability": 0.99169921875}, {"start": 330.48, "end": 330.84, "word": " مرض", "probability": 0.990234375}, {"start": 330.84, "end": 332.02, "word": " انما", "probability": 0.65185546875}, {"start": 332.02, "end": 332.56, "word": " هو", "probability": 0.97802734375}, {"start": 332.56, "end": 334.02, "word": " طبيعي", "probability": 0.9619140625}, {"start": 334.02, "end": 337.14, "word": " وجدوا", "probability": 0.8992513020833334}, {"start": 337.14, "end": 337.42, "word": " ان", "probability": 0.75439453125}, {"start": 337.42, "end": 338.58, "word": " ال", "probability": 0.89990234375}, {"start": 338.58, "end": 339.08, "word": " birth", "probability": 0.6572265625}], "temperature": 1.0}, {"id": 13, "seek": 36829, "start": 341.41, "end": 368.29, "text": "the cone is normally almost spherical أكبر لسه ال upper lid يعني ال weight بتاعه are very mild و ال function of lid muscles is fresh يعني لسه ماصارش يعني .. يعني good function", "tokens": [3322, 19749, 307, 5646, 1920, 37300, 5551, 4117, 26890, 5296, 3794, 3224, 2423, 6597, 10252, 37495, 22653, 2423, 3364, 39894, 45761, 3224, 366, 588, 15154, 4032, 2423, 2445, 295, 10252, 9530, 307, 4451, 37495, 22653, 5296, 3794, 3224, 19446, 9381, 9640, 8592, 37495, 22653, 4386, 37495, 22653, 665, 2445], "avg_logprob": -0.2690624958276749, "compression_ratio": 1.360248447204969, "no_speech_prob": 0.0, "words": [{"start": 341.41, "end": 341.63, "word": "the", "probability": 0.1846923828125}, {"start": 341.63, "end": 341.85, "word": " cone", "probability": 0.71435546875}, {"start": 341.85, "end": 342.11, "word": " is", "probability": 0.96240234375}, {"start": 342.11, "end": 342.53, "word": " normally", "probability": 0.8818359375}, {"start": 342.53, "end": 343.19, "word": " almost", "probability": 0.82275390625}, {"start": 343.19, "end": 343.79, "word": " spherical", "probability": 0.9287109375}, {"start": 343.79, "end": 347.17, "word": " أكبر", "probability": 0.60595703125}, {"start": 347.17, "end": 347.67, "word": " لسه", "probability": 0.8844401041666666}, {"start": 347.67, "end": 348.45, "word": " ال", "probability": 0.796875}, {"start": 348.45, "end": 348.65, "word": " upper", "probability": 0.80712890625}, {"start": 348.65, "end": 348.99, "word": " lid", "probability": 0.73486328125}, {"start": 348.99, "end": 350.83, "word": " يعني", "probability": 0.932861328125}, {"start": 350.83, "end": 353.07, "word": " ال", "probability": 0.98828125}, {"start": 353.07, "end": 353.27, "word": " weight", "probability": 0.94580078125}, {"start": 353.27, "end": 353.93, "word": " بتاعه", "probability": 0.98486328125}, {"start": 353.93, "end": 354.71, "word": " are", "probability": 0.2462158203125}, {"start": 354.71, "end": 355.35, "word": " very", "probability": 0.90478515625}, {"start": 355.35, "end": 355.83, "word": " mild", "probability": 0.72265625}, {"start": 355.83, "end": 358.27, "word": " و", 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{"start": 366.67, "end": 367.39, "word": " يعني", "probability": 0.93212890625}, {"start": 367.39, "end": 367.87, "word": " good", "probability": 0.91845703125}, {"start": 367.87, "end": 368.29, "word": " function", "probability": 0.982421875}], "temperature": 1.0}, {"id": 14, "seek": 39730, "start": 370.54, "end": 397.3, "text": "واجدوا انه في سن الأربع سنوات في أربع سنوات في أربع سنوات في السبع سنوات وجدوا في ال 95% of children في السبع سنوات يبقى هذا قابل للتغيير", "tokens": [2407, 26108, 3215, 14407, 16472, 3224, 8978, 8608, 1863, 16247, 25513, 3615, 8608, 1863, 2407, 9307, 8978, 5551, 25513, 3615, 8608, 1863, 2407, 9307, 8978, 5551, 25513, 3615, 8608, 1863, 2407, 9307, 8978, 21136, 3555, 3615, 8608, 1863, 2407, 9307, 49610, 3215, 14407, 8978, 2423, 13420, 4, 295, 2227, 8978, 21136, 3555, 3615, 8608, 1863, 2407, 9307, 7251, 3555, 4587, 7578, 23758, 12174, 16758, 1211, 24976, 2655, 17082, 1829, 13546], "avg_logprob": -0.20026408450704225, "compression_ratio": 1.9180327868852458, 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b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/iDOPJXCnZx4_raw.srt @@ -0,0 +1,1212 @@ +1 +00:00:20,260 --> 00:00:25,680 +بسم الله الرحمن الرحيم نبدأ أبو حمزة + +2 +00:00:31,470 --> 00:00:33,750 +أعود بالنفس لترديم بسم الله الرحمن الرحيم الحمد + +3 +00:00:33,750 --> 00:00:36,130 +لله و أقف و أصلي و أصلي مع النبي المصطلح السلام + +4 +00:00:36,130 --> 00:00:39,530 +عليكم و رحمة الله و بركاته Astigmatism is the + +5 +00:00:39,530 --> 00:00:43,470 +third refractive error after hypermetropia and + +6 +00:00:43,470 --> 00:00:47,910 +myopia Definition + +7 +00:00:47,910 --> 00:00:54,550 +of astigmatism is that refractive error where no + +8 +00:00:54,550 --> 00:01:00,310 +focal point comes on the retina + +9 +00:01:03,630 --> 00:01:11,010 +في خطأ إضافي مثل مايوبيا أو حيبرمتروبيا، هناك مركز + +10 +00:01:11,010 --> 00:01:21,370 +مركزي يتشكل إما خلف أو أمام الاتصال، ولكن في + +11 +00:01:21,370 --> 00:01:28,130 +أسطيغماتيزم، لا مركز مركزي، ولكن هناك الكثير من + +12 +00:01:28,130 --> 00:01:38,460 +الوحوش اللي هم مخططينall of them is blurry يبقى in + +13 +00:01:38,460 --> 00:01:41,060 +the condition of refraction wherein a point focus + +14 +00:01:41,060 --> 00:01:44,020 +of light can't be formed upon the retina + +15 +00:01:44,020 --> 00:01:47,280 +وtheoretically + +16 +00:01:47,280 --> 00:01:57,000 +نظريا no eye is stigmatic stigmatic بقرية اه ال + +17 +00:01:57,000 --> 00:02:05,470 +nothing no no no focusاسمه بالعربي اللابؤرية هو + +18 +00:02:05,470 --> 00:02:14,050 +بقولنا نظريا لو أشهر ديوبتر اختلاف عن الاسفير + +19 +00:02:14,050 --> 00:02:22,670 +هيكون نوع من الastigmatism ولو قتلنا عيون البشر + +20 +00:02:22,670 --> 00:02:30,900 +سوف نجد اختلافيعني عشر ديوبتر أو خمس ديوبتر أو ربع + +21 +00:02:30,900 --> 00:02:36,000 +ديوبتر أو تمان ديوبتر المهم فيه نوع من الـ + +22 +00:02:36,000 --> 00:02:41,560 +unequality of the power of the meridians of the + +23 +00:02:41,560 --> 00:02:47,700 +cornea يبقى السبب بتاع الastigmatism ان ال cornea + +24 +00:02:47,700 --> 00:02:56,620 +is formed of meridians in hemotropesهناك إيقاوية + +25 +00:02:56,620 --> 00:03:06,560 +من قوة هذه الميرانات في جميع عصرها + +26 +00:03:06,560 --> 00:03:12,920 +أو عصر الكورية ولكن في أستيغماطيزم هناك مختلفة هذه + +27 +00:03:12,920 --> 00:03:19,460 +المختلفة هي السبب في أستيغماطيزم أتيولوجيا ما + +28 +00:03:19,460 --> 00:03:19,960 +الأسباب + +29 +00:03:22,920 --> 00:03:31,300 +TWO MAIN CAUSES CURVATURE AND INDEX CURVATURE AND + +30 +00:03:31,300 --> 00:03:36,620 +INDEX لاحظين هنا مافيش Axial زي الهايبانوتروبيا و + +31 +00:03:36,620 --> 00:03:40,120 +الميبان لا Axial او أستigmatism اخر curvature + +32 +00:03:40,120 --> 00:03:45,740 +ويعني بيه mainly corner curvature او index يعني + +33 +00:03:45,740 --> 00:03:51,240 +بيه index of the lens of the lens يبقى the first + +34 +00:03:52,840 --> 00:04:02,280 +السبب هو تغيير في تغيير القناة، تغيير في تغيير + +35 +00:04:02,280 --> 00:04:03,840 +القناة، تغيير في تغيير القناة، تغيير في تغيير + +36 +00:04:03,840 --> 00:04:03,900 +القناة، تغيير في تغيير القناة، تغيير في تغيير + +37 +00:04:03,900 --> 00:04:03,900 +القناة، تغيير في تغيير القناة، تغيير في تغيير + +38 +00:04:03,900 --> 00:04:04,420 +القناة، تغيير في تغيير القناة، تغيير في تغيير + +39 +00:04:04,420 --> 00:04:04,420 +القناة، تغيير في تغيير القناة، تغيير في تغيير + +40 +00:04:04,420 --> 00:04:05,960 +القناة، تغيير في تغيير القناة، تغيير في تغيير + +41 +00:04:05,960 --> 00:04:06,180 +القناة، تغيير في تغيير القناة، تغيير في تغيير + +42 +00:04:06,180 --> 00:04:12,680 +القناة، تغيير في تغيير القناة + +43 +00:04:13,360 --> 00:04:20,080 +either congenital or acquired اما خلقي او مكتسب + +44 +00:04:20,080 --> 00:04:30,900 +اما خلقي او مكتسب طيب خلقي يعني since birth منذ + +45 +00:04:30,900 --> 00:04:37,100 +ولادة هو حقيقة يعني وجدوا له تفسير ان ال upper leg + +46 +00:04:37,100 --> 00:04:45,590 +بيعمل نوع من ال pressureupon the cornea البرليد + +47 +00:04:45,590 --> 00:04:49,950 +هنا الجفن العلوي بيعمل شوية pressure on the cornea + +48 +00:04:49,950 --> 00:04:58,410 +وبالتالي وبالتالي بيعمل ال vertical meridian أقوى + +49 +00:04:58,410 --> 00:05:03,530 +شوية من ال horizontal meridian يبقى + +50 +00:05:03,530 --> 00:05:12,920 +وجدوا ان في 0.25 ديوبتر رابع ديوبتر فرقبين ال + +51 +00:05:12,920 --> 00:05:18,240 +vertical meridian و ال horizontal meridian في + +52 +00:05:18,240 --> 00:05:25,380 +الأطفال الصغار و هذا ال congenital هما سموه + +53 +00:05:25,380 --> 00:05:30,840 +physiological not pathological يعني لم ينتج عن مرض + +54 +00:05:30,840 --> 00:05:37,140 +انما هو طبيعي وجدوا + +55 +00:05:37,140 --> 00:05:43,790 +ان ال birththe cone is normally almost spherical + +56 +00:05:43,790 --> 00:05:47,170 +أكبر + +57 +00:05:47,170 --> 00:05:55,350 +لسه ال upper lid يعني ال weight بتاعه are very + +58 +00:05:55,350 --> 00:06:05,090 +mild و ال function of lid muscles is fresh يعني + +59 +00:06:05,090 --> 00:06:11,680 +لسه ماصارش يعني .. يعني good functionواجدوا انه في + +60 +00:06:11,680 --> 00:06:24,100 +سن الأربع سنوات في أربع سنوات في أربع + +61 +00:06:24,100 --> 00:06:32,340 +سنوات في السبع سنوات وجدوا في ال 95% of children + +62 +00:06:32,340 --> 00:06:39,320 +في السبع سنوات يبقى هذا قابل للتغييرعند الولادة + +63 +00:06:39,320 --> 00:06:44,320 +لسه ماكانش موضوع فى أربع سنوات بدأ يكون موضوع فى + +64 +00:06:44,320 --> 00:06:47,440 +السبع سنوات زادوا عدد الأطفال اللى فيهم هدأ + +65 +00:06:47,440 --> 00:06:53,820 +الastigmatism بقول فى ما بعد ممكن + +66 +00:06:53,820 --> 00:07:01,560 +انه يزيد اه فى السنوات بعد السبع سنوات وممكن فى سن + +67 +00:07:01,560 --> 00:07:06,540 +متقدمة فى الأربعين والخمسين ان ينعكس ويصير + +68 +00:07:06,540 --> 00:07:11,530 +indirectويعني بال indirect انه يصير ال horizontal + +69 +00:07:11,530 --> 00:07:22,350 +meridian is more powerful than in about 0.25 + +70 +00:07:22,350 --> 00:07:26,290 +diopter يبقى + +71 +00:07:26,290 --> 00:07:33,570 +عبر السن بيزيد شوية بيتغير ال axis لكن في النهاية + +72 +00:07:33,570 --> 00:07:38,900 +كله في السيولوجياعشان إيه يسموه congenital + +73 +00:07:38,900 --> 00:07:46,540 +congenital كله physiology أما ال acquired المكتسب + +74 +00:07:46,540 --> 00:07:52,900 +هو اللي فيه ال pathology يبقى ال acquired اللي هو + +75 +00:07:52,900 --> 00:07:58,400 +دلالة مرضية أكتر بكتير من ال physiology يعني أنا + +76 +00:07:58,400 --> 00:08:03,100 +ممكن أني أقض الطرف عن ال weight of upper eyelid + +77 +00:08:03,100 --> 00:08:07,850 +الليبيمارس بعض الضغط على الكورنيا أو كورنيا ال + +78 +00:08:07,850 --> 00:08:13,430 +surface واعتبره physiology لأنه يعني تسعة و تسعين + +79 +00:08:13,430 --> 00:08:17,770 +و تسعة من عشرة في المية من البشر فيهم اللي هو ايش + +80 +00:08:17,770 --> 00:08:24,510 +الضغط هذا في حدود ربع او تلت بيبتر عادي physiology + +81 +00:08:24,510 --> 00:08:28,650 +فالمهم اقول اني اخلص الناس من ال upper lid عشان + +82 +00:08:28,650 --> 00:08:35,380 +يصيروا stigmaلأ مابخلصهم لأن ال upper lid هو جمال + +83 +00:08:35,380 --> 00:08:40,760 +و حماية مع بعض جمال و حماية العين مع بعض لذلك كل + +84 +00:08:40,760 --> 00:08:43,880 +الناس مضطرين انه يعتبروا physiology مافيش واحد + +85 +00:08:43,880 --> 00:08:47,100 +مافي عيب بصري يعني بهذا المقياس كلنا يتنافين عن + +86 +00:08:47,100 --> 00:08:53,240 +عيوب بصرية لكن عيب physiology غير عن عيب pathology + +87 +00:08:53,240 --> 00:09:03,240 +طيب يبقى المكتسب معظمه مرضىبدأنا بأول سبب للمكتسب + +88 +00:09:03,240 --> 00:09:11,520 +diseases المثل الصارخ لل diseases of the cornea + +89 +00:09:11,520 --> 00:09:16,380 +اللي بتعمل acquired astigmatism هو الكيراتوكونوس + +90 +00:09:16,380 --> 00:09:21,360 +وكلكم بتعرف الكيراتوكونوس كلكم بتعرف ان في cone في + +91 +00:09:21,360 --> 00:09:26,160 +lower part of the cornea cone in the lower part of + +92 +00:09:26,160 --> 00:09:31,470 +the cornea وهذا myopic astigmatismيبقى conical + +93 +00:09:31,470 --> 00:09:36,250 +cornea في بعض الناس بيسمع كيراتايتس inflammation + +94 +00:09:36,250 --> 00:09:44,550 +في سطح القنانية كيراتايتس كيرا تايتس + +95 +00:09:44,550 --> 00:09:50,970 +كيرا تايتس التهاب trauma بتاعة القنانية مع + +96 +00:09:50,970 --> 00:09:58,530 +الابتليام طبعا في ناس بيسمع conial ulcer قرحة في + +97 +00:09:58,530 --> 00:10:06,120 +سطح القنانيةطبعا لما الكورنيا بيبدأ فيها ال ulcer + +98 +00:10:06,120 --> 00:10:12,480 +قد يكون Epithelial و قد يمتد إلى Stroma لو ممتد + +99 +00:10:12,480 --> 00:10:16,580 +إلى Stroma و أخد معاه ال Bowmans Membrane بعد تحت + +100 +00:10:16,580 --> 00:10:18,820 +ال Epithelial فيه Bowmans Membrane احنا أخدنا ال + +101 +00:10:18,820 --> 00:10:23,580 +Bowmans Membrane if damaged او once damaged there + +102 +00:10:23,580 --> 00:10:31,540 +is no regeneration but the healing iswith scar، + +103 +00:10:31,540 --> 00:10:39,500 +scar يعني اليأث، نتبة يعني قرنية صابها ulcer و ال + +104 +00:10:39,500 --> 00:10:44,020 +ulcer ديب و علجناه لمدة شهر او شهرين او تلاتة + +105 +00:10:44,020 --> 00:10:48,900 +بكافة العلاجات سواء viral, antiviral او + +106 +00:10:48,900 --> 00:10:53,420 +antibacterial او antivagal و في الآخر صارله ايش + +107 +00:10:53,420 --> 00:11:05,320 +healingيعني إيش التأم مش هيلتأم بال same cells لأ + +108 +00:11:05,320 --> 00:11:10,680 +هيدي scar عليها هل ال curvature بتاع القرنية هذا + +109 +00:11:10,680 --> 00:11:18,160 +هيكون سليم زي أول لأ لأ لأ لأ أقل شي هيكون معاه + +110 +00:11:18,160 --> 00:11:24,540 +five or six or seven cylinder ده يبتر cylinder + +111 +00:11:27,710 --> 00:11:31,290 +لكن إذا كان الناتبه هذه اليقومة كانت في ال center + +112 +00:11:31,290 --> 00:11:38,150 +لأ هيعمل عمل لكن إن كان في ال periphery هتعمل ال + +113 +00:11:38,150 --> 00:11:41,650 +astigmatism لكن في ال center هيكون astigmatism + +114 +00:11:41,650 --> 00:11:46,510 +with a blocking of the visual axis of the eye ال + +115 +00:11:46,510 --> 00:11:50,750 +visual axis هيضيع مني لو كان في ال center of الكون + +116 +00:11:53,190 --> 00:11:57,030 +يبقى هاي الـ corneal ulcer وقولنا منه أنواع فيه + +117 +00:11:57,030 --> 00:12:02,830 +منه bacterial و ال most common هو و فيه منه viral + +118 +00:12:02,830 --> 00:12:07,330 +خاصة herpes simplex .. herpes simplex keratitis و + +119 +00:12:07,330 --> 00:12:13,190 +فيه fungal زي ال .. ال amoebic اللي هو corneal + +120 +00:12:13,190 --> 00:12:18,390 +اللي هو ulcer أو abscess يبقى أي واحد من التلاتة + +121 +00:12:18,390 --> 00:12:25,050 +يُعتبر disease بما ال acquiredacquired astigmatism + +122 +00:12:25,050 --> 00:12:32,690 +السبب التاني traumatic astigmatism بصابات وهذا + +123 +00:12:32,690 --> 00:12:43,010 +أرضة خاصة الأطفال طفل بيلعب pencil fork بالبيكار + +124 +00:12:43,010 --> 00:12:46,330 +knife + +125 +00:12:46,330 --> 00:12:54,920 +شوكة سكينة قلماه ماعز .. بشفت القرن يعني و يعني + +126 +00:12:54,920 --> 00:12:58,800 +احنا مرت علينا أشياء زي هذه اسمها traumatic إصابات + +127 +00:12:58,800 --> 00:13:07,600 +يعني wound are كونه يعني تير ماقودش تير تير مش تير + +128 +00:13:07,600 --> 00:13:13,400 +تير دموع و تير مزق مع أنه نفس ال spelling بس ال + +129 +00:13:13,400 --> 00:13:20,320 +تير رايحين على مزق و تير دموعأه tear of the cornea + +130 +00:13:20,320 --> 00:13:25,140 +may bring about the same result كل الإصابات يعني + +131 +00:13:25,140 --> 00:13:32,020 +طفل بيلعب في جلمه مش ماخد باله بس يعني مجرد مقطع + +132 +00:13:32,020 --> 00:13:37,720 +القرنية قطعة صغيرة وحتى لو ماحتاجت إلى غرز ولا + +133 +00:13:37,720 --> 00:13:43,160 +حاجة وعملت healing لانباومز ال brain في النقطة دي + +134 +00:13:43,160 --> 00:13:50,010 +ضاعهذه السكانة ما دخلتش جوه لسه بس Korean ودخلت + +135 +00:13:50,010 --> 00:13:52,510 +على ال bombers من براين اللي هي اللي هيكون بإيش؟ + +136 +00:13:52,510 --> 00:13:58,270 +بندمة إلا ما سطح القرانية يصير في irregularity + +137 +00:13:58,270 --> 00:14:06,590 +درجة صغيرة مش هيعود يكون regular خلاص هي + +138 +00:14:06,590 --> 00:14:14,290 +همشى من هيك إنه إيش؟ إنه يكون القطع يعني آسف يكون + +139 +00:14:14,290 --> 00:14:20,830 +القطع مثلا هيكبدل اكيواس يطلع من القرنية لما تكون + +140 +00:14:20,830 --> 00:14:26,710 +perforated wound مثلا بشيء حاد حيبدل اكيواس يطلع + +141 +00:14:26,710 --> 00:14:30,470 +برا يروح المستشفى على طول بيقولك اه والله هذا + +142 +00:14:30,470 --> 00:14:36,150 +Santi هنعمله three stitches تلت غرس صغيرة على ال + +143 +00:14:36,150 --> 00:14:43,910 +microscope طبعا اهله فرحه انه تغرس ويمكن + +144 +00:14:45,360 --> 00:14:50,800 +السيرجون فرح انه غرز لكن optometrist ماكانش مرتاح + +145 +00:14:50,800 --> 00:14:57,360 +ليش؟ optometrist هو بتاع ال vision الجراح عمل + +146 +00:14:57,360 --> 00:15:02,680 +stitches و روح خلاص كتب علاج و بعد هيك بعد شهرين + +147 +00:15:02,680 --> 00:15:06,940 +تلاتة بالفكر غرز مع السلامة و بعدين هذا عمله + +148 +00:15:06,940 --> 00:15:12,460 +الجارح الصغير ابو تلات غرز عمله اقل اشيfive DC + +149 +00:15:12,460 --> 00:15:20,040 +cylinder دوبتر سيلندر حط + +150 +00:15:20,040 --> 00:15:24,500 +كل النظارات بيجيبوش six ستة ع ستة بده hard contact + +151 +00:15:24,500 --> 00:15:30,440 +lens شافين كيف حادثة صغيرة إيش عملت في مستقبل هذا + +152 +00:15:30,440 --> 00:15:38,810 +الطفل أو الطفلة هذا traumatic طيب surgicalلأ لما + +153 +00:15:38,810 --> 00:15:44,530 +تكون عملية جراحية داخل العين بتكون intended + +154 +00:15:44,530 --> 00:15:48,730 +intended يعني مخطط لها اللهم صلى الله عليه و سلم + +155 +00:15:48,730 --> 00:15:54,330 +عملية intended مخطط لها أكتر عملية في العين بتنعمل + +156 +00:15:54,330 --> 00:15:58,810 +internationally هي ال cataract extraction cataract + +157 +00:15:58,810 --> 00:16:03,310 +extraction طيب هنوريكم مثال لل cataract extraction + +158 +00:16:03,310 --> 00:16:11,790 +ييجي الجراحهنا في ال limbus upper limbus يعمل + +159 +00:16:11,790 --> 00:16:20,090 +incision مش incision جارح قطي الآن بعد ال incision + +160 +00:16:20,090 --> 00:16:26,110 +هذا هو بده يفتح القنانية و يجيبها إلى الأمام برا + +161 +00:16:26,110 --> 00:16:35,030 +شوية عشان يفتح ا gap يدخل منه او يدخل منه ال lens + +162 +00:16:36,530 --> 00:16:40,990 +طبعا ال pupil بيكون fully dilated بيعمل هو + +163 +00:16:40,990 --> 00:16:48,830 +capsulohexes لسطح ال interior capsule و بيبدأ هو + +164 +00:16:48,830 --> 00:16:55,870 +يتعامل مع ال cortex و مع nucleus of the lens طبعا + +165 +00:16:55,870 --> 00:17:03,970 +المجرحات الحديثة فييعني FACO immersification بروب + +166 +00:17:03,970 --> 00:17:12,150 +زي أنبوب قلم الجهاز بيدخل و بيعمل fragmentation ل + +167 +00:17:12,150 --> 00:17:17,390 +ال matter of the lens fragmentation تكسير و بعدين + +168 +00:17:17,390 --> 00:17:24,310 +بيعمل suction نفس الجهاز بيعمل suction بفضلي ال + +169 +00:17:24,310 --> 00:17:31,040 +capsular bagيعني بس هو أخد من ال anterior capsule + +170 +00:17:31,040 --> 00:17:36,740 +الحتة هذه و ساب كل ال posterior capsule زي ما هي و + +171 +00:17:36,740 --> 00:17:39,760 +ال zanioles اللي متصلة بالcellary muscle زي ما هي + +172 +00:17:39,760 --> 00:17:46,440 +مامساش بسوء الحمد لله بس فضأ المحفظة كيف المحفظة + +173 +00:17:46,440 --> 00:17:52,360 +بتاعتنا لما نفضيها فاضية فضأ المحفظة استعدادا + +174 +00:17:52,360 --> 00:18:00,900 +ليزرع هنا intraocular lensimplantation لها haptics + +175 +00:18:00,900 --> 00:18:04,920 +و optics الأقدام اسمها haptics والجزء اللى في + +176 +00:18:04,920 --> 00:18:10,280 +الوسط هذا اسمه optics الجزء اللى بيعمل انكسار ضوء + +177 +00:18:10,280 --> 00:18:17,460 +لان لعينتي لان مافيش مشكلة المشكلة وين لما بدنا + +178 +00:18:17,460 --> 00:18:23,600 +نعمل repair ليه ال corneal incision تصور كل عملية + +179 +00:18:23,600 --> 00:18:30,130 +ماعملتليمشاكل من ناحية الـ Refraction لأن الـ + +180 +00:18:30,130 --> 00:18:36,550 +Implanted Lens هي ال .. ال power بتاعتها معروفة + +181 +00:18:36,550 --> 00:18:41,190 +يعني في جهاز بيجيسها بيعمل calculation قبل العملية + +182 +00:18:41,190 --> 00:18:45,730 +بيقول مثلا عايز 19 عايز 20 عايز 21 حسب + +183 +00:18:47,810 --> 00:18:52,150 +الان وين المشكلة؟ لما بدو زرع العدسة هنا في ال + +184 +00:18:52,150 --> 00:18:57,010 +posterior chamber و بده يعمل repair يعني تخيط جرزة + +185 +00:18:57,010 --> 00:19:08,770 +نين تلاتة اربع خمسة ستة طبعا اي suture اسمه بده + +186 +00:19:08,770 --> 00:19:15,310 +انه من ان يكون tight ال ligation ربط بتاعه يكون + +187 +00:19:15,310 --> 00:19:20,190 +tightبعرفش أنتوا بتنارسوا الخياطة العادية في + +188 +00:19:20,190 --> 00:19:25,050 +القماش ولا لأ؟ مافيش واحد اللي عنده إمرأة بخير، آه + +189 +00:19:25,050 --> 00:19:29,310 +الغرزة، بنفع الغرزة أعملها مرة هيك و بس؟ ولا + +190 +00:19:29,310 --> 00:19:34,950 +أربطها رابطة، اتنين، تلاتة، و فيه بعملها خمسة، آه، + +191 +00:19:34,950 --> 00:19:40,170 +يعني حسب آه، بربط و بممكن، حتى في خياطة الجروح، + +192 +00:19:40,170 --> 00:19:44,130 +بنفعش أعملها مرة و قولوا لأ، بتفك، آه لازم أمنها + +193 +00:19:44,130 --> 00:19:50,380 +بتلاتة، و الوتر أحسن من إيش؟ الشفعالوتر انا يعني + +194 +00:19:50,380 --> 00:19:58,140 +علمت انه صلاة الوتر اعلى من السنة هي ليست فرضا + +195 +00:19:58,140 --> 00:20:04,620 +وليست سنة هي اقل اهمية من الفرض لكن اكتر اهمية من + +196 +00:20:04,620 --> 00:20:11,240 +السنة عشان هيك الوتر لا يسقط في السفر في السفر + +197 +00:20:11,240 --> 00:20:19,260 +الوتر لا يسقط السنة تسقط والفرض قد يقصرلكن الوطر + +198 +00:20:19,260 --> 00:20:25,180 +لا يصبت لأن الوطر أعلى من السنة هو يعني أقل من + +199 +00:20:25,180 --> 00:20:32,040 +الفرض و أهم من السنة إن الله وطر يحب الوطر المهم + +200 +00:20:32,040 --> 00:20:40,380 +لما عمل ستة أو خمسة أو سبعة stitches غرزهم في ال + +201 +00:20:40,380 --> 00:20:45,060 +limbus و ده كعنية طبعا هذا عمله high astigmatism + +202 +00:20:46,500 --> 00:20:51,880 +لما تتصوروا أنه سطح القرنية كيف هو سيابي و regular + +203 +00:20:51,880 --> 00:20:58,140 +و كيف لما أنا قاعدي أخيط فيه و أشده الجراح بيكون + +204 +00:20:58,140 --> 00:21:08,560 +همه أنه يعمل نوع من ال tightوال safe ويأمن ان + +205 +00:21:08,560 --> 00:21:14,520 +مافيش leak of aqueous مافيش leak؟ مافيش تسرب لل + +206 +00:21:14,520 --> 00:21:18,900 +aqueous من ال AC إلى ال outside ومافيش أي خطر + +207 +00:21:18,900 --> 00:21:25,500 +لدخول microorganisms من ال surface إلى الداخل يعني + +208 +00:21:25,500 --> 00:21:29,790 +لو ده .. لو .. لو في أي فتحة صغيرةيعني اتصال بين + +209 +00:21:29,790 --> 00:21:34,810 +جوا ال AC و برا ممكن جدا انه ال aqueous يطلع برا و + +210 +00:21:34,810 --> 00:21:38,770 +هذا خطر شديد لأنه ال aqueous هو اللي بيعمل ال + +211 +00:21:38,770 --> 00:21:44,630 +intra-aquary pressure لو ال aqueous فضل ينزل يعني + +212 +00:21:44,630 --> 00:21:49,070 +دقت العنحة ينزل و العنحة سيلها collapse عارفين ال + +213 +00:21:49,070 --> 00:21:53,350 +collapse؟ البلون بنفخه بهواء لو طلعنا ال هواء منه + +214 +00:21:53,350 --> 00:21:56,290 +شوية شوية شوية شوية بقولوا ايش؟ صار ال collapse + +215 +00:21:56,290 --> 00:22:01,100 +نفس يعنيو العين لو طلب منها ال .. ال aqueous شوية + +216 +00:22:01,100 --> 00:22:05,100 +شوية شوية شوية بدون ما نعلم ممكن يصير للعين إيش + +217 +00:22:05,100 --> 00:22:12,260 +pull ups خطير كمان اتصال ال interior chamber + +218 +00:22:12,260 --> 00:22:19,680 +بالخارج ممكن يدخل لإيش ميكروبات خاصة البكتيرياسطح + +219 +00:22:19,680 --> 00:22:24,260 +العين هذا الجفون و الملتحمة هذه كثير فيها من + +220 +00:22:24,260 --> 00:22:30,320 +الميكروبات المتعايشة commensals commensals or + +221 +00:22:30,320 --> 00:22:35,280 +flora bacterial flora عايشة متعايشة لكن اذا دخلت + +222 +00:22:35,280 --> 00:22:40,300 +جوا بصير viral land اندخلت لأنه مش بقتها بصير شرسة + +223 +00:22:40,300 --> 00:22:45,640 +وممكن تعملي endophthalmitis endo .. عارفين ال + +224 +00:22:45,640 --> 00:22:46,420 +endophthalmitis + +225 +00:22:48,760 --> 00:22:54,200 +التهاب داخل العين وهذا ممكن انه يعدم العين كلها + +226 +00:22:54,200 --> 00:23:03,600 +Endothalmitis العين تصير bag of pus bag of pus ولو + +227 +00:23:03,600 --> 00:23:09,030 +صار الحادث الأليم هذا معناهإن العين كلها هتنجرف + +228 +00:23:09,030 --> 00:23:12,990 +إلى الخارج في عمل اسم اسمها evacuation evacuation + +229 +00:23:12,990 --> 00:23:18,290 +كيف المعلجة تتفضى بالمعلجة العين تتفضى كل العين + +230 +00:23:18,290 --> 00:23:23,290 +تعمل اسم evacuation loss of the eye طيب يبقى هو + +231 +00:23:23,290 --> 00:23:31,850 +السيرجون قصده أنه يعمل safe sutures ورزة اتنين + +232 +00:23:31,850 --> 00:23:39,210 +تلاتة اربع ويشد تلاتة اربع مرات على كل واحدةو أمن + +233 +00:23:39,210 --> 00:23:45,530 +و بحط antibiotic و عمل patching اه و لزجها و الحمد + +234 +00:23:45,530 --> 00:23:49,750 +لله العملية كويسة بيجي تاني يوم بفك عن عينه بوريه + +235 +00:23:49,750 --> 00:23:53,710 +chart اه بشوف والله ستة ع ستة و تلاتين ستة ع اربع + +236 +00:23:53,710 --> 00:23:59,430 +و عشرين بوزروا حلو الناس و تمام و بعدين بياخد علاج + +237 +00:23:59,430 --> 00:24:02,310 +سبعين تلاتة و مع السلامة بيجي دور مين دور ال + +238 +00:24:02,310 --> 00:24:04,370 +ultimate risk بناجي high stigma test + +239 +00:24:08,680 --> 00:24:14,600 +طبعا بعد شهرين أو تلاتة بيبدأ يفك الغرز يعني نوعا + +240 +00:24:14,600 --> 00:24:20,700 +ما القنية بتريح شوية لكن ماتصيرش إمتروم minus two + +241 +00:24:20,700 --> 00:24:26,520 +minus three حسب لإن الجرّاه هو بخيط ماكانش مع حساب + +242 +00:24:26,520 --> 00:24:30,540 +إلكتروني على الكمبيوتر كام سنة من الastigmatism + +243 +00:24:30,540 --> 00:24:38,320 +اللي بدفع التمن العيان والمعالج من البصرياتلأنه في + +244 +00:24:38,320 --> 00:24:45,280 +الآخر الastigmatism هذا بده سيلندر، بده نضارة أو + +245 +00:24:45,280 --> 00:24:49,740 +بده contact lens الآن اتجهوا في العلم الحديث، في + +246 +00:24:49,740 --> 00:24:54,080 +الجراحات الحديثة، لأ، لأنه مايعملوش incision قطع + +247 +00:24:54,080 --> 00:25:00,480 +في القرنية، لأ، يعملوا sclera، ييجي ال sclera من + +248 +00:25:00,480 --> 00:25:07,260 +هنا، يفتح فتحة صغيرة، ويخش ب tunnel هيك + +249 +00:25:09,620 --> 00:25:15,840 +داخل ال AC من فوق بيقولوا half thickness scleral + +250 +00:25:15,840 --> 00:25:22,160 +tunnel في نص scleral نص sclera يعني thickness مش + +251 +00:25:22,160 --> 00:25:26,700 +sclera حوالي واحد مليمتر يعني هو يفتح ايه وينزل في + +252 +00:25:26,700 --> 00:25:31,140 +نص sclera شوية شوية يعني حوالي سانتي بيكون دخل في + +253 +00:25:31,140 --> 00:25:37,500 +ال AC عمل bypass لل Limbus ما صابوش ال Limbus ما + +254 +00:25:37,500 --> 00:25:46,700 +خسوشوعمل عملية من فوق شال وزرع وطلع وعمل غرزتين في + +255 +00:25:46,700 --> 00:25:51,360 +اسكليرة من فوق Spearing + +256 +00:25:51,360 --> 00:26:01,580 +ده كورنية عفى الكورنية من الastigmatism عفاها + +257 +00:26:01,580 --> 00:26:07,000 +من أن يكون فيها تجعيد كرمشة احنا في البلد بيقول + +258 +00:26:07,000 --> 00:26:14,190 +مكرمشصح؟ مش مكرمش لإنه إيجي من فوق ت معيد شوية + +259 +00:26:14,190 --> 00:26:22,450 +شوية وهالج الوضع نعم طبعا انا شخصيا اه عملت trans + +260 +00:26:22,450 --> 00:26:29,510 +plural عديد من المرات صحيح طيب كمان أسباب لل + +261 +00:26:29,510 --> 00:26:36,390 +acquired astigmatism تورم الجفون وانا بدأ أريكم + +262 +00:26:36,390 --> 00:26:41,360 +مثال تورم الجفونبعرفش انا لو الإضاءة هذه تكون أخفت + +263 +00:26:41,360 --> 00:26:45,940 +شوية شايفين هنا ال .. شايفين؟ شايفين؟ شايفين؟ + +264 +00:26:45,940 --> 00:26:48,820 +شايفين؟ علموا هذا كله عندكوا على الكمبيوتر الفلاش + +265 +00:26:48,820 --> 00:26:54,120 +أخدتوه من أول فصل عشان أنا .. الآن لو واحد طالعله + +266 +00:26:54,120 --> 00:26:59,160 +كيس ذهني ملتهب خاصة في ال upper eyelid و ال upper + +267 +00:26:59,160 --> 00:27:08,150 +eyelid صار تقيلوارم و Red في Pass طبعا هيضرط على + +268 +00:27:08,150 --> 00:27:14,390 +القرنية الواحد هسير مش شافه كويس بعينه مش شافه + +269 +00:27:14,390 --> 00:27:20,050 +كويس فترة الى ان يعالج و يزال السبب لكن اخطر من + +270 +00:27:20,050 --> 00:27:25,690 +ذلك ان اذا كان ال lid صاب نيوبلازم اقصد بيه سرطان + +271 +00:27:25,690 --> 00:27:32,880 +tumor سرطان طب ان هال tumorprogressive growth كل + +272 +00:27:32,880 --> 00:27:40,840 +يوم بيرمو كمان في ال LED و بيضغط على الكورنية تقع + +273 +00:27:40,840 --> 00:27:44,020 +تصير لعينها استيجماتيكي هذا اسمه mechanical + +274 +00:27:44,020 --> 00:27:51,080 +astigmatism اش يعني ايه؟ ميكانيكي من الوزن يعني + +275 +00:27:51,080 --> 00:27:54,980 +mechanical astigmatism مثال ال mechanical + +276 +00:27:54,980 --> 00:28:02,190 +astigmatism الآن انتوا هتعملوه testأه انت هتغطي + +277 +00:28:02,190 --> 00:28:06,510 +عين و العين التانية هتغطي تحت كيك عليها بأصبع ب + +278 +00:28:06,510 --> 00:28:13,410 +your finger تغطي عين تغطي على أسفل العين بال + +279 +00:28:13,410 --> 00:28:18,170 +finger و شوفولي إيش بتشوفوا هنا شوفوا إيش اللي + +280 +00:28:18,170 --> 00:28:25,950 +بصير ايوة تغطي عين و تغطي على أسفل العين بالأصبع + +281 +00:28:25,950 --> 00:28:31,600 +بال finger كمان أكتر أكتر شوف إيش بصيرblurring + +282 +00:28:31,600 --> 00:28:36,540 +بيصير diplopia or + +283 +00:28:36,540 --> 00:28:46,300 +polyopia مش بس صورة عدة صور عدة + +284 +00:28:46,300 --> 00:28:53,260 +صور شوف الكلام كيف صار مفرج كويس + +285 +00:28:53,260 --> 00:28:58,430 +ال test شوفي عدة صور حتى مش صورة واحدةيبقى هذا + +286 +00:28:58,430 --> 00:29:03,370 +transient هذا مؤقت لأنه finger pressure on the eye + +287 +00:29:03,370 --> 00:29:08,170 +هذا astigmatism عشان انت تعيشي بشعور كيف ال + +288 +00:29:08,170 --> 00:29:11,150 +astigmatic عايش عايش بالصورة هذه ال high + +289 +00:29:11,150 --> 00:29:19,890 +astigmatism في أحيانا في مرض اسمه blepharospasm في + +290 +00:29:19,890 --> 00:29:24,310 +في ال .. في ال led three types of muscles هذه لسبب + +291 +00:29:25,700 --> 00:29:30,100 +عصبي أو نفسي أو شي بصيبها spasm بقول liver و spasm + +292 +00:29:30,100 --> 00:29:35,680 +لو ال upper lid و ال eyelid ال muscles فيهم عملت + +293 +00:29:35,680 --> 00:29:40,780 +spasm بيضغطوا على سطح العين بصير شوف زي انت بشوف + +294 +00:29:40,780 --> 00:29:46,480 +ايه لما تضغطي بالأصابع انه انه علاج السبب بيصير + +295 +00:29:46,480 --> 00:29:52,020 +relaxation of the eyelids بيحاول دي رجعتها في شي + +296 +00:29:52,020 --> 00:29:52,920 +أخطر أحيانا + +297 +00:29:56,050 --> 00:30:01,530 +extraocular muscle spasm spasm of the whole + +298 +00:30:01,530 --> 00:30:08,670 +extraocular muscles or some of them يعني ممكن جدا + +299 +00:30:08,670 --> 00:30:15,690 +ال obliques لسبب ما يعملوا spasm او recti + +300 +00:30:15,690 --> 00:30:21,890 +المستقيمات muscles الأربع يعملوا spasm انتوا + +301 +00:30:21,890 --> 00:30:23,310 +جربتوا عمركم ما يسمى muscle spasm + +302 +00:30:26,620 --> 00:30:30,400 +إلا أنك جربت مثلًا الـ Spy game في واحد أحمق بيجي + +303 +00:30:30,400 --> 00:30:31,740 +من النوم العضل + diff --git a/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/rIf5dYJ_gnQ.srt b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/rIf5dYJ_gnQ.srt new file mode 100644 index 0000000000000000000000000000000000000000..887eb43cc4dc3f308b57c1c132211cc5dd486580 --- /dev/null +++ b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/rIf5dYJ_gnQ.srt @@ -0,0 +1,2851 @@ +1 +00:00:00,000 --> 00:00:01,100 +موسيقى + +2 +00:00:20,870 --> 00:00:23,690 +أعوذ بالله من الشيطان الرجيم بسم الله الرحمن + +3 +00:00:23,690 --> 00:00:26,330 +الرحيم الحمد لله رب العالمين وأصلي وأسلم على النبي + +4 +00:00:26,330 --> 00:00:29,470 +الأمين وعلى آله وأصحابه والتابعين بسم الله الرحمن + +5 +00:00:29,470 --> 00:00:32,350 +الرحيم إحنا اليوم إن شاء الله هنكمل ما كنا قد + +6 +00:00:32,350 --> 00:00:40,170 +بدأنا في مايوبيا مايوبيا سبق أن قسمناها according + +7 +00:00:40,170 --> 00:00:45,750 +to types according to cause + +8 +00:00:48,850 --> 00:00:56,190 +Cause of myopia كانت إما axial وإما curvature أو + +9 +00:00:56,190 --> 00:01:02,210 +index يبقى لو قلنا classify the myopia according + +10 +00:01:02,210 --> 00:01:09,650 +to causes أو etiology هتذكر ثلاث أنواعها الآن هنكمل + +11 +00:01:09,650 --> 00:01:14,170 +الـ etiology of axial myopia يعني شوف الـ axial + +12 +00:01:14,170 --> 00:01:30,040 +myopia ما هو السبب بتاعها؟ المايوپيا قد أخذت وقتًا + +13 +00:01:30,040 --> 00:01:35,360 +في المناظرات والاختلافات والرد والرد عليه يعني + +14 +00:01:35,360 --> 00:01:43,380 +الوضع ما كانش مختلف في حقيقة ثابتة بعض الناس + +15 +00:01:43,380 --> 00:01:51,810 +بيقولوا أن الـ مايوبيا هنجسمها إلى فرعين كبيرين الفرع + +16 +00:01:51,810 --> 00:01:56,670 +الأول physiological والفرع الثاني pathological + +17 +00:01:56,670 --> 00:02:00,050 +physiological + +18 +00:02:00,050 --> 00:02:05,130 +myopia في ناس بيسموها simple myopia less than 6 + +19 +00:02:05,130 --> 00:02:10,390 +diopters myopia أقل من 6 diopters بيعتبرها + +20 +00:02:10,390 --> 00:02:18,350 +physiological what physiology اختلاف بين البشر في + +21 +00:02:18,350 --> 00:02:21,790 +الـ refraction بتاع العين وفي حجم العين كما + +22 +00:02:21,790 --> 00:02:31,650 +الاختلاف في اللون في الطول في الذكاء في الشجاعة في + +23 +00:02:31,650 --> 00:02:37,810 +يعني ميول أخرى صفات يعني اللي عنده myopia one + +24 +00:02:37,810 --> 00:02:42,240 +myopia two myopia three يعني for هي هما يختلفوا عن + +25 +00:02:42,240 --> 00:02:47,660 +بعض فهم بيقولوا يعني هو يعني تغير في physiological في + +26 +00:02:47,660 --> 00:02:51,700 +حدود المعقول يعني واحد طوله مثلا 108 + +27 +00:02:51,700 --> 00:02:56,440 +سنتيمتر واحد طوله 175 170 لأن + +28 +00:02:56,440 --> 00:03:00,700 +مثلا 160 155 أخرى فيه لو + +29 +00:03:00,700 --> 00:03:03,900 +واحد adult أطول من 155 بيكون مش في + +30 +00:03:03,900 --> 00:03:08,160 +الـ physiological لو واحد طويل فوق الـ 190 لأ مش physiology + +31 +00:03:08,160 --> 00:03:12,740 +يعني في حاجة معينة في حاجة هرمونية أو شيء وهنا + +32 +00:03:12,740 --> 00:03:19,580 +up to 6 diopters هنعتبرها إيش normal يبقى عشان + +33 +00:03:19,580 --> 00:03:23,920 +هيك بيقول لك physiological variance تنوع physiological + +34 +00:03:23,920 --> 00:03:27,660 +of the normal such as rare found in large number + +35 +00:03:27,660 --> 00:03:33,210 +of population بين اللي هو فئة المجتمع الآخر كثير في + +36 +00:03:33,210 --> 00:03:37,610 +اختلافات فسيولوجية في أشياء أخرى this we refer to + +37 +00:03:37,610 --> 00:03:42,050 +as simple myopia up to six يبقى هذا فسيولوجي عملية + +38 +00:03:42,050 --> 00:03:46,190 +فسيولوجية مش مرض يعني في بعض الناس يحلوا لهم أنه + +39 +00:03:46,190 --> 00:03:51,130 +يعملوا subdivision تقسيمات فرعية يقولوا + +40 +00:03:51,130 --> 00:03:55,210 +physiological and intermediate بعض الناس بس يقول لك + +41 +00:03:55,210 --> 00:04:01,500 +يعني من واحد لأربعة فسيولوجي من أربعة إلى مثلا سبعة + +42 +00:04:01,500 --> 00:04:07,660 +intermediate متوسطة ممكن بس مافيش اتفاق على ذلك + +43 +00:04:07,660 --> 00:04:15,680 +إنما في اتفاق علينه أقل من ستة في السنة النوع + +44 +00:04:15,680 --> 00:04:22,420 +الثاني هو pathological وهو المرضي هو الخطير الـ + +45 +00:04:22,420 --> 00:04:24,760 +pathological يختلف عن physiological لأنه + +46 +00:04:24,760 --> 00:04:32,450 +progressive إيش progressive؟ يتقدم بزيادة و whereas + +47 +00:04:32,450 --> 00:04:35,410 +pathological myopia may increase to such a degree + +48 +00:04:35,410 --> 00:04:38,990 +that it is considered as a medial entity on its + +49 +00:04:38,990 --> 00:04:43,950 +own يعني هو موضوع طبي في حد ذاته لما يقول + +50 +00:04:43,950 --> 00:04:50,750 +pathological myopia up to twenty to twenty five + +51 +00:04:50,750 --> 00:04:52,570 +diopters + +52 +00:04:56,120 --> 00:05:00,820 +ممكن 20 أكثر من 20 حتى تصل 20 يعني أنا شفت فوق + +53 +00:05:00,820 --> 00:05:08,340 +العشرين أكثر مرة اه up to 22 23 شفت حالتها هي طبعًا + +54 +00:05:08,340 --> 00:05:16,620 +مرضية طيب الآن في الـ pathological هنتكلم يعني إيش + +55 +00:05:16,620 --> 00:05:20,880 +الأسباب etiology و pathological حقيقة أيضًا في + +56 +00:05:20,880 --> 00:05:26,640 +الأسباب في اختلاف لكن في ثلاث أسباب منطقية ممكن + +57 +00:05:26,640 --> 00:05:31,340 +تتناقش السبب الأول weakness of the sclera إيش يعني + +58 +00:05:31,340 --> 00:05:36,600 +ضعف الـ sclera لأن الـ sclera هي الإطار الخارجي + +59 +00:05:36,600 --> 00:05:40,640 +للعين فإذا كان الإطار الخارجي للعين ضعيفًا والعين + +60 +00:05:40,640 --> 00:05:44,360 +فيها pressure معين intraocular pressure طبعًا الـ + +61 +00:05:44,360 --> 00:05:49,160 +intraocular pressure وين اتجاهته على جدار sclera + +62 +00:05:49,160 --> 00:05:54,300 +فوق وتحت ووراها فإذا كانت Sclera ضعيفة ممكن + +63 +00:05:54,300 --> 00:06:00,200 +تتمدد هذا سبب السبب الثاني rapid marked retinal + +64 +00:06:00,200 --> 00:06:05,720 +growth في بعض الناس إن الشبكية بعد الولادة بتمشي + +65 +00:06:05,720 --> 00:06:10,200 +سريعًا تضاعف الـ surface area بتاعتها بعد ما كانت + +66 +00:06:10,200 --> 00:06:14,960 +صغيرة تبدأ تكبر تكبر تكبر تنمو بسرعة تضغط على + +67 +00:06:14,960 --> 00:06:21,330 +Sclera وتحاول تزيد أبعاد العين وحجم العين هي سبب + +68 +00:06:21,330 --> 00:06:27,450 +المرض وهذا يعني ما يصير يعني في واحد على 10 آلاف + +69 +00:06:27,450 --> 00:06:32,450 +أو أكثر من الـ population بيقولوا لكن الحقيقة أن + +70 +00:06:32,450 --> 00:06:36,350 +السبب الثالث شايفين قاع العين كيف في الـ high + +71 +00:06:36,350 --> 00:06:41,150 +myopia بيقولوا أن السبب الثالث شئنا أم أبينا أن الـ + +72 +00:06:41,150 --> 00:06:49,600 +heredity الوراثة تلعب الدور الحاسم الآن هنتكلم في + +73 +00:06:49,600 --> 00:06:54,380 +أسباب البيولوجيك المايوپيا على صعيد scleral + +74 +00:06:54,380 --> 00:07:01,540 +weakness و overgrowth of retina heredity ثلاث أسباب + +75 +00:07:01,540 --> 00:07:08,940 +وهذا موضوع مهم جدًا يقول أن الـ weakness of sclera + +76 +00:07:08,940 --> 00:07:15,320 +لا يستطيع to withstand the intraocular pressure زي + +77 +00:07:15,320 --> 00:07:19,960 +ما قلنا يعني هذه الـ sclera هيك وفي intraocular + +78 +00:07:19,960 --> 00:07:25,720 +pressure داخل العين في كافة الاتجاهات طبعًا الـ + +79 +00:07:25,720 --> 00:07:29,580 +normal intraocular pressure زي ما أخذته من 10 + +80 +00:07:29,580 --> 00:07:34,620 +إلى 20 مليمتر زئبق ten to twenty millimeter + +81 +00:07:34,620 --> 00:07:43,540 +millimeter Hg Hg يعني زئبق طيب الآن لما sclera + +82 +00:07:43,540 --> 00:07:49,620 +بتكون thick و strong بيكون فيه balance بين sclera + +83 +00:07:49,620 --> 00:07:53,840 +وبين الـ intraocular pressure وبالتالي حجم العين + +84 +00:07:53,840 --> 00:07:58,100 +هيكون normal زي ما عند الناس معظمهم هيك لكن في + +85 +00:07:58,100 --> 00:08:01,820 +حالة أن الـ intraocular pressure أكثر من اللازم أو + +86 +00:08:01,820 --> 00:08:06,760 +sclera أضعف من اللازم فإنه هذا سيؤدي إلى أن sclera + +87 +00:08:06,760 --> 00:08:12,200 +تبدأ تعمل stretch تتمدد + +88 +00:08:12,200 --> 00:08:17,160 +تتمدد وأكثر stretch بيصير في الـ posterior pole + +89 +00:08:17,160 --> 00:08:21,240 +المنطقة هذه اللي فيها الـ optic disc وفيها الماكولا + +90 +00:08:21,240 --> 00:08:28,860 +والأسف إنه هذه أهم منطقة في الـ retina أهم منطقة + +91 +00:08:28,860 --> 00:08:33,180 +وين رأس العصب البصري وين الماكولا أهم منطقة مين + +92 +00:08:33,180 --> 00:08:36,400 +أهم الـ periphery اللي عند الأطراف لا الـ + +93 +00:08:36,400 --> 00:08:43,560 +center ولا اللي ورا لا الـ center يبقى لا تستطيع الـ + +94 +00:08:43,560 --> 00:08:48,840 +weak sclera الـ thin sclera أن تقاوم الـ intraocular + +95 +00:08:48,840 --> 00:08:53,340 +pressure without giving way بدون أن تتمدد and + +96 +00:08:53,340 --> 00:08:56,900 +stretching تنشد leading to increase diameter of + +97 +00:08:56,900 --> 00:09:02,440 +the eye أبعاد اللي هو العين يزداد خاصة + +98 +00:09:02,440 --> 00:09:06,900 +الـ anteroposterior axis anteroposterior axis اللي هو من + +99 +00:09:06,900 --> 00:09:13,800 +مركز القرنية إلى مركز الشبكية هذا بيزيد كثير وكل + +100 +00:09:13,800 --> 00:09:18,660 +واحد مليمتر زيادة بيُعطي three diopters myopia three + +101 +00:09:18,660 --> 00:09:26,520 +diopters myopia السبب المفترض الثاني rapid and + +102 +00:09:26,520 --> 00:09:33,160 +marked يعني هو سريع وملحوظ كبير retinal growth it + +103 +00:09:33,160 --> 00:09:37,080 +was generally held that the changes in the fundus + +104 +00:09:37,080 --> 00:09:41,700 +were due to this stretching but it seems more + +105 +00:09:41,700 --> 00:09:45,790 +consonant to the retina can exert a profound + +106 +00:09:45,790 --> 00:09:48,390 +stretch with multiple areas of choroidal + +107 +00:09:48,390 --> 00:09:50,870 +degeneration that results in marked irreversible + +108 +00:09:50,870 --> 00:09:57,010 +impairment of visual acuity طيب، الآن يعني لو + +109 +00:09:57,010 --> 00:10:03,250 +أخذنا football الـ football هذا فيه إله إطار داخلي، + +110 +00:10:03,250 --> 00:10:08,190 +أنبوب أو إله إطار خارجي، الجلد، جوه مطاط رابر والخارجي، إيش؟ اللي هو الجلد + +111 +00:10:08,190 --> 00:10:15,480 +الآن لو الـ rubber الداخلي أخد نفس هواء أكثر من اللازم وصار له + +112 +00:10:15,480 --> 00:10:22,560 +extension بتلقائيًا + +113 +00:10:22,560 --> 00:10:26,980 +هيضغط على الخارجي والخارجي هذا هيتمدد إلى حد ثم + +114 +00:10:26,980 --> 00:10:32,520 +يبدأ يتمزق هذه الكرة الآن إطار السيارة لو نفخناها + +115 +00:10:32,520 --> 00:10:38,660 +بزيادة بزيادة بزيادة شيء أهم باين أنه هيتمدد كل + +116 +00:10:38,660 --> 00:10:43,820 +حجم اللي هو الإطار وربما ينفجر البلون اللي بيلعب + +117 +00:10:43,820 --> 00:10:50,060 +فيه الأطفال لو نفخ زيادة عن نفسه ممكن يتمدد و + +118 +00:10:50,060 --> 00:10:54,920 +يتمدد وبعدين يصير very thin وبعدين عرضه أنه يصير + +119 +00:10:54,920 --> 00:10:57,820 +له explosion فالآن في بعض الناس يعني خارج إطار الـ + +120 +00:11:05,180 --> 00:11:11,340 +normality ممكن أن overgrowth of the retina الـ + +121 +00:11:11,340 --> 00:11:14,740 +overgrowth of retina يعني اللي بيقولوا إنه الشبكية + +122 +00:11:14,740 --> 00:11:20,540 +تضاعف الـ surface area بتاعتها في شهور أو في سنوات + +123 +00:11:20,540 --> 00:11:26,100 +في الأطفال بعد الولادة مما يؤدي إلى ضغط من الداخل + +124 +00:11:26,100 --> 00:11:29,740 +للخارج على sclera الـ sclera تتمدد ويصير أبعاد + +125 +00:11:29,740 --> 00:11:34,500 +العين أكبر من اللازم أكبر من اللازم في عملية + +126 +00:11:34,500 --> 00:11:37,100 +pathological myopia ليش الـ myopia الواحد واتنين + +127 +00:11:37,100 --> 00:11:40,040 +وثلاثة وأربعة لأ كلمة myopia فوق الستة + +129 +00:11:44,070 --> 00:11:48,170 +طيب هو بيقول لي في شرح لأن الـ retinal growth .. و + +130 +00:11:48,170 --> 00:11:50,530 +الـ growth .. الـ retinal develops very considerably + +131 +00:11:50,530 --> 00:11:55,590 +بسرعة معتبرة in postnatal life what's postnatal + +132 +00:11:55,590 --> 00:12:01,510 +life؟ after birth prenatal قبل الولادة postnatal + +133 +00:12:01,510 --> 00:12:04,790 +بعد الولادة almost doubling its area surface area + +134 +00:12:04,790 --> 00:12:09,900 +إيش doubling؟ الضعف and it's quite conceivable that + +135 +00:12:09,900 --> 00:12:16,780 +as Voigt contended .. Voigt افترض the axial length + +136 +00:12:16,780 --> 00:12:20,140 +of the eye accommodates itself to this tissue when + +137 +00:12:20,140 --> 00:12:24,560 +the retina grows more rapidly and extensively than + +138 +00:12:24,560 --> 00:12:28,540 +normal أي يتحمل anteroposterior axis عدد كبير في + +139 +00:12:28,540 --> 00:12:30,380 +التمدد however + +140 +00:12:38,410 --> 00:12:42,410 +السكليرة تصبح مطلوبة وأخفّ عن نتائج المايوپيا + +141 +00:12:42,410 --> 00:12:42,550 +البيوبيا البيوبيا البيوبيا البيوبيا البيوبيا + +142 +00:12:42,550 --> 00:12:45,950 +البيوبيا البيوبيا البيوبيا البيوبيا البيوبيا + +143 +00:12:45,950 --> 00:12:50,990 +البيوبيا البيوبيا البيوبيا البيوبيا البيوبيا + +144 +00:12:50,990 --> 00:12:55,390 +البيوبيا البيوبيا البيوبيا البيوبيا البيوبيا + +145 +00:12:55,390 --> 00:12:55,970 +البيوبيا البيوبيا البيوبيا البيوبيا البيوبيا + +146 +00:12:55,970 --> 00:12:59,910 +البيوبيا البيوبيا البيوبيا البيوبيا ال + +147 +00:13:01,950 --> 00:13:09,410 +طبعا الـsclera كل ما تشد لأن الـsclera في الـchildren مش + +148 +00:13:09,410 --> 00:13:14,530 +زي الـothers يعني هي أساسا thin .. thin وممكن + +149 +00:13:14,530 --> 00:13:22,250 +تصير لها stretching تتمدد عشان هيك الـ .. الـ .. الـ + +150 +00:13:22,250 --> 00:13:28,650 +glaucoma من الـchildren بيكون غالبا تنعكس على الـ + +151 +00:13:28,650 --> 00:13:34,580 +corneaالقرنية دائما تزيد في الأطفال عندما تزيد الـ + +152 +00:13:34,580 --> 00:13:37,840 +pressure يعني + +153 +00:13:37,840 --> 00:13:45,320 +حاجة اسمها ophthalmos في كبار السن لأ الدغط كله + +154 +00:13:45,320 --> 00:13:51,280 +يكون ورا على الـoptic disk ويصبح الـoptic disk في + +155 +00:13:51,280 --> 00:13:57,020 +وضع الـdegeneration في كبار السنيعني كبار السن لو + +156 +00:13:57,020 --> 00:14:03,420 +بدأت نحو مجلوكومة مش هيصير حجم العين كبير حجم + +157 +00:14:03,420 --> 00:14:09,200 +العين كبير في الاطفال طيب + +158 +00:14:09,200 --> 00:14:14,060 +الفرضية التالتة أنه السبب شيئنا أما بينه heredity + +159 +00:14:14,060 --> 00:14:18,180 +أنه الـfundus are essentially hereditarily + +160 +00:14:18,180 --> 00:14:21,740 +determined however this may be in addition to the + +161 +00:14:21,740 --> 00:14:26,000 +primary development أو developmental fault يعني + +162 +00:14:26,000 --> 00:14:28,900 +بالإضافة إلى العاملين الأولانيين إن الـsclera + +163 +00:14:28,900 --> 00:14:34,240 +بتكون weak وفيه overgrowth of the retina بيقول لي + +164 +00:14:34,240 --> 00:14:39,140 +الأساس في هذا هو العامل الورافي which may be + +165 +00:14:39,140 --> 00:14:42,080 +postulated in the axial myopia in its higher + +166 +00:14:42,080 --> 00:14:48,260 +degrees high myopia يبقى الآن مالذي يؤدي إلى ضعف + +167 +00:14:48,260 --> 00:14:52,100 +sclera أو overgrowth of the retina بيقول لك هي الـ + +168 +00:14:52,100 --> 00:14:58,370 +heredity طيب في شيء اسمه adjuvant factors of + +169 +00:14:58,370 --> 00:15:03,550 +pathological myopia العوامل المساعدة لقصر .. قصر + +170 +00:15:03,550 --> 00:15:10,410 +النظر المرضي يعني في عوامل مساعدة صحيح أن هو مريض + +171 +00:15:10,410 --> 00:15:14,350 +يعني واحد مريض سكري إحنا عارفين أنه مريض سكري لكن + +172 +00:15:14,350 --> 00:15:18,190 +ما هي العوامل المساعدة أن السكر يظهر منها stress + +173 +00:15:18,190 --> 00:15:28,730 +منها ضعف السكر يكتب منها malnutrition منها يعني + +174 +00:15:28,730 --> 00:15:34,870 +اللي هو psychic disturbance حاجات نفسية شيء بتاع + +175 +00:15:34,870 --> 00:15:38,110 +السكري بيزعل بيطلع السكر بتاعه عالدنيا تانية وأكثر + +176 +00:15:38,110 --> 00:15:44,530 +بيرتاح برجع السكر ينزل من دون علاج مريض الضغط أيضا + +177 +00:15:44,530 --> 00:15:49,030 +في حاجات مساعدة فهي ما هي اللي هو adjuvant factors + +178 +00:15:49,030 --> 00:15:54,820 +of pathological myopia أول شيء physical disability + +179 +00:15:54,820 --> 00:16:08,960 +الوهن الجسماني الوهن + +180 +00:16:08,960 --> 00:16:10,720 +الجسماني الوهن الجسماني الوهن الجسماني الوهن + +181 +00:16:10,720 --> 00:16:10,760 +الجسماني الوهن الجسماني الوهن الجسماني الوهن + +182 +00:16:10,760 --> 00:16:15,780 +الجسماني الوهن الجسماني + +183 +00:16:15,780 --> 00:16:21,170 +الطفولة أكثر ناس بنضحك في يوم الطفولة ما فيش + +184 +00:16:21,170 --> 00:16:27,970 +طعام ما فيه برد ما فيه نوم كويس خوف هجرة نزوح كده + +185 +00:16:27,970 --> 00:16:31,810 +كده كده كده هذه عوامل كلها غير مساعدة تعمل وهن + +186 +00:16:31,810 --> 00:16:39,310 +جسدي وآخر شيء بتوفرك الطعام الجيد الطعام الجيد يبقى + +187 +00:16:39,310 --> 00:16:43,530 +physical debility مع وجود malnutrition سوء تغذية + +188 +00:16:43,530 --> 00:16:52,960 +ووجود chronic diseases أمراض مزمنة، أمراض مزمنة زي + +189 +00:16:52,960 --> 00:16:57,480 +ايش الأمراض المزمنة؟ diabetes mellitus + +190 +00:16:57,480 --> 00:17:04,300 +hypertension cancer أنيميا، + +191 +00:17:04,300 --> 00:17:13,980 +في أمراض مزمنة لا يرجع يعني برؤها طيب في كمان عامل + +192 +00:17:17,690 --> 00:17:23,910 +بيقول market study or close inspection of minute + +193 +00:17:23,910 --> 00:17:28,870 +objects بيقول + +194 +00:17:28,870 --> 00:17:33,650 +في عامل مساعد أن الميوبيا تظهر وتزيد بسرعة طول + +195 +00:17:33,650 --> 00:17:42,510 +القراءة لخطوط صغيرة طول القراءة يعني close work أو + +196 +00:17:42,510 --> 00:17:47,390 +study with inspection of minute objects minute + +197 +00:17:47,390 --> 00:17:52,830 +objects يعني متناهية الصغر أذكر لما كنا طلبة في + +198 +00:17:52,830 --> 00:18:00,550 +مصر كان اتحاد الطلاب مشكورا بيجيب الـtext الأجنبي + +199 +00:18:00,550 --> 00:18:08,710 +وعشان يخفض علينا من 200 دولار لـ20 دولار بيصوروا + +200 +00:18:09,620 --> 00:18:14,500 +طبعة رخيصة يتطلب الشرق الأوسط طبعا الطبعة هذه خطوط + +201 +00:18:14,500 --> 00:18:20,000 +صغيرة يعني حطوا مثلا تلت مجلدات في مجلد طبعها تزغر + +202 +00:18:20,000 --> 00:18:27,640 +الخط بعدين تصوير من تصوير فاهي فينت وإحنا نشتري + +203 +00:18:27,640 --> 00:18:31,000 +الـtext ونشكرهم بالعشرين دولار كويس يعني لكن عند + +204 +00:18:31,000 --> 00:18:36,280 +القراءة ندفع التمن التمن ايش؟ العين إيش تقرأ؟ خط فاهي + +205 +00:18:36,280 --> 00:18:42,620 +وصغير مدمج طول القراءة بالصورة هذه خاصة طلاب + +206 +00:18:42,620 --> 00:18:48,260 +مشتغدين زي طالباتي في قسم البصريات هذا ممكن يطلع + +207 +00:18:48,260 --> 00:18:55,040 +شيء مخبأ أو كان هيتأخر يعجب فيه يخلق ايش؟ يطلع قريب + +208 +00:18:55,040 --> 00:19:02,700 +يعني هي أدري فاكتور تاني في بيقول يقال أن سن + +209 +00:19:02,700 --> 00:19:08,970 +المدرسة هو سن ظهور الميوبيا سن المدرسة يعني الطفل + +210 +00:19:08,970 --> 00:19:13,370 +قبل الست سبع سنوات أو تمام سنوات بيكون لعب في لعب + +211 +00:19:13,370 --> 00:19:17,930 +حياته لما يبدأ يحفظ جدول الضرب ويبدأ يحل الواجب + +212 +00:19:17,930 --> 00:19:23,070 +وينسخ ويبدأ بيقولوا أن هنا .. هنا يعني لو هو عنده + +213 +00:19:23,070 --> 00:19:27,970 +استعداد لليوبيا الظروف هذه اللي بدأ يعيشها بتعجل + +214 +00:19:27,970 --> 00:19:34,770 +في ظهور الميوبيا يعني عامل مساعد عامل مساعدة بيقوله + +215 +00:19:34,770 --> 00:19:42,690 +يعني هذا الطفل نتيجة أنه يعني لا يستطيع أنه يشارك + +216 +00:19:42,690 --> 00:19:49,870 +أقرانه اللعب في الشارع بدأ هو يعني uncorrected + +217 +00:19:49,870 --> 00:19:57,410 +طبعا بدأ أنه يصير يعني بصريا ليس كأقرانه أقل بدأ + +218 +00:19:57,410 --> 00:20:04,010 +أنه to sit and read at home ينطبع نفسه then join + +219 +00:20:04,010 --> 00:20:08,930 +his fellows يسيب أطرابه at play outside في اللعب + +220 +00:20:08,930 --> 00:20:13,810 +الخارج مما يؤدي إلى زيادة الميوبيا لأنه ايش هيمع + +221 +00:20:13,810 --> 00:20:17,030 +في وقته هذا إما على الكمبيوتر أو على الجوال أو على + +222 +00:20:17,030 --> 00:20:22,020 +الكتاب مزيدا من الدراسة والخط الصغير أي ما يقبل + +223 +00:20:22,020 --> 00:20:25,280 +choose preferentially عن occupation which involves + +224 +00:20:25,280 --> 00:20:29,700 +closer حتى الكبير لو بده يعمل أي عمل مكتبي أو + +225 +00:20:29,700 --> 00:20:33,920 +كمبيوتر بدهوش يختار بالناس أصبحت فيه psychic + +226 +00:20:33,920 --> 00:20:41,260 +tendency to sit alone أو work alone ويحب العمل + +227 +00:20:41,260 --> 00:20:48,410 +المنفعي طيب العامل التالت هو حقيقة هذا عامل يعني + +228 +00:20:48,410 --> 00:20:53,030 +فاعل معامل مساعد اللي هو الوراثة الوراثة عامل مهم + +229 +00:20:53,030 --> 00:20:57,130 +جدا life + +230 +00:20:57,130 --> 00:21:00,230 +numbers of those who are exposed to close work in + +231 +00:21:00,230 --> 00:21:02,890 +the most adverse conditions never develop myopia + +232 +00:21:02,890 --> 00:21:08,830 +يعني هو بيقول لي أنه مع احترامنا لرأي العمل القريب + +233 +00:21:08,830 --> 00:21:15,500 +يعني فينا عملوا قريب لسنوات وفي يعني عمالة اللي + +234 +00:21:15,500 --> 00:21:20,260 +بتطلب التطريز والكلام اللي هو صعب هذا بيقول لم + +235 +00:21:20,260 --> 00:21:26,700 +يظهر هذا عليهم إلا إن كان عندهم استعداد ووراثي + +236 +00:21:26,700 --> 00:21:33,240 +يبقى on the whole it would seem certain that the + +237 +00:21:33,240 --> 00:21:35,560 +influence of close work is secondary and + +238 +00:21:35,560 --> 00:21:43,350 +incidental شيء عارض وشيء ثانوي إذا ما قررناه بالـ + +239 +00:21:43,350 --> 00:21:47,590 +hereditary predetermination اللي هو التحديد + +240 +00:21:47,590 --> 00:21:53,150 +الوراثي أكثر من البيئة وأكثر من الطعام والشراب + +241 +00:21:53,150 --> 00:21:58,730 +والكلام العام الوراثي الحقيقة أنا كثير بشوف يعني + +242 +00:21:58,730 --> 00:22:06,150 +families الـboth parents بيكونوا high myopia the + +243 +00:22:06,150 --> 00:22:13,600 +whole of their sons and daughters will come ميوب + +244 +00:22:13,600 --> 00:22:19,000 +ميوب هاي ميوب وفي نفس الوقت بعض الـfamilies هاي + +245 +00:22:19,000 --> 00:22:23,520 +هاي بارمتروم All of their sons and daughters are + +246 +00:22:23,520 --> 00:22:29,880 +هاي بارمتروم فالوراثة تلعب يعني عاملا أكيدا في + +247 +00:22:29,880 --> 00:22:34,880 +هذا لكن باقي الأسباب اللي إحنا سوقناها زي الـclose + +248 +00:22:34,880 --> 00:22:40,880 +workوصغار letters والقراءة وموضوع الـ .. اللي + +249 +00:22:40,880 --> 00:22:45,100 +هو الـphysical debility الوهن آه هذه عوامل صحيح + +250 +00:22:45,100 --> 00:22:49,780 +أكيد أنها عموما مساعدة لكن لا تغلب الوراثة لا تغلب + +251 +00:22:49,780 --> 00:22:57,700 +الوراثة another adjuvant factor is bad ocular and + +252 +00:22:57,700 --> 00:23:01,860 +general hygiene سوء + +253 +00:23:01,860 --> 00:23:07,670 +الإنارة بصحة العين والصحة الجسمانية طيب يعني ايه؟ I + +254 +00:23:07,670 --> 00:23:13,810 +Hygiene زي ايش يعني مثلا مثلا بالطبع الإنسان بيصحى + +255 +00:23:13,810 --> 00:23:19,110 +من النوم بيقعد بقى على الحمام بيغسل وجهه بالماء + +256 +00:23:19,110 --> 00:23:26,130 +والصابون بيضيع أي deposit بيضيع يعني أي foreign + +257 +00:23:26,130 --> 00:23:34,080 +bodies أي أثر الـinflammation الإنسان مثلا بدأت + +258 +00:23:34,080 --> 00:23:39,200 +معاه allergy في الربيع بياخدوا drops بيعالجها + +259 +00:23:39,200 --> 00:23:42,560 +بدأت infection conjunctivitis أو blepharitis + +260 +00:23:42,560 --> 00:23:46,480 +بياخدوا antibiotic وبيتبعها بتطيب طيب الطفل اللي + +261 +00:23:46,480 --> 00:23:51,320 +ما عنده هذه العناية ما بيغسل وجهه؟ ما بيعالج عينيه + +262 +00:23:51,320 --> 00:23:59,800 +دم بيحكو دم في ظروف دراسية صعبة الإضاءة bad ع + +263 +00:23:59,800 --> 00:24:05,380 +الشمع ع الأدوات القراءة دم بيحكو في عينيه دم المعرض + +264 +00:24:05,380 --> 00:24:12,800 +إلى سوء التهوية سوء التهوية في جو ما فيه هوا ما فيه + +265 +00:24:12,800 --> 00:24:21,050 +تجديد طبعا هذه bad ocular hygiene مع جنرال بعدها يا + +266 +00:24:21,050 --> 00:24:26,790 +جين الجسم ما بتحمم الطفل + +267 +00:24:26,790 --> 00:24:32,130 +الشمس ما بتشوفه نفسه + +268 +00:24:32,130 --> 00:24:39,790 +صعب فيه جو نرجيلة وجو smoking ومولعين فحم والكلام هذا + +269 +00:24:39,790 --> 00:24:45,870 +ما بتحمم كويس ما بلبس نظيفة كلام زي هذا + +270 +00:24:45,870 --> 00:24:53,140 +فكل هذا بيأثر على ظهور الميوكينكمان lack of + +271 +00:24:53,140 --> 00:24:56,400 +adequate facilities for normal healthy development + +272 +00:24:56,400 --> 00:25:03,460 +like poverty and ignorance طبعا الطفل الصغير تماما + +273 +00:25:03,460 --> 00:25:10,660 +كشجرة بتزرع الشجرة صغيرة وعايزة care special care + +274 +00:25:10,660 --> 00:25:18,340 +من السمد من الشمس من التهوية من الدواء تماما + +275 +00:25:18,340 --> 00:25:22,290 +الكاتكوت الصغير بيقولوا عنوان ايش الـكركوز الـ + +276 +00:25:22,290 --> 00:25:33,810 +chicken chicken صغير بعد ما يفجس ايش عايزه؟ تغذية، + +277 +00:25:33,810 --> 00:25:40,270 +دواء، هواء، عزناية حتى يصير ايش في الـfull size + +278 +00:25:40,270 --> 00:25:45,230 +بتاعه حتى ياكل طب والطفل أقل منهم؟ أقل من النبات + +279 +00:25:45,230 --> 00:25:50,260 +وأقل من الـchicken؟ لأ يبقى في adequate facilities + +280 +00:25:50,260 --> 00:25:56,420 +لازم تتوفر لـdevelopment هذا المولود الصغير كيف + +281 +00:25:56,420 --> 00:26:03,160 +هسي رجل أو امرأة كبيرة اللي بتتوفر له عوامل تغذية + +282 +00:26:03,160 --> 00:26:12,100 +عوامل صحية عوامل يعني بيئية عوامل نفسية حتى ينمو + +283 +00:26:12,100 --> 00:26:16,540 +وبالتالي إذا لم تتوفر أو كانت قليلة فإن هذا يؤثر + +284 +00:26:16,540 --> 00:26:20,010 +على الميل، مش يرضع الـhypermetropia، يرضع الميوبيا + +285 +00:26:20,010 --> 00:26:23,470 +طيب + +286 +00:26:23,470 --> 00:26:28,770 +في story اتكلمنا عنها في بلاد الـ hypermetropia وأن + +287 +00:26:28,770 --> 00:26:34,830 +الـ hypermetropia هو the most common refractive + +288 +00:26:34,830 --> 00:26:42,010 +error worldwide في كل العالم، وقولنا أن الـ + +289 +00:26:42,010 --> 00:26:48,500 +hypermetropia هي one stage of development of the + +290 +00:26:48,500 --> 00:26:52,640 +eye، وقولنا أنه في congenital hypermetropia وفي + +291 +00:26:52,640 --> 00:26:56,220 +acquired hypermetropia، وقولنا story الآن بدنا + +292 +00:26:56,220 --> 00:27:03,600 +story like that for myopia progression or progress + +293 +00:27:03,600 --> 00:27:11,300 +of myopia واحدة واحدة، وهذا يعني موضوع سؤال امتحان + +294 +00:27:11,300 --> 00:27:17,980 +اعتبره ممكن أن يكون موضوع سؤال امتحان، طيب at birth + +295 +00:27:17,980 --> 00:27:25,340 +عند الولادة، الـ myopia is very uncommon نادر جدًا + +296 +00:27:25,340 --> 00:27:31,280 +ولا واحد في الـ 100 ألف أن يجي واحد مثلًا والد + +297 +00:27:31,280 --> 00:27:34,760 +وعنده refraction يجي minus two three four myopia + +298 +00:27:34,760 --> 00:27:41,780 +نادر جدًا، وهي هذه الحالات congenital ومتعلقة بالـ + +299 +00:27:41,780 --> 00:27:46,980 +prematurity، premature أيوة prematurity، الخداج أو + +300 +00:27:46,980 --> 00:27:53,360 +الأطفال المولودين الخدج، طبعًا الـ premature هم بيحطوهم + +301 +00:27:53,360 --> 00:27:59,820 +في special incubator في حضانة معينة، وفيها high + +302 +00:27:59,820 --> 00:28:05,840 +oxygen tension، لأنه ماجتملش في الـ uterus عند الأم + +303 +00:28:05,840 --> 00:28:11,420 +فلأنهم حطوه في الـ incubator under high oxygen + +304 +00:28:11,420 --> 00:28:17,540 +pressure، عشان اللي هو موضوع الـ development، عشان + +305 +00:28:17,540 --> 00:28:23,620 +يكمل يعني development الـ heart، الـ lungs، الـ .. الـ + +306 +00:28:23,620 --> 00:28:29,830 +.. الـ .. nervous system وهكذا، يبقى في بعض الناس + +307 +00:28:29,830 --> 00:28:35,090 +بيقولوا أن الـ High Oxygen Tension بيعمل + +308 +00:28:35,090 --> 00:28:42,110 +Retinopathy، Retinopathy يعني اعتلال الشبكية اسمه + +309 +00:28:42,110 --> 00:28:49,750 +Retinopathy of Prematurity، روت طبعًا بعد ما نطلع + +310 +00:28:49,750 --> 00:28:54,630 +الطفل ويطلع بالسلامة، الميوبيا هذه اللي صارت من الـ + +311 +00:28:54,630 --> 00:29:01,110 +oxygen pressure بتبدأ تتراجع، يعني هذه مؤقتة في غالب + +312 +00:29:01,110 --> 00:29:05,730 +الحالات، لكن في بعض الحالات تصبح permanent ومشكلة + +313 +00:29:05,730 --> 00:29:10,770 +كبيرة، طبعًا حسب المدد التي قضاها الطفل والكلام زيها + +314 +00:29:10,770 --> 00:29:21,270 +طيب في الـ story بتاعة البروجرس أو ميوبيا الناس + +315 +00:29:21,270 --> 00:29:26,850 +اللي هو hypermetropic normally، واضح أنه عندهم ميل + +316 +00:29:26,850 --> 00:29:32,630 +أنه تقل الـ hypermetropia بالتدريجي، وهذا اعتبره أن + +317 +00:29:32,630 --> 00:29:37,370 +هو myopic tendency أو trend، myopic tendency ميل + +318 +00:29:37,370 --> 00:29:43,230 +نحو myopia، طالما أن الـ hypermetropia بتقل، أنه يعني + +319 +00:29:43,230 --> 00:29:47,670 +احتمال أن تبدأ تقل لمصير Zero وبعدين تبدأ بالـ minus + +320 +00:29:47,670 --> 00:29:52,190 +زي الصورة هذه، شايفين شكلها ده هي لو حطينا + +321 +00:29:52,190 --> 00:29:53,230 +الـ hypermetropia هنا + +322 +00:29:57,680 --> 00:30:02,320 +وحطينا هنا الـ age، إيش + +323 +00:30:02,320 --> 00:30:06,320 +في الـ age، شايفين هنا الـ hypertrophy بتقل ولا + +324 +00:30:06,320 --> 00:30:11,540 +بتزيد؟ بتقل يعني ماشي بتقل، ونفس الحاجة هنا هي في + +325 +00:30:11,540 --> 00:30:15,000 +الـ age، عند الولادة كانت مثلًا تلاتة أو أربعة، الآن + +326 +00:30:15,000 --> 00:30:21,660 +صارت واحد أو أقل، في بعض الناس لأ ممكن جدًا أنه تبدأ + +327 +00:30:21,660 --> 00:30:27,800 +myopia في الاتجاه المعكس، تبدأ myopia، طالما الـ plus + +328 +00:30:27,800 --> 00:30:36,060 +بيجي احتمال يصل الـ zero ويبدأ مرحلة مايوبيا في + +329 +00:30:36,060 --> 00:30:39,600 +الـ story نفسها + +330 +00:30:39,600 --> 00:30:48,120 +بيقول + +331 +00:30:48,120 --> 00:30:49,420 +in most of cases + +332 +00:30:52,080 --> 00:30:56,140 +designed to end up in a category of simple myopia + +333 +00:30:56,140 --> 00:31:02,900 +يعني كثير كثير لا يتكلم مثلًا عن الـ twenty percent + +334 +00:31:02,900 --> 00:31:11,000 +of cases، الـ hypermetropia بتسلم لـ simple myopia في + +335 +00:31:11,000 --> 00:31:16,040 +حدود واحد أو اتنين أو تلاتة الـ diopters myopia + +336 +00:31:19,200 --> 00:31:23,800 +يبقى احنا بنفرح فعلًا لما الـ hypermetropia تقل لكن + +337 +00:31:23,800 --> 00:31:29,560 +بنزعل لما ما تقفشي تقل بزيادة، يطلع جاني يعني مثلًا + +338 +00:31:29,560 --> 00:31:34,800 +eight or nine years عنده minus one، اه يعني أنا + +339 +00:31:34,800 --> 00:31:38,160 +فاهم الـ minus one أو أنا هيروح حاجة الـ minus one + +340 +00:31:38,160 --> 00:31:43,440 +احتمال أنه في سن الـ fourteen أو fifteen يصير three + +341 +00:31:43,440 --> 00:31:49,220 +أو four، وهنا بيقن المشكلة، لو أنه لسه فضل بالـ plus + +342 +00:31:49,220 --> 00:31:53,680 +one بتاعته لعشر أو اتناشر سنة، أنا بكون فرحان أكثر، + +343 +00:31:53,680 --> 00:31:59,760 +ليش؟ لأنه الغالب أنه هذا هيعمل balance عند البلوغ + +344 +00:31:59,760 --> 00:32:05,590 +ويقف neutral، لا هو هيبقى متروب ولا هم هيهم ده + +345 +00:32:05,590 --> 00:32:10,190 +كإن إجت الـ myopia yearly في ثمانية سنين أو تسع + +346 +00:32:10,190 --> 00:32:15,190 +سنين، أنا بكون suspicious شاكك أنه هذا من الحالات + +347 +00:32:15,190 --> 00:32:20,250 +اللي هتبدأ simple myopia وهيلبس نظارة في سن + +348 +00:32:20,250 --> 00:32:23,550 +الثانوية والجامعات، طيب + +349 +00:32:25,600 --> 00:32:29,080 +the chain does not cause symptoms until the early + +350 +00:32:29,080 --> 00:32:33,960 +teens، although it may predate this a in some way + +351 +00:32:33,960 --> 00:32:37,280 +يعني الطفل عمره تسع سنوات minus one، ممكن ما يشكيش + +352 +00:32:37,280 --> 00:32:42,580 +symptom less لكن في الـ adolescence واتناشه الـ teens هذه + +353 +00:32:42,580 --> 00:32:46,080 +بداية لأ يبدأ يقول أنه شاف فيزيون مش شافي + +354 +00:32:46,080 --> 00:32:52,900 +في الـ classroom، ويبدأ بيبدوا يطلبوا glasses يعني حتى + +355 +00:32:52,900 --> 00:32:58,000 +يشوفوا، طب في الـ story بيقول طب هذا الطفل في الغالب + +356 +00:32:58,000 --> 00:33:02,340 +وين هيروح اللي بدأ معاها simple myopia، هيحصل minus + +357 +00:33:02,340 --> 00:33:06,600 +five إلى minus six diopters over the succeeding + +358 +00:33:06,600 --> 00:33:14,580 +few years، يعني من الـ 11 ل 16، 17، 18، حيصل خمسة إلى + +359 +00:33:14,580 --> 00:33:18,920 +ستة، وهذا سقفه إيش؟ اللي هو physiological، سقفه + +360 +00:33:18,920 --> 00:33:24,340 +physiological، finally stabilizing تتوقف في سن الـ 21 + +361 +00:33:24,340 --> 00:33:28,100 +years or slightly younger in women يعني البنات + +362 +00:33:28,100 --> 00:33:32,360 +عشرين أو تسعتاشر سنة تتوقف الـ simple myopia عن + +363 +00:33:32,360 --> 00:33:43,080 +التقدم، طيب السقف هذا سقف يعني + +364 +00:33:43,080 --> 00:33:48,520 +مش pathological، physiological اه هذا مش + +365 +00:33:48,520 --> 00:33:51,100 +pathological، هذا physiological لحد الخمسة والستة + +366 +00:33:52,020 --> 00:33:57,800 +وإن كان الخمسة وستة صحيح أنهم يعني متعبين وعايزين + +367 +00:33:57,800 --> 00:34:03,540 +يعني correction سواء glasses أو contact lenses أو + +368 +00:34:03,540 --> 00:34:10,460 +eximer laser لكن في حدود إيش؟ في حدود الفيسيولوجيا + +369 +00:34:10,460 --> 00:34:11,860 +.. حدود الفيسيولوجيا + +370 +00:34:16,350 --> 00:34:19,830 +it is very uncommon but far from unknown for + +371 +00:34:19,830 --> 00:34:24,670 +myopia to commence after adolescence is over، يعني + +372 +00:34:24,670 --> 00:34:30,290 +واحد أنهى الثانوية العامة، eighteen years بسلام في متروب + +373 +00:34:30,290 --> 00:34:38,270 +ودخل الكلية، هنا نادرًا جدًا ما يبدأ رحلة الـ myopia + +374 +00:34:38,270 --> 00:34:42,310 +بعد الـ eighteen يعني أنهى الثانوية العامة بسلام + +375 +00:34:44,060 --> 00:34:49,800 +emmetrope without glasses، نادرًا جدًا محتاج في + +376 +00:34:49,800 --> 00:34:56,120 +الجامعة إلى correction for myopia، لأنه بيكون يعني + +377 +00:34:56,120 --> 00:35:03,820 +متأسس على emmetrope، حتى الـ heredity والـ genes خدمته + +378 +00:35:03,820 --> 00:35:09,100 +في الموضوع هذا، وهذا lucky اللي بدخل الجامعة بدون + +379 +00:35:09,100 --> 00:35:16,950 +glasses، يعني هو lucky صحيح، وإن كان نسبة ممكن تكون 1 + +380 +00:35:16,950 --> 00:35:23,270 +% أو 2% ممكن يجدد مايوبيا، ربما أثر في أثر جيني + +381 +00:35:23,270 --> 00:35:30,510 +في الموضوع هنا، يجب أن تكون حذرًا لتخلص من الأسباب + +382 +00:35:30,510 --> 00:35:33,950 +المشكلة مثل + +383 +00:35:33,950 --> 00:35:41,110 +الـ type 1 diabetes، meningitis يعني .. يعني هي صح أن + +384 +00:35:41,110 --> 00:35:50,130 +بعد الـ .. الـ adolescence ما .. يعني تكون off مرت + +385 +00:35:50,130 --> 00:35:54,650 +بسلام نقدر أن نجد هذا نتيجة ميوبيا إلا في الناس اللي + +386 +00:35:54,650 --> 00:35:58,470 +عندهم type 1 diabetes mellitus لأن مرتبط بالـ + +387 +00:35:58,470 --> 00:36:02,650 +hyperglycemia، pathological changes و refraction as + +388 +00:36:02,650 --> 00:36:05,710 +you know، pathological changes و refraction type 1 + +389 +00:36:05,710 --> 00:36:11,870 +diabetes mellitus، لكن غير diabetes mellitus نادرًا ما + +390 +00:36:11,870 --> 00:36:21,910 +يطرق physiological myopia after 18 years، خلاص؟ طيب + +391 +00:36:21,910 --> 00:36:26,310 +.. طيب + +392 +00:36:26,310 --> 00:36:29,210 +.. نيجي لـ pathological myopia، نشوف القصة بتاعتها، + +393 +00:36:29,210 --> 00:36:33,530 +خلصنا الـ physiological الآن، story بتاعتها؟ طيب، + +394 +00:36:33,530 --> 00:36:39,550 +if myopia progresses rapidly in الـ 13 سنة + +395 +00:36:39,550 --> 00:36:44,170 +14، بدأت وكل سنة one diopter، one diopter + +396 +00:36:44,170 --> 00:36:50,670 +بيروح للـ optometrist بيقول له أنا نظارتي صرت مشوش فيها + +397 +00:36:50,670 --> 00:36:54,810 +بيعمل له بيقول له اه زي ده diopter، إيش بدأت؟ غير + +398 +00:36:54,810 --> 00:36:59,510 +العدسة، بيغير العدسة بعد ست شهور أيضًا من النظارة + +399 +00:36:59,510 --> 00:37:03,710 +الجديدة بروح لـ optometrist ثاني أشطر بيقول له والله + +400 +00:37:03,710 --> 00:37:07,850 +اتنين صار عندك اتنين ونص، إيش أعمل؟ أغير لك عدسات + +401 +00:37:07,850 --> 00:37:12,590 +بيفضل يغير العدسات لـ مثل 6 و7 و8، وما جاش في ذهن + +402 +00:37:12,590 --> 00:37:19,250 +هؤلاء أصحاب المراكز أنه يا عم هذا يعني مدام أنه + +403 +00:37:19,250 --> 00:37:23,610 +كان one وصار eight أنه المشكلة مش مشكلة نظارة + +404 +00:37:23,610 --> 00:37:28,690 +مشكلة إيه؟ pathology مشكلة pathology، وهذا أنا أرجو + +405 +00:37:28,690 --> 00:37:37,160 +أنه من طلباتيو طلباتي العزيزة أن يكونوا هم يعني care + +406 +00:37:37,160 --> 00:37:41,580 +and care يعني ناس منتبهين وعندهم attention + +407 +00:37:41,580 --> 00:37:47,240 +للموضوع هذا، زي الـ intraocular pressure بيزيد و + +408 +00:37:47,240 --> 00:37:49,900 +بيروح له بيقول له نظري يا أبو سليش بيقول له بدك نظارة + +409 +00:37:49,900 --> 00:37:52,960 +جديدة، بدك تجارة صراحة عنده glaucoma صراحة عنده + +410 +00:37:52,960 --> 00:37:57,510 +glaucoma يعني انتبه للـ intraocular pressure، طالما + +411 +00:37:57,510 --> 00:38:02,350 +فيه تغيير في النظر انتبه لأشياء pathology مش دائما + +412 +00:38:02,350 --> 00:38:08,710 +physiology، طيب، يبقى لو الأمر في الـ early birth + +413 +00:38:08,710 --> 00:38:15,970 +13، 14، 15، أنه بدأ يزيد بسرعة ممكن + +414 +00:38:15,970 --> 00:38:23,490 +يصل 20 to 25 درجة، درجة أو أكثر، أنا مر + +415 +00:38:23,490 --> 00:38:28,790 +علميًا بعد الـ 20، مر عليا in these cases the + +416 +00:38:28,790 --> 00:38:32,450 +period of most rapid progression is usually + +417 +00:38:32,450 --> 00:38:46,190 +15 to 20 years، يعني فترة فترة التوسع يعني + +418 +00:38:46,190 --> 00:38:47,250 +نقول مثلًا هنا + +419 +00:38:54,170 --> 00:39:04,770 +عشرة، آسف هنا 15، هنا 10، هنا + +420 +00:39:04,770 --> 00:39:11,490 +20، 20 years، لاحظوا أنه الـ 15 إلى الـ 20 + +421 +00:39:11,490 --> 00:39:17,970 +معظم التقدم يحصل في الفترة هذه fifteen to twenty + +422 +00:39:17,970 --> 00:39:29,680 +years يعني اليوم مثلا بلغت هنا twelve دا أكثر فترة + +423 +00:39:29,680 --> 00:39:32,920 +هذه فترة خارجة خمسة عشر إلى عشرين معظم الزيادة + +424 +00:39:32,920 --> 00:39:39,220 +بتصير في المنطقة هذه يعني + +425 +00:39:39,220 --> 00:39:48,160 +يصير التقدم بعد هيك ضئيل لغاية مثلا مثلا ثلاثين + +426 +00:39:48,160 --> 00:39:55,540 +يكون انتهينا years يكون انتهينا وقفة الميوبيا بعد + +427 +00:39:55,540 --> 00:40:00,000 +ما خربت هذا التخريب الكبير يعني بتوقف في الآخر آه + +428 +00:40:00,000 --> 00:40:05,020 +بتوقف في الآخر خلاص بعد هيك ما هي ضمرت في العين ما + +429 +00:40:05,020 --> 00:40:13,250 +تستطيع تدميره في العقود التالية بعد مثلا أربعين إلى + +430 +00:40:13,250 --> 00:40:16,790 +خمسين، خمسين إلى ستين of life especially in higher + +431 +00:40:16,790 --> 00:40:24,090 +degrees of myopia الاختلافات الجينية تحدث احتراقا في + +432 +00:40:24,090 --> 00:40:29,590 +البوستير pool of the eye ورا so that vision may + +433 +00:40:29,590 --> 00:40:33,170 +steadily deteriorate until about sixty years + +434 +00:40:33,170 --> 00:40:41,990 +يتراجع لعند الستين عام افتراض عام + +435 +00:40:41,990 --> 00:40:49,270 +افتراض عام افتراض عام + +436 +00:40:49,270 --> 00:40:58,750 +افتراض عام افتراض عام افتراض عام افتراض + +437 +00:40:58,750 --> 00:41:01,330 +عام افتراض عام + +438 +00:41:08,250 --> 00:41:12,950 +أنه عندي أنا شاب عنده high myopia pathological + +439 +00:41:12,950 --> 00:41:17,950 +وفتاة عندها high pathological الصح الصح الصح أنه + +440 +00:41:17,950 --> 00:41:22,270 +ماسي ال marriage مايزوجوا لأنه النتيجة الحتمية + +441 +00:41:22,270 --> 00:41:29,070 +معروفة إن ال siblings sons و daughters all of them + +442 +00:41:29,070 --> 00:41:32,550 +will come high myopia + +443 +00:41:38,460 --> 00:41:45,360 +in the less degree يعني مثلا واحد minus ten واقف + +444 +00:41:45,360 --> 00:41:52,480 +عن ten هذه لسه يعني mild pathology ال minus ten في + +445 +00:41:52,480 --> 00:41:59,900 +pathology بس mild طب لو صار هذا sixty years هو + +446 +00:41:59,900 --> 00:42:04,360 +يأتي طول presbiopia بس كيف يأتي طول presbiopia + +447 +00:42:04,360 --> 00:42:07,180 +يعني لو أنا بدي أحط هنا plus three + +448 +00:42:10,220 --> 00:42:19,020 +هيفضل minus seven طبعا هذا خاصة لل reading يعني + +449 +00:42:19,020 --> 00:42:25,040 +الـ الـ uncorrected minus ten بيقرأ من fifteen + +450 +00:42:25,040 --> 00:42:34,320 +centimeters وإضافة ثلاثة تصبح سبعة سيقرأ من عشرين + +451 +00:42:34,320 --> 00:42:39,100 +أو اثنين وعشرين يعني أحسن بالبلاش هذه الأسئلة + +452 +00:42:39,100 --> 00:42:45,120 +uncorrected عشان ايه بيقول in less degrees ماشي + +453 +00:42:45,120 --> 00:42:49,940 +العشرين والخمسة والعشرين، لا يعني تسعة، عشرة، أحد عشر + +454 +00:42:49,940 --> 00:42:54,000 +الأكويك برس بيوبيا طب أنا مش هأصير plus بالمرة مش + +455 +00:42:54,000 --> 00:43:00,700 +هأصير plus plus هيصير بعض التحسن في إمكانياته في + +456 +00:43:00,700 --> 00:43:06,950 +القراءة بعض التحسن في إمكانياته في القراءة طبعا + +457 +00:43:06,950 --> 00:43:12,310 +الآن نحن نكون خلصنا ال progress يعني دعوني أقول + +458 +00:43:12,310 --> 00:43:17,370 +أنا story of myopia story زي ما في story في + +459 +00:43:17,370 --> 00:43:21,830 +ال hypermetropia في story ال progress في ال myopia + +460 +00:43:21,830 --> 00:43:26,850 +وهذا بدي comparison هدف ال comparison الشامل بين + +461 +00:43:26,850 --> 00:43:33,670 +refractive errors طيب الآن بدنا نقسم ال myopia مش + +462 +00:43:33,670 --> 00:43:40,240 +حسب ال cause زي الأول قسمناها حسب الـ cause إذا قلت + +463 +00:43:40,240 --> 00:43:44,260 +لك أنا classify myopia according to causes أو + +464 +00:43:44,260 --> 00:43:49,060 +etiology ده بيقول اكزن curvature index تشرحها طيب + +465 +00:43:49,060 --> 00:43:54,140 +قلت لك classify ده myopia according to clinical + +466 +00:43:54,140 --> 00:43:59,630 +types بصير physiological و pathological طيب هأتكلم + +467 +00:43:59,630 --> 00:44:02,890 +على اللي هو الطيب الأول physiological in which no + +468 +00:44:02,890 --> 00:44:06,750 +pathological changes are evident مش واضحة في العين + +469 +00:44:06,750 --> 00:44:10,330 +أي pathological changes اللي هنقولها بعدين the eye + +470 +00:44:10,330 --> 00:44:15,470 +is healthy مش healthy صحية and visual equity can + +471 +00:44:15,470 --> 00:44:20,390 +be fully صح ممكن بال five انه شوف six sixty before + +472 +00:44:20,390 --> 00:44:25,590 +six sixty بس أول ما حصلت بال five minus five سيصبح + +473 +00:44:25,590 --> 00:44:35,530 +الوضع مرتبط بشكل كامل لأن + +474 +00:44:35,530 --> 00:44:38,950 +الوضع + +475 +00:44:38,950 --> 00:44:43,210 +مرتبط بشكل كامل لأن الوضع مرتبط بشكل كامل لأن الوضع + +476 +00:44:43,210 --> 00:44:46,650 +مرتبط بشكل كامل لأن الوضع مرتبط بشكل كامل لأن الوضع + +477 +00:44:46,650 --> 00:44:52,950 +مرتبط بشكل كامل لأن الوضع مرتبط بشكل كامل يبدأي على + +478 +00:44:52,950 --> 00:44:56,590 +أنه مش pathology يعني مافيش loss of rods and cones + +479 +00:44:56,590 --> 00:45:02,170 +مافيش loss of bipolar cells مافيش loss of ganglion + +480 +00:45:02,170 --> 00:45:07,130 +cells ال actions of these cells اللي هو intact + +481 +00:45:07,130 --> 00:45:13,030 +يبقى أنا الآن مش خائف، حالي في السيولوجيا النوع + +482 +00:45:13,030 --> 00:45:18,710 +الصعب و اللي هو story لحاله pathological طب احنا + +483 +00:45:18,710 --> 00:45:24,170 +كيف نشخصه؟ يقول لو حد عنده deterioration لل video + +484 +00:45:24,170 --> 00:45:31,970 +acuity آه loss of video acuity unaccountable ولما + +485 +00:45:31,970 --> 00:45:38,130 +أحط له كل ال correction هيفضل أيضا partially + +486 +00:45:38,130 --> 00:45:47,230 +uncorrected يعني واحد مثلا minus twelve آه ده أكثر + +487 +00:45:47,230 --> 00:45:58,490 +حطيته ال minus twelve شاف six eighteen طب + +488 +00:45:58,490 --> 00:46:07,170 +وين six twelve و six nine و six six وإن راحوا هذا + +489 +00:46:07,170 --> 00:46:10,630 +اللي أنا بقول عنه accountable loss of visual + +490 +00:46:10,630 --> 00:46:14,470 +equity الموضوع + +491 +00:46:14,470 --> 00:46:19,010 +صار مش موضوع reflection لأ بجانب infraction فيه + +492 +00:46:19,010 --> 00:46:25,750 +pathology فيه axons وفيه nervous cells في الشبكيه + +493 +00:46:25,750 --> 00:46:31,570 +فقدت بتأثير المرض بيقول لي لو أنا شوفت + +494 +00:46:31,570 --> 00:46:35,790 +بالأفتلمسكوب هأشوف بالأفتلمسكوب فيه accentuated + +495 +00:46:35,790 --> 00:46:39,710 +foveal reflex لو حاطيتي الأفتلمسكوب على + +496 +00:46:39,710 --> 00:46:44,650 +البوستير بولة على الماكولا هتلاقيه زي المرايا اللي + +497 +00:46:44,650 --> 00:46:50,440 +هو ال reflex عن slight degenerative changes في + +498 +00:46:50,440 --> 00:46:58,060 +الأول، بداية الاحتراق في البوصير بول حتى في + +499 +00:46:58,060 --> 00:47:00,900 +الفيترياس، followed by the characteristic severe + +500 +00:47:00,900 --> 00:47:03,640 +changes in the retina اللي هو هتشوفوا الشكل هذا + +501 +00:47:03,640 --> 00:47:10,280 +بعدين، الشكل هذا وهذا واضح جدا أنه فيه هجوم مرضى + +502 +00:47:10,280 --> 00:47:15,600 +على كل مركبات ال retina وحتى كورونا وهذا اللي + +503 +00:47:15,600 --> 00:47:19,700 +هأتكلم فيه الآن إن شاء الله في ال pathological طيب + +504 +00:47:19,700 --> 00:47:25,300 +الآن خلصنا ال types according to clinical اللي هو + +505 +00:47:25,300 --> 00:47:31,200 +ايش classification الآن هأتكلم على clinical + +506 +00:47:31,200 --> 00:47:38,120 +pathology يعني في عنده pathological myopia سريرية + +507 +00:47:38,120 --> 00:47:47,060 +كيف نعملها توصيف description one for the elongation + +508 +00:47:47,060 --> 00:47:49,420 +of the eye which results in pathological myopia is + +509 +00:47:49,420 --> 00:47:51,900 +almost entirely confined to the posterior pole + +510 +00:47:51,900 --> 00:48:01,320 +يعني أنا أتوقع أنه القطب الخلفي القطب الخلفي للعين + +511 +00:48:01,320 --> 00:48:08,640 +هذا اللي بيحتوي على ال optic disk اللي بيحتوي على + +512 +00:48:08,640 --> 00:48:09,220 +ال macula + +513 +00:48:12,290 --> 00:48:17,310 +أو phobia centralis أن هو معظم التخريب ورا هنا و + +514 +00:48:17,310 --> 00:48:22,490 +هنقول ليش بقول ال until half of the eye اللي + +515 +00:48:22,490 --> 00:48:27,230 +بيحتوي على ال lens و بيحتوي على ال iris و بيحتوي + +516 +00:48:27,230 --> 00:48:31,390 +على ال cere body و بيحتوي على ال cornea intact + +517 +00:48:31,390 --> 00:48:38,170 +healthy آه is a regular woman ال pathology مركز + +518 +00:48:38,170 --> 00:48:45,750 +وين؟ ورا في الو أصعب حاجة في البوستير بول أن يكون فيه + +519 +00:48:45,750 --> 00:48:49,290 +macular degeneration لأنه هي ال central vision + +520 +00:48:49,290 --> 00:48:54,550 +about ninety percent of vision concentrated in the + +521 +00:48:54,550 --> 00:49:02,270 +macula لأنه هي pure cones هناك و ganglion cells و + +522 +00:49:02,270 --> 00:49:07,230 +bipolar cells لو فاكرني لكن + +523 +00:49:07,230 --> 00:49:14,150 +كل العيل large و prominent لأن + +524 +00:49:14,150 --> 00:49:17,770 +ال dimensions أو ال diameters بتاعتها كلها كبيرة + +525 +00:49:17,770 --> 00:49:21,770 +يعني ال diameters مش بس anthropogenic لأ from side + +526 +00:49:21,770 --> 00:49:27,770 +to side from up to down public diameters all are + +527 +00:49:27,770 --> 00:49:35,250 +longer than normal واضح؟ طيب + +528 +00:49:37,610 --> 00:49:41,230 +until the chamber is deep why؟ until the chamber + +529 +00:49:41,230 --> 00:49:47,850 +is deep يعني في elongation يعني ال curvature of + +530 +00:49:47,850 --> 00:49:55,870 +the cornea مش طبيعي وبعدين هاي ال iris هاي ال + +531 +00:49:55,870 --> 00:49:57,450 +iris وهاي ال lens + +532 +00:50:03,040 --> 00:50:09,700 +المسافة من هنا إلى هنا أكبر لأنه في increase depth + +533 +00:50:09,700 --> 00:50:17,400 +طيب the reverse of hypermetropia ال chamber is + +534 +00:50:17,400 --> 00:50:24,560 +shallow طيب what is about angle angle of EC + +535 +00:50:28,940 --> 00:50:33,400 +is wide wide طيب في ال hypermetropia high + +536 +00:50:33,400 --> 00:50:36,980 +hypermetropia is narrow and liable في ال + +537 +00:50:36,980 --> 00:50:41,920 +hypermetropia liable to closure وهنا liable not + +538 +00:50:41,920 --> 00:50:46,880 +not not liable to closure فكنا anger closure اللي + +539 +00:50:46,880 --> 00:50:50,060 +بيقوله كومة في ال clinical hypermetropia بأقول لكم + +540 +00:50:50,060 --> 00:50:53,920 +بدكم تقارن ومقارنة واسعة الآن هناك لو حطينا + +541 +00:50:53,920 --> 00:50:59,290 +Mediatics والساعات بنخاف من anger closure لو كومة + +542 +00:50:59,290 --> 00:51:05,690 +attack لكن هنا ما بنخاف هي واسعة الخنقة هنا ال + +543 +00:51:05,690 --> 00:51:14,630 +pupil is large and sluggish ال pupil ال diameter + +544 +00:51:14,630 --> 00:51:21,590 +بتاعه ال pupil wide ولما أحط له light يكون + +545 +00:51:21,590 --> 00:51:26,290 +sluggish يعني slow slow reaction to light في + +546 +00:51:26,290 --> 00:51:31,990 +ال hypermetropia لأ الـ الـ ال diameter is small و + +547 +00:51:31,990 --> 00:51:36,010 +reaction to light is rapid لكن هنا sluggish or + +548 +00:51:36,010 --> 00:51:40,530 +slow هو على أموم في ال hypermetropes في الـ في + +549 +00:51:40,530 --> 00:51:44,110 +الـ في ال myopes خاصة ال high myopes sphincter + +550 +00:51:44,110 --> 00:51:50,890 +pupilla ضعيفة ومعها ciliary muscle ضعيفة يعني ال + +551 +00:51:50,890 --> 00:51:54,290 +ciliary muscle و sphincter pupilla اللي بياخذوا + +552 +00:51:54,290 --> 00:51:58,060 +parasympathetic هما في ال hypermetropia أقوى يعني + +553 +00:51:58,060 --> 00:52:04,400 +لكن في ال myops weak وممكن يصير atrophic فيهم + +554 +00:52:04,400 --> 00:52:10,520 +atrophic نوع منهم ضمنهم هذا في المقارنة، نحتاج + +555 +00:52:10,520 --> 00:52:15,040 +لمقارنة شاملة يقول + +556 +00:52:15,040 --> 00:52:19,820 +السيلاني مصل لقلة الاستعمال في ال accommodation + +557 +00:52:19,820 --> 00:52:23,520 +ممكن becomes atrophic أو atrophied + +558 +00:52:28,160 --> 00:52:35,060 +ثاني في ال myop near point near + +559 +00:52:35,060 --> 00:52:39,500 +point near point short distance فهو ال myop بيقرأ + +560 +00:52:39,500 --> 00:52:45,580 +من ال near point بتاعته شوية لجده قريب عليا عكس ال + +561 +00:52:45,580 --> 00:52:49,280 +hyper metroid الـ hyper metroid من near point بعيده + +562 +00:52:49,280 --> 00:52:55,340 +و بيقرأ بعدها هو فبصير من ديرون بضطر الـ hyper + +563 +00:52:55,340 --> 00:52:59,320 +metroid أن يعمل accommodation الـ faculty طفل يبقى + +564 +00:52:59,320 --> 00:53:07,200 +عنه حتى يقرب شوية لكن الـ myopia هو بيقرأ قريب في الـ + +565 +00:53:07,200 --> 00:53:11,820 +.. في الـ salary muscle in holiday ايش in holiday؟ + +566 +00:53:11,820 --> 00:53:18,120 +إيجاز ما بتسلم فبصير أتروفي لـ Mark قال العضو اللي + +567 +00:53:18,120 --> 00:53:24,880 +يستعمل ينمو و العضو اللي ما يستعمل يضمر زمان طيب + +568 +00:53:26,380 --> 00:53:31,740 +What's about the posterior pole of the eye؟ + +569 +00:53:31,740 --> 00:53:35,320 +بيقول لي + +570 +00:53:35,320 --> 00:53:41,400 +في الـ normal sclera يمكن يكون السماكة بتاعتها 1 + +571 +00:53:41,400 --> 00:53:46,820 +مليمتر مثلا في الـ high myopia بيقول لي بيصير الـ 4 + +572 +00:53:46,820 --> 00:53:54,330 +الـ thickness أي أنا بتمدد بشكل بيصير الـ thickness + +573 +00:53:54,330 --> 00:53:58,810 +بتاعها ربع الـ normal يبقى الـ posterior segment of + +574 +00:53:58,810 --> 00:54:03,550 +the sclera is thin and may reduce to one quarter + +575 +00:54:03,550 --> 00:54:07,170 +or less of its normal thickness of its normal + +576 +00:54:07,170 --> 00:54:14,630 +thickness طبعا هذا غرض بعد هيك لمزيد من الـ + +577 +00:54:14,630 --> 00:54:19,950 +thickness غرض للتكيّس اللي بيقول أنه هيرنيا أو + +578 +00:54:21,090 --> 00:54:26,390 +Hernia أو Staphyloma هتشوفوا لأن طب لو مسكنا + +579 +00:54:26,390 --> 00:54:28,750 +direct ophthalmoscope كلكوا استعملتوا الـ direct + +580 +00:54:28,750 --> 00:54:32,890 +ophthalmoscope و الـ indirect ophthalmoscope ايش + +581 +00:54:32,890 --> 00:54:37,430 +هنشوف في الـ Fundus في حياتنا مسكنا في pathological + +582 +00:54:37,430 --> 00:54:41,550 +myopia more than 10 diopters أو 12 diopters when + +583 +00:54:41,550 --> 00:54:44,870 +the main changes observed are generalized atrophy + +584 +00:54:44,870 --> 00:54:50,790 +of the retina and corollaryهتشوفوا الـ attenuation + +585 +00:54:50,790 --> 00:54:55,730 +إيش فيها هذه هتلاقي شيء اسمه myopic crescent وهذا + +586 +00:54:55,730 --> 00:55:03,150 +هيه شايفين هذا الهلال هذا الهلال وهذا الـ optic disc + +587 +00:55:03,150 --> 00:55:07,910 +هذا الهلال لو شفتيه أول ما أشوفه وأنا أقول بقول + +588 +00:55:07,910 --> 00:55:13,470 +هذه هي myopia علامة ما تخفي على اللبّين بكتر الشد + +589 +00:55:13,470 --> 00:55:21,110 +الشبكية فلتتال optic disk فلت من الشبكية فهدس + +590 +00:55:21,110 --> 00:55:26,170 +كليرة ايوة هدس كليرة هدس كليرة هنتكلم كمان عنها إن + +591 +00:55:26,170 --> 00:55:30,230 +شاء الله كمان الـ macula هتصير فيها macular + +592 +00:55:30,230 --> 00:55:38,450 +degeneration الـ macula هتتآكل تفكيرين كيف؟ تتآكل + +593 +00:55:38,450 --> 00:55:40,030 +شوية شوية + +594 +00:55:43,120 --> 00:55:45,980 +حتى إنه يصير في الـ posterior pole شيء اسمه posterior + +595 +00:55:45,980 --> 00:55:52,740 +staphyloma يعني من كتر ما بيتمدد يعني كان كان + +596 +00:55:52,740 --> 00:55:58,480 +normal هيك شوية مدد كمان شوية مدد كمان شوية مدد + +597 +00:55:58,480 --> 00:56:07,680 +كمان في الآخر صار كده اسمها staphyloma تكيّستكيّس + +598 +00:56:07,680 --> 00:56:13,260 +بتقدروا الآن تشوفوا التكيّس زي ما بيّنها في الـ OCT + +599 +00:56:13,260 --> 00:56:20,900 +شايفين؟ شايفين جزء هلأ كيف صار؟ تكيّس طبعا الـ + +600 +00:56:20,900 --> 00:56:25,400 +entrepreneur access صار very long صح؟ طيب + +601 +00:56:33,720 --> 00:56:41,740 +هي صورة لـ كل وطن ديجينيشن شايفين طيب هاوريكم كمان + +602 +00:56:41,740 --> 00:56:46,780 +صورة تانية هي الصورة هذه حاجة اسمها Tigeroid Fundus + +603 +00:56:46,780 --> 00:56:53,400 +عارفين جايبة من Tigeroid ايش يعني جلد النمر النمر + +604 +00:56:53,400 --> 00:56:59,080 +بالذات حيوان يعني جلد ومميز عن كل حيوانات هو جميل + +605 +00:56:59,080 --> 00:57:04,460 +الحقيقي المنظر جميلفشوفوا أنتم كيف المناطق فاتحة + +606 +00:57:04,460 --> 00:57:11,700 +ومناطق غامقة وخطوط وبقعة طبعا احنا الـ normal Fundus + +607 +00:57:11,700 --> 00:57:17,100 +عيناه مش زي هيك هذا Tigeroid Fundus بتكون من patches + +608 +00:57:17,100 --> 00:57:22,820 +white patches بقع بيضاء associated with splotches + +609 +00:57:22,820 --> 00:57:29,700 +of pigments يعني بقع ملونة وبقع فاتحة الفاتح هذا + +610 +00:57:30,480 --> 00:57:37,240 +معناه أنه أصبحت الـ retina very thin و الـ choroid + +611 +00:57:37,240 --> 00:57:43,940 +very thin حتى + +612 +00:57:43,940 --> 00:57:49,900 +أنه sclera أصبحت clear through them يبقى البياض + +613 +00:57:49,900 --> 00:57:54,860 +هذا بياض sclera في حين أن البقعة السودة أصبح + +614 +00:57:54,860 --> 00:57:59,290 +disturbance في الـ pigmentationخاصة بتاعة الـ retina + +615 +00:57:59,290 --> 00:58:04,110 +و الـ choroid صار يتجمع في حتات ويبدأ عن حتات وصار في + +616 +00:58:04,110 --> 00:58:11,950 +فوضى في الـ pigmentation برضه + +617 +00:58:11,950 --> 00:58:15,910 +في الـ time scope التغيرات في الـ choroid والـ retina + +618 +00:58:15,910 --> 00:58:19,770 +معرّكة وكذلك معرّكة وكذلك معرّكة وكذلك معرّكة + +619 +00:58:19,770 --> 00:58:22,190 +وكذلك معرّكة وكذلك معرّكة وكذلك معرّكة وكذلك + +620 +00:58:22,190 --> 00:58:22,890 +معرّكة وكذلك معرّكة وكذلك معرّكة وكذلك معرّكة + +621 +00:58:22,890 --> 00:58:26,110 +وكذلك معرّكة وكذلك معرّكة وكذلك معرّكة وكذلك + +622 +00:58:26,110 --> 00:58:28,310 +معرّكة وكذلك معرّكة وكذلك معرّكة وكذلك معرّكة + +623 +00:58:28,310 --> 00:58:38,470 +وكذلك معرّكة وكذلك + +624 +00:58:39,080 --> 00:58:41,960 +البيضاء هذه may appear in the fundus especially in + +625 +00:58:41,960 --> 00:58:45,760 +the posterior region أو pole leaving white areas + +626 +00:58:45,760 --> 00:58:49,960 +after often surrounded by pigment في مناطق بيضاء + +627 +00:58:49,960 --> 00:58:58,400 +وفي مناطق سوداء Corioretinal Degeneration + +628 +00:59:03,680 --> 00:59:07,040 +An accumulation of large white patches associated + +629 +00:59:07,040 --> 00:59:11,920 +with splotches or pigments بقع مع بقع متجاورة + +630 +00:59:11,920 --> 00:59:16,320 +may be scattered widely متناثرة over the posterior + +631 +00:59:16,320 --> 00:59:20,960 +pole of the fundus هنا وهنا وهنا وهنا طبعا هذا + +632 +00:59:20,960 --> 00:59:27,240 +مش هو النظام السائد فينا لأ طب الـ macula لما يصير + +633 +00:59:27,240 --> 00:59:28,420 +للـ macula + +634 +00:59:30,650 --> 00:59:34,410 +بصير loss أو abolition of central vision لما + +635 +00:59:34,410 --> 00:59:38,970 +الأمور تصل الـ .. الـ macula يعني معناه احنا روحنا + +636 +00:59:38,970 --> 00:59:42,470 +على ايش؟ على العمل، روحنا على العمل حتى في شيء + +637 +00:59:42,470 --> 00:59:49,150 +أبلغ بيقول ممكن يصير macular wall بيصير ايش؟ + +638 +00:59:49,150 --> 00:59:53,990 +macular .. macular wall، hole، hole، macular hole + +639 +00:59:53,990 --> 00:59:59,200 +ثقب إن كثر الـ degeneration و الـ thinness ممكن يؤدي + +640 +00:59:59,200 --> 01:00:04,080 +إلى ايش؟ إلى اختراق hole في الـ macula وهذا + +641 +01:00:04,080 --> 01:00:11,020 +irreversible وعمى أكيد طيب + +642 +01:00:11,020 --> 01:00:17,040 +احنا الـ myopic crescent اتكلمنا عنها وهنا ايه + +643 +01:00:17,040 --> 01:00:23,610 +سببها؟ أن مع الـ extension الزائد للـ retina بيصير + +644 +01:00:23,610 --> 01:00:29,790 +separation من حافة خاصة temporal side of optic + +645 +01:00:29,790 --> 01:00:36,330 +disc من الـ retina فـ sclera تمرز بيضاء في شكل + +646 +01:00:36,330 --> 01:00:39,990 +الهلال هذا الهلال هيا crescent شايفين الهلال + +647 +01:00:39,990 --> 01:00:44,770 +الأبيض هذا احنا لو الأمور زادت أكثر أكثر أكثر فوق + +648 +01:00:44,770 --> 01:00:48,250 +الـ 20 ديوبتر ممكن الهلال هذا يصير annular يعني + +649 +01:00:48,250 --> 01:00:52,650 +يصير ايش على كل محيط الـ optic disc + +650 +01:00:55,490 --> 01:00:59,050 +يعني جاي على خراب يبقى moment of crescent is + +651 +01:00:59,050 --> 01:01:04,290 +usually temporal but it may run an annular ring زي + +652 +01:01:04,290 --> 01:01:09,210 +الخاتم في الصباح all the way around the optic disc + +653 +01:01:09,210 --> 01:01:13,150 +وقلنا + +654 +01:01:13,150 --> 01:01:19,510 +في الآخر زيادة الضغط على الـ posterior pole ممكن + +655 +01:01:19,510 --> 01:01:26,330 +يصير staphyloma اسمها posterior staphyloma طيب + +656 +01:01:26,330 --> 01:01:31,850 +مرّوا معكوا حاجة اسمها anterior staphyloma؟ في شيء + +657 +01:01:31,850 --> 01:01:37,950 +اسمه anterior staphyloma، الآن لما الـ surgeon بدأوا + +658 +01:01:37,950 --> 01:01:43,510 +يعمل intraocular surgery، الظالمين بيفتح وين؟ في + +659 +01:01:43,510 --> 01:01:48,560 +الـ upper limb بفتح في الـ upper limb بس طيب كانوا + +660 +01:01:48,560 --> 01:01:52,520 +زمان بفتح في الـ upper limb بس مثلا يعني 1 + +661 +01:01:52,520 --> 01:01:57,880 +centimeter وبعدين بشيل عدسة بزرع عدسة كده وبعدين + +662 +01:01:57,880 --> 01:02:01,900 +بيجي بعد هيك بيعمل stitches one two three ممكن + +663 +01:02:01,900 --> 01:02:05,900 +seven ايه في بعض الناس بدها هيجة كتير و تدهيجة كتير + +664 +01:02:05,900 --> 01:02:09,740 +بيعمل astigmatism في ناس عشان ما مش astigmatist + +665 +01:02:09,740 --> 01:02:14,700 +بيعمل بس يعني stitch اتنين تلاتة بيخلي بينهم واسعة + +666 +01:02:15,680 --> 01:02:19,620 +و بيروح العيان بيبدأ العيان مش مرتاح ايه مال الشغل + +667 +01:02:19,620 --> 01:02:25,020 +و كده و كده و كده و ممكن يركع و يسلد تبدأ الـ iris + +668 +01:02:25,020 --> 01:02:30,780 +يطلع من الجرح يضغط لبرا لبرا لبرا و ييجي بعد فترة + +669 +01:02:30,780 --> 01:02:36,900 +مثلا أعمل هيك يعني مثلا كونيا بعد العملية هيك + +670 +01:02:36,900 --> 01:02:39,480 +تلاقي المنطقة هذه برزات هيك + +671 +01:02:43,710 --> 01:02:49,290 +mainly iris فبيقول + +672 +01:02:49,290 --> 01:02:57,070 +معاها antihistaphyloma بدون a new surgery وجود + +673 +01:02:57,070 --> 01:03:04,750 +stitches ممكن أن we may lose this arm completely + +674 +01:03:04,750 --> 01:03:08,250 +هذه antihistaphyloma عشان لما تشوفوا posterior + +675 +01:03:08,250 --> 01:03:09,630 +يعني في antihistaphyloma + +676 +01:03:13,460 --> 01:03:17,300 +طيب شايفين طبعا بالـ .. بالـ .. بالـ OCT بيبين الـ .. + +677 +01:03:17,300 --> 01:03:23,740 +اللي هو posterior Staphyloma طب هذا الـ .. الـ + +678 +01:03:23,740 --> 01:03:27,920 +center of الشبكية طيب الـ periphery of الشبكية هل هو + +679 +01:03:27,920 --> 01:03:34,990 +normal ولا disease؟ disease يعني بعد اللي هو ايش + +680 +01:03:34,990 --> 01:03:38,150 +الأورا سيرتا بعد الأورا سيرتا بتبدأ periphery + +681 +01:03:38,150 --> 01:03:42,410 +الشبكية ولسة احنا متجهين لسه الـ center base بقول + +682 +01:03:42,410 --> 01:03:46,170 +أيضا الـ periphery شبكية فيه degeneration وفيه + +683 +01:03:46,170 --> 01:03:51,630 +cystoid changes cystoid يعني زي أكياس صغيرة نوع من + +684 +01:03:51,630 --> 01:03:56,930 +المرض بيعمل حبيبات صغيرة في الشبكية في كل + +685 +01:03:56,930 --> 01:04:02,110 +periphery وهذا universal على كل محيط الشبكية يعني مش + +686 +01:04:02,110 --> 01:04:06,710 +بس الـ center و الـ center هو أهم بكثير طبعا لأن هنا + +687 +01:04:06,710 --> 01:04:12,290 +فيه pure cones طب هناك فيه pure rods أيضا rods + +688 +01:04:12,290 --> 01:04:21,850 +بيصير هلوس طيب الـ vitreous اللي هو جار أكيد الشبكية + +689 +01:04:21,850 --> 01:04:25,630 +أيضا بيصير diseased و بيصير liquefaction of the + +690 +01:04:25,630 --> 01:04:32,810 +vitreous إذا بقى السائل بدل ما هو لزج جيلي بيصير + +691 +01:04:32,810 --> 01:04:39,150 +ايش liquid طيب الآن الـ liquid الـ vitreous هذا + +692 +01:04:39,150 --> 01:04:43,470 +أنتم عارفين هاي الشبكية و الـ vitreous له cortex وقاعد + +693 +01:04:43,470 --> 01:04:49,150 +على الشبكية هيك بيعملها تأمين inside + +694 +01:04:51,950 --> 01:04:58,290 +supporting the retina inside حتى الـ retina تكون + +695 +01:04:58,290 --> 01:05:03,430 +ايش flat طب الآن في حالة أن الـ vitreous هذا سائل + +696 +01:05:03,430 --> 01:05:09,690 +عامل كده عامل كده وعامل separation عن الـ retina + +697 +01:05:09,690 --> 01:05:13,490 +شايفين الـ vitreous عامل separation عن الـ retina الـ + +698 +01:05:13,490 --> 01:05:20,940 +retina بتصير عرضة لأمراض كثيرة ومنها Detachment + +699 +01:05:20,940 --> 01:05:25,440 +يبقى هذا الـ disease ماشي بس في الـ center of retina + +700 +01:05:25,440 --> 01:05:29,460 +و الـ choroid و الـ periphery of retina و أيضا الـ + +701 +01:05:29,460 --> 01:05:35,000 +petrius الـ petrius detachment ممكن يصير في الـ + +702 +01:05:35,000 --> 01:05:41,160 +posterior pole اه و هذا له فحص باسم تنام معين الـ + +703 +01:05:41,160 --> 01:05:45,240 +petrius itself frequently equates حتى انه يصير + +704 +01:05:45,240 --> 01:05:52,120 +عينيشكي من muscular volitancelarge floaters يعني + +705 +01:05:52,120 --> 01:06:00,280 +بيجي الكبير السن اللي عنده الميوبة في جناح دبابة + +706 +01:06:00,280 --> 01:06:04,980 +هيو شايف هيو ايجي هنا ايجي هنا لأ راح هنا راح هنا + +707 +01:06:04,980 --> 01:06:08,820 +انا يعني ممكن يا دكتور هيو هيو يعني قريب هذا اللي + +708 +01:06:08,820 --> 01:06:12,740 +هي الـ floaters او المسكة bullet sensor الذبابة + +709 +01:06:12,740 --> 01:06:22,330 +الطائرة وهذا جاي من دوبانو من بعض الـ deposits in + +710 +01:06:22,330 --> 01:06:27,430 +the vitreous human و أنا جايب هاي الـ floaters + +711 +01:06:27,430 --> 01:06:32,450 +السوابحية شايفين الصورة؟ شايفين السوابح هذه؟ هذه + +712 +01:06:32,450 --> 01:06:38,990 +اسمها floaters سوابح في جسم أزوجاجي طبعا احنا + +713 +01:06:38,990 --> 01:06:43,070 +هنكتفي إلى هذا الحد و انا بشكركوا جدا والسلام + +714 +01:06:43,070 --> 01:06:43,590 +عليكم diff --git a/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/rIf5dYJ_gnQ_raw.srt b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/rIf5dYJ_gnQ_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..22bec96152c9863d604a509bbf68b846f1ebd14f --- /dev/null +++ b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/rIf5dYJ_gnQ_raw.srt @@ -0,0 +1,2888 @@ +1 +00:00:00,000 --> 00:00:01,100 +موسيقى + +2 +00:00:20,870 --> 00:00:23,690 +أعوذ بالله من الشيطان الرجيم بسم الله الرحمن + +3 +00:00:23,690 --> 00:00:26,330 +الرحيم الحمد لله رب العالمين وأصلي وأصلم على النبي + +4 +00:00:26,330 --> 00:00:29,470 +الأمين وعلى أهلي وأصحابي والتابين بسم الله الرحمن + +5 +00:00:29,470 --> 00:00:32,350 +الرحيم احنا اليوم ان شاء الله هنكمل ما كنا قد + +6 +00:00:32,350 --> 00:00:40,170 +بدأنا في مايوبيا مايوبيا سبق انه قسمناها according + +7 +00:00:40,170 --> 00:00:45,750 +to types according to cause + +8 +00:00:48,850 --> 00:00:56,190 +Cause of myopia كانت إما axial وإما curvature أو + +9 +00:00:56,190 --> 00:01:02,210 +index يبقى لو قولنا classify the myopia according + +10 +00:01:02,210 --> 00:01:09,650 +to causes أو etiology هتذكر تلت أنواعها الآن هنكمل + +11 +00:01:09,650 --> 00:01:14,170 +ال etiology of axial myopia يعني شوف ال axial + +12 +00:01:14,170 --> 00:01:30,040 +myopia ما هو السبب بتاعهاالمايوبيا قد أخذ وقت + +13 +00:01:30,040 --> 00:01:35,360 +في المناضرات والاختلافات والرد والرد عليه يعني + +14 +00:01:35,360 --> 00:01:43,380 +الوضع ما كان اختلف فيش حقيقة ثابتة بعض الناس + +15 +00:01:43,380 --> 00:01:51,810 +بيقولوا ان ال مايوبياهنجسمها إلى فرعين كبار الفرع + +16 +00:01:51,810 --> 00:01:56,670 +الأول physiological والفرع التاني pathological + +17 +00:01:56,670 --> 00:02:00,050 +physiological + +18 +00:02:00,050 --> 00:02:05,130 +myopia في ناس بيسموها simple myopia less than 6 + +19 +00:02:05,130 --> 00:02:10,390 +diopters myopia أقل من 6 diopters بيعتبرها + +20 +00:02:10,390 --> 00:02:18,350 +physiology what physiology اختلاف بين البشرفي + +21 +00:02:18,350 --> 00:02:21,790 +الـrefraction بتاع العين وفي حجم العين كما + +22 +00:02:21,790 --> 00:02:31,650 +الإختلاف في اللون في الطول في الذكاء في الشجاعة في + +23 +00:02:31,650 --> 00:02:37,810 +يعني ميول أخرى صفات يعني اللي عنده myopia one + +24 +00:02:37,810 --> 00:02:42,240 +myopia two myopia threeيعني for هى هما يختلفوا عن + +25 +00:02:42,240 --> 00:02:47,660 +بعض فهم بيقول يعني هو يعني تغير في السيولوجي في + +26 +00:02:47,660 --> 00:02:51,700 +حدود المعقول يعني واحد طوله مثلا مية و تمانية + +27 +00:02:51,700 --> 00:02:56,440 +سنتين واحد طوله مية و خمسة و سبعين مية و سبعين لإن + +28 +00:02:56,440 --> 00:03:00,700 +مثلا مية و ستين مية و خمسة و خمسين اخرى فيه لو + +29 +00:03:00,700 --> 00:03:03,900 +واحد adult أجل من مية و خمسة و خمسين بيكون مش في + +30 +00:03:03,900 --> 00:03:08,160 +السيولوجيلو واحد طويل فوق الـ 190 لأ مش physiology + +31 +00:03:08,160 --> 00:03:12,740 +يعني في حاجة معينة في حاجة تهرمونية او اشي و هنا + +32 +00:03:12,740 --> 00:03:19,580 +up to 6 diopters هنعتبرها ايش normal يبقى عشان + +33 +00:03:19,580 --> 00:03:23,920 +هيكو بقولك physiological variance تنوع physiology + +34 +00:03:23,920 --> 00:03:27,660 +of the normal such as rare found in large number + +35 +00:03:27,660 --> 00:03:33,210 +of population بين اللي هو فئة المجتمع الأخركثير في + +36 +00:03:33,210 --> 00:03:37,610 +اختلافات فسيولوجية في أشياء أخرى this we refer to + +37 +00:03:37,610 --> 00:03:42,050 +as simple myopia up to six يبقى هذا فسيولوجي عملية + +38 +00:03:42,050 --> 00:03:46,190 +فسيولوجية مش مرض يعني في بعض الناس يحلوا لهم انه + +39 +00:03:46,190 --> 00:03:51,130 +يعملوا subdivision تقسيمات فرعية يقول + +40 +00:03:51,130 --> 00:03:55,210 +physiological and intermediate بعض الناس بس يقولك + +41 +00:03:55,210 --> 00:04:01,500 +يعني من واحد لاربع فسيولوجيمن أربعة إلى مثلا سبعة + +42 +00:04:01,500 --> 00:04:07,660 +intermediate متوسطة ممكن بس مافيش اتفاق على ذلك + +43 +00:04:07,660 --> 00:04:15,680 +انما في اتفاق علينه أقل من ستة في السنة النوع + +44 +00:04:15,680 --> 00:04:22,420 +التاني هو pathological وهو المرضى هو الخطير ال + +45 +00:04:22,420 --> 00:04:24,760 +pathological بختلف عن physiological لأنه + +46 +00:04:24,760 --> 00:04:32,450 +progressive ايش progressiveيتقدم بزيادة و where as + +47 +00:04:32,450 --> 00:04:35,410 +pathological myopia may increase to such a degree + +48 +00:04:35,410 --> 00:04:38,990 +that it is considered as a medial entity on its + +49 +00:04:38,990 --> 00:04:43,950 +own يعني هو موضوع طبي في حد ذاته لما يقول + +50 +00:04:43,950 --> 00:04:50,750 +pathological myopia up to twenty to twenty five + +51 +00:04:50,750 --> 00:04:52,570 +diopters + +52 +00:04:56,120 --> 00:05:00,820 +ممكن 20 اكتر من 20 حتى تصل 20 يعني انا شفت فوق + +53 +00:05:00,820 --> 00:05:08,340 +العشرين اكتر مرة اه up to 22 23 شفت حالتها هي طبعا + +54 +00:05:08,340 --> 00:05:16,620 +مرضية طيب الان في ال pathological هنتكلم يعني ايش + +55 +00:05:16,620 --> 00:05:20,880 +الأسباب etiology و pathological حقيقة ايضا في + +56 +00:05:20,880 --> 00:05:26,640 +الأسباب في اختلفةلكن في تلت أسباب منطقية ممكن + +57 +00:05:26,640 --> 00:05:31,340 +تتناقش السبب الأول weakness of the sclera إيش يعني + +58 +00:05:31,340 --> 00:05:36,600 +ضعف ال sclera لأن ال sclera هي الإطار الخارجي + +59 +00:05:36,600 --> 00:05:40,640 +للعين فإذا كان الإطار الخارجي للعين ضائف و العين + +60 +00:05:40,640 --> 00:05:44,360 +فيها pressure معين intraacral pressure طبعا ال + +61 +00:05:44,360 --> 00:05:49,160 +intraacral pressure وين اتجاهته على جدار sclera + +62 +00:05:49,160 --> 00:05:54,300 +فوق و تحت و وراأه فإذا كانت Sclera ضعيفة ممكن + +63 +00:05:54,300 --> 00:06:00,200 +تتمدد هذا سبب السبب الثاني rapid market retinal + +64 +00:06:00,200 --> 00:06:05,720 +growth في بعض الناس إن الشبكية بعد الولادة بتمشي + +65 +00:06:05,720 --> 00:06:10,200 +سريع تضاعف ال surface area بتاعتها بعد ما كانت + +66 +00:06:10,200 --> 00:06:14,960 +صغيرة تبدأ تكبر تكبر تكبر تنمو بسرعة تضغط على + +67 +00:06:14,960 --> 00:06:21,330 +Sclera وتحاول تزيد أبعاد العين وحجم العينهي سبب + +68 +00:06:21,330 --> 00:06:27,450 +المرض وهذا يعني ما يصير يعني في واحد على عشر ألاف + +69 +00:06:27,450 --> 00:06:32,450 +أو أكتر من ال population بقولوا لكن الحقيقة أن + +70 +00:06:32,450 --> 00:06:36,350 +السبب التالت شايفين القاع العين كيف في ال high + +71 +00:06:36,350 --> 00:06:41,150 +meiopia بقولوا أن السبب التالت شئنا أما بينه أن ال + +72 +00:06:41,150 --> 00:06:49,600 +heredity الورعة تلعب الدور الحاسمالان هنتكلم في + +73 +00:06:49,600 --> 00:06:54,380 +أسباب البيترولوجيك الميوبيا على صعيد scleral + +74 +00:06:54,380 --> 00:07:01,540 +weakness و overgrowth of retina weirdity تلت أسباب + +75 +00:07:01,540 --> 00:07:08,940 +وهذا موضوع مهم جدا يقول ان ال weakness of sclera + +76 +00:07:08,940 --> 00:07:15,320 +لا يستطيع to withstand the intraacral pressure زي + +77 +00:07:15,320 --> 00:07:19,960 +ما قلنا يعني هذه ال sclera هيكوفي intraocular + +78 +00:07:19,960 --> 00:07:25,720 +pressure داخل العين في كافة التجاهات طبعا ال + +79 +00:07:25,720 --> 00:07:29,580 +normal intraocular pressure زي ما أخدته من عشرة + +80 +00:07:29,580 --> 00:07:34,620 +إلى عشرين مليمتر زئبق ten to twenty millimeter + +81 +00:07:34,620 --> 00:07:43,540 +millimeter HG HG يعني زئبق طيب الآن لما sclera + +82 +00:07:43,540 --> 00:07:49,620 +بتجبه thick و strong بيكون فيه balanceبين sclera + +83 +00:07:49,620 --> 00:07:53,840 +وبين ال intra-acral pressure وبالتالي حجم العين + +84 +00:07:53,840 --> 00:07:58,100 +هيكون normal زي ما عند الناس معظمهم هيك لكن في + +85 +00:07:58,100 --> 00:08:01,820 +حالة ان ال intra-acral pressure أكتر من اللازم او + +86 +00:08:01,820 --> 00:08:06,760 +sclera أضعف من اللازم فانه هذا سيؤدي إلى ان sclera + +87 +00:08:06,760 --> 00:08:12,200 +تبدأ تعمل stretch تتمدد + +88 +00:08:12,200 --> 00:08:17,160 +تتمدد و أكتر stretch بصير في ال posterior pole + +89 +00:08:17,160 --> 00:08:21,240 +الموجهة هذهاللي فيها ال optic disk وفيها الماكولا + +90 +00:08:21,240 --> 00:08:28,860 +والأسف إنه هذا أهم منطقة في ال retina أهم منطقة + +91 +00:08:28,860 --> 00:08:33,180 +وين رأس العصب البصري وين الماكولا أهم منطقة مين + +92 +00:08:33,180 --> 00:08:36,400 +أهم ال periphery اللي عند الأورا سيراتة لا ال + +93 +00:08:36,400 --> 00:08:43,560 +center ولا اللي ورا لا ال center يبقى لا تستطيع ال + +94 +00:08:43,560 --> 00:08:48,840 +weak sclera ال thin sclera أن تقاومالـ intraocular + +95 +00:08:48,840 --> 00:08:53,340 +pressure without giving way بدون أن تتمدد and + +96 +00:08:53,340 --> 00:08:56,900 +stretching تنشد leading to increase diameter of + +97 +00:08:56,900 --> 00:09:02,440 +the eye أبعاد اللي هو العين يزداد خاصة + +98 +00:09:02,440 --> 00:09:06,900 +الانتروبستيرور اكسس انتروبستيرور اكسس اللي هو من + +99 +00:09:06,900 --> 00:09:13,800 +مركز القرنية إلى مركز الشبكية هذا بيزيل كتير وكل + +100 +00:09:13,800 --> 00:09:18,660 +واحد مليمتر زيادةبيعطي three diopters ميوبيا three + +101 +00:09:18,660 --> 00:09:26,520 +diopters ميوبيا السبب المفترض التاني rapid and + +102 +00:09:26,520 --> 00:09:33,160 +marked يعني هو سريع وملحوظ كبير retinal growth it + +103 +00:09:33,160 --> 00:09:37,080 +was generally held that the changes in the pundus + +104 +00:09:37,080 --> 00:09:41,700 +were due to this stretching but it seems more + +105 +00:09:41,700 --> 00:09:45,790 +consented toThe retina can exert a profound + +106 +00:09:45,790 --> 00:09:48,390 +stretch with multiple areas of corretinal + +107 +00:09:48,390 --> 00:09:50,870 +degeneration that results in marked irreversible + +108 +00:09:50,870 --> 00:09:57,010 +impairment of visual equity طيب، الآن يعني لو + +109 +00:09:57,010 --> 00:10:03,250 +أخدنا football ال football هذا فيه إله إطار داخلي، + +110 +00:10:03,250 --> 00:10:08,190 +انبوب أو إله إطار خارجي، الجلد، جوا مطاط رابر و + +111 +00:10:08,190 --> 00:10:15,480 +الخارجي، إيش؟ اللي هو الجلدالان لو الـ rubber + +112 +00:10:15,480 --> 00:10:22,560 +الداخلي أخد نفس هوى أكتر من اللازم وصارله + +113 +00:10:22,560 --> 00:10:26,980 +extension بتلقائيًا + +114 +00:10:26,980 --> 00:10:32,520 +هيضغط على الخارجي والخارج هذا هيتمدد إلى حد ثم + +115 +00:10:32,520 --> 00:10:38,660 +يبدأ يتمزق هذه الكرة الان اطار السيارة لو نفخناها + +116 +00:10:38,660 --> 00:10:43,820 +بزيادة بزيادة بزيادةشيء أهم باينه انه هيتمدد كل + +117 +00:10:43,820 --> 00:10:50,060 +حجم اللي هو الإطار و ربما ينفجر البلون اللي بيلعب + +118 +00:10:50,060 --> 00:10:54,920 +فيه الأطفال لو نفخ زيادة عن نفسه ممكن يتمدد و + +119 +00:10:54,920 --> 00:10:57,820 +يتمدد وبعدين يصير very thin وبعدين عرضه انه يصير + +120 +00:10:57,820 --> 00:11:05,180 +له explosion فالآن في بعض الناس يعني خارج إطار ال + +121 +00:11:05,180 --> 00:11:11,340 +normality ممكن انه over growth of the retinaالـ + +122 +00:11:11,340 --> 00:11:14,740 +overgrowth of retina يعني اللي بيقولوا إنه الشبكية + +123 +00:11:14,740 --> 00:11:20,540 +تضاعف ال surface area بتاعتها في شهور أو في سنوات + +124 +00:11:20,540 --> 00:11:26,100 +في الأطفال بعد الولادة مما يؤدي إلى ضغط من الداخل + +125 +00:11:26,100 --> 00:11:29,740 +للخارج على sclera ال sclera تتمدد وبصير أبعاد + +126 +00:11:29,740 --> 00:11:34,500 +العين أكبر من اللازم أكبر من اللازم في عملية + +127 +00:11:34,500 --> 00:11:37,100 +pathological myopia ليش ال myopia الواحد واتنين + +128 +00:11:37,100 --> 00:11:40,040 +وتلاتة واربعة لأ كلمة myopia فوق الستة + +129 +00:11:44,070 --> 00:11:48,170 +طيب هو بيقول لي في شرح لإن ال retinal growth .. و + +130 +00:11:48,170 --> 00:11:50,530 +ال growth .. ال retinal develops very considerably + +131 +00:11:50,530 --> 00:11:55,590 +بسرعة معتبرة in post-natal life what's post-natal + +132 +00:11:55,590 --> 00:12:01,510 +life؟ after birth pre-natal قبل الولادة post-natal + +133 +00:12:01,510 --> 00:12:04,790 +بعد الولادة almost doubling its area surface area + +134 +00:12:04,790 --> 00:12:09,900 +إيش doubling؟ الضعفand it's quite conceivable that + +135 +00:12:09,900 --> 00:12:16,780 +as Voigt contented .. Voigt افترض the axial length + +136 +00:12:16,780 --> 00:12:20,140 +of the eye accommodates itself to this tissue when + +137 +00:12:20,140 --> 00:12:24,560 +the retina grows more rapidly and extensively than + +138 +00:12:24,560 --> 00:12:28,540 +normal أي يتحمل أنتروبسترية أكسس عدد كبير في + +139 +00:12:28,540 --> 00:12:30,380 +التمدد however + +140 +00:12:38,410 --> 00:12:42,410 +السكليرة تصبح مطلوبة وخففة عن نتائج البيوبيا + +141 +00:12:42,410 --> 00:12:42,550 +البيوبيا البيوبيا البيوبيا البيوبيا البيوبيا + +142 +00:12:42,550 --> 00:12:45,950 +البيوبيا البيوبيا البيوبيا البيوبيا البيوبيا + +143 +00:12:45,950 --> 00:12:50,990 +البيوبيا البيوبيا البيوبيا البيوبيا البيوبيا + +144 +00:12:50,990 --> 00:12:55,390 +البيوبيا البيوبيا البيوبيا البيوبيا البيوبيا + +145 +00:12:55,390 --> 00:12:55,970 +البيوبيا البيوبيا البيوبيا البيوبيا البيوبيا + +146 +00:12:55,970 --> 00:12:55,970 +البيوبيا البيوبيا البيوبيا البيوبيا البيوبيا + +147 +00:12:55,970 --> 00:12:55,970 +البيوبيا البيوبيا البيوبيا البيوبيا البيوبيا + +148 +00:12:55,970 --> 00:12:59,910 +البيوبيا البيوبيا البيوبيا البيوبيا ال + +149 +00:13:01,950 --> 00:13:09,410 +طبعا sclera كل ما تشد لأن sclera في ال children مش + +150 +00:13:09,410 --> 00:13:14,530 +زي ال others يعني هي أساسا thin .. thin و ممكن + +151 +00:13:14,530 --> 00:13:22,250 +تصيرها stretching تتمدد عشان هيك ال .. ال .. ال + +152 +00:13:22,250 --> 00:13:28,650 +glucoma من ال children بيكون غالبا تنعكس على ال + +153 +00:13:28,650 --> 00:13:34,580 +corneaالقرنية دائما تزيد في الأطفال عندما تزيد ال + +154 +00:13:34,580 --> 00:13:37,840 +pressure يعني + +155 +00:13:37,840 --> 00:13:45,320 +حاجة اسمها Bofthalmos في كبار السن لأ الدغط كله + +156 +00:13:45,320 --> 00:13:51,280 +يكون ورا على ال optic disk ويصبح ال optic disk في + +157 +00:13:51,280 --> 00:13:57,020 +وضع ال degeneration في كبار السنيعني كبار السن لو + +158 +00:13:57,020 --> 00:14:03,420 +بدأت نحو مجلوكومة مش هيصير حجم العين كبير حجم + +159 +00:14:03,420 --> 00:14:09,200 +العين كبير في الاطفال طيب + +160 +00:14:09,200 --> 00:14:14,060 +الفرضية التالتة انه السبب شيئنا اما بينه heredity + +161 +00:14:14,060 --> 00:14:18,180 +اه ان ال funders are essentially hereditarily + +162 +00:14:18,180 --> 00:14:21,740 +determined however this may be in addition to the + +163 +00:14:21,740 --> 00:14:26,000 +primary development او developmental faultيعني + +164 +00:14:26,000 --> 00:14:28,900 +بالاضافة إلى العاملين الأولانيين إن الـ sclera + +165 +00:14:28,900 --> 00:14:34,240 +بتكون weak وفيه overgrowth of the retina بيقولّي + +166 +00:14:34,240 --> 00:14:39,140 +الأساس في هذا هو العامل الورافي which may be + +167 +00:14:39,140 --> 00:14:42,080 +postulated in the atrial myopia in its higher + +168 +00:14:42,080 --> 00:14:48,260 +degrees high myopia يبقى الآن مالذي يؤدي إلى ضعف + +169 +00:14:48,260 --> 00:14:52,100 +sclera أو overgrowth of the retina بيقولّك هي ال + +170 +00:14:52,100 --> 00:14:58,370 +heredityطيب في شي اسمه adjuvant factors of + +171 +00:14:58,370 --> 00:15:03,550 +pathological myopia العوامل المساعدة لقصر .. قصر + +172 +00:15:03,550 --> 00:15:10,410 +النظر المرضي يعني في عوامل مساعدة صحيح ان هو مريض + +173 +00:15:10,410 --> 00:15:14,350 +يعني واحد مريض سكري احنا عارفين انه مريض سكري لكن + +174 +00:15:14,350 --> 00:15:18,190 +ما هي العوامل المساعدة ان السكر يظهر منها stress + +175 +00:15:18,190 --> 00:15:28,730 +منها ضعيف السكر يكتبمنها malnutrition منها يعني + +176 +00:15:28,730 --> 00:15:34,870 +اللي هو psychic disturbance حاجات نفسية اشي بتاع + +177 +00:15:34,870 --> 00:15:38,110 +السكري بيزعل بيطلع السكر بتاعه عالم تاني وأكتر + +178 +00:15:38,110 --> 00:15:44,530 +بيرتاح برجع السكر ينزل من دون علاج مريض الضغط أيضا + +179 +00:15:44,530 --> 00:15:49,030 +في حاجات مساعدة فهي ما هي اللي هو adjuvant factors + +180 +00:15:49,030 --> 00:15:54,820 +of pathological myopiaأول شيء physical disability + +181 +00:15:54,820 --> 00:16:08,960 +الوهن الجسماني الوهن + +182 +00:16:08,960 --> 00:16:10,720 +الجسماني الوهن الجسماني الوهن الجسماني الوهن + +183 +00:16:10,720 --> 00:16:10,720 +الجسماني الوهن الجسماني الوهن الجسماني الوهن + +184 +00:16:10,720 --> 00:16:10,760 +الجسماني الوهن الجسماني الوهن الجسماني الوهن + +185 +00:16:10,760 --> 00:16:10,760 +الجسماني الوهن الجسماني الوهن الجسماني الوهن + +186 +00:16:10,760 --> 00:16:10,760 +الجسماني الوهن الجسماني الوهن الجسماني الوهن + +187 +00:16:10,760 --> 00:16:10,760 +الجسماني الوهن الجسماني الوهن الجسماني الوهن + +188 +00:16:10,760 --> 00:16:10,760 +الجسماني الوهن الجسماني الوهن الجسماني الوهن + +189 +00:16:10,760 --> 00:16:10,760 +الجسماني الوهن الجسماني الوهن الجسماني الوهن + +190 +00:16:10,760 --> 00:16:15,780 +الجسماني الوهن الجسماني + +191 +00:16:15,780 --> 00:16:21,170 +الوالطفولة أكتر ناس بنضحك في يوم الطفولة مافيش + +192 +00:16:21,170 --> 00:16:27,970 +طعام مافيه برد مافيه نوم كويس خوف هجرة نزوح كده + +193 +00:16:27,970 --> 00:16:31,810 +كده كده كده هذه عوامل كلها غير مساعدة تعمل وهن + +194 +00:16:31,810 --> 00:16:39,310 +جسدي و آخر شيء بتوفرك الطعم الجيد الطعم الجيد يبقى + +195 +00:16:39,310 --> 00:16:43,530 +physical debility مع وجود malnutrition سوء تغذية + +196 +00:16:43,530 --> 00:16:52,960 +ووجود chronic diseases أمراضمزمنة، أمراض مزمنة زي + +197 +00:16:52,960 --> 00:16:57,480 +ايش الأمراض المزمنة؟ diabetes mellitus + +198 +00:16:57,480 --> 00:17:04,300 +hypertension cancer أنيميا، + +199 +00:17:04,300 --> 00:17:13,980 +في أمراض مزمنة لا يرجع يعني برؤها طيب في كمان عامل + +200 +00:17:17,690 --> 00:17:23,910 +بقول market study or closed inspection of minute + +201 +00:17:23,910 --> 00:17:28,870 +objects بقول + +202 +00:17:28,870 --> 00:17:33,650 +في عامل مساعد ان الميوبيا تظهر وتزيد بسرعة طول + +203 +00:17:33,650 --> 00:17:42,510 +القراءة لخطوط صغيرةطول القراءة يعني close work أو + +204 +00:17:42,510 --> 00:17:47,390 +study with inspection of minute objects minute + +205 +00:17:47,390 --> 00:17:52,830 +objects يعني متناهية وفسيرة أذكر لما كنا طلبة في + +206 +00:17:52,830 --> 00:18:00,550 +مصر كان اتحاد الطلاب مشكورا بيجيب ال text الأجنبي + +207 +00:18:00,550 --> 00:18:08,710 +وعشان يخفض علينا من 200 دولار ل 20 دولار بيصوروا + +208 +00:18:09,620 --> 00:18:14,500 +طبعة رخيصة يتطلب الشرق الأوسط طبعا الطبعة هذه خطوط + +209 +00:18:14,500 --> 00:18:20,000 +صغيرة يعني حطوا مثلا تلت مجلدات في مجلد طبعها تزغر + +210 +00:18:20,000 --> 00:18:27,640 +الخط بعدين تصوير من تصوير فاهي فينت و احنا نشتري + +211 +00:18:27,640 --> 00:18:31,000 +ال text و نشكرهم بالعشرين دولار كويس يعني لكن عند + +212 +00:18:31,000 --> 00:18:36,280 +القراءة ندفع التمن التمن ايش العينيش تقرأ خط فاهي + +213 +00:18:36,280 --> 00:18:42,620 +و صغير مدمجطول القراءة بالصورة هذه خاصة طلاب + +214 +00:18:42,620 --> 00:18:48,260 +مشتهدين زي طالباتي في قسم البصريات هذا ممكن يطلع + +215 +00:18:48,260 --> 00:18:55,040 +اشي مخبأ او كان هيتأخر يعجب فيه يخلق ايش يطلع قريب + +216 +00:18:55,040 --> 00:19:02,700 +يعنى هي ادرين فاكتر تاني في بقول يقال ان سن + +217 +00:19:02,700 --> 00:19:08,970 +المدرسة هو سن ظهور الميوبياسن المدرسة يعني الطفل + +218 +00:19:08,970 --> 00:19:13,370 +قبل الست سبع سنوات أو تمام سنوات بيكون لعب في لعب + +219 +00:19:13,370 --> 00:19:17,930 +حياته لما يبدأ يحفظ جدول الضرب ويبدأ يحل الواجب + +220 +00:19:17,930 --> 00:19:23,070 +وينسخ ويبدأ بيقولوا انه هنا .. هنا يعني لو هو عنده + +221 +00:19:23,070 --> 00:19:27,970 +استعداد لما يوبيا الظروف هذه اللي بدأ يعيشها بتعجل + +222 +00:19:27,970 --> 00:19:34,770 +في ظهور ما يوبيا يعني عامل مساعد عامل مساعدةفبقوله + +223 +00:19:34,770 --> 00:19:42,690 +يعني هذا الطفل نتيجة انه يعني لا يستطيع انه يشارك + +224 +00:19:42,690 --> 00:19:49,870 +أقرانه اللعب في الشارع بدأ هو يعني uncorrected + +225 +00:19:49,870 --> 00:19:57,410 +طبعا بدأ انه يصير يعني بصريا ليس كأقرانه أقل بدأ + +226 +00:19:57,410 --> 00:20:04,010 +انه to sit and read at homeينطبع نفسه then join + +227 +00:20:04,010 --> 00:20:08,930 +his fellows يسيب أطرابه at play outside في اللعب + +228 +00:20:08,930 --> 00:20:13,810 +الخارج من ما يؤدي إلى زيادة الميوبيا لأنه إيش هيمع + +229 +00:20:13,810 --> 00:20:17,030 +في وقته هذا إما على الكمبيوتر أو على الجوال أو على + +230 +00:20:17,030 --> 00:20:22,020 +الكتابمزيدا من الدراسة و الخط الصغير اي ما يقبل + +231 +00:20:22,020 --> 00:20:25,280 +choose preferentially عن occupation which involves + +232 +00:20:25,280 --> 00:20:29,700 +closer حتى الكبير لو بده يعمل اي عمل مكتبي او + +233 +00:20:29,700 --> 00:20:33,920 +كمبيوتر بدهوش يختارت بالناس اصبحت فيه psychic + +234 +00:20:33,920 --> 00:20:41,260 +tendency to sit alone او work alone ويحب العمل + +235 +00:20:41,260 --> 00:20:48,410 +المنفعي طيب العامل التالت هو حقيقة هذا عامليعني + +236 +00:20:48,410 --> 00:20:53,030 +فاعل معامل مساعد اللي هو الوراثة الوراثة عامل مهم + +237 +00:20:53,030 --> 00:20:57,130 +جدا life + +238 +00:20:57,130 --> 00:21:00,230 +numbers of those who are exposed to close work in + +239 +00:21:00,230 --> 00:21:02,890 +the most adverse conditions never develop myopia + +240 +00:21:02,890 --> 00:21:08,830 +يعني هو بيقوللي انه مع احترامنا لرأي العمل القريب + +241 +00:21:08,830 --> 00:21:15,500 +يعني فينا عملوا قريب لسنواتوفي يعني عمالة اللي + +242 +00:21:15,500 --> 00:21:20,260 +بتطلب التطريز والكلام اللي هو صعب هذا بيقول لم + +243 +00:21:20,260 --> 00:21:26,700 +يظهر هذا عليهم إلا إن كان عندهم استعداد وجراثي + +244 +00:21:26,700 --> 00:21:33,240 +يبقى on the whole it would seem certain that the + +245 +00:21:33,240 --> 00:21:35,560 +influence of close work is secondary and + +246 +00:21:35,560 --> 00:21:43,350 +incidentalشيء عارض وشيء ثانوي إذا ما قررناه بالـ + +247 +00:21:43,350 --> 00:21:47,590 +hereditary predetermination اللي هو التحديد + +248 +00:21:47,590 --> 00:21:53,150 +الوراثي أكتر من البيئة و أكتر من الطعام والشراب + +249 +00:21:53,150 --> 00:21:58,730 +والكلام العام الوراثي الحقيقة أنا كتير بشوف يعني + +250 +00:21:58,730 --> 00:22:06,150 +families ال both parents بيكونوا high my own the + +251 +00:22:06,150 --> 00:22:13,600 +whole of theirSons and daughters will come ميوب + +252 +00:22:13,600 --> 00:22:19,000 +ميوب هاي ميوب و في نفس الوقت بعض ال families هاي + +253 +00:22:19,000 --> 00:22:23,520 +هاي بارمتروم All of their sons and daughters are + +254 +00:22:23,520 --> 00:22:29,880 +هاي بارمتروم فالوراتها تلعب يعني عاملا أكيدا في + +255 +00:22:29,880 --> 00:22:34,880 +هذا لكن باقي الأسباب اللي احنا سوقناها زي ال close + +256 +00:22:34,880 --> 00:22:40,880 +workو small letters و reading و موضوع ال .. اللي + +257 +00:22:40,880 --> 00:22:45,100 +هو ال physical debility الوهن اه هذه عوامل صحيح + +258 +00:22:45,100 --> 00:22:49,780 +اكيد انها عموما مساعدة لكن لا تغلب الوراثة لا تغلب + +259 +00:22:49,780 --> 00:22:57,700 +الوراثة another adjuvant factor is bad ocular and + +260 +00:22:57,700 --> 00:23:01,860 +general hygiene سوء + +261 +00:23:01,860 --> 00:23:07,670 +الإناية بصحة العين والصحة الجسمانيةطيب يعني ايه؟ I + +262 +00:23:07,670 --> 00:23:13,810 +Hygiene زي إيش يعني مثلا مثلا بالطبع الإنسان بيصحى + +263 +00:23:13,810 --> 00:23:19,110 +من النوم بيقعد بقى على الحمام بيغسى وجهه بالماء + +264 +00:23:19,110 --> 00:23:26,130 +والصابون بضيع أي deposit بضيع يعني أي foreign + +265 +00:23:26,130 --> 00:23:34,080 +bodies أي أثر ال inflammationالإنسان مثلا بدأت + +266 +00:23:34,080 --> 00:23:39,200 +معاه allergy في الربيع، بياخدوا drops، بيعالجها، + +267 +00:23:39,200 --> 00:23:42,560 +بدأت infection congenitivitis أو blepharitis، + +268 +00:23:42,560 --> 00:23:46,480 +بياخدوا antibiotic و بيتبعها، بتطيب طيب الطفل اللي + +269 +00:23:46,480 --> 00:23:51,320 +ما عنده هذه العناية، ما بيغسل وجهه؟ما بيعالج عينيه + +270 +00:23:51,320 --> 00:23:59,800 +دم بيحكو دم في ظروف دراسية صعبة الإضاءة bad ع + +271 +00:23:59,800 --> 00:24:05,380 +الشمع ع الادات الكراءة دم بيحكو في عينيه دم المعرض + +272 +00:24:05,380 --> 00:24:12,800 +إلى سوق التهوية سوق التهوية في جو مافيه هوا مافيه + +273 +00:24:12,800 --> 00:24:21,050 +تجديد طبعا هذه bad ocular hygiene مع جنرالبعدها يا + +274 +00:24:21,050 --> 00:24:26,790 +جين الجسم ما بتحمم الطفل + +275 +00:24:26,790 --> 00:24:32,130 +الشمس ما بتشوفه نفسه + +276 +00:24:32,130 --> 00:24:39,790 +صعب فيه جو نرجيلة و جو smoking و مولعين فحم و + +277 +00:24:39,790 --> 00:24:45,870 +الكلام هذا ما بتحمم كويس مالبس نظيفة كلام زي هذا + +278 +00:24:45,870 --> 00:24:53,140 +فكل هذا بيأثر على ظهور الميوكينكمان lack of + +279 +00:24:53,140 --> 00:24:56,400 +adequate facilities for normal healthy development + +280 +00:24:56,400 --> 00:25:03,460 +like poverty and ignorance طبعا الطفل الصغير تماما + +281 +00:25:03,460 --> 00:25:10,660 +كشجرة بتزرع الشجرة صغيرة وعايزة care special care + +282 +00:25:10,660 --> 00:25:18,340 +من السمد من الشمس من التهوية من الدواء تماما + +283 +00:25:18,340 --> 00:25:22,290 +الكاتكوت الصغيريقولوا عنوان إيش ال كركوز ال + +284 +00:25:22,290 --> 00:25:33,810 +chicken chicken صغير بعد ما يفجس إيش عايزه؟ تغذية، + +285 +00:25:33,810 --> 00:25:40,270 +دواء، هواء، عزيناية، حتى يصير إيش في ال full size + +286 +00:25:40,270 --> 00:25:45,230 +بتاعه حتى يوكل طب و الطفل أقل منهم؟ أقل من النبات + +287 +00:25:45,230 --> 00:25:50,260 +وأقل من ال chicken؟ لأيبقى في adequate facilities + +288 +00:25:50,260 --> 00:25:56,420 +لازم تتوفر لل development هذا المولود الصغير كيف + +289 +00:25:56,420 --> 00:26:03,160 +هسير راجل أو مرأة كبيرة اللي بتتوفر له عوامل تغذية + +290 +00:26:03,160 --> 00:26:12,100 +عوامل صحية عوامل يعني بيئية عوامل نفسية حتى ينمو + +291 +00:26:12,100 --> 00:26:16,540 +وبالتالي إذا لم تتوفر أو كانت قليلة فإن هذا الأرض + +292 +00:26:16,540 --> 00:26:20,010 +علي الميوليةمش ارضع الhypermetropia ارضع الميوبيا + +293 +00:26:20,010 --> 00:26:23,470 +طيب + +294 +00:26:23,470 --> 00:26:28,770 +في story اتكلمنا عنها في بلاد ال hypermetropia وان + +295 +00:26:28,770 --> 00:26:34,830 +ال hypermetropia هو the most common refractive + +296 +00:26:34,830 --> 00:26:42,010 +error worldwide في كل العالم وقولنا ان ال + +297 +00:26:42,010 --> 00:26:48,500 +hypermetropia هي one stage ofdevelopment of the + +298 +00:26:48,500 --> 00:26:52,640 +eye وقولنا انه في continental hypermetropia وفي + +299 +00:26:52,640 --> 00:26:56,220 +acquired hypermetropia وقولنا story الان بدنا + +300 +00:26:56,220 --> 00:27:03,600 +story like that for myopia progression or progress + +301 +00:27:03,600 --> 00:27:11,300 +of myopia واحدة واحدة وهذا يعني موضوع سؤال امتحان + +302 +00:27:11,300 --> 00:27:17,980 +اعتبره ممكن ان يكون موضوع سؤال امتحانطيب at birth + +303 +00:27:17,980 --> 00:27:25,340 +عند الولادة ال myopia is very uncommon نادر جدا + +304 +00:27:25,340 --> 00:27:31,280 +ولا واحد في ال 100 ألف ان الاجي واحد مثلا والد + +305 +00:27:31,280 --> 00:27:34,760 +وعمد و افراكشن الاجي minus two three four myopia + +306 +00:27:34,760 --> 00:27:41,780 +نادر جدا وهي هذه الحالات congenital ومتعلقة بال + +307 +00:27:41,780 --> 00:27:46,980 +prematuritypremature ايوة prematurity الخداج او + +308 +00:27:46,980 --> 00:27:53,360 +الأطفال المولد الخدج طبعا ال premature هم بيحطوهم + +309 +00:27:53,360 --> 00:27:59,820 +في special incubator في حضانة معينة و فيها high + +310 +00:27:59,820 --> 00:28:05,840 +oxygen tensionلأنه ماجتملش في ال uterus عند الأم + +311 +00:28:05,840 --> 00:28:11,420 +فلأن هم حطوه في ال incubator under high oxygen + +312 +00:28:11,420 --> 00:28:17,540 +pressure عشان اللي هو الموضوع ال development عشان + +313 +00:28:17,540 --> 00:28:23,620 +يكمل يعني development ال heart ال lungs ال .. ال + +314 +00:28:23,620 --> 00:28:29,830 +.. ال .. nervous system و هكذايبقى في بعض الناس + +315 +00:28:29,830 --> 00:28:35,090 +بيقولوا ان الـ High Oxygen Tension بيعمل + +316 +00:28:35,090 --> 00:28:42,110 +Retinopathy Retinopathy يعني اعتلال الشبكية اسمه + +317 +00:28:42,110 --> 00:28:49,750 +Retinopathy of Prematurity روت طبعا بعد ما نطلع + +318 +00:28:49,750 --> 00:28:54,630 +الطفل و يطلع بالسلامة الميوبيا هذه اللي صارت من ال + +319 +00:28:54,630 --> 00:29:01,110 +oxygen pressure بتبدأ تتراجعيعني هذه مؤقتة في غالب + +320 +00:29:01,110 --> 00:29:05,730 +الحالات لكن في بعض الحالات تصبح permanent ومشكلة + +321 +00:29:05,730 --> 00:29:10,770 +كبيرة طبعا حسب المدن التي قضاها الطفل والكلام زيها + +322 +00:29:10,770 --> 00:29:21,270 +طيب في ال story بتاعة البروجرس أو ميوبيا الناس + +323 +00:29:21,270 --> 00:29:26,850 +اللي هو hyper metropic normallyواضح انه عندهم ميل + +324 +00:29:26,850 --> 00:29:32,630 +انه اتقل الhypermetropia بالتدريجي وهذا اعتبره ان + +325 +00:29:32,630 --> 00:29:37,370 +هو myopic tendency او trend myopic tendency ميل + +326 +00:29:37,370 --> 00:29:43,230 +نحمل myopia طالما ان الhypermetropia بتقل انه يعني + +327 +00:29:43,230 --> 00:29:47,670 +احتمال ان تبدأ تقل لمصير Zero وبعدين تبدأ بالمينوس + +328 +00:29:47,670 --> 00:29:52,190 +زي الصورة هذه شايفين شكلها ده هي لو حطينا + +329 +00:29:52,190 --> 00:29:53,230 +الhypermetropia هنا + +330 +00:29:57,680 --> 00:30:02,320 +وحطينا هنا ال age ايش + +331 +00:30:02,320 --> 00:30:06,320 +في ال age شايفين هنا ال hypertrophy بتقل ولا + +332 +00:30:06,320 --> 00:30:11,540 +بتزيد؟ بتقل يعني ماشي بتقل ونفس الحاجة هنا هي في + +333 +00:30:11,540 --> 00:30:15,000 +ال age عند الولادة كانت مثلا تلاتة او اربعة الآن + +334 +00:30:15,000 --> 00:30:21,660 +صفت واحد او اقل في بعض الناس لأ ممكن جدا انه تبدأ + +335 +00:30:21,660 --> 00:30:27,800 +myopia في التجاه المعكس تبدأ myopiaطالما ال plus + +336 +00:30:27,800 --> 00:30:36,060 +بيجيل احتمال يصل ال zero و يبدأ مرحلة مايوبيا في + +337 +00:30:36,060 --> 00:30:39,600 +ال story نفسها + +338 +00:30:39,600 --> 00:30:48,120 +بقول + +339 +00:30:48,120 --> 00:30:49,420 +in most of cases + +340 +00:30:52,080 --> 00:30:56,140 +designed to end up in a category of simple myopia + +341 +00:30:56,140 --> 00:31:02,900 +يعني كثير كثير لا يتكلم مثلا عن ال twenty percent + +342 +00:31:02,900 --> 00:31:11,000 +of cases الhypermetropia بتسلم ل simple myopia في + +343 +00:31:11,000 --> 00:31:16,040 +حدود واحد او اتنين او تلاتة الاش myopia + +344 +00:31:19,200 --> 00:31:23,800 +يبقى احنا بنفرح فعلا لما ال hypermetropia تقل لكن + +345 +00:31:23,800 --> 00:31:29,560 +بنزعل لما ماتقفش تقل بزيادة يقطف جاني يعني مثلا + +346 +00:31:29,560 --> 00:31:34,800 +eight or nine years عنده minus one اه يعني انا + +347 +00:31:34,800 --> 00:31:38,160 +فاهم ال minus one او انا هيروح حاجة ال minus one + +348 +00:31:38,160 --> 00:31:43,440 +احتمال انه في سن ال fourteen او fifteen يصير three + +349 +00:31:43,440 --> 00:31:49,220 +او four وهنا بيقن المشكلةلو انه لسه فضل بال plus + +350 +00:31:49,220 --> 00:31:53,680 +one بتاعته لعشر او اتناشر سنة انا بكون فرحان اكتر، + +351 +00:31:53,680 --> 00:31:59,760 +ليش؟ لأنه الغالب انه هذا هيعمل balance عند البلوغ + +352 +00:31:59,760 --> 00:32:05,590 +و يقفneutral لا هو هيبقى المتروب ولا هم هيهم ده + +353 +00:32:05,590 --> 00:32:10,190 +كإن إجت ال myopia yearly في تمانية سنين أو تسع + +354 +00:32:10,190 --> 00:32:15,190 +سنين أنا بكون suspicious شاكك إنه هذا من الحالات + +355 +00:32:15,190 --> 00:32:20,250 +اللي هتبدأ simple myopia و هيلبس نضارة في سن + +356 +00:32:20,250 --> 00:32:23,550 +الثانويات و الجامعات طيب + +357 +00:32:25,600 --> 00:32:29,080 +the chain does not cause symptoms until the early + +358 +00:32:29,080 --> 00:32:33,960 +teens although it may predate this a in some way + +359 +00:32:33,960 --> 00:32:37,280 +يعني الطفل عمره تسعة سنوات minus one ممكن مايشكيش + +360 +00:32:37,280 --> 00:32:42,580 +symptom less لكن في الاحداث و اتناشه ال teens هذه + +361 +00:32:42,580 --> 00:32:46,080 +بداية لأ يبدأ يقول انه شافت فيزيون مش شافي + +362 +00:32:46,080 --> 00:32:52,900 +classroom و يبدأ بيبدوا aid بدوا glasses يعني حتى + +363 +00:32:52,900 --> 00:32:58,000 +يشوفواطب في ال story بيقول طب هذا الطفل في الغالب + +364 +00:32:58,000 --> 00:33:02,340 +وين هيروح اللي بدأ معاها simple myopia هيحصل minus + +365 +00:33:02,340 --> 00:33:06,600 +five إلى minus six diameters over the succeeding + +366 +00:33:06,600 --> 00:33:14,580 +few years يعني من ال 11 ل 16 17 18 حيصل خمسة إلى + +367 +00:33:14,580 --> 00:33:18,920 +ستة وهذا سقفه ايش اللي هو physiological سقفه + +368 +00:33:18,920 --> 00:33:24,340 +physiological finally stabilizingتتوقف في سن ال 21 + +369 +00:33:24,340 --> 00:33:28,100 +years or slightly younger in women يعني البنات + +370 +00:33:28,100 --> 00:33:32,360 +عشرين او تسعتاشر سنة تتوقف ال simple malopia عن + +371 +00:33:32,360 --> 00:33:43,080 +التقدم طيب السقف هذا سقف يعني + +372 +00:33:43,080 --> 00:33:48,520 +مش pathological physiological اه هذا مش + +373 +00:33:48,520 --> 00:33:51,100 +pathological هذا physiological لعد الخمسة والستة + +374 +00:33:52,020 --> 00:33:57,800 +وإن كان الخمسة وستة صحيح إن هم يعني متعبين وعايزين + +375 +00:33:57,800 --> 00:34:03,540 +يعني correction سواء glasses أو contact lenses أو + +376 +00:34:03,540 --> 00:34:10,460 +exmer laser لكن في حدود إيش؟ في حدود الفيسيولوجيا + +377 +00:34:10,460 --> 00:34:11,860 +.. حدود الفيسيولوجيا + +378 +00:34:16,350 --> 00:34:19,830 +it is very uncommon but far from unknown for + +379 +00:34:19,830 --> 00:34:24,670 +myopia to commence after adolescence is over يعني + +380 +00:34:24,670 --> 00:34:30,290 +واحد أنهى الثانوية العامة اتين years بسلام في مترو + +381 +00:34:30,290 --> 00:34:38,270 +ودخل الكلية هنا نادران جدا ما يبدأ رحلة الmyopia + +382 +00:34:38,270 --> 00:34:42,310 +بعد التمنتاش يعني أنهى الثانوية العامة بسلام + +383 +00:34:44,060 --> 00:34:49,800 +emetrope without glasses نادرًا جدًا محتاج في + +384 +00:34:49,800 --> 00:34:56,120 +الجامعة إلى correction for myopia لأنه بيكون يعني + +385 +00:34:56,120 --> 00:35:03,820 +متأسس على emetrope حتى ال heredity وال genes خدمته + +386 +00:35:03,820 --> 00:35:09,100 +في الموضوع هذا وهذا lucky اللي بدخل الجامعة بدون + +387 +00:35:09,100 --> 00:35:16,950 +glasses يعني هو lucky صحيحوإن كان نسبة ممكن تكون 1 + +388 +00:35:16,950 --> 00:35:23,270 +% أو 2% ممكن يجدد مايوبيا ربما أبرض في أثر جيني + +389 +00:35:23,270 --> 00:35:30,510 +الموضوع هنا يجب أن تكون حذرا لتخلص من الأسباب + +390 +00:35:30,510 --> 00:35:33,950 +المشكلة مثل + +391 +00:35:33,950 --> 00:35:41,110 +الـ type 1 diabetes meningitisيعني ..يعني هي صح ان + +392 +00:35:41,110 --> 00:35:50,130 +بعد ال .. ال adolescence ما .. يعني تكون off مرت + +393 +00:35:50,130 --> 00:35:54,650 +بسلام نقدر انجد ده نتيجة ميوبيا إلا في الناس اللي + +394 +00:35:54,650 --> 00:35:58,470 +عندهم type 1 diabetes mellitus لأن مرتبط بال + +395 +00:35:58,470 --> 00:36:02,650 +hyperglycemia pathological changes و refraction as + +396 +00:36:02,650 --> 00:36:05,710 +you know pathological changes و refraction type 1 + +397 +00:36:05,710 --> 00:36:11,870 +diabetes mellitusلكن غير Dipsomalitis نادرا ما + +398 +00:36:11,870 --> 00:36:21,910 +يطرق physiological myopia after 18 years خلاص؟ طيب + +399 +00:36:21,910 --> 00:36:26,310 +.. طيب + +400 +00:36:26,310 --> 00:36:29,210 +.. نيجي لبطوريجيكال ميوبيا، نشوف القصة بتاعتها، + +401 +00:36:29,210 --> 00:36:33,530 +خلصنا ال physiological الآن، story بتاعتها؟ طيب، + +402 +00:36:33,530 --> 00:36:39,550 +if myopia progresses rapidly in ileusسن تلتاش + +403 +00:36:39,550 --> 00:36:44,170 +اربعتاش بدأت و كل سنة one diopter one diopter + +404 +00:36:44,170 --> 00:36:50,670 +بيروح للoptometrist بيقوله انا نضارة صرت مشوش فيها + +405 +00:36:50,670 --> 00:36:54,810 +بيعمله بيقوله اه زي ده diopter ايش بدأت؟ غير + +406 +00:36:54,810 --> 00:36:59,510 +العدسة، بغير العدسة بعد ست شهور ايضا من النضارة + +407 +00:36:59,510 --> 00:37:03,710 +الجديدة بروح لoptometrist تاني أشطر بيقوله والله + +408 +00:37:03,710 --> 00:37:07,850 +اتنين صار عندك اتنين و نصإيش أعمل؟ أغيرلك عدسات + +409 +00:37:07,850 --> 00:37:12,590 +بيفضل أغير العدسات لمثل 6 و7 و8 وما جاش في ذهن + +410 +00:37:12,590 --> 00:37:19,250 +هؤلاء أصحاب المراكز أنه يا عم هذا يعني مدام أنه + +411 +00:37:19,250 --> 00:37:23,610 +كان one وصار eight أنه المشكلة مش مشكلة نضارة + +412 +00:37:23,610 --> 00:37:28,690 +مشكلة ايه؟ pathology مشكلة pathology وهذا أنا أرجو + +413 +00:37:28,690 --> 00:37:37,160 +أنه من طلباتيو طلابي العزاء ان يكونوا هم يعني care + +414 +00:37:37,160 --> 00:37:41,580 +and care يعني ناس منتبهين و عندهم attention + +415 +00:37:41,580 --> 00:37:47,240 +للموضوع هذا زي ال intra-acropressure بيزيد و + +416 +00:37:47,240 --> 00:37:49,900 +بيروحله بيقوله نظري يا أبو سليش بيقوله بدك نظرة + +417 +00:37:49,900 --> 00:37:52,960 +جديدة، بدك تجارة صراحة عنده glucoma صراحة عنده + +418 +00:37:52,960 --> 00:37:57,510 +glucoma يعني انتبهللـ intraocular pressure طالما + +419 +00:37:57,510 --> 00:38:02,350 +فيه تغيير في النظر انتبه لأشياء pathology مش دائما + +420 +00:38:02,350 --> 00:38:08,710 +physiology طيب، يبقى لو الأمر في الـ early birth + +421 +00:38:08,710 --> 00:38:15,970 +تلاتاشة، اربعتاشة، خمستاشة انه بدأ يزيد بسرعة ممكن + +422 +00:38:15,970 --> 00:38:23,490 +يصل twenty to twenty-five درجة درجة او اكترانا مر + +423 +00:38:23,490 --> 00:38:28,790 +علميا بعد العشرين مر عليا in these cases the + +424 +00:38:28,790 --> 00:38:32,450 +period of most rapid progression is usually + +425 +00:38:32,450 --> 00:38:46,190 +fifteen to twenty years يعني فترة فترة التوسع يعني + +426 +00:38:46,190 --> 00:38:47,250 +نقول مثلا هنا + +427 +00:38:54,170 --> 00:39:04,770 +عشرة أسف هنا خمستعش هنا عشرة هنا + +428 +00:39:04,770 --> 00:39:11,490 +عشرين عشرين years لاحظوا أنه الخمستعش إلى العشرين + +429 +00:39:11,490 --> 00:39:17,970 +معظم التقدم يحصل في الفترة هذه fifteen to twenty + +430 +00:39:17,970 --> 00:39:29,680 +years يعني الميوم مثلا بلغت هناtwelve دا يكتر فترة + +431 +00:39:29,680 --> 00:39:32,920 +هذه فترة حارجة خمستاشر إلى عشرين معظم الزيادة + +432 +00:39:32,920 --> 00:39:39,220 +بتصير في المنطقة هذه يعني + +433 +00:39:39,220 --> 00:39:48,160 +يصير التقدم بعد هيك ضئيل لغاية مثلا مثلا تلاتين + +434 +00:39:48,160 --> 00:39:55,540 +يكون انتهيناyears يكون انتهينا وقفة الميوبيا بعد + +435 +00:39:55,540 --> 00:40:00,000 +ما خربت هذا التخريب الكبير يعني بتوقف في الآخر اه + +436 +00:40:00,000 --> 00:40:05,020 +بتوقف في الآخر خلاص بعد هيك ما هي ضمرت في العين ما + +437 +00:40:05,020 --> 00:40:13,250 +تستطيع تدميرهفي العقود التالية بعد مثلا أربعين إلى + +438 +00:40:13,250 --> 00:40:16,790 +خمسين، خمسين إلى ستين of life especially in higher + +439 +00:40:16,790 --> 00:40:24,090 +degrees of myopia الاختلافات الجنية تحدث احتراق في + +440 +00:40:24,090 --> 00:40:29,590 +البستير pool of the eye ورا so that vision may + +441 +00:40:29,590 --> 00:40:33,170 +steadily deteriorate until about sixty years + +442 +00:40:33,170 --> 00:40:41,990 +يتراجع لعند الستينعامة افتراضي عامة + +443 +00:40:41,990 --> 00:40:49,270 +افتراضي عامة افتراضي عامة + +444 +00:40:49,270 --> 00:40:58,750 +افتراضي عامة افتراضي عامة افتراضي عامة افتراضي + +445 +00:40:58,750 --> 00:41:01,330 +عامة افتراضي + +446 +00:41:08,250 --> 00:41:12,950 +إنه عندي أنا شاب عنده high myopia pathological + +447 +00:41:12,950 --> 00:41:17,950 +وفتاة عندها high pathological الصح الصح الصح إنه + +448 +00:41:17,950 --> 00:41:22,270 +ماسي ال marriage مايزوجوا لأنه النتيجة الحتمية + +449 +00:41:22,270 --> 00:41:29,070 +معروفة إن ال siblings sons و daughters all of them + +450 +00:41:29,070 --> 00:41:32,550 +will come high myopia + +451 +00:41:38,460 --> 00:41:45,360 +in the less degree يعني مثلا واحد minus ten واجف + +452 +00:41:45,360 --> 00:41:52,480 +عن ten هذه لسه يعني mild pathology ال minus ten في + +453 +00:41:52,480 --> 00:41:59,900 +pathology بس mild طب لو صار هذا sixty years هو + +454 +00:41:59,900 --> 00:42:04,360 +إيجي طول presbiopia بس كيف إيجي طول presbiopia + +455 +00:42:04,360 --> 00:42:07,180 +يعني لو أنا بدي أحط هنا plus three + +456 +00:42:10,220 --> 00:42:19,020 +هيفضل minus seven طبعاً هذا خاصة لل reading يعني + +457 +00:42:19,020 --> 00:42:25,040 +ال .. ال uncorrected minus ten بيقرأ من fifteen + +458 +00:42:25,040 --> 00:42:34,320 +centimeters و إجارة تلاتة سر سبعة سيقرأ من عشرين + +459 +00:42:34,320 --> 00:42:39,100 +أو اتنين و عشرينيعني أحسن بالبلاش هذه الأسئلة + +460 +00:42:39,100 --> 00:42:45,120 +uncorrected عشان ايه بيقول in less degrees ماشي + +461 +00:42:45,120 --> 00:42:49,940 +العشرين والخمسة وعشرين، لا يعني تسعة، عشر، أحداشر + +462 +00:42:49,940 --> 00:42:54,000 +الأكوايك برس بيوبيا طب أنا مش هصير plus بالمرة مش + +463 +00:42:54,000 --> 00:43:00,700 +هصير plus plus هيصير بعض التحسن في إمكانياته في + +464 +00:43:00,700 --> 00:43:06,950 +القراءة بعض التحسن في إمكانياته في القراءةطبعا + +465 +00:43:06,950 --> 00:43:12,310 +الان احنا بنكون خلصنا ال progress يعني دعوني اقول + +466 +00:43:12,310 --> 00:43:17,370 +انا story of myopia story زي ما في story في + +467 +00:43:17,370 --> 00:43:21,830 +الhypermetropia في story ال progress في ال myopia + +468 +00:43:21,830 --> 00:43:26,850 +و هذا بدي comparison هدف ال comparison الشامل بين + +469 +00:43:26,850 --> 00:43:33,670 +refractive errors طيب الان بدنا نقسم ال myopia مش + +470 +00:43:33,670 --> 00:43:40,240 +حسب ال cause زي الاولقسمناها حسب الـ cause إذا قلت + +471 +00:43:40,240 --> 00:43:44,260 +لك انا classify myopia according to causes او + +472 +00:43:44,260 --> 00:43:49,060 +etiology ده بيقول اكزن curvature index تشرحها طيب + +473 +00:43:49,060 --> 00:43:54,140 +قلت لك classify ده myopia according to clinical + +474 +00:43:54,140 --> 00:43:59,630 +typesبصير physiological و pathological طيب هتكلم + +475 +00:43:59,630 --> 00:44:02,890 +على اللي هو الطيب الأول physiological in which no + +476 +00:44:02,890 --> 00:44:06,750 +pathological changes are evident مش واضحة في العين + +477 +00:44:06,750 --> 00:44:10,330 +أي pathological changes اللي هنقولها بعدين the eye + +478 +00:44:10,330 --> 00:44:15,470 +is healthy مش healthy صحية and visual equity can + +479 +00:44:15,470 --> 00:44:20,390 +be fully صح ممكن بال five انه شوف six sixty before + +480 +00:44:20,390 --> 00:44:25,590 +six sixty بس أول ما حصلت بال five minus fiveسيصبح + +481 +00:44:25,590 --> 00:44:35,530 +الوضع مرتبط بشكل كام لأن + +482 +00:44:35,530 --> 00:44:38,950 +الوضع + +483 +00:44:38,950 --> 00:44:43,210 +مرتبط بشكل كام لأن الوضع مرتبط بشكل كام لأن الوضع + +484 +00:44:43,210 --> 00:44:46,650 +مرتبط بشكل كام لأن الوضع مرتبط بشكل كام لأن الوضع + +485 +00:44:46,650 --> 00:44:52,950 +مرتبط بشكل كام لأن الوضع مرتبط بشكل كاميبدأي على + +486 +00:44:52,950 --> 00:44:56,590 +إنه مش pathology يعني مافيش loss of rods and cones + +487 +00:44:56,590 --> 00:45:02,170 +مافيش loss of bipolar cells مافيش loss of ganglion + +488 +00:45:02,170 --> 00:45:07,130 +cells ال actions of these cells اللي هو intact + +489 +00:45:07,130 --> 00:45:13,030 +يبقى أنا الآن مش خايف، حالي في السيولوجيا النوع + +490 +00:45:13,030 --> 00:45:18,710 +الصعب و اللي هو story لحاله pathological طب احنا + +491 +00:45:18,710 --> 00:45:24,170 +كيف نشخصه؟يقول لوحده عنده deterioration لل video + +492 +00:45:24,170 --> 00:45:31,970 +acuity اه loss of video acuity unaccountable و لما + +493 +00:45:31,970 --> 00:45:38,130 +احطله كل ال correction هيفضل ايضا partially + +494 +00:45:38,130 --> 00:45:47,230 +uncorrected يعني واحد مثلا minus twelve اه ده يكتر + +495 +00:45:47,230 --> 00:45:58,490 +حطيته ال minus twelveشاف six eighteen طب + +496 +00:45:58,490 --> 00:46:07,170 +وين six twelve و six nine و six six وان راحوا هذا + +497 +00:46:07,170 --> 00:46:10,630 +اللي انا بقول عنه accountable loss of visual + +498 +00:46:10,630 --> 00:46:14,470 +equity الموضوع + +499 +00:46:14,470 --> 00:46:19,010 +صار مش موضوع reflection لأبجانب infraction فيه + +500 +00:46:19,010 --> 00:46:25,750 +pathology فيه axons وفيه nervous cells في الشمكية + +501 +00:46:25,750 --> 00:46:31,570 +فقدت بتأثير المرض بيقول لي لو أنا شوفت + +502 +00:46:31,570 --> 00:46:35,790 +بالأفطارمسكوب هشوف بالأفطارمسكوب فيه accentuated + +503 +00:46:35,790 --> 00:46:39,710 +foveal reflex لو حاطيتي الأفطارمسكوب على + +504 +00:46:39,710 --> 00:46:44,650 +البستيربولة على الماكولا هتلاقيه زي المرايا اللي + +505 +00:46:44,650 --> 00:46:50,440 +هو ال reflexعن slight degenerative changes في + +506 +00:46:50,440 --> 00:46:58,060 +الأول، بداية الاحتراق في البوصيربول حتى في + +507 +00:46:58,060 --> 00:47:00,900 +الفيترياس، followed by the characteristic severe + +508 +00:47:00,900 --> 00:47:03,640 +changes in the retina اللي هو هتشوفوا الشكل هذا + +509 +00:47:03,640 --> 00:47:10,280 +بعدين، الشكل هذا وهذا واضح جدا انه فيه هجوم مرضى + +510 +00:47:10,280 --> 00:47:15,600 +على كل مراكبات ال retinaوحتى كورونا وهذا اللي + +511 +00:47:15,600 --> 00:47:19,700 +هتكلم فيه الآن ان شاء الله في ال pathological طيب + +512 +00:47:19,700 --> 00:47:25,300 +الان خلصنا ال types according to clinical اللي هو + +513 +00:47:25,300 --> 00:47:31,200 +ايش classification الان هتكلم على clinical + +514 +00:47:31,200 --> 00:47:38,120 +pathology يعني في عنده pathological myopia سريرية + +515 +00:47:38,120 --> 00:47:47,060 +كيف نعملها توصيف descriptionone for the elongation + +516 +00:47:47,060 --> 00:47:49,420 +of the eye which results in pathological myopia is + +517 +00:47:49,420 --> 00:47:51,900 +almost entirely confined to the posterior pole + +518 +00:47:51,900 --> 00:48:01,320 +يعني أنا أتوقع أنه القطب الخلفي القطب الخلفي للعين + +519 +00:48:01,320 --> 00:48:08,640 +هذا اللي بيحتوي على ال optic disk اللي بيحتوي على + +520 +00:48:08,640 --> 00:48:09,220 +ال macula + +521 +00:48:12,290 --> 00:48:17,310 +أو phobia centralis ان هو معظم التخريب ورا هنا و + +522 +00:48:17,310 --> 00:48:22,490 +هنقول ليش بقول ال until half of the eye اللي + +523 +00:48:22,490 --> 00:48:27,230 +بيحتوي على ال lens و بيحتوي على ال iris و بيحتوي + +524 +00:48:27,230 --> 00:48:31,390 +على ال cere body و بيحتوي على ال cornea intact + +525 +00:48:31,390 --> 00:48:38,170 +healthy اه is a regular woman ال pathology مركز + +526 +00:48:38,170 --> 00:48:45,750 +وين؟ ورا في الو أصعب حاجة في مستير بول ان يكون فيه + +527 +00:48:45,750 --> 00:48:49,290 +macular degeneration لأنه هي ال central vision + +528 +00:48:49,290 --> 00:48:54,550 +about ninety percent of vision concentrated in the + +529 +00:48:54,550 --> 00:49:02,270 +macula لأنه هي pure cones هناك و ganglion cells و + +530 +00:49:02,270 --> 00:49:07,230 +bipolar cells لو فاكريني لكن + +531 +00:49:07,230 --> 00:49:14,150 +كل العيلlarge و prominent لأن + +532 +00:49:14,150 --> 00:49:17,770 +ال dimensions او ال diameters بتاعتها كلها كبيرة + +533 +00:49:17,770 --> 00:49:21,770 +يعني ال diameters مش بس anthropogenic لأ from side + +534 +00:49:21,770 --> 00:49:27,770 +to side from up to down public diameters all are + +535 +00:49:27,770 --> 00:49:35,250 +longer than normal I واضح؟ طيب + +536 +00:49:37,610 --> 00:49:41,230 +until the chamber is deep why؟ until the chamber + +537 +00:49:41,230 --> 00:49:47,850 +is deep يعني في elongation يعني ال curvature of + +538 +00:49:47,850 --> 00:49:55,870 +the cornea مش طبيعي و بعدين هاي ال iris هاي ال + +539 +00:49:55,870 --> 00:49:57,450 +iris و هاي ال lens + +540 +00:50:03,040 --> 00:50:09,700 +المسافة من هنا إلى هنا أكبر لأنه في increase depth + +541 +00:50:09,700 --> 00:50:17,400 +طيب the reverse of hypermetropia ال chamber is + +542 +00:50:17,400 --> 00:50:24,560 +shallow طيب what is about angle angle of EC + +543 +00:50:28,940 --> 00:50:33,400 +is wide wide طيب في ال hypermetropia high + +544 +00:50:33,400 --> 00:50:36,980 +hypermetropia is narrow and liable في ال + +545 +00:50:36,980 --> 00:50:41,920 +hypermetropia liable to closure وهنا liable not + +546 +00:50:41,920 --> 00:50:46,880 +not not liable to closure فكنا anger closure اللي + +547 +00:50:46,880 --> 00:50:50,060 +بيقوله كومة في ال clinical hypermetropia بقولكوا + +548 +00:50:50,060 --> 00:50:53,920 +بدكوا تقارن و مقارنة واسعة الآن هناك لو حطينا + +549 +00:50:53,920 --> 00:50:59,290 +Mediatics و الساعات بنخاف من anger closureلو كومة + +550 +00:50:59,290 --> 00:51:05,690 +attack لكن هنا ما بنخاف هي واسعة الخنجة هنا ال + +551 +00:51:05,690 --> 00:51:14,630 +pupil is large and sluggish ال pupil ال diameter + +552 +00:51:14,630 --> 00:51:21,590 +بتاعه ال pupil wide ولمّا أحطله light يكون + +553 +00:51:21,590 --> 00:51:26,290 +sluggish يعني slow slow reaction to light في + +554 +00:51:26,290 --> 00:51:31,990 +الhypermetropia لأالـ الـ ال diameter is small و + +555 +00:51:31,990 --> 00:51:36,010 +reaction to light is rapid لكن هنا sluggish or + +556 +00:51:36,010 --> 00:51:40,530 +slow هو على أموم في ال hypermetropes في ال .. في + +557 +00:51:40,530 --> 00:51:44,110 +ال .. في ال myopes خاصة ال high myopes sphincter + +558 +00:51:44,110 --> 00:51:50,890 +pupilla ضعيفة و معها ciliary muscle ضعيفة يعني ال + +559 +00:51:50,890 --> 00:51:54,290 +ciliary muscle و sphincter pupilla اللي بياخدوا + +560 +00:51:54,290 --> 00:51:58,060 +parasympatheticهما في الhypermetropia أقوى يعني + +561 +00:51:58,060 --> 00:52:04,400 +لكن في الmyops weak وممكن يصير atrophic فيهم + +562 +00:52:04,400 --> 00:52:10,520 +atrophic نوع منهم ضمنهم هذا في المقارنة، نحتاج + +563 +00:52:10,520 --> 00:52:15,040 +لمقارنة شاملة يقول + +564 +00:52:15,040 --> 00:52:19,820 +السيلاني مصل لقلة الاستعمال في ال accommodation + +565 +00:52:19,820 --> 00:52:23,520 +ممكن becomes atrophic أو atrophied + +566 +00:52:28,160 --> 00:52:35,060 +تاني في ال myop نير بوينت نير + +567 +00:52:35,060 --> 00:52:39,500 +بوينت نير بوينت short distance فهو ال myop بيقرأ + +568 +00:52:39,500 --> 00:52:45,580 +من ال near point بتاعته شوية لجده قريب عليا عكس ال + +569 +00:52:45,580 --> 00:52:49,280 +hyper metroid ال hyper metroid من نير بوينت بعيده + +570 +00:52:49,280 --> 00:52:55,340 +و بيقرأ بعدها هو فبصير من ديرون بضطر ال hyper + +571 +00:52:55,340 --> 00:52:59,320 +metroid ان يعمل accommodationالfaculty طفل يبقى + +572 +00:52:59,320 --> 00:53:07,200 +عنه حتى يقرب شوية لكن الميوب هو بيقرأ قريب في ال + +573 +00:53:07,200 --> 00:53:11,820 +.. في ال salary muscle in holiday ايش in holiday؟ + +574 +00:53:11,820 --> 00:53:18,120 +ايجاز ما بتسلم فبصير أتروفي لمارك قال العضو اللي + +575 +00:53:18,120 --> 00:53:24,880 +يستعمل ينمو و العضو اللي يستعمل يضمر زمان طيب + +576 +00:53:26,380 --> 00:53:31,740 +What's about the posterior pole of the eye؟ + +577 +00:53:31,740 --> 00:53:35,320 +بيقوللي + +578 +00:53:35,320 --> 00:53:41,400 +في ال normal sclera يمكن يكون السمكة بتاعتها واحد + +579 +00:53:41,400 --> 00:53:46,820 +مليمتر مثلا في ال high myopia بيقوللي بيصير الرابع + +580 +00:53:46,820 --> 00:53:54,330 +ال thickness أي أنا تتمددبشكل بيصير ال thickness + +581 +00:53:54,330 --> 00:53:58,810 +بتاعها ربع ال normal يبقى ال posterior segment of + +582 +00:53:58,810 --> 00:54:03,550 +the sclera is thin and may reduce to one quarter + +583 +00:54:03,550 --> 00:54:07,170 +or less of its normal thickness of its normal + +584 +00:54:07,170 --> 00:54:14,630 +thickness طبعا هذا غرض بعد هيك لمزيد من ال + +585 +00:54:14,630 --> 00:54:19,950 +thickness غرض للتكيّس اللي بيقول أنه هيرنيا أو + +586 +00:54:21,090 --> 00:54:26,390 +Hernia أو Staphyloma هتشوفوا لان طب لو مسيكنا + +587 +00:54:26,390 --> 00:54:28,750 +direct ophthalmoscope كلكوا استعلمتوا عن ال direct + +588 +00:54:28,750 --> 00:54:32,890 +ophthalmoscope و ال indirect ophthalmoscope ايش + +589 +00:54:32,890 --> 00:54:37,430 +هنشوف في الفندس في حياتنا مسيكنا في pathological + +590 +00:54:37,430 --> 00:54:41,550 +myopia more than 10 diopters او 12 diopters when + +591 +00:54:41,550 --> 00:54:44,870 +the main changes observed are generalized atrophy + +592 +00:54:44,870 --> 00:54:50,790 +of the retina and corollaryهتشوف القرن الاتنينيشن + +593 +00:54:50,790 --> 00:54:55,730 +إيش فيها هذه هتلاقي شيء اسمه myopic crescent وهذا + +594 +00:54:55,730 --> 00:55:03,150 +هيه شايفين هذا الهلال هذا الهلال وهذا الoptic disc + +595 +00:55:03,150 --> 00:55:07,910 +هذا الهلال لو شفتيه أول ما أشوفه وأنا أقول بقول + +596 +00:55:07,910 --> 00:55:13,470 +هذه هي myopia علامة لاتخفي على اللبين بكتر الشد + +597 +00:55:13,470 --> 00:55:21,110 +الشبكية فلتتال optic disk فلت من الشبكية فهدس + +598 +00:55:21,110 --> 00:55:26,170 +كليرة ايوة هدس كليرة هدس كليرة هنتكلم كمان عنها ان + +599 +00:55:26,170 --> 00:55:30,230 +شاء الله كمان ال macula هصير فيها macular + +600 +00:55:30,230 --> 00:55:38,450 +degeneration ال macula هتتآكل تفكيرين كيف؟ تتآكل + +601 +00:55:38,450 --> 00:55:40,030 +شوية شوية + +602 +00:55:43,120 --> 00:55:45,980 +حتى انه صير في ال posterior pole شي اسمه posterior + +603 +00:55:45,980 --> 00:55:52,740 +staphyloma يعني من كتر ما بيتمدد يعني كان كان + +604 +00:55:52,740 --> 00:55:58,480 +normal هيك شوية مدد كمان شوية مدد كمان شوية مدد + +605 +00:55:58,480 --> 00:56:07,680 +كمان في الآخر صار كده اسمها staphyloma تكيّستكيّس + +606 +00:56:07,680 --> 00:56:13,260 +بتقدروا الآن تشوفوا التكيّس زي ما بيّنها في ال OCT + +607 +00:56:13,260 --> 00:56:20,900 +شايفين؟ شايفين جزء هلأ كيف صار؟ تكيّس طبعا ال + +608 +00:56:20,900 --> 00:56:25,400 +entrepreneur access صار very long صح؟ طيب + +609 +00:56:33,720 --> 00:56:41,740 +هي صورة لكل وطن الديجينيشن شايفين طيب هاوريكم كمان + +610 +00:56:41,740 --> 00:56:46,780 +صورة تانية هي الصورة هذه حاجة اسمها تيجرايد فاندس + +611 +00:56:46,780 --> 00:56:53,400 +عارفين جابه من تيجرايد إيش يعني جلد النمر النمر + +612 +00:56:53,400 --> 00:56:59,080 +بالذات حيوان يعني جلد ومميز عن كل حيوانات هو جميل + +613 +00:56:59,080 --> 00:57:04,460 +الحقيقي المنظر جميلفشوفوا انتوا كيف المناطق فاتحة + +614 +00:57:04,460 --> 00:57:11,700 +ومناطق غامقة وخطوط وبقعة طبعا احنا ال normal فندس + +615 +00:57:11,700 --> 00:57:17,100 +عيناه مش زي هيك هذا تجريد فندس بتكون من patches + +616 +00:57:17,100 --> 00:57:22,820 +white patches بقع بيضاء associated with splotches + +617 +00:57:22,820 --> 00:57:29,700 +of pigments يعني بقع ملونة وبقع فاتحة الفاتح هذا + +618 +00:57:30,480 --> 00:57:37,240 +معناه انه أصبحت ال retina very thin و ال choroid + +619 +00:57:37,240 --> 00:57:43,940 +very thin حتى + +620 +00:57:43,940 --> 00:57:49,900 +انه sclera أصبحت clear through them يبقى البيادة + +621 +00:57:49,900 --> 00:57:54,860 +هذا بيادة sclera في حين ان البقعة السودة أصبح + +622 +00:57:54,860 --> 00:57:59,290 +disturbance في ال pigmentationخاصة بتاع الريتنا + +623 +00:57:59,290 --> 00:58:04,110 +والكوررويد صار يتجمع في حتات ويبدأ عن حتات وصار في + +624 +00:58:04,110 --> 00:58:11,950 +فوضى في ال pigmentation برضه + +625 +00:58:11,950 --> 00:58:15,910 +في ال time scopeالتغيرات في الكورويد والريتينا + +626 +00:58:15,910 --> 00:58:19,770 +مُعرَكت وكذلك مُعرَكت وكذلك مُعرَكت وكذلك مُعرَكت + +627 +00:58:19,770 --> 00:58:22,190 +وكذلك مُعرَكت وكذلك مُعرَكت وكذلك مُعرَكت وكذلك + +628 +00:58:22,190 --> 00:58:22,890 +مُعرَكت وكذلك مُعرَكت وكذلك مُعرَكت وكذلك مُعرَكت + +629 +00:58:22,890 --> 00:58:26,110 +وكذلك مُعرَكت وكذلك مُعرَكت وكذلك مُعرَكت وكذلك + +630 +00:58:26,110 --> 00:58:28,310 +مُعرَكت وكذلك مُعرَكت وكذلك مُعرَكت وكذلك مُعرَكت + +631 +00:58:28,310 --> 00:58:38,470 +وكذلك مُعرَكت وكذلك + +632 +00:58:39,080 --> 00:58:41,960 +البيضاء هذه may appear in the fundus especially in + +633 +00:58:41,960 --> 00:58:45,760 +the posterior region أو pool leaving white areas + +634 +00:58:45,760 --> 00:58:49,960 +after often surrounded by pigment في مناطق بيضاء + +635 +00:58:49,960 --> 00:58:58,400 +وفي مناطق سوداء Corioretinal Degeneration + +636 +00:59:03,680 --> 00:59:07,040 +An accumulation of large white patches associated + +637 +00:59:07,040 --> 00:59:11,920 +with splotches or pigments بُقع مع بُقع متجاورة + +638 +00:59:11,920 --> 00:59:16,320 +may be scattered widely متناثرة over the posterior + +639 +00:59:16,320 --> 00:59:20,960 +pole of the fundus هنا و هنا و هنا و هنا طبعا هذا + +640 +00:59:20,960 --> 00:59:27,240 +مش هو النظام السائد فينا لأ طب الماكولا لما يصير + +641 +00:59:27,240 --> 00:59:28,420 +للماكولا + +642 +00:59:30,650 --> 00:59:34,410 +بصير loss أو abolition of central vision لما + +643 +00:59:34,410 --> 00:59:38,970 +الأمور تصل ال .. ال macula يعني معناه احنا روحنا + +644 +00:59:38,970 --> 00:59:42,470 +على ايش؟ على العمل، روحنا على العمل حتى في اشي + +645 +00:59:42,470 --> 00:59:49,150 +أبلغ بيقول ممكن يصير macular wall بيصير ايش؟ + +646 +00:59:49,150 --> 00:59:53,990 +macular .. macular wall، hole، hole، macular hole + +647 +00:59:53,990 --> 00:59:59,200 +ثقبإن كثر الـdegeneration و الـthinness ممكن يؤدي + +648 +00:59:59,200 --> 01:00:04,080 +إلى إيش؟ إلى اختراق whole في المكولة وهذا + +649 +01:00:04,080 --> 01:00:11,020 +irreversible وعمى أكيد طيب + +650 +01:00:11,020 --> 01:00:17,040 +احنا ال myopic crescent اتكلمنا عنها وهنا أيه + +651 +01:00:17,040 --> 01:00:23,610 +سببها؟ ان مع ال extension الزائد للريتنابيصير + +652 +01:00:23,610 --> 01:00:29,790 +separation من حافة خاصة temporal side of optic + +653 +01:00:29,790 --> 01:00:36,330 +disc من ال retina ف sclera تمرز بيضاء في شكل + +654 +01:00:36,330 --> 01:00:39,990 +الهلال هذا الهلال هيا crescent شايفين الهلال + +655 +01:00:39,990 --> 01:00:44,770 +الأبيض هذا احنا لو الأمور زادت اكتر اكتر اكتر فوق + +656 +01:00:44,770 --> 01:00:48,250 +ال 20 ديوبتر ممكن الهلال هذا يصير annular يعني + +657 +01:00:48,250 --> 01:00:52,650 +يصير ايش على كل محيط ال optic disc + +658 +01:00:55,490 --> 01:00:59,050 +يعني جاي على خراب يبقى moment of crescent is + +659 +01:00:59,050 --> 01:01:04,290 +usually temporal but it may run an annular ring زي + +660 +01:01:04,290 --> 01:01:09,210 +الخاتم في الأصبح all the way around the optic disc + +661 +01:01:09,210 --> 01:01:13,150 +وقلنا + +662 +01:01:13,150 --> 01:01:19,510 +في الآخر زيادة الضغط على ال posterior pole ممكن + +663 +01:01:19,510 --> 01:01:26,330 +يصير staphylomaاسمها posterior staphyloma طيب + +664 +01:01:26,330 --> 01:01:31,850 +ماروا معاكوا حاجة اسمها anterior staphyloma؟ في شي + +665 +01:01:31,850 --> 01:01:37,950 +اسمه anterior staphyloma، الآن لما ال surgeon بدوا + +666 +01:01:37,950 --> 01:01:43,510 +يعمل intraocular surgery، الظالمين بيفتح وين؟ في + +667 +01:01:43,510 --> 01:01:48,560 +ال upper limbبفتح في ال upper limb بس طيب كانوا + +668 +01:01:48,560 --> 01:01:52,520 +زمان بفتح في ال upper limb بس مثلا يعني one + +669 +01:01:52,520 --> 01:01:57,880 +centimeter و بعدين بشيل عدسة بزرع عدسة كده و بعدين + +670 +01:01:57,880 --> 01:02:01,900 +بيجي بعد هيك بيعمل stitches one two three ممكن + +671 +01:02:01,900 --> 01:02:05,900 +seven ايه في بعض الناس بدهيجة كتير و تدهيجة كتير + +672 +01:02:05,900 --> 01:02:09,740 +بيعمل astigmatism في ناس عشان ما مش astigmatist + +673 +01:02:09,740 --> 01:02:14,700 +بيعمل بس يعني stitch اتنين تلاتة بيخلي بينهم واسعة + +674 +01:02:15,680 --> 01:02:19,620 +و بيروح العيان بيبدأ العيان مش مرتاح ايه مال الشغل + +675 +01:02:19,620 --> 01:02:25,020 +و كده و كده و كده و ممكن يركع و يسلد تبدأ ال iris + +676 +01:02:25,020 --> 01:02:30,780 +يطلع من الجرح يضغط لبرا لبرا لبرا و ييجي بعد فترة + +677 +01:02:30,780 --> 01:02:36,900 +مثلا اعمل هيك يعني مثلا كونيا بعد العملية هيك + +678 +01:02:36,900 --> 01:02:39,480 +تلاقي المنطقة هذه برزات هيك + +679 +01:02:43,710 --> 01:02:49,290 +mainly iris فبقول + +680 +01:02:49,290 --> 01:02:57,070 +معاها antihistaphyloma بدون a new surgery وجود + +681 +01:02:57,070 --> 01:03:04,750 +stitches ممكن انه we may loss this arm completely + +682 +01:03:04,750 --> 01:03:08,250 +هذي antihistaphyloma عشان لما تشوفوا posterior + +683 +01:03:08,250 --> 01:03:09,630 +يعني في antihistaphyloma + +684 +01:03:13,460 --> 01:03:17,300 +طيب شايفين طبعا بال .. بال .. بال OCT بيبين ال .. + +685 +01:03:17,300 --> 01:03:23,740 +اللي هو posterior Staphyloma طب هذا ال .. ال + +686 +01:03:23,740 --> 01:03:27,920 +center of دريتنا طيب ال periphery of دريتنا هل هو + +687 +01:03:27,920 --> 01:03:34,990 +normal ولا disease؟ diseaseيعني بعد اللي هو إيش + +688 +01:03:34,990 --> 01:03:38,150 +الأورا سيراتا بعد الأورا سيراتا بتبدأ periphery + +689 +01:03:38,150 --> 01:03:42,410 +قدريتنا و لسه احنا متجهين لسه ال center base بقول + +690 +01:03:42,410 --> 01:03:46,170 +أيضا ال periphery قدريتنا فيه degeneration و فيه + +691 +01:03:46,170 --> 01:03:51,630 +cystoid changes cystoid يعني زي أكياس صغيرة نوع من + +692 +01:03:51,630 --> 01:03:56,930 +المرض بيعمل حبيبات صغيرة في الشبكية في كل + +693 +01:03:56,930 --> 01:04:02,110 +periphery وهذا universal على كل محيط الشبكةيعني مش + +694 +01:04:02,110 --> 01:04:06,710 +بس ال center و ال center هو أهم بكتير طبعا لأن هنا + +695 +01:04:06,710 --> 01:04:12,290 +فيه pure cones طب هناك فيه pure rods ايضا rods + +696 +01:04:12,290 --> 01:04:21,850 +بصير هلوس طيب ال petrius اللي هو جارأكيد الشبكية + +697 +01:04:21,850 --> 01:04:25,630 +ايضا بيصير diseased و بيصير liquefaction of the + +698 +01:04:25,630 --> 01:04:32,810 +vitreous إذا بقى السايح بدل ما هو لزج جيلي بيصير + +699 +01:04:32,810 --> 01:04:39,150 +أيش liquid طيب الآن ال liquid ال vitreous هذا + +700 +01:04:39,150 --> 01:04:43,470 +انتوا عارفين هاي الشبكية و ال vitreous له cortex و + +701 +01:04:43,470 --> 01:04:49,150 +قاعد ع الشبكية هيك بيعملها تأمين inside + +702 +01:04:51,950 --> 01:04:58,290 +supporting the retina inside حتى ال retina تكون + +703 +01:04:58,290 --> 01:05:03,430 +ايش flat طب الآن في حالة ان ال vitreous هذا ساري + +704 +01:05:03,430 --> 01:05:09,690 +عامل كده عامل كده و عامل separation عن ال retina + +705 +01:05:09,690 --> 01:05:13,490 +شايفين ال vitreous عامل separation عن ال retina ال + +706 +01:05:13,490 --> 01:05:20,940 +retina بتصير عرضة لأمراض كثيرة و منهاDetachment + +707 +01:05:20,940 --> 01:05:25,440 +يبقى هذا ال disease ماشي بس في ال center of retina + +708 +01:05:25,440 --> 01:05:29,460 +و الكورويد و ال periphery of retina و أيضا ال + +709 +01:05:29,460 --> 01:05:35,000 +petrius ال petrius detachment ممكن يصير في ال + +710 +01:05:35,000 --> 01:05:41,160 +posterior pole اه و هذا له فحص باسم تنام معين ال + +711 +01:05:41,160 --> 01:05:45,240 +petrius itself frequently equifies حتى انه يصير + +712 +01:05:45,240 --> 01:05:52,120 +عينيشكي من muscular volitancelarge floaters يعني + +713 +01:05:52,120 --> 01:06:00,280 +بيجي الكبير السن اللي عنده الميوبة في جناح دبابة + +714 +01:06:00,280 --> 01:06:04,980 +هيو شايف هيو ايجي هنا ايجي هنا لأ راح هنا راح هنا + +715 +01:06:04,980 --> 01:06:08,820 +انا يعني ممكن يا دكتور هيو هيو يعني قريب هذا اللي + +716 +01:06:08,820 --> 01:06:12,740 +هي ال floaters او المسكة bullet sensor الذبابة + +717 +01:06:12,740 --> 01:06:22,330 +الطائرة وهذا جاي من دوبانو من بعض ال deposits in + +718 +01:06:22,330 --> 01:06:27,430 +the vitreous human و أنا جايب هاي ال floaters + +719 +01:06:27,430 --> 01:06:32,450 +السوابحية شايفين الصورة؟ شايفين السوابح هذه؟ هذه + +720 +01:06:32,450 --> 01:06:38,990 +اسمها floaters سوابح في جسم أزوجاجي طبعا احنا + +721 +01:06:38,990 --> 01:06:43,070 +هنكتفي إلى هذا الحد و انا بشكركوا جدا والسلام + +722 +01:06:43,070 --> 01:06:43,590 +عليكم + diff --git a/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/sJs392dOguY_postprocess.srt b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/sJs392dOguY_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..c0b3545f730338af854e7c67bb5957f5a9a41752 --- /dev/null +++ b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/sJs392dOguY_postprocess.srt @@ -0,0 +1,1568 @@ +1 +00:00:20,790 --> 00:00:22,610 +أعوذ بالله من الشيطان الرجيم بسم الله الرحمن + +2 +00:00:22,610 --> 00:00:25,670 +الرحيم الحمد لله و أكفى و أصلي و أسلم علينا النبي + +3 +00:00:25,670 --> 00:00:34,030 +المصطفى الان ال breast biopia is a problem many + +4 +00:00:34,030 --> 00:00:40,650 +solutions were delivered for breast biopia no one + +5 +00:00:40,650 --> 00:00:47,670 +of them is efficient to overcome this problem this + +6 +00:00:47,670 --> 00:00:48,110 +day will + +7 +00:00:53,720 --> 00:01:00,240 +الخيارات الجراحية لحل مشكلة قص و النضر أو ال + +8 +00:01:00,240 --> 00:01:04,360 +breast biopia الآن + +9 +00:01:04,360 --> 00:01:13,160 +في أفق جديد حول الـ accumulative IOLs + +10 +00:01:18,420 --> 00:01:24,420 +الـ cataract lens و نزرع ال lens بدالها تعمل + +11 +00:01:24,420 --> 00:01:32,340 +accommodation العالم الآن في سباق يزرع IOL which + +12 +00:01:32,340 --> 00:01:39,180 +can do accommodation برضه + +13 +00:01:39,180 --> 00:01:44,620 +في procedure تاني surgical methods for breast + +14 +00:01:44,620 --> 00:01:49,570 +biome غير زراعة العدسانيةالتي تعمل على Sclera + +15 +00:01:49,570 --> 00:01:55,170 +تحاول توسيع Sclera وعملها Expansion طيب الهدف الآن + +16 +00:01:55,170 --> 00:02:02,730 +بيقول ليه ان انا اضيف لهذا المسن ما لا يقل عن + +17 +00:02:02,730 --> 00:02:07,790 +three diopters of accommodation في كيبرو to + +18 +00:02:07,790 --> 00:02:10,190 +provide a substantial degree of patient + +19 +00:02:10,190 --> 00:02:13,730 +satisfaction to allow near vision for most near + +20 +00:02:13,730 --> 00:02:19,520 +risks tasksيبقى إيش الهدف أنا من وراء الـ + +21 +00:02:19,520 --> 00:02:24,320 +Accumulative IOLs أو Other Surgical Procedures إن + +22 +00:02:24,320 --> 00:02:27,920 +أضيف لهذا المشهد ما لا يقل عن three diopters + +23 +00:02:27,920 --> 00:02:33,420 +Accommodation في الـ amplitude حتى أمكنه من + +24 +00:02:33,420 --> 00:02:39,640 +القراءة بسهولة من اللي هو مسافة قصيرة هي ال target + +25 +00:02:39,640 --> 00:02:41,960 +بتاعي يعني إن إيش .. إيش .. إيش اللي بدي إياه أنا + +26 +00:02:42,490 --> 00:02:47,350 +إن أنا أضيف له ما يمكنه من القرا وبالتالي انا باخد + +27 +00:02:47,350 --> 00:02:52,190 +his satisfaction يعني بصير هو convinced او مقتنع + +28 +00:02:52,190 --> 00:02:58,390 +طب الآن العمل على ال accumulative IOLs اه coming + +29 +00:02:58,390 --> 00:03:04,390 +أحد الباحثين بيشتغل على ال accumulative IOLs بيقول + +30 +00:03:04,390 --> 00:03:16,530 +لي انه ال IOL هذهالهدف منها أو بتتكون من optic و + +31 +00:03:16,530 --> 00:03:26,130 +بعدين two haptics اللي بيعمل reflection ال optic و + +32 +00:03:26,130 --> 00:03:31,250 +اللي بيعمل sub portion ال haptic هذا الكلب معروف + +33 +00:03:31,250 --> 00:03:37,520 +من عشرات السنينإن أي IOL بدها في المنتصف أو في + +34 +00:03:37,520 --> 00:03:42,280 +المركز Optic وفي الجانبين أو القطبين Haptics إي + +35 +00:03:42,280 --> 00:03:48,440 +سابتوها وما تسابورش الـ oncoming هذا بيحاول إنه + +36 +00:03:48,440 --> 00:03:56,160 +يعمل مفصل joint أو hinge between the optic and + +37 +00:03:56,160 --> 00:04:02,060 +haptics يعني يعمل مفصل إيش فائدة هذا المفصل أو ال + +38 +00:04:02,060 --> 00:04:07,600 +joint؟إنه لما الcellar muscle تعمل contraction + +39 +00:04:07,600 --> 00:04:14,760 +يصير نوع من ال forward و ال backward movement of + +40 +00:04:14,760 --> 00:04:18,880 +this lens هو بقول بما أن هذا ال lens المزروعة + +41 +00:04:18,880 --> 00:04:30,500 +حوالي 18 إلى 20 plus ديوبتر فأي movement أمامي من + +42 +00:04:30,500 --> 00:04:35,840 +ناحية ال iris أو القناةبيعطي حوالي two diopters + +43 +00:04:35,840 --> 00:04:41,360 +accommodation ساعة تتحرك إلى الأمام طبعا إلى الخلف + +44 +00:04:41,360 --> 00:04:46,000 +صعبة حركتها عشان البتريا space والبتريا فصة صعبة + +45 +00:04:46,000 --> 00:04:50,040 +العدسة F تروح ورا لكن ساعة العدسة W تروح إلى + +46 +00:04:50,040 --> 00:04:53,400 +الأمام هذه الفكرة المبنية عليها الـAccumulative + +47 +00:04:53,400 --> 00:05:02,520 +IOLs حتى الآنIol لديها هبتيكات مفصلة أي هبتيكات + +48 +00:05:02,520 --> 00:05:05,860 +فيهم مفصلة at the junction with the optic كويس + +49 +00:05:05,860 --> 00:05:11,880 +هيك؟ after implantation بعد ما يزرعها the optic is + +50 +00:05:11,880 --> 00:05:21,100 +designed to vault vault أي تتحدم كيف الخوذة محددة + +51 +00:05:21,100 --> 00:05:29,170 +هيك؟ فهذه يعني تتحدمbackwards within the capsule + +52 +00:05:29,170 --> 00:05:33,130 +against the vitreous face مرة يعني ممكن تطلع على + +53 +00:05:33,130 --> 00:05:37,730 +ورقة بالمفصل و بعدين تيجي لجدّام بالمفصل on + +54 +00:05:37,730 --> 00:05:39,810 +contraction of the ciliary muscle the optic is + +55 +00:05:39,810 --> 00:05:43,450 +believed to vault تتحدى forward through the + +56 +00:05:43,450 --> 00:05:45,570 +combined action of the ciliary muscle contraction + +57 +00:05:45,570 --> 00:05:49,190 +and the supposed forward movement of the vitreous + +58 +00:05:49,190 --> 00:05:53,790 +faceيبقى لما السيناري ماصل تعمل contraction + +59 +00:05:53,790 --> 00:05:59,090 +وبتقترب من ال periphery of أو ال equator of ال + +60 +00:05:59,090 --> 00:06:02,990 +lens هيقدرت + +61 +00:06:02,990 --> 00:06:08,830 +ايش؟ ان ال .. ال .. ال .. ال .. ال zonules بترتخي، + +62 +00:06:08,830 --> 00:06:13,340 +zonules بترتخييبقى الان ال lens اللي عملتها + +63 +00:06:13,340 --> 00:06:16,940 +implementation هذه على المفصل هتعمل هيك إلى الأمام + +64 +00:06:16,940 --> 00:06:22,920 +هتعمل شيء من ال vaulting vaulting يعني هتصير هيك + +65 +00:06:22,920 --> 00:06:29,540 +vaulting وين؟ اه إلى الأمام هي ال iris بكل حركة + +66 +00:06:29,540 --> 00:06:33,220 +بتاعتها إلى الأمام هذه كل واحد مني حوالي two + +67 +00:06:33,220 --> 00:06:38,100 +diameters فيما عرفنا بال lens effectivity قبل ذلك + +68 +00:06:38,100 --> 00:06:40,080 +lens effectivity + +69 +00:06:44,000 --> 00:06:49,600 +هذه اللينزة تم إستعمالها في أوروبا و تم إعلانها من + +70 +00:06:49,600 --> 00:06:56,040 +دكتور كامينج لإقدام 1-2 ديوبتر لتحرك المصباح، يعني + +71 +00:06:56,040 --> 00:07:03,540 +تقريبًا 2 ديوبتر لكل 1 مليمتر تحرك المصباح، حلوة + +72 +00:07:03,540 --> 00:07:07,650 +النظرية يعنيThe maximum attainable optical + +73 +00:07:07,650 --> 00:07:10,370 +amplitude is limited by the small extent possible + +74 +00:07:10,370 --> 00:07:13,650 +forward movement of hinged eye oil كل ما اتحركت + +75 +00:07:13,650 --> 00:07:17,370 +أكتر عن المفصل بين الهبتيكس والأوبتيكس كل ما كان + +76 +00:07:17,370 --> 00:07:20,970 +أفضل Current results from this technique has not + +77 +00:07:20,970 --> 00:07:25,670 +been published بقول لي مافيش حتى الآن results طبعت + +78 +00:07:25,670 --> 00:07:31,770 +ونشرت يعني ما زالت في طور التجربات ما أصبحتش في ال + +79 +00:07:31,770 --> 00:07:38,410 +market كويس؟هي لما هذه تنجح، هتضرب كل اللي جابلها، + +80 +00:07:38,410 --> 00:07:43,310 +الـ multifocal والكلام هذا الـ IOS وشيء آخر، such + +81 +00:07:43,310 --> 00:07:47,030 +hard but flexible strategies are being tested in + +82 +00:07:47,030 --> 00:07:50,750 +animal models لسه، في الحيوانات، to demand the + +83 +00:07:50,750 --> 00:07:53,790 +efficacy in producing diabetic optical changes + +84 +00:07:53,790 --> 00:07:57,090 +with accumulative stimulation يبقى الـCumming هذا + +85 +00:07:57,090 --> 00:08:02,170 +ما زال بيتطور في النظرية بتاعته الجراحية هذههذه + +86 +00:08:02,170 --> 00:08:06,990 +العدسة وهذا الـ haptic وهذا الـ haptic وهذا الـ + +87 +00:08:06,990 --> 00:08:11,470 +optic اللي هي بتعمل vaulting بتعمل ايش؟ vaulting + +88 +00:08:11,470 --> 00:08:19,770 +إلى الأمام طيب في أشياء أخرى في الجراحة غير ال + +89 +00:08:19,770 --> 00:08:23,690 +coming وغير الaccumulative IOS في ناس بيقولوا + +90 +00:08:23,690 --> 00:08:29,310 +clear lens extraction وانا بتذكركوا في ال high + +91 +00:08:29,310 --> 00:08:38,320 +myopiaقبل ذلك كان إحدى أنواع العلاج الجراحي Clear + +92 +00:08:38,320 --> 00:08:45,560 +Lens Extraction كيف؟ يعني واحد عنده مثلًا minus 15 + +93 +00:08:45,560 --> 00:08:49,560 +ديوبتر high + +94 +00:08:49,560 --> 00:08:53,640 +myopia لو + +95 +00:08:53,640 --> 00:08:57,600 +ذهبنا نعمل Lasik كيراتوم اليوزس + +96 +00:09:00,170 --> 00:09:04,890 +كم الكيراتي ملوزة دي ايه هناخد من سمكة القرانية + +97 +00:09:04,890 --> 00:09:10,470 +لحوالي نص ملي متر هنا كم عشان اخليه يعني fully + +98 +00:09:10,470 --> 00:09:17,050 +corrected يعني انا هاخد اقلش two hundred micron + +99 +00:09:17,050 --> 00:09:26,450 +وممكن اكتر طب ايش هيفضل من الكورية نصفة يعني مثلا + +100 +00:09:27,660 --> 00:09:33,060 +هنا القرانية بتصير too weak too thin that اكتزيا + +101 +00:09:33,060 --> 00:09:40,920 +may occur ايش اكتزيا؟ تمدد كيف البلون لما نعمل + +102 +00:09:40,920 --> 00:09:47,780 +وثير رقيق اكتزيا و فيما بعد بضغط الايان الزائد مع + +103 +00:09:47,780 --> 00:09:53,920 +الايام ممكن تصبح ربتشاالقرنية بدل ما هي بس + +104 +00:09:53,920 --> 00:09:58,140 +refracting surface و efficient ممكن تصير very thin + +105 +00:09:58,140 --> 00:10:04,340 +و تصير weak و ممكن تصيرها rupture لذلك الموضوع انه + +106 +00:10:04,340 --> 00:10:08,900 +اعناق كل ال refractive error مهما كان عالي انصله + +107 +00:10:08,900 --> 00:10:13,620 +عن طريق قص القرنية هذا أحيان بيكون exaggerated + +108 +00:10:13,620 --> 00:10:18,600 +مبلغ فيهلذلك في بعض الناس بيقولوا لأ يا عم ال + +109 +00:10:18,600 --> 00:10:29,600 +cornea is very useful organ مش + +110 +00:10:29,600 --> 00:10:35,460 +سهل أني ألعب فيه و أقص منه كل الكمية دي let the + +111 +00:10:35,460 --> 00:10:44,860 +cornea in place and think in the lensفبقول لي لو + +112 +00:10:44,860 --> 00:10:52,160 +الـ lens هي مثلا قوتها 17 مثلا 17 ديوبتر و انا + +113 +00:10:52,160 --> 00:10:59,940 +عملت لها surgical removal و تركت ال capsular bag + +114 +00:10:59,940 --> 00:11:06,860 +empty عارفين capsular bag هانا ال capsular bag ها + +115 +00:11:06,860 --> 00:11:13,450 +كدهفتحت أنا الـ anterior capsule وعملت كده خلّيت + +116 +00:11:13,450 --> 00:11:17,970 +ال capsule bag هنا مع ال نيوز موجودة وخلّيت ال M2 + +117 +00:11:17,970 --> 00:11:24,170 +مافيش فيها حاجة M2 ايه M2 وماضرعتش + +118 +00:11:24,170 --> 00:11:28,250 +عدسة يبقى + +119 +00:11:28,250 --> 00:11:36,170 +هو عنده 15 minus أساسا وانا شيلت ال 17 حاسر short + +120 +00:11:36,170 --> 00:11:41,310 +balanceالـ cerebralis هذا فيه متعلق بعلاج إيش الـ + +121 +00:11:41,310 --> 00:11:45,930 +high myopia وهذا احنا شرحناه الكلام هذا شرحناه + +122 +00:11:45,930 --> 00:11:52,890 +وامتحاننا فيه الآن طيب طب الالبريس بيوبيا هالإنسان + +123 +00:11:52,890 --> 00:11:57,430 +في سن سبعين سنة هو مافيش عنده cataract واللنز عنده + +124 +00:11:57,430 --> 00:12:02,870 +clear اللنز عنده clear مافيش فيه حاجةهل إن أنا لما + +125 +00:12:02,870 --> 00:12:07,230 +أشيل ال lens من عينيه و هي clear فاش فيها disease + +126 +00:12:07,230 --> 00:12:14,530 +هل هذا حل ال breast biopsy؟ طبعاً لأ طبعاً تجربة + +127 +00:12:14,530 --> 00:12:18,790 +صعبة هذه التجربة الصعبة في حد ذاتها إن أنا أشيلها + +128 +00:12:18,790 --> 00:12:24,730 +safely فكيف لو في complications قد تكون infection + +129 +00:12:24,730 --> 00:12:29,430 +داخل العين أو retinal detachment أو secondary + +130 +00:12:29,430 --> 00:12:32,240 +cataractو أقصد بالـ secondary cataract + +131 +00:12:32,240 --> 00:12:35,160 +opacification of the posterior capsule اللي هنا + +132 +00:12:35,160 --> 00:12:38,800 +يعني يا دي احنا بعد ما نعمل عملية ب 6 شهور أو سنة + +133 +00:12:38,800 --> 00:12:42,660 +أو سنتين تبدأ opacification هنا في الكابسولة + +134 +00:12:42,660 --> 00:12:46,660 +الخلفية و يبدأ العيان مايشوفش بعد ما نشوف ال 6 6 + +135 +00:12:46,660 --> 00:12:53,720 +يصير 6 24 6 اللي هو 36 + +136 +00:12:56,650 --> 00:13:01,190 +طر أن يعملوا YAG Laser عشان ان كل هذه نستأثرها + +137 +00:13:01,190 --> 00:13:04,110 +لحتة اللي فيها Obsification حتى في الـ Cataract + +138 +00:13:04,110 --> 00:13:06,930 +العادي و الـ Implantation العادي بيصير بـ + +139 +00:13:06,930 --> 00:13:12,950 +Stereocapsular Obsification فهذه إحدى المضاعفات بس + +140 +00:13:12,950 --> 00:13:16,770 +مش المضاعفة الفورية للـ Cataract Extraction يعني + +141 +00:13:16,770 --> 00:13:18,830 +Cataract Extraction مثلًا الـ Detergent Detachment + +142 +00:13:18,830 --> 00:13:23,850 +آه بيطلع من العملية مفصولة الشبكة يعني بيطلع + +143 +00:13:23,850 --> 00:13:29,360 +Interocular Infection آهبيطلع الـ macular edema اه + +144 +00:13:29,360 --> 00:13:35,020 +بيطلع بفترياس الهيموريج اه اه عشرين complications + +145 +00:13:35,020 --> 00:13:40,380 +لل cataract لكن ال secondary cataract هذا ممكن يجي + +146 +00:13:40,380 --> 00:13:46,280 +بعد سنة او سنتين او تلاتة او اربع فهو بيقوللي انا + +147 +00:13:46,280 --> 00:13:53,340 +لو متأكد انه لما شيل ال clear lens من المشين انه + +148 +00:13:53,340 --> 00:14:01,750 +هيجرأ احسنممكن اني انا يعني اشجع لكن انا اشيله + +149 +00:14:01,750 --> 00:14:06,410 +ياها وفي مجموعة complications وفي الآخر مايجراش طب + +150 +00:14:06,410 --> 00:14:13,970 +بمعنى تاني لو هذا المسن عنده ديوبتر او اقل شوية + +151 +00:14:13,970 --> 00:14:19,710 +accommodation مين افضل اخليه ولا اشيله شوية ال + +152 +00:14:19,710 --> 00:14:22,830 +accommodation الصغيرة هذه واخلي ال capture bag + +153 +00:14:22,830 --> 00:14:31,240 +فاضية خليههل الأفاكيا زي الفاكيا؟ لأ طالما clear + +154 +00:14:31,240 --> 00:14:36,400 +lens ما هو اللي بيزعل انه بيقولك clear lens في بعض + +155 +00:14:36,400 --> 00:14:42,120 +النظرية تقريبا الجراحية لا تصمد للحقيقة مش علاج + +156 +00:14:42,120 --> 00:14:48,240 +البريسبيوبيا هنا طيب الآن بدأوا يقولوا انفكر في + +157 +00:14:48,240 --> 00:14:52,260 +اشي تالت لا نفكر في ال cornea نعمل فيها حاجة ولا + +158 +00:14:52,260 --> 00:14:55,920 +في ال lens خل ال cornea و خل ال lensقالوا في واحد + +159 +00:14:55,920 --> 00:15:02,520 +اسمه sketcher عمل theory في سبب لبريسبيوف فاكرين + +160 +00:15:02,520 --> 00:15:07,480 +sketcher طبعا مش فاكرينه كنتوا في امتحانات و ربنا + +161 +00:15:07,480 --> 00:15:13,320 +عينكم فاكرين نظريات الستة نظريات الستة اللي احنا + +162 +00:15:13,320 --> 00:15:19,380 +اتكلمنا فيها هنا كام نظرية هما سبعة high + +163 +00:15:19,380 --> 00:15:21,720 +multifactorial اللي جابلها + +164 +00:15:25,380 --> 00:15:32,020 +Extra lenticular اللي جاب ليها سكتشار سكتشار فكيه + +165 +00:15:32,020 --> 00:15:40,480 +سكتشار هذا طب انا شاك انه هذا اللي ناقض Helmholtz + +166 +00:15:40,480 --> 00:15:47,280 +Helmholtz قال العضلة بتعمل contraction هيك هذا + +167 +00:15:47,280 --> 00:15:48,920 +بقول لأ بتعمل contraction لبرا + +168 +00:15:53,130 --> 00:15:56,590 +هذا قال له في ال contraction الـ Helmholtz بترخر + +169 +00:15:56,590 --> 00:16:02,690 +الذنيوز قال لأ في ال contraction بتشد الذنيوز هذا + +170 +00:16:02,690 --> 00:16:06,890 +Helmholtz بيقول ال lens .. the lens بتكون أثناء ال + +171 +00:16:06,890 --> 00:16:10,810 +.. ال .. ال contraction سفير هذاك بيقول بتكون flat + +172 +00:16:10,810 --> 00:16:18,610 +ناقض كل النظريات هذا sketcher لأن هذا sketcher لجي + +173 +00:16:18,610 --> 00:16:25,090 +زباين في أوروبا يأيدوا كلامهو يعملوا جراحة اسمها + +174 +00:16:25,090 --> 00:16:29,070 +Scleral Expansion Procedure ماذا اعني في Scleral + +175 +00:16:29,070 --> 00:16:35,670 +Expansion Procedure قال بعد اللمبس ورا في منطقة + +176 +00:16:35,670 --> 00:16:38,650 +Sclera اللي بتغطي ال parts بلانا الcellary body + +177 +00:16:38,650 --> 00:16:44,390 +قالك هذه المنطقة محيط اللمبس من ورا في ال Sclera + +178 +00:16:44,390 --> 00:16:53,310 +البيضة هذه نحاول نوسعها نوسعهابجراحات معينة بحيث + +179 +00:16:53,310 --> 00:16:57,510 +انه لما الcellary muscle تيجي لبرا تنكمش لبرا عكس + +180 +00:16:57,510 --> 00:17:03,470 +المهمتش تنكمش لبرا تعمل accommodation تعمل + +181 +00:17:03,470 --> 00:17:07,870 +accommodation و بدأوا هم في scleral expansion + +182 +00:17:07,870 --> 00:17:15,470 +يعملوا عدة عمليات تجربية اول عملية عملوها انه حطوا + +183 +00:17:15,470 --> 00:17:23,130 +scleral bandsاه حاولوا يزرعوها في اللي هو إيش + +184 +00:17:23,130 --> 00:17:30,110 +اسكلير زي هيك زي هيك شايفين بانت؟ يعني ييجي يجرح + +185 +00:17:30,110 --> 00:17:37,630 +في اسكليرة هيك ويحط مطاطة ويخيطهالما المطاط اتنين + +186 +00:17:37,630 --> 00:17:41,190 +تلاتة اربعة مثلا لما ال .. ال .. ال celery muscle + +187 +00:17:41,190 --> 00:17:45,590 +تطلع لبرا في ال contraction تلاقي واسعة، تلاقي زي + +188 +00:17:45,590 --> 00:17:49,510 +ما تيجي مثلا ال sandwich تمزقي هيك وتوسعي، بيساق + +189 +00:17:49,510 --> 00:17:56,370 +أكتر، يعني الرغيف نفسه منطبق على بعضه هيك، لكن لما + +190 +00:17:56,370 --> 00:18:00,770 +نقطع من النص و نفتح حالي و نفتح حالي عن بعض، بصير + +191 +00:18:00,770 --> 00:18:05,770 +ممكن نحط جبنة، نحط أي يعني حاجة في ال sandwichفهو + +192 +00:18:05,770 --> 00:18:10,590 +الأن بده يوسع في الـ sclera ع نظرية بتاعته أن الـ + +193 +00:18:10,590 --> 00:18:14,550 +sclera muscle لما تنكبش هون بتروح outward على محيط + +194 +00:18:14,550 --> 00:18:18,430 +هيك الـ sclera muscle في الـ sclera الـ body مش زي + +195 +00:18:18,430 --> 00:18:23,250 +ما اتعلمنا بتروح نحو ال lens اه circumference لأ + +196 +00:18:23,250 --> 00:18:28,330 +تبعد فبقوله انا في كبار السن بدي أوسع ال sclera + +197 +00:18:28,330 --> 00:18:33,830 +عشان لما ال muscle تضغط لبرا تلاقي متسع وتعمل + +198 +00:18:33,830 --> 00:18:34,210 +accommodation + +199 +00:18:37,360 --> 00:18:45,900 +هذه اسمها Scleral Expansion تمدد او توسع بالوسع + +200 +00:18:45,900 --> 00:18:51,420 +Scleral راحوا + +201 +00:18:51,420 --> 00:19:02,980 +زرقوا اربع bands من PMMA Poly Methyl Methacrylate + +202 +00:19:07,310 --> 00:19:15,950 +جسم سكليرة ورا الليمباس six millimeter شايفين طول + +203 +00:19:15,950 --> 00:19:21,970 +اللي هي السكليرة تحت الليمباس، يمين الليمباس، شمال + +204 +00:19:21,970 --> 00:19:27,570 +الليمباس، فوق الليمباس يفتح السكليرة كده واسعة عن + +205 +00:19:27,570 --> 00:19:36,360 +بعض، يفتحها هيك ويجيب يعني band صغيرةأه يحطها في + +206 +00:19:36,360 --> 00:19:41,840 +الجريح و يخيطها عشان لما ال a ال a لما ال cell + +207 +00:19:41,840 --> 00:19:46,400 +mass اللي تضرب لبرا يكون لها واسعة زي الصورة هذه + +208 +00:19:46,400 --> 00:19:51,380 +هي شايفين هي sclera و sclera متوسعة و يزرع شيء هي + +209 +00:19:51,380 --> 00:19:56,300 +يزرع شيء يزرع شيء زي مطاطة يعني poly methyl + +210 +00:19:56,300 --> 00:19:57,060 +metacrylate + +211 +00:20:01,430 --> 00:20:05,410 +هذا الاعتبار انه سكاتشر بيشتغل صح هذا ناس ماشيين + +212 +00:20:05,410 --> 00:20:08,650 +على الطريقة بتاع السكاتشر بيعترضوا عبقري وناقض + +213 +00:20:08,650 --> 00:20:11,430 +Helmholtz طب دكتور اذا المشكلة نفسها بالناس ليش + +214 +00:20:11,430 --> 00:20:14,350 +يعني ليش يدخلوا بـCellular muscle ويعملوا + +215 +00:20:14,350 --> 00:20:18,230 +expansion مش عارفة شو؟ ماهي المشكلة نفسها بالناس؟ + +216 +00:20:18,230 --> 00:20:19,130 +مش احنا حاكي احنا حاكي احنا حاكي احنا حاكي احنا + +217 +00:20:19,130 --> 00:20:19,770 +حاكي احنا حاكي احنا حاكي احنا حاكي احنا حاكي احنا + +218 +00:20:19,770 --> 00:20:25,710 +حاكي احنا حاكي احنا حاكي احنا حاكي احنا حاكي احنا + +219 +00:20:25,710 --> 00:20:32,160 +حاكيأو تضيق العضلة انها تتمدد هو اللي عامل ال .. + +220 +00:20:32,160 --> 00:20:36,120 +هو اللي عامل البرسبايوميه اه يعني يعني يعني يعني + +221 +00:20:36,120 --> 00:20:42,380 +العضلة ماعهاش واسعة لأن ال lens كبرت وصارت ال lens + +222 +00:20:42,380 --> 00:20:45,600 +ال celery muscle مضغوطة بين sclera و بين ال lens + +223 +00:20:45,600 --> 00:20:50,700 +يعني ال lens كبرت كده ومافيدش واسع ال celery + +224 +00:20:50,700 --> 00:20:56,000 +muscle انها تشتغل فهو بتوسع المحيط بتاع ال sclera + +225 +00:20:57,020 --> 00:21:04,000 +ورا الـ Limbus على 360 درجة حتى العضلة معها واسعة + +226 +00:21:04,000 --> 00:21:11,620 +Expansion، اتساع يعني طيب انت + +227 +00:21:11,620 --> 00:21:14,740 +من .. وجدت نارك .. في .. في .. بقوللي انه هذه + +228 +00:21:14,740 --> 00:21:18,660 +التجربة الجراحية زراعة يعني polymethyl مثل + +229 +00:21:18,660 --> 00:21:23,560 +اكريتباندز حدثت في أكتر من دولة منها مكسيك مكسيكو + +230 +00:21:23,560 --> 00:21:30,360 +و فرنسا و تايلاندأه مش بس هذا العجيب اللي عجيب انه + +231 +00:21:30,360 --> 00:21:35,640 +في ده اعطت الموافقة الأولى بالأحرف الأولى على + +232 +00:21:35,640 --> 00:21:42,640 +زراعة اللي هو ال bands هاللي ايش في ده food drug + +233 +00:21:42,640 --> 00:21:46,460 +administration food drug administration في أمريكا + +234 +00:21:46,460 --> 00:21:51,280 +ممنوع اي food او اي drug يعني دوة او طعام ينزل في + +235 +00:21:51,280 --> 00:21:58,060 +السوق الأمريكية الا بعد ايش مايكون recordedفي + +236 +00:21:58,060 --> 00:22:03,420 +الفيدا فمعنى ان الفيدا قطع الموافقة الأولية هيزيد + +237 +00:22:03,420 --> 00:22:07,980 +الباحثين في هذا الموضوع طب + +238 +00:22:07,980 --> 00:22:14,500 +هو فتح sclera و توسيعها ال band معين تخيطة فيها + +239 +00:22:14,500 --> 00:22:23,340 +يعني في ضرر على الموضوع يعني ضرر عضوي ايش + +240 +00:22:23,340 --> 00:22:24,880 +الضرر العضوي ممكن يصير + +241 +00:22:29,170 --> 00:22:34,090 +ما هو بعد Sclera على طول تحتها جاى سيرابوديو + +242 +00:22:34,090 --> 00:22:40,070 +الكوررويد فلما فافتح برا على جوا كان الـ + +243 +00:22:40,070 --> 00:22:44,650 +intraocular region + +244 +00:22:44,650 --> 00:22:52,050 +صار مكشوف طيب عودوا يعملوا طريقة تانية غير الزراعة + +245 +00:22:52,050 --> 00:22:57,010 +هذه كيف فاكرين انتوا ال radial keratotomy كلمنا + +246 +00:22:57,010 --> 00:23:01,800 +فيها مرةقلنا احنا بنأمن المركز هيك و بنيجي بنعمل + +247 +00:23:01,800 --> 00:23:07,680 +radial incisions radial incisions قلنا زمان هيك + +248 +00:23:07,680 --> 00:23:10,900 +هذه اسمها تشريط القنانية والله قبل تلتين سنة كانت + +249 +00:23:10,900 --> 00:23:16,560 +هذه شائعة يعني في جراحين كإن و إيده سحرية يعني + +250 +00:23:16,560 --> 00:23:22,200 +يضرب الضربة، الضربة، الضربة يعني ع تمام و بعد كام + +251 +00:23:22,200 --> 00:23:28,690 +شهر يصير scarradial هيك ويبدأ الميوبيا اللي كانت + +252 +00:23:28,690 --> 00:23:34,270 +كده .. الميوبيا اللي كانت كده curved اه تصير more + +253 +00:23:34,270 --> 00:23:39,350 +flat زي هيك يوفره أقل شيه ستة سبعة تمانية ضيوبة + +254 +00:23:39,350 --> 00:23:47,850 +الآن بده يعمل radial sclerotomy زيها بس وين؟ وين + +255 +00:23:47,850 --> 00:23:51,730 +في ال sclera عاد؟ هذه ال sclera جدا من كلنا البيضة + +256 +00:23:52,330 --> 00:23:55,130 +بدو يضرب ضربة هنا وضربة هنا وضربة هنا وضربة هنا + +257 +00:23:55,130 --> 00:24:04,990 +وضربة هنا بس half thickness يعني مخليهاش ايش نافذة + +258 +00:24:04,990 --> 00:24:11,890 +تصالح الcellar body طب هل هذا صحيح لما يصير + +259 +00:24:11,890 --> 00:24:16,150 +الcellar muscle تطلع لبرا ممكن الجروح هذه انها + +260 +00:24:16,150 --> 00:24:21,230 +فعلا تتوسع يعني تصير تعطي مدى مده + +261 +00:24:23,920 --> 00:24:30,480 +الجارح غير نافلها نص ال thickness تعرفين + +262 +00:24:30,480 --> 00:24:33,580 +وين؟ اه على ال .. ال sclera كده على الدايرة مش في + +263 +00:24:33,580 --> 00:24:37,580 +القرنية مش في ال limbus بعد ال limbus تلاتة اربعة + +264 +00:24:37,580 --> 00:24:42,380 +ملي واحد اتنين تلاتة اربعة خمسة ستة سبعة تمانية + +265 +00:24:42,380 --> 00:24:45,720 +بالمشهد بس و يسيبوا يخيطوش هي نفس ال radial + +266 +00:24:45,720 --> 00:24:49,820 +keratotomy بس عند ال sclera ايوة هي في القرنية + +267 +00:24:49,820 --> 00:24:52,640 +اسمها radial keratotomy وهنا اسمها radial + +268 +00:24:52,640 --> 00:24:53,400 +sclerotomy + +269 +00:24:58,140 --> 00:25:01,460 +لأ إذا كان فيش فيها blood vessels يعني إلا ال .. + +270 +00:25:01,460 --> 00:25:06,680 +إلا ال far .. ال far إيش vortex veins و هدولة مش + +271 +00:25:06,680 --> 00:25:12,620 +قدام عشان هيك سماها anterior ده روحش ورا لأ + +272 +00:25:12,620 --> 00:25:17,920 +anterior هنا من لمبسوط و .. و .. و جنب هيك مع الدم + +273 +00:25:17,920 --> 00:25:23,040 +مش ممكن تتوسع ما هو بيقولك هو بدونها هي هتتوسع بس + +274 +00:25:23,040 --> 00:25:29,070 +يقول أنت بدك تصير rapture يعني تنفجر طيبيبقى هو + +275 +00:25:29,070 --> 00:25:32,510 +هدفه هنا إنه يعمل Scleral expansion can be + +276 +00:25:32,510 --> 00:25:35,430 +accomplished by making radial incisions in the + +277 +00:25:35,430 --> 00:25:39,750 +sclera beyond the limb بس هذه analogues يعني + +278 +00:25:39,750 --> 00:25:44,470 +مناظرة للراديا الكرتيتومي في الإسم يعني، بس هذه في + +279 +00:25:44,470 --> 00:25:48,960 +القرن أيه؟ وهناك في scleraInvestigators outside + +280 +00:25:48,960 --> 00:25:56,860 +the U.S. are reported performing throtomy study + +281 +00:25:56,860 --> 00:26:03,020 +بس للأسف no published reports مافيش يعني أبحاث + +282 +00:26:03,020 --> 00:26:08,180 +مشرت عشان التعدد ان ال accommodation في المشنين + +283 +00:26:08,180 --> 00:26:13,120 +بهذه العملية قد استعاد القراءة من قريب + +284 +00:26:33,130 --> 00:26:40,730 +هو قصده انه يعمل once تراحة وارتاحها تراحة مرة + +285 +00:26:40,730 --> 00:26:46,120 +واحدة بس انتوا تشوفوا التطورالان اتيوا ناس بايده + +286 +00:26:46,120 --> 00:26:54,540 +بربو سكتشر عملوا او حاولوا يزرعوا في اسكليرة شي + +287 +00:26:54,540 --> 00:27:00,480 +اسمه which shape sclera ال insert زي هي شافين + +288 +00:27:00,480 --> 00:27:09,400 +شافين كيف شكلها فهذه يزرعوها وين في اسكليرةو هي + +289 +00:27:09,400 --> 00:27:13,220 +أخرومها عساسي خيطوها يعني هنا ورزة و هنا ورزة و + +290 +00:27:13,220 --> 00:27:16,880 +هنا ورزة و هنا ورزة زي هيك يعني خيطوها في اسكتريا + +291 +00:27:16,880 --> 00:27:22,920 +توسيع توسيع يعني خليني أقولك لو في أنا عندي طوب + +292 +00:27:22,920 --> 00:27:30,260 +ضيق بس الطوب هذا ثمين في بعض الناس شطرين مخيطين + +293 +00:27:30,260 --> 00:27:36,920 +بيجي بيعمله اه توسيعات و حتى البنطلون بنتلون ضيق + +294 +00:27:36,920 --> 00:27:41,420 +بيقولوا أعملوا سمكةأه بيقولوا يعملوا سمكة يعني + +295 +00:27:41,420 --> 00:27:46,260 +بيعملوا .. صحيح .. اه بيبقى واسع وراسع اه ايه و + +296 +00:27:46,260 --> 00:27:50,740 +كده و مش مبين و بصير واسع و كويس لما يكون جديد و + +297 +00:27:50,740 --> 00:27:54,080 +حلو يعني ممكن .. اقولك في أحيانا جاميز او منطقان + +298 +00:27:54,080 --> 00:27:58,080 +جديد لسه جايبوا و بلاقي اضايق شوية بيروح على + +299 +00:27:58,080 --> 00:28:02,420 +الخياط بيعمله حاجة هيك سحرية او بيمشي فهو بدأوا + +300 +00:28:02,420 --> 00:28:06,990 +يعملوا في السكرة نفس العاملةبيدو يزرعلها وش شاب + +301 +00:28:06,990 --> 00:28:10,310 +scleral insert insert مزروع يعني مش يعني مزروع + +302 +00:28:10,310 --> 00:28:14,730 +عشان يوسعها اسمه + +303 +00:28:14,730 --> 00:28:20,390 +prosthesis القطع اللي هي ال inert المصنوعة هذه as + +304 +00:28:20,390 --> 00:28:23,590 +you insert into sclera hundred percent thickness + +305 +00:28:23,590 --> 00:28:26,950 +radial scleral incisions to prevent wound closure + +306 +00:28:26,950 --> 00:28:31,750 +حط radial incisions عشان يعني مايسكرش الجرح يعني + +307 +00:28:31,750 --> 00:28:39,940 +يفضلطيب طب اللي عملها اسمه fakusoku ما بعرف إيش + +308 +00:28:39,940 --> 00:28:42,660 +الجنسية بتاعته which shape inserts may reduce the + +309 +00:28:42,660 --> 00:28:46,140 +regression برضه no published data are available + +310 +00:28:46,140 --> 00:28:50,140 +مافيش أبحاث نشرت عنه such complications زي ال + +311 +00:28:50,140 --> 00:28:53,520 +hemorrhage قد نقل زراعتها من وين ال hemorrhage + +312 +00:28:53,520 --> 00:28:56,940 +بيجي؟ من السيريبودي السيريبودي vascular ولا + +313 +00:28:56,940 --> 00:29:01,110 +vascularvascular اقلها hypertension ارتفاع الضغط + +314 +00:29:01,110 --> 00:29:04,350 +العين myopic shift from over correction R + +315 +00:29:04,350 --> 00:29:07,530 +compromise of limbal conjunctival barrier ال risks + +316 +00:29:07,530 --> 00:29:14,810 +يعني ايش؟ فيه مخاطر ما + +317 +00:29:14,810 --> 00:29:20,010 +هو هذين اللي اعملوا اعملوا مدارس سكاتشر اللي + +318 +00:29:20,010 --> 00:29:24,350 +اعملوا مدارس سكاتشر راحوا يعملوا توسيع less clear + +319 +00:29:24,350 --> 00:29:27,230 +بعدة حاجات طيب + +320 +00:29:31,000 --> 00:29:34,540 +طيب بيقوللي على الرغم انه scalar expansion اللي هو + +321 +00:29:34,540 --> 00:29:39,540 +proponents ناس أنصار special procedure claim to + +322 +00:29:39,540 --> 00:29:42,820 +have able to introduce three to four diopters of + +323 +00:29:42,820 --> 00:29:46,120 +accommodation اجداد في المسنين only subjective + +324 +00:29:46,120 --> 00:29:48,560 +determination of near point of accommodation has + +325 +00:29:48,560 --> 00:29:52,700 +been completed يعني بيقوللي حقيقة انه ال near + +326 +00:29:52,700 --> 00:29:57,300 +point بعد العملية هذه صار فيها تلجيةnear point + +327 +00:29:57,300 --> 00:30:02,200 +فيها تغيير لكن هل انه ماثوي هذا ماثوي وعزيزي + +328 +00:30:02,200 --> 00:30:06,380 +ماثويز حاول انه يجيسي ال amplitude of + +329 +00:30:06,380 --> 00:30:09,540 +accommodation in this patient that does not find + +330 +00:30:09,540 --> 00:30:12,900 +reversal of respiration يعني بعد العملية هذه ال + +331 +00:30:12,900 --> 00:30:19,520 +wedge shape اه و ال radial sclerotomy اه و ال + +332 +00:30:19,520 --> 00:30:26,850 +insert و الكلام هذا ايجا جاس في المرضىأو اللي فيهم + +333 +00:30:26,850 --> 00:30:30,710 +جراحة الـ amplitude of accommodation عشان يشوف + +334 +00:30:30,710 --> 00:30:36,090 +زاد، يلاقيوا ما زادش يعني بيكذب من نظرية sketcher + +335 +00:30:36,090 --> 00:30:40,350 +further as reported by young برضه واحد اسمه young + +336 +00:30:41,200 --> 00:30:44,560 +Sclera expansion procedures performed in only one + +337 +00:30:44,560 --> 00:30:48,980 +eye في عين واحدة have increased the near point of + +338 +00:30:48,980 --> 00:30:54,020 +unoperated control eye in one reported study دراسة + +339 +00:30:54,020 --> 00:30:59,240 +واحدة لم تثبت فيها موضوع زيادة إيش ال amplitude of + +340 +00:30:59,240 --> 00:31:09,380 +accommodation طيب + +341 +00:31:15,230 --> 00:31:19,650 +الآن في مقالات صارت على ستة أو خمسة من المرضى + +342 +00:31:19,650 --> 00:31:24,350 +بتاعت الـ scleral bands had been removed following + +343 +00:31:24,350 --> 00:31:27,290 +conjunctival erosion and upper removal of bands + +344 +00:31:27,290 --> 00:31:33,830 +البيتانيين قد فقدوا قدراتهم لتقرير قراءة أتنين حتى + +345 +00:31:33,830 --> 00:31:38,250 +يعني في من خمسة أو ستة عملوا عليهم نظرية سكتشر في + +346 +00:31:38,250 --> 00:31:41,810 +الـ expansion وجدوهم فقدوا القدرة على القراءة من + +347 +00:31:41,810 --> 00:31:49,680 +قربيعني كمان أكتر من أول The theory behind these + +348 +00:31:49,680 --> 00:31:58,500 +clear expansion procedures contradicts التناقض + +349 +00:31:58,500 --> 00:32:02,440 +The generally accepted mechanisms of accommodation + +350 +00:32:02,440 --> 00:32:06,900 +of resbiopia اللي عملها Helmholtz exactly how this + +351 +00:32:06,900 --> 00:32:09,560 +clear expansion might restore accommodation is + +352 +00:32:09,560 --> 00:32:15,400 +unclearيعني مافيش عندنا الآن فهم انه لما نعمل + +353 +00:32:15,400 --> 00:32:23,260 +جراحة في sclera انه في قاعدة علمية كيف نستعيد ال + +354 +00:32:23,260 --> 00:32:28,760 +accommodation اللي ذهب يعني بالعرب الآن صار في + +355 +00:32:28,760 --> 00:32:32,340 +الموضوع هذا فيه تناقضين المدرسة بتاعتنا بتاعت + +356 +00:32:32,340 --> 00:32:38,960 +Helmholtz اللي بتتكلم على النضارة اللي فيها plusات + +357 +00:32:38,960 --> 00:32:43,640 +وعلى ال contact lensوعلى الـ Monovision وعلى + +358 +00:32:43,640 --> 00:32:48,900 +Multifocal IOLs والنظرية التانية بتاعة Scutcher + +359 +00:32:48,900 --> 00:32:55,700 +إيه اللي فيها الجراحة وبده يحاول يشيل أو يضيف وسع + +360 +00:32:55,700 --> 00:33:01,540 +جديد وأمد جديد للـ Ciliary muscle الآن فيه تنقض + +361 +00:33:01,540 --> 00:33:07,240 +صعب لكن أحياناً الخلافة ده بيجي منه رأي تالت يمكن + +362 +00:33:07,240 --> 00:33:14,400 +يجي رأي وسطالمهم من المشكلة في انه احنا عندنا + +363 +00:33:14,400 --> 00:33:21,960 +بالجليلة تلاتة + +364 +00:33:21,960 --> 00:33:30,260 +مليار بريس بايوب في العالم كده العالم كله كم مليار + +365 +00:33:30,260 --> 00:33:34,440 +سبعة مليار احنا عندنا بالجليلة تلاتة مليار بريس + +366 +00:33:34,440 --> 00:33:40,650 +بايوب اللي بعد الأربعين اللي بعد الأربعينللـ 80 + +367 +00:33:40,650 --> 00:33:43,570 +ولا ال 100 ولا ال 120 في اليابان اليوم كلهم ريس با + +368 +00:33:43,570 --> 00:33:53,190 +يوم كيف نحل مشكلتهم طيب بقول لعكس المرضى مقتنعين + +369 +00:33:53,190 --> 00:33:58,970 +اكتر في ال mono vision او multifocal IOL اللي + +370 +00:33:58,970 --> 00:34:01,570 +بيعمل pseudo accommodation مش true accommodation + +371 +00:34:01,570 --> 00:34:06,260 +سكاتشر بيقول لأ انا بعمل true accommodationيعني + +372 +00:34:06,260 --> 00:34:10,800 +القلية اللي بيعملها آه بيقول true accommodation بس + +373 +00:34:10,800 --> 00:34:15,060 +اها بيقول لأ ال IOL ال multifocal تدرج بيعمل + +374 +00:34:15,060 --> 00:34:19,720 +pseudo يعني مش كذب pseudo accommodation بيقول انه + +375 +00:34:19,720 --> 00:34:24,140 +وجدوا ان المرضى ال satisfaction عندهم high level + +376 +00:34:24,140 --> 00:34:34,340 +يعني انا احط يعني multifocal IOL واشوف للقريب + +377 +00:34:34,340 --> 00:34:39,910 +والبعيد والمتوسطو بكون مقتنع مع شوية flusher وكلام + +378 +00:34:39,910 --> 00:34:44,970 +زي هذا و لا يرحوا ال sclera و يحطولي فيها bands و + +379 +00:34:44,970 --> 00:34:51,350 +inserts و أطلع في الآخر كذب أنا ما بشوف القراءة + +380 +00:34:51,350 --> 00:34:55,610 +صراحة ما بلبس نظارة ولا حاجة لكن ما بشوف ف ال + +381 +00:34:55,610 --> 00:34:58,250 +satisfaction عند المرضى يبتعد ال pseudo + +382 +00:34:58,250 --> 00:35:05,470 +accommodation أفضل منالـ true accommodation اللي + +383 +00:35:05,470 --> 00:35:09,790 +من نظرية سكتشار ولا أنتوا مش بتأيدوا؟ لأ طبعا الـ + +384 +00:35:09,790 --> 00:35:15,130 +true accommodationالدعاء للدعاء لتحسين نظره قريه + +385 +00:35:15,130 --> 00:35:20,070 +في بريسبيوبيا تتبع تطوره بطريقة واضحة قد تكون + +386 +00:35:20,070 --> 00:35:24,730 +مسبوح لقصة كريستانالينز مرتفعة مرة أخرى قبل أن يتم + +387 +00:35:24,730 --> 00:35:30,610 +إعجابها كمخصصة صحيحة لبريسبيوبيا، يجب أن يكون + +388 +00:35:30,610 --> 00:35:36,670 +ميكانيزم الحركة تمكينه تمامًا ومحققًا يعني بيقول + +389 +00:35:36,670 --> 00:35:42,150 +لسه النظرية الأولى الـ MultifocalLens المزرعة IOL + +390 +00:35:42,150 --> 00:35:46,650 +أفضل من الاعتماد على نظرية جراحية لم يبدو منها + +391 +00:35:46,650 --> 00:35:51,530 +تأكيد علمي بالطريقة الصحيحة طبعا أنا بشكركم على + +392 +00:35:51,530 --> 00:35:52,830 +حسن استماع والسلام عليكم + diff --git a/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/ttfJnNSQ2h8.srt b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/ttfJnNSQ2h8.srt new file mode 100644 index 0000000000000000000000000000000000000000..a4cb01a7170424740845d8a5472c21849c7e5d7d --- /dev/null +++ b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/ttfJnNSQ2h8.srt @@ -0,0 +1,2683 @@ +1 +00:00:21,160 --> 00:00:26,590 +بسم الله الرحمن الرحيم الحمد لله وكفى واصلي واسلم + +2 +00:00:26,590 --> 00:00:29,910 +على النبي المصطفى السلام عليكم ورحمة الله وبركاته + +3 +00:00:29,910 --> 00:00:36,370 +في هذه المحاضرة سوف نتطرق إلى الصورة الكليكية + +4 +00:00:36,370 --> 00:00:41,190 +للمريض بالastigmatism وأنا أعتبره مريضا + +5 +00:00:41,190 --> 00:00:46,430 +astigmatism مع أنه هو refractive error لكن ممكن + +6 +00:00:46,430 --> 00:00:53,980 +نؤدي إلى مضاعفات ومفاقمات العرض الأول of + +7 +00:00:53,980 --> 00:00:57,760 +astigmatism is diminution of visual acuity طبعا + +8 +00:00:57,760 --> 00:01:10,660 +as you know that small degree of astigmatism may + +9 +00:01:10,660 --> 00:01:21,880 +need no defective vision and may result in + +10 +00:01:23,550 --> 00:01:31,350 +any decrease of comfort for the patient يبقى + +11 +00:01:31,350 --> 00:01:41,090 +في حدود الـ 0.5 ديوبتر آه ممكن المريض يمشيها + +12 +00:01:41,090 --> 00:01:45,330 +خاصة الأطفال نصف الديوبتر astigmatism يعني ممكن يكون + +13 +00:01:45,330 --> 00:01:52,780 +يمشيها عالي لكن إن كان في appreciable size or + +14 +00:01:52,780 --> 00:02:01,520 +degree فيه معاناة والمريض هنا يجتهد أن يرى من ال + +15 +00:02:01,520 --> 00:02:07,580 +circle of least confusion لكن أحيانا يفشل فيحاول + +16 +00:02:07,580 --> 00:02:13,320 +أن يرى بالـ vertical line أو بالـ horizontal line + +17 +00:02:13,320 --> 00:02:17,880 +حاول تشوف بالخط الأفقي يعني ال terms colonoid + +18 +00:02:17,880 --> 00:02:24,870 +مكونة من عدة أشكال منها vertical line ومنها + +19 +00:02:24,870 --> 00:02:30,770 +horizontal line ومنها vertical ellipse ومنها + +20 +00:02:30,770 --> 00:02:32,870 +horizontal ellipse ومنها circle of least + +21 +00:02:32,870 --> 00:02:38,630 +confusion فهو يعني مريض الـ astigmatist بيحاول يشوف + +22 +00:02:38,630 --> 00:02:43,930 +من least confusion لكن أحيانا يفشل فيحاول أن يحتمد + +23 +00:02:43,930 --> 00:02:49,460 +على الطرفين إما الطرف الأيمن أو الطرف الأيسر بتاع + +24 +00:02:49,460 --> 00:02:53,540 +الـ vertical line أو الـ horizontal line طبعا هذا + +25 +00:02:53,540 --> 00:03:02,280 +بيعمله معانا أكثر وأكثر طيب احنا + +26 +00:03:02,280 --> 00:03:07,440 +قلنا إن small degree ما بتعملش discomfort ولا + +27 +00:03:07,440 --> 00:03:12,260 +بتعمل blurring of vision لكن الـ high degree أو + +28 +00:03:12,260 --> 00:03:19,470 +moderate degree ويبقى astigmatism لأ ممكن تعمله ال + +29 +00:03:19,470 --> 00:03:26,210 +diminution of vision وممكن تعمله إيش discomfort و + +30 +00:03:26,210 --> 00:03:33,530 +تحتاج إلى correction يعني الطفل عنده نصف degree of + +31 +00:03:33,530 --> 00:03:37,530 +astigmatism ومافيش complaint من الـ vision ما فيش + +32 +00:03:37,530 --> 00:03:40,730 +complaint من إنصوبية من أي حاجة في ال comfort + +33 +00:03:43,680 --> 00:03:50,440 +أنا ما بعطي correction لكن طالب ثانوية عامة ومع 0.5 + +34 +00:03:50,440 --> 00:03:55,920 +degree of astigmatism ممكن تعمله severe discomfort + +35 +00:03:55,920 --> 00:04:05,160 +وعايزة full correction وعثران طيب الآن بدنا ننظر + +36 +00:04:05,160 --> 00:04:07,500 +في هذه النظر إيه شايفين هنا + +37 +00:04:14,490 --> 00:04:19,190 +أنه in astigmatism there is no point focus فش + +38 +00:04:19,190 --> 00:04:24,490 +point focus لكن فيه circle of least confusion أو + +39 +00:04:24,490 --> 00:04:30,790 +diffusion أو حتى الأطراف هنا الأطراف بيسموه كومة + +40 +00:04:30,790 --> 00:04:34,550 +الكومة + +41 +00:04:34,550 --> 00:04:40,990 +هذه هي الـ slight كومة شوف هي المركز هو إيه شايف + +42 +00:04:40,990 --> 00:04:50,640 +حواليه إيه هلأطب هاي مدرت شاف حالات إثنين طب سيفير + +43 +00:04:50,640 --> 00:04:58,740 +multiple شايفين كيف؟ يعني هذه الصورة بالظبط كل ما + +44 +00:04:58,740 --> 00:05:03,960 +الـ astigmatism زاد كل ما ال coma زادت وكل ما ال + +45 +00:05:03,960 --> 00:05:08,880 +diffusion circles زادت حتى + +46 +00:05:08,880 --> 00:05:18,310 +أنه قد يرى البقعة الضوء لها ذيل وذيل هذا فيه عدة + +47 +00:05:18,310 --> 00:05:25,570 +نقاط متتالية مش قادر أركز في نقطة زي ما احنا + +48 +00:05:25,570 --> 00:05:31,910 +شايفينها الحمد لله هذه اسمها كومة برضه + +49 +00:05:31,910 --> 00:05:37,770 +هنا high slide focus slide شايفين كيف مرة vertical + +50 +00:05:37,770 --> 00:05:44,230 +ومرة horizontal more defocused هذا vertical وهذا + +51 +00:05:44,230 --> 00:05:51,450 +horizontal شايفين كيف الـ astigmatism بتشوف فيه more + +52 +00:05:51,450 --> 00:05:56,470 +bad astigmatism يعني هذا mild يعني في حدود واحد أو + +53 +00:05:56,470 --> 00:06:02,450 +واحد ونصف بعد واحد ونصف أو اثنين ثلاثة أربعة شوفوا + +54 +00:06:02,450 --> 00:06:06,470 +كيف الآن كيف بصير defocused شايفين هنا vertical + +55 +00:06:06,470 --> 00:06:09,980 +هنا horizontal هنا vertical هنا horizontal شوف + +56 +00:06:09,980 --> 00:06:17,200 +الصورة كيف يعني تبدو distorted وهو غالباً المريض + +57 +00:06:17,200 --> 00:06:25,880 +يعني باعتمد على الـ less ametropic meridian باعتمد + +58 +00:06:25,880 --> 00:06:28,440 +على الـ less ametropic meridian يعني الـ more + +59 +00:06:28,440 --> 00:06:33,460 +ametropic meridian الأقرب إلى الصوابر لكن إن لم + +60 +00:06:33,460 --> 00:06:37,700 +يجد فإنه سوف يرى يعني بهذه الصورة بتاعة الـ كومة + +61 +00:06:37,700 --> 00:06:45,590 +بتاعة الـ defocus طب هو الـ ... الـ complaint من الـ low + +62 +00:06:45,590 --> 00:06:49,170 +degree of astigmatism بتكون تعتمد على طبيعة عمل + +63 +00:06:49,170 --> 00:06:55,310 +الشخص؟ طبعا كل ما الإنسان كان عنده اعتماد على + +64 +00:06:55,310 --> 00:07:00,410 +العين عمل العين خاصة الأشياء القريبة طبعا كل ما + +65 +00:07:00,410 --> 00:07:03,210 +عانى أكثر يعني لو كان عنده مثلاً ربع astigmatism + +66 +00:07:03,210 --> 00:07:06,330 +بيكون هيسير في عنده complaint + +67 +00:07:10,110 --> 00:07:16,870 +the size or quantity of work quantity of work طفل + +68 +00:07:16,870 --> 00:07:24,410 +صغير يعني قبل أربعة أيام جاتني طفلة أنا قلقين عليها + +69 +00:07:24,410 --> 00:07:27,810 +ما فيها one diopter of astigmatism in HI فسألت عن + +70 +00:07:27,810 --> 00:07:33,830 +complaint no complaint وهذا يعني أنا أعتبره + +71 +00:07:33,830 --> 00:07:38,130 +transient في سن الطفولة يعني ممكن يزول وينقص و + +72 +00:07:38,130 --> 00:07:42,660 +يختفي لسه في قاعدة بعدين هتاخدها في refraction 3 + +73 +00:07:42,660 --> 00:07:49,660 +بتقول إن الـ full correction of refractive error + +74 +00:07:49,660 --> 00:07:55,840 +during childhood may lead to retardation of + +75 +00:07:55,840 --> 00:08:00,660 +emmetropization في عملية اسمها emmetropization يعني + +76 +00:08:00,660 --> 00:08:04,980 +الطفل ماشي ويعني بتحاول تصل إلى الـ emmetropia الـ + +77 +00:08:04,980 --> 00:08:07,480 +optimal vision + +78 +00:08:12,800 --> 00:08:18,880 +فده كان الـ ... الـ ... الـ ... أنا أعطيته لـ reflective + +79 +00:08:18,880 --> 00:08:24,560 +mirror full correction كأنه خليت العين تعتمد على + +80 +00:08:24,560 --> 00:08:27,640 +الـ correction ما تعتمد على الـ development normal + +81 +00:08:27,640 --> 00:08:35,640 +development ربع؟ طيب، يبقى إيش العرض الأول؟ العرض + +82 +00:08:35,640 --> 00:08:40,680 +الأول diminution of visual activity حسب حالتين + +83 +00:08:42,280 --> 00:08:47,240 +degree of astigmatism وحسب الـ quantity of work + +84 +00:08:47,240 --> 00:08:55,520 +وحسب الـ age حسب الـ age طفل في البستان two diopter + +85 +00:08:55,520 --> 00:09:02,640 +astigmatism ما بيحس فيه لكن تعرف الثانوية العامة 0.5 + +86 +00:09:02,640 --> 00:09:06,980 +ديوبتر astigmatism will find + +87 +00:09:09,450 --> 00:09:14,650 +deterioration of vision عن سبيل الـ سينوميا طيب + +88 +00:09:14,650 --> 00:09:18,410 +symptom + +89 +00:09:18,410 --> 00:09:22,330 +الثاني if + +90 +00:09:22,330 --> 00:09:28,290 +the axis of astigmatism is oblique like + +91 +00:09:28,290 --> 00:09:34,070 +this oblique astigmatism هينتج عن هذا إن الطفل + +92 +00:09:34,070 --> 00:09:37,670 +خاصة الطفل والـ + +93 +00:09:40,350 --> 00:09:50,730 +see in an oblique manner tilting of the head to one + +94 +00:09:50,730 --> 00:09:58,370 +side trying to find the best vision يعني هو الطفل + +95 +00:09:58,370 --> 00:10:03,450 +لا يدري ومش هحسها أيضا أنه يميل رأسه زي هيك يعني + +96 +00:10:03,450 --> 00:10:07,510 +شايفين هذا الطفل يميل رأسه عشان يشوفه أحسن + +97 +00:10:10,420 --> 00:10:15,620 +طيب هذا الـ habit العادي which married to + +98 +00:10:15,620 --> 00:10:20,380 +development of scoliosis وأنا بـ scoliosis abnormal + +99 +00:10:20,380 --> 00:10:25,860 +curvature of vertebral column هاي الصورة هاي الـ + +100 +00:10:25,860 --> 00:10:31,160 +vertebral column normal هاي الـ head وهي الـ neck هو + +101 +00:10:31,160 --> 00:10:36,860 +هاي الـ thoracic vertebra شايفين كيف مستقيمة شوف هنا + +102 +00:10:36,860 --> 00:10:45,290 +الـ shape vertebral column فمن + +103 +00:10:45,290 --> 00:10:51,310 +هناك الرأس إلى جهتها مع طول الأيام والـ + +104 +00:10:51,310 --> 00:10:57,190 +uncorrection هتعمل scoliosis scoliosis of + +105 +00:10:57,190 --> 00:11:02,550 +vertebral column ميل أو تحدب في العمود الفقري + +106 +00:11:02,550 --> 00:11:06,190 +شايفين هذا الطفل كبدي منظر؟ شايفين؟ + +107 +00:11:10,050 --> 00:11:15,990 +طب معناه ده scoliosis in this case the treatment + +108 +00:11:15,990 --> 00:11:20,870 +is very difficult after childhood يعني بعد ما + +109 +00:11:20,870 --> 00:11:26,450 +الـ childhood تمشي وتصير adult ثمانية عشر سنة بيكون + +110 +00:11:26,450 --> 00:11:36,390 +very difficult treatment صعب جدا علاج scoliosis مش + +111 +00:11:36,390 --> 00:11:38,750 +أنا بقول مستحيل بس صعب جدا وطويل جدا + +112 +00:11:41,990 --> 00:11:48,510 +طيب العرض الثالث إنه فيه عادة أخرى إن مريض الـ + +113 +00:11:48,510 --> 00:11:52,750 +astigmatism بيعمل slanting of eyelids like a + +114 +00:11:52,750 --> 00:12:01,230 +ceramic slit half opening or half closed eyelids + +115 +00:12:01,230 --> 00:12:08,110 +يعني يحاول زي الصورة دي شايفين هذا المريض؟ شايفين + +116 +00:12:08,110 --> 00:12:15,410 +هذا المريض؟ يحاول إذا غيره هو بيحاول يعمل زي stereo + +117 +00:12:15,410 --> 00:12:17,890 +pixelate أنتم عارفين الـ stereo pixelate؟ في الـ + +118 +00:12:17,890 --> 00:12:24,430 +lab is the best زي الـ pin hole is اه بيعطيك الـ + +119 +00:12:24,430 --> 00:12:28,890 +best vision يعطيك الـ best vision so that by cutting + +120 +00:12:28,890 --> 00:12:32,110 +out the rays in one meridian the object may appear + +121 +00:12:32,110 --> 00:12:38,590 +more distinct طبعا هو يعني المريض دائماً يعني بيقدم + +122 +00:12:38,590 --> 00:12:45,150 +المصلحة المصلحة إنهم مش يعملوا خصوصاً كان طفل يعني + +123 +00:12:45,150 --> 00:12:49,630 +بتني رغبته ما بهموش ده ماضي عيني ما بهموش ما يحس إنه + +124 +00:12:49,630 --> 00:12:53,530 +الناس شايفاه فلما + +125 +00:12:53,530 --> 00:13:00,910 +الـ habit تصير chronic habit مزمنة هو بياخد هذا + +126 +00:13:00,910 --> 00:13:03,230 +الشكل خلاص تلاقي الشكل وده مانعنه + +127 +00:13:06,630 --> 00:13:10,050 +طب احنا كناس يعني في الـ ophthalmology والـ optometry + +128 +00:13:10,050 --> 00:13:14,130 +على طول بنعرفه أول ما نلاقي كده ده اللي نلاقي كده يعني + +129 +00:13:14,130 --> 00:13:17,730 +معناه فيه uncorrected refractive error خاصة + +130 +00:13:17,730 --> 00:13:22,470 +الـ astigmatism بس برضه الحال myopia بيعمل يبقى + +131 +00:13:22,470 --> 00:13:29,010 +العرض الثالث من عراض الـ astigmatism هي slanting of + +132 +00:13:29,010 --> 00:13:29,630 +eyelids + +133 +00:13:32,160 --> 00:13:37,740 +طبعا العرض الرابع خاصة عند طلاب الجامعات ثانويات + +134 +00:13:37,740 --> 00:13:44,700 +اللي هو symptoms of asthenopia and eye strain يبدأ + +135 +00:13:44,700 --> 00:13:55,760 +يحس بقلم في العين يحس بصداع يحس unclear vision يحس + +136 +00:13:55,760 --> 00:14:00,350 +بسطور بيمشوا مع بعض لونهم مش واضح وكل كلمة اللي + +137 +00:14:00,350 --> 00:14:06,830 +أخذناها في الـ reflection one particularly is the + +138 +00:14:06,830 --> 00:14:12,270 +so-called in case of small astigmatic errors طبعا + +139 +00:14:12,270 --> 00:14:17,510 +أكثر تفاقماً من small refractive errors اللي هو الـ + +140 +00:14:17,510 --> 00:14:21,050 +sphere أكثر all the symptoms already considered in + +141 +00:14:21,050 --> 00:14:26,330 +chapter one of a strain may be present كل العلامات + +142 +00:14:26,330 --> 00:14:32,450 +والـ symptoms of a strain والسّينومي طبعا في قولة + +143 +00:14:32,450 --> 00:14:44,550 +بيقولها أن الـ astigmatism أب شرعي لسه طعم أب شرعي + +144 +00:14:44,550 --> 00:14:49,840 +لسه طعم لكثير من الناس بيروحوا لطبيب أعصاب عشان الصداع + +145 +00:14:49,840 --> 00:14:55,160 +بقوله الله دي بليه فحص عيون نكتبه له please for + +146 +00:14:55,160 --> 00:15:02,120 +complete vision and eye examination مع الفنجس ليه + +147 +00:15:02,120 --> 00:15:06,200 +دي العيان مش عارف بقولك الله روحت للعصاب بعتولي + +148 +00:15:06,200 --> 00:15:13,760 +العيون روحت لأنف وأذن وبعتولي العيون يعني مجتمع الـ + +149 +00:15:13,760 --> 00:15:21,380 +..الطبيب يعترف أن الـ astigmatism أب شرعي وأساسي + +150 +00:15:21,380 --> 00:15:25,820 +يعني لو احنا شيلنا الـ astigmatism وكان فيش عنده + +151 +00:15:25,820 --> 00:15:30,680 +astigmatism الأمور بعد هيك بندور على حاجات تانية + +152 +00:15:30,680 --> 00:15:37,540 +وقلنا theoretically no eye is astigmatic + +153 +00:15:37,540 --> 00:15:44,670 +theoretically ولا عين astigmatic مية بالمية قلنا + +154 +00:15:44,670 --> 00:15:50,750 +الرابع different types of astigmatism يعني الـ + +155 +00:15:50,750 --> 00:15:57,650 +headache اللي ناتج عن الـastigmatism is varying in + +156 +00:15:57,650 --> 00:16:03,790 +degree and varying in location في الدرجة والحدة + +157 +00:16:03,790 --> 00:16:08,350 +بتاعته وفي المكان بتاعه يمكن يجي frontal يمكن يجي + +158 +00:16:08,350 --> 00:16:11,230 +occipital يمكن يجي temporal يمكن يجي vertical + +159 +00:16:12,670 --> 00:16:17,250 +المكان مختلف وممكن يكون general هيديك وبعدين إيه + +160 +00:16:17,250 --> 00:16:23,410 +الدرجة؟ يعني ممكن يكون mild أو يكون violent إيش + +161 +00:16:23,410 --> 00:16:31,790 +violent؟ عنيف أنا كنت بقولك أنا رأسي بدها تنفجر + +162 +00:16:31,790 --> 00:16:37,230 +سمعتوا القصة هذه؟ رأسي بدها تنفجر هذا explosive + +163 +00:16:37,230 --> 00:16:44,800 +اسمه في throbbing نبضي throbbing بقولك والله رأسي + +164 +00:16:44,800 --> 00:16:58,340 +منبض نبض عليّ كله من الاستيغماطيز ممكن يصرخ ممكن + +165 +00:16:58,340 --> 00:17:02,740 +تبقى الهدد كهذا لأنه في الهدد symptoms of reflex + +166 +00:17:02,740 --> 00:17:07,310 +nervous disturbances مرتبطة في الجهاز العصبي انعكس + +167 +00:17:07,310 --> 00:17:12,630 +لأن الـ head فيها الـ brain والـ meninges of the + +168 +00:17:12,630 --> 00:17:17,430 +brain فتلاقي مع dizziness neuro-asinopia إجهاد + +169 +00:17:17,430 --> 00:17:25,330 +الجهاز العصبي نفسه irritability and fatigue يعني + +170 +00:17:25,330 --> 00:17:32,110 +ممكن واحد إنه جدا يروح شكوى إلى أخصائي الأعصاب + +171 +00:17:32,110 --> 00:17:40,290 +وجراحي الأعصاب ولا أعصاب بريئة إنما السبب هي ليل و + +172 +00:17:40,290 --> 00:17:49,990 +أعني بها corneal surface sleep + +173 +00:17:49,990 --> 00:17:55,910 +disturbances طبعا اضطرابات النوم وما اضطرابات النوم ما + +174 +00:17:55,910 --> 00:17:59,970 +اضطرابات النوم يعني من النعم التي منّ الله علينا + +175 +00:17:59,970 --> 00:18:08,220 +أنه جعل النوم سباتة اللي ما بيثبت في النوم يستحيل + +176 +00:18:08,220 --> 00:18:12,500 +أن يكون مرتاحًا في النهار لأنه النهار معاشرة والليل + +177 +00:18:12,500 --> 00:18:18,820 +سباتة والنوم سباتة فـ sleep disturbances لأنه اللي + +178 +00:18:18,820 --> 00:18:25,820 +معه ألم كيف ينام؟ اللي متألم مش سهل ينام ولو نام + +179 +00:18:25,820 --> 00:18:30,340 +بيصحى لأنه فيه ألم بتاعه + +180 +00:18:30,340 --> 00:18:36,280 +هنا loss of appetite أو anorexia anorexia loss of + +181 +00:18:36,280 --> 00:18:41,340 +appetite يعني فقد الشهية فقد الشهية لا طعام لا + +182 +00:18:41,340 --> 00:18:49,680 +شراب لا تدوق الأكل ما فيش لذة طيب إيه الشخص الشهية + +183 +00:18:49,680 --> 00:19:02,240 +بالعين هو الإنسان كائن حي واحد واحدة واحدة كله + +184 +00:19:02,240 --> 00:19:08,330 +بيعتمد على بعض والحديث الشريف إيش بيقول مثلوا + +185 +00:19:08,330 --> 00:19:12,830 +المؤمنين في + +186 +00:19:12,830 --> 00:19:20,450 +توادهم وتعاطفهم وتراحمهم كمثل الجسد الواحد إذا + +187 +00:19:20,450 --> 00:19:26,770 +اشتكى منه عضوا تداعى له سائر الأعضاء بالسّهَل + +188 +00:19:26,770 --> 00:19:29,890 +والحَمَّة وهذا حديث صحيح عن النبي محمد صلى الله عليه + +189 +00:19:29,890 --> 00:19:38,440 +وسلم يعني اللي سنه بمقالمه كله متقلم سن واحد بس one + +190 +00:19:38,440 --> 00:19:47,720 +tooth واحد بس أو ناب طول الليل ما فيه نوم من سن + +191 +00:19:47,720 --> 00:19:52,820 +واحد طب ما فيه أكثر من عشرين سن ليش يعني سن واحد + +192 +00:19:52,820 --> 00:19:57,580 +يعمل فينا هيك لأن هو هذا نظام الـ human system + +193 +00:19:57,580 --> 00:20:02,900 +متكامل أي اختراق للنظام أي ثغرة في النظام بتهز كل + +194 +00:20:02,900 --> 00:20:08,030 +النظام وصدق الله العظيم وخلق الإنسان ضعيفة وخلق + +195 +00:20:08,030 --> 00:20:14,130 +الإنسان ضعيفة loss of appetite لأ لأن بقولك ممكن + +196 +00:20:14,130 --> 00:20:18,890 +كمان more severe symptoms of astigmatism occurs in + +197 +00:20:18,890 --> 00:20:24,070 +hypermetropia hypermetropic أستيجماتيزم احنا سبق + +198 +00:20:24,070 --> 00:20:28,870 +أن قلنا الـ hypermetropic عشان + +199 +00:20:28,870 --> 00:20:35,970 +يقرأ.. يقرأ بالـ normal four diopters plus the + +200 +00:20:35,970 --> 00:20:40,870 +quantity of hypermetropia يعني لو عنده أربعة عايز + +201 +00:20:40,870 --> 00:20:48,470 +eight diopters عشان يقرأ طب الميوبيا اللي عنده + +202 +00:20:48,470 --> 00:20:56,150 +اتنين اللي يقرأ بأربعة ناقص اثنين اثنين وكده + +203 +00:20:56,150 --> 00:20:59,470 +الـ cell أي عضلة هتكون تعبانة مع الاثنين ولا مع + +204 +00:20:59,470 --> 00:21:06,930 +الثمانية محتمل يعني طيب الـ alhybermetrop هو لحاله + +205 +00:21:06,930 --> 00:21:11,330 +تعبان لأن السيارة المصّر المتطوب أنها تعمل additive + +206 +00:21:11,330 --> 00:21:17,090 +effort مجهود إضافي طب فماذا بقي لو كان معه + +207 +00:21:17,090 --> 00:21:25,730 +استيجماتيزم فيه صار آه يعني two problems double + +208 +00:21:25,730 --> 00:21:29,470 +problem فيه problem أن الـ hypermetropia اللي هو + +209 +00:21:29,470 --> 00:21:34,370 +أساسًا بيعمل effort ولا أستيجماتزم كمان عشان أقول لك + +210 +00:21:34,370 --> 00:21:37,610 +الـ hypermetropia استيجماتزم لأنه في overload على الـ + +211 +00:21:37,610 --> 00:21:42,570 +accommodation وفي effort زائد هيعمل معاناة أكثر + +212 +00:21:42,570 --> 00:21:48,410 +هذه أعراض اللي هو إيش الاستيجماتزم طب كيف تشخص + +213 +00:21:48,410 --> 00:21:54,830 +الاستيجماتزم هاي شكلة هاري شكوة اعتبرها كلها شكوة + +214 +00:21:55,710 --> 00:22:03,270 +how to diagnose astigmatism كل + +215 +00:22:03,270 --> 00:22:09,150 +اللي فات كل اللي فات كان diagnosis صح جاب للـ + +216 +00:22:09,150 --> 00:22:14,930 +symptoms ده كله diagnosis لكن في حاجة الآن يعني + +217 +00:22:14,930 --> 00:22:18,670 +صارت مشهورة اللي هي اسمها corneal topography + +218 +00:22:18,670 --> 00:22:23,550 +corneal topography التخطيط + +219 +00:22:30,180 --> 00:22:35,740 +اللون الأحمر واللون الأخضر واللون الأزرق وين + +220 +00:22:35,740 --> 00:22:43,800 +القرنية sticky وين flat وين لسه sticky بيبين ليه + +221 +00:22:43,800 --> 00:22:51,060 +corneal topography تخطيط سطح القرنية تعيين فما هو + +222 +00:22:51,060 --> 00:22:56,600 +treatment طبعًا أول شيء optical والـ optical يعني + +223 +00:22:56,600 --> 00:23:00,140 +بإيه glasses and contact lenses هنبدأ بالـ glasses + +224 +00:23:00,140 --> 00:23:06,820 +خليها المراوحة الـ glasses المراوحة طيب + +225 +00:23:06,820 --> 00:23:19,220 +هو بكل small degrees of astigmatism إذا توفر فيه + +226 +00:23:19,220 --> 00:23:26,350 +شرطان two conditions is not in need for correction + +227 +00:23:26,350 --> 00:23:29,590 +أول + +228 +00:23:29,590 --> 00:23:33,270 +شرط أنه ما عملش deterioration of vision أو visual + +229 +00:23:33,270 --> 00:23:39,310 +acuity ما عملش deterioration تراجعه يعني يعني فيه + +230 +00:23:39,310 --> 00:23:43,050 +zero point five الـ signatures طب كام visual acuity + +231 +00:23:43,050 --> 00:23:49,370 +بتاعك؟ ستة على ستة طيب فيه كمان شرط أنه ما يكونش + +232 +00:23:49,370 --> 00:23:56,680 +عامل discomfort ما عملش headache ما عملش أسينوبيا + +233 +00:23:56,680 --> 00:24:02,460 +bleeding صارت كده كده بجراية كل كلام هذا fish، + +234 +00:24:02,840 --> 00:24:08,460 +asinopia and eyestrain في حدود نص أو أقل الشرطين + +235 +00:24:08,460 --> 00:24:15,100 +هدول مهمين إذا كان small degree of astigmatism + +236 +00:24:15,100 --> 00:24:23,380 +والشرطين هدول مراعين fishy تراجع في النظر وما فيش + +237 +00:24:23,380 --> 00:24:29,620 +discomfort مش محتاج آه generally does not require + +238 +00:24:29,620 --> 00:24:35,720 +لو إيش correction أنا + +239 +00:24:35,720 --> 00:24:40,000 +بس إني خاطر إني أصلح حاجة يعني بدي أخلي هالـ + +240 +00:24:40,000 --> 00:24:45,720 +glasses أنا بدي أخلي هالـ glasses بس لأن كنت أنزلها + +241 +00:24:45,720 --> 00:24:50,080 +جثة جاية وبعدين هي دز + +242 +00:25:15,130 --> 00:25:18,130 +إذا كان الشرطان + +243 +00:25:27,460 --> 00:25:37,240 +أو أحدهما اختل الشرطان أحدهما اختل إذا in need for + +244 +00:25:37,240 --> 00:25:48,040 +correction حتى + +245 +00:25:48,040 --> 00:25:52,900 +لو كان small degree وده بتكون مثل أنا طالب في + +246 +00:25:52,900 --> 00:26:01,560 +الثانوية العامة بالنص ديوبتر Astigmatism بتعاني + +247 +00:26:01,560 --> 00:26:06,680 +معاناة شديدة جداً و in need for urgent correction + +248 +00:26:06,680 --> 00:26:14,240 +of astigmatism بينما الطفل في البستان يلعب ويلهو + +249 +00:26:14,240 --> 00:26:21,240 +على الملاعب في الراوضة وينشد نشيد ويضحك ويمرح و + +250 +00:26:21,240 --> 00:26:27,040 +يأكل ويشرب not in need for حتى لو كان one ديوبتر أو + +251 +00:26:27,040 --> 00:26:33,120 +أكثر استجماتيزم لأنه ما فيش discomfort والواجهتين اللي + +252 +00:26:33,120 --> 00:26:37,700 +بتاعته لسه لازم يستعمل كما يجب لسه إن وحط هذا الطفل + +253 +00:26:37,700 --> 00:26:43,360 +على الكمبيوتر يلعب أو في القتال يلعب هيجي الهم + +254 +00:26:43,360 --> 00:26:49,200 +يقول أنا رأسي بتجعلني عيني بتجعلني لأنه مش معد + +255 +00:26:49,200 --> 00:26:58,450 +للمجهود البصري يعني في هذا السن هو مقعد يلعب ويمرح + +256 +00:26:58,450 --> 00:27:07,450 +ويرى الأشياء الكبيرة آه ويعني قليل من القراءة لكن + +257 +00:27:07,450 --> 00:27:14,870 +ابن ثانوية العامة إيش مطلوب منه يكون + +258 +00:27:14,870 --> 00:27:17,590 +ما يعني سيء بيوري fourth + +259 +00:27:24,110 --> 00:27:26,790 +يبقى لو اغتال بدنا نعمل full correction of + +260 +00:27:26,790 --> 00:27:34,290 +astigmatism طيب sometimes happens however that in + +261 +00:27:34,290 --> 00:27:37,810 +adults with high error who have never worn glasses + +262 +00:27:37,810 --> 00:27:42,950 +are unaccustomed to the effect of cylinders of + +263 +00:27:42,950 --> 00:27:45,570 +considerable power makes objects appear distorted + +264 +00:27:45,570 --> 00:27:50,430 +and causes distress يعني يعني أنا adult عمره + +265 +00:27:50,430 --> 00:27:58,720 +thirty years وبشكي من defective vision في + +266 +00:27:58,720 --> 00:28:02,400 +العمل بعيد وقريب وبعدين أنا أعمل فيه refraction + +267 +00:28:02,400 --> 00:28:11,040 +لأن عنده four diopter cylinder بسأله + +268 +00:28:11,040 --> 00:28:17,240 +is it the first time to be examined for refractive + +269 +00:28:17,240 --> 00:28:21,180 +error و yes had you + +270 +00:28:24,170 --> 00:28:30,270 +use any glasses before واحنا طيب إيش هأعمله هذا + +271 +00:28:30,270 --> 00:28:36,170 +أعطيه full correction ولا أُعطيه partial correction + +272 +00:28:36,170 --> 00:28:44,270 +why عشان + +273 +00:28:44,270 --> 00:28:50,710 +يتعور لو أعطيته الـ full dose هأشوف distortion كل + +274 +00:28:50,710 --> 00:28:52,250 +الصور مشوهة + +275 +00:28:54,480 --> 00:28:59,860 +ثاني شيء هأشوفه oblique ثالث شيء أنه ممكن أن هو + +276 +00:28:59,860 --> 00:29:09,320 +يعاني إلى حد to fall down أن يقع على stairs على + +277 +00:29:09,320 --> 00:29:14,960 +السلالم وعلى الأرض the ground لو قطبته for + +278 +00:29:14,960 --> 00:29:22,780 +correction لذلك احنا هنعمل له under correction to + +279 +00:29:22,780 --> 00:29:27,400 +under correct until they become used to them متعود + +280 +00:29:27,400 --> 00:29:31,580 +عليها وإن قتلت date بعد شهر شهرين the full + +281 +00:29:31,580 --> 00:29:35,540 +correction may be one comfortable براها الدكتور هو + +282 +00:29:35,540 --> 00:29:43,600 +ممكن يرتاح على أقل اه يعني الآن هو بيعاني سبعين في + +283 +00:29:43,600 --> 00:29:53,270 +المية من visual problems لأنه عنده أربعة ديوبتر C + +284 +00:29:53,270 --> 00:30:00,450 +الآن أنا أعطيته ثلاثة DC أو اتنين ونص DC هيصير + +285 +00:30:00,450 --> 00:30:05,250 +يعني فقط ثلاثين في المية هو هيلاقي الأربعين في + +286 +00:30:05,250 --> 00:30:12,010 +المية improvement انه very good يعني + +287 +00:30:12,010 --> 00:30:18,850 +أقول لكم مثلا مثال السن اللي بيجعبه هو يعني + +288 +00:30:21,460 --> 00:30:26,800 +الوالد أعطاكي يعني قرص معين جالك هذا جوي جوي كثير + +289 +00:30:26,800 --> 00:30:35,900 +اه زي تروفين و زي دايكلفين و يعني نفسيا انت صار لك + +290 +00:30:35,900 --> 00:30:41,540 +راحة يعني فيش نوم صار فيه نوم صح فيش وقت ألم لكن + +291 +00:30:41,540 --> 00:30:46,620 +وين وين وين عن أول فهو يعني كان بيعاني شديد صار + +292 +00:30:46,620 --> 00:30:52,690 +يعاني قليلا وهذه مرحلة بعد شهر شهرين لو كملنا له ال + +293 +00:30:52,690 --> 00:31:04,610 +dose حصل full comfort راحة تمام واضح أما هذه + +294 +00:31:04,610 --> 00:31:08,090 +الاستجماتيزم لابد في الآخر انه to be fully + +295 +00:31:08,090 --> 00:31:13,270 +corrected spherical error according to rule احنا + +296 +00:31:13,270 --> 00:31:15,290 +أخدنا الميوبيا والهايبرمتروبيا + +297 +00:31:19,100 --> 00:31:22,480 +يعني الـ high spherical errors نعمل احنا discount + +298 +00:31:22,480 --> 00:31:29,320 +معين حتى ال correction معين اللي عنده ستة ديوبتر + +299 +00:31:29,320 --> 00:31:33,480 +في الميوبيا نعطف ال correction بعد هيك نبدأ نجلب + +300 +00:31:33,480 --> 00:31:41,320 +أما الاستجماتيزم لأ الاستجماتيزم يعني لو ال + +301 +00:31:41,320 --> 00:31:46,280 +degree بتاعه less than two two or less ممكن أعطفه + +302 +00:31:46,280 --> 00:31:49,380 +ال correction فوق الاثنين ممكن أعطي partial + +303 +00:31:49,380 --> 00:31:53,960 +correction شهر أو شهرين أو أعطي full correction + +304 +00:31:53,960 --> 00:31:57,060 +طيب + +305 +00:31:57,060 --> 00:32:01,380 +الآن ال contact lenses صحيح ال contact lenses يعني + +306 +00:32:01,380 --> 00:32:07,280 +هو موضوع كبير و احنا يعني مش جايين نشرح ايش ال + +307 +00:32:07,280 --> 00:32:10,260 +contact lenses الموضوع ال topic هذا موضوع كبير بدل + +308 +00:32:10,260 --> 00:32:15,360 +انه هتاخدوا contact lens one contact lens two و + +309 +00:32:15,360 --> 00:32:20,310 +كله فيه نظري و عمللكن احنا هنتكلم ال contact + +310 +00:32:20,310 --> 00:32:26,090 +lenses for astigmatism يعني بس حاجة يعني مقتصرة + +311 +00:32:26,090 --> 00:32:34,010 +احنا عارفين كلنا ال soft contact lenses الـ marina + +312 +00:32:34,010 --> 00:32:39,690 +اللي بتستعمل للميوبيا او ال hypermetrobia في حد + +313 +00:32:39,690 --> 00:32:45,540 +منكم بيعرفهاش؟ soft contact lensesأسفل ياسفل يعني + +314 +00:32:45,540 --> 00:32:51,080 +ميوب اثنين أربع أربع أربع أربع أربع أربع أربع أربع أربع + +315 +00:32:51,080 --> 00:32:51,840 +أربع أربع أربع أربع أربع أربع أربع أربع أربع أربع + +316 +00:32:51,840 --> 00:32:53,900 +أربع أربع أربع أربع أربع أربع أربع أربع أربع أربع + +317 +00:32:53,900 --> 00:32:55,920 +أربع أربع أربع أربع أربع أربع أربع أربع أربع أربع + +318 +00:32:55,920 --> 00:32:56,480 +أربع أربع أربع أربع أربع أربع أربع أربع أربع أربع + +319 +00:32:56,480 --> 00:32:57,860 +أربع أربع أربع أربع أربع أربع أربع أربع أربع أربع + +320 +00:32:57,860 --> 00:32:58,440 +أربع أربع أربع أربع أربع أربع أربع أربع أربع أربع + +321 +00:33:13,950 --> 00:33:20,990 +in matter but has different powers in its + +322 +00:33:20,990 --> 00:33:30,490 +meridians يعني ممكن meridian يكون مثلا two و + +323 +00:33:30,490 --> 00:33:36,050 +meridian one one طبعا + +324 +00:33:36,050 --> 00:33:39,470 +هذه واضحة ان انا بتعالج الاستجماتيزم بتصحي + +325 +00:33:39,470 --> 00:33:44,130 +الاستجماتيزم طالما أنا واضحها عليكم الـ Pure + +326 +00:33:44,130 --> 00:33:47,130 +Soft Contact Lens لأ يعني ما بتعالج الـ + +327 +00:33:47,130 --> 00:33:51,890 +Astigmatism بتعالج اسفيريكال، فهذه توريك يعني فيها + +328 +00:33:51,890 --> 00:33:59,170 +different powers in its ingredients The term Toric + +329 +00:33:59,170 --> 00:34:02,410 +Contact Lens usually is used to describe specially + +330 +00:34:02,410 --> 00:34:05,530 +designed soft contact lens that correct + +331 +00:34:05,530 --> 00:34:11,260 +astigmatism most torric contacts for astigmatism + +332 +00:34:11,260 --> 00:34:14,680 +are indeed soft lenses made either of a + +333 +00:34:14,680 --> 00:34:21,340 +conventional hydrogen material أو silicone المادة + +334 +00:34:21,340 --> 00:34:27,040 +بتاعتها هيدروجين أو سيليكون هيدروجين طيب هو بيتكلم + +335 +00:34:27,040 --> 00:34:31,840 +هنا على ال amount of astigmatism هو بيقول في كل + +336 +00:34:31,840 --> 00:34:39,540 +حالة less than one أو إذا كنا نعطيها اسفيريكال صوفت + +337 +00:34:39,540 --> 00:34:47,560 +أو ريجيد جاس بيرميابل صلبة يعني ملونة أو صلبة لعند + +338 +00:34:47,560 --> 00:34:56,840 +واحد دا يبتدي طب واحد إلى أربعة بده توريك أو ريجيد + +339 +00:34:56,840 --> 00:35:05,710 +طيب more than four rigid اللي هو إيش gas permeable + +340 +00:35:05,710 --> 00:35:13,210 +ريجيد يعني الأربع مينفعهاش طريقة عادية لأ ولا صفة + +341 +00:35:13,210 --> 00:35:20,250 +عادية بدا إيش صلبة rigid contact lens + +342 +00:35:23,900 --> 00:35:27,580 +الحقيقة عجبني هذا الشكل لأنه بيختصر general + +343 +00:35:27,580 --> 00:35:31,680 +guidelines for contact lens fitting in patients + +344 +00:35:31,680 --> 00:35:35,760 +with astigmatism في مرضى الاستجماتيزم أيش ال + +345 +00:35:35,760 --> 00:35:41,780 +guidelines؟ ال guidelines احنا نبدأ من أول شايفين + +346 +00:35:41,780 --> 00:35:51,140 +الصورة؟ بيقول لي اللي بيحكمني حاجة ثانية بيحكمني + +347 +00:35:51,140 --> 00:35:53,380 +تحمل المريض + +348 +00:35:55,950 --> 00:36:00,730 +و بيحكمني degree و بيبقى Stigmatism يعني في مالية + +349 +00:36:00,730 --> 00:36:06,390 +حساسة جدا حتى لو خطله نضارة ما بيقبلهاش لو خطله + +350 +00:36:06,390 --> 00:36:14,310 +soft lens ما بيقبلهاش يفوت و هو free حر حر في حاله + +351 +00:36:14,310 --> 00:36:22,950 +زي مثلا في انسان لو تعطي أي نوع من الأدوية بيبلغه + +352 +00:36:22,950 --> 00:36:27,850 +فورا وحتى من غير ماء هو في واحد بيبلغ أمه و في + +353 +00:36:27,850 --> 00:36:32,950 +واحدة بتجيب لي كل المشروبات ما بيبلغ حبة حبوب مارت + +354 +00:36:32,950 --> 00:36:40,070 +معاك بدا النظام اه ابنها أنا مارت عليها أنا + +355 +00:36:40,070 --> 00:36:45,430 +ما بقولك أبدا أعطيني قبر أعطيني تحميل أعطيني اي + +356 +00:36:45,430 --> 00:36:51,650 +حاجة اما لحبوب لأ يبقى + +357 +00:36:51,650 --> 00:36:55,410 +أنا بتحكمني في موضوع ال contact lenses حاجة ثانية + +358 +00:36:55,410 --> 00:37:02,930 +نوعية المريض من ناحية التوليرانس تحمل وبيحكمني + +359 +00:37:02,930 --> 00:37:10,070 +حاجة ثانية سن التي هي quantity أو power of + +360 +00:37:10,070 --> 00:37:19,130 +astigmatism طب نبدأ من فوق can tolerate rigid gas + +361 +00:37:19,130 --> 00:37:25,280 +permeable lenses يعني هل هو بقدر يتحمل العدسة اللي + +362 +00:37:25,280 --> 00:37:29,340 +هي السقاة الصلبة قليل اللي بيتحمل عدسة اللي هي + +363 +00:37:29,340 --> 00:37:36,320 +السقاة الصلبة في عينه لأنه صلبة فانجلس اه بتحمل + +364 +00:37:36,320 --> 00:37:38,980 +في الـ trial طبعا اللي بعمله trial و بخليه يقعد + +365 +00:37:38,980 --> 00:37:43,060 +فيها نص ساعة بيمشي و بروح و بيدي و هي في عينه يعني + +366 +00:37:43,060 --> 00:37:47,400 +يتحمل و يشوف المناظر برا و جوا و يجري و كل شيء + +367 +00:37:47,400 --> 00:37:51,870 +إذا كان بيتحمل هذا وضعه بسيط اعطيه ريجيد جاس + +368 +00:37:51,870 --> 00:38:00,210 +بيرميابول contact lens خلاص انكتب بتاع اسمه هله + +369 +00:38:00,210 --> 00:38:05,810 +الاستجماتيزم حسب الدرجة بتاعته إذا كان الدرجة + +370 +00:38:05,810 --> 00:38:11,570 +بتاعته أكثر من أربعة هيكون ريجيد contact lens على + +371 +00:38:11,570 --> 00:38:17,190 +طول إذا كان أقل من أربعة بدها تكون توريك + +372 +00:38:18,450 --> 00:38:22,550 +Rigid, gas, permeable, contactless أخف شوية يعني + +373 +00:38:22,550 --> 00:38:34,130 +في حالين أقل من أربعة و فيه سوى أربعة أقل من أربعة + +374 +00:38:34,130 --> 00:38:39,490 +و فيه سوى أربعة هو بيقول لي أقل من أربعة بدي أعطيه + +375 +00:38:39,490 --> 00:38:44,090 +اسفيريكال أكثر من أربعة أربعة بالظبط هعطيه أيش + +376 +00:38:44,090 --> 00:38:52,300 +طوريك طيب هذا إن هو إيجابي إذا بتحمى؟ إذا كان + +377 +00:38:52,300 --> 00:38:57,940 +بيحمى، حاطي ال rigid كنت أبسط في عينه طيب إن قال + +378 +00:38:57,940 --> 00:39:03,900 +أنه أنا والله آسف sorry هذه صعبة عليها، بتحملهاش، + +379 +00:39:03,900 --> 00:39:09,320 +بنشطب عليها خلاص، بدنا إيش نعطيه صلبة؟ طب إيش + +380 +00:39:09,320 --> 00:39:17,530 +نعطيه؟ هنعطيه soft و بعد هذا ال soft حسب في soft + +381 +00:39:17,530 --> 00:39:24,090 +عادية و في soft توريك soft توريك طبعا ال soft + +382 +00:39:24,090 --> 00:39:30,430 +العادية بتصلح لواحد وربع ال soft العادية بالكاد + +383 +00:39:30,430 --> 00:39:35,030 +تصلح لواحد أو واحد وربع لكن + +384 +00:39:35,030 --> 00:39:40,170 +إذا كان أكثر من هيك فهذه بده توريك soft اللي + +385 +00:39:40,170 --> 00:39:45,970 +اتكلمنا عنها التوريك هذه الميزة بتاعتها أنها بتعمل + +386 +00:39:45,970 --> 00:39:53,990 +rotation في المحور المطلوب يعني هي لحالها هي بتعمل + +387 +00:39:53,990 --> 00:39:58,510 +rotation لو واحد بده يعمل clear vision هي بتعد + +388 +00:39:58,510 --> 00:40:04,790 +لحالها بحيث الإنسان يشوف واضح توريك اللي هو soft + +389 +00:40:04,790 --> 00:40:10,630 +contact lens يبقى احنا عرفنا حاجتين انه في مريض + +390 +00:40:10,630 --> 00:40:15,780 +إيجابي لاسخة الصلبة لأنها حقيقة أن ال rigid هي + +391 +00:40:15,780 --> 00:40:20,440 +للاحسن علاج للاستجماتيزم ال rigid احسن علاج + +392 +00:40:20,440 --> 00:40:24,500 +للاستجماتيزم العلاج الأقل في الدرجة الأقل ال + +393 +00:40:24,500 --> 00:40:29,520 +توريك طبعا التوريك يعني انا ما بقدر اعطي توريك ل + +394 +00:40:29,520 --> 00:40:35,980 +كيراتوكوناس ما ينفعش لأ ما بعطيهوش ما بضحكش عليه ال + +395 +00:40:35,980 --> 00:40:41,950 +توريك للاثنين للتلاتة يعني شيء زي هيك ال soft العادية + +396 +00:40:41,950 --> 00:40:48,370 +lag واحد واحد واربع بس طبعا + +397 +00:40:48,370 --> 00:40:55,030 +هذا كيف ال contact lens بتمتص الميه اعمل تير فيلم و + +398 +00:40:55,030 --> 00:41:00,310 +كيف انه يعني بيصير فيها نوع من استيعاب الميه و كل + +399 +00:41:00,310 --> 00:41:04,430 +ما سوقت ميه أكثر كل ما كانت صحية أكثر عشان تمتص ال + +400 +00:41:04,430 --> 00:41:09,210 +oxygen من ال atmosphere و تودي على الابيثيليوموكل ما كانت يعني ال content of water + +401 +00:41:09,210 --> 00:41:15,290 +بتاعتها قليلة كل ما كانت يعني أقل نفاذية للأكسجين + +402 +00:41:15,290 --> 00:41:23,510 +للبايتيليام طيب توريك soft contact lens + +403 +00:41:29,650 --> 00:41:34,330 +for astigmatism differ from regular soft contact + +404 +00:41:34,330 --> 00:41:36,770 +lens بتاعة الميوبيا والهايبرمتروبيا في حاجتين + +405 +00:41:36,770 --> 00:41:39,950 +الحاجة الأولى + +406 +00:41:42,670 --> 00:41:47,110 +أنه التوريك لينزيز have different powers in + +407 +00:41:47,110 --> 00:41:51,530 +different meridians مثلا هنا واحد هنا اتنين أو هنا + +408 +00:41:51,530 --> 00:41:56,690 +مثلا امتروبيا زيرو وهنا اتنين أو تلاتة يعني هي ايش + +409 +00:41:56,690 --> 00:42:07,990 +في اختلاف في القوة بينما ال normal soft equal in + +410 +00:42:07,990 --> 00:42:12,830 +power يعني اللي بيحط soft للميوبيا هي متساوي هنا + +411 +00:42:12,830 --> 00:42:17,070 +و هنا عادي متساوي في كل ال meridians لكن ال + +412 +00:42:17,070 --> 00:42:20,090 +توريك لأ في اختلاف في ال meridians طب على حسب + +413 +00:42:20,090 --> 00:42:28,130 +مقياس معين يعني ايه لها مقاييس مثلا بينهم واحد + +414 +00:42:28,130 --> 00:42:31,030 +بينهم اثنين بينهم اثنين ونص بينهم تلاتة ال + +415 +00:42:31,030 --> 00:42:35,110 +meridians عشان يشوف best vision best corrected + +416 +00:42:35,110 --> 00:42:41,130 +vision يبقى في اختلاف في القوة في ال different + +417 +00:42:41,130 --> 00:42:47,050 +meridians طب الفرق الثاني ان ال design بتاعها + +418 +00:42:47,050 --> 00:42:53,270 +تصميم بتاعها enable ال lens to rotate to proper + +419 +00:42:53,270 --> 00:42:59,170 +orientation on the cornea يعني هي floating على + +421 +00:42:59,170 --> 00:43:04,110 +الفيلم مرات تجي كده ومرات تجي كده ومرات تنزل و + +422 +00:43:04,110 --> 00:43:11,620 +مرات تطلع تعمل rotation في البسمة Orientation to see + +423 +00:43:11,620 --> 00:43:18,540 +clear vision يعني هي بتلف في الاتجاه الأفضل في + +424 +00:43:18,540 --> 00:43:24,380 +المنطقة الأفضل وهي طبعا يعني حاجة كويسة كثير لو + +425 +00:43:24,380 --> 00:43:28,940 +كان في manual rotation + +426 +00:43:28,940 --> 00:43:37,960 +كان معناه فح؟ في هنا spontaneous rotation يعني + +427 +00:43:37,960 --> 00:43:43,280 +rotation إيه؟ تلقائي ما أنا بتدخل فيه يعني العين هي + +428 +00:43:43,280 --> 00:43:51,000 +اللي بتحدد كيف هي تجيب وضع العدسة على القرنية في + +429 +00:43:51,000 --> 00:43:58,740 +أفضل نظر وأفضل رؤية so + +430 +00:43:58,740 --> 00:44:02,980 +the power meridians of the lens align ينطبق with + +431 +00:44:02,980 --> 00:44:05,520 +the appropriate meridians of the eye for clear + +432 +00:44:05,520 --> 00:44:09,910 +vision يالا قولولي من فضلك وإيش الفرق بين الـ + +433 +00:44:09,910 --> 00:44:12,650 +standard أو ال normal soft contact lens و الـ + +434 +00:44:12,650 --> 00:44:17,930 +toric soft contact lens إيش + +435 +00:44:17,930 --> 00:44:22,130 +الفرقين؟ + +436 +00:44:22,130 --> 00:44:27,130 +الـ standard + +437 +00:44:27,130 --> 00:44:34,550 +soft متساوية طيب وفي الـ toric؟ different power + +438 +00:44:34,550 --> 00:44:38,090 +according to difference in the collinear meridians + +439 +00:44:39,930 --> 00:44:44,590 +مش astigmatism مش فيه different power التوريك + +440 +00:44:44,590 --> 00:44:51,150 +بالظبط هي نفس القوة بالظبط يعني أنت بتوصفيها حسب + +441 +00:44:51,150 --> 00:44:59,930 +prescription صح الـ prescription الفرق الثاني الـ + +442 +00:44:59,930 --> 00:45:05,250 +software العادية الـ software العادية هي موجودة على + +443 +00:45:05,250 --> 00:45:10,450 +القرنية و floating لكن ملحقش في الـ meridians لأنه + +444 +00:45:10,450 --> 00:45:22,230 +متساوية بينما التوريك إيش بتعمل؟ rotation in the + +445 +00:45:22,230 --> 00:45:26,050 +best meridian for clear vision هي لحالها بتعدي + +446 +00:45:26,050 --> 00:45:33,470 +لحالها من لحالها كويس هيك؟ حقيقة + +447 +00:45:33,470 --> 00:45:37,450 +احنا في مثلين أو ثلاثة واقعد عنده + +448 +00:45:40,890 --> 00:45:47,090 +مايوبيا لأ up to eight وعنده + +449 +00:45:47,090 --> 00:45:55,650 +cylinder up to zero point seventy five هذا + +450 +00:45:55,650 --> 00:46:05,650 +من الفاتورة طيب وأن أنه مايوبيا up to nine وعنده + +451 +00:46:05,650 --> 00:46:11,380 +astigmatism up to one point quarter واحد وربع بنفع + +452 +00:46:11,380 --> 00:46:15,980 +توريك واحد + +453 +00:46:15,980 --> 00:46:22,740 +عنده hypermetropia up to 6 وعنده astigmatism up + +454 +00:46:22,740 --> 00:46:31,720 +to 1.75 بنفع توريك ملاحظين احنا وصلنا في توريك + +455 +00:46:31,720 --> 00:46:37,070 +لوين في الـ myopia واحد وربع astigmatism في الـ + +456 +00:46:37,070 --> 00:46:41,230 +hypermetropia واحد وخمسة ما حطناش اثنين ولا + +457 +00:46:41,230 --> 00:46:44,730 +ثلاثة ولا أربعة ولا خمسة ولا ستة ولا ولا keratoconus + +458 +00:46:44,730 --> 00:46:55,550 +ما حطناش يعني كل عدسة إلها قدرة معينة بعدها تفشل + +459 +00:46:55,550 --> 00:47:02,070 +بعدها بتدور على حل ثاني طيب + +460 +00:47:02,070 --> 00:47:03,070 +سيبنها + +461 +00:47:05,820 --> 00:47:12,800 +الـ Torque more complex design يعني التركيب بتاعها + +462 +00:47:12,800 --> 00:47:18,500 +معقد The cost of replacement of Torque contact + +463 +00:47:18,500 --> 00:47:21,920 +lens is higher than the cost of regular spherical + +464 +00:47:21,920 --> 00:47:28,080 +soft contact طبعا إذا كان هناك 200 شكل هنا بيكون + +465 +00:47:28,080 --> 00:47:32,930 +400 شكل the difference in cost what they spend on + +466 +00:47:32,930 --> 00:47:39,810 +the lens design and lens material يعني تصميم حسب + +467 +00:47:39,810 --> 00:47:48,250 +المواد مش مواد رديئة في الـ accessories يعني بعض + +468 +00:47:48,250 --> 00:47:52,530 +الناس بغريبهم الرخيص خمسين شيكل أو ستين شيكل و + +469 +00:47:52,530 --> 00:47:56,410 +بعدين ملوتها وتم الـ corner oscillation ومشكلة + +470 +00:47:56,410 --> 00:47:58,850 +كبيرة طيب + +471 +00:48:02,230 --> 00:48:05,810 +لأن احنا هنتكلم على الـ rigid gas permeable contact + +472 +00:48:05,810 --> 00:48:13,250 +lenses RGP contact lenses A is constructed from + +473 +00:48:13,250 --> 00:48:18,870 +rigid plastic that transmits oxygen to carbon طيب + +474 +00:48:18,870 --> 00:48:23,550 +قبل 150 سنة أو أكثر لما بدأت فكرة الـ contact + +475 +00:48:23,550 --> 00:48:28,710 +lenses كانوا يظنوا أنه أهم شيء في الـ contact lens + +476 +00:48:28,710 --> 00:48:29,510 +الـ reflection + +477 +00:48:32,860 --> 00:48:39,480 +مدام عملت reflection on the macula or fovea + +478 +00:48:39,480 --> 00:48:45,020 +centralis انتهى زي + +479 +00:48:45,020 --> 00:48:49,900 +القرنية اسمها طبعا القرنية عشان تكون هي امتراب + +480 +00:48:49,900 --> 00:48:57,420 +أنها تعمل reflection focus of image of objects + +481 +00:48:57,420 --> 00:49:03,880 +تعمل في أين؟ على المركز فلما طلّعوا العدسة الصلبة + +482 +00:49:03,880 --> 00:49:10,260 +لموضوع الـastigmatism الـ trials عملوا شاف + +483 +00:49:10,260 --> 00:49:14,380 +الأولها كويس وبعد يوم أو يومين وثلاثة بدأ يعاني + +484 +00:49:14,380 --> 00:49:23,640 +من pain و redness و rapid deterioration of vision + +485 +00:49:23,640 --> 00:49:28,280 +الشيء اللي هو العدسة يوم يومين اتحسن، الراجل اللي + +486 +00:49:28,280 --> 00:49:35,680 +هو العدسة تعود لانتحارو اتقلم والبجن صار متراجع + +487 +00:49:35,680 --> 00:49:38,920 +بدأوا + +488 +00:49:38,920 --> 00:49:46,120 +يفهموا ليش صار هذا قال آه الكون + +489 +00:49:46,120 --> 00:49:55,760 +الابيثيليام بتنفس الـ oxygen المذاب في الـ tear film + +490 +00:49:55,760 --> 00:50:04,820 +كمل fish سمك بيعيش على الـ oxygen مذاب في الـ sea + +491 +00:50:04,820 --> 00:50:14,760 +water طب احنا لو جبنا جسم وغطينا الـ tear film وحولنا + +492 +00:50:14,760 --> 00:50:22,400 +بينه وبين الـ atmospheric oxygen إيش حيصير؟ + +493 +00:50:22,400 --> 00:50:25,460 +حيصير + +494 +00:50:25,460 --> 00:50:27,100 +deprivation + +495 +00:50:28,980 --> 00:50:35,160 +of cornea from oxygen deprivation حرمان يعني قرنية + +496 +00:50:35,160 --> 00:50:43,040 +of أكسجين اللي احنا بنسميها hypoxia hypoxia + +497 +00:50:43,040 --> 00:50:52,940 +إيش hypoxia نقص الأكسجين إيش انكسيا انكسيا + +498 +00:50:52,940 --> 00:50:56,140 +يالا انكسيا + +499 +00:50:57,870 --> 00:51:04,410 +انعدام الـ oxygen انعدام الـ oxygen كانت العدسات + +500 +00:51:04,410 --> 00:51:10,890 +اللاصقة اللي في البداية تعمل hypoxia تعمل + +501 +00:51:10,890 --> 00:51:16,350 +complications وبدل ما تحسن الـ vision ستبضر الـ + +502 +00:51:16,350 --> 00:51:20,230 +vision وبدل ما تعطي صحة القرنية تعطي مرض + +503 +00:51:20,230 --> 00:51:26,370 +للقرنية وربما تنتهي بالعمى ربما كانت هيبقى إذا + +504 +00:51:26,370 --> 00:51:32,430 +كان عادل ثلاثيّقة بسمّ مصممة أن تكون gas permeable إيش + +505 +00:51:32,430 --> 00:51:39,250 +بقى بنيّ بالجاس؟ إيش الجاس؟ الـ oxygen إذا كان لها + +506 +00:51:39,250 --> 00:51:44,270 +تنفذ الـ oxygen ما بتنفذ الـ oxygen طبعا عشان تكون + +507 +00:51:44,270 --> 00:51:47,690 +هي منفذ الـ oxygen لازم يكون فيها كمية من الـ water + +508 +00:51:47,690 --> 00:51:55,500 +كمية كافية زي هنا كمية من الـ water شايفين؟ كمية + +509 +00:51:55,500 --> 00:52:01,180 +كافية من water وكل ما زادت كمية الـ water داخل جسم + +510 +00:52:01,180 --> 00:52:05,520 +الـ rigid contact lens كل ما كانت gas permeable + +511 +00:52:05,520 --> 00:52:12,000 +أكثر لأنه حيجي أكسجين حيلاقي فيه ماء داخل العصفر + +512 +00:52:12,000 --> 00:52:16,920 +الناسقة هيدوب فيه وهنتقل من الماء بتاع الـ contact + +513 +00:52:16,920 --> 00:52:20,900 +lens إلى الـ tear film ويدوب فيه وبعدين يدخل على + +514 +00:52:20,900 --> 00:52:25,210 +القرنية طبعا ببعض التأخير لكن في النهاية اللي هو + +515 +00:52:25,210 --> 00:52:31,930 +الأمر يعني كويس بمشي الآن هذا حدهم إلى أن يبدأوا + +516 +00:52:31,930 --> 00:52:39,130 +بتصنيع contact lenses بتنفذ الأكسجين يبقى in most + +517 +00:52:39,130 --> 00:52:42,630 +cases gas permeable contact lenses can correct a + +518 +00:52:42,630 --> 00:52:47,950 +stigmatism without a toric design ليش؟ يعني أنا + +519 +00:52:47,950 --> 00:52:54,710 +مش مضطر أن أعمل زي الـ toric أعمل هنا اثنين وهنا + +520 +00:52:54,710 --> 00:53:02,210 +واحد مثلا قال لأ الأمر أسهل من هيك الـ contact lens + +521 +00:53:02,210 --> 00:53:07,550 +الرجيد permeable just permeable لأ هذه فيها قوة وهي + +522 +00:53:07,550 --> 00:53:11,710 +بتيجي كده وهي القرنية حتى لو كان فيها أي defect + +523 +00:53:11,710 --> 00:53:18,660 +يصير الـ refraction بتوم من الـ contact lens الضوء + +524 +00:53:18,660 --> 00:53:21,500 +بيجي من الأجسام على الـ contact lens والـ contact + +525 +00:53:21,500 --> 00:53:26,760 +lens هي بتصير الـ new surface القرنية مالهاش + +526 +00:53:26,760 --> 00:53:33,380 +القرنية مالهاش لأنه الضوء بيجي على الـ contact lens + +527 +00:53:33,380 --> 00:53:43,600 +وهي اللي قدام تصير زي الصورة هأجيب لكم صورة هذه + +528 +00:53:43,600 --> 00:53:50,310 +صورة هاي هاي القرنية شوف القرنية وهاي الـ contact + +529 +00:53:50,310 --> 00:53:54,050 +lens كأن + +530 +00:53:54,050 --> 00:54:00,330 +الـ contact lens حلت محل القرن طبعا بينهم tear film + +531 +00:54:00,330 --> 00:54:05,690 +برضه هنا هاي القرنية يعني شايفين فيها كيف نيبل شيب + +532 +00:54:05,690 --> 00:54:13,170 +قرنية وهاي الـ contact lens إيش اللي صار لأن ساعة + +533 +00:54:13,170 --> 00:54:17,830 +أن الـ contact lens هي new refracting surface + +534 +00:54:19,740 --> 00:54:25,080 +ونسينا القرنية مش في حاجة أن أنا مالا ترك خلاص + +535 +00:54:25,080 --> 00:54:32,660 +هي علاج تسفير ولا أستجماتيزم تحصي الحاصل التغى + +536 +00:54:32,660 --> 00:54:39,920 +الاستجماتيزم التغى لأنه أصبحت المعتمد عند الضوء + +537 +00:54:39,920 --> 00:54:44,880 +إيش هو contactless contactless + +538 +00:54:47,770 --> 00:54:51,730 +عشان هيك الـ rigid الـ contact lens في الـ clear vision + +539 +00:54:51,730 --> 00:54:55,890 +لا شك أنه أفضل من التوريك وأفضل من الـ glasses + +540 +00:54:55,890 --> 00:55:04,730 +كويس هيك؟ شوفوا هذا الشكل، هذا الـ contact lens و + +541 +00:55:04,730 --> 00:55:10,870 +هذا الـ corner، شايفين القرنية عاملة؟ كيف هنا الوضع؟ + +542 +00:55:10,870 --> 00:55:16,920 +التغى الـ irregular shape of cornea نهائيًّا صارنا + +543 +00:55:16,920 --> 00:55:20,660 +بنشتغل الـ contact lens بس هدول المشكلة أنه بعد ما + +544 +00:55:20,660 --> 00:55:27,100 +يشيل الـ contact lens بيعاني من نفس الـ defect وهذه + +545 +00:55:27,100 --> 00:55:31,020 +المشكلة وهو طبعا غير قادر على أن ينام في الـ + +546 +00:55:31,020 --> 00:55:36,760 +contact lens ويخليها يعني طول الوقت بيصير مشاكل + +547 +00:55:36,760 --> 00:55:44,720 +طيب يبقى ليش الـ contact lens تختلف في الـ design عن + +548 +00:55:44,720 --> 00:55:50,460 +الـ toric بقول لك because gas permeable lens are + +549 +00:55:50,460 --> 00:55:54,600 +rigid and retain their spherical shape on the eye + +550 +00:55:54,600 --> 00:55:57,620 +instead of conforming to the irregular shape of + +551 +00:55:57,620 --> 00:56:02,680 +the cornea of an eye with astigmatism التغى + +552 +00:56:02,680 --> 00:56:07,420 +الاستيغمتزم العين اعتمدت في انكسار الضوء في + +553 +00:56:07,420 --> 00:56:12,520 +reflection على إيش؟ على شكل contact lens Dinotherm + +554 +00:56:12,520 --> 00:56:16,180 +front surface of gas permeable contact lens in + +555 +00:56:16,180 --> 00:56:25,380 +effective places يحل محل the places the misshapen + +556 +00:56:25,380 --> 00:56:30,160 +cornea يعني irregular كورنية misshapen يعني + +557 +00:56:30,160 --> 00:56:35,700 +irregular as the primary refracting surface of the + +558 +00:56:35,700 --> 00:56:40,140 +eye thereby correcting astigmatism without the need + +559 +00:56:40,140 --> 00:56:43,820 +to control rotation of the lens with torque اللي + +560 +00:56:43,820 --> 00:56:51,720 +هو design بس هتلف زي الـ torque هتقعد وخلاص بس + +561 +00:56:51,720 --> 00:56:55,600 +المشكلة هل في tolerance ولا لأ؟ اعملوا tolerance + +562 +00:56:55,600 --> 00:57:00,720 +لها ولا لأ؟ أنتو جربتوا ال rigid إن شاء الله + +563 +00:57:00,720 --> 00:57:08,950 +ما تجربوا طيب الآن لا شك أن ال rigid lens هي يعني + +564 +00:57:08,950 --> 00:57:12,010 +uncomfortable + +565 +00:57:12,010 --> 00:57:16,650 +مش مريحة في العين لأنها hard احنا بنقولها hard + +566 +00:57:16,650 --> 00:57:21,550 +rigid hard يعني يعني بيظل المريض حاسس ب foreign body + +567 +00:57:21,550 --> 00:57:27,230 +في عينه، و أنا ما أعرفش إلى أي مدى أنتو جربتوه يعني لما + +568 +00:57:27,230 --> 00:57:34,690 +الإنسان بيجي غبار في عينه بيفتحها؟ يعني من أكثر + +569 +00:57:34,690 --> 00:57:36,310 +الأعضاء + +570 +00:57:37,900 --> 00:57:43,600 +sensitivity in the body إيه ده؟ كوريا، كوريا، + +571 +00:57:43,600 --> 00:57:48,720 +هنجربها، لو هفها الهواء البارد أو السخن، تصير + +572 +00:57:48,720 --> 00:57:54,420 +دمعة، الهواء، شوف خالة في السيارة وهي مسرعة، + +573 +00:57:54,420 --> 00:57:57,100 +اتعرضت بس إلى الـ الـ الـ الهواء يجي في الـ + +574 +00:57:57,100 --> 00:58:04,100 +في العينين، ما بتتحمل، ما هو هواء، كيف اللي لزج الـ + +575 +00:58:04,100 --> 00:58:06,620 +اللي هو hard contact lens، أنا شخصيا ما أتحمل + +576 +00:58:08,620 --> 00:58:14,500 +الآن عشان الناس الـ اللي هم الـ sensitive حسّاسين + +577 +00:58:14,500 --> 00:58:20,460 +طلعوا شيء اسمه hybrid contact lenses العدسة اللاصقة + +578 +00:58:20,460 --> 00:58:25,680 +الهايجريد، إيش الفكرة بتاعتها؟ أن هي مكونة من حاجتين + +579 +00:58:25,680 --> 00:58:29,560 +من ال central part و ال peripheral part ال central + +580 +00:58:29,560 --> 00:58:36,060 +part rigid و ال peripheral part soft + +581 +00:58:39,470 --> 00:58:48,430 +فهو بيقول يعني الـ المنطقة المركزية rigid + +582 +00:58:48,430 --> 00:58:54,430 +عشان clear vision لكن الكرسي بتاعها الـ in contact + +583 +00:58:54,430 --> 00:59:05,270 +with the eye الكرسي اللي هو الخارجي soft عشان الـ + +584 +00:59:05,270 --> 00:59:13,470 +comfort فهو جمع بين الحسنين، إيش الحسنين؟ الحسنين + +585 +00:59:13,470 --> 00:59:20,590 +إيش همّ؟ واحد best vision التاني + +586 +00:59:20,590 --> 00:59:31,970 +comfort يبقى best vision واحد، اثنين comfort الراحة + +587 +00:59:31,970 --> 00:59:35,610 +و الاثنين المطلوبين وال comfort بتقدم على إيش؟ على + +588 +00:59:35,610 --> 00:59:41,310 +الـ best vision يبقى هي فكرة ال hybrid أن في الـ + +589 +00:59:41,310 --> 00:59:45,390 +hybrid for some people who need contacts for + +590 +00:59:45,390 --> 00:59:48,730 +astigmatism hybrid contact lenses are the best + +591 +00:59:48,730 --> 00:59:56,250 +choice these lenses have central zone of rigid gas + +592 +00:59:56,250 --> 01:00:02,260 +permeable for clear vision surrounded by fitting + +593 +01:00:02,260 --> 01:00:09,580 +zone made of hydrogel or silicone وهو soft for + +594 +01:00:09,580 --> 01:00:16,360 +comfort وصينوها دي يعني حال وسط وبتجمع بين الحسنين + +595 +01:00:16,360 --> 01:00:21,080 +طيب + +596 +01:00:21,080 --> 01:00:26,220 +في contact lens للحالات الخاصة special cases + +597 +01:00:26,220 --> 01:00:29,020 +الحالات الخاصة + +598 +01:00:31,260 --> 01:00:35,180 +بالحالات الخاصة والله أنا ال maintenance الصيانة + +599 +01:00:35,180 --> 01:00:42,120 +عندي صعبة، صعبة عندي الصيانة، بعمل disposable contact + +600 +01:00:42,120 --> 01:00:47,740 +lenses لهم حالات خاصة واحد الصيانة عنده صعبة في + +601 +01:00:47,740 --> 01:00:54,120 +البيت، بعملها بحيث إنه يلبسها في monthly شهرياً، طيار + +602 +01:00:54,120 --> 01:00:59,100 +مرة في الشهر عنده ست يعني عشرين كده ما يلبس + +603 +01:00:59,100 --> 01:01:07,680 +كل شهر، بيغيرها برميها، في bi-weekly كل أسبوعين في + +604 +01:01:07,680 --> 01:01:11,780 +ديال يريبرزنت وكل واحد أشهر له ثمانية اللي بده + +605 +01:01:11,780 --> 01:01:17,320 +يرتاح أكثر، بدفع ثمانية أكثر حالة + +606 +01:01:17,320 --> 01:01:27,300 +خاصة طيب في واحد بده يعمل تغيير للون عينه؟ اه + +607 +01:01:28,010 --> 01:01:32,690 +color مع استجماتيزم وبالمرة يغيّر لون عينه، طب أنا + +608 +01:01:32,690 --> 01:01:37,550 +شخصياً حسب مفهومي من فقه الإسلام أن هذا حرام لكن + +609 +01:01:37,550 --> 01:01:41,150 +أنا ما يعني ما أقدرش أقول على الناس color + +610 +01:01:41,150 --> 01:01:50,090 +contact eyelids عملت إيش؟ تغيير لون الـ آيال الـ + +611 +01:01:50,090 --> 01:01:50,790 +آيال آيال آيال آيال آيال آيال + +612 +01:01:50,790 --> 01:01:53,490 +آيال آيال آيال آيال آيال آيال + +613 +01:01:53,490 --> 01:01:54,050 +آيال آيال آيال آيال آيال آيال + +614 +01:01:54,050 --> 01:01:54,270 +آيال آيال آيال آيال آيال آيال + +615 +01:01:54,270 --> 01:02:00,220 +آيال آيال آيال آيال أولأمرنهم فليغيروا + +616 +01:02:00,220 --> 01:02:07,600 +خلق الله ولأمرنهم فليبدوا يكونوا آدان الأنعام، وين + +617 +01:02:07,600 --> 01:02:14,760 +مرت هذه؟ بصرت إيش؟ في اللعنة؟ في النساء، بصرت + +618 +01:02:14,760 --> 01:02:18,160 +النساء؟ أنا ما أعرفش يعني اللعنة الله الواصلة + +619 +01:02:18,160 --> 01:02:24,740 +والمستوصلة والواصلة والمستوشمة والفالجة والمتفلجة + +620 +01:02:26,280 --> 01:02:29,660 +المغالطة الخالق اللي لأني الحديث صحيح أني المهم + +621 +01:02:29,660 --> 01:02:34,840 +احنا قدّ مش هالموضوع، نلفقه، لأن حالة خاصة، واحد بده + +622 +01:02:34,840 --> 01:02:37,960 +يغيّر color contact lenses وما عنده stigmatism وواحد + +623 +01:02:37,960 --> 01:02:41,920 +نعبرس biopia بنعطيه bifocal contact lenses فيه + +624 +01:02:41,920 --> 01:02:46,600 +bifocal زي ال glasses ما فيها bifocal هنا فيه + +625 +01:02:46,600 --> 01:02:52,980 +bifocal كويس؟ في واحدة بيلبسها، اه، 30 days of + +626 +01:02:52,980 --> 01:02:57,080 +overnight wear، أربع وعشرين ساعة لمدة شهر، حد هتخصها + +627 +01:02:57,080 --> 01:03:02,400 +هذه طيب هاي colored contact lens وما عنده استيغماطيزم + +628 +01:03:02,400 --> 01:03:11,520 +في حاجة اسمها scleral lens هي بتختلف عن الجاس + +629 +01:03:11,520 --> 01:03:17,950 +بيرمي بالرجد في إنه ال diameter بتاعها كبير، بتغطي + +630 +01:03:17,950 --> 01:03:25,050 +sclera العادية بتجي بس على ال limbus ال rigid لأ + +631 +01:03:25,050 --> 01:03:29,950 +هذه sclera لأ، بتخش كمان بعد ال limbus باتنين تلاتة + +632 +01:03:29,950 --> 01:03:35,490 +mainly في كل اتجاه، الصحيح إنه هذه أول شيء more + +633 +01:03:35,490 --> 01:03:39,030 +safe more + +634 +01:03:39,030 --> 01:03:43,830 +clear vision وبتمنع أي dust يخش تحتها + +635 +01:03:46,660 --> 01:03:51,600 +بس طبعاً ال fitting بتاعها صعبة هذه عشان كبيرة لكن + +636 +01:03:51,600 --> 01:03:55,140 +scleral معروفة يعني scleral اللي هو ال contact + +637 +01:03:55,140 --> 01:04:04,540 +جسمها طيب لأن واحد عامل Lasik واحد عامل Lasik وفيه + +638 +01:04:04,540 --> 01:04:08,140 +complication Lasik + +639 +01:04:08,140 --> 01:04:13,700 +مش مظبوط تمام، واحد ناجل قرانية corner keratoplasty + +640 +01:04:13,700 --> 01:04:19,570 +واحد انضرب في القنانيّة وعملوا له غرزة أو غرز تاني مش + +641 +01:04:19,570 --> 01:04:24,730 +هذه كلها بتعمل astigmatism طيب هذه من الحالات + +642 +01:04:24,730 --> 01:04:32,650 +الخاصة، لازم أعتبره برضه irregular astigmatism في + +643 +01:04:32,650 --> 01:04:38,450 +different corneal pathologies منها complicated + +644 +01:04:38,450 --> 01:04:43,910 +lesion إيش complicated؟ صار مضاعفات مظبطش يعني واحد + +645 +01:04:43,910 --> 01:04:48,710 +عمل transplantation of the cornea نجا القنانيّة أو + +646 +01:04:48,710 --> 01:04:54,590 +واحد أن فيه scar جرح، غرزة حاجة في القنانيّة هذا يعني + +647 +01:04:54,590 --> 01:04:57,690 +كويس، الحاجات هتكون من الحاجات الخاصة وممكن + +648 +01:04:57,690 --> 01:05:01,890 +نستخدمها برضه rigid gas permeable أو scleral + +649 +01:05:01,890 --> 01:05:07,650 +contact lenses آخر حاجة rose cane هذه مخصصة + +650 +01:05:07,650 --> 01:05:12,460 +القرنية، Cyrus K يعني هو مكلف expensive too + +651 +01:05:12,460 --> 01:05:16,460 +expensive لكن حقيقة internationally ثمانين في + +652 +01:05:16,460 --> 01:05:23,460 +المئة من المرضى عملوا لهم comfort و successful + +653 +01:05:23,460 --> 01:05:30,060 +fitting، سهل في ال fitting، في ال maintenance و + +654 +01:05:30,060 --> 01:05:36,260 +comfortable إلى أبعد حد، نهيك إنه ال range of + +655 +01:05:36,260 --> 01:05:39,520 +correction is very high especially in keratoconus + +656 +01:05:39,520 --> 01:05:47,700 +يعني حتى لو كان ال keratoconus too severe بيعمله + +657 +01:05:47,700 --> 01:05:51,920 +neutralization و correction يعني هو هنا مش محتاج + +658 +01:05:51,920 --> 01:05:58,300 +يعمل cross linking؟ لأ، عشان تكونوا في الصورة، cross + +659 +01:05:58,300 --> 01:06:03,280 +linking for keratoconus in early keratoconus لو + +660 +01:06:03,280 --> 01:06:08,760 +تعدّى ال mild degree للمرحلة فيه failure لل cross + +661 +01:06:08,760 --> 01:06:16,060 +linking cross linking هذا بدري؟ اه، لأ لأ هذا بدري + +662 +01:06:16,060 --> 01:06:21,560 +إنما ننتقل الـ الـ الـ in tax الـ rings الـ rings + +663 +01:06:21,560 --> 01:06:27,060 +للمرحلة الـ rings الحلقات للمرحلة لكن ال cross-linking + +664 +01:06:27,060 --> 01:06:31,840 +من الأشعة فوق البنفسجية في ال air lane لو اكتشفوه + +665 +01:06:31,840 --> 01:06:36,500 +في ال air lane عبر ال topography لكن الكلام الآن ع + +666 +01:06:36,500 --> 01:06:42,420 +السيفير السيفير قدامه حل من حلين إما يلبس rose + +667 +01:06:42,420 --> 01:06:50,920 +cake rigid gas permeable for long term على طول أو + +668 +01:06:50,920 --> 01:06:54,840 +يعمل corneal transplantation و لما كان في بلد زي + +669 +01:06:54,840 --> 01:06:59,500 +بلدنا ما كان هناك transplantation حتى الآن فالرزقى + +670 +01:06:59,500 --> 01:07:05,760 +عملت حل مؤقت لـ keratoconus و حقيقة إنها يعني بتعمل + +671 +01:07:05,760 --> 01:07:10,720 +good vision بتعمل good comfort of vision شكراً لكم + +672 +01:07:10,720 --> 01:07:13,780 +على حسن استماع والسلام عليكم ورحمة الله diff --git a/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/ttfJnNSQ2h8_raw.json b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/ttfJnNSQ2h8_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..3fa0e3b59d63488092f90a0aad8fc2fca6de0483 --- /dev/null +++ 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"word": " confusion", "probability": 0.994140625}, {"start": 159.49, "end": 161.83, "word": " لكن", "probability": 0.79541015625}, {"start": 161.83, "end": 162.15, "word": " أحيان", "probability": 0.9537353515625}, {"start": 162.15, "end": 162.63, "word": " يفشل", "probability": 0.9105224609375}, {"start": 162.63, "end": 163.47, "word": " فيحاول", "probability": 0.72564697265625}, {"start": 163.47, "end": 163.57, "word": " أن", "probability": 0.65576171875}, {"start": 163.57, "end": 163.93, "word": " يحتمد", "probability": 0.7403564453125}, {"start": 163.93, "end": 164.05, "word": " على", "probability": 0.9453125}, {"start": 164.05, "end": 164.57, "word": " الطرفين", "probability": 0.8619791666666666}], "temperature": 1.0}, {"id": 7, "seek": 19388, "start": 165.64, "end": 193.88, "text": "إما الطرف الأيمن أو الطرف الأيسر بتاع ال vertical line أو ال horizontal line طبعا هذا بيعمله معانا أكتر وأكتر طيب احنا قولنا ان small degree مابتعملش discomfort ولا بتعمل blurring of vision لكن ال high degree او moderate degree ويبقى stigmatism", "tokens": [28814, 15042, 41950, 28480, 16247, 1829, 27842, 34051, 41950, 28480, 16247, 1829, 3794, 2288, 39894, 45761, 2423, 9429, 1622, 34051, 2423, 12750, 1622, 23032, 3555, 3615, 995, 23758, 4724, 1829, 25957, 43761, 20449, 7649, 995, 5551, 4117, 2655, 2288, 36725, 4117, 2655, 2288, 23032, 1829, 3555, 1975, 5016, 8315, 12174, 12610, 8315, 16472, 1359, 4314, 3714, 16758, 2655, 25957, 1211, 8592, 28552, 49429, 39894, 25957, 1211, 14257, 2937, 295, 5201, 44381, 2423, 1090, 4314, 1975, 2407, 18174, 4314, 4032, 1829, 3555, 4587, 7578, 342, 46496, 1434], "avg_logprob": -0.20474137382945795, "compression_ratio": 1.5765765765765767, "no_speech_prob": 0.0, "words": [{"start": 165.64, "end": 166.0, "word": "إما", "probability": 0.6429443359375}, {"start": 166.0, "end": 166.48, "word": " الطرف", "probability": 0.962890625}, {"start": 166.48, "end": 167.66, "word": " الأيمن", "probability": 0.8551432291666666}, {"start": 167.66, "end": 168.38, 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scoliosis of vertebral column ميل أو تحدم في العمود الفقري شايفين هذا الطفل كبدي منظر؟ شايفين؟", "tokens": [331, 975, 32728, 7738, 6156, 27842, 34105, 4117, 34892, 10721, 3794, 30731, 5551, 7435, 3224, 11296, 20449, 23032, 12610, 16247, 1829, 10943, 4032, 2423, 6219, 284, 2554, 313, 8032, 2655, 25957, 1211, 795, 401, 48783, 795, 401, 48783, 295, 16167, 32728, 7738, 3714, 26895, 34051, 6055, 24401, 2304, 8978, 18863, 2304, 23328, 27188, 4587, 16572, 13412, 995, 33911, 9957, 23758, 41950, 5172, 1211, 9122, 3555, 16254, 9154, 19913, 2288, 22807, 13412, 995, 33911, 9957, 22807], "avg_logprob": -0.29050164708965703, "compression_ratio": 1.491891891891892, "no_speech_prob": 0.0, "words": [{"start": 641.27, "end": 641.77, "word": "vertebral", "probability": 0.7226155598958334}, {"start": 641.77, "end": 642.11, "word": " column", "probability": 0.75341796875}, {"start": 642.11, "end": 645.29, "word": " فمن", "probability": 0.56494140625}, {"start": 645.29, "end": 645.67, "word": " هناك", 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theoretically no eye is astigmatic theoretically ولا عين astigmatic مية المية", "tokens": [6027, 9566, 21292, 7251, 34268, 28480, 16472, 2423, 5357, 46496, 1434, 5551, 3555, 13412, 16572, 4032, 5551, 3794, 32277, 1829, 37495, 22653, 45164, 1975, 5016, 8315, 13412, 26895, 8315, 2423, 5357, 46496, 1434, 4032, 25961, 8978, 8592, 43242, 3224, 5357, 46496, 1434, 16247, 2304, 13063, 39182, 39896, 4117, 44945, 3215, 13063, 15844, 11331, 26108, 9307, 6055, 7649, 10632, 4032, 4587, 12610, 8315, 29400, 572, 3313, 307, 5357, 46496, 299, 29400, 49429, 6225, 9957, 5357, 46496, 299, 3714, 10632, 9673, 10632], "avg_logprob": -0.24575617578294542, "compression_ratio": 1.6923076923076923, "no_speech_prob": 0.0, "words": [{"start": 914.74, "end": 915.48, "word": "الطبي", "probability": 0.8736979166666666}, {"start": 915.48, "end": 916.84, "word": " يعترف", "probability": 0.8938802083333334}, {"start": 916.84, "end": 917.76, "word": " ان", "probability": 0.458984375}, {"start": 917.76, "end": 917.9, 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971.23, "text": "قولنا الرابع different types of astigmatism يعني الـ headache اللي ناتي عن الastigmatism is varying in degree and varying in location في الدرجة الحدة بتاعته وفي المكان بتاعه يمكن يجي frontal يمكن يجي occipital يمكن يجي temporal يمكن يجي vertical", "tokens": [39648, 8315, 34892, 16758, 3615, 819, 3467, 295, 5357, 46496, 1434, 37495, 22653, 2423, 39184, 23520, 13672, 1829, 8717, 9307, 1829, 18871, 2423, 525, 46496, 1434, 307, 22984, 294, 4314, 293, 22984, 294, 4914, 8978, 32748, 47341, 3660, 21542, 41891, 39894, 995, 34268, 3224, 4032, 41185, 9673, 41361, 39894, 45761, 3224, 7251, 43020, 7251, 7435, 1829, 34647, 7251, 43020, 7251, 7435, 1829, 10409, 11371, 1686, 7251, 43020, 7251, 7435, 1829, 30881, 7251, 43020, 7251, 7435, 1829, 9429], "avg_logprob": -0.20202323679740614, "compression_ratio": 1.7142857142857142, "no_speech_prob": 0.0, "words": [{"start": 944.31, "end": 944.67, "word": "قولنا", "probability": 0.556396484375}, {"start": 944.67, "end": 945.09, "word": " 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"temperature": 1.0}, {"id": 71, "seek": 204635, "start": 2022.87, "end": 2046.35, "text": "لكن الـ Pure Soft Contact Lens لأ يعني ما بتعالج الـ Astigmatism بتعالج أسفريكال، فهذه توريك يعني فيها different powers in its ingredients The term Toric Contact Lens usually is used to describe specially designed soft contact lens that correct astigmatism", "tokens": [1211, 19452, 2423, 39184, 29474, 16985, 30683, 441, 694, 5296, 10721, 37495, 22653, 19446, 39894, 3615, 6027, 7435, 2423, 39184, 12884, 46496, 1434, 39894, 3615, 6027, 7435, 5551, 3794, 5172, 2288, 1829, 4117, 6027, 12399, 6156, 3224, 24192, 6055, 13063, 1829, 4117, 37495, 22653, 8978, 11296, 819, 8674, 294, 1080, 6952, 440, 1433, 7160, 299, 30683, 441, 694, 2673, 307, 1143, 281, 6786, 22549, 4761, 2787, 3385, 6765, 300, 3006, 5357, 46496, 1434], "avg_logprob": -0.3426942430637978, "compression_ratio": 1.4398148148148149, "no_speech_prob": 0.0, "words": [{"start": 2022.87, "end": 2023.23, "word": "لكن", "probability": 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او ريجد طيب more than four", "tokens": [10721, 2407, 1975, 15730, 9122, 8315, 8717, 3615, 9566, 1829, 11296, 24525, 3555, 13546, 1829, 4117, 6027, 20328, 38688, 2655, 1975, 2407, 12602, 1829, 7435, 3215, 10874, 32277, 4724, 13546, 2304, 1829, 16758, 1211, 20328, 46152, 3660, 37495, 22653, 3714, 1211, 1863, 3660, 1975, 2407, 20328, 46152, 3660, 5296, 3615, 41260, 36764, 24401, 11778, 995, 7251, 3555, 2655, 3215, 7578, 23032, 3555, 36764, 24401, 2423, 7578, 1975, 25513, 27884, 47525, 3224, 6055, 13063, 1829, 4117, 1975, 2407, 12602, 1829, 7435, 3215, 23032, 1829, 3555, 544, 813, 1451], "avg_logprob": -0.4240056919780644, "compression_ratio": 1.5731707317073171, "no_speech_prob": 0.0, "words": [{"start": 2075.88, "end": 2076.36, "word": "أو", "probability": 0.4764404296875}, {"start": 2076.36, "end": 2076.5, "word": " اذا", "probability": 0.228424072265625}, {"start": 2076.5, "end": 2076.52, "word": " كنا", "probability": 0.496337890625}, {"start": 2076.52, "end": 2076.9, "word": " 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0.9697265625}, {"start": 2111.69, "end": 2112.05, "word": " لأ", "probability": 0.8173828125}, {"start": 2112.05, "end": 2112.95, "word": " ولا", "probability": 0.82861328125}, {"start": 2112.95, "end": 2113.21, "word": " صفة", "probability": 0.5653483072916666}, {"start": 2113.21, "end": 2113.61, "word": " عادية", "probability": 0.9539388020833334}, {"start": 2113.61, "end": 2114.53, "word": " بدا", "probability": 0.6422119140625}, {"start": 2114.53, "end": 2114.89, "word": " إيش", "probability": 0.9309895833333334}, {"start": 2114.89, "end": 2115.93, "word": " صلبة", "probability": 0.91796875}, {"start": 2115.93, "end": 2116.89, "word": " rigid", "probability": 0.63720703125}, {"start": 2116.89, "end": 2117.87, "word": " contact", "probability": 0.8740234375}, {"start": 2117.87, "end": 2120.25, "word": " less", "probability": 0.6650390625}], "temperature": 1.0}, {"id": 75, "seek": 215338, "start": 2123.9, "end": 2153.38, "text": "الحقيقة عجبني هذا الشكل لأنه بيختصر general guidelines for contact lens fitting in patients with astigmatism في مرضى ال astigmatism أيش ال guidelines؟ ال guidelines احنا نبدأ من أول شايفين الصورة؟ بيقول لي اللي بيحكمني حاجة تانية بيحكمني تحمل المريض", "tokens": [6027, 5016, 38436, 28671, 6225, 7435, 3555, 22653, 23758, 25124, 28820, 5296, 33456, 3224, 4724, 1829, 46456, 9381, 2288, 2674, 12470, 337, 3385, 6765, 15669, 294, 4209, 365, 5357, 46496, 1434, 8978, 3714, 43042, 7578, 2423, 5357, 46496, 1434, 36632, 8592, 2423, 12470, 22807, 2423, 12470, 1975, 5016, 8315, 8717, 44510, 10721, 9154, 5551, 12610, 13412, 995, 33911, 9957, 31767, 13063, 3660, 22807, 4724, 1829, 39648, 32239, 13672, 1829, 4724, 1829, 5016, 24793, 22653, 11331, 26108, 3660, 6055, 7649, 10632, 4724, 1829, 5016, 24793, 22653, 6055, 35571, 1211, 9673, 16572, 11242], "avg_logprob": -0.18138586243857507, "compression_ratio": 1.5938864628820961, "no_speech_prob": 0.0, "words": [{"start": 2123.9, "end": 2124.32, "word": "الحقيقة", "probability": 0.802734375}, {"start": 2124.32, 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"probability": 0.9659830729166666}, {"start": 2148.2, "end": 2151.14, "word": " بيحكمني", "probability": 0.9515625}, {"start": 2151.14, "end": 2152.94, "word": " تحمل", "probability": 0.9606119791666666}, {"start": 2152.94, "end": 2153.38, "word": " المريض", "probability": 0.9775390625}], "temperature": 1.0}, {"id": 76, "seek": 218433, "start": 2155.95, "end": 2184.33, "text": "و بيحكمني degree و بيبقى Stigmatism يعني في مالية حساسة جدا حتى لو خطله نضارة مابيقبلهاش لو خطله soft lens مابيقبلهاش يفوت و هو free حر حر في حاله زي مثلا في إنسان لو تعطي أي نوع من الأكراس بيبلغه فورا و حتى من غير ميه", "tokens": [2407, 4724, 1829, 5016, 24793, 22653, 4314, 4032, 4724, 1829, 3555, 4587, 7578, 745, 46496, 1434, 37495, 22653, 8978, 3714, 6027, 10632, 11331, 3794, 32277, 3660, 10874, 28259, 11331, 49975, 45164, 16490, 9566, 43761, 8717, 11242, 9640, 3660, 3714, 16758, 1829, 4587, 36150, 3224, 33599, 45164, 16490, 9566, 43761, 2787, 6765, 3714, 16758, 1829, 4587, 36150, 3224, 33599, 7251, 5172, 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"word": " حتى", "probability": 0.76220703125}, {"start": 2183.77, "end": 2183.87, "word": " من", "probability": 0.9443359375}, {"start": 2183.87, "end": 2184.03, "word": " غير", "probability": 0.981689453125}, {"start": 2184.03, "end": 2184.33, "word": " ميه", "probability": 0.7932942708333334}], "temperature": 1.0}, {"id": 77, "seek": 221244, "start": 2185.65, "end": 2212.45, "text": "و في واحد بيبلغ أمي و في واحدة بتجيبلي كل المشروبات ما بيبلغ حبة حبوب مارت معاك بدا النظام اه ابنها انا مارت عليها انا مابقولك ابدا اعطيني قبر اعطيني تحميل اعطيني اي حاجة اما لحبوب لأ يبقى انا اتبحكمني", "tokens": [2407, 8978, 36764, 24401, 4724, 1829, 36150, 17082, 5551, 2304, 1829, 4032, 8978, 36764, 24401, 3660, 39894, 7435, 1829, 3555, 20292, 28242, 9673, 8592, 32887, 3555, 9307, 19446, 4724, 1829, 36150, 17082, 11331, 49401, 11331, 3555, 37746, 3714, 9640, 2655, 20449, 995, 4117, 4724, 28259, 28239, 19913, 10943, 1975, 3224, 48127, 1863, 11296, 1975, 8315, 3714, 9640, 2655, 25894, 11296, 1975, 8315, 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power of astigmatism طب نبدأ من فوق can tolerate rigid gas permeable lenses", "tokens": [41185, 3714, 2407, 11242, 45367, 2423, 3385, 18059, 11331, 26108, 3660, 6055, 7649, 10632, 8717, 45367, 10632, 9673, 16572, 11242, 9154, 8717, 39319, 10632, 2423, 23368, 6055, 35571, 1211, 4032, 21292, 5016, 24793, 22653, 11331, 26108, 3660, 6055, 7649, 10632, 8608, 1863, 38392, 39896, 11275, 1975, 2407, 1347, 295, 5357, 46496, 1434, 23032, 3555, 8717, 44510, 10721, 9154, 6156, 30543, 393, 25773, 22195, 4211, 30287, 712, 18059], "avg_logprob": -0.25206801908857684, "compression_ratio": 1.4526315789473685, "no_speech_prob": 0.0, "words": [{"start": 2213.73, "end": 2213.93, "word": "في", "probability": 0.3251953125}, {"start": 2213.93, "end": 2214.21, "word": " موضوع", "probability": 0.933349609375}, {"start": 2214.21, "end": 2214.33, "word": " ال", "probability": 0.88037109375}, {"start": 2214.33, "end": 2214.53, "word": " contact", "probability": 0.55712890625}, {"start": 2214.53, "end": 2214.83, 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305614, "start": 3028.98, "end": 3056.14, "text": "of korea from oxygen deprivation حرمان يعني قرانية of اكسجين اللي احنا بنسميها hypoxia hypoxia ايش hypoxia نقص الاكسجين ايش انكسيا انكسيا يالا انكسيا", "tokens": [2670, 14784, 29791, 490, 9169, 27095, 11116, 11331, 2288, 2304, 7649, 37495, 22653, 12174, 2288, 7649, 10632, 295, 1975, 4117, 3794, 7435, 9957, 13672, 1829, 1975, 5016, 8315, 44945, 38251, 1829, 11296, 2477, 42871, 654, 2477, 42871, 654, 1975, 1829, 8592, 2477, 42871, 654, 8717, 4587, 9381, 42963, 4117, 3794, 7435, 9957, 1975, 1829, 8592, 16472, 4117, 3794, 25528, 16472, 4117, 3794, 25528, 7251, 6027, 995, 16472, 4117, 3794, 25528], "avg_logprob": -0.23195423080887592, "compression_ratio": 1.5448275862068965, "no_speech_prob": 0.0, "words": [{"start": 3028.98, "end": 3029.36, "word": "of", "probability": 0.740234375}, {"start": 3029.36, "end": 3030.2, "word": " korea", "probability": 0.48052978515625}, {"start": 3030.2, "end": 3030.86, "word": " from", "probability": 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"probability": 0.95703125}, {"start": 3103.77, "end": 3104.01, "word": " عشان", "probability": 0.9763997395833334}, {"start": 3104.01, "end": 3104.27, "word": " تكون", "probability": 0.970947265625}, {"start": 3104.27, "end": 3104.41, "word": " هي", "probability": 0.50439453125}, {"start": 3104.41, "end": 3104.73, "word": " منفذ", "probability": 0.8165283203125}, {"start": 3104.73, "end": 3104.81, "word": " ال", "probability": 0.93798828125}, {"start": 3104.81, "end": 3105.23, "word": " oxygen", "probability": 0.97021484375}, {"start": 3105.23, "end": 3105.63, "word": " لازم", "probability": 0.9928385416666666}, {"start": 3105.63, "end": 3105.87, "word": " يكون", "probability": 0.983154296875}, {"start": 3105.87, "end": 3106.25, "word": " فيها", "probability": 0.990478515625}, {"start": 3106.25, "end": 3106.95, "word": " كمية", "probability": 0.9970703125}, {"start": 3106.95, "end": 3107.13, "word": " من", "probability": 0.9951171875}, {"start": 3107.13, "end": 3107.29, "word": " ال", "probability": 0.9912109375}, {"start": 3107.29, "end": 3107.69, "word": " water", "probability": 0.97119140625}, {"start": 3107.69, "end": 3109.99, "word": " كمية", "probability": 0.9921875}, {"start": 3109.99, "end": 3110.39, "word": " كافية", "probability": 0.8771158854166666}, {"start": 3110.39, "end": 3110.59, "word": " زي", "probability": 0.917724609375}, {"start": 3110.59, "end": 3110.87, "word": " هنا", "probability": 0.98828125}, {"start": 3110.87, "end": 3112.57, "word": " كمية", "probability": 0.9710286458333334}, {"start": 3112.57, "end": 3112.71, "word": " من", "probability": 0.99267578125}, {"start": 3112.71, "end": 3112.79, "word": " ال", "probability": 0.7216796875}, {"start": 3112.79, "end": 3113.03, "word": " water", "probability": 0.95361328125}, {"start": 3113.03, "end": 3113.81, "word": " شايفين؟", "probability": 0.865625}], "temperature": 1.0}, {"id": 109, "seek": 314150, "start": 3115.02, "end": 3141.5, "text": "كمية كافة من water و كل ما زادت كمية ال water داخل جسم ال rigid contact lens كل ما كانت gas permeable اكتر لأنه حيجي اكسجين حيلاجي فيه ماء داخل العصفر ناسقه هيدوب فيه و هنتقل من الماء بتاع ال contact lens الى ال tear film و يدوب فيه و بعدين يدخل على القناة", "tokens": [24793, 10632, 9122, 31845, 3660, 9154, 1281, 4032, 28242, 19446, 30767, 18513, 2655, 9122, 2304, 10632, 2423, 1281, 11778, 47283, 1211, 10874, 38251, 2423, 22195, 3385, 6765, 28242, 19446, 25961, 2655, 4211, 30287, 712, 1975, 4117, 2655, 2288, 5296, 33456, 3224, 11331, 1829, 7435, 1829, 1975, 4117, 3794, 7435, 9957, 11331, 26895, 26108, 1829, 8978, 3224, 3714, 16606, 11778, 47283, 1211, 18863, 9381, 5172, 2288, 8717, 32277, 4587, 3224, 8032, 25708, 37746, 8978, 3224, 4032, 8032, 29399, 4587, 1211, 9154, 9673, 16606, 39894, 45761, 2423, 3385, 6765, 2423, 7578, 2423, 12556, 2007, 4032, 7251, 3215, 37746, 8978, 3224, 4032, 39182, 9957, 7251, 3215, 9778, 1211, 15844, 25062, 8315, 3660], "avg_logprob": -0.26704546917568556, "compression_ratio": 1.7709251101321586, 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هنتقل", "probability": 0.8990478515625}, {"start": 3134.58, "end": 3135.62, "word": " من", "probability": 0.99169921875}, {"start": 3135.62, "end": 3136.26, "word": " الماء", "probability": 0.958251953125}, {"start": 3136.26, "end": 3136.62, "word": " بتاع", "probability": 0.92431640625}, {"start": 3136.62, "end": 3136.7, "word": " ال", "probability": 0.86572265625}, {"start": 3136.7, "end": 3136.92, "word": " contact", "probability": 0.9306640625}, {"start": 3136.92, "end": 3137.28, "word": " lens", "probability": 0.94482421875}, {"start": 3137.28, "end": 3137.68, "word": " الى", "probability": 0.799560546875}, {"start": 3137.68, "end": 3137.82, "word": " ال", "probability": 0.466064453125}, {"start": 3137.82, "end": 3137.96, "word": " tear", "probability": 0.486572265625}, {"start": 3137.96, "end": 3138.38, "word": " film", "probability": 0.947265625}, {"start": 3138.38, "end": 3138.84, "word": " و", "probability": 0.95263671875}, {"start": 3138.84, "end": 3139.12, "word": " يدوب", 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"end": 3160.07, "word": " جاس", "probability": 0.684814453125}, {"start": 3160.07, "end": 3160.53, "word": " بالميابول", "probability": 0.701953125}, {"start": 3160.53, "end": 3160.81, "word": " contact", "probability": 0.7783203125}, {"start": 3160.81, "end": 3161.23, "word": " lenses", "probability": 0.8125}, {"start": 3161.23, "end": 3161.55, "word": " can", "probability": 0.453125}, {"start": 3161.55, "end": 3162.49, "word": " correct", "probability": 0.93994140625}, {"start": 3162.49, "end": 3162.63, "word": " a", "probability": 0.328125}, {"start": 3162.63, "end": 3163.25, "word": " stigmatism", "probability": 0.7291666666666666}, {"start": 3163.25, "end": 3163.75, "word": " without", "probability": 0.8876953125}, {"start": 3163.75, "end": 3164.07, "word": " a", "probability": 0.9833984375}, {"start": 3164.07, "end": 3164.33, "word": " torric", "probability": 0.28369140625}, {"start": 3164.33, "end": 3164.85, "word": " design", "probability": 0.94775390625}, {"start": 3164.85, "end": 3167.55, "word": " ليش؟", "probability": 0.8401692708333334}, {"start": 3167.55, "end": 3167.77, "word": " يعني", "probability": 0.956298828125}, {"start": 3167.77, "end": 3167.95, "word": " انا", "probability": 0.742919921875}, {"start": 3167.95, "end": 3168.09, "word": " مش", "probability": 0.98974609375}, {"start": 3168.09, "end": 3168.59, "word": " مضطر", "probability": 0.9478759765625}, {"start": 3168.59, "end": 3169.63, "word": " ان", "probability": 0.93115234375}, {"start": 3169.63, "end": 3170.07, "word": " اعمل", "probability": 0.8409830729166666}, {"start": 3170.07, "end": 3170.25, "word": " زي", "probability": 0.966552734375}, {"start": 3170.25, "end": 3170.35, "word": " ال", "probability": 0.67333984375}, {"start": 3170.35, "end": 3170.63, "word": " torric", "probability": 0.49560546875}], "temperature": 1.0}, {"id": 111, "seek": 319683, "start": 3172.01, "end": 3196.83, "text": "أعمل هنا اتنين وهنا واحد مثلا قال لأ الأمر أسهل من هيك ال contact lens الرجد permeable just permeable لأ هذه فيها قوة وهي بتيجي كده وهي القرنية حتى لو كان فيها أي defect يصير ال refraction بتوم من ال contact lens", "tokens": [10721, 25957, 1211, 34105, 1975, 2655, 1863, 9957, 37037, 8315, 36764, 24401, 50113, 15040, 50239, 5296, 10721, 16247, 29973, 5551, 3794, 3224, 1211, 9154, 39896, 4117, 2423, 3385, 6765, 34892, 7435, 3215, 30287, 712, 445, 30287, 712, 5296, 10721, 29538, 8978, 11296, 12174, 2407, 3660, 37037, 1829, 39894, 1829, 7435, 1829, 9122, 3215, 3224, 37037, 1829, 25062, 2288, 1863, 10632, 11331, 49975, 45164, 25961, 8978, 11296, 36632, 16445, 7251, 9381, 13546, 2423, 1895, 26766, 39894, 20498, 9154, 2423, 3385, 6765], "avg_logprob": -0.21585648442492072, "compression_ratio": 1.5679611650485437, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 3172.01, "end": 3172.49, "word": "أعمل", "probability": 0.7884928385416666}, {"start": 3172.49, "end": 3172.71, "word": " هنا", "probability": 0.921875}, {"start": 3172.71, "end": 3173.85, "word": " اتنين", 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113, "seek": 325783, "start": 3229.69, "end": 3257.83, "text": "و هاي ال contact lens كأن ال contact lens حلت محل القرن طبعا بينهم تير فيلم برضه هنا هاي الكورن يعني شايفين فيها كيف نيبل شيب كورن و هاي ال contact lens ايش اللي صار لان ساعت ان ال contact lens هي new refracting surface", "tokens": [2407, 8032, 47302, 2423, 3385, 6765, 9122, 33456, 2423, 3385, 6765, 11331, 1211, 2655, 3714, 5016, 1211, 25062, 2288, 1863, 23032, 3555, 3615, 995, 49374, 16095, 6055, 13546, 8978, 19528, 4724, 43042, 3224, 34105, 8032, 47302, 33251, 13063, 1863, 37495, 22653, 13412, 995, 33911, 9957, 8978, 11296, 9122, 33911, 8717, 1829, 36150, 13412, 1829, 3555, 9122, 13063, 1863, 4032, 8032, 47302, 2423, 3385, 6765, 1975, 1829, 8592, 13672, 1829, 20328, 9640, 5296, 7649, 8608, 995, 34268, 16472, 2423, 3385, 6765, 39896, 777, 45353, 278, 3753], "avg_logprob": -0.27107556891995804, "compression_ratio": 1.7837837837837838, "no_speech_prob": 0.0, "words": [{"start": 3229.69, "end": 3229.91, "word": "و", 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"probability": 0.9083251953125}, {"start": 3239.19, "end": 3239.65, "word": " بينهم", "probability": 0.924560546875}, {"start": 3239.65, "end": 3240.01, "word": " تير", "probability": 0.70068359375}, {"start": 3240.01, "end": 3240.33, "word": " فيلم", "probability": 0.720458984375}, {"start": 3240.33, "end": 3241.69, "word": " برضه", "probability": 0.8601888020833334}, {"start": 3241.69, "end": 3241.99, "word": " هنا", "probability": 0.95751953125}, {"start": 3241.99, "end": 3243.23, "word": " هاي", "probability": 0.7049560546875}, {"start": 3243.23, "end": 3243.73, "word": " الكورن", "probability": 0.5506998697916666}, {"start": 3243.73, "end": 3243.83, "word": " يعني", "probability": 0.695556640625}, {"start": 3243.83, "end": 3244.17, "word": " شايفين", "probability": 0.8828125}, {"start": 3244.17, "end": 3244.55, "word": " فيها", "probability": 0.876708984375}, {"start": 3244.55, "end": 3244.85, "word": " كيف", "probability": 0.732666015625}, {"start": 3244.85, "end": 3245.27, "word": " نيبل", "probability": 0.6858723958333334}, {"start": 3245.27, "end": 3245.69, "word": " شيب", "probability": 0.7255859375}, {"start": 3245.69, "end": 3247.37, "word": " كورن", "probability": 0.7716471354166666}, {"start": 3247.37, "end": 3247.97, "word": " و", "probability": 0.5263671875}, {"start": 3247.97, "end": 3248.15, "word": " هاي", "probability": 0.878173828125}, {"start": 3248.15, "end": 3248.21, "word": " ال", "probability": 0.92529296875}, {"start": 3248.21, "end": 3248.47, "word": " contact", "probability": 0.9541015625}, {"start": 3248.47, "end": 3248.87, "word": " lens", "probability": 0.939453125}, {"start": 3248.87, "end": 3250.17, "word": " ايش", "probability": 0.6868489583333334}, {"start": 3250.17, "end": 3250.29, "word": " اللي", "probability": 0.98193359375}, {"start": 3250.29, "end": 3250.47, "word": " صار", "probability": 0.93212890625}, {"start": 3250.47, "end": 3250.81, "word": " لان", "probability": 0.5133056640625}, {"start": 3250.81, "end": 3253.17, "word": " ساعت", "probability": 0.68359375}, {"start": 3253.17, "end": 3253.51, "word": " ان", "probability": 0.68896484375}, {"start": 3253.51, "end": 3254.23, "word": " ال", "probability": 0.7119140625}, {"start": 3254.23, "end": 3254.59, "word": " contact", "probability": 0.93115234375}, {"start": 3254.59, "end": 3255.05, "word": " lens", "probability": 0.923828125}, {"start": 3255.05, "end": 3255.41, "word": " هي", "probability": 0.8330078125}, {"start": 3255.41, "end": 3255.79, "word": " new", "probability": 0.452392578125}, {"start": 3255.79, "end": 3257.19, "word": " refracting", "probability": 0.824462890625}, {"start": 3257.19, "end": 3257.83, "word": " surface", "probability": 0.8935546875}], "temperature": 1.0}, {"id": 114, "seek": 328488, "start": 3259.74, "end": 3284.88, "text": "وانسينا القرانين مش في حاجة ان انا مالا ترك خلاص هي علاج تسفير ولا أستجماتيزم تحصي الحاصل التغى الاستجماتيزم التغى لأنه أصبحت المعتمد عند الضوء ايش هو contactless contactless", "tokens": 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"probability": 0.53662109375}, {"start": 3907.11, "end": 3907.65, "word": " مخصصة", "probability": 0.95361328125}, {"start": 3907.65, "end": 3908.17, "word": " الكرتقون", "probability": 0.589996337890625}], "temperature": 1.0}, {"id": 137, "seek": 393222, "start": 3908.94, "end": 3932.22, "text": "cyrus k يعني هو مكلف expensive too expensive لكن حقيقة internationally تمانين في المية من المرضى عمل لهم comfort و successful fitting سهل في ال fitting في ال maintenance و comfortable إلى أبعد حد", "tokens": [1344, 13783, 350, 37495, 22653, 31439, 3714, 28820, 5172, 5124, 886, 5124, 44381, 11331, 38436, 28671, 24422, 46811, 7649, 9957, 8978, 9673, 10632, 9154, 9673, 43042, 7578, 6225, 42213, 5296, 16095, 3400, 4032, 4406, 15669, 8608, 3224, 1211, 8978, 2423, 15669, 8978, 2423, 11258, 4032, 4619, 30731, 5551, 3555, 22488, 11331, 3215], "avg_logprob": -0.24955779201579545, "compression_ratio": 1.423913043478261, "no_speech_prob": 0.0, "words": [{"start": 3908.94, "end": 3909.46, "word": 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"word": " في", "probability": 0.5712890625}, {"start": 3916.46, "end": 3916.9, "word": " المية", "probability": 0.89453125}, {"start": 3916.9, "end": 3917.22, "word": " من", "probability": 0.98486328125}, {"start": 3917.22, "end": 3919.06, "word": " المرضى", "probability": 0.9830729166666666}, {"start": 3919.06, "end": 3920.3, "word": " عمل", "probability": 0.8076171875}, {"start": 3920.3, "end": 3920.78, "word": " لهم", "probability": 0.80908203125}, {"start": 3920.78, "end": 3921.46, "word": " comfort", "probability": 0.931640625}, {"start": 3921.46, "end": 3922.52, "word": " و", "probability": 0.94287109375}, {"start": 3922.52, "end": 3923.46, "word": " successful", "probability": 0.66015625}, {"start": 3923.46, "end": 3924.14, "word": " fitting", "probability": 0.75390625}, {"start": 3924.14, "end": 3925.74, "word": " سهل", "probability": 0.9812825520833334}, {"start": 3925.74, "end": 3925.86, "word": " في", "probability": 0.943359375}, {"start": 3925.86, "end": 3925.9, "word": " ال", "probability": 0.8486328125}, {"start": 3925.9, "end": 3926.22, "word": " fitting", "probability": 0.8828125}, {"start": 3926.22, "end": 3927.56, "word": " في", "probability": 0.69140625}, {"start": 3927.56, "end": 3927.68, "word": " ال", "probability": 0.95947265625}, {"start": 3927.68, "end": 3928.22, "word": " maintenance", "probability": 0.92822265625}, {"start": 3928.22, "end": 3930.06, "word": " و", "probability": 0.9765625}, {"start": 3930.06, "end": 3930.86, "word": " comfortable", "probability": 0.84912109375}, {"start": 3930.86, "end": 3931.58, "word": " إلى", "probability": 0.6357421875}, {"start": 3931.58, "end": 3931.94, "word": " أبعد", "probability": 0.91748046875}, {"start": 3931.94, "end": 3932.22, "word": " حد", "probability": 0.8095703125}], "temperature": 1.0}, {"id": 138, "seek": 396196, "start": 3934.44, "end": 3961.96, "text": "نهيكي إنه ال range of correction is very high especially in keratoconus يعني حتى لو كان ال keratoconus too severe بيعمله neutralization و correction يعني هو هنا مش محتاج يعمل cross linking؟ لأ عشان تكونوا في الصورة cross linking for keratoconus in early keratoconus", "tokens": [1863, 3224, 1829, 4117, 1829, 36145, 3224, 2423, 3613, 295, 19984, 307, 588, 1090, 2318, 294, 19377, 267, 905, 266, 301, 37495, 22653, 11331, 49975, 45164, 25961, 2423, 19377, 267, 905, 266, 301, 886, 8922, 4724, 1829, 25957, 43761, 10598, 2144, 4032, 19984, 37495, 22653, 31439, 34105, 37893, 3714, 33753, 26108, 7251, 25957, 1211, 3278, 25775, 22807, 5296, 10721, 6225, 8592, 7649, 6055, 30544, 14407, 8978, 31767, 13063, 3660, 3278, 25775, 337, 19377, 267, 905, 266, 301, 294, 2440, 19377, 267, 905, 266, 301], "avg_logprob": -0.15634191176470588, "compression_ratio": 1.5601851851851851, "no_speech_prob": 0.0, "words": [{"start": 3934.44, "end": 3935.06, "word": "نهيكي", "probability": 0.76591796875}, {"start": 3935.06, "end": 3935.44, "word": " إنه", "probability": 0.388916015625}, {"start": 3935.44, "end": 3935.68, "word": " ال", 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هنا", "probability": 0.456787109375}, {"start": 3951.3, "end": 3951.5, "word": " مش", "probability": 0.962890625}, {"start": 3951.5, "end": 3951.92, "word": " محتاج", "probability": 0.93310546875}, {"start": 3951.92, "end": 3952.26, "word": " يعمل", "probability": 0.8065592447916666}, {"start": 3952.26, "end": 3952.58, "word": " cross", "probability": 0.94677734375}, {"start": 3952.58, "end": 3953.72, "word": " linking؟", "probability": 0.5731201171875}, {"start": 3953.72, "end": 3955.84, "word": " لأ", "probability": 0.794677734375}, {"start": 3955.84, "end": 3956.12, "word": " عشان", "probability": 0.955078125}, {"start": 3956.12, "end": 3956.62, "word": " تكونوا", "probability": 0.9140625}, {"start": 3956.62, "end": 3957.54, "word": " في", "probability": 0.87158203125}, {"start": 3957.54, "end": 3957.88, "word": " الصورة", "probability": 0.9855143229166666}, {"start": 3957.88, "end": 3958.3, "word": " cross", "probability": 0.93505859375}, {"start": 3958.3, "end": 3958.78, "word": " linking", "probability": 0.93701171875}, {"start": 3958.78, "end": 3959.2, "word": " for", "probability": 0.8486328125}, {"start": 3959.2, "end": 3960.06, "word": " keratoconus", "probability": 0.98916015625}, {"start": 3960.06, "end": 3960.7, "word": " in", "probability": 0.958984375}, {"start": 3960.7, "end": 3961.1, "word": " early", "probability": 0.96484375}, {"start": 3961.1, "end": 3961.96, "word": " keratoconus", "probability": 0.9892578125}], "temperature": 1.0}, {"id": 139, "seek": 398478, "start": 3962.92, "end": 3984.78, "text": "لو تعدى ال mild degree للمدرت فيه failure لل cross thinking cross thinking هذا بدري اه لأ لأ هذا بدري انما انتقول ال ال ال in tax ال rings ال rings للمدرت ال rings الحلقات للمدرت", "tokens": [1211, 2407, 6055, 22488, 7578, 2423, 15154, 4314, 5296, 19528, 3215, 43500, 8978, 3224, 7763, 24976, 3278, 1953, 3278, 1953, 23758, 47525, 16572, 1975, 3224, 5296, 10721, 5296, 10721, 23758, 47525, 16572, 16472, 15042, 16472, 2655, 39648, 2423, 2423, 2423, 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00:00:26,100 +الرحيم الحمد لله رب العالمين و أصلي و أسلم على + +3 +00:00:26,100 --> 00:00:30,280 +النبي الأمين محمد وعلى أنهي وأصحابي واتبعي اليوم + +4 +00:00:30,280 --> 00:00:39,620 +سوف نستمر في الـhypermetropia حول الشيطانات + +5 +00:00:39,620 --> 00:00:45,880 +والتعامل الشيطانات والتعامل الشيطانات من + +6 +00:00:45,880 --> 00:00:53,630 +الـhypermetropia كما تعلم الشيطانات من أي مرضيظهر + +7 +00:00:53,630 --> 00:01:02,610 +مصالح المريض الشكوى المريض يجب + +8 +00:01:02,610 --> 00:01:13,510 +أن يأخذ المصالح ويقوم بالتجارب لتحقق أشارات ومعرفة + +9 +00:01:13,510 --> 00:01:21,640 +المرضى إذا كنا نعتبر الهيبرمتروبيا مرضىوهي خطأ + +10 +00:01:21,640 --> 00:01:34,000 +عضوى، يجب أن نعرف أولاً إشعاراتها أو أولاً أول + +11 +00:01:34,000 --> 00:01:45,420 +إشعار هو مخطط لعمل مقفل أو مقفل رؤية مخطط رؤية + +12 +00:01:45,420 --> 00:01:49,480 +لعمل مقفل أو مقفل رؤية + +13 +00:01:52,470 --> 00:01:57,930 +بالنسبة للدرجة الهيبرمتروية + +14 +00:01:57,930 --> 00:02:06,390 +الهيبرمتروية قد تكون درجة صغيرة أو درجة عالية درجة + +15 +00:02:06,390 --> 00:02:16,250 +صغيرة أو درجة عالية في + +16 +00:02:16,250 --> 00:02:16,610 +درجة صغيرة + +17 +00:02:20,420 --> 00:02:29,240 +عادةً لايوجد أثرات بداخل 0.5 إلى 1 درجة لايوجد + +18 +00:02:29,240 --> 00:02:34,080 +أثرات بعد + +19 +00:02:34,080 --> 00:02:41,240 +ذلك لا يوجد علاج إذا لم يكن هناك إتفاق لايوجد علاج + +20 +00:02:41,240 --> 00:02:45,000 +ثانويًا + +21 +00:02:46,370 --> 00:02:51,530 +Symptoms may not present in the early years but + +22 +00:02:51,530 --> 00:02:59,350 +may appear with time when the accommodation comes + +23 +00:02:59,350 --> 00:03:06,670 +down as in presbyopia يعني ممكن في سنوات الأول من + +24 +00:03:06,670 --> 00:03:10,270 +الشباب صاحب الـhypermetropia مايشتكي من ال + +25 +00:03:10,270 --> 00:03:17,200 +blurring ولا من أي strain لكن بعد التلاتينمع مرور + +26 +00:03:17,200 --> 00:03:27,560 +الوقت ممكن أن يشتكى ليش ممكن أن يشتكى؟ why؟ ال + +27 +00:03:27,560 --> 00:03:33,480 +accommodation قل قدرة الcellary muscle على ال + +28 +00:03:33,480 --> 00:03:40,080 +contraction قلت وبالتالي اللي كان في الشباب لا + +29 +00:03:40,080 --> 00:03:43,560 +يشتكى منه أصبح في متصف الأمر يشتكى منه + +30 +00:03:50,360 --> 00:03:55,200 +أيضًا، يمكن أن يظهر الشيء في قيمة صغيرة من + +31 +00:03:55,200 --> 00:04:00,520 +الهيبرمتروبيا في حالات غير عادية، حالات غير عادية + +32 +00:04:00,520 --> 00:04:06,320 +مثل مرضى، اللي يسمى مرضى المخاطر الفيزيائية، أو + +33 +00:04:06,320 --> 00:04:10,180 +مرضى المخاطر الفيزيائية أو مرضى المخاطر الفيزيائية + +34 +00:04:10,180 --> 00:04:10,700 +أو مرضى المخاطر الفيزيائية أو مرضى المخاطر + +35 +00:04:10,700 --> 00:04:10,700 +الفيزيائية أو مرضى المخاطر الفيزيائية أو مرضى + +36 +00:04:10,700 --> 00:04:12,420 +المخاطر الفيزيائية أو مرضى المخاطر الفيزيائية أو + +37 +00:04:12,420 --> 00:04:12,900 +مرضى المخاطر الفيزيائية أو مرضى المخاطر الفيزيائية + +38 +00:04:12,900 --> 00:04:20,940 +أو مرضى المخاطر الفيزيائية أو مرضى المخاطانتحان، + +39 +00:04:20,940 --> 00:04:31,020 +حزن، فرح، قلة نوم، تراب، حرب، خوف ممكن small + +40 +00:04:31,020 --> 00:04:35,060 +degree of hypermetropia تؤدي إلى blurring of + +41 +00:04:35,060 --> 00:04:41,740 +vision لكن في ال normal conditions ممكن ما تؤدي هو + +42 +00:04:41,740 --> 00:04:49,120 +ال human being is one unitالذين يتأثرون من حالات + +43 +00:04:49,120 --> 00:04:54,020 +المجتمع المجتمع المجتمع المجتمع المجتمع المجتمع + +44 +00:04:54,020 --> 00:04:55,900 +المجتمع المجتمع المجتمع المجتمع المجتمع المجتمع + +45 +00:04:55,900 --> 00:04:56,520 +المجتمع المجتمع المجتمع المجتمع المجتمع المجتمع + +46 +00:04:56,520 --> 00:04:57,520 +المجتمع المجتمع المجتمع المجتمع المجتمع المجتمع + +47 +00:04:57,520 --> 00:04:58,740 +المجتمع المجتمع المجتمع المجتمع المجتمع المجتمع + +48 +00:04:58,740 --> 00:04:58,740 +المجتمع المجتمع المجتمع المجتمع المجتمع المجتمع + +49 +00:04:58,740 --> 00:04:58,740 +المجتمع المجتمع المجتمع المجتمع المجتمع المجتمع + +50 +00:04:58,740 --> 00:05:00,280 +المجتمع المجتمع المجتمع المجتمع المجتمع المجتمع + +51 +00:05:00,280 --> 00:05:04,020 +المجتمع + +52 +00:05:04,020 --> 00:05:13,540 +المجتمع المجتمع المجتمع المجتمع + +53 +00:05:15,360 --> 00:05:21,840 +أه in symptoms and need treatment like زي إيش + +54 +00:05:21,840 --> 00:05:30,140 +middle age في middle age we are أيوه we find اللي + +55 +00:05:30,140 --> 00:05:34,960 +هو complaint في شكوه في ال physical debility ال + +56 +00:05:34,960 --> 00:05:39,340 +disease زي ال influenza مثلا Tunselitis Bronchitis + +57 +00:05:39,340 --> 00:05:45,730 +fever عموما disease physical debilityand emotional + +58 +00:05:45,730 --> 00:05:54,590 +stress خوف سهر تعب قلق اتحان سرق رأسها للناس اللي + +59 +00:05:54,590 --> 00:06:00,570 +عندهم within one diopter of hypernatopia اللي هي + +60 +00:06:00,570 --> 00:06:07,010 +يعني mile degree في الأحوال العادية هي لا تؤثر لكن + +61 +00:06:07,010 --> 00:06:11,670 +في الأحوال الغير العادية تؤثرو بيصير فيه شكوى و + +62 +00:06:11,670 --> 00:06:14,490 +فيه symptoms وبالتالي ال need for correction ال + +63 +00:06:14,490 --> 00:06:20,490 +need for correction ده + +64 +00:06:20,490 --> 00:06:25,310 +second symptom العرض التاني blurring of region may + +65 +00:06:25,310 --> 00:06:29,970 +occur for distance also in marked degree of + +66 +00:06:29,970 --> 00:06:33,130 +hypernatopia يبقى الآن ال hypernatopia اللي متكلم + +67 +00:06:33,130 --> 00:06:35,050 +عنها marked degree + +68 +00:06:37,350 --> 00:06:44,410 +three diopters or more three diopters or more here + +69 +00:06:44,410 --> 00:06:51,890 +the blurring will include not only the near vision + +70 +00:06:51,890 --> 00:06:56,890 +but also the distance vision يعني بالبلد دي لا هو + +71 +00:06:56,890 --> 00:07:03,390 +شايف قريب ولا هو شايف بعيد بوضوح مش شايف لا قريب + +72 +00:07:03,390 --> 00:07:07,090 +ولا بعيد بوضوحفي حالة Asian market هيبرمتروفيا و + +73 +00:07:07,090 --> 00:07:14,930 +اقصد بها three doctors or more اربع خمسة ستة طبعا + +74 +00:07:14,930 --> 00:07:20,810 +هذا depends on the accommodation available كم عنده + +75 +00:07:20,810 --> 00:07:26,530 +accommodation is it adequate to cope with the + +76 +00:07:26,530 --> 00:07:31,670 +degree of hypermetropia زي ما احنا اخدنا ان ال + +77 +00:07:31,670 --> 00:07:37,390 +hypermetropia فيها latentوفيها manifest و ال + +78 +00:07:37,390 --> 00:07:43,970 +manifest includes facultative and absolute + +79 +00:07:43,970 --> 00:07:50,990 +facultative hypermetropia that could be corrected + +80 +00:07:50,990 --> 00:07:59,070 +by the contraction of the ciliary muscle while the + +81 +00:07:59,070 --> 00:08:05,140 +absolute which could not be correctedبالـ + +82 +00:08:05,140 --> 00:08:11,060 +Serendipity Contraction ولكن بحاجة لـ Correction + +83 +00:08:11,060 --> 00:08:20,720 +بـ Plus Lenses جيد جيد جدا يبقى في هذه الحالات الـ + +84 +00:08:20,720 --> 00:08:27,660 +accommodation available is low and cannot cover + +85 +00:08:27,660 --> 00:08:32,520 +the market degree of Hypermetropia ويعني بيها ال + +86 +00:08:32,520 --> 00:08:38,220 +absoluteبيغطي ال facultative لكن ما بيغطي ال + +87 +00:08:38,220 --> 00:08:44,160 +absolute يبقى هنا حصير blurring of vision for + +88 +00:08:44,160 --> 00:08:48,640 +distance and for near this + +89 +00:08:48,640 --> 00:08:52,100 +last condition can occur in young with marked + +90 +00:08:52,100 --> 00:08:56,000 +degree of hypermetropia but it also affects all + +91 +00:08:56,000 --> 00:09:00,600 +hypermetropes once they reach the age او an age + +92 +00:09:00,600 --> 00:09:03,400 +when they have little accommodation this biopsy + +93 +00:09:04,760 --> 00:09:10,840 +يبقى هذا يحتوي الـhypermetropia لكل الأعمار يعني + +94 +00:09:10,840 --> 00:09:16,860 +الطفل اللي عمره عشر سنوات ما بيقرأ كويس و بيقول + +95 +00:09:16,860 --> 00:09:22,420 +لأمه انا مابقى مش شايف كويس بيعبر بلسان انه هو مش + +96 +00:09:22,420 --> 00:09:28,980 +شايف الكتابة خاصة الخط الصغير لكن + +97 +00:09:28,980 --> 00:09:36,190 +الشيء بيزداد مع السن خاصة إذا بلغالـ hypermetropia + +98 +00:09:36,190 --> 00:09:43,090 +هذا التلاتين و فوق الأمور بتزيد لأن فوق الـ + +99 +00:09:43,090 --> 00:09:47,630 +hypermetropia اللي هي congenital في نزول لـ + +100 +00:09:47,630 --> 00:09:51,570 +hypermetropia جديدة اسمها acquired hypermetropia + +101 +00:09:51,570 --> 00:09:56,530 +acquired hypermetropia اللي هي ال breast biome و + +102 +00:09:56,530 --> 00:10:02,400 +في هؤلاء الـ hypermetropesاللي لم يغطوا ال + +103 +00:10:02,400 --> 00:10:05,800 +hypermetropia أو لم تزل في ال adolescence في + +104 +00:10:05,800 --> 00:10:09,680 +المراهقة واستمرت شويه من ال hypermetropia ال + +105 +00:10:09,680 --> 00:10:17,180 +congenital استمرت معهم بعد العشرين مثلا هتجيهم ال + +106 +00:10:17,180 --> 00:10:21,280 +acquired hypermetropia early earlier than normal + +107 +00:10:21,280 --> 00:10:24,560 +يعني اذا كان الناس ال emetropes يا حالتي الحمد لله + +108 +00:10:24,560 --> 00:10:30,020 +اجتوا في الأربعين او خمسة واربعينبريس بيوبيا + +109 +00:10:30,020 --> 00:10:34,440 +فالناس اللي عندهم hypermetrobia متفقية هتجيهم بعد + +110 +00:10:34,440 --> 00:10:38,140 +التلاتين خمسة و تلاتين أو سبعة و تلاتين حسب درجتها + +111 +00:10:38,140 --> 00:10:42,580 +كل مكانة عالية هتجي more early more yearly عكس + +112 +00:10:42,580 --> 00:10:51,400 +البيوت ايوة clear هذا ال hypermetrobic هيك تمام في + +113 +00:10:51,400 --> 00:10:56,340 +كل أحوال in any event if symptoms do occurthe + +114 +00:10:56,340 --> 00:11:00,340 +greatest .. the greatest difficulty occurs in + +115 +00:11:00,340 --> 00:11:04,240 +looking at near objects يعني هو فيه difficulty + +116 +00:11:04,240 --> 00:11:08,400 +للبعيد وفيه difficulty للقريب لكن difficulty + +117 +00:11:08,400 --> 00:11:12,740 +للقريب هي الأكتر عشان اقولك greatest .. greatest + +118 +00:11:12,740 --> 00:11:17,420 +difficulty near objects هي اللي .. اللي .. اللي + +119 +00:11:17,420 --> 00:11:23,410 +يعني أكتر غموضاماذا في هوا دول؟ for here an + +120 +00:11:23,410 --> 00:11:25,950 +additional amount of accommodation is required + +121 +00:11:25,950 --> 00:11:30,690 +عايزين accommodation أكتر and starting with a + +122 +00:11:30,690 --> 00:11:35,960 +certain amount of defect or deficitالهيبرمتروبية + +123 +00:11:35,960 --> 00:11:43,220 +موجودة في موقع غير مفيد غير مفيد يعني في وضع سيء + +124 +00:11:43,220 --> 00:11:48,340 +من الـ disadvantage في وضع سيء مع السن بيصير في + +125 +00:11:48,340 --> 00:11:52,740 +وضع سيء هو الهيبرمتروب أساسا، continuously، لمتزن + +126 +00:11:52,740 --> 00:11:56,740 +وإجت وهيبرمتروب اكوارد اجتمع عليه two + +127 +00:11:56,740 --> 00:12:03,580 +hypermetropias two hypermetropias، اثنين Thus, an + +128 +00:12:03,580 --> 00:12:11,600 +imitrobrequires three diopters of accommodation in + +129 +00:12:11,600 --> 00:12:16,880 +order to read a thirty-three centimeters الناس + +130 +00:12:16,880 --> 00:12:22,700 +الامة روب في سن كسنكم يقرأ من تلاتة و تلاتين + +131 +00:12:22,700 --> 00:12:26,960 +centimeter مستخدم من three diopters of + +132 +00:12:26,960 --> 00:12:34,320 +accommodation طبعا في residual حوالي واحد و نص لسه + +133 +00:12:35,370 --> 00:12:41,610 +بتخبي ال tilt صح؟ residual طيب طب ال hyper + +134 +00:12:41,610 --> 00:12:46,550 +metropic اللي عنده two diopters عشان يجاري ال + +135 +00:12:46,550 --> 00:12:49,870 +immature يقرأ زيه كام هيبدو؟ خمسة زي و خمسة زي + +136 +00:12:49,870 --> 00:12:55,370 +اتنين زي التلاتة طب لو عنده تلاتة تلاتة زي التلاتة + +137 +00:12:55,370 --> 00:13:02,390 +و هكذا طبعا ال ciliary muscle بتبدو مجهود لمدةثم + +138 +00:13:02,390 --> 00:13:14,190 +بسبب ايش fatigue or failure fatigue or failure طيب + +139 +00:13:14,190 --> 00:13:22,650 +ما هي العوامل المفاقمة ل blurring of vision يعني + +140 +00:13:22,650 --> 00:13:29,310 +ال aggravation المفاقمة او الزيادة متى يزداد غبش + +141 +00:13:29,310 --> 00:13:38,210 +النظريزداد بالـ long continued application to + +142 +00:13:38,210 --> 00:13:46,230 +close work القراءة لمدة طويلة long يعني + +143 +00:13:46,230 --> 00:13:51,510 +في ناس عادتهم لما يجلس على المكتب ينسجن بالدراسة و + +144 +00:13:51,510 --> 00:13:57,880 +يقرأ لساعات وساعات اربعة خمس ست ساعات مايجمشوهو + +145 +00:13:57,880 --> 00:14:03,680 +عنده hyper metroid حيلج حاله ضايق المعصودة يعني + +146 +00:14:03,680 --> 00:14:11,200 +يبقى هذا عامل من العوامل ال long closed word for + +147 +00:14:11,200 --> 00:14:15,120 +example after reading for some time the vision + +148 +00:14:15,120 --> 00:14:20,480 +becomes blurry and indistinct and only recovers لا + +149 +00:14:20,480 --> 00:14:22,460 +يشفى الا بال rest + +150 +00:14:30,940 --> 00:14:37,160 +إذا عدى القراءة ساعة أو أكتر فإنه يعود إلى الألم + +151 +00:14:37,160 --> 00:14:45,160 +وإلى ال blurring of vision يبقى مما يفاقم الأعراض + +152 +00:14:45,160 --> 00:14:48,200 +القراءة لمدة طويلة عند الhypermetrophs بدون + +153 +00:14:48,200 --> 00:14:52,720 +correction طبعا هنتكلم على .. without correction + +154 +00:14:57,140 --> 00:15:00,700 +والـ symptoms of eye strain are frequent in this + +155 +00:15:00,700 --> 00:15:06,660 +condition the headaches خاصة + +156 +00:15:06,660 --> 00:15:11,100 +frontal headache and the general disturbances to + +157 +00:15:11,100 --> 00:15:15,820 +which hypermetropia is related form syndrome what + +158 +00:15:15,820 --> 00:15:22,460 +is syndrome؟ متلازمة syndrome + +159 +00:15:25,410 --> 00:15:30,330 +معناها انه one cause causes + +160 +00:15:30,330 --> 00:15:38,650 +symptoms in more than one system في الجسم more + +161 +00:15:38,650 --> 00:15:44,250 +than one system يعني ال aids acquired acquired + +162 +00:15:44,250 --> 00:15:52,330 +immunodeficiency syndrome ال cause HIV فيروس اسمه + +163 +00:15:52,330 --> 00:15:58,290 +HIV اللي هو فيروس نقص المنامطيب بيعمل أعراض في أكم + +164 +00:15:58,290 --> 00:16:04,570 +.. في أكم .. في أكم جهاز في الجسم mini يعني + +165 +00:16:04,570 --> 00:16:08,870 +respiratory system , nervous system, eye, + +166 +00:16:09,930 --> 00:16:14,690 +gastrointestinal system, genit .. genit .. genitu + +167 +00:16:14,690 --> 00:16:21,310 +.. genit tract, blood، عدة، والسبب إيش؟ واحد، طيب + +168 +00:16:21,310 --> 00:16:22,590 +هنا السبب هيبرمتروبيا + +169 +00:16:25,750 --> 00:16:31,830 +hypermetropia عملت ocular symptoms و visual + +170 +00:16:31,830 --> 00:16:38,770 +symptoms و referred symptoms referred كنا نتصل مش + +171 +00:16:38,770 --> 00:16:46,950 +بس headache, drowsiness, nausea, vomiting, loss of + +172 +00:16:46,950 --> 00:16:52,530 +consciousness, nervousness, anxiety, loss of + +173 +00:16:52,530 --> 00:16:59,590 +appetiteكله ورا uncorrected hypermetropia خاصة + +174 +00:16:59,590 --> 00:17:06,010 +لطلاب العلم خاصة لمين؟ طلاب العلم لما تعملوا تعليم + +175 +00:17:06,010 --> 00:17:11,690 +خدمي ذكروا الكلام هنا ممكن الطفل يفقد طفولته أقصد + +176 +00:17:11,690 --> 00:17:14,410 +يفقد مستقبله العلمي من ورا uncorrected + +177 +00:17:14,410 --> 00:17:19,810 +hypermetropia الشيء بسيط هتشوفوا أكتر الآن في ال + +178 +00:17:19,810 --> 00:17:23,950 +symptoms what is due to excessive accommodation + +179 +00:17:25,490 --> 00:17:29,030 +اللي هي ice train and to the force dissociation + +180 +00:17:29,030 --> 00:17:32,890 +between accommodation and convergence all of you + +181 +00:17:32,890 --> 00:17:36,810 +know that convergence and accommodation are + +182 +00:17:36,810 --> 00:17:41,390 +parallel ماشيين مع بعض parallel و ال accommodation + +183 +00:17:41,390 --> 00:17:47,530 +increase by one diopter the convergence increase + +184 +00:17:47,530 --> 00:17:56,360 +by one meter angle ماشيين مع بعض خطوة بخطوةطيب، + +185 +00:17:56,360 --> 00:17:59,940 +الآن في الناس الـ hypermetropoeic market degree + +186 +00:17:59,940 --> 00:18:06,220 +ودخل عليهم سن أكتر من تلاتين حصل عندهم مشكلتين، + +187 +00:18:06,220 --> 00:18:13,220 +congenital unacquired طب، هل ال convergence مستعد + +188 +00:18:13,220 --> 00:18:17,680 +أنه ياخدوا خطوتين ولا مع أي خطوة؟ ال convergence + +189 +00:18:17,680 --> 00:18:22,180 +أحيانا بتردد طب أنا مشيت أغطي ال hypermetropoeia + +190 +00:18:22,180 --> 00:18:26,390 +الأساسيةليش أغطي راهد؟ المطلوب يلزق راهد جديدًا، + +191 +00:18:26,390 --> 00:18:31,830 +acquired، بقول بديش، بصير انفصال ال accommodation + +192 +00:18:31,830 --> 00:18:35,510 +يسبق ال convergence، بصير انفصال، أي أن ال + +193 +00:18:35,510 --> 00:18:40,410 +convergence لا يستطيع أن يغطي كل مطلبات ال + +194 +00:18:40,410 --> 00:18:43,930 +accommodation، فبصير dissociation، هذا ال + +195 +00:18:43,930 --> 00:18:49,510 +dissociation بيعمل ice cream، بيعمل ice cream، لكن + +196 +00:18:49,510 --> 00:18:53,790 +إذا كان ال convergence قطعهو ال accommodation + +197 +00:18:53,790 --> 00:18:59,630 +هينتج عنه ازوتروبيا خاصة + +198 +00:18:59,630 --> 00:19:03,690 +intermittent متقطعة يقرأ كتير تلاقي عينيه خاسه جوا + +199 +00:19:03,690 --> 00:19:10,370 +تيجي الأم تقولك والله انا لما ابني بيقرأ كتير بشوف + +200 +00:19:10,370 --> 00:19:15,710 +عينه زايغة داخلة وبعدين بتقولي بنام الصبح بقول + +201 +00:19:15,710 --> 00:19:20,650 +مافيش حاجة اخر يوم بيحل الواجب بخاف منه ليش؟ + +202 +00:19:20,650 --> 00:19:25,120 +بتقوليالدكتور عينه داخل إلى جوا وهذا بيسميها + +203 +00:19:25,120 --> 00:19:30,320 +Intermittent Esotropia إيش Intermittent يعني؟ تقطع + +204 +00:19:30,320 --> 00:19:36,100 +وهذا ال Intermittent Esotropia إذا لم تقالج في + +205 +00:19:36,100 --> 00:19:42,920 +الوقت المناسب فإنها تنقلب إلى Constant Esotropia + +206 +00:19:42,920 --> 00:19:50,180 +تصبح ثابتة تثبت وبعدين علاجها بيصبح صعب طيب + +207 +00:19:52,620 --> 00:19:58,320 +طيب the condition is one of طيبتها accommodative + +208 +00:19:58,320 --> 00:20:04,020 +أسينوميا يعني السبب بتاعها excessive accommodation + +209 +00:20:04,020 --> 00:20:10,080 +excessive accommodation due to temporary failure + +210 +00:20:10,080 --> 00:20:19,460 +of cellular muscle to maintain contraction أن تبقى + +211 +00:20:19,460 --> 00:20:25,270 +قادر على ال .. على ال contractionوبالتالي الاكسب + +212 +00:20:25,270 --> 00:20:31,570 +accommodation ا يعني الآن ال celery muscle امامها + +213 +00:20:31,570 --> 00:20:39,390 +طريقين اذا كان بقرأ كثير بالhypermetropia الطريق + +214 +00:20:39,390 --> 00:20:45,250 +الاول انه فيها relaxation failure relaxation + +215 +00:20:45,250 --> 00:20:48,990 +احيانا + +216 +00:20:48,990 --> 00:21:01,300 +تعملش relaxation تعمل العكس spasmSpasm Spasm + +217 +00:21:01,300 --> 00:21:05,500 +حظك + +218 +00:21:05,500 --> 00:21:09,640 +نصيبة واحد معاه hypermetropia unconnected و عنده + +219 +00:21:09,640 --> 00:21:16,700 +close war for long time مجهود زائد فإما + +220 +00:21:16,700 --> 00:21:24,080 +العضلة تحاول تحاول تحاول ثم ترتخي فشلاو يصيب + +221 +00:21:24,080 --> 00:21:28,440 +الدراسة و يقوم و اما تذهب الى العكس ان العضلة + +222 +00:21:28,440 --> 00:21:33,480 +تنكمش انكمش خطير و تبقى على ما هي و انا ضربتلكم + +223 +00:21:33,480 --> 00:21:37,640 +مثال في reflection one كما لاعب الكرة اللى يجري + +224 +00:21:37,640 --> 00:21:43,940 +على مدار الدقائق و الساعة فجأة سيبه muscle spasm + +225 +00:21:45,110 --> 00:21:50,330 +The muscles of calf بتعرف ال calf؟ calf muscles بط + +226 +00:21:50,330 --> 00:21:55,750 +القدم البط اللي ورا هذه هذه اسمها calf فيها عديد + +227 +00:21:55,750 --> 00:22:02,510 +من عضلات هذه أحيانا مع كتلة الجري الركض هذه بسبب + +228 +00:22:02,510 --> 00:22:08,850 +تقلص فتجد اللاعب قدرتها أرضا وهو يصرخ من شدة الألم + +229 +00:22:12,400 --> 00:22:16,560 +يعني العضلة هنا بدل ما تفشل وترتخي من المجهود + +230 +00:22:16,560 --> 00:22:20,900 +الذائب ذهبت إلى العكس وهنا ولو هيبرمتروب أحيان + +231 +00:22:20,900 --> 00:22:25,080 +تذهب إلى العكس واحنا خدنا إن علاجها صعب بدها أقل + +232 +00:22:25,080 --> 00:22:32,440 +شي أسبوعين أتروبين مع رفقة تامة يبقى + +233 +00:22:32,440 --> 00:22:37,060 +اتكلمنا الآن في علاج جزئية بس جزئية جزئية لعرض + +234 +00:22:37,060 --> 00:22:44,110 +العرض هذا هو الastinopia الastinopiaطيب four من + +235 +00:22:44,110 --> 00:22:48,450 +الأعراض برضه symptoms the + +236 +00:22:48,450 --> 00:22:52,130 +desire for accommodation in excess of convergence + +237 +00:22:52,130 --> 00:22:56,590 +ال accommodation يستخدم أكتر من convergence عند + +238 +00:22:56,590 --> 00:23:01,150 +هؤلاء الناس leads to dissociation of muscle + +239 +00:23:01,150 --> 00:23:06,750 +balance any type of muscles أي عضلات اللي بتكلم + +240 +00:23:06,750 --> 00:23:07,050 +عنها + +241 +00:23:15,160 --> 00:23:22,040 +ايوة اي نوع من ال muscles extraocular + +242 +00:23:22,040 --> 00:23:25,920 +muscles انتوا بس يقولوا extraocular muscles عشان + +243 +00:23:25,920 --> 00:23:31,960 +نفهم بس لأن في intraocular muscles دايلاتر + +244 +00:23:31,960 --> 00:23:36,000 +بيوبيلي واسفينتر بيوبيلي وسيلر مصل intraocular + +245 +00:23:37,450 --> 00:23:41,070 +بينما ال extra .. extraocular .. phoric tie unto + +246 +00:23:41,070 --> 00:23:47,450 +obliques .. phoric tie unto obliques يبقى ال + +247 +00:23:47,450 --> 00:23:54,710 +extraocular muscles in normal persons are in + +248 +00:23:54,710 --> 00:24:01,970 +balance لما اتطلع البيت في parallel visual axis .. + +249 +00:24:01,970 --> 00:24:04,330 +parallel visual axis + +250 +00:24:07,060 --> 00:24:13,180 +في الناس اللي هما عندهم excessive accommodation و + +251 +00:24:13,180 --> 00:24:17,940 +ال convergence لحجه بنى عليه كمان و لحجه بتلاقي + +252 +00:24:17,940 --> 00:24:23,640 +بيصير معاهم إيش؟ ايوة ISO هل لما يصير ISO هذا + +253 +00:24:23,640 --> 00:24:28,580 +balanced ولا imbalanced؟ imbalanced imbalanced + +254 +00:24:28,580 --> 00:24:30,320 +extraocular muscles + +255 +00:24:32,830 --> 00:24:36,930 +يبقى هذا ال imbalance نتج عنه tendency to + +256 +00:24:36,930 --> 00:24:43,990 +convergent squid tendency rule او نزورة ليه؟ + +257 +00:24:43,990 --> 00:24:51,510 +convergent squid للحوال الإنسي الداخلي هيك حوال + +258 +00:24:51,510 --> 00:25:00,610 +إنسي للداخل طيب و ليه هيك اكزو حوال وحش الخالق + +259 +00:25:00,610 --> 00:25:06,960 +حوال وحشهو الوحش لسه من الوحشين لأن الحيوانات + +260 +00:25:06,960 --> 00:25:16,020 +غالبا عينيهم فيهم exo اه هيك لكن الإنسان اللي مصير + +261 +00:25:16,020 --> 00:25:22,380 +معاه هيك اسمه انسي and I struggled to maintain + +262 +00:25:22,380 --> 00:25:25,120 +binocular single billion days to further explain + +263 +00:25:25,120 --> 00:25:31,290 +يعني هذا اللي يقرأ by neglected hypermetropiaبديوا + +264 +00:25:31,290 --> 00:25:37,470 +يحاولوا يقرأ بعينيه تنتين balanced بيعمل ألم على + +265 +00:25:37,470 --> 00:25:44,290 +ألم الألم الأول ال muscle imbalance الثاني انه + +266 +00:25:44,290 --> 00:25:52,280 +بيحاولوا يقرأ بوضوح بيقرأ بوضوح بعينيهو هذا بما + +267 +00:25:52,280 --> 00:25:56,080 +يؤدي بعد هيك إلى فشل و انه بيصير يعتمد على ال .. + +268 +00:25:56,080 --> 00:25:59,480 +على ال .. على ال bitter eye و يسيب .. يسيب ال + +269 +00:25:59,480 --> 00:26:03,140 +worst eye يصير لها ايش؟ ambivalent يصير لها + +270 +00:26:03,140 --> 00:26:08,800 +ambivalent يعني يبقى هذا العرض تحفظه انه في + +271 +00:26:08,800 --> 00:26:13,000 +convergence sequence صحيح انه هذا intermittent + +272 +00:26:13,000 --> 00:26:20,160 +intermittent لسه متقطع في البداية بيكون ايش؟ متقطع + +273 +00:26:20,730 --> 00:26:27,230 +عشان الأم دكية زيكوا تبلغ الناس ال optometrists + +274 +00:26:27,230 --> 00:26:33,730 +زيكوا انه إلحقون ابني فيه يعني intermittent + +275 +00:26:33,730 --> 00:26:39,250 +isopropion يعني تشخيصكم انتوا اللي هم دجول عينه + +276 +00:26:39,250 --> 00:26:45,430 +تدخل لجوا لمّا يقرأ كتير طيب + +277 +00:26:45,430 --> 00:26:53,860 +العرض الرابع بعد هيكإن باستمرار الأمر غير مصحح ال + +278 +00:26:53,860 --> 00:27:01,780 +binocular single vision is abandoned يُقلع + +279 +00:27:01,780 --> 00:27:10,600 +عنها، تترك، يصير شيء غير مطبق، abandoned لصالح + +280 +00:27:10,600 --> 00:27:19,060 +أيش؟ لصالح ال clear visionfavor of a clear vision + +281 +00:27:19,060 --> 00:27:25,060 +يعني الإنسان فينا في النهاية بشر بده يرى الطريق + +282 +00:27:25,060 --> 00:27:28,580 +بده يقرأ كويس مش مهم يقرأ بعين أو بين تين في الآخر + +283 +00:27:28,580 --> 00:27:31,940 +هو بده يمشي حاله و احنا بشوف هذا كتير في الناس + +284 +00:27:31,940 --> 00:27:41,600 +المهم هو يقرأ طيب لو الآن انا عندي عين فيها + +285 +00:27:41,600 --> 00:27:53,470 +hypermetroid خمسة plus fiveوعندي عين أخرى فيها + +286 +00:27:53,470 --> 00:28:01,630 +hypermetroid plus تلاتة plus three طب + +287 +00:28:01,630 --> 00:28:07,010 +عن فيه anisometropia عدم تساوي في القوة البصرية طب + +288 +00:28:07,010 --> 00:28:12,230 +عدم تساوي هذا الآن وحصل + +289 +00:28:12,230 --> 00:28:20,520 +إيزوتروبيا و ال bio-necro single pigeonLost المخ + +290 +00:28:20,520 --> 00:28:26,300 +هيقرأ بأنه زائد خمسة ولا زائد تلاتة زائد تلاتة لأن + +291 +00:28:26,300 --> 00:28:33,620 +زائد تلاتة أقرب إلى الطبيعي أقرب إلى الامترابيا + +292 +00:28:33,620 --> 00:28:43,780 +زائد خمسة أبعد عن الامترابيا أبعد عنه يبقى لما + +293 +00:28:43,780 --> 00:28:50,040 +المخ تصل صورة كدهوصورة كده بياخد هذه وبيجيب هذه + +294 +00:28:50,040 --> 00:28:58,320 +مثالة الأقرب للكمال طبيعي بيقدرش يعمل fusion + +295 +00:28:58,320 --> 00:29:05,380 +لصورتين حدهم مختلفة + +296 +00:29:05,380 --> 00:29:10,840 +يبقى + +297 +00:29:10,840 --> 00:29:17,770 +هو المخ في سبيل clear visionمستعد الآن أن يُقلع عن + +298 +00:29:17,770 --> 00:29:22,550 +فكرة الـfusion وحدة الصورتين اللي من يامله الشمال + +299 +00:29:22,550 --> 00:29:29,970 +one eye only بياخد من one eye usually bitter eye + +300 +00:29:29,970 --> 00:29:35,430 +usually bitter eye is used and the other eye is + +301 +00:29:35,430 --> 00:29:40,790 +neglected تهمة بيصير أمبيوبيا + +302 +00:29:47,740 --> 00:29:52,240 +والعين التالتة تبتدر كذا والعين الخامسة رايحة هنا + +303 +00:29:52,240 --> 00:30:03,700 +خلاص out of use مش قاعدة يستعملها المخ وبعد فترة + +304 +00:30:03,700 --> 00:30:08,280 +سنة سنتين طبعا هو uncorrected والناس مش فاهمة إيش + +305 +00:30:08,280 --> 00:30:16,420 +الجثة أهلهبتيجي تلاقي هذه 6 على 6 و هذه 6 على 60 + +306 +00:30:16,420 --> 00:30:25,700 +طيب خُط اللي أحسن correction تبقى 66 ليش؟ + +307 +00:30:25,700 --> 00:30:30,600 +لأن المشكلة مش مشكلة refraction سارة المشكلة مشكلة + +308 +00:30:30,600 --> 00:30:35,600 +amblyopia و + +309 +00:30:35,600 --> 00:30:41,620 +ايه ده اول يدك؟ انسان رحيم قبل 7 سنينيحرق المراحل + +310 +00:30:41,620 --> 00:30:48,940 +في غطاء العين الأخرى حتى ينشط العين اللى رفضها + +311 +00:30:48,940 --> 00:30:57,280 +المخ وهيهات عادة تعب غير عادي تعب غير عادي كم + +312 +00:30:57,280 --> 00:31:04,400 +أطفال hyper metrop in مجتمعنا ولا أحد يعبه بهم فيه + +313 +00:31:04,400 --> 00:31:13,400 +ولا فيش طب من لهم بعد اللهأنتم هذا الجيل اللي + +314 +00:31:13,400 --> 00:31:16,660 +يتربى في قسم البصريات في الجامعات الإسلامية + +315 +00:31:16,660 --> 00:31:25,360 +المهمتكم عظيمة ان تستنقضي عيون أطفال بنات وأولاد + +316 +00:31:25,360 --> 00:31:34,420 +صغار من الكسل الأزلي أو الأبدي أحسن هذا ولا + +317 +00:31:34,420 --> 00:31:39,860 +الإنسان يعني يعتبر حاله طالب فقطوبدّي يجيب علامة + +318 +00:31:39,860 --> 00:31:47,240 +أو يجيب شهادة، لا، اللي يحرص على إسعاد الناس وعلى + +319 +00:31:47,240 --> 00:31:52,540 +استنقاذ الناس من الأمراض له أجور مضاعفة، أكتر من + +320 +00:31:52,540 --> 00:31:58,600 +أجر الدنيا، أكتر من أجر الدنيا، وأذكر أنا حدث + +321 +00:31:58,600 --> 00:32:05,820 +معايا قبل عشرات السنين، رجل طيب يعني يعني من إمساك + +322 +00:32:05,820 --> 00:32:11,630 +شديد من أسابيع،فبحلم السر جالي يا دكتور يعني انا + +323 +00:32:11,630 --> 00:32:15,830 +معايا وضع صعب صعب جدا و هدى ايش جالي كده كده قول + +324 +00:32:15,830 --> 00:32:22,330 +بسيطة كتبتله انما و راح اشتراها و علمنا كيف + +325 +00:32:22,330 --> 00:32:26,270 +تستعملها في البيت تاني يوم جماعة جاي بتدبوس على + +326 +00:32:26,270 --> 00:32:31,790 +إيديها بتقبل إيديها و لأقسم بالله العظيم أن الطب + +327 +00:32:31,790 --> 00:32:35,610 +مهنة مقدسة أقسم بالله العظيم أن الطب مهنة مقدسة + +328 +00:32:36,250 --> 00:32:41,290 +يعني شوية بيقولوا انتوا من أولياء الله لو + +329 +00:32:41,290 --> 00:32:46,270 +يعقل الناس جداش انه أمثالكم ممكن تقدموا خدمات أو + +330 +00:32:46,270 --> 00:32:49,310 +انتوا تتصوروا جداش ممكن تقدموا خدمات للناس + +331 +00:32:49,310 --> 00:32:56,150 +تستنقضوا أبرياء من الضياء عينه عينه عينه الضياء 66 + +332 +00:32:56,150 --> 00:33:04,160 +وغير قابل لأي تحسين انتهى نقطة وسطرة جديدةكانت ديش + +333 +00:33:04,160 --> 00:33:07,000 +الوعي مهم عشان هيك ال service learning اللي + +334 +00:33:07,000 --> 00:33:13,400 +هتعملوه يعني عايز يكون مؤثر انه اتصيحوا في النساء + +335 +00:33:13,400 --> 00:33:19,560 +في الأمهات انه المشارع إلى الفحوص الدورية لأبناءهم + +336 +00:33:19,560 --> 00:33:25,960 +وبناتهم ولا يدخل أحد روضة أو يدخل مدرسة إلا بعد + +337 +00:33:25,960 --> 00:33:30,180 +شهادة موثقة ومختمة انه نظره سليم مافيش عنده + +338 +00:33:30,180 --> 00:33:32,400 +هالمشاكل هذه ماشي؟ + +339 +00:33:36,270 --> 00:33:43,450 +طيب الان في عرض نادر الحدوث خليني من اول اني + +340 +00:33:43,450 --> 00:33:51,690 +اوصفهم نادر الحدوث يعني في كل الف واحد ولا اثنين + +341 +00:33:51,690 --> 00:33:54,790 +طيب + +342 +00:33:54,790 --> 00:34:02,760 +انا بدي اضربلكم المثال بعدين نذكر هذا ان وجدتيشخص + +343 +00:34:02,760 --> 00:34:08,880 +خاصة طفل يضع الكتاب قريبا من عينيه هيك ايش انتباه + +344 +00:34:08,880 --> 00:34:18,240 +الاول مش شايف مش شايف لكن ايش تقريبا تشخيص ميوب مش + +345 +00:34:18,240 --> 00:34:24,680 +ميوب واحد ميوب ممكن خمسة او ستة او سبعة يبقى انسان + +346 +00:34:24,680 --> 00:34:29,980 +بيضع الكتاب على عينيهطب ننسى ايه ال correction لأن + +347 +00:34:29,980 --> 00:34:35,820 +مافيش correction هذا غالبا بيكون ما يوم طب انسان + +348 +00:34:35,820 --> 00:34:45,280 +يضع الكتاب على ركوبته بعيد هذا هي مامتو وهذه + +349 +00:34:45,280 --> 00:34:53,720 +الصورة للقريب عكسها الصورة البعيد طفل لايدس الا + +350 +00:34:53,720 --> 00:34:58,370 +بجوار التلفزيونكل ما نبعد عن التلفزيون تلقايا + +351 +00:34:58,370 --> 00:35:02,190 +بيسلل و بيجي بقعد في جانب التلفزيون هذا ايش بيكون؟ + +352 +00:35:02,190 --> 00:35:08,770 +مايو، مايو طيب، و طفل قاعد بعيد عن التلفزيون عشرة + +353 +00:35:08,770 --> 00:35:16,230 +متر و بتفرج؟ هذا hypermetrop أو إيمتروب، كيس؟ يبقى + +354 +00:35:16,230 --> 00:35:22,520 +هذه قاعدة، لكن كل قاعدة شواجاحنا أخدنا في مرة انه + +355 +00:35:22,520 --> 00:35:28,580 +من أعراض الـHypermetropia شيء اسمه Micropsia يرى + +356 +00:35:28,580 --> 00:35:35,300 +الأشياء صغيرة عكس الـMyopia يرى الأشياء كبيرة + +357 +00:35:35,300 --> 00:35:44,820 +نسبيا اسمه Macropsia اسمه ايش؟ Macropsia النادر + +358 +00:35:44,820 --> 00:35:51,410 +الحدوث ان الطفل عنده HypermetropiaUncorrected يضع + +359 +00:35:51,410 --> 00:35:56,030 +الكتاب على عينيه هو + +360 +00:35:56,030 --> 00:36:01,850 +بالمحاولة مرة وضع الكتاب قريب شاف خط أكبر شوية + +361 +00:36:01,850 --> 00:36:08,310 +يعني على عشانين سنتين فأصبح يتبع هذه الطريقة هو + +362 +00:36:08,310 --> 00:36:12,570 +أعطى انطباع انه Myopic لكن لما فحصناه لجناح + +363 +00:36:12,570 --> 00:36:16,330 +البرامتروم وده قلت انه نادرا يمكن واحد او اثنين في + +364 +00:36:16,330 --> 00:36:19,860 +الألف اللي بيعملوهيبقى هي occasionally، + +365 +00:36:19,860 --> 00:36:23,880 +occasionally هي rarely لإن الhypermetropes of + +366 +00:36:23,880 --> 00:36:27,900 +moderate or high hypermetropes may present because + +367 +00:36:27,900 --> 00:36:34,520 +of holding book كتاب too close to his eyes a habit + +368 +00:36:34,520 --> 00:36:38,300 +more suggestive of myopia هي العادة هذه شاعر في ال + +369 +00:36:38,300 --> 00:36:44,290 +myopsي مش في hypermetropes قليلا ماby holding so + +370 +00:36:44,290 --> 00:36:49,770 +لما يمسك الكتاب هو بيحاول يعمل enlargement of the + +371 +00:36:49,770 --> 00:36:54,110 +retinal image بيحاول يكبر صورة الشبكية which + +372 +00:36:54,110 --> 00:36:59,570 +compensates for blurring or indistinctness عشان + +373 +00:36:59,570 --> 00:37:04,950 +يعوض أحد الموضوع بيحاول لما يقرر انه يكبر الصورة + +374 +00:37:04,950 --> 00:37:10,120 +شوية لكن مش كله فاهم هذا الجريمهذه أعراض + +375 +00:37:10,120 --> 00:37:15,800 +الهيبرمتروبين، عراض الهيبرمتروبين طيب، لما تعرف + +376 +00:37:15,800 --> 00:37:22,140 +الأعراض فضل عليك إيش؟ العلاج، و احنا بنرمز العلاج + +377 +00:37:22,140 --> 00:37:29,560 +RX كلها طبها، RX يعني العلاج طبعا + +378 +00:37:29,560 --> 00:37:37,620 +the first and most available treatment is glasses + +379 +00:37:39,920 --> 00:37:46,640 +glasses is cheap، cheap، خيصة، changeable، بغيرها + +380 +00:37:46,640 --> 00:37:52,420 +وقت ما بدي، harmless، ما بتعملش inflammation، ما + +381 +00:37:52,420 --> 00:37:55,500 +بتعملش infection، ما بتعملش زي ال contact lenses + +382 +00:37:55,500 --> 00:38:00,830 +مثلا، اه not aggressive، بدهش جراحةبدهاش LASIK + +383 +00:38:00,830 --> 00:38:06,590 +بدهاش intraocular lens يعني سهل النضارة أشيلها و + +384 +00:38:06,590 --> 00:38:10,290 +أحطها و أغيرها كمان بدهو و رخيصة يعني مية شكل + +385 +00:38:10,290 --> 00:38:17,290 +سبعين شكل في الحملات خمسين شكل و هذا طفل يعني ممكن + +386 +00:38:17,290 --> 00:38:24,230 +يصيله يعني annual change of glasses or lenses صح؟ + +387 +00:38:26,730 --> 00:38:33,570 +طيب يبقى أول شي glasses و ال glasses لها تفصيل لو + +388 +00:38:33,570 --> 00:38:38,350 +كان ال hypermetropia small غير عنكون ال + +389 +00:38:38,350 --> 00:38:44,670 +hypermetropia market بعدين كمان غير الدرجة السن + +390 +00:38:44,670 --> 00:38:53,850 +ايش الفرق بين سن ستة أو سبع سنوات أو قبلهم وبين ست + +391 +00:38:53,850 --> 00:38:59,110 +عشر سنةفي فرق في الحياة العملية؟ ستة و ستاشر بينهم + +392 +00:38:59,110 --> 00:39:05,190 +فرق؟ في الحياة العملية، ايش الفرق؟ ستاشر بقى أكثر + +393 +00:39:05,190 --> 00:39:15,210 +يعني ايوة، ستاشر في عنده working at school في عنده + +394 +00:39:15,210 --> 00:39:20,920 +عمل باجتهاد، عمل دقوب في المدرسةزي اللي أنا بقوله + +395 +00:39:20,920 --> 00:39:24,620 +عن مناهج أول عدادي، ماتش من مناهج الجامعة، في + +396 +00:39:24,620 --> 00:39:28,760 +كثرتها و تعددها و واجبات و يعني كده، لكن الطفل + +397 +00:39:28,760 --> 00:39:33,300 +اللي ست سنوات أو أقل، معظم حياته على اللعب، بس + +398 +00:39:33,300 --> 00:39:38,980 +احنا الآن شغالنا الطفل بتاع الستة و تحت في الجوال + +399 +00:39:38,980 --> 00:39:44,320 +و في الكمبيوتر للأسف، برأت الطفلو لعب الطفل اللي + +400 +00:39:44,320 --> 00:39:52,460 +كان عبارة عن كورة و عن يعني شارع و كان لعب في + +401 +00:39:52,460 --> 00:40:00,200 +الحديقة و جمع الظهور و الألعاب العامة الآن أصبحت + +402 +00:40:00,200 --> 00:40:06,540 +انطوائية على الجوال طبعا ما هوش جوال .. جوال أمه + +403 +00:40:06,540 --> 00:40:13,930 +أو ال pad هذا ولا ..ايباد و أصبح الكمبيوتر قاعد + +404 +00:40:13,930 --> 00:40:19,010 +عليه و بشوف العالم من خلال الكمبيوتر وهذا خطأ لأنه + +405 +00:40:19,010 --> 00:40:25,590 +أصبح بشغل عينيه بشكل خطير في حي صديق و خط صديق + +406 +00:40:25,590 --> 00:40:32,420 +يبقى الآن لما انا بدى أعالجscale error small و + +407 +00:40:32,420 --> 00:40:38,920 +اعني بال small يعني من نص ديوبتر الى واحد ديوبتر + +408 +00:40:38,920 --> 00:40:46,340 +يعني اللي عندنا هنا احنا في اطار small غالبا small + +409 +00:40:46,340 --> 00:40:55,960 +amount of hypermetropia is symptom less بدون شكهة + +410 +00:40:55,960 --> 00:41:00,450 +مافيش اخرىإيه بقى أنا بتابع صح أنا عملتله + +411 +00:41:00,450 --> 00:41:04,090 +reflection و طلع عنده plus one بقول إن كان عنده + +412 +00:41:04,090 --> 00:41:09,070 +good health صحته + +413 +00:41:09,070 --> 00:41:17,110 +وممالي كويسة وفيش عنده symptoms of astinopia و ال + +414 +00:41:17,110 --> 00:41:22,410 +muscle balance عنده normal فيش عنده imbalance تلت + +415 +00:41:22,410 --> 00:41:22,710 +حاجة + +416 +00:41:26,020 --> 00:41:32,600 +في الحالة هذه no need for glasses مافيش علاج انسان + +417 +00:41:32,600 --> 00:41:38,700 +صح عنده hypermetropia لكن يتمتع بنظر جيد ولا عنده + +418 +00:41:38,700 --> 00:41:43,540 +صدع ولا عنده ألم ولا عنده غبش مافيش حاجة عنده + +419 +00:41:43,540 --> 00:41:49,320 +مشكلش من حاجة عايش بقرأ عادي و لا خلاص انا مش غاوي + +420 +00:41:49,320 --> 00:41:55,180 +ان انا ألبس ناس نظارات وانا بقولهم يعني في حياة + +421 +00:41:55,180 --> 00:41:59,690 +العمليةالمشكلة يا جماعة أنا مش غاوي ألبس الناس + +422 +00:41:59,690 --> 00:42:05,890 +نضارات أنا لا أستعمل نضارة إلا كدواء إلاجي يعني + +423 +00:42:05,890 --> 00:42:11,810 +وهذه يعني بدها نوع من الأمانة + +424 +00:42:11,810 --> 00:42:18,830 +والشفافية وهو احنا Optometrist ولو أنتم عندكم حتى + +425 +00:42:18,830 --> 00:42:24,430 +كل معامل النضارات إياكم أن تنزلقوا إلى الفكرة + +426 +00:42:24,430 --> 00:42:31,190 +التجاريةالفكرة التجارية، أن أرى الناس بمدورة + +427 +00:42:31,190 --> 00:42:35,250 +المصلحة والتجارة الشخصية، لأ، لأ، لأ، لأ، لأ، لأ، + +428 +00:42:35,250 --> 00:42:35,410 +لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، + +429 +00:42:35,410 --> 00:42:35,930 +لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، + +430 +00:42:35,930 --> 00:42:37,730 +لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، + +431 +00:42:37,730 --> 00:42:37,890 +لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، + +432 +00:42:37,890 --> 00:42:42,250 +لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، + +433 +00:42:42,250 --> 00:42:50,700 +لأ،إن أربنا الأمانة على السماوات والأرض والجبال + +434 +00:42:50,700 --> 00:42:57,200 +فأبانا يحملناها وأشفقنا منها وحملها الإنسان إنه + +435 +00:42:57,200 --> 00:43:02,400 +كان ظلوما جاهز يبقى لا أحمل الناس على الفاضي + +436 +00:43:02,400 --> 00:43:05,940 +والمالية النضارة وعدنا نرسل ديوبتر ألبس نضارة + +437 +00:43:05,940 --> 00:43:10,930 +تلاتة اربعة ديوبتر ألبس نضارة بالعكسخلّي عينه تاخد + +438 +00:43:10,930 --> 00:43:13,750 +دورها و الcell in your muscle تغطي وما تقلش ال + +439 +00:43:13,750 --> 00:43:17,670 +facultative في hypermetrogamy مش هو القدر اللي + +440 +00:43:17,670 --> 00:43:21,790 +تغطيه ال cell in your muscle؟ بدي أخد ال + +441 +00:43:21,790 --> 00:43:25,350 +facultative كمان أنا؟ خلّيه .. خلّيه عشان حياته + +442 +00:43:25,350 --> 00:43:29,970 +عادية ليش أنا أسرب نضارة؟ بس كان مافيش إلها ضرورة + +443 +00:43:29,970 --> 00:43:35,790 +إلا ما يكون لها ضرورة، واضح هيك؟ يقولي في الحالات + +444 +00:43:35,790 --> 00:43:43,950 +التلاتةسليمة A و B و C ال treatment is unnecessary + +445 +00:43:43,950 --> 00:43:50,170 +غير ضروري لكن إذا كان في هؤلاء أو بعضهم من تهيك + +446 +00:43:50,170 --> 00:43:56,530 +يعني يعاني منه فانا بحط نظام واحد ده أنا مصدر + +447 +00:43:56,530 --> 00:44:01,270 +مافيش عجوبة عنفية مافيش عنده أي مشاكل أخرى إلا + +448 +00:44:01,270 --> 00:44:06,420 +شوية هذي المطربة بعطينا نظامواحد عنده muscle + +449 +00:44:06,420 --> 00:44:10,200 +balance مش تمام بقى اتيه ده ده لكن مفيش عنده + +450 +00:44:10,200 --> 00:44:15,520 +muscle balance يعني imbalance اقصد ولا عنده + +451 +00:44:15,520 --> 00:44:21,460 +أسطنوبيا وجود ال health خلاص no need for + +452 +00:44:21,460 --> 00:44:24,560 +entertainment اللي هو فيش glasses او spectacles + +453 +00:44:24,560 --> 00:44:33,900 +طيب هذا الطفل الصغير في سن ست سنوات او اقل + +454 +00:44:37,970 --> 00:44:44,610 +أه فيه no load on vision اش no load on vision؟ فش + +455 +00:44:44,610 --> 00:44:53,530 +حمل فش حبل فش تعب لأ some degree is physiological + +456 +00:44:53,530 --> 00:44:58,090 +من hypermetropia and a correction needed to be + +457 +00:44:58,090 --> 00:45:03,370 +given only if the error is high or if strabismus + +458 +00:45:03,370 --> 00:45:07,570 +is presentاه لما ال high هنتكلم عن ال high لسه + +459 +00:45:07,570 --> 00:45:13,610 +مجاتش و extra business غالبا بيجيش مع ال law of + +460 +00:45:13,610 --> 00:45:18,690 +hypermetropia اللي يكون unaccumulative مخصوش في ال + +461 +00:45:18,690 --> 00:45:26,510 +accommodation بيكون العيب في ال muscles طيب الان + +462 +00:45:26,510 --> 00:45:33,590 +كبر الطفل من 6 إلى 16 يعني المرحلة الابتدائية + +463 +00:45:34,930 --> 00:45:42,250 +والاعدادية ابتدائية والاعدادية especially when + +464 +00:45:42,250 --> 00:45:48,030 +working قولنا ا in school is strenuous اي جد + +465 +00:45:48,030 --> 00:45:52,950 +smaller errors may require correction اختلف الوضع + +466 +00:45:52,950 --> 00:45:58,550 +يعني السن له حكمه يعني الطفل اللي عمره 15 سنة عنده + +467 +00:45:58,550 --> 00:46:05,900 +امتحانات وقراءة وكتب ومتابعات وواجبات homeworkصار + +468 +00:46:05,900 --> 00:46:12,360 +لزي ما عليا ان انا تابع ل plus one ربما تحتاج إلى + +469 +00:46:12,360 --> 00:46:17,720 +correction قبل عشر سنة ماكنش يعاني ال answer يعاني + +470 +00:46:17,720 --> 00:46:26,260 +بختلف صار عنده overload at school حتى لو كان عنده + +471 +00:46:26,260 --> 00:46:34,240 +balance بس هنا عنده أسنوبيةأه يعني هنتكلم الآن على + +472 +00:46:34,240 --> 00:46:39,840 +حاجة يعني بيقرأ بصوت اه بيقرأ ب blurring of vision + +473 +00:46:39,840 --> 00:46:43,320 +فهي + +474 +00:46:43,320 --> 00:46:51,100 +عنده مشكلة طيب مثلا من المشاكل انه يصير عنده + +475 +00:46:51,100 --> 00:46:58,100 +intermittent esotropia convergence point صباح تمام + +476 +00:46:58,100 --> 00:47:04,370 +وعيونه مرتاحةبعد مراحل المدرسة و بدأ يحل الواجب و + +477 +00:47:04,370 --> 00:47:11,610 +يقرأ و يحضر المغرب بعد المغرب صارت عينه تخش شوية و + +478 +00:47:11,610 --> 00:47:15,590 +ترجع تخش شوية و ترجع اكتر واحد بيكتش فيه أمه + +479 +00:47:15,590 --> 00:47:23,750 +Intermittent هذه ندير خطر ان يعني الواد هذا ال + +480 +00:47:23,750 --> 00:47:30,470 +balance عنده مش مرتاح او مش normal normalكمان ال + +481 +00:47:30,470 --> 00:47:35,010 +vision عنده subnormal في دا ال distance يعني مثلا + +482 +00:47:35,010 --> 00:47:40,750 +الولد شايف هو 612 طب ايش سبب 612 يعني بيعني ايه + +483 +00:47:40,750 --> 00:47:44,510 +612 اللي + +484 +00:47:44,510 --> 00:47:48,830 +عنده ال hypermetropia هذه مش مريحة شوف 6 اتنين طب + +485 +00:47:48,830 --> 00:47:54,910 +هتقول plus one plus one بشوف 6 6 6 6 6 بصر وضع + +486 +00:47:54,910 --> 00:48:03,290 +الآنفي هذا السن الـ 15 سنة أو الـ 14 سنة مع + +487 +00:48:03,290 --> 00:48:08,630 +القراءة الكثيرة بدأ عنده مشاكل في النظر أو في ال + +488 +00:48:08,630 --> 00:48:20,870 +muscle balance أو في عراض اللي هو الastinopia كمان + +489 +00:48:20,870 --> 00:48:23,530 +عرض muscle fatigue + +490 +00:48:27,020 --> 00:48:33,320 +في الحالة هذه muscle fatigue من صداع أو دوخة أو + +491 +00:48:33,320 --> 00:48:39,280 +loss of vision أو loss of appetite أو + +492 +00:48:39,280 --> 00:48:45,300 +نوزية أو vomiting should receive attention يعني + +493 +00:48:45,300 --> 00:48:49,960 +correction يبقى + +494 +00:48:49,960 --> 00:48:55,150 +الأن في الأطفال ست سنوات أو أقلكان الـ low + +495 +00:48:55,150 --> 00:49:02,610 +-hypermetropia غالباً ما بنتكلم عن علاج لأنه no + +496 +00:49:02,610 --> 00:49:11,070 +load on eyes في الأطفال في الإعداديات بدأ الكلام + +497 +00:49:11,070 --> 00:49:18,510 +إنه إذا كان هناك أعراض للـ low-hypermetropia تشمل + +498 +00:49:18,510 --> 00:49:24,150 +الـ vision أو تشمل ال muscle balanceأو تشمل + +499 +00:49:24,150 --> 00:49:31,650 +لأسينوبيا ينبغي أن يصحح حتى لو كان small amount أو + +500 +00:49:31,650 --> 00:49:41,410 +degree of hypermetropia clear طيب + +501 +00:49:41,410 --> 00:49:50,220 +الآن في هذا السن بقول لي في suspicion ofيعني انا + +502 +00:49:50,220 --> 00:49:56,760 +مش متأكد شك suspicion شك او اجتباه انه في eye + +503 +00:49:56,760 --> 00:50:00,540 +strain is suggested by more indefinite science + +504 +00:50:00,540 --> 00:50:04,320 +يعني انا بدي افحص طبعا ال science انا مااجد و هو + +505 +00:50:04,320 --> 00:50:08,460 +ال science a complaint of headache or + +506 +00:50:08,460 --> 00:50:14,860 +unaccountable lassitude او dislike of work ايش + +507 +00:50:14,860 --> 00:50:20,780 +dislike of work dislike of workيكره العمل يكره + +508 +00:50:20,780 --> 00:50:28,180 +القراعة مان يبدأ يقرأ بيصير له early tiring after + +509 +00:50:28,180 --> 00:50:34,080 +it is begun مجرد يقرأ الولد ربع ساعة فجأة بيترك + +510 +00:50:34,080 --> 00:50:42,680 +الكتاب و بيهرب اكتر انسان بتابع أمه نفسها يقعد على + +511 +00:50:42,680 --> 00:50:48,160 +الكتاب ساعة كاملة مابيقعد ساعة كاملة لو بحثتربما + +512 +00:50:48,160 --> 00:50:54,240 +تجد مش طبيعي أو عادى فيه ربما تجد انه في عنده + +513 +00:50:54,240 --> 00:51:02,700 +visual cause uncorrected hypermetropia او تجي + +514 +00:51:02,700 --> 00:51:07,760 +بيعمل rubbing of eyes بيفعك عينيه باستمرار حمر حمر + +515 +00:51:07,760 --> 00:51:11,640 +او etching بيقولك عينيه بين منموني + +516 +00:51:14,490 --> 00:51:17,050 +An examination should be conducted under + +517 +00:51:17,050 --> 00:51:26,350 +Cycloplegic drops يبقى أنا شاكك في ice tray طب ايش + +518 +00:51:26,350 --> 00:51:33,810 +اللي خلاني اشك الاعراض و ما اكثر الاعراض الاعراض و + +519 +00:51:33,810 --> 00:51:38,030 +ما اكثر الاعراض واحد + +520 +00:51:38,030 --> 00:51:44,590 +بيقولش على الكتاب بيحك في عينيك تيلواحد بيقشك من + +521 +00:51:44,590 --> 00:51:49,750 +صداع وصداع مالوش أسباب أخرى غير العيون، في الحالة + +522 +00:51:49,750 --> 00:51:54,410 +هذه أنا أتوجه لإيش؟ للـ psychological refraction + +523 +00:51:54,410 --> 00:52:01,610 +وإحنا شرحنا الـ psychological بالتمام شرحناها، + +524 +00:52:01,610 --> 00:52:05,330 +غالبا نحط نقطة، وبعد مثلا عشر دقائق نقطة تانية + +525 +00:52:08,720 --> 00:52:12,600 +وبننتظر نصف ساعة مثلا إذا كان في حاجة على نقطة + +526 +00:52:12,600 --> 00:52:15,600 +تالتة تأيد بنحط نقطة تالتة بعد مثلا ربع ساعة أو + +527 +00:52:15,600 --> 00:52:21,380 +تلت ساعة بننقذ وقت شوية طويل لغاية ما ال + +528 +00:52:21,380 --> 00:52:26,520 +psychoblasia تصير أيش كاملة وال psychoblasia في + +529 +00:52:26,520 --> 00:52:30,020 +منها short psychoblastic drops وفي منها long + +530 +00:52:30,020 --> 00:52:36,020 +psychoblastic drops طيب + +531 +00:52:38,450 --> 00:52:46,170 +الان الأطفال الصغار small children السيارات + +532 +00:52:46,170 --> 00:52:50,930 +مثلا انهم قوية ولا ضعيفة؟ قوية ولا قمتش انهم high + +533 +00:52:50,930 --> 00:52:54,590 +يبقى في small children if the error is greater + +534 +00:52:54,590 --> 00:52:58,790 +than three لما عملتوا cycle of pleasure طالب مثلا + +535 +00:52:58,790 --> 00:53:02,830 +أربعة، خمسة، ستة بيقول في الحالة هذه هعملوا + +536 +00:53:02,830 --> 00:53:09,830 +glasses for near and distant visionاللي احنا بيقول + +537 +00:53:09,830 --> 00:53:16,870 +عنها constant use constantly اكتر من تلاتة بيبقوا + +538 +00:53:16,870 --> 00:53:23,650 +يلبسوا النضارة في الصف الدراسي في القراءة في + +539 +00:53:23,650 --> 00:53:30,130 +التلفزيون في الكمبيوتر في الجوان لأنه + +540 +00:53:30,130 --> 00:53:36,750 +قلة استعمال النضارة في أي وضع من الأوضاع هيعمل + +541 +00:53:36,750 --> 00:53:42,760 +الأعراض الأسينوبيايعني ان ال muscle سيكون في وضع + +542 +00:53:42,760 --> 00:53:49,200 +مستنفر وبالتالي الاستنفار هو انكماشة زائد عشان + +543 +00:53:49,200 --> 00:53:54,020 +تغطي ال facultative زائد ال absolute و هتفشل و + +544 +00:53:54,020 --> 00:54:00,100 +هيعاني طيب في حالة الأطفال إذا كان اللعب البصري + +545 +00:54:00,100 --> 00:54:07,380 +بعد الcyclopedia أقل من three diopters بس باوصف + +546 +00:54:07,380 --> 00:54:15,410 +نضارة only forreading for reading طيب و ال distant + +547 +00:54:15,410 --> 00:54:21,890 +المهم في ال distant ال accommodation غالبا relaxed + +548 +00:54:21,890 --> 00:54:27,870 +relaxed و بما أنه أقل من تلاتة يعني الوضع بيمشي لل + +549 +00:54:27,870 --> 00:54:30,450 +distant بيمشي حاله ال hyper metropolis اللي عنده + +550 +00:54:30,450 --> 00:54:34,590 +اتنين او اتنين و نص مثلا بيمشيها بدون نضارة لكن لل + +551 +00:54:34,590 --> 00:54:41,330 +readingلأنه بده .. بده تلات عاديين زائد اتنين و + +552 +00:54:41,330 --> 00:54:45,790 +نص، خمسة و نص، العضله راح تكون برضه تعبان، ولو أجل + +553 +00:54:45,790 --> 00:54:49,730 +من تلاتة طب دكتور، إذا كان هو below three diopters + +554 +00:54:49,730 --> 00:54:53,830 +و ده تحط في النظارة in a constant، بيأثر عليه؟ + +555 +00:54:53,830 --> 00:54:59,290 +هقولك أنا، هو في الحالة هذه، هيكون مبسوط لل + +556 +00:54:59,290 --> 00:55:06,250 +reading، لكن في ال distant، هيكون شوية بلا readلو + +557 +00:55:06,250 --> 00:55:11,810 +انا بدأ انصف لو انا اعطيته واحد و نص لل distance و + +558 +00:55:11,810 --> 00:55:18,530 +اتنين و نص لل reading هيكون هو happy اكتر بس يعني + +559 +00:55:18,530 --> 00:55:23,590 +في العرف والعادى ان انا اعطي two pairs of glasses + +560 +00:55:23,590 --> 00:55:30,190 +ل child تيجي بيبقى منتقلة او اعمله by focalهتكون + +561 +00:55:30,190 --> 00:55:35,850 +منتخرة، اكويس هيك، فيعني احنا برضه احنا بنعطي + +562 +00:55:35,850 --> 00:55:40,790 +الطفل فرصة ان يعيش حياته ولا شك انا بقولكوا يعني + +563 +00:55:40,790 --> 00:55:47,570 +حتى الآن في هذه المجتمعات يعني طفل بنضارة يعني + +564 +00:55:47,570 --> 00:55:53,390 +شوية منتخرة يعني فانا انا لا .. لا .. لا اعطي + +565 +00:55:53,390 --> 00:55:59,170 +الطفل نضارة الا للزوم فكيف اعطيه نضارتين؟بصير متقن + +566 +00:55:59,170 --> 00:56:04,050 +مرتين فإذا كان هو قادر يمشي حاله اللي تحت تلاتة + +567 +00:56:04,050 --> 00:56:10,510 +بنضارة فقط للقراءة يطلعها بس عند القراءة و الأشياء + +568 +00:56:10,510 --> 00:56:19,590 +القريبة ماشي على أمل أنه سلن يصل مع السن ترتخي أه + +569 +00:56:19,590 --> 00:56:24,070 +و ال accommodation يجل شوية و بعدين يستغنى عنها مع + +570 +00:56:24,070 --> 00:56:25,490 +السن أو يجللها بالتدريج + +571 +00:56:30,100 --> 00:56:35,880 +طيب نتكلم على post-psychoblastic description طيب + +572 +00:56:35,880 --> 00:56:42,300 +لنفرض انه طلع plus four في السيكولوجيا يمين plus + +573 +00:56:42,300 --> 00:56:49,360 +four شمال بالسيكولوجيا + +574 +00:56:49,360 --> 00:56:59,260 +اخبروني من فضلكم اعطي أربعة كاملين ولا نقص وقداش + +575 +00:56:59,260 --> 00:56:59,740 +اناقص + +576 +00:57:02,840 --> 00:57:16,780 +كم أناجس؟ plus one أختك اسراء أفادت + +577 +00:57:16,780 --> 00:57:22,660 +إن أنا بعمل deduction of one ديوبتر في الحالة + +578 +00:57:22,660 --> 00:57:30,300 +العادية طبعا one ديوبتر هذا هو ال tone بدال ال + +579 +00:57:30,300 --> 00:57:36,800 +toneلما انا اعطيت ال psychological drops عملت + +580 +00:57:36,800 --> 00:57:41,700 +complete paralysis خاصة الأتروبيين of the ciliary + +581 +00:57:41,700 --> 00:57:46,420 +muscle يعني الcellar muscle طلعت من الملعب مؤقتًا + +582 +00:57:46,420 --> 00:57:51,880 +ومع أن الأتروبيين دواء بصيروا metabolism وبعدين + +583 +00:57:51,880 --> 00:57:55,760 +بصيروا excretion بيطلع برا، إذا الcellar muscle + +584 +00:57:55,760 --> 00:58:01,390 +سوف تحيازي الـ Bench بس الواحد تحت العملية + +585 +00:58:01,390 --> 00:58:06,470 +الجراحية بيحطله general anesthesia لمدة ساعة أو + +586 +00:58:06,470 --> 00:58:09,590 +ساعتين وبعدين بيعملوا إفاقة وبيقوموا بيسلموا على + +587 +00:58:09,590 --> 00:58:13,350 +الناس هل متوقع إنه هذا يعيش في ال Bench مدى + +588 +00:58:13,350 --> 00:58:19,890 +الحياة؟ لأ طبيعة الدواء يعني يُأخذ وبيعمله يعني + +589 +00:58:19,890 --> 00:58:24,070 +metabolism وبعدين excretion وبيطلع وبالتالي + +590 +00:58:24,070 --> 00:58:27,740 +الأتروبيل هذا اللي حاطناه ليه فترة؟و يطلع و + +591 +00:58:27,740 --> 00:58:32,940 +السينماسل مش هتلاقي أتروبيل هتصحى طب لو ساحة + +592 +00:58:32,940 --> 00:58:39,720 +ولاجاتنا احنا مليين مكانها مالهاش واسع مش هتلاقي + +593 +00:58:39,720 --> 00:58:48,820 +اتروبيل مش هتشتغل لل reading مش هتشتغل خلاص يبقى + +594 +00:58:48,820 --> 00:58:55,320 +الآن انا بعطي في ال normal تلاتة + +595 +00:58:56,910 --> 00:59:01,210 +و بخلّي واسع للواحد اللي هو لما الcell in muscle + +596 +00:59:01,210 --> 00:59:09,970 +regains its function، كويس؟ التلات + +597 +00:59:09,970 --> 00:59:16,610 +التانين اللي فتله هم اللي هيمنع الcell in muscle + +598 +00:59:16,610 --> 00:59:21,490 +من انها تعمل contraction جوي، contraction جوي، + +599 +00:59:21,490 --> 00:59:28,750 +كويس هيك؟ يبقى الواحد هذا لاقاشللـ tone of certain + +600 +00:59:28,750 --> 00:59:35,830 +muscle لما يروح تأثير الـ psychopathy طيب في حالات + +601 +00:59:35,830 --> 00:59:45,010 +خاصة لو طفل عنده convergent strabismus هو جاييني + +602 +00:59:45,010 --> 00:59:54,290 +سكنت للداخل جاهز اختلفوا في هذا الموضوع هل أخسم + +603 +00:59:54,290 --> 00:59:59,320 +واحد؟ولا أقسم أكتر من واحد ولا أقسم أجل من واحد + +604 +00:59:59,320 --> 01:00:06,440 +ولا مقسمش من مرة؟ أكتر من أنا زيكي ليش؟ يعني أنا + +605 +01:00:06,440 --> 01:00:12,740 +مثلا هنا بدي أعطيه تلتة و نص؟ + +606 +01:00:12,740 --> 01:00:18,100 +هاي رأي و في ناس بيقولوا أعطيه تلتة و نص ليش أعطيه + +607 +01:00:18,100 --> 01:00:22,410 +تلتة و نص؟عشان قصة ال accommodation و ال + +608 +01:00:22,410 --> 01:00:25,350 +convergence ان ال accommodation رح يكون زايد في ال + +609 +01:00:25,350 --> 01:00:29,530 +convergence between ال .. بقلل ال .. انا أطيته + +610 +01:00:29,530 --> 01:00:38,410 +يعني أخصمت منه انا يعني اقل من واحد فعلا اقل من + +611 +01:00:38,410 --> 01:00:44,830 +واحد عشان ال cell muscle ساعة ما تصحى تلاقي عليها + +612 +01:00:44,830 --> 01:00:51,530 +مؤثر نوعا مايمنعها من إنها تعود إلى النشاطات + +613 +01:00:51,530 --> 01:00:55,570 +القوية لأن الـ Convergence جاء من الـ + +614 +01:00:55,570 --> 01:01:02,030 +accommodation فأنا عملت subration لها لجزء من ال + +615 +01:01:02,030 --> 01:01:08,350 +tone كمان أخدت نص ال tone وعطيته + +616 +01:01:08,350 --> 01:01:14,670 +بس نص خصمت نص وعطيته تلت تلت نص من أربعة أنا + +617 +01:01:14,670 --> 01:01:19,920 +وديت ناس علموني جزاهم الأخيرقال في المرحلة الأولى + +618 +01:01:19,920 --> 01:01:25,980 +اعطيه full atropine correction المرحلة الأولى + +619 +01:01:25,980 --> 01:01:30,360 +اعطيه 4 من 4 بقوله كيف قال لي اه ينبغي ان السيارة + +620 +01:01:30,360 --> 01:01:34,820 +المصر اللي عاملة squint بتأثير ال excessive + +621 +01:01:34,820 --> 01:01:38,500 +accommodation يعني excessive contraction عاملة + +622 +01:01:38,500 --> 01:01:43,360 +convergence ان انا اجايبها فترة من الزمن لاتقل عن + +623 +01:01:43,360 --> 01:01:51,560 +شهرين مثلا خليها relaxedبالاش تصحى بقوله كيف جالي + +624 +01:01:51,560 --> 01:01:57,740 +الأسئلة هي لو تصحى بتخرب اطيع شهر او شهرين نوم مش + +625 +01:01:57,740 --> 01:02:02,480 +مادة الحياة بعدين ان الضغط بتتغير ال lenses بتتغير + +626 +01:02:02,480 --> 01:02:09,190 +لما انا اهديها فترة شهر او شهرينFull Atropine + +627 +01:02:09,190 --> 01:02:14,330 +Correction بس يكون high خلوا بايكوا هاه يكون فيه + +628 +01:02:14,330 --> 01:02:20,450 +high degree of strabismus مش أي درجة يعني حقيقة + +629 +01:02:20,450 --> 01:02:26,330 +انا بقرا في بعض الأبحاث انه احنا ممكن نوفر نص + +630 +01:02:26,330 --> 01:02:31,890 +عمليات الحول بالطريقة هذه تصوروا يعني نص عمليات + +631 +01:02:31,890 --> 01:02:42,800 +الحول لـ childrenأو Child's Esotropia جاية من قلة + +632 +01:02:42,800 --> 01:02:47,020 +الـCycloplasia والـ Correction بتاعه يعني بيقولك + +633 +01:02:47,020 --> 01:02:52,060 +هاني درجة كبيرة اعملها على طول Angle Angle كبير + +634 +01:02:52,060 --> 01:02:55,280 +اللي حاول على العملية على العملية على العملية هي + +635 +01:02:55,280 --> 01:02:59,280 +هم أصفر شوية جربها الموضوع هذا اعطيه Full Atropine + +636 +01:02:59,280 --> 01:03:03,600 +Correction شهر أو شهرين بتتأدى بالعضلة بعدين بتخفف + +637 +01:03:03,600 --> 01:03:05,940 +شوية تخسم الواحد بعدين + +638 +01:03:08,890 --> 01:03:14,050 +اللي زي ال convergence quint حالات الastinopia + +639 +01:03:14,050 --> 01:03:19,170 +يعني طفل عمره أقل من ست سنوات العضلة بتاعته قوية + +640 +01:03:19,170 --> 01:03:26,930 +جدا و مع astinopia برضه نفس الشيء يعني ان انا شوية + +641 +01:03:26,930 --> 01:03:30,030 +ممكن + +642 +01:03:30,030 --> 01:03:36,170 +اعطي اخصم واحد او اخصم اقل من واحد او اكتر من واحد + +643 +01:03:36,170 --> 01:03:40,110 +حسب الدرجةبس الكلام الآن على ال convergence + +644 +01:03:40,110 --> 01:03:45,250 +strabismus ان اعطي اقل اخشم اقل من واحد حتى فُط + +645 +01:03:45,250 --> 01:03:54,130 +العضلة في وضع الراحة او relaxation طيب + +646 +01:03:54,130 --> 01:04:02,410 +in older children اعني اكتر من ست سنوات اللي + +647 +01:04:02,410 --> 01:04:07,870 +اقل من ست سنوات و معاه convergenceStrabismus وضوه + +648 +01:04:07,870 --> 01:04:13,310 +صعب بعد ست سنوات، تمان سنوات، عشر سنوات، the + +649 +01:04:13,310 --> 01:04:19,890 +wisest routine الطريقة الأكتر حكمة ان اعتبر حسب + +650 +01:04:19,890 --> 01:04:25,690 +subjective visual test individually individually + +651 +01:04:25,690 --> 01:04:31,630 +اه لبعد ست سنوات صار بتعاون معايا في ايش؟ في ال + +652 +01:04:31,630 --> 01:04:31,770 +chart + +653 +01:04:35,220 --> 01:04:43,360 +يعني انا واحد طفل لما طيته الأربعة من أربعة و + +654 +01:04:43,360 --> 01:04:52,260 +عرضته على سننهار شعر شاف six twenty four six + +655 +01:04:52,260 --> 01:05:00,020 +twenty four هذا wise prescription ولا unwise? + +656 +01:05:01,820 --> 01:05:03,220 +unwise + +657 +01:05:04,890 --> 01:05:12,430 +6.24؟ لأ يعني انا برضه عشيك يعني انا بدي اعمل الان + +658 +01:05:12,430 --> 01:05:18,750 +balance between two things between clear vision + +659 +01:05:18,750 --> 01:05:21,930 +and + +660 +01:05:21,930 --> 01:05:31,710 +balance of eye muscles كيف الميزان؟ انا بدي اعمل + +661 +01:05:31,710 --> 01:05:33,470 +balance بنظر واضح + +662 +01:05:37,370 --> 01:05:43,970 +الأولوية لل balance لكن ليس ميا ميا على حساب ال + +663 +01:05:43,970 --> 01:05:47,850 +clear vision يعني افرض مثلا في الحالة هذه لما طلت + +664 +01:05:47,850 --> 01:05:51,190 +وأربعة شاف ستة ع ستين بالعين تانية انا مش يعني ستة + +665 +01:05:51,190 --> 01:05:58,090 +ع ستين يعني شوية هامي انا هصير loving انت لأ بقولي + +666 +01:05:58,090 --> 01:06:06,070 +لأ لازم بقولي I usually safest to riskto prescribe + +667 +01:06:06,070 --> 01:06:12,830 +the fullest correction بس consistent with متناسبا + +668 +01:06:12,830 --> 01:06:20,270 +مع God's vision which he will accept ايه تقبل؟ + +669 +01:06:20,270 --> 01:06:27,870 +لأنه الطفل صاحب قرار this كان انا اعطيته نضارة + +670 +01:06:27,870 --> 01:06:34,850 +ماشفش فيها بعيد برميها وكل محاولات تبقى بالفشل + +671 +01:06:36,170 --> 01:06:40,210 +الطفل الآن مش زي الطفل الزمان كان ربطوله إياها + +672 +01:06:40,210 --> 01:06:46,310 +بجطانة مايفكهاش إلى ماذي على إمه، الآن لأ لو بقطع + +673 +01:06:46,310 --> 01:06:51,210 +الجطانة بده يتحرر، لو أتيته نضارة ماجراش فيها + +674 +01:06:51,210 --> 01:06:55,570 +كويس، بكسرها، + +675 +01:06:55,570 --> 01:07:02,150 +أصلا لما ألاجي طفل غير متقبل لأمر، لازم أنا أسأل + +676 +01:07:02,150 --> 01:07:08,480 +نفسي كولي، ليش هو مش متقبله؟وعمله مناقشة واعطي ثقة + +677 +01:07:08,480 --> 01:07:12,820 +بنفسه ليش هو مش متقبله؟ ليس بالضرب وليس بالأمر + +678 +01:07:12,820 --> 01:07:20,660 +إنما بالإقناع ليش هو مش متقبله تماما لو واحد جابلك + +679 +01:07:20,660 --> 01:07:26,320 +مشروب قولت sorry ماقدش أشرب لو أقل بقولك واحد + +680 +01:07:26,320 --> 01:07:33,260 +يقولني والله أنا قبل سنة جابولي نفس المشروب لجيت + +681 +01:07:33,260 --> 01:07:38,530 +فيه دبابة بطلت أشرب كل هذا المشروبباحترم عن وجهة + +682 +01:07:38,530 --> 01:07:43,950 +النظر اللي يعني اللي بيدافع عن رأيه وبكون شجاع أنا + +683 +01:07:43,950 --> 01:07:50,350 +بحترمه لا أكره الناس على شيء بحبهوش كمان أنا لا + +684 +01:07:50,350 --> 01:07:57,890 +أكره طفل انه يلبس نضارة هو مش شايف فيها لا بعيد + +685 +01:07:57,890 --> 01:08:04,650 +ولا جريم لكبير بعبر لكن الطفل ممكن مايعبر مسكين + +686 +01:08:04,650 --> 01:08:08,850 +يكون هو ضحيةيبقى القاعدة الأخيرة اللي أنا بقولها + +687 +01:08:08,850 --> 01:08:16,470 +انه the safest الأكثر أماناً to prescribe the + +688 +01:08:16,470 --> 01:08:24,030 +fullest correction بس يتناسب مع أو يتماشى مع أو + +689 +01:08:24,030 --> 01:08:34,170 +يتماهى مع God's vision كفة ميزان ال vision مهم وال + +690 +01:08:34,170 --> 01:08:41,280 +muscle balance والراحةكمان متطلبات مهمة احاول ان + +691 +01:08:41,280 --> 01:08:46,680 +انا اقلل و ازود بما يتناسب مع الحاجتين مع ال + +692 +01:08:46,680 --> 01:08:57,820 +vision و مع ال balance و مع راحة الطفل طيب + +693 +01:08:57,820 --> 01:09:08,310 +الان هنقف عند الشريحة 68 ان شاء اللهونكمل ان شاء + +694 +01:09:08,310 --> 01:09:10,170 +الله المرة الجاية شكرا لكم + diff --git a/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/x-RKGo1ad1g_postprocess.srt b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/x-RKGo1ad1g_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..42727ca23a82145c996b81086a1754b26f9abe4a --- /dev/null +++ b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/x-RKGo1ad1g_postprocess.srt @@ -0,0 +1,1700 @@ +1 +00:00:20,740 --> 00:00:22,420 +أعوذ بالله عن الشيطان الرجيم بسم الله الرحمن + +2 +00:00:22,420 --> 00:00:24,440 +الرحيم الحمد لله و أكفه وأصلي و أصلي مع النبي + +3 +00:00:24,440 --> 00:00:28,680 +المصطفى سنكمل ان شاء الله نظريات presbiopia + +4 +00:00:28,680 --> 00:00:34,280 +presbiopia أسبابها حتى الآن unknown but there are + +5 +00:00:34,280 --> 00:00:40,380 +seven theories regarding the cause or the etiology + +6 +00:00:40,380 --> 00:00:43,400 +of presbiopia the seventh theory is + +7 +00:00:43,400 --> 00:00:49,750 +extralenticular theoryيعني هذا مفترض أنه خارج + +8 +00:00:49,750 --> 00:00:53,830 +العدسة، لا يفكر في العدسة الآن بيقول أن الأسباب + +9 +00:00:53,830 --> 00:00:59,790 +اللي بتعمل presbiopia هي anatomical تشريحية + +10 +00:00:59,790 --> 00:01:05,210 +morphological تشكيلية and physiological وبيركز + +11 +00:01:05,210 --> 00:01:08,170 +كتير أن هذه التغييرات في الـendothelial muscle في + +12 +00:01:08,170 --> 00:01:11,950 +العضلة الهدبية و ال connective tissue اللي في + +13 +00:01:11,950 --> 00:01:13,990 +العضلة الهدبية و في الكورويد + +14 +00:01:17,560 --> 00:01:22,000 +هو حقيقة بيركز على إنه في النظرية بتاعة الـ Extra + +15 +00:01:22,000 --> 00:01:26,320 +Lenticular يعني أسباب خارج العدسة Extra خارج + +16 +00:01:26,320 --> 00:01:32,380 +Lenticular العدسة إنه بالتشريح الميكروسكوبي + +17 +00:01:32,380 --> 00:01:38,780 +والهيستولوجي للعضلة الهضبية وجدوا إنه فيه كتير من + +18 +00:01:38,780 --> 00:01:42,940 +الـ Detached Myofibers Myofibers يعني إيش؟ ألياف + +19 +00:01:42,940 --> 00:01:51,740 +عضلية يعني منفصلةووجدوا إنه في الـisosomes في + +20 +00:01:51,740 --> 00:01:57,440 +الميكروسكوب ووجدوا nerve terminals و nerve endings + +21 +00:01:57,440 --> 00:02:03,940 +نهايات عصبية متفرقة في العضل الهدبية ومنها + +22 +00:02:03,940 --> 00:02:08,580 +الـmyelin figures أو الـmyelin sheath parts المهم + +23 +00:02:08,580 --> 00:02:12,880 +كل هذه التغييرات بتدل على إنه في age related + +24 +00:02:12,880 --> 00:02:20,790 +degeneration in ciliary muscleيعني فيه تغيرات تدل + +25 +00:02:20,790 --> 00:02:26,730 +على تآكل إيه اللي علاقة بالزمن في العضلة الهدبية + +26 +00:02:26,730 --> 00:02:32,470 +طبعا هذا كله هيؤدي إلى إنه ال movement of certain + +27 +00:02:32,470 --> 00:02:35,190 +muscle أثناء ال accommodation إنه فيها decrease + +28 +00:02:35,190 --> 00:02:38,190 +decrease certain muscle movement during + +29 +00:02:38,190 --> 00:02:43,750 +accommodation في عيون الناس وفي عيون ال monkeys + +30 +00:02:44,770 --> 00:02:47,510 +ووجدوا إنه في ال accommodation العضل اللي هتبقى + +31 +00:02:47,510 --> 00:02:54,510 +بتكون أقل حركة منها في الشباب وفي الأطفال يبقى ال + +32 +00:02:54,510 --> 00:02:59,110 +.. النظرية هذه بتركزش على ال lens بتركز على salary + +33 +00:02:59,110 --> 00:03:05,030 +muscle كمان راح هم عملوا histological study يعني + +34 +00:03:05,030 --> 00:03:10,070 +في دراسة هستولوجية ليه human salary muscle في كبار + +35 +00:03:10,070 --> 00:03:15,530 +السن وجدوا التاليووجدوا أول شيء ال size of + +36 +00:03:15,530 --> 00:03:20,330 +cellular muscle decreases حجم العضلة الهدبية بصيبه + +37 +00:03:20,330 --> 00:03:27,790 +decrease ووجدوا أن طول العضلة الهدبية بيقل + +38 +00:03:27,790 --> 00:03:30,950 +مثلا من two centimeter إلى واحد centimeter + +39 +00:03:30,950 --> 00:03:34,650 +بالمقارنة + +40 +00:03:34,650 --> 00:03:39,050 +من سن تلاتين سنة إلى خمس و تمانين سنةكبار السن في + +41 +00:03:39,050 --> 00:03:44,670 +ال 85 طول العضل اللي هتبقى هي نصف طولها وين في + +42 +00:03:44,670 --> 00:03:48,230 +التلاتين السنة في الشباب كمان لاجوا ان ال + +43 +00:03:48,230 --> 00:03:53,170 +lingotinal fibers و reticular portion of the + +44 +00:03:53,170 --> 00:03:55,850 +central muscle decreases تعرفوا ال central muscle + +45 +00:03:55,850 --> 00:04:02,710 +لها three parts of fibers Lingotinal fibers Radial + +46 +00:04:02,710 --> 00:04:06,820 +fibers and Circular fibersيبقى الـ related + +47 +00:04:06,820 --> 00:04:11,340 +longitude لان ال fibers وجدوها ايش بيصير shorter + +48 +00:04:11,340 --> 00:04:17,620 +ووجدوا ال circular part او circular fibers + +49 +00:04:17,620 --> 00:04:21,500 +increases ال circular fibers اللي هو الدائري + +50 +00:04:21,500 --> 00:04:28,760 +الألياف الدائرية لجيوها ايش بيزيد ولجيوا ان ال ال + +51 +00:04:28,760 --> 00:04:32,360 +connective tissue بيزيد خاصة في الألياف الطولية + +52 +00:04:32,360 --> 00:04:37,060 +connective tissue النسيج الضامنكما اللي يجه في + +53 +00:04:37,060 --> 00:04:42,600 +الميكروسكوب انه المسافة ما بين ال .. ال .. ال apex + +54 +00:04:42,600 --> 00:04:48,000 +و sclera spar in the angle of AC decreases يعني + +55 +00:04:48,000 --> 00:04:51,100 +هذه الست تغيرات اللي وجدوها كلها دلت على انه + +56 +00:04:51,100 --> 00:04:56,680 +salary muscle weaker in old age than in youth and + +57 +00:04:56,680 --> 00:05:00,360 +children طيب + +58 +00:05:00,360 --> 00:05:06,770 +في ال old human eyeواجدوا ان الcellary muscle + +59 +00:05:06,770 --> 00:05:10,390 +looks like accommodated cellary muscle of young + +60 +00:05:10,390 --> 00:05:19,670 +يعني مثلا معروف في الشباب ال lens ال lens is flat + +61 +00:05:19,670 --> 00:05:27,410 +في ال wrist في ال accommodation ال lens is sphere + +62 +00:05:27,410 --> 00:05:34,270 +في ال accommodation هذا في الشبابطيب في كبار السن + +63 +00:05:34,270 --> 00:05:39,950 +وجدوا ان ال lens مخض وضع واحد كأنها accommodated + +64 +00:05:39,950 --> 00:05:44,350 +في الشباب هذا senile .. senile lens senile يعني + +65 +00:05:44,350 --> 00:05:51,710 +ايه الشيخوخة يعني ال lens في الشيخوخة لاتصبح flat + +66 +00:05:51,710 --> 00:05:58,330 +يعني مخض وضع كأنها accommodated طيب يبقى هي مخض + +67 +00:05:58,330 --> 00:06:04,350 +وضعوهي مش .. يعني في ال rest .. during rest تشبه + +68 +00:06:04,350 --> 00:06:09,190 +ال accommodated lens in ash in youth during rest + +69 +00:06:09,190 --> 00:06:12,810 +time this condition would allow the lens to become + +70 +00:06:12,810 --> 00:06:15,570 +more accommodated and possibly may contribute to + +71 +00:06:15,570 --> 00:06:18,770 +breast biopia by reducing the functional range of + +72 +00:06:18,770 --> 00:06:22,190 +muscle contraction طيب اللينز اللي ماخده الوضع + +73 +00:06:22,190 --> 00:06:28,830 +اللي بشبه السفير في ال old age هي lensمش قابلة + +74 +00:06:28,830 --> 00:06:33,470 +لمزيدا من ال accommodation خلاص هي واقفة هيك يعني + +75 +00:06:33,470 --> 00:06:35,870 +مافيش تأثير الcellar muscle عليها لأن الcellar + +76 +00:06:35,870 --> 00:06:38,730 +muscle زي ما قال ضعيفة تقدرش الcellar muscle + +77 +00:06:38,730 --> 00:06:41,470 +تعملها مرة flat و مرة accommodated فهي الcellar + +78 +00:06:41,470 --> 00:06:48,350 +muscle مخدة و وضع يعني تشبه أسفير أكتر ما تشبه ال + +79 +00:06:48,350 --> 00:06:53,120 +flat في ال old age و الحركة بتاعتها صعبةعشان أيه؟ + +80 +00:06:53,120 --> 00:06:56,420 +بقول الـ ciliary muscle اه الـ changes فيها okay + +81 +00:06:56,420 --> 00:07:00,200 +it is unclear exactly how to what extent they + +82 +00:07:00,200 --> 00:07:02,820 +contribute to breast biopsy يعني نظرية هذه الـ + +83 +00:07:02,820 --> 00:07:06,900 +configurational أو extra lenticular ما قالت إن الـ + +84 +00:07:06,900 --> 00:07:14,120 +ciliary muscle مثلا بتعمل 70% breast biopsy ولا + +85 +00:07:14,120 --> 00:07:20,130 +قالت الـ lens بتعمل 30% breast biopsyيعني النظرية + +86 +00:07:20,130 --> 00:07:25,490 +ده عيبها أنه لم تحدد دور الcellar muscle بالظبط في + +87 +00:07:25,490 --> 00:07:28,950 +ال breast biopia لذلك فضلت نظرية يعني فشلت حتى + +88 +00:07:28,950 --> 00:07:33,350 +الآن في أنها تصل إلى أن الcellar muscle هي السبب + +89 +00:07:33,350 --> 00:07:36,690 +الرئيسي وبتعمل مثلا تسعين أو سبعين أو تمانين في + +90 +00:07:36,690 --> 00:07:42,090 +المية من ال breast biopia النظرية الأخيرة + +91 +00:07:42,090 --> 00:07:44,830 +multifactorial what's the meaning of + +92 +00:07:44,830 --> 00:07:47,450 +multifactorial متعددة + +93 +00:07:48,820 --> 00:07:53,360 +الأسباب هو حقيقة أقولك إنه في الدراسات على عينين + +94 +00:07:53,360 --> 00:07:57,560 +الـ monkeys وعلى عينين الـhuman الإنسان في + +95 +00:07:57,560 --> 00:08:04,380 +culmination of many factors في تساعد أو في تراكم + +96 +00:08:04,380 --> 00:08:10,640 +لعدة عوامل بتعمل اللي هو صعوبة القراءة في كيبار + +97 +00:08:10,640 --> 00:08:17,320 +السن وهذه العوامل في الآخر بتعملإن الـ amplitude + +98 +00:08:17,320 --> 00:08:21,900 +of accommodation يصير ما إيه؟ Decrease هذه العوامل + +99 +00:08:21,900 --> 00:08:28,700 +بيقول بفترض هي إنها genetic إيش genetic يعني؟ + +100 +00:08:28,700 --> 00:08:34,360 +جينية biochemical، كيميا + +101 +00:08:34,360 --> 00:08:39,750 +حيوية، biophysical، فيزيا حيوية، factorsلأنه الآن + +102 +00:08:39,750 --> 00:08:42,630 +ما اتكلمش و salary muscle ولا جاهل على ال lens + +103 +00:08:42,630 --> 00:08:46,210 +قاعد يقول في عوام الأخرى منها الجينية و منها + +104 +00:08:46,210 --> 00:08:53,470 +كيميائية و منها فيزيائية لكنه استبعد وجود إن ال + +105 +00:08:53,470 --> 00:08:59,270 +lens لها تغيير hard أو sclerosis hardness أو + +106 +00:08:59,270 --> 00:09:02,760 +sclerosisمع إنه بمعظم الكلام اللي فات + +107 +00:09:02,760 --> 00:09:07,000 +substantially جوهريًا بتتكلم على إيه؟ على ال lens + +108 +00:09:07,000 --> 00:09:10,180 +إنه هي فيها sclerosis وفيها قلط الحركة وفيها .. + +109 +00:09:10,180 --> 00:09:13,760 +فالنظرية هذه أخطأت هذا الموضوع ورأت الدورة على + +110 +00:09:13,760 --> 00:09:20,420 +أسباب جينية وفيزيائية وكيميائية طيب، الآن في تحديد + +111 +00:09:20,420 --> 00:09:22,720 +على ال multifactorial explanation of breast + +112 +00:09:22,720 --> 00:09:28,530 +biopia، نشوف إيش العوامل هذه عملتبقول في loss of + +113 +00:09:28,530 --> 00:09:31,930 +acumulative configurational changes ability of the + +114 +00:09:31,930 --> 00:09:34,610 +ciliary muscle يعني هو بعترف أنه ال ciliary muscle + +115 +00:09:34,610 --> 00:09:40,590 +فيها تشكيل في كبار السن يختلف عن الشبابومن هذا + +116 +00:09:40,590 --> 00:09:45,350 +التشكيل إشي بيقصر و إشي بيزيد و إشي بينقص زي ما + +117 +00:09:45,350 --> 00:09:52,190 +قلنا الألياف الطولية بتقصر الألياف الدائرية بتزيد + +118 +00:09:52,190 --> 00:09:56,210 +ال connective tissue بيزيد المسافة بتقل زي ما قلنا + +119 +00:09:56,210 --> 00:10:00,570 +في ال microscope في ال histology الشيء الأثناء + +120 +00:10:00,570 --> 00:10:04,170 +don't preclude changes in the lens from + +121 +00:10:04,170 --> 00:10:09,280 +contributing to presbyopia هم لا يستبعدونوجود دور + +122 +00:10:09,280 --> 00:10:13,940 +للـ lens أصحاب هذه النظرية ماحددوش ماحددوش بقولوا + +123 +00:10:13,940 --> 00:10:19,200 +احتمال يعنى الحقيقة هنا اجا واحد اسمه Campbell و + +124 +00:10:19,200 --> 00:10:23,060 +Glaser Glaser و Campbell قالوا ان في changes in + +125 +00:10:23,060 --> 00:10:25,900 +the lens does not preclude any changes in the + +126 +00:10:25,900 --> 00:10:27,960 +cellular muscle or possibility of other factors + +127 +00:10:27,960 --> 00:10:31,140 +playing a role بقولوا حتى لو كانت العادسة لكن بضال + +128 +00:10:31,140 --> 00:10:37,100 +الcellular muscle هي الأصل في هذه النظرية طيبهو + +129 +00:10:37,100 --> 00:10:40,660 +اللي مش واضح and clear انه changes in the cellular + +130 +00:10:40,660 --> 00:10:44,780 +muscle and the limbs occur together or if one is + +131 +00:10:44,780 --> 00:10:50,340 +consequence of the other يعني بيقولوا .. ايوة هم + +132 +00:10:50,340 --> 00:10:53,480 +بيصيروا الcellular muscle و ال limbs في الشيخوقة + +133 +00:10:53,480 --> 00:10:57,000 +بيصيروا هم اتنين عادزين على ال accommodation ولا + +134 +00:10:57,000 --> 00:11:01,160 +واحدة بتبدأ و التاني بتيجي بعدها consequence يعني + +135 +00:11:01,160 --> 00:11:06,560 +توابع بتابعوا بعضالمهم بيقول ان ال lens clearly + +136 +00:11:06,560 --> 00:11:10,300 +becomes hard عوض عدل بيقول اه صحيح يعني لكن + +137 +00:11:10,300 --> 00:11:14,300 +الcellary muscle ايضا movement reduced with + +138 +00:11:14,300 --> 00:11:20,520 +increasing age مين فيهم جبل ومين فيهم بعد جالبه + +139 +00:11:20,520 --> 00:11:25,740 +بيقول لسه مش معروفit is possible that the lens من + +140 +00:11:25,740 --> 00:11:29,580 +المحتمل أنه ال lens بتصير harder في الأول because + +141 +00:11:29,580 --> 00:11:32,040 +the cerium muscle is less able to exert an + +142 +00:11:32,040 --> 00:11:36,460 +influence بقول أنه ال lens لما متلاقيش شد عليها + +143 +00:11:36,460 --> 00:11:42,120 +بتصير harder تماما زي مفصل الباب لما مايجيش حركة + +144 +00:11:42,120 --> 00:11:47,940 +بيصدق أقولكوا مفصل الإنسان خلي مفصل الإنسان شهر + +145 +00:11:47,940 --> 00:11:52,420 +ماتحركش في cast جبس أو جبيرة ويجي حركه وماعرفش + +146 +00:11:52,420 --> 00:11:57,820 +يحركهفهو بيقول لي لو الcellar muscle فضلت تشد و + +147 +00:11:57,820 --> 00:12:03,660 +ترخي كان ال lens فضلت حيوية لكن كونه cellar muscle + +148 +00:12:03,660 --> 00:12:08,850 +عجزتإذا الـ lens هي تابع إلها يعني ت suppose that + +149 +00:12:08,850 --> 00:12:12,230 +muscle movement is reduced from the absence of + +150 +00:12:12,230 --> 00:12:16,110 +stretching due to hardening lens وممكن محتمل أن ال + +151 +00:12:16,110 --> 00:12:20,970 +lens هي اللي بدأت اليبوسة و النشفان وبالتالي ال + +152 +00:12:20,970 --> 00:12:27,070 +cinema isa أصبحت عادسة عن أن تحدث عليها أثرًاوكمان + +153 +00:12:27,070 --> 00:12:31,290 +رأي تالت ان من المحتمل possible that the age + +154 +00:12:31,290 --> 00:12:35,190 +related changes outlined above occur concurrently، + +155 +00:12:35,190 --> 00:12:37,710 +ما هي concurrently؟ متزامن، concurrently في نفس + +156 +00:12:37,710 --> 00:12:42,390 +الزمن، في نفس الوقت، يبقى هذه النظرية عدلت، بتقول + +157 +00:12:42,390 --> 00:12:45,890 +أنه يمكن أن يكون ال lens و ال cinema set ايجوا + +158 +00:12:45,890 --> 00:12:49,930 +concurrently، العجز فيهم provide a unique، اشي + +159 +00:12:49,930 --> 00:12:53,430 +فريد and truly comprehensive system failure، أي + +160 +00:12:53,430 --> 00:12:57,010 +system اللي بيصيره failureأي نظام؟ نظام الـ + +161 +00:12:57,010 --> 00:13:00,190 +accommodation أحسن، يبقى نظام الـ accommodation هو + +162 +00:13:00,190 --> 00:13:06,410 +system failure بالـ Lens Hardening و بـ Serious + +163 +00:13:06,410 --> 00:13:09,930 +Muscle Loss of Motility Serious Muscle Loss of + +164 +00:13:09,930 --> 00:13:17,550 +Motility طيب خلصنا السبع نظريات بالسلامة، الآن + +165 +00:13:17,550 --> 00:13:21,110 +بقولي ماذا يحمل المستقبل لبريسمو يوبس؟ يعني احنا + +166 +00:13:21,110 --> 00:13:26,340 +خرجنا الآن من نظرياتبلا حقيقة و لا في حقيقة ايش + +167 +00:13:26,340 --> 00:13:31,500 +سبب لبس بيوبيا احتمال واحد اتنين تلاتة صحيح انه + +168 +00:13:31,500 --> 00:13:36,120 +احنا لزينا بيركز على sclerosis of the limbs + +169 +00:13:36,120 --> 00:13:41,340 +sclerosis of the limbs بتضالها أساس لكن مانفينا + +170 +00:13:41,340 --> 00:13:48,740 +عوامل أخرى زي seri muscle changes ومانفينا حتى ال + +171 +00:13:48,740 --> 00:13:51,320 +zonular weakness مانفينهاش + +172 +00:13:53,490 --> 00:13:56,310 +وما أقولكم أنا فيها حتى العوامل الجينية الوراثية + +173 +00:13:56,310 --> 00:14:01,470 +يعني إنه ناس بيجيهم الشيخوقة في النظر قبل أناس + +174 +00:14:01,470 --> 00:14:06,710 +نتيجة لإن أهليهم وجدودهم وجدود وجدودهم هما هيك لكن + +175 +00:14:06,710 --> 00:14:17,720 +ماطلعناش بتصور حقيقي من السبع نظريات كام هيالأسباب + +176 +00:14:17,720 --> 00:14:22,560 +بالمئة أو النسبة المئوية للسبب يعني أنا مثلا بقدر + +177 +00:14:22,560 --> 00:14:27,380 +أقول وأنا بدرس هذا المثاق الحمد لله من زمان هل إن + +178 +00:14:27,380 --> 00:14:32,060 +العدسة في العين حقيقة يعني بتعمل 70% من العدس في + +179 +00:14:32,060 --> 00:14:35,540 +القراءة بعد الأربعين، ماقدرش أقولها هل بقدر أقول + +180 +00:14:35,540 --> 00:14:38,860 +إن العضلة الهدبية بتعمل 50% من العدس في القراءة + +181 +00:14:38,860 --> 00:14:44,240 +بعد الأربعين، ماقدرش أقولها لكن الأمور يعني تقريبا + +182 +00:14:44,240 --> 00:14:54,950 +أنه فيfailure in system with age طيب ايش المستقبل + +183 +00:14:54,950 --> 00:15:03,230 +يحمل لهؤلاء الغلبة اللي هم أغلبية البشر بيقولك انه + +184 +00:15:03,230 --> 00:15:09,710 +في الولايات المتحدة الأمريكية 113 مليون شخص فوق ال + +185 +00:15:09,710 --> 00:15:19,260 +45 سنة كويس؟ طيبلو انا بدأ نبسهم نضارة لقراءة و + +186 +00:15:19,260 --> 00:15:25,000 +النضارة لقراءة fifty dollar، خمسين دولار، بدوا بس + +187 +00:15:25,000 --> 00:15:28,500 +في أمريكا البريس بايوبس ياخدوا five point six + +188 +00:15:28,500 --> 00:15:37,020 +billion dollar نضارات للقراءة، وهذا سوق رائج، نهيك + +189 +00:15:37,020 --> 00:15:39,980 +على أن فيهم ناس صاروا cataract و بدهم يقولوا IOL + +190 +00:15:41,930 --> 00:15:47,050 +فال industry هتزدهر للنضارات وللعدسات التي تزرع + +191 +00:15:47,050 --> 00:15:54,490 +داخل العالم، هذا نظرة اقتصادية، تلاحظين؟ تعالى، + +192 +00:15:54,490 --> 00:16:02,030 +الان صار shift of attention، كما ان البشر بيحاولوا + +193 +00:16:02,030 --> 00:16:06,630 +يحسنوامستوى حياتهم من ناحية الرفاهية والراحة + +194 +00:16:06,630 --> 00:16:09,870 +والتجميل + +195 +00:16:09,870 --> 00:16:16,070 +والكلام هذا فالآن أكثر من حقهم أن يحسنوا النظر + +196 +00:16:16,070 --> 00:16:23,090 +بتاعهم الآن يعني هم بيبحثوا على أشياء زيادة في + +197 +00:16:23,090 --> 00:16:28,990 +الرفاهية في الدول الغربية منها automotive IOL يعني + +198 +00:16:28,990 --> 00:16:34,540 +هذا حلم ما زال يراود العلماءإن الناس اللي بيعملوا + +199 +00:16:34,540 --> 00:16:38,180 +عملية جراحية أو بيشيلوا اللنزة القديمة من العين + +200 +00:16:38,180 --> 00:16:43,600 +انه يزرعوا عدسة بتجوم بنفس الدور ال accommodation + +201 +00:16:43,600 --> 00:16:48,840 +وهذا ما زال بعيد المنال يعني لسه بس حاكوا .. حاكوا + +202 +00:16:48,840 --> 00:16:55,680 +لكن اشتغلوا ماشتغلوش يبقى الآن ال surgery for + +203 +00:16:55,680 --> 00:17:02,460 +breast biopia شغلة سواء Lasik سواء PRKIOL لكن الـ + +204 +00:17:02,460 --> 00:17:09,420 +accommodative IOL هي الشيء اللي حلم الجميع طيب + +205 +00:17:09,420 --> 00:17:14,480 +الآن ال current options ايش current options + +206 +00:17:14,480 --> 00:17:18,780 +الخيارات الحالية المتوفرة for best biopia include + +207 +00:17:18,780 --> 00:17:24,640 +فيه bifocals وفيه monofocals ال bifocals فيه + +208 +00:17:24,640 --> 00:17:28,950 +bifocal spectacleفي bi-focal contact lens في multi + +209 +00:17:28,950 --> 00:17:32,790 +-focal spectacles في multi-focal contact lens قد + +210 +00:17:32,790 --> 00:17:38,430 +multi-focal eye oils هذا كله بيعمل pseudo + +211 +00:17:38,430 --> 00:17:40,770 +accommodation مش accommodation حقيقي pseudo + +212 +00:17:40,770 --> 00:17:45,490 +accommodation يبقى هذا ال current options نمرة + +213 +00:17:45,490 --> 00:17:51,950 +واحد ال bi-focals طيب number two mono vision mono + +214 +00:17:51,950 --> 00:17:54,990 +vision يعني بعين واحدة mono vision بعين واحدة + +215 +00:17:55,730 --> 00:17:59,410 +monovision بعين واحدة في monovision contact lens + +216 +00:17:59,410 --> 00:18:04,770 +يعني إن أقرا بعين واحدة والتاني لإيش ل distance ل + +217 +00:18:04,770 --> 00:18:08,150 +distance في monovision contact lens أحط contact + +218 +00:18:08,150 --> 00:18:13,130 +lens على عين واحدة وأقرأ فيها فيها plus بنفع أه + +219 +00:18:13,130 --> 00:18:16,870 +بنفع أحط عين اليمين مثلا ساعة بدي أقرا أحطها ل + +220 +00:18:16,870 --> 00:18:22,810 +contact lens plus وأقرا فيها تمام في IOL في عين + +221 +00:18:22,810 --> 00:18:29,450 +واحدةبرضه plus أقرأ في عين واحدة في anisometropic + +222 +00:18:29,450 --> 00:18:36,090 +corneal surgery إيش anisometropic corneal surgery؟ + +223 +00:18:36,090 --> 00:18:42,370 +أعمل لزج، لأ أعمل لزج، واحدة للبعيد والتانية + +224 +00:18:42,370 --> 00:18:47,270 +للقريب أشوف البعيد، أسوء سيارة، أشوف تلفزيون، في + +225 +00:18:47,270 --> 00:18:52,080 +عينوأقرأ بقية التانية عشان هيك سموه anisometropic + +226 +00:18:52,080 --> 00:18:58,400 +ايش aniso يعني مختلف anisometropic في بعض الناس + +227 +00:18:58,400 --> 00:19:03,500 +بيحب الاختلاف في واحد بيحب الاتفاق احنا انتوا ايش + +228 +00:19:03,500 --> 00:19:08,600 +بتحبه؟ الاتفاق مش بيقول النبي محمد صلى الله عليه + +229 +00:19:08,600 --> 00:19:12,780 +وسلم بيقول من راضي فله الرضا ومن سخط فله السخط + +230 +00:19:12,780 --> 00:19:17,200 +احنا عامة بنحب ال .. احنا أمة وسط و بنحب الاتفاق و + +231 +00:19:17,200 --> 00:19:26,130 +بنحب السلام كمانطيب، الآن المستقبل بيفكروا في إيش؟ + +232 +00:19:26,130 --> 00:19:32,090 +احنا بقول ال future بيفكروا في automotive IOL ان + +233 +00:19:32,090 --> 00:19:39,390 +السير يعني تنعمل على طول و بيفكروا في جراحة اسمها + +234 +00:19:39,390 --> 00:19:48,240 +scleral expansion scleral expansion حسب سكتشرإن + +235 +00:19:48,240 --> 00:19:52,420 +العضل اللي هتبقى في ال accumulation تطلع لبرا مش + +236 +00:19:52,420 --> 00:19:58,300 +تدخلش جوا زي ما شرحنا المرة الماضية وبالتالي دقان + +237 +00:19:58,300 --> 00:20:03,900 +في ناس بيقولك ال sclera ورا ال limb بس بشوية اللي + +238 +00:20:03,900 --> 00:20:07,000 +فيها الcellary muscle و الcellary body عند ال + +239 +00:20:07,000 --> 00:20:11,680 +parsiplana و ال parsiplicata إن أنا أشرطها بطريقة + +240 +00:20:11,680 --> 00:20:16,760 +معينة أخليها ضعيفة عشان أخلي cellary muscle إلها + +241 +00:20:16,760 --> 00:20:22,880 +واسعتطلع برا وتخش جوا وبالتالي بضيف two to three + +242 +00:20:22,880 --> 00:20:29,720 +diopters of accommodation هذا طبعا لسه في التخطيط + +243 +00:20:29,720 --> 00:20:34,700 +ما نزلش للي اللي عمل لسه تحت التجريب كمان بيخططوا + +244 +00:20:34,700 --> 00:20:41,480 +في المستقبل ان يعملوا injectable IOL injectable + +245 +00:20:41,480 --> 00:20:46,510 +polymeror other flexible accommodative IOLs تكون + +246 +00:20:46,510 --> 00:20:51,770 +injectable في ال Surgery يعني اقتنع حقا و تقدر + +247 +00:20:51,770 --> 00:20:59,050 +تعمل accommodation هذا التجربات لسه بيحاولوها في + +248 +00:20:59,050 --> 00:21:04,020 +الأربع كمان في collection of breast biopiaبحاولوا + +249 +00:21:04,020 --> 00:21:07,720 +يعملوا في ال cataract surgery typically restores + +250 +00:21:07,720 --> 00:21:11,520 +best corrected distance acuity but it leaves the + +251 +00:21:11,520 --> 00:21:15,200 +patient breast biopic يعني الناس اللي الآن بنعملهم + +252 +00:21:15,200 --> 00:21:18,780 +cataract و بنحطهم IOL المشكلة أنهم مش في ال + +253 +00:21:18,780 --> 00:21:24,640 +distance ال distance مش 6 6 لكن وين ال odds؟ في ال + +254 +00:21:24,640 --> 00:21:28,800 +reading ويعتمد في ال reading على spectacle lenses + +255 +00:21:28,800 --> 00:21:32,900 +بيلبسها بعدها نضارة فيها plusات for near vision + +256 +00:21:33,570 --> 00:21:39,010 +الان صار بيحطوا multifocal IOL offer simultaneous + +257 +00:21:39,010 --> 00:21:43,170 +distance and near يبقى الآن الشيء الحديث انه ساعت + +258 +00:21:43,170 --> 00:21:49,650 +ما يشيل الكاتاركت بيزرع IOL متعددة الاش البؤر + +259 +00:21:49,650 --> 00:21:55,010 +multifocal وبالتالي كأنه لابس progressive اللي هو + +260 +00:21:55,010 --> 00:22:00,580 +glassesSpectacle lenses يعني هذه الآن حتى بقولك + +261 +00:22:00,580 --> 00:22:03,520 +بتعمل pseudo accommodation pseudo accommodation مش + +262 +00:22:03,520 --> 00:22:07,760 +accommodation حقيقي يعني ال ال multifocal IOL ما + +263 +00:22:07,760 --> 00:22:11,700 +بتعملش accommodation لكن هي بتدرج ال force I + +264 +00:22:11,700 --> 00:22:17,200 +بتاعتها بتعمل ايش بتعمل pseudo accommodationكمان + +265 +00:22:17,200 --> 00:22:23,040 +الان في متوفر Multifocal IOL Multifocal IOL will + +266 +00:22:23,040 --> 00:22:27,420 +have to show improved clinical outcomes as + +267 +00:22:27,420 --> 00:22:30,820 +measured by objective standards هذا قلنا الان + +268 +00:22:30,820 --> 00:22:37,160 +متوفر طيب ايش ال multifocal vision to connect to + +269 +00:22:37,160 --> 00:22:42,160 +presbyopia؟ ايه المتوفر الان؟ او ايه صفاته؟ بقولوا + +270 +00:22:42,160 --> 00:22:52,080 +ان في دراسة retrospectiveبقى الجدت عملها ودرس + +271 +00:22:52,080 --> 00:22:56,780 +ال satisfaction of patient with bilateral + +272 +00:22:56,780 --> 00:23:05,540 +multifocal IOL and bilateral monofocal IOL يعني حط + +273 +00:23:05,540 --> 00:23:11,260 +في عين multifocal IOL والعين التانية حط فيها + +274 +00:23:11,260 --> 00:23:13,380 +monofocal IOL + +275 +00:23:15,760 --> 00:23:21,320 +نشوف هل العدسات اللي بتزرع عادية الآن بعد ال + +276 +00:23:21,320 --> 00:23:26,720 +cataract ولا focus واحد بس هي أشده ولا العين .. + +277 +00:23:26,720 --> 00:23:30,720 +العين الجديدة اللي فيها ال ايش ال multifocal ونشوف + +278 +00:23:30,720 --> 00:23:36,420 +اقتناع المريض وجد الدارس جدت هذا انه في improved + +279 +00:23:36,420 --> 00:23:39,980 +distance and near with multifocal العين اللي بيشوف + +280 +00:23:39,980 --> 00:23:43,850 +فيهابالـ multifocal قريبا وبعيدا بينما العيش + +281 +00:23:43,850 --> 00:23:48,030 +التاني بشوف فيها بعيدا وفيش قريب هاي واحد التانية + +282 +00:23:48,030 --> 00:23:55,890 +انه اللي زرعناله mono في عينه بده نضارة بعد + +283 +00:23:55,890 --> 00:24:02,750 +العملية عشان يقرأ اللي زرعناله multifocal استغنى + +284 +00:24:02,750 --> 00:24:06,190 +يبقى عامل independence عن ال glasses independence + +285 +00:24:06,190 --> 00:24:11,520 +يعني استقل، تركها خالصهيقتنع تاني، ما هو في الآخر + +286 +00:24:11,520 --> 00:24:15,760 +اللي هو ال satisfaction of patient هو المهم three + +287 +00:24:15,760 --> 00:24:20,100 +إنه العيان عنده greater satisfaction with + +288 +00:24:20,100 --> 00:24:23,300 +multifocal بيقول والله العين اللي عملتها هذه جديد + +289 +00:24:23,300 --> 00:24:27,800 +أحسن من الأول ليش قال والله أنا مقتنع مرتاح فيها + +290 +00:24:27,800 --> 00:24:31,660 +وانا نزل على الدرج طالع الدرج واجرب التلفزيون + +291 +00:24:31,660 --> 00:24:36,040 +وابعد عن التلفزيون وأقرأ حتى من نص متر من متر كله + +292 +00:24:36,040 --> 00:24:40,630 +تمامبنمت تاني؟ لأ محدداني يعني لو انا بدأ اعمل اي + +293 +00:24:40,630 --> 00:24:45,930 +حاجة بدي نضارة على النص و نضارة لقراءة و بصير + +294 +00:24:45,930 --> 00:24:52,510 +يعملك دارس ايش هو شاعر شاعر multi-focal ايش احسن + +295 +00:24:52,510 --> 00:24:57,070 +كمان اخر شي انه less limitation in which + +296 +00:24:57,070 --> 00:25:00,190 +independent task among patients with multi-focal + +297 +00:25:00,190 --> 00:25:03,830 +يعني ال multi-focal اللي زرعها كأنه بعينه العادي + +298 +00:25:05,370 --> 00:25:13,290 +قريب، بعيد، نص نص، كده، حتى في الـ side، كده، كله + +299 +00:25:13,290 --> 00:25:20,410 +تمام، بينما اللي هناك limited لل distance بس طب + +300 +00:25:20,410 --> 00:25:25,690 +إيه عيبها ال multifocal؟ أيوة، العيبها اللي هو ال + +301 +00:25:25,690 --> 00:25:32,150 +heroes و الglareايش heroes؟ الهالات، شوفتي فيه + +302 +00:25:32,150 --> 00:25:35,170 +مرات واحد هيك بيكون قام للنوم، بشوف الشيء له + +303 +00:25:35,170 --> 00:25:40,200 +هالات؟أه وهج ال glare هو الوهج لكن أحنا بيشوف + +304 +00:25:40,200 --> 00:25:43,800 +حالات القمر مرات بيشوفله حالات بيشوف القمر و + +305 +00:25:43,800 --> 00:25:46,700 +بيحاولوا دوائر هيك وش من الضوء وش وكده كده بيقولوا + +306 +00:25:46,700 --> 00:25:50,480 +عنه hells هذه طبعا .. طبعا مريض لما يشكي بيقول + +307 +00:25:50,480 --> 00:25:53,320 +والله انا بيشوف hells و glare مش بيقوله انت أحمد + +308 +00:25:53,320 --> 00:25:57,540 +الله يعني هو عينك لو كانت فيها كترة كانت أحسن يعني + +309 +00:25:57,540 --> 00:26:03,540 +كانت أحسن ولا يعني الانسان يفترض نفسه بيرجع شباب + +310 +00:26:03,540 --> 00:26:08,600 +من أول و جديدفي بعض الناس لأ يعني لأ خلاص يعني بده + +311 +00:26:08,600 --> 00:26:13,660 +يرجع بعد العملية كأنه يعني يرجع عشرين سنة لأ يعني + +312 +00:26:13,660 --> 00:26:18,700 +مختلف لازم الإنسان يسلم إن كل عملية إلها يعني نسبة + +313 +00:26:18,700 --> 00:26:24,360 +من الخسائر لابد إنه يكون مستعد لدفعها صحيح؟ فيعني + +314 +00:26:24,360 --> 00:26:27,940 +هذا مقابل إنه يكون مرتاح في كل شيء شوف hellos أو + +315 +00:26:27,940 --> 00:26:35,360 +أحيانًا glare هذا شيء بسيط طيب ال mono visionالان + +316 +00:26:35,360 --> 00:26:39,720 +هتكلم مش عالمالتي لأ mono vision بعين واحدة يعني + +317 +00:26:39,720 --> 00:26:43,920 +خلاص في بعض الناس بيقولك انا عم يصلح العين للقراقة + +318 +00:26:43,920 --> 00:26:48,680 +ومش مهم بعد هيك يعني بعيش بعين واحدة ايش الأشياء + +319 +00:26:48,680 --> 00:26:52,480 +المتوفرة في ال mono vision one eye correction for + +320 +00:26:52,480 --> 00:27:02,270 +nearبقوله اول شي في contact lens طبعا وفي IOL اه + +321 +00:27:02,270 --> 00:27:08,510 +وفي ال PRK وLASIK refractive او radial keratotomy + +322 +00:27:08,510 --> 00:27:15,790 +بطلنا تشريط القنية بطلنا بطل يعني طيب المشكلة وين + +323 +00:27:15,790 --> 00:27:20,950 +في switching ايش switching from near to distance + +324 +00:27:22,630 --> 00:27:27,630 +يعني انا في عين عاملها سواء contact lens او AOL او + +325 +00:27:27,630 --> 00:27:32,390 +LASIK عاملها للنير العين التانية ال distance الان + +326 +00:27:32,390 --> 00:27:36,250 +كيف ال brain ال brain من هنا ال center visual + +327 +00:27:36,250 --> 00:27:42,350 +center يعمل ال switching لما بدي اقرأ اشغل ال .. + +328 +00:27:42,350 --> 00:27:47,270 +النير و لما بدي انا ا .. اسوء سيارة اشغل البعيد و + +329 +00:27:47,270 --> 00:27:51,420 +في أحيان الناس بتغلب الصحيحيعني بدأ فترة من الـ + +330 +00:27:51,420 --> 00:27:55,840 +adaptation و الـ acclimatization على الموضوع هذا + +331 +00:27:55,840 --> 00:27:59,480 +Different surgical procedures are available not + +332 +00:27:59,480 --> 00:28:04,240 +just RK اللي بطلناه تشريط PRK photoreflective + +333 +00:28:04,240 --> 00:28:06,720 +cratectomy and Lasik Reflective surgery is + +334 +00:28:06,720 --> 00:28:12,520 +intended to alter corneal curvature but IOL and + +335 +00:28:12,520 --> 00:28:15,960 +contact lenses not يعني لما أنا بدأ أعمل Lasik، + +336 +00:28:15,960 --> 00:28:20,110 +إيش بيعمل Lasik في القرنية؟ reformationيعني مثلا + +337 +00:28:20,110 --> 00:28:23,350 +زي ما يقولنا ال myop هيك ال curvature بده يطلع + +338 +00:28:23,350 --> 00:28:28,690 +ليها هيك less ايش؟ less curved اه صحيح اه هنا ال + +339 +00:28:28,690 --> 00:28:33,410 +curvature كبير بده يرجعه يقص منه و يخليه هيك أما + +340 +00:28:33,410 --> 00:28:40,230 +ال IOL لأ يعني ال conya free ايوة و ال contact + +341 +00:28:40,230 --> 00:28:45,770 +lens بس من لا ثقة على القنية وبالتالي هي بتلعبش في + +342 +00:28:45,770 --> 00:28:50,890 +ال curvature زي ال Lasik و الكلام هذاطيب بدنا احنا + +343 +00:28:50,890 --> 00:28:55,450 +في الآخر نعمل comparison of contact lens IOL + +344 +00:28:55,450 --> 00:28:59,190 +Corneal Reflective Surgery for Monovision and + +345 +00:28:59,190 --> 00:29:04,790 +Multifocal Vision Arthrosis الآن بدنا نعمل Libris + +346 +00:29:04,790 --> 00:29:07,950 +Biopia ال correction of Libris Biopia بدنا نعمل + +347 +00:29:07,950 --> 00:29:14,970 +مقاربة تلت حاجات بين contact lenses واحد الأكثر + +348 +00:29:14,970 --> 00:29:20,990 +شيء عن contact lenses التانية IOLالتالتة Corneal + +349 +00:29:20,990 --> 00:29:28,810 +Refractive Surgery الهزيك مثلا ونشوف أول مقارنة في + +350 +00:29:28,810 --> 00:29:33,230 +ال complexity ال complicated التعقيد مين أشد + +351 +00:29:33,230 --> 00:29:40,930 +تعقيدا العدسة اللاسقة وال IOL ولا الهزيك الهزيك + +352 +00:29:40,930 --> 00:29:47,150 +أقدشي الجهازة معقد صح يعني علميا too sophisticated + +353 +00:29:47,150 --> 00:29:52,290 +يعني معقد أكترالـ IOL صح جراحة وفيها بعض التعقيد + +354 +00:29:52,290 --> 00:29:56,810 +لشك بس مش زي الليزك ال contact lens أسهلهم يبنحت + +355 +00:29:56,810 --> 00:30:03,590 +التعقيد أقلهم إيش و أكترهم ال surgeon هاي الحاجة + +356 +00:30:03,590 --> 00:30:10,570 +ال ease of instability يعني + +357 +00:30:10,570 --> 00:30:17,210 +إنه لو أنا بدي أعمل تغيير + +358 +00:30:18,600 --> 00:30:22,940 +زيادة ديوبتر، نقص ديوبتر، نص ديوبتر، زيادة أو نقص + +359 +00:30:22,940 --> 00:30:33,100 +ال LASIK مافي تفاهم والأكتر منه ال IOL ال IOL لما + +360 +00:30:33,100 --> 00:30:42,220 +أنا أزرعها بقدرش أنا أغير فيها يعني ال IOL ثابتة + +361 +00:30:42,220 --> 00:30:48,930 +جوا العينالـ LASIK ممكن اعمله reinforcement ملحقة + +362 +00:30:48,930 --> 00:30:55,550 +نص ديوبتر تلت اربعة ديوبتر ال contact lenses كل ما + +363 +00:30:55,550 --> 00:31:01,630 +بغيرها لو بدي بجيب واحدة اقل قوة او اكتر قوة فال + +364 +00:31:01,630 --> 00:31:05,830 +adjustability ايضا ال contact lenses تفوقت عليهم + +365 +00:31:05,830 --> 00:31:11,740 +لانه من برا طب predictability of correctionIssue + +366 +00:31:11,740 --> 00:31:17,200 +predictable يعني متنبأ به الآن احنا عملنا عملية + +367 +00:31:17,200 --> 00:31:22,920 +LASIK بدنا بالقليل أسبوعين لما يصف النظر طب عملنا + +368 +00:31:22,920 --> 00:31:26,320 +IOL بالقليل بدنا شهر لما يصف النظر طب ال contact + +369 +00:31:26,320 --> 00:31:32,780 +lens ع المكان فالتنبؤ عشان انا بقول انا post + +370 +00:31:32,780 --> 00:31:41,580 +operative result لأ و لا contact lens أسهلهمصح؟ + +371 +00:31:41,580 --> 00:31:46,080 +يعني ممكن أنا بعمل test و أنا قاعد على ال contact + +372 +00:31:46,080 --> 00:31:49,300 +lens بغير واحد، اتنين، تلاتة، بقول هذا وصلت ستة ع + +373 +00:31:49,300 --> 00:31:53,040 +تسعة، اكتب عندك ستة ع تسعة، لكن بقدر اعمل عملية + +374 +00:31:53,040 --> 00:31:56,740 +Lasik و أقول انه لقال نظر مثلا ستة ع اتناش خلاص + +375 +00:31:56,740 --> 00:32:03,080 +يعني، لأ، لسه، فال predictability of contact lens + +376 +00:32:03,080 --> 00:32:06,240 +العزيزة اللي لازقة أسرع نتيجة في التصيح، في + +377 +00:32:06,240 --> 00:32:11,990 +السرعة، كوقت يعنييمكن تاني يكونوا بعد هيك أحسن لكن + +378 +00:32:11,990 --> 00:32:15,970 +أنا لو بدأ أسجل نتيجة أو النتيجة بتسجل contentless + +379 +00:32:15,970 --> 00:32:22,270 +reversibility إيش يعني الانعكاس التعكيس يعني ال .. + +380 +00:32:22,270 --> 00:32:28,530 +أعكس إشي يعني عشانك السيارة لما أقول عكسي reverse + +381 +00:32:28,530 --> 00:32:34,750 +حط reverse بصير تمشي لورا السيارة الآن أنا لو بدأ + +382 +00:32:34,750 --> 00:32:39,740 +أعكس الشي اللي استعملتهالعزيزة اللي أسقى يمكن تخلص + +383 +00:32:39,740 --> 00:32:43,800 +منها بسهولة و أجيب غيرها أستبدلها يعني لكن هل سهل + +384 +00:32:43,800 --> 00:32:49,280 +أستبدل IOL بعد ما خيط العملية أصعب هل ال + +385 +00:32:49,280 --> 00:32:53,060 +refractive surgery الملعب ضيق في ال .. بعد اللي + +386 +00:32:53,060 --> 00:32:57,560 +أزك بقول أنا في حدود تلات تربع نص ديوبتر زي هيك + +387 +00:32:57,560 --> 00:33:03,100 +ممكن يعمل يعني مسح خفيف الملعب ضيق لكن ال IOL خلاص + +388 +00:33:03,100 --> 00:33:11,920 +انحتت ماقدرش أحط كمان IOL إضافيةو أحاول أشيل IOL و + +389 +00:33:11,920 --> 00:33:18,160 +أنزل واحدة أقوى أو أضعف كمان هذي شغلة كبيرة مش + +390 +00:33:18,160 --> 00:33:23,040 +شغلة صغيرة كونه أني أفتح العين كمان مرة و أشيل + +391 +00:33:23,040 --> 00:33:27,600 +عدسة بعد ما فردت ال haptics بتاعتها على ال angle + +392 +00:33:27,600 --> 00:33:32,620 +في الجرح او في ال .. اه اه يعني شيلها صعب صعب صعب + +393 +00:33:32,620 --> 00:33:38,780 +في أحيان بيعمل مشاكل كبيرةفي أثناء عمل إتشير ال + +394 +00:33:38,780 --> 00:33:46,120 +IOL طيب stability استقرار النظر أنا + +395 +00:33:46,120 --> 00:33:50,440 +بحثت عن ال contact lens خلال دقائق مستقر نظر بس + +396 +00:33:50,440 --> 00:33:58,780 +طيب ال refractive surgery هيفضل exchangeable شوية + +397 +00:33:58,780 --> 00:34:04,550 +شوية exchangeable وال IOLنص نص يعني في مشاكل في + +398 +00:34:04,550 --> 00:34:08,390 +stability استقرار نظر لعززها اللي أسقى أسرعهم + +399 +00:34:08,390 --> 00:34:14,750 +استقرارا للنظر طيب المضاعفات كلهم لهم مضاعفات صح؟ + +400 +00:34:14,750 --> 00:34:21,850 +أنا بعرف أن الـ intraocular surgery كاتركت مثلا + +401 +00:34:21,850 --> 00:34:32,360 +has not less than 10 complications أكتر من عشرةليس + +402 +00:34:32,360 --> 00:34:37,860 +أقلها retinal detachment، myocular edema، petrius + +403 +00:34:37,860 --> 00:34:44,300 +hemorrhage، iridial tear، أحيانا ال iris بالمزاعة + +404 +00:34:44,300 --> 00:34:48,420 +معايا، أحيانا petrius loss، بيطلع ال petrius برا + +405 +00:34:48,420 --> 00:34:56,440 +في الجريح، أه أه أحيانا cornial .. cornial .. + +406 +00:34:56,440 --> 00:35:03,100 +endothelial insultيعني ال .. ال endothelium كتير + +407 +00:35:03,100 --> 00:35:08,920 +منه بي .. بيصيرله نوع من التكسير ال endothelial + +408 +00:35:08,920 --> 00:35:12,360 +cells و أحيانا ال dismis .. ال dismis membrane + +409 +00:35:12,360 --> 00:35:19,120 +يعني بيصيرله برضه يعني شئ من ال .. ال insult أثناء + +410 +00:35:19,120 --> 00:35:24,140 +العملية أشياء كتيرة صحية يعني مين بيضحك في كل هذا؟ + +411 +00:35:24,140 --> 00:35:27,240 +لأ لأ هي عمليات ال .. العمليات .. كل عملية لها + +412 +00:35:27,240 --> 00:35:30,940 +ظروف يعنيو معبرة الجراحين أحام تصير complications + +413 +00:35:30,940 --> 00:35:34,100 +يعني كتير من المرة عليهم مثلا موضوع الماكلر إديمة + +414 +00:35:34,100 --> 00:35:38,220 +يعني يفضل ممكن 6 شهور إلى سنة يتعالج بعد ال .. هو + +415 +00:35:38,220 --> 00:35:41,960 +مش .. يعني ال central vision عنده يعني very weak + +416 +00:35:41,960 --> 00:35:46,820 +فهو بيقول في ال complications ال contact lenses + +417 +00:35:46,820 --> 00:35:48,740 +أقلهم ال communications مع أن ال contact lenses + +418 +00:35:48,740 --> 00:35:52,380 +إلا complications بس خارجيا زي مثلا conjunctivitis + +419 +00:35:52,380 --> 00:35:55,540 +زي ال Korean abrasion + +420 +00:35:58,380 --> 00:36:04,620 +corneal ulcer كده كده كده فيه حاجات لشكل يعني حتى + +421 +00:36:04,620 --> 00:36:10,760 +ال hypoxia لو كنا ال hypoxia فيه يعني قل التزويد + +422 +00:36:10,760 --> 00:36:14,200 +القنبل ال oxygen لما يكون فيه ال fitting فيه مشكلة + +423 +00:36:15,080 --> 00:36:20,820 +لكن إذا قررناها بمضاعفة ال IOL ومضاعفة ال LASIK لأ + +424 +00:36:20,820 --> 00:36:25,480 +بظل هي أقل شكرا لكم على حسن استماع والسلام عليكم + +425 +00:36:25,480 --> 00:36:27,160 +ورحمة الله وبركاته + diff --git a/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/xvLGy_VCsXk.srt b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/xvLGy_VCsXk.srt new file mode 100644 index 0000000000000000000000000000000000000000..5933faf0a4a34996bd23052dfa8a7fef2dff9b68 --- /dev/null +++ b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/xvLGy_VCsXk.srt @@ -0,0 +1,2319 @@ +1 +00:00:20,690 --> 00:00:22,710 +أعوذ بالله من الشيطان الرجيم بسم الله الرحمن الرحيم الحمد + +2 +00:00:22,710 --> 00:00:25,930 + لله والصلاة والسلام على رسول الله وآله وصحبه أجمعين + +3 +00:00:25,930 --> 00:00:29,910 +السلام عليكم ورحمة الله وبركاته، احنا بنتكلم في + +4 +00:00:29,910 --> 00:00:36,650 +الأفاكية، disadvantages من ال disadvantages اللي + +5 +00:00:36,650 --> 00:00:42,810 +ذكرناها، إنه absence of accommodation، غياب كل + +6 +00:00:42,810 --> 00:00:46,970 +accommodation، no accommodation، وقلنا فيه false + +7 +00:00:46,970 --> 00:00:52,080 +special orientation في المكان، ولا فيه orientation، + +8 +00:00:52,080 --> 00:00:59,180 +وقلنا image enlargement، image enlargement today، + +9 +00:00:59,180 --> 00:01:06,800 +number four، limitation of visual field، لفكرة + +10 +00:01:06,800 --> 00:01:12,140 +إن تصحح بـ glasses، بيكون + +11 +00:01:12,140 --> 00:01:16,120 +البريفري، دايمًا فيه prismatic effect، مش واضح، blurry، + +12 +00:01:18,160 --> 00:01:22,960 +فالعيال لما بتطلع to the right or to the left، upwards or + +13 +00:01:22,960 --> 00:01:30,460 +downwards، بشوف blurring، طيب، هاي الـ normal visual + +14 +00:01:30,460 --> 00:01:36,420 +field، قُل عنها ميدان البصر أو الساحة البصرية، وهي + +15 +00:01:36,420 --> 00:01:45,620 +يعني بقعة النور في محيط من الظلام، الـ visual field، + +16 +00:01:45,620 --> 00:01:55,350 +أهي جزيرة من الضياء في محيط المظلمات، يعني احنا + +17 +00:01:55,350 --> 00:01:58,470 +بعد هيك كله ضلام، بعد هيك كله ضلام، وهيك كله ضلام، + +18 +00:01:58,470 --> 00:02:02,690 +مافيش إلا الساحة هذه، طيب، الأنواع ده، بس glasses ده، + +19 +00:02:02,690 --> 00:02:07,730 +الأفكيا، وخميلة البريفري بتاعها، أه، فيه prismatic + +20 +00:02:07,730 --> 00:02:13,650 +effect، لما تطلع هيك، تطلع هيك، فوق، تحت، مابيشوفش، يبقى + +21 +00:02:13,650 --> 00:02:17,610 +هذه الساحة البصرية هتكون limited، بس زي هيك مثلًا، + +22 +00:02:19,860 --> 00:02:26,140 +بكون limited، مش unlimited، محدودة، جليدة، محدودة، محدودة، + +23 +00:02:26,140 --> 00:02:30,380 +يبقى for the spectacle، don't move the eyes and + +24 +00:02:30,380 --> 00:02:33,820 +the prismatic effect produced by their periphery + +25 +00:02:33,820 --> 00:02:39,740 +is great، يعني بيكون ten، eleven، twelve، thirteen، + +26 +00:02:39,740 --> 00:02:44,440 +fourteen، the patient has to learn how to move his + +27 +00:02:44,440 --> 00:02:48,560 +head rather than his eyes، إذا كان هو بدأ يتغلب على + +28 +00:02:48,560 --> 00:02:56,060 +المشكلة، هي دي، بيصير مش عينه، لأ، بيحرك رأسه، to + +29 +00:02:56,060 --> 00:03:02,720 +the right، عشان اللي هو الـ center بتاع العدسة يتحرك مع + +30 +00:03:02,720 --> 00:03:07,000 +العيون، ماتكفيش، + +31 +00:03:07,000 --> 00:03:13,160 +يعمل هيك، لأنه حيكون فيه prismatic effect، يبقى، و + +32 +00:03:13,160 --> 00:03:18,740 +اتعود how to move his head أكتر من تحريك عينيه، + +33 +00:03:18,740 --> 00:03:22,800 +especially on looking downward، ليش downward؟ لأنه + +34 +00:03:22,800 --> 00:03:29,700 +فيه الـ ground، بيعمل خاصة السلالم، يبقى السلالم هذه، + +35 +00:03:29,700 --> 00:03:36,340 +مهمة جدًا إنه يضطر يحرك رأسه تحت، عشان ما يقعش، لو فضل + +36 +00:03:36,340 --> 00:03:42,390 +هيك، وطلع بعينه عبر اللي هو محيط العدسة السفلي، + +37 +00:03:42,390 --> 00:03:47,630 +ممكن يقع، falling down، so that he always uses the + +38 +00:03:47,630 --> 00:03:52,990 +central portion of his lens، هذا في الأفاكية، حتى + +39 +00:03:52,990 --> 00:03:58,230 +لما يعمل لها glasses طبعًا، + +40 +00:03:58,230 --> 00:04:05,630 +في الموضوع هذا، حتى + +41 +00:04:05,630 --> 00:04:11,550 +الـ patient يتعود على الـ condition، ويصير له نوع من + +42 +00:04:11,550 --> 00:04:18,390 +المقاومة، يعني هيفضل شهر، شهرين، ثلاثة يحرك رأسه في + +43 +00:04:18,390 --> 00:04:24,790 +اتجاه، حتى إنه يتعود كيف يعمل نوع من الـ adjustment، + +44 +00:04:24,790 --> 00:04:29,030 +المقاومة، the lack of accommodation and limitation + +45 +00:04:29,030 --> 00:04:31,550 +of field may cause a considerable amount of + +46 +00:04:31,550 --> 00:04:35,720 +inconvenience، and at the beginning، في البداية، great + +47 +00:04:35,720 --> 00:04:39,400 +patience is often necessary، صبر، patience، صبر كثير، + +48 +00:04:39,400 --> 00:04:42,880 +حتى إن العين can tolerate the new optical + +49 +00:04:42,880 --> 00:04:49,200 +conditions، مسألة صعبة إنه يعني كل الـ periphery + +50 +00:04:49,200 --> 00:04:57,220 +بتاعه كله blurring، كمان في الـ disadvantage of + +51 +00:04:57,220 --> 00:05:02,490 +aphakia، وهو الـ removal of the lens، the distortion + +52 +00:05:02,490 --> 00:05:07,050 +of peripheral objects، distortion، يعني غير منتظم، و + +53 +00:05:07,050 --> 00:05:12,330 +احنا بالبلد بنقول عنه متعوج أو متععد، يعني إذا رأى + +54 +00:05:12,330 --> 00:05:15,570 +الشيء من الـ periphery هيك أو من الـ periphery هيك، + +55 +00:05:15,570 --> 00:05:23,650 +هيلجيه، يعني مثلًا الشيء المربع، يعني + +56 +00:05:23,650 --> 00:05:35,410 +قد يراه مثلًا هيك، مش منتظم، الدائرة قد يراها oval، زي + +57 +00:05:35,410 --> 00:05:42,710 +البيضة، due to spherical aberrations، لأن الـ lens + +58 +00:05:42,710 --> 00:05:52,900 +heavy و thick، the existence of blind area، blank + +59 +00:05:52,900 --> 00:06:00,040 +area، يعني spot of darkness، طبعًا أيضًا هذه ناتجة عن + +60 +00:06:00,040 --> 00:06:05,780 +الـ prismatic effect في الـ periphery، وهي طبعًا + +61 +00:06:05,780 --> 00:06:08,700 +موجودة في الـ visual field، الشكل، both of which + +62 +00:06:08,700 --> 00:06:12,380 +phenomena are much more accentuated، تزداد، on + +63 +00:06:12,380 --> 00:06:15,600 +moving the eyes to the periphery أو outside + +64 +00:06:15,600 --> 00:06:18,540 +the periphery or outside، + +65 +00:06:26,870 --> 00:06:32,610 +من الأشياء اللي احنا بنذكرها، إن الـ operative + +66 +00:06:32,610 --> 00:06:36,010 +interference for cataract may leave eye highly + +67 +00:06:36,010 --> 00:06:39,870 +susceptible to difficulties of proper optical + +68 +00:06:39,870 --> 00:06:42,810 +correction with distortion of image، so that floors + +69 +00:06:42,810 --> 00:06:47,810 +or tables seem to slope، يعني بدل يكون ماشي على + +70 +00:06:47,810 --> 00:06:53,510 +الأرض كده، يلاقي حاله هو شايف بالخطأ يعني slope، + +71 +00:06:53,510 --> 00:06:59,150 +منحدر، ممكن إنه falling down، to fall down، يعني هو + +72 +00:06:59,150 --> 00:07:03,390 +بيصير وضع قدمه، ووضع كأنه اتنازل، وهو الحاجة على + +73 +00:07:03,390 --> 00:07:09,910 +الأرض، وهذه مشكلة بجانب إن يكون فيه astigmatism، + +74 +00:07:09,910 --> 00:07:14,830 +يعني دايمًا هذه العمليات بعدها بيجي astigmatism، + +75 +00:07:14,830 --> 00:07:22,250 +فيكون يعني hypermetropic astigmatism، يعني مشكلتين، + +76 +00:07:22,250 --> 00:07:26,570 +الـ hypermetropia نتيجة غياب العدسة، ولا استجماتية، + +77 +00:07:26,570 --> 00:07:30,530 +وحتى لو ركب glasses، هيكون فيه مشكلة الـ + +78 +00:07:30,530 --> 00:07:34,830 +magnification، مشكلة الـ magnification، طيب، treatment، + +79 +00:07:34,830 --> 00:07:40,970 +كيف نعالج هذه المشاكل بتاعة الأفاكية؟ طبعًا أولها، + +80 +00:07:40,970 --> 00:07:46,990 +spectacle correction، واحد أفاكية تمامًا عملنا له + +81 +00:07:46,990 --> 00:07:51,150 +refraction plus thirteen DS، + +82 +00:07:52,890 --> 00:07:56,770 +طبعًا لو حطينا ثلاثة .. تلتاش فيه .. اتيه عشرة، + +83 +00:07:56,770 --> 00:08:04,290 +العشرة فيها حاجتين، أول شيء very thick، تشوفوا في + +84 +00:08:04,290 --> 00:08:08,710 +المعمل، انتوا الـ dismissing؟ كيف العشرة plus؟ very + +85 +00:08:08,710 --> 00:08:17,890 +thick، التانية very heavy، ثقيل، لكن احنا نابسنا + +86 +00:08:17,890 --> 00:08:25,300 +glasses، وطبعًا غالبًا ما بتصلحش 6/6، غالبًا مابيكونش + +87 +00:08:25,300 --> 00:08:27,420 +فيها for correction، ليه؟ فيها استجماتيزم كمان، + +88 +00:08:27,420 --> 00:08:35,300 +غالبا يعني كثير منهم بيشوف 6/12 أو 6/18، حتى بالـ + +89 +00:08:35,300 --> 00:08:43,020 +correction، هذا 6/18، 6/12، وهنا بتيجي موضوع كيف أنا + +90 +00:08:43,020 --> 00:08:48,060 +بدي أعمل له lightweight، كيف أنا بدي أخفف الوزن على + +91 +00:08:48,060 --> 00:08:59,240 +وجهه؟ أعملها plastic واحدة، أعملها نوع من الـ flint + +92 +00:08:59,240 --> 00:09:07,780 +مضغوط، واحدة أعملها رملس، واحدة أعمل الـ frame + +93 +00:09:07,780 --> 00:09:13,760 +بلاستيكي، يعني خفيف، أه، وخد امكان، إذا كان عدسة جيلة، + +94 +00:09:13,760 --> 00:09:19,970 +فأنا يعني أحاول بأعمل العدسات plastic، والإطار + +95 +00:09:19,970 --> 00:09:26,030 +plastic، يا بأعمله نوع من المضغوط، يا بأعمله .. يعني + +96 +00:09:26,030 --> 00:09:34,590 +أنا بحاول إني أخفف على العيال يعني، لأنه صعب، طيب، الحل + +97 +00:09:34,590 --> 00:09:38,810 +التاني، أعمل الـ contact lenses، طب الـ contact lenses، + +98 +00:09:38,810 --> 00:09:44,340 +أحسن من الـ glasses في أكتر من ناحية، الناحية الأولى، + +99 +00:09:44,340 --> 00:09:51,820 +light، light weight، ايش يعني ايه الوزن light weight؟ + +100 +00:09:51,820 --> 00:10:08,900 +light weight، خفيفة، اثنين ايه يقولوا ايش؟ اثنين كويس، + +101 +00:10:08,900 --> 00:10:10,640 +no prismatic، + +102 +00:10:13,560 --> 00:10:21,120 +no prismatic effect، ثلاثة no + +103 +00:10:21,120 --> 00:10:30,640 +back vertex distance، مافيش back vertex، عايزايا على + +104 +00:10:30,640 --> 00:10:37,320 +الـ .. وبالتالي إنه no limitation of visual field، + +105 +00:10:37,320 --> 00:10:41,820 +وبالتالي + +106 +00:10:42,950 --> 00:10:50,410 +no magnification، مافيش + +107 +00:10:50,410 --> 00:10:55,310 +تكبير، مافيش limitation of visual field، لأنه العدسة + +108 +00:10:55,310 --> 00:11:03,750 +بتتحرك مع القرنية، floating، صح؟ طيب، + +109 +00:11:03,750 --> 00:11:10,770 +هذه يعني دخلوها من عشرين .. خمسة وعشرين، ثلاثين سنة + +110 +00:11:10,770 --> 00:11:18,710 +للأفاكية، طيب، يبقى الحل الأول نضارة للأفاكية، الحل + +111 +00:11:18,710 --> 00:11:25,150 +الأحسن .. كنت أخبرك لسه، الحل الأحسن، IOL in + +112 +00:11:25,150 --> 00:11:32,370 +implantation in AC، AC IOL implantation، طيب سؤالي + +113 +00:11:32,370 --> 00:11:43,580 +ليش مزروعة في الـ PC؟ شوف .. لأن الـ .. ليش ما أزرع في + +114 +00:11:43,580 --> 00:11:49,620 +الـ posterior و الـ chamber؟ أفاكية الوقت، هو أفاكية + +115 +00:11:49,620 --> 00:12:00,820 +ليش بدي أزرعه في الـ AC، مش في الـ PC؟ + +116 +00:12:00,820 --> 00:12:06,460 +هي + +117 +00:12:06,460 --> 00:12:09,980 +transparent، + +118 +00:12:13,980 --> 00:12:17,380 +شفافة، أه، يمكن تضيق .. بتضيق على الـ .. ليه؟ ما أعملش + +119 +00:12:17,380 --> 00:12:23,800 +في الـ PC، الـ AC هو الجذر، طب هو إيش اللي أفكر؟ يلّا + +120 +00:12:23,800 --> 00:12:29,720 +نرجع موضوعنا، هاي الـ .. هاي القرنية، وهي + +121 +00:12:29,720 --> 00:12:37,580 +بتجي العين الآن، هاي الـ ciliary body، وهنا + +122 +00:12:37,580 --> 00:12:42,520 +العدسة، شيلنا العدسة، شيلنا العدسة، وهين الـ PC؟ + +123 +00:12:47,000 --> 00:12:51,780 +ماذا تعني في الـ PC؟ هي space الموجود بين الـ + +124 +00:12:51,780 --> 00:12:59,340 +iris و الـ ciliary body و الـ lens، طيب، + +125 +00:12:59,340 --> 00:13:03,660 +هاي الفرق، طب ما فيش lens؟ ما ضلش بي سي؟ طب أنا بدي + +126 +00:13:03,660 --> 00:13:08,180 +أحطها هنا، أيش بدي أرجعها؟ أيش بدي أمسكها؟ فيها + +127 +00:13:08,180 --> 00:13:14,680 +لها دهر؟ ما فيش لها دهر؟ يبقى أنا بحطها وين؟ هنا في + +128 +00:13:14,680 --> 00:13:19,550 +الـ iris؟ عشان الـ iris أبقى حتى في الـ AC ما فيش بي سي، + +129 +00:13:19,550 --> 00:13:22,670 +فاهمين؟ + +130 +00:13:22,670 --> 00:13:26,470 +بس ينضحك عليكوا، تقولوا تروحوا المستشفيات، شغالة في + +131 +00:13:26,470 --> 00:13:30,850 +سنة رابعة، بيبدأوا يضحكوا عليكوا، الكبار هدول يقولك + +132 +00:13:30,850 --> 00:13:33,070 +توريني ليش محطها في الـ PC، وبيسانش كده كده كده، + +133 +00:13:33,070 --> 00:13:37,250 +وبيسانش ما فيش PC، انتهت، لما شيلنا العدسة راح + +134 +00:13:37,250 --> 00:13:41,670 +الـ PC معاها، ما فيش PC، صار الملعب من هنا لهنا، + +135 +00:13:41,670 --> 00:13:46,070 +ملعب واحد، كل ملعب واحد ما فيش بي سي، + +136 +00:13:50,320 --> 00:13:56,420 +فاهمتم؟ يبقى ليش قلنا secondary IOL implantation؟ + +137 +00:13:56,420 --> 00:14:01,660 +ايش secondary يعني؟ لأنه مش مكان الـ primary، + +138 +00:14:01,660 --> 00:14:05,500 +الأساسي، لأ لأ لأ لأ، secondary متعلقة بالزمن، + +139 +00:14:05,500 --> 00:14:13,700 +secondary متعلقة بالزمن، بقول إيش يعني؟ + +140 +00:14:13,700 --> 00:14:17,500 +يعني واحد الآن انضرب، + +141 +00:14:21,300 --> 00:14:26,280 +و راحت منه العدسة الآن بعد سنة .. بعد سنتين .. بعد + +142 +00:14:26,280 --> 00:14:31,020 +ثلاثة راح راجع قالوا له بيديك عملية عشان ترمي + +143 +00:14:31,020 --> 00:14:37,080 +النضارة و حطوا له عدسة secondary طب إيش ال primary؟ + +144 +00:14:37,080 --> 00:14:45,960 +في نفس الوقت الآن المريض تحت عملية ال cataract + +145 +00:14:45,960 --> 00:14:49,780 +extraction أو إيش يوم بيبقى removal بيبقى ال + +146 +00:14:49,780 --> 00:14:54,670 +implantation مرحلة ثانية وهو نايم المرحلة الأولى + +147 +00:14:54,670 --> 00:15:01,950 +extraction of cataract مثلا و .. و .. و المرحلة + +148 +00:15:01,950 --> 00:15:05,110 +الثانية هو نايم على طول بيعمل implantation هذا + +149 +00:15:05,110 --> 00:15:09,690 +اسمه primary implantation طيب لو يجي بعد أسبوع .. + +150 +00:15:09,690 --> 00:15:15,810 +بعد شهر .. بعد سنة secondary طيب واحد الآن إن جرح + +151 +00:15:15,810 --> 00:15:21,590 +جرح الصح يروح على طول خياطة طب افرض ما خيطوش أسبوع و + +152 +00:15:21,590 --> 00:15:27,890 +التهاب وإشي و عالجوه ولكن مفتوح و بيبقى مخيطينه بعد + +153 +00:15:27,890 --> 00:15:35,490 +أسبوع و secondary intention تخيلت ثانوي بعد أسبوع + +154 +00:15:35,490 --> 00:15:39,890 +أو بعد أسبوعين أما إذا كان primary في أول اثنتي عشر + +155 +00:15:39,890 --> 00:15:45,930 +ساعة على طول أحسن شيء عرفتم إيش secondary؟ فيما + +156 +00:15:45,930 --> 00:15:46,410 +بعد يعني + +157 +00:15:49,280 --> 00:15:54,480 +طيب هنخش في ال pseudo fruitية طبعا الحقيقة إحنا + +158 +00:15:54,480 --> 00:16:01,000 +قسمنا العيون إلى fake ice و a fake ice و pseudo + +159 +00:16:01,000 --> 00:16:05,440 +fake ice و سألناك سؤال لو واحد أفكاية و حط عدسات + +160 +00:16:05,440 --> 00:16:13,620 +لاصقة بصير أفكاية طب بصير pseudo أفكاية لأ بقول أنا + +161 +00:16:13,620 --> 00:16:18,810 +corrected أفكاية اه corrected أفكاية طب ليش .. ليش + +162 +00:16:18,810 --> 00:16:24,590 +العدسة جونا صينيكيا لحطيتها جوا؟ لأنه شيء في المكان + +163 +00:16:24,590 --> 00:16:29,530 +الأصلي، آه عدسة جوا العين، بس لما كانت العدسة هذه + +164 +00:16:29,530 --> 00:16:35,350 +صينيكيا، شيء صينيكيا، صناعية، جونا عنها صينيكيا، + +165 +00:16:35,350 --> 00:16:43,430 +مش أصليا، الآن في المفاصلة الصناعية، الآن في جزء + +166 +00:16:43,430 --> 00:16:50,360 +من القلب الصناعي الآن في .. إيش كمان صناعي؟ قولوا + +167 +00:16:50,360 --> 00:16:56,140 +معايا غير المفاصل الأطراف + +168 +00:16:56,140 --> 00:17:02,660 +الصناعية و بيمشي فيها يعني .. يعني الصناعة ده خلت + +169 +00:17:02,660 --> 00:17:09,480 +تساعد الإنسان في الرحل، يبقى Sodofacia هذه الآن على + +170 +00:17:09,480 --> 00:17:13,520 +طول فيه primary implantation على المكان و هو تحت + +171 +00:17:13,520 --> 00:17:17,740 +العملية بيعمل extraction و بدخل العدسة و الآن هذه + +172 +00:17:17,740 --> 00:17:23,100 +ما اعترف فيها دوليا أقول لكم أكثر عملية the most + +173 +00:17:23,100 --> 00:17:29,000 +common operation in ophthalmology is intraocular + +174 +00:17:29,000 --> 00:17:34,520 +lens implantation بعد ال cataract مباشرة طيب + +175 +00:17:34,520 --> 00:17:43,360 +هو إيش اللي بيصيره بيجي السيرجون على ال lens من + +176 +00:17:43,360 --> 00:17:48,240 +الأمام بيعمل + +177 +00:17:48,240 --> 00:17:55,880 +شيء من removal of this part of the capsule ونعناه + +178 +00:17:55,880 --> 00:18:02,970 +capsulorexis capsulorexis يعني يجي هيك needle، رأس + +179 +00:18:02,970 --> 00:18:09,190 +needle، رأس يعني إبرة، و يعمل هيك، هيك، هيك، هيك، + +180 +00:18:09,190 --> 00:18:15,090 +هيك، هيك، هيك، هيك، + +181 +00:18:15,090 --> 00:18:15,730 +هيك، هيك، هيك، هيك، هيك، هيك، هيك، هيك، هيك، هيك، + +182 +00:18:15,730 --> 00:18:17,310 +هيك، هيك، هيك، هيك، هيك، هيك، هيك، هيك، هيك، هيك، + +183 +00:18:17,310 --> 00:18:21,750 +هيك، هيك، هيك، هيك، هيك، هيك، هيك، هيك، هيك، هيك، + +184 +00:18:21,750 --> 00:18:31,370 +هيك، هيك، هيك، هيك، هيك، هيك، هيك، هيك، هيك، هيك، + +185 +00:18:31,370 --> 00:18:31,410 +هيك، هيك، هيك، هيك، هيك، هيك، هيك، هيك، هيك، هي + +186 +00:18:35,470 --> 00:18:40,070 +هيا يستفيد من الفتحة دي لإنه بدأ نتعامل مع ال + +187 +00:18:40,070 --> 00:18:46,650 +cortex و مع ال nucleus هاي دخل البرو بتاع الفاكو + +188 +00:18:46,650 --> 00:18:54,230 +بدأ يكسر في جسم العدسة و يعمل suction يسحبها لما + +189 +00:18:54,230 --> 00:18:59,870 +يخليها فاضية خالص لما يخليها فاضية خالص و ينظفها + +190 +00:18:59,870 --> 00:19:07,470 +تمام تحت ال microscope بيجي هنا بيعمل IOL in + +191 +00:19:07,470 --> 00:19:15,510 +Capsular Bag مكان الأولانية نفس + +192 +00:19:15,510 --> 00:19:22,030 +ال power of refraction نفس ال power بس pseudo + +193 +00:19:22,030 --> 00:19:28,130 +صناعية الصورة هذه واضحة فيها ثلاث حاجات إذا أخذتم + +194 +00:19:28,130 --> 00:19:28,490 +بالكم + +195 +00:19:32,250 --> 00:19:37,030 +هنا posterior chamber في ال bag هي ال bag شايفين + +196 +00:19:37,030 --> 00:19:42,730 +جثة في ال bag هذه posterior chamber برا ال bag + +197 +00:19:42,730 --> 00:19:46,170 +قدام شوية بس posterior chamber هذه anterior + +198 +00:19:46,170 --> 00:19:52,390 +chamber implantation لو ما فيش المكان العدسة الأولى + +199 +00:19:52,390 --> 00:20:00,860 +خالص بزرع في ال AC بزرع في ال AC طيب هي نفس الشيء + +200 +00:20:00,860 --> 00:20:06,960 +هيوم شال الفزوق هذا عشان يزرع هنا the advantages + +201 +00:20:06,960 --> 00:20:10,700 +of pseudofika إيش هي المزايا اللي بنقنعها من + +202 +00:20:10,700 --> 00:20:15,900 +pseudofika مقارنة بالأفكاية يعني إحنا لو شيلنا + +203 +00:20:15,900 --> 00:20:20,400 +العدسة الجديدة و خلينا مكان فاضي هذه pseudofika + +204 +00:20:20,400 --> 00:20:24,480 +سيرجع ال pseudofika طب لو زرعنا عدسة بتصير + +205 +00:20:24,480 --> 00:20:29,480 +pseudofika هناك أفكاية وهنا سودوفاكيا الفرق الزراعة + +206 +00:20:29,480 --> 00:20:35,100 +العدسة إيش الفرق بين الحالتين العين هذه أفكاية + +207 +00:20:35,100 --> 00:20:40,300 +والعين هذه سودوفاكيا بقول removal of retinal image + +208 +00:20:40,300 --> 00:20:47,500 +size يعني الأفكاية لو لبسته عدسة عشرة وهذه + +209 +00:20:47,500 --> 00:20:53,620 +سودوفاكيا هذه لها back vertex وهذه العدسة بتكبر + +210 +00:20:54,760 --> 00:20:59,160 +اللي هي لأنها هي plus أنت جيب عدسة plus في المعمل + +211 +00:20:59,160 --> 00:21:05,660 +عشرة plus minus عشرة وخطيهم على الدفتر بتاعك + +212 +00:21:05,660 --> 00:21:10,080 +بتلاقي ال plus مكبر الكلام مرتين ثلاث و ال minus + +213 +00:21:10,080 --> 00:21:15,040 +مزغرة مرتين ثلاث بقولوا + +214 +00:21:15,040 --> 00:21:24,350 +plus lens is magnifier of image و minus lens is + +215 +00:21:24,350 --> 00:21:31,130 +minifier إيش minifier مثلا كونوا + +216 +00:21:31,130 --> 00:21:37,330 +إني أنا عملت implantation inside the eye أنا جيت + +217 +00:21:37,330 --> 00:21:44,070 +ال image size magnification خلصنا يبقى removal of + +218 +00:21:44,070 --> 00:21:48,510 +retinal image size ال magnification يعني خلصت عليه + +219 +00:21:49,250 --> 00:21:52,710 +giving semi-normal size إيه semi-normal size شبه + +220 +00:21:52,710 --> 00:21:56,270 +الطبيعي شبه الطبيعي إحنا ما لهش طبيعي مية المية + +221 +00:21:56,270 --> 00:22:05,530 +لأنه لن يخلقه كخلق لا لكن يعني إيش هو منه ماشي + +222 +00:22:05,530 --> 00:22:12,850 +حالنا non peripheral distortion إيش non peripheral + +223 +00:22:12,850 --> 00:22:16,730 +distortion ما فيش + +224 +00:22:16,730 --> 00:22:24,080 +تتعيد في الصورة لأنه شيء جوالي طب good distance + +225 +00:22:24,080 --> 00:22:27,600 +vision without spectacles يعني تلاقي ممكن تشوف six + +226 +00:22:27,600 --> 00:22:33,380 +six ده ال distance الشيء الرابع إن ال IOL is + +227 +00:22:33,380 --> 00:22:37,920 +permanent إيش permanent؟ ده ده ده طيب طب ال + +228 +00:22:37,920 --> 00:22:42,760 +contact lens و ال glasses إيش بيقول عنها؟ + +229 +00:22:42,760 --> 00:22:48,510 +temporary مؤقت من أفضل ال temporary ولا ال + +230 +00:22:48,510 --> 00:22:51,930 +permanent؟ permanent يعني هذه العدسة لو إجوا + +231 +00:22:51,930 --> 00:22:55,390 +يشيلوها من ال AC أو ال PC ممكن يخربوا العين كلها + +232 +00:22:55,390 --> 00:23:00,430 +لأنه ال haptics بتاعتها الأقدام بتاعتها بتعمل .. + +233 +00:23:00,430 --> 00:23:04,730 +ال .. ال .. ال anger بتعمل عليها إيش؟ نوع من ال .. + +234 +00:23:04,730 --> 00:23:09,720 +ال adhesion ال adhesion يعني التزاقات مش سهلة إنه + +235 +00:23:09,720 --> 00:23:15,300 +يعني يشيلها مش بسهولة يشيلها يعني هي مش just إنه + +236 +00:23:15,300 --> 00:23:20,920 +in a place لا ال .. ال .. ال haptics بتاعتها عاملة + +237 +00:23:20,920 --> 00:23:28,560 +هيك و هي عاملة هيك و ال haptics الثانية نفس الشيء + +238 +00:23:28,560 --> 00:23:33,420 +زي زنبرك spring .. spring يعني زنبرك يعني زنبرك + +239 +00:23:33,420 --> 00:23:38,720 +بتحطيه بدياج ترخيه بيروح بيفتح لما يفتح بيعتمد وين؟ + +240 +00:23:38,720 --> 00:23:43,000 +على الـ capsular bag في الـ posterior chamber وعلى + +241 +00:23:43,000 --> 00:23:48,220 +ال angle OBC في الاش في ال anterior chamber فطبعا + +242 +00:23:48,220 --> 00:23:52,500 +الأطراف هذه بتبقى محكومة هيك بضغط مش سهلة إنك تيجي + +243 +00:23:52,500 --> 00:23:57,550 +إيش تسحبيها هيك مش هتلاقيها سهلة زي ما يقولوا يعني + +244 +00:23:57,550 --> 00:24:03,370 +بدها إيش شد شد شد أو جص الأقدام هذه بتاعة ال + +245 +00:24:03,370 --> 00:24:09,130 +haptics وهذا في العين يعني ال space narrow مش سليم + +246 +00:24:09,130 --> 00:24:15,150 +إيش أجيفه يعني أجصه يعني في مشاكل فهي permanent + +247 +00:24:15,150 --> 00:24:20,290 +زرعناها خلاص انساها طيب + +248 +00:24:24,040 --> 00:24:28,980 +الآن لما بيجي إنسان معاه cataract و بده يعمل يعني + +249 +00:24:28,980 --> 00:24:35,180 +عملية بيقولوا اعملوا له شيء اسمه بيومتري بيومتري و + +250 +00:24:35,180 --> 00:24:40,560 +اقسم إن في البيومتري قياس ال + +251 +00:24:40,560 --> 00:24:47,700 +lens which should be implanted قبل العملية الآن + +252 +00:24:47,700 --> 00:24:59,280 +بيسر الله في ال ..B scan إنه إحنا نعمل الجهاز هيوم + +253 +00:24:59,280 --> 00:25:03,360 +عندنا في المعمل إنه نعمل إيش و في A B scan نعمل ال + +254 +00:25:03,360 --> 00:25:07,720 +biometry ال biometry في الآخر نطلع ال power of + +255 +00:25:07,720 --> 00:25:18,060 +implanted lens هل كل المرضى لهم نفس ال power لا لا + +256 +00:25:18,060 --> 00:25:22,630 +في واحد بيحطوا له 6 و في واحد بيحطوا له 24 و ما بينهم + +257 +00:25:22,630 --> 00:25:29,770 +لأن reflection مش متساوى هنا طيب إيش العوامل اللي + +258 +00:25:29,770 --> 00:25:33,530 +أنا بدي أعرفها في ال biometry يعني أنا بدور على + +259 +00:25:33,530 --> 00:25:40,770 +إيش أنا بدور على مطالب بدور على حاجة اسمها R و إيش + +260 +00:25:40,770 --> 00:25:47,230 +اسمه A و إيش اسمه D بس كده عرفت إيش ال R و إيش ال A + +261 +00:25:47,230 --> 00:25:55,300 +و إيش ال D أصبح إن الوضع سهل نعوض في المعادلة ال + +262 +00:25:55,300 --> 00:26:00,400 +equation عشان نطلع ال P و هي ال power يبقى ال P + +263 +00:26:00,400 --> 00:26:07,320 +equals thirteen thirty six four R minus A divided + +264 +00:26:07,320 --> 00:26:15,280 +by A minus D four R minus D يبقى + +265 +00:26:15,280 --> 00:26:15,660 +هاني + +266 +00:26:18,570 --> 00:26:30,510 +تقسيم و أنا ضرب واضح؟ طيب من اسم ال R radius ار + +267 +00:26:30,510 --> 00:26:34,890 +radius ناس في قطر ناس في قطر إيش قرنية طبعا القرنية + +268 +00:26:34,890 --> 00:26:41,490 +فينا إحنا كلنا مش ناس في الاشي في قرنية ال radius + +269 +00:26:43,480 --> 00:26:48,600 +في سبعة في ستة و نص في ستة و خمسة و نص تختلف + +270 +00:26:48,600 --> 00:26:54,340 +القرنية من إنسان لإنسان أما ال A أكسيا للإنسان + +271 +00:26:54,340 --> 00:26:58,340 +أكسيا للإنسان و هي ال distance between the center + +272 +00:26:58,340 --> 00:27:02,320 +of the cornea and the posterior pole of the eye + +273 +00:27:02,320 --> 00:27:13,500 +ال A بيظل ال D ال D هم بيعملوا constant ثابت في حال + +274 +00:27:13,500 --> 00:27:22,040 +ال AC implantation 3.19 ملي متر في ال AC أما + +275 +00:27:22,040 --> 00:27:27,840 +السكان اللي نفط في ال PC 4.2 ملي متر، بنعوض في + +276 +00:27:27,840 --> 00:27:36,060 +المعادلة، ليش في ال PC 4.2 و في ال AC 3.19؟ يعني + +277 +00:27:36,060 --> 00:27:42,170 +في ال ISC أكبراه ال iris بينهم طيب سمك ال iris + +278 +00:27:42,170 --> 00:27:49,030 +قد إيش ملي أو أقل أقل من ملي هو عالمهم بينهم حوالي + +279 +00:27:49,030 --> 00:27:54,430 +واحد ملي بين ال A شيء و بين ال B شيء بس هال iris هذه + +280 +00:27:54,430 --> 00:27:58,810 +يبقى أنا لو عرفت ال R كام الجهاز بيطلعها و ال A + +281 +00:27:58,810 --> 00:28:07,170 +كام والـ d ثابت خلاص بعوض في المعادلة ممكن يطلع لي 16 + +282 +00:28:07,170 --> 00:28:13,990 +17 18 19 20 21 22 23 24 حسب اللي بيطلع بيروح جايب ال + +283 +00:28:13,990 --> 00:28:18,790 +lens وهيطلبها ضمن الـ set of surgery ضمن طاقم + +284 +00:28:18,790 --> 00:28:24,850 +الجراحة هو بيكتبها له أو بيعطيه ورقة معينة بيقول له + +285 +00:28:24,850 --> 00:28:31,210 +اشتري لي هذه للمريض وهذه يا بنت بناتي يعني بضاعة + +286 +00:28:32,660 --> 00:28:37,380 +في اللي هو الـ medical supply companies زيها زي أي + +287 +00:28:37,380 --> 00:28:42,320 +أباطلة فيه صناعة هندية بخمسين دولار صناعة صينية + +288 +00:28:42,320 --> 00:28:47,180 +بسبعين دولار صناعة باكستانية بأربعين دولار صناعة + +289 +00:28:47,180 --> 00:28:50,980 +ألمانية بمية وخمسين دولار صناعة أمريكية بميتين + +290 +00:28:50,980 --> 00:28:58,720 +دولار ويمكن فيه تلاتمية دولار يعني حسب الغالية بقى + +291 +00:28:58,720 --> 00:29:02,680 +اللي زينا يعني خمسين، أربعين، في ناس بيقول لك لا يا + +292 +00:29:02,680 --> 00:29:05,500 +عمي أنا بدي أبو المية، في واحد بيقول لك أنا بدي أبو + +293 +00:29:05,500 --> 00:29:09,600 +الميتين دولار، العزة صغيرة، أنتو كده إيش + +294 +00:29:09,600 --> 00:29:17,040 +بتختاروه؟ بس اللي بييجي على غزة الغالي اللي عنده + +295 +00:29:17,040 --> 00:29:22,360 +جودة في غزة هو الـ .. إيش اللي expensive ما بييجيش + +296 +00:29:24,060 --> 00:29:28,060 +إحنا تجارنا شاطرين بيجيبوا أرضي شيء وبيربحوا أكتر + +297 +00:29:28,060 --> 00:29:32,340 +شيء لأن لو جابوا أحسن شيء مش هنباع ولو بدأنا نبيع + +298 +00:29:32,340 --> 00:29:41,940 +بيجيب بيعرفش ما .. ما بيعرف فهي الـ IOL يعني برضه + +299 +00:29:41,940 --> 00:29:46,320 +يعني أنواع وأشكال شوفت الهندي، شوفت الباكستاني، + +300 +00:29:46,320 --> 00:29:51,460 +شوفت الصيني، شوفت التايواني، شوفت الألماني، شوفت + +301 +00:29:51,460 --> 00:29:57,780 +الإنجليزي، الأمريكي، الإسباني مصانع تشتغل طيب هذا + +302 +00:29:57,780 --> 00:30:02,620 +العملية اسمها biometry طيب + +303 +00:30:02,620 --> 00:30:10,780 +بدي أسأل الـ reading vision in صيدوفيكي يعني هل + +304 +00:30:10,780 --> 00:30:14,960 +ممكن الصيدوفيكي يقرأ؟ + +305 +00:30:14,960 --> 00:30:18,400 +الصيدوفيكي + +306 +00:30:18,400 --> 00:30:23,180 +ممكن يقرأ؟ ممكن بيظن أنه مش زيقة بس بظن أنه بيقرأ + +307 +00:30:23,180 --> 00:30:27,240 +طب يعني هي الـ .. الـ lens هي بتعمل .. بتعمل + +308 +00:30:27,240 --> 00:30:30,980 +accommodation؟ لأ بتعمل .. إحنا قولنا loss of + +309 +00:30:30,980 --> 00:30:35,000 +whole accommodation مفيش accommodation طب كيف + +310 +00:30:35,000 --> 00:30:39,780 +يقرا؟ بيقول لكم + +311 +00:30:39,780 --> 00:30:46,460 +بيحاولوا أن يعملوا manipulation لأ أو لا أو أيوة + +312 +00:30:46,460 --> 00:30:51,120 +يعني أنا لما أعرف الـ biometry وطلع الـ .. الـ power + +313 +00:30:51,120 --> 00:30:55,400 +twenty + +314 +00:30:55,400 --> 00:31:01,120 +عشرين أنا + +315 +00:31:01,120 --> 00:31:08,080 +بقول له اشتري واحد وعشرين واحد + +316 +00:31:08,080 --> 00:31:14,300 +وعشرين طب ليش واحد وعشرين عشان هو يكون في الآخر + +317 +00:31:14,300 --> 00:31:22,690 +myopia one يكون ميوب يوان كويس؟ + +318 +00:31:22,690 --> 00:31:27,990 +كيف صار ميوب يوان؟ أنه الواحد وعشرين عملة + +319 +00:31:27,990 --> 00:31:31,930 +convergence قدامك + +320 +00:31:31,930 --> 00:31:40,710 +والمعروف أن الميوب بيقرأ بدون glasses يبقى أنا + +321 +00:31:40,710 --> 00:31:47,000 +يعني ما عملتش حاجة يعني غير المطلوب مفيش + +322 +00:31:47,000 --> 00:31:51,940 +accommodation لكن فيه myopia دي خربت الـ myopia يبقى + +323 +00:31:51,940 --> 00:31:58,940 +هاي أول واحدة intended myopia minus one إيش + +324 +00:31:58,940 --> 00:32:05,940 +intended مخطط لها intended myopia minus one طيب + +325 +00:32:05,940 --> 00:32:14,940 +الحاجة التانية اتنين عملوا bifocal bifocal + +326 +00:32:17,050 --> 00:32:25,830 +Iol Iol implantation الـ I يعني implantation يعني + +327 +00:32:25,830 --> 00:32:35,630 +هذا العدسة الجزء هذا للـ distance ولتحت ليش؟ لأني + +328 +00:32:35,630 --> 00:32:45,050 +طلع هيك مثلاً بالعشرين طلع تحت باتنين وعشرين يعني + +329 +00:32:45,050 --> 00:32:52,280 +يقعبس يعني الـ disadvantage بتاعتها إيش؟ أنه في + +330 +00:32:52,280 --> 00:32:57,560 +حاجة اسمها image jump لما + +331 +00:32:57,560 --> 00:33:01,680 +تطلع هيك وهيك، من بعيد للقريب، ومن قريب للبعيد، + +332 +00:33:01,680 --> 00:33:08,980 +في لحظيا الخط هذا اللي بينهم بيعمل تكسر أو غياب للـ + +333 +00:33:08,980 --> 00:33:13,890 +.. للـ .. للـ .. للـ .. للـ .. للـ إيش؟ للصورة يعني لحظيا + +334 +00:33:13,890 --> 00:33:24,390 +هيعمل نوع من blurring لأن الخط مافيش فيه power هنا + +335 +00:33:24,390 --> 00:33:29,470 +عشرين وتحت اتنين وعشرين طب والخط؟ Zero فهو يعني + +336 +00:33:29,470 --> 00:33:32,870 +وهو بيعمل هيك وهيك يعني ممكن إيش يصيب نوع من + +337 +00:33:32,870 --> 00:33:42,040 +absence of image كمان في إيه تاني للـ by focal؟ أنه + +338 +00:33:42,040 --> 00:33:46,340 +الـ intermediate distances يعني الـ distance ده + +339 +00:33:46,340 --> 00:33:52,120 +المهم والـ nearها طيب والـ two three four meters + +340 +00:33:52,120 --> 00:33:57,320 +هذه كيف تعمل؟ طبعاً هيكون هو لا هذه بتأدي ولا هذه + +341 +00:33:57,320 --> 00:34:05,220 +بتأدي عشانك الآن طلعوا progressive progressive + +342 +00:34:05,220 --> 00:34:07,080 +progressive + +343 +00:34:08,490 --> 00:34:12,790 +اكتبوا الكلام هذا IOL + +344 +00:34:12,790 --> 00:34:21,670 +Implantation طبعاً البروجيسف هذه الجيومتري بتاعتها + +345 +00:34:21,670 --> 00:34:28,370 +مختلفة هذه بتعطيني multiple A + +346 +00:34:28,370 --> 00:34:36,090 +lenses with different powers آه واحد اتنين تلاتة + +347 +00:34:36,090 --> 00:34:44,290 +أربعة خمسة ستة وهكذا كل distance لما تيجي العين في + +348 +00:34:44,290 --> 00:34:49,590 +وضع بتلاقي اللي هو الـ focal point بتاعه الجديدة + +349 +00:34:49,590 --> 00:34:54,870 +focal point بما يتناسب مع الـ distance فهو زي ملبس + +350 +00:34:54,870 --> 00:34:58,570 +progressive glasses بيحطوله progressive + +351 +00:34:58,570 --> 00:35:04,750 +intraocular lenses بس هي طبعاً too .. too expensive + +352 +00:35:04,750 --> 00:35:08,430 +بتسمع + +353 +00:35:08,430 --> 00:35:13,450 +أنا بتزراح هنا؟ أنا بسمع progressive + +354 +00:35:13,450 --> 00:35:17,910 +intraocularness طيب + +355 +00:35:17,910 --> 00:35:24,030 +بيقول لي من الأشياء اللي .. اللي بتعمل للـ reading في + +356 +00:35:24,030 --> 00:35:29,970 +السودوفيكيا أنه كبار السن خاصة مع homeosis بتعرفين + +357 +00:35:29,970 --> 00:35:34,720 +البقبو كل ما زادركل ما عمل pinholing best vision + +358 +00:35:34,720 --> 00:35:39,840 +غالباً الـ sphincter pupilli في كبار السن بتكون + +359 +00:35:39,840 --> 00:35:45,760 +أقوى من الـ dilator طب وصغير السن العكس صغير السن + +360 +00:35:45,760 --> 00:35:48,900 +بتقفل تلاتة وأربعة وخمس سنين دايماً البقبو بتاعك + +361 +00:35:48,900 --> 00:35:54,960 +بـ dilator جوي كل ما كبر sphincter .. sphincter + +362 +00:35:54,960 --> 00:35:57,180 +pupilli بصير أقوى التاني + +363 +00:36:02,040 --> 00:36:07,240 +في ناس بيقولوا أنه لما أنا أزرع العدسة، هذا طبعاً + +364 +00:36:07,240 --> 00:36:14,320 +معالج هيك، هنا لما أزرع العدسة في الـ pc العدسة + +365 +00:36:14,320 --> 00:36:21,300 +الصناعية هذه، والـ .. وهاي الـ zonules موجودين، + +366 +00:36:21,300 --> 00:36:26,980 +بيقولوا لما نزل الرأس ويجرح، كل الـ diaphragm هذا + +367 +00:36:26,980 --> 00:36:32,690 +بيخش اللي قدامي شوية يعني بيقدم قدام زي المرجحة يعني + +368 +00:36:32,690 --> 00:36:38,690 +لما نعمل هيك لما نعمل هيك هذي بعرفش إلى أي مدى + +369 +00:36:38,690 --> 00:36:41,930 +بنصدقها يعني طيب العدسة هذي plus ولا minus + +370 +00:36:41,930 --> 00:36:47,890 +المزروعة plus طب على بالكوا لو تقدم هذي milli + +371 +00:36:47,890 --> 00:36:56,930 +لقدام بتأثر على القوة lens effectivity بتزود بتزود + +372 +00:36:58,620 --> 00:37:05,400 +العدسة الموجبة لما كده لما نعملها كده بزيادة القوة + +373 +00:37:05,400 --> 00:37:12,720 +لما نجربها كتير بقلب على الشبكية يعني فهو يعني نظرياً + +374 +00:37:12,720 --> 00:37:18,220 +وإن كان أنا حقيقة مش بيدخل مخي كل حاجة لكن بيظل + +375 +00:37:18,220 --> 00:37:24,980 +نظرياً أنه في وضع الـ reading العدسة المزروعة تتحرك + +376 +00:37:24,980 --> 00:37:31,290 +الأمام قليلاً بتعطي تكبير شوية، مصدقين هذا الكلام؟ + +377 +00:37:31,290 --> 00:37:39,730 +مختلف فيه، كل واحد ساربه، ساربه هذا + +378 +00:37:39,730 --> 00:37:47,990 +.. أن كهرباتنا بتقطع كتير في غزة، لكن المبلغ هو + +379 +00:37:47,990 --> 00:37:49,410 +هو، إقلي + +380 +00:37:51,880 --> 00:37:55,040 +فبسأله بتاع اللي عددت بيقولوا ليش أنتو بتقطعوا + +381 +00:37:55,040 --> 00:37:58,760 +الكهربا كتير أكتر من اتناشر ساعة في اليوم و ليش .. + +382 +00:37:58,760 --> 00:38:06,400 +قالوا أصلاً لما تيجي الكهربا بتيجي سريعة عشان تتعود + +383 +00:38:06,400 --> 00:38:06,740 +القطر + +384 +00:38:11,470 --> 00:38:15,370 +جالو لما تيجي الكهربا بقى بتيجي سريعة عشان تعوض الـ + +385 +00:38:15,370 --> 00:38:19,470 +.. جالو طب العب غيرها يعني .. جالو العب غيرها يعني + +386 +00:38:19,470 --> 00:38:23,850 +.. تضحكش علي عجون يعني أنه يعني لما تيجي بتيجي + +387 +00:38:23,850 --> 00:38:27,370 +سريعة عشان تعوض الجطع وإحنا إيش استفدنا يعني .. + +388 +00:38:27,370 --> 00:38:30,830 +إيش استفدنا إحنا؟ طب نتحمل الجطع، نتحمل مصاري + +389 +00:38:30,830 --> 00:38:42,230 +كمان؟ طيب إيه بقى الـ myosis وحركة الـ IOL اسمها + +390 +00:38:42,230 --> 00:38:48,710 +Sodofocus الـ implanted IOL forward during near + +391 +00:38:48,710 --> 00:38:55,150 +reading وأثناء الـ distance بيجي يتحرك لورا مرجوحة + +392 +00:38:55,150 --> 00:38:58,730 +يعني three + +393 +00:38:58,730 --> 00:39:08,240 +intended or accidental myopia طبعاً غالباً intended + +394 +00:39:08,240 --> 00:39:13,460 +يعني حسب التخطيط .. حسب التخطيط من نص إلى واحد + +395 +00:39:13,460 --> 00:39:21,400 +بتساعد العين يقرأ لكن أنه يعني accommodative + +396 +00:39:21,400 --> 00:39:24,520 +intraocular + +397 +00:39:24,520 --> 00:39:28,560 +lens implantation لأ أنا يعني لسه ما ردش عملية .. + +398 +00:39:28,560 --> 00:39:34,590 +أمس بعض الناس الـ presenters جاله أنه في حاجة + +399 +00:39:34,590 --> 00:39:40,810 +اسمها E-Lenza E-Lenza وأنا جمت لحالي أنا عملت + +400 +00:39:40,810 --> 00:39:43,930 +مداخلة وهم إيه عشان الـ E-Lenza هذي accommodative + +401 +00:39:43,930 --> 00:39:49,490 +فالاخت الله يعزها خير بتقول أنه لأ هذه هتنزل في + +402 +00:39:49,490 --> 00:39:57,750 +الألفين وطمنتاش ولسه في المعامل بتجرب واحتمال تفشل + +403 +00:39:57,750 --> 00:40:02,750 +طب وفشلت جال سير ordinary أنت تتوقع عن نفسك يعني + +404 +00:40:02,750 --> 00:40:07,170 +زي .. زي اللي قبل طبعاً متوقع أنها تفشل جالها دي + +405 +00:40:07,170 --> 00:40:15,750 +إلى إلها نوع من الـ sensors حسب المسافة يعني تشتغل + +406 +00:40:15,750 --> 00:40:21,310 +على الـ sensors يعني شيء نوع جديد يعني ربنا يسحب، هي + +407 +00:40:21,310 --> 00:40:24,050 +لو .. لو نجحت يعني في أمريكا والبلاد كيندا وهذه + +408 +00:40:24,050 --> 00:40:30,710 +بعد عشر سنين ممكن نسمع فيها يعني طيب يبقى فيه + +409 +00:40:30,710 --> 00:40:38,350 +bifocal IOL وفيه progressive IOL طيب ما هي الـ + +410 +00:40:38,350 --> 00:40:44,110 +problems بتاعة السودوفيكيا؟ صح السودوفيكيا شيء .. + +411 +00:40:44,110 --> 00:40:50,470 +شيء ممتاز كان البنات قبل خمسين عامة في خطأنا + +412 +00:40:50,470 --> 00:40:56,330 +الحبيب إذا أصيب بالـ cataract بعد السبعين يقولوا + +413 +00:40:56,330 --> 00:41:04,680 +فجد بصره يقعد في البيت ولابد يطلع بده طفل أو طفلة + +414 +00:41:04,680 --> 00:41:10,700 +يسحبه من ايده عشان يوديه على المشوار اعمل لما كانوا + +415 +00:41:10,700 --> 00:41:14,480 +يصيبوا cataract كانوا يقولوا اعمل قبل خمسين سنة + +416 +00:41:14,480 --> 00:41:17,560 +ما كانش عندنا في قطاعنا الحبيب عملية cataract + +417 +00:41:17,560 --> 00:41:21,360 +extraction قبل السبعين كانوا يقولوا فلان + +418 +00:41:21,360 --> 00:41:26,940 +أصبح عاجز وخلاص يقعد في البيت هم يطعموه ويسقوه وخلاص + +419 +00:41:26,940 --> 00:41:30,980 +نهائي يعني زي ما بيقولوا يعني completely + +420 +00:41:30,980 --> 00:41:36,200 +dependent على غيره فلما صارت الـ .. اللي هو الـ + +421 +00:41:36,200 --> 00:41:40,980 +intracapsular الأفاكية آه .. آه .. تطور كبير و + +422 +00:41:40,980 --> 00:41:44,780 +بيمشي بنظارة يعني هذا قبل أربعين سنة صار يمشي + +423 +00:41:44,780 --> 00:41:52,940 +بنظارة الناس شيلوا له الـ cataract و يمشي بنظارة لما + +424 +00:41:52,940 --> 00:41:58,100 +صار الـ IOL implantation آه .. آه .. صار شبه طبيعي + +425 +00:41:59,260 --> 00:42:04,000 +ملاحظين؟ وصدق الله العظيم ويخلق ما يشاء.. تعالوا + +426 +00:42:04,000 --> 00:42:12,480 +يعني لسه العالم ما تطور ولا أبحثش.. شجعنا طيب أول + +427 +00:42:12,480 --> 00:42:21,200 +problem .. مشكلة أنه كتير بصير difference between + +428 +00:42:21,200 --> 00:42:25,880 +what was planned and what has resulted إيش يعني؟ + +429 +00:42:28,920 --> 00:42:34,300 +احنا خططنا لشيء عشان لما يطلع من العملية يشوف six + +430 +00:42:34,300 --> 00:42:40,020 +six وبعد ما طلع من العملية وشهرين وهو بيشوف six + +431 +00:42:40,020 --> 00:42:48,660 +twelve طب إيش اللي صار؟ إيش الفرق هذا؟ جاك يا عمي + +432 +00:42:48,660 --> 00:42:54,320 +any operation has its own circumstances + +433 +00:42:56,630 --> 00:43:02,710 +كل عملية إلها ظروفها الخاصة يعني جراح بيعمل عشر + +434 +00:43:02,710 --> 00:43:05,770 +عمليات في اليوم كل عملية إلها ظروفها وفي عملية + +435 +00:43:05,770 --> 00:43:10,250 +بتمشي smooth وفي عملية بتمشي difficult وفي عملية + +436 +00:43:10,250 --> 00:43:16,790 +بتمشي بـ complications مضاعفة مضاعفة لا stigmatism + +437 +00:43:16,790 --> 00:43:22,530 +مضاعفة الـ retinal detachment مضاعفة الـ macular edema + +438 +00:43:22,530 --> 00:43:27,840 +مضاعفة vitreous hemorrhage مضاعفة retinal tear + +439 +00:43:27,840 --> 00:43:34,540 +مضاعفة posterior capsule tear مضاعفة vitreous loss + +440 +00:43:34,540 --> 00:43:41,520 +مضاعفة أكثر مضاعفة فالواحد يعني هو بيبدأ وفي بداية + +441 +00:43:41,520 --> 00:43:48,740 +لو إشي بيطلع بنتيجة تانية خلاص زي ما جاب لهم زمان + +442 +00:43:48,740 --> 00:43:54,900 +ما كلوا ما يتمنوا المرء يدريكوه بما لا تستهزفوا + +443 +00:43:54,900 --> 00:43:59,080 +بِتجْريحِه عشان احنا كمسلمين بيقول الحديث دائما اللهم + +444 +00:43:59,080 --> 00:44:03,660 +لا تُسهِّل إلا ما جعلته سهلا وأنت تجعله حزنا إيه ده + +445 +00:44:03,660 --> 00:44:07,300 +شيئته سهلة؟ إيه كتير جراح وما عملها ألف مرة + +446 +00:44:07,300 --> 00:44:12,340 +بتطلع له مضاعفات بيعرفش كده، نظيف، بصريش، كده، كده، + +447 +00:44:12,340 --> 00:44:18,040 +كده الشيء الثاني significant astigmatism يعني هو + +448 +00:44:18,040 --> 00:44:27,120 +عمل عملية وخيط وظبط طلع له أربعة إلى ستة ديوبتر DC + +449 +00:44:27,120 --> 00:44:35,740 +يا سلام كيف تلعبوا الـ astigmatism الصعوبة + +450 +00:44:35,740 --> 00:44:42,580 +الثالثة anisoconia هو + +451 +00:44:42,580 --> 00:44:47,100 +فرق + +452 +00:44:47,100 --> 00:44:53,900 +في حجم الصورتين يعني العين اليمين عملها في بلد + +453 +00:44:53,900 --> 00:45:00,020 +مثلا الـ 2000 وزرع + +454 +00:45:00,020 --> 00:45:08,660 +فيها 20 بعد خمس سنوات في الـ 2005 والتانية + +455 +00:45:08,660 --> 00:45:13,260 +صارت كاتركت عملة في بلد تانية بعيد عن البلد الأولى + +456 +00:45:13,260 --> 00:45:17,780 +حط فيها 22 + +457 +00:45:17,780 --> 00:45:22,900 +طيب + +458 +00:45:22,900 --> 00:45:28,970 +هذه عدسة plus وهذه عدسة plus الآن الـ power بيختلف + +459 +00:45:28,970 --> 00:45:37,450 +حجم الصورة image size هل هيكونوا في الـ center في + +460 +00:45:37,450 --> 00:45:44,430 +الـ occipital cortex نفس الشيء يعني هذه عملة صورة + +461 +00:45:44,430 --> 00:45:51,930 +بهذا الحجم وهذه عملة صورة بهذا الحجم أكبر المخ في + +462 +00:45:51,930 --> 00:45:58,580 +الآخر بيعمل fusion إيش fusion دمج دمج هذه مع هذه + +463 +00:45:58,580 --> 00:46:06,540 +صعب ولو الفرق أكبر أصعب ولو الفرق أكبر كمان + +464 +00:46:06,540 --> 00:46:11,140 +هتصير impossible، no fusion، مش هتشوف دبلوبيا، + +465 +00:46:11,140 --> 00:46:19,060 +double vision، هذه المشكلة، واضح؟ فهو بيقول لي أنا + +466 +00:46:19,060 --> 00:46:23,620 +انيسوكونيا، اختلف في حجم الصورة، mainly to problems + +467 +00:46:23,620 --> 00:46:28,710 +with binocular coordination كيف يعني كل شوية تفض + +468 +00:46:28,710 --> 00:46:33,950 +صورة سوف يشبكوا في بعض مصدع متقلم لأنهم مش + +469 +00:46:33,950 --> 00:46:39,370 +جايين مش مقتبخين المخ بيطابقهم على بعض بالظبط، + +470 +00:46:39,370 --> 00:46:42,590 +إذا كان في واحدة أكبر وواحدة أصغر هذه المشكلة، + +471 +00:46:42,590 --> 00:46:49,230 +تاعي الشيء الثالث الـ eccentric lenses، إيه المعروف؟ + +472 +00:46:49,230 --> 00:46:56,190 +أنه لما بدوا يزرعوا بدي يكون الـ center بتاع الـ lens + +473 +00:46:56,190 --> 00:47:03,290 +مثلا لو هنا مع center الـ pupil بالظبط هيك يعني + +474 +00:47:03,290 --> 00:47:09,710 +الضوء يمشي هيك لسبب أو لآخر زراعة مالت اللي هي + +475 +00:47:09,710 --> 00:47:14,310 +جاية هنا eccentric + +476 +00:47:14,310 --> 00:47:23,080 +خارج المركز خارج المركز لسبب أو لآخر أحيانا بناتي + +477 +00:47:23,080 --> 00:47:28,740 +هو اللي بيصير إن الـ intra-aquary lenses هذه لها + +478 +00:47:28,740 --> 00:47:36,900 +خروم على المحيط بيقولوا dialing holes أو pores، + +479 +00:47:36,900 --> 00:47:42,420 +dialing فاكرين التليفونات اللي قبل عشرين سنة اللي + +480 +00:47:42,420 --> 00:47:47,540 +كده؟ Dial، خط الواحد للآخر تسحبه، اتنين، تلاتة، + +481 +00:47:47,540 --> 00:47:57,730 +ازاي هيك؟ هذه بيحطوها عشان فيه يعني طول معين هيك + +482 +00:47:57,730 --> 00:48:03,210 +بيحاول إنه يدخله ويسنتر العدسة فيه بيوضيك + +483 +00:48:03,210 --> 00:48:08,770 +يمين شمال فوق تحت من الخرم الحين العدسة هذه بتميل + +484 +00:48:08,770 --> 00:48:15,910 +بصير أي خرم مقابل visual access طب الخرم هذا + +485 +00:48:17,170 --> 00:48:22,610 +powerless، إيش يعني powerless؟ الخرم واقف ليه قبال + +486 +00:48:22,610 --> 00:48:27,970 +الـ .. كيف الـ .. مش هشوف، يبقى أحيان بيصير + +487 +00:48:27,970 --> 00:48:33,850 +eccentricity ميل عن المركز بيعمل blurring، و + +488 +00:48:33,850 --> 00:48:38,490 +أحيانا الـ dialing hole، الخرم هي ده بيجي قبل + +489 +00:48:38,490 --> 00:48:45,200 +القبقب، طبعا الأسف ده شيل، خلاص جاب موتوس كونش اتمكن + +490 +00:48:45,200 --> 00:48:49,360 +اللي بده أشيل اللي بده أشيل يعمل لها يعني نوع من + +491 +00:48:49,360 --> 00:48:55,540 +الـ adjustment آه أو re-centration يحطها في الـ + +492 +00:48:55,540 --> 00:49:01,280 +center بده يعمل لها remove عشان يزرع جنبها اصلا + +493 +00:49:01,280 --> 00:49:09,460 +بيجيوني ناس معبدات كاتركت مثلا 6/24 بعمله + +494 +00:49:09,460 --> 00:49:16,760 +reflection trial بشوف 6/6 مين أحسن يمشي بنظارة + +495 +00:49:16,760 --> 00:49:23,640 +6/6، normal lens العادية، natural lens ولا + +496 +00:49:23,640 --> 00:49:34,840 +نعمل له cataract extraction while implantation احنا + +497 +00:49:34,840 --> 00:49:40,480 +مدرستنا بيقول كالتالي إن طالما هو بيشوف god vision + +498 +00:49:40,480 --> 00:49:44,200 +with glasses سيئة اعطيه glasses وغيره المهم بيشوفه + +499 +00:49:44,200 --> 00:49:53,480 +كويس و مرتاح أفضل من عملية لا يضمن نتائجها إلا إذا + +500 +00:49:53,480 --> 00:49:59,080 +عملت له interruption لـ his work own work يعني في + +501 +00:49:59,080 --> 00:50:04,860 +واحد بيقول لك أنا والله يا عمي مهندس برمجيات يعني + +502 +00:50:04,860 --> 00:50:10,100 +شغلتي أنا مبرمج على الكمبيوتر هذه النظارة بتاعتك + +503 +00:50:10,100 --> 00:50:15,960 +برضه عملالي زغل يعني مش مرتاح فيها واحد بيقول لي + +504 +00:50:15,960 --> 00:50:23,420 +والله أنا أساس طبيب جراح في أوعية القلب الكناري + +505 +00:50:23,420 --> 00:50:30,080 +يعني إيش يعني في أوعية القلب؟ دقيق نظرتك هذه؟ آه + +506 +00:50:30,080 --> 00:50:34,220 +إذا كان special jobs، + +507 +00:50:34,220 --> 00:50:40,890 +أمر يالله بدنا نعمله كـ track بدري أما غيره لا + +508 +00:50:40,890 --> 00:50:47,710 +ولا لأنه ممكن إنه ينضرب ببعض الـ complications يقول + +509 +00:50:47,710 --> 00:50:51,770 +الوضع الأول أحسن وأحسن وأحسن وأحسن وأحسن و + +510 +00:50:51,770 --> 00:50:51,890 +أحسن وأحسن وأحسن وأحسن وأحسن وأحسن وأحسن و + +511 +00:50:51,890 --> 00:50:58,350 +أحسن وأحسن وأحسن و + +512 +00:50:58,350 --> 00:51:00,190 +أحسن وأحسن وأحسن وأحسن وأحسن وأحسن وأحسن و + +513 +00:51:00,190 --> 00:51:00,230 +أحسن وأحسن وأحسن وأحسن وأحسن وأحسن وأحسن و + +514 +00:51:00,230 --> 00:51:07,490 +أحسن وأحسن وأحسن وأح + +515 +00:51:09,720 --> 00:51:16,180 +طبعا أول شيء هنجرب بـ spectacle lenses يعني عين + +516 +00:51:16,180 --> 00:51:21,140 +بتشوف 6/24 وعين + +517 +00:51:21,140 --> 00:51:25,100 +بتشوف 6/9 هيرجع + +518 +00:51:25,100 --> 00:51:30,020 +لنظارة بعد فترة بحيث نقرب بين القوة في عدد تاني + +519 +00:51:30,020 --> 00:51:33,400 +نظارة يعني نعمل compromise يعني مثلا والله هذه + +520 +00:51:33,400 --> 00:51:38,260 +أخذت minus two وهذه minus one + +521 +00:51:41,740 --> 00:51:45,360 +بقدر الإمكان ما نخليش الفرق الكبير لأن الفرق الكبير + +522 +00:51:45,360 --> 00:51:51,200 +هيعمل anisoconia حجم الصورة هيختلف في المركز، + +523 +00:51:51,200 --> 00:51:56,860 +الحاجة هيعمل compromise compromise يعني تقريب، + +524 +00:51:56,860 --> 00:52:06,940 +إيش؟ تقريب منقرب يعني طب contact lens where؟ يلبس + +525 +00:52:06,940 --> 00:52:12,300 +contact lens أحسن من العدسة يعني لو صار بعض العملية + +526 +00:52:12,300 --> 00:52:17,540 +مش تمام النظر نعطيه contact lens لكن بقول لي من + +527 +00:52:17,540 --> 00:52:23,920 +السخافة إنه بقى أحد طالع من العملية لسه بعد شهر أو + +528 +00:52:23,920 --> 00:52:27,880 +شهرين أقول له البس contact lens mandatory إيش + +529 +00:52:27,880 --> 00:52:35,440 +mandatory؟ إيش باريان؟ يعني الفكرة سخيفة شوية أو + +530 +00:52:35,440 --> 00:52:39,660 +محزنة شوية تماما زي اللي بيروح بسافر وبيعمل lazy + +531 +00:52:40,960 --> 00:52:46,760 +وبيجي بنلاقي 6/12 تلبس نظارة بقول له ليه؟ + +532 +00:52:46,760 --> 00:52:52,260 +impossible .. impossible .. ليش؟ + +533 +00:52:52,260 --> 00:52:56,100 +واحد بيقول ليه؟ وما يكوننا أن نعود فيها بعد إذن + +534 +00:52:56,100 --> 00:53:03,760 +جلّ جلال الله منها هي النظارة يعني أنا إلي تلاتين سنة + +535 +00:53:03,760 --> 00:53:07,880 +بالنظارة طب مين النبي اللي قال وما يكوننا أن نعود + +536 +00:53:07,880 --> 00:53:13,140 +فيها إلا أن شاء الله ربنا واسع ربنا كل + +537 +00:53:13,140 --> 00:53:17,360 +شيءٍ علماً على الله توكلنا مين؟ + +538 +00:53:17,360 --> 00:53:22,420 +موسى وقال الملأ الذين استكبروا من قومه لنخرجنك يا + +539 +00:53:22,420 --> 00:53:29,160 +شعيب والذين آمنوا معك من قريتنا أو لتعودن في ملتنا + +540 +00:53:29,160 --> 00:53:34,280 +قال أو لو كنا كارهين قد افترينا على الله كذباً إن + +541 +00:53:34,280 --> 00:53:39,580 +عدنا في ملتكم بعد إذ نجّان الله منها هذا سيدنا + +542 +00:53:39,580 --> 00:53:45,900 +شعيب عليه السلام طيب ثلاثة من ما كنا فيه ذاق حلوة + +543 +00:53:45,900 --> 00:53:54,060 +الإيمان حديث عارفين الحديث؟ أن يكون الله ورسوله + +544 +00:53:54,060 --> 00:54:01,140 +أحب إليه مما سواهما وأن يحب الرجل لا يحبه إلا + +545 +00:54:01,140 --> 00:54:06,500 +لله وأن يكره أن يعود الكفر بعد إن أجاه الله منه + +546 +00:54:06,500 --> 00:54:10,760 +كما يكره أن يُقدف في النار أو كما قال صلى الله + +547 +00:54:10,760 --> 00:54:16,030 +عليه وسلم هذه الآية وهذه الحديث وهذه النظارة اللي + +548 +00:54:16,030 --> 00:54:26,290 +كان يلبسها قبل العملية قبل الـ laser يرجع لها طيب + +549 +00:54:26,290 --> 00:54:31,030 +عامل عملية contract يلبس contact lens شوية سخيفة + +550 +00:54:31,030 --> 00:54:37,110 +أو مؤسفة طيب الأفضل + +551 +00:54:37,110 --> 00:54:37,790 +بعد هيك + +552 +00:54:40,940 --> 00:54:50,220 +implantation of intraocular lens in one eye بيعمل + +553 +00:54:50,220 --> 00:54:59,040 +prompt أو rapid surgery لل another eye يعني أنا + +554 +00:54:59,040 --> 00:55:09,880 +أقصد كالتالي واحد الآن عمل pseudophakia سودو فاكهة + +555 +00:55:11,680 --> 00:55:16,880 +وصار يشوف 6/9 وهنا + +556 +00:55:16,880 --> 00:55:25,920 +العين التانية cataract cat يعني cataract ويشوف + +557 +00:55:25,920 --> 00:55:33,500 +6/36 العين + +558 +00:55:33,500 --> 00:55:38,690 +اللي عملت pseudophakia تشوف 6/9 والعين اللي فيها + +559 +00:55:38,690 --> 00:55:45,790 +كاتركت بيشوف 6/36 كيف هيعيش هذا وهذا + +560 +00:55:45,790 --> 00:55:51,510 +يستدعي التعديل في عامل كاتركت في العين الأخرى فيه له + +561 +00:55:51,510 --> 00:55:58,150 +I عشان يصير balance things up in both eyes عشان + +562 +00:55:58,150 --> 00:56:03,350 +يعمل التوازن في قعد عامل عملية قبل عشر سنوات و بدي + +563 +00:56:03,350 --> 00:56:06,250 +.. بقول يا عم العين الثانية بدي .. قال لي يا عم يا + +564 +00:56:06,250 --> 00:56:10,890 +الله يرضى عنك أنا هيني مبسوط و كويس و مكيف بعين + +565 +00:56:10,890 --> 00:56:14,490 +واحدة و كويسة يا عم العين الثانية عشان إني نوزنه و + +566 +00:56:14,490 --> 00:56:18,010 +لا أنا سيبني خلاص بدي أنا أعمل عملية كان مرة ما + +567 +00:56:18,010 --> 00:56:23,090 +صدقنا أن أنا خلاص من الأولى هو يعني حق حر في حاله + +568 +00:56:23,090 --> 00:56:28,770 +بس هو العلم بيقول أنه هيستدعي عملية في العين + +569 +00:56:28,770 --> 00:56:32,650 +الأخرى طب يا دكتور هو بالنظارة أكثر هي مع التصحيح 6 + +570 +00:56:32,650 --> 00:56:39,050 +على 36؟ اه مع التصحيح اه مع التصحيح يعني لابس + +571 +00:56:39,050 --> 00:56:45,110 +نظارة هو اه فهو يعني بالفعل أي شك هو معتمد هات مية + +572 +00:56:45,110 --> 00:56:50,650 +المية على العين هادي العين هادي صارت غايبة وبعدين + +573 +00:56:50,650 --> 00:56:59,070 +مع الزمن بتزيد هتصل الوقت تشوف تلاتة على ستين وأقل + +574 +00:56:59,070 --> 00:57:04,290 +كمان،الأفضل أنه نعدل بعملها شكرا لكم وبارك الله + +575 +00:57:04,290 --> 00:57:09,070 +فيكم والسلام عليكم ورحمة الله وبركاته دكتور ممكن + +576 +00:57:09,070 --> 00:57:13,550 +يصير مع الإكبار أمبيوبيا؟ لأ ما بيصيرش مع الإكبار + +577 +00:57:13,550 --> 00:57:19,510 +أمبيوبيا إذا كان الـ binocular single vision استقرت + +578 +00:57:19,510 --> 00:57:28,980 +بعد سن ثامنة فما بيصيرش أمبيوبيا بعد ذلك طب يعني بس + +579 +00:57:28,980 --> 00:57:31,960 +هاي ناتج عنها أنه ب.. بدعف النظر أكثر؟ اه بدعف + +580 +00:57:31,960 --> 00:57:34,780 +النظر بس شكرا لكم diff --git a/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/xvLGy_VCsXk_raw.srt b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/xvLGy_VCsXk_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..79ef69a1f3cd0b320d2efd3b7bbcfd2d9d8a60c9 --- /dev/null +++ b/PL9fwy3NUQKwZUsMc6Pk0NV9Jl3Hu9c_un/xvLGy_VCsXk_raw.srt @@ -0,0 +1,2328 @@ +1 +00:00:20,690 --> 00:00:22,710 +أعوذ بالله من الاسم الرحيم بسم الله الرحيم الحمد + +2 +00:00:22,710 --> 00:00:25,930 +لله وصلاة والسلام على رسول الله وآله ومن وله + +3 +00:00:25,930 --> 00:00:29,910 +السلام عليكم ورحمة الله وبركاته احنا بنتكلم في + +4 +00:00:29,910 --> 00:00:36,650 +الأفريقيا disadvantages من ال disadvantages اللي + +5 +00:00:36,650 --> 00:00:42,810 +ذكرناها انه abolish of all accommodation غياب كل + +6 +00:00:42,810 --> 00:00:46,970 +accommodation no accommodation وقولنا ف false + +7 +00:00:46,970 --> 00:00:52,080 +special orientationفي المكان و لا فيه orientation + +8 +00:00:52,080 --> 00:00:59,180 +وقلنا image enlargement image enlargement today + +9 +00:00:59,180 --> 00:01:06,800 +number four limitation of visual field لفكرة + +10 +00:01:06,800 --> 00:01:12,140 +ان تصحح ب glasses بيكون + +11 +00:01:12,140 --> 00:01:16,120 +البريفري دايما فيه prismatic effect مش واضح blurry + +12 +00:01:18,160 --> 00:01:22,960 +فالعيال لما اتطلع to right or to left upwards or + +13 +00:01:22,960 --> 00:01:30,460 +downwards بشوف blurring طيب هاي ال normal visual + +14 +00:01:30,460 --> 00:01:36,420 +field قُل عنها ميدان البصر أو الساحة البصرية وهي + +15 +00:01:36,420 --> 00:01:45,620 +يعني بقعة النور في محيط من الظلام ال visual field + +16 +00:01:45,620 --> 00:01:55,350 +اههي جزيرة من الضياء في محيط المظلمات يعني احنا + +17 +00:01:55,350 --> 00:01:58,470 +بعد هيك كله ضلام بعد هيك كله ضلام و هيك كله ضلام + +18 +00:01:58,470 --> 00:02:02,690 +مافيش إله الساحة هذه طيب الأنواع ده بس glasses ده + +19 +00:02:02,690 --> 00:02:07,730 +الأفكيا و خميلة البريف بتاعها اه فيه prismatic + +20 +00:02:07,730 --> 00:02:13,650 +effect لما تطلع هيك تطلع هيك فوق تحت مابيشوف يبقى + +21 +00:02:13,650 --> 00:02:17,610 +هذه الساحة البصرية هتكون limited بس زي هيك مثلا + +22 +00:02:19,860 --> 00:02:26,140 +بكون limited مش limited محدودة جليدة محدودة محدودة + +23 +00:02:26,140 --> 00:02:30,380 +يبقى for the spectacular don't move the eyes and + +24 +00:02:30,380 --> 00:02:33,820 +the prismatic effect produced by their periphery + +25 +00:02:33,820 --> 00:02:39,740 +is great يعني بيكون ten eleven twelve thirteen + +26 +00:02:39,740 --> 00:02:44,440 +fourteen the patient has to learn how to move his + +27 +00:02:44,440 --> 00:02:48,560 +head rather than his eyes إذا كان هو بدى يتغلب على + +28 +00:02:48,560 --> 00:02:56,060 +المشكلة هي دي بصيرمش عينيه لأ حرك الرقم بتاعته to + +29 +00:02:56,060 --> 00:03:02,720 +right عشان اللي هو ال center بتاع العدسة يتحرك مع + +30 +00:03:02,720 --> 00:03:07,000 +الإنين ماتكفيش + +31 +00:03:07,000 --> 00:03:13,160 +يعمل هيك لأنه حيكون فيه prismatic effect يبقى و + +32 +00:03:13,160 --> 00:03:18,740 +اتعود how to move his headأكتر من محرك عينيه + +33 +00:03:18,740 --> 00:03:22,800 +especially on looking downward ليش downward لأنه + +34 +00:03:22,800 --> 00:03:29,700 +فيه ال ground بجع خاصة السلالم يبقى السلالم هذه + +35 +00:03:29,700 --> 00:03:36,340 +مهمة جدا انه اضطر تحرك راسه تحت عشان مايجعش لو فضل + +36 +00:03:36,340 --> 00:03:42,390 +هيك و اطلع بعينيهعبر اللي هو محيط العدسة السفلي + +37 +00:03:42,390 --> 00:03:47,630 +ممكن يجه falling down so that he always uses the + +38 +00:03:47,630 --> 00:03:52,990 +central portion of his neck هذا في الأفاكية حتى + +39 +00:03:52,990 --> 00:03:58,230 +لما يعمل إليها glasses طبعا + +40 +00:03:58,230 --> 00:04:05,630 +في الموضوع هذا حتى + +41 +00:04:05,630 --> 00:04:11,550 +ال patient يتعودعلى ال condition ويصير له نوع من + +42 +00:04:11,550 --> 00:04:18,390 +المواقمة يعني هيفضل شهر شهرين تلاتة يحرك راسه في + +43 +00:04:18,390 --> 00:04:24,790 +اتجاه حتى انه يتعود كيف يعمل نوع من ال adjustment + +44 +00:04:24,790 --> 00:04:29,030 +المواقمة the lack of accommodation and limitation + +45 +00:04:29,030 --> 00:04:31,550 +of field may cause a considerable amount of + +46 +00:04:31,550 --> 00:04:35,720 +inconvenienceand at the beginning في البداية great + +47 +00:04:35,720 --> 00:04:39,400 +patience is often necessary صبر patience صبر كتير + +48 +00:04:39,400 --> 00:04:42,880 +حتى ان العين can tolerate the new optical + +49 +00:04:42,880 --> 00:04:49,200 +conditions مسألة صعبة ان هو يعني كل ال periphery + +50 +00:04:49,200 --> 00:04:57,220 +بتاعه كله blurring كمان في ال disadvantage of + +51 +00:04:57,220 --> 00:05:02,490 +aphecia وهو ال removal of the lensthe distortion + +52 +00:05:02,490 --> 00:05:07,050 +of peripheral objects distortion يعني غير منتظم و + +53 +00:05:07,050 --> 00:05:12,330 +احنا بالبلد بيقول عنه متعج او متععد يعني اذا رأى + +54 +00:05:12,330 --> 00:05:15,570 +الشيء من ال periphery هيك او من ال periphery هيك + +55 +00:05:15,570 --> 00:05:23,650 +هلاجيه يعني مثلا الشيء المربع يعني + +56 +00:05:23,650 --> 00:05:35,410 +قد يراه مثلا هيك مش منتظم الدائرةقد يراها oval زي + +57 +00:05:35,410 --> 00:05:42,710 +البيضة due to spherical aberrations لأن الـ lens + +58 +00:05:42,710 --> 00:05:52,900 +heavy و thick the existence of blind areablank + +59 +00:05:52,900 --> 00:06:00,040 +area يعني spot of darkness طبعا أيضا هذه ناتجة عن + +60 +00:06:00,040 --> 00:06:05,780 +البريزماتيك effect في ال periphery ا وهي طبعا + +61 +00:06:05,780 --> 00:06:08,700 +موجودة في ال visual field الشك both of which + +62 +00:06:08,700 --> 00:06:12,380 +phenomena are much more accentuated تزداد on + +63 +00:06:12,380 --> 00:06:15,600 +moving the eyes ا to periphery او outside + +64 +00:06:15,600 --> 00:06:18,540 +periphery or outside + +65 +00:06:26,870 --> 00:06:32,610 +من الأشياء اللي احنا بنذكرها ان الoperative + +66 +00:06:32,610 --> 00:06:36,010 +interference for cataract may leave eye highly + +67 +00:06:36,010 --> 00:06:39,870 +susceptible to difficulties of proper optical + +68 +00:06:39,870 --> 00:06:42,810 +correction with distortion of image so that floors + +69 +00:06:42,810 --> 00:06:47,810 +or tables seem to slope يعني بدل يكون ماشي على + +70 +00:06:47,810 --> 00:06:53,510 +الأرض كده يلاقي حاله هي هو شايف بالخطأ يعني slope + +71 +00:06:53,510 --> 00:06:59,150 +منحدرفممكن انه falling down to fall down يعني هو + +72 +00:06:59,150 --> 00:07:03,390 +بيصير وضع قدمه و وضع كأنه اتنازل و هو الحاجة على + +73 +00:07:03,390 --> 00:07:09,910 +الأرض وهذه مشكلة بجانب ان يكون فيه astigmatism + +74 +00:07:09,910 --> 00:07:14,830 +يعني دائما هذه العمليات بعدها بيجي astigmatism + +75 +00:07:14,830 --> 00:07:22,250 +فيكون يعني hypermetropic astigmatism يعني مشكلتين + +76 +00:07:22,250 --> 00:07:26,570 +ال hypermetropia نتيجة غياب العدسةولا أستيقماتية + +77 +00:07:26,570 --> 00:07:30,530 +وحتى لو ركّب glasses هيكون فيه مشكلة ال + +78 +00:07:30,530 --> 00:07:34,830 +magnification مشكلة ال magnification طيب treatment + +79 +00:07:34,830 --> 00:07:40,970 +كيف نعالج هذه المشاكل بتاعة الأفاكية طبعا أولها + +80 +00:07:40,970 --> 00:07:46,990 +spectacle correction واحد أفاكية تماما عملنا له + +81 +00:07:46,990 --> 00:07:51,150 +refraction plus thirteen DS + +82 +00:07:52,890 --> 00:07:56,770 +طبعا لو حطينا تلاتي .. تلتاش فيه .. اتيه عشرة + +83 +00:07:56,770 --> 00:08:04,290 +العشرة فيها حاجتين اول شي very thick تشوفوا في + +84 +00:08:04,290 --> 00:08:08,710 +المعمل انتوا ال dismissing؟ كيف العشرة plus؟ very + +85 +00:08:08,710 --> 00:08:17,890 +thick التانية very heavy ثقيل لكن احنا نابسنا + +86 +00:08:17,890 --> 00:08:25,300 +glassesو طبعا غالبا مابتصالش 6-6 غالبا مابكونش + +87 +00:08:25,300 --> 00:08:27,420 +فيها for correction ليه؟ فيها أستجماتيزم كمان + +88 +00:08:27,420 --> 00:08:35,300 +غالبا يعني كتير منهم بيشوف 6-12 او 6-18 حتى بال + +89 +00:08:35,300 --> 00:08:43,020 +correction هذا 6-18 6-12 وهنا بتيجي موضوع كيف انا + +90 +00:08:43,020 --> 00:08:48,060 +بدي اعمله lightweight كيف انا بدي اخفف الوزن على + +91 +00:08:48,060 --> 00:08:59,240 +وشهأعملها plastic واحدة أعملها نوع من ال flint + +92 +00:08:59,240 --> 00:09:07,780 +مضغوط واحدة أعملها رملس واحدة أعمل ال frame + +93 +00:09:07,780 --> 00:09:13,760 +بلاستيكي يعني خفيف اه و خد امكان اذا كان عدسة جيلة + +94 +00:09:13,760 --> 00:09:19,970 +فانا يعني أحاول بعمل العدسات plasticو الإطار + +95 +00:09:19,970 --> 00:09:26,030 +plastic يا بعمله نوع من المضغوط يا بعمله .. يعني + +96 +00:09:26,030 --> 00:09:34,590 +أنا بحاول أني أخفف على عيال يعني لأنه صعب طيب الحل + +97 +00:09:34,590 --> 00:09:38,810 +التاني أعمل ال contact lenses طب ال contact lenses + +98 +00:09:38,810 --> 00:09:44,340 +أحسن من ال glasses في أكتر من ناحيةالناحية الأولى + +99 +00:09:44,340 --> 00:09:51,820 +light light weight ايش يعني ايه الوزن light weight + +100 +00:09:51,820 --> 00:10:08,900 +light weight خفيفة اتنين ايه يقولوا ايش اتنين كويس + +101 +00:10:08,900 --> 00:10:10,640 +no prismatic + +102 +00:10:13,560 --> 00:10:21,120 +no prismatic effect تلاتة no + +103 +00:10:21,120 --> 00:10:30,640 +back vertex distance مافيش back vertex عايزايا على + +104 +00:10:30,640 --> 00:10:37,320 +ال .. وبالتالي انه no limitation of visual field + +105 +00:10:37,320 --> 00:10:41,820 +وبالتالي + +106 +00:10:42,950 --> 00:10:50,410 +no magnification مافيش + +107 +00:10:50,410 --> 00:10:55,310 +تكبير مافيش limitation of visual field لأنه العدسة + +108 +00:10:55,310 --> 00:11:03,750 +بتتحرك مع القرانية floating صح؟ طيب + +109 +00:11:03,750 --> 00:11:10,770 +هذه يعني دخلوها من عشرين .. خمسة وعشرين تلاتين سنة + +110 +00:11:10,770 --> 00:11:18,710 +للأفيكياطيب يبقى الحل الأول نضارة للأفيكيا الحل + +111 +00:11:18,710 --> 00:11:25,150 +الأحسن .. كنت أخبرك لسه الحل الأحسن IOL in + +112 +00:11:25,150 --> 00:11:32,370 +implantation in AC AC IOL implantation طيب سؤالي + +113 +00:11:32,370 --> 00:11:43,580 +ليش مزرعة في ال PC؟ شوف .. لأن ال ..ليش ما أزرع في + +114 +00:11:43,580 --> 00:11:49,620 +الbustier و ال chamber؟ أفاكية الوقت، هو أفاكية + +115 +00:11:49,620 --> 00:12:00,820 +ليش بدي أزرعه في ال AC، مش في ال PC؟ + +116 +00:12:00,820 --> 00:12:06,460 +هي + +117 +00:12:06,460 --> 00:12:09,980 +transparent + +118 +00:12:13,980 --> 00:12:17,380 +شفافة اه يمكن تضيق .. بتضيق على ال .. ليه؟ ماعملش + +119 +00:12:17,380 --> 00:12:23,800 +في ال PC ال AC هو الجذر طب هو إيش اللي أفكر؟ يلّا + +120 +00:12:23,800 --> 00:12:29,720 +نرجع موضوعنا هاي ال .. هاي الكورنية وهي + +121 +00:12:29,720 --> 00:12:37,580 +بجي العين الآن هاي ال cellary body وهنا + +122 +00:12:37,580 --> 00:12:42,520 +العدسة شيلنا العدسة شيلنا العدسة و هين ال PC؟ + +123 +00:12:47,000 --> 00:12:51,780 +ماذا تعني في ال بي سي؟ هي space الموجود بين ال + +124 +00:12:51,780 --> 00:12:59,340 +iris و ال cellary body و ال lens طيب + +125 +00:12:59,340 --> 00:13:03,660 +هاي الفرق طب فيش lens؟ مضالش بي سي؟ طب أنا بدي + +126 +00:13:03,660 --> 00:13:08,180 +أحطها هنا، أيش بدي أرجعها؟ أيش بدي أمسكها؟ فيها + +127 +00:13:08,180 --> 00:13:14,680 +لها دهر؟ فيش لها دهر؟ يبقى أنا بحطها وين؟ هنا في + +128 +00:13:14,680 --> 00:13:19,550 +الاسم؟ عشان ال irisأبقى حتى في ال AC مافيش بي سي + +129 +00:13:19,550 --> 00:13:22,670 +فاهمين؟ + +130 +00:13:22,670 --> 00:13:26,470 +بس ينضحك عليكوا تقولوا تروحوا المستشفيات شغالة في + +131 +00:13:26,470 --> 00:13:30,850 +سنة رابعة بيبدأوا يضحكوا عليكوا الكبار هدولة يقولك + +132 +00:13:30,850 --> 00:13:33,070 +توريني ليش محطها في ال بي سي و بيسانش كده كده كده + +133 +00:13:33,070 --> 00:13:37,250 +و بيسانش مافيش بي سي التغت لما شين العادسة راح + +134 +00:13:37,250 --> 00:13:41,670 +الذنوب معاه مافيش بي سي صار الملعب من هنا لهنا + +135 +00:13:41,670 --> 00:13:46,070 +ملعب واحد كل ملعب واحد مافيش بي سي + +136 +00:13:50,320 --> 00:13:56,420 +فاهمتم؟ يبقى ليش قولنا secondary IOL implantation؟ + +137 +00:13:56,420 --> 00:14:01,660 +إيش secondary يعني؟ لأنه مش مكان ال primary + +138 +00:14:01,660 --> 00:14:05,500 +الأساسي لأ لأ لأ لأ secondary متعلقة بالزمن + +139 +00:14:05,500 --> 00:14:13,700 +secondary متعلقة بالزمن بقول إيش يعني؟ + +140 +00:14:13,700 --> 00:14:17,500 +يعني واحد الآن انضرب + +141 +00:14:21,300 --> 00:14:26,280 +و راحت منه العدسة الان بعد سنة .. بعد سنتين .. بعد + +142 +00:14:26,280 --> 00:14:31,020 +تلاتة راح راجع قالوله بيداك عملية عشان ترمي + +143 +00:14:31,020 --> 00:14:37,080 +النضارة و حطوله عدسة secondary طب ايش ال primary؟ + +144 +00:14:37,080 --> 00:14:45,960 +في نفس الوقت الان المريض تحت العملية ال cataract + +145 +00:14:45,960 --> 00:14:49,780 +extraction او ايش يوم بيبقى removal بيبقى ال + +146 +00:14:49,780 --> 00:14:54,670 +implantationمرحل تاني وهو نايم المرحلة الأولى + +147 +00:14:54,670 --> 00:15:01,950 +extraction of cataract مثلا و .. و .. و المرحلة + +148 +00:15:01,950 --> 00:15:05,110 +التانية هو نايم على طول بيعمل implantation هذا + +149 +00:15:05,110 --> 00:15:09,690 +اسمه primary implantation طيب لو إيجي بعد أسبوع .. + +150 +00:15:09,690 --> 00:15:15,810 +بعد شهر .. بعد سنة secondary طيب واحد الأن ان جرح + +151 +00:15:15,810 --> 00:15:21,590 +جرح الصح يروح على طول خيطةطب افرض مخيطوش اسبوع و + +152 +00:15:21,590 --> 00:15:27,890 +التهب و إشي و علجوه ولكن مفتوح و بيبقى مخيطوه بعد + +153 +00:15:27,890 --> 00:15:35,490 +اسبوع و secondary intention تخيلت ثانوي بعد اسبوع + +154 +00:15:35,490 --> 00:15:39,890 +أو بعد اسبوعين أما اذا كان primary في أول اتناشر + +155 +00:15:39,890 --> 00:15:45,930 +ساعة على طول أحسن إشي عرفتوا إيش secondary؟ فيما + +156 +00:15:45,930 --> 00:15:46,410 +بعد يعني + +157 +00:15:49,280 --> 00:15:54,480 +طيب هنخش في ال pseudo fruitية طبعا الحقيقة احنا + +158 +00:15:54,480 --> 00:16:01,000 +قسمنا العيون الى fake ice و a fake ice و pseudo + +159 +00:16:01,000 --> 00:16:05,440 +fake ice و سألناك سؤال لو واحد افاكية و حط عدسات + +160 +00:16:05,440 --> 00:16:13,620 +لاصقة بصير فاكية طب بصير pseudo فاكية لأ بقول انا + +161 +00:16:13,620 --> 00:16:18,810 +corrected افاكية اه corrected افاكيةطب ليش .. ليش + +162 +00:16:18,810 --> 00:16:24,590 +العدسة جونا صينيكيا لحتها جوا؟ لأنه اشي في المكان + +163 +00:16:24,590 --> 00:16:29,530 +الأصلي، آه عدسة جوا العين، بس لما كانت العدسة هذه + +164 +00:16:29,530 --> 00:16:35,350 +صينيكيا، اشي صينيكيا، صناعية، جونا عنها صينيكيا، + +165 +00:16:35,350 --> 00:16:43,430 +مش أصليا، الآن في المفاصلة الصناعية، الآن في جزء + +166 +00:16:43,430 --> 00:16:50,360 +من القلب الصناعيالان في .. ايش كمان صناعي؟ قولوا + +167 +00:16:50,360 --> 00:16:56,140 +معايا غير المفاصل الأطراف + +168 +00:16:56,140 --> 00:17:02,660 +الصناعية و بيمشي فيها يعني .. يعني الصناعة ده خلت + +169 +00:17:02,660 --> 00:17:09,480 +تساعد الإنسان في الرحل، يبقى Sodofacia هذه الآنعلى + +170 +00:17:09,480 --> 00:17:13,520 +طول فيه primary implantation على المكان و هو تحت + +171 +00:17:13,520 --> 00:17:17,740 +العملية بيعمل extraction و بدخل العدسة و الآن هذه + +172 +00:17:17,740 --> 00:17:23,100 +ما اعترف فيها دوليا اقولكوا اكتر عملية the most + +173 +00:17:23,100 --> 00:17:29,000 +common operation in ophthalmology is intraocular + +174 +00:17:29,000 --> 00:17:34,520 +lesion implantation بعد الكتراكت مباشرة طيب + +175 +00:17:34,520 --> 00:17:43,360 +هو ايش اللي بيصيرهو بيجي السيرجون على ال lens من + +176 +00:17:43,360 --> 00:17:48,240 +الأمام بعمل + +177 +00:17:48,240 --> 00:17:55,880 +شيء من removal of this part of the capsule ونعناه + +178 +00:17:55,880 --> 00:18:02,970 +capsulorexis capsulorexis يعني ييجي هيكneedle، رأس + +179 +00:18:02,970 --> 00:18:09,190 +needle، رأس يعني إبرة، ويعمل هيك، هيك، هيك، هيك، + +180 +00:18:09,190 --> 00:18:15,090 +هيك، هيك، هيك، هيك، + +181 +00:18:15,090 --> 00:18:15,730 +هيك، هيك، هيك، هيك، هيك، هيك، هيك، هيك، هيك، هيك، + +182 +00:18:15,730 --> 00:18:17,310 +هيك، هيك، هيك، هيك، هيك، هيك، هيك، هيك، هيك، هيك، + +183 +00:18:17,310 --> 00:18:21,750 +هيك، هيك، هيك، هيك، هيك، هيك، هيك، هيك، هيك، هيك، + +184 +00:18:21,750 --> 00:18:31,370 +هيك، هيك، هيك، هيك، هيك، هيك، هيك، هيك، هيك، هيك، + +185 +00:18:31,370 --> 00:18:31,370 +هيك، هيك، هيك، هيك، هيك، هيك، هيك، هيك، هيك، هيك، + +186 +00:18:31,370 --> 00:18:31,410 +هيك، هيك، هيك، هيك، هيك، هيك، هيك، هيك، هيك، هي + +187 +00:18:35,470 --> 00:18:40,070 +هيا استفد من الفتحة دي لإنه بدأ نتعامل مع ال + +188 +00:18:40,070 --> 00:18:46,650 +cortex و مع ال nucleus هاي دخل البرو بتاع الفاكو + +189 +00:18:46,650 --> 00:18:54,230 +بدأ يكسر في جسم العدسة و يعمل suction يسحبها لما + +190 +00:18:54,230 --> 00:18:59,870 +يخليها فاضية خالص لما يخليها فاضية خالص و نظفها + +191 +00:18:59,870 --> 00:19:07,470 +تمام تحت ال microscopeبيجي هنا بيعمل IOL in + +192 +00:19:07,470 --> 00:19:15,510 +Capsular Bag مكان الأولانية نفس + +193 +00:19:15,510 --> 00:19:22,030 +ال power of refraction نفس ال power بس pseudo + +194 +00:19:22,030 --> 00:19:28,130 +صناعية الصورة هذه واضحة فيها تلت حاجات اذا اخدتم + +195 +00:19:28,130 --> 00:19:28,490 +بالكم + +196 +00:19:32,250 --> 00:19:37,030 +هنا posterior chamber في ال bag هي ال bag شايفين + +197 +00:19:37,030 --> 00:19:42,730 +جثة في ال bag هذه posterior chamber برا ال bag + +198 +00:19:42,730 --> 00:19:46,170 +قدام شوية بس posterior chamber هذه anterior + +199 +00:19:46,170 --> 00:19:52,390 +chamber implantation لو مافيش المكان العدسة الأولى + +200 +00:19:52,390 --> 00:20:00,860 +خالص بزرع في ال AC بزرع في ال ACطيب هى نفس الاشي + +201 +00:20:00,860 --> 00:20:06,960 +هيوم شال الفزوق هذا عشان يزرع هنا the advantages + +202 +00:20:06,960 --> 00:20:10,700 +of pseudofika ايش هي المزايا اللى بنقنعها من + +203 +00:20:10,700 --> 00:20:15,900 +pseudofika مقارنة بالافيكيا يعني احنا لو شيلنا + +204 +00:20:15,900 --> 00:20:20,400 +العدسة الجديدة وخلنا مكان فاضي هدى pseudofika + +205 +00:20:20,400 --> 00:20:24,480 +سيرجع ال pseudofika طب لو زرعنا عدسة بتصير + +206 +00:20:24,480 --> 00:20:29,480 +pseudofikaهناك أفاكيا وهنا سودوفاكيا الفرق الزراعة + +207 +00:20:29,480 --> 00:20:35,100 +العدسة ايش الفرق بين الحالتين العين هذه أفاكيا + +208 +00:20:35,100 --> 00:20:40,300 +والعين هذه سودوفاكيا بقول removal of retinal image + +209 +00:20:40,300 --> 00:20:47,500 +size يعني الأفاكيا لو لبسته عدسة عشرة وهذه + +210 +00:20:47,500 --> 00:20:53,620 +سودوفاكيا هذه لها back vertex وهذه العدسة بتكبر + +211 +00:20:54,760 --> 00:20:59,160 +اللي هي لأنها هي plus انت جيب عدسة plus في المعمل + +212 +00:20:59,160 --> 00:21:05,660 +عشرة plus minus عشرة وخطيهم على الدفتر بتاعك + +213 +00:21:05,660 --> 00:21:10,080 +بتلاقي ال plus مكبر الكلام مرتين تلاتة و الم minus + +214 +00:21:10,080 --> 00:21:15,040 +مزغرة مرتين تلاتة بقولوا + +215 +00:21:15,040 --> 00:21:24,350 +plus lens is magnifier of imageو minus lens is + +216 +00:21:24,350 --> 00:21:31,130 +minifier ايش minifier مثلا كونوا + +217 +00:21:31,130 --> 00:21:37,330 +اني انا عملت implantation inside the eye انا جيت + +218 +00:21:37,330 --> 00:21:44,070 +ال image size magnification خلصنا يبقى removal of + +219 +00:21:44,070 --> 00:21:48,510 +رتنال image size ال magnification يعني خلصت عليه + +220 +00:21:49,250 --> 00:21:52,710 +giving semi-normal size ايه semi-normal size شبه + +221 +00:21:52,710 --> 00:21:56,270 +الطبيعي شبه الطبيعي احنا مولاش طبيعي مية المية + +222 +00:21:56,270 --> 00:22:05,530 +لأنه لن يخلقه كخلق لا لكن يعني ايش هو منه ماشي + +223 +00:22:05,530 --> 00:22:12,850 +حالنا non peripheral distortion ايش non peripheral + +224 +00:22:12,850 --> 00:22:16,730 +distortion مافيش + +225 +00:22:16,730 --> 00:22:24,080 +تتعيد في الصورةلأنه شيء جوالي طب good distance + +226 +00:22:24,080 --> 00:22:27,600 +vision without spectacles يعني تلاقي ممكن تشاف six + +227 +00:22:27,600 --> 00:22:33,380 +six ده ال distance الشيء الرابع ان ال IOL is + +228 +00:22:33,380 --> 00:22:37,920 +permanent ايش permanent؟ ده ده ده طيب طب ال + +229 +00:22:37,920 --> 00:22:42,760 +contact lens و ال glasses ايش بيقول عنها؟ + +230 +00:22:42,760 --> 00:22:48,510 +temporary موقتمن أفضل ال temporary ولا ال + +231 +00:22:48,510 --> 00:22:51,930 +permanent؟ permanent يعني هذه العدسة لو إيجوا + +232 +00:22:51,930 --> 00:22:55,390 +يشيلوها من ال AC أو ال PC ممكن يخربوا العين كلها + +233 +00:22:55,390 --> 00:23:00,430 +لأنه ال haptics بتاعتها الأقدام بتاعتها بتعمل .. + +234 +00:23:00,430 --> 00:23:04,730 +ال .. ال .. ال anger بتعمل عليها إيش؟ نوع من ال .. + +235 +00:23:04,730 --> 00:23:09,720 +ال adhesion ال adhesion يعني التزاقاتمش سهلة انه + +236 +00:23:09,720 --> 00:23:15,300 +يعني يشيلها مش بسهولة يشيلها يعني هي مش just انه + +237 +00:23:15,300 --> 00:23:20,920 +in a place لأ ال .. ال .. ال haptics بتاعتها عاملة + +238 +00:23:20,920 --> 00:23:28,560 +هيك و هي عاملة هيك و ال haptics التانية نفس الشيء + +239 +00:23:28,560 --> 00:23:33,420 +زي زمبراك spring .. spring يعني زمبراك يعني زمبراك + +240 +00:23:33,420 --> 00:23:38,720 +بتحطيه بدياج ترخيه بروح بفتحلما يفتح بيعتمد وين؟ + +241 +00:23:38,720 --> 00:23:43,000 +على الـ capsular bag في الـ posterior chamber وعلى + +242 +00:23:43,000 --> 00:23:48,220 +ال angle OBC في الاش في ال anterior chamber فطبعا + +243 +00:23:48,220 --> 00:23:52,500 +الأطراف هذه بتبقى محكومة هيك بضغط مش سهلة انك تيجي + +244 +00:23:52,500 --> 00:23:57,550 +اش تسحبيها هيك مش هتلاقيها سهلةزي ما يقولوا يعني + +245 +00:23:57,550 --> 00:24:03,370 +بدها إيش شد شد شد أو جص الأقدام هذه بتاعة ال + +246 +00:24:03,370 --> 00:24:09,130 +haptics وهذا في العين يعني ال space narrow مش سالم + +247 +00:24:09,130 --> 00:24:15,150 +إيش أجيفه يعني أجصه يعني في مشاكل فهي permanent + +248 +00:24:15,150 --> 00:24:20,290 +زرعناها خلاص انسيها طيب + +249 +00:24:24,040 --> 00:24:28,980 +الان لما بيجي انسان معاه cataract و بده يعمل يعني + +250 +00:24:28,980 --> 00:24:35,180 +عملية بيقولوا اعملوله شيء اسمه بيومتري بيومتري و + +251 +00:24:35,180 --> 00:24:40,560 +اقسم ان في البيومتري قياس ال + +252 +00:24:40,560 --> 00:24:47,700 +lens which should be implanted قبل العملية الان + +253 +00:24:47,700 --> 00:24:59,280 +بيسر الله في ال ..B scan انه احنا نعمل الجهاز هيوم + +254 +00:24:59,280 --> 00:25:03,360 +عندنا في المعمل انه نعمل ايش و في A B scan نعمل ال + +255 +00:25:03,360 --> 00:25:07,720 +biometry ال biometry في الآخر نطلع ال power of + +256 +00:25:07,720 --> 00:25:18,060 +implanted lens هل كل المرضى لهم نفس ال power لأ لأ + +257 +00:25:18,060 --> 00:25:22,630 +في واحد بيحطوله 6 و في واحد بيحطوله 24وما بينهم + +258 +00:25:22,630 --> 00:25:29,770 +لأن reflection مش متساوى هنا طيب ايش العوامل اللي + +259 +00:25:29,770 --> 00:25:33,530 +انا بدي اعرفها في ال biometry يعني انا بدور على + +260 +00:25:33,530 --> 00:25:40,770 +ايش انا بدور على مطلبات بدور على حاجة اسمها R واش + +261 +00:25:40,770 --> 00:25:47,230 +اسمه A واش اسمه D بس كده عرفت ايش ال R وايش ال A + +262 +00:25:47,230 --> 00:25:55,300 +وايش ال Dأصبح ان الوضع سهل نعوض في المعادلة ال + +263 +00:25:55,300 --> 00:26:00,400 +equation عشان نطلع ال P وهي ال power يبقى ال P + +264 +00:26:00,400 --> 00:26:07,320 +equals thirteen thirty six four R minus A divided + +265 +00:26:07,320 --> 00:26:15,280 +by A minus D four R minus D يبقى + +266 +00:26:15,280 --> 00:26:15,660 +هاني + +267 +00:26:18,570 --> 00:26:30,510 +تقسيم وانا ضرب واضح؟ طيب من اسم الار راديس ار + +268 +00:26:30,510 --> 00:26:34,890 +راديس ناس في قطر ناس في قطر ايش كونيا طبعا الكونيا + +269 +00:26:34,890 --> 00:26:41,490 +فينا احنا كلنا مش ناس في الاشي في كونيا الراديس + +270 +00:26:43,480 --> 00:26:48,600 +في سبعة في ستة و نص في ستة و خمسة و نص تختلف + +271 +00:26:48,600 --> 00:26:54,340 +الكورنيا من إنسان لإنسان أما الـA أكسيا للإنسان + +272 +00:26:54,340 --> 00:26:58,340 +أكسيا للإنسان و هي ال distance between the center + +273 +00:26:58,340 --> 00:27:02,320 +of the cornea and the posterior pole of the eye + +274 +00:27:02,320 --> 00:27:13,500 +الـA بيظل الـD الـD هم بيعملوا constant ثابتفي حال + +275 +00:27:13,500 --> 00:27:22,040 +ال AC implantation 3.19 ميلي متر في ال AC أما + +276 +00:27:22,040 --> 00:27:27,840 +السكان اللي نفط في ال PC 4.2 ميلي متر، بنعود في + +277 +00:27:27,840 --> 00:27:36,060 +المعادلة، ليش في ال PC 4.2 و في ال AC 3.19؟ يعني + +278 +00:27:36,060 --> 00:27:42,170 +في ال ISC أكبراه ال iris بينهم طيب سمكت ال iris + +279 +00:27:42,170 --> 00:27:49,030 +قداشى ملي او اقل اقل من ملي هو عالمهم بينهم حوالى + +280 +00:27:49,030 --> 00:27:54,430 +واحد ملي بين ال a شى و بين ال b شى بس هال iris هذى + +281 +00:27:54,430 --> 00:27:58,810 +يبقى انا لو عرفت ال R كام الجهاز باطينياها و ال a + +282 +00:27:58,810 --> 00:28:07,170 +كام و ال d ثابت خلاص بعوض في المعادةممكن يطلعلي 16 + +283 +00:28:07,170 --> 00:28:13,990 +17 18 19 20 21 22 23 24 حسب اللي بطلع يروح جايب ال + +284 +00:28:13,990 --> 00:28:18,790 +lens و هطلتها ضمن ال set of surgery ضمن طاقم + +285 +00:28:18,790 --> 00:28:24,850 +الجراحة هو بكتبله ياها او بعطيه ورقة معينة بقوله + +286 +00:28:24,850 --> 00:28:31,210 +اشتريلي هذه للمريض وهذه يا بنت بناتي يعني بضاعة + +287 +00:28:32,660 --> 00:28:37,380 +في اللي هو ال medical supply companies زيها زي أي + +288 +00:28:37,380 --> 00:28:42,320 +أبطالة فيه صناعة هندية بخمسين دولار صناعة صينية + +289 +00:28:42,320 --> 00:28:47,180 +بسبعين دولار صناعة باكستينية باربعين دولار صناعة + +290 +00:28:47,180 --> 00:28:50,980 +ألمانية بمية وخمسين دولار صناعة أمريكية بميتين + +291 +00:28:50,980 --> 00:28:58,720 +دولار ويمكن فيه ترتمية دولار يعني حسبالغالية بقى + +292 +00:28:58,720 --> 00:29:02,680 +اللي زينا يعني خمسين، اربين، في ناس بيقولك لا يا + +293 +00:29:02,680 --> 00:29:05,500 +عمي انا بدي أبو المية، في واحد بيقولك انا بدي أبو + +294 +00:29:05,500 --> 00:29:09,600 +الميتين دولار، العزة صغيرة، انتوا كده ايش + +295 +00:29:09,600 --> 00:29:17,040 +بتختاروه؟ بس اللي بيجيش على غزة الغالي اللي عنده + +296 +00:29:17,040 --> 00:29:22,360 +جودة في غزة هو ال .. ايش اللي expensive مابيجيش + +297 +00:29:24,060 --> 00:29:28,060 +أحنا تجارنا شاطرين بيجيبوا أرض اشي و بيربحوا أكتر + +298 +00:29:28,060 --> 00:29:32,340 +اشي لإن لو جابوا أحسن اشي مش هنباع و لو بدوا نباع + +299 +00:29:32,340 --> 00:29:41,940 +بيجيب بيربحش ما .. ما بيربح فهي ال IOL يعني برضه + +300 +00:29:41,940 --> 00:29:46,320 +يعني أنواع و أشكال شوفت الهندي، شوفت الباكستاني، + +301 +00:29:46,320 --> 00:29:51,460 +شوفت الصيني، شوفت التايواني، شوفت الألماني، شوفت + +302 +00:29:51,460 --> 00:29:57,780 +الإنجليزي، الأمريكي، الأسبانيمصانع تشتغل طيب هذا + +303 +00:29:57,780 --> 00:30:02,620 +العملية اسمها biometry طيب + +304 +00:30:02,620 --> 00:30:10,780 +بدي أسأل ال reading vision in صيدوفيكي يعني هل + +305 +00:30:10,780 --> 00:30:14,960 +ممكن الصيدوفيكي يقرأ؟ + +306 +00:30:14,960 --> 00:30:18,400 +الصيدوفيكي + +307 +00:30:18,400 --> 00:30:23,180 +ممكن يقرأ؟ممكن بيظن ان هي مش زيقة بس بظن انه بيقرأ + +308 +00:30:23,180 --> 00:30:27,240 +طب يعني هي ال .. ال lens هي بتعمل .. بتعمل + +309 +00:30:27,240 --> 00:30:30,980 +accommodation؟ لأ بتعمل .. احنا قولنا loss of + +310 +00:30:30,980 --> 00:30:35,000 +whole accommodation مافيش accommodation طب كيف + +311 +00:30:35,000 --> 00:30:39,780 +يقرأ؟ بيقلكم + +312 +00:30:39,780 --> 00:30:46,460 +بيحاولوا ان يعملوا manipulation لأ او لا او ايوة + +313 +00:30:46,460 --> 00:30:51,120 +يعني انا لما أعرف ال biometryوطلع ال .. ال power + +314 +00:30:51,120 --> 00:30:55,400 +twenty + +315 +00:30:55,400 --> 00:31:01,120 +عشرين انا + +316 +00:31:01,120 --> 00:31:08,080 +بقوله اشتري واحد و عشرين واحد + +317 +00:31:08,080 --> 00:31:14,300 +و عشرين طب ليش واحد و عشرين عشان هو يكون في الآخر + +318 +00:31:14,300 --> 00:31:22,690 +myopia oneيكون ميوب يوان كويس؟ + +319 +00:31:22,690 --> 00:31:27,990 +كيف صار ميوب يوان؟ انه الواحد وعشرين عملة + +320 +00:31:27,990 --> 00:31:31,930 +convergence قدامك + +321 +00:31:31,930 --> 00:31:40,710 +والمعروف ان الميوب بيقرأ بدون glasses يبقى انا + +322 +00:31:40,710 --> 00:31:47,000 +يعني ماعملتش حاجة يعني غير المطلوبمافيش + +323 +00:31:47,000 --> 00:31:51,940 +accommodation لكن فيه myopia دي خرب ال myopia يبقى + +324 +00:31:51,940 --> 00:31:58,940 +هاي أول واحدة intended myopia minus one ايش + +325 +00:31:58,940 --> 00:32:05,940 +intended مخطط لها intended myopia minus one طيب + +326 +00:32:05,940 --> 00:32:14,940 +الحاجة التانية اتنين عملوا bifocal bifocal + +327 +00:32:17,050 --> 00:32:25,830 +Iol Iol implantation ال I يعني implantation يعني + +328 +00:32:25,830 --> 00:32:35,630 +هذا العدسة الجزء هذا لل distance و لتحت ليش؟ لاني + +329 +00:32:35,630 --> 00:32:45,050 +طلع هيك مثلا بالعشرين طلع تحت باتنين و عشرين يعني + +330 +00:32:45,050 --> 00:32:52,280 +يقعبس يعني ال disadvantage بتاعتها إيش؟ إنه في + +331 +00:32:52,280 --> 00:32:57,560 +حاجة اسمها image jump لما + +332 +00:32:57,560 --> 00:33:01,680 +تطلع هيك و هيك، من بعيد للجريب، و من جريب للبعيد، + +333 +00:33:01,680 --> 00:33:08,980 +في لحظيا الخط هذا اللي بينهم بيعمل تكسر أو غياب لل + +334 +00:33:08,980 --> 00:33:13,890 +.. لل .. لل .. لل .. لل إيش؟ للصورةيعني لحظيا + +335 +00:33:13,890 --> 00:33:24,390 +هيعمل نوع من blurring لأن الخط مافيش فيه power هنا + +336 +00:33:24,390 --> 00:33:29,470 +عشرين و تحت اتنين و عشرين طب و الخط؟ Zero فهو يعني + +337 +00:33:29,470 --> 00:33:32,870 +و هو بيعمل هيك و هيك يعني ممكن أيش يصيب نوع من + +338 +00:33:32,870 --> 00:33:42,040 +absence of imageكمان في ايه تاني لل by focal؟ انه + +339 +00:33:42,040 --> 00:33:46,340 +ال intermediate distances يعني ال distance ده + +340 +00:33:46,340 --> 00:33:52,120 +المهم و ال nearها طيب و ال two three four meters + +341 +00:33:52,120 --> 00:33:57,320 +هذه كيف يعمل؟ طبعا هيكون هو لا هذه بتأدي ولا هذه + +342 +00:33:57,320 --> 00:34:05,220 +بتأدي عشانك الآن طلعوا progressive progressive + +343 +00:34:05,220 --> 00:34:07,080 +progressive + +344 +00:34:08,490 --> 00:34:12,790 +اكتبوا الكلام هذا IOL + +345 +00:34:12,790 --> 00:34:21,670 +Implantation طبعا البروجيسف هذه الجيومتري بتاعها + +346 +00:34:21,670 --> 00:34:28,370 +مختلفة هذه بعطيني multiple A + +347 +00:34:28,370 --> 00:34:36,090 +lenses with different powersاه واحد اتنين تلاتة + +348 +00:34:36,090 --> 00:34:44,290 +اربع خمسة ستة و هكذا كل distance لما تيجي العين في + +349 +00:34:44,290 --> 00:34:49,590 +وضع بتلاقي اللي هو ال focal point بتاعه الجديدة + +350 +00:34:49,590 --> 00:34:54,870 +focal point بما تناسب مع ال distance فهو زي ملبس + +351 +00:34:54,870 --> 00:34:58,570 +progressive glasses بيحطوله progressive + +352 +00:34:58,570 --> 00:35:04,750 +intraocular lensesبس هي طبعا too .. too expensive + +353 +00:35:04,750 --> 00:35:08,430 +بتسمع + +354 +00:35:08,430 --> 00:35:13,450 +انا بتزراح هنا؟ انا بسمع progressive + +355 +00:35:13,450 --> 00:35:17,910 +intraocularness طيب + +356 +00:35:17,910 --> 00:35:24,030 +بقولي من الأشياء اللي .. اللي بتعمل لل reading في + +357 +00:35:24,030 --> 00:35:29,970 +السودوفيكيا انه كبار السن خاصة مع homeosis بتعرفين + +358 +00:35:29,970 --> 00:35:34,720 +البقب كل ما زغركل ما عمل pinholing best vision + +359 +00:35:34,720 --> 00:35:39,840 +غالبا الـ sphincter pupilli في كبار السن بتكون + +360 +00:35:39,840 --> 00:35:45,760 +أقوى من ال dilator طب و صغير السن العكس صغير السن + +361 +00:35:45,760 --> 00:35:48,900 +بتقفل تلاتة و أربعة و خمس سنين دايما البقبو بتاعك + +362 +00:35:48,900 --> 00:35:54,960 +ب .. dilator جوي كل ما كبر sphincter .. sphincter + +363 +00:35:54,960 --> 00:35:57,180 +pupilli بصير أقوى التاني + +364 +00:36:02,040 --> 00:36:07,240 +في ناس بيقولوا انه لما انا ازرع العدسة، هذا طبعا + +365 +00:36:07,240 --> 00:36:14,320 +معالج هيك، هنا لما ازرع العدسة في ال pc العدسة + +366 +00:36:14,320 --> 00:36:21,300 +الصناعية هذه، و ال .. و هاي ال zonules موجودين، + +367 +00:36:21,300 --> 00:36:26,980 +بيقولوا لما نزل الرأس و يجرح، كل ال diaphragm هذا + +368 +00:36:26,980 --> 00:36:32,690 +بيخش اللي قدامي شويةيعني بيقدم قدام زي المرجح يعني + +369 +00:36:32,690 --> 00:36:38,690 +لما نعمل هيك لما نعمل هيك هذي بعرفش إلى أي مدى + +370 +00:36:38,690 --> 00:36:41,930 +بنصدقها يعني طيب العدسة هذي plus ولا minus + +371 +00:36:41,930 --> 00:36:47,890 +المزروعة plus طب على بالكوا لو تقدم هذي milli + +372 +00:36:47,890 --> 00:36:56,930 +لقدام بتأثر على القوة lens effectivity بتزود بتزود + +373 +00:36:58,620 --> 00:37:05,400 +العدسة الموجبة لما كده لما نعملها كده بزيادة القوة + +374 +00:37:05,400 --> 00:37:12,720 +لما نجربها كتير بقلب ع الشبكية يعني فهو يعني نظريا + +375 +00:37:12,720 --> 00:37:18,220 +وإن كان انا حقيقة مش يدخل مخي كل حاجة لكن بيظلها + +376 +00:37:18,220 --> 00:37:24,980 +نظريا انه في وضع ال reading العدسة المزروعة تتحرك + +377 +00:37:24,980 --> 00:37:31,290 +الام قليلافبتعطي تكبير شوية، مصدقين هذا الكلام؟ + +378 +00:37:31,290 --> 00:37:39,730 +مختلف فيه، كل واحد ساربه، ساربه هذا + +379 +00:37:39,730 --> 00:37:47,990 +.. ان كهرباتنا بتقطع كتير في غزة، لكن المبلغ هو + +380 +00:37:47,990 --> 00:37:49,410 +هو، اقالي + +381 +00:37:51,880 --> 00:37:55,040 +فبسأله بتاع اللي عددت بيقولوا ليش أنتوا بتقطعوا + +382 +00:37:55,040 --> 00:37:58,760 +الكهربا كتير أكتر من اتناشر ساعة في اليوم و ليش .. + +383 +00:37:58,760 --> 00:38:06,400 +قالوا اصلا لما تيجي الكهربا تيجي سريعة عشان اتعود + +384 +00:38:06,400 --> 00:38:06,740 +الجطر + +385 +00:38:11,470 --> 00:38:15,370 +جالو لما تيجي الكهرة بقى بتيجي سريعة عشان تعوض ال + +386 +00:38:15,370 --> 00:38:19,470 +.. جالو طب إلعب غيرها يعني .. جالو إلعب غيرها يعني + +387 +00:38:19,470 --> 00:38:23,850 +.. تضحكش علي عجون يعني أنه يعني لما تيجي بتيجي + +388 +00:38:23,850 --> 00:38:27,370 +سريعة عشان تعوض الجطع و احنا إيش استفدنا يعني .. + +389 +00:38:27,370 --> 00:38:30,830 +إيش استفدنا احنا؟ طب نتحمل الجطع، نتحمل مصاري + +390 +00:38:30,830 --> 00:38:42,230 +كمان؟ طيب إيه بقى ال myosis و حركة ال IOLاسمها + +391 +00:38:42,230 --> 00:38:48,710 +Sodofocus الـimplanted IOL forward during near + +392 +00:38:48,710 --> 00:38:55,150 +reading و أثناء ال distance جال يتحرك لورا مرجوحة + +393 +00:38:55,150 --> 00:38:58,730 +يعني three + +394 +00:38:58,730 --> 00:39:08,240 +intended or accidental myopiaطبعا غالبا intended + +395 +00:39:08,240 --> 00:39:13,460 +يعني حسب التخطيط .. حسب التخطيط من نص الى واحد + +396 +00:39:13,460 --> 00:39:21,400 +بتساعد العين يقرأ لكن انه يعني accommodative + +397 +00:39:21,400 --> 00:39:24,520 +intraocular + +398 +00:39:24,520 --> 00:39:28,560 +lens implantation لأ انا يعني لسه ماتردش عملية .. + +399 +00:39:28,560 --> 00:39:34,590 +امبرح بعض الناس ال presentersجاله انه في حاجة + +400 +00:39:34,590 --> 00:39:40,810 +اسمها E-Lenza E-Lenza وانا جمت لحالي انا عملت + +401 +00:39:40,810 --> 00:39:43,930 +مداخلة وهم ايه عشان ال E-Lenza هذي accommodative + +402 +00:39:43,930 --> 00:39:49,490 +فالاخت الله يعزيزي خير بتقول انه لأ هذه هتنزل في + +403 +00:39:49,490 --> 00:39:57,750 +الفين وطمنتاش و لسه في المعامل بتجرب و احتمال تفشل + +404 +00:39:57,750 --> 00:40:02,750 +طب و نفشلت جال سيرordinary انت تتوقع عن نفسك يعني + +405 +00:40:02,750 --> 00:40:07,170 +زي .. زي اللي قبل طبعا متوقع أنها تفشل جالها دي + +406 +00:40:07,170 --> 00:40:15,750 +إلى إلها نوع من ال sensors حسب المسافة يعني تشتغل + +407 +00:40:15,750 --> 00:40:21,310 +على ال sensors يعني إشي نوع جديد يعني ربنا سحب، هي + +408 +00:40:21,310 --> 00:40:24,050 +لو .. لو نجحت يعني في أمريكا و البلاد كيندا و هذه + +409 +00:40:24,050 --> 00:40:30,710 +بعد عشر سنين ممكن نسمع فيها يعنيطيب يبقى فيه + +410 +00:40:30,710 --> 00:40:38,350 +bifocal IOL وفيه progressive IOL طيب ما هي ال + +411 +00:40:38,350 --> 00:40:44,110 +problems بتاعة السودوفيكيا؟ صح السودوفيكيا إشي .. + +412 +00:40:44,110 --> 00:40:50,470 +إشي ممتاز كان البنات قبل خمسين عامة في خطأنا + +413 +00:40:50,470 --> 00:40:56,330 +الحبيب إذا أصيب بال cataract بعد السبعين يقولوا + +414 +00:40:56,330 --> 00:41:04,680 +فجد بصرهيقعد في البيت و لابد يطلع بده طفل او طفلة + +415 +00:41:04,680 --> 00:41:10,700 +يسحبه من ايده عشان يوديه ع المشوار اعمل لما كانوا + +416 +00:41:10,700 --> 00:41:14,480 +يصيبوا cataract كانوا يقولوا اعمل قبل خمسين سنة + +417 +00:41:14,480 --> 00:41:17,560 +ماكانش عندنا في قطاعنا الحبيب عملية cataract + +418 +00:41:17,560 --> 00:41:21,360 +extraction قبل السبعة و ستين كانوا يقولوا فلان + +419 +00:41:21,360 --> 00:41:26,940 +أصبح عاجز و خلاص يقعد في البيت هم يطعموه و يسجوه و + +420 +00:41:26,940 --> 00:41:30,980 +خلاص نهائي يعنيزي ما بقولوا يعني completely + +421 +00:41:30,980 --> 00:41:36,200 +dependent على غيره فلما صارت ال .. اللي هو ال + +422 +00:41:36,200 --> 00:41:40,980 +intracapsular الأفاكية اه .. اه .. تطور كبير و + +423 +00:41:40,980 --> 00:41:44,780 +بيمشي بنضارة يعني هذا قبل اربعين سنة صار يمشي + +424 +00:41:44,780 --> 00:41:52,940 +بنضارة الناس شيلوله ال cataract و يمشي بنضارة لما + +425 +00:41:52,940 --> 00:41:58,100 +صار ال IOL implantation اه .. اه .. صار شبه طبيعي + +426 +00:41:59,260 --> 00:42:04,000 +ملاحظين؟ وصدق الله العظيم و يخلقوا مالة .. تعالوا + +427 +00:42:04,000 --> 00:42:12,480 +يعني لسه العالم ماتطور ولا أبحثش .. شجعنا طيب أول + +428 +00:42:12,480 --> 00:42:21,200 +problem .. مشكلة أنه كتير بصير difference between + +429 +00:42:21,200 --> 00:42:25,880 +what was planned and what has resulted إيش يعني؟ + +430 +00:42:28,920 --> 00:42:34,300 +احنا خططنا لشيء عشان لما يطلع من العملية يشوف six + +431 +00:42:34,300 --> 00:42:40,020 +six و بعد ما طلع من العملية و شهرين و هو بيشوف six + +432 +00:42:40,020 --> 00:42:48,660 +twelve طب إيش اللي صار؟ إيش الفرق هذا؟ جاك يا عمي + +433 +00:42:48,660 --> 00:42:54,320 +any operation has its own circumstances + +434 +00:42:56,630 --> 00:43:02,710 +كل عملية إلها ظروفها الخاصة يعني جراح بيعمل عشر + +435 +00:43:02,710 --> 00:43:05,770 +عمليات في اليوم كل عملية إلها ظروفها وفي عملية + +436 +00:43:05,770 --> 00:43:10,250 +بتمشي smooth وفي عملية بتمشي difficult وفي عملية + +437 +00:43:10,250 --> 00:43:16,790 +بتمشي ب complications مضاعفة مضاعفة لا stigmatism + +438 +00:43:16,790 --> 00:43:22,530 +مضاعفة ال retinal detachment مضاعفة ال macular ed + +439 +00:43:22,530 --> 00:43:27,840 +مضاعفة petrius hemorrhage مضاعفةretinal tear + +440 +00:43:27,840 --> 00:43:34,540 +مضاعفة posterior capsule tear مضاعفة petrius loss + +441 +00:43:34,540 --> 00:43:41,520 +مضاعفة اكتر مضاعفة فالواحد يعني هو بيبدأ و في باية + +442 +00:43:41,520 --> 00:43:48,740 +لو اشي بيطلع بنتجة تانية خلاص زي ما جالبهم زمان + +443 +00:43:48,740 --> 00:43:54,900 +ماكلوا مايتمانوا المرء يدريكوه بما لا تستهزفوا + +444 +00:43:54,900 --> 00:43:59,080 +تجرياحهعشان احنا كمسلمين بيقول الحديث دايما اللهم + +445 +00:43:59,080 --> 00:44:03,660 +لأ سهلة إلا ما جعلته سهلة و أنت تجعله حزنة إيه ده + +446 +00:44:03,660 --> 00:44:07,300 +شئته سهلة؟ إيه كتير جراح و ما عملها ألف مرة + +447 +00:44:07,300 --> 00:44:12,340 +بتطلعله مضاعفات بيعرفش كده، نظيف، بصريش، كده، كده، + +448 +00:44:12,340 --> 00:44:18,040 +كده الشيء التاني significant astigmatism يعني هو + +449 +00:44:18,040 --> 00:44:27,120 +عمل عملية و خيط وظبط طلعله أربعة إلى ستة دربترDC + +450 +00:44:27,120 --> 00:44:35,740 +يا سلام كيف تلعبوا الastigmatism الصعوبة + +451 +00:44:35,740 --> 00:44:42,580 +التالتة anisoconia هو + +452 +00:44:42,580 --> 00:44:47,100 +فرق + +453 +00:44:47,100 --> 00:44:53,900 +في حجم الصورتين يعني العين اليمين عملها في بلد + +454 +00:44:53,900 --> 00:45:00,020 +مثلاالفين وزرع + +455 +00:45:00,020 --> 00:45:08,660 +فيها عشرين بعد خمس سنوات في الفين وخمسة التانية + +456 +00:45:08,660 --> 00:45:13,260 +صارت كاتركت عملة في بلد تانية بعيد عن البلد الأولى + +457 +00:45:13,260 --> 00:45:17,780 +حط فيها اتنين وعشرين + +458 +00:45:17,780 --> 00:45:22,900 +طيب + +459 +00:45:22,900 --> 00:45:28,970 +هذه عدسة plus وهذه عدسة plusالان ال power بيختلف + +460 +00:45:28,970 --> 00:45:37,450 +حجم الصورة image size هل هيكونوا في ال center في + +461 +00:45:37,450 --> 00:45:44,430 +ال occipital cortex نفس الشيء يعني هذه عملة صورة + +462 +00:45:44,430 --> 00:45:51,930 +بهذا الحجم و هذه عملة صورة بهذا الحجم اكبر المخ في + +463 +00:45:51,930 --> 00:45:58,580 +الآخر بيعمل fusion ايش fusion دمجدمج هذه مع هذه + +464 +00:45:58,580 --> 00:46:06,540 +صعب، و لو الفرق أكبر أصعب، و لو الفرق أكبر كمان + +465 +00:46:06,540 --> 00:46:11,140 +هصير impossible، no fusion، مصريشوف دبلوبيا، + +466 +00:46:11,140 --> 00:46:19,060 +double pigeon، هذه المشكلة، واضح؟ فهو بيقوللي أنا + +467 +00:46:19,060 --> 00:46:23,620 +إيزوكونيا، اختلف في حجم الصورة، mainly to problems + +468 +00:46:23,620 --> 00:46:28,710 +with binocular coordinationكيف يعني كل شوية تفض + +469 +00:46:28,710 --> 00:46:33,950 +صورة سوف يشبكوا في بعض، مصدع، متقلم، لأنهم مش + +470 +00:46:33,950 --> 00:46:39,370 +جايين، مش مقتبخين، المخ بيطابقهم على بعض بالظبط، + +471 +00:46:39,370 --> 00:46:42,590 +إذا كان في واحدة أكبر و واحدة أصغر، هذه المشكلة، + +472 +00:46:42,590 --> 00:46:49,230 +تاعي الشيء التالت إكسينتريك لينزس، أيه المعروف؟ + +473 +00:46:49,230 --> 00:46:56,190 +إنه لما بدوا يزرعبدي يكون ال center بتاع ال lens + +474 +00:46:56,190 --> 00:47:03,290 +مثلا لو هنا مع center ال pupil بالظبط هيك يعني + +475 +00:47:03,290 --> 00:47:09,710 +الضوء يمشي هيك لسبب أو لآخر زراعة مالت اللي هي + +476 +00:47:09,710 --> 00:47:14,310 +جاية هنا eccentric + +477 +00:47:14,310 --> 00:47:23,080 +خارج المركز خارج المركز لسبب أو لآخراحيانا بناتي + +478 +00:47:23,080 --> 00:47:28,740 +هو اللي بيصير ان الـ intra-aquary lenses هذه لها + +479 +00:47:28,740 --> 00:47:36,900 +خروم على المحيط بيقولوا dialing holes او pores، + +480 +00:47:36,900 --> 00:47:42,420 +dialing فاكرين التليفونات اللي قبل عشرين سنة اللي + +481 +00:47:42,420 --> 00:47:47,540 +كده؟ Dial، خُط الواحد للآخر تسحبيه، اتنين، تلاتة، + +482 +00:47:47,540 --> 00:47:57,730 +ازاي هيك؟هذه بيحطوها عشان فيه يعني ا طول معين هيك + +483 +00:47:57,730 --> 00:48:03,210 +بيحاول انه يدخله و ي center العدسة فيه بيوضّيك + +484 +00:48:03,210 --> 00:48:08,770 +يمين شمال فوق تحت من الخرم الحين العدسة هذه بتميل + +485 +00:48:08,770 --> 00:48:15,910 +بصير اي خرم مقابل visual access طب الخرم هذا + +486 +00:48:17,170 --> 00:48:22,610 +powerless، إيش يعني powerless؟ الخرم واجف ليه قبال + +487 +00:48:22,610 --> 00:48:27,970 +ال .. كيف ال .. مش هشوف، يبقى أحيان بيصير + +488 +00:48:27,970 --> 00:48:33,850 +eccentricity ميل عن المركز، بيعمل blurring، و + +489 +00:48:33,850 --> 00:48:38,490 +أحيانا ال dialing hole، الخرم هي ده، بيجي قبل + +490 +00:48:38,490 --> 00:48:45,200 +البقب، طبعا الأسف ده شيل، خلاصجاب موتوس كونش اتمكن + +491 +00:48:45,200 --> 00:48:49,360 +اللي بده اشيل اللي بده اشيل يعمل لها يعني نوع من + +492 +00:48:49,360 --> 00:48:55,540 +ال adjustment اه او re-centration يحطها في ال + +493 +00:48:55,540 --> 00:49:01,280 +center بده يعمل لها remove عشان يزرع جنها اصلا + +494 +00:49:01,280 --> 00:49:09,460 +بيجيوني ناس معبدات كاتركت مثلا 624 بعمله + +495 +00:49:09,460 --> 00:49:16,760 +reflection trial بشوف 6 ع 6مين أحسن يمشي بنظارة + +496 +00:49:16,760 --> 00:49:23,640 +ستة ع ستة، normal lens العادية، natural lens ولا + +497 +00:49:23,640 --> 00:49:34,840 +نعمله cataract extraction while implantation احنا + +498 +00:49:34,840 --> 00:49:40,480 +مدرستنا بيقول كالتالي ان طالما هو بيشوف god vision + +499 +00:49:40,480 --> 00:49:44,200 +with glasses سيه، اعطيه glasses وغيره المهم بيشوفه + +500 +00:49:44,200 --> 00:49:53,480 +كويسو مرتاح أفضل من عملية لا يضمن نتائجها إلا إذا + +501 +00:49:53,480 --> 00:49:59,080 +عملتله interruption ل his work own work يعني في + +502 +00:49:59,080 --> 00:50:04,860 +واحد بيقولك أنا والله يا عمي مهندس برمجيات يعني + +503 +00:50:04,860 --> 00:50:10,100 +شغلتي أنا مبرمج على الكمبيوتر هذه النضارة بتاعتك + +504 +00:50:10,100 --> 00:50:15,960 +برضه عملالي زغل يعني مش مرتاح فيهاواحد بيقولي + +505 +00:50:15,960 --> 00:50:23,420 +والله انا أساس طبيب جراح في أوائة القلب الكنري + +506 +00:50:23,420 --> 00:50:30,080 +يعني ايش يعني في أوائة القلب؟ دقيق، نظرتك هذه؟ اه + +507 +00:50:30,080 --> 00:50:34,220 +اذا كان special jobs، + +508 +00:50:34,220 --> 00:50:40,890 +امر يالله، بدنا نعمله ك track بدري، اما غيره لأغير + +509 +00:50:40,890 --> 00:50:47,710 +و لا لأنه ممكن أنه ينضرب بعض ال complications يقول + +510 +00:50:47,710 --> 00:50:51,770 +الوضع الأول أحسن و أحسن و أحسن و أحسن و أحسن و + +511 +00:50:51,770 --> 00:50:51,890 +أحسن و أحسن و أحسن و أحسن و أحسن و أحسن و أحسن و + +512 +00:50:51,890 --> 00:50:58,350 +أحسن و أحسن و أحسن و + +513 +00:50:58,350 --> 00:51:00,190 +أحسن و أحسن و أحسن و أحسن و أحسن و أحسن و أحسن و + +514 +00:51:00,190 --> 00:51:00,190 +أحسن و أحسن و أحسن و أحسن و أحسن و أحسن و أحسن و + +515 +00:51:00,190 --> 00:51:00,230 +أحسن و أحسن و أحسن و أحسن و أحسن و أحسن و أحسن و + +516 +00:51:00,230 --> 00:51:07,490 +أحسن و أحسن و أحسن و أح + +517 +00:51:09,720 --> 00:51:16,180 +طبعا اول شي هنجرب ب spectacle lenses يعني عين + +518 +00:51:16,180 --> 00:51:21,140 +بتشوف 6 على 24 وعين + +519 +00:51:21,140 --> 00:51:25,100 +بتشوف 6 على 9 هيرجع + +520 +00:51:25,100 --> 00:51:30,020 +لنظارة بعد فترة بحيث نقرب بين القوة في عدد تاني + +521 +00:51:30,020 --> 00:51:33,400 +نظارة يعني نعمل compromise يعني مثلا والله هذه + +522 +00:51:33,400 --> 00:51:38,260 +أخدت minus two وهذه minus one + +523 +00:51:41,740 --> 00:51:45,360 +بقدر الإمكان، مانخلش الفرق الكبير لإن الفرق الكبير + +524 +00:51:45,360 --> 00:51:51,200 +هيعمل an isoconia حجم الصورة هيختلف في المركز، + +525 +00:51:51,200 --> 00:51:56,860 +الحاجة هيعمل compromise compromise يعني تقريب، + +526 +00:51:56,860 --> 00:52:06,940 +إيش؟ تقريب، منقرب يعني طب contact lens where؟ يلبس + +527 +00:52:06,940 --> 00:52:12,300 +contact lens أحسن من العدسةيعني لو صار بعض العملية + +528 +00:52:12,300 --> 00:52:17,540 +مش تمام النظر نعطيه contact lens لكن بقوللي من + +529 +00:52:17,540 --> 00:52:23,920 +السخافة انه بقى احد طالع من العملية لسه بعد شهر او + +530 +00:52:23,920 --> 00:52:27,880 +شهرين اقوله البس contact lens mandatory ايش + +531 +00:52:27,880 --> 00:52:35,440 +mandatory؟ ايش باريان؟ يعني الفكرة سخيفة شوية او + +532 +00:52:35,440 --> 00:52:39,660 +محزنة شوية تماما زي اللي بروح بسافر و بعمل lazy + +533 +00:52:40,960 --> 00:52:46,760 +وبيجي بنلاقي six twelve تلبس نضارة بقول ليه؟ + +534 +00:52:46,760 --> 00:52:52,260 +impossible .. impossible .. ليش؟ + +535 +00:52:52,260 --> 00:52:56,100 +واحد بيقول ليه؟ وما يكوننا أن نعود فيها بعد إذ + +536 +00:52:56,100 --> 00:53:03,760 +نجان الله منها هي النضارة يعني أنا إلي تلاتين سنة + +537 +00:53:03,760 --> 00:53:07,880 +بالنضارة طب مين النبي اللي قال وما يكوننا أن نعود + +538 +00:53:07,880 --> 00:53:13,140 +فيها إلا أن شاء الله ربناوَاسِعَ أَرَبُّنَا كُلَّ + +539 +00:53:13,140 --> 00:53:17,360 +شَيْءٍ عِلْمًا عَلَى اللَّهِ تَوَكَّلْنَا مين؟ + +540 +00:53:17,360 --> 00:53:22,420 +موسى وقال الملأ الذين استكبروا من قومه لنخرجنك يا + +541 +00:53:22,420 --> 00:53:29,160 +شعيب والذين آمنوا معك من قريتنا أو لتعودن في ملتنا + +542 +00:53:29,160 --> 00:53:34,280 +قال أو لو كنا كارهين قد افترين على الله كذبا إن + +543 +00:53:34,280 --> 00:53:39,580 +عدنا في ملتكم بعد إذ نجّان الله منها هذا سيدنا + +544 +00:53:39,580 --> 00:53:45,900 +شعيب عليه السلامطيب، ثلاثة من ما كنا فيه ذاق حلوة + +545 +00:53:45,900 --> 00:53:54,060 +الإيمان، حديث، عارفين الحديث؟ أن يكون الله ورسوله + +546 +00:53:54,060 --> 00:54:01,140 +أحب إليه مما سواهما، وأن يحب الرجل لا يحبه إلا + +547 +00:54:01,140 --> 00:54:06,500 +لله، وأن يكره أن يعود الكفر بعد إن أجاه الله منه + +548 +00:54:06,500 --> 00:54:10,760 +كما يكره أن يُقدف في النار أو كما قال صلى الله + +549 +00:54:10,760 --> 00:54:16,030 +عليه وسلمهذه الآية وهذه الحديث وهذه النظارة اللي + +550 +00:54:16,030 --> 00:54:26,290 +كان يلبسها قبل العملية قبل ال laser يرجع لها طيب + +551 +00:54:26,290 --> 00:54:31,030 +عامل عملية contract يلبس contact lens شوية سخيفة + +552 +00:54:31,030 --> 00:54:37,110 +أو مؤسفة طيب الأفضل + +553 +00:54:37,110 --> 00:54:37,790 +بعد هيك + +554 +00:54:40,940 --> 00:54:50,220 +implantation of intraocular lens in one eye بيعمل + +555 +00:54:50,220 --> 00:54:59,040 +prompt او rapid surgery لل another eye يعني انا + +556 +00:54:59,040 --> 00:55:09,880 +اقصد كالتالي واحد الان عمل سودو فاكهة سودو فاكهة + +557 +00:55:11,680 --> 00:55:16,880 +وصار يشوف 6 على 9 وهنا + +558 +00:55:16,880 --> 00:55:25,920 +العين التانية cataract cat يعني cataract وشوف + +559 +00:55:25,920 --> 00:55:33,500 +6 على 36 العين + +560 +00:55:33,500 --> 00:55:38,690 +اللي عملت pseudofacia شوف 6 على 9و العين اللي فيها + +561 +00:55:38,690 --> 00:55:45,790 +كترك بيشوف 36 كيف هيعيش هذا وهذا + +562 +00:55:45,790 --> 00:55:51,510 +يستدعي التعديل في عامل كترك في العين الأخرى فيه له + +563 +00:55:51,510 --> 00:55:58,150 +I عشان يصير balance things up in both eyes عشان + +564 +00:55:58,150 --> 00:56:03,350 +يعمل التوازنفي قعد عامل عملية قبل عشر سنوات و بدي + +565 +00:56:03,350 --> 00:56:06,250 +.. بقول يا عم العين التاني بدي .. قال لي يا عم يا + +566 +00:56:06,250 --> 00:56:10,890 +الله يرضى عنك انا هين مبسوط و كويس و مكيف بعين + +567 +00:56:10,890 --> 00:56:14,490 +واحدة و كويسة يا عم العين التاني عشان اني نوزنه و + +568 +00:56:14,490 --> 00:56:18,010 +لا انا سيبني خلاص بدي انا اعمل عملية كان مرة ما + +569 +00:56:18,010 --> 00:56:23,090 +صدقنا ان انا خلاص من الأولى هو يعني حق حر في حاله + +570 +00:56:23,090 --> 00:56:28,770 +بس هو العلم بيقول انه هليستدعي عملية في العين + +571 +00:56:28,770 --> 00:56:32,650 +الأخرىطب يا دكتور هو بالكتر اكتر هى مع التصحيح 6 + +572 +00:56:32,650 --> 00:56:39,050 +على 36؟ اه مع التصحيح اه مع التصحيح يعني لابس + +573 +00:56:39,050 --> 00:56:45,110 +نضارة هو اه فهو يعني بالفعل اي شك هو معتمد هات مية + +574 +00:56:45,110 --> 00:56:50,650 +المية على العين هادى العين هادى صارت غايبة و بعدين + +575 +00:56:50,650 --> 00:56:59,070 +مع الزمن بتزيد هتصل الوقت تشوف تلاتة ع ستين وأقل + +576 +00:56:59,070 --> 00:57:04,290 +كمانفالأفضل انه نعدل بعملها شكرا لكم وبرك الله + +577 +00:57:04,290 --> 00:57:09,070 +فيكم و السلام عليكم ورحمة الله وبركاته دكتور ممكن + +578 +00:57:09,070 --> 00:57:13,550 +يسير مع الإكبار أمبيوبيا؟ لأ ما بيصيرش مع الإكبار + +579 +00:57:13,550 --> 00:57:19,510 +أمبيوبيا إذا كان ال binocular single vision استقرت + +580 +00:57:19,510 --> 00:57:28,980 +بعد سن ثامنة فما بيصيرش أمبيوبيا بعد ذلكطب يعني بس + +581 +00:57:28,980 --> 00:57:31,960 +هاي ناتج عنها انه ب .. بدعف النظر اكتر؟ اه بدعف + +582 +00:57:31,960 --> 00:57:34,780 +النظر بس شكرا لكم +