رسوم مادة العملي في فسيولوجيا PDF

Summary

This document contains lecture notes on human heart anatomy, including sections on cardiac action potentials. It covers the various components of the heart, such as the chambers, valves, arteries and veins, and their function.

Full Transcript

𝐋𝐞𝐜𝐭𝐮𝐫𝐞 𝟏 Frontal plane through heart - ‫اﻟطﺎﺋرة اﻷﻣﺎﻣﯾﺔ ﻣن ﺧﻼل اﻟﻘﻠب‬ Arch of aorta - ‫ﻗوس اﻟﺷرﯾﺎن اﻷورطﻲ‬ Bachman's bundle - ‫ﺣزﻣﺔ ﺑﺎﺧﻣﺎن‬ Left atrium - ‫اﻷذﯾن اﻷﯾﺳر‬ Right atrium - ‫ا...

𝐋𝐞𝐜𝐭𝐮𝐫𝐞 𝟏 Frontal plane through heart - ‫اﻟطﺎﺋرة اﻷﻣﺎﻣﯾﺔ ﻣن ﺧﻼل اﻟﻘﻠب‬ Arch of aorta - ‫ﻗوس اﻟﺷرﯾﺎن اﻷورطﻲ‬ Bachman's bundle - ‫ﺣزﻣﺔ ﺑﺎﺧﻣﺎن‬ Left atrium - ‫اﻷذﯾن اﻷﯾﺳر‬ Right atrium - ‫اﻷذﯾن اﻷﯾﻣن‬ Atrioventricular (AV) bundle (bundle of His) - ‫( ﺣزﻣﺔ اﻷذﯾﻧﯾﺔ اﻟﺑطﯾﻧﯾﺔ‬AV) (‫ ﺣزﻣﺔ‬His) Left ventricle - ‫اﻟﺑطﯾن اﻷﯾﺳر‬ Right ventricle - ‫اﻟﺑطﯾن اﻷﯾﻣن‬ Right and left bundle branches - ‫ﻓروع اﻟﺣزﻣﺔ اﻟﯾﻣﻧﻰ واﻟﯾﺳرى‬ Purkinje fibers - ‫أﻟﯾﺎف ﺑورﻛﯾﻧﻲ‬ Sinoatrial node (SA) - ‫( اﻟﻌﻘدة اﻟﺟﯾﺑﯾﺔ اﻷذﯾﻧﯾﺔ‬SA) Anterior internodal - ‫اﻟﻌﻘﯾد اﻟداﺧﻠﯾﺔ اﻷﻣﺎﻣﯾﺔ‬ Atrioventricular node (AV) - ‫( اﻟﻌﻘدة اﻷذﯾﻧﯾﺔ اﻟﺑطﯾﻧﯾﺔ‬AV) Middle internodal - ‫اﻟﻌﻘﯾدة اﻟوﺳطﻰ‬ Posterior internodal - ‫اﻟﺑﺎطﻧﻲ اﻟﺧﻠﻔﻲ‬ 𝐋𝐞𝐜𝐭𝐮𝐫𝐞 𝟐 Slow response action potential ‫إﻣﻛﺎﻧﺎت ﻋﻣل اﻻﺳﺗﺟﺎﺑﺔ اﻟﺑطﯾﺋﺔ‬ Fast response action potential ‫إﻣﻛﺎﻧﺎت ﻋﻣل اﻻﺳﺗﺟﺎﺑﺔ اﻟﺳرﯾﻌﺔ‬ 𝐋𝐞𝐜𝐭𝐮𝐫𝐞 𝟒 HUMAN HEART ANATOMY - ‫ﺗﺷرﯾﺢ اﻟﻘﻠب اﻟﺑﺷري‬ Pulmonary Artery - ‫اﻟﺷرﯾﺎن اﻟرﺋوي‬ hortic Valve - ‫ﺻﻣﺎم اﻟﺑﻛر‬ Mitral Valve - ‫اﻟﺻﻣﺎم اﻟﺗﺎﺟﻲ‬ Aorta - ‫اﻟﺷرﯾﺎن اﻷورطﻲ‬ Inferior Vena Cava - ‫اﻟورﯾد اﻷﺟوف اﻟﺳﻔﻠﻲ‬ Tricuspid Valve - ‫ﺻﻣﺎم ﺛﻼﺛﻲ اﻟﺷرف‬ Pulmonary Valve - ‫ﺻﻣﺎم رﺋوي‬ Pulmonary Vein - ‫اﻟورﯾد اﻟرﺋوي‬ Superior Vena Cava - ‫اﻟورﯾد اﻷﺟوف اﻟﻌﻠوي‬ Venous Blood - ‫اﻟدم اﻟورﯾدي‬ Arterial Blood - ‫اﻟدم اﻟﺷرﯾﺎﻧﻲ‬ 𝐋𝐞𝐜𝐭𝐮𝐫𝐞 𝟑 Normal sinus rhythm - ‫إﯾﻘﺎع اﻟﺟﯾوب اﻷﻧﻔﯾﺔ اﻟطﺑﯾﻌﻲ‬ Atrial fibrillation - ‫اﻟرﺟﻔﺎن اﻷذﯾﻧﻲ‬ This is the irregular beating of the atrial chambers, Atrial fibrillation (A-fib) is common and mainly develops in adults over 65 years of age. ‫( ﺷﺎﺋﻊ وﯾﺗطور ﺑﺷﻛل رﺋﯾﺳﻲ ﻟدى اﻟﺑﺎﻟﻐﯾن اﻟذﯾن ﺗزﯾد‬A-fib) ‫ واﻟرﺟﻔﺎن اﻷذﯾﻧﻲ‬،‫ھذا ھو اﻟﺿرب ﻏﯾر اﻟﻣﻧﺗظم ﻟﻠﻐرف اﻷذﯾﻧﯾﺔ‬.‫ ﻋﺎﻣﺎ‬65 ‫أﻋﻣﺎرھم ﻋن‬ Instead of producing a single, strong contraction, the chamber fibrillates, or quivers, often producing a rapid heartbeat. ‫ وﻏﺎﻟﺑﺎ ﻣﺎ ﺗﻧﺗﺞ ﻧﺑﺿﺎت ﻗﻠب ﺳرﯾﻌﺔ‬،‫ ﻓﺈن اﻟرﺟﻔﺎن أو اﻟﮭزة ﻓﻲ اﻟﻐرﻓﺔ‬،‫ﺑدﻻ ﻣن إﻧﺗﺎج اﻧﻛﻣﺎش واﺣد ﻗوي‬ Atrial flutter - ‫رﻓرﻓﺔ أذﯾﻧﯾﺔ‬ While fibrillation causes many random and different quivers in the atrium, atrial flutter is usually from one area in the atrium that is not conducting properly. This produces a consistent pattern in the abnormal heart conduction. ‫ إﻻ أن اﻟرﻓرﻓﺔ اﻷذﯾﻧﯾﺔ ﻋﺎدة ﻣﺎ ﺗﻛون ﻣن ﻣﻧطﻘﺔ‬،‫ﻓﻲ ﺣﯾن أن اﻟرﺟﻔﺎن ﯾﺳﺑب اﻟﻌدﯾد ﻣن اﻻرﺗﻌﺎب اﻟﻌﺷواﺋﯾﺔ واﻟﻣﺧﺗﻠﻔﺔ ﻓﻲ اﻷذﯾن‬ ‫واﺣدة ﻓﻲ اﻷذﯾن ﻻ ﺗﺟري‬ ‫ ﯾﻧﺗﺞ ﻋن ذﻟك ﻧﻣطﺎ ﺛﺎﺑﺗﺎ ﻓﻲ اﻟﺗوﺻﯾل ﻏﯾر اﻟطﺑﯾﻌﻲ ﻟﻠﻘﻠب‬.‫ﺑﺷﻛل ﺻﺣﯾﺢ‬ Some people may experience both flutter and fibrillation..‫ﻗد ﯾﻌﺎﻧﻲ ﺑﻌض اﻷﺷﺧﺎص ﻣن ﻛل ﻣن اﻟرﻓرﻓﺔ واﻟرﺟﻔﺎن‬ Atrial flutter can be a serious condition and usually leads to fibrillation without treatment ‫ﯾﻣﻛن أن ﯾﻛون اﻟرﻓرﻓﺔ اﻷذﯾﻧﯾﺔ ﺣﺎﻟﺔ ﺧطﯾرة وﻋﺎدة ﻣﺎ ﯾؤدي إﻟﻰ اﻟرﺟﻔﺎن‬ ‫ﺑدون ﻋﻼج‬ Supraventricular Tachycardia (SVT) (SVT) ‫ﻋدم اﻧﺗظﺎم دﻗﺎت اﻟﻘﻠب ﻓوق اﻟﺑطﯾﻧﻲ‬ rapid but rhythmically regular heartbeat ‫ﻧﺑﺿﺎت ﻗﻠب ﺳرﯾﻌﺔ وﻟﻛن ﻣﻧﺗظﻣﺔ ﺑﺷﻛل إﯾﻘﺎﻋﻲ‬ Medication is crucial for treatment ‫اﻟدواء ﺿروري ﻟﻠﻌﻼج‬ HR 150-200 Narrow QRS QRS ‫ﺗﺿﯾﯾق‬ Ventricular Tachycardia (VT) (VT) ‫ﻋدم اﻧﺗظﺎم دﻗﺎت اﻟﻘﻠب اﻟﺑطﯾﻧﻲ‬ This condition refers to abnormal electrical impulses that start in the ventricles and cause an abnormally fast heartbeat ‫ﺗﺷﯾر ھذه اﻟﺣﺎﻟﺔ إﻟﻰ ﻧﺑﺿﺎت ﻛﮭرﺑﺎﺋﯾﺔ ﻏﯾر طﺑﯾﻌﯾﺔ‬ ‫اﻟﺗﻲ ﺗﺑدأ ﻓﻲ اﻟﺑطﯾﻧﯾن وﺗﺳﺑب ﻧﺑﺿﺎت ﻗﻠب ﺳرﯾﻌﺔ ﺑﺷﻛل ﻏﯾر طﺑﯾﻌﻲ‬ Ventricular Fibrillation (VF) - ‫( اﻟرﺟﻔﺎن اﻟﺑطﯾﻧﻲ‬VF) This is an irregular heart rhythm consisting of rapid, uncoordinated, and fluttering contractions of the ventricles. The ventricles do not pump blood but quiver instead. ‫ اﻟﺑطﯾﻧﯾن ﻻ ﯾﺿﺧون اﻟدم‬.‫ھذا ھو إﯾﻘﺎع اﻟﻘﻠب ﻏﯾر اﻟﻣﻧﺗظم اﻟذي ﯾﺗﻛون ﻣن ﺗﻘﻠﺻﺎت ﺳرﯾﻌﺔ وﻏﯾر ﻣﻧﺳﻘﺔ وﺗرﻓرف ﻓﻲ اﻟﺑطﯾﻧﯾن‬.‫وﻟﻛﻧﮭم ﯾرﺗﺟﻔون ﺑدﻻ ﻣن ذﻟك‬ Ventricular fibrillation can be life threatening and usually has links to heart disease ‫ﯾﻣﻛن أن ﯾﻛون اﻟرﺟﻔﺎن اﻟﺑطﯾﻧﻲ ﻣﮭددا ﻟﻠﺣﯾﺎة وﻋﺎدة ﻣﺎ ﯾﻛون ﻟﮫ رواﺑط‬ ‫إﻟﻰ أﻣراض اﻟﻘﻠب‬ First degree AV block - ‫ ﻛﺗﻠﺔ‬AV ‫ﻣن اﻟدرﺟﺔ اﻷوﻟﻰ‬ Second degree AV block (Mobitz I or Wenckebach) (MobitzI or Wenckebach) ‫ ﻣن اﻟدرﺟﺔ اﻟﺛﺎﻧﯾﺔ‬AV ‫ﻛﺗﻠﺔ‬ Second degree AV block (Mobitz Il) (Mobitz Il) ‫ ﻣن اﻟدرﺟﺔ اﻟﺛﺎﻧﯾﺔ‬AV ‫ﻛﺗﻠﺔ‬ Second degree AV block (2:1 block) (2:1 ‫ ﻣن اﻟدرﺟﺔ اﻟﺛﺎﻧﯾﺔ )ﻛﺗﻠﺔ‬AV ‫ﻛﺗﻠﺔ‬ Third degree AV block with junctional escape ‫ ﻣن اﻟدرﺟﺔ اﻟﺛﺎﻟﺛﺔ ﻣﻊ ﻣﺧرج ﺗﻘﺎطﻌﻲ‬AV ‫ﻛﺗﻠﺔ‬ ‫‪The ECG machine and its leads‬‬ ‫ﺟﮭﺎز ﺗﺧطﯾط اﻟﻘﻠب اﻟﻛﮭرﺑﺎﺋﻲ وأﺳﻼﻛﮫ‬ ‫𝟓 𝐞𝐫𝐮𝐭𝐜𝐞𝐋‬ ‫ﻣﻘﯾﺎس ﺿﻐط اﻟدم ‪sphygmomanometer -‬‬ sphygmomanometer - ‫ﻣﻘﯾﺎس ﺿﻐط اﻟدم‬

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