ะฃ ะฝะฐั ะฒั ะผะพะถะตัะต ะฟะพัะผะพััะตัั ะฑะตัะฟะปะฐัะฝะพ ๐. ๐ ๐๐ญ๐๐ฅ ๐๐ข๐ซ๐๐ฎ๐ฅ๐๐ญ๐ข๐จ๐ง & ๐๐จ๐ฌ๐ญ๐ง๐๐ญ๐๐ฅ ๐๐ก๐๐ง๐ ๐๐ฌ ๐จ๐ ๐๐๐ญ๐๐ฅ ๐๐ข๐ซ๐๐ฎ๐ฅ๐๐ญ๐ข๐จ๐ง ๐ซ๐ถ๐ฉธ (ุงูุฏูุฑุฉ ุงูุฏู ููุฉ ููุฌููู) ะธะปะธ ัะบะฐัะฐัั ะฒ ะผะฐะบัะธะผะฐะปัะฝะพะผ ะดะพัััะฟะฝะพะผ ะบะฐัะตััะฒะต, ะฒะธะดะตะพ ะบะพัะพัะพะต ะฑัะปะพ ะทะฐะณััะถะตะฝะพ ะฝะฐ ัััะฑ. ะะปั ะทะฐะณััะทะบะธ ะฒัะฑะตัะธัะต ะฒะฐัะธะฐะฝั ะธะท ัะพัะผั ะฝะธะถะต:
ะัะปะธ ะบะฝะพะฟะบะธ ัะบะฐัะธะฒะฐะฝะธั ะฝะต
ะทะฐะณััะทะธะปะธัั
ะะะะะะขะ ะะะะกะฌ ะธะปะธ ะพะฑะฝะพะฒะธัะต ัััะฐะฝะธัั
ะัะปะธ ะฒะพะทะฝะธะบะฐัั ะฟัะพะฑะปะตะผั ัะพ ัะบะฐัะธะฒะฐะฝะธะตะผ ะฒะธะดะตะพ, ะฟะพะถะฐะปัะนััะฐ ะฝะฐะฟะธัะธัะต ะฒ ะฟะพะดะดะตัะถะบั ะฟะพ ะฐะดัะตัั ะฒะฝะธะทั
ัััะฐะฝะธัั.
ะกะฟะฐัะธะฑะพ ะทะฐ ะธัะฟะพะปัะทะพะฒะฐะฝะธะต ัะตัะฒะธัะฐ ClipSaver.ru
"๐ง๐ต๐ถ๐ ๐๐ถ๐ฑ๐ฒ๐ผ ๐ฒ๐ ๐ฝ๐น๐ฎ๐ถ๐ป๐ ๐๐ต๐ฒ ๐บ๐ฒ๐ฐ๐ต๐ฎ๐ป๐ถ๐๐บ ๐ผ๐ณ ๐ณ๐ฒ๐๐ฎ๐น ๐ฐ๐ถ๐ฟ๐ฐ๐๐น๐ฎ๐๐ถ๐ผ๐ป ๐ฎ๐ป๐ฑ ๐๐ต๐ฒ ๐ฝ๐ผ๐๐๐ป๐ฎ๐๐ฎ๐น ๐ฐ๐ต๐ฎ๐ป๐ด๐ฒ๐." ๐๐ก๐๐ฉ๐ญ๐๐ซ๐ฌ (๐ญ๐ข๐ฆ๐๐ฌ๐ญ๐๐ฆ๐ฉ๐ฌ)๐กุงููุตูู (ุงูุทูุงุจุน ุงูุฒู ููุฉ) 00:00 - Intro (ู ูุฏู ุฉ) 00:19 - Content (ุงูู ุญุชูู) 00:34 - Fetal circulation 00:42 - Difference between adult circulation and fetal circulation 01:30 - Mechanism of fetal circulation 11:49 - Postnatal changes in fetal circulation 14:53 - MCQ ๐๐ง๐ฌ๐ญ๐ซ๐ฎ๐๐ญ๐ข๐จ๐ง๐ฌ: ๐ -- Try to draw the full diagram of fetal circulation and explain it by yourself. ๐๐ก๐ซ๐๐ ๐ฌ๐ก๐ฎ๐ง๐ญ๐ฌ ๐ข๐ง ๐ญ๐ก๐ ๐๐๐ญ๐๐ฅ ๐๐ข๐ซ๐๐ฎ๐ฅ๐๐ญ๐ข๐จ๐ง: 3๏ธโฃ 1. Ductus arteriosus Protects the lungs against circulatory overload. Allows the right ventricle to strengthen. 2. Ductus venosus. Fetal blood vessel connecting the umbilical vein to the IVC. 3. Foramen ovale. Shunts highly oxygenated blood from the right atrium to the left atrium. ๐๐ก๐๐ง๐ ๐๐ฌ ๐ข๐ง ๐ญ๐ก๐ ๐๐๐ญ๐๐ฅ ๐๐ข๐ซ๐๐ฎ๐ฅ๐๐ญ๐ข๐จ๐ง ๐๐๐ญ๐๐ซ ๐๐ข๐ซ๐ญ๐ก: ๐ 1. Foramen ovale Fate: Closure (due to adhesion between septum primum and septum secundum). Cases of closure: Increase in the pressure of blood in the left atrium due to the blood coming from the functioning lung (after the first baby breath after birth). If not closed, it leads to a patent foramen ovale with different degrees. 2. Umbilical arteries Proximal part ----------------------- Superior vesical artery Distal part --------------------------- โMedial umbilical ligamentโ. 3. Umbilical veins Right umbilical vein -------------- Degenerates. Left umbilical vein ---------------- โLigamentum teresโ (fibrosed) (in the liver) 4. Ductus venosus Fate: It obliterates, forming the โligamentum venosumโ. 5. Ductus arteriosus Fate: It is transformed into ligamentum arteriosum. Cause of closure: Contraction of the muscles in the wall of the ductus (due to release of the bradykinin from the lung tissues as a result of the low oxygen tension. If not closed: Patent ductus arteriosus. ๐๐๐: ๐ช๐ฆพ 1. The foramen ovale is an opening allowing fetal blood to pass from which of the following? A. Left atrium to the right atrium B. Right ventricle to the left ventricle C. Right atrium to the left atrium D. Left ventricle to the right ventricle 2. The ductus venosus carries blood from which of the following structures? A. Pulmonary artery to the pulmonary vein B. Left branch of the portal vein to the inferior vena cava C. Right ventricle to the left ventricle D. Pulmonary artery to the aorta 3. In the fetus, blood bypasses the liver by traveling through which of the following structures? A. Hepatic portal vein B. Ductus arteriosus C. Ductus venosus D. Umbilical artery 4. Which of the following gives rise to the round ligament of the liver? A. Umbilical artery B. Umbilical vein C. Ductus venosus D. Ductus arteriosus 5. The obliterated umbilical arteries give rise to which of the following structures? A. Medial umbilical ligament B. Median umbilical ligament C. Lateral umbilical ligament D. Ligamentum arteriosum ๐๐ก๐จ๐ซ๐ญ ๐ช๐ฎ๐๐ฌ๐ญ๐ข๐จ๐ง๐ฌ: โโโ 1. What is the earliest manifestation (clinical picture) of the left-to-right shunt in the baby after birth? 2. What is the most common congenital heart disease anomaly? For answers, see below at the end of the description. ๐๐ ๐คฃ ๐ฆ๐ช๐ฒ๐ฝ๐ฒ๐ท๐ฐ ๐๐ธ๐ป ๐จ๐ธ๐พ๐ป ๐๐ท๐ผ๐๐ฎ๐ป ๐๐ ๐คฃ ๐๐ง๐ฌ๐ฐ๐๐ซ๐ฌ ๐ญ๐จ ๐๐๐๐ฌ: ๐๐ 1. C 2. B 3. C 4. B 5. A ๐ ๐จ๐ซ ๐๐จ๐ง๐ญ๐๐๐ญ: ๐ข ๐๐๐ฆ๐๐ข๐ฅ: [email protected] ๐๐ ๐๐๐๐๐จ๐จ๐ค ๐ฉ๐๐ซ๐ฌ๐จ๐ง๐๐ฅ ๐๐๐๐จ๐ฎ๐ง๐ญ: ย ย /ย drayman.khanfourย ย ๐๐ ๐๐๐๐๐จ๐จ๐ค ๐ ๐ซ๐จ๐ฎ๐ฉ: ย ย /ย 314015989895733ย ย ๐๐๐๐ฅ๐๐ ๐ซ๐๐ฆ ๐๐ก๐๐ง๐ง๐๐ฅ: https://t.me/+k-LcyYc-0WsyNDg0 ๐๐๐๐ฅ๐๐ ๐ซ๐๐ฆ ๐ ๐ซ๐จ๐ฎ๐ฉ: https://t.me/+S-dZx8Sf-LBiOWE0 ๐๐๐ง๐ฌ๐ญ๐๐ ๐ซ๐๐ฆ: ย ย /ย dr_aymnย ย ๐๐๐จ๐ฎ๐๐ฎ๐๐ ๐๐ก๐๐ง๐ง๐๐ฅ ๐ฐ๐๐๐ฌ๐ข๐ญ๐ ๐ฅ๐ข๐ง๐ค: ย ย ย /ย @dr.ayman_khanfourย ย ๐๐๐จ๐๐ข๐ฅ๐ (๐๐ง๐ ๐๐ก๐๐ญ๐ฌ๐๐ฉ๐ฉ): +20 1223815866 ๐๐๐ฌ๐ก๐ญ๐๐ : ๐ #fetal_circulation #postnatal_changes #umbilical_artery Answers to the short questions: 1. What is the earliest manifestation (clinical picture) of the left-to-right shunt of the baby after birth? Answer: Cyanosis with sucking. 2. What is the most common congenital heart disease anomaly? Answer: The most common type of heart defect is a ventricular septal defect (VSD).