تدريب Shadowing: Bitch Spay Video Uterine Disaster vet cpd® 28 - تعلم التحدث بالإنجليزية عبر الفيديو
اختر وضع التدريب
كل وضع يفتح غرفة تدريب بملء الشاشة.
58 جمل
إذا كانت الجمل قصيرة أو طويلة جدًا، انقر على Edit لتعديلها.
1
Thank you.
2
Thank you.
3
Slide down the suspensory with your left index going around the kidney
4
and press down at insertion or hook under suspensory and push up.
5
Check you have good clearance of the ovary.
6
Now separate the uterus for better exposure.
7
Form the first millers, nudge down, tighten and then raise the clamp, place the second ligature, which can either be a miller's or a surgeon's.
8
Thank you.
9
Thank you.
10
Release top clamp, mop up any blood and then raise ovarian clamp clamp.
11
As we no longer have the pressure in the ovarian artery, either a millers or surgeons can be placed.
12
Rotate this clamp by placing forceps in the handle.
13
You can visualize the knot and see the tightness.
14
Thank you.
15
This is great.
16
We can check for bleeding and if any concerns, replace the clamp and add an extra ligature.
17
Easy peasy.
18
Better than the conventional way of hanging onto a thread of the pedicle.
19
This is the scary traditional way to check for bleeding, not easy peasy, to reapply the clamp and add a ligation.
20
Swab removed, and now ligation of the broad ligament, but this one has no fat or vessels, so is just torn.
21
Watching this carefully will help you with deeper ovaries, push down on the abdominal wall with your left hand and pinch the ovary.
22
Once you have pinched the ovary, you can pull hard on it, as the vessels are protected by the suspensory and renal ligament.
23
The ovary is a slippery sucker, hence the swab.
24
Hold the ovary with your right hand, slide down the suspensory ligament with your left index finger near the insertion, hook your finger under and push the ligament upwards.
25
There are two ligaments, suspensory and renal.
26
Obviously, the renal runs to the cadenet knot break this as this protects the vessel.
27
Walk the clamp down rather than forcing it.
28
Clamp and separate the uterus.
29
Thank you.
30
Thank you.
31
Thank you.
32
Thank you.
33
Thank you.
34
Thank you.
35
But this is the way you are taught to check for bleeding.
36
Exteriorizing the pedicle from this position is very difficult.
37
The first ligature is a surgeon's, as this is less likely to cut through the uterus and than I usually follow with a Miller's.
38
Thank you.
39
Yep, that's not good.
40
It's cut clean through the uterus, but I will still use the knot to ligate the uterine vessels as it will not cut through these.
41
I feel I need something a little extra for the vessels, so just place an extra surgeon's.
42
I am just checking there is no visual bleeding from the user uterine stump, the swab I send in returns with minimum blood.
43
So all good.
44
Thank you.
45
Thank you.
46
A simple interrupted was enough to finish the muscle layer, but to spice things up, I ran this into the fat.
47
The advantage of this is the dead space closure.
48
Also, when closing the fat, I will take a nick of the muscle, again to close the dead space, removing any chance of a seroma.
49
I will be unable to tie off and run the this into the skin as the needle is too large.
50
The only problem I am going to have is a large knot to cover.
51
As we are starting with a new suture, the subdermal anchor is made above the large fat knot so as to hide it.
52
I went straight into the intradermals as I felt the skin knot would sit cordially before the intradermal entry point.
53
I usually say two steps forward, one step back.
54
Thank you.
55
Thank you.
56
To help burial, pull with some force on the suture, but mainly push the skin over the knot with forceps.
57
You're looking for that tug.
58
If it doesn't bury, retrace the needle out and try again.
تنزيل التطبيق
كل ما تحتاجه للتحدث بطلاقة
تقييم النطق بالذكاء الاصطناعيتقييم كل جملة
تدريب IPAأتقن كل صوت
المفرداتابنِ رصيدك من الكلمات
لعبة المفرداتتعلّم أثناء اللعب
FOR YOU
فيديو موصى به
C11
69 جمل
Spay/Neuter Patient Care: Patient Prep - Feline
Business EnglishUniversity StudentsWorking Adults
![How to Create a Women’s Bodice Block from Body Measurements [Pattern Making Tutorial]](https://img.youtube.com/vi/Bn594SV1nXA/mqdefault.jpg)
C12
122 جمل
How to Create a Women’s Bodice Block from Body Measurements [Pattern Making Tutorial]
Business EnglishUniversity StudentsWorking Adults
C114
9 جمل
DIY Suture Kit Tutorial #surgeon #suturing #surgeonlife #surgicalskills #surgery #vet #medicine #sew
Business EnglishUniversity StudentsWorking Adults
C12
72 جمل
Blood Flow Through the Heart (Made Easy in 5 Minutes!)
Business EnglishUniversity StudentsWorking Adults
C18
39 جمل
Radial puncture
Business EnglishUniversity StudentsWorking Adults
C11
4 جمل
Ambr®️ 250 High Throughput Perfusion Product Tutorial - Learn with Sartorius
Business EnglishUniversity StudentsWorking Adults
C12
111 جمل
2025 Pathology Review: Practical Updates in Breast, Gastrointestinal and Genitourinary Pathology
Business EnglishUniversity StudentsWorking Adults
C15
42 جمل
Essential Accessory Exercise for Weightlifting: Snatch Press in Deep Squat with Kuo Hsing-Chun
Business EnglishUniversity StudentsWorking Adults
C11
532 جمل
SCIENCE & MEDICINE - Dr. Death - Free Fall | 5
Daily ConversationUniversity StudentsWorking Adults
C13
40 جمل
Canine Spay
University StudentsWorking Adults
C24
186 جمل
Embolization of AV Malformations: Tips and Tricks
Business EnglishUniversity StudentsWorking Adults
C14
81 جمل
Sculptra: Combination Technique
Business EnglishUniversity StudentsWorking Adults
المفردات وملاحظات التحدث لهذا الدرس
هذا الدرس في المحادثة بمستوى C1 مبني على الفيديو “Bitch Spay Video Uterine Disaster vet cpd® 28”. أكثر الكلمات تكرارًا في الفيديو: clamp, knot, ligament, ovary, suspensory. يحتوي هذا الفيديو على 58 جملة و636 كلمة للتدرب على الترديد. مدة الكلام 18:57. 74% فقط من الكلمات ضمن أكثر 3,000 كلمة شيوعًا في الإنجليزية، فالمفردات صعبة نسبيًا.
أهم المفردات في هذا الفيديو
أصعب 15 كلمة في الفيديو، مع النطق والمعنى:
| الكلمة | النطق | المعنى |
|---|---|---|
| clamp اسم | /ˈklæmp/ | مَشْبَك |
| knot اسم | /nɑt/ | عُقْدَة |
| ligament اسم | /ˈlɪɡəmənt/ | رِبَاط |
| ovary اسم | /ˈoʊvəɹi/ | مِبْيَض, مَبِيض |
| bleed فعل | /ˈbliːd/ | نَزَفَ |
| renal صفة | /ˈɹi.nəl/ | كُلْوِيّ |
| pinch فعل | /pɪnt͡ʃ/ | قَرَصَ |
| needle اسم | /ˈniː.dəl/ | إِبْرَة, مِخْيَط |
| tighten فعل | /ˈtaɪ.tən/ | شَدَّ, ضَيَّقَ |
| abdominal صفة | /æbˈdɑm.ə.nl̩/ | بَطْنِيّ |
| slippery صفة | /ˈslɪpəɹi/ | زَلِق |
| interrupt فعل | /ˌɪntəˈɹʌpt/ | قَاطَعَ |
| artery اسم | /ˈɑɹ.təɹ.i/ | شِرْيَان |
| bury فعل | /ˈbɛɹi/ | دَفَنَ, قَبَرَ |
| burial اسم | /ˈbɛɹi.əl/ | دَفْن, تَدْفِين |
نطق يحتاج إلى انتباه
- أصوات “sh” و“zh”: insertion /ɪnˈsɝʃən/, ligation /lɪˈɡeɪʃən/, visualize /ˈvɪʒuəˌlaɪz/
- الكلمات الطويلة — انتبه لموضع النبر: ovarian /oʊˈvɛɹi.ən/, exteriorize /ɪkˈstɪɹi.əˌɹaɪz/
أصوات يجدها متحدثو العربية صعبة:
- /p/ — ليس /b/: انطقه مع نفخة هواء: clamp /ˈklæmp/, forceps /ˈfoɹsɛps/, pedicle /ˈpɛd.ɪ.kəl/, pinch /pɪnt͡ʃ/, slippery /ˈslɪpəɹi/
- /v/ — ليس /f/: مع اهتزاز الأوتار الصوتية: ovary /ˈoʊvəɹi/, ovarian /oʊˈvɛɹi.ən/, visualize /ˈvɪʒuəˌlaɪz/
- تتابع الصوامت — لا تضف حركة بينها: clamp /ˈklæmp/, ligament /ˈlɪɡəmənt/, bleed /ˈbliːd/, swab /swɒb/, forceps /ˈfoɹsɛps/
كيف تتدرب بهذا الفيديو
- استمع إلى الفيديو كاملًا مرة واحدة دون أن تتكلم، ودوّن الكلمات التي لا تعرفها.
- ردّد جملة جملة بالسرعة العادية، وكرّر كل جملة حتى يتطابق إيقاعك مع المتحدث.
- سجّل صوتك وقارنه بالأصل، مع الانتباه إلى كلمات مثل clamp, knot, ligament.
ما هي تقنية التظليل الصوتي؟
التظليل الصوتي (Shadowing) تقنية تعلم لغة مدعومة علمياً، طُورت أصلاً لتدريب المترجمين الفوريين المحترفين. الطريقة بسيطة لكنها قوية: تستمع لصوت إنجليزي أصلي وتكرره فوراً بصوت عالٍ — كظل يتبع المتحدث بتأخير 1-2 ثانية. تُظهر الأبحاث تحسناً كبيراً في دقة النطق والتنغيم والإيقاع وربط الأصوات والاستماع والطلاقة.