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01 عيدكم مبارك
كل عام وانتم بخير
محبكم
د حامد عطيه | 83 | 0 | Loading... |
02 https://youtube.com/shorts/w41rB_EkWpA?si=EKrpZG1_zeDDdLZL | 569 | 0 | Loading... |
03 Audio from Dr/Hamed Attia | 555 | 0 | Loading... |
04 Photo from Dr/Hamed Attia | 553 | 0 | Loading... |
05 كلاكيع في رقبة جاموسة | 416 | 0 | Loading... |
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07 🌿استراحة الجمعة🌿
🌹برنامج ليوم عرفة🌹
يوم عرفة يوم شرفه الله
إنّه يوم عظّمه الله ، إنَه يوم يباهي الله بأهل عرفة أهل السماء ، إنّه يوم العتق من النيران ، إنّه يوم الطاعة والإجتهاد في العبادة ، وأفضل الدعاء دعاء يوم عرفة.
فاجتهدوا ألا يخلوا نَفَسٌ من أنفاسِكَم إلا في عمل طاعة أو قربة تتقربوا بها ، فإنها لو كانت معكم جوهرة من جواهر الدنيا لسائكم ذهابها ، فكيف تضيِّعون أفضل يوم من أيام الدُّنيا ؟!
🌹جدول عبادات يوم عرفة :
1- نم ليلة عرفه مبكراً لتتقوى على طاعة الله
2- قم قبل الفجر لتتسحر بنية صوم هذا اليوم
3- ثم صل ركعتين او أربع على الأقل ، وادع ربك وأنت ساجد بخيري الدنيا والآخرة ، واحمده أنه بلغك يوم تتنزل فيه الرحمات والمغفرة
4- قبل الفجر اقضِ وقت في الإستغفار حتى تكتب عند الله من المستغفرين في الأسحار
5. استعد لصلاة الفجر قبل الآذان بخمس دقائق واستشعر أن ذنوبك تخرج مع آخر قطرة أثناء الوضوء
6- صلي الفجر واجلس في مصلاك إلى ما بعد الشروق ب 15 دقيقة
7- إبدأ التكبير بعد السلام مباشرة
الله أكبر، الله أكبر، الله أكبر .. لا إله إلا الله
الله أكبر، الله أكبر .. ولله الحمد
8- أنت الآن في مصلاك حتى الشروق تقرأ القرآن وتسبح وتهلل وتحمد الله وتصلي على النبي ﷺ ولا تنسى أذكار الصباح
9- أنت الآن مخير إن استطعت ألا تنام اليوم كاملاً فلا تضيع ثانية واحدة الا وأنت في ذكر ودعاء ، وكن على يقين بالإجابة
أو أن تنام ساعة تنوي بها أن تتقوّى بها على طاعة الله
10- ثم تقوم من النوم تتوضأ وتصلي 4 ركعات على الأقل صلاة الضحى وتنوع في الطاعات حتى لا تمل
تكبير، ذكر، تلاوة، صلاة على النبي ، وأكثِر من قول : ( لاإله الا الله وحده لاشريك له الملك وله الحمد وهو على كل شئ قدير )
11- صلي الظهر وكبِّر وسبح واقرأ شيئاً من القرآن
12- صلي العصر وكبِّر وقل أذكار المساء
13- إقرأ القرآن إلى قبل المغرب بساعة تقريباً
14- ابدأ الدعاء بخشوع واسأل الله كل حاجاتك من خير الدنيا والآخرة ، ولا تنس الدعاء لإخوانك المسلمين في كل مكان
15- ادعُ الله ألا تغرب شمس يوم عرفة إلا وأنت من عتقائه .
نسأل الله لنا ولكم القبول
جعلنا الله وإياكم من عتقائه من النار.
منقول
النابلسي | 576 | 6 | Loading... |
08 نعم كرر الجرعة بعد ١٠ ايام | 677 | 2 | Loading... |
09 دكتور. انا لو جسيت بقرة ولقيت الجسم الاصفر طرى وصغير دا معناه انه لسه مش ناضح. وحقنت استروميت ومجبش نتيجة اكرر بعد ١١ يوم ؟ | 659 | 2 | Loading... |
10 Audio from Dr/Hamed Attia | 686 | 6 | Loading... |
11 Audio from Dr/Hamed Attia | 688 | 5 | Loading... |
12 السلام عليكم
بالنسبة ي دكتور في حالات الولادة الطبيعية بالنسبة للماعز والخرفان ، لما يجيلي حالة في بداية الولادة بقالها ساعتين فقط ، انا بلاقي السيرفيكس فاتح وفيه جزء من الجنين باين معايا بس بيعدي ٤ اصابع بالكتير معايا ، ومش بعرف ادخل ايدي كلها علشان اطلعه ، ف بديله استروميت واوكسي توسين ، وبقوله يسيبها ٦ ساعات تقريبا كدا ، يكون الرحم فتح ، ولما بيجيبها بحاول ادخل ايدي بلاقي لسه الرحم ضيق ، هل ممكن استخدم زيلازين مثلا او ابيديورال ب ليدوكايين ولا اي ؟ | 726 | 3 | Loading... |
13 Audio from Dr/Hamed Attia | 670 | 0 | Loading... |
14 حالة اعدام كلي | 651 | 0 | Loading... |
15 السلام عليكم ورحمه الله
هل هذه فيلاريا يادكتور؟ | 546 | 0 | Loading... |
16 حالة فيلاريا في جاموسة (الطور الجلدي) | 568 | 2 | Loading... |
17 Media files | 592 | 1 | Loading... |
18 نعم
Filaria Cautinous form | 614 | 1 | Loading... |
19 مات تاني يوم ولم يتم عمل صفة تشريحية | 583 | 1 | Loading... |
20 ماهي اخبار الحصان يادكتور | 568 | 1 | Loading... |
21 Audio from Dr/Hamed Attia | 572 | 0 | Loading... |
22 نعم
Filaria Cautinous form | 1 | 0 | Loading... |
23 Media files | 1 | 0 | Loading... |
24 السلام عليكم ورحمه الله
هل هذه فيلاريا يادكتور؟ | 1 | 0 | Loading... |
25 حالة فيلاريا في جاموسة (الطور الجلدي) | 1 | 0 | Loading... |
26 Video from Dr/Hamed Attia | 599 | 0 | Loading... |
27 Video from Dr/Hamed Attia | 635 | 0 | Loading... |
28 Audio from Dr/Hamed Attia | 583 | 0 | Loading... |
29 حالة التهاب في غشاء البلورا في حصان | 583 | 2 | Loading... |
30 Document from Dr/Hamed Attia | 602 | 2 | Loading... |
31 [12] All mares in the study were “repeat breeders” who were unable to conceive in the previous three breeding cycles, so the researchers suggested that PRP may be a beneficial treatment for repeat breeder mares. [12]
Equine Asthma
There is one study reporting the use of PRP as a treatment for asthma in horses. In this study, the researchers administered PRP to the airways of horses with asthma. [13]
After treatment, horses with inflammatory airway disease, a mild form of equine asthma, showed less mucus in the airways and fewer inflammatory cells than before treatment. [13]
Laminitis
There is a study examining the effect of combined PRP and mesenchymal stem cell treatment for laminitis in horses. [14]
In the study, nine horses treated for laminitis returned to their previous activity within six months of laminitis developing, with seven of them still active one year after treatment. [14] Two horses developed another episode of laminitis before the 1-year mark. [14]
Since both PRP and mesenchymal stem cells were part of the treatment, the effect of PRP on its own in treating laminitis is unknown. [14]
Burns
One study examined the effect of PRP treatment on healing of deep second-degree burns in horses. [15] Horses that received PRP treatment showed increased healing compared to control horses, but also showed increased scar tissue formation. [15]
Side Effects
Reports of adverse effects from PRP injection in horses are rare. Since the horse’s own blood is used to prepare PRP treatments, there is minimal risk of an immune reaction to the PRP injection. [1][6]
According to a survey of equine practitioners, less than 2% of horses develop joint flares (an immune reaction to a joint injection) after PRP injection. [1]
PRP injections must be administered carefully and should only be performed by a qualified practitioner to reduce the risk of adverse reactions. Undesired leakage of PRP fluid into tissue other than the intended injection site may cause scarring and unwanted tissue proliferation. [1]
To prevent this from occurring, veterinarians typically measure the size of the damaged area using ultrasound to calculate an appropriate volume of PRP.
Possible side effects from PRP injection include: [1][2]
Local inflammation and pain at the injection site
Infections at the injection site
Widespread inflammation throughout the body
Techniques to reduce local inflammation including icing the area after PRP application and administration of non-steroidal anti-inflammatory drugs (NSAIDs). [2]
Use of NSAIDs after PRP injection is somewhat controversial, as some practitioners believe NSAIDs reduce the release of growth factors from platelets based on studies from human medical literature. [2] However, horse platelets show little response to common equine NSAIDs, such as phenylbutazone, and are considered safe to use in combination with PRP treatment. [2]
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Providing a balanced, forage-based diet that meets all vitamin and mineral requirements should be the foundation for any horse. Y
You can also support the horse’s own homeostatic counterregulatory responses to inflammation by feeding additional supplements such as MSM and w-3 oil (which contains the anti-inflammatory omega-3 fatty acid DHA).
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Summary
Platelet-rich plasma (PRP) treatment for horses is growing in popularity as its multiple clinical uses continue to show promise in scientific study. In horses, it is most commonly used to promote healing and rehabilitation in tendon and ligament injuries. | 785 | 7 | Loading... |
32 Platelet-rich plasma involves injecting plasma into an area of injury to promote healing
PRP is common for treating tendon, ligament, and joint injuries in horses
There is good evidence to support the use of PRP in tendon and ligament injuries, but more research is required for other uses
PRP is safe with few reported side effects when administered by a trained professional
Is Your Horse's Diet Missing Anything?
Identify gaps in your horse's nutrition program to optimize their well-being. | 794 | 7 | Loading... |
33 There are also frozen forms of PRP available, called platelet lysates. These preparations typically have lower concentrations of growth factors and reduced antimicrobial effects compared to traditional PRP methods. [1]
Types of Platelet-Rich Plasma
After processing, the composition of platelet-rich plasma (PRP) is classified as either “pure” PRP or “leukocyte-rich” PRP based on the white blood cell content: [1]
“Pure” PRP contains primarily platelets with low numbers of white blood cells
“Leukocyte-rich” PRP has a high numbers of white blood cells
The type of PRP preparation produced depends on the technique used to isolate and concentrate the blood plasma. [1] This variation in final composition of the PRP product can alter its overall healing effects. [1]
Effects
Most studies on platelet-rich plasma focus on ligament, tendon, joint, and cartilage damage. There is extensive research into the effects of PRP on other tissues, particularly in human medical literature.
In cartilage and joints, reported effects of PRP include: [4][5]
Increased growth factors
Increased expression of genes associated with chondrocyte (cartilage cell) growth
Reduced pro-inflammatory mediators
Increased anti-inflammatory mediators
Improved healing of cartilage defects
In tendons and ligaments, reported effects include: [4]
Increased growth factors
Increased anti-inflammatory mediators
Increased production of collagen, the major structural protein of tendons and ligaments
Improved strength of healing tissues
One review showed 72.2% of PRP clinical trials in human and equine medicine had positive effects when treating joint disease. [6] 37% of studies on tendon disease and ligament disease had positive results. [6]
Antimicrobial Effects
There is some evidence that PRP may have an antimicrobial effect on tissues, meaning it could potentially help combat bacterial infections at the site of application. [1] Studies show that equine platelet proteins are effective against bacteria such as Staphylococcus, Streptococcus, and E. coli. [1]
One study in horses showed that joints treated with platelet proteins and antibiotics were less likely to show signs of infection and bacterial growth in joints infected with Streptococcus. [1] Horses receiving platelet proteins also had reduced damage to joint cartilage and decreased inflammation. [1]
These findings suggest PRP may have applications in treating septic arthritis (bacterial infection of a joint) in the future. [1]
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Clinical Use in Horses
One survey found 77% of equine practitioners use platelet-rich plasma as part of their clinical practice. [1]
Most veterinarians use PRP for joint, tendon, or ligament disease. PRP may also have applications in treating wounds, endometritis (uterine inflammation), and other injuries. [4][10][11]
Tendon and Ligament Injuries
To treat tendon and ligament disease, most veterinarians inject PRP directly into the damaged area. [1] In some cases, the area of injury is difficult to access for injection, so the veterinarian may inject the PRP into tissues surrounding the injury. [1]
There are several studies on the effect of PRP on tendon and ligament disease in horses. Clinical trials show PRP use has successfully supported tissue repair, with many horses returning to previous levels of performance.
One study treating several types of tendon and ligament injuries showed that 81% of horses returned to work within 6 months of treatment. [1]
Superficial Digital Flexor Tendon Injuries
In one study of injuries to the superficial digital flexor tendon, lameness decreased sooner after injury when PRP injections were used compared to untreated horses. [4] | 555 | 7 | Loading... |
34 80% of the treated horses returned to performance 12 months after treatment, whereas the untreated horses took 24 months to achieve a similar level of rehabilitation. [4]
Suspensory Ligament Injuries
A clinical follow-up study of nine Standardbreds with suspensory ligament injuries treated with PRP showed that all nine horses returned to racing. [7] The horses with suspensory ligament injuries had decreased earnings per race in the first year after treatment, but were otherwise performed similarly to their peers in competition. [7]
Another study on 100 Western performance horses showed that 75% of horses with proximal suspensory ligament injuries were sound at 1 year after receiving PRP treatment, with 67% actively in work. [8]
Finally, a study on English sport horses with long-term suspensory injuries showed that a platelet lysate product improved soundness at 6, 12 and 18 months after treatment. [9]
Sesamoiditis
Research shows horses with sesamoiditis are more likely to return to a racing career in the short-term when treated with PRP compared to horses that do not. [4] However, findings also show both treated and untreated horses have similar levels of performance in the long-term. [4]
Joint Disease
Veterinarians may inject platelet-rich plasma directly into a joint in cases of joint disease. [1] Goals of treatment include promoting tissue healing, increasing production of hyaluronic acid (a major lubricant within joints), and reducing inflammation. [1]
There are currently limited studies in equine medicine to support PRP as a joint treatment. [1] There are two studies in horses currently, which both concluded minimal efficacy of PRP.
The first study identified increased inflammatory mediators and decreased joint fluid quality 48 hours after PRP treatment of a joint. [4] From these results, the authors cautioned use of PRP in treating joints immediately after a surgical intervention, such as osteochondrosis dissecans treatment. [4]
Inflammatory reactions are considered to be more likely when using PRP containing high numbers of white blood cells.
The second study showed no beneficial effect of PRP injection into joints after surgery to repair meniscal tears in English sport horses. [1]
Other Uses
Platelet-rich plasma is also being explored as a treatment for other conditions in horses including bone healing, skin wounds, respiratory conditions, endometritis and laminitis.
Bone Healing
There is one case report of PRP use in a tibial fracture in a donkey. [4] The report identified increased healing at one month after PRP injection compared to the expected rate of recovery. [4] This finding is promising, but more research into the effect of PRP on bone fractures is needed.
Skin Wounds
There are conflicting results from studies on PRP use in treating skin wounds. [4]
One study showed PRP treatment reduced healing time on limb wounds by 15 days compared to controls. [10] Treated wounds were also less likely to develop severe granulation tissue (proud flesh).
In contrast, other studies show that PRP may promote excessive granulation tissue development. [11] One study of cannon bone wounds showed PRP treatment delayed wound healing for up to 3 weeks compared to untreated horses. [11]
These results suggest PRP may be most beneficial for old wounds that are no longer healing, or very large wounds. [11]
Endometritis
Use of PRP in uterine flushes shows promise as a treatment for post-breeding endometritis, a condition involving inflammation that occurs due to the uterine lining’s reaction to sperm.
Results from two studies showed mares treated with PRP have reduced uterine fluids and fewer inflammatory cells after artificial insemination compared to untreated mares. [4]
Another study showed that uterine PRP treatment shortened estrus cycle length and improved pregnancy rates in treated mares compared to the control group. | 613 | 7 | Loading... |
35 Platelet Rich Plasma therapy ( PRP )
Platelet-Rich Plasma (PRP) in Horses: Uses, Benefits & Side Effects
Written by: Dr. Madison Ricard, DVM, DACVP
Reviewed by: Dr. Christine Latham, Ph.D.
Veterinary Review: Dr. Eleanor Kellon, VMDPublished on: March 15, 2024
Last updated on: May 28, 2024
Evidence Based16 references
CONDITIONSHORSE HEALTHJOINT HEALTHMEDICATIONS
Platelet-Rich Plasma (PRP) in Horses: Uses, Benefits & Side Effects
Platelet-Rich Plasma Types Effects Use in Horses Side Effects
Platelet-Rich Plasma (PRP) is a regenerative therapy used to treat horses with tendon and ligament injuries.
PRP is a blood preparation where plasma, the water and protein component of blood containing no cells, is mixed with highly concentrated platelets and injected into a site of injury. [1]
Administration of platelet-rich plasma delivers a concentrated dose of growth factors to the injury site on the horse’s body. The goal of treatment is to promote the repair process, improve healing, and speed tissue regeneration.
The use of PRP in horse is growing in popularity as injections can be tailored to the individual case. PRP injections are prepared using the horse’s own blood. The final composition of the injection can be adjusted during processing to target certain treatment outcomes.
Veterinarians primarily use PRP to treat tendon, ligament, and joint injuries. There is strong evidence supporting the use of PRP in tendons and ligaments, however more research is necessary to support other uses of this modality in horses.
Platelet-Rich Plasma Treatment in Horses
Platelet-rich plasma is a concentrated form of blood plasma that contains a high level of platelets and varying degrees of contaminating white blood cells. [1][16] Plasma also contains anti-inflammatory proteins, hormones, and antibodies that promote healing in damaged tissues. [1]
Platelets are cells primarily involved in blood clotting, however they also play a role in tissue repair and healing. [2] Platelets contain over 200 proteins including growth factors, which are proteins that stimulate cell proliferation to generate new tissue. [2]
When a platelet is activated, it releases stored proteins into the surrounding area. [2] In PRP treatment, the platelets are activated manually during preparation of the injection.
The release of growth factors by activated platelets is the basis for platelet-rich plasma treatment in horses. PRP increases levels of growth factor in a localized area to promote healing of damaged tissue. [2]
Preparation
To begin a platelet-rich plasma preparation, a small blood sample (approximately 60mL/2oz) is taken from the horse. [3] Specialized equipment is used to separate the plasma from the rest of the blood. [3]
Once the plasma is isolated, it is spun at high speed using a centrifuge to further concentrate it. [3] From 60mL of blood, the final volume of PRP product is typically around 10mL (0.3oz). [3]
Some veterinarians use a different preparation for PRP called V-PET, which does not require a centrifuge. [2] This system produces a platelet-only product that does not contain plasma. [2] Plasma-free preparations may have reduced antimicrobial function compared to traditional PRP preparations. [1]
Platelet Activation
Another aspect of PRP preparation is platelet activation. Activating platelets stimulates additional release of growth factors into the PRP preparation prior to injection. [1]
Methods of activation include: [2]
Freezing and thawing the PRP product
Addition of calcium chloride
Addition of bovine thrombin, the main protein that triggers platelet activation
Most veterinarians prefer calcium chloride activation. Adding bovine thrombin may increase the risk of inflammation in joints treated with activated PRP, and is now uncommon in veterinary practice. [1] Freezing and thawing can cause destruction of platelets and reduced growth factor release. [2] | 668 | 7 | Loading... |
36 https://youtu.be/cS_iMN_Uqbw?si=0aU6d4kvhUaeT52Z | 677 | 2 | Loading... |
37 Media files | 666 | 9 | Loading... |
عيدكم مبارك
كل عام وانتم بخير
محبكم
د حامد عطيه
Hammasini ko'rsatish...
🌿استراحة الجمعة🌿
🌹برنامج ليوم عرفة🌹
يوم عرفة يوم شرفه الله
إنّه يوم عظّمه الله ، إنَه يوم يباهي الله بأهل عرفة أهل السماء ، إنّه يوم العتق من النيران ، إنّه يوم الطاعة والإجتهاد في العبادة ، وأفضل الدعاء دعاء يوم عرفة.
فاجتهدوا ألا يخلوا نَفَسٌ من أنفاسِكَم إلا في عمل طاعة أو قربة تتقربوا بها ، فإنها لو كانت معكم جوهرة من جواهر الدنيا لسائكم ذهابها ، فكيف تضيِّعون أفضل يوم من أيام الدُّنيا ؟!
🌹جدول عبادات يوم عرفة :
1- نم ليلة عرفه مبكراً لتتقوى على طاعة الله
2- قم قبل الفجر لتتسحر بنية صوم هذا اليوم
3- ثم صل ركعتين او أربع على الأقل ، وادع ربك وأنت ساجد بخيري الدنيا والآخرة ، واحمده أنه بلغك يوم تتنزل فيه الرحمات والمغفرة
4- قبل الفجر اقضِ وقت في الإستغفار حتى تكتب عند الله من المستغفرين في الأسحار
5. استعد لصلاة الفجر قبل الآذان بخمس دقائق واستشعر أن ذنوبك تخرج مع آخر قطرة أثناء الوضوء
6- صلي الفجر واجلس في مصلاك إلى ما بعد الشروق ب 15 دقيقة
7- إبدأ التكبير بعد السلام مباشرة
الله أكبر، الله أكبر، الله أكبر .. لا إله إلا الله
الله أكبر، الله أكبر .. ولله الحمد
8- أنت الآن في مصلاك حتى الشروق تقرأ القرآن وتسبح وتهلل وتحمد الله وتصلي على النبي ﷺ ولا تنسى أذكار الصباح
9- أنت الآن مخير إن استطعت ألا تنام اليوم كاملاً فلا تضيع ثانية واحدة الا وأنت في ذكر ودعاء ، وكن على يقين بالإجابة
أو أن تنام ساعة تنوي بها أن تتقوّى بها على طاعة الله
10- ثم تقوم من النوم تتوضأ وتصلي 4 ركعات على الأقل صلاة الضحى وتنوع في الطاعات حتى لا تمل
تكبير، ذكر، تلاوة، صلاة على النبي ، وأكثِر من قول : ( لاإله الا الله وحده لاشريك له الملك وله الحمد وهو على كل شئ قدير )
11- صلي الظهر وكبِّر وسبح واقرأ شيئاً من القرآن
12- صلي العصر وكبِّر وقل أذكار المساء
13- إقرأ القرآن إلى قبل المغرب بساعة تقريباً
14- ابدأ الدعاء بخشوع واسأل الله كل حاجاتك من خير الدنيا والآخرة ، ولا تنس الدعاء لإخوانك المسلمين في كل مكان
15- ادعُ الله ألا تغرب شمس يوم عرفة إلا وأنت من عتقائه .
نسأل الله لنا ولكم القبول
جعلنا الله وإياكم من عتقائه من النار.
منقول
النابلسي
دكتور. انا لو جسيت بقرة ولقيت الجسم الاصفر طرى وصغير دا معناه انه لسه مش ناضح. وحقنت استروميت ومجبش نتيجة اكرر بعد ١١ يوم ؟