A. M. Cabbarov Rəyçilər: f e. d., professor M. Y. Qazıyeva

Часть III.

14-cü dərsə dair ümumiləşdirici yoxlama çalışmaları.

Контрольно-обобщающие упражнения к уроку 14
Çalışma 1. a) az inanılan fikir; b) hərəkətin icrasının buraxılmış imkanını bildirən şərt budaq cümlələrini tapın.

Упражнение 1. Найдите условные придаточные предложения, которые ныражают: а) маловероятное пред­­положение; б) упущенную возможность совер­шить действие. Переведите предложения.
1. If you observe bacterial protoplasm under the optical microscope, it would appear simple in structure. 2. If the individual were in a healthy state, a large quantity of virulent microoiganisms entering the body would be destroyed. 3. Certain water forms of bacteria, would die,- if they were held above 30°C for more than a few minutes. 4. If bacteria had entered the body at the time of its active and unweakened condition they would have given it a very mild form of the disease. 5. It certian hygienie measures had been carried out we should have prevented the last year fatal epidemics.
Çalışma 2. Aşağıdakı sözlərin cəm formasını verin.

Упражнение 2. Дайте форму множественного чис­ла от следующих слов:
bacillus, bacterium, coccus, foot, virus, genus, spirillum (Ответ: bacilli, bacteria, cocci, feet, viruses, genera, spirilla.)
Çalışma 3. Ayrılmış sözlərin düzgün mənasını se­çin.

Упражнение 3. Выберите правильное значение выделенных слов.
1. Bacteria may occur (baş vermək, olma;, görüş­mək) (происходить, случаться; встречаться) free or in ag­­g­re­gates. 2. The smallest bacteria are beyond the range (xətt, sıra; hədd) (линия, ряд; предел) of our most pow­er­ful light microscopes. 3. The size of the microscopical or­ganis­ms can be estimated by filtration, consequently they are referred to (istiqamətləndirmək; yada salmaq, aid et­mək) (направлять к ...; упоминать; относить к ...) as fi­ltr­able viruses. 4. Viruses attack all parts of the body except (çıxaraq, başqa) (исключая; помимо) the digestive system.

IV. Pathology

LESSON FIFTEEN

OSTEOMYELITIS. FRACTURES
Təkrar: İndefinite qrupuna daxil olan zamanları

Повторение: Времена группы Indefinite (Active and Passive Voice)


I hissə

Часть I

I hissəyə dair sözlər

Слова к части I
acute [ə'k ju:t] а iti (острый)

suppurative ['sΛpjuə reıtıv] а irinli (гнойный)

suppuration ['sΛpjuə'reı∫n] n irinləmə, irin (нагное­ние, гной)

distant ['dıstənt] а uzaq (отдаленный)

inflammation [ınflə'meı∫n] n sətəlcəm (воспаление)

severe [sı'vıə] а kəskin, güclü (резкий, сильный)

region ['ri:d3n] n vilayət, rayon, zona (область, айон, зона)

pus ['pΛs] n irin гной

marrow ['mærou] n ilik (костный мозг)

spread [spred] v genişlən(dir)mək (рас­прос­тра­н­я­ть­ (ся)

minor ['maınə] а cüzi (незначительный)

inflame [ın'fleım] v iltihablanmaq (воспаляться)

oedema [ı'di:mə] n şiş (отек)

appropriate [ə'prouprııt] а uyğun, münasib (подхо­дя­щий, соответствующий)

Çalışmalar

Упражнения
Çalışma 1. Aşağıdakı cümlələrdə feli xəbərlərin zamanını və növünü tapın və təyin edin.

Упражнение 1. Найдите и определите время и залог глаголов-сказуемых в следующих пред­ло­же­ни­ях.

1. The earlier investigators of bacteria thought of them as tiny ani­mals which were generally grouped together with the microscopic ani­mals called protozoans. 2. Probably the bacteria are made up of various kinds of organisms, some are related to algae, others to fungi. Future research will doubtless throw more light on such relationship. 3. Before the middle of the nineteenth century, the word «virus» was commonly applied to all toxic or poisonous substances, including snake venom. 4. Viruses are distinguished from poisons and venoms because of their infectious quality. 5. In addition to smallpox and yellow fever, viruses cause such human diseases as mumps, measles, poliomyelitis, chicken pox, Japanese В encephalitis, infectious hepatitis, influenza and proba­bly the common cold.
Çalışma 2. A mətninin I abzasını oxuyun. Tibb terminlərinin tələffüzünə fikir verin.

Упражнение 2. Прочтите первый абзац текста А. Обратите внимание на произношение медицинских терминов.
Çalışma 3. Aşağıdakı söz birləşmələrini oxuyun və tərcümə edin.

Упражнение 3. Прочтите и переведите сле­ду­ю­щ­ие­ словосочетания.

X-ray evidence, inflammation of lungs, abdominal region, regional operation, severe pain, attack of coughing, to be severely ill
Çalışma 4. A mətninə nəzər salın, kəskin os­te­mi­eli­tin simptomlarının adlarını çəkin.

Упражнение 4. Просмотрите текст А и назовите ос­новные симптомы ос­трого остеомиелита.
Text А

Acute Osteomyelitis
1. In this text we shall discuss the signs and sym­pto­ms of acute osteo­myelitis, an infectious suppurative disease affecting bones.

Osteomyelitis is generally caused by Stap­hyloc­occ­us, which reaches the bones via the blood strea­m from a dis­tant focus, often a throat infection. Its rise was especially sharp during World War II, particulary in 1942-46 when the lack of due antibiotics made the dis­e­ase uncured.

2. The disease generally affects the upper end of tibia or lower end of femur. The infection is followed by intense reaction, with pus formation in the marrow spaces. From there the suppuration spreads along the marrow cavity and also through the cortex, to erupt on the surface and form a subperiosteal abscess. In some cases the marrow cavity is widely involved; in others, on the contrary, there is a large subperiosteal ab­scess, but little or no pus within the bone.

3. Almost always part of bone becomes necrotic, due to the toxic effect of pus under tension and to obliteration by the subperiosteal abscess of the periosteal vessels supplying the bone cortex. The main ntitrient artery itself may be thrombosed, leading to necrosis of the major part of the bone.

4. Acute osteomyelitis generally affects children, especially if in poor health, after an infectious fever. Sometimes there is a history of minor injury to the part a few days before the onset of acute symptoms.

5. In a typical case the onset is sudden. Then pain and inflammation of the bone are accompanied by marked toxaemia. The temperature rises, often to 103° or 104° F, the face is flushed and the tongue is furred. The leucocyte co­unt rises to 20.000 or more. Delirium is frequent. The pain is severe. The limb is held immobile. The skin over the inflamed region is hot and red, and dilated veins may be evident. Slight superficial edema appears early. Lo­ca­li­si­ng signs develop early in the case of a superficial bone such as the tibia, later if the bone is deeply placed.

6. Acute osteomyelitis is a dangerous disease, especially when it affects a deep-seated bone, such as the upper end of the femur, pelvis or vertebrae. In those who survive the acute phase the disease often persists as chronic osteomyelitis. Eventually complete restoration of functions and general health will be expected in most cases, when appropriate treatment is applied.
Çalışma 5. A mətnində verilmiş suallara cavab ve­rin.

Упражнение 5. Найдите в тексте А ответы на дан­­ные вопросы.

I. What kind of diseases is osteomyelitis. 2. When was its rise especially sharp? Why? 3. What is osteomyelitis caused by? 4. Where does the infec- uon localize? 5. What is the course of the disease? 6. How does the tlisease begin in a typical case? 7. Does the disease persist as a chronic - itne or is complete restoration of functions and general health possible?
Çalışma 6. Aşağıdakı cümlələri tərcümə edin. Ay­rıl­mış sözlərin hansı nitq hissəsinə aid olduğunu təyin edin.

Упражнение 6. Переведите данные пред­ло­же­ния. Определите, какой частью речи являются вы­де­ле­н­ные слова.

1. The disease generally affects the upper end of tibia or lower end of femur. 2. The infection is followed by intense reaction, with pus forma­tion in the marrow spaces. 3. Almost always part of the bone becomes necrotic, due to the toxic effect of pus under the tension. 4. The main nutrient artery itself may be thrombosed. 5. In those who survive the acute phase the disease often persists as chronic osteomyelitis.
Çalışma 7. Hər sırada öndə olan sözün sinonimini ta­pın.

Упражнение 7. Найдите в каждом ряду слово, си­­нонимичное по значению первому слову ряда.

1. distant – obvious, remote, far-away, distinct, close; 2. to involve – to invent, to include, to invite, to affect; 3. to spread – to go over, to divide, to distribute, to cover, to scatter; 4. onset – attack, beginning, process, turning-point; 5. severe – low, short-tum, acute, chronic; 6. region – locality, district, area, part, partition



Çalışma 8. Aşağıdakı cümlələri ingilis dilinə tərcü­mə edin.

1. İki gün öncə onu xəstəxanaya yola saldılar. 2. Hə­kim dedi ki, təcili əməliyyat lazımdır. 3. Osteomiolit za­manı sümüklər zədələnir. 4. Gips sarığını üç gündən sonra açacaqlar. 5. Yara sağaldı və xəstəyə hərəkət etməyə icazə verdilər. 6. Osteomiolit zamanı ilikdə irin əmələ gə­lir.

Упражнение 8. Переведите следующие пред­лож­ен­ия на английский язык письменно.

1. Ее отправили в больницу два дня назад. 2. Док­тор сказал, что нужна срочная операция. 3. При осте­ом­иелите поражаются кости. 4. Гипсовую повязку сни­мут через три дня. 5. Рана зажила и боль­ному раз­ре­шили двигаться, 6. При остеомиелите в костном моз­ге образуется гной

II hissə

Часть II

II hissəyə dair sözlər

Слова к части II
fracture ['frækt∫ə] n sınıq (перелом)

site n yer (место) (расположение)

damage ['dæmıd3] v zədələmək (повреждать); п zədə (повреждение )

tear ['tεə] v yolmaq, ayırmaq (рвать, разрывать)

prompt ['prmt] a tez (быстрый)

heal [hi:l] v müalicə etmək, sağalmaq (излечивать; заживлять)

healing ['hi:lıŋ] n müalicə, sağalma (излечивание; за­живление)

relationship [rı'leı∫n∫ıp] n qarşılıqlı münasibət (взаимоот­но­ше­ния)

accomplish [ə'kΛmplı∫] v yerinə yetirmək (выполнять, завершать, достигать)

degree [dı'gri:] n dərəcə (степень)

tender ['tendə] а ağrılı (болезненный)

tenderness n xəstəlik, ağrı (болезненность)

bruise [bru:z] n qançır, göy (синяк, кровоподтек)

bruising n göyərmə (посинение)

swelling n şişmə, şiş (опухание, опухоль)

bleed [bli:d] v qanamaq (кровоточить)

bleeding n qanaxma (кровотечение)

dress [dres] v sarımaq (бинтовать)

dressing n sarğı (повязка)
Çalışmalar

Упражнения
Çalışma 1. Aşağıdakı sözləri oxuyun və tərcümə e­din.

Упражнение 1. Прочтите и переведите сле­ду­ю­щ­ие слова.

communication, position, to restore, correct, to pro­tect, irregularly, especially, to fix
Çalışma 2. Hər sırada mənası öndə verilmiş sözü ta­pın.

Упражнение 2. Найдите в данном ряду слово, зна­­чение которого дано в начале ряда.

1. korlamaq (ziyan vurmaq); повреждать (наносить ущерб) - to wound, to hurt, to damage, to harm; 2.sağ­alt­maq; заживлять - to cure, to restore, to heal, to treat; 3.yer­inə yetirmək (qurtarmaq); выпол­нять (завершать) - to fulfil, to complete, to finish; 4. qopartmaq, yaralamaq; рв­ать, ра­нить - to separate, to lacerate, to tear

Text В

Fractures
A fracture is a broken bone. There may be different types of fractures. A closed or simple fracture results from an injury which breaks a bone without causing any external wound at the site of the break. In case of an open or compound fracture there is a wound of the skin at the site of i lie fracture, and this will allow communication between the outside air and the broken bone, therefore it is «open». When the sharp ends of a broken bone damage an internal organ such as the brain or lungs, this is known as «complicated fracture».

In compound fractures early and prompt healing with good function will be obtained only by early repositions in correct position. This is necessary not only to restore the bo­ne structures, but to place the soft parts in relationship for correct function as well. All compound fracture pa­ti­en­ts must be protected against movement, muscle spasm, and loss of position. This is accomplished by fixation of frac­ture fragments in plaster of Paris casts or in any other way. Frequent dressing of wounds in compound fractures is un­nec­essary.

What are the symptoms and signs of a fracture? Shock is always present in some degree with any fracture. Sometimes it may be severe. Pain and tenderness at the site of fracture is quickly followed by bruising and swell­ing. Bleeding is frequent in case of an open fracture. Irregularity on the surface of the bone may also be seen, e.g. on the collar-bone or the bone of an arm. In an open fracture the ends of the broken bone may be sticking out of the wound. A person’s leg which was broken may be turned underneath him with the foot turned round the wrong way. The bones of the leg may be bent in a place where there is a joint, e.g. between the knee and the foot if both bones of the leg are broken.

First-aid treatment of fracture. Lay the patient down. This will lessen shock. If there is a fracture of the skull raise the patient’s head and shoulders a little and support them. Stop bleeding if the fracture is open, and apply a dressing. In all open fractures there is some bleeding, but it can generally be stopped by putting on a dressing. If bleeding continues, it is necessary to use indirect pressure, especially if the bleed­ing is from an artery.

Fix the damaged part so that any movement by the patient cannot cause the broken bone to move, as this will increase the deformity, cause great pain and make shock worse.
Çalışma 3. Aşağıdakı mülahizələrin fikrini daha dolğun ifadə edən cümlələri tapın və onları oxuyun.

Упражнение 3. Найдите в тексте предложения, более полно выражающие мысль данных суждений, и прочтите их.

1. There may be different types of fractures: closed, open, complete. 2. In compound fractures early healing may be obtained. 3. Compound fracture patients must be protected against movement. 4. Bleeding should be stopped. 5. Fix the damaged part.

III hissə