Kodi Mitundu Yabwino Yotani Imakhala Yovuta Kwambiri?

Phunzirani za minofu ya scalene ndi chifukwa chake iwo angakhale otetezeka kwambiri

Muli ndi minofu yoposa 100 m'khosi, mutu, ndi nkhope yanu. Amakuthandizani kuchita masauzande tsiku lililonse, chirichonse poyang'ana pa mapewa anu pamene malo oyendetsa magalimoto kapena maulendo oyendayenda pamsewu wopita kumalo amodzi akugwetsa misonzi pamene tikukhumudwa ndikudya chakudya chomwe mumawakonda.

The scalenes ndi imodzi mwa magulu a minofu m'khosi mwanu, ndipo ndi omwe nthawi zambiri amakupatsani mavuto chifukwa amakhala ovuta kwambiri.

Zimapangidwa ndi minofu itatu, ndi imodzi yokha yomwe ili kumbali zonse za thupi lanu. Kuganiza momwe iwo amawonekera ngati mungaganize za kugwedeza kwa angled pa sitima ya sitima; zojambulazo zimafanana ndipo zimakhala pamphuno ndi pakhosi.

Pamene scalenes ali ndi thanzi labwino komanso amagwira ntchito moyenera, amathandizira chitsimikizo chokhazikika cha msana wanu, womwe ndi msana womwe umagwirizanitsa ndi khosi lanu. Koma chifukwa chakuti zimakhala zovuta kwambiri, minofu imeneyi imathandizanso pazochitika zachipatala zomwe zimakhudza khosi.

Tisanalowe muzinthu izi ndi zomwe mungachite kuti mutulutse masewera anu, tiyeni tiwone bwinobwino magulu atatuwa. Awa ndi ena mwa mau ndi malingaliro omwe atchulidwa pansipa-kuwerenga kudzera mwawo ndizosankha koma zingakhale zothandiza.

• Kusinkhasinkha Kwambiri
• Mphepete wam'mimba ndi Kusinthasintha
• Kusakaniza Minofu
• Muscle Origin
• Cervical Spine
• Lordosis
• Anatomy of the Spine (w / Zithunzi)

Mitundu 3 ya Scalene

• Anterior Scalenes: Pa minofu itatu yomwe imapanga scalenes, malo amkati ali pafupi kwambiri kutsogolo (anterior ndi mawu omwe akuwonekera kutsogolo kapena kutsogolo). Mofananamo, monga minofu yonse ya scalene, imatengedwa ngati mitsempha ya m'khosi.
  
  Ndiye kodi minofu yamakono yeniyeni imakuchitirani chiyani? Zinthu zingapo, koma poyamba, ndi zothandiza kukumbukira kuti muli ndi minofu kumbali zonse ziwiri za khosi lanu.
  
  Mbalame yamtunduwu, yomwe imachita mbali imodzi ya khosi yokha, imatha kugwada ndi kusinthasintha khosi lanu. Zimatulutsanso nthiti yoyamba, koma ndichinthu chodabwitsa chomwe chimachokera pa kuzindikira kwanu pamene zikuchitika. Pakati pa khosi limagwira ntchito limodzi ndi mbali yake yomwe ili pambali inayo (izi zimatchedwa "kuchita mgwirizano"), imasinthasintha (imapindika) khosi lanu.
  
  Chochititsa chidwi n'chakuti minofu yamtundu wamtunduwu imatengedwa kuti ndi yopuma kupuma minofu chifukwa imanyamula nthiti yoyamba panthawi yomwe imatuluka.

• Scalenes Medial: Monga momwe dzina limatanthawuzira, scaleneus medius) amakhala pakati pa nthambi za m'mbuyo ndi zam'mbuyo za minofu ya scalene.
  
  Monga momwe zilili ndi nthambi zina zamtundu wa gulu lino, kuti muli ndi zofiira pambali pa khosi lanu, kuphatikizapo mfundo imene imagwira ntchito limodzi ndi minofu ina, imatanthauza kuti medius-komanso ena- kubweretsa zochuluka kuposa chinthu chimodzi.
  
  Ngati mbali imodzi yokha (yomwe ili kumanja kapena kumanzere) imagwira ntchito, ntchito ya scalenus medius ndiyo kukweza (kumatchedwanso kukweza) nthiti yoyamba, kusinthasintha (kupindika), ndi kubwezeretsa khosi. Pakati pazomwe ziŵirizi zimagwira ntchito, zimasintha khosi. Zochita izi ndizofanana kwambiri ndi zapansi zamkati, mwinamwake chifukwa malo othandizira (magwero ndi malowedwe) a nthambi zonse ali pafupi kwambiri.
  
  Mphuno yamtunduwu imatengedwa ngati mpweya wophimba minofu chifukwa imanyamula nthiti yoyamba panthawi yomwe imatuluka.
• Posterior Scalenes: Mbalame yotchedwa posterior scalene imakhala pamalo apamwamba kwambiri m'magulu onse a minofu (posterior way back). Sichikuthandizira katatu kakang'ono - nthambi zokhazokha ndi zam'kati zimatero.
  
  Pokhapokha ngati phokoso limakhala lokhazikika, limasinthasintha ndipo limasinthasintha ziwalo za khosi, mofanana ndi zina ziwiri. Zonsezi zikagwira ntchito, zotsatilazi ndizomwe zimapangitsa kuti phokoso likhale lopweteka komanso kuti nthiti yachiwiri ikule, zomwe zingakhale zovuta kuziwona pamene zikuchitika. Mitsempha yamtundu wa m'mbuyo imatengedwa kuti ndi yopuma kupuma minofu chifukwa imanyamula nthiti yachiwiri nthawi yomwe imalowa.

• The Scalene Triangle: Mlengalenga scalene ndi scalene zamkati, pamodzi ndi mbali ya nthiti yoyamba, kupanga malo otomical otchedwa triangle scalene. Dzina lina la mapangidwe ameneŵa ndi scalene fissure, kapena scalene haitus.
  
  Triangle ya scalene ndi yofunika chifukwa nthambi za mitsempha za plexus zimadutsa. Mavuto a Scalene angapangitse nthambi izi, ndipo zikhoza kukhala chizindikiro cha thoracic outlet syndrome (TOS). Olemba a pulogalamu ya February 1990 yofalitsidwa mu American Journal of Surgery amasonyeza kuti minofu ya scalene minofu ndi chifukwa chachikulu cha zizindikiro za matenda oopsa a thoracic outlet.

Kodi N'chiyani Chimapangitsa Mitsempha ya Scalene Kulimbana?

Zozizwitsazi zimakhudzidwa ndi matenda ambiri a m'khosi. M'munsimu muli zochepa chabe mwazofala.

• Torticollis : Torticollis, yomwe imatchedwanso wry khosi, ndi mkhalidwe umene minofu yanu imakhala ikugwiritsidwa ntchito m'malo ofupikitsa. Anthu omwe ali ndi torticollis amakhala ndi khosi lawo lopotoka lomwe liri lovuta kwambiri kumasula. Mutu umapanganso kumbali ina. Ndizomveka kumvetsa momwe minofu ya scalene ingakhudzidwe ndi torticollis-yonseyi imasewera mbali zazikuluzikulu muzitsulo ndi kutseka.
  
  Nthaŵi zina torticollis imachokera ku ziwalo zamtunduwu ndipo nthawi zina zimapezedwa pambuyo pa zovuta. Izi zikuti, malo opotoka a mphuno zokhudzana ndi mavitamini otchedwa torticollis nthawi zambiri amayendetsedwa ndi dongosolo la mitsempha (majini osiyanasiyana). Torticollis ikhozanso kuyambitsidwa ndi mankhwala.
• Kupititsa patsogolo Mutu wa Mutu ndi Mankhwala a Dowager : Malingana ndi Til Luchau, m'nkhani yake yakuti, "Kugwira Ntchito ndi Scalenes," yomwe inalembedwa pa Intaneti ndi Associated Bodywork & Massage Professionals, m'mikhalidwe iyi ma scalenes anterior kawirikawiri ndi "olimba, olimba, kukoka mchere wa m'mphepete mwachangu kuti ukhale wolimba kwambiri. "Anthu omwe amachititsa thupi kapena kupaka minofu amadziwanso bwino momwe scalenes imakhalira, makamaka yamtundu wa scalene.
  
  Luchau akupitiriza kunena kuti ngakhale nthawi zambiri scalenes amathandiza kupindika khosi patsogolo, pamene mutsogola mutu kapena Dowager's Hump mumayenera kukweza mutu wanu kuti muwone zomwe zili patsogolo panu. Kusintha kumeneku kumabwera chifukwa chakuti kutsogolo kwa mutu wapamwamba, scalenes sichikhoza kuthetsa mikangano kumbuyo kwa khosi, zomwe zimapangitsa kuti vutoli likhale lovuta.
  
  Ngakhale kuti kawirikawiri amaganizira kuti khola lachiberekero limasintha, kamodzi kokha khosi limatulukamo, ndiye kuti scalenes ikhoza kukhala phokoso lachiberekero.
• Whiplash : Ngakhale kuti pali zambiri zovuta zokhudzana ndi vuto la scalene lomwe likupezeka mwa kafukufuku wamankhwala watsopano, kachiwiri, ogwira ntchito pamodzi ndi odzola masewera a dziko ali ndi mpando wakuzungulira ku vuto ili. M'nkhani yomwe tatchulayi, Luchau nayenso akunena za whiplash, akuti nthawi zambiri scalenes imakhudzidwa ndi vutoli, makamaka pamene vutoli lili pambali pa khosi. Luchau akuchenjeza kuti minofu yozama ikugwira ntchito pa scalenes ikhoza kukuliritsani zizindikiro ngati zichitike mwamsanga chigamulo chokakamiza.
• Matenda a Kutupa: Minofu ya scalene imalingaliridwa ndi ambiri kuti imapuma minofu. Amagwirizanitsa pamene mupuma mkati, zomwe zimathandiza kupanga malo mu thorax m'mapapu kuti akule mwa kukweza nthiti zapamwamba. Pamene muli ndi vuto la kupuma (mwachitsanzo, mphumu) yanu ya scalenes ikhoza kuchepetsedwa.

Malangizo a Zisangalalo Zosangalatsa za Scalene

Malinga ndi zomwe zimachititsa kuti minofu yanu ikhale yovuta, chinthu chimodzi chimene mungachite kuti chikhale chosasintha ndizowona misala wothandizira omwe ali ndi chithandizo chamankhwala (mwinamwake wopanga masewera olimbitsa thupi adzachitanso.)

Inde, kutambasula scalenes kumathandizanso. Kuchita izi kumapangitsa mutu wanu kumbali imodzi. Kusunthika kumeneku kudzafika pakati pa scalene kumbali inayo. Pamene mukuyang'ana pakati pamtunda, kuyang'ana pamwamba pa phewa lomwe liri moyang'anizana ndi njira yomwe mukukongoletsera mutu wanu idzafika kutsogolo kwa scalene (yotchedwa anterior scalene), pamene mukuyang'ana pansi ndi mutu wanu mutembenuzidwira kumbali imodzi kuti mutu wanu wagwedezeka akhoza kukuthandizani kufika kumbuyo (poseri) scalene.

Machitidwe oyendayenda monga Feldenkrais, Alexander Technique , ndi (mitundu yambiri ya) somatics angathandizenso. Machitidwewa, ndi ena omwe ali ofanana, nthawi zambiri amayandikira kufooka kwa minofu ndi kufooka kudzera mu mgwirizano wa thupi, ndiko mphamvu yosunthira, ndipo chofunikira kwambiri, momwe ubongo ndi msana zimayendera "kulankhula" minofu.

_{Zotsatira :}

_{Goshima, K., MD Zambiri za thoracic outlet syndromes. Tsambulani webusaitiyi. Chokonzanso Chotsatira: April 2016. Anapezeka mu May 2016. http://www.uptodate.com/contents/overview-of-thoracic-outlet-syndromes}

_{Luchau, T. Kugwira ntchito ndi Scalenes. Kusisita ndi Kuchita Thupi kwa Osowa Maso. Webusaiti ya ABMP. Jan / Feb 2011. Kufikira May 2016. https://www.abmp.com/textonlymags/article.php?article=672}

_{Tsamba, P., PhD., PT Cervicogenic Kumutu kwa Mutu: Njira Yowonekera Yogwiritsira Ntchito Chipatala. International Journal of Sports Thandizo Lathupi. September 2011. Kupezeka: May May 201. http://www.muscleimbalancesyndromes.com/wp-content/uploads/2011/09/Page2011-ijspt-cgh.pdf}

_{Sanders R., Jackson C., Banchero N., Pearce W. Scalene minofu yosaoneka bwino m'mayesero oopsa a thoracic outlet. Am J Surg. 1990 Feb.}

_{Wopanda, C., MD Scalenus Medius. Buku Lopanda Buku la Orthopedics loperekedwa ndi a Duke Orthopedics webusaitiyi. Dec. 2011. Kupezeka: May 2016. http://www.wheelessonline.com/ortho/scalenus_medius}

_{Wopanda, C., MD Scalenus Posterior. Buku Lopanda Buku la Orthopedics loperekedwa ndi a Duke Orthopedics webusaitiyi. Aug. 2011.}