Njenge-dermatome, i-myotome iyinhlangano emzimbeni okhonzwa yinye impande yomgogodla. Umehluko wukuthi i-dermatome yindawo lapho izinzwa zesisindo zibuyela khona esimisweni sezinzwa eziphakathi nolwazi mayelana nezinto ozizwayo - ukushisa, ubuhlungu, ukushaywa, isimo somzimba wakho, ukuthi welula kanjani imisipha yakho, nokuningi. Ngakolunye uhlangothi, i-Myotomes, yizindawo lapho izitimela zihamba khona njengoba zifeza imithwalo yemfanelo yazo yokubonisa imisipha yakho ukuba inkontileka.
Zombili i-myotomes kanye ne-dermatomes "ihlolwe," ehlinzeka odokotela nabahlengikazi ngombhalo wokunquma - ngokusekelwe ekuhloleni nasekuhloleni - izimpande noma izinambuzane zomgogodla noma ezingeni lomgogodla okungenzeka ziye zonakaliswa futhi / noma obangela izimpawu.
I-Myotomes ne-dermatomes ziyingxenye yesimiso sezinzwa somoya (ngokuzithandela), okuyingxenye yesimiso sezinzwa zomzimba. Amasistimu e-peripheral and central central axhumana njalo njalo.
Imisipha Nerves, Oh My!
Wonke amaseli emisipha emzimbeni wakho adinga ukufaka emgodini ukuze ahlale enempilo. Ngaphandle kokungenani ukukhulumisana okuphakathi kwe-nerve ne-muscle (into ebizwa ngokuthi ithoni ewusizo kakhulu ekugcineni izingxenye zakho zizinzile), isisulu siqala ukubola.
Lokhu kukhulumisana kwenzeka endaweni ebaluleke kakhulu kumakhalekhukhwini we-fibre cell okuthiwa i-motorplate. Isisindo sezinzwa, kanye ne-endplate ibizwa ngokuthi i-neuromuscular junction.
Isisindo esisodwa se-nerve singenasibindi sezintambo eziningana. Lokhu kubizwa ngokuthi iyunithi yezimoto. Yonke i-fiber engxenyeni yezivumelwano zensiza yamandla (isebenza) lapho isisindo sayo sisusiwe. Kuyinto isinqumo noma konke. Ukuze ugweme umfutho nesisindo "ukushisa," amayunithi emoto ayashintsha ukudubula.
Konke lokhu kwenzeka ezingeni lezincane, cabanga wena, kodwa kuye ngokuthi ubukhulu bomsila kanye nemisebenzi eyenziwa, isisindo sezinzwa singasenakubalwa njengamaseli ayisithupha ama-muscle (cabanga ngeminwe edlala ipiyano, nquma imifino, uhlanganise , ukubhala, noma imisipha eduze kweso lisizo lokugxila, ukukhipha izinyembezi, ukugcina uphephile emgwaqweni nokuningi.) kumakhulu (cabanga phakathi kwemisipha kanye nemisipha yesandla, lapho ukuhlanganiswa okuhle kungabalulekile khona).
Enye indlela yokuqonda amayunithi emoto uvela kumbono wesisipha. Imisipha eminingi enezinyosi iqukethe iqoqo elingenakubalwa lamagatsha.
I-Myotomes - I-Global Nerve-Muscle Perspective
Manje ukuthi uyazi ukuthi iyini iyunithi yezimoto-ukuqonda i-myotome yindaba yokubukwa izinto kusukela kumbono womhlaba jikelele.
I-myotome yiqembu lezinhlanzi ngakolunye uhlangothi lomzimba olusungulwa yizimpande zomunwe womgogodla owodwa.
Odokotela basebenzisa ulwazi lwabo ngendawo yama-myotomes (kanye ne- dermatomes ) ngesikhathi sokuhlolwa komzimba. Ukuze ubone ukuthi imilaphi ethile yomgogodla engase ibe ngaphansi kobuthakathaka bemisipha, yenza ukuhlolwa kwamandla we-isometric ngokwemephu ye-myotome.
Ngezansi kwalesi sigaba kukhona ishadi elinikeza amagama ezinzwa kanye nesenzo abakhiqiza ngokungenwa yizintambo ezithintekayo, okungukuthi, imephu.
Ngaphambi kokuba ngikubonise lokho, ake ngitshele nje ukuthi inqubo yokwazisa i-myotome ngezinye izikhathi ingase ibe yindlala. Ngamanye amazwi, yize ama-myotomes (kanye nama-dermatomes) aye "ahlelwe maphepha," ngokusemandleni, izingxenye azihlali zicacile futhi zihlukanisiwe. Kuvame ukuhlangana, lapho izinzwa zizokwenza khona imisipha engaphenduki kwezinye izindawo ngaphandle kokuthi "ihlelwe imephu" ngokusemthethweni.
| Izinga lomgogodla (Nerve) | Isenzo | Imisipha |
|---|---|---|
| C1 & C1 | I-neck flexion | I-Rectus lateralis, i-Rectus capitis yangaphakathi, i-longus capitis, i- longus colli , i-longus cervicus, i- sternocleidomastoid |
| C3 | I-Side Side Flexion | I-Longus capitis, i-longus cervicus, i-trapezius, i-scalenus medius |
| C4 | Ukuphakama Kwamahlombe | I-Diaphragm, i-trapezius, i- levator scapula , i-scalenus yangaphakathi ne-medius |
| C5 | Ukuthunjwa Ngamahlombe | I-Rhomboid enkulu neyincane, i-deltoid, i-supraspinatus, i-infraspinatus, i-teres encane, i-biceps, i-scalene yangaphakathi ne-medius |
| C6 | I-Elbow Flexion; Isandiso se-Wrist | USerratus anterior, i- latissiumus dorsi , i-subscapularis, i-teres enkulu, i-pectoralis enkulu (i-clavicular head) i-biceps brachii, i-coracobrachialis, i-brachioradialis, i-supinator, i-extensor carpi radialis longus, i-scalenus yangaphakathi, i-medius & i-posterior |
| C7 | Ukwandisa kwe-Elbow; I-Crystal Flexion | I-Serratus yangaphakathi, i-latissiumus dorsi, i-pectoralis eyinhloko (ikhanda elingapheli), i-pectoralis encane, i-pronator teres, i-flexor carpi radialis, i-flexor digitorum superficialis, i-extensor carpial radius longus, i-extensor carpial radius, i-extensor digitorum, i-extensor digiti minimi, i-scalenus medius ne-posterior |
| C8 | Ukwandiswa kwesithupha; Ukuphambuka kwe-Ulnar | I-Pectoralis enkulu (ikhanda elingapheli), i-pectoralis encane, i-triceps, i-flexor digitorum superficialis, i-flexor digitorum profundus, i-flexor pollicus longus, i-pronator quadratus, i-flexor carpi ulnaris, i-extensor pollicus longus, i-extensor pollicus brevis, i-extensor indicis, i-abductor pollicus brevis, i-flexor pollicus brevis, i- iphikisa i-pollicus, i-scalenus medius & i-posterior. |
| T1 | ||
| I-T2-12 | Akuhlolwe | Izinzwa ze-Thoracic zilawula imisipha ku-trunk nesisu, futhi ngokuvamile azihlolwanga. |
| L1-2 | I-Hip Flexion | Psoas, iliacus, sartorius, gracilis, i-pectineus, i-adductor longus, i-adductor brevis |
| L3 | I-Knee Extension | I-Quadriceps, i-adductor longus, i-magnus ne-brevis. |
| L4 | I-Ankle Dorsiflexion | I-Tibalis i-anterior, i-quadriceps, i-tenseor fasciae sekwephuzile, i-adductor magnus, i-obturator ngaphandle, i-tibialis posterior |
| L5 | Ukwandiswa kwezwane | Lalela Funda Kudivayisi kuphela Kwengeziwe Buka Kufakiwe Okuningi okuvela kumbhali Extendedor digitorum longus, gluteus medius & minimus, abturator internus, semimembranosus, semitendinosus, peroneus tertius, popliteus |
| S1 | I-Ankle Plantarflexion; Ankle Eversion; I-Hip Extension ,; I-Knee Flexion | I-Gastrocnemus, i-soleus, i-gluteus maximus, i-obturator internus, i-piriformis, i-biceps femoris, i-semitendinosus, i-poplite, i-peroneus longus & i-brevis, i-extensor digitorum brevis |
| S2 | I-Knee Flexion | I-biceps femoris, i-piriformis, i-soleus, i-gastrocnemius, i-flexor digitorum longus, i-flexor hallucis longus, i-intrinsic foot muscles (ngaphandle kwe-abductor hallcuis), i-flexor hallucis brevis, i-flexor digitorum brevis, i-extensor digitorum brevis |
| S3 | Ayikho i-Myotome | |
| S4 | I-Wink Anal | Imisipha yesitezi sesisu kanye nesinye |
I-Myotome Dance
Uma ngabe uhlobo lomuntu ofunda ngokukwenza, ngikisela ukuthi uhlole eyodwa noma ngaphezulu amavidiyo we-YouTube ahlanganiswe ngezansi. Lawa akhiqizwa ngamaqembu omphakathi wezokwelapha okwelashwa (kanye nesigaba esisodwa semvelo) evela ezweni lonke. Ngenxa yokuthi ividiyo ngayinye inezici ezimbili eziqinile futhi ezibuthakathaka ezemfundo, cishe umqondo omuhle ukubheka kuzo zonke. Inothi: Iningi lemidanso lenziwa ngokushaya okusheshayo. Ngikisela ukuthi uhambise ijubane umzimba wakho (ikakhulukazi intamo yakho) ungasisingatha ngokuphepha. Kungenzeka ukuthi lokhu kusho ukuhamba kancane bese abafundi bezokwelapha.
Kodwa-ke, lezi zingoma zingakunikeza umbono omuhle ngalokho ama-myotomes akwenza empeleni, nokuthi kungani ebalulekile.
Futhi umculo uhle kakhulu, futhi.
- Amantombazane aseBlue enza i-Myotome Dance
- Iklasi le-Physiology likaDkt. Burke-Doe lidinga uBovi
- Austin Community College PTA Class of 2013 (nge izingubo!) (Qaphela: Lona kokubili i-dermatome ne-myotome.)
Imithombo:
UBarkhaus, uP., MD, kanye. al. I-EMG Ukuhlolwa kwe-Motor Unit - Electrophysiologic Biopsy. Iwebhusayithi yeMedscape. Kugcine ukubuyekezwa: Aug 2013. Kufinyelelwe: Juni 2015. http://emedicine.medscape.com/article/1846028-ukwaziswa
UMagee, David, J. Orthopedic Physical Assessment. I-4th Edition. Saunders Elsevier. St. Louis, MO. 2006.