Izinto eziningi zingase zibe ngaphansi kobuhlungu bokubuyela emuva, kusukela ekuhlakaleni kwe-dis kuya ezindabeni zengqondo kuze kube nezinguquko zesisindo ezenzeka ngokuhamba kwesikhathi. Emashumini eminyaka edlule, umqondo wokuthi izicubu zakho ezixubene kakhulu ezihlanganisa, ukuhlela, nokusekela zonke izicubu, amathambo, izinthambo, izigxobo nezitho zomzimba - kungase kube umthombo wokubuyiselwa ubuhlungu uphenywe ngentshisekelo yocwaningo ngabasosayensi futhi ubeke abasebenza ngokufanayo.
Uma unezinhlungu ezibuhlungu ezingemuva, cishe uyafuna ukwazi ukuthi yini ebangela ukuthi - ukuze ukwazi ukukwenza. Kukhona umthamo omkhulu, ogcwele izicubu eziphathekayo ezihlala ngemuva kwekholomu lomgogodla futhi uhlelwe emaceleni omabili (emuva okuphansi) kanye namazinga e-thoracic (emaphakathi).
Le ndawo ye-fascia ibizwa ngokuthi i-thoracolumbar fascia, i-fascial fascia, noma i-LF.
Okushiwo yi-Thoracolumbar Fascia
Uma ubheka i-fascia thoracolumbar kusukela embukisweni ongemuva womdwebo we-anatomical noma umdwebo, ungabona ukuthi wenza isakhiwo sedayimane. Ngenxa yalolu hlobo, ubukhulu bayo obukhulu, kanye nendawo yayo ephakathi ngemuva, i-LF isesimweni esiyingqayizivele sokusiza ukuhlanganisa ukunyakaza komzimba ophezulu nalabo abangaphansi.
Amafayili akha i-LF fascia ayinamandla kakhulu, okwenza lesi sihloko sesishukela sisebenzise futhi sibolekele.
Kodwa izicubu ezithandekayo nazo zinezinga elithile lokuguquguquka, futhi.
Yile mfanelo eyenza i-LF isize ukuhambisa amandla okunyakaza njengenkontileka yemisipha yangemva bese uphumule.
Futhi i-thoracolumbar fascia iyisidlali esikhiqizayo ekuhambeni kwezinhlangothi. Isibonelo esiphelele salokhu yisenzo sokuhamba.
Ubuhlungu Emuva ne-Thoracolumbar Fascia
Ososayensi nodokotela abazi ngokuqinisekile, kodwa kungenzeka ukuthi i-lumbodorsal fascia ingadlala indima - ngisho nangaphezulu kweyodwa indima - lapho ubuhlungu bubuhlungu bubuya khona.
Ucwaningo olwenziwa ngo-2017 olwanyatheliswa encwadini ethi Biomedical Research Internationa l lathola ukuthi i-fascia lumbodorsal ingabangela ubuhlungu emuva emuva kwezinyathelo ezintathu.
Okokuqala, uma ugcina ukulimala okuncane kanye / noma ukuvuvukala - ngokuvamile kuhlobene nalokhu - lokhu kungase kuvuselele ukuphela kwamazinyo okuhlala e-fascia. Ukuphela kwezifo zamahhala kungukuthi, njengoba igama liphakamisa, ukuphela kwezinzwa ezivela ohlelweni lwakho lwezinzwa, okungukuthi, ubuchopho bakho nomgogodla. Umsebenzi wabo ukuqoqa ulwazi emzimbeni wangaphandle womzimba wakho njengesikhumba sakho kanye ne-fascia, bese uyibuyisela ohlelweni lwakho lwezinzwa. Njengoba le mbono ihamba, lapho i-fascia esiseduze nesikhumba sakho, njenge-LF, ihlaselwa, noma ifakwe izinto ezivuthayo lezi "zithuko" zihanjiswa emuva ebuchosheni bakho kanye nomgogodla wokucubungula nokuphendula.
Ngendlela, i-fascia inezinhlobo eziningi eziningi zokuphelelwa yisisu.
Okwesibili, ngemva kokulimala, kuvamile ukuba izicubu zibe immobile noma zithwale ngokweqile. Lokhu empeleni inguquko yokwakha - eyodwa engashintsha umuzwa wakho wokuma futhi indlela umzimba wakho uhamba ngayo. Yikholelwa noma cha, izinguquko zesakhiwo ezifana nalezi zingathinta amazinga obuhlungu kanye nekhwalithi yobuhlungu ongase uhlangane nayo; umlenze wakho ubuhlungu unganciphisa, okusho ukuthi ukuzwa ubuhlungu kuvele kube lula, futhi ngokushesha.
Futhi ekugcineni, njengoba sibonile ngenhla, ukulimala kuvame ukuvuselela izinzwa. Ngenxa yokuthi izinzwa ziphuma njengoba ziqhubeka ezimpandeni zakho zomgogodla kuya emkhakheni womzimba wakho, impande yegatsha elikhonza indawo eyalimala ingathumela futhi izibonakaliso zobuhlungu, ngezinye izigathamela, ku-fascia eseduze.
I-Layers Three ye-Thoracolumbar Fascia:
I-fascia ye-thoracolumbar ihlukaniswe ngezigaba ezintathu: ungqimba ongemuva (obizwa ngokuthi ungqimba olungezansi), ungqimba ophakathi, nohlaka olungaphambili (olubizwa ngokuthi ungqimba lwangaphakathi).
Imisipha eminingi ebuyele emuva ixhumane ne-thoracolumbar fascia. Isibonelo, i-spinae ye-erector, iqembu lama-muscle futhi laziwa njenge-paraspinals, ligijima isikhathi eside ngaphansi komgogodla.
Ama-paraspinals anamathele ku-fascia thoracolumbar, kanye nakwe-spony spine.
Ingxenyana ye-lumbar ye-posterior engxenyeni ye-thoracolumbar fascia isukela enyakeni ye-12 (ephansi) kuze kube phezulu kwethambo lakho le-hip (elibizwa ngokuthi i-aliac crest). Ngandlela-thile, ixhuma nesisipha sangaphakathi se-oblique nesisu somzimba esisuka ngaphakathi . Ngenxa yalezi zixhumanisi, i-thoracolumbar fascia isiza ukugoqa imisipha yangemuva emisipha yodonga lwesisu.
I- latissimus dorsi , i- latissimus dorsi , inkulu, engasemuva isisindo esiyinhloko enkulu ekuthwaleni nasekuhambiseni isisindo somzimba ngezandla namahlombe, isuka ku-thoracolumbar fascia. (Amafayili ama-lats, njengoba lo mkhuba uvame ukubizwa, wanda phambili kusuka e-fascia.)
Ingxenyana engaphambili ye-thoracolumbar fascia (i-layer yangaphakathi) ihlanganisa imisipha ebizwa nge-quadratus lumborum. I-quadratus lumborum igubha isiqu ngakwesokunene futhi isiza ukugcina ukuma okuqondile okunempilo. I-quadratus, njengoba ngezinye izikhathi ibizwa ngokuthi iyifushane, ivame ukubandakanyeka ebuhlungwini obuphansi obuhlobene nemisipha.
> Imithombo:
> Loukas M. et. al. I-anatomy kanye ne-biomechanics ye-vertebral aponeurosis ingxenye yengqimba engezansi ye-thoracolumbar fascia. "I-Surg Radiol Anat March 2008.
> Moore, K., Dalley, A. I-Anatomy eVulekile emitholampilo. Okwesishiyagalolunye. Edition. ULippincott, Williams & Wilkins. 2006. Baltimore.
> Nickelston, P., DC, uThoracolumbar Fascia: I-Chronic Chronic Pain Linchpin. Dynamic Chiropractic. Novemba 2013.
> Wilke, J., et. al. I-Lumbodorsal Fascia njengomthombo ongenakwenzeka wobuhlungu obunzima: Ukubukeza Okulandelanayo. I-Res Int Res. May 2017.