I-Myofascial Pain Syndrome Ebangela Imiba Kwi-Sternalis Muscle

intshayelelo

The esifubeni emzimbeni unemisebenzi emininzi: inceda ukubonelela uzinzo emagxeni, inceda ukukhusela intliziyo kunye nemiphunga, kwaye ithwala ubunzima obukhulu bomzimba ongaphezulu. Isifuba sisekhaya kwi-pectoralis (enkulu kunye nencinci) kunye nemisipha yangaphambili ye-serratus, ukubonelela ukuhamba kunye nokunyanzeliswa kwesifuba. Njengoko izihlunu zesifuba zikhusela intliziyo kunye nemiphunga, ezinye izihlunu, ezaziwa ngokuba zizihlunu ezincedisayo, zinceda intliziyo kunye nemiphunga. imiphunga malunga nokuphefumla kunye nomoya. Ngokwahlukileyo, izihlunu eziphambili zesifuba azikwazi ukubonelela loo msebenzi. Isihlunu se-sternalis sisihlunu esinye esincedisa intliziyo kunye nemiphunga. Inqaku lanamhlanje lihlola i-sternalis muscle esifubeni, indlela i-myofascial pain syndrome ehambelana ngayo ne-sternalis muscle, kunye neendlela ezahlukeneyo zokulawula i-myofascial pain syndrome kwi-sternalis muscle. Sithumela izigulane kubaboneleli abaqinisekisiweyo abakhethekileyo kwiintlungu zonyango ukuze bancede abantu abaninzi abaphethwe yi-myofascial pain syndrome ehambelana ne-sternalis muscle ecaleni kwesifuba. Sishwankathela izigulane ngokuzithumela kubaboneleli bethu bezonyango abanxulumeneyo ngokusekelwe kuvavanyo lwabo xa kufanelekile. Sibonisa ukuba imfundo sisisombululo esikhulu ekubuzeni ababoneleli bethu imibuzo enzulu nentsokothileyo ngokwesicelo sesigulana. UDkt Alex Jimenez, DC, uphawula olu lwazi njengenkonzo yemfundo kuphela. isikhanyeli

Isihlunu Sternalis Kwisifuba

Ngaba ukhe waneengxaki zokuphefumla ezichaphazela isifuba sakho? Kuthekani ngokuva ukuxinana kwezihlunu kumbindi wesifuba sakho? Okanye ngaba ufumana iintlungu ezikhuphayo ezihamba phantsi kwengqiniba? Ezi zimpawu zihlala zihambelana neentlungu ezibangelwa ngamanqaku e-trigger ecaleni kwesifuba esichaphazela i-sternalis muscle. Uphando lutyhila ukuba i-sternalis muscle yintlukwano ye-anatomical ecaleni kwendawo ye-thoracic yangaphambili yomzimba. Imisipha ye-sternalis ibekwe kanye embindini wesifuba kwaye isekupheleni kwemisipha ye-pectoralis. "I-Myofascial Pain and Dysfunction," ebhalwe nguDkt. Janet G. Travell, MD, wachaza ukuba i-sternalis muscle ivame ukuvela ngokudibeneyo okanye i-unilaterally emzimbeni kwaye ingazibandakanya nokuba yi-pectoralis muscle okanye i-sternocleidomastoid. Isihlunu se-sternalis sinokude sibe kukuqhubekeka kwezi zihlunu ngokunjalo. 

Omnye wemisebenzi ekhethekileyo yesihlunu se-sternalis kumzimba kukuba sisihlunu se-accessory. An isihlunu se-accessory ibhekisa kwizihlunu ezahlukeneyo ezincedisa izihlunu zokuphefumla. Ekubeni i-sternalis muscle inceda ezinye izihlunu njenge-accessory muscle, le misipha inceda ukuvula i-airways ukuvumela i-oksijini eninzi kwimiphunga. Esi sihlunu siluncedo kakhulu xa kufikwa kwimithambo yomzimba. Nangona kunjalo, esi sihlunu siphezulu kwaye sinokunikezela kwimibandela eyahlukeneyo echaphazela isifuba kunye nezitho zangaphakathi. 

I-Myofascial Pain Syndrome eNxulunyaniswe ne-Sternalis Muscle

Ekubeni i-sternalis muscle ingaphezulu, imiba emininzi inokuchaphazela umbindi wesifuba kwaye icele iimpawu ezinjengeentlungu ezidlulayo kwaye ziphuhlise i-myofascial pain syndrome okanye i-trigger points kwi-sternalis. Iimpawu ezinxulumene ne-myofascial pain syndrome ezichaphazela i-sternalis muscle zibukhali, iintlungu ezinzulu ezinokuthi ngamanye amaxesha zibangele ubuhlungu kwi-sternum. Uphando lutyhila ukuba ekubeni i-sternalis i-muscle ye-accessory, inokungahoywa, kwaye iziganeko zeempawu zinokuchaphazela isifuba kunye nezitho ezizungezile. Ukuza kuthi ga ngelo xesha, iimpawu ezifana nokungalingani kwemisipha, ukusetyenziswa ngokugqithiseleyo kwe-tendinopathies, okanye i-neural compression syndromes kunokubangela ukuba i-sternalis muscle ibe buhlungu kwaye isebenze amanqaku e-trigger. Xa amanqaku e-trigger asebenzayo achaphazela i-sternalis muscle, ihambelana ne-myocardial infarction okanye i-angina pectoris ilinganisa ukuphazamiseka kwentliziyo. I-Myofascial pain syndrome ilukhuni ukuyixilonga, kodwa iyanyangeka ngeendlela ezahlukeneyo ezinokulawula intlungu.

Ubuchwephesha bokuMasa kwividiyo ye-Sternalis Muscle

Ngaba uziva iintlungu embindini wesifuba sakho? Ngaba ufumana iimpawu zokuphazamiseka kwentliziyo? Okanye ngaba isifuba sakho sibuhlungu xa ukhohlela? I-Myofascial pain syndrome okanye i-trigger points ezichaphazela i-sternalis muscle zidibene neempawu ezininzi. I-Myofascial pain syndrome yimeko echaphazela inkqubo ye-musculoskelet ngokubangela ukuba imisipha echaphazelekayo isetyenziswe ngokugqithiseleyo kwaye ibangele intlungu echazwe. Uphando lutyhila ukuba imiba efana ne-myofascial pain syndrome iqala ukuchaphazela udonga lwesifuba somzimba; izigulane ezininzi zicinga ukuba zinesifo senhliziyo esibangela ukuphazamiseka okukhulu kwimisebenzi yabo yemihla ngemihla, kubangela uxinzelelo lweemvakalelo kunye nenqanaba eliphezulu lokuxhalaba. Yonke into ayilahlekanga, nangona kunjalo, kukho iindlela ezahlukeneyo zokunciphisa intlungu kunye nezinye iimpawu ezingapheliyo ngelixa ulawula i-myofascial pain syndrome kwi-sternalis muscle. Ividiyo engentla ichaza i-sternalis muscle kwaye ibonisa iindlela ezahlukeneyo zokwelula kunye nokugubha i-sternalis muscle esifubeni.

Iindlela ezahlukeneyo zokulawula i-Myofascial Pain Syndrome kwi-Sternalis Muscle

Xa ugqirha ehlola umsipha we-sternalis, abantu abaninzi baya kuhlala bekhalaza malunga nokufumana isifuba kunye neentlungu zentliziyo kuba umsipha uphambi kombindi wesifuba. Nangona kunjalo, yonke into ayilahlekanga, njengoko iindlela ezahlukeneyo zobuchule zinokunceda ukukhulula intlungu kunye ne-sternalis muscle ngelixa ulawula i-myofascial pain syndrome. Njengoko kuchaziwe ngaphambili, amanqaku e-trigger anokulinganisa ezinye iimeko ezingapheliyo ezinokuchaphazela kuphela i-muscle ngokwayo kodwa izitho ezizungezile. Ukwelula ngobunono isifuba kunokuncedisa ukunciphisa i-aches kwimisipha ejikelezileyo kunye ne-trigger point formation. Enye indlela abantu abaninzi abanokuzibandakanya kukunyanzeliswa kwe-ischemic kwi-sternalis muscle edibene nobushushu obumanzi. Ukunyanzeliswa kwe-ischemic kuvumela ukuvakalelwa, kodwa akukho ntlungu kufuneka ifakwe ukunciphisa iimpawu zentlungu kunye nokulawula i-myofascial pain syndrome.

isiphelo

I-sternalis muscle ibekwe phakathi kwesifuba kwaye inceda izihlunu ezijikelezayo ukuba ziphefumle kwaye zandise. Le misipha isebenza kunye ne-pectoralis kunye ne-sternocleidomastoid muscle ngokuzibandakanya kule misipha kwi-unilateral okanye i-bilateral muscle. Xa imikhosi ephazamisayo okanye iziganeko zichaphazela isifuba, le misipha engaphezulu inokuchaphazeleka kwaye iphuhlise i-myofascial pain syndrome efanisa ukuphazamiseka kwentliziyo. Ngethamsanqa, iindlela ezahlukeneyo ezinje ngesifuba esithambileyo kunye noxinzelelo lwe-ischemic lunokunceda ukulawula amanqaku okuqalisa kunye nokunciphisa iintlungu esifubeni.

Ucaphulo

Bell, UDaniel J. Radiopaedia Blog RSS, Radiopaedia.org, 23 kaJulayi 2022, radiopaedia.org/articles/accessory-muscles-of-respiration?lang=us.

Gruber, L, et al. "Imeko eNqabileyo yeSternalis Muscle eneSimptomatic: Ultrasonograpy kunye neMRI Correlation." Ultrasound International Open, © Georg Thieme Verlag KG, Nov. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5120977/.

URaikos, uAthanasios, et al. "Izihlunu ze-Sternalis: Ulwahlulo lweAnatomical lweSifuba lwaNgaPhambili." Ijenali yeCardiothoracic Surgery, BioMed Central, 16 May 2011, www.ncbi.nlm.nih.gov/pmc/articles/PMC3117696/.

Travell, JG, et al. Iintlungu ze-Myofascial kunye nokungasebenzi kakuhle: I-Trigger Point Manual: Vol. 1:Isiqingatha esiPhezulu soMzimba. Williams & Wilkins, ngo-1999.

UVerdon, uFrançois, et al. "I-Chest Wall Syndrome phakathi kwezigulana zoNonophelo oluPhambili: iSifundo seQela." BMC Family Practice, BioMed Central, 12 Septemba 2007, www.ncbi.nlm.nih.gov/pmc/articles/PMC2072948/.

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