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The ngasemva yinxalenye yengingqi ye-thoracic yomqolo, ejikelezwe yimisipha eyahlukeneyo ekhusela amalungu e-thoracic kwaye inceda ukuncedisa ekusebenzeni kokuphefumla kwimiphunga. Izihlunu eziphezulu zangasemva ziquka i-rhomboids kunye nemisipha ye-trapezoid enika umsebenzi kwi-scapula okanye i-shoulder blades. Ezinye izihlunu ezingaphezulu zinika uncedo kwi thotho. I-serratus posterior muscle yenye yezihlunu ezingaphezulu ezinceda umqolo we-thoracic kwaye, njengazo zonke izihlunu ezingaphezulu, zingakwazi ukuzithoba kukulimala okungakhokelela ekuphuhlisweni kweempawu zentlungu ezigqithisiweyo ezaziwa ngokuba amanqaku okubangela. Inqaku lanamhlanje ligxininise kumsebenzi we-serratus we-posterior muscle emva, indlela amanqaku e-trigger abangela ngayo intlungu ephezulu, kunye neendlela ezahlukeneyo zokulawula amanqaku e-trigger kumqolo ongaphezulu. Sithumela izigulane kubaboneleli abaqinisekisiweyo abahlukeneyo kwiindlela zonyango ezibuhlungu ezisezantsi ukuze bancede abantu abaninzi abaphethwe yi-myofascial pain syndrome okanye amanqaku aqalayo ahambelana ne-serratus posterior muscle ecaleni kwe-back back. Sacebisa 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
Ngaba ubusoloko ujongana neentlungu ezihlala zingasentla? Ngaba uziva ubuhlungu emazantsi entamo yakho? Okanye ngaba uphefumla nzima? Uninzi lweempawu zibangela intlungu kwimisipha ye-serratus engasemva engakhokelela ekuphuhlisweni kwe-myofascial pain syndrome okanye i-trigger points ecaleni komqolo ongaphezulu. I serratus ngasemva ineendima ezahlukahlukeneyo kumqolo ongaphezulu njengoko ingeyonxalenye yemisipha yangaphandle kuphela kodwa ikwayinxalenye yesihlunu sokuphefumla. I-serratus ye-posterior muscle inceda ngokuphefumlelwa, okubangela ukuba isifuba sesifuba sande njengoko sisihlunu esingaphezulu esifakwe kwiimbambo kwaye singaziwa kakhulu. Izifundo zibonisa ukuba i-serratus posterior muscle inzulu ngaphakathi kwemisipha ye-rhomboid kwaye ingaphezulu. Nangona le misipha ingaphezulu xa isetyenziswe ngokugqithiseleyo ngemisebenzi eyahlukeneyo, oko kunokubangela i-hypertrophy kwimisipha yokuphefumula. Izifundo ezongezelelweyo zityhila ukuba i-serratus posterior muscle ephezulu ithathwa njengekliniki engabalulekanga kodwa iye yaphazamiseka yi-myofascial pain syndrome okanye i-trigger points ezingakhokelela kwintlungu ephezulu.
Njengoko kushiwo ngaphambili, umva ongaphezulu uyingxenye yengingqi ye-thoracic yomqolo, kwaye xa izinto ezahlukeneyo ziqala ukuchaphazela umzimba, imisipha yangemuva ivame ukubandakanyeka. Uphando lutyhila imithombo emininzi yentlungu yomgogodla kwi-thoracic spine. Enye yi-myofascial pain syndrome echaphazela imisipha ye-serratus yangasemva ebangela intlungu engaphezulu. I-Myofascial pain syndrome okanye i-trigger points inokuthi isebenze xa i-serratus posterior muscle igcwele kakhulu kwimiba yokuphefumla ye-thoracic njengokukhohlela ngenxa ye-pneumonia, i-asthma, okanye i-emphysema engapheliyo. Xa iingxaki zokuphefumula zichaphazela imisipha kwingingqi ye-thoracic ngasemva, ikhokelela ekuphuhlisweni kwe amanqaku okubangela, ekhokelela kwimiba ehambelanayo efana neentlungu ezibhekiswayo, ukungasebenzi kakuhle kwemoto, kunye neziganeko ezizimelayo. Ngokutsho kukaDkt Travell, MD, kumqolo ongaphezulu, amanqaku aqalayo angenza i-serratus posterior muscle ibangele iiprofayili ezinobungozi ezigqithisekileyo kunye namagxa ehlombe kwaye zigqithise ukuhamba kweentlungu ezandleni. Oku kunokwenza abantu abaninzi babandezeleke ziimpawu ezibuhlungu ezinjengeentlungu, ezibangela ukuba babe lusizi.
Ngaba ukhe wajongana nemicimbi yokuphefumla ebangela ukuba uzingelwe rhoqo? Ngaba uziva ubuhlungu okanye ububele emazantsi entamo yakho? Okanye ngaba uphethwe ziintlungu ezingasentla? Ezi zimpawu zihambelana namanqaku e-trigger achaphazela imisipha ye-serratus yangasemva ebangela intlungu ephezulu. Amanqaku e-Trigger, okanye i-myofascial pain syndrome, i-musculoskeletal disorder eyenza ububele kunye ne-muscle echaphazelekayo ebangela intlungu echazwe kwimisipha ejikelezayo emzimbeni. Amanqaku e-Trigger ahambelana ne-serratus posterior muscles angabangela intlungu echazwe kumqolo ongaphezulu kwaye alingise iimeko ezahlukeneyo ezingapheliyo. Iintlungu ze-Trigger point kunzima ukuzixilonga kodwa zinokulawuleka ngonyango. Le vidiyo ingentla inika imizekelo yendlela yokuphatha amanqaku okuqalisa ukukhulula uxinzelelo kumqolo ongaphezulu.
Xa kuziwa kwiintlungu ezingasentla, abantu abaninzi baya kwiingcali zeentlungu ezinje ngee-massage therapists okanye ii-chiropractors ukukhulula nayiphi na imiba echaphazela umqolo ongaphezulu. Ezi ngcali zeentlungu zisebenzisa iindlela ezahlukeneyo zokuzolula, ukunyanzelwa komgogodla, ukuthambisa, kunye noxinzelelo lwe-ischemic ukuthomalalisa iintlungu kunye nokulawula amanqaku e-trigger ekubeni enze ngakumbi kwisihlunu esichaphazelekayo. Iingcali zeentlungu ezinje ngee-massage therapists okanye ii-chiropractors zigqwesile ekufumaneni iimpawu ezinjengeentlungu ezinxulumene namanqaku okubangela. Nangona unyango lunokunceda ukulawula iimpawu ezinxulumene namanqaku e-trigger, abantu abaninzi basenokuzibandakanya ezi ndlela, njengokuphefumla okunzulu okanye ukulungisa indlela yabo yokuma, ukuthintela izihlunu ezingaphezulu ukuba zingaxinzeki kwaye zibangele imiba emininzi kunangaphambili.
Izihlunu ze-serratus zangasemva zineendima ezahlukeneyo kwindawo ephezulu yomqolo womzimba. Ezi zihlunu ezingaphezulu zingaphandle kunye nezihlunu zokuphefumla ezinceda ukwandisa isifuba sesifuba. Xa imiba emininzi ichaphazela imisipha yangaphezulu, njengemisebenzi enzima okanye iingxaki zokuphefumula, inokuphuhlisa amanqaku e-trigger kunye ne-serratus posterior muscles kwaye icele iimpawu ezinjengeentlungu ukuba zihambe phantsi kwisandla, ezibangela imiba yokuhamba. Ngombulelo, iindlela ezahlukeneyo ezisetyenziswa ziingcali zeentlungu ezifana ne-chiropractors kunye ne-massage therapists zinokunceda ukulawula amanqaku e-trigger ukusuka ekunyukeni kwaye zinokuzisa ukuhamba okuphezulu komzimba kwakhona.
Altafulla, Juan J, et al. "Isihlunu sangasemva esingaqhelekanga esichongiweyo kwiBilaterally: Ingxelo yeCase." Cureus, Cureus, nge-15 kaJuni 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC6093753/.
Briggs, Andrew M, et al. "Intlungu ye-Thoracic Spine kuBemi Jikelele: Ukuxhaphaka, Iziganeko kunye neZinto eziNxulumeneyo kubantwana, abakwishumi elivisayo kunye nabadala. Uphononongo olucwangcisiweyo. Iingxaki ze-BMC zeMisculoskeletal, BioMed Central, 29 Juni 2009, www.ncbi.nlm.nih.gov/pmc/articles/PMC2720379/.
UMitchell, uBrittney, kunye nabanye. "I-Anatomy, i-Back, i-Extrinsic Muscles." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), StatPearls Publishing, 4 Aug. 2021, www.ncbi.nlm.nih.gov/books/NBK537216/.
Travell, JG, et al. Iintlungu ze-Myofascial kunye nokungasebenzi kakuhle: I-Trigger Point Manual: Vol. 1:Isiqingatha esiPhezulu soMzimba. Williams & Wilkins, ngo-1999.
Vilensky, JA, et al. "Izihlunu zeSerratus Ngasemva: I-Anatomy, Ukufaneleka kweKlinikhi, kunye noMsebenzi." I-Clinical Anatomy (eNew York, NY), ILayibrari yeSizwe yezeMithi yase-US, ngoJulayi 2001, yentshutshiso.ncbi.nlm.nih.gov/11424195/.
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Iintsikelelo
UDkt Alex Jimenez D.C., I-MSACP, RN*, I-CCST, IFMCP*, I-CIFM*, I-ATN*
email: qeqeshi@elpasofunctionalmedicine.com
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Ubume obubambeneyo: ILayisensi yeeNkcazo ezininzi: Ugunyaziswe Ukuziqhelanisa I-40 States*
UGqr. Alex Jimenez DC, MSACP, RN* CIFM*, IFMCP*, ATN*, CCST
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