Myotomes, xididada lafdhabarta ee Spinal iyo Dermatomes

Sida maqaarka, myotome waa aag jirka ka mid ah oo ay u adeegaan hal xidid oo xididada dareeraha ah. Farqiga ayaa ah in maqaarka dushiisa uu yahay aalad ay dareenka dareemada u socdaan si ay ugu soo noqdaan nidaamka dhexe ee dareemayaasha oo leh macluumaad ku saabsan waxyaabaha aad dareento - kuleyl, xanuun, cuncun, jimicsiga jidhkaaga, sida aad u kala bixisay muruqyadaada, iyo wax ka badan. Myotomes, dhinaca kale, waa aagag meelo dareemo oo maskaxda socdaalaya markay fuliyaan waajibaadkooda muujinta muruqyadaada si ay heshiis u galaan.

Labada dhirta 'myotomes' iyo 'dermatomes' ee labaduba waa "isku duuban", oo bixiya dhakhaatiir iyo daaweeyaha jirka oo leh tixraac ku saabsan go'aaminta - ku saleysnaanta fiirinta iyo baaritaanka - astaamaha gaarka ah ee dareemayaasha (s) ama heerka asaasiga ah ee lafdhabar u ah oo laga yaabo inay waxyeello iyo / ama taasoo keentay astaamo.

Myotomes iyo dermatomes waa qayb ka mid ah nidaamka dareenka ah (iskaa-wax-u-qabsasho), kaas oo qayb ka ah nidaamka dareenka maskaxda. Nidaamka xididada dhexe iyo dhexe ayaa si joogto ah ula xiriiraya.

Murqaha iyo Nerves, Oh My!

Unugyada muruqyada ee jidhkaaga oo idil waxay u baahan yihiin talobixin ka yimaada dareen si loo caafimaad qabo. Halka ugu yaraan xiriirka ka dhexeeya dareenka iyo muruqyada (xaalad la yiraahdo tone kaasoo ah mid aad u faa'iido leh si loo xoojiyo dhexdhexaadintaada), muruqa wuxuu bilaabmaa inuu burburo.

Xiriirintani waxay ka dhacdaa meel aad u muhiim ah oo ah unugyada dheef-shiid kiimikaadka ee loo yaqaan 'end of motor'. Unugyada dareemayaasha, oo ay weheliyaan dhamaadka dhirta waxaa loo yaqaana isu-xidhka neuromuscular.

Mid ka mid ah unugyada dareemayaasha ayaa ku dhaca lafaha murqaha badan. Tani waxaa loo yaqaannaa unugga gaaska. Fiber kasta oo qayb ka mid ah unugyada qandaraasyada (shaqooyinka) marka ay dareemayaasha dillaacaan. Waa wax walba ama wax dalab ah. Si looga fogaado murqaha iyo dareenka "gubi", unugyada yaryar waxay isku dayaan inay joojiyaan.

Dhammaan tani waxay ka dhacaysaa heerka qiyaasta microscopic, adiga oo maskaxda ku haya, laakiin waxay ku xiran tahay xajmiga muruqyada iyo shaqooyinka ay sameeynayaan, unugyada dareemayaasha waxay kufilan karaan illaa 6-10 unugyada muruqyada (feker ahaan u feker kuwa ciyaarta piano, khudaarta, , qori, ama muruqyada ku wareegsan indhaha ee ka caawiya diiradda, is-ilaalinta ilmada, kugula socodsiin waddada iyo in ka badan.) illaa boqolaal (ka fakir muruqyada dhabarka iyo muruqyada gacanta, oo iskudubarid wanaagsan oo aan muhiim ahayn.)

Siyaabo kale oo lagu fahmo unugyada yaryar ayaa ka imanaya aragtida muruqa. Muruqyo badan oo fayras leh waxa ku jira ururinta tirooyinka aan la tirin karin ee unugyada.

Myotomes - Maqnaanshaha Caalamiga ah ee Musqulaha iyo Maskaxda

Hadda waxaad ogtahay waxa unugyada gawaarida --- fahmada myotome waa arrin ah in wax laga arko waxyaabo badan oo caalami ah.

Myotome waa koox murqaha ah oo dhinac ah oo jirka ka mid ah oo ku salaysan hal xidid oo xididada xididada lafdhabarta ah.

Dhakhaatiirtu waxay isticmaalaan aqoontooda ku saabsan goobta myotomes (iyo dermatomes ) inta lagu jiro baarista jirka. Si loo aqoonsado dareemaha gaarka ah ee lafdhabarta (spine) ee laga yaabo inuu hoos udhaco murqaha muruqyada, waxay sameeyaan tijaabooyinka xooggan ee isometric sida maabka myotome.

Qaybtan hoos ku qoran waa jaantus kaas oo siinaya magacyada dareenada iyo ficiladooda ay soo saaraan iyagoo ku takhasusaya muruqyada mas'uulka ka ah, sida, khariidada.

Ka hor inta aan ku tuso taas, ha i dhaho in geeddi-socodkii hagaajinta myotome mararka qaarkood noqdaan kuwo jilicsan. Si kale haddii loo dhigo, xitaa inkastoo myotomes (iyo sidoo kale dermatomes) "la duudduubay", waxqabadka, aagagga ma aha mid had iyo goor goosan oo kala duwan. Inta badan waxaa jira isku dhaf, halkaasoo dareemayaasha ay kufilan doonaan muruqyada meelaha aan ka ahayn kuwa ay rasmiga ah yihiin "la duudduubay."

Heerka suuxinta (Nerve) Waxqabadka Murqaha
C1 & C1 Neck Flexion Lateralis Rectus, Rectus capitis anterior, Capus capitis, Longus colli , ilmo-galeenka longus, sternocleidomastoid
C3 Naqshad Sidii Laydhka Longus capitis, ilmo-galeenka dheera, trapezius, scalenus medius
C4 Xoogga garabka Diaphragm, trapezius, scapula , scalenus anterior & medius
C5 Garabka garabka Cudurka wayn ee weyn & kuwa yar yar ee Rhomboid, boodhka, supraspinatus, infraspinatus, teres yaryar, biceps, maqaar hoose iyo dhexdhexaad
C6 Qulqulka Suugaanta; Kordhinta Wadnaha Serratus anterior, latissiumus dorsi , subscapularis, teres major, pectoralis major (madaxa lafdhabarka) biceps brachii, coracobrachialis, brachioradialis, supinator, carpi radialis longus, scalenus anterior, medius & posterior
C7 Kordhinta Cabbitaanka; Fududaynta Xirmada Serratus anterior, latissiumus dorsi, madaxa weyn ee pectoralis, madaxa xiniinyaha (pectoralis), pectoralis yaryar, cirbado jajab, dabeecad jilicsan, farsamooyinka digitorum superficialis, farsamoyaqaan dheeraad ah,
C8 Kordhinta suulasha; Ulnar Deviation Cudurka Pectoralis, Dhibaatada yaryar, Triceps, Horumar xoogan oo dheellitiran, Dareeraha digitorum, Fareemo farsamoyaqaano, Fareerka qufaca, Kareemka cirridka, waxay ka soo horjeedaa pollicus, scalenus dhexdhexaad ah & midab.
T1
T2-12 Ma imtixaanin Daweynta xididdada Thoracic waxay xakameysaa muruqyada iyo caloosha, guud ahaanna looma baadhi Karin.
L1-2 Hip Flexion Psoas, iliacus, sartorius, gracilis, pectineus, dheecaan dheeri ah, isugeyn dheeri ah
L3 Faafinta Jeelka Quadriceps, dhererka dheereeya, magnus & brevis.
L4 Qaliinka Dorsiflexion Tibalis anterior, quadriceps, tensor fasciae dabayaaqada, magnetic supplement
L5 Kordhinta Caanaha Extensor hallucis longus, kordhinta digitorum longus, gluteus medius & minimus, abdurator internus, semimembranosus, semitendinosus, peroneus tertius, popliteus
S1 Qorshaha Qorshaha Qalliinka; Dhiirigelinta Qalitaanka; Fidinta Qalitaanka,; Jilibka Jilicsan Gastrocnemius, soleus, gluteus maximus, indhaha caalamka, piriformis, biceps femoris, semitendinosus, popliteus, peroneus longus & brevis, extensor digitorum brevis
S2 Jilibka Jilicsan Biceps femoris, piriformis, soleus, gaastrocnemius, dheecaan cirbadeysan, jimicsiga cagaha gaaban, muruqyada cirridka ah (marka laga reebo hallucuis abductor), cirridka jilicsan ee cirridka, cirridka caanaha, cirridka digitorum brevis
S3 Maya Myotome
S4 Anal Wink Muruqyada sagxada miskaha iyo kaadiheysta

Myotome Dance

Haddii aad tahay nooca qofku wax barto, waxaan kuu soo jeedinayaa inaad hubiso hal ama in ka badan oo ah cajaladaha YouTube ku xiran. Kuwani waxa soo saaray kooxo isku-duuban oo ku takhasusay daaweynta jirka (iyo hal fasal cilmi-nafsi) oo ka kala yimid waddanka oo idil. Sababtoo ah fiidiyooga kasta wuxuu leeyahay waxbarashooyin xooggan oo daciif ah labadaba, waxaa laga yaabaa inay tahay fikrad wanaagsan in la eego dhammaantood. Fiiro gaar ah: Inta badan qoob ka ciyaarka waxaa loo sameeyaa garaac si aad u degdeg ah. Waxaan kugula talinaynaa inaad u dhaqaaqdo jidka tooska ah ee jidhkaaga (gaar ahaan qoortaaga) si ammaan ah u maamuli kara. Inta badan, tani macnaheedu waa ka sii gaabis ah markaa ardayga daaweynta jireed.

Guud ahaan, inkastoo, cayaaradaani waxay ku siin karaan fekrad wanaagsan oo ku saabsan waxa iitotomes dhab ahaantii qabanayaan, iyo sababta ay muhiim u yihiin.

Miyuusiguna aad ayuu u fiican yahay.

Ilaha:

Barkhaus, P., MD, et. al. EMG Qiimeeynta Unugga Awoodda - Baadhitaanka Cudurka "Electrophysiologic Biopsy". Websaydhka Medscape. Abaabulkii ugu dambeeyay: Bishii 8aad 2013. Abuurid: Juun 2015. http://emedicine.medscape.com/article/1846028-shoob

Magee, David, J. Qiimaynta Jirka ee Muusikada. Warqada 4aad. Saunders Elsevier. St. Louis, MO. 2006.