Li-myotomes, Spinal Nerve Roots le Dermatomes

Joalo ka lekhalo, myotome ke sebaka seo 'meleng o se fuoang ke motsoako o mong oa mongobo. Phapang ke hore lekhalo ke sebaka seo methapo ea kutlo e tsamaeang ho eona ho khutlela tsamaisong ea methapo e bohareng e nang le tlhahisoleseding mabapi le lintho tseo u li ikutloang - mocheso, bohloko, lits'ebeletso, boemo ba 'mele oa hao, ho otlolla mesifa ea hau le ho feta. Li-myotomes, ka lehlakoreng le leng, ke libaka tseo motlakase o tsamaeang ka tsona ha li ntse li phetha boikarabelo ba tsona ba ho bontša mesifa ea hao ho ea konteraka.

Li-myotomes le li-dermatomes li "mapped", tse fanang ka lingaka le lingaka ka mokhoa oa ho khetholla-ho itšetlehile ka ho shebella le ho hlahloba - metso e itseng ea methapo kapa metsoako ea mokokotlo e ka 'nang ea sekisetsoa le / kapa ea ho baka matšoao.

Li-myotomes le dermatomes ke karolo ea tsamaiso ea methapo ea boithaopo (voluntary), e leng karolo ea tsamaiso ea methapo ea methapo. Mekhoa ea methapo ea methapo le ea bohareng e buisana kamehla.

Metso le methapo, oh!

Sele e 'ngoe le e' ngoe ea mesifa ea 'meleng oa hau e hloka ho kenya letsoho mokokotlong e le hore u lule u phetse hantle. Kantle ho bonyane puisano e teng pakeng tsa methapo le mesifa (mohlolo o bitsoang mohala o thusang ho boloka manonyeletso a tsitsitse), mesifa e qala ho bola.

Puisano ena e etsahala sebakeng sa bohlokoa ka ho fetisisa seleng ea fiber ea mesifa e bitsoang motlakase oa motlakase. Sisele ea methapo ea kutlo, hammoho le sepakapaka se tsejoa e le mokokotlo oa neuromuscular.

Setsi se seng sa methapo se nang le methapo e mengata se tšoara mefuta e mengata ea mesifa. Sena se bitsoa motlakase. Fiber e 'ngoe le e' ngoe e entsoeng ka likonteraka (mesebetsi) ha meriana ea eona e lelekoa. Ke ntho leha e le efe kapa e se nang letho. E le ho qoba mesifa le methapo ea "ho chesa," likoloi tsa motlakase lia chenchana.

Sena sohle se etsahala ka tekanyo e nyenyane haholo, nahana ka uena, empa ho itšetlehile ka boholo ba mesifa le mesebetsi eo e e etsang, sele ea methapo e ka se na meeli e seng mekae ea 6-10 ea mesifa (nahana ka menoana e bapalang piano, ho jala meroho, ho roka , ngola, kapa mesifa e pota-potileng leihlo e thusang ho lebisa tlhokomelo, ho khanya meokho, ho boloka u sireletsehile tseleng le ho feta.) ho makholo (nahana ka morao le mesifa ea letsoho, moo ho sebetsanang hantle hantle ho seng bohlokoa.)

Tsela e 'ngoe ea ho utloisisa likoloi ho tsoa ponong ea mesifa. Bofubelu bo bongata bo na le lihlopha tse ngata tsa likoloi.

Li-myotomes - Maikutlo a Lefatše-Matšoafo

Hona joale hore u tseba seo motlakase o leng sona-ho utloisisa monotome ke taba ea ho shebella lintho ho latela pono ea lefatše ka bophara.

Ntho e bitsoang myotome ke sehlopha sa mesifa ka lehlakoreng le leng la 'mele le nang le motsoako oa methapo e le' ngoe.

Lingaka li sebelisa tsebo ea tsona ka sebaka sa li-myotomes (le li- dermatomes ) nakong ea tlhahlobo ea 'mele. E le hore u tsebe hore na mokokotlo kapa methapo ea mokokotlo e ka 'na ea e-ba bofokoli ba mesifa, e etsa liteko tsa matla a methapo ea matla ho latela mapao a myotome.

Ka tlaase ho karolo ena ke chate e fanang ka mabitso a methapo le ketso eo ba e hlahisang ka ba hlokang ba nang le mehloli e nang le boikarabelo, e leng 'mapa.

Pele ke u bontša seo, e-re ke mpa feela ke re mokhoa oa ho ts'oaroa ha li-myotome ka linako tse ling o ka ba o tsitsitseng. Ka mantsoe a mang, le hoja li-myotomes (hammoho le li-dermatomes) li 'nile tsa' mapa, 'ka mokhoa o tloaelehileng, libaka ha lia lula li hlakile ebile li khethollehile. Hangata ho kopana, moo methapo e tla ba le mesifa e sa tšoaneng ka likarolo tse ling ntle le tseo li "mapping" ka molao.

Lebelo la mokokotlo (Metsing) Khato Matšoao
C1 & C1 Ho koaloa ha Mokho Rectus lateralis, Rectus capitis anterior, longus capitis, longus colli , longus cervicus, sternocleidomastoid
C3 Ho Tšoaroa ka Nako Longus capitis, longus cervicus, trapezius, scalenus medius
C4 Mahetla a Mahetla Moferefere, trapezius, levator scapula , scalenus anterior & medius
C5 Ho Tšoaroa ka Mahetla Rhomboid e kholo le e nyenyane, e mengata, e supraspinatus, infraspinatus, teres e nyenyane, bicepps, scalene anterior & medius
C6 Pherekano ea Majoe; Wrist Extension Serratus anterior, latissiumus dorsi , li- acapularis , lihlooho tse kholo, li-pectoralis tse khōlō (hlooho ea clavicular) biceps brachii, coracobrachialis, brachioradialis, supinator, extensor carpi radialis longus, scalenus anterior, medius & posterior
C7 Elbow Extension; Pherekano ea Sefahleho Serratus anterior, latissiumus dorsi, hlooho ea pectoralis (hlooho e sa feleng), pectoralis e nyane, li-pronator teres, flexor carpi radialis, flexor digitorum e ntle, e fokotsa likarolo tsa carpi radial longus, e senya li-carpi radialis brevis, extensor digitorum, e fokotsa li-digiti
C8 Ho atolosoa ka maoto; Phapang ea Ulnar Pectoralis e khōlō (hlooho e sa feleng), pectoralis e nyenyane, triceps, flexor digitorum e fokolang, flexor digitorum profundus, flexor pollicus longus, pronator quadratus, flexor carpi ulnaris, extensor pollicus longus, e kentse pollicus brevis, e hlalosang, abductor pollicus brevis, opponens pollicus, scalenus medius & posterior.
T1
T2-12 Ha e lekoa Metsu e metle e laola mesifa ka 'mele le mpa,' me ha e le hantle ha e etsoe teko.
L1-2 Hip Flexion Psoas, Iliacus, sartorius, gracilis, pectineus, adductor longus, motlakase
L3 Knee Extension Quadriceps, adductor longus, magnus & brevis.
L4 Khalefo ea Ankle Tibalis anterior, quadriceps, tensor fasciae morao, adductor magnus, obturator ka ntle, tibialis posterior
L5 Toten Extension Horsensis, hallucis longus, extensor digitorum longus, gluteus medius & minimus, abturator internus, semimembranosus, semitendinosus, peroneus tertius, popliteus
S1 Plantarflexion ea Ankle; Ankle Eversion; Hip Extension ,; Knee Flexion Gastrocnemius, soleus, gluteus maximus, obturator internus, piriformis, bicepps femoris, semitendinosus, popliteus, li-peroneus longus & brevis, extensor digitorum brevis
S2 Knee Flexion Biceps femoris, piriformis, soleus, gastrocnemius, flexor digitorum longus, flexus hallucis longus, mahlaseli a maoto a hloekileng (ntle le abductor hallcuis), flexor hallucis brevis, flexor digitorum brevis, extensor digitorum brevis
S3 Ha ho Myotome
S4 Anal Wink Metso ea mokatong oa pelvic le senya

Dance ea Myotome

Haeba u mofuta oa motho ea ithutang ka ho etsa, ke u khothalletsa ho sheba livideo tse le 'ngoe kapa tse ling tsa YouTube tse kopantsoeng ka tlaase. Tsena li ne li hlahisoa ke lingaka tsa 'mele tse thusang lihlopha tsa sehlopha sa sehlopha (le sehlopha se le seng sa thuto ea' mele) ho tsoa ho pota naha. Hobane video e 'ngoe le e' ngoe e na le lintlha tse matla le tse fokolang tsa thuto, mohlomong ke khopolo e ntle ho li sheba kaofela. Tlhokomeliso: Boholo ba lipina li etsoa ho otla ka potlako. Ke fana ka maikutlo a hore u tsamaee ka lebelo la 'mele oa hau (haholo-holo molala oa hau) o ka sebetsana ka mokhoa o sireletsehileng. Ho ka etsahala hore ebe sena se bolela ho tsamaea butle-butle ho baithuti ba phekolo.

Leha ho le joalo, ka kakaretso metjeko ena e ka u fa maikutlo a nepahetseng ka seo li-myotomes li hlileng li se etsang, le hore na ke hobane'ng ha li le bohlokoa.

'Me mino o motle haholo, hape.

Lisebelisoa:

Barkhaus, P., MD, le. al. EMG Tlhahlobo ea Motor Motor - Electrophysiologic Biopsy. Websaete ea Medscape. E fetotsoe ho qetela: Aug 2013. E fumaneha: June 2015. http://emedicine.medscape.com/article/1846028-overview

Magee, David, J. Orthopedic Thuto ea 'mele. Khatiso ea 4. Saunders Elsevier. St. Louis, MO. 2006.