Minofu ya Scalene ndi minofu ya m'khosi, yomwe imalola kusuntha cham'mbali. Minofu itatuyi yomwe imatchedwa anterior scalene muscle, scalene yapakati ndi posterior scalene imatchedwa dzina chifukwa ili ndi mawonekedwe a scalene triangle.

Katatu ka scalene ndi, mu geometry, makona atatu omwe mbali zake zitatu ndizosiyana. Mawuwa amabwera, etymologically, kuchokera ku Latin ".scalenus«, Ndipo kupitirira kuchokera ku Greek»KukulaZomwe zikutanthauza "oblique" kapena "opunduka", motero "osamvetseka, osafanana". Minofu iyi ya scalene imatambasulidwa pakati pa khomo lachiberekero, ndiko kuti, ma protrusions a khomo lachiberekero, ndi awiri awiri oyambirira a nthiti.

Minofu ya scalene ndi minofu ya khosi, yomwe ili mozama. Amawonetsa mawonekedwe a triangle a scalene, omwe ali, mu geometry, makona atatu okhala ndi mbali zitatu zosafanana. Mawuwa amabwera, etymologically, kuchokera ku Latin ".scalenus«, Ndipo kupitirira kuchokera ku Greek»KukulaZomwe zikutanthauza "oblique".

Pali, kwenikweni, mitolo itatu ya scalene minofu:

• anterior scalene minofu;
• minofu yapakati pa scalene;
• minofu yapambuyo ya scalene. 

Minofu iyi ya scalene imatambasulidwa pakati pa khomo lachiberekero, ndiko kuti, ma protrusions a khomo lachiberekero lachiberekero, ndi awiri awiri oyambirira a nthiti. Minofu iyi imagawidwa pawiri, kutsogolo ndi kumbali.

The zokhudza thupi ndi biomechanical ntchito scalene minofu ndi kukhala flexor minofu. Minofu itatuyi imapangitsa kusuntha khosi cham'mbali. Kuonjezera apo, minofu ina ya khosi ndi lamba wamapewa imakhudzidwanso ndi kupuma: izi ndizochitika za minofu ya scalene, yomwe imathandizira kudzoza panthawi yopuma.

Mu mgwirizano wapawiri, minofu ya scalene imakhala yosinthika ya msana wa khomo lachiberekero ndi zolimbikitsa. M'kati mwa unilateral contraction, iwo ndi opendekera ndi ozungulira.

The anomalies chachikulu kapena pathologies zogwirizana ndi scalene minofu amapangidwa ndi scalene syndrome. Izi syndrome limasonyeza psinjika ya mtima ndi mantha mtolo, pa ndimeyi pakati pa zapatsogolo ndi pakati scalene minofu.

Zifukwa za kupsinjika koteroko zitha kukhala zingapo:

• kaimidwe kosauka, monga kugwetsa mapewa kapena kutsogola mutu;
• kupwetekedwa mtima, mwachitsanzo chifukwa cha ngozi ya galimoto, vuto la anatomical (nthiti ya chiberekero);
• kupanikizika pamalumikizidwe, omwe amatha chifukwa cha kunenepa kwambiri kapena kunyamula thumba lalikulu kwambiri kapena chikwama chomwe chingapangitse kupanikizika kwambiri pamalumikizidwe;
• hypertrophy ya minofu yokhudzana ndi masewera ena;
• kapena kutenga mimba, zomwe zingayambitse kupweteka kwa mafupa.

Chithandizo cha scalene syndrome komanso kupita patsogolo kwake kuyenera kusinthidwa kwa wodwala aliyense. Zingawoneke zodabwitsa kuti minofu yaying'ono yotereyi ingayambitse zizindikiro zambiri zachipatala. M'malo mwake, chithandizo chachikulu chidzakhala mtundu wa physiotherapy.

Idzafunika kulondola kwambiri komanso kukhazikika kwakukulu pakukonza. Zochita zambiri za physiotherapy zitha kuperekedwa, zomwe zimawonjezeredwanso zolimbitsa thupi zina monga kulimbikitsana kapena kulimbitsa thupi, kapena njira zothandizira kutikita minofu, kutanthauza kuti, "kutikita minofu yomwe imachiritsa".

Polimbana ndi spasm, ntchito yopuma ndiyofunikira chifukwa imamasula minofu iyi. Kasanu ndi katatu mwa khumi, chithandizo chamankhwala chimagwira ntchito komanso chokwanira kuthetsa ululu kwa odwala.

Kuzindikira kwa scalene syndrome kumakhala kovuta, chifukwa palibe zizindikiro za pathognomonic. Choncho, ndi imodzi mwazinthu zovuta kwambiri pazamankhwala, kuchokera ku pathogenetic, matenda ndi chithandizo chamankhwala. M'malo mwake, matendawa adzakhala azachipatala komanso physiotherapeutic. Zowonadi, matenda a physiotherapeutic awa adzatsata matenda achipatala, omwe apangitsa kuti athe kudziwa luso la physiotherapist kuchiza wodwalayo ndikuchotsa zovuta zonse kupatula cervicarthrosis.

Scalene syndrome imatchedwanso thoraco-brachial crossing syndrome (STTB) kapena thoraco-brachial outlet syndrome (TBDS). Itha kufotokozedwa m'njira zambiri, ndichifukwa chake kuzindikira kwake kumakhala kovuta kwambiri: zizindikiro zachipatala ndizosiyanasiyana, zimatha kukhala zamitsempha komanso / kapena zamitsempha. Komanso, iwo alibe mwachindunji.

Ponena za mawonekedwe a minyewa, akazi amakhudzidwa kawiri kuposa amuna, pakati pa zaka 30 ndi 50 zakubadwa. Ponena za mawonekedwe a venous, amapezeka kawiri kawiri mwa amuna, malinga ndi ziwerengero zoperekedwa ndi Doctor Hervé de Labareyre, dokotala wamasewera ku Paris.

Chowonadi choyamba chachipatala cha STTB chofotokozedwa ndi chifukwa cha dokotala wa opaleshoni wa ku Britain Sir Ashley Cooper ku 1821, ndi kufotokozera bwino kwa zizindikiro za Mayo ku 1835. "Thoracic Outlet syndrome" inayamba kufotokozedwa mu 1956 ndi Peet. Mercier adautcha mu 1973 Thoraco-brachial crossing syndrome.

Tiyenera kuzindikira kuti scalene syndrome, kapena STTB, ikuyimira lingaliro lapadziko lonse lomwe likubweretsa mavuto a kupanikizika kwa mitsempha ya mitsempha ndi mitsempha ya hilum ya kumtunda kwa mwendo. Ndipo makamaka chifukwa cha kufunikira kwa chinthu chodziwika bwino cha physiopathological chomwe chimayimiridwa ndi kukakamiza kwa nthiti yoyamba yomwe Roos akufuna, mu 1966, kuchotsedwa kwake ndi njira yodutsa. Peet, wochokera ku Mayo Clinic, amapereka ndondomeko yokonzanso.

Mwachindunji, ndi ntchito ya Mercier ndi ogwira nawo ntchito yomwe yatsitsimutsa chidwi cha funso ku France.