Hagaha ugu dambeeya ee Xoojinta Murqaha Multifidus

Shakhsiyaadka la kulma xanuunka dhabarka hoose waxay fahmi karaan anatomy iyo shaqada muruqa multifidus ee ka hortagga dhaawaca iyo horumarinta qorshe daaweyn oo waxtar leh?

Muruqyo badan

Muruqyada multifidus waa kuwo dheer oo cidhiidhi ah labada dhinac ee laf-dhabarka laf-dhabarka, taas oo ka caawisa xasilinta gobolka hoose ee laf-dhabarka ama lumbar. (Maryse Fortin, Luciana Gazzi Macedo 2013) Fadhi badan, ku celcelinta qaab-dhismeed aan fiicneyn, iyo dhaqdhaqaaq la'aanta waxay u gudbi kartaa murqaha badan ee daciifka ah ama atrophy, taas oo u horseedi karta xasillooni la'aanta laf-dhabarka, cadaadiska vertebral, iyo xanuunka dhabarka. (Paul W. Hodges, Lieven Danneels 2019)

anatomy

Loo yaqaan lakabka qoto dheer, waa lakabka ugu hooseeya ee saddexda lakab ee murqaha ee dhabarka waxayna xakameysaa dhaqdhaqaaqa laf dhabarta. Labada lakab ee kale, oo loo yaqaanno gudaha iyo dusha sare, ayaa ka mas'uul ah qafiska thoracic/qafiska feeraha iyo dhaqdhaqaaqa garabka. (Anouk Agten iyo al., 2020Multifidus-ku wuxuu leeyahay dhibco lifaaqa:

• Laf-dhabarta dhuunta ee dhabarka dhexe.
• Laf-dhabarta lafaha dhabarka hoose.
• Laf-dhabarta ilia - saldhigga laf-dhabarka baalka qaabaysan ee miskaha.
• Sacrum - lafo taxane ah oo ku yaal saldhigga laf dhabarta oo ku xiran lafta dabada.
• Marka la taagan yahay ama dhaqaaqo, muruqa multifidus wuxuu la shaqeeyaa caloosha transversus iyo muruqyada sagxada miskaha si loo dejiyo lafdhabarta lumbar. (Christine Lynders 2019)

Shaqada Murqaha

Shaqada ugu weyni waa in la dejiyo dhabarka hoose, laakiin sidoo kale waxay gacan ka geysataa fidinta laf dhabarta hoose mar kasta oo la gaaro ama la kala bixinayo. (Jennifer Padwal iyo al., 2020) Sababtoo ah muruqu wuxuu leeyahay dhibco badan oo isku xiran waxaana u adeega laan gaar ah oo neerfayaasha ah oo loo yaqaan rami dambe, waxay u ogolaataa vertebra kasta inuu si gaar ah iyo si hufan u shaqeeyo.

• Tani waxay ka ilaalinaysaa xumaanshaha laf dhabarta iyo horumarinta arthritis-ka. (Jeffrey J Hebert iyo al., 2015)
• Muruqa multifidus wuxuu la shaqeeyaa laba kooxood oo kale oo muruqa qoto dheer si ay u dejiyaan oo ay u dhaqaajiyaan lafdhabarta. (Jeffrey J Hebert iyo al., 2015)
• Muruqyada rotator-ka ah waxa ay awood u yeelaan wareega hal dhinac, u rogida dhinac ilaa dhinac, iyo fidinta laba geesoodka ah ama foorarsiga gadaal iyo hore.
• Muruqa semispinalis ee ka sarreeya multifidus wuxuu u oggolaanayaa fidinta iyo wareegga madaxa, qoorta, iyo dhabarka sare.
• Muruqa multifidus wuxuu xaqiijiyaa awoodda laf-dhabarka sababtoo ah waxay leedahay dhibco badan oo lafdhabarta ah marka loo eego lakabyada kale, taas oo yaraynaysa dabacsanaanta laf dhabarta iyo wareegga laakiin waxay kordhisaa xoogga iyo xasilloonida. (Anouk Agten iyo al., 2020)

Xanuunka Aagga hoose

Muruqyo badan oo badan oo daciif ah ayaa dejiyaa xasiloonida laf dhabarta oo waxay siisaa taageero yar oo lafdhabarta ah. Tani waxay ku daraysaa cadaadiska murqaha iyo unugyada isku xiran ee u dhexeeya iyo ku dheggan tiirka laf-dhabarka, kordhinta khatarta calaamadaha xanuunka dhabarka hoose. (Paul W. Hodges, Lieven Danneels 2019) Luminta xoogga muruqa iyo xasilloonida waxay keeni kartaa dhiig-bax ama luminta. Tani waxay keeni kartaa cadaadis iyo dhibaatooyin kale oo dhabarka ah. (Paul W. Hodges iyo al., 2015Dhibaatooyinka dhabarka ee la xidhiidha xumaanshaha muruqyada multifidus waxaa ka mid ah (Paul W. Hodges, Lieven Danneels 2019)

• Saxannada Herniated - sidoo kale bura-bursan ama saxannada simbiriirixiinta ah.
• Dareemaha oo xidha ama isku xidhka neerfaha
• ronaanayaa
• Xanuun la soo jeediyo - xanuunka neerfaha ee ka yimaada laf dhabarta oo laga dareemay meelo kale.
• Osteoarthritis - arthritis xirashada iyo jeexjeexa
• Osteophytes lafdhabarta - lafaha lafaha
• Muruqyada caloosha ama sagxada miskaha oo daciif ah ayaa wax u dhimi kara xudunta, kordhinta khatarta xanuunka dhabarka hoose ee joogtada ah iyo dhaawaca.

Shakhsiyaadka waxaa lagula talinayaa inay la tashadaan daaweeyaha jireed iyo lafopractor kaas oo gacan ka geysan kara horumarinta ku habboon daaweynta, baxnaanin, iyo qorshaha xoojinta ku salaysan da'da, dhaawaca, xaaladaha hoose, iyo awoodaha jireed.

---

Jimicsiga Muhiimka ah ma ka caawin karaa dhabar xanuunka?

---

tixraacyada

Fortin, M., & Macedo, LG (2013). Multifidus iyo kooxda muruqa paraspinal-ka isdhaafka ah ee bukaanada qaba xanuunka dhabarka hooseeya iyo kantaroolka bukaanka: dib u eegis nidaamsan oo diiradda saaraya indho-la'aanta. Daaweynta jireed, 93 (7), 873-888. doi.org/10.2522/ptj.20120457

Hodges, PW, & Dannels, L. (2019). Isbeddellada Qaab dhismeedka iyo Shaqada Murqaha Dhabarka ee Xanuunka Dhabarka Hoose: Waqtiyo kala duwan, Indho-indhayn, iyo Mechanisms. Joornaalka daawaynta jireed ee lafaha iyo isboortiga, 49(6), 464-476. doi.org/10.2519/jospt.2019.8827

Agten, A., Stevens, S., Verbrugghe, J., Eijnde, BO, Timmermans, A., & Vandenabeele, F. (2020). Multifidus-ka lumbar waxaa lagu gartaa fiyuusyada muruqa ee nooca I ee weyn marka la barbar dhigo lafdhabarta erector. Anatomy & bayoolaji unugyada, 53(2), 143-150. doi.org/10.5115/acb.20.009

Lynders C. (2019). Doorka Muhiimka ah ee Horumarinta Abdominis ee Transversus ee ka hortagga iyo daaweynta xanuunka dhabarka hooseeya. HSS joornaalka: joornaalka murqaha ee Isbitaalka Qalliinka Gaarka ah, 15(3), 214-220. doi.org/10.1007/s11420-019-09717-8

Padwal, J., Berry, DB, Hubbard, JC, Zlomislic, V., Allen, RT, Garfin, SR, Ward, SR, & Shahidi, B. (2020). Kala duwanaanshaha gobolka ee u dhexeeya dusha sare iyo qoto dheer ee lumbar multifidus ee bukaanada qaba xanuunka laf-dhabarka ee daba-dheeraada. Xanuunada murqaha ee BMC, 21(1), 764. doi.org/10.1186/s12891-020-03791-4

Hebert, JJ, Koppenhaver, SL, Teyhen, DS, Walker, BF, & Fritz, JM (2015). Qiimaynta shaqada murqaha badan ee lumbar iyada oo loo marayo palpation: isku halaynta iyo ansaxnimada tijaabada caafimaad ee cusub. Joornaalka lafdhabarta: joornaalka rasmiga ah ee Waqooyiga Ameerika Spine Society, 15(6), 1196-1202. doi.org/10.1016/j.spine.2013.08.056

Hodges, PW, James, G., Blomster, L., Hall, L., Schmid, A., Shu, C., Little, C., & Melrose, J. (2015). Isbeddellada Murqaha Multifidus Ka Dib Dhaawaca Dhabarka Waxaa Lagu Sifeeyaa Dib-u-habaynta Qaabdhismeedka Murqaha, Unugyada Adapose iyo Isku-xidhka, laakiin Maaha Atrophy Murqaha: Caddaymaha Molecular iyo Morphological. Laf-dhabarta, 40 (14), 1057-1071. doi.org/10.1097/BRS.0000000000000972