Muuqaal Dhamaystiran oo lagu eegayo Dareemaha Thoracodorsal

Shakhsiyaadka la kulma calaamadaha xanuunka sida toogashada, mindida, ama dareenka korantada ee latissimus dorsi ee dhabarka sare waxaa sababi kara dhaawaca neerfaha ee dareemaha thoracodorsal. Ogaanshaha anatomy iyo calaamadaha ma ka caawin kartaa bixiyeyaasha daryeelka caafimaadka inay sameeyaan qorshe daaweyn oo waxtar leh?

Dareemaha Thoracodorsal

Sidoo kale loo yaqaano Dareemaha hoose ee dhexe ama dareemaha hoose ee dheer, waxay ka soo baxdaa qayb ka mid ah xuubka brachial waxayna siisaa dhaqdhaqaaqa dhaqdhaqaaqa / shaqada murqaha latissimus dorsi.

anatomy

Xuddunta brachial waa shabakad neerfo ah oo ka soo baxa laf dhabarta qoorta. Dareemayaashu waxay bixiyaan inta badan dareenka iyo dhaqdhaqaaqa gacmaha iyo gacmaha, oo leh mid ka mid ah dhinac kasta. Shanteeda xidid waxay ka yimaadaan meelaha bannaan ee u dhexeeya shanaad ilaa siddeedaad laf dhabarta ilmagaleenka iyo laf dhabarta ugu horreysa. Halkaa, waxay ka sameeyaan qaab dhismeed ka weyn, ka dibna qaybiya, dib-u-isku-darka, iyo qaybinta mar kale si ay u sameeyaan dareemayaasha yaryar iyo qaababka dareemayaasha marka ay ku socdaan kilkilaha. Luqunta iyo laabta, neerfayaashu waxay ugu dambeyntii ku biiraan oo sameeyaan saddex xadhig oo ay ku jiraan:

• Xadhiga dambe
• Xadhiga dhexda
• Xadhiga dambe

Xadhiga dambe wuxuu soo saaraa laamo waaweyn iyo kuwo yaryar oo ay ka mid yihiin:

• Dareemaha axillary
• Dareemaha shucaaca

Qaybaha yaryar waxaa ka mid ah:

• Dareemaha hoose ee sare
• Dareemaha hoose ee hoose
• Dareemaha Thoracodorsal

Qaab dhismeedka iyo booska

• Laamaha dareemaha thoracodorsal ayaa ka soo baxa xudunta dambe ee kilkilada waxayna u socdaalaan hoos, iyagoo raacaya halbowlaha hoose, ilaa muruqa latissimus dorsi.
• Waxay isku xirtaa cududda sare, waxay ku fidsan tahay xagga dambe ee kilkilada, waxayna samaysaa qaansada axillary, ka dibna waxay ku fidaysaa saddexagal weyn oo ku duuban feeraha iyo dhabarka.
• Dareemaha thoracodorsal wuxuu si qoto dheer ugu jiraa latissimus dorsi, iyo cidhifka hoose wuxuu caadi ahaan gaaraa meel u dhow dhexda.

Isbadalka

• Waxaa jira meel caadi ah iyo koorsada dareemaha thoracodorsal, laakiin dareemaha shakhsi ahaaneed maaha mid isku mid ah qof kasta.
• Dareemaha ayaa caadi ahaan ka baxa xudunta dambe ee xuubka brachial oo ka soo baxa saddex dhibcood oo kala duwan.
•  Si kastaba ha ahaatee, noocyo hoosaadyo kala duwan ayaa la aqoonsaday.
• Dareemaha thoracodorsal ayaa bixiya muruqa weyn ee teres qiyaastii 13% shakhsiyaadka. (Brianna Chu, Bruno Bordoni. 2023)
• Lats-ku waxay yeelan karaan kala duwanaansho anatomical naadir ah oo loo yaqaan a Asalkii la odhan ah Langer, taas oo ah qayb dheeraad ah oo ku xirta murqaha ama unugyada isku xiran ee cududda sare ee ka hooseeya barta isku xirka.
• Shakhsiyaadka leh cilladaan aan caadi ahayn, dareemaha thoracodorsal waxay sahayda shaqada / gudaha) ee qaansada. (Axmed M. Al Maksuud iyo al., 2015)

function

Muruqa latissimus dorsi ma shaqeyn karo la'aanteed dareemaha thoracodorsal. Muruqyada iyo neerfaha ayaa caawiya:

• Deji dhabarka.
• Culayska jidhka kor u qaad markaad fuulayso, dabbaalayso, ama samaynayso jiid-jiid.
• Ku caawi neefsashada adiga oo balaadhinaya qafiska feeraha marka la neefsanayo iyo marka la neefsanayo. (Encyclopaedia Britannica. 2023)
• U rog gacanta gudaha.
• Cududda u soo jiid dhinaca dhexe ee jidhka.
• Kordhi garbaha adiga oo la shaqaynaya teres major, teres small, iyo muruqa deltoid dambe.
• Soo deji suunka garabka adoo kor u qaadaya laf dhabarta.
• Si aad u leexiso dhinaca adoo rujinaya laf dhabarta.
• miskaha u leexi xagga hore.

xaaladaha

Dareemaha thoracodorsal waxaa ku dhaawacmi kara meel kasta oo dariiqeeda ah dhaawac ama cudur. Calaamadaha dhaawaca neerfaha waxaa ka mid noqon kara:Maktabadda Daawada Qaranka ee Maraykanka: MedlinePlus. 2022)

• Xanuun noqon kara toogasho, mindi, ama dareen koronto.
• Kabuubyo, hindhiso
• Daciifnimo iyo luminta shaqada murqaha iyo xubnaha jirka ee ku xiran, oo ay ku jiraan curcurka iyo dhibicda faraha.
• Sababtoo ah dariiqa neerfaha ee kilkilaha, dhakhaatiirtu waa inay ka taxadaraan kala duwanaanshaha anatomical si aysan si ula kac ah u dhaawacin neerfaha inta lagu jiro hababka kansarka naasaha, oo ay ku jiraan kala-baxa axillary.
• Habka waxaa loo sameeyaa si loo baaro ama looga saaro qanjidhada qanjidhada waxaana loo isticmaalaa daaweynta kansarka naasaha iyo daaweynta.
• Sida laga soo xigtay cilmi-baaris, 11% shakhsiyaadka qaba qanjidhada axillary lymph node ayaa waxyeello u geystay dareemayaasha. (Roser Belmonte iyo al., 2015)

Dib u Dhiska Naaska

• Qaliinka dib-u-dhiska naasaha, lats-ka waxa loo isticmaali karaa sidii daboolka la gelinayo.
• Iyada oo ku xidhan duruufaha, dareemaha thoracodorsal waa laga tegi karaa si sax ah ama waa la gooyaa.
• Bulshada caafimaadku waxay isku raacin habka ugu wanaagsan. (Sung-Tack Kwon et al., 2011)
• Waxa jira cadaymo muujinaya in ka tegista neerfaha oo dhan ay sababi karto in muruqa isku ururiyo oo kala gooyo maqaar-galaha.
• Dareemaha thoracodorsal ee aan qummanayn ayaa sidoo kale keeni kara atrophy muruqa, taas oo keeni karta daciifnimo garabka iyo cududda.

Isticmaalka Graft

Qayb ka mid ah dareemaha thoracodorsal ayaa caadi ahaan loo isticmaalaa dib-u-dhiska neerfaha si loo soo celiyo shaqada ka dib dhaawaca, oo ay ku jiraan kuwan soo socda:

• Dareemaha muruqa
• Dareemaha dheeraadka ah
• Dareemaha axillary
• Dareemaha ayaa sidoo kale loo isticmaali karaa in lagu soo celiyo shaqada dareemayaasha muruqa triceps ee gacanta.

Rehabilitation

Haddii neerfaha thoracodorsal uu dhaawacmo ama dhaawacmo, daawaynta waxaa ka mid noqon kara:

• Kabaha ama kabyada.
• Daaweyn jireed si loo hagaajiyo kala duwanaanshaha dhaqdhaqaaqa, dabacsanaanta, iyo xoogga muruqa.
• Haddii uu jiro cadaadis, waxaa laga yaabaa in loo baahdo qaliin si loo yareeyo cadaadiska.

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Sahaminta Daawooyinka Isku-dhafka ah

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tixraacyada

Chu B, Bordoni B. Anatomy, Thorax, Dareemayaasha Thoracodorsal. [La cusbooneysiiyay 2023 Jul 24]. Gudaha: StatPearls [Internet]. Treasure Island (FL): Daabacaada StatPearls; 2023 Jan-. Waxaa laga heli karaa: www.ncbi.nlm.nih.gov/books/NBK539761/

Al Maksoud, A. M., Barsoum, A. K., & Moneer, M. M. (2015). Langer's arch: anomaly naadir ah ayaa saameeya axillary lymphadenectomy. Joornaalka warbixinnada kiisaska qalliinka, 2015(12), rjv159. doi.org/10.1093/jscr/rjv159

Britannica, Tifaftirayaasha Encyclopaedia. "latissimus dorsi“. Encyclopedia Britannica, 30 Noofambar 2023, www.britannica.com/science/latissimus-dorsi. La galiyay 2 Janaayo 2024.

Maktabadda Daawada Qaranka ee Mareykanka: MedlinePlus. Peripheral neuropathy.

Belmonte, R., Monleon, S., Bofill, N., Alvarado, M. L., Espadaler, J., & Royo, I. (2015). Dhaawaca dareemaha dhuunta dheer ee bukaanka kansarka naasaha ayaa lagu daweeyey kala-baxa qanjidhada axillary. Daryeelka taageerada ee kansarka: joornaalka rasmiga ah ee Ururka Caalamiga ah ee Daryeelka Taageerada ee Kansarka, 23(1), 169-175. doi.org/10.1007/s00520-014-2338-5

Kwon, S.T., Chang, H., & Oh, M. (2011). Asalkii anatomic ee kala goynta dareemaha interfascicular ee qayb ka mid ah innervated latissimus dorsi garabka muruqa. Joornaalka balaastiigga, dib-u-dhiska iyo qalliinka bilicda: JPRAS, 64(5), e109-e114. doi.org/10.1016/j.bjps.2010.12.008