Kodi ma dermatomes ndi kuti ndipo ali kuti

Zamkati

• Mapu a dermatomes
• Kusiyanitsa pakati pa dermatome ndi myotome

Ma dermatomes ndi madera ena amthupi osungidwa ndi mitsempha yomwe imatuluka msana. Msanawo umapangidwa ndi ma vertebrae a 33 ndipo uli ndi ma 31 mitsempha yomwe imagawidwa mthupi lonse, mwadongosolo.

Mitsempha iliyonse yomwe imachoka msana imathandizira kupatsa mphamvu komanso mphamvu kumalo ena amthupi, ndipo nthawi iliyonse pakakhala kupsinjika kapena kudula kwa mitsempha, gawo linalake la thupi limasokonekera. Mwanjira imeneyi ndizotheka kuzindikira kuti ndi gawo liti la msana lomwe lakhudzidwa ndi kupsinjika, kupwetekedwa mtima kapena disc ya herniated, munthu akamati akumva kugunda, kufooka kapena kulephera kusuntha mkono kapena mbali ya phazi, Mwachitsanzo.

Palimodzi pali ma dermatomes 31 omwe agawika ngati mawonekedwe a 'magawo', monga zikuwonetsedwa pachithunzichi:

Mapu a dermatomes

Njira yabwino yodziwira ma dermatomes onse mthupi ndikuwona munthu yemwe ali ndi zothandizira 4, chifukwa mwanjira imeneyi 'magawo' ndiosavuta kuzindikira. Awa ndi ma dermatomes akulu amthupi:

• Matenda a chiberekero - Nkhope ndi khosi: Amakhala osasunthika makamaka ndi mitsempha yomwe imatuluka pamiyala ya C1 ndi C2;
• Matenda achilengedwe - Thorax: ndi zigawo zomwe zimalimbikitsidwa ndi mitsempha yomwe imasiya ma vertebrae T2 mpaka T12;
• Dermatomes of the limb limbs - Mikono ndi manja: samasungidwa ndi mitsempha yomwe imasiya ma C5 kupita ku T2 vertebrae;
• Lumbar ndi dermatomes kumapeto - Miyendo ndi mapazi: muli zigawo zomwe sizikhala ndi mitsempha yomwe imasiya ma L1 kupita ku S1 vertebrae;
• Matako: Ndi dera lomwe limasungidwa ndi mitsempha yomwe ili mu sacrum, mu S2 mpaka S5.

Mapu a ma dermatomes amagwiritsidwa ntchito ndi madotolo ndi ma physiotherapists kuti azindikire kupezeka kwa kusintha kapena kupanikizika mumtsempha wa msana, chifukwa, pakachitika kusintha kwakanthawi m'thupi, zimakhala zosavuta kuzindikira komwe msana Mwachitsanzo, ali pachiwopsezo cha disc kapena a herniated disc.

Kuphatikiza apo, ma dermatomes amathanso kugwiritsidwa ntchito pochiritsira kwina, monga kutema mphini kapena kusinkhasinkha, kutsegulira mwachindunji malo ena mumtsempha wam'mimba kapena ziwalo zina zomwe sizikhala ndi mitsempha yolingana. Mwanjira imeneyi katswiri wamaukadaulo amatha kuyika singano pamsana, kuti athetse ululu komanso kusapeza bwino komwe kumachitika m'malo ena amthupi.

Kusiyanitsa pakati pa dermatome ndi myotome

Ma dermatomes amatanthauza kusintha kwakhungu pakhungu, pomwe ma myotomes ndiwo amachititsa kusuntha kwa minofu m'dera lomwelo. Gome ili m'munsi likuwonetsa zitsanzo:

Chifukwa chake, munthuyo akakhala ndi vuto lakumva mbali ya phazi, chidziwikire ndichakuti padzakhala kusintha msana, makamaka pakati pa L5 ndi S1 ​​vertebrae, chifukwa ili ndi khungu lawo. Koma ikakhala ndi zofooka komanso zovuta kupindika mkono, dera lomwe lakhudzidwa ndi khomo lachiberekero, makamaka C6 ndi C7, chifukwa dera lino ndi myotome yake.