Scalene mhasuru mhasuru mumutsipa, iyo inobvumira kuti iende padivi. Aya matatu mhasuru yemhasuru inova iyo yepamberi sikisi mhasuru, yepakati scalene uye yekumashure sikeli yakatumidzwa kudaro nekuti ine chimiro chechikanda chetatu.

Triangle yekalene iri, mune geometry, kona katatu ane mativi matatu asina kuenzana. Izwi iri rinouya, etymologically, kubva muchiLatin "scalenus«, Uye mberi kubva muchiGiriki«scaleZvinoreva kuti "oblique" kana "chirema", saka "zvisingaenzaniswi, zvisina kuenzana". Iyi mhasuru yemhasuru yakatambanudzwa pakati pechibereko chechiberekero, ndiko kuti, mabonyoni emakwenzi emumuromo wechibereko, uye maviri ekutanga embabvu.

Mascalne mhasuru mhasuru dzemutsipa, dzakadzika zvakadzika. Ivo vanoratidzira scalene triangle chimiro, ndiko kuti, mune geometry, kona ine mativi matatu asina kuenzana. Izwi iri rinouya, etymologically, kubva muchiLatin "scalenus«, Uye mberi kubva muchiGiriki«scaleZvinoreva kuti "oblique".

Iko kune, kutaura zvazviri, matatu masumbu emascalne mhasuru:

• anterior scalene mhasuru;
• wepakati scalene mhasuru;
• musana wepashure scalene mhasuru. 

Aya mascalne mhasuru akatambanudzwa pakati pechibereko chechibereko, ndiko kuti, mabonyoni emakwenzi emuromo wechibereko ari pamuzongoza, uye maviri ekutanga embabvu. Iyi mhasuru inoparadzirwa pamwe chete, kumberi uye kudivi.

Iyo yemuviri uye biomechanical mashandiro e scalene mhasuru ndeyekushanduka misumbu. Iyi mhasuru nhatu inoita kuti zvikwanise kufambisa mutsipa padivi. Uye zvakare, dzimwe mhasuru dzemutsipa uye bhanhire repafudzi dzinobatanidzwawo mukufema: iyi ndiyo kesi yemascalne mhasuru, ayo anobatsira kurudziro panguva yekufema kwakadzikama.

Mukudzvinyirira kwenyika mbiri, tsandanyama dze scalene ndidzo dzinochinjika dzemuzongoza uye dzekusimudzira. Mukubatana kwakabatana, iwo anoverengeka matirita uye ma rotator.

Iwo makuru anomalies kana maratidziro akabatanidzwa kune iyo scalene mhasuru inogadzirwa neiyo scalene syndrome. Ichi chirwere chinoratidzira kumanikidzwa kwevascular uye yekutya bundle, panguva yekupfuura kwayo pakati peapakati nepakati mascalne mhasuru.

Izvo zvikonzero zvekumanikidza kwakadai zvinogona kuve zvemazhinji maodha:

• kusamira zvakanaka, senge kudonha mapfudzi kana kuchengetedza musoro kumberi;
• kushungurudzika, semuenzaniso kunokonzerwa nenjodzi yemotokari, hurema hweatomical (remuromo wechibereko);
• kumanikidza majoini, ayo anogona kukonzerwa nekufutisa kana nekutakura bhegi rakakura kana bhegi rinogona kuisa kumanikidza kwakanyanya pamajoini;
• tsandanyama hypertrophy yakabatana netsika yemimwe mitambo;
• kana nhumbu, izvo zvinogona kukonzeresa kujoina majoini.

Kurapa kweye scalene syndrome pamwe nekufambira mberi kwayo kunofanirwa kuchinjirwa kune mumwe murwere. Zvinogona kutaridza sekushamisika kuti mhasuru diki yakadaro inogona kukonzeresa zviratidzo zvemakiriniki. Muchokwadi, iyo yekurapa kukuru ichave iri chaiyo physiotherapy mhando.

Zvinoda kunyatsojeka pamwe nehukuru hwakasimba panguva yekugadzirisa. Dzakawanda physiotherapy kurovedza dzinogona kupihwa, kune izvo zvinowedzerwawo zvimwe zviitwa senge zvinoshanda kana zvisina basa mobilizations, kana masaji ekurapa matekinoroji, ndiko kuti, chaizvo, "masaja anoporesa".

Kurwisa kupenga, basa rekufema rakakosha nekuti rinozorodza mhasuru idzi. Kanokwana kasere pagumi, kurapa kwekuvandudza kunoshanda uye kwakakwana kudzora marwadzo muvarwere.

Kuongororwa kwescalene syndrome kunonetsa kuita, nekuti hapana zviratidzo zvepathognomonic. Saka, saka, chimwe chezvinhu zvakaomarara mumushonga, kubva kune pathogenetic, yekuongorora uye yekurapa poo yekutarisa. Muchokwadi, kuongororwa kuchave kwekurapa asiwo physiotherapeutic. Chokwadi, ichi physiotherapeutic diagnostic ichatevera kuongororwa kwachiremba, uko kunenge kwave kugona kuona kugona kweiyo physiotherapist yekurapa murwere uye kutonga ese etiologies kunze kwecervicarthrosis.

Iyi scalene syndrome inonziwo thoraco-brachial crossing syndrome (STTB) kana thoraco-brachial outlet syndrome (TBDS). Inogona kuratidzwa nenzira dzakawanda, ndosaka kuongororwa kwayo kuchinetsa kuita: zviratidzo zvekiriniki zvakasiyana, zvinogona kuve vascular uye / kana neurological. Uye zvakare, ivo havana ruzivo.

Nezve mafomu etsinga, vakadzi vanobatwa zvakapetwa kaviri sevarume, pakati pemakore makumi matatu kusvika makumi mashanu ekuberekwa. Kana ari mafomu ane huturu, anowanda zvakapetwa kaviri muhuwandu hwevanhurume, zvinoenderana nenhamba dzakapihwa naDoctor Hervé de Labareyre, chiremba wezvemitambo muParis.

Yekutanga yechokwadi kiriniki kesi ye STTB yakatsanangurwa ndeyekuvhiya kweBritish Sir Ashley Cooper muna 1821, nerondedzero yakanaka yezviratidzo zvakaitwa naMayo muna 1835. Iyo "Thoracic Outlet syndrome" yakatanga kutsanangurwa muna 1956 naPeet. Mercier akaritumidza muna 1973 Thoraco-brachial crossing syndrome.

Izvo zvinofanirwa kucherechedzwa kuti iyo scalene syndrome, kana STTB, inomiririra pfungwa yepasirese inounza pamwechete matambudziko ekumanikidza kweiyo neurological uye vascular zvinhu zveiyo hilum yenhengo yepamusoro. Uye iri kunyanya mukutarisa kukosha kwechakajairika physiopathological chinhu chinomiririrwa nekumanikidzwa kwembabvu yekutanga iyo Roos inofunga, muna 1966, kugadziriswa kwayo nenzira ye transaxillary. Peet, anobva kuMayo Clinic, inopa chirongwa chekuvandudza.

Zvakatendeseka, ibasa raMercier nevashandi vake rakamutsidzira kufarira mumubvunzo muFrance.