He muscle hian kawng natna a thlen bawk em? SCM muscle (Sternocleidomastoid) chungchang hi han sawi ila!

I kawr chhunga he taksa ruh bik hi i hre tawh em? A hming hi a buaithlak deuhin a lang thei – sternocleidomastoid muscle, a tawi zawngin SCM. A hming chu eng pawh ni se, hei hi kan kawr chhunga kan neih zawng zawng, hna pawimawh tam tak thawk thei taksa ruh a ni. Chuvangin, vawiin hian he SCM muscle chungchang hi awlsam tak, hriatthiam awlsam takin kan sawi dawn a ni.

SCM muscle hi eng nge ni? Khawiah nge a awm?

A awlsam zawngin sawi ila, SCM muscle hi i kawr hmalam a lian ber a ni. I vun hnuaiah chiah a awm. He ruh hi i kut dinglam leh veilam i kut zungtang hmanga khawih hian i hre thei a ni. Mak tak maiin he SCM muscle hmang hian i pulse pawh i hre thei!

Hei hi paired muscle , kan kawr sir lehlamah pahnih kan nei tihna a ni. He muscle hi i kawr bul atanga tan a ni a, chu chu i rilru chunglam a ni a, i kawr sir lam atanga tlan chhoin i beng hnunglam atanga i luruh bul thlengin a inzawm a ni.

Engvangin nge he thau hian hming sei tak a neih?

SCM tih hming hi he ruh hian a inzawm ruh lian pathum hming atanga lo chhuak a ni. Eng nge an nih hi han thlir ila:

1. Sterno : Hei hian i sternum , i rilru lai takah ruh flat tak a kawk a ni. SCM muscle hmun khat, sternal head kan tih hi he sternum atang hian a intan a ni.

2. Cleido : Hei hian i clavicle , emaw kan hriat vek angin collarbone emaw a kawk a ni. SCM muscle hmun dang, clavicular head chu heng collarbone pahnih inkar atang hian a intan a.

3. Mastoid : Hei hian i beng hnung lama ruh te tak te, i luruh hnuai lama lo chhuak te a kawk a ni. Hei hi mastoid process an ti a. SCM muscle chu a lo chhuak a, a tawpah chuan he mastoid process-ah hian a inzawm ta a ni.

Chuvangin, i hmuh angin heng hmun pahnih (sternal head leh clavicular head) te hi kawr atanga lo chhuakin an inzawm khawm a, SCM muscle kimchang tak an siam ta a ni.

SCM muscle hian eng hlawkna nge min pek?

Okay, tunah chuan he SCM muscle hi kan taksa tana a pawimawh zia leh eng function nge a tih tih hi han en ila.

• Lu hawi leh tilt hian a pui a:
• I lu dinglam emaw veilam emaw i hawi chuan.
• Lu chu ke dinglam emaw, ke veilam emawa tihhniam hunah.
• I hmui i chawi sang a, i lu i hnunglam i hawitir chuan.
• I hmui chu i rilruah i tuck a, i lu hmalam i ben chuan.

Heng zawng zawngah hian SCM muscle hian a pui ber a ni.

• Posture vawng reng turin a pui: He muscle hian i kawr chu i ding mai mai lai pawhin a nghetin a ding nghet thei a ni.

• Thâwk hian a pui a:Mak a ni lo maw? Ni e, i thawk chhuah hian SCM muscle hian i kawr chhunga ruh tenau dangte nen i sternum leh collarbone te chu tlem a chawi sang thei a ni. Hei hian i lung chhungah boruak a lut tha zawk a ni.

• Chew turin a pui che: SCM muscle hian i jawbone leh i luruh inzawmna joint chu a thlawp a – temporomandibular joint (TMJ) kan ti a. TMJ hnathawh that nan SCM muscle hrisel hi a pawimawh hle.

He taksa ruh pakhat hian eng chen nge a tih theih tih hi han ngaihtuah teh! Chuvang chuan hrisel taka vawn reng a pawimawh.

SCM muscle awmna leh a insiam dan chungchang tlem tal

SCM muscle hi kawr chhungah a awm dan avang hian doctor-te pawhin thil pawimawh zawng tura pui turin landmark atan an hmang bawk. He muscle hian kawr hma leh hnung lama triangular area (`anterior triangle` leh `posterior triangle`) inkar ramri angin hna a thawk a ni. Heng triangle chhungah hian nerve pawimawh tak tak, thisen kalna kawng, lymph node leh gland te a awm a. SCM muscle hian doctor-te chu operation neih laiin hengte hi an hmuh theih nan kaihhruaina angin a thawk a ni.

SCM muscle hi muscle fiber hrang hrang atanga siam a ni a, chu chu parallel takin a kal a ni. Fiber hi chi hnih a awm a, chungte chu:

• White `anaerobic fibers`: Hengte hi taksa ruh chakna petu leh contraction chak zawk siam tura puitu an ni. Mahse, an chau thuai.
• Red aerobic fibers: Hengte hi fiber dum angin chak lo mah se, rei zawk an thawk thei a, awlsam takin an chau lo.

A tlangpuiin SCM muscle hi 60% vel white fibers atanga siam a ni a, a bak 40% chu red fibers atanga siam a ni. He ratio hi i tar chhoh zel chuan a danglam deuh thei.

SCM muscle tichhe thei dinhmun leh natna tlangpui

Muscle dang ang bawkin SCM muscle hi harsatna hrang hrangin a nghawng thei a ni. Hliam, hliam, strain, muscle atrophy, leh a chang chuan tumor te hian he muscle hi a tichhe thei a ni.

SCM muscle nena inzawm natna tlangpui thenkhat chu hetiang hi a ni:

• Sternocleidomastoid syndrome: Hei hi a lo thleng nghal thei (acute) emaw, rei tak (chronic) emaw a awm thei. Kawng a ti na a, a na , leh a dangte a thlen bawk. Hei hi SCM muscle hmun thenkhat a tight a, tender point (trigger points an tih) a lo awm hian a ni. SCM muscle hi a lianin a complex avangin awlsam takin a hrual thei a, a hliam thei bawk. Chumi awmzia chu muscle-ah hian trigger point (painful knots) engemaw zat a awm tihna a ni.

• Temporomandibular joint disorder (TMD) te hi a awm thei lo.Sawi tawh ang khan he natna hi temporomandibular joint (TMJ) thlawptu taksa peng leh ruh (muscles)-a harsatna a awm chuan a thleng thin. TMD zawng zawng hi SCM muscle nen direct-a inzawm a nih loh laiin, SCM muscle-a harsatna awm chuan TMD nena inzawm natna thar a tizual thei a, a siam thei bawk.

• Torticollis (wryneck): Hetiang dinhmun hi SCM muscle a tawi a, a tight a, chu chuan lu chu a sir khatah a hruai a ni. Hei hi chi hrang hrang a awm a, mahse a tam zawkah chuan pianpui (congenital torticollis) a ni.

SCM muscle natna hi eng ang nge a nih? Khawnge?

SCM muscle-a harsatna i neih chuan khawiah nge i natna leh engtin nge i hriat tih chiang taka hriat a pawimawh. A châng chuan SCM muscle hi dull, aching pain ang maiin a lang thei a, a nih loh leh sharp, stabbing pain ang maiin a awm thei bawk.

Mahse, thil thleng fo chu ‘referred pain’ an tih hi a ni. Chumi awmzia chu a natna bul chu SCM muscle-ah ni mahse, kawr pawn lamah hmun dangah i hre thin tihna a ni. Electrical message hla tak kal ang maiin han ngaihtuah teh.

SCM muscle-a harsatna a awm avangin a hnuaia hmun hrang hrangah hian natna hi hriat theih a ni:

• Hmai
• Chal
• Mit vel leh chhung lam (`Eyes`) .
• Biang
• Beng leh beng vel (`Ears`) .
• Sinus chhunga awm (`Sinuses`) te hi a awm a.
• Throat (a bik takin i ei laiin) .
• A kekawrte leh a kekawrte area

Symptom dang engte nge ni?

Natna bakah hian SCM muscle-a harsatna a awm chuan natna dang a thlen thei a, chungte chu:

• Lu na – a bik takin hmai sir lehlamah leh beng hnung lamah
• Luak chhuak thei
• `Vertigo` – i chhehvela inher emaw, inher emaw tih hriatna
• Luhai
• Mit inthlak danglamna: mitmeng a tla, mit sen emaw tui emaw, mit hmuhna a fiah lo deuh
• Neck stiffness: Lu hawi harsa, chunglam hawi, hnuai lam hawi harsa.

SCM muscle lama harsatna awmte enkawl dan tur engte nge ni?

Okay, tunah chuan SCM muscle-a heng harsatna chi hrang hrangte hi doctor-te’n eng enkawlna nge an rawt tlangpui tih hi han en ila.

• Hot or cold therapy: Hei hian hliam leh natna tihziaawmna a pui a ni.
• Stretches: Heng exercise te hi taksa ruh (muscle fibers) tihchakna atan te, an flexibility tihpun nan te, leh tih sei nan te a pawimawh hle.
• Massage: Massage hian taksa ruh tight tak takte a ti hahdam a, trigger point a tichhuak bawk.
• Osteopathic manipulation treatment: Hei hi doctor thiam bikte tih dan a ni.
• Physical therapy: Physical therapist kaihhruaina hnuaiah exercise bik leh enkawlna hmangin taksa ruh siam that theih a ni.

A pawimawh ber chu, hetiang symptoms i neih chuan, .Diagnosis leh enkawlna dik tak neih theih nan doctor pan ngei ngei tur a ni.

Thil engemaw takah chuan a chunga kan sawi tak enkawlna awlsam tak takte hian a puih loh a, a natna chu a nasat chhunzawm zel chuan doctor-te chuan zai a rawt mai thei. Hei hi a tul thei a, a bik takin taksa ruh a chhiat nasat (e.g., a hrual) emaw, tumor emaw, taksa peng dang emaw, tissue tichhe thei a awm a nih chuan.

SCM taksa ruh hrisel taka awm theihna tura kan tih theih turte (Take-Home Message) .

Chuti a nih chuan, engtin nge kan kawr chhunga SCM muscle pawimawh tak hi hrisel leh chak taka kan vawn theih ang? Tips awlsam tak tak i hriat reng theih te chu hetiang hi a ni:

• Stress leh lungkhamna chu uluk takin enkawl rawh: Chûngte chuan kan taksa ruh, a bîk takin kawr leh ke ruhte chu a ṭul lovah a tichhe thei a ni. Chuvangin exercise neih fo te , mut tam te, yoga te, leh meditation te ang chi thil hmangin stress hi thunun tum ang che.
• Posture tha tak vawng reng rawh: A bik takin computer hmanga hnathawh emaw, cell phone i hman tam emaw chuan screen chu mit level-ah dah la, i kawr chu ben loh tur a ni. Lehkhabu i chhiar lai pawhin i kawr chu a hrual loh tur hmunah dah la.
• Mut laiin kawng nghet tak pe rawh: A theih chuan i hnungzang chungah mu la, i kawr nena inmil leh puihna tha tak pe thei pillow hmang bawk ang che. A theih ang anga i pum chunga mut loh tur, hei hian i kawngah a tul lo taka pressure a siam avangin.
• `Sit-ups` ang chi abdominal exercise i tih hian i lu kha han chawi sang rawh: `sit-ups` i tih hian SCM muscle hi a activate nasa hle. Vawi khata i lu kha han chawi sang lutuk i tum chuan he ruh hi i hliam thei a ni.
• Nitin kawng hrual (neck stretch) ti rawh: A bik takin ni tam zawk (e.g., office hnathawh) hmun khata hna i thawh chuan nitin kawng awlsam tak tak tih hi a tha hle. I hnathawhna hmunah hian hun rei tak i kawr tan a nuam lo (e.g., violinist, painter, driver, carpenter) i awm a ngai a nih chuan, i doctor emaw physical therapist emaw hnenah i SCM muscle venhimna atana pui thei tur exercise bikte zawt rawh. Heng exercise te hi a hmaa tih hian nakin lawkah hliam leh natna i neih loh nan a pui thei a ni.

SCM muscle hi kan kawr chhunga thil pawimawh tak a ni a, kan kawr chhung thuk zawka thil awm dangte nen tangkawpin awlsam takin kan kawr kan ti che a, kan lu kan hawi a, kan dinhmun tha tak kan vawng reng thei bawk. Chuvangin he ruh hi enkawl a, hrisel taka vawn tum hi kan hriselna pum pui atan a pawimawh hle.

` SCM thau, sternocleidomastoid, kawng na, kawng na, lu na, dinhmun, taksa ruh exercise te