Ni khatah vawi engzat nge kan kut kan chawi sang, kan hniam a, kan rotate tih i ngaihtuah ngai em? Kan kekawrte hian nitin hna kan thawh apiang deuhthaw min pui a, shelf atanga lehkhabu lak atanga kan sam kan hrual thlengin cricket game-a ball kan vuak thlengin min pui thin. Kan taksaa joint dang zawng zawng aiin shoulder joint hian a chetna zau ber a nei a. Chuvangin, he ruh mak tak hi a thawk tha tur chuan a chhehvela taksa ruhte hi a chak em em a, a hrisel hle a ngai a ni. Vawiin hian kekawrte ruh zawng zawng hi han sawi ila.
He shoulder joint leh muscle hi eng nge an tih?
A awlsam zawngin i kekawrte chu ball-and-socket joint a ni. Damdawi lam hawi chuan hei hi ``glenohumeral joint'' kan ti a.`` Cup chhunga ball zalen taka a inher ang bawkin, i kut chunglam ruh ball ang chi, ``humerus,`` chu i ke ruh cup ang maia awm, ``scapula,``-ah a innghat a ni. Hetiang structure hian kan kut chu eng lam hawi pawha kan rotate theihna tur a ni.
He ruh hi a thlawptu, a tichaktu leh a pianzia petu main muscle 8 vel a awm a. Hengte hi `(skeletal muscles)` emaw, skeletal system nena inzawm muscles kan tih category-ah an tel a ni. Chungte specialty chu `(voluntary muscles)` emaw, kan duh ang anga kan thunun theih tur muscle te an ni. Chu chu, heng ruhte hian kut phar i duh nia i hriat chauhvin hna an thawk tihna a ni. Hei hi kan thinlunga ruh (muscle) ang a ni lo. Thinlung ruhte hi `(involuntary muscles)` category-a tel an nih avangin automatic-in hna an thawk a, kan ngaihtuah ngai lo.
Heng taksa ruhte hian kan taksa tana an tih ber berte chu engte nge ni?
Shoulder muscle-te hnathawh hi thil tenawm tak a ni lo. Key function engemaw zat a thawk thin.
- Joint inzawmkhawm: shoulder joint siamtu ruh (humerus, arm bone, leh clavicle) te chu a vawn tlat theih nan a pui a, a nghet reng thei bawk.
- Movement: Heng muscle te hian kan kut chu chunglam, hnuai lam, hmalam, hnunglam leh a chhehvel zawng zawngah min pui thin.
- Invenna: Pawn lam hlauhawm laka invenna a pe a, shoulder joint a pe bawk.
- Rotation: Shoulder joint chhung leh pawn a rotate theih nan a pui.
Engtin nge ke ruh (muscles) te hi an awm? Anmahni hi i identify ang u!
Kan ke ruh chungchang kan sawi hian kan theihnghilh theih loh taksa peng pawimawh tak pakhat a awm a. `Rotator Cuff` kan ti a ni. Hei hi taksa ruh pali inzawmkhawm a ni. Heng taksa ruhte hi kekawr hmalam, cup ang maia awmin, ruhkawr chu a hual vel a ni. An hnathawh ber chu shoulder-a structural support pek leh kut chawi sang leh rotate-a puih hi a ni.
Heng taksa peng pawimawh tak takte hi eng nge an nih i lo en ang u.
| Rotator cuff muscle pali te chu | |
|---|---|
| Tihrawl | A awlsam zawngin, hei hi eng nge thleng? |
| Subscapularis tih a ni | A ke ruh lai takah a inzawm a, kut ruh ball ang maia awm hnuaiah a kal a ni. A bik takin kut chu chhung lam hawia rotate turin a pui thin. He ruh leh ruh inkara inhnaih lo tur hian bursa (fluid-filled sac te tak te) a awm a. |
| Supraspinatus tih a ni | He muscle hi shoulder bone chunglam atanga arm bone ball ang maia awm chunglam thlengin a inzawm a ni. He muscle hi i kut chu a sir lam hawia i chawi chhuah tan chuan a pui thin. |
| Infraspinatus a ni | A ke ruh hnuai lam atang hian kut ruh nen a inzawm a ni. A bik takin kut chu pawn lam hawia rotate turin a pui thin. |
| Teres naupang kum tling lo | Hei hi shoulder bone sir atanga tan niin arm bone nen a inzawm a ni. Hei hian kut chu pawn lam hawia rotate turin a pui bawk. |
Rotator cuff bakah hian shoulder thlawptu muscle pawimawh dang engemaw zat a awm bawk.
| Kawngkhar thlawptu taksa peng dangte | |
|---|---|
| Tihrawl | A awlsam zawngin, hei hi eng nge thleng? |
| Rhomboids te hi an ni | Heng ruh pahnih hi i hnungzang chunglam atang hian i shoulder blade nen an inzawm a. I shoulder blade chu chawi sang leh hnungtawlh tir turin an pui thin. |
| Trapezius (Traps) te hi a awm a. | Hei hi ruh lian tak, triangular muscle a ni a, a hnungzang chunglam a awm a ni. A kekawrte chu a chawi sang a, a hniam tir a, a rotate thei bawk. |
| Deltoid a ni | Hei hi kephah pawn lama ruh awm, a kekawrte chu a zungbun mawi tak, a zungpui (rounded shape) pe theitu a ni. I kut chu hmalam, hnunglam leh sir lama chawi sang tura puitu a ni. |
Shoulder muscle-ah hian eng harsatna nge awm thei?
A chhan chu shoulder joint hi a flexible em em a, kan hman fo avangin a chhehvela taksa ruh leh tissue dangte hi a strain leh hliam a awm fo thin. Thil awm dan tlangpui thenkhat han thlir ila.
| Dinhmun | Hei hi eng nge thleng? |
|---|---|
| Adhesive capsulitis (A kekawrte chu a vawt) a ni. | Hei hi "Frozen Shoulder" tia sawi a ni tlangpui. Hei hi shoulder joint vel capsule chu a thick leh tight lai a ni. Hei hian ke ruh natna a thlen thei a, a tikhauh thei a, taksa ruh a ti na thei bawk. A kekawrte chu a nghet lutuk a, i kut i che thei lo. |
| Bursitis natna a ni | Ka sawi tawh ang khan shoulder hian bursae (fluid-filled sacs) a nei a, chu chuan friction tihziaawmna kawngah a pui thin. Bursitis chu hengte hi an lo hring chhuak a ni. Hei hian i kekawr i sawn hian natna a thlen thei a ni. |
| Rotator cuff hliam a awm | Hei hi a awm dan tlangpui a ni. Infiammi bakah mipui zahawmte chungah pawh a thleng thei. Rotator cuff-a tendon te chu a chhe thei (rotator cuff tears) . A châng chuan taksa ruhte pawh a chhe thei bawk. |
| Shoulder impingement syndrome tih hi a ni | A ke ruh emaw, ruh emaw, ruh inkar a pinch emaw, rub emaw nawn leh a nih chuan tissue chu a lo hring thei a, a na thei bawk. Hei hi swimmer’s shoulder , an ti bawk a, a chhan chu swimmers zingah a awm fo thin. |
| Strain (muscle pull) tih a ni. | Hetiang dinhmun hi taksa ruh (muscle fibers) te chu an huam chin aia tam an inzawm khawm hian a thleng thin. Kan sawi tlangpui chu "muscle chu a pull" kan ti thin. |
Kawngkhar na hi a tam hle. Zirna hrang hrangah chuan kum tin mi maktaduai tam takin kekawrte harsatna an neih avangin damdawi lam enkawlna an zawng thin tih hmuhchhuah a ni. Shoulder natna thlentu ber chu rotator cuff problem vang a ni.
Engtin nge heng shoulder muscle te hi kan hrisel theih ang?
Thil tenau tlemte kan enkawl chuan kan ke ruh (shoulder muscle)-a harsatna tam tak kan veng thei a ni.
- Natna chu ngaihthah suh: I kekawr iptea natna i hriat hian, "Rei lo te hnuah a pawi lo ang" tih ngaihtuah chungin hna emaw, exercise emaw tih chhunzawm zel suh. Natna hi i taksa atanga signal lo chhuak a ni. Ngaithla la, chawlh hahdam deuh rawh.
- Chawlh hahdam a pawimawh: Weight lifter emaw, infiammi emaw, i kekawrte chunga harsatna nasa tak thlen thei hna i neih chuan i taksa ruhte chu an dam leh theihna tura an mamawh chawlh hahdamna pe rawh.
- Warm-up leh Stretching: Eng thil pawh i tih hmain, a bik takin exercise emaw, infiamna emaw i tih hmain i shoulder muscle te chu uluk takin ti lum hmasa phawt ang che. Tin, activity zawhah pawh stretch tha hle bawk ang che. Hei hian hliam hlauhawmna nasa takin a tihziaawm thei a ni.
Engtikah nge Doctor ka hmuh ang?
Muscle strain awlsam tak chu ni engemaw zat chawlh hnuah a dam thei tlangpui. Mahse, a hnuaia symptoms te hi i neih chuan doctor pan nghal tur a ni.
- I kephah emaw i kut i che thei lo a nih chuan.
- I kekawrte, i kut emaw, i kut emaw ah tingling sensation i neih chuan.
- I kekawrte emaw, i kutphah emaw khawi hmunah pawh natna rang tak, sawifiah theih loh, na tak i neih chuan.
Chutiang dinhmunah chuan enkawl vat chuan chhiatna nasa tak a veng thei a ni. Damdawi in hnai ber Emergency Department (ETU)-ah pawh kal a ngai mai thei.
Kan ke ruh (shoulder muscles) hi kan nitin nunah a pawimawh em em a. Kan sam hrual atanga ball vawrh thlengin min pui thin. Kan hman fo avangin hliam an tuar tam zawk bawk. Chuvangin, taksa ruhte chu an chau nia an hriat laia chawlh hahdamna pe a, chak taka vawn reng hian ke ruh na tam tak kan veng thei a ni.
Take-Home Thuchah a ni
- I shoulder joint hi taksaa joint flexible leh mobile ber a ni.
- He joint stability leh function hi a chhehvel muscles, a bik takin rotator cuff muscles ah a innghat a ni.
- Shoulder muscle hliam leh natna (e.g. Frozen Shoulder, Rotator cuff tears) hi hman tam lutuk leh inflexibility vang a awm fo thin.
- Hliam tam tak chu exercise hmaa in lum tha a, i taksa ruhte chawlhna tha tak pek a, natna ngaihthah loh chuan a veng thei a ni.
- I kekawrte khauh, i rilru a na, emaw, na tak, rang taka natna i neih chuan doctor pan nghal rawh.
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