le diaphragme notions generales de base.
Résumé filmé du muscle diaphragme.
Il est chargé d'ouvrir votre thorax a l'inspiration, afin que celui ci ouvre les poumons dans les trois dimensions.
C'est votre moteur inspiratoire il remplit les poumons mais ne peut pas les vider.
Il forme un couple avec les muscles intercostaux, chargés de vider les poumons, comme le biceps ferme le coude et le triceps le redresse.
Le petit film qui suit est destiné a vous montrer l'ensembles des mécanismes qui interviennent dans la respiration.
Filmed summary of the diaphragm muscle.
He is in charge of opening your chest with inspiration, so that it opens the lungs in three dimensions.
This is your inspiratory motor, it fills the lungs but can't empty them.
It forms a couple with the intercostal muscles, in charge of emptying the lungs, just as the biceps closes the elbow and the triceps straightens it.
The short film that follows is intended to show you all the mechanisms involved in breathing.
Mise en garde.
Etablir une relation avec le diaphragme demande une quinzaine d'années a cause de ses relations. Lié au rachis lombaire par les piliers anatomiques. Au bassin par ses liaisons pressionnelles. Aux membres inférieurs pour sa liaison a la verticale. Au rachis cervical par les piliers anatomiques des intercostaux.
Etablir une relation avec le diaphragme demande du temps car l'organe est très complexe. II faut passer par une pratique ordonnée journalière.
Suivez les images que je présente avec beaucoup d'attention, comme je le fais moi meme pour améliorer les explications.
Cautionary note.
Establishing a relationship with the diaphragm takes about 15 years because of its relationship. Linked to the lumbar spine by the anatomical pillars. To the pelvis by its pressure connections. To the lower limbs for its vertical connection. To the cervical spine through the anatomical pillars of the intercostals.
Establishing a relationship with the diaphragm takes time because the organ is very complex. It is necessary to go through an orderly daily practice.
Follow the images that I present with great attention, as I do myself to improve the explanations.
Les fichiers qui suivent s'ouvrent avec windows media player VLC ou autres.
Attachez une attention particulière aux image youtubpom 8 youtubepom 15 et séquencedeu. A V I
Les images vous montrent que dans l'espace interne a la coupole, c'est a dire dans l'espace compris entre les insertions du diaphragme et le sommet de la coupole, le sens de la mobilité des seringues intra thoraciques lié au vide pleural et celui des pompes intra abdominales également lié au vide pleural est inversé dans chaque temps respiratoire.
C'est ce qui détermine la fixité de la membrane quand elle fonctionne bien et positionne les piliers.
Pay special attention to the sequenced youtubpom 8 et youtubpom 15 image. A V I
The image in the center shows you that in the space inside the dome, that is to say in the space between the diaphragm inserts and the top of the dome, the direction of mobility of the intra thoracic syringes linked to the pleural vacuum and that of the intra abdominal pumps also linked to the pleural vacuum is reversed in each respiratory time.
This is what determines the fixity of the membrane when it functions well and positions the pillars.
Stresses above and below the pleural void.
Je fais apparaitre les deux chapes de fixation de l'axe de la poulie.
Straightening of diaphragm curvatures.
From the intra thoracic and intra abdominal centres, the curvatures change shape with the reflection pulleys whose centre remains fixed.
I show the two clevises for fixing the pulley shaft.
A uniform deployment of the thorax can be seen here. It passes through the anatomical pillars positioned on the vertical. I represent the depression opening of four pulleys in the diagonals around their fixed axis.
Les courbures du rachis se règlent en fonction de la position et de l'orientation des piliers anatomiques.
L'image suivante vous montre qu'avec un thorax plat ou épais l'orientation du pilier fonctionnel impose aux 2ème et 3ème lombaires de se positionner par rapport au déplacement de la verticale.
Ce qui implique que les désordres rachidiens sont une conséquence des désordres thoraciques.
Opposition of the pumps in the inner space to the dome.
The image shows you that the fixity of the thoracic and abdominal centres generates on both sides of the pleural void an upward pressure movement above and a downward pressure movement below which fixes the diaphragm. Image in the center.
Straightening of the curvature of a digitation on either side of the bisector, simultaneous to the contraction of the anatomical pillars on inspiration.
The bronchial centre and the intercostal diaphragm couple.
The image shows the contraction of a digitation from the bisector, associated with the opening of an intercostal to the inspiration. As well as their correspondence with the centre of the anatomical pillars.
Uniform exhalation from the bronchial centers.
The image shows the expiratory contraction of an intercostal on the 7th and 10th ribs. Simultaneous with the contraction of the anatomical pillars and the tensioning of the digitations from the bisectors.
The picture shows the opening of a chest associated with the opening of 4 syringes on inspiration. With the opposite orientation of the arrows. As well as the negative contraction of the diaphragm in the inner space of the dome associated with 4 syringes.
The animations show you the positive or negative contractions from the bronchial centres, for the diaphragm and intercostals seen in plan view, for the horizontal part of the diaphragm on the left and vertical on the right. And from their centers for the anatomical pillars.
Dans l'espace abdominal c'est la meme chose pour les digitations abdominales une orientation verticale pour chaque pilier et une orientation croisée symétrique.
Suivez attentivement le sens des fleches dans une inspiration normale, avec la contraction du diaphragme a partir de la bissectrice de la courbure, le relachement intercostal a double sens, et le relachement abdominal également a double sens.L'inversion des mécanismes permet au diaphragme de retouver a l'expiration sa position de départ.
Search lane.
The intercostal diaphragm couple can hardly maintain the vertical from a separate hemithoracic function. The two hemi-thoraxes being complementary they encounter resistance to their movement on the opposite side of the abutment. The possibility of abnormalities in the phrenic centre would probably surprise infants in at-risk families. The result would be the same, both anatomically and neurologically, with difficulties in maintaining the vertical.
The image shows you the simultaneous contraction of the rising parts of the digitations from the diaphragm to the bisector. The contraction of the anatomical pillars in their center. The contraction of the scalenes in their center.
liaison d'un échappement inspiratoire sus ombilical et expiratoire sous ombilical.
Functional separation between above and below umbilical region related to the diaphragm.
Connection of a supra umbilical inspiratory and sub umbilical expiratory exhaust.
At inspiration, the diaphragm escapes through a pressure above the umbilical, and the expiratory escapes through a withdrawal under the umbilical.
The image shows you the orientation of the anatomical abutments connected to the expiratory functional abutment.
L'image vous montre l'orientation des piliers anatomiques liés au pilier fonctionnel expiratoire.
Dans le ccas contraire nous aurons la fragmentation abdominale.