Umzimba we-plantaris uyisiphazamiso esincane ngemuva komlenze. Ukugijima kanye nezinye izixuku zethole, imisipha ye-plantaris ne-tendon yindawo efanayo kuya emisipha yethole ne-Achilles tendon.
Ukulimala umsila we-plantaris ungalingisa ezinye zezimpawu zenkomo yenkomo noma i-Achilles ithoni yezinyembezi, kodwa ukuphulukiswa kokulimala komzimba we-plantaris kuyinto elula kakhulu.
I-Anatomy yeMisundu Yamathole
Imisipha emikhulu ngemuva komlenze yi-gastrocnemius kanye nemisipha yodwa. I-gastrocnemus inezinxenye ezimbili ezinkulu, izinhloko zamaphakathi nezangaphakathi ze-gastrocnemius, futhi ingaphezulu kakhulu (eduze kwesikhumba). I-soleus itholakala ngokujulile emlenzeni.
Ngokubili, izidumbu ze-gastrocnemius kanye nemisipha zakha i-Achilles tendon, ehlangene ne-tendon eqinile ngemuva kwesithende. Ithenda le-Achilles ihlanganisa ithambo lesithende (i-calcaneus). Lapho insika yamathole yenkomo, iphuzu lezinyawo liyehla. Lokhu kuhamba kubalulekile ekuthuthukiseni umzimba uma uhamba, ugijima, futhi ikakhulukazi uma u-sprinting.
Umsila we-plantaris uyincenye encane yemisipha yamathole. Umzimba we-plantaris ne-tendon uhlala cishe phakathi kwethole, phakathi kwamakhanda amabili e-gastrocnemius. Akuwona wonke umuntu onesisindo se-plantaris, futhi ekuhlolweni kwe-cadaver, cishe abantu abangu-10-20% batholakala bengenaso isisu se-plantaris.
Izimpawu zemizila ye-Plantaris Muscle Ruptures
Ukulimala emsimbeni we-plantaris kungenzeka njengengcindezi yemisipha noma ngokuvamile, ukuhlukana kwemisipha ye-plantaris. I-Plantaris muscle rupture nayo ibizwe ngokuthi "umlenze we-tennis" njengoba abantu abaningi abenza lokhu kulimala kubadlali abaphuthumayo, njengomdlali we-tennis abangase bakwenze.
Izimpawu ezijwayelekile zokuhlukana komzimba we-plantaris zihlanganisa:
- Usizi olungazelelwe ngemuva kwethole
- Ukuvuvukala noma ukubuthwa kwemisipha yamathole
- Ukuvuvukala nokulimaza ngemuva komlenze
- Ukugubha kanye nokuzwa kwe-spasm we-muscle yamathole
Ukuxilongwa kwezinyembezi ze-Plantaris
Isinyathelo esibaluleke kunazo zonke ukuqinisekisa ukuxilongwa, ikakhulukazi ukuqinisekisa ukuthi ukulimala akuyona inyembezi eyengeziwe ye- Achilles izinyembezi . Iziguli ezinezinyembezi ze-Achilles izinyembezi ngokuvamile azikwazi ukukhomba unyawo lwayo phansi ngenxa ye-tendon ehlukanisiwe, kanti ukulimala kwe-plantaris akubanga imbangela yalokhu. I-Plantaris rupture ingabuye idideke nge-clot yegazi emithanjeni emikhulu yethole, ebizwa nge-DVT.
Uma ukuxilongwa kungabonakali, kunezivivinyo ezingenziwa ukuze kuqinisekiswe noma kungabandakanyi ukuxilongwa kwesifo se-plantaris. Izivivinyo ezimbili ezivame ukusetshenziselwa ziyi-MRI noma i-ultrasound. Zombili lezi zivivinyo zingaba usizo ekuqinisekiseni ukulimala komzimba we-plantaris noma ukufuna ezinye izimbangela zokuhlunguphazwa kwethole .
Ukwelashwa kwama-Plantaris Muscle Ruptures
Ukwelashwa kokulimala komzimba we-plantaris cishe njalo kungewona ukuhlinzwa. Nakuba ukulimala kungabangela ubuhlungu nokukhubazeka, izimpawu cishe zixazululwa ngezinyathelo zokwelashwa ezilula.
Ukwelashwa kokuqala kokulimala kwe-plantaris kunemithi ejwayelekile ye-RICE (Ukuphumula, i-Ice, Compression, Elevation). Uma ubuhlungu buphawulekayo, iziguli zingadinga isikhathi esifushane sokukhubazeka noma ukusetshenziswa kwe-crutch ukuze kuvumele ubuhlungu bufinyeleleke.
Ukwandiswa kancane kokuhamba nokuqina kungatholakala ngokusizwa ngumqeqeshi wezemidlalo noma ochwepheshe bezemvelo. Ngokuvamile ngokuvamile izimpawu zixazululwa kancane kancane, nakuba kungavamile ukubuyisa ngokugcwele ukuthatha amasonto ayisithupha kuya kwangu-8, kuye ngokuthi ubuhlungu bulimale kangakanani.
Imithombo
Rohilla S, et al. "Ukuphuka kwe-Plantaris: kungani kubalulekile?" I-BMJ Case Rep. 2013, Jan 22, 2013