Iyo musara inoshambadza mushure mutsvuku mushure megumbo. Achimhanya pamwe chete nemamwe mitsipa yemhuru, mushamba we plantaris uye teteoni vari munzvimbo imwechete kumisungo yemhuru uye Achilles tendon.
Kukuvadzwa kumusana we plantaris kunogona kutevedzera zvimwe zvezviratidzo zvekunamatira kwemhuru kana Achilles tendon kuchema, asi kupora kubva kumusango wemasitadhi inowanzoita nyore nyore.
Anatomy yeMhuru Musungo
Misi mikuru mushure megumbo ndeye gastrocnemius uye musungo chete. Iyo gastrocnemius ine zvikamu zviviri zvikuru, zvinyorwa zvemukati uye zvakasara zve gastrocnemius, uye zvinonyanya kufanana (pedyo pede neganda). Iyo chete inenge yakadzika mumakumbo.
Pamwe chete, gastrocnemius uye misuli chete inoumba Achilles tendon, iyo inosanganiswa mumatavi akaoma mushure kwechitsitsinho. Iyo tonde yeAchilles inonamatira kune chitsitsinho pfupa (iyo calcaneus). Apo mhuru yemukati yakabvumirana, chinangwa chetsoka pasi. Izvi zvinokosha pakufambisa muviri mberi kana uchifamba, uchimhanya, uye kunyanya kana uchitsvaga.
Iyo musisitari inoshandiswa ndeye chikamu chiduku chemuviri wemhuru. Muchiri weasitari uye tendon vagere mukati memhuru, pakati pemisoro miviri ye gastrocnemius. Haasi munhu wose ane plantaris muscle, uye mumayorisheni e-cadaver, inenge 10-20% yevanhu vanowanikwa kuti havana mbeu yezvisarari.
Zviratidzo zvePisaris Muscle Ruptures
Kukuvara kumusara we plantaris kunogona kuitika sechisimba chinotambudza kana zvakanyanya kufanana, mushamba wemasitari inopera. Plantaris muscle rupture yave ichinziwo "gumbo rebhetheni" sevanhu vazhinji vanotsigira kukuvara uku vatambi vanofambisa mberi, sekudai mutambi wemutambo anogona kuita.
Zviratidzo zvechimiro chema plantaris rupture zvinosanganisira:
- Kutambudzika kamwe-kamwe mumashure emhuru
- Kufugama kana kubata kwemhuru yemukati
- Kuzvimba nekupwanya mukati megumbo
- Kugumburwa uye kushungurudzika kwemafupa emhuru
Kuongororwa kweVisaris Muscle Tears
Nhanho inonyanya kukosha ndeyekusimbisa kuongororwa, mune chikamu chikuru kuti uone kuti kukuvadza hakusi yakanyanya zvikuru Achilles tendon kuchema . Varwere vane Achilles tendon misodzi kazhinji havakwanisi kurondedzera rutsoka rwavo pasi nekuda kwetsika yakasununguka, asi kukuvara kwemasitima musingaiti izvi zvinokonzera izvi. Plantaris ruptures inogonawo kuvhiringidzika neropa rekuvhara mumaketani makuru emhuru, inonzi DVT.
Kana kuongororwa kusina kunyatsojeka, pane zviedzo zvinogona kuitwa kuitira kusimbisa kana kusabvisa kugadziriswa kwema plantaris. Miedzo miviri inowanzoshandiswa inosanganisira MRI kana ultrasound. Zvose izvi zvinogona kuve zvakakosha mukusimbisa kukuvara kumusana wemasitarisari kana kutsvaga zvimwe zvinokonzera kurwadziwa kwemhuru .
Kurapa kweMitambo yeMisumbu Yakakosha
Kurapa kwemavara anosangana nemisungo inenge iri nguva dzose isiri-chirwere. Kunyange zvazvo kukuvara kunogona kukonzera marwadzo nekuremara, zviratidzo zvinowanzotarisana nematanho matsva ekurapa.
Kurapa kwokutanga kwekukuvara kwema plantaris kunowanowanzoitwa RICE (Zororo, Zuva, Kushongedza, Kuwedzerwa) kurapwa. Kana kurwadziwa kuchikosha, varwere vangada nguva pfupi yekudzikisa kana kushandiswa kwekushandisa kubvumira marwadzo kuti atsike.
Kuwedzerwa kuwedzerwa mukufamba uye simba kunogona kuwanikwa nekubatsirwa nemudzidzisi wezvemitambo kana kuti chiremba wepanyama. Kazhinji kazhinji zviratidzo zvinogadziriswa zvishoma nezvishoma, kunyange zvisiri zvisinganzwisisike kugadzirisa zvakakwana kutora vhiki 6 kusvika ku8, zvichienderana nekuoma kwekukuvara.
Sources
Rohilla S, et al. "Plantaris rupture: nei zvakakosha?" BMJ Case Rep. 2013, Jan 22, 2013