Periventricular leukomalacia

Periventricular leukomalacia (PVL) rudzi rwekukuvara kwehuropi hunokanganisa vacheche vasati vasvika. Mamiriro acho anosanganisira kufa kwenzvimbo diki dzehuropi tenzvimbo dzakakomberedza nzvimbo dzakazara nemvura inonzi ma ventricles. Iko kukuvara kunogadzira "maburi" muuropi. "Leuko" zvinoreva nyaya chena yeuropi. "Periventricular" zvinoreva nzvimbo yakatenderedza ma ventricles.

PVL yakanyanya kuwanda muvacheche vasati vakurumidza kupfuura mune yakazara-nguva vacheche.

Chikonzero chikuru chinofungidzirwa shanduko muropa kuyerera kunharaunda yakatenderedza ma ventricles europi. Iyi nharaunda haina kusimba uye inowanzo kukuvara, kunyanya pamberi pemavhiki makumi matatu nemaviri ekubata.

Utachiona hwakakomberedza nguva yekusununguka inogona zvakare kutora chinzvimbo mukukonzera PVL. Njodzi yePVL yakakwira kune vacheche vanokurumidza kusvika uye vasina kugadzikana pakuzvarwa.

Vacheche vasati vazvarwa vane intraventricular hemorrhage (IVH) zvakare vari panjodzi yekuwedzera mamiriro aya.

Kuyedza kunoshandiswa kuongorora PVL kunosanganisira ultrasound neMRI yemusoro.

Iko hakuna kurapwa kwePVL. Vana vasati vazvarwa 'moyo, mapapu, ura, uye itsvo mabasa anotariswa zvakanyanya uye anorapwa muchikamu chevacheche chevanotarisira zvakanyanya (NICU). Izvi zvinobatsira kudzikisa njodzi yekuvandudza PVL.

PVL inowanzo tungamira kune yemagetsi system uye matambudziko ekuvandudza mukukura kwevana. Aya matambudziko anowanzoitika mukati megore rekutanga kusvika rechipiri rehupenyu. Zvinogona kukonzera cerebral palsy (CP), kunyanya kuomarara kana kuwedzera mhasuru toni (kusimba) mumakumbo.

Vacheche vane PVL vari panjodzi yematambudziko makuru ehurongwa hwemitsipa. Izvi zvinogona kusanganisira kufamba sekugara, kukambaira, kufamba, uye kufambisa maoko. Vacheche ava vachada kurapwa kwemuviri. Zvikuru vana vasati vasvika vanogona kuva nematambudziko akawanda nekudzidza pane kufamba.

Mwana anoonekwa kuti ane PVL anofanirwa kuongororwa nachiremba wekusimudzira kana chiremba weurourologist. Mwana anofanirwa kuona chiremba wenguva dzose kuitira bvunzo dzakarongwa.

PVL; Kukuvara kwehuropi - vacheche; Encephalopathy yekutanga prematurity

• Periventricular leukomalacia

Greenberg JM, Haberman B, Narendran V, Nathan AT, Schibler K. Neonatal marbadities epamberi pekuzvara uye perinatal mavambo. Mu: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Sirivha RM, eds. Creasy uye Resnik's Maternal-Fetal Mushonga: Misimboti uye Dzidzira. 8th ed. Philadelphia, PA: Elsevier; 2019: chits. 73.

Hüppi PS, Gressens P. Muchena nyaya yekukuvara uye encephalopathy yekutanga prematurity. Mune: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff naMartin's Neonatal-Perinatal Mushonga. 11th ed. Philadelphia, PA: Elsevier; 2020: chits. 52.

Merhar SL, Thomas CW. Kutya system kusagadzikana. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 120.

Neil JJ, Volpe JJ. Encephalopathy of prematurity: kiriniki-neurological maficha, kuongororwa, kufungidzira, kufungidzira, kurapwa. Mune: Volpe JJ, Inder TE, Darras BT, et al, eds. Volpe's Neurology yeMucheche. 6th ed. Philadelphia, PA: Elsevier; 2018: chits.