Periventricular leukomalacia

Periventricular leukomalacia (PVL) ndi mtundu wa kuvulala kwaubongo komwe kumakhudza ana akhanda asanakwane. Vutoli limakhudza kufa kwa zigawo zing'onozing'ono zamaubongo ozungulira madera odzaza madzi otchedwa ma ventricles. Zowonongekazo zimapanga "mabowo" muubongo. "Leuko" amatanthauza nkhani yoyera yaubongo. "Periventricular" amatanthauza dera lozungulira ma ventricles.

PVL imafala kwambiri kwa makanda asanakwane kuposa ana akhanda.

Chifukwa chachikulu chimaganiziridwa ndikusintha kwa magazi kupita kumalo ozungulira ma ventricles aubongo. Malowa ndi osalimba ndipo amakonda kuvulala, makamaka asanakwane milungu 32 atatenga bere.

Matendawa panthawi yobereka angathenso kutenga PVL. Chiwopsezo cha PVL ndichokwera kwambiri kwa ana omwe amakhala obadwa msanga komanso osakhazikika pobadwa.

Ana obadwa masiku asanakwane omwe ali ndi magazi m'mitsempha yam'mimba (IVH) amakhalanso pachiwopsezo chotenga vutoli.

Mayeso omwe amagwiritsidwa ntchito pozindikira kuti PVL amaphatikizapo ultrasound ndi MRI yamutu.

Palibe mankhwala a PVL. Ntchito za mtima, mapapo, matumbo, ndi impso za ana akhanda asanakwane zimayang'aniridwa mosamalitsa ndikuchiritsidwa m'chipinda cha ana odwala mwakhanda (NICU). Izi zimathandiza kuchepetsa chiopsezo chokhala ndi PVL.

PVL nthawi zambiri imabweretsa dongosolo lamanjenje ndi mavuto amakulidwe a ana akukula. Mavutowa nthawi zambiri amapezeka mchaka choyamba mpaka chachiwiri cha moyo. Zingayambitse matenda a ubongo (CP), makamaka kukanika kapena kuchuluka kwa minofu (kupindika) m'miyendo.

Ana omwe ali ndi PVL ali pachiwopsezo chamavuto akulu amanjenje. Izi zikuyenera kuphatikizapo kuyenda monga kukhala, kukwawa, kuyenda, ndi kusuntha mikono. Ana awa adzafunika chithandizo chamankhwala. Makanda obadwa msanga kwambiri amakhala ndi zovuta zambiri pakuphunzira kuposa kuyenda.

Mwana yemwe amapezeka kuti ali ndi PVL ayenera kuyang'aniridwa ndi dokotala wachitukuko kapena katswiri wa ana. Mwanayo ayenera kupita kwa dokotala wokhazikika pamayeso omwe akonzedwa.

PVL; Kuvulala kwa ubongo - makanda; Encephalopathy wa prematurity

• Periventricular leukomalacia

Greenberg JM, Haberman B, Narendran V, Nathan AT, Schibler K. Neonatal zoopsa zoyambira kubadwa ndi kubereka. Mu: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, olemba. Creasy ndi Resnik's Maternal-Fetal Medicine: Mfundo ndi Kuchita. 8th ed. Philadelphia, PA: Elsevier; 2019: mutu 73.

Hüppi PS, Gressens P. Nkhani zoyera zimawonongeka komanso kudwala kwachinyengo kusanachitike. Mu: Martin RJ, Fanaroff AA, Walsh MC, olemba., Eds. Fanaroff ndi Martin's Neonatal-Perinatal Medicine. 11th ed. Philadelphia, PA: Elsevier; 2020: chap 52.

Merhar SL, Thomas CW. Matenda amanjenje. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 120.

Neil JJ, Volpe JJ. Encephalopathy of prematurity: matenda-minyewa, mawonekedwe, kulingalira, kulosera zamankhwala, chithandizo. Mu: Volpe JJ, Inder TE, Darras BT, et al, olemba. Volpe's Neurology ya Mwana wakhanda. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2018: mutu 16.