Umlobi: Janice Evans
Usuku Lokudalwa: 23 Ujulayi 2021
Ukuvuselela Usuku: 21 Ujanuwari 2025
Anonim
"Periventricular Leukomalacia" by Anne Hansen, MD, MPH for OPENPediatrics
Ividiyo: "Periventricular Leukomalacia" by Anne Hansen, MD, MPH for OPENPediatrics

IPeriventricular leukomalacia (PVL) wuhlobo lokulimala kobuchopho okuthinta izinsana ezizalwe ngaphambi kwesikhathi. Lesi simo sibandakanya ukufa kwezindawo ezincane zezicubu zobuchopho ezungeze izindawo ezigcwele uketshezi ezibizwa ngama-ventricles. Umonakalo udala "izimbobo" ebuchosheni. "Leuko" kubhekiswa odabeni lobumhlophe bobuchopho. "I-Periventricular" isho indawo ezungeze ama-ventricles.

I-PVL ivame kakhulu ezinganeni ezingakazalwa ngaphambi kwezinsana ezigcwele.

Imbangela enkulu kucatshangwa ukuthi izinguquko ekugelezeni kwegazi endaweni ezungeze ama-ventricles obuchopho. Le ndawo intekenteke futhi ithambekele ekulimaleni, ikakhulukazi ngaphambi kwamasonto angama-32 ekhulelwe.

Ukutheleleka ngesikhathi sokubeletha nakho kungadlala indima ekubangeleni i-PVL. Ingozi ye-PVL iphezulu ezinganeni ezisheshe zifike ngaphambi kwesikhathi futhi ezingazinzile lapho zizalwa.

Izingane ezizalwe ngaphambi kwesikhathi ezine-hemorrhage ye-intraventricular (IVH) nazo zisengozini enkulu yokuthuthukisa lesi simo.

Ukuhlolwa okusetshenziselwa ukuxilonga i-PVL kufaka phakathi i-ultrasound neMRI yekhanda.

Akukho ukwelashwa kwe-PVL. Imisebenzi yenhliziyo, amaphaphu, amathumbu, nezinso zezingane ezingaphambi kwesikhathi ibhekwa kakhulu futhi yelashwa egunjini labagula kakhulu elisanda kuzalwa (i-NICU). Lokhu kusiza ukunciphisa ingozi yokuthuthukisa i-PVL.


I-PVL ivame ukuholela ohlelweni lwezinzwa nasezinkinga zokukhula ezinganeni ezikhulayo. Lezi zinkinga zivame ukwenzeka phakathi nonyaka wokuqala kuya kowesibili wokuphila. Kungadala i-cerebral palsy (CP), ikakhulukazi ukuqina noma ukwanda kwethoni yemisipha (ukuqina) emilenzeni.

Izingane ezine-PVL zisengozini yezinkinga ezinkulu zesistimu yezinzwa. Lokhu kungenzeka kufaka phakathi ukunyakaza okufana nokuhlala, ukukhasa, ukuhamba nokuhambisa izingalo. Lezi zingane zizodinga ukwelashwa ngokomzimba. Izingane ezisanda kuzalwa zingaba nezinkinga eziningi ngokufunda kunokuhamba.

Ingane etholakala ukuthi ine-PVL kufanele ibhekwe ngudokotela wezingane othuthukayo noma i-neurologist yezingane. Ingane kufanele ibonane nodokotela wezingane ojwayelekile wezivivinyo ezihleliwe.

PVL; Ukulimala kobuchopho - izinsana; I-Encephalopathy yokungakhuli kuqala

  • Periventricular leukomalacia

IGreenberg JM, uHaberman B, uNarendran V, uNathan AT, uSchibler K. Izifo ezisencane zokubeletha kwemvelaphi yokubeletha neyangaphambi kokubeletha. Ku: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, abahleli. ICreasy neResnik's Maternal-Fetal Medicine: Izimiso kanye Nokuzijwayeza. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 73.


IHüppi PS, uGressens P. White udaba lokulimala kanye ne-encephalopathy of prematurity. Ku: Martin RJ, Fanaroff AA, Walsh MC, ama-eds. UFanaroff kanye neMithi kaMartin's Neonatal-Perinatal Medicine. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2020: isahluko 52.

UMerhar SL, uThomas CW. Ukuphazamiseka kwesistimu. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 120.

UNeil JJ, uVolpe JJ. I-Encephalopathy yokungakhuli ngaphambi kwesikhathi: izici zomtholampilo-zezinzwa, ukuxilongwa, ukucabanga, ukubikezela, ukwelashwa. Ku: Volpe JJ, Inder TE, Darras BT, et al, ama-eds. IVolpe's Neurology Yentsana. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2018: isahluko 16.

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