Leukomalacia ebonakalayo

IPeriventricular leukomalacia (PVL) luhlobo lokonzakala kwengqondo oluchaphazela iintsana ezingaphambi kwexesha. Imeko ibandakanya ukusweleka kweendawo ezincinci zethishu yobuchopho ejikeleze iindawo ezigcwele ulwelo ezibizwa ngokuba zii-ventricles. Umonakalo udala "imingxunya" kwingqondo. "ULeuko" ubhekisa kumba omhlophe wobuchopho. "I-Periventricular" ibhekisa kwingingqi ejikeleze ii-ventricles.

I-PVL ixhaphake kakhulu kwiintsana ezingaphambi kwexesha kunakwimveku yexesha elipheleleyo.

Isizathu esiyintloko kucingelwa ukuba lutshintsho ekuhambeni kwegazi kwindawo ejikeleze iicricric zengqondo. Lo mmandla ubuthathaka kwaye uqhele ukwenzakala, ngakumbi ngaphambi kweeveki ezingama-32 zokukhulelwa.

Usulelo malunga nexesha lokuhanjiswa kunokudlala indima ekubangela i-PVL. Umngcipheko we-PVL uphezulu kwiintsana ezikhawulezayo kwaye ezingazinzanga ngokuzalwa.

Iintsana ezizelwe ngaphambi kwexesha ezine-hemorrhage ye-intraventricular hemorrhage (IVH) zikwumngcipheko wokukhula kwale meko.

Uvavanyo olusetyenziselwa ukufumanisa i-PVL lubandakanya i-ultrasound kunye neMRI yentloko.

Akukho lunyango lwe-PVL. Imveku yangaphambi kwexesha yeentliziyo, imiphunga, amathumbu, kunye nezintso zijongwa ngononophelo kwaye zinyangwa kwicandelo lokhathalelo olunamandla olusandul 'ukuzalwa (NICU). Oku kunceda ukunciphisa umngcipheko wokuphuhlisa i-PVL.

I-PVL ihlala ikhokelela kwinkqubo yeemvakalelo kunye neengxaki zophuhliso kwiintsana ezikhulayo. Ezi ngxaki zihlala zenzeka kunyaka wokuqala ukuya kowesibini wobomi. Ingabangela ukubola komzimba (CP), ngakumbi ukuqina okanye ukwanda kwethoni yemisipha (ukungangqinelani) emilenzeni.

Iintsana ezine-PVL zisemngciphekweni weengxaki ezinkulu zenkqubo yeemvakalelo. Oku kunokubandakanya iintshukumo ezinje ngokuhlala, ukukhasa, ukuhamba nokuhambisa iingalo. Ezi ntsana ziya kufuna unyango lomzimba. Ngokukodwa iintsana ezizelwe ngaphambi kwexesha zinokuba neengxaki zokufunda kunokuhamba.

Umntwana ofunyaniswe ene-PVL kufuneka abekwe iliso ngugqirha wezilwanyana ophuhlisayo okanye ugqirha weeurologist. Umntwana kufuneka abone ugqirha wabantwana oqhelekileyo kwiimviwo ezicwangcisiweyo.

PVL; Ukulimala kwengqondo - iintsana; Ukunyangwa kwengqondo kwangaphambili

• Ileukomalacia ebonakalayo

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