Periventricular leukomalacia
Periventricular leukomalacia (PVL) ke mofuta oa kotsi ea boko e amang masea a pele ho nako. Boemo bona bo kenyelletsa lefu la libaka tse nyane tsa lisele tsa boko ho potoloha libaka tse tletseng metsi tse bitsoang li-ventricle. Tšenyo e baka "masoba" bokong. "Leuko" e bua ka taba e tšoeu ea boko. "Periventricular" e bolela sebaka se potileng li-ventricle.
PVL e atile haholo ho masea a tlang pele ho nako ho feta masea a nako e felletseng.
Ho nahanoa hore sesosa se seholo ke liphetoho phallong ea mali ho ea sebakeng se potileng li-ventricle tsa boko. Sebaka sena se senyeha habonolo mme se a lemala, haholo pele ho beke tse 32 tsa kemaro.
Tšoaetso nakong ea pelehi le eona e ka bapala karolo ea ho baka PVL. Kotsi ea PVL e phahame bakeng sa masea a tlang pele ho nako ebile a sa tsitsa ha a hlaha.
Bana ba pele ho nako ba nang le tšollo ea mali ea intraventricular (IVH) le bona ba kotsing e kholo ea ho ba le boemo bona.
Liteko tse sebelisetsoang ho fumana PVL li kenyelletsa ultrasound le MRI ea hlooho.
Ha ho na kalafo bakeng sa PVL. Mesebetsi ea masea a pele ho nako ea pelo, matšoafo, mala le liphio e shebeloa ka hloko le ho phekoloa ka lefapheng la tlhokomelo e matla ea masea (NICU). Sena se thusa ho fokotsa menyetla ea ho ba le PVL.
PVL hangata e lebisa tsamaisong ea methapo le mathata a nts'etsopele ho masea a ntseng a hola. Hangata mathata ana a hlaha selemong sa pele ho isa ho sa bobeli sa bophelo. E ka baka cerebral palsy (CP), haholo ho tiisa kapa ho eketsa molumo oa mesifa maotong.
Masea a nang le PVL a kotsing ea mathata a maholo a methapo. Tsena li kanna tsa kenyelletsa ho sisinyeha joalo ka ho lula, ho khasa, ho tsamaea le ho tsamaisa matsoho. Masea ana a tla hloka kalafo ea 'mele. Lesea le hlahang pele ho nako le ka ba le mathata a mangata a ho ithuta ho fapana le ho tsamaea.
Lesea le fumanoang le na le PVL le lokela ho beoa leihlo ke ngaka ea bana e ntseng e hola kapa ngaka ea methapo ea bana. Ngoana o lokela ho bona ngaka ea bana e tloaelehileng bakeng sa litlhahlobo tse reriloeng.
PVL; Kotsi ea boko - masea; Encephalopathy ea pele ho nako
- Periventricular leukomalacia
Greenberg JM, Haberman B, Narendran V, Nathan AT, Schibler K. Matšoenyeho a pelehi a pelehi le pelehi. Ka: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, li-eds. Creasy le Resnik's Maternal-Fetal Medicine: Melao-motheo le Tloaelo. La 8th. Philadelphia, PA: Elsevier; 2019: khaolo ea 73.
Hüppi PS, Gressens P. White e senya ts'oaetso le encephalopathy ea prematurity. Ka: Martin RJ, Fanaroff AA, Walsh MC, bangoli. Fanaroff le Phekolo ea Martin ea Neonatal-Perinatal. 11th ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 52.
Merhar SL, Thomas CW. Mathata a tsamaiso ea methapo. Ka: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, bahlophisi. Buka ea Nelson ea Pediatrics. La 21 Ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 120.
Neil JJ, Volpe JJ. Encephalopathy ea prematurity: likarolo tsa bongaka-tsa methapo ea kutlo, ho hlahloba, ho nka litšoantšo, ho bolela esale pele, kalafo. Ka: Volpe JJ, Inder TE, Darras BT, et al, li-eds. Neurology ea Volpe ea lesea le sa tsoa tsoaloa. La 6th. Philadelphia, PA: Elsevier; 2018: khaolo ea 16.