Leukomalacia mai aiki

Perukantricular leukomalacia (PVL) wani nau'in rauni ne na ƙwaƙwalwa wanda ke shafar jarirai da haihuwa. Yanayin ya shafi mutuwar ƙananan yankuna na ƙwanƙolin ƙwaƙwalwa a kewayen wuraren da ke cike da ruwa da ake kira ventricles. Lalacewar ta haifar da "ramuka" a cikin kwakwalwa. "Leuko" yana nufin kwayar halittar kwakwalwa. "Periventricular" yana nufin yankin da ke kewaye da ventricles.
PVL ya fi yawa a jarirai waɗanda ba a haife su ba fiye da na jarirai masu cikakken lokaci.
Babban dalilin shine tunanin canje-canje a cikin kwararar jini zuwa yankin da ke kusa da ventricles na kwakwalwa. Wannan yanki yana da rauni kuma yana da rauni, musamman ma kafin makonni 32 na ciki.
Kamuwa da cuta a kusan lokacin isarwa na iya taka rawa wajen haifar da PVL. Hadarin ga PVL ya fi girma ga jariran da suka yi saurin tsufa kuma suka fi karko lokacin haihuwa.
Yaran da ba su isa haihuwa ba wadanda ke dauke da zubar jini na cikin jiki (IVH) suma suna cikin hadari na fuskantar wannan yanayin.
Gwaje-gwajen da aka yi amfani da su don tantance PVL sun haɗa da duban dan tayi da MRI na kai.
Babu magani ga PVL. Ana kula da ayyukan yara masu saurin tsufa, huhu, hanji, da koda, kuma ana kula da su a cikin sashen kula mai kulawa mai karfi (NICU). Wannan yana taimakawa rage haɗarin haɓaka PVL.
PVL yakan haifar da tsarin juyayi da matsalolin ci gaba a cikin jarirai masu tasowa. Wadannan matsalolin galibi suna faruwa ne a lokacin shekara ta farko zuwa ta biyu ta rayuwa. Yana iya haifar da cutar sanyin kwakwalwa (CP), musamman matsewa ko ƙara sautin tsoka (spasticity) a ƙafafu.
Yaran da ke tare da PVL suna cikin haɗari ga manyan matsalolin tsarin juyayi. Waɗannan na iya haɗawa da motsi kamar zama, rarrafe, tafiya, da motsa hannu. Wadannan jariran zasu buƙaci maganin jiki. Yaran da ba a haifa ba na iya samun matsaloli da yawa game da ilmantarwa fiye da motsi.
Yarinyar da aka kamu da cutar PVL ya kamata ya kula da ƙwararren likitan yara ko likitan jijiyoyin yara. Yaron ya kamata ya ga likitan yara na yau da kullun don shirya jarabawa.
PVL; Raunin kwakwalwa - jarirai; Ciwon mara na rashin tsufa
Leukomalacia mai aiki
Greenberg JM, Haberman B, Narendran V, Nathan AT, Schibler K. Neonatal cututtukan cututtukan ciki da asalinsu. A cikin: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, eds. Creasy da Resnik na Maganin Uwar-Gida: Ka'idoji da Ayyuka. 8th ed. Philadelphia, PA: Elsevier; 2019: babi na 73.
Hüppi PS, Gressens P. Farin lahani da larurar rashin kuzari. A cikin: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff da Martin's Neonatal-Perinatal Medicine. 11th ed. Philadelphia, PA: Elsevier; 2020: babi na 52.
Merhar SL, Thomas CW. Disorderswayoyin cuta. A cikin: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Littafin koyar da ilimin yara. 21st ed. Philadelphia, PA: Elsevier; 2020: babi na 120.
Neil JJ, Volpe JJ. Encephalopathy na rashin wuri: siffofin asibiti-neurological, ganewar asali, hoto, hangen nesa, far. A cikin: Volpe JJ, Inder TE, Darras BT, et al, eds. Volpe's Neurology na Jariri. Na 6 ed. Philadelphia, PA: Elsevier; 2018: babi na 16.