ʻO Periventricular leukomalacia

ʻO Periventricular leukomalacia (PVL) kahi ʻano ʻeha o ka lolo e pili ana i nā pēpē ʻōpio. Pili ke ʻano i ka make ʻana o nā wahi liʻiliʻi o ka lolo i puni i nā wahi piha i ka wai i kapa ʻia ʻo ventricle. Hoʻokumu ka poino i nā "lua" i ka lolo. ʻO "Leuko" e pili ana i ka mea keʻokeʻo o ka lolo. ʻO "Periventricular" pili i ka wahi a puni nā ventricle.

ʻOi aku ka maʻamau o ka PVL i nā pēpē ʻōpiopio ma mua o nā pēpē wā piha.

Kuhi ʻia kahi kumu nui e hoʻololi i ke kahe o ke koko i kahi e puni ana i nā ventricle o ka lolo. Palupalu kēia wahi a maʻalahi i ka hōʻeha, keu hoʻi ma mua o 32 mau pule hānau.

Hiki paha i ka maʻi maʻi a puni ka manawa o ka lawe ʻana ke hoʻokau i ka hana i ka PVL. ʻOi aku ka kiʻekiʻe o ka makaʻu no ka pēpē no nā pēpē i ʻoi aku ka nui a paʻa ʻole i ka wā hānau.

ʻO nā pēpē āpau i loaʻa i ka hemorrhage intraventricular (IVH) pū kekahi me ka nui o ka makaʻu no ka hoʻomohala ʻana i kēia ʻano.

Hoʻohana ʻia nā hoʻokolohua e hōʻoia i ka PVL me ultrasound a me MRI o ke poʻo.

ʻAʻohe lāʻau lapaʻau no PVL. Mālama pono ʻia ka naʻau o nā pēpē mua, ka māmā, ka ʻōpū, a me nā hana puʻupaʻa i mālama ʻia a mālama ʻia i loko o ke keʻena mālama maʻi hānau hou (NICU). Kōkua kēia i ka hōʻemi ʻana i ka makaʻu o ka hoʻomohala ʻana iā PVL.

Alakaʻi pinepine ʻo PVL i ka ʻōnaehana hopohopo a me nā pilikia hoʻomohala i nā pēpē ulu. Kū pinepine kēia mau pilikia i ka makahiki mua a ʻelua paha o ke ola. Hiki ke kumu i ka palsy cerebral (CP), keu hoʻi i ka paʻa a i ʻole hoʻonui ʻia ka leo o ka mākala (spasticity) i nā wāwae.

Kūpono nā pēpē me PVL no nā pilikia ʻōnaehana nui. E hoʻokomo paha kēia i nā neʻe e like me ka noho ʻana, kolo ʻana, hele wāwae ʻana, a hoʻoneʻe i nā lima. Pono kēia mau pēpē i ke ʻano hoʻoikaika kino. Loaʻa paha nā pilikia o nā pēpē nui i ka aʻo ʻana ma mua o ka neʻe.

ʻO kahi pēpē e ʻike ʻia me ka PVL e kiaʻi ʻia e kahi pediatrician ulu a i ʻole kahi neurologist pediatric. E ʻike ke keiki i ka pediatrician maʻamau no nā hoʻokolohua i hoʻonohonoho ʻia.

PVL; ʻEha lolo - pēpē; ʻO Encephalopathy o ka wā ma mua

• ʻO Periventricular leukomalacia

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