An intraventricular hemorrhage, iyo inonziwo IVH, ichibuda muzvivako zveuropi . An IV anokwanisa kuva munyoro kana akaoma, zvichienderana nekuwanda kweropa kune. Vamwe vana vane huwandu hweHIV havazovi nemigumisiro yakareba, asi vana vacheche vane ropa rose vanogona kuva nekukurumidza kunonoka kana zvimwe zvinoguma.
Kana mwana wako akaonekwa kuti ane chirwere chekushaya ropa, kudzidza zvakawanda sezvaunokwanisa pamusoro pemamiriro ezvinhu aya kunogona kukubatsira kuti unzwisise zviri kuitika nemwana wako uye kuti achadzoka sei.
Kuoma kweHH
Mumucheche, intraventricular hemorrhages inorongwa nekusuruvara kwehutachiona.
- Bhuku 1: Kubvambura kunongopfurikidza nemakemikari emvura, nzvimbo isina kusimba pedyo ne-ventricles ine zvinyorwa zviduku zvakawanda. Bhuku 1 IV inonziwo marital matrix hemorrhage.
- Bhuku 2: Kubvongodza kunowanika mumhepo, asi mhepo inogara yakakura.
- Bhuku 3: Kubvongodza kunowanika mumhepo, uye kubuda ropa kwakakonzera kuti mhepo inobhururuka iwedzere, kana kukura.
- Bhuku 4: Ropa rinowanika mumhepo, iyo yakawedzera, uye munzvimbo dziri pedyo dzeuropi. Bhuku rechina IV IV rinonziwo kushandiswa kwemaitiro ekushaya ropa.
Chikoro 1 uye gorosi 2 hemorrhages inowanzoonekwa seine ropa, asi gorosi 3 ne4 kubuda kunowedzera, uye zviratidzo zvakanyanya zvekutanga uye zvinowedzera kwenguva refu.
Zvinokonzera
Kuchengetedza uku ndiko kunokonzera kukonzera kupisa kwemvura, uye maitiro akawanda eHH anoitika mucheche vasati vhiki makumi matatu ekuberekwa kana pasi pe1 500 gramu (3 lbs 5 oz).
Intraventricular hemorrhages inotanga kuitika muupenyu hwe preemie, uye 90 muzana inowanikwa mumazuva matatu ekutanga ehupenyu. Vanachiremba vanofunga kuti zvinhu zvakasiyana zvinobatanidza kuita kuti vavengi vangangotarisana neHIV. Chokutanga, mishonga yeropa muuropi ye preemie yakanyanya kusimba kupfuura iyo iri mumwana mwana. Vana vasati vasvika vanogonawo kutambura nekudzokororwa kwezvikamu zvepamusoro-blood-oxygen uye vanoratidzwa nekuchinja kwekuwedzera kweropa.
Zviratidzo
Vacheche vanotambura nehupfu hwemhemberero dzingave vasina zviratidzo. Zviratidzo zvehutachiwana zvakanyanya muhutachiona muvana vasati vakura zvinosanganisira:
- Kuwedzera zvikamu zvepnea uye bradycardia
- Kupera kwemazwi emutsetse
- Kuderedza mafungiro
- Inoshaya inwisa
- Kunyanyisa kurara
Kuziva
Intraventricular hemorrhages inoratidzwa kuti ine ultrasound yemusoro. Zvipatara zvakawanda zvinowanzovhara vose vana vasati vazvarwa nokuda kweHIV mukati mevhiki yekutanga yehupenyu uye zvakare vasati vabuda kuchipatara.
Kurapa
Zvinosuruvarisa, hapana nzira yekugadzirisa chirwere chekushaya ropa kana zvatanga. Kurapa kweHIV kunoshandiswa zviratidzo zvekubuda ropa uye kunogona kusanganisira kukura kwekufuridzirwa kana mishonga yepnea uye bradycardia.
Kusvika kusvika 10 kubva muzana yevana vanove ne-intraventricular hemorrhage vachakudziridza hydrocephalus , chivako chechirebrospinal fluid mumhepo. Hydrocephalus inoita kuti mwana wemucheche akure zvakakurumidza kupfuura zvaanoita kuti awane nzvimbo yehuwandu hwemvura uye anogona kuisa dambudziko pahutachi hunoita hutachiona. Hydrocephalus inogona kubva payo pachayo, kana kuti chirwere chinogona kudiwa. Vanachiremba vanogona kusarudza kuisa ventriculoperitoneal shunt (VP shunt) kubvisa mvura uye kuderedza kushandiswa kweuropi.
Migumisiro Yenguva refu
Migumisiro yenguva refu inogona kuva ine unyoro kana yakaoma uye inowanzobatana nekuoma kwemvura.
Vacheche vane girasi 1 kana kuti giredhi 2 vanobuda ropa vangave vasina migumisiro inogara kwenguva refu kana kuti vangave nemigumisiro isina kunaka yakaoma kuverenga.
Vana vazhinji vane zvirwere zvakakomba zvinenge zvisingachagadziri, asi vana vanotambura kubva kuchikoro chechitatu kana kuti chechi4 chekushaya ropa kana vacheche vari pangozi yemigumisiro yakakomba. Kuenderera mberi kunonoka kunogona kunge kwakaoma pakati pevana ava. Vana vane nhoroondo yemaropa ane simba vanogonawo kutambura nekusagadzikana kwekugadzirisa kushanda uye zvimwe zvinetso zvakadai sekuregererwa kwekushaya-hyperactivity disorder (ADHD).
Kudzivirira
Nokuti IVH inogona kukonzera matambudziko akakura uye haigoni kumira kana yatanga, vanachiremba uye masayendisiti vakaisa pfungwa dzavo mukudzivirira.
Kuchengetedza kutanga kwekutaura ndiyo nzira yakanakisisa yekudzivirira IVH, saka vanaamai vanotarisira vane dambudziko rekugadzirira kare vanofanira kutaura kuvanachiremba vavo nezvekudzikisa ngozi yavo. Mishonga yakawanda yakadzidziswa basa ravo pakudzivirira IVH. Utachiona hwetachiona huri mumadzimai ari pangozi yekusununguka kwekutanga zvakaratidzwa kuti hudzivirire, asi inofanira kupiwa munguva yakareba yewindo. Imwe mishonga, indomethacin, yakaratidzwawo kuti inopa kudzivirirwa.
Sources
- Hansen, Thor Willy Ruud. "Prophylaxis yeIntraventricular Hemorrhage muvana Vangangotanga Kuberekwa: Zvitsva Zvitsva Zvishandiso, Matambudziko Matsva." Vanachiremba Vanonyanya Kurapa Mishonga Jan. 2006: 7; 90-92.
- Gardner, Marsha. "Migumisiro muvana Vanowana Neurological Insult as Preterm Infants" Vanachiremba Vezvechiremba Nov / Dec 2005: 31; 448-457.
- Sears MD, William, Sears MD, Robert, Sears MD, James, Sears RN, Martha. The Premature Baby Book: Zvinhu Zvose Zvaunoda Kuziva Nezve Mwana Wako Usati Watanga Kubva Kuberekwa kusvika kuHera Rimwe . Little, Brown uye Co., New York, 2004.
- Medline Plus. "Intraventricular Hemorrhage yeMucheche" Yakasvika 8-20-09 kubva pawebsite.