ʻO keʻano o ka hana a ke pēpē he mea kūponoʻole ia a no ka hopena o ka maʻi o ke keiki. ʻO kahi pilikia nui i ke olakino o ka pēpē,ʻo ia ka pōʻino o ka lolo e hopena ma muli o ka asphyxia a me ka hypoxia fetal i ka wā o ka hāpaiʻana . ʻO ka pōloli o ka'ōpū o ka lolo e hiki ke alakaʻi i ka uluʻana o ka hemorrhage intraventricular i nā mea hou. ʻO ka pilikia o ia koiʻana e kali i nā keiki, i hānauʻia ma mua o ka hua'ōlelo. ʻO kēia ke kumu o ka paʻaʻole o nā moku a me nāʻano o ka hanaʻana o ka lolo i loko o kēia hui o nā keiki hou. Hiki i nā pēpē mua i loko o ka lolo kekahiʻano kūikawā -ʻo ka ulupāʻau germinal, nā pūnaewele o ka mea ma hope iho e hoʻokumu i kahi iwi o ka lolo, e neʻe ana i ka cortex. ʻO ka hemorrhage intraventricular i nā keiki hou e puka mai ana ma muli o ka uha o nā moku o ka ulupalaʻau a me ka kaheʻana o ke koko i loko o ka ventricles i waho. Ma muli o ka IVLC, hiki mai ka neʻeʻana o nā pūnaewele o ka ulupalaʻau me nā haunaele, ka hopena e pili ana i ka hoʻomohalaʻana o ke keiki, e hoʻomaha ana.
Nā Manaʻo o ka IVLC
- ʻO IVH ka lōʻihi - ke kauʻana o ka hemorrhage ma ka pā o ventricular,ʻaʻole e hoʻoneʻe i ko lākou poho.
- ʻO ka IVH 2 mau mākia - ke komo ka hemorrhage i loko o ka lua o nā ventricles.
- IVH o ke kēkelēʻekolu - he mau pilikia i ka holoʻana o ka wai o ka momona e hana ana i ka hydrocephalus.
- ʻO IVH 4 mau lā - ka hoholaʻana o ka hemorrhage i ka lolo.
ʻO ka IVH 1 a me ka 2 paʻakikī o nā keiki hou e like me ka asymptomatic, a hiki keʻikeʻia ma nāʻano'ē aʻe (ka pilina helu helu, neurosonography).
Nā hopena o IVLC
ʻO nā hopena o ka IVH no ke olakino o kahi keiki hānau ma muli o nā kumu he nui,ʻo ka nui o ka maʻi hemorrhage, ka makahiki'ōkiko o ke pēpē, ke kūʻana o nā maʻi o ka uluʻana a me nā maʻi maʻi. ʻO IVH 1 a me 2 o nā hōʻailona i loko o nā keiki hānau i loko o 90% o nā hihia i hoʻopauʻia me kaʻikeʻoleʻia, me ka pilikiaʻole i ke olakino o ke keiki. ʻO IVH 3 a me 4 no ke kumu o nā maʻi kaʻa a me nā pilikia neuropsychological.