Ukubonakala kwenqubo yomntwana kunalokho kungenakulinganiswa futhi ngokuvamile ngenxa yalokho impilo yengane ihlupheka. Ingozi ekhethekile empilweni yengane ingumonakalo wengqondo okwenzeka ngenxa ye- asphyxia ne- hypoxia yesisu ngesikhathi sokukhulelwa . Ukulamba kwe-oksijeni kobuchopho kungabangela ekuthuthukiseni kwegazi lokungena emzimbeni ku-neonates. Ingozi yenkinga enjalo iwukulinda izingane, ezazalwa ngaphambi kwegama. Lokhu kungenxa yokungahlanjululwa kwemikhumbi kanye nokuzikhethela kwesakhiwo sobuchopho kuleli qembu lezingane ezisanda kuzalwa. Izingane ezisanda kusengaphambili ebuchosheni zinesakhiwo esikhethekile - isisu sokubeletha, amangqamuzana ayo adala isifuba sobuchopho, athuthela e-cortex. Ukuzibulala ngokwemvelo ezinganeni ezisanda kuzalwa kwenzeka ngenxa yokuqhekeka kwezitsha ze-matrix yegciwane kanye nokugeleza kwegazi emagqabini e-lateral. Ngenxa ye-IVLC, ukufuduka kwamangqamuzana e-matrix asegciwane kwenzeka ngokuphazanyiswa, okulimaza kakhulu ukuthuthukiswa kwengane, okubangela ukubambezeleka kwayo.
Izigigaba ze-IVLC
- I-IV i-1 degree - i-hemorrhage ilinganiselwe ngodonga lwama-ventricular, hhayi olwandisa emagcekeni abo.
- I-IVH 2 degrees - i-hemorrhage ingena emgodini we-ventricles.
- I-IV yezinga lesithathu - kuneziphazamiso ekusakazeni kwe-cerebrospinal fluid edala i-hydrocephalus.
- I-IV-4 degrees - i-hemorrhage isakazeka emathisini ebuchopho.
I-IVH no-2 degrees yobunzima ezinganeni zivame ukungabonakali, futhi zingatholwa kuphela ngezindlela ezengeziwe (i-computed tomography, i-neurosonography).
Imiphumela ye-IVLC
Imiphumela ye-IV yezempilo yengane esanda kuzalwa incike ezintweni eziningi, ikakhulukazi ukuqina kwesisu, ukukhula kwesikhathi sokubeletha kwengane, ukutholakala kwezifo zokuthuthukiswa kanye nezifo ezithintekayo. I-IVH no-2 degrees ezinsana ezingama-90% amacala ahlakazeka ngaphandle kokulandela, ngaphandle kokulimaza kakhulu impilo yengane. I-IVH 3 no-4 degrees kubangela izinkinga zemoto nezinkinga ze-neuropsychological.