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Nicole, Morte della neonata

Pubblicato da Dr.Guidalberto Guidi in News · 19/2/2015 23:18:00
Tags: mortenicoleneonata
Nicole, neonata vissuta solo poche ore.... tragedia evitabile?

Scarico e rimbalzo di responsabilità tra ASL, 118, ospedali di Ragusa e Catania, assessorato, regione Sicilia, presidente Crocetta, fino al ministro della Sanità Beatrice Lorenzin.
Forse l'autopsia potrà dare chiarimenti, ma per molti di noi rimarranno dubbi e incertezze.
A questo proposito vi vorrei spigare in parole semplici cosa può causare la morte di un neonato.
il 50% circa dei decessi nei neonati è causato da gravissima insufficienza respiratoria, causata da "Malattia delle Membrane Ialine" questa sindrome, più frequente nei neonati prematuri, è dovuta alla carenza di una sostanza detta Surfactante, che consente l'espansione dei polmoni del neonato.
Infatti alla nascita i polmoni sono collassati, in quanto il feto non respira, ma viene ossigenato dal sangue materno tramite la placenta e il cordone ombelicale.
Al primo respiro del neonato i polmoni, grazie al "Surfactante" come per incanto si espandono, si riempiono d'aria e.... incomincia la vita!
Già ma se manca o è insufficiente il surfactante?
In questo caso i polmoni non si espandono o solo ​parzialmente, e il neonato va inesorabilmente in asfissia.
Quale rimedio allora?
La ventilazione a pressione positiva CPAP con ossigeno e la somministrazione di simil- surfactante come il Lucinactant, possono facilitare l'espansione dei polmoni, se ciò fosse inefficace si può ancora tentare con la ventilazione assistita in intubazione, a pressioni positive cercando di "gonfiare" i polmoni come fossero dei palloncini vuoti.
Altre cause, ma più rare, sono le cardiopatie congenite specie della parte destra del cuore: atresia della valvola Tricuspide, atresia dell'arteria Polmonare, tetralogie tipo Fallot estreme, condizioni che consentono la vita fetale ma spesso fatali quando i polmoni iniziano a respirare.
Per precisazione, il trattamento tempestivo con:
1- ventillazione a pressione positiva con CPAP
2- ossigeno iperbarico
3- surfactante
riduce la mortalità al 10-15%.


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14 commenti
Voto medio: 5.0/5
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2018-05-04 13:11:38
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Nuvole
farmaci natale Guidalberto notizia grassi cardiopolmonare Michael neonata Extravergine ecocardiogramma nicole Cardiovascolare remise londra Diagnostico massaggio l’Aterosclerosi regole fisico intervento patologie tsa rianimazione soccorso tromboembolia Charlie curare mondiale DIAD apnee Giornata larghi cattivo colesterolo come alimenti forme Esami imparare Cause Ecodoppler prevenire danni antidepressivi tabacco Sprechi strumental Napoli medico sintomi ultima il vita Trapianto Elettrocardiogramma Vene cosa Marchionne gusto Davide d’oro Astori pedane alimentazione Death Chirurgia all’anno concerto malattia Diagnosi vizio notiza dieta ricoveri Screening librodella Cardiovascolari invecchiamento rischi dottor Margarina saluteedelgusto Rosa coronaroTC Ortopedia debole infarto libro Check Ecg up valori Osteopatia 100.000 Aneurismi esame estate Body ictus Attacco Neurologia Jackson trapianto apparato Cardarelli la Fisioterapia pressione antiipertensivi arterie HDL check Aorta diabete morire pubblica sanità muore FC juventus cardiologo fianchi Specialistica Morte Visite stress tumori Endovascolare Addominale salvare Regredire alcool sesso mangiare cardioexpert generazione Up medica fumo Coronaro carni malato Parkinson Malattie ambulanze mango cardiologico infiammazione Dieta a Guidi diabesity morte Daniele pomodoro clamys arteriosa cura aspirina cardiaci Torino prevvenzione ischemia Ischemico Sindrome polmonare Comuni Mediterranea Pronto Pino cardiache Paziente sport malattie regala Angio cadavere Centro Prevenzione LDL Cardiaco vivere tre Ecocardiogramma attività Studio prevenzione quanto saturi cassano corsia cardiaco Carotideo guidi Filippide cardiovascolari cuore vite sana Valvolare DASH curoe cantante diabete.Cardiologia esercizio malore Cardiache folli mediterraneo Cerebrali varici Infarto valvola berlusconi Ipertensione Rischio cardiologia vegetariano di acqua Scompenso Metabolica Juventus Fisiopatologiche Cardiologico Medicina sonno obesità TC consumo Breathing bianche miocardico Burro aortica cronica Massoterapia Olio macchinari ipertensione contro Airway moriredisport Aortica en Aneurisma lungo vibranti dott.Guidi Sostituzione Europa Cardiologo cardiovascolare striscia Cardiologia Terapia asa prenotazione mediterranea notturne torino salute fisica screening Estetica umane giornata centro cardiaca ECG venose Sergio donne Venosa problemi Total apparecchiature Viagra CoronaroTC

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