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

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