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

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