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

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