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

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