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

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