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Life for the premature
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Just ten years ago, a sinister shadow cast on the prognosis of premature infants affected by hyaline membrane disease: half of them died. Today, thanks to an early sur-facante instillation of the substance needed to expand the lungs, die less than 20%.
In newborn normal lung as it expands outside air gets, this is because the cells are lined with a substance that prevents collapse. In infants with hyaline membrane, this substance, called surfactant, is synthesized in a poor or bad has been released. The lungs of these children are comparable to a sponge crushed, whose cells are stiff and can not defuse.
Although it can affect all newborns, much more often when they are premature. The children of diabetic mothers may also be born affected by hyaline membrane disease, which is also observed in those born by cesarean delivery or fast, as well as those who have undergone neonatal anoxia.
Because air can not reach the alveoli respiratory babies affected by hyaline membrane disease almost always die from asphyxiation.
In a titanic struggle against death, the baby should draw on the resources endowed by nature to breathe and implements all of the respiratory muscles.
Since they have suffered from asphyxia during birth or from the first time bad breath, some infants and need to be resuscitated in the delivery room.
So far, the treatment of hyaline membrane disease was based on life support. At the end of 1989 was approved in the United States the use of a drug called surfactant sur-factor. At first, we used preparations were obtained from animal lungs of pigs and cattle. The surfactant was deposited in the lungs of the newborn. For several years, surfactant is used systematically in all children born weighing less than 1 500 grams.
In newborn normal lung as it expands outside air gets, this is because the cells are lined with a substance that prevents collapse. In infants with hyaline membrane, this substance, called surfactant, is synthesized in a poor or bad has been released. The lungs of these children are comparable to a sponge crushed, whose cells are stiff and can not defuse.
Although it can affect all newborns, much more often when they are premature. The children of diabetic mothers may also be born affected by hyaline membrane disease, which is also observed in those born by cesarean delivery or fast, as well as those who have undergone neonatal anoxia.
Because air can not reach the alveoli respiratory babies affected by hyaline membrane disease almost always die from asphyxiation.
In a titanic struggle against death, the baby should draw on the resources endowed by nature to breathe and implements all of the respiratory muscles.
Since they have suffered from asphyxia during birth or from the first time bad breath, some infants and need to be resuscitated in the delivery room.
So far, the treatment of hyaline membrane disease was based on life support. At the end of 1989 was approved in the United States the use of a drug called surfactant sur-factor. At first, we used preparations were obtained from animal lungs of pigs and cattle. The surfactant was deposited in the lungs of the newborn. For several years, surfactant is used systematically in all children born weighing less than 1 500 grams.
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