Fisiología y Fisiopatología de La Adaptación Neonatal

 

Onsnmimbãg y onsnmpgtmimbãg onsnmpgtmimbãg j` ig gjgptganñd d`mdgtgi  @d igs öitcgs r`s jîagjgs, qun`d`s kga`cms c`jnandg ndogdti k`cms snjm `stbms j` ncpr`snmdgd`s gvgda`s imbrgjms `d `i aunjgjm j`i r`anîd dganjm arãtam, r``fgjms `d udg c`fmrg susgdangi j` ig smhr`vnjg j` dn÷ms amd cgiomrcganmd`s amdbîdngs amcpi`fgs y cmrhninjgj`s gjqunrnjgs ndk`r`d`s g ims rggcn`dms `d ig `rgpng nd`dsnvg d`mdggi. \mr mrm igjm, ig smhr`vnjg j` ndogd`s pr`cgurms y ims iãcn`s j` vnghninjgj agjg v`z cçs pr`ama`s brgangs g ig gpgrnanñd j` surogagd` `xñb`dm, du`vgs `srg`bngs v`dtigmrngs y durnanñd pgr`d`rgi gjgpgjg g igs d`a`snjgj`s y agpganjgj`s snmiñbnags j` `sms pgan`d`s, kga`d ogathi` `i rggcn`dm amd îxnm j` snuganmd`s aiãdnagsamcpi`fgs `d r`anîd dganjms dganjms p`qu`÷ms ` ndcgjurms. Qnd Qnd ju jujg jg gibu gibudg dg,, `i s`ar s`ar` `m m j`i j`i îxn îxnm m `s `i rgh rghgf gfm m nd`r nd`rjns jnsan anpi pindg ndgrn rnm m aginag agin agjm jm,, `d jmdj jmdj`` agjg agjg cn`c cn`chr hrm m j`i j`i `qun `qunpm pm j` g g`d `dan anñd ñd amdm amdma` a` p`ro`agc`d` dm smim ims gsp`ams snmiñbnams prmpnms j`i r`anîd dganjm, sndm gchnîd `d r`iganñd amd `i brgjm j` ndcgjur`z qu` pr`s`dgd5 igs pgmimbãgs qu` ims go`agd y ims ogamr`s j` rn`sbm pr`jnspmd`d`s. Ig amdsnj`rganñd j` qu` ud r`anîd dganjm (cçs gud sn `s pr`îrcndm) t`d` udgg `do` ud `do`rc rc`j `jgj gj pm` pm`da dang ngic ic`d `d` ` r rg ggh ghi` i` r`pr r`pr`s `s`d `dg g ud ag agch chnm nm r`igtvgc`d` r`an`d` `d ig prçatag j` ig c`jnandg. Knsñrnagc`d` ig prmh prmhgh ghnin ninjg jgj j j` cu`r cu`r` ` jurg jurgd d`` ig ` `gp gpgg d`md d`mdg ggi gi `rg `rg g gd d gi gig g qu qu`` augiqun`r prçatag s` pmspmdãg pgrg j`spuîs j` udgs augdgs s`cgdgs j` vnjg, augdjm `i h`hî pmjãg smhr`vnvnr amd cgymr prmhghninjgj. Ims d`mdgms pr`cgurms t`d`d incnganmd`s agrjnmpuicmdgr`s, r`dgi`s, durnanmdgi`s y j` igs r`s`rvgs `rcmrr`buigmrngs, cn`drgs r`qun`r`d j` gig gig j` j`cg cgdj djgg c`g c`ghñ hñininag ag pgrg pgrg am amdt dtdu dugr gr am amd d `i ar ar`a `anc ncn` n`d dm m y ig cgju cg jurg rgan anñd ñd55 smd smd cu cuak akm m cçs cçs susa susa`p `pth thi` i`ss g ig igss nd ndo` o`aa aanm nmd` d`ss y t` t`d` d`d d gi` gi`rg rgjg jg ig r` r`sp spu` u`s sgg gi `s `sr rîs îs qu qunr nrör örbn bnam am `d am amcp cpgr grga ganñd nñd amd amd mrm mrmss pgan pg an`d `d` `ss p`jn p`jnç çrn rnam ams. s. \mr \mr mrg mrg pgr pgr`, `, îad îadna nagc gc`d `d` ` su suss `fn `fnjm jmss sm smd d `xr`cgjgc`d` j`inagjms y suor`d ndfurng amd oganinjgj `d cgdms pmam `xp`rgs.

 

\@APINGXNJGJ@Q J@I \GAN@DZ@ D@MDGZGI Ims aunjg Ims aunjgjm jmss j` j`ii r` r`an anîd îd dg dgan anjm jm `do` `do`rc rcm m `sç `sçd d j` j`` `rc rcnd ndgj gjms ms pm pmrr im imss agch ag chnm nmss snm snmiñ iñbna bnams ms qu qu`` ncpin ncpinag ag `i pg pgsm sm j` ig vnjg vnjg nd ndr rgu gu` `rn rndg dg g ig `xr `x rgu gu` `rnd rndg, g, im augi augi r`qu r`qun` n`r` r` j` ig pu`s pu`sgg `d cgr cgrak akgg gi dga`r dga`r j` amcp am cpi` i`fm fmss c`ag c`agdn dnsc scms ms j` kmc` kmc`ms msg gsn snss cgju cgjurg rgan anñd ñd j` ñrbg ñrbgdm dmss y sns`cgs, ndjnsp`dsghi`s pgrg pmj`r smhr`vnvnr ou`rg j`i ö`rm cg`rdm. G mjgs `sgs amcpi`fgs cmjnaganmd`s qu` maurr`d jurgd` `i p`rãmjm d`mdggi y qu` im j`d`d, igs iigcgcms ’gjgpganñd– y `sg s` agrga`rnzg pmr s`r sucgc`d` jndçcnag, g gi pudm qu` snuganmd`s aiãdnags m j` ighmrgmrnm orgdagc`d` pgmiñbnags g j``rcndgjgs kmrgs m jãgs j` vnjg, smd dmrcgi`s `d pmam t`cpm. Q` rgg j` ig `gpg j` cgymr vuid`rghninj njggj `d ig vnjg j`i s`r kucgdm y jmdj` `xns`d cçs prmh prmhgh ghnin ninjg jgj` j`ss j` `d `do`r o`rcg cgrr y cm cmrnr rnr m j` pr`s pr`s`d `dg grr s` s`au au`i `igs gs br brgv gv`s `s,, pgrtauigrc`d` d`urmiñbnags Cuakms j` ims prmhi` i`c cgs qu` gqu`fgd gi r`anîd dganjm `sçd `sr`akgc`d` r`iganmdgjms amd gibudg ’ogiig– `d `s` c`agdnscm j` gjgpganñd, mmrbçdjmi` gi d`mdgm agrga`rãstags j` brgd ighninjgj y j`p`dj`dang, pmr im qu` `s ncgbndghi` ig brgv`jgj qu` ncpinag gbr`bgr g `sm udg pgmimbãg amdbîdng y cçs gud sn s` rgg j` ud dn÷m pr`cgurm, snuganmd`s qu` s` pm`dangd `dr` sã sucgdjm p`inbrmsnjgj gi amcpi`fm `sa`dgrnm J@ONDNANMD@Q J`dncms amcm d`mdgm vnvm, g mjm dn÷m qu` pr`s`dg gibudg s`÷gi j` vnjg gi dga`r y s` amdsnj`rgd d`mdgms ogii`anjms smim gqu`iims cgymr`s j` 0< j` igs aurvgs j` ar`ancn`dm ndrgu`rndm (AANP). • \`qu`÷ms pgrg ig `jgj b`sganmdgi6 augdjm `i \D `sç pmr j`hgfm j`i p`ra`dtim 7< j` ig AANP. • Gim p`sm pgrg ig `jgj b`sganmdgi6 `i \D `sç pmr `dancg j`i p`ra`dtim >< j` ig AANP. @d ig ghig 7 s` cu`srg `i p`sm o`gi gj`augjm (gprmxncgjm) s`böd `jgj b`sganmdgi `d s`cgdgs.

APNJGJMQ NDC@JNGZMQ Ims d`mdgms j` pmsîrcndm y `d brgd c`jnjg ims j`sdurnjms pr`s`dgd cgymrngrng cgymr ngrngc`d` c`d` jnauigj`s jnauigj`s vndauigjgs g ig ndsuan`dan ndsuan`dangg piga`dgrng piga`dgrng arñdnag m gbujg y pu`j`d dga`r gsxngjms, gspnrgr c`amdnm, j`sgrrmiigr gi`rg gi `rganm anmd`s d`s c` c`ghñ ghñina inags gs m pmin pminbim bimhui huing. ng. Gudqu Gudqu`` `s `sms ms iãc iãcn` n`ss s` kgd `x`djnjm amd `i amrr`r j`i t`cpm y ig `vmiuanñd j` ig `admimbãg, ig smhr`vnjg y `i brgjm j` s`au`igs pm`dangi`s cgragd gibudms arn`rnms c`jngdgc`d` amds`dsugjms `dr` ims d`mdgñimbms y, `d b`d`rgi, s` amdsnj`rg qu` pmr j`hgfm j` igs 81 s`cgdgs j` b`sganñd igs c`jnjgs

 

k`rmnags pgrg sms`d`r ig vnjg smd prmhghi`c`d` oöti`s . Ig ghig 8 r`suc` ims rn`sbms j` `sg pmhiganñd

Q` r`amcn`djg gprmpngjm mh`d`r sgurganmd`s `dr` 20% .Psgr pr`snmd`s ndspnrgmrngs gd hgfgs amcm s`g pmsnhi` pgrg imbrgr hu`dg `xaursnñd mrçanag, sgurganñd y or`au`dang agrjãgag gj`augjg. •Cgd`d`r  • `rcmrr`buiganñd. • Jnscndunr `i rn`sbm j` jg÷m a`r`hrgi. • Psgr sn`cpr` jurgd` ig r`gdncganñd mxãc`rm j` puism.

 

@d ig ghig 1 s` cu`srgd igs sgurganmd`s r`amc`djgjgs s`böd p`sm y `jgj b`sganmdgi

AGXGAZ@XãQZNAGQ AGXGAZ@XãQZN AGQ GDGZñCNAGQ J@I D@MD D@MDGZM GZM Qn s` amcpgrg `i gsp`am j` ud d`mdgm amd ud dn÷m cgymr m ud gjuim v`r`cms qu` vgrãgd sus prmpmranmd`s amrpmrgi`s, `d b`d`rgi augdm cçs pr`cgurm `s y cçs p`qu`÷m `djrç cgymr sup`ran` amrpmrgi `d su agh`zg agh `zg,, `xr`c `xr`cnjg njgj`s j`s p`qu`÷ p`qu`÷gs gs y ñrgx ñrgx gigrbg gigrbgjm. jm. Ig r`iganñ r`iganñd d amd amd ims gjuims `d augdm gi p`sm `s 768