ENTEROCOLITIS NECROSANTE PDF

Necrotizing Enterocolitis in the Newborn What is necrotizing enterocolitis in the newborn? Necrotizing enterocolitis NEC is a serious illness in newborns. It happens when tissue in the large intestine colon gets inflamed. Any newborn can get NEC.

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Necrotizing Enterocolitis in the Newborn What is necrotizing enterocolitis in the newborn? Necrotizing enterocolitis NEC is a serious illness in newborns. It happens when tissue in the large intestine colon gets inflamed. Any newborn can get NEC. This is especially true for babies who weigh less than 3 pounds, 4 ounces 1, grams.

It is rare in older, larger babies. The smaller and earlier the baby, the higher the risk for NEC. What causes NEC? Bacteria from the environment can damage the tender tissues. This can harm the tissues and cause them to die. When this happens, a hole forms in the intestine. Who is at risk for NEC? Premature birth Premature babies are less mature than full-term babies. This means they may have trouble with blood and oxygen circulation.

Their body is not always ready for digestion and fighting infections. This increases their chance of having NEC. Human milk is easier to digest. It also contains substances that help fight infection and help intestinal cells mature. Difficult birth or low oxygen levels at birth Babies who had a difficult birth or low oxygen levels at birth are more likely to get NEC. When there is too little oxygen, the body sends blood and oxygen to the brain and heart first.

This reduces the blood flow to the intestinal tract. This can cause less oxygen in blood to reach the colon. Infections in the intestine Babies with infections in their intestines are more likely to get NEC. What are the symptoms of NEC? Each child may experience symptoms differently. Symptoms usually show up in the first 2 weeks of life.

Make sure your child sees his or her healthcare provider for a diagnosis. How is NEC diagnosed? Your child may need an abdominal X-ray. How is NEC treated?

It will also depend on how severe the condition is. Giving your baby IV intravenous fluids and nutrition Giving antibiotics for infection Taking X-rays to check how the condition is progressing Giving extra oxygen or using a breathing machine.

Isolating your baby. This is done to keep any infection from spreading. If your baby has severe NEC, he or she may need: Surgery to take out the damaged intestine or bowel A procedure that connects part of the intestine or bowel to an opening on the abdomen ostomy Draining of the abdominal peritoneal cavity What are the possible complications of NEC?

This causes an infection. This can harm a small or large part of the intestine. It can happen quickly. An infection in the intestines is hard for a baby to fight. Even with treatment, there may be serious problems. Some of these issues include: A hole in the intestine Scars or narrow areas strictures in the intestine Not being able to absorb food and nutrients.

No one knows what causes NEC. Studies show that babies who only have breastmilk, instead of formula, are less likely to get this condition. Also starting feedings after a baby is stable and slowly increasing how much he or she eats may also help. Before your visit, write down questions you want answered. At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests.

Also write down any new instructions your provider gives you for your child. Know why a new medicine or treatment is prescribed and how it will help your child. Also know what the side effects are.

Know why a test or procedure is recommended and what the results could mean. Know what to expect if your child does not take the medicine or have the test or procedure. If your child has a follow-up appointment, write down the date, time, and purpose for that visit. This is important if your child becomes ill and you have questions or need advice.

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